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 Title for Kevin Mulroy: Chief Medical Info Officer (from 8/14) and Chief Quality & Safety Officer until 2/15, COO from 2/15. FORM 990, PART VII, SECTION B WITH THE EXCEPTION OF REPORTING FOR VISITING NURSE ASSOCIATION OF CAPE COD, INC, CAPE COD HEALTHCARE, INC. PAYS INDEPENDENT CONTRACTORS ON BEHALF OF ITS AFFILIATES WHO FILE AS PART OF A GROUP FORM 990 AS CAPE COD HEALTHCARE, INC. AND AFFILIATES. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES TRANSFER TO/FROM AFFILIATES $3,210,329 NET ASSETS RELEASED FROM RESTRICTION (762,757) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT (1,432,558) CHANGE IN VALUE BENEFICIAL INTEREST (1,474,906) OTHER CHANGES IN NET ASSETS (55,702) ------------ TOTAL ($515,594)”

“We will be the health service provider of choice for cape cod residents by achieving and maintaining the highest standards in health care delivery and service quality. To do so, we will partner with other health and human service providers as well as invest in needed medical technologies, human resources and clinical services. Above all, we will help identify and respond to the needs of our community. Community benefits mission statement cape cod healthcare, inc., through its community benefits initiative, is committed to enhancing the quality of and access to comprehensive health care services for all the residents of cape cod. Through continuous assessment of community needs, coordinated planning and the allocation of resources, this commitment includes a special focus on the unmet needs of the financially disadvantaged and underserved populations. We will take a leadership role in collaborative efforts joining our resources, talent, and commitment with that of other providers, organizations and community members. The community benefits mission statement was affirmed by the cchc community health committee and the board of trustees in 2000 and remains in effect. Target populations 1. Name of target population: individuals managing or at risk of chronic and/or infectious diseases such as cancer, cardiovascular disease, diabetes, hiv/aids, hepatitis c or dental disease. Basis for selection: aligned with statewide health priorities and national statistics, residents managing chronic illness are at the greatest risk of declined health and death. Cancer, cardiovascular-related disease, diabetes, infectious diseases and oral health issues are highly represented among residents of barnstable county. This target population was identified and selected in the 2014- 2016 cape cod hospital and falmouth hospital community health needs assessment report. This population is currently served through a network of health care and social services providers in our region but unmet needs still exist. 2. Name of target population: residents facing barriers to access to care due to language, cost, or age, including those who are uninsured or under-insured. Basis for selection: nearly 93% of residents in barnstable county have health insurance coverage but significant issues related to access to care still exist. This specific target population was identified in the 2014- 2016 cape cod hospital and falmouth hospital community health needs assessment report. The report identified the availability of primary care and specialty care providers, out-of-pocket expenses, a lack of knowledge of available services and linguistic challenges as specific barriers for this target population. 3. Name of target population: community members managing mental health conditions. Basis for selection: access to adequate mental health care is an area of concern in barnstable county, as evidenced by an increase in suicide rates, and the high number of patients presenting with mental health conditions in hospital emergency centers. Residents managing mental health disorders are served through a network of health care and social service providers in our region but unmet needs including a shortage of available psychiatric providers and challenges navigating available services still exist. This specific target population was identified in the 2014- 2016 cape cod hospital and falmouth hospital community health needs assessment report. 4. Name of target population: community members with substance use disorders. Basis for selection: the issue of substance use disorder is a critical health challenge for the health system and community in barnstable county. The overall rates of substance use treatment admissions are higher in barnstable county than ma, specifically for alcohol as a primary substance. In addition, treatment admissions for opiates as a primary substance of use grew from 11% in 2007 to 28% in 2011. Although residents with substance abuse issues are served through a”

