C A R I N G f o r C O L O R A D O Foundation

Transcription

1 C A R I N G f o r C O L O R A D O Foundation 2006 Annual Report 1

2 C A R I N G F O R C O LO R A D O F O U N DAT I O N C O R E VA LU E S : Health care services should be accessible, affordable and available for all. Barriers to health care should be minimized, particularly for the uninsured. Prevention and health promotion are key in making an impact on the root causes of health problems. Individuals should share in the responsibility of managing and maximizing their health. 2

3 Caring for Colorado Foundation 2006 Annual Report In 2006, Caring for Colorado Foundation awarded $6,219,238 in grants to 142 non-profit agencies and governmental entities throughout Colorado. All of the projects funded through these awards supported efforts to improve the health of Coloradans. In this 2006 annual report, two very different Colorado communities are highlighted Pueblo and the northwest Colorado region. Each area faces unique economic, geographic, health care workforce and health care resource challenges in providing quality health care, especially for the uninsured and underinsured. Both Pueblo and the northwest region are examples of areas of the state that Caring for Colorado has worked with over the past 6 years to strengthen the health care safety net so that people can access the health services they need, including primary and specialty care, oral health, mental health, health promotion and chronic disease management services. We invite you to read this annual report to learn more about the innovative strategies taking place in Pueblo and northwest Colorado to address local health needs and the role Caring for Colorado has played in supporting these efforts. 3

4 PUEBLO, COLORADO Building Health Care Capacity Caring for Colorado supports activities that achieve measurable improvements in the health of Coloradans, particularly in underserved populations. The foundation works to strengthen systems of care so that people can receive comprehensive, high quality care. 4

5 careers. These programs are resulting in a new crop of Pueblo residents who will take care of their own in the years to come. Pueblo Community Health Center Expands to Meet Demand The Pueblo Story A city s promise and prosperity often is dependent on the industries that employ its people. In Pueblo, it all started with the steel mill. In the decades the mill thrived, the industry fueled jobs, fed families and provided health care to this blue collar town of 150,000. When the steel market plummeted in the 1980s and the unemployment rate soared past 20 percent, community leaders resolved to help the uninsured and underinsured find alternative sources for health care. Their collaborative efforts many funded by Caring for Colorado Foundation have helped increase access to health care and improve health outcomes for people in Pueblo. Pueblo is very unique we work together to get people the services they need, says Cindy Lau, Executive Director of Pueblo StepUp. It s a working class community and people are used to pulling themselves up by their bootstraps. They don t want people to swoop down and rescue them everyone pitches in to help. That spirit of teamwork has inspired the creation of unique health care programs designed to meet the needs of a variety of people, including oral health programs for children; disease management for people with both diabetes and depression; suicide prevention and teen pregnancy prevention; and other health care services for uninsured people, many of whom are working poor. Additionally, collaborative efforts among local high schools and colleges are working to increase the number of young people pursuing health care What happens to a community when the main employer shuts down? Pueblo s health care leaders realized they had a serious problem when the mill laid off many of its employees in the 1980s. When the steel mill laid off the majority of its workforce, unemployment went up beyond 20 percent, says Byron Geer, Chief Executive Officer of the Pueblo Community Health Center (PCHC). The rise in unemployment and the lack of industry to fill in the gaps, led much of the city s population to be unable to afford health care and dental services. That s where PCHC came in. It opened in 1983 with a mission that is the same as today. To provide primary health care to those in need, regardless of their ability to pay. Many employers had stopped providing health insurance to employees who needed it, says Janet Fieldman, PCHC s Chief Foundation Officer, adding that the large number of uninsured put a strain on Pueblo s two hospitals. People who didn t have insurance began showing up at the ER for routine health care. PCHC filled the gap by providing primary health care services routine check-ups, immunizations, OB/GYN care, pediatrics, dental, pharmacy, mental health and case management for chronic illnesses. 5

