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 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 3,062,755 NET ASSETS RELEASED FROM RESTRICTION (741,182) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT 905,364 CHANGE IN VALUE BENEFICIAL INTEREST 567,014 TRANSFER OF NET ASSETS 22,000 OTHER CHANGES IN NET ASSETS 34,821 ------------ TOTAL 3,850,772”

“We will be the health service provider of choice for cape cod residents by achieving and maintaining the highest standards in health care delivery and service quality. To do so, we will partner with other health and human service providers as well as invest in needed medical technologies, human resources and clinical services. Above all, we will help identify and respond to the needs of our community. Community benefits mission statement cape cod healthcare, inc., (cchc) through its community benefits initiative, is committed to enhancing the quality of and access to comprehensive health care services for all residents of cape cod. Through continuous assessment of community needs, coordinated planning and the allocation of resources, this commitment includes a special focus on the unmet needs of the financially disadvantaged and underserved populations. We will take a leadership role in collaborative efforts joining our resources, talent, and commitment with that of other providers, organizations and community members. The community benefits mission statement was affirmed by the cchc community health committee and the board of trustees in 2000 and remains in effect. Target populations 1. Name of target population: individuals managing or at risk of developing chronic and infectious diseases such as cancer, cardiovascular disease, alzheimers disease, hepatitis c or tick-borne disease. Basis for selection: aligned with state and national health priorities, barnstable county residents managing chronic diseases are at the greatest risk of declined health and death. Cancer, cardiovascular disease, alzheimers disease, hepatitis c and tick-borne diseases 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. 2. Name of target population: residents facing barriers to care due to language, cost, or age, including those who are uninsured or under-insured. Basis for selection: barriers to care exist in barnstable county despite high rates of residents with health insurance coverage. 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, and linguistic challenges as specific barriers for this target population. 3. Name of target population: individuals with mental health disorders and co-occurring disorders. Basis for selection: access to adequate mental health care in barnstable county is an area of concern, as evidenced by high rates of patients presenting with mental health disorders in hospital emergency departments and increasing rates of suicide. Specific challenges identified for residents with mental health disorder include access barriers due to a shortage of psychiatric providers, long wait times for outpatient appointments and limited acute care institutional options for special populations. 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: individuals with substance use disorders.basis for selection: the impact of substance use disorders 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 more than doubled from 2007 to 2011. Challenges cited include the availability of acute detox and treatment options, and navigation of existing services. This specific target population was identified in the 2014-2016 cape cod hospital and falmouth hospital community health needs assessment report. 5. Name of target”

“Cape cod healthcare continued to stand out in the area of quality, innovation and patient appreciation in fy2016. Cape cod hospital and falmouth hospitals garnered several important awards and recognitions, including: * america's 100 great community hospitals: cape cod hospital was named to the list of americas 100 great community hospitals by beckers hospital review for the fifth consecutive year. This recognition is based on quality of care and service to our community, and demonstrates that the hospital is successfully and consistently achieving top results in patient care and satisfaction. * american heart association/american stroke association get with the guidelines: falmouth hospital earned the get with the guidelines-stroke gold-plus quality achievement award for the seventh consecutive year. This achievement recognizes the hospitals commitment and success in implementing specific quality improvement measures outline by the american heart association/american stroke association for the treatment of stroke patients. * distinguished hospital award for clinical excellence: healthgrades recognized both cape cod hospital and falmouth hospital with its 2016 distinguished hospital award for clinical excellence. The honor recognized hospitals performing in the top 5 percent nationwide based on risk-adjusted clinical outcomes for dozens of common procedures and conditions. * blue distinction awards: blue cross blue shield recognizes hospitals for demonstrated expertise in specialty services and quality measures for patients. Cape cod hospital was recognized for the following specialties: total hip replacement, total knee replacement, maternity, and cardiac and spine surgery. Falmouth hospital was recognized for the following specialties: total hip replacement and maternity. * center of nas excellence: cape cod hospital was designated a center of excellence for education and training for infants and families impacted by neonatal abstinence syndrome by the vermont oxford network. The designation is awarded to health centers that successfully train at least 85 percent of their designated care team using a novel online training platform to complete 17 critical, evidence-based learning lessons. * leapfrog hospital safety score: cape cod hospital was one of only 182 hospitals in the entire country to achieve straight as in the annual hospital safety score since the initiative was launched in 2012. Falmouth hospital was recognized with a b hospital safety score. The hospital safety score is the gold standard rating for patient safety and is compiled by the leapfrog group, a non-profit hospital safety watchdog. * readmission rates: cape cod hospital was recognized as among the top three hospitals in the state with the lowest readmission rates in a report by the state center for health information and analysis (chia) in 2016. The report examined rates at specific hospitals and regions in the state. Cch has consistently been within the lowest quartile for readmission rates over the past several years. * standard & poors raises cchc bond rating: standard & poors ratings services reaffirmed its long-term "a" rating for cape cod healthcare. The rating outlook remained "stable." s&p attributed the positive rating to cchc's financial profile as "strong, with consistently healthy financial operating performance in recent years." standard & poor's is a nationally recognized statistical rating organization designated by the securities and exchange commission. In addition to clinical achievements, hospital-based and community-based health improvement activities continued in an effort to address the health needs of barnstable county residents. The 2014-2016 cape cod hospital and falmouth hospital community health needs assessment report and implementation plan guided health improvement and community benefits activities to focus on four key health priorities identified in the report: chronic and infectious disease, access to care, mental health an”

