from good to great the year in review 006 2 On the cover: The gates that never close. No one passing the on California Boulevard fails to notice the impressive wrought iron gates that flank the front entrance. Originally owned in 1714 by Sir Nicholas Carew of Surrey, England, the gates were purchased by Henry Huntington for his San Marino estate in 1914. Many years later, after his property had been divided, the gates were donated to the hospital by Mr. and Mrs. C. Pardee Erdman. Huntington Hospital’s new west tower will open its doors to the community in 2008. Immediately adding symmetry and majesty to the existing structure, the tower’s true impact will be felt for decades to come by the families of Pasadena and beyond. We thank the community for generous support toward west tower construction. We are here to stay, here for you. mission andachieve ourvision, we must bemore than are today,our services we know we toimprove. must notstopstriving To live truly our the barhighwhenitcomestoqualityofcare andcommunity benefits. But, asgood California.finest community-focused medicalcenterinSouthern regional We have set Year afteryear, itsvision: HuntingtonHospitalenergeticallypursues tobecomethe andcommunity supporters, Dear friends President andCEO Stephen A. Ralph Sincerely, medicineinourregion.for great volunteerism. Thank you inmakingHuntingtonHospitaltheplace foryour partnership of community friends, tothehospitalthrough theirphilanthropy whocontribute and hardworking staffandknowledgeable board members — andtothegenerous support Our work isonlypossible thankstothededicationofourtalentedphysicians, withthepublic sothatyou, information service-related too, willknow how we’re doing. gre beyondto good going in we course ensure on are Improvement Committee.Performance and special This Toachieve us help — measure and —success, we have and othercaregivers. commitment toourcommunity, through thesuperlative skillsofourphysicians, nurses on ourexistingtraditionofabove-and-beyond services, high-qualitycare, andprofound Building onourcore strengths, theresulting planoutlinesourroad togreatness. Itdraws 2006, we acomprehensive reconsidered thosequestionsduring planningprocess. strategic Yet, atHuntingtonHospital? whatexactlydefinesgreatness And how isitachieved? In at, and will share quality- and and at,quality- share will and good also created the hospital’s the created Quality also committee of the board will will board the of committee ; we must be great .

01 Medication UseCommittee. education to staffandleadsour She alsoprovides continuing drug interactions orallergies. carefully cross-checking for patient medicationorders, pharmacist, reviewsdepartment Hospital’s emergency Jill Hara, PharmD

, Huntington , Huntington 02 quality publicly onourprogress.” report areas…to promote bestpractices, measure outcomesand continue towork closelywithmedicalstaffacross allcare board memberJaynie Studenmund. will “Its members inmoving ourhospitalfromstrides goodtogreat,” says “This specialboard committeehasalready taken great tothecommitteeforanalysis.reported several ofquality,measuring specificindicators whichare woundand surgical infection. For each, thehospitalis congestive failure, heart community-acquired pneumonia tions forspecialfocus: acutemyocardial disease, infarction Improvement Committeeidentifiedfourhealthcondi- itsinauguralyear,During theQualityandPerformance residents healthcare needtomake decisions.” informed We’ll be makingavailable local information theimportant Hospital isgoingbeyond theprovision ofthebestcare. to thecommunity. Bydoingso,” sheadds, “Huntington user-friendly, thatare qualitydatareports transparent goalofthiscommitteeistocreate regular,“An important improvement,vice president ofqualityandperformance cize theirqualityratingsbut, says Paula M. Verrette, MD, good This represents a great step forward on the path fr availableinformation tothepublic. achieving thesemeasures. Itwillalsomake quality-related quality atthehospitalandevaluate in performance by indicators whichtomeasureappropriate ongoing physiciansboard andexpert members — willidentify Committee. The new committee — of comprised of aspecialQualityandPerformance Improvement to high-qualitycare forourcommunity, through creation In 2006, HuntingtonHospitalrenewed itscommitment qualiTy Performance, TransParenT resulTs quality reaches new heights to commitment Our tion orders, carefully crosschecking interactions fordrug role,critical JillHara, PharmD, reviews patientmedica- position dedicatedtoemergencycare.pharmacist Inthis tointroduce aspecial California inSouthern In 2006, Huntington Hospitalbecameoneofthefirst acHieving excellence inemergency care aT THeToP ofourgame… to great : Many other hospitals are unwilling to publi-

