Providing Excellence in Health Care 2007-2011 Report Passion To provide excellence in health care for the communities we serve

Purpose To make a positive difference in the lives of others

Pillars People Service Quality Finance Growth

2 Our employees, physicians and volunteers are committed to our passion of providing excellence in health care for the communities we serve. As we reflect on our significant progress over the past five years, we are pleased to share with you what we’ve accomplished and what we provide.

In this report, you will learn of the ways United Regional has elevated the quality of health care. Our highly skilled physi- cians and staff work together to address not only the most basic medical needs but also have the expertise to treat complex medical conditions and perform the latest surgical procedures. Our programs and services have been awarded nationally- recognized certifications for meeting or exceeding the most stringent quality standards. Our safety and quality standards have reached the highest national benchmarking levels. Our financial strength has allowed us to reinvest in the most advanced and innovative technologies to benefit patient outcomes, build modern and more accessible facilities, bring needed primary care and specialty physicians to the area, and fulfill our strong commitment to provide care for the uninsured.

Our accomplishments have been significant, but we will never be satisfied with the status quo. United Regional will continue to seek new and better ways to provide excellence in health care today and well into the future, benefiting our patients, our community and our region.

Phyllis Cowling President and CEO

people 4 service 10 quality 16 finance 34 growth 36 3 people

The Shoes Off Her Feet We have many stories of caring and compassion at United Regional – how our employees have delivered care that surpasses excellent clinical skills and addresses the patient’s emotional well-being. No one knows this better than a patient who was cared for by Christe Jenkins.

Sometimes the best way to care for someone has nothing to do with medicine at all. Often it’s a simple, compassionate gesture that makes a positive difference in the life of another, which Christe made one cold day in December 2011.

Christe had taken care of this patient several times before but had never noticed the over-sized, worn-out shoes the woman was wearing. After looking at her shoes, she glanced down at her own – an almost new pair of pink and brown cross trainers – and she knew what she would do.

4 “Would you like to have my shoes?” Christe asked. And the woman It takes skilled, caring responded “Yes!” They were both pleased that they were a perfect fit. and compassionate “I looked down at the new shoes on her feet and then up at her face,” employees to provide Christe said, “and she looked happy. excellence in health care. I could go buy another pair of shoes. She couldn’t.” Our employees must be skilled in carrying out Christe commented how nurses tend their job responsibilities, courteous to patients, to learn the needs of their patients, guests and coworkers, and compassionate in beyond the medical treatment the delivery of care. This expectation is set they require, and often have the beginning with the hiring process, at orientation, opportunity to do something more. and is continuously reinforced by leadership On that day, Christe did, even if it throughout the organization. meant going home at the end of her shift wearing just her socks. And once we have hired the right employees, it is important that we provide the benefits that help retain them, activities that reward them and programs that develop their skills for the long-term benefit of the employee, “We are selective in our interview our patients and our organization. process, hiring only one applicant out of 49. Our employees must not only have the skills to do their jobs, but they must also be a good fit for our culture of always doing what is best for the patient.”

Kristi Faulkner Senior Director of Human Resources and Organizational Develoment

5 United Regional provides a variety of educational and professional development opportunities for employees including tuition people reimbursement, continuing education courses, professional conferences and a unique program, School To Work. Ongoing education ultimately benefits our patients, because it helps us retain high-performing employees and ensure they are skilled in the most current and advanced practices. Professional Development The School To Work program gives employees the opportunity 2007–2011 to work a weekly 24-hour schedule while attending college for LVN and RN degrees and getting paid for 36 hours with full-time benefits. Tuition and other education-related expenses are also 98 provided. Following graduation from the program, employees EMPLOYEES HELPED TO commit to continuing their service at United Regional. EARN NURSING DEGREES Morehead and Associates Apex 492 Award for Workplace Excellence EMPLOYEES PROVIDED TUITION REIMBURSEMENT Every other year, United Regional uses a nationally recognized company, Morehead and Associates, to survey our employees 30,419 to determine their level of engagement and commitment to our CONTINUING EDUCATION organization. Morehead specializes in employee opinion research HOURS PROVIDED and has more than 600,000 hospital employees in their national health care database. In 2010, United Regional won Morehead’s 33,280 prestigious Apex Workplace of Distinction Award, which recognizes LEADERSHIP DEVELOPMENT HOURS organizations whose employee engagement and commitment survey scores are in the top 10th percentile of their database.

90% of 1920 employees responded that they are proud to tell others that they work at United Regional (significantly above the national health care average)

The survey responses from United Regional employees confirmed their commitment to, and engagement with, our organization to accomplish our passion of providing excellence in health care for the communities we serve.

