more than you expect...dan bowers sue brothers ann burghardt michael buttolph kathryn caldwell...
TRANSCRIPT
S p e a r e m e m o r i a l h o S p i t a l
More than you expect
2011 Annual Report
“For us it was a huge decision to have a baby and we
ChoiceMeet Jackson
wanted to make sure that the experience overall was the best it could be,” says Michelle.
“We didn’t want to be treated like a number.”
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Choice That is the Speare experience.
For Ken Grey and Michelle Moren-Grey of Beth-lehem, the decision to start a family was a very conscious one. Being first-time parents to son, Jackson, at almost 40 years old, they were well aware of the risks.
“For us it was a huge decision to have a baby and we wanted to make sure that the experience overall was the best it could be,” says michelle. “We didn’t want to be treated like a number. at some facilities that’s the experience we’ve had—it has nothing to do with patient care, but how many people they can push through in a day.” Not so at Speare memorial hospital and why they chose to come back.
michelle explains, “I tend to be very demanding with my healthcare. I expect someone to listen to my needs and hear what I have to say. i know my body best. i live with it every day. i wanted someone who was going to pay attention to me and answer my questions even if they were questions they have heard a million times.”
That’s exactly what they got from Dr. mark Banister, the plymouth oB/GYN staff and the Birthing Suite. “Never once did i get the feeling i was inconveniencing them. We were just impressed with everybody.”
michelle says it was a little nerve racking to choose a male as her doctor, “But Dr. Banister put me at ease with the whole process. he was always very professional, but at the same time relaxed enough to make me feel comfortable with what was going on, and the questions i was asking , like ‘Can i ride a motorcycle? Can i still ski ?’
“But as we got closer to Jackson’s due date, i got toxemia and i saw an-other side of him—now we have to get down to business, you need to go on bed rest and this is what we are doing. i never had any doubt in my mind that we were doing the right thing for Jackson in making sure
he came out healthy. i was comforted by the fact Dr. Banister was on top of his game and knew what he was doing.”She continues, “Our experience was more than we expected. it was excellent care. it was personal. i didn’t feel as though i was just another person coming in to have a baby. The people involved, they had probably delivered 150 babies this year, but Jackson was number one. It was as important to them as it was to us.”
amy tomasello, rN, in the Birthing Suite was one of the “people involved.” Ken and michelle first met amy when they were sent up to the Birthing Suite for a non-stress test after her toxemia (water reten-tion and high blood pressure) diagnosis. michelle recalls, “i was very upset, this is not supposed to happen, what is going wrong? amy said we’re going to monitor Jackson and make sure everything is okay. She just made us feel at ease with not knowing what was going to happen. She seemed to understand our family dynamics well and how impor-tant this was to us.
amy was also there when michelle came in to deliver, and again when Jackson needed to come back for overnight observation. “amy was just very good at keeping things calm and running as smoothly as possible. even answered questions we didn’t have, like how to bathe this child. and she was there when we had to come back in with Jackson. he wasn’t feeding very well and had lost a pound since birth, so we came in to be monitored. amy said he was fine, just slow on the intake.”
For most that would be the end of the story. Not so for Ken and michelle.Four weeks after Jackson was born, michelle had a day where she didn’t feel good, and was very uncomfortable by that evening. She says, “We called our primary care provider at the time and they said it was prob-ably related to my c-section. So i called Dr. Banister and he asked if we called our primary care because it sounded like gall bladder. i agreed with him because i’ve experienced gall bladder pain before. he said if you can get through the night come in first thing in the morning and we’ll take care of you.”
Well, michelle didn’t make it through the night and at 10 p.m., arrived in the emergency Department at Speare. it wasn’t her c-section or her gall bladder. She needed an emergency appendectomy. While not Dr. Banister’s area of expertise, michelle says, “it was reassuring to know he was going to get me the care i needed.”
Every story starts with a decision
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Caring Creig’s story
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Caring“I want everyone to know how appreciative I was... They were there to take care of you like you were the only patient on the floor... You began to feel like it ’s a family.”
When Creig Doyle of holderness woke up on the morning of November 11, 2010, he noticed his right arm felt stiff and that it was a little swollen. Seeing two “red dot pin prick” marks he chalked it up to a spider bite. as he was shaving he recalls his arm feeling tighter, and that he couldn’t make a fist, but continued on with his morning routine.
as the chief of plymouth State University police, he arrived at the office about 7:45 a.m. By 8:30 a.m. the swelling in his arm had inched up his bicep toward his shoulder, and the little voice inside his head was saying, “maybe i should get this checked out.” he proceeded to the emergency Department at Speare memorial hospital.
Being Veterans Day it was fairly quiet. after being triaged, Sharon hilger, rN, talked to him about what was going on, and she was followed a few minutes later by Dr. Steve Danosi. Creig notes, “he had a really good demeanor, per-sonal but professional, wanting more detail on symptoms and their onset. he disagreed with my assessment saying, ‘i don’t think we have any spiders in New hampshire that would make this happen, so let’s see if we can figure out what is going on.’ That’s when he decided on blood work and ordered an ultrasound.”
it wasn’t long before Dr. Danosi had an answer. The ultrasound showed Creig had a wrist to clavicle blood clot that Dr. Danosi began addressing right away. “oh, you mean
i’m staying,” Creig asked.
