FY 2019 Community Benefit Report Improving the lives of those we serve.

UCHealth is a -owned and operated, nonprofit 501(c)(3) integrated health system that offers the most advanced care throughout the Rocky Mountain region. Created in 2012 with the joint operating agreement between University of Colorado Hospital and Poudre Valley Health System, UCHealth now includes 12 hospitals and more than 150 UCHealth-owned and affiliated clinics serving patients in Colorado, Wyoming and .

As Colorado’s only integrated community and academic health system, we are dedicated to improving lives and providing the highest quality medical care with an exceptional patient experience.

Our mission. We improve lives. In big ways through learning, healing and discovery. In small, personal ways through human connection. But in all ways, we improve lives.

Our vision. From health care to health.

Our values. Patients first. Integrity. Excellence.

More 1,987 than150 175 12 available UCHealth and more lives saved this year from hospitals hospital beds affiliated clinics improvements in our quality

1.7 million 136k inpatient 4.4 million patients served admissions and outpatient, urgent observation visits care and emergency room visits >24,000 employees We are a teaching and research partner to the University of Colorado School of Medicine: >$245 million $553 million in support for the University of in research funding attracted to the 1,200 Colorado School of Medicine Anschutz Medical Campus in 2018* residents trained per year 2 UCHealth *CU Office of Grants and Contracts Committed to our communities.

$8.9 BILLION $933 MILLION $367 MILLION in direct and induced in total community benefit in uncompensated care economic impact** (up from $854 million in FY 2018) (up from $359 million in FY 2018)

UCHealth invests through uncompensated care, research, education and programs to support our patients and the communities we serve. It’s part of our commitment to help as many people as possible live extraordinary lives.

Staying connected to our communities allows us to understand needs, to proactively prevent and treat medical concerns and to improve overall health.

Our three areas of focus are:

Access Behavioral Innovations in treatment to care health and prevention Expanding opportunities for people Greater awareness of Pushing the boundaries of medicine to access our services through and investments in behavioral and bringing advanced care financial assistance, technology health issues including to patients throughout the and a commitment to depression, opioid addiction Rocky Mountain region while Medicaid services. and suicide. focusing on wellness.

Expanding opportunities for people in the communities we serve to access our TOP services throughout the Rocky Mountain region. 10% 99.9% 11,760 of Colorado ZIP codes patients transferred to UCHealth hospitals have UCHealth patients from other providers from nearly all communities across the region

• The only American Burn Association verified burn center in the region. in quality • The only comprehensive transplant center in the region. performance† • Two of five Level I Trauma Centers in Colorado. • Two of five Comprehensive Stroke Centers in Colorado. **Eric W. Christensen, PhD. Adjunct Professor, Health Services Management University of Minnesota, Health Economist and Economic Consultant †Vizient UCHealth 3 Access to Care

As Colorado's largest provider of Medicaid services, we are committed to caring for the state's most vulnerable population.

Increase in Medicaid inpatient discharges 691k 239% since 2013: Medicaid outpatient increase in Medicaid 52% visits and admissions outpatient visits and 88% admissions since 2013 Non-UCHealth UCHealth hospitals hospitals Medicaid inpatients as a 28% 27% 25% percent of total inpatients: Memorial Hospital University Hospital UCHealth hospitals overall

We are bringing health care closer to home by creating additional ways for patients to access our services. 19 40 >30,000 new locations new primary travel miles saved (including twelve primary care care providers by patients as a result of and urgent care sites) our virtual health services

A continually expanding integrated network >3,500 >100,000 of virtual and physical health services allows providers attributed lives us to support population health, prevention across more than 100 under and reductions of cost of care for more and locations and 12 hospitals management more Coloradans.

We are committed to price transparency and creating lower-cost care options for our patients and their families.

In 2018, we launched the Significant price discounts, billing-estimates tool—a now available through new nationally recognized program partnerships with insurance that enables patients to receive plans, are helping provide real-time estimates for certain more affordable premiums procedures and services. for patients and businesses.

4 UCHealth Behavioral Health Advancing behavioral health care continues

In one of our region's largest and most comprehensive investments to be one of UCHealth’s into behavioral health detection, treatment and access, UCHealth and Colorado's top is dedicating at least an additional $100 million over the next areas of concern. five years to help care for patients with substance use disorders, depression and anxiety and other mental health conditions across Colorado. Philanthropic donations of an additional $25 million, 1 in 4 Coloradans will experience matched by UCHealth, could bring the total investment to $150 a behavioral health million. issue this year.

