R e p o r t t o t h e C o m m u n i t y 2 0 0 9

Helping SeniorsLIVE the LIVEStheyLOVE

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TABLE of CONTENTSLetter from John W. Rowe............3

Expanding our Services to Meet The Needs of the Community ............4

Our Communities ......................9

Community Engagement ............15

Bethesda Health Group Foundation ............................18

Honor Roll of Donors ................22

Financials..............................30

Board of Directors ....................32

Management Team ..................34

Volunteer Boards ....................35

In 2009, Bethesda HealthGroup was named as one of the “best of the best” by the St. Louis Regional Chamber &Growth Association, as it wasnamed a recipient of the

prestigious “Top 50 Businesses Shaping Our Future”award. The award recognizes local companies andorganizations that have made a significant economicand civic impact on our region. This is the secondconsecutive year, and the third time in four years, thatBethesda has been named to this prestigious list.

Bethesda residents Harry and Violet Schmidt celebrate theiranniversary at the Bethesda Southgate Vow Renewal Ceremony.

Cover photos (left to right): Receptionist Trudy Prewitt checks in patient Florence Driscoll with herfamily at the Bethesda Rehab &Therapy Center at Bethesda Dilworth;Bethesda Gardens resident Bud Voittakes up gardening in the courtyard;The Charless Home resident FredIngleton and his wife, Claudia, enjoy acarriage ride at the annual StrawberryFestival; Marsha Sands, physicaltherapist at the Bethesda Rehab &Therapy Center, works with patientCharlotte Kimmel; Bethesda BarclayHouse resident Anna Chapo trimsroses by the pool; Bethesda BarclayHouse residents Ann Hawken and ToniBreihan participate in the aquaaerobics exercise class.

Helping seniors live the lives theylove means Bethesda Health Groupremains focused on innovation andimprovement, as well as its intensecommitment to understanding the needs of the St. Louis community. Throughoutthe past year, Bethesda has continuallyproven its fortitude and resilience in thewake of unprecedented economic challengesfaced by our organization, employees,residents and their families.

No sector of our economy is recessionproof, and while the need for care has notabated, the ability to fund even the mostnecessary services has proven difficult formany health care organizations.

Thankfully, Bethesda’s history of fiscalprudence and sound planning means thatall of our services continue undeterred. Thisreport details many achievements—largeand small—that reflect our ongoing effortsto ensure St. Louis families and their elderloved ones enjoy a quality of life defined on their own terms.

A few highlights…construction of the Bethesda Rehab & Therapy Center at Bethesda Dilworth is complete, and St. Louis now has an all-private room,senior-focused rehabilitation facility unlikeany other. We welcomed our first chieftechnology officer, who is usheringBethesda into the era of IT innovation,wireless access, electronic medical records

and monitoring of care to ensure qualityand safety in all we do. Our commitment to employee education continues to earnpraise and stands far above that of otherorganizations.

We also continue to honor our nonprofit heritage by offering as muchcharitable assistance aspossible to our residentswhose personal financeshave been dealt harshblows.

Appropriately, wecontinue to plan for the future of Bethesda.Our board ofdirectors has recentlyapproved a successionplan that includes the election ofJoseph Brinker to serve as President andChief Operating Officer, while I remain as Vice Chairman and CEO. Joe has servedBethesda for 20 years, earning the trust ofour board and myself, and ultimately, hewill provide the next generation ofleadership our residents and employeesdeserve.

In gratitude for your continued support,

John W. RoweVice Chairman and Chief Executive Officer

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Letter fromJOHN W. ROWE

services, giving seniors more choices for afulfilling and rewarding life.

Adult Day ClubLocated on the Bethesda Dilworth

campus, the Adult Day Club continues to thrive in its new space, giving seniors a sense of independence and belonging in a safe, secure environment.

The Adult Day Club offers activitiesand programs that stimulate the mind andbody, while also giving family members aneeded break. With an on-site licensednurse to monitor the participants’nutritional and medical needs, as well asprovide health screenings, families knowthat their loved ones are in good hands.

From outdoor picnics to daily in-houseactivities, such as crossword puzzles and artsand crafts, the Adult Day Club provides afull schedule of activities that meets eachparticipant’s interests. Additionally, the

group ventured tothe Carousel House,the MarionettePuppet Theatre, theSt. Louis ScienceCenter, the HistoryMuseum and theButterfly House.

When St. Louis seniors need therapy,rehabilitation, companionship or assistance,they can count on Bethesda’s home andcommunity-based services to offer quality,individualized care. Bethesda is a provenleader in helping seniors live the lives theylove, and continues to exceed state andnational standards in customer service,senior care and programs. Today, Bethesdais working to expand opportunities forreceiving our home and community-based

Expanding our Services to MEET THE NEEDS of the Community

Top photo: Bethesda AdultDay Club nurse MaryCurtis plays dominos with participants.

Left: Adult Day Clubparticipant Doris Lancebakes a new recipe withAdult Day Club aide FranSvezia.

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One of the most noticeable benefits hasbeen the presence of pets at the Adult DayClub. Research shows that animals have acalming effect on seniors, so the Adult DayClub maintains a partnership with theAnimal Protective Association to allowanimals to visit on a monthly basis.

This fall, the Adult Day Club hosted aflu vaccine clinic for the community, andbegan offering in-service presentations as away for nurses to educate seniors aboutvarious health matters.

Bethesda Rehab & Therapy CenterWith the opening of the Bethesda

Rehab & Therapy Center, seniors needingadditional recovery after a hospital stay nowhave access to short-term rehab and therapyin a premier setting.

Located adjacent to Bethesda Dilworth,the center features 48 private suites withindividual bathrooms and showers, givingits residents a sense of privacy and comforton their road to recovery.

The Bethesda Rehab & Therapy Center opened in April at nearly full capacity and has remained that way since. Some patients have even called in advance to check bedavailability before scheduling a surgery.

At Bethesda, staff members believethat creating a peaceful environment is akey component in the healing process.

As a result, there are fresh flowers in thelobby and dining rooms, flat screentelevisions in each suite, and a spa, whichincludes whirlpool baths. The Center is alsodivided into named neighborhoods, eachcontaining their own dining room andfamily area.

With the proven success of the BethesdaRehab & Therapy Center, Bethesda plans to eventually develop similar centers atBethesda Southgate, Bethesda Meadow andThe Charless Home, which also providerehabilitation and therapy services.

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Muriel Van Oordt, Vice President and Administrator at Bethesda Dilworth; Joseph Brinker, President and Chief Operating Officer at Bethesda; Paul Marti, Mayor of Oakland, Mo.; Missouri Lieutenant Governor Peter Kinder; John Rowe, Vice Chairman and CEO of Bethesda; State Representative Jeanne Kirkton; and George Clements, Jr., Chairman of the Board at Bethesda, at the ribbon-cuttingceremony for the Bethesda Rehab & Therapy Center.

Holly Greminger, Medicare Coordinator, givesguests a tour of the center’s high-tech therapy gym.

Julie Herman, daughter of Reinhold Henningsen, aBethesda Rehab & Therapy Center patient, meetswith Marla Terry, a unit secretary at the center.

Bethesda Senior Therapy Center (Outpatient Therapy)

Just a year after opening at BethesdaOrchard in April 2008, the Bethesda SeniorTherapy Center has already expanded totwo of Bethesda’s independent senior livingcommunities and is now available to allseniors in the St. Louis community.Today, the center’s steady growth is a sign of increasing need for access to qualityoutpatient therapy for aging adults.

The Medicare-certified Bethesda SeniorTherapy Center offers therapy services forthose who have suffered injuries and/orbalance difficulties. Providing personalizedtherapy designed to meet the individual’sspecific needs helps patients rest assuredthat they are receiving the best care and are on track for a fast recovery.

The number of patients who havereceived care at the center has doubled sincelast year, mostly in part from its expansionto Bethesda Terrace and Bethesda Gardens.Seniors at all three communities now haveready access to outpatient services close totheir homes, allowing those who rarelyreceived therapy to now visit multiple times per week.

The Bethesda Senior Therapy Centernot only helps improve quality of life forseniors, but also provides a continuum ofcare from within the Bethesda community.As the need for easily accessible outpatientrehab continues to grow, so will ourcommitment to expand in additionallocations in the future.

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Senior Therapy Senior Centerphysical therapist Brian Roseassists resident Dan Ecoff.

