Speare-Hospital-2011-Annual-Report

S p e a r e m e m o r ia l h o s p i ta l 2011 Annual Report More than you expect “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.” Meet Jackson Choice Every story starts with a decision 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 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 another 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 I was comforted by the fact Dr Banister was on top of his game and knew what he was doing.” he came out healthy 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 retention 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 important 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 probably 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.” That is the Speare experience Creig’s story Carin “I want everyone to know how appreciative I was They were there to take ng 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, personal 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 care of you like you were the only You began to feel like it’s a family.” patient on the floor Leonetta Doyle 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 and Leonetta made a particularly special connection with LNA Amy Enderson The emotion rises in Leonetta’s voice as she reflects back: “Amy talked 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 xray 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 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.” “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 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 otherwise no walking around Dr Pearson was insistent, “You are not to move.” 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.” 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.” Leonetta continues, the faith support I needed It was then I realized this is a community, and I felt I belonged.” 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 Many Than Annual Volunteers John Adams Jean Bolstridge Kaela Cote Richard Flanagan Mike Guy Brian Letourneau Carolyn Piantedosi Wallace Stuart Mary Ann Adams Dan Bowers Sandy Crisp Lee Fortier Gayle Hannan Emily Lonergan Elva Piehn June Tackett Brenda Akerman Sue Brothers Rachael DeSantis Elaine Freedman David Hiltz Carol Mabin Joan Poitras Ann Thibodeau Bethany Atwood Ann Burghardt Irene Deutsch Claudine Gall Marguerite Hoyesen Kathy MacDonald Janet Rapp Joan Thomas David Bartholomew Michael Buttolph Ruth Doane Marie Gardner Tiffany Johnson Shirley Marcroft Katie Roukes Larry Tingley Mary Bartholomew Kathryn Caldwell Jules Doner Christopher Gonzalez Sarah Kilfoyle Suzanne Martin Lauren Sargeant Eileen Torrey Kerry Beal Jessica Carpenter Virginia Dunn Marilyn Gonzalez-Rudis Susan Kipphut Tara McKenzie George Smith Patricia von Klock Joan Bergstrom Deborah Casale Helen Ellsworth Judith Gooch Joanne Koermer Darlene Nadeau Jenna Stearns Alexandre Wagner Nancy Bird Linda Cochran Chuck Engborg John Gray Lucy Lahey Tobias Nyatsambo Sarah Steenbergen Bethany Ward Karen Bissonette Megan Cooper Lois Estell Dianna Green Rachel Lamphier Joan O’Connor Susan Stepp Ed Weber Ann Blair Pat Corbin Mal Estell Bernice Grossman Chantal LaPlante Robin Orr Sarah Stewart Joy Webster Irene Blake Julia Cote Cheryl Fifield Aditi Grover Leo LeBlanc Brittany Phelps Marty Stokes Christopher Wilk 10,144 Hours Spirit Team Volunteers 77Hours Cathleen Anderson Sydney Henderson Amanda Morse Brooke Banister Heather Johnston Brett Pestana Seth Beyer Alejandra Manheimer Ryann Sargent Jordan Browne Alisha McGlone Sarah Solomon Amy Cirrone Connor Mersch Eric Trott Katie Darragh Erin Moore Erin Yorke 10,221 Total Volunteer Hours nks ! “My time as a volunteer was so much more than I expected,” notes Hillary passion for nursing may have been sparked long ago, it was through her volunteer experience at Speare that the flame was ignited While Hillary’s 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 volunteer 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 Family Community Lifestyle Dr Ebner and his family enjoying all that New Hampshire has to offer Dr Russo Dr Stack Dr Danosi Dr Koren So why qualified, well-trained physicians elect to live in central New Hampshire and work at Speare? For the 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 surprise and more than you expect from a small, rural, community hospital So why qualified, well-trained physician elect to live in central New Hampshire and work at Speare? For the same reasons YOU Our doctors enjoy the hiking, biking, boating, and skiing that the Lakes and White Mountains regions have to offer The greater Plymouth community 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 same reasons YOU DO! 