2011 Annual Report Anna Jaques Community Health Foundation Donor Listing

A NNA J AQUES H OSPITAL 2011 Annual Report Anna Jaques Community Health Foundation Donor Listing

M ISS A NNA J AQUES –HER L EGACY C ONTINUES Letter from the Chairman of the Board

I am happy to report, on behalf of the Board of Trustees, that Anna Jaques Hospital remains a strong, independent, not for profit hospital. We ended FY2011 in the black, posting a gain from operations of $1.015 million despite the unpredictable nature of the healthcare industry today. In FY2011 we took steps to secure a strong future for Anna Jaques. We grew our clinical affiliation with Beth Israel Deaconess Medical Center, a renowned Boston academic medical center and major teaching hospital of Harvard Medical School.We also raised a significant portion of the hospital’s $6 million capital campaign goal and arranged funding to implement the master facility construction plan. FY2011 was also a difficult year as more Massachusetts hospitals succumbed to unsus- tainable negative profit margins resulting in merger, acquisition, or in some cases, closure. These events brought into sharp focus the continued need for uncompromising guardian- ship of Anna Jaques’ financial affairs and reputation. Challenges were presented when patient volume no longer followed historical patterns due in part to continued economic uncertainty, high deductible insurance plans, and public policy aimed at reducing overall costs in healthcare. Flexible staffing patterns were required to conform to the ebb and flow of patient volume while at the same time maintaining high quality patient care. Changing reimbursement rules from third party payers imposed new procedural and documentation requirements and our staff had to modify internal processes quickly in order to secure revenue.As we knew they would, our employees and medical staff rose to meet these challenges. We are proud that Anna Jaques Hospital is a low cost, high quality, community hospital. As such, we are part of the solution to the problem of unsustainably high costs in health care.Anna Jaques has served the people of the lower Merrimack Valley and North Shore for 128 years and we plan to continue that legacy for many, many years to come.

Sincerely,

George H. Ellison, Jr. Chairman,Anna Jaques Hospital Board of Trustees Letter from the President

In FY2011 Anna Jaques focused on strengthening our position as a high quality, low cost hospital delivering care to the local community. That profile makes us desirable to employers and insurers in the new health plan design. New insurance plans will direct patients toward hospitals that have measurably high quality at a low cost, and Anna Jaques has achieved that status in all the “tiered” plans. Patient and physician incentives will promote care locally rather than in Boston. Our clinical affiliation with Beth Israel Deaconess Medical Center brings Boston level expertise in a supporting role to Anna Jaques physicians, giving patients access to excellent services without traveling long distances. In addition, patient satisfaction continues to improve and the master facility construction project will increase single room occupancy to be the dominant pattern, so that when you come to Anna Jaques, you almost always get a single! Lower rates of hospital inpatient admissions and testing, higher insurance co-pays and deductibles, and the lingering economic downturn will continue to stress the well-being of community based hospitals. Despite these impediments, we believe that Anna Jaques will continue to thrive and fine tune its programs.We have an encouraging track record. From 1999 to 2005 the hospital suffered significant operating losses. Since 2006, however, the hospital has recorded yearly operating surpluses.The money has been reinvested in technology and updated facilities for the communities we serve. In the year just finished, as in the year ahead, we will continue to focus on the basics: being nice to patients, giving them measurably good care, working with our colleagues at Beth Israel Deaconess Medical Center, and showcasing and supporting our excellent medical staff.

Sincerely,

Delia O’Connor, FACHE President and CEO Anna Jaques Hospital

1 The Strength of a Clinical Affiliation

Anna Jaques Hospital (AJH) is clinically affiliated with Beth Israel Deaconess Medical Center (BIDMC), a renowned Boston academic medical center and major teaching hospital of Harvard Medical School. While AJH remains an independent non-profit hospital, the affiliation offers many benefits to Anna Jaques patients.With the new collaboration between AJH and BIDMC, patients are seen in our own community by the AJH Medical Staff when clinically appropriate, with good access to complex care in Boston. More efficient integration of services between AJH and BIDMC will also mean that duplicative treatments and testing will be reduced. If a patient needs to go to BIDMC for tertiary care, the affiliation enables the patient to return to the community for continuing care as quickly as possible.

NeuroCall Maternal/Fetal Medicine ED Transfers In FY2011 Anna Jaques contracted Patients who need advanced care for The relationship between the with NeuroCall, affiliated with BIDMC, to high risk pregnancies can now receive that Emergency Departments at Anna Jaques provide our Emergency Department (ED) care at Anna Jaques, where previously they and BIDMC benefits our patients. In physicians with around the clock access to were traveling into downtown Boston or FY2011, 274 patients were transferred to board certified neurologists. Specialists from Route 128. BIDMC Maternal and Fetal BIDMC for trauma and other clinical the Neurology Department at BIDMC Medicine specialist Henry Roque, MD, conditions that required tertiary care. provide high quality, seamless coverage for FACOG (seen above) came to Anna Jaques Before a transfer our emergency physicians NeuroCall’s network.When patients at Anna three times a month in FY2011 to provide speak to a BIDMC emergency physician Jaques are suffering stroke-like symptoms, high risk ultrasound to the patients of to discuss the patient’s condition, emergency AJH Emergency Department physicians and obstetricians at Women’s Health Care, and treatment, and the best method of transfer the neurologists at NeuroCall talk to one assist them in treating their at risk patients. (ground ambulance or medflight air another face to face over a high speed Access to this high quality specialized transport). BIDMC accepts virtually all internet connection and “Skype-like” video medicine reduces stress on patients who patients from AJH with no delay in the technology to examine the patient together no longer need to travel substantial, transfer.Anna Jaques physicians are able to and discuss the best course of treatment. Our inconvenient distances for specialty care. stay apprised of their patient’s condition collaboration with NeuroCall is helping us It also enhances what the Women’s Health and progress through communication with to improve outcomes for patients and to save Care obstetricians are able to provide BIDMC physicians and access, via elec- lives. It is particularly helpful in the decision their patients in a very integrated way, tronic medical records, to their patients’ whether or not the patient with stroke right down the hall from the Women’s data. Substantial improvements to that symptoms should be given the clot-dissolving Health Care office. electronic access to their patient’s informa- medication, tPA.Anna Jaques received a tion at BIDMC is underway currently. grade of 100% in a recent Massachusetts Department of Public Health (DPH) study of appropriate use of tPA – similar to best practice in Boston area teaching and community hospitals.

2 The Importance of Local Care

Seen L to R: Janice Hamerstrom, RN, Recovery Room, Patrice Wood, LPN, Pre-operative Unit, John McManamy, MD, Anesthesiologist, Christine Daragjati Riccardi, MD, Pediatrician, Steven Parker, MD, Anesthesiologist, David Kelleher, Certified RN Anesthetist (CRNA)

This year Anna Jaques established a Pediatric Surgery Advisory Team (seen PEDIATRIC SURGICAL SERVICES AT ANNA JAQUES HOSPITAL INCLUDE: above), to ensure that pediatric surgical services are well understood by parents, • A pre-operative Board certified anesthesia evaluation their children, and the pediatricians who • A pre-operative phone call by a pediatric educated care for them. Members of the team were registered nurse selected for their expertise in each of the • An optional pre-operative tour areas involved in the process of pediatric • A designated phone number for your anesthesia surgery.Their involvement helps to ensure questions a smooth and reassuring process, and high quality clinical care for the child from • An Anna Jaques Hospital teddy bear registration to recovery. A pediatric • A TV and DVD player for pediatric friendly entertainment surgical services brochure was produced • Free parking and development of an online video has • A registered nurse to help you navigate your child’s care begun, both with the goal of educating • A surgical tracking monitor so you can follow your child’s parents and children about the surgical surgical progress process, easing the anxiety that can accompany a child’s surgery, and demon- • A beeper to notify you of your child’s status strating the volume of pediatric surgery • A post-discharge phone call by a registered nurse AJH already does with a highly skilled, well-credentialed team.

The Importance of Accredited Regulatory surveys and accreditations in healthcare serve to assess the quality of clinical services, staff compliance with established Patient Services standards of performance, and the delivery of healthcare to patients. In FY2011 Anna Jaques Hospital performed well in surveys and received several national accreditations.

Regulatory Surveys

• The Adult and Child Psychiatry departments completed successful Department of Mental Health surveys.The surveyors said,“Anna Jaques has a model psychiatric program in every way.” • The Respiratory Care Department earned Quality Respiratory Care Recognition (QRCR) from the Nurses and counselors of the child psychiatry program American Association for Respiratory Seen L to R staff from the adult psychiatric unit: located at the Amesbury Health Center. Georgiana Sampson, Moe Lord, Barbara Taylor, Jason Care. Only 700 of the 5,000 Halpin, Mark Towle, Peter Freeman, Alexander Lipin, hospitals in the US have received MD, Cheri Kirby, Mary O’Connor, Wendy Allen, kneeling: Sherren Trepanier this recognition. • The Wound Healing & Hyperbaric Seen L to R in the wound center: Noah Rosen, MD, Suzanne Mazza, Center received re-accreditation by Office Coordinator, Scott McIntire, the Undersea & Hyperbaric Medical Director, Pat Ford, CHRN, Joan Caragher, MD, Patty Lucey, RN Society (UHMS), the only wound CWS, and Denise Ryan, RN CWS. healing center in Massachusetts to Not pictured: Shannon McQueen RN, Clinical Nurse Manager, Diane receive full UHMS accreditation. Desmarais-Tetreault, LPN, CHT, The surveyors said “Anna Jaques’ Lynn Vaine, Receptionist Wound Healing Center is the most clinically sound we have seen in the country.”The center also cele- brated its tenth anniversary.

National Accreditations

• The Non-Invasive Vascular Lab received re-accreditation by the Intersociety Commission for the Accreditation of Vascular Laboratories (ICAVL) for Peripheral Arterial testing and three additional modalities including Cerebrovascular, Peripheral Venous and Visceral Vascular testing. (Seen at right) • The Main Laboratory and Blood Gas Laboratory received accreditation by the College of American Pathologists (CAP). • The CT scan unit was accredited by the American College of Radiology’s Committee on CT accreditation.

Seen L to R: Phil Drews, Director of Clinical Services, Derek Butler, RVT, RDCS, RDMS, RT, and Paula Zayac, RVT, RDMS, Vascular Sonographers, celebrate the non-invasive vascular lab’s re-accreditation.

At left: Lindsey Yost (back) and Jenny Banakos (front) stand with of the Roche Cobas 6000 Integrated Platform Analyzers, the state of the art chemistry and immunoassay analyzers in the AJH lab. 5 The Focus on Quality and Patient Safety

Across the country, hospitals focus on initiatives to decrease hospital Board Initiative to Eliminate acquired infections, reduce the number of preventable medical errors, and Preventable Harm increase patient safety and the quality of patient care. In FY2011 Anna As part of the hospital’s continued Jaques achieved notable results in several areas. effort to reduce complications of care and improve patient outcomes, the Board of Trustees approved an initiative to eliminate Decreasing Hospital by construction activities and negatively preventable harm.The two current goals Acquired Infections impact patients whose immune systems of the initiative are to reduce surgical may be compromised. By instituting According to the Centers for Disease site infections for elective hip and knee clear and consistent communication Control (CDC), U.S. hospitals experience arthroplasties (joint replacement), to zero channels between the construction team, 1.7 million health-care associated infec- percent by 2014 and to reduce second the facilities staff, and the infection control tions (HAIs) annually, causing roughly stage or greater pressure ulcers (bedsores) department, Anna Jaques has not had a 99,000 deaths at a cost of $37 to $45 to zero percent by 2015. Plans have been reported case of Aspergillus (a type of billion. However, by instituting nationally implemented to achieve these goals fungus) infection related to construction recognized best practices,Anna Jaques and through further education of the nursing activities at AJH. other hospitals are making strides to reduce, staff, monitoring patients and immediately In order to reduce surgical site infec- and, in some cases, eliminate HAIs. In notifying their physician if a stage 1 ulcer tions Anna Jaques employs a number FY2011 Anna Jaques increased hand is seen; implementation of an OR report of measures including: the proper timing hygiene compliance in clinical areas.We card; an on-going hand hygiene campaign; of administrating prophylactic antibiotics decreased C-section infection rates to less and patient education. before surgery, the use of an antiseptic than 2%, (below the national average) for soap during patient pre-op showers, and Community Based Care the year 2011, and successfully contained the use of the most effective surgical prep Transitions Program (CCTP) airborne pathogens that could be released (Chlorhexidine). The Merrimack Valley Community Care Transition Collaborative (CCTP) establishes a new partnership between Anna Jaques Hospital, doctors affiliated with the hospital, and Elder Services of the Merrimack Valley, Inc (ESMV), with the goal of reducing avoidable readmissions. The grant from the Medicare Center for Medicare & Medicaid Innovation will help fund several interventions: • Doing “Teach-back”with the patient and his/her family member or friend who actually delivers most of the care. The patient will now be asked to explain in her own words what her disease is, how she is going to take her Implementation of best practices in the Birth Center’s operating room, as in the main OR, included the use of Chlorhexidine for a pre-op scrub, antiseptic pre-op showers, routine environmental rounds and medications, and what symptoms she continual adherence to Association of Perioperative Registered Nurses (AORN) and Association of should worry about. Medical Instrumentation (AAMI) standards. • Assuring each patient has a specific follow up appointment with his/her doctor before the patient leaves the hospital.

