4A (Expenses $ 82151854 including grants of $ 80664897) (Revenue $ 81925)
GRANTS AND CONTRIBUTIONS TO NONPROFIT ORGANIZATION, GOVERNMENT AGENCIES AND OTHER GROUPS THAT WORK TO IMPROVE HEALTH AND HEALTH CARE IN COLORADO. THERE WERE 246 GRANTS AWARDED TO GRANTEES WITHIN COLORADO.

4B (Expenses $ 13422082 including grants of $ 14518) (Revenue $ 12811075)
THE FOUNDATION SPONSORS FIVE GRADUATE MEDICAL EDUCATION RESIDENT TRAINING PROGRAMS AND ONE SCHOOL OF MEDICAL TECHNOLOGY. DURING 2011, 72 RESIDENTS AND 18 MEDICAL TECHNOLOGY STUDENTS RECEIVED TRAINING.

4C (Expenses $ 4319409 including grants of $ 0) (Revenue $ 120008736)
INVESTMENT IN HEALTHONE, JOINT VENTURE.

SCHEDULE H, PART I, LINE 3C PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
IF AN UNINSURED PATIENT IS UNABLE TO QUALIFY FOR FREE CARE UNDER THE CHARITY PROGRAM, THEN A DISCOUNT IS AUTOMATICALLY PROVIDED WITHOUT REGARD TO THE PATIENT'S INCOME LEVEL OR ASSETS. THE DISCOUNT PROVIDED IS AT LEAST AS HIGH AS WHAT AN INSURED PATIENT RECEIVES.

SCHEDULE H, PART I, LINE 7
A COST TO CHARGE RATIO WAS UTILIZED TO COMPUTE COSTS IN THE TABLE AND WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.

SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES
"PARTICIPATING IN ""COMMUNITY BUILDING"" ALLOWS HEALTHONE TO TRULY BE A PART OF THE COMMUNITY, BY PARTICIPATING AND INVOLVING LEADERS AND STAFF IN COMMUNITY ACTIVITIES. WE COMMUNICATE DIRECTLY WITH COMMUNITY MEMBERS AND VICE VERSA SO WE ARE AWARE OF WHAT IS GOING ON AND WHAT THE COMMUNITY NEEDS FROM OUR FACILITIES. COMMUNITY BUILDING ALSO ALLOWS US TO PARTNER WITH OTHER ORGANIZATIONS AND WORK TOGETHER TOWARDS A SHARED GOAL OF IMPROVING THE HEALTH OF THE COMMUNITY. BELOW IS A SMALL SAMPLE OF THESE ORGANIZATIONS & ACTIVITIES, AND HOW THEY HELP OUR COMMUNITY: - COMMITTEE INVOLVEMENT ON BRAIN INJURY ASSOCIATION COLLABORATIVE: COLLABORATIVE GROUP WORKS TO INCREASE AWARENESS OF BRAIN INJURIES AND WHAT CAN BE DONE LEGISLATIVELY TO IMPROVE SERVICES TO THE BRAIN INJURY POPULATION. - AMERICAN HOSPITAL ASSOCIATION LONG TERM CARE GOVERNING COUNCIL: WORKED WITH CONGRESSMAN PERLMUTTER TO WRITE LEGISLATION FOR PENALTIES TO CMS IF THEY DENIED A CLAIM THAT LATER GOT OVERTURNED. (REP. PERLMUTTER ULTIMATELY CHANGED COMMITTEES AND NO LONGER HAD AN INTEREST IN INTRODUCING THE BILL.) - AURORA CENTER FOR ACTIVE ADULTS: ADVISORY BOARD TO HELP THE ACAA BECOME REACCREDITED WITH THE NATIONAL INSTITUTE OF SENIOR CENTERS, A CONSTITUENT OF THE NATIONAL COUNCIL ON THE AGING, INC. THAT, AMONG OTHER THINGS, PROVIDES