TY 2011 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)
(1) STEPHEN H SHOGAN MD CHAIRMAN	4.0	X
(2) BRUCE ABRAMSON DIRECTOR	2.0	X
(3) BRUCE K ALEXANDER DIRECTOR	2.0	X
(4) JEROME BUCKLEY MD DIRECTOR	2.0	X
(5) TOTI CADAVID DIRECTOR	2.0	X
(6) TED CLARKE MD DIRECTOR	2.0	X
(7) JEROME DAVIS DIRECTOR	2.0	X
(8) JIM GARCIA DIRECTOR	2.0	X
(9) STUART GOTTESFELD MD DIRECTOR	2.0	X
(10) JANET L HOUSER PhD DIRECTOR	2.0	X
(11) JOHN HUGHES JR DIRECTOR	2.0	X
(12) GRANT JONES DIRECTOR	2.0	X
(13) VIRGILIO LICONA MD DIRECTOR	2.0	X
(14) DAVID R LIVINGSTON DIRECTOR	2.0	X
(15) DAYNA MATTHEW DIRECTOR	2.0	X
(16) JOHN MCWILLIAMS DIRECTOR	2.0	X
(17) DONALD MURPHY MD DIRECTOR	2.0	X

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) RUTH NAUTS MD DIRECTOR	2.0	X				0	0
(19) DENNY O'MALLEY DIRECTOR	2.0	X				0	0
(20) DIANE PADALINO DIRECTOR	2.0	X				0	0
(21) JOHN SABEL MD DIRECTOR	2.0	X				0	0
(22) MARY A SCHAEFER DIRECTOR	2.0	X				0	0
(23) SARA C STRATTON DIRECTOR	2.0	X				0	0
(24) JOHN M WESTFALL MD DIRECTOR	2.0	X				0	0
(25) ANNE WARHOVER PRESIDENT & CEO	40.0		X			441,557	37,117
(26) GARY DREWS CHIEF FINANCIAL OFFICER	40.0		X			212,541	36,501
(27) SHEPARD NEVEL VP OF POLICY & EVALUATION	40.0			X		201,144	12,998
(28) KELLY DUNKIN VP OF PHILANTHROPY	40.0			X		187,267	25,658
(29) CHARLES REYMAN VP OF COMMUNICATIONS	40.0			X		154,945	25,675
(30) BRIAN DWINNELL MD PROGRAM DIRECTOR	40.0				X	215,947	38,182
(31) JONATHAN MANHEIM MD HOSPITALIST DIRECTOR	40.0				X	183,476	42,163
(32) JEFFREY PICKARD MD ASSOCIATE DIRECTOR	40.0				X	183,664	27,156
(33) CHRISTINE GILROY MD FACULTY	40.0				X	171,992	28,224
(34) GLENN LEVY SR DIR OF MEDICAL EDUCATION	40.0				X	177,199	14,400

(A) Name and business address	(B) Description of services	(C) Compensation
UCHSC GRADUATE MEDICAL EDUCATION DEPT 388 DENVER,CO802910000	RESIDENCY	3,896,401
KAUFMAN HALL ASSOCIATES INC 5202 OLD ORCHARD RD STE N700 SKOKIE,IL600770000	FINANCIAL ADVISORY	2,546,546
HEALTH TEAMWORKS 274 UNION BLVD STE 310 LAKEWOOD,CO802280000	CONSULTING	2,044,589
UNIVERSITY PHYSICIANS INC PO BOX 725 AURORA,CO800400725	RESIDENCY	1,807,550
PROSKAUER ROSE LLP 11 TIMES SQUARE NEW YORK,NY100366600	ATTORNEYS	569,336
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 15

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	80,664,897	80,664,897
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	14,518	14,518
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0	0
4	Benefits paid to or for members	0	0
5	Compensation of current officers, directors, trustees, and key employees ....	1,335,403	0	1,335,403	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0	0	0	0
7	Other salaries and wages	7,709,889	4,112,568	3,597,321	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	396,556	197,014	199,542	0
9	Other employee benefits .......	1,131,259	529,802	601,457	0
10	Payroll taxes ...........	587,902	267,588	320,314	0
11	Fees for services (non-employees):
a	Management ......	12,365,489	11,631,700	733,789	0
b	Legal .........	941,973	900,845	41,128	0
c	Accounting ...........	164,409	43,566	120,843	0
d	Lobbying ...........	54,775	54,775	0	0
e	Professional fundraising. See Part IV, line 17..	0			0
f	Investment management fees ......	0	0	0	0
g	Other ..........	52,185	20,359	31,826	0
12	Advertising and promotion ....	27,012	12,554	14,458	0
13	Office expenses .......	200,670	137,124	63,546	0
14	Information technology ......	556,930	10,211	546,719	0
15	Royalties ..	0	0	0	0
16	Occupancy ...........	583,721	28,458	555,263	0
17	Travel ............	328,283	121,767	206,516	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0	0	0	0
19	Conferences, conventions, and meetings ....	584,143	505,494	78,649	0
20	Interest ...........	0	0	0	0
21	Payments to affiliates .......	0	0	0	0
22	Depreciation, depletion, and amortization .....	220,909	69,765	151,144
23	Insurance ..............	428,498	233,708	194,790
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	MEMBERSHIP DUES	182,289	138,308	43,981	0
b	TAXES	398,133	375,287	22,846	0
c	LICENSES	43,955	34,100	9,855	0
d	PRESENT VALUE ADJUSTMENT	-452,055	-452,055	0	0
e
f	All other expenses	331,372	240,992	90,380
25	Total functional expenses. Add lines 1 through 24f	108,853,115	99,893,345	8,959,770	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	13,267	1	56,373
2	Savings and temporary cash investments .......	52,121,875	2	10,827,293
3	Pledges and grants receivable, net .........	0	3	0
4	Accounts receivable, net .........	2,465,667	4	4,142,288
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........	0	5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........	0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	0	8	0
9	Prepaid expenses and deferred charges ............	414,513	9	419,571
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,480,466
b	Less: accumulated depreciation. .....	10b	902,032	1,282,448	10c	1,578,434
11	Investments—publicly traded securities ..........	347,715,813	11	1,419,122,287
12	Investments—other securities. See Part IV, line 11 ......	369,828,187	12	796,922,800
13	Investments—program-related. See Part IV, line 11 ..	482,518,221	13	0
14	Intangible assets .........	0	14	0
15	Other assets. See Part IV, line 11 ...........	0	15	0
16	Total assets. Add lines 1 through 15 (must equal line 34)...	1,256,359,991	16	2,233,069,046
	17	Accounts payable and accrued expenses .	2,031,667	17	2,635,415
18	Grants payable ..........	77,814,423	18	75,744,667
19	Deferred revenue ..........	0	19	0
20	Tax-exempt bond liabilities ..........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	0	25	0
26	Total liabilities. Add lines 17 through 25.....	79,846,090	26	78,380,082
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	1,176,140,497	27	2,154,315,019
28	Temporarily restricted net assets .....	373,404	28	373,945
29	Permanently restricted net assets .....	0	29	0
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	1,176,513,901	33	2,154,688,964
34	Total liabilities and net assets/fund balances .....	1,256,359,991	34	2,233,069,046

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

HEALTHONE

Employer identification number

74-2568941

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2011

Name of organization

HEALTHONE

Employer identification number

74-2568941

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2

Name of organization HEALTHONE
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part I	Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3

Name of organization HEALTHONE
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part II	Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Name of organization
HEALTHONE

Employer identification number

74-2568941

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

HEALTHONE

Employer identification number

74-2568941

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2011

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......	3,500
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......	345,048
c	Total lobbying expenditures (add lines 1a and 1b) ...................	348,548
d	Other exempt purpose expenditures ........................	108,504,567
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	108,853,115
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................		Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) Total

2a	Lobbying non-taxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	568,308	274,286	678,950	348,548	1,870,092

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures	122	7,124	6,734	3,500	17,480

Schedule C (Form 990 or 990-EZ) 2011

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

HEALTHONE

Employer identification number

74-2568941

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2011

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................
b	Buildings ................	444,717	100,680	344,037
c	Leasehold improvements ............
d	Equipment ................	2,035,749	801,352	1,234,397
e	Other .................
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				1,578,434

Schedule D (Form 990) 2011

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests	796,922,800	F
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	796,922,800

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Book value
Federal Income Taxes		0









Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		0
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2011

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	1,082,484,124
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	108,853,115
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	973,631,009
4	Net unrealized gains (losses) on investments ..........................	4	4,544,055
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV.) .................................	8	1
9	Total adjustments (net). Add lines 4 through 8 .........................	9	4,544,056
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	978,175,065

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	1,087,028,177
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	4,544,055
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV.) ............	2d	-2
e	Add lines 2a through 2d .....................			2e	4,544,053
3	Subtract line 2e from line 1.....................			3	1,082,484,124
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV.) ...........	4b
c	Add lines 4a and 4b.......................			4c
5	Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,082,484,124

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	108,853,114
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV.) ............	2d	-1
e	Add lines 2a through 2d......................			2e	-1
3	Subtract line 2e from line 1.....................			3	108,853,115
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV.) ............	4b
c	Add lines 4a and 4b.......................			4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	108,853,115

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
FIN 48 (ASC 740) FOOTNOTE	SCHEDULE D, PART X, LINE 2	ASC 740, INCOME TAXES, REQUIRES ORGANIZATIONS TO RECOGNIZE THE TAX BENEFITS OF CERTAIN TAX POSITIONS ONLY WHEN THE POSITION IS "MORE LIKELY THAN NOT" TO BE SUSTAINED, ASSUMING EXAMINATION BY THE TAX AUTHORITIES. THE TAX BENEFIT RECOGNIZED IS THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING RECOGNIZED UPON ULTIMATE SETTLEMENT. IN ACCORDANCE WITH ASC 740, THE FOUNDATION RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO TAX LIABILITIES AS INCOME TAX EXPENSE ON THE STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETS. THE FOUNDATION HAS CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS. THE FOUNDATION REMAINS SUBJECT TO EXAMINATION BY U.S. FEDERAL TAX AUTHORITIES FOR THE 2008 THROUGH 2011 TAX YEARS, AND 2007 THROUGH 2011 FOR COLORADO STATE TAX AUTHORITIES.
SCHEDULE D, PART XI, LINE 8	OTHER ADJUSTMENTS	ROUNDING DIFFERENCE $ 1
SCHEDULE D, PART XII, LINE 2D	OTHER ADJUSTMENTS	ROUNDING DIFFERENCE $ (2)
SCHEDULE D, PART XIII, LINE 2D	OTHER ADJUSTMENTS	ROUNDING DIFFERENCE $ (1)

Schedule D (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization
HEALTHONE

Employer identification number

74-2568941

Part I

General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? ..............................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other
assistance outside the United States.

