SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
Catholic Health Initiatives Colorado
 
Employer identification number

84-0405257
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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, as a factor in determining eligibility for free or discounted care.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
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? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (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) . . . 		    2,703,868   2,703,868 0.15 %
b Medicaid (from Worksheet 3, column a) . . . . .     143,528,721   143,528,721 7.90 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     8,545,182   8,545,182 0.47 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 154,777,771 0 154,777,771 8.52 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     5,779,010   5,779,010 0.32 %
f Health professions education (from Worksheet 5) . . .     4,408,466   4,408,466 0.24 %
g Subsidized health services (from Worksheet 6) . . . .     2,763,627   2,763,627 0.15 %
h Research (from Worksheet 7) .     88,693   88,693 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     345,859   345,859 0.02 %
j Total. Other Benefits . . 0 0 13,385,655 0 13,385,655 0.74 %
k Total. Add lines 7d and 7j . 0 0 168,163,426 0 168,163,426 9.25 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
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.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 0 0 0 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
56,044,000
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
421,623,389
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
611,523,374
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-189,899,985
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1ORTHOCOLORADO LLC
  		HOSPITAL 60 % 0 % 40 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?9
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 PENROSE-ST FRANCIS HEALTH SERVICES
2222 N NEVADA AVE
COLORADO SPRINGS,CO80907
www.penrosestfrancis.org
010543 		X X   X X X X   ICU & CCU, CANCER CENTER, IP REHAB A
2 ST ANTHONY HOSPITAL
11600 WEST 2ND PLACE
LAKEWOOD,CO80228
www.stanthonyhosp.org
010429 		X X   X     X     A
3 MERCY REGIONAL MEDICAL CENTER
1010 THREE SPRINGS BLVD
DURANGO,CO81301
www.mercydurango.org
011213 		X X         X     A
4 ST MARY-CORWIN MEDICAL CENTER
1008 MINNEQUA AVE
PUEBLO,CO81004
www.stmarycorwin.org
010650 		X X   X     X     A
5 ST FRANCIS MEDICAL CENTER
6001 E WOODMAN RD
COLORADO SPRINGS,CO80923
www.penrosestfrancis.org
01H523 		X X         X   BIRTH CENTER, NICU - IIIA, ICU A
6 ST ANTHONY NORTH HOSPITAL
2551 W 84TH AVE
WESTMINSTER,CO80031
www.stanthonynorth.org
010402 		X X   X     X     A
7 ST ANTHONY SUMMIT MEDICAL CENTER
340 PEAK ONE DRIVE
FRISCO,CO80443
www.summitmedicalcenter.org
011155 		X X         X     A
8 ST THOMAS MORE HOSPITAL
1338 PHAY AVENUE
CANON CITY,CO81212
www.stmhospital.org
010623 		X X         X     A
9 OrthoColorado Hospital
11650 West 2nd Place
Lakewood,CO80255
www.orthocolorado.org
01U246 		X X         X     A
Schedule H (Form 990) 2015
Page 4
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE STATEMENT
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Page 5
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE STATEMENT
b
SEE STATEMENT
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Page 6
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

A
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Page 7
Schedule H (Form 990) 2015
Page 7
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - ALL FACILITIES. In order to assess the needs of our community, we created a hospital subcommittee to solicit and take into account input from individuals representing the broad interest of our community. Our hospital subcommittee was made up of key stakeholder and individuals who represented the broader interests of our community. Public Health representatives attended every meeting and provided input into the process of narrowing the selection of health issues. Once health needs were prioritized, we determined groups and individuals appropriate for focus groups, being sure to solicit input from underserved or minority groups within the communities we serve. These focus groups helped identify particularly important needs as seen by our communities, help us identify gaps in knowledge, and understand current external efforts around health needs that could be improved by healthcare participation.
Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - PENROSE-ST FRANCIS. (1) PENROSE HOSPITAL AND (2) ST FRANCIS MEDICAL CENTER
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - ALL FACILITIES. SEE ATTACHED IMPLEMENTATION STRATEGIES
Schedule H, Part V, Section B, Line 22 Facility A, 1 Facility A, 1 - ALL FACILITIES. NO INDIVIDUAL ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE CHARGED MORE THAN AMOUNTS GENERALLY BILLED TO THOSE WHO HAVE INSURANCE COVERING SUCH CARE.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2015
Page 8
Schedule H (Form 990) 2015
Page 8
Part VFacility Information (continued)

Section D. 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?0
Name and address Type of Facility (describe)
1 Synergy Orthopedics
8510 Bryant St Suite 320
Westminster,CO80031 		Physician clinic
2 VILLAS AT SUNNY ACRES
2501 EAST 104TH AVE
THORNTON,CO80233 		SKILLED NURSING ASSISTED LIVING INDEPENDENT LIVING
3 SMC GASTROENTEROLOGY
1925 E ORMAN
PUEBLO,CO81004 		GASTROENTEROLOGY PRACTICE
4 WOMEN'S HEALTH SPECIALISTS
13691 Colorado Blvd Suite 106
thornton,CO80602 		WOMEN'S CARE CLINIC
5 DURANGO URGENT CARE AT DMR
1 SKIER PLACE
DURANGO,CO81301 		URGENT CARE
6 PSF Primary Care Health Care Services
2960 N Circle Dr Suite 100
Colorado Springs,CO80909 		Physcian office
7 GARDENS AT ST ELIZABETH
2835 WEST 32ND AVE
DENVER,CO80211 		ASSISTED LIVING INDEPENDENT LIVING
8 North Metro Internal Medicine
8300 Alcott St Suite 302
Westminster,CO80031 		outpatient clinic
9 SUMMIT CARDIOLOGY
360 PEAK ONE DR Suite 390
FRISCO,CO80443 		CARDIOLOGY PRACTICE
10 PENROSE HOME CARE
7015 TALL OAKS DRIVE
COLORADO SPRINGS,CO80919 		HOME HOSPICE
11 SMC SURGICAL PHYSICIANS
1925 E ORMAN
PUEBLO,CO81004 		GENERAL SURGERY
12 Dimension Pain Management
400 W 144th Suite 240
Westminster,CO80031 		Physician Practice
13 PENROSE COMMUNITY HOSPITAL
3205 N CASCADE AVE
COLORADO SPRINGS,CO80917 		OP CLINIC URGENT CARE NO IP SERVICES
14 SURGERY SERVICES & THE MEDICAL HOME
1339 PHAY AVE
CANON CITY,CO81212 		SURGERY PRACTICE FAMILY PRACTICE
15 Vascular & Endovascular Specialist of Colorado
11700 W 2nd Place Suite 210
Lakewood,CO80228 		SPECIALTY SURGERY
16 SMC Physician Partners-Rehab
1925 E ORMAN
PUEBLO,CO81004 		REHAB PHYSICIAN
17 BRECKENRIDGE MEDICAL CLINIC
555 S PARK AVE PLAZA II PO BOX 6909
BRECKENRIDGE,CO80424 		PRIMARY CARE/URGENT CARE/ER
18 TOUCHSTONE PUEBLO WEST CLINIC
141 S PURCELL BLVD SuiTE 106
PUEBLO WEST,CO81007 		FAMILY PRACTICE
19 PSYCHIATRIC SERVICES
11600 W 2nd Place
Lakewood,CO80228 		OUTPATIENT CLINIC
20 MEDALION RETIREMENT COMMUNITY
1719 EAST BIJOU ST
COLORADO SPRINGS,CO80909 		SKILLED NURSING ASSISTED LIVING INDEPENDENT LIVING
21 ST ANTHONY HEALTH CENTER EVERGREEN
1520 EVERGREEN PKWY
EVERGREEN,CO80439 		PHYSICIAN PRACTICE
22 MERCY HEALTH SERVICES CLINIC
1800 E THIRD AVE
DURANGO,CO81301 		HEALTH SERVICES
23 Centura Health Urgent Care Canon City
3245 E US Hwy 50
Canon City,CO81212 		urgent care clinic
24 Rocky Mountain Sports and Family Medicine
1315 Fortino Blvd W
Pueblo,CO81008 		physician clinic
25 AZTEC DIAGNOSTIC LAB
604 S RIO GRANDE
AZTEC,NM87410 		MDS SERVICES
26 MERCY HOME HEALTH
ONE MERCADO STREET suite 270
DURANGO,CO81301 		HOMECARE
27 SENIOR HEALTH CENTER WEST
11700 W 2nd Place
Lakewood,CO80228 		PRIMARY CARE GERIATRICS
28 Endocrinology Diabetes & Thyroid Specialists of Colorado
11700 W 2nd Place Suite 210
Lakewood,CO80228 		physician clinic
29 PHYSICIAN PARTNERS ORTHOPAEDIC SURGERY
4112 OUTLOOK BLVD
PUEBLO,CO81008 		ORTHOPAEDIC SURGERY
30 ASSOCIATED SURGEONS
11700 W 2nd Place Suite 210
Lakewood,CO80228 		GENERAL SURGERY
31 Southern Colorado Gynocology Oncology
2222 N Nevada Ave Suite 2025
Colorado Springs,CO80907 		physician office
32 PENROSE URGENT CARE AT CRIPPLE CREEK
1101 TELLER COUNTY ROAD 1
CRIPPLE CREEK,CO80813 		URGENT CARE
33 MERCY DIAGNOSTIC LAB
2577 N MAIN AVE
DURANGO,CO81301 		MDS SERVICES
34 CENTURA HOME OXYGEN-PUEBLO
4025 CLUB MANOR DRIVE
PUEBLO,CO81008 		HOME MEDICAL EQUIP.