“WEBSITE, OTHER- ATTORNEY GENERAL WEBSITE HOSPITAL/HMO WEB PAGE PUBLICIZING TARGET POP. HTTP://WWW.CAPECODHEALTH.ORG/COMMUNITY KEY ACCOMPLISHMENTS OF REPORTING YEAR CAPE COD HEALTHCARE UTILIZED THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN TO PRIORITIZE AND GUIDE ALL HEALTH IMPROVEMENT ACTIVITIES. EXISTING HOSPITAL PROGRAMS AND CLINICAL SERVICE LINES HAVE BEEN STRENGTHENED, COLLABORATIONS WITH COMMUNITY BASED HEALTH AND HUMAN SERVICE ORGANIZATIONS EXPANDED AND NEW INITIATIVES LAUNCHED TO ADDRESS THE REGIONAL HEALTH PRIORITIES OF CHRONIC AND INFECTIOUS DISEASE, ACCESS TO CARE, MENTAL HEALTH AND SUBSTANCE USE DISORDERS. IN FY2015, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL RECEIVED RECOGNITION FOR CLINICAL EXCELLENCE AND ACHIEVEMENT RELATED TO ACCESS TO CARE AND CHRONIC DISEASE: o CAPE COD HOSPITAL WAS NAMED ONE OF THE 100 GREAT COMMUNITY HOSPITALS IN THE US BY BECKER'S HOSPITAL REVIEW o CAPE COD HOSPITAL AND FALMOUTH HOSPITAL WERE NAMED 2015 IVANTAGE HEALTHSTRONG TOP HOSPITALS o CAPE COD HOSPITAL RECEIVED THE 2015 DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE o CAPE COD HOSPITAL RECEIVED THE 2015 DISTINGUISHED HOSPITAL WOMEN'S HEALTH EXCELLENCE AWARD o CAPE COD HOSPITAL WAS NAMED AMONG AMERICA'S 100 BEST HOSPITALS FOR CARDIAC CARE AND AMERICA'S 100 BEST HOSPITALS FOR CORONARY INTERVENTION o CAPE COD HOSPITAL WAS RECOGNIZED AS ONE OF AMERICA'S BEST 100 HOSPITALS FOR ORTHOPEDIC SURGERY AND AMERICA'S BEST 100 HOSPITALS FOR PROSTATE SURGERY o FALMOUTH HOSPITAL EARNED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES- STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD CLINICAL CARE ACHIEVEMENTS WERE MATCHED BY INNOVATIVE COMMUNITY-BASED PROGRAMS FOCUSED ON PREVENTION AND MANAGEMENT OF CHRONIC AND INFECTIOUS DISEASES. IN PARTNERSHIP WITH THE US NATIONAL PARK SERVICE AND THE CAPE COD NATIONAL SEASHORE, CAPE COD HEALTHCARE LAUNCHED HEALTHY PARKS, HEALTHY PEOPLE, A WALKING PROGRAM TO PROMOTE HEALTH AND WELLNESS FOR YEAR-ROUND AND SEASONAL RESIDENTS, AS WELL AS VISITORS TO THE CAPE. TWO LOCAL COMMUNITY HEALTH CENTERS, THE COMMUNITY HEALTH CENTER OF CAPE COD AND OUTER CAPE HEALTH SERVICES, RECEIVED COMMUNITY BENEFITS FUNDING TO EXPAND THEIR COMPLEX CARE MANAGEMENT PROGRAMS FOCUSED ON IMPROVING CARE FOR HIGH-RISK RESIDENTS WITH CHRONIC DISEASES. THE AIDS SUPPORT GROUP OF CAPE COD WAS ABLE TO CONTINUE A MOBILE HEPATITIS C AND HIV/AIDS TESTING PROGRAM IN THE COMMUNITY WITH COMMUNITY BENEFITS SUPPORT. THE CAPE COD HUNGER NETWORK UTILIZED A COMMUNITY BENEFITS GRANT TO LAUNCH A NEW PROGRAM FOR PANTRY CLIENTS TO HELP MONITOR THEIR DIABETES AND HEART DISEASE AND ENCOURAGE NUTRITIONAL IMPROVEMENT THROUGH EDUCATION AND DISTRIBUTION OF FRESH FOOD AND VEGETABLES. THE PROGRAM WILL BE EXPANDED FROM ONE FOOD PANTRY SITE IN 2015 TO FOUR PANTRY SITES AND A MOBILE FOOD PROGRAM IN 2016. CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDED IN-HOME VISITS BY PHARMACISTS AND CARE MANAGERS IN AN EFFORT TO SUPPORT RESIDENTS MANAGING CHRONIC DISEASE AND EDUCATE THEIR CAREGIVERS. CAREGIVERS OF INDIVIDUALS WITH ALZHEIMER'S DISEASE WERE PROVIDED FREE COUNSELING AND ACCESS TO 10 NEW COMMUNITY-BASED SUPPORT GROUPS ACROSS CAPE COD, DEVELOPED THROUGH A COMMUNITY BENEFITS GRANT.”