6 The Importance of Employee Involvement

In FY2011 Anna Jaques Surgical Services Improvement Project was launched with the THE “JUST DO IT” LIST goal of improving service to patients and The Surgical Services Improvement Team identified some quick surgeons, and improving operating room flow. Anna Jaques partnered with Covidien, an solutions to several issues called the “Just Do It’ ideas. They included: international consulting firm that specializes in • A patient tracking monitor placed helping healthcare organizations find solutions in the surgical waiting area allows to complex problems using the Lean Six Sigma families to track the progress of methodology, an approach for achieving opera- their loved one through surgery tional excellence.The Lean Six Sigma process and recovery. gets front-line employees involved in training, flow charting of processes, measurement and • Improved signage directs non- decision making. It creates an effective way to OR patients, as they enter the achieve sustainable change. Front-line employees from the operating hospital, to the volunteer informa- The surgical tracker provides real time room, ambulatory procedure room, recovery tion desk. This reduces the patient progress in an effort to keep room, anesthesia, information technology, and number of patients approaching families informed. central sterile, along with employees of private the pre-admission testing recep- practice surgeons, came together for in-depth tionists in the OR area and slowing them down. brainstorming and measurement. “One of the main goals of the project was • The reorganization of Central Sterile, including the purchase to prevent delays in our operating room, and of additional shelves and additional surgical kits, improves the to improve the scheduling and pre-admission efficiency of “picking” OR instrumentation for each case. process.” said Jeanine Cunningham, RN, Director of Surgical Services. • Multiple other changes are being implemented in FY2012, and success on key metrics (like percentage of rooms starting on time) will be measured against the established baseline and goals from the Covidien teams. “Our goal is to become the operating room of choice for patients, surgeons and our employees.” – Richard Maki,VP, Chief Nursing Officer The improvement project analyzed operating room schedules in an effort to prevent surgical delays and meet the needs of patients and surgeons. The Surgical Service Improvement Team compared notes on repetitive tasks that can be trimmed to improve work flow. Seen L to R: Patrice Wood, LPN, Pre-op, Sherry Demand, OR Surgical Tech; Julie Little, OR Aide, Jeanine Fowler, RN, Pre-op

7 The Strength of Physician Recruitment

To meet the needs of our patient population,Anna Jaques recruited or helped private practices recruit new physicians to expand primary care and specialty practices, and to expand the Hospitalist program (the physicians who specialize in inpatient care).

Heather Cabral, DO Peter Fitzgibbons, MD Louis A. Giorgio, MD Hospitalist, Anna Jaques Hospital Orthopaedic Surgeon, Sports Medicine Hospitalist, Anna Jaques Hospital Medical School: University of Medicine North Orthopaedic Surgery, Inc. Medical School: Facoltà di Medicina e and Dentistry of New Jersey School Medical School: Brown Medical School, Chirurgia, Genova, Italy of Osteopathic Medicine Providence, RI Internship: Worcester City Hospital, Internship /Residency: Somerset Family Internship/Residency: Brown University, Worcester, MA Practice, Somerville, NJ Providence, RI Residency/Fellowship: St. Vincent’s Board Certified: American Board of Family Fellowship: Hand and Upper Extremity: Medical Center, Bridgeport, CT Medicine Harvard Medical School, Orthopaedic Board Certified: American Board of Trauma: Brown University Internal Medicine Board Eligible: American Board of Orthopaedic Surgery

Dorothy Kurtz, DPM Podiatrist, Sports Medicine North Orthopaedic Surgery, Inc. Alexey Makogonov, MD Medical School: Temple University School of Podiatric Medicine, Philadelphia, PA Oana Lungu, MD Hospitalist, Anna Jaques Hospital Medical School: St. Petersburg Pavlov Medical Residency: Botsford General Hospital, Hospitalist, Anna Jaques Hospital University, St. Petersburg, Russia Farmington Hills, MI, Rotating Podiatric, Medical School: Institute of Medicine “C. Internship/Residency: Berkshire Medical Podiatric Surgery Davilla”, Bucharest, Romania Center, Pittsfield, MA Detroit Veterans Administration Medical Residency: Medicine/Pediatrics, Bridgeport Board Certified: American Board of Internal Center, Detroit, MI Hospital/Yale New Haven Health, Medicine Fellowship: AO/ASIF International Trauma, Bridgeport, CT Allgemeines Krankenhaus, Vienna, Austria Board Certified: American Board of Internal Board Certified: American Board of Podiatric Medicine, American Board of Pediatrics Medicine Certified Wound Specialist: American Academy of Wound Management

8 Jose M. Marchena, DMD, MD Maria Ratchkova, MD Ryan Scannell, MD Maxillofacial Surgeon, Newburyport Oral Surgery, Hospitalist, Anna Jaques Hospital Otolaryngology, Colden & Seymour Ear, Nose, Inc. Medical School: Ryazan State Ivan Throat and Allergy Medical School: Harvard School of Dental Medicine, Petrovich Pavlov Medical University, Medical School: Duke University School of Boston, MA Ryazan, Russia Medicine, Durham, NC Harvard Medical School, Boston, MA Internship/Residency: Ryazan State Ivan Internship: University of Michigan Health Internship: Massachusetts General Hospital, Boston, Petrovich Pavlov Medical University, System, Department of General Surgery, MA Ryazan, Russia Ann Arbor, MI Residency: Louisiana State University Medical New York Medical College Metropolitan Residency: University of Michigan Health Center/Charity Hospital, New Orleans, LA Hospital Center, New York, NY System, Department of Otolaryngology Board Certified: American Board of Oral and Board Certified: American Board of Internal Fellowship: American Academy of Facial Plastic Maxillofacial Surgery Medicine and Reconstructive Surgery, University of Michigan Health System, Department of Otolaryngology Board Certified: American Board of Otolaryngology American Board of Facial Plastic and Reconstructive Surgery

Diane B.Turcot, MD Christannah D.Waters, MD Cardiologist, Clipper Cardiovascular Obstetrician/Gynecologist, Women’s Associates Health Care Medical School: Université Laval, Québec Medical School: Loyola University, Stritch City, Canada School of Medicine, Maywood, IL Internship/ Residency: McGill University, Internship: University Health Center of Montreal General Hospital, Montreal, Pittsburgh, Magee-Women’s Hospital, Bojan Zoric, MD Quebec, Canada Pittsburgh, PA Orthopaedic Surgeon, Sports Medicine Fellowship: Cardiology, University of Residency: The University of Chicago, North Orthopaedic Surgery, Inc. Connecticut School of Medicine, Hartford Department of OB/GYN, Chicago, IL Medical School: University of California Hospital, Hartford, CT Board Certified: American Board of Los Angeles, School of Medicine Interventional Cardiology, Harvard Medical Obstetrics and Gynecology Residency: Combined Orthopaedics, School, Massachusetts General Hospital, Harvard University, Boston, MA Boston, MA Fellowship: Steadman Hawkins Clinic Board Certified: American Board of Internal Sports Medicine, Vail, CO Medicine Board Certified: American Board of Subspecialty in Cardiovascular Disease Orthopaedic Surgery Subspecialty in Interventional Cardiology

The Importance of Improved, Energy Efficient Facilities

In April of calendar year (CY)2011 Anna Jaques began its $15.8 million master facility plan construction project that expands the hospital and improves its energy efficiency.The project adds 18 single patient occupancy rooms, which will increase the percentage of private medical surgical beds in the hospital to 100% most of the time (except in the periods of highest census) (see more, page 23). A new energy efficient power plant will increase the hospital’s overall energy efficiency by approximately 15%. Removal of the old power plant will also make way for a new outpatient entrance that includes an attractive entry across a newly landscaped space, and pretty updates to the basement corridors. The new entrance will include a reception desk and waiting area for patients and signage to guide them to their department.

THE ZAMPELL POWER PLANT

The Zampell Power Plant uses energy efficient equipment, cleaner burning fuel (natural gas instead of number six fuel oil). It conserves water, and minimizes the impact on the natural environment. The Zampell power plant under construction.

BUILDING ENERGY EFFICIENCY

Old power plant: New power plant: Boilers burning # 6 fuel oil Efficient, cleaner burning natural gas

Aged hydronic system Efficient, variable speed pumps

Reciprocating chillers Efficient new scroll units

Antiquated HVAC unit Variable air volume units which allow finer temperature control coupled with a computer based digital control One of the two new generators in the management system Zampell power plant.

MINIMIZING ENVIRONMENTAL IMPACT

In the new power plant: • More environmentally friendly Chlorofluorocarbon (CFC) based refrigerants will be used • Lighting is energy efficient and reduces light pollution through ‘dark skies’ approaches that cast light down, instead of horizontally or up • Water use is reduced through low flow water fixtures • Erosion and sedimentation are controlled • Storm water is managed and a rain garden retains run-off

• Ground water is recharged through infiltration chambers One of the three energy efficient boilers that will provide heating.

At left: The historic oak tree (approximately 90 years old) has held its own through the construction, carefully watched over by Bartlett Tree Experts. Construction workers have been grateful for its shade during hot weather. 11 The Strength of a Healing Environment

Updating and refreshing spaces creates a positive healing environment for patients and helps to make Anna Jaques Hospital a desirable place in which to receive healthcare. In FY2011 spaces in three separate patient areas were renovated.

Physical Therapy:

The physical therapy space that was previously located in the Gray Building on the hospital campus moved into a new, larger, 3200 square foot space in the Market Basket plaza on Storey Avenue in Newburyport.The move was necessitated by the demolition of the Gray Building as part of the master facility plan expansion in order to make room for the new Zampell power plant.The improved physical therapy space is easily accessible for patients as it is on a single floor with ample parking directly in the front of the building.Twelve foot high windows bring natural light into the large gym area, two treatment rooms create privacy for patients, and there is good space for staff needs.

Sleep Lab: Pediatric Unit:

As a tired nation looks for answers to its lack of sleep, sleep Pediatric patients and their families have unique testing continues to be an important clinical service at Anna Jaques needs. The children need space to play, the parents under the direction of Dr. Charles Randall, Board Certified in need space to sleep near their children, and families Pulmonology as well as Sleep Medicine, and Lynn Wedge, RRT, need private space in which to consult with their RPSGT, Sleep Lab Coordinator. Now the new décor presents a physician.The new pediatric sub-unit at Anna Jaques, welcoming and restful space, more like a hotel than a hospital, for named for Kim Williams and Trevor Miller, provides those receiving overnight testing. for all of those needs. It was constructed on the third floor in an effort to provide a private, high quality, secure environment for children and their families.

12 The Importance of Serving our Patients Well

Press Ganey* patient satisfaction surveys collect feedback from inpatients and emergency department patients on their experience at Anna Jaques. The information is reviewed by administration and the appropriate department director. Every employee who gets a nice mention in the surveys receives a ‘Shining Star’ and a letter from the hospital president with a copy of the patient’s positive words. Attention to, and performance on, patient satisfaction scores is part of every director’s performance evaluation.

