2013-08-09T12:57:41-05:00 2012-09-30 461497033 EKS&H LLLP 7979 E TUFTS AVENUE SUITE 400 DENVER CO 802372521 990 2011-10-01 840404233 CRAIG HOSPITAL CRAI 3037898000 3425 S CLARKSON STREET ENGLEWOOD CO 80113 JULIE KEEGAN 3037898000 2013-08-07 1 DORI J EGGETT P00645252 3037409400 2011 2016-02-24 21:20:13Z MICHAEL FORDYCE 3425 S CLARKSON STREET ENGLEWOOD CO 80113 83138844 0 X WWW.CRAIGHOSPITAL.ORG X 1910 CO SEE SCHEDULE O TO ADVOCATE FOR AND PROVIDE EXEMPLARY REHABILITATION CARE TO PEOPLE AFFECTED BY SPINAL CORD AND TRAUMATIC BRAIN INJURY SO THAT THEY CAN ACHIEVE OPTIMAL HEALTH, INDEPENDENCE, AND LIFE QUALITY. 18 16 818 170 0 0 3234594 3007509 69636427 77649940 1160866 480118 1018687 1586272 75050574 82723839 0 0 0 0 40155188 41778299 0 0 0 28304474 30727224 68459662 72505523 6590912 10218316 121568773 132405697 23031483 22252380 98537290 110153317 X SEE SCHEDULE O CRAIG HOSPITAL IS A 93-BED LONG-TERM ACUTE CARE AND REHABILITATION HOSPITAL THAT PROVIDES CARE EXCLUSIVELY FOR PATIENTS WITH SPINAL CORD AND TRAUMATIC BRAIN INJURIES. CRAIG HOSPITAL PROVIDES A COMPREHENSIVE SYSTEM OF INPATIENT AND OUTPATIENT MEDICAL CARE, REHABILITATION, NEUROSURGICAL REHABILITATIVE CARE AND LONG-TERM FOLLOW-UP SERVICES. 0 0 55996881 77649940 GENERAL HOSPITAL PROVIDES REHABILITATION AND MEDICAL SERVICESEXCLUSIVELY TO PATIENTS WITH SPINAL CORD AND TRAUMATIC BRAININJURY ON BOTH AN INPATIENT AND OUTPATIENT BASIS. DURING THE TAXYEAR, THE HOSPITAL PROVIDED 27,049 DAYS OF INPATIENT CARE AND2,851 OUTPATIENT VISITS AND INCURRED THESE EXPENSES PROVIDING SERVICES. 2671017 2671017 CRAIG HOSPITAL IS DESIGNATED BY NIDRR AS A MODEL SYSTEM FOR BOTHSPINAL CORD INJURY AND TRAUMATIC BRAIN INJURY. CRAIG IS ALSO THE TRAUMATIC BRAIN INJURY MODEL SYSTEMS NATIONAL DATA AND STATISTICAL CENTER AND ALSO CONDUCTED SEVERAL OTHER RESEARCH PROJECTS SUPPORTED BY NIDRR, CDC, DOD OTHER FOUNDATIONS AND INDUSTRY. DURING THE YEAR, CRAIG HOSPITAL'S RESEARCH DEPARTMENT EMPLOYED A STAFF OF 23 AND INCURRED THESE EXPENSES TO SUPPORT THESE CRITICAL RESEARCH PROJECTS. 58667898 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 84 0 1 818 1 0 0 0 0 0 0 0 0 0 0 X 18 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CO X JULIE KEEGAN 3037898443 3425 S CLARKSON ST ENGLEWOOD CO 801132811 X LAURIE FENSKE 2.00 X 0 0 0 MARILYN TAYLOR 2.00 X 0 0 0 TOM BALAZY MD 2.00 X 0 0 0 H GREG AUSTIN 2.00 X 0 0 0 JASON REGIER 2.00 X 0 0 0 VANDY VANWAGENER 2.00 X 0 0 0 JANET HOUSER 2.00 X 0 0 0 NAN HINTON 2.00 X 0 0 0 JUSTIN MONINGER 2.00 X 0 0 0 HUGH RICE 2.00 X 0 0 0 TED SHANNON 2.00 X 0 0 0 TOM MALLEY 2.00 X X 0 0 0 PETER BURG 2.00 X X 0 0 0 DAN MAY 2.00 X X 0 0 0 BILL LINDSAY 2.00 X X 0 0 0 SHELLY MOSES-REED 2.00 X X 0 0 0 MIKE FORDYCE 40.00 X X 556751 0 30172 MARY FELLER 2.00 X 0 175325 6819 MARY SISSEL 2.00 X 0 0 0 JULIE KEEGAN 40.00 X 246758 0 27823 