2015-05-01T17:52:59-07:00 2014-06-30 990 2013-07-01 742044647 NATIONAL JEWISH HEALTH NATI 3033884461 1400 JACKSON STREET DENVER CO 80206 Christine Forkner Chief Financial Officer 3033981004 2015-05-01 2013 2016-02-25 16:41:14Z Christine Forkner 1400 Jackson Street Denver CO 80206 259853869 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. 44 44 1981 177 1487991 822961 80362061 80225767 125133247 134343097 8824947 11849095 -431794 -692003 213888461 225725956 0 0 0 0 131248924 132017421 196283 332614 7585213 78336663 87443357 209781870 219793392 4106591 5932564 275571000 280920000 99263000 93010000 176308000 187910000 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 61303774 31427760 46306342 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 (HHIM); and charitable contributions. 106262097 0 117619000 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, 2014, National Jewish had over 85,279 outpatient physician visits and an average day program census of 16.09 days. Our physicians had 8,642 encouters 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. 6666465 0 8200000 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 950,000 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. 11384906 0 2557219 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 Acadamy, founded in the early 1940s, provides an opportunity for 80 to 100 chronically ill children annually to benefit from studying with their peers. 11384906 0 2557219 185617242 1 1 0 1 0 0 0 0 0 1 1 0 0 0 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 1 0 0 1 0 0 0 0 1 307 0 1 1981 1 1 1 0 0 0 0 1 1 0 0 0 0 X 44 44 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 AL AR AZ CA CT DC FL GA IL KS KY MA MD ME MN NC NH NJ NM NY OH OR PA SC TN UT WA WI WV X X Chief Financial Officer 3033884461 1400 Jackson St Denver CO 802062762 Sue Allon Member, BOD 2 0 X 0 0 0 Steve Arent Member, BOD 2 0 X 0 0 0 Richard Baer Member, BOD 2 0 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 Geraldine Cohen Member, BOD 2 0 X 0 0 0 Joseph S Davis Lifetime Member, BOD 2 0 X 0 0 0 Stanton Dodge Member, BOD 2 0 X 0 0 0 David Engleberg Member, BOD 2 0 X 0 0 0 Michael Feiner Member, BOD 2 0 X 0 0 0 Tom Gart Member, BOD 2 0 X 0 0 0 Lawrence Gelfond 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 William Gold Lifetime Member, BOD 2 0 X 0 0 0 William Gold III 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 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 Evelyn Makovsky Member, BOD 2 0 X 0 0 0 Marvin Moskowitz Member, BOD 2 0 X 0 0 0 Leonard M Perlmutter Lifetime Member, BOD 2 0 X 0 0 0 Blair Richardson Member, BOD 2 0 X 0 0 0 Eddie A Robinson Lifetime Member, BOD 2 0 X 0 0 0 Hassan Salem Member, BOD 2 0 X 0 0 0 Meyer M Saltzman Member, BOD 2 0 X 0 0 0 Richard Schierburg Chair, BOD 2 0 X X 0 0 0 Michael K Schonbrun Member, BOD 2 0 X 0 0 0 Carole Schwartz 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 X 0 0 0 Wendy Siegel Co-Chair, Council of National Trustees, BOD Member 2 X 0 0 0 Donald Silversmith Vice Chair, BOD 2 0 X X 0 0 0 Larry Silverstein Treasurer, National Council Trustees 0 0 X 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 0 0 0 Michael Salem MD President and CEO 50 0 X 957736 0 29103 Christine K Forkner EVP and CFO, Ass't Secretary 50 0 X 391825 0 35595 Greg Downey MD EVP Academic Affairs 50 0 X 466278 0 32691 Richard Martin MD Chairman, Department of Medicine 50 0 X 485722 0 32691 Erwin Gelfand MD Chairman, Department of Pediatrics 50 0 X 410334 0 35491 Ron Berge EVP and COO 50 0 X 378240 0 31539 Lisa Tadiri VP Development 50 0 X 296458 0 36051 Debra Dyer MD Acting Chair, Radiology 50 0 X 337759 0 36051 Valerie Hale MD Sr MD/Faculty Member/Radiologist 50 0 X 336218 0 29103 David Lynch MD Sr MD/Faculty Member/Radiologist 50 0 X 351152 0 22671 Joyce D Schroeder Sr MD/Faculty Member/Radiologist 50 0 X 328970 0 35745 Philip Hanna Sr MD/ Faculty Member/Gastroenterology 50 0 X 314754 0 35465 5055446 0 392196 209 0 1 0 Hogan Lovells US LLP Columbia Square 555 13TH Street NW Washington DC 20004 Legal 1237890 University of Colorado Anschutz Medical Center Campus Graduate Medical Education PO Box 910388 Denver CO 80291 Fellows 1026028 Dimassimo 220 E 23rd Street 2nd Floor New York NY 10010 Advertising 927765 