6 Over the next 20 years, PCHC grew to meet the needs of its patient population. In 2002, with the help of a $185,000 grant from Caring for Colorado, PCHC expanded again to Pueblo s most underserved neighborhood on the east side. The Caring for Colorado grant helped renovate a church, turning it into a medical facility. That grant leveraged many sources of income and capital to allow us to purchase and renovate the site, Geer says. It allowed us to serve an additional 3,000 uninsured people each year. It made such a difference for Pueblo. Community partnerships also helped. Local hospitals do the center s lab work. Pueblo specialty physicians see PCHC patients. The Pueblo City-County Health Department, city and county government and United Way, all assist in meeting the center s mission. Today, PCHC serves more than 18,000 patients annually in multiple locations, up from 10,000 patients just 10 years ago. a substantial number of uninsured kids, says Brenda LaCombe, Program Manager for Pueblo StepUp. We re working to find all eligible children and make sure they re enrolled in health insurance so kids can get both the medical and dental care they need, says LaCombe. When the organization first started in 2002 with the help of a Caring for Colorado grant, no one knew who we were and what we did, LaCombe says. That changed quickly as StepUp worked with medical clinics, physicians, Head Start programs and schools to help families enroll in Medicaid and CHP+ and schedule dental appointments for their children at the Pueblo Community Health Center. A lot of people, especially lower income families, are unaware of the preventive dental care they Fieldman is particularly proud of PCHC s disease management program for diabetes and depression care funded by Caring for Colorado. Because the two diseases often co-occur, the program integrates mental health, case management and health care interventions to help the patient s diabetes and depression improve. We meet with people free of charge and involve them in an intensive educational process, she says. Our goal is for patients to take ownership in managing their care, Fieldman says. Pueblo Steps Up To Improve Children s Oral Health Pueblo has a population of 150,000, with 19 percent uninsured. Of those uninsured, 85 percent are from working families with children. A lot of kids are on Medicaid or in CHP+ (Child Health Plan Plus) in Pueblo, but we still find needed, says Executive Director Cindy Lau. So we had two issues they didn t know they potentially had access to dental coverage and they didn t know it was important. Grants from Caring for Colorado helped StepUp get the word out that these benefits are important and useful for children. People thought we worked magic, but it was really about relationships, LaCombe says. We called ourselves the connectors of dots because we could get people where they needed 6

7 to go without giving them four or five phone numbers to call. StepUp now enrolls more than 100 children a month for dental services, including preventive care and treatment for existing problems. In addition, StepUp promotes oral health education among its clients. We like to think we see fewer silver fillings in our Head Start children these days, Lau says. Hopefully that s a positive sign that our children are coming through our programs and their parents have received our prevention messages. We have plenty of resources for the children and families are more aware now of what we offer. The Health Academy began as a partnership with the Pueblo health community, the school district, Pueblo Community College and the University of Southern Colorado. In addition to a high school diploma, last year s 27 Health Academy graduates also had completed an additional college credits. Those graduates earned over $200,000 in scholarships to pursue post secondary education, and some of the graduates received early acceptance into nursing and pre-medicine programs because of the Health Academy. At graduation, many students are certified in such fields as certified nursing assistant, EMT or pharmacy technician. Employers are happy to have trained people to fill in the city s health care provider gaps. Employers know the caliber of kids they re welcoming into their work environment, Krage says. Health Academy Encourages Medical Careers Dr. Brenda Krage looks for the best and brightest students. She has a great opportunity for them join the Health Academy and work toward a health care career. Pueblo City Schools (Formerly Pueblo School District 60) Health Academy is in its 12th year working to immerse high school students in the subjects they need to go on in health care professions. The long-term hope is that these students will stay in, or return to, Pueblo to use their training and expertise and fill a shortage of health care workers in the city. We re giving kids avenues to explore health care as a career, along with a strong academic foundation, says Krage, Director of Career and Technical Education, Health Academy for Pueblo City Schools. This is both a school to career program and a college preparatory program. They leave the Academy prepared to go on in school and they re employable. Our goal is for patients to take ownership in managing their care. Janet Fieldman Caring for Colorado and Pueblo Community College also teamed up to give college students the skills they needed to move into health care careers. The Healthy Careers Success Program is designed to help recruit and retain students through mentoring, study skills training and other extra support efforts. The goal is for students to pursue careers in health care. The college offers training in a number of allied health professions. Students who graduate from these programs can go on to help alleviate a provider shortage in Pueblo and other areas in southern Colorado. 7

8 NORTHWEST COLORADO A New Frontier for Health Care Caring for Colorado works to build capacity in the health system to serve the health care needs of people in our state. The foundation has provided funding to expand community health services so that more people can be served, and to bring new health services into previously underserved or un-served communities in Colorado. 8

