2009 ANNUAL REPORT

CHANGING LIVES... Vision “While on vacation from Florida I experienced your ER “Copley’s Staff was very professional and informative. The Copley envisions a community with wellness staff as well as orthopedic the next day. We have nurses and anesthesiologist were caring. They gave me, as a at its core and clear access to a comprehensive never experienced such professional, efficient and personal patient, a feeling of confidence. I was given good continuum of quality care. care. Everyone was so helpful. Copley is Vermont’s best information, good advice, I knew what to expect. I’ve kept secret. Thanks to everyone for taking care of us. We already told a number of people to go to Copley if they Our Mission couldn’t have found better care anywhere in the county!” have a problem.” Copley Hospital is a not for profit health care Ken and Deb Smith Clark Maser Venice, Florida Greensboro provider whose purpose is to improve the health status of the people of the community “Having never been in Copley Hospital’s Emergency “The nurse was very considerate and the doctor listened. I by providing the highest quality of care Department, I was (and am) totally impressed by the level explained my injury and the doctor treated me, giving me regardless of ability to pay. of care and expertise I received. Copley Hospital obviously ownership of my recovery. The way I envision personal has a phenomenal team of health care professionals and I health care to be conducted.” Our Core Values feel very fortunate indeed that I ended up there.” Myrna Locke • Compassion and respect for human dignity Tessa Milnes Hyde Park • Commitment to professional Stowe competence • Commitment to a spirit of service “The care I got was excellent. My CHANGING • Honesty family was treated with as much respect • Confidentiality and friendliness as I was; that is very LIVES... important to me.” • Good stewardship and Pauline Boyce ONE careful administration Wolcott PATIENT Picture on the cover: Megan LaCasse, Elmore and members of Copley’s OR Team AT A L-R: Pam Stengel, RN; Terry Phillips, RN; Denise Marcoux, RN; Maggie Flynn, RN; TIME Fran Roy, RN and Susan Menne, RN

MEGAN’S Registered Nurses STORY Karen Willett and Dave Deciucies "Tearing your ACL is not something anybody wants to go through, especially not your senior year of high school. But luckily I had so many wonderful people along the way to help me and make things go as easily as possible. I want to thank everybody who has helped me throughout my entire ordeal, from the initial diagnosis right up through post-op physical therapy. My surgery went much better than I could've ever imagined; everybody made sure that I was more than comfortable. The staff at Copley are not only excellent and professional, they are genuinely friendly, kind, and make patient care a priority. Under much different circumstances, I'd love to go back again!" Megan LaCasse, Elmore Copley Health Systems leads in providing lifelong that consumers were reluctant to have elective Shared Services Network, a unique regional and more than 7,600 outpatient clinic care that is comprehensive and well known for procedures performed in these uncertain economic partnership among hospitals; offering a new visits this past year. Our Wellness Center helped its quality. Our mission is to provide a range of times. The Critical Access Hospital designation was alternative to knee replacement surgery; launching people manage their diabetes, learn to make healthy sustainable services and programs that meet the created by the federal government to protect rural a Hospitalist program; welcoming three new eating choices and generally improve the quality of evolving health care needs of our patients with the hospitals. The program provides additional federal physicians; and piloting a Workplace Wellness their lives. The numbers come to life in this report highest quality of care regardless of ability to pay. funding to offset the impact relatively small volume Program with area businesses. We also broke ground with testimonials provided by neighbors whose lives Simply put, Copley changes lives. fluctuations have on the fixed costs of care. Even for an expanded Utility Plant and finalized plans to we’ve changed. It is a demonstration of the commit - create a second Sleep Study Clinic. These plans ment and leadership of our medical staff, employees, include renovating portions of our Outpatient board of trustees, volunteers and Services Center to increase efficiency and access community partners. TO OUR to outpatient services. We are thankful for your support which enables us Copley’s patient satisfaction scores continue to to continue to provide expert, compassionate care exceed state and national rankings. And while and contribute significantly to the health and well COMMUNITY volume may have been down, consider Copley being of our community. It is our privilege to be provided for more than 12,600 emergency room your health care provider. We are pleased to present our 2009 Annual and with this understanding, Copley feels obligated to visits, more than 330,000 diagnostic tests, 1,850 Sincerely, Community Benefit Report. It provides a snapshot focus heavily on containing costs and improving of how Copley contributes significantly to the operating efficiency. Regulatory changes and health and well being of our community. continued reductions in reimbursement will continue to challenge Copley as well as all hospitals Clearly it has been a challenging year for all of us. in the state. As a small Critical Access Hospital, it is a challenge Joel Silverstein, MD Melvyn Patashnick Medical Staff President President & CEO to improve productivity measures when volumes The following financial reports demonstrate our fluctuate. The volume of inpatients, surgical cases commitment to investing resources efficiently and and ambulatory care clinic visits were down, while effectively. Copley continues to evolve to meet the emergency visits and ancillary referral services needs of the community. FY2009 brought many Jan Roy remained strong. The implication of these results is positive changes, including: establishing Vermont Board Chair

4 Over a year ago, Beth Conner of Morrisville Quality Care close to home Our Core Services learned she had diabetes. She was “floored” and Copley Hospital provides a unique blend of • Primary Care – including laboratory Beth Conner with a photo wanted to learn more about the disease. Beth’s quality, compassionate, personalized, state-of-the- services and diagnostic imaging (x-ray, MRI, of herself before she had her diabetes under control. physician recommended Copley Hospital, where art medical care in a small, warm, friendly CT, ultrasound). she met with our team of diabetes educators at environment. For more than 75 years, Copley has • Women’s and Children’s Services - with Copley’s Wellness Center and, as Beth puts it, defined itself as a not-for-profit provider of health more than 250 births in our Birthing Center “learned how to take control of my diabetes care, governed by patient-centered values and per year. through education.” supported by the community. The Hospital works • General Surgery –a wide spectrum of diligently to carefully and efficiently allocate surgical care including cancer (biopsies, , When Beth was diagnosed with diabetes, her A1C limited resources to provide access to the latest colon, melanoma), gallbladder and hernia, was 10.1; a non-diabetic range is 4-6. The A1C is advances in healthcare, from competent, caring colorectal, trauma care, skin lesion removal a blood test that measures your average blood staff with state-of-the-art equipment. We provide and more. sugar. Beth was determined to not let her more than essential services to our community’s • Emergency Services - the area’s resource for diagnosis get her down. She embarked on a overall health; as one of the largest employers in urgent care, trauma care and critical stabilizing lifestyle improvement program that within three the area, Copley contributes to the quality of life care in life-threatening emergencies. months brought her A1C down to 5.2 – a range of every single resident. • Orthopedics – offering the latest in that she continues to be at today. orthopedic surgery technology and the newest techniques with a focus on minimally BETH’S STORY invasive surgery. As health care evolves, so too does Copley. We “I feel like a new person,” says Beth. “Learning continue to mirror the national trend toward you have diabetes doesn’t mean you have to providing more outpatient services. Our change your entire life – just your lifestyle. Having collaborations with Community Health Services diabetes is figuring out works for you. It’s learning Copley’s Birthing Center offers personalized supportive care including a “birthing tub.” L-R Registered Nurses Lori Dupuis, Sue Fitzgerald, of Lamoille Valley (CHSLV), Fletcher Allen Health how to live your own healthy balanced life.” Beth Steffany Mosley and Wendy Andres not only lowered her A1C to a healthy range, she has also lost 80 pounds and is within 20 pounds of MEETING THE her total weight loss goal. NEEDS OF OUR COMMUNITY 24 HOURS A DAY, Nancy Wagner,RD and Loretta Schneider, RN, Certified Diabetes Educators Copley Hospital’s Wellness Center 7 DAYS A WEEK, Copley’s Diabetes Education includes: 365 DAYS A YEAR • 1:1 consultations • Living with Diabetes Classes John Kaeding, MD • Research, medication & strategy Chief of Emergency Medicine updates to providers • Workplace Wellness Screenings Nancy Natvig, RN, CEN • Free monthly community screenings Director of Emergency Services