Our areas of focus: Integrating behavioral health with primary care. Teams of licensed clinical social workers, counselors and 10 t h psychologists will work hand in hand with primary care highest rate of suicide physicians to provide immediate resources to the largest deaths in the U.S. number of patients in need.

Tele-behavioral health consultation services. When patients and providers in emergency departments, primary care clinics or inpatient hospitals need consultations 39 counties with a psychiatrist, UCHealth’s Virtual Health Center will do not have a provide the video connection. practicing psychiatrist.

A new inpatient behavioral health unit. The new inpatient tower at University of Colorado Hospital will enable the creation of a new inpatient behavioral health unit beginning in 2023 to expand upon services already 558 available at other UCHealth locations. opioid overdose deaths in Colorado in 2017 from both prescription Addressing the opioid epidemic. and illegal opioids. New prescribing guidelines and the use of alternatives to opioids for treatment of pain have reduced the number of opioids prescribed by up to 40% in some 250,000 of our locations. In addition, Coloradans misuse UCHealth launched a campaign prescription drugs. in 2019 to help increase awareness of the dangers of opioid dependency and addiction.

UCHealth 5 Innovations in Treatment and Prevention

One of the many ways we’re advancing health care is by focusing on innovations in our specialty care services, which have rapidly gained a reputation for excellence nationwide. Our unique combination of academic-based and community-focused medicine brings Coloradans an unparalleled level of expertise in specialty care treatment and prevention.

Recent multi-year investments $45 million Center for Personalized Medicine in our partnership with University of Colorado $47 million CU Cancer Center School of Medicine $40 million additional research support

Oncology: Our five-year survival rates for advanced cancer are better than • The University of Colorado Cancer Center is the national average across Colorado’s only National Cancer Institute-Designated many cancer types. Comprehensive Cancer Center. 3.4x • Advances in medicine come from new ideas developed through clinical research. 2.0x 1.7x 1.6x Cardiovascular: 1.4x • The largest and most comprehensive provider of Liver Colon Lung and Pancreas Breast cardiovascular services in the state. bronchus • A leader in the most advanced care and treatments (e.g., TAVR). • Offering a number of community programs focused TH TH on heart care (Healthy Hearts, Healthy Kids Club). 9 6 largest transplant largest living donor center in the nation program in the nation Neurosciences and stroke care: • Our telestroke program brings advanced stroke care to communities throughout Colorado. telestroke locations 20 across Colorado • Our Mobile Stroke Treatment Unit saves lives through early intervention for patients.

720 584 clinical active research projects trials. in the community setting.

6 UCHealth Our community partners. 8th Judicial District Attorney’s Office Colorado Springs Health Foundation - Silver Key Senior Services - Advocates of Routt County AccessNurse Colorado State University - Springs Recovery Connection - Boys & Girls Club of Steamboat Aetna Colorado State University Extension - Teach for America Springs Alliance for Suicide Prevention of Colorado State University Police - Terra Essentials - City of Steamboat Springs- Parks Larimer County Department - TESSA and Recreation Department -Teen Almost Home Online Colorado Youth Detention Continuum - Trails and Open Space Coalition Programs Alternatives to Violence Community Campus Partnership - UCCS Helen and Arthur E. Johnson - Colorado Workforce Center Alzheimer’s Association Community College of Aurora Beth-El College of Nursing & - Craig-Scheckman Family Foundation Apoyo Con Cariño Community Grief Center Health Sciences - Discovery Learning Center – Family AspenPoint Behavioral Health Centers Create Your Health - YMCA of the Pikes Peak Region Development Center Aurora Chamber of Commerce DAWN Clinic Elderhaus Adult Day Program, Inc. - Division of Vocational Rehabilitation Aurora Health Alliance, including: Denver County Health Estes Park Medical Center - First Impressions of Routt County - Adams County Human Services Denver Public Health Estes Park Police Department - Girl Scouts of Colorado - Advanced Healthcare Division of Youth Services Estes Park School District - Grand Futures - Alzheimer’s Association Colorado Early Childhood Council of Estes Valley Library - GrandKids Child Care Center Chapter Larimer County Foothills Gateway - Heritage Park Preschool - Arapahoe–Douglas-Elbert Easterseals Colorado Fort Collins Police Services - Holy Name Preschool Medical society ECHO Colorado Garcia Consulting - Horizons - Arapahoe-Douglas Mental Health El Paso County Public Health Greeley-Evans School District 6 - Integrated Community Network El Paso County Public Health GreenPath Financial Wellness - LiftUp of Routt County - Asian Pacific Development Center Healthy Community Grief Support of the Rockies - Northwest Colorado Health - Aurora-Adams County Medical Collaborative, including: Harmony Foundation, Inc. - Northwest Rocky Mountain CASA Society - Academy School District 20 Hayden school district - NW CO Center for Independence - Aurora Commission for seniors - Alliance for Kids Health District of Northern - Partners in Routt County - Aurora Denver Cardiology - American Diabetes Association Larimer County - Planned Parenthood of the - Aurora Fire Department - AspenPointe Health Links Rocky Mountains - Aurora’s Commission on Aging - Beacon Health Options Heart Centered Counseling - Routt County Council on Aging - Boulder County Health - Care and Share Food Bank for High Plains Library District - Rocky Mountain Youth Corps Improvement Coalition Southern Colorado Imagine Zero Coalition - Routt County Department - Colorado Academy of Family - Catamount Institute InnovAge PACE of Northern Colorado Human Services Physicians - Children's Hospital Colorado Institute for the Built Environment - Routt County United Way - Colorado Access - Cigna Integrated Nutrition Education Program - South Routt Community Center - Colorado Consumer Health - Citizens Project Junior Achievement - Steamboat Springs School District RE2 Initiative - City of Colorado Springs Juvenile Legal Defense Representative - Totally Kids - Colorado Department of - City of Colorado Springs Parks, Kaiser Permanente - Yampa Valley Autism Public Health Recreation & Cultural Services Kids at Heart - Yampa Valley Community Foundation - Colorado Department of Health - City of Manitou Springs KidsPak–Loveland Rotary Club - Young Tracks Care Policy and Financing - Colorado College Larimer County Attorney’s Office Routt County Law Enforcement - Colorado Language Connection - Colorado Department of Education Larimer County Board of Health Salud Family Health Centers - Colorado Medical Society - Colorado Parks and Wildlife Larimer County Department of Health & Salud Family Health Centers - Colorado Primary Care Clinic - Colorado Springs Fire Department Environment Sexual Assault Victim Advocate - Colorado Refugee Wellness - Colorado Springs Food Rescue Larimer County Department of (SAVA) Center Center - Colorado Springs Health Human Services Simple Strategies for Family Living - CORHIO Foundation Larimer County Office on Aging Soccer Without Borders - DentaQuest - Colorado Springs Chamber & EDC Larimer County Planning Commission South Routt School District - Doctors Care - Colorado Springs School District 11 Larimer County Probation Department Specialized Alternatives for Family and Youth - AF Williams Family Medicine - Colorado State University Larimer County Sheriff’s Office Steamboat Rotary - Futurity First (CSU) Extension Leap Coalition of Larimer County Steamboat Springs Police Department - HealthOne - Community Health Partnership Loveland Housing Authority Steamboat Springs Winter Sports Club - InnovAge - Community Partnership for Child Loveland Public Library Steamboat Springs Youth Hockey - Kaiser Permanente Development-Giving Kids a LPR Construction Association - Level Chiropractic Headstart Major Medical Supply Sunrise Loveland Community