STROKE EDUCATION TO SENIORS. - DISABILITY BREAKFASTS: SPALDING PUTS ON SEVERAL BREAKFASTS EACH YEAR WHERE THE GROUP MUST ""WEAR"" A DISABILITY. OUR PURPOSE IS ""VALUING DIFFERENCES"". THIS IS PRIMARILY TO BUSINESSES AND THEIR ORGANIZATIONS TO TEACH THEM ABOUT HOW TO RECOGNIZE WHAT IT MEANS TO HAVE A DISABILITY, SIMPLE ADAPTATIONS THAT CAN BE IMPLEMENTED TO HELP SOMEONE BE IN THE WORKFORCE, AND CHALLENGES THE PERSON MAY FACE. - STATE INDEPENDENT LIVING COUNCIL: SPALDING CNO DEBBIE PETERSEN WAS APPOINTED BY THE GOVERNOR TO SIT ON THIS COUNCIL. THE PURPOSE IS TO KEEP PEOPLE LIVING INDEPENDENTLY IN THEIR HOMES, AND THE COUNCIL HAS ASSISTED MANY INDIVIDUALS. - STATE REHAB COUNCIL: DEBBIE PETERSEN WAS APPOINTED BY THE GOVERNOR TO SIT ON THIS COUNCIL, WHICH HELPS INDIVIDUALS WITH DISABILITIES FIND/KEEP EMPLOYMENT. - VARIOUS SUPPORT GROUPS: HOSPITALS HOST OR FACILITATE PATIENT/COMMUNITY SUPPORT GROUPS ON A VARIETY OF ISSUES. - CHAMBERS OF COMMERCE AND ECONOMIC DEVELOPMENT COUNCILS: CEOS AND HOSPITAL SENIOR EXECUTIVES PARTICIPATE IN EACH OF THE METRO AREA CHAMBERS & EDCS. THESE ORGANIZATIONS REALIZE AN ECONOMICALLY ROBUST COMMUNITY, WITH WELL-TRAINED EMPLOYEES, ALSO FOSTER BETTER HOMES, FAMILIES AND HEALTH. - E.G.: THE METRO NORTH CHAMBER OF COMMERCE, WHICH IN ADDITION TO COMMUNITY ECONOMIC DEVELOPMENT, ALSO PROMOTES HEALTH VIA A 5K RUN. - 9HEALTH FAIR: HEALTHONE'S COLLECTIVE INVOLVEMENT IN 9HEALTH FAIR'S ANNUAL STATEWIDE SERIES OF FREE HEALTH FAIRS PROMOTES COMMUNITY AWARENESS OF HEALTH ISSUES & PROVIDES FREE SCREENINGS TO THOSE IN NEED. SOME HOSPITALS ALSO CONDUCT ""COMMUNITY NEEDS ASSESSMENTS"" DURING THE HEALTH FAIR AMONG PARTICIPANTS. - FREE SCREENINGS & HEALTH FAIRS: ALL HEALTHONE HOSPITALS CONDUCT DURING THE YEAR SCREENINGS, EDUCATION AND HEALTH FAIRS FOCUSED ON THE RANGE OF CHRONIC DISEASES IN OUR COMMUNITIES. THESE HELP RESIDENTS OF WITH EARLY DETECTION OF CANCERS, HEART DISEASE, STROKE, DIABETES AND OTHER RISKS. THEY ALSO EDUCATE ON OVERCOMING OBESITY."

SCHEDULE H, PART III, LINE 4
NET BAD DEBT EXPENSE, MEASURED AT GROSS CHARGES, IS MULTIPLIED BY THE APPROPRIATE COST-TO-CHARGE RATIO TO DETERMINE THE COST OF BAD DEBT TO REPORT ON PART III, LINE 2. AMOUNTS FOR LINE 3 ARE NOT REASONABLY DETERMINABLE DUE PRIMARILY TO LACK OF INFORMATION PROVIDED BY PATIENTS IN APPLYING FOR CHARITY CARE, CONSEQUENTLY NO INFORMATION WAS PROVIDED. DUE TO THE SALE OF THE JOINT VENTURE IN OCTOBER, 2011, AN AUDIT WAS NOT PERFORMED. AS A RESULT THERE IS NO BAD DEBT EXPENSE FOOTNOTE TO DISCLOSE.