DANA POLONSKY 40.00 X 195611 0 25705 DIANE REINHARD 40.00 X 204109 0 26195 LESTER BUTT 40.00 X 170054 0 26084 KENNETH HOSACK 40.00 X 156128 0 25482 DR GALE WHITENECK 40.00 X 163655 0 20082 CHRIS WATKINS 40.00 X 146684 0 25015 CYNTHIA BRADEN 40.00 X 136002 0 16699 1975752 175325 230076 26 0 1 0 SWEDISH MEDICAL CENTER 501 E HAMPDEN AVE ENGLEWOOD CO 80110 MEDICAL SERVICES 11173873 CNS MEDICAL GROUP PC PO BOX 924 DENVER CO 80271 MED. DIR./RESEARCH 798679 ISIS INC 699 E SOUTH TEMPLE 300 SALT LAKE CITY UT 84102 RESEARCH SERVICES 323364 GH PHIPPS CONSTRUCTION CO PO BOX 3237 ENGLEWOOD CO 80155 CONSTRUCTION SERVICES 235884 HOSPITAL COOPERATIVE LAUNDRY INC 6225 E 38TH AVENUE DENVER CO 80256 LAUNDRY SERVICES 234626 11 336492 2671017 3007509 MEDICAL SERVICES REND. 621110 76954390 76954390 PATIENT APARTMENTS 721000 695550 695550 77649940 895123 895123 112419 0 112419 112419 112419 415005 -415005 -415005 -415005 OTHER REVENUE 900099 834080 834080 REIMB. GRANT INDIR. 900099 571966 571966 RDS REVENUE 900099 67807 67807 1473853 82723839 79123793 0 592537 1416818 1416818 31489887 26526943 4962944 2159847 1777530 382317 4363885 3442456 921429 2347862 1982858 365004 146728 146728 71810 71810 155700 155700 13602790 12821792 780998 162637 162637 1115299 573097 542202 1716768 1716768 971820 952785 19035 332311 163560 168751 38582 38582 21023 21023 4418819 3059422 1359397 239870 239870 MEDICAL SUPPLIES 3329218 3327006 2212 RESEARCH EXPENSE 2671017 2671017 FOOD EXPENSE 750015 750015 EQUIPMENT REPAIR & MAIN 547067 439085 107982 435750 180332 255418 72505523 58667898 13837625 0 14345901 23631031 39729973 38788738 295423 392705 17362085 18380893 455432 458033 935960 1274451 87438730 39092816 47396869 48345914 1047130 1133932 121568773 132405697 13326483 13397380 9705000 8855000 23031483 22252380 X 98537290 110153317 98537290 110153317 121568773 132405697 X 10218316 1397711 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5660063 13940 919369 4982388 1610984 5891806 16145 -244941 2947 5660063 5504902 39957 346947 0 5891806 5092975 264956 665274 518303 5504902 0.17000 0.83000 0 1 1 5860189 5860189 33677207 12668877 21008330 44297100 26012252 18284848 3604234 411687 3192547 48345914 82723839 72505523 10218316 1397711 4175437 5573148 15791464 88146355 1397711 4175455 5573166 82573189 150650 150650 82723839 72353592 -151931 -151931 72505523 0 72505523 PART XI, LINE 8 - OTHER ADJUSTMENTS: FAS 136 RESTATEMENT - FOUNDATION NET INCOME 4,175,435. MISC RECLASS 2. TOTAL TO SCHEDULE D, PART XI, LINE 8: 4,175,437. PART XII, LINE 2D - OTHER ADJUSTMENTS: FAS 136 RESTATEMENT - FOUNDATION NET INCOME 4,175,435. MISC RECLASS 20. PART XII, LINE 4B - OTHER ADJUSTMENTS: SUBSIDY FROM FOUNDATION 151,949. RDS NET INCOME -1,299. PART XIII, LINE 2D - OTHER ADJUSTMENTS: T-REC SUBSIDY FROM FOUNDATION -151,949. MISC RECLASS 