R E P O R T T O T H E C O M M U N I T Y

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1 2017 REPORT TO THE C O M M U N I T Y

2 0 1 7 REPORT TO THE COMMUNITY Our Mission Hunterdon Healthcare System delivers compassionate and exceptional care that improves the health of the community.

2 REPORT TO THE COMMUNITY Our Mission Hunterdon Healthcare System delivers compassionate and exceptional care that improves the health of the community. Our Vision Hunterdon Healthcare System is recognized as a national model for providing community focused healthcare that is consumer-centered and driven by a passion for clinical excellence REPORT TO THE COMMUNITY

2 0 1 7 REPORT TO THE COMMUNITY Dear Friends, It is our pleasure to provide you with the 2017 annual report for the Hunterdon Healthcare System.

Hunterdon Medical Center was fortunate to be selected by the New Jersey Hospital Association as part of a 20 hospital initiative sponsored through the Center for Medicare and Medicaid to be offered a

By definition, reliability is the probability that a system s structure, component process or person will successfully perform the intended function.

health delivery system in the area of patient and employee safety, clinical quality and patient, employee and physician engagement.

3 REPORT TO THE COMMUNITY Dear Friends, It is our pleasure to provide you with the 2017 annual report for the Hunterdon Healthcare System. It was an exciting year as we kicked off our journey of HRO Higher Reliability Organization. Hunterdon Medical Center was fortunate to be selected by the New Jersey Hospital Association as part of a 20 hospital initiative sponsored through the Center for Medicare and Medicaid to be offered a national consultancy toward achieving the designation High Reliability Organization. By definition, reliability is the probability that a system s structure, component process or person will successfully perform the intended function. By using national experts and onsite training, the entire hospital workforce, its medical staff and volunteers will be participating in a two-year initiative that will significantly improve the health delivery system in the area of patient and employee safety, clinical quality and patient, employee and physician engagement was a year of further strengthening our commitment to expand beyond our Hunterdon roots and further develop services in Warren and Somerset Counties. We opened a Hillsborough office for Hunterdon Pediatric Associates and have increased the number of specialty offices seeing patients in our Bridgewater Medical Office. We further strengthened our range of medical services in Warren County with extended hours at Hawk Pointe in Washington. Hunterdon Healthcare also welcomed Hunterdon Family Practice and Obstetrics, Hunterdon Family Medicine at Hickory Run, Hunterdon Medical Associates at Whitehouse Station and Hunterdon Plastic Surgery to the Hunterdon Medical Group. The Hunterdon Urgent Care Centers in Flemington and Raritan celebrated their one year anniversary and continue to grow. Last year, the Flemington Urgent Care Center saw nearly 11,000 patients and Raritan treated nearly 6,000 patients. We are proud to once again boast, for the 8th year in a row, Hunterdon was listed as the healthiest county in New Jersey based on a study conducted by the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. These rankings are based on mortality and morbidity rates; behavioral factors including tobacco and alcohol use; access to hospitals; and socioeconomic factors such as income and education. This report illustrates not only our clinical outcomes, accomplishments and financial highlights, but the impact we have made on our patient s lives. To your good health, Robert P. Wise Hunterdon Healthcare System Robert Cody, MD Hunterdon Healthcare System Board of Trustees HUNTERDONHEALTHCARE.ORG 3