5 6 Care, North Country Hospital, Champlain Valley wellness/prevention and education to help people “This health assessment puts things in perspective. Worksite health screenings Cardiovascular Associates, and other practices personally manage their health. It’s harder to ignore things when you see it in black are an affordable means Copley provides access to specialists close to and white.” highly effective way to home, supported by the expert, compassionate care Copley’s Wellness Team worked with area Manufacturing Solutions, Inc. Employee encourage employees to of Copley’s nursing and clinical services. We also preschool and elementary schools, providing improve their own health. have satellite clinics providing Rehabilitation education on nutrition, keeping your heart For many years local businesses have called upon By aggregating the Services in Stowe and Hardwick. healthy and the importance of hand washing. Copley to provide on-site screenings, health fairs data from the health Area schools we worked with this past year and seasonal flu vaccine clinics. In fact, Copley assessment, each employer Focusing on Wellness include Hyde Park Elementary, Cambridge works with more than 30 local employers and can develop educational Encouraging Wellness continues to be at the core Elementary, Hardwick Elementary, Wolcott continues to expand its wellness offerings. plans and opportunities to of our mission. We have been providing healthy Elementary, Eden Central School, Stowe address the health risks of living education, classes and screenings outside the Cooperative Nursery and Albany Preschool. In 2009, Copley’s Wellness Center, in their specific workforce. The aggregated data from hospital’s walls for a number of years and we Copley also worked with local senior living collaboration with the Union Bank and across the county also enables Copley to begin continue to develop and expand our outreach facilities and churches to offer free blood pressure Manufacturing Solutions, Inc., piloted the tracking the impact of our wellness efforts. efforts. In 2009, we grouped our outreach efforts and blood sugar screenings in the community as Workplace Wellness Program. This program is under one roof: Copley Hospital’s Wellness Center, well as workshops and discussions on topics designed to motivate healthier lifestyles for You can learn more about Copley Hospital’s located on Farr Avenue, behind the Hospital. The pertinent to our community’s aging population. employees, and provide a healthier workforce Wellness Center by calling 888-8369 or online Center houses several nurses, diabetes educators Copley’s Wellness Center also offers 1:1 for employers. The comprehensive program at copleyvt.org. and two “quit smoking” coaches with a focus on quit smoking support and diabetes management. utilizes group and 1:1 health coaching and the confidential computerized Health Assessment. It encourages employees to take ownership of their CHANGING own health by identifying behaviors such as Quitting smoking is probably the most difficult help occupy my mind and hands during cravings. I unhealthy eating, tobaccos use and inactivity that LIVES... task anyone could ever undertake. I had been a was very excited and nervous to go through the lead to chronic illness. one pack per day smoker for 15 years. I learned process, but I knew I had to. I reached my quit BY FOSTERING that Copley had a program for smokers who date, and I quit. Unfortunately two weeks later, I “Copley offers a first class program. We have been wanted to quit and I made the decision to meet began smoking again. My quit smoking coach working with the hospital’s wellness center for the past A HEALTHY with one of their quit smoking coaches to see helped me realize that a lot of times it takes more several years offering a variety of screenings to what kind of help was offered through the pro - than one attempt. It took a little time, but once our employees. More recently we added the WORKFORCE gram. With Copley’s help, I planned out my road more I made the decision to quit and my husband computerized health assessment tool. The to quitting. They had tools to help me learn about decided to join me his time. investment has proven invaluable – the my habit and identify triggers, plus strategies to goal is healthier employees and a healthier I am now 2½ years smoke free, and so is my bottom line. We look forward to a long husband. We feel better than we have ever felt, term relationship with Copley as and we are so very proud to be non-smokers. We Union Bank’s Jeff Coslett with TREVA’S Union Bank advances our Copley’s Wellness Center’s know that we do not want to ever smoke again, Linda Shaw, RN. wellness program.” and we’re confident that we won’t. We were Jeff Coslett STORY provided all of the right tools to be successful. Senior Vice President for Although it was difficult at first, it actually did not Human Resources and take very long to get through the tough part. We Branch Administration are so grateful to be set free from the chains of nicotine, and we appreciate all of the help that we Treva Southworth received from Copley’s quit smoking program. Scheduler, Mansfield Orthopaedics, a practice of Copley Hospital

7 Mansfield Orthopaedics at Copley First to Vermont’s first mini resurfacing of an arthritic knee health insurance for the hospitals’ staff and families Improvements in Patient Care Offer Patient Specific Knee Implants was also introduced by Mansfield Orthopaedics to reduce costs; shared service opportunities with Copley is now providing peripherally inserted Bryan Huber, M.D. was the first orthopedic surgeon at Copley Hospital. The minimally invasive information technology, allied health professional central catheter (PICC lines) using new Ultrasound in Vermont to introduce two new minimally procedure resurfaces only the damaged part of the and physician staffing and recruitment; and Imaging Equipment. A PICC line is a long thin invasive procedures utilizing patient-specific, patient’s knee. This new approach is far less invasive identifying other opportunities to enhance service, tube that is inserted into a vein in the arm above custom-designed knee implants. Utilizing the and less expensive than a traditional knee quality and/or productivity. the elbow and below the shoulder. The catheter is ConforMIS iForma™ and the iDuo™ implants, the replacement surgery. then moved through the body via veins until its tip procedures use advance technology that converts cat Therapist of the Year reaches the superior vena cava, one of the central scan (CT) and magnetic resonance imaging (MRI) Community Hospitals Form Collaborative Steve Cothalis, a respiratory therapist at Copley venous system veins that carry blood to the heart. data into personalized implants designed to Copley Hospital, Gifford Medical Center and Hospital, was honored with the Therapist of the Year The PICC can be left in for weeks or months and conform to the unique structure Porter Medical Center created the not-for-profit Award by the Vermont/New Hampshire Society for is used for prolonged intravenous therapy, such as of the patient’s joint. Vermont Hospital Shared Service Network Respiratory Care. Steve, a respiratory therapist for , so a patient can avoid the prick and Customizing the implants to a (VEHSSN). The three critical access hospitals nearly 30 years, pokes of starting a new IV for each session. They patient’s anatomy makes for a created the organization to enhance clinical and coordinates our are also used for patients with veins that are difficult less traumatic procedure, supportive services and reduce costs as permitted by monthly “Breathe to access. We are grateful to the Lucy Nesbit which in turn reduces law. Among the areas of collaboration VEHSSN is Easier” support Charitable Fund for funding the purchase of the surgical and recovery times. exploring are: the joint negotiation and purchase of group for people new Ultrasound equipment. with chronic Eric Mullins, MD and Bryan Huber, MD Therapist Steve Cothalis being congratulated Mansfield Orthopaedics pulmonary disease. by Greg Ward, Senior Director Providers in the Emergency Department now use of Clinical Services. a GlideScope to get a clear, real-time view of the Electronic Health Records patient’s airway. The scope uses a high resolution THE YEAR Copley has a strong vision for the future that camera and color monitor to facilitate intubation. focuses on access to the health record across the “It is extremely useful for community from Primary Care Physician, to restricted or small Specialist, to Copley Hospital and reaching out to airways, allowing for both IN REVIEW partner hospitals and health care providers. Copley normal and restricted views,” conducted a hospital-wide Information Technology explains Nancy Natvig, RN One word describes FY09 for Copley Hospital: Groundbreaking. audit as the first step in coordinating a hospital and Copley’s Nurse Director Copley Health Systems Trustees and Foundation Trustee Elizabeth Rouse, Foundation Committee wide initiative to of Emergency Services. Committee members joined in the groundbreaking members Polly Manosh and Henry King and Trustee implement an Registered Nurses Nancy Natvig and for Copley Hospital’s new Utility Plant expansion. Dana Wildes. The $1.9 million dollar plant houses Dorothy Cook assisting Dr. John Electronic Health Kaeding with the GlideScope. Pictured are (l to r) Trustees David Yacovone, Jan Roy, two new boilers, and marks the start of a three Records system. In Greening Up Copley Health Systems President Mel Patashnick, phase facility renovation. addition, we welcomed Copley continues efforts to reduce our Informatics Clinician environmental footprint. We are now utilizing LED Patrice Knapp, RN. Conrad Garven, IT Director with (light-emitting diode) lights in our parking lots and Informatics Clinician Patty Knapp, RN Patty works closely and Jaimie Welcome, RN. are testing lower watt bulbs for indoor use. All of with Patient Care the scrap metal from our utility plant construction Services and Information Technology (IT) and is is being recycled. We continue to use china and instrumental in our ongoing adoption of electronic silverware for our Nutritional Services, offering health and medical records, ensuring computerized recyclable food containers only if requested. Our systems are consistent with professional standards of staff is doing a good job of recycling as many clinical practice. materials as possible.

10

Regular, ongoing check-ups are vital to your health. Patient Satisfaction Scores from Press Ganey

h ospitals in PG database (13 of 14)

88.6% 88.4% 91.1% 91.9% 89.9% Involving Family

Compared to all Inpatient in all Vermont

hospitals in PG database (13 of 14)

91.4%

94.1% 93.8% 92.9% 94.1% Coordination of Care

Compared to all Inpatient in all Vermont

91.6%

92.0% 92.2% 92.9% 93.5% Communication Sharing

h ospitals in PG database (13 of 14)

Compared to all Inpatient in all Vermont Information/

hospitals in PG database (13 of 14)

88.6% 89.4% 89.9% 91.7% 90.3% Respect & Caring

C mpared to all Inpatient in all Vermont

Regular check-ups are also vital to Copley Hospital; o

Components of Care

hospitals in PG database (13 of 14)

6.6% 8

92.6% 90.7% 90.4% 88.1% Obstetrics

Compared to all Inpatient in all Vermont

hospitals in PG database (13 of 14) 0.0% 9 9.3% 1.0% 8 9 0.8% 8.1% 9 8 npatient Units I

C ompared to all Inpatient in all Vermont

hospitals in PG database 88.1% 84.1% 88.2% 87.5% 87.5% Emergency Department

Compared to all EDs in critical access

p erforming 7000-9000 proceedures annually 90.6% 92.2% 94.5% 89.1% 91.8% Ambulatory Surgery

Compared to hospitals in PG database

Indicator Apr. 09-June. 09 Oct. 08-Dec. 08 July 09-Sept. 09 Jan. 09-Mar. 09 T arget

Q3/2009 Q1/2009 Q4/2009 2/2009 QUALITY - Q it is how we measure the quality of care we are providing to our community. THE We collect and submit data to the Centers for Medicare and Medicaid Services (CMS) regarding CORE OF appropriate core measures of care for inpatients with certain medical conditions or surgical procedures. These measures are research-based guidelines that OUR CARE

represent widely accepted standards of care.

