2017-11-06T17:04:39-06:00 2016-12-31 990 2016-01-01 840482695 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION BRIG 3034981600 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 JOHN HICKS CEO 3034981600 2017-11-06 170.188.5.33 2017-11-06 16:02:57 MS P D592015B8FE208EA5042194ABEAF8E5B275B46FB D592015B8FE208EA5042194ABEAF8E5B275B46FB 2016 2021-01-29 14:40:06Z PLATTE VALLEY MEDICAL CENTER JOHN HICKS 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 135172390 0 X WWW.PVMC.ORG X 1958 CO FOSTER OPTIMAL HEALTH FOR ALL 17 13 887 110 220826 161730 322573 5386470 111572134 121616061 3236098 4415775 491552 1756355 115622357 133174661 162847 19269 0 0 44297073 50160915 0 0 173358 65111101 70203002 109571021 120383186 6051336 12791475 301340786 313883643 101580994 101428638 199759792 212455005 X FOSTER OPTIMAL HEALTH FOR ALL 0 0 107035886 19269 122186130 PLATTE VALLEY MEDICAL CENTER (PVMC) BECAME THE FIRST PRIVATE GENERAL MEDICAL-SURGICAL HOSPITAL IN ADAMS AND SOUTHERN WELD COUNTIES IN 1960. FOR 47 YEARS, PLATTE VALLEY MEDICAL CENTER WAS LOCATED ON SEVEN ACRES AT 18TH AND BRIDGE STREET IN BRIGHTON. IN 2007, PLATTE VALLEY MEDICAL CENTER MOVED TO A 50-ACRE CAMPUS AT I-76 AND 144TH AVENUE.TODAY, PLATTE VALLEY IS A 98-BED COMMUNITY HOSPITAL. AS A MEMBER OF THE SCL HEALTH SYSTEM, PVMC HAS BEEN DESIGNATED ONE OF THE WORLD'S MOST PATIENT-CENTERED HOSPITALS BY PLANETREE, INC. PLATTE VALLEY'S 10 PILLARS OF HEALING ARE INCORPORATED INTO EVERY PATIENT EXPERIENCE. THEY INCLUDE INTEGRATIVE THERAPIES, HUMAN INTERACTIONS, SUPPORT NETWORKS, HEALING DESIGN, EDUCATION AND INFORMATION, HEALTHY AND DELICIOUS MEALS, HEALING ART THERAPY, SPIRITUALITY, HEALING TOUCH, AND HEALTHY COMMUNITIES TO HELP PATIENTS RECOVER.DURING 2016, PVMC HAD THE FOLLOWING RESULTS:3,242 ADMISSIONS72,296 OUTPATIENT VISITS 20,730 EMERGENCY DEPARTMENT VISITS 903 BIRTHS 4,277 SURGERIES899,713 LABORATORY TESTSSERVICESWITH OVER 120 PHYSICIANS REPRESENTING MORE THAN 45 SPECIALTIES, PLATTE VALLEY MEDICAL CENTER OFFERS HIGH-LEVEL SERVICES FOUND IN LARGER METROPOLITAN HOSPITALS. SOME OF THE SERVICES OFFERED INCLUDE:ALLERGY, IMMUNOLOGY & ASTHMA, AMBULANCE SERVICE, CARDIOVASCULAR SERVICES, CRITICAL CARE, DERMATOLOGY, EAR, NOSE, & THROAT, EMERGENCY SERVICES, FAMILY MEDICINE, GASTROENTEROLOGY, HEMATOLOGY, INFECTIOUS DISEASE, INTERNAL MEDICINE, MEDICAL IMAGING, NEONATOLOGY, NEUROSURGERY, NEUROLOGY, OBSTETRICS & GYNECOLOGY, ONCOLOGY, OPHTHALMOLOGY, OPTOMOETRY, ORTHOPEDICS, PEDIATRICS, PHARMACY, PHYSICAL MEDICINE & REHAB, PODIATRY, PULMONARY MEDICINE, SLEEP MEDICINE, STROKE CENTER, UROLOGY, ADVANCED WOUND CENTER. 107035886 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 139 0 1 887 1 1 1 0 0 0 0 0 0 0 0 0 X 17 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X KYLE ENGMAN 3038135543 500 ELDORADO BLVD SUITE 4200 BROOMFIELD CO 80021 ROD BLUNCK DIRECTOR 1.00 0.00 X 0 0 0 MIKE DOLAN DIRECTOR 1.00 0.00 X 0 0 0 SHAWN DUFFORD MD DIRECTOR 1.00 50.00 X 0 557563 109394 BOB FEIS VICE CHAIR 2.00 0.00 X X 0 0 0 RICHARD GONZALES DIRECTOR 1.00 0.00 X 0 0 0 JOHN HICKS CEO/PRESIDENT 50.00 1.00 X X 733167 0 35010 FAYE HUMMEL CHAIR 2.00 0.00 X X 0 0 0 MICHELLE LEBLANC-GROSS DIRECTOR 1.00 0.00 X 0 0 0 PATTY MURRAY DIRECTOR 1.00 0.00 X 0 0 0 SONYA NORMAN MD DIRECTOR 50.00 0.00 X 167091 0 22122 JOHN RHOADES DIRECTOR 1.00 0.00 X 0 0 0 ERIC ROBBINS MD DIRECTOR 1.00 0.00 X 0 0 0 JEFFREY SIPPEL MD DIRECTOR 1.00 0.00 X 0 0 0 HEIDI STORZ DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL TAYLOR DIRECTOR 1.00 50.00 X 0 849356 156505 BRUCE WALKER MD DIRECTOR 1.00 0.00 X 0 0 0 SHAWN WIANT DIRECTOR 1.00 0.00 X 0 0 0 HAROLD DUPPER CFO/CORPORATE SECRETARY 50.00 0.00 X 381612 0 34913 KURT GENSERT VP OPERATIONS 50.00 0.00 X 347997 0 51183 KIRK QUACKENBUSH CHIEF MEDICAL OFFICER 50.00 0.00 X 180684 0 4399 ERIC STIRM PHARMACY DIRECTOR 50.00 0.00 X 188654 0 37932 LORETTA VANWYHE ULTRASONOGRAPHER 50.00 0.00 X 158761 0 6610 KAREN WELZ OR DIRECTOR 50.00 0.00 X 158177 0 19406 DUANE LIVADNEY MEDICAL IMAGING SUPERVISOR 50.00 0.00 X 152714 0 27620 MARK BAKER CATH LAB MANAGER 50.00 0.00 X 145114 0 30713 2613971 1406919 535807 63 0 1 0 CERNER HEALTH SERVICES 51 VALLEY STREAM PARKWAY MALVERN PA 19355 TECHNOLOGY SERVICES 1973998 SOUND PHYSICIANS 1498 PACIFIC AVENUE SUITE 400 TACOMA WA 98402 CONTRACT LABOR 1370531 ANESTHESIA SERVICES INC 14835 SILVER FEATHER CIRCLE BROOMFIELD CO 80023 CONTRACT LABOR 975916 CHILDREN'S HOSPITAL 1213 E 16TH AVE AURORA CO 80045 CONTRACT LABOR 812538 INTEGRAL HEALTHCARE SERVICES 750 W HAMPDEN AVE 501 ENGLEWOOD CO 80110 CONSULTING SERVICES 626030 22 5386470 5386470 PATIENT SERVICE REVENUE 622110 115121520 115121520 CLINIC SUPPORT SERVICES 541900 6494541 6494541 121616061 1460496 220826 1239670 3184015 1997729 1186286 1186286 1186286 2955279 0 2955279 2955279 2955279 CAFETERIA REVENUE 722310 567541 567541 VENDING MACHINE REVENUE 900099 2528 2528 570069 133174661 122186130 220826 5381235 X 19269 19269 1958177 1750372 207805 35359244 31123798 4134090 101356 1063848 918176 141475 4197 8928803 7745977 1159276 23550 2850843 2496765 342011 12067 228137 228137 170178 170178 2967 2967 52893 52893 14473771 12275170 2180369 18232 299428 299428 2645610 2591175 49896 4539 4918316 1497204 3414558 6554 1218938 1059013 159925 92549 52518 39779 252 75754 65782 9972 2544617 2544617 12236035 12236035 729878 729878 MEDICAL SUPPLIES 15832025 15832025 BAD DEBT EXPENSE 5914501 5914501 3RD PARTY PROVIDER FEES 4621581 4621581 CONTRACT SERVICES 1776722 1776722 2369102 1785308 581183 2611 120383186 107035886 13173942 173358 9820460 7901771 13889898 518982 1995559 14652471 18584576 18956 836706 762840 2201344 2167652 254695279 91593811 156580969 163101468 69356260 9469875 12231919 10000000 10000000 14513847 96618876 301340786 313883643 18056862 22021122 83205671 79407516 318461 0 101580994 101428638 X 197833771 210459446 1926021 1995559 199759792 212455005 301340786 313883643 12791475 -96262 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2967 2967 0 PART II-B, LINE 1: PART II-B, LINE (1I): LOBBYING EXPENSES WERE DERIVED AS A PERCENTAGE OF DUES PAID TO THE COLORADO HOSPITAL ASSOCIATION. 