For wife leonetta, it was a miracle he took himself to the emergency room to begin with. She says, “he down plays everything. When i arrived at Speare he
was still in the emergency Department, but moved upstairs shortly thereafter. i was very concerned because it was a blood clot, and i realized the seriousness of it even though he was playing like it’s nothing.”
had Creig waited any longer to come to the emergency Department, he would be telling a different story. his primary care physician/hospitalist Dr. Kathleen pearson was clearly worried, which solidified leonetta’s concern.
Creig says, “Dr. pearson gave me a very somber over the top of the glasses look, ‘it is a good thing you came in when you did. We got you in the nick of time.’ That’s when the light bulb went on that this is serious.”in an effort to dissolve the blood clot, Creig was taking Coumadin and on a heparin drip. While not in traction, he had limited mobility with his arm propped up on two pillows. at times he was allowed to sit in a chair, but other-wise no walking around. Dr. pearson was insistent, “You are not to move.”
Despite “just hanging out” in the hospital for eight days, leonetta remembers her husband to be in good spirits. Creig insists, “i was in no pain, i didn’t feel sick and felt so guilty for taking up a bed.”
Leonetta says it was the teamwork of the staff—clinical and non clinical— that made a difference. “i want everyone to know how appreciative i was. They never made you feel rushed or imposed upon. When they were there, they were there to take care of you like you were the only patient on the floor. it just amazed me they gave you the time you needed and maybe a few minutes more. You began to feel like it’s a family.”
Creig and leonetta made a particularly special connection with lNa amy enderson. The emotion rises in leonetta’s voice as she reflects back: “amy talk-ed to me at length a few different times. once was just to ease my concerns and say whatever she could to encourage me. Then we began to connect on a more personal level. The day we found out something showed up on a follow-up x-ray and might be a spot on his liver, amy was there for me. i had questions and she helped put me at ease.” an mri cleared up any lingering concerns.
leonetta continues, “Amy was one of those people God puts in your life to help you through something. She is a woman of faith, and so are we . . . i felt that i had the faith support i needed. it was then i realized this is a community, and i felt i belonged.”
Never, in any other hospital i’ve been anywhere, was the staff concerned about my needs as a family member like they were here at Speare. it was a good warm feeling. That stood out most importantly for me.”
Creig went back to work the monday after Thanksgiving, but put himself on the “rubber gun squad” during the five months of physical therapy that followed. he became an avid reader during his down time, but is back to being fully active, working around his yard, as well as trying something new— kayaking.
leonetta Doyle
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Many Thanks !10,144 Hours
Annual Volunteers
John adams
mary ann adams
Brenda akerman
Bethany atwood
David Bartholomew
mary Bartholomew
Kerry Beal
Joan Bergstrom
Nancy Bird
Karen Bissonette
ann Blair
irene Blake
Jean Bolstridge
Dan Bowers
Sue Brothers
ann Burghardt
michael Buttolph
Kathryn Caldwell
Jessica Carpenter
Deborah Casale
linda Cochran
megan Cooper
pat Corbin
Julia Cote
Kaela Cote
Sandy Crisp
rachael DeSantis
irene Deutsch
ruth Doane
Jules Doner
Virginia Dunn
helen ellsworth
Chuck engborg
lois estell
mal estell
Cheryl Fifield
richard Flanagan
lee Fortier
elaine Freedman
Claudine Gall
marie Gardner
Christopher Gonzalez
marilyn Gonzalez-rudis
Judith Gooch
John Gray
Dianna Green
Bernice Grossman
aditi Grover
mike Guy
Gayle hannan
David hiltz
marguerite hoyesen
tiffany Johnson
Sarah Kilfoyle
Susan Kipphut
Joanne Koermer
lucy lahey
rachel lamphier
Chantal laplante
leo leBlanc
Brian letourneau
emily lonergan
Carol mabin
Kathy macDonald
Shirley marcroft
Suzanne martin
tara mcKenzie
Darlene Nadeau
tobias Nyatsambo
Joan o’Connor
robin orr
Brittany phelps
Carolyn piantedosi
elva piehn
Joan poitras
Janet rapp
Katie roukes
lauren Sargeant
George Smith
Jenna Stearns
Sarah Steenbergen
Susan Stepp
Sarah Stewart
marty Stokes
Wallace Stuart
June tackett
ann Thibodeau
Joan Thomas
larry tingley
eileen torrey
patricia von Klock
alexandre Wagner
Bethany Ward
ed Weber
Joy Webster
Christopher Wilk
Spirit Team Volunteers
77Hours Cathleen anderson
Brooke Banister
Seth Beyer
Jordan Browne
amy Cirrone
Katie Darragh
Sydney henderson
heather Johnston
alejandra manheimer
alisha mcGlone
Connor mersch
erin moore
amanda morse
Brett pestana
ryann Sargent
Sarah Solomon
eric trott
erin Yorke
10,221Total Volunteer Hours
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Many Thanks !hillary moore has always been interested in nursing, but after high school she chose a different path and became a travel agent. after 19 years, due to changes to the travel industry over time and the economic downturn, she was laid off. it was then she decided to turn her focus back to the medical field.
after several applications, but no bites on her resume from area physician offices, hillary became a volunteer at Speare memorial hospital. her assignment placed her at plymouth orthopedics & Sports medicine Clinic (poSm) putting her customer service background to work greeting patients, filing and other patient care support activities. Shortly thereafter, poSm was in need of a medical secretary on a per diem (as needed) basis and hired hillary.