“Facilitated activities in the community ranging from cancer and bereavement support groups to breastfeeding and fatherhood classes. Community outreach and education activities such as health fairs, educational workshops by physicians and the launch of onecape health news, a new health information news hub, provided critical information from health experts about disease prevention, detection and management to local residents. Individuals and families seeking help navigating state and federal insurance plan options and enrollment/re-enrollment were provided financial assistance and counseling in both hospitals and in community settings. A community benefits grant ensured that uninsured and under-insured residents were provided free or low-cost access to a network of specialists in the region for a variety of services including cardiology, general surgery, optometry, urology and orthopedics. Free interpreter services were provided to residents needing language assistance in community-based physician offices and the hospitals provided online and telephone-based assistance to residents searching for available primary care and specialty providers. Cape cod healthcare's centers for behavioral health expanded services to the lower cape region, increased provider recruitment efforts and piloted a new model of care in emergency room settings to serve residents with mental illness. Growth of the behavioral health provider coalition of cape cod & the islands was supported through community benefits funding and leadership resulting in stronger collaboration between behavioral health providers and law enforcement agencies. Several community benefits grants were made to expand mental health services in the community, including a mental consultation program in head start classrooms, psychiatric and counseling services within a community health center, and specialized counseling for veterans with post-traumatic stress disorder and traumatic brain injuries. Cape cod healthcare led a group of local philanthropic organizations in the establishment of the cape cod substance abuse education and prevention initiative. This initiative increases primary prevention programs for youth, and community benefits staff provided leadership to substance abuse efforts taking place across the region. Grants were provided to expand life skills trainings in schools, after-school programs for high-risk youth and town-based coalition efforts. Over 120 clinical professionals participated in safe opioid prescribing trainings through a partnership with boston university school of medicine and cape cod healthcare was selected by the ma department of public health to develop an integrated model of behavioral health and specialty care through the moms do care grant project. In addition to hospital-based programs and grant funded community-based projects, community benefits and hospital staff continued to play leadership roles in health and human service organizations and coalitions across barnstable county including cape cod community health area network (chna 27) steering committee, barnstable county human services advisory council, barnstable county regional substance abuse council, behavioral health provider coalition of cape cod & the islands and the substance abuse in pregnancy task force.”

“Annual community benefits planning for cape cod hospital, falmouth hospital and cape cod healthcare align directly with the priorities, goals and objectives of the three-year implementation plan included in the 2014 - 2016 cape cod hospital and falmouth hospital community health needs assessment report. The eleven-member community health committee, a subcommittee of the board of trustees of cape cod healthcare, provides oversight and input to annual planning and implementation of key initiatives. Community benefits staff ensures that annual plans, priorities, goals and activities comply with massachusetts attorney general (ag) guidelines, medicare guidelines and irs requirements. Community benefits goals for fy2016: 1. Chronic and infectious disease: invest in initiatives, clinical programming, and community education and outreach aimed at the management and prevention of chronic and infectious disease. 2. Access to care: improve access to primary and specialty care for cape cod's underserved and vulnerable populations through partnerships and support of community health centers, interpreter services, and health care enrollment efforts. 3. Mental health: promote education, coordination, and navigation of services targeted at individuals and families facing mental health issues. 4. Substance abuse: engage in collaborative efforts to support community-based substance abuse prevention and education efforts. 5. Youth and senior health: support innovative and preventative health initiatives for the community with a specific focus on youth ages 15-24 years old and seniors over the age of 65. 6. Support regional health efforts through direct grant funding and a competitive rfp grants program open to all community organizations with programs aligned with community benefits priorities. 7. Maintain and develop community leadership opportunities to improve the health status of the residents of barnstable county including participation with the community health area network (chna 27) steering committee, behavioral health provider coalition of cape cod & the islands, the barnstable county human services advisory council, and the barnstable county regional substance abuse council. 8. Engage barnstable county residents, public health experts, and community leaders representing medically underserved and vulnerable populations in the collection of health indicator data and community input for the 2017- 2020 cape cod hospital and falmouth hospital community health needs assessment project. Community benefits leadership/team cape cod healthcare, cape cod hospital and falmouth hospital, along with our affiliates, collaborate to be the health service provider of choice for barnstable county residents by achieving and maintaining the highest standards in healthcare delivery and service quality. To do so, we partner with other health and human service providers as well as invest in needed medical technologies, human resources and clinical services. Above all, we will help identify and respond to the needs of our community. We are the community health system and safety net health care provider for resident of barnstable county. The development of cape cod healthcare's strategic initiatives and community collaborations, including the community benefits program, is led by michael k. Lauf, chief executive officer and theresa m. Ahern, senior vice president, strategy and governmental affairs. Management of the program is the responsibility of lisa guyon, director of community benefits. The community health committee provides strategic oversight to the community benefits program as a designated subcommittee of the board of trustees. The committee is comprised of members and leaders of public health organizations, community-based organizations, community advocacy groups and county government, as well as two current members of the cchc board of trustees. The committee develops and recommends policies to the cape cod healthcare board of trustees regarding co”

