2018-04-18T21:22:09-07:00 2017-06-30 990 2016-07-01 742044647 NATIONAL JEWISH HEALTH NATI 3033884461 1400 JACKSON STREET DENVER CO 80206 Christine Forkner Chief Financial Officer 3033981004 2018-04-19 205.143.248.42 2016 2021-01-29 14:40:06Z Christine K Forkner 1400 Jackson Street Denver CO 80206 273869816 0 X www.nationaljewish.org X 1978 CO National Jewish'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. 46 45 2130 152 497343 501732 78414411 69874044 167753478 175820235 5302649 6061506 -1138349 -830926 250332189 250924859 0 0 0 0 144202606 153399778 352914 412076 8254880 97052755 97465384 241608275 251277238 8723914 -352379 278746000 291957000 89120000 95107000 189626000 196850000 National Jewish'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 43815209 0 0 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 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'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. 159615982 0 143764000 National Jewish Health is a national referral center treating adult and pediatric patients on both an inpatient and outpatient basis. National Jewish 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 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 was founded under the motto "None may enter who can pay, None can pay who enter." While National Jewish 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. 6380767 0 10345000 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 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 FitLogix(R) weight management and 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. FitLogix(R) helps individuals change their diet and exercise habits through behavior modification in order to lose weight and improve overall health. Our weight loss results are sustainable and exceed national standards for outcomes. Since 2008, we have helped over 10,000 individuals and achieved weight loss outcomes that met or exceeded national standards. 2654772 2185000 National Jewish Health emphasizes the education of health professionals and biomedical scientists. National Jewish is a teaching affiliate of the University of Colorado which is accredited by the Accreditation Council for Graduate Medical Education. National Jewish'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 created a toll-free call center, Lung Line (R), in 1983. In addition, National Jewish provides a free community outreach program designed to promote lung health and awareness in the community. National Jewish 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. 2654772 0 2185000 212466730 1 1 0 1 0 0 0 0 0 1 1 1 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 1 1 0 0 1 352 0 1 2130 1 1 1 0 0 0 0 1 1 0 0 0 0 X 46 45 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA IL MA MN NY VA WA X X Christine K Forkner 3033884461 1400 Jackson St Denver CO 802062762 Jandel Allen-Davis Member, BOD 2 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 X 0 0 0 Jim Berenbaum Member, BOD 2 0 X 0 0 0 Paulette Brody 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 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 Philip H Karsh Lifetime Member, BOD 2.00 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 Bradley Levin 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 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 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 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 Steve Siegel Co-Chair, Council of National Trustees, BOD Member 2 0 X 0 0 0 Wendy Siegel Co-Chair, Council of National Trustees, BOD Member 2 0 X 0 0 0 Donald Silversmith Vice Chair, BOD 2 0 X 0 0 0 Larry Silverstein Treasurer, National Council Trustees 2 0 X 0 0 0 Michael A Slubowski Member, BOD 2 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 Evan H Zucker Vice Chair, BOD 2 0 X X 0 0 0 Michael Salem MD President and CEO, BOD member 50 0 X X 1185185 0 29488 Christine K Forkner EVP and CFO, Ass't Treasurer 50 0 X 451301 0 37101 Zeitlin Pamela L Chairman, Department of Pediatrics 50 0 X 21176 0 0 Greg Downey MD EVP Academic Affairs 50 0 X 754513 0 32815 Richard Martin MD Chairman, Department of Medicine 50 0 X 519919 0 23353 Erwin Gelfand MD Chairman, Department of Pediatrics 50 0 X 419758 0 23353 Ron Berge EVP and COO 50 0 X 393096 0 32773 Lisa Tadiri VP