1681875 128392 150000 1660267 1642857 50000 -10982 1681875 1769303 110446 236892 1642857 1705773 274017 252829 459444 3872 1769303 1379709 299156 157195 125759 4528 1705773 0.28610 0.67000 0.04390 0 1 1 13705100 13705100 175696341 50622811 125073530 6613875 3395026 3218849 53522795 37575974 15946821 5157168 5157168 163101468 INTERCOMPANY RECEIVABLES - SEE SCHEDULE D, PART XIII 95651391 OTHER MISC RECEIVABLES 967485 96618876 PART V, LINE 4: PLATTE VALLEY MEDICAL CENTER FOUNDATION HOLDS ENDOWMENTS TO PROVIDE FINANCIAL SUPPORT FOR THE PROGRAMS AND SERVICES OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION. SCHEDULE D, PART IX - INTERCOMPANY RECEIVABLES INTERCOMPANY RECEIVABLES REPORTED IN 990, SCHEDULE D, PART IX CONSISTS OF CENTRALLY MANAGED CASH & INVESTMENTS AS WELL AS VARIOUS MISCELLANEOUS INTERCOMPANY RECEIVABLES. THE BREAKDOWN BELOW PRESENTS ADDITIONAL DETAIL: INTERCO REC - CENTRALLY MANAGED CASH & INVESTMENTS $75,552,503 INTERCO REC - PHYSICIAN CLINICS $14,872,662 INTERCO REC - COMMUNITY HEALTH IMPROVEMENT FUNDS $5,226,226 TOTAL $95,651,391 1 1 X 1 X 125.000000000000 1 X 1 1 1 0 1 1 3321412 0 3321412 0.02900 30277631 24012055 6265576 0.05470 33599043 24012055 9586988 0.08370 138074 19929 118145 0.00100 368805 0 368805 0.00320 126917 756 126161 0.00110 633796 20685 613111 0.00530 34232839 24032740 10200099 0.08900 1257 0 1257 0.00000 1257 1257 0.00000 1 5914501 0 18924127 34244313 -15320186 X 1 1 1 1 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 WWW.PVMC.ORG 010311 X X X X BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X X 16 1 0 0 1 X SEE PART V, SECTION C X 1 13 1 SEE PART V, SECTION C 0 1 X 125.000000000000 250.000000000000 X X X X X X 1 1 X X X X 1 X WWW.PVMC.ORG/CHARITYCARE/ X WWW.PVMC.ORG/CHARITYCARE/ X WWW.PVMC.ORG/CHARITYCARE/ X X X X X X 1 X 0 X X X 1 X 0 0 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: PVMC CONDUCTED THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT THROUGHOUT THE YEAR AND IT WAS COMPLETED IN DECEMBER 2016. THE FOLLOWING INFORMATION IS BASED ON THE PROCESS FOR THE 2016 CHNA. IN 2016, WE UTILIZED TWO METHODS OF COLLECTING PRIMARY DATA, FOCUS GROUPS AND AN ONLINE SURVEY. FOCUS GROUPSFOCUS GROUPS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY PVMC. THREE FOCUS GROUPS ENGAGING 15 COMMUNITY MEMBERS WERE COMPLETED DURING OCTOBER, 2016. FOR THE FOCUS GROUPS, COMMUNITY STAKEHOLDERS IDENTIFIED BY PVMC WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. IN OCTOBER 2016, PLATTE VALLEY MEDICAL CENTER (PVMC) CONDUCTED THREE FOCUS GROUPS TO GET FEEDBACK FROM COMMUNITY MEMBERS REGARDING THE PERCEIVED HEALTH NEEDS AND THEIR IDENTIFICATION OF RESOURCES AVAILABLE TO ADDRESS THOSE NEEDS. THE THREE FOCUS GROUPS WERE 1) THE PASTORAL COUNCIL (LOCAL MINISTERS) 2) THE PATIENT PARTNERSHIP COUNCIL AND 3) RESIDENTS FROM HUGHES STATION, A LOW-INCOME HOUSING COMPLEX. A PRESENTATION WAS GIVEN TO EACH OF THE GROUPS WHICH INCLUDED: A DESCRIPTION OF THE REASON FOR COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA); A REVIEW OF THE CHNA WHICH WAS COMPLETED IN 2013; A REVIEW OF THE ON-LINE SURVEY RESULTS FROM THE ON-LINE KEY INFORMANT SURVEY COMPLETED BY PROFESSIONAL RESEARCH CONSULTANTS; A REVIEW OF THE SECONDARY DATA FROM COLORADO HEALTH INFORMATION DATASET (COHID), UNITED STATES 2010-2014 CENSUS, AND HEALTHY PEOPLE 2020; AND A DESCRIPTION OF THEIR TASK.FOLLOWING THE PRESENTATION, EACH GROUP WAS TASKED WITH RATING THE SEVEN IDENTIFIED HEALTH NEEDS USING TWO QUESTIONS TO ASSIST WITH PRIORITIZATION. THE FIRST TASK WAS TO RATE THE HEALTH ISSUE ON THE SCOPE AND SEVERITY OF THE PROBLEM WITH A "1" BEING NOT VERY PREVALENT AT ALL, WITH ONLY MINIMAL HEALTH CONSEQUENCES AND A "10" WAS A PROBLEM THAT WAS "EXTREMELY PREVALENT, WITH VERY SERIOUS HEALTH CONSEQUENCES AND THE SECOND TASK WAS TO RATE THE HEALTH ISSUE AS TO HOW LIKELY THE HOSPITAL WOULD BE ABLE TO HAVE A POSITIVE IMPACT ON THE PROBLEM. A "1" WAS GIVEN TO A PROBLEM THAT THE INDIVIDUAL FELT THAT THE HOSPITAL HAD "NO ABILITY TO IMPACT AND A "10" WAS TO BE GIVEN TO A PROBLEM FOR WHICH THEY THOUGHT THE HOSPITAL WOULD HAVE A "GREAT ABILITY TO IMPACT".ONLINE SURVEYAN ELECTRONIC SURVEY ENGAGED 64 COMMUNITY STAKEHOLDERS TO PROVIDE INPUT ON SIGNIFICANT HEALTH NEEDS. THE ONLINE SURVEY ENGAGED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS THAT HAVE "CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY."TO SOLICIT INPUT FROM KEY INFORMANTS (THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY), AN ONLINE KEY INFORMANT PRIORITIZATION SURVEY WAS IMPLEMENTED TO RANK THE HEALTH NEEDS PREVIOUSLY IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR ADAMS AND WELD COUNTIES, COLORADO. THIS ONLINE KEY INFORMANT PRIORITIZATION SURVEY WAS CONDUCTED ON BEHALF OF PLATTE VALLEY MEDICAL CENTER BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) DURING AUGUST AND SEPTEMBER, 2016. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY PLATTE VALLEY MEDICAL CENTER. THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL.PLATTE VALLEY MEDICAL CENTER ANNOUNCED THE UPCOMING SURVEY TO THESE INDIVIDUALS, ASKING THEM TO REVIEW THE COMMUNITY HEALTH DATA. THE DATA INCLUDED INFORMATION ON 7 HEALTH ISSUES (IN ALPHABETICAL ORDER): 1) ACCESS TO HEALTHCARE SERVICES 2) CHRONIC LOWER RESPIRATORY DISEASE 3) DIABETES 4) HEART DISEASE & STROKE 5) MENTAL HEALTH 6) NUTRITION, PHYSICAL ACTIVITY & WEIGHT 7) SUBSTANCE ABUSE THE DATA PRESENTED WAS FOR BOTH ADAMS AND WELD COUNTIES AND PROVIDED COMPARISONS TO THE STATE AND HEALTHY PEOPLE 2020 GOALS (WHERE APPLICABLE). BEFORE BEGINNING THE SURVEY, PARTICIPANTS WERE ASKED TO REVIEW THE HEALTH DATA PRIOR TO COMPLETING THE SURVEY. THE SURVEY WAS AVAILABLE ONLINE OVER THE COURSE OF FOUR WEEKS, AND REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. AFTER REVIEWING THE ASSESSMENT DATA, RESPONDENTS TO THE ONLINE KEY INFORMANT PRIORITIZATION SURVEY WERE ASKED TO RATE THE SCOPE AND SEVERITY OF EACH OF THE 7 HEALTH ISSUES. THE RANKING WAS THE SAME AS THE FOCUS GROUP RANKING DESCRIBED ABOVE. THOSE RESPONDENTS RATING ANY OF THE HEALTH ISSUES AS A "9 OR "10" WERE THEN ASKED OPEN-ENDED QUESTIONS ABOUT THOSE HEALTH ISSUES. FOR EACH, A SERIES OF QUESTIONS ASKED THEM TO DESCRIBE ANY SPECIFIC POPULATION(S) IMPACTED, WHAT THEY BELIEVE MUST BE DONE (OR IMPROVED) TO ADDRESS THIS HEALTH ISSUE, AND IF THERE IS ANY OTHER INFORMATION THAT NEEDS TO BE CONSIDERED TO ADDRESS THIS HEALTH ISSUE. PARTICIPANTS INCLUDED REPRESENTATIVES OF THE FOLLOWING ORGANIZATIONS:A WOMAN'S PLACE, INC. ADAMS COUNTY ADAMS COUNTY HEAD START ADAMS COUNTY YOUTH INITIATIVE AIMS COMMUNITY COLLEGE ALMOST HOME, INC. BRIGHTON POLICE DEPARTMENT BRIGHTON SCHOOL DISTRICT 27J BRIGHTON SHARES THE HARVEST CASA OF ADAMS/BROOMFIELD COUNTIES CITY OF BRIGHTON CITY OF FORT LUPTON COAL CREEK