om 03 patient injuries. to enhance safety andreduce Hospital’s continued efforts arelifts examples of Huntington Safe Handling Program, the new employees. Part ofthePatient safety for bothpatientsand new thatpromote patientlifts devicelifting — oneoftwo assists apatientinto theSabina Bradley laskowski, mPT 04 , quality “and theprogram ismakingareal difference.” director, rehabilitation andoccupationalhealth services, safetyforpatientsandstaff,”greater says Janet Mayeda, Program isanotherstepwe have taken topromote dividual patientcapabilities. “The Patient SafeHandling can callupontheSabinalift, whichadaptstomeetin- more independent, but needassistancetostand, providers tion ormove thepatientwithease. For patientswhoare Viking lift — atotalbodyliftthatallows stafftoreposi- cannot move themselves, caregivers cannow usethe safety. To assistpatientswhoare totallydependentand lifts decrease thisrisk — whilealsoenhancing patient their backsandshoulders. Two new mechanicalpatient to forinjuries highrisk ing andotherstaffatparticularly Repeated liftingandhandlingofpatientsplacesnurs- ing andtransfer — aswell asmakingthejobmuch easier! technology promotes patientlift- increased safetyduring vital resources suchasmechanicalpatientlifts. This new additional safety-related education, alongwith accessto Handling Program. The program provides caregivers with commitment ledtothecreation ofanew Patient Safe fields — have achoicewhenit comestowhere they Hospital. These physicians — amongthebestintheir More than800physicians are onstaffatHuntington f o l Ta i P cHoice for finePHysicians s o H e H T even safer We are tomake continuously striving oursafehospital lifTing usfrom safe To safer events. andadverse drug of medicationerrors our “superlative standard of excellence” in the pre Institute for Safe Medication Practices. The ISMP p Hospital has earned a prestigious Cheers Award from medication errors are reduced. As a result, Hunting increased efficiency also further — andpatientsafety, as has intheemergency department are distributed drugs every second counts. And modifying the way in which prescribe and administer essential medications — wh helping to raise the bar, by reducing the time it t towardstride excellenceinemergencycare. Haraisalready The addition of this position is yet another signifi staff andleadsourMedicationUseCommittee. or allergies. Shealsoprovides continuing educationto quality forpatientsandstaff. In2006, forexample, this akes to cant vention

ton 05 raised en the 06

practice. And Huntington Hospital’s unique stature as a clinical trials and research, notes Mark V. McNamara, MD, compassionate community hospital providing world- medical oncologist, City of Hope Medical Group. caliber care is strongly appealing to them. “This is not just our local community hospital; it has tremendous resources, a s m a l l i n c i s i o n , staff and facilities and has always been a leader in utilizing a greaT aDvance in PaTienT care the best technologies and care practices,” says interven- Huntington Hospital is improving outcomes for colorec- tional cardiologist Alex Durairaj, MD. “I came to work at tal cancer patients through a new, minimally invasive Huntington Hospital because I wanted to ensure that all procedure. Laparoscopy, also referred to as “keyhole local patients could stay right here in the community and surgery,” requires smaller incisions. Thus, post-operative receive an exceptional level of care close to home.” pain and recovery time can be reduced — as is the risk of infection. Patients can also typically resume a normal diet Dr. Durairaj is inspired by the hospital’s mission to more rapidly than with traditional surgery. deliver excellent health care. And he has long been fa- miliar with the hospital’s work, having grown up in the But all these benefits, while important, are overshadowed Pasadena area. A graduate of the University of Southern by the new procedure’s potentially significant impact on California Keck School of Medicine, he completed the patient outcomes — which include reduced reoccurrence university’s cardiovascular medicine and interventional and improved survival rates. cardiology training program. In conjunction with surgery, Huntington Hospital patients Reflecting the commitment of his medical peers, “I want can also opt to receive targeted radiation therapy and the to keep making Huntington Hospital even better than latest cancer drugs — further enhancing their potential it already is,” says Dr. Durairaj. “I hope to continue to for long-term well-being. “This is an exciting time in the introduce new procedures to expand our capacity to care treatment of colorectal cancer,” says Howard S. Kaufman, for heart patients and serve our community even better MD, general surgeon. “Laparoscopic and sphincter-sparing into in the future.” procedures offer superb outcomes for our patients.” sTrong ParTnersHiPs…sTrengTHening care THe TecHnology of THe fuTure, now Patients coping with a cancer diagnosis want access to Huntington Hospital took a giant step in its journey from the best of care and treatment options. And, as a compre- good to great this year, creating the second-largest robotic hensive community cancer center, Huntington Hospital surgery program in Los Angeles County. The array of ro- provides just that for local patients. botic-assisted surgery available here is among the broadest in our region, and the hospital’s bariatric program has been Thanks to our unique, ongoing affiliation with oncology designated a case observation site — where physicians from specialists from three major National Cancer Institute- other facilities can come to observe and be trained. designated cancer programs — City of Hope, UCLA Jonsson Comprehensive Cancer Center and the USC/ Robotic technology has simplified existing minimally in- Norris Comprehensive Cancer Center — we provide vasive procedures and made new ones possible. It has also patients with comprehensive, multidisciplinary diagnosis turned several previously complex surgeries into routine and treatment, only minutes from home. operations. “When it comes to prostate surgery, precision quality is everything,” says Clayton S. Lau, MD, a Huntington Oncology specialists from these renowned cancer centers Hospital surgeon who has performed more than 400 and Huntington Hospital’s own expert physicians come to- robotic-assisted laparoscopic procedures. “The robotic gether weekly here to review individual patient cases, share instruments are critical to improving outcomes for our expertise and provide valuable input — helping to ensure patients,” says Dr. Lau, who also serves as a clinical assistant the very best of care. “Affiliation with these additional professor of urology and urologic oncology with City of cancer programs also provides our patients with access to Hope Medical Group. “The more accurately we can reach ‘tomorrow’s cancer drugs,’ today,” through participation in our target, the better served our patients will be.” quality available, right here in Pasadena. highest level ofcancer care ensure ourpatientsget the medical centers, helpingto also associated withacademic Hospital physicians whoare two ofthemany Huntington Hope MedicalGroup, are just medical oncologist, City of mark v. mcnamara, mD Medicine ofUSC and floor surgery, Keck Schoolof division ofcolorectal andpelvic professor ofsurgery, chief, s. Kaufman,mD close to home.” an exceptional level ofcare in thecommunity andreceive patients could stay righthere I wanted to ensure thatalllocal Hospitalbecause at Huntington and facilities…. Icameto work “tremendous resources, staff Hospital becauseof chose to practice atHuntington interventional cardiologist, Above:

alex Durairaj, mD Below: , associate 07 Howard , , Above: than ever before. treatment andbetter outcomes community are assured faster patients throughout the attack to theirefforts, heart attack receiving center. Thanks criteria to become aheart Hospitalmetall Huntington personnel to ensure that worked tirelessly with interventional cardiologist, gregory giesler, mD cardiology services, and medical director, noninvasive rhythm — permanently. returning thepatientto normal electrical system, and thereby the disorder withintheheart’s abnormal tissue thatcauses radiofrequencies to destroy the invasive cardiac ablation,using disorders. Heperforms non- patients experiencing rhythm electrophysiology, isahero to rashtian, mD

John l.easthope, mD , director of

Below: 08 ,

mayer , quality 09

Huntington Hospital surgeons are also already utilizing a heart attack receiving center indicates that Huntington robotic techniques in radical hysterectomy, prostatectomy, Hospital meets these guidelines. In fact, we often exceed bariatric and gastrointestinal surgeries. And they are ex- them: Time-to-treatment at Huntington Hospital has been ploring its potential for use in cardiothoracic procedures. reduced by almost 50 percent.

n e w P r o c e D u r e H e a l s And Huntington Hospital’s cardiac catheterization HearTs, PrevenTs sTroKes laboratory and an interventional cardiologist are alerted Advanced techniques at Huntington Hospital are help- even before the patient reaches the hospital. A code AMI ing patients with a condition known as Patent Foramen (acute myocardial infarction) is called, and our newly Ovale (PFO) — a hole in the heart. (More accurately, established AMI Team convenes in the emergency de- PFO is an incomplete closure of the atrial septum, result- partment. Treatment commences immediately upon the ing in a flap or a valve-like opening in the atrial septal patient’s arrival. And the team works rapidly to establish wall.) While PFO causes no major health problems for renewed blood flow to the heart. most patients, it can lead to stroke among some. In the past, the only treatment option available to patients was new carDiac maPPing TecHnology invasive surgery, with a long and potentially uncomfort- The EnSite System, introduced at Huntington Hospital in able recovery period. Now, cardiologists at Huntington 2006, is the most advanced computer-based technology Hospital are employing a noninvasive technique — called available to locate arrhythmias (rhythm disturbances in percutaneous closure — in which a permanent closure the heart) and guide treatment. Through a process known device is moved through a catheter to the area of the as cardiac mapping, EnSite creates a three-dimensional defect, then expanded to cover the hole. The procedure graphic display of the patient’s heart structure and arrhyth- can prevent stroke and other problems. mias. Its detailed images allow our physicians to precisely position electrophysiology catheters — during a procedure This noninvasive procedure can be completed in about known as nonsurgical cardiac ablation — to pinpoint the 30 minutes. Patients experience dramatically improved abnormal tissue within the heart’s electrical system that is comfort and drastically reduced recovery time — often creating the rhythm disturbance. Using radiofrequencies, walking the next day and fully functioning within a week. physicians then destroy this abnormal tissue, returning the heart to a normal rhythm — permanently. elevaTing sTanDarDs of carDiac care In 2006, Huntington Hospital was named a heart attack “We’re very excited to introduce such advanced technol- receiving center, recognizing our excellent time-to- ogy,” says Mayer Rashtian, MD, director of the hospital’s treatment rates for heart attack patients entering the electrophysiology department, where cardiac ablation hospital through the 911 system. is performed. “With the EnSite System, we can more precisely identify rhythm disturbances and produce better The hospital participated in a pilot program established outcomes for our patients. Plus, we can intervene faster by the American Heart Association and funded by the and more safely.” Annenberg Foundation and Los Angeles County, through which more than 1,400 firefighters and paramedics received exPloring new TerriTory wiTHin THe Brain advanced training and upgraded equipment — allowing bet- Huntington Hospital’s neurology department is leading ter identification and intervention for heart attack patients. the way to a cure for epilepsy patients, thanks to new brain-mapping studies performed here in 2006. The stud- How fast a heart attack patient receives the care he ies utilized one of only a few magnetoencephalography or she needs is directly related to the outcome. The (MEG) machines in the world — located right here on American Heart Association and the American College of our care campus — to map epileptic zones in the brain. Cardiology have developed time-to-treatment guidelines The goal: to improve diagnosis and treatment for patients specifying that blood flow to the heart should be reestab- with frontal lobe epilepsy. (This type of epilepsy, while lished within 90 minutes of a heart attack. Designation as common, is typically difficult to diagnose and treat.) our region. to save lives throughout emergency department withthehospital’spartner paramedics andfirefighters California. treatment centers inSouthern most sophisticated epilepsy mapping unit — oneofthe Hospital’s epilepsy andbrain- treated inHuntington Above left: crabtree and respectively. neuroscience service lines, cardiovascular, cancer and as executive directors of Hospital joined Huntington elizabeth mullikin , cathy van wert Apatientbeing Above right: Below:

Peggy 10 have Local quality seizure area, areas whileleaving intact.” critical remove to the Dr.surgery Sutherling, guide “wecan these essentialfunctionsineachindividual patient,” says ofthebrainare responsible whatparts for determining damaged. be locus original their brain, should the oflatter functionscannotbeadoptedby otherparts activity, human language. and most speech th Unlike identifies thelocationofessentialfunctionssuchas activity — and abnormal and normal for responsible Specifically, theirwork localizesareas ofthebrain ofthebrain.to gainabetterunderstanding conti neuroscience in Hospital’s experts Huntington suchaselectroencephalography,other technologies program. MEG, the brain-mapping Using with along MD, hospital’sand the of epilepsy director medical who cometousforcare,” says William W. Sutherling, successfully treating 100percent ofepilepsypatients department’s goal our advancing are studies “These “By “By of of nue ese ese

11 needs ofthecommunity. care, asitenlarges to meetthe maintaining thehighest-quality Hospital iscommitted to San GabrielValley, Huntington remaining trauma center inthe times significantly. Astheonly and decrease patientwait the numberofpatientrooms is underway thatwilldouble that number. Anexpansion accommodate fewer thanhalf year, thoughitwas builtto than 65,000 patientvisitsper provides care through more emergency department Hospital’sHuntington 12 community gency department doors at some point in our lives,” our in point some at doors department gency us have walked through Huntington Hospital’s emer HarveyLenkin. Chairman of most Committee think “I down,” Building and member directors of says board have shut been facilities emergency evenother when “The hospitalhasremained here forourcommunity, growing number ofemergencyandtraumapatients.” Keating, “housing additionaloperatingsuitestotreat the department,” says BuildingCommitteememberRichard also calls for space to be constructed above the em within theemergencydepartment. design “Our facilities ment, ofCTandradiology suites thankstointegration diagnosisandtreat- faster willalsoexperience injuries quickly. Patients withbrainandotherlife-threatening treatment areas, thatpatientsreach care more ensuring panded area triage will be created, along with new level — from urgenttoemergencytrauma. An ex- of 53 private patient rooms, all able to handle car Specifically, the plan, developed in 2006, includes many features thatwillhelpus quality ofcare. Infact, willinclude theexpandedfacilities department, “and todosowithout inany way reducing MD, medical director of Huntington Hospital’s emerg to 90,000patientvisitsannually,” says Stanley M. Kalter, complete, these facilities will allow us to accommo Health PlanningandDevelopment forreview. “Once expansion and submitted them to the Office of Statewide In 2006, HuntingtonHospitalfinalizedplansforthis Center is, therefore, now amajorpriority,” heemphasizes. ble thatnumber. ExpansionofourEmergency& Trauma visits annually — andwe’re already seeingmore thandou designed toaccommodateapproximately 30,000patient “The hospital’s was existingemergencydepartment L. Gonzalez(alsoamemberofourboard ofdirectors), Specifically, notesBuildingCommitteemember Armando trauma care inourentire SanGabriel Valley region. care in Pasadena — and we remain the only provider all, we are now the only provider of emergency medi for emergencyandtraumacare continues toincrease. After The number of patients turning to Huntington Hospit ProTecTing THefuTureofemergency care Because ourcommunity counts! improve care services.” e at any creation

