ONE. One System for all your Healthcare Needs Annual Report to the Community 2011 REPORT TO THE COMMUNITY 1

Transcription

1 ONE One System for all your Healthcare Needs 2011 Annual Report to the Community 2011 REPORT TO THE COMMUNITY 1

2 VISION for HealthONE is to be an ethical, compassionate healthcare organization, committed to the care and improvement of human life. MISSION OF HealthONE is to provide quality healthcare at a reasonable cost to our patients and the people in each community we serve. In pursuit of our vision and fulfillment of our mission, we believe in the following Value statements: We provide compassionate and competent healthcare. We support and encourage medical education and research. We respect the uniqueness of each individual and treat one another with respect and dignity. We promote collaboration with and among HealthONE employees, physicians, other healthcare professionals and the communities we serve. We are thoughtful stewards of our human and financial resources. We act with honesty, integrity and fairness in the conduct of our business REPORT TO THE COMMUNITY

3 TABLE of CONTENTS Letter to the Community Excellent Specialty Care...06 The Medical Center of Aurora and Centennial Medical Plaza...08 North Suburban Medical Center Presbyterian/St. Luke s Medical Center...12 Rocky Mountain Hospital for Children...14 Rose Medical Center...16 Sky Ridge Medical Center...18 Spalding Rehabilitation Hospital...20 Swedish Medical Center Swedish Southwest E.R...24 AirLife HealthONE Physician Care...26 Ambulatory Surgical Centers HealthONE Outreach Services HealthONE Imaging Centers...29 Healthy Work Environment...30 Facilities & Locations REPORT TO THE COMMUNITY 3

4 2011 Report to the Community 2011 was a year of growth for HealthONE as we enhanced and expanded healthcare services across our 10-state region. We invested in new technologies, quality care programs and facilities in the metro Denver area to better serve our patients. And, as one of the state s largest private employers, HealthONE was steadfast in its commitment to improving the health of our 9,000 employees. In August, we added a new program to encourage and reward those who improve their health and maintain healthier lifestyles. Among the most pressing issues in healthcare is the lack of specialists in rural areas, which forces patients to travel long distances for medical care. HealthONE Stroke Care grew our telemedicine network to 25 sites in Colorado and Wyoming in Telemedicine in rural and suburban hospital ERs enable patients to have immediate access via cameras and computers to a stroke neurologist, who can remotely diagnose a stroke with the local ER physician and begin treatment quickly. Not only are stroke patients often able to stay at their local hospital close to home but faster diagnosis and treatment improves recovery. HealthONE plans to double the number of telemedicine cameras across the region in 2012 as well as the types of specialists who will be available to rural areas, including physicians board-certified in pediatrics, cardiology, behavioral health and other specialties. In the metro area, HealthONE invested more than $110 million in facility improvements and new medical equipment. We began construction on a new freestanding Northeast ER at 128th St. and Holly (opening May 2012); we opened the new Breast Care at Red Rocks and the Red Rocks Cancer Center; operating room expansions were completed at North Suburban, Rose and Swedish Medical Centers; a new AirLife helicopter hangar opened at Sky Ridge Medical Center; an enhanced Bone Marrow Transplant unit at Presbyterian/St. Luke s Medical Center and an expanded Pediatric Intensive Care Unit opened at Rocky Mountain Hospital for Children at P/ SL. Additionally, HealthONE opened Red Rocks Surgery Center in Lakewood and added Ridgeview Endoscopy Center in Lone Tree to our System of Excellence. We hosted the first Rocky Mountain Regional Health Summit, a day of continuing education for rural physicians, nurses and hospital administrators. The Summit will be an annual event. To better serve physicians and patients across our multi-state region, we opened Access HealthONE a high-tech access and transfer center. Now with a single call, physicians can request a patient transfer or a medical consult with a specialist. Across the company, our employees and staff continued to show their commitment to our communities day-in and day-out, providing the highest quality, safe care to our patients and their families, and contributing to local organizations. Together our physicians, nurses and clinicians provided more than $103.7 million in costs for free REPORT TO THE COMMUNITY

5 HealthONE Board of GOVERNORS or discounted medical care to patients; we paid $75.6 million in state and local sales and property taxes and FICA; and we donated nearly $2 million to local nonprofit organizations supporting children, health programs, the arts, and other worthy causes. Additionally, HealthONE hospitals and facilities also spent or contributed $4 million for community health improvement services (such as in-kind donations of medicine, supplies and volunteers; free health seminars and education; nurse triage telephone service; car seat and bike helmet checks; and other free or below-cost programs). We invested more than $8.8 million in health professionals education and another $1.8 million toward research. Finally, we contributed almost $2.3 million in staff time and contributions for community building activities beyond our campuses. All told, 2011 saw the people of HealthONE contribute nearly $198 million in community benefit, up $8 million from Christine Benero, President & Chief Executive Officer Mile High United Way David Boyles, Chairman Columbine Capital Corp. and Collegiate Peaks Bank Jerome Buckley, MD forrest Cason, PhD, Chief Financial Officer Mental Health Center of Denver Greg D Argonne, Chief Financial Officer HCA-HealthONE and HCA Continental Division Jeffrey A. Dorsey, Chief Executive Officer HCA-HealthONE and HCA Continental Division Jon Foster, President, HCA-Southwestern Group Patrick Hamill, President/Founder Oakwood Homes, LLC Gretchen Hammer, Executive Director Colorado Coalition for the Medically Underserved John Hughes, Jr., CPA, ABV, Cva, CliftonLarsonAllen Don Kortz, Chairman of the Board Cassidy Turley Fuller Real Estate Maureen McDonald, Executive Director Denver Metro Chamber Leadership Foundation John McWilliams, President and Founder Western Skies, Inc. Dick Robinson, Robinson Dairy John Sabel, MD, South Denver Gastroenterology Rick Shallcross, Chief Financial Officer HCA Southwestern Group HealthONE 2011 Community Benefit Based on IRS Reporting Definitions S100 $90 $80 $70 $60 $50 $40 $30 $20 $10 $9 $8 $7 $6 $5 $4 $3 $2 $1 DOLLARS LISTED IN MILLIONS $141,018, $186,859, $190,436, $197,659, Uncompensated Care $103.7 million (charity, discounts, bad debt. Does not include unpaid Medicaid costs) State & Federal Taxes $75.6 million (local, state and federal sales & property taxes & FICA) Health Professional Education $8.8 million Community Health improvement $3.8 million Community Building Activities $2.3 million charitable contributions $2 Million Research $1.8 million

