Report to the Community for Fiscal Year 2011
community BeneFIT RePoRT for Fiscal Year 2011 Board of Directors Commonwealth Health Corporation Joe Natcher, Chairman Jerry Baker Mark Bigler, M.D. Cathy Bishop, Vice Chairman John Blackburn, M.D. Beverly Boren Judge Michael Buchanon John Desmarais Judge William Fuqua Doug Gorman Tommy Holderfield Bob Hovious Eli Jackson, D.M.D., Secretary Tommy Loving Herbert Oldham Jim Secrest, Sr. Connie Smith Mark Yurchisin, M.D. The Medical Center at Bowling Green and Scottsville Bob Hovious, Chairman Mark Bigler, M.D. Cathy Bishop Donna Blackburn, Ph.D. Paul Cook, Ph.D., Vice Chairman John Desmarais Eli Jackson, D.M.D. Janet Johnson Joe Natcher, Secretary Kal Sahetya, M.D. Hugh Sims, M.D. Connie Smith Curtis Sullivan The Medical Center at Franklin Herbert Oldham, Chairman Beverly Boren, Secretary Gary Broady Tommy Holderfield, Vice Chairman Connie Smith A.V. Wilwayco, M.D. fiscal year ending March 2011 Commonwealth Health Foundation Charles M. Moore, Jr., Chairman Jerry Baker, Past Chairman Gary Broady Barbara Burch Jordan Clarke Fred Higgins Jim Johnson Sarah Johnston Bob Kirby Elise Konwiczka Lisa Leachman Patricia Mercer, M.D., Vice Chairman Lou Moore G. Michael Murphy Shirley Roe Connie Smith Ron Sowell, Secretary/Treasurer Shannon Vitale Commonwealth Regional Specialty Hospital Tommy Holderfield, Chairman Judge Michael Buchanon Joe Davis Vickie Elrod, Secretary Judge William Fuqua Katherine Higgins Tommy Loving, Vice Chairman Donna White Commonwealth Health Free Clinic Mark Yurchisin, M.D., Chairman John Blackburn, M.D. Jean Cherry John Desmarais Bob Hovious Joe Natcher, Secretary Herbert Oldham, Vice Chairman When you step through the door of any Commonwealth Health Corporation (CHC) facility, you are greeted with professionalism and compassion. The faces you see are those of your friends and neighbors people who care deeply about your wellbeing. It is our mission to improve the quality of life in the communities we serve; and we do so every day with a dedication to healthcare that is second to none. As a not-for-profit healthcare system, CHC provides a benefit to the community that is greater than the taxes we would pay if we were a private, for-profit business. Whether it is cutting edge technology at The Medical Center, physician clinics in rural areas, or free medical care at Commonwealth Health Free Clinic, our commitment to our community shines through in ways that cannot be measured by dollars alone. In fiscal year ending March 31, 2011, CHC provided $58.4 million in total benefits to our communities. Part of that benefit is over $11.9 million in charity care for those with limited incomes and little or no health insurance. Because Medicare and Medicaid do not reimburse hospitals for the full cost of providing services, CHC absorbed nearly $19.5 million in Medicare shortfalls and more than $6.7 million in Medicaid shortfalls. There are many people who see doors only as they close; but at CHC, we are committed to opening doors for a healthier community. Connie D. Smith President and Chief Executive Officer Commonwealth Health Corporation
Charity Care (stated at cost) $11,907,036 Charity care is free or discounted care provided to the growing number of uninsured and people whose incomes meet certain poverty guidelines. CHC also incurs a significant expense with the Kentucky Provider Tax that is levied by the State on reimbursements for services rendered. Unpaid Cost of Medicaid $6,723,264 Government programs including Medicaid provide health coverage for thousands in our region. However, Medicaid does not reimburse hospitals and doctors for the full cost to provide services. CHC absorbs the cost of this shortfall. Health Professionals Education $3,067,519 We rely on an educated workforce to provide care for thousands of patients every year. CHC believes in investing in education through scholarships and clinical training of future healthcare providers. Community Health Improvement $4,679,440 CHC reaches out to community members and provides a wealth of free community health fairs, screenings and patient education classes. CHC also provides free healthcare to those in need through Commonwealth Health Free Clinic. Subsidized Health Services $4,748,145 Many times reimbursements do not cover the full cost to provide emergency health services, such as Medical Center EMS, and behavioral health services. CHC absorbs the costs that are not paid for these services. Cash & In-kind Contributions $744,655 CHC supports many community programs and endeavors through financial and in-kind contributions including annual sponsorship of the American Cancer Society Relay For Life, American