Colorado Communities Guide Our Direction

2 0 0 3 A N N U A L R E P O R T 1 Colorado Communities Guide Our Direction

3 4 6-15 17-21 22 23 Contents A Letter from the President & Chairman of the Board Community Input How We ve Responded Access to Basic Health Services Safety Net Oral Health Mental Health Prevention Grantees Community Health Enabling Informed Health Decisions Health Infrastructure Oral Health Improvement Project Board of Directors and Staff Financials Caring for Colorado thanks these individuals and organizations for their contributions to this report: Kim Sharp -- cover painting David Cornwell -- photographs Creative Media Solutions -- report design and layout 2

A Letter from the President & Chairman of the Board Dear Fellow Coloradoans, The Caring for Colorado Foundation has just completed its third full year of grantmaking to serve the health care needs of the people of Colorado. We are proud to report that from its inception through October 31, 2003, Caring for Colorado has awarded 267 grants totaling $18,420,416. Our grantmaking has focused on five major health needs: Improving access to basic health services for underserved populations; Strengthening the capacity of the safety net those organizations that provide health services to the underserved; Oral health; Mental health; and Prevention programs. These funding areas are the result of extensive direct feedback from communities across the state which has shaped the priorities of Caring for Colorado. As a result of our grant making: More Coloradoans are able to access high-quality basic health services; Previously unserved children are now able to access routine dental care; Access to mental health services has been enhanced; Community health promotion projects are helping people learn how to lead healthier lives and, thus, reduce their chances of developing chronic diseases; and Disease management for some chronic diseases has improved. We anticipate another year of working with the dedicated health-serving agencies in our state to meet the health care needs of Colorado s most vulnerable while also working to improve the health care system for everyone. This annual report presents an overview of both our grantmaking in 2003 and since the beginning of the Foundation s grantmaking in 2001. The Board of Directors and staff look forward to the continuing progress of the Foundation in realizing our vision that the people of Colorado are the healthiest in the nation. Sincerely, Chris J. Wiant, MPH, PhD Meyer M. Saltzman, CPA, DABFA President and Chief Executive Officer Chairman, Board of Directors 3

Community Input 4 Caring for Colorado Foundation believes strongly that good grantmaking is rooted in ongoing dialogue with individuals and communities about the most pressing issues facing Coloradoans today. To help focus Caring for Colorado s efforts and to ensure that our grantmaking is responsive to community needs, the foundation has always sought and listened to public input. It is an important component of our grantmaking process. 2003 Community Input Opportunities Caring for Colorado Videoconference In July, the Foundation s Board of Directors and staff traveled to Glenwood Springs for the annual statewide videoconference. Eighteen community sites across Colorado participated. The purpose of the meeting was to hear about unmet health needs throughout the state and how Caring for Colorado might respond to those needs. The communities represented were: Alamosa, Brush, Colorado Springs, Cortez, Craig, Delta,, Montrose, Fort Collins, Grand Junction, Greeley, La Junta, Leadville, Pueblo, Rangely, Steamboat Springs, Sterling and Yuma. Rural Philanthropy Days These events take Colorado foundations to different regions of the state to meet with local non-profit agencies and to learn about issues unique to rural Colorado. The regions visited in 2003 were the San Luis Valley and the mountain resort communities of Summit, Eagle, Lake, Garfield and Pitkin counties. Caring for Colorado Community Meetings In 2003, Caring for Colorado hosted meetings in Montrose and Lamar with representatives of healthoriented agencies to learn more about regional health issues.

5 What we ve heard: Since the Foundation s inception, five major health issues have repeatedly emerged in meetings and community visits as critical health concerns. Access to Basic Health Services. Uninsured and low income persons lack access to basic health services. Safety Net. Safety net health care providers (i.e., federally-qualified community health centers, nonprofit dental clinics and rural hospitals) need support to help address the needs of the uninsured and underserved. Oral Health. Access to oral health care is an enormous problem for uninsured and low-income children and adults and for those living in geographically isolated communities. Mental Health. Community mental health needs outstrip resources. Prevention. It is important for the Foundation to support projects that focus on prevention to reduce disease and disability within communities.

6 The Carin Clinic provides school-based primary health care services to uninsured school children in the Arvada Middle School catchment area in Jefferson County. A grant from Caring for Colorado Foundation helps the Carin Clinic ensure access to care for this underserved population.

