COLORADO ANNUAL REPORT

Transcription

1 CARING FOR COLORADO F O U N D AT I O N ANNUAL REPORT 2004

2 Caring for Colorado Foundation supports activities that achieve measurable improvements in the health of Coloradans, particularly in underserved populations. Chris J. Wiant, MPH, PhD Dear Fellow Coloradans, The year 2004 marks the fifth anniversary of the creation of the Caring for Colorado Foundation and completion of the Foundation s fourth year of grantmaking. Since inception, the Foundation has awarded $23.7 million in grants that have benefited all of Colorado s 64 counties. It has been an exciting and rewarding five years. As we ve traveled throughout Colorado to places such as Lamar, Yuma, Alamosa, Creede, Craig, Grand Junction, Mancos, Pueblo, Westcliffe, Trinidad, and many others we ve met countless people devoted to solving health care problems in their communities. It is these people who have been the voice of the underserved in our state, championing the need for access to health care for all. It is these people who have shaped the funding priorities of Caring for Colorado. Community members have told us that a foundation such as ours can best serve the people of Colorado by strengthening the health care safety net so that no one is left unserved and by focusing on access to basic health services including oral health, mental health and prevention programs. We have made it our priority to listen and learn from the communities we serve. You will see their influence in the grants we award. We invite you to take a moment to read our 2004 Annual Report and learn about Caring for Colorado Foundation and our 2004 grantees. Together we are succeeding in making the people of Colorado healthier. Sincerely, Chris J. Wiant, MPH, PhD President and Chief Executive Officer Meyer M. Saltzman, CPA, DAFBA Chairman, Board of Directors Meyer M. Saltzman, CPA, DAFBA

3 Impact on Colorado An Overview of the Foundation 2 3 Caring for Colorado Foundation was created from the 1999 sale of Blue Cross Blue Shield of Colorado. Its mission is to promote and serve the health care needs of the people of Colorado. To do so, the foundation makes grants in communities throughout the state to increase access to direct health services, to implement prevention programs, to share health information and to improve the health care infrastructure. Caring for Colorado strives to make lasting health improvements for individuals and communities. Caring for Colorado Foundation funds programs in these priority areas: Community Health To improve the health status of individuals and/or communities by addressing unique community identified health needs. Enabling Informed Health Decisions To prevent disease, reduce health risks and improve the health of individuals and/or communities by disseminating information that promotes informed health decisions. Health Infrastructure To enhance the capacity of facilities and organizations to improve health care through capital projects, equipment and technology. Oral Health To increase the oral health safety net s long-term capacity to meet the needs of the underserved in Colorado; and, enable a new generation of Colorado children to be free of the devastating consequences of oral disease. Caring for Colorado is particularly interested in projects that address the needs of underserved populations or that work to reduce health disparities Community Input It is a priority of the Caring for Colorado board and staff to actively seek community input regarding the foundation s grantmaking priorities. To do so, the Caring for Colorado Board of Directors traveled to Pueblo, in July of 2004, for the foundation s annual statewide videoconference. Eighteen communities across the state participated in a discussion of unmet community health needs and how Caring for Colorado might respond. Caring for Colorado participated in Rural Philanthropy Days in Sterling and Canon City in Foundation staff met with non-profit agencies from northeast Colorado and the central mountains of Colorado and heard about issues of importance to rural Colorado. Finally, Caring for Colorado hosted a community meeting in Westcliffe with representatives of health organizations to learn more about regional health issues. Our Partners The Colorado Health Institute Created in 2002 through funding from Caring for Colorado, The Colorado Trust and Rose Community Foundation, the Colorado Health Institute (CHI) is serving Colorado as a comprehensive source of health data and policy analysis. The mission of CHI is to advance the overall health of the people of Colorado by serving as an independent and impartial source of reliable and relevant health-related information. CHI is pursuing three core functions: to serve as a centralized information clearinghouse for health data; to research and analyze health and healthrelated policy issues for Colorado; and to communicate health data and policy analysis to policymakers, advocacy and consumer groups, health care providers, the business and nonprofit communities and the public. For more information go to Advancing Colorado s Mental Health Care Advancing Colorado s Mental Health Care is a five-year, $4,125,000 collaborative project of Caring for Colorado Foundation, The Colorado Trust, The Foundation and HealthONE Alliance. Its main focus is to help improve the integration or coordination of mental health services for patients, while also implementing evidence-based programs for those most profoundly impacted by mental illness. The project will support several Colorado communities in developing new or stronger systems of care for persons with mental illness. A request for proposals will be issued in April of Funded communities will begin their projects in the Fall of For more information go to

