2021-07-30T12:35:40-07:00 2020-09-30 990 2019-10-01 840404233 CRAIG HOSPITAL CRAI 3037898000 3425 S CLARKSON STREET ENGLEWOOD CO 80113 Daniel Frank CFO 3037898443 2021-07-15 2019 2022-09-23 18:48:47Z JANDEL ALLEN-DAVIS CEO 3425 S CLARKSON ST ENGLEWOOD CO 80113 186936305 0 X WWW.CRAIGHOSPITAL.ORG X 1910 CO CRAIG ADVOCATES FOR AND PROVIDES EXCEPTIONAL PATIENT AND FAMILY CENTERED CARE FOR THOSE AFFECTED BY SPINAL CORD AND BRAIN INJURY. TOGETHER WE BRAVELY STRIVE FOR OPTIMAL HEALTH, INDEPENDENCE, AND LIFE QUALITY WITH UNYIELDING DETERMINATION. 19 18 1258 250 0 0 9391122 9394323 115869345 109200356 3168040 2042280 3594241 4957409 132022748 125594368 574788 349935 0 0 72905895 77233880 0 0 1687838 46733052 41869177 120213735 119452992 11809013 6141376 291086578 299366858 67077563 63945713 224009015 235421145 CRAIG HOSPITAL IS A 93-BED, LONG-TERM ACUTE CARE AND REHABILITATION HOSPITAL THAT PROVIDES CARE EXCLUSIVELY FOR PATIENTS WITH SPINAL CORD AND TRAUMATIC BRAIN INJURY. THE HOSPITAL PROVIDES A COMPREHENSIVE SYSTEM OF INPATIENT AND OUTPATIENT MEDICAL CARE, REHABILITATION, NEUROSURGICAL, REHABILITATIVE CARE, AND LONG-TERM FOLLOW-UP SERVICES. 0 0 86352588 349935 113443458 CRAIG HOSPITAL PROVIDES REHABILITATION AND MEDICAL SERVICES EXCLUSIVELY TO PATIENTS WITH SPINAL CORD AND TRAUMATIC BRAIN INJURY ON BOTH AN INPATIENT AND OUTPATIENT BASIS AND DURING THE TAX YEAR, PROVIDED 28,350 DAYS OF INPATIENT CARE AND 11,187 OUTPATIENT VISITS. 3761885 0 0 CRAIG HOSPITAL IS DESIGNATED BY THE NATIONAL INSTITUTE ON DISABILITY, INDEPENDENT LIVING AND REHABILITATION RESEARCH (NIDILRR) AS A MODEL SYSTEM FOR BOTH SPINAL CORD INJURY AND TRAUMATIC BRAIN INJURY. THE HOSPITAL IS ALSO THE TRAUMATIC BRAIN INJURY MODEL SYSTEMS NATIONAL DATA & STATISTICAL CENTER AND ALSO CONDUCTED SEVERAL OTHER RESERACH PROJECTS SUPPORTED BY NIDILRR, DOD, OTHER FOUNDATIONS AND INDUSTRY. DURING THE YEAR, THE HOSPITAL'S RESEARCH DEPARMENT EMPLOYED A STAFF OF 28. 0 0 0 90114473 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 91 0 1 1258 1 0 0 0 0 0 0 0 0 X 19 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DANIEL J FRANK - CFO 3037898636 3425 S CLARKSON STREET ENGLEWOOD CO 80113 MICHAEL FORDYCE FORMER PRESIDENT & CEO - RETIRED 2019 40 0 X 670736 0 4125 JANDEL ALLEN-DAVIS PRESIDENT & CEO 40 8 X X 595518 0 27511 DANA POLONSKY VP CLINICAL SERVICES 40 0 X 279411 0 34688 DIANE REINHARD VP PATIENT CARE 40 0 X 271817 0 30795 JULIE KEEGAN FORMER CFO - RETIRED 2019 40 0 X 288476 0 7769 DANIEL FRANK CFO 40 3 X 263018 0 32230 MARY FELLER FORMER EXECUTIVE DIRECTOR-FOUNDATION 40 0 X 236755 0 11683 CHRIS WATKINS DIRECTOR IT 40 0 X 208513 0 24640 STACY ABEL VP OF PEOPLE & CULTURE 40 0 X 208230 0 24287 CYNTHIA HARRISON-FELIX FORMER DIRECTOR RESEARCH 40 0 X 204538 0 25080 TOBY HUSTON DIRECTOR PSYCHOLOGY 40 0 X 180857 0 23594 AMY ANHEUSER-GOLDSTEIN DIRECTOR OF PHARMACY 40 0 X 173735 0 30474 COLLEEN FADDICK CHAIR/PAST CHAIR 2 0 X X 0 0 0 TODD MUNSON CHAIR/CHAIR ELECT 2 0 X X 0 0 0 GERRY LEWIS JENKINS SECRETARY/CHAIR ELECT 2 0 X X 0 0 0 KARI GOERKE DIRECTOR/SECRETARY 2 0 X X 0 0 0 JOHN KURATH DIRECTOR/TREASURER 2 0 X X 0 0 0 TRICIA DOWNING DIRECTOR 2 0 X 0 0 0 ERIN EISELEIN DIRECTOR 2 0 X 0 0 0 ERIC FEAGLER DIRECTOR 2 0 X 0 0 0 JESSICA HOBBS DIRECTOR 2 0 X 0 0 0 KEN KELLEY DIRECTOR 2 0 X 0 0 0 ANGELA OAKLEY DIRECTOR 2 0 X 0 0 0 MOLLY RAUZI DIRECTOR 2 0 X 0 0 0 JENNY ROBINSON DIRECTOR 2 0 X 0 0 0 BOB LADENBURGER PAST CHAIR - TERM ENDED 2020 2 0 X X 0 0 0 SCOTT HEFNER DIRECTOR - TERM ENDED 2020 2 0 X 0 0 0 STEPHANIE BODHI DIRECTOR - TERM ENDED 2020 2 0 X 0 0 0 JOAN HENNEBERRY DIRECTOR - STARTED 01/2020 2 0 X 0 0 0 NITA MOSBY-TYLER DIRECTOR - STARTED 01/2020 2 0 X 0 0 0 JENNY HOPKINS DIRECTOR - STARTED 02/2020 2.00 0 X 0 0 0 JAY SHEPARD DIRECTOR - STARTED 03/2020 2 0 X 0 0 0 BRUCE SCHROFFEL DIRECTOR - STARTED 06/2020 2 0 X 0 0 0 3581604 0 276876 74 1 1 0 SWEDISH MEDICAL CENTER 501 E HAMPDEN AVENUE ENGLEWOOD CO 80113 MEDICAL SERVICES 5916770 CENTURA HEALTH CORPORATE 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 IT AND LABORATORY SERVICES 2125402 CNS MEDICAL GROUP DEPT 710924 DENVER CO 80271 MEDICAL DIRECTOR 959377 GE JOHNSON CONSTRUCTION 25 N CASCADE AVENUE COLORADO SPRINGS CO 80903 CONSTRUCTION SERVICES 763530 WELLER MEDIA SERVICES LLC 5455 LAND MARK PLACE STE 1413 GREENWOOD VILLAGE CO 80111 ADVERTISING/MEDIA 415353 30 X 0 0 0 5905303 3489020 0 0 9394323 MEDICAL SERVICES 622310 107709642 107709642 0 0 PATIENT HOUSING 721000 1490714 1490714 0 0 0 0 0 0 109200356 3033714 0 0 3033714 0 0 0 0 0 0 0 0 163028 0 131234 0 31794 0 31794 0 0 31794 60212269 7000 61176772 33931 -964503 -26931 -991434 