“Use disorders continued through a pledge of $2.5 million in grant support to expand access to medication assisted treatment at federally qualified health centers, increase case management support, and improve treatment navigation efforts in the region. Cape cod hospital was one of two sites awarded a massachusetts department of public health grant to pilot the moms do care program. The program provides integrated prenatal and substance use treatment and peer recovery services for pregnant women with opioid use disorders. Physician and clinical leadership in the maternity and pediatric department at cape cod hospital also led the effort to become a designated center of excellence for education and training for infants and families impacted by neonatal abstinence syndrome by the vermont oxford network. In addition, cchc community benefits also provided grant funding for youth prevention programs, parenting in recovery classes and peer-led recovery support groups for mothers. Cchc strategic partnerships with the four regional federally qualified health centers focused on all health priorities. Grants supported efforts to expand psychiatric services and primary care access, develop complex care management programs for high-risk patients and increase access for office-based opioid treatment programs for individuals with substance use disorders. 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 the cape & islands community health area network (chna 27) steering committee, barnstable county human services advisory council, barnstable county regional substance use council, behavioral health provider coalition of cape cod & the islands, quality of life initiative and the substance use in pregnancy task force. Plans for next reporting year annual community benefits plans for cape cod hospital, falmouth hospital and cape cod healthcare reflect the priorities, goals and objectives of the three-year implementation strategies included in the 20172019 cape cod hospital and falmouth hospital community health needs assessment report and implementation plan. Community benefits fy2017fy2019 goals: 1. Improve chronic and infectious disease prevention and management to meet the growing needs of an aging and at-risk population. 2. Strengthen regional health services and community resources for individuals with mental health conditions, substance use, co-occurring disorders, and comorbidities. 3. Reduce barriers to care and strengthen the regional health safety net for vulnerable populations. 4. Improve the health and disease prevention of all residents of barnstable county and sustain the wellness of seniors and caregivers. 5. Support regional health efforts through direct grant funding and a competitive rfp grants program with funding guidelines that are aligned with community benefits priorities. 6. 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. Community benefits leadership/team cape cod healthcare, cape cod hospital and falmouth hospital, along with our affiliates, strive 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 are the safety net health care provider for residents of barnstable county. The development of cape cod h”

