2013-08-15T15:06:36-05:00 2012-12-31 930418710 DELAP LLP 5885 MEADOWS ROAD NO 200 LAKE OSWEGO OR 97035 990 2012-01-01 930583856 COLUMBIA LUTHERAN CHARITIES COLU 5033254321 2111 EXCHANGE STREET ASTORIA OR 971033329 STEPHANIE D BRENDEN 5033254321 2013-08-13 1 WESLEY B HANSEN P00226581 5036974118 2012 2016-02-24 21:20:13Z COLUMBIA MEMORIAL HOSPITAL STEPHANIE D BRENDEN 2111 EXCHANGE STREET ASTORIA OR 971033329 68174711 0 X WWW.COLUMBIAMEMORIAL.ORG X 1958 OR PROVIDE EXCELLENCE, LEADERSHIP & COMPASSION IN THE ENHANCEMENT OF HEALTH FOR THOSE WE SERVE. 13 13 528 95 0 0 103601 241709 66254871 64446382 505421 427803 1923423 2502188 68787316 67618082 120148 76471 0 0 36566995 37735475 27000 11250 263649 27676408 25155620 64390551 62978816 4396765 4639266 64810107 83916777 36176559 52551952 28633548 31364825 THE MISSION OF COLUMBIA MEMORIAL HOSPITAL IS TO PROVIDE EXCELLENCE, LEADERSHIP, AND COMPASSION IN THE ENHANCEMENT OF HEALTH FOR THOSE WE SERVE. 0 0 54755416 76471 66875331 SEE SCHEDULE O 54755416 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 1 1 1 0 0 1 153 0 1 528 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 0 OR X STEPHANIE D BRENDEN CFO 5033387505 2111 EXCHANGE STREET ASTORIA OR 97103 DAVID PHILLIPS 3.00 X 0 0 0 BILL LIND 3.00 X 0 0 0 HEATHER SEPPA 3.00 X 0 0 0 KEVIN BAXTER 3.00 X 0 0 0 BILL LANDWEHR 3.00 X 0 0 0 NANCY MCALLISTER 3.00 X 0 0 0 KATHERINE HELLBERG 3.00 X 0 0 0 ED NELSON JR 3.00 X 0 0 0 NORMAN SHATTO 3.00 X 0 0 0 MALCOLM SMITH 3.00 X 0 0 0 PAUL F VOELLER 3.00 X 0 0 0 CONSTANCE WAISANEN 3.00 X 0 0 0 HOUMAN SABAHI 3.00 X 0 0 0 ERIK THORSEN 40.00 X 313913 0 26426 WILLIAM G RIVERS 40.00 X 177005 0 39011 STEPHANIE D BRENDEN 40.00 X 113131 0 37789 DOUGLAS ABBOTT MD 40.00 X 593203 0 41598 RICHARD CRASS MD 40.00 X 355002 0 33515 EDOUARD DURET MD 40.00 X 379415 0 60791 ROBERT HOLLAND MD 40.00 X 293791 0 36771 DAVID LEIBEL DO 40.00 X 299374 0 54104 JOSEPH DAFOE 40.00 X 105945 0 13646 2630779 0 343651 43 1 1 0 NORTH COAST EMERGENCY PHYSICIANS 2111 EXCHANGE ST ASTORIA OR 97103 EMERGENCY ROOM PHYSICIANS 1872139 RICKENBACH CONSTRUCTION PO BOX 5837 ALOHA OR 97006 GENERAL CONTRACTOR 1438389 CPSI 6600 WALL ST MOBILE AL 36695 SOFTWARE SUPPORT 251218 DELAP LLP 5885 MEADOWS ROAD NO 200 LAKE OSWEGO OR 97035 ACCOUNTING 194158 PETER STOLOFF PC 5285 MEADOWS RD SUITE 235 LAKE OSWEGO OR 97035 ATTORNEY 178564 21 143596 66957 31156 241709 OUTPATIENT REVENUE 621990 67967714 67967714 EMERGENCY ROOM REVENUE 900099 27492365 27492365 INPATIENT REVENUE 900099 22527484 22527484 PROVISION FOR CHARITY 900099 -3002370 -3002370 CONTRACTUAL ALLOWANCE 900099 -46121913 -46121913 -4416898 -4416898 64446382 433017 433017 342431 478480 -136049 -136049 -136049 72655 280 73554 4595 -899 -4315 -5214 -5214 830 0 830 830 