18. FIN 48 PART X THE HOSPITAL APPLIES A MORE-LIKELY-THAN-NOT METHODOLOGY TO REFLECT THE FINANCIAL STATEMENT IMPACT OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. AFTER EVALUATING THE TAX POSITIONS TAKEN, NONE ARE CONSIDERED TO BE UNCERTAIN; THEREFORE NO AMOUNTS HAVE BEEN RECOGNIZED AS OF SEPTEMBER 30, 2012 AND 2011. IF INCURRED, INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS ARE RECORDED IN THE PERIOD ASSESSED IN OTHER PROGRAMS AND COSTS. NO INTEREST OR PENALTIES HAVE BEEN ASSESSED AS OF SEPTEMBER 30, 2012 AND 2011. TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION INCLUDE 2008 THROUGH THE CURRENT PERIOD FOR THE FEDERAL RETURN AND 2007 THROUGH THE CURRENT PERIOD FOR THE COLORADO RETURN. PART V, LINE 4: ENDOWMENT FUNDS, WHICH ARE HELD BY CRAIG HOSPITAL FOUNDATION, A RELATED ORGANIZATION, SERVE A VARIETY OF PURPOSES INCLUDING SUPPORTING GRADUATES, CONTINUING PEER-MENTOR PROGRAM, ENSURING EXCELLENCE OF CRAIG HOSPITAL AND GENERAL PURPOSE. 1 1 1 X 300.000000000000 1 X 500.000000000000 1 1 1 0 0 875814 0 875814 0.01210 7203241 5284500 1918741 0.02650 8079055 5284500 2794555 0.03860 71093 0 71093 0.00100 2671017 2671017 135727 0 135727 0.00190 2877837 2671017 206820 0.00290 10956892 7955517 3001375 0.04150 0 35751 0 5795001 8004270 -2209269 X 0 1 1 CRAIG HOSPITAL

3425 S CLARKSON STREET ENGLEWOOD CO 80113

X X X CRAIG HOSPITAL 1 1 1 300.000000000000 1 500.000000000000 1 X X X X X 1 1 X X X 1 1 X X X X X X 0 X X 0 0 PART III, LINE 4 IN JULY 2011, THE FINANCIAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE NO. 2011-07, AN AMENDMENT TO THE ACCOUNTING STANDARDS CODIFICATION TOPIC 954, HEALTH CARE ENTITIES, WHICH REQUIRES HEALTH CARE ORGANIZATIONS THAT DO NOT ASSESS THE COLLECTABILITY OF A RECEIVABLE BEFORE RECOGNIZING REVENUE TO PRESENT THEIR PROVISION FOR BAD DEBT RELATED TO THE PATIENT SERVICE REVENUE AS A DEDUCTION FROM REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, ON THEIR STATEMENT OF INCOME. THIS GUIDANCE IS EFFECTIVE FOR THE HOSPITAL IN FISCAL YEAR 2013 AND WILL REQUIRE THE HOSPITAL TO CHANGE THE PRESENTATION OF THEIR CONSOLIDATED STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBT ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM NET PATIENT SERVICE REVENUE. CURRENT YEAR ESTIMATE IS BASED ON APPLYING THE COST TO CHARGE RATIO DETERMINED IN THE FILED MEDICARE COST REPORT. BAD DEBT EXPENSE IS RECORDED WHEN ALL INTERNAL COLLECTION EFFORTS HAVE BEEN EXHAUSTED AND THE ACCOUNT BALANCES ARE ASSIGNED TO A COLLECTION AGENCY. ANY RECOVERIES ARE NETTED AGAINST EXPENSE. BASED ON THE COMMUNITY THAT WE SERVE, IT IS OFTEN DIFFICULT FOR PATIENTS TO FULFILL THEIR PAYMENT OBLIGATION DUE TO THEIR CURRENT AND FUTURE OUT OF POCKET HEALTH CARE COSTS RELATED TO THEIR DISABILITY. PART III, LINE 8 SOURCE OF DATA IS FILED MEDICARE COST