TY 2020 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			1,180,363	0	547,114
(2) MOLLY SULLIVAN MD...................................................................... TRUSTEE	2.0 ................. 40.0	X				0	537,258	43,763
(3) MICHAEL L CONNORS...................................................................... SVP FINANCE/CFO (UNTIL 7/21)	5.0 ................. 55.0		X			471,847	0	74,778
(4) KEVIN MULROY...................................................................... SVP CHIEF QUALITY & SAFETY OFF	5.0 ................. 45.0				X	417,712	0	70,514
(5) JOHN PAUL SOLVERSON...................................................................... SVP & CIO	5.0 ................. 45.0			X		428,470	0	52,825
(6) CHRISTIAN BROWN...................................................................... SVP MANAGED CARE	5.0 ................. 45.0			X		407,580	0	48,684
(7) MICHAEL G JONES ESQ...................................................................... SVP, CLO, CO-CLERK	5.0 ................. 55.0		X			372,235	0	67,912
(8) THEODORE CALIANOS MD...................................................................... TRUSTEE	5.0 ................. 40.0	X				0	386,682	43,763
(9) PATRICK J KANE...................................................................... SVP OF MRKTG,COMMUN AND DEVLP	5.0 ................. 45.0			X		343,738	0	45,717
(10) DONALD A GUADAGNOLI MD...................................................................... SEE SCHEDULE O	5.0 ................. 45.0				X	307,663	0	64,434
(11) LORI E JEWETT...................................................................... CEO,FH UNT 1/20 COO AS OF 3/20	5.0 ................. 45.0				X	343,592	0	28,225
(12) JEAN BUTLER...................................................................... SVP EMPLOYED PHYSICIAN GROUP	5.0 ................. 45.0				X	315,989	0	52,953
(13) SHERYL DECILIO...................................................................... VP PATIENT FIN SVC & REV CYCLE	5.0 ................. 45.0				X	288,003	0	27,220
(14) CHRISTOPHER M LAWSON...................................................................... SVP DEVELOPMENT	5.0 ................. 45.0			X		253,796	0	55,625
(15) NOELENE CERVIN...................................................................... VP BUDGETING AND OPER SUPPORT	5.0 ................. 45.0			X		261,020	0	44,234
(16) JEFFREY S DYKENS...................................................................... VP FINANCE (UNTIL 2/20)	5.0 ................. 45.0			X		294,070	0	7,936
(17) LAURA RANZINGER...................................................................... VP FINANCE & TREAS(AS OF 2/20)	5.0 ................. 45.0			X		258,470	0	30,730

(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) PAUL J NIEDZWIECKI........................................................................ SVP STR GOV'T AFF (UNTIL 8/20)	5.0 .......................45.0			X		262,699	26,226
(19) MICHELLE SKARBEK........................................................................ VP HR (AS OF 11/20)	5.0 .......................45.0			X		191,034	39,825
(20) EMILY SCHORER........................................................................ SVP HR (UNTIL 4/20)	5.0 .......................45.0				X	144,722	15,718
(21) NATHAN RUDMAN MD........................................................................ TRUSTEE	5.0 .......................5.0	X				0	0
(22) LAWRENCE CAPODILUPO........................................................................ TRUSTEE	2.0 .......................2.0	X				0	0
(23) SHARON KENNEDY........................................................................ TRUSTEE	2.0 .......................2.0	X				0	0
(24) DIANE COLETTI........................................................................ TRUSTEE (UNTIL 5/21)	2.0 .......................2.0	X				0	0
(25) SUMNER B TILTON JR........................................................................ TRUSTEE (UNTIL 5/21)	2.0 .......................2.0	X				0	0
(26) E JAMES MULCAHY JR........................................................................ TRUSTEE	2.0 .......................2.0	X				0	0
(27) ROBERT TALERMAN........................................................................ Clerk/Trustee	2.0 .......................2.0	X	X			0	0
(28) RAMANI AYER........................................................................ VICE CHAIR & TREAS/TRUSTEE	2.0 .......................2.0	X	X			0	0
(29) BRUCE JOHNSTON........................................................................ CHAIR/TRUSTEE	5.0 .......................5.0	X	X			0	0
(30) CYNTHIA A HINES MD........................................................................ TRUSTEE	2.0 .......................2.0	X				0	0
(31) KEVIN VILSAINT MD........................................................................ TRUSTEE	2.0 .......................2.0	X				0	0
(32) ROBIN DEVEREUX........................................................................ TRUSTEE (AS OF 5/21)	2.0 .......................2.0	X				0	0
(33) RICHARD SILVERIA........................................................................ SVP FINANCE/CFO (AS OF 9/21)	5.0 .......................55.0		X			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	15,970,573
DELOITTE CONSULTING LLP, 555 MISSION ST SAN FRANCISCO,CA941050920	CONSULTING	6,436,264
EDWARDS LIFESCIENCES, ONE EDWARD WAY IRVINE,CA92614	MEDICAL DEVICES	5,409,625
OPTUM360 LLC, 1100 OPTUM CIRCLE EDEN PRAIRIE,MN55344	CONSULTING	5,318,843
BRIGHAM WOMENS PHYSICIANS ORGANIZ, PO BOX 3684 BOSTON,MA022413684	MEDICAL SERVICES	3,849,427
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 65

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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) 2020

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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. 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—2019. 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—2020. 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—2019. 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) 2020

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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	127,250	286,192	0	9,102	14,122	436,666
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	71,484,837	80,915,461	106,030,118	106,756,089	126,847,579	492,034,084
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	71,612,087	81,201,653	106,030,118	106,765,191	126,861,701	492,470,750
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.)						492,470,750

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
9	Amounts from line 6...	71,612,087	81,201,653	106,030,118	106,765,191	126,861,701	492,470,750
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	2,873,769	3,637,942	4,214,471	4,212,434	3,452,161	18,390,777
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.						0
c	Add lines 10a and 10b.	2,873,769	3,637,942	4,214,471	4,212,434	3,452,161	18,390,777
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.	146,807	327,193	267,123	24,358	43,021	808,502
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.)..	74,632,663	85,166,788	110,511,712	111,001,983	130,356,883	511,670,029

First 5 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 2020 (line 8, column (f) divided by line 13, column (f)) .........

96.248 %

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

95.838 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

3.594 %

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

3.966 %

19a

331/3% support tests—2020. 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—2019. 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) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) 2020

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 lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2020

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 0.015 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 0.035	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) 2020

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 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 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, 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 2020. 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 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

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) 2020

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

2020

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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) 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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

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) (2020)

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

2020

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) 2020

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) 2017	(b) 2018	(c) 2019	(d) 2020	(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) 2020

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

229,092

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

229,092

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 $120,056 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 26.47% ENGAGED IN LOBBYING ACTIVITIES OR $20,286 OF THE $76,638 DUES PAID. C. CAPE COD HEALTHCARE, INC. MADE PAYMENTS TO THE COALITION TO PROTECT AMERICA'S HEALTHCARE OF $28,750.

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 $120,056 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 26.47% ENGAGED IN LOBBYING ACTIVITIES OR $20,286 OF THE $76,638 DUES PAID. C. CAPE COD HEALTHCARE, INC. MADE PAYMENTS TO THE COALITION TO PROTECT AMERICA'S HEALTHCARE OF $28,750.

Schedule C (Form 990 or 990EZ) 2020

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

2020

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) 2020

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 .....	6,384,592		6,384,592
b	Buildings ....	11,467,371	1,913,674	9,553,697
c	Leasehold improvements	8,440,984	3,790,314	4,650,670
d	Equipment ....	48,884,662	38,976,467	9,908,195
e	Other .....	31,473,649	12,915,413	18,558,236
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				49,055,390

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other 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) UNRESTRICTED INVESTMENTS	171,321,256	F
(B) TEMP RESTRICTED INVESTMENTS	12,195,433	F
(C) PERM RESTRICTED INVESTMENTS	15,030,908	F
(D) PERPETUAL TRUST	25,799,531	F
(E) 457 PLAN INVESTMENTS	17,419,395	F
(F) ANNUITIES & PIF	1,298,537	F
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	243,065,060

Part VIII

Investments - Program 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)EPIC IMPLEMENTATION PROJECT				55,708,631
(2)INSURANCE RECOVERY RECEIVABLE				30,351,540
(3)INTERCOMPANY				18,157,094
(4)ROU ASSETS - OPERATING LEASES				12,899,920
(5)MISC OTHER ASSETS				2,185,544
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				119,302,729

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
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	134,669,485
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) 2020

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) 2020

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

2020

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	159,200	FMV	N/A	Access to Healthcare
(2) CAPE COD YOUNG PROFESSIONALS INC PO BOX 634 BARNSTABLE,MA02630	30-0455198	501(c)(3)	12,500	FMV	N/A	MARKETING EVENT SPONSORSHIP
(3) PHYSICIAN HEALTH SERVICES INC 860 WINTER STREET WALTHAM,MA02451	22-3234975	501(C)(3)	15,000	FMV	N/A	MARKETING EVENT SPONSORSHIP
(4) RIVERVIEW SCHOOL INC 551 ROUTE 6A E SANDWICH,MA02537	04-2240919	501(c)(3)	6,000	FMV	N/A	MARKETING EVENT SPONSORSHIP

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) 2020

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	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance
(1) CCHC EMPLOYEES HARDSHIP FUND	16	39,000	FMV	N/A
(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. A Fund Review Committee is responsible for the management of the Employee Hardship Fund. The Committee conducts an assessment of needs by carefully reviewing each application and any corresponding support documentation. The Committee maintains appropriate records to show that payments further the Fund's charitable purpose and that the persons served are needy or distressed as described in the Fund's policy statement.

Schedule I (Form 990) 2020

Additional Data

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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
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

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

OMB No. 1545-0047

2020

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? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed 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 ............