Preventing Complications from Surgery 81.8% 100.0% 86% 93.2% 95.8% 80%

Pneumonia Care 89.7% 90.3% 83% 100.0% 88.7% 82%

Heart Failure Care 95.5% 100.0% 85% 94.4% 100.0% 82%

Heart Attack Care 100.0% 100.0% 95% 100.0% No Cases 91%

June 2009 Sept. 2009 March 2009 Dec. 2008 Average Average

April - July - Jan. - Oct. - State National

2008 2008 Core Measures

Good Performance Slightly Below Target Goal

Source: 2008 State & National Averages: Center for Medicare and Medicaid Services' Hospital Quality Alliance: Improving Care Through Information: Hospital Performance Report. Quarterly Data: Copley Hospital Data as Reported to Centers for Medicare and Medicaid Services as of 12/2009.

Good Performance Slightly Below Target Goal

Measuring how patients evaluated their Copley experience allows us to improve and also recognize staff for outstanding performance. We monitor our patient satisfaction through the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and through our ongoing work with Press Ganey Associates to survey our patients.

Hospital Consumer Assessment of Healthcare Providers and Systems

October 1, 2008 to September 30, 2009

Environment Hospital this Hospital Environment

Hospital Rating of to Recommend Hospital Information of Hospital Sta Management about Medicine with Nurses with Doctors

Cleanliness of Overall Willingness Quietness of Discharge Responsiveness Pain Communication

Communication Communication

0

22.5

45

52

55

59

60

62

65 67.5

66

69 69 69

70 70

71

72 72

73 73

75 75

76

77

78

79 79

81

81

83

85 86

88

90

Members of Copley’s Quality Initiatives Team include Avril Cochran, RN, Director of SCU and Med Surg; Steffany Mosley, RN, Birthing Center Nurse Manager; Aaron French, RN, Senior Director of Nursing Services; Laura Cole, Director, Quality Management; Eileen Paus, RN, Infection Control Nurse; Amanda Cookson, Risk Management Coordinator; Jane Oliphant, RN, Nurse Educator; Dan Lewis, Director of Pharmacy and Kristy Pillsbury, RN, Case Manager, Patient & Family Services.

“Copley’s commitment to continuously monitor and improve the quality of care – and the care with which we give it – is demonstrated across all departments and disciplines. Members Orthopedic Surgeons of clinical and non-clinical departments work together on Teams John Macy, M.D. to systematically advance our quality and patient satisfaction and Eric Mullins, M.D initiatives. Their hard work and devotion has produced positive results in our Core Measures and Patient Satisfaction scores.” Laura Cole Director, Quality Management