“my time as a volunteer was great on the job training,” notes hillary. “i was a good fit for their needs, and they were able to see my initiative and ability to work well with patients.” Soon, one thing led to another and hillary now works per diem in eight different medical secretary/health unit coordinator positions around Speare.
She says, “it just snowballed and has become so much more than i expected. at poSm i get to work with the doctors and in the emergency room watch the nurses and the role they have in saving someone’s life. it is not your typical everyday job.”While hillary’s passion for nursing may have been sparked long ago, it was through her volun-teer experience at Speare that the flame was ignited. hillary has been accepted, and will enter the nursing program at plymouth State University this fall, where her journey will begin anew.
“My time as a volunteer was so much more thanWhile Hillary’s passion for nursing may have been sparked long ago, it was through her volunteer experience at Speare that the flame was ignited.
I expected,” notes Hillary.
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FamilyCommunity Dr. ebner and his family enjoying all that New hampshire has to offerLifestyle.
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The doctors at Speare memorial hospital have studied at Dartmouth, Yale, tufts, The ohio State University, and other nationally-recognized top medical schools. We have completed rigorous residency training programs in large metropolitan areas such as New York City, philadelphia, Boston, Denver and Detroit, and remain board certified in our areas of expertise. For some this comes as a sur-prise and more than you expect from a small, rural, community hospital.
So why do qualified, well-trained physician elect to live in central New hampshire and work at Speare? For the same reasons YoU do. our doctors enjoy the hiking, biking, boating, and skiing that the lakes and White mountains regions have to offer. The greater plymouth commu-nity also enables physicians —as local residents—to become involved in theatre, non-profit organizations, and town politics.
Dr. Bentwood volunteers for the pemi Youth Center, Dr. White sits on the CaDY board of directors, Dr. Cunis has been very involved with First Star tonight, and Dr. Casey serves on the holderness School Board. additionally, many of us have seen Drs. Casey and Gennaro
perform on stage as part of the educational Theater Collaborative in plymouth, or Dr. Medlicott performing with revels North in hanover. We physicians recognize what a blessing it is to find a practice opportu-nity that allows us to work and live where we like to play.
Dr. Stack recently joined plymouth oB/GYN seeking a better life bal-ance. She has previously practiced in the Boston area and Detroit and is excited to explore the White mountains and better integrate her profes-sional life with her other interests like hiking and kayaking. She hopes to plant a garden next spring, and invest in some livestock.
Dr. Koren, who has advanced professional training in minimally invasive surgery, leaves the operating room at Speare each day to tend to the animals on his farm. he and his wife enjoy the challenges of “living off the land”, milking the goats, and experimenting with goat cheese production.
Dr. Danosi joined the emergency room last fall from Columbus, ohio to be closer to the mountains and his daughter, currently a student at Dartmouth College.
Dr. Russo brings new ophthalmologic procedures to our community at White mountain eye Care. Being closer to family, and a great place to start their own family, were key decision points for he and his wife, Nicole, in choosing Speare and the greater plymouth area.
The value of this work/life balance is reflected in the care the medical staff provides our patients. Speare memorial hospital continues to rank best in class among New hampshire critical access hospitals with regard to national healthcare quality measures including patient satisfaction. This is in part due to the fact that our physicians can restore their sense of well-being outside of the hospital. This “rejuvenation” energizes us to stay current in our specialties by attending courses, learning new procedures and introducing new technologies.
at the same time we are part of this community, and YoU— our family, friends and neighbors—are our patients. as always our care is centered around you, and reflects our commitment to your health and well being.
So why do qualified, well-trained physicians elect to live in central New Hampshire and
work at Speare? For the same reasons YOU DO!
Dr. KorenDr. Danosi
Dr. Stack
Joseph ebner, mDChief Medical Officer
Dr. russo
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Patient Satisfaction
SafetyQuality
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You may have read or heard of the often used expression, “ensuring that the right patient receives the right care, at the right time.” indeed, this phrase has been transformed into a slogan for many healthcare organizations across america. The current marketplace not only demands that health care delivery meet this standard, but hospitals must also
quantify their clinical processes and patient outcomes. Over the past year, Speare Memorial Hospital has made continuous gains in this work by strengthening the partnership between Quality and Nursing.
This partnership has contributed to sustained “best in class” performance, higher levels of patient satisfaction, and patient safety.
on any given day within the hospital, staff from the departments of Quality and Nursing can be seen reviewing charts or rounding on patients. Teamwork is essential and information is shared and recorded which helps ensure that patients receive evidence-based care and follow-up. moreover, such connectivity helps department leadership address patient safety concerns, if they arise, in a timely and effective manner, as well as addressing patient concerns and questions during and after the hospital stay.
• hardwire clinical care delivery so that favorable patient outcomes are sustained regardless of shift or day of the week
• Quantify nursing-sensitive indicators and compare outcomes within a national database (e.g. falls, pressure ulcers, catheter-associated urinary tract infections).