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) 2020

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)	912,838 ------------- 0	0 ------------- 0	267,525 ------------- 0	514,750 ------------- 0	32,364 ------------- 0	1,727,477 ------------- 0	182,000 ------------- 0
2THEODORE CALIANOS MD TRUSTEE	(i) (ii)	0 ------------- 384,807	0 ------------- 0	0 ------------- 1,875	0 ------------- 11,400	0 ------------- 32,363	0 ------------- 430,445	0 ------------- 0
3MICHAEL L CONNORS SVP FINANCE/CFO (UNTIL 7/21)	(i) (ii)	407,185 ------------- 0	0 ------------- 0	64,662 ------------- 0	38,524 ------------- 0	36,254 ------------- 0	546,625 ------------- 0	22,000 ------------- 0
4MICHAEL G JONES ESQ SVP, CLO, CO-CLERK	(i) (ii)	332,303 ------------- 0	0 ------------- 0	39,932 ------------- 0	32,508 ------------- 0	35,404 ------------- 0	440,147 ------------- 0	16,357 ------------- 0
5PATRICK J KANE SVP OF MRKTG,COMMUN AND DEVLP	(i) (ii)	322,398 ------------- 0	0 ------------- 0	21,340 ------------- 0	30,392 ------------- 0	15,325 ------------- 0	389,455 ------------- 0	15,450 ------------- 0
6CHRISTIAN BROWN SVP MANAGED CARE	(i) (ii)	312,614 ------------- 0	0 ------------- 0	94,966 ------------- 0	16,321 ------------- 0	32,363 ------------- 0	456,264 ------------- 0	50,551 ------------- 0
7JOHN PAUL SOLVERSON SVP & CIO	(i) (ii)	416,485 ------------- 0	0 ------------- 0	11,985 ------------- 0	37,500 ------------- 0	15,325 ------------- 0	481,295 ------------- 0	7,969 ------------- 0
8NOELENE CERVIN VP BUDGETING AND OPER SUPPORT	(i) (ii)	245,268 ------------- 0	0 ------------- 0	15,752 ------------- 0	20,923 ------------- 0	23,311 ------------- 0	305,254 ------------- 0	11,000 ------------- 0
9CHRISTOPHER M LAWSON SVP DEVELOPMENT	(i) (ii)	251,921 ------------- 0	0 ------------- 0	1,875 ------------- 0	23,262 ------------- 0	32,363 ------------- 0	309,421 ------------- 0	0 ------------- 0
10PAUL J NIEDZWIECKI SVP STR GOV'T AFF (UNTIL 8/20)	(i) (ii)	165,740 ------------- 0	0 ------------- 0	96,959 ------------- 0	3,047 ------------- 0	23,179 ------------- 0	288,925 ------------- 0	1,923 ------------- 0
11SHERYL DECILIO VP PATIENT FIN SVC & REV CYCLE	(i) (ii)	287,000 ------------- 0	0 ------------- 0	1,003 ------------- 0	25,636 ------------- 0	1,584 ------------- 0	315,223 ------------- 0	0 ------------- 0
12JEFFREY S DYKENS VP FINANCE (UNTIL 2/20)	(i) (ii)	28,212 ------------- 0	0 ------------- 0	265,858 ------------- 0	2,732 ------------- 0	5,204 ------------- 0	302,006 ------------- 0	0 ------------- 0
13DONALD A GUADAGNOLI MD SEE SCHEDULE O	(i) (ii)	244,832 ------------- 0	0 ------------- 0	62,831 ------------- 0	36,889 ------------- 0	27,545 ------------- 0	372,097 ------------- 0	21,001 ------------- 0
14KEVIN MULROY SVP CHIEF QUALITY & SAFETY OFF	(i) (ii)	381,244 ------------- 0	0 ------------- 0	36,468 ------------- 0	35,510 ------------- 0	35,004 ------------- 0	488,226 ------------- 0	18,750 ------------- 0
15MOLLY SULLIVAN MD TRUSTEE	(i) (ii)	0 ------------- 515,883	0 ------------- 0	0 ------------- 21,375	0 ------------- 11,400	0 ------------- 32,363	0 ------------- 581,021	0 ------------- 0
16JEAN BUTLER SVP EMPLOYED PHYSICIAN GROUP	(i) (ii)	294,614 ------------- 0	0 ------------- 0	21,375 ------------- 0	29,642 ------------- 0	23,311 ------------- 0	368,942 ------------- 0	0 ------------- 0
17LAURA RANZINGER VP FINANCE & TREAS(AS OF 2/20)	(i) (ii)	221,036 ------------- 0	0 ------------- 0	37,434 ------------- 0	15,455 ------------- 0	15,275 ------------- 0	289,200 ------------- 0	0 ------------- 0
18LORI E JEWETT CEO,FH UNT 1/20 COO AS OF 3/20	(i) (ii)	287,730 ------------- 0	0 ------------- 0	55,862 ------------- 0	27,196 ------------- 0	1,029 ------------- 0	371,817 ------------- 0	12,000 ------------- 0
19EMILY SCHORER SVP HR (UNTIL 4/20)	(i) (ii)	86,844 ------------- 0	0 ------------- 0	57,878 ------------- 0	5,020 ------------- 0	10,698 ------------- 0	160,440 ------------- 0	13,275 ------------- 0
20MICHELLE SKARBEK VP HR (AS OF 11/20)	(i) (ii)	190,450 ------------- 0	0 ------------- 0	584 ------------- 0	7,610 ------------- 0	32,215 ------------- 0	230,859 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2020

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 4A - SEVERANCE

JEFFREY DYKENS (VP FINANCE UNTIL 2/20) RECEIVED SEVERANCE PAYMENTS OF $221,155 DURING CALENDAR YEAR 2020. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF TWELVE MONTHS. PAUL NIEDZWIECKI (SVP STRATEGY GOVERNMENT AFFAIRS UNTIL 8/20) RECEIVED SEVERANCE PAYMENTS OF $76,923 DURING CALENDAR YEAR 2020. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF TWELVE MONTHS. SCHEDULE J, PART I, LINE 4B - 457(F) CAPE COD HEALTHCARE, INC. AND AFFILIATES SPONSORS A 457(F) VOLUNTARY PERSONAL DEFERRAL PLAN ("THE PLAN") FOR KEY EXECUTIVES. VESTING IS DEFERRED FOR AT LEAST TWO YEARS FROM THE DATE OF THE AWARD, AND ALSO WHEN THE PARTICIPANTS REACH AGE 65. 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 2020 WERE AS FOLLOWS: - MICHAEL K. LAUF - $89,768 - MICHAEL L. CONNORS - $23,718 - JOHN PAUL SOLVERSON - $9,106 - KEVIN MULROY - $19,825 - CHRISTIAN BROWN - $54,769 - MICHAEL G. JONES - $19,420 - PATRICK KANE - $18,461 - LORI JEWETT - $12,696 - DONALD GUADAGNOLI, MD - $22,205 - PAUL NIEDZWIECKI - $8,653 - NOELENE CERVIN - $12,873 - EMILY SCHORER - $14,642 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) THROUGHOUT 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 REACHING AGE 65, RETIREMENT, TERMINATION, OR DEATH. AMOUNTS PAID UNDER THE PLAN DURING CALENDAR YEAR 2020 WERE AS FOLLOWS: - CHRISTIAN BROWN - $15,158 DURING CALENDAR YEAR 2020, 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 2020 WAS $118,800 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). IN ADDITION, $137,007 WAS PAID OUT FROM HIS CEO SUPPLEMENTAL PLAN, AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). Also, during calendar year 2020, Michael Lauf participated in long-term incentive plans. The plans provide for merit-based compensation based upon certain quality and financial metrics of the organization. No amounts were paid out during calendar year 2020 and the amounts accrued related to the plans are included as part of Schedule J, Part II, Column (C).

