Executive Message COLUMBIA HOSPITAL BOARD OF TRUSTEES

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2 Executive Message Dear Neighbors, During 2005 Columbia Hospital once again proved it was a year of tremendous achievement for our patients and the community. For a second year in a row, hospital employees and doctors activated their hurricane disaster plan when Hurricane Wilma began its path across the state of Florida. Despite its surprisingly strong winds and rainfall, Columbia Hospital remained fully operational and provided exceptional care to the community as residents dealt with extensive power outages and highways with dangerous intersections. Columbia Hospital s focus on improved patient care and safety continued in 2005 with the implementation of an innovative and state-of-the-art bar coding technology designed to prevent medication errors. The new system, called emar (Electronic Medication Administration Record), scans a special barcoded armband on each patient that reads the patient s current drug history, including allergies and side effects. This data is entered into the hospital s computer system which then ensures that the correctly identified patient receives the correct medication at the correct time. Our Emergency Room implemented a five-level triage system to ensure that patients are seen according to their degree of emergent need. In early 2005 the hospital opened its new Sleep Disorders Center. Located in the Columbia Medical Plaza, the Center offers treatment and hope to hundreds of patients suffering from potentially fatal sleep disorders. The hospital s state-of-the art Radiology Department introduced a new, non-invasive imaging advance in the detection of breast cancer. The Magnetic Resonance Imaging (MRI) of the breast allows the physician to characterize or spot lesions not picked up by a mammogram. Also, to further accommodate our patients busy schedules the Radiology Department extended its hours to include Saturday morning. In 2005 Columbia Hospital donated office space to two nonprofit organizations: the Susan G. Komen Breast Cancer Foundation and the Southeast Chapter of the Alzheimer s Association. By eliminating the cost of rent, these nonprofit organizations are able to provide even more services to those in need. Finally, we are very proud to announce that for the third consecutive year Columbia Hospital was recognized for its participation in the Palm Beach County School District s Partner in Education program by earning the prestigious Gold Medal Award. Also, the hospital was inducted on the School District s Wall of Fame in recognition of its outstanding support of various educational programs at Palm Beach Lakes High School and Indian Ridge School. On a statewide level the hospital was awarded the Friends of Education Award, and our very own Sharon Tarlow, Coordinator for Educational Services, received the state s Award of Excellence for Corporate Mentoring. While these awards and accolades are most appreciated, all of us at Columbia Hospital remain 100% committed to our mission of providing quality, compassionate, and cost-effective health care and being responsive to the needs of our patients, physicians, and community. Sincerely, Valerie A. Jackson Chief Executive Officer Palm Beach Lakes Community High School is certainly enriched by the hundreds of volunteer hours that many of the employees of the hospital donate to assist in tutoring our students throughout the school year. Nathan Collins Principal of Palm Beach Lakes Community High School and Member of Columbia Hospital s Board of Trustees COLUMBIA HOSPITAL BOARD OF TRUSTEES Standing l-r: Dennis Hanney, D.O., Rafael F. Seminario, M.D., Laura Corry, David Stern, D.O., Daniel Higgins, M.D., Brenda Logan, and Mark Moser, M.D. Seated l-r: Delsa Bush, Valerie Jackson, James Farrell, Esq., and Nathan Collins, Jr.

3 Supporting Our Community: Locally, Nationally, and Abroad Thanks to the generosity of Columbia Hospital and the efforts of two physicians wanting to give back to those in need, a hospital in Port-au-Prince, Haiti, received three containers loaded with over $3.5 million worth of modern medical equipment in October Dr. Wilhelm Larsen, a Haitian native and retired oncologist, and Dr. Albert LaTorra, a semi-retired general surgeon, paid the shipping expenses themselves and are in the process of establishing the LaTorra-Larsen Medical Foundation for future fundraising projects. Among the first priorities of donated funds will be to build a lead-lined room to accommodate the X-ray machine and install electrical outlets for the electric hospital beds. The two doctors have even bigger dreams than outfitting the hospital. They want to build a medical school, a nursing school, a dental school, and medical clinics in rural villages. In the meantime, the two doctors are planning another trip and hope to renew their contacts with governmental officials and others in the country to help them reach their goals. Among the over $3.5 million worth of donated equipment are view boxes to read X-ray films. Spearheading the Haitian hospital project are Dr. Albert LaTorra (standing) and Dr. Wilhelm Larsen. We are delighted and most grateful to Columbia Hospital for their generous donation of office space which helps us to continue our mission to fight breast cancer through research, education, screening and treatment. Deborah Jaffe President of the South Florida Affiliate of the Susan G. Komen Breast Cancer Foundation Columbia Hospital had a large team at the annual Komen Race for the Cure. Columbia Hospital employees donated $9,000 to the HCA Hope Fund for their colleagues in New Orleans affected by Hurricane Katrina. Valerie Jackson, CEO of Columbia Hospital, with Sharon Tarlow, Coordinator for Educational Services, accept the statewide Friends of Education Award in recognition of the hospital s support of educational programs at Palm Beach Lakes High School and Indian Ridge School. The Hospital was also awarded the Gold Medal Award for its participation in the Palm Beach County School District s Partner in Education Program.

