2012annualreportf

community Benefit & AnnuAl RepoRt 2012

Chan

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.Longmont United H o s p i t a L

Changing The Caring Experience...

da Vinci® Si™ Surgical SystemThe da Vinci® Si™ Surgical System is the newest addition to our operating suites. This surgical system has features designed to provide efficiency in the operating room, many of which translate to patient benefits.

The system itself offers enhanced 3D, high-definition vision with up to 10x magnification, superior visual clarity of tissue and anatomy, and surgical dexterity and precision far greater than the human hand. These technological advancements provide our surgeons with precision, dexterity and control that enable a minimally invasive approach for many complex surgical procedures. For most patients this less invasive approach results in a smaller scar, less pain and a faster recovery.

da Vinci’s advanced level of technology takes surgery beyond the limits of the human hand. This acquisition complements our goal of extending minimally invasive surgery to the broadest possible base of patients. It can be used for a multitude of procedures, including, but not limited to: prostatectomy, hysterectomy, myomectomy, and colorectal surgery.

Da VInCI SurgEryTiny Scars. Quick recovery.

nEW @ Longmont united Hospital


Dedicated Cardiology ServicesTo increase access to advanced cardiology services, Longmont united Hospital implemented a new dedicated cardiology program. Doctors Murry Dresher, John Stathis and Linda Backup now provide exclusive practice coverage at Longmont united Hospital. This includes emergency call coverage and all other cardiology services. These highly experienced cardiologists have extensive knowledge in cardiac care from incident to rehabilitation. Their strong working relationships with the hospital cardiac staff present excellent care both in the catheterization lab and on the patient floors. Dedicated cardiology services have further strengthened our commitment to provide outstanding, patient-focused care during critical care times.

Longmont united Hospital currently offers two catheterization labs, and premier 3D non-invasive cardio echo technology, to perform cardiac studies.

Integrated Physician ServicesLongmont united Hospital further expanded physician services with the addition of a cardiologist (Doctor Murry Drescher), three obstetricians and gynecologists, (Doctors Butler, Martin and reitinger), two family medicine doctors, (Doctors Hernandez and Johnson), and an internal medicine doctor (Doctor Fowler).



TrueBeam at Hope Cancer Care CenterIn an effort to take some of the trauma out of a cancer diagnosis, Varian has produced a more caring experience for patients, the Varian TrueBeam™. TrueBeam was installed in the Hope Cancer Care Center offering radiation therapy that provides a more comfortable and quicker treatment for the patients with pinpoint precision.

radiation therapy uses radiation to destroy cancer cells. The Varian TrueBeam has the ability to synchronize dose management, patient positioning, imaging, and treatment during the therapy. The new image-guided radiation therapy cuts treatment time and enhances patient safety. TrueBeam allows ultra-accurate approaches to breast, prostate, and other cancers. TrueBeam even takes patient breathing patterns into account.

From a physician’s point of view, TrueBeam increases accuracy in targeting cancer. From a patient’s perspective, TrueBeam means a better radiotherapy experience. Patients may benefit from:

•Lessrepositioning

•Shorterradiationtreatments

•Reducednumberoftreatments

T r u E B E a M Fast & accurate.



Best Practices for Breastfeeding AwardThe BirthPlace at Longmont united Hospital was honored to receive the Colorado Can Do 5! award presented by Colorado Department of Public Health and Environment. The department’s goal is to increase the percentage of mothers who report some breastfeeding of their infants at six months of age from 61 percent to 65 percent. Supporting mothers in their breastfeeding efforts is effective and inexpensive early intervention to the prevention of obesity.

The five best practices to receive this award and implemented at Longmont united Hospital were:

1. The infant is breastfed in the first hour after birth.

2. The infant is fed only breast milk in the hospital.

3. The infant stays in the same room with the mother in the hospital.

4. The infant does not use a pacifier in the hospital.

5. Hospital staff gives each mother a telephone number to call for help with breastfeeding after being discharged from the hospital.

nEWS @ Longmont united Hospital


The changes and challenges presented by healthcare reform required new approaches to healthcare delivery, new cost structures, and an active pulse on performance. During 2012, we successfully assessed the care for patients who return too quickly after a hospital stay (readmissions) as well as access to healthcare in the communities we serve.