Bethesda Hospice CarePreparing for end-of-life care is a

difficult and trying time for families andtheir loved ones. That’s why BethesdaHospice Care is committed to optimizingquality of life and comfort to those whoseek it.

This community benefit offers a team of medical experts skilled in symptomcontrol and pain management to familiesthroughout the St. Louis region.

This year, Bethesda Hospice Care made several new additions to its staff and programs. Dr. Hany Salama serves asmedical director and is certified in bothhospice and palliative care.

In the spring, Bethesda’s Hospice CareChaplain, Rev. Dorothy Gannon, beganteaching continuing education classes atEden Theological Seminary (near WebsterUniversity) and Safe Harbor Hospice inFredericktown. The classes stemmed fromcommunity clergy who were looking forways to feel more prepared in caring fordying and bereaved parishioners. Todayclasses include participants from St. Louiscity and county, St. Charles, Warren andLincoln counties, as well as from Illinois.

As a direct result of the classes, BethesdaHospice Care began offering six months ofon-going mentored training. Communitypastors are invited to learn more about theend-of-life process with Bethesda’s hospiceteam of professionals.

Bethesda Hospice volunteer Linda Estesand Bethesda Meadow resident andvolunteer Mary Paasch attend Bethesda’sannual Volunteer Appreciation Luncheon.

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St. Andrews & Bethesda Home HealthWhen seniors need skilled health care

while maintaining their independence athome, they turn to St. Andrews & BethesdaHome Health.

This Medicare-certified, senior-careprovider offers a full range of home healthservices, including skilled nursing, physicaland occupational therapy, speech therapyand nutrition support.

High-quality care and personal attentionby staff has resulted in outstanding patientsatisfaction scores—a testament of the staff ’s knowledge, professionalism andfriendliness. Additionally, St. Andrews & Bethesda Home Health exceeded state,national and local market averages on nearly all federal quality indicators and wasrecognized among the top 25 percent ofhome health agencies in the U.S. by theOCS HomeCare and DecisionHealth.

In 2009, St. Andrews & BethesdaHome Health added St. Charles County toits coverage area, which includes St. Louiscity and county, as well as Jefferson andFranklin counties.

The agency also launched a Web site,www.standrewsbethesda.com, where visitorscan now learn about the various services

provided or use an interactive map to find ahome health location.

Bethesda Private DutyFrom a full-time helping hand to

companionship as needed, Bethesda’sPrivate Duty is a personalized care optionthat adapts to your family’s needs in aprofessional and caring manner.

This at-home assistance program offersthe services seniors need to live a healthyand productive life. Whether runningerrands, making a meal or helping withmedications, Bethesda Private Dutyprovides flexible help from three to 24hours a day.

In June, Bethesda Private Duty extendedits services to include independent livingresidents at The Charless Home. Also thisyear, Private Duty staff helped organize andhosted, along with Bethesda Hospice Careand St. Andrews & Bethesda Home Health,a kickoff fundraising carnival for the annualUnited Way campaign.

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St. Andrews & Bethesda Home Health celebrated its one-year anniversary with an Open House.

Bethesda Gardens resident Jean Engel visits with Bethesda Private Duty’s LaVonda Whittington.

Each day, Bethesda helps area seniorslive the lives they love by being acutelyaware of the residents’ needs and desires.Whether accessing the superior care at oneof Bethesda’s nationally accredited skillednursing communities or maintaining a safe and active lifestyle at one of theindependent apartments or villa homes,Bethesda seniors are encouraged to live their lives to the fullest.

As a nonprofit organization supportedthrough charitable donations to theBethesda Health Group Foundation,Bethesda is able to reinvest in theorganization, continuously improvingour communities with residents’ bestinterests at the center of everydecision.

Thus, many improvements are related to the advancement andoverhaul of technology, which allowsthe dedicated care team to allocateadditional time to personalized seniorcare and less time to paperwork.

With a focus on fiscal responsibility,Larry Hickman, Bethesda’s newCorporate Vice President and ChiefInformation Officer, and his technologygroup have researched extensively the roleof technology to create an organizationthat is increasingly efficient and effective.

As technology infrastructure expands,many of Bethesda’s nine communities seeimprovements and additions such aselectronic “touch-screen” medical records,wireless Internet, updated television access

and an integrated electronic system for administering prescriptions.

As hospitals and medical groups adopt electronic medical records in the nearfuture, Bethesda, a regional leader in seniorcare, is positioned to make the transitionwith its newly created technology and datainfrastructure.

By focusing on the appropriate uses of information technology, Bethesda isprepared for future growth to meet themedical and social needs of the ever-evolving senior population.

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Our COMMUNITIES

Wynier Cushshon, certified nurse assistant,works at one of the electronic “touch-screen”medical records station.

Bethesda DilworthWhile the Bethesda Dilworth campus

has experienced significant changes with the opening of the new Bethesda Rehab & Therapy Center, the community’s corecommitment to the highest quality seniorhealth care has not changed. Accredited bythe national Joint Commission and nestledin Oakland, near Kirkwood, WebsterGroves and Crestwood, Bethesda Dilworthoffers expertise in geriatric specialtiesincluding Alzheimer’s care and senior-focused rehabilitation.

In 2009, Bethesda Dilworth’s Auxiliaryprogram coordinated with volunteers andlocal community organizations to createunique programs and activities thatstrengthen spirits and create an enriching living environment.

One such example is the horticulturetherapy program that was developed inpartnership with the Missouri BotanicalGarden. The program takes place inBethesda Dilworth’s newly renovated greenhouse, where residents use plants andgardening to reduce stress, gently exerciseaging joints and stimulate memories.

Bethesda MeadowAs a recipient of the Joint Commission’s

national accreditation, Bethesda Meadowand its caregivers are often recognized fortheir excellence in senior care.

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Five generations of family, includinggreat-greatgranddaughtersTiarra and TrenayAdkins, joinedBethesda Dilworthresident RosiePruitt to celebrateher 105th birthday.

Skilled NURSING

Bethesda Meadow residents and staff take a tourof the locally renowned Schlafly Bottleworksbrewery during a group outing.

This year, Julie Yates, alongtime volunteer; Lori Gegg, a licensed registered nurse; andBrenton Zeigler, a certified nurse assistant, received unique awards that showcased theirdedication and invaluable ability to keep our seniors safe.

Julie was awarded the 2008 “Quality of LifeCaregiver Award” from the St. Louis Long Term CareOmbudsman Program for her dedication tovolunteering at Bethesda Meadow for morethan six years.

Lori and Brenton received the“American Red Cross Lifesavers Award” for assisting a resident during mealtime bysuccessfully performing the Heimlichmaneuver. They were nominated for theRed Cross award by the resident’sexceedingly grateful family.

Employees at this Ellisville skillednursing community also completed theMulti-Disciplinary Certificate Program in Dementia Care, which was developed by the Alzheimer’s Association. Thiscontinuing education program providedexpert perspectives on the psychological,social and practical care of Alzheimer’sdisease and related dementias.

Bethesda SouthgateLocated in the heart of South St. Louis

County, the Bethesda Southgate staff isdedicated to ensuring that residents haveendless opportunities to stay engaged, active and social.

In addition to developing uniqueactivities and clubs, the staff at BethesdaSouthgate has an innate ability to recognizeresidents’ growing interests and passions.

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John and Loretta Owings share a kiss at BethesdaSouthgate’s Vow Renewal Ceremony.

This year, employees created a specialvegetable garden for the residents, who have since harvested lettuce, radishes andcucumbers.

This community also received a grantfrom the Retirement Research Foundationto expand its Nintendo Wii Fit exerciseprogram to help seniors stay active andimprove balance.

In addition to delivering compassionatesenior care, the staff at this JointCommission-accredited community ensures that life and family are celebrated.On Valentine’s Day, the community hosted a vow renewal ceremony for our married couples. Twenty couples celebrated more than 800 combined years of marriage!

Bethesda Southgate residents and employees attend a St. LouisCardinals baseball game.

INDEPENDENT and ASSISTED Living

Bethesda OrchardThe residents at Bethesda Orchard

are uniquely connected to the culture andcommunity surrounding this independent-living community. Located in the OldOrchard area of Webster Groves, residentstake advantage of this active neighborhoodby enjoying the nearby boutiques,restaurants and other businesses, includingthe popular fresh produce stand.

True to their nature of communityinvolvement, many Bethesda Orchardresidents are particularly involved with theShepherd’s Center, a local, senior-focusedcommunity organization committed tohelping seniors maintain their vitality andindependence by promoting learning, traveland ministry opportunities.