Heart Association Heart Walk, March of Dimes March for Babies, and the National Kidney Foundation of Kentucky Ride Out Loud Bike Event. Patients are sharing more of the costs associated with their healthcare. In addition, hospitals are incurring record costs to provide care. For that reason, we feel you should understand the breakdown of how a typical dollar of billed charges is spent at CHC. Additional Benefits to our communities: Unpaid cost of Medicare $19,497,833 Like other government-sponsored programs, Medicare does not reimburse hospitals and doctors for the full cost to provide services. CHC absorbs the shortfalls in governmental reimbursement. Bad Debt Expense (stated at cost) $4,481,431 Bad debt encompasses services provided in which payment is expected, but is never received. Community Building Activities $2,575,109 CHC supports community growth initiatives through membership in area Chambers of Commerce and development organizations, and by educating community leaders. Community Building Activities includes construction and operation of the Hospitality House. Where the money comes from: We billed for services to inpatients...............0.54 We billed for services to outpatients..............0.43 We had other operating revenue of...............0.03 Total operating revenue......................1.00 Because we did not receive full payment, we wrote off: Charity Care.............................0.04 Medicare and Medicaid......................0.39 Bad debt for patients unwilling to pay............0.02 Other contracted payers......................0.17 Therefore we wrote off......................0.62 Our net revenue was........................0.38 $ 58.4million Total benefit provided by CHC in fiscal year 2011 Where the money goes: Employee salaries and benefits.................0.20 Supplies and services.......................0.13 Wear and tear on buildings and equipment..........0.02 Utilities.................................0.01 Interest on our outstanding debt................0.01 Our total expense was.......................0.37 This provides a margin of.....................0.01 Funds remaining to pay on outstanding debt and to invest in the hospital system s future (new and replacement equipment, new technology, new services, etc.)
opening New Doors at The Medical Center beyond the reach of a traditional bronchoscope. These tissues, also known as lesions, can be found by x-ray, CT Scan, or PET-CT Scan. They may be caused by inflammation, infection, or cancer. Because two-thirds of all lung lesions are located deep in the lung, outside the reach of a bronchoscope, ENB helps identify some patients with lung cancer at an earlier stage and greatly improves chances for survival. ENB is usually performed as an outpatient procedure and minimizes the need for more invasive surgical procedures that would require a hospital stay. The Medical Center is dedicated to being a complete healthcare provider, allowing access through its doors to a full spectrum of medical services for the region. Last year, The Medical Center completed its $30 million expansion project, adding two new patient floors and 48,000 square feet of space designated to clinical care. This expansion was in direct response to how the community is changing and growing. As the healthcare leader in Southcentral Kentucky, The Medical Center provides the best, most up-to-date care for its families and neighbors. The Medical Center s commitment did not end with the expansion. In fiscal year 2011, The Medical Center opened doors to new technology designed to save lives. 4 Commonwealth Health Corporation Cardiac services were enhanced with the introduction of Abiomed s Impella 2.5 heart pump. This breakthrough technology offers cardiologists a minimally-invasive approach to providing circulatory support for critical patients who might not otherwise be able to undergo life-saving procedures in the Cardiac Catheterization Lab. The Revo MRI SureScan pacing system is another new addition to technology available to heart patients. This MRI-compatible pacemaker allows patients access to MRI procedures without the safety concerns associated with traditional pacemakers. The Medical Center also offers a new procedure called Electromagnetic Navigation Bronchoscopy (ENB) for patients with small, abnormal tissues in the lung that are located The Medical Center is proud to sustain the high quality of care the community has come to know and rely upon. Other achievements include a Three-Year Accreditation with Commendation by the Commission on Cancer of the American College of Surgeons for The Medical Center s Cancer Program. The Medical Center provides Southcentral Kentucky with a comprehensive cancer program that includes an onsite radiation treatment center with the most advanced technology, as well as chemotherapy and surgical services. The addition of a second radiation oncologist, Peter Hardin, MD, enhances The Medical Center s radiation treatment services. Throughout the past year, The Medical Center has taken great strides to educate the community about the symptoms of heart attack and stroke, and when to call 911. The Medical Center has maintained the Society of Chest Pain Center s designation as an Accredited
