2019-04-02T13:58:01-07:00 2018-06-30 990 2017-07-01 742044647 NATIONAL JEWISH HEALTH NATI 3033884461 1400 JACKSON STREET DENVER CO 80206 Christine Forkner Chief Financial Officer 3033981004 2019-04-01 205.143.248.42 2017 2019-02-21 02:37:17Z Christine K Forkner 1400 Jackson Street Denver CO 80206 314554471 0 X www.njhealth.org X 1978 CO National Jewish Health's mission since 1899 is to heal, discover and educate as a preeminent healthcare institution. We serve by providing the best integrated and innovative care for patients and their families; by understanding and finding cures for the diseases we research; and, by educating and training the next generation of healthcare professionals to be leaders in medicine and science. 43 42 2158 138 909687 15658 69874044 87678538 175820235 184125398 6061506 7979445 -830926 -1525234 250924859 278258147 0 0 0 0 153399778 159051643 412076 369443 7847202 97465384 102011938 251277238 261433024 -352379 16825123 291957000 301872000 95107000 88079000 196850000 213793000 National Jewish Health's mission since 1899 is to heal, discover and educate as a preeminent healthcare institution. We serve by providing the best integrated and innovative care for patients and their families; by understanding and finding cures for the diseases we research; and, by educating and training the next generation of healthcare professionals to be leaders in medicine and science. 0 0 47402835 29231272 47123242 National Jewish Health conducts extensive basic, translational and clinical biomedical research. In addition to translational research programs in its areas of clinical specialties, National Jewish Health conducts research in basic immunology, genetics, proteomics, cell biology, signal transduction, structural biology, cancer biology, and oxidant biology. Research activities have resulted in a number of scientific discoveries that have improved care for patients worldwide. Funds for National Jewish Health's biomedical research are provided by grants from private and governmental agencies which include the National Institutes of Health (NIH), the Department of Defense (DOD), and the Howard Hughes Medical Institute (HHMI); and charitable contributions. 160013878 140965000 National Jewish Health is a national referral center treating adult and pediatric patients on both an inpatient and outpatient basis. National Jewish Health specializes in the treatment of respiratory, cardiac, allergic and immunologic diseases. Clinical specialties include: allergy, pulmonology, occupational medicine, psychosocial medicine, gastroenterology, rheumatology, cardiology, critical care and hospital medicine, otolaryngology, sleep medicine, oncology, nephrology, cystic fibrosis, pharmacokinetics and infectious disease. In the fiscal year ended June 30, 2017, National Jewish Health had over 104,009 outpatient physician visits and an average day program census of 13.83 days. Our physicians had 22,160 encounters with patients through providing critical care and consult services in hospitals throughout the city. Patients included residents from virtually every state and several foreign countries, with residents of Colorado constituting the largest group. National Jewish Health was founded under the motto "None may enter who can pay, None can pay who enter." While National Jewish Health accepts paying patients, we still provide significant amounts of charity care and offer all appointments on a first come, first serve basis regardless of ability to pay. 8593246 9711000 From its beginnings in 1899, National Jewish Health physicians and scientists have focused on treatment and prevention of the leading public health issues of the day. Health Initiatives programs continue our heritage by addressing the top two causes of preventable illness and death today - obesity and smoking. In the US, one in three people are obese, one in three people are overweight, and one in five people use tobacco. Effective treatment of obesity and smoking requires permanent changes to unhealthy behavior patterns. National Jewish Health has been a leader in guiding healthy behavior change since the mid-1990s when we launched one of the first disease management programs. Each year, we help tens of thousands of people across the nation improve their health through our QuitLogix(R) tobacco cessation programs. Our programs are based on evidence-based guidelines and clinically-proven interventions for behavior modification. QuitLogix(R) combines personal coaching with nicotine replacement therapy to achieve one of the highest quit smoking rates in the country. Since 2002, QuitLogix has assisted over 1,000,000 people across the country with their quit attempts. 