0 0 -991434 0 PEAK WELLNESS CENTER 900099 628977 628977 0 0 FED GRANTS INDIRECT REIMBURSEMENT 900099 758082 758082 0 0 CAFETERIA 722100 682513 0 0 682513 2856043 2856043 0 0 4925615 125594368 113443458 0 2756587 X 349935 349935 0 0 0 0 0 0 1801116 0 1801116 0 0 0 0 0 58565022 47200723 10211163 1153136 2935743 2523055 412688 0 9604384 7898970 1474737 230677 4327615 3447112 797950 82553 0 0 0 0 311232 0 308718 2514 100135 0 85990 14145 111765 111765 0 0 232377 0 232377 0 9825696 9022674 798689 4333 1211547 1735 1154824 54988 1352707 719907 552027 80773 5261422 26546 5234876 0 0 0 0 0 2266106 1978657 287248 201 440885 206856 227060 6969 0 0 0 0 1835 0 1015 820 1625299 0 1625299 0 0 0 0 0 9050197 7692667 1357530 0 353828 26 353802 0 MEDICAL SUPPLIES 3479802 3456915 22882 5 RESEARCH EXPENSES 3761885 3761885 0 0 FOOD EXPENSE 1050643 1018207 32436 0 MINOR EQUIPMENT/REPAIR 1172253 727582 389450 55221 259563 81021 177039 1503 119452992 90114473 27650681 1687838 5278551 7009692 8435062 8489362 666727 464527 35626230 35196092 0 0 0 0 0 0 549431 729341 2426796 2027684 199286469 75719317 129475252 123567152 107935519 120990727 0 0 0 0 0 0 693010 892281 291086578 299366858 20004721 17644433 0 0 0 0 33072842 32301280 0 0 0 0 14000000 14000000 0 0 0 67077563 63945713 X 224009015 235421145 0 0 224009015 235421145 291086578 299366858 6141376 5273026 0 0 -2272 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 103500 0 1 8265 111765 0 Schedule C, Part II-B, Line 1 THE HOSPITAL IN CONJUNCTION WITH OTHER HOSPITALS ARE CONTRACTED WITH A CONSULTING FIRM TO HELP EDUCATE LEGISLATORS WHY THE CURRENT LTAC AND GENERAL HEALTHCARE REGULATIONS AND LEGISLATION ARE NOT APPROPRIATE FOR SPECIALTY HOSPITALS LIKE CRAIG HOSPITAL. LINE 1i: THE PORTION OF THE DUES PAID TO PROFESSIONAL ORGANIZATIONS THAT WERE TO PAY FOR LOBBYING. 6977352 1898183 555102 0 254758 0 9175879 5653837 1231976 292680 0 201141 0 6977352 4523400 956581 313250 0 139394 0 5653837 4040090 100500 416902 0 34092 0 4523400 2807998 984511 274587 0 27006 0 4040090 0.2 0.8 0 0 1 1 0 7651752 7651752 0 134051723 37660033 96391690 0 0 0 0 0 56061274 37442286 18618988 0 1521720 616998 904722 123567152 130478612 5273026 0 0 116460 5389486 125089126 232377 272865 505242 125594368 119064242 0 0 0 116460 116460 118947782 232345 272865 505210 119452992 Schedule D, Part V, Line 4 ENDOWMENT FUNDS HELD BY THE CRAIG HOSPITAL FOUNDATION SERVE A VARIETY OF PURPOSES INCLUDING PATIENT ASSISTANCE, STAFF DEVELOPMENT AND EDUCATION, AND HOSPITAL PROGRAMS. Schedule D, Part XI, Line 2d OCCUPANCY AND DEPRECIATION EXPENSE ASSOCIATED WITH RENTAL INCOME TOTAL $116,460. Schedule D, Part XI, Line 4b RESEARCH EXPENSE FUNDED BY CRAIG HOSPITAL FOUNDATION TOTALED $272,865. Schedule D, Part XII, Line 2d OCCUPANCY AND DEPRECIATION EXPENSE OF $116,460. Schedule D, Part XII, Line 4b RESEARCH EXPENSES FUNDED BY CRAIG HOSPITAL FOUNDATION $272,865. 1 1 X 1 X 3 1 X 5 1 1 1 0 1 0 2121080 0 2121080 0.0178 12443535 9660826 2782709 0.0233 0 0 14564615 9660826 4903789 0.0411 1573349 0 1573349 0.0132 1089277 0 1089227 0.0091 3489020 3489020 0 0 420604 0 420604 0.0035 0 0 6572250 3489020 3083180 0.0258 0 0 21136865 13149846 7986969 0.0669 0 0 0 2092495 5942182 -3849687 X 0 1 1 CRAIG HOSPITAL 3425 S CLARKSON STREET ENGLEWOOD CO 80113 www.craighospital.org 010435 X X X CRAIG HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X https://craighospital.org/uploads/CHNA/Craig-Hospital-Community-Health-Needs-Assessment-2019-Report 1 19 1 https://craighospital.org/uploads/CHNA/Craig-Hospital-Community-Health-Needs-Assessment-Implementati 0 0 1 X 300 500 X X X X 1 1 X X X X 1 X https://craighospital.org/charity-care-policy X https://craighospital.org/charity-care-policy X https://craighospital.org/charity-care-policy X X X X X X 1 X 0 X X X X 0 X X 0 0 Schedule H, Part V, Section B, Line 5-CRAIG HOSPITAL KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH SUBJECT MATTER EXPERTS AND COMMUNITY PARTNERS. THESE INTERVIEWS PROVIDED QUALITATIVE INFORMATION FOR PRIMARY DATA ANALYSIS. ORGANIZATIONS PARTICIPATING IN THESE STRUCTURED INTERVIEWS ARE: BRAIN INJURY ALLIANCE OF COLORADO (BIAC), GAVIN ATWOOD; CCAD/ADAPT, JOSH WINKLER, CHANDA PLAN, CHANDA HINTON; COLORADO RSVP CLINIC, JEFF BERLINER, MD; EASTERSEALS COLORADO, ROMAN KRAFCZYK; HOME BUILDERS FOUNDATION, BETH FORBES, AND PERSONAL ASSISTANCE SERVICES OF COLORADO (PASCO), HOME HEALTH AND COMMUNITY BASED SERVICES, DAMIAN ROSENBERG. COLORADO HEALTH INSTITUTE (CHI) CONDUCTS THE COLORADO HEALTH ACCESS SURVEY (CHAS) EVERY OTHER YEAR TO SURVEY HEALTH CARE COVERAGE, ACCESS AND UTILIZATION IN COLORADO. QUESTIONS