9 Delivering Health Care to Remote Northwest Colorado From the beginning, Northwest Colorado attracted people who were drawn to its remote beauty. American Indians, mountain men, settlers and outlaws even Butch Cassidy and the Sundance Kid came to call Northwest Colorado home. Today, the area still is rural and the population sparse. Because of this, breaking down barriers to health care services requires an innovative spirit. For Carrie Godes, of the Northwest Colorado Visiting Nurses Association (VNA), the challenge is to integrate care so her clients complex needs can be met despite limited resources and a provider shortage. For Tom Gangel, of Colorado West Regional Mental Health, the challenge is to help people in need access mental health services in a service area covering 23,000 square miles. For Mark Patterson, of the Colorado Northwestern Community College Dental Hygiene Program, the challenge is to provide his dental hygiene students with a good education while also providing a needed health care service in his community. Grants from Caring for Colorado in Northwest Colorado have helped improve health care access and capacity, and have addressed issues of geographic distance for these rural communities. Here are their stories. Vulnerable Patients Find Help at the Moffatt County Care Center The Moffatt County Care Center is the only health care resource for many in Craig. The clinic, which offers primary and specialty services along with prescription assistance, cares for uninsured and underinsured families. The average annual income of a family treated at the care center in Craig is $12,000. Nearly all the patients have some kind of chronic health condition and most are uninsured. If we weren t here, people would go without health care, says Carrie Godes, Director of Community Care. The Northwest Colorado Visiting Nurses Association (VNA) runs the clinic, and also provides home care, assisted living and hospice services to the community. Support from Caring for Colorado keeps the clinic open to provide services to this population. The region has very few insurance carriers. Small businesses dominate the area and most can t afford to offer health care. If people are insured, high deductibles make them reluctant to seek care when they need it. The clinic provides more than just health care. The staff often acts as case managers, referring patients to other health and social services. 9

10 Some of our greatest challenges are also our greatest strengths, Godes says. We are small and rural, but our staff cares so deeply. Our people will go to the ends of the earth for our patients. services because the telemedicine centers are located conveniently in their communities. We ve not only improved access, we ve improved quality, Gangel says. We do much better with this system. Telemedicine has made appointments more flexible, improving patient compliance. More frequent appointments also have allowed psychiatrists to provide additional follow-up care to patients on medication. Colorado West providers have used telemedicine in increasingly innovative ways to improve care and service for example, providing a sign-language interpreter via the television system to a hearing-impaired client. Telemedicine Reaches Across the Miles Tom Gangel is the Frontier Division Director for Colorado West Regional Mental Health. His service area covers 10 counties and 23,000 square miles, an area the size of the state of Maryland. What makes his job a challenge is trying to provide mental health care in this large, sparsely populated rural area. None of the communities served by Colorado West has enough patients to support a full-time psychiatrist and travel to these remote areas by psychiatrists had proven cost prohibitive and inefficient. Grants from Caring for Colorado allowed Colorado West to purchase equipment to provide tele-psychiatry sites in all 10 counties. The psychiatrists see patients from their offices, in either Grand Junction or Glenwood Springs, eliminating travel time to Northwest Colorado communities. More patients now have access to psychiatric Telemedicine also has been helpful in evening emergency cases in which patients can be assessed by a mental health provider immediately, rather than have them drive 60 miles or more to the bigger communities of Rangely or Meeker. Both patients and providers say they are satisfied with the telepsychiatry system. People most appreciate the immediacy of the services, and that s a positive thing, Gangel says. Before telepsychiatry, patients would have to wait two or three months to see a child psychiatrist. Now the wait time is down to less than three weeks. The 10 counties in Northwest Colorado now have access to a psychiatrist 100 percent of the time, up from 20 percent before the new system. And we re doing better care because we re seeing people more frequently, Gangel says. It s been astronomically helpful to the patient to be seen every two weeks rather than every month and a half or longer as we did before tele-phsyciatry. It s made a huge difference. 10

11 Rangely Dental Hygiene Program Fills A Gap Rangely may seem like an unlikely location for a dental hygiene school, but since the program s beginning in 1962 in what locals call the Colorado Outback, the vast expanse in northwest Colorado near the Utah border, the dental hygiene students at Colorado Northwest Community College have filled an important need. Children, the elderly, Native Americans and prison inmates are among the thousands of patients the dental hygiene students care for in Rio Blanco, Moffatt, Mesa and Garfield counties as well as some neighboring Utah communities. We are in one of the most geographically remote spots in Colorado, says Mark Patterson, the school s program director. We ve had to be very creative about identifying where our school resources can help address community dental health needs. That creativity has resulted in a number of outreach programs designed to meet the needs of a variety of patient populations. The dental hygiene students provide both treatment and preventive care for patients. With only one dentist in the area, the school has filled an important need, particularly for poor residents who can t afford dental care. Nearly 17 percent of children in Rio Blanco County live in poverty. In some cases, patients drive 90 miles from Grand Junction over the 8,400-foot two-lane Douglas Pass to get care at the school. What sets us apart is that we find out where the need is and make our presence known, Patterson says. Sometimes we come in uninvited and say, This is what we can do for you. Once people experience what we can do, they latch onto us. Caring for Colorado funded a community liaison to coordinate the school s Healthy Smiles Program, which provides preventive We ve not only improved access, we ve improved quality. dental care and education to all age groups from school children to the elderly. In addition, Caring for Colorado has awarded the college two grants, totaling just over $150,000, to purchase dental equipment for the dental hygiene training program. The school currently has 50 students and 10,000 patients. Our students are a huge resource to meet all these different needs, Patterson says. We ve got the college and the expertise and the modern technology. Tom Gangel We have the awareness of what it takes to prevent disease and promote wellness. We re doing everything we can to make a difference. 11

