COMMUNITY MEDICAL CENTER

1. COMMUNITY MEDICAL CENTER Past, Present, And Future

2. History • CMC was founded in 1910 by two physician brothers. • The patient tower was built in 1972. • The Rehabilitation hospital was added in 1980. • Advanced Imaging, Big Sky Surgery Center, and physician buildings have been added over the years to create a 43-acre medical campus.

3. 1972

5. Currently • CMC offers comprehensive services in: Obstetrics Gynecology Pediatrics NICU Rehabilitation Cardiology Oncology Surgery Emergency Medicine Primary Care Physicians Diagnostic Imaging Lab Services

6. Service Areas Dark Blue = PSA Light Blue = SSA

7. Planning for the Future –Women’s Services • CMC plans to break ground on a new Women’s and Newborn Center in Summer 2010. • The Montana Breast Health Center is open and serving women throughout the region. • 1600+ babies are born at CMC each year. • NICU serves families throughout the state.

8. October is Breast Cancer Screening Month

9. Pediatric Specialty Clinics • Through partnerships with Seattle Children’s and other pediatric providers, Community offers: Cleft/Craniofacial Endocrinology Epilepsy Genetics Hemophilia Metabolic Disease Muscular Dystrophy Nephrology Neurology Orthopedics Pulmonology Rheumatology Surgery Urology

10. Pediatrics

11. Rehabilitation • 12 out of 14 brain injury specialists in Montana work at CMC. • Over 90% patient satisfaction in orthopedics and PT, OT and speech therapies. • 88% of patients discharged from CMC Rehab are released to home.

12. Community Physician Group • 42 Medical Providers • 13 Locations • Accepts Medicare/Medicaid Diabetes Endocrinology Family Practice Family Practice/OB Internal Medicine Pediatrics Perinatology Neonatology Physical Medicine & Rehab Rheumatology

13. Oncology • CMC developed a partnership with Montana Cancer Specialists to provide chemotherapy for Community Physician Group and Montana Breast Health patients. • MCS at CMC is #1 in outpatient satisfaction, scoring a 94.41 favorable rating. They outscore the national average in every single category.

14. CMC Oncology

15. 2010

16. Economics • 1200 employees • 900+ FTEs • Gross revenue $200M annually • Annual employee salary of $51M • Community Benefit exceeds $18M annually

17. Partnerships • Advanced Imaging – CMC & Radiologists • Big Sky Surgery Center – CMC & Physicians • Oncology – CMC & MT Cancer Specialists • Gynecology/Oncology – CMC & Billings Clinic • Pediatric Surgery – CMC & Seattle Children’s • Pediatric Specialty Clinics – CMC and numerous providers

18. Collaboration • EMR bridge technology to provide a comprehensive patient record in Missoula. • Tobacco-Free Initiative at CMC, SPH, St. Joseph’s and Tamarack/WMC. • The support of each facility offering a unique, tertiary service

19. Shifting Healthcare Patterns • Three years ago, 70% of CMC’s revenue came from inpatient with 30% outpatient. • Now, 50% of revenue is inpatient and 50% is outpatient, signaling a fundamental shift in healthcare patterns. • This shift will require investments in growing OP services such as imaging and Endoscopy.

20. Future Success • For Missoula to maintain its position as Western Montana’s medical hub, a continued balance between collaboration and competition will be essential.