YVMC Status Report Wrap FLIP

RepoCrtotomthme unity YAMPA VALLEY MEDICAL CENTER 2016 A LOOK BACKOUR MISSIONTo provide outstanding healthcare to those we serve through safe, personalized, quality care.OUR VALUESExcellence / Collaboration / Ethical Behavior / Compassion / Economic Vitality / Positive CultureOUR VISIONTo be recognized for excellence in healthcare through superior people, technology, and patient outcomes.

in People & Tech Yampa YVMC has chosen the pursuit of the Triple Aim as its guiding principle inSafe & High Qua Operational & Se Valley decision making: Improve the Health of the Individual, Improve the Health of Invest nology the Community and Improve the Value of Healthcare. It is a simple concept rationlity HealthcareDrive Achieve Medical with the potential to change healthcare as we know it for the better. By putting the health needs of the patient at the forefront, YVMC will Center TRIPLE AIM continue to improve healthcare for the community it serves. Improve the Health Aims High of IndividualsProvide rvice Excellence Improve the Health of Our Community Improve the Value of Healthcare Growth & Collabo Community Benefit at YVMC2016 Highlights As part of its mission “to provide outstanding healthcare to those we serve through safe, personalized, quality care,” YVMC strives to be a leader, partner and advocate in initiatives that improve the livesJANUARY of the individuals and communities we serve. • 3D mammography Collaboration – Through the future development of a Clinically Integrated Network (CIN), YVMC introduced at Gloria Gossard is able to partner with providers, facilities and ancillary services to improve and maintain the Breast Health Center health of people in the communities we serve. A Front Range partner will provide better access to • YampaCare For Women specialists at YVMC; local and regional partners will help to create a better continuum of care, caring opens in its patient-centered for the whole patient. Additionally, YVMC is working with local employers to develop solutions to location adjacent to YVMC address their healthcare concerns. Together we can take care of our community.FEBRUARY Behavioral Health – A known need in our communities, YVMC is involved in many community • Real Life Weight initiatives to combat mental health issues and substance abuse. YVMC donated $150,000 to the school districts of Steamboat Springs, South Routt and Hayden to boost behavioral health services Management introduced and education in the schools, aiming to get at the root of the issue. YVMC supports the Rx Task Force, a grassroots effort bringing light to the growing problem of opioid addiction facing our community.MAY • YVMC named Top 20 Rural YVMC, through our involvement with the Northwest Colorado Community Health Partnership, has supported integrating behavioral health-related resources into primary care visits. Providers are able Community Hospitals in to intervene early when behavioral health care is needed. Patients are establishing medical homes America by the National with their providers where multiple care needs can be addressed. Behavioral health resources are Rural Health Association one of many topics being discussed with potential CIN partners to see how the continuum of care – • YVMC celebrates a topping physical, mental and emotional – can best be managed locally. out and beam signing at the Jan Bishop Cancer Center Health is more than Healthcare – In the words of a local physician, “It’s time the hospital is seen as • Melanoma education a place for wellness and not a place for sickness.” With this mentality, YVMC is working to provide supported in our community a wide variety of options to the community, including screenings, employer wellness programs and community education.JUNE • Committed to the Triple Aim Consumer Engagement – Whether it’s an educational seminar, price reduction campaign or medical care, anytime YVMC aims to engage our patients with health improvement opportunities and a focused Strategic Plan and education. to achieve itAUGUST • MRI prices loweredNOVEMBER • The Outpatient Pavilion opens its doors at 1100 Central Park Drive • New Gloria Gossard Breast Health Center opens and prices are lowered on a range of breast health services

