2011 Annual Report Longmont United Hospital

Longmont United

Hospital Annual Report

2011

Changing The Caring Experience...

New at LongMont United Hospital

Medication Safety through a Bar-coded Process.

To prevent medication errors and improve patient safety, Longmont United Hospital began using a barcoded medication administration system.

Better Safer More Efficient Excellent Patient Care = Health Information Technology

Medication is barcoded at the pharmacy to match the identification of the patient to the medication and its timing. Today when a nurse arrives to give medications, the “five-rights” are followed- right patient, right medication, right dose, right route and right time. If the match is not correct, a beep or buzz will alert the nurse to review the cause of the error. Bar-coded medication administration is just one part of a larger effort to improve patient care through technology.

We offer an extensive variety of procedures and screening. The most frequently requested online registration requests are: Birth & Maternity: Birth Planning Imaging/Radiology: Magnetic Resonance Imaging MRI, Computed Tomography CT 16 slice and 64 slice , Nuclear Medicine, Ultrasound Imaging, Interventional Radiology, Mammograms, Bone Density, Fluoroscopy, Calcium Scoring Heart Scan Cardiopulmonary: Electroencephalograms EEG, Sleep Disorder Studies, Holter Monitors, Stress Tests, Pulmonary Function Studies, Pulmonary Rehabilitation Physical Medicine: Physical Therapy, Occupational Therapy, Speech Therapy, Cardiac Rehabilitation Cardiac Catheterization Lab

Centralized Scheduling.

Medical Nutrition with Diabetes Education

To make healthcare just a little bit easier, we now offer the convenience of calling one telephone number, 303.651.5121, to schedule most of the tests and procedures ordered by a physician office.

The Centralized Scheduling Department is open Monday through Friday from 8:00 a.m. to 5:00 p.m. If you want to register after hours, CLICK HERE for online registration.

Endoscopy Esophageal Pelvic Center (EPC) Infusions/Chemotherapy Inpatient & Outpatient Surgery Pain Management Vascular Assessments AND more…call 303.651.5121 if you do not see the screening or procedure you need listed.

Excellent Care

Providing excellent care requires open communication with the entire medical team on best practices for providing the best care for every patient, every time.

If you would like to review our care, consider looking at our performance on inpatient clinical core measures. This graph represents four inpatient clinical core measures that were a priority focus in 2011: • Heart Failure • Heart Attack • Pneumonia

Core Measures

100

Year ended December 31

2009

96

2010 2011

92

• Surgical Care These areas were chosen due to the high risk, high volume and problem prone processes involved in caring for these types of patients.

The Core Measures have been shown to reduce the risk of complications, prevent recurrences and treat the majority of the patients who come to a hospital for treatment of one of the conditions listed above.

88

84

80 Heart Failure Heart Attack Pneumonia

Surgical Care

Message to the Community

In February 2011, Longmont United Hospital was honored to receive the 2010/2011 HealthGrades Outstanding Patient Experience Award™.

An analysis of patient surveys at 3,775 U.S. hospitals by HealthGrades found that Longmont United Hospital was ranked in the top 5% for patient experience, and as a result, the Hospital received the 2010/2011 HealthGrades Outstanding Patient Experience Award™. Longmont United Hospital has been recognized with this distinction every year the award has been given.

The Hospital also received the ASH Gold Fit Company Award recognizing its culture of wellness in the workplace. Our wellness initiative, Embrace Wellness, is an all-encompassing program that focuses on improving employee health and lifestyle behaviors. The Hospital is very proud to offer a culture of wellness to each and every employee.

In November, Longmont United Hospital and Poudre Valley Health System joined together to provide the best cardiovascular care in the region. Longmont United Hospital continues to offer a full complement of cardiology services at their facility. Patients requiring open-heart surgery will now be referred to Medical Center of the Rockies.

As the year ended, three new physicians were integrated to become Hospital employed physicians. Full Circle Health Associates joined our integrated medical staff, Milestone Medical Group, along with our new internal medicine physician at our new Milestone Internal Medicine office.