35 PSF Primary Care Health Care Services
6011 E Woodmen Suite 100
Colorado Springs,CO80923 		Physician office
36 Southern Colorado Breast Care Specialists
2312 N Nevada Ave Suite 235
Colorado Springs,CO80907 		physician office
37 PROGRESSIVE CARE CENTER
1338 PHAY AVE
CANON CITY,CO81212 		SKILLED NURSING RESPITE CARE
38 ST ANTHONY HOSPICE
1391 SPEER BLVD Suite 600
DENVER,CO80204 		HOME HOSPICE
39 NAMASTE ALZHEIMER CENTER
2 PENROSE BOULEVARD
COLORADO SPRINGS,CO80906 		ALZHEIMER'S CARE ADULT DAY CARE
40 SENIOR HEALTH CENTER NORTH
8510 BRYANT ST SUITE 250
WESTMINSTER,CO80031 		PRIMARY CARE GERIATRICS
41 VILLA PUEBLO SENIOR LIVING COMMUNITY
1111 BONFORTE BLVD
PUEBLO,CO81001 		SKILLED NURSING ASSISTED LIVING INDEPENDENT LIVING
42 Cardiac and Thoracic Surgery Associates PC
2222 N Nevada Ave Suite 5011
Colorado Springs,CO80907 		Physicians
43 CHAMBERS SPECIALTY SURGICAL CARE
11700 W 2nd Place Suite 210
Lakewood,CO80228 		GENERAL SURGERY
44 ST ANTHONY KEYSTONE MEDICAL CLINIC
1252 COUNTY ROAD 8
KEYSTONE,CO80435 		PRIMARY CARE/URGENT CARE/ER
45 NORTH RIDGE MEDICAL PRACTICE
13691 COLORADO BLVD SUITE 106
THORNTON,CO80602 		PRIMARY CARE
46 CENTURA HOME OXYGEN-COLORADO SPRINGS
4260 BUCKINGHAM DR suite 100
COLORADO SPRINGS,CO80907 		HOME MEDICAL EQUIP.
47 TOUCHSTONE
1925 E ORMAN
PUEBLO,CO81004 		FAMILY PRACTICE
48 INTERNAL MEDICINE
614 YALE
CANON CITY,CO81212 		INTERNAL MEDICINE
49 Southern Colorado Vascular Surgery
2222 N Nevada Ave Suite 5011
Colorado Springs,CO80907 		Physician office
50 INTERMOUNTAIN NEURO PHYSICIANS
11750 W 2nd Place Suite 255
Lakewood,CO80228 		OUTPATIENT NEURO
51 REHABILITATIONCCOM
1338 PHAY AVE
CANON CITY,CO81212 		REHAB CLINIC ORTHOPAEDIC CLINIC CCOM
52 FAMILY MEDICINE CLINIC NORTH
8510 BRYANT ST SUITE 210
WESTMINSTER,CO80031 		PRIMARY CARE CLINIC RESIDENCY FACILITY
53 Centura Family Care Center
916 Indiana Ave
Pueblo,CO81004 		Physician clinic
54 PENROSE MOUNTAIN URGENT CARE CLINIC
41 STATE HIGHWAY 67
WOODLAND PARK,CO80863 		URGENT CARE OP REHAB
55 Advanced Care in Endocrinology and Diabetes
3207 North Academy Blvd Suite 1300
Colorado Springs,CO80917 		Physician Practice
56 SOUTHERN COLORADO FAMILY MEDICINE
1008 MINNEQUA AVE
PUEBLO,CO81004 		FAMILY PRACTICE
57 HOSPICE OF MERCY
ONE MERCADO STREET suite 270
DURANGO,CO81301 		HOMECARE
58 Mercy Cardiology Associates
1 Mercado Street
Durango,CO81301 		outpatient care clinic
59 CHPG Westminster Internal & Family Medicine
400 W 144th Suite 260A
Westminster,CO80023 		PHYSICIAN PRACTICE
60 Aspen Ridge ENT
11700 2nd Place Suite 210
Lakewood,CO80228 		outpatient clinic
61 ST MARY CORWIN HOME SERVICES
4025 CLUB MANOR DRIVE
PUEBLO,CO81003 		HOMECARE
62 PRIMARY CARE SERVICES
4231 W 16TH AVE
DENVER,CO80204 		PRIMARY CARE CLINIC
63 CENTURA HOME OXYGEN-DENVER
2590 W 2ND AVE SUITE 5
DENVER,CO80219 		HOME MEDICAL EQUIP.