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 opportunity that allows us to work and live where we like to play 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 Dr Stack recently joined Plymouth OB/GYN seeking a better life balance She has previously practiced in the Boston area and Detroit and is excited to explore the White Mountains and better integrate her professional life with her other interests like hiking and kayaking She hopes to plant a garden next spring, and invest in some livestock 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 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 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 Joseph Ebner, MD Chief Medical Officer Safety Quality Patient Satisfaction 10 A Quality Partnership Leads to Improved Care Delivery 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 followup 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 Nursing and Quality Patient Safety Partnership Goals • Hardwire clinical care delivery so that favorable patient outcomes are sustained regardless of shift or day of the week • Continuously improve communication processes and patient hand-offs which elevate patient safety and patient satisfaction • Quantify nursing-sensitive indicators and compare outcomes within a national database (e.g falls, pressure ulcers, catheter-associated urinary tract infections) • 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 Emergency Department* Ambulatory Surgery* Inpatient Care* Outpatient Services* Nursing courtesy Degree pain was controlled Nurses’ attitudes toward patient requests Skill of techs/therapists/nurses SMH Mean National Rank 92.8 84 SMH Mean National Rank 94.8 88 SMH Mean National Rank 92.9 89 SMH Mean National Rank 96.0 82 *National rank as compared to all hospitals participating in the Press Ganey database Patient Harm The number of occurrences of adverse drug events during FY 2011 11 12 Leadership Quality Safety Affordable Coordinated scores across hospital departments From the ER These are the key words that come to mind when describing our patients’ expectations regarding their healthcare experience at Speare Memorial Hospital satisfaction with their Speare experience It is more than they expect given our small size and rural location 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, today’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 Core Measure Data Heart Attack NH State Average National Average Speare 98% 96% 100% Surgical Care Improvement Project (SCIP) NH State Average National Average Speare 90% 87% 99% Despite this conflict and financial uncertainty, Community Acquired Pneumonia (CAP) NH State Average National Average Speare 91% 89% 100% Heart Failure NH State Average National Average Speare 93% 90% 100% 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 evidencedbased 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 to the OR patients consistently ranked us in the 90% percentile relative to their 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 receiving the right care at the right time Speare Memorial Hospital has responded to the national effort to reduce 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 departments 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 component Quality and safety help to drive down costs by increasing efficiency and effectiveness thereby ensuring 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 followup and increasing patient knowledge and understanding of disease management This brings us back to primary care as the foundation 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 definition 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 Colleen Brickley Chair, Board of Directors Michelle McEwen, FACHE, CPA President & CEO 13 Our Mission: To provide and coordinate quality healthcare services based on principles of compassion and professionalism while promoting wellness and prevention Challenges opp 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 14 Finance portunities A mix of challenges and opportunities, against a backdrop of economic uncertainty, once again shaped Speare Memorial Hospital’s financial performance this past year 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 Physical 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 