MEANINGFUL USE REVENUE 900099 1157213 1157213 JOINT VENTURE 621500 583379 583379 CAFETERIA AND VENDING 722210 209288 209288 687527 687527 2637407 67618082 66875331 0 501042 X 73946 73946 2525 2525 950477 826867 123610 26702226 23814093 2813157 74976 2023082 1959098 56682 7302 5888091 5126936 747084 14071 2171599 1940178 218227 13194 216665 90982 125683 144660 128560 16100 11250 11250 23385 23385 6832833 6295115 537718 296622 45308 251314 9748594 9231746 515803 1045 750470 511863 238607 778634 698530 80104 64108 53012 11096 278585 196326 82259 259884 198811 61073 3019119 2666719 352400 786557 118746 667811 REPAIRS AND MAINTENANCE 1067710 1057968 9742 LOSS ON EXTINGUISHMENT 288482 288482 RECRUITMENT FEES 171027 165235 5792 428285 196412 229772 2101 62978816 54755416 7959751 263649 4219237 8797050 11558704 10579570 41667 271616 136219 1055965 1217037 1167278 1539612 55438546 28166752 26943819 27271794 14048998 28600464 216193 900818 5328297 4832546 64810107 83916777 7083599 6912200 19169761 31919646 9923199 13720106 36176559 52551952 X 28633548 31260907 103918 28633548 31364825 64810107 83916777 X 4639266 829076 -2737065 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 788734 788734 21909796 10746539 11163257 754644 147635 607009 30354106 17272578 13081528 1631266 1631266 27271794 BOARD DESIGNATED - FUNDED DEPRECIATION 12859963 F HELD BY TRUSTEE UNDER BOND INDENTURE AGR 15178058 F BOARD DESIGNATED - HOSPICE 558417 F BOARD DESIGNATED - CHAPLIANCY 4026 F 28600464 RENTAL AND OTHER PROPERTY HELD FOR FUTURE DEVELOPMENT 2975336 OTHER ASSETS 1857210 4832546 ESTIMATED THIRD-PARTY PAYOR PAYMENT 914000 UNEARNED GRANT REVENUE 262500 MEDICAL MALPRACTICE CLAIMS 621090 RETIREMENT PLAN LIABILITY 11922516 13720106 68563553 829076 478480 1307556 67255997 362085 362085 67618082 63095211 478480 478480 62616731 362085 362085 62978816 PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 478,480. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS OTHER INCOME 362,085. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 478,480. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS FROM OTHER INCOME 362,085. 1 1 1 X 1 X 1 1 0 1 1 1611883 396914 1214969 0.01930 8657870 6570453 2087417 0.03310 10269753 6967367 3302386 0.05240 161532 161532 0.00260 13780 4500 9280 0.00010 147425 147425 0.00230 322737 4500 318237 0.00500 10592490 6971867 3620623 0.05740 52997 52997 0.00080 52997 52997 0.00080 1 2354206 18903543 28557435 -9653892 X 1 1 1 COASTAL HEALTH ASSURANCE PHYSICIAN ASSC. MEDICAL CONTRACTS 0.50000 0.50000 2 ASTORIA IMAGING LLC MRI JOINT VENTURE 0.51000 0.49000 3 1 COLUMBIA MEMORIAL HOSPITAL

2111 EXCHANGE STREET ASTORIA OR 97103

X X X X OTHER 2 ASTORIA IMAGING LLC

2111 EXCHANGE STREET ASTORIA OR 97103