National Recognition by Press Ganey

Press Ganey recently recognized Anna Jaques for what it called “a consistent and steady climb in patient satisfaction (see trends right), reflective of the staff working hard toward great achievements, and doing so as a true team.” Press Ganey recognized achievements in patient satisfaction in the hospital’s ambulatory surgery overall, inpatient overall, and emergency department overall ratings. • The operating room (OR) team was recognized for its statistically significant improvement in Ambulatory Surgery Overall Patient Satisfaction scores, the result of sustained performance improvements by the staff. • The director of the Birth Center and Anna Jaques’ Chief Nursing Officer presented a case study on “rebirthing quality and customer service” to 200 The graphs above show consistent patient satisfaction attendees at the national Press Ganey conference in Dallas,Texas.They improvement trends. described quality and patient satisfaction strategies that regularly lead to scores above the 88th percentile. PRESS GANEY • A snapshot comparison of Press Ganey scores from calendar year (CY)2003 (CY)2011 Q3 (CY)2003 Q4 compared to (CY)2011 shows heartening improvement. (Shown at right) Overall Inpatient 80th percentile 26th percentile

Hospital Recognition of Achievement Overall Nursing Inpatient 86th percentile 26th percentile

Each quarter Anna Jaques awards its own patient satisfaction trophies, based Room Cleanliness 71st percentile 9th percentile on Press Ganey results.Three hospital departments won internal Anna Jaques Source: Press Ganey Reports. Press Ganey is a national patient satisfaction firm. Press Ganey patient satisfaction awards for the 4th quarter of FY2011. This chart gives a snapshot of patient satisfaction, eight years apart. • Food and Nutrition Services received the first trophy awarded in the new category of “Highest Peer Group”. The trophy is awarded to the staff of those support departments The Food and Nutrition services team accepts their trophy for who make extraordinary contributions in their “Highest Peer Group”. category of service, resulting in high patient Seen L to R: Back Row: Deb Dionne, satisfaction scores. Tim Toplak, Jim Harvey, Dean Scheidegger • Surgical Services won the award, delivered this Middle Row: Alan Bythewood, quarter with a new trophy, for “Highest Score”. Kelly McInnis, Delia O’Connor • CCSU won the “Most Improved” award. Front Row: Tim McCarthy, Mark Kelley, Mardee Beauparlant, Debbie Higgins Kneeling at front: Richard Maki, CNO, VP, Nursing

*Press Ganey patient surveys are mailed to randomly selected patients. Press Ganey is an organization that works with 50% of US registered hospitals, numbering more than 2,800, to measure and improve their quality of care.

The Importance of Serving our Communities

Anna Jaques Hospital’s community outreach program has evolved over the years from providing fun and educational programs to elementary schools, to providing materials and programming that fill gaps left by school district budget cuts. Thanks to a generous grant Collaborating with school nurses, the hospital writes and provides free curriculum on healthy from The Newburyport Society snacks, portion control, hand washing, bike safety, for the Relief of Aged Women, and fun exercise.We purchase books, videos, and Anna Jaques produced a three teaching materials for schools that no longer have school librarians.With the help of Ron Freid, DO, issue magazine to enhance Medical Director of the Anna Jaques Emergency the health and welfare of Department, who volunteered, AJH provided senior women in Newbury, speaker, educational staff and parent materials that helped the Newburyport and Pentucket school Newburyport and Salisbury. districts meet unfunded state mandates for concus- Information from Anna Jaques sion education.The hospital also works behind Hospital clinicians indicated the scenes, in collaboration with school athletic directors and community league leaders, to help that depression and isolation, ensure that students in need have access to knowing when to call the organized sports.Among the programs Anna doctor or 911, (such as in the Jaques supported: case of heart attack, stroke, • Amesbury Middle School. AJH provides 5th or falls), and coping with family grade girls’ travel basketball team (seen at left) with new warm up suits. stressors are areas of concern • Newburyport High School basketball camp. for these women. As a result, AJH provides scholarships for girls in need. each issue of the magazine, • Pentucket High School (serving West Newbury, called Health and Home, Groveland). AJH helps to replace torn/obsolete addresses health issues, athletic gear. socialization, personal safety, • Triton Middle School (Newbury, Rowley, Salisbury). AJH helps to defray wrestling team nutrition, and stress reduction, sign up costs. and provides contact informa- • Salisbury community softball/baseball fields. tion for local resources and AJH helps to repair fields damaged extensively organizations that are easily accessible. by winter storms. • The West Newbury Basketball Academy.AJH supports 100 to 125 campers, 2nd-9th grade. • Haverhill public schools. AJH helps to supply wellness curriculum to school nurses.

At left: The Amesbury Middle School 5th grade girls’ travel basketball team needed new warm up suits. Anna Jaques provided them to help relieve parents’ costs. 15 Board of Trustees

George H. Ellison, Jr. Byron J. Matthews Maurice Fremont-Smith III, MD Delia O’Connor, FACHE Joe D. Hull, MD Chairman Vice Chairman Secretary President/CEO President, Medical Staff

Wayne P. Capolupo Charles R. Cullen David J. LaFlamme Janice C. Morse Kim Williams, Chair, Chair, Building Committee Chair, Campaign Steering Chair, Finance Committee Chair, Audit Committee Board Quality Committee Committee

Rosalin Acosta Mark S. Amorosino, MD Grace G. Connolly Bernhard Heersink, MD Michael Jones

Jeffrey C. Kirpas Ann Lagasse Margaret K. McClure Jessica Schoonmaker, MD Chair, Foundation President, Anna Jaques Hospital Aid Association

George H. Ellison, Jr., Chairman Wayne P. Capolupo, Chair, Building Committee Rosalin Acosta Jeffrey C. Kirpas Byron J. Matthews, Vice Chairman Charles R. Cullen, Chair, Campaign Steering Committee Mark S. Amorosino, MD Ann Lagasse, Chair, Foundation Maurice Fremont-Smith III, MD, Secretary David J. LaFlamme, Chair, Finance Committee Grace G. Connolly Margaret K. McClure, President, Delia O’Connor, FACHE, President/CEO Janice C. Morse, Chair, Audit Committee Edward Dipple (not pictured) Anna Jaques Hospital Aid Association Joe D. Hull, MD, President, Medical Staff Kim Williams, Chair, Board Quality Committee Bernhard Heersink, MD Jessica Schoonmaker, MD Michael Jones

16 Medical Staff

President Joe D. Hull, MD

Vice President Saira Naseer-Ghiasuddin, MD

Secretary/Treasurer Christopher Harris, MD

Department of Anesthesia Steven F. Parker, MD, Department Chief Robert L. Kirkman, MD, Assistant Chief

Joe D. Hull, MD, President Saira Naseer-Ghiasuddin, MD Christopher Harris, MD, Vice President Secretary/Treasurer, Chief, Department of Emergency Medicine Medicine Ronald L. Freid, DO, Department Chief Joe D. Hull, MD, Assistant Chief

Department of Medicine Christopher Harris, MD, Department Chief H. Thompson Mann, MD, Assistant Chief

Department of Obstetrics & Gynecology Steven A. Mollov, MD, Department Chief Rebecca L. Boyer, MD, Assistant Chief

Department of Pathology Laura G. Harris, MD, Department Chief Ronald L. Freid, DO Laura G. Harris, MD Alexander Lipin, MD Maurice Fremont-Smith III, MD, Assistant Chief Chief, Emergency Chief, Pathology Chief, Psychiatry Department of Pediatrics Christine Daragjati Riccardi, MD, Department Chief Tammy Bottner, MD, Assistant Chief

Department of Psychiatry Alexander Lipin, MD, Department Chief David E. Sorenson, MD, Assistant Chief

Department of Radiology Thomas M. Riley, MD, Department Chief Richard E. Rosin, MD, Assistant Chief

Department of Surgery David Swierzewski, MD, Department Chief Steven A. Mollov, MD Steven F. Parker, MD Christine Daragjati Riccardi, MD Daryl Colden, MD, Assistant Chief Chief, Obstetrics & Gynecology Chief, Anesthesia Chief, Pediatrics

Thomas M. Riley, MD David Swierzewski, MD Chief, Radiology Chief, Surgery

17 Letter from the Chief Financial Officer

It is easy to look back, from a financial perspective, on the last six years and be proud of what has been accomplished at Anna Jaques Hospital (AJH). I’m honored to be a part of it and thrilled to report that we finished the fiscal year ending September 30, 2011 in the black for the sixth consecutive year, reporting a gain from operations of $1,014,000 which represents a 0.8% operating margin. So much is changing, so fast, in healthcare policy and reimbursements on the local and national level. Each year our industry faces many financial challenges from insurance companies, the state Medicaid program and the federal Medicare program.We continue to be asked to do more for less and successful organizations like AJH continue to reengineer themselves to ensure long term success.AJH has characteristics that will be among the critical success factors in the reengineered health care model that we are seeing develop right before our eyes.We are markedly low cost, and measurably high quality for the level of services we provide along with our medical staff. Anna Jaques has focused over the last six years on lifting its reputation, financial performance and measurable clinical and patient satisfaction outcomes to a high level.The new health insurance plan designs include ever-strengthening incentives for patients to consider staying “local” for their care, rather than accessing reflexively the brand name institutions in Boston for procedures, admissions, and testing that could be done here with a good result.We fully understand that no one is going to trade down for his or her health care, whether for himself or a family member. People want to be confident they can receive high quality care at Anna Jaques, not just less expensive care, and we have established that is true. The Operating surplus in FY2011 and over the last six years has allowed us the opportunity to make terrific investments to modernize our facility, purchase updated clinical technology, make significant investments in information technology, recruit talented staff and physicians and meet our pension obligations.We do this all with the goal of making high quality healthcare available to our community for another 128 years.We have put great focus on that effort to be affordable, and convincingly desirable to the patients and communities we serve. We thank you all for trusting us with your healthcare, and your charitable donations to this hospital.The continued support of the hospital Board of Trustees, and the committees I work with – the Finance Committee, Investment Committee, Pension Committee,Audit Committee and the respective chairs – makes our progress at Anna Jaques possible and is greatly appreciated.

Respectfully,

Mark L. Goldstein Anna Jaques Hospital Executive Vice President and Chief Financial Officer

18 Anna Jaques Hospital Statement of Operations

Years Ended September 30 2011 2010 Operating Revenues: Net patient service revenue $105,393,417 $105,987,243 Other operating revenue 3,142,379 3,306,918 Net assets released from restriction 97,375 166,190 ______Total Operating Revenues 108,633,171 109,460,351

Operating Expenses: Salaries and wages 49,780,111 49,142,820 Employee benefits 13,274,263 12,109,451 Supplies and other 35,830,301 36,608,085 Provision for uncollectible accounts 4,697,661 4,846,793 Interest and Depreciation 4,036,019 4,093,001 ______Total Operating Expenses 107,618,355 106,800,150 ______Gain (loss) from operations $ 1,014,816 $ 2,660,201

Seacoast Regional Health System, Inc. Consolidated Balance Sheet

September September 2011 2010 2011 2010 ASSETS LIABILITIES AND NET ASSETS Current Assets: Current Liabilities: Cash and cash equivalents $ 11,552,294 $ 12,612,739 Current portion of long-term debt $ 555,409 $ 953,256 Patient accounts receivable, less Accounts payable and accrued liabilities 11,463,539 11,314,184 allowance for uncollectible accounts of Due to third-party payors, net 776,903 1,585,057 ______$4,034,175 in 2011 and $4,644,300 in 2010 13,971,704 13,696,893 Total Current liabilities 12,795,851 13,852,497 Materials and supplies 1,506,308 1,223,877 Assets whose use is limited-current Long-term debt, less current portion 22,070,874 9,617,419 portion 3,694,671 2,022,105 Accrued pension liability 16,011,251 15,820,048 Prepaid expenses and other current assets 2,063,911 1,821,139 Other liabilities 6,560,382 1,743,131 ______Total Current Assets 32,788,888 31,376,753 Total Liabilities 57,438,358 41,033,095

ASSETS WHOSE USE IS LIMITED OR RESTRICTED Investments: Held by trustee under debt agreements 8,472,005 0 Beneficial interest in perpetual trust 3,019,032 3,225,131 Board designated funds 12,810,427 9,324,204 Donor-restricted funds 7,828,592 8,168,289 Pledges receivable 3,014,846 3,526,074 NET ASSETS: ______Unrestricted 21,830,239 24,435,468 Total assets whose use is limited or restricted 35,144,902 24,243,698 Temporarily restricted 12,649,630 11,675,022 Permanently restricted 4,908,795 5,114,893 Property, plant and equipment, net 25,482,573 23,327,412 ______Total net assets 39,388,664 41,225,383 Other assets______3,410,659 ______3,310,615 ______Total Assets $ 96,827,022 $ 82,258,478 Total Liabilities and Net Assets $ 96,827,022 $ 82,258,478

Letter from the Chair of the Foundation

Dear Constituents,

The Anna Jaques Community Health Foundation provides excellent, donor-centered fundraising programs and stewardship to its donors while returning funds to Anna Jaques Hospital to improve the patient experience. Last year, gifts from you and others like you who care about our community hospital provided $684,000 to fund important programs, training and medical technology that would not have been possible without philanthropic support. Each and every gift makes a difference for patients. The Foundation’s donors give generously. Last year, your gifts and others funded the two-bed sleep lab renovation, and now spending the night for a sleep disorder diagnosis is more comfortable.Your gifts helped purchase several diagnostic Holter monitors – portable EKG machines – that allow patients to be at home during extended heart monitor tests. And, a Direct Elite ACL repair kit to aid in joint preservation makes it possible for your surgeon to save more of your knee and hip joint during replacement surgery. These are among the tangible improvements directly related to donor giving. Every gift is meaningful.A small child asks for gifts for Anna Jaques in lieu of her birthday presents.A small business like Star Nails in Amesbury or Gabrielle Minh’s Tailor shop in Newburyport buys bricks for the new walkways as part of the capital campaign. Other times it is a doctor and his bride asking wedding guests to give to the hospital instead of their wedding. And, two businesses, Leary’s Fine Wines and The Walsingham Gallery in Newburyport join together to create a fundraising event for the hospital. People are demonstrating, through their giving, how much they value Anna Jaques.We have had outstanding giving from foundations as well, including a Walmart Foundation grant that will help provide healthy food to Salisbury Elementary School students this spring. Community members Josiah Welch, former Chairman of the Board of Trustees, and his wife Donna Welch, former Aid Association President and long-time Board Member, have given nearly eighty years of combined service to Anna Jaques.Their gifts to the hospital have been many and they continue to give extremely generously and influence others to give. We celebrate their enthusiastic engagement.Thank you Josiah and Donna. And, thank you to all who keep Anna Jaques Hospital in their giving plans each year.

