SCL Health 2019 Report to the Community

OU R M ISS I O N I N AC TI O N

Partnering With Our Communities to Exceed Their Expectations for Health

2019 REPORT TO THE COMMUNIT Y

Lydia Jumonville and Steven Huebner

FROM OU R BOAR D CHAI R AN D OU R PR ES I D E NT AN D C EO It is an honor to lead the ministry of SCL Health in our important work across the great states of Colorado, Kansas and Montana. Together, our teams helped to exceed our communities’ expectations for health while meeting the healthcare and wellness needs of thousands of individuals who have entrusted us with their care.

As we reflect on our accomplishments from 2018, we are proud that we continued to strengthen our commitment to advancing our work. We celebrated the fact that we saw marked progress across our strategic priorities: • To empower people in all aspects of their work and health.

• To deliver on our commitment to excellence and to providing top-quality care.

• To focus on clinical integration in order to best meet our patients’ needs.

• To strengthen our partnerships with our providers.

• To invest in growth opportunities that ensure our longterm viability and success.

• To embrace our associates’ talents and help build on them through opportunities for professional growth, innovation and support.

• To help associates connect to the meaning and purpose of their work.

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We continue to honor the areas of our work rooted in our history, including our dedication to the health of our communities, especially those who are poor and vulnerable. This included contributing $242.2 million in charity care and community benefit in 2018, made possible by our ongoing focus on financial stewardship, which resulted in improved health for hundreds of thousands of people in need of support.

However, as the healthcare landscape continues to evolve, we are equally focused on advancing technology, innovation and expansion to ensure that patients have access to the very best care at SCL Health. Additionally, we collaborated with legislators to better understand the healthcare landscape and to work on ways we can make healthcare more affordable and easier to navigate for patients within our service areas.

We also focused on the initial phases of a long-term strategic plan to help guide and direct our ministry through the changing and evolving healthcare landscape. Our Ministry Leadership Team (MLT) – comprised of our system senior leadership team and our care site presidents – came together, over the course of 2018, for the collaborative and inclusive planning phase of the multi-year strategic plan. This work set the foundation to proactively position SCL Health for success

in a time of rapid change in the healthcare industry. In this planning phase, leaders set forth the strategic direction for our organization, which will guide our day-to-day work and influence our long-term initiatives.

The progress we have made and the accomplishments we have achieved in 2018 would not have been possible without the support of our strategic partners. Our Board of Directors, our Sisters of Charity of Leavenworth sponsors, our associates, our providers and our communities are all instrumental in allowing us to continue to improve the health of the people and communities we serve.

Our founder, Mother Xavier Ross, once said, “Look forward to the good that is yet to be.” We are excited about the opportunities that lie ahead for our ministry in 2019, which will ultimately benefit the health of our patients and communities.

Steven D. Huebner, CPA SCL Health Board Chair

Lydia Jumonville SCL Health President and CEO

CONTENTS Section 1 – Our Strategic Imperatives Person-Centered . . . . . . . . . . . . . . . . . . . . . . . . . 5 Operational Excellence . . . . . . . . . . . . . . . . . . . . 8 Clinical Integration . . . . . . . . . . . . . . . . . . . . . . . 12 Provider Alignment . . . . . . . . . . . . . . . . . . . . . . . 14 Growth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Associate-Empowered . . . . . . . . . . . . . . . . . . . . 20 Section 2 – How We Give Back to Our Communities Community Benefit . . . . . . . . . . . . . . . . . . . . . . .

Addressing Social Determinants of Health . . . .

Impact of Philanthropy . . . . . . . . . . . . . . . . . . . .

Addressing Social Determinants of Health in Our Hospitals and Safety Net Clinics . . . . . . . . .

A Legacy of Caring at Mount Saint Vincent . . . .

International Ministries . . . . . . . . . . . . . . . . . . . .

25 26 28 30 32 34

Section 3 – About SCL Health Mission, Vision and Values . . . . . . . . . . . . . . . . . 37 Leadership . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Care Site Presidents . . . . . . . . . . . . . . . . . . . . . . 40 Where We Serve . . . . . . . . . . . . . . . . . . . . . . . . . 41 Financial Summary . . . . . . . . . . . . . . . . . . . . . . . 42

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SEC TION 1

Our Strategic Imperatives

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ENTE ON-C RE S R at the forefront

of all D tha tw ed o

P Ee patient

h pt e Ke

Operational Excellence

Achieve performance excellence

Clinical Integration

Deliver safe, reliable, high-quality, cost-effective care to every patient, every time

Provider Alignment

Enhance provider alignment to provide greater value to our patients

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on

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rk

e ir

SS

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an

A

Expand the reach of our healing ministry

D ei E R os

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Growth

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I AT

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E pu W O P and

r associates find meanin

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PE R SO N - CE NTE R E D Personal, compassionate care At SCL Health, our associates, nurses and doctors provide personalized care by listening, connecting and taking the time to understand what is important to our patients. Within our hospitals and clinics, at our patients’ homes and even virtually, our goal is to empower patients to improve their health and manage their care so they can live their best life.

Empowering patients has been everything to us at SCL Health for more than 150 years. We meet our patients where they are and give them tools to manage their health.

Technology and online resources are essential tools that help us bring even more power to the patient. We are innovating every aspect of our care, including the use of digital platforms to ensure that patients can reach us and access their health information easily and securely.

Health 360 blog is transforming lives by engaging with consumers in a new way Health is about so much more than annual checkups and screenings. All of us make choices each day that impact our physical, mental and spiritual well-being, so we created our Health 360 blog and eNewsletter to help people navigate their health journey, one day at a time. Health 360 looks at health from all angles,

covering everything from nutrition to fitness to mental health, with tips and insights from SCL Health clinicians.

The blog gives us the opportunity to partner with our communities in order to foster wellness in a new way.

We can stay connected and engaged in our patients’ wellness journeys between episodes of care by providing accessible, easy-to-digest health and wellness information. It is important to us not only to help our patients get well but to partner in creative ways to help keep them well.

New technology makes better health more convenient SCL Health has embraced innovations in virtual health, such as providing virtual access to providers and personal health information to empower patients to manage their wellness at their convenience.

MyChart Share Everywhere allows patients to share their medical information with members of their extended care teams, even if they are not employed

by SCL Health. This means all practitioners – including physicians, dentists, physical therapists, chiropractors and school nurses – have the comprehensive information they need to make the best decisions for our patients to ensure that care More than and coordinated every step % ofis connected the way.

MyChart eCheck-in is a great example of innovation that enables patients to check in for an appointment before they arrive at the office, saving time for them as well as for the provider and practice.