12 2006 Grantees Access Counseling Boulder and Broomfield Counties To support the provision of mental health services to individuals and families. $15,000 Advancing Colorado s Mental Health Care Project Mesa, Summit, Larimer, Prowers, El Paso Counties and Public Schools Third year support of the 5-year, $4 million dollar collaborative project among Caring for Colorado Foundation, The Colorado Trust, The Colorado Health Foundation and The Foundation to help communities integrate mental health delivery systems and use evidence-based programs to better meet the needs of those most severely impacted by mental illness. $200,000 Alzheimer s Association Colorado Chapter To support the Savvy Caregiver Training Program for caregivers of Alzheimer s patients. American Cancer Society To establish a patient navigation program serving newly diagnosed cancer patients at University Hospital in. $40,000 American Diabetes Association Colorado Area To support Por Tu Familia, an evidence-based program to promote healthy lifestyles for Latinos. $35,000 American Red Cross, Mile High Chapter To purchase vehicles to expand medical transportation services. $34,666 Arapahoe/Douglas Mental Health Network Arapahoe and Douglas Counties To support collaboration between the Arapahoe/ Douglas Mental Health Network and law enforcement agencies to connect people who have mental health needs to the appropriate services. $100,000 Arrupe Jesuit High School To support school-based health services. $21,880 Aurora Comprehensive Community Mental Health Center Adams and Arapahoe Counties To support the Integrated Care Program, a partnership between Metro Community Provider Network and the Aurora Community Mental Health Center to provide medical and mental health services to homeless adults in Aurora. Boulder County AIDS Project Boulder County To provide HIV/AIDS education and prevention services in Longmont. Boulder County Public Health Boulder County To support the Family Child Care Health and Safety Program. $45,889 Boys and Girls Club of Chaffee County Salida To support the Triple Play Program that promotes physical activity, improved nutrition and positive social interactions for teens in Salida. Brothers Redevelopment, Inc. Adams, Arapahoe, Boulder, Broomfield,, Douglas and Jefferson Counties To support the Home Maintenance and Repair Program which helps low-income seniors and disabled persons maintain independent living. $20,000 Centennial Area Health Education Center (CAHEC) Cheyenne, Kit Carson and Lincoln Counties To support the provision of preventive dental services to children on the eastern plains of Colorado. $89,255 Center for African American Health at the Metro Black Church Initiative To support the Focus on Diabetes Program. $57,386 Center for Hearing, Speech, and Language For the KidScreen Vision Partnership to provide vision screening and follow-up care to children under five years of age. $17,000 Centro de la Familia Colorado Springs To provide culturally appropriate mental health and family violence prevention services for mono-lingual Spanish speaking and Native American populations. $43,201 CHARG Resource Center To support the Smart Mouths Project, a dental program for mental health consumers. $25,120 Child and Migrant Services, Inc. Mesa County To promote the mental health of migrant and seasonal farm workers and their families. $23,000 12