4 Bright Smiles For Bright Futures 4 Good oral health is crucial for pregnant women and their children. Women with periodontal disease are seven times more likely than women with optimal oral health to deliver a preterm or low birthweight baby. This makes oral health care an essential component of prenatal care. And early preventive care for young children will make it less likely they will suffer childhood dental problems and pain. Yet dental care is not always accessible for low-income families. Dental Aid in Boulder County set out to change that in 2002 with the help of a three-year grant from the Caring for Colorado Foundation. The goal was to prevent preterm and low birthweight babies due to poor oral health in pregnant women and to break the cycle of dental disease in their children. Dental Aid broke through barriers of language, transportation and financial needs to provide both preventive care and dental treatment to low-income pregnant women and their children. For many, it was the first time they had ever been to a dentist. In the first two years, Caring for Colorado s grant helped Dental Aid provide oral health care services and education to 635 women and 442 children. Now understanding the importance of oral health, many of these families regularly receive dental services from Dental Aid, says Karen Cody Carlson, Dental Aid s executive director. There s a huge connection between oral health and physical health, Carlson says. Caring for Colorado has given us a wonderful opportunity to make a real impact on improving the oral health of our community. Oral Health Oral health is one of the funding priorities for the Caring for Colorado Foundation. Since the beginning of its grantmaking, $5.4 million has been directed toward oral health projects through: INFRASTRUCTURE Expand physical capacity to provide oral health services. OUTREACH AND EDUCATION Educate people about the importance of routine dental care and how to access services. CARE COORDINATION Help families navigate the dental care system and establish a dental home. INTEGRATION Bring oral health education and services into other settings such as physician offices, day care facilities, schools and public health programs. 5 EXPAND AVAILABILITY OF DENTAL SERVICES Increase the number of dentists and dental hygienists working in underserved communities. From , Caring for Colorado funding has resulted in: The construction or renovation of seven safety net dental clinics. The purchase of 34 dental operatories for use in safety net dental clinics. Nine new dental teams providing care to the underserved. 65,000 annual dental visits added to the safety net system. 15,000 children receiving oral health education and prevention services annually. Ten care coordinators working to ensure access to care for the underserved.

5 Access To Health Care Building Capacity To Expand Health Services One of the top priorities of Caring for care had grown as fast as the population says Deb Crook, Director of Public Health Colorado Foundation is to increase of Summit County, up more than 80% Nursing for Summit County. We now 6 access to health care for underserved in the last decade. are able to provide the continuity of care 7 populations. Since 2001, over $8 million patients can t get in an emergency room. Colorado s resort communities has been directed toward: employ the working poor, In 2002, a Caring for Colorado grant INFRASTRUCTURE Enhance the physical capacity of health care agencies to provide care through capital construction, renovations and medical equipment. EXPAND AVAILABILITY OF HEALTH CARE SERVICES Increase the number of physicians, nurses and other health professionals who provide care to the underserved. REDUCE BARRIERS TO CARE Support for transportation, translation services, and accessing public insurance programs. PREVENTION Provide access to prevention services to reduce the disease burden in communities. The lines started early at the Summit County Community Care Clinic in Frisco. By 6 p.m., when the clinic doors opened, there would be more than enough patients for clinic volunteers to treat in an evening. The need for health who support hotel, construction, ski and retail industries in mountain resort towns. There s an urgent need for affordable health care for this population that ebbs and flows with the snow. The Summit County Community Care Clinic and the Mountain Family Health Center in Glenwood Springs addressed this unmet need with grants from Caring for Colorado. Both clinics were able to increase their hours of operation, establish full-time providers and increase health care services. Before the Caring for Colorado grants, the Summit County clinic provided health care for 941 patients. By 2004, the number had increased to 1,406 patients. Caring for Colorado s commitment to the underserved has been extraordinary, supported the hiring of an additional physician at the Mountain Family Health Center, increasing its capacity to provide health services by more than 30% with 1,190 new patients. The center now provides care to more than 5,000 patients. Caring for Colorado gave us the seed money to help us bring on almost every provider we have, says David Adamson, Director of Western Slope Operations. And the patients keep coming. He adds, When we opened the center we thought we were going fishing it turned out we hooked Moby Dick. Through projects funded by Caring for Colorado in , over 115,000 individuals had greater access to health care services including: Primary care doctors who will see them regardless of their ability to pay. Assistance in getting prescription medication for free or at a reduced rate. Transportation services to get to health care. Translation and interpretation services for people who don t speak English. Hospice care. Home health care.

