Cape Cod Healthcare Inc.

“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.”

“THE ORGANIZATION MAKES ITS BYLAWS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THE ANNUALLY FILED FORM PC, A PUBLICLY DISCLOSED TAX-EXEMPT ORGANIZATION FILING FOR THE STATE OF MASSACHUSETTS. FORM 990, PART VII, SECTION A WILLIAM ZAMMER Full title: Vice Chairman until 5/14, Chair from 5/14, Trustee FORM 990, PART VII, SECTION B WITH THE EXCEPTION OF REPORTING FOR VISITING NURSE ASSOCIATION OF CAPE COD, INC, CAPE COD HEALTHCARE, INC. PAYS INDEPENDENT CONTRACTORS ON BEHALF OF ITS AFFILIATES WHO FILE AS PART OF A GROUP FORM 990 AS CAPE COD HEALTHCARE, INC. AND AFFILIATES. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES TRANSFER TO/FROM AFFILIATES $8,946,427 NET ASSETS RELEASED FROM RESTRICTION (751,042) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT 1,332,389 CHANGE IN VALUE BENEFICIAL INTEREST 614,318 OTHER CHANGES IN NET ASSETS 11,647 ------------ TOTAL $10,153,739”

“We will be the health service provider of choice for cape cod residents by achieving and maintaining the highest standards in health care delivery and service quality. To do so, we will partner with other health and human service providers as well as invest in needed medical technologies, human resources and clinical services. Above all, we will help identify and respond to the needs of our community. Community benefits mission statement cape cod healthcare, inc., through its community benefits initiative, is committed to enhancing the quality of and access to comprehensive health care services for all the residents of cape cod. Through continuous assessment of community needs, coordinated planning and the allocation of resources, this commitment includes a special focus on the unmet needs of the financially disadvantaged and underserved populations. We will take a leadership role in collaborative efforts joining our resources, talent, and commitment with that of other providers, organizations and community members. The community benefits mission statement was affirmed by the cchc community health committee and the board of trustees in 2000 and remains in effect. Target populations 1.name of the target population: individuals managing or at risk of chronic and/or infectious diseases such as cancer, cardiovascular disease, diabetes, hiv/aids, hepatitis c or dental disease.basis for selection: aligned with statewide health priorities and national statistics, residents managing chronic illness are at the greatest risk of declined health and death. Cancer, cardiovascular-related disease, diabetes, infectious diseases and oral health issues are highly represented among residents of barnstable county as evidenced through a recently completed community health needs assessment. This population is served through a network of health care and social services providers in our region but unmet needs still exist. 2.name of the target population: residents facing barriers to access to care due to language, cost, or age, including those who are uninsured or under-insured. Basis for selection: nearly 93% of residents in barnstable county have health insurance coverage but significant issues related to access to care still exist. The community health needs assessment identified availability of certain providers, out-of-pocket costs, a lack of knowledge of available services and linguistic challenges. 3.name of the target population: community members dealing with mental health issues. Basis for selection: access to adequate mental health care is an area of concern in barnstable county, as evidenced by an increase in suicide rates, and the high number of patients presenting with mental health disorders in hospital emergency centers. Populations dealing with mental health issues are served through a network of health care and social service providers in our region but unmet needs including a shortage of available psychiatric providers and challenges navigating available services still exist. 4.name of the target population: community members dealing with substance abuse. Basis for selection: the issue of substance use and abuse is a critical issue for the health system and community in barnstable county. The overall rates of substance abuse admissions are higher in barnstable county than ma, specifically for alcohol as a primary substance. In addition, treatment admissions for opiates as a primary substance of use grew from 11% in 2007 to 28% in 2011. Although residents with substance abuse issues are served through a network of health care and treatment providers in our region, unmet needs such as availability of detox and treatment options and navigation of services still exist. 5.name of target population: senior population ages 65 and older. Basis for selection: according to the 2010 u.s. Census, the population of individuals age 65 and older represent over 25% of the year round population in barnstable county with a significant increase of r”