Patients can share health information, such as current medications, and pay deductibles and co-pays before they even arrive at their of patients who used appointment.

98

eCheck-in would do so again.

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MyChart Share Everywhere keeps our patients safe MyChart Share Everywhere technology helped us provide one patient with quick access to care she didn’t know she needed.

A patient who could not recall the specifics of her care history came in for an appointment at one of our clinics. She recalled having a Pap test at another facility about two years before, but could not remember the results. She believed they had been normal. We looked into MyChart Share Everywhere to review her previous results and found that the test actually showed an abnormality that required a procedure. Her repeat Pap confirmed the abnormality. Thanks to this new technology, we were able to perform that procedure and protect her future health.

“To the nurses who pestered me (in the nicest possible way) to get my Pap smear; to my PA, Aimee [Avison] who followed through on her feelings of not being comfortable with my Pap, to Dr. [Janice] Fordham for getting me help ASAP even though it meant going out of network... and to all of the staff for their behind-the-scenes work: I owe you my life, and with your continued care, I won’t repay that debt for a very long time.”

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O PE R ATIO NAL E XCE LLE N C E

Commitment to excellence and award-winning care We love any opportunity to talk about the incredible things happening in our ministry: our compassionate caregivers, our clinical excellence, positive patient experiences and even our beautiful facilities and campuses.

But if you need care, the first thing you want to know is that your hospital or healthcare system is known for patient safety and quality care. That’s our priority too.

You can rest assured knowing that SCL Health has a national reputation for our commitment to safety, excellence and innovation. Our healthcare system is recognized for delivering award-winning care in every region in which we operate.

We are proud that SCL Health is recognized for delivering awardwinning care – not because of the awards, but because it is confirmation that we are living up to our high standards and aspirations to provide the highest-quality care and an outstanding experience for our patients.

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Award-winning care: SCL Health has three of America’s Best Hospitals in 2019 – more than any other healthcare system in Colorado and Montana. In addition, SCL Health has received a diverse range of recognition that demonstrates our commitment to excellence: Healthgrades® • Lutheran Medical Center and Good Samaritan Medical Center have both achieved the Healthgrades® America’s 50 Best Hospitals Award™ in 2019, placing them in the top 1% of hospitals in the nation.

• St. Vincent Healthcare has achieved the Healthgrades® ‘America’s 250 Best Hospitals’ Award™ in 2019.

Leapfrog Hospital Safety Grades: • Lutheran Medical Center, Saint Joseph Hospital, St. Mary’s Medical Center and St. Vincent Healthcare all received ‘A’ grades, and Good Samaritan Medical Center earned a ‘B’ grade in spring 2019.

Newsweek: • Good Samaritan Medical Center and St. Vincent Healthcare were both recognized as one of the World’s Best Hospitals in 2019 by Newsweek. iVantage Health Analytics and The Chartis Center for Rural Health: • St. James Healthcare in Butte, Montana, was chosen as a Top 100 Rural and Community Hospital.

• Holy Rosary Healthcare in Miles City, Montana, was recognized as one of the Top 100 Critical Access Hospitals.

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O PE R ATIO NAL E XCE LLE N C E SCL Health responds to opioid epidemic on multiple fronts In response to the opioid epidemic, SCL Health is making meaningful changes across our healthcare system to address opioid addiction, support those struggling with addiction and ultimately save lives. Our hospitals and providers are in a unique and influential position to address the opioid epidemic and help communities prevent future opioid dependence. We know that finding innovative ways to change the practice of prescribing opioids is one of the best ways to protect our patients.

Last year, SCL Health focused on ensuring opioid safety for our inpatient services and across our emergency departments. Through a partnership led by our Pharmacy and Nursing associates, we developed a scoring tool to reduce the risk of addiction for patients who are prescribed opioids. This led to the creation of our Opioid Safety Steering Committee, an associate-powered group of pharmacists, nurses and providers focused on addressing opioid risk across our health system.

As a result of our Opioid Safety Efforts: • We have implemented ePrescribing for controlled substances to ensure more provider oversight of opioid use.

• Every SCL Health emergency department is implementing proven Alternatives to Opioids (ALTO) protocols to manage pain, protect patients and improve overall quality of care.

• We are implementing a system to make it easy for providers to check national and state prescription drug-monitoring programs before prescribing opioids. These databases track controlled-substance prescriptions and access to this data will help us limit over-prescribing.

• We are also reducing opioid prescriptions to fewer than seven days at a time, giving naloxone to people at risk for overdose and offering medication-assisted therapy for people who are currently dependent.

Leveraging teamwork across our healthcare system, SCL Health is taking a leadership role in improving opioid safety in our communities. Heidi Wald, MD, MSPH, Chief Quality and Safety Officer for SCL Health, attributes our progress to associate collaboration.

“We have found this to be gratifying because it’s a win-winwin. It’s great for patients. Providers are happy when they learn how to confidently change their practice. And the health system supports it for a variety of reasons. Hospitals want patients up and moving. With this new approach to opioids, we get patients home, doing what they want to be doing, more quickly. It’s good for everybody, and all of our associates are committed to providing the safest and best possible experience to our patients.” – Dr. Heidi Wald, SCL Health Chief Quality and Safety Officer 10 | SCL Health

“SCL Health is helping to lead the way in decreasing opioid prescriptions in both Colorado and Montana. Through the utilization of shared resources across SCL Health and through collaborative partnerships with hospital associations in both states, significant progress is being made. In fact, St. Vincent Healthcare in Billings has reduced opioid doses by over 40 percent by committing their time and resources to the cause.”

– Jennifer Biltoft, System Director, Clinical Pharmacy Services All eight of our hospitals now have drug take-back boxes located near our pharmacies. This allows anyone to safely dispose of unused prescriptions.

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CLI N IC AL I NTEG R ATIO N

Systemwide, our dedicated teams combine excellence, expertise and compassion to provide our patients with quality care they can rely on. With nearly 522,000 primary care visits and more than 77,000 new patient visits in 2018, we are proud to be building a diverse, inclusive, accessible community in which patients and providers are partners in health.

Our clinics made tremendous progress managing our patients’ needs in the past year. We refined our process for identifying care gaps, so when our patients 12 | SCL Health

are in the office for any reason, we can address all their health needs. We also expanded our outreach to patients. Those who had not recently visited our clinic received a letter, email or call reminding them about recommended proactive wellness appointments.

We remain focused on providing high-quality care, and focusing our work around clinical integration is designed to ensure that our patients’ health is always a top priority.