How We ve Responded Access to Basic Health Services What many of us take for granted being able to see a health care provider when we need to is not an option for many people in Colorado. Barriers to care such as insurance status, inability to afford insurance co-pays, geographic isolation and not speaking English can make getting health services nearly impossible. Caring for Colorado Foundation supports organizations that are working to reduce barriers to care and are providing services to those who are left out of the mainstream health system. We believe that every person in Colorado deserves access to health care. Grant Dollars Awarded For Increasing Access to Basic Health Services from 2001 to 2003 = $6,401,638 Caring for Colorado Foundation Proportion of Grant Dollars Awarded in 2003 to Increase Access to Basic Health Services 22% 7

8 Caring for Colorado grants have expanded the capacity of safety net providers to care for uninsured and underserved people in communities across Colorado. Pictured here is 2002 grantee Summit Community Care Clinic.

How We ve Responded 9 Safety Net Safety net providers are an integral part of our health care system. With their mission of providing health care to anyone, regardless of ability to pay, they are a vital resource for the uninsured and underinsured in our state. Many safety net providers also specialize in providing culturally and linguistically appropriate health care for non- or limited-english speaking populations. With the growing ethnic and racial diversity in our state, these are critical resources. Caring for Colorado has always been a strong supporter of safety net institutions and values their commitment to the underserved. 2% 25% 8% 11% Caring for Colorado Foundation Proportion of Grant Dollars Awarded by Organization Type 2003 11% 8% 7% 28% Hospital Non-Profit Public Health Agency College/University School (K-12) 2001 2003 3% 1% 12% 11% Government Federally Qualified Community Health Center Other Community Health Clinic 15% Consortium/Coalition Other 2% 2% 7% 7% 40%

10 Dental Access Centers is working to prevent oral disease in children at five of the highest need elementary schools in northeast by providing dental services directly at the schools.

How We ve Responded Oral Health In every community visited by Caring for Colorado staff, access to oral health services is a top concern. Because of this, Caring for Colorado has made oral health a priority since the beginning of our grantmaking. And, in 2002, the Foundation launched a special five-year, $5 million oral health initiative with two main goals: Strengthen the oral health safety net so that more people can access oral health services. Prevent the devastating consequences of oral disease in children. Caring for Colorado is working with an independent evaluator to examine the outcomes of projects funded to prevent oral disease in children. Early findings from these projects show that the initiative is filling important gaps by reaching both underserved and completely unserved individuals. The unserved include young, pregnant Hispanic women who have never seen a dentist before and young children from low-income families. Clinical data from these participants show extensive dental disease. Caring for Colorado Foundation Proportion of Grant Dollars Awarded in 2003 for Oral Health 39% Grant Dollars Awarded For Oral Health from 2001 to 2003 = $4,483,741 11

12 Through a collaborative effort with the University of Colorado Health Sciences Center, Pueblo Community Health Center is working to re-design how health care is provided by addressing multiple health needs through an integrated care model.

How We ve Responded R E P O R T T H E S T A T U S O F Mental Health Care I N C O L O R A D O Presented by The Mental Health Funders Collaborative Mental Health Like oral health, mental health is an issue of prime concern in Colorado communities. Access to basic services for the uninsured and underinsured, the stigma associated with mental illness, geographic barriers to care in rural areas, the lack of bi-lingual and bi-cultural mental health providers and access to specialists (such as child psychiatrists) are very real problems affecting thousands of people in our state. In 2001, Caring for Colorado started working with seven other Colorado foundations to better understand mental health needs in our state. These efforts led to the development of a comprehensive report, researched and written by the TriWest Group, entitled The Status of Mental Health Care in Colorado. To view and/or download the report, visit www.coloradotrust.org. Caring for Colorado will use this report to help make better informed decisions when funding mental health projects. Caring for Colorado Foundation Proportion of Grant Dollars Awarded in 2003 for Mental Health 14% Grant Dollars Awarded For Mental Health from 2001 to 2003 = $1,920,158 13

14 The Healthy Beginnings Program provides prenatal care and health education to low-income, high need pregnant women in Garfield County to ensure positive birth outcomes.