“Grant funding and a competitive rfp grants program open to all community organizations with programs aligned with community benefits priorities. New programs were launched through community benefits grant support, including a pilot program that integrated substance abuse counselors in an obstetrics and gynecology office, the launch of regional nutrition workshops for seniors, and placement of clinicians in head start classrooms to address early-onset of mental health issues. Other programs were sustained or expanded through cchc's support, including a mentoring program for high-risk youth, an education campaign to prevent lyme disease and a fish purchasing program to improve the nutritional quality of food distributed at local food pantries. Community benefits and hospital staff continued to play leadership roles in health and human service organizations and coalitions across barnstable county including cape cod community health area network (chna 27) steering committee, barnstable county human services advisory council, barnstable county regional substance abuse council, behavioral health provider coalition of cape cod & the islands and the substance abuse in pregnancy task force. Plans for next reporting year annual community benefits plans for cape cod hospital, falmouth hospital and cape cod healthcare align directly with the priorities, goals and objectives of the three-year implementation plan included in the 2014 - 2016 cape cod hospital and falmouth hospital community health needs assessment report. An eleven-member community health committee, a subcommittee of the board of trustees of cape cod healthcare, provides oversight and input to annual planning and implementation of key initiatives. Community benefits staff ensures that annual plans, priorities, goals and activities comply with mass attorney general (ag) guidelines, medicare guidelines and irs requirements. Goals for fy2015: 1. Chronic and infectious disease: invest in initiatives, clinical programming and community education and outreach aimed at the management and prevention of chronic and infectious disease. 2. Access to care: improve access to primary and specialty care for cape cod's underserved and vulnerable populations through partnerships and support of community health centers, interpreter services, and health care enrollment efforts. 3. Mental health: promote education, coordination, and navigation of services targeted at individuals and families facing mental health issues. 4. Substance abuse: engage in collaborative efforts to support community-based substance abuse prevention and education efforts. 5. Youth and senior health: support innovative and preventative health initiatives for the community with a specific focus on youth ages 15-24 years old and seniors over the age of 65. 6. Support regional health efforts through direct grant funding and a competitive rfp grants program open to all community organizations with programs aligned with community benefits priorities. 7. Maintain and develop community leadership opportunities to improve the health status of the residents of barnstable county including participation with the community health area network (chna 27) steering committee, behavioral health provider coalition of cape cod & the islands, the barnstable county human services advisory council, and the barnstable county regional substance abuse council. 8. Engage physicians, nurses and clinical staff throughout cchc to inform and advise community benefits planning and program development. Community benefits leadership/team cape cod healthcare, cape cod hospital and falmouth hospital, along with our affiliates, fulfill the critical role of safety net providers to the residents of barnstable county and visitors to our region. The development of cape cod healthcare's strategic initiatives and community collaborations, including the community benefits program, is led by michael k. Lauf, chief executive officer and theresa m. Ahern, senior vic”

“Aids support group of cape cod american cancer society barnstable county cape cod cooperative extension services barnstable county human services barnstable school system behavioral health provider coalition of cape cod & the islands big brothers big sisters of cape cod & the islands boys and girls club of cape cod calmer choice cape and islands ems systems, inc cape and islands united way cape cod chamber of commerce cape cod child development cape cod foundation cape cod hunger network children's cove community action committee of cape cod & islands community development partnership community health center of cape cod community health network area 27 cape cod & islands (chna 27) duffy health center elder services of cape cod & the islands harbor community health center - hyannis helping our women hope health dementia & alzheimer's services gosnold on cape cod massachusetts department of public health mothers and infants recovery network national alliance on mental illness cape cod oral health excellence collaborative outer cape health services parkinson support network of cape cod sight loss services specialty network for the uninsured community health needs assessment date last assesment completed and current status the 2014 - 2016 cape cod hospital and falmouth hospital community health needs assessment report and implementation plan was released and made widely available to the public on september 27th, 2013. Cape cod hospital and falmouth hospital followed irs regulations and ma attorney general guidelines to conduct the most recent community health needs assessment of populations living in the service area of barnstable county. Significant community input was documented and data was collected from national, state, regional and local sources to identify the significant health needs of barnstable county. Special attention was given to vulnerable populations, statewide priorities were considered and the community assets available to meet needs were identified and assessed. An implementation plan related to the significant health needs of barnstable county residents was developed with outlined goals, objectives, initiatives, resources and potential collaborators. The objectives of the community health needs assessment were to gather statistically valid information and accurate comparisons to state and national benchmarks of health and quality of life measures for residents of barnstable county and to integrate research findings into community benefit and hospital planning activities that address significant community needs and vulnerable populations. Over 80 community organizations participated in the community health needs assessment through focus groups, key information interviews and community input forums. Data was collected through a household telephone survey of residents of barnstable county using a survey instrument adapted from the centers for disease control and prevention's behavioral risk factor surveillance system. Primary data collected through community input and the household telephone survey was heavily augmented with secondary data from national, state, and regional sources. The most current barnstable county health data available was collected, analyzed, synthesized and compared to ma and us data as available. Data collection efforts focused on demographic characteristics, behavioral risk factors associated with health status, disease incidence and prevalence rates, access to care, health status indicators, morbidity/mortality rates and hospital utilization. The significant health needs identified through data collection and community input were distinguished and prioritized based on the frequency, urgency, scope, severity and magnitude of the identified issues. The significant health needs and associated target and vulnerable populations are the foundation for community benefits and hospital planning and program implementation spanning fiscal years 2014 - 2016. Key data sets featured in the community hea”

