Aurora Health Care Annual Report 1994

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ii7 ANNUAL REPORT

a report to our communities I 1

Community Involvement

Cooperation with other organizations is critical to effectively helping people. The professional staff of Aurora lend their expertise and energy to the community by volunteering in a wide range of local and statewide organizations and activities. A sampling of just some of the organizations our staff participated in during 1994 is provided below. Alliance of Professional Women Select Milwaukee Board of Directors Alzheimers Association of South East Wisconsin Sheboygan Commission on Aging American Cancer Society Sheboygan County AIDS Task Force American Heart Association Sheboygan County Cervical/Breast Coalition American Nurses Association Sheboygan County Clergy Association Arthritis foundation of Wisconsin Sheboygan County Domestic Violence Task Force Association for Fitness in Business and Industry Sheboygan County Emergency Medical Services Council Attorney General’s Task Force on Children in Need Sheboygan County Lead Task Force Avenues West Association Sheboygan County Local Emergency Planning Committee

Black Health Coalition Sheboygan County YMCA - Board of Managers Black Nurses Association Sheboygan County 4H

Boy Scouts - Milwaukee Council Start Smart Milwaukee Child Protection Center The Exchange Club of Kenosha Child Sexual Abuse Task Force The Fight Asthma Milwaukee Coalition Child, Youth, Family HW Committee Tobacco Free Coalition of Manitowoc County Easter Seal Society of Milwaukee County Tosa United Advisory Board Girl Scouts of America Upward Bound Healthcare Financial Management Association United Church of Christ Council on Health & Human Healthy Sheboygan County 2000 Services Hmong American Friendship Association UWM Foundation Board of Directors Home Health Advisory Board Wellness Council of Wisconsin Hope House Homeless Shelter West Town Association Lakeshore Technical College ADN Advisory Board West Bend Rotary Club March of Dimes WIPRO Marquette University Counseling Center Wisconsin Association for Perinatal Care Mental Health Association of Sheboygan County Wisconsin Breast Cancer Coalition Milwaukee Area Technical College Wisconsin Commission for Prevention of Child Abuse Milwaukee Breastfeeding Coalition Wisconsin Nurses Association Milwaukee Coalition to Prevent Violence Wisconsin Peer Review Organization Coding Council Milwaukee HIV Planning Council Wisconsin Society for Cardiovascular and Pulmonary MSOE Advisory Board Rehabilitation National Depression Day Coalition Wisconsin Society for Respiratory Care Northcott Neighborhood House Wisconsin Society of Allied Health Professions Planned Parenthood of Wisconsin Wisconsin Society of Hospital Pharmacists Plymouth Early Childhood Coordinating Council Wisconsin Speech and Hearing Association Rehabilitation Center of Sheboygan Wisconsin Student Nurses Association St. Catherine Residence for Women

On the cover: Steve Ohty, RN. MS, clinic coordinator, examines a young patient at St. Luke’s Medical Center’s Madison Street Outreach Clinic. See page 17 for more on Madison Street. Aurora HealtliCare

Aurora Health Care was created to fulfill a vision of car G. Edwin Howe ing for the people and communities of eastern Wisconsin. President To best manage our resources to fulfill that mission, we do many business-like things — but we’re not a business. We’re an organization dedicated to serving people.

The values at the heart of who we are and what we do: dignity and respect, humanity, personalized care and lead Milwaukee, the more

ership, are embodied in our most valuable resource — our than 13,000 men and , 1iat people. efl.e” mz1 a women who make up eSS Aurora are deeply As the leading providers of health care services in eastern involved in helping to Wisconsin, the people of Aurora Health Care are commit find solutions to many of ted not only to the treatment of illness but to its preven the problems that face our tion; not just to the restoration of good health, but to its communities on a daily basis. promotion. That is why we care, without question, for all who come through our doors and reach out to the The annual report you have in your hands captures just a neighborhoods and homes of those who would not other few of the innovative activities and programs where wise be served. Aurora people are involved. In 1994, the organizations that make up Aurora Health Care provided a total of Aurora provides a complete spectrum of health services: more than $304 million in charity and uncompensated from the social service programs of Family Service of care, community services and education. Milwaukee, helping to reduce the need for care; to the efforts of the Visiting Nurse Association, enabling elderly By understanding and striving to meet the needs of our and disabled people to remain in their homes. communities, we are demonstrating leadership at its

most basic and effective level — as individuals working In communities from Kenosha to Green Bay, the people of together to bring about positive change in the lives of Aurora have forged partnerships with individuals and those we touch. organizations who share our commitment to improve

health status in each of the places we call home. Aurora Health Care - It’s all about people.

Through programs ranging from educating new parents in Plymouth, to mentoring high school students in

G. Edwin Howe com, a unifi (Ice-’ as, body a) the of hhldividual fl]terests People 1Vig with a

a commo IOCatj0 vidual i, COMMUNITY BENEFIT Reaching Out to the Communities We Serve * Uncompensated Care Provided by Aurora

300 Providing charity care and community service programs is a long-standing tradition consistent with the mission and vision of Aurora Health Care. Aurora is concerned with 250 0 -J the overall welfare of our community, and recognizes -J there is a limit to the individual and collective resources 200

-J available. To address this concern, Aurora not only -J 0 strives to make health care services more affordable, but 0 150 also has developed a broad spectrum of community bene fit services. This page provides information regarding 100 1994 some of the resources we contribute to the community. 1989 1990 1991 1992 1993 YEAR

Uncompensated care includes charity care; Medicare, Medicaid, other government shortfalls, and third party Charity Care (1989-1994) allowances; and the inability of some patients to pay their bills in full.

Uncompensated Care Provided by Aurora Year Ended December 31, 1994 U)z C -J -J Charity care $10,771,000 U) Bad debts 7,591,000 -J -J 0 Medicare shortfalls 177,272,000 0 Medicaid shortfalls 73,011,000 Other government shortfatls and third party allowances 33,121,000

TOTAL $301,766,000

1989 1990 1991 1992 1993 1994

Uncompensated Care Charity Care Aurora is dedicated to providing high-quality, cost-effec Charity care is care provided for those persons who are tive care for the people we serve, regardless of their eco unable, through personal resources, insurance benefits, or nomic and social condition. Total uncompensated care public aid to provide payment for the medical services provided by Aurora between 1989 and 1994 exceeded $1 they need. Total charity care provided by Aurora has billion. More than $301 million in uncompensated care more than doubled over the last six years, exceeding $10 was provided during 1994. In addition to charity care, million in 1994 alone. uncompensated care includes the shortfalls caused by some patients’ inability to pay their bills in full and the unpaid portion of services for Medicare, Medicaid and other government sponsored patients, and third party payor allowances. Community Outreach Services - 1994

$391,351 $316,446 Health Screening ] Sponsorship & Transportation $245,150 $206,901 Community Volunteerisj Education Total 1994 Community Outreach: $2,281,309. Total individuals benefit $308,451 $445,961 ting from outreach Support Groups services to both the Programs For indigent and general $367,049 The Indigent communities: 178,000. Professional Education

Community Outreach Services CommunitEducatjk Aurora provides a wide variety of community outreach Knowledge enables people to take greater responsibility for services to improve individual health status and access to their health. In 1994, more than 80,000 people received high-quality care. Last year a total of $2,281,309 was information or gained skills through community health edu invested in community outreach programs. More than cation sponsored by Aurora. Examples of these services are outreach 178,000 persons benefitted from community featured in “An EPIC Production” (page 9), “Eat Right = services provided by Aurora during 1994. Buy Right” (page 12), “Reaching People Where They Live” (page 4) and “Early (Very Early) Intervention” (page 7).

Programs for the Indigent Health Screening & Transportation In addition to charity care and care provided to the Aurora offers health screenings to the public, including Medicaid population, Aurora addresses the needs of the blood pressure, cholesterol, cancei glaucoma, weight, nutri indigent through a number of other free services. An tion, stress management and depression. To improve access example is the Madison Street Clinic of St. Luke’s (“A to care Aurora provides free transportation services for the friend Next Door,” page 17). elderly through the Freedom 55/65 Program. Two examples of this outreach include a vision screening program for Sponsorship Hmong children in Sheboygan (page 5), and the Visiting Nurse Association’s “Shoo the Flu” program (page 8). Aurora assists community groups by providing in-kind ser meeting space and/or direct financial support as a vices, Support Groups partner in a health-related event or program. An example of Aurora’s sponsorship activity is highlighted in “Glad to For those who face the challenge of chronic illness or long- Be Your Neighbor” on page 16. term care situations, knowing that they are not alone pro vides strength for their journey. The Hartford Vent Center Volunteerism is a poignant example of these services (see page 14).

The professional staff of Aurora lend their expertise and Professional Education energy to the community through volunteerism in a wide range of local and statewide groups. Examples of Aurora’s To improve the overall quality of care provided in the com volunteer activities are illustrated in “Role Models for munity, Aurora provides education for health professionals Milwaukee’s Youth” on page 6 and “Docs Dunk Cancer” on its staff and in the general community. Milwaukee on page 15, and are evident in our “Community Psychiatric Hospital’s “Educators Symposium” is one such Involvement” listing on the inside cover program (page 13). [ Parish Nurse Chris Warner works to provide the members of the Central United Methodist Church with health information and early intervention.

As part of the first hospital-funded parish nurse program Reaching People Where iii Wisconsin, Sinai Samaritan’s parish nurses receive spe cialized training focused on combining the spiritual well They Live being of a person with his or her physical well-being, Milwaukee, Wisconsin before assignment to a specific church.

In attempting to improve health and weilness in our com “When you treat someone in an acute care setting, you munities, what better community partner to have than a see only a single episode in that person’s life,” said neighborhood church? Warner. “Parish nursing, on the other hand, allows me to become involved in many aspects of people’s lives: their “So many people who are intimidated by a hospital or prayer life, work life and family life. I can see the whole

doctor’s office are not afraid to come to a parish nurse picture — all the factors that influence their health. with health questions,” said Chris Warner, RN, MSN, of Sinai Samaritan Medical Center. Warner spends up to 16 hours per week at Central United Methodist Church, helping reach members with the kind

That kind of direct contact with patients — to identify of primary health care that helps head off problems health problems at an early stage and refer them for treat before they require costly acute care. ment if necessary, to educate and advise parishioners about proper use of medications or healthful living habits, “Being a parish nurse allows me to fulfill what I feel is the

and to help them find walkers and medical equipment the heart and soul of nursing — treating the whole per they might need, is exactly why Sinai Samaritan has son, over an extended period of time, accepting them parish nurses. where they are and helping them over the long journey to better health.” Hmong parents understand the importance of having Oh Say, Can You Sed their children’s vision checked and seeking correction if Sheboygan, Wisconsin necessary.

How can you learn, if you can’t see well? Using Jefferson students and faculty as actors, Sheboygan Memorial and Aurora Creative Services produced an edu Hmong immigrants, many from the southeast Asian cational video, narrated in the Hmong language, about nation of Laos, make up a growing community within the value of vision screening. The Sheboygan County Sheboygan County. Health and Human Services staff provided vision screen ing information, located a Hmong interpreter to narrate Many Hmong adults face a language barriei and teachers the program and even acted in the production. and school officials have encountered problems in trying to communicate effectively with Hmong parents. “What began as a simple idea turned into a six-month project, but it was a real labor of love,” said Rae Ellen Since 1990, Sheboygan Memorial Medical Center has Stager vice president of Business and Community Services been a business partner with Jefferson Elementary School, at Sheboygan Memorial. which has a sizeable Hmong enrollment. The hospital works closely with the school on projects such as health The result was an 8-1/2 minute video featuring Mary Joy fairs, art programs and career days. In 1993, Memorial Lee, a Jefferson student who has difficulty seeing the decided to tackle an ambitious project designed to help chalkboard. It follows her as she undergoes vision screen ing, then shows a call to her mother recommending she visit a doctor. ft concludes with Mary Joy wearing her new glasses and describing how much better she can see.

Copies of the video continue to be used throughout the Sheboygan County school system and are avail able through the public libraries and the Hmong Mutual Assistance Association. The video was one of several key elements in Sheboygan Memorial’s support of Jefferson Elementary, which earned them the 1993 award from the Association of Wisconsin School Administrators for

Distinguished Service - Outstanding Contributions to the School Community.

Mary Joy Lee does her homework with the help of her mother, Xee, and her new glasses. Both appear in a Hmong language vision screening videos produced by Sheboygan Memorial Medical Center. Role Models for Milwaukee’s Youth

Milwaukee, Wisconsin 1,

Charles Barkley doesn’t want the responsibility.

Thank goodness the health care professionals of Aurora Health Care don’t share Sir Charles’ opinion.

Since 1987, Jestene McCord, Aurora’s director of Urban Affairs, has administered a mentoring program with Milwaukee Public School’s North Division High I School, a specialty school for students interested in health and medicine. The program provides an IL invaluable opportunity to 10 to 15 ninth-grade students every year.