13 Children s Hospital Foundation To support construction of the new Child Health Clinic at Fitzsimons. $200,000 Children s Outreach Project Adams, Boulder, Broomfield, and Jefferson Counties To support the provision of mental health services at a school for children with special learning needs. $20,000 citywild To support a comprehensive school-based outdoor education program for at-risk youth that strives to reduce drug and alcohol use and prevent violence. $40,000 Clinica Tepeyac To support the delivery of health care services for uninsured, low-income Latinos in metropolitan. $10,000 To purchase medical equipment for a new, expanded health clinic in. Colorado Academy of Family Physicians Foundation To support the Summer Rural Fellowship Program that provides rural health experiences for medical students. $15,000 Colorado Association for School Based Health Care To support the conference Motivating Youth and Parents of School Age Children to Change Behavior. $1,000 Colorado Children s Healthcare Access Program Adams, Arapahoe, Boulder, Broomfield, Clear Creek, Douglas, Gilpin and Jefferson Counties To support the pilot program A Medical Home for Every Child. Colorado Clinical Guidelines Collaborative To support Redesigning the Healthcare System: Improving Performance in Practice. $100,000 Colorado Coalition for the Medically Underserved To support the Tenth Annual Caring for Colorado s Medically Underserved Conference. $2,500 Colorado Community Health Network To support printing costs of educational materials for the Colorado Oral Health Network. $3,000 Colorado Community Managed Care Network Alamosa, Conejos, Costilla,, Mineral, Rio Grande and Saguache Counties To support a pilot project to improve access to primary care and care coordination for people with disabilities. $15,000 Colorado Foundation for Public Health and the Environment To support the statewide collaborative Oral Health Awareness Colorado! in developing a statewide advocacy agenda to address the oral health crisis for underserved Coloradans. $3,120 To support the 7th National Conference on Immunization Coalitions. $2,000 Colorado Health Network dba Colorado AIDS Project Adams, Arapahoe,, Douglas and Jefferson Counties To support two bilingual case managers who work with Spanish speaking clients living with HIV/AIDS. $46,000 Colorado Nonprofit Association To support the 20th Anniversary Gala of the Colorado Nonprofit Association. $3,000 Colorado Physicians of Color To increase recruitment of medical students of color and to support Colorado minority physicians with the goal of reducing health disparities in the state. $46,620 Colorado School of Public Health Initiative To support the development of a School of Public Health in Colorado. Colorado West Regional Mental Health Eagle, Garfield, Grand, Jackson, Mesa, Moffat, Pitkin, Rio Blanco, Routt and Summit Counties To establish telepsychiatry sites in five northwest Colorado Counties. $64,560 Columbine Home Health Eagle, Garfield and Pitkin Counties To support weekly Senior Wellness Clinics at eight locations from Aspen to Parachute. $5,000 Commerce City Health Services dba Community Health Services Adams County To add a full-time clinic coordinator to the Baker school-based health clinic. $75,000 Community College of Aurora Foundation Adams, Arapahoe,, Douglas and Jefferson Counties To support the Community College of Aurora s EMS Training Program s Simulation Laboratory. Community College of Foundation To purchase equipment in support of the Nursing Simulation Lab at the Community College of s Center for Health Sciences. $30,000 Congregational Health Ministry To support health screenings and referrals to care through a network of churches. $10,000 Consortium for Older Adult Wellness To support the implementation of the Colorado Action Plan for Older Adult Wellness A Public Health Strategy. 13

14 CU Aging Center/ CU Aging Initiative Colorado Springs To support the integration of mental health and primary care services for seniors at Peak Vista Community Health Center. $78,685 David Brooks Memorial Fund Alamosa, Conejos, Costilla, Mineral, Rio Grande and Saguache Counties To purchase and place Automated External Defibrillators in high schools in the San Luis Valley. $20,000 Dental Aid Boulder County To support the Bright Smiles for Bright Futures Program aimed at improving the oral health status of pregnant women. $96,380 Health Foundation To support a system redesign process at Health Medical Center intended to improve quality of care and patient safety. $137,994 To support the Be Smart and Seal Them Program, a dental sealant program for elementary school children at high-need Public Schools. $104,745 s Road Home Mile High United Way To support substance abuse, mental health and medical services for homeless persons through s Road Home, the ten year plan to end homelessness. $100,000 Desert Waters Correctional Outreach Cañon City To support The Corrections Ventline, a 24/7 hotline that provides crisis intervention, support and referral to corrections staff and their families. $35,000 Doctors Care Arapahoe, Douglas and Elbert Counties To support access to health care for low-income adults. Dolores County Senior Services, Cahone Recreation Hall and Senior Center Cahone To provide medical transportation and home health care to seniors in Dolores County. $12,000 Dominican Sisters Home Health Agency of, Inc. To provide in-home nursing visits for homebound and frail elderly. $30,000 East Morgan County Hospital Foundation Brush To purchase hospital equipment. $32,335 East Phillips Hospital District, dba Melissa Memorial Hospital Holyoke To help purchase surgical and cardiac rehabilitation equipment for a rural hospital. Easter Seals Colorado Adams, Arapahoe, and Jefferson Counties To support Easter Seal s Warm Water Therapy Pool Program that assists clients in maintaining or increasing mobility and independence after illness or injury. El Paso County Department of Health and Environment Colorado Springs To support a youth suicide prevention program in El Paso County. $15,000 Emily Griffith Foundation, Inc. To help purchase hospital beds to train CNAs and LPNs through the health occupations program at Emily Griffith Opportunity School. $27,600 Falcon School District 49/Falcon Career Academics Program El Paso County To support the Health Care Academy, which prepares high school students for health professions. $75,000 over three years Family Directions To provide wraparound services for youth ages who are dealing with issues related to family conflict, mental illness, substance abuse, school failure and/or juvenile delinquency. $20,000 Family Visitor Program Eagle, Garfield and Pitkin Counties To provide mental health services to high-need pregnant and parenting women. Full Circle Inter-Generational Project, Inc. To support the Sistah Girls Coming Full Circle Program that provides health and nutrition education and exercise classes for African-American women. $30,000 Grand County Rural Health Network Granby To support The Health Advisor Program. $12,760 HealthBridge Alliance To support the Secondary Trauma Resiliency Training Program for health professionals. $30,000 14