YAMPA VALLEY MEDICAL CENTER Fiscal Year Ending September 30, 2016Financial Performance FY 2016 FY 2015 Patient StatisticsBALANCE SHEET Assets Inpatient Discharges 1,500 1,478 1,449 1,329 Total current assets...................................................$36,205,875........... $43,902,856 1,200 Total long term assets........................................... $115,920,297........... $96,734,550 Total assets............................................................ $152,126,172......... $140,637,406 Liabilities and Net Assets 1,463 Total current liabilities..............................................$15,622,402........... $12,505,787 900 Long term debt and liabilities.................................$28,756,146........... $30,492,510 Total liabilities...........................................................$44,378,548........... $42,998,297 600 Net Assets............................................................. $107,747,624........... $97,639,109 300INCOME STATEMENT 0 2016 2015 2014 2013 Net patient revenue.............................................. $103,097,798........... $92,771,432 Contributions and other operating revenue.............$4,609,191............. $1,844,484 Outpatient Registrations Total operating revenue........................................ $107,706,989........... $94,615,916 80,000 63,437 58,972 56,299 53,819 Salaries and employee benefits..............................$41,719,880........... $35,879,419 70,000 Supplies and purchased services............................$49,205,790........... $43,371,677 60,000 Depreciation and amortization..................................$4,945,095............. $5,174,529 50,000 Other...........................................................................$1,462,181............. $3,689,763 Total expenses..........................................................$97,332,946........... $88,115,388 40,000 30,000 Operating income....................................................$10,374,043............. $6,500,528 20,000CASH FLOW Cash flow from operations......................................$15,594,823........... $13,786,636 10,000 2016 2015 2014 2013 Cash flow from investing...................................... ($21,673,895)......... ($20,902,103) 0 Cash flow from financing.........................................($1,661,014)............($1,560,000) Emergency Department Visits Net change in cash..................................................($7,740,086)............($8,675,467) 10,000 8,851 8,943 8,166 7,893 Additional Information 8,000 Uncompensated / charity care..................................... $807,100................ $563,100 Reinvestment in facilities and equipment...............$14,447,322............. $5,564,151 6,000 Other contributions to the community........................ $430,822................ $664,615 Total reinvested back into the community..............$15,685,244............. $6,791,866 4,000 2,000 0 2016 2015 2014 2013How did we do in 2016?People & Technology Service Excellence Safe, High Quality Healthcare Hospital Compare 4 out of 5 stars Employee Engagement Overall Rating 0HOSPITAL (does not include SSI ACQUIRED or cdiff, includes CAUTI, 4.2 out of 5 INFECTION CLABSI, VAE, Pna) 578 employees 89%of patients would 86% recommend us Did you know YVMC has a daily Overall Physician Engagement (according to HCAHPS) Safety Huddle? All directors meet vs 75% Colorado Average each day to identify and resolve 4.2 out of 5 issues before they impact safety. Nearly 90 physicians in more than 30 specialties 2016 Healthgrades Outstanding Patient Experience AwardTM

YAMPA VALLEY MEDICAL CENTER YVMC Service Locations2016 Board of Trustees 789Tony Connell, Chair Baggs 70 YampaWorks Yampa Valley Medical CenterRich Lowe, Vice Chair Occupational HealthScott Marr, Treasurer Little Snake River Clinic 1024 Central Park DriveDiane Tarnoff, Secretary 3001 S. Lincoln Avenue Steamboat Springs, CO 80487Frank May, Ex-Officio 305 Whippoorwill Street Steamboat Springs, CO 80487Dr. Allen Belshaw Baggs, Wyoming 82321 970.879.1322Kristi Brown 970.875.2750Dr. Bill Cox 307.383.2008 YampaCare CardiologyWade Gebhardt Integrated HealthDr. Sharon Gulley 940 Central Park DriveDr. David Niedermeier 3001 S. Lincoln Avenue Steamboat Springs, CO 80487Ron Spangler Steamboat Springs, CO 80487Mike Stoltz 970.870.1035Stephany Traylor 970.875.2731YAMPA VALLEY MEDICAL CENTER YVMC Pain Management YampaCare For WomenExecutive Leadership 3001 S. Lincoln Avenue Outpatient PavilionFrank May, Chief Executive Officer Steamboat Springs, CO 80487 1100 Central Park DriveBryan Roach, Chief Financial Officer 13 970.871.2363 Steamboat Springs, CO 80487Soniya Fidler, Chief Operating OfficerLIsa Kettering, MD, Chief Medical Officer Pediatric Therapy Services 970.879.3738Mark Clark, Chief Information Officer “The Little House” Gloria GossardMarie Timlin, RN, Chief Nursing Officer Breast Health Center 1920 Pine Grove Road Outpatient PavilionCover Image: Steamboat Springs, CO 80487 1100 Central Park DrivePhotographed by Ellen Campbell Steamboat Springs, CO 80487Kelly Beauregard, RN gives a young 970.879.8826patient a bear from the Share the Care, 970.871.2399Buy a Bear Employee Campaign. SportsMed Hayden Jan Bishop Cancer Center 300 S Shelton Street Outpatient Pavilion Hayden, CO 81639 1100 Central Park Drive Steamboat Springs, CO 80487 970.276.1663 970.871.2464 t40 Craig Steamboat Springs Hayden t40 t40 YampaCare Specialty Clinic 651 Yampa Avenue Craig, CO 81625 970.824.1711 YampaCare Family Medicine SportsMed South Routt 131 595 Russell Street 300 Main Street Oak Creek Craig, CO 81625 Oak Creek, CO 80467 970.824.1020 970.736.2294yvmc.org • 970.879.13221024 Central Park DriveSteamboat Springs, CO 80487