In assessing how to reduce readmissions, Longmont united Hospital initiated a pilot program, Transitions of Care, in late 2011. This program increased patient education while in the Hospital coupled with post visit communication and follow-up. Our goal is to ensure that both care and appropriate resources were in place for when a patient returns home. By the end of the 2012, we had enrolled over 300 patients in the program and reduced our readmissions by 5%.

as a Planetree designated Hospital, our whole person, patient centered approach reaches out to the community by offering tools to help individuals manage their own health. From

education classes and preventive screenings, to annual physicals and expert care provided by family and internal medicine doctors, we are determined to help you take control of your own healthcare. as of December 31, we now offer family medicine, internal medicine, obstetrics, gynecology and cardiology services at Milestone Medical group. Our goal is to have the right doctor in the right location for any individual needing healthcare.

at Longmont united Hospital, we continually strive to advance the care to every friend, neighbor, and the communities we serve. We stay focused on providing safe, excellent patient care and are ever mindful that the quality of our service is dependent on having outstanding employees, physicians and volunteers. We thank all of our patients and their families for entrusting their care to us and we welcome your suggestions in providing safe, excellent care.

Richard Lyons, Chairperson, Board of DirectorsMitchell C. Carson, President & CEO

A year of planning for the new healthcare reform. A year of changing for a new healthcare industry. 2012:

Message to the Community


Core MeasuresProviding excellent care requires open communication with the entire medical team on best practices for providing the best care for every patient, every time. Just one way to review our patient care is to review our core measures. This graph represents four hospital core measures that continue to be a priority focus in 2012:

•HeartFailure

•HeartAttack

•Pneumonia

•SurgicalCare

These areas were chosen due to the high risk, high volume and the challenging processes involved in caring for these types of patients. The close monitoring of core measures have shown to reduce the risk of complications, prevent recurrences and treat the majority of the patients who come to a hospital for treatment of one of the conditions listed.

80

84

88

92

96

100

Surgical CarePneumoniaHeart AttackHeart Failure

Core MeasuresYear ended December 31

2010

2011

2012

Providing Excellent Care


In 2012, Longmont united Hospital continued to maintain and advance the level of services, while sustaining its value as a contributing community resource, by providing over $40 million of benefits to the community. This result is $9.25 of benefit for each dollar of tax relief granted from being a tax-exempt non-profit 501(c)3 hospital. Longmont united Hospital provided $5.7 million in charity care, $6.6 million in subsidized healthcare services and over $25 million in unreimbursed costs of healthcare services received by low income and/or aging members of the communities we serve.

as a contributing community resource, we also were successful in meeting our goal to provide and enhance local healthcare services and to optimize the healing experience of patients.

For the year ended December 31, 2012, Longmont united Hospital had a margin of 1.9% or $3.1 million. Inpatient

days and outpatient visits were 30,995 and 127,789 respectively. Expenses increased by 5.2% as a result of higher salaries, purchased services and hospital provider fees.

as a non-profit community hospital, we are continually challenged to manage rising healthcare costs and declining reimbursement. We actively strive to achieve and maintain a margin. all margins earned are reinvested in services, equipment, and facilities so we can meet the needs of the communities we serve today, and in the future. We are very proud of the Hospital’s caring staff and physicians who continually meet these challenges while providing extraordinary care and optimum patient satisfaction.

Neil Bertrand Chief Financial Officer

We continue to maintain and advance the level of services while providing $40 million of benefits to the communities we serve.

2012 Financial Highlights

2012 2011revenue gross Patient revenue 456,152 445,447Less Contractual allowances (254,634) (248,326)Charity (22,203) (23,528)Provision for uncollected Patient accounts (14,581) (15,870) net Patient revenue 164,464 157,723Other Operating revenue 3122 3,204 Total Operating revenue 167,586 160,927Expenses Salaries and Benefits 78,530 75,042Supplies and Other Expenses 67,752 62,798Professional Fees 6,374 6,296Depreciation 10,225 10,324Interest Expense 4,315 4,460 Total Operating Expenses 167,196 158,920 Income from Operations 390 2,007Interest and Other non-operating Income 2,706 2,149 Excess of unrestricted revenue Over Expenses 3,096 4,156assets released from restriction 33 15 net Change to Total assets 3,128 4,171

Statement of Operations For the Year Ended December 31 (In thousands)