4 REPORT TO THE COMMUNITY Hunterdon Healthcare Celebrates 2017 Accomplishments Hunterdon Regional Cancer Center was reaccredited by the American College of Surgeons Commission on Cancer and received the Outstanding Achievement Award. The Cancer Center was one of a select group of sixteen accredited cancer programs to receive this national honor. The Hunterdon Wound Healing Center received the Robert A. Warriner III, M.D., Center of Excellence award and the Center of Distinction Award. This award recognizes a Center that meets the highest quality standards for achieving patient satisfaction rates over 92% and a healing rate of greater than or equal to 91%. Hunterdon Medical Center was reaccredited by The Joint Commission. Home Health and Hunterdon Hospice also had their Joint Commission Surveys and received glowing reports. Visiting Health and Supportive Services received full accreditation with distinction for the 8th year in a row from the Commission on Accreditation for Home Care. As hospitals around the world look for new and innovative ways to battle deadly pathogens and kill multi-drug resistant organisms that can cause Hospital Acquired Infections, Hunterdon Medical Center has taken a leap into the future with the installation of a Germ-Zapping Robot that destroys hard-to-kill bugs in hard-to-clean places. Hunterdon Regional Pharmacy s Meds to Beds program was created to offer patient s the convenience of getting their medications delivered to their bedside upon discharge from the hospital. Last year, 356 patients were served with this new program. As part of their Hospital Readmission Reduction Program, the Center for Medicare and Medicaid (CMS) is now penalizing hospitals by withholding Medicare reimbursements to those that have a higher readmission rate than determined in Hunterdon Medical Center was the only hospital of 84 in New Jersey to not receive a penalty for two consecutive years REPORT TO THE COMMUNITY Hunterdon Healthcare wants to eliminate any barriers that might be hindering our patients from receiving effective communication and quality of care. To assist hard-of-hearing patients, hearing loops were installed in the Auditorium, Meeting Rooms A & B and at all outpatient registration desks, including the Hunterdon Medical Group practices. Hunterdon Healthcare ranked among US News and World Report s Best Regional Hospitals in the New Jersey and New York metro area. In addition, the organization received their seal of approval as a high performing hospital for the treatment of COPD, Colon Cancer Surgery and Heart Failure. Hunterdon Medical Center was bestowed the Women s Choice Award for Best Hospital for orthopedics, breast center, and for heart care. In order to better serve the needs of the community, Hunterdon Family Practice and Obstetrics located in Raritan Township with an office in the Doctor s Office, Hunterdon Family Medicine at Hickory Run in Califon, Hunterdon Medical Associates at Whitehouse Station and Hunterdon Plastic Surgery became part of Hunterdon Medical Group. Hunterdon Pediatric Associates opened a new office in Hillsborough. In 2017, Hunterdon Pediatric Associates saw 52,655 patients, managed 18,430 well visits, took care of 34,226 sick visits and administered 29,590 vaccines. The Hunterdon Urgent Care Centers located in Flemington and Raritan continued to grow with Flemington seeing 10,995 patients and Raritan seeing 5,740 patients. Hunterdon Medical Center s Laboratory introduced House Call visits. Now patients can have their blood work done in the comfort of their own home. In 2017, the lab staff made 575 house calls. The Lab also opened an outpatient facility in the Bridgewater Medical Office.

5 REPORT TO THE COMMUNITY Hunterdon Healthcare System Financial Highlights 2017 Total Revenue, net of uncollectable... $336,963,000 Total Assets... $392,960,000 Asset Growth Over 5 Years...17% Summary of Services Rendered Hunterdon Medical Center Patients Admitted... 8,738 Average Length of Stay (days) Births Same Day Surgery... 3,617 Total Surgical Procedures... 5,240 Emergency Department Visits...31,736 Hospital Outpatient Visits...126,930 Satellite Outpatient Visits...383,989 Medical Imaging Tests...103,234 Laboratory Tests...787,426 Behavioral Health Outpatient Visits...64,869 Home Health Visits...26,317 Community Benefit Services (people served)... 9,100 Hunterdon Regional Community Health Visiting Health and Supportive Services (clients) Hospice (families served) Briteside Adult Day Center (client visits)... 4,488 Charity Care Provided... $4,089,000 Capital Improvements in Facilities and Equipment... $29,043,000 MidJersey Health Corporation Hunterdon Center for Surgery (surgeries)... 5,779 Hunterdon Imaging Associates (MRI s and PET Scan)... 7,715 Hunterdon Healthcare Foundation Unrestricted Contributions...$586,074 Restricted Contributions...$990,829 Present Value Adjustment of Pledges...$29,827 Contributions Campaign...$738,903 Change in Value...$525,623 Interest Income...$168,775 Hours Volunteer Service (including Hunterdon Hospice)... 69,090 Savings of Volunteers ($27.46/hr.)... $1,897,211 HUNTERDONHEALTHCARE.ORG 5