“Cchc board member glynn law offices 49 locust street, falmouth, ma 02540 508.548.8282 [email protected] representing: cchc board of trustees ron holmes co-chair behavioral health provider coalition of cape cod & the islands and the cape & islands suicide prevention coalition 39 wading place path chatham, ma 02663 508.726.3931 [email protected] representing: regional behavioral health providers and initiatives hadley luddy executive director big brother big sisters 1934 falmouth road, centerville, ma 02601 508-775-5150 [email protected] representing: youth and young adults chris hottle director provincetown council on aging 26 alden street, provincetown, ma 02657 508-487-7080 [email protected] representing: senior populations & outer cape cape cod healthcare member: theresa m. Ahern senior vice president, strategy and governmental affairs cape cod healthcare 88 lewis bay road hyannis, ma 02601 508-862-5077 [email protected] community benefits team meetings the fy2015 community health committee meetings were held on the following dates: november 13, 2014 9:00 - 11:00 am march 19, 2015 4:00-5:30 pm june 18, 2015 4:00-5:30 pm august 20, 2015 4:00-5:00 pm community partners aids support group of cape cod alzheimer's family caregiver support center american cancer society barnstable county cape cod cooperative extension services barnstable county human services barnstable county regional substance abuse council barnstable school system behavioral health provider coalition of cape cod & the islands big brothers big sisters of cape cod & the islands boys & girls club of cape cod calmer choice cape & islands ems systems, inc cape & islands united way cape & islands veterans outreach center cape & islands youth council leadership academy cape cod chamber of commerce cape cod child development cape cod foundation cape cod hunger network children's cove coalition for children community action committee of cape cod & islands community development partnership community health center of cape cod community health network area 27 cape cod & islands (chna 27) duffy health center elder services of cape cod & the islands falmouth bike lab family pantry of cape cod harbor community health center - hyannis helping our women hope dementia & alzheimer's services gosnold on cape cod massachusetts department of public health massachusetts organization for addiction recovery mothers and infants recovery network national alliance on mental illness cape cod outer cape health services parkinson support network of cape cod shea's youth basketball association sight loss services specialty network for the uninsured united states national park service and cape cod national seashore we can”

“Date last assessment completed and current status the 2014 - 2016 cape cod hospital and falmouth hospital community health needs assessment report (chna report) and implementation plan was released and made widely available to the public on september 27, 2013. Our objectives for community health needs assessment projects are to gather statistically valid information and accurate comparisons to state and national benchmarks of health and quality of life measures for residents of barnstable county and to integrate research findings into community benefit and hospital planning activities that address significant community needs and vulnerable populations. For the 2014 - 2016 chna report, over 80 public health experts and community organizations representing low-income, medically underserved and vulnerable populations provided input on regional health issues through focus groups, key information interviews and community input forums. Additional data was collected through a household telephone survey of residents of barnstable county using a survey instrument adapted from the centers for disease control and prevention's behavioral risk factor surveillance system. The primary data collected through community input and the household telephone survey was heavily augmented with secondary data from national, state, and regional sources which included demographic characteristics, disease incidence and prevalence rates, health status indicators, behavioral risk factors associated with health status, access to care, morbidity/mortality rates and hospital utilization. Through this collection of data and community input the significant health needs of barnstable county residents were distinguished and prioritized based on the frequency, urgency, scope, severity and magnitude of the identified issues. The significant health needs and associated target and vulnerable populations indentified through the chna report have served as the foundation for community benefits and hospital planning and program implementation spanning fiscal years 2014 - 2016. In september 2015, cape cod hospital and falmouth hospital launched the ommunity health needs assessment project which will serve as the community benefits and hospital planning foundation for fy2017 - fy2020. Key phases of the project including secondary data collection, community input forums for residents and service providers of vulnerable populations and key informational interviews of public health experts have been completed as of march 2015. The 2017 - 2020 cape cod hospital and falmouth hospital community health needs assessment report and implementation plan will be released by september 30, 2016. Consultants/other organizations the following organizations participated in the 2014 - 2016 cape cod hospital and falmouth hospital community health needs assessment project: aids support group of cape cod american cancer society barnstable county human rights commission barnstable county human services barnstable county public health nurse barnstable school system big brothers big sisters of cape cod and the islands bourne council on aging boys & girls club of cape cod cape & islands emergency medical services system cape & islands united way cape and islands suicide prevention coalition cape cod center for women cape cod community college cape cod council of churches cape disability network cape cod district attorney's office cape cod foundation cape cod healthcare diabetes center cape cod healthcare infectious disease services cape cod healthcare regional cancer network cape cod healthy families cape cod immigrant center cape cod justice for youth collaborative cape cod justice for youth board cape cod medical reserve corps cape cod neighborhood support coalition cape cod wic cape& islands gay straight youth alliance cch patient and family advisory committee champ homes child and family services children's study home coast (coa's serving together) community health center of cape cod county net”

