2019-07-11T17:54:12-07:00 2018-09-30 990 2017-10-01 840404233 CRAIG HOSPITAL CRAI 3037898000 3425 S CLARKSON STREET ENGLEWOOD CO 80113 Daniel Frank CFO 3037898443 2019-07-11 67.230.213.66 2017 2019-02-21 02:37:17Z Jandel Allen-Davis 3425 S Clarkson Street Englewood CO 80113 145003408 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. 16 15 1175 250 0 11196 9470263 9108614 101797534 109452097 1645075 3365882 2680499 3105039 115593371 125031632 185434 290253 0 0 63506588 68260941 0 0 1584164 40971152 41442448 104663174 109993642 10930197 15037990 253027229 278583812 55680366 67007089 197346863 211576723 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, REHABILTATIVE CARE, AND LONG-TERM FOLLOW-UP SERVICES. 0 0 82395839 290253 109452097 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 28,902 DAYS OF INPATIENT CARE AND 17,375 OUTPATIENT VISITS. 3628756 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 22. 0 0 0 86024595 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 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 1 125 0 1 1175 1 1 1 0 0 0 0 0 X 16 15 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 HUGH RICE - TERM ENDED 3-2018 PAST CHAIR 2 0 X 0 0 0 ERIC FEAGLER DIRECTOR 2 0 X 0 0 0 KEN KELLEY DIRECTOR 2 0 X 0 0 0 TODD MUNSON TREASURER 2 0 X 0 0 0 GERRY LEWIS JENKINS DIRECTOR 2 0 X 0 0 0 MOLLY RAUZI DIRECTOR 2 0 X 0 0 0 JIM RODDY - TERM ENDED 2-2018 DIRECTOR 2 0 X 0 0 0 ERIN EISELEIN DIRECTOR 2 0 X 0 0 0 JOHN KURATH DIRECTOR 2 0 X 0 0 0 COLLEEN FADDICK CHAIR ELECT 2 0 X 0 0 0 BOB LADENBURGER CHAIR 2 0 X 0 0 0 JUSTIN MONINGER PAST CHAIR 2 0 X 0 0 0 MARILYN TAYLOR SECRETARY 2 0 X 0 0 0 STEPHANIE BODHI - STARTED 12-2017 DIRECTOR 2 0 X 0 0 0 KARI GOERKE - STARTED 1-2018 DIRECTOR 2 0 X 0 0 0 SCOTT HEFNER - STARTED 3-2018 DIRECTOR 2 0 X 0 0 0 JESSICA HOBBS - STARTED 9-2018 DIRECTOR 2 0 X 0 0 0 MIKE FORDYCE PRESIDENT & CEO 40 8 X 775969 0 197399 DANA POLONSKY VP CLINICAL SERVICES 40 0 X 327861 0 100562 JULIE KEEGAN VP FINANCE 40 2.5 X 363132 0 89720 DIANE REINHARD VP PATIENT CARE 40 0 X 317635 0 94787 CHRIS WATKINS DIRECTOR IT 40 0 X 184053 0 22744 CYNTHIA HARRISON-FELIX DIRECTOR RESEARCH 40 0 X 185394 0 22714 KENNY HOSACK DIR-PROVIDER RELATIONS & MARKETING 40 0 X 188927 0 30204 MARY FELLER EXECUTIVE DIRECTOR-FOUNDATION 40.00 0.00 X 217574 0 10703 AMY GOLDSTEIN DIRECTOR PHARMACY 40 0 X 161197 0 28851 2721742 0 597684 48 0 1 0 GE JOHNSON CONSTRUCTION 25 N CASCADE AVENUE COLORADO SPRINGS CO 80903 CONSTRUCTION SERVICES 7026179 SWEDISH MEDICAL CENTER 501 E HAMPDEN AVENUE ENGLEWOOD CO 80113 MEDICAL SERVICES 9252945 CNS MEDICAL GROUP DEPT 710924 DENVER CO 80271 MEDICAL DIRECTOR 1021448 RTA Inc 19 S Tejon Street Suite 300 Colorado Spring CO 80903 ARCHITECT SERVICES 656523 Optiv Security Inc PO Box 28216 Network Place Chicago IL 60673 PURCHASED SOFTWARE 571068 33 0 0 0 5926226 3145861 36527 0 9108614 Medical Services 622310 107858564 107858564 0 0 Patient Apartments 721000 1593533 1593533 0 0 0 0 0 0 109452097 2200219 0 0 2200219 0 0 0 0 0 0 0 0 154316 0 125547 0 28769 0 28769 0 0 28769 21004296 7596 19744956 101273 1259340 -93677 1165663 0 0 1165663 0 0 0 0 0 0 0 Peak Wellness Center 900099 1033070 1033070 0 0 Federal Grant Indirect Reimbursement 900099 849127 849127 0 0 Cafeteria 722100 718203 718203 0 0 475870 475870 0 0 3076270 125031632 112528367 0 3394651 X 290253 290253 0 0 0 0 0 0 2016448 0 2016448 0 0 0 0 0 50056544 41126484 7832731 1097329 3466851 2947807 519044 0 9065444 7554654 1319531 191259 3655654 2997973 580119 77562 0 0 0 0 298335 0 293554 4781 90660 0 74550 16110 90481 0 90481 0 0 0 186357 0 186357 0 12059390 11327682 718021 13687 1040473 0 988344 52129 1658993 611096 967781 80116 3456607 0 3456607 0 0 0 0 0 2178969 1983871 195098 0 659457 286353 363002 10102 0 0 0 0 60375 0 56722 3653 583645 0 583645 0 0 0 0 0 8993070 7554179 1438891 0 325245 0 325245 0 Medical Supplies 3783342 3780259 2875 208 Research Expense 3628756 3628756 0 0 Food Expense 1138031 1106557 31474 Minor Equipment & Repairs 862401 708120 117741 36540 347861 120551 226622 688 109993642 86024595 22384883 1584164 5292331 4620066 8115028 8212196 677698 794574 26183628 29636092 0 0 0 524002 619547 2077254 2001966 196079255 64459242 127336605 131620013 81164135 99530374 1656548 1548984 253027229 278583812 21169401 19197685 34510965 33809404 14000000 0 0 55680366 67007089 X 197346863 211576723 0 0 0 0 197346863 211576723 253027229 278583812 15037990 -808130 0 0 0 0 X 0 1 X 1 1 1 X 0 0 0 0 0 0 1 82000 0 1 8481 90481 0 Schedule C, Part II-B, Line 1 Schedule C, Part II-B, Line 1 - Line 1g: The Hospital in conjunction with other hospitals are contracted with a consulting firm to help educate legislators why the current LTAC regulations are not appropriate for specialty hospitals like Craig Hospital. The Hospital also hired a consulting firm to help continue the availability of Craig Hospital license plates offered by the Colorado Department of Motor Vehicles. Line 1i: The portion of the dues paid to professional organizations that were used to pay for lobbying. 