2018-08-07T11:36:18-07:00 2017-09-30 990 2016-10-01 840404233 CRAIG HOSPITAL CRAI 3037898000 3425 S CLARKSON STREET ENGLEWOOD CO 80113 Julie Keegan VP Finance 3037898443 2018-08-07 2016 2022-09-23 18:48:47Z Michael Fordyce 3425 S Clarkson Street Englewood CO 80113 137579987 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. 15 14 1132 225 -2041 0 20102900 9470263 97130325 101797534 -1288587 1645075 2299812 2680499 118244450 115593371 120225 185434 0 0 57452030 63506588 0 0 1547296 37462773 40971152 95035028 104663174 23209422 10930197 240153186 253027229 56924701 55680366 183228485 197346863 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 77508164 185434 101797534 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 28,900 DAYS OF PATIENT CARE IN ADDITION TO A MYRIAD OF OUTPATIENT SERVICES. 2704242 0 0 CRAIG HOSPITAL IS DESIGNATED BY 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 80212406 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 1 147 0 1 1132 1 1 1 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Julie Keegan VP Finance 3037898443 3425 S CLARKSON STREET ENGLEWOOD CO 80113 HUGH RICE PAST CHAIR 2 0 X 0 0 0 COLLEEN FADDICK SECRETARY 2 0 X 0 0 0 ERIC FEAGLER DIRECTOR 2 0 X 0 0 0 BOB LADENBURGER VICE CHAIR 2 0 X 0 0 0 KEN KELLEY DIRECTOR 2 0 X 0 0 0 JUSTIN MONINGER CHAIR 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 DIRECTOR 2 0 X 0 0 0 TOM BALAZY DIRECTOR 2 0 X 0 0 0 MARILYN TAYLOR 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 NAN HINTON DIRECTOR 2 0 X 0 0 0 BILL LINDSEY DIRECTOR 2 0 X 0 0 0 MIKE FORDYCE PRESIDENT & CEO 40 8 X 756003 0 144714 DANA POLONSKY VP CLINICAL SERVICES 40 0 X 249263 0 70282 JULIE KEEGAN VP FINANCE 40 2.5 X 287785 0 64606 DIANE REINHARD VP PATIENT CARE 40 0 X 243776 0 70052 CHRIS WATKINS DIRECTOR IT 40 0 X 176508 0 21125 CYNTHIA HARRISON-FELIX DIRECTOR RESEARCH 40 0 X 182188 0 21316 KENNY HOSACK DIR-PROVIDER RELATIONS & MARKETING 40 0 X 188080 0 28306 MARY FELLER EXECUTIVE DIRECTOR-FOUNDATION 0 40 X 208932 0 10354 AMY GOLDSTEIN DIRECTOR PHARMACY 40 0 X 163460 0 27070 2455995 0 457825 49 0 1 0 GE JOHNSON CONSTRUCTION 25 N CASCADE AVENUE COLORADO SPRINGS CO 80903 CONSTRUCTION SERVICES 11596377 SWEDISH MEDICAL CENTER 501 E HAMPDEN AVENUE ENGLEWOOD CO 80113 MEDICAL SERVICES 10566415 CNS MEDICAL GROUP DEPT 710924 DENVER CO 80271 MEDICAL DIRECTOR AND RESEARCH 1078383 GARY LEIMER INC 4900 E PACIFIC PLACE DENVER CO 80222 FLOORING SERVICES 589845 ADVANCED SYSTEMS GROUP 12405 GRANT STREET THORNTON CO 80241 SOFTWARE SUPPORT SERVICES 408262 27 0 0 0 7168849 2179310 122104 0 9470263 Medical Services 622310 100465796 100465796 0 0 Patient Apartments 721000 1331738 1331738 0 0 0 0 0 0 101797534 1564226 0 0 1564226 0 0 0 0 0 0 0 0 156718 0 179973 0 -23255 0 -23255 0 0 -23255 21882222 2000 21694853 108520 187369 -106520 80849 0 0 80849 0 0 0 0 0 0 0 0 0 0 0 0 1229 3270 -2041 0 -2041 0 Peak Wellness Center 900099 979028 979028 0 0 Federal Grant Indirect Reimbursement 900099 625548 625548 0 0 Cafeteria 722100 644166 644166 0 0 457053 457053 0 0 2705795 115593371 104503329 -2041 1621820 X 185434 185434 0 0 0 0 0 0 1751809 0 1751809 0 0 0 0 0 47390519 39054464 7267368 1068687 2993078 2554010 439068 0 7949907 6189303 1577170 183434 3421275 2815605 529777 75893 0 0 0 0 271686 0 265544 6142 91873 0 80619 11254 82996 0 82996 0 0 0 159983 0 159983 0 12738360 11509389 1213730 15241 1188413 0 1123904 64509 1381024 597853 679833 103338 3034292 0 3034292 0 0 0 0 0 1961319 1653621 307698 0 577727 232365 340731 4631 0 0 0 0 53248 0 51684 1564 1452513 0 1452513 0 0 0 0 0 8674369 6738740 1935629 0 337952 1131 336821 0 Medical Supplies 4154835 4151165 3486 184 Research Expense 2704242 2704242 0 0 Food Expense 1094504 1049177 45309 18 Minor Equipment & Repair 774689 660587 103488 10614 237127 115320 120020 1787 104663174 80212406 22903472 1547296 7332114 5292331 13472912 8115028 333158 677698 24545777 26183628 570811 524002 1521146 2077254 185521352 58184747 125837751 127336605 64445853 81164135 2093664 1656548 240153186 253027229 21259701 21169401 35665000 34510965 0 0 56924701 55680366 X 183228485 197346863 0 0 0 0 183228485 197346863 240153186 253027229 10930197 3188181 0 0 0 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 74000 0 1 8996 82996 0 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 as to why the current LTAC regulations are not appropriate for specialty hospitals. Line 1i: The portion of the dues paid to professional organizations which were used for lobbying. 