Development 50 0 X 331395 0 37635 William E Lee MD Sr MD/Faculty Member/ 50 0 X 788642 0 37507 Robert S Kantor MD Sr MD/Faculty Member/ 50 0 X 514579 0 23225 Jones Christopher B Sr MD/Faculty Member 50 0 X 406631 0 13876 Debra Dyer MD Chair, Radiology 50 0 X 385203 0 37635 Wechsler Michael E Sr MD/Faculty Member 50 0 X 392825 0 23225 6564223 0 351986 301 0 1 0 Dimassimo 220 E 23rd Street 2nd Floor New York NY 10010 Advertising and Professional Fees 2874522 University of Colorado Anschutz Medical Campus Graduate Medical Education PO Box 910388 Denver CO 80291 Clinical Fellows 1349996 Arup Laboratories MAIN PO BOX 27964 Salt Lake City UT 84127 Lab Services 805521 University Physicians Inc PO Box 110247 Aurora CO 80042 Physician Services 795237 HSS MAIN PO BOX 17033 Denver CO 80217 Security Support 786939 170 40243 0 5164044 0 39487000 25182757 3286938 69874044 175820235 175322892 497343 0 175820235 3652238 0 0 3652238 0 0 0 0 104225 0 0 104225 0 0 0 0 0 0 0 0 0 0 22290451 41327 19559686 362824 2730765 -321497 2409268 0 0 2409268 1125756 5164044 3022447 -1896691 0 -1896691 0 0 0 0 0 0 0 0 0 0 0 0 Occupancy 532000 190825 0 0 190825 Cafeteria 722100 655674 0 0 655674 Gift Shop 453220 115041 0 0 115041 0 0 0 0 961540 250924859 175322892 497343 5230580 0 0 0 0 0 0 0 0 4532302 1946037 1939978 646287 0 0 0 0 123701679 106254302 14098890 3348487 5365758 4617085 595906 152767 11573228 9740855 1430284 402089 8226811 6898899 1032900 295012 0 0 0 0 187118 168541 11400 7177 197015 16201 180121 693 155607 0 155607 0 412076 412076 380902 0 380902 0 13657693 10864964 2639213 153516 2057030 150198 1860449 46383 9499860 6167644 1601047 1731169 2485590 987798 1497630 162 0 0 0 0 7907341 6634847 587356 685138 1439720 1096040 103154 240526 0 0 0 0 751169 628054 83805 39310 1712840 1436366 215052 61422 0 0 0 0 8397751 7641469 745002 11280 706574 64741 639064 2769 Medical Supplies 32628167 32443157 184499 511 Collaborative Agreements 8503860 8503860 0 0 Research Subject Fees & Patient Research Costs 540725 540725 0 0 Recruitment 496156 24275 471743 138 5760266 5640672 101626 17968 251277238 212466730 30555628 8254880 1631000 1673000 528000 1823000 35065000 28485000 25147000 29053000 0 0 0 0 0 0 1722000 1926000 1808000 4018000 191790000 115075000 80843000 76715000 106085000 116840000 15038000 15782000 0 0 900000 900000 9979000 14742000 278746000 291957000 25646000 33787000 0 0 9552000 8419000 31880000 29786000 0 0 0 0 8555000 7524000 0 0 13487000 15591000 89120000 95107000 X 72367000 72431000 71397000 77363000 45862000 47056000 189626000 196850000 278746000 291957000 -352379 7576379 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 155607 0 0 155607 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 utilizes 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 American Hospital Association (AHA) who serves as an advocate for its' members and acts as a conduit through which hospitals share best practices. 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 89464000 1344000 8860000 0 9411000 0 90257000 0.44252 0.5339 0.02358 0 0 0 13053000 13053000 0 98226000 50895000 47331000 0 0 0 0 0 80106000 64084000 16022000 0 405000 96000 309000 76715000 15782000 F 0 15782000 Other Receivable 10344000 Contribution Receivable Under Unitrust Rec. 2539000 Other Assets 1859000 14742000 0 Liability Under Annuity Contracts 10833000 Liability Under Unitrust Agreements 2984000 Estimated 3rd Party Payor Settlements 1774000 15591000 258121000 7576379 0 0 0 7576379 250544621 380238 0 380238 250924859 250897000 0 0 0 0 0 250897000 380238 0 380238 251277238 Schedule D, Part V, Line 4 National Jewish 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 1220 N Filmore Street Arlington VA 22201 National Jewish Health contracted with MINDset Direct in Arlington, VA to provide fundraising counsel for the direct mail program. 0 1843146 323300 1519846 1843146 323300 1519846 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 1708399 1278829 429570 0 0 25711 151610 207953 278655 NY REAL ESTATE DINNER 1659740 1505490 154250 0 0 0 184782 84815 171848 17 2921661 2379725 541936 0 0 152771 395216 95350 358738 6289800 5164044 1125756 0 0 178482 731608 388118 809241 2107449 -981693 Schedule G, Part I, Line 2b MINDset Direct provided account strategy and production management services for the fiscal year ended June 30, 2017. These fees totaled $312,850. Other fundraising expenses are paid to or reimbursed to MINDset for printing, postage, letter shop work, etc. based on the contract terms. These additional fundraising expenses totaled $10,450 for the same period. 