“Community focus groups, hospital, consumer group, interviews, masschip, public health personnel, surveys, chna community benefits programs interpreter services for community-based physician offices program type: outreach to underserved statewide priority: address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity brief description or objective: community benefits provides annual support to improve access to primary and specialty care for individuals who face barriers to care due to language through the community based interpreter services program. The program dispatches free medical language interpreters to community-based physician practices to assist limited and non-english speaking patients and their families. The availability of proficient and professional interpreter services ensures the delivery of safe, quality health care and positive clinical outcomes. Target population: regions served: county-barnstable health indicator: access to health care, other: language/literacy sex: all age group: all ethnic group: all language: all goal description: increase access to care by providing medical language interpretations in community-based primary care and specialty settings. Goal status: collaboration with community health centers and physician offices resulted in 925 language interpretations in fy15. Approximately, 84 % of requested interpretations were for residents speaking portuguese and 16% for residents speaking spanish. Partners partner name, description partner web address community-based medical offices on cape cod: various harbor community health center-hyannis: http://www.hhsi.us/cape-cod/harbor-community-health-center-hyannis/ community health center of cape cod: www.chcofcapecod.org contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601, phone: 508-862-7896, [email protected] detailed description: not specified speciality network for the uninsured: harbor community health center hyannis program type: outreach to underserved statewide priority: address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations. Brief description or objective: cape cod healthcare community benefits provides annual grant support to harbor community health center - hyannis to coordinate the specialty network for the uninsured (snu). The snu program increases access to specialty care for uninsured and under-insured residents of barnstable county through managing a network of medical specialists who will provide free or significantly reduced sliding-scale fees for office visits, procedures and continued care of uninsured and under-insured individuals. Target population regions served: county-barnstable health indicator: access to health care, other: arthritis, other: asthma/allergies, other: cancer, other: cardiac disease, other: chronic pain, other: diabetes, other: family planning, other: hearing, other: hepatitis, other: hypertension, other: lyme disease, other: osteoporosis/menopause, other: parkinson's disease, other: pregnancy, other: pulmonary disease/tuberculosis, other: stroke, other: uninsured/underinsured, other: vision sex: all age group: all ethnic group: all language: all goal description: increase access to specialty care for low-income, uninsured and under-insured individuals. Goal status: the snu program provided 408 patient appointments with specialists in fy15. Program efforts are ongoing in fy16 goal description: provide access to specialists for uninsured or under-insured residents who face language barriers to care. Goal status: twenty-seven percent (27%) of snu patients requested a medical interpreter. Ninety-four percent (94%) of those patients required interpretation for portuguese and 6% required interpretation for spanish. Goal description: maintai”

“Cape cod hospital and falmouth hospital program type: direct services statewide priority: address unmet health needs of the uninsured, chronic disease management in disadvantage populations, reducing health disparity brief description or objective: the prescription assistance program is an initiative of cape cod hospital and falmouth hospital emergency, behavioral health and pharmacy departments as a community benefit to assist uninsured, under-insured and financially disadvantaged patients who have no other viable means to pay for medications upon discharge from hospital facilities. Target population regions saved: county- barnstable health indicator: access to health care, other: uninsured/underinsured sex: all age group: all ethnic group: all language: all goal description: assist residents who are unable to afford medications to ensure compliance with hospital discharge planning. Goal status: cape cod and falmouth hospitals emergency and behavioral health departments provided pharmacy vouchers and prescription assistance totally $23,800 for uninsured, under-insured or financially challenged patients who were unable to afford prescriptions partners partner name, description partner web address local pharmacies: n/a contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601 phone: 508-862-7896, [email protected] detailed description: not specified transportation assistance program for vulnerable populations: cape cod hospital and falmouth hospital program type: direct services statewide priority: reducing health disparity brief description or objective: in an effort to assist low-income and vulnerable populations, cape cod hospital and falmouth hospital provide transportation upon discharge from emergency and behavioral health departments, to those patients without resources for transportation. Target population regions saved: county- barnstable health indicator: access to health care, other: uninsured/underinsured sex: all age group: all ethnic group: all language: all goal description: assist residents who are unable to afford or access transportation to ensure compliance with their discharge plan goal status: cape cod hospital and falmouth hospital emergency and behavioral health departments provided taxi vouchers totaling more than $37,000 for uninsured, under-insured or financially disadvantaged patients upon discharge”