Aurora professionals: physicians, nurses, physical thera pists and lab technicians, just to name a few, volunteer to serve as mentors. Working with McCord, they devel- John Leno, MD, OB/GYN, serves as an Aurora op “want ads” which are posted at North and just as in mentor to North Division High student Devonia the work world, students must answer the ads with Jackson resumes, cover letters and lists of references. Many of the students stay in the mentoring program for Once selected, students visit mentors at their workplace their entire high school career. Most have gone on to col about once a month, to observe and learn about the many lege and pursued health-care careers, including a recent opportunities in health care available to them. From time Northwestern University graduate who is planning to to time, students and mentors get together outside of the attend medical school. workplace for basketball games, trips to museums in Chicago or just visits to each other’s homes. As evidenced by the success of the program, mentors like Aurora’s Jestene McCord are exactly the kind of role McCord also visits each student monthly at the school. models today’s central city youth really need. “We talk about everything from interviewing skills and dressing for success, to problems like drug and alcohol Who cares if she can’t dunk? abuse or being a teenage parent,” she said. “Some of these kids don’t have anyone else they feel they can talk to about these issues, so they really enjoy our get togethers.” “We wanted to develop a community outreach program Early (Veiy Early) to help keep children safe, while establishing a link between the community and the police department,” said Intervention Henrickson. “Due to the program, Two Rivers’ parents Two Rivers, Wisconsin are beginning to view police officers as friends and com

munity resources — not just as enforcers of the law. “If we can protect even one baby from accident or injury, When they talk with families, officers assure parents they then we’ve done our job,” said Yvonne Henrickson, have someone to call should they need help in the future.” RNC, BSN, obstetric manager at Two Rivers Community Hospital. “Fragile...Together We Care” has won several community service awards, but the the real payoff is hundreds of She’s referring to “Fragile...Together We Care,” a collabo healthy, happy children. rative effort between the hospital and the Two Rivers Police Department, to promote infant safety and prevent child abuse through parental education aimed at very new parents. I-_

Before new parents and baby leave the Birth Center at Two Rivers Community Hospital, a officer personally visits Two Rivers police I them to offer congratulations and a “Fragile...Together We Care” kit. The kit con tains a welcome letter, a community social services referral list, a baby-sitter checklist 4 and an Identification Passport Kit to store and update photos, medical and dental informa tion and vital statistics about the child. The baby also gets an infant-sized T-shirt with the “Fragile...We Care” logo as a reminder that H babies are delicate individuals who need ten dei loving care.

‘7 I.

The “Fragile... Together We Care” pro gram provides parents in Two Rivers with community resources and parent ing information prior to leaving the hospital.

1- The Visiting Nurse Association provided 45,000 flu immunizations in 1994.

its “Shoo The Flu” program, to immunize eastern S 00. Wisconsin against the flu. Milwaukee and Sheboygan, Wisconsin In 1994, the Milwaukee and Sheboygan Visiting Nurse The flu is one of the 10 leading causes of death...really. Associations set up 300 clinics and provided 45,000 immunizations in shopping malls, senior centers and The vast majority of deaths from influenza occur in peo churches across a 10-county area. Shots are free to those ple 65 and older. For anyone with heart, kidney, blood or covered by Medicare Part B or provided at a nominal lung disorders or those with weakened immune systems, cost. flu can lead to a fatal case of pneumonia. In 1993, nearly 2,000 Wisconsin residents died from flu and pneumonia. According to Deborah Fugenschuh, director of Community Services, “A program like ‘Shoo the Flu’ Flu vaccines provide protection against the disease, but embodies the mission of the Visiting Nurse Association by fewer than one-third of high-risk people actually get a flu providing easy access to affordable health care to those in shot. The Visiting Nurse Association is working to need.” change that. Too bad we can’t just “Shoo” the other nine leading Each fall since 1992, the Visiting Nurse Association has causes of death. mobilized enmasse to reach out into the community with The primary goals of EPIC are: to bring parents together An EPIC Production where they can learn from each other and give support; to Plymouth, Wisconsin recognize and affirm the important need for parents and educators to work together to raise and educate children; Babies should come with instruction manuals. and to identify and plan ways to support children at home, in school and in the community. Unfortunately parenting, one of life’s most challenging and important jobs, is often thrust upon us with absolute Parents not only learn how to handle problems, they ly no training. receive confirmation of areas of strength and affirmation of their feelings. One mother said of EPIC, “I went home In Plymouth, thanks to a partnership between Valley and thought, ‘maybe I am doing some things right!’ I also View Medical Center and the Plymouth Joint School learned it’s OK to feel frustrated when you or your child District, parents have the opportunity to get valuable aren’t doing everything so well.” child rearing training through the EPIC (Effective Parenting Information for Children) program. At the end of the series of classes, parents receive a packet containing an EPIC certificate of completion and a book The EPIC program consists of six, weekly meetings dur let with parenting information and community resources. ing which parents grapple with such topics as “Knowing Yourself as a Parent,” “Fostering Self Esteem,” and In Plymouth, babies do come with instruction manuals. “Tuning in to Your Young Child.”

Ann Goetsch, RN, (left) of Valley View Medical Center, leads an “EPIC” parenting class in Plymouth.

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“A lot of people don’t know how to evaluate products on Eat Right Buy Right a nutritional basis, even though they see the label,” said West Bend, Wisconsin Puestow. “I help walk them through it.”

Does “Fat Free” mean “eat to your heart’s content?” Tours often center on themes such as cancer prevention, lowering cholesterol or fat reduction. Tour groups have Although the FDA’s new labeling guidelines offer con ranged from senior citizens to Girl Scout and elementary sumers more information about food products than ever school groups. “The interest in proper nutrition cuts diet before, making sound nutritional choices isn’t necessarily across all age groups,” said Puestow, “because proper health.” a piece of cake. is a major factor in determining and maintaining

That’s why registered dietitian Pat Puestow, a nutrition Even Girl Scouts can benefit from a little more knowledge counselor with the General Clinic, offers West Bend resi about cookies. dents free expert advice on how to shop for healthy food.

Puestow leads regular tours through West Bend supermar kets, advising consumers of both hidden dangers and nutritious alternatives in a wide variety of foodstuffs.

General Clinic nutrition counselor Pat Puestow (center) provides food for thought during her tours of West Bend supermarkets.

I Teaching Teachers Milwaukee, Wisconsin

It’s hard enough just being a

The pressures upon the young people of today may be greater than at any time in recent history. Depression, drug use, violence and suicide

afflict youth in alarming Aurora He h care numbers. Suicide alone accounted íor the deaths of 2,059 teenagers in the United Dr. Anthony Meyer, medical director of Milwaukee States in 1991. Psychiatric Hospital, is a regular presenter at the annual “Educators Symposium.” Milwaukee Psychiatric Hospital, nationally-recognized as an innovator in the treatment of mental and emotional Staff professionals from Milwaukee Psychiatric Hospital disorders and addictive disease, is making an effort to spend the day providing educators with practical informa assist school personnel in reducing those statistics here in tion on recognizing and coping with many issues that Wisconsin. affect their students: family issues, suicide, alcohol and drug abuse and behavior disorders. Every fall, Milwaukee Psychiatric Hospital sponsors and hosts an “Educator’s Symposium,” a free, day-long Early, effective intervention is key to reducing these prob workshop for teachers, school psychologists, social lems. Milwaukee Psychiatric Hospital is helping to equip workers and administrators, designed to simply, educate front-line educators with the skills and insight needed to the educators. recognize and help students face problems, instead of allowing them to become statistics. home setting. Thanks to private donations from the A Place to Call Home community and a $75,000 gift from the Hartford Hartford, Wisconsin Memorial Hospital Foundation, the center has become a model facility throughout the region. Try to imagine. The Vent Center is home to 13 residents, who range in It would be difficult, probably disheartening, for most of age from 30 to 81, and have become ventilator-dependent

us to imagine spending the rest of our lives attached to a through a variety of causes — spinal cord injuries, birth ventilator. But a visit with the ventilator-dependent resi defects, emphysema and Lou Gehrig’s disease. The dents who live at Hartford Memorial Hospital’s Vent achievements of the residents demonstrates an apprecia Center, helps provide a different perspective. tion for life nurtured by the caring staff and atmosphere of the Vent Center. There, ventilator-dependent residents regularly host din ners for their families in the home they occupy on the “We talk frankly with residents before they move in,” hospital’s second floor. They go shopping. They raise says Vent Center nurse Jill Becker. “OK, you’re on a flowers and vegetables, visit schools and read to children ventilator. What are you going to do with the rest of or give lectures on the hazards of drug abuse. They even your life?” enter their prize-winning paintings and handicrafts in local fairs and go to concerts. At the Hartford Vent Center, the answer to that question lies somewhere between the spirit and determination of The Hartford Vent Center is the only center for ventilator- the patient and the ingenuity and creativity of the Vent dependent residents in the Midwest, whose main focus is Center staff. enhancing residents’ quality of life in a warm, group-

Activity specialist Kathy Fies helps Vent Center resident Jim Satorius work on a computer at Hartford Memorial Hospital. Burlington Clinic physicians on the hardwood for the most recent “Basketball Mania” game included (‘from left): Joel Carroll, Carol Prchal, Bob Wheaton, John Gabaldo, Tom Niccolai, Art Rein and Lief Erickson fr

Each year since 1990, the Burlington Basketball Mania Docs Dunk Cancer game has raised about $5,000 for the local American Burlington, Wisconsin Cancer Society. Proceeds are used to purchase items like wheelchairs for cancer patients and to support education Well, maybe they don’t exactly dunk. 1 campaigns to raise public awareness about early detec tion of cancer. But they sure give it everything they’ve got. Plans for the 1995 event have grown to include a When Doug Robers, a former cancer patient, wanted to women’s basketball tournament and a volleyball tourney develop a fundraising mechanism for the American in addition to the physicians’ game, and a raffle of sports Cancer Society, he knew the local physicians would be a memorabilia. logical place to turn for support. So far, physician hoopsters from the Burlington Clinic and Robers had gotten to know some of the doctors fairly Burlington Memorial Hospital are undefeated on the well, through his job as a maintenance worker at the hardwood, despite having little time to practice for their hospital and through his cancer treatment. His concept of tilts against local attorneys, teachers or the Burlington a charity basketball game pitting local physicians against Kiwanis. a team from other community groups was well received in the medical community and “Basketball Mania” was It must be the shoes. born. ______r

ment. Funds raised are used by the Kenosha Youth Glad to Be Your Neighbor Foundation to provide youth activities and family devel Kenosha, Wisconsin opment programs throughout the community.

Why wait? Not only did Aurora Medical Group sponsor the event; they were willing participants as well. Many biked in the Giving something back to the community is all but Fresca International Bicycle Races Celebrity Event expected from well-established, long-standing companies. through Kenosha’s Library Park, and public relations But even before the doors opened at the Aurora Health manager Carol Foran found a unique way to cool off Center in Kenosha, the staff had begun to reach out and during the event, serving as a “dunkee” in the popular had formed a partnership with the Kenosha Youth dunk tank. Foundation, the Kenosha Achievement Center and the Arthritis Foundation, to support the popular annual “It’s a very worthwhile cause and provided a great way “Food, Folks and Spokes” family fundraiser. for us to have a chance to meet so many of the people who come to the new Aurora Health Center,” said Foran. Aurora Health Center’s sponsorship of the third-annual “So what’s a few hours of being water logged compared event helped approximately 14,000 Kenosha residents to that?” enjoy a full day of biking, food, fun, and family entertain-

Sponsorship 1 LV E R N N I V E R S A R V F i f I F-i ;-p F I - Z I M jtI f’%J A I CVC LI t4 C

Photo by Bill Siel. Courtesy of Kenosha News The Fresca International Bicycle Races through Kenosha’s Library Park are a highlight of the annual “Food, folks and Spokes” event. A Friend III Next Door Milwaukee, Wisconsin

“It’s wonderful to be able to do the job I love in a community where the people desperately need the help,” said Steve Ohly, RN, MS, clinic coordinator and primary care provider at a neighborhood health clinic on Milwaukee’s near south side.

Serving the underserved population of this neighborhood is the mission of the Madison Street Outreach Clinic, a collaborative effort between St. Luke’s Medical Center, Health Care for the Homeless of Milwaukee and the Steve Ohly discusses the proper ttse of medication University of Wisconsin Medical School’s Department of with a patient at the Madison Street Clinic. Family Medicine, with support from the Social Development Commission and St. Vincent De Paul. waiting room, three exam rooms and offices for a social worker and nurse practitioner. Location is key to the success of a clinic like this. ft’s a shining example of a community pulling together to Lack of transportation, often a barrier to receiving meet a need. The expansion and reconstruction of the primary health care, isn’t a problem. The clinic is housed clinic was made possible with donations of materials and in the same building which provides people in this labor from 11 different organizations, spearheaded by neighborhood with a meal site, job and energy assistance Boldt Construction. University of Wisconsin residents, and housing support. faculty physicians from St. Luke’s Family Practice Center, and nurse practitioner students from three universities Neither is insurance. Ohly estimates that 95% of his volunteer their time to see patients. Approximately 20 patients have no insurance coverage, and at this clinic volunteers, many from the surrounding neighborhood, they’re not expected to. “People are comfortable coming lend a hand each week, helping with everything from here to access health care,” he said. “They don’t need staffing the reception desk to cleaning the exam rooms. to feel ashamed to ask for ‘free’ care. That’s just about all we do.” From immunizations and prenatal care, to injury treatment and follow-up calls or home visits, primary Up to 40 patients a day receive primary care health care provided by clinics like this can detect and treat services provided by the clinic, which has, within a yeai conditions early, before they become acute. EarLy treat expanded from a single exam room to a facility with a ment is better for the patient and far less costly. SINAI SAMARITAN MILWAUKEE HEART Boards OfDirectors ivnDicAL CENTER RESEARCH FOUNDATION Board of Directors Board of Directors