Schedule J (Form 990) 2020

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

2020

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 THIS YEAR (2021) REPRESENTED OUR SECOND YEAR, OR HALF-WAY POINT, OF OUR CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT. AT THIS MIDPOINT, WE WERE ABLE TO PAUSE AND ANALYZE PROGRAMS AND INITIATIVES WE HAVE INVESTED IN THUS FAR, AND WHERE WE NEED TO FOCUS TO MAKE SURE WE ARE ADEQUATELY ADDRESSING ALL OF THE IDENTIFIED HEALTH NEEDS IN THE 2020-2022 CHNA. TAKING INTO ACCOUNT THE RESULTS OF THIS ANALYSIS, WE WERE ABLE TO FORGE MANY NEW PARTNERSHIPS TO MEET THE SIGNIFICANT NEEDS OUR COMMUNITY IS FACING. CCHC COMMUNITY BENEFITS PROVIDED FINANCIAL AND SERVICE SUPPORT TO HEALTH AND HUMAN SERVICES ORGANIZATIONS AND ADDRESSED BARRIERS TO CARE BY ADDING SUPPORTIVE CONNECTORS IN THE CONTINUUM OF CARE. WE CONTINUED TO IMPLEMENT PROGRAMS AND PARTNER WITH COMMUNITY BASED ORGANIZATIONS TO ADDRESS THE 5 PRIORITIES OUTLINED IN OUR 2020-2022 CHNA: PHYSICAL HEALTH, BEHAVIORAL HEALTH INCLUDING SUBSTANCE USE DISORDER, HOUSING, TRANSPORTATION AND WORKFORCE DEVELOPMENT. MANY OF OUR INITIATIVES THIS YEAR BUILT UPON THE NEW PROGRAMS AND ACTIVITIES THAT WERE IMPLEMENTED LAST YEAR, THE FIRST YEAR OF OUR CURRENT CHNA. CCHC SUPPORTED PARTNERSHIPS WITH OVER 40 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 COUNTRY RESIDENTS. HOSPITAL STAFF DEDICATED TIME AND EXPERTISE TO STRATEGIC PARTNERSHIPS, COALITIONS, AND TASK FORCE EFFORTS LOCALLY, REGIONALLY AND ACROSS MASSACHUSETTS. STAFF ALSO CONTINUED TO RESPOND TO OUR COMMUNITY'S NEEDS STEAMING FROM THE COVID PANDEMIC, WHILE SOME PROGRAMS SAW A DECREASE IN NUMBERS DUE TO THE PANDEMIC, MANY OTHERS SAW THEIR NUMBERS SOAR, PARTICULARLY BEHAVIORAL HEALTH SERVICES IN OUR COMMUNITY. WE CONTINUED TO RESPOND TO THE COMMUNITY'S PANDEMIC-RELATED NEEDS, INCLUDING COORDINATING EFFORTS TO PROVIDE COVID-19 VACCINES TO OVER 58,000 PEOPLE. ANOTHER KEY ACCOMPLISHMENT OF THIS REPORTING YEAR IS THE IMPLEMENTATION OF CCHC'S CANCER CLINIC TRIAL PROGRAM. RESEARCH WILL FOCUS ON VARIOUS FACTORS THAT IMPACT CANCER CARE ON CAPE COD, INCLUDING A FOCUS ON THE SENIOR CANCER PATIENT. SINCE THIS IS THE SECOND YEAR WORKING ON THE PROGRAMS AND ACTIVITIES THAT WERE PUT INTO PLACE IN THE FIRST YEAR OF THE CURRENT CHNA, WHILE ADDRESSING AS MANY GAPS AS POSSIBLE. AT THE MID-POINT OF 2021, WE CONDUCTED AN ANALYSIS OF OUR COMMUNITY BENEFITS PROGRAMS AND ACTIVITIES AND WERE ABLE TO IDENTIFY AREAS WHERE WE NEEDED TO INCREASE ACTIVITY TO ADDRESS IDENTIFIED NEEDS. AT THE HALLWAY MARK IN OUR CHNA, CCHC COMMUNITY BENEFITS ACTIVITIES HAD TARGETED MANY OF THESE NEEDS. TO CONTINUE IN THIS VEIN, AND ENSURE WE ARE ADDRESSING ALL OF THE IDENTIFIED NEEDS IN THE CURRENT CHNA, WE IDENTIFIED TWO STRATEGIES TO GUIDE THE SECOND HALF OF THE CHNA PERIOD: 1. PROGRAMS SHOULD CONTINUE TO ADDRESS ONE OF THE SOCIAL DETERMINANTS OF HEALTH IDENTIFIED IN THE 2020-2022 CHNA (EMPLOYMENT, EDUCATION AND ECONOMIC OPPORTUNITIES; HOUSING; TRANSPORTATION; ACCESS TO HEALTHY FOOD; NUTRITION). 2. FOCUS WAS PLACED ON THE FOLLOWING NEEDS AND PRIORITIES TO ENSURE WE EQUITABLY ADDRESS ALL NEEDS IDENTIFIED IN THE 2020-2022 CHNA: WORKFORCE DEVELOPMENT, UPPER CAPE/FALMOUTH REGION, AGING POPULATION, TRANSITIONAL AGED YOUTH, NON-ENGLISH SPEAKING PEOPLE. ONE OF OUR GOALS FOR NEXT YEAR (2022) IS TO INCREASE THE DIVERSITY OF OUR PROGRAMS AND PARTNERSHIPS AND ENSURE WE WORK WITH A BROAD RANGE OF ORGANIZATIONS AND PARTNERS THAT ARE DIVERSE ALONG THE LINES OF GEOGRAPHY, SERVICE LINE, RACE AND ETHNICITY, ORGANIZATION TYPE, ETC. WE HAVE ALREADY MADE SIGNIFICANT STRIDES IN THIS AREA IN THE FIRST QUARTER OF 2022. WE CONDUCTED AN EXTENSIVE RECRUITMENT CAMPAIGN FOR OUR COMMUNITY HEALTH COMMITTEE (OR COMMUNITY BENEFITS ADVISORY COMMITTEE) AND ADDED 10 NEW MEMBERS WITHIN THE FIRST WEEKS OF 2022.
PLANS FOR NEXT REPORTING YEAR	IN FY22, CCHC COMMUNITY BENEFITS WILL FOLLOW THE 2020-2022 CHNA GOALS AND STRATEGIC IMPLEMENTATION PLAN. THIS PLAN WAS PUT TOGETHER WITH CCHC LEADERSHIP, THE COMMUNITY HEALTH COMMITTEE, AND OTHER COMMUNITY STAKEHOLDERS INCLUDING BARNSTABLE COUNTY HUMAN SERVICES AND BEHAVIORAL HEALTH SPECIALISTS. IT IDENTIFIES THE PRIORITIES, POTENTIAL PARTNERS, AND GOALS AND OBJECTIVES FOR THE IMPLEMENTATION PLAN WHICH WILL BE FOLLOWED IN OUR NEXT REPORTING YEAR. WE WILL ALSO TAKE A DIFFERENT APPROACH WITH OUR ANNUAL STRATEGIC GRANT PROGRAM. HISTORICALLY WE HAVE KEPT THE RFP FOR GRANT PROPOSALS SPECIFIC, CHOOSING JUST ONE PRIORITY FROM THE CHNA TO FOCUS ON. IN ORDER TO MAKE SURE WE ARE ADEQUATELY ADDRESSING ALL IDENTIFIED PRIORITIES IN THE CHNA, AND INVITING AS MANY DIVERSE APPLICANTS AS POSSIBLE, WE WILL EXPAND THE PARAMETERS OF OUR GRANT MAKING TO ACCEPT ALL PROPOSALS THAT ADDRESS ANY OF OUR STRATEGIC PRIORITIES. WE ANTICIPATE THAT THIS WILL DRAW NEW PARTNERSHIPS TO ADDRESS THE MYRIAD OF ISSUES FACING OUR COMMUNITY, PARTICULARLY THOSE THAT WERE EXACERBATED BY THE PANDEMIC. AS NEXT YEAR (2022) IS THE FINAL YEAR FOR OUR CURRENT CHNA, WE WILL ENSURE THAT EVERY PRIORITY IDENTIFIED IN THE 2020-2022 CHNA HAS BEEN ADEQUATELY ADDRESSED. SELF-ASSESSMENT FORM: HOSPITAL SELF-ASSESSMENT UPDATE FORM - YEARS 2 AND 3 COMMUNITY BENEFITS PROGRAMS SUPPORTING PHYSICAL HEALTH . PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM DESCRIPTION: CCHC INVESTED IN VARIOUS PROGRAMS THAT SUPPORT PHYSICAL HEALTH, INCLUDING SUPPORTING COMMUNITY-BASED CHRONIC AND INFECTIOUS DISEASE TREATMENT AND PREVENTION PROJECTS, AS WELL AS WELLNESS PROJECTS ALIGNED WITH THE HEALTH PRIORITIES IDENTIFIED IN THE 2020-2022 CHNA. THESE INITIATIVES FOCUS ON VULNERABLE POPULATIONS AND INCLUDE: - HEALTH NAVIGATORS - DENTAL SERVICES - COVID-19 PREVENTION STRATEGIES INCLUDING OUTDOOR LEARNING AND A HOTEL PROGRAM FOR PEOPLE EXPERIENCING HOMELESSNESS WHO NEED TO ISOLATE - DISPOSAL OF UNWANTED MEDICATIONS - PHYSICAL ACTIVITY PROMOTION - MEDICAL RESPITE PROGRAM FOR PEOPLE EXPERIENCING HOMELESSNESS - CONGESTIVE HEART FAILURE CLINIC . PROGRAM HASHTAGS: COMMUNITY HEALTH CENTER PARTNERSHIP, HEALTH SCREENING, PREVENTION . PROGRAM CONTACT INFORMATION: JENNIFER CUMMINGS, 508-862-7849, 32 MAIN ST. HYANNIS, MA 02601 . EOHHS FOCUS ISSUES: CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS . DON HEALTH PRIORITIES: BUILT ENVIRONMENT, EDUCATION, HOUSING, SOCIAL ENVIRONMENT . HEALTH ISSUES: 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 DISEASESTROKE, INFECTIOUS DISEASE-HEPATITIS, INFECTIOUS DISEASE-HIV/AIDS, INFECTIOUS DISEASE-LYME DISEASE, INFECTIOUS DISEASE-SEXUALLY TRANSMITTED DISEASES, INFECTIOUS DISEASE-TUBERCULOSIS, INFECTIOUS DISEASE-COVID-19, OTHER-DENTAL 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-INCOME AND POVERTY, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED . TARGET POPULATION: REGIONS SERVED: BARNSTABLE; ENVIRONMENTS SERVED: RURAL, SUBURBAN; GENDER: ALL; AGE GROUP: ALL; RACE/ETHNICITY: ALL; LANGUAGE: ALL; ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS GOAL DESCRIPTION EXPAND COMMUNITY NAVIGATOR PROGRAM TO THE TOWN OF PROVINCETOWN. COMMUNITY NAVIGATORS MEET WEEKLY WITH CCH STAFF TO ENSURE A WARM HANDOFF FOR INPATIENTS OR ED PATIENTS RETURNING TO THE COMMUNITY. GOAL STATUS PROGRAM ESTABLISHED. PROVINCETOWN NAVIGATOR RECEIVED 152 REFERRALS IN FY21. GOAL DESCRIPTION INCREASE HOUSING ASSISTANCE SUPPORT/STABILITY FOR AT-RISK LOWER AND OUTER CAPE RESIDENTS WHOSE HEALTH IS IMPACTED BY HOUSING INSTABILITY/SECURITY. GOAL STATUS THIS INITIATIVE SUPPORTED 16 HOUSEHOLDS WITH HOUSING/RENTAL SUPPORT. PARTICIPANTS REPORTED CHRONIC CONDITIONS THAT INCLUDED: HEART DISEASE, ASTHMA, DIABETES, ARTHRITIS, COGNITIVE IMPAIRMENT, MIGRAINE, CANCER, BRONCHITIS, LIVER ISSUES, EMPHYSEMA AND KIDNEY RELATED CONDITIONS. PATIENTS MET WITH NAVIGATORS MONTHLY, AND TEN PATIENTS REPORTED INCREASED ACCESS TO CARE/MANAGEMENT OF CHRONIC ILLNESS OVER PROGRAM PARTICIPATION. GOAL DESCRIPTION EXPAND MONITORING OF CYANOBACTERIA IN PONDS IN ALL 15 BARNSTABLE COUNTY TOWNS. GOAL STATUS MONITORING WAS EXPANDED TO 133 PUBLICLY ACCESSIBLE PONDS IN ALL 15 TOWNS. THIS IS AN INCREASE OF 52 PONDS YEAR