5049841 3001000 National Jewish Health emphasizes the education of health professionals and biomedical scientists. National Jewish Health is a teaching affiliate of the University of Colorado which is accredited by the Accreditation Council for Graduate Medical Education. National JewishHealth's Office of Professional Education creates continuing medical education (CME) programs that assist physicians and healthcare providers in changing their practice behaviors and further develop and enhance their clinical knowledge and skills to better treat their patients. To assist in educating the public about lung, allergic, and immunologic disorders, National Jewish Health created a toll-free call center, Lung Line (R), in 1983. In addition, National Jewish Health provides a free community outreach program designed to promote lung health and awareness in the community. National Jewish Health operates a free, accredited, K-8 school on campus, geared to the needs of children who have been educationally disadvantaged by long term illness. The Morgridge Academy, founded in the early 1940s, provides an opportunity for 60 to 80 chronically ill children annually to benefit from studying with their peers. 5049841 0 3001000 221059800 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 1 1 0 0 0 1 319 0 1 2158 1 1 1 0 0 0 0 1 1 0 0 0 0 X 43 42 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 AL CT DC FL GA IL KS KY MA MD MI MN NC NH NM OH OK OR PA SC TN UT WI WV X X Christine K Forkner 3033884461 1400 JACKSON STREET DENVER CO 80206 Jandel Allen-Davis Member, BOD 2 0 X 0 0 0 Sue Allon Member, BOD 2 0 X 0 0 0 Steve Arent Lifetime Member, BOD 2 0 X 0 0 0 Richard Baer Member, BOD 2 0 X 0 0 0 Geoffrey Barker Member, BOD 2 0 X 0 0 0 Jim Berenbaum Member, BOD 2 0 X 0 0 0 Norman Brownstein Member, BOD 2 0 X 0 0 0 Robin Chotin Vice Chair and Secretary, BOD 2 0 X X 0 0 0 Warren Cohen Member, BOD 2 0 X 0 0 0 Stanton Dodge Member, BOD 2 0 X 0 0 0 David Engleberg Member, BOD 2 0 X 0 0 0 Michael Feiner Member, BOD 2 0 X 0 0 0 Thomas Gart Member, BOD 2 0 X 0 0 0 Lawrence Gelfond Lifetime Member, BOD 2 0 X 0 0 0 Roger Gibson Member, BOD 2 0 X 0 0 0 Jerry Glauser Member, BOD 2 0 X 0 0 0 A Barry Hirschfeld Member, BOD 2 0 X 0 0 0 Christine Isenberg Member, BOD 2 0 X 0 0 0 Lydia Jumonville Member, BOD 2 0 X 0 0 0 Mariner Kemper Member, BOD 2 0 X 0 0 0 Lewis Kling Member, BOD 2 0 X 0 0 0 Steven Kris Member, BOD 2 0 X 0 0 0 Jim Kuhn Member, BOD 2 0 X 0 0 0 Connie G McArthur Member, BOD 2 0 X 0 0 0 Marvin Moskowitz Member, BOD 2 0 X 0 0 0 Brian Parks Member, BOD 2 0 X 0 0 0 Kathryn A Paul Member, BOD 2 0 X 0 0 0 Leonard M Perlmutter Lifetime Member, BOD 2 0 X 0 0 0 John Reilly Member, BOD 2 0 X 0 0 0 Blair Richardson Chair, BOD 2 0 X 0 0 0 Eddie A Robinson Lifetime Member, BOD 2 0 X 0 0 0 Meyer M Saltzman Lifetime Member, BOD 2 0 X 0 0 0 Bradley Levin Member, BOD 2 0 X 0 0 0 Richard Schierburg Member, BOD 2 0 X 0 0 0 Michael K Schonbrun Member, BOD 2 0 X 0 0 0 Martin Semple Member, BOD 2 0 X 0 0 0 Donald Silversmith Vice Chair, BOD 2.00 0 X 0 0 0 Marc D Steron Member, BOD 2 0 X 0 0 0 Burton Tansky Member, BOD 2 0 X 0 0 0 Debra Tuchman Member, BOD 2 0 X 0 0 0 Daniel Yohannes Member, BOD 2 0 X 0 0 0 Evan H Zucker Vice Chair, BOD 2 0 X 0 0 0 Michael Salem MD President and CEO, BOD member 50 2 X X 1313071 0 29603 Christine K Forkner EVP and CFO, Ass't Treasurer 50 1 X 476259 0 36862 Greg Downey MD EVP Academic Affairs 50 0 X 766763 0 32930 Richard Martin MD Chairman, Department of Medicine 50 0 X 515964 0 23468 Pamela L Zeitlin Chairman, Department of Pediatrics 50 0 X 405455 0 0 Ron Berge EVP and COO 50 0 X 400697 0 32654 Lisa Tadiri VP Development 50 0 X 352257 0 37750 William E Lee MD Sr MD/Faculty Member/ 50 0 X 629288 0 37750 Robert S Kantor MD Sr MD/Faculty Member/ 50 0 X 479619 0 23340 Christopher B Jones Sr MD/Faculty Member 50 0 X 402937 0 26948 Andrew Freeman Sr. MD / Faculty Member 50 0 X 406735 0 36862 Irina Petrache Sr. MD/Faculty Member 50 0 X 384251 0 9075 Erwin Gelfand Former Chair Dept of Pediatrics 50 0 X 250175 0 21371 Michael E Wechsler Sr MD/Faculty Member 50 0 X 378035 0 23340 David Lynch Sr MD / Faculty Member 50 0 X 350539 0 23468 Debra Dyer Sr. MD/Faculty Member 50 0 X 346269 0 37750 Jennifer Wink Sr. MD / Faculty Member 50 0 X 307296 0 36862 Valerie Hale Sr. MD / Faculty Member 50 0 X 283842 0 29603 8449452 0 499636 263 1 1 0 Dimassimo 220 E 23rd Street 2nd Floor New York NY 10010 Advertising and Professional Fees 3190233 University of Colorado Anschutz Medical Campus Graduate Medical Education PO Box 910388 Denver CO 80291 Clinical Fellows 1505548 Arup Laboratories MAIN PO BOX 27964 Salt Lake City UT 84127 Lab Services 829010 HSS MAIN PO BOX 17033 Denver CO 80217 Security Support 779104 University Physicians Inc PO Box 110247 Aurora CO 80042 Physician Services 804970 44 45893 0 6185538 0 40670000 40777107 2404237 87678538 Patient Revenue 622000 140965000 140087033 877967 0 Health Initiatives 622000 9711000 9711000 0 0 Miscellaneous program service revenue 622000 13262398 13230678 31720 0 Educational and Training Services 622000 3001000 3001000 0 0 17186000 17186000 0 0 184125398 4152487 0 0 4152487 0 0 0 0 94204 0 0 94204 0 0 0 0 0 0 0 0 0 0 36912551 0 33065409 20184 3847142 -20184 3826958 0 0 3826958 870895 6185538 3210731 -2339836 0 -2339836 