6 Compassion In Many Forms Our employees have the opportunity each year to show their compassion for others in another way – through the United Regional $ in employee Foundation Spirit of Giving Campaign. 1,175,000 generosity Employees donate their financial resources to benefit hospital programs as well as community organizations. Since 2007, the employees of United Regional have donated more than $1.17 million to these community SINCE organizations and hospital programs. The 2007 Children’s Miracle Network high percentage of giving - approximately $390,000 75% each year, shows their amazing Provides funds for nursery/pediatric generosity. The national average for employee equipment & programs giving campaigns is around 30%. Friendship Fund $212.000 Provides loans to employees experiencing financial hardships & emergencies

United Way $189,000 Provides funds to community programs

Bridwell Tower, Chapel & Education Center $161,000 Capital Campaigns for new campus facilities benefiting patients, visitors & employees

Rathgeber Hospitality House $128,000 Employee giving participation Provides housing for out of town patients’ (percent per year) family members and items for the House

United Regional Hands to Hands (new in 2010) 75% $95,000 Provides funds to community organizations national average 30% 7 people $ In Tips donated by 52,000 valet parking staff since 2007 The Valet Parking staff at United Regional is also generous and have always donated their tips to the United Regional Foundation for Children’s Miracle Network.

2007-2011 Holiday Benevolence Each year our employees reach into their hearts to support coworkers and their families who would not be able to have a joyous holiday without assistance.

Thanksgiving Basket families helped 282 $34,000 in food donations

Holiday Angel Tree families helped 264 $69,700 in gift donations

Employees that donated time to pack food baskets, shop & deliver baskets and gifts 680

8 2007-2011 Volunteer Services It would be impossible to calculate the monetary worth 2007 - 2011 Volunteer Hours of the time and talent our volunteers give. Since 2007, volunteers have given more than 208,000 hours to: Adult Hrs • Projects that support patient care Volunteers 147,781 • Delivering get well messages, gifts & flowers • Staffing surgical & outpatient services desks Pink Hrs • Escorting patients & visitors to their destinations Darlings 56,376 • Staffing our gift shop

• Serving delicious snacks in the coffee bar No One Dies Alone Hrs (NODA) • Hand-sewing items for newborns & patients 1,145 No One Stays Alone began in Oct. 2009 (NOSA)

High School Special Hrs Education Students 2,755

College Students 495 Hrs

In addition, the Hospital Auxiliary, through the Gift Shop and fundraising activities, raises money that supports programs, services and building projects at United Regional. From 2007 through 2011, more than $340,000 has been donated by the Auxiliary for: $163,000 $167,000 $11,000 equipment new & renovated facilities programs & services

And Pink Darlings have given over $42,000 to the hospital through their fundraising projects.

9 service

A Passion for Life-Saving Education early detection of breast cancer. In 2009, Rosey Scruggs now knows the importance of Rosey Scruggs was one of the employees who getting regular mammograms and takes this passed by the booth. In Susan’s typical manner, message to others as often as she can. And she enthusiastically invited Rosey, as she does she is forever grateful for the tenacity and every passerby, to learn more. Rosey admitted passion of Susan Basham, RT, coordinator of that she was over 40 and had never had a Mammography Services at United Regional, mammogram. Susan signed her up that day – in helping to save her life. and it was a good thing she did.

As part of United Regional’s employee Rosey admitted that she health insurance coverage, free screening was over 40 and had never mammograms are provided. During the year, had a mammogram. the staff of Women’s Imaging set up booths Susan signed her up that day – throughout the hospital to educate employees and hospital visitors on the importance of and it was a good thing she did.

10 Get Your Pink On

The results of Rosey’s mammogram showed that On” t-shirts and recorded the ending message cancer had spread throughout her left breast. to a video that was produced for our Facebook She chose to have a bilateral mastectomy so she page and YouTube. In it, physicians, surgeons, wouldn’t have to worry about another breast mammography staff and, of course, Rosey cancer diagnosis in the future and started the reminded everyone to “Get Their Pink On” and rest of her treatment plan. From then on her to encourage someone they love to fight breast attention focused on spreading the word to cancer through early detection. other women about the importance of getting regular mammograms.

In October of 2011, we held our annual Since 2007, United Regional’s staff community-wide Breast Cancer Awareness has given their time to promote the Month education, this time led by Rosey. Over benefits of mammography. 400 employees gathered in the street in front of the Bridwell Tower in their “Get Your Pink hours community 646 345 events

11 service It takes dedication to serving others to provide excellence in health care Each year United Regional and our employees dedicate financial resources and volunteer time to respond to the needs of people and organizations in our community. While most of our projects 2007-2011 and events address health care related issues, some do not. 1,400 Events providing health education, free health screenings, medical tents, & more $481,300 Sponsorships contributed to community organizations & projects

