Cape Cod Healthcare Inc.

“Trustees and officers 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 bruce johnston philip mcloughlin 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's bylaws were amended to include the following items: deletion of the development and philanthropy committee as a standing board committee as the function has been absorbed by cape cod healthcare foundation; deletion of a minimum number of members; prior automatic removal as a member for failing to attend three consecutive annual meetings have been removed; trustees may serve a maximum of three consecutive 3-year terms instead of four; physician trustees may serve three consecutive 2-year terms instead of four, establishment of a requirement for the compliance officer to make an annual compliance report to the board of trustees, and proxy votes may be submitted by facsimile transmission. Form 990, part vi, lines 6 & 7(a) 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 joel crowell: trustee, served as treasurer/clerk/trustee until 5/18 title for michael g. Jones, esq: sr. Vp & chief legal officer / clerk from 5/18 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.”

“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 initiatives, is committed to enhancing the quality of and access to comprehensive health care services for all residents of Cape Cod. Through continuous assessment of community needs, coordinated planning and the allocation of resources, this commitment includes a special focus on the unmet needs of the financially disadvantaged and underserved populations. We will take a leadership role in collaborative efforts joining our resources, talent, and commitment with that of other providers, organizations and community members. The Community Benefits Mission Statement was affirmed by the CCHC Community Health Committee and the Board of Trustees in 2000 and remains in effect. Target Populations 1.Name of target population: Individuals managing or at risk of developing chronic and infectious diseases such as cancer, cardiovascular disease, Alzheimer's disease and dementia, Hepatitis C, diabetes 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, Alzheimer's disease/dementia, Hepatitis C, diabetes 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. 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: 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. 3.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, wait times for outpatient appointments, limited inpatient treatment options for substance use, and insurance barriers to care. 4.Name of target population: Senior population, ages 65 and older. Basis for Selection: According to the U.S. Census Bureau, American Community Survey five year population estimates (2012-2016), nearly 28% of the year round population in Barnstable County is over the age of 65. Increasing consumption of and need for health care services, concerns of social isolation, availability of appropriate housing and transportation, and access to healthy and adequate food 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. 5.Name of target population: Youth and young adults, ages 15 to 24 years old. Basis for Selection: Youth and young adults, ages 15-24 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 Annual Report Hospital/HMO Web Page Publicizing Target Pop. Not Specified Key Accomplishments of Reporting Y”

“First Aid Training project in partnership with the National Alliance on Mental Illness (NAMI) Cape Cod, which resulted in 13 certified instructors to train exponentially more people in the evidence-based program in our community. CCHC Community Benefits provided grants to three federally qualified health centers on Cape Cod. Duffy Health Center, Harbor Community Health Center- Hyannis, and Outer Cape Health Services received grants supporting integrated behavioral health services, establishing an Office Based Addiction Treatment program and continuation of a community navigator program that assists individuals most at risk in our region. Through a partnership with, and grant to Gosnold, Inc., CCHC Community Benefits expanded the Recovery Specialist program in the emergency departments at Cape Cod Hospital and Falmouth Hospital. The program provides peer-led recovery engagement services for patients with Substance Use Disorders. Recovery Specialists work as part of the emergency departments' care teams to motivate patients to accept treatment upon discharge from the emergency departments. Additional funding to Gosnold, Inc. provided Recovery Coaching scholarships for 30 individuals who completed treatment for their Substance Use Disorder. Recovery Coaches assist individuals with building recovery support systems and improving outcomes related to employment, housing, legal and life skills. Cape Cod Hospital received grant funding from Massachusetts Department of Public Health to provide assistance to pregnant women with Opioid Use Disorders through the Moms Do Care program. The program provides peer-led services to obtain prenatal care, substance use treatment, and address social determinant of health issues. At the conclusion of the grant, CCHC supported transitioning the program to the Duffy Health Center with a Community Benefits grant, and CCHC remains a strategic collaborator on the project. CCHC staff from the maternity and pediatric departments at Cape Cod Hospital and Falmouth Hospital actively participated in statewide initiatives by the Neonatal Quality Improvement Collaborative of MA. Initiatives included staff development and piloting new models of care for newborns and families impacted by perinatal opioid use and neonatal abstinence syndrome. Access to Care In FY18, CCHC continued to invest significantly in expanding access to care for vulnerable and medically underserved populations in Barnstable County. CCHC Community Benefits continued its grant support of the Specialty Network for the Uninsured (SNU) program in Barnstable County. The SNU program coordinates appointments and follow-up care with local medical specialists for uninsured and under-insured patients in our region, reducing barriers to local access and addressing gaps in specialty services not offered by local community health centers. Through the Community Based Interpreters program, CCHC Community Benefits funding provided free medical interpreter services for limited-English speaking patients in community-based primary and specialty care offices across the region. In partnership with the Cape and Islands Emergency Medical Services System, CCHC expanded the impact of medical interpreter services in pre-hospital settings. CCHC provides training and funding for phone-based interpreter services that connect paramedics and first responders to interpreters via cell phones in ambulances to improve communication with limited-English speaking patients during transport to a hospital. Hospital social workers and case managers assisted low-income and vulnerable patients in need through direct referrals to community services, prescription assistance, and transportation vouchers upon discharge. Financial counselors at Cape Cod Hospital and Falmouth Hospital were available to all Barnstable County residents to assist with health insurance questions and needs including Mass Health and Medicare coverage applications and renewal assistance. CCHC has been at the foref”