Activites per Region. (Use Part V if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for region/investments in region
	Central America and the Caribbean	Investments	197,899,574
	Europe (Including Iceland and Greenland)	Investments	19,962,459















3a	Sub-total .....		217,862,033
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		217,862,033

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2011

Schedule F (Form 990) 2011

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,

Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet

Use Part V if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ..... MediumBullet

Enter total number of other organizations or entities ........................ MediumBullet

Schedule F (Form 990) 2011

Schedule F (Form 990) 2011Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Use Part V if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2011

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2011

Page 5

Part V

Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	ReturnReference	Explanation
SCHEDULE F, PART V	PART I, LINE 3 COLUMN F	THE AMOUNTS REPORTED WERE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING.

Schedule F (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

HEALTHONE

Employer identification number

74-2568941

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

200% 250% 300% 350% 400% Other

If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............

Did the organization prepare a community benefit report during the tax year?...........

Yes

If "Yes," did the organization make it available to the public? ...............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Financial Assistance at cost (from Worksheet 1) ..	7,260,853	0	7,260,853	1.270 %
b Medicaid (from Worksheet 3, column a) .....	92,896,241	67,759,101	25,137,140	4.390 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .	2,346,313	2,456,196	-109,883	0.020 %
dTotal Financial Assistance and Means-Tested Government Programs .....	102,503,407	70,215,297	32,288,110	5.640 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	1,193,026	0	1,193,026	0.210 %
f Health professions education (from Worksheet 5) ..	15,346,584	6,743,688	8,602,896	1.500 %
g Subsidized health services (from Worksheet 6) ..	0	0
h Research (from Worksheet 7)	141,805	7,724	134,081	0.020 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....	389,343	0	389,343	0.070 %
jTotal Other Benefits ...	17,070,758	6,751,412	10,319,346	1.800 %
kTotal. Add lines 7d and 7j. ..	119,574,165	76,966,709	42,607,456	7.440 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	179,753	179,753	0.030 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	13,085	13,085	0 %
9	Other
10	Total	192,838	192,838	0.030 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense........

4,616,431

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

96,573,035

Enter Medicare allowable costs of care relating to payments on line 5.....

105,922,969

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-9,349,934

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures

(see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1ROCKY MNTN SURG CNTR	AMBULATORY SURGERY CENTER	20.730 %	49.000 %
2CLEAR CRK SURG CNTR	AMBULATORY SURGERY CENTER	20.710 %	49.050 %
3LOWRY SURG CNTR	AMBULATORY SURGERY CENTER	20.730 %	49.000 %
4UROLOGY SURG CNTR	AMBULATORY SURGERY CENTER	20.730 %	49.000 %
5LINCOLN SURG CNTR	AMBULATORY SURGERY CENTER	20.730 %	49.000 %
6LAKEWOOD SURG CNTR	AMBULATORY SURGERY CENTER	37.100 %	8.730 %
7CENTRUM SURG CNTR	AMBULATORY SURGERY CENTER	20.610 %	49.300 %
8MIDTOWN SURG CNTR	AMBULATORY SURGERY CENTER	20.890 %	48.620 %
9NORTH SUBURBAN SURG	AMBULATORY SURGERY CENTER	21.090 %	48.130 %
10MUSCULOSKELETAL SURG	AMBULATORY SURGERY CENTER	20.730 %	49.000 %
11ROSE SURG CNTR	AMBULATORY SURGERY CENTER	20.770 %	48.900 %
12SKY RIDGE SURG CNTR	AMBULATORY SURGERY CENTER	20.670 %	49.150 %
13RED ROCKS SURG CNTR	AMBULATORY SURGERY CENTER	20.730 %	49.000 %
14RIDGE VIEW ENDOSCOPY	AMBULATORY SURGERY CENTER	20.730 %	49.000 %
15RED ROCKS RADIATION	FREESTANDING RAD ONCOLOGY CNT	20.730 %	49.000 %
16THORNTON RADIATION	FREESTANDING RAD ONCOLOGY CNT	20.730 %	49.000 %
17MIC	FREESTANDING IMAGING CNTRS	20.730 %	49.000 %

Schedule H (Form 990) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?7 Name and address		Other (Describe)
1	SWEDISH MEDICAL CENTER 501 E HAMPDEN AVE ENGLEWOOD,CO80110	X	X			X
2	PRESBYTERIAN ST LUKES MEDICAL CENTER 1719 E 19TH AVE DENVER,CO80218	X	X	X	X	X
3	SKY RIDGE MEDICAL CENTER 10101 RIDGEGATE PKWY LONE TREE,CO80124	X	X			X
4	THE MEDICAL CENTER OF AURORA 1501 S POTOMAC AURORA,CO80012	X	X			X
5	ROSE MEDICAL CENTER 4567 E 9TH AVE DENVER,CO80220	X	X		X	X
6	NORTH SUBURBAN MEDICAL CENTER 9191 GRANT ST THORNTON,CO80229	X	X			X
7	SPALDING REHABILITATION HOSPITAL 900 POTOMAC AURORA,CO80011	X					REHABILITATION HOSP

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

SWEDISH MEDICAL CENTER

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10		No
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: % If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

PRESBYTERIAN ST LUKES MEDICAL CENTER

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10		No
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: % If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

SKY RIDGE MEDICAL CENTER

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):3

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10		No
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: % If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

THE MEDICAL CENTER OF AURORA

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):4

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10		No
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: % If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

ROSE MEDICAL CENTER

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):5

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10		No
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: % If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

NORTH SUBURBAN MEDICAL CENTER

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):6

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10		No
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: % If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

SPALDING REHABILITATION HOSPITAL

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):7

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

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Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10		No
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: % If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

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Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

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Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?51
Name and address		Type of Facility (describe)
1	ROSE SURGERY CENTER 4700 HALE PARKWAY DENVER,CO80222	AMBULATORY SURGERY CENTER
2	SKY RIDGE SURGERY CENTER 10999 RIDGEGATE PARKWAY LONE TREE,CO80124	AMBULATORY SURGERY CENTER
3	ROCKY MOUNTAIN SURGERY CENTER 401 W HAMPDEN PLACE ENGLEWOOD,CO80110	AMBULATORY SURGERY CENTER
4	CENTRUM SURGERY CENTER 8200 E BELLEVIEW SUITE 300 ENGLEWOOD,CO80111	AMBULATORY SURGERY CENTER
5	MIDTOWN SURGERY CENTER 1919 E 18TH AVENUE DENVER,CO80206	AMBULATORY SURGERY CENTER
6	LINCOLN SURGERY CENTER 11960 LIONESS WAY PARKER,CO80134	AMBULATORY SURGERY CENTER
7	LOWERY SURGERY CENTER 8101 E LOWRY BLVD SUITE 100 DENVER,CO80230	AMBULATORY SURGERY CENTER
8	CLEAR CREEK SURGERY CENTER 7809 S 38TH AVENUE WHEAT RIDGE,CO80033	AMBULATORY SURGERY CENTER
9	UROLOGY SURGERY CENTER 2777 MILE HIGH STADIUM CIRCLE DENVER,CO80211	AMBULATORY SURGERY CENTER
10	RED ROCKS RADIATION ONCOLOGY CENTER 400 INDIANA ST GOLDEN,CO80401	RADIATION ONCOLOGY CENTER
11	MUSCULOSKELETAL SURGERY CENTER 9005 GRANT SUITE 300 THORNTON,CO80229	AMBULATORY SURGERY CENTER
12	NORTH SUBURBAN SURGERY CENTER 9195 GRANT ST SUITE 200 THORNTON,CO80229	AMBULATORY SURGERY CENTER
13	LAKEWOOD SURGERY CENTER 2201 WADSWORTH BLVD LAKEWOOD,CO80215	AMBULATORY SURGERY CENTER
14	THORNTON RADIATION ONCOLOGY CENTER 9461 HURON ST THORNTON,CO80229	RADIATION ONCOLOGY CENTER
15	AURORA OUTPATIENT REHABILITATION 1444 S POTOMAC SUITE 210 AURORA,CO80012	OUTPATIENT REHABILITATION CLINIC
16	ENGLEWOOD OUTPATIENT REHABILITATION 125 E HAMPDEN AVE ENGLEWOOD,CO80113	OUTPATIENT REHABILITATION CLINIC
17	NORTH SUBURBAN OUTPATIENT REHABILITATION 9195 GRANT ST SUITE 100 THORNTON,CO80229	OUTPATIENT REHABILITATION CLINIC
18	RIDGE VIEW ENDOSCOPY CENTER 10103 RIDGEGATE PARKWAY SUITE 312 LONE TREE,CO80124	AMBULATORY SURGERY CENTER
19	CENTENNIAL OUTPATIENT REHABILITATION 14000 E ARAPAHOE ROAD SUITE 160 CENTENNIAL,CO80112	OUTPATIENT REHABILITATION CLINIC
20	LODO OUTPATIENT REHABILITATION 1515 WAZEE SUITE D DENVER,CO80202	OUTPATIENT REHABILITATION CLINIC
21	BRYANT OUTPATIENT REHABILITATION 120 BRYANT ST DENVER,CO80219	OUTPATIENT REHABILITATION CLINIC
22	NORTHWEST OUTPATIENT REHABILITATION 12207 PECOS ST SUITE 300 WESTMINSTER,CO80234	OUTPATIENT REHABILITATION CLINIC
23	RED ROCKS SURGERY CENTER 400 INDIANA ST GOLDEN,CO80401	AMBULATORY SURGERY CENTER
24	MEDICAL IMAGING OF COLORADO LLC 401 E HAMPDEN ENGLEWOOD,CO80113	IMAGING CENTERS
25	DIVERSIFIED RADIOLOGY AT APPLEWOOD 2801 YOUNGFIELD ST 140 GOLDEN,CO80401	IMAGING GROUP
26	DIVERSIFIED RADIOLOGY AT PARK CENTER 1499 W 120TH AVE 4550 WESTMINSTER,CO80234	IMAGING GROUP
27	DIVERSIFIED RADIOLOGY AT PLAZA WEST 1601 E 19TH AVE 4550 DENVER,CO80218	IMAGING GROUP
28	DIVERSIFIED RADIOLOGY WOMEN'S CENTER 1601 E 19TH AVE 4425 DENVER,CO80218	IMAGING GROUP
29	INVISION & SALLY JOBE MAMMOGRAPHY CENTRE 6169 S BALSAM WY 110 LITTLETON,CO80123	IMAGING GROUP
30	INVISION AT ALTON WAY 7303 S ALTON WAY C ENGLEWOOD,CO80112	IMAGING GROUP
31	INVISION AT HIGHLANDS RANCH 8671 S QUEBEC ST 100 HIGHLANDS RANCH,CO80110	IMAGING GROUP
32	INVISION AT SWEDISH MOB IV 499 E HAMPDEN AVE 170 ENGLEWOOD,CO80110	IMAGING GROUP
33	INVISION AT THE CENTRUM 8200 E BELLEVIEW AVE 124 GREENWOOD VILLAGE,CO80111	IMAGING GROUP
34	INVISION OSTEOPOROSIS TESTING CENTER 601 E HAMPDEN AVE 100 ENGLEWOOD,CO80110	IMAGING GROUP
35	INVISION OSTEOPOROSIS TESTING CENTER 8200 E BELLEVIEW AVE 202 GREENWOOD VILLAGE,CO80111	IMAGING GROUP
36	INVISION SALLY JOBE MAMMOGRAPHY CENTER 155 COOK ST 100 DENVER,CO80206	IMAGING GROUP
37	INVISION SALLY JOBE MAMMOGRAPHY CENTER 10101 RIDGE GATE PKWY LONE TREE,CO80124	IMAGING GROUP
38	INVISION SALLY JOBE MAMMOGRAPHY CENTER 601 E HAMPDEN AVE 100 ENGLEWOOD,CO80110	IMAGING GROUP
39	INVISION SALLY JOBE MAMMOGRAPHY CENTRE 10371 S PARK GLEN WY 290 PARKER,CO80123	IMAGING GROUP
40	INVISION SALLY JOBE MAMMOGRAPHY CENTRE 1300 JACKSON ST 100 GOLDEN,CO80401	IMAGING GROUP
41	INVISION SALLY JOBE COMP BREAST CENTRE 8200 E BELLEVIEW AVE 124 GREENWOOD VILLAGE,CO80111	IMAGING GROUP
42	LOWRY OUTPATIENT IMAGING 8101 E LOWRY BLVD DENVER,CO80230	IMAGING GROUP
43	ROSE OUTPATIENT IMAGING 4700 HALE PKWY DENVER,CO80222	IMAGING GROUP
44	HEALTHONE BRONCOS SPORTS MEDICINE & REHA 1444 S POTOMAC ST 210 AURORA,CO80012	REHABILITATION CLINIC
45	HEALTHONE BRONCOS SPORTS MEDICINE & REHA 120 BRYANT ST DENVER,CO80219	REHABILITATION CLINIC
46	HEALTHONE BRONCOS SPORTS MEDICINE & REHA 14000 E ARAPAHOE RD 160 CENTENNIAL,CO80112	REHABILITATION CLINIC
47	HEALTHONE BRONCOS SPORTS MEDICINE & REHA 125 E HAMPDEN AVE ENGLEWOOD,CO80113	REHABILITATION CLINIC
48	HEALTHONE BRONCOS SPORTS MEDICINE & REHA 4809 ARGONNE ST 150 DENVER,CO80249	REHABILITATION CLINIC
49	HEALTHONE BRONCOS SPORTS MEDICINE & REHA 9195 GRANT STREET 100 THORNTON,CO80229	REHABILITATION CLINIC
50	HEALTHONE BRONCOS SPORTS MEDICINE & REHA 1515 WAZEE UNIT D DENVER,CO80202	REHABILITATION CLINIC
51	HEALTHONE BRONCOS SPORTS MEDICINE & REHA 5044 W 92ND AVE WESTMINSTER,CO80030	REHABILITATION CLINIC