OVER YEAR. GOAL DESCRIPTION CONTINUE BUILDING PUBLIC HEALTH AWARENESS OF CYANOBACTERIA RISKS. GOAL STATUS SUCCESSFUL. THE ASSOCIATION TO PRESERVE CAPE COD CONDUCTED AN OUTREACH INITIATIVE THAT RESULTED IN ALL TOWNS PARTICIPATING IN MONITORING. THE OUTREACH PROGRAM INCLUDES MEDIA, NEWSLETTERS, SOCIAL MEDIA, FACT SHEETS AND AWARENESS EVENTS. GOAL DESCRIPTION CONTINUE THE BUSINESS DEVELOPMENT PHASE OF THE MEDICAL RESPITE PROJECT TO SERVE PEOPLE WHO ARE DISCHARGED FROM THE HOSPITAL AND ARE EXPERIENCING HOMELESSNESS. MEDICAL RESPITE IS A SAFE OPTION FOR RECUPERATIVE CARE TO IMPROVE THE PATIENT'S HEALTH AND REDUCE RE- HOSPITALIZATIONS. GOAL STATUS BUSINESS DEVELOPMENT PHASE IS CONTINUING AND IS EXPECTED TO BE COMPLETED BY JUNE 2022. OBJECTIVES ARE TO: - EXPLORE MEDICAL RESPITE MODELS - DESCRIBE THE DESIGN OF THE PROGRAM - IDENTIFY COSTS, FINANCING, SUSTAINABILITY OPTIONS - SOLIDIFY PARTNERSHIP INVESTMENT. GOAL DESCRIPTION SUPPORT FALMOUTH OUTDOOR LEARNING PROJECT WITH FINANCIAL RESOURCES TO RESPOND TO COVID-19 SAFETY PROTOCOLS IN SCHOOLS. GOAL STATUS THE FALMOUTH OUTDOOR LEARNING COMMITTEE'S PROJECT REDUCES THE RISK OF COVID-19 TO STUDENTS, TEACHERS, STAFF AND ULTIMATELY THE ENTIRE POPULATION BY CREATING OUTDOOR LEARNING SPACES AT EACH OF THE SEVEN FALMOUTH PUBLIC SCHOOLS. OUTDOOR LEARNING REDUCES THE BURDEN ON INDOOR CLASSROOMS WHILE PROVIDING FRESH AIR, HANDS-ON LEARNING OPPORTUNITIES, AND THE HEALTH BENEFITS ASSOCIATED WITH INCREASED ACCESS TO NATURE. GOAL DESCRIPTION HOST HEALTHY PARKS, HEALTHY PEOPLE IN COLLABORATION WITH THE CAPE COD NATIONAL SEASHORE TO IMPROVE THE COMMUNITY'S PHYSICAL HEALTH AND KNOWLEDGE OF CARDIAC HEALTH. GOAL STATUS A RACE/RUN/WALK WAS HELD IN COLLABORATION WITH THE CAPE COD NATIONAL SEASHORE AND CCHC CARDIAC SERVICES. GOAL DESCRIPTION OFFER THE COMMUNITY A CONGESTIVE HEART FAILURE CLINIC FOR PATIENTS DIAGNOSED WITH HEART FAILURE TO STAY ACTIVE AND AVOID HOSPITALIZATION. THE GOAL OF THE HEART FAILURE CLINIC IS TO EDUCATE AND HELP PATIENTS MAINTAIN THE BEST POSSIBLE QUALITY OF LIFE AND MANAGE THEIR SYMPTOMS. GOAL STATUS ONGOING. 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. PARTNERS: OUTER CAPE HEALTH SERVICES - COMMUNITY RESOURCE NAVIGATOR PROGRAM - WWW.OUTERCAPE.ORG HOUSING ASSISTANCE CORP. - HOUSING FOR HEALTH PARTNERSHIP - WWW.HACONCAPECOD.ORG ASSOCIATION TO PRESERVE CAPE COD POND HEALTH PROGRAM - WWW.APCC.ORG DUFFY HEALTH CENTER - MEDICAL RESPITE PROGRAM - WWW.DUFFYHEALTHCENTER.ORG FALMOUTH OUTDOOR LEARNING PROJECT - INSTALLED ALL-WEATHER TENTS IN ALL OF FALMOUTH'S PUBLIC SCHOOLS - WWW.FALMOUTHOUTDOORLEARNINGPROJECT.COM CAPE COD NATIONAL SEASHORE - HEALTHY PARKS HEALTHY PEOPLE EVENT -WWW.NPS.GOV/CACO
COMMUNITY-BASED MENTAL HEALTH SERVICES	. PROGRAM TYPE: DIRECT CLINICAL SERVICES . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM DESCRIPTION: CAPE COD HEALTHCARE BEHAVIORAL HEALTH PHYSICIANS AND CLINICIANS PROVIDE COMMUNITY-BASED MENTAL HEALTH SERVICES THROUGHOUT 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. WE ALSO INVEST IN COMMUNITY PARTNERS PROVIDING ESSENTIAL MENTAL HEALTH SERVICES IN OUR COMMUNITY INCLUDING SUICIDE PREVENTION, OLDER ADULT OUTREACH, CAREGIVER SUPPORT SERVICES, AND VARIOUS SUPPORT GROUPS. CCHC CLINICIANS ALSO SERVE AS SUBJECT MATTER EXPERTS ON A VARIETY OF COALITIONS, COMMITTEES AND WORKGROUPS TO SHAPE POLICIES AND PROCEDURES FOR MENTAL HEALTHCARE IN OUR REGION. . PROGRAM HASHTAGS: COMMUNITY EDUCATION, COMMUNITY HEALTH CENTER PARTNERSHIP, SUPPORT GROUP . PROGRAM CONTACT INFORMATION: JENNIFER CUMMINGS, 508-862-7849, 32 MAIN ST. HYANNIS, MA 02601 . EOHHS FOCUS ISSUES: MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS . DON HEALTH PRIORITIES: BUILT ENVIRONMENT, SOCIAL ENVIRONMENT, VIOLENCE . HEALTH ISSUES: 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-STRESS MANAGEMENT, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-DOMESTIC VIOLENCE, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED, SOCIAL DETERMINANTS OF HEALTH-VIOLENCE AND TRAUMA, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-DRIVING UNDER THE INFLUENCE, SUBSTANCE ADDICTIONOPIOID USE, SUBSTANCE ADDICTION-SUBSTANCE USE . TARGET POPULATION: REGIONS SERVED: BARNSTABLE; ENVIRONMENTS SERVED: RURAL, SUBURBAN; GENDER: ALL; AGE GROUP: ALL; RACE/ETHNICITY: ALL; LANGUAGE: ALL; ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS GOAL DESCRIPTION SUPPORT A PSYCHIATRIC NP AT DUFFY HEALTH CENTER TO PROVIDE SERVICES FOR PATIENTS EXPERIENCING HOMELESSNESS OR AT RISK OF HOMELESSNESS. THE PSYCHIATRIC NP PROVIDES CLIENT ASSESSMENT, DIAGNOSIS, EVALUATION, MEDICATION MANAGEMENT AND COUNSELING. THIS POSITION ALSO WORKS ON THE BRIDGE PROGRAM THAT SERVES PEOPLE TRANSITIONING OUT OF INPATIENT MENTAL HEALTH PROGRAMS, AS WELL AS PATHWAYS TO HOPE, A SUICIDE PREVENTION PROGRAM. GOAL STATUS - TOTAL PATIENTS SERVED - 283, OR 1,579 PATIENT ENCOUNTERS - BRIDGE SERVICES PROGRAM - 73 UNIQUE PATIENTS - PATHWAYS TO HOPE PROGRAM - 68 UNIQUE PATIENTS - SOCIAL ISOLATION IS COMMONLY EXPERIENCED WITH PATHWAYS TO HOPE PARTICIPANTS, SO A "CONNECT" GROUP WAS ESTABLISHED VIA ZOOM THIS YEAR. THIS GROUP IS SOCIAL, NOT CLINICAL, AND PATIENTS REALLY ENJOY THE GROUP. GOAL DESCRIPTION PROVIDE SUPPORT FOR CAREGIVERS OF PEOPLE EXPERIENCING ALZHEIMER'S /DEMENTIA THROUGH A PARTNERSHIP WITH THE ALZHEIMER'S FAMILY SUPPORT CENTER OF CAPE COD - OFFER 35 SUPPORT GROUPS - FIELD 12 NEW CALLS FOR SERVICE PER WEEK. GOAL STATUS - EXPANDED THE NUMBER OF SUPPORT GROUPS OFFERED TO 40 GROUPS - INCREASED THE NUMBER OF PEOPLE ACCESSING ONLINE AND PHONE SUPPORT SERVICES, FIELDING AN AVERAGE OF 15 NEW CALLS FOR SERVICE PER WEEK - ALL OTHER SERVICES OF ALZHEIMER'S FAMILY SUPPORT CENTER OF CAPE COD ALSO INCREASED THIS YEAR. GOAL DESCRIPTION THE SENIOR OUTREACH PROGRAM OF THE SAMARITANS ON CAPE COD & THE ISLANDS - INCREASE AWARENESS ABOUT CRISIS LINES TO ELDER POPULATION - INCREASE PARTICIPATION IN OUTGOING TELEPHONE OUTREACH - REDUCE SOCIAL ISOLATION THROUGH ONE-ON-ONE TELEPHONE OUTREACH. GOAL STATUS - OUTREACH TO 1200 MEALS-ON-WHEELS RECIPIENTS - DRAMATIC INCREASE IN NUMBER OF SENIORS CALLING CRISIS LINES FROM 1500 ANTICIPATED TO 3621 ACTUAL CALLS - INCREASED THE NUMBER OF SENIOR OUTREACH VOLUNTEERS TO 14; AVOIDING WAIT LIST FOR SERVICES. GOAL DESCRIPTION UTILIZE THE RESOURCES OF CCHC TO SUPPORT THE MENTAL HEALTH NEEDS IN OUR COMMUNITY. GOAL STATUS - COMMUNITY HELP LINE FOR THE COMMUNITY - PSYCHIATRIC CONSULT BY NURSE PRACTITIONERS TO THE COMMUNITY (POLICE, EMTS, PCPS, ESSENTIAL SERVICE WORKERS) - PROVIDING FUNDING FOR DISCHARGE MEDICATIONS TO BEHAVIORAL HEALTH PATIENTS WHO CANNOT AFFORD THEM - PROVIDE TRANSPORTATION UPON DISCHARGE FOR BEHAVIORAL HEALTH INPATIENTS. GOAL DESCRIPTION CCHC BEHAVIORAL HEALTH STAFF ACT AS SUBJECT MATTER EXPERTS IN THE COMMUNITY, SERVING ON VARIOUS COALITIONS, COMMITTEES AND WORKGROUPS. GOAL STATUS - BEHAVIORAL HEALTH PROVIDER COALITION - COMMUNITY CRISIS INTERVENTION TEAM - ZERO SUICIDE INITIATIVE - DMH EXPEDITED IP ADMISSIONS POLICY AND WORKGROUP. PARTNERS: DUFFY HEALTH CENTER - PSYCHIATRIC NP PROGRAM - WWW.DUFFYHEALTHCENTER.ORG ALZHEIMER'S FAMILY SUPPORT CENTER OF CAPE COD - CAREGIVER SUPPORT SERVICES - HTTPS://WWW.ALZFAMILYSUPPORT.ORG SAMARITANS ON CAPE COD AND THE ISLANDS - SENIOR OUTREACH PROGRAM - WWW.CAPESAMARITANS.ORG NATIONAL ALLIANCE ON MENTAL ILLNESS - NAMI CAPE COD SERVES INDIVIDUALS AND THEIR FAMILIES WHO ARE AFFECTED BY THE BROAD SPECTRUM OF MENTAL ILLNESS THROUGH SUPPORT, EDUCATION AND ADVOCACY - WWW.CAPESAMARITANS.ORG