Ann Lagasse, Chair of the Board Anna Jaques Community Health Foundation

At left: Mr. & Mrs. Josiah Welch. Mr. Welch is former Chairman of the Board of Trustees and Mrs. Welch is a former Aid Association President and Board Member. 21 Letter from the Chair of the Capital Campaign

Dear Constituents,

My role as chair of Your Hospital:The Campaign for Anna Jaques has been both a challenging assignment and a most fulfilling one.When the campaign began at the end of 2009, the idea of achieving a private fundraising goal of $6 million – the largest campaign in the hospital’s history – during difficult, belt tightening times seemed more hopeful than certain. All of the elements to undertake a campaign were in place: a financial turnaround beginning in 2005 that signaled good management of the hospital’s resources, something all donors want to be sure of before investing; a base of longtime donors passionate about locally managed and delivered health care; an enthusiastic team of community members, medical staff, board members and hospital leadership who agreed to dedicate their time over the coming three years, to give meaningful gifts, and to become advocates and solicitors.And, we had a mandate. Our patients were clear: “Single rooms, please!” Single rooms give our patients privacy, a peaceful environment for healing, and a place for friends and relatives to visit or stay. Importantly single patient rooms also make confidential conversations with doctors and nurses easy. In this way, our patients can have the best experience possible. I am delighted to report that your gifts are making our bold plans a reality. I am moved and humbled. Employees to date have bought over 100 bricks for the new walkways. Over 75% of the medical staff – both established and new doctors – have given to the campaign. Notably, many donors have continued to support hospital programs, events, medical equipment, and operational priorities through the Annual Fund in addition to giving to the campaign. Eighteen new patient rooms will transform Anna Jaques into a primarily single-room hospital. A new power plant will provide cleaner, more efficient energy, and you will find your way more easily with the new entrance to the oupatient services area where the smokestack now stands. Please come celebrate with us when we recognize the contributions of the community to Your Hospital this fall. I look forward to thanking you in person.

With thanks and warm regards,

Charles R. Cullen Chair, Capital Campaign

22 The Importance of Single Patient Rooms

The benefits of providing patients with a peaceful, private environment Survey question: for healing are well documented. Single patient rooms are now the federal If you were to rate your stay standard for new construction. However, it is our patients’ pleas for single here at Anna Jaques, what rooms that Your Hospital:The Campaign for Anna Jaques addresses. Patient would it be and could we preference is the driving force behind construction of a new 11,500 square- improve for the future? foot, 18 private-room inpatient unit. Private rooms will not only meet the privacy expectation of patients “Need more privacy; and their families during recovery and care.The new unit’s design will also: rooms are very noisy • Improve infection control throughout the unit at night.” • Provide patients with a great environment for healing • Facilitate the use of electronic medical records “One roommate snored • Provide privacy for medical discussions and treatments and the other had the In addition to an “en suite” toilet, shower and rooming-in furniture (which enables a relative or close friend to spend the night), each room TV on all night.” will be equipped with information technology capabilities for nurses and physicians. Dispensing medication, for example, will be helped by matching bar codes to patients’ wristbands and electronic records, and vital sign technology will allow the nurse or aide to download the patient’s data directly into the electronic record (reducing errors).

This rendering shows the design of the single occupancy inpatient rooms on the new Institution for Savings Inpatient Unit.

23 Your Hospital: The Campaign for Anna Jaques

Listing reflects contributions received as of February 17, 2012.

$1,000,000 + Institution for Savings Newburyport Five Cents Savings Bank

$500,000 – $999,999 The Mary Alice Arakelian Foundation The Provident Bank

$200,000 – $499,999 The Capolupo Family / SPS New England, Inc. Telemachus A. and Irene Demoulas Family Foundation The Gerrish Family Foundation / Rochester Electronics James and Christine Zampell / Zampell Companies Nothing more accurately describes the relationship between Charlie Cullen’s family and Anna Jaques Hospital than the name of the hospital’s $6 million capital $100,000 – $199,999 campaign – Your Hospital:The Campaign for Anna Jaques. Charlie is the campaign’s Mr. and Mrs. Swift Barnes chairman and his family has a multi-generational relationship with Anna Jaques. Jay Howlett / Chase and Lunt Insurance Agency Charlie’s father, the late James F.Cullen, served as a hospital trustee, a mantle Frank L. Currier Charitable Foundation The Karp Family Foundation that Charlie has taken up after completing his tenure as chair of the Anna Jaques Mr. and Mrs. Josiah Hale Welch Community Health Foundation. Now Charlie’s children, Dan and Lindsay, have Strem Chemicals, Inc. joined him in making a significant family gift to the capital campaign, to name the The Wallace Family Trust Administrative Offices.“We hope our gift inspires others to support the campaign Kim Williams and Trevor Miller and passes on my Dad’s lesson that getting involved in the life of the community Barbara and Edward Wilson is very important.”

$50,000 – $99,999 Fred and Donna Abdulla Darling Consulting Group Deborah and Frank Chiaravalloti Dan Abdulla and Mark Moquin / Joe’s Playland Allan L. DesRosiers Bernard Christopher, Jr. Anna Jaques Hospital Aid Association George and Donna Ellison Annemargaret Connolly and Kenneth L. Frank The Kennard L. Bowlen Charitable Trust Mark and Susan Goldstein Culver Company, Inc. Ralph Castagna / Castagna Construction Corp. Dr. Bernhard and Susan Heersink Dr. James and Susan DiResta Charles R. Cullen David and Virginia LaFlamme Richard and Kathy Eaton Children’s Health Care Mark and Teresa Richey Ginny and Tom Eramo Cynthia and David Gompers Matter Communications, Inc. Shane and Melissa Foley Dr. Saira Naseer Ghiasuddin and Dr. Salman Moseley Fund for Social Services Dr. Paul and Maria Freedberg Ghiasuddin Mrs. Noreen C. Pramberg Sarah J. Gnerre and Christopher Mulligan, Esquire Greater Newburyport Emergency Physicians, Inc. St. Jean’s Credit Union Estate of Patrick Herron The H. Patterson Hale, Jr. Charitable Foundation Dr. Michele Sasmor and Dr. David Strohschein Michael L. Jewell Ann and Chuck Lagasse Seacoast Medical Associates Michael and Linda Jones Byron and Helen Matthews Seacoast Orthopedic Associates, Inc. Peter Kelly and Family Merrimack Valley Anesthesia Associates Sports Medicine North Dr. Jane Kerr and Luis Fernandez Newburyport Area Industrial Development Zachary M. Longley Foundation $10,000 – $24,999 Ian Lucy Delia O’Connor and Dr. E. Thomas O’Neil Anonymous (1) Richard and Lisa Maki SeaCoast Pathology, Inc. Ambrosi, Donahue, Congdon & Co. CPA’s David and Patricia Mansfield Mark F. Welch Dr. Mark Amorosino and Dr. Jessica Amorosino Lisa L. Mead and Christine Doherty Barking Dog Ale House Donald and Nancy Mitchell $25,000 – $49,999 Jacalyn E. S. Bennett Dr. Steve and Paula Mollov Jack Bradshaw and Denise Marien Trey Byrnes Northeast Dermatology Associates Colden & Seymour Ear, Nose, Throat & Allergy Rev. Susan and Alfred Chandler Dr. Isaac and Debbie Pourati Dr. Mary C. Chang and Dr. Paul S. Chang Ronald K. Pye, MD 24 Stephen and Millicent Salvo Delande Supply Co. Susan J. Hay Dr. David Swierzewski and Lesli O’Connell Shelley DeSimone Dr. Anthony and Joanne Hayden Scott and Amy Vandersall Lisa Devenish Thora Healy Shih-Te Wen, MD Edward and Janet Dipple Dr. Sadru and Clare Hemani Jonathan and Betsy Woodman Richard and Sheilah Doolan William and Patricia Herman Robert F. Doyle Jan and George Hilton Up to $9,999 Phillip Drews Drs. Gerald and Denise Hirsch Anonymous (1) Scott and Cassandra Eaton Dr. Rowen and Susan Hochstedler AJH Laboratory Department Dr. Vladimir and Asia Eisenberg Darcy and Dorothy Holland Elizabeth S. Abby Stearns Anne R. Ferguson Lynne Holmes Rosalin Acosta Dr. Kay and Mary Ficht Betty Howland Christopher and Elizabeth Armstrong Dr. Andrey and Galina Filippov Mr. and Mrs. Lawrence C. Hoyt, Jr. Richard and Joanne Baker Joan Flanders Peter and Patricia Hoyt Dr. Mary F. Baker-Berzansky David and Jody Fowler Lawrence Hunter and Kristen Haley Hunter Mr. and Mrs. Samuel C. Barchus Jennifer Franz Allison Hurteau Kathleen C. Basanta Dr. Maurice and Jean Fremont-Smith III Ali and Anders Jahn Dr. Stephen and Arna Beaudoin Gabrielle Minh’s Tailor Shop Cindy and Stuart Johnson Wendy Beauvais Denis W. Gagnon Deborah Johnson Bob and Nan Becker Carol Gamble Margaret Jones Lisa Bocchetti Nicole Garrett Melissa Jones John C. Boothroyd Helena C. Gaudreau Mark Kats, MD James Borek Mr. and Mrs. Robert A. Gonthier, Jr. Eileen Keating Maryrose Borelli Jeffrey M. Gwinn Sandra Keeler John K. Bosen Kimberly Hackett Marie T. Kent Dr. Rebecca L. Boyer and Dr. Chad McDonald David Hall and Lisa Dorval Hall Dr. Kimberly and Charlie Kersten Kent Boynton, Ph.D. Matthew N. Hall Hannah Keyser Steve Brown Robert J. Harvey Dr. Mostafa and Mary Khalil Robert Buchanan, Jr. Arthur and Elizabeth Buckley Susan M. Bugden Deb Burke Linda Burke Stephen and Lucy Burke David Butler Derek Butler John J. Cameron Melissa Carey Edward and Nancy Carpenter Craig and Margaret Childs Mary Anne Clancy Susan Clifford Mr. and Mrs. Dean F. Cobos Freeman and Maureen Condon Attorneys James and Grace Connolly Robert D. Connors Five generations later, Joe’s Playland is still family owned and operated. Dr. Bruce and Leila Cooper Supporting Your Hospital:The Campaign for Anna Jaques seemed natural for the Mr. and Mrs. William Cooper Phil, Yvonne, and Josh Cosgrove Abdulla family.“The hospital keeps our family, and our customers’ families Frank G. Cousins, Jr. healthy,” said Dan. Steven and Mary Coyle The Abdulla family has been on Salisbury Beach for more than 90 years. Mary Crawford “Uncle Joe began with a portable popcorn cart in the 1920s,” said Fred Abdulla. Robert and Diane Crofts “Then he and Aunt Jennie opened a penny arcade named Joe’s Playland, and our Mary Croteau parents, Fred and Julia, started the ice cream stand in the 1940s.These businesses Barbara Cullen and George Pasti grew to become the Joe’s Playland we know today.” Jeanine Cunningham Fred, his wife, Donna, Dan, his partner, Mark Moquin, and Joe’s Playland made Arthur and Sharon Currier a family gift to the campaign to name the hospital’s administrative conference Mr. and Mrs. George U. Curry room, now known as the Abdulla Conference Room. Lisa Cyr-Wilmont John DeCosta

25 If giving was ever considered to be a family activity, it was proven to be one by the Barnes family.The family wanted to honor their daughter Betsy, and so they gave generously to Your Hospital:The Campaign for Anna Jaques in her name. Betsy is a Food Service Aide and has worked at the hospital for 27 years. Mark Kelley, director of the Food and Nutrition Services Department has worked with Betsy for many of those 27 years.“Betsy works hard and brings laughter to our work day,” said Mark.“She keeps an eye on everyone’s eating habits, and she gives me a hard time if I eat something fattening!” The Anna Jaques Hospital kitchen is now named in honor of Elizabeth Wainwright Barnes.The naming was unveiled to her in a surprise ceremony at the hospital. Her parents, Swift and Virginia Barnes, Jr. of Cape Cod, her brother Swift Barnes, III from Southern California, her sister Gina Barnes of the Churchill Gallery and Newburyport, and family friends and co-workers joined Betsy at the naming ceremony to congratulate her and celebrate.