FROM THE CHAS WERE USED ON THE CRAIG HOSPITAL SURVEY TO COMPARE ITS POPULATION WITH CHAS' DATA FROM THE 2017 SURVEY. CHI REVIEWED THE DRAFT SURVEY OF CRAIG PATIENTS AND PROVIDED FEEDBACK TO IMPROVE THE SURVEY FORMAT. CHI PROVIDED COMPARATIVE DATA FROM THE CHAS FOR THE GENERAL POPULATION OF COLORADO AND A SUBSET IDENTIFIED AS DISABLED. REBECCA SILVERNALE, DIRECTOR OF OPERATIONS WAS THE CHI STAFF MEMBER WHO PROVIDED THE CONSULTATION. COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (CDPHE) COLLECTS HEALTH STATISTICS IN COLORADO OBTAINED FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM QUESTIONNAIRE (BRFSS). THIS QUESTIONNAIRE HAS BEEN USED BY THE STATE TO DEVELOP A PUBLIC HELATH IMPROVEMENT PLAN. DATA FROM THE 2017 BRFSS SURVEY WAS PROVIDED ON SPECIFIC QUESTIONS FOR THE GENERAL AND DISABLED POPULATION AND COMPARED WITH CRAIG SURVEY RESPONSES. JACKIE GARDNER, POPULATION HEALTH DATA ANALYSIS WITH CDPHE IS THE STAFF MEMBER WHO PROVIDED THE DATA ON BEHALF OF CDPHE. A TEAM OF THREE INDEPENDENT PUBLIC HEALTH PROFESSIONALS PROVIDED CONSULTATION ON PRIMARY DATA COLLECTION AND REVIEWED AND MADE RECOMMENDATIONS ON THE FINAL CHNA REPORT. THESE THREE INDIVIDUALS HAVE OVER 50 YEARS OF COMBINED EXPERIENCE IN PUBLIC/POPULATION HEALTH, HEALTH CARE, DATA COLLECTION AND ANALYSIS, AND COMMUNITY HEALTH. THE TEAM MEMBERS ARE CAILA AUBE, MA; ELIZA LANMAN, MS; AMY PULVER, MBA, MA. Schedule H, Part V, Section B, Line 11-CRAIG HOSPITAL CRAIG HOSPITAL COMPLETED OUR MOST RECENT CHNA SURVEY IN SEPTEMBER 2019. THE CHNA IDENTIFIED TWO HIGH PRIORITY HEALTH NEEDS: ACCESS TO CARE AND SOCIAL/EMOTIONAL WELLNESS AND TWO MEDIUM PRIORITY NEEDS: HEALTHY EATING/ACTIVE LIVING (HEAL) AND INDEPENDENCE. WE ARE WORKING TO ADDRESS THE TWO HIGH PRIORITY NEEDS IDENTIFIED AND DO NOT PLAN TO WORK ON THE TWO MEDIUM PRIORITY NEEDS AT THIS TIME. ACCESS TO CARE - PEOPLE WITH DISABILITIES HAVE HIGHER RATES OF MANY CHRONIC HEALTH CONDITIONS, INCLUDING ARTHRITIS, ASTHMA, CARDIOVASCULAR, DIABETES, HIGH BLOOD PRESSURE, AND HIGH CHOLESTEROL WHEN COMPARED TO THOSE WITHOUT A DISABILITY. THOSE LIVING WITH PHYSICAL DISABILITIES OFTEN FACE ENORMOUS DIFFICULTY FINDING MEDICAL PRACTICES WITH WHEELCHAIR-ACCESSIBLE EQUIPMENT OR CLINICIANS WHO ARE COGNIZANT OF THEIR UNIQUE HEALTH CARE NEEDS AND RISKS WHICH CAN LEAD TO LIFE-THREATENING INFECTIONS. FURTHER, INDIVIDUALS WITH DISABILITIES OFTEN ENCOUNTER PROFESSIONALS UNPREPARED TO IDENTIFY AND TREAT THEIR PRIMARY AND SECONDARY CONDITIONS AND ANY OTHER HEALTH AND WELLNESS CONCERNS AS HEALTH CARE PROVIDERS OFTEN FOCUS ON THEIR DISABLING CONDITION RATHER THAN ON OTHER HEALTH ISSUES THAT MIGHT BE OF CONCERN TO THE INDIVIDUAL. CRAIG HOSPITAL'S AIM IS TO REDUCE BARRIERS TO HEALTHCARE, PROMOTE WELLNESS, AND PREVENT INJURY AND DISEASE. THIS WILL BE DONE BY IMPLEMENTING THE FOLLOWING STRATEGIES: INCREASE KNOWLEDGE OF GAPS IN PREVENTATIVE CARE FOR THE BI/SCI COMMUNITY AND IDENTIFY AND COLLABORATE WITH COMMUNITY PARTNERS AND PROGRAMS ALREADY WORKING TO ADDRESS THE IDENTIFIED GAPS; SERVE AS A CONSULTANT TO CLINICS IN OUR COMMUNITY TO MAKE THEIR ENVIRONMENT, FACILITIES, AND SERVICES MORE ACCESSIBLE AND INCLUSIVE; EDUCATE HEALTHCARE PROVIDERS ON HOW TO BEST TREAT THOSE LIVING WITH BI/SCI. SOCIAL/EMOTIONAL WELLNESS - NATIONAL DATA (NATIONAL HEALTH INTERVIEW SURVEY - NHIS) SHOW THAT 14.4 PERCENT OF ADULTS 18 YEARS OF AGE OR OLDER WITH DISABILITIES EXPERIENCED SERIOUS PSHYCHOLOGICAL DISTRESS; THE HEALTHY PEOPLE 2020 TARGET IS A 10 PERCENT IMPROVEMENT TO 13 PERCENT. SOCIAL RELATIONSHIPS PLAY AN IMPORTANT ROLE IN THE MENTAL HEALTH AND WELLBEING OF PEOPLE LIVING WITH BI/SCI. THE COMMUNITY SERVED BY CRAIG HOSPITAL IS PARTICULARLY IMPACTED BY INCREASED SOCIAL ISOLATION AFTER THEIR INJURY. THE GOAL IS TO REDUCE ISOLATION, INCREASE SOCIAL-EMOTIONAL SUPPORT FOR OUR COMMUNITY, AND SUPPORT INCREASED QUALITY OF LIFE OPPORTUNITIES. THE PLAN IS TO ACHIEVE THIS GOAL BY CREATING A PIPELINE FOR INDIVIDUALS LIVING WITH BI/SCI TO SERVE IN POSITIONS OF INFLUENCE THAT CAN IMPACT ACCESSIBILITY OF PHYSICAL, CULTURAL, AND INSTITUTIONAL ENVIRONMENTS; DEVELOP AND SUPPORT INTERNAL AND EXTERNAL PROGRAMS THAT SUPPORT ENGAGEMENT IN MEANINGFUL ACTIVITIES WITH THE BI/SCI COMMUNITY. THIS FISCAL YEAR WAS AN EXTREMELY CHALLENGING YEAR DUE TO THE COVID PANDEMIC, HOWEVER CRAIG HOSPITAL CONTINUED TO MAKE STRIDES ON MEETING OUR GOALS FOR IMPROVING ACCESS TO CARE AND ADDRESSING SOCIAL/EMOTIONAL WELLNESS IN OUR COMMUNITY. FOR ACCESS TO CARE, CRAIG PROVIDED CONSULTING SERVICES TO A MAMMOGRAM CLINIC TO MAKE THEIR CLINIC MORE ACCESSIBLE TO PATIENTS IN WHEELCHAIRS. THE HOSPITAL ALSO DEVELOPED