TRANSFORMING HEALTHCARE - Marshall Medical Center...Transforming healthcare -- the cornerstone of...

www.marshallmedical.org / 2017 REPORT TO THE COMMUNITY 1

Report to the CommunityFOR THE FISCAL YEAR 2017

TRANSFORMING HEALTHCARE

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Marshall Medical CenterFINANCIAL INFORMATION FISCAL YEAR ENDED 10/31/17

REVENUEFor care provided to patients, we charged: For 24,722 days of inpatient care ............................................................................................................ $441,054,717 For outpatient and emergency department services .............................................................................. $635,077,368

Subtotal ...........................................................................................................................................$1,086,132,085

We charged, but did not receive payment: From those unable or unwilling to pay ...................................................................................................... $15,034,420 From Medicare ......................................................................................................................................... $492,853,396 From Medi-Cal .......................................................................................................................................... $224,790,278 From other insurance programs .............................................................................................................. $118,100,582

Subtotal .................................................................................................................................................. $850,778,676

In addition, we received: From interest earned, rental income, cafeteria and other businesses ........................................................ $8,318,384 Market improvement on pension investments ............................................................................................ $1,905,708

Total funds available ................................................................................................................................$245,577,501

EXPENSESWhat it cost: To pay our 1,591 employees ...................................................................................................................... $92,446,777 To provide them with benefits .................................................................................................................... $45,491,643 To purchase medical and physician services ............................................................................................ $40,968,030 To keep the lights on, feed patients and staff, do laundry, empty the trash and waste, etc. .................... $55,814,991 For interest on loans and bonds .................................................................................................................. $1,512,389 For depreciation on equipment and facilities ............................................................................................ $11,690,839 For our insurance premiums and legal fees ................................................................................................ $1,307,511 Loss funded out of past reserves ..............................................................................................................($3,654,680)

Total funds used .......................................................................................................................................$245,577,500

Donation received from Marshall Foundation for Community Health for various expansion projects including South Wing Kitchen, Cancer Center & South Wing ICU .................................................. $665,000

Designated contributions held by Marshall Foundation for Community Health for Marshall Medical Center for future community needs (Foundation funding for grants, programs, etc. not included) ............. $124,000

OTHER STATISTICSInpatient days: Medicare patient days ......................................................................................................................................... 16,065 Medi-Cal patient days ........................................................................................................................................... 5,445 Commercial Insurance patient days ..................................................................................................................... 3,041 Uninsured patient days ............................................................................................................................................ 171Outpatient visits and procedures ............................................................................................................................. 134,528Emergency Department visits .................................................................................................................................... 28,245Newborns ........................................................................................................................................................................ 492Surgeries: Inpatient................................................................................................................................................................. 1,141 Outpatient .............................................................................................................................................................. 2,184Home Health visits ...................................................................................................................................................... 10,635Physician Clinic Visits ............................................................................................................................................... 191,465Rural Health Clinic Visits .............................................................................................................................................. 3,493

LETTER TO THE COMMUNITY

Transforming healthcare -- the cornerstone of our vision statement, transformation was the focus of our efforts in 2017. This annual report is a highlight summary of Marshall Medical Center’s achievements and milestones in fiscal year 2017, including financial information for our non-profit, community hospital.

Transformation through new paradigms: Beginning in 2016, Marshall committed to a new management style incorporating the use of the Toyota lean management method. This continuous improvement concept, centered on the patient’s best interests, was rolled out in 2017. The structure for this change was embodied in a new department named “Kaizen,” a Japanese term meaning “change for the better.” Through education and the use of strategic tools and processes, change for the better is taking hold at Marshall. It will take time to fully adopt, but the potential to improve care and save on costs through efficiency is tremendous. (Read more about lean healthcare on page 6.)

Transformation through technology: Marshall made a significant investment in how we document health information and how both healthcare providers and patients can now access them. With the implementation of the Epic electronic health record system last fall, patient records are now available to all healthcare providers, improving productivity and safety. A new patient portal called MyChart also allows patients access to their clinic and hospital medical records in one place, as well as communicate with their providers. (Read more about Epic and MyChart on page 6.)

Transformation in the digital realm: In the age of instant access to information, Marshall Medical Center prioritized the importance of giving the community a more pleasant and intuitive digital experience. Through our redesigned website, relevant and current information is just a click away for those researching our services or career opportunities.

Transformation through meeting health needs: Marshall’s Community Health Needs Assessment (CHNA) was published in April 2017. Released every three years, the CHNA identified significant health needs in El Dorado County. Access to behavioral health services was at the top of the list. Committed to being part of the solution to this prevalent issue, Marshall hired Jeremy Ernst, DO, the first psychiatrist to join Marshall Medical Center. Together with community partners and programs, we are striving to expand services for mental health, substance abuse prevention and treatment.

As we reflect on 2017, we turn toward the challenges and opportunities fiscal year 2018 brings. This includes staff changes as leaders and physicians move on to the next phase in their lives: retirement. Marshall has had the benefit of long-term staff and physicians holding steady at the helm for 10, 20, 30 years and more. It is with mixed emotions that we bid them well in retirement as we welcome their successors and a fresh enthusiasm to continue Marshall’s journey transforming healthcare through compassion, quality and innovation.

JOHN DRISCOLL Board of Directors

Chair

JAMES WHIPPLE Administrator & CEO

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JOHN DRISCOLL, CHAIR A Marshall Foundation for Community Health Board member since 2005, John became Marshall Board of Directors Chair in 2017. The former Placerville City Attorney and City Manager/Attorney has provided years of financial and strategic planning advice for Marshall Medical Center. His wife Pam is a teacher in Placerville.