Susan G. Komen Race for the Cure 2011 largest team award

Hotter ‘N Hell Hundred Medical Tents

Trauma Education Events & Child Passenger Safety Seat Checks

12 Organizations and Events Supported Throughout the Years • 55 Advantage Luncheons and • Heart of a Woman Health Screenings Educational Seminars • Hotter ‘N Hell Hundred Medical Tents • Adult Literacy • Leadership Wichita Falls, Membership • Albert Moving and Storage Health Fair and Event Sponsorships • American Cancer Society Relay for Life • MSU Health Fairs • BCI Expo • Partner’s in Education • Breast Cancer Education • Partnership with North Texas Health • Call-A-Nurse and Physician Referral Service Underwriters for CHIPS Sign-Up Event • Camp Beyond Student Education Event • Playing It Safe Sports Injury Prevention Events • Cattle Baron’s Ball Sponsorships • Pride In the Falls • Community Education Seminars on Total • Project Back to School Joint Replacement, Spine Care and • Senior Focus Health Screenings Robotic- Assisted Surgeries • Senior Services of North Texas • Downtown Proud Zombie Crawl Medical Tent • Sheppard Military Affairs • Executive Loan Program to United Way • Susan G. Komen Race for the Cure • Falls Fest • Trauma Education Events & Child • Fantasy of Lights Basketball Tournament Passenger Safety Seat Checks at: Athletic Trainer Services - Kohl’s Safety Day with Children’s Miracle • Fit In Texoma Partnership with Network, Kiowa Casino Halloween Carnival, KFDX Channel 3 Bike Safety presentations and more - Year-long education program on improving • United Way Chili Cook-off health and fitness through events such as Kids • United Way Power of the Purse Sponsorships Fest, Sheppard Air Force Base Air Show, health for Early Childhood Education topics interviews with physicians and other • WALC Spelling Bee clinical experts • Wichita County Health Department • Free Sports Physicals Health Fairs • Ground Hog Day Student Shadowing Program • Wildcat Hockey

Heart of a Woman Health Screenings

American Cancer Society Relay for Life

13 service

Room Service We understand that not everyone Patient Tracker Board gets hungry at the same meal Our Patient Tracker board is located in our Surgical time and that a patient may not Guest Seating area and shows the patient’s family and know what they will want to eat friends where the patient is in the pre-surgical, surgical a day ahead of time. So in 2007, and recovery process. Patients are assigned numbers, United Regional implemented which are given only to their loved ones, to protect Room Service – just like in a hotel. patient privacy. Each day a menu, with many food options, is given to each patient. Cited as a “best practice” by the The patient then decides what they want to order and when. Joint Commission surveyors. Meals are delivered within 45 The Patient Tracker board, which was implemented in minutes after placing an order. 2011, was cited by the Joint Commission surveyors as a “best practice,” which means that they will tell other hospitals about this feature to help them elevate the standard of care provided to their surgical patients.

Security-Enhancing Service Our Security Department is dedicated to providing a safe and secure environment for our patient, visitors, staff,

14 physicians and volunteers. We have invested in training, equipment and new services for the members of this department to help ensure we are providing the very best service. Some of the additions include: Patient Perception of Care • Training by the International Association Each month a survey is sent to our of Health Care Safety and Security patients to find out their level of organization, which is the “gold standard” satisfaction with the services they in health care security received at United Regional. Survey • All officers certified in CPR and CPI (Crisis results are one of the best ways Prevention Institute) to learn what we are doing well • Bike Patrol program to survey not only the and what opportunities there are hospital campus, but also the surrounding for improvement in care and caring. streets and neighborhoods United Regional is proud to show • Relocation of the security monitoring office that the level of patient satisfaction located to one of the main hospital entrances has steadily risen over the years. However, we are continuously Surgery Patient Liaison looking for ways to further improve The Patient Tracker the patient experience. Board informs the patient’s loved ones of where they are in the surgical process. But, no technology can take the place of in-person communication. That’s why United Regional created the Surgical Nurse Liaison position.

For years, Cindy Ochoa, RN, was an OR nurse. Today, she is still in the operating suites – all of them. She visits each suite to get patient updates and then visits with the patient’s family to let them know how the surgery is progressing. Feedback from family members includes, “Cindy is awesome” and “this is a much appreciated service.”

15 Serious Trauma Changes Student’s Life Goals quality Ali Williams was brought to the United Regional Emergency Room on November 27, 2010, after she was involved in a roll-over accident near Temple, Oklahoma. The car she was in went through a section of piped fencing. A piece of the three inch diameter pipe impaled Ali’s right thigh and pelvis, luckily missing vital organs.

Teams of Dr. Kevin Thomas, a surgeon in Wichita Falls for 24 years, was the trauma surgeon on call that day. As part of the Specialists. trauma activation procedure for seriously injured patients, Dr. Thomas arrived in the ER before Ali to prepare for the Coordinated Care. unknown. Once at United Regional, he and the ER team quickly went into action to stabilize Ali before she could be Quality Outcome. taken to surgery – Dr. Thomas recalls the injury was worse than anyone could imagine.

It took only 30 to 40 minutes from the time Ali arrived at United Regional to the time Dr. Thomas and orthopedic surgeon, Dr. Michael Sheen, had Ali in surgery to remove the pipe, make sure there wasn’t any damage to major vessels, address the fractured pelvis and repair damaged muscle. But the removal of the 5-foot pipe wasn’t the end of care to help Ali regain the life she had before her accident.

Multiple surgeries were required in order for Dr. Phil Stephan, a plastic and reconstructive surgeon, to rebuild Ali’s right thigh, because the muscle and tissue were so damaged that it left a “huge dimple” in her leg. The surgeries included removal of tissue from her abdomen to help build up the area, skin grafts and liposuction to properly shape the area. When the surgeries were finished, the contour of her thigh was the same as the other – almost identical. 16 Ali said she feels she’s alive today because of the skill and expertise of the staff at United Regional and the specialized surgeons who all took part in her care. She has returned to the outdoor activities she loves – fishing, riding watercraft and playing sports – and to college.