6 Excellent Specialty Care is Our Trademark Key Service Lines More than 800,000 patients a year entrust their care to the 9,000 employees and more than 3,000 affiliated physicians at HCA-HealthONE LLC hospitals and outpatient centers. Our healthcare professionals are second to none. Their priority is to ensure consistent, high-quality patient care across our system. HealthONE s extensive network was developed to provide more convenient access to the vast range of services and experts that our communities need for screening, diagnosis, treatments, surgery, rehabilitation, and ongoing health and wellness needs. ER/Trauma HealthONE has eight full-service Emergency Departments, 6 at our hospitals and 2 free-standing ERs. A third free-standing ER North Suburban Northeast ER opens spring 2012 in north Thornton. Our system includes a Level 1 Trauma Center (adult and pediatric) at Swedish Medical Center; Level II Trauma Center at The Medical Center of Aurora; and Level III Trauma Center at Sky Ridge Medical Center and North Suburban Medical Center. AirLife Denver is our critical air and ground medical transport program serving facilities in a 10-state region. HealthONE s The Medical Center of Aurora demonstrated leadership in cardiovascular care by developing Cardiac Alert SM with physicians and EMS partners in Local EMS now have advanced equipment and training to identify heart attack patients in the field and alert hospitals of their arrival so staff and physicians are ready to treat these patients as soon as they arrive. Quick response times and 24/7 cardiac surgery backup help us save lives. HealthONE hospitals perform 1 in 5 of all cardiovascular surgeries in the state. HealthONE Heart Care network also includes accredited Chest Pain Centers; some of the busiest catheterization laboratories in Colorado; the area s most advanced electro-physiology programs and technologies; and a range of progressive therapies such as Aquapheresis, a safe and effective treatment that improves a Congestive Heart Failure (CHF) patient s quality of life. Surgeons at Rocky Mountain Hospital for Children Pediatric Heart Institute at P/SL perform more than 100 surgeries a year to treat our youngest patients with congenital and other heart defects. Swedish Medical Center and The Medical Center of Aurora have advanced centers for neurosciences. Patients throughout the region seek the neurologists, neurosurgeons and neuro trauma specialists at both institutions for care ranging from Chiari malformations to critical head traumas, movement disorders, aneurysms and stroke, MS, epilepsy, head and neck tumors and spinal cord injuries. Additionally, HealthONE s Spalding Rehabilitation Hospital the first licensed rehab hospital in our state offers comprehensive brain injury and stroke rehabilitation with more certified staff than any other Colorado facility. Our renown stroke network lead by Swedish Medical Center is the most experienced and extensive in the Rocky Mountain Region. Swedish treats nearly three times more stroke patients than any other hospital in the state. Stroke neurologists provide immediate care to patients in remote locations through a network of more than 25 telemedicine cameras across Colorado and in Wyoming. HealthONE Stroke Care is the only network offering interventional neuroradiology with three INR physicians and comprehensive services. We also have 5 neurohospitalists, 4 neurovascular neurosurgeons, the first Stroke Certified Air Transport Teams as part of AirLife Denver; and two The Joint Commission-accredited Primary Stroke Centers at Swedish (in 2011 received 4th consecutive certification) and The Medical Center of Aurora. All this adds up to faster, better care and improved patient outcomes. HealthONE provides every female patient with individualized care to meet all her childbearing to post-menopausal needs. More expectant moms trust HealthONE for superior prenatal, labor and delivery care. Our highly experienced OB staffs, nurse midwives and Doula services set us apart delivering more than 13,000 babies each year accounting for 34% of all babies born in the metro area. Our hospitals were first in the metro area with OB Airstrip, allowing doctors to monitor fetal and maternal conditions on their handheld mobile devices during the hours prior to delivery. Additionally, HealthONE offers world-renowned REPORT TO THE COMMUNITY

7 fertility experts on our campuses, 24/7 high-risk perinatologists, the most-experienced high-risk OB physicians and high-risk OB transport team across the eight-state region, and the highest level NICUs available that aim to keep new moms close to their babies. HealthONE Women s Care also is a leader in robotic, minimally invasive gynecologic procedures and offers the full continuum of care for women of all ages. This includes advanced breast care, including all-digital breast centers for screening, diagnostic mammography and ultrasound, stereotactic and ultrasound guided biopsy as well as minimally invasive treatments and technologies. Our Breast Cancer Survival rates surpass state and national averages for all stages of cancer and years of survival. HealthONE cares for more cancer patients than any other system or hospital in Colorado. Our Cancer Care network incorporates state-of-the-art imaging and treatment technologies. Our specialists, researchers and surgeons are regional leaders in treatment of cancers of: GI/digestive tract; respiratory system; lymphatic system; brain and nerves; blood (leukemias); male and female reproductive systems; bones; kidney and urinary tract; liver; breast; multiple myeloma; pancreas; endocrine system; and skin. We care for the most patients needing bone marrow transplants, breast and gynecologic, prostate and lung cancer treatments in metro Denver. Our patientcentered approach uses teams of patient navigators, physicians, surgeons, nurses, social workers, therapists and others to work with each patient on an individualized treatment plan. With four nationally designated Centers of Excellence in Weight Loss Surgery, HealthONE is a regional leader in Bariatric Care treating more than 46% of all Metro Denver patients and 30% of Colorado patients seeking help reducing weight and the serious lifethreatening conditions caused by morbid obesity. Our regionally and nationally recognized surgeons work with patients for many months before and after surgery to ensure safety and improve patient outcomes. HealthONE established a wide network of outpatient imaging centers across the metro area to improve access and ease of scheduling for patients, and ensure quick, high-quality digital images to physicians no matter which HealthONE center the patient chooses. Most important, HealthONE board-certified and fellowship-trained radiologists with expertise in a variety of disciplines analyze the tests, offering each patient s physician more accurate readings. Orthopedic and Spine Care Specialists at HealthONE exceed national standards on quality and outcomes for patients who have full- or partial-joint replacements or back surgeries. Minimally invasive techniques and advanced technologies help patients recover more quickly than traditional surgeries. Our dedicated teams have years of experience in helping patients seeking bone, joint and spine care in fact, Sky Ridge performs nearly twice the number of spine surgeries than any other hospital in the state REPORT TO THE COMMUNITY 7