Building upon its stroke care program, The Medical Center established Neuroscience Services to encompass a wide range of services currently offered for the care of patients with disorders related to the brain and nervous system. Neurosurgeon Narendra Nathoo, MD, joined The Medical Center to expand its neurosurgery and spine surgery capabilities. The Medical Center prides itself on providing excellent obstetrical care for moms and babies during and after delivery. And for the unforeseen problems that might arise, The Medical Center provides Neonatology Services through the Neonatal Intensive Care Unit (NICU) to care Chest Pain Center with PCI (Percutaneous Coronary for its smallest patients. The Medical Center Intervention), as well as The Joint Commission s also provides orthopaedic, behavioral health, certification as a Primary Stroke Center. diagnostic imaging, and a host of other services. To find a complete list of services at The Medical Center, visit TheMedicalCenter.org. Kosair Clinic Kosair Children s Outpatient Center recently opened its doors in the Commonwealth Medical Plaza on The Medical Center campus. This satellite clinic of Kosair Children s Hospital helps pediatric patients and their families stay close to home for specialized medical care. This is an example of a true collaboration [ ] increasing children s access to specialty medical care. Healthy Kids The Medical Center is opening doors to a healthier future with the Healthy Weight Program for Kids, a service of The Medical Center Health and Wellness Center. The program works with local physicians to help children who need weight management through exercise and healthy nutrition. Children are referred to the Health & Wellness Center for nutritional counseling, the Walking Program, and The Medical Center Healthy Kids Club. Through the program, children and their parents receive nutritional counseling from a registered dietitian, who also provides on-going support for the children. The Walking Program promotes a consistent way to get exercise. And, as members of the Healthy Kids Club, children are encouraged to make healthy choices in physical activity, healthy eating, safety and wellness. For more information, contact The Medical Center Health & Wellness Center at (270) 745-0942 or (877) 800-3824. This is an example of a true collaboration with the shared goal of increasing children s access to specialty medical care, said Josh Honaker, MD, FAAP, Chief, University of Louisville Division of General Pediatrics. Approximately two dozen physicians from University of Louisville Pediatrics see patients, offering pediatric specialties that include endocrinology, gastroenterology, cardiology and pulmonology. For more information about the pediatric specialty services available in Bowling Green, call (270) 793-9803. Report to the Community 2011 5
caring for the Community Hospitality House In March, Munfordville residents Jack and Twyinia Bryant found themselves in a situation familiar to so many who have cared for a hospitalized loved one. For several nights, Jack slept wrapped in a blanket on the floor of his mother s room at The Medical Center while Twyinia slept in a chair. Then they heard about the Hospitality House. Someone who was already at the Hospitality House told us about it, Twyinia said. We were able to get a room, and I just can t say enough about it. Everyone was so sweet. At the Hospitality House, they found comfort and people who cared about what they were going through. Everyone was kind and generous, Jack said. With gas prices so high, we couldn t afford to drive back and forth. The Hospitality House was marvelous. I don t know what we would have done without it. The Hospitality House opened in January 2011 to provide much-needed respite for the primary caregiver(s) of inpatients at The Medical Center as well as Commonwealth Regional Specialty Hospital. Qualified outpatients receiving intensive therapeutic Learn more: hospitalityhousebg.org 6 Commonwealth Health Corporation care at The Medical Center may also stay at the House. There is not a charge, but donations are gratefully accepted.