6 Promoting Health Professions To Fill a Community Need 8 A shortage of qualified health care workers is a problem in Southern Colorado. And though many of the young people who lived there were looking for more opportunities and better careers, they lacked the training necessary to fulfill their dreams. Caring for Colorado and the Pueblo Community College teamed up to give students the skills they needed to move into health care careers while giving them the opportunity to continue to live and work in Southern Colorado. The college started the Health Careers Success Program in 2002 with a threeyear grant from Caring for Colorado to help recruit and retain students who were interested in health careers. Before the program, many of the new students were floundering in the health prerequisite courses and there was no real system to advise them or track their progress, says the college s dean, Judith Kilmer. Many students were single parents holding unskilled jobs, who weren t adequately prepared for college course work. While in the program, students received mentoring, study skills training, tutoring and encouragement from staff. The extra efforts helped students and gave them the confidence they needed for academic success. More than 250 students have graduated or are working toward their health care degrees since the program s inception. The students career choices are in the allied health care professions in a wide range of specialties. Student Trent Boggs has studied to become a radiology technologist and will complete his degree this year. It was challenging, but well worth it, he says. I set a goal for myself and I was able to make it happen, said Boggs, who plans to find work in his field in Southern Colorado. I know I ve picked the right career. Assuring An Adequate Health Care Workforce In Colorado there is an acute shortage of health care professionals who are willing to work in rural and low-income communities. There is also a statewide nursing shortage. To address these important issues, Caring for Colorado Foundation has granted over $1 million since 2001 for: PIPELINE PROGRAMS Introduce middle school and highschool students to health careers. Strengthen students science and math skills in community college settings to ensure success in health training programs. ALLIED HEALTH PROFESSIONALS Increase training opportunities for allied health professionals. EXPANSION OF NURSING SCHOOLS Increase the capacity of nursing schools to train nurses. 9 With support from Caring for Colorado, the following occurred in : More than 70 medical and pharmacy students have experienced rural practice. The capacity of nursing education programs in Colorado schools has been increased by almost 400 students. The capacity of a high school program to prepare students for health careers was increased by 100 students. New and expanded programs for training CNA s and LPN s have already trained more than 100 new CNA s and LPN s. A dental hygienist training program increased its student numbers and patient visits by 30%. Patient simulation technology was purchased to help better prepare nursing students before they enter clinical training.

7 2004 Grantees Overview of 2004 Grantmaking 10 Advancing Colorado s Mental Health Care Project $200,000 Boulder Valley Women s Health Center $15,000 Boulder Support for a 5-year, $4 million dollar joint project among The Colorado Trust, HealthOne Alliance, The Foundation and Caring for Colorado Foundation to support the integration of mental health services and the use of evidence-based practices to better meet the needs of those most severely impacted by mental illness. To support a home-based women s health program that works to prevent subsequent pregnancies in teen parents. Advancing Colorado s Mental Health Care Project $10,000 To provide data entry support and evaluation assistance to projects funded through the Oral Health Improvement Project who are also participating in the external evaluation of the Project. The organizations receiving funding are: Marillac Clinic, Dental Aid, Pueblo Coalition for the Medically Underserved, Dental Access Centers, Health District of Northern Larimer County, Otero Junior College Child Development Services and Metropolitan Community Provider Network. A grant to the Foundation (serving as the fiscal agent of the Advancing Colorado s Mental Health Care Project) to pay for administrative costs associated with the Project. Number of Grants Awarded: 121 Total Amount Awarded in 2004: $5,327,810 Total Amount Awarded Since the Inception of the Foundation: $23,748,227 Number of Counties Directly Impacted by CFC Funding in 2004: 48 (75% of all Colorado Counties) 2% 5% Arapahoe House $35,000 Serving clients from Arapahoe, Douglas, Jefferson,, Adams and El Paso counties 2% 6% 6% 22% 12% 20% 7% 12% 40% 11% 49% 16% 60% 18% 12% 39% 42% 19% Proportion of Grant Dollars by Health Category Direct Health Services Prevention Programs Mental Health/Substance Abuse Oral Health Health Workforce Development Health Policy Purpose of 2004 Funding Increase Availability of Health Services Health Education and Training Infrastructure Other Proportion of Grant Dollars by Type of Organization Nonprofit Academic Institution Where Grants were awarded in 2004 Grants within the Metro Area Community Health Clinic Grants outside of the Metro Area Hospital Grants with Reach Public Health Agency Community Coalition Government To support the New Directions for Families Program that provides residential and outpatient substance abuse treatment and mental health services to women, and their children, who are affected by substance abuse. Arapahoe/Douglas Mental Health Network $135,698 Arapahoe and Douglas Counties To support collaboration between the Mental Health