“Partner name, description partner web address local taxi companies: n/a contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma, 02601 phone: 508-862-7896, [email protected] detailed description: not specified duffy health center: supporting behavioral health services for homeless and at risk adults program type: school/health center partnership statewide priority: address unmet health needs of the uninsured, promoting wellness of vulnerable populations, supporting healthcare reform brief description or objective: the duffy health center provides primary care and behavioral health care to homeless adults and those at-risk for homelessness in barnstable county. In fy15, community benefits funding from cape cod healthcare supported the duffy health centers behavioral health services including therapy, psychiatry and case management support for health center patients. Target population regions served: county- barnstable health indicator: access to health care, mental health, other: alcohol and substance abuse, other: homelessness, other: uninsured/underinsured, substance abuse sex: all age group: adult, adult-elder, adult-young ethnic group: all language: all goal description: to provide behavioral health services to 1,200 patients. Goal status: behavioral health services were provided to 1,069 duffy health center patients through 7,586 visits. Goal description: duffy health center will provide psychiatric services, primarily medication prescribing and monitoring, to approximately 300 patients. Goal status psychiatric services, including medication prescribing and monitoring, were provided to 247 patients. Goal description: 100% of all new duffy health center patients will be screened for behavioral health needs. Goal status: approximately 71.2% of new patients were screened and 50% of established patients were screened during visits in fy15. Partners partner name, description partner web address veterans affairs: various the duffy health center : www.duffyhealthcenter.org housing assistance corporation: www.haconcapecod.org cape cod community college: www.capecod.edu contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601, phone: 508-862-7896, [email protected] detailed description: not specified”

“Falmouth hospital program type: support group statewide priority: chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity brief description or objective: at cape cod and falmouth hospital, support groups for bereavement and cancer survivorship, classes and counseling focused on breastfeeding and fatherhood and holistic services to complement traditional medical care are conducted on a regular basis and open to all members of the community. Classes and groups are available to individuals, families and caregivers include in-person meetings and contacts to offer support and reassurance through their specific disease/health care situation. Target population regions served: county- barnstable health indicator: other: arthritis, other: bereavement, other: cancer, other: child care, other: chronic pain, other: diabetes, other: hospice, other: hypertension, other: nutrition, other: parenting skills, other: pregnancy, other: stress management sex: all age group: adult, adult-elder, adult-young ethnic group: all language: all goal description: provide support groups and educational activities for patients, families and caregivers on a continuum of issues including cancer survivorship, prenatal/new mothers and fathers groups, bereavement and chronic disease self management. Goal status: in fy15, over 3,200 hours of support groups and classes were offered and facilitated for individuals and families. Information and resources were included to assist them with their specific disease or health related circumstance. Partners partner name, description partner web address visiting nurses association http://www.vnacapecod.org american cancer society: www.cancer.org ymca cape cod: http://ymcacapecod.org/ visiting nurses association: http://www.vnacapecod.org american cancer society: www.cancer.org ymca cape cod: http://ymcacapecod.org/ visiting nurses association: http://www.vnacapecod.org american cancer society: www.cancer.org ymca cape cod: http://ymcacapecod.org/ contact information: lisa guyon, director of community benefits, 88 lewis bay road, hyannis, ma 02601, phone: 508-862-7896, [email protected] detailed description: not specified workforce and career development initiatives: cape cod healthcare program type: mentorship/career training/internship statewide priority: reducing health disparity, supporting healthcare reform”

“Importance of workforce development and supports the opportunity for students from high school through graduate school to have a positive and professional experience through internships, job shadowing and training with health care providers in several hospital departments. By training and mentoring students for future employment, we hope to successfully engage individuals so they select health care as a viable and admirable vocation, thus decreasing the potential risk for predicted future shortages in the workplace. Target population regions served: county- barnstable health indicator: access to health care sex: all age group: adult, adult-young ethnic group: all language: all goal description: increase the supply of qualified health professionals through offering workforce and career development partnerships. Goal status: in fy15, over 14,600 hours of workforce and career development efforts took place including student training, mentoring, and job shadowing. Partners partner name, description partner web address cape cod community college: www.capecod.edu/ upper cape regional technical school: www.uppercapetech.com/ cape cod regional technical high school: http://www.capetech.us/ ma college of pharmacy and health sciences: www.mcphs.edu umass dartmouth: www.umassd.edu barnstable high school: www.barnstable.k12.ma.us endicott college: www.endicott.edu quincy college: www.quincycollege.edu bristol community college: www.bristol.mass.edu contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601, phone: 508-862-7896, [email protected] detailed description: not specified”