James Pious, Michael Cudahy, Chairman Chairman/President AURORA HEALTH CARE AURORA FOUNDATION Rev. Mary Ann Neevel, Brenton Rupple, Vice Chairman Vice Chair/Vice President Board of Directors Board of Directors Henry K. Kerns, John Galanis, Secretary Treasurer John Dragisic, Glenn W. Buzzard, Gerald F. Koepke, Robert Bradley, Chairman Chairman Treasurer Secretary Paul B. Oldam, Gary Strelow, Bradden C. Backer Richard Abdoo Vice Chairman Secretary/Treasurer Judith Bluestone Richard Astor, M.D. Donald J. Nestor, Robert O’Keefe, Rev. Larry A. Bremer Donald Buzard Secretary/Treasurer Assistant Secretary/Treasurer Ricardo Diaz John Dragisic Mark R. Ambrosius Thomas G.A. Herz Thomas G. A. Herz Mary Ann Flemma Ned Bechthold Donald J. Nestor, Thomas C. Jackson, M.D., John H. Hendee, Jr. Russell W. Britt President Associate Dean, University G. Edwin Howe Donald S. Buzard James T. Williams of Wisconsin Medical School William I. Jenkins Richard Culbertson, Ph.D. William I. Jenkins, John Kampine, M.D. Thomas I. Dineen AURORA HEALTH CARE President Henry K. Kerns Judy Gordon VENTURES Scott Levin, D.S.S., Sheldon B. Lubar D. Winthrop Hass Vice Chief of Staff Fred G. Luber Thomas G.A. Herz Board of Directors Shari Miller John Maclver Reginald M. Hislop, Jr. Gwendolynne S. Moore Shari Miller G. Edwin Howe, Howard Schnoll, Ann R. Navera, R.N., Walter Robb President Chairman Vice President Donald H. Schmidt, M.D. Eliot J. Huxley, M.D. Ronald J. Shapiro, James E. Peterman Howard M. Schnoll Thomas C. Jackson, M.D. Vice President John Teitgen Martin Stein William I. Jenkins Donald J. Nestor, James Urdan James Urdan Rev. Chester L. Johnson Secretary/Treasurer Kenneth R. Willis Carl Weigell Bonnie Joseph Robert O’Keefe, Francis Wolf, M.D., Stanley Kritzik Assistant Secretary/Treasurer Chief of Staff Mary Jane Mayer ‘WEST ALLIS MEMORIAL William H. Levit, Jr. HOSPITAL Jere D. McGaffey Dennis R. Rakowski, Advisory Board of Directors Robert J. Miller President Board of Directors Rev. Mary Ann Neevel John A. Archer Thomas J. Parker VALLEY VIEW MEDICAL Ben Barkin Reginald M. Hislop, Jr., James F. Peterman Joseph M. Bernstein Frank E. Pringle CENTER Chair;;ia;i Flora Cohen Dorothy H. Biwer, James Pious Elvin R. Danielson Myra Taxman Board of Directors Vice Chairman Calvin W. Gross Philip Taugher, M.D., James Urdan Ralph Houseman J. Barry Usow, M.D. Mel H. Blanke, Secretary Chairman Ben Marcus Thomas L. Dineen, Kevin VoIm Albert Meyer Francis Wolf, M.D. Shannon Barrett, Treasurer Treasurer Ruth Orenstein Francis Andres, M.D. Donald A. Zeilmer Robert W. Landry Edward J. Zore Art A. Pahr, Richard C. Carlson Secretary Wayne B. Clark AURORA HEALTH Ron Begalke FAMILY SERVICE OF Jeffrey C. Eckrich Jim Krautkramer MILWAUKEE Lee P. Facchinello NETWORK Robert L. Ruh Peter Fine, George Schroeder, M.D., Board of Directors President Board of Directors Chief of Staff Carl L. Gosewehr Mark R. Sharon, M.D. Gwen T. Jackson, Joseph F Kempen Francis G. Wolf, M.D., Larry Siegert Chair Philip Pelland, M.D. Chairman Patrick J. Trotter, David L. Hoffman, Chief of Staff Donald J. Nestor, President President and CEO Roland A. Sprenger Secretary/Treasurer Kristin M. Bergstrom, Paul M. Zieh[er Mark R. Ambrosius Vice Chairman James R. Barton, M.D. AURORA MEDICAL GROUP Thomas E. Komula, Anthony Caceres, M.D. Treasurer Robert S. Chudnow, M.D. Board of Directors Mary Ann Renz, Kevin Fickenscher, M.D., Secretary President Thomas Bentley III John P. Hermann, M.D. Eliot I. Huxley, M.D., President Linda Davis William I. Jenkins L. Patt Franciosi Marshal Mirviss, M.D. Robert Willis, M.D., J. Vice President Harry F Franke Donald J. Nestor, John Galanis Secretary/Treasttrer Paul W. Grunau Lief Erickson, M.D. Richard L. Hall William Listwan, M.D. Reuben K. Harpole, Jr. Jere D. McGaffey Vicky Hinshaw Rhonda Taylor Parris Kathleen F. Samnons Michael T. Stirdivant José I Vásquez ST LUKE’S MEDICAL SHEBOYGAN MEMORIAL WS1TTNG NURSE SHEBOYGAN MEMORIAL CENTER MEDICAL CENTER ASSOCIATION HEALTH FOUNDATION

Board of Directors Board of Directors Board of Directors Board of Directors

Ned Bechthold, Frank E. Pringle, D. Winthrop Hass, John P. Hermann, M.D., Chairman Chairman Chairman President John W. Boston, Mark S. Nemschoff, Helen Shiely, Victor E. Muehleis, Vice Chairman Vice Chairman Chairman-Elect Vice President Gary Strelow, Donald M. Meier, Peter Coffey, Alan S. Rudnick, Secretary/Treasurer Treasurer Vice Chairman Secretary Mark R. Ambrosius, Robert T. Willis, M.D., Albert Lundy, Kevin J. Jones, President Secretary Secretary Treasurer James R. Barton, M.D. Tim Coughlon Andrew Drendel, Chris A. Ehlert Chris Bauer Michael D. Muth Treasurer Kermit L. Ellefson Robert E Benz John E. Raftery Susan Ela David 0. Gass Jo Anne Brandes Robert J. Scott, M.D. L. Patt Franciosi James Gularek Wayne B. Clark Sheila R. Simenz Robert L. Harris Jon C. Keckonen Vicki George, R.N., Patrick J. Trotter, John D. Lewis Rev. Karl J. Nelson Vice President President Mrs. Judy Litwin John A. Pfaff Thomas E. Goris, CLU Stuart Warrington Wayman Parker, M.D. Patricia P. Reiss Anne Stratton Gina Peter Russell J. Rindt Barry Usow, M.D., MILWAUKEE PSYCHIATRIC Jerry G. Remmel Jean H. Schott-Wagner, M.D. President HOSPITAL Patricia K. Schuyler Patrick J. Trotter Medical/Dental Staff Carl G. Zimmerman Rae Ellen Stager, Donald A. Zellmer Board of Directors Ex-officio FRANKLiN MEDICAL Advisory Board of Directors Russell W. Britt, CENTER Chairman Executive Leadership Jack W. Boettcher Richard Seaman, Jr., Board of Directors William M. Chester, Jr. Treasurer G. Edwin Howe Sally Wells, Robert Schmitt, Mark R. Ambrosius ST LUKE’S Secretary Chairman John Brozovich PHILANTHROPY Norman Paulsen, Kenneth Orlowski, William E. Byers Assistant Secretary/Treasurer Secretary/Treasurer A. John Capelli, M.D. Board of Directors John Brozovich Mark R. Ambrosius, Paul A. Capelli, M.D. Jon Chait President Diane De La Santos Robert F Benz Susan C. Dragisic Gary L. Kamer, M.D. Michael Duffy, M.D. Norm E. Christman Charles Engel, M.D. DonalU A. Zellmer Lief Erickson Jr., M.D. Alfred U. Elser, Jr. Michael Logan, M.D. Kevin Fickenscher, M.D. Henry H. Gale, M.D. Anthony Meyer, M.D. VISITING NURSE Peter Fine John P. Hanson, M.D. John M. Rohr, M.D., ASSOCIATION - Max Goodwin, M.D. John E. Koenitzer Chief of Staff SHEBOYGAN Richard Greene, M.D. John C. Seramur Gerald Schley, David L. Hoffman Sileno, Sr. President Joseph Board of Directors Eliot J. Huxley, M.D. Mark Ambrosius, Mark Siegel, M.D. William I. Jenkins Ex-officio Richard A. Weiss James Hansen, Thomas P. Koehler, M.D. Brad Holmes, Chairman William Listwan, M.D. Ex-officio TWO RiVERS Nancy Kaprelian, Michael J. Mally, M.D. COMMUNiTY HOSPITAL Vice Chairman Mary Jane Mayer HARTFORD MEMORIAL Pamela Dekkar, Donald J. Nestor HOSPITAL Board of Directors Secretary Victoria O’Brien Greg Weggeman, Robert O’Keefe Board of Directors Barbara Bielmeier, Treasurer Dennis Rakowski Chairman Mel Blanke, Gerald Schley Kevin VoIm, Jerome Fox, Assistant Treasurer Mark Schwartz Chairman Vice Chairman Bernard Berntson Thomas Sheehan James H. Gilligan, Marilyn Quirk, Ber Lee Shaila Singh, M.D. Vice Chairman Secretary/Treasurer Steven McDonnell Steven Spencer Harold Oswald, James W Bowling Patrick J. Trotter John A. Steinman, Jr. Treasurer Robert A. Gahl, M.D., Donald Wuethrick Richard W Theobald, M.D. Dean Kirley, Chief of Staff Elwood Wynveen Tony Torres Secretary Max Goodwin, M.D. Patrick J. Trotter Ken Braun James Lester Lorelle Walsh John Gross Reuben Plantico Robert T. Willis, M.D. Michael J. Mally, M.D. Steven Spencer, James Mohr President Mark Schwartz, President

a Aurora HealthCare

Patient Service Statistics Financial Summay

January - Decembei 1994 Year Ended December 31, 1994

Inpatient Discharges SOURCE OF FUNDS COMBINED TOTALS 51,104 (in thousands) Inpatient Days 292,851 1994 Average Length of Stay (days) 5.0 Inpatient Services $ 402,094 Outpatient Services 222,518 Physicians on Staff 2,163 Non-Patient Care Services 60,699 Residents and Fellows 158 Total Net Service Revenue $ 685,311 Registered Nurses 2,344 Total Employees 11,560 USE OF FUNDS COMBINED TOTALS (in thousands) Ambulatory Care Center Visits 771,144 1994 Emergency Care Visits 126,366 Salaries, Fees, Hospital Outpatient Visits 586,943 and Fringe Benefits $ 391,417 Home Care Visits 182,762 Supplies 119,913 Nursing Home Days 52,195 New Equipment and Facility Improvements 98,159 Cardiac Cath Lab Diagnostic and Maintenance, Rental, Insurance, Utilities and EP Procedures 12,086 Other Business Expenses 82,779 Coronary and Peripheral Interest and Principal on Angioplasties 4,112 Long-term Debt 32,479 Heart Surgeries 2,049 Change in Working Capital and Borrowed Funds Expended Total Surgical Procedures 38,369 (39,436) Births 6,937 Total Funds Applied $ 685,311 Radiation Treatments for Total Net Service Revenue is net after subtraction of charity care; and Medicare, Medicaid, other government and other third party Cancer Patients 26,933 allowances. Uncompensated care provided by the Aurora system Inpatient Psychiatric and totaled $302 million in 1994. Includes St. Lukes Medical Center, Inc.; Sinai Samaritan Medical AODA Days 34,004 Center, Inc.; Sheboygan Memorial Medical Center, Inc.; Valley View Inpatient Rehabilitation Medical Center, Inc.; Milwaukee Psychiatric Hospital, Inc.; Hartford Memorial Hospital, Inc.; Two Rivers Community Hospital, Inc.; Treatments 363,474 Aurora Health Care, Inc.; Aurora Health Care Ventures, Inc. and sub sidiaries; Visiting Nurse Association of Milwaukee, Inc. and affiliate; Aurora Medical Group, Inc.; Franklin Medical Center, Inc.; and Aurora Foundation, Inc. 1 6 2 75 care a part 145 a only a 2,101 Care 52,195 11,560 51,104 and 182,762 126,366 clinics, 586,943 Good 771,144 providing health Not after an was national integrated to Luke’s of Sinai and become a Health integrated systems. an homes, St. care. with 1987, then, as agencies, care. have of truly in Center Mount a 1984 Aurora provider dedicated Systems, care Care nursing is in known and Care facilities then, spectrum and home Milwaukee. Medical multi-hospital become was leading Health system. began it in cost-effective care services, Health full since the also and as Healthcare a visits: nursing is Samaritan days: Luke’s care Care but Aurora system visits: years Center centers: St. with quality, Wisconsin, Care, Aurora Care of center

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primarily Health Mission In 1990,AuroralaunchedAuroraMedicalGroup,a physicianservicesentityprovidingprimaryandspecialty 1994Highlights services,anddiagnosticsthrougha largenetworkofclinics andambulatorycarecenterslocatedthroughouteastern In 1994theboardandmanagementofAuroraHealth Wisconsin.Fromitsbeginningsasa smallgroupof Careestablishedseveraltwo-yearstrategicgoalsasinitial physiciansinMilwaukee,AuroraMedicalGrouphas stepstowardachievinga five-yearvisionbytheendof grownto includemorethan230physiciansinmorethan 1998. 41 locationsfromKenoshato GreenBay. Accomplishmentsduring1994infourofthosegoalareas Auroranowprovidescareinmorethan 100facilities, areoutlinedbelow. includingsixgeneralacutecarehospitalsandone psychiatrichospital,whichoffertheentirecontinuumof PhysicianIntegration healthcarefromprimaryandpreventiveservices,to acute, Goal:Tobringphysicianstogetherthroughoutthe extendedandhomehealthservices. AuroraHealthCaresystem,includingthefullspectrumof TodaytheorganizationsthatformAuroraHealthCare physicianpracticemodels,in orderto developtogether,a remaindedicatednotonlyto theprovisionofstate-of-the- unifiednetworkforthedeliveryofhealthcareservices. art diagnosticandtreatmentservices,butalsoto the Achievements: promotionofhealthandthepreventionofillness. • In 1994thepositionofseniorvicepresidentof ThroughouttheeasternWisconsincountiesAuroraserves, physicianintegrationwascreatedto increasephysician cooperativerelationshipsarebeingformedwithother inputinthestrategicplanningandseniormanagement healthandsocialserviceprovidersin orderto improvethe levelsofAurora. Thenewchiefmedicalofficerhasbegun healthstatusofeachcommunity.AnaffiliationwithFamily to integratephysiciansfroma widerangeofpractice ServiceofMilwaukee,oneofWisconsin’soldestandlargest settingsintothemanagementoftheAuroraHealthCare socialserviceagencies,willsoonenableAurorato even system;in all,morethan30 arenowinvolved. moreeffectivelyprovidecommunityoutreachandpreven • A system-wideClinicalQualityCoordinatingCouncil tionservicesaimedat reducingtheneedforacutecareand wasdeveloped,consistingofcliniciansandadministrative improvingthequalityofpeople’slives. supportpersonnel,to identifyspecificclinicaloutcomes As1994drewto a close,Aurorawasengagedin dialogue criteriato beusedforinternalandexternalbenchmarking. withseveralotherhealthcareprovidersinterestedin form • Alsoin 1994,a system-widegroupwasdevelopedfor ingpartnershipsthatwouldenablethemto betterserve Aurora’soccupationalhealthservices,includingphysicians, theircommunities.Thecomingyearwillundoubtedly nurses,therapists,anddevelopmentresources. bringsomeadditionalgrowthforAurora,asthegeographic • A PsychiatricPROwasdevelopedandwillinclude expansionandintegrationofthesystemiscompleted. sevengroupsofpsychiatristsasa part oftheAuroraHealth During1995, thevisionofprovidingpeoplethroughout Network.Physiciansacrossthesystemarestudyingthe easternWisconsinwithaccessto primarycarein theAurora effectivenessofvarioustreatmentmodalities,andare HealthCaresystem,within15minutesoftheirhomes,is sharinginsightsacrossthesystem.Consistentstandardsof expectedto becomea reality. practicearebeingdeveloped.