GABRIELLE MARCHINI, VICE CHAIRAs an advocate for children, Gabrielle has served in El Dorado County for 29 years as a teacher, a principal, an assistant superintendent and currently as the Director of Curriculum, Instruction and Accountability at the El Dorado County Office of Education.

JIM ABERCROMBIE, SECRETARY/TREASURERThe general manager of El Dorado Irrigation District, Jim is also a 30-year resident of El Dorado County. The registered engineer also managed PG&E’s El Dorado County gas and electric distribution business unit from 1987 to 1998. He and wife Ginny live in Placerville.

BRADLEY BARNHILL, MD CHIEF OF STAFFDr. Barnhill is a board-certified internal medicine physician who has practiced in El Dorado County since 1991. He returned to his Chief of Staff post on Jan. 1, 2017. A staff physician at Marshall Family & Internal Medicine, he is married with two daughters.

MEMBERS:

PETE BARBA, MDDr. Barba (pronounced Bahr-BAY) is a board-certified family medicine practitioner at Marshall Sierra Primary Medicine. He takes pride in promoting exercise and a healthy diet. Before joining Marshall, he served as chief resident at Swedish Family Medicine in Colorado.

TOM CHANDLERThe owner of Inter-County Title Company, Tom has been a Placerville resident since 1970. He served 10 years on the Marshall Foundation for Community Health’s Board of Trustees, in addition to 10 years on the California Land Title Association’s Board of Governors.

RICHARD DETWILER, MDDr. Detwiler is a board-certified general surgeon with Marshall General Surgery. He began practicing in El Dorado County in 1989 and joined Marshall in 2012. The American College of Surgeons fellow has also served as Marshall Medical Center’s Chief of Surgery.

JON HAUGAARD Jon is a Certified Public Accountant and has over 30 years of experience in accounting and auditing, primarily with financial institutions. He has been the Director of Audit for El Dorado Savings Bank since 2003. Jon and his wife Donna have been residents of Diamond Springs for 11 years.

STANLEY HENJUM, MD Dr. Henjum is a board-certified cardiologist with Marshall Cardiology. A former Lieutenant Commander in the United States Navy, Dr. Henjum provides general cardiology care including diagnostic cardiac catheterizations. He is a former Marshall Chief of Staff.

GEORGE NIELSENGeorge Nielsen is a longtime Placerville resident. He served as Placerville’s Chief of Police from 2004-2013, and had nearly 30 years of service with the force upon retirement. He has served many local organizations, including as Marshall Foundation for Community Health Board of Trustees president.

HARRY NORRISNow retired, Harry stays active on local volunteer and elected boards after nearly 30 years of El Dorado County residence and business ownership. He was a 10-year member of the El Dorado County School Board, as well as a founding member of the El Dorado Hills Chamber of Commerce.

CHRISTEEN REEGThe Board of Directors’ newest member, Christeen chairs the Planned Giving Committee for the El Dorado Community Foundation. Passionate about serving her community, the former Los Rios Community College Foundation chair also served as a Snowline Hospice board member.

SUE REESESue moved to El Dorado County in 1995 from Southern California. She opened Kelsey’s Needle Krafts in 2001 after retiring from the California DMV. She has worked diligently to make Placerville the best it can be by serving on the Placerville Downtown Association board, taking part in the Downtown Parking Commission, and heading up the Needle Arts display at the El Dorado County Fair.

WENDY THOMASWendy’s diverse background includes real estate development, small business ownership and politics. She is the descendent of a pioneer family that settled in Placerville in 1850. Wendy is a former Placerville vice mayor and has been on the Placerville City Council since 2010.

DALE VAN DAMDean of Instruction at Folsom Lake College’s El Dorado Center, Dale is a registered professional geologist in five western states. He has over 20 years of experience as an environmental geologist and hydrologist. Dale is a board member of the Placerville Kiwanis Club and Snowline Hospice.

JAMES WHIPPLEJames Whipple is the CEO and Administrator of Marshall Medical Center, a role he has held since 2002. Prior to this, James was Marshall’s Chief Financial Officer for 20 years, joining the organization in 1982. James also serves on the Board of Directors of the California Hospital Association.

BOARD OF DIRECTORSMarshall Medical CenterHOSPITAL PATIENT VOLUME FISCAL YEAR 2017

TOTAL NUMBER OF PATIENTS RECEIVING SERVICES IN THE HOSPITAL: Number of Patients Served Gross Charges Inpatient (incl. SNF) ..................................................................... 4,414 ................................................. $512,598,092Emergency Room ...................................................................... 17,353 ................................................. $153,919,150Outpatient................................................................................... 35,552 ................................................. $148,266,249Outpatient Surgery & Procedures ............................................... 4,110 ................................................. $134,372,730Observation Patients ....................................................................... 683 ................................................... $28,867,687Physician Clinics ........................................................................ 38,844 ................................................. $104,421,174Home Health ................................................................................... 750 ..................................................... $3,687,004

Hospital Patients Served ...................................................... 54,571 ............................................$1,086,132,085

MEDI-CAL PATIENTS RECEIVING SERVICES IN THE HOSPITAL: Number of Patients Served Gross Charges Inpatient (incl. SNF) ..................................................................... 1,376 ................................................. $122,521,850Emergency Room ........................................................................ 7,234 ................................................... $55,435,772Outpatient..................................................................................... 7,053 ................................................... $24,030,225Outpatient Surgery & Procedures .................................................. 786 ................................................... $26,426,963Observation Patients ....................................................................... 112 ..................................................... $4,925,052Physician Clinics ........................................................................ 10,205 ................................................... $19,924,610Home Health ..................................................................................... 47 ........................................................ $310,555

Medi-Cal Patients Served ..................................................... 16,102 ...............................................$253,575,027