2012 2011assets Cash 13,681 16,204net Patients accounts receivable 21,489 22,594Inventories 4,454 5250Other Current assets 4,059 3540 Total Current assets 43,683 40,696Board Designated Funded Depreciation 73,031 70,625Bond Indenture Funds 16,019 5,118 Total assets Limited To use 89,050 75,743net Property, Plant, Equipment 100,924 102,796Other assets 8,041 7,353 Total assets 241,698 226,588Liabilities and net assets Current Liabilities 24,398 24,314 Long Term Debt 98,851 87,316unrestricted net assets 118,281 114,806restricted net assets 169 152 Total net assets 118,449 114,958 Total Liabilities and net assets 241,698 226,588

Condensed Balance Sheet December 31, 2012 & 2011 (In thousands)

Longmont United Hospital


Each year we help provide services to communities in need of food, healthcare, wellness, and education.

Helping People in the Communities We Serve

aIMS Community Collegeamerican Cancer Society -relay for Lifearapahoe Community CollegeBerthoud Chamber of CommerceBicycle LongmontBoulder College of MassageBoulder County Business Hall of FameBoulder County Civic ForumBoulder County FairBoulder County Housing & Human ServicesBoulder Valley Care networkBoulder Valley Women's Health CenterCarbon Valley Chamber of CommerceCareer Development CenterCenter for Personalized Education for PhysiciansColorado aHECColorado assoc. of Medical Staff servicesColorado Cancer research ProgramColorado Physician Health ProgramColorado Public radioColorado State universityCommunity College of DenverCommunity Food ShareCommunity Health resource LibraryDacona, City ofDenver School of nursingDiabetes Support groupEducation Foundation for the St. Vrain ValleyEl Comite

Erie Chamber of CommerceFirestone, Town ofFoothills united WayFront range Community Collegegirls night OutHomeless Outreach Providing EncouragementHospice Care of Boulder and Broomfield CountiesInstitute of Medical & Business CareersIowa StateJustin Parker neurological InstituteLactation Consulting and Community OutreachLatino advisory CouncilLatino Task ForceLivewell ColoradoLivewell LongmontLongmont area Chamber of CommerceLongmont area Economic CouncilLongmont Community FoundationLongmont Community Justice PartnershipLongmont Council for the artsLongmont Entrepreneurial networkLongmont Senior ExpoLongmont Surgical MissionLongmont united Hospital FoundationLongs Peak Council – BSaLyons Chamber of CommerceLyons, Town ofMead Chamber of CommerceMeals on Wheels

Mental Health PartnersMetro State CollegeMt. States Children’s Homeniwot Business assoc.Our CenterPIMa Community CollegePrestigePLuS Senior Wellnessred rocks Community Collegeregis universityrhythm on the riverrotary Club - LongmontSalud Family HealthSt. Vrain Valley School DistrictSunrise Lions ClubTeen Childbirth Education Class Teen Parenting ClassTiny Tim Centeruniversity of Coloradouniversity of northern ColoradoVHa Disaster FundVia Walk to rememberWomen's WorkyMCa


Planetree Designated Hospital+ Hospital Services + 2013 Board of Directors, Leadership Council & Medical Staff Officers 2012 Statistics94,648 outpatient visits33,141 emergency room visits7,669 admissions1,097 birthsaverage length of stay: 4.04 daysOver 1,250 employeesOver 200 physiciansOver 750 volunteersAccreditations and Certificationsaccredited by The Joint CommissionBreast Diagnostic Center accredited by american College of radiologyLaboratory accredited by College of american PathologistsDiabetes Education Program recognized by american Diabetes associationaccredited by the american College of Surgeons Commission on Cancer

Important Telephone Numbers Main Switchboard 303.651.5111 or 970.532.4809Patient Information 303.651.5111Find-a-Physician 303.485.3553Cancer resource Line 303.485.3558Health Center of Integrated Therapies 303.651.5188Hope Cancer Care Center 303.651.5252The Homestead 303.651.5222Milestone Medical groupCardiology 720.652.8400Family Medicine

Lyons 303.823.6535 or 303.651.5326 Berthoud 970.532.4644 or 303.651.5100 niwot 720.494.7100Internal Medicine 720.652.8400Obstetrics & gynecology 303.682.1112

Women’s Imaging Center 303.651.5160

Facts about Longmont united Hospital

http://luhcares.org

http://luhcares.org/HospitalServices.aspx

http://luhcares.org/About/Leadership.aspx

http://luhcares.org/About/Leadership.aspx

2012annualreportf

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