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Achievements: Integrated Achievements: ExecutiveStaff • Computerizedambulatorycarepatientrecordsbecame operationalat two Aurorasitesin 1994. Theirintegration G. EdwinHowe,President withtheWisconsinHealthInformationNetwork(WFIIN) JohnBrozovich,SeniorVicePresident waswellunderwaybyyear-end. WilliamE. Byers,SeniorVicePresident • Aurora’sInformationServicesdepartmentisactively Kevinfickenscher,M.D.,SeniorVicePresident workingto developa computerizedpatientrecord,which DonaldJ.Nestor,SeniorVicePresident wouldprovideclinicianstreatinga patientat anyAurora DianeDeLaSantos,VicePresident sitewitha completemedicalhistoryregardlessofwherethe VictoriaO’Brien,VicePresident patientdatawascollected. RobertO’Keefe,VicePresident • TheEMTEKbedsidesystemhasbeenimplementedin DennisRakowski,VicePresident alloftheSt.Luke’sintensivecareunitsandonemedical- ThomasSheehan,VicePresident surgicalunit. In additionto improvingtheproductivityof JohnA.Steinman,Jr., VicePresident thenursingstaff,thissystemallowsforthecollectionof TonyTorres,VicePresident datawhichwillenhancequalityimprovementcapabilities. LorelleWalsh,VicePresident • TheTSIClinicalAssessmentModulehasbeenimple Jan Schwarz,ExecutiveAssistant mentedintendepartmentsat St.Luke’sandSinai Samaritanto supportthedevelopmentandimplementation ofclinicalpathwaysto improvepatientoutcomes. AdministrativeOffices: 3000WestMontanaStreet Milwaukee,Wisconsin53215 (414)647-3000 Aurora Medical Group • TwoRiversClinic • BurlingtonClinic CorporateOffices MaxGoodwin,M.D.,President LiefEricksonJr.,M.D.,President AuroraMedicalGroup JackGospodarek,Administrator ThomasGrossman,Administrator 3000WestMontanaStreet AuroraHealthCare Maincliniclocation: Maincliniclocation: P.O.Box343910 2219GarfieldStreet,TwoRivers 248McHenryStreet,Burlington Milwaukee,Wisconsin53234-3910 Branchoffice: Branchfacilitieslocatedin: (414)647-6322 511MainStreet,Mishicot Delavan 1994FactSheet • GreenBayClinic EastTroy RichardGreene,M.D.,President GenoaCity MissionStatement ThomasVanEss,Administrator LakeGeneva 123N. Military,GreenBay PaddockLake TheAuroraMedicalGroupisa networkofambulatory • DecknerMedicalCenter TwinLakes facilitiesprovidingphysician,diagnostic,andtreatmentservices ThomasKoehier,M.D.,President Waterford whicharededicatedto highquality,personalized,andcost- JeffRosemann,Administrator WindLake effectivecarefortheresidentsofeasternWisconsin. 1751DecknerAve.,GreenBay • HartfordParkviewClinic TheAuroraMedicalGroupiscommittedto improvingand • TheSheboyganClinic MichaelMally,M.D.,President maintainingthehealthstatusofthepopulation,to providing healthcareservicesingeographicallyconvenientfacilities,and RobertT.Willis,M.D.,President AndrewJ.Safranski,Administrator JamesGularek,Administrator Maincliniclocation: to meetingthemedical,emotional,andpersonalneedsof Maincliniclocation: 1004E.SumnerStreet,Hartford patients. 2414KohlerMemorialDrive,Sheboygan Branchfacilities: TheAuroraMedicalGroupwillbethepreferredworkplace Branchfacilities: SlingerParkviewClinic,Slinger forphysiciansdesiringemploymentinthegrouppracticeset CalumetEyeCenteiChilton HustisfordParkviewClinic,Hustisford ting. It willbestructuredto accommodatetheadditionofindi TheCedarGroveClinic,CedarGrove vidualphysicians,smallphysiciangroups,clinics,andstart-up EasternWisconsinRegionalCancerCenter sites. ExecutiveStaff EyeCareCenterofManitowoc TheAuroraMedicalGroupwillprovideopportunitiesfor EyeCareCenterofTwoRivers EliotHuxley,M.D.,President physiciansto participateinmedicaleducationandcommunity TheKielClinic,Kiel RebeccaFlink,VicePresident,Operations service. ThePlymouthMedicalGroup,Plymouth TheAuroraMedicalGroupwillbethepreferredworkplace PortEyeCenter,PortWashington forallstaffdesiringemploymentinthemedicalgroupsetting.

TheSheboyganClinic- South TheAuroraMedicalGroupwillmaintainanethnicallyand TheRandomLakeClinic raciallydiversestaffsufficientto meetquality,volume,and growthneeds. TheAuroraMedicalGroupwillcontributeto themissionof AuroraHealthCareasa comprehensiveandintegratedregional healthcaresystem. 1994Statistics Group.BurlingtonClinic,foundedin 1952andservingnine threephysiciansspecializinginfamilypractice,geriatrics, Locations communitiesinRacine,WalworthandKenoshaCountieswith obstetricsandpediatrics,joinedAuroraMedicalGroupon Patientvisits 732,059 NewtowneMedicalGroup 35physicians,madetheirdecisionto joinAuroraMedical October1. Non-physicianemployees 1,221 DowntownMilwaukeelocation: GroupinJune. HartfordParkviewClinic,a grouppractice • DecknerMedicalCenter,with15physiciansbecamethesec Employedphysicians 230 1575RiverCenterDrive servingHartfordandsurroundingcommunitiesinWashington ondGreenBayclinicto joinAuroraMedicalGroupon Sites 41 Northshorelocation: andDodgeCountiessince1976,alsoannouncedtheirdecision December31. 8675N. PortWashingtonRoadinFoxPoint to affiliateinJuneof 1993. Wauwatosalocation: Histoty Byyearend1994,AuroraMedicalGroupemployedmore Physicianspecialties 6745W WellsStreet than230physicianslocatedin41 facilitiesthroughouteastern AuroraMedicalGroupwasincorporatedin 1990asa not- Westsidelocation: Wisconsin.Otheraffiliationdiscussionsandfacilitydevelop Allergy Oncology/Hematology for-profitphysicianservicesentitywithintheAuroraHealth 4025N. 92ndStreet mentsunderwayin 1994,pendingcompletionin 1995, Asthma Ophthalmology Careorganization. AllergyAssociates: includedthefollowing:FamilyPracticeAssociatesofOshkosh; Cardiology OrthopedicSurgery AuroraMedicalGroup’sfirstclinicintheNewtowne 8675N. PortWashingtonRoad InternalMedicineAssociatesofOshkosh;OshkoshInternal Dermatology Otolaryngology,Head& NeckSurgery MedicalGroupdivisionopenedinthefallof 1990inthenewly 2600N. MayfairRoad MedicineAssociates;Children’sClinicofOshkosh;Aurora FamilyPractice Pediatrics& AdolescentMedicine renovatedRiverCenterlocatedinMilwaukee’sSchlitzPark. • AuroraHealthCenter HealthCenterinWaukesha;andtheMukwonagoFamily Gastroenterology Psychiatry Thesecond,locatedintheNorthShoreareaofMilwaukee, 10400-75thStreet,Kenosha Physicians. Geriatrics Pulmonology becameoperationalin 1992. PaulA.Capelli,M.D.,MedicalDirector Hematology Radiology Laterthatyear,TheSheboyganClinic,a 56-physiciangroup CarolRagalie,Director Immunology Rheumatology practiceservingSheboyganCountysince1922,joinedAurora • AuroraHealthCenter 1994Highlights InternalMedicine GeneralSurgery MedicalGroup.Withgoalsofcostcontainmentandenhanced W123N1440Hwy164,Waukesha • NewtowneMedicalGroupaddedAllergyAssociatesand Neurology Chest& VascularSurgery healthcareservicevalueforarearesidents,thisaffiliationwas MichaelMather,M.D.,MedicalDirector MiotaMedicalAssociates,andrelocateditsNorthShore Obstetrics& Gynecology SkinSurgery anotherimportantstepfortheAurorasystemtowarda broader SallyKrebs,Director offices. OccupationalMedicine Urology& UrologicalSurgery continuumofcare. • FamilyMedicineClinic • TheSheboyganClinicaddedtheHowardsGroveClinicand AuroraMedicalGroupcontributedsignificantlyto thesys 7540-22ndAvenue,Kenosha thePlymouthClinicFamilyMedicineCenter,andestablished tem’sgrowthin 1993. Bymid-year,threeadditionalaffiliations Professionalservices A.JohnCapelli,M.D.,President theEasternWisconsinRegionalCancerCenter,inaffiliation withexistingclinicswereannounced,aswellasplansto build JackWaters,Administrator withtheVinceLombardiCancerClinicat St.Luke’sMedical Audiology& HearingAids OccupationalHealth twomajorambulatorydiagnosticandtreatmentcenters.The • TheGeneralClinic Center. ClinicalLaboratory OpticalDepartment firstannouncementcameinAprilwhentheWauwatosa-based WilliamListwan,M.D.,President • GeneralClinic,with19physiciansinWestBendandJackson, CommunityHealthEducation Optometry practice,ClinicofInternalMedicine,formedin 1946,joined HansSchmelzing,Administrator joinedAuroraMedicalGrouponMarch1. DaySurgery OralSurgery AuroraMedicalGroup. Maincliniclocation: • TwoRiversClinic,a 14-physicianmultispecialtygroup DentalServices OutpatientOncology ByMayof 1993,plansfortwonewAuroraMedicalGroup 205ValleyAvenue,WestBend practicewithlocationsinTwoRiversandMishicot,joined DiagnosticImaging PathologyConsultant majorhealthcarecenterswithadjoiningmedicalofficebuild Branchoffice: AuroraMedicalGrouponMay1. Dietitians Pharmacy ingshadbeenunveiledinKenoshaandWaukeshaCounties. Hwy60,Jackson • Thefive-physicianGreenBayClinicaffiliatedwithAurora Impotency& SexualDysfunctionClinic (TheKenoshafacilityopenedinthesummerof 1994,andthe MedicalGrouponJuly1,becomingthenorthernmostAurora InfertilityClinic PhysicianReferralService Waukeshafacilitywouldopeninearly1995.) Bothwouldnot locationat thattime. IntravenousTherapyServices PhysicianTherapyServices onlyexpandaccessto primarycare,butoffera widerangeof • TheAuroraHealthCenterinKenoshaopenedforbusinesson Mammography Podiatry advanceddiagnosticandoutpatienttreatmentservices. July18. MentalHealthServices SocialWorkers Inthesummerof 1993,officialsoftwomorelarge,multi-site • Capelli/SheplerFamilyMedicineClinicinKenosha,with NursePractitioners Walk-InClinic clinicsannouncedtheirintentionto joinAuroraMedical West Allis Memorial Hospital Accreditations WestAllisMemorialHospital 8901W LincolnAvenue • JointCommissionof Accreditationof Healthcare AuroraHealthCare WestAllis,WI 53227 Organizations (414)382-6000 • RadiologyMammographyAccreditationthrough AmericanCollegeof Radiology • CancerProgramAccreditationthroughtheAmerican FactSheet Collegeof Surgeons 1994 • CollegeofAmericanPathologistsLaboratory Accreditation MissionStatement • AmericanAssociationof BloodBankingLaboratory WestAllisMemorialHospitalis a not-for-profitorganiza Accreditation tion committedto providingthehighestquality,cost-effec • AccreditationCouncilfor ContinuingMedicalEducation tivegeneralacutecaremedicalservicesavailableto the of theAmericanMedicalAssociation patientsandcommunityweserve.Wearean organization dedicatedto healingthe completeperson. Weaccomplish MedicalStaff thisby offering: Personalized,compassionatecarethat respectsthe digni Active 159 ty and individualityof eachpatientandtheirphysical,spin- Associate 62 tualand intellectualneeds. Provisional 80 • Innovativeand judicioususeofmedicaltechnology. Courtesy 229 • A comfortable,reassuringandpleasantenvironment. Consulting 22 Thelevelof excellenceweachieveis a directresultofthe Emeritus 38 dedicationof our valuedemployees,medicalstaffandvolun Honorary 8 teers.