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 1610984 1421364 249411 0 301694 0 2980065 0 0.85 0.15 0 1 1 0 7651753 7651753 0 118498027 24650206 93847821 0 0 0 0 0 52884185 33124268 19759917 0 6487387 410273 6077114 127336605 0 X 118241262 3188182 0 0 144624 3332806 114908456 159983 524932 684915 115593371 104122912 0 0 0 144653 144653 103978259 159983 524932 684915 104663174 Schedule D, Part V, Line 4 Endowment funds which are held by the Craig Hospital Foundation, a related organization, serve a variety of purposes including supporting graduates (former patients), ensuring excellence of Craig Hospital and general purpose. Schedule D, Part X, Line 2 The Hospital applies 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 positions taken, none are considered uncertain; therefore no amounts have been recognized as of Sept 30, 2017 and 2016. 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 Sept 30, 2017 and 2016. Schedule D, Part XI, Line 2d Misc Reclass -7; Occupancy and depreciation expense allocated to Rental Income 144,631 Schedule D, Part XI, Line 4b Research expenses funded by Craig Hospital Foundation Schedule D, Part XII, Line 2d Misc Reclass 22; Occupancy and depreciation expense allocated to Rental Income Schedule D, Part XII, Line 4b Research expenses funded by Craig Hospital Foundation. 1 1 X 1 X 3 1 X 5 1 1 1 0 0 1005094 0 1005094 0.01 7393405 6443177 950228 0.009 0 0 0 0 0 0 8398499 6443177 1955322 0.019 1711867 0 1711867 0.016 238749 0 238749 0.002 0 0 0 0 2179310 2179310 0 0 185434 0 185434 0.002 0 0 4315360 2179310 2136050 0.020 0 0 12713859 8622487 4091372 0.039 0 26952 0 4394835 8279012 -3884177 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 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 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 Behavioral 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. Develop a decision tree to help patients find transportation resources in their community through public, private, or non-profit organization. Continue development of resources to help disabled persons access medical services in their community through the Hospital's Nurse Advice Line and the Hospital website. The Nurse Advise 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. 2. Continue using social media to raise awareness about the importance of receiving a flu shot each year. We will also use social media to promote resources available on our website such as the list of dentists who provide affordable care and have accessible offices for disabled persons. The video we created addressing how patients can be assertive when advocating for their needs in the community will be available in shorter segments on the Hospital website. 3. Pilot a transition program for inpatients discharged into the community. Hospital staff to accompany patients home and help establish community resources for ongoing health needs including transportation and PCP identification. Over the last fiscal year the hospital did a number of things to improve our patients' 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. The hospital implemented 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. Another initiative the hospital implemented was our patient portal. The portal allows patients to access their health information electronically after going home. This can greatly assist their primary care physician as they begin caring for our complex patients. 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 Part III 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 Part III Line 4: There is not a footnote in the audited financial statements that describes bad debt expense. Please refer to page 9 of the Audited Financial Statements that addresses Patient Accounts Receivable. Schedule H, Part III, Section B, Line 8 Part III, 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 recognized specialty rehabilitation and research hospitals in the world for patients with spinal cord and brain injury, Craig Hospital contributes to the local, state, and national communities in a myriad of ways in the areas of rehabilitation, education, disability awareness training, handicap accessibility, and other forms of support. During FY 2017, the Hospital provided financial assistance, community support and subsidized health services from government programs totaling $7.9 million. As a non-profit free standing hospital, Craig Hospital has 1,132 full-time and part time employees and utilizes 225 active volunteers from the community. Craig Hospital is the largest medical/rehabilitation hospital in Colorado exclusively serving patients with spinal cord injury (SCI) and traumatic brain injury (TBI) and serves the largest percentage of the 150 newly injured SCI and 5,000 TBI patients per year in Colorado, with inpatient, outpatient, and long term follow-up services. There are approximately 2,400 people with SCI and 175,000 with TBI living in Colorado. Approximately 50% of Craig Hospital's patients are Colorado residents while the remaining come from virtually every other state, and even some from foreign countries. The average age of our patients is 42 years old, 75% are male, and all