ADULT EDUCATION CENTER COLORADO STATE UNIVERSITY EXTENSION FRONT RANGE COMMUNITY COLLEGE KEENE CLINICLIFE CHOICES MIRACLE HOUSE CHILDREN'S HOMES PENNOCK CENTER FOR COUNSELING PLATTE VALLEY MEDICAL CENTER PLATTE VALLEY MEDICAL CENTER BOARD PLATTE VALLEY MEDICAL CENTER FOUNDATION PREMIER PEDIATRICS SALUD FAMILY HEALTH CENTERS SCL HEALTH THE SENIOR HUB TRI-COUNTY HEALTH DEPARTMENT (TCHD) UNIVERSITY OF NORTHERN COLORADO SCHOOL OF NURSING WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT WELD COUNTY SCHOOL DISTRICT RE-8 WELD FOOD BANKBRIGHTON COMMUNITY HOSPITAL ASSOCIATION:PART V, SECTION B, LINE 7A: WWW.PVMC.ORG/ABOUT-US/COMMUNITY-BENEFITS/BRIGHTON COMMUNITY HOSPITAL ASSOCIATION:SCHEDULE H, PART V, SECTION B, LINE 9:THE IMPLEMENTATION STRATEGY FOR THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT WAS ADOPTED IN EARLY 2017.BRIGHTON COMMUNITY HOSPITAL ASSOCIATION:PART V, SECTION B, LINE 10A: WWW.PVMC.ORG/ABOUT-US/COMMUNITY-BENEFITS/ BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: PLATTE VALLEY MEDICAL CENTER DEVELOPED AND APPROVED AN IMPLEMENTATION STRATEGY TO ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT. THE IMPLEMENTATION STRATEGY ADDRESSED THE FOLLOWING HEALTH NEEDS THROUGH A COMMITMENT OF COMMUNITY BENEFIT PROGRAMS AND RESOURCES: ACCESS TO CARE CANCER CARDIOVASCULAR DISEASETO ACCOMPLISH THE IMPLEMENTATION STRATEGY, GOALS WERE ESTABLISHED THAT INDICATED THE EXPECTED CHANGES IN THE HEALTH NEEDS AS A RESULT OF COMMUNITY PROGRAMS AND ACTIVITIES. STRATEGIES TO ADDRESS THE PRIORITY HEALTH NEEDS WERE IDENTIFIED AND IMPACT MEASURES TRACKED. THE FOLLOWING SECTIONS OUTLINE THE IMPACT MADE ON THE SELECTED SIGNIFICANT HEALTH NEEDS SINCE THE COMPLETION OF THE 2013 CHNA. ACCESS TO CAREPVMC MADE A LARGE FINANCIAL INVESTMENT IN INFRASTRUCTURE, PERSONNEL AND SERVICES IN ORDER TO IMPROVE ACCESS TO QUALITY HEALTH CARE FOR THE COMMUNITY. FINANCIAL COUNSELORS: SINCE JANUARY 2014, THE CONTRACTED FINANCIAL COUNSELORS HAVE WORKED WITH OVER 1,300 INDIVIDUALS TO FILL OUT APPLICATIONS AND APPLY FOR GOVERNMENTAL INSURANCE PROGRAMS. OF THE PEOPLE WHO DID NOT QUALIFY FOR GOVERNMENT ASSISTANCE, OVER 1,000 PEOPLE HAD FACE-TO-FACE COUNSELING WITH PVMC FINANCIAL COUNSELORS TO DETERMINE ELIGIBILITY FOR PVMC FINANCIAL ASSISTANCE. CERTIFIED APPLICATION COUNSELORS: IN 2013 FOUR EMPLOYEES BECAME CERTIFIED APPLICATION COUNSELORS (CAC) FOR THE CONNECT FOR COLORADO HEALTH INSURANCE EXCHANGE AND PROVIDED EDUCATION ON THE COLORADO HEALTH EXCHANGE AT VARIOUS VENUES OUTSIDE OF THE HOSPITAL. IN 2016, TWO EMPLOYEES RENEWED THEIR CERTIFICATION AND THEY CONTINUED TO PROVIDE EDUCATION IN THE COMMUNITY. OUTPATIENT FACILITY EXPANSION: SINCE 2014, THE HOSPITAL HAS BUILT 100,000 SQUARE FEET OF OUTPATIENT FACILITIES TO INCREASE ACCESS TO PRIMARY CARE, WALK-IN CLINIC AND SPECIALTY CARE. - REUNION MEDICAL PLAZA - OFFICES AT THIS LOCATION INCLUDED: ALCOTT WOMEN'S CENTER (GYNECOLOGY AND OBSTETRICS), MATERNAL-FETAL MEDICINE, EAGLE RIDGE FAMILY MEDICINE, INTEGRATIVE INTERNAL MEDICINE, AND PREMIER PEDIATRICS - FT. LUPTON MEDICAL PLAZA - OFFICES IN THIS LOCATION INCLUDED: - WALK RIGHT-IN CLINIC- URGENT CARE VISIT FOR THE PRICE OF A PRIMARY CARE VISIT INCLUDES: X-RAY AND LAB SERVICES ON-SITE, ILLNESS AND INJURY CARE, AND MINOR PROCEDURES - WORK WELLNESS OCCUPATIONAL HEALTH CLINIC INCLUDES: ANNUAL EMPLOYMENT PHYSICALS, DRUG AND ALCOHOL SCREENINGS , LAB TESTING, ON-SITE CASE MANAGEMENT, ON-SITE X-RAY , DOT EXAMS, PRE-EMPLOYMENT PHYSICALS/POST-OFFER EXAMS, WALK-IN CARE, WORKER'S COMP INJURIES AND FOLLOW-UP - EAGLE RIDGE FAMILY MEDICINE DOCTOR ON DEMAND - OUR PARTNERSHIP WITH SCL HEALTH IS EXPANDING OUR CONTINUUM OF CARE THROUGH OUR WORK IN VIRTUAL HEALTH. DOCTOR ON DEMAND OFFERS PATIENTS VISITING SCLHEALTHSYSTEM.ORG/DOCTOR-ON-DEMAND/ACCESS TO A DOCTOR, USING THEIR TABLET OR SMARTPHONE IN THE COMFORT OF THEIR LIVING ROOM. PRIMARY CARE EXPANSION: SINCE 2014, PVMC HAS WORKED TO EXPAND PRIMARY CARE AS WELL AS SPECIALTY CARE SERVICES. PVMC HAS RECRUITED: FOUR FAMILY PRACTICE CARE PROVIDERS; ONE INTERNAL MEDICINE PHYSICIAN; HAND SURGEON; ON-SITE EAR, NOSE AND THROAT PHYSICIANS; TWO WOUND CARE PHYSICIANS; SURGICAL PODIATRIST; FULL-TIME DEDICATED SURGERY PRACTICE (WITH THE ADDITION OF THE DEDICATED SURGERY STAFF, THE EMERGENCY DEPARTMENT WAS ABLE TO BECOME A LEVEL III TRAUMA CENTER IN 2016).EDUCATIONAL SEMINARS: PVMC OFFERS MANY EDUCATIONAL SEMINARS EACH YEAR. SINCE JANUARY OF 2014, EDUCATIONAL OFFERINGS HAVE INCLUDED: - 602 PERSONS ATTENDED NUTRITIONAL TALKS RELATED TO NUTRITION OR HEALTHY EATING. - 665 PERSONS ATTENDED EDUCATIONAL SEMINARS ON VARIOUS TOPICS INCLUDING: JOINT REPLACEMENT, SKIN CANCER, ASTHMA, ALLERGIES, FOOT PAIN, PREGNANCY PLANNING, URINARY INCONTINENCE, HEART HEALTH, KNEE AND HIP PAIN AND PERIPHERAL ARTERIAL DISEASE. 9HEALTH FAIR IS AN ANNUAL COMMUNITY EVENT OFFERED AT PVMC. DURING 2014-2016, OVER 2,200 PARTICIPANTS ATTENDED THE HEALTH FAIRS, WHICH OFFERED LOW-COST BLOOD CHEMISTRY PANEL, PSA LEVEL, VITAMIN D LEVEL, BLOOD COUNT, A1C, AND TAKE HOME COLON CANCER KIT. FREE SCREENINGS INCLUDED: BALANCE, BONE DENSITY, BREAST EXAM, CARDIAC RISK, STRESS MANAGEMENT, EYE HEALTH, FOOT, HEARING, HEIGHT, WEIGHT, LUNG FUNCTION, NUTRITION, ORAL, PAP SMEAR, PHARMACY, PROSTATE, BLOOD PRESSURE/PULSE OXIMETRY, SKIN CANCER, SLEEP APNEA, AND SPINAL. GIRL'S NIGHT OUT (GNO) IS AN ANNUAL EVENT. DURING THE YEARS 2014-2016, 2,136 PERSONS ATTENDED GNO. BASED ON PARTICIPANT FEEDBACK, THE SCREENINGS HAVE CHANGED FROM YEAR TO YEAR. SCREENINGS AT THIS EVENT HAVE INCLUDED: BONE DENSITY, VARICOSE VEIN, PERIPHERAL ARTERIAL DISEASE, SKIN CANCER, BLOOD PRESSURE, FLU VACCINES, CARDIAC AND STROKE RISK ASSESSMENT, SLEEP APNEA, BALANCE AND STRENGTH TESTING. THE GNO ALSO HAS PROVIDED: DIABETES EDUCATION, NUTRITION TIPS, YOGA AND FITNESS TIPS, HEART HEALTH EDUCATION, AND MEET AND GREET OPPORTUNITIES WITH DOCTORS ON PVMC'S MEDICAL STAFF. IN THE MEET AND GREET OPPORTUNITIES, PARTICIPANTS CAN ASK QUESTIONS DIRECTLY TO THE PHYSICIAN ABOUT CONCERNS THEY MAY HAVE. IN THE PAST THREE YEARS, THE FOLLOWING PHYSICIANS HAVE BEEN REPRESENTED: ALLERGISTS, DERMATOLOGISTS, FAMILY AND INTERNAL MEDICINE PROVIDERS, CARDIOLOGISTS, ORTHOPEDIC SURGEONS, OB/GYNS, GASTROENTEROLOGISTS, PEDIATRICIANS, SPINE SURGEONS, PODIATRISTS, AND GENERAL SURGEONS. THE BRIGHTON WELLNESS PROGRAM CONTINUES A PARTNERSHIP OFFERING HEALTH COACHING TO EMPLOYEES OF OUR LOCAL MUNICIPALITY. CANCERFROM 2014- 2016 PVMC OFFERED PROGRAMS AIMED