8 REPORT TO THE COMMUNITY The Medical Center of Aurora & Centennial Medical Plaza

9 The Medical Center of Aurora, the first community hospital in the Denver Metro area to receive Magnet Recognition for nursing excellence, is an acute care hospital with specialization in cardiovascular services, neurosciences, oncology, surgery and women s services. The Medical Center of Aurora also has Primary Stroke Certification and Chest Pain Center accreditation. The hospital is a Level II trauma center, serving the eastern metro area and I-70 corridor with emergency care, EMS education and support. Licensed for 346 beds, the facility is located at Interstate 225 and Mississippi in Aurora, CO, and encompasses Main and North Campus locations along with Centennial Medical Plaza in the southeast metro area. Executive Staff John Hill, President & Chief Executive Officer Ryan Simpson, Chief Operating Officer Bill Voloch, Chief Financial Officer Cynthia Latney, Chief Nursing Officer Dennis Waite, MD, MSPH, Chief Medical Officer Joanna Groom King, VP Human Resources & Strategic Development Michelle Bryskiewicz, Associate Chief Nursing Officer Roberta Barton-Joe, Associate COO Jennifer Barry, Assistant Vice President of Neurosciences Diane Currier, Assistant Vice President of Surgical Services Laura Stephens, Assistant Vice President of Business Development & Marketing Centers of Excellence Level II Trauma Center Chest Pain Center Advanced Primary Stroke Center Breast Imaging, Women s Health Pavilion Specialty Services Cardiovascular Services Emergency Services Spine Center of Innovation Chiari Malformation Program Neuroscience Services Oncology Services Orthopedic Services Advanced Electrophysiology Program Women s Services (Level IIIa NICU, Breast Cancer Care Center, Digital Mammography Centers) Advanced Surgical Center Cardiac & Pulmonary Rehabilitation Diabetes Education The Medical Center of Aurora Main Campus Advanced Care Hospital with Level II Trauma Center 1501 S Potomac St Aurora, CO North Campus 700 Potomac St Aurora, CO Centennial Medical Plaza Outpatient/Day Surgery with Emergency Services Arapahoe Rd Centennial, CO HIGHLIGHTS Magnet designation for excellence in nursing services by the American Nurses Credential Center s (ANCC) Magnet Recognition Program Ranked #5 Best Hospital in Denver Metro by US News for , recognized as highperforming in eight specialties Get with the Guidelines Gold Performance Achievement Award, American Heart Association, 2010, 2011 Get With the Guidelines Stroke Gold Plus Performance Achievement Award, American Stroke Association 2011; Silver Performance Achievement Award 2010 Community Hospital Cancer Program accreditation from American College of Surgeons Commission on Cancer (CoC) National Accreditation Program for Breast Centers (NAPBC) accreditation for Breast Cancer Care Center, 2011 AABB Accreditation for Transfusion Services 2011 American Cancer Society Oncology Certification Alfred P Sloan Award for Workplace Flexibility 2007, 2008, 2009 Modern Healthcare s Top 100 Places to Work in the U.S American Heart Association Gold Level Award Start! Fit-Friendly Company Denver Business Journal s Best Places to Work: 2010, 3rd place, mega company category Founder of Cardiac Alert TM Colorado Performance Excellence (CPEx), Fast Facts Affiliated Physicians 1,056 Number of Employees 1,522 Licensed Beds 346 ER Visits 72,134 Observation Visits 3,959 Outpatient Surgeries 7,972 Outpatient Visits (all other) 68,884 Inpatient Admissions 13,528 Total Patients Cared for 166,477 Bad Debt at Cost $4,525,477 Uninsured Discounts at Cost $20,792,693 Charity Care at Cost $5,641,559 Taxes (Local, state, federal) $13,422,319 Charitable Contributions (cash & in-kind) $41,628 BASED ON IRS 990 Community Health Improvement Services $84,524 (includes in-kind donations) Health Professional Education $30,720 Community Building Activity Services $24,750 Total Community Benefit $44,563,670 AuroraMed.com 2011 REPORT TO THE COMMUNITY 9