Improved access to mental healthcare “My doctor referred me to the behaviorist. She saved my life; I was in a bad place and literally could not see a way out.” – Mental Health Patient Our integrated care model at SCL Health keeps all aspects of patient health connected and coordinated. The integration of mental and behavioral healthcare into our primary care settings is helping SCL Health increase access to lifesaving resources and provide support for every aspect of patient health. With better coordination between behavioral health and primary care providers, we provide comprehensive care for our patients.

We have added mental health specialists to the teams in our primary care clinics in Billings, Montana. We have also started to integrate behavioral health into our Front Range clinics. On-site behavioral health specialists help manage patients’ mental health issues without delay. If patients who seek out their primary care doctor show signs of depression, anxiety, substance abuse or other issues, they can now seamlessly and immediately transition to meeting with a trained behaviorist on site.

Leveraging tools like MyChart Share Everywhere, our Medical Group closed more than 38,000 care gaps in 2018, including gaps in mental healthcare. With this new technology, we’re looking at new ways to bring care together.

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PROVI DE R ALIG N M E NT A growing network of providers A highly skilled, compassionate team of providers and associates is vital to our mission of providing best-in-class care to our communities. That makes attracting and retaining caregivers an essential strategy for our continued growth. We are proud to report that our recruitment and placement program helped us welcome 100 new providers in the last year.

SCL Health Medical Group now includes close to 500 providers in 48 specialties serving patients in 100+ locations across Colorado and Montana. During the last two years, nearly 200,000 patients sought primary care services from an SCL Health Medical Group provider, and we continue to see significant growth in new patients to our group.

Providers by Specialty

Total Providers 290+ Physicians 200+

290+

Physicians

Advanced Practice Providers

130+ RNs 300+ Medical Assistants 79+ Managers 240+

200+

Patient Service Reps/ Medical Receptionists

APPs

319+ Additional Associates

Primary Care Women’s Health

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Medical Specialty Surgical Specialty

Rocky Mountain Orthopaedic Associates joins SCL Health Medical Group This year, we welcomed new medical groups into our growing community.

Rocky Mountain Orthopaedic Associates, a decades-long partner with SCL Health St. Mary’s Medical Center, joined our Medical Group, bringing close to 20 new providers and 80 associates to our healthcare system. This new relationship strengthens our alignment and leverages the knowledge and resources of St. Mary’s and SCL Health with the talent and expertise of Rocky Mountain Orthopaedics to continue to expand the specialized care and services of our patients in Western Colorado.

“We are thrilled to join SCL Health Medical Group.

The integration of our practice into the SCL Health family means that we are able to continue providing comprehensive care to the Grand Valley. We are certain that our partnership, which is founded in trust and respect, will result in the very best quality of care for our patients.” – RMOA Leadership Platte Valley Medical Group brings new, integrated services to Front Range patients We are also providing additional services to our Front Range communities, thanks to an enhanced partnership with our ambulatory clinics at Platte Valley Medical Center, who joined SCL Health in 2015.

While the ambulatory clinics at Platte Valley Medical Center have been part of SCL Health since 2015, this year the clinics came together to form Platte Valley Medical Group, LLC. The group was brought into our electronic medical-record system, Epic, allowing us to effectively manage patient care and proactively address patient needs while tracking quality outcomes. With the addition of Platte Valley to the Medical Group, we are now providing services such as orthopedics and acupuncture to a new area of the Front Range.

Empowering and encouraging effective leaders We place a special emphasis on the continued growth and development of all of our associates and providers. One particular area of focus is enhancing our providers’ leadership skills. As leaders, they are the ones who will innovate and drive the transformation of healthcare and the growth of our system so we can continue to provide high-quality care for our communities for years to come.

Our Conscious Physician Leadership Program teaches providers how to develop their leadership skills in four areas: Leading Self, Leading Others, Leading Change and Leading the Organization. In encouraging our providers to grow and develop new skills, we are able to offer them tools to help navigate the demands of healthcare, foster better selfcare and resiliency, and ultimately continue to deliver outstanding care for our communities. Forty-five providers from the Medical Group and our care sites have completed the program so far, and we look forward to training many more as we continue to invest in the professional and leadership development of our clinicians.

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G ROW TH At SCL Health, our motivation for growth is rooted in expanding the reach of our healing mission.

New partnerships help us bring more patients to SCL Health and allow us to reveal and foster God’s healing love in more communities, especially for those who are poor and vulnerable.

Memorial Regional Health becomes an affiliate of SCL Health This year, St. Mary’s Medical Center entered into a new Care Affiliation with Memorial Regional Health in Craig, Colorado. The agreement allows Memorial Regional Health to remain an independent hospital while also accessing resources, including specialized medical professionals and technology, through their affiliation with St. Mary’s. This affiliation was the first of its kind for SCL Health and opens the door for us to extend additional resources to this regional partner.

By working collaboratively, Memorial Regional Health and St. Mary’s can help ensure that local care and local governance are protected, while access and quality of care are advanced. Most importantly, this partnership allows Memorial Regional Hospital to continue serving the community it has called home for 70 years, ensuring that patients have access to outstanding care close to home.

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“Rural community hospitals have been part of the community for so long, and most want to stay in the community.” – Lydia Jumonville, SCL Health President and CEO

CareFlight regional joint venture brings SCL Health’s ministry to rural communities SCL Health believes a patient’s location should not determine the type of care they receive. Building on our established relationship with CareFlight Aeromedical, SCL Health expanded the program in 2019, making it a seven-hospital regional joint venture to better serve even more communities on the Western Slope.

As of 2019, St. Mary’s Medical Center is now partnering with Montrose Memorial Hospital (Montrose, CO), Memorial Regional Health (Craig, CO), Grand River Hospital (Rifle, CO), Gunnison Valley Hospital (Gunnison, CO), Pioneers Medical Center (Meeker, CO), and Telluride Clinic (Telluride, CO) to provide access to quality critical care in the safest and most cost-conscious way to patients who are ill or injured in rural communities and need quick access to highly specialized care.

CareFlight teams include highly trained nurses, paramedics, neonatal nurse practitioners, neonatal intensive care nurses, obstetric nurses and respiratory

therapists who provide critical care to adults, children and newborns.

CareFlight uses helicopters, fixed-wing and ground-ambulance services to make medical transportation fast, easy and more affordable.

In a critical situation, minutes – even seconds – can make all the difference. Through this regional joint venture, CareFlight can respond to emergencies in record time, giving patients and their families the best chance at a positive outcome and ensuring improved health for the communities we serve. And since CareFlight is a nonprofit regional partnership, our patients can feel confident that they will receive fair and balanced billing for emergency care. This is just one example of how SCL Health is committed to meeting community needs through smart growth and regional partnerships.