AT PREVENTION OR SUPPORT OF PERSONS WITH CANCER AND THEIR FAMILIES/CAREGIVERS.THE ONCOLOGY CLINIC OFFERED A SUPPORT GROUP FOR THE COMMUNITY. IN THE PAST THREE YEARS, THEY HAVE HAD 513 ENCOUNTERS. LOW-COST MAMMOGRAMS WERE OFFERED TO PATIENTS AT A 59% REDUCED RATE. - PLATTE VALLEY OFFERED SERVICES AT THE ANNUAL HEALTH FAIRS FROM 2014-2016: - 139 PERSONS RECEIVED FREE SKIN CANCER CHECKS AND 109 WERE REFERRED FOR FOLLOW UP. - 110 PERSONS RECEIVED FREE BREAST EXAMS AND 3 WERE REFERRED FOR ADDITIONAL FOLLOW UP. - 65 PERSONS RECEIVED FREE PAP SMEARS. - 500 PERSONS TOOK ADVANTAGE OF LOW-COST PSA TESTS TO CHECK FOR PROSTATE CANCER. - 180 PERSONS TOOK ADVANTAGE OF LOW-COST COLON KITS TO CHECK FOR COLON CANCER. THE GIRL'S NIGHT OUT EVENT PROVIDED A SKIN CANCER CHECK AND COLON CANCER EDUCATION FOR PARTICIPANTS FROM 2014-2016. - 14 PERSONS ATTENDED AN EDUCATIONAL SEMINAR FOCUSED ON SKIN CANCER AT PVMC. - 15 PERSONS ATTENDED AN EDUCATIONAL SEMINAR ON SKIN CANCER ORGANIZED BY PVMC STAFF THAT WAS HELD AT THE PRAIRIE VIEW ADULT CENTER. CARDIOVASCULAR DISEASEFROM 2014-2016, PVMC FOCUSED MANY RESOURCES TO IMPROVE THE SERVICES FOCUSED ON CARDIOVASCULAR DISEASE. - A CARDIAC SUPPORT GROUP WAS OFFERED FROM 2014-2016. THE GROUP MEETS MONTHLY AND IS OPEN TO THE COMMUNITY. - A STROKE SUPPORT GROUP WAS OFFERED FROM 2014-2016. THE GROUP MEETS MONTHLY AND IS OPEN TO STROKE SURVIVORS, CAREGIVERS, FRIENDS AND FAMILY MEMBERS. THERE HAVE BEEN 534 ENCOUNTERS DURING THE THREE YEARS. - 193 PERSONS ATTENDED EDUCATIONAL SEMINARS AT PVMC DURING 2014-2016. THESE INCLUDED TOPICS ON NUTRITION, PERIPHERAL VASCULAR DISEASE, SMOKING CESSATION AND WAYS TO IMPROVE CARDIOVASCULAR FUNCTION. - 162 PERSONS ATTENDED EDUCATIONAL SEMINARS ORGANIZED BY PVMC STAFF AND HELD AT THE PRAIRIE VIEW ADULT CENTER. THESE SEMINARS INCLUDED TOPICS ON HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, HEART ATTACKS, NUTRITION AND HEALTHY COOKING, EXERCISING HABITS FOR SENIORS AND PERIPHERAL ARTERIAL DISEASE. DURING THE HEALTH FAIRS FROM 2014-2016: - 114 RECEIVED A CARDIAC RISK ASSESSMENT SCREENING AND 9 PEOPLE WERE REFERRED FOR FURTHER EVALUATION - 329 PEOPLE RECEIVED BLOOD PRESSURE EVALUATIONS AND 95 PEOPLE WERE OUT OF RANGE AND REFERRED FOR FURTHER EVALUATION CONTINUED BELOW BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 13B: BRIGHTON COMMUNITY HOSPITAL ASSOCIATION LOOKS AT OTHER FACTORS IN ADDITION TO FAMILY INCOME LIMITS AS A PERCENTAGE OF FEDERAL POVERTY GUIDELINES, SUCH AS MONTHLY EXPENSES AND INDIVIDUAL FINANCIAL SITUATIONS. SCHEDULE H, PART V, LINE 11 - CONTINUED GIRL'S NIGHT OUT EVENT HAD MANY CARDIAC RELATED BOOTHS AVAILABLE. - MEET AND GREET WITH CARDIOLOGISTS ALLOWING PARTICIPANTS TO ASK QUESTIONS OF CONCERN - HEART HEALTH EDUCATION - BLOOD PRESSURE SCREENING - STROKE AND CARDIAC RISK ASSESSMENT - PERIPHERAL ARTERIAL DISEASE CHECKSIN JULY OF 2015, PVMC CHEST PAIN CENTER RECEIVED ACCREDITATION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE (SCPC). THIS ACCREDITATION MEANS THAT PATIENTS WITH CHEST PAIN AND HEART ATTACK SYMPTOMS WILL RECEIVE A HIGHER LEVEL OF CARE IN BRIGHTON - ONLY ONE IN FIVE COLORADO HOSPITALS HAS ACHIEVED CHEST PAIN CENTER ACCREDITATION. WITH THIS ACCREDITATION, PVMC DEMONSTRATES A HIGHER LEVEL OF EXPERTISE WHEN TREATING PATIENTS WHO ARRIVE IN OUR EMERGENCY DEPARTMENT SHOWING SIGNS OF A HEART ATTACK. NEEDS NOT ADDRESSEDPLATTE VALLEY MEDICAL CENTER HAS CHOSEN NOT TO ACTIVELY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE 2013 CHNA AS THEY WERE NOT SELECTED AS PRIORITY HEALTH NEEDS: BIRTH INDICATORS (PRENATAL CARE, LOW BIRTH WEIGHT), HOUSING / HOMELESSNESS, MENTAL HEALTH, OVERWEIGHT AND OBESITY, PREVENTIVE CARE, SMOKING, TRANSPORTATION, AND UNINTENTIONAL INJURIES. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION, PLATTE VALLEY MEDICAL CENTER HAS SELECTED TO CONCENTRATE ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS AND EXPERTISE. THEREFORE, THE HOSPITAL'S CHARITABLE RESOURCES WILL BE PLACED ON THE SELECTED PRIORITY HEALTH NEEDS. 4 1 - PLATTE VALLEY MEDICAL IMAGING LLC 1606 PRAIRIE CENTER PARKWAY SUITE 130 BRIGHTON CO 80601 RADIOLOGY SERVICES 2 - PLATTE VALLEY AMBULANCE SERVICE LLC 1606 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 AMBULANCE SERVICES 3 - SPECTRUM MEDICAL IMAGING LLC 1610 PRAIRIE CENTER PARKWAY SUITE 2100 BRIGHTON CO 80601 RADIOLOGY SERVICES 4 - WORKWELLNESS LLC 1450 DEXTER STREET FORT LUPTON CO 80621 OCCUPATIONAL HEALTH SERVICES PART I, LINE 6A: THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 5,914,501. PART II, COMMUNITY BUILDING ACTIVITIES: A VARIETY OF DIRECTORS AND ADMINISTRATORS PARTICIPATE IN COMMUNITY BOARDS AND CHAMBERS IN ORDER TO ASSIST WITH COMMUNITY BUILDING. PVMC ASSOCIATES SERVE ON THE CHAMBER OF COMMERCE OF BRIGHTON AND THE NON-PROFIT COUNCIL OF THE BRIGHTON CHAMBER, FT. LUPTON CHAMBER OF COMMERCE, COMMERCE CITY CHAMBER OF COMMERCE, SOUTHEAST WELD COUNTY CHAMBER OF COMMERCE, BRIGHTON URBAN RENEWAL ASSOCIATION, KIWANIS, ROTARY, STATE NURSING BOARD, ALMOST HOME BOARD, SENIOR CENTER ADVISORY BOARD, COLORADO HOSPITAL ASSOCIATION AND MORE.PVMC HOSTS A QUARTERLY NETWORKING MEETING OF THE LOCAL SERVICE AGENCIES, ALLOWING FOR THEM TO ANNOUNCE THEIR PROGRAMS AND COLLABORATE WITH OTHER LOCAL AGENCIES. THE MEETING IS ALSO MEANT TO DECREASE DUPLICATION OF SERVICES AND ENCOURAGE THE BEST POSSIBLE USE OF RESOURCES.PART III, LINE 1: THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR REPORTING BAD DEBT. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. PART III, LINE 4: THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBE THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITION IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL COLLECTION EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE MODIFICATIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS INCLUDES A RESERVE FOR BOTH UNINSURED PATIENTS AND BALANCES DUE FROM PATIENTS AFTER INSURANCE. PART III, LINE 8: THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO. PART III, LINE 9B: AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. PART VI, LINE 2: PVMC IS ALWAYS WORKING WITH AND REVIEWING THE NEEDS OF THE COMMUNITY IN ORDER TO PROVIDE THE BEST SERVICE TO THOSE IN THE PVMC SERVICE AREA. THROUGH CONTACTS WITH LOCAL AND STATE HEALTH AND SERVICE ORGANIZATIONS (TRI-COUNTY HEALTH DEPARTMENT, WELD COUNTY HEALTH DEPARTMENT, PENNOCK COUNSELING CENTER, REACH COMMUNITY CENTER, ADAMS COUNTY HEALTH