MEDICARE PATIENTS RECEIVING SERVICES IN THE HOSPITAL: Number of Patients Served Gross Charges Inpatient (incl. SNF) ..................................................................... 2,130 ................................................. $301,030,768Emergency Room ........................................................................ 4,576 ................................................... $55,409,688Outpatient................................................................................... 12,863 ................................................... $82,277,675Outpatient Surgery & Procedures ............................................... 2,082 ................................................... $63,424,801Observation Patients ....................................................................... 497 ................................................... $20,757,290Physician Clinics ........................................................................ 13,446 ................................................... $58,668,980Home Health ................................................................................... 565 ..................................................... $2,531,461

Medicare Patients Served ..................................................... 16,017 ...............................................$584,100,663

PATIENTS WITH NO FINANCIAL SPONSOR RECEIVING SERVICES IN THE HOSPITAL: Number of Patients Served Gross Charges Inpatient (incl. SNF) .......................................................................... 23 ..................................................... $1,268,275Emergency Room ........................................................................... 550 ..................................................... $3,305,136Outpatient........................................................................................ 906 ........................................................ $914,336Outpatient Surgery & Procedures .................................................... 37 ..................................................... $1,937,795Observation Patients ........................................................................... 3 .......................................................... $57,084Physician Clinics .......................................................................... 2,508 ........................................................ $679,346Home Health ....................................................................................... 2 ............................................................ $7,314

Patients Served with No Financial Sponsor .......................... 3,253 ...................................................$8,169,286

4 2017 REPORT TO THE COMMUNITY / www.marshallmedical.org

2018Marshall Medical Center BOARD OF DIRECTORS

BOARD EMERITUS Bruce Dickson • Jane Moore • Rajiv Pathak, MD


TRANSFORMATION Through Technology

TRANSFORMATION Through New Paradigms

It was another year of high national praise for Marshall Medical Center.

Healthgrades, a leading health consumer resource, evaluates performance at 4,500 healthcare facilities nationwide. The results showed Marshall was nationally ranked for quality care in five clinical areas. Marshall received 5-star honors for:

• Treatment of Appendectomy• Treatment of Pneumonia

(14th straight year)• Treatment of Pulmonary

Embolism (second straight year)• Treatment of Sepsis

(sixth straight year)• Treatment of Stroke

(fourth straight year)

2017 HIGHLIGHTSTRANSFORMING CARE

The “Perfect Patient Experience” – that’s what Marshall is striving for. Under this ideal, we have focused on one basic tenet: consider the patient first in every plan and decision.

Advancing toward this goal, Marshall is transforming the organization from the inside out. Since 2017, Marshall has endeavored to change our outlook and management style incorporating “Kaizen”—or continual incremental change—a concept

made famous by the Toyota Motor Company. The same principles that skyrocketed Toyota’s success have been translated to many successful industries, including health care. Transformed health care is defined as the practice of continuous improvement that increases the quality of care provided, supreme safety for staff and patients and applied best practice efficiencies related to patient care.

Through this shared vision, Marshall has empowered frontline staff to drive process improvement. The organization has already implemented major projects under this process improvement banner:

• Improving the information flow for new patients – reduced time and confusion for both patients and staff related to new patient paperwork.

Caring for our community’s health is a priority at Marshall Medical Center. Hiring quality providers to expand our medical staff is vital to our goal. In 2017, Marshall welcomed the following new physicians:

• Identification of high risk opioid patients created a standard process to identify and document patients in the Emergency Department.

• Safe treatment for chronic pain patients in the outpatient setting – established a standard process for prescribing and refilling controlled substances in the primary care clinics.

• Improve the medication review process – created a seamless process for the review of patient medications, providing a safe and accurate patient record.

As Marshall advances toward a consistent “patient first” health care methodology, our eye is on the prize: providing our patients with a superior healthcare experience while focusing on their every need in everything we do at Marshall.

Epic electronic health records systemRecently, a child was brought to Marshall’s Emergency Department in obvious distress. After assessment, it became apparent that the child needed to be transferred to UC Davis Medical Center for more intensive pediatric care. By the time the child arrived at UCD, the staff there was prepared with the information needed to seamlessly care for the child because of the shared medical records system now connecting Marshall and UCD. The child’s life was saved.

Marshall is starting to realize the many benefits the Epic electronic health records system we invested in and implemented in the fall of 2017. The new system improves our efficiency and elevates patient safety and security with more accurate records and more effective collaboration between medical providers through real-time access to patient information.

With the implementation of Epic, Marshall joins Sutter Health, Kaiser Permanente and UC Davis Health on the platform considered the industry standard.

Epic: MyChartThe new electronic system came with another benefit to patients: Epic’s MyChart patient portal also debuted November 1. Patients now have 24/7 access to clinic and hospital medical records from the same portal. The portal allows patients to pay bills, request appointments, view test results plus the opportunity to access and share medical records all from their desktop computer or smart phone. To sign up for MyChart, visit https://mychart.marshallmedical.org.

When the Centers for Medicare and Medicaid Services (CMS) announced their ratings this year, Marshall was given a 5-star rating for Overall Hospital Quality: the highest possible rating. Marshall was the only hospital in the region (from the North State to the Central Valley to the Sierra) to receive five stars. Marshall ranks among the top 7% of hospitals in California for overall hospital quality.

“It is great to be recognized as one of the best hospitals in the United States because of the results for our patients,” Marshall CEO James Whipple said. “I really appreciate all the hard work by our employees and providers to achieve these great results. Their commitment to the community and our patients is awe-inspiring.”