SUBSTANCE USE PREVENTION	. PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM DESCRIPTION: CCHC 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: - PEER-LED RECOVERY SPECIALIST SERVICES IN THE EMERGENCY DEPARTMENTS AT BOTH CAPE COD AND FALMOUTH 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. - RECOVERY COACHES IN COMMUNITY BASED SETTINGS - SCHOOL OUTREACH PROGRAMS - OVERDOSE OUTREACH INTERVENTION - 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 - WELLNESS PROGRAMS TO SUPPORT SOBER LIVING - TRANSPORTATION TO REHABILITATION SERVICES FOR HOSPITAL PATIENTS . PROGRAM HASHTAGS: COMMUNITY EDUCATION, COMMUNITY HEALTH CENTER PARTNERSHIP, PREVENTION . PROGRAM CONTACT INFORMATION: JENNIFER CUMMINGS, 508-862-7849, 32 MAIN ST. HYANNIS, MA 02601 . EOHHS FOCUS ISSUES: MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS . DON HEALTH PRIORITIES: 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: BARNSTABLE; ENVIRONMENTS SERVED: RURAL, SUBURBAN; GENDER: ALL; AGE GROUP: ALL; RACE/ETHNICITY: ALL; LANGUAGE: ALL; ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS GOAL DESCRIPTION RECOVERY SPECIALISTS EMBEDDED IN THE CCH AND FH EMERGENCY DEPARTMENTS. THESE SPECIALISTS ARE IMBEDDED AND INTEGRATED INTO THE HOSPITAL SETTING WHERE THEY USE AN SBIRT (SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT) MODEL TO IMPROVE ACCESS AND ACCEPTANCE OF SUD TREATMENT. THEY WORK WITH THE PATIENT WHILE THEY ARE IN THE ER AND DURING THE COURSE OF ADMITTANCE TO THE MEDICAL FLOOR IF NECESSARY, PROVIDING POST DISCHARGE FOLLOW UP SERVICES AND DIRECT REFERRALS TO INPATIENT AND OUTPATIENT TREATMENT SETTINGS. THE PROGRAM MEASURES SUCCESS IN REFERRING PATIENTS INTO SUBSTANCE USE TREATMENT SETTINGS; FY21 GOAL IS 65%. GOAL STATUS - 715 REFERRALS FROM CCH AND FH EDS; 503 ACCEPTED TREATMENT = 70% SUCCESSFUL OUTCOME RATE. - 355 REFERRALS FROM MEDICAL FLOORS; 245 ACCEPTED TREATMENT = 69% SUCCESSFUL OUTCOME RATE. - 95% OF PARTICIPANTS REPORTED SATISFACTION WITH THE PROGRAM. GOAL DESCRIPTION SUPPORT AN OPIOID OUTREACH INTERVENTIONIST POSITION TO PROVIDE GUIDANCE, SUPPORT AND COMMUNITY- BASED RECOVERY COACHING FOR PARTICIPANTS FOLLOWING A NON-FATAL OVERDOSE TO HELP THEM ACCESS TREATMENT AND BUILD COMMUNITY SUPPORTS. THE INTERVENTIONIST ACCOMPANIES PLAIN CLOTHES POLICE OFFICERS AFTER A NON-FATAL OVERDOSE CALL AND PROVIDES A SHORT INTERVENTION WITH THE GOAL OF EMPOWERING PARTICIPANTS TO ACCEPT TREATMENT. GOAL IS 65% ACCEPTANCE RATE. GOAL STATUS - PROGRAM RECEIVED 212 REFERRALS, AND 163 INDIVIDUALS (77%) ACCEPTED TREATMENT, WHICH INCLUDES INPATIENT, OUTPATIENT, AND COMMUNITY BASED CARE - NARCAN DISTRIBUTED TO 37 INDIVIDUALS. GOAL DESCRIPTION PROVIDE PREVENTION SERVICES TO YOUTH AT RISK FOR SUBSTANCE USE THROUGH SCHOOL BASED PROGRAMS AND MENTORING SERVICES. GOAL STATUS - SCHOOL BASED PROGRAMS SEIVED 540 STUDENTS ACROSS CAPE COD - 56% OF STUDENTS WHO PARTICIPATED IN SCHOOL BASED PROGRAMS REPORTED IMPROVED GRADES, 72% REPORTED IMPROVED SOCIAL AND EMOTIONAL FUNCTIONING - PARTNERSHIP WITH BIG BROTHERS BIG SISTERS OF CAPE COD & THE ISLANDS PROVIDED MORE THAN 5,000 PERSONAL CONTACT CALLS TO CHILDREN AT RISK FOR SUBSTANCE USE DISORDER, REPRESENTING MORE THAN 11,000 HOURS OF MENTORING - SUPPORTED SHEA'S YOUTH BASKETBALL ASSOCIATION TO PROVIDE FREE RECREATION TO CHILDREN AT RISK FOR SUBSTANCE USE DISORDER. GOAL DESCRIPTION A RECOVERY SUPPORT NAVIGATOR WILL HELP PATIENTS WITH SUBSTANCE USE DISORDERS NAVIGATE AVAILABLE SERVICES IN THE COMMUNITY. THE NAVIGATOR PROVIDES PEER SUPPORT, HELPS PATIENTS' IDENTIFY GOALS FOR RECOVERY AND ACCESS TREATMENT SERVICES AND COMMUNITY RESOURCES. GOAL STATUS - SUPPORTED 348 CLIENTS ADMITTED AND DISCHARGED FROM THE EMERGENCY DEPARTMENT (812 ENCOUNTERS) - PROVIDED DISCHARGE PLANNING SUPPORT FOR 256 CLIENTS (699 ENCOUNTERS) - 367 REFERRALS AND PLACEMENT TO DETOX - 56 PLACEMENTS INTO INTENSIVE OUTPATIENT PROGRAMS - 62 RECOVERY HOUSING PLACEMENTS - 1,798 PROACTIVE CALLS TO 431 PATIENTS AT RISK FOR SUBSTANCE USE DISORDER. PARTNERS: GOSNOLD: EMERGENCY DEPARTMENT RECOVERY NAVIGATION, SCHOOL BASED OUTREACH, OPIOID OVERDOSE INTERVENTION - WWW.GOSNOLD.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/ SHEA'S YOUTH BASKETBALL ASSOCIATION - YOUTH DEVELOPMENT PROGRAM THAT PROVIDES FREE SERVICES TO YOUTH AT RISK FOR SUBSTANCE USE DISORDER - WWW.SHEASYBA.ORG B FREE WELLNESS - WELLNESS SERVICES FOR PEOPLE COPING WITH COMPLEX TRAUMA, PTSD AND SUBSTANCE USE DISORDER - WWW. BFREEWELL.ORG INTERPRETER SERVICES . PROGRAM TYPE: ACCESS/COVERAGE SUPPORTS . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . 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. . PROGRAM HASHTAGS: COMMUNITY HEALTH CENTER PARTNERSHIP, HEALTH PROFESSIONAL/STAFF TRAINING, PHYSICIAN/PROVIDER DIVERSITY . PROGRAM CONTACT INFORMATION: JENNIFER CUMMINGS, 508-862-7849, 32 MAIN ST. HYANNIS, MA 02601 . EOHHS FOCUS ISSUES: CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS . DON HEALTH PRIORITIES: BUILT ENVIRONMENT, SOCIAL ENVIRONMENT . HEALTH ISSUES: OTHER-CULTURAL COMPETENCY, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-LANGUAGE/LITERACY . TARGET POPULATION: REGIONS SERVED: BARNSTABLE; ENVIRONMENTS SERVED: RURAL, SUBURBAN; GENDER: ALL; AGE GROUP: ALL; RACE/ETHNICITY: ALL; LANGUAGE: ALL; ADDITIONAL TARGET POPULATION STATUS: REFUGEE/IMMIGRANT STATUS GOAL DESCRIPTION ASSIST MORE THAN 800 INDIVIDUALS WITH FREE MEDICAL INTERPRETERS IN COMMUNITY-BASED PRIMARY CARE AND SPECIALTY CARE SETTINGS. GOAL STATUS CONTINUED TO ASSIST INDIVIDUALS WITH FREE INTERPRETER SERVICES. 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 MAINTAINING OUR VIDEO INTERPRETER PROGRAM. GOAL STATUS 10 VIDEO REMOTE UNITS PROVIDED INTERPRETER SERVICES THROUGHOUT THE COMMUNITY AND WITHIN HOSPITALS. GOAL DESCRIPTION COORDINATE AND PROMOTE LINGUISTICALLY AND CULTURALLY APPROPRIATE COMMUNICATION SERVICES WITHIN THE HOSPITALS TO PATIENTS AND FAMILIES. GOAL STATUS PROVIDED 23,571 PATIENTS WITH INTERPRETER SERVICES AT CCH AND FH IN FY21. PARTNERS COMMUNITY BASED MEDICAL ON VARIOUS CAPE COD - VARIOUS OFFICE OF MULTICULTURAL AFFAIRS - DPH - HTTPS://WWW.MASS.GOV/OREI
HEALTHCARE ACCESS FOR VULNERABLE POPULATIONS	. PROGRAM TYPE: ACCESS/COVERAGE SUPPORTS . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM DESCRIPTION: IN AN EFFORT TO ASSIST LOW-INCOME AND VULNERABLE POPULATIONS, CCH AND FH PROVIDED VARIOUS SERVICES TO INCREASE ACCESS TO HEALTHCARE. THE ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS IS HIGHLY UTILIZED IN THE BEHAVIORAL HEALTH CENTER, THE CANCER CENTERS, AND THE EMERGENCY DEPARTMENTS. THIS INCLUDES: - ACCESS TO TRANSPORTATION UPON DISCHARGE TO THOSE PATIENTS WITHOUT RESOURCES FOR TRANSPORTATION - TRANSPORTATION ASSISTANCE TO SENIORS FOR MEDICAL APPOINTMENTS - THE PRESCRIPTION ASSISTANCE PROGRAM: AN INITIATIVE OF CCH AND FH 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 - FINANCIAL COUNSELORS ASSIST PATIENTS WITH COMPLICATED MEDICAL BILLS AND CONNECT THOSE IN NEED TO COMMUNITY RESOURCES. - SHINE (SERVING THE HEALTH INSURANCE NEEDS OF EVERYONE) INSURANCE ASSISTANCE PROGRAM PROVIDES FREE HEALTH INSURANCE INFORMATION, COUNSELING AND ASSISTANCE TO MEDICARE BENEFICIARIES. - PROVIDING TECHNOLOGY TO RURAL PATIENTS TO ACCESS TELEHEALTH SERVICES - BASIC NEEDS ASSISTANCE AND CASE MANAGEMENT FOR PEOPLE WITH CHRONIC HEALTH CONDITIONS THROUGH A PARTNERSHIP WITH THE CAPE COD TIMES NEEDY FUND . PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH PROFESSIONAL/STAFF TRAINING, PREVENTION . PROGRAM CONTACT INFORMATION: JENNIFER CUMMINGS, 508-862-7849, 32 MAIN ST. HYANNIS, MA 02601 . EOHHS FOCUS ISSUES: CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS . DON HEALTH PRIORITIES: BUILT ENVIRONMENT, EDUCATION, HOUSING, SOCIAL ENVIRONMENT . HEALTH ISSUES: OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED . TARGET POPULATION: REGIONS SERVED: BARNSTABLE; ENVIRONMENTS SERVED: RURAL, SUBURBAN; GENDER: ALL; AGE GROUP: ALL; RACE/ETHNICITY: ALL; LANGUAGE: ALL; ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS GOAL DESCRIPTION SUPPORT THE CONTINUED OPERATION OF SHINE (SERVING THE HEALTH INSURANCE NEEDS OF EVERYONE) BY PROVIDING FACTUAL INFORMATION TO MEDICARE BENEFICIARIES, AS WELL AS SCREENING BENEFICIARIES FOR ASSISTANCE PROGRAMS. GOAL STATUS - 5,692 MEDICARE BENEFICIARIES ASSISTED BY 51 SHINE COUNSELORS. THIS IS A 8% DECREASE IN VOLUME OVER LAST YEAR THAT IS ATTRIBUTED TO CLOSINGS DUE TO THE PANDEMIC. - TRAINED 15 NEW COUNSELORS FOR FY22 - SCREENED 100% OF CLIENTS FOR ASSISTANCE PROGRAMS SUCH AS MASSHEALTH, PRESCRIPTION ADVANTAGE, ETC. GOAL DESCRIPTION PARTNER WITH DIVERSE COMMUNITY BASED ORGANIZATIONS TO POSITIVELY IMPACT SOCIAL DETERMINANTS OF HEALTH AND INCREASE HEALTHCARE ACCESS IN OUR COMMUNITY, PARTICULARLY RURAL TOWNS ON THE OUTER CAPE. GOAL STATUS - ASSISTED 25 HOUSEHOLDS WITH BASIC NEEDS SUPPORT THROUGH PARTNERSHIP WITH THE CAPE COD TIMES NEEDY FUND. 100% REPORTED INCREASED FINANCIAL STABILITY AND 90% EXPERIENCED INCREASED FAMILY HEALTH. 71 % EXPERIENCED IMPROVED ACCESS TO CARE. - PROVIDED 12 MONTHS OF INTERNET ACCESS AND A TABLET TO 120 HOUSEHOLDS ON THE OUTER CAPE TO AMELIORATE SOCIAL ISOLATION, ACCESS TELEHEALTH APPOINTMENTS AND PARTICIPATE IN VIRTUAL WELLNESS PROGRAMMING - COORDINATED TRANSPORTATION TO MEDICAL APPOINTMENTS FOR 262 WOMEN LIVING WITH CHRONIC HEALTH CONDITIONS IN RURAL TOWNS OF BARNSTABLE COUNTY. PARTNERS: BARNSTABLE COUNTY DEPARTMENT OF HUMAN SERVICES; CAPE & ISLANDS REGIONAL SHINE PROGRAM - HTTPS://WWW.CAPECOD.GOV/DEPARTMENTS/HUMAN-SERVICES/INITIATIVES/SHINE/ CAPE COD TIMES NEEDY FUND - BASIC NEEDS SUPPORT FOR PEOPLE WITH CHRONIC ILLNESS - WWW.NEEDYFUND.ORG HELPING OUR WOMEN- PROMOTING HEALTH & CREATING CONNECTIONS: ADDRESSING IMPACT OF ISOLATION & DEPRESSION DURING COVID-19 - WWW.HELPINGOURWOMEN.ORG/ NEIGHBORHOOD FALMOUTH - MEDICAL TRANSPORTATION PROGRAM - WWW.NEIGHBOURHOODFALMOUTH.ORG
