Cape Cod Healthcare Inc.

“Trustees sit on the boards of the following: emerald physicians member trust: philip mcloughlin joel crowell cape health insurance company: michael k lauf michael l connors michael g jones sumner b tilton, jr philip mcloughlin patrick j flynn, md the members of cape cod healthcare, inc.'s board also sit on the boards of cape cod medical office building and emerald physician services, llc, for-profit related organizations.”

“The organization has members/incorporators who elect the organization's trustees.”

“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.”

“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.”

“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.”

“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.”

“Title for kevin mulroy: chief operating officer (until 6/16), svp chief quality & safety officer (as of 6/16) title for dewitt davenport: vice chairman (until 5/17), chairman (as of 5/17), trustee title for jeffrey s dykens: coo falmouth hospital (until 6/16), vp finance & operations (as of 6/16) title for noelene cervin: vp budgeting and operational support (as of 7/16)”

“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.”

“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.”

“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 name of target population: individuals managing or at risk of developing chronic and infectious diseases such as cancer, cardiovascular disease, alzheimers disease and dementia, hepatitis c, and tick-borne diseases. 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/dementia, hepatitis c, and tick-borne diseases were identified in the 2017-2019 cape cod hospital and falmouth hospital community health needs assessment report as diseases of particular concern for the region. 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: the 2017-2019 cape cod hospital and falmouth hospital community health needs assessment report identified specific target populations that encounter barriers to care or gaps in coverage despite high rates of insured residents in barnstable county. The report specifically identified children ages 0-17 years, individuals lacking year-round employment, seniors living on a fixed income, seasonal workers, and foreign-born residents who do not meet eligibility criteria for mass health enrollment. Name of target population: individuals with mental health disorders, substance use disorders, and co-occurring disorders. Basis for selection: access to, and availability of, community-based behavioral health care in barnstable county is an area of concern. This is evidenced by high rates of patients presenting with mental health and substance use disorders in hospital emergency departments. Specific challenges reported by the community and included in the 2017-2019 cape cod hospital and falmouth hospital community health needs assessment report include a shortage of psychiatric providers, long wait times for outpatient appointments, limited inpatient treatment options for substance use, and insurance barriers to care name of target population: senior population, ages 65 and older basis for selection: according to census data, 26% of the year round population in barnstable county is over the age of 65. Over 40% of barnstable county households report at least one resident over the age of 65 resides in the home. Increasing consumption of and need for health care services, isolation, lack of socialization, appropriate housing and transportation, and food access were specific challenges identified in the 2017-2019 cape cod hospital and falmouth hospital community health needs assessment report for residents over the age of 65. Name of target population: youth and young adults, ages 15 to 24 years old. Basis for selection: youth and young adults, ages 1524 years old, were identified in the 2017-2019 cape cod hospital and falmouth hospital community health needs assessment report as a specific at-risk population due to increasing rates of substance use treatment admissions and concerning health risk behaviors. Publication of target populations not specified, other- community health needs assessment report hospital/hmo web page publicizing target pop. Https://www.capecodhealth.org/about/carin”