Network and law enforcement agencies to connect people who have mental health needs to the appropriate services. Bonfils Blood Center Foundation $50,000 To support Because Life Happens, a community outreach program that will educate employees of various worksites about the importance of donating blood with the goal of increasing the number of blood donors. Caring for Colorado Foundation s Oral Health Improvement Project $21,000 ($3,000 per organization) who live with severe and persistent metal illness. Cherubim Foundation $27,300 To support a bilingual Resource Buddy who works one-on-one with women who have been diagnosed with breast, ovarian or uterine cancer to assist them through their treatment and recovery as well as helping them access palliative care when necessary. Child and Migrant Services, Inc. $23,000 Mesa County To promote the physical and mental health of 1,200 farm workers and their families in Mesa County through greater access to medical and mental health services. Clear Creek County Nursing Service $25,600 Idaho Springs To support the HOME (Hope, Opportunity, Morale, Empowerment) Program. Catholic Charities Diocese of Pueblo $25,000 Clinica Tepeyac $30,000 Pueblo County To support the Reach and Teach Program that utilizes a peer-to-peer education model to teach Latinas about health issues including cancer and diabetes. To support La Familia Fuerte, an intensive home visitation program that provides home visits, case management and service coordination to high-risk families with children ages birth through 12 years. Families receive help with a range of issues including child development, parenting, mental health and child health. Centro de la Familia $41,438 El Paso County To support the provision of culturally appropriate family violence prevention services, parenting education and child abuse prevention for monolingual Spanish speaking people, Native Americans and immigrant families. CHARG Resource Center $15,000 To support a program that addresses the dental health needs of adults Colorado Academy of Family Physicians $10,000 To support the Summer Fellowship Program that is designed to give medical students exposure to family medical practices in rural and/or medically underserved areas, early in their medical careers, with the goal of increasing the number of Family Physicians who decide to practice in rural or underserved communities. Colorado Asian Health Education Project $80,900 Serving the Indian, Vietnamese, Philipino, Chinese, Thai and Lao-Hmong communities. Support to expand the tuberculosis (TB) elimination and diabetes education activities of this multi-community collaborative that uses trusted community leaders to provide education to help reduce the stigma associated with the diseases and to encourage people to seek screening and treatment. Colorado Association of Local Public Health Leaders (CALPHL) $50,000 To support CALPHL in its mission to promote and implement public health policy that is based on sound scientific evidence. The main goal of the organization is to insure a coordinated public health system in Colorado. Colorado Children s Campaign $33,388 To hold Child Health Forums in 11 rural communities in Colorado to provide community and business leaders with the opportunity to learn more about the status of children s health in their community and to gain a better understanding of the entire children s health system. Colorado Clinical Guidelines Collaborative (CCGC) $79,280 over 18 months To support a project to implement the use of the CCGC Depression Guidelines in primary care practices in the Metro area and rural northeast Colorado. Colorado Clinical Guidelines Collaborative (CCGC) $50,000 To promote quitting among adult Coloradans in rural areas who smoke or use smokeless tobacco. Rural health providers will receive training, education and cessation materials. CFC funds will be matched by $50,000 from the American Legacy Foundation. 11

8 Colorado Community Health Network Colorado Oral Health Network $10,000 The Colorado Oral Health Network is a consortium of Colorado safety net dental providers who meet monthly. The Network has almost 60 members representing over 30 organizations throughout the state. Funds will support the Network s efforts over the next year. Colorado Department of Public Health and Environment $2,000 To support the Oral Health Awareness Colorado Summit. Health Bridge Alliance $24,900 To support the expansion of Health Bridge Alliance s program of resiliency training for professionals working with crime victims to include health professionals such as sexual assault nurse examiners, forensic nurses, rape counselors, psychiatric nurses and associated mental health staff, EMTs, investigators in coroners offices and nursing and psychiatric personnel in correctional facilities. Hilltop Community Resources, Inc. $25,000 Grand Junction Support for the B4 Babies and Beyond Program, the single entry point for prenatal care services in Mesa County for low-income women. Howard Dental Center $36,900 To support the implementation of Fast Tracks, an appointment scheduling system that is designed to insure that patients complete their course of treatment in a timely manner. Howard Dental Center provides dental care for low-income individuals who are living with HIV/AIDS. Human Services Inc. $20,000 To support The Florence Crittenton School and its Infant/Toddler Development Center in assisting young mothers in accessing proper medical care for themselves and their babies. Inner City Health Center $100,000 over two years To support the Adult Medical Program that provides physical exams, sick office visits and women s health care for uninsured adults. Jefferson Center for Mental Health $50,000 Jefferson, Gilpin and Clear Creek