WORKFORCE AND CAREER DEVELOPMENT INITIATIVE	. PROGRAM TYPE: TOTAL POPULATION OR COMMUNITY-WIDE INTERVENTIONS . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM DESCRIPTION: CCHC INVESTS IN PARTNERSHIPS WITH LOCAL HIGH SCHOOLS, VOCATIONAL SCHOOLS, COMMUNITY COLLEGES, UNIVERSITIES, AND ALLIED HEALTH PROGRAMS FOR JOB TRAINING, 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 RECRUITMENT AND 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. . PROGRAM HASHTAGS: HEALTH PROFESSIONAL/STAFF TRAINING, MENTORSHIP/CAREER TRAINING/INTERNSHIP, PHYSICIAN/PROVIDER DIVERSITY . PROGRAM CONTACT INFORMATION: JENNIFER CUMMINGS, 508-862-7849, 32 MAIN ST. HYANNIS, MA 02601 . EOHHS FOCUS ISSUES: HOUSING STABILITY/HOMELESSNESS . DON HEALTH PRIORITIES: EDUCATION, EMPLOYMENT . HEALTH ISSUES: SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY, SOCIAL DETERMINANTS OF HEALTH-LANGUAGE/LITERACY . TARGET POPULATION: REGIONS SERVED: BARNSTABLE; ENVIRONMENTS SERVED: RURAL, SUBURBAN; GENDER: ALL; AGE GROUP: ADULTS, TEENAGERS; RACE/ETHNICITY: ALL; LANGUAGE: ALL; ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS GOAL DESCRIPTION PARTNER WITH LOCAL HIGH SCHOOL SYSTEMS TO GRADUATE LICENSED CERTIFIED NURSE ASSISTANTS. GOAL STATUS 28 STUDENTS GRADUATED FROM BARNSTABLE PUBLIC HIGH SCHOOL AS NEWLY LICENSED CERTIFIED NURSE ASSISTANTS IN JUNE 2021. GOAL DESCRIPTION INVEST IN THE RESILIENCY, EMPOWERMENT, ACHIEVEMENT, COMMUNITY AND HOPE PROGRAM, WHICH AIMS TO BREAK THE CYCLE OF POVERTY BY HELPING INDIVIDUALS ACHIEVE LONG-LASTING SELF-SUFFICIENCY BY ASSISTING THEM IN CHARTING THEIR PATH TO SUCCESS THROUGH MIDFULNESS PRACTICE, INDIVIDUALIZED COACHING AND GOAL SETTING. GOAL STATUS 40 INDIVIDUALS HAVE GRADUATED FROM THE PROGRAM, WITH 17 IN THE CLASS OF 2021. GOAL DESCRIPTION INVEST IN THE DENTAL ASSISTANT TRAINING PROGRAM AT ELLEN JONES COMMUNITY DENTAL CENTER. GOAL STATUS CCHC COMMUNITY BENEFITS PROVIDED FUNDING FOR THE FIRST TWO STUDENTS OF HARBOR HEALTH'S DENTAL ASSISTANT TRAINEE PROGRAM. GOAL DESCRIPTION PARTNER WITH RIVERVIEW SCHOOL ON A JOB TRAINING PROGRAM FOR STUDENTS WITH COMPLEX LANGUAGE AND LEARNING NEEDS. GOAL STATUS STUDENTS ENGAGED IN ON THE JOB TRAINING IN VARIOUS DEPARTMENTS IN CCH AND FH INCLUDING THE EMERGENCY DEPARTMENT, PHARMACY AND CAFETERIA. PARTNERS: BARNSTABLE PUBLIC SCHOOLS - CNA TRAINING PROGRAM - WWW. BARNSTABLE. K12. MA .US HOMELESS PREVENTION COUNCIL - REACH PROGRAM - WWW. HPCCAPECOD.ORG ELLEN JONES COMMUNITY DENTAL CENTER - DENTAL ASSISTANT TRAINING PROGRAM - HTTPS://WWW. HHSI.US/LOCATIONS/ELLEN-JONES-COMMUNITY-DENTAL-CENTER/ THE INSTITUTE FOR NONPROFIT PRACTICE COMMUNITY LEADERSHIP COURSE ON CAPE COD - WWW. NONPROFITPRACTICE.ORG RIVERVIEW SCHOOL - JOB TRAINING PROGRAM FOR STUDENTS WITH COMPLEX LEARNING AND LANGUAGE NEEDS - WWW. RIVERVIEWSCHOOL .ORG CANCER PREVENTION AND CANCER SUPPORT SERVICES . PROGRAM TYPE: DIRECT CLINICAL SERVICES . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . 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, BREAST NAVIGATORS, AND THE LIVING FIT FOR YOU! CANCER WELLNESS PROGRAM. CCHC ALSO OFFERS SPECIAL FINANCIAL NAVIGATORS IN THE CANCER CENTERS SPECIALLY TRAINED IN CANCER TREATMENT EXPENSES. WE ALSO OFFER VARIOUS EDUCATIONAL OPPORTUNITIES FOR BOTH PATIENTS AND THEIR FAMILIES, PROVIDERS, AND THE COMMUNITY AS A WHOLE. THESE INCLUDE AGE-SPECIFIC CONSIDERATIONS WHEN CARING FOR THE CANCER PATIENT, EDUCATION FOR NEWLY DIAGNOSED PATIENTS, COUNSELING FOR HIGH-RISK CANCER SCREENING, AND BREAST NAVIGATORS. CANCER PREVENTION ACTIVITIES INCLUDE VARIOUS COMMUNITY EDUCATION EVENTS AND SCREENINGS. THIS YEAR WE HAVE ALSO STARTED A CANCER CLINICAL TRIALS PROGRAM. . PROGRAM HASHTAGS: HEALTH SCREENING, PREVENTION, RESEARCH . PROGRAM CONTACT INFORMATION: JENNIFER CUMMINGS, 508-862-7849, 32 MAIN ST. HYANNIS, MA 02601 . EOHHS FOCUS ISSUES OPTIONAL: CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES . 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, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-RESPONSIBLE SEXUAL BEHAVIOR, INFECTIOUS DISEASE-SEXUALLY TRANSMITTED DISEASES, 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-EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-NUTRITION, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED . TARGET POPULATION: REGIONS SERVED: BARNSTABLE; ENVIRONMENTS SERVED: RURAL, SUBURBAN; GENDER: ALL; AGE GROUP: ADULTS, ELDERLY; RACE/ETHNICITY: ALL; LANGUAGE: ALL; ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS GOAL DESCRIPTION ONCOLOGY SOCIAL WORKERS WILL PROVIDE PSYCHO-SOCIAL SUPPORT TO 3,000 PATIENTS. GOAL STATUS EXCEEDED GOAL. GOAL DESCRIPTION CCHC WILL OFFER AN ONCOLOGY NUTRITION PROGRAM TO IMPROVE PATIENTS' QUALITY OF LIFE AND HEALTH OUTCOMES. GOAL STATUS ACHIEVED GOAL AND WAS ABLE TO EXPAND PROGRAM OFFERINGS THIS YEAR. GOAL DESCRIPTION REDUCE THE NUMBER OF CANCER PATIENTS THAT MISS OR DELAY APPOINTMENTS DUE TO LACK OF TRANSPORTATION. GOAL STATUS - 21 CCHC STAFF ARE ABLE TO ORDER RIDES IMMEDIATELY FOR PATIENTS THROUGH OUR TREATMENT TRANSPORT PROGRAM - OVER 400 RIDES GIVEN TO CANCER PATIENTS ON CAPE COD. GOAL DESCRIPTION PROMOTE CANCER PREVENTION WITH AWARENESS CAMPAIGNS TO THE COMMUNITY AND MEDICAL PROVIDERS. GOAL STATUS - MEDIA CAMPAIGN RESULTED IN 40,000 NEWS CIRCULATION, 75,000 DIGITAL IMPRESSIONS, AND 1076 SOCIAL MEDIA INTERACTIONS - THREE AWARENESS EVENTS REACHED 1087 INDIVIDUALS - HOSTED A VACCINE PANEL ON HPV - CONDUCTED PROVIDER TRAININGS ON HPV TO 142 MEDICAL PROVIDERS. PARTNERS: BOSTON CANCER SUPPORT, NOW THE ANDRUZZI FOUNDATION - TREATMENT TRANSPORT PROGRAM - HTTPS://WWW.JOEANDRUZZIFOUNDATION.ORG TEAM MAUREEN - GETTING BACK TO CANCER PREVENTION DURING AND POST- COVID - WWW.TEAMMAUREEN.ORG CAPE WELLNESS COLLABORATIVE - INTEGRATED TREATMENTS AND WELLNESS FOR PEOPLE FACING CANCER - WWW.CAPEWELLNESS.ORG