REPORT. MEDICARE PAYMENT RECEIVED IS INSUFFICIENT TO COVER COSTS OF PROVIDING CARE. CRAIG HOSPITAL PART V, SECTION B, LINE 11H: SIZE OF HOUSEHOLD CRAIG HOSPITAL PART V, SECTION B, LINE 13G: APPLICATION SENT TO PATIENT WITH PRE-COLLECTION LETTER CRAIG HOSPITAL PART V, SECTION B, LINE 16E: ATTORNEY RESOLVING PAYMENT OR BENEFIT DISPUTES WITH INSURANCE. LIENS FILED FOR THIRD PARTY LIABILITY SETTLEMENTS. CRAIG HOSPITAL PART V, SECTION B, LINE 19D: SELF-PAY STANDARD DISCOUNT OR CHARITY APPLIES PART VI, LINE 2: CRAIG HOSPITAL ASSESSES COMMUNITY NEEDS THROUGH A VARIETY OF DIFFERENT PROGRAMS. AS A CONDITION OF FEDERAL GRANT FUNDING, CRAIG'S RESEARCH DEPARTMENT CONDUCTS ON-GOING LONGITUDINAL STUDIES ON THE LONG-TERM AFFECTS AND NEEDS OF PERSONS WITH SPINAL CORD INJURY (SCI) AND BRAIN INJURY. CRAIG ALSO OPERATES A FREE SCI NURSE ADVICE LINE AND COLLECTS DATA ON WHY FORMER PATIENTS CALL FOR ASSISTANCE. CRAIG ALSO COLLABORATES WITH THE BRAIN INJURY ALLIANCE OF COLORADO, ROCKY MOUNTAIN HUMAN SERVICES, THE HANGOUT, THE CHRISTOPHER AND DANA REEVE PEER NETWORK PROGRAM, AND OTHER COMMUNITY ORGANIZATIONS TO ASSESS AND MEET THE LONG TERM NEEDS OF CITIZENS WITH DISABILITIES. PART VI, LINE 3: THE ADMISSIONS DEPARTMENT IDENTIFIES PATIENTS WHO HAVE LIMITED BENEFITS AND COMPARE THE BENEFITS TO THE ESTIMATED LENGTH OF STAY. WHEN THERE IS A SHORTAGE OF DAYS ALLOWED THROUGH INSURANCE, THE ADMISSIONS DIRECTOR WILL HAVE A DISCUSSION WITH THE PATIENT/FAMILY TO DETERMINE ALTERNATIVE COVERAGE. THIS DISCUSSION ENCOMPASSES THE PATIENT/FAMILY'S ABILITY TO PAY FOR THE CARE; POTENTIAL ELIGIBILITY FOR FEDERAL AND STATE PROGRAMS; AND THE CHARITY CARE PROGRAM. UPON ADMISSION TO THE HOSPITAL, THE SOCIAL WORKERS/COUNSELORS COMPLETE A THOROUGH PSYCHO-SOCIAL ASSESSMENT OF THE PATIENT/FAMILY SPECIFICALLY EXPLORING FINANCIAL STATUS. THE COUNSELORS CONSIDER: HOUSE HOLD INCOME POST SURGERY; FAMILY SIZE; ASSETS; CURRENT AND FUTURE LIVING EXPENSES; AND FINANCIAL OBLIGATIONS INCLUDING EXPECTATIONS OF FUTURE CARE NEEDS. THE COUNSELORS, ALONG WITH THE PATIENT/FAMILY, ASSESS OTHER POTENTIAL RESOURCES/PROGRAMS FOR WHICH THE PATIENT MAY QUALIFY. RESOURCES AND PROGRAMS EVALUATED INCLUDE, BUT ARE NOT LIMITED TO: MEDICAID; CICP; VICTIM'S ASSISTANCE; LIABILITY AND LIQUIDITY; ACCIDENTAL DEATH AND DISMEMBERMENT; AND THE CHARITY CARE PROGRAM. IF IT APPEARS AS THOUGH THE PATIENT WILL QUALIFY FOR STATE OR FEDERAL PROGRAMS, THE COUNSELOR WILL ASSIST THE PATIENT /FAMILY IN COMPLETION OF THE APPLICATIONS, OBTAINING THE REQUIRED DOCUMENTATION AND IN ADVISING THEM HOW TO POSITION THEMSELVES TO QUALIFY. IF PATIENTS DO NOT MEET THE CRITERIA FOR OTHER STATE OR FEDERAL PROGRAMS, THE FINANCIAL ASSISTANCE ELIGIBILITY DISCOUNT GUIDELINE IS UTILIZED TO DETERMINE IF THE PATIENT'S BILL WILL BE DISCOUNTED. IF APPROPRIATE, THE COUNSELOR WILL INITIATE AND