Schedule H (Form 990) 2011

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Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
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.

Schedule H (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
HEALTHONE

Employer identification number
74-2568941

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) ACTION FOR HEALTHY KIDS INC600 W VAN BUREN STE 720 CHICAGO,IL60607	47-0902020	501(c)3	354,000	PROMOTE HEALTHY LIVING
(2) ADAMS 12 FIVE STAR SCHOOL DISTRICT1500 E 128TH AVE THORNTON,CO80241	98-0185800	GOVT ENTITY	394,471	IMPROVE ACCESS TO HEALTH COVERAGE
(3) ADAMS COUNTY SCHOOL DISTRICT 145291 E 60TH AVENUE COMMERCE CITY,CO80022	84-6000823	GOVT ENTITY	312,784	PROMOTE HEALTHY LIVING
(4) ADAMS COUNTY SCHOOL DISTRICT 506933 RALEIGH ST WESTMINSTER,CO80030	84-6000839	501(c)3	147,322	PROMOTE HEALTHY LIVING
(5) ALLIANCE FOR CHOICE IN EDUCATION1201 E COLFAX AVE STE 302 DENVER,CO80218	84-1531066	501(c)3	10,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(6) ALZHEIMER'S DISEASE AND RELATED DISORDERS455 SHERMAN STREET STE 500 DENVER,CO80203	84-0908354	501(c)3	733,415	IMPROVE ACCESS TO HEALTH COVERAGE
(7) ALZHEIMER'S DISEASE AND RELATED DISORDERS455 SHERMAN STREET STE 500 DENVER,CO80203	84-0908354	501(c)3	35,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(8) AMERICAN DIABETES ASSOCIATION INC2480 W 26TH AVE STE 120B DENVER,CO80211	13-1623888	501(c)3	334,700	IMPROVE ACCESS TO HEALTH COVERAGE
(9) ARTHRITIS FOUNDATION GREAT WEST REGION2280 SOUTH ALBION STREET DENVER,CO80222	58-1341679	501(c)3	50,000	PROMOTE HEALTHY LIVING
(10) ASSUMPTION CATHOLIC SCHOOL2341 E 78TH AVE DENVER,CO80229	53-0196617	OTHER	90,000	PROMOTE HEALTHY LIVING
(11) AURORA PUBLIC SCHOOLS15701 EAST 1ST AVE STE 100 AURORA,CO80011	84-6000870	501(c)3	95,596	PROMOTE HEALTHY LIVING
(12) BAYAUD ENTERPRISES INC333 WEST BAYAUD AVENUE DENVER,CO80223	84-0616970	OTHER	148,780	IMPROVE ACCESS TO HEALTH COVERAGE
(13) BENT COUNTY HEALTHCARE CENTER810 3RD STREET LAS ANIMAS,CO81054	84-6000747	501(c)3	44,255	PROMOTE HEALTHY LIVING
(14) BOULDER COUNTY RSVP BOARD INC951 ARAPAHOE AVENUE 10 BOULDER,CO80302	84-0769724	501(c)3	65,066	PROMOTE HEALTHY LIVING
(15) BOULDER VALLEY WOMEN'S HEALTH CENTER INC2855 VALMONT RD BOULDER,CO80301	84-0645786	501(c)3	120,000	IMPROVE ACCESS TO HEALTH CARE
(16) BOYS AND GIRLS CLUB OF LA PLATA COUNTY INC2750 MAIN AVENUE LA PLATA,CO81301	20-5112759	501(c)3	40,000	PROMOTE HEALTHY LIVING
(17) BOYS AND GIRLS CLUBS OF LARIMER COUNTY103 SMOKEY STREET FT COLLINS,CO80525	74-2425914	501(c)3	199,108	PROMOTE HEALTHY LIVING
(18) BRIGHT BEGINNINGS730 COLORADO BLVD STE 202 DENVER,CO80206	84-1382420	501(c)3	384,000	PROMOTE HEALTHY LIVING
(19) CAPITOL HILL ACTION AND RECREATION GROUP709 EAST 12TH AVENUE DENVER,CO80203	74-2227221	501c(4)	70,000	IMPROVE ACCESS TO HEALTH CARE
(20) CARING FOR COLORADO FOUNDATION4100 E MISSISSIPPI AVE 605 DENVER,CO80246	84-1477197	501(c)3	600,000	IMPROVE ACCESS TO HEALTH CARE
(21) CATHOLIC AND COMMUNITY SERVICES ARCHDIOCESE4045 PECOS ST DENVER,CO80211	84-0686679	501(c)3	270,000	IMPROVE ACCESS TO HEALTH COVERAGE
(22) CATHOLIC HEALTH INITIATIVES COLORADO FNDN6385 CORP DR COLORADO SPRINGS,CO80919	84-0902211	501(c)3	823,805	IMPROVE ACCESS TO HEALTH COVERAGE
(23) CATHOLIC HEALTH INITIATIVES COLORADO FNDN421 N MAIN ST STE 100 PUEBLO,CO81003	84-0902211	501(c)3	42,000	IMPROVE ACCESS TO HEALTH COVERAGE
(24) CCHN VENTURES600 GRANT ST STE 600 DENVER,CO80203	45-2822201	501(c)3	3,000,000	IMPROVE ACCESS TO HEALTH CARE
(25) CENTER FOR IMPROVING VALUE IN HEALTH CARE950 S CHERRY ST STE 151 DENVER,CO80246	27-2884568	501(c)3	10,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(26) CEREBRAL PALSY OF COLORADO801 YOSEMITE STREET DENVER,CO80230	84-0420225	501(c)3	98,000	PROMOTE HEALTHY LIVING
(27) CHAFFEE COUNTY448 EAST 1ST STREET SALIDA,CO81201	84-6000749	GOVT ENTITY	55,000	IMPROVE ACCESS TO HEALTH CARE
(28) CHAFFEE PEOPLE'S CLINIC448 E 1ST ST STE 148 SALIDA,CO81201	20-5114022	501(c)3	105,000	IMPROVE ACCESS TO HEALTH CARE
(29) CHILDREN'S DIABETES FOUNDATION AT DENVER777 GRANT STREET STE 302 DENVER,CO80203	84-0745008	501(c)3	7,500	DONATION, SPONSORSHIP OR MATCHING GIFT
(30) CHILDREN'S HEALTH FOUNDATION400 W MAIN ST STE 210 ASPEN,CO81601	20-2015631	501(c)3	525,079	PROMOTE HEALTHY LIVING
(31) CHILDREN'S HOSPITAL FOUNDATION13123 E 16TH AVE B045 AURORA,CO80045	84-0813462	501(c)3	1,259,954	PROMOTE HEALTHY LIVING
(32) CHILDREN'S HOSPITAL FOUNDATION13123 E 16TH AVE B045 AURORA,CO80045	84-0813462	501(c)3	20,000	IMPROVE ACCESS TO HEALTH CARE
(33) CLINICA CAMPESINA FAMILY HEALTH SERVICES1345 PLAZA CT N 1A LAFAYETTE,CO80026	84-0743432	501(c)3	1,500,000	IMPROVE ACCESS TO HEALTH CARE
(34) CLINICNET3033 S PARKER RD STE 606 AURORA,CO80014	20-8702005	501(c)3	17,800	IMPROVE ACCESS TO HEALTH CARE
(35) COLORADO ACADEMY OF FAMILY PHYSICIANS FNDN2224 S FRASER ST 1 AURORA,CO80014	84-1150631	501(c)3	11,000	IMPROVE ACCESS TO HEALTH CARE
(36) CO ALLIANCE FOR HEALTH EQUITY & PRACTICE5250 LEETSDALE DR STE 110 DENVER,CO80246	02-0732220	501(c)3	14,000	IMPROVE ACCESS TO HEALTH CARE
(37) COLORADO BEHAVIORAL HEALTHCARE COUNCIL1410 GRANT ST STE A-301 DENVER,CO80203	84-0733639	501(c)3	25,000	IMPROVE ACCESS TO HEALTH CARE
(38) COLORADO CENTER ON LAW AND POLICY789 SHERMAN ST STE 300 DENVER,CO80203	84-1264154	501(c)3	228,583	IMPROVE ACCESS TO HEALTH COVERAGE
(39) COLORADO CHILDREN'S CAMPAIGN1580 LINCOLN ST STE 420 DENVER,CO80203	74-2374672	501(c)3	769,592	IMPROVE ACCESS TO HEALTH COVERAGE
(40) COLORADO CHILDREN'S CAMPAIGN1580 LINCOLN ST STE 420 DENVER,CO80203	74-2374672	501(c)3	10,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(41) COLORADO COALITION FOR THE HOMELESS2111 CHAMPA STREET DENVER,CO80205	84-0951575	501(c)3	736,325	IMPROVE ACCESS TO HEALTH CARE
(42) CO COALITION FOR THE MEDICALLY UNDERSERVED155 INVERNESS DR W 220 ENGLEWOOD,CO80112	43-2007393	501(c)3	175,000	IMPROVE ACCESS TO HEALTH CARE
(43) CO COALITION FOR THE MEDICALLY UNDERSERVEDPO BOX 18877 DENVER,CO80218	43-2007393	501(c)3	26,250	IMPROVE ACCESS TO HEALTH COVERAGE
(44) COLORADO COALITION TO END HUNGER2222 S ALBION ST 360 DENVER,CO80222	68-0551464	501(c)3	300,000	PROMOTE HEALTHY LIVING
(45) COLORADO COMMUNITY HEALTH NETWORK600 GRANT STREET STE 800 DENVER,CO80203	84-0910590	501(c)3	176,346	IMPROVE ACCESS TO HEALTH CARE
(46) COLORADO COMMUNITY HEALTH NETWORK600 GRANT STREET STE 800 DENVER,CO80203	84-0910590	501(c)3	254,365	IMPROVE ACCESS TO HEALTH COVERAGE
(47) COLORADO CONSUMER HEALTH INITIATIVE1536 WYNKOOP ST STE 102 DENVER,CO80202	84-1145452	501(c)3	960,000	IMPROVE ACCESS TO HEALTH COVERAGE
(48) COLORADO DEPARTMENT OF EDUCATION201 E COLFAX AVE RM 406 DENVER,CO80203	98-0256500	GOVT ENTITY	652,300	PROMOTE HEALTHY LIVING
(49) CO DEPT OF HEALTH CARE POLICY & FINANCING1570 GRANT STREET DENVER,CO80203	98-0115900	GOVT ENTITY	335,726	IMPROVE ACCESS TO HEALTH COVERAGE
(50) CO DEPT OF PUBLIC HEALTH & ENVIRONMENT4300 CHERRY CREEK S DR DENVER,CO80246	84-0644739	GOVT ENTITY	82,488	PROMOTE HEALTHY LIVING
(51) COLORADO FORUM FUND INC511 16TH STREET STE 210 DENVER,CO80202	26-3952995	501(c)3	100,000	OTHER
(52) CO FNDN FOR PUBLIC HEALTH AND THE ENVRMNT9457 S UNIV 513 HIGHLANDS RANCH,CO80126	84-1267213	501(c)3	1,495,704	PROMOTE HEALTHY LIVING
(53) COLORADO HEALTH INSTITUTE303 E 17TH AVE STE 930 DENVER,CO80203	74-3082235	501(c)3	500,000	IMPROVE ACCESS TO HEALTH COVERAGE
(54) COLORADO INSTITUTE OF FAMILY MEDICINE12631 E 17TH AVE RM 3404 AURORA,CO80045	20-8367897	501(c)3	155,653	IMPROVE ACCESS TO HEALTH CARE
(55) COLORADO LEGACY FOUNDATION1660 LINCOLN ST STE 1680 DENVER,CO80264	26-1597530	501(c)3	1,377,253	PROMOTE HEALTHY LIVING
(56) COLORADO LEGACY FOUNDATION1660 LINCOLN ST STE 1680 DENVER,CO80264	26-1597530	501(c)3	15,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(57) COLORADO LEGAL SERVICES1905 SHERMAN ST STE 400 DENVER,CO80203	84-0402702	501(c)3	300,000	IMPROVE ACCESS TO HEALTH COVERAGE
(58) COLORADO MESA UNIVERSITY1100 NORTH AVE GRAND JUNCTION,CO81501	84-6001656	GOVT ENTITY	471,493	IMPROVE ACCESS TO HEALTH CARE
(59) COLORADO PUBLIC INTEREST RESEARCH FNDN1543 WAZEE ST STE 330 DENVER,CO80202	74-2313874	501(c)3	20,000	IMPROVE ACCESS TO HEALTH COVERAGE
(60) COLORADO REGIONAL HEALTH INFORMATION ORG1576 SHERMAN ST STE 300 DENVER,CO80203	74-3082235	501(c)3	1,836,367	IMPROVE ACCESS TO HEALTH CARE
(61) COLORADO RURAL HEALTH CENTER3033 S PARKER RD STE 606 AURORA,CO80014	84-1192031	501(c)3	25,000	IMPROVE ACCESS TO HEALTH CARE
(62) COLORADO RURAL HEALTH CENTER3033 S PARKER RD STE 606 AURORA,CO80014	84-1192031	501(c)3	18,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(63) COLORADO SICKLE CELL ASSOCIATION6825 E TENNESSEE AVE DENVER,CO80224	23-7269897	501(c)3	10,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(64) COLORADO SPRINGS SCHOOL DISTRICT 115260 GEIGER BLVD COLORADO SPRINGS,CO80915	84-6001179	GOVT ENTITY	134,396	PROMOTE HEALTHY LIVING
(65) COLORADO SPRINGS SCHOOL DISTRICT 115260 GEIGER BLVD COLORADO SPRINGS,CO80915	84-6001179	GOVT ENTITY	12,995	IMPROVE ACCESS TO HEALTH CARE
(66) COLORADO STATE UNIVERSITY FOUNDATIONPO BOX 1870 FORT COLLINS,CO80522	23-7098397	501(c)3	78,180	PROMOTE HEALTHY LIVING
(67) COLORADO STATE UNIVERSITY FOUNDATIONPO BOX 1870 FORT COLLINS,CO80522	23-7098397	501(c)3	12,500	DONATION, SPONSORSHIP OR MATCHING GIFT
(68) COLORADO STATEWIDE PARENT COALITION7150 HOOKER STREET WESTMINSTER,CO80030	74-2563848	501(c)3	39,798	PROMOTE HEALTHY LIVING
(69) COLORADO WEST REGIONAL MENTAL HEALTH INC6916 HIGHWAY 82 GLENWOOD SPRINGS,CO81602	84-0625890	501(c)3	10,000	IMPROVE ACCESS TO HEALTH CARE
(70) COMMERCE CITY COMMUNITY HEALTH SERVICES4675 E 69TH AVENUE COMMERCE CITY,CO80022	84-0799374	501(c)3	175,491	IMPROVE ACCESS TO HEALTH CARE
(71) COMMUNITY FOOD SECURITY COALITION INC3830 SE DIVISION STREET PORTLAND,OR97202	06-1495135	501(c)3	7,500	DONATION, SPONSORSHIP OR MATCHING GIFT
(72) COMMUNITY FOUNDATION SERVING SW COLORADO28 RED CLIFFS ROAD DURANGO,CO81301	84-1474900	501(c)3	287,417	IMPROVE ACCESS TO HEALTH COVERAGE
(73) COMMUNITY LEADERSHIP ACADEMY6880 HOLLY STREET COMMERCE CITY,CO80022	51-0540164	GOVT ENTITY	47,000	PROMOTE HEALTHY LIVING
(74) COMMUNITY OUTREACH SERVICES3022 WELTON STREET DENVER,CO80205	74-2523777	501(c)3	10,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(75) COMMUNITY PARTNERSHIP FOR CHILD DEVELOPMENT2330 ROBINSON ST COLORADO SPRINGS,CO80904	84-1071825	501(c)3	208,975	PROMOTE HEALTHY LIVING
(76) COMPRECARE FOUNDATION INCPO BOX 740610 ARVADA,CO80006	84-0641406	501(c)3	247,760	PROMOTE HEALTHY LIVING
(77) CRAIG HOSPITAL FOUNDATION3425 S CLARKSON ST ENGLEWOOD,CO80113	23-7352287	501(c)3	12,500	DONATION, SPONSORSHIP OR MATCHING GIFT
(78) CROHNS & COLITIS FOUNDATION OF AMERICA1777 S BELLAIRE ST STE 230 DENVER,CO80222	13-6193105	501(c)3	25,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(79) DENTAL AID877 SOUTH BOULDER ROAD LOUISVILLE,CO80027	84-0717588	501(c)3	500,000	IMPROVE ACCESS TO HEALTH CARE
(80) DENVER HEALTH AND HOSPITALS FOUNDATION655 BROADWAY STE 750 DENVER,CO80203	84-1085196	501(c)3	509,486	PROMOTE HEALTHY LIVING
(81) DENVER HEALTH AND HOSPITALS FOUNDATION655 BROADWAY STE 750 DENVER,CO80203	84-1085196	501(c)3	148,980	IMPROVE ACCESS TO HEALTH CARE
(82) DENVER METRO CHAMBER FOUNDATION1445 MARKET STREET DENVER,CO80202	74-2489854	501(c)3	7,500	DONATION, SPONSORSHIP OR MATCHING GIFT
(83) DENVER PUBLIC SCHOOLS FOUNDATION900 GRANT STREET STE 503 DENVER,CO80203	84-1224325	501(c)3	467,254	PROMOTE HEALTHY LIVING
(84) DENVER SCORES4900 W 29TH AVE DENVER,CO80212	84-1524095	501(c)3	37,500	PROMOTE HEALTHY LIVING
(85) DENVER URBAN GARDENS3377 BLAKE STREET STE113 DENVER,CO80205	74-2374848	501(c)3	997,000	PROMOTE HEALTHY LIVING
(86) DENVER ZOOLOGICAL FOUNDATION INC2300 STEELE ST DENVER,CO80205	84-0502539	501(c)3	12,500	DONATION, SPONSORSHIP OR MATCHING GIFT
(87) DOCTORS CARE609 W LITTLETON STE 100 LITTLETON,CO80120	84-1150815	501(c)3	1,600,000	IMPROVE ACCESS TO HEALTH CARE
(88) DR A J KAUVAR FOUNDATION1625 BROADWAY STE 800 DENVER,CO80202	74-2462875	501(c)3	16,415	OTHER
(89) DR A J KAUVAR FOUNDATION1625 BROADWAY STE 800 DENVER,CO80202	74-2462875	501(c)3	49,500	IMPROVE ACCESS TO HEALTH COVERAGE
(90) DURANGO SCHOOL DISTRICT 9-R210 E 12TH ST DURANGO,CO81301	84-6012500	GOVT ENTITY	25,888	IMPROVE ACCESS TO HEALTH CARE
(91) EXPEDITIONARY LRNING SCHOOL BRD OF COOP EDUC1700 SOUTH HOLLY ST DENVER,CO80222	84-1240658	501(c)3	19,275	PROMOTE HEALTHY LIVING
(92) FAMILY RESOURCE CENTER631 W MAIN STREET STERLING,CO80751	20-5089275	501(c)3	10,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(93) FAMILY RESOURCE CENTER ASSOCIATION INC1750 HUMBOLDT ST STE 200 DENVER,CO80218	31-1599581	501(c)3	10,583,818	PROMOTE HEALTHY LIVING
(94) FLAGSHIP HELP CENTER4755 PARIS STREET STE 300 DENVER,CO80239	27-0273998	501(c)3	10,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(95) FLORENCE CRITTENTON SERVICES OF COLORADO55 S ZUNI ST DENVER,CO80223	84-0429686	501(c)3	170,000	PROMOTE HEALTHY LIVING
(96) FOUNDATION FOR EDUCATIONAL EXCELLENCE4908 TOWER ROAD DENVER,CO80249	84-1396597	501(c)3	753,765	PROMOTE HEALTHY LIVING
(97) FRIENDS OF THE GARDENS ON SPRING CREEK2145 CENTRE AVENUE FORT COLLINS,CO80526	84-1081365	501(c)3	55,835	PROMOTE HEALTHY LIVING
(98) FRONTIER CHARTER ACADEMY INC418 YODER STREET CALHAN,CO80808	84-1595314	501(c)3	150,000	PROMOTE HEALTHY LIVING
(99) GOVERNOR'S OFFICE136 STATE CAPITOL DENVER,CO80203	84-0644739	GOVT ENTITY	150,000	IMPROVE ACCESS TO HEALTH CARE
(100) GRAND RIVER HOSPITAL DIST MEM TRUST FUND501 AIRPORT RD RIFLE,CO81650	84-0736594	501(c)3	400,000	IMPROVE ACCESS TO HEALTH CARE
(101) GRAND VALLEY CATHOLIC OUTREACH245 S 1ST STREET GRAND JUNCTION,CO81501	20-0064007	501(c)3	75,000	IMPROVE ACCESS TO HEALTH CARE
(102) GREATER WASHINGTON EDUC TELECOMMUNICATIONS ASSOC3939 CAMPBELL AVENUE ARLINGTON,VA22206	53-0242992	501(c)3	100,000	IMPROVE ACCESS TO HEALTH COVERAGE
(103) HARBOR HOUSE COLLABORATIVE1710 E PIKES PEAK CO SPRINGS,CO80909	20-8006412	501(c)3	34,500	IMPROVE ACCESS TO HEALTH CARE
(104) HAYDEN SCHOOL DIST RE1495 WEST JEFFERSON HAYDEN,CO81639	98-0293500	GOVT ENTITY	10,000	PROMOTE HEALTHY LIVING
(105) HEALTH CARE INCENTIVES IMPROVEMENT INST13 SUGAR STREET NEWTOWN,CT06470	51-0461495	501(c)3	3,180,000	IMPROVE ACCESS TO HEALTH COVERAGE
(106) HEALTHTEAMWORKS274 UNION BLVD STE 310 LAKEWOOD,CO80228	84-1456951	501(c)3	1,252,552	IMPROVE ACCESS TO HEALTH CARE