FAMILY & INTERNAL MEDICINE, PLACERVILLEEmilie Riddle, MD

MARSHALL SIERRA PRIMARY MEDICINE PLACERVILLELoni Jay, MD Tona Rodriguez, MD

FAMILY & INTERNAL MEDICINE CAMERON PARKNiraj Patel, MD

FAMILY MEDICINE EL DORADO HILLSSteven Mills, MD

PODIATRYHarprit Bajwa, DPM

ONCOLOGYMamatha Siricilla, MD

GASTROENTEROLOGYMatthew Cole, MD, MPHDavid Schneiderman, MDMark Redor, MD

PSYCHIATRYJeremy Ernst, DO

New look, better function for websiteMarshall Medical Center also launched a new public website in 2017. The site has a fresh, intuitive design built on the latest platform, not only elevating its look but also its function. “The website is Marshall’s digital ‘front door.’ It is the place prospective patients, employees and providers go to find out more about the organization,” said Lourdes Edralin, Marketing Director. Visit www.marshallmedical.org.

NATIONAL RECOGNITION for Excellence

WELCOME New Providers


PRESIDENT DARYL WARDEN was born in Placerville and raised in Diamond Springs. He and his wife, Lori, have two daughters and two grandsons. Daryl started his career in the automotive and truck repair industry

and completed his career with El Dorado Disposal Service in 1998. Daryl started his own business as a private contractor repairing and fabricating trucks and equipment for the garbage and logging industries. An avid four wheeler, he makes many trips on the Rubicon each summer and joins his family volunteering for the Rubicon Trail Foundation. He also supports the Placerville Kiwanis and Images of Hope. Daryl joined the Marshall Foundation board in 2012 and now serves on all six of the Foundation’s committees.

VICE PRESIDENT ANDREA HOWARD has a bachelor’s degree in business administration from California State University, Sacramento and

began working in El Dorado Hills in 1999. As an assistant planner at Parker Development Company, Andrea became involved in the development of the Serrano community. Inspired by her employer’s philanthropic corporate culture, Andrea has been active in the local and regional community. She supports a number of charitable organizations and also serves on several non-profit boards. Andrea joined the Marshall Foundation Board of Trustees in 2014 and currently serves on several committees. Andrea has been married to her husband, Tom, for 11 years. She has three step-children, two grandchildren and two rambunctious labradors.

COMPASSIONATE CARE A Summary of Year Ending September 2017

1,590 loyal donors provided gifts totaling $791,464 in contributions.

Your Compassion in Action distributed $861,101 to the local healthcare community. Through your generosity, together we extended help to the hurting.

The fiscal year ended with assets of $3,309,004.

INVESTING IN THE HEALTH OF OUR COMMUNITYThe Foundation helped to ensure a healthier community through the Endowment for Health. Community Health Grants totaling $544,000 provided for needs in the areas of substance abuse education for youth, senior services, the homeless, assistance to new mothers and capital projects:

• El Dorado High School was awarded a grant for their Brief Intervention Program, an approach for alcohol and drug abuse that provides the gap between treatment needs and treatment availability for teens with low levels of dependence.

• A grant to the Opportunity Knocks program will establish a single point of entry for the homeless and statistics on the homeless crisis to begin the process to qualify for Federal funding.

SECRETARY CHRISTA CAMPBELL moved to Camino in 1977 with her husband, Tom Heflin where they founded and cultivated Rainbow Orchards. Christa has a bachelor’s of arts degree and

two master’s degrees. She taught in local public schools for 25 years. Through Ag in the Classroom, Christa continues to teach by hosting farm to school programs at Rainbow Orchards. Christa serves on the boards and committees of several organizations. She is a cabinet member of Images of Hope, supporting the Marshall Cancer Center and hosts the annual fundraiser “White on White” at Rainbow Orchards. Christa has served on the Marshall Foundation Board since 2015.

TREASURER KURT RAFFETTO is a fifth generation resident of El Dorado County and a retired officer of the United States Air Force. He has a bachelor’s degree in economics from Cal Poly, San Luis Obispo and a

masters' degree in general management from the University of Montana. His community service includes time as a volunteer firefighter, El Dorado County Veteran Affairs Commissioner, and 2018-2019 President of the Rotary Club of Placerville. He is also a member of the Knights of Columbus and the flight captain of the military aviator fraternity Order of Daedalians (Sierra Flight). He and his wife, Veronica, have two sons. Kurt has been a member of the Board of Trustees of Marshall Foundation since 2016 and serves on the Annual Funding Committee, Finance and Investments Committee, and the Committee on Trustees.

MARSHALL FOUNDATION BOARD OF TRUSTEES: (left to right) Back Row: Bob Gillett, Daryl Warden, David Williamson, Kurt Raffetto,

Andrea Howard, Kevin James, Mark Stanley, Tim Cordero, Brian Veerkamp

Front Row: Marsha Jackson, Christa Campbell, Laurel Brent-Bumb, Debi Harlow, Kathy Witherow, Kim Stoll

Not shown: Jake Parsons, Lisa Marie Slaven

MARSHALL FOUNDATION BOARD OF TRUSTEES 2018

FOUNDATION HIGHLIGHTS

Funding Programs That Care for People

Leadership in our community is not about a title or a designation. It's about impact. Impact involves getting results and spreading the passion by inspiring others to join us. For the past 44 years, Marshall Foundation has led the way in providing impact and influence for the challenging health needs of our community.

We could not provide these resources without the help of our generous and loyal donors, including Marshall employees, physicians, volunteers and the Marshall Hospital Auxiliary. This team makes a tremendous effect on health needs.