SCHEDULE H, PART III, LINE 8
MEDICARE ALLOWABLE COSTS WERE COMPUTED UTILIZING COST TO CHARGE RATIOS FROM FILED COST REPORTS. THE ENTIRE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT SINCE SERVICES ARE BEING PROVIDED TO A VULNERABLE POPULATION WHO ARE COVERED UNDER AN ENTITLEMENT PROGRAM. THE NET SHORTFALL THAT IS INCURRED BY THE ORGANIZATION REPRESENTS A FINANCIAL BURDEN RELIEVED FROM GOVERNMENT.

SCHEDULE H, PART III, LINE 9B
ANYONE THAT QUALIFIES FOR CHARITY RECEIVES A 100% ADJUSTMENT TO THEIR ACCOUNT. COLLECTION ACTIVITIES ARE NOT PURSUED ON ACCOUNTS APPROVED FOR CHARITY.

SCHEDULE H, PART V, SECTION B, LINE 19D
AN APPROXIMATED AVERAGE NEGOTIATED COMMERCIAL INSURANCE RATE WAS USED IN DETERMINING THE MAXIMUM AMOUNT THAT COULD BE CHARGED.

SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT
"HEALTHONE USES NUMEROUS METHODS AND APPROACHES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES AND IDENTIFY UNDERSERVED AREAS OR POPULATIONS. HEALTHCARE NEEDS ASSESSMENTS ARE DONE ON A LOCAL HOSPITAL COMMUNITY LEVEL AS WELL AS BROADER MARKETS AND REGIONAL LEVELS. IN ADDITION, WE REGULARLY COLLABORATE WITH LOCAL AGENCIES, SCHOOLS AND COMMUNITY GROUPS. ONE OF THE WAYS HEALTHONE ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IS THROUGH MONITORING ACTUAL HEALTH CARE UTILIZATION TRENDS AND DEVELOPING PROGRAMS OR SERVICES TO ADDRESS A POTENTIAL NEED. FOR EXAMPLE IF AN INCREASE IN HOSPITAL ADMISSIONS FOR DIABETES IS BEING SEEN IN THE COMMUNITY, IT MAY SUGGEST THAT THERE IS A NEED FOR PROGRAMS THAT ADDRESS MANAGEMENT OF DIABETES, DIABETES PREVENTION AND DIABETES SCREENING PROGRAMS. IN ADDITION TO LOOKING AT DISEASE SPECIFIC HEALTH CARE NEEDS, THE ANALYSIS OF HEALTH CARE UTILIZATION TRENDS ALSO ASSISTS IN IDENTIFYING GEOGRAPHIC AREAS THAT MAY UNDERSERVED BY HEALTHCARE PROVIDERS OR SERVICES. BIANNUALLY, AN INDEPENDENT THIRD-PARTY CONDUCTS A COMMUNITY NEEDS ASSESSMENT THAT LOOKS AT AVAILABLE PHYSICIAN SUPPLY AND DEMAND WITHIN EACH HEALTHONE HOSPITAL'S GEOGRAPHIC SERVICE AREA BY PHYSICIAN SPECIALTY. THIS ASSESSMENT ASSISTS HEALTHONE IN IDENTIFYING AREAS AND SPECIALTIES WHERE THERE IS A SHORTAGE OF SPECIFIC PROVIDERS AND SERVES AS A GUIDE IN PHYSICIAN RECRUITMENT AND PLACEMENT OF NEW PHYSICIANS IN THE COMMUNITY. IN SOME CASES THIS IS ACCOMPLISHED BY HEALTHONE EMPLOYING THE PHYSICIANS OR PROVIDING FINANCIAL ASSISTANCE THROUGH INCOME GUARANTEES FOR PRACTICES WILLING TO RECRUIT NEW PHYSICIANS INTO THEIR PRACTICES. IN 2011, HEALTHONE EMPLOYED A TOTAL OF 120.5 PHYSICIANS, INCLUDING 61 PRIMARY CARE PHYSICIANS IN THE COMMUNITY. WE ALSO PROVIDED $972,000 IN PHYSICIAN RECRUITMENT SUPPORT. OTHER METHODS FOR ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITY INCLUDE PARTNERING WITH LOCAL, REGIONAL AND NATIONAL ORGANIZATIONS SUCH AS CHAMBERS OF COMMERCE, HEALTHCARE COALITIONS, DISEASE ORGANIZATION (AMERICAN HEART ASSOCIATION). MANY OF THESE ORGANIZATIONS HAVE IDENTIFIED HEALTH CARE NEEDS WITHIN THE COMMUNITY ALREADY AND LET OUR SYSTEM KNOW WHAT SOME CRITICAL NEEDS ARE WITHIN THE COMMUNITY. SEVERAL OF THE HEALTHONE HOSPITALS HAVE ESTABLISHED COMMUNITY ADVISORY COUNCILS, MADE UP OF LOCAL COMMUNITY LEADERS AND REPRESENTATIVES WHO CAN HELP THE FACILITY IDENTIFY AND PRIORITIZE HEALTHCARE NEEDS IN THEIR LOCAL COMMUNITIES. AS HEALTHONE HOSPITALS HAVE A BROADER REGIONAL AND MULTI-STATE REACH OUTSIDE THE DENVER METRO AREA, WE UTILIZE PHYSICIAN AND COMMUNITY RELATIONS MANAGERS WHO HAVE RELATIONSHIPS WITH SMALLER COMMUNITIES AND RURAL AREAS. THESE COMMUNITY RELATIONS MANAGERS ARE CONTACTED BY MANY COMMUNITIES AND HEALTH CARE PROVIDERS IN THE COMMUNITIES WITH REQUESTS FOR SPECIFIC HEALTH CARE NEEDS FOR THEIR RESIDENTS, BE IT COMMUNITY EDUCATION, EDUCATION FOR LOCAL CLINICIANS, OR A SHORTAGE OF ANY PARTICULAR PHYSICIAN SPECIALTY COVERAGE. HEALTHONE'S OUTREACH DEPARTMENT WORKS WITH THE LOCAL HOSPITALS AND THEIR MEDICAL STAFFS TO FILL THE NEEDS AS REQUESTED BY THESE COMMUNITIES. HEALTHONE PROVIDES 655 OUTREACH CLINICS IN 42 COMMUNITIES AND OFFERS MORE THAN 110 CME/EDUCATION PROGRAMS THROUGH THE HEALTHONE UNIVERSITY. DUE TO THE INCREASING NEED FOR SPECIALTY NEUROLOGY/STROKE COVERAGE AND SUPPORT IN SMALLER COMMUNITIES AND RURAL AREAS, HEALTHONE ESTABLISHED A STROKE TELEMEDICINE NETWORK. TO DATE WE HAVE 24 TELEMEDICINE ROBOTS IN 23 COMMUNITIES THROUGHOUT COLORADO AND WYOMING. THESE ROBOTS PROVIDE STROKE NEUROLOGISTS AT SWEDISH MEDICAL CENTER THE ABILITY TO CONSULT AND ASSESS PATIENTS WHO PRESENT IN THOSE COMMUNITY EMERGENCY ROOMS AND GIVE GUIDANCE TO THE LOCAL ATTENDING PHYSICIAN RELATED TO TREATMENT PROTOCOLS. IN APRIL OF 2011, HEALTHONE ESTABLISHED A SYSTEM-WIDE TRANSFER CENTER CALLED ACCESS HEALTHONE. THIS ONE-CALL NUMBER FACILITATES THE COORDINATION AND TRANSFER OF PATIENTS FROM OUTLYING AREAS INTO THE HEALTHONE SYSTEM, FROM ARRANGING MEDICAL TRANSPORT, TO FACILITATING PHYSICIAN AND HOSPITAL ACCEPTANCE OF THE PATIENT. THEY ALSO FACILITATE ED-TO-ED CONSULTATIONS AS WELL AS CONSULTATION CALLS WITH SPECIALISTS. THROUGH OCTOBER OF 2011, THIS CENTER FACILITATED THE TRANSFER OF OVER 500 PATIENTS FROM OUTLYING AREAS. HEALTHONE ALSO SEEKS OUT AND CONSULTS REPORTS AND STUDIES THAT ARE CONDUCTED BY OUTSIDE ORGANIZATIONS AND AGENCIES THAT IDENTIFY OR ASSESS HEALTH CARE NEEDS OR TRENDS IN THE COMMUNITY. SOME OF THE REPORTS AND STUDIES USED TO ASSESS COMMUNITY NEEDS IN 2011 INCLUDED: - NATIONAL RESEARCH