Employees at Bethesda Orchardsupported the residents’ involvement by lining the street with signs that read“Seniors Rock” as the Shepherd’s Centercelebrated its tenth anniversary with a special town event.

Bethesda Barclay HouseAs the only independent senior living

community in downtown Clayton,Bethesda Barclay House offers the uniquebenefits of cosmopolitan living in a safe andcaring environment. Each stylish apartmentfeatures all the comforts of home, includinga full kitchen with updated appliances and fixtures.

Across the street from Shaw Park,Bethesda Barclay House is the perfectlocation for friends and family to visit and attend many festive parties. This year,Bethesda Barclay House hosted severalcommunity parties, including a wine andcheese reception, a pool party completewith a jazz band and an internationalcuisine festival, where residents invitedfriends and loved ones to join in on the fun.

The residents at Bethesda Barclay Houseenjoy an active lifestyle as they visit uniqueattractions throughout the area includingthe Missouri Botanical Gardens, the City

Garden and Forest Park.These outings complementthe monthly “Dining Out”club, where residents visitthe latest trendy, localrestaurants.

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Bethesda Barclay House residentMarjorie Courtney stops to smellthe flowers during a group outingat the Missouri Botanical Garden.

The Patt Holt Singers entertainresidents and guests at BethesdaOrchard.

Nathan Torno, Assistant Manager at Bethesda BarclayHouse, gives guests a tour at a community open house.

The Oaks at Bethesda The private brick villas at The Oaks

at Bethesda offer residents beautiful,maintenance-free homes and grounds.Located in Oakland near Kirkwood,Webster Groves and Crestwood, the carefreelifestyle at The Oaks allows residents totravel and spend more time with family,friends and neighbors.

This year, residents enjoyed speciallyplanned group outings and parties at theBoathouse in Forest Park, the Bolduc-Lemeilleur House in Ste. Genevieve, andthe Chandler Hill Vineyards, as well ashappy hours at the community’s clubhouse.

Bethesda GardensBethesda Gardens is home to residents

who enjoy their independence whileaccessing services that make everyday life more convenient, such as weeklyhousekeeping services and daily dining (as does all of the independent livingcommunities), along with planned

shopping trips and various outings. A sociallounge, recreation center and large sundeckcomplete this lively Kirkwood residence.

Staying well and fit is easy at BethesdaGardens because weekly exercise programs,onsite health screenings, and rehab andtherapy care are integral parts of this vibrantapartment community.

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The Oaks at Bethesda residents John and Jackie Gable shop at an antique store during their group tourof Ste. Genevieve.

Bethesda Gardens residents Pat Hamm and BettyLuna play miniature golf in the lobby as friendscheer them on.

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The Charless HomeResidents at The Charless Home enjoy

peace of mind knowing that they haveaccess to the complete continuum of highquality senior care at one location.

A South St. Louis landmark, TheCharless Home offers independent living,assisted living, skilled care and rehabservices all under one roof. This year,employees, residents and their familiesraised money for a local animal shelter inhonor of Cosmo, The Charless Home’sfamily dog.

Bethesda TerraceLocated in South St. Louis County,

Bethesda Terrace offers a range of apartmentstyles and activities for every interest.

Committed to creating a supportive,family-oriented community, this yearBethesda Terrace employee leadership took turns creating thoughtful and uniqueevents for the residents, which included a

spa experience, pizza party and a Willy Wonka-themed party, complete withchocolate treats.

In addition to events and activities atBethesda Terrace, employees helped seniorsfoster their own interests in local culture.For example, several residents are membersof the St. Louis Jazz Club, where they enjoylive jazz music at a variety of metro-areavenues. Bethesda Terrace supports the group by providing transportation andcoordinating discounted ticket prices for residents.

Guest Carol Bingham visits at The CharlessHome’s annual Strawberry Festival celebration.

Bethesda Terrace resident Elaine Leopold danceswith a guest at a St. Louis Jazz Club event.

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Norwood Awards It is not surprising that the two

people who received this year’s NorwoodAwards are perhaps two of Bethesda’s mostacclaimed volunteers. Peter Krombach andRay Routh were both honored at the 11thAnnual Norwood Awards ceremony fortheir commitment and dedication toBethesda.

Peter, a longtimeBethesda board member,joined the organizationin the mid-1980s. As amember of the board ofdirectors, he served asVice Chairman andmanaged the firststrategic planning effort.

Peter currently serves as a member of theBethesda Advisory Board.

Ray’s involvement with Bethesda alsostarted more than 20 years ago when hismother began attending the Adult Day

Club. He joined theBethesda DilworthAuxiliary and wasinstrumental inbuilding the shadowboxes outside thedoors of the MemoryCare Units at bothBethesda Dilworth

and Bethesda Southgate. Today, Ray volunteers at the Adult

Day Club five days a week, helping withactivities, visiting with the members andmanaging the daily crossword puzzle.

Terrie Massey, Adult Day Clubsupervisor, said Ray is a social person who iswilling to help out with any task he is givenwhether it’s picking up hamburgers forlunch, helping prepare outdoor activities or serving as the club’s handyman.

40 Under 40 and 30 Under 30The St. Louis Business Journal recognized

two of Bethesda’s own staff members.Corporate Vice President and ChiefFinancial Officer TimVosse was selected as oneof the class of 2009 “40 Under 40,” andCandice Brown,Assistant Administratorat Bethesda Dilworth,was named in theJournal’s class of 2009“30 Under 30.” Both listsare comprised of St. Louis professionals who are already making their mark on the localbusiness community.

Tim joined Bethesda in 1999 asassistant controller. Over the past decade, heserved as the organization’s Vice Presidentand Director of Finance. Today, Timoversees the day-to-day financial operationsof the organization.

Outside of Bethesda, Tim is involvedwith the Attention Deficit DisorderAssociation of Missouri.

COMMUNITY Engagement

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Candice joined Bethesda in 2006 as a managementtrainee. Within a year, shewas promoted to assistantadministrator and nowoversees 125 staffmembers in threedepartments and 100volunteers. Candice also

manages the Adult Day Club,chairs the Accreditation Committee and hasdeveloped a program that pairs Bethesdaseniors with children in local schooldistricts.

Governor’s Award The St. Louis Agency on Training

and Employment (SLATE) organizationhonored Keith Sharp, a facilitiesmanagement employee at BethesdaSouthgate, with the Governor’s Award.

SLATE filmed a documentary on Keithafter he sought additional education toadvance his career at Bethesda. Keith hasbeen with Bethesda for more than threeyears, and according to colleagues, he has a strong work ethic and desire to learn.

Mature Age Planning Classes (M.A.P) Come Home

In 2009, Bethesda Health Group movedtheir series of free Mature Aging Planningclasses from St. Louis Community Collegeto Bethesda communities to help educateseniors and their caregivers about availableresources in the area. Classes providedinformation from Medicare to home careand rehab.

Through Bethesda’s establishedrelationships in the community,professionals volunteer their time to addressrelevant issues facing seniors at the M.A.P.classes. Most recently, topics includedveteran benefits and senior insurance plans.In the fall, Bethesda added an earlyafternoon session, making it even moreconvenient for those interested to attend.

Senior OlympicsBethesda Health Group was a proud

sponsor of the 30th Annual St. Louis SeniorOlympics, an event that promotes healthand wellness of men and women 50 years of age and older.

Bethesda was proud to sponsor the tapdance exhibition for the second consecutiveyear, which kicked off the five-day event atthe Staenberg Family Complex on May 21.A crowd of more than 300 people enjoyedthe show and learned about Bethesda’sservices.

Dancers participate in the dance exhibition at the30th Annual St. Louis Senior Olympics. Bethesdasponsored the Tap Dance Exhibition for thesecond consecutive year.

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Employee RelationsWe are fully committed to investing

in Bethesda’s dedicated employees and their futures. Providing employees withprofessional development and educationalopportunities further advances the missionof Bethesda to provide superior qualitysenior care.

This year, Bethesda offered a selectgroup of 15 licensed practical nurses the opportunity to participate in ascholarship program that would allow themto earn their registered nurse licenses whileworking at Bethesda. The program wasmade possible by a partnership with TheNational Education Alliance and RueEducation, two organizations that have avested interest in increasing the number of qualified nurses in the job market.

Bethesda nurses Maggie Van Dover andJeanine Pollion were featured in a special“Health Care Recruitment” section in the St. Louis Post-Dispatch that highlightedtheir participation in the Rue Educationprogram.