"Every person has a longing to be significant, to make a contribution, to be a part of something

noble and purposeful." ~John C. Maxwell

Our guiding principles convey that our organization is not defined by walls, but by the doors we open to promote health in our community. Our organization develops a culture of philanthropy and manages donations and investments by diligently applying ethical stewardship. The Foundation values its donors and recognizes their contributions as we strive to align the philanthropic objectives of our donors to the current challenges of our community.

iWalk to School 2017 Project With Marshall Mouse

The 34th Annual Bob West Drive for Marshall Eagle Sponsor, American River Medical: Tagg Neal, Tami Neal, Carol Neal and Gary Neal.

www.marshallfound.org

Karen Good, CEO/Executive Director of the Marshall Foundation for Community Health, has begun a new adventure in retirement this year. Effective May 1, Karen is leaving the Foundation in good hands with the new Executive Director, Jamie Johnson. Jamie is relocating to California with his wife, six children, and three German Shepherds from Eerie, Pennsylvania where he was the Executive Director of the Mercy Hilltop Center, an activity center for independent, active older adults. He has also served in non-profit management, fund raising and advancement for Clarion University and Pennsylvania State University, as well as human resources for a small manufacturing company and a cardiologist group.

Jamie attended Pennsylvania State University where he earned his bachelor’s degree in psychology and received his master’s degree in education from Bridgewater State University in Massachusetts.

Karen has invested more than 30 years as a Marshall employee with the past 19 as the leader of the Marshall Foundation. Her last day was May 1. When asked about what she does in this role, her answer wasn't about strategic plans and budgets. "It is the work with the people that has made this role a cherished honor in every respect," said Karen. "Our volunteers are dedicated and passionate and I love that."

Something that stands out in Karen's mind: "I think all the capital campaigns over the years that have allowed our employees, physicians, auxiliary, board members and other donors to stretch and accomplish much more than they ever thought possible are great," said Karen. Right now she's excited about the resources they have helped provide for cancer patients through the Images of Hope program. Also, you can't forget about the canine therapy program.

Please join us in wishing Karen a fond farewell and welcoming Jamie to the Marshall Foundation for Community Health.

JAMIE JOHNSONKAREN GOOD


Additional Community Health Grants provided:

• Education on the long term benefits of exercise and safe pathways through the 14th annual iWalk to School project.

• Awareness of saying no to tobacco and alcohol use through the National Night Out programs in Camino and Placerville.

• Our investment in the health of newborns a “Baby-Friendly” hospital, a special designation encouraging mothers to breast feed to promote their child’s health.

• Funding for the safety of older adults through fall prevention classes and emergency response units assistance delivered security in the home.

• Temporary assistance for families in crisis provided a hand up during difficult times.

HELPING HANDS AWARDS Recognizing those who consider it an honor to serve others.

OSSIE AND LINDA SCARIOT are longtime devoted major donors who give unselfishly to provide support for their community. Many times giving anonymously, they have not received as much recognition as they deserve. Their dedication to healthcare over the past 19 years reflects a heart for their community and the belief that it only takes a small gesture of kindness to change someone else’s life. By paying it forward, you can affect another person’s outcome in ways you may never know.

THE SHINGLE SPRINGS BAND OF MIWOK INDIANS received the Corporate Helping Hands award by being caring community members who give back to others. In the healthcare arena and beyond, they support “programs that care for people,” and they are deeply committed to sustaining and improving the quality of life in El Dorado County. The Tribe is making a meaningful difference in the lives of their community and those they serve.

PROGRAM HIGHLIGHTS

The Foundation maintains reliable funding for cancer transportation needs: free mammograms, crisis funding for Marshall Medical patients and employees, cardiac rehab equipment, grief support for sudden loss, art therapy for cancer patients and canine therapy.

National Philanthropy Day® spearheaded by Marshall Foundation was celebrated for the first time in El Dorado County when non-profit community leaders believed it was time to come together and celebrate those individuals who make our community stronger. El Dorado County recognized and paid tribute to outstanding achievements by individuals, corporations, and youth whose philanthropy created significant impact on the quality of life in El Dorado County.

Marshall Cancer Center in Cameron Park provides diagnosis and treatment, transportation for cancer patients and complete patient resources, including patient navigators. One-on-one caring assistance allows our cancer patients one less thing to be concerned about as Marshall Foundation provides funding for multiple cancer resources.

Canine Therapy alleviates stress of patients and family members throughout our community. Therapy dogs can provide a valuable sense of reassurance, joy, or calmness to people experiencing stressful or scary situations like those in a hospital setting. The Marshall Foundation provided funds to CASA and Foothill Therapy Dogs, and funded Max the labradoodle, who provides canine comfort to patients at the Transitional Care and Cancer Resource centers at Marshall.

Strength for the Journey continues to offer hope to those who experience sudden loss. Weekly share sessions have provided a resource to the community for the past fourteen years. The group hosted the 13th “Remembrance Celebration” of loved ones at Chapel of the Pines in December.

Images of Hope provides music therapy for infusion patients as well as equine therapy to ease the journey of our cancer patients. Through varied forms of art therapy, cancer patients and family members benefit in reducing their stress levels.

The 34th Annual Bob West Drive for Marshall was a huge success with net proceeds of $62,177 with a field of 136 golfers. A VIP reception honoring sponsors at the $1,500 level and above kicked off the festivities. A special thanks to the continued Executive Sponsorship of UNION BANK, Dinner Sponsor Carter Kelly, Inc. and the Shingle Springs Band of Miwok Indians as Double Eagle Sponsor. We are grateful for all who participate each year in this distinguished event.

The 4th Annual White on White in the Orchard raised $23,295 and benefitted cancer patients who receive healing through art therapy. Rainbow Orchards donated their

Winners of the Mathewson-Bonser Nursing Scholarship - Names from Left to Right: Mandy Gamble, Janelle Mayhugh, Andrea Howard, Foundation Board Secretary, Leanne Amey, Ashlee Roman, Morgan Gwisdala


• Scholarships for City of Placerville Adult Lap Swim program for those recovering from surgery where water therapy provides a benefit.