6 REPORT TO THE COMMUNITY Board of Trustees and Directors Hunterdon Healthcare System Robert Cody, MD Barry Goodman, Esq. Vice Deborah Herder Bulik Hunterdon Medical Center Charles Koller C. Gregory Watts, Esq. Vice Renee Selman Hunterdon Healthcare Foundation Bruce Adam J. Elliot Decker, MD 1st Vice Loren Spann 2nd Vice Bruce Adam Peter Amendolair George Arnett III, Esq. N. William Atwater Marie Bernard, MD Robert S. Boggiano, Jr., MD Marian Chiesa, Ph.D J. Elliot Decker, MD* Andrey Espinoza, MD H. James Griffith Carol Harding Charles Koller Lawrence N. Grand, FACHE Chief Operating Officer Michael J. Griffin Christina O Malley Chief Operating Officer Hunterdon Regional Community Health Anna Walz Deborah Herder Bulik Vice Walter McGregor Don Pinner, FACHE Chief Operating Officer Catherine Langley Ellen Locker James Lynch John L. McGuire, Ph.D Manuel Montalvo George Muller Jack Nahama Roseann Peluso Nguyen, Pharm.D. John O Brien Philip Patrick Michael Pollack, MD* Jeffrey A. Rogers N. William Atwater Marie Bernard, MD Robert S. Boggiano, Jr., MD Robert Cody, MD* Andrey Espinoza, MD Barry Goodman, Esq. H. James Griffith Donna Arnold Robert Fisher Bogart Robert S. Boggiano, Jr., MD Robert Cody, MD* Edward J. Dougherty, Ph.D. Marsha Atkinson N. William Atwater Andrew Borkin Marian Chiesa, Ph.D Robert Cody, MD* Catherine Langley K.C. Rondello, MD Rick Rosenthal Albert Rylak, Esq. Renee Selman Ross Sturm Ruben Dario Taborda Peter Teuber, Ph.D Glen Tonnessen, MD* Anna Walz Grey Warner Carol Harding Catherine Langley Ellen Locker James Lynch Michael Pollack, MD* K. C. Rondello, MD Peter Teuber, Ph.D. Joyce Hervey* John L. McGuire, Ph.D. George Muller James Norfleet Sophie Shor Candice Teuber, Pharm.D. Harry M. Woske, MD Ellen McArdle John O Brien Michael Pollack, MD Ronald W. Subber MidJersey Health Corporation Charles Scammell Grey Warner Vice *Ex officio REPORT TO THE COMMUNITY Rick Rosenthal Hunterdon Healthcare Partners, LLC Glen Tonnessen, MD George Arnett, III, Esq. Vice Joseph Scalia, DO* James Lynch Neil Hudes, FACHE Chief Operating Officer Jeffrey Weinstein* Executive Director and CEO Marie Bernard, MD Robert Cody, MD Carol Harding Peter Amendolair N. William Atwater* Robert Cody, MD* Albert Rylak, Esq. Ross Sturm Martin Klein, MD Walter Lapicki, DO Roseann Peluso Nguyen George Roksvaag, MD Stanley Sheft, MD Robert P. Wise, MPH, FACHE