“Community focus groups, hospital, consumer group, interviews, masschip, public health personnel, surveys, chna community benefits programs community based interpreter services program type: community participation/capacity building initiative, direct services, grant/donation/foundation/scholarship, health coverage subsidies or enrollment, outreach to underserved, prevention statewide priority: address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity, supporting healthcare reform brief description or objective: cape cod healthcare community benefits provides annual support to improve access to primary and specialty care for individuals that face barriers to care due to language through the community based interpreter services program. The program dispatches free medical language interpreters to community-based physician practices to assist limited and non-english speaking patients and their families. The availability of proficient and professional interpreter services ensures the delivery of safe quality health care and positive clinical outcomes. Target population regions served: county-barnstable health indicator: access to health care, other: uninsured/underinsured sex: all age group: all ethnic group: all language: all goals goal description: increase access to care by providing medical interpretations in community-based primary care and specialty care settings. Goal status: collaboration with health centers and physician offices resulted in 950 language interpretations in fy14. Approximately, 79% of interpretations were for residents speaking portuguese and 21% for residents speaking spanish. Program efforts are ongoing. Partners partner name, description partner web address community health center of cape cod: the specialty network for the uninsured http://www.chcofcapecod.org/ community-based medical offices on cape cod: various harbor community health center-hyannis http://www.hhsi.us/cape-cod/harbor-community-health-center-hyannis/ contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601, phone: 508-862-7896, [email protected] detailed description: not specified specialty network for the uninsured (snu) program type: community participation/capacity building initiative, direct services,grant/donation/foundation/scholarship,health coverage subsidies or enrollment,health screening,outreach to underserved,prevention, school/health center partnership statewide priority: address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity, supporting healthcare reform brief description or objective: cape cod healthcare community benefits provides annual grant support to increase access to specialty care for the uninsured and under-insured residents of barnstable county through the specialty network for the uninsured (snu). The program is managed in collaboration with local community health centers to provide appointments with specialists who provide free or significantly reduced sliding-scale fees for office visits, procedures and continued care. The program also hosts cardiology, orthopedic and diabetic eye-exam clinics with services provided by volunteer physicians. Target population regions served: county-barnstable health indicator:access to health care, immunization, other: alzheimer disease, other: arthritis, other: asthma/allergies, other: cancer, other: cardiac disease, other: chronic pain , other: colitis/crohn disease, other: cultural competency, other: diabetes, other: hepatitis, other: hiv/aids, other: hypertension, other: lyme disease, other: osteoporosis/menopause, other: parkinson's disease, other: pulmonary disease/tuberculosis, other: stroke, other: uninsured/underinsured, other: vision , overweight and obesity sex: all”