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria 622000 645830 0 0 645830 Gift Shop 622000 74568 0 0 74568 0 0 0 0 720398 278258147 183215711 909687 6454211 4473198 1753636 2315630 403932 0 0 0 0 128729565 110283353 15099148 3347064 5778991 5017434 608034 153523 11521190 9664329 1466808 390053 8548699 7145113 1104855 298731 0 0 0 0 404189 317557 43633 42999 211499 20507 190135 857 168814 0 168814 0 369443 369443 404935 0 404935 0 12995326 10914091 1859813 221422 2053332 295749 1738796 18787 8990887 5654779 1663766 1672342 3183373 991869 2191504 0 0 0 0 0 7618693 6459016 581891 577786 1457435 1140471 90520 226444 0 0 0 0 805989 742904 39186 23899 1778029 1487519 228318 62192 0 0 0 0 7987056 7258579 722497 5980 673779 73144 597577 3058 Medical Supplies 36219752 36063730 155983 39 Collaborative Agreements 8432975 8432975 0 0 Research Subject Fees & Patient Research Cost 490353 490353 0 0 Recruitment 710002 2416 707013 573 7425520 6850276 547166 28078 261433024 221059800 32526022 7847202 1673000 1556000 1823000 1021000 28485000 39365000 29053000 28026000 0 0 0 0 0 0 1926000 2299000 4018000 2203000 194970000 121590000 76715000 73380000 116840000 121202000 15782000 14489000 0 0 900000 900000 14742000 17431000 291957000 301872000 33787000 34729000 0 0 8419000 5166000 29786000 27602000 0 0 0 0 7524000 6541000 0 0 15591000 14041000 95107000 88079000 X 72431000 71082000 77363000 90519000 47056000 52192000 196850000 213793000 291957000 301872000 16825123 117877 0 0 0 0 X 0 1 X 1 1 1 X 80225767 81303090 78414411 69874044 87689538 397506850 0 0 0 0 0 0 0 0 0 0 0 0 80225767 81303090 78414411 69874044 87689538 397506850 12504661 385002189 6304189 3141686 3019035 3756464 4152487 20373861 1487991 1661352 564408 497343 909687 5120781 4953899 6088318 1145265 1474116 720398 14381996 437383488 183215712 0.88024 0.9242 X Schedule A, Part II, Line 1 National Jewish Health qualifies as a public charity as a 501(c)3 hospital, so is not required to complete schedule A Part II. Since National Jewish Health wishes to optionally use the Special Rule Test, National Jewish Health is completing the schedule to verify, as required, that we meet the special rule requirements. National Jewish Health meets the special rule requirements so we are listing each donor who contributes 2% or more of total support, rather than each contributor who gives $5,000 or more. See Schedule B for this list. Schedule A, Part II, Line 10 Total other income includes hospital cafeteria and gift shop income. 0 0 0 0 0 0 1 168814 0 0 168814 0 Schedule C, Part II-B, Line 1 National Jewish Health is continually expanding its research programs. To assist with this goal, representatives of National Jewish Health identify potential sources of funding, then market and promote National Jewish Health research scientists and programs as worthy recipients of these funds. The marketing efforts, both state and nationwide, can include working with the various congressional representatives and agencies that oversee research funding and the grant request process. National Jewish Health also uses lobbyists to lobby congressional representatives on healthcare issues which impact the health care of our patients. National Jewish Health is a member of the Colorado Hospital Association (CHA) who represents over 100 hospitals and health systems throughout Colorado. As a member, National Jewish Health benefits from CHA's many resources and from their advocacy and representation at the state and federal level. National Jewish Health is also a member of the America Hospital Association (AHA) who serves as an advocate for its' members and acts as a conduit through which hospitals share best practices. 101232000 9107000 5983000 0 11301000 0 105021000 90198000 10875000 10448000 0 10289000 0 101232000 89280000 6715000 -2154000 0 3643000 0 90198000 87965000 6187000 -856000 0 4016000 0 89280000 90257000 1774000 13015000 0 17081000 0 87965000 0.44498 0.53196 0.02306 0 0 0 13053000 13053000 0 99976000 54247795 45728205 0 0 0 0 0 81535865 67245835 14290030 0 405135 96370 308765 73380000 Other Receivable 14019000 Contribution Receivable Under Unitrust Rec. 2001000 Other 1411000 17431000 0 Liability Under Annuity Contracts 9854000 Liability Under Unitrust Agreements 2389000 Estimated 3rd Party Payor Settlements 1798000 14041000 277972000 118340 0 0 0 118340 277853660 404487 0 404487 278258147 261028537 0 0 0 0 0 261028537 404487 0 404487 261433024 Schedule D, Part V, Line 4 National Jewish Health Endowment funds are used to support our mission. Many funds are restricted by the donor for purposes such as immunology research, indigent care, fellowships and faculty support. Unrestricted funds are used for the area of greatest need as established by the Board of Directors. X X X X X X X 1 Mindset Direct 12110 Sunset Hills Rd Suite 600 Reston VA 20190 Fundraising Consultant for Direct Mail 0 1787860 294960 1492900 1787860 294960 1492900 AK AL AR CA CO CT FL GA IL KS KY MA MD ME MI MN MO MS NC ND NH NJ NM NV NY OH OK OR PA RI SC TN UT VA WA WI WV Beaux Arts Ball 2091435 1934835 156600 0 0 40000 196087 107650 294452 NY Real Estate 1529910 1372910 157000 0 0 9799 199602 60000 178609 19 3444988 2887693 557295 0 0 285577 246280 88272 535842 7066333 6195438 870895 0 0 335376 641969 255922 1008903 2242170 -1371275 Schedule G, Part I, Line 2b MINDset Direct provided account strategy and production management services for the fiscal year ended June 30, 2018. Additional fundraising expenses are paid to MINDSet Direct for printing, postage, letter shop work, etc based on the contract terms. These fees totaled $19,000 for the same period and were listed separately on each invoice. 