Copley Hospital State National

11 12 Copley Hospital is committed to providing health Patients often come in to thank me personally after WELCOMING care to everyone in need, regardless of their ability I’ve helped them receive the care they need. They to pay. We never turn anyone away from our are always so delighted. One of my fondest hospital or emergency room. Copley provided memories is of a woman from Morrisville. When I NEW PHYSICIANS $822,160 in charitable care this year. helped her fill out her Copley Financial Assistance Jennifer Peters, MD Anne Viselli, MD application, she mentioned she wasn’t able to afford Director, Copley Hospitalist Program Gynecology and Urogynecology Copley’s Financial Assistance Counselors are her medication, so we also filled out an application In September, 2009, we launched Dr. Viselli joined Copley Hospital in available to help patients benefit from our financial for Vermont Health Access Program (VHAP). She our Hospitalist Service. Copley’s July. In addition to routine well- assistance program. was approved for both Financial Assistance with her Hospitalists are available 24 hours woman care, she specializes in • We provide a discount to all patients of limited Copley expenses and the V-Pharm prescription plan a day, seven days a week to care for urinary incontinence and problem means who do not have health insurance which helped pay for her medication. I also helped patients that are hospitalized. gynecologic care. She completed • We assist patients whose financial situation her get set up with the local Food Shelf. When I Hospitalists work closely with your her residency in Obstetrics and makes it difficult to pay their bill – regardless of went to her that night to bring the food from the primary care physician and coordi - Gynecology at Women and Infants' whether they have insurance or not food shelf, she hugged me and started crying; she nate care with nursing staff and other in-hospital care Hospital and her fellowship in Urogynecology and • We assist patients in applying for additional said thank you so much. I saw her a few weeks ago providers such as physical therapy, laboratory, dieti - Reconstructive Pelvic Surgery at the Greater assistance programs for which they may qualify. and she looked so much better and she thanked me cians and patient and family services. The Hospitalist Baltimore Medical Center. Formerly a member of This includes applying for other federal, state and again for my help. It was satisfying to see that she enables primary care providers to spend more time in the academic faculty at Fletcher Allen Health Care, local programs including Medicare, Medicaid, had benefited from my help. I’m very glad that I their clinics, increasing access to care for everyone. Dr. Viselli opened her private practice in Williston, VHAP and other local medical assistance programs. can make a difference in our patients’ lives. Vermont Women’s Wellness, in 2005. She is a Dr. Peters has more than 10 years of experience as a member of the American Urogynecologic Society, Hospitalist coming most recently from Jordan the International Continence Society, the Hospital in Plymouth Massachusetts. A graduate of International Urogynecologic Association and is a ANGELA’S STORY Middlebury College, Dr. Peters received her medical Angela Griggs volunteer physician for International Volunteers in Patient Account degree from the University of Utah School of Urology, a non-profit organization committed to Representative Medicine. She completed her internship and providing quality urologic care to developing countries. CHANGING residency in Internal Medicine at Dartmouth “I’m attracted to Urogynecology because it brings all the Hitchcock Medical Center. LIVES… pelvic organs together – the reproductive organs, rectum and “I enjoy the variety of patients, illnesses and situations that the bladder – in a supportive way. It enables me to treat WITH ACCESS I manage at work. Every day is a little bit different, and I my patient as a whole rather than just treat one part of never know who or what I am going to see and treat. I their problem.” AND A feel like I am constantly learning- from the patients, from the nurses, from other doctors, from families and from the Nurturing Future Nurses HELPING illnesses. This learning keeps me on my toes and keeps my Copley Hospital collaborates work challenging and interesting.” with Vermont Technical College’s HAND Dr. Peters and her family have lived in Vermont since Nursing Program to mentor 1997. She and her family enjoy the outdoors and student nurses, providing them have special interests in hiking, biking and skiing. with ability to provide clinical Angela’s Advice: patient care under direct • Talk with us about your situation; supervision of their clinical we’re here to help instructor in all areas. Copley mentored eight student nurses Genette Hoffman, RN • Don’t worry about your bill; with student nurse Cybele Joy we’ll work with you in 2009. • Don’t ignore your bill; talk with one of our financial counselors 13 14 Anesthesiology Neurology Pulmonology Copley Hospital Practice Neurology Clinic Northern Vermont Center for Honoring excellence is a long standing tradition at Andrew Duff, RN in Emergency Services, was Joan Fox, CRNA Jean Marie Prunty, MD Pulmonary/Sleep Medicine Susan Lawlor, CRNA Veronika Jedlovszky, MD Copley. We are proud of our record for providing presented with the Edward French Memorial. Mirjam McCormack, MD Nurse Midwifery Colleen Parker, MD The Women’s Center outstanding care. Copley continues to score in the Medical Staff President Dr. Joel Silverstein Jackie Bromley, CNM Vermont Radiology Cardiology Marjorie Kelso, CNM Richard Bennum, MD top 5% for in patient care compared to national described the award as one of true honor as the Champlain Valley Cardiovascular Hartley Neel, MD averages. This record is due to Copley’s wonderful Medical Staff Associates Obstetrics/Gynecology Candice Ortiz, MD Kevin T. Carey, MD Independent Practice Robert Smith, MD staff and their commitment to providing expert elected years ago Walter Gundel, MD Fred Rossman, MD Rehabilitation Services care with a personal touch. to remember Steffen Hillemann, MD Vermont Women’s Wellness Janet Kirwan, MD All Copley Hospital Practices Dr. French with Anne Viselli, MD* Copley Hospital Adam Kunin, MD *Gynecological and Urogynecology only Joseph Winget, MD Hardwick Physical Therapy Each year, we honor three employees who best a nursing award Mansfield Orthopaedics Dentistry Stowe Physical Therapy exemplify our commitment to patient care and that recognized Birchwood Dental Associates satisfaction. Our honorees this year include: exemplary caring, Murray Diner, DDS competence and Karin Vossler, a radiology clinical skills. Dr. PHYSICIAN DIRECTORY technologist, was Silverstein extended Dr. Joel Silverstein congratulates Andrew Duff, RN for winning the Edward French Memorial Award for recognized with The gratitude to Andrew, Outstanding Care and Service. Goddard Family Award, saying “We appreciate AND SERVICES an award that recognizes all that you do for your patients, the Emergency Dermatology Fletcher Allen Health Care excellence in a Team and for taking care of us, the doctors.” Oncology Dermatology non-nursing position. Karin Vossler, Radiology Technologist, K. Schwarzenberger, MD FAHC/Copley Hospital Oncology Rheumatology was given our Goddard Family Award Christine Sowle, PA Outreach Clinic Fletcher Allen Health Care Karin, known by her for Excellence by Dr. Joel Silverstein. Congratulations Karin, Wendy, and Andy! Julie Jae Olin, MD Rheumatology Diabetes Educators Liesl Steiner, NP Nicole Hynes, MD peers for doing what needs to be done, is an Copley Hospital Practice Loretta Schneider, RN, CDE Ophthalmology Sleep Lab expert in trauma radiology. “Dependable, efficient Nancy Wagner, RD, CDE Independent Practice Northern Vermont Center for and always smiling” is how she is described. We Mark Iverson, MD Pulmonary/Sleep Medicine Emergency Medicine Optometry David Alsobrook, MD thank her for her 24 years of dedication and Copley Hospital Practice Lisa Ahlemeyer, PA-C Liam Gannon, MD Independent Practice commitment to quality care. Jacqueline Goss, PA David Garbutt, OD Urology Patrick Heaghney, MD Orthopedics & Sports Medicine Green Mountain Urology, Inc. Wendy Kruger, Quality John Kaeding, MD Mansfield Orthopaedics, a Copley Betsy Perez, MD Management Coordinator, Neil Nigro, MD Hospital Practice Wynne Kirschbaum, PA celebrates her Employee of the Year Charles Osler, FNP Laura Drenen, APRN-BC AWARDS FOR Award with Copley President James Picone, PA Family Practices Robert Feinberg, PA-C Hardwick Health Center (NCHC) Mel Patashnick. Joseph Subasic, MD Bryan Huber, MD Daniel Wolfson, MD Mark Lichtenstein, MD Richard James, MD Sarah Morgan, MD Gastroenterology Eric Mullins, MD EXCELLENCE Independent Practice Nella Wennberg, PA-C Johnson – Independent Practice Joel Silverstein, MD Christine Malcolm, FNP Otolaryngology (Ear, Nose & Throat) Paul Rogers, MD General Surgery Independent Practice Green Mountain General Surgery Paul Julien, MD Morrisville Family Health Care The nominations for “Employee of the Year,” (CHSLV) C. Dyeanne Racette, MD Pain Management Brian Smale, MD Kim Bruno, MD Copley’s most prestigious award, are driven by Independent Practice David Coddaire, MD Independent Practice Anne Vitaletti-Coughlin, MD Cheryl Holton, FNP staff. Wendy Kruger, our Quality Management Patricia Jaqua, MD Pathology Philip Kiely, MD Coordinator, was honored as Copley’s David Roy, MD Hospitalist Program Independent Practice Employee of the Year. Wendy is dedicated, Apogee Physicians John Mech, MD Morrisville – Independent Practice Iulian Benetato, MD Vermont Dermatolpathology Gary Waring, MD helpful, and always willing to help other staff Jennifer Peters, MD Catherine Antley, MD Stowe Family Practice (CHSLV) without compromising her own work Internal Medicine Pediatrics David Bisbee, MD responsibilities. Copley President Mel Hardwick Health Center Ryder Brook Pediatrics Clea James, MD Brendan Buckley, MD Sarayu Balu, MD Patrick Keith, MD Patashnick praised her, saying “Wendy is Katherine Marvin, MD Independent Practice Psychiatry Melissa Volansky, MD thorough and accurate with her work and Robert Kozub, MD Behavioral Health (CHSLV) enjoys taking on challenges.” Independent Practice Judith Nepveu, MD Henry Southall, MD 15 A hospital is only as good as its staff. Our staff LACiNg Up For Cancer, the annual walk-a-thon demonstrates every day their expertise and for the Lamoille Area Cancer Network, is an event dedication to providing outstanding care to all. that touches many within the Copley family as In 2009, we honor these employees for their well as our community. Copley Hospital has been outstanding commitment. an integral part of the event since its inception. CELEBRATING OUR STAFF’S “It is a signature event for both the hospital and COMMITMENT TO our staff,” says Copley President Mel Patashnick. In addition to providing financial and in-kind SERVING OUR COMMUNITY support, many of the hospital employees and their extended families support the walk in a variety of 40 Years of Service: Connie Hamel Abigail Earle Bethany Fox, RN Counterclockwise from the top: ways. An event this size demands dedicated Sue Alexander, LNA, Denise Marcoux, Jean Williams Site Manager and Resident Services Pharmacy Technician, Eden Mills Clinical Administrative Supervisor, Coordinator – Copley Terrace, Jericho coordinators, organizers and on-site contacts. You’ll RN; Mansfield Orthopaedics Medical Central Supply Tech, Hardwick Hyde Park Margaret Higgins, PT Assistant Hallie Barney with Dr. Glen Stowe Nicholas Garven recognize many Copley faces serving in these roles Neale; Health Information Management’s Kathy Parsons Housekeeper/Security, Morrisville Deanna Heath 35 Years of Service: Radiology Technologist, Jeffersonville Alton Ingalls as event planners, guest speakers, food servers, crew Peter Kramer, PT Housekeeper/Security, Johnson Emily Gilbert Morrisville Beverly Ryder Transcriptionist, Hyde Park for site set-up, maintenance and tear-down, face Patient Account Representative, Wendy Kruger Morrisville Quality Management Coordinator, Patrica Halpern Reiss, RN painters and the cooks responsible for the delicious 30 Years of Service: Linda Shaw, RN Hardwick Waterbury Center brick oven pizza served at the event. Shelley Boivin Wellness Center Manager, Wolcott Angela Lamell Laurie Hanson, RN Central Supply Tech, Senior Accountant, Johnson Montpelier Hyde Park 15 Years of Service: Jane Oliphant, RN Jenny Hastings Many more Copley employees participate in CHANGING Mary Boyce Jane Buonanno Nurse Educator, Wolcott Housekeeper/Security, Hardwick teams, walking in support and honor of loved Phlebotomist/Receptionist, Transcriptionist, Wolcott Hyde Park Terry Phillips, RN Sandra Hoag ones. Copley’s presence is not only evident to the Robert Crum Stowe Lab Aide, Johnson LIVES... Housekeeper/Security, Hardwick overall walk, it is gratifying and inspiring to watch 20 Years of Service: Karen Rhodes, RN Deborah Ingalls, LNA Janice Borg, LPN Donna Peake, LNA Clinical Administrative Supervisor, Eden as survivors and their families reunite with hospital WITH Morrisville House Service Aide, Morrisville Hyde Park Ronald Judd physicians and nursing staff. Laura Denton, LNA Carole Russell Housekeeper/Security, Hyde Park Susan Reed, RN Staffing Coordinator/House Legal Correspondent Lawrence King LACIN UP Jeffersonville Representative, Hyde Park g Service Aide, Craftsbury Network Administrator, Swanton More than 60 Copley staff support this Susanne Fitzgerald, RN, Cathryn Wright Amanda Locke important community event and Copley 10 Years of Service: Activities Director/Services FOR CANCER Wolcott Food Service Aide, Hyde Park Sarah Black Coordinator - Copley Woodlands, Hospital continues to be an official Transcriptionist, Morrisville Waterville Leslie Martin sponsor. The event raised $134,000 to Jean Williams being Scott Carruthers, RN Bonita Wyman Unit Coordinator, Irasburg recognized for 40 Eden Sous Chef, Hyde Park Mirjam McCormack, MD assist cancer patients in the Lamoille Area. years of service with Anesthesiologist, Morrisville Melvyn Patashnick Elizabeth Daniels, RN President & CEO Irasburg 5 Years of Service: Daniel Moeck Patricia Driscoll, PA Kim Austin Puleio Grounds Worker, Stowe Stowe Social Worker, Hyde Park Erin Niles, PT George Bakker, RN Cardiac Practitioner Worcester Eden Mills Our beautiful hula girls: Patricia Cornock, RN Heidi Richard Joyce Tenney, LNA; Sandy Grace, Morrisville OR Scheduler, Hardwick RN; Bonnie Marshall, ACU Patrick DiDomenico Albena Serguiev, RN Receptionist; Margaret Walker, Front Desk, Stowe Craftsbury Radiology Technologist and Sue Alexander, LNA. Mary Doonis, RN Moriah Stokes Johnson Waitstaff/Utility - Copley Woodlands, Morrisville Leslie Foltz Medical Staff Coordinator, Wolcott