How We ve Responded Prevention Many health conditions that have a major impact on quality of life and cost the health care system billions of dollars are preventable. Communities across Colorado recognize this and want to see more resources directed at primary prevention projects. Programs in substance abuse prevention, violence prevention, injury prevention, promoting healthy diets and regular physical activity, promoting healthy birth outcomes, preventing the spread of HIV and other sexually transmitted diseases, or supporting very young parents are just a few examples of prevention programs. Caring for Colorado supports prevention as a way to help Coloradoans lead healthier, more productive lives. Caring for Colorado Foundation Proportion of Grant Dollars Awarded in 2003 for Prevention Projects Grant Dollars Awarded For Prevention Projects from 2001 to 2003 = $2,603,020 15% 15

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2003 Grantees COMMUNITY HEALTH Benefits Check-Up of Colorado To train community agency personnel in senior-serving agencies across Colorado to assist older adults in assessing their eligibility and enrolling in health and social services programs. $30,000 Boulder County Health Department Boulder To expand the Child Health Liaison Program, which serves at-risk preschool children in Boulder County. $25,000 Boulder Valley Women s Health Center Boulder County To support a program aimed at reducing repeat pregnancies among teen mothers by increasing access to information and health services for this high-risk population. $14,000 Cahone Recreation Hall and Senior Center, Inc. Dolores County To provide exercise opportunities, improved nutrition and education on health issues for seniors in a geographically isolated, rural county. $12,000 Carin Clinic Jefferson County To support the delivery of primary care services to uninsured and underinsured school children in the Arvada Middle School catchment area. $29,000 Center for Hearing, Speech and Language To support the Kidscreen program which provides free on-site screening for hearing, vision and speech/language problems in daycares, clinics, schools and preschools for children in low income areas. $15,000 Centro de la Familia Colorado Springs To support culturally relevant individual and group mental health services for children, youth and adults who are Spanish speaking or Native American. $36,690 Colorado Academy of Family Physicians Foundation To place medical students in rural health clinics through its Summer Rural Fellowship program. The program provides students exposure to the experience of practicing primary health care in a rural setting. $15,000 Colorado Community Health Network on behalf of Colorado Covering Kids and Families To support the Colorado Covering Kids and Families project, part of a national initiative to enroll eligible children in publicly-funded health insurance programs. $50,000 Colorado Foundation for Public Health and Environment To identify the academic resources and administrative structure needed to support the creation of a collaborative school of public health in Colorado. $31,805 Colorado Health Network/Colorado AIDS Project To expand case management services to the Latino population that is living with HIV/AIDS. $35,400 Colorado Prevention Center Bent, Baca, Kiowa, Prowers, Otero and Crowley counties To train nurses and other health professionals in southeastern Colorado in the use of evidence-based treatment guidelines for the management of diabetes and cardiovascular disease risk factors for high-risk populations. $41,215 Colorado State University Foundation Heart Disease Prevention Program Larimer County To expand a successful cardiovascular disease risk reduction program to a portion of the medically underserved population in Larimer County. $45,000 Community Health Center, Inc. Teller & El Paso Counties To develop a plan for a comprehensive, school-based, oral health education, hygiene and treatment program. Funds will support the Colorado Springs Dental Coalition s collaborative planning efforts to address unmet oral health needs in El Paso and Teller Counties. $9,062 Community Mental Health and Substance Abuse Partnership Larimer County To support the education and training portion of a project with the goal of restructuring the system of mental health and substance abuse services in Larimer County through a well coordinated continuum of mental health and substance abuse services. $16,200 CU Aging Center University of Colorado at Colorado Springs El Paso County To identify homebound older adults in the Pikes Peak region who are suffering from psychological and/or cognitive dysfunction and provide them with assessment and treatment from trained psychologists. $7,500 17