ergency 13 date up rapid cal of he he ency - al - CEO, a. ralph president andCEO, Hospital’s Huntington in theDispensary. monthly twice held clinic, benefits from ourasthma patient asthma pediatric A donors and recipients. recipients. and donors organ of friends and families the honoring Ceremony, Rose Circle Family the attended who members community to gymnasium. rehabilitation cardiac our at exercise supervised medically from benefit patients Heart the . 2006 flushotclinic,heldat PharmD pharmacist alberto Pharmacy students therapy available. radiation precise most the get HospitalpatientsHuntington ensures unit, brachytherapy high-dose this like equipment, Above left: Tom mone and , at the hospital’s hospital’s the at , , and One Legacy’s Legacy’s One and , State-of-the-art State-of-the-art mohamad vafadar, calida li Center right: Center left: , give comfort comfort give ,

Above right: 14 Below: emily emily stephen assist

community major threat tocommunity health, especiallyamong se an estimated 40,000 deaths as a result, the flu repr influenza diagnosed in the United States each year, SENIOR FLUSHOTS: WOMEN’S HEALTHSUMMIT: takingplacein2006included: the outreach efforts being encouragesustoreach beyond ourwalls. Someof Huntington Hospital’s forcommunity well- concern reacHing BeyonD ourwalls isinourhearts,”fortunate says Dr. Johnson. Latin andNepal.America “Helping peoplewhoare less County, Dr. Johnson hasalsoprovided care topatientsin low-incomein serving urbanresidents ofLos Angeles cians asagroup. While Dr. haslongbeenactive Oreggio to care thatisahallmarkofHuntingtonHospitalphysi Dr. andDr. Oreggio Johnson exemplify thecommitment and they can’t afford topay foritthemselves.” because theiremployer doesn’t pay forhealthinsurance… working people, but through they oftenfall thecracks says Dr. Oreggio. “Those we serve atCHAPare hard- simply notenoughresources forlow-income families,” under- oruninsured localresidents. “In ourarea, there are vides culturallysensitive to medicalanddentalservices The CHAPclinic, locatedinNorthwest Pasadena, pro- Health Alliance ofPasadena (CHAP). to medicallyindigentpatientsthrough theCommunity for example, thatinvolves providing low- orno-costcare For CraigR. Johnson, MD, andPreedar J. Oreggio, MD, also make adifference inotherways across ourcommunity? here onourcare campus — but didyou know thatmany Huntington Hospital physicians provide care extraordinary PHysicians Doingmore open issoimportant.” adds, “so it’s why easytounderstand keeping those doors humor andcandoraboutherbattlewithbreast cancer. Emmy nominee and Golden Globe winner, spoke with also inspired hope, as cancer survivor Ann Jillian, ovarian cancer and other women’s health issues. The aboutbreast and information withimportant nity members Huntington HotelandSpainPasadena toprovide commu hosted a free Women’s Health Summit at the Ritz-Car

With upto50millioncasesof Huntington Hospital three-time esents a and event - lton - - Services andcommunity outreachServices programs. Senior Care Network, CenterforBehavioral DellaMartin sources ofthehospital’s cancercenter, blood donorcenter, receivedscreenings andparticipants aboutre information 200 attendees. Nurses also performed free blood-pre were on hand to provide flu shots at no cost to more attheRoseBowlclinic andhealthfair in2006. Clinicians niors. In response, Huntington Hospital held a free which appeared inthe Tournament ofRosesParade. Circle RoseGarden atthefront ofthe recipients. These symbolicroses were placedintheFamily donations, dedicatedspecialroses and tobothdonors whoseliveswith families have beentouchedby organ oflifeinourregion.the gift Hospitalemployees, along and remember themany whohave organdonors given Huntington Hospitalheldaspecialceremony tohonor FAMILy CIRCLEROSECEREMONy: CEO Stephen A. Ralph, alongwithothercommunity this growing concern. Huntington HospitalPresident and gency care and whatlocalhospitalsare doing to tackle broadcast inemer apaneldiscussionregarding thecrisis In Octoberof2006, nationalpublic radiostationKPCC TacKling THecrisisinemergency care andnationallevels.regional —exchange withotherhealthcare leaders atthelocal, enjoyedhelpful Hospital Huntington participation, California.Association ofSouthern Through Ralph’s Hospital the California Association andtheHospital pital associations — the Hospital American Association, through withthree continued prominent service hos ofhealthcare onabroaderimpacted theface scale, CEO ofHuntingtonHospitalin2006, Stephen A. Ralph presid as responsibilities daily above his and Over sTrengTHening THefuTureofcare BREAST HEALTHEVENT: as thelatesttreatment techniques. andreconstruction genetic factors that may contribute to breast cance cancer prevention andearlydetection. about Guestslearned designedtopromotewomen breast withinformation Hills, MD, Doudikian-Scaff, andNayiri MD), provided hospital (Ruth Williamson, MD, Christina Yeon, MD, Dawn special breast health event. Four female physicians health awareness month — HuntingtonHospitalhelda In October 2006 — breast Donate Life InDecember, from the r, as well flu shot ent and and ent