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G ROW TH Ground Breaking for the Rehabilitation Hospital of Montana In 2018, along with our partners at Kindred Healthcare Inc. and Billings Clinic, St. Vincent Healthcare broke ground on the Rehabilitation Hospital of Montana, a new 34-bed inpatient facility for patients who are recovering from traumatic conditions such as stroke, traumatic brain injury and spinal cord injury. The hospital will allow us to better meet the growing clinical needs of our community members in Billings, the state and the region. With more high-quality-care options closer to home, more patients in Billings and across Montana can get out of the hospital and back to doing the things they love. We are proud to say the facility celebrated it’s grand opening in August 2019.

The Rehabilitation Hospital of Montana will help patients who are recovering from traumatic brain and spinal cord injuries.

KINDRED- BILLINGS REHABILITATION HOSPITAL BILLINGS, MT -

08/23/17

Exterior Rendering

“With the ground breaking of the new inpatient rehabilitation hospital in Billings, we are one step closer to providing patients with the high-quality services and team-based care they deserve and need to return to the life they want to live.”

– Steve Loveless, St. Vincent Healthcare and SCL Health Montana President

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The Birth Center of Denver offers comfort and security to Colorado families We have seen a growing trend of expecting moms seeking more natural, intimate options for childbirth. There is also a longing for the peace of mind that comes with being close to a hospital in case a higher level of care is needed. When Saint Joseph Hospital heard Colorado families calling for an approach to childbirth that offers comfort and security, they answered by creating Colorado’s first hospital-owned birth center.

Located just across the street from Saint Joseph Hospital, the Birth Center of Denver creates a homelike environment where women can come for every stage of pregnancy and childbirth. With this lower-intervention, natural approach to childbirth, SCL Health supports expectant mothers at a lower cost and offers a community for families preparing for their new baby. Families can attend classes together on topics such as breastfeeding and the birthing process. Certified nurse-midwives are on hand to provide prenatal, labor and delivery, postpartum and newborn care.

Since patient safety and health is always top of mind, the center is integrated into Saint Joseph’s electronic medicalrecord system to provide a smooth transition if the newborn or mother needs to be transferred to Saint Joseph Hospital for any reason.

Watch an online video to learn more about The Birth Center of Denver.

Visit sclhealthreport.org

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A SSOC IATE - E M P OWE R E D We believe the best way to serve our communities is to ensure that our associates find meaning and purpose in their work. Our associates and providers are our greatest assets and strongest advocates. They are the faces our patients see every day and the minds behind our innovative approaches to improving the health of the communities we serve.

While SCL Health is powered by more than 15,000 associates at over 100 locations across Colorado, Montana and Kansas, we are all connected by our commitment to providing person-centered care to every patient, every time, everywhere.

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Shark Tank-style challenge inspires “360° of Caring” Last year, SCL Health introduced our Innovation Challenge, an opportunity for associates to present innovative solutions to our toughest healthcare challenges. Our associates work with patients and experience those challenges every day, making them natural advocates for strategies to create the ideal patient journey.

The "sharks" listened to innovative ideas from our associates about how This year’s theme, “360° of Caring,” to advance patient care. challenged associates to present ideas that would improve the health of communities and populations – not just individuals with immediate health needs – by focusing on the social determinants of health.

A testament to the innovative spirit of our team, we received hundreds of submissions addressing issues such as food access, location and education.

Six finalists then presented to a panel from our Ministry Leadership Team in their own version of Shark Tank. Online votes from associates, combined with feedback from panelists, decided the winners who received funding to make their ideas a reality.

“The teams did an absolutely fantastic job conveying their ideas – starting with the ‘Why,’ including patient empathy stories, and moving into ‘How’ their idea will impact the communities we serve,” said Peter Kung, System Vice President, Innovation and Virtual Health.

Four Innovation Challenge winners were selected, receiving a total of more than $290,000 in funding to support initiatives focused on community-based care, precision medicine, fall prevention and food security.

“We are continually inspired by the ideas presented by our associates to enhance and advance patient care,” said Lydia Jumonville, SCL Health President and CEO. “Integrating a call for community health solutions into our Innovation Challenge has given us new ways to put our mission into action in the communities we serve while supporting the passion and innovation of our team members.”

2018 Innovation Challenge Winners Social Determinants of Health Identification: Being or staying healthy starts outside the hospital walls. This program will use a data-driven, multidisciplinary, community-based care approach to make sure our most complex patients have the resources and services needed to maintain their health and avoid future visits.

Pharmacogenomics (PGx): Medication is an important part of the care we provide. PGx will ensure that our pharmacists and other providers have the right information and tools to help our patients avoid adverse reactions, adhere to the correct prescription, and continue their health journey.

STEADI Steps to Fall Prevention: A fall can be very dangerous. Some patients may be more at risk for falls in a hospital due to factors such as taking new medications or recovering from surgery. STEADI will keep our patients safe with standardized fall-risk screening and fall-prevention procedures.

Food Farmacy: Nutrition is critical to good health. Food Farmacy will provide our patients with access to healthy food while teaching them ways to prepare nutritious meals on a limited income.

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A SSOC IATE - E M P OWE R E D Peer-to-peer crisis support protects associate well-being Our associates witness many wonderful, joy-filled moments in their careers, but as is the nature of our work, many of us have also experienced difficult times, such as the loss of a patient. At SCL Health, we want to make sure we are able to support our associates during difficult moments so they are better able to care for themselves as they care for others.

Recognizing this need in her own work, SCL Health associate Courtney Donovan, RN, BSN, was inspired to create the Code Caring program, a peer-to-peer crisis-response team available to any associate at Good Samaritan Medical Center. With a quick call to the House Supervisor, a designated “responder” will

Courtney Donovan interacting with a fellow associate

meet the distressed associate on their unit with a caring kit of supplies, including a resource guide, massage certificate, snacks, a journal and other resources. The associate in need can then take some time away from their job to talk with their responder, have some quiet time or find support from a chaplain or fellow associate.

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“It is fulfilling for me to see it grow,” says Donovan. “I have been an ICU nurse for 15 years and I’ve seen the trauma. I’ve watched nurses and physicians crumble under the weight of Chaplain Liena Apsukrapsa, a member of the things we the Caring Council do and the things we see every day. We’re interrupting the pattern for people in order to keep them from spiraling into a crisis state.”

With over 400 “Code Carings” called in three years and about 30 responders available at any given time, the Code Caring program has been such a success that it has now expanded to Lutheran Medical Center, Saint Joseph Hospital, and Platte Valley Medical Center. Programs like Code Caring advance our commitment to ensuring that we deliver care that eliminates all harm for patients and associates, and we are grateful for innovative associates like Donovan, who continue to make SCL Health a better place to work and receive care.