Statement of Operations Financials for the year ending June 30 (in thousands of dollars) Total Net Operating Revenues 2011 2010 46,446 42,888 Anticipated dollars to be collected for services Employee Benefits Supplies, Utilities, Insurance & Other Expenses Depreciation on Buildings & Equipment Interest on Debt Total Funds Paid Out Net Income (Loss) from Operations 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 Summary of Patient Services 2011 18,221 18,496 Outpatient (Registrations) 60,819 67,125 2,238 2,209 Physical & Occupational Therapy Treatments 20,920 19,297 6,310 6,153 13,955 13,848 3,173 2,622 1,319 1,022 45,677 42,942 769 (54) 2010 Emergency room visits Surgical Services Cases Expenditures For: Wages, Contract Staff and Physician Fees 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 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, Diabetes and Cancer Rehab Sessions) 1,329 1,123 Total In-Patient Days 4,905 4,060 34,138 33,171 Physician Practice Visits 15 are 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! PHILANTHROPIST Procter & Gamble Company Elsie H Hillman Foundation ProMutual Group Brown Brothers Harriman & Co Rockywold-Deephaven Speare Camps, Inc Lois and Mal Estell R.M Piper, Inc Anne L Bryan Memorial Hospital Charles Foundation, Inc Mr and Mrs Robert C.Speare Rooke Creative Printed Solutions Dorothy M Smith Deachman & Cowie, P.A Stanley Elevator Company, Inc A Critical Access Hospital Speare Murray and Jean Swindell John and Anita Downing Speare TOSA Foundation Memorial Hospital Memorial Hospital A Critical Access Hospital The Guy de Chazal Family Charitable Fund Vanguard Charitable Endowment Program John and Sylvia Horgan Speare Henry E Vittum, Ph.D Clint and Michele Hutchins Waste Management Memorial Hospital Hutter Construction Corporation William Gallagher Assoc Granite State Plumbing and Heating, LLC Dr James "Sandy" Kelsey Peter M Wood BENEFACTOR Mr and Mrs Appleton King Harvey Construction Corporation Arthur and Lise Albert Amerinet Lakes Region Coca-Cola Bottling Co Woodsville Guaranty Savings Bank A Critical Access Hospital Speare Volpe Charitable Trust Memorial Hospital A Critical Access Hospital Allan and JaneSpeare Ames A Critical Access Hospital Bill and Sandy Larsen FOUNDER Bridgewater Power Co., LP Speare Sam and Barb Laverack Fletcher W Speare Adams Speare Roz and Dave Carlson Sandra and Carl Lehner Baker Newman & Noyes Central Paper Products Co Lovering Volvo Scott and Sharon Bartlett New Hampshire Electric Co-Op Foundation Community Guaranty Savings Bank Main Street Dental, LLC Bear Images Joan and David Martin Len and Chris Bierbrier Bea and Woolsey Conover Dr and Mrs David J Cunis Alex Medlicott and Kristi Medill Dana Merrithew, M.D Boston Private Bank & Trust Company New Hampshire Electric Cooperative, Inc Linda M Crawford, M.D Marcam Associates Patrick and Linda Nestor Memorial Hospital A Critical Access Hospital Memorial Hospital A Critical Access Hospital $250 - $499 NH Dental Society Foundation, Inc Ambassador $100 - $249 Northeast Delta Dental Anne and Glenn Dorr Northway Bank Ehlers Management Group Memorial Hospital Tyler, Simms & St Sauveur Memorial Hospital A Critical Access Hospital Founder Speare * The Scott Lawson Group, Ltd Lee and Joël Freeman George V Durgin Speare Charitable Trust Memorial Hospital $500 - $999 Up to $99 Samyn-D'Elia Architects, P.A Town of WatervilleSpeare Valley Benefactor Steward Fitzemeyer & Tocci Associates Fred Fuller Oil Co., Inc Edwin S Webster Foundation A Critical Access Hospital Mid-State Health Center Philanthropist $1,000+ A Critical Access Hospital Martha and Don Dolben Meredith Village Savings Bank Giving Levels: Memorial Hospital Memorial Hospital Memorial Hospital A Critical Access Hospital A Critical Access Hospital Annie Cote 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 A Critical Access Hospital “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.” 