float, 15 ssure than - - - Ralph, recognizingthehospital’scontributions. presented aplaquetoPresidentandCEOStephenA. including representativesfromtheNicaraguanconsulate, donations for many years. In 2006, members of the NRS, a memberoftheNRS—hashelpedcoordinatethese member LigiaMolina,herselffromNicaragua—and sta Radiology equipment. the of maintenance and use example. AnNRScommitteeoverseesthecontinuous machines, infantincubatorsandEKGfor radiolo include donated Items (NRS). Society Relief Nicaraguan the to equipment medical used providing by tables, the turn to helping been has Hospital Huntington years, many For “abysmal.” as described percent, andtheoverallhealthofNicaraguanshasbeen than more of rate mortality infant an has Nicaragua Charitable MedicalCentre,Charitable anoutpatient AIDS clinic Upo the from are Clinic.physicians Both Simon Phil throughthanks tospecialsponsorship thehospital’s and ClementMakule, MD, visitedHuntington Hospital, from the nation,African SolomonOleLogilunore, MD, fied medicalcare tohelpthem. In2006, two physicians quali- of dearth a is be infectedwith there — AIDS and SENIOR CARE NETWORK: living ournonProfiT mission Center here onourcare campus(seerelated story, page13). the completion of plans for a larger Emergency & Tr — enhancingthesafetyofallpatients. And 2006alsosaw situations critical effectsduring foradverse drug the risk (seepage3),pharmacist whosework ishelpingtoreduce gency care. We alsoretained anemergencydepartment systems,our internal inorder tospeeddelivery ofemer- for example, anumber of HuntingtonHospitalupgraded cally growing influx of emergency patients here. In2006, healthcare leaders, the forserving shareddramati strategies — S R E D R O B R U O Nicaragua: G N I D N E T x E Tanzania: additional helpasappropriate. families and patients calls —the referring for and Resource Centerstaffwereresponsibleformaking Netwo Care Senior home. back transitioning help any the hospital,toassesstheircircumstancesandneedfor f release upon call follow-up a received inpatients California HealthCareFoundation,fragilesenior One outofevery 10 Tanzanians isestimatedto According tosomerecentestimates, 16 Thanks to funding from from funding to Thanks to to rom rom auma 10 10 gy gy ne ne ff ff rk rk - expectancy ofpatientsthere. world,lower l the the of given ownregion their in uncommon sadly —Clinic something Simon Phil the t patient a for care can physician a time of length the by Dr. wereand Dr. impressed Makule Logilunore cations, aswell asHIVandanti-retroviral education. their clinic, inorder toprovide healthcare andmedi professionals medical of MD,team a leads regularly in Tanzania. HuntingtonHospital’s Kimberly A. Shriner, each ofustobroaden our perspectives tremendously.” volved an incredible exchange of information and en and educationalforbothofus,” says McDugald. “It in medical practiceshere. was eye-opening“The experience spent time at Huntington Hospital tomore learn abo McDugald’s invitation tovisitCalifornia — where she ous U.S. sponsors, Nabuduwa was then able to accept atthefacility,a nurse FaithNabuduwa. Thanks togener plies to an orphanage there. She also met and befri in early2006, whichsheprovided during andsup support McDugald madeavisittoUgandawithherlocalchurch PHILANTHROPy: Uganda: tributed toourworktributed in2006. from volunteers canHuntingtonHospitalcontinue onthepath and ment ofliterallythousandscommunity donors Only withthecontinued generosity andtireless involve- for alllocalresidents. c to access ensuring physicians…and future training enhancing healthoutreach across ourcommunity… care…retaining superlative healthcare professionals… providing coverof quality to costs helped the 2006 year. the in for goals members from community Gifts health care here, we actuallyexceededourphilanthropic whomadeaninvestmentthe many thoughtfuldonors in community’s generosity ledtosuccess!Infact, thanksto essential. And, asthesituationseemed, aschallenging our w goals — lofty needs such capital —significant and car of cost revenues actual the betweenpatient and andallitspatients.for ourregion With agrowing gap medic great ensure to goals philanthropic ambitious good to Huntington Hospital speech pathologist Melissa Melissa Huntington Hospitalspeechpathologist great . We forallthosewhocon- are grateful In 2006, Huntington Hospital set set 2006, In Hospital Huntington ended hrough hrough e to to ife ife are ine ine abled ut - ere - - - community pathologist Hospitalspeech Huntington nurse from Uganda, visited with Above right: intensive care unitpatient. beautiful musicwithapediatric harp therapist, shares her Above left: george noujaim rn. with themis American hospital.Pictured to get afirsthand view ofan honor of national heart month. honor ofnationalheart rehabilitation gymnasiumin Man pays avisitto thecardiac Puri Hospital. during theirvisitto Huntington Centre inTanzania, Africa, Upone CharitableMedical clement makule, mD ole logilunore, mD Bogaard and Pasadena Mayor left: throughout Nicaragua. equipment to various hospitals and distributes usedmedical profit agency that collects Relief Society (NRS), anon- guests from theNicaraguan molina Bernadette merlino leonard v. Petrus, mD Center: , Dr. Kimberlya.shriner John Kassabian, mD are pictured with with guests Below right:

Kera nakasone

stephen a.ralph melissa mcDugald faith nabuduwa carolyn gonzalez, , sukhvinder , and and The Tin solomon Bill , ofthe 17 , Below Below ligia , , , a ,

18 Medical services available to thecommunity onlythrough Hospital,aswell Huntington asa • Differences between thecost ofcare andtheamountofreimbursement, for patients • aaisadepoe eeis 2 202 pa to provided services (healthcare care Charity • more than$65million.Specifically, community benefitsinclude: 387 HospitalprovidedIn 2006,Huntington charity care andothercommunity benefits valued at community Benefits 222 665 Income 386 234 Total expenses Capital costs Other expenses 713 Salaries andemployee benefits 231 171 Total revenues 352 Other revenues Patient services andrevenues (in $millions) statement ofoperations 244 321 Total liabilitiesandequity Net assets Other liabilities Long-term obligations Total assets Other assets Cash andmarketable securities Property andequipment (in $millions) sheet Balance HospitalandAffiliatesHuntington 2006 Financial Review variety ofspecialprograms for vulnerable populationsand for thebroader community. covered by Medi-Cal. afford to pay). tients who meet certain criteria and cannot cannot and criteria certain meet who tients 06 2005 2006 9 398 398 8 383 389 4 142 148 5 165 150 1 665 713 7 345 371 1 86 111 2 11 12 7 16 17 14 9 Verne Orr emeriTus James F. Rothenberg, Paul L.H. Ouyang, Lois S. Matthews, Leonard M. Marangi, John F. Kooken BoarD ofTrusTees Jon R. Yasuda Jaynie Studenmund B.Rosemary Simmons John C. Siciliano James F. Rothenberg, Stephen A. Ralph, Paul L.H. Ouyang, Lois S. Matthews, Allen Mathies, Jr., MD, Leonard M. Marangi, Harvey Lenkin Ellen Lee John F. Kooken Steven Katz, MD Leighton Hull E.Brian Henderson, MD Julia S. Gouw L.Armando Gonzalez, FAIA Reed S. Gardiner Kalman Edelman, MD Suzanne V. Crowell Teresa L. Caldwell Jack F. Brent James P. Blitz, MD BoarD ofDirecTors 2007 Vice Chairman Secretary Chairman Treasurer Vice Chairman President Secretary Chairman President Emeritus Treasurer