• Continuously improve communication processes and patient hand-offs which elevate patient safety and patient satisfaction
• ensure that nursing staff are appropriately represented and supported on hospital committees such as: medication Safety, Clinical policies and practice, and the hospital Quality Council (Board-level)
• Develop a meaningful strategy for implementing a Just Culture; a method for evaluating human culpability following a medical error
• identify effective methods in teaching the science of performance improvement to nursing directors and staff leaders
A Quality Partnership Leads to Improved Care Delivery
Nursing and Quality Patient Safety Partnership Goals
SMH Mean
NationalRank
92.884
SMH Mean
NationalRank
94.888
SMH Mean
NationalRank
92.989
SMH Mean
NationalRank
Emergency Department* Nursing courtesy
Ambulatory Surgery* Degree pain was controlled
Inpatient Care* Nurses’ attitudes toward patient requests
Outpatient Services* Skill of techs/therapists/nurses
96.082
*National rank as compared to all hospitals participating in the press Ganey database 0Patient HarmThe number of occurrences
of adverse drug events during FY 2011
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Leadership12
Quality. Safety. Affordable. Coordinated.These are the key words that come to mind when describing our patients’ expectations regarding their healthcare experience at Speare memorial hospital.These words also define the aspirations of an industry in transition. Unlike days gone by when the local doctor carried his signature black bag and made house calls, caring for the whole family, to-day’s healthcare system has become fragmented and complex. against a backdrop of rising costs, lack of medicare/medicaid funding, the economy, politics, the insurance debate, and incentives focused on fee for service instead of overall patient outcomes, we are all working to transform healthcare locally, regionally, and nationally.
Despite this conflict and financial uncertainty, Speare memorial hospital remains a cornerstone in the central New hampshire healthcare community. We continue to shape the future by staying true to our core mission—your health—and keeping care personal.
Quality care is not defined by size. in fact, Speare memorial hospital’s quality of care is among the “best in class” for critical access hospitals. We have
achieved and maintained a level of care excellence higher than both the state and national averages across all four National hospital Quality measures: heart attack, congestive heart failure, community acquired pneumonia and surgical care improvement. as the graphs to the left demonstrate, our patients are receiving care in compliance with these evidenced-based standards of care.
Furthermore, we take into consideration the whole
patient and their family. “i don’t feel like a number”
is something we hear often from our patients and is
demonstrated by our patient satisfaction scores across hospital departments. From the er to the or patients consistently ranked us in the 90% percentile relative to their satisfaction with their Speare experience. it is more than they expect given our small size and rural location.
also demonstrating our commitment to patient and family centered care is the development of a Family advisory Council. The role of patients and families as partners in their care is essential from the bedside to the boardroom. over the last year family advisors have contributed their own healthcare experiences and perspectives to enhance our new visitor’s policy, retool our signage to improve way-finding throughout the hospital, and develop bedside protocols in the iCU. This is just a small sampling of how they are helping to shape the Speare experience.
patient Safety is ensuring the right patient is receiv-ing the right care at the right time. Speare memorial hospital has responded to the national effort to re-duce medical errors and adverse events by building effective working partnerships with clinical staff and leaders, and supporting a culture of transparency.
one example is our medication safety committee, which consists of representatives from the depart-ments of quality, nursing, and pharmacy. Quite simply the goal is to eliminate patient harm from a medication error by taking a more comprehensive look at our medication safety practices—not just when an error occurs but when one doesn’t, thanks to a ‘good catch’—to prevent errors in the future. The number of adverse drug events at Speare last year was zero.
affordable care is another key healthcare compo-nent. Quality and safety help to drive down costs by increasing efficiency and effectiveness thereby en-suring better patient outcomes. These improvements have been facilitated by: further implementation of electronic charting and documentation which promotes coordination of care between departments
and providers; promoting patient safety through enhanced prevention measures; reducing hospital readmission by facilitating post-hospital care follow-up and increasing patient knowledge and under-standing of disease management.
This brings us back to primary care as the founda-tion of the healthcare system. patients who partner with their primary care provider are better educated about disease prevention and management, and the services available to assist them in advancing their own overall health and wellness. our goal is to ensure everyone has access to care by providing support to local physicians, removing barriers with our Community Care financial assistance program, and offering free healthcare screenings and health education throughout the year.
This is coordinated healthcare at work. over the past decade we have responded to the growing needs of our community to increase access to services by expanding clinical care space, the addition of new programs and updated technologies. These include digital mammography, 3-D ultrasound, high defini-tion endoscopes, medical fitness, and most recently the Sleep lab. While we continually reinvest in our community’s health and wellness locally, we are also a gateway to the larger critical care network.
as your healthcare partner we promise access to quality patient and family centered care when and where you need it. let us make your health, our mission.
NH StateAverage
NationalAverage
Speare
Heart Attack
98%
96%
100%
NH StateAverage
NationalAverage
Speare
Community Acquired Pneumonia (CAP)
91%
89%
100%
NH StateAverage
NationalAverage
Speare
Surgical Care Improvement Project (SCIP)
90%
87%
99%
NH StateAverage
NationalAverage
Speare
Heart Failure
93%
90%
100%
Core Measure Data
Colleen BrickleyChair, Board of Directors
michelle mcewen, FaChe, CpaPresident & CEO
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Finance
opportunitiesOur Mission:
To provide and coordinate quality
healthcare services based on principles
of compassion and professionalism while
promoting wellness and prevention.