15 Hep C Connection For support of the Co-Infection Program that works to educate people living with HIV/AIDS about their potential risk of co-infection with hepatitis C and to encourage testing. $30,000 High Plains Community Health Center, Inc. Lamar To purchase equipment to expand High Plains Community Health Center s oral health services. $36,850 Hilltop Community Resources, Inc. Grand Junction To support B4 Babies and Beyond, the single entry point for prenatal care services in Mesa County for low-income women. Hinsdale County Public Health and Community Services Lake City To develop the Lake City Dental Clinic, a new dental resource in this community. $45,079 Hoehne Fire Protection District Las Animas County To purchase equipment for EMS First Responders in a rural Colorado community. $12,097 Hospice and Palliative Care of Western Colorado Mesa County To support the construction of an in-patient hospice facility in Grand Junction. $75,000 Hospice of Metro To provide palliative care education and training to medical students, residents, health professionals and community members. Howard Dental Center for HIV/AIDS Oral Health To support the provision of dental services to people with HIV/AIDS. $30,000 Huerfano County Ambulance Walsenburg To purchase a new ambulance. $46,897 Independent Life Center Moffat, Rio Blanco and Routt Counties To support transportation services for people with disabilities to and from health care appointments. $20,000 Inner City Health Center To support the provision of adult and pediatric oral health services. $100,000 Invest in Kids Arapahoe, Morgan, Routt, and Weld Counties To implement The Incredible Years, a skill building program that works with children, parents and teachers to support children s positive mental health and academic success. Jefferson Center for Mental Health Jefferson County To support the implementation of Multi-Systemic Therapy, an evidence-based program that helps youth who are experiencing mental illness and behavioral problems. Jewish Family Service of Colorado To provide case management and mental health counseling to Russian speaking immigrants. $40,000 Kids in Need of Dentistry (KIND) To expand the availability of preventive services for young children at KIND S dental clinics. $123,000 Lamar Area Hospice Association Bent, Kiowa and Prowers Counties To support the Helping Hands for the Independent Elderly programs serving seniors in southeast Colorado. $41,200 Lamar Community College Prowers County To support a wellness program serving students at Lamar Community College and patients at High Plains Community Health Center. $45,850 Lower Valley Fire Protection District Fruita To purchase a new ambulance. $81,000 Marillac Clinic, Inc. Mesa County To open a new health clinic serving low-income and uninsured people in Palisade and eastern Mesa County. $120,439 Mental Health Center Serving Boulder and Broomfield Broomfield and Boulder Counties To integrate mental health services with primary care at Clinica Campesina and People s Clinic. Mesa State College Grand Junction To purchase digital radiography equipment to use in Mesa State s Radiologic Technology program. $62,000 Metropolitan Dental Society To support the Domestic Violence Dental Care Program that links survivors of domestic abuse with volunteer dentists for care. $7,500 Metropolitan State College of Department of African American Studies To support conference sessions on health disparities. $2,000 Mi Casa Resource Center for Women, Inc. To support the CASASTART prevention program serving Lake Middle School, Horace Mann Middle School and Cheltenham Elementary School. Montrose Memorial Hospital Delta and Montrose Counties To purchase medical oncology equipment. $42,475 Mountain Resource Center Jefferson and Park counties To assist medically underserved children and adults in accessing needed health and social services. $38,000 15