(107) HIGH PLAINS COMMUNITY HEALTH CENTER201 KENDALL DRIVE LAMAR,CO81052	84-1244224	501(c)3	636,820	IMPROVE ACCESS TO HEALTH CARE
(108) HIGHLINE ACADEMY INCORPORATION2170 S DAHLIA ST DENVER,CO80222	56-2375843	501(c)3	100,000	PROMOTE HEALTHY LIVING
(109) HILLTOP HEALTH SERVICES CORPORATION1331 HERMOSA AVE GRAND JUNCTION,CO81506	74-2321009	501(c)3	15,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(110) HOLLY SCHOOL DISTRICT RE-3PO BOX 608 HOLLY,CO81047	84-6011860	GOVT ENTITY	30,820	PROMOTE HEALTHY LIVING
(111) HOWARD DENTAL CENTER1420 OGDEN STREET DENVER,CO80218	84-1312498	501(c)3	75,000	IMPROVE ACCESS TO HEALTH CARE
(112) HUERFANO COUNTY HOSPITAL DISTRICT23500 US HWY 160 WALSENBURG,CO81089	84-6027322	501(c)3	163,351	IMPROVE ACCESS TO HEALTH CARE
(113) IGNACIO SCHOOL DISTRICT 11 JT315 IGNACIO STREET IGNACIO,CO81137	84-6001447	GOVT ENTITY	50,000	PROMOTE HEALTHY LIVING
(114) INNER CITY HEALTH CENTER3800 YORK STREET DENVER,CO80205	74-2426085	501(c)3	200,000	IMPROVE ACCESS TO HEALTH CARE
(115) INNER CITY HEALTH CENTER3800 YORK STREET DENVER,CO80205	74-2426085	501(c)3	15,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(116) INTERFAITH COMMUNITY SERVICES3370 S IRVING ST ENGLEWOOD,CO80110	84-0579740	501(c)3	10,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(117) JEFFCO ACTION CENTER INC8755 WEST 14TH AVENUE LAKEWOOD,CO80215	23-7019679	501(c)3	344,196	IMPROVE ACCESS TO HEALTH CARE
(118) JEWISH FAMILY SERVICE OF COLORADO3201 SOUTH TAMARAC DRIVE DENVER,CO80231	84-0402701	501(c)3	12,500	DONATION, SPONSORSHIP OR MATCHING GIFT
(119) KEMPE FNDN FOR THE PREV AND TREAT OF CHILD ABUSEANSCHUTZ MEDICAL CAMPUS AURORA,CO80045	84-1064295	501(c)3	367,804	IMPROVE ACCESS TO HEALTH CARE
(120) KIDS IN NEED OF DENTISTRY2465 S DOWNING ST STE 210 DENVER,CO80210	84-6038681	501(c)3	18,250	IMPROVE ACCESS TO HEALTH CARE
(121) LA CLINICA TEPEYAC INC5075 LINCOLN STREET DENVER,CO80216	84-1285505	501(c)3	250,000	IMPROVE ACCESS TO HEALTH CARE
(122) LA CLINICA TEPEYAC INC5075 LINCOLN STREET DENVER,CO80216	84-1285505	501(c)3	10,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(123) LAS ANIMAS SCHOOL DISTRICT RE-11021 SECOND STREET LAS ANIMAS,CO81054	84-6014863	GOVT ENTITY	30,850	PROMOTE HEALTHY LIVING
(124) LIFE QUALITY INSTITUTE501 S CHERRY STE 700 DENVER,CO80246	26-2347056	501(c)3	7,500	DONATION, SPONSORSHIP OR MATCHING GIFT
(125) LIMON DOCTORS COMMITTEE820 1ST STREET LIMON,CO80828	84-1125934	501(c)3	989,734	IMPROVE ACCESS TO HEALTH CARE
(126) LINCOLN COMMUNITY HOSPITAL AND NURSING HOME111 6TH STREET HUGO,CO80821	84-0484566	GOVT ENTITY	136,221	IMPROVE ACCESS TO HEALTH CARE
(127) MAPLETON PUBLIC SCHOOLS591 E 80TH AVE DENVER,CO80229	84-6000817	GOVT ENTITY	67,800	PROMOTE HEALTHY LIVING
(128) MEND FOUNDATION606 THRIFT ROAD MALIBU,CA90265	90-0425460	501(c)3	638,363	PROMOTE HEALTHY LIVING
(129) MENTAL HEALTH CENTER OF DENVER4141 E DICKENSON PLACE DENVER,CO80222	74-2499946	501(c)3	2,604,036	IMPROVE ACCESS TO HEALTH CARE
(130) MENTAL HEALTH CENTER OF DENVER4141 E DICKENSON PLACE DENVER,CO80222	74-2499946	501(c)3	617,750	PROMOTE HEALTHY LIVING
(131) MESA COUNTY VALLEY SCHOOL DISTRICT 512115 GRAND AVENUE GRAND JUNCTION,CO81503	84-6002839	GOVT ENTITY	13,500	PROMOTE HEALTHY LIVING
(132) METRO COMMUNITY PROVIDER NETWORK3701 SOUTH BROADWAY ENGLEWOOD,CO80113	74-2477108	501(C)3	1,526,000	IMPROVE ACCESS TO HEALTH CARE
(133) METRO ORGANIZATIONS FOR PEOPLE1980 DAHLIA ST DENVER,CO80220	84-0753677	501(c)3	325,000	IMPROVE ACCESS TO HEALTH COVERAGE
(134) METROPOLITAN STATE COLLEGE OF DENVER FNDNPO BOX 173362 DENVER,CO80217	84-0576459	501(c)3	10,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(135) METROPOLITAN STATE UNIVERSITY OF DENVER5660 GREENWD GREENWOOD VILLAGE,CO80111	84-0559160	GOVT ENTITY	990,000	IMPROVE ACCESS TO HEALTH CARE
(136) MILE HIGH MINISTRIES2330 W MULBERRY PL DENVER,CO80204	84-0782214	501(c)3	25,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(137) MONTROSE COUNTY SCHOOL DISTRICT RE-1J930 COLORADO AVENUE MONTROSE,CO81401	98-0343400	GOVT ENTITY	258,442	IMPROVE ACCESS TO HEALTH CARE
(138) MONTROSE MEMORIAL HOSPITAL800 SOUTH 3RD STREET MONTROSE,CO81401	84-6002707	GOVT ENTITY	126,229	IMPROVE ACCESS TO HEALTH CARE
(139) MOUNTAIN FAMILY HEALTH CENTER1905 BLAKE STE 101 GLENWOOD SPRGS,CO81601	84-0742145	501(c)3	225,000	IMPROVE ACCESS TO HEALTH CARE
(140) MUSEUM OF CONTEMPORARY ART- DENVER1485 DELGANY STREET DENVER,CO80202	84-1366092	501(c)3	10,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(141) NATIONAL MULTIPLE SCLEROSIS SOCIETY900 S BROADWAY 2ND FLR DENVER,CO80209	13-5661935	501(c)3	509,781	IMPROVE ACCESS TO HEALTH COVERAGE
(142) NEWFARMS5856 COUNTY ROAD HH5 FOWLER,CO81039	85-0386519	501(c)3	65,000	PROMOTE HEALTHY LIVING
(143) NORTH COLORADO MEDICAL CENTER FOUNDATION1801 16TH STREET GREELEY,CO80631	84-0718355	501(c)3	60,000	PROMOTE HEALTHY LIVING
(144) NORTH COLORADO MEDICAL CENTER FOUNDATION1801 16TH STREET GREELEY,CO80631	84-0718355	501(c)3	67,500	IMPROVE ACCESS TO HEALTH CARE
(145) NORTH PARK MEDICAL CLINIC INCPO BOX 686 WALDEN,CO80480	84-1236806	501(c)3	87,500	IMPROVE ACCESS TO HEALTH CARE
(146) NORTHWEST COLORADO B O C E S325 7TH ST STEAMBOAT SPRINGS,CO80487	84-0572707	GOVT ENTITY	157,052	PROMOTE HEALTHY LIVING
(147) ORAL HEALTH COLORADO1985 UNION ST LAKEWOOD,CO80215	90-0137772	501(c)3	50,000	IMPROVE ACCESS TO HEALTH CARE
(148) PADRES UNIDOS INC3025 W 37TH ST STE 206 DENVER,CO80211	84-1426652	501(c)3	98,500	PROMOTE HEALTHY LIVING
(149) PARADOX VALLEY SCHOOL21501 6 MILE RD PARADOX,CO81429	84-1595787	501(c)3	93,595	PROMOTE HEALTHY LIVING
(150) PARK COUNTY SCHOOL DISTRICT RE-2PO BOX 189 FAIRPLAY,CO80440	84-6001777	GOVT ENTITY	35,483	PROMOTE HEALTHY LIVING
(151) PARTNERSHIPS FOR HEALTHY COMMUNITIES7296 MAGNOLIA ST COMMERCE CITY,CO80022	20-0222465	501(c)3	196,808	PROMOTE HEALTHY LIVING
(152) PLAN DE SALUD DEL VALLE INC203 S ROLLIE AVE FORT LUPTON,CO80621	84-0613540	501(c)3	1,697,956	IMPROVE ACCESS TO HEALTH CARE
(153) PLAN DE SALUD DEL VALLE INC203 S ROLLIE AVE FORT LUPTON,CO80621	84-0613540	501(c)3	286,392	IMPROVE ACCESS TO HEALTH COVERAGE
(154) PLAN DE SALUD DEL VALLE INC203 S ROLLIE AVE FORT LUPTON,CO80621	84-0613540	501(c)3	15,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(155) PLANNED PARENTHOOD OF THE ROCKY MOUNTAINS7155 E 38TH AVENUE DENVER,CO80207	84-0404253	501(c)3	100,000	IMPROVE ACCESS TO HEALTH CARE
(156) POUDRE SCHOOL DISTRICT2407 LAPORTE AVENUE FORT COLLINS,CO80521	84-6013733	GOVT ENTITY	129,665	PROMOTE HEALTHY LIVING
(157) POUDRE SCHOOL DISTRICT2407 LAPORTE AVENUE FORT COLLINS,CO80521	84-6013733	GOVT ENTITY	93,186	IMPROVE ACCESS TO HEALTH CARE
(158) PROWERS COUNTY PUBLIC HEALTH NURSING SRVS1001 S MAIN ST LAMAR,CO81052	84-6000796	GOVT ENTITY	33,963	PROMOTE HEALTHY LIVING
(159) PUBLIC EDUCATION & BUSINESS COALITION1244 GRANT STREET DENVER,CO80203	74-2357262	501(c)3	25,000	PROMOTE HEALTHY LIVING
(160) PUEBLO CITY-COUNTY HEALTH DEPARTMENT101 WEST 9TH STREET PUEBLO,CO81003	84-6003013	GOVT ENTITY	208,436	PROMOTE HEALTHY LIVING
(161) PUEBLO COMMUNITY HEALTH CENTER INC110 EAST ROUTT AVE PUEBLO,CO81004	84-0921521	501(c)3	420,000	IMPROVE ACCESS TO HEALTH CARE
(162) REGIONAL HOME VISITATION PROGRAM201 SOUTH MAIN STREET YUMA,CO80759	84-1311396	501(c)3	181,172	PROMOTE HEALTHY LIVING