4523400 956581 313250 0 139394 0 5653837 4040090 100500 416902 0 34092 0 4523400 2807998 984511 274587 0 27006 0 4040090 3089373 258681 -99635 0 440421 0 2807998 2980065 8000 166189 0 64881 0 3089373 0 0.85 0.15 0 1 1 0 7651753 7651753 0 133873824 28579652 105294172 0 0 0 0 0 53169872 35394675 17775197 0 1383806 484915 898891 131620013 0 0 X 123664997 -808132 0 0 110750 -697382 124362379 186358 482895 669253 125031632 109435136 0 0 0 110747 110747 109324389 186358 482895 669253 109993642 Schedule D, Part V, Line 4 Endowment funds serve a variety of purposes including supporting graduates (former patients), ensuring excellence of Craig Hospital and general purposes. Schedule D, Part X, Line 2 The Hospital provides a more-than-likely-not measurement to reflect the consolidated financial statement impact of uncertain tax provisions taken or expected to be taken on a tax return. After evaluating the tax provisions taken, none are considered uncertain; therefore no amounts have been recognized as of September 30, 2018 and 2017. If incurred, interest and penalties with the tax positions are recorded in the period assessed in other programs and costs. No interest and penalties have been recorded as of September 30, 2018 and 2017. Schedule D, Part XI, Line 2d Occupancy and depreciation expenses associated with Rental Income $110,773; Misc reclass $-23 Schedule D, Part XI, Line 4b Research expenses funded by Craig Hospital Foundation. Schedule D, Part XII, Line 2d Occupancy and depreciation expense allocated to Rental Income $110,773; Misc Reclass ($23). Schedule D, Part XII, Line 4b Research expenses funded by Craig Hospital Foundation. 1 1 X 1 X 3 1 X 5 1 1 0 0 1137340 0 1137340 0.01 8871616 7271135 1600481 0.015 0 0 0 0 0 0 10008956 7271135 2737821 0.025 1774077 0 1774077 0.016 274504 0 274504 0.002 3145861 3145861 0 0 290253 0 290253 0.003 0 0 5484695 3145861 2338834 0.021 0 0 15493651 10416996 5076655 0.046 0 5734 0 4411736 7274880 -2863144 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 15 1 0 0 1 X https://craighospital.org/uploads/2016-Community-Health-Needs-Assessment.pdf 1 16 1 https://craighospital.org/uploads/2016-Community-Health-Needs-Assessment.pdf 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 0 X X 0 0 Schedule H, Part V, Section B, Line 5-Craig Hospital Community partners and individuals with special expertise in public health provided comparative data on our patient population. Health Data Analyst from the Health Surveys and Analysis Program of the Colorado Department of Public Health and Environment provided data on the Behavorial Risk Factor Surveillance System survey. Policy Analyst from the Colorado Health Institute provided data on the Colorado Health Access Survey. Schedule H, Part V, Section B, Line 11-Craig Hospital The CHNA identified several needs that are being addressed as follows: 1. We have developed resources to help patients search for transportation providers and public transit in their community. These resource are available on our website. 2. We continue development of resources to help disabled persons access medical services in their community through the Nurse Advice Line and the hospital website. The Nurse Advice Line staff is experienced in helping callers find a doctor in their community and guide patients in how to get an appointment with their PCP when needed. 3. We continue to use social media to raise awareness about the importance of receiving a flu shot each year and to promote the resources available on our website such as the list of dentists who provide affordable care and have accessible offices for disabled persons. 4. We previously developed a video with a variety of scenarios experienced in daily lives and how to advocate for accessibility needs for patients who experience barriers in their community after they return home. The video was made available on the hospital website for patients to access from home. 5. We created education regarding the rapid changes in Opiate prescriptions guidelines and the dangers with opiate addiction. The article was published on our blog and social media. 