1 1 0 1 X 1 1 1 0 0 63418 0 63418 0.0 26149370 20091718 6057652 0.023 2942020 28935 2913084 0.011 0 0 29154808 20120653 9034154 0.034 2715480 730961 1987919 0.0076 3586274 0 3586274 0.0138 3831613 2341876 1489736 0.0057 69340850 47123242 22217608 0.0786 38126 0 38126 0 0 0 79512343 50196079 29319663 0.1057 0 0 108667151 70316732 38353817 0.1397 1 1017336 0 33707716 62759203 -29051487 X 1 1 1 1 National Jewish Health 1400 Jackson Street Denver CO 80206 www.njhealth.org 0104MU X X X National Jewish Health 1 0 0 1 X X X X X X X X X 16 1 0 0 1 X https://www.njhealth.org/NJH/media/pdf/2016-Community-Health-Needs-Assessment.pdf 1 16 1 https://www.njhealth.org/NJH/media/pdf/2016-Community-Health-Needs-Assessment.pdf 0 0 1 X 0 400 X X X 0 1 X X X 1 X www.njhealth.org X www.njhealth.org X www.njhealth.org 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-National Jewish Health National Jewish Health used key information from the Colorado Department of Public Health and Environment; the Colorado Governor's Office; Colorado Health Institute; Colorado Health Foundation; American Lung Association; Colorado COPD Coalition and American Lung Association; Colorado Cancer Registry; County Health Rankings and Roadmaps; and 300 individuals from 35 community organizations that work to improve the health and social needs of Denver residents, including low-income, minority, and medical under-served populations. Schedule H, Part V, Section B, Line 11-National Jewish Health National Jewish Health is focusing its community health efforts on 4 of the 8 health needs identified in the CHNA. Those needs include Respiratory disease, tobacco use and cessation, obesity and eliminating barriers to care. National Jewish Health will meet the community need to research and provide specialized services to patients with allergic, respiratory or immunologic disease, through a combination of research, community outreach and education. National Jewish Health publishes their research findings in more than 300 peer-reviewed scientific journals per year. From 2014-2017, National Jewish Health Specialists conducted 331 free community outreach events which included fre lung testing. During this time fram, National Jewish Health also offered free lung testing and general physical exams for 1,394 miners and ex-miners across Colorado. National Jewish Health operates a Lung Line staffed by nurses that provide free and informed answers via e-mail to approximately 600 people per year with questions about lung disease and health. National Jewish Health developed a comprehensive program to screen at-risk individuals for lung cancer. National Jewish Health provides free classes and support groups for patients, a wide range of health content on our website and a free elementary education to children with chronic diseases. In addition, National Jewish Health offers academic training for fellows and residents, accredited continuing medical education to physicians and allied health professionals, and training to caregivers in 150 primary care practices that serve medical underserved populations in asthma and COPD care and treatment. National Jewish Health operates 16 state tobacco cessation quitlines and developed and tested a program to combat both adult and childhood obesity. National Jewish Health in partnership with Kaiser developed clinics dedicated to improving respiratory care of indigent patients. National Jewish Health operates a telehealth service which provides critical care services electronically to hospitals throughout the country. Both of these programs are working to overcome barriers to health care. National Jewish Health has not addressed dental health, diabetes, mental health or substance abuse needs as we do not have the capacity or resources. Schedule H, Part V, Section B, Line 14-National Jewish Health National Jewish Health's full and plain language FAP include the items used for eligibility criteria - Federal Poverty Guidelines and liquid assets. The result of the formula "Liquid Assets (less a $2,500 allowance per family member) at a minimum of -0- + annualized income - annualized medical expenses (including health insurance premiums)" is compared to the FPG levels to determine the discount % allowed. The chart is included with the FAP plain summary on the National Jewish Health Website (njhealth.org). This