• Funding through the Mother Teresa Maternity Home ensures new mothers get help and their babies have a safe and healthy start.

• $500,000 provided resources to begin planning the new kitchen, dining room and patio at Marshall Hospital. Expected to begin construction in January 2019, the one year project will allow greater food services efficiency resulting in even better outcomes for each patient. The demand for Marshall’s food services is expected to grow significantly as the area’s populations expands and ages.

Learn How You Can LEAVE YOUR OWN LEGACYTo consider your own legacy, request “Your Personal Guide to Gift Planning” or access our interactive guide online at www.marshallfound.org to understand how leaving a legacy gift to Marshall Foundation can accomplish your dreams for the future. To discuss support of local health programs please call Marshall Foundation at 530-642-9984 or email [email protected].

2017 Corporate Helping Hands Award to Shingle Springs Band of Miwok Indians. Marguerite Reyes and Calvin Peasley

facility and most of the food. Our thanks to Daryl Warden and crew who provided the Tri-tip. For more information, access their website: www.imagesofhopeeldorado.org.

Fifty-one nurses and/or nursing groups were recognized at the 11th Annual Honor-A-Nurse reception proudly sponsored by UNION BANK. The afternoon reception helped to support the Mathewson-Bonser Nursing Scholarships by raising $23,410. A huge “thank you” to all our sponsors. In the fall of 2017, six Marshall Medical Employees in the nursing service were awarded $24,000 in scholarships. Since its inception, $251,900 has been provided for 153 individual recipients in the nursing service at Marshall.

The Janet Nachtman Fund continues to provide free mammograms to every woman who cannot afford the screening.

WHY MARSHALL CONTINUES TO THRIVEIt’s because of you! Our success relies upon the trust of our loyal donors and visionary leaders. To meet today’s needs and tomorrow’s challenges, we need your help. Please consider the gift of health.

www.marshallfound.org



Gifts from March 1, 2017 to February 28, 2018

ALZHEIMER'S FUND Adele SissonMargaret V. Huston

AUXILIARY SPECIAL NEEDS FUND AmazonSmile Program

BOB AND JEAN WEST SCHOLARSHIP FUND Good Done Great

BRIAN MCNATT TESTICULAR CANCER AWARENESS FUND Windwalker WineryDavid M. GelberPatrick HodgsonMarjorie D. McNattSally F. PearceCarolyn M. Standen, DVM

BRIDGING THE GAP/ EMPLOYEE ASSISTANCE FUND Carmen AlcantaraAnonymousMichele J. BattershellEvelyn E. BelendezJan E. Bitonti, RNJanine CaldwellJoyce CampbellRanjit K. ChimaKimberly CorsiniLaura J. DahlMedea DoshElena A. EstradaLuella FultonLori S. Heuser, PA-CHoney Hills FarmJulie L. KingLaila A. MurrarOne Love Refill StationSarah Pinnell, MALinda A. SmalridgeKathy and Fred TennapelRosemarie WalentschkaChristy A. WinstonAnnetta Wren

CANCER CENTER CAMPAIGN Jim and Virginia AbercrombieDave and Jennifer CopelandDr. and Mrs. A. J. diVittorioJohn and Pam DriscollEl Dorado Disposal ServiceBrian J. Goldsmith, MDJohn and Georgi KnightEd and Gabrielle MarchiniRob and Lauren PrichardNecati and Derya TekinDennis and Wendy ThomasBrian and Lori VeerkampWendy F. GoossenMorgan and Leah Hall

CANCER CENTER HEALING GARDEN Linn and Jane WilliamsonSandra ColomboTina A. Smith

CANCER FUND Jennifer and Michael BassettJune CombellackAdele SissonDonald G. Smith, Jr.Barbara H. AshworthDennis P. KissingerDianne KnightMichael and Theresa KokinosBetsy KrohmerDr. Larry and Lynne MooreCheryl J. PurgettMyron and Patricia SchmidtSindel & Rohrer Mini StorageNellie C. Weller

CANCER TRANSPORTATION FUND Friends of El Dorado County SeniorsMichael S. WoffordWofford Acres VineyardsWomen's Fund El DoradoJames BannatyneDavid F. BettsRita Castro

CARDIAC FUND AnonymousAdele SissonShawna M. YoungSharon McKenzieMary Beth FahyDiane L. CarvoNikkole Brown

COMMUNITY CARE NETWORK FUND In Honor of Penny Lehrman, BSRN

COMMUNITY EDUCATION FUND Vincent and Vicki DivittorioAnonymousErnest BryantSharon H. ColemanRuthie M. LoeffelbeinLucia RothgebTeeb Thomas

COMMUNITY HEALTH LIBRARY FUND Francisco and Michelle Rodriguez

DIABETES EDUCATION FUND Adele Sisson

DIVIDE WELLNESS CENTER TRANSPORTATION FUND Marshall Medical Center Employees

EMERGENCY ROOM FUND Robert K. HenleySusan E. Levine

ENDOWMENT FOR HEALTH Ed and Sandy Mathews

FORGET-ME-NOT FUND Norma Braden

GENERAL FUND Barbara AshwillNorma D. BrinkDr. Richard W. Budenz and Mrs. S. Tracy RodgersMerwin E. ButlerChrista Campbell and Tom HeflinRoy and Pearl CarterMichelle and Dennis CollingwoodGary and Dee CutterDr. and Mrs. Stanley C. Henjum, IIJanet M. LundeDrs. Alexander Massey and Helen ChengMoney/Arenz Foundation, Inc.Anietie Okon, MDRobert and Marcella ReederAdele SissonRichard and Jean AlluredAnonymousVernon ArambelRoger and Tracey BaileyKaren and Randy BarrowAndrew and Kimberly BealRalph and Sandra BertCarol L. BlevinsGerhardt and Bonnie BurkJean CastbergElena CastleDiane C. ChildC. Robert and Joanne ClarkeChuck ClementsCynthia CowperJames and Dorothy DuckworthDianne EdenElder Options, Inc.Janet L. FlanneryCarol Foley, FNPGordon Mott Roofing Co., Inc.John and Eileen HidahlBetsy KerrAlyson M. KlevesahlIrene KuschBetty M. LarsenKenneth B. LeeDouglas and Marian LeiszTom and Lucille LivingstoneTom and Jane MeuserMonte and Kay OsbornLe Roy L. PetersJanice E. Petersen