ASSIST THE PATIENT/FAMILY IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION FOR THE CHARITY CARE PROGRAM. APPLICATIONS MAY ALSO BE OBTAINED ON THE CRAIG WEBSITE, COMPLETED OVER THE PHONE OR VIA MAIL. IF IT IS NOT CLEAR THAT THE PATIENT/FAMILY WILL HAVE A BALANCE PRIOR TO DISCHARGE (CO-PAYS, OUT OF POCKET, ETC.) THE PATIENT/FAMILY WILL RECEIVE INFORMATION ON THE CHARITY CARE PROGRAM INCLUDED ON THE MONTHLY STATEMENTS AND WILL BE MAILED A COPY OF THE APPLICATION ALONG WITH LETTER FOR PRE COLLECTION. AT THIS TIME THE PATIENT CAN COMPLETE THE APPLICATION. ALL APPLICATIONS ARE REVIEWED BY THE A/R MANAGER, VICE PRESIDENT OF FINANCE AND/OR THE CONTROLLER. WHEN IT IS DETERMINED THAT THE CHARITY IS APPROPRIATE, THIS IS COMMUNICATED TO THE PATIENT/FAMILY BY THE COUNSELOR OR THE ACCOUNTS RECEIVABLE MANAGER. PART VI, LINE 4: AS ONE OF THE MOST RECOGNIZED SPECIALTY REHABILITATION AND RESEARCH HOSPITALS IN THE WORLD FOR PATIENTS WITH SPINAL CORD AND BRAIN INJURY, CRAIG CONTRIBUTES TO THE LOCAL, STATE, AND NATIONAL COMMUNITIES IN MYRIADS OF WAYS IN THE AREAS OF EDUCATION, DISABILITY AWARENESS TRAINING, HANDICAP ACCESSIBILITY, AND OTHER FORMS OF SUPPORT. AS A NON-PROFIT FREE STANDING HOSPITAL, CRAIG CURRENTLY HAS 562 FTE EMPLOYEES AND UTILIZES 170 VOLUNTEERS FROM THE COMMUNITY. CRAIG IS THE LARGEST REHABILITATION HOSPITAL IN COLORADO SERVING PATIENTS WITH SPINAL CORD INJURY (SCI) AND TRAUMATIC BRAIN INJURY (TBI) AND SERVES THE LARGEST PERCENTAGE OF THE 150 NEWLY INJURED SCI AND 5,000 TBI PATIENTS PER YEAR IN COLORADO, WITH INPATIENT, OUTPATIENT, AND LONG TERM FOLLOW-UP SERVICES. THERE ARE APPROXIMATELY 2,400 PEOPLE WITH SCI AND 175,000 WITH TBI LIVING IN COLORADO. APPROXIMATELY 50% OF CRAIG'S PATIENTS ARE COLORADO RESIDENTS WHILE THE REMAINDER COME FROM VIRTUALLY EVERY OTHER STATE AND EVEN SOME FROM FOREIGN COUNTRIES. THE AVERAGE AGE OF OUR PATIENTS IS 38 YEARS OLD, 75% ARE MALE, AND ALL COME FROM VARIED SOCIO-ECONOMIC BACKGROUNDS. CRAIG PROVIDES SIGNIFICANT SUPPORT TO THE COMMUNITY SUCH AS HELPING TRAIN RTD TRANSPORTATION PERSONNEL, AIRLINE PERSONNEL, SIGNIFICANTLY SUPPORTS THE BRAIN INJURY ALLIANCE OF COLORADO, CONDUCTS ANNUAL OUTPATIENT CLINICS IN PUEBLO AND GRAND JUNCTION, COLORADO AND CASPER, WYOMING, CONDUCTS PREVENTION PROGRAMS IN LOCAL SCHOOLS, AND SERVES ON MULTIPLE BOARDS FOR STATE AGENCIES AND ORGANIZATIONS (TBI TRUST FUND, DIVISION OF WORKERS COMPENSATION TBI MEDICAL TREATMENT GUIDELINES, ROCKY MOUNTAIN HUMAN SERVICES, COLORADO BRAIN INJURY PROFESSIONALS NETWORK, COLORADO NEUROLOGICAL INSTITUTE, THE HANGOUT AND OTHERS), AND OFFERS FINANCIAL SCHOLARSHIPS FOR CRAIG "GRADUATES" FOR HIGHER EDUCATION, AND FINANCIALLY SUPPORTS MORE THAN 100 LOCAL, REGIONAL, AND NATIONAL ORGANIZATIONS EACH YEAR. CRAIG COLLABORATES ON PATIENT RESEARCH AND TECHNOLOGY WITH THE UNIVERSITY OF