Over the course of the year, we continued advancing patient safety with the VHA Executive Improvement Academy 4 Project.

The new patient safety behaviors, every patient every time, working together and improving every day, continue to be followed and enhance the patient safety culture.

Longmont United Hospital continues to stay focused on providing safe, excellent patient care and is reminded that our service is dependent on having outstanding employees, physicians and volunteers. We are very appreciative of their work and support as we continue to be dedicated to providing excellent and safe care to the communities we serve. We also want to thank all of our patients and their families for entrusting their care to us.

Dan Gust, Chairperson, Board of Directors Mitchell C. Carson, President and CEO

Financial Highlights

We continue to maintain and improve the level of services. As a community resource, we provided $40 million of benefits to the communities we served in 2011.

In 2011, Longmont United Hospital continued to maintain and improve the level of services and to sustain its value as a significant community resource by providing over $40 million of benefits to the community. This result is $8.24 of benefit for each dollar of tax relief granted from being a tax-exempt non-profit 501(c)3 hospital. Longmont United Hospital provided $7.2 million in charity care, $6.3 million in subsidized health care services and over $26 million in unreimbursed costs to care for the low income or elderly members of our community. As a significant community asset, we were successful in meeting our goal for providing and enhancing our clinical services to keep health care local and to optimize the healing experience of our patients.

For the year December 31, 2011, your community hospital had a margin of 2.4% or $4.2 million. Inpatient days and outpatient visits were 32,945 and 84,035 respectively in 2011. Expenses increased by 2.7% as a result of higher hospital provider fees.

As a nonprofit community hospital, we are continually challenged to manage rising health care costs and declining reimbursement. We also seek to achieve and maintain a profit margin, of which 100% is utilized for reinvestment in our services, equipment, and facilities to ensure we meet the needs of our communities for today and the future. We are proud of our caring staff and physicians who continually meet these challenges while providing extraordinary care and optimum patient satisfaction.

Neil Bertrand, Chief Financial Officer

Longmont United Hospital Statement of Operations

Financial Highlights

For the Year Ended December 31 (In thousands)

2011 2010 Revenue Gross Patient Revenue 445,447 452,109 Less Contractual Allowances (248,326) (256,862) Charity (23,528) (22,759) Net Patient Revenue 173,593 172,488 Other Operating Revenue 3,204 3,074 Total Operating Revenue 176,797 175,562 Expenses Salaries and Benefits 75,042 74,101 Supplies and Other Expenses 62,798 57,439 Professional Fees 6,296 5,874 Depreciation 10,324 11,772 Interest Expense 4,460 4,705 Provision for Uncollected Patient Accounts 15,870 16,245 Total Operating Expenses 174,790 170,136 Income from Operations 2,007 5,426 Interest and Other Non-operating Income 2,148 1,716 Excess of Unrestricted Revenue Over Expenses 4,155 7,142 Assets Released from Restriction 15 52 Net Change to Total Assets 4,170 7,194

Longmont United Hospital Condensed Balance Sheet

Financial Highlights

December 31, 2011 & 2010 (In thousands)

2011 2010 Assets Cash 11,544 16,204 Net Patients Accounts Receivable 20362 22,594 Inventories 5250 5,983 Other Current Assets 3540 2,741

Total Current Assets 40,696 47,342 Board Designated Funded Depreciation 70,625 62,291 Bond Indenture Funds 5,118 5,113

Total Assets Limited To Use 75,743 67,404 Net Property, Plant, Equipment 102,796 106,052 Other Assets 7,353 7,176

Total Assets 226,588 227,974 Liabilities and Net Assets Current Liabilities 24,314 26,542 Long Term Debt 87,316 90,626 Unrestricted Net Assets 114,806 110,668 Restricted Net Assets 152 138

Total Net Assets 114,958 110,806

Total Liabilities and Net Assets 226,588 227,974

Community Outreach

Each year we support non-profit organizations through, board participation, volunteering, financial contributions or in-kind services.

We helped provide services to communities in need of food, healthcare, wellness, and education.

