Health Set

“Pursuant to section 8.6 of the bylaws of health s.e.t, the executive committee is composed of the board chair, the board vice chair, the president and ceo, each of whom shall serve as an ex officio voting member of the executive committee, and two voting members appointed by the board of directors. Each individual appointed to the executive committee shall serve for a term of one year or until his or her successor is duly appointed by the board of directors. The executive committee shall consist of only directors of the corporation. Pursuant to section 8.1 of the corporation's bylaws, committees, such as the executive committee, that are granted the authority to act on behalf of the board of directors may include only directors of the corporation. Further, pursuant to section 8.6 of the corporation's bylaws, the executive committee has and may exercise such powers as may be delegated to it by the board of directors. The executive committee also possesses the power to transact routine business of the corporation in the interim period between regularly scheduled meetings of the board of directors.”

“The sole member of the corporation shall be catholic health initiatives ("chi"). Chi is a tax-exempt colorado corporation (the "corporate member").”

“According to the organization's bylaws, the sole member shall fill all vacancies on the board of trustees created by removal, resignation, or death; provided however, that following such action, no more than forty-nine percent of total members of the board of trustees shall be comprised of the ceo of the corporation and the physician members.”

“The organization's corporate member is chi colorado ("chic"). Pursuant to section 5.4 of the organization's bylaws, both chic and catholic health initiatives ("chi") (chic's sole corporate member) have reserved powers as outlined in the chi governance matrix. Pursuant to the governance matrix the following rights are held by the chic board: *approve members of the healthset board *amendment of the corporate documents of healthset *approve removal of a member of the governing body of healthset *adoption of long range and strategic plans for the healthset the following rights are reserved to the chi board directly or through powers delegated to the chi chief executive officer: *substantial change in the mission or philosophy of healthset *removal of a member of the governing body of healthset *approval of issuance of debt by healthset *approval of participation of healthset *approval of formation of a new corporation by healthset *approval of a merger involving healthset *approval of the sale of all or substantially all of the assets of the healthset *to require the transfer of assets by the healthset to chi to accomplish chi's goals and objectives, and to satisfy chi debts. Pursuant to section 5.5 of the organization's bylaws, chic or chi may, in exercise of their approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the board and its president and the chief executive officer of the organization, recommend such other or different actions as it deems appropriate.”

“The executive director reviews the tax return in conjunction with the organization's accountants. Subsequent to the review, the tax department files the return with the appropriate federal agencies, making any non-substantive changes necessary to effect e-filing. Any such changes are not re-submitted for review. Subsequent to e-filing, the final form 990 is distributed to the board of directors.”

“Procedures for monitoring and enforcing the coi policy healthset's conflict of interest policy states: "each of the corporation's officers and directors shall act at all times in a manner that furthers the corporation's charitable purpose of service to the community and shall exercise care that he or she does not act in a manner that furthers his or her private interests to the detriment of the corporation's community benefit purposes. A conflict of interest can be considered to exist in any instance where the actions or activities of an individual on behalf of the corporation also involve the obtaining of a direct or indirect personal gain or advantage, or an adverse or potentially adverse effect on the interests of the corporation. The corporation's officers and directors shall avoid conflicts of interest and otherwise fully disclose to the corporation any potential or actual conflicts of interest, if such conflicts cannot be avoided, so that such conflicts are dealt with in the best interests of the corporation. The corporation and all of its officers and directors shall comply with any policies of the corporation and any policies of the corporate member regarding conflicts of interest, as well as all requirements of colorado law regarding such conflicts, and shall complete any and all such disclosure forms as may be deemed necessary or useful by the corporation for identifying potential conflicts of interest." this policy is monitored through the annual completion of conflict of interest disclosure forms, and through informal conversations with board members. Actual conflicts are reviewed by the chair of the board, and/or the full board of directors, as appropriate. The board member who is potentially involved in a conflict of interest may provide relevant information for determining whether or not it is an infraction, but does not have a vote in making the determination. Although the formal policy above was written for board members, staff members are also expected to avoid conflicts of interest in their work. Any potential conflicts of interest on the part of a staff member are dealt with on a case-by-case basis by the executive director.”

“The executive director is paid by a related organization but her payroll is processed through centura, an unrelated organization, through a joint operating agreement. All other officers are compensated through centura for their services to other organizations under the same agreement. Any reportable compensation will be reported on those returns. The process used to determine their compensation is: outside consultants are engaged to provide recommendations to centura's compensation committee regarding the compensation of facility ceos and centura senior executives. The consultant's recommendations are then presented to and approved by the compensation committee. Centura's human resources department performs analyses of the market to determine compensation ranges for the remainder of centura associates which are reviewed and approved by centura's senior leadership. The board of directors oversees the compensation setting process to ensure reasonableness and compliance with the organization's compensation policies.”

“Healthset's organizing and governing documents are available on the web site of the secretary of state www.sos.state.co.us. Healthset's conflict of interest policy is made available to the public upon request. Healthset's financial statements are included in the catholic health initiatives' consolidated audited financial statements available at www.catholichealthinit.org or at http://www.dacbond.com. Healthset's independent financial statements can be found at www.givingfirst.org.”

“I. Introduction a. Healthset's mission and vision healthset is dedicated to improving the lives of the low-income elderly. Our highly-skilled and compassionate nurses and case workers provide free health clinics and substantial follow-up care, acting as a bridge to the complex health care and social service systems. We give our most vulnerable seniors the tools to live independently which is key to preserving their quality of life. Healthset's mission statement is "to extend the healing ministry of christ by serving and empowering the low-income elderly in the denver metro area through nursing, education, and advocacy to transform the quality of their lives." b. Community benefit approach healthset was created by the wheaton franciscan sisters in 1988, who worked with different orders of the sisters of charity to replicate a successful model that had been developed in milwaukee. The intent of the sisters was to attend to the needs of the underserved including the poor, frail, elderly population. Our first health promotion clinic was held that year at a denver housing authority (dha) subsidized senior residence, thomas bean. In january 2004, healthset formalized its affiliation with catholic health initiatives (chi), a not-for-profit health care organization located in 17 states. Healthset retained its own 501(c)(3) status. In january 2006 chi transferred sponsorship of healthset to centura health, a non-profit that works in partnership with chi. Healthset provides services to the low income elderly population through the implementation of two programs: our health promotion clinics and our nurse care management program. Healthset's free health promotion clinics are offered to residents at 20 low-income senior high-rise buildings in the denver metropolitan area. Each month, our staff and volunteer nurses and pharmacists give seniors wellness assessments; monitor health problems; provide counseling; educate residents about nutrition and other good health practices; and provide referrals to other area health care resources. These clinics help seniors prevent diseases from escalating to the point where they will no longer be able to live independently. Organized around a model of social interaction, the clinics focus on wellness rather than illness. The clinics have the side benefit of combating loneliness, which in itself can exacerbate health problems. To help residents remember when to come in, clinics are held at a particular building on the same day every month. Many of our clients come regularly to our clinics. A client participates with the clinics an average five times a year. In fiscal year 2014 (july 1, 2013 - june 30, 2014) we conducted approximately 4,000 wellness checks and over 14,000 services. Nurse care management - for clients with complex needs, there is the nurse care management program. Through this program, registered nurses provide case management and other personalized services. This program uses a "nursing approach," meaning that the nurse care manager develops a high-quality therapeutic relationship with the client and the important people in the client's life. The program provides professional nursing, social work and volunteer assistance to support older adults as they strive to remain in their homes, cope with multi-faceted medical needs, psychosocial crisis, and life transitions which require direct collaboration with health care providers and diverse community resources. Typical needs include access to financial aid or benefit programs, access to medical, dental and mental health services, care management, in-home services, hearing aids, socialization and housing. Each client's specific plan is reviewed frequently to determine if goals are being met. Clients who have complex medical and psychosocial needs benefit from the intensive support, education, facilitation and ongoing service coordination of nurse care managers. Companionship and respite care are also available. In 2014, we handled over 300 cli”

“Poverty increases the isolation and loneliness that is often experienced by this geriatric population. Not only is there currently a great need for services to the low-income elderly but also, the number of poverty stricken elderly in metro denver continues to grow and at this time makes up 11% of the population. This increase of individuals living in poverty multiplies the number of elderly who will need access to our services, thereby intensifying the community need. Low-income seniors are at a greater risk of health problems and hospital readmissions than moderate and upper-income seniors. One in five elderly patients is readmitted to the hospital 30 days after leaving. That is 2.3 million re-hospitalizations a year that equates to more than $17 billion in annual medicare costs. Studies show that nearly 60 percent of medicare beneficiary visits to the er and 25% of their hospital admissions are "potentially preventable" if patients receive better care at home or in outpatient settings. According to the medicare payment advisory commission, patients could avoid preventable er visits by having health conditions treated outside of the hospital at regular intervals and ensuring the proper adherence to medications. Hospital admissions could be prevented if chronic conditions were better monitored by patients. Experts report that strategies for reducing readmissions amount to two simple objectives: ensure patients understand how to care for themselves and further ensure they get the follow-up medical attention they need to keep their conditions under control. Healthset clinics provide this safety net to the low-income seniors in our community. Our staff works to inform the clients on how to become their own health advocates and manage their conditions in a way that they feel comfortable. Due to the consistency of services, healthset creates long-standing relationships with clients and ultimately limits preventable visits to the hospital and er by intervening with clients before their conditions worsen to the point where they need to be hospitalized. 15% of healthset clients report that if we were not in their building every month they would go to the hospital or urgent care for services. Without healthset's presence in these buildings and comprehensive follow-up, many of the residents would wait to seek medical help until a major medical event occurs; leading to a traumatic experience and a costly bill for the tax payer. At times, the clients we serve are challenged to make a decision between food or medicine. Healthset works with patients to identify their barriers to healthcare and connect them to resources such as financial assistance, counseling, language translation or transportation so that they can meet their basic needs as well as manage their health. Further, medicare/medicaid does not typically cover hearing, dental or vision services. Healthset locates resources to provide financial assistance to secure these items. Each year, healthset's reach continues to grow as we connect more seniors to accessible and affordable healthcare and other crucial resources to keep them living independently and age with dignity. Through sustainable, measureable and replicable results-driven programming, healthset aims to assist the underprivileged by improving the health of this low-income senior population and enhancing the client experience; including quality, access, and reliability of health care while reducing the overall cost to the community. Aging, health and poverty are three prevalent concerns faced by this population. Currently, one of the most pronounced shifts in colorado's demographics is the growth in the aging population. The fastest growing segment of the u.s. Population are individuals 65 years of age and older. The increasing number of seniors affects families, health providers, caregivers, and businesses. According to the colorado department of human services division on aging and adult services state plan on aging-20”

“Other fees for services - total expense: 54645, program service expense: 51912, management and general expenses: 2733, fundraising expenses: ;”