SCL Health Nursing hosts first systemwide Nursing Congress This year, nurses representing all care sites and regions of our health system met at Saint Joseph Hospital and established the first SCL Health System Nursing Congress. More than 60 elected delegates met to discuss topics related to empowerment, shared decision-making and building accountability for consistency in high performance among the more than 3,380 nurses who work at SCL Health. We value events such as this because they involve teamwork, problemsolving and strengthening our workforce, which, in turn, strengthens our community.

Nurses representing all care sites and regions of the health system met at Saint Joseph Hospital and established the first SCL Health System Nursing Congress.

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SEC TION 2

How We Give Back to Our Communities

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COM M U N IT Y B E N E FIT Investing in those who need us most SCL Health remains faithful to the charitable spirit of our Founding Sisters by addressing the most important health-related needs in our communities, especially for those who are poor and vulnerable.

In keeping with our mission, nine cents of every dollar we earn is reinvested back into the communities we serve.

Our Community Benefit programs and partnerships are driven by our Community Health Needs Assessments, which help us identify the health challenges facing our communities so we can deploy our resources in the most effective way possible. Continuing the ministry of the Sisters of Charity of Leavenworth, we provide free and discounted healthcare services and programs to those most in need. By dedicating resources to address these needs, we believe we can create meaningful and lasting health change in our communities and truly bring our mission to life through action.

242.2M

$

in Charity Care and community program spending

Charity Care and Community Benefit spending 2018 expenditures shown in millions

$133.1

287,131

lives touched* *This summarizes the number of people reached in 2018 through all Community Benefit activities – health services, education, research, screenings, etc.

$36.4

Subsidized Health Services

Financial Aid & Charity Care

$31.4 $27.9

9¢ of every dollar is reinvested in our communities.

Government Shortfalls

Health Professions Education $8.1 Community Health Improvement Services $2.7 In-Kind Contributions $1.5 Community Building $0.9 Other Means-Tested Government Programs $0.2 Research 2019 Report to the Community | 25

ADDR ESS I N G SOC IAL D E TE R M I NANTS O F H E ALTH Our mission in action As a Catholic healthcare system focused on bringing God’s healing love to those who need it most, we advance health for our patients and our communities. Our Community Benefit programs reflect our mission in action.

Good healthcare isn’t just about treating symptoms; it’s about improving environments so we can prevent health challenges before they begin. SCL Health addresses the underlying causes of community health challenges so we can prevent illness, improve health, and increase quality of life for the people we serve.

Saint Joseph Hospital enhances food security for people in need The old adage that an apple a day keeps the doctor away has an element of truth.

Nutrition is part of health, but even more importantly, having reliable access to food is essential Volunteers construct the first-ever to both health and "freight farm" on the Saint Joseph healing. Whether it Hospital campus to help address is recovering from an food insecurity. illness or managing a chronic disease, such as diabetes or heart disease, our overall health is directly connected to the food we eat.

Our 2018 Community Health Needs Assessment revealed that food insecurity was one of the top areas of focus when looking at social determinants of health for the community surrounding Saint Joseph Hospital in Denver. We wanted to be a part of the solution. To address this need, Saint Joseph Hospital partnered with a local nonprofit organization, Metro Caring, to establish a community garden on our medical campus.

The “freight farm” is a garden in a donated shipping container used to grow healthy produce like lettuce and kale. Produce grown in the freight farm is then given to 26 | SCL Health

The partnership between SCL Health, Morgridge Foundation and Metro Caring powers the "freight farm" to support families in need.

Metro Caring’s FreshFoods Market. The market is where those in need can choose from a variety of nutritious food based on their dietary needs, including fresh fruits and vegetables. Recipients receive a week’s worth of groceries at each visit.

Saint Joseph Hospital supports another local nonprofit organization, Senior Support Services, by donating unused prepared food from the hospital cafeteria twice a week. In the last year alone, over 7,000 pounds of food has been donated to Senior Support Services, which provides 150 lunches each day to seniors experiencing homelessness in our community.

Gaye Woods, System Director of Community Benefit, said of these efforts, “We are proud of these programs because they not only allow us to further live our mission of taking care of the poor and vulnerable, but they also help us invest in the social determinants of health, which strengthens our community by addressing the issue of food insecurity.”

Move That Bus! partnering with the local community to bring care to rural areas Having the means to travel to a provider for an appointment can be a challenge for many of our rural patients. When St. Mary’s Medical Center associates learned of an existing SCL Health vehicle that was available, they immediately knew how they would use it. When a team put work into updating the van into a mobile health unit, Move That Bus! came to life. Working with community partners Mesa Public Health, Meals on Wheels and the City of Grand Junction Parks and Recreation, the mobile health van brings SCL Health associates into the community to connect people with services and healthcare opportunities, particularly for vulnerable populations.

Move That Bus! is now being used as a health resource, meeting individuals where they live, work and play, and is a mainstay at popular community events. The van travels within Mesa County to help people sign up for nutrition-assistance programs, find a primary care doctor, get a flu shot and more. The hope is to connect people to services that meet their most urgent needs.

Mental Health First Aid training raises mental illness awareness Almost everyone knows what to Refer (QPR) to more communities do if they see someone choking by successfully training over 2,000 or if someone collapses, but how residents of Colorado and Montana. do they help someone in mental These included first responders, distress? Across the system, SCL advocates for the homeless, teachers, Health promotes training, awareness medical professionals and other and stigma reduction around mental individuals who can play a role in illness so more people know how to interventions. We trained four new Watch an online video to learn more about recognize signs of distress. Starting in instructors in MHFA to support rural Mental Health First Aid: visit sclhealthreport.org 2017, we began system-wide training and urban communities and partnered in Mental Health First Aid (MHFA), a nationally recognized with Happy City Denver, a six-week, citywide multi-sector program focused on training community members and collaboration to break down personal, emotional and social associates to recognize signs of mental distress in others barriers while nurturing individual and collective well-being. and to empower those who are living with mental illness to Creating greater skills and awareness for our own seek assistance. associates was also a focus in 2018. In addition to offering In 2017, we trained more than 1,600 community members and associates in MHFA. To further our impact, in 2018 we took MHFA and other mental health trainings such as Trauma Informed Care and Question, Persuade and

MHFA trainings to associates, during May (Mental Health Month) a series of classes and daily reflections encouraged associates to pause for activities that emphasize wellbeing, stress management and meditation.