Robert L. Kirkman, MD Janice and Charles Morse, III Cheryl Satryb Jeffrey and Maureen Kirpas Ralph and Kathryn Mulcahy Esther Sayer Robert E. Kirsner, D.P.M. Geoffrey and Rita Mullis Dr. Jessica Schoonmaker and Dr. Brian Thompson Laurie and Jay Knapp Patrice Murphy Amy M. Sevigny Mark F. Knapp Rich and Eva Napolitano Catherine Seyler JoAnn Knowles Dr. John Nestor Wilbur and Mimi Shenk Dr. Neil D. Kobrosky Newburyport Civic League Ted and Marilyn Shepard Amanda LaPlante Newburyport Medical Associates, Inc. John and Ann Marie Short Katie LeBlanc New England Foot and Ankle Karen Sindoni-Westhaver Susan Lepito Lori J. Norris Mr. and Mrs. Stanley V. Siwacke Mr. and Mrs. Carl LeSage Tina Noyes Joseph Soldano Sandra Levin Mary O’Connor Hilary J. Sondik Mary E. Lord Vania and Barbara O’Connor Linda Sowder Lisa Losh William O’Flaherty Nancy J. Spaulding Marc MacBurnie Maria V. Palumbo Star Nails / Thai and Trang Ninh Barbara K. MacLean Dr. Steven and Jeanne Parker Imelda St. Pierre H. Thompson Mann, MD Donna Parrot Suzanne Suslak Mr. and Mrs. Terrence T. Marengi, Sr. Karen Patnaude Wayne and Susan Tatro Kathleen A. Marshall Mrs. Frances M. Pearson Darhlene Titcomb Leanne and Greg Martin Richard L. Peeke Mrs. Mary J. Tracy Russell Martin Phillips Real Estate Donna and Bret Twombly Anne Mccarthy Donna Piechocki Rebecca Vigneault Brenda McCarthy Raymond and Arline Pouliot Zoe J. Vincent Dr. Michael and Melissa McCartney Patricia J. Powers Dr. Christannah Waters and Mr. Sean Waters Margaret Kelleher McClure Joanie and Dick Purinton Dr. William F. Watts Diane McCormack Dr. DeWayne M. Pursley and Ms. Gayle Lynn Wedge Susan McCormick Matheson Mary Lou Welch Polly McDowell Dr. Charles Randall and Dr. Susan Newhouse Diane Wigmore Scott McIntire Robert Rawding Marcus Wilcox Rachael McKenzie Dr. Dan and Jill Rich Scot and Karin Wilks Kathleen McKinley Dr. Thomas Riley Dr. Eric and Patricia Wilner Dr. John and Martha McManamy Dr. Richard and Susan Rosin Chuck and Diane Withee Heidi G. Merrill Laura Rossi Jillian Woundy Jonathon and Joan Miller Mr. and Mrs. Robert P. Rousseau Liz Wright Cris and Marcia Miller Louis Rubenfeld and Cyndi Barry Rubenfeld Katherine E. Wysong John and Jean Moak Dr. Vincent and Sheila Russo Mr. and Mrs. William J. Young, Jr. Nancy M. Moore Mr. and Mrs. Jack Sanborn James Zafris Mr. and Mrs. Charles Morse, Jr. Ronald J. Saporito Dr. and Mrs. Richard Zirin

26 Medical Staff / Medical Practice Kimberly P. Kersten, MD Pentucket Medical Associates, Inc. Capital Campaign Donors Alexander Lipin, MD Ronald K. Pye, MD Anonymous (3) Merrimack Valley Anesthesia Associates Charles S. Randall, MD Mark S. Amorosino, MD Vladimir Eisenberg, MD Riverside Pediatrics Jessica Amorosino, MD Andrey A. Filippov, MD Tammy Bottner, MD Stephen Beaudoin, MD Mark Kats, MD Michael Pilz, MD Kent Boynton, PhD John L. McManamy, MD Dr. and Mrs. Vincent J. Russo Children’s Health Care Robert L. Kirkman, MD Dr. Michele T. Sasmor and Dr. David Strohschein Eric D. Bucher, MD Steven F. Parker, MD Jessica Schoonmaker, MD Thomas J. Carmichael, MD Minimally Invasive Thoracic Surgery Associates Seacoast Medical Associates Robert Chirlin, MD Shalini Reddy, MD Guy Navarra, MD Lars Lundgren, MD Prodyut K. Poddar, MD Seacoast Orthopedic Associates, Inc. Christine H. Riccardi, MD Mostafa I. Khalil, MD Paul Chang, MD Stacey L. Sheehan, MD Dr. and Mrs. Robert E. Kirsner James Ford, MD Caroline Thumser, MD H. Thompson Mann, MD Michael Wack, MD Colden & Seymour Ear, Nose, Throat & Allergy New England Foot and Ankle Kenneth Glazier, MD Daryl Colden, MD Timothy Downs, DPM SeaCoast Pathology, Inc. Peter Seymour, MD Caroline Gauthier, DPM Maurice Fremont-Smith III, MD Dr. James and Susan DiResta Newburyport Medical Associates, Inc. Laura G. Harris, MD Paul S. Freedberg, MD Michael J. McCartney, MD Sports Medicine North Saira Naseer Ghiadussin, MD Northeast Dermatology Associates Joseph J. Evans, DO Salman Ghiasuddin, MD David Scott Greenstein, MD Steven Mattheos, MD Greater Newburyport Emergency Margaret I. Stewart, MD Jonathan Uroskie, MD Physicians, Inc. Jeremy Finkle, MD David J. Swierzewski, MD and Ms. Lesli O’Connell Elijah Berg, MD Dr. Isaac and Debbie Pourati Shih-Te Wen, MD Christopher DeFazio, MD Northeast Radiology Associates Women’s Health Care Ronald L. Freid, DO Bruce E. Cooper, MD Mary F. Baker-Berzansky, MD Joe D. Hull, MD Matthew N. Hall, MD Rebecca L. Boyer, MD Steven Sbardella, MD Anthony J. Hayden, MD Mary C. Chang, DO Bernhard Heersink, MD Dan H. Rich, MD Steven A. Mollov, MD Dr. Sadru and Clare Hemani Thomas M. Riley, MD Susan C. Newhouse, MD Rowen M. Hochstedler, MD Richard E. Rosin, MD Christannah M. Waters, MD Jane C. Kerr-Fernandez, MD and Eric M. Wilner, MD Dr. and Mrs. Richard Zirin Luis Fernandez Dr. DeWayne M. Pursley and Ms. Gayle Matheson

When planning began for a capital campaign to help underwrite Anna Jaques Hospital’s Master Facility Plan, one of the first people asked to serve on the campaign steering committee was a physician – a very busy physician – Michele Sasmor, MD of Riversong Plastic Surgery. She readily agreed to work on the steering committee and the medical staff campaign. She also set the pace for other physicians when, along with her husband Dr. David Strohschein, she became the first Anna Jaques physician to make a generous pledge to the campaign to name the enclosed fountain in the Institution for Savings inpatient unit.To date, Dr. Sasmor and other members of the AJH medical staff have collectively committed over $550,000. “Anna Jaques may be the physicians’ base of operations, but the hospital belongs to the community, and our patients need and deserve the private rooms that are the centerpiece of this project,” said Dr. Sasmor.

27 The Strength of Community Support

Esther Sayer, Grace Connolly, Chuck Withee, Marc MacBurnie, and Larry Hunter are some of the most connected people in the community from Rowley to North Hampton, NH.They are influential and compelling. Fortunately for Anna Jaques they have used their skills and talents to raise hundreds of thousands of dollars for Your Hospital:The Campaign for Anna Jaques over the past year.

Individual Division Campaign Chairs Esther Sayer, owner of Business Division Campaign Chairs Chuck Withee, executive vice president of Inn Street Barber Shop and Grace Gonzalez Connolly, Esquire, The Provident Bank; Marc MacBurnie, vice president of the Newburyport Five Cents of Connolly and Connolly Law Office with Campaign Chair Savings Bank and Larry Hunter, vice president of the Institution for Savings with Charlie Cullen. Campaign Chair Charlie Cullen.

Bernhard Heersink, MD and Maurice Fremont-Smith III, MD presented the case for the Master Facility Plan to their colleagues and received commitments to Your Hospital: The Campaign for Anna Jaques that have increased doctors’ sense of shared purpose at Anna Jaques while making a statement about their belief in the hospital. Doctors on staff and regularly practicing at Anna Jaques, along with several retired physicians, collectively gave more than $550,000 toward the project.

Bernhard Heersink, MD and Maurice Fremont-Smith III, MD, co-chairs of the Medical Staff Division of the campaign. Dr. Heersink rides his bike to work in good weather.

28 Annual Giving Gifts and pledges received between October 1, 2010 and September 30, 2011. We gratefully acknowledge the following donors for their generosity and extend our gratitude to those who have asked to remain anonymous.The support of our community allows us to continue providing high quality patient care close to home.

The Leadership Circle

The leadership circle was established to recognize friends of Anna Jaques Hospital who have demonstrated leadership support throughout the fiscal year with annual gifts and/or event sponsorships of $1,000 or more.

$100,000 + $5,000 – $9,999 Dr. Dan and Jill Rich Estate of Marion Roaf Dan Abdulla and Mark Moquin Thomas Riley, MD Alliance Imaging, Inc. Dr. Richard and Susan Rosin $50,000 – $99,999 Ashland Engineering & Commercial Strem Chemicals, Inc. The Kennard L. Bowlen Charitable Trust Anna Jaques Hospital Aid Association Construction Toshiba Business Solutions New England Institution for Savings Henry and Donna Bertolon Barbara and Edward Wilson The Mary Alice Arakelian Foundation Castagna Construction Corp. Edward S. and Winifred G. Moseley Foundation Chase and Lunt Insurance Agency $2,500 – $4,999 Newburyport Five Cents Savings Bank Dr. Bruce and Leila Cooper Frank L. Currier Charitable Foundation Angelica Textile Services $25,000 – $49,999 Demoulas Foundation Beth Israel Deaconess Medical Center Dr. Anthony and Joanne Hayden Biotronik Swift and Virginia Barnes Modern Healthcare Spirit of Excellence Award Blue Cross Blue Shield of Massachusetts William O. Moseley Foundation Northeast Radiology Associates Coldwell Banker Residential Brokerage Cares

$10,000 – $24,999 Wayne Capolupo Charles and Maryann Small Charitable Foundation The Importance of Drueding Foundation Cynthia and David Gompers the Aid Association Harry M. Pethybridge Trust Merrimack Valley Health Services The Aid Association has been in existence for Newburyport Area Industrial almost as long as the hospital itself, attracting energetic Development Foundation Newburyport District Nursing Service women who work tirelessly to raise funds for the Newburyport Society for the Relief of hospital.Their work has made a tremendous difference Aged Women over the years and has provided millions of dollars for Estate of Leland Roaf mission critical needs.Today’s Aid Association holds a Robert J. Daverman Foundation signature event – Great Chefs Night – each spring, SPS New England, Inc. runs the AJH Gift Shop and takes on special projects The Provident Community Foundation, Inc. such as the AJH Cookbook (at right above). Last year, The Wallace Family Trust the cookbook proved a best seller and helped the Aid Kim Williams and Trevor Miller Association raise its largest annual gift ever to the Jim and Christine Zampell hospital – $80,000.This gift supported the purchases Zampell Companies of a new glidescope for the Emergency Room; a new, Gift shop volunteers energy efficient surgical light; an adult colonoscope; a Cammie Chamberland and diagnostic Holter monitor that allows patients to do Mary Ditty stand in front of the window, with Susan a daylong test at home rather than at the hospital; and Dixon, manager of the shop a gift to the Capital Campaign. behind them and Nancy LaRosa at the cash register.