CORP - ""NRC COMMUNITY NEEDS ASSESSMENT, 2011 DENVER METRO AREA"" [E.G. NEED CV EDUCATION, SCREENINGS, SMOKING CESSATION PROGRAMMING, AND MENTAL HEALTH SERVICES] o TOP 3 CHRONIC CONDITIONS - HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, SMOKER o TOP 3 HEALTH RISKS - AMONG LOW INCOME: SMOKER, DEPRESSION/ANXIETY DISORDER, HIGH BLOOD PRESSURE o TOP 3 AMONG UNINSURED - SMOKER, HIGH CHOLESTEROL, DEPRESSION/ANXIETY DISORDER THE FOLLOWING ARE EXAMPLES OF PROGRAMS OR SERVICES HEALTHONE HOSPITALS HAVE PROVIDED TO ADDRESS THESE HEALTH CARE NEEDS, BUT ARE NOT LIMITED TO: - HEALTH SCREENINGS - CV, STROKE, CANCER; LAUNCHED ONLINE HEART ASSESSMENT AND STROKE ASSESSMENT TOOLS - STROKE/TELEMEDICINE NETWORK; 25 SITES - WEIGHT LOSS SEMINARS: BARIATRICS - BEHAVIORAL HEALTH SUPPORT LINE; AND FUNDED AND UNDERTOOK CONSTRUCTION OF A 40-BED BEHAVIORAL HEALTH UNIT AT TMCA NORTH CAMPUS (OPENED AUGUST 2012) - RED ROCKS FIT CHALLENGE - 90 PUBLIC FITNESS PROGRAMS IN PARTNERSHIP WITH CITY AND COUNTY OF DENVER AND 7 NEWS - COMMUNITY EDUCATION PROGRAMS - PRIMARY CARE RESIDENCY CLINICS - EDUCATION FOR CLINICIANS AND EDUCATIONAL SCHOLARSHIPS - DOCTOR'S CARE INDIGENT CLINIC FUNDING - CLINICAL RESEARCH - PHYSICIAN CME - EMS AGENCY EDUCATION AND TRAINING"

SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
AS PART OF OUR ONGOING COMMITMENT TO OUR PATIENTS, HEALTHONE WORKS HARD TO HELP THEM ADDRESS THEIR FINANCIAL RESPONSIBILITIES IN A WAY THAT IS FAIR AND SENSITIVE TO THEIR CIRCUMSTANCES. HEALTHONE HAS INSTITUTED A PROGRAM DESIGNED ESPECIALLY TO HELP THOSE WHO FIND THEMSELVES IN FINANCIAL DISTRESS. WE PROVIDE FINANCIAL COUNSELING TO HELP PATIENTS GAIN ACCESS TO GOVERNMENT SOURCES OF MEDICAL ASSISTANCE, INCLUDING MEDICAID, CIP AND OTHER STATE AND LOCAL PROGRAMS. HEALTHONE'S CHARITY CARE POLICY APPLIES TO UNINSURED PATIENTS WHO COME TO OUR FACILITIES FOR EMERGENCY TREATMENT. THIS POLICY PROVIDES FINANCIAL RELIEF TO PATIENTS WHO QUALIFY BASED ON A COMPARISON OF THEIR FINANCIAL RESOURCES AND/OR INCOME TO FEDERAL POVERTY GUIDELINES. ALL HEALTHONE HOSPITALS OFFER DISCOUNTS FOR PATIENTS: - SELF-PAY PATIENTS WHO MEET FINANCIAL AND PROMPT-PAY CRITERIA. - INSURED PATIENTS WHO MEET PROMPT-PAY CRITERIA FOR THEIR PORTION OF MEDICAL BILLS (DEDUCTIBLES) MAY ALSO QUALIFY FOR DISCOUNTS IN THE FORM OF ADJUSTMENTS. HEALTHONE POLICY & PROCEDURE #4998.100 ESTABLISHES THE CRITERIA UNDER WHICH PATIENTS ARE EVALUATED AND MAY RECEIVE FREE OR DISCOUNTED CARE. ALL INPATIENTS WHO ARE WITHOUT INSURANCE, OR WHO EXPRESS A NEED FOR ASSISTANCE, ARE VISITED DURING THEIR INPATIENT STAY AND EVALUATED ACCORDING TO ESTABLISHED GUIDELINES. NOTICES OF FINANCIAL COUNSELING ARE POSTED IN HOSPITALS. HEALTHONE