University Physicians Inc PO Box 110247 Aurora CO 80042 Physician Services 689138 Oncology Convergence Inc 2305 E Arapahoe Rd Suite 113 Centennial CO 80122 Professional Fees 563993 39 33669 0 6247767 0 39525000 34419331 799627 80225767 Patient Revenue 622310 117619000 116186561 1432439 0 Health Initiatives Revenue 900099 8200000 8196611 3389 0 Miscellaneous Program Service Revenue 900099 6596097 6543934 52163 0 Educational and Training Service 900099 1928000 1928000 0 0 0 0 0 0 134343097 6292392 0 0 6292392 0 0 0 0 11797 0 0 11797 0 0 0 0 0 0 0 0 0 0 36585204 6066 30927505 107062 5657699 -100996 5556703 0 0 5556703 795440 6247767 3093346 -2297906 0 -2297906 0 0 0 0 0 0 0 0 0 0 0 0 Occupancy 532000 820680 0 0 820680 Cafeteria 722100 639369 0 0 639369 Gift Shop 453220 134057 0 0 134057 0 0 0 0 1594106 225725956 132855106 1487991 11157092 4151649 1915864 1685542 550243 0 105228275 90993132 11396648 2838495 5043673 4374641 527765 141267 10439951 8857432 1216175 366344 7153873 6038419 857160 258294 1597968 1571196 3079 23693 124700 0 124700 0 188245 188245 332614 332614 391951 391951 11719241 7878507 3296147 544587 2177936 245839 1904435 27662 8333587 6150594 878805 1304188 2232373 804270 1427537 566 6614913 5501840 489065 624008 1091033 755462 141807 193764 508263 443765 40537 23961 1961278 1655469 234996 70813 9370636 8559528 785444 25664 715366 172761 535215 7390 Recruitment 269543 3112 266399 32 Collaborative Agreements 10122852 10122852 0 0 Research Subject Fees & Patient Research 1225234 1225229 0 5 Medical Supplies 22801605 22665964 133338 2303 5996633 5681366 65947 249320 219793392 185617242 26590937 7585213 1197000 1740000 5452000 2214000 19719000 29812000 16392000 19675000 0 0 0 0 0 0 1355000 1792000 2193000 1970000 217867000 125370000 97082000 92497000 109547000 107180000 11811000 13322000 0 0 900000 900000 9923000 9818000 275571000 280920000 31338000 26748000 0 0 3923000 4760000 38255000 36414000 0 0 0 0 12025000 10599000 0 0 13722000 14489000 99263000 93010000 X 88992000 83078000 43438000 59281000 43878000 45551000 176308000 187910000 275571000 280920000 5932564 5669436 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 184767 0 0 184767 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 healthcare of our patients. 90257000 1774000 13015000 0 17081000 0 87965000 89464000 1344000 8860000 0 9411000 0 90257000 89490000 2600000 -395000 0 2231000 0 89464000 80358000 62000 13283000 0 4213000 0 89490000 57597000 17136000 5951000 0 326000 0 80358000 0.3634 0.6072 0.0294 0 0 0 13086000 13086000 0 119259000 61568000 57691000 0 0 0 0 0 85106000 63701000 21405000 0 416000 101000 315000 92497000 0 Liability Under Annuity Contracts 11864000 Liability Under Unitrust Agreements 1889000 Estimated 3rd Party Payor Settlements 736000 14489000 231004000 5669436 0 0 0 5669436 225334564 391392 0 391392 225725956 219402000 0 0 0 0 0 219402000 391392 0 391392 219793392 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 PEP Direct PO Box 799 Mt Pleasant IA 52641 Consultants 0 370203 55569 314634 Mindset Direct 1220 N Fillmore St Arlington VA 22201 Consultants 0 1313845 227228 1086617 Specialized Fundraising Services Inc 300 E Henry Street Spartanburg SC 29302 Consultant 0 0 49817 -49817 1684048 332614 1351434 AK AL AR AZ CA CO CT DC 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 WA WI WV Beaux Arts Ball 1896993 1770243 126750 0 0 17946 208454 206618 345437 Real Estate and Constructions Industries Dinner 2440780 2202530 238250 0 0 4355 215159 107967 415492 16 2705434 2274994 430440 0 0 39350 368160 87170 1077238 7043207 6247767 795440 0 0 61651 791773 401755 1838167 3093346 -2297906 Schedule G, Part I, Line 2b National Jewish Health contracted with PEP Direct in Wilton, New Hampshire and MINDset direct in Arlington, VA to provide fundraising counsel for the direct mail program. A fee is charged for account strategy and production management services. For the fiscal year ending June 30, 2014, these fees totaled $282,797. Other fundraising expenses are paid to or reimbursed to Pep Direct and MINDset for printing, postage, lettershop work, etc. based on the contract terms. These additional fundraising expenses totaled $232,428 for the same period. 