AND DISTRIBUTED A "TIP SHEET" TO PRIMARY CARE PROVIDERS IN THE DENVER METRO AREA REGARDING HOW TO PROVIDE BRAIN INJURY PATIENTS WITH THE BEST CARE. THE HOSPITAL'S NURSE ADVICE LINE FIELDED CALLS FROM 52 HEALTH CARE PROVIDERS ACROSS THE COUNTRY AND 17 FROM THE STATE OF COLORADO. FOR SOCIAL/EMOTIONAL WELLNESS, CRAIG IS WORKING WITH A LOCAL COMMUNITY COLLEGE PROGRAM FOCUSED ON STUDENTS WITH BRAIN INJURIES. THE PROGRAM WILL HAVE ITS FIRST STUDENTS IN THE FALL OF 2021. CRAIG HOSPITAL DOES NOT PLAN TO ADDRESS THE TWO MEDIUM PRIORITY HEALTH NEEDS: HEALTHY EATING/ACTIVE LIVING AND INDEPENDENCE. FOCUSING RESOURCES ON THE HIGH PRIORITY HEALTH NEEDS WILL ALLOW THE CRAIG CHNA COMMITTEE TO ENGAGE THE ENTIRE CRAIG STAFF IN THE IMPLEMENTATION AS WELL AS PERMIT THE TEAM TO BUILD STRONG AND TARGETED RELATIONSHIPS WITH OTHER COMMUNITY PARTNERS TO ACHIEVE SIGNIFICANT IMPACT. IN ADDITION, BECAUSE THE ISSUES IDENTIFIED IN THE CHNA PROCESS ARE INTERRELATED, SOME OF THE ACTIVITIES PLANNED TO BE UNDERTAKEN THAT ADDRESS THE HIGH PRIORITY NEEDS MAY ALSO ADDRESS SOME ASPECTS OF THE MEDIUM PRIORITY HEALTH NEEDS. OTHER ORGANIZATIONS IN THE COMMUNITY INCLUDE HEALTHY EATING/ACTIVE LIVING IN THEIR CHNAS AND COMMUNITY HEALTH IMPROVEMENT PLANS AND PRESENT OPPORTUNITIES FOR CRAIG STAFF TO COLLABORATE WITH THESE ORGANIZATIONS TO PROVIDE CRAIG'S UNIQUE PERSPECTIVE WITHOUT TAKING ON LEADERSHIP OF ADDITIONAL HEALTH NEEDS. Schedule H, Part V, Section B, Line 13h-CRAIG HOSPITAL SIZE OF HOUSEHOLD. Schedule H, Part V, Section B, Line 16j-CRAIG HOSPITAL THE FINANCIAL ASSISTANCE APPLICATION IS SENT TO THE PATIENT WITH PRE-COLLECTION LETTER. PATIENT BILLING STATEMENTS ALSO REFERENCE THE POLICY AND CONTACT INFORMATION IS GIVEN IF THEY REQUIRE ADDITIONAL INFORMATION OR WANT TO APPLY. Schedule H, Part V, Section B, Line 20a-CRAIG HOSPITAL THERE WERE NO ECAS DURING THE YEAR SO NO ACTION WAS NECESSARY. Schedule H, Part V, Section B, Line 20e-CRAIG HOSPITAL SENT A FINAL NOTICE LETTER AND A FINANCIAL ASSISTANCE APPLICATION TO THE PATIENT. Schedule H, Part I, Line 3c IN ADDITION TO THE FPG, CRAIG HOSPITAL EVALUATES PROVIDING DISCOUNTED CARE BASED ON THE PATIENT'S ASSET LEVEL, MEDICAL INDIGENCY, THE PATIENTS INSURANCE STATUS AS WELL AS THE OTHER FACTORS DESCRIBED IN SCHEDULE H, PART V1, LINE 3 DETAILING THE ADMISSIONS DEPARTMENTS EVALUATION OF EACH NEW PATIENT. Schedule H, Part I, Line 7 COSTS WERE DETERMINED BY USING EITHER ACTUAL COSTS OR CALCULATED COSTS BASED OFF OF A COST-TO-CHARGE RATIO. Schedule H, Part I, Line 7f DUE TO THE COVID-19 PANDEMIC, CRAIG HOSPITAL LIMITED THE NUMBER OF STUDENTS/SCHOLARS/VISITORS ALLOWED WITHIN THE HOSPITAL TO HELP MITIGATE THE CHANCE OF SPREADING THE VIRUS AS WELL AS FOLLOW THE RESTRICTIONS IMPOSED BY THE CDPHE AND THE STATE OF COLORADO. Schedule H, Part III, Section A, Line 2 THE HOSPITAL CONTINUED TO FOLLOW THE PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS AND ALLOWANCE FOR DOUBTFUL ACCOUNTS AS PRONOUNCED IN THE ACCOUNTING STANDARDS UPDATES 201107 AND ACCOUNTING STANDARDS CODIFICATION TOPIC 954. THIS REQUIRES ORGANIZATIONS THAT DO NOT HAVE ACCESS TO THE COLLECTABILITY OF A RECEIVABLE PRIOR TO RECOGNIZING REVNUE TO PRESENT THEIR PROVISION FOR BAD DEBT RELATED TO PATIENT SERVICE REVENUE AS A DEDUCTION FROM REVENUE, NET OF ANY CONTRACTUAL ALLOWANCES AND DISCOUNTS ON THEIR STATEMENT OF OPERATIONS. THE ADOPTION ON THIS DID NOT IMPACT THE FINANCIAL STATEMENTS AS THE HOSPITAL DOES NOT RECOGNIZE SIGNIFICANT REVENUE WITHOUT ASSESSING A PATIENT'S ABILITY TO PAY. Schedule H, Part III, Section A, Line 3 THE HOSPITAL DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENT'S ELIGIBILITY UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. Schedule H, Part III, Section A, Line 4 THERE IS NO FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE. PLEASE REFER TO PAGE 18 OF THE AUDITED FINANCIAL STATEMENTS THAT ADDRESSES PATIENTS AND UNINSURED PAYERS. Schedule H, Part III, Section B, Line 8 THE SOURCE OF THE DATA IS THE MOST RECENT FILED MEDICARE COST REPORT USING THE RATIO OF COST TO CHARGES METHOD. THE PAYMENT MECHANISM RECEIVED FOR CARE PROVIDED TO MEDICARE PATIENTS IS NOT NEGOTIATED BUT SET BY FEDERAL REGULATIONS. THE PAYMENT CURRENTLY RECEIVED FOR TREATMENT IS NOT SUFFICIENT TO COVER COSTS AND ALTHOUGH WE DON'T RECOGNIZE THIS SHORTFALL AS CHARITY, WE BELIEVE IT SHOULD BE INCLUDED IN THE CALCULATION OF COMMUNITY BENEFIT. ALL PATIENTS RECEIVE THE APPROPRIATE LEVEL OF CARE AND SERVICES REGARDLESS OF PAYMENT SOURCE. Schedule H, Part III, Section C, Line 9a THERE IS NOT A SPECIFIC WRITTEN DEBT COLLECTION POLICY AS THOSE PROCEDURES ARE ADDRESSED