64 ST ANTHONY COPPER MOUNTAIN CLINIC
860 COPPER RD
COPPER MOUNTAIN,CO80443 		PRIMARY CARE URGENT CARE
65 Urgent Care of Golden
1030 Johnson Rd Suite 200
Golden,CO80401 		OP Urgent care
66 OBGYN SERVICES
1335 PHAY AVE SUITE B
CANON CITY,CO81212 		OB/GYN
67 SASMC AMBULATORY SURGERY CENTER
340 PEAK ONE DRIVE
FRISCO,CO80443 		AMBULATORY SURGERY CENTER
68 Durango Cancer Center
1 Mercado Street Suite 100
Durango,CO81301 		radiation and follow up care for cancer patients
Schedule H (Form 990) 2015
Page 9
Schedule H (Form 990) 2015
Page 9
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
Schedule H, Part I, Line 3c Eligibility Criteria CHI COLORADO HAS AN ESTABLISHED CHARITY CARE POLICY BASED ON THE FEDERAL POVERTY LEVEL. CHARITY IS PROVIDED TO PATIENTS BASED ON A SLIDING SCALE THAT CONSIDERS THE PATIENT'S FAMILY SIZE AND INCOME LEVEL. THE CHARITY PROVIDED RANGES FROM 100% OF THE PATIENT'S BILL FOR INDIVIDUALS WHOSE HOUSEHOLD INCOME IS AT 100% OR LESS OF THE FEDERAL POVERTY LEVEL, TO A 60% DEDUCTION FOR INDIVIDUALS WHOSE INCOME IS AT 400% OF THE FEDERAL POVERTY LEVEL. CHI COLORADO TAKES INTO ACCOUNT SPECIFIC FACTS AND CIRCUMSTANCES IN GRANTING CHARITY IN SITUATIONS SUCH AS A CATASTROPHIC ILLNESS WHERE THE PATIENT DOES NOT HAVE LIQUID ASSETS.
Schedule H, Part V, Section B, Line 7 CHNA WEBSITE LINKS https://www.penrosestfrancis.org/PSF/Community/Community-Benefit/ http://www.stanthonyhosp.org/SAH/Community/Community-Benefit/Community-Benefit/ http://www.mercydurango.org/MDU/Community/Community-Benefit/ http://www.stmarycorwin.org/STC/Community/Community-Benefit/ https://www.stanthonynorthhealthcampus.org/SHC/Community/Community-Benefit/ http://www.summitmedicalcenter.org/SMC/Community/Community-Benefit/ http://www.stmhospital.org/STM/Community/Community-Benefit/ http://www.orthocolorado.org/OCO/Community/Community-Benefit/
Schedule H, Part V, Section B, Line 10 IMPLEMENTATION STRATEGY WEBSITE LINKS https://www.penrosestfrancis.org/PSF/Community/Community-Benefit/ http://www.stanthonyhosp.org/SAH/Community/Community-Benefit/Community-Benefit/ http://www.mercydurango.org/MDU/Community/Community-Benefit/ http://www.stmarycorwin.org/STC/Community/Community-Benefit/ https://www.stanthonynorthhealthcampus.org/SHC/Community/Community-Benefit/ http://www.summitmedicalcenter.org/SMC/Community/Community-Benefit/ http://www.stmhospital.org/STM/Community/Community-Benefit/ http://www.orthocolorado.org/OCO/Community/Community-Benefit/
Schedule H, Part V, Section B, Line 16a FAP WEBSITE LINKS http://www.stanthonyhosp.org/SAH/For-Patients-and-Families/Billing-and-Financial-Services/Financial-Help/ http://www.mercydurango.org/Financial-Help/ http://www.stmarycorwin.org/Financial-Help/ https://www.penrosestfrancis.org/Financial-Help/ https://www.stanthonynorthhealthcampus.org/Financial-Help/ http://www.summitmedicalcenter.org/Financial-Help/ http://www.stmhospital.org/Financial-Help/ http://www.orthocolorado.org/Financial-Help/
Schedule H, Part V, Section B, Line 16b FAP APPLICATION WEBSITE LINKS http://www.stanthonyhosp.org/SAH/For-Patients-and-Families/Billing-and-Financial-Services/Financial-Help/ http://www.mercydurango.org/Financial-Help/ http://www.stmarycorwin.org/Financial-Help/ https://www.penrosestfrancis.org/Financial-Help/ https://www.stanthonynorthhealthcampus.org/Financial-Help/ http://www.summitmedicalcenter.org/Financial-Help/ http://www.stmhospital.org/Financial-Help/ http://www.orthocolorado.org/Financial-Help/
Schedule H, Part V, Section B, Line 16c FAP PLAIN LANGUAGE SUMMARY WEBSITE LINKS http://www.stanthonyhosp.org/SAH/For-Patients-and-Families/Billing-and-Financial-Services/Financial-Help/ http://www.mercydurango.org/Financial-Help/ http://www.stmarycorwin.org/Financial-Help/ https://www.penrosestfrancis.org/Financial-Help/ https://www.stanthonynorthhealthcampus.org/Financial-Help/ http://www.summitmedicalcenter.org/Financial-Help/ http://www.stmhospital.org/Financial-Help/ http://www.orthocolorado.org/Financial-Help/
Schedule H, Part VI, Line 4 COMMUNITY INFORMATION (CONTINUED) ST. ANTHONY SUMMIT MEDICAL CENTER To define our community for the CHNA and to analyze demographic and health indicator data, we used the STARK-Law service areas. The STARK-Law service area is defined as the lowest number of contiguous ZIP codes that account for 75% of a hospital's inpatient admissions. These ZIP codes have a combined population of 43,982: Race: White 89.6%; Black 1.2%; Asian 0.9%; Native American/Alaskan Native 1.0%; Native Hawaiian/Pacific Islander 0.2%; some other race 6.1%; Multiple races 1.1%. Ethnicity: 16.11% of the population in our service area reports as Hispanic or Latino. Education Level: In our community, 49.0% of the population has an Associate's Degree or higher; CO