“Eleanor claus (chair) cchc board member kinlin grover real estate 927 route 6a, yarmouthport, ma 02675 508.362.3000 x203 [email protected] representing: cchc board of trustees suzanne fay glynn, esq. Cchc board member glynn law offices 49 locust street, falmouth, ma 02540 508.548.8282 [email protected] representing: cchc board of trustees elizabeth albert director barnstable county human services p.o. Box 427, barnstable, ma 02630 508.375.6626 [email protected] representing: community at large & county departments karen cardeira director falmouth human services 65 town hall square, falmouth, ma 02540 508.548.0533 [email protected] representing: community at large & upper cape region mary devlin public health and wellness division manager visiting nurse association of cape cod 255 independence drive, hyannis, ma 02601 508.957.7619 [email protected] representing: provincetown to plymouth with emphasis on chronic disease and healthy aging of the senior population karen gardner chief executive officer community health center of cape cod 107 commercial st., mashpee, ma 02649 508.477.7090 [email protected] representing: community health center network & upper cape ron holmes 39 wading place path chatham, ma 02663 508.726.3931 [email protected] representing: regional behavioral health providers and initiatives stacie peugh chief executive officer ymca cape cod 2245 iyannough rd, west barnstable, ma 02668 508-362-6500 [email protected] representing: youth development, wellness, disease management and prevention susan travers director truro council on aging 7 standish way, north truro 02652 508-487-2462 [email protected] representing: senior populations & outer cape cape cod healthcare member: theresa m. Ahern senior vice president, strategy, community and governmental affairs cape cod healthcare 88 lewis bay road hyannis, ma 02601 508-862-5077 [email protected] community benefits team meetings the fy2016 community health committee meetings were held on the following dates: november 5, 2015 9:00 11:00 am april 5, 2016 4:00-5:00 pm june 7, 2016 4:00-5:00 pm july 26, 2016 4:00-5:00 pm”

“Alzheimers family caregiver support center barnstable county cape cod cooperative extension services barnstable county human services barnstable county regional substance abuse council barnstable county sheriff 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 cod child development cape cod childrens museum cape cod childrens place cape cod community college cape cod foundation cape cod hunger network childrens cove coalition for children community development partnership community health center of cape cod community health network area 27 cape cod & islands (chna 27) duffy health center falmouth service center family pantry of cape cod gandara mental health glenna kohl fund for hope gosnold on cape cod harbor community health center - hyannis helping our women hope dementia & alzheimers services independence house massachusetts department of public health mothers and infants recovery network national alliance on mental illness cape cod open doorway of cape cod outer cape health services parkinson support network of cape cod sail cape cod samaritans on cape cod and the islands sheas youth basketball association specialty network for the uninsured town of barnstable youth commission town of yarmouth park and recreations department united states national park service and cape cod national seashore upper cape spartans we can ymca cape cod community health needs assessment date last assessment completed and current status the 2017-2019 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 30, 2016. The goals of the community health needs assessment project are to monitor regional health data, engage hospital stakeholders, promote partnerships between the hospitals and community organizations and develop multi-year implementation strategies to guide hospital initiatives to improve the health of barnstable county residents. The methodology for conducting the assessment included the collection and analysis of primary and secondary health data, gathering significant input from the community, and the identification and prioritization of key health needs for the region. Over 20 data sources were utilized to collect barnstable county and town-level health statistics on disease incidence and prevalence, hospital utilization, morbidity and mortality, barriers to accessing care, and behavioral risk factors. Regional statistics were analyzed and compared to state and national statistics to identify where demographic and health disparities exist. Once collected, statistical data was vetted and augmented with community input. More than 140 individuals and 90 community organizations representing low-income, medically underserved and vulnerable populations provided critical insight and feedback on the regional health needs through key information interviews and community input forums. 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 populations identified through the chna report will serve as the foundation for community benefits and hospital planning spanning fiscal years 2017-2019.”