With support from the St. Louis Agencyon Training and Employment, Bethesda has continued to offer our School at Workprogram, which is designed to offer avariety of educational services, from brush-ups in basics like communication and math to advanced coursework in medicalterminology and technology. The programallows employees to learn about newadvances in care giving while experiencingonsite training at Bethesda.

In addition to these establishedprograms, Bethesda also supports employees

taking continuing education and licensuretraining classes as it relates to advancingtheir careers.

With several continuing educationprograms available at Bethesda HealthGroup, employees are able to grow anddevelop their individual strengths for thegood of the organization and its residentsand families.

ST. LOUIS POST-DISPATCH

ST. LOUIS POST-DISPATCH

At Bethesda, we aspire to provideexcellent care and services and acontinuum of distinct residential options to St. Louis seniors. The Bethesda Health Group Foundation recognizes that providing excellent care and servicescomes at a cost that may sometimes exceedresidents’ resources. We rely on generousdonors to help us support humanitariancare and provide quality seniorprogramming that our residents have come to appreciate over the years.

Investing in Our FutureEven in good economic times, providing

the resources required for exceptional seniorprograms and services can be challenging.In times of economic uncertainty, this samechallenge is magnified by the increased needfor humanitarian care. Charitable gifts tothe Bethesda Health Group Foundationmay be made either as an outright donationor through a planned gift.

You may designate Bethesda as abeneficiary in your will, living trust,retirement plan, life insurance policy orrefundable entrance fee. A gift through yourestate may help you:

• Keep assets in your control duringyour lifetime

• Reduce your federal estate tax liability• Create a lasting legacy that is

recognized today for a gift that isrealized later

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BETHESDA HEALTH GROUP Foundation

Leaving a Legacy Through Your Entrance Fee Lois B. Tuttle, a 12-year resident, wanted to leave a

meaningful gift in recognition of the quality of service and care she received from the wonderful staff of Bethesda BarclayHouse. “If I ever have a problem, they are always there to helpme,” says Lois.

Lois has designated the Bethesda Health GroupFoundation as beneficiary of her Entrance Fee Refund aftershe leaves Bethesda Barclay House. When asked why shedecided to make this special gift commitment, Lois commented, “It seemed like the right thing to do—helping an organization that is so deserving.”

Many residents like Lois have discovered the option of specifying a percent or portionof their refund to be earmarked for a charity such as the Bethesda Health GroupFoundation on their Entrance Fee Refund Designation form. Lois has found the RefundGift Program to be a convenient way to make a charitable contribution while still meetingher personal financial needs. The Refund Gift Program allows seniors to leave a legacy thatwill have tremendous impact on the lives of other Bethesda residents. Residents who makethese provisions on the Refund Form automatically become members of Bethesda’sdistinguished Legacy Society.

If you choose to support the BethesdaHealth Group Foundation through yourwill, the following language may be used in your bequest:

“I give and bequeath to theBethesda Health GroupFoundation (employer ID 43-1278967) for the benefit of(name of retirement community or senior living location) (writtenamount or percentage of estate or description of property) to beused for (humanitarian care,unrestricted purposes, or statepurposes for which your bequest is to be used).”

Legacy SocietyWhen you make a planned gift, bequest

or outright gift of $500 or more to theBethesda Health Group Foundation, youare awarded membership into Bethesda’sLegacy Society. Distinguished members of the Legacy Society are invited to selectevents, included on the annual recognitionlist in our Report to the Community andreceive other member benefits.

Legacy Society $500-$999 Opportunity Level$1,000-$2,499 Empowerment Level$2,500-$4,999 Independence Level$5,000-$9,999 Founder’s Level$10,000 and above Pillar Level

Giving Begins at Home: Our Annual Employee Campaign

Employees of Bethesda understand theimpact they have each day by providing careand attention to our seniors. Last year, morethan half of Bethesda’s employees reinforcedtheir commitment by also making a giftthrough the annual Employee Campaign.More than 500 employees contributed tolast year’s campaign. Donations benefitedhumanitarian care in the various Bethesdacommunities and services. Employees“rallied the troops” in creative ways such asomelet days, dress-down days and anauction. Giving to the Employee Campaignmakes good sense—and makes Bethesda abetter place for its residents and those whowork here.

Humanitarian CareAnother way in which Bethesda is

advancing is through its ardent dedicationto social accountability—the humanitariancare that we provide above and beyond theservices and care that our residents require.Last year, Bethesda provided more than $7 million in humanitarian care to residents in need.

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Bethesda employees celebrate at the volunteerappreciation picnic.

Never in Bethesda’s history has aresident ever been asked to leave becausethey lack the resources to pay for their care.The Humanitarian Care program assuresresidents that they will always have a homein our retirement communities. It alsomeans all residents receive the same highquality of health care and services, regardlessof their financial status.

Because we anticipate tougher economicchallenges in the future, strengthening thisprogram is more vital than ever.

Remembering Friends and Loved Ones Many families often direct gifts to

support Bethesda’s Tradition of Excellencetribute program or hospice program inhonor or memory of friends and loved ones.These gifts are a thoughtful and convenientway to honor birthdays, anniversaries,holidays and memorials or recognize thespecial caregivers in your life. Last year,more than 800 donors contributed to theBethesda Health Group Foundation. Morethan half of these gifts were made in honoror memory of residents at our communities.When you make a gift to the BethesdaHealth Group Foundation, you make adifference in the lives of others.

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Pam Dempski, Vice President and Director ofFund Development, and guest Felecia Fleishmangreet each other during an open house atBethesda Barclay House.

To find out how you can help, pleasecontact Pam Dempski at the BethesdaHealth Group Foundation, 314-800-1981 or pedempski@bethesdahealth.org.

The Wolff Foundation Makes Imprint on Generations

The legacy of John M. Wolff wasfostered on Christmas morning in 1907with the gift of a toy printing press. Madefrom heavy metal and rubber lettering, thegift was quickly used for more than justchild’s play.

At the age of 10, John started his ownmakeshift printing business by printingspecials and coupons for grocery stores nearhis childhood home in St. Louis.

John’s entrepreneurial aspirations grewthroughout his lifetime. By the time he wasChairman of the Board of Bethesda HealthGroup, he had transformed his childhoodcuriosity into a highly successful, localprinting company.

Upon selling the company, Johndevoted his life to building a stronger St. Louis community. He not only wascommitted to Bethesda, but also wasinstrumental in shifting Bethesda’s missionfrom the hospital to focus more broadly on the need for high-quality senior care.

As a prominent leader in thecommunity, John was personally involved in the lives of Bethesda seniors andresidents. Although busy on several boardsin St. Louis, including The Salvation Army,Missouri Association of Homes for theAging and the Episcopal ChurchFoundation, John made it a priority to visit with seniors at Bethesda every day.

John M. Wolff passed away in 1971, but his legacy lives on from the significantyearly support garnered from the WolffFoundation and the generosity of his son,John Wolff, III, whom friends and familyknow as Jack.

“The mission of Bethesda was extremelyimportant to my father, and the Wolff

Foundation will continue to supportBethesda’s work from generation togeneration,” Jack said.

Jack is co-trustee along with CommerceBank of the Wolff Foundation, and he plans to pass the responsibility on to hisson, Michael.

Through the generosity of the WolffFoundation, Bethesda has been able toimprove the lives of St. Louis seniors inways that would have never been possible.The foundation not only helped expand theBethesda Dilworth campus in 1958 but also has funded the creation of Dilworth’soutdoor Promenade area and continues tosupport Bethesda’s annual operations.Today, a portrait of John M. Wolff hangs at Bethesda Dilworth to commemorate his support.

The Wolff family commitmentcontinues to touch the lives of seniors, andis a treasured gift that truly keeps on giving.

page 21

The late John M. Wolff served as Chairman ofBethesda’s Board of Directors from 1956 to 1970.

Our special thanks go tothe following donors fortheir generous supportthrough charitable giftsto the Bethesda HealthGroup Foundation. This listing reflects gifts received from July 1, 2008, throughJune 30, 2009.