Counties To support the ROAD, a drop-in resource center for at-risk young adults, ages 15-22, who have mental health needs. Family Star $30,000 Jewish Family Service of Colorado $73,152 over two years bring adult and child psychiatric Children and to expand the document 12 Colorado Health Network that serve low-income children with services to the remote areas of to include a description of the health To support the Healthy Families Northwest Colorado Dental 13 northwest Colorado. care safety net for adults in Colorado. Program that provides preventive To provide case management services Coalition $450,000 over three years health services, health education to help Russian clients navigate the Craig and access to on-site mental health health care system and to provide To open a new safety-net dental services for low-income families at mental health services for both English clinic serving low-income children Family Star, an early childhood and Russian-speaking clients. in northwest Colorado. education center in northeast. (Colorado AIDS Project) $37,400 Metro To provide specialized case-management services to help people living with HIV/AIDS access medical care, substance abuse treatment, mental health services and maintain drug regimens. This grant is targeted to monolingual Spanish-speaking clients. Colorado Neurological Institute $35,000 To support outreach, education and screening on stroke risk and prevention strategies for people living in the Metro area. In addition, trainings on stroke identification and treatment will be provided to health care providers serving low-income and uninsured persons. Colorado Northwestern Community College Foundation $45,100 Rangely To purchase dental equipment for an expanded clinical training facility for Colorado Northwestern Community College s dental hygiene program. Colorado Rural Health Center (CRHC) $43,000 To support the Community Technical Assistance Program that matches people from rural communities with other rural communities to resolve shared health care delivery problems. Colorado Tobacco Education and Prevention Alliance (CTEPA) $50,000 Metro To provide technical assistance to several metro-area communities as they develop clean indoor air policies. In addition, an education and outreach effort on tobacco prevention will be targeted to Latino communities in. Colorado West Regional Mental Health, Inc. $61,615 Rio Blanco, Moffat, Routt and Jackson Counties To purchase equipment for a tele-psychiatry program that will Commerce City Community Health Services, Inc. $90,000 Commerce City To support the operation of two school-based health centers in Adams School District 50. The health centers provide care to children ages birth to 21, including well child and adolescent exams, immunizations, health education, diagnosis and treatment of acute illness and injury, management of chronic conditions, mental health and substance abuse assessments and dental screenings. Community Mental Health and Substance Abuse Partnership $10,000 Larimer County Support for a community-wide effort to restructure the mental health and substance abuse service system to improve service delivery for the 36,000 people most affected by mental illness and addictive disorders in Larimer County. Congregational Health Partnership $5,000 To purchase medical equipment used during health screenings at area churches. The Conflict Center $21,725 To support the Empowering Families Program that works with youth who have been court-ordered into conflict and anger management training. The program works with youth and their parents to teach skills that improve self-management and enable youth to make positive and non-violent choices. Consumer Health Initiative $30,000 For a project jointly funded with the Piton Foundation to update Colorado Guide to Free and Low Cost Health Care for Pregnant Women and Costilla County Nursing Service $200,000 San Luis To support the construction of a 20,000 square foot County Services complex that will include a permanent space for the Costilla County Nursing Service. The Counseling Center $15,000 Boulder and Broomfield Counties To provide mental health services to uninsured and low-income individuals in Boulder and Broomfield Counties through family and individual counseling. Delta County Memorial Hospital $35,000 Delta To help purchase a Magnetic Resonance Imaging Machine for a rural hospital serving a large geographic region. Dolores County Senior Services $8,700 Cahone To provide homemaker services, transportation to medical appointments and a Friendly Home Visitor Program for the frail elderly living independently in their own homes in this rural county. Doctors Care $25,000 South Metro To provide access to primary and specialty health care for low-income, uninsured children and adults living in Douglas, Arapahoe and Elbert Counties. East Morgan County Hospital Foundation $27,102 Brush To purchase medical equipment for improving the diagnostic and surgical services provided at the hospital. El Centro Su Teatro $12,000 To use theater productions to provide information on breast cancer and the importance of screening to audiences of low-income and Spanish-speaking women. The project also provides linkages to mammography and follow-up care. Fisher s Peak YMCA $39,371 Trinidad To support the Fit for Life Program, a prevention project designed to improve health status by providing opportunities for regular exercise and nutrition education. Full Circle Inter-Generational Project $30,000 To support the Sistah Girls program that addresses the medical, psychosocial and physical needs of African-American women through health education on nutrition, physical activity and cancer prevention; self-help support groups that address the psychosocial needs of