17 Volunteers continued presence to our hospitalized patients on the Sally Nolan, Second Chance and Second Chance Jeanne Spear, Hospital Fonda Whitemore, Second Chance CELEBRATING Robert Norton, Gift Shop Sue Roberge, Second Chance Judy Stancilff, Hospital Irene Wilkins, Gift Shop and Hospital Medical Surgical unit, offering conversation or Vivian Norton, Gift Shop Jean Roberts, Hospital Dorothy Stannard, Hospital Carmeline Williams, Gift Shop simply companionship. They provide clerical Jean O'Rourke, Hospital Janice Rushford, Gift Shop Peter Stearns, Hospital Arlie Williamson, Second Chance VOLUNTEERS! assistance, assist with inventory and stocking of Gurli Olsen, Hospital Sam Ruggles, Hospital Barbara Stevens, Gift Shop Maureen Wilson and Sampson, and Second Chance June Russell, Second Chance Lillian Teale, Second Chance Hospital We are so truly grateful for the gift of volunteers. materials, and deliver mail. In addition to time, Luanne Palardy, Second Chance Ann Sabino, Second Chance Ruth Tuthill, Hospital Gloria Wing, Hospital Our corps of more than 100 volunteers serve an many volunteers share their unique skills. We are Nancy Patterson, Hospital Addie Salls, Gift Shop Mackenzie Tyer, Hospital Margaret Woodard, Second Chance David Peters, Hospital JoAnn Wykoff, Second Chance important role within the Copley family. These fortunate to have many home knitters who keep Ken Salls, Gift Shop Angie Vanasse, Gift Shop James Philbrook, Gift Shop Dolores Schaarschmidt, Hospital Marie Wallinger, Gift Shop Joe Yacavone, Gift Shop men and women take great pride in their work, our newborns warm with hats, booties, sweaters Dorothy Piche, Hospital Shayde Shaffer, Hospital Amy Wan, Hospital Donna Young, Hospital gaining satisfaction from performing meaningful and blankets. In addition, many of our volunteers George Piche, Hospital Judy Shanley, Second Chance Joyce Ward, Second Chance Jenna Zukswert, Gift Shop Arlene Preston, Gift Shop Carol Smith, Gift Shop and Gift Shop tasks to enhance the patient experience at our assist in staffing the hospital gift shop and Second Jeannette Randolph, Hospital Donna Smith, Second Chance Mary Lou Ward, Gift Shop In Fiscal Year 2009, community hospital. Chance, a local thrift store. Both Second Chance and Gift Shop George Spear, Hospital Pat Ward, Second Chance 126 Volunteers Donated Liz Raymond, Gift Shop Edna Snow, Second Chance Jeff Wasserman, Hospital and the Gift Shop are run by Copley Hospital and Second Chance 16,136 hours of Service Robert Snow, Second Chance Debbie Wheeler, Second Chance Our Volunteers assist throughout the hospital. Auxiliary, with proceeds benefiting the hospital. Jeannette Ring, Gift Shop to Copley Hospital. They are the warm, friendly faces greeting and assisting our patients and visitors at the It is with great pleasure that we recognize the information desk. They are an additional caring following volunteers: COPLEY HOSPITAL AUXILIARY... June Allaire, Gift Shop April Cady, Second Chance Sigrid Endreson, Hospital Christine Laine, Second Chance Helen Anderson, Hospital Philip Camley, Hospital Lilalee Fellows, Second Chance Melissa Lang, Hospital HELPING COPLEY CARE Pat Ainsworth, Hospital Joan Camp, Gift Shop Betty Flory, Hospital Joyce LaRow, Hospital Anne Atherton, Gift Shop Linda Cannon-Huffman, Hospital Esther Fontaine, Gift Shop and Second Chance Rosemary Arnold, Hospital Alice Chase, Gift Shop Elaine Foster, Second Chance Joyce Lawrence, Gift Shop FOR THE COMMUNITY and Second Chance Joan Churchill, Second Chance Gerry Furlong, Second Chance Midge Lechevalier, Hospital Lorraine Bailey, Second Chance Florence Ciccolo, Hospital Judy Grosvenor, Hospital Abigail, Michele Adina Barron, Hospital Joe Ciccolo, Hospital and Second Chance and Chester Lesoine, Hospital The 90 members of the Copley Hospital The Auxiliary is more than simply a fundraising Judy Bolio, Gift Shop Martha Clelia, Gift Shop Janet Gonyea, Hospital Lisa Anne Loucka, Second Chance Julie Bourne, Gift Shop Common Thread Quilting Guild Ann Harwood, Hospital Elvira Loyola, Gift Shop Auxiliary help keep the Gift Shop and the group; socializing is important too! Each year, two and Second Chance Jennifer Cote, Second Chance Barbara Hayford, Second Chance Jean Lumbra, Second Chance Second Chance thrift store fully stocked and open. luncheons are held, providing a chance to catch up June Boudreau, Second Chance Mac Manning, Hospital Sarinthip Cote, Second Chance Joan Hazeltine, Second Chance The proceeds from these two shops make up the with each other and hospital news as well as enjoy Wanda Bradford, Second Chance David Davison, Hospital Bertha Hooper, Gift Shop Karen Mattison, Second Chance Benjamin Brayton, Gift Shop Gretchen Damon, Hospital Madeline Hooper, Second Chance Gabrielle McCorkill, Second Chance bulk of the funding raised by the Auxiliary to a little entertainment. This year’s luncheons fea - Elinor Brayton, Gift Shop Pricilla Draper, Second Chance Betty Hunt, Second Chance Fran Melcher, Gift Shop benefit Copley. The Auxiliary also holds two tured a program on Aging Gracefully and a Joan Brown, Gift Shop Lois Keith, Second Chance Eleanor Mercia, Second Chance Shelia Darrah, Hospital seasonal bake sales. Through these efforts, the Second Chance Fashion Show. Linda Brown, Hospital Seline Deciucies, Second Chance Steve Kennison, Hospital Donna Merriam, Second Chance Molly Brown, Second Chance Phyllis Despault, Hospital Illa King, Second Chance Pearl Metayer, Second Chance Auxiliary provided $25,000 to Copley, funding Sue Burrill, Gift Shop Ben & Buster Edwards, Hospital Lisa Kirk, Second Chance Bill Minton, Hospital the purchase of a Glidescope for intubations in Betty Busch, Hospital Connie Edwards, Second Chance Scott Krueger, Hospital Joshua Mollander, Hospital the Emergency Department and equipment for the Operating Suite. Volunteers Mac Manning, Liz Raymond, Wanda Bradford and Joyce LaRow with Jan Roy, The first of two donations made Chair of Copley’s Board of by the Auxiliary this year. Trustees. They were honored for Pictured are L-R: Gurli Olsen, their years of service during Auxiliary Treasurer; Leah Copley’s annual Volunteer Hollenberger, Copley’s Senior Recognition Brunch. Director of Development; Judy Shanley, Auxiliary President; Mel Patashnick; Greg Ward, Senior Director of Clinical Services and Judy Grosvenor, Auxiliary Secretary.