IN THE FINANCIAL ASSISTANCE POLICY. Schedule H, Part IV CRAIG HOSPITAL IS NO PART OF ANY AFFILIATED HEALTH CARE SYSTEM. Schedule H, Part VI, Line 2 IN ADDITION TO CONDUCTING ITS CHNA EVERY 3 YEARS, THE HOSPITAL ASSESSES COMMUNITY NEEDS THROUGH A VARIETY OF DIFFERENT PROGRAMS. AS A CONDITION OF FEDERAL FUNDING, CRAIG HOSPITAL'S RESEARCH DEPARTMENT CONDUCTS ONGOING LONGITUDINAL STUDIES ON THE LONG-TERM EFFECTS AND NEEDS OF PERSONS WITH SPINAL CORD INJURIES AND/OR BRAIN INJURIES. CRAIG HOSPITAL ALSO OPERATES A TOLL-FREE NURSE ADVICE LINE AND COLLECTS DATA ON WHY FORMER PATIENTS ARE CALLING FOR ASSISTANCE. CRAIG HOSPITAL COLLABORATES WITH THE BRAIN INJURY ALLIANCE OF COLORADO, OPERATION TBI FREEDOM, THE HANGOUT, THE CHRISTOPHER & DIANE REEVES PEER NETWORK PROGRAM AND OTHER COMMUNITY ORGANIZATIONS TO ASSESS AND MEET THE LONG-TERM NEEDS OF PERSONS WITH DISABILITIES. CRAIG ALSO LAUNCHED THE PEER MENTOR SOFT LANDING PROGRAM - A THREE YEAR PILOT PROGRAM AIMED AT IMPROVING THE SUCCESS OF PATIENTS AS THEY ARE DISCHARGED HOME AND GAINING NEW INSIGHT ON THE CHALLENGES THESE PATIENTS FACE. Schedule H, Part VI, Line 3 THE ADMISSIONS DEPARTMENT IDENTIFIES PATIENTS WHO HAVE LIMITED BENEFITS AND COMPARE THE BENEFITS TO THE ESTIMATED LENGTH OF STAY. WHEN THERE IS A SHORTAGE OF DAYS ALLOWED BY THE INSURANCE, THE ADMISSIONS DIRECTOR MEETS WITH THE PATIENT AND/OR FAMILY TO DETERMINE ALTERNATIVE COVERAGE. THIS CONVERSATION ENCOMPASSES THE PATIENT'S ABILITY TO PAY FOR THE CARE, POTENTIAL ELIGIBILITY FOR FEDERAL AND STATE PROGRAMS AND THE HOSPITALS CHARITY CARE POLICY. UPON ADMISSION, THE CASE MANAGER COMPLETES A THOROUGH PSYCHO-SOCIAL ASSESSMENT OF THE PATIENT/FAMILY SPECIFICALLY ANALYZING THEIR FINANCIAL SITUATION. THE CASE MANAGERS CONSIDER HOUSEHOLD INCOME POST-INJURY, FAMILY SIZE, ASSETS, CURRENT AND FUTURE LIVING EXPENSES, AND FINANCIAL OBLIGATIONS INCLUDING FUTURE CARE NEEDS. THE CASE MANAGERS, ALONG WITH THE PATIENT/FAMILY, ASSESS OTHER POTENTIAL RESOURCES/PROGRAMS FOR WHICH THE PATIENT MAY QUALIFY. RESOURCES AND PROGRAMS EVALUATED INCLUDE BUT ARE NOT LIMITED TO MEDICAID, VICTIM'S ASSISTANCE, LIABILITY AND LIQUIDITY, ACCIDENTAL DEATH AND DISMEMBERMENT, AND THE HOPSITAL'S CHARITY CARE PROGRAM. IF IT APPEARS AS THOUGH THE PATIENT WILL QUALIFY FOR STATE OR FEDERAL PROGRAMS, THE CASE MANAGER WILL ASSIST THE PATIENT/FAMILY IN COMPLETING THE APPLICATIONS, OBTAINING THE REQUIRED DOCUMENTATION AND ADVISING THEM ON HOW TO POSITION THEMSELVES TO QUALIFY. IF PATIENTS DO NOT MEET THE CRITERIA FOR OTHER STATE OR FEDERAL PROGRAMS, THE FINANCIAL ASSISTANCE ELIGIBILITY DISCOUNT GUIDELINE IS USED TO DETERMINE IF THE PATIENT'S BILL WILL BE DISCOUNTED. IF APPROPRIATE, THE CASE MANAGER WILL INITIATE AND ASSIST THE PATIENT/FAMILY IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION FOR THE CHARITY CARE PROGRAM. APPLICATIONS MAY ALSO BE OBTAINED ON THE HOSPITAL'S WEBSITE, COMPLETED OVER THE PHONE OR BY MAIL. IF IT IS NOT CLEAR THAT THE PATIENT/FAMILY WILL HAVE A BALANCE PRIOR TO DISCHARGE (COPAYS, COINSURANCE, ETC) THE PATIENT/FAMILY WILL RECEIVE INFORMATION ON THE CHARITY CARE PROGRAM WHICH IS NOTED ON THE MONTHLY BILLING STATEMENTS AND THE COPY OF THE APPLICATION ALONG WITH THE LETTER FOR PRE-COLLECTION. AT THIS TIME THE PATIENT CAN COMPLETE THE APPLICATION. ALL APPLICATIONS ARE REVIEWED BY THE A/R MANAGER, CFO AND/OR THE CONTROLLER. WHEN IT IS DETERMINED THAT THE CHARITY APPLICATION IS APPROPRIATE, IT IS COMMUNICATED TO THE PATIENT/FAMILY BY THE CASE MANAGER OR THE A/R MANAGER. Schedule H, Part VI, Line 4 AS ONE OF THE MOST HIGHLY-RATED REHABILITATION HOSPITALS IN THE UNITED STATES FOR SPINAL CORD INJURIES (SCI) AND TRAUMATIC BRAIN INJURIES (TBI), CRAIG TREATS PATIENTS FROM VIRTUALLY EVERY STATE INCLUDING SOME FROM OUTSIDE OF THE UNITED STATES. BASED IN ENGLEWOOD, COLORADO, HISTORICALLY APPROXIMATELY 62 PERCENT OF ALL PATIENTS ARE FROM COLORADO. THE OTHER TOP FIVE STATES WOULD INCLUDE CALIFORNIA, WYOMING, KANSAS, NEW MEXICO AND MONTANA. THESE SIX STATES ACCOUNT FOR APPROXIMATELY 75 PERCENT OF ALL PATIENTS TREATED. DURING THE FISCAL YEAR, CRAIG TREATED PATIENTS FROM ALMOST ALL OF THE 50 STATES. SINCE BECOMING A SPECIALTY HOSPITAL IN 1956, CRAIG HAS TREATED OVER 35,000 PATIENTS WITH AN SCI OR TBI. WITH AN AVERAGE OF 500 INPATIENTS AND 2,000 OUTPATIENTS A YEAR, 65 PERCENT ARE SCI PATIENTS AND 35 PERCENT ARE BRAIN INJURY PATIENTS. THE AVERAGE AGE OF CRAIG'S PATIENT POPULATION IS 44, RANGING FROM 15 TO 89 YEAR OLD AND 74 PERCENT OF ALL PATIENTS ARE MALE COMING FROM A VARIED SOCIO-ECONOMIC BACKGROUNDS. Schedule H, Part VI, Line 5 CRAIG HOSPITAL'S MISSION IS TO