COLORADO, COLORADO SCHOOL OF MINES, AND THE UNIVERSITY OF DENVER. IN THE PAST FIVE YEARS, CRAIG HOSPITAL HAS SERVED MORE THAN 2,000 INPATIENTS WITH CATASTROPHIC SPINAL CORD AND BRAIN INJURIES, OF WHICH APPROXIMATELY ONE HALF WERE FROM COLORADO. IN THE SAME TIME PERIOD, CRAIG SERVED MORE THAN 15,000 OUTPATIENTS, OF WHICH THREE QUARTERS WERE FROM COLORADO. THESE NUMBERS DO NOT INCLUDE PATIENT SUPPORT SYSTEMS AND COMMUNITY MEMBERS- FAMILIES, FRIENDS, CO-WORKERS, AND EMPLOYERS. CRAIG HOSPITAL'S PATIENT OUTCOMES ARE SUPERIOR IN COMPARISON TO VIRTUALLY EVERY REGIONAL AND NATIONAL AVERAGE IN THE MOST IMPORTANT MEASURES OF REHABILITATION OUTCOMES. ON AVERAGE, CRAIG GRADUATES ARE MORE DEPENDENT WHEN THEY ARE ADMITTED, FUNCTIONALLY MAKE GREATER GAINS DURING THEIR INITIAL TREATMENT, ARE DISCHARGED HOME AT HIGHER RATES, RETURN TO WORK OR SCHOOL IN GREATER NUMBERS, ARE MORE FUNCTIONALLY INDEPENDENT AND REQUIRE LESS ATTENDANT CARE, HAVE FEWER RE-HOSPITALIZATIONS, HAVE HIGHER LEVELS OF COMMUNITY REINTEGRATION AND SATISFACTION WITH LIFE, AND HAVE HIGHER EARNING POWER THAN THEIR NATIONAL PEER GROUP TREATED IN OTHER REHABILITATION PROGRAMS. OUR EXCEPTIONAL OUTCOMES VALIDATE THAT REHABILITATION IS AN INVESTMENT IN LONG-TERM SOCIETAL VALUE. WHEN WE HELP PATIENTS BECOME AS INDEPENDENT AND PRODUCTIVE AS POSSIBLE, IT IS IN THEIR BEST INTEREST-AS WELL AS IN THE BEST INTEREST OF THEIR FAMILY, EMPLOYER, INSURANCE CARRIER, TAXPAYERS, AND TO THE COMMUNITY AS A WHOLE. CRAIG ALSO SIGNIFICANTLY CONTRIBUTES TO THE PROFESSIONAL COMMUNITY. IN 2012 CRAIG STAFF PUBLISHED 26 PAPERS AND CHAPTERS AND DELIVERED 109 PROFESSIONAL PRESENTATIONS. EACH YEAR CRAIG STAFF AND PHYSICIANS RECEIVE NATIONAL AWARDS, AND IN 2012 CRAIG STAFF AND PHYSICIANS WON NINE MAJOR NATIONAL AWARDS. ANOTHER RECENT ACCOMPLISHMENT IS THE SPINAL CORD INJURY NURSE ADVICE LINE, WHICH IS A TOLL FREE NATIONAL ADVICE LINE, WHICH HAS WON NATIONAL AWARDS. CRAIG IS THE FIRST HOSPITAL IN COLORADO TO HAVE GROUP SPECIAL LICENSE PLATES WHICH WERE APPROVED BY THE 2011 LEGISLATURE. CRAIG IS PIONEERING ADAPTIVE TECHNOLOGY AND CUTTING EDGE TREATMENT, AND IN 2011 CRAIG FOUNDED THE PEAK CENTER AT CRAIG HOSPITAL, A STATE-OF-THE ART WELLNESS AND FITNESS PROGRAM FOR INPATIENTS, OUTPATIENTS, AND COMMUNITY MEMBERSHIPS. OTHER INFORMATION ALL BUT ONE OF THE 16 INDEPENDENT BOARD OF DIRECTORS RESIDE IN THE STATE OF COLORADO WHERE APPROXIMATELY 50% OF THE HOSPITAL'S PATIENTS RESIDE. CRAIG HOSPITAL'S PURPOSE IS TO PROVIDE PATIENT CARE, EDUCATION AND RESEARCH. THE BOARD OF DIRECTORS OF CRAIG HOSPITAL HAS ULTIMATE AUTHORITY IN EXTENDING PRIVILEGES ONLY TO PROFESSIONALLY COMPETENT PHYSICIANS, DENTISTS AND PODIATRISTS, LICENSED TO PRACTICE IN THE STATE OF COLORADO. THERE ARE 220 PHYSICIANS ON THE MEDICAL STAFF OF CRAIG HOSPITAL, EACH ASSIGNED TO ONE OF FIVE SEPARATE MEDICAL