MRI JOINT VENTURE 3 CMH HOME HEALTH AND HOSPICE

486 12TH STREET ASTORIA OR 97103

X HOME SERVICES COLUMBIA MEMORIAL HOSPITAL 1 1 1 200.000000000000 1 400.000000000000 1 X X X X 1 1 X X X X 1 X X 1 X X X X 1 X 0 0 1 CMH PROFESSIONAL OFFICE BUILDING

2055 EXCHANGE STREET ASTORIA OR 97103

OFFICE SPACE LEASED TO PRIVATE HEALTHCARE PROVIDERS PART III, LINE 4: THE COLLECTION OF RECEIVABLES FROM THIRD-PARTY PAYERS AND PATIENTS IS THE HOSPITAL'S PRIMARY SOURCE OF CASH AND IS CRITICAL TO ITS OPERATING PERFORMANCE. WHEN THE HOSPITAL PROVIDES CARE TO PATIENTS, IT DOES NOT REQUIRE COLLATERAL; HOWEVER, IT MAINTAINS AN ESTIMATED ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE PRIMARY COLLECTION RISKS RELATE TO UNINSURED PATIENT ACCOUNTS AND PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE PAYOR HAS PAID, BUT PATIENT RESPONSIBILITY AMOUNTS (GENERALLY DEDUCTIBLES AND CO PAYMENTS) REMAIN OUTSTANDING. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS ESTIMATED BASED PRIMARILY UPON THE HOSPITAL'S HISTORICAL COLLECTION EXPERIENCE, THE AGE OF THE PATIENT'S ACCOUNT, MANAGEMENT'S ESTIMATE OF THE PATIENT'S ECONOMIC ABILITY TO PAY AND THE EFFECTIVENESS OF COLLECTION EFFORTS. PATIENT ACCOUNTS RECEIVABLE BALANCES ARE ROUTINELY REVIEWED IN CONJUNCTION WITH HISTORICAL COLLECTION RATES AND OTHER ECONOMIC CONDITIONS WHICH MIGHT ULTIMATELY AFFECT THE COLLECTIBILITY OF PATIENT ACCOUNTS WHEN CONSIDERING THE ADEQUACY OF THE AMOUNTS RECORDED IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.ACTUAL WRITE-OFFS HAVE HISTORICALLY BEEN WITHIN MANAGEMENT'S EXPECTATIONS. SIGNIFICANT CHANGES IN PAYOR MIX, BUSINESS OFFICE OPERATIONS, ECONOMIC CONDITIONS, OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE HOSPITAL'S COLLECTION OF PATIENT ACCOUNTS RECEIVABLE, CASH FLOWS, AND RESULTS OF OPERATIONS. PART III, LINE 8: AS A MISSION-DRIVEN HOSPITAL, HEALTHCARE SERVICES ARE OFFERED TO THE COMMUNITY EVEN WHEN THE COST OF THAT CARE IS KNOWN TO BE MORE THAN THE REVENUE THAT WILL BE RECEIVED. AS THE HOSPITAL ABSORBS THESE LOSSES FROM MEDICARE (DETERMINED BY THE RATIOS USED IN THE MEDICARE COST REPORT), THE ENTIRE COMMUNITY BENEFITS BECAUSE MANY OF THESE PROGRAMS/SERVICES WOULD NOT EXIST WITHOUT HOSPITAL SUPPORT. PART III, LINE 9B: PERSONAL PAY ACCOUNTS AND THE BALANCE AFTER INSURANCE ARE SUBJECT TO A MINIMUM PAYMENT SCHEDULE. IF THE PATIENT OR GUARANTOR IS UNABLE TO MEET THIS PAYMENT SCHEDULE, APPLICATION MAY BE MADE THROUGH PATIENT FINANCIAL SERVICES CREDIT AND COLLECTION CLERK'(S) AND OR THE PATIENT FINANCIAL SERVICES MANAGER FOR CHARITY, FINANCIAL ASSISTANCE, OR REDUCED PAYMENTS. REPORTS FILED WITH STATES PART VI, LINE 7 OR 0 CLATSOP COMMUNITY COLLEGE 6540 LIBERTY LANE ASTORIA OR 97103 930505508 40650 SPONSORSHIPS SCHEDULE I, PART I, LINE 2: A CMH EMPLOYEE IS ASSIGNED TO MANAGE THE GRANT REVENUE PROGRAM PER THE TERMS OF EACH GRANT AGREEMENT. THE ACCOUNTING DEPARTMENT KEEPS COPIES OF ALL GRANT AGREEMENTS, MAINTAINS DETAILED REVENUE AND EXPENDITURE RECORDS FOR EACH GRANT, AND ASSISTS IN THE PREPARATION OF ANY REQUIRED FINANCIAL REPORTING. X 1 1 X X X X 1 0 0 0 0 1 0 0 0 ERIK THORSEN 279363 0 24650 0 9900 0 24626 0 1800 0 340339 0 0 0 WILLIAM G RIVERS 168315 0 8000 0 690 0 8830 0 30181 0 216016 0 0 0 STEPHANIE D BRENDEN 101531 0 11600 0 0 0 9131 0 28658 0 150920 0 0 0 DOUGLAS ABBOTT MD 562953 0 0 0 30250 0 4606 0 36992 0 634801 0 0 0 RICHARD CRASS MD 348319 0 0 0 6683 0 4038 0 29477 0 388517 0 0 0 EDOUARD DURET MD 345815 0 0 0 33600 0 24185 0 36606 0 440206 0 0 0 ROBERT HOLLAND MD 282427 0 0 0 11364 0 0 0 36771 0 330562 0 0 0 DAVID LEIBEL DO 299374 0 0 0 0 0 22500 0 31604 0 353478 0 0 0 JOSEPH DAFOE 88550 0 0 0 17395 0 0 0 13646 0 119591 0 0 0 PART I, LINE 1A ASTORIA GOLF AND COUNTRY CLUB DUES FOR OFFICER ERIK THORSEN WERE PAID BY THE ORGANIZATION. PART I, LINE 6 MANAGEMENT BONUSES ARE CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION. A THE HOSPITAL FACILITIES AUTHORITY 270034718 046279BS3 2013-09-27 31993533 HOSPITAL REVENUE & REFUNDING BONDS 0 0 0 A 18080686 31993533 2125275 117233 889525 458472 15178058 1 0 0 1 A 0 0 0 1 0 0 0 1 A 0 0 0 0 0 0 0 0 0 DOUGLAS ABBOTT EMPLOYEE SIGN ON BONUS X 75000 41667 0 1 1 41667 HEATHER SEPPA CMH BOARD MEMBER 11211 PRESIDENT OF BANK OF ASTORIA WHERE THE HOSPITAL HAS SEVERAL BANK ACCOUNTS AND PAYS ROUTINE BANKING TRANSACTION FEES. 0 KEVIN BAXTER DO CMH BOARD MEMBER 72000 HOSPICE MEDICAL DIRECTOR - BAXTER FAMILY MEDICINE, MEDICAL DIRECTOR FOR LOWER COLUMBIA HOSPICE (PART OF COLUMBIA MEMORIAL HOSPITAL) 0 SCOTT SEPPA SPOUSE OF CMH BOARD MEMBER 18618 PARTNER OF KNUTSEN INSURANCE. PROVIDED INSURANCE FOR THE HOSPITAL. 0 RANDY STEMPER FORMER BOARD PRESIDENT (THROUGH NOVEMBER 1, 2012) 0 FORMER BOARD PRESIDENT WAS THE PROJECT MANAGER FOR THE CONSTRUCTION OF THE SPORTS COMPLEX. NO PAYMENT WAS MADE RELATED TO THIS NEW ROLE UNTIL 2013. 0 FORM 990, PART VI, SECTION B, LINE 11 A DRAFT OF THE 990 IS MAILED TO THE BOARD OF TRUSTEES PRIOR TO THE BOARD MEETING. THE 990 IS REVIEWED AND DISCUSSED AT THE BOARD FINANCE COMMITTEE MEETING PRIOR TO FINALIZING AND FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF TRUSTEES, OFFICERS, AND KEY EMPLOYEES ANNUALLY. ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES MUST SIGN AND DATE THE CONFLICT OF INTEREST POLICY ACKNOWLEDGEMENT, QUESTIONNAIRE, AND DISCLOSURE STATEMENT. ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST AT THE BOARD OR OFFICER LEVEL ARE DISCUSSED AT THE BOARD MEETING. ACTUAL CONFLICTS OF INTEREST ARE ADDRESSED, DOCUMENTED, AND FILED IN THE CONFIDENTIAL PERSONNEL FILE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF ALL OFFICERS WAS REVIEWED WITH COMPARABILITY DATA BY A THIRD PARTY CONSULTANT. THE RESULTS OF THE STUDY WERE REVIEWED AND DISCUSSED AT A BOARD OF TRUSTEES' MEETING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL INFORMATION REPORTED IN THE 990 ARE AVAILABLE UPON REQUEST AT THE HOSPITAL. OTHER FEES FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 6,295,115. MANAGEMENT AND GENERAL EXPENSES 537,718. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,832,833. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: DEFINED BENEFIT RETIREMENT PLAN ADJUSTMENT -3,017,056. NET ASSETS RELEASED FROM RESTRICTION 103,918. CITY OF ASTORIA GRANT 37,500. CMF FOUNDATION CONTRIBUTION 138,573. FROM 990, PART XI LINE 2C: THE BOARD OF TRUSTEE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT, REVIEW, AND SELECTION OF AN INDEPENDENT AUDIT FIRM. TRADITIONALLY, A THREE YEAR CONTRACT WITH A SELECTED AUDIT FIRM IS APPROVED. ANNUALLY, A SPECIAL BOARD MEETING IS HELD AND THE AUDIT FIRM PRESENTS THE AUDITED FINANCIAL STATEMENTS TO THE BOARD OF TRUSTEES. DURING THE MEETING, THE BOARD MEMBERS ARE GIVEN THE OPPORTUNITY TO ASK QUESTIONS WITHOUT MANAGEMENT PRESENT. FOLLOW-UP INFORMATION ON THE MANAGEMENT LETTER RECOMMENDATIONS IS ALSO PRESENTED SEMI-ANNUALLY TO THE BOARD FINANCE COMMITTEE. FORM 990 PART III, 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS KEY STATISTICS FOR 2012: INPATIENT ADMISSION INCLUDING NEWBORNS: 1,836 INPATIENT DAYS INCLUDING NEWBORNS: 4,915 SURGERY PATIENTS: 2,529 ANCILLARY VISITS: 43,055 LABORATORY TESTS: 129,315 IMAGING TOTALS: 32,924 CLINIC VISITS: 28,259 EMERGENCY & TRAUMA VISITIS: 13,124 URGENT CARE CLINIC VISITS: 5,961 HOME HEALTH VISITS: 3,250 HOSPICE PATIENT DAYS: 6,258 COLUMBIA MEMORIAL HOSPITAL'S (CMH) MISSION IS TO PROVIDE EXCELLENCE, LEADERSHIP, AND COMPASSION IN THE ENHANCEMENT OF HEALTH FOR THOSE WE SERVE. THE CMH 2011 TO 2013 THREE-YEAR STRATEGIC PLAN WAS DEVELOPED IN 2010 AND INCLUDED SEVERAL GOALS LISTED UNDER THE FOLLOWING PILLARS; QUALITY AND CUSTOMER SERVICE, STAFF DEVELOPMENT, PROVIDER RELATIONS, GROWTH, AND FINANCIAL PERFORMANCE. AS OF THE YEAR ENDED DECEMBER 31ST, 2012 MANY GOALS HAVE BEEN ACHIEVED ALLOWING CMH TO CONTINUE TO FULFILL THE MISSION OF THE ORGANIZATION AND TO RAISE BOTH THE QUALITY AND RANGE OF SERVICES PROVIDED TO THE LOCAL COMMUNITY. QUALITY AND CUSTOMER SERVICE: -CMH ACHIEVED ACCREDITATION IN THE FALL OF 2011 FOR THREE YEARS THROUGH THE HEALTHCARE FACILITIES ACCREDITATION PROGRAM (HFAP). THIS WAS NO SMALL TASK WITH THE INCREASED REQUIREMENTS TO PASS RIGOROUS QUALITY, SAFETY, AND COMPLIANCE AUDITS. SURVEYORS ARRIVE UNANNOUNCED TO VERIFY COMPLIANCE WITH INTERNAL POLICIES AS