the participants; and exercise classes. Harbor House $36,875 Colorado Springs To support the development of a continuum of treatment and housing support services including intensive therapy, case management and housing for homeless individuals with long-term substance abuse problems. Maria Droste Services of Colorado, Inc. $37,402 Metro To support the Options Program that provides individual counseling to low-income and uninsured people dealing with substance abuse, relationship problems, domestic violence and the mental health aspects of living with HIV/AIDS. The Memorial Hospital $50,000 Craig To help support the provision of primary health care services for lowincome uninsured and underinsured people in Moffat County at the Moffat County Care Clinic. Metro Black Church Initiative $75,000 Using a parish nursing model, address the top five diseases disproportionately impacting the African-American community in through outreach, education, health screenings and linking people to health care services. Metropolitan State College of $60,000 To help support the start-up costs associated with a new accelerated nursing education program at Metropolitan State College of. Mi Casa Resource Center for Women $50,000 To support CASASTART, a national substance abuse prevention project developed by the National Center on Addictions and Substance Abuse, at Cheltenham Elementary School in. Mile High Montessori Early Learning Centers $80,000 To support the Healthy Beginnings Program that provides twelve federally subsidized childcare centers in access to a Pediatric Nurse Practitioner. In this program the Nurse Practitioner provides minor illness care to the children, works to establish medical homes for them, works to increase immunization rates, and educates childcare staff and parents about communicable disease prevention. Mountain Family Health Center $70,385 Glenwood Springs To equip an expanded clinical facility in Glenwood Springs for the purpose of increasing Mountain Family Health Center s (MFHC) patient encounters from 15,000 to 20,000 per year. Mountain Resource Center $23,000 Conifer To support health services programs in an agency that serves as the single point of entry for underserved mountain area residents to comprehensive health and human services. NAMI Colorado (National Alliance for the Mentally Ill) $29,123 To provide outreach, support and education for Latinos/as who have a family member with a severe mental illness. National Association of Rural Mental Health $2,000 To provide support for the National Association for Rural Mental Health s Annual Meeting in Boulder, Colorado in June Neighbor-to-Neighbor Volunteers, The Chaffee Shuttle $15,000 Salida To purchase a wheelchair-accessible bus for The Chaffee Shuttle fleet that provides the only public transportation in the county. Nine Health Services, Inc. (9Health Fair) $21,000 To help purchase a vehicle that will support training programs and implementation of youth and adult health fairs throughout Colorado. Northwest Colorado Visiting Nurse Association $40,000 Steamboat Springs To support the provision of women s health services for low-income and uninsured women in Routt and Moffat counties. Northwest Fremont Emergency Medical Services, Inc. $4,690 Canon City To purchase several pieces of equipment for the EMS ambulance. Our Savior s Lutheran Church, St. Luke s Ministry $20,240 To support a training program for Certified Nursing Assistants. Penrose-St. Francis Health Foundation $50,000 Colorado Springs To purchase equipment for the Critical Care Department of the hospital. People with AIDS Coalition $20,000 To support the Peer Advocacy Project, which serves individuals with HIV/AIDS who experience barriers to receiving and/or utilizing adequate

9 14 health care and therefore have health outcomes far poorer than those individuals who have access to and can utilize appropriate health care. People s Clinic $50,000 Boulder To provide comprehensive prenatal, labor, delivery and post-partum care, parenting education and support services for low-income, uninsured pregnant women. Pikes Peak Partnership $11,000 Colorado Springs To support the Ambilcab Paratransit Service that provides transportation for people who have no other transportation alternative due to the extent of their disabilities or geographic challenges in accessing needed services. Pioneers Hospital $14,625 Meeker To purchase a transport type ventilator for the Emergency Department to improve the ability of a rural hospital to provide emergency life support. Prowers County Nursing Service $25,924 over two years Lamar To support the Immunization Improvement Program that will build a coordinated system with all providers of childhood immunizations in Prowers County to increase childhood immunization rates. Pueblo Suicide Prevention Center $60,000 over two years To support a program that provides a toll-free suicide prevention crisis line and other suicide prevention activities for anyone in Colorado. Refugee Mental Health Program of Colorado $55,572 To provide mental health services to refugees from countries such as Afghanistan, Iraq, Iran, Sudan, Ethiopia, Eritrea, Somalia, Liberia, Sierra Leon. This project will also work to develop cultural competence for psychiatry and psychology residents at the University of Colorado Health Sciences Center by providing hands-on training with a refugee population. Regis University $90,660 To develop a state-of-the-art patient simulation center to prepare nursing students for clinical experience. This facility will allow the nursing programs to further build capacity and ultimately accept increased numbers of nursing students. Rocky Mountain Survivors Center $40,525, Arapahoe, Jefferson and Boulder Counties To train community