6. Over the last fiscal year the hospital did a number of things to improve our patient's health after discharging from Craig and re-entering their community. We vaccinated more than 95% of our inpatients against influenza during flu season and offered the vaccine to our outpatients as well. 7. The hospital continued development of a soft-landing pilot program to better support some of our most complicated discharges. Craig staff go home with the patient and their family whether they live in Colorado or out of state for a couple of days to help the patient settle into their community again and make sure they are set for success. 8. We implemented a pill-box loading program helping patients prepare their prescriptions prior to discharge from Craig and re-entering their community. This program prevents patients from being overwhelmed by the need to fill prescriptions when they arrive home from the hospital. It also helps patients prevent and identify medications errors in their homes and community pharmacies. The CNHA and implementation strategy is reviewed and approved by the Medical Care and Administrative Committee and submitted to the Board of Directors for approval. 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 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 20e-Craig Hospital Sent a final notice letter and a Financial Assistance Application to patient. Schedule H, Part I, Line 7 Costs were determined by using either actual costs or calculated costs based off a cost-to-charge ratio. 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 revenue to present their provision for bad debt related to a patient service revenue as a deduction from revenue, net of any contractual allowances and discounts on their statement of operations. The adoption of 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 patients eligible 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 9 of the Audited Financial Statements that addresses Patient Account Receivable. 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 VI, Line 2 It 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 injury and brain injury. Craig Hospital also operates a toll-free Nurse Advise Line and collects data on why former patients are calling for assistance. Craig Hospital also collaborates with the Brain Injury Alliance of Colorado , Operation TBI Freedom, The Hangout, the Christopher & Dana Reeve Peer Network Program and other community organizations to assess and meet the long term needs of citizens with disabilities. Craig also launched the Peer Mentor Soft Landing Program-a 3 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 estimate length of stay. When there is a shortage of days allowed by insurance, the Admissions Directors 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 Hospital's Charity Care program. Upon admission, the case manager complete 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 expected 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 included but are not limited to Medicaid, Victim's Assistance, Liability and Liquidity, Accidental Death and Dismemberment, and the Hospital'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 utilized 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 Craig website, completed over the phone or by mail. If it is not clear that the patient/family will have a balance prior to discharge (co-pays, out of pocket etc) the patient/family will receive information on the Charity Care Program which is noted on the monthly billing statements and the copy of application along with letter for pre-collection. At this time the patient can complete the application. All applications are reviewed by the A/R Manager, VP of Finance and/or the Controller. When it is determined that the charity application is appropriate, this is communicated to the patient/family by the case manger or A/R Manager. Schedule H, Part VI, Line 4 As one of the most highly-rated rehabilitation hospital in the United States for spinal cord (SCI) and traumatic brain injuries (TBI), Craig treats patients from virtually every state including some from outside the US. Based in Englewood, Colorado, approximately 60% of all patients are from Colorado. The other top five states in order would include Wyoming, New Mexico, Kansas, and California. These five states account for approximately 74% of all patients treated during FY 2018. During FY 2018, Craig treated patients from 37 states. Since becoming a specialty hospital in 1956, Craig has treated over 33,000 patients with an SCI or TBI. With an average of 500 inpatients and 2000 outpatients a year, 51% are SCI patients and 49% BI patients The average age of Craig's patients is 38, ranging from 15 to 70 years old and 78% of all patients are male coming from varied socio-economic backgrounds. 