10 REPORT TO THE COMMUNITY North Suburban Medical Center

11 The year 2011 was marked by many achievements, all aimed at continuing North Suburban s commitment to providing community-driven medical services to the residents of north Denver s neighborhoods and communities. On the heels of its 25th Anniversary, the campus grew 21,000 square feet to accommodate its surgical services expansion project, which added two new, major operating rooms and private, preoperative and post-operative care units. Through the acquisition of the newest in da Vinci robotic technology, North Suburban was the first hospital to offer the most advanced in minimally invasive surgery options to residents in its surrounding communities. To allow for increased capacity and patient access to critical care services an absolute necessity, when looking at Thornton s growth projections, North Suburban made immense progress on year-long construction at its Northeast ER (a free-standing emergency department) located further up the I-25 corridor and projected to open in May The main ER on campus underwent a $1 million renovation while concurrently earning chest pain accreditation and Level III trauma designation. Awarded City of Thornton s Best Business Citizen and one of the nation s top performers on key quality measures by The Joint Commission, North Suburban has a healthy dose of high-quality programs and services to help make it possible for people to live longer, healthier lives. CENTERS OF EXCELLENCE Level III Trauma Center Specialty SeRVices Cardiovascular Services Emergency Medical Services Healthy Beginnings Newborn Wellness ERgent Urgent Care Rocky Mountain Hospital for Children at NSMC Center for Surgical Weight Loss Diagnostic Sleep Center Baby-on-the-Way Club Obstetrical Services & Level II Nursery Center for Women s Diagnostic Services Orthopedic and Spine Service Executive Staff Jennifer Alderfer, President & Chief Executive Officer Erica Rossitto, Chief Nursing Officer Deborah Hart, Chief Financial Officer North Suburban Medical Center 9191 Grant Street Thornton, CO NorthSuburban.com HIGHLIGHTS One of nation s Top Performers, Key Quality Measures by The Joint Commission, one of only five hospitals in Colorado to earn distinction 2011 Chest Pain Center Accreditation, Society of Chest Pain Centers, 2012 Best Business Citizen Award, City of thornton, 2011 Colorado Can Do 5 B.E.S.T. program Award by Colorado Department of Public Health & Environment 2011 Get With the Guidelines Silver Award for Stroke, American Heart Association, 2011 Get With the Guidelines Performance Achievement Award Coronary Artery Disease, American Heart Association, 2006, 2007, 2008 Designed Mentor Hospital in the Institute for Healthcare Improvement s landmark 100,000 Lives Campaign, Fast Facts Affiliated Physicians 510 Number of Employees 654 Licensed Beds 157 ER Visits 49,565 Observation Visits 4,026 Outpatient Surgeries 2,130 Outpatient Visits (all other) 33,164 Inpatient Admissions 6,095 Total Patients Cared for 97,895 Bad Debt at Cost $1,673,861 Uninsured Discounts at Cost $12,625,842 Charity Care at Cost $4,581,944 Taxes (Local, state, federal) $5,140,522 Charitable Contributions (cash & in-kind) $2,170 BASED ON IRS 990 Community Health Improvement Services $82,661 (includes in-kind donations) Health Professional Education $411,236 Community Building Activity Services $244,527 Total Community Benefit $24,762, REPORT TO THE COMMUNITY 11

12 REPORT TO THE COMMUNITY Presbyterian/St. Luke s Medical Center

13 HIGHLIGHTS Presbyterian/St. Luke s Medical Center (P/SL) provides state-of-the-art, complex medical care in the heart of Denver. In 2010 the Commission on Cancer recognized P/SL with its Outstanding Achievement Award, a three year designation. The Bone Marrow Transplant program is the largest in the region where patients with acute myelogenous leukemia and multiple myeloma have higher survival rates than both state or national averages. P/SL holds centers of excellence designations in Neonatal Intensive Care, Spine and Joint Care and Bariatric Surgery as well as Stroke Certification and Level IV trauma. In 2011 P/SL received an award from the International Board of Lactation Consultant Examiners and the International Lactation Consultant Association for the breast feeding program. Patients come from six states in the Rocky Mountain region, including Colorado, Wyoming, Nebraska, Kansas, New Mexico, and South Dakota. Executive Staff Mimi Roberson, President & Chief Executive Officer Andre Duplessis, Chief Operating Officer Rebecca Stallworth, Chief Operating Officer Jill Taylor, Chief Nursing Officer Ashley Johnson, Chief Financial Officer Shane Buer, VP Human Resources Centers of Excellence Advanced Center for Spinal Microsurgery Bariatric Surgery Cardiac Rehabilitation certified by the American Association of Cardiac and Pulmonary Rehabilitation Colorado Blood Cancer Institute Comprehensive Cancer Program The Denver Clinic for Extremities at Risk Denver Wound Healing Center Diabetes Management Center High-risk Obstetrics, Level IIIC NICU & Pediatrics Hyperbaric Oxygen Medicine Kidney Transplant Center Level IV Trauma Center Neonatal Intensive Care Unit Sleep Study Lab Spine and Joint Care Specialty Services Vascular Center Thoracic Outlet Program Presbyterian/St. Luke s Medical Center 1719 East 19th Avenue Denver, CO PSLMC.com Kidney Transplant Program Bronze Medal of honor, Department of Health and Human Services, 2010; UNOS transplant center Kidney Transplant Program, Center of Excellence, OptumHealth Full Commendation with High Achievement, American College of Surgeons Commission on Cancer, 2010 (3-year accreditation) Outstanding Achievement Award, American College of Surgeons Commission on Cancer, 2010 (only Colorado hospital to be honored) Bone Marrow Transplant program continuously accredited by the Foundation for the Accreditation of Cellular Therapy Bone Marrow Transplant Center of Excellence, OptumHealth Care Solutions Bariatric Surgery Center of Excellence, American Society for Metabolic and Bariatric Surgery Top 50 Cardio hospitals, Thomson Reuters, 2011 Get With The Guidelines Heart Failure Gold Quality Achievement Award the American heart Association Certified Cardiac Rehabilitation Center, American Association of Cardiology & Pulmonary Rehabilitation Primary Stroke Center, The Joint Commission Aetna Institute of Quality for Orthopedic Care Total Joint Replacement and Spine Surgery Blue Distinction Center for Spine Surgery, Anthem Blue Cross and Blue Shield Center of Excellence for Minimally Invasive Surgery of the Spine Rocky Mountain Scoliosis and Spine, DePuy Medical International Board of Lactation Consultant examiners (IBLCE ) award for excellence in lactation care Sleep Lab accreditation, The American Academy of Sleep Medicine 2011 Fast Facts Affiliated Physicians 1,117 Number of Employees 2,202 Licensed Beds 680 ER Visits 22,928 Observation Visits 3,910 Outpatient Surgeries 19,846 Outpatient Visits (all other) 85,603 Inpatient Admissions 10,296 Total Patients Cared for 142,583 Bad Debt at Cost $541,752 Uninsured Discounts at Cost $5,914,981 Charity Care at Cost $2,192,256 Taxes (Local, state, federal) $16,366,628 Charitable Contributions (cash & in-kind) $351,497 BASED ON IRS 990 Community Health Improvement Services $212,542 (includes in-kind donations) Health Professional Education $3,434,643 Research $632,901 Total Community Benefit $29,647, REPORT TO THE COMMUNITY 13

