Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
NATIONAL JEWISH HEALTH
 
Employer identification number
74-2044647
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A Colorado Health Facilities Authority
  		84-0752932 196474V98 01-20-2005 13,500,000 Construction of a clinical and research facility   X   X   X
B Colorado Health Facilities Authority
  		84-0752932 19648AXX8 03-20-2012 28,176,276 Refunding of the Series 1998 and 1998B CHFA Bonds dated 4/1/98 and 11/1/98, respectively   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired ................. 1,800,000 0    
2 Amount of bonds legally defeased ........... 0 0    
3 Total proceeds of issue .................. 13,500,000 28,176,276    
4 Gross proceeds in reserve funds ............ 782,800 2,704,750    
5 Capitalized interest from proceeds ............ 0 0    
6 Proceeds in refunding escrows ............ 0 0    
7 Issuance costs from proceeds ............ 225,000 466,581    
8 Credit enhancement from proceeds ............ 15,000 0    
9 Working capital expenditures from proceeds ............ 0 0    
10 Capital expenditures from proceeds ............ 12,447,200 0    
11 Other spent proceeds ............ 0 25,004,945    
12 Other unspent proceeds ............ 0 0    
13 Year of substantial completion ............ 2007
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .....   X X          
15 Were the bonds issued as part of an advance refunding issue? ....   X   X        
16 Has the final allocation of proceeds been made? ............ X   X          
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ............ X   X          


Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .......   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? ........   X            
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
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Schedule K (Form 990) 2013
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Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............   X            
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? .................. X              
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?   X            
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ..... SchKMediumBullet 0.53 %      
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ..........SchKMediumBullet 0 %      
6 Total of lines 4 and 5 ............ 0.53 %      
7 Does the bond issue meet the private security or payment test? ....   X            
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?............   X            
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ....... 		  X            
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? .....   X   X        
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .....   X X          
b Exception to rebate? .....   X   X        
c No rebate due? ....... X     X        
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? .... X     X        
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X        
b Name of provider .....  
  		 
  		 
  		 
 
c Term of hedge .........        
d Was the hedge superintegrated? .....                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2013
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Schedule K (Form 990) 2013
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Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X        
b Name of provider ........  
  		 
  		 
  		 
 
c Term of GIC ........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ......                
6 Were any gross proceeds invested beyond an available temporary period?   X   X        
7 Has the organization established written procedures to monitor the requirements of section 148? .....   X   X        
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X   X        
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part II, Line 7-01/20/2005 13,500,000 Colorado Health Facilities Authority In January 2002, the Colorado Health Facilities Authority issued $13,500,000 aggregate principal amount of its Series 2005 Revenue Bonds (the 2005 Bonds) dated January 20, 2005. Proceeds from the 2005 Bonds were used to finance the construction of a clinical and research building, as well as several renovation projects and equipment. Issuance costs from the proceeds totaled $270,000. $255,000 was used to pay bond issuance costs including the underwriter's discount, rating agency fees, bond counsel and trustee fees. The remaining $15,000 was used to pay for credit enhancement fees. In March 2012, the Colorado Health Facilities Authority issued $26,790,000 aggregate principal amount of its Series 2012 Refunding Revenue Bonds (the 2012 Bonds) dated March 20, 2012. Proceeds from the 2102 Bonds were used to refund the Colorado Health Facilities Revenue Bonds Series 1998 and 1998B. Issuance costs from the proceeds totaled $466,581.
Schedule K, Part III, Line 4-01/20/2005 13,500,000 Colorado Health Facilities Authority National Jewish Health's world renowned research staff periodically engages in clinical pharmaceutical studies sponsored by corporations. During the fiscal year ended June 30, 2013, there was some research that resulted in private business use for the property that was financed by the Series 2005 Revenue Bonds. The average percentage of the financed property that was used in private business use by a nongovernmental entity during the year was less than one percent (1%). None of the private business use is considered an unrelated trade or business.
Schedule K, Part IV, Line 2c-01/20/2005 13,500,000 Colorado Health Facilities Authority Kutak Rock Arbitrage Consulting prepared the report concerning the arbitrage rebate liability on February 8, 2010. The report concluded there was no arbitrage rebate liability as of January 20, 2010. The next rebate calculation date is January 20, 2015.
Schedule K (Form 990) 2013

Additional Data


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