ExecutiveStaff Patient ServiceStatistics ReginaldHislop,Jr., Chairmanof theBoard Adultinpatientadmissions 10,450 PeterS.Fine,President Daysof care 55,336 PhilipPelland,M.D.,Chiefof Staff Averagelengthof stay 5.3 days RichardKellar,VicePresident,Operations Emergencyroomvisits 23,854 ClaudetteHamm,VicePresident,Nursing Outpatientvisits 86,019 PatriciaMartin,VicePresident,HumanResources Operatingroomcases 7,538 CarlKnauer,VicePresident,Finance Samedaysurgeries 4,842 MarkDaley,VicePresident,PhysicianRelations Births 1,583 Historyand Heritage Patient Services CommunityAssociationsand Memberships

WestAllisMemorialHospitalwasdedicatedon August6, PatientCare WestAllisChamberof Commerce 1961. Thefirstpatientwasadmittedto WestAllis CancerTreatmentServices WestAllisSeniorNetworkCommittee MemorialHospitalon September19, 1961. Sincethat time, Obstetrics HospitalCouncitof GreaterMilwaukee WestAllisMemorialHospitalhasadmittedmorethan Orthopaedics WisconsinHospitalAssociation 324,150adults,and delivered54,146babies. In addition CriticalCareServices AmericanHospitalAssociation therehavebeen315,252outpatientvisitsand 610,936 Medical/SurgicalServices ArthritisFoundation emergencyroomvisits. Sinceopeningitsdoors,the hospital DaySurgeryCenter AmericanCancerSociety hasdramaticallyexpanded.In 1966the Industrial EmergencyDepartment ToxicologyLabwas establishedas a part ofthe laboratory. CommunityOutreachPrograms/Partnerships TheIndustrialToxicologyLabtestsforair and bloodborne DiagnosticandTherapyServices toxinssuchas lead,mercuryand asbestos. LaboratoryServices • SchootAgeParentProgramin conjunctionwiththeWest In 1972the seventhfloorof the hospitalwascompleted. Clinical Allis/WestMilwaukeeSchoolDistrict Thisfloorprovidedthe neededspacefor an IntensiveCare Industrial • CommunityHealthEducationPartnershipin conjunction Unitand CardiacCareUnitwiththeabilityto handlethe Toxicology withtheWestAllis/WestMilwaukeeSchoolDistrictand highlytechnicalequipmentneededto careforcriticallyill WestAllisHealthDepartment patients. In 1974,a majorconstructionprojectbeganwhich RadiologyServices • Breastand CervicalCancerScreeningProgramin con significantlychangedthe hospital,includingthe Radiology, CTScanning junctionwithWestAllisHealthDepartment Emergency,OutpatientdepartmentsandtheMedicalOffice MagneticResonanceImaging • FutureWorldClassAthletesFund Building.WestAllisMemorialwasre-dedicatedon Ultrasonography • WestAllisExpo September11, 1977afteralt theconstructionwas NuclearMedicine • HealthEducationand CommunityServicePrograms completed. DiagnosticImaging • PhysicianReferralServices In 1981anotheradditionoccurredwhichupdatedand SpecialProcedures • WAMHVanPatientTransportation expandedservicesin the SurgicalSuite,LaborandDelivery GILaboratory • HomeBloodDrawingService Suite,TechnicalServicesand DataProcessing.In 1989 RadiationTherapy • Lifeline anotheradditiontookplacein the Northeastareaofthe Chemotherapy • SeniorSpotlight hospital. Duringthisexpansion,the BusinessOffice,Data MammographyScreening • EducationSeriesfor OlderAdults ProcessingandMedicalRecordsdepartmentswererelocated • TheHealthyConnection and expandedto providethe necessarygrowthforthose TechnicalServices • GeriatricAssessmentService departments. RespiratoryTherapy • CommunityEducationSeries Themostrecentadditiontookplacein Marchof 1992. PeripheralVascularLaboratory • SupportGroups/Classes Thehospitalonceagainunderwentmajorrenovationto Non-invasiveCardiologyServices keeppacewiththe evolvinghealthcareneedsofthe Electroencephalography community.Therenovationupdatedthe EmergencyRoom, Electromyography Admitting,DaySurgeryand Outpatientareas. In addition,a Biofeedback fivestoryPhysicianOfficeTowerandparkingstructurewere addedto thehospital’scampus. Theprojectwascompleted RehabilitationServices in 1994. InpatientPhysical,Occupationaland SpeechTherapy PeakPerformanceWorkand SportTherapyCenters CardiacRehabilitation Hartford Memorial Hospital Accreditation& Affiliations

HartfordMemorialHospital,Inc.,isaccreditedbythe Aurora HealthCare JointCommissionon theAccreditationofHealthCare Organizations.WearelicensedbytheStateofWisconsin andarea memberoftheAmericanHospitalAssociation, andTheHospitalCounciloftheGreaterMilwaukeeArea. WeareaffiliatedwithAuroraHealthCare,Inc.,and 1994FactSheet havestrategicallianceswithareahospitalsandproviders includingWisconsinMobileImaging. Mission& Philosophy

HartfordMemorialHospitalisa non-profit,community MedicalStaff hospitaldedicatedto servingourcommunitiescontinuumof healthcareneeds- preventative,diagnostic,treatmentand Active 27 rehabilitation.Ourmedicalstaffandalliedhealthprofes Consulting 20 sionalsdothisthroughtheuseofadvancedmedicaltechnol Courtesy 21 ogy;thepro-activedevelopmentofhealthservicesthatmeet Honorary 7 thepublic’sevolvingneeds;andensuringallcustomersare Contract 21 providedwithpersonalcare,respectandattention. It’sourmissionto meettheneedsandexpectationof ExecutiveStaff thoseweserve,not onlypatients,butalsomedicalstaff, KevinVolm,ChairmanoftheBoard employees,payorsandthecommunity,througha cultureof MarkA.Schwartz,President continuousqualityimprovement.Weencouragecreativity, long-termthinking,a spiritofteamwork,personalgrowth, EricWeber,M.D.,Chiefof StaIf BradHahn,VicePresident,Finance mutualrespectandemployeeparticipationin everything LorettaKlassen,VicePresident,PatientCare wedo. Wearededicatedto excellencein allourendeavors.

HartfordMemorialHospital PatientServiceStatistics 1032E.SumnerStreet Acutecareinpatientdays 5,468 Hartford,WI53027 Subacutecareinpatientdays 5,126 (414)673-2300 Averagelengthofstay(acute)days 3.9 Emergencyvisits 7,185 Inpatientsurgicalcase 539 Samedaysurgeries 1,076 Births 220 Rehabilitation,therapyand sportsmedicinetreatments 95,348 HistoricMilestones Patient Services Pulmonology Radiology 1916 - HartfordMemorialHospitalopenedas Hartford PatientCare SleepMedicine General,an eight-bedinfirmary. 24-HourEmergencyDepartment Urology 1919 - HartfordGeneraldoubledin sizeto a 16-bedinpa OneDaySurgery tientfacility. IntensiveCareUnit Diagnostics& DiagnosticImaging 1926 - ReligiousHospitalersof St.Joseph’sfromKingston, RespiratoryCare& RespiratoryTherapy MobileMagneticResonanceImaging Ontario,acquiredHartfordGeneralandrenamedit St. VentCenter(Long-termmulti-disciplinarycareforthe CTScan Joseph’sHospital. ventilatordependent) NuclearMedicine 1929 - Anadditionexpanded St.Joseph’sHospitalto 50 BirthDayCenter(Labor,Delivery,Postpartumand Ultrasound beds. Recovery) ContrastRadiology 1958 - Addeda newsurgicalareaandrecoveryroom Medical/Surgical Echocardiography 1971 - St.Joseph’swasturnedoverto the communityand Pediatrics CardiacStressTests(Thallium& PersantinThallium) becameHartfordMemorialHospital. SocialServices Electrocardiograms(EKG) 1972 - Hospitaladded21 bedsand becamelicensedfor 71 ClinicalDietician Electroencephalograms(EEG) beds. Pre-OperativeEducationProgram ModifiedBariumSwallow-Videoflouroscopic 1982 - Builtemergencyandoutpatientdepartmentsandnew SwingBeds Assessments facilitiesforradiology,physicaltherapy,surgery,laboratory, RespiteCare 24-HourLaboratory the businessofficeand admitting. AdultDayCare 1987 - BirthDayCenteropensand providesWashington, HospiceProgram Rehabilitation OzaukeeandWaukeshaCountieswiththe firstLabor, PhysicalTherapy Delivery,RecoveryandPostpartumunit. MedicalSpecialties UrinaryIncontinenceTreatment 1989 - TheHartfordLionsClubsix-bedIntensiveCareUnit Cardiology OccupationalTherapy wasdedicated. Dentistry WorkConditioningProgram 1992 - 7,500squarefootexpansionenhancesphysical,occu Dermatology CardiacRehabilitation pationaland speechtherapies,as wellasPerformancePtus EmergencyMedicine ActivityTherapy SportsMedicineProgram. Ear,Nose& Throat SpeechTherapy - ThefirstSleepStudyCenteropenedto serveWashington, familyPractice PerformancePlusSportsMedicineCenter Ozaukee,and DodgeCounties. Gastroenterology MassageTherapy - BeganMagneticResonanceImaging(MRI),and Cardiac General& VascularSurgery Catheterization. Hematology HealthEducation& OutreachPrograms - LaunchedHealthin BusinessProgram InternalMedicine BusinessOutreachOccupationalHealthServices - VentCenteropensas oneofthe onlyfacilitiesof itskind Neurology EmployeeAssistanceProgram in the Midwest. Obstetricsand Gynecology LaboratoryHomeVisitProgram 1993 - AffiliatedwithAuroraHealthCare Oncology PostpartumHomeVisitProgram Ophthalmology ICUNursingOutreach Optometry *MobileWellnessClinic Oral & MaxiofacialSurgery *ICUfollow-upHomeVisit Orthopaedics& OrthopaedicSurgery AthteticTrainingProgramforHighSchoolAthletes Pathology Lifeline Pediatrics EveryDayCounts- CancerSupportGroup Podiatry CommunityHealthEducation& ScreeningSeries PrimaryCare Speaker’sBureau Psychiatry Sinai Samaritan PhysicalTherapy • MilwaukeeHeartResearchProject Medical Center • MarquetteUniversity • WisconsinChapterofthe Crohns& Colitis • UWLaCrosse Foundation • UWMadison Associations: AuroraHealthCare MedicalAssistant • ArthritisFoundation • StrattonCollege • InternationalFoundationof BowelDysfunction(IFBD) • MATC • GrandLodgeFree& AcceptedMasonsofWisconsin OccupationalTherapy • IndianHealthBoard 1994FactSheet • UWMilwaukee • JohnstonCommunityHealthCenter • MilwaukeeAdmirals • UWMadison MissionStatement • MountMaryCollege • MilwaukeeKickers the • BostonUniversity • MilwaukeeWave SinaiSamaritanMedicalCenter,an integralpart of SpeechPathology Neighborhooddevelopmentprojects: AuroraHealthCaresystem,isa majorcommunityteaching in city • MarquetteUniversity • AvenuesWest hospitalcommittedto our location theheartof the the healthstatusofthe diverse • UWMilwaukee • CampusCircle and dedicatedto improving health • UWMadison • JohnsonSquare peopleweserve.Weprovideaccessto comprehensive establishedvalues,education,and • UWStevensPoint Cooperativeeducationalprograms: careservicesemphasizing MedicalLaboratoryTechnician • InroadsInternProgram continuousimprovementin qualityandcosteffectiveness. • MarquetteUniversity • JewishCommunityCenter Our MedicalStaffandhealthcarepractitionersworktogeth select care • CarrollCollege • MilwaukeePublicSchools er to provideprimary,specialtyand tertiary ser MATCTechnicalPrograms • NorthDivisionHighSchoolMentorProgram vicesdeliveredin an individualized,personalizedandholistic Includingmedicallaboratory,occupationalandphysical • SarahA.ScottMiddleSchool manner. therapy;anesthesia,respiratoryandcatheterizationmoni toring;surgery,pharmacy,andhealthunitcoordinator ExecutiveStaff Patient ServiceStatistics