16 Northern Colorado AIDS Project Sterling To support NCAP s High Plains Regional Office in Sterling, that provides education, medical advocacy, emergency assistance and mental health counseling for people living with HIV/AIDS. $15,000 Otero Junior College Child Development Services La Junta For equipment to develop a hospital-based dental program. $100,000 Park County Senior Coalition Fairplay To support transportation and medical services for seniors. $15,000 Peak Vista Community Health Centers El Paso County To support Centering Pregnancy, a multifaceted program that integrates health assessment, education and support into a comprehensive prenatal care program. People s Clinic Boulder County To support delivery of prenatal care to medically underserved women in Boulder County. Planned Parenthood of the Rocky Mountains Montezuma County To support the Cortez Health Center in providing women s health services for low-income and uninsured individuals. Platte Valley Medical Center Brighton To purchase a 64-slice CT scanner. $100,000 Professional Association of Treatment Foster Homes Colorado (PATH) To expand the capacity of the Intensive Level Treatment Foster Care Program. $35,000 Project WISE Adams and Counties For mental health services for low-income, uninsured women who are unable to access public mental health services. Pueblo Community Diabetes Project Pueblo County For a community-based diabetes prevention program. $30,000 Pueblo Suicide Prevention Center For a statewide suicide prevention hotline. $30,000 Roaring Fork Family Resource Centers Eagle and Pitkin Counties To support the Family Health Program that helps medically underserved children and their families access health care, dental care, vision care and mental health services. Rocky Mountain Adventist Healthcare Foundation/Porter Adventist Hospital To support a new program, Bridging the Gap in Nursing Preparation. $16,100 Rocky Mountain Rural Health Park County To support the construction of a new health clinic in Fairplay. $120,000 Rocky Mountain Youth Medical and Nursing Consultants, Inc. Adams, Arapahoe,, El Paso and Jefferson Counties To support the Adolescent Outreach Program that provides primary care services to at-risk youth. Rose Community Foundation To support the study Health Care Services for Children in the politan Area: Access, Quality and Local Context, a collaborative project among four Colorado foundations. $15,000 Rural Communities Resource Center Sedgwick, Washington and Yuma counties To support the provision of preventive dental services to children and pregnant women in northeast Colorado. $88,280 Saint Joseph Hospital Foundation To support renovation of space to house the Certified Nurse Midwifery Practice at Saint Joseph Hospital. $100,000 Saint Thomas More Health Foundation Cañon City To purchase hospital equipment. $47,100 San Luis Valley Regional Medical Center Alamosa, Conejos, Costilla, Mineral, Rio Grande and Saguache Counties For construction of a new imaging center to provide mammography services for the San Luis Valley. $109,407 Senior Hub Adams and Arapahoe Counties To support respite and in-home supportive services. $15,000 Seniors Inc. Fremont County To help purchase a building in Trinidad, Colorado as a site for senior programs serving Fremont County and rural portions of neighboring counties. Shalom Park Arapahoe County To develop an RN training program in partnership with Arapahoe Community College. Sisters of Color United for Education To recruit and train promatoras (lay health educators) to provide outreach and prevention education on a variety of health topics aimed at reducing Latinos risk for chronic diseases. $15,000 Southeast Colorado Hospital District Baca County To support the construction of a new health care clinic in Baca County. To purchase medical equipment. $30,000 16