“Program type: direct services,grant/donation/foundation/scholarship, health coverage subsidies or enrollment,outreach to underserved statewide priority :address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity, supporting healthcare reform brief description or objective: the prescription assistance program is an initiative of cape cod hospital and falmouth hospital emergency, behavioral health and pharmacy departments as a community benefit to help uninsured, under-insured and financially disadvantaged patients who have no other viable means to pay for medications upon discharge from hospital facilities. Target population regions served: county-barnstable health indicator: access to health care, other: uninsured/underinsured sex: all age group: all ethnic group: all language: all goals goal description: assist residents who are unable to afford medications to ensure compliance with their hospital discharge plans. Goal status: cape cod hospital and falmouth hospital emergency and behavioral health departments provided prescription assistance totaling $22,300 for uninsured, underinsured or financially challenged patients. Program efforts are ongoing. Partners partner name, description and partner web address local pharmacies n/a contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601 phone: 508-862-7896, [email protected] detailed description: not specified transportation assistance program: cape cod hospital and falmouth hospital program type: community participation/capacity building initiative,direct services,grant/donation/foundation/scholarship,outreach to underserved statewide priority : address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity, supporting healthcare reform brief description or objective: in an effort to assist low-income and vulnerable populations, cape cod hospital and falmouth hospital provide transportation upon discharge from emergency and behavioral health departments, to those patients without resources for transportation. Target population regions served: county-barnstable health indicator: access to health care, other: safety, other: uninsured/underinsured sex: all age group: all ethnic group: all language: all goals goal description: assist residents who are unable to afford or access transportation to ensure compliance with their discharge plan. Goal status: cape cod hospital and falmouth hospital emergency and behavioral health departments provided taxi vouchers totaling $34,000 for financially disadvantaged patients upon discharge. Program efforts are ongoing. Partners partner name, description and partner web address local taxi companies n/a contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma, 02601 phone: 508-862-7896, [email protected] detailed description: not specified health insurance enrollment services: community action committee of cape cod and the islands program type: community participation/capacity building initiative,direct services,grant/donation/foundation/scholarship,health coverage subsidies or enrollment,outreach to underserved,prevention,school/health center partnership statewide priority: address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity, supporting healthcare reform brief description or objective: in fy14, cape cod healthcare community benefits provided a grant to support health insurance enrollment and re-enrollment services at community action committee of cape cod and the islands, a community based organization that provides assistance in the navigation of health insurance optio”

“Program type: community education,community participation/capacity building initiative,direct services,grant/donation/foundation/ scholarship,outreach to underserved,support group statewide priority :address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity, supporting healthcare reform brief description or objective: support groups for bereavement and cancer survivorship, and classes and counseling focused on breastfeeding, fatherhood and holistic services to complement traditional medical care are conducted on a regular basis and open to all members of the community. Classes are hosted at hospitals and in the community to provide access for all populations. Information and resources are available to individuals, families and friends and many include in-person meetings and contacts to offer support and reassurance through their specific disease/health care situation. Target population regions served: county-barnstable health indicator: other: arthritis, other: bereavement, other: cancer, other: child care, other: chronic pain , other: diabetes, other: hospice, other: hypertension, other: nutrition, other: parenting skills, other: pregnancy, other: stress management sex: all age group: adult, adult-elder, adult-young ethnic group: all language: all goals goal description:provide support groups for individuals, families and caregivers on a continuum of issues including cancer survivorship, prenatal/new parents, bereavement and chronic disease self management. Goal status: in fy14, over 2,800 hours of support groups and classes were offered and facilitated for individuals and families. Program efforts are ongoing. Partners partner name, description and partner web address visiting nurses association http://www.vnacapecod.org american cancer society www.cancer.org ymca cape cod http://ymcacapecod.org/ contact information: lisa guyon, director of community benefits, 88 lewis bay road, hyannis, ma 02601, phone: 508-862-7896, [email protected] detailed description: not specified workforce development initiatives program type: community education,community participation/capacity building initiative,health professional/staff training,mentorship/career training/internship,outreach to underserved,school/health center partnership statewide priority:address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity, supporting healthcare reform brief description or objective: cape cod healthcare recognizes the importance of workforce development and supports the opportunity for students from high school through graduate school to have a positive and professional experience through internships, job shadowing and training with health care providers in several hospital departments. By training and mentoring students for future employment, we hope to successfully engage individuals so they select health care as a viable and admirable vocation, thus decreasing the potential risk for predicted future shortages in the workplace. Target population regions served: county-barnstable health indicator: access to health care sex: all age group: all ethnic group: all language: all goals goal description: increase access to services through workforce development partnerships. Goal status: in fy14, over 10,800 hours of workforce development efforts took place including student training, mentoring and job shadowing. Program efforts are ongoing in fy15. Partners partner name, description and partner web address cape cod community college www.capecod.edu/ upper cape regional technical school www.uppercapetech.com/ cape cod regional technical high school http://www.capetech.us/ ma college of pharmacy and health sciences www.mcphs.edu umass dartmouth www.umassd.edu boston college www.bc.edu barnstable high school www.barnstable.k12.ma.”