WilliamI.Jenkins,President Adultinpatientdischarges 15,760 CommunilyPartnerships& Memberships LouiseBorzynski,VicePresident,SpecialtyServices Daysof adultcare 73,463 Foundingorganizations: JimMoore,VicePresident,Finance Averagelengthof stay 4.7 days 59,826 • LutheranChurch DwightMorgan,VicePresident,HumanResources Emergencyvisits • MilwaukeeJewishCommunity AnnNavera,VicePresident,PatientCareServices Operatingroomcases 7,006 6,840 • UnitedChurchof Christ EllenPhillips,VicePresident,Development& Community Samedaysurgeries 2,289 Memberof: Relations Cardiaccatheterizationlaboratoryprocedures 947 • AmericanHospitalAssociation EileenQuinlan,VicePresident,ProfessionalServices Electrophysiologylaboratoryprocedures (AuroraHealthCare) BookerThomas,VicePresident,Ambulatory& Primary,pediatricand familycarevisits 49,216 • VarietyClubofWisconsin CommunityHealthServices GeriatricsInstitutevisits 9,964 • WeilnessCouncilof SoutheasternWisconsin LenWilk,VicePresident,PhysicianSupportServices& Rehabilitation& sportsmedicinetreatments 243,176 service • WestEndCommunityAssociation BusinessDevelopment Psychiatryoutpatient hours 25,080 • WestownAssociation Women’shealthassessmentand ob!gynvisits 34,110 deliveries • WisconsinHospitalAssociation Midwife 398 • WisconsinPrimaryCareAssociation SinaiSamaritanMedicalCenter Births 4,268 Neonatalintensivecareadmissions 540 • AssociationofAmericanMedicalColleges East - 945N. 12thStreet SexualAssaultTreatmentCentervisits 912 • NationalAssociationof RehabilitationFacilities West- 2000W.KilbournAvenue Hometo: Milwaukee,WI53233 Women’sInformationLinecalls 35,805 • AmericanLiverFoundation (414)345-3000 Our Histoy & Heritage Orthopaedics& Rehabilitation • Women’sInformationLine 344-0233 Physical& OccupationalTherapy • Freedom55/65 283-7253 1863— ReverendWilliamA.Passavant,Sr.,opened Speech& AudiologyService • MilwaukeeHeartInstitute 283-7400 MilwaukeeHospital,whichbecameLutheranHospitalof InpatientRehabilitationProgram Milwaukee. SportsMedicineInstitute 1902— TheJewishHospitalAssociationfoundedMount AdvisoiyBoard PrimaryCare SinaiHospital. GeriatricsInstitute • MilwaukeeHeartInstitute 1910— Anorderof GermanProtestantnursingsisters PrimaryCareClinic • WomenSourceAdvisoryCouncil foundedDeaconessHospital. PediatricClinic 1980— Deaconessand LutheranHospitalsmerged,form AdolescentProgram ingGoodSamaritanMedicalCenter. Residencyand FellowshipAffiliations& JohnstonPrimaryCareClinic 1984— GoodSamaritanMedicalCenteraffiliatedwithSt. Programs MitchelLPointFamilyHealthCenter Luke’sMedicalCenter,formingSt.Luke’sSamaritanHealth WisconsinAvenueFamilyCareCenter The UniversityofWisconsinMedicalSchool Care. Women’sHealthServices • Cardiology 1987 — GoodSamaritanmergedwithMountSinai,form InpatientObstetricsUnit • InternalMedicine ingSinaiSamaritanMedicalCenter.AuroraHealthCare Obstetrics& GynecologyClinic • Gastroenterology becamethe newnameoftheparent company. NeonatalIntensiveCareUnit • Geriatrics 1993— MilwaukeeHeartInstituteopens. SexualAssaultTreatmentCenter • Obstetrics& Gynecology 1995— OutpatientHealthCenteropens. • Psychiatry TheMedicalCollegeofWisconsin Accreditations Patient Services • Anesthesiology • JointCommissionon AccreditationofHeafthcare • ChildPsychiatry CardiovascularMedicine Organizations(JCAHO) • Orthopaedics MilwaukeeHeartInstitute • CommissiononAccreditationof RehabilitationFacilities • Otolaryngology Prevention& Rehabilitation (CARF) • Surgery Diagnosis& Treatment • AccreditationCouncilfor GraduateMedicalEducation Research& Education (ACGME) MilwaukeeHeartResearchProlect ClinicalAffiliations • AccreditationCouncilfor ContinuingMedicalEducation MobileCardiacPulmonaryTesting (ACCME) StudentNurses Gastroenterology • CancerProgramAccreditationthroughthe American • MarquetteUniversity ComprehensiveDiagnostics Collegeof Surgeons • UniversityofWisconsin(UW)Milwaukee AdvancedTherapeuticEndoscopy • MammographyProgramAccreditationthroughthe • Carroll-ColumbiaCollegeofNursing ClinicalGastrointestinalResearchCenter AmericanCollegeofRadiology • CardinalStritchCollege CenterforInflammatoryBowelDisease • Collegeof AmericanPathologistsLaboratory • MilwaukeeCountyMedicalComplex MentalHealth Accreditation • MarionCollege Alcoholand OtherDrugAbuse • AmericanAssociationofAccreditationof Laboratory • MilwaukeeAreaTechnicalCollege(MATC) Diagnostic& EvaluationServices AnimalCare GraduateNursingStudents BehavioralMedicineServices • AmericanAssociationofBloodBankingLaboratory • UWMadison Inpatient& OutpatientServices Accreditation • UWOshkosh Partial Hospitalization • MarquetteUniversity Oncology AthleticTraining MedicalOncologyClinic PhysicianReferral& Programs • MarquetteUniversity RadiationOncologyProgram • CALL-A-NURSE 342-7676 • UWMilwaukee • SportsMedicineHotlineTM 283-7776 Two Rivers Community Hospital • SpeechPathology • SocialServices AuroraHealthCare • Ultrasound

ExecutiveStaff BarbaraBielmeier,Chairman 1994FactSheet StevenSpencer,President RobertGahI,M.D.,ChiefofStaff JudiStroud,RN, MSN,VicePresident, Our Mission PatientCareServices ...isto servethehealthcareneedsof ourpatients,residents, JohnDenkert,DirectorofFinance andthe community. CandyTappen,DirectorofHumanResources ..berecognizedby our communityasa centeremphasizing costeffectivecare,education,prevention,and supportiveser vices. TwoRiversCommunityHospital,Inc. .reflectin our servicesthe importanceandvalueofthe indi 2500GarfieldStreet vidualandfamilyin the experiencesof sicknessand health. TwoRivers,Wisconsin54241 ...providecommitmentandexcellencein services. (414)793-1178 Our Vision MaritimeHealthWorks 1000MaritimeDrive ...iscommittedto promoting,improving,and supportingthe Manitowoc,Wisconsin54220 healthandwell-beingof theresidentsofManitowocCounty.

(414)683-9950 • . .willincludethe multi-disciplinarymanagementof acute andchronicconditionsandmayincreasinglyshiftservices HamiltonMemorialHome beyondthecurrentphysicalboundaries. OneHamiltonDrive ...believesthat educatedandinformedindividualswillmake TwoRivers,Wisconsin54241 appropriatedecisionsrelativeto lifestylechoicesandthe uti (414)793-2261 lizationof our services.

Patient ServiceStatistics Admissions 1,564 Averagelengthof stay 3.4 Patientdays 5,936 Outpatientvisits 18,472 Births 305 Emergencyroomvisits 5,684 Surgeries 1,264 TwoRiversCommunityHospital,Inc. HamiltonMemorialHome PhysicianSpecialties A 138-bedcombinationfacilityconsistingofthreeoperat An 85-bedExtendedCarefacilityHamiltonMemorial • Cardiology ingentities: Homeiscelebratingits 25th Anniversaryin 1995. The • FamilyPractice • TwoRiversCommunityHospital,Inc. Homeisconnectedto TwoRiversCommunityHospital— • Gastroenterology • HamiltonMemorialHome providingconvenientaccessto Hospitalserviceswhenneed • InternalMedicine • MaritimeHealthWorks ed bya resident. • Nephrology Accreditations: HamiltonMemorialHome’songoingre-evaluationensures • Neurology • JointCommissionon Accreditationof Healthcare positiveresultsforresidents— a responsibilityof the entire • Neurosurgery Organizations staffof theHome. A council,consistingof and chairedby • Obstetrics& Gynecology • AmericanAssociationof BloodBanks residents,meetsregularlyto discussissuesand concerns. • OccupationalMedicine • MammographyProgramAccreditationthroughthe • Memberof: • Opthalmology AmericanCollegeof Radiology WisconsinAssociationof Homesand Services • Oral & MaxillofacialSurgery Member: fortheAging • OrthopedicSurgery AmericanHospitalAssociation • Accreditedby: • Otolaryngology TwoidentifiedCentersof Excellence: TheJointCommissionon Accreditationof • Pathology TheBirthCenterand HamiltonMemorialHome HealthcareOrganizationsand LongTermCareFacilities • Pediatrics& AdolescentMedicine • Licensedby: • Pulmonology TheWisconsinDivisionofHealth • Radiology TheBirth Center • Surgery It isthegoalof TheBirthCenterstaffto “Makelasting • Urology memoriesforthe newmother,baby,and family...”The MaritimeHealthWorks newlyremodeledBirthCenterofferspremium,one-on-one AnOccupationalHealthfacilityofferingcomprehensive Services carein a verywelcoming,home-likeatmospherewherestate- healthandwellnessservicesthat arespecificto the reeds of Professional of-the-arttechnologyis standard. businessandindustry.Servicesprovidedinclude: • CardiacCatheterizationServices Meetingthe needsof mother,baby,and familyisthe inter • ADAcompliancephysicals • Cardiodiagnostics estofTheBirthCenter In additionto theirprofessional, • Consulting • ClinicalLaboratory caringphysiciansand nurses,TheBirthCenteroffersthe fol • DOTexaminations • CommunityHealthEducation lowing: • Drugscreening • CTScans • PreparedChildbirthClasses • Functionalcapacityevaluations • DiabetesEducation • BreastfeedingClasses • Healthpromotionlwellness • DiagnosticImaging • InfantCareClasses • Hearingconservation • Dietitians • SiblingPreparationClasses • Immunizations • Echocardiography- Adult& Pediatric • Post-DeliveryEducation • Industrialinjurytreatment • EmergencyDepartment • Injurycasemanagementandtracking • IntensiveCare • Job analysisandergonomicassessments • IntravenousTherapyServices • Medicalsurveillanceprogram • Mammography • Preventiveeducation • Medical/SurgicalServices • Rehabilitationtherapy • NuclearMedicine • OccupationalHealth • OccupationaLTherapy • Pharmacy • PhysicalTherapyServices • RespiratoryTherapy St.Luke’sMedical Center Accreditations ExecutiveStaff • JointCommissionon Accreditationof Healthcare NedBechtold,Chairmanof theBoard AuroraHealthCare Organizations MarkAmbrosius,President • CommissiononAccreditationof RehabilitationFacilities BarryUsow,M.D.,PresidentofMedicalStaff • CancerProgramAccreditationthroughtheAmerican VickiGeorge,R.N.,VicePresident CollegeofSurgeons BradleyHolmes,VicePresident,Philanthropy 1994FactSheet • AccreditationCouncilforGraduateMedicalEducation FrankJ.Kalivoda,VicePresident • CollegeAmericanPathologistsLaboratoryAccreditation RichardKlein,VicePresident • MammographyProgramAccreditationthroughthe MichaelP.Panosh,VicePresident,Finance Patient ServiceStatistics Collegeof Radiology WilliamA.Romo,VicePresident American Inpatientdischarges 24,289 • of BloodBankingLaboratory frank L.Cummins,VicePresident,HumanResources AmericanAssociation Inpatientdays 162,856 Accreditation Averagelengthofstay(days) 6.7 • Accreditation Committeeon AlliedHealthEducationand Intensivecaredays 18,871 • Medicine Commission St.Luke’sMedicalCenter Nuclear Regulatory Emergencyvisits 44,161 • College NuclearPhysicians 2900WestOklahomaAvenue American of Outpatientsvisits 278,621 Milwaukee,Wisconsin53215 • AmericanSleepDisordersAssociationAccreditation FamilyPracticeCentervisits 17,780 inDiagnostic (414)649-6000 • JointReviewCommitteeon Education Totalinvasiveheartprocedures MedicalSonography Includescardiaccatheterizations,coronaryangioplasty, • IntersocialCommissionfortheAccreditationofVascular electrophysiology& ablationprocedures Laboratories andheartsurgeries 15,050 Radiologic • JointReviewCommitteeon Educationin Cardiacrehabilitationvisits 26,470 Technology Radiationtherapyandchemotherapytreatments • AmericanAccreditationofTissueBanks forcancerpatients 36,059 TotalOperatingRoomcases 13,103 MedicalStaff Hospitalsamedaysurgeries 4,738 St.Luke’sSurgeryCentercases 1,929 Active 325 Inpatientrehabilitationdays 15,293 Consulting 15 Hyperbaricmedicinetreatments 3,553 Courtesy 224 Births 1,157 Associate 126 Honorary 87 Highlights

• Openedthe43,000-square-footSt.Luke’s- NewBerlin HealthCareCenterfeaturinga widerangeofprimaryand specialtycarephysicianoffices,diagnosticandimagingser vices,physicaltherapyandsportsmedicinerehabilitation,a pharmacy,a laboratoryanda communityeducationroom. • EstablishedSt.Luke’sMadisonStreetOutreachClinic,a free,walk-in,communitybasedclinicin theSocial DevelopmentCommission’sSouthsideNeighborhoodCenter. SinceJanuary,a nurse-managedteamof volunteerphysicians, familypracticeresidents,andnursepractitionerstudentshas providedqualityhealthcarein a settingwherelanguage, culturalandfinancialbarriersareaddressed.