STAFF CATEGORIES. THE MEDICAL STAFF OF CRAIG HOSPITAL IS ORGANIZED AND OPERATES UNDER THE GUIDANCE OF THE MEDICAL STAFF BYLAWS, MEDICAL STAFF RULES AND REGULATIONS AND MEDICAL STAFF POLICIES AND PROCEDURES. THE ORGANIZED MEDICAL STAFF IS ACCOUNTABLE TO THE GOVERNING BODY FOR THE QUALITY OF CARE, TREATMENT AND SERVICES PROVIDED TO PATIENTS BY THE PRACTITIONERS WITH PRIVILEGES. THE MEDICAL STAFF IS RESPONSIBLE FOR ESTABLISHING AND MAINTAINING PATIENT CARE STANDARDS, CREDENTIALING AND DELINEATION OF CLINICAL PRIVILEGES. ADDITIONALLY, THERE ARE 55 ALLIED HEALTH PROFESSIONALS, CATEGORIZED AS EITHER INDEPENDENT OR PHYSICIAN DIRECTED WHOM FUNCTION WITHIN ONE OR MORE HEALTH-RELATED PROFESSIONS OR OCCUPATIONS. THE HOSPITAL USES EXCESS FUNDS TO FUND CAPITAL IMPROVEMENTS, EQUIPMENT FOR PATIENT PROGRAMS, AND PATIENT EDUCATION. THE HOSPITAL PROVIDES LONG-TERM COMMUNITY SUPPORT THROUGH MULTIPLE PROGRAMS SUCH AS:-SCI NURSE ADVICE LINE-ON-LINE FREE EDUCATIONAL MATERIALS AND HEALTH ASSESSMENT QUESTIONNAIRE TOOL ON CRAIG'S WEBSITE, WWW.CRAIGHOSPITAL.ORG, AND SOCIAL MEDIA- FACEBOOK, TWITTER, LINKED IN, YOUTUBE, AND BLOG.-OUTREACH SCI CLINICS ANNUALLY IN PUEBLO, GRAND JUNCTION, CO. AND CASPER, WY. -$100K SUPPORT PER YEAR TO COMMUNITY ORGANIZATIONS -$10K SUPPORT PER YEAR TO BRAIN INJURY ALLIANCE OF COLO.-STAFF SERVES ON HUNDREDS OF COMMUNITY ORGANIZATIONS-PUBLISH 26 PAPER CHAPTERS PER YEAR IN PROFESSIONAL LITERATURE-PRESENTATIONS 100-125 PER YEAR ON SCI/TBI-CHAIRED COLORADO CONCUSSION SPECIAL INTEREST GROUP-CHAIRED COLORADO TBI TRUST FUND-CHAIRED COLORADO WC TBI MEDICAL TREATMENT GUIDELINES-CHAIRED ROCKY MOUNTAIN HUMAN SERVICES MILITARY PROGRAM -CHAIRED COLORADO BL PROFESSIONALS NETWORK MEETING -"KIDS FOR CRAIG" INJURY PREVENTION PROGRAMS IN THE SCHOOLS-NIDRR MODEL SYSTEM CENTER FOR SCI AND TBI-ALUMNI HIGHER EDUCATION SCHOLARSHIP PROGRAM-CU, SCHOOL OF MINES, DU ADAPTIVE TECHNOLOGY COLLABORATIONS-ACCESSIBLE HOMES COLLABORATIONS-Q&A FEATURE ON HEALTH MATTERS ON CRAIG'S FACEBOOK PAGE-EMERGENCY PREPAREDNESS VENUES FOR ENGLEWOOD FIRE AND POLICE-COLUMBINE HIGH SCHOOL RUN FOR REMEMBRANCE BENEFIT-BLOOD DRIVES WITH BONFILS-COLLABORATE WITH CHRISTOPHER & DANA REEVE PEER NETWORK PROGRAM-TRAIN DENVER RTD & FRONTIER AIRLINES PERSONNEL ON PASSENGER ASSISTANCE X X 1 1 X X X X 0 1 0 0 0 0 0 1 0 MIKE FORDYCE 379680 0 128697 0 48374 0 10385 0 19787 0 586923 0 0 0 MARY FELLER 0 152931 0 22000 0 394 0 5619 0 1200 0 182144 0 0 JULIE KEEGAN 194173 0 40892 0 11693 0 9550 0 18273 0 274581 0 0 0 DANA POLONSKY 146181 0 39714 0 9716 0 7660 0 18045 0 221316 0 0 0 DIANE REINHARD 152714 0 42081 0 9314 0 8056 0 18139 0 230304 0 0 0 LESTER BUTT 138916 0 30017 0 1121 0 7167 0 18917 0 196138 0 0 0 KENNETH HOSACK 131958 0 23673 0 497 0 6555 0 18927 0 181610 0 0 0 DR GALE WHITENECK 134066 0 28956 0 633 0 6842 0 13240 0 