leaders to provide low-level mental health interventions to people who would otherwise be reluctant to seek out needed mental health services. Rocky Mountain Center for Health Promotion and Education $40,000 To provide teacher training and technical assistance to local school districts throughout Colorado to improve the quality of health education instruction in K-12 classrooms. Rocky Mountain Youth $25,000 To support the Adolescent Outreach Program that provides primary health care services to high-risk and underserved adolescents at a number of youth-serving community organizations. Rural Communities Resource Center $59,615 Yuma and Washington Counties To support the Family Health Program that targets the medically underserved residents of Yuma, Washington, Phillips, Sedgwick, Logan, Lincoln and Kit Carson counties. Services include healthy child clinics and case management to help people gain access to health care. Saint Joseph Hospital Foundation $100,000 Partial support for the purchase of a patient monitoring system for St. Joseph s Cardiovascular Laboratory. Salud Family Health Centers $150,000 Longmont To support the construction of a new 17,000 square foot medical/dental community health center in Longmont. This new facility will enable Salud to expand access to primary health care services for its target population: the low-income, uninsured, underinsured and migrant and seasonal farm workers. San Juan Basin Health Department $264,084 over three years Archuleta, Dolores, La Plata, Montezuma and San Juan Counties To develop a portable dental clinic for low-income children in southwest Colorado. The Senior Hub $10,000 Adams and Arapahoe Counties To support the Respite and In-Home Supportive Services Program with the goal of keeping seniors in their homes living healthy and independent lives. Sewall Child Development Center, Inc. $61,580 To provide mental health services and consultation in the classroom and to provide intensive family mental health counseling for high-need children. Shalom Park $32,000 To support a training program that allows CNAs (Certified Nursing Assistants) to advance by becoming Licensed Practical Nurses (LPNs). The program utilizes an apprenticeship model and offers a comprehensive training alternative to traditional classroom programs. Silverton Public Schools and the San Juan County Nursing Service $48,500 Silverton To support an after-school program for youth that helps students develop healthy habits and avoid the use of alcohol, drugs and tobacco. Part of the funding will go to support expansion of mental health services in the school. Sisters of Color United for Education/Hermanas de Color Unidas Para La Educacion (SISTERS) $15,000 To recruit and train additional promotoras (lay health educators) who provide outreach and education on a variety of health topics, targeting Latinos/as. Southwest Open School $26,048 Montezuma County Southwest Open School (SWOS) is a public charter high school under the umbrella of the Montezuma Cortez Re-1 School District that serves an at-risk adolescent population. Funds will be used to support the SWOS school-based clinic that provides students with primary health care, mental health services, dental health and treatment services, health education and prevention programs. Southwest Teller County Emergency Medical Services $16,584 Cripple Creek To purchase an upgraded cardiac monitor. Special Transit $10,000 Boulder and Longmont To support staff that provide transportation services for the frail elderly who live independently in their own homes yet are unable to drive or have limited transportation options. Spring Institute for Intercultural Learning $25,000 To support professional medical interpretation for community-based clinics that provide free or subsidized health care to uninsured patients. Currently, the Spring Institute has medical interpreters in 80 languages. St. Mary-Corwin Health Foundation $50,000 Pueblo To purchase medical equipment as part of the hospital s major, multi-phase expansion and renovation project. Summit County Community Care Clinic $87,880 Frisco To support the delivery of primary health care services to low-income, uninsured people in Summit County. Summit Youth Services Center $41,750 Frisco To support the delivery of physical and mental health services to the 600 students at two school-based health clinics within the Summit School District. Telluride Fire Protection District EMS Division $22,500 San Miguel County To purchase defibrillators and monitors that will be used on four ambulances and one paramedic vehicle serving the eastern portion of San Miguel County. Telluride Medical Center $35,000 Telluride To support delivery of medical care to low-income and indigent families in the area between Dallas Divide, Lizard Head Pass and Telluride. United Way of Weld County $50,000 Greeley To use outreach, education and case management services to increase the number of pregnant women in Weld County who enter prenatal care in the first trimester of pregnancy. University of Colorado at Learning Landscape Alliance $29,000 To support a collaborative project between the University of Colorado at, Public Schools, University of Colorado Health Sciences Center and local neighborhood organizations to increase physical activity among inner city children and their families. University of Colorado Health Sciences Center School of Pharmacy $38,808 over two years San Luis Valley Support for the pharmacist-run anti-coagulation clinic established in Valley-Wide Health Systems in Alamosa. The clinic provides care to individuals on anti-coagulation therapy and serves as a training site for students from the UCHSC School of Pharmacy. University of Northern Colorado Foundation, Inc. $51,000 over two years