Donna M. PethelRobert and Marian PingelTheresa C. QuinnKurt and Veronica RaffettoBecky L. RawlinsonKaren ReaWilliam and Kathy ScheiberMyron and Patricia SchmidtDouglas M. Stadler, DDSMark and Robin StanleyMuriel A. StockelAlice TalbottMarcella D. ThomasJean WardCher Williams

CANINE THERAPY FUND Tim and Laurie CorderoLourdes EdralinKarlyn SheplerTina A. Smith

HOME HEALTH CARE FUND Sarah M. YostNaomi R. HaugeJay and Melba KenagyGregory Painter

IMAGES OF HOPE AnonymousLinda BloodsawJim and Maureen CarterWanda BlairCarol S. CaseJohn and Karen CornellHeidi DehartPenny DeMarkoMary J. FatoohMaudie M. FowlerBetty GardnerPatricia A. GrayDeborah GroteJohn and Emogene HallerMarjory HubbellSandra L. KeslerPamela LloydDeborah LuthiEllen MartinDr. and Mrs. B. C. McDavid

Judith E. MeaglesDebbie MerrillOff BroadwayNadine D. PerkinsPatricia S. RainesAnne ReynoldsLauri K. StuttsDebra K. TullNellie C. WellerPaul R. Zappettini

INTENSIVE CARE FUND MKetan P. Ajudia, MDBradley and Cindy BarnhillRobert and Sandie BylinJatinder Chana, MDPrakash V. Dobaria, MDGerardo Galang, MDMukesh D. Mungalpara, MDPritpal Randhawa, MDAmrit P. Singh, MD

IWALK (INT'L WALK TO SCHOOL) FUND Louisiana Schnell SchoolTanya and Tony MoranOak Meadow Elementary School PTASierra School Parents Club

JANET NACHTMAN CANCER FUND AnonymousJune CombellackOak Ridge Sports Boosters Club4 Your ProtectionAmes Grenz Insurance ServicesAnonymousRonald AspesiBest Buy TiresBlum Enterprises, IncLarry CarstenDecann's European LLCDeruelle's Auto SalesEl Dorado Gun ClubFoothill AmmoFoothill Dance and Performing Arts StudioGold Harvest CleanersJames and Rebecca JerwersKelly Automotive and Machine

With sincere gratitude to our generousFOUNDATION DONORS www.marshallfound.org


Tribute Gifts from March 1, 2017 to February 28, 2018

Jon L Ackerman, RNBonnie and Jack Line

Jena Rae AllemanMyron and Patricia SchmidtCorrinne R. Stefanski

Joan AshworthBarbara H. Ashworth

Amelia BacocciniMichael and Gale Johnson

Dante BacocciniMichael and Gale Johnson

David Robert Small BeichleyKathleen R. Beichley

Alvin V. BirdSandy and Barry Bird

Christopher Brandon BirdSandy and Barry Bird

Dale L. ChurchJessie E. Church

Betty J. CochranR. A. Cochran

Mike CollomThomas J. Chandler

Allan B. CombellackMarguerite M. Hill

Robert W. "Bob" CombellackJune Combellack

Mr. and Mrs. Frank DeguaraDoris M. Vassallo

Joyce Di AndreaDavid Di Andrea

Sharon DirnbergerWofford Acres Vineyards

Richard DunkDebra K. Tull

Verna EzzellSindel & Rohrer Mini Storage

William P. GeorgeLillian R. George

Russell S. GroveHelen I. Grove

Jim HallGerold and Cynthia Merker

Betty J. HenleyRobert K. Henley

Eugene HillMarguerite M. Hill

Leland J. HillBrenda Hill

Jeffrey Michael HockingSandy and Barry Bird

Patricia Eliza HockingSandy and Barry Bird

John "Jack" Stewart Hocking, Jr.Sandy and Barry Bird

Jeanine HodgesMyron and Patricia Schmidt

Ronald HustonMargaret V. Huston

Cmdr. Ronald JermstadJoe Harn

Eino V. JohnsonMichael and Gale Johnson

Theodore JohnsonMichael and Gale Johnson

Viola T. JohnsonMichael and Gale Johnson

Robert JonesDorothy E. Jones

Antoinette KissingerDennis P. Kissinger

Della LacyRobert and Sandie Bylin

James LansingMyron and Patricia Schmidt

Lois J. MaulRichard G. Maul, Attorney at Law

Andrea Marie McDevittW. Garland Windle, DDS

Angus McKinnon, MDMarguerite M. Hill

Brian McNattDavid M. GelberPatrick HodgsonMarjorie D. McNattSally F. PearceCarolyn M. Standen, DVMWindwalker Winery

Peggy MiltonBob and Lois Schroth

Adele M. PeirceMichael and Gale Johnson

Curtis PeirceMichael and Gale Johnson

Vivia Peterson, RNClaire and Jeffrey Winger

Aubrey W. PryceWendy J. Pryce

Honoria Joan PryceWendy J. Pryce

Barbara Ann RevazMeg and Bruce BeckerCatherine ChoateSteve and Christy ChoateClarence and Alicia MeyerBecky L. RawlinsonAlice Talbott

Dr. Robert Riley, Jr.June Combellack

Tori RobinsonWilliam F. Collins

Clayton SkinnerRick and Diane Skinner

Donald W. SlyVerna Sly

Michele Marie SmithDonald G. Smith, Jr.