come from varied socio-economic backgrounds. Craig Hospital provides significant support to the community, supporting the Brain Injury Alliance of Colorado, conducting annual outpatient clinics in Pueblo and Grand Junction, Colorado and Casper, Wyoming, serving on multiple boards for state agencies and organizations (TBI Mindsource Program, Division of Workers Compensation TBI Medical Treatment Guidelines, Colorado Brain Injury Professionals Network, the Hangout Network and others), and financially supporting more than 100 local, regional, and national organizations each year. Craig Hospital collaborates on patient research and technology with several local colleges and universities. In FY 2016, Craig took over the operation of Operation TBI Freedom (OTF), a military case management program located in Colorado Springs, Co. that provides support for veterans and active duty personnel with TBI. OTF provides case management services including crisis management, medical and mental health referrals, employment/education assistance, psychosocial classes, and emergency assistance for severe needs. There are an estimated 339,000 U.S. service members who have been diagnosed with TBI since 2000 of which approximately 7,200 have returned to Colorado. Of that amount, OTF has provided services to more than 1,300 service members. During the past five years, Craig Hospital has served nearly 2,500 inpatients with catastrophic spinal cord and brain injuries, of which approximately one half were from Colorado. In the same time period, Craig Hospital served more than 11,000 outpatients, of which three quarters were from Colorado. These numbers do not include patient support systems and community members, families, friends, co-workers, and employers. Craig Hospital's patient outcomes are superior in comparison to virtually every regional and national average in the most important measures of rehabilitation outcomes. On average, Craig graduates are more dependent when they are admitted, functionally make greater gains during their initial treatment, are discharged home at higher rates, return to work or school in greater numbers, are more functionally independent and require less attendant care, have fewer re-hospitalizations, have higher levels of community reintegration and satisfaction with life, and have higher earning power than their national peer group treated in other rehabilitation programs. Our exceptional outcomes validate that rehabilitation is an investment in long-term societal value. When we help patients become as independent and productive as possible, it is in their best interest as well as in the best interest of their family, insurance carriers, taxpayers, and to the community as a whole. Craig has received the prestigious Magnet Recognition for quality in nursing for 3 consecutive 5 year periods covering 2005 through 2020 and the Magnet Prize Award in 2012. Craig has also been ranked as a top ten rehabilitation center by U.S News and World Report for 28 consecutive years. Each year, Craig Hospital staff and physicians receive national recognition and in 2017, Craig Hospital staff and physicians won 5 major awards. Craig Hospital is pioneering adaptive technology and cutting edge treatment and in 2011, Craig Hospital founded the Peak Center at Craig Hospital, a state-of-the art wellness and fitness program for inpatients, outpatients, and community memberships. Additionally in 2017, Craig launched a pilot for the Soft Landing Program which helped assess patient needs and challenges when patients arrived home after discharge. 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; Outreach Clinics that are held annually in 3 regional cities providing outpatient reevaluations; Therapeutic Recreation adaptive adventure trips and activities; community blood drives; community liaisons who travel to assess and educate patients and providers; 30 days free lodging for all family members plus free meals and additional lodging for those that cannot afford that expense; hosting student rotations for RN and CNS students from 8 local schools; hosting two Denver Public School Career expos for students interested in a career in healthcare; hosted six community outreach educational presentations to local hospital and colleges on treatment of SCI and TBI; Residents Program for2 medical school residents and 1 fellow. Schedule H, Part VI, Line 5 Craig Hospital's purpose is to provide patient care, education and research to people with Spinal Cord and Traumatic Brain injuries. The Board of Directors of Craig Hospital has ultimate authority in extending privileges only to professionally competent physicians, dentists and podiatrists, licensed to practice in the State of Colorado. There are 200 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 59 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 