Health Center - Mercy Housing - The Colorado Trust McKee Medical Center Teaching Tree Early Childhood Learning - Mile High Health Alliance - Council of Neighbors and MCPN/STRIDE Center - New Horizons Primary Care Clinic Organizations Memorial Regional Health Team Tom Gym - NextCare Urgent Care - DaVita Medical Group Metro Denver Partnership for Health TEAM Wellness & Prevention - Parker Adventist Hospital - DentaQuest Mind Springs Health The Arc of Larimer County - PASCO - Early Connections Learning Center Moffat County Law Enforcement The Arc of Weld County - Peoples House - El Paso County Community Services Moffat County United Way, including The Children’s Health Place - Porter Adventist Hospital - El Paso County Public Health - Moffat County Human Resource The Family Center/La Familia Behavioral Health - El Paso County Recreation & Council The Health and Wellness Center at - Primary Care Programs, Cultural Services - Bear River Young Life Centennial High School Fields Foundation - Energy Resource Center - Boys and Girls Club of NW Colorado The Matthews House - Rubicon MD - Falcon School District 49 - Craig Senior Citizens The Northwest Colorado Community - SCL Home Health - Fort Carson Preventive Medicine/ - Freedom Hooves Health Partnership, including: - The Colorado Health Foundation Public Health - Interfaith Food Bank - Casey's Pond - Steamboat senior - The Medical Center of Aurora - Fort Carson Wellness Services - LoveINC living community Aurora Mental Health - Greccio Housing - Moffat County Cancer Society - Grand County Rural Health Network Bank of Colorado - Harrison School District Two - Northwest Colorado Dental Coalition Memorial Regional Health Bethesda Lutheran Communities - Inside/Out Youth Services - Northwest Colorado Legal Services - Mind Springs Health Bohemian Foundation - Joint Initiatives - Open Heart Advocates - Northwest Colorado Health Boys & Girls Clubs of Larimer County - Kaiser Permanente Mountain View Presbyterian Church - Rocky Mountain Health Plans Boys & Girls Clubs of Weld County - Kids on Bikes Neighbor to Neighbor - Routt County Department of Catholic Charities - King Soopers/City Market North Colorado Health Alliance Human Services Centennial AHEC - Local Food Colorado Springs North Colorado Youth for Christ The Wellness Champions Center for Family Outreach - Manitou Springs School District 14 North Range Behavioral Health Thompson Rivers Parks and Center for Work Education and - NAACP Old Town Hot Springs Recreation District Employment - National Alliance on Mental Illness Partnership for Age-Friendly Communities Thompson School District Children’s Speech and Reading Center (NAMI) Peak Vista Community Health Centers Thompson Valley Emergency City of Aurora - OMNI Institute Peake Wellness Center Medical Services City of Fort Collins - Open Bible Medical Clinic PFLAG Timberline Church City of Greeley - Partners for Healthy Choices Pikes Peak Community Health Partnership Timnath Police Department City of Loveland - Peak Military Care Network Pioneers Medical Center Town of Kersey Clear View Behavioral Health - Peak Vista Community Health Plymouth Congregational Church Tri-County Health Colorado Access Centers Poudre River Public Library District United Way of Larimer County Colorado Chapter of the American - Penrose-St. Francis Health Services Poudre School District United Way of Weld County College of Emergency Physicians - Penrose-St. Francis Mission Project 31:25 University of Colorado School Colorado Consortium for Prescription Outreach Rangley District Hospital of Medicine Drug Abuse - Phil Long Dealerships Reaching Everyone Preventing Suicide University of Colorado, Colorado Springs Colorado Department of Human - Pikes Peak Library District Resilient Inspired Strong Engaged School of Medicine Services - Pikes Peak Suicide Prevention (RISE Coalition) University of Northern Colorado Colorado Emergency Nurses Partnership RMSI Group Volunteers of America Association - Pikes Peak United Way Road2Recovery Weld County Area Agency on Aging Colorado Health Institute - Project Angel Heart Rocky Mountain Health Plans Weld County Department of Health & Colorado Hospital Association - The Resource Exchange Rocky Mountain Youth Clinics Environment Colorado School of Public Health - RMFI Routt County Human Resource Coalition, Weld County School Districts Colorado Springs Fire Department - SET Family Medical Clinic including: Windsor Police Department For a list of our community programs, please visit our website at uchealth.org/community-benefit-report UCHealth 7 Providing care throughout Colorado and beyond.

2018 Awards and Recognitions:

Becker’s Hospital Review: 100 Great Hospitals in America U.S. News & World Report ANCC Magnet Recognition Program® Best Hospitals – Colorado HIMSS Stage 7 Hospital Certification #1 University of Colorado Hospital Seven specialties ranked among the top in the U.S. CHIME® HealthCare’s Most Wired Award #7 Medical Center of the Rockies The Best and Brightest Companies to Work For® #7 Memorial Hospital Great Place to Work® certified #11 Poudre Valley Hospital Becker’s Hospital Review: 150 Great Places to Work in Healthcare Denver Post Colorado Top Workplaces

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