(163) REGIS UNIVERSITY3333 REGIS BOULEVARD DENVER,CO80221	84-0402707	501(c)3	25,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(164) REHAB AND VISITING NURSE ASSOCIATION2105 CLUBHOUSE DRIVE GREELEY,CO80634	84-1022003	501(c)3	40,000	IMPROVE ACCESS TO HEALTH CARE
(165) REVISION INTERNATIONAL1536 WYNKOOP ST STE 600 DENVER,CO80202	26-1204343	501(c)3	40,000	PROMOTE HEALTHY LIVING
(166) ROCKY MTN FARMERS UNION EDUC & CHARITY FNDN136 W 3RD AVENUE DENVER,CO80223	74-2636848	501(c)3	25,000	PROMOTE HEALTHY LIVING
(167) ROCKY MTN FARMERS UNION EDUC & CHARITY FNDN7900 E UNION ST STE 200 DENVER,CO80237	74-2636848	501(C)3	71,000	IMPROVE ACCESS TO HEALTH COVERAGE
(168) ROCKY MOUNTAIN HEALTH PLANS FOUNDATION2775 CROSSROADS GRAND JUNCTION,CO81506	84-1424932	501(c)3	139,104	PROMOTE HEALTHY LIVING
(169) ROCKY MOUNTAIN RURAL HEALTH525 HATHAWAY FAIRPLAY,CO80440	84-1106335	501(c)3	81,649	IMPROVE ACCESS TO HEALTH CARE
(170) ROCKY MTN YTH MEDICAL & NURSING CONSULTANTS INC9197 GRANT ST STE 100 THORNTON,CO80229	84-1321485	501(c)3	100,000	IMPROVE ACCESS TO HEALTH CARE
(171) ROSE COMMUNITY FOUNDATION600 S CHERRY ST STE 1200 DENVER,CO80246	84-0920862	501(c)3	15,000	OTHER
(172) ROSE COMMUNITY FOUNDATION600 S CHERRY ST STE 1200 DENVER,CO80246	84-0920862	501(c)3	25,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(173) RURAL COMMUNITIES RESOURCE CENTER204 SOUTH MAIN YUMA,CO80759	84-0959903	501(c)3	10,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(174) SAFEHOUSE DENVER1649 DOWNING STREET DENVER,CO80218	84-0745911	501(c)3	7,500	DONATION, SPONSORSHIP OR MATCHING GIFT
(175) SAINT JOSEPH HOSPITAL FOUNDATION1835 FRANKLIN STREET DENVER,CO80218	84-0735096	501(c)3	15,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(176) SAN JUAN BASIN HEALTH DEPARTMENT281 SAWYER DR DURANGO,CO81303	84-6002563	GOVT ENTITY	151,943	IMPROVE ACCESS TO HEALTH CARE
(177) SAN JUAN BOARD OF COOP EDUCATIONAL SRVS201 EAST 12TH STREET DURANGO,CO81301	84-0603542	GOVT ENTITY	124,869	PROMOTE HEALTHY LIVING
(178) SAN LUIS VALLEY COMP COMM MENTAL HLTH CNTR8745 COUNTY ROAD 9 SOUTH ALAMOSA,CO81101	84-0535410	501(c)3	104,162	IMPROVE ACCESS TO HEALTH CARE
(179) SENIOR SUPPORT SERVICES846 EAST 18TH AVE DENVER,CO80218	84-0801612	501(c)3	10,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(180) SET OF PUEBLO1925 E ORMAN AVE STE G-52 PUEBLO,CO81004	84-1234295	501(c)3	498,269	IMPROVE ACCESS TO HEALTH COVERAGE
(181) SHARE OUR STRENGTH INC2727 BRYANT ST STE 300 DENVER,CO80211	52-1367538	501(c)3	1,664,539	PROMOTE HEALTHY LIVING
(182) SIGNAL BEHAVIORAL HEALTH NETWORK455 SHERMAN ST STE 455 DENVER,CO80203	84-1362495	501(c)3	200,000	IMPROVE ACCESS TO HEALTH CARE
(183) SOAR CHARTER SCHOOL4800 TELLURIDE ST BLDG 4 DENVER,CO80249	27-0656317	501(c)3	179,696	PROMOTE HEALTHY LIVING
(184) SOUTH ROUTT SCHOOL DISTRICT RE 3305 SOUTH GRANT STREET OAK CREEK,CO80467	98-0340400	GOVT ENTITY	56,870	PROMOTE HEALTHY LIVING
(185) SOUTHERN UTE COMMUNITY ACTION PROGRAMS INC285 LAKIN ST IGNACIO,CO81137	84-0576978	501(c)3	30,000	IMPROVE ACCESS TO HEALTH CARE
(186) SOUTHWEST HEALTH SYSTEM INC1311 NORTH MILDRED ROAD CORTEZ,CO81321	84-1337350	501(c)3	150,000	IMPROVE ACCESS TO HEALTH CARE
(187) SOUTHWEST OPEN SCHOOLPO BOX DD CORTEZ,CO81321	84-1513634	501(c)3	400,000	IMPROVE ACCESS TO HEALTH CARE
(188) SW CO AREA HEALTH EDUCATION CENTER700 MAIN AVE STE D DURANGO,CO81301	27-2461746	501(c)3	110,265	IMPROVE ACCESS TO HEALTH CARE
(189) ST ANNE'S EPISCOPAL SCHOOL INC2701 S YORK STREET DENVER,CO80210	84-6049400	501(c)3	15,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(190) ST VRAIN VALLEY SCHOOL DISTRICT395 S PRATT PKY LONGMONT,CO80501	84-6014380	GOVT ENTITY	931,960	PROMOTE HEALTHY LIVING
(191) STAPLETON FOUNDATION7350 E 29TH AVE STE 300 DENVER,CO80238	84-1497067	501(c)3	181,222	PROMOTE HEALTHY LIVING
(192) SUMMIT COMMUNITY CARE CLINICPO BOX 4337 FRISCO,CO80443	20-1139635	501(c)3	268,751	IMPROVE ACCESS TO HEALTH CARE
(193) SUMMIT CNTY CHILD CARE RESOURCE & REFERRAL AGENCY330 FIEDLER AVENUE DILLON,CO80435	84-1172882	501(c)3	95,076	PROMOTE HEALTHY LIVING
(194) THE BELL POLICY CENTER1309 ALEXANDRIA ST LAFAYETTE,CO80026	84-1550841	501(c)3	25,000	IMPROVE ACCESS TO HEALTH COVERAGE
(195) THE CENTER FOR EFFECTIVE PHILANTHROPY675 MASSACHUSETTS AVE CAMBRIDGE,MA21390	04-3523528	501(c)3	10,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(196) THE DENVER HEALTH AND HOSPITALS FOUNDATION655 BROADWAY STE 750 DENVER,CO80203	84-1085196	501(c)3	1,096,809	IMPROVE ACCESS TO HEALTH CARE
(197) THE DENVER HEALTH AND HOSPITALS FOUNDATION655 BROADWAY STE 750 DENVER,CO80203	84-1085196	501(c)3	25,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(198) THE MANAUS FUND520 S THIRD ST CENTER CARBONDALE,CO81623	20-2710588	501(c)3	124,080	PROMOTE HEALTHY LIVING
(199) THE PARK HILL BIKE DEPOT2825 FAIRFAX ST DENVER,CO80207	26-3672109	501(c)3	50,000	PROMOTE HEALTHY LIVING
(200) THE WRAY REHABILITATION AND ACTIVITIES CTR700 MAIN STREET WRAY,CO80758	84-1072472	501(c)3	50,000	PROMOTE HEALTHY LIVING
(201) THOMPSON SCHOOL DISTRICT800 S TAFT AVENUE LOVELAND,CO80537	84-6013346	GOVT ENTITY	6,300	PROMOTE HEALTHY LIVING
(202) TIDES CENTER1014 TORNEY AVENUE SAN FRANCISCO,CA94129	94-3213100	501(c)3	225,000	IMPROVE ACCESS TO HEALTH COVERAGE
(203) TOWN OF BENNETT355 4TH ST BENNETT,CO80102	84-0660595	GOVT ENTITY	50,000	PROMOTE HEALTHY LIVING
(204) TRANSPORTATION SOLUTIONS FOUNDATION280 COLUMBINE STREET 306 DENVER,CO80206	84-1582289	501(c)3	50,000	PROMOTE HEALTHY LIVING
(205) TREBOL SOCCER CLUB OF LAFAYETTE INCPO BOX 895 LAFAYETTE,CO80026	84-1397409	501(c)3	19,020	PROMOTE HEALTHY LIVING
(206) UNCOMPAHGRE COMBINED CLINICS1350 S ASPEN STREET NORWOOD,CO81423	84-1071822	501(c)3	650,000	IMPROVE ACCESS TO HEALTH CARE
(207) UNIVERSITY OF COLORADO FOUNDATION1380 LAWRENCE ST STE 1325 DENVER,CO80204	84-6049811	501(c)3	8,808,251	IMPROVE ACCESS TO HEALTH CARE
(208) UNIVERSITY OF COLORADO FOUNDATION1380 LAWRENCE ST STE 1325 DENVER,CO80204	84-6049811	501(c)3	1,144,835	PROMOTE HEALTHY LIVING
(209) UNIVERSITY OF COLORADO FOUNDATION1380 LAWRENCE ST STE 1325 DENVER,CO80204	84-6049811	501(c)3	20,000	DONATION, SPONSORSHIP OR MATCHING GIFT
(210) URBAN PEAK DENVER730 21ST STREET DENVER,CO80205	84-1212246	501(c)3	131,612	IMPROVE ACCESS TO HEALTH CARE
(211) VALLEY-WIDE HEALTH SYSTEMS INC128 MARKET STREET ALAMOSA,CO81101	84-0706945	501(c)3	39,100	IMPROVE ACCESS TO HEALTH CARE
(212) VOLUNTEERS OF AMERICA COLORADO BRANCH2660 LARIMER STREET DENVER,CO80205	84-0430995	501(c)3	40,000	PROMOTE HEALTHY LIVING
(213) WELD COUNTY GOVERNMENT1555 N 17TH AVENUE GREELEY,CO80631	84-6000813	GOVT ENTITY	186,067	PROMOTE HEALTHY LIVING
(214) WELD COUNTY SCHOOL DISTRICT 61025 9TH AVENUE GREELEY,CO80631	84-6002058	GOVT ENTITY	273,532	PROMOTE HEALTHY LIVING
(215) WRAY SENIOR COMMUNITY CENTER CO WRAY AREA206 MAIN PO BOX 314 WRAY,CO80758	84-1345439	501(c)3	30,000	PROMOTE HEALTH LIVING
(216) YOUTH FOUNDATION90 BENCHMARK RD STE 300 AVON,CO81620	84-1442909	501(c)3	134,775	PROMOTE HEALTHY LIVING
(217) YUMA SCHOOL DISTRICT 1418 SOUTH MAIN YUMA,CO80759	98-0335700	501(c)3	10,904	PROMOTE HEALTHY LIVING
(218) YUMA SCHOOL DISTRICT 1418 SOUTH MAIN YUMA,CO80759	98-0335700	501(c)3	90,434	PROMOTE HEALTHY LIVING