average is 44.7%. Unemployment Rate: 2.9%; CO average is 4.0%. Population with Limited English Proficiency: 7.1%; CO average is 6.7%. High School Graduation Rate: 82.6%; CO average is 77.6%. Population Living in Households with Income Below 200% of Federal Poverty level: 30.0%; CO average is 29.6%. ST. THOMAS MORE HOSPITAL To define our community for the CHNA and to analyze demographic and health indicator data, we used the STARK-Law service areas. The STARK-Law service area is defined as the lowest number of contiguous ZIP codes that account for 75% of a hospital's inpatient admissions. These ZIP codes have a combined population of 43,982: Race: 85.6% White, 5.8% Black, 1% Asian, 1.9% Native American/Alaska Native, 0.1% Native Hawaiian/Pacific Islander, 3.9% some other race, and 1.7% multiple races. Ethnicity: 12.3% Hispanic/Latino, Non-Hispanic: 87.7% Education Level: In our community, 23.1% of the population has an Associate's Degree or higher. CO average is 44.7% Unemployment Rate: 5.5%, CO average is 4.0% Population with Limited English Proficiency: 5.6%, CO average is 6.7% High School Graduation Rate: 74.8%, CO average is 77.6% Population Living in Households with Income Below 200% of Federal Poverty level: 36.5%, CO average is 29.6%. ORTHOCOLORADO HOSPITAL To define our community for the CHNA and to analyze demographic and health indicator data, we used the STARK-Law service areas. The STARK-Law service area is defined as the lowest number of contiguous ZIP codes that accounts for 75% of a hospital's inpatient admissions. These ZIP codes have a combined population of 1,143,793: Race and Ethnicity: The population is 85.3% white, 1.38% black, 3.11% Asian, 0.99% Native American/Alaskan Native, 0.06% native Hawaiian/Pacific Islander, 6.17% some other race, and 2.99% multiple races. Additionally, 33.1% are Hispanic or Latino. Education Level: In our communities, 48.5% of the population has an Associate's Degree or higher. CO average is 44.7% Unemployment Rate: 3.8%, CO average is 4.0% Population with Limited English Proficiency: 8.3%, CO average is 6.7% High School Graduation Rate: 67.6%, CO average is 77.6% Population Living in Households with Income Below 200% of Federal Poverty level: 28.2%, CO average is 29.6%.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization Centura Health Corporation
Schedule H, Part I, Line 7g Subsidized Health Services THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 56578297
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance CATHOLIC HEALTH INITIATIVES COLORADO DOES NOT USE A COST ACCOUNTING SYSTEM TO DETERMINE THE COST OF CHARITY CARE PROVIDED. THE ESTIMATED COST OF CARE IS CALCULATED BY APPLYING THE RATIO OF EACH FACILITY'S TOTAL EXPENSES TO TOTAL GROSS REVENUE. WORKSHEET 2 WAS NOT USED TO DEVELOP THE COST TO CHARGE RATIO.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Catholic Health Initiatives Colorado uses the overall cost to gross charge ratio applicable to each facility to determine the costs in Part III, Lines 2 and 3. Catholic Health Initiatives Colorado automatically discounts all self-pay patient accounts by 30% and also offers a prompt pay discount. This allowance is not included in the calculation of the cost of bad debts in instances where a patient does not pay his or her bill.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology Catholic Health Initiatives Colorado does not include any portion of bad debt as community benefit.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Catholic Health Initiatives Colorado (CHIC) does not issue separate company audited financial statements. However, the organization is included in the consolidated financial statements of Catholic Health Initiatives (CHI). The consolidated footnote reads as follows: "The provision for bad debts is based upon management's assessment of historical and expected net collections, taking into consideration historical business and economic conditions, trends in health care coverage, and other collection indicators. Management routinely assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by payor category. The results of these reviews are used to modify, as necessary, the provision for bad debts and to establish appropriate allowances for uncollectible net patient accounts receivable. After satisfaction of amounts due from insurance, CHI follows established guidelines for placing certain balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by each facility. The provision for bad debts is presented on the consolidated statements of operations as a deduction from patient services revenues (net of contractual allowances and discounts) since CHI accepts and treats substantially all patients without regard to the ability to pay."