1 1 0 1 X 1 1 1 0 1 1 203270 0 203270 0.001 17315317 14969160 2346157 0.011 5388598 4743667 644930 0.003 0 0 22907185 19712827 3194357 0.015 3516252 753613 2762639 0.0126 1866990 32426 1834564 0.0083 3914241 2498135 1416016 0.0064 68888241 46306342 22581899 0.1027 43964 0 43964 0.0002 0 0 78229688 49590516 28639082 0.1302 0 0 101136873 69303343 31833439 0.1452 1 1439550 0 14058999 22393463 -8334464 X 1 1 2 1 National Jewish Health 1400 Jackson Street Denver CO 80206 www.nationaljewish.org X X X A 2 National Jewish Health Sleep Center South Townplace Suites by Marriott 7877 S Chester Street Englewood CO 80112 www.nationaljewish.org X X Sleep Clinic -perform sleep studies. A A 1 X X X X X X X X 13 0 0 1 X http://www.nationaljewish.org/ X X X 1 0 1 0 1 400 1 X X X X X X X 1 1 X X X X 1 X X 1 X X X X X 0 X X 0 0 Schedule H, Part V, Section B, Line 10-Group A National Jewish Health uses a sliding scale to determine the amount a patient owes if they qualify for assistance. Patient responsibility for the bill ranges from $15 to a discount of 40% of charges based on financial need. National Jewish reviews income level, asset level, medical indigence, insurance status, uninsured discount and state regulation when determining patient financial need. Schedule H, Part V, Section B, Line 20-Group A National Jewish Health is one of only a handful of outpatient clinics in the area that schedules patients for services on a first come, firtst serve basis regardless of ability to pay. All patients are provided a full scope of diagnostic and therapeutic services without regard to the patients' financial need. National Jewish evaluates financial need for all patients without insurance with balances in excess of $500 and all other patients, including insured patients, who express a financial need. If a patient qualifies for assistance, National Jewish uses a sliding scale to determine the amount a patient owes. Patient responsibility for the bill ranges from $15 to a discount of 40% of charges based on financial need. Patients who do not qualify for assistance are eligible for a prompt payment discount up to 30%. Schedule H, Part V, Section B, Line 22-Group A National Jewish Health Foreign patients and patients that don't qualify for assistance do not benefit from any discounts other than prompt pay discounts. Depending on circumstances, prompt pay discounts can be as high as 30%. Exceptions are made for pediatric patients who cannot prove legal residency in the Untied States. 4 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 National Jewish Health-Northern Hematology 9451 Huron Street Thornton CO 80260 Oncology and Hematology clinic National Jewish Health-Western Hematology 400 Indiana Street Suite 230 Golden CO 80401 Oncology and Hematology clinic Schedule H, Part I, Line 3c National Jewish Health uses a sliding scale to determine the amount a patient owes if they qualify for assistance. Patient responsibility for the bill ranges from $15 to a discount of 40% of charges based on financial need. 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 Net patient service revenue is reported as the estimated net realizable amounts receivable from patients, third-party providers and others for services rendered. Amounts reimbursed for services rendered to patients recovered under various insurance programs are generally less than the established billing rates. The estimated difference is recorded as a reduction to net patient service revenue in the period services are rendered. Schedule H, Part III, Section B, Line 8 National Jewish Health is committed to providing speciality 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 National Jewish Health is one of only a handful of outpatient clinics in the area that schedules patients for services on a first come, first serve basis regardless of ability to pay. All patients are provided a full scope of diagnostic and therapeutic services without regard to the patients' financial need. Our collection policies are designed with the patient's ability to pay in mind. All patients are informed of our financial assistance programs in their new patient literature. Our policy is that patients with expected balances greater than $500 are screened for financial assistance prior to receiving services to ensure that we qualify them as early as