2020-11-04T10:37:31-06:00 2019-12-31 990 2019-01-01 840482695 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION BRIG 3034981600 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 TROY STOEHR VP FINANCE & CFO 3034981600 2020-10-26 170.188.5.33 2020-10-26 13:27:49 MD P 3DE5F749A1903F95D50F7F754F5516E476789552 3DE5F749A1903F95D50F7F754F5516E476789552 2019 2021-01-29 14:40:06Z PLATTE VALLEY MEDICAL CENTER JOHN HICKS 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 172138727 0 X SEE SCHEDULE O X 1958 CO FOSTER OPTIMAL HEALTH FOR ALL 17 14 1196 104 376338 -761357 371696 74812 144858773 165466238 3823278 3469336 2178597 2061033 151232344 171071419 194589 432451 0 0 60122527 64292488 0 0 0 83220756 95613948 143537872 160338887 7694472 10732532 299325027 306292336 95344223 91574538 203980804 214717798 X FOSTER OPTIMAL HEALTH FOR ALL 0 0 137748001 432451 166099621 PLATTE VALLEY MEDICAL CENTER (PVMC) BECAME THE FIRST PRIVATE GENERAL MEDICAL-SURGICAL HOSPITAL IN ADAMS AND SOUTHERN WELD COUNTIES IN 1960. FOR 47 YEARS, PLATTE VALLEY MEDICAL CENTER WAS LOCATED ON SEVEN ACRES AT 18TH AND BRIDGE STREET IN BRIGHTON. IN 2007, PLATTE VALLEY MEDICAL CENTER MOVED TO A 50-ACRE CAMPUS AT I-76 AND 144TH AVENUE.TODAY, PLATTE VALLEY IS A 98-BED COMMUNITY HOSPITAL. AS A MEMBER OF THE SCL HEALTH SYSTEM, PVMC HAS BEEN DESIGNATED ONE OF THE WORLD'S MOST PATIENT-CENTERED HOSPITALS BY PLANETREE, INC. PLATTE VALLEY'S 10 PILLARS OF HEALING ARE INCORPORATED INTO EVERY PATIENT EXPERIENCE. THEY INCLUDE HUMAN INTERACTIONS, FAMILY, FRIENDS AND SOCIAL SUPPORT, ARCHITECTURAL HEALING DESIGN, EDUCATION AND INFORMATION, NUTRITION, HEALING ARTS, SPIRITUALITY, HEALING TOUCH, INTEGRATIVE THERAPIES, AND HEALTHY COMMUNITIES.DURING 2019, PVMC HAD THE FOLLOWING RESULTS:3,111 ADMISSIONS97,204 OUTPATIENT VISITS 24,391 EMERGENCY DEPARTMENT VISITS 745 BIRTHS 3,209 SURGERIES267,459 LABORATORY TESTSSERVICESWITH OVER 120 PHYSICIANS REPRESENTING MORE THAN 45 SPECIALTIES, PLATTE VALLEY MEDICAL CENTER OFFERS HIGH-LEVEL SERVICES FOUND IN LARGER METROPOLITAN HOSPITALS. SOME OF THE SERVICES OFFERED INCLUDE:ALLERGY, IMMUNOLOGY & ASTHMA, AMBULANCE SERVICE, CARDIOVASCULAR SERVICES, CRITICAL CARE, DERMATOLOGY, EAR, NOSE, & THROAT, EMERGENCY SERVICES, FAMILY MEDICINE, GASTROENTEROLOGY, HEMATOLOGY, INFECTIOUS DISEASE, INTERNAL MEDICINE, MEDICAL IMAGING, NEONATOLOGY, NEUROSURGERY, NEUROLOGY, OBSTETRICS & GYNECOLOGY, ONCOLOGY, OPHTHALMOLOGY, OPTOMETRY, ORTHOPEDICS, PEDIATRICS, PHARMACY, PHYSICAL MEDICINE & REHAB, PODIATRY, PULMONARY MEDICINE, SLEEP MEDICINE, STROKE CENTER, UROLOGY, ADVANCED WOUND CENTER. 137748001 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 122 0 1 1196 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X KYLE ENGMAN 3038135543 500 ELDORADO BLVD SUITE 4200 BROOMFIELD CO 80021 TAJQUAH HUDSON DIRECTOR 1.00 50.00 X 0 961808 181855 SHAWN DUFFORD MD DIRECTOR 1.00 50.00 X 0 815111 119234 MATTHEW GAWART MD PVMC PHYSICIAN APEX SURGERY 50.00 0.00 X 841438 0 25559 JOHN HICKS CEO/PRESIDENT 50.00 0.00 X X 750836 0 112804 DANIEL HAMMAN MD PVMC PHYSICIAN MOUNTAIN VIEW ORTHO 50.00 0.00 X 770912 0 49106 RYAN GERRY MD PVMC PHYSICIAN APEX SURGERY 50.00 0.00 X 758031 0 50340 AARON BAXTER MD PVMC PHYSICIAN MOUNTAIN VIEW ORTHO 50.00 0.00 X 644532 0 45065 DONALD RABOR MD PVMC PHYSICIAN HIGH PLAINS 50.00 0.00 X 639787 0 44924 KIRK QUACKENBUSH MD VP CHIEF MEDICAL OFFICER PVMC 50.00 0.00 X 393176 0 63546 KURT GENSERT VP CHIEF OPERATING/NURSING OFFICER - PVMC 50.00 0.00 X 376930 0 72270 SEAN FADDEN VP FINANCE PVMC 50.00 0.00 X 236139 0 38028 JEFF BERNARD DIRECTOR 1.00 0.00 X 385 0 0 ROD BLUNCK DIRECTOR 1.00 0.00 X 385 0 0 STEVE BRIZENDINE MD DIRECTOR 1.00 0.00 X 385 0 0 MIKE DOLAN DIRECTOR 1.00 0.00 X 385 0 0 TILLMAN FARLEY MD DIRECTOR 1/1-10/31 1.00 0.00 X 385 0 0 BOB FEIS VICE CHAIR 2.00 0.00 X X 385 0 0 RICHARD GONZALES DIRECTOR 1.00 0.00 X 385 0 0 FAYE HUMMEL CHAIR 2.00 0.00 X X 385 0 0 MICHELLE LEBLANC-GROSS DIRECTOR 1.00 0.00 X 385 0 0 PATTY MURRAY DIRECTOR 1.00 0.00 X 385 0 0 JEFFREY SIPPEL MD DIRECTOR 1.00 0.00 X 385 0 0 HEIDI STORZ DIRECTOR 1.00 0.00 X 385 0 0 BRUCE WALKER MD DIRECTOR 1.00 0.00 X 385 0 0 SHAWN WIANT DIRECTOR 1.00 0.00 X 385 0 0 PRADEEP DHAR MD DIRECTOR 11/14-12/31 1.00 0.00 X 0 0 0 5417171 1776919 802731 94 0 1 0 INPATIENT SERVICES PC PO BOX 742936 LOS ANGELES CA 900742936 MEDICAL SERVICES 1353598 ANESTHESIA SVCS OF PLATTE VALLEY PROF LL 1600 PRAIRIE CENTER PKWY BRIGHTON CO 80601 CONTRACT LABOR 760002 OFFICESCAPES OF DENVER LLP 9900 E 51ST AVE DENVER CO 80238 OFFICE FURNITURE 688034 HYPERBARIC SERVICES INC 5220 BELFORT ROAD JACKSONVILLE FL 54287 MEDICAL SERVICES 492309 MAYO COLLABORATIVE SERVICES INC 200 1ST ST SW ROCHESTER MN 554858856 MEDICAL SERVICES 472892 15 57610 17202 74812 PATIENT SERVICE REVENUE 622110 165466238 165089900 376338 165466238 3625032 3625032 2339262 911612 1427650 1427650 1427650 155696 -155696 -155696 -155696 CAFETERIA REVENUE 722514 599948 599948 EDUCATION CLASSES 611710 31151 31151 VENDING MACHINE REVENUE 454210 2284 2284 633383 171071419 165723283 376338 4896986 432451 432451 2043729 1986392 57337 50710263 48863953 1846310 2066883 1805587 261296 5993044 5890540 102504 3478569 3374226 104343 8538 7428 1110 2757 2757 10089089 10051615 37474 1134463 20027 1114436 447418 438932 8486 8822297 1198647 7623650 3212242 3212222 20 93920 85672 8248 166558 164943 1615 2945586 2945586 9245039 9245039 777857 777857 MEDICAL SUPPLIES 20048797 20048797 BAD DEBT EXPENSE 11046805 11046805 CONTRACT SERVICES 8248268 8223197 25071 PROVIDER FEE 5951583 5951583 13372731 1973745 11398986 160338887 137748001 22590886 0 2314428 8294817 1851404 0 12037155 16970668 119968 76095 3681839 3684564 1491973 1691863 209838246 37212791 162018845 172625455 13043442 13760741 10000000 10000000 92765973 79188133 299325027 306292336 28362939 29016320 166439 161548 66615801 62150432 199044 246238 95344223 91574538 X 202129400 214717798 1851404 0 203980804 214717798 299325027 306292336 X 10732532 1539502 -1535040 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2757 2757 0 PART II-B, LINE 1: PART II-B, LINE (1I): LOBBYING EXPENSES WERE DERIVED AS A PERCENTAGE OF DUES PAID TO THE COLORADO HOSPITAL ASSOCIATION. 1734187 121579 22593 1833173 1821097 31060 104128 222098 1734187 1660267 19481 254286 75000 37937 1821097 1681875 128392 150000 1660267 1642857 50000 -10982 1681875 0.00000 1.00000 0.00000 0 1 1 13705100 13705100 153628108 20867692 132760416 6368464 1701997 4666467 33613453 14643102 18970351 2523121 2523121 172625455 INTERCOMPANY RECEIVABLES 78632668 THIRD PARTY SETTLEMENTS 108879 RENT RECEIVABLES 154072 RIGHT OF USE ASSETS 202965 OTHER MISC RECEIVABLES 89549 79188133 LESSEE DEPOSITS 24900 OTHER MISC PAYABLES 11350 RIGHT OF USE LEASES 209988 246238 PART V, LINE 4: TO PROVIDE FINANCIAL SUPPORT FOR THE PROGRAMS AND SERVICES OF PLATTE VALLEY MEDICAL CENTER. THE PERMANENT ENDOWMENT FUNDS ARE FOR PURPOSE AND TIME RESTRICTIONS IMPOSED BY DONORS. 1 1 X 1 X 1 X 1 1 0 1 1 2854233 0 2854233 0.01780 37664422 35145753 2518669 0.01570 661825 506275 155550 0.00100 41180480 35652028 5528452 0.03450 264102 9954 254148 0.00160 665314 0 665314 0.00410 7697099 3515563 4181536 0.02610 321946 540 321406 0.00200 8948461 3526057 5422404 0.03380 50128941 39178085 10950856 0.06830 860 860 0.00000 860 860 0.00000 1 11046805 0 26231322 35607991 -9376669 X 1 1 1 1 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 WEBSITE: SEE PART VI 010311 X X X X BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X X 18 1 0 1 1 X SEE PART V, SECTION C X X 1 19 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: PVMC CONDUCTED THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT THROUGHOUT THE YEAR AND IT WAS COMPLETED IN OCTOBER 2018. THE FOLLOWING INFORMATION IS BASED ON THE PROCESS FOR THE 2018 CHNA. WE UTILIZED TWO METHODS OF COLLECTING PRIMARY DATA, A COMMUNITY FOCUS GROUP AND PHONE SURVEYS. FOCUS GROUPSA GROUP OF HOSPITAL LEADERS AND DEPARTMENTAL REPRESENTATIVES, AS WELL AS COMMUNITY LEADERS, WERE CONVENED ON JUNE 18, 2018 TO PRIORITIZE THE PRELIMINARY LIST AND NARROW IT TO SIX KEY ISSUES THAT WOULD BE FURTHER DISCUSSED THROUGH COMMUNITY INTERVIEWS. THE GROUP RECEIVED A SUMMARY OF THE SECONDARY DATA COMPILED FROM LOCAL, COUNTY AND STATE SOURCES. FOLLOWING THE PRESENTATION, THE ATTENDEES WERE GIVEN TIME IN SMALL GROUPS TO DISCUSS THE ISSUES AND WERE ASKED TO RANK THE TWELVE ISSUES (ON A SCALE OF 1-10) BASED ON TWO QUESTIONS - BASED ON YOUR UNDERSTANDING OF THE COMMUNITY HEALTH FINDINGS DISCUSSED, PLEASE RATE EACH OF THE FOLLOWING HEALTH ISSUES ON SCOPE AND SEVERITY AND HOSPITAL ABILITY TO IMPACT. TOTAL SCORES FOR EACH HEALTH ISSUE WERE CALCULATED AND DIVIDED BY THE TOTAL NUMBER OF RESPONSES FOR WHICH DATA WERE PROVIDED, RESULTING IN AN OVERALL AVERAGE FOR EACH HEALTH NEED. THIS RESULTED IN TWO SCORES FOR EACH HEALTH ISSUE. THE COMBINED SCORE WAS AN AVERAGE OF THE TWO SCORES. CALCULATIONS FROM THIS GROUP ACTIVITY RESULTED IN THE FOLLOWING PRIORITIZATION MENTAL HEALTH/SUBSTANCE ABUSE, CARDIOVASCULAR DISEASE, ACCESS TO HEALTHCARE, DIABETES, CANCER AND UNINTENTIONAL INJURIES.PHONE SURVEYPVMC CONDUCTED TARGETED INTERVIEWS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE MEDICAL CENTER. SIXTEEN INTERVIEWS WERE COMPLETED. FOR THE INTERVIEWS, COMMUNITY STAKEHOLDERS IDENTIFIED BY PVMC WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH, OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE "CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE MEDICAL CENTER." INPUT WAS OBTAINED FROM AREA PUBLIC HEALTH DEPARTMENTS. PARTICIPANTS INCLUDED REPRESENTATIVES OF THE FOLLOWING ORGANIZATIONS: ALMOST HOME, BOYS & GIRLS CLUB OF WELD COUNTY, BOYS & GIRLS CLUBS OF METRO DENVER, BRIGHTON HOUSING AUTHORITY, CITY OF BRIGHTON, COLORADO ACCESS, COMMUNITY REACH CENTER, EAGLE VIEW ADULT CENTER, FOUNDATIONS ACADEMY, FRONT RANGE COMMUNITY COLLEGE, PENNOCK CENTER FOR COUNSELING, PLATTE VALLEY MEDICAL CENTER/SCL HEALTH, RICHARD LAMBERT FOUNDATION, SALUD FAMILY HEALTH CENTERS, THE SENIOR HUB, TRI-COUNTY HEALTH DEPARTMENT, VIA MOBILITY SERVICES, WELD COUNTY HEALTH DEPARTMENT. BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6B: TRI-COUNTY HEALTH DEPARTMENT, WELD COUNTY PUBLIC HEALTH, ALMOST HOME, BOYS & GIRLS CLUB OF WELD COUNTY, BOYS & GIRLS CLUBS OF METRO DENVER, BRIGHTON HOUSING AUTHORITY, CITY OF BRIGHTON, COLORADO ACCESS, COMMUNITY REACH CENTER, EAGLE VIEW ADULT CENTER, FOUNDATIONS ACADEMY, FRONT RANGE COMMUNITY COLLEGE, PENNOCK CENTER FOR COUNSELING, RICHARD LAMBERT FOUNDATION, SALUD FAMILY HEALTH CENTERS, THE SENIOR HUB, VIA MOBILITY SERVICES.BRIGHTON COMMUNITY HOSPITAL ASSOCIATION:PART V, SECTION B, LINE 7A: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 7D: COPIES OF THE CHNA WERE DISTRIBUTED AT VARIOUS COMMUNITY COALITIONS AND RESOURCE MEETINGS BY THE REGIONAL DIRECTOR OF COMMUNITY HEALTH IMPROVEMENT AND PRESENTATIONS TO COMMUNITY ORGANIZATIONS ABOUT THE NEEDS ASSESSMENT UPON REQUEST.BRIGHTON COMMUNITY HOSPITAL ASSOCIATION:PART V, SECTION B, LINE 10A: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-IMPROVEMENT-PLAN/ BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: MENTAL HEALTH/SUBSTANCE ABUSE IN THE COMMUNITY: - PARTNERED WITH DENVER HEALTH WHO PROVIDES PSYCHIATRIC CONSULTS VIA SKYPE AND COMMUNITY REACH (A COMMUNITY BASED BEHAVIORAL HEALTH PROVIDER) TO PROVIDE ON-SITE COUNSELORS TO WORK WITH PATIENTS ON AN M-1 HOLD WHO COULD BE A DANGER TO THEMSELVES OR OTHERS. THESE INTERVENTIONS HAVE BEEN IMPORTANT TO IMPROVING ACCESS TO MENTAL HEALTH SERVICES AND IMPROVED CARE COORDINATION LEVERAGED BETWEEN INTERNAL AND EXTERNAL ORGANIZATIONS. - WE PROVIDED FOUR, FREE, EVIDENCE-BASED TRAINING PROGRAMS TO COMMUNITY AND PVMC ASSOCIATES ADDRESSING MENTAL HEALTH AND STIGMA. FOUR MENTAL HEALTH FIRST AID TRAININGS WERE SCHEDULED DURING THE YEAR AND 57 PEOPLE WERE TRAINED. - OFFERED THREE CLASSES OF THE EVIDENCE BASED "AGING MASTERY PROGRAM" CURRICULUM (10 CLASSES EACH), INCLUDING A CLASS FOCUSED ON DECREASING SOCIAL ISOLATION IN OLDER ADULTS. 28 PERSONS ATTENDED THE CLASSES. - PROVIDED EDUCATIONAL OPPORTUNITIES TO THE COMMUNITY TO INCREASE AWARENESS AND TO REDUCE STIGMA AROUND ISSUES OF MENTAL HEALTH AND SUBSTANCE ABUSE. - THREE MENTAL HEALTH COUNSELORS FROM COMMUNITY REACH AND PENNOCK CENTER FOR COUNSELING PROVIDED THE "STRESS MANAGEMENT" SCREENING AT THE 9HEALTH FAIR IN APRIL 2019. PARTICIPANTS WERE ABLE TO TAKE ADVANTAGE OF THIS SCREENING AND TO SPEAK WITH A COUNSELOR. - PARTICIPATION IN THE COLORADO ALTERNATIVES TO OPIOIDS (ALTO) PROJECT LOWERED NEW OPIOID PRESCRIPTIONS (ONLY 2.26% OF NEW OPIOID PRESCRIPTION GIVEN TO DISCHARGING PATIENTS EXCEEDED 7 DAYS IN DURATION) AND INCREASED THE PERCENTAGE OF EPRESCRIBING OF CONTROLLED SUBSTANCES FOR DISCHARGED PATIENTS (80.77% IN 2019 FROM 39.9% IN 2018). - INITITIATED A PROGRAM TO PRESCRIBE NARCAN AT DISCHARGE TO ANY PATIENT ADMITTED WITH A DIAGNOSIS OF HEROIN OR OPIOID OVERDOSE. - PARTICIPATED IN THE COLORADO HOSPITALS SUBSTANCE EXPOSED NEWBORNS QUALITY IMPROVEMENT COLLABORATIVE TO IMPROVE OUTCOMES FOR NEWBORNS EXPOSED TO METHAMPHETAMINES OR OPIOIDS PRIOR TO BIRTH.HEART DISEASE/STROKE (CARDIOVASCULAR): - PROVIDE MONTHLY SUPPORT GROUPS FOR STROKE SURVIVORS AND/OR CAREGIVERS. - PROVIDED 3 SCHEDULED EVENTS (GIRL'S NIGHT OUT, 9HEALTH FAIR, AND THE HEARTS 4 HEARTS 5K) WHERE THE PUBLIC IS INFORMED ABOUT EARLY HEART ATTACK CARE (EHAC); 800 WOMEN ATTENDED THE GIRL'S NIGHT OUT EVENT IN 2019. INFORMATION ON EHAC WAS INCLUDED IN ALL PARTICIPANTS' REGISTRATION BAGS. - 44 PEOPLE PARTICIPATED IN THE CARDIAC RISK ASSESSMENTS AT THE 9HEALTH FAIR AND RECEIVED INFORMATION ABOUT EHAC. - PUBLIC HEALTH APPROACH TO INCREASE AWARENESS OF EARLY HEART ATTACKS INCLUDED BOOTH PARTICIPATION AT THE ADAMS COUNTY FAIR. OVER 1,000 PEOPLE VISITED THE INFORMATION BOOTH. - 2019 HEARTS 4 HEARTS 5K RUN - IN ADDITION TO SPONSORING THE EVENT, EDUCATIONAL INFORMATION ON EHAC WAS DISTRIBUTED TO ALL RUN PARTICIPANTS (51 PARTICIPANTS). - IN 2019, PVMC OFFERED AN EVIDENCE-BASED HEALTHY COOKING CLASS, "COOKING MATTERS" TO PROMOTE HEART HEALTHY EATING. THE PROGRAM WAS OFFERED 3 TIMES (6 CLASSES EACH) WITH A TOTAL OF 40 PARTICIPANTS.- IN 2019, PVMC PARTNERED WITH COMMUNITY AGENCIES TO PROVIDE YOUTH CARDIAC SCREENINGS AND A HEALTH FAIR. 7-19 YEAR-OLDS RECEIVED A 12-LEAD EKG AND WERE SCREENED BY A CARDIOLOGIST FOR HIDDEN HEART CONDITIONS. PARTICIPANTS WERE ALSO EVALUATED BASED ON THE SOUND OF THEIR HEART, BLOOD PRESSURE, AND A REVIEW OF MEDICAL HISTORY. - COMMUNITY MEMBERS WERE OFFERED A LOW COST POST-CARDIAC EVENT WELLNESS PROGRAM IN THE CARDIAC REHAB GYM WHILE BEING SUPERVISED BY A CARDIAC REHAB NURSE. 750 VISITS WERE DOCUMENTED IN 2019.- AN ULTRA-LOW RISK CHEST PAIN PATHWAY TO PREVENT UNNECESSARY HOSPITAL ADMISSIONS AND REDUCE ASSOCIATED COSTS WAS IMPLEMENTED IN Q1 2017 AND IS CURRENTLY IN USE. - PVMC ACTIVELY PARTICIPATES IN WELD COUNTY HEALTH DEPARTMENT'S "THRIVING WELD" INITIATIVES AND SERVES ON TRI-COUNTY HEALTH DEPARTMENT'S OVERDOSE PREVENTION PARTNERSHIP.NEEDS NOT ADDRESSEDEACH OF THE HEALTH NEEDS IDENTIFIED IN THE CHNA ARE IMPORTANT AND NUMEROUS PARTNERS THROUGHOUT THE COMMUNITY ARE ADDRESSING THESE NEEDS THROUGH VARIOUS INNOVATIVE PROGRAMS AND INITIATIVES. PVMC WILL NOT DIRECTLY ADDRESS ACCESS TO HEALTH CARE, CANCER, DIABETES AND UNINTENTIONAL INJURIES. THE PVMC CHIP WILL ADDRESS CARDIOVASCULAR DISEASE AND MENTAL HEALTH AND SUBSTANCE USE IN ORDER TO MAXIMIZE RESOURCES, EXPERTISE AND TIME TO ACHIEVE SUCCESSFUL IMPACT. WE WILL CONTINUE TO LOOK FOR COMMUNITY PARTNERS WITH WHICH TO COLLABORATE IN ORDER TO WORK ON ISSUES NOT ADDRESSED IN THIS CHIP.BRIGHTON COMMUNITY HOSPITAL ASSOCIATION:PART V, SECTION, B, LINE 16A, 16B, 16C:HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ 17 1 - PLATTE VALLEY MEDICAL IMAGING LLC 1606 PRAIRIE CENTER PARKWAY SUITE 130 BRIGHTON CO 80601 RADIOLOGY SERVICES 2 - PLATTE VALLEY AMBULANCE SERVICE LLC 1606 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 AMBULANCE SERVICES 3 - SPECTRUM MEDICAL IMAGING LLC 1610 PRAIRIE CENTER PARKWAY SUITE 2100 BRIGHTON CO 80601 RADIOLOGY SERVICES 4 - PLATTE VALLEY MEDICAL GROUP LLC 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 PHYSICIAN CLINICS 5 - SCL HEALTH MG - ORTHOPEDICSBRIGHTON 1610 PRAIRIE CENTER PKWY STE 2200 BRIGHTON CO 806014008 OUTPATIENT PHYSICIAN CLINIC 6 - SCL HEALTH HEART &VASCULAR INST-BRIGHTON 1610 PRAIRIE CENTER PKWY STE 2330 BRIGHTON CO 806014003 OUTPATIENT PHYSICIAN CLINIC 7 - PVMG - BRIGHTON FAMILY MEDICINE 1606 PRAIRIE CENTER PKWY STE 240 BRIGHTON CO 806014004 OUTPATIENT PHYSICIAN CLINIC 8 - PVMG - GENERAL TRAUMA SURGERY 1610 PRAIRIE CENTER PKWY STE 2300 BRIGHTON CO 806014003 OUTPATIENT PHYSICIAN CLINIC 9 - PVMG - BRIGHTON OBGYN 1606 PRAIRIE CENTER PKWY STE 350 BRIGHTON CO 806014005 OUTPATIENT PHYSICIAN CLINIC 10 - PVMG - INTEGRATIVE INTERNAL MED 1610 PRAIRIE CENTER PKWY STE 2170 BRIGHTON CO 806014001 OUTPATIENT PHYSICIAN CLINIC 11 - PVMG - REUNION FAMILY MEDICINE 10569 CHAMBERS RD STE 102 COMMERCE CITY CO 800228951 OUTPATIENT PHYSICIAN CLINIC 12 - PVMG - WALK IN CARE 1450 DEXTER ST STE 102 FORT LUPTON CO 806211503 OUTPATIENT PHYSICIAN CLINIC 13 - PVMG - INTEGRATIVE INTERNAL MED 10569 CHAMBERS RD STE 102 COMMERCE CITY CO 800228951 OUTPATIENT PHYSICIAN CLINIC 14 - PVMG - FT LUPTON FAMILY MEDICINE 1450 DEXTER ST STE 101 FORT LUPTON CO 806211503 OUTPATIENT PHYSICIAN CLINIC 15 - PVMG - REUNION OBGYN 10569 CHAMBERS RD STE 103 COMMERCE CITY CO 800228951 OUTPATIENT PHYSICIAN CLINIC 16 - SCL HEALTH MG - ORTHOPEDICSFORT MORGAN 1000 LINCOLN ST FORT MORGAN CO 807013298 OUTPATIENT PHYSICIAN CLINIC 17 - PVMC- MEDICAL ONCOLOGY 1606 PRAIRIE CENTER PKWY STE 270 BRIGHTON CO 80601 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 6A: THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990,PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $11,046,805. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIES ARE THOSE THAT IMPROVE THE HEALTH AND SAFETY OF COMMUNITY MEMBERS BY ADDRESSING THE ROOT CAUSES OF PROBLEMS (E.G. POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS). PLATTE VALLEY MEDICAL CENTER (PVMC) DIRECTOR AND ADMINISTRATIVE STAFF SERVED ON COMMUNITY BOARDS AND CHAMBERS IN ORDER TO ASSIST WITH COMMUNITY BUILDING. PVMC ASSOCIATES SERVED ON THE CHAMBER OF COMMERCE OF BRIGHTON AND THE NON-PROFIT COUNCIL OF THE BRIGHTON CHAMBER, FT. LUPTON CHAMBER OF COMMERCE, COMMERCE CITY CHAMBER OF COMMERCE, SOUTHEAST WELD COUNTY CHAMBER OF COMMERCE, BRIGHTON URBAN RENEWAL ASSOCIATION, KIWANIS, ROTARY, STATE NURSING BOARD, ALMOST HOME BOARD, SENIOR CENTER ADVISORY BOARD, AND COLORADO HOSPITAL ASSOCIATION.PVMC HOSTED QUARTERLY NETWORKING MEETINGS OF THE BRIGHTON SERVICE AGENCY COALITION (BSAC). THE BSAC IS A COLLABORATIVE GROUP OF SOCIAL SUPPORT ORGANIZATIONS WHO SEEK OPPORTUNITIES TO STAY IN TUNE WITH EMERGING NEEDS IN THE COMMUNITY, GRANTS, AND POTENTIAL JOINT SOLUTION STRATEGIES TO IMPACT RESIDENTS. HOSTING THESE MEETINGS DECREASES DUPLICATION OF SERVICES AND THE PROMOTES THE BEST POSSIBLE USE OF RESOURCES. PVMC'S COMMUNITY HEALTH IMPROVEMENT PROGRAM (CHIP) PROVIDES GRANTS TO LOCAL NON-PROFIT ORGANIZATIONS SERVING THE PVMC COMMUNITY. THESE DONATIONS SUPPORT DIVERSE EFFORTS RELATED TO CHILD, SENIOR AND MENTAL HEALTH SERVICES, AS WELL AS SOCIAL DETERMINANTS OF HEALTH INCLUDING HOUSING SECURITY, FOOD STABILITY AND TRANSPORTATION.PART III, LINE 1: THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR REPORTING BAD DEBT. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. PART III, LINE 4: THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE:NET PATIENT SERVICE REVENUE GENERALLY RELATES TO CONTRACTS WITH PATIENTS IN WHICH THE PERFORMANCE OBLIGATIONS ARE TO PROVIDE HEALTH CARE SERVICES TO PATIENTS OVER A PERIOD OF TIME. REVENUE IS ESTIMATED FOR PATIENTS WHO HAVE NOT BEEN DISCHARGED AS OF THE REPORTING PERIOD BASED ON ACTUAL CHARGES INCURRED TO DATE IN RELATION TO TOTAL EXPECTED CHARGES. SCL HEALTH BELIEVES THIS METHOD PROVIDES A FAITHFUL DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATION. THE CONTRACTUAL RELATIONSHIP WITH PATIENTS ALSO TYPICALLY INVOLVES A THIRD-PARTY PAYER (MEDICARE, MEDICAID, MANAGED CARE PLANS, AND COMMERCIAL INSURANCE COMPANIES), AND THE TRANSACTION PRICES FOR THE SERVICES PROVIDED ARE DEPENDENT UPON THE TERMS PROVIDED BY OR NEGOTIATED WITH THE THIRD-PARTY PAYERS. THE PAYMENT ARRANGEMENTS WITH THIRD-PARTY PAYERS FOR THE SERVICES PROVIDED TO THE RELATED PATIENTS TYPICALLY SPECIFY PAYMENT OR REIMBURSEMENT TO SCL HEALTH AT OTHER-THAN-STANDARD CHARGES.BECAUSE ALL OF ITS PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR, SCL HEALTH HAS ELECTED TO APPLY THE OPTION EXEMPTION, AND THEREFORE, IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY SATISFIED AT THE END OF THE REPORTING PERIOD. THE UNSATISFIED OR PARTIALLY SATISFIED PERFORMANCE OBLIGATIONS REFERRED TO ABOVE ARE PRIMARILY RELATED TO INPATIENT SERVICES AT THE END OF THE REPORTING PERIOD. THE PERFORMANCE OBLIGATIONS FOR THESE CONTRACTS ARE GENERALLY COMPLETED WHEN PATIENTS ARE DISCHARGED, WHICH GENERALLY OCCURS WITHIN DAYS OR WEEKS OF THE END OF THE REPORTING PERIOD.NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATES OF IMPLICIT PRICE CONCESSIONS AND RETROACTIVE REVENUE ADJUSTMENTS DUE TO AUDITS, REVIEWS, AND INVESTIGATIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO UNINSURED PATIENTS AND PATIENTS WITH CO-PAYS, CO-INSURANCE AND DEDUCTIBLES AND ARE ESTIMATED BASED ON HISTORICAL COLLECTION DATA. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, OR INVESTIGATIONS. PART III, LINE 8: THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO. PART III, LINE 9B: AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. PART V, SECTION A, LINE 1 WEBSITE:WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/ PART VI, LINE 2: PVMC IS CONTINUOUSLY WORKING WITH AND REVIEWING THE NEEDS OF THE COMMUNITY IN ORDER TO PROVIDE ADDITIONAL SERVICE TO THOSE IN THE PVMC SERVICE AREA. THROUGH MEETINGS AND COLLABORATION WITH LOCAL AND STATE HEALTH AND SOCIAL SERVICE ORGANIZATIONS (E.G. TRI-COUNTY HEALTH DEPARTMENT, WELD COUNTY HEALTH DEPARTMENT, PENNOCK COUNSELING CENTER, REACH COMMUNITY CENTER, ADAMS COUNTY HEALTH INITIATIVE, CHA, AND ALMOST HOME), AND INDEPENDENT CONSULTANTS, PVMC MONITORS AND IDENTIFIES AREAS OF NEEDS IN THE COMMUNITY AND WORKS TO IDENTIFY WAYS TO ENSURE THAT THE NEEDS ARE ADDRESSED. PART VI, LINE 3: THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. PART VI, LINE 4: TOTAL POPULATION ON AVERAGE, THE POPULATION OF THE PVMC SERVICE AREA WAS 116,630 FROM 2012 TO 2016. ADAMS COUNTY HAD A POPULATION OF 479,977 AND WELD COUNTY'S POPULATION WAS 278,065. IN THE SERVICE AREA, 51.4% OF THE POPULATION WAS MALE AND 48.6% WERE FEMALE. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 30.4% OF THE POPULATION IN THE SERVICE AREA; 61.4% ARE ADULTS, AGES 18-64; AND 8.2% OF THE POPULATION ARE SENIORS, AGES 65 AND OVER. POPULATION BY YOUTH, AGES 0-17 AND SENIORS, AGES 65+, AND MEDIAN AGEWHEN THE HOSPITAL SERVICE AREA IS EXAMINED BY COMMUNITY, HENDERSON HAD THE LARGEST PERCENTAGE OF YOUTH, AGES 5-17 (23.9%) AND SMALLEST PERCENTAGE OF SENIORS (5.3%) IN THE SERVICE AREA. HUDSON HAD THE SMALLEST PERCENTAGE OF YOUTH (14.8%). KEENESBURG HAD THE HIGHEST PERCENTAGE OF SENIORS (15.6%) IN THE SERVICE AREA. RACE/ETHNICITY IN THE SERVICE AREA, 63.6% OF THE POPULATION WAS WHITE, 26.5% WERE HISPANIC/LATINO, 2.4% ARE ASIAN, AND 2% WERE BLACK/AFRICAN AMERICAN. THE SERVICE AREA HAD A HIGHER PERCENTAGE OF WHITES AND LOWER PERCENTAGE OF HISPANIC/LATINOS THAN THE STATE.RACE/ETHNICITY BY PLACE OVER HALF OF THE POPULATION IN COMMERCE CITY (50.2%) WAS HISPANIC OR LATINO. BRIGHTON HAD THE HIGHEST PERCENTAGE OF ASIANS IN THE SERVICE AREA. CITIZENSHIP IN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA, 12.6% OF RESIDENTS WERE FOREIGN BORN. OF THESE, 62.9% WERE NOT CITIZENS. LANGUAGE SPOKEN AT HOME FOR THE POPULATION 5 YEARS AND OVERALMOST THREE-QUARTERS OF THE POPULATION (74.5%) IN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA SPEAK ENGLISH ONLY IN THE HOME; 23.6% OF THE POPULATION SPEAKS SPANISH IN THE HOME, 1.8% SPEAKS AN ASIAN/PACIFIC ISLANDER LANGUAGE IN THE HOME. SOCIAL AND ECONOMIC FACTORS RANKINGSTHE COUNTY HEALTH RANKINGS RANKS COUNTIES ACCORDING TO HEALTH FACTORS DATA. SOCIAL AND ECONOMIC INDICATORS ARE EXAMINED AS A CONTRIBUTOR TO THE HEALTH OF A COUNTY'S RESIDENTS. COLORADO'S 64 COUNTIES ARE RANKED ACCORDING TO SOCIAL AND ECONOMIC FACTORS WITH 1 BEING THE COUNTY WITH THE BEST FACTORS TO 64 FOR THAT COUNTY WITH THE POOREST FACTORS. THIS RANKING EXAMINES: HIGH SCHOOL GRADUATION RATES, UNEMPLOYMENT, AND CHILDREN IN POVERTY, SOCIAL SUPPORT, AND OTHERS. ADAMS COUNTY IS RANKED 51, IN THE BOTTOM THIRD OF ALL COLORADO COUNTIES ACCORDING TO SOCIAL AND ECONOMIC FACTORS. WELD COUNTY IS RANKED AS 32, PLACING IT IN THE MIDDLE OF ALL COLORADO COUNTIES.HEALTH OUTCOMES RANKINGSCOUNTY HEALTH RANKINGS EXAMINES HEALTHY BEHAVIORS AND RANKS COUNTIES ACCORDING TO HEALTH BEHAVIOR DATA. COLORADO'S 64 COUNTIES ARE RANKED FROM 1 (HEALTHIEST) TO 64 (LEAST HEALTHY) BASED ON A NUMBER OF INDICATORS THAT INCLUDE: ADULT SMOKING, OBESITY, PHYSICAL INACTIVITY, EXCESSIVE DRINKING, SEXUALLY TRANSMITTED INFECTIONS, AND OTHERS. A RANKING OF 37 FOR ADAMS COUNTY PUTS IT IN THE BOTTOM HALF OF COLORADO COUNTIES FOR HEALTH BEHAVIORS. WELD COUNTY'S RANK OF 23 PLACES IT IN THE TOP THIRD.POVERTY LEVELSPOVERTY THRESHOLDS ARE USED FOR CALCULATING OFFICIAL POVERTY POPULATION STATISTICS AND ARE UPDATED EACH YEAR BY THE CENSUS BUREAU. FOR 2016, THE FEDERAL POVERTY THRESHOLD FOR ONE PERSON WAS $11,880, AND $24,300 FOR A FAMILY OF FOUR. IN THE SERVICE AREA, OVER 11.3% OF THE POPULATION WAS LIVING AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL), AND 28.9% WERE CONSIDERED LOW-INCOME (LIVING AT OR BELOW 200% FPL). THESE POVERTY RATES WERE LOWER THAN THE COUNTY RATES OF POVERTY.POVERTY LEVELS OF INDIVIDUALS, CHILDREN UNDER AGE 18, AND SENIORS 65+ EXAMINING POVERTY LEVELS BY COMMUNITY PAINTS AN IMPORTANT PICTURE OF THE POPULATION. 14.7% OF CHILDREN IN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA WERE LIVING IN POVERTY. 10.1% OF SENIORS IN THE SERVICE AREA WERE LIVING IN POVERTY. KEENESBURG HAD THE HIGHEST RATE OF POVERTY AMONG CHILDREN (31.2%) IN THE SERVICE AREA. COMMERCE CITY SENIORS HAD THE HIGHEST RATE OF POVERTY (18%) AMONG SERVICE AREA CITIES. MEDIAN HOUSEHOLD INCOMETHE MEDIAN HOUSEHOLD INCOME FOR THE SERVICE AREA RANGED FROM $53,633 IN FORT LUPTON TO $101,105 IN BRIGHTON (80602). EDUCATIONAL ATTAINMENT (AGE 25+) OF THE POPULATION AGE 25 AND OVER, 16.6% HAD NOT ATTAINED A HIGH SCHOOL DIPLOMA, WHICH WAS HIGHER THAN THE STATE (9%). IN THE SERVICE AREA, 29.0% OF ADULTS, 25 YEARS AND OLDER, WERE HIGH SCHOOL GRADUATES. 16.3% OF THE POPULATION IN THE SERVICE AREA HAD A COLLEGE DEGREE. HIGH SCHOOL GRADUATES, 2017-2018HIGH SCHOOL GRADUATION RATES ARE CALCULATED AS THE PERCENTAGE OF HIGH SCHOOL GRADUATES THAT GRADUATED FOUR YEARS AFTER STARTING NINTH GRADE. IN THE SERVICE AREA, THE HIGH SCHOOL GRADUATION RATES RANGED FROM 70.3% IN WELD COUNTY S/D RE-8 TO 77.4% IN BRIGHTON SCHOOL DISTRICT 27J. THE HEALTHY PEOPLE 2020 OBJECTIVE FOR THE HIGH SCHOOL GRADUATION RATE IS 87%. HOMELESS POINT-IN-TIME COUNT, JANUARY 2017THE POINT-IN-TIME (PIT) COUNT IS AN ANNUAL SURVEY OF THE NUMBER AND CHARACTERISTICS OF HOMELESS PERSONS AT A SINGLE POINT IN TIME. ADAMS COUNTY WAS PART OF THE METRO DENVER HOMELESS INITIATIVE PIT COUNT2. WELD COUNTY WAS REPORTED IN THE BALANCE OF STATE CONTINUUM OF CARE PIT COUNT, WHICH COVERED THE NON-METRO AND RURAL AREAS OF COLORADO. THE MAJORITY OF HOMELESS PERSONS WERE SHELTERED. 23.2% OF HOMELESS INDIVIDUALS IN ADAMS COUNTY WERE CHRONICALLY HOMELESS AND 15.0% IN WELD COUNTY WERE CHRONICALLY HOMELESS. AGE-ADJUSTED DEATH RATE, 2016THE CRUDE DEATH RATE IS A RATIO OF THE NUMBER OF DEATHS TO THE ENTIRE POPULATION. AGE-ADJUSTED DEATH RATES ELIMINATE THE BIAS OF AGE IN THE MAKEUP OF THE POPULATIONS BEING COMPARED. WHEN COMPARING ACROSS GEOGRAPHIC AREAS, AGE-ADJUSTING IS TYPICALLY USED TO CONTROL FOR THE INFLUENCE THAT DIFFERENT POPULATION AGE DISTRIBUTIONS MIGHT HAVE ON HEALTH RATES. WHEN ADJUSTED FOR AGE, THE DEATH RATE FOR ADAMS COUNTY WAS 800.5 PER 100,000 PERSONS AND IN WELD COUNTY THE DEATH RATE WAS 669.8 PER 100,000 PERSONS. CANCER DEATH RATES, CRUDE AND AGE-ADJUSTED DEATH RATE PER 100,000 PERSONS, 2016THE DEATH RATE IN ADAMS COUNTY FOR BREAST CANCER IS 10.1 AND IN WELD COUNTY IT IS 9.5 PER 100,000 PERSONS. THESE ARE LOWER THAN THE STATE RATE (10.6 PER 100,000 PERSONS). WHEN EXAMINING THE RATE OF DEATH DUE TO COLORECTAL CANCER, THE AGE-ADJUSTED RATE IN ADAMS COUNTY IS 14.1 AND IN WELD COUNTY IT IS 10.7 PER 100,000 PERSONS. WELD COUNTY IS LOWER THAN THE STATE RATE (11.7) AND BOTH COUNTIES ARE LOWER THAN THE HEALTHY PEOPLE 2020 OBJECTIVE OF 14.5 DEATHS PER 100,000 PERSONS AS A RESULT OF COLORECTAL CANCER. THE AGE-ADJUSTED RATE OF DEATH FOR ALL CANCERS IN ADAMS COUNTY IS 158.1 AND IN WELD COUNTY IT IS 133.3 PER 100,000 PERSONS. ADAMS COUNTY IS HIGHER THAN THE STATE RATE OF DEATH BY CANCER (136.9) BUT BOTH COUNTIES ARE LOWER THAN THE HEALTHY PEOPLE 2020 OBJECTIVE OF 161.4 PER 100,000 PERSONS FOR ALL CANCERS.HEART DISEASE DEATH RATE, AGE-ADJUSTED DEATH RATE PER 100,000 PERSONS, 2016ADAMS COUNTY HAS AN AGE-ADJUSTED RATE OF DEATH DUE TO HEART DISEASE OF 136.5 PER 100,000 PERSONS. IN WELD COUNTY THE HEART DISEASE AGE-ADJUSTED DEATH RATE IS 131.1. THESE RATES EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE OF 103.4 DEATHS PER 100,000 PERSONS. STROKE DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2016THE RATE OF DEATH BY STROKE PER 100,000 PERSONS IN ADAMS COUNTY (33.1) AND WELD COUNTY (33.5) EXCEED THE STATE RATE (32.9) BUT ARE LOWER THAN THE HEALTHY PEOPLE 2020 OBJECTIVE (34.8). UNINTENTIONAL INJURY DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2016IN ADAMS COUNTY THE DEATH RATE FOR UNINTENTIONAL INJURIES IS 53.8 PER 100,000 PERSONS. IN WELD COUNTY THE RATE IS 44.1. THESE EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE FOR UNINTENTIONAL INJURY DEATHS OF 36.4 PER 100,000 PERSONS.DIABETES DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2016THE AGE-ADJUSTED DEATH RATE FOR DIABETES IN ADAMS COUNTY IS 18.9 PER 100,000 PERSONS, AND IN WELD COUNTY IT IS 19.5. SUICIDE DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2016THE RATE OF DEATH BY SUICIDE IN ADAMS COUNTY IS 17.6 AND IN WELD COUNTY IT IS 19.5 PER 100,000 PERSONS. THESE RATES EXCEED THE HEALTHY PEOPLE OBJECTIVE OF 10.2 DEATHS PER 100,000 PERSONS FROM SUICIDE.DRUG-INDUCED DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2016THE RATE OF DRUG-INDUCED DEATHS IN ADAMS COUNTY (19.2, RANKING 3RD IN THE STATE) AND WELD COUNTY (13.3, RANKING 8TH IN THE STATE) EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE OF 11.3 DEATHS PER 100,000 PERSONS.ALCOHOLIC LIVER DISEASE, AGE-ADJUSTED PER 100,000 PERSONS, 2016THE RATE OF DEATH DUE TO ALCOHOLIC LIVER DISEASE IS 13.4 PER 100,000 PERSONS IN ADAMS COUNTY AND 8.3 IN WELD COUNTY.HEALTH INSURANCE COVERAGE, CIVILIAN NON-INSTITUTIONALIZED POPULATION, AGES 18-64HEALTH INSURANCE COVERAGE IS CONSIDERED A KEY COMPONENT TO ACCESSING HEALTH CARE. AMONG THE ADULT POPULATION IN ADAMS COUNTY, 84.4% HAVE HEALTH INSURANCE, A LOWER RATE THAN THE STATE (89.1%). IN WELD COUNTY, CONTINUED BELOW PART VI, LINE 5: A VARIETY OF DIRECTORS AND ADMINISTRATORS PARTICIPATED ON COMMUNITY BOARDS AND CHAMBERS IN ORDER TO ASSIST WITH COMMUNITY BUILDING. PVMC ASSOCIATES SERVED ON THE CHAMBER OF COMMERCE OF BRIGHTON AND THE NON-PROFIT COUNCIL OF THE BRIGHTON CHAMBER, FT. LUPTON CHAMBER OF COMMERCE, COMMERCE CITY CHAMBER OF COMMERCE, SOUTHEAST WELD COUNTY CHAMBER OF COMMERCE, BRIGHTON URBAN RENEWAL ASSOCIATION, KIWANIS, ROTARY, BRIGHTON LEGACY FOUNDATION, ALMOST HOME BOARD, SENIOR CENTER ADVISORY BOARD, AND COLORADO HOSPITAL ASSOCIATION.PVMC HOSTS 4 QUARTERLY MEETINGS ANNUALLY OF THE BRIGHTON SERVICE AGENCY (BSAC). THE BSAC IS HOSTED AT THE HOSPITAL FOR MEMBERS OF THE LOCAL SOCIAL SUPPORT AGENCIES. ORGANIZATIONS CAN ANNOUNCE PROGRAMS AND SPECIAL EVENTS AND COLLABORATION INTEREST WITH OTHER LOCAL AGENCIES. THE MEETING DECREASES DUPLICATION OF SERVICES AND THE PROMOTES THE BEST POSSIBLE USE OF RESOURCES.PVMC'S COMMUNITY HEALTH IMPROVEMENT PROGRAM (CHIP) PROVIDED $130,500 IN GRANTS TO LOCAL NON-PROFIT ORGANIZATIONS SERVING THE PVMC COMMUNITY. ORGANIZATIONS INCLUDED: 1)COLD WEATHER CARE, 2)GROWING COLORADO KIDS, 3)BROTHERS REDEVELOPMENT, 4) ALMOST HOME, 5)PENNOCK CENTER FOR COUNSELING, 6)FT. LUPTON HIGH SCHOOL, 7) CASA, 8)RICHARD LAMBERT FOUNDATION, 9)LIFE STORIES CHILD AND FAMILY ADVOCACY, 10)WELD FOOD BANK, 11)VIA MOBILITY, 12)SHOPNECK BOYS AND GIRLS CLUB, 13) BRIGHTON SEVENTH DAY ADVENTIST CHURCH AND 14)THE SENIOR HUB. REQUESTS INCLUDED: 1)GENERAL OPERATING FUNDS FOR HOMELESS SHELTER OPERATING OUT OF LOCAL CHURCHES DURING THE WINTER MONTHS, 2) FUNDS TO PAY FOR 2019 FOOD AND NUTRITION PROGRAM FOR REFUGEE CHILDREN FARM PROGRAM, 3) FUNDS TO PERFORM MINOR HOME REPAIRS AND MODIFICATIONS FOR LOW-INCOME BRIGHTON RESIDENTS 4)PROVIDE RENTAL ASSISTANCE TO FAMILIES AT RISK OF EVICTION, 5)GENERAL OPERATING EXPENSES TO ALLOW FOR A SLIDING FEE SCALE FOR COUNSELING SERVICES OF LOW INCOME CLIENTS, 6)PURCHASE HELMETS FOR A HIGH SCHOOL FOOTBALL PROGRAM TO MINIMIZE THE RISK OF CONCUSSIONS, 7) SALARY SUPPORT FOR A SENIOR PROGRAM COORDINATOR AT A CHILD ADVOCACY GROUP 8) FREE PROGRAMS OR PROFESSIONAL COUNSELING SERVICES ON A SLIDING FEE SCALE FOR THOSE WHO HAVE SUFFERED THE DEATH OF A LOVED ONE 9) SERVICES TO CHILD VICTIMS OF SEXUAL ASSAULT, CHILD ABUSE OR NEGLECT, DOMESTIC VIOLENCE, CHILDREN WHO HAVE WITNESSED VIOLENT CRIME, AND DRUG ENDANGERED CHILDREN 10) FUNDS TO PROVIDE FRESH FRUITS AND VEGETABLES TO HUDSON (CONSIDERED A "LOW ACCESS" COMMUNITY BECAUSE OF THE LACK OF ACCESS TO SOURCES OF HEALTHY FOOD) RESIDENTS BY WAY OF A MOBILE FOOD PANTRY, 11) SUPPLEMENT THE COST OF PROVIDING DOOR TO DOOR TRANSPORTATION FOR SENIORS AND PEOPLE WITH DISABILITIES 12) GENERAL OPERATIONS OF THE SHOPNECK BOYS AND GIRLS CLUB PROGRAMS INCLUDING: FAMILY COOKING CLASSES; SMART MOVES; DRAW THE LINE/RESPECT THE LINE; SPORTS, FITNESS AND RECREATION; DAILY MEALS AND HEALTHY SNACKS, 13) ADMINISTRATIVE SUPPORT FOR THE FOOD BANK OF THE ROCKIES AND FOR EQUIPMENT AND MAINTENANCE FOR THE FOOD BANK, AND 14) OFFSET 400 HOURS FOR SERVICES TO OLDER ADULTS WHO CANNOT AFFORD FEES FOR NON-MEDICAL IN-HOME SUPPORT SUCH AS MEAL PREPARATION, LIGHT HOUSEKEEPING, LAUNDRY AND PERSONAL CARE. PART VI, LINE 6: THE ORGANIZATION IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION: "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITIES, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES EIGHT HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 200 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,900 EMPLOYEES AND MORE THAN 800 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION, REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES, TAX SERVICES AND MISSION INTEGRATION. SCHEDULE H, PART VI, LINE 4 (CONTINUED) 89.0% OF THE POPULATION HAS HEALTH INSURANCE.UNINSURED CHILDREN, AGES 0-17AMONG CHILDREN IN ADAMS COUNTY, 8.2% ARE UNINSURED (91.8% INSURED), COMPARED TO 7.5% WHO ARE UNINSURED (92.5% INSURED) IN WELD COUNTY.ADULTS WITH UNMET MEDICAL NEED DUE TO COST17% OF ADULTS IN ADAMS AND 16% OF ADULTS IN WELD COUNTIES HAD AN UNMET MEDICAL NEED BECAUSE THEY WERE NOT ABLE TO AFFORD CARE. THESE RATES ARE HIGHER THAN FOUND IN THE STATE (14%).MENTAL HEALTH PROVIDERS, NUMBER AND RATIO, 2015MENTAL HEALTH PROVIDERS INCLUDE PSYCHIATRISTS, CLINICAL PSYCHOLOGISTS, CLINICAL SOCIAL WORKERS, AND CERTIFICATIONS. IN ADAMS COUNTY, THE RATIO OF THE POPULATION TO MENTAL HEALTH PROVIDERS IS 340:1. IN WELD COUNTY THE RATIO IS 460:1. IN THE STATE THE RATIO IS 392:1. FAIR OR POOR HEALTH, ADULTS, 2013-2015WHEN ASKED TO SELF-REPORT ON HEALTH STATUS, 17.3% OF ADULTS IN ADAMS COUNTY AND 14.5% IN WELD COUNTY INDICATED THEY WERE IN FAIR OR POOR HEALTH. THESE RATES ARE HIGHER THAN FOUND IN THE STATE (13.7%).ADULT SMOKERS, 2015-2017THE PERCENTAGE OF ADULTS, 18 AND OVER, IN ADAMS COUNTY WHO SMOKE CIGARETTES IS 19.3%, AND IN WELD COUNTY IT IS 16.6%. THESE RATES ARE HIGHER THAN THE STATE (16.3%), AND ALL EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE OF 12%. PHYSICAL OR MENTAL UNHEALTHY DAYS IN PREVIOUS 30 DAYS, ADULTS, 3-YEAR AVERAGE 2013-2015THE AVERAGE NUMBER OF PHYSICALLY UNHEALTHY DAYS EXPERIENCED BY ADULTS IN ADAMS COUNTY IN THE LAST 30 DAYS WAS 3.6 DAYS. ADAMS COUNTY ADULTS EXPERIENCED 3.5 MENTALLY UNHEALTHY DAYS A MONTH. IN WELD COUNTY, ADULTS EXPERIENCED AN AVERAGE OF 3.3 PHYSICALLY UNHEALTHY DAYS AND 3.3 MENTALLY UNHEALTHY DAYS A MONTH.FREQUENT MENTAL DISTRESS, ADULT, 2016THE PERCENTAGE OF THE ADULT POPULATION REPORTING MORE THAN 14 DAYS OF POOR MENTAL HEALTH PER MONTH WAS 9.6% IN ADAMS COUNTY AND 9.1% IN WELD COUNTY.BINGE DRINKING, ADULTS, 2015-17BINGE DRINKING IS DEFINED AS CONSUMING FIVE OR MORE DRINKS ON ONE OCCASION FOR MEN AND FOUR OR MORE FOR WOMEN. 17.1% OF ADULTS IN ADAMS COUNTY AND 17.7% IN WELD COUNTY ENGAGED IN BINGE DRINKING IN THE PAST MONTH. 1 PLATTE VALLEY MEDICAL CENTER FOUNDATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 742255936 501(C)(3) 200203 SUPPORT MISSION PENNOCK CENTER COUNSELING 211 S 21ST AVE BRIGHTON CO 80601 200986823 501(C)(3) 30000 SUPPORT OPERATIONS SHOPNECK BOYS AND GIRLS CLUB 1800 E LONGS PEAK ST BRIGHTON CO 80601 840510404 501(C)(3) 25000 SUPPORT OPERATIONS ALMOST HOME 231 NORTH MAIN STREET BRIGHTON CO 80601 841220644 501(C)(3) 20000 SUPPORT OPERATIONS COLD WEATHER CARE PO BOX 351594 WESTMINSTER CO 80035 812314182 501(C)(3) 20000 TRANSPORTATION WELD COUNTY FOOD BANK 1108 H STREET GREELEY CO 80631 742244826 501(C)(3) 15000 FOOD VIA MOBILITY SERVICES 2855 N 63RD STREET BOULDER CO 80301 840777296 501(C)(3) 15000 TRANSPORTATION FOR SENIORS AND DISABLED FORT LUPTON HIGH SCHOOL 530 REYNOLDS ST FORT LUPTON FORT LUPTON CO 80621 846002059 501(C)(3) 12000 SAFER FOOTBALL HELMETS BRIGHTON SDA FOOD BANK 567 E BROMLEY LN BRIGHTON CO 80601 841210598 501(C)(3) 12000 SUPPORT OPERATIONS CASA 1100 JUDICIAL CENTER DR BRIGHTON CO 80601 311657019 501(C)(3) 10000 SUPPORT OPERATIONS A PRECIOUS CHILD 557 BURBANK STREET UNIT