9HealthFair American Cancer Society Relay for Life AIMS Community College Ball State University Berthoud Chamber of Commerce Boulder County Business Hall of Fame Boulder County Civic Forum Boulder Valley Women's Health Center Carbon Valley Chamber of Commerce Career Development Center Center for Personalized Education for Physicians Colorado Health & Hospital Association City of Longmont Colorado AHEC Colorado Cancer Research Program Colorado Physician Health Program Colorado State University Community Food Share Denver School of Nursing Education Foundation for the St. Vrain Valley Erie Chamber of Commerce

Firestone, Town of Foothills United Way Front Range Community College Girls Night Out Hospice Care of Boulder and Broomfield Counties Imagine! Foundation Justin Parker Neurological Institute Lactation Consulting and Community Outreach Laramie Community College Community Health Resource Library Livewell Colorado Longmont Area Chamber of Commerce Longmont Area Economic Council Longmont Community Foundation Longmont Council for the Arts Longmont Entrepreneurial Network Longmont Housing Opportunities Team Longmont Police Dept. In Service Mental Health Training Longmont Surgical Mission Longmont United

Hospital Foundation Meals on Wheels Mental Health Partners Metro State College Mt. Carmel Ostomy Support Group OUR Center Platte College PrestigePLUS Senior Wellness Regis University Rhythm on the River Risk Retention Reciprocal Group Rotary Club - Longmont Safe Shelter Salud Family Health St. Vrain Valley School District Sunrise Lions Club Diabetes Support Group Teen Childbirth Education Class & High School Tours University of Colorado University of Northern Colorado VIA (Special Transit) Walk to Remember Women's Work YMCA YMCA Hispanic Health Fair

Milestone Medical Group has grown to include eight physicians combined with two physician assistants and four family nurse practitioners.

Longmont United Hospital is expanding these primary care services to meet the needs of the community.

Milestone Medical Group provides high quality, individualized healthcare for all ages in a caring and supportive environment.

Services include preventative care through annual exams, screenings and immunization tracking.

Longmont United Hospital is a full service, community hospital with specialty areas in Women’s & Children’s Services, Cardiology, Comprehensive Surgical Services, Cancer Care, Emergency and Trauma Services, Transitional Care and Acute Medical Services. It offers quality inpatient and outpatient health cares services in addition to 24 hour emergency department services.

Longmont United Hospital continues its commitment to practice the Planetree Philosophy of complete wellness and is a resource for the community it serves.

The BirthPlace at Longmont United Hospital is designed to offer a comfortable, warm, and caring environment for labor and deliver of a baby. Offering high-risk and normal obstetric services, more than 1,000 babies are delivered at Longmont United Hospital each year. The BirthPlace offers childbirth education classes, a lactation consultant, labor & delivery in the same room, and complimentary massage for the new mother.

Neonatal Intensive Care Unit: Newborns that have low birth weight, or born before 36 weeks, or have a medical condition requiring special care may need to be cared for in our Level II neonatal intensive care nursery. We have Neonatal Nurse Practitioners associated with Children’s Hospital available around the clock to coordinate your baby’s care with the physicians.

The Emergency Department is a Level III trauma center that treats over 32,000 patients each year. The Emergency physicians are board-certified specialists, and subspecialty physicians who are available for immediate consultation. A cardiac catheterization lab is accessible for diagnosis and intervention 24/7.

Services of Longmont United Hospital

Comprehensive Cancer Care Services at Longmont United Hospital offers Medical Oncology & Hematology, Surgery with Reconstructive Breast Surgery, Genetic Testing, and Intensity Modulated Radiation Therapy for the treatment of cancer. In 2010, a new service was added, the 4-D planning software for respiratory motion management. It has the ability to track cancerous targets that move due to breathing (such as those in the lung or abdomen) in real time. Massage therapy, nutritional consultation, psychological and social work consultation are also offered.

Cardiac Care at Longmont United Hospital begins with a wide range of tools to answer questions about the heart. A full range of non-invasive technologies including Cardiac CAT Scan, Cardiac MRI, Nuclear Imaging, Carotid scans, and the very latest 3D Cardiac Echo technology are offered.