2019 Report to the Community | 27

I M PAC T O F PH I L ANTH RO PY Going above and beyond for our communities Many patients are in great need of support that goes well beyond the demands of their personal healthcare. Oftentimes, that is where SCL Health foundations come in. Our foundations engage and connect donors to SCL Health programs and initiatives that save lives and improve the health of the communities we serve.

2018 Impact

as many individuals as possible.

Across our foundations, we see the amplified power of our community’s build than nearlygenerosity tomore or renovate facilities to enhance access to services or breakthrough technology, buy lifesaving medical associates equipment, and implement donors Participated Made a gift in 2018 programs that improve patient in Caring Spirit healthsystem-wide and change lives.

$ 28.7 22.4 2,800 10,730 million million million

$

Raised in contributions and Planned Giving commitments in 2018

Philanthropy is at the heart of SCL Health. As a faith-based nonprofit healthcare system, we are called to give of ourselves, our time and our possessions to those in our community who are in need. One example Raised in contributions Transferred to of this is our Caring Spirit associate and Planned Giving our hospitals commitments in 2018 giving campaign, which supports patients and associates in need.

nearly

Transferred to our hospitals

Our foundations are an extension of our mission and reaffirm our more than commitment and investment in the communities we serve. In 2018, thanks to the generous gifts of our donors associates, partners and donors, Made a gift in 2018 we exceeded all fundraising goals for the year and witnessed many heartwarming and inspiring stories of hope, love and generosity that encourage us to do even more in 2019.

28.7 22.4 2,800 10,730 million million million

$

$

associates Participated in Caring Spirit system-wide

Gifts to our SCL Health foundations equip us with essential resources needed to provide compassionate care to

St. Mary’s Hospital Foundation keeps pediatric care close to home

The foundation was built to honor the memory of Micah Montag.

28 | SCL Health

The St. Mary’s Hospital Foundation surpassed its fundraising goal of $1 million for the Micah Montag Pediatric Endowment and Action Fund with funds raised totaling more than

$1.3 million to keep critical care close to home for many Colorado children. Funds from this campaign are being used to transform St. Mary’s Medical Center into Western Colorado’s premier hospital for children by creating child- and family-friendly areas throughout the hospital and supporting education, telemedicine and outreach activities. As the only pediatric care available between Salt Lake City and Denver, St. Mary’s will offer families who cannot afford to drive to Denver access to quality care close to home.

$150,000 grant improves prenatal care for at-risk mothers

Lutheran Medical Center funds inpatient substance-abuse treatment

This year, St. Vincent Healthcare received a $150,000 grant from the Montana Healthcare Foundation to provide prenatal care for at-risk mothers. The grant directly benefits pregnant women living on or near the Northern Cheyenne Reservation where limited access to healthcare and substance abuse disorders continues to be a major issue. The project brought behavioral healthcare into the clinics that serve these women and increased access to essential elements of prenatal care, including childbirth preparation and nutrition plans. Associates at St. Vincent are now able to ensure that women at risk of substance misuse maintain or enter recovery and have a better chance for a healthy pregnancy.

When mental health and substance-abuse treatment were identified as the most high-priority needs in Lutheran Medical Center’s community, the Lutheran Medical Center Foundation partnered with Signal Behavioral Health and private foundations to fund inpatient substance use disorder treatment for low-income and uninsured patients. In 2018, these grants provided nearly $600,000 in treatment services for these patients, granting them better access and support for their difficult situations and critical healthcare needs.

Cardiac catheterization lab improves cardiovascular care A $4.68 million grant from The Leona M. and Harry B. Helmsley Charitable Trust will help St. James Healthcare build a two-lab cardiac catheterization suite. The new catheterization suite will provide the communities of Southwestern Montana with improved access to highquality cardiovascular care, resulting in better patient outcomes and satisfaction. Jay Doyle, St. James President, said, “The new suite will help us fulfill our mission of helping patients stay and heal close to home.”

Ensuring cancer treatment is available close to home The Holy Rosary Healthcare Foundation successfully completed a campaign in support of a new Cancer Clinic at Holy Rosary. Donors gifted over $250,000, one-quarter of the total project cost. Patients living with cancer in eastern Montana will now have access to expanded high-quality diagnosis and treatment, closer to their home and community.

“The reason I LOVE giving to our Foundation is that these dollars meet a very specific need that otherwise would go unmet. These dollars go straight to the heart of our mission and make a difference – usually one we can see and feel immediately. No better feeling than that!” – Nancy Hoyt, Chief Operating Officer & Chief Nursing Officer, St. James Healthcare 2019 Report to the Community | 29

ADDR ESS I N G SOC IAL D E TE R M I NANTS O F H E ALTH I N OU R H OS PITAL S AN D SAFE T Y N E T C LI N I C S Success in a healthcare environment cannot be achieved based solely on results inside our hospitals and clinics. Across our system, we have started to define more intersections between internal patient care and external social services for improved health management. We understand that some of our patients are in vulnerable situations, such as financial insecurity, homelessness, unemployment or exposure to violence. Our mission guides us to ensure that our most vulnerable patients are treated and cared for in ways that meet their individual needs.

Duchesne Clinic offers enhanced, informed support for patients

Marian Dental Clinic improves oral health in Topeka, Kansas

Wyandotte County, Kansas, home to Duchesne Clinic, has some of the lowest health outcomes in the state.

Many patients face challenges such as access to quality healthcare, food insecurity, housing instability, unemployment and violence.

Marian Dental Clinic in Topeka, Kansas, is the only SCL Health ministry that provides oral healthcare, which is often foundational to good health. Serving communities in Kansas as a safety-net dental clinic, the dental team is dedicated to revealing and fostering God’s healing love by improving the health of poor and vulnerable patients who may not be able to afford dental care on their own.

In an effort to nurture and promote a culture of learning aimed at delivering patient-centered care, Caritas Clinics formed a collaborative relationship with the Center for Interprofessional Practice, Education and Research (CIPER) at the University of Kansas Medical Center. Through this collaborative effort, students and Caritas associates address patient care issues, including social determinants of health, through teamwork and interprofessional communication.

In 2018, Caritas conducted a pilot project exploring various needs, including adverse childhoodexperiences and trauma, and began providing more support to help patients address those needs. As a result, its Duchesne Clinic site received funding to screen all patients for social determinants of health needs and to hire a Community Health Worker. It was also able to dispense lifesaving medications to 517 patients through a Pharmacy Assistance Program (PAP) and had over 1,300 unique prescriptions filled and dispensed at no cost to the patient.

30 | SCL Health

In 2018, the Marian Dental Clinic provided $1,523,201 in dental services, helping 4,190 patients achieve better oral health.