PROVIDE EXEMPLARY PATIENT CARE, EDUCATION AND RESEARCH TO PEOPLE WITH SPINAL CORD (SCI) AND TRAUMATIC BRAIN INJURIES (TBI). THE BOARD OF DIRECTORS, CONSISTING OF 19 MEMBERS OF WHICH 18 ARE INDEPENDENT, HAS ULTIMATE AUTHORITY IN EXTENDING PRIVILEGES ONLY TO PROFESSIONALLY COMPETENT PHYSICIANS, DENTISTS AND PODIATRISTS, LICENSED TO PRACTICE IN THE STATE OF COLORADO. THERE ARE 205 PHYSICIANS ON THE MEDICAL STAFF OF CRAIG HOSPITAL, EACH ASSIGNED TO ONE OF FOUR SEPARATE MEDICAL STAFF CATEGORIES. THE MEDICAL STAFF OF CRAIG HOSPITAL IS ORGANIZED AND OPERATES UNDER THE GUIDANCE OF THE MEDICAL STAFF BYLAWS, MEDICAL STAFF RULES AND REGULATIONS, AND MEDICAL STAFF POLICIES AND PROCEDURES. THE ORGANIZED MEDICAL STAFF IS ACCOUNTING TO THE GOVERNING BODY FOR THE QUALITY OF CARE, TREATMENT, AND SERVICES PROVIDED TO PATIENTS BY THE PRACTITIONERS WITH PRIVILEGES. THE MEDICAL STAFF IS RESPONSIBLE FOR ESTABLISHING AND MAINTAINING PATIENT CARE STANDARDS, CREDENTIALING AND DELINEATION OF CLINICAL PRIVILEGES. ADDITIONALLY, THERE ARE APPROXIMATELY 86 ALLIED HEALTH PROFESSIONALS, CATEGORIZED AS EITHER INDEPENDENT OR PHYSICIAN DIRECTED WHO FUNCTION WITHIN ONE OR MORE HEALTH RELATED PROFESSIONS OR OCCUPATIONS. THE HOSPITAL USES SURPLUS FUNDS TO FUND CAPITAL IMPROVEMENTS, EQUIPMENT FOR PATIENT PROGRAMS, AND PATIENT AND STAFF EDUCATION. IN THE CURRENT FISCAL YEAR, CRAIG REINVESTED OVER $5.7 MILLION BACK INTO THE INFRASTRUCTURE OF THE HOSPITAL FOR BUILDING IMPROVEMENTS, EQUIPMENT AND INFORMATION TECHNOLOGY. CRAIG PROVIDES SIGNIFICANT SUPPORT TO THE FAMILIES OF PATIENTS INCLUDING PROVIDING 30 DAYS OF FREE HOUSING FOR FAMILIES OF INPATIENTS WHO LIVE FURTHER THAN 60 MILES FROM THE HOSPITAL. CRAIG ALSO PROVIDES SIGNIFICANT SUPPORT TO THE COMMUNITY, SUPPORTING THE BRAIN INJURY ALLIANCE OF COLORADO, CONDUCTING FREE ANNUAL OUTPATIENT CLINICS IN PUEBLO, GRAND JUNCTION AND CASPER, WYOMING (ONLY PUEBLO BEING HELD THIS FISCAL YEAR DUE TO THE COVID PANDEMIC). OUR LEADERS SERVE ON MULTIPLE BOARDS FOR STATE AGENCIES AND ORGANIZATIONS INCLUDING THE STATE OF COLORADO'S TBI MINDSOURCE PROGRAM, DIVISION OF WORKERS COMPENSATION TBI MEDICAL TREATMENT GUIDELINES, COLORADO BRAIN INJURY PROFESSIONALS NETWORK, THE HANGOUT NETWORK, AND OTHERS. CRAIG FINANCIALLY SUPPORTS MANY LOCAL, REGIONAL, AND NATIONAL ORGANIZATIONS EACH YEAR AND COLLABORATES ON PATIENT RESEARCH AND TECHNOLOGY WITH SEVERAL LOCAL COLLEGES AND UNIVERSITIES. THIS FISCAL YEAR, CRAIG PROVIDED $210,000 IN FUNDING TO LOCAL AND NATIONAL COMMUNITY PARTNERS. CRAIG IS PIONEERING ADAPTIVE TECHNOLOGY AND CUTTING-EDGE TREATMENT INCLUDING OPERATING THE PEAK CENTER AT CRAIG HOSPITAL, A STATE-OF-THE-ART WELLNESS AND FITNESS PROGRAM FOR INPATIENTS, OUT PATIENTS, AND COMMUNITY MEMBERS. IN FISCAL YEAR 2020, OVER 370 INDIVIDUALS UTILIZED THE PEAK CENTER FACILITIES AND THAT NUMBER CONTINUES TO GROW. OTHER PROGRAMS THAT CRAIG PROVIDES TO THE COMMUNITY INCLUDE THE RSVP FREE CLINIC THAT IS HELD THE FIRST SUNDAY OF EACH MONTH OFFERING REHABILITATIVE CARE TO THE UNDERINSURED, ADAPTIVE ADVENTURE TRIPS AND ACTIVITIES FOR CRAIG GRADUATES, COMMUNITY BLOOD DRIVES, AND COMMUNITY LIAISONS WHO TRAVEL TO ASSESS AND EDUCATE PATIENTS AND PROVIDERS. CRAIG ALSO HOSTS ROTATIONS FOR RN'S FROM FOUR LOCAL NURSING SCHOOLS, AND OFFERS AND PROVIDES COMMUNITY OUTREACH EDUCATIONAL PRESENTATIONS TO LOCAL HOSPITALS AND COLLEGES ON TREATMENT OF SCI AND TBI, AND HAS A MEDICAL RESIDENT PROGRAM FOR 2 MEDICAL SCHOOL RESIDENTS AND 1 FELLOW WHICH IT MAINTAINED THROUGHOUT THE COVID 19 PANDEMIC. CRAIG PROVIDES LONG-TERM COMMUNITY SUPPORT THROUGH MULTIPLE PROGRAMS INCLUDING TELEHEALLTH THROUGH ITS NURSE ADVICE LINE, FREE EDUCATIONAL MATERIALS THROUGH THE RESOURCE LIBRARY ON CRAIG HOSPITAL'S WEBSITE, AND SOCIAL MEDIA INCLUDING FACEBOOK, TWITTER, LINKEDIN, YOUTUBE, INSTAGRAM AND A BLOG. CRAIG STAFF VOLUNTEER WITH NUMEROUS ORGANIZATIONS LIKE CAMP DISCOVER, HOMEBUILDERS FOUNDATION, AMI WELLNESS PROFESSIONAL ADVISORY COMMITTEE, FVA MOUNTAIN STATES, AND SERVE ON THE BOARDS OF HUNDREDS OF COMMUNITY ORGANIZATIONS INCLUDING THE BRAIN INJURY ALLIANCE OF COLORADO, NATIONAL SPORTS CENTER FOR THE DISABLED, ACADEMY OF SCI PROFESSIONALS, AMERICAN CONGRESS OF REHAB MEDICINE, PHAMALY THEATRE COMPANY, CATHY SCOTT FOUNDATION, CENTER FOR WOMEN'S HEALTH RESEARCH, COLORADO HOSPITAL ASSOCIATION, AND MORE. DURING THE FISCAL YEAR, CRAIG PROVIDED FINANCIAL ASSISTANCE, COMMUNITY SUPPORT AND SUBSIDIZED HEALTH SERVICES FOR GOVERNMENT PROGRAMS TOTALING $12.4 MILLION. CRAIG ALSO GIVES BACK OT THE SCI AND TBI COMMUNITIES THROUGH RESEARCH THAT IS CHANGING THE FIELD OF REHABILITATIVE MEDICINE. THE HOSPITAL'S