INITIATIVE, CHA, CHAPEL HILL FOOD BACK, ALMOST HOME HOMELESS SHELTER TO NAME A FEW), AND INDEPENDENT CONSULTANTS, PVMC MONITORS AND IDENTIFIES AREAS OF NEEDS IN THE COMMUNITY AND WORKS TO IDENTIFY WAYS TO ASSURE THAT THE NEEDS ARE MET. INTERNAL TRACKING AND REVIEWS ARE COMPLETED IN ORDER TO CONFIRM THAT PROGRAMS ARE MEETING THEIR GOALS TO ADDRESS THE NEEDS OF THE COMMUNITY. PART VI, LINE 3: THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. PART VI, LINE 4: PLATTE VALLEY MEDICAL CENTER IS LOCATED AT 1600 PRAIRIE CENTER PARKWAY BRIGHTON, COLORADO 80601. THE PRIMARY SERVICE AREA INCLUDES SIX COMMUNITIES IN ADAMS COUNTY AND WELD COUNTY, COLORADO. DEMOGRAPHICSPOPULATION: THE POPULATION OF THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA IS 153,835. POPULATION BY GENDER: OF THE SERVICE AREA POPULATION, 49.6% ARE MALE AND 50.4% ARE FEMALE. POPULATION BY AGE: CHILDREN AND YOUTH, AGES 0-17, MAKE UP 30.4% OF THE POPULATION IN THE SERVICE AREA; 61.4% ARE ADULTS, AGES 18-64; AND 8.2% OF THE POPULATION ARE SENIORS, AGES 65 AND OVER. WHEN THE HOSPITAL SERVICE AREA IS EXAMINED BY COMMUNITY, COMMERCE CITY HAS THE HIGHEST PERCENTAGE OF YOUTH, AGES 0-17, AT 33%; HUDSON HAS THE SMALLEST PERCENTAGE OF YOUTH (21.2%). KEENESBURG HAS THE LARGEST PERCENTAGE OF SENIORS (14.4%) IN THE SERVICE AREA; HENDERSON THE LOWEST AT 4.6%. RACE/ETHNICITY: IN THE PVMC SERVICE AREA, 56.1% OF THE POPULATION IS WHITE; 37.4% OF THE POPULATION IS HISPANIC/LATINO; 2.2% ARE ASIAN; 1.9% IS AFRICAN AMERICAN; AND 2.3% ARE AMERICAN INDIAN/ALASKAN NATIVE OR OTHER RACE/ETHNICITY. THE PVMC SERVICE AREA HAS A SMALLER PERCENTAGE OF WHITES (56.1%) AND LARGER PERCENTAGE OF HISPANICS OR LATINOS (37.4%) THAN ARE FOUND IN THE STATE.RACE/ETHNICITY BY PLACE: WHEN RACE AND ETHNICITY ARE EXAMINED BY PLACE, THE MAJORITY OF THE POPULATION IN COMMERCE CITY IS HISPANIC OR LATINO (50.3%). IN KEENESBURG, 78.7% OF THE POPULATION IS WHITE, THE HIGHEST IN THE SERVICE AREA. 5.2% OF THE POPULATION IN BRIGHTON 80602 IS ASIAN. CITIZENSHIP: IN THE PVMC SERVICE AREA, 13% OF THE POPULATION IS FOREIGN BORN AND 8.2% OF THE POPULATION IS NOT A U.S. CITIZEN. THIS IS A LOWER PERCENTAGE THAN FOUND IN ADAMS COUNTY (10.6%) BUT HIGHER THAN IN WELD COUNTY (5.6%). LANGUAGE: THE LANGUAGES SPOKEN AT HOME BY AREA RESIDENTS MIRROR THE RACIAL/ETHNIC MAKE-UP OF THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA COMMUNITIES. ENGLISH IS SPOKEN IN THE HOME AMONG 72.8% OF THE SERVICE AREA POPULATION. SPANISH IS SPOKEN AT HOME AMONG 23.9% OF THE POPULATION; 1.2% OF THE POPULATION SPEAKS AN INDO-EUROPEAN LANGUAGE; AND 1.8% OF THE POPULATION SPEAK AN ASIAN LANGUAGE AT HOME. SOCIAL AND ECONOMIC FACTORS RANKINGS: THE COUNTY HEALTH RANKINGS RANKS COUNTIES ACCORDING TO HEALTH FACTORS DATA. SOCIAL AND ECONOMIC INDICATORS ARE EXAMINED AS A CONTRIBUTOR TO THE HEALTH OF A COUNTY'S RESIDENTS. COLORADO'S 64 COUNTIES ARE RANKED ACCORDING TO SOCIAL AND ECONOMIC FACTORS WITH 1 BEING THE COUNTY WITH THE BEST FACTORS TO 64 FOR THAT COUNTY WITH THE POOREST FACTORS. THIS RANKING EXAMINES: HIGH SCHOOL GRADUATION RATES, UNEMPLOYMENT, CHILDREN IN POVERTY, SOCIAL SUPPORT, AND OTHERS. ADAMS COUNTY IS RANKED 39, IN THE BOTTOM QUARTILE OF ALL COLORADO COUNTIES ACCORDING TO SOCIAL AND ECONOMIC FACTORS. WELD COUNTY IS RANKED AS 32, PLACING IT IN THE BOTTOM HALF OF ALL COLORADO COUNTIES. UNEMPLOYMENT: THE UNEMPLOYMENT RATE IN THE HOSPITAL SERVICE AREA AVERAGED OVER 5 YEARS WAS 6.8%, WHICH IS LOWER THAN THE STATE RATE OF 7.9%. POVERTY: POVERTY THRESHOLDS ARE USED FOR CALCULATING ALL OFFICIAL POVERTY POPULATION STATISTICS. THEY ARE UPDATED EACH YEAR BY THE CENSUS BUREAU. FOR 2014, THE FEDERAL POVERTY LEVEL (FPL) FOR ONE PERSON WAS $11,670 AND FOR A FAMILY OF FOUR $23,850. AMONG THE RESIDENTS IN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA, 10.8% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 29.6% ARE AT 200% OF FPL OR BELOW. THESE RATES OF POVERTY ARE LOWER THAN FOUND IN THE STATE WHERE 13.1% OF RESIDENTS ARE AT POVERTY LEVEL AND 30.2% ARE AT 200% OF FPL OR BELOW. POVERTY BY COMMUNITY: EXAMINING POVERTY LEVELS BY COMMUNITY PAINTS AN IMPORTANT PICTURE OF THE POPULATION WITHIN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA. IN COMMERCE CITY, 18.4% OF THE POPULATION IS AT POVERTY LEVEL. COMMERCE CITY ALSO HAS THE HIGHEST RATE OF POVERTY AMONG CHILDREN (24.2%) AND SENIORS (18.2%) IN THE SERVICE AREA. BRIGHTON 80602 HAS THE LOWEST RATES OF POVERTY IN THE SERVICE AREA. FREE OR REDUCED MEALS: THE PERCENTAGE OF STUDENTS ELIGIBLE FOR THE FREE OR REDUCED PRICE MEAL PROGRAM IS ONE INDICATOR OF SOCIOECONOMIC STATUS. IN BOTH ADAMS AND WELD COUNTIES, 46% OF THE STUDENT POPULATION IS ELIGIBLE FOR THE FREE AND REDUCED PRICE MEAL PROGRAM. THESE RATES ARE HIGHER THAN THE STATE RATE OF 34%. MEDIAN HOUSEHOLD INCOME: IN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA THERE ARE 48,531 HOUSEHOLDS. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA RANGES FROM $52,160 IN FT. LUPTON TO $95,346 IN BRIGHTON 80602. WHEN HOUSEHOLDS ARE EXAMINED BY TYPE, 41.9% OF HOUSEHOLD IN THE PVMC SERVICE AREA HAVE CHILDREN UNDER THE AGE OF 18. 6.6% OF HOUSEHOLDS IN THE SERVICE AREA ARE FEMALE HEADED WITH CHILDREN AND 5.8% OF HOUSEHOLDS ARE SENIORS LIVING ALONE. EDUCATIONAL ATTAINMENT: AMONG ADULTS, AGES 25 AND OLDER, IN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA, 17.5% HAVE NO HIGH SCHOOL DIPLOMA, COMPARED TO 9.6% OF THE POPULATION IN THE STATE WITH NO HIGH SCHOOL DIPLOMA. EDUCATIONAL ATTAINMENT IS A KEY DRIVER OF HEALTH. IN THE HOSPITAL SERVICE AREA, 17.5% OF ADULTS LACK A HIGH SCHOOL DIPLOMA. OVER ONE QUARTER THE POPULATION (30.5%), AGES 25 AND OLDER, HAVE A COLLEGE DEGREE. HIGH SCHOOL GRADUATION RATES: HIGH SCHOOL GRADUATION RATES ARE DETERMINED BY THE PERCENT OF NINTH GRADE STUDENTS IN PUBLIC SCHOOLS WHO GRADUATE IN FOUR YEARS. THE GRADUATION RATE IN ADAMS COUNTY WAS 70%, AND IN WELD COUNTY THE GRADUATION RATE WAS 81%. HOMELESSNESS: A POINT-IN-TIME COUNT OF HOMELESS PEOPLE WAS CONDUCTED IN 2015 BY THE METRO DENVER HOMELESS INITIATIVE (MDHI). THE 2012 COUNT ESTIMATED 572 HOMELESS INDIVIDUALS IN ADAMS COUNTY. 