possible for assistance programs. Patients who qualify for assistance programs are held accountable only for a sliding scale copayment based on the federal poverty level. If, at any time either before or after services ar rendered, the patient expresses concern over an ability to pay their bill, they are referred to financial counselors who specialize in qualifying patients for assistance programs, including National Jewish Health's own financial assistance. Patients are also offered no-interest flexible payment plans that range from 6 months to 5 years. Schedule H, Part VI, Line 2 National Jewish Health is a nationwide referral center for respiratory, cardiac, and immune related diseases. We conduct extensive biomedical research and education of healthcare professionals and the community. To ensure that our programs meet the needs of the national community we serve, National Jewish maintains a significant presence within the community and continually assesses community needs. Our Board of Directors and National Council of Trustees are comprised of business, medical and community leaders from around the country. These individuals are heavily involved in their communities and work diligently to ensure that National Jewish meets healthcare needs. Our faculty and management serve as leaders on a variety of community boards and committees, from the National Institutes of Health to local school accountability committees. Through this involvement, National Jewish maintains a solid understanding of community requirements. National Jewish faculty collaborates with their colleagues around he world to assess disease progression and treatments. Every three years, National Jewish review its strategic vision and updates its strategic plan. As part of this effort, National Jewish seeks out community leaders, governmental leaders and our colleagues at other healthcare organizations to ensure that our strategic direction is well-aligned to meet the healthcare needs of the community we serve. Schedule H, Part VI, Line 3 National Jewish Health maintains a financial counseling department designed to help patients obtain needed assistance. All patients receive financial assistance program information as part of their new patient literature. Financial counselors actively seek out any patient with a possible obligation of more that $500 to help them understand their obligations. As part of this process, 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. 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 National Jewish Health serves national and internationals communities. Though based in Denver, Colorado, a significant percentage of our patients come from out of state and internationally. Our scientists collaborate with institutions around the world and with the Federal Government. Our research brings cutting edge discoveries to communities around the world. Our training programs are both national and international. Schedule H, Part VI, Line 5 National Jewish Health invests significant resources in meeting the healthcare needs of our community. Since our founding over 115 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 underserved 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 with our regard to the patients' 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 a 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, and 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 1 1 X X X X X X 0 0 0 0 0 0 0 0 0 Michael Salem MD President and CEO 724736 0 210000 0 23000 0 22365 0 6738 0 986839 0 365657 0 Greg Downey MD EVP Academic Affairs 333149 0 95625 0 37504 0 22365 0 10326 0 498969 0 185326 0 Richard Martin MD Chairman, Department of Medicine 375722 0 88000 0 22000 0 22365 0 10326 0 518413 0 199350 0 Erwin Gelfand MD Chairman, Department of Pediatrics 322268 0 66000 0 22066 0 22365 0 13126 0 445825 0 173827 0 Ron Berge EVP and COO 258362 0 79378 0 40500 0 22365 0 9174 0 409779 0 149431 0 Christine K Forkner EVP and CFO, Ass't Secretary 289784 0 85468 0 16573 0 22365 0 13230 0 427420 0 146662 0 Lisa Tadiri VP Development 221458 0 57500 0 17500 0 22365 0 13686 0 332509 0 119479 0 Debra Dyer MD Acting Chair, Radiology 314759 0 0 0 23000 0 22365 0 13686 0 373810 0 165486 0 Valerie Hale MD Sr MD/Faculty Member/Radiologist 304486 0 0 0 31732 0 22365 0 6738 0 365321 0 166625 0 David Lynch MD Sr MD/Faculty Member/Radiologist 329960 0 0 0 21192 0 22365 0 306 0 373823 0 166721 0 Joyce D Schroeder Sr MD/Faculty Member/Radiologist 305970 0 0 0 23000 0 22365 0 13380 0 364715 0 158077 0 Philip Hanna Sr MD/ Faculty Member/Gastroenterology 307278 0 6424 0 1053 0 22365 0 13100 0 350220 0 0 0 Schedule J, Part I, Line 1a Richard Martin traveled first class to Germany, Spain, India and France. 