“The following organizations participated in the 2017 - 2019 cape cod hospital and falmouth hospital community health needs assessment project: aids support group of cape cod alzheimers family support center of cape cod arbor counseling services barnstable county department of health and environment barnstable county department of human services barnstable county public nursing division barnstable county regional substance abuse council barnstable public school system barnstable town council behavioral health provider coalition of cape cod & the islands boys & girls club of cape cod cape & islands emergency medical services system cape & islands suicide prevention coalition cape & islands united way cape cod center for women cape cod child development cape cod community college cape cod council of churches cape cod district attorneys office cape cod foundation cape cod neighborhood support coalition cape cod wic caron treatment center cchc centers for behavioral health cchc emergency services child and family services childrens cove coalition for children community action committee of cape cod & the islands community development partnership community health center of cape cod community health network area 27 duffy health center elder services of cape cod & the islands emerald physicians falmouth human services falmouth public school system falmouth service center falmouth together we can falmouth volunteers in public schools glenna kohl fund for hope gosnold on cape cod harbor community health center-hyannis health imperatives healthy living cape cod helping our women homeless prevention council hope dementia & alzheimers services of cape cod hope health housing assistance corporation independence house john snow, inc. Justice resource institute lyme awareness of cape cod ma department of mental health ma department of public health mashpee wampanoag health service unit mashpee wampanoag tribe health services mother and infant recovery network national alliance on mental illness cape cod outer cape health services outer cape women infants and children (wic) samaritans on cape cod and the islands sandpiper nursery school sandwich public school system shine (serving health information needs of everyone) sight loss services spaulding rehabilitation hospital cape cod specialty network for the uninsured substance use in pregnancy task force the family pantry of cape cod town of brewster health department town of falmouth council on aging town of falmouth health department town of mashpee council on aging town of mashpee human services town of provincetown council on aging town of sandwich council on aging town of truro council on aging vinfen visiting nurse association of cape cod we can yarmouth police department ymca of cape cod data sources community focus groups, hospital, interviews, masschip, public health personnel, surveys, chna”

“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, supporting healthcare reform brief description or objective: cchc 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: arthritis, other: asthma/allergies, other: cancer, other: cardiac disease, other: chronic pain , other: colitis/crohn disease, other: cultural competency, other: diabetes, other: family planning, other: hepatitis, other: hiv/aids, other: hypertension, other: lyme disease, other: nutrition, other: osteoporosis/menopause, other: parkinsons disease, other: pregnancy, other: pulmonary disease/tuberculosis, other: safety - home, other: sexually transmitted diseases, other: sickle cell disease, other: smoking/tobacco, other: stroke, other: uninsured/underinsured, overweight and obesity, physical activity, responsible sexual behavior, substance abuse, tobacco use sex: all age group: all adults ethnic group: all language: all goal description: reduce language barriers to care by providing medical interpretations in community-based primary care and specialty settings. Goal status: collaboration with community health centers and physician offices resulted in 816 language interpretations in fy16. Approximately, 82 % of requested interpretations were for residents speaking portuguese and 18% 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: parkinsons 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 f”

“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 hospital and falmouth hospital emergency and behavioral health departments provided pharmacy vouchers and prescription assistance totaling more than $15,500 for uninsured, under-insured or financially challenged patients. 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 $37,500 for uninsured, under-insured or financially disadvantaged patients upon discharge. Partners partner name, description partner web address local taxi companies: n/a contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma, 02601 phone: 508-862-7896, [email protected] detailed description: not specified”

“Homeless and at risk adults program type: school/health center partnership statewide priority: address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations 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 fy16, 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 saved: 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 more than 1,300 duffy health center patients through 10,000 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 596 patients. Goal description: 100% of all new duffy health center patients will be screened for behavioral health needs. Goal status: approximately 75% of new patients were screened in fy16. Partners partner name, description partner web address the duffy health center : www.duffyhealthcenter.org catholic social services: https://www.cssdioc.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 groups and health education classes at cape cod hospital and falmouth hospital program type: community education support group statewide priority: chronic disease management in disadvantage populations 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 and include in-person meetings to offer support and reassurance through their specific disease/health care situation. Target population regions saved: 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 fy16, over 4,300 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/ cape cod healthcare: http://www.capecodhealth.org/classes-events/ 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”

“Program type: mentorship/career training/internship statewide priority: reducing health disparity, supporting healthcare reform brief description or objective: cape cod healthcare recognizes the importance of workforce development and supports the opportunity for students from high school through graduate school to have a positive and professional experience through internships, job shadowing and training with health care providers in several hospital departments. By training and mentoring students for future employment, we hope to successfully engage individuals so they select health care as a viable and admirable vocation, thus decreasing the potential risk for predicted future shortages in the workplace. Target population regions saved: 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 fy16, over 22,000 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/ cod regional technical high school: http://www.capetech.us/ ma college of pharmacy and health sciences: www.mcphs.edu the riverview school: www.riverviewschool.org university of massachusetts: www.massachusetts.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 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 saved: 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: parkinsons 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 fy16, 110 patients were identified and enrolled in complex case management services including home visits. The majority of enrolled patients are managing chronic diseases such as diabetes, heart disease and copd. Goal description: develop a multi-disciplinary team to manage patients enrolled in complex care management services including the addition of a behavioral health case manager. Goal status: in fy16, 35% of all patients enrolled in the program received coordination of care for behavioral health concerns. Partners partner name, description partner web address outer cape health services www.outercape.org contact information: lisa guyon, director of community benefits,”