80% of Craig's patients are Caucasian and 10% are Hispanic/Latino. During FY 2018, 9% of inpatients were Medicaid recipients and 5% were on Medicare. Craig treats all levels of spinal cord injuries, traumatic brain injuries, stroke, aneurysm, encephalopathy, anoxia, and ventilator patients, as well as neuromuscular disorders like Transverse Myelitis, Guillain-Barre Syndrome or other conditions. The leading causes of injuries in our patient population are vehicular accidents (43%), falls (21%), medical complications (18%) and sports injuries (14%). Craig works very closely with all the hospitals in the Rocky Mountain Region and receives referrals from Hospitals throughout the US. Although many of the critical care hospitals have rehabilitation units, specialty hospitals like Craig have access to extraordinary expertise, resources and therapy programs that aren't often available at general rehabilitation centers. Craig has years of experience treating individuals with SCI and TBI and can offer patient and family support programs designed for SCI and TBI patients. In addition the staff at Craig knows how to help families navigate complex SCI/TBI care at an emotionally challenging time. 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 of Craig Hospital, consisting of 16 members of which 15 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 194 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 accountable 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 82 allied health professionals, categorized as either independent or physician directed whom function within one or more health-related professions or occupations. The Hospital uses excess funds to fund capital improvements, equipment for patient programs, and patient and staff education. In FY2018, Craig reinvested over $13 million back into the infrastructure of the Hospital for building improvements, state-of-the-art equipment and information technology. Craig Hospital provides significant support to the families of patients including 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 and Grand Junction, Colorado and Casper, Wyoming. Our leaders serve on multiple boards for state agencies and organizations including 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. In FY 2018, Craig provided $290,000 in funding to local and national community partners. Craig Hospital is pioneering adaptive technology and cutting-edge treatment and operates the Peak Center at Craig Hospital, a state-of-the art wellness and fitness program for inpatients, outpatients, and community memberships. In FY2018, over 250 individuals utilized the Peak Center facilities and that number expects to grow. Other programs that Craig provides to the community include the RSVP Free Clinic that is held the first Sunday of each month that offers 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 and CNS students from 8 local schools, two Denver Public School Career expos for students interested in a career in healthcare, provides community outreach educational presentations to local hospital and colleges on treatment of SCI and TBI, and has a Residents Program for 2 medical school residents and 1 fellow. The Hospital provides long-term community support through multiple programs such as: Toll-free 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, Homebuilder's 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, the Hospital provided financial assistance, community support and subsidized health services from government programs totaling $7.9 million. Craig also gives back to the SCI and TBI communities through research that is changing the field of rehabilitative medicine. The Craig Hospital Research Department spent in excess of $4.7million in federal, state and foundation-sponsored grants for SCI and BI rehabilitation research, with approximately 35 current research projects and 22 employees. In FY 2016, Craig assumed the responsibility of managing Operation TBI Freedom (OTF), a military case management program located in Colorado Springs,Co. OTF provides support for veterans and active duty personnel with TBI through case management services including crisis management, medical and mental health referrals, employment/education assistance, psychosocial classes, and emergency assistance for severe needs. An estimated 400,000 U.S.service members have been diagnosed with TBI since 2000 of which over 8,000 have returned to Colorado. Of that amount, OTF has provided services to more than 3,000 service members and 8,000 family members. What sets Craig apart is our team approach- working together to empower patients to achieve their highest possible level of independence and life quality. Craig has been recognized for the past 29 consecutive years as a top 10 rehabilitation hospital by US News and World Report and received the NDNQI(R) award in 2009, 2012, 2013, 2014 and 2015 for the highest quality outcomes in nursing care in a rehabilitation facility. Craig also received its 3rd recognition for excellence in nursing by the American Nurses Credential Center (ANCC) Magnet Recognition Program(R) in 2015. The 2015 recognition ensures Magnet designation until the year 2020. 