discount % is applied to the self-pay portion of the charges and that amount deducted from the patient balance. Schedule H, Part V, Section B, Line 16g-National Jewish Health When patients inquire about financial assistance at the various admission locations, the personnel refer them to the Financial Counselor's Office in the main admissions area. The counselors discuss the various assistance programs (including Medicaid, CICP, and the National Jewish Financial Assistance Program), pre-screen patients, and help them prepare applications. National Jewish Health FAP plain language paper copies are located in the Financial Counselor's office. Phone numbers and the url to the website are on the patient private pay bills and signs are displayed in the admission area. Schedule H, Part V, Section B, Line 16j-National Jewish Health National Jewish Health physicians provide care at safety net clinics throughout the area and ensure these clinics are aware of the assistance National Jewish Health provides. Through a grant with the Kaiser Foundation, National Jewish Health partnered with safety net providers to improve respiratory care for medically indigent patients and, through coordinators, worked with our safety-net partners to coordinate financial assistance and medical care for this population. National Jewish Health is also one of a handful of metro-area hospitals who participate in the Colorado Indigent Care Program. 2 National Jewish Health South Denver 499 East Hampden Ave Suite 300 Englewood CO 80113 Adult Speciality Outpatient Clinic National Jewish Health Highlands Ranch 8671 South Quebec Street Suite 120 Highlands Ranch CO 80130 Adult and Pediatric Speciality Outpatient Clincic Schedule H, Part I, Line 3c National Jewish Health is a voluntary participant in the Colorado Indigent Care Program (CICP) and has modeled their Financial assistance Policy after the program. Pursuant to CICP guidelines, patients pay a minimal co-pay for care. National Jewish Health believes charging a minimal co-pay causes patients to be a full participant in their healthcare plan. For the National Jewish Health Financial Assistance program (FAP) National Jewish Health reviews income and liquid asset levels to determining patient financial need and discounts. Liquid assets (less an allowance based on family size) are added to annualized income (less annual medical expenses) to compare to the FPG. Through this formula National Jewish Health takes into account medical indigence. Schedule H, Part I, Line 7 National Jewish Health conducts an annual study to determine the costs of all major programs. Through this study, which allocates specific costs across major programs, we determine the cost of clinical care. This ratio is multiplied by the total bad debt charges to determine cost. It is the same methodology used to determine cost of free and reduced care. National Jewish Health classifies accounts as bad debt at the end of the collection cycle once contractual adjustments, financial assistance, and payments have been applied. An account is considered bad debt after all reasonable collection efforts have been made. Schedule H, Part III, Section A, Line 4 National Jewish Health does not have a footnote in the financial statements which describes bad debt expense. National Jewish Health is subject to not-for-profit guidelines rather than healthcare guidelines for financial statement reporting as National Jewish Health has historically had non-patient revenues, gains and other support in excess of patient revenue. Patient payments received are netted out of bad debt in the calculation. On the audited financial statements, bad debt is recorded as actual patient charges not collected. Schedule H, Part III, Section B, Line 8 National Jewish Health is committed to providing specialty care to seniors. Patients benefit from extensive time with their healthcare providers, multi-specialty care focused on the whole patient, comprehensive patient education, rehabilitation and thorough diagnostic work-ups and treatments. This care is expensive and many aspects of it are not reimbursed adequately from Medicare. Many patients come to us as a last resort. The ability to access our care without regard to the limitations of insurance is an important benefit to these patients and to their community. Schedule H, Part III, Section C, Line 9b National Jewish Health screens for financial assistance policy (FAP) eligibility for 240 days after the first self-pay balance statement. During the first 120 days National Jewish Health collects on all accounts (excluding extraordinary collection practices) - until a patient applies for financial assistance. If they are found eligible, the discount is calculated and applied, the balance due is determined and normal collection practices resume for the remaining balance. During the last 120 days, if a patient applies for National Jewish Health financial assistance, all collection efforts (including any extraordinary collection