29 Save The Date: 22nd Annual “Fore Your Health” Golf Outing AJH Golf Outing Monday, August 27, 2012 This year’s golf tournament raised Renaissance Golf Club $130,000 after expenses. Byron Matthews, perennial chair of the golf outing, led Haverhill, MA the event with his committee, Steve DeGuglielmo, Rich Dube, Luis Fernandez,Tom Howard, Peter Matthews, John Matthews, Malcolm “Mac” McKay, and Donna Twombly, staffed by Kate O’Connell, Ali Jahn and Sarah Gnerre. Title sponsor Merrimack Valley Health Services (MVHS) teed up Haverhill High School teammates Ryan Paris and the event to be the best performing fund- Dylan Cody, pictured here with Byron Matthews. They are the 2011 winners of the “Byron Bowl” raising event in the history of the hospital. High School Challenge. Sponsorships and a portion of each player’s greens fee provided funds to implement ultrasound equipment for the Cardio Echo Lab.This new technology is essential in the early diagnosis of heart disease. The 2012 golf outing will be held on August 27, 2012 at Renaissance Golf Club in Haverhill, a Brian Silva Signature Course and award winning club house. The Provident Bank sponsored team seen L to R: Bob Britton, Bob Whitney, Charlie Cullen and Tom Ambrosi. They took home the second L to R: Mark Amorosino, MD and Guy Navarra, MD place finish for the afternoon round.

Ken Frank and Annemargaret Connolly Newburyport Development, LLC Dr. Daniel and Sandra Appleton Charles R. Cullen NextEra Energy Seabrook Station Bob and Nan Becker Doctors Insurance Services of New England Delia O’Connor and Dr. E. Thomas O’Neil Stephen and Teri Bennett Donoghue, Barrett & Singal, PC Owens & Minor Trey Byrnes Eastern Bank Charitable Foundation Pentucket Medical Associates Inc. Attorneys James and Grace Connolly Dr. Saira Naseer Ghiasuddin and Dr. Salman Matthew and Shauna Pieniazek Coverys (formerly ProMutual Group) Ghiasuddin Mr. and Mrs. John Salter Crothall Facilities Management, Inc. Mark and Susan Goldstein Seaward Management Arthur and Sharon Currier Greater Newburyport Emergency Physicians, Inc. Sibson Consulting Phillip Drews Dr. Joe and Elizabeth Rose Hull Marc Strano Richard and Kathy Eaton Dr. Jane Kerr and Luis Fernandez Syvinski Landscaping Ginny and Tom Eramo Ann and Chuck Lagasse The Corporate Benefits Group, LLC Shane and Melissa Foley Latitude Sports Club Walsh Brothers, Incorporated Dr. Ronald and Renee Freid Mark and Teresa Richey Ghiorsi & Sorrenti Inc. Matter Communications, Inc. $1000 – $2,499 Katherine Gove Medtronic, Inc. Elizabeth S. Abby Stearns Jeffrey M. Gwinn MetLife Action Ambulance Service, Inc. Health Partners New England, Inc. MLS Property Information Network American Medical Response George and Janice Hilton Estate of Charles Moseley Drs. Mark and Jessica Amorosino Fred and Stefanie Hufnagel Dr. Guy and Rachel Navarra Otto and Edith Anderson James Hughes

30 Infinitt North America Inc. $500 – $999 TCS Communications Steve and Meredith DeGuglielmo Michael Jewell Rosalin Acosta Universal Shredding Dianne Deveau KBK Systems & Interiors, Inc. Scott Aiello University System of New Scott and Cassandra Eaton David and Virginia LaFlamme American Home Care Specialists, Inc. Hampshire Patricia Ford James Leblanc Associated X-Ray, Inc. Diane Wigmore Laura Fraser Zachary Longley Mary Baird John Witherspoon Daniel and Janet Graf Olga MacFarlane James Borek WNBP Radio-1450-The Legends Home Health Foundation Richard and Lisa Maki Eric and Amy Boucher Illinois Tool Works, Inc. David and Patricia Mansfield Brennan and Pike $250 – $499 Margaret Jones Terrance Marengi Gary and Virginia Brown Benedict and Clarice Andreozzi Steve Lamson Dr. Domenic M. Martinello Robert Buchanan, Jr. Appleton Eye Associates Richard and Laura Langworthy Byron and Helen Matthews Frank and Deborah Chiaravalloti Christopher and Elizabeth Mark LaSpina, DO Robert K. McMenamin Mary Anne Clancy Armstrong Patria Lopez Medline Foundation Construction Engineering Services Corinne Beaulieu David Loring Mercer Jeanine Cunningham Karen Binette Peter and Marjorie Matthews Merrimack Valley Federal Credit Union Curbside Hospitality Maryrose Borelli Diane McCormack Dr. Steve and Paula Mollov Richard and Sheilah Doolan Eleanor Brooks Malcolm C. McKay N.A. Nichols Co., Inc. Peter and Carmen Denn Lisa Burns Rachael McKenzie Vania and Barbara O’Connor Carol Gamble James Cardin John and Jean Moak Albert C. Peterson Dr. Kevin and Ann Gasiorowski Kerry and Margaret Cargill Robert and Carla Moore Nancy Peterson Sarah Gnerre and Christopher James and Janise Cashman Rich and Eva Napolitano Dr. Isaac and Debbie Pourati Mulligan, Esquire Lindsay H. Cavanagh Warren and Marian Neil Stephen and Millicent Salvo Thomas D. Haywood Arthur and Dorothy Chapman Lori J. Norris Dr. Michele Sasmor and Dr. David Dr. Bernhard and Susan Heersink Lara Chatterton Diane O’Leary Strohschein Dr. Rowen and Susan Hochstedler Drs. Daryl Colden and Kristin Carolyn Palenscar Seacoast Medical Associates Cindy and Stuart Johnson Tallman Kathleen Pucci James G. Shanley Deborah Johnson William and Cynthia Cooper Rose Russo Sodexo, Inc. Walter Kershaw George Pasti and Barbara Cullen Ronald J. Saporito Joseph Soldano Charles and Joyce Ketcham Southwest Consulting Associates Jeff and Maureen Kirpas Sports Medicine North Konica Minolta STAT Delivery Service, Inc. Dr. Daniel and Elizabeth Leary TD Bank Katie LeBlanc David A. Tibbetts, Esquire Sandra Levin Scott and Amy Vandersall Mary Lord James and Karen Wakefield Frank W. Lowe Trust Jerome and Joan Weinstein Scott McIntire Josiah and Donna Welch Medical Bureau of Economics, Inc. Mark F. Welch Donald and Nancy Mitchell Whittier IPA, Inc. Patricia Morrison Witt / Kieffer Janice and Charles Morse, III Eleanor J. Woodman National Healing Corporation Jonathan and Betsy Woodman Newburyport Rotary Club Jan Zinck North Shore Bank John and Gloria O’Connell Maria V. Palumbo Frances M. Pearson Thomas and Diane Pendergast William L. Plante Port Healthcare Center Patricia J. Powers Laura Rossi Gary Rudis Saturday Morning Group Esther Sayer Simmons and Sons Flooring Karen Sindoni-Westhaver Gabrielle Minh’s Tailor Shop was one of the first businesses to buy a brick for Hilary J. Sondik the new walkway. Many of Gabrielle’s customers are Anna Jaques patients, Stericycle Corporation board members, employees and physicians.

31 >1% Memorial & Molly M. Shamas 16.4% Tribute Gifts Barbarell Hughes David and Priscilla Smith Endowments & Alice Hutchins Linda Sowder Interest IBM Corporation Sunday AA Meetings Interlocks Salon and Day Spa Paul and Janice Swindlehurst Ali and Anders Jahn Arlene A. Tallberg 49% Mabel Jancewicz Ten Center Street Major & Stanley and Jennie Jancewicz Donald Tine 18.1% Planned Gifts Patricia Joyce Annual Gifts AnnMarie Tinkham Mabel E. Kalashian Charlene A. Torrisi Sandra Keeler Karen and George Toscano Mark Kelley Donna Twombly Stacy Kelley Rebecca Vigneault Cheryl J. Kirby 15.7% Lynn Wedge Event Gifts Lester and Jean Kirkpatrick Mary Lou Welch Robert Kotarba Liz Wright Cindy Kuczwara Katherine E. Wysong Philanthropy Revenue for FY2011 Mary Kuist Donald K. Laing $100 – $249 Major & Planned Gifts $ 520,338 Nancy Jo Lavoie Anonymous Event Gifts 166,985 John H. Lawson William and Carol Abbott Annual Gifts 192,934 Joyce LeMauk Tom and Lucy Abisalih Endowment & Interest 174,532 Stefanie Lennox Maureen Adams Memorial &Tribute Gifts 9,011 Jacquelynn B. Leone Robert Albanese Christine Lindquist Dr. Walter J. Alt Total $1,063,800 Lombardi Oil Company, Inc. George and Emma Andrews Patricia Lucey Benjamin and Anne Armstrong Gail Magee Lawrence Maroni Victor and Margaret Atkins Elizabeth Clark Jennifer Franz Kathleen A. Marshall Mae Atkinson William Cody Ralph Fratus Andrew Martens Keith and Donna Attenborough Patricia D. Connelly Margaret Fredrickson Patricia Martin Marjorie Babcock Gayle A. Corcoran Dr. Paul and Maria Freedberg Tracy Martin Deborah Balger Richard Cousins Irene P. Freeman Robert and Patricia Mattheson Balser Promotions and Consulting Mary Croteau Fritz DeGuglielmo Trenholm, LLC Matthews Consulting, LLC Mr. and Mrs. Robert Bashaw, Jr. John DeCosta Marsha Froburg John and Christina Matthews Robert and Laura Bentley Theresa Defilippo Jean Garnett Peter McAvoy Tracy Blais and Jonathan Dennis Gail Dickson Helena C. Gaudreau Brenda McCarthy Francis and Doris Blood John Dodge and Anne Dooley General Linen Services Timothy McCarthy John and Marie Bowles John and Patty Doggett Georgetown Savings Bank Dr. and Mrs. Michael J. McCartney Kent Boynton James Doherty Thom and Alice Gould Peg McClure Laura Bradbury Colleen Dolan Linda M. Graves James and Rosemarie McCobb Mary and Jack Brooks Richard and Elaine Donahue Linda Gray Susan McCormick Diantha Brown Geri Dorr James Griffin, Jr. Kathleen McKinley Fred Buckley Joseph and Rena Doucet Kimberly Hackett Christine McLaughlin Susan M. Bugden Raymond Drouin Kimberly Hamel Francine V. Meier Linda Burke Amy Dumas Gayle A. Hamilton Heidi G. Merrill Barbara Burnim Wayne H. DuPont Barbara Harrington Nicholas and Vivian Metcalf Deborah Butler Dorene Dupuis Eunice Harrington Cris and Marcia Miller Derek Butler Elsie Dzioba Harrington Moore, Inc. Robert and Jane Millette Joseph and Denise Callahan Eastern Bag and Paper Group Paul and Elizabeth Harrington Lisa Moore Richard and Eileen Cammett Enpro Services, Inc. Thora Healy Nicole Morrison Christine M. Campbell Aleta Estabrook Mary L. Herlihy Mr. and Mrs. Charles Morse, Jr. Melissa Carey Bertram Fecteau William and Patricia Herman Ralph and Kathryn Mulcahy Jacqueline Carroll Susan Feindel Darcy Holland Geoffrey and Rita Mullis Sheila Carruth Anne R. Ferguson Roberta Homan Patrice Murphy Sandra Casey Joan Flanders Cynthia Hopping Susan Murphy Dr. Robert and Patricia Chirlin David and Jody Fowler Thomas and Michelle Howard Dr. Melvin Nagler Lorraine Chouinard Charles R. Fraley Arthur Howes