I • OpenedtheMitchellPointFamilyHealthCenter,a CentersofExcellence RehabilitationServices: community-basedfamilypracticeclinicsponsoredbySt. Asthelargesthospital-basedrehabilitationcenterin CardiacCare: Luke’sandSinaiSamaritanMedicalCenterandstaffedby Wisconsin,St.Luke’shelpspeoplefromallwalksoflife,of Moreheartsurgeries,hearttransplants,cardiaccatheteriza UniversityofWisconsinphysicians. allages.Occupationalandphysicaltherapists,speech tionsandangioplastiesareperformedat St.Luke’sthanat any • BecametheMidwest’sfirsthospitalto implantthevented pathologists,psychologists,socialworkers,therapeutic otherhospitalinWisconsin.Innovationanddedicationto electricHeartmateventricularassistdevice,andthefirstto recreationspecialists,andregisterednursesspeciallytrained excellencehaveplacedSt.Luke’sontheleadingedgeof managethecareofpatientsat homewhiletheirheartswere incaringforrehabilitationpatientsallworktogetherto cardiaccarefordecades. beingsupportedbythedevice. assistpatientsinputtingtheirlivesbacktogether. • Comprehensivediagnostic,medicalandsurgicalcare • Implementeda “RapidRecovery”programforheart • Individuallytailoredstroke,orthopedic,amputee,brain • Completevascularandheartsurgeryprogram surgerypatientsto reducehospitalizationcostswhilemain injuryandpediatricrehabilitationprograms • Medicare-approvedhearttransplantprogram,andUNOS tainingqualityoutcomes. • Dedicatedphysicianspecialists approvedheart,lungandheart-lungtransplantprogram • OpenedthefirstaffiliatesiteofSt.Luke’sVinceLombardi • ComprehensiveWorkInjuryProgramandSportsMedicine • Experiencedcardiacintensiveandmedical-surgicalnursing CancerClinicat theEasternWisconsinRegionalCancer Centers care Centerin Sheboygan.Thisoutreacheffortfocusesonpatient, • Fiveconvenientoutpatientlocations • Practicalcardiacwellnessandpreventionprograms, communityandprofessionaleducationandresearchsupport. includingHeartDiseaseReversalProgram • Implementedanexclusive,capitatedmanagedcarecontract EmergencyServices: withCompcareto provideoutpatientoccupationaland Teamsofhighlyskilled,board-certifiedphysiciansandnurses CancerCare: physicaltherapyfor29,000enrollees. speciallytrainedinemergencycareareavailablearoundthe St.Luke’sofferstheverylatestcaicertreatmenttechniques • TheAutologousBoneMarrowTransplantProgramtreated clockat St.Luke’sEmergencyDepartment.State-of-the-art fromsurgeryandchemotherapyto radiationtherapy,autolo its100thpatientinMarch.TheHeartTransplantProgram’s technologyisessentialfortreatingmedicalemergencies,and gousbonemarrowtransplantationandimmunotherapy.In 200thpatientreceivedtheirheartinJune. St.Luke’sisequippedwithsomeofthemostadvanced 1994,thehospitaltreatedthehighestvolumeofcancer • Openeda comprehensiveWomen’sHealthResourceLibrary technologiesinWisconsinfortreatingpatientsofcarbon patientsofanyhospitalinsoutheasternWisconsin. to servetheeducationalneedsofpatients,staffandthe monoxidepoisoningandsmokeinhalation. • Advancedtechnology,treatmentsandrehabilitation community. • Renownedreceivingcenterforcardiacemergencies • VinceLombardiCancerClinicforoutpatientservices • Consolidatedthehospital’sChronicPainProgramwiththe • Physician-monitoredcriticalcareinter-hospitaltransport • Comprehensiveprevention,screeningandeducation AnesthesiologyPamCenterto offera comprehensivepain service • Understandingandknowledgeablesupportgroups managementprogramto patients. • Trainedandexperiencedcrisis-interventionteam • TheImmunotherapyProgramopenedtwonewcancer • InternationalTravelClinic Women’sHealthcare: protocolsinJuly,utilizinga formofcellularimmunotherapy St.Luke’sisrespondingto thegrowingdemandforwomen’s calledAutolymphocyteTherapy. healthcareservicesandoffersa fullrangeofdiagnostic, Medicaland SurgicalSpecialties: • Establisheda comprehensiveBreastCareProgramto medical,surgical,therapeuticandeducationalhealthservices providescreening,earlydetection,education,treatmentand St.Luke’sMedicalCenterhasa fullcomplementofmedical specificallyforwomenthroughoutthedifferentphasesoftheir supportservicesforwomen.TheCancerProgramalso andsurgicalspecialtiesto meettheneedsofthecommunity, lives.Totalmaternitycare,perinatalservices,familycare, expandeditsMusculoskeletalTumorService,andits including: lifestyleprograms,personalhealthcare,infertilityservices, programsinlung,prostateandgynecologiccancers. • ear,noseandthroat• endocrine-diabetes membershipprogramandphysicianreferralareallcompo • Emergencypatientvolumegrewbyfourpercentdespite • gastroenterology• hyperbaricmedicine• laserand nentsofSt.Luke’sgrowingWomen’sHealthcareServices. declinesinemergencypatientcensusacrossthecity. endoscopicspecialtytreatment• mentalhealth neurology • BirthingCenterofferingone-roommaternitycareand • OpenedtheAdvancedHeartFailureCenterto increase • neurosurgery• ophthalmology• orthopedics• pulmonary 24-houranesthesiology chronicheartfailurepatients’abilityto functionandto medicine• sleepdisorders. • NurseryCenterto careforhealthyinfantsaswellasinfants improvetheirqualityoflife. Thehospitalalsooffersa DoctorReferralServicewith withspecialneeds • SignedwiththeCityofWestAllisthehospital’sfirst accessto nearly400physiciansintheMilwaukeearea. A • DedicatedWomen’sHealthUnitforwomen’ssurgery contractto providecrisisinterventionthroughtheEmergency registerednurseanswerseachcallat 414-649-6565. • Childlifespecialistsparticipateinpediatriccarethroughout Department’sCrisisInterventionTeam. St.Luke’s • Volumeofthehospital’sInternationalTravelersClinichas • Sick-childcareservice& wellchilddaycare morethandoubledsincetheprogram’sinceptionin 1986. • Educationallecturesandclasses,andsupportgroups SheboyganMemorial Accreditations ExecutiveStaff Medical Center

• JointCommissionon AccreditationofHeafthcare FrankE.Pringle,Chairmanof theBoard Organizations PatrickJ.Trottei President AuroraflealtliCare • Commissionon Accreditationof RehabilitationFacilities WarrenA.Brauer,M.D.,ChiefofStaff • CancerProgramAccreditationthroughtheAmerican KevinJ.Jones,VicePresident,Finance Collegeof Surgeons SheilaR. Simenz,VicePresident,PatientCareServices • MammographyProgramAccreditationthroughthe RaeEllenS.Stager,VicePresident,Business& 1994FACTSHEET AmericanCollegeof Radiology CommunityServices • AccreditationCouncilfor ContinuingMedicalEducation T.GreggWatson,VicePresident,Quality& Resource ofthe AmericanMedicalAssociation Management MissionStatement • StateofWisconsinDepartmentofHealthandSocial SheboyganMemorialMedicalCenterisa locallydirected, ServicesCertificationfor:AODAInpatientEmergency charitablehealthcareorganizationprovidingleadershipin Care;AODAOutpatient;AODADayTreatment; SheboyganMemorialMedicalCenter improvingthe healthstatusofthe communitiesit serves. AODAInpatient;MentalHealthOutpatientServices; 2629N. 7th Street Througha flexible,responsiveworkenvironmentwhichfos MentalHealthInpatient;MentalHealthEmergency Sheboygan,WI 53083-4998 terscreativity,technologicaladvancement,andemployee Inpatient;MentalHealthAdolescentInpatient (414)451-5000 development,SheboyganMemorialprovideshighquality, • CollegeofAmericanPathologistsLaboratory costeffectiveservicesto thegreaterSheboyganCountyarea. Accreditation Our healthcarephilosophyfocuseson mind,body,and • C.L.I.A. spiritthrougha personalizedapproachwithrespectforindi • AmericanAssociationof BloodBanks vidualdignityand strivesforthe highestqualityof lifewith • U.S.NuclearRegulatoryCommission availableresources. • U.S.FoodandDrugAdministration

Patient ServiceStatistics MedicalStaff/Faculty Adultinpatientadmissions 4,991 Active 135 Daysof adultcare 23,527 Consulting 20 Averagelengthof stay(days) 4.71 Courtesy 25 Emergencyvisits 8,894 Honorary 31 Operatingroomcases 1,393 Samedaysurgeries 3,958 Births 819 Women’sInformationLinecalls 6,926

Our History& Heritage

1933 - Sheboygan’snew94-bedhospitalopensthanksto substantialfundingfromthe Lutherancommunityandthe ElizaPrangeEstate. 1950 - PsychiatricserviceopensmakingMemorialoneof threeacutecareWisconsinhospitalsofferinginpatientpsy chiatriccare. 1970 - Followingseveralrenovationsand additions,bed total expandsto 250;MemorialintroducesfirstIntensive CoronaryCareUnitin county. 1974 - SouthWingcompletedwithcounty’sfirstdesignated RehabilitationUnitat Memorial,in cooperationwith CommunityPartnershipsand Memberships emergencycenterwith24-hourin-housephysician. St.Luke’sMedicalCenter,Milwaukee • AmericanHospitalAssociation 1986 - CommunityHealthSystemsformedto provide SpeechandLanguagePathology • WisconsinHospitalAssociation sharedmanagementfor SheboyganMemorialMedical EmergencyServices • WisconsinAssociationforWomen’sHealth CenterandValleyViewMedicalCenter. Lifeline • SheboyganCountyMentalHealthAssociation 1992 - SheboyganMemorialMedicalCenterbecomes OrangeCrossAmbulance • NationalHospiceOrganization affiliateofAuroraHealthCare. PoisonControlCenter/Micromedex • AmericanHeartAssociationofWisconsin CCISPoisonInformationCenter • AmericanDiabetesAssociationof Wisconsin SexualAssaultTreatmentServices Services • AmericanCancerSocietyofWisconsin Patient TraumaRoom • SheboyganCountyChamberof Commerce PatientCare 24-hourIn-HousePhysicianCoverage CancerTreatmentServices Other ChemicalDependencyTreatmentServices ChaplaincyProgram CommunityProjects CriticalCareand CardiovascularServices CommunityEducationPrograms • HealthySheboyganCounty2000 MentalHealthServices EmployeeAssistanceProgram • SalvationArmyClinic Obstetrics HealthScreenings OrthopaedicUnit LifeStreamWomen’sHealthCenter Pediatrics OccupationalHealthServicesLjncludesInjuryand CooperativeEducationalPrograms SocialServices CaseManagement) • Partnershipin EducationwithJeffersonElementary SurgicalServiceswithOutpatientTreatment SupportGroups School WeightManagementServices Pharmacy • LakeshoreTechnicalCollege DiagnosticServices TumorRegistrar • SheboyganSchoolSystemShadow/MentorProgram BreastCancerScreeningProgram VolunteerServices CardiacCatheterizationLab WorkHardeningProgram CTDiagnosticScanning Health Education/Programs LaboratoryServices Line(414)451-5536 ProfessionalEducationPrograms • Women’sHealthInformation LithotripsyUnitforKidneyStoneRemoval • LifeStreamLibraryResourceCenter MRI DiagnosticScanning SheboyganMemorialMedicalCenterhasclinicaleduca • LifeStreamWomanof the YearProgram NuclearMedicine tioncontractswithMarquetteUniversity,Universityof • HealthlineRadioShow Radiology Wisconsin-MadisonandLaCrosse,MATC,andNE • HEALTHLINESPhone-inInformationSystem RespiratoryTherapy TechnicalCollegeforphysicaltherapy;withUniversityof -451-5514 UltrasoundImaging Wisconsin-Milwaukee,MATC,MountMaryCollege, • Freedom55/65 ElderlyBenefitsProgram VascularLaboratory WesternMichiganUniversityandtheMedicalCollegeof • HealthScreenings RehabilitationServices Ohioforoccupationaltherapy. • SupportGroups/Classes AdaptiveFitness SheboyganMemorialMedicalCenterhasthe following CardiacCare/Rehabilitation clinicalaffiliations:LakeshoreTechnicalCollege- medical HandInjuriesManagement secretary,nursingandmedicalassistantprograms,associate IndustrialRehabilitationServices degreeregisterednurses,studenttrainingprogramforradio- OccupationalTherapy logictechnologists,studenttrainingprogramforpharmacy

OutpatientClinics- Orthotics,Prosthetics,Wheelchair technicians;MoraineParkTechnicalCollege- medical andAdaptiveSeating recordtechnicianprogram. PhysicalTherapy SheboyganMemorialMedicalCenter/OrangeCross PulmonaryRehabilitationServices AmbulancehasclinicalaffiliationswithLakeshoreTechnical Collegeforparamedictrainingprogram. Milwaukee Psychiatric Hospital ExecutiveStaff RussellW.Britt,Chairmanof the Board Aurora HealthCare GeraldE. Schley,President AnthonyD. Meyer,M.D.,MedicalDirector JohnRydzewski,VicePresident,Operations KathleenSkowlund,VicePresident,Nursingand Sheet PatientServices 1994Fact JamesStubler,VicePresident,Finance Gary Gilberti,VicePresident,BusinessDevelopment Mission/VisionStatement