Ali is a sophomore at Cameron University in Lawton, Oklahoma. She began her college career a few years ago planning to go to Oklahoma University’s dental program. However, witnessing the professionalism and expertise of the staff and physicians at United Regional changed her goal. She is now enrolled at the OU nursing program at Cameron so that she, too, can make a positive difference in the lives of others.

A piece of the three inch diameter pipe impaled Ali’s right thigh and pelvis, luckily missing vital organs.

17 Advanced Program Certifications and Designations quality One of the ways that we can ensure that we are accomplishing our passion of providing excellence in health care for the communities we serve is to measure our quality of care against the most stringent national standards. We have sought certifications and accreditations, which are obtained by partici- pating in rigorous on-site evaluations and surveys by experts It takes a in their respective fields, and meeting or exceeding “best commitment practices” in care. to quality in everything we do to provide excellence in health care. American College of Radiology The American College of Radiology (ACR) awards accreditation United Regional continues to facilities for the achievement of high practice standards to dedicate the resources after a peer-review evaluation of the practice. Evaluations are and systems necessary to conducted by board-certified physicians and medical physicists ensure safe, high-quality who are experts in the field. They assess qualifications of the care to our patients. We personnel and the adequacy of facility equipment. promote a culture focused on delivering safe and United Regional’s radiology department has achieved accreditation quality care to every patient for our stereotactic biopsy unit, digital mammography unit, every time. We have patient MRI, CT scanners, ultrasound and nuclear medicine. And we care improvement teams have the only CT scan in the region certified by the ACR for with physician champions. pediatric scanning. We continue to implement best practices. We Our digital mammography unit and our MRI are also accredited continuously measure through the state of Texas. Following our Department of performance, and no State Healthy Services inspection in October 2009, we were matter how well we do, awarded a certificate given to only those facilities with a we look for ways to further perfect inspection. improve care and safety for our patients.

18 American Diabetes Association The prestigious American Diabetes Association Education Recognition Certificate for quality diabetes self-management education program was awarded to United Regional in 2010. Recognition of our program assures that it meets the national standards for diabetes self-management and offers high quality education services to the patients we serve.

Bariatric Center of Excellence The American Society for Metabolic and Bariatric Surgery (ASMBS) created the Bariatric Surgery Centers of Excellence®program to recognize the centers that perform well and to help surgeons and hospitals reach optimal levels of performance.

The Bariatric Center of Excellence designation highlights providers who deliver excellent care and the designation helps identify where patients can expect to receive safer and more effective surgical treatment with excellent short and long-term outcomes. The rigorous inspection includes interviews with surgeons, staff and hospital leaders, and a detailed medical chart review. Bariatric Centers of Excellence are evaluated every three years to ensure that high quality standards are continuing to be met. Our program was re-certified in 2011.

Recognizing commitment and success in implementing a higher standard of stroke care.

Gold Plus Stroke Award from the American Heart Association and American Stroke Association The award signifies that United Regional consistently utilizes the latest evidence-based guidelines for care. The award recognizes the hospital’s commitment and success in implementing a higher standard of stroke care by ensuring that stroke patients receive treatment according to nationally accepted standards and recommendations. These standards are all aimed at reducing death and disability and improving the lives of stroke patients.

19 Joint Commission Disease quality Specific Certifications Because Joint Commission standards are regarded as the most rigorous in the industry, Joint Commission- certified disease management programs have demonstrated their Primary Stroke Center Certification commitment to providing quality for the Sixth Consecutive Year care to their patients. United Regional is proud to have achieved the To earn and maintain certification, distinction as a Joint Commission Primary Stroke a disease management program Center. The Joint Commission’s Certificate of undergoes an extensive on-site Distinction for Primary Stroke Centers recognizes review by a select team of Joint centers that make exceptional efforts to foster Commission professionals once better outcomes for stroke care. every two years. The purpose of the review is to evaluate the program’s To earn the certification, stroke centers like ours performance in areas that affect have to meet certain standards to ensure that patient care. Through an assessment any patient brought to the emergency department of a program’s processes, the will be treated rapidly with approved therapies shown to reduce paralysis and other disabilities caused by stroke.

Patients treated in stroke units are more likely to recover.

Primary stroke center hospitals are the premier places for the treatment of strokes. By having specialized stroke units, these hospitals show better patient outcomes compared to hospitals that treat stroke patients in medical intensive care units or through a mobile in-hospital stroke team.

20 program’s ability to evaluate and improve care within its own organization, and interviews with patients and staff, the program is evaluated against standards developed by The Joint Commission.

Joint Commission’s Gold Seal of Approval™ signifies that certified programs have demonstrated compliance with the most Wound Management Program stringent standards of performance. In 2007, United Regional’s Wound Care Center was the first Texas facility, and only United Regional has received the the third independent hospital-based “Gold Seal of Approval” from program in the country, to achieve the The Joint Commission for two heralded Wound Management Certification programs, Joint Replacement and from The Joint Commission. This certification Wound Care. Certification is a means that the Wound Care Program voluntary process and shows United meets or exceeds the highest standards of Regional’s Commitment to elevating care for treatment and outcome. The program our standards of care. was re-certified in October 2011.

Joint Replacement Program At the on-site review in July 2011, The Joint Commission expert surveyors assessed clinic processes and quality standards and interviewed patients, staff and physicians as part of the certification process. At the survey’s conclusion, The Joint Commission acknowledged our strengths as passion for providing quality patient care, leadership involvement and physician engagement.

We are one of only 14 programs in Texas to have achieved this certification.

21 Pathways to Excellence Designation quality ® In 2011, we achieved the Pathway to Excellence designation by the American Nurses Credentialing Center (ANCC). The Pathway to Excellence designation confirms the professional satisfaction of nurses at United Regional and identifies it as one of the best places to work.

To earn the Pathway to Excellence distinction, we underwent a thorough review process that documented the quality Pulmonary Rehabilitation initiatives used in creating a positive work environment — as Program Certification defined by nurses and supported by research. Our nurses Our Pulmonary Rehabilitation verified that the criteria were met by participating in a Program is proud to have confidential online survey. received national certification from the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR).

United Regional’s program is one of only 13 pulmonary rehabilitation programs in Texas to achieve this recognition.

This voluntary certification process This designation confirms to the public recognizes programs that have been reviewed by the AACVPR that nurses working at United Regional national board and found to know their efforts are supported. have met the rigorous require- ments for standards of care. The program includes both education The honor encourages other nurses and exercise to help patients to join their colleagues in this desirable with chronic lung disease improve the quality of their and nurturing environment. everyday lives.

22 Ongoing Improvements in the Delivery of Care Over the past five years we’ve implemented many quality initiatives to make patient care safer and outcomes better. We’ve chosen a few to highlight some of our quality improvements that have had great positive impact on patient care. The measurements of success meet and often exceed national standards of quality.

Door-To-Balloon Time At United Regional, expertise in emergency care and heart care are From emergency brought together to rapidly assess and treat patients. room door to When you’re having a heart attack, where you choose to go for cardiac cath lab, treatment could be one of the most critical decisions of your life. 90 minutes is the At United Regional Emergency Department, a well-coordinated process national bench- helps us move the patient quickly from the assessment to treatment phase in the cardiac catherization lab where angioplasty – a procedure marking standard. where a balloon is used to open blocked arteries and restore blood flow – is performed. United Regional’s

The national benchmarking standard for getting a patient from the average time emergency room door to the cardiac catherization lab is 90 minutes. is 65 minutes. United Regional does much better than the national standard because of our advanced technology, highly trained staff and time saving protocols.

Since 2007, we have continued to reduce our Door-to-Balloon time. In 2011, our heart patients moved from our Emergency Department to the cardiac catheterization lab in an average of 65 minutes.

23 quality

Door-to-Needle Time for tPA Stroke Patients Ischemic stroke patients – those patients with blood clots in their brains causing damage by restricting blood flow – can be treated with a clot-busting drug, tPA, if it can be given within the first four hours after the patient exhibited symptoms.

The target goal by the American Heart Association is for hospitals to achieve a Door-to-Needle time of 60 minutes or less in 50% of their cases – a goal that United Regional met in 2011 and is trending positively. Other Primary Stroke Centers reporting to the AHA achieved 60 minutes or less only 35% of the time.

Sepsis Screening action. The patient’s blood sample is sent to United Regional’s advanced technology and our lab where it is analyzed to confirm a sepsis clinical treatment “pathway” have saved lives diagnosis. and reduced sepsis mortality to more than half the national average in other hospitals. In 2008, United Regional invested in a new piece of laboratory equipment that more quickly Sepsis is a very serious bloodstream infection confirms a diagnosis of sepsis – within one that even when treated early and aggressively, hour – instead of one to two days as previous still has a great potential for patient mortality. technology could provide. With the faster When seriously ill patients arrive in our diagnosis, physicians can more quickly begin Emergency Department with sepsis symptoms, treating the infection with appropriate our emergency room team quickly goes into antibiotics, and saving more patient lives. 24 patients, and can add approximately $40,000 in cost to a single hospitalization.

With the goal of eliminating VAP, United Regional’s respiratory care department and intensive care units implemented a “ventilator bundle.” The bundle includes: raising the head of the patient’s bed 30 to 45 degrees; providing treatment to prevent blood clots; giving the patient medication to prevent stomach ulcers; and daily assessments to Reducing Ventilator Aquired Pneumonia (VAP) determine if the patient can breathe without In 2007, United Regional began the initiative to the aid of the ventilator. eliminate VAP, which was commonly considered “just a fact of life” for patients on ventilators in The number of ventilator associated pneumonias hospitals throughout the country. has significantly dropped. In the most recent year, 2011, there were only 3 cases of VAP, VAP refers to pneumonia that occurs in patients making our VAP rate 1.0 (1 VAP for every 1000 who have been on a ventilator for more than ventilator days). This is much better than the 48 hours. VAP increases the risk of death and national rate of 5.0 – 5 VAPS for every 1000 hospital length of stays among critically ill ventilator days.

In 2008, United Regional added new technology that shortens the time to diagnose sepsis from 1-2 days to within just one hour.

25 quality Emergency Department Flow Process To provide excellent care and timely service for our community, we improved the turnaround time in our emergency room. Patients who arrive at the emergency room with life- threatening conditions, such as serious injuries and MRSA Screening symptoms of heart attack, stroke and poisonings, A simple test and nasal ointment etc., are triaged immediately for care. However, there prevents the development and spread are other types of patients who access our Emergency of MRSA, saving patients added days Department who require medical attention. in the hospital and treatment costs. Methicillin-resistant Staphylococcus aureus (MRSA) is a type of staph bacteria that does not respond to some antibiotics that are commonly used to treat staph infections. There is a percentage of people in any community who are carriers of the infection, without having any symptoms. Because patients who come to a hospital for care are often already immune-compromised, it is important to determine upon The number of United Regional emergency room admission those patients who may visits from 2007 through 2011 has steadily risen. In be carriers of MRSA, and prevent 2007, 55,000 visited our emergency room; in 2011, the spread of this infection. the total was over 77,000 – a 40% increase. We knew that to provide excellent care and timely United Regional does a simple nose service to our community, the patient flow process swab test and the results are reported had to be improved, and we did so in 2010. In the rapidly. If MRSA is present, a nasal oint- most recent year, 2011, our average door-to-doctor ment is used to prevent the infection time was 37 minutes and door-to-discharge time – from developing in the patient and the time is takes for a patient to arrive in the ED and eliminating the spread to other patients. to leave after treatment – was 129 minutes 26 Advanced Technology for Improved Patient Outcomes

It is important to stay on the forefront of advancing medical technology which benefits patients and improves outcomes. United Regional carefully selects the leading edge technology it invests in to ensure that benefits to the patient are evidence-based and reflect current best practices.

da Vinci Robotic Surgical System Surgeons at United Regional have been performing 214 minimally invasive surgeries for several years. However, robot-assisted when we learned that individuals in our community surgeries performed as had to travel to large metropolitan areas to receive of December 21, 2011 a more advanced type of minimally invasive surgery – robotic-assisted – we concluded that the da Vinci Robotic Surgical System would be a wise investment. Benefits of robotic-assisted surgery include:

• Smaller incisions • Less scaring • Less blood loss • Shorter hospital stays • Less pain • Faster recovery and return to everyday activities

In April 2009, we purchased a da Vinci Robot. Since that time, six surgeons have become experienced and skilled in robotic-assisted surgery and are certified to use the da Vinci Robot. 27 quality

Orthopedic Navigation System Tremendous advances have been made in joint replacement surgery. In 2008, we invested in a new type of surgical technology to benefit joint replacement surgery even more – the Orthopedic Navigation System. The System provides computer-assisted navigation technology, utilizing special tracking devices that provide orthopedic surgeons with a comprehensive understanding of a patient’s joint mechanics. With this information, a surgeon can make adjustments within degrees, helping to ensure that the new joint has the stability and range of motion needed for a successful replacement.

As the surgeon moves an instrument within the joint, special infrared trackers calculate its position and wireless instruments instantaneously transfer the data to a computer in the operating room. This information is displayed as an interactive “blueprint” that supplies the surgeon with all angles, lines and measurements of the patient’s unique anatomy. The surgeon then replaces the diseased bone with new, artificial joint implants. United Regional is the only hospital in Wichita and the surrounding eight counties that provides surgeons with this technology.

Hybrid Endovascular Operating Suite When the Bridwell Tower opened in 2009, larger Benefits of Computer-Assisted Surgery and more technologically-advanced operating suites • Helps the orthopedic surgeon place were part of the space design – like the hybrid joint replacement implants with endovascular suite. This suite can accommodate precision, which may increase the minimally-invasive cardiovascular procedures and life of the replacement then quickly convert into an open heart surgical • Helps reduce the risk of dislocation suite if the need arises. The suite combines and revision surgery endovascular, cardiac surgical, laparoscopic and • Helps provide greater stability and radiological capabilities, allowing flexibility and range of motion speed in the treatment of patients with the most • Helps improve the overall function complex cardiac and vascular conditions. of the joint replacement 28 Zeiss OPMI Pentero Neurosurgical Microscope • Video touchscreen with instantaneous In delicate brain surgery, surgeons rely on access during surgery to important advanced magnification and visual clarity to information like patient files enhance their skill. In 2011, we acquired the • Technology to superimpose color data Zeiss OPMI Pentero neurosurgical microscope, and combine diagnostic, navigation and which provides surgeons with clearer and system information while viewing the more powerful magnification, as well as operating field inter-operative diagnostics and support of • Integration with the hospital network fluorescence-based procedures such as tumor with access to pre-op findings and data removal and resections. With these capabilities, from the operation neurosurgeons can easily distinguish between the cancerous tumor and healthy tissue.

Advanced technological features provide the surgeon: • Crystal clear images with natural colors • Spot illumination for higher contrast images in narrow and deep vessels • High-speed autofocus which delivers razor-sharp images • Freedom of hand and instrument movement, with a short distance to the surgical field

Vein Finder For our youngest patients with the tiniest of veins and for adult patients with hard-to-find ones, the vein finder provides illumination directly on the patient’s skin using LED technology. The light causes the veins of a patient to contrast with the surrounding tissue, thereby making it easier for clinicians to locate and assess veins suitable for blood draws and IV therapy. 29 quality

Giraffe Beds Through an innovative design and advanced technology, the Giraffe bed serves as an incubator, radiant warmer and crib all- in-one. The bed provides essential heat to maintain a normal body temperature for premature infants. Because the bed is so versatile, babies can remain in it throughout their stay without Specialized the stress of being moved from bed to bed. Pediatric Equipment Infant CPAP In a premature baby, the part of the central nervous system

Through Children’s Miracle that controls breathing is not yet mature enough to allow Network, United Regional nonstop breathing, causing large bursts of breath followed by has been able to purchase periods of shallow breathing or stopped breathing. When this advanced equipment so occurs, babies often require a form of assisted breathing that infants can receive the called nasal continuous positive airway pressure (CPAP). The specialized care they need pressure from the CPAP machine helps keep preemies’ lungs without having to leave open so they can breathe on their own. the community. Infant Ventilators Infant ventilators breathe for the baby when the baby is too sick or too weak to breath for itself. The newest version has functions that allow us to more closely monitor babies who need equipment to help them breathe. Our Level II Special Care Nursery is able to care for infants in our community in the company and support of their parents while they receive the specialized care they need.

30 Information Technology, Enhancing Patient Care Quality and Safety

Our Galileo Mission As part of our quality journey, United Regional embarked on a $22 million, multi-year, multi-phase, information technology initiative, in 2005, to provide physicians and clinical staff the tools they need to make patient care safer and more efficient and effective.

United Regional has also been selected by Allscripts,™ the company providing these software solutions, as one of only five Premier Clients nationally. This honor recognizes United Regional as an exemplary site for our progressive implementation of these programs with outstanding results. Allscripts brings other hospitals to United Regional for site visits, showcasing us as a model for advanced data integration and automated processes benefitting patient care.

31 quality Some of the most significant information technology implemented since 2007 includes:

Computerized Physician Order Entry (CPOE) – allows the clinician to place patient orders for laboratory, medication, radiology, etc., directly into the computer that goes immediately to the designated department. The patient benefits by having the order completed faster and the results provided to the physician quicker for treatment intervention.

Medication Manager – automatically checking medications for drug interactions, allergic reactions and duplications

Knowledge Based Charting (KBC) – provides nurses over 190 pre-configured evidence-based, clinical best practice guidelines that they use to complete patient documentation for such things as vital signs and patient assessments. Additionally, the patient’s history, which is collected upon admission, can be viewed by all caregivers, reducing the need to repeatedly ask the patient for the same information.

32 Radiology Information System – enables patient information around the clock. physicians to view x-rays and scans on their Patient Acuity - assists in monitoring and office or home computers for more timely predicting the level of care needed by patients review and reporting. based on acuity so that each unit has the appropriate number of nurses with the needed Record Manager – provides physicians access to skill level to provide quality patient care. patients’ records from home or office giving them the ability to review the most current

Knowledge Based Medication Administration (KBMA) – allows nurses to administer medication at the bedside to improve patient safety. KBMA reduces potential medication errors by requiring the caregiver to confirm the “five rights” of medication administration (right patient, right route, right dose, right time, right medication) prior to the patient receiving the medication. It also requires a second verification for high-risk medication. If one of the “five rights” fail, the care giver receives either a warning message or the inability to access the medication.

33 finance A Passion for Helping Others

Candy Cooksey and Bobby Sadler

Program Helps With More Than Financial Assistance Candy Cooksey, LVN, says that she has one of the most rewarding jobs in the hospital – helping patients find coverage for the drugs necessary to their care – drugs that can cost as much as $5,000 per dose. The program identifies infusion patients who have limited insurance coverage for the medications they need to treat their disease, most often cancer. Then Candy sets out to find grants that cover the drug costs or pharmaceutical programs that provide free drugs, so that patients can concentrate on their care. She remembers one appreciative patient who had more than his own health issues and costs to worry about.

Mr. Bobby Sadler was diagnosed with leukemia. At the same time he was going through out- patient chemotherapy, he was dealing with his wife’s serious illness and eventual death. Candy, who reviews every patient who comes to United Regional for outpatient infusion therapy, contacted Mr. Sadler to offer assistance. She was able to find and qualify Mr. Sadler for grants to cover his medications, lifting a great burden off his shoulders. But, Candy didn’t stop there. When Mr. Sadler told Candy of his wife’s non-covered expenses, she also found a program to assist with those. Candy says, “I enjoy the opportunity to really make a difference in these patients’ lives, to be able to alleviate some of their stress during their difficult time.“

Since the program’s inception in August 2010, Candy has qualified more than 130 patients for grants to cover medication expenses as well as pharmaceutical programs which provide patients with free drugs. This program is just one way United Regional provides financial assistance to patients in need.

34 It takes financial strength and sustainability to provide excellence in health care United Regional’s financial strength has allowed us to reinvest capital into worthy initiatives, such as the construction of new facilities and facility upgrades as well as the purchase of new equipment and advanced technologies. At the same time, we’ve continued our commitment to uncompensated care and community benefit programs.

United Regional is also a responsible partner in the access and affordability of health care services for the communities we serve. In January 2008, United Regional reduced emergency room rates and since January 2008, has not increased overall hospital charges through 2012.

Because We Did Not Receive Full Payment 2007-2011 (and Other Community Benefits Delivered) From those unable to pay 118,940,000 (Charity Care based on costs) From Medicaid 26,943,000 From Community Benefit programs 35,053,000

Total Cost of Community Benefits $180,936,000 source: 2007-2011 Annual Statement of Community Benefit Standards. (The cost of community benefits does not include unreimbursed Medicare program costs.)

What We Reinvested In Our Community To construct new facilities 93,743,000 On information technology 18,919,000 To purchase equipment 43,115,000

Total Cost of Community Reinvestments $155,777,000 source: 2007-2011 United Regional internal records

How Our Money Was Spent To pay our employees’ salaries and benefits 563,668,000 To purchase supplies 236,978,000 To allow for wear and tear on our buildings and equipment 95,338,000 To pay interest on our oustanding debt 19,967,000 To allow for patient costs that were not paid (bad debt) 97,056,000 Other operating expenses 247,113,000

Total Operating Expenses $1,260,120,000 source: derived from 2007-2011 United Regional audited financial statements 35 growth

Dr. Timothy Lee

Resolving an Unmet Community Need

Pediatric dentists specialize in the care of infants, children and adolescents. These young patients typically receive their dental care in an office setting. However, there is a growing need for comprehensive care, such as filling multiple cavities and full mouth dental rehabilitation, where children need general anesthesia in an operating suite due to the extensive nature of these procedures. There are also the dental needs of special needs children who often need sedation for even the most basic care.

Timothy Lee, DDS, knew that this service was not provided in our community, and parents had to travel out of the area for their children to receive this care. Dr. Lee approached United Regional about offering these procedures so that children could receive this specialized care in the convenience of their own community. Recognizing the importance of resolving this unmet need, United Regional worked with Dr. Lee; these patients are now provided care through our ambulatory surgery services.

This is just one example of how United Regional responds to unmet healthcare needs of the communities we serve.

36 Welcoming New Physicians

It takes purposeful growth based on community When I was looking for a place to practice, needs to provide excellence in health care. I wanted to find a community that allowed For almost 100 years, United Regional and our me to do all the things that I was trained to predecessor organizations, have provided the do in my residency. I felt like larger cities residents of Wichita Falls and the surrounding area force doctors to focus on very specific with progressive medical care. As the communities we areas in order to be competitive. Wichita serve change through the years, we continually Falls provided the opportunity for me to truly assess and reassess their health care needs to make sure we are fully prepared to meet them. be a general otolaryngologist. At the same time, the leadership of the hospital really struck me as having vision and enthusiasm for delivering high quality care. Dr. Jed Grisel and family

Additionally, after having lived in a larger city with a hefty commute, we felt like Wichita Falls offered a much simpler life. We were impressed with the family community and look forward to raising our children here.

- Jed Grisel, MD

37 growth

New Physicians Providing excellence in health care depends not only on having skilled hospital staff, advanced technologies and equipment, and high quality care, but also on having physicians in the medical specialties needed to serve the current and future health needs of the communities we serve. Over the last five years, many physicians have joined our community, many recruited by United Regional. We welcome all of them.

Primary Care Physicians Cardiovascular/Thoracic Surgery Oral & Maxillofacial Surgery Internal Medicine • James Obney, MD • Phillip Harvey, DDS, MS, SAFB • Allen Brajer, MD Dentistry, Pediatric Orthopedic Surgery • Rami Buchipudi, MD, hospitalist • Paul Bonner, DDS • Dan Babbel, MD • Raja Divi, MD, hospitalist • Timothy Lee, DDS • Ken Carpenter, MD, SAFB • Reza Khalili, MD, hospitalist Emergency Medicine • Mary Finn, MD, SAFB • Ninad Parekh, MD, hospitalist • Joshua Caballero, MD • Todd Grebner, MD, SAFB • Madhu Patalay, MD, hospitalist • John Hilmi, MD • Jason Leaseburg, MD Family Practice • Tanya Howard, MD • Joshua Schacter, DO • Ahmad Abazid, MD • Jeffrey Lowry, MD Otolaryngology (ENT) • Vaishali Bhusari, MD, hospitalist • Paul Toote, DO • Jerry Giles, MD • Feliciano Bucag, MD, hospitalist • Cortnie Walker, MD • Jed Grisel, