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
2012
Open to Public
Inspection
Name of the organization
CRAIG HOSPITAL FOUNDATION
 
Employer identification number
23-7352287
Part I
General Information on Grants and Assistance
1
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? ....................................
2
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. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) CRAIG HOSPITAL
3425 S CLARKSON
ENGLEWOOD,CO80113
84-0404233 501C3 10,573,363       PROGRAM SUPPORT
(2) UNIVERSITY OF COLORADO FOUNDATION
4740 WALNUT ST
BOULDER,CO80301
84-6049811 501C3 50,000       RESEARCH SUPPORT
(3) CNS MEDICAL GROUP PC
3425 S CLARKSON
ENGLEWOOD,CO80113
84-0616568   91,650       RESEARCH SUPPORT
(4) SCOTT FALCI MD
3425 S CLARKSON
ENGLEWOOD,CO80113
84-1235373   100,000       RESEARCH SUPPORT
(5) CNS BIOSCIENCE INC
12635 MONTVIEW BVLD
AURORA,CO80010
46-3587880   24,838       RESEARCH SUPPORT














2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
3
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012
Page 2

Schedule I (Form 990) 2012
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.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance
(1) PATIENT ASSISTANCE - MOBILITY EQUIPMENT 261 183,894      
(2) PATIENT ASSISTANCE - FINANCIAL ASSISTANCE 432 501,184      
(3) PATIENT ASSISTANCE - ALUMNI SCHOLARSHIPS 37 27,776      








Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: PROFESSIONAL COUNSELING STAFF INCLUDING STAFF FROM PATIENT FAMILY SERVICES AND FOLLOW-UP SERVICES (DEPARTMENTS AT CRAIG HOSPITAL) CAN INITIATE AN APPLICATION REQUEST ON BEHALF OF A PATIENT. EACH REQUEST MUST BE APPROVED BY A DEPARTMENT DIRECTOR BEFORE THE BUSINESS OFFICE CAN PREPARE PAYMENT FOR THE NEED. CRAIG HOSPITAL FOUNDATION STAFF REVIEW EACH REQUEST TO ENSURE EXPENSES MEET DONOR-INTENT AND TO PLAN FOR FUTURE FUNDING NEEDS.
Schedule I (Form 990) 2012


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