“Barnstable department of human services program type: grant/donation/foundation/scholarship statewide priority: reducing health disparity, supporting healthcare reform brief description or objective: cape cod healthcare community benefits provided a grant to the regional shine program to expand information, counseling and assistance to barnstable county residents with medicare and their caregivers. Target population regions saved: 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: increase the number of regional medicare beneficiaries assisted by the shine program. Goal status: in fy16, shine served 7,300 individuals in barnstable county, a 13% increase compared to the previous year. Goal description: increase the number of trained shine volunteer counselors available in council on aging offices and other organizations. Goal status: shine increased the number of trained counselors in the region by 18% in fy16. Goal description: increase the number of hours the shine program conducts of community outreach and presentations in the community. Goal status: shine increased the number of hours conducting outreach in the community by more than 27% compared to the previous year. Partners partner name, description partner web address barnstable county human services: www.bchumanservices.net/initiatives/shine/ 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 growing a dementia friendly community: hope dementia and alzheimers services 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: cape cod healthcare community benefits awarded a grant to hope dementia and alzheimers services to offer community trainings for caregivers and emergency responders titled alzheimers disease: what you need to know. Target population regions saved: county- barnstable health indicator: mental health, other: alzheimer disease, other: elder care sex: all age group: all ethnic group: all language: all goal description: train 150-200 community frontline professionals with the knowledge and resources to care for an individual with alzheimers disease or age-related dementia (adrd). Goal status: in fy16, 160 individual participated in the half-day trainings. Goal description: increase the knowledge and identification of resources for individuals that participated in trainings. Goal status: post training surveys demonstrated: 58% increase in understanding adrd, 52% increase in understanding adrd disease progression, 53% increase in knowledge and ability to apply effective communication with ardrd population and 54% increased ability to more effectively help adrd individuals and families minimize crises and avoid hospitalization/readmissions. Partners partner name, description partner web address hope dementia & alzheimer's services: www. Hopehealthma.org/services/dementia-alzheimers-services 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”