practices) are suspended. If the patient is determined to be FAP eligible, any extraordinary collection efforts are reversed, the discount is calculated and applied,the balance due calculated, and normal collection efforts are resumed for this balance. Schedule H, Part VI, Line 2 National Jewish Health assembled a team from within the institution to conduct the community health needs assessment.. The team reviewed the Proposed Rules for the Community Health Needs Assessments for Charitable Hospitals and organized the review to create this summary. The group sought key information about the community demographics and health needs from various outreach governmental and non-governmental sources. The group then used its own knowledge of the institution and communicated with other people throughout National Jewish Health, including grant administrators, individual researchers, professional education, community and finance staff to identify and assess programs National Jewish Health has in place specific to identified community health needs. Schedule H, Part VI, Line 3 National Jewish Health maintains a financial counseling department designed to help patients obtain needed assistance. The counselors inquire about financial need and educate patients on the various assistance programs available to them, including National Jewish's own financial assistance program and the Colorado Indigent Care Program. The counselors are available to assist patients in applying for need based programs and in establishing payment plans and options. Schedule H, Part VI, Line 4 As a specialty hospital, National Jewish Health serves a community defined both by geography and by disease. The community was determined primarily by the locations our patients came from and what types of illnesses have been treated. The main National Jewish Health campus is located in central Denver at 1400 Jackson St. As a nationally recognized specialty care center for respiratory immune and related diseases, National Jewish Health serves both a local and national community. As a specialty hospital focused on respiratory, immune, and related diseases, National Jewish Health serves a community defined by those diseases. Asthma represents the most common diagnosis among our patients, accounting for about 14,000 patient encounters. Chronic Obstructive Pulmonary Disease, COPD, represents the second most common diagnosis, accounting for about 6,500 patient encounters. Cough, shortness of breath, pulmonary fibrosis, allergic rhinitis, food allergy and rheumatoid arthritis are other common diagnosis. We also treat patients with food allergies, mycobacterial infections, bronchiectasis, cystic fibrosis, lung cancer and other respiratory and immune diseases. Tobacco use contributes to many respiratory diseases, especially lung cancer and chronic obstructive pulmonary disease. Thus, tobacco addiction is an important contributor to the disease burden of our patients. National Jewish Health operates tobacco cessation programs for the Denver community and for 16 other sates. Schedule H, Part VI, Line 5 National Jewish Health invests significant resources in meeting the healthcare needs of our community. Since our founding over 120 years ago, when National Jewish Health was a free hospital for the care of indigent TB patients, National Jewish Health has been committed to meeting the medical needs of the under served in the community. National Jewish Health is one of only a handful of outpatient clinics in the area that schedules patients for services on a first come, first served basis regardless of ability to pay. All patients are provided a full scope of diagnostic and therapeutic services without regard to the patient's financial need. Our clinicians serve at multiple locations throughout the state in order to ease access to our services. As a teaching institution, our faculty educates and trains tomorrow's doctors. nurses, and other healthcare staff. Every year, National Jewish Health spends millions of dollars to conduct the full continuum of research from basic science to clinical application. National Jewish Health operates a K-8 school on our campus exclusively for chronically ill children with special medical needs. To our knowledge, it is the only school of its kind on a healthcare campus in the country. Overwhelmingly the students at the school live in poverty and qualify for free or reduced lunches. National Jewish Health offers free lung testing around the country. We subsidize programs throughout the community including an inner city asthma program in the Denver Public Schools, an Asthma Tool Kit program for the western slope and a free asthma care and teaching program in lower income communities in Colorado. As a not-for-profit institution our Board of Directors, all of whom are community leaders, are heavily involved in the direction and strategies of furthering our mission "to heal, to discover and to educate". On April 8th, 2010, National Jewish Health was unanimously recognized