19 Copley Hospital saves and changes lives, each and A special thank you to an extraordinary group of 2009 REPORT OF GIVING every day. We’re able to care for our community volunteers: our Foundation Committee. They because of the many generous donors who give work year round, helping with fundraising willingly. They understand that it is not the size events, spearheading the Annual Fund Campaign In addition to the many donors Mrs. Charles B. Cushwa III Mr. and Mrs. Charles L. Jaffin Elizabeth Holden listed over the next several pages John and Julie Egenberg Dr. John Kaeding Leah Hollenberger of the gift, but participation that matters. Their and inspiring others to join them in we also extend thanks to our Thomas and Mary Evslin, Franklin and Marion Kellogg and Christopher Demars participation helps Copley to stay current and supporting Copley. many anonymous donors. Evslin Family Foundation Rebecca Reggio Raymond and Barbara Hunicke Vera M. Fitzgerald and Philip Kiely, M.D. Robert Kaplan and Lisa Walker responsive; able to meet the anticipated and Legacy Circle Clive Gray Jan and Dick Kilburn Ivar and Sally Kasaks the unforeseen needs of our patients and Foundation Committee Jack Drowne Katharine Greenewalt in memory of W. Arlen Smith Henry and Lanny King Bonnie Knight our community. Marion Baraw Peter Kramer George H. Fearons Jane and Stan Haggett Jane S. Lande Gerald Kirchner William Henderson Linda Kramer John F. LaPan Stowe Morrisville and Peter G. Kramer, P.T./D.Ed Sumner “Joe” House Henry and Barbara Jordan Joyce and Lefty Lewis Rev. Alden Launer Abbott Brayton Lawrence Kreider John M. Wood Lawrence E. Kreider David and Lucy Marvin Joseph and Christine Mara Eden & Burlington Greensboro John Stevenson Jack and Laura Lancaster William and Lillian Mauer Kevin D’Arcy Pauline Manosh Hubert and Mary Lechevalier David McLane John and Karen Miller CHANGING Howard Manosh Dr. John Mech Kathleen Norman Stowe Morrisville Founders Society John and Adrienne Peacock $50,000 and Greater Marlene Manosh Niels and Gurli Olsen Denise Cushwa John Merrill Carole and Len Pedvis Stowe Stowe Lucy D. Nisbet Charitable Fund Melvyn and Helenmarie Mr. and Mrs. Jonathan Osborn Patashnick Diann and Dana Percy, Jr. Patricia Passmore Alley LIVES... Merton S. and Ora H. Pike John Egenberg Elaine Nichols Jack and Caroline Patten in honor of Alden Launer Barbara and Jim Roberts Stowe Stowe Philanthropists William L. Schoop F. James Philbrook Robert and Mary Rohr Kenneth Gibbons Melvyn Patashnick $20,000 - $49,000 Roy and Pat Schwarz Doug and Mary Philipsen Elizabeth P. Rouse WITH Hyde Park Morrisville Copley Hospital Auxiliary Brian Smale, M.D. David and Glenna Pound and Dyeanne Racette, M.D. Heather and Richard Sargent Stowe Charities Inc. Rassoul and Ann Rangaviz Clive Gray John Patten Anne and John Steel Jim and Joanna Schoff Marilyn and Skip Rosskam Greensboro Stowe Jane Watson Stetson Joel and Elizabeth Silverstein President’s Circle Dr. David and Ruth Roy YOUR Brian Harwood Jan Roy and Eugene William Stetson III Barbara Stevens Jan Roy and Steven Young $10,000 - $19,000 Virginia C. Street Jim and Joly Stewart Chair, Waterbury Wolcott George and Mary Jean Beimdiek Sue Sargent April Tuck and Ron Carter Jack Sykas Lisa Hunt George H. Fearons Katherine B. Simonds Heather Sargent Margaret Walker Mr. and Mrs. A. Scott Taylor Morrisville Union Bank Shapleigh and Peggy Smith HELP Morrisville Jennifer and Chris Walton Dr. Anne Vitaletti-Coughlin Richard and Joy Spanier Henry King Oran R. Young and Gail in memory of Patricia Coughlin Stanley and Helen Stoney Benefactors Osherenko Greensboro Dana and Doris Wildes Mr. and Mrs. Horace Strong $5,000 - $9,999 Champlain Valley H.P. Cummings Construction Nancy and Carroll Sweeney Stella B. Sargent Cardiovascular Associates Company Genevieve H. Story Concept2 Inc. Joyce and Carroll Tenney Our new, donor-funded Walter E. and Jane R. Towslee Antimicrobial Therapy, Inc. Consultants Period, LTD Associates Hematology Microscope helps Shapleigh Smith Vicki Barrows Maitre Pepsi Bottling Ventures $250 - $499 identify and count different and Dr. Melissa Volansky types of blood cell. Topnotch at Stowe Resort Raymond and Betty Baril Mr. and Mrs. William Patrons and Spa Lewis and Betty Lou Blowers in gratitude from the Cummings Westermann $2,500 - $4,999 Family and Topnotch Abbott and Esta Brayton Howard and Elsa Williams Peter and Brenda Christie UBS Financial Services Inc. Avril and Nathan Cochran Dave and Deborah Yacovone Oneal and Margaret Demars, Jr. in honor of Raymond Simon Brian Coles Linda Hazen and Stephen Yanow and Kathleen O'Neill Judy Geer and Jewish Community of Richard Dreissigacker Supporters Dorothy and George Cook Greater Stowe David and Debbie Schoop $500 - $999 Steve Cothalis Donors helped Copley purchase new OR equipment. Stowe Insurance Agency, Inc. AIG/Stowe Mountain Resort Paul and Kathy Bosland Leland and Johanna Darrow Stowe Rotary Club Juliette Bourne Diane and Jay Dolan Contributors Richard and Mimi Congdon Linda and Rick Ely $100 - $249 in memory of Nathaniel Merrill Fellows Walter N. Cook Ellen and Jim Adams John and Judith Farmer The next several pages are a wonderful display of the $1,000 - $2,499 Anne Dodge Agnes J. Ahrens D. Aaron and Lawrence French kind individuals, companies and organizations that Dona and Patricia Bessette Jon Eggleston Pamela and Dale Allen John and Mary Frost Sam and Dusty Boynton Carol and Frank Ferrante Helen O. Anderson supported our non-profit community hospital in FY 09, Lady Gibbons Lynn C. Cline and Dr. and Mrs. David H. Garbutt Dawn K. Andrews October 1, 2008 – September 30, 2009. Carroll A. Peters Brian and Janet Harwood Ken and Janet Gibbons Carl and Jill Baker Simone Cormier Patricia House Peter and Patricia Haslam in memory of Wesley S. Langdell in memory of Marie Philippon Dr. Mark Iverson Penny Hester-Ingram Stuart and Marion Baraw William and Susan Bartlett