32 Newburyport Dental Associates, PC Dr. Ganson Purcell Salisbury Beach Betterment Darhlene Titcomb Newburyport Whale Watch, Inc. Pure Bliss Association TOPS MA 392 Raymond and Elizabeth Nippes Spencer and Lisa Purinton Cheryl Satryb Christine A. Trecartin Mary O’Connor Dr. DeWayne Pursley and Gayle Ann Schofield Shannon Tudal William O’Flaherty Matheson Catherine Seyler Lisa Tylus Theresa M. Ouellet Racquet Club of Newburyport Ltd. Deborah Sharkey Allison Vandersall Jeff Paris Robert Rawding Ted and Marilyn Shepard The Vespa Family Marilyn Parks Eugene Reilly John and Ann Marie Short Dr. Michael Wack and Dr. Susan Pursell David Pasiuk Kenneth M. Reynolds Scott and Diane Simmons Lisa Walsh Karen Patnaude Gerald Riccio Howard Smith Marguerite Walton PerioNorth Robin Richardson Andrew Soucy Kathleen Welch William and Elizabeth Pettingell Patricia Roberts Imelda St. Pierre Lauren L. Wendel Bruce G. Picard Kenneth Rogers Susan Stackhouse Annette Wilson Phyllis W. Picha Stanley and Renee Rosyna Margareta Starrak David and Tara Wright Michelle E. Plaisance Rowley Commerce Associates, LLP S. Merrell Stearns Ginie Young Louis and Claire Poisson Louis Rubenfeld and Cyndi Barry Debra Steeves Paula Zayac Helen Powell Rubenfeld Thomas and Patricia Stubbs Betty Preisner Brian and Kimberly Rybicki Wilfred Tatro Up to $99 Ellena Preston Helen Safford Lynne and Scott Terry Anonymous Mary Ahern-Lewis Patricia Allen Fernando and Elena Amato Gordon and Jane Andrews Frank Annaldo The Strength of Rosa Aponte Virginia Arkell Employee Engagement Anita Ash Teresa Ashe Our Hospital: The Employee Campaign for Anna Jaques Stephen and Jill Atherton Christine Auclair Francis Babineau This year’s annual employee campaign chaired by Donna Twombly, Diagnostic Imaging, Stephanie Bachynski added a new element to the traditional campaign. In addition to raising money for the Vincent and Jennifer Badger Annual Fund, employees were asked to consider purchasing a brick for one of the new Bianka Bailey commemorative walkways as part of the hospital’s capital campaign. More than 100 bricks Charles and Marcia Bamford have been purchased by employees, to date. Jean Barbone A special thank you also to our dedicated employee campaign committee members. Elizabeth W. Barnes Jennifer Barrett Robert Barrett Cornelia Barry Rebecca Barthelmes Barbara Bartlett Kimberly S. Bartula Nicole Bean Mary Diane Beaton Donald and Rita Beaulieu George and Marjorie Beauparlant Wendy Beauvais Raymond L. Bellavance Sharon Bentley Kimberley Bertolino Mary Bertolino Lillian Blanchette L to R: Betty Howland, Stephanie Bachynski, Dianne Deveau, Donna Twombly, Shelley DeSimone, Sarah Gnerre, Wendy Bland Ali Jahn, Rebecca Vigneault, Annette Wilson, Derek Butler, Betsy Malenfant, Catherine Seyler, Christine McLaughlin. Jessica Blay Not pictured: Sharon Benjamin, Helena Gaudreau and Peter Tura Stella and Sam Blunt Lisa Bocchetti

33 John C. Boothroyd Margaret and Craig Childs Alice E. Currier Millicent Goodwin Robert and Elizabeth Boothroyd John Chisholm Lisa Cyr-Wilmont Donna Granese Mary Borin Camie Chouinard Pauline Daigle Debra A. Grasso Robert de Loura le Doux Bruce and Natalie Christie Marilyn Dalzell Jean Graupner Bouvier-Cosmos Deborah Ciampa Anita D’Amato Donald and Barbara Gravelle Robert and Jean Bowlen John Clancy Barbara D. Daunheimer John Gray Tracy Bradley Helen Clarkson Carmen V. Deans Norma Gray Irene O. Brandy Susan Clifford Susan Dearborn Stephen and Judith Grohe David and Roberta Britton Gerard and Patricia Cody Jerome Delatizky Anna May Guyette Bruce and Cynthia Brown Elizabeth Collette Debra Dennis Nina Gynan Kimberly A. Brown Peter and Caroline Collins Anne Derr Emily Haight Natalea G. Brown Yolanda Collins Diane Desmarais Tetreault Joanne Haley Robert Brown Nancy J. Condon Lisa Devenish Olga Halliday Kara Buckley Muriel Consigli Thomas and Elizabeth DiGiuseppe Janice M. Hamerstrom Jane and Robert Burnham Nathalie Cook William and Nancy Jerome Maud S. Hamovit Mrs. Clara Cail Lawrence T. Corcoran Colette Donovan Dr. Peter and Karen Hartmann Gary Calderwood Fred and Eleanor Coryell Kathleen Doran James Harvey Joseph and Patricia Callahan Phil, Yvonne, and Josh Cosgrove Debra Downs Robert J. Harvey Virginia A. Capolupo Nick and Cynthia Costello Robert F. Doyle Donna Haynes Sanford Carlisle Glenn Cote Margery Driscoll Cecilia Healy Edward and Nancy Carpenter Robert and Diane Crofts Marianne Dube Marlene Hemingway Maureen Carroll Lowell Croll and Sally Butler Nathaniel and Mildred Dummer Thomas Hennigan Erik Carter James and Rita Croteau Ruth Duttweiler Robert and Carol Henrici Isabelle Champoux Elizabeth Curran Nancy R. Earabino William and Theresa Herman Jean Chase Michael Curran Priscilla Eigen Suzanne Hersey David and Ellen Erekson Debbie Higgins Versie Etheridge Charles Hill Mary C. Faro Martha Hills Thomas Farrell Phyllis Hobson Robert Fazio Lynne Holmes Anthony and Carol Federico Erin Holt Barbara Fernald Susan E. Holt Katherine Ferrier Mrs. Mildred Honig Della P. Ferris Wendell Hopkins Francis H. Finneran Lewis and Mary Lou Horzempa Helen Flaherty Leon C. Houston Donald Forte Betty Howland Paula Fortuna Anita Huot Diane Fortune-Smith Allison Hurteau Alfred Fournier John and Ann Iacobucci Clyde Fowler Benjamin and Angela Iacono Jeanine Fowler Judith Ingraham Mary Frasier Inn Street Barber Shop George Fregeau Leah Iritano Margaret Fuller Donna Irving Tanja Fuller Norma and Philip Jacques Nicole Gage Sandy Jenkins Melissa L. Gagnon Melissa Jones Nicole Garrett Lisa Judd Linda L. George Saul Katz Linda Getchell Lorraine Keating Irene Geyer Jean Kelleher Stella C. Gigis Michelle Kelleher Janice Gilday Edmund and Janice Kelley Seen L to R: Christine Bouchea, gallery manager, and Kari Bouchard, owner Elizabeth A. Gillette Robert Kelley of The Walsingham Gallery present a painting by artist Judith Pumfrey to Delia O’Connor, at a benefit auction.The event generated $4,550 for Anna Jaques. Carol S. Glenn Mitzi Kenney The painting will hang in the Birth Center. Elizabeth Golas Marie Kent

34 16.4% Trusts & Jacqueline Kieras Endowments 21.1% Virginia Olsen Alison Kilgour Individuals Eva Osborne Francis Kilgour 9% Julia Ouellet Frank and Fay Kimball Hospital Frederick and Dorothy Ouellette Eleanor F. King Vendors Diana F. Packer Maria Kirsch Mary Pagnani Dr. Robert and Anna Kirsner 21.1% Amy Papamechail Levi and Kathleen Kishbaugh 10.1% Foundations Leona Papoulias Organizations/ Mark F. Knapp Clubs Russell M. Peirce Laurel Knight Reta Pelletier William Knight 9.2% Jean and Henry Perkins JoAnn Knowles Employees & 13.1% Jessica Perkins Physicians Businesses Carol Labrecque Robert Perkins Pearl Ladd Elizabeth Petrycki Nancy R. LaRosa A look at our FY2011 Donors Donna Piechocki Barbara Latulippe Thelma Pike Duncan and Constance Law Individuals $ 225,397 Helena Pollock George and Claire Lawrence Foundations 225,000 Barbara Pouliot Bonnie Leonard Businesses 139,352 Lisa Powis Susan Lepito Hospital Vendors 93,180 John and Eileen Pramberg Lesco, Inc. Organizations/Clubs 108,430 Kenneth and Joyce Prees Dianne Leslie Employees & Physicians 97,909 Aurelia Quinn Jacqueline Leveille Trusts & Endowment 174,532 John and Josephine Rafferty Gerald Lipsky Total $1,063,800 Grace Randolph Anne Little Robert and Marion Reed Mark Littlefield Douglas and Lorraine Locy Philip P. Loring Claire Melville Adrian and Diana Lucy Raymond and Frances Merrill Daniel and Marguerite Lynch John and Jane Merrow Linda Lynehan Edward Metcalf Kendra Macdonald Cindy Michaud Eleanor Maclauchlan Cecile Michelin Barbara K. MacLean Irwin and Judith Miller David Madden Gordon Mitchell, Jr. Harvey and Ruth Mades Bonita Moore Betsy Malenfant Arthur Morris Mary and Christo Malonis Jean Morrison Peter and Anna Mamakos Adrienne Mosher Melinda R. March Walter Mott Ann Markos Matthew Muise Jeanette Marks Robert and Mary Mullaley Eleanor Maroney Helene Murphy Virginia Marshall Bonita Murray Eugene and Dolores Martellini Catherine A. Murray Roland and Virginia Martin N.E. Hurlin Accounting Hugh Martinez Arthur E. Naylor Maureen and Ronald Martino Barbara J. Nelson Louis D. Masiello Timothy and Heidi Newfell Joan Matthews Elliot Newman Raymond and Martha Matthews Frederick and Mary Noone James and Cheryl Matzen Leon Noyes Kathleen J. Maurer Tina Noyes Julie McDaniel William and Marjorie O’Callaghan Leary’s Fine Wines on Merrimac Street in Newburyport, owned by Todd (seen Dana A. McFaden Kelly A. O’Connell above) and Leyla Baltich, is committed to supporting organizations in the community. Doris A. Meaney William and Margaret O’Donnell When their friends Kari and Rene Bernard, owners of The Walsingham Gallery Denise E. Melanson Marion G. Olsen suggested they partner to hold a special gallery opening to benefit Anna Jaques, they said “Yes, we support Anna Jaques!”

35 Larry and Mildred Reeves Rita Shay Jed and Mary Lou Tyler Commemorative Gifts Renmark Robert and Lois Shea Kristina Tynes The following people have been lovingly Ingeborg Reuss Edmund and Josephine Shepard Frances Vachon Alexander and Noella Richard Oliver Sicard Germaine Valley honored or remembered with gifts to Anna Melissa Richardson Bruce Skud and Ellen Becker David J. Vance Jaques Hospital.The names of those being Susan Ricker and William Zarakas John and Constance Small Robert and Mary Vanderhoven honored or remembered are in bold type. Mary Roberts Amy-Lori Smith Jill Vorderis Janet Rogers Ann C. Smith Deborah Vozella In memory of Rita Annaldo William Rogers Christine B. Smith Walch Education Charles and Carol Bazarian Christina Ronder Sara and Donald Smith Jean Waldman Jacqueline Bonner Richard and Elizabeth Rooney Sophia Stanton John and Patricia Wall Normand and Carol Cassista Joseph and Winifred Ross John and Pollyann Statom Jean P. Wallace Anthony and Sonja Comei Kathleen Rowe Reverend and Mrs. Bertrand Steeves Marjorie Walters Joel and Diane Corriveau Rowley Grange No. 204 Luis Suriel Bruce Warwick Anthony and Shirley Dangelo J. E. Roy Lynda Sweet Linda Welch Frank and Sandra Diodati Patricia Roy Barbara and Kenneth Taylor Sophie Welch Donna Eideh Nancy Rubinstein Edgar and Donna Eaton Tetreault Alexander and Anne White Anthony Ferrucci Lucy V. Ruggiero Roger Thibedeau Clifford Wile Philip and Carole Fili Denise and Tim Ryan Barbara Tibbetts Neil and Nancy Wile Joseph and Karin Maccarone Richard and Susan Rybacki Laura Tierney Herbert and Joanne Wing Ms. Marguerite Murphy Georgiana Sampson Marcia Tilly and Clifford Haller John Winninghoff Philip and Carol Nardone Bob and Betty Sanborn David and Jane Torrisi Tick and Kathy Withington Lazarus and Alice Pahigian Dorina E. Sawyer John Tramonte Gordon Woodfall Domenica Riccio Matthew and Kim Schweisberg Tammy Trautz George J. Woodsom Michael Sabbagh Regina Seely Karen Trudeau Jillian Woundy Kenneth and Margaret Spaulding Mary Ellen Shanley Peter Tura Denise Wright-McDonald David and Jane Torrisi Marie Shattuck Curtis L. Turner Rita York Charles and Lisa Wilkins Mary B. Youn Kenneth and Catherine Yameen Carol Young In memory of Ray Arthur Peter Young Mr. Stephen Robinson Richard and Ruth Waning In-Kind Donors In memory of Leanus Babine Associated X-Ray Ruth Rock Atkinson Resort & Country Club Ceia Restaurant In memory of Lewis D. Bartley Eastern Bag and Paper Group Margaret Fuller Georgia Pacific In memory of Joyce Bothwell Hewlett Packard St. Paul's Episcopal Church Interlocks Salon & Day Spa Bricks will go along Keurig, Inc. In memory of Lucy Charette this walkway Lindt & Sprungli USA Inc. Anita D'Amato and Mr. and Phoebe Lonborg Mrs. Rocco Michael’s Harborside Newburyport Whale Watch, Inc. In memory of Florence Churchill Be part of the AJH Legacy Ould Newbury Golf Club Eleanor Brooks With a gift of $500 or $1,000, you can purchase a brick Plum Island Kayak, Inc. In memory of Louis Colby engraved with your family name or the name of a loved one. Delia O’Connor and Dr. E. Mr. and Mrs. Charles Morse, Jr. Join AJH employees and local businesses like Star Nails in Thomas O’Neil In memory of Marie Colby Amesbury by buying a brick for Anna Jaques new walkways. Poland Springs Rockfish Restaurant Mr. and Mrs. Charles Morse, Jr. – $500 brick is 4” x 8” and will have three lines of text Royal Orchid Restaurant In memory of Mary Collins – $1,000 brick is 8” x 8” and will have six lines of text Ten Center Street Arthur and Dorothy Chapman Pledge now and pay for your brick over three years Toshiba Business Solutions In memory of Jedrey Connors (just $3.21 a week or $6.41 a week) to permanently Scott and Amy Vandersall J. E. Roy show your support of Anna Jaques. Walsh Brothers Frank Wetenkamp / Wentworth Please visit ajh.org home page for details. by the Sea