George StefanskiCorrinne R. Stefanski

Saadettin Uygur TekinNecati and Derya Tekin

Jean M. TindelShirley Wilkinson-Lumsden

G. Louis TrappKatherine Trapp

Lee TurnerKarlyn Shepler

Carol WaldronDennis and Wendy Thomas

Helen G. WardPeter and Mary Ellen Comer-ford

Michael K. WardDr. Larry and Lynne Moore

Martin F. Welsh, MDDr. Larry and Lynne Moore

Alma F. WilesGlen A. Wiles

James R. YostNaomi R. HaugeJay and Melba KenagyJane KircherSarah M. Yost

Russell YostGregory Painter

Gifts In Honor Of

Victoria Golmitz, Guardian AngelMark and Robin Stanley

Emogene HallerJohn and Karen Cornell

Penny Lehrman, BSRN

Board of Trustees, Marshall Foundation for Community Health

Emergency Room StaffSusan E. Levine

Paul Wofford of Wofford Acres VineyardsMichael S. Wofford

Les Schwab Tire CenterMosquito Creek OutfittersMountain DemocratPersonal Defense WeaponsBart and Gina PetterlePamela PetterlePlacerville Radiology Medical Group, Inc.Ponderosa Auto Express IncLinda RussoShingle Springs HondaSierra ShieldSportman's WarehouseThe Buck StopUrban Yogurt, Inc.Wally's Pizza Bar, Inc.Ward's Automotive

JUNIOR VOLUNTEERS FUND Haley AndersonAnonymousSamantha A. ConwayJon DeGeorgeJin S. KimKnud J. KirkegaardElizabeth R. LagomarsinoKaitlin M. LishmanLos PinosVivek MalhotraSusan MehlMark NaylorCarol NelsonPizza FactorySubbhalakshmi RajamaniKishore K. RaoSrinivas R. RedlamJuliana F. Siragusa-MillerCatherine M. WhiteKaren WoodAmy Yeoman

OPERATION FOODIE - KITCHEN/DINING FACILITY AT MARSHALL HOSPITAL Marshall Hospital AuxiliaryMarshall Medical Center Employees

MATHEWSON-BONSER NURSING SCHOLARSHIP FUND B T Rocca Jr FoundationClaire and Jeffrey Winger

PINK RIBBON FUND FOR BREAST CANCER AWARENESS Tod and Judy Pickett

PLANNED GIFTS Estate of Jeannette J. Borovicka

SAVE A LIFE GIVING CLUB Bonnie and Jack Line

SEXUAL ASSAULT RESPONSE TEAM (SART) FUND Sergio and Noel Barros

SPIRIT OF RECIPROCITY Laurel Brent BumbChrista Campbell and Tom HeflinTim and Laurie CorderoRichard and Janie EspositoBob and Janet GillettEd and Karen GoodDebi and Paul HarlowAndrea and Tom HowardMarsha and Timothy JacksonDr. and Mrs. William A. KlasTanya and Tony MoranJudy and Richard MorrisMr. James OrtegaKurt and Veronica RaffettoLisa Marie SlavenMark and Robin StanleyKim StollBrian and Lori VeerkampDaryl and Lori WardenDavid A. WilliamsonGreg and Kathy Witherow

STRENGTH FOR THE JOURNEY - SURVIVING SUDDEN LOSS Rick and Diane Skinner

STROKE SUPPORT PROGRAM Tanya and Tony Moran

SURGERY EQUIPMENT Bonnie and Jack Line

THE ANDREA MARIE MCDEVITT ENDOWMENT FOR ICU W. Garland Windle, DDS

THE BIRTHPLACE AT MARSHALL HOSPITAL Donna M. Hall

THE NONPROFIT PARTNERSHIP Melanie A. BarnesAdriana De PersiaLeah and Morgan HallKathleen D. KrizlClifford L. SchmidtBalkarran S. SekhonLinda M. SpaffordJoy and Richard VedderRenee L. ViehmannBeverly D. WebbGunilla Wentworth

TRANSITIONAL CARE CENTER FUND David Di AndreaCheryl J. Purgett

With sincere gratitude to our generousFOUNDATION DONORS

16 2017 REPORT TO THE COMMUNITY / www.marshallmedical.org

OUR MISSIONOur mission is to improve the health of our

community and offer health services of superior

value and quality, centered on the goals and

needs of our patients. We strive to deliver

service that exceeds our patients’ expectations.

OUR VISIONTransforming Healthcare for you through

compassion, quality and innovation.

Brittany Garcia – Editor Marketing and Community Relations

530-626-2816 / email: [email protected]

KDgraphics – Design

Marshall Medical Center 1100 Marshall Way Placerville, CA 95667 530-622-1441

www.marshallmedical.org

ABOUT MARSHALL MEDICAL CENTERMarshall Medical Center is an independent, nonprofit

community healthcare provider located in the heart

of the Sierra Foothills between Sacramento and

South Lake Tahoe. Marshall Medical Center includes

Marshall Hospital, a fully accredited acute care facility

with 125 beds located in Placerville; several outpatient

facilities in Cameron Park, El Dorado Hills, Placerville

and Georgetown; and many community health

and education programs. Marshall has over 190

board-certified physicians and a team of over 1,500

employees providing quality healthcare services to

over 180,000 residents of El Dorado County.

TRANSFORMING HEALTHCARE - Marshall Medical Center...Transforming healthcare -- the cornerstone of...

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