Speare Memorial Hospital Administration
Michelle McEwen, FACHE, CPA President & CEO
Dr. Joseph Ebner Chief Medical Officer
Kris Hering Chief Nursing Officer
Richard Werkowski Chief Financial Officer
Laurie Bolognani Human Resources Officer
Board of Directors
Colleen Brickley, Chair
William Larsen, Vice Chair
Brian Chalmers, Treasurer
Stanley (Lee) Freeman, Assistant Treasurer
Susan Karkheck, Secretary
Michelle McEwen, FACHE, CPA, President & CEO
Quentin Blaine
Dr. Linda Crawford
Clint Hutchins
Alison Ritz
Ron Sibley
Steve Taksar
David Talbot
Eldwin A. Wixson
Challenges
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Finance
opportunities
2011 2010
Total Net Operating Revenues Anticipated dollars to be collected for services
46,446 42,888
Expenditures For:
Wages, Contract Staff and Physician Fees 20,920 19,297
Employee Benefits 6,310 6,153
Supplies, Utilities, Insurance & Other Expenses
13,955 13,848
Depreciation on Buildings & Equipment 3,173 2,622
Interest on Debt 1,319 1,022
Total Funds Paid Out 45,677 42,942
Net Income (Loss) from Operations 769 (54)
2011 2010
Emergency room visits 18,221 18,496
Outpatient (Registrations) 60,819 67,125
Surgical Services Cases 2,238 2,209
Physical & Occupational Therapy Treatments 33,392 20,372
Laboratory Tests 132,094 132,760
Radiology Exams 25,739 25,696
Oncology Procedures 5,259 6,454
Cardiac Rehab (Includes Cardiology, Diabe-tes and Cancer Rehab Sessions)
1,329 1,123
Total In-Patient Days 4,905 4,060
Physician Practice Visits 34,138 33,171
Statement of OperationsFinancials for the year ending June 30 (in thousands of dollars)
Summary of Patient Services
From a growth perspective we saw the expansion of White mountain eye Care & optical with the addition of ophthalmologist Dr. Chris russo in august. in January we merged rehabFit medical Fitness with Choice physi-cal Therapy, creating plymouth regional rehabilitation Services located at Speare memorial at Boulder point. our state-of-the-art Sleep lab opened in June offering central New hampshire access to a “better night’s sleep.”
Simultaneously, however, other hospital practices and departments saw no growth or a decline in patients. We attribute these trends to the unsettled economy which continues to leave people unemployed and without insurance or paying more for insurance with higher
deductibles. Therefore, patients are postponing preventative care and elective procedures because of the out-of-pocket costs and/or loss of income from taking time away from work.
Financially we did experience an increase in overall patient activity compared to last year. These increases are attributable to White mountain eye Care & optical, rehabilitation services and an increase in the number of overnight, inpatient stays. add in funds from a newly redesigned New hampshire Disproportionate Share hospital program (DSh), and Speare had a positive year.
The DSh program is intended to provide additional funding to those hospitals that serve a higher level of
medicaid and uninsured patients. This was the first, and most likely the last, time Speare will receive these extra funds due to further changes in the state’s allocation plan.
We anticipate other challenges as our economy struggles to recover. The newly approved State budget has proposed significant cuts to medicaid funding, much of which is geared toward reducing hospital payments for services provided to medicaid patients. at the federal level, additional payment reductions can be expected, further stressing the healthcare industry.
Speare memorial hospital is adapting to the changing environment, pursuing opportunities to ensure our continued service to the greater plymouth community.
A mix of challenges and opportunities, against a backdrop of economic uncertainty, once again shaped Speare Memorial Hospital’s financial performance this past year.
Challenges
15
many of our patients write to us after an unexpected visit to our hospital expressing appreciation, and often surprise, at the exceptional care given by our small, rural hospital. of course, we are not surprised. high quality staff, new facilities and the latest technology only happen with careful planning, anticipation of future healthcare needs and the allocation of the necessary resources.
over the years, community support has been an integral part of our efforts to assure that this outstanding care is here, in central New hampshire. our donors make sure that we have needed
resources to fund capital improvements and equipment, support community outreach and deliver remarkable patient care. Whether giving an unrestricted gift, to be used where most needed, or to a special program, each gift makes an important difference.
With deep and sincere appreciation, the Board and Staff of Speare Memorial Hospital acknowledge the generous support from the following individuals, families and businesses. Gifts totaling $242,589 were received during our 2011 fiscal year. Thank you!
Giving Levels:
Philanthropist $1,000+
Benefactor $500 - $999
Founder $250 - $499
Ambassador $100 - $249
Steward Up to $99
* Speare memorial hospital gratefully recognizes organizations, individuals and families who have supported our annual Fund for four or more consecutive years as members of the evergreen Society.
PHILANTHROPIST
Brown Brothers harriman & Co.
anne l. Bryan
Charles Foundation, inc.
Creative printed Solutions
Deachman & Cowie, p.a.
martha and Don Dolben
John and anita Downing
edwin S. Webster Foundation
George V. Durgin Charitable trust
Granite State plumbing and heating, llC
harvey Construction Corporation
marcam associates
meredith Village Savings Bank
mid-State health Center
patrick and linda Nestor
New hampshire electric Co-op Foundation
Nh Dental Society Foundation, inc.
Northeast Delta Dental
Northway Bank
procter & Gamble Company
rockywold-Deephaven Camps, inc.
mr. and mrs. robert C. rooke
Dorothy m. Smith
Stanley elevator Company, inc.
murray and Jean Swindell
toSa Foundation
town of Waterville Valley
Volpe Charitable trust
BENEFACTOR
arthur and lise albert
amerinet
allan and Jane ames
Bridgewater power Co., lp
roz and Dave Carlson
Central paper products Co.