WELL AS WITH EXTERNAL REGULATIONS. -A NEW QUALITY PLAN, PROGRAM, AND ORGANIZATIONAL SCORECARD WERE DEVELOPED AND IMPLEMENTED WITH OVERSIGHT FROM THE BOARD OF TRUSTEES. -A PATIENT AND FAMILY ADVISORY COUNCIL (PFAC) BEGAN IN JANUARY OF 2012 AND HAS ASSISTED IN THE ENHANCEMENTS AND IMPLEMENTATION OF PATIENT-CENTERED CARE INITIATIVES THROUGHOUT THE HOSPITAL AND CLINICS. -CMH HAS BEEN A PLANETREE AFFILIATED HOSPITAL SINCE 2001 EMBRACING THE PHILOSOPHY OF PATIENT-CENTERED CARE TO PERSONALIZE, HUMANIZE, AND DEMYSTIFY HEALTHCARE FOR THE PATIENTS OF OUR COMMUNITY. THE 2011 2013 STRATEGIC PLAN INCLUDED A GOAL TO ACHIEVE PLANETREE "DESIGNATION", WHICH IS A PROCESS INVOLVING RIGOROUS CRITERIA AND MEASUREMENTS TO RECOGNIZE HOSPITALS THAT SUSTAIN EXCELLENCE IN THE DELIVERY OF PATIENT-CENTERED CARE. IN 2011, A NEW PLANETREE COUNCIL AND TEN ACTION TEAMS WERE ESTABLISHED AND SET TO WORK ON THIS LOFTY GOAL. IN 2012, THE OFFICIAL APPLICATION FOR DESIGNATION WAS SUBMITTED TO PLANETREE AND WAS ACCEPTED CONTINGENT ON A SITE VISIT AND THE FULFILLMENT OF CERTAIN PATIENT SATISFACTION AND QUALITY MEASUREMENT REQUIREMENTS. THE RESULTS OF THESE INCREASED EFFORTS WERE REALIZED THROUGH A SHARP INCREASE IN BOTH PATIENT SATISFACTION AND QUALITY MEASURES, IN PARTICULAR BETWEEN THE MONTHS OF AUGUST AND DECEMBER 2012. THE 2012 YEAR ENDED WITH A VERY SUCCESSFUL PLANETREE DESIGNATION SITE VISIT LEAVING ONLY A FEW FOLLOW-UP ITEMS REMAINING FOR COMPLETION IN 2013. -THE SAFETY COMMITTEES WERE EXPANDED AND SPLIT INTO TWO GROUPS; ONE FOR PATIENT SAFETY AND ONE FOR GENERAL SAFETY. EMPLOYEE PARTICIPATION WAS GREATLY INCREASED AND LED TO INCREASED SAFETY TRAINING SOME IMPROVED SAFETY SCORES IN THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) SAFETY SURVEYS. -IMPLEMENTED BOTH LEADERSHIP ROUNDING AND NURSING HOURLY ROUNDING TO IMPROVE COMMUNICATION AND PRO-ACTIVE PATIENT-CENTERED CARE. -IMPLEMENTED ROOM SERVICE, MASSAGE THERAPY, AROMATHERAPY, AND OTHER COMFORT MEASURES FOR PATIENTS AT CMH. -ACHIEVED THE AMERICAN HOSPITAL ASSOCIATION'S (AHA) MOST-WIRED HOSPITAL AWARD IN BOTH 2011 AND 2012 AND ATTESTED TO THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS) MEANINGFUL USE CRITERIA. THESE ACHIEVEMENTS HAVE SUCCESSFULLY POSITIONED CMH TO FULFILL THE GOAL OF "ONE PATIENT, ONE RECORD" AND WILL ASSIST IN ESTABLISHING A FULLY ELECTRONIC PATIENT MEDICAL RECORD IN 2013/2014. STAFF DEVELOPMENT: -STANDARDS OF EXCELLENCE WERE ESTABLISHED AND REINFORCED THROUGH CUSTOMER SERVICE TRAINING EFFORTS IN 2011 AND 2012. -AN EMPLOYEE WELLNESS PROGRAM WAS IMPLEMENTED IN 2011 AND EXPANDED PROGRAMS WERE INTRODUCED IN 2012. -AN EMPLOYEE TUITION REIMBURSEMENT POLICY WAS WRITTEN IN 2012 TO ASSIST STAFF MEMBERS WHO WISH TO GO ABOVE AND BEYOND THE STANDARD OR REQUIRED