RESEARCH DEPARTMENT SPENT IN EXCESS OF $4.9 MILLION IN FEDERAL, STATE AND FOUNDATION-SPONSORED GRANTS FOR SCI AND TBI REHABILITATION RESEARCH ON APPROXIMATELY 50 RESEARCH PROJECTS WITH A STAFF OF 28 EMPLOYEES. IN 2016, CRAIG ASSUMED RESPONSIBILITY OF MANAGING OPERATION TBI FREEDOM (OTF), A MILITARY CASE MANAGEMENT PROGRAM LOCATED IN COLORADO SPRINGS, COLORADO. OTF PROVIDES SUPPORT FOR VETERANS AND ACTIVE DUTY PERSONNEL WITH TRAUMATIC BRAIN INJURIES THROUGH CASE MANAGEMENT SERVICES INCLUDING CRISIS MANAGEMENT, MEDICAL AND MENTAL HEALTH REFERRALS, EMPLOYMENT/EDUCATION ASSISTANCE, PSYCHO-SOCIAL CLASSES, AND EMERGENCY ASSISTANCE FOR SEVERE NEEDS. AN ESTIMATED 400,000 U.S. SERVICE MEMBERS HAVE BEEN DIAGNOSED WITH A TBI SINCE 2000 OF WHICH 8,000 HAVE RETURNED TO COLORADO. OF THOSE, OTF HAS PROVIDED SUPPORT TO MORE THAN 3,000 SERVICES MEMBERS AND 8,000 FAMILY MEMBERS. WHAT MAKES CRAIG UNIQUE IS THE TEAM APPROACH TOWARDS TREATMENT AND WORKING TOGETHER TO EMPOWER PATIENTS TO ACHIEVE THEIR HIGHEST POSSIBLE LEVEL OF INDEPENDENCE AND QUALITY OF LIFE. CRAIG HAS BEEN RECOGNIZED FOR THE PAST 30 CONSECUTIVE YEARS AS A TOP 10 REHABILITATION HOSPITAL BY U.S. NEWS AND WORLD REPORT AND RECEIVED THE NDNQI AWARD IN 2009, 2012, 2013, 2014, AND 2015 FOR THE HIGHEST QUALITY OUTCOMES IN NURSING CARE IN A REHABILITATION FACILITY. CRAIG HOSPITAL ALSO RECEIVED ITS 3RD RECOGNITION FOR EXCELLENCE IN NURSING BY THE AMERICAN NURSES CREDENTIAL CENTER (ANCC) MAGNET RECOGNITION PROGRAM IN 2020. THE 2020 RECOGNITION ENSURES MAGNET DESIGNATION UNTIL 2024. CRAIG WAS VOTED BY EMPLOYEES AS A "TOP WORKPLACE" BY THE DENVER POST IN 2012, 2013, 2014, 2015, 2016 AND 2018. Schedule H, Part VI, Line 6 CRAIG HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. Schedule H, Part VI, Line 7 A COMMUNITY BENEFIT REPORT WAS NOT FILED WITH ANY STATES. 1 NATIONAL SPORTS CENTER FOR THE DISABLED 1801 MILE HIGH STADIUM CIRCLE DENVER CO 80204 840738419 501(c)(3) 30000 0 SPONSORSHIP HIGH FIVES FOUNDATION PO BOX 3212 TRUCKEE CA 96160 264275773 501(c)(3) 25000 0 SPONSORSHIP SHEPHERD CENTER 2020 PEACHTREE RD NW ATLANTA GA 30309 510141601 501(c)(3) 10000 0 SPONSORSHIP CHANDA PLAN FOUNDATION 8725 WEST 14TH AVE SUITE 170 LAKEWOOD CO 80215 204358964 501(c)(3) 20000 0 SPONSORSHIP BRAIN INJURY ALLIANCE OF COLORADO 1385 S COLORADO BLVD 606A DENVER CO 80222 840893049 501(c)(3) 20000 0 SPONSORSHIP ST ANTHONY HEALTH FOUNDATION 11600 W 2ND PLACE LAKEWOOD CO 80228 840902211 501(c)(3) 10000 0 SPONSORSHIP ONE GOOD TURN 3315 S BROADWAY ENGLEWOOD CO 80113 272126113 501(c)(3) 20000 0 SPONSORSHIP PHAMALY THEATRE COMPANY 3532 FRANKLIN ST SUITE T2 DENVER CO 80205 841123080 501(c)(3) 30000 0 SPONSORSHIP HOME BUILDERS FOUNDATION 88 INVERNESS CIRCLE EAST E104 ENGLEWOOD CO 80112 841263718 501(c)(3) 20000 0 SPONSORSHIP DENVER FILM SOCIETY 1510 YORK STREET 3RD FLOOR DENVER CO 80206 840771070 501(c)(3) 25000 0 SPONSORSHIP CRAIG HOSPITAL FOUNDATION 3425 S CLARKSON ST ENGLEWOOD CO 80113 237352287 501(c)(3) 114330 0 SUPPORT RESEARCH 11 0 Schedule I, Part I, Line 2 The Hospital financially supports many different organizations that provide programs that are similar or complimentary to Craig's mission. These organizations service or provide assistance to individuals who are typical of Craig's patient population. Management carefully reviews each organization's mission and needs when deciding which ones to support. X X 1 1 X X X 0 1 0 0 0 0 0 1 0 MICHAEL FORDYCE FORMER PRESIDENT & CEO - RETIRED 2019 56624 0 60000 0 554112 0 2895 0 1230 0 674861 0 533996 0 JANDEL ALLEN-DAVIS PRESIDENT & CEO 418058 0 122964 0 54496 0 11200 0 16311 0 623029 0 0 0 DANA POLONSKY VP CLINICAL SERVICES 216235 0 57158 0 6018 0 11200 0 23488 0 314099 0 0 0 DIANE REINHARD VP PATIENT CARE 212159 0 55573 0 4085 0 10973 0 19822 0 302612 0 0 0 JULIE KEEGAN FORMER CFO - RETIRED 2019 82125 0 0 0 206350 0 3718 0 4051 0 296244 0 180288 0 DANIEL FRANK CFO 214318 0 47952 0 748 0 10706 0 21524 0 295248 0 0 0 MARY FELLER EXECUTIVE DIRECTOR-FOUNDATION 205349 0 30638 0 768 0 9476 0 2207 0 248438 0 0 0 CHRIS WATKINS DIRECTOR IT 179801 0 27591 0 1122 0 8547 0 16093 0 233154 0 0 0 STACY ABEL VP OF PEOPLE & CULTURE 173509 0 32420 0 2301 0 8452 0 15835 0 232517 0 0 0 CYNTHIA HARRISON-FELIX DIRECTOR RESEARCH 169210 0 34521 0 807 0 8289 0 16791 0 229618 0 0 0 TOBY HUSTON DIRECTOR PSYCHOLOGY 153015 0 27414 0 428 0 7361 0 16233 0 204451 0 0 0 AMY ANHEUSER-GOLDSTEIN DIRECTOR OF PHARMACY 143898 0 29570 0 267 0 7220 0 23254 0 204209 0 0 0 Schedule J, Part I, Line 1a COUNTRY CLUB DUES AND FINANCIAL, ESTATE AND TAX PLANNING SERVICES PAID BY MIKE FORDYCE WERE REIMBURSED AND