by the Colorado House and Senate for our vital role in serving the health needs of Colorado citizens. X X X X X X 0 0 0 0 0 0 0 0 0 Michael Salem MD President and CEO, BOD member 889071 0 400000 0 24000 0 23340 0 6263 0 1342674 0 0 0 Christine K Forkner EVP and CFO, Ass't Treasurer 351684 0 106575 0 18000 0 23340 0 13522 0 513121 0 0 0 Greg Downey MD EVP Academic Affairs 559259 0 168000 0 39504 0 23340 0 9590 0 799693 0 0 0 Richard Martin MD Chairman, Department of Medicine 396414 0 95550 0 24000 0 23340 0 128 0 539432 0 0 0 Pamela L Zeitlin Chairman, Department of Pediatrics 351105 0 36000 0 18350 0 0 0 0 0 405455 0 0 Ron Berge EVP and COO 274717 0 83980 0 42000 0 23340 0 9314 0 433351 0 0 Lisa Tadiri VP Development 269119 0 59138 0 24000 0 23340 0 14410 0 390007 0 0 William E Lee MD Sr MD/Faculty Member/ 588788 0 0 0 40500 0 23340 0 14410 0 667038 0 0 Robert S Kantor MD Sr MD/Faculty Member/ 437619 0 0 0 42000 0 23340 0 0 0 502959 0 0 Christopher B Jones Sr MD/Faculty Member 384937 0 0 0 18000 0 13426 0 13522 0 429885 0 0 Andrew Freeman Sr. MD / Faculty Member 388735 0 0 0 18000 0 23340 0 13522 0 443597 0 0 0 Irina Petrache Sr. MD/Faculty Member 354742 0 0 0 29510 0 9075 0 0 0 393327 0 0 0 Erwin Gelfand Former Chair Dept of Pediatrics 228109 0 0 0 22066 0 21243 0 128 0 271546 0 0 0 Michael E Wechsler Sr MD/Faculty Member 360035 0 0 0 18000 0 23340 0 0 0 401375 0 0 0 David Lynch Sr MD / Faculty Member 311347 0 0 0 39192 0 23340 0 128 0 374007 0 0 0 Debra Dyer Sr. MD/Faculty Member 322269 0 0 0 24000 0 23340 0 14410 0 384019 0 0 0 Jennifer Wink Sr. MD / Faculty Member 295296 0 0 0 12000 0 23340 0 13522 0 344158 0 0 0 Valerie Hale Sr. MD / Faculty Member 241842 0 0 0 42000 0 23340 0 6263 0 313445 0 0 0 A Colorado Health Facilities Authority 840752932 196474V98 2005-01-20 13500000 Construction of a clinical and research facility 0 0 0 B Colorado Health Facilities Authority 840752932 19648AXX8 2012-03-20 28176276 Refunding of the Series 1998 and 1998B CHFA Bonds dated 4/1/98 and 11/1/98, respectively 0 0 0 A 1800800 0 13500000 782800 0 0 225000 15000 0 12447200 0 0 2007 0 0 1 1 B 0 0 28176276 2704750 0 0 466581 0 0 0 25004945 0 1 0 1 1 A 0 0 0 1 0 0.0053 0 0.0053 0 0 0 A 0 0 0 1 1 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 0 B 0 Schedule K, Part II, Line 7-01/20/2005 13,500,000 Colorado Health Facilities Authority In January 2002 the Colorado Health Facilities Authority issued 13,500,000 aggregate principal amount of its Series 2005 Revenue Bonds (the 2005 Bonds) dated January 20, 2005. Proceeds from the 2005 Bonds were used to finance the construction of a clinical and research building, as well as several renovation projects and equipment. Issuance costs from the proceeds totaled $270,000. $255,000 was used to pay bond issuance costs including the underwriter's discount, rating agency fees, bond counsel and trustee fees. The remaining $15,000 was used to pay for credit enhancement fees. Schedule K, Part II, Line 7-03/20/2012 28,176,276 Colorado Health Facilities Authority In March 2012, the Colorado Health Facilities Authority issued $26,790,000 aggregate principal amount of its Series 2012 Refunding Revenue Bonds (the 2012 Bonds) dated March 20, 2012. Proceeds from the 2012 Bonds were used to refund the Colorado Health Facilities Revenue Bonds Services 1998 and 1998B. Issuance costs from the proceeds totaled $466,581. Schedule K, Part III, Line 4-01/20/2005 13,500,000 Colorado Health Facilities Authority National Jewish Health's world renowned research staff periodically engages in clinical pharmaceutical studies sponsored by corporations. During the fiscal year ended June 30, 2013, there was some research that resulted in private business use of the property that was financed by the Series 2005 Revenue Bonds. The average percentage of the financed property that was used in private business use by a nongovernmental entity during the year was less than one percent (1%). None of the private business use is considered an unrelated trade or business. Schedule K, Part IV, Line 2c-01/20/2005 13,500,000 Colorado Health Facilities Authority Kutak Rock Arbitrage Consulting prepared the reports concerning the arbitrage rebate liability on February 8, 2010 and again on February 9, 2015. Both reports concluded there was no arbitrage rebate liability as of January 20, 2010 and as of January 20, 2015. The next rebate calculation date is January 20, 2020. Christie Isenberg Family member of Director 148338 rooms for sleep clinic patients 0 Lisa Cicutto spouse of EVP Academic Affairs 144162 employee 0 Jandel Allen-Davis Board Member 13449207 Health Insurance Benefits 0 X 35 2138237 Fair Market Value X Auction Items Sold 526 266000 Fair Market Value 0 1 0 Schedule M, Part I, Line 9 NJH is reporting the number of contributions in column (b). Schedule M, Part I, Lines 25-28 NJH is reporting the number of contributions in column (b) Form 990, Part VI, Section A, Line 2 The following officers, directors, trustees, or key employees have