Community Guaranty Savings Bank
Bea and Woolsey Conover
Dr. and mrs. David J. Cunis
anne and Glenn Dorr
ehlers management Group
elsie h. hillman Foundation
lois and mal estell
Fitzemeyer & tocci associates
Fred Fuller oil Co., inc.
lee and Joël Freeman
The Guy de Chazal Family Charitable Fund
John and Sylvia horgan
Clint and michele hutchins
hutter Construction Corporation
Dr. James "Sandy" Kelsey
mr. and mrs. appleton King
lakes region Coca-Cola Bottling Co.
Bill and Sandy larsen
Sam and Barb laverack
Sandra and Carl lehner
lovering Volvo
main Street Dental, llC
Joan and David martin
alex medlicott and Kristi medill
Dana merrithew, m.D.
New hampshire electric Cooperative, inc.
promutual Group
r.m. piper, inc.
Samyn-D'elia architects, p.a.
The Scott lawson Group, ltd.
tyler, Simms & St. Sauveur
Vanguard Charitable endowment program
henry e. Vittum, ph.D.
Waste management
William Gallagher assoc.
peter m. Wood
Woodsville Guaranty Savings Bank
FOUNDER
Fletcher W. adams
Baker Newman & Noyes
Scott and Sharon Bartlett
Bear images
len and Chris Bierbrier
Boston private Bank & trust Company
annie Cote
linda m. Crawford, m.D.
“Over the years, community support has been an integral part of our efforts to assure that this outstanding care is here, in central New Hampshire.”
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SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial HospitalSpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital16
MattersSpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial HospitalGiving
mary Durgin is proud to hand-deliver checks to Speare memorial hospital from her late brother George V. Durgin’s charitable trust, as he had provided for in his will. after all, the Durgin family has had a long-standing rela-tionship with plymouth’s hospital. mary and her brothers grew up in Campton just across the street from the emily Balch and Soldier and Sailors memorial hospital, then referred to as the plymouth memorial hospital.
after retiring from twenty-two years in the United States air Force, George moved back to this area where he would ultimately make provisions for many local charities. mary agrees that creating an estate plan which will benefit Speare memorial hospital demonstrates strong dedication to our community, helping others long into the future.
For more information about
supporting Speare memorial
hospital, contact Director of
Development Susan Durgy,
mBa, CFre at (603) 238-2211.
17
John and Donna Currier
michael Currier
Will and Jessica Davis
Sara J. Dembiec
Susan Durgy and Charles Barilla
evergreen embroidery
hon. and mrs. arthur J. Gajarsa
Nancy W. Grady
Granite State Credit Union
mrs. rita e. Grote
mr. and mrs. Keith m. harger
harris Family Furniture
healthplans inc. / a harvard pilgrim Company
helms & Company, inc.
Giff and Sally Kriebel
lavallee/Brensinger architects
leaders for today
mary and edward liston
Sue lopes
Dr. and mrs. timothy lyons SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
mango Security Systems, inc.
Jeff and missy mason SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
James and michelle mcewen SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
mechanical Concepts, inc.
robert S. miller
paul and Suzanne montour
Nh endodontics, pllC
oliver Drug
owl's Nest Golf Club
richard and Barbara peterson SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
hermann K. platt
plymouth Family practice Center
robert and alison ritz
robert and Sara rothschild Family Foundation
Nance and Ken ruhm SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
mary Sampson
Dorothy a. Thompson
town of hebron
David towne, mD
peg trimby
Dr. mark Vrhas
richard Werkowski
AMBASSADOR
ron and mary ann adams
anonymous
anonymous
Dana and Jack armstrong
ashland lumber / Belletetes
anonymous
Kevin and Nancy Barrett
Sharon Beaty and Wendell Broom
paul and Nancy Beck
mr. and mrs. lawrence Beeson
Joan and Steve Belkin
paul r. Belyea SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Quentin and marcia Blaine
attorney Quentin Blaine SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
mr. and mrs. George Blaisdell
robert and Karin Bleakney
mary a. Bohn
Jonathan and penelope Bourne
malcolm and ann Brawn
mr. and mrs. Neil Burlingame
Warren and rima Burroughs
richard and Florence Butler
Carolyn B. Calley
mr. paul t. Carolan
Cynthia Woodman Carver
The Cavezzali Family
richard and Jean Chisholm SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
eugene and Dona Colangelo
mr. and mrs. Thomas r. Coolidge
Bill Crangle and lee Webster
r. Carlene Crowley
Jack Curtin
Bill and Nancy Dailey
richard Davenport
mr. and mrs. Douglas r. Decluitt
marilyn and Bob Derrickson SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
maynard Weston Dow SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Dr. and mrs. Joseph ebner
alan and Jerry english
Douglas Fais SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Joseph and irene Ferro
Fidelity Charitable Gift Fund
mr. and mrs. timothy o. Fisher
Dr. Victor Gennaro and Dr. mary-Catherine Gennaro
mr. and mrs. Thomas m. Gilligan
Global montello Group Corp
margaret W. Goodwin
Samuel Gough and Sarah Crane
Granite State Glass
martha and Christopher Grant, Jr.