21 22 Leonora Bernheisel Fran and Ross Hanson Nick and Eleanor Paris Bordner Real Estate, Don Mrs. R. Beverley Deterding Marjorie Kelso Harvey C. Reed Matching Gifts Paul Bertocci Betsy Harper and Jeffrey Sparks James and Andrea Parker and Nancy Bordner Debra and Michael Dewey Sheldon and Doris Klein Mr. Anthony J. Risitano, Jr. Bank of America Donald and Julie Blake Carol Hayden Kathy Parsons Calderwood Insurance Mary Jane Dexter Andrew and Kathleen Knittle John and Whitney Rubino FM Global Foundation Steven and Gail Blumsack Laura J. Heyn Cleveland and Virginia Patterson Agency, Inc. Julie and John Douglas Richard Knowlton Carole Russell Green Mountain Coffee Cynthia Borck Andrea Higginbottom Day and Janet Patterson Cantrill Clark Inc. Tom and Martha Douglass Wendy and Timothy Kruger Beverly Ryder Roasters Mary Kay Boudewyns Margaret Higgins Linda and Donald Peet G. W. Tatro Construction, Inc. Shirley Draper Mike Kubic and Leesa Fine Paul Sakash IBM International Business Elinor and Benjamin Brayton James Hillis Frank C. Philbrook Gravel Construction, Inc. Everett Drinkwine Kenneth S. Lamb David J. and Ann Louise Santos Machines Matching Timothy H. and Susan C. Breen David and Trina Hosmer Rhoda and Joel Pinsky Manosh Ventures, LLC Marianne Dunn Rodney and Janet Lanphear Henry and Dolores Schaarshmidt The GE Foundation Matching Gifts Program Florence L. Bridges Bill and Lisa Hunt Pamela Plummer Manufacturing Solutions, Inc. Daniel and Christi Dussault Russell and Judith Lanphear Karen Seekamp Cleveland B. Ethel Hunter Heather Porter George Eastman Nancy Lemieux Dick and Judy Shanley Friends of Copley Memorial Gifts and Edith J. Bronner Dick and Marcia Johannesen Eugene Posnick Bob Eccles and William Metzler Kate and Jeff Simone - up to $99 W. Averell Brown Gordon and Sue Johanson William and Elizabeth Post Irene Edwards Robert and Susan Letwenski Mr. and Mrs. Wade Simpson Paul Ainsworth In memory of Kimberly Bruno Clifford W. Johnson Michael and Virginia Powers John and Josephine Emery Ernesta Levaggi William and Marilyn Slocum Benton Emerson Sybil L. Ainsworth and Jeff Seivwright John and Patricia Johnson Elizabeth Raymond Marina Etingen Carla Levin Charles Smith Lester Anderson Leland Alper Floyd and Gloria Buck Earle Keith Paul Rogers, M.D. Charles and Patricia Eyler Robert Levis Edith and Donald Smith Sam and Dusty Boynton Stephen and Jane Alpert Lois Eby and David Budbill Lois A. Keith and Betsy Field Florence Falk Anita Goodrich Licata Peter and Marcia Smith Beth Carrier Mr. and Mrs. Lynn Altadonna Anne C. Buell Debra Kipp Bruce J. and Anne Rosenberg Willa Farrell Bodo Liewehr Steve and Peggy Sprague Allen and Helen Farrand Thomas J. Amidon, Esq. Vernon Bullard John Kirkpatrick Catherine G. Ross and Kathleen Hentcy Agnes M. Lintermann Mr. and Mrs. Leo St. Cyr, Sr. Bessie G. Ferland Helen Anderson Mike and Anne Cassidy Rona Klein Mary Anthony Rowell Ms. Sally W. Fisher Arthur and Pauline Lloyd Chris and Jeanne Stearns Corella Gray and Charlie Davis Robert Austin J. Alfred Chouinard Adam W. Kunin, M.D. Sarah and Allen Rubin Anita Fletcher Alan and Susan Lukens Edward R. Stehle Mark and Dustin Loati Barbara Baraw John and Melanie Clarke Frank and Ann Lackey Carolyn Ruschp Francis and Betty Flory Laird and Nancy MacDowell Peter and Debora Steinerman Shirley McFarlane Nancy Cohn James and Ruth Santos in honor of Stuart Ted and Kim Lambert and Marion Baraw Dr. and Mrs. Lawrence J. Fortier T.C. Mallon Robert and Judith Sterns Mary Val and David Palumbo Q and Philip Cook Ken and Ann Savela Gert Lepine Jenneke Barton Carl and Elaine Fortune Donald and Joyce Manning Harold and Carol Stevens Thomas and Karen Weeks Mrs. Barbara Crawford Trust Dr. Alvin and Mrs. Evelyn Schein Sylvia and Benoit LeRiche, Sr. Merilee Batchelder Joan Fox, CRNA, MSN Paul and Patricia Marchand Irene D. Strong Copley Professional Services Clement and Anne Curtis Donald H. Schmuck Leopold LeRiche David and Lisa Beach Helen Gaffney Peder and Mary Marcussen Lawrence Student Group, Inc. Glenn and Fifi Danziger Robert and Carol Schulz Carolyn Levis Lois Beard Louise Gallant and Wade Baker Arnold Marek Zarina Suárez O'Hagin Gould Corporation Kevin D'Arcy Jon and Karen Shreter in memory of Robert J. Levis Steven and Cynthia Berson D. Michael and Jane Gandy Bonnie Marshall Michael and Meike Sweatman Poulos Insurance, Inc. Ian and Felicité Davidson Dr. Beth Singer Dr. Mark Lichtenstein Carolyn and Charles Betz Dr. and Ms. Liam G. Gannon, M.D. Gale and Timothy Martin Dawn and Kenneth Sweetser Penny and Chris Davis and Cynthia West Mary Jo Smyth George H. Bickford Edmund and Susan Gilbert Margaret Maser Paul and Geraldine Sweterlitsch In memory of Helen Ruschp Nicholas and Elizabeth Deane Jill Lindenmeyr Dr. Henry and Sarah Southall Faith Bieler Jared Gilbert Curtis A. Mayo Jeffrey and Kellie Thomas Anne August Beverly V. DeLaney Mary Paul Loomis Kermit and Hazel Spaulding Larry and Dot Bliss Dr. Arthur Gillman Patrick and Janice Mayo Anne Thursby Kermit and Hazel Spaulding Mary S. Demke Dee Macy George B. Spear Ld and Marjorie Bliss Bob and Jean Gilpin John and Dorothy Mendes Beverly Tornrose Deborah Spooner George Desmarais Julian Malkiel Mr. and Mrs. Harold Sprague Ann Goodhue Isabel and Larry Miller George and Martha Twombly Jane Weaver and Emma Thompson Marlene Bourke Tod and Gwen Mann Jane and Duane Sprague Rosalind Goodman Lyle and Rachel Miller Ralph and Hazel Urie Winston Dezaine Ralph and Susanne Boyd Pauline Manosh Ronald and Judy Stancliff Ethelda Graves Peter and Karen Monsen Marguerite and Alvin Warner In memory of Clarke Foster Janet and Anthony Di Blasi Ann and Alan Boyea Denise Marcoux Marcia and Carl Stewart Corella Gray Eric Montminy Mary Waterman Lyman and Joan Churchill Murray H. Diner, D.D.S. Brewster C. Breeden, M.D. Bob and Amy Marshall Jody Stoddard Ethne Gray in memory of Ralph Montmin y Tracy and Edwin Webster Mr. and Mrs. Jonathan Osborn Mr. Robert F. Dobbin Jordan S. Brener Donald and Jeanine Mattson Tim and Cindy Stotz Harold Gray Dorothy Moran Kenneth Weightman Rachel and John Duffy Edward and Rosemary Bronstien Mike and Kathy McCole Marianne and Leonard Sussman Judith M. Grosvenor Wendy Morin Frederick Wells Other Memorial Gifts Christina Eldridge Joan Camp Betty F. McGill Irwin and Sara Tauben in memory of Gerald B. Camp Kathy and Ron Groves Judith Nepveu, M.D. Mary West Vincent and Lillian Coppola Mr. and Mrs. Peter J. Eley Dr. and Mrs. Jeffrey Joan C. Thompson Jane Campbell and Ted Zilius Doris Gruner Jeffrey and Karen Nicholson Cynthia and Craig Wiltshire in memory of Mr. and Mrs. Dr. and Mrs. William T. Fagan, Jr. R. McKechnie Vincent Coppola Alan and Ellen Thorndike George C. Caner, Jr. Claire Hancock Sandy and Bernie Nisenholtz Gloria A. Wing John and Heather Fargis Frances Melcher in honor of Irene Robert and Marlene Davison Bob and Susan Titterton Benjamin and Bobbie Chase M. Hartmann Susan Wisehart Florence Farrell Peter and Bunny Merrill and Arnold Segreto in memory of Alex Edna Towle William and Joyce Chilton Carl Harvey and Howard Duchacek Thorp and Sarah Freeman John and Millie Merrill Richard and Patricia Oden and Ruth Nimick Barbara and Neil Ulman Dale and Ginnie Choukalos David and Dorene Herriott Mary Osborne Witherbee Lois M. Frey Donald and Susan Miller Jane Oliphant William Kropelin John and Jeannette Van Blarcom Martha Clelia John and Lisa Hewett Arthur and Marion Wittels in memory of Mary C. Kropelin Alfred and Joan Fuller Joseph K. Dr. and Mrs. Edwin J. Olsen Mrs. Angeline Vanasse Mr. and Mrs. Carl Colombo Mrs. Larry Heyer Mark Woodward Mr. and Mrs. Jonathan Osborn Eleanor M. Gaines and Maureen M. Mooney Susan O'Neill George and Patricia von Trapp Frances and Robert Corrow Madeline Hooper and Cindy Hennard in memory of Richard Snow Stephen and Kathleen Gillen Heinz and Hilde Morgenstern Beverly Osterberg George and Patricia Ward Bob and Margaret Cort in memory of Merton Hooper Cathy Wright Vicki Strobridge and Family Arthur Gleiner, M.D. Rachel and George Mullen Jollie D. Parker Douglass and Marjorie Washburn Philip and Linda Cote Alice James Andre and Frances Yokana in memory of Wyatt Mathew Peck Charles and Caroline Goering Sarah Nelson Etta Peabody Joe and Bonnie Wauters Richard and Sheila Cross Clea James, M.D. Firetech Sprinkler Corp Phil Gray Bill and Lisa Nelson and Richard James, M.D. David and Andrea Perham Every effort has been made to Mr. and Mrs. Donald Webb Stewart Daige K.A. Harvey's Jane T. Greene William and Martha Niemi Edzard W. Janssen Morton Pesner Manufactured Housing ensure this report is accurate and Barbara and Francis Welch Margaret Dary Gerry and Terri Griffin Peter and Sally Nolan William and Nancy Jewett George and Dorothy Piche Sargent & McKinney Advertising complete. Please accept our Richard Westman Dr. Thomas L. and Mary Davidson apology for any inadvertent Sam and Lorna Guy Richard and Cathy Norman Kenneth and Janet Johnston Francis Potter The Cambridge Group Bill and Judy Whitman Elizabeth Davidson errors or omissions. Please Margot and Donald Hall R. Bruce and Carrie Nourjian Dorcas Jones Ms. Cornelia V. H. Potter Constance H. Young Clara L. Day report any errors to our Lise and Larry Hamel Carroll and Connie Page Travis Jorde Cliff, Sue, and Jeremy Randall Development Office at Action Collection Agency Merna DeCoveny Connie and Phil Hamel Max and Lorraine Paine of Boston David and Vangie Kelly Dianne and John Reed 802.888.8301 so that we may Hazel Demars correct our records.

23 24 Stowe Wine & Food Classic 22nd Annual Copley Scramble Presenting Sponsor CHANGING The Stowe Wine and Food Classic continues to There were many winners, but when all was said Absolute Resource Solutions, LLC attract the attention of culinary afficiandos both and done, Copley was the biggest winner of this Platinum Sponsor Hackett Valine & MacDonald, Inc. near and far. Coordinated by Stowe Charities, Inc. year’s 22nd Annual Copley Scramble, raising LIVES... Gold Sponsors to benefit Copley Hospital’s Charitable Care more than $13,000 for Copley’s Charitable The Ruschp Family; Program, the three day event features an intimate Care Fund. The event would not have been Helen M. Ruschp WITH Christi & Pat Dickinson wine tasting, a gala dinner/dance and rare wine possible without the help of Copley Hospital Carolyn Ruschp and luxury item auction, culminating in a Grand Foundation Committee members John Merrill Siemens Industry, Inc. Union Bank A FUN TIME Tasting Day that features celebrity cooking and and Polly Manosh. Silver Sponsors wine seminars and a variety of tempting tidbits Benoit Electric Inc. from Vermont’s renowned chefs. Trapp Family Berry, Dunn, McNeil & Parker, LLC Lodge donates their resources, setting the Classic Butternut Mountain Farm Stowe Charities, Inc. HP Cummings Construction Co. Board: in their famous meadow, framing the unique Helms & Company Peter G. Anderson experience with gentle breezes, fresh air and Metlife Resources Stowe New England Air Systems gorgeous views of the Green Mountains we love. Pepsi Bottling Ventures Anthony Campos Barre Marcel Elefant Stowe John Fagan Waterbury John Mech, MD Shelburne Greg Paus Hyde Park Kimberly Pinkham St. Albans Ed Schwarz South Burlington Sam Von Trapp is intrigued with Ed Schwarz was instrumental in John Merrill, Jack Patten and Millie Merrill Gaetano Vicinelli, Millie Merrill, Union Bank’s Team; Richard Sargent, Tim Meshako, John Sykas, Jr. the auction offering coordinating the Grand Tasting Clay Simpson and Henry King Darryle Mongeon and Dick Marron Waterbury Center presented by John Fagan