“Caregiver support center and hope dementia and alzheimers services to fund new support groups, free counseling for families, and respite grants for caregivers. The ymca cape cod in partnership with the national alliance on mental illness received funding from cchc to develop support groups and wellness programs to address the co-morbidities of diabetes and depression. Cchc partnered with the cape cod cooperative extension and the umass laboratory of medical zoology to offer an innovative tick testing program for our region. Cchc funding subsidized a portion of each tick test submitted by barnstable county residents. Tick disease results were provided to the resident, and aggregated disease surveillance data was shared with collaborating agencies. Cchcs centers for behavioral health expanded staff capacity and outpatient services to increase access and strengthen regional health services for individuals with mental health, substance use, and co-occurring disorders. As a partner in new privatized services awarded by the ma department of mental health, cchc staff collaborated with community-based agencies, coalitions, advocacy groups, and law enforcement to implement a new model of crisis intervention services for our region. Cchc is also a collaborative partner with the ma department of public health and ma department of mental health on the zero suicide initiative to increase suicide prevention and reduce suicide deaths on cape cod and the islands of marthas vineyard and nantucket. Cchc community benefits provided grant awards to two federally qualified health centers, duffy health center and outer cape health services, to support regional efforts to reach and serve high risk target populations with behavioral health needs. Outer cape health services launched the community resource navigator program to provide short-term case management and assistance with social determinants of health for individuals with behavioral health disorders on the lower and outer cape. Duffy health center maintained key behavioral health services for homeless individuals and those at risk of homelessness in barnstable county. Cchc provided funding and coordination with four federally qualified health centers to increase regional medication assisted treatment outpatient services across all regions of cape cod. In addition to expanding outpatient treatment options, cchc implemented a recovery specialist program in the emergency departments at cape cod hospital and falmouth hospital. In partnership with gosnold on cape cod, the recovery specialist program provides peer-recovery professionals to engage patients and assist in referrals and transition to inpatient and outpatient substance use disorder treatment programs upon discharge from the emergency departments. Cchc led an effort to improve care for pregnant women on cape cod with substance use disorders. Our moms do care program, a program funded through a three-year massachusetts department of public health grant, provides integrated prenatal care and substance use treatment for pregnant women with opioid use disorders. Physicians and clinical leaders at cape cod hospital and falmouth hospital are active contributors to the neonatal quality improvement collaborative of ma to improve care of newborns and families impacted by perinatal opioid use and neonatal abstinent syndrome. Cchcs support reached beyond clinical settings through a partnership with cape cod child development to increase acceptance of early intervention services by families with newborns exposed to substances in utero. A grant to the mothers and infants recovery network helped to launch additional support groups in new locations on cape cod including the barnstable county correctional facility for women. Cchcs commitment to improve access to care was demonstrated through support of existing programs and new initiatives designed to reduce barriers to care for vulnerable populations. In partnership with the cape and islands emergency m”

“Annual community benefits plans for cape cod hospital, falmouth hospital and cape cod healthcare reflect the priorities, goals and objectives embedded in the three-year implementation strategies included in the 20172019 cape cod hospital and falmouth hospital community health needs assessment report and implementation plan. Cchc community benefits fy17fy19 goals: - improve chronic and infectious disease prevention and management to meet the growing needs of an aging and at-risk population. - strengthen regional health services and community resources for individuals with mental health conditions, substance use, co-occurring disorders, and comorbidities. - reduce barriers to care and strengthen the regional health safety net for vulnerable populations. - improve the health and disease prevention of all residents of barnstable county and sustain the wellness of seniors and caregivers. - support regional health efforts through direct grant funding and a competitive rfp grants program with funding guidelines that are aligned with community benefits priorities and target populations. - strengthen regional collaboration and maintain leadership roles with the following community-based coalitions: barnstable county human services advisory council, barnstable county regional substance use council, behavioral health provider coalition of cape cod & the islands, community health area network (chna 27) steering committee, healthy aging cape cod, and the substance use in pregnancy task force. Community benefits process 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 and visitors 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 from across the region and invest in needed medical technologies, developing the current and future workforce and clinical services. Cape cod healthcare is the safety net health care provider for residents of barnstable county. Our values drive our commitment to be compassionate, respectful and professional in the way we deliver care. We are relentless in pursuing the highest standard of quality through continuous improvement, emphasizing the power of teamwork. We are honest, ethical and open in all of our relationships. We are responsible stewards of the community`s resources by working efficiently and cost effectively. We serve all without regard to sex, race, creed, residence, national origin, sexual orientation or ability to pay. The development of cape cod healthcares 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, community and governmental affairs. Management of the program is the responsibility of lisa guyon, director of community benefits and grants administration. The community health committee, a designated subcommittee of cape cod healthcares board of trustees, provides strategic oversight to the community benefits program. The committee is comprised of leaders of health and human services organizations, community health centers, county government, and community-based organizations representing residents across a spectrum of ages, socioeconomic status, and racial, cultural and ethnic diversity, as well as current members of the cchc board of trustees. The committee develops and recommends policies to the cape cod healthcare board of trustees regarding community benefits programs, sets priorities, awards priority grant funding to community organizations, and advises on community health issues and initiatives including community health needs assessments. Fy17 community health committee members: suzanne fay glynn, esq. (chair) cchc board member glynn law offices 49 locust street, falmouth, ma”

“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 process 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 of significant input from the community, and the identification and prioritization of regional health needs. Cchc engaged john snow, inc. To assist in data collection, facilitation of community forums and leadership interviews and identification of key implementation strategies for the project. 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 needs assessment report serve as the foundation for community benefits and hospital planning spanning fiscal years 2017-2019. Consultants/other organizations 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 awaren”

“Harbor community health center hyannis - program type: grant/donation/foundation/scholarship, outreach to underserved - statewide priority: address unmet health needs of the uninsured, chronic disease management in disadvantage populations, promoting wellness of vulnerable populations - eohhs focus issue(s) (optional): chronic disease with focus on cancer, heart disease, and diabetes - don health priorities (optional): not specified - 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 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 for low-income, uninsured and under-insured individuals. Goal status the snu program provided 495 patient appointments with specialists in fy17. The most utilized specialties included ophthalmology, gastroenterology, urology, ears, nose and throat (ent), cardiology and podiatry. Goal description provide access to specialists for uninsured or under-insured residents who face language barriers to care. Goal status ten percent (10%) of snu patients requested a medical interpreter. Eight-six percent (86%) of those patients required interpretation in portuguese and 14% required interpretation in spanish. Goal description maintain referral relationship between snu program and federally qualified health centers in the region. Goal status nearly all (99%) program referrals were made by regional community health centers including harbor community health center-hyannis, community health center of cape cod, duffy health center and island health care. Partner name, description and web address harbor community health center- hyannis www.hhsi.us duffy health center www.duffyhealthcenter.org island health care www.ihimv.org cape cod healthcare www.capecodhealth.org community health center of cape cod www.chcofcapecod.org contact information: lisa guyon cape cod healthcare 88 lewis bay road hyannis, ma, 02601 phone: 508-862-7896 [email protected] detailed description not specified prescription assistance program for vulnerable populations: 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 - eohhs focus issue(s) (optional): chronic disease with focus on cancer, heart disease, and diabetes - don health priorities (optional): not specified - 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 assisting uninsured, under-insured and financially disadvantaged patients with no other viable means to pay for medications upon discharge from hospital facilities. - target population: regions served: county-barnstable - health indicator: access to health care, other: uninsured/underinsured - age group: all - ethnic group: all - language: all goal description assist residents who are unable to”

“Supporting behavioral health and medication assisted treatment services for 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 eohhs focus issue(s) (optional): mental illness and mental health, housing stability/homelessness, substance use disorders don health priorities (optional): not specified 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 fy17, community benefits funding from cape cod healthcare supported the duffy health centers behavioral health services including therapy, psychiatry, medication 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 staffing levels to provide health services to 1,200 patients will be sustained. Goal status behavioral health services were provided to more than 1,300 duffy health center patients. Goal description psychiatric services, including medication management, will be provided to 300 patients. Goal status psychiatric services, including medication management, were provided to 630 patients. Goal description capacity to serve additional patients through expanded office-based addiction treatment programs will be increased to serve 225 patients. Goal status medication assisted treatment programs at duffy served 380 patients. Patient engagement was increased through implementation of a new recovery support navigator position to engage with duffy patients and individuals in need through outreach at cape cod hospital and street outreach. Partner name, description and web address the duffy health center - www.duffyhealthcenter.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 eohhs focus issue(s) (optional) chronic disease with focus on cancer, heart disease, and diabetes don health priorities (optional) not specified 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 offered to residents free of charge. 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 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, caregivers, and the community on a continuum of issues including cancer survivorship, prenatal/parenting groups, behavioral health, bereavement, and chronic disease self-management. Goal status in fy17, over 6,760 staff hours were dedicated to ensuring support groups and classes were offered and facilitated for individuals, fami”

“Program type: mentorship/career training/internship statewide priority: reducing health disparity, supporting healthcare reform eohhs focus issue(s) (optional): not specified don health priorities (optional): education, employment brief description or objective: cchc invests in partnerships with local high schools, vocational schools, community colleges, and allied health program for job shadowing, internships, and training with health care providers in various hospital departments including phlebotomy, radiology, behavioral health, materials management, etc. Our efforts contribute to economic development in our region, increase opportunity for educational attainment, and provide experience for individuals to obtain stable, quality, and well compensated jobs in our region. 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 fy17, over 19,550 staff hours were devoted to workforce and career development partnership efforts including supervision of student trainings, job shadowing, and clinical oversight. Partner name, description and web address cape cod community college: www.capecod.edu/ upper cape regional technical school: www.uppercapetech.com/ ma college of pharmacy and health sciences: www.mcphs.edu the riverview school: www.riverviewschool.org university of massachusetts: www.massachusetts.edu/ cape cod regional technical high school: www.capetech.us barnstable high school: www.barnstable.k12.ma.us 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 community resource navigator project 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 eohhs focus issue(s) (optional) mental illness and mental health, housing stability/homelessness, substance use disorders don health priorities (optional) built environment, social environment, housing, employment brief description or objective cchc community benefits provides grant support to outer cape health services to pilot the community resource navigator project. The project provides interventions and short-term case management for underserved residents with mental health, substance use, or co-occurring disorder. Community-based resource navigators assist individuals in gaining access to primary and behavioral health care and address issues related to social determinants of health (housing, food access, transportation, etc.). Target population regions served: regions served: county-barnstable - health indicator: access to health care, environmental quality, mental health, other: alcohol and substance abuse, other: dental health, other: hepatitis, other: hiv/aids, other: homebound, other: homelessness, other: nutrition, other: public safety, other: safety, other: safety - home, other: smoking/tobacco, other: stress management, other: uninsured/underinsured, substance abuse, tobacco use sex: all - age group: all - ethnic group: all - language: all goal description during the pilot phase, a community resource navigator will work with 50 clients annually to address behavioral health and social determinants of health needs. Goal status in fy17, 105 residents were referred to the program and 78 residents were enrolled and served. Goal description assess the greatest needs and measure improvements in self-sufficiency through pre and post engagement surveys. Goal status surveys identified access to mental health services and social se”

“Program type grant/donation/foundation/scholarship statewide priority chronic disease management in disadvantage populations, promoting wellness of vulnerable populations eohhs focus issue(s) (optional) chronic disease with focus on cancer, heart disease, and diabetes, mental illness and mental health don health priorities (optional) not specified brief description or objective cchc community benefits awarded a grant to the ymca cape cod to expand collaboration with the national alliance on mental illness (nami) cape cod to offer free community-based support groups, lifestyle classes and counseling sessions for residents with the comorbidities of diabetes and depression. Target population regions served: county-barnstable - health indicator: mental health, other: diabetes, other: nutrition, physical activity - sex: all - age group: all ethnic group: all - language: all goal description offer nami support groups for individuals with diabetes and depression at the ymca diabetes education center over a 12 week period with a goal of engaging 20 participants. Goal status thirty-nine (39) individuals attending nami support groups targeting individuals with the comorbidities of diabetes and depression. Goal description enroll 100 individuals in a 12 week ymca diabetes prevention program, a lifestyle improvement program for prediabetic adults. Goal status in fy17, 229 individuals enrolled in the ymca diabetes prevention program. More than 60% of program participants reduced blood glucose levels and improved disease self-management. Partner name, description and web address ymca cape cod www.ymcacapecod.org national alliance on mental illness (nami) cape cod www.namicapecod.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 flavorx: fruit and vegetable prescription program program type community participation/capacity building initiative,grant/donation/foundation/scholarship,health screening,outreach to underserved,prevention statewide priority chronic disease management in disadvantage populations, promoting wellness of vulnerable populations eohhs focus issue(s) (optional) chronic disease with focus on cancer, heart disease, and diabetes don health priorities (optional) built environment, social environment, education brief description or objective flavorx is a collaboration between primary care physicians, farmers markets and community agencies to increase access to fruit and vegetables for high-risk, vulnerable populations. This comprehensive nutrition program provides incentives for the purchase of fruits and vegetables at local farmer's markets, integrates nutrition education and cooking classes, and measures improvements to overall health and chronic disease risk/management. Target population regions served: county-barnstable - health indicator: other: diabetes, other: hypertension, other: nutrition, overweight and obesity - sex: all age group: adult ethnic group: all language: all goal description enroll a pilot group of mass health patients to participate in the flavorx program. Goal status thirty-eight (38) individuals were enrolled in the program and 24 individuals completed the program.participants were divided into two groups with one group receiving prescription vouchers for fruits and vegetables, nutrition education and health monitoring. The second group received gas cards, nutrition education and health monitoring. The effectiveness of the intervention was measured using a randomized controlled trial design. Goal description all participants will increase their nutritional knowledge about protein and dietary fiber and 10% will increase their confidence in healthy cooking. Goal status one-hundred percent of participants increased knowledge of protein and dietary fiber. Nineteen (19%)percent increased their confidence in healthy cooking. Goal description twenty-five p”

“Project program type grant/donation/foundation/scholarship statewide priority chronic disease management in disadvantage populations, promoting wellness of vulnerable populations eohhs focus issue(s) (optional) not specified don health priorities (optional) not specified brief description or objective cchc community benefits subsidized a tick disease testing and tick-borne illness surveillance program for barnstable county residents. Tick-testing was provided by the umass laboratory of medical zoology and education and surveillance was provided by the cape cod cooperative extension. Target population regions served: county-barnstable - health indicator: other: lyme disease - sex: all - age group: all - ethnic group: all - language: all goal description ticks submitted by barnstable county residents will be tested by the umass laboratory of medical zoology for epidemiological and infection status. Results are reported back to residents. Goal status in total, 863 ticks were submitted by residents for testing. Results based on a subset of tested adult deer ticks (391) demonstrated a 39% positive test lyme disease, 9% tested positive for babesiosis, and 6% tested positive for anaplasmosis. Goal description regional education regarding tick bite prevention, tick disease risk and tick testing opportunities will be provided through community presentations, workshops, events and media opportunities. Goal status over 15,000 tick testing program brochures were distributed to residents through physician offices, libraries and other community settings. Epidemiology staff from the cape cod cooperative extension conducted more than 70 educational workshops and contributed to various media opportunities to educate the public on tick bite prevention and testing. Partner name, description and 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 healthy parks, healthy people: a collaboration between cape cod healthcare and the cape cod national seashore program type community participation/capacity building initiative,grant/donation/foundation/scholarship,health screening,prevention statewide priority chronic disease management in disadvantage populations, promoting wellness of vulnerable populations eohhs focus issue(s) (optional) chronic disease with focus on cancer, heart disease, and diabetes don health priorities (optional) built environment, social environment 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: other: hypertension, other: stroke, overweight and obesity, physical activity - sex: all - age group: all - ethnic group: all - language: all goal description engage residents in seasonal walking program and 5k run/walk for heart health aimed at improving health knowledge and awareness of free and open spaces for physical activity in region. Goal status over 220 residents participated in the summer walking program and 5k run/walk for heart health at the cape cod national seashore. Partner name, description and web address national park service www.nps.gov/.../healthy-parks-healthy-people cape cod national seashore www.nps.gov/caco/index.htm 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 vulnerabl”

“Form 990 part i and part ix fundraising is conducted on behalf of cape cod healthcare, inc. By cape cod healthcare foundation, inc. Certain officers are compensated by cape cod heathcare, inc. Funds raised are reported at cape cod healthcare, inc. And affiliates.”

“Cape cod healthcare, inc.'s volunteers include its trustees.”

“Other changes in net assets or fund balances transfer to/from affiliates $22,269,647 net assets released from restriction (689,295) change in value of split interest agreement 2,113,900 change in value beneficial interest 1,067,696 transfer of net assets 50,700 other changes in net assets 3,842 ------------ total 24,816,490”