anonymous SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Joanne and tom Greene
Nate Grifkin
richard and patricia hage
Joanne and William harris
anonymous
Barbara hendrick SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Kris hering
Dorothy and Joseph highland
mr. and mrs. William houle
mr. and mrs. arthur howe, Jr. SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
marguerite hoyesen
mr. and mrs. John l. hyde
interlakes Family Dental Center
mr. and mrs. richard Johannemann
Karen and Bill Joslin SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
mr. and mrs. Scott K. Keefer
Frederick and Katharina Kelsey
richard Khoury
Steve and anita latulippe
audrey m. lindgren
edward m. lindholm
Jean m. lovett
David and Debbie lurie SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Ken and Joyce macDonald
robert and amy mach paul and Jan maggi ms. mary N. masland alan F. mather Kevin mc CannDr. Douglas mcVicar and Frumie Selchen Speare
A C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
megaprint, inc. elaine melquist and Kurt Schroeder Speare
A C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
anne milender SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
John and tashia morgridge michael and Cindy o'leary mr. and mrs. henry W. parker Speare
A C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Kathleen e. pearson, Do Carolyn piantedosi plymouth optical Shoppe, inc. lisa reid Speare
A C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Bob rice Neil and agnes robertson Nina and tim rose adam ross Bernadette and arnold russek Speare
A C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Bob and peg ryan paul San Soucie robert C. Scaia Cynthia Schieman raymond and mary anne Scott ron and eleesa Sibley George Smith alicia and Ken Soper Shirley G. Splaine Speare
A C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital Dan Stack Speare
A C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Frank B. Stevens SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Barbara and John Stokoe SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
W. r. Stratton mr. and mrs. David C. talbot Speare
A C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
mark and Diane Thompson Drs. elizabeth a. and William S. trought twinstate / Voice, Data, Video, inc. tony and Carol Unger
henri and Karen Wante
hartley Webster
Bruce and Betsy Whitmore
Kathy Wieliczko
eugene and Gloria Winslow
Bill Winternitz
marilyn and ed Wixson SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Gerald J. Zinfron ph.D.
STEWARD
alicia and Will abbott
Janet K. adams SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Jim aguiar
peggy alexy
heide and e. John B. allen
eunice m. allen SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
William m. aronson
Dr. and mrs. paul p. Baard
George Baldwin
anonymous
Kevin and Susan Barlow SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
C. Scott Bartlett Jr.
mrs. Janet B. Batchelder
Zita Bello & Joe Vittum
Christa and Gordon Bennett
anonymous
Kathleen m. Beriau
m.J. Blanchard
Francis J. and helen l. Boule
anonymous
Colleen & Samuel Brickley
anonymous
lola F. Brown
Ginny Burnham
mr. and mrs. everett B. Campbell
Dorothy Capeci
Jessica Charon
ronald a. Chase
a. John p. Chivers SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
lawrence and ruth Cohen
anonymous
terry Copsey, CrNa
anonymous SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
James and linda Crawford
William a. Dauer
anonymous
Julie DeGalan and Bryon middlekauff
Jim and Kay Desmarais
Janet and Jules Doner
richard Dudley
Bertha l. Duncklee SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
anonymous
James and Betty ann Dunstan
mr. preston eames
paul & Gisela estes SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Carole J. estes
Charles and linda Fanaras
robin Fitzgerald
anonymous
Brenda Fritz
robert and Suzan Gannett
Virginia m. Garlitz
mr. and mrs. Barry e. Gaw
mr. and mrs. lester Gilbert
John B. and Gail V. Glennon
ray Gosney
John and Valerie Gray
William and rosina Greene
Dodie Greenwood
Joyce a. Grier
aditi Grover
"mil" haines SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
h.r. hamilton
ruth e. harlow SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
phil haskell and terri Johnson SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
peter and peg hendel
Donald and mary-lou hinman SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
anonymous
Chris and tiffany hodges
Charles hogan
marguerite houseworth
irwin toyota, Scion, Ford, lincoln
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
SpeareA Critical Access Hospital
Memorial Hospital
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial HospitalSpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial HospitalSpeare
A C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital18
Julie a. Jenkins
mrs. hilda m. Johnk
Christopher Johnson
leslie Jose
anthony p. Keefer SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Frances and howard Kellogg SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Daniel Keniston
David and Widge Kent
terry Kitto
anonymous
Bernice langevin
Norma r. laVoie
robert and helen lindstrom SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
elizabeth F. lott
richard lovering
Sidney lovett
Kathleen lutter SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Dorothy e. main
michael marino and lee ann moulder
anonymous
Dick and annie martin SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
mascoma Valley regional educational association
helen F. mathieson
anonymous
anonymous
tom mcGlauflin
Bradford mcindoe
Susan mcKimens
anonymous
ed and marge mitchell
mort moore
robert morton SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Barbara Nicholson SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
mrs. mary e. o'Connor
Frank J. osmer Jr.
Joyce palmer and George Dewolf
anonymous
anonymous
mr. and mrs. robert h. pfeiffer
aletea and alvin pickering
Sandra and richard pike
mr. and mrs. Jon pounds
emanuel psilakis
ann K. puglisi
terri rainville
David and enid reed SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Donald richardson
Kim richardson
anonymous
anonymous
tony and Joan roy
anonymous
mr. and mrs. Stanley Sargent
rod and Claudia Scheffer SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Nevin and mary Scrimshaw
anonymous
anonymous
Dorothy a. Smith
Frank e. Stas
David l. Steele
anonymous
robert and Carol Stewart SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Walter t. tatara
mrs. Sylvia taub
ellie and Jack tishler
Gareth and Nita tobin
andy tuttle
Bob and Joey tuveson
phil and Betsy twombly SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
Juanita Wade
Gary and Beverly Walker SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
mary Gardocki Washburn
alma C. West
Seth Wheeler
anonymous
Bruce and Susan Wiggett
anonymous
John r. Williams
patricia m. Wilson
June Winsor
Wright Communications, inc.