Legacy Society Life LegacyTom W. Bennett TrustHermine J. Brooks

Revocable TrustSusan Rassieur Buder

Memorial TrustLeo R. Buder Foundation

TrustSusan R. Buder and

Henrietta Link MemorialTrust

Margaret L. Butler TrustThe Charless FoundationMary Poore Fobes TrustMary Jane RabeFrederickson Charitable

Remainder TrustKatherine Stauffer

Charitable TrustMary E. J. MermodViola J. Reynolds TrustLois B. Tuttle

Pillar Level ($10,000+)Margaret B. Grigg

Foundation

Founders’ Level ($5,000-$9,999)Daniel and Blanche

Bordley Fund forBethesda of the GreaterSaint Louis CommunityFoundation

Vivian M. Cilufo

Independence Level($2,500-$4,999)Earle and Suzanne

Harbison

Empowerment Level($1,000-$2,499)Jamie AukskalnisJohn and Virginia BairdTom and Joan BayerBethesda Women’s BoardJoe and Susan BrinkerGeorge and Barbara

ClementsTom and Jennifer CollinsDavid and Joan CulverTom and Pam DempskiFamily of Anna Marie

EllermannNorvelle S. GeigerMichelle M. GlassMel and Ruth KohlMutual of America

John F. NorwoodAl and Julie PoelkerJohn and Virginia RoweJames and Mary SertlSt. Louis Service Bureau

Foundation

Opportunity Level($500-$999)Sarah ArnoldInky BallKen and Judy BassSharon BatemanBruce and Elisabeth BeelerCandice BrownJohn CampisiDon and Eileen CognataTom and Chris CrouchJuanita E. CurryJames and Ellen EstherJoan M. FarranCharles J. FelkerDavid and Carol FleisherAlison M. GrayWade and Michele

HachmanLarry and Julie HickmanJames and Betty HoweDoug and Kathy JoslinBob and Marilyn KaneJoseph and Patricia

KapsarJoseph and Rosemary

KarbanJoseph N. KarbanPeter and Susan

Krombach

Timothy and Jane MatzJohn and Mary McClureTom MiskleMichael and Susan MoorePat MuellerFrederick C. NixNorthern Trust Fred and Ida PeraboSafe Harbor Hospice

FoundationMarty SchenkRosemary SchmidtAndrea SnyderDeborah T. TothRaymond and

Pamela TothSteve and Mary

Kathleen TothClarence and Janet TurleyMuriel Van OordtDeborah VeltenTim and Martha VosseJeff and Georgee

WaldmanTyson and Tiffany Webster

We gratefully acknowledge our donors for their support andgenerosity. Every effort has been made to accurately recognize our donors. If any errors have occurred, please accept our sincereapology and contact the Foundation office with any corrections at 314-800-1916.

page 22

Honor Roll of DONORS

THANK YOU!

Dignity Level ($250-$499)Aquinas Institute of

TheologyBethesda Terrace

Employees andResidents

Joseph and Jean BirkCharlotte BuschRobert and Lorene DrewsCindy EckelkampRobert S. EdwardsAugusta T. FeehanThe Foland FamilyJill FreinThe Grommet FamilyStella PettusJoann ReitzJane SackettSchnucks MarketsJohn and Jacqueline

ShillingtonTwenty Grand SyndicateLee WilliamsKaren Zurick

Ability Level ($100-$249)Goran AbutovicBridget BartlettJohn and Mary BelgeriPatricia A. BennettCharlene BrownRuth Shirley ChaseSam and Sonia ChettaNicholas and Marian

CliffordMr. and Mrs. Gerald

CollinsLinda S. CraigCressey & CompanyMartha Rieber DeGrayCam DeLanceyNancy R. DooleyEden Theological

SeminaryFamily of Evelyn EldridgeGeorge and Irene EwingMarilyn FischerCarol Comfort FelkerRobert H. Frentzel

Theodore FritschKodjo GamonEdith Gazda and

Gail GazdaMarcella GlatthaarSusan M. GoodmanStephen L. GorczycaBill HoweryPhilip and Angela

HuddlestonKen and Alice JonesChristy JuengerAndrew KocotKen and Babs KolkmeierLanter Delivery SystemsClara LeakJohn and Sally LillyThomas C. LyonsMary W. MartinDon and Linda MartinWilliam and Jennifer

McCulloughElmer MittlerMobile Care 2U, LLCElizabeth MorrisonRichard C. Mueller, Jr.Gerry M. OlligesWilliam L. PageAnne M. PeppleJudy PodraskyJohn B. Prentis, IIITom and Joan RauchElizabeth RemmertVal SansoucieNathan Scharp and FamilyDoris E. SchoenbeckCandice R. SchwarzBev Ackermann ShoopAudrey F. SmithCharles E. SpiesSt. Joseph Elementary

School StudentsSt. Louis Convention

and VisitorsCommission Employees

Stupp Bros. Bridge & Iron Co. Foundation

Laurel WillisDaniel T. Wotawa

Friends ($1-$99)A6X Sunshine ClubGreg AbramsDiana AdamsCecilia AguayoJack T. AhrensAKP & B BrokerageDillon AlarconAnna AndersonAnonymousDon ArendtDeborah A. BaldwinHelen B. BallardScott BallardEdith BarhamAmy M. BarksTina BarryPattaya BartelsRobert and Ann BatesJoan M. BathePatricia BaudendistelFlorence N. BaurCaroline BeasleyDonna BennettPat BerberichWilliam A. Bertetto, Jr.

Mr. and Mrs. William Bertetto

Bethesda Hospice Care Employees

Bethesda Orchard Resident’s Association

Laura BissellMimoza BitriRonald W. BlackwellMary BlairJoan C. BlandMonty BliggenstorferLamont BlocktonEleanor H. BlumMyra BoenkerMarcie BonkGeorge and Gloria

BossmanMarsell BoydNancy Bramsch

and FamilySafiyyah BrandonLaura J. BrennanEric BravermanPeggy BrimerMartha Brinkerhoff

page 23

Bethesda Barclay House resident AnneliseMertz admires a sculpture at the newCitygarden in downtown St. Louis.

Amethyst BrownGiovanna BrunoJane D. BryanShirley W. BubJohn Buck, Sr.Gerard BullardLaura BurchIrving and Jerrie BurrowsMarlene CareyBarb Taylor CarpenderDon and Mary CashionShanell CeasarVicky ChapmanJean ChoateJack ChristophelMarian B. ChristyArthur ClarkPatricia C. ClarkFriends at the Coldwell

Banker Gundaker Office Chesterfield

Edward CollinsBarbara B. CorleyDonald and Joan CoxLatoya CraigCreve Coeur

Women’s ClubGenora CroffettJoseph CroghanAnete CrossLaura CraigTracy Cruise

Kevin L. CurryMary L. CurtisTony DafnidesRobert Dains FamilyJoan S. DalberthNorris and Marjorie DaltonBrenda DavidWilliam A. DavidGinger DavisPhyllis DavisDonna DayCassidy DeClueJoyce DillardDilworth EmployeesEllen E. DirnbergerTracey DixonFatima DizdarevicMelanie DonnellyAgnes P. DonovanPatricia DooleyMarvin DorseyPamela DoyleCarol DuhmeArlesa DungyDennis EddlemanRosalind EppsShellie EswineRodney FarwellGlenn and Carol FeisteAndrew FinleyJason FitzgeraldKaren E. Fletcher

Katherine F. FordMary ForesterTimothy FosterMichael Frank, Jr.George W. FranzLois FreeseAndrew FreimuthVirginia FryElizabeth FryBrian GapschMelissa V. GeislerCarmela GennaroMary V. GilbertTony GinzburgLinda S. GlasstetterHoward A. GleasonJoey GleiforstJohn GodfreyJanice C. GoekeJohn GoesslingDan GordonRoy and Ruth GordonTom and Carole GormanFikreta GracaninEdward P. Grace, Jr.Anita S. GravesDeborah GrayemDenise Grebel-OtwellHelene GregorDanyell GrovesTherese M. GuccioneMelody J. Guillies

Margarita HaessigJohn HagedornDuane and Catherine

HagenFred J. HahnHiwot HailomMaryanne D. HalbauerCharles and Karen HallElaine J. HallMary WillisDeborah HarringtonMarqueita HarrisRobert HarrisTonda HarrisWillie Harry, Jr.Arthur HendersonRichard A. HensleyHaley HerculesJean HibartJulia Hiemenz Gail HilderbrandCharles K. HirschEileen HoganThomas and Lynn HolsteinRobin HoodMariah HortonEmily HouseNorvell HughesBill and Judy HuntWaltria HuntCarol P. IgleheartBridget IvoryBrenda JacksonMarsha JeffersonSade JenkinsBeatrice JereldsCasey JesseJordan JesseAlphonsa JobAudrey JohnsonDemarco JohnsonMichelle JonesPaul JonesYvette JonesShirley Jones-TaylorElbert JordanMary A. JostRick and Melodye Juelfs

page 24

Bethesda employees Lisa Stewart, ShaVonda LaGrand-Smith, Sue Troutand Andrea Snyder enjoy chocolate-covered strawberries at the StrawberryFestival at The Charless Home.