1 1 0 1 X 0 1 1 0 1 1 64107 0 64107 0 25920766 21020058 4900707 0.02 1584563 40587 1543976 0.006 0 0 27569436 21060645 6508790 0.026 2570439 718952 1851487 0.0074 3629306 400 3628906 0.0144 3708443 2490981 1217461 0.0048 67342741 46790612 20552129 0.0818 7575 0 7575 0 0 0 77258504 50000945 27257558 0.1084 0 0 104827940 71061590 33766348 0.1344 1 1075552 0 31033148 55258306 -24225158 X 1 1 1 1 National Jewish Health 1400 Jackson Street Denver CO 80206 www.nationaljewish.org 0104MU X X X National Jewish Health 1 0 0 1 X X X X X X X X X 17 1 0 0 1 X www.nationaljewish.org 1 17 1 www.nationaljewish.org 0 0 1 X 0 400 X X X X X 0 1 X X X 1 X www.nationaljewish.org X www.nationaljewish.org X 0 X X X 0 X X 0 X 0 0 Schedule H, Part V, Section B, Line 5-National Jewish Health National Jewish 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 medically underserved populations. Schedule H, Part V, Section B, Line 11-National Jewish Health National Jewish 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 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 publishes their research findings in more than 300 peer-reviewed scientific journal articles per year. From 2014-2017, National Jewish specialists conducted 331 free community outreach events which included free lung testing, During this time frame, National Jewish also offered free lung testing and general physical exams for 1,394 miners and ex-miners across Colorado. National Jewish 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 developed a comprehensive program to screen at-risk individuals for lung cancer. National Jewish 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 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 medically underserved populations in asthma and COPD care and treatment. National Jewish operates 16 state tobacco cessation quitlines and developed and tested a program to combat both adult and childhood obesity. National Jewish in partnership with Kaiser developed clinics dedicated to improving respiratory care of indigent patients. National Jewish 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 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 13c-National Jewish Health Schedule H, Part V, Section B, Line 13c-National Jewish Health - National Jewish conducted an internal audit of our financial assistance program to ensure compliance in March 2017 and identified the following shortcomings: National Jewish did not keep records of any patients who may have been affected by the shortcomings identified in the audit. All of the shortcomings were caused by the fact that responsibility for different pieces of the FAP were in different departments of National Jewish. Section 1.501(r)-1-application period and Section 1.501(r)-6(b)-Because the majority of National Jewish's charity care is offered through the Colorado Indigent Care Program, National Jewish has historically made every attempt to mirror our financial assistance program to CICP regulations. Prior to June 2017, like CICP requirements, our FAP policy was to offer eligibility to patients for up to 90 days post-discharge. Beginning in June 2017, we extended the application period for NJ FAP to 240 days past the date of first bill sent to our patients to assure compliance with 501(r). While it is possible that some patients experienced ECA efforts due to this delay, we believe that National Jewish's generous charity care policies, our coordination of billing and care efforts and the nature of our clinical programs make this highly unlikely. Section 1.501(r)-6(c)4-notification. National Jewish notified patients about our financial assistance programs in each new patient packet and on our website. National Jewish also works with patients prior to their visit to help them understand their financial obligations, to ensure that they have information regarding charity care programs and to qualify for charity care prior to their appointment. We included a conspicuous notice on each patient bill with a phone number to call the financial