Dolores Hickambottom Paul Gales Rosanna Esparza Rita Elshout Donnelly-CrockerMary Vannia DeLaCuba Suzanne V. Crowell James Caillouette, MD BrayPatricia Yvonne Benson B.Rosemary Simmons, Benefits committee community James F. Rothenberg Paul L.H. Ouyang Lois S. Matthews Leonard M. Marangi John F. Kooken, compensation committee John C. Siciliano Lois S. Matthews Allen Mathies, Jr., MD Leonard M. Marangi Kenneth Lam, MD John Cosgrove B.Rosemary Simmons, James F. Rothenberg, campaign committee Ronald Olah, MD Michele Montllor, MD Lois S. Matthews Ellen Lee Richard Keating Jick,Bryan MD Leighton Hull Sunil Hegde, MD L.Armando Gonzalez, FAIA Damon Feldmeth Suzanne V. Crowell James Caillouette, MD Jack F. Brent James P. Blitz, MD Harvey Lenkin, Building committee Jon R. Yasuda John C. Siciliano Lois S. Matthews Harvey Lenkin Teresa L. Caldwell Reed S. Gardiner, compliance committee and audit BoarD commiTTees 7 0 0 2 Chairman Chairman Co-Chairman Co-Chairman Chairman Chairman Rosemary B.Rosemary Simmons James F. Rothenberg Lois S. Matthews Harvey Lenkin John F. Kooken Julia S. Gouw Jack F. Brent John C. Siciliano, investment committee Jon R. Yasuda John C. Siciliano Lois S. Matthews Steven Katz, MD L.Armando Gonzalez, FAIA Teresa L. Caldwell Allen Mathies, Jr., MD, governance committee Charles Sharp, MD Paul L.H. Ouyang Lois S. Matthews Allen Mathies, Jr., MD John F. Kooken Leighton Hull Julia S. Gouw L.Armando Gonzalez, FAIA Reed S. Gardiner Charles Carroll Jack F. Brent David Bianchi Leonard M. Marangi, finance committee Judith Zitter Takashi Michael Wada, MD Sid Tyler Takako Suzuki Joyce Streator Rhonda Stone Al Sorkin Kimberly Shriner, MD Sue Shearer Julio Pimentel Jack McQueen Lois S. Matthews Martinez Margie Steve Madison Paul Little Carol LaVal Sue Kujawa Wendy Karsten Leighton Hull Holden Chris Betty Ho Chairman Chairman Chairman Kenneth Wong, PharmD Thomas Vander Laan, MD Donna Ujiiye William Sutherling, MD Benjamin T. Stafford, MD Neil K. Singla, MD James Shankwiler, MD Richard Reed, MD Mayer Y. Rashtian, MD William Opel, PhD Wendy Kohlhase, PhD Lawrence W. Jones, MD Girard,Robert Esq Sandra Davis Susan D’Antuono Susan Burkhart Baca Virginia Steven Applebaum, MD Wufaa Alrashid, MD Michael S. Linsey, MD, institutional review Board Laura Sirott, MD Betsy Shoeni Sachs,Robert PA Dioni Rovello-Freking Posen,Robert DO Bradford A. Kolb, MD Lila Cheney Jeanette Abundis Karen Abubo Odell,Robert MD, interdisciplinary Practice Jon R. Yasuda Jaynie Studenmund Paul L.H. Ouyang Lois S. Matthews Allen Mathies, Jr., MD Leonard M. Marangi Harvey Lenkin Ellen Lee John F. Kooken Steven Katz, MD Kalman Edelman, MD James P. Blitz, MD James F. Rothenberg, strategy committee B.Rosemary Simmons John C. Siciliano Lois S. Matthews Ellen Lee John F. Kooken Kalman Edelman, MD William Coburn, DO Teresa L. Caldwell James P. Blitz, MD Jaynie Studenmund, quality committee Chairman Chairman Chairman Chairman

19 20 Chairman, Board ofDirectors Lois S. Matthews Thank you, andbestwishes, things.lead togreat Itwillhelpensure thevery bestofcare foryou andyour loved ones. get involved. Your support will help the hospital b forward-thinking board members and generous communi can onlyberealized by ofoutstandingphysicians, thecombinedefforts dedicated staff, At Huntington Hospital, of course, such an ongoing over yesterday’s success. to new challengesandopportunities, ratherthansimplypattingourselves ontheback gre true believe future. the eye firmly on I an keep traditi hospital’s the preserving only involves not a as myresponsibility aware of keenly have I been and by reaching out intothebroader community. Over my tenure asboard chairman, nonprofit missiontothefullest, providing compassionate care bothwithinitsown walls soproudI ampersonally to beassociatedwiththisawesome institution, whichlives its ways, 2006saw HuntingtonHospital thingstogether”“bringing onthepathtogreatness. campus totouchthelives ofindividuals across ourregion…. Intheseandmany other capabilities…reaching outfromemergency department…advancing surgical ourown care even more theadministrationofmedicationsinour quicklythanbefore…upgrading we continue tobecome a over thepastyear’s successes, Irealize thatwe have brought many thingstogether as done by impulse, but by aof series small things br In this regard, I am reminded of a quote from Vince compassionate medicalcare, we are deeplyaware, however, thatwe canstilldobetter. Huntington Hospital. As we continue oursuccessfulcommitmenttohigh-quality, As you have read inthesepages, 2006was achievement ayear ofenormous at Dear friends, great hospital — attackpatientstotreatment gettingheart ring ring together the many smaller things that ought together.” And, looking back on of excellence, but continuing to to continuing excellence, but of on nt van Gogh: “Great things are not commitment to great medical care steward of this vital resource. vital this of steward That atness involves constantly adapting adapting involves constantly atness ty friends. Today, I urge you to 2007 Huntington Hospital Board of Directors At left, front row: John F. Kooken Suzanne V. Crowell Lois S. Matthews Rosemary B. Simmons. Second row: Allen W. Mathies, Jr., MD Julia S. Gouw John C. Siciliano Harvey Lenkin Third row: Armando L. Gonzalez, FAIA Leonard M. Marangi Kalman Edelman, MD Stephen A. Ralph Teresa L. Caldwell Ellen Lee Back row: Charles F. Sharp, MD Steven Katz, MD Above: Paul L. H. Ouyang Leighton Hull James P. Blitz, MD James F. Rothenberg Not pictured: Jack F. Brent Reed S. Gardiner Brian E. Henderson, MD Jaynie Studenmund Jon R. yasuda 2 0 0 6 year in review

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