“Hypertension treatment and prevention pilot program: cape cod hunger network program type: grant/donation/foundation/scholarship statewide priority: chronic disease management in disadvantage populations, promoting wellness of vulnerable populations, supporting healthcare reform brief description or objective: foods to encourage is a program to monitor and improve diabetes and hypertension disease outcomes in low to moderate income residents who access food from cape food pantries. The fy16 community benefits grant from cape cod healthcare allowed the program to expand from one location to four food pantries across cape cod. Target population regions saved: 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: the program will expand enrollment from 100 to 200 participants. Goal status: in fy16, a total of 222 participants were registered in the program. New program locations provided an opportunity to reach a broad demographic of individuals from ages 35 to 80 years old. 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 35% of participants who attended weekly program activities demonstrated improved blood sugar levels and 2% showed improvement in blood pressure. Improvement in both health indicators varied by individual but there was a strong correlation between number of attended activities and a participants improved health indicators. Partners partner name, description partner web address cc hunger network: www.capecodhungernetwork.org falmouth service center: www.falmouthservicecenter.org barnstable county health department: www.barnstablecountyhealth.org/programs-and.../public-health-nurse cape cod cooperative extension: www.capecodextension.org contact information: lisa guyon, director of community benefits, cape cod healthcare, 88 lewis bay road, hyannis, ma 02601, phone:508-862-7896, [email protected] detailed description: not specified cape cod cooperative extension tick testing and disease surveillance project program type: grant/donation/foundation/scholarship statewide priority: chronic disease management in disadvantage populations, promoting wellness of vulnerable populations brief description or objective: cape cod healthcare provided community benefits funding to the cape cod cooperative extension to subsidize a tick testing and tick-borne disease surveillance program for barnstable county residents. Target population regions served: county-barnstable health indicator: other: lyme disease sex: all age group: adult ethnic group: all language: all goal description: promote tick testing services to local residents. Residents will mail tick to umass laboratory of medical zoology and receive epidemiological and infection status of tick to share with health care provider. Goal status: in total, 309 ticks were submitted by residents for testing. The greatest number of ticks submitted for testing was during the months of may, june and july. Goal description: identify the epidemiological and infection status of ticks tested from barnstable county. Goal status: of the 309 ticks tested, 25% tested positive for lyme disease, 8% tested positive for babesiosis and 6% tested positive for anaplasmosis. Partners partner name, description, partner web address cape cod cooperative extension www.capecodextension.org umass laboratory of medical zoology www.tickdiseases.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 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: hypertension, other: stroke, overweight and obesity, physical activity sex: all age group: all ethnic group: all language: all goal description: engage individuals in seasonal walking and wellness programs aimed at improving health outcomes. Goal status: over 120 individuals participated in the summer walking program at the cape cod national seashore and the winter walking program at the cape cod mall. Goal description: impact wellness and reduce blood pressure readings to healthy levels for program participants. Goal status: the summer program engaged 61 participants. The pre-program average blood pressure was 131/78 compared to the post-program average blood pressure of 121/72. Partners partner name, description, partner web address national park service: www.nps.gov/.../healthy-parks-healthy-people 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 living fit for you! Cancer wellness program at falmouth hospital program type: direct services statewide priority: chronic disease management in disadvantage populations, promoting wellness of vulnerable populations brief description or objective: living fit for you is a free, structured, and medically-supervised exercise and education program that assists individuals undergoing treatment for cancer to manage fatigue, de-conditioning and a loss of physical function. Target population regions served: county-barnstable health indicator: mental health, other: cancer, other: cancer - breast, other: cancer - cervical, other: cancer - colo-rectal, other: cancer - lung, other: cancer - multiple myeloma, other: cancer - other, other: cancer - ovarian, other: cancer - prostate, other: cancer - skin, other: chronic pain , other: nutrition, physical activity sex: all age group: all ethnic group: all language: all goal description: provide free exercise and education classes for cancer survivors of all ages. Goal status: in fy16, 253 exercise and education classes were offered. Goal description: provide one-to-one wellness consultations for individuals unable to attend the structured exercise and education classes. Goal status: in fy16, 68 one-on-one exercise and education consultations were provided to individuals. Partners partner name, description, partner web address cape cod healthcare: www.capecodhealth.org/classes-events cape wellness collaborative: www.capewellness.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”

“Form 990, part i & 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: philip mcloughlin joel crowell cape health insurance company: michael k lauf 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, lines 6 & 7(a) the organization has members/incorporators who elect the organization's trustees. Form 990, part vi, line 7(b) the decisions of the governing body that need approval by its members/incorporators include approval of changes made to the corporation's bylaws and approval when there is a divesting of one of the major affiliates of the organization. Form 990, part vi, line 11 the organization's form 990 is reviewed at several levels. The organization engages a public accounting firm to assist in the preparation and review of its form 990 and who signs as paid preparer. Senior management of the organization is responsible for the timely preparation of form 990. The completed form 990 is provided to the finance committee and the entire board in advance of the filing deadline. Form 990, part vi, line 12 the organization maintains a conflict of interest policy and regularly and consistently monitors and enforces compliance with this policy. On an annual basis, each trustee, officer and employee at the senior management level completes a conflict of interest disclosure form. The forms are reviewed by cape cod healthcare, inc.'s ("cchc") director of clinical and research compliance who prepares a summary for cchc's compliance officer. Any material interests so disclosed are presented to the corporation's governance committee for review and resolution. All disclosure statements submitted by employees will be reviewed by human resources and/or cchc's director of clinical and research compliance. For any disclosure that is considered substantive the employee's area manager will be consulted to determine if the situation is generally acceptable, requires further examination and possible action or is generally not acceptable. Any action plan created to manage a conflict of interest will be monitored by the employee's area manager or supervisor.”

“Description:consulting total fees:2200000”

“Description:info systems consulting total fees:1300000”

“Description:other total fees:4683911”