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PeakVistaCommunity Health Centers2 13Annual Report

We are Peak Vista Strong.Dear Friends,Thank you for your ongoing support of Peak Vista Community Health Centers. Your support made an impact in the delivery of quality care in thelives of over 70,000 patients in 2013. Change is endemic to the healthcare industry, and with ever fluctuating political climates, medical advancesand safety regulations, the delivery of care creates an intricate, evolving challenge. Yet, one constant in healthcare remains: the need for peopleto access quality care.Throughout the year, we remained focused on patient-centered care, while simultaneously adapting to changes in policy and healthcare practices.2013 stood out as a particularly exciting year for Peak Vista with the opening of the Academy Campus, breaking ground on a new Health Centerat Fountain, and the implementation of the Affordable Care Act. Because of forward-thinking initiatives like these, Peak Vista achieved a strategicgoal by systematically reducing the patient waitlist in December 2013.As we embark on a new year, we are steadfast in our commitment to our patients and continue to strive for strategic innovation in the deliveryof integrated care. Again, we thank you for your support in our efforts. We, along with you, look forward to improving the health and well-beingof the Pikes Peak Region – one patient, one family, one community at a time.Jen KnellingerChairman of the Board of Directors,Peak Vista Community Health CentersLoren GeorgeChairman of the Board of Directors, PeakVista Community Health Centers FoundationPam McManusPresident & CEO, Peak Vista CommunityHealth CentersBJ ScottExecutive Director, Peak VistaCommunity Health Centers Foundation

What Makes Peak Vista Strong?T he healthcare home for 1 in 10 residents of the Pikes Peak region: In 2013, Peak Vista provided care forover 70,000 patients. A high-impact healthcare organization that ensures 83% of revenues support direct services. Over 600 dedicated staff, each committed to our mission of providing exceptional medical, dental andbehavioral healthcare for those facing access barriers. 100 doctors, dentists, and mid-level providers who work tirelessly to care for an average of 1,150 patients every day. A committed group of donors, grantors, and partners who generously provide supportto ensure that Peak Vista continues to have an impact. 21 health centers spread across 15 service locations. OB/GYN providers delivered 13% of the babies born in El Paso County in 2013. Dedicated to fiscal accountability and responsibility: In 2013, we were able toleverage every dollar granted by the Federal government into 10 of healthcare.Peak Vistaproviders care for1,150patientsevery day.

Key FactsAnnual Funding Sources56% Patient VisitsCharityCare ProvidedRevenues generated from 15,828,898Patient Visits (Medicaid,11%11%Patient Visits(Medicaid, Medicare, CHP , patientco-pays and commercial insurance)56%22%Contributions, Donations and OtherState SupportFederal FundingPersonnel100 Doctors and Mid-level Providers(Physicians, Dentists, PAs, NPs, CNMs,and Dental Hygienists)174 Clinical Support(RNs, MAs, Dental Assistants, Lab andPharmacy Staff, etc.)239 Clinical Administrative Support Staff113 Administrative Staff5,708VolunteerHoursMedicare, CHP , patient 15,828,898in charity care provided for medical,co-pays,commercialdental,behavioraland health-education servicesinsurance)V olunteer doctors provided 2,862 hours of serviceContributions andL everaged every dollar granted by the FederalDonationsgovernment into 10 of healthcareP eak Vista Providers delivered 1,277 babiesF illed 225,110 prescriptionsP rovided students with 12,936 internship hoursFederal8 3% ofFundingexpenses supported direct patient careProvided Support1,280 homeless patients with 6,313Statepatient visitsLess than 1% of charges were bad debt and notincluded in Charity CarePatient DemographicsPatient Income Level86% were at or below 200% of the Federal Poverty Level (FPL)2013 Federal poverty guidelines at 200% FPL 22,980 for a single person 47,100 for a family of fourEthnicity of Patients9%Age of Patients6%11%30%11%Caucasian50%Hispanic22%African AmericanOther29%Preschool (0 – 4 years)School Age (5 – 19 years)32%Young Adults (20 – 44 years)Adults (45 – 54 years)Seniors (55 years)

FinancialsPayor SourceVisitsMedicaidNo InsuranceMedicareCHP Commercial Insurance50%35%9%3%3%Primary Care Services By TypeMedicalCare CoordinationDentalBehavioral HealthSupport ServicesPrimary Medical Care raising 482,070 .8% 12,688,364Federal GrantsFederal Grants 6,167,050Colorado State Programs 5,982,201Total reinvested in our mission andcapital projects is 1,914,63316%7%HomelessHealthcareGeneral& Administrative 9,024,751 31,874,814Contributions & Other RevenueContributions & Other RevenueColorado State ProgramsHomeless Healthcare 3,817,973 774,2562.2%FundraisingNet Patient Revenues56%Dental CareDental CareGeneral & AdministrativeNet Patient Revenues11%VisitsExpenses 54,797,791Primary Medical CareSupport & Revenues 56,712,42974%“ Peak Vista was there whenI needed them most. Now,I choose Peak Vista even thoughI have money and am insured,because I know that I can rely onthem for quality care.”- Paul H.Small Business OwnerPeak Vista Patient by Choice