TRAINING FOR THEIR CURRENT POSITIONS AT CMH. -TEAM INTERVIEW PROCEDURES INCLUDING BEHAVIORAL QUESTIONS WERE ESTABLISHED TO HIRE RIGHT THE FIRST TIME AND TO RAISE THE LEVEL OF AWARENESS AND EXPECTATIONS IN MEETING BOTH THE STANDARDS OF EXCELLENCE AND THE MISSION OF THE ORGANIZATION. GROWTH: -A PARTNERSHIP WITH OHSU TO BRING ONCOLOGY, CARDIOLOGY, AS WELL AS KEY TELEMEDICINE SERVICES TO THE COMMUNITY BEGAN IN 2010. EXPANSION OF THESE SUCCESSFUL CLINICS OCCURRED IN 2011 AND 2012. -CMH LEASED SPACE FOR A CMH COMMUNITY CENTER ALLOWING FOR INCREASED COMMUNITY OUTREACH AND SUPPORT INCLUDING SEVERAL NEW COMMUNITY EDUCATION CLASSES. -IMPLEMENTED A HOSPITALIST PROGRAM -RENOVATED THE SURGERY DEPARTMENT -BUILT A SECOND PROFESSIONAL OFFICE BUILDING TO HOUSE THE MAIN HOSPITAL LABORATORY AND 3 CLINICS -AUXILIARY GIFT SHOP RELOCATION AND EXPANSION -OPENED A NEW WOUND CARE CLINIC -EXPANDED THE CARDIAC REHABILITATION PROGRAM AND ADDED A PULMONARY REHABILITATION PROGRAM -SUCCESSFUL RECRUITMENT OF 2 GENERAL SURGEONS AND 2 OB/GYN PHYSICIANS INTO THE COMMUNITY -THE GROWTH AND EXPANSION OF CLINICS AND OTHER SERVICES PROVIDED AN INCREASE IN FULL TIME EQUIVALENTS (FTE'S) OF APPROXIMATELY 10% BETWEEN 2010 AND 2012 BOOSTING LOCAL EMPLOYMENT. PROVIDER RELATIONS: -IMPROVED FREQUENCY, PARTICIPATION, AND RESULTS OF PROVIDER SATISFACTION SURVEYS -PROVIDER SUPPORT IN EDUCATION, MARKETING, AND IT -CREATION AND DISTRIBUTION OF NEW ANNUAL PROVIDER DIRECTORIES -PROVIDED SEVERAL OPPORTUNITIES FOR PROVIDER NETWORKING AND INTERACTION TO IMPROVE COMMUNICATION AND TO PROMOTE LOCAL REFERRALS FINANCIAL PERFORMANCE: -ESTABLISHED AND BEGAN THE IMPLEMENTATION OF "PATIENT FRIENDLY" BILLING CRITERIA -REFINANCED BOND DEBT TO FIXED RATE BONDS AND SET ASIDE PROJECT FUNDS FOR FUTURE HOSPITAL RENOVATION AND EXPANSION COLUMBIA MEMORIAL HOSPITAL FOUNDATION 2111 EXCHANGE STREET ASTORIA OR 97103 931091701 FUNDRAISING FOR THE HOSPITAL OR 501(C)3 LINE 11A, I 1 COLUMBIA MEMORIAL HOSPITAL AUXILIARY 2111 EXCHANGE STREET ASTORIA OR 97103 931306211 PROVIDE VOLUNTEERS OR 501(C)3 0 ASTORIA IMAGING LLC 2111 EXCHANGE STREET ASTORIA OR 97103 800240381 MRI JOINT VENTURE OR RELATED 535232 1754712 0 0 0.51000 COASTAL HEALTH ASSURANCE 2111 EXCHANGE STREET ASTORIA OR 97103 911818894 PHO OR -222 20923 0 0 0.49000 0 1 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 0 1 COLUMBIA MEMORIAL HOSPITAL FOUNDATION (IN-KIND CONTRIBUTION) B 30495 ACTUAL COLUMBIA MEMORIAL HOSPITAL FOUNDATION (IN-KIND CONTRIBUTION SALARY EXP) O 248641 ACTUAL ASTORIA IMAGING LLC (SALARY EXPENSE FOR MRI MNGMT TECHS & REGISTRATION) O 253040 ACTUAL COLUMBIA MEMORIAL HOSPITAL FOUNDATION C 242660 ACTUAL COLUMBIA MEMORIAL HOSPITAL FOUNDATION Q 98231 ACTUAL COLUMBIA MEMORIAL HOSPITAL FOUNDATION S 52410 ACTUAL