183737 0 0 0 CHRIS WATKINS 125804 0 20428 0 452 0 6139 0 18876 0 171699 0 0 0 CYNTHIA BRADEN 111945 0 23564 0 493 0 5488 0 11211 0 152701 0 0 0 PART I, LINE 1A COUNTRY CLUB DUES AND FINANCIAL, ESTATE AND TAX PLANNING SERVICES PAID BY EMPLOYEE WERE REIMBURSED BY THE COMPANY AND INCLUDED IN EMPLOYEE'S FORM W2 TAXABLE WAGES. PART I, LINE 4B OFFICERS PARTICIPATE IN NON-QUALIFIED 457F RETIREMENT PLAN BUT NO PAY-OUTS WERE MADE DURING THE TAX YEAR. PART I, LINE 7 DISCRETIONARY BONUSES OF UP TO 10% OF BASE PAY ARE PAID TO DEPARTMENT DIRECTORS, UP TO 15% FOR VICE PRESIDENTS AND UP TO 30% FOR CEO. COLORADO HEALTH FACILITIES AUTHORITY 840752932 196474J76 2003-06-01 15000000 ADVANCE REFUNDING 1993/2001 BO 0 0 0 15000000 1 1 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 1 1 0 0 0 0 CNS MEDICAL GROUP CONTRACTOR 798679 MEDICAL DIRECTOR/RESEARCH 0 LOCKTON COMPANIES CONSULTANT 186473 BENEFITS CONSULTING 0 FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO FILING, THE FORM 990 AND RELATED SCHEDULES WERE PRESENTED, REVIEWED AND APPROVED BY THE FINANCE/AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. COPIES WERE ALSO DISTRIBUTED TO THE FULL BOARD ALONG WITH A REPORT FROM THE FINANCE/AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, VICE PRESIDENTS, AND DIRECTOR-LEVEL POSITIONS COMPLETE A DUALITY OF INTEREST FORM ANNUALLY AND ANY DISCLOSURES ARE SHARED WITH THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE COMMISSIONS AN INDEPENDENT COMPENSATION CONSULTING FIRM EVERY 2-3 YEARS TO CONDUCT A STUDY OF COMPENSATION OF THE KEY LEADERSHIP POSITIONS WITHIN THE HOSPITAL UTILIZING DATA FROM BOTH LOCAL AND NATIONAL HOSPITALS. THIS DATA WAS UTILIZED BY THE EXECUTIVE COMMITTEE WHEN IT APPROVES THE COMPENSATION OF THE PRESIDENT/CEO AND OTHER TOP MANAGEMENT POSITIONS WITHIN THE HOSPITAL. ALL OF THE DETAILS OF THE DELIBERATION AND DECISION MAKING PROCESS ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 CRAIG HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A, COLUMN (B) THE AVERAGE NUMBER OF HOURS COMMON DIRECTORS AND OFFICERS SPENT FOR RELATED ORGANIZATIONS ARE; MICHAEL FORDYCE 16 HRS/WEEK, JULIE KEEGAN 4 HRS/WEEK, MARY FELLER 40 HRS/WEEK, PETER BURG 2 HRS/WEEK, MARY SISSEL 15 HRS/WEEK CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,397,711. REHABILITATION DOC SERVICE 3425 S CLARKSON ST ENGLEWOOD CO 801132811 030434653 SOFTWARE DEVELOPMENT CO 1299 137994 CRAIG HOSPITAL CRAIG HOSPITAL FOUNDATION 3425 S CLARKSON ST ENGLEWOOD CO 80113 237352287 FUNDRAISING CO 501(C)(3) 11A/TYPE I CRAIG HOSPITAL 1 ADAPTIVE EQUIPMENT COMPANY 3425 CLARKSON STREET ENGLEWOOD CO 801132811 841280869 DISCONTINUED OPERATIONS CO C 1.00000 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 CRAIG HOSPITAL FOUNDATION C 336492 ACTUAL COSTS CRAIG HOSPITAL FOUNDATION P 1058290 ACTUAL COSTS