36 In memory of William Deans In memory of John Mongiello In memory of Bernice Rembis In memory of Jane von Bosse Ms. Ruth Duttweiler Tick and Kathy Withington Stanley and Jennie Jancewicz Ruby Boyd Carmine Devivi In honor of Gene Doran In memory of Eleanor Morris In memory of Mr. and Mrs. Barbara Fenton Ms. Kathleen Doran Fernando and Elena Amato Al Rindler Richard Hassold Arthur and Dorothy Chapman Alan Collachicco In memory of Howard and Intermark James S. Fitzgerald Genevieve Fernald In memory of Sharron Russo Peter and Wendy Leavitt Henry and Helen Szymura Margaret Fuller Margaret Fuller Richard and Helen Ross In memory of Charles Pearson In memory of Everett Foley In memory of Ms. Virginia Salter In honor of Carol Walsh Frances M. Pearson Shane and Melissa Foley Sarah Anderson Joan Matthews Appleton Eye Associates In honor of Marianne Green In memory of Joseph Colby Pearson George and Judith Blanchette In memory of Robert S. Walters Claire Melville Norman and Alicia Colby Byfield Water District Marjorie Walters In memory of Alta B. Griffin Linda DeLotto In memory of Patricia Pollard In memory of Kent R. White James Griffin, Jr. Mr. and Mrs. John Elwell Dawn Baxter Ron and Kathy Colby Family Kenneth Gammons Foundation In honor of Ms. Lauren Hefferan Central Congregational Church Robert and Carol LeJeune Jack and Barbara Craig Debra A. Grasso Anna May Guyette Lesco, Inc. Ronald Roy Gordon Graham In memory of Norman Hobson Ms. Cynthia J. Lowrey Ann Prudhomme Phyllis Hobson In honor of the engagement of Terrance Marengi Arnold Prudhomme Dr. Isaac and Debbie Pourati Walter Martel Walch Education In memory of Ruth Holmes Mrs. Margaret Brown Mersen USA Newburyport-MA, LLC Judith Anderson Virginia A. Capolupo Joyce Nevins and David Munger In honor of Katherine E. Wysong Mr. and Mrs. Thomas J. Childs, Jr. Lorraine Chouinard Renmark Ms. Linda L. George Sara H. Farmer Elaine Cronin Richard and Debra Rurak Helen Holmes Jeanine Cunningham Mr. and Mrs. John Salter Mr. and Mrs. Norman C. Ladd Gail Devine Richard and Sandra Siemasko James and Susan McCoy Rosemary T. Duford Newbury Garden Club Howard Fernald In memory of Robert Santarelli We hope to have captured your Anita D'Amato and Mr. and Mrs. Virginia C. Tobin Pauline Flaxer preferred publication name in Jodi Fletcher Rocco In honor of Roberta Homan this annual report.To let us James and Patricia Frey Ann C. Smith In memory of Edward Shay know if you would like to Jim Geanoulis Rita Shay In memory of Roxie Kalashian Mr. and Mrs. Donald P. Hovey change something, please call Michael and Margaret Taranda Richard and Edith Johnson In memory of Rosemary Sloane the Foundation office at Lester and Jean Kirkpatrick Josiah and Donna Welch In memory of Fred Ladd 978-463-1176 or send an Dr. and Mrs. Robert E. Kirsner Pearl Ladd In memory of Irving and Marion e-mail to [email protected]. Stanley and Diana Kulfan Snyderman In memory of Bobby LaPlante Anne Lentz Susan Rowley, Ph.D. Margaret Fuller Mr. and Mrs. Raymond C. In memory of Marion Susen Matthews In honor of James and Elianna Charles Susen Mamakos Donald McCann Peter and Anna Mamakos Daniel Nagler In honor of Evelyn Tatro Dr. Melvin Nagler Mr. Wilfred Tatro In memory of Art Markos Helen Novick In memory of Harold and Rita Tine Ann Markos Delia O’Connor and Dr. E. Mr. Donald Tine In memory of Joseph Masionis Thomas O’Neal Michael Lynch Dorothy Pike In memory of Robert Tremblay Arline P. Sayward Delia O’Connor and Dr. E. In memory of Helena Matthews Ms. Nancy J. Spaulding Thomas O’Neal Clara Bell Richard E. Stackpole John and Christina Matthews Kathleen C. Sullivan Mr. and Mrs. David B. Vine In memory of Carol McInerny John and Patricia Wall Carol Mikuski Evelyn Webber Robert and Josephine Welch Gene Wintner

37 The Community Health Foundation Board

Mission Statement

The Anna Jaques Community Health Foundation was established in 1996 to advance the mission of Anna Jaques Hospital by developing a strong base of philanthropic support for the institution and its regional health care system.This is Ann Lagasse, Chair Ginny Eramo, Vice-Chair Donna Twombly, Secretary Mark L. Goldstein, Treasurer accomplished through an ongoing program to identify, cultivate, and solicit donors and friends of the hospital.The Foundation also ensures proper stewardship of donated funds through the appropriate investment, management and disbursement of those funds.

Daniel Abdulla Cyndi Barry-Rubenfeld Trey Byrnes Ralph Castagna

The Community Health Foundation Board of Directors is comprised of community and business leaders who represent the private and public sectors within the hospital’s 17-city- and-town service area.They lead the way in giving and in Craig Childs Mary Anne Clancy Barbara Cullen Sharon Currier engaging others in support of our community hospital.

Scott Eaton Cynthia Gompers Michael Jewell Leanne Martin

38 Joan MillerGuy Navarra, MD Scott Vandersall Charles Withee

Officers Michael Jewell Amesbury Ann Lagasse, Newburyport Consultant Newburyport Development, LLC Chair Leanne Martin Kittery, ME Ginny Eramo, Newburyport Eastern Bank Interlocks Salon & Day Spa Vice-Chair Joan Miller Amesbury Donna Twombly AJH Employee Representative Guy Navarra, MD to the Board, Chair, AJH Employee Newburyport George H. Ellison, Jr. Delia O’Connor, FACHE Campaign, Secretary Seacoast Medical Associates Chairman of the Board of President and CEO Mark L. Goldstein Scott Vandersall Trustees Anna Jaques Hospital Hampton, NH Treasurer TD Bank

Charles Withee Trustees Hampton, NH The Provident Bank Daniel Abdulla Newburyport Joe’s Playland Representatives to the Board

Cyndi Barry-Rubenfeld George H. Ellison, Jr. Amesbury Chairman of the Board of Trustees Circle Furniture Delia O’Connor Trey Byrnes President and CEO Newburyport Anna Jaques Hospital Joe D. Hull, MD Margaret K. McClure Inverness Financial Group President, Medical Staff President, Anna Jaques Joseph D. Hull, MD Hospital Aid Association Ralph Castagna President, Medical Staff Newburyport Anna Jaques Hospital Castagna Construction Margaret K. McClure Craig Childs West Newbury Newburyport President, Anna Jaques Hospital Aid Association MacDonald and Pangione Insurance

Mary Anne Clancy Foundation Staff Newburyport Sarah Gnerre Institution for Savings Vice President and Executive Director

Barbara Cullen Ali Jahn Newburyport Development Operations Specialist HealthWyse Sarah Gnerre, MBA Ali Jahn Vice President and Development Operations Sharon Currier Executive Director Specialist Newburyport Currier & Associates, Inc.

Scott Eaton Merrimac Newburyport Five Cents Savings Bank

Cynthia Gompers Newburyport Juice Plus

39 Anna Jaques Hospital Leadership

Senior Management Department Directors

Delia O’Connor, FACHE James A. Borek, MS, RDMS Mary E. Lord, BS, RNC President Diagnostic Imaging Psychiatric Services Chief Executive Officer Kent Boynton, PhD, LICSW Russell Martin, RN, MSN, CEN Mark Goldstein Child Psychiatry Nursing Education, Professional Practice, Executive Vice President and Nursing Supervisors Robert Buchanan, Jr. Chief Financial Officer Chief Information Officer Scott W. McIntire Joe D. Hull,MD Wound Healing & Hyperbaric Center Jeanine Cunningham, RN Interim Chief Medical Officer Surgical Services Rachael McKenzie, RN, MSN Richard Maki, RN, BA, MHSA Case Management Donna DiMaio Vice President Finance and Physician Practice Maria V. Palumbo, RHIA Chief Nursing Officer Management Health Information Deborah Chiaravalloti Management & Privacy Officer Richard Doolan Vice President Materials Management Patricia J. Powers, RN, BS, COHN Public Relations & Marketing Occupational Health Services Phillip G. Drews, BS, RRT Sarah Gnerre Clinical Services Robert Rawding Vice President, Development Engineering & Maintenance Executive Director David W. Fowler Anna Jaques Community Health Senior Director Support Services Laura Rossi, RNC, MSN, OCN Foundation Infusional and Outpatient Clinics Carol A. Gamble, MT (ASCP), MS Stephen F. Salvo Laboratory Services Cheryl Satryb Vice President Volunteer Services Human Resources Jeffrey M. Gwinn, RPh Pharmacy Services Karen D. Sindoni-Westhaver, RN Critical Care and Telemetry Units Thora Healy, CPMSM, CPCS Medical Staff Services Joseph M. Soldano Financial Planning Mark J. Kelley Food & Nutrition Hilary J. Sondik Patient Financial Services Robert A. Kotarba Environmental Services Charlene A. Torrisi, RNC, MSN Maternal Child Health Patricia Lawrence, MS, BSN, BS Infection Prevention Diane E. Wigmore, RN, BS, CEN Emergency Services Kathleen M. Leblanc, RN Medical/Surgical Services Elizabeth M. Wright Human Resources Sandra Levin, RN, BSN, MBA Quality, Patient Safety

Non-Profit Org. U.S. Postage 25 Highland Avenue PAID Newburyport, MA 01950 Permit No.163 Newburyport, MA

www.ajh.org

Miss Anna Jaques 1800–1885

Through the vision and charity of Miss Anna Jaques, our hospital was established in 1884. In 1883, she had sought the advice of her family physician, Dr. F.A. Howe, on how best to use her money for the benefit of the community. He told her that the community needed a hospital.As a result Anna Jaques gave $25,000 and plans were drawn up for Newburyport’s first hospital, originally located at the corner of Broad and Monroe Streets. Miss Jaques lived to see the hospital become a reality and attended opening ceremonies. She died at home the following January.The oil painting of Anna Jaques that appears on the cover of this book hangs in the lobby of the hospital.