counseling department. Signs were not present in the admitting areas (we do not have an emergency department) and were added in June 2017. In June of 2017, a plain language summary was created. We have also added translations of our plain language summary to our website. National Jewish is widely acknowledged throughout the state as a charity care provider through notifications done as a part of the Colorado Indigent Program and our faculty's work at safety net clinics throughout the area. During FY17, National Jewish did not include the method under section 1.501(r)-5(b) that was used to determine amounts generally billed (AGB) on the FAP. This was corrected in July 2017. Schedule H, Part V, Section B, Line 16j-National Jewish Health National Jewish physicians provide care at safety net clinics throughout the area and ensure that these clinics are aware of that assistance that NJH provides. Also, through a grant with the Kaiser Foundation, National Jewish 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 is also one of a handful of metro-area hospitals who participate in the Colorado Indigent Care Program. 2 National Jewish Health Highlands Ranch 8671 South Quebec Street Suite 120 Highlands Ranch CO 80130 Adult and Pediatric Speciality Outpatient Clincic National Jewish Health South Denver 499 East Hampden Ave Suite 300 Englewood CO 80113 Adult Speciality Outpatient Clinic 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 believes charging a minimal co-pay causes patients to be a full participant in their healthcare plan. National Jewish reviews income level, asset level, medical indigence, insurance status, uninsured discount and state regulation when determining patient financial need. 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 classifies accounts as bad debt at the end of the collection cycle once contractual adjustments 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 is subject to not-for-profit guidelines rather than healthcare guidelines for financial statement reporting as National Jewish 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. Bad debt costs are estimated by multiplying actual bad debt write-offs for the fiscal year by the cost-to-charge ratio calculated from W/S C (grouping of total cost and charge) of the Medicare Cost report. 1,952,000*.551=1,075,552. Patient payments received are netted out of bad debt in the calculation. 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 treatment. 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 We screen for financial assistance policy (FAP) eligibility, we collect on account until approval for FAP, and then we collect on the discounted 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 determining where 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 diagnoses. We also treat patients with food allergies, mycobacterial infections, bronchiectasis, cystic fibrosis, lung cancer and other respiratory and immune diseases. Tobacco Addiction. 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 states. Obesity. Obesity is a national epidemic, which contributes to worsening asthma, COPD and respiratory diseases in general. National Jewish Health operates a weight management program, FitLogix, for corporate clients and health insurers. Schedule H, Part VI, Line 5 National Jewish Health invests significant resources in meeting the healthcare needs of our community. Since our founding over 117 years ago, when National Jewish was a free hospital for the care of indigent TB patients, National Jewish has been committed to meeting the medical needs of the under served in the community. National Jewish is one of only a handful of outpatient clinics in the area that schedules patients for services on a first come, first serve 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 spends millions of dollars to conduct the full continuum of research from basic science to clinical application. National Jewish 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 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 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 854634 0 306551 0 24000 0 23225 0 6263 0 1214673 0 0 0 Greg Downey MD EVP Academic Affairs 556009 0 159000 0 39504 0 23225 0 9590 0 787328 0 0 0 Richard Martin MD Chairman, Department of Medicine 