Committee members: Our thanks to the Stowe Charities, Inc. Board and Hole Sponsors E-Management Associates, LLC Marino Bartolomei Save the date! Event Committee for their passion for good food The 2010 Stowe Wine Kleen Incorporated Waterbury Center and Food Classic, and drink and their commitment to their local Optim Primmer Piper Eggleston & Cramer, PC Cynthia Borck June 18-20, features the community hospital. Morrisville wines of Owen Roe and Stowe Rotary Club Kira Comstock cooking demonstrations Hole-In-One Sponsor Stowe Charities, Inc. raised $20,000 for Copley’s Charitable Care Fund Polly Manosh, Tim Trombley, Stowe with Chef Annie Copps, McMahon Chevrolet Yankee Magazine’s Senior with the Stowe Wine and Food Classic. Presenting the check to Copley’s Karen Rhodes and Peter Bolton Bruce Cooke Mel Patashnick and Leah Hollenberger are Stowe Charities’ Jack Sykas, Bronze Sponsors Food Editor Peter G. Anderson, Greg Paus, Sam Von Trapp of Trapp Family Lodge Warren and Tony Campos. Downs Rachlin Martin PLLC Gravel Construction, Inc. Lynn Espey Stowe Urgent Care Stowe Leah Hollenberger Copley Hosptial Maureen Parker Save the Date! Stowe 2010 Scramble Jennifer Vincent July 17 at the Stowe Copley Country Club

26 Balance Sheets Service to the Community

Assets FY2009 FY2008 FY2009 FY2008 Patient Visits Operating cash and cash equivalents $ 4,498,999 $ 1,670,175 Admissions 2,365 2,599 Patient accounts receivable, net $ 2,888,720 $ 3,305,283 Births 252 275 Inventory $ 1,711,478 $ 1,683,582 Emergency Room Visits 12,601 12,614 Prepaid expenses $ 743,792 $ 946,043 Critical Care Transports 79 96 Other accounts receivable $ 169,874 $ 130,157 Assets limited as to use $ 6,350,152 $ 5,625,929 Diagnostic Tests Property and equipment, net $10,459,119 $ 9,533,973 Laboratory Tests 308,775 304,077 Donor restricted assets $ 3,679,055 $ 4,578,878 Imaging (Radiology, Ultrasound, 29,193 29,332 Deferred financing costs, net $ 65,307 $ 68,493 CT, MRI, Deferred compensation $ 545,828 $ 408,396 Nuclear medicine) Clinic visits 7,604 7,415 Total assets $31,112,324 $27,950,909 Rehabilitation Treatments 57,041 61,811 Respiratory Therapy and related Procedures 11,204 12,440 Surgeries 1,851 1,895 Liabilities and net assets Payer Mix Accounts payable and accrued expenses $ 3,486,001 $ 2,440,191 Medicare 31.5% 31.6% Accrued payroll and related expenses $ 3,315,080 $ 2,039,813 Medicaid 19.4% 18.8% Estimated third-party payer settlements $ 690,997 $ 450,341 Commercial 45.4% 45.2% Deferred compensation $ 545,828 $ 408,396 Self pay 3.7% 4.4% Long-term debt $ 3,865,000 $ 3,960,000 Total 100% 100% Restricted net assets $ 3,679,055 $ 4,578,878 Unrestricted net assets $15,530,363 $14,073,290

Total liabilities and net assets $31,112,324 $27,950,909 FINANCIAL STATEMENTS

Copley Hospital Inc. Statement of Revenue and Expense (Audited)

Revenue $66,543,609 $65,131,093 Bad debts Insurance Gross revenue ($22,429,550) ($21,233,826) Less: Charges not paid by payers Medicaid provider tax ($822,160) ($795,628) Interest Self pay Less: Charity care $2,288,457 $ 1,010,560 Depreciation Medicare Other revenue and amortization $45,580,356 $44,112,199 Total Revenues

Expenses Supplies and other Commercial $26,754,255 $25,821,388 Salaries, fees and benefits Medicaid $11,525,498 $10,594,461 Supplies and other Salaries, fees and benefits $ 1,743,831 $ 1,693,340 Depreciation and amortization $ 1,812,660 $ 1,669,257 Medicaid provider tax $ 1,559,308 $ 1,804,082 Bad debts (unable to collect on payment): $ 651,137 $ 756,674 Expenses Payer Mix Insurance $ 76,594 $ 145,989 Interest $44,123,283 $42,485,191 Total Expenses $ 1,457,073 $ 1,627,008 Excess of Revenue over Expenses

27 28 Trustees Senior Management Team

Jan Roy Nancy Putnam Melvyn Patashnick Chair Jeffersonville President Wolcott Elizabeth Rouse Rassoul Rangaviz CORPORATE Kenneth Gibbons Hyde Park Chief Financial Officer Vice Chair MEMBERS Hyde Park Brian Smale, MD Carol Ferrante Elmore Senior Director Facilities and Dana Wildes Support Services Members of Copley Health Sandy Grace Hyde Park Melvyn Patashnick Morrisville Treasurer Joel Silverstein, MD Systems, Inc. hold responsibility Clive Gray Greensboro Dorothy Piche Elmore Morrisville Hyde Park D. Aaron French, RN, BSN, BS, for ensuring that the needs of Sharon Green Morrisville George Piche Elmore Senior Director of Nursing the community are represented Jane Greene Morrisville Dean Pineles Stowe Anne Vitaletti-Coughlin, MD, John Steel and guide the governance of the Kevin Griggs Morrisville Dyeanne Racette, MD Elmore Secretary Stowe Leah Hollenberger hospital. They vote on proposed Roger Hale Graniteville Rassoul Rangaviz Montpelier bylaw changes and elect trustees Stowe Senior Director Development, Claire Hancock Morrisville Fred Rossman, MD Morrisville representative of the community Betsy Harper Cambridge Elizabeth Rouse Hyde Park Mark Woodward Marketing and Public Relations to govern the hospital. Copley is Brian Harwood Waterbury Janice Roy Wolcott Michael Alexander Johnson grateful to its entire membership Stowe April Tuck for their involvement: Carol Hayden Hyde Park Sue Sargent Morrisville Dave Yacovone Senior Director Human Resources Leah Hollenberger Morrisville Heather Sargent Morrisville Ethel Hunter Jeffersonville Richard Sargent Morrisville Bryce Brenton Morrisville and Corporate Compliance Officer Leslie Abramson, MD Morrisville Anne Johnson Waterbury Joel Silverstein, MD Hyde Park Morrisville Michael Alexander Stowe Kenneth Kelly Eden Brian Smale, MD Elmore Greg Ward Judith Alexander Stowe Peter Kramer Morrisville John Steel Stowe Brian Coles Senior Director Clinical Services Pamela Allen Morrisville Wendy Kruger Hardwick Nancy Sweeney Barton Morrisville TRUSTEES Richard Bennum, MD Stowe Chris Ladue So. Burlington Scott Thompson Morrisville Gorden Bowen Morrisville Theodore Lambert Hyde Park Donna Toohey Danville Willa Farrell & SENIOR Jane Campbell Morrisville Mary Lechevalier Morrisville April Tuck Jeffersonville East Hardwick J. Alfred Chouinard Hyde Park Mark Lichtenstein, MD Greensboro David Vinick Morrisville MANAGEMENT Brian Coles Morrisville Denise Marcoux Hyde Park Anne Vitaletti-Coughlin, MD Stowe Elaine Nichols Edward Connors Green Valley, AZ Janice Mayo Cambridge Patricia von Trapp Waterbury Stowe TEAM George Cook Hyde Park David McLane Hyde Park Lindsey West Morrisville Dorothy Cook Hyde Park Dennis McLaughlin Williamstown Katherine Wilder Morrisville Melvyn Patashnick Debralee Dorain Wolcott John Merrill Stowe Peter Wilder Morrisville Morrisville Kevin Dorain Wolcott t Emily Merrill Stowe Dana Wildes Morrisville John Egenberg Stowe Warren Miller Elmore Cynthia Wiltshire Hyde Park Willa Farrell East Hardwick McDonald Miller Morrisville Gloria Wing Morrisville New Trustees Francis Favreau Morrisville Elaine Nichols Floyd Nease Johnson Carol Wood-Koob Lowell and Nancy Putnam Lois Frey Johnson Hartley Neel, MD Stowe Mark Woodward Johnson with Melvyn Patashnick Kenneth Gibbons Hyde Park President & CEO Amy Noyes Wolcott David Yacovone Morrisville Arthur Gleiner, MD Stowe Max Paine Morrisville Steven Young Wolcott Expert care with a personal touch

528 Washington Highway Morrisville, VT 05661 802-888-8888 www.copleyvt.org