Robert and Marjorie Kalhorn

Dejan KaranMarinko KaranIsaac K. KariukiBrian KaymanLawrence and Jean KellerLoretta KellerBradley KelleyBrenda Kelly and the

Staff of St. Lukes ORValerie KellyKaren KemplandCheryl KincadeSanna KingAna KitanovicDorothy KlebergerJoshua K’NucklesJerry KostadineJacqueline D. KrafftDoris KraiTammy M. KrausBarbara KrischBonnie KuhnEdward and Carol

KurmannDavid KvernesVelja A. LaceyLeland LambertGary LandwehrRae Ann LangenfeldAnn LarsonCaroline LedbetterKenneth H. LempRuben and Robin LeonDeborah A. LetchworthGwenda LewisBea LichtensteinEunice LickertMoses LilakoR. Leslie LimbaughCarla A. LinkDonna LococoJoe and Dorothy LoefflerLarry and Nancy

LongworthMarilyn S. LordVickie Lorenzen

Brenda LottKeith LottMaxine LyonsEdward C. Mahen, Jr.Joanne ManewaSuzanne Manship-FrancisErnie MarquezChris MartinDennis E. MartinAnthony and Barbara

MartoranaEarl and Matilda

MaschmeierTerrie MasseyBob MastMarianne V. MayCharles and Anne McAlpinPatrick and Barbara

McBrideLansden and Ann

McCandlessMichael McCueDeanna McDermottCheryl MeachamClayton MelroseJason MetropoulosFrank MichniokMary L. MickMichael MillerShelley MillerLeigh Ann MinchThomas and Janet MittlerTyrone MoodySharon J. MoranJoe MorenoBetty MorganJudith A. MorminoEleanor MorrisNadine M. Morrow

Cynthia L. Mueller Toni C. MuellerMaureen MuetzelfeldKerim MuharemovicMimi MulvihillKrista MurphyMary MurphyKevin MurrayKim A. NailsJulie NelsonJoseph M. NemecTerina NettlesJimmie D. NewSusan NewellTheresa NichtingSusan NiehausArt and Janne NiemoellerDorothy NoerLarry NorrisMichael and Evelyn NovakRussell NunnallyJustin OakesAndrea O’BrienWilliam and Mary

O’ConnorKathy O’HaraWinette OldfatherJohn O’LearlyHelen OwingsJanis OwingsNorma PaceRebekah L. ParcelPaulette ParksShelley R. PartridgeFrank PassafiumeJohn and LindaPearsonCarol PechaLeo and BeverlyPeckRichard PeirceLoretta PeithmannVince PetersenJoan C.PetropoulosZekija PilipovicStephen F. PowellTrudy A. Prewitt

James H. ProbstDavid D. ProctorDiane E. RabinDorothy Rakowski Lorraine RakowskiDan and Ann RamacciottiJoyce RangeMarlene M. RankeyDolores RiceMike RiegertBrenda RippMargaret A. RobbinsBridget RobertsonCartina RobinsonSamantha RobinsonMichael and Susan

RoeschRosemary RoggBrandon RohlfingDon RonsickWilliam and Elfrieda

Roth-RoffyPete RothschildHope Jones RouseBrandon RoyerMaynard D. RozeboomUna M. RudderShirley P. RumerMichelle SankerAlisa SantangeloFatima SarajlijaJoco SarcevicEdna ScatesMark and Michey Schaefer

page 25

Bethesda Dilworth resident Ruth Spencegreets a lamb with Little BuckaroosBarnyard Buddies owner Judy LeBrell.

Guests enjoy music at theannual Strawberry Festivalat The Charless Home.

Thomas SchelbrinkDon and Jill SchererEvelyn SchererRyne SchleicherColleen M. SchmelzleMarie SchmidtFran SchmitzMartin and Carol

SchnitkerJane SchottMary Lou SchuchardtAudrey E. SchuermannJeffrey and Carol SchultzJames and Margot

SchwabMary ScottStella SeegerBob and Kathy SeymourKeith SharpNorma ShelpSteven SheridanShelly ShevlinNancy M. ShrewsburyMark R. Sinibaldi, M.D.Karen SmithLeon SmithFred SolomonElizabeth SpecialeEmilie H. SpellmeyerAnn C. SpivyJack StephensKevin and Diane SterettAnn F. SternbergMichel StevensAndrew StevensonDebbie StewartJurek StolarczykGil and Helen Strobach

and FamilyDorothy Sudbrock Ronita SummitJoel SurrettFran SveziaAlbee D. TaylorAttauyio TaylorCathy TaylorVicki L. TaylorMichelle Terry

LaVerne ThomanCassandra ThomasThompson CoburnLLPKimberly K. ThorntonMichael J. TillayDiane TomsikMark TorresSallie TownKen L. TriplettErica TwyfordShirley M. ValleyChris M. Van DorenNathan VancilZekija VelijevicJames and Margaret

VeltenKeith and Stephanie

VeltenPatricia VirginJeffrey and KimVondoerstenBosko VujicFerdie M. WalkerLinda WallenMatt WatersHoward L. WatsonJanette WattWilliam and Randy and

Sue WiessMary WesselTangelina WhiteAlice WhitneyDavid WibbenmeyerTammy WiednerMichael J. WieserRay and Karen WilbersSteven S. WilkHeather WilliamsMary B. WilliamsZachary WilliamsMary WillsNancy WindRuthann WolzCatherine WoodromeDeborah L. WynnCorey YatesRosemary Yawdoszyn

James and Prudence Yerkes

Judy YoungbloodArnold L. YzermansPaul and Marlene ZagarriLindsey ZarrFred and Ruth ZellerBrad ZerrJanet A. Zucker

Inkind GiftsHoward L. WatsonGoldie PillarJohn W. RoweCarl SchlangerMargaret Spencer

Tributes In Honor of

Amy BarksPatricia L. Rudolph

Dilworth EmployeesThe Foland FamilyTherese M. GuccioneClara Leak

Dorothy M. GannonCynthia L. Mueller Nancy M. Shrewsbury

Forest Park NursingStationFelicia Foland

Howard L. WatsonSusan Newell

Loretta I. ValentineNorvelle S. Geiger

Perry and Helen EwingNathan Scharp and Family

TributesIn Memory of

Alice AckermannBev Ackermann ShoopJanet A. Zucker

John L. Bauer, Jr.John O’LearlyElizabeth RemmertJeffrey and Kim

Vondoersten

Elsie BiggsKevin and Diane SterettThompson Coburn LLP

page 26

Bethesda Southgate employee Amy Eckstein andBethesda Southgate resident Frances Johnson cheer on the St. Louis Cardinal’s baseball team.

Jeanne Felker BlandJohn and Virginia BairdInga Jean BallKen and Judy BassRobert and Ann BatesFlorence N. BaurBethesda Women’s BoardJoan C. BlandJoe and Susan BrinkerJane D. BryanMarian B. ChristyBarbara B. CorleyNancy R. DooleyCarol DuhmeRobert S. EdwardsGeorge and Irene Ewing Carol Comfort FelkerCharles J. FelkerKatherine F. FordVirginia FryJohn GoesslingAnita S. GravesDuane and Catherine

HagenJulia Hiemenz James and Betty HoweBea LichtensteinJohn and Sally LillyMarilyn S. LordJoanne Manewal Mary W. MartinTimothy and Jane MatzCharles and Anne McAlpinLeo and Beverly PeckSteve and Sally PowellJohn and Nancy PrentisTom and Joan RauchPete RothschildHope Jones RouseJohn and Virginia RoweJane SchottJames and Margot

SchwabJacqueline R. ShillingtonAudrey F. SmithAnn C. SpivyJack Stephens

Stupp Bros. Bridge & Iron Co. Foundation

Twenty Grand Syndicate

William CarpentierShirley W. BubGleen and Carol FeisteKenneth H. LempElmer MittlerThomas and Janet MittlerJeffrey and Carol SchultzWilliam and Randy

Sue WiessRosemary Yawdoszyn

Julia ChuckrayMr. and Mrs. Gerald

CollinsRichard and Esther PeirceTom and Sherry RumfeltMark R. Sinibaldi, M.D.