14 REPORT TO THE COMMUNITY Rocky Mountain Hospital for Children

15 Available in all HealthONE Hospitals Pediatric emergency services with board-certified pediatric emergency physicians and pediatricians. Part of HealthONE s ER Wait Time initiative goal of 20 minutes or less affiliated, board-certified pediatric specialty physicians working in collaboration with community family physicians and pediatricians Pediatric Specialty Services Cardiology Cardiac Surgery Pediatric Emergency ECMO Ear, Nose, Throat Gastroenterology General Surgery Minimally Invasive Surgery Hopitalists/Intensivists Neonatology Nephrology Neurosciences Neurosurgery Neurology Oncology Orthopedics Pulmonology Spine and scoliosis Sports Medicine Urology Executive Staff Mimi Roberson, President & Chief Executive Officer Reginald Washington, MD Chief Medical Officer Andre Duplessis, Chief Operating Officer Jack HT Chang, MD Physician Liaison Kathleen DeMarco, Vice President, Women s and Children s Rocky Mountain Hospital for Children (RMHC) is the name for pediatric services throughout the HealthONE system. It is the largest collaborative team of private practice pediatric specialists, neonatal and maternal-fetal specialists available in the Rocky Mountain region. With more than 300 community pediatricians, and family medicine physicians affiliated with our hospitals, we care for high-risk mothers, infants, children and teens. In September of 2010 RMHC at P/SL opened its $150 million expansion, including the region s most advanced operating rooms for pediatric surgery. Because the community need to care for premature or ill infants continues to increase, RMHC at P/SL has begun a $30 million project planned to expand its pediatric intensive care unit and to relocate and renovate its 84-bed Level III C NICU. This project is slated to be completed by the end of Fast Facts Pediatric Inpatient Admissions 3,555 Pediatric Inpatient Days 13,321 Pediatric ER visits 49,919 NICU Admissions* 4,703 NICU Patient Days 40,363 *NICU admissions based on DRG criteria for Colorado Hospital Association reporting See DETAILEd facility map for locations Rocky Mountain Hospital for Children HealthONE s family of hospitals for pediatric care: Rocky Mountain Hospital for Children at Presbyterian/St.Luke s Medical Center Pediatric Beds: 53 PICU Beds: 10 NICU: Level III C NICU Beds: 84 Rocky Mountain Hospital for Children at Medical Center of Aurora Pediatric Beds: 8 NICU: Level III A NICU Beds: 14 Rocky Mountain Hospital for Children at North Suburban Medical Center Pediatric Beds: 7 NICU: Level II B NICU Beds: 6 Rocky Mountain Hospital for Children at Rose Medical Center NICU: Level III B NICU Beds: 24 Rocky Mountain Hospital for Children at Sky Ridge Medical Center Pediatric Beds: 14 NICU: Level III A NICU Beds: 12 Pediatric Specialty Clinic Rocky Mountain Hospital for Children at Swedish Medical Center Pediatric Beds: 11 PICU Beds: 6 NICU: Level III B NICU Beds: 21 See full listing of services and specialties at RockyMountainHospitalForChildren.com

16 REPORT TO THE COMMUNITY Rose Medical Center

17 Rose Medical Center Well known as a Denver institution and a 9th Avenue landmark for more than 60 years, Rose Medical Center has become a leader in comprehensive women s services, orthopedics and total joint replacement, and bariatric and spine surgery. Rose was recently designated an Accredited Chest Pain Center and a Nationally Accredited Breast Center, and Rose received The Joint Commission s Gold Seal of Approval for its Spine Surgery and Knee and Hip Replacement Programs. In 2011, Rose was also recognized by The Joint Commission as a Top Performer for key quality measures that improve patient care. With a reputation of providing high quality care for the community with trusted physicians and staff, Rose Medical Center continues to be a leader in healthcare for the metro area. Centers of Excellence Accredited Chest Pain Center by Society for Chest Pain Centers Accredited Breast Center by National Accreditation Program for Breast Centers Bariatric Surgery Center of Excellence Aetna Institutes of Quality for Spine Surgery, and Hip & Knee Replacement Anthem Blue Cross & Blue Shield Designation for Spine Surgery, and Hip & Knee Replacement Joint Commission Gold Seal for Spine Surgery, and Total Hip and Total Knee Replacement Commission on Cancer Accredited Program Specialty Services Bariatric Surgery Cancer Care Cardiovascular Services Comprehensive Surgical Services Diagnostic & Imaging Services Emergency Services Rose Institute for Joint Replacement Rose Spine Institute Women s & Children Services (Level IIIB NICU) Executive Staff Ken Feiler, President & Chief Executive Officer Betsy Hunsicker, Chief Operating Officer Lynne Wagner, Chief Nursing Officer Jac Connelly, Chief Financial Officer Clarence McDavid, Human Resources Director Rose Medical Center 4567 East 9th Avenue Denver, CO RoseMed.com HIGHLIGHTS Best Hospitals, US News and World Report, 2011 (recognized as high performing in 10 specialties), 2007, 2006 Top Performer on Key Quality Measures, The Joint Commission, 2011 Colorado Can Do 5! Breastfeeding Award, Colorado Department of Public Health & environment, 2011 Family Favorite Top 5 Hospital, Colorado parent Magazine, 2011 Pathway to Excellence Designation, American Nurses Credentialing Center, 2010 Nation s Top 100 Hospital, Thomson Reuters, 2009, 2008, 2007 Get with the Guidelines Silver Performance Achievement Award Coronary Artery Disease, American Heart Association, 2009, Fast Facts Affiliated Physicians 1,150 Number of Employees 1,259 Licensed Beds 422 ER Visits 38,046 Observation Visits 6,164 Outpatient Surgeries 6,937 Outpatient Visits (all other) 93,193 Inpatient Admissions 12,674 Total Patients Cared for 157,014 Bad Debt at Cost $1,534,260 Uninsured Discounts at Cost $6,566,660 Charity Care at Cost $2,653,302 Taxes (Local, state, federal) $8,914,115 Charitable Contributions (cash & in-kind) $287,689 BASED ON IRS 990 Community Health Improvement Services $35,400 (includes in-kind donations) Health Professional Education $1,478,687 Community Building Activity Services $925,865 Total Community Benefit $22,395,978 Providing high quality care for the Community 2011 REPORT TO THE COMMUNITY 17