education. The Hospital provides long-term community support through multiple programs such as: Toll-free Nurse Advice Line, on-line free educational materials resource library on Craig Hospital's website, and social media including Facebook, Twitter, LinkedIn, YouTube, Instagram and a blog. It also provided $185K of support to community organization including $16K to Brain Injury Alliance of Colorado in addition to sitting on their board. Staff serves on hundreds of community organizations including the National Sports Center for the Disabled, Academy of SCI Professionals, American Congress of Rehab Medicine, Phamaly Theatre Company and the Colorado Hospital Association. Published 42 paper chapters in professional literature; Presented 154 lectures on SCI/TBI; Chaired Colorado BL Professionals Network Meeting; NIDILRR Model System Center for SCI and TBI; Alumni higher education scholarship program; Accessible Homes Collaboration; Q & A feature on health matters on Craig's Facebook page; Emergency preparedness venues for Englewood Fire and Police; Columbine High School Run for Remembrance benefit; Collaborate with Christopher and Dana Reeve Peer Network Program; Training for Regis Neuropsychology classes; Training for Air Force Academy Cadets; AMI Wellness-Professional Advisory Committee; Camp Discovery Volunteers; Cathy Scott Foundation-board member; Center for Women's Health Research- board member; Colorado Hospital Association- board member; Homebuilders Foundation volunteers; National Sports Center for the Disabled- Winter Park-board member; FVA Mt States Chapter; and Denver Public Schools Career day. 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) 6000 0 Sponsorship Colorado Neurological Institute 701 E Hampden Ave Englewood CO 80113 841100975 501(c)(3) 11000 0 Sponsorship Chanda Plan Foundation 8725 W 14th Ave Suite 170 Lakewood CO 80215 204358964 501(c)(3) 10000 0 Annual Support Brain Injury Alliance of Colorado 1385 S Colorado Blvd Suite 606A Denver CO 80222 840893049 501(c)(3) 16100 0 Sponsorship St Anthony Health Foundation 11600 W 2nd Place Lakewood CO 80228 840902211 501(c)(3) 15000 0 Sponsorship Phamaly Theatre Company 711 Park Avenue West Suite 320 Denver CO 80205 841123080 501(c)(3) 15000 0 Sponsorship United States Brain Injury Alliance PO Box 1804 Alexandria VA 22313 461678970 501(c)(3) 10500 0 Sponsorship American Heart Association PO Box 50040 Prescott AZ 86304 135613797 501(c)(3) 10000 0 Sponsorship Wings Over the Rockies Air & Space Musuem 7711 East Academy Blvd Denver CO 80230 840931491 501(c)(3) 10000 0 Annual sponsorship Denver Metro Chamber Leadership Foundation 1445 Market St Denver CO 80202 840186760 501(c)(3) 7000 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 which ones to support. X X 1 1 X X X 0 1 0 0 0 0 0 1 0 MIKE FORDYCE PRESIDENT & CEO 381408 0 149838 0 224757 0 130600 0 14114 0 900717 0 158058 0 JULIE KEEGAN VP FINANCE 226524 0 47531 0 13730 0 50600 0 14006 0 352391 0 0 0 DANA POLONSKY VP CLINICAL SERVICES 187328 0 50159 0 11776 0 49739 0 20543 0 319545 0 0 0 DIANE REINHARD VP PATIENT CARE 183903 0 49260 0 10613 0 49506 0 20546 0 313828 0 0 0 CHRIS WATKINS DIRECTOR IT 151381 0 24577 0 550 0 7283 0 13842 0 197633 0 0 0 CYNTHIA HARRISON-FELIX DIRECTOR RESEARCH 152214 0 29272 0 702 0 7441 0 13875 0 203504 0 0 0 KENNY HOSACK DIR-PROVIDER RELATIONS & MARKETING 150686 0 36805 0 589 0 7822 0 20484 0 216386 0 0 0 MARY FELLER EXECUTIVE DIRECTOR-FOUNDATION 180187 0 28248 0 497 0 8380 0 1974 0 219286 0 0 0 AMY GOLDSTEIN DIRECTOR PHARMACY 137823 0 25389 0 248 0 6790 0 20280 0 190530 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 2620000 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 IV, Line 11a Yes 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 the full Board along with a report from the Finance/Audit Committee. Form 990, Part VI, Section B, Line 12c All Board members, Vice Presidents and Director-Level positions 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 2-3 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 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 $9,173,410, Consulting Services $31,270, Medical Director Services $879,840, Laundry Services $345,260, Misc Purchased Services $513,733, Contract Labor $211,571, Other Services $354,305. Total Other Fees for Program Services $11,509,389. Management and General Expenses: Consulting Services $373,153, Misc Purchased Services $242,311, Contract Labor $321,625, Other Services $276,641. Total Other Fees for Management and General Expenses $1,213,730. Fundraising Expenses: Consulting Services $8,500, Misc Purchased Services $384, Other Services $6,357. Total Other Fees for Fundraising $15,241. 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 7168849 Actual cost. Craig Hospital Foundation q 562353 Actual cost.