MATERNAL CHILD HEALTH INITIATIVES	. PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM DESCRIPTION: AS REPORTED IN THE 2020-2022 CHNA, OVER ONE-QUARTER OF PEOPLE WHO GAVE BIRTH IN BARNSTABLE COUNTY WERE IDENTIFIED AS HAVING INADEQUATE PRENATAL CARE, A PROPORTION THAT IS HIGHER THAN THE STATE (17%). FURTHER THE INFANT MORTALITY RATE FOR BARNSTABLE COUNTY IS TWICE AS HIGH AS THE STATE RATE (8.8 PER 1,000 VS 4.3 PER 1,000, RESPECTIVELY). TO ADDRESS THESE GAPS IN OUTCOMES, CCHC HAS INVESTED IN A MYRIAD OF MATERNAL AND CHILD HEALTH PROGRAMS. THESE INCLUDE: - COMMUNITY BASED PROGRAMS DESIGNED TO BUILD SOCIAL NETWORKS FOR NEW MOTHERS AND REDUCE RATES OF POSTPARTUM DEPRESSION - NOURISHING NEWBORNS TOGETHER, A PROGRAM TO SIGN FAMILIES UP FOR WIC BENEFITS WHILE IN THE HOSPITAL AFTER GIVING BIRTH - PROVIDING CAR SEATS TO FAMILIES WHO CANNOT AFFORD THEM - BREAST FEEDING HOTLINE AND SUPPORT GROUPS - FATHERHOOD INITIATIVE, PROVIDING SUPPORT AND EDUCATION TO FATHERS - CHILDREN'S COVE PARTNERSHIP, WHICH PROVIDES COMPASSIONATE CARE TO CHILDREN WHO ARE VICTIMS OF ABUSE - PRENATAL CLASSES - VARIOUS SUPPORT GROUPS - LEADERSHIP ON COMMUNITY COALITIONS AND TASK FORCES INCLUDING THE MATERNAL DEPRESSION TASK FORCE AND THE BREASTFEEDING TASK FORCE . PROGRAM HASHTAGS: COMMUNITY EDUCATION, SUPPORT GROUP . PROGRAM CONTACT INFORMATION: JENNIFER CUMMINGS, 508-862-7849, 32 MAIN ST. HYANNIS, MA 02601 . EOHHS FOCUS ISSUES: MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS . DON HEALTH PRIORITIES: EDUCATION, SOCIAL ENVIRONMENT . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-OVARIAN, 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, INJURY-AUTO/PASSENGER INJURIES, INJURY-FIRST AID/ACLS/CPR, INJURY-HOME INJURIES, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-FAMILY PLANNING, MATERNAL/CHILD HEALTH-MENOPAUSE, MATERNAL/CHILD HEALTH-PARENTING SKILLS, MATERNAL/CHILD HEALTHREPRODUCTIVE AND MATERNAL HEALTH, OTHER-CULTURAL COMPETENCY, 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-DOMESTIC VIOLENCE, SOCIAL DETERMINANTS OF HEALTHEDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-ENVIRONMENTAL QUALITY, SOCIAL DETERMINANTS OF HEALTH- INCOME AND POVERTY, SOCIAL DETERMINANTS OF HEALTH-NUTRITION, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SUBSTANCE USE . TARGET POPULATION: REGIONS SERVED: BARNSTABLE; ENVIRONMENTS SERVED: RURAL, SUBURBAN; GENDER: ALL; AGE GROUP: ADULTS, CHILDREN, INFANTS, TEENAGERS; RACE/ETHNICITY: ALL; LANGUAGE: ALL; ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS GOAL DESCRIPTION REDUCE THE RATES OF POSTPARTUM DEPRESSION IN OUR COMMUNITY BY INVESTING IN INNOVATED COMMUNITY- BASED PROGRAMS. GOAL STATUS THE SUPPORTING NEW PARENTS WITH POSTPARTUM DEPRESSION PROGRAM AT CAPE COD CHILDREN'S PLACE: - OFFERED 19 BREASTFEEDING SUPPORT GROUPS TO 41 PARENTS - 23 HEALING SUPPORT GROUPS TO 45 PARENTS - PROVIDED 139 HOME VISITS BY A CERTIFIED POSTPARTUM DOULA TO 48 UNIQUE FAMILIES - 120 BABY BAGS DISTRIBUTED TO FAMILIES WITH INFORMATION AND RESOURCES THE YMCA MOVES OF MOTHERHOOD PROGRAM SERVED 15 MOMS AND 20 BABIES/TODDLERS WITH SERVICES INCLUDING SWIM CLASSES, YOGA AND OTHER WELLNESS ACTIVITIES. GOAL DESCRIPTION INSURE POSTPARTUM MOTHERS AND NEWBORNS AT CCH RECEIVE APPROPRIATE, COMPREHENSIVE AND COORDINATED HEALTH CARE AND SOCIAL SERVICES, INCLUDING WIC BENEFITS. GOAL STATUS - 210 MOTHERS FAMILIES ENROLLED IN WIC - PROVIDED 115 SUPPORTIVE REFERRALS TO FAMILIES FOR MEDICAL OR DENTAL CARE, IMMUNIZATIONS, HEALTH INSURANCE, CHILD CARE, HOUSING, FUEL ASSISTANCE, AND OTHER ESSENTIAL SERVICES. GOAL DESCRIPTION ENSURE EVERY BABY BORN AT CAPE COD HOSPITAL HAS A SAFE CAR SEAT TO TRAVEL HOME WITH. GOAL STATUS MET GOAL AND ALSO PROVIDED 50 CAR SEATS TO FAMILIES IN OUR COMMUNITY WHO COULD NOT AFFORD THEM. PARTNERS: A BABY CENTER - CAR SEAT PROGRAM - WWW.ABABYCENTER.ORG CAPE COD CHILDREN'S PLACE - SUPPORTING NEW PARENTS WITH POSTPARTUM DEPRESSION - WWW.CAPECODCHILDRENSPLACE.COM YMCA CAPE COD - MOVES OF MOTHERHOOD PROGRAM - WWW.YMCACAPECOD.ORG HEALTH IMPERATIVES - NOURISHING NEWBORNS TOGETHER - WWW.HEALTHIMPERATIVES.ORG
FOOD SECURITY INITIATIVE	. PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM DESCRIPTION: ACCESS TO AFFORDABLE AND HEALTHY FOOD WAS IDENTIFIED AS A TOP SOCIAL CONCERN IN THE 2020-2022 CHNA. THIS NEED HAS BEEN EXASPERATED BY THE COVID-19 PANDEMIC. TO ADDRESS THIS NEED CCHC MADE INVESTMENTS IN LOCAL FOOD PANTRIES AND OTHER PROGRAMS THAT ADDRESS FOOD SECURITY IN OUR REGION. WE ALSO SUPPORTED A MOBILE FOOD PANTRY, PUBLIC SCHOOL MEAL PROGRAM, AND A VEGETABLE PRESCRIPTION PROGRAM. . PROGRAM HASHTAGS: COMMUNITY EDUCATION, COMMUNITY HEALTH CENTER PARTNERSHIP, PREVENTION . PROGRAM CONTACT INFORMATION: JENNIFER CUMMINGS, 508-862-7849, 32 MAIN ST. HYANNIS, MA 02601 . EOHHS FOCUS ISSUES: CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES . DON HEALTH PRIORITIES: BUILT ENVIRONMENT, SOCIAL ENVIRONMENT . HEALTH ISSUES: SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTHY FOOD, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY, SOCIAL DETERMINANTS OF HEALTH-NUTRITION . TARGET POPULATION: REGIONS SERVED: BARNSTABLE; ENVIRONMENTS SERVED: RURAL, SUBURBAN; GENDER: ALL; AGE GROUP: ALL; RACE/ETHNICITY: ALL; L ANGUAGE: ALL; ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS GOAL DESCRIPTION SUPPORT BARNSTABLE PUBLIC SCHOOLS MEAL PROGRAM. GOAL STATUS GRANT FUNDING WAS USED TO PURCHASE FOOD CARRIER CARTS THAT WERE USED TO TRANSPORT BREAKFAST AND LUNCH TO EACH CLASSROOM AT BARNSTABLE HIGH SCHOOL AND BARNSTABLE INTERMEDIATE SCHOOL. GOAL DESCRIPTION PROVIDE ACCESS TO HEALTHY FOOD FOR SENIORS AND FAMILIES ON THE LOWER CAPE WHO DO NOT HAVE ACCESS TO A TRADITIONAL BRICKS AND MORTAR FOOD PANTRY LOCATION THROUGH THE HEALTHY MEALS IN MOTION MOBILE PANTRY, AND INCREASE THE AMOUNT OF PRODUCE PROVIDED BY AT LEAST 30%. GOAL STATUS - SERVED 272 HOUSEHOLDS/465 INDIVIDUALS - DISTRIBUTED 6,244 BAGS/156,100 POUNDS OF FOOD - PROVIDED 130,083 MEALS - NOW DISTRIBUTE 35% OF ALL FOODS AS FRESH FRUITS AND VEGETABLES. GOAL DESCRIPTION INCREASE ACCESS TO FRUITS AND VEGETABLES IN A LOW INCOME RURAL SENIOR POPULATION WITH CHRONIC CARDIOMETABOLIC ILLNESS. GOAL STATUS CCHC COMMUNITY BENEFITS INVESTED IN A 12-WEEK PIOLET PROGRAM TO INCREASE ACCESS THAT INCLUDED TRANSPORTATION ASSISTANCE, EDUCATION, FOOD ASSISTANCE AND A SOCIAL COMPONENT. THE PROGRAM PROVIDED FREE, LOCAL PRODUCE TO 25 PARTICIPANTS AND INCLUDED A CONSULTATION WITH A NUTRITIONIST AND BLOOD PRESSURE CHECKS. PARTICIPANTS REPORTED EATING 350% MORE FRUITS AND VEGETABLES AFTER PARTICIPATION. PARTNERS: BARNSTABLE PUBLIC SCHOOLS - HIGH SCHOOL AND INTERMEDIATE SCHOOL - WWW.BARNSTABLEK12.MA.US THE FAMILY PANTRY OF CAPE COD - HEALTHY MEALS IN MOTION MOBILE FOOD PANTRY - WWW.THEFAMILYPANTRY.COM SUSTAINABLE CAPE - INCREASING ACCESS TO FRUITS AND VEGETABLES IN A LOW INCOME RURAL SENIOR POPULATION WITH CHRONIC CARDIOMETABOLIC ILLNESS - WWW.SUSTAINABLECAPE.ORG 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 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, BEHAVIORAL HEALTH, AND COVID-19. . PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH PROFESSIONAL/STAFF TRAINING, PREVENTION . PROGRAM CONTACT INFORMATION: JENNIFER CUMMINGS, 508-862-7849, 32 MAIN ST. HYANNIS, MA 02601 . EOHHS FOCUS ISSUES: CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, MENTAL ILLNESS AND MENTAL HEALTH . DON HEALTH PRIORITIES: EDUCATION . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-PROSTATE, CANCER-SKIN, CHRONIC DISEASE-ALZHEIMER'S DISEASE, CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-DIABETES, CHRONIC DISEASEHYPERTENSION, CHRONIC DISEASE-OSTEOPOROSIS, CHRONIC DISEASE-OVERWEIGHT AND OBESITY, CHRONIC DISEASE PULMONARY DISEASE, CHRONIC DISEASE-STROKE, 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 DISEASE COVID-19, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-PARENTING SKILLS, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-CULTURAL COMPETENCY, 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: ADULTS, ELDERLY, TEENAGERS; RACE/ETHNICITY: ALL; LANGUAGE: ALL; ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS GOAL DESCRIPTION OFFER FREE HEALTH EDUCATION AND OUTREACH ACTIVITIES TO THE COMMUNITY ACROSS A NUMBER OF DIFFERENT HEALTH AREAS. HOSPITALS WILL DEDICATE CLINICAL STAFF AND RESOURCES TO SUPPORT THE EDUCATION AND HEALTH LITERACY OF BARNSTABLE COUNTY RESIDENTS. GOAL STATUS EDUCATIONAL OFFERINGS ARE ONGOING. PARTNERS: VISITING NURSES ASSOCIATION OF CAPE COD - COMMUNITY HEALTH NURSES, TOWN NURSES - WWW.VNACAPECOD.ORG AMERICAN CANCER SOCIETY - PROVIDES EDUCATIONAL RESOURCES FOR CANCER PATIENTS - WWW.CANCER.ORG
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 APPROPRIATE 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 DONALD A. GUADAGNOLI IS SVP, CMO (Until 4/20), CMO - FH (As of 4/20)
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 $ 226,172 CHANGE IN PERPETUAL TRUSTS $ 3,409,968 TRANSFERS TO/FROM AFFILIATES $(1,009,071) NET ASSETS RELEASED FROM RESTRICTIONS $(2,507,721) 457B&F EXPENSES $(2,473,015) ------------- OTHER CHANGES IN NET ASSETS $(2,353,667) =============