7 Hunterdon Regional Community Health Hunterdon Hospice, Inc. Home Health Visiting Health and Supportive Services Hunterdon SafeLine HMC Education Center Child Birth and CPR Education HAMPTON WASHINGTON Hunterdon Family Medicine at Highlands CLINTON FRENCHTOWN STOCKTON Sand Hill Professional CLINTON MILFORD Wescott Medical Arts Hunterdon Family MidJersey Orthopaedics Medicine at Delaware Valley Hunterdon Medical Center LAMBERTVILLE HIGH BRIDGE FLEMINGTON Hunterdon Family Medicine at Phillips-Barber CALIFON Rt. 513 MidJersey Orthopaedics Outpatient Physical and Occupational Therapy BLOOMSBURY ASBURY Briteside Adult Day Care Center Yesterday s Treasures Thrift Shop Hunterdon Regional Community Health WHITEHOUSE Hunterdon Health & Wellness Center Reading Ridge Center Hunterdon Pediatric Associates Hunterdon Family Medicine at Branchburg Hunterdon Family & Sports Medicine at Hopewell Valley PENNINGTON SOMERVILLE Delawa re Riv e r Wescott Medical Arts Center Diabetes & Endocrine Associates of Hunterdon Hunterdon Wound Healing Center Hunterdon Family Medicine at Cornerstone Center for Nutrition & Diabetes Management Hunterdon Center for Surgery Hunterdon Healthcare Foundation Sand Hill Professional Hunterdon Pediatric Associates Hunterdon Healthcare Partners Outpatient Lab Hunterdon Pulmonary and Critical Care Hunterdon Internal Medicine Associates SS&B Center for Healthy Aging Hunterdon Urological Associates Hawk Pointe Medical Office Hunterdon Family Medicine at Riverfield Outpatient Physical & Occupational Therapy Hunterdon Behavioral Health Hunterdon Family Medicine at Hickory Run SS&B 31 North Office Centre Hawk Pointe Medical Office Clinton Health Campus Integrative Medicine Program at HealthQuest Hunterdon Sports & Physical Therapy Hunterdon Medical Pavilion Financial Operations Hunterdon Family Medicine at Bridgewater Clinton Health Campus Hunterdon Health & Wellness Center Center for Advanced Weight Loss Hunterdon Family Medicine at Riverfield Heart and Vascular Center Advanced Gastroenterology & Nutrition Hunterdon Pediatric Associates Physical & Occupational Therapy Center for Endocrine Health Cardio Pulmonary Rehabilitation Integrative Medicine Program The Atrium Cafe Outpatient Lab Hunterdon Medical Associates at Whitehouse Station Rt. 518 Hunterdon Medical Center Hunterdon Regional Cancer Center Hunterdon Regional Pharmacy Hunterdon Doctor s Office Outpatient Lab Advanced Gastroenterology & Nutrition Hunterdon Infectious Disease Specialists Hunterdon Family Practice & Obstetrics Hunterdon Podiatric Medicine Bright Tomorrows Child Care Center and Preschool Hunterdon Medical Group Hunterdon UrgentCare 31 North Office Centre Hunterdon Women s Imaging Center Hunterdon Breast Surgery Center Speech and Hearing Center HOPEWELL Hunterdon Health & Wellness Center Hunterdon Pediatric Associates Outpatient Physical Therapy Cardio Pulmonary Rehabilitation Hunterdon Medical Pavilion Child Development Center Center for Behavioral Health Psychiatric Associates of Hunterdon Hunterdon Behavioral Health Outpatient Services Bridgewater Medical Office Bridgewater Medical Office Advanced Medical Gastroenterology Office & Nutrition Hunterdon of Raritan Cardiovascular Associates Hunterdon Center for Urological Endocrine Associates Health Center Hunterdon for Endocrine Cardiovascular Health Physical Associates & Occupational Therapy Hunterdon Breast Surgery Center Outpatient Lab Heart and Vascular Center Cardiac Testing Financial Operations Central Billing Office Business Office Centralized Scheduling Hunterdon UrgentCare Hunterdon Center for Dermatology Hunterdon Plastic Surgery Hunterdon Physical Therapy & Wellness Center HUNTERDONHEALTHCARE.ORG 7

Fiscal Year 2017 Statistical Profile

Fiscal Year 2017 Statistical Profile Oct. 1, 2016 - Sept. 30, 2017 We re on a journey to transform the health care experience for our patients and their families. is the largest and most comprehensive