Phillip Comens, M.D.Joseph and Patricia

Kapsar

Donald CrutherAnthony and Barbara

Martorana

Leroy Glen DayTheodore Fritsch

Elsie DiLibertoJames and Prudence

Yerkes

Thomas A. DonovanAgnes P. Donovan

Fred DrewsRobert and Lorene Drews

Virginia EberhardtAnn C. McCandless

Evelyn EldridgeFamily of Evelyn Eldridge

Anna Marie EllermannFamily of Anna Marie

Ellermann

Dorris FieldsMichael and Susan

Roesch

Helen GorczycaStephen L. Gorczyca

Ernestine B. GrommetThe Grommet Family

Arthur J. Heideman, Jr.Julie NelsonDaniel T. Wotawa

Roland and Lucie HoganIrving and Jerrie BurrowsEileen HoganWilliam and Jennifer

McCulloughArt and Janne Niemoeller

Caroline JuddLawrence and Loretta

Keller

Martha KirklandJoan and Marilyn Fischer

Cecelia M. KocotAndrew Kocot

Eunice LickertGail S. MeyerWilliam and Mary

O’Connor

page 27

Bethesda Terrace resident Tom Stallone gets up-closeand personal with the wildlife at the August A. BuschConservation Nature Center during a group outing.

Bethesda BarclayHouse resident GeneSiefert enjoys herselfat the themedcommunity evententitled “Swing’s theThing.”

Robert LitzauRuben and Robin Leon

Sherman LongEdith Barham

Mary C. LylesA6X Sunshine ClubAKP & B BrokerageJoan M. BatheWilliam A. Bertetto, Jr.Mr. and Mrs. William

BertettoEric BravermanRoy and Ruth GordonDenise Grebel-OtwellCharles and Karen HallLanter Delivery SystemsLarry and Nancy

LongworthDennis E. MartinDon and Linda MartinShelley MillerJohn and Linda PearsonDorothy Rakowski Lorraine RakowskiFran SchmitzShelly Shevlin

Keith McCoyBrenda Kelly and the

Staff of St. Luke’s ORR. Leslie Limbaugh

Constance C. McGowanCharlene Brown

Bernice MeyersFred and Ruth Zeller

Jody MunroeShirley P. Rumer

Al MuetzelfeldMaureen Muetzelfeld

Fred and Virginia NorrisDeborah L. Wynn

Alyene NovakMichael and Evelyn Novak

Katherine NunnallyRussell Nunnally

Mollie PokresAnn Larson

George C. Rankey, Jr.Marlene M. Rankey

Calvin L. RudderUna M. Rudder

Margaret Ida SchlangerLaura BissellFreemont and Flora

BliggenstorferNancy Bramsch

and FamilyThomas and Lynn HolsteinVelja A. LaceyLoretta PeithmannAudrey E. SchuermannEmilie H. SpellmeyerPaul and Marlene Zagarri

Russell SchoenbeckBethesda Orchard

Resident’s AssociationEleanor H. BlumLaura J. BrennanRuth Shirley ChaseNorris and Marjorie DaltonMary V. GilbertKen and Alice JonesRobert and Marjorie

KalhornDoris KraiJoe and Dorothy LoefflerPatrick and Barbara

McBrideSharon J. MoranEleanor MorrisAnne M. PeppleJoan C. PetropoulosDoris E. SchoenbeckAlbee D. Taylor

Judith SchreiberJoan S. DalberthMichael and Marla Miller

R. James SchuckSusan M. Goodman

Paul R. SchummHoward L. Watson

Carol E. SherrillMyra BoenkerDon and Mary CashionJean ChoateSuzanne Manship-FrancisMargaret A. Robbins

Harry SpellmeyerGeorge and Gloria

BossmanBill and Judy HuntFriends at the Chesterfield

Coldwell BankerGundaker office

Dorothy NoerDan and Ann RamacciottiDon and Jill SchererEvelyn SchererMary Lou SchuchardtLaVerne Thoman

page 28

Bethesda Terrace resident Esther Aros enjoys dinner at St. Louis JazzClub group outing.

Hertha SouthardJoann ReitzJane Sackett

Alice SpencerGil and Helen Strobach

and Family

Richard August SpieringWilliam and Elfrieda

Roth-Roffy

Erna StevenerEarl and Matilda

MaschmeierDorothy Sudbrock

and Linda Wallen

Virginia StickfordBarb Taylor CarpenderMelanie DonnellyTom and Carole GormanEdward P. Grace, Jr.Rick and Melodye JuelfsDorothy KlebergerSt. Louis Convention

and VisitorsCommission Staff

Mark and Michey SchaeferMichael J. Wieser

Magdalena StoeckerEdward C. Mahen, Jr

Ann StrootCressey & Company

Margaret TothJoan M. FarranAlison M. GrayJoseph N. KarbanJoseph and

Rosemary KarbanDeborah T. TothRaymond and

Pamela TothSteve and Mary

Kathleen Toth

June R. VeltenDonald and Joan CoxEdith Gazda and

Gail GazdaEdward and

Carol KurmannBetty MorganNadine M. MorrowBob and Kathy SeymourDeborah VeltenJames and Margaret

VeltenRay and Karen Wilbers

Bea WertinRobert Dains Family

George W. WilliamsEllen E. DirnbergerGeorge W. FranzCharles and Becky HirschJacqueline D. KrafftDavid KvernesFrederick C. NixElizabeth SpecialeCharles and Donna Spies

page 29

Musicians entertainresidents at BethesdaBarclay House.

Bethesda Orchardresident Paul Behnencompetes in acommunity washer’stournament.

page 30

FinancialREPORT

Bethesda Health Group has been caringfor the needs of St. Louis seniors since1889, and for the first time in our longhistory, our annual operating revenuesexceeded $66 million!

This achievement, which occurreddespite the economic difficultiesexperienced by many businesses in 2008-09, was a reflection of the growth ofour Home and Community-Based Serviceofferings, specifically the strongperformance of the Bethesda Rehab &Therapy Center at Bethesda Dilworth.

Though our net income declined from the previous year due to a significantreduction in investment returns andexpanding charity care, we are pleased to report that the growing numbers of St. Louis seniors for whom we provide careand services, coupled with corporate-wideexpense control, led to positive 2009financial results.

Through our continuing profitabilityand strong financial position, Bethesdacontinues to:

• Serve an increasing number of St. Louis seniors

• Expand our care and service offerings• Make needed capital investments• Implement technology advancements

for residents and staff

• Recruit and retain caring,compassionate and committedemployees

• Adapt quickly to ongoing changes in healthcare funding

Throughout this Report to theCommunity, you have read and learnedabout the benefits our residents and theirfamilies receive from the services that weoffer, touching an immeasurable number of lives in the St. Louis community.

The ability to offer these benefits is asource of great pride for our employees andvolunteers, as is the following data, totaledfor the fiscal year, that offers insight into thecare and services we provide to our residentsand community members:

Skilled Nursing days 239,382

Inpatient Rehabilitation and Therapy days 24,603

Home Health Services visits 9,650

Private Duty Services visits 43,100

Hospice Care days 27,649

Meals on Wheels delivered 31,534

Capital ImprovementsExpenditures $14,739,946

Number of Bethesda Employees and Volunteers 1,352

page 31

Bethesda Health Group, Inc. and SubsidiariesCombined Statement of OperationsYear ending June 30, 2009

Revenues Net service revenue $60,188,462Other revenue and gains 4,548,605Contributions and net assets released from restrictions 1,529,976

Total revenues 66,267,043

ExpensesProfessional care 26,758,282Dietary services 7,285,062General services 8,417,568Administrative services 10,565,799Employee health and welfare 3,630,718Depreciation 6,287,657Interest 2,832,822Provision for bad debts 204,058

Total expenses 65,981,966

Operating income $ 285,077

Humanitarian Care In support of its mission,

Bethesda provides services to residentswho lack the financial resources to pay established rates. Medicaid andMedicare reimburses Bethesda less than the determined rate for servicesprovided to these residents.