POLICY & PROCEDURE #4998.100 ALSO SPELLS OUT THE GUIDELINES FOR ESTABLISHING PATIENT ELIGIBILITY FOR FINANCIAL ASSISTANCE. - ALL INPATIENTS WHO MEET WITH A FINANCIAL COUNSELOR ARE EVALUATED FOR INCOME AND FINANCIAL ASSETS/MEANS; THIS DETERMINES ELIGIBILITY FOR FEDERAL MEDICAL ASSISTANCE (MEDICAID, MEDICARE, V.A., COBRA) OR LOCAL ASSISTANCE PROGRAMS (CRIME VICTIMS FUND, ETC.). FINANCIAL COUNSELOR WILL ASSIST PATIENT IN FILLING OUT FORMS IF REQUESTED. - PATIENTS WHO DO NOT MEET FEDERAL, STATE OR LOCAL PROGRAM ELIGIBILITY ARE THEN EVALUATED FOR HEALTHONE ASSISTANCE UNDER CHARITY CARE OR DISCOUNTS: - HEALTHONE PROVIDES CHARITY CARE TO PATIENTS WITH INCOMES WITHIN 200% OF THE FEDERAL POVERTY LEVEL. - THE FINANCIAL DISCOUNT POLICY ADDS A SLIDING SCALE OF DISCOUNTS FOR UNINSURED PATIENTS WITH INCOMES UP TO 400% OF THE FEDERAL POVERTY LEVEL. - COLLECTION AGENCIES WORKING WITH HCA FACILITIES IMPLEMENTED A POLICY IN 2003 THAT BARS THEM FROM PURSUING LIENS AGAINST PATIENT PROPERTY (E.G. HOUSES) VALUED LESS THAN $300,000.

SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION
HEALTHONE HOSPITALS SERVE THE GREATER DENVER METROPOLITAN AREA WHICH IS COMPRISED OF A SEVEN COUNTY REGION AND 60 COMMUNITIES. COUNTIES WITHIN THE PRIMARY SERVICE CARE INCLUDE ADAMS, ARAPAHOE, BROOMFIELD, BOULDER, DENVER, DOUGLAS, AND JEFFERSON. THE CURRENT POPULATION IS NEARLY 2.5 MILLION RESIDENTS AND HAS A MEDIAN HOUSEHOLD INCOME OF $59,000 ANNUALLY. ETHNIC MINORITIES COMPRISE JUST OVER 33% OF THE POPULATION WITH HISPANICS/LATINOS REPRESENTING 22% OF THE POPULATION. THE GREATER DENVER METRO POPULATION IS SERVED BY 19 GENERAL ACUTE CARE HOSPITALS AND ONE SINGLE SPECIALTY HOSPITAL, THE MAJORITY OF WHICH ARE TAX-EXEMPT HOSPITALS, INCLUDING THREE HOSPITALS THAT ARE CONSIDERED TO BE SAFETY NET HOSPITALS (DENVER HEALTH, UNIVERSITY AND CHILDREN'S HOSPITAL). THERE ARE POCKETS OF FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS FOR PRIMARY CARE THROUGHOUT THE SERVICE AREA WITH THE EXCEPTION OF BROOMFIELD AND DOUGLAS COUNTIES. WHILE MOST OF THE HEALTHONE HOSPITALS SERVE PREDOMINATELY THE DENVER METRO REGION, OVER 32% OF PRESBYTERIAN/ST. LUKE'S PATIENTS COME FROM OUTSIDE THE DENVER METRO AREA WITH 12% COMING FROM OUTSIDE OF COLORADO, PARTICULARLY WYOMING, KANSAS AND NEBRASKA. MOST OF THE AREAS ARE SIGNIFICANTLY UNDERSERVED FROM A PHYSICIAN SPECIALTY PERSPECTIVE IN SERVICES SUCH AS PEDIATRIC SUBSPECIALISTS, HIGH RISK MATERNITY AND NEONATES, CARDIOLOGY AND ORTHOPEDICS. HEALTHONE ALSO HAS A TELE-STROKE NETWORK WHICH PROVIDES RURAL HOSPITALS WITH IMMEDIATE ACCESS TO STROKE SPECIALISTS VIA A ROBOTIC CAMERA. CURRENTLY, THE PROGRAM HAS 25 CAMERAS IN 24 RURAL AND URBAN LOCATIONS.

SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH
"PARTICIPATING IN ""COMMUNITY BUILDING"" ALLOWS HEALTHONE TO TRULY BE A PART OF THE COMMUNITY, BY PARTICIPATING AND INVOLVING LEADERS AND STAFF IN COMMUNITY ACTIVITIES. WE COMMUNICATE DIRECTLY WITH COMMUNITY MEMBERS AND VICE VERSA SO WE ARE AWARE OF WHAT IS GOING ON AND WHAT THE COMMUNITY NEEDS FROM OUR FACILITIES. COMMUNITY BUILDING ALSO ALLOWS US TO PARTNER WITH OTHER ORGANIZATIONS AND WORK TOGETHER TOWARDS A SHARED GOAL OF IMPROVING THE HEALTH OF THE COMMUNITY. BELOW IS A SMALL SAMPLE OF THESE ORGANIZATIONS & ACTIVITIES, AND HOW THEY HELP OUR COMMUNITY: - COMMITTEE INVOLVEMENT ON BRAIN INJURY ASSOCIATION COLLABORATIVE: COLLABORATIVE GROUP WORKS TO INCREASE AWARENESS OF BRAIN INJURIES AND WHAT CAN BE DONE LEGISLATIVELY TO IMPROVE SERVICES TO THE BRAIN INJURY POPULATION. - AMERICAN HOSPITAL ASSOCIATION LONG TERM CARE GOVERNING COUNCIL: WORKED WITH CONGRESSMAN PERLMUTTER TO WRITE LEGISLATION FOR PENALTIES TO CMS IF THEY DENIED A CLAIM THAT LATER GOT OVERTURNED. (REP. PERLMUTTER ULTIMATELY CHANGED COMMITTEES AND NO LONGER HAD AN INTEREST IN INTRODUCING THE BILL.) - AURORA CENTER FOR ACTIVE ADULTS: ADVISORY BOARD TO HELP THE ACAA BECOME REACCREDITED WITH THE NATIONAL INSTITUTE OF SENIOR CENTERS, A CONSTITUENT OF THE NATIONAL COUNCIL ON THE AGING, INC. THAT, AMONG OTHER THINGS, PROVIDES STROKE EDUCATION TO SENIORS - DISABILITY BREAKFASTS: SPALDING PUTS ON SEVERAL BREAKFASTS EACH YEAR WHERE THE GROUP MUST ""WEAR"" A DISABILITY. OUR PURPOSE IS ""VALUING DIFFERENCES"". THIS IS PRIMARILY TO BUSINESSES AND THEIR ORGANIZATIONS TO TEACH THEM ABOUT HOW TO RECOGNIZE WHAT IT MEANS TO HAVE A DISABILITY, SIMPLE ADAPTATIONS THAT CAN BE IMPLEMENTED TO HELP SOMEONE BE IN THE WORKFORCE, AND CHALLENGES THE PERSON MAY FACE. - STATE INDEPENDENT LIVING COUNCIL: SPALDING CNO DEBBIE PETERSEN WAS APPOINTED BY THE GOVERNOR TO SIT ON THIS COUNCIL. THE PURPOSE IS TO KEEP PEOPLE LIVING INDEPENDENTLY IN THEIR HOMES, AND THE COUNCIL HAS ASSISTED MANY INDIVIDUALS. - STATE REHAB COUNCIL: DEBBIE PETERSEN WAS APPOINTED BY THE GOVERNOR TO SIT ON THIS COUNCIL, WHICH HELPS INDIVIDUALS WITH DISABILITIES FIND/KEEP EMPLOYMENT. - VARIOUS SUPPORT GROUPS: HOSPITALS HOST