“Program type: community education,community participation/capacity building initiative,direct services,grant/donation/foundation/scholarship, health coverage subsidies or enrollment,health professional/staff training,health screening,outreach to underserved,prevention,school/health center partnership statewide priority: address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity brief description or objective: cape cod healthcare community benefits provided grant support to the oral health excellence collaborative (ohec) for efforts to educate low-income seniors about their oral health, hygiene routines and dental care resources. Program activities included placing volunteer oral health educators at each of the 15 council on aging offices across cape cod, providing one on one oral health surveys and education sessions with seniors, and removing barriers to dental care through strengthening education, information, coordination and referral between residents and oral health providers. Target population regions served: county-barnstable health indicator: access to health care, other: dental health, other: elder care, other: uninsured/underinsured sex: all age group: adult-elder, all ethnic group: all language: all goals goal description: recruit, train and secure smile counselors in each council on aging on cape cod. Goal status: volunteer smile counselors were trained, mentored and placed in each of the 15 council on aging offices across cape cod. Volunteers include retirees, dental hygienists, health care professionals and health educators. Goal description: improve the oral hygiene routines of seniors through one on one counseling sessions with smile counselors. Facilitate access to dental care and follow-up services for seniors with untreated dental disease. Goal status: over 203 low-income residents ages 65+ received one on one dental hygiene counseling from a smile counselor. Seventy-five (75) seniors were linked to dental care through smile counselors. Partners partner name, description and partner web address oral health excellence collaborative www.oralhealthexcellence.net cape cod district dental society www.massdental.org/capecod councils on aging serving together (coast) www.capecoast.tumblr.com serving health information needs of elders www.capecodseniors.org elder services of cape cod www.escci.org contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601, phone: 508-862-7896, [email protected] detailed description: not specified supporting adolescent health and chronic disease management initiatives at harbor community health center - hyannis program type: community education,community participation/capacity building initiative,direct services,grant/donation/foundation/scholarship, health coverage subsidies or enrollment,health screening,outreach to underserved,prevention,school/health center partnership statewide priority: address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity, supporting healthcare reform brief description or objective: cape cod healthcare community benefits provided a grant to harbor community health center-hyannis (hchc-h) to improve adolescent health education outreach and chronic disease management of patients. Hchc-h offered underage drinking and substance use/abuse prevention services to at-risk minority youth and risk reduction counseling related to the transmission of sexually transmitted diseases. In addition, the grant supported the efforts of hchc-h to improve the care coordination of high-risk patients with diabetes, hypertension and pediatric asthma. Target population regions served: county-barnstable health indicator:access to health care, mental health, other: alcohol and substance ab”

“Helping our women program type: community participation/capacity building initiative, direct services, grant/donation/foundation/scholarship, health coverage subsidies or enrollment, outreach to underserved statewide priority: chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity, supporting healthcare reform. Brief description or objective: in an effort to reduce barriers to health care for residents from the most geographically isolated region, the outer cape, cchc community benefits provided a grant in fy14 to helping our women. Helping our women provides safe, reliable and free transportation to medical, diagnostic testing and follow-up appointments for women with chronic, life threatening or disabling conditions who reside from eastham to provincetown. Target population regions served: eastham, provincetown, truro, wellfleet health indicator: access to health care, other: cancer, other: cardiac disease, other: diabetes, other: elder care, other: safety - auto/passenger, other: stroke sex: all age group: adult, adult-elder ethnic group: all language: all goals goal description: provide transportation to medical appointments to residents from eastham to provincetown. Goal status: in fy14, 272 units of transportation were provided for 199 individuals from the outer cape. Clients from the following towns were assisted: provincetown (115), wellfleet (47), truro (22), and eastham (15). Goal description: establish and maintain relationships with other regional transportation organizations to develop a transportation safety net for residents to access health care. Goal status: relationships established or maintained with cape cod regional transportation authority, cape air, and community-based volunteer transportation organizations. Partners partner name, description and partner web address provincetown council on aging www.provincetown-ma.gov eastham council on aging www.eastham-ma.gov truro council on aging www.truro-ma.gov/council-on-aging wellfleet council on aging www.wellfleetma.org cape cod regional transit authority www.capecodtransit.org contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601, phone: 508-862-7896, [email protected] detailed description: not specified school based early intervention and prevention program: gosnold program type:community education,grant/donation/foundation/scholarship, health screening, outreach to underserved,prevention,school/health center partnership statewide priority : address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity, supporting healthcare reform brief description or objective: in an effort to address substance use and abuse by youth and young adults, cape cod healthcare community benefits provided a fy14 grant to gosnold on cape cod to pilot early intervention and prevention services in a high school setting. The model, developed by gosnold on cape cod, provided onsite access to counseling services, identified and provided clinical intervention with students whose lives are negatively impacted by substance abuse and encouraged and supported the 'clean and sober' students in the school to help build a culture to foster healthy behaviors amongst peers. Target population regions served: county-barnstable health indicator: access to health care, mental health, other: alcohol and substance abuse, other: safety, other: stress management, other: uninsured/underinsured, substance abuse sex: all age group: adult-young, child-preteen, child-teen ethnic group: all language: all goals goal description: provide onsite counseling to support, assess and provide clinical counseling for students identified as abusing substances or at risk for abusing substances. Goal status: thirty students were referred to the gosnold clinician duri”