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Cost for each hospital's cost report is pulled from year end trial balances. The cost is then evaluated and all non-allowable cost is removed via adjustments. The remaining allowable cost is then allocated to appropriate patient care and non-patient care cost centers based on Medicare allocation principles. Catholic Health Initiatives Colorado (CHIC) does not treat Medicare shortfalls as community benefit. CHIC's position is consistent with that of Catholic Health Initiatives (CHI), its Sponsor. Medicare is not a differentiating feature of tax-exempt health care organizations; for-profit hospitals treat and attempt to attract Medicare beneficiaries.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Catholic Health Initiatives Colorado's debt collection policy provides for the performance of a reasonable review of each patient's account prior to turning an account over to a third-party collection agent and prior to instituting any legal action for non-payment. The review of patient accounts is done to assure that the patient or their guarantor is not eligible for assistance through Catholic Health Initiatives Colorado's charity care policy, uninsured discount policy, or another financial assistance program (i.e. Medicaid). Catholic Health Initiatives Colorado requires the following of its third-party collection agencies: * Neither Catholic Health Initiatives Colorado hospitals or their collection agencies will request bench or arrest warrants as a result of non-payment; * Neither Catholic Health Initiatives Colorado hospitals or their collection agencies will seek liens that would require the sale or foreclosure of a primary residence; and * No Catholic Health Initiatives Colorado collection agency may seek court action without hospital approval.
Schedule H, Part V, Section B, Line 16a FAP website A - PENROSE-ST FRANCIS HEALTH SERVICES: Line 16a URL: SEE STATEMENT; A - ST. ANTHONY HOSPITAL: Line 16a URL: http://www.stanthonyhosp.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Financial-Assist-Policy-Apr-2017-en.pdf; A - MERCY REGIONAL MEDICAL CENTER: Line 16a URL: http://www.mercydurango.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Financial-Assist-Policy-Apr-2017-en.pdf; A - ST. MARY-CORWIN MEDICAL CENTER: Line 16a URL: http://www.stmarycorwin.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Financial-Assist-Policy-Apr-2017-en.pdf; A - ST. FRANCIS MEDICAL CENTER: Line 16a URL: https://www.penrosestfrancis.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Financial-Assist-Policy-Apr-2017-en.pdf; A - ST. ANTHONY NORTH HOSPITAL: Line 16a URL: http://www.stanthonynorthhealthcampus.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Financial-Assist-Policy-Apr-2017-en.pdf; A - ST. ANTHONY SUMMIT MEDICAL CENTER: Line 16a URL: https://www.summitmedicalcenter.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Financial-Assist-Policy-Apr-2017-en.pdf; A - ST. THOMAS MORE HOSPITAL: Line 16a URL: http://www.stmhospital.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Financial-Assist-Policy-Apr-2017-en.pdf; A - OrthoColorado Hospital: Line 16a URL: http://www.orthocolorado.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Financial-Assist-Policy-Apr-2017-en.pdf;
Schedule H, Part V, Section B, Line 16b FAP Application website A - PENROSE-ST FRANCIS HEALTH SERVICES: Line 16b URL: SEE STATEMENT; A - ST. ANTHONY HOSPITAL: Line 16b URL: http://www.stanthonyhosp.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Health-Charity-Application-Jul-2016-en.pdf; A - MERCY REGIONAL MEDICAL CENTER: Line 16b URL: http://www.mercydurango.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Health-Charity-Application-Jul-2016-en.pdf; A - ST. MARY-CORWIN MEDICAL CENTER: Line 16b URL: http://www.stmarycorwin.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Health-Charity-Application-Jul-2016-en.pdf; A - ST. FRANCIS MEDICAL CENTER: Line 16b URL: https://www.penrosestfrancis.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Health-Charity-Application-Jul-2016-en.pdf; A - ST. ANTHONY NORTH HOSPITAL: Line 16b URL: http://www.stanthonynorthhealthcampus.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Health-Charity-Application-Jul-2016-en.pdf; A - ST. ANTHONY SUMMIT MEDICAL CENTER: Line 16b URL: https://www.summitmedicalcenter.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Health-Charity-Application-Jul-2016-en.pdf; A - ST. THOMAS MORE HOSPITAL: Line 16b URL: http://www.stmhospital.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Health-Charity-Application-Jul-2016-en.pdf; A - OrthoColorado Hospital: Line 16b URL: http://www.orthocolorado.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Health-Charity-Application-Jul-2016-en.pdf;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - PENROSE-ST FRANCIS HEALTH SERVICES: Line 16c URL: SEE STATEMENT; A - ST. ANTHONY HOSPITAL: Line 16c URL: http://www.stanthonyhosp.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Financial-Assist-Plain-Language-Summary-Oct-2016.pdf; A - MERCY REGIONAL MEDICAL CENTER: Line 16c URL: http://www.mercydurango.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Financial-Assist-Plain-Language-Summary-Oct-2016.pdf; A - ST. MARY-CORWIN MEDICAL CENTER: Line 16c URL: http://www.stmarycorwin.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Financial-Assist-Plain-Language-Summary-Oct-2016.pdf; A - ST. FRANCIS MEDICAL CENTER: Line 16c URL: https://www.penrosestfrancis.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Financial-Assist-Plain-Language-Summary-Oct-2016.pdf; A - ST. ANTHONY NORTH HOSPITAL: Line 16c URL: http://www.stanthonynorthhealthcampus.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Financial-Assist-Plain-Language-Summary-Oct-2016.pdf; A - ST. ANTHONY SUMMIT MEDICAL CENTER: Line 16c URL: https://www.summitmedicalcenter.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Financial-Assist-Plain-Language-Summary-Oct-2016.pdf; A - ST. THOMAS MORE HOSPITAL: Line 16c URL: http://www.stmhospital.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Financial-Assist-Plain-Language-Summary-Oct-2016.pdf; A - OrthoColorado Hospital: Line 16c URL: http://www.orthocolorado.org/uploadedFiles/Centura/Content/For_Patients_and_Families/Billing_and_Financial_Services/Financial_Assistance_Charity_Care_and_Payment_Plans/Centura-Financial-Assist-Plain-Language-Summary-Oct-2016.pdf;