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 any affiliated health care system. Schedule H, Part VI, Line 7 A community benefit report is not filed with any state. 1 National Sports Center for the Disabled 1801 Mile High Stadium Circle Denver CO 80204 840738419 501(c)(3) 73000 0 Sponsorship Colorado Neurological Institute 701 E Hampden Ave Suite 415 Englewood CO 80113 841100975 501(c)(3) 11000 0 Sponsorship Chanda Plan Foundation 8725 West 14th Avenue Suite 170 Lakewood CO 80215 204358964 501(c)(3) 10000 0 Sponsorship Brain Injury Alliance of Colorado 1385 S Colorado Blvd Suite 606A Denver CO 80222 840893049 501(c)(3) 16000 0 Sponsorship St Anthony Health Foundation 11600 W 2nd Place Lakewood CO 80228 840902211 501(c)(3) 16000 0 Sponsorship Phamaly Theatre Company 711 Park Avenue West Suite 320 Denver CO 80205 841123080 501(c)(3) 60000 0 Sponsorship Denver Metro Chamber Leadership Foundation 1445 Market Street Denver CO 80202 840186760 501(c)(3) 7000 0 Sponsorship Denver Harlequin Wheelchair Rugby 10937 W Progress Place Littleton CO 80127 841493585 501(c)(3) 10000 0 Sponsorship Habitat for Humanity-Cycle of Hope 761 S Emporia Street Denver CO 80247 811804627 501(c)(3) 10000 0 Sponsorship Christopher and Dana Reeve Foundation 636 Morris Turnpike Suite 3A Short Hills NJ 07078 222939536 501(c)(3) 30000 0 Sponsorship 10 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 to Craig's patient population. Management carefully reviews each organization's mission and needs when deciding what ones to support. X X 1 1 X X X 0 1 0 0 0 0 0 1 0 MIKE FORDYCE PRESIDENT & CEO 380772 0 151040 0 244157 0 182157 0 15242 0 973368 0 171357 0 JULIE KEEGAN VP FINANCE 235501 0 49889 0 77742 0 74453 0 15267 0 452852 0 63653 0 DANA POLONSKY VP CLINICAL SERVICES 194748 0 52971 0 80142 0 78142 0 22420 0 428423 0 67991 0 DIANE REINHARD VP PATIENT CARE 191120 0 51882 0 74633 0 72371 0 22416 0 412422 0 62429 0 AMY GOLDSTEIN DIRECTOR PHARMACY 135311 0 25639 0 248 0 6711 0 22140 0 190049 0 0 0 KENNY HOSACK DIR-PROVIDER RELATIONS & MARKETING 149920 0 38050 0 957 0 7872 0 22332 0 219131 0 0 0 CYNTHIA HARRISON-FELIX DIRECTOR RESEARCH 153372 0 31005 0 1017 0 7563 0 15151 0 208108 0 0 0 CHRIS WATKINS DIRECTOR IT 158128 0 25317 0 608 0 7578 0 15166 0 206797 0 0 0 MARY FELLER EXECUTIVE DIRECTOR-FOUNDATION 187734 0 29125 0 715 0 8718 0 1986 0 228278 0 0 0 Schedule J, Part I, Line 1a Country club dues and financial, estate and tax planning services paid by Mike Fordyce, CEO, were reimbursed by the Hospital and included in employee's Form W2 taxable wages. Schedule J, Part I, Line 4 Officers participate in a non-qualified 457f retirement plan. During the tax year, the following amounts were earned and funded by the Hospital: Mike Fordyce CEO $120,000; Julie Keegan VP Finance $40,000; Dana Polonsky VP Clinical Services $40,000 and Diane Reinhard VP Patient Care $40,000. Schedule J, Part I, Line 7 Discretionary bonuses of up to 10% of base pay are paid to department directors, up to 15% to Vice Presidents, and up to 30% to CEO all 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 4095000 0 40071072 0 0 0 558654 0 0 31577932 7980000 0 2016 1 0 1 1 A 0 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 Schedule K, Part IV, Line 2c-12/03/2012 40,071,072 Colorado Health Facilities 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 date was utilized by the Executive Committee when it approves 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. 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 IX, Line 11g Program Services: Contracted Medical Services $9,113,069, Consulting Services $30,440, Medical Director Services $879,840, Laundry Services $347,358, Misc Purchased Services $288,702, Contract Labor $173,061, Other Services $495,213. Management and General: Consulting Services $114,634, Purchased Services $139,037, Contract Labor $165,472, Other Services $298,877. Fundraising: Consulting Services $1,800, Purchased Services $8,660, Other Services $3,228. Craig Hospital Foundation 3425 S Clarkson Street Englewood CO 80113 237352287 Fundraising CO 501(C)(3) 11A/TYPE I Craig Hospital 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 Craig Hospital Foundation c 5926226 Actual cost