“Elder services of cape cod & the islands program type: community participation/capacity building initiative, direct services, grant/donation/foundation/scholarship, outreach to underserved, prevention statewide priority : address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity, supporting healthcare reform brief description or objective: cape cod healthcare community benefits supported the efforts of elder services of cape cod & the islands to offer two evidence-based programs to residents of barnstable county: health eating for successful living and powerful tools for caregivers. These programs support elders ages 60+ in the self management of their nutritional health and to provide caregivers the tools for self-care and caregiving. Target population regions served: county-barnstable health indicator: mental health, other: alzheimer disease, other: cancer, other: elder care, other: homebound, other: hospice, other: hypertension, other: nutrition, other: parkinson's disease, other: safety, other: safety - home, other: stress management sex: all age group: adult, adult-elder ethnic group: all language: all goals goal description: thirty individuals will participate in the health eating for successful living program at one of the three program sites located in the mid-cape, lower cape and upper cape regions. Goal status: fourteen individuals participated in 2 programs offered on the mid and upper cape. Program goals were assessed and met according to participant survey data. Goal description: thirty individuals will participate in the powerful tools for caregivers program at one of the three program sites located in the mid-cape, lower cape and upper cape regions. Goal status: thirty individuals participated in three programs offered on the mid-cape, lower cape and upper cape. Program goals were assessed and met or surpassed expectations according to survey results. Partners partner name, description and partner web address elder services of cape cod & the islands www.escci.org contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601. Phone: 508-862-7896, [email protected] detailed description:not specified triple aim of healthy physical, mental and emotional behaviors in youth: the boys and girls club of cape cod program type: direct services, grant/donation/foundation/scholarship, outreach to underserved, prevention statewide priority: chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity brief description or objective: in an effort to increase local programs that emphasize good health behavior in youth, cape cod healthcare community benefits provided a grant to support the triple aim program at the boys and girls club of cape cod. Triple aim is a health and fitness program that includes strategies that emphasize healthy eating and exercise as well as preventing alcohol and drug use. Youth, ages 6 -18 years old, engaged in healthy eating and cooking classes, fitness challenges, organized sports leagues, and smart moves, a drug and alcohol resistance program. Target population regions served: county-barnstable health indicator: mental health, other: alcohol and substance abuse, other: nutrition, other: safety, other: safety - sports, physical activity sex: all age group: adult-young, child-preteen, child-primary school, child-teen ethnic group: all language: all goals goal description: serve approximately 170 youth per day and approximately 840 youth per year. Goal status: during the grant cycle, approximately 838 youth were served with an average of 136 youth in attendance daily. Goal description: over 100 youth will participate in the smart moves drug and alcohol resistance program. Goal status: fifty-nine youth took part in formal smart moves program activities with”