This year, the clinic dedicated time and effort to increasing access, improving the patient experience and providing affordable comprehensive dental care. In fact, 25 percent more restorative and rehabilitative services were provided as compared to previous years. Significant progress was made to update equipment and facilities, purchase new dental instruments and broaden expertise and scope of practice through continuing education for the dental team.

The Marian Dental Clinic remains grounded in the SCL Health mission, as 98 percent of those it serves are impoverished and in need of dental care with limited means to pay.

Saint Joseph Hospital offers showers for Denver homeless In an effort to provide the less fortunate with a means of healthcare that most of us take for granted, Saint Joseph Hospital provides much-needed showers and other resources for the homeless community in Denver by once a month hooking up to a water source a trailer with shower stalls.

Saint Joseph Hospital partnered with the Bethlehem Lutheran Church in Lakewood, which operates the Living Well shower trailer, to better connect with the needs of its community. Associates and volunteers, along with our Living Well partners, also provide participants with a breakfast, clothing and toiletries.

The goal of the showers is simply to instill dignity in the community surrounding Saint Joseph Hospital while limiting the impact of preventable illnesses that can decrease their quality of life.

“We host the shower truck at Saint Joseph as a means of acknowledging the intrinsic worth and dignity of folks living on the margins in our neighborhood,” said Chuck Ault, Regional Director of Community Health, who coordinates the showers.

“The simple gift of a hot shower along with some food and clean clothes can contribute to that person having a better day.”

St. Vincent Healthcare increasing breast cancer screening in rural and native communities Transportation is often a challenge for residents in rural communities, so St. Vincent Healthcare brings needed services directly to those communities.

In December 2018, St. Vincent Healthcare unveiled a new, state-ofthe-art mobile mammography coach with 3D imaging technology. Research also shows that 3D mammography finds invasive cancers 40 percent more frequently than a traditional 2D mammogram, which is significant to women in remote communities.

Cancer remains the second-leading cause of death in Montana, with survival rates among minorities falling even lower, due largely to late-stage diagnosis. Mobile mammography programs remove barriers to screening by making it faster and more convenient for women in rural areas to have a mammogram - the key to lifesaving early detection of breast cancer.

The Mobile Mammography program focuses on increasing the number of first-time and routine screenings to underserved women within a 300-mile radius of Billings. The mobile mammography coach is on the road five to seven days a week, traveling to over 60 regular sites, including Crow and Northern Cheyenne reservations. The number of women served, particularly those who are underinsured and uninsured, continues to grow every year. Since its inception in 2010, the coach has screened over 17,000 women, and detected more than 100 breast cancers.

2019 Report to the Community | 31

A LEGAC Y O F C AR I N G AT M OU NT SAI NT VI N C E NT For 135 years, Mount Saint Vincent has served as the Rocky Mountain region’s premier provider of a variety of therapeutic, educational, and counseling programs to support children suffering from the effects of trauma, mental illness, abuse or neglect. Operated

by SCL Health, Mount Saint Vincent offers individualized support for children, including residential treatment, mental health treatment, foster care services, and preschool through eighth-grade education, to help children and their families realize their full potential.

Additionally, Mount Saint Vincent is one of the leading providers of trauma-informed training for mental health providers in the country. The specific focus on trauma-informed care for children makes Mount Saint Vincent one of the most highly regarded human-services agencies in Colorado.

Mount Saint Vincent implements a developmentally sensitive approach that reflects the most up-todate research about the impact of trauma on young children and what they need to cope and eventually thrive. Specialized services, such as art, dance/ movement and music therapy, allow young children to express themselves nonverbally as part of a mental health treatment plan. These gentle, nonthreatening

32 | SCL Health

Watch an online video to learn more about Mount Saint Vincent.

Visit: sclhealthreport.org

approaches ensure that children feel safe as they learn to trust, form relationships, self-regulate, and eventually re-integrate into families and their communities.

Mount Saint Vincent consistently earns high marks, and the ongoing increase in overall services provided includes the following: • 91% of students improved in literacy, an 11% increase over 2017 • 100% of families in the in-home program are satisfied with their therapy services • 2,094 individuals throughout Colorado received trauma training, a 12% increase over the prior year • 16 school districts were served in the K–8 school, an increase of 14% over 2018

Foster care program served more than 70 children in 2018 Mount Saint Vincent’s foster care program shares SCL Health’s commitment to our mission by uniting families through loving and nurturing bonds. Foster care is the newest program Mount Saint Vincent provides for children suffering from the effects of trauma, mental illness, abuse or neglect. The program successfully matches loving parents with children in need, growing and strengthening the community of foster families in Denver.

The Fuentes family adopted through the Mount Saint Vincent foster care program.

Joe and Janelle Fuentes, who have two biological children, decided to open their hearts and home to a tiny premature infant named Gavin, who was on oxygen in a neonatal intensive care unit (NICU) at a local hospital, weighing just over three pounds.

For more than a month, the couple drove to the NICU twice a day to hold the tiny infant before they brought him home, where he began to thrive. Soon after, they became foster parents of another premature infant, Josiah, who was also born early and needed special care. The couple has since adopted both boys, and Josiah and Gavin are the picture of health.

2019 Report to the Community | 33

I NTE R NATI O NAL M I N IS TR I ES

Trip to Tanzania brings transformational change The immersion trip to Arusha, Tanzania, is an experience that many of our associates have been involved in for over two decades. This year, a group of associates once again set off to experience firsthand what so many before them had the privilege to witness.

These trips strengthen our relationship SCL Health leaders participating in a with Arusha prayer circle outside Selian Hospice, a Lutheran program of Selian Hospital.

Medical Center and Selian Hospital, our sister care sites in Tanzania, who have served as long-term hosts to many of our associates volunteering from departments across our entire organization.

During these trips, our associates gain a deeper understanding of the influence SCL Health is having in 34 | SCL Health

Arusha through our partnership with its delivery system and hospice and nursing programs. More importantly, Nursing students participate in a training associates led by an SCL Health associate at Arusha experience the Lutheran Medical Center. transformational change that can result from being part of international ministry.

Every time we immerse ourselves in the world of others, it opens our eyes in a different way. Like our Founding Sisters, we are sometimes called to travel great distances to bring God’s healing ministry to the most poor and vulnerable. It is essential to our values that we never forget that our SCL Health community extends all the way around the world, and we strive to extend our services and care toward all of our community members, whether they live in our own city, or as far away as Arusha, Tanzania.