Victoria a. Yeaton
Karen a. Young
Bob and maureen Zock
IN TRIBUTE
in honor of John D. lloyd, mD by anne milender
in honor of Jeffrey t. reisert, Do by a. John p. Chivers by Joyce a. Grier by anonymous
in honor of Speare memorial hospital Birthing Suite Staff by Samuel Gough and Sarah Crane
in honor of Speare memorial hospital Cardiac rehabilitation Staff by Donald and mary-lou hinman
in honor of Speare memorial hospital emergency Department by Gerald J. Zinfron, ph.D.
in honor of Speare memorial hospital oncology Staff by mr. and mrs. Keith m. harger
in honor of Speare memorial hospital physicians and Nurses by Cynthia Woodman Carver
IN MEMORIAL
in memory of W. malcolm "mac" Bownes by mary a. Bohn by phil and Betsy twombly
in memory of edward Boynton by anonymous
in memory of Wilmer r. Brown by lola F. Brown
in memory of marion Burrows by mr. and mrs. richard Johannemann
in memory of richard h. Calley by Carolyn B. Calley
in memory of lin Chase by ronald a. Chase
in memory of Grace e. Crowley by r. Carlene Crowley
in memory of Kria anne Cushing by mascoma Valley regional educational association
in memory of Carole J. estes
by paul & Gisela estes
in memory of lawson W. Glidden by Shirley G. Splaine
in memory of pauline e. Glidden by Shirley G. Splaine
in memory of Jack Glidden by Shirley G. Splaine
in memory of rita Gove by mr. and mrs. lester Gilbert
in memory of reginald Greenwood by Dodie Greenwood
in memory of Berenice hall by anonymous
in memory of eugenia Kirk, mD by margaret W. Goodwin
in memory of m. ernestine lindholm by edward m. lindholm
in memory of Joan Campbell lovett by Sidney lovett
in memory of ruth lurie by David and Debbie lurie
in memory of Samuel lurie by David and Debbie lurie
in memory of John S. mitchell by anonymous
in memory of harry C. morgan by robert and Suzan Gannett
in memory of edith morrison by Zita Bello & Joe Vittum
in memory of harold moulton by marguerite hoyesen
in memory of annla l. Neikam by Jim and Kay Desmarais
in memory of louise m. osmer by Frank J. osmer Jr.
in memory of russell palmer by Joan and Steve Belkin by mr. and mrs. everett B. Campbell by eugene and Dona Colangelo by Boston private Bank & trust Company by Daniel Keniston by George Baldwin by mr. and mrs. robert h. pfeiffer by mark and Diane Thompson by hartley Webster
in memory of Virginia a. racine by Zita Bello & Joe Vittum
in memory of Susan G. San Soucie by paul San Soucie
in memory of Gail Smith by Janet and Jules Doner
in memory of edward J. Splaine by Shirley G. Splaine
in memory of Barbara ray Stevens by Frank B. Stevens
in memory of Doris Thompson by Dorothy a. Thompson
in memory of lyle Thompson by Dorothy a. Thompson
GIFTS IN-KIND
antoinette's Flower & Gift Boutique
ashland Woman's Club
BJ's Wholesale Club
Brown Brothers harriman & Co.
Georgia Campbell
Campton Congregational Church
Canobie lake park
Chesley's Glory Station
Church of Jesus Christ of latter Day Saints
Ciao pasta
Clark's trading post
Clay's Chocolate Shop
The Common man
Creative printed Solutions
Dresser's Unlimited
Dunkin Donuts
The Family of alfred and Bertha Fauver
The Flowersmiths
Fugaky restaurant
Glove hollow Christmas tree Farm
Green mountain Coffee
helen & Claus hoie Charitable Foundation
holderness General Store
holy trinity Church - Faith Formation Classes
emily hutchins
Denyse ilsley
Kathy Johnson
eric and Debbie Johnson and Family Joe and Bobby Kretz loon mountain resort mad river tavern The manor on Golden pond meredith Village Savings Bankmountain laurel Flower Shop Nassau Broadcasting / The Wolf Nh endodontics, pllC Northway Bank officemax robin orr elva piehn plymouth regional high School Class of 2014 plymouth Ski & Sports rands hardware malcolm e. and Jean o. ray renaissance Florals rSVp Salmon press Six Burner Bistro Barbara Spike Squam Boat livery, inc. Squam lakes Natural Science Center Shirley Stancheva Starr King Unitarian Universalist Fellowship Sulloway & hollis Thai Smile restaurant tony's italian Grill treads Footwear Uniformly Yours Village pizza & Grill Wal-mart Walter's Basin Waterville Valley resort laurence and Judy Webster Woodstock inn, Station & Brewery WXrV / The river
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial HospitalSpeare
A C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital19
SpeareA C r i t i c a l A c c e s s H o s p i t a l
Memorial Hospital
16 Hospital RoadPlymouth, NH 03264
ECR • WSSNon-Profit Organization
US POSTAGEP A I D
PERMIT #27Plymouth NH
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