4 Community Support Each year charitable organizations in our community benefit from the hundreds of hours that Columbia Hospital employees and medical staff donate. Whether it s tutoring students, forming teams for various walks and runs, or writing out checks to support them financially, Columbia Hospital makes a positive difference in the lives of many people. Advisory Board for Safe & Drug-Free Schools Advocacy Council for Developmental Disabilities Alzheimer s Association American Cancer Society American Diabetes Association American Heart Association American Lung Association American Red Cross Angels of Charity The ARC of Palm Beach County Area Agency on Aging Back-to-Basics Angel Program Child Abuse & Neglect Prevention Task Force Child Outreach, Inc. Children s Home Society Children & Youth Family Network Community Foundation for Palm Beach and Martin Counties Comprehensive AIDS Project Department of Children & Families District 9 ADM/CDF Acute Care Systems Committee Family Hope Provider Network Firefighters/Paramedics Saves Lives, Inc. Florida Local Advocacy Council for the Developmentally Disabled Florida Resource Center for Women and Children Florida Special Olympics Goodwill Industries Gratitude House Haitian Women of PBC Hispanic Human Resource Council Homeless Coalition of Palm Beach County Hospice of Palm Beach County Indian Ridge School Jamaicans of the Palm Beaches Jewish Federation of Palm Beach County Junior Achievement Juvenile Diabetes Research Foundation Latin American Immigrant and Refugee Organization The Leukemia and Lymphoma Society Lighthouse for the Blind Local Advocacy Council for the Developmentally Disabled for Department of Children and Families The Lord s Place March of Dimes Make-a-Wish Program for Palm Beach County MedVance Advisory Board Morse Geriatric Center Mother s March of Dimes Mail Campaign Muscular Dystrophy National Alliance of Mentally Ill of PBC The National Council on the Aging National Multiple Sclerosis Society Network for Palm Beach County Schools New Hope Charities, Inc. Palm Beach Blood Bank Palm Beach Community College Advisory Board Palm Beach Community College Nursing Student Association Palm Beach County Fools Palm Beach County Health Care District Palm Beach County Juvenile Association Palm Beach County Mental Health Association Palm Beach Lakes High School Tutoring Program Palm Healthcare Foundation Parrot Heads for the Palm Beaches, Inc. Planned Parenthood Quantum Foundation Quantum House Rose Charities USA Save-a-Dog, Save-a-Cat (Sad Sac) Rescue & Adoption League Seagull Industries for the Disabled South Florida Consortium for Nursing South Florida Hospital Research and Education Foundation Susan G. Komen Breast Cancer Foundation T. Leroy Jefferson Medical Society United Way University of Texas SW Med Urban League of Palm Beach County Very Special Arts of Florida West Palm Beach Jaycees Workforce Development Board Columbia Hospital employees donated food for Thanksgiving Day dinners and dozens of toys during the holiday to various families throughout the community and to children of the Comprehensive AIDS Program. Second grade students from The Academy of the Palm Beaches toured the hospital for their annual field trip. Blood pressure screenings were conducted at the Senior Expo sponsored by the Jewish Community Center, Kaplan Branch. Hospitals with Heart: Columbia Hospital was one of eight hospitals in Palm Beach County to participate in donating a total of $210,00 to the Caridad Clinic which serves migrant farmworkers and their families. Columbia Hospital has been a supporter of the Jewish Community Center s Senior Expo for the past several years, and we are very appreciative of the health information and screenings that the hospital staff always provides. Rhonda Gordon Adult Service Coordinator Kaplan Branch