OR FACILITATE PATIENT/COMMUNITY SUPPORT GROUPS ON A VARIETY OF ISSUES. - CHAMBERS OF COMMERCE AND ECONOMIC DEVELOPMENT COUNCILS: CEOS AND HOSPITAL SENIOR EXECUTIVES PARTICIPATE IN EACH OF THE METRO AREA CHAMBERS & EDCS. THESE ORGANIZATIONS REALIZE AN ECONOMICALLY ROBUST COMMUNITY, WITH WELL-TRAINED EMPLOYEES, ALSO FOSTER BETTER HOMES, FAMILIES AND HEALTH. - E.G.: THE METRO NORTH CHAMBER OF COMMERCE, WHICH IN ADDITION TO COMMUNITY ECONOMIC DEVELOPMENT, ALSO PROMOTES HEALTH VIA A 5K RUN. - 9HEALTH FAIR: HEALTHONE'S COLLECTIVE INVOLVEMENT IN 9HEALTH FAIR'S ANNUAL STATEWIDE SERIES OF FREE HEALTH FAIRS PROMOTES COMMUNITY AWARENESS OF HEALTH ISSUES & PROVIDES FREE SCREENINGS TO THOSE IN NEED. SOME HOSPITALS ALSO CONDUCT ""COMMUNITY NEEDS ASSESSMENTS"" DURING THE HEALTH FAIR AMONG PARTICIPANTS. - FREE SCREENINGS & HEALTH FAIRS: ALL HEALTHONE HOSPITALS CONDUCT DURING THE YEAR SCREENINGS, EDUCATION AND HEALTH FAIRS FOCUSED ON THE RANGE OF CHRONIC DISEASES IN OUR COMMUNITIES. THESE HELP RESIDENTS WITH EARLY DETECTION OF CANCERS, HEART DISEASE, STROKE, DIABETES AND OTHER RISKS. THEY ALSO EDUCATE ON OVERCOMING OBESITY. IN ADDITION, THE HEALTHCARE FACILITIES FURTHER THE ORGANIZATION'S EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY AS FOLLOWS: - THE MAJORITY OF THE GOVERNING BODY RESIDES IN THE ORGANIZATION'S PRIMARY SERVICE AREA. - MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS WHO SEEK IT. - ALL CAPITAL AND PROGRAMMATIC IMPROVEMENTS TO PATIENT CARE IN THE HEALTHCARE FACILITIES ARE FUNDED BY REVENUES EARNED BY THE FACILITIES. - HEALTHONE FACILITIES PROVIDE A NUMBER OF SPECIALIZED SERVICES NOT OTHERWISE READILY AVAILABLE IN COMMUNITIES. SOME OF THOSE SERVICES INCLUDE: HIGH RISK MATERNITY AND NEONATOLOGY, BONE MARROW TRANSPLANT, KIDNEY TRANSPLANTS, HYPERBARIC OXYGEN TREATMENT, STROKE TELEMEDICINE, LIMB PRESERVATION, MEDICAL AIR TRANSPORT, CHIARI MALFORMATION, BARIATRIC SURGERY AND PEDIATRIC SUBSPECIALTIES. - ALL HEALTHONE EMERGENCY DEPARTMENTS ABIDE BY FEDERAL EMTALA LAWS AND PROVIDE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. - HEALTHONE FUNDS AND PROVIDES TRAINING AND CONTINUING EDUCATION TO PHYSICIANS, NURSES, EMS PROFESSIONALS AND OTHER ALLIED HEALTH PROFESSIONALS."