2019 Report to the Community | 35

SEC TION 3

About SCL Health

36 | SCL Health

M ISS IO N, VIS IO N AN D VALU ES

MISSION

We reveal and foster God’s healing love by improving the health of the people and communities we serve, especially those who are poor and vulnerable.

VISION VALUES

Inspired by our faith, we will partner with our patients and communities to exceed their expectations for health.

Caring Spirit — We honor the sacred dignity of each person.

Excellence — We set and surpass high standards.

Good Humor — We create joyful and welcoming environments.

Integrity — We do the right thing with openness and pride.

Safety — We deliver care that seeks to eliminate all harm for patients and associates.

Stewardship — We are accountable for the resources entrusted to us.

2019 Report to the Community | 37

LE AD E R S H I P

SCL Health Board of Directors

From our sponsor to our board of directors and our senior executives, SCL Health leaders are dedicated to fulfilling our mission and vision and to living our shared values.

Seated, left to right:

Standing, left to right:

Robert E. Wilson Retired SVP/Chief Finance Officer, Phoenix House, Brooklyn

Constance Phelps, SCL Community Director, Sisters of Charity of Leavenworth

Kathryn A. Paul Vice Chair Retired President & CEO, Delta Dental Plan of Colorado

Maureen Hall, SCL Former Community Director, Sisters of Charity of Leavenworth

Beth Beckman, RN System Chief Nurse Executive, Yale New Haven Health System Gordon Howie, MBA Retired Managing Director, Bank of America Securities Steven D. Huebner, CPA Chair Retired Audit Partner, KPMG

38 | SCL Health

Alan R. Yordy, MBA, FACHE President/CEO, The Infinity Group Michael Salem, MD President and CEO, National Jewish Health

Mary Beth Mikols Managing Director Technology Strategy, Healthcare and Life Sciences, Deloitte Consulting LLP Michael Fordyce Retired President & CEO, Craig Hospital Lydia Jumonville President and CEO, SCL Health

Pamela Federbusch Consultant, Healthcare Finance and Credit Consulting D. Lynn Casey, SCL Retired Chancellor, Diocese of Great Falls – Billings Not pictured: Douglas Aden Retired Regional President, U.S. Bancorp

System Services Executive Team

Leaven Ministries

Standing, left to right:

Seated, left to right:

Left to right:

Lydia Jumonville President and CEO

Rosland Fisher McLeod SVP, Chief Legal Officer

Charlotte White, SCL, Vice Chair

James P. (JP) Valin, MD EVP, Chief Clinical Officer

David Pringle SVP, Mission Integration

Rita Turley

Shawn Dufford, MD SVP, Chief Medical Officer Acute Care Operations

Craig Richardville SVP, Chief Information Officer

Constance Phelps, SCL

Janie Wade EVP, Chief Financial Officer Tajquah Hudson EVP, Chief Strategy and Growth Officer Steven Chyung SVP, Supply Chain and Real Estate Tamara Saunaitis SVP, Chief Human Resources Officer

Amy Willcott, SCL Maureen Hall, SCL, Chair

Megan Mahncke President of SCL Health Foundations & SVP, Communications and Marketing Not pictured: Mark Korth EVP, Chief Operating Officer Hospital Operations Lori Wightman, RN SVP, Chief Nursing Officer

2019 Report to the Community | 39

C AR E S ITE PR ES I D E NTS

Jennifer Alderfer

John Hicks

Jay Doyle

Good Samaritan Medical Center

St. James Healthcare

Bryan Johnson

Karen Costello

Steve Loveless

(Interim President)

St. Mary’s Medical Center

St. Vincent Healthcare

Holy Rosary Healthcare

Jamie Smith

Saint Joseph Hospital

40 | SCL Health

Platte Valley Medical Center

Grant Wicklund

Lutheran Medical Center

WH E R E WE S E RVE The heart of our ministry is to provide compassionate, safe, person-centered care for every patient, every time. We focus on taking care of those who need it most.

MONTANA REGION

COLORADO – WESTERN COLORADO REGION

3 Hospitals Holy Rosary Healthcare – Miles City St. James Healthcare – Butte St. Vincent Healthcare – Billings

1 Hospital St. Mary’s Medical Center – Grand Junction 1 Outpatient Imaging Center

1 Long-Term Care Facility

1 Outpatient Procedure Center 1 Clinically Integrated Network

MONT

1 Outpatient Imaging Center1

ANA

3 Outpatient Procedure Centers

20+ Clinic Locations

COLORADO – FRONT RANGE REGION

55+ Clinic Locations

COLORA

DO

KA NS AS

4 Hospitals Good Samaritan Medical Center – Lafayette Lutheran Medical Center – Wheat Ridge Platte Valley Medical Center – Brighton Saint Joseph Hospital2 – Denver

KANSAS REGION 3 Safety-Net Clinics

3 Community Clinic Emergency Centers Aurora, Littleton, Northglenn

1 Home Health Agency 1 Hospice Center 2 Mental Health Centers 12 Outpatient Imaging Centers1 4 Outpatient Procedure Centers 65+ Clinic Locations

Where we serve communities as of 6/30/19

Includes joint venture with Touchstone Imaging for 11 Front Range locations and one Montana location 2 Joint operating agreement with National Jewish Health 1

© 2019 Sisters of Charity of Leavenworth Health System Inc. All rights reserved.

2019 Report to the Community | 41

FI NAN C IAL S U M M ARY Healthcare is rapidly evolving, yet despite the changing environment, SCL Health remained financially strong in 2018. We maintained strong operating cash flow and a healthy operating margin – well above rating-agency and Catholic health system benchmarks.

We also continue our strong investment in Community Benefit. In 2018, SCL Health reinvested $242 million – nine cents of every dollar we earn – to support health improvement in our communities.

Hospital Utilization*

Clinic and Outpatient Facilities

Hospital Locations

8

Acute Admissions

80,082

Births

12,323

Emergency Visits

305,218

Clinic Locations

208

Outpatient Visits (Including Observation) 1,021,271

Affiliates and Other Ministries

Inpatient Surgeries

22,061

Adult Mental Health Treatment

1

Outpatient Surgeries

48,887

Children’s Mental Health Treatment

1

Net Operating Revenue* . . . . . . . . . . . . . . $2.7 Billion Total Operating Expenses* . . . . . . . . . . . . $2.6 Billion Capital Expenditures* . . . . . . . . . . . . $234.7 Million

*2018 figures

42 | SCL Health

2019 Report to the Community | 43

500 Eldorado Boulevard | Suite 4300 | Broomfield, CO 80021 303-813-5190 | SCLHealth.org

in Š2019 Sisters of Charity of Leavenworth Health System Inc. All rights reserved.