82% OF THE HOMELESS IN ADAMS COUNTY WERE SHELTERED AND 18% WERE UNSHELTERED, 5.4% OF THE HOMELESS WERE CONSIDERED TO BE CHRONICALLY HOMELESS. ACCORDING TO THE MDHI, "ADAMS COUNTY SHOWED THE MOST DRAMATIC INCREASE IN NUMBER OF HOMELESS PERSONS AS WELL AS THE PROPORTION OF HOMELESS ACROSS THE METRO COUNTIES". CONTINUED BELOW PART VI, LINE 5: PLATTE VALLEY MEDICAL CENTER (PVMC) BECAME THE FIRST PRIVATE GENERAL MEDICAL-SURGICAL HOSPITAL IN ADAMS AND SOUTHERN WELD COUNTIES IN 1960. FOR 47 YEARS, PLATTE VALLEY MEDICAL CENTER WAS LOCATED ON SEVEN ACRES AT 18TH AND BRIDGE STREET IN BRIGHTON. IN 2007, PLATTE VALLEY MEDICAL CENTER MOVED TO A 50-ACRE CAMPUS AT I-76 AND 144TH AVENUE. TODAY, PVMC IS A 98-BED COMMUNITY HOSPITAL AND A MEMBER OF THE SCL HEALTH SYSTEM. THE HOSPITAL OFFERS A PRIMARY STROKE CENTER, AN ACCREDITED CHEST PAIN CENTER AND ADVANCED CARDIOVASCULAR PROGRAM, A LEVEL II SPECIAL CARE NURSERY, A LEVEL III TRAUMA CENTER AND INNOVATIVE SURGICAL, ORTHOPEDIC AND WOMEN'S SERVICES. PVMC HAS BEEN DESIGNATED ONE OF THE WORLD'S MOST PATIENT-CENTERED HOSPITALS BY PLANETREE, INC. THE MISSION OF PVMC IS TO "FOSTER OPTIMAL HEALTH FOR ALL AND WE OFFER MANY CLASSES, AND EVENTS TO ASSIST THE COMMUNITY IN THAT EFFORT. CLASSES AND EVENTS ARE HELD THROUGHOUT THE YEAR OFFERING A VARIETY OF OPPORTUNITIES.THE NUTRITION DEPARTMENT AT PVMC OFFERS MANY SEMINARS GIVING ADVICE AND TIPS ON HEALTHY EATING AND NUTRITION. ADDITIONALLY, OUR LOCAL PHYSICIANS OFFER SEMINARS ON HEALTH TOPICS SUCH AS JOINT REPLACEMENT, SKIN CANCER, HEART HEALTH, PREGNANCY PLANNING AND ASTHMA/ALLERGIES.THE PHYSICAL THERAPY DEPARTMENT OFFERS PILATES AND YOGA CLASSES TO THE COMMUNITY AND PARTNERS WITH THE EAGLE VIEW ADULT CENTER TO OFFER A FIT BALL CLASS AND ADAPTIVE YOGA CLASS. SUPPORT GROUPS ARE OFFERED AT PVMC FOR CANCER, STROKE, AND CARDIAC PATIENTS.PVMC IS VERY PROUD OF THE COMMUNITY HEALTH INVESTMENT PROGRAM (CHIP) WHICH OFFERS GRANTS TO LOCAL NON-PROFIT ORGANIZATIONS THAT NEED ASSISTANCE WITH THEIR HEALTH RELATED PROGRAMS.THE HOSPITAL PARTICIPATES IN THE ANNUAL 9HEALTH FAIR WHICH OFFERS LOW COST LABORATORY TESTS AND FREE SCREENINGS TO THE COMMUNITY. THIS OFFERS ACCESS TO HEALTH SCREENING THAT PEOPLE IN THE COMMUNITY MAY NOT BE ABLE TO AFFORD OR TO WHICH THEY MIGHT NOT HAVE ACCESS.THE HOSPITAL ADDITIONALLY OFFERS AN EVENT, GIRLS NIGHT OUT WHICH IS PRIMARILY TARGETED TOWARDS THE WOMEN OF THE COMMUNITY, OFFERING HEALTH SCREENINGS AND HEALTH EDUCATION.EDUCATIONAL SEMINARS ARE OFFERED THROUGHOUT THE YEAR ON A VARIETY OF TOPICS INCLUDING, NUTRITION, CHRONIC ILLNESS, ILLNESS PREVENTION AND WELLNESS. PVMC'S COMMUNITY BENEFIT ALSO INCLUDES THE COSTS OF CHARITY CARE (PVMC IS A DISPROPORTIONATE SHARE HOSPITAL) AND THE UNPAID COSTS OF MEDICAID. PART VI, LINE 6: THE ORGANIZATION IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION: "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITY, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES NINE HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 190 AMBULATORY SERVICE CENTERS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,000 FULL-TIME ASSOCIATES AND MORE THAN 500 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION AND REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES, TAX SERVICES AND MISSION INTEGRATION. SCHEDULE H, PART VI, LINE 4 - CONTINUED BIRTH INDICATORS BIRTHS: IN 2015, THE NUMBER OF BIRTHS IN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA WAS 2,379. THE NUMBER OF BIRTHS IN THE SERVICE AREA DECLINED SLIGHTLY OVER THE PAST FIVE YEARS, WHILE BIRTHS IN BOTH COUNTIES AND THE STATE INCREASED.TEEN BIRTHS: IN 2015, 1.9% OF LIVE BIRTHS IN ADAMS COUNTY WERE TO TEENS, AGES 15-17. IN WELD COUNTY, 1.5% OF THE BIRTHS WERE TO TEENS. BOTH COUNTIES ARE SLIGHTLY ABOVE THE STATE RATE. PRENATAL CARE: PREGNANT WOMEN IN ADAMS COUNTY ENTERED PRENATAL CARE LATE - AFTER THE FIRST TRIMESTER - AT A RATE OF 251.6 PER 1,000 LIVE BIRTHS, AND IN WELD COUNTY THE RATE OF LATE PRENATAL CARE WAS 362.2. THIS RATE OF LATE ENTRY INTO PRENATAL CARE TRANSLATES TO 74.8% OF WOMEN IN ADAMS COUNTY AND 63.8% IN WELD COUNTY ENTERING PRENATAL CARE WITHIN THE FIRST TRIMESTER. THE HEALTHY PEOPLE 2020 OBJECTIVE IS FOR 78% OF WOMEN TO ENTER PRENATAL CARE IN THE FIRST TRIMESTER. LOW BIRTH WEIGHT: LOW BIRTH WEIGHT IS A NEGATIVE BIRTH INDICATOR. BABIES BORN AT A LOW BIRTH WEIGHT ARE AT HIGHER RISK FOR DISEASE, DISABILITY AND POSSIBLY DEATH. FOR THIS MEASUREMENT, A LOWER RATE IS A BETTER INDICATOR. THE ADAMS COUNTY RATE OF LOW BIRTH WEIGHT BABIES IS 9.4% (93.6 PER 1,000 LIVE BIRTHS), AND IN WELD COUNTY IT IS 8.4% (83.7 PER 1,000 LIVE BIRTHS). THIS IS LOWER THAN THE STATE RATE OF 9.1% (91.3 PER 1,000 LIVE BIRTHS). HOWEVER, THE RATE OF LOW BIRTH WEIGHT IN THE SERVICE AREA IS HIGHER THAN THE HEALTHY PEOPLE 2020 OBJECTIVE OF 7.8% OF BIRTHS BEING LOW BIRTH WEIGHT, INDICATING A POOR BIRTH INDICATOR. INFANT MORTALITY: THE INFANT MORTALITY RATE IN ADAMS COUNTY WAS 5.2 DEATHS PER 1,000 LIVE BIRTHS AND IN WELD COUNTY IT WAS 4.7 DEATHS PER 1,000 LIVE BIRTHS. IN COMPARISON, THE INFANT DEATH RATE IN THE STATE WAS 4.6 DEATHS PER 1,000 LIVE BIRTHS. THE INFANT DEATH RATE IN BOTH COUNTIES AND THE STATE ARE BELOW THE HEALTHY PEOPLE 2020 OBJECTIVE OF 6.0 INFANT DEATHS PER 1,000 LIVE BIRTHS. AGE-ADJUSTED DEATH RATE: AGE-ADJUSTED DEATH RATES ARE AN IMPORTANT FACTOR TO EXAMINE WHEN COMPARING MORTALITY DATA. THE CRUDE DEATH RATE IS A RATIO OF THE NUMBER OF DEATHS TO THE ENTIRE POPULATION. AGE-ADJUSTED DEATH RATES ELIMINATE THE BIAS OF AGE IN THE MAKEUP OF THE POPULATIONS BEING COMPARED. WHEN COMPARING ACROSS GEOGRAPHIC AREAS, AGE-ADJUSTING IS TYPICALLY USED TO CONTROL FOR THE INFLUENCE THAT DIFFERENT POPULATION AGE DISTRIBUTIONS MIGHT HAVE ON HEALTH EVENT RATES. WHEN ADJUSTED FOR AGE, THE DEATH RATE IN ADAMS COUNTY WAS 742.3 AND IN WELD COUNTY 690.6. THESE RATES OF DEATH WERE HIGHER THAN FOUND IN COLORADO (657.9). LEADING CAUSES OF DEATHAGE-ADJUSTED DEATH RATE/LEADING CAUSES OF DEATH: THE TOP CAUSES OF DEATH FOR 2015 IN ADAMS AND WELD COUNTIES ARE CANCER, HEART DISEASE, UNINTENTIONAL INJURIES AND RESPIRATORY DISEASE. THESE ARE ALSO THE TOP CAUSES OF DEATH IN THE STATE.DRUG DEPENDENCE AND ABUSE MORTALITY: THE RATE OF DRUG-INDUCED DEATHS IN ADAMS COUNTY (18.4) AND WELD COUNTY (13.9) EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE OF 11.3 DEATHS PER 100,000 PERSONS.ACCESS TO HEALTH CAREHEALTH INSURANCE: HEALTH INSURANCE COVERAGE IS CONSIDERED A KEY COMPONENT TO ACCESSING HEALTH CARE. AMONG THE ADULT POPULATION IN ADAMS COUNTY, 74.3% HAVE HEALTH INSURANCE, A LOWER RATE THAN THE STATE (81.6%). IN WELD COUNTY, 81.2% OF THE POPULATION HAS HEALTH INSURANCE. UNINSURED CHILDREN, AGES 0-17: AMONG CHILDREN IN ADAMS COUNTY, 11.5% ARE UNINSURED (88.5% INSURED), COMPARED TO 9.2% WHO ARE UNINSURED (90.8% INSURED) IN WELD COUNTY. UNMET MEDICAL NEED: 17% OF ADULTS IN ADAMS AND 16% OF ADULTS IN WELD COUNTIES HAD AN UNMET MEDICAL NEED BECAUSE THEY WERE NOT ABLE TO AFFORD CARE. THESE RATES ARE HIGHER THAN FOUND IN THE STATE (14%). PRIMARY CARE PHYSICIANS: THE RATIO OF THE POPULATION TO PRIMARY CARE PHYSICIANS IN ADAMS COUNTY IS 2,158:1, AND IN WELD COUNTY IT IS 2,093:1. THE MEASURE REPRESENTS THE POPULATION TO ONE PROVIDER. DENTAL CARE: THE RATIO OF POPULATION TO DENTISTS IN ADAMS COUNTY IS 1907:1. IN WELD COUNTY THE RATIO IS 2,594:1. MENTAL HEALTH PROVIDERS: MENTAL HEALTH PROVIDERS INCLUDE PSYCHIATRISTS, CLINICAL PSYCHOLOGISTS, CLINICAL SOCIAL WORKERS, PSYCHIATRIC NURSE SPECIALISTS, AND MARRIAGE AND FAMILY THERAPISTS WHO MEET CERTAIN QUALIFICATIONS AND CERTIFICATIONS. IN ADAMS COUNTY, THE RATIO OF THE POPULATION TO MENTAL HEALTH PROVIDERS IS 422:1. IN WELD COUNTY THE RATIO IS 616:1. IN THE STATE THE RATIO IS 392:1. CHRONIC AND COMMUNICABLE DISEASEFAIR OR POOR HEALTH: WHEN ASKED TO SELF-REPORT ON HEALTH STATUS, 17% OF ADULTS IN ADAMS COUNTY AND 15% IN WELD COUNTY INDICATED THEY WERE IN FAIR OR POOR HEALTH. THESE RATES ARE HIGHER THAN FOUND IN THE STATE (13%). ASTHMA: 13% OF ADULTS IN ADAMS COUNTY AND 12.6% OF ADULTS IN WELD COUNTY HAVE BEEN DIAGNOSED WITH ASTHMA. DIABETES: THE PERCENT OF ADULTS, DIAGNOSED WITH DIABETES WAS 8.4% IN ADAMS COUNTY AND 6.7% IN WELD COUNTY. 6.9% OF ADULTS IN THE STATE HAVE BEEN DIAGNOSED WITH DIABETES. HIGH BLOOD PRESSURE: 22.4% OF ADULTS IN ADAMS COUNTY AND 28.1% IN WELD COUNTY HAVE BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE. WELD COUNTY EXCEEDS THE STATE RATE OF 25.9%. COLORECTAL AND BREAST CANCER: COLORECTAL CANCER RATES ARE HIGHER IN MEN THAN IN WOMEN. BOTH ADAMS AND WELD COUNTIES REPORT A RATE OF COLORECTAL CANCER OF 42.7 PER 100,000 MEN; HIGHER THAN THE STATE RATE OF 38.6 PER 100,000 PERSONS. COLORECTAL CANCER RATES AMONG WOMEN IN ADAMS COUNTY OCCUR AT A RATE OF 33.4 PER 100,000 PERSONS; HIGHER THAN BOTH WELD COUNTY (30.7) AND THE STATE (30.9). BREAST CANCER RATES OCCUR AMONG FEMALES AT A RATE OF 110.1 PER 100,000 PERSONS IN ADAMS COUNTY AND 113.3 IN WELD COUNTY. THESE RATES ARE LOWER THAN THE STATE RATE OF 123 PER 100,000 PERSONS. TUBERCULOSIS: THE RATE OF TUBERCULOSIS AVERAGED OVER FIVE YEARS IS 1.7 PER 100,000 PERSONS IN ADAMS COUNTY, 1.1 PER 100,000 PERSONS IN WELD COUNTY. RACIAL MINORITIES ARE AT THE GREATEST RISK: 83% OF NEW TB CASES OCCURRED IN MINORITY POPULATIONS, YET THEY ONLY COMPRISE 31% OF THE STATE'S POPULATION. 34% OF TB CASES WERE IN THOSE OF ASIAN/PACIFIC ISLANDER ORIGIN, 30% OF CASES WERE IN HISPANICS, AND 19% IN BLACK/AFRICAN AMERICANS. TB INCIDENCE IS 36 TIMES HIGHER AMONG THE FOREIGN-BORN POPULATION THAN THE U.S. BORN INDIVIDUALS IN COLORADO. SEXUALLY TRANSMITTED INFECTIONS: CHLAMYDIA OCCURS AT A RATE OF 421.2 PER 100,000 PERSONS IN ADAMS COUNTY, WHICH IS HIGHER THAN THE RATE OF CHLAMYDIA IN WELD COUNTY (362.1 PER 100,000 PERSONS) AND COLORADO (410.3 PER 100,000 PERSONS). FEMALES ACCOUNT FOR MORE THAN TWO-THIRDS (68.2%) OF THE CHLAMYDIA CASES WITH THE HIGHEST NUMBER OF CASES IN THE 20-24 YEAR AGE GROUP (33.9% STATE-WIDE), FOLLOWED BY 15-19 YEAR OLDS (25.2% OF REPORTED CASES, STATE-WIDE). THE RATE OF GONORRHEA IN ADAMS COUNTY IS 48.7 AND IN WELD COUNTY 24 PER 100,000 PERSONS. SYPHILIS OCCURS AT A RATE OF 3.3 PER 100,000 PERSONS IN ADAMS COUNTY, ABOUT THE SAME AS COLORADO (3.5). WELD COUNTY HAS A MUCH LOWER RATE, AT 1.5. SYPHILIS OCCURS AT MUCH HIGHER RATES AMONG MALES, AGES 20 AND OLDER. PERSONS OF COLOR CONTINUE TO BE DISPROPORTIONATELY AFFECTED BY STIS. SCHEDULE H, PART VI, LINE 4 - CONTINUED HEALTH BEHAVIORSHEALTH BEHAVIOR RANKINGS: COUNTY HEALTH RANKINGS EXAMINES HEALTHY BEHAVIORS AND RANKS COUNTIES ACCORDING TO HEALTH BEHAVIOR DATA. COLORADO'S 64 COUNTIES ARE RANKED FROM 1 (HEALTHIEST) TO 64 (LEAST HEALTHY) BASED ON A NUMBER OF INDICATORS THAT INCLUDE: ADULT SMOKING, OBESITY, PHYSICAL INACTIVITY, EXCESSIVE DRINKING, SEXUALLY TRANSMITTED INFECTIONS, AND OTHERS. A RANKING OF 53 FOR ADAMS COUNTY PUTS IT IN THE BOTTOM THIRD OF COLORADO COUNTIES FOR HEALTH BEHAVIORS. WELD COUNTY'S RANK OF 39 PLACES IT IN THE MIDDLE THIRD. ADULTS, OVERWEIGHT AND OBESE: AMONG ADULTS IN ADAMS COUNTY, 34.7% ARE OVERWEIGHT. IN WELD COUNTY, 36.1% OF ADULTS ARE OVERWEIGHT. OVER ONE-FOURTH OF THE ADULT POPULATION IS OBESE IN ADAMS COUNTY (26.6%) AND WELD COUNTY (28%). ADULTS PHYSICAL ACTIVITY: THE CDC RECOMMENDATION FOR ADULT PHYSICAL ACTIVITY IS MODERATE ACTIVITY EQUAL TO OR GREATER THAN 150 MINUTES IN A WEEK OR VIGOROUS ACTIVITY EQUAL TO OR GREATER THAN 75 MINUTES A WEEK. IN ADAMS COUNTY, 53% OF ADULTS MEET THE PHYSICAL ACTIVITY RECOMMENDATION. 55% OF ADULTS ARE MODERATELY ACTIVE IN WELD COUNTY. 23.5% OF ADULTS IN ADAMS COUNTY ARE SEDENTARY AND DO NOT PARTICIPATE IN ANY LEISURE TIME PHYSICAL ACTIVITY. 20.3% OF ADULTS IN WELD COUNTY ARE SEDENTARY. BOTH COUNTIES HAVE HIGHER RATES THAN THE STATE (17.1%). YOUTH PHYSICAL ACTIVITY: THE CDC RECOMMENDATION FOR YOUTH PHYSICAL ACTIVITY IS 60 MINUTES OR MORE EACH DAY. 44% OF ADAMS COUNTY YOUTH, AGES 5 TO 14, MET THIS ACTIVITY RECOMMENDATION ON 7 OF THE PAST 7 DAYS, JUST SLIGHTLY LOWER THAN THE STATE RATE OF 44.7%. BOTH ARE HIGHER THAN THE WELD COUNTY RATE OF 37.6%. SMOKING: THE PERCENTAGE OF ADULTS, 18 AND OVER, IN ADAMS COUNTY WHO SMOKE CIGARETTES IS 20.3%, AND IN WELD COUNTY IT IS 16.9%. THESE RATES ARE HIGHER THAN THE STATE (16.8%), AND ALL EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE OF 12%. PHYSICAL OR MENTAL UNHEALTHY DAYS: THE AVERAGE NUMBER OF PHYSICALLY UNHEALTHY DAYS EXPERIENCED BY ADULTS IN ADAMS COUNTY IN THE LAST 30 DAYS WAS 3.5 DAYS. ADAMS COUNTY ADULTS EXPERIENCED 3.6 MENTALLY UNHEALTHY DAYS A MONTH. IN WELD COUNTY, ADULTS EXPERIENCED AN AVERAGE OF 3.3 PHYSICALLY UNHEALTHY DAYS AND 3 MENTALLY UNHEALTHY DAYS A MONTH. FREQUENT MENTAL DISTRESS: THE PERCENTAGE OF THE ADULT POPULATION REPORTING MORE THAN 14 DAYS OF POOR MENTAL HEALTH PER MONTH WAS 10% IN ADAMS COUNTY AND 9% IN WELD COUNTY. ADULT ALCOHOL USE: BINGE DRINKING IS DEFINED AS CONSUMING FIVE OR MORE DRINKS ON ONE OCCASION FOR MEN AND FOUR OR MORE FOR WOMEN. 