“Center of cape cod program type: grant/donation/foundation/scholarship statewide priority: address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity, supporting healthcare reform brief description or objective: cape cod healthcare provided community benefits funding to the community health center of cape cod (chccc) to support expansion of screening and care coordination for high risk patients with chronic disease or behavioral health needs and provide referrals to community-based wellness programs. Target population regions served: county- barnstable health indicator: access to health care, mental health, other: alcohol and substance abuse, other: asthma/allergies, other: cancer, other: cardiac disease, other: chronic pain other: cultural competency, other: dental health, other: diabetes, other: homelessness, other: hypertension, other: nutrition, other: safety, other: smoking/tobacco, other: stress management, other: stroke, other: uninsured/underinsured, other: vision, substance abuse sex: all age group: all ethnic group: all language: all goal description: connect 1,000 patients to the complex care management program goal status: approximately, 700 patients were connected to the complex care management team in fy15. The complex care management reached out to those patients over 2,500 times utilizing telephonic and web-based tools. Goal description: enroll 100 patients in chronic disease self management activities. Goal status: over 85 patients were enrolled in chronic disease self management programs focused on diabetes, hypertension, and risk of falls. Partners partner name, description partner web address community health center of cape cod: http://www.chcofcapecod.org/ ymca cape cod: www.ymcacapecod.org healthy living cape cod: www.healthylivingcapecod.org barnstable county human services: www.bchumanservices.net contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601, phone: 508-862-7896, [email protected] detailed description: not specified integrating behavioral health services with complex care management at outer cape health services program type: grant/donation/foundation/scholarship statewide priority: address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity, supporting healthcare reform brief description or objective: cape cod healthcare community benefits provided grant support to outer cape health services for the expansion of complex care management services and integration of behavioral health counseling for high-risk patients on the lower and outer cape. The program features in-home visits for patients who are geographically and socially isolated, immobile or would otherwise rely upon emergency medical service providers even for non-urgent care. Target population regions served: county- barnstable health indicator: access to health care, mental health, other: alcohol and substance abuse, other: alzheimer disease, other: cancer, other: cardiac disease, other: dental health, other: diabetes, other: elder care, other: hepatitis, other: hiv/aids, other: homebound, other: hospice, other: hypertension, other: parkinson's disease, other: pulmonary disease/tuberculosis, other: safety, other: stress management, other: uninsured/underinsured, substance abuse sex: all age group: all ethnic group: all language: all goal description: define and identify a high-risk population of patients to benefit from intensive case management including home visits. Goal status: in fy15, 185 patients were identified and enrolled in complex case management services including home visits. The majority of enrolled patients are managing chronic diseases such as diabetes, heart disease and copd. Goal description: develop a multi-disciplinar”

“Partner name, description partner web address outer cape health services www.outercape.org contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601, phone: 508-862-7896, [email protected] detailed description: not specified hiv and hepatitis c rapid testing and education program: aids support group of cape cod program type: grant/donation/foundation/scholarship statewide priority: address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity brief description or objective: cape cod healthcare provided grant funding to the aids support group of cape cod to support a mobile rapid hiv and hepatitis c counseling and testing program to reach high-risk, hard to reach populations of barnstable county. Target population regions served: county- barnstable health indicator: other: alcohol and substance abuse, other: hepatitis, other: hiv/aids, other: homelessness, other: sexually transmitted diseases, other: uninsured/underinsured, responsible sexual behavior, substance abuse sex: all age group: adult, adult-young, all adults ethnic group: all language: all goal description: conduct rapid hiv and hepatitis c testing and outreach targeting hard to reach populations at outpost location across region. Each testing client will receive a risk assessment and counseling; harm reduction and risk reduction planning and appropriate health care referrals. Goal status: from april 2015 - december 2015, 388 individuals were screened. Of the 382 clients screened for hiv, 4 (1%) tested positive and of the 302 individuals screened for hepatitis c, 66 (22%) tested positive. Goal description: hiv, hepatitis c and overdose prevention education sessions will be conducted at barnstable county correction facilities. Goal status: thirty education sessions were conducted with 338 inmate attendees from october 2014 - september 2016. Partners partner name, description partner web address barnstable county correctional facility: www.bsheriff.net habit opco: www.crchealth.com south bay mental health: www.southbaymentalhealth.com gosnold on cape cod: www.gosnold.org contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601, phone:508-862-7896, [email protected] detailed description: not specified”

“Dementia community of cape cod: alzheimer's family caregiver support center program type: grant/donation/foundation/scholarship statewide priority: chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity brief description or objective: in an effort to support caregivers in our region, a cape cod healthcare community benefits grant was made to alzheimer's family caregiver support center to provide free family and individual counseling and education for families and individuals suffering alzheimer's disease and age related dementia. Target population regions served: county- barnstable health indicator: mental health, other: alzheimer disease, other: elder care, other: homebound sex: all age group: adult, adult-elder ethnic group: all language: all goal description: assist 200 caregivers with intake and information and provide free counseling to 55 individuals monthly. Goal status: alzheimer's family caregiver support center served 250 people per month through phone consultation and support groups and 70 families received supportive counseling per month. Goal description: expand support groups and services to lower and outer cape communities. Goal status: caregiver support groups were started in provincetown/truro (2 groups), wellfleet (2 groups), eastham (2 groups), orleans (1 group), brewster (2 groups), chatham (4 groups), and harwich (4 groups). Partners partner name, description partner web address alzheimer's family caregiver support center: www.alzheimerscapecod.com/ contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02668, phone:508-862-7896, [email protected] detailed description: not specified foods to encourage - nutrition's role in diabetes and hypertension treatment and prevention pilot program: cape cod hunger network program type: grant/donation/foundation/scholarship statewide priority: address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity brief description or objective: foods to encourage is a pilot program to monitor and improve diabetes and hypertension disease outcomes in low to moderate income residents who access food from cape food pantries. Target population regions served: county- barnstable health indicator: access to health care, other: cardiac disease, other: diabetes, other: hypertension, other: nutrition, overweight and obesity sex: all age group: all ethnic group: all language: all goal description: approximately, 120-160 people will be enrolled in the weekly blood pressure and blood glucose testing program for 29 weeks. Goal status: a total of 162 participants were registered in the program between january 2015 and september 2015. The most prevalent age demographic was between 45-55 and 65 years or older. Goal description: blood sugar and blood pressure monitoring will show improvements over time with increased intake of fresh fruits and vegetables and nutrition education. Goal status: over 30% of participants showed improved blood sugar levels and 20% showed improvement in blood pressure over time. Fifty percent (50%) of those participated in more than 75% of the screenings showed improved blood pressure.”