396253 0 99108 0 24558 0 23225 0 128 0 543272 0 0 0 Erwin Gelfand MD Chairman, Department of Pediatrics 324192 0 73500 0 22066 0 23225 0 128 0 443111 0 0 0 Zeitlin Pamela L Chairman, Department of Pediatrics 19152 0 0 0 2024 0 0 0 0 0 21176 0 0 0 Christine K Forkner EVP and CFO, Ass't Treasurer 337051 0 96250 0 18000 0 23225 0 13876 0 488402 0 0 0 Ron Berge EVP and COO 274322 0 76774 0 42000 0 23225 0 9548 0 425869 0 0 0 Lisa Tadiri VP Development 246905 0 60490 0 24000 0 23225 0 14410 0 369030 0 0 0 William E Lee MD Sr MD/Faculty Member/ 642560 0 105583 0 40500 0 23225 0 14282 0 826150 0 0 0 Robert S Kantor MD Sr MD/Faculty Member/ 472292 0 287 0 42000 0 23225 0 0 0 537804 0 0 0 Jones Christopher B Sr MD/Faculty Member 366711 0 21920 0 18000 0 0 0 13876 0 420507 0 0 0 Debra Dyer MD Acting Chair, Radiology 312838 0 48365 0 24000 0 23225 0 14410 0 422838 0 0 0 Wechsler Michael E Sr MD/Faculty Member 312320 0 62505 0 18000 0 23225 0 0 0 416050 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 underwriters discount, rating agency fees, bond counsel and trustee fees. The remaining $15,000 was used to pay for credit enhancement fees. 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 Series 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, 2017 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 that one percent (1%). None of the private business use is considered 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. Jandel Allen Davis VP Govt External Relations and Research 13395034 Health Insurance Benefits 0 Mariner Kemper Director of Corporation 452778 Banking Services and LOC fees 0 Christie Isenberg Family member of Director 187672 Rooms for sleep clinic patients 0 Lisa Cicutto Spouse of Dr. Greg Downey 154488 Employee 0 X 4 11009 Market Value X 16464 Market Value X 50 3040061 Market Value X 29 14302 Market Value X 1 300 Market Value X Donated items used for events 37 46046 Market Value X Misc hospital items 3 2200 Market Value X Airfare/Lodging/Cruise 71 77650 Market Value X Gift certificates/tickets 192 78907 Market Value 0 1 0 Schedule M, Part I, Line 1 NJH is reporting the number of items contributed in column (b). Schedule M, Part I, Line 9 NJH is reporting the number of items contributed in column (b). Schedule M, Part I, Line 18 NJH is reporting the number of items contributed in column (b). Schedule M, Part I, Line 19 NJH is reporting the number of items contributed in column (b). Schedule M, Part I, Lines 25-28 NJH is reporting the number of items contributed 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, Salem, Hassan-business relationship, Slubowski, Michael-business relationship and Zucker, Evan-business relationship. 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 President/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 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 COIs are reviewed by the Chief Compliance Officer (CCO). The EVP and Chief Operating Officer 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 conflict of interest policy is available on the National Jewish 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 for compensation decisions. The committee also utilizes independent data to compare the incumbent's compensation to that for similarly qualified individuals in comparable positions at similarly situated organizations. Contemporaneous documentation is maintained on committee deliberations and decisions. Form 990, Part VI, Section C, Line 17 A copy of the Form 990 is filed in the following states: AL, CT, DC, FL, GA, IL, KS, KY, MA, MD, MI, MN, NC, NH, NH, NM, OH, OK, OR, PA, SC, TN, UT, WI, WV. 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 website and the Municipal Market Access System (EMMA). National Jewish does not make its Bylaws available to the public. 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) Line 11A, 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 29655 79655 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 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 NJH SJH INC s 5259083 FMV The Mount Sinai-National Jewish Health Respiratory Institute LLC i -1519862 Reversal of NJH accrued revenue earned in FY2016 and accrue income earned in FY2017 per the terms of the LLC agreement. JH-NJH Administrative Services LLC b 100 FMV