Our missionisto responsiblyprovidequality,cost- Locations effectivementalhealthand addictionmedicineservicesto our patientsandcommunity,in a caringmannerthat reflects Main HospitalCampus the dignityandindividualityof eachperson. 1220DeweyAvenue,Wauwatosa,WI 53213 MilwaukeePsychiatricHospitalwillbetheproviderof (414)454-6600 choiceforpsychiatricandaddictionmedicinecarefor south easternWisconsinand beyond.Leadershipwillbefocused MainCampusincludes: on inpatient,residential,partialhospitalizationand WauwatosaCounselingCenter 454-6500 outpatientservicesforchildren,adolescentsandadults. Childand FamilyCenter 454-6500 MilwaukeePsychiatricHospitalwillmaintaina fully-accred HerringronRecoveryHome 454-6690 itedprimarythroughsecondaryschool,andwillcontinueto KradwellSchool 454-6590 provideclinicaltrainingto healthcareprofessionals. LortonProfessionalBuilding 454-6610 OutpatientAddictionMedicine 454-6690 Patient ServiceStatistics BranchOffices: Totaladmissions 1,997 North ShoreCounselingCenter (414)964-2828 Averagelengthof stay 8.0 5900N. PortWashingtonRoad Totalpatientdays 24,069 Glendale,WI53214 Outpatientvisits 36,571 NewBerlinCounselingCenter (414)796-8426 14555W.NationalAvenue NewBerlin,WI53151 History 425-1250 FranklinCounselingCenter (414) 1284— Dr.JamesMcBrideestablishedMilwaukee 9200W.LoomisRoad Sanitariumin theVillageofWauwatosa. Franklin,WI53132 1895 — Dr.RichardDeweyinauguratedthefirstprogram McBrideCounselingCenter (608)255-1116 forin-servicetrainingofpsychiatricattendantsin the 1050RegentStreet Midwest. Madison,WI53715 Early1900’s— Underthe GuidanceofDr.RockSleyster,the (414)482-7700 LakeShoreCounselingCenter standardsof patientcareanddevelopmentraisedthehospi E.Layton 2000 tal’simageto a nationallyrecognizedlevel. Milwaukee,WI53207 1954— TheboardoftheAdaP.KradwellFoundationpur chasedthe assetsof MilwaukeeSanitarium,creatinga non profithospitalknownas theMilwaukeeSanitarium Foundation,Inc. 1955 — MilwaukeeSanitariumFoundationenteredintoan ChildandAdolescentServices CommunityPartnershipsand Memberships agreementwiththeMarquetteUniversitySchoolof • Assessment,Diagnosis,Evaluation Memberof: Medicine(nowtheMedicalCollegeof Wisconsin)to • OutpatientChildandFamilyCenter • NationalAssociationof PsychiatricHealthSystems establishan educationalprogramformedicalstudentsin • DualDiagnosisProgram • AmericanHospitalAssociation psychiatry. • EatingDisorders • WisconsinHospitalAssociation 1962— Departmentof SocialWorkServiceswasorganized • AdolescentPartialHospital • MedicalCollegeofWisconsinAffiliatedHospitals to increaseinvolvementandparticipationoffamilies. • InpatientPsychiatricProgram • HospitalCouncilof GreaterMilwaukee 1963— KradwellHighSchoolfor adolescentswas • KradwellSchool • AmericanSocietyofAddictionMedicine established.Servicesto meetthe specificneedsofyoung • StateMedicalSocietyon Alcoholand OtherDrugAbuse people,12through18yearsof age,wereexpandedto Accreditations • OsteopathSocietyforImpairedPhysiciansBoard includeoutpatientand dayhospitalservices. • NationalAssociationof MedicalStaffServices 1964— MilwaukeeSanitariumwasrenamedMilwaukee • JointCommissionon Accreditationof Healthcare • WauwatosaChamberof Commerce PsychiatricHospital. Outpatientclinicserviceswere Organizations expandedthrougha grantprovidedbytheAllen-Bradley • AmericanAssociationofPsychiatricServicesfor Children Hometo: Foundation. • McBrideCenterfortheImpairedProfessional 1972— DeweyCenterwasestablishedto treat alcoholand HealthEducationPrograms • KradwellSchool chemicaldependency. • Child& FamilyCenter 1984— New 105-bedhospitalfacilityis openedduring • Outpatientand CommunitySrvicesCenter • Survivorsof TraumaticExperiences MilwaukeePsychiatric’sCentennialyear. Education/PreventionPrograms- 454-6500 1993— February1,MilwaukeePsychiatricHospitalbecame • ContemporaryIssuesin MentalHealthandAddiction the firstspecialtyhospitalto affiliatewithAuroraHealth MedicineProfessionalPresentations- 454-6485 Associations • SchoolSupportProgram:Educationaland trainingservices Care. • MentalHealthAssociationofMilwaukeeCounty forschoolpersonnelandparentgroups- 454-6489 • Allianceforthe MentallyIll Patient Services ProfessionalEducationPrograms AdultMentalHealthServices CommunityAffiliations MilwaukeePsychiatricHospitalisaffiliatedwiththe • Assessment,Diagnosis,Evaluation • ElmbrookD.A.R.E.Program MedicalCollegeofWisconsinforfellowshipprogramsin • Partialhospitalization,inpatientand outpatientservices • TosaUnited • SpecialtyServices childand adolescentpsychiatryand addictionmedicine. is - MoodDisorders MilwaukeePsychiatricHospital an undergraduateteach in - EatingDisorders ingfacilityofthe MedicalCollegeofWisconsin psychiatry MedicalStaff and addictionmedicine. - AnxietyDisorders Members 95 MilwaukeePsychiatricHospitalhasa clinicalaffiliation - DualDiagnosis Active 73 withSt.Luke’sand St.Mary’sFamilyPracticeResidency - Post-TraumaticStressDisorder Consulting 12 Programforresidentsin attendancein mentalhealthand Honorary 3 addictionmedicine. AdultAddictionMedicineServices House 7 MilwaukeePsychiatricHospitalisaffiliatedwiththe • Assessment,Diagnosis,Evaluation AlliedHealth 70 • Comprehensivetreatmentforalcoholand otherdrug MedicalCollegeofWisconsin,Departmentof Internal addictions Medicinethroughrotationsin psychiatryand addiction • McBrideCenterfortheImpairedProfessional medicine. • CompulsiveGambling/SpendingProgram MilwaukeePsychiatricHospitalisa clinicallearningsite • HerringtonRecoveryHome forstudentnursesfromMarquetteUniversity,Universityof • Inpatient,residential,partialhospitalizationand Wisconsin-Milwaukee,CardinalStritchCollege,Carroll- outpatientservices Columbia,andMilwaukeeAreaTechnicalCollege(MATC).

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to Memberships phasein itshistory.Thenewsiteallowsusto remainin our 1994Highlights centralcitylocation,whilegivingusthespaceto growinthe PreventionServicesFor High-RiskFamilies directionwe’vechartedforthefuture. Thisdirection ParentingEducation/PeerFacilitatorTraining emphasizesprimaryprevention,a collaborative,integrated • 804hoursofgroup-basedparentingeducationandfollow- approachthattakesintoaccountthetotalenvironmentin up supportwereprovidedto 278high-risk,centralcityfami whicha familyfunctionsandseeksto reachthembefore lieswith766familymembers seriousproblemsdevelop. • Collaboratedwithfourcentralcityagenciesandchurches familyServiceofMilwaukee’sevolutionfroma deficit- andsix I\’lilwaukeePublicSchools,includingtwo programs basedmentalhealthinterventionagencyto a demonstration in Spanishandoneforthree-generationfamilies andtrainingcenterforcompetency-basedfamilyempower • 113hoursoftrainingand1,268hoursofconsultationand mentprogramscanbeseenasthethirdrevolutionin service supervisionwereprovidedto peerfacilitators,professionals deliveryin our 112-yearhistory... thefirstbeingthe “home andcommunityvolunteersin thefieldoffamilysupport. maker/friendlyvisitor”modelofourearlyyears,andthe Ninetyparentgraduateshavebeentrainedaspeerfacilita secondbeingtheprofessionalmentalhealthmodel.Weare tors. continuingourtraditionofprovidingleadershipinsolving HomebasedServices communityproblemsbyworkingcollaborativelywithother • Multi-disciplinaryservicesprovidedto 797families organizations.Attheheartofthistraditionisa commitment (including323adolescentmothersand4$ mothersstrug to developingstate-of-the-artprogramsforfamiliesandthe glingwithmentalillness) intensive,comprehensivetrainingneededto deliverthem. • 940homevisitswereprovidedto 426first-timeparents Toeffectivelycarryoutourmissionina rapidly-changing • 140familieswereprovidedaccessto prenatalcare healthcareenvironment,FamilyServiceofMilwaukeespent ProfessionalEducation/FTfl muchof 1994exploringpartnershipswithlargerservicenet • 1,474hoursofpsychotherapyprovidedthroughour works. Amaincriterionforanysuchallianceisinsuringa FamilyTherapyTrainingInstituteto individualsandfamilies sharedphilosophyandcommitmentto providinga full withoutresourcesto paythecostofservice continuumofaccessible,qualitycareto centralcityresidents. SchoolCollaborations Asweprepareto launchoursecondfullcenturyofservice • TheKIDSFIRSTCoalitiongrewto 200organizationsand to theMilwaukeecommunity,FamilyServiceremainsonthe individuals,developingresourcestargetedto eleven cuttingedgeofchange,whilehonoringandbuildingon our MilwaukeePublicSchools pastaccomplishments.Byremainingtrueto thepioneering spiritthatmoveda groupofcivic-mindedvolunteersto CounselingServicesFor FamiliesIn Crisis establishtheagencyovera centuryago,FamilyServiceof BehavioralHealth/EmployeeAssistancePrograms Milwaukeelookstowarda futureofexpandedopportunity, • 13,086hoursofindividualandfamilypsychotherapy witha strongbeliefin thepowerandwisdomoffamilies. • 131businessesandorganizationscontractedforEAPser vices,covering49,385employeesandtheirfamilies ConsumerCreditCounseling • 5,386hoursofmoneymanagementcounseling lab care. 54 3.4 a 165 prices 876 166 938 867 630 323 of on times 1,044 3,422 4,075 treat in 10,084 County. October use fair term beds, facilities. and focus at and on which beds wise

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Executive Medical 1957 - a $500,000renovationprovideda newObstetrics PulmonaryRehabilitation Departmentandnursery,a majorsurgerysuite,newfront SpeechPathology entrance,lobby,officeandconferencespace. Sub-AcuteCareUnit(Swing-Bed) February,1970 - a new48-bedacutecarehospitalwas EmergencyServices dedicated. Staffedwitha 24-HourIn-HousePhysician 1982 - the 60-bedValleyManorNursingHomeand 32 PrimaryCareWalk-InClinic unitSouthHorizonApartmentsfortheelderlywereadded. Other 1984 - ValleyViewMedicalCenterexpandedto include DrugScreening daycareforchildren,and a professionalofficebuilding,and OccupationalHealthServices subsequentlychangeditsnamefromPlymouthHospitalto Pharmacy ValleyViewMedicalCenter. VolunteerServices

1990 - a newEmergencyServicesDepartmentwas EmployeeAssistanceProgram dedicatedwhichallowedValleyViewMedicalCenterto offerenhancedand expandedservicesto our communityand Accreditations outlyingareas.

1992 - ValleyViewMedicalCenterbecameaffiliatedwith • AmericanAssociationofBloodBanks AuroraHealthCare. • JointCommissionon AccreditationofHealthcare Organizations • C.L.I.A. Patient Services • CollegeofAmericanPathologistsLaboratory PatientCare Accreditation CardiacCareUnit • MammographyProgramAccreditationthroughthe Chemotherapy AmericanCollegeof Radiology HospiceCare Medical/SurgicalServices Health CounselingAndEducationPrograms Obstetrics Outpatientor SameDayServices • Baby-sittingClasses RespiratoryCare • Infant/ChildCPRClasses SocialServices • BirthingClasses Surgery • NutritionalCounselingClasses DiagnosticServices • CancerScreeningPrograms(Prostate& SkinCancer) BreastCancerScreeningProgram • CardiacRehabilitationandEducation CTDiagnosticScanning • DiabeticEducation LaboratoryServices • DiabeticScreening MRI DiagnosticScanning • Freedom55/65ElderlyBenefitsProgram NuclearCardiology • HepatitisBEducation& Vaccination NuclearMedicine • LifestreamWomen’sHealthCenter RadiologyServices • NeedleBoxExchangeProgram UltrasoundImaging • SupportGroups/Classes RehabilitationServices CardiacRehabilitation IndustrialRehabilitationServices OccupationalTherapy PhysicalTherapy

- c Visiting Nurse Association Offices Of Wisconsin

In additionto itsmainoffice,VNAhasofficesin thefollow ingareas: AuroraHealthCare Cedarburg HartfordMemorialHospital AuroraHealthCenterinKenosha Plymouth 1994FactSheet Sheboygan MissionStatement VisitingNurseAssociationofWisconsin TheVisitingNurseAssociationistheleadinghomehealth 11333W NationalAvenue providerinWisconsindedicatedto personalized,high Milwaukee,WI 53227 quality,cost-effectivecare,whichenablesthepatientand (414)327-2295 his/herfamilyto achieveandmaintaintheirmaximumlevel ofindependenceinthecommunity.Webelievein beinga VisitingNurseAssociationofSheboygan responsibleandarticulatevoiceregardingpatientcareneeds 3306SuperiorAvenue andadvocacyto legislativeandregulatorybodies.Wealso Sheboygan,WI53081 believethat it isonlythroughthededicationandskillof (414) 458-4314 our staffthatweachieveourqualityofserviceandour compassionforthoseweserve.

Patient ServiceStatistics

Totalpatientsservedallprograms 7,994 Totalvisits(includingRN,therapies, homehealthaideandsocialworker 135,406 Hospicedays 20,584 Privatedutyhours 12,823 Homemakerhours 61,002 Intravenoustherapyadmissions 171 DurableMedicalEquipmentadmissions 682 Respiratorytherapyadmissions 312 MobileMealsserved 143,057 Volunteerhours 8,040 Flushots 45,000 Histoiy CommunityMemberships/Involvement

• Foundedin 1907. • Chartermemberof theVisitingNurseAssociations • 1988 - BecameaffiliatedwithAuroraHealthCare. ofAmerica

• 1993- SheboyganVNAaffiliatedwithMilwaukeeVNA • Chartermemberof theWisconsinHomecareOrganization andAuroraHealthCare. • WisconsinAssociationof MedicalEquipmentSuppliers • Chartermemberof theUnitedWayof Greater Milwaukee,Inc. 1994Highlights • SheboyganAreaUnitedWay,Inc. • Initiateda newbusiness,AuroraHomeMedicalServices • HospiceofWisconsin (AHMS).Thiscompanyprovidesdurablemedicalequip ment,intravenousandrespiratorytherapy.ARMSwillserve ClinicalAffiliations allAuroraaffiliatesin easternWisconsinbeginningin May of 1995. Bytheendof 1994,AMHShad served2,000 • AlvernoCollegeofNursing patientsthanksto the cooperationof allAuroraaffiliates. • CardinalStritchCollegeof Nursing • In cooperationwithChildren’sHospitalof Wisconsin, • Carroll-ColumbiaMarion(nursingstudents) VNAbegana PediatricHomeCareProgram.Weserved • LakeshoreTechnical(ADNstudents) 800childrenandtheirfamiliesin 1994. • MarionCollege-Fonddu Lac(nursingstudents) • TheShoothe FluProgramhad a recordyear. Weserved • MarquetteUniversity 10countiesandgave45,000fluinjections. • MilwaukeeAreaTechnicalCollege • SheboyganjoinedMilwaukeein providingthe Rapid • MilwaukeeSchoolof Engineering RecoveryCardiacProgram.In 1994,129patientsreceived • Universityof Wisconsin-Madison 422 visitsin thisprogram. • UniversityofWisconsin-Milwaukee • Admissionsto ourHomeHealthProgramgrewby 37% • St.Luke’sFamilyPractice- Residents and our homehealthvisitswereup 30%. • VNAinstalledtheWHINnetwork. It is now beingused ExecutiveStaff by ourcasecoordinatorsat allAurorafacilities. DaveHass,Chairman- Milwaukee JimHansen,Chairman- Sheboygan Accreditations MaryJaneMayer,President • JointCommissionon Accreditationof Healthcare MaryRunge,VicePresident,ChiefOperating0111cer Organizations Milwaukee • CertifiedbyMedicareandMedicaid BobWalters,VicePresident,ChiefOperatingOfficer- • Licensedbythe Stateof Wisconsin Sheboygan John Beran,VicePresident,Finance DeniseAugustin,VicePresident,BusinessDevelopment MarkHilgart,VicePresident,ChiefOperatingOfficer, AuroraHomeMedicalServices