5 Financial Report 2005 At a Glance Columbia Hospital s Economic Impact in Palm Beach County Total Taxes Paid $ 1,839, Charity Care provided to the Community $ 2,373, Uncollectible Debt for Services $ 15,409, Salaries and Wages $ 30,519, Benefits (Medical, Pension, etc ) - - $ 6,295, Capital Improvements Investment - $ 1,118, Total Tuition Reimbursement $ 38, Community Contributions / Sponsorships $ 44, Indigent Care Fund $ 4,704, Medicare - % of Business $ 34% Medicaid - % of Business $ 10% Total Number of Employees $ 705 Employees in Action Columbia Hospital s team of over 700 highly trained and dedicated employees ensure that our patients receive the highest quality of care in a compassionate and attentive environment. Each year the hospital recognizes employees who receive patient compliments and maintain perfect attendance. Employees of the Month are based on going the extra mile and for exhibiting exemplary customer service. Making a difference in our community 2005 Quarterly Award Winners 1st Quarter Patient Compliment - Susan Markovitz Perfect Attendance - Fannie O Neal 2nd Quarter Patient Compliment - Dee Juliano Perfect Attendance - Connie Allison 3rd Quarter Patient Compliment - Joan Reichert Perfect Attendance - Cesar Gonzalez 4th Quarter Patient Compliment - Patti Bauder Perfect Attendance - Janice Carr Annual Patient Compliment Alvin Canales Naomi Banaszek Jackie Stewart Annual Perfect Attendance Errol Phinn Sheila Shapiro Susie Wilkinson Heather Ratliff Evetta Wilson Andrea Russell Florieta Walton Our community is privileged to have one of the finest and most highly trained medical staffs and hospital employees in the county. James Farrell, Esquire Chairman of the Board of Trustees, Columbia Hospital Columbia Hospital Salutes Our 2005 Employees of the Month January Tammie Thomas February Luz Fresses March Mildred Williams April Pierre Pelchat May Timothy Saunders June Cynthia Shawver July Barbara Dalman August Kristi Russell September Mauva Carter October Blanche Mitchell Nutritional Services Medical/Surgical Medical Records Medical/Surgical Radiology Rehab Services MHS / Administration Day Surgery Environmental Services Medical Records November Bangone Sivongsay Surgical Services December Linda McLendon Nutritional Services

6 Aetna Amerigroup AvMed Beechstreet/Capp Care Blue Cross Blue Shield CarePlus Cigna Corvel Dimension Employers Mutual (a.k.a. McCreary Corp) Participating Insurance/Network List Columbia Hospital accepts all forms of United States, Canadian, and other foreign government insurance. Columbia Hospital also accepts Medicare, Medicaid, Champus, Workers Compensation, and ALL forms of Commercial Insurance. Specifically, Columbia Hospital has written contracts/agreements with the following major managed care insurers/networks: Excalibur First Health Florida Health Administrators Global Health Claim Services Great West (f/k/a One Health) HAA Preferred Partners HCA EPO HCA PPO Healthease Health Options Healthy Palm Beaches Heritage Summit Humana Hygeia Medica Medsave Multiplan Neighborhood Health Plan (NHP) Olympus Palm Beach Healthcare District Important Numbers Preferred Health Network Quality Health Management Southcare Summit Health Plan, Inc. Suncoast Physicians Total Health Choice United Vista (fka HIP) Vista South Florida (fka Foundation) Wellcare / Staywell Main Number Aquatic & Rehab Therapy Center for Breast Care Community Relations Company Care Clinic Diabetic Education Center Emergency Department Medical Records Mental Health Services Osteoporosis Center Outpatient Surgery Pain Care Center Radiology Senior Care Unit Sleep Disorders Center Speaker s Bureau Wound Management Vascular Center Vein Center Volunteer Services If you are a Member of a managed care insurer or network that is not listed above please call hospital administration regarding participation. FOR PHYSICIAN REFERRAL ~ CALL TOLL-FREE th Street West Palm Beach, FL Presrt Std U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 3203