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

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

2020

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) 2020

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	(k) Percentage ownership
(1) CAPE & ISLANDS ENDOSCOPY CENTER 700 ATTUCKS LANE HYANNIS,MA02169 26-3910955	ENDOSCOPY CENTER	MA	NA	RELATED	552,444	293,212		No	0		No	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	(h) Percentage ownership	Yes	No
(1) CAPE HEALTH INSURANCE COMPANY PO BOX 1051GT GRAND CAYMAN CJ 98-1230418	INSURANCE	CJ	NA	C CORP	950,899	48,835,775	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) 2020

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	309,060,472	FMV
(2) FALMOUTH HOSPITAL ASSOCIATION INC	Q	76,302,626	FMV
(3) CAPE AND ISLANDS HEALTH SERVICES II INC	Q	1,545,631	FMV
(4) VISITING NURSE ASSOCIATION OF CAPE COD INC	Q	16,087,866	FMV
(5) CAPE COD HUMAN SERVICES INC	Q	521,848	FMV
(6) FALMOUTH ASSISTED LIVING INC	Q	2,072,806	FMV
(7) JML CARE CENTER INC	Q	8,296,130	FMV
(8) CAPE COD HEALTHCARE FOUNDATION INC	Q	1,180,829	FMV
(9) MEDICAL AFFILIATES OF CAPE COD INC	Q	47,430,593	FMV
(10) CAPE COD HOSPITAL	S	62,434,892	FMV
(11) FALMOUTH HOSPITAL ASSOCIATION INC	S	20,811,631	FMV
(12) VISITING NURSE ASSOCIATION INC	S	3,138,388	FMV
(13) CAPE COD HUMAN SERVICES INC	S	200,000	FMV
(14) FALMOUTH ASSISTED LIVING INC	S	75,000	FMV
(15) JML CARE CENTER INC	S	75,000	FMV
(16) MEDICAL AFFILIATES OF CAPE COD INC	S	3,153,756	FMV
(17) CAPE COD HEALTHCARE FOUNDATION INC	A	8,470	FMV
(18) CAPE COD HOSPITAL	A	507,437	FMV
(19) FALMOUTH HOSPITAL ASSOCIATION INC	A	443,596	FMV
(20) MEDICAL AFFILIATES OF CAPE COD INC	A	1,018,176	FMV
(21) CAPE HEALTH INSURANCE COMPANY	S	276,888	FMV

Schedule R (Form 990) 2020

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2020

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) 2020

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	335
6	Total number of volunteers (estimate if necessary) .............	6	12
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	356,933
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	43,021

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	9,102	14,122
9	Program service revenue (Part VIII, line 2g) .........	106,756,089	126,847,579
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	9,708,117	15,080,520
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)	116,473,308	141,942,221
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	424,556	264,150
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)	31,635,627	36,521,066
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)....	75,025,757	90,379,292
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	107,085,940	127,164,508
19	Revenue less expenses. Subtract line 18 from line 12.......	9,387,368	14,777,713
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	424,302,862	447,036,647
21	Total liabilities (Part X, line 26).............	188,854,573	185,901,606
22	Net assets or fund balances. Subtract line 21 from line 20.....	235,448,289	261,135,041

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 100,880,372 including grants of $ 264,150 ) (Revenue $ 126,847,579 )
	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 expenses100,880,372

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	6,543,003	923,940	1,388,196

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	14,122

f	All other contributions, gifts, grants, and similar amounts not included above		1f	0

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

h Total. Add lines 1a-1f.......		14,122

		Business Code
2a	HOME OFFICE COSTS	620000	89,888,667	89,888,667
b	PHYSICIAN ORG ADM SUPPORT REV	620000	4,848,397	4,848,397
c	PROGRAM RELATED RENTAL INCOME	620000	1,977,679	1,977,679
d	RETAIL PHARMACY	620000	29,677,876	29,301,377	376,499
e	OTHER PROGRAM SERVICE REVENUE	620000	454,960	454,960
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		126,847,579

3 Investment income (including dividends, interest, and othersimilar amounts) ......			3,427,762		-24,399	3,452,161
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		11,652,758	7a
b	Less: cost or other basis and sales expenses		0	7b
c	Gain or (loss)		11,652,758	7c
d	Net gain or (loss).........			11,652,758		4,833	11,647,925
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.....			141,942,221	126,471,080	356,933	15,100,086

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	225,150	225,150
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	39,000	39,000
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 ...........	6,585,600	0	6,585,600
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........	23,120,357	18,496,286	4,624,071
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,010,795	758,096	252,699
9	Other employee benefits .......	3,739,855	2,804,891	934,964
10	Payroll taxes ...........	2,064,459	1,570,626	493,833
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	970,300		970,300
c	Accounting ...........	9,379		9,379
d	Lobbying ...........	208,806	167,045	41,761
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	192,606		192,606
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	3,053,439	2,443,349	610,090
12	Advertising and promotion ....	1,384,531	1,107,625	276,906
13	Office expenses .......	2,851,380	2,281,104	570,276
14	Information technology ......	14,251,968	11,401,574	2,850,394
15	Royalties ..	0
16	Occupancy ...........	3,772,143	3,017,714	754,429
17	Travel ............	124,084	99,267	24,817
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	306,034	244,827	61,207
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	13,726,750	10,981,400	2,745,350
23	Insurance ...	423,393	338,714	84,679
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	26,981,385	26,981,385
b	PURCHASED SERVICES	17,220,112	13,776,090	3,444,022
c	REPAIRS & MAINTENANCE	1,570,021	1,256,017	314,004
d	EDUCATION	1,059,862	847,890	211,972
e	All other expenses	2,273,099	2,042,322	230,777
25	Total functional expenses. Add lines 1 through 24e	127,164,508	100,880,372	26,284,136	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 ........			24,416,214	1	5,146,771
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			0	4	0
5	Loans and other receivables from 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 ...........			14,628,634	7	15,808,030
8	Inventories for sale or use ............			918,517	8	827,479
9	Prepaid expenses and deferred charges ......			5,825,047	9	7,814,193
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	106,651,258
b	Less: accumulated depreciation	10b	57,595,868	54,275,561	10c	49,055,390
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			208,369,472	12	243,065,060
13	Investments—program-related. See Part IV, line 11 ..			7,586,484	13	6,016,995
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			108,282,933	15	119,302,729
16	Total assets. Add lines 1 through 15 (must equal line 33)...			424,302,862	16	447,036,647

17	Accounts payable and accrued expenses .....	65,662,677	17	47,567,153
18	Grants payable ...	0	18	0
19	Deferred revenue .........	119,676	19	120,573
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 ..	3,824,601	23	3,544,395
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	119,247,619	25	134,669,485
26	Total liabilities. Add lines 17 through 25..	188,854,573	26	185,901,606

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	187,101,031	27	207,629,671
28	Net assets with donor restrictions ...........	48,347,258	28	53,505,370
	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 ...........	235,448,289	32	261,135,041
33	Total liabilities and net assets/fund balances ........	424,302,862	33	447,036,647