Schedule H, Part VI, Line 2 Needs assessment The Catholic Health Initiatives Colorado related hospitals provide several services and resources to the communities it serves beyond the prioritized needs specifically identified in the Community Health Needs Assessment. They sponsor wellness events such as breast feeding education, asthma screenings, and financially supports wellness initiatives of cities and public schools. They also provides transportation for low income patients and housing at no cost or very low cost for the families of low income patients of the hospital that are far from their residence. They also supports, financially and through volunteerism, initiatives such as soup kitchens and meals on wheels to provide food and nutrition education to address hunger issues. Hospital staff also volunteer to serve as preceptors for students of local health professional programs and serve on boards of local community organizations that provide social services to populations in need.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Catholic Health Initiatives Colorado (CHIC) is operated as part of Centura Health Corporation (Centura). Information concerning financial assistance is included on Centura's website. The website not only lists phone numbers for patients to call to discuss financial assistance, but also includes Centura's policy for charity care and its policies related to uninsured patients. In addition, at the time of registration, uninsured patients are screened to determine if the patients qualify for any Federal, State or County programs. Uninsured patients are also sent a letter requesting that the patient call to determine eligibility for various assistance programs, including charity.
Schedule H, Part VI, Line 4 Community information PENROSE-ST. FRANCIS HEALTH SERVICES To define our community for the CHNA and to analyze demographic and health indicator data, we used the STARK-Law service areas. The STARK-Law service area is defined as the lowest number of contiguous ZIP codes that accounts for 75% of a hospital's inpatient admissions. These ZIP codes have a combined population of 527,449: Race and Ethnicity: Native American/Alaskan Native .77%; Asian 5.54%; Black 6.34%; Hispanic or Latino 15.07%; White 81.11%; Native Hawaiian/Pacific Islander .32%; Some other race 4.99%; Multiple Races 5.18%. Education Level: The percentage of the population in the Pikes Peak region with an Associate degree or higher is 45.5%. This is comparable to the Colorado state average of 44.7%. Unemployment Rate: The 5.1% unemployment rate in our area is higher than the state average of 4.0%. Population with Limited English Proficiency: El Paso County has a lower level of residents with a limited English proficiency than the state average. Our service area is at 4.2% and the state average of 6.7% High School Graduation Rate: 78.4% of adolescents are graduating from high school which is a slightly higher rate than the Colorado state average of 77.6%. Population Living in Households with Income Below 200% of Federal Poverty level: 29% of our overall population is living at or below this poverty level, which is consistent with the state average of 29.5%. One of the zip-codes in our area has a poverty level of 50% and is targeted with community initiatives included in the PSF CHIP. ST. ANTHONY HOSPITAL To define our community for the CHNA and to analyze demographic and health indicator data, we used the STARK-Law service areas. The STARK-Law service area is defined as the lowest number of contiguous ZIP codes that accounts for 75% of a hospital's inpatient admissions. These ZIP codes have a combined population of 1,143,793: Race and Ethnicity: The population is 85.3% white, 1.38% black, 3.11% Asian, 0.99% Native American/Alaskan Native, 0.06% native Hawaiian/Pacific Islander, 6.17% some other race, and 2.99% multiple races. Additionally, 33.1% are Hispanic or Latino. Education Level: In our communities, 48.5% of the population has an Associate's Degree or higher. CO average is 44.7% Unemployment Rate: 3.8%, CO average is 4.0% Population with Limited English Proficiency: 8.3%, CO average is 6.7% High School Graduation Rate: 67.6%, CO average is 77.6% Population Living in Households with Income Below 200% of Federal Poverty level: 28.2%, CO average is 29.6%. MERCY REGIONAL MEDICAL CENTER To define our community for the CHNA and to analyze demographic and health indicator data, we used the STARK-Law service areas. The STARK-Law service area is defined as the lowest number of contiguous ZIP codes that accounts for 75% of a hospital's inpatient admissions. These ZIP codes have a combined population of 197,281: Race and Ethnicity: Native American/Alaskan Native 15.68%; Asian .61%; Black .6%; Hispanic or Latino 13.02%; White 75.63%; Native Hawaiian/Pacific Islander .1%; Some other race 4.26%; Multiple Races 3.03%. Education Level: Population with associate's