The Medical Center at Franklin In the past, residents of Franklin and Simpson County were limited to only minor surgeries close to home; however, that will change later this year when the doors to a $4 million expansion project are opened. The facility is being expanded to enhance surgical services with an additional 9,400 square feet for two operating suites, an endoscopy suite and a six-bed recovery unit. This will allow complex surgeries that require large equipment. The project is expected to be completed in August 2011. The Medical Center at Franklin has also opened doors to innovative technology by significantly upgrading its diagnostic services with a new magnetic resonance imaging (MRI) system. With this new system, physicians have access to the most advanced diagnostic imaging techniques currently available in areas such as vascular, orthopaedic and neurological services. All parts of the body can be scanned with MRI, and the system is effective in clinical evaluation of many conditions. Learn more: TheMedicalCenterFranklin.org The Medical Center at Scottsville The Medical Center at Scottsville is opening doors to care for more residents of Allen County through its $2.3 million expansion, to be completed the summer of 2011. The 5,700 square foot expansion will provide new space for the hospital s physician specialty clinics and the addition of a permanent magnetic resonance imaging system (MRI). The addition of the MRI will be another enhancement to the hospital s diagnostic imaging services that recently upgraded to 4D ultrasound and digital mammography. Learn more: TheMedicalCenterScottsville.org The expansion includes clinical space dedicated to The Medical Center at Scottsville s physician specialty clinics, currently located in the Scottsville Medical Plaza. These clinics include cardiology, general surgery, neurology, obstetrics and gynecology, orthopaedics, psychiatry, pulmonology and urology. Relocating the specialty clinics will allow the Scottsville Rural Health Clinic to occupy all of the Scottsville Medical Plaza, providing much needed space to improve patient flow and wait times. Rural Health Clinics For many communities in Kentucky, adequate healthcare is a closed door. But The Medical Center at Scottsville is helping open doors with its two rural healthcare clinics one in Scottsville, and the other in Fountain Run. The Scottsville Rural Health Clinic is staffed by three physicians and two nurse practitioners who see an average of 120 patients per day. The Fountain Run Rural Health Clinic opened in June 2010 and is staffed by an Advanced Practice Registered Nurse. Because of its central location, patients come to the Fountain Run Clinic from a threecounty area and northern Tennessee. Both Fountain Run and Scottsville clinics offer general healthcare services, including health screenings Learn more: TheMedicalCenterScottsville.org Report to the Community 2011 7
The Dental Clinic After receiving dentures through a joint effort between The Dental Clinic and Allen County Dentures, Leda Favata s life improved in many ways. You know, you don t feel like smiling when your teeth don t look good, said Favata. But these people are God s blessing. I can t say enough about them. 800 Park Street P.O. Box 9876 Bowling Green, KY 42102-9876 Learn more: CommonwealthHealthFreeClinic.com The Dental Clinic & Free Clinic The past year has been one of struggle for many families in the community. But even as doors of opportunity were closing, some doors remained open and welcoming: Commonwealth Health Free Clinic and The Dental Clinic continued to provide care to persons in need. Founded in 1995, the Free Clinic provides basic medical diagnostics and treatments, labs and prescription medications to qualifying patients who are working but can t afford their healthcare. Since its inception, the Free Clinic has helped nearly 11,000 individuals who have received medical and dental care, with an estimated value of over $37 million in healthcare services. In April 2009, dental services were expanded into The Dental Clinic, a full-time clinic that provides low cost dental care to qualifying patients. In the past year, there were over 4,500 visits at the Free Clinic and The Dental Clinic combined, with a value of services of over $2 million. Volunteers at the Free Clinic logged more than 2,100 hours. In hard economic times, it is especially important to remember how working families are struggling to make ends meet, and how many people cannot afford even the most basic medical or dental care. The Free Clinic provides a much-needed safety net for many people. Patient care is made possible through the generous volunteer hours of doctors, dentists, dental assistants, nurse practitioners, pharmacists, nurses, hygienists, lab technicians and others. Administrative costs are funded one hundred percent by CHC, so all donations to the Free Clinic are applied entirely to patient care.