18.4% OF ADULTS IN ADAMS COUNTY AND 16.8% IN WELD COUNTY ENGAGED IN BINGE DRINKING IN THE PAST MONTH.FLU SHOTS: LESS THAN THREE-QUARTERS (71.2%) OF SENIORS HAVE OBTAINED A RECOMMENDED FLU SHOT IN ADAMS COUNTY AND 65.2% IN WELD COUNTY. THE WELD COUNTY RATE IS LOWER THAN THE HEALTHY PEOPLE OBJECTIVE OF 70%. PNEUMONIA VACCINATION: THE PNEUMONIA VACCINATION RATE AMONG SENIORS IN ADAMS COUNTY IS 76.9% AND 69.3% IN WELD COUNTY. THE RATES OF VACCINATION IN ADAMS COUNTY ARE HIGHER THAN THE STATE (73.2%), BUT ALL ARE LESS THAN THE RECOMMENDED HEALTHY PEOPLE 2020 OBJECTIVE OF 90%. PAP SMEARS: AMONG WOMEN 18 YEARS AND OLDER, 92.5% IN ADAMS COUNTY AND 91.7% IN WELD COUNTY HAD A PAP SMEAR. THE RATE IN BOTH COUNTIES AND THE STATE IS LOWER THAN THE RECOMMENDED HEALTHY PEOPLE 2020 OBJECTIVE OF 93%. MAMMOGRAMS: 61% OF WOMEN OVER 50 YEARS OLD IN ADAMS COUNTY AND 46.4% IN WELD COUNTY HAD A SCREENING MAMMOGRAM IN THE LAST TWO YEARS. THIS IS BELOW THE STATE RATE (62.8%) AND THE HEALTHY PEOPLE 2020 OBJECTIVE OF 81.1%. COLORECTAL CANCER SCREENING: IN ADAMS COUNTY, 17.8% OF ADULTS 50 YEARS AND OLDER HAVE BEEN SCREENED FOR COLORECTAL CANCER. IN WELD COUNTY, 11.2% OF ADULTS 50 YEARS AND OLDER HAVE BEEN SCREENED FOR COLORECTAL CANCER. THIS RATE IS BELOW THE STATE RATE (14.2%) AND ALL WELL BELOW THE HEALTHY PEOPLE 2020 OBJECTIVE OF 70.5%. 1 BRIGHTON CHAMBER OF COMMERCE PO BOX 605 BRIGHTON CO 80642 275348251 501(C)(6) 5800 SUPPORT OPERATIONS 0 1 PART I, LINE 2: ALL GRANT RECIPIENTS ARE FIRST REQUIRED TO SUBMIT APPLICATIONS WHICH DETAIL THE INTENDED USES OF GRANT FUNDS. AFTER GRANTS HAVE BEEN AWARDED, RECIPIENTS ARE REQUIRED TO COMPLETE A FINAL REPORT INDICATING HOW GRANT FUNDS WERE ACTUALLY SPENT. X 1 1 X X X X X X 0 1 0 0 0 0 0 1 0 SHAWN DUFFORD MD DIRECTOR 0 476834 0 65891 0 14838 0 87580 0 21814 0 666957 0 0 JOHN HICKS CEO/PRESIDENT 457078 0 130352 0 145737 0 21200 0 13810 0 768177 0 0 0 SONYA NORMAN MD DIRECTOR 131756 0 34174 0 1161 0 22000 0 122 0 189213 0 0 0 MICHAEL TAYLOR DIRECTOR 0 700141 0 112079 0 37136 0 129931 0 26574 0 1005861 0 0 HAROLD DUPPER CFO/CORPORATE SECRETARY 259241 0 71606 0 50765 0 21200 0 13713 0 416525 0 0 0 KURT GENSERT VP OPERATIONS 239422 0 68617 0 39958 0 21200 0 29983 0 399180 0 0 0 KIRK QUACKENBUSH CHIEF MEDICAL OFFICER 162240 0 18190 0 254 0 3999 0 400 0 185083 0 0 0 ERIC STIRM PHARMACY DIRECTOR 170106 0 18273 0 275 0 7887 0 30045 0 226586 0 0 0 LORETTA VANWYHE ULTRASONOGRAPHER 122554 0 0 0 36207 0 6053 0 557 0 165371 0 0 0 KAREN WELZ OR DIRECTOR 136528 0 14726 0 6923 0 4388 0 15018 0 177583 0 0 0 DUANE LIVADNEY MEDICAL IMAGING SUPERVISOR 96915 0 3140 0 52659 0 6470 0 21150 0 180334 0 0 0 MARK BAKER CATH LAB MANAGER 90021 0 9869 0 45224 0 3032 0 27681 0 175827 0 0 0 PART I, LINE 1A CHRISTMAS GIFTS ARE GROSSED UP FOR HOSPITAL EMPLOYEES AND TAXED: JOHN HICKS, HAROLD DUPPER, KURT GENSERT, KIRK QUACKENBUSH, ERIC STIRM, LORETTA VANWYHE, KAREN WELZ, DUANE LIVADNEY, AND MARK BAKER RECEIVED CHRISTMAS GIFTS DURING 2016. THE ORGANIZATION AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS THAT RECEIVED TAX GROSS-UP PAYMENTS IN 2016 WERE: MICHAEL TAYLOR - $2,141. PART I, LINE 4B A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. THE RELATED ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THE AMOUNTS ARE VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE VESTED IN THE CURRENT YEAR, ARE CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. FOR SOME OF THE PARTICIPANTS, AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE FEDERAL AND STATE GOVERNMENTS AS WITHHOLDING ON THE TAXABLE BENEFIT. NO CASH PAYMENT IS MADE DIRECTLY TO THE PARTICIPANT AND THE REMAINING BENFIT AMOUNT STAYS IN THE RETIREMENT PLAN. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2016 WERE: NONE. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2016. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2016 WERE: NONE. IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E. PART I, LINE 7 THE AT RISK COMPENSATION PLAN WAS ESTABLISHED TO ENABLE THE HEALTH CARE SYSTEM AND ITS CARE SITES TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION, VISION, STRATEGIC PRIORITIES AND KEY INITIATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND IS FUNDED EACH YEAR BY MEETING THRESHOLD LEVELS OF OPERATING INCOME. TARGET AWARD AMOUNTS ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR SPECIFIC ROLE AT THE HEALTH CARE SYSTEM. ACTUAL AWARDS ARE PAID OUT BASED ON ATTAINMENT OF BOARD APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, PATIENT EXPERIENCE, EMPLOYEE SAFETY AND COMMUNITY BENEFIT/MISSION TARGETS. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLANS ARE BASED ON A COMBINATION OF PERFORMANCE MEASURES. PERFORMANCE MEASURES INCLUDE OPERATING INCOME, STEWARDSHIP, PATIENT EXPERIENCE, EMPLOYEE SAFETY AND COMMUNITY BENEFIT/MISSION TARGETS. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON. FORM 990, PART VI, SECTION A, LINE 6 INTEGRITY HEALTH IS THE SOLE MEMBER OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION. FORM 990, PART VI, SECTION A, LINE 7A INTEGRITY HEALTH, THE SOLE MEMBER OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION, APPROVES MEMBERS OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B INTEGRITY HEALTH HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. INTEGRITY HEALTH ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C BRIGHTON COMMUNITY HOSPITAL ASSOCIATION AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCLHS' PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS SUGGESTIVE OF A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS AND MANAGERS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR EXECUTIVE INTEGRITY AND COMPLIANCE COMMITTEE, THE AUDIT COMMITTEE, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN. FORM 990, PART VI, SECTION B, LINE 15 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION USES THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT, YAFFEE & COMPANY, TO ESTABLISH COMPENSATION FOR THE CEO, OTHER OFFICERS AND KEY EMPLOYEES. A REVIEW WAS DONE IN 2016. UPON COMPLETION OF THE COMPENSATION ANALYSIS, THE COMPENSATION PACKAGE IS RECOMMENDED TO THE COMPENSATION COMMITTEE OF THE BOARD FOR APPROVAL. OFFICERS HAVE WRITTEN EMPLOYMENT CONTRACTS WHICH ARE SIGNED AND MAINTAINED BY THE HUMAN RESOURCE DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 12,275,170. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,275,170. ADMINISTRATION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,180,369. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,180,369. MISC SERVICES RELATED TO FUNDRAISING ACTIVITIES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 18,232. TOTAL EXPENSES 18,232. 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