18 REPORT TO THE COMMUNITY Sky Ridge Medical Center

19 Delivering on its beyond your expectations philosophy, Sky Ridge has assembled a team of physicians and healthcare professionals who offer an extraordinary depth and breadth of service. Over the past year, our breast center was accredited by the National Accreditation Program for Breast Centers (NAPBC) and we are proud to have earned the gold seal of approval from The Joint Commission for our stroke, spine, total knee and total hip programs. In addition, we are embarking upon a $107 million expansion on our campus, which will add 90 beds, four operating rooms, Women s Center and a parking structure. From our state-of-the-art Spine & Total Joint Center, our robotic center of excellence and expansive Birth Place to our comprehensive cancer program, trauma center, stroke program and cardiac wellness center, Sky Ridge is poised to serve the community for a lifetime. Centers of Excellence Joint Commission Gold Seal Spine, Total Hips and Total Knees Advanced Primary Stroke Center Bariatric Surgery Breast Center Accreditation from NAPBC Chest Pain Center accreditation, Society of Chest Pain Centers Diabetes Education Program, The American Association of Diabetes Educators Commission on Cancer Accredited Program Sleep Disorders Center, Accredited by the American Academy of Sleep Medicine Anthem Blue Cross & Blue Shield Blue Designation - Center for Spine Surgery/Hip & Knee Replacement Specialty Services Bariatric Surgery Cancer Center Cardiac Services/Cardiac Wellness Diagnostic & Imaging Services Full-Range Surgical Services Interventional Radiology Level III Trauma/ Emergency Department Rocky Mountain Hospital for Children at Sky Ridge Sleep Center Spine & Total Joint Center Sports Medicine & Rehabilitation Urology Center/Men s Health Women s & Children s Services Level III Nursery Executive Staff Maureen Tarrant, President & Chief Executive Officer Susan Hicks, Chief Operating Officer Marian Savitsky, Chief Nursing Officer Craig Sammons, Chief Financial Officer Diane Cookson, VP Operations & Physician Services Nicole Mattson, VP Human Resources Tina Miller, VP Operations HIGHLIGHTS IHI Exemplar Award, JOINTS collaborative Named one of top 101 hospitals for spine surgery by Becker s Health Review Dr. Charles Nutting, an interventional Radiologist, and Sky Ridge Medical Center were awarded the Sirtex Center of Excellence designation, recognizing the top performing hospitals/physicians that offer SIR-Spheres microspheres therapy to patients with inoperable liver tumors CPEX Award (Colorado Performance Excellence (CPEx) for quality) Top 10 In Patient Satisfaction Among HCA Hospitals 2011 US News and World Report Best Regional hospitals, 2011 Reader s Choice Award Best Regional Hospital Colorado Community Newspapers Colorado Parent Magazine Family Favorite emergency Department (top 5), 2011 Development of the Year Award Southeast Business Partnership Fast Facts Affiliated Physicians 1,422 Number of Employees 1,099 Licensed Beds 186 ER Visits 37,962 Observation Visits 4,016 Outpatient Surgeries 12,277 Outpatient Visits (all other) 52,757 Inpatient Admissions 13,118 Total Patients Cared for 120,130 Bad Debt at Cost $1,083,793 Uninsured Discounts at Cost $5,837,509 Charity Care at Cost $1,361,586 Taxes (Local, state, federal) $13,905,214 Charitable Contributions (cash & in-kind) $71,581 BASED ON IRS 990 Community Health Improvement Services $10,247 (includes in-kind donations) Health Professional Education $42,311 Community Building Activity Services $40,410 Total Community Benefit $22,352,651 Sky Ridge Medical Center RidgeGate Parkway Lone Tree, CO SkyRidgeMedCenter.com 2011 REPORT TO THE COMMUNITY 19

20 REPORT TO THE COMMUNITY Spalding Rehabilitation Hospital

21 Spalding Rehabilitation Hospital has been in the business of Rebuilding Lives and Renewing Hope for more than 40 years. A 100-bed rehabilitation hospital, Spalding was the first licensed rehab hospital in Colorado. It specializes in treatment of conditions such as stroke, brain injury, amputations and other disabling injuries and medical conditions. Rehabilitation is all about compensating for deficits, adapting to a new way of life and restoring function to help patients return to the most functional life possible. Specialty Services Amputee Rehabilitation Aquatic Therapy Brain Injury Rehabilitation Controlled Stimulation Unit Day Rehabilitation Interventional Pain Center Neurological Rehabilitation Orthopedic Rehabilitation Executive Staff Cindy Kreutz, President & Chief Executive Officer Debbie Petersen, Chief Operating and Chief Nursing Officer Joyce Webber, Chief Financial Officer Donna Greeley, Human Resources Director Average Length of Stay: 14.8 days Types of injuries treated: 32% Orthopedics 17% Brain Injury 22% Stroke 10% Other Neurological Conditions 10% Other Conditions 6% Amputee 3% Multi Trauma Spalding Rehabilitation Hospital Main Campus 900 Potomac Street Aurora, CO Spalding at P/SL 1719 W 19th Ave. Denver, CO HIGHLIGHTS Listed among Best of Rehab Facilities by Rehab Management, became the first licensed rehabilitation hospital in Colorado Outstanding Service to Seniors in Aurora Award Accredited for Acute Rehabilitation Program and Brain Injury by CARF, for Commission on Accreditation of Rehabilitation Facilities Foothills Award Colorado Performance Excellence 2005 American Academy for the Certification of Brain Injury Specialists Spalding has more certified staff than any treatment facility in Colorado CEO Cindy Kreutz named Business Person of the Year, The Aurora Chamber of Commerce 2011 Fast Facts Affiliated Physicians 372 Number of Employees 211 Licensed Beds 100 Outpatient Visits (all other) 8,709 Inpatient Admissions 735 Total Patients Cared for 9,444 Bad Debt at Cost $(26,817) Uninsured Discounts at Cost $39,427 Charity Care at Cost $2,858 Taxes (Local, state, federal) $1,212,953 BASED ON IRS 990 Community Health Improvement Services $42,421 (includes in-kind donations) Total Community Benefit $1,270, SpaldingRehab.com Rebuilding Lives and Renewing Hope 2011 REPORT TO THE COMMUNITY 21

22 REPORT TO THE COMMUNITY Swedish Medical Center

23 Awarded Joint Commission Top Performer 2011 Among elite US hospitals recognized A respected medical provider and trusted community health resource for more than 100 years, Swedish offers patients the highest quality care and the most advanced technologies and treatments in nearly every medical specialty all delivered by our experienced staff who are at the heart of our Swedish Memorable Care promise. Centers of Excellence Level I Trauma Center Bariatric Surgery (American Society for Metabolic & Bariatric Surgery) Commission on Cancer Accredited Program (American College of Surgeons) Certified Advanced Primary Stroke Center (Joint Commission, four times) Certified in Coronary Artery Disease, Open Heart Surgery and Heart Failure (Joint Commission) Specialty Services Acute Rehabilitation Advanced Radiology Capabilities Cardiovascular Services, The Heart Center Comprehensive Spine Care Neurosciences Orthopedics & Joint Replacement Women s & Children s Services Oncology Services Executive Staff Mary M. White, President & Chief Executive Officer Dan Miller, Chief Operating Officer Karleen Goerke, Chief Nursing Officer Kathryn Ashenfelter, Chief Financial Officer Lisa Morris, VP, Human Resources HIGHLIGHTS Level ITrauma Center (adults and children), American College of Surgeons (ACS) and State of Colorado Joint Commission Certification in Advanced Stroke Care the first and only four-time certified Stroke Center in the region Accredited by The Joint Commission & American College of Surgeons Commission on Cancer Annual winner (2000-present) of the National Research Corporation s Consumer Choice Award for hospitals in the Denver-Metro area American Heart Association (AHA)/American Stroke Association (ASA) Gold Plus Award (sole recipient in Colorado) - Stroke AHA/ASA Gold Award NCDR-ACTION Registry AHA/ASA Silver Award for both Heart Failure & Coronary Artery Disease Blue Distinction Center for Spine and Joint Surgery from Blue Cross, Blue Shield Center of Excellence for Spine Surgery from United Health, NeuroSource & Neurosciences & Regional Neurotrauma Referral Center Designated Aetna Institute of Quality 2011 Fast Facts Affiliated Physicians 1,100 Number of Employees 2,151 Licensed Beds 368 ER Visits 77,336 Observation Visits 3,975 Outpatient Surgeries 11,846 Outpatient Visits (all other) 51,828 Inpatient Admissions 19,115 Total Patients Cared for 164,100 Bad Debt at Cost $3,205,603 Uninsured Discounts at Cost $16,406,096 Charity Care at Cost $5,856,586 Taxes (Local, state, federal) $14,641,031 Charitable Contributions (cash & in-kind) $38,083 BASED ON IRS 990 Community Health Improvement Services $899,508 (includes in-kind donations) Health Professional Education $1,758,385 Community Building Activity Services $1,023,960 Research $1,166,418 Total Community Benefit $44,995,670 Orthopedic Care Spine Surgery Designated member of OptumHealth Centers of Excellence network for Bariatric Resources Services Founder HealthONE Stroke Alert Donor Alliance #1 hospital for organ donation in Colorado and Wyoming Swedish Medical Center Acute care hospital for adults and pediatrics with Level I trauma center 501 East Hampden Avenue Englewood, CO SwedishHospital.com 2011 REPORT TO THE COMMUNITY 23

24 Swedish Southwest ER Expert Emergency Care Fast and Convenient Open since late 2005, the Swedish Southwest Emergency Room (SWER) is a 24-hour, full-service emergency department. This facility is staffed by board-certified emergency physicians who work alongside nurses and technicians specializing in emergency medical care. Additionally, patients have access to state-ofthe-art tests through CT scan, X-ray, ultrasound, cardiac testing and laboratory services, all of which are performed on site. Critically ill patients can be transported via ambulance or AIRLIFE helicopter, both of which serve SWER. Each year, SWER provides medical care for more than 22,000 patients from southwest Jefferson County and the surrounding areas. Many patients have enjoyed the quick turnaround as the average time from arrival to discharge is approximately two hours. Swedish Southwest ER 6196 S. Ammons Way Littleton, CO SwedishHospital.com REPORT TO THE COMMUNITY

25 AirLife 29 years and more than 50,000 patients It s about the experience. The Emergency Medical and Critical Care Transport Service of the HealthONE system, AirLife Denver was recognized as the international Air Medical Program of the Year by the Association of Air Medical Services. AirLife Denver provides air and ground critical care transport for both adult and pediatric patients in a 10-state region including Colorado, Utah, Wyoming, Montana, Nebraska, Kansas, New Mexico, South Dakota, Arizona and Texas. Since it was established in 1983, AirLife Denver has served more than 50,000 patients across the metro Denver area and Rocky Mountain and Great Plains regions. Each transport team includes two nurse or nurse/paramedic teams, who each have a minimum of five years emergency medicine and critical care experience. For our smallest patients, our Neonatal team includes a neonatal nurse practitioner. AirLife Denver s commitment to patient care and quality is second only to its emphasis on safety. Unique and proven safety upgrades include custom aircraft design, the use of Night Vision Goggles, Global Positioning Systems, Terrain Avoidance Warning Systems and state-of-the art weather reporting. With more than 2,400 transports a year, AirLife Denver is one of the largest and busiest medical transport programs in the region providing service 24 hours-a-day. AirLife Services 750 Potomac Street, Suite 201 Aurora, CO GetAirLife AirLifeDenver.com 2011 Fast Facts Number of Employees 82 Outpatient Visits (all other) 2,462 Total Patients Cared for 2,462 Bad Debt at Cost $53,588 Uninsured Discounts at Cost $452,575 Charity Care at Cost $176,506 Taxes (Local, state, federal) $559,148 BASED ON IRS 990 Community Health Improvement Services $95,767 (includes in-kind donations) Health Professional Education $107,355 Total Community Benefit $1,444,939 HIGHLIGHTS Air Medical Program of the Year by Association of Air Medical Services Denver Business Journal Champions in Healthcare finalist, 2010 Accredited Commission on Accreditation of Medical Transport Services (CAMTS) 2011 REPORT TO THE COMMUNITY 25