17 Southwest Open School Montezuma County To provide health care and health education to students at the school-based health clinic in Cotez. $25,852 Southwest Teller County Emergency Medical Services El Paso, Fremont, Park and Teller Counties To help purchase a new ambulance. $30,000 Spanish Peaks and Bon Carbo Fire Protection District Trinidad To purchase EMS equipment. $14,165 Spanish Peaks Regional Health Center Walsenburg To develop an adolescent health program focusing on health promotion and teen pregnancy prevention. $47,896 Special Transit Adams, Boulder, Broomfield and Larimer Counties To support the provision of medical transportation for low-income seniors and people with disabilities. Suicide Resource Center of Larimer County, Inc. Ft. Collins To support the school-based youth suicide prevention program, Raising Awareness of Personal Power. $10,000 Summit Community Care Clinic Frisco To equip two dental operatories at Summit Community Care Clinic. $70,654 Summit Youth Services Center Frisco To support four school-based health centers in Summit County providing preventive and primary health care services to low-income and underserved children. Therapeutic Riding and Education Center Pueblo West To support a therapeutic riding program for disabled and special needs individuals. $23,620 Trinidad State Junior College Alamosa and Trinidad For the purchase of patient simulation technology to be used in Trinidad State Junior College s nursing education programs in Trinidad and Alamosa. $60,000 University of Colorado and Health Sciences Center Refugee Mental Health Program of Colorado To provide mental health services to refugees and immigrants affected by war trauma and to train psychologists and psychiatrists to provide culturally competent care. $61,000 University of Colorado School of Medicine To support the CU School of Medicine s development and implementation of a new four-year medical school curriculum designed to better prepare students for the practice of medicine and for on-going learning. $100,000 University of Colorado School of Pharmacy To help support a full-time pharmacist at the Colorado Coalition for the Homeless Stout Street Clinic. Ute Mountain Ute Tribe, Towaoc Department of Public Safety Towaoc To assist with the purchase of an ambulance. Vietnamese Elderly Association of Colorado To support the Elderly Community Health Program serving seniors in the Vietnamese and Hmong Communities. Volunteers of America and Larimer Counties For the Safety of Seniors Handyman Program that works to reduce the risk of falls among low-income seniors. Walsh Healthcare Center Baca County To purchase ambulance equipment. $45,990 Wellspring Senior Foundation, Inc. Jefferson County To support the Health and Wellness Program serving low-income seniors at Eaton Homes. $15,000 Westend Family Link Center Nucla To support the Senior and Comfort Care Program, that helps coordinate access to health care for seniors in Montrose County. $12,000 Western Slope Study Group Grand Junction For a program of patient self-management and quality improvement interventions for patients with osteoarthritis of the knee. $40,000 Westside CARES Colorado Springs To support the Pastoral Nursing Program. $11,283 Women s Health (Boulder Valley Women s Health Center) Boulder To help establish a Teen Clinic in Longmont. $40,000 Women s Lighthouse Project To support the Client Treatment Advocacy Project, which helps women living with HIV/AIDS navigate the health care system and access support services. $20,000 Women s Resource Center Ft. Collins To educate underserved women about early detection of breast and cervical cancer, HIV and STD prevention, and dental hygiene. $19,300 17

18 2006 Financials Statement of Financial Position* Assets: October 31, 2006 Cash and cash equivalents $219,145 Investments 165,865,835 Prepaid expenses 33,870 Furniture and equipment, net 80,700 Investments deferred compensation 37,118 Total assets $166,236,668 Liabilities: Grants payable $1,133,719 Accounts payable and accrued expenses 157,917 Investments deferred compensation 37,118 Total liabilities 1,328,754 Net Assets: Unrestricted 164,907,914 Total net assets 164,907,914 Total liabilities and net assets $166,236,668 Statement of Activities Year ended Revenue: October 31, 2006 Interest and dividends $2,355,356 Net realized and unrealized gain on investments 19,600,738 Less investment expenses (452,697) Total revenue 21,503,397 Expenses: Program services: Grants 6,101,780 Grant making expenses 779,917 Total program services 6,881,697 Supporting services general and administrative expenses 266,886 Total expenses 7,148,583 Change in net assets 14,354,814 Net assets, beginning of year 150,553,100 Net assets, end of year $164,907,914 *Audited Financial Statements Caring for Colorado Foundation Staff Chris J. Wiant, M.P.H., Ph.D. President and Chief Executive Officer π Susan Hill, M.S.P.H. Vice President of Programs Linda Reiner, M.P.H. Director of Planning and Evaluation π Patty Disney Controller π Sophie Faust Program Officer Almeta Corbin, M.N.M. Grants Administrator π Mariah Hegarty Executive Assistant 18

19 2006 Board of Directors Meyer M. Saltzman, CPA, DABFA, FACFEI Ray A. Aguilera Pueblo Susan E. Birch RN, MBA Steamboat Springs Cynthia L. Duffy Littleton Robert D. Greenlee Boulder Walter F. Imhoff, DPS Greenwood Village Bessie M. Konishi Alamosa William G. Lajoie, CPA, CFE Littleton Lois K. Lynch, RN, BSN, CCRN Lakewood Paul Miller Franktown Patti Shwayder, MPA Gretchen L. Sigafoos, RN, MSN, MSA Grand Junction Major W. Tappan, DDS Brighton James B. Wanebo Durango Tom C. Westfall, MA Wray 19

20 4100 E. Mississippi Avenue Mountain Towers, Suite 605, CO toll-free phone fax A special thanks to Anabliss Graphic/Design, Kathleen Bohland Communications, Journal Communications (Pueblo Photos) and the Bessemer Historical Society (Mill Photo). 20