degree or higher: 47.6% Unemployment Rate: 4.0% Population with Limited English Proficiency: 3.7% High School Graduation Rate: 75.6% Population Living in Households with Income Below 200% of Federal Poverty level: 34.1%. ST. MARY-CORWIN MEDICAL CENTER To define our community for the Community Health Needs Assessment and to analyze demographic and health indicator data, we used the STARK-Law service areas. The STARK-Law service area is defined as the lowest number of contiguous ZIP codes that accounts for 75% of a hospital's inpatient admissions. These ZIP codes have a combined population of 188,587: Race: 82.85% White; 2.67% Black; 0.7% Asian; 1.87% Native American Ethnicity: 36.84% Hispanic/Latino, Non-Hispanic: 63.16% Education Level: In our community, 30.5% of the population has an Associate's Degree or higher. CO average is 44.7% Unemployment Rate: 5.6%, CO average is 4.0% Population with Limited English Proficiency: 4.5%, CO average is 6.7% High School Graduation Rate: 71.4%, CO average is 77.6% Population Living in Households with Income Below 200% of Federal Poverty level: 40.2%, CO average is 29.6%. ST. FRANCIS MEDICAL CENTER To define our community for the CHNA and to analyze demographic and health indicator data, we used the STARK-Law service areas. The STARK-Law service area is defined as the lowest number of contiguous ZIP codes that accounts for 75% of a hospital's inpatient admissions. These ZIP codes have a combined population of 527,449: Race and Ethnicity: Native American/Alaskan Native .77%; Asian 5.54%; Black 6.34%; Hispanic or Latino 15.07%; White 81.11%; Native Hawaiian/Pacific Islander .32%; Some other race 4.99%; Multiple Races 5.18%. Education Level: The percentage of the population in the Pikes Peak region with an Associate degree or higher is 45.5%. This is comparable to the Colorado state average of 44.7%. Unemployment Rate: The 5.1% unemployment rate in our area is higher than the state average of 4.0%. Population with Limited English Proficiency: El Paso County has a lower level of residents with a limited English proficiency than the state average. Our service area is at 4.2% and the state average of 6.7% High School Graduation Rate: 78.4% of adolescents are graduating from high school which is a slightly higher rate than the Colorado state average of 77.6%. Population Living in Households with Income Below 200% of Federal Poverty level: 29% of our overall population is living at or below this poverty level, which is consistent with the state average of 29.5%. One of the zip-codes in our area has a poverty level of 50% and is targeted with community initiatives included in the PSF CHIP. ST. ANTHONY NORTH HOSPITAL To define our community for the CHNA and to analyze demographic and health indicator data, we used the STARK-Law service areas. The STARK-Law service area is defined as the lowest number of contiguous ZIP codes that accounts for 75% of a hospital's inpatient admissions. These ZIP codes have a combined population of 218,151: Race and Ethnicity: White=85.8%; Black=1.4%; Asian=5.3%; Native American/Alaskan Native=0.5%; Native Hawaiian/Pacific Islander=<0.1%; some other race=3.2%; Multiple races=3.7% 16.9% of our community identifies as Hispanic or Latino Education Level: Population with Associates Level Degree or Higher=46.4%, CO average is 44.7% Unemployment Rate: 6.7%, CO average is 4.0% Population with Limited English Proficiency: 5.2%, CO average is 6.7% High School Graduation Rate: 72.7%, CO average is 77.6% Population Living in Households with Income Below 200% of Federal Poverty level: 18.3%, CO average is 29.6%.
Schedule H, Part VI, Line 5 Promotion of community health Catholic Health Initiatives Colorado hospitals implements a number of efforts and initiatives to promote the health of the community. It provides financial and volunteer support to clinics that provide care to low income patients. Staff volunteer on the boards of community based organizations that provide essential services to disadvantaged patients. Furthermore, the hospitals provides donations to the initiatives of community based organizations, cities and public schools to support events that promote health and wellness.
Schedule H, Part VI, Line 6 Affiliated health care system Catholic Health Initiatives Colorado (CHIC) is operated as part of Centura Health Corporation (Centura). Centura and its affiliated organizations are dedicated to extending the healing ministry of Christ by caring for those who are ill and by nurturing the health of the people in our communities. Specifically, Centura has launched a system-wide strategic plan to improve the quality, consistency, availability, and affordability of healthcare to communities throughout Colorado. The three main components of this strategy are (1) to continue investing in technology advancements that improve the quality, costs, and coordination of care including the establishment of electronic health records linking our physicians, clinics, hospitals, long-term facilities and home care services; (2) providing wellness care, thereby potentially reducing health care costs by helping patients to maintain good health, growing the level of support and outreach provided to rural communities, and increasing access, affordability and quality of health care; and (3) coordinate and develop systems of care, looking to each facility and entity in Centura to share best practices and improve overall efficiency and communication system-wide from birth to home care.
Schedule H, Part VI, Line 7 State filing of community benefit report CO, KS
Schedule H (Form 990) 2015
Additional Data


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