If additional testing is needed, two Cardiac Catheterization Labs are available, and for a blocked artery, Percutaneous Coronary Intervention (Balloons and Stents). Also offered are Pacemaker and Pacemaker/defibrillator implantation for Cardiac Rhythm Management issues.

A specialized cardiac rehabilitation program is available at the on-site fitness facility.

The comprehensive Orthopedic Services available include the latest surgical procedures of total joint replacements, Charite' ™ Artificial Disc surgery, and kyphoplasty for vertebral compression fractures. Diagnostic equipment is leading technology and includes MRI, CAT, digital x-ray, and electrodiagnostics. Pre-operative Total Joint Classes are offered to the community. Physical therapy and rehabilitation are available at an on-site fitness center complete with a warm water therapy pool.

The Neurosurgery Team at Longmont United Hospital strives to be on forefront of neurosurgical and spine care including the development and application of new techniques and instrumentation.

They provide the highest level of patient care through their communication and experience. At this time they offer the following surgical treatments: Minimally Invasive Spine Surgery, Artificial Disc Replacement, Laser in Neurosurgery and Spinal Fusion.

Other Available Services Cardiopulmonary Services Critical Care Services Family Health Services Health Screenings and Tests Imaging Services Interventional Radiology Integrated Therapies Laboratory Services Pediatric Services Pharmacy Physical, Occupational and Speech Therapy Rehabilitation Services Senior Services Surgery Services

Find-A-Physician Free Referral Service 303.485.3553 or luhcares.org. Available 24/7.

Important Telephone Numbers Main Switchboard 303.651.5111 or 970.532.4809 Patient Information 303.651.5111 Find-a-Physician 303.485.3553 Cancer Resource Line 303.485.3558 Health Center of Integrated Therapies 303.651.5188 Hope Cancer Care Center 303.651.5252 The Homestead 303.651.5222 Milestone Medical Group Family Medicine Lyons 303.823.6535 or 303.651.5326 Berthoud 970.532.4644 or 303.651.5100 Niwot 720.494.7100 Internal Medicine 720.652.8400 Obstetrics & Gynecology 303.772.7880 Full Circle Health Associates 303.682.1112

Accreditations and Certifications Accredited by The Joint Commission Breast Diagnostic Center accredited by American College of Radiology Laboratory accredited by College of American Pathologists Diabetes Education Program recognized by American Diabetes Association Accredited by the American College of Surgeons Commission on Cancer

2011 Statistics 84,035 outpatient visits 32,397 emergency room visits 7,865 admissions 1,083 births Average length of stay: 4.19 days Over 1,200 employees

Women’s Imaging Center 303.651.5160

Facts about Longmont United Hospital

2011 Board of Directors

Leadership Council

Dan Gust, Chairperson Richard Lyons, Vice-Chairperson Leona Stoecker, Secretary Clair Volk, Treasurer Tom Chapman, Asst. Sec-Treasurer Mitchell Carson, President and CEO E. Patricia Gill, M.D. Mark Hinman, M.D. Mike Kirkland Martin Plaster Edwina Salazar

Mitchell C. Carson, MHA, FACHE, President and CEO Neil Bertrand, Chief Financial Officer Nancy Driscoll, RN, MHA, FACHE, Chief Nursing Officer Rebecca Herman, PT, FACHE, Vice-President, Clinical & Support Services Warren Laughlin, BS, MS, SPHR, Vice-President, Human Resources John Peterson, Vice-President, Information Systems Carol E. Smith, JD, BSN, CPHRM, Vice-President of Legal & Regulatory Affairs

2011 Medical Staff Officers & Department Chairs Officers Bryan Reynolds, M.D., Chief of Staff John Bradley, M.D., COS-Elect David Burnham, M.D., Immediate Past COS

Department Chairs Herbert Ogden, M.D., Chair, Emergency Tom Mooney, M.D., Chair, Medicine Todd DeBoom, M.D., Chair, Radiolgoy/Pathology Jeff Kirkpatrick, M.D., Chair, Surgery

Board of Directors | Leadership Council Medical Staff Officers