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

190

Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2011

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant
(1) VARIOUS	55	14,518

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
SCHEDULE I, PART I, LINE 2	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS	WHEN AWARDING FUNDS, THE COLORADO HEALTH FOUNDATION ENTERS INTO A GRANT AGREEMENT WITH THE ELIGIBLE ORGANIZATION. THE GRANT AGREEMENT OUTLINES THE EXPECTED SCOPE OF THE FUNDED PROJECT AS WELL AS THE APPROVED USE OF FUNDS. EXPENDITURES OF GRANT FUNDS MUST ADHERE TO THE SPECIFIC LINE ITEMS IN THE BUDGET ATTACHED TO THE GRANT AGREEMENT. ALL GRANT AGREEMENTS INCLUDE CRITERIA IN WHICH A LINE ITEM CHANGE MUST BE REQUESTED IN WRITING TO AND APPROVED BY THE FOUNDATION. IN ADDITION, THE GRANT AGREEMENT STATES PROHIBITED USE OF FUNDS. THE GRANTEE IS EXPECTED TO KEEP A RECORD OF ALL RECEIPTS AND EXPENDITURES RELATED TO THE GRANT AND TO PROVIDE THE FOUNDATION WITH A WRITTEN REPORT SUMMARIZING THE PROJECT PROMPTLY FOLLOWING THE END OF THE GRANT PERIOD. THE FOUNDATION MAY ALSO REQUIRE INTERIM REPORTS. GRANTEE REPORTS MUST DESCRIBE PROGRESS ACHIEVING THE GRANT PURPOSES AND INCLUDE AN ACCOUNTING OF THE USES OR EXPENDITURES OF ALL GRANT FUNDS. IF A REPORT IS NOT SUBMITTED ON TIME, THE FOUNDATION CONTACTS THE GRANTEE TO REQUEST PROMPT SUBMISSION OF OUTSTANDING REPORTS. ALL SUBMITTED INFORMATION IS REVIEWED BY FOUNDATION STAFF. IF GRANTEE OBTAINS ANY AUDITED FINANCIAL STATEMENTS COVERING ANY PART OF THE PERIOD OF THE GRANT AGREEMENT, THE FOUNDATION REQUESTS THAT COPIES OF SUCH STATEMENTS BE PROVIDED PROMPTLY AFTER RECEIPT. GRANTEE MUST KEEP THE FINANCIAL RECORDS WITH RESPECT TO THE GRANT AND THE AGREEMENT, ALONG WITH COPIES OF ANY REPORTS SUBMITTED TO THE FOUNDATION, FOR AT LEAST FOUR YEARS FOLLOWING THE YEAR IN WHICH ALL GRANT FUNDS ARE FULLY EXPENDED. IN ADDITION, THE GRANTEE AGREES TO PERMIT THE FOUNDATION AND ITS REPRESENTATIVES TO HAVE REASONABLE ACCESS TO ITS FILES, RECORDS, ACCOUNTS, PERSONNEL AND CLIENTS, OR OTHER BENEFICIARIES FOR THE PURPOSE OF MAKING FINANCIAL AUDITS, VERIFICATIONS, OR PROGRAM EVALUATIONS AS THE FOUNDATION DEEMS NECESSARY OR APPROPRIATE CONCERNING THE GRANT. GRANTS TO INDIVIDUALS: IN GENERAL THE FOUNDATION DOES NOT AWARD GRANTS TO INDIVIDUALS. THE EXCEPTIONS IN 2011 ARE NOTED BELOW. THROUGH ITS GRADUATE MEDICAL EDUCATION PROGRAM, THE FOUNDATION PROVIDES SMALL AMOUNTS TO INDIGENT PATIENTS TO COVER MEDICAL, DENTAL AND HOSPITAL COSTS. THESE ARE AWARDED BASED ON NEED AS DETERMINED BY THE SOCIAL WORKER IN THE PROGRAM.

Schedule I (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

HEALTHONE

Employer identification number

74-2568941

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1) ANNE WARHOVER	(i) (ii)	338,845 0	100,000 0	2,712 0	15,744 0	21,373 0	478,674 0	0 0
(2) GARY DREWS	(i) (ii)	186,273 0	25,000 0	1,268 0	13,357 0	23,144 0	249,042 0	0 0
(3) SHEPARD NEVEL	(i) (ii)	179,954 0	20,000 0	1,190 0	12,618 0	380 0	214,142 0	0 0
(4) KELLY DUNKIN	(i) (ii)	164,603 0	22,000 0	664 0	11,993 0	13,665 0	212,925 0	0 0
(5) CHARLES REYMAN	(i) (ii)	134,753 0	18,000 0	2,192 0	9,816 0	15,859 0	180,620 0	0 0
(6) BRIAN DWINNELL MD	(i) (ii)	206,940 0	8,000 0	1,007 0	14,644 0	23,538 0	254,129 0	0 0
(7) JONATHAN MANHEIM MD	(i) (ii)	182,761 0	0 0	715 0	13,427 0	28,736 0	225,639 0	0 0
(8) JEFFREY PICKARD MD	(i) (ii)	183,184 0	0 0	480 0	12,787 0	14,369 0	210,820 0	0 0
(9) CHRISTINE GILROY MD	(i) (ii)	171,322 0	0 0	670 0	12,624 0	15,600 0	200,216 0	0 0
(10) GLENN LEVY	(i) (ii)	171,321 0	4,000 0	1,878 0	6,662 0	7,738 0	191,599 0	0 0

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule J (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE N
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Liquidation, Termination, Dissolution or Significant Disposition of Assets

Complete if the organization answered "Yes" to Form 990, Part IV, lines 31 or 32 or Form 990-EZ, line 36.
bullet

Attach certified copies of any articles of dissolution, resolutions or plans.
bullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
HEALTHONE

Employer identification number
74-2568941

Part I

Liquidation, Termination or Dissolution. Complete if the organization answered "Yes" to Form 990, Part IV, line 31, or Form 990-EZ, line
36. Use Part III if additional space is needed. Click to see list of attachments

1(a)Description of asset(s) distributed or transaction expenses paid	(b)Date of distribution	(c)Fair market value of asset(s) distributed or amount of transaction expenses	(d)Method of determining FMV for asset(s) distributed or transaction expenses	(e)EIN of recipient	(f)Name and address of recipient	(g)IRC section of recipient(s) (if tax-exempt) or type of entity

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .

Become an employee of, or independent contractor for, a successor or transferee organization? . . . . . . . . . . . . . . . .

Become a direct or indirect owner of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . .

Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? . . . . .

If the organization answered "Yes" to any of the questions in this line, provide the name of the person involved and explain in Part III. bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.

Cat. No. 50087Z

Schedule N (Form 990 or 990-EZ) 2011

Page 2

Part I

Liquidation, Termination or Dissolution (continued)

Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.

Yes

Did the organization distribute its assets in accordance with its governing instrument(s)? If “No,” describe in Part III . . . . . . . . . . .

Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? . . . . . .

If “Yes,” did the organization provide such notice? . . . . . . . . . . . . . . . . . . . . . . . . . .

Did the organization discharge or pay all of its liabilities in accordance with state laws? . . . . . . . . . . . . . . . . .

Did the organization have any tax-exempt bonds outstanding during the year? . . . . . . . . . . . . . . . . . . . .

Did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws? .

If ‘Yes’ to line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If “No,” explain in Part III.

Part II

Sale, Exchange, Disposition or Other Transfer of More Than 25% of the Organization's Assets. Complete if the organization answered "Yes" to Form 990, Part IV, line 32, or Form 990-EZ, line 36. Use Part III if additional space is needed.

1(a)Description of asset(s) distributed or transaction expenses paid	(b)Date of distribution	(c)Fair market value of asset(s) distributed or amount of transaction expenses	(d)Method of determining FMV for asset(s) distributed or transaction expenses	(e)EIN of recipient	(f)Name and address of recipient	(g)IRC section of recipient(s) (if tax-exempt) or type of entity
40.6% INTEREST IN HCA-HEALTHONE, LLC	10-14-2011	1,450,000,000	APPRAISAL	62-1617016	HEALTHONE OF DENVER INC ONE PARK PLAZA NASHVILLE,TN37203	CORPORATION

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .

Become an employee of, or independent contractor for, a successor or transferee organization? . . . . . . . . . . . . . . . .

Become a direct or indirect owner of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .

Receive, or become entitled to, compensation or other similar payments as a result of the organization’s significant disposition of assets? . . . . . . .

If the organization answered "Yes" to any of the questions in this line, provide the name of the person involved and explain in Part III.

Schedule N(Form 990 or 990-EZ) 2011

Schedule N (Form 990 or 990-EZ) 2011

Page 3

Part III

Supplemental Information. Complete to provide the information required by Parts I and II,
and any additional information.

Identifier	Return Reference	Explanation

Schedule N (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

HEALTHONE

Employer identification number

74-2568941

Identifier	Return Reference	Explanation
FORM 990, PART III, LINE 3	CESSATION OF SERVICES	ON OCTOBER 14, 2011, THE FOUNDATION SOLD ITS INTEREST IN THE JOINT VENTURE TO HEALTHONE OF DENVER, INC. FOR $1.45 BILLION, WHICH RESULTED IN A GAIN ON SALE OF $957 MILLION.
FORM 990, PART VI, LINE 1	DESCRIPTION OF GOVERNING BODY AND VOTING MEMBERS	ALL MEMBERS OF THE GOVERNING BOARD HAVE THE SAME VOTING RIGHTS. THERE WERE NO COMMITTEES AUTHORIZED TO ACT ON BEHALF OF THE ORGANIZATION AT ANY TIME DURING 2011.
FORM 990, PART VI, LINE 4	CHANGES TO ORGANIZATIONAL DOCUMENTS	THE BYLAWS WERE AMENDED AND RESTATED IN 2011 TO REMOVE ALL REFERENCES TO HCA-HEALTHONE LLC, AFTER THE SALE BY THE FOUNDATION OF ITS INTEREST IN HCA-HEALTHONE LLC.
FORM 990, PART VI, LINE 11	PROCESS USED BY ORGANIZATION TO REVIEW FORM 990	A COPY OF THE 990 WAS REVIEWED BY THE FOUNDATION'S FINANCE AND AUDIT COMMITTEE AND POSTED ON THE FOUNDATION'S DEDICATED BOARD OF DIRECTOR'S WEB PAGE FOR REVIEW AND COMMENTS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, LINE 12C	PROCESS USED TO MONITOR AND ENFORCE THE CONFLICT OF INTEREST POLICY	THE FOUNDATION HAS ADOPTED A CONFLICT OF INTEREST POLICY. THE BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES COMPLETE CONFLICT OF INTEREST QUESTIONNAIRES ON AN ANNUAL BASIS. THESE ARE REVIEWED AND SUMMARIZED BY EXECUTIVE STAFF. DIRECTORS RECUSE THEMSELVES FROM VOTING ON ISSUES AS APPROPRIATE.
FORM 990, PART VI, LINE 15A&B	PROCESS TO DETERMINE COMPENSATION OF CEO, OTHER OFFICERS AND KEY EMPLOYEES	THE COMPENSATION COMMITTEE DETERMINES THE CEO, OTHER OFFICERS AND KEY EMP0LOYEES COMPENSATION WITH APPROVAL BY THE BOARD. IN ADDITION, A REVIEW OF ALL COMPENSATION WAS PERFORMED BY HUMAN RESOURCES UTILIZING DATA FROM OUTSIDE COMPENSATION CONSULTANTS. DOCUMENTATION OF THE PROCESS IS RECORDED IN THE MINUTES OF THE COMPENSATION COMMITTEE. THIS PROCESS WAS LAST COMPLETED IN 2011.
FORM 990, PART VI, LINE 19	AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY,	AND FINANCIAL STATEMENTS TO THE PUBLIC THE FOUNDATION'S ANNUAL FORM 990 TAX RETURNS ARE MADE AVAILABLE ON THE ORGANIZATION'S WEBSITE. DUE TO CONFIDENTIALITY CONSIDERATIONS RELATIVE TO FINANCIAL INFORMATION OF THE HEALTHONE, LLC JOINT VENTURE, THE FOUNDATION'S ANNUAL AUDIT REPORT IS NOT MADE AVAILABLE TO THE PUBLIC. OTHER GOVERNING DOCUMENTS ARE AVAILABLE FOR INSPECTION AT THE OFFICE OF THE FOUNDATION.
FORM 990, PART XI, LINE 5	OTHER CHANGES IN NET ASSETS OR FUND BALANCES	NET UNREALIZED GAINS ON INVESTMENTS: $ 4,544,055 ROUNDING DIFFERENCE (1) ------------ TOTAL $ 4,544,054 ============

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

HEALTHONE

Employer identification number

74-2568941

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2011

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership

Schedule R (Form 990) 2011

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2011

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)		Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) HCA-HEALTHONE LLC 4900 S MONACO ST STE 380DENVER,CO80237 84-1321373	HOSPITALS	CO	RELATED		No				No			No	40.600 %

Schedule R (Form 990) 2011

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH AND HEALTH CARE OF COLORADANS BY INCREASING ACCESS TO QUALITY HEALTH CARE AND ENCOURAGING HEALTHY LIFE STYLES. THE FOUNDATION ACCOMPLISHES THIS THROUGH ITS GRANT PROGRAM.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a).....	3	24
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	24
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	139
6	Total number of volunteers (estimate if necessary) ....	6	36
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	2,527,123
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	1,319,926

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	586,486	426,941
9	Program service revenue (Part VIII, line 2g) .........	165,913,439	133,264,856
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	12,824,904	948,616,255
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	198,566	176,072
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	179,523,395	1,082,484,124
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	95,904,966	80,679,415
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	10,299,779	11,161,009
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	12,567,916	17,012,691
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	118,772,661	108,853,115
19	Revenue less expenses. Subtract line 18 from line 12.......	60,750,734	973,631,009
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,256,359,991	2,233,069,046
21	Total liabilities (Part X, line 26).............	79,846,090	78,380,082
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,176,513,901	2,154,688,964

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	Signature of officer	Date

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4a	(Code: ) (Expenses $ 82,151,854 including grants of $ 80,664,897 ) (Revenue $ 81,925 )
	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	(Code: ) (Expenses $ 13,422,082 including grants of $ 14,518 ) (Revenue $ 12,811,075 )
	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	(Code: ) (Expenses $ 4,319,409 including grants of $ ) (Revenue $ 120,008,736 )
	INVESTMENT IN HEALTHONE, JOINT VENTURE.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 99,893,345

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,129,732	0	288,074

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		391,240

f	All other contributions, gifts, grants, and similar amounts not included above1f		35,701
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			426,941
			Business Code
2a	GRADUATE MEDICAL EDUCATION AND RESEARCH		900,099	12,811,075	12,811,075
b	INVESTMENT IN JOINT VENTURE		900,099	120,453,781	118,957,553	1,496,228
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			133,264,856
3	Investment income (including dividends, interest
	and other similar amounts).....			7,253,366		-91,497	7,344,863
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	545,844,788	1,450,000,000
b	Less: cost or other basis and sales expenses	561,278,865	493,203,034
c	Gain or (loss)	-15,434,077	956,796,966
d	Net gain or (loss)..........			941,362,889		1,122,392	940,240,497
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	ALL OTHER REVENUE		900,099	176,072	81,925		94,147
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			176,072
12	Total revenue. See Instructions....			1,082,484,124	131,850,553	2,527,123	947,679,507


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			13,267	1	56,373
2	Savings and temporary cash investments .......			52,121,875	2	10,827,293
3	Pledges and grants receivable, net .........			0	3	0
4	Accounts receivable, net .........			2,465,667	4	4,142,288
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			0	5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........			0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			0	8	0
9	Prepaid expenses and deferred charges ............			414,513	9	419,571
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,480,466
b	Less: accumulated depreciation. .....	10b	902,032	1,282,448	10c	1,578,434
11	Investments—publicly traded securities ..........			347,715,813	11	1,419,122,287
12	Investments—other securities. See Part IV, line 11 ......			369,828,187	12	796,922,800
13	Investments—program-related. See Part IV, line 11 ..			482,518,221	13	0
14	Intangible assets .........			0	14	0
15	Other assets. See Part IV, line 11 ...........			0	15	0
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,256,359,991	16	2,233,069,046
17	Accounts payable and accrued expenses .			2,031,667	17	2,635,415
18	Grants payable ..........			77,814,423	18	75,744,667
19	Deferred revenue ..........			0	19	0
20	Tax-exempt bond liabilities ..........			0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			0	25	0
26	Total liabilities. Add lines 17 through 25.....			79,846,090	26	78,380,082
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			1,176,140,497	27	2,154,315,019
28	Temporarily restricted net assets .....			373,404	28	373,945
29	Permanently restricted net assets .....			0	29	0
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			1,176,513,901	33	2,154,688,964
34	Total liabilities and net assets/fund balances .....			1,256,359,991	34	2,233,069,046

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................	Yes	No