Greeley To purchase special exercise equipment for the Rocky Mountain Cancer Rehabilitation Institute whose mission is to combat the fatigue, weakness and loss of strength reported by people being treated for cancer. Urban Peak $24,243 Colorado Springs Funds to renovate space and purchase medical equipment in a 20-bed transitional housing site for homeless and runaway youth to create a fully equipped health clinic. Valley Assisted Living Residence $1,747 Silver Cliff (serving Custer County and parts of Huerfano and Fremont Counties) To purchase an automatic external defibrillator (AED). Vietnamese Elderly Association of Colorado (VEAC) and the Hmong American Association of Colorado (HMAAC) $36,200 Support for the Elderly Service Programs that will enable at least 500 seniors to access needed health care services via a combination of culturally appropriate case management, translation, interpretation, transportation, advocacy and referral services for Vietnamese and Hmong/Laotian refugees. Visiting Nurse Corporation of Colorado (VNA) $38,000 Serving 14 Front Range Counties To provide training to newly recruited RNs, physical/occupational/speech therapists and medical social workers. The goals of the program are to ensure that novice caregivers, who have clinical experience but no homecare experience, become quickly competent in home health matters and to increase the number of professional caregivers. Volunteers of America (VOA) $50,000 and Larimer Counties To reduce the risk of falls among low-income seniors in and Larimer counties through the assessment of home risks and home repairs by volunteer handymen. Warren Village $43,805 To support the Healthy Families Initiative which includes family counseling and assessment, health education, health screenings and the Healthy Beginnings weekly health clinic. The program is a partnership between Warren Village and the University of Colorado Medical School. Weld County Retired and Senior Volunteer Program (RSVP) $5,047 Greeley To purchase computer equipment for volunteer counselors who work with seniors in Weld County regarding available Medicare and Medicaid benefits, prescription drug coverage and pharmaceutical assistance programs. Wellspring Senior Foundation, Eaton Terrace Residences $14,900 Lakewood To support the Health and Wellness Program that works to promote health and prevent disease among seniors residing at Eaton Terrace Residences, one of only three subsidized assisted living facilities for low-income seniors in the Metro area. West Custer County Hospital District $15,379 Westcliffe To purchase updated medical equipment for the Wet Mountain Valley Community Clinic. West End Family Link Center $15,000 Nucla To support a program that uses a home visitation model to help the frail elderly and persons with advanced illness avoid nursing home placement. Western Slope Senior Energy Summit $69,550 over two years Mancos Sponsorship of The Senior Energy Summit to provide training to a core group of 40 seniors from Western Slope communities in evidence-based interventions for seniors in the areas of physical activity, nutrition and psychosocial health. Grant funds will then support health projects developed through the training in senior-serving agencies throughout Colorado s western slope. Westside CARES $10,000 Colorado Springs To support the Pastoral Nursing Program, which offers health screenings, wellness clinics and flu shots at churches and community agencies as part of an interfaith collaboration of 22 churches in Colorado Springs. Women s Lighthouse Project $20,000 To help women living with HIV/AIDS navigate the health care system and access support services. 15

10 2004 Financial Statements Board of Directors and Staff BOARD 2004 Ray A. Aguilera Pueblo Susan E. Birch, RN Steamboat Springs Marilyn E. Coors, Ph.D. 16 STATEMENTS OF FINANCIAL POSITION* 2004 STATEMENTS OF ACTIVITIES 2004 Cynthia L. Erker Robert D. Greenlee Boulder Walter F. Imhoff Bessie M. Konishi Alamosa Assets: October 31, 2004 Cash and cash equivalents $170,488 Investments 145,994,161 Prepaid expenses 2,799 Furniture and equipment, net 80,052 Investments deferred compensation 21,720 Total assets $146,269,220 Liabilities: Grants payable $1,845,931 Accounts payable and accrued expenses 140,933 Investments deferred compensation 21,720 Total liabilities $2,008,584 Net Assets: Unrestricted $144,260,636 Total net assets $144,260,636 Total liabilities and net assets $146,269,220 Revenue: October 31, 2004 Interest and dividends $1,600,224 Net realized and unrealized gain on investments 10,509,299 Less investment expenses (458,482) Total revenue $11,651,041 Expenses: Program services: Grants $5,119,289 Grant making expenses 695,252 Total program services $5,814,541 Supporting services general and administrative expenses $407,324 Total expenses $6,221,865 Change in net assets $5,429,176 Net assets, beginning of year $138,831,460 Net assets, end of year $144,260,636 Lois K. Lynch, RN Lakewood Patti Shwayder Paul Miller Gretchen Sigafoos, RN Grand Junction Carol A. Plock, MSW Fort Collins Major W. Tappan, DDS Brighton Meyer M. Saltzman, CPA, DAFBA James B. Wanebo Durango *Audited Financial Statements Chris J. Wiant, MPH, PhD President and Chief Executive Officer Susan Hill, MSPH Vice President of Programs Greg Cooke Chief Operating Officer Linda Reiner, MPH Director of Planning and Evaluation Almeta Corbin Grants Administrator Meredith Toews Executive Assistant S T A F F 2004

11 Until 7/15/ South Bellaire St., Suite 1110, CO After 7/15/05 Mountain Towers, Suite E. Mississippi Ave. Glendale, CO TF: P: F: A special thanks to Inner City Health Center, Dental Aid Clinic, Regis University, Anabliss (Graphic Design), Shane Kendrick (Photographer), Kathleen Bohland (Copywriter).