The following is a summary of the uncompensated charges related to these services for the fiscal yearending June 30, 2009:

Medicaid & Medicare $ 6,147,285

Charity 860,084

Total uncompensated care $ 7,007,369

Bethesda Health Group, Inc. and SubsidiariesCombined Balance SheetYear ending June 30, 2009

ASSETSCurrent assets

Cash and cash equivalents $ 1,402,990 Assets limited as to use 10,189,300Accounts receivable 5,886,436Other current assets 1,206,240

Total current assets 18,684,966

Assets limited as to use, net of amount required to meet current obligations 51,938,835

Property, plant and equipment, net 100,080,586

Other assets 1,228,053

Total assets $ 171,932,440

LIABILITIES AND NET ASSETSCurrent liabilities

Current maturities of long-term debt $ 1,120,000 Accounts payable 2,118,714Accrued expenses 4,879,202Other current liabilities 2,071,384

Total current liabilities 10,189,300

Long-term debt, less current maturities 67,370,000Life residents’ fees 37,762,658Other liabilities 12,439,916

Total liabilities 127,761,874

Net assets 44,170,566Total liabilities and net assets $ 171,932,440

In July 2009, Joseph J. Brinker was elected President and ChiefOperating Officer of Bethesda. Joe’s extensive experience in seniorcare and services includes 20 years at Bethesda Health Group.

Joe began his career with Bethesda in 1989, when he joined asAssistant Administrator of Bethesda General Hospital. Heeventually served as the hospital’s CEO, and joined the corporatemanagement team in 2000 as a Senior Vice President of Long-termCare. In 2007, Joe was promoted to Executive Vice President andChief Operating Officer and was responsible for all operating units

within Bethesda, which includes Long-Term Care, Independent Senior Living, Adult DayCare, Hospice Care, Private Duty, Rehabilitation and Therapy, and Home Health services.

While developing a succession plan, Bethesda’s board of directors felt that Joe’scommitment to Bethesda and his vision for the organization going forward make him theideal candidate for this respected and well-deserved position.

page 32

BOARD OFDIRECTORS

Meet the

John P. Baird, memberof the board, is retiredand was formerlyGeneral Counsel atRalston PurinaCompany.

Joseph E. Birk, Jr.,member of the board, is retired and wasformerly an attorneyand executive at Ameren UE.

Kenneth J. Bower,member of the board, is a principal at MonetaGroup, LLC.

George W. Clements, Jr.,Chairman of the Board, is a retired family businessowner and formerPresident of MidtownMedical CenterRedevelopmentCorporation.

Thomas R. Collins, Board Treasurer, isPresident and ChiefExecutive Officer of Northern Trust Company in St. Louis, MO.

page 33

Marian F. Clifford,member of the board, is a civic leader and formerPresident of the Board ofTrustees at The CharlessHome.

David M. Culver,member of the board, is a retired banking andinsurance executive.

James H. Esther, M.D.,member of the board, is a physician at St. Luke’s Hospital.

Harry Kennedy,member of the board, is the Legislative Directorfor the President of the St. Louis Board ofAlderman and a formerMissouri State Senator.

Kenneth J. Kolkmeier,member of the board, isretired and was formerlyPresident of NooterConstruction Company.

Susan G. Moore,member of the board, is a civic leader and teacher.

Richard C. Mueller, Jr.,Board Secretary, isprincipal of Bopp Chapel.

Fred H. Perabo, ViceChairman of the board, is the former Director of Community Affairs atRalston Purina Companyand former President atMetropolitan Associationof Philanthropy.

John W. Rowe, is ViceChairman and ChiefExecutive Officer ofBethesda Health Group.

Management Team

John W. Rowe Vice Chairman and Chief Executive Officer

Joseph J. Brinker President and Chief Operating Officer

R. Kenneth Bass, Jr. Senior Vice President, Senior Living

Donald J. Cognata Senior Vice President, Administrative Services

Katherine E. Joslin Senior Vice President, Human Resources and Marketing

Patricia P. Kapsar Senior Vice President and Corporate Compliance Officer

Alphonse D. Poelker Senior Vice President, Long Term Care

Larry D. Hickman Corporate Vice President and Chief Information Officer

Timothy L. Vosse Corporate Vice President and Chief Financial Officer

Christine E. Crouch Vice President and Administrator

Pamela E. DempskiVice President and Director of Fund Development

Michelle M. Glass Vice President and Administrator

Muriel C. Van Oordt Vice President and Administrator

Martha E. SchenkVice President and Administrator

page 34

MANAGEMENTTEAM

Bethesda Women’s BoardGiving of oneself through time,

talent or treasure is a gift that many of our volunteers offer each day at Bethesda. More than a group of volunteers,the Bethesda Women’s Board is a closegroup of friends who share the commongoal of supporting Bethesda and its mission.With more than a 30-year history, theWomen’s Board has played a valuable role inshaping Bethesda’s future. Projects that theWomen’s Board has funded throughout theyears include: the remodeling of BethesdaTerrace’s beauty salon, the purchase ofpianos for Bethesda Dilworth and Bethesda Southgate Special Care Units, theacquisition of pulse monitors used in ourcommunities, and the dedication of thePromenade at Bethesda Meadow in honorof Jeanne Bland.

page 35

Bethesda Advisory BoardBethesda’s Advisory Board has been

in existence for nearly 40 years and includesmany former Board members in its roster ofdedicated people who provide wise counsel,guidance, and support of the BethesdaHealth Group Foundation.

VOLUNTEERBOARDS

Advisory Board: back row left to right: Joe Brinker, David Fleisher, Jackie Shillington,Robert Barrett, George Clements, James Sertl, M.D.,Thomas Bayer, Jr., Betty Sims, Sue Voorhees, Sally Lilly, John Rowe. Front row left to right: Leo Peck, Martha De Gray, Robert Drews, M.D.,Robert Kane. Not pictured: Charles Allen, Jr., Benjamin Edwards, IV, Earle Harbison, Jr., Juanita Hinshaw, Peter Krombach, John McClure,John Norwood, Subodh Mehra, Clarence Turley, Jr., William Ward, Jr.

Women’s Board: back row left to right: Jackie Shillington,Barbara Clements, Sue Bahle, Lorraine Magee, Mary Sertl,Sis Krone, Susan Krombach, Sue Voohees, Pooh Ewing. Frontrow left to right: Martie Dille, Susan Brinker, Judy Bass,Nancy O’Brien, Ginny Rowe. Not pictured: Virginia Baird,Inky Ball, Ann Bates, Martha Bynum-Austin, Marian Freschi,Anita Graves, Suzanne Harbison, Juanita Hinshaw, Marianne Howell, Pat McCain, Ann McCandless, Annette McRoberts, Fran Maloney, Stella Pettus, Audrey Smith, Franny Stuhl

Bethesda Health Group, Inc.1630 Des Peres Road, Suite 290St. Louis, MO 63131314-800-1900www.bethesdahealth.org

Bethesda Independent Living Communities

Bethesda Barclay House230 S. Brentwood Blvd.Clayton, MO 63105(314) 725-1000

Bethesda Gardens420 S. Kirkwood Road Kirkwood, MO 63122(314) 965-8100

Bethesda Orchard21 N. Old Orchard Ave. Webster Groves, MO 63119(314) 963-2100

The Oaks at BethesdaBig Bend, West of Berry Road Oakland, MO 63122(314) 972-4777

Bethesda Terrace2535 Oakmont Terrace Dr. Oakville, MO 63129(314) 846-6400

Independent and Assisted Livingand Skilled Care

The Charless Home4431 South BroadwaySt. Louis, MO 63111(314) 481-4840

Bethesda Skilled Nursing Communities

Bethesda Dilworth9645 Big Bend Blvd. Oakland, MO 63122(314) 968-5460

Bethesda Meadow322 Old State Road Ellisville, MO 63021(636) 227-3431

Bethesda Southgate5943 Telegraph Road Oakville, MO 63129(314) 846-2000

Bethesda Home and Community-BasedServices

Bethesda Adult Day Club9645 Big Bend Blvd. Oakland, MO 63122(314) 446-2103

Bethesda Hospice Care8175 Big Bend Blvd., Suite 200 Webster Groves, MO 63119(314) 446-0623

Bethesda Private Duty 8175 Big Bend Blvd., Suite 202 Webster Groves, MO 63119(314) 446-0700

Bethesda Rehab & Therapy Center atBethesda Dilworth9645 Big Bend Blvd. St. Louis, MO 63122(314) 446-2150

St. Andrews & Bethesda Home Health8175 Big Bend Blvd., Suite 150 Webster Groves, MO 63119(314) 218-2600

Bethesda Senior Therapy Center8175 Big Bend Blvd., Suite 130 Webster Groves, MO 63119(314) 218-2610