“6.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) and Healthy Aging Cape Cod. 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. 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, Community and Governmental Affairs. Michael L. Connors, Cape Cod Healthcare's Chief Financial Officer, provides fiscal oversight of the Community Benefits reporting process. The Community Health Committee, a designated subcommittee of Cape Cod Healthcare's Board of Trustees, serves as the Community Benefits Advisory Council and provides strategic oversight to the 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 and ongoing community engagement. FY18 Community Health Committee Members: Suzanne Fay Glynn, Esq. (Chair) 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: Regional health and human services community, regional network on homelessness, countywide substance use coalition and regional planning for aging demographics. Leo Blandford Director of Community-Based Coordinated Care Outer Cape Health Services 710 MA Route 28 Harwich Port, MA 02646 [email protected] 508-905-2814 Representing: Federally Qualified Health Centers, Lower and Outer Cape region, behavioral health and substance use disorder services. Eleanor Claus Kinlin Grover Real Estate 927 Route 6A, Yarmouthport, MA 02675 508-362-3000 x203 [email protected] Representing: Community members at large. Alisa Galazzi Chief Executive Officer Housing Assistance Corporation on Cape Cod 460 West Main Street Hyannis, MA 02601 508-771-5400 [email protected] Representing: Regional programs addressing homelessness, housing security, and development of attainable housing. 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: Regional public health programs with emphasis on chronic disease prevention and healthy aging of the senior population. Michael McGuire Director Cape Cod Cooperative Extension P.O. Box 367, Barnstable, MA 02630 508-375-6701 [email protected] Representing: Barnstable County initiatives related to nutrition, food safety, tick borne diseases, water quality prote”

“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, Inc., Harbor Community Health Center-Hyannis, Health Imperatives Cape Cod, Healthy Living Cape Cod, Helping Our Women, Homeless Prevention Council, HOPE Dementia & Alzheimer's 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 Tribe Health Service Unit, 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, and the YMCA Cape Cod. Data Sources CHNA, Community Focus Groups, Consumer Group, Hospital, Interviews, MassCHIP, Other, Public Health Personnel, Surveys, US Census: American Community Survey, Center for Disease Control and Prevention, Behavioral Health Risk Factor Surveillance System, and local and regional reports and studies on demographics, health conditions and community needs. CHNA Document - PDF format CCHC CHNA REPORT_2017-2019.PDF Implementation Strategy (optional) File Upload (optional) Not Specified Community Benefits Programs Annual Strategic Grants Program: Chronic and Infectious Disease and Prevention Program Type: Community Education, Community Participation/Capacity Building Initiative, Grant/Donation/Foundation/Scholarship, health Screening, Outreach to Underserved, Prevention, Support Group. Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantaged Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity. EOHHS Focus Issue(s) (optional): Chronic Disease with focus on Cancer, Heart Disease, and Diabetes, Housing Stability/Homelessness, Mental Illness and Mental Health. DoN Health Priorities (optional): Built Environment, Housing. Target Population: Regions Served: County-Barnstable - Health Indicator: Immunization, Mental Health, Other: Cancer, Other: Elder Care, Other: First Aid/ACLS/CPR, Other: Hepatitis, Other: Homelessness, Other: Lyme Disease, Other: Nutrition, Other: Sexually Transmitted Diseases, Other: Stress Management, Physical Activity, Responsible Sexual Behavior - Sex: All - Age Group: All - Ethnic Group: All - Language: All. Goal Description Award up to $250,000 to local non-profit organizations operating quality programs with anticipated outcomes aligned with Cape Cod Hospital and Falmouth Hospital implementation strategies related to chronic and infectious diseases and prevention and wellness. Goal Status Eleven organizations received $250,474 in grants ranging from $5,400 to $30,000. The recipients of grant awards included AIDS Support Group of Cape Cod, A Baby Center, Alzheimer's Family Caregiver Support Center, Cape Cod Cooperative Extension, Cape Cod Times Needy Fund, Cape Wellness Collaborative, Housing Assistance Corporation on Cape Cod, National Alliance on Mental Illness Cape Cod, Samaritans on Cape Cod & the Islands, Team Maureen, and the YMCA C”

“program or direct referrals to outpatient treatment programs. CCHC Cancer Support Services and Survivorship Activities Program Type: Community Education, Direct Services, Grant/Donation/Foundation/Scholarship, Support Group. Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity. EOHHS Focus Issue(s) (optional): Chronic Disease with focus on Cancer, Heart Disease, and Diabetes. DoN Health Priorities (optional): Built Environment. Target Population: Regions Served: County-Barnstable - Health Indicator: 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: Cardiac Disease, Other: Cultural Competency, Other: Nutrition, Physical Activity - Sex: All - Age Group: All - Ethnic Group: All - Language: All. Goal Description Oncology Social Workers will provide psycho-social support to over 3,000 patients. Goal Status Oncology Social Workers provided services to more than 3,500 oncology patients. Services included direct counseling, family counseling, referrals to support services, referrals to support groups and financial counseling. Patients were provided direct referrals to the following community-based programs: transportation provided by the American Cancer Society's Road to Recovery Program and Lyft rides to appointments through Boston Cancer Support program, access to free complementary services such as massage, acupuncture and nutritional counseling through the Cape Wellness Collaborative, and physical reconditioning programs through CCHC's Living Fit for You! Cancer Wellness Program and the YMCA's LIVESTRONG program. Goal Description Support groups will be provided to patients and families. Goal Status More than 550 patients and family members attended CCHC support groups in FY18. Support groups included Leukemia and Lymphoma Society Family Support Groups, Support for People with Oral, Health, and Neck Cancers, Breast Cancer Support Groups and Ostomy Clinics. Support groups were facilitated by CCHC staff and hosted at CCHC facilities. Goal Description Host a Cancer Survivorship Day event to celebrate survivors, inspire those recently diagnosed and support families and caregivers. Goal Status The FY18 Survivorship Day event hosted more than 150 attendees and 25 volunteers from the CCHC Cancer Program. Support organizations, including The American Cancer Society, Team Maureen, and the Cape Wellness Collaborative provided information on prevention, support programs and self-care. CCHC employees donated 103 gift bags that were distributed to survivors. Goal Description Host a Cancer Survivorship Day event to celebrate survivors, inspire those recently diagnosed and support families and caregivers. Goal Status The FY18 Survivorship Day event hosted more than 150 attendees and 25 volunteers from the CCHC Cancer Program. Support organizations, including The American Cancer Society, Team Maureen, and the Cape Wellness Collaborative provided information on prevention, support programs and self-care. CCHC employees donated 103 gift bags that were distributed to survivors. Goal Description Through a grant from the American Cancer Society, CCHC will offer an Oncology Nutrition program to improve patients' quality of life and outcomes. Goal Status CCHC launched an Oncology Nutrition program and provided 1:1 counseling for 216 patients and their families with a Registered Dietitian through 300 visits. Services offered by the Oncology Nutrition program include meal planning for various diets and nutritional needs, assistance with initiating a tube feed for patients who are no longer able to consume foods orally, working closely with patient's care team to ensure adequate nutrition at patient's home, and providing local grocery store and local organic market”

“Goal Description Increase positive health outcomes for the women enrolled in program. Outcomes measured using baseline data included, but was not limited to, overdose rates, use of alcohol and illegal use of drugs and increased utilization of outpatient mental health and Medication-Assisted Treatment. Goal Status Advocates for Human Potential, an organization selected by MA Department of Public Health, served as the evaluator for Moms Do Care Cape Cod and Moms Do Care Worcester projects. From baseline reporting at the time of enrollment through follow-up interviews 6 months after their child was delivered, aggregated data from both sites demonstrated that Moms Do Care participants experienced a reduction in the number of overdoses, a reduction in the use of alcohol or illegal drugs, and increased utilization and adherence to mental health and substance use treatment services. Goal Description Develop a sustainability plan to continue program activities in the community at the project funding conclusion in July 2018. Goal Status CCHC worked closely with collaborators transitioning the program to Duffy Health Center in August of 2018. Duffy Health Center was awarded a MA DPH grant to continue the program starting in October 2018. CCHC provided a bridge grant of $21,000 to support the program during the transition and ensure program activities continued between grant cycles. CCHC remains a committed collaborator on the project and refers to the program from different clinical departments including hospital emergency and maternity departments, behavioral health departments, and obstetrical practices. Partner Name, Description and Web Address The Duffy Health Center - www.duffyhealthcenter.org Gandara Center - www.gandaracenter.org Institute for Health and Recovery - www.healthrecovery.org/projects/moms-do-care/ Massachusetts Department of Public Health: Bureau of Substance Addiction Services - www.mass.gov/orgs/bureau-of-substance-addiction-services Contact Information Mary Pumphery Cape Cod Healthcare 297 North Street, Building 3, 3rd Floor Hyannis, MA, 02601 Phone: 774-470-5506 Detailed Description Cape Cod Hospital received grant funds from the MA Department of Public Health to design and operate a program called Moms Do Care with the objectives of expanding access to substance use treatment, prenatal care and peer-based recovery support services for pregnant women with Opioid Use Disorders living in Barnstable County. Specialty Network for the Uninsured: 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. Target Population: Regions Served: County-Barnstable - Health Indicator: Access to Health Care, Other: Arthritis, Other: Asthma/Allergies, Other: Cancer, Other: Cancer - Prostate, Other: Cardiac Disease, Other: Chronic Pain, Other: Colitis/Crohn Disease, Other: Cultural Competency, Other: Diabetes, Other: Family Planning, Other: Hearing, Other: Hepatitis, Other: Hypertension, Other: Language/Literacy, 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, Portuguese, Spanish. Goal Description Increase access to specialty care for low-income, uninsured and under-insured individuals. Goal Status In FY18, SNU coordinated 518 appointments with local medical specialists for low-income, uninsured or under-insured individuals. The FY18 program experienced an increase of 5% over the number of visits provided in FY17. Goal Description Provide access to specialis”

“EOHHS Focus Issue(s) (optional): Chronic Disease with focus on Cancer, Heart Disease, and Diabetes,Stability/Homelessness, Substance Use Disorders. DoN Health Priorities (optional): Social Environment. Target Population Regions Served: 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: Parkinson's Disease, Other: Pregnancy, Other: Pulmonary Disease/Tuberculosis, Other: Sexually Transmitted Diseases, Other: Sickle Cell Disease, Other: Smoking/Tobacco, Other: Stroke, Other: Uninsured/Underinsured, Overweight and Obesity, Physical Activity, Substance Abuse, Tobacco Use - Sex: All - Age Group: All Adults - Ethnic Group: All, Portuguese, Spanish - Language: All, Portuguese, Spanish. Goal Description Assist more than 800 individuals with free medical interpreters in community-based primary care and specialty care settings. Goal Status The Community Based Interpreters program served 883 individuals with medical interpretation in community-based health care settings. Goal Description Analyze program utilization data to assess regional medical interpretation needs for program evaluation. Goal Status Over 80% of people served requested Portuguese translation and 19% requested Spanish translation. Overall the number of individuals served was similar to FY17; however the regions of Cape Cod where those served by the program reside shifted slightly. The Mid-Cape region experienced an increase of 5% of the total population served and the Upper Cape region experienced a decrease in people served. In FY17 and FY18, only 1% of individuals served by the program resided in the Outer and Lower regions of Cape Cod. Partner Name, Description and Web Address Community Based Medical Offices on Cape Cod - Various Harbor Community Health Center Hyannis - www.hhsi.us/cape-cod/harbor-community-health-center-hyannis Contact Information Mary Pumphery Cape Cod Healthcare 297 North Street, Building 3, 3rd Floor Hyannis, MA, 02601 Phone: 774-470-5506 Detailed Description CCHC provides free medical language interpreters to community-based physician offices 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. EMS Interpreter's Services Program: A collaboration between Cape Cod Healthcare and the Cape and Islands Emergency Medical Services System Program Type: Direct Services, Grant/Donation/Foundation/Scholarship, Health Professional/Staff Training. Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity. EOHHS Focus Issue(s) (optional): N/A. DoN Health Priorities (optional): Social Environment. Brief Description or Objective: CCHC Community Benefits provides support to the regional SHINE program to expand information, counseling and assistance with Medicare and health insurance needs at various outposts across Barnstable County. Target Population Regions Served: County-Barnstable - Health Indicator: Other: Cultural Competency, Other: Language/Literacy - Sex: All - Age Group: All - Ethnic Group: All - Language: All. Goal Description Pilot the program with Hyannis Fire Department and Yarmouth Fire Department; two of the three largest fire and rescue departments in Barnstable County, to assess need, develop training resources and track service utilization. Goal Status According to survey data, over 90% of fire department staff from both towns identified that they had encountered language barriers making it difficult to accurately assess and document health information from a patient who speaks a language ot”

“Partner Name, Description and Web Address Cape Cod Hospital - www.capecodhealth.org Falmouth Hospital - www.capecodhealth.org Contact Information Mary Pumphery Cape Cod Healthcare 297 North Street, Building 3, 3rd Floor Hyannis, MA, 02601 Phone: 774-470-5506 Detailed Description 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. Transportation Assistance Program for Vulnerable Populations: Cape Cod Hospital and Falmouth Hospital Program Type Direct Services. Statewide Priority Reducing Health Disparity. EOHHS Focus Issue(s) (optional) Chronic Disease with focus on Cancer, Heart Disease, and Diabetes, Mental Illness and Mental Health, Substance Use Disorders. DoN Health Priorities (optional) Built Environment. Target Population Regions Served: County-Barnstable - Health Indicator: Access to Health Care, Other: Safety, Other: Uninsured/Underinsured - Sex: All - Age Group: All - Ethnic Group: All - Language: All. 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 transportation vouchers totaling more than $62,500 for financially disadvantaged patients upon discharge. FY18 hospital transportation assistance increased more than 50% over FY17. Partner Name, Description and Web Address Local Taxi Companies N/A Contact Information Mary Pumphery Cape Cod Healthcare 297 North Street, Building 3, 3rd Floor Hyannis, MA, 02601 Phone: 774-470-5506 Detailed Description In an effort to assist low-income and vulnerable populations, Cape Cod Hospital and Falmouth Hospital provided access to transportation upon discharge from emergency and behavioral health departments, to those patients without resources for transportation. Health Education and Support Services for Wellness at Cape Cod Hospital and Falmouth Hospital Program Type Community Education, Direct Services, Health Screening, Outreach to Underserved, Prevention, School/Health Center Partnership, Support Group. Statewide Priority Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity. EOHHS Focus Issue(s) (optional) Chronic Disease with focus on Cancer, Heart Disease, and Diabetes, Mental Illness and Mental Health, Substance Use Disorders. DoN Health Priorities (optional) Built Environment, Education. Target Population Regions Served: County-Barnstable - Health Indicator: Access to Health Care, Immunization, Mental Health, Other: Alcohol and Substance Abuse, Other: Alzheimer Disease, Other: Arthritis, Other: Asthma/Allergies, Other: Bereavement, Other: Cancer, Other: Cardiac Disease, Other: Cultural Competency, Other: Diabetes, Other: HIV/AIDS, Other: Hypertension, Other: Nutrition, Other: Parenting Skills, Other: Pregnancy, Other: Stroke, Overweight and Obesity, Physical Activity,- Sex: All - Age Group: All - Ethnic Group: All - Language: English, Portuguese, Spanish. Goal Description Provide health education and support activities for the community on a continuum of issues including, but not limited to, chronic disease prevention, screening and self-management for conditions such as cancer, heart disease, and diabetes, breastfeeding and parenting, behavioral health, and cultural competency in care. Goal Status In FY18, over 14,500 staff hours were dedicated to ensuring health education and support services. Classes and support groups were offered and facilitated for individuals, families and the community. Partner Name, Description and Web Address American Cancer Society - www.cancer.org Visiting Nurses Association of Cape Cod - www.vnacapecod.org YM”

“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 net assets released from restriction $(5,596,482) transfer to/from affiliates $(12,709,696) change in value of split interest agreement $ 598,383 change in value beneficial interest $ 492,636 transfer of net assets $ 325,911 other changes in net assets $(16,889,248)”