2003 Grantees Family Star To support the Healthy Families Program that provides on-site mental health and dental health services, and health promotion classes on topics such as immunization, prenatal care, nutrition and physical fitness at an early childhood development center that predominately serves Latino children and their families. $30,000 Family Visitor Program Garfield, Pitkin and Eagle Counties To provide bi-lingual mental health services to women participating in a family home visitor program. $47,548 Healthy Beginnings Prenatal Program Garfield County To expand the program s bilingual/ bicultural staff capacity to provide prenatal services to medically indigent women in Garfield County. This program integrates medical management with a health education model to ensure positive birth outcomes. $33,015 Hep C Connection To fund a structured support network that provides information to Hepatitis C patients and their caregivers about treatment plans, lifestyle choices and coordination of medical services. $25,000 High Plains Community Health Center Prowers, Bent, Kiowa, Baca and Otero Counties Grant funds will be used to purchase two comprehensive, portable dental hygiene units which will be used to support a community dental outreach program that will provide on-site preventive dental care to 700 underserved children. Funds will also be used to recruit a dental hygienist and dental assistant to further increase the capacity of the High Plains Community Health Center to provide needed dental services. $35,974 Human Services, Inc. To support the health services component of the Florence Crittenton School in and its Infant/Toddler Development Program. $20,000 Jefferson County Department of Public Health and Environment Jefferson County To incorporate mental health services within JCDPHE and to build a referral network with existing mental health services in the community. $47,815 Kempe Children s Foundation To support the Center s Infants in Foster and Kinship Care Program which focuses on severely abused and neglected infants who are placed in either foster or kinship care in. The project provides services for the infants and their families to help improve the children s overall physical health, as well as language and cognitive development. $100,000 Mental Health Association of Colorado To help fund the agency s Pro Bono Mental Health Program that supports community agencies by providing staff education on mental illness as well as mental health services for the agencies clients. The Pro Bono Mental Health Program works with volunteer, licensed mental health professionals and connects them with community agencies to provide mental health services for lowincome people. $20,000 Mi Casa Resource Center for Women To support CASASTART, a national substance abuse prevention model developed by the National Center on Addiction and Substance Abuse at Columbia University, at Cheltenham Elementary School in. $50,000 Mineral County Medication Assistance Program Creede Patients with chronic diseases in an isolated, rural community will be given assistance in obtaining free or low cost prescription medications offered by pharmaceutical companies. $19,366 Montezuma County Health Department Montezuma County To provide support and educational services through the Dare to Be You Program for parents under 24 years of age experiencing repeat pregnancies. $41,038 Mountain Family Health Center Garfield, Eagle and Pitkin Counties To support the addition of a physician at the Mountain Family Health Center, a federally-qualified community health center providing care to uninsured and underinsured people in this central mountain region. This will allow for 1,500 new patients to be served annually. $90,000 Otero County Health Department Baca, Bent, Prowers, Kiowa, Otero, Crowley, Lincoln, Kit Carson and Cheyenne Counties To support the addition of a follow-up protocol for children who fail vision screenings in nine counties in southeast Colorado. The Health Care Program for Children with Special Needs has developed a uniform screening protocol and educational materials for children who are at risk for unidentified and untreated vision problems. By adding the 18

2003 Grantees 19 follow-up protocol, the project will work to assure that children receive the vision services they need to preserve their sight. $18,980 Parkview Medical Center Pueblo To increase the capacity of the schoolbased health center system in Pueblo District 60 to offer primary and preventive mental and physical health care and to increase the number of nursing graduates at the University of Southern Colorado. This project is a collaboration among Parkview Medical Center s School Based Wellness Centers, the University of Southern Colorado Nursing Department, the Southern Colorado Family Medicine Foundation, Pueblo School District No. 60 and Pueblo Community Health Center. $141,158 over two years Pueblo Community College Southeast Colorado To initiate a planning process to evaluate and address the possibility of expansion of Health Professions Programs to rural areas in Southern Colorado. $20,000 Rocky Mountain Youth To support the Adolescent Outreach Program that provides medical services through partnerships with communitybased organizations including residential treatment centers, community centers and a shelter for homeless families. $25,000 Rural Communities Resource Center Yuma and Washington Counties To support the Family Health Program that helps underserved families access health care services, apply for health insurance, find transportation, and access translation services. The program also partners with local health care providers to provide direct health care services at low or no cost. $53,880 University of Colorado Health Sciences Center (UCHSC) and Pueblo Community Health Center Pueblo County To support a pilot project to integrate the identification and treatment of depression into a primary care health clinic. Patients with both diabetes and depression will be enrolled into a carefully managed, evidence-based disease management program that is designed to improve health outcomes related to both diabetes and depression. $167,280 over two years University of Colorado Health Sciences Center School of Pharmacy Logan County To develop a community pharmacy based diabetes clinic that will serve as a training site for fourth-year pharmacy students. $46,893 over two years ENABLING INFORMED HEALTH DECISIONS American Lung Association of Colorado on behalf of the Colorado Asthma Coalition To support the work of the Colorado Asthma Coalition to address the issue of asthma in children. The Coalition s work will help caregivers, families and schools manage asthma according to evidencebased guidelines. $35,000 African Community Center To train staff in medical translation related to tuberculosis and to translate educational materials developed by the state TB Elimination Task Force into appropriate African languages. $4,310 Colorado Department of Public Health and Environment Partial support for a statewide public awareness campaign and on-going education regarding West Nile virus. $2,000 Colorado Medical Society To support the Colorado Coalition for the Medically Underserved whose main goal is to promote universal health insurance coverage for all Coloradoans, through both public and private mechanisms, by 2007. $55,000 Colorado Public Health Association To support the statewide annual conference and to sponsor a session for public health personnel to share with CFC staff their thinking on the major public health issues and challenges in Colorado. $2,850 Drive Smart Colorado Springs, El Paso, Elbert and Teller Counties To support the High School Traffic Safety Challenge that works to increase and maintain seat belt use rates among high school students. $15,000 Full Circle Intergenerational Project To support Sistah Girls Coming Full Circle, a program that works to identify breast cancer earlier and to prevent breast cancer mortality among underserved African American women in northeast. $30,000