“Cape cod child development program type: community participation/capacity building initiative, grant/donation/foundation/scholarship, health screening, outreach to underserved, prevention, school/health center partnership statewide priority : address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity, supporting healthcare reform brief description or objective: cape cod healthcare community benefits provided a grant to cape cod child development to support a 5-month pilot program to integrate and adopt an early childhood mental health consultation model into the agency's preschool and head start programs. Target population regions served: county-barnstable health indicator: access to health care, mental health, other: child care, other: cultural competency, other: education/learning issues, other: parenting skills, other: safety - home, other: stress management sex: all age group: all children, child-primary school ethnic group: all language: all goals goal description: identify specific children experiencing significant behavioral health issues and provide individual treatment plans that include teachers and family members. Goal status: the mental health consultant worked with 33 children. Twelve of the children met school readiness goals through the help of teachers, therapists and family members who collectively worked to address aggression, anxiety, and engagement of the child. Goal description: provide classroom consultation and strengthen skill sets of teachers to address behavioral health issues of young students. Goal status: all head start classroom students (ages 3-5) were observed and all teachers were provided consultation and training in implementing frameworks, skills and concepts to support positive learning and trauma-informed care environments. Partners partner name, description and partner web address cape cod child development www.cccdp.org contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601. Phone: 508-862-7896, [email protected] detailed description: not specified support of chna 27 and community-based agencies: determination of need program type: community education,community participation/capacity building initiative,direct services,grant/donation/foundation/scholarship, health coverage subsidies or enrollment,health professional/staff training,health screening,outreach to underserved,prevention,school/health center partnership,support group statewide priority:address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity, supporting healthcare reform brief description or objective: total funding of $401,000 has been designated to address issues that eliminate health disparities, promote wellness, and prevent/manage chronic disease for individuals who are elderly and or persons with disabilities. This population was identified through a community health needs assessment by cape cod healthcare and endorsed by the community health network area27 (cape cod and the islands). This program was specified as a part of the determination of need requirement for the clark cancer center development and licensure. Target population regions served: county-barnstable health indicator: access to health care, other: elder care, other: uninsured/underinsured sex: all age group: all ethnic group: all language: all goal description: issue an rfp supporting collaborative, measurable and evidence-based regional programs for seniors and/or disabled individuals that provide an impact on the most urgent needs of the identified target population. Goal status: grant awards were made in 2014 to four organizations which met rfp criteria. The grant awards ranged from $15,000 to $25,000 and totaled $70,000. The cape cod foundation managed”

“Form 990 part i and part ix fundraising is conducted on behalf of cape cod healthcare, inc. By cape cod healthcare foundation, inc. Certain officers are compensated by cape cod healthcare, inc. Funds raised are reported at cape cod healthcare, inc. And affiliates. Form 990, part i, line 6 cape cod healthcare, inc.'s volunteers include its trustees. Form 990, part vi, line 2 trustees sit on the board of the following: emerald physician member trust: thomas wroe, jr robert birmingham philip mcloughlin joel crowell cape health insurance company: michael k lauf michael l connors michael g jones douglas g mann, md patrick j flynn, md philip mcloughlin sumner b tilton, jr the members of cape cod healthcare, inc.'s board also sit on the board of cape cod medical office building, a for-profit related organization. Form 990, part vi, line 7(a) the organization has members/incorporators who elect the organization's trustees. Form 990, part vi, line 7(b) the decisions of the governing body that need approval by its members/incorporators include approval of changes made to the corporation's bylaws and approval when there is a divesting of one of the major affiliates of the organization. Form 990, part vi, line 11 the organization's form 990 is reviewed at several levels. The organization engages a public accounting firm to assist in the preparation and review of its form 990 and who signs as paid preparer. Senior management of the organization is responsible for the timely preparation of form 990. The completed form 990 is provided to the finance committee and the entire board in advance of the filing deadline. Form 990, part vi, line 12 the organization maintains a conflict of interest policy and regularly and consistently monitors and enforces compliance with this policy. On an annual basis, each trustee, officer and employee at the senior management level completes a conflict of interest disclosure form. The forms are reviewed by cape cod healthcare, inc.'s ("cchc") director of clinical and research compliance who prepares a summary for cchc's compliance officer. Any material interests so disclosed are presented to the corporation's governance committee for review and resolution. All disclosure statements submitted by employees will be reviewed by human resources and/or cchc's director of clinical and research compliance. For any disclosure that is considered substantive the employee's area manager will be consulted to determine if the situation is generally acceptable, requires further examination and possible action or is generally not acceptable. Any action plan created to manage a conflict of interest will be monitored by the employee's area manager or supervisor.”