INCLUDED IN EMPLOYEE'S W-2 TAXABLE WAGES. Schedule J, Part I, Line 3 THE EXECUTIVE COMMITTEE COMMISSIONS AN INDEPENDENT COMPENSATION CONSULTING FIRM EVERY 2-3 YEARS TO CONDUCT A STUDY OF COMPENSATION OF THE KEY LEADERSHIP POSITIONS WITHIN THE HOSPITAL UTILIZING DATA FROM BOTH LOCAL AND NATIONAL HOSPITALS. THIS DATA IS THEN USED BY THE EXECUTVIE COMMITTEE WHEN IT APPROVED THE COMPENSATION OF THE PRESIDENT/CEO AND OTHER TOP MANAGEMENT POSITIONS WITHIN THE HOSPITAL. ALL OF THE DETAILS OF THE DELIBERATION AND DECISION MAKING PROCESS ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE MEETING MINUTES. Schedule J, Part I, Line 4 HOSPITAL OFFICERS PARTICIPATE IN A NON-QUALIFIED 457f RETIREMENT PLAN. DURING THE TAX YEAR, THE FOLLOWING AMOUNTS WERE EARNED AND FUNDED BY THE HOSPITAL: JANDEL ALLEN-DAVIS $80,000, DAN FRANK $40,000, DIANE REINHARD $40,000, DANA POLONSKY $40,000 and STACY ABEL $40,000. FORMER OFFICERS RECEIVED A PAYOUT FROM THEIR PARTICIPATION IN THE NON-QUALIFIED 457f RETIREMENT PLAN DURING THE TAX YEAR. THE FOLLOWING AMOUNTS WERE PAID AND INCLUDED ON THE EMPLOYEES W-2: MIKE FORDYCE - $533,996 and JULIE KEEGAN $180,288. Schedule J, Part I, Line 7 DISCRETIONARY BONUSES OF UP TO 10% OF BASE PAY ARE PAID TO DEPARTMENT DIRECTORS, UP TO 15% FOR VICE PRESIDENTS AND UP TO 30% FOR PRESIDENT/CEO BASED UPON ATTAINING SPECIFIED PERFORMANCE GOALS. A Colorado Health Facilities Authority 840752932 19648AG82 2012-12-03 40071072 Hospital Expansion & Refund 2003 Bonds 0 0 0 A 5715000 0 40071072 0 0 0 558654 0 0 31577932 7980000 0 2016 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 Schedule K, Part IV, Line 2c-12/03/2012 40,071,072 Colorado Health Facilities Authority 12/03/2012 40,071,072 COLORADO HEALTH FACILITY AUTHORITY - REBATE CALCULATION PERFORMED ON 12/1/2017 AND NO REBATE WAS DUE. Form 990, Part VI, Section B, Line 11b PRIOR TO FILING WITH THE IRS, THE FORM 990 AND RELATED SCHEDULES WERE PRESENTED, REVIEWED AND APPROVED BY THE FINANCE/AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. COPIES WERE ALSO DISTRIBUTED TO ALL BOARD MEMBERS ALONG WITH A REPORT FROM THE FINANCE/AUDIT COMMITTEE. Form 990, Part VI, Section B, Line 12c ALL BOARD MEMBERS, VICE PRESIDENTS AND DIRECTORS COMPLETE A DUALITY OF INTEREST FORM ANNUALLY AND ANY DISCLOSURES ARE BROUGHT TO THE ATTENTION OF THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, Line 15 THE EXECUTIVE COMMITTEE COMMISSIONS AN INDEPENDENT COMPENSATION CONSULTING FIRM EVERY 2 TO 3 YEARS TO CONDUCT A STUDY OF COMPENSATION OF THE KEY LEADERSHIP POSITIONS WITHIN THE HOSPITAL UTILIZING DATA FROM BOTH LOCAL AND NATIONAL HOSPITALS. THIS DATA WAS UTILIZED BY THE EXECUTIVE COMMITTEE WHEN IT APPROVES THE COMPENSATION OF THE PRESIDENT/CEO AND OTHER TOP MANAGEMENT POSITIONS WITHIN THE HOSPITIAL. ALL OF THE DETAILS OF THE DELIBERATION AND DECISION MAKING PROCESS ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE MEETING MINUTES. Form 990, Part VI, Section C, Line 19 THE HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VIII, Line 1d DURING THE YEAR ENDED SEPTEMBER 30, 2020, THE HOSPITAL RECEIVED APPROXIMATELY $2,153,000 OF DISTRIBUTIONS FROM THE CORONAVIRUS AID RELIEF, AND ECONOMIC SECURITY ACT (CARES) PROVIDER RELIEF FUND (COLLECTIVELY THE PROVIDER RELIEF FUND). THESE DISTRIBUTIONS FROM THE PROVIDER RELIEF FUND ARE NOT SUBJECT TO REPAYMENT, PROVIDED THE HOSPITAL IS ABLE TO ATTEST TO AND COMPLY WITH THE TERMS AND CONDITIONS OF THE FUNDING, INCLUDING DEMONSTRATING THAT THE DISTRIBUTIONS RECEIVED HAVE BEEN USED FOR QUALIFYING EXPENSES OR LOST REVENUE ATTRIBUTABLE TO COVID-19, AS DEFINED BY THE HUMAN AND HEALTH SERVICES. THE HOSPITAL ACCOUNTS FOR SUCH PAYMENTS AS CONDITIONAL CONTRIBUTIONS IN ACCORDANCE WITH ASC TOPIC 958-605, REVENUE RECOGNITION. PAYMENTS ARE RECOGNIZED AS CONTRIBUTION REVENUE ONCE THE APPLICABLE TERMS AND CONDITIONS REQUIRED TO RETAIN THE FUNDS HAVE BEEN SUBSTANTIALLY MET. Form 990, Part IX, Line 11g PROGRAM SERVICES - CONTRACTED MEDICAL SERVICES - $6,153,529, CONSULTING SERVICES - $143,658, MEDICAL DIRECTOR SERVICES - $911,000, LAUNDRY SERVICES - $306,736, MISC PURCHASED SERVICES - $751,178, CONTRACT LABOR - $226,050, OTHER SERVICES - $530,523. MANAGEMENT AND GENERAL - CONSULTING SERVICES $619,909, OTHER SERVICES - $178,781. FUNDRAISING - CONSULTING SERVICES - $4,182, OTHER SERVICES - $151. Craig Hospital Foundation 3425 S Clarkson Street Englewood CO 80113 237352287 Fundraising CO 501(C)(3) 12A/TYPE I Craig Hospital 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 Craig Hospital Foundation c 5905303 ACTUAL COST Craig Hospital Foundation b 114330 ACTUAL COST