a family or business relationship with another officer, director, trustee or key employee: Allen-Davis, Jandel - business relationship, Barker, Geoff - Business relationship, Brownstein, Norm-business relationship, Dodge R Stanton - business relationship, Feiner, Michael-business relationship, Isenberg, Christine-business relationship, Kemper, Mariner-business relationship, Levin, Bradley-business relationship, Parks, Brian - business relationship, Paul, Kathryn-business relationship, Richardson, Blair-business relationship, Robinson, Eddie-business relationship, and Zucker, Evan - business relationship. Form 990, Part VI, Section B, Line 11b Form 990, Part VI, Section B, Line 11b - The form was prepared by the Finance Staff and was reviewed by the Director of Finance, EVP/Chief Financial Officer and Presendent/Chief Executive Officer. It was distributed to the Board of Directors prior to issuance. Board members are not required to review the form prior to filing. Form 990, Part VI, Section B, Line 12c Form 990, Part VI, Section B, Line 12c - National Jewish Health requires all employees and board members to complete a conflict of interest (COI) declaration statement annually. Each individual's COI statement is reviewed by their Director or Senior Manager. All statements with COI's are reviewed by the Chief Compliance Officer (CCO). The Chief Operating Officer (EVP) is the CCO. When conflicts are present, the CCO develops a plan to either eliminate the conflict or develops a plan to manage the conflict. Conflicts involving the CEO would be taken to the Chairman of the Board for resolution. If the EVP/COO had a conflict, it would be resolved by the CEO. Board member conflicts are reviewed by the Audit Committee. Board members with conflicts are asked to recuse themselves from any Board Deliberations, decisions, or negotiations related to their conflict. The National Jewish Health conflict of interest policy is available on the National Jewish Health website. Form 990, Part VI, Section B, Line 15 Executive compensation decisions are made by the Compensation Committee of the Board of Directors. The committee relies on the report of an independent compensation consultant which includes independent data for similarly qualified individuals in comparable positions at similarly situated organizations Contemporaneous documentation is maintained on committee deliberations and decisions. This committee most recently met in 2018 and decided compensation packages for the Chief Executive Officer, Executive Vice President of Finance, Executive Vice President of Operations, and Executive Vice President of Academic Affairs. Form 990, Part VI, Section C, Line 19 Form 990, Part VI, Section C Line 19 - National Jewish Health's Articles of Incorporation are available to the general public through the Colorado Secretary of State's office. The most recent audited financial statements and other financial statistics are available on the National Jewish Health website and the Municipal Market Access System (EMMA). National Jewish Health does not make its Bylaws available to the public. The National Jewish Health conflict of interest policy is available on the National Jewish Health website. National Jewish Illiquid Asset Holding Company 1400 Jackson Street Denver CO 80206 742044647 Property Holding CO 0 0 N/A NJH SJH INC 500 Eldorado Blvd Suite 4300 Broomfield CO 80021 471194849 Operate combined clinical operations to enhance the health of individuals and their communities. CO 501(c)(3) 12a, I Sisters of Charity of Leavenworth Health System National Jewish Health 0 The Mount Sinai-National Jewish Health Respiratory Institute LLC One Gustav L Levy Place New York NY 10029 364826263 Diagnosing and treating all forms of respiratory illness and lung disease DE Icahn School of Medicine at Mount Sinai National Jewish Health Related 539510 619165 0 1 0.5 JH-NJH Administrative Services LLC 834 Walnut Street Suite 650 Philadelphia PA 19107 Diagnosing and treating all forms of respiratory illness and lung disease DE National Jewish Health Thomas Jefferson University Related 0 1 0.5 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 NJH SJH INC s 10575955 Contract The Mount Sinai-National Jewish Health Respiratory Institute LLC l 1014781 Contract JH-NJH Administrative Services LLC l 1100000 Contract NJH SJH INC m 75417 FMV Schedule R, Part V, Line 2 $10,575,955 a total of cash transfers (line s) to satisfy the annual payments per contract with SCL through the Type I supporting organization (exempt) NJH-SJH, the organization's purpose. The payments are in support of National Jewish Health's 501(c)3 mission to provide patient care. The other two transactions are total accrued revenues for services (line i) provided Mt. Sinai and Jefferson Health per contract through those 2 supporting taxable organizations to provide. None of the transactions are line 1a (from K-1), so are not taxable unrelated business income. NJH also paid SCL $75,417 for lab services per FMV.