16 Giving Matters 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 relationship 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 re John and Donna Currier Dr Mark Vrhas Michael Currier Richard Werkowski Will and Jessica Davis Sara J Dembiec AMBASSADOR Susan Durgy and CharlesSpeare Barilla Memorial Hospital A Critical Access Hospital Evergreen Embroidery Memorial Hospital A Critical Access Hospital Dr and Mrs Joseph Ebner Alan and Jerry English Ron and Mary Ann Adams Anonymous Anonymous Nancy W.Speare Grady Dana and Jack Armstrong Memorial Hospital A Critical Access Hospital Mrs Rita E.Speare Grote Ashland Lumber / Belletetes Anonymous Memorial Hospital Mr and Mrs Keith M Speare Harger A Critical Access Hospital Memorial Hospital Harris Family Furniture A Critical Access Hospital HealthPlans Inc / A Harvard Pilgrim Company A Critical Access Hospital Joseph and Irene Ferro Mr and Mrs Timothy O Fisher Dr Victor Gennaro and Dr Mary-Catherine Gennaro Kevin and Nancy Barrett Global Montello Group Corp Sharon Beaty and Wendell Broom Margaret W Goodwin Paul and Nancy Beck Granite State Glass Samuel Gough and Sarah Crane Mr and Mrs Lawrence Beeson Speare Giff and Sally Kriebel Joan and Steve Belkin Lavallee/Brensinger Architects Paul R.Speare Belyea Leaders for Today Quentin and Marcia Blaine A Critical Access Hospital Memorial Hospital Mr and Mrs Thomas M Gilligan Helms & Company, Inc Memorial Hospital Speare Douglas Fais Fidelity Charitable Gift Fund Hon and Mrs Arthur J Gajarsa Granite State Credit Union Martha and Christopher Grant, Jr Speare Anonymous Memorial Hospital Memorial Hospital A Critical Access Hospital A Critical Access Hospital Joanne and Tom Greene Mary and EdwardSpeare Liston Attorney QuentinSpeare Blaine SueSpeare Lopes Mr and Mrs George Blaisdell Richard and Patricia Hage Robert and Karin Bleakney Joanne and William Harris Mary A Bohn Anonymous Memorial Hospital A Critical Access Hospital Memorial Hospital Speare Dr and Mrs Timothy Lyons A Critical Access Hospital Memorial Hospital A Critical Access Hospital Mango Security Systems, Inc Jeff and MissySpeare Mason Memorial Hospital A Critical Access Hospital Nate Grifkin Speare Barbara Hendrick Malcolm and Ann Brawn Kris Hering Mechanical Concepts, Inc Mr and Mrs Neil Burlingame Dorothy and Joseph Highland Robert S Miller Warren and Rima Burroughs Mr and Mrs William Houle Paul and Suzanne Montour Richard and Florence Butler Speare Mr and Mrs Arthur Howe, Jr NH Endodontics, PLLC Carolyn B Calley Marguerite Hoyesen Oliver Drug Mr Paul T Carolan Mr and Mrs John L Hyde Owl's Nest Golf Club Cynthia Woodman Carver Interlakes Family Dental Center The Cavezzali Family Mr and Mrs Richard Johannemann Speare James and Michelle McEwen A Critical Access Hospital Memorial Hospital A Critical Access Hospital Speare Richard and Barbara Peterson Memorial Hospital A Critical Access Hospital Memorial Hospital A Critical Access Hospital eraepS latipsoH lairomeM latipsoH sseccA lacitirC A Speare Richard and Jean Chisholm Plymouth Family Practice Center Eugene and Dona Colangelo Robert and Alison Ritz Mr and Mrs Thomas R Coolidge Mr and Mrs Scott K Keefer Bill Crangle and Lee Webster Richard Khoury R Carlene Crowley Steve and Anita Latulippe Mary Sampson Jack Curtin Audrey M Lindgren Dorothy A Thompson Bill and Nancy Dailey Edward M Lindholm Town of Hebron Richard Davenport Jean M Lovett David Towne, MD Mr and Mrs Douglas R Decluitt Robert and Sara Rothschild Family Foundation Nance and KenSpeare Ruhm Memorial Hospital A Critical Access Hospital Peg Trimby Memorial Hospital A Critical Access Hospital Speare Karen and Bill Joslin Memorial Hospital A Critical Access Hospital Frederick and Katharina Kelsey Speare Marilyn and Bob Derrickson Memorial Hospital A Critical Access Hospital Henri and Karen Wante Paul and Jan Maggi Hartley Webster Ms Mary N Masland Bruce and Betsy Whitmore Alan F Mather Kathy Wieliczko Kevin Mc Cann Eugene and Gloria Winslow Dr Douglas McVicar and Frumie Speare Selchen Bill Winternitz MegaPrint, Inc Gerald J Zinfron Ph.D Janet and Jules Doner Richard Dudley Memorial Hospital A Critical Access Hospital A Critical Access Hospital Elaine Melquist Speare and Kurt Schroeder Memorial Hospital Speare Anne Milender A Critical Access Hospital Memorial Hospital A Critical Access Hospital John and Tashia Morgridge Michael and Cindy O'Leary Mr and Mrs Henry W.Speare Parker Memorial Hospital A Critical Access Hospital Kathleen E Pearson, DO Carolyn Piantedosi Plymouth Optical Shoppe, Inc Speare Lisa Reid Memorial Hospital A Critical Access Hospital Bob Rice Neil and Agnes Robertson Nina and Tim Rose Paul San Soucie Raymond and Mary Anne Scott Ron and Eleesa Sibley A Critical Access Hospital Mr Preston Eames Peggy Alexy Speare Paul & Gisela Estes Heide and E John B Allen Carole J Estes Memorial Hospital Speare Eunice M Allen Memorial Hospital Charles and Linda Fanaras Memorial Hospital A Critical Access Hospital Robin Fitzgerald Dr and Mrs Paul P Baard Anonymous George Baldwin Brenda Fritz Anonymous Robert and Suzan 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