“Partner name, description partner web address cc hunger network: www.capecodhungernetwork.org falmouth service center: www.falmouthservicecenter.org barnstable county health department: www.barnstablecountyhealth.org/programs-and.../public-health-nurse cape cod cooperative extension: www.capecodextension.org contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601, phone:508-862-7896, [email protected] detailed description: not specified cape cod regional substance abuse education and prevention initiative program type: community participation/capacity building initiative statewide priority: chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity brief description or objective: cape cod healthcare has led a collaborative effort to increase substance use education and prevention programs and activities for youth across barnstable county. Target population regions served: county-barnstable health indicator: other: alcohol and substance abuse, substance abuse sex: all age group: adult-young, all children, child-preteen, child-primary school, child-teen ethnic group: all language: all goal description: assist in the coordination of a barnstable county regional substance abuse council and provide leadership to planning and implementation efforts. Goal status: key hospital staff engaged in developing the initial structure of the 35 member council led prevention and education workgroups and provided hospital utilization and cost data to establish community benchmarks for the impact of substance abuse. Goal description: work across the community with health professionals, schools, community agencies, and town coalitions to launch a series of education events on substance use disorder. Goal status: the initiative engaged over 120 medical professionals in the scope of pain opiate prescribing training, hosted three forums on recovery with the ma organization for addiction recovery, support five town coalition/youth organized education events. Goal description: assist in piloting or implementing new and emerging strategies and programs in the community to impact youth. Goal status: the initiative provided funding and leadership support to launch the ymca's teen achievers program, expand botvin life skills training to youth, support after school programs and pilot a hospital to home program for substance exposed newborns. Partners partner name, description partner web address ymca cape cod: http://ymcacapecod.org/ barnstable county human services: www.bchumanservices.net gosnold on cape cod: www.gosnold.org the kelley foundation: http://www.kelleyfoundation.org/ the palmer and jane d. Davenport foundation: http://www.davenportfoundation.org/ caron treatment centers: www.caron.org cape cod foundation : www.capecodfoundation.org contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601, phone:508-862-7896, [email protected] detailed description: not specified healthy parks, healthy people: a wellness collaboration between cape cod healthcare and the cape cod national seashore program type: prevention statewide priority: chronic disease management in disadvantage populations, promoting wellness of vulnerable populations brief description or objective: cape cod healthcare collaborated with the cape cod national seashore to promote wellness, exercise and physical activity to improve the health of cape cod residents and visitors. Target population regions served: county-barnstable health indicator: physical activity sex: all age group: adult ethnic group: all language: all goal description: healthy parks, healthy people featured a season-long walking passport program to engage and encourage residents and provide onsite health assessment services to participants. Goal status: over 170 individuals are participating in the program and”

“Grant/donation/foundation/scholarship statewide priority: chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, reducing health disparity brief description or objective: livestrong at the ymca cape cod is a free 12-week program for cancer survivors specially designed to help survivors regain physical strength, overcome fatigue, increase flexibility and build social connections to other survivors. Target population regions served: county-barnstable health indicator: physical activity sex: all age group: adult ethnic group: all language: all goal description: conduct two 12 week livestrong sessions for nine participants per session. Goal status: a total of 18 residents participated in two full completed sessions which offered over 95 hours of livestrong specific classes to participants. Goal description: participant surveys were conducted prior to the start of the program and at the end of the program to gauge increased muscle strength and endurance, increased flexibility, reduction of severity of side effects of medication and improved self-esteem and energy levels. Goal status: 100% of participants in each session reported improvements in strength, flexibility and self-esteem, a reduction in the side effects of medication since enrollment in the program. Partners partner name, description partner web address ymca cape cod: ymcacapecod.org/programs/health-well-being/livestrong/ contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601, phone: 508-862-7896, [email protected] detailed description: not specified”

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