26 Physician Care Healthone Physician Care is Focused on Patients First 2011 Fast Facts Affiliated Physicians 120 Number of Employees 614 Outpatient Visits (all other) 242,000 Total Patients Cared for 242,000 Bad Debt at Cost $42,479 Uninsured Discounts at Cost $353 Taxes (Local, state, federal) $825,925 Total Community Benefit $868,757 HealthONE Physician Care, formerly known as HealthONE Clinic Services, provides healthcare in an expansive multi-specialty network of clinics throughout the metro Denver area. Our guiding principal is Patients First. We employ 156 physicians, physician assistants and nurse practitioners who specialize in family practice, pediatrics, internal medicine and a vast array of sub-specialties. All members of our team share a commitment to high quality medicine and patient focused medical care. Our Occupational Medicine and Rehabilitation practices serve approximately 6,600 employers in the Denver metro area. We work in collaboration with the HealthONE hospitals, including the Rocky Mountain Hospital for Children. In addition, HealthONE Physician Care is a leader in providing support services to our employed providers that allow them to just focus on patients and high quality care. We provide accounting, billing and collection, coding, human resources, managed care contracting, payroll, physician leadership, quality review, risk management and insurance, space and equipment, and compliance programs along with other tools to ensure our providers can spend more time focused on the care of our patients. PHYSICIAN CARE 4900 S. Monaco St., Suite 210 Denver, CO HealthONEClinics.com HIGHLIGHTS Colorado Clinical Guidelines Collaborative: golden Galaxy Award for Best Clinic (out of 150 participating clinics): Summit Family Medicine Best Bedside Manner, Swedish Medical Center: Doctors Day Dala Awards (Colleague Recognition): Dr. Andrew Nemechek of Head and Neck Surgical Specialists Best Educator, Swedish Medical Center: Doctors Day Dala Awards (Colleague Recognition) Dr. Andrew Nemechek of Head and Neck Surgical Specialists North Suburban Medical Center s Doctors Making a Difference program: Dr. Aaron Baxter of North Denver Orthopedic Specialists Colorado s Professionals in Workers Compensation: Outstanding Physical therapist award, 2009: Curt Robinson III, MPT, lodo HealthONE Occupational Medicine and Rehabilitation Clinic Colorado s Professionals in Worker Compensation: Outstanding Rehabilitation Specialist award, 2010: Cynthia Cano, OTR/CHT at the Bryant HealthONE occupational Medicine and Rehabilitation Clinic U.S. Ski Team, Women s World Cup Alpine Race Team physician, Valle Nevado, Chile: Dr. Jeffrey gagliano of North Denver Orthopedic Specialists at North Suburban Medical Center 5280, Top Doctors, October, 2009 and 2010 and REPORT TO THE COMMUNITY

27 Ambulatory Surgery Centers HealthONE s 14 stand-alone Ambulatory Surgical Centers are conveniently located throughout the metro Denver area offering outpatient surgical procedures for everything from plastic surgery to minimally invasive orthopedic procedures. Our 15th ASC - Surgery Center of the Rockies opens summer Our pleasant atmosphere and special pediatricfriendly facilities are particularly helpful in easing the fears of children. All of our centers are state-of-the-art, which allows us to offer a safe, convenient, high-quality alternative to inpatient hospitalization. Ambulatory Surgery Centers 2 Union Indiana St. Pecos St th Ave W. 6th Ave E. 6th Ave Ambulatory Surgical Centers Administrative Offices 4900 S. Monaco St., Suite 110 Denver, CO HealthONEASC.com S. Peoria St. Jordan Rd S. Parker Rd. S. Jordan Rd. Please see detailed map on inside back cover or visit HealthONECares.com for locations. High-quality alternative to being hospitalized REPORT TO THE COMMUNITY 27

28 Outreach Services HealthONE Outreach Services offers access to a vast array of resources requested by rural and outlying communities. HealthONE Outreach volunteers are highly skilled medical professionals with access to advanced medical technology. Our seven hospitals and 3,000 affiliated physicians have cared for generations of patients in communities both large and small. HealthONE s Outreach program serves the needs of rural residents of Colorado, Kansas, Nebraska, Montana, New Mexico, South Dakota, Texas and Wyoming by providing them access to specialty care when there is a demonstrated need within the community, preventing them from traveling to and visiting unfamiliar cities. Additionally, Continuing Education has always been associated with the Outreach Program. In 2011, HealthONE physicians, nurses and allied health professionals offered 250 education opportunities across the region. Outreach volunteers lecture on many different topics including trauma, stoke, cardiology, orthopedics, neonatal, pediatrics, geriatrics, women s service, oncology, concussion and EMS. OUTREACH SERVICES ADMINISTRATIVE OFFICES 4900 S. Monaco St., Suite 380 Denver, CO HealthONECares.com The program allows rural healthcare providers the ability to stay involved in the care and follow-up of their patients. HealthONE physicians and allied health professionals participate in 47 patient clinics more clinics than any other hospital system in the Rocky Mountain region REPORT TO THE COMMUNITY