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 1800000 0 13500000 782800 0 0 225000 15000 0 12447200 0 0 2007 0 0 1 1 B 0 0 28176276 2704750 0 0 466581 0 0 0 25004945 0 1 0 1 1 A 0 0 0 1 0 0.0053 0 0.0053 0 0 0 A 0 0 0 1 1 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 0 B 0 Schedule K, Part II, Line 7-01/20/2005 13,500,000 Colorado Health Facilities Authority In January 2002, the Colorado Health Facilities Authority issued $13,500,000 aggregate principal amount of its Series 2005 Revenue Bonds (the 2005 Bonds) dated January 20, 2005. Proceeds from the 2005 Bonds were used to finance the construction of a clinical and research building, as well as several renovation projects and equipment. Issuance costs from the proceeds totaled $270,000. $255,000 was used to pay bond issuance costs including the underwriter's discount, rating agency fees, bond counsel and trustee fees. The remaining $15,000 was used to pay for credit enhancement fees. 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 2102 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, 2013, there was some research that resulted in private business use for the property that was financed by the Series 2005 Revenue Bonds. The average percentage of the financed property that was used in private business use by a nongovernmental entity during the year was less than one percent (1%). None of the private business use is considered an unrelated trade or business. Schedule K, Part IV, Line 2c-01/20/2005 13,500,000 Colorado Health Facilities Authority Kutak Rock Arbitrage Consulting prepared the report concerning the arbitrage rebate liability on February 8, 2010. The report concluded there was no arbitrage rebate liability as of January 20, 2010. The next rebate calculation date is January 20, 2015. Hassan Salem Provides banking services 1384642 Rental & Interest payments 0 Mariner Kemper Director of Corporation 419499 Banking services and LOC fees 0 Christie Isenberg-Sage Hospitality Family Member of Director 227492 Rooms for sleep clinic patients 0 Lisa C Cicutto Family member of Dr. Gre 130284 Compensation as employee 0 X 4 10000 Market Value X 42 784627 Market Value X 1 5000 Market Value 0 1 0 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: Brownstein, Norm-business relationship, Davis, Joe-business relationship, Dodge, R. Stanton-business relationship, Gold, Bill - family and business relationship , Gold, Will - family and business relationship, Gibson, Roger - business relationship, Kemper, Mariner - business relationship, Richardson, Blair - business relationship, Robinson, Eddie - business relationship, Salem, Hassan - business relationship, Saltzman, Meyer - business relationship, Schierberg, Richard-investment relationship. 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. Specific sources include, but are not limited to: The Association of American Medical Colleges, Mountain States Employers Council, Economic Research Institute, Mercer, Sullivan Cotter and Associates, Inc., and Watson Wyatt Worldwide, Inc. Contemporaneous documentation is maintained of Committee deliberations and decisions. 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 statments 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 27 N/A We implemented a new financial system on 7/1/2013 and it has taken a significant amount of time and resources from the Finance department. Since we prepare the 990 in house, preparation of numerous new reports needed to prepare the 900 has caused a delay in preparing and finishing the 990 by the filing date of February 15, 2015. We mailed Form 8868 requesting a second extension on February 6, 2015 and it was returned on February 16, 2015 with insufficient postage. We added additional postage and remailed it on February 16, 2015.