Peak Vista HighlightsAffordable Care ActFountain Ground BreakingOn August 29, Peak Vista broke ground for constructionof the new Health Center at Fountain. The ceremonyincluded brief remarks from Pam McManus, Peak VistaPresident and CEO; Cheryl Serrano, Superintendent ofSchools, Fountain-Fort Carson School District 8; DennisHisey, El Paso County Commissioner, District 4; JeriHowells, Mayor, City of Fountain and Jess Adams, DDS,Peak Vista’s Dentist in Fountain.Upon completion, the 14,000-square-foot buildingwill replace the existing location that Peak Vista hasoccupied since 2005 and will significantly increasecapacity for medical and dental patients. FountainFort Carson School District 8 donated the land, anda portion of the capital campaign funds for the newfacility were contributed by private donors and avariety of foundations.2013 brought an intensive focus on the preparation for andimplementation of the Affordable Care Act (ACA). Peak Vistaapplied for funding and was awarded grants from HealthResources and Services Administration (HRSA) and Connect forHealth Colorado. This funding supported the hiring and on-goingtraining of employees to assist patients in navigating the variousnuances of healthcare changes. In addition, Peak Vista cross-trained40 existing staff members to provide valuable information toresidents of the Pikes Peak Region through community outreachand education efforts.The impact of Medicaid expansion on Peak Vista was substantialas many currently uninsured Peak Vista patients were identifiedas being newly eligible for Medicaid with coverage effective asearly as January 2014. An outreach campaign was created toinform patients of the new eligibility guidelines and explain changes inhealthcare coverage.As of December 31, over 5,600 families were educated by PeakVista staff on the Affordable Care Act, Connect For Health Coloradoand Medicaid expansion.In 2014, Peak Vista will continue to guidepatients and community members throughthe enrollment process as the demand forinformation remains strong.

Academy Phase I CompletionIn January, the move into Peak Vista’s largest facility to datebegan when the Convenient Care Center (CCC) moved to the NorthAcademy site. The campus is comprised of two separate buildings:a Medical Office Building (MOB) and a space formerly used as a hospitaland birthing center.Peak Vista renovated a small portion of the hospital building forthe CCC and remodeled the third floor of the MOB and a portionof the first floor. Health Center and departmental moves werecompleted in March. The MOB building now houses two healthcenters and the Developmental DisabilitiesHealth Center, while a new pharmacy,enrollment services area and alaboratory are located on thefirst floor.“ Not only did I get great care, I wastreated exceptionally by Peak Vista’skind staff. From doctors to receptionists,the staff is professional, welcoming andcommitted to serving patients like me.”-Charles C.Community AdvocateConsiders Peak Vista his Medical HomeWaitlist ReductionAfter the economic downturn of 2008, demandfor Peak Vista surged far past our capacity to serve.This caused a waitlist for services to grow to a peakof 9,000 people looking for access to primary carein the Pikes Peak region.By 2013, a concerted effort to address this demandwas well underway. Through an increase in ourability to see patients, whether by opening newclinics, hiring additional providers, adjustingappointment times or extending healthcenter hours, the effort successfullyeliminated the waitlist.

Get Involved with Peak VistaMembers of the Legacy of Care Circle have answered the question“How do I want to be remembered?” by making a conscious choiceto include Peak Vista in their Planned Giving.Legacy of CareCircle Members:Dr. and Mrs. Tom BatesDr. and Mrs. Elliot CohnMr. Bill EdmondsonDr. and Mrs. Robert FoersterMs. Peggy K. GardnerMr. and Mrs. Steve InghamMr. David LordMr. and Mrs. Ray RhodesMr. and Mrs. Randy ScottDr. Amilu StewartAnonymous (3)Ways to DonatePeak Vista is grateful to our donors for their support in helping us sustain exceptional healthcare to thosewho face access barriers. There are many ways that you can support Peak Vista:C onsider joining the Health is Wealth Club by designating an automatic, recurring monthly donation ona credit card. Rest assured that you are providing a stable and sustainable source of income to supportPeak Vista healthcare programs.P urchase a ticket, a table or become a sponsor of the Breakfast of Champions featuring an excitingOlympic Gold Medalist as Keynote Speaker.P eak Vista is designated as a project of the El Paso County Enterprise Zone; donors who make a giftof 500 or more to Peak Vista through the Enterprise Zone are eligible to receive a Colorado state taxcredit equal to 25% of their donation amount, in addition to regular federal and state tax benefits.O nline by credit card at www.peakvistafoundation.org.M ail a check payable to Peak Vista Foundation to 722 S. Wahsatch Ave., Colorado Springs, CO 80903For more information about the services your Planned Giving will help to sustain, please visitwww.peakvistafoundation.org or call (719) 344-6605.