E BROOMFIELD CO 80020 263349334 501(C)(3) 10000 SUPPORT OPERATIONS RICHARD LAMBERT FOUNDATION 457 S 4TH AVE BRIGHTON CO 80601 463655727 501(C)(3) 10000 SUPPORT OPERATIONS THE SENIOR HUB 9025 GRANT SUITE 150 THORNTON CO 80229 742412032 501(C)(3) 9200 SUPPORT OPERATIONS GREATER BRIGHTON CHAMBER OF COMMERCE 155 E BRIDGE ST BRIGHTON CO 80601 840453833 501(C)(6) 6000 SUPPORT COMMUNITY HEALTH 13 1 PART I, LINE 2: ALL GRANT RECIPIENTS ARE FIRST REQUIRED TO SUBMIT APPLICATIONS WHICH DETAIL THE INTENDED USES OF GRANT FUNDS. AFTER GRANTS HAVE BEEN AWARDED, RECIPIENTS ARE REQUIRED TO COMPLETE A FINAL REPORT INDICATING HOW GRANT FUNDS WERE ACTUALLY SPENT. X X X X X X 0 1 0 0 0 0 0 1 0 TAJQUAH HUDSON DIRECTOR 0 580884 0 226828 0 154096 0 173482 0 8373 0 1143663 0 131633 SHAWN DUFFORD MD DIRECTOR 0 516135 0 204065 0 94911 0 97199 0 22035 0 934345 0 76429 MATTHEW GAWART MD PVMC PHYSICIAN APEX SURGERY 461763 0 374322 0 5353 0 22400 0 3159 0 866997 0 0 0 JOHN HICKS CEO/PRESIDENT 509321 0 218840 0 22675 0 103591 0 9213 0 863640 0 0 0 DANIEL HAMMAN MD PVMC PHYSICIAN MOUNTAIN VIEW ORTHO 481519 0 287825 0 1568 0 20160 0 28946 0 820018 0 0 0 RYAN GERRY MD PVMC PHYSICIAN APEX SURGERY 458159 0 297364 0 2508 0 22400 0 27940 0 808371 0 0 0 AARON BAXTER MD PVMC PHYSICIAN MOUNTAIN VIEW ORTHO 473678 0 167340 0 3514 0 14824 0 30241 0 689597 0 0 0 DONALD RABOR MD PVMC PHYSICIAN HIGH PLAINS 473611 0 161151 0 5025 0 18258 0 26666 0 684711 0 0 0 KIRK QUACKENBUSH MD VP CHIEF MEDICAL OFFICER PVMC 306998 0 81761 0 4417 0 44448 0 19098 0 456722 0 0 0 KURT GENSERT VP CHIEF OPERATING/NURSING OFFICER - 302053 0 71257 0 3620 0 48218 0 24052 0 449200 0 0 0 SEAN FADDEN VP FINANCE PVMC 186710 0 48786 0 643 0 29717 0 8311 0 274167 0 0 0 PART I, LINE 3 COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR THE ORGANIZATIONS OFFICERS AND SENIOR MANAGEMENT ARE PAID BY PLATTE VALLEY MEDICAL CENTER (PVMC). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) BOARD COMPENSATION COMMITEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. PART I, LINE 4B PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. THE RELATED ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THE AMOUNTS ARE VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE VESTED IN THE CURRENT YEAR, ARE CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. FOR SOME OF THE PARTICIPANTS, AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE FEDERAL AND STATE GOVERNMENTS AS WITHHOLDING ON THE TAXABLE BENEFIT. NO CASH PAYMENT IS MADE DIRECTLY TO THE PARTICIPANT AND THE REMAINING BENFIT AMOUNT STAYS IN THE RETIREMENT PLAN. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2019 WERE: NONE. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2019. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2019 WERE: SHAWN DUFFORD, MD - $76,429, TAJQUAH HUDSON - $131,633. IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E. PART I, LINE 7 THE AT-RISK COMPENSATION (ARC) PLAN WAS ESTABLISHED TO ENABLE SCL HEALTH TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION AND STRATEGIC IMPERATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND AWARD OPPORTUNITIES ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR MANAGEMENT LEVEL AT SCL HEALTH. ACTUAL AWARDS WILL BE PAID OUT BASED ON ATTAINMENT OF SELECTED SCL HEALTH BOARD-APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, PATIENT AND ASSOCIATE SAFETY AND PATIENT EXPERIENCE AND TARGETS AND FULFILLMENT OF OUR MISSION. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON. SCHEDULE J - ADDITIONAL OFFICER AND BOARD DISCLOSURES THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF EIGHT HOSPITALS, NINE FOUNDATIONS, TWO SAFETY-NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 200 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,900 FULL-TIME ASSOCIATES AND MORE THAN 800 EMPLOYED PROVIDERS. SCL HEALTH AND RELATED TAX EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCL HEALTH'S CORE VALUE OF STEWARDSHIP, SCL HEALTH'S BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES. 990, PAGE 1, LINE J WEBSITE HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/ FORM 990, PART VI, SECTION A, LINE 6 INTEGRITY HEALTH IS THE SOLE MEMBER OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION. FORM 990, PART VI, SECTION A, LINE 7A INTEGRITY HEALTH, THE SOLE MEMBER OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION, APPROVES MEMBERS OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B INTEGRITY HEALTH HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. INTEGRITY HEALTH ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C BRIGHTON COMMUNITY HOSPITAL ASSOCIATION AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND DIRECTOR LEVEL MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT UPON HIRE/APPOINTMENT AND ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCL HEALTH'S PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS DETERMINED TO CONSTITUTE A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR SYSTEM INTEGRITY AND COMPLIANCE COMMITTEE AND TO THE AUDIT COMMITTEE, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY PLATTE VALLEY MEDICAL CENTER (PVMC). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH)BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: FUND BALANCE ADJ FOR INVESTMENT IN PLATTE VALLEY MEDICAL CENTER FOUNDATION -1,851,404. EQUITY TRANSFER - LONG LIVED ASSETS 316,364. 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