2003 Grantees 20 Gunnison County Public Health Gunnison County To support the Multicultural Resource Office as part of an effort to increase access to health care for the non-english speaking population in Gunnison. $40,000 over two years Mile High United Way Colorado 211 To support the developing infrastructure of the 2-1-1 system throughout Colorado. By calling 2-1-1, people are connected with a person who will guide them in finding local health and social service resources. $50,000 Parkinson Association of the Rockies To support education and outreach efforts across Colorado to provide general practitioners with the latest information and treatment options for patients with Parkinson s disease. $12,000 Rocky Mountain Center for Health Education and Promotion To provide health education technical assistance to school districts in Colorado. $40,000 San Juan Basin Health Department (on behalf of the La Plata Coalition on Unintended Pregnancy Prevention) La Plata County To support a teen pregnancy prevention program that uses the PLEASE Plan for Me exhibit to teach the importance of planning for pregnancy and to train middle and high school teachers how to use a parenting curriculum called the Educating Children for Parenting Program that teaches the complexities of parenting. $33,188 Turning Point Initiative To support the production and dissemination of a report on health disparities in Colorado that documents differences in health indicators, health determinants and the costs of health conditions by race/ethnicity in Colorado. $26,831 HEALTH INFRASTRUCTURE American Cancer Society Northeast Colorado To purchase and renovate a building in Niwot to provide cancer education, screenings, outreach and support services to individuals and families affected by cancer. $50,000 Colorado Northwestern Community College Foundation Rangely To replace old and outdated dental equipment in the on-campus dental clinic where dental hygiene students are trained and where community members receive low-cost dental hygiene services. $105,224 Community Health Centers, Inc. Colorado Springs To support the relocation and redesign of the Women s Clinic, which will lead directly to an increased availability of health services for poor women in El Paso and Teller Counties. $75,000 Durango Fire and Rescue Authority La Plata County and southern San Juan County To help purchase three new ambulances for a region covering 1,600 square miles in southwestern Colorado. $50,000 Inner City Health Center To upgrade Inner City Health Center s Dental clinic with new dental equipment thus ensuring access to dental care for 2,000 low-income and uninsured patients, eighty percent of whom are adults. $88,342 Mercy Health Foundation Durango To support the replacement of two ultrasound devices used primarily for pregnant women, women with breast abnormalities and patients with abdominal or cardiac problems. $75,000 Pueblo School District 60 Pueblo To assist with renovations to allow the expansion of the Health Academy, a health occupations program, at Pueblo s Central High School. $41,416 SET of Colorado Springs El Paso County To support medical equipment costs associated with establishing an expanded medical clinic that targets the uninsured, homeless and vulnerable populations. $9,674 St. Anthony Health Foundation To purchase medical equipment for the Family Medicine Clinic at St. Anthony Central Hospital. $47,056 Sunrise Community Health Center Greeley To support the purchase of an ophthalmology table and slit lamp to permit on-site eye exams for patients with chronic disease, particularly diabetes and hypertension. $27,750 Ute Mountain Ute Tribe Montezuma County To support the purchase of a defibrillator/monitor to replace the current outdated model. This piece of equipment will enable emergency responders to render advanced care while transporting persons in this remote area of Colorado. $16,000

2003 Grantees 21 ORAL HEALTH IMPROVEMENT PROJECT Catholic Charities Western Slope Garfield, Pitkin, and Eagle Counties To support the local portion of the Miles for Smiles program, a mobile dental program serving underserved children. The funds will support two local coordinators who will organize appointments for the Miles for Smiles van, coordinate follow up treatment, and schedule educational presentations in schools. In 2003-2004, Catholic Charities hopes to coordinate dental screening and treatment for more than 700 underserved children. $15,000 Community Dental Clinic Montrose Funds will allow Community Dental Clinic to purchase audiovisual equipment to support a new oral health education program for adults and children. Educational videos in Spanish and English will be used to educate clinic patients about proper oral hygiene. $4,379 Dental Access Centers Northeast This school-based oral disease prevention program, serving five elementary schools in Northeast, will provide full dental examinations and other preventive measures such as sealants, cleanings and fluoride to children in some of the most underserved communities in. $261,468 over two years Metro Community Provider Network Jefferson County MCPN and Jefferson County Public Schools have teamed up to screen children for oral disease in eight of Jefferson County s highest need elementary schools. An existing MCPN dental hygienist will provide on-site oral health screenings. Grant funds will be used to hire a dentist and dental assistant to meet treatment needs as they are identified through the screenings. A dental care coordinator based in the schools will provide case management and follow up to ensure that students identified as being in need of dental care get the treatment they need. The project will also provide classroom education on oral hygiene as well as education for parents. $293,000 over three years Otero Junior College Child Development Services Bent, Crowley, Otero, Alamosa, Rio Grande, Costilla, Conejos, Sagauche, Prowers and Pueblo Counties This project will provide Early Head Start, Head Start children and children of migrant and seasonal workers, with onsite dental services including screening, prophylaxis, topical fluoride, oral hygiene education and referral to dental treatment services, if needed. The project will serve children in 10 of the poorest counties in southern Colorado. Funds will also be used to develop additional dental treatment capacity in Bent, Otero and Crowley counties. $181,952 over three years Valley-Wide Health Systems Alamosa County Grant funds will be used to help support the costs of adding a dental team that includes a dentist, a dental hygienist, and an expanded duty dental assistant to serve low income patients at a newly renovated dental clinic in Alamosa County. The expanded staff will serve an additional 2,140 patients through more than 4,000 patient visits. $150,000

Board of Directors and Staff Ray A. Aguilera Pueblo Robert D. Greenlee Boulder Carol A. Plock, MSW Fort Collins Patti Shwayder Sue Birch, RN Steamboat Springs Walter F. Imhoff Greenwood Village Arnold Salazar, MSW Alamosa Gretchen Sigafoos, RN Grand Junction CARING FOR COLORADO STAFF Chris J. Wiant, MPH, PhD President and Chief Executive Officer Susan Hill, MSPH Vice President of Programs Greg Cooke Chief Operating Officer Marilyn Coors, PhD Golden Lois K. Lynch, RN Lakewood Meyer M. Saltzman, CPA, DABFA Chairman Major W. Tappan, DDS Brighton Linda Reiner, MPH Director of Planning and Evaluation Maia Rogers, MPH, MPP Program Officer Almeta Corbin Grants Administrator Bonnie J. Diekman Administrative Assistant Jolene Makris Administrative Assistant Cynthia L. Erker Vice Chair Paul Miller Franktown Nicholas Shoewe* Steamboat Springs James B. Wanebo Secretary Durango 22 * Served through April 2003

2003 Financial Statements STATEMENT OF FINANCIAL POSITION October 31, 2003 Assets: Cash and cash equivalents $ 84,969 Investments 141,258,878 Prepaid expenses 4,133 Furniture and equipment, net 98,513 Total assets $ 141,446,493 Liabilities: Grants payable $ 2,534,472 Accounts payable and accrued expenses 80,561 Total liabilities 2,615,033 Net Assets: Unrestricted 138,831,460 Total net assets 138,831,460 Total liabilities and net assets $ 141,446,493 STATEMENT OF ACTIVITIES October 31, 2003 Revenue: Interest and dividends $ 2,973,240 Net realized and unrealized gain (loss) on investments 16,985,837 Less investment expenses (516,874) Total revenue 19,442,203 Expenses: Program services: Grants awarded $ 5,347,826 Grant making expenses 627,251 Total program services 5,975,077 Supporting services-- general and administrative expenses 413,562 Total expenses 6,388,639 Change in net assets 13,053,564 Net assets, beginning of year 125,777,896 Net assets, end of year $ 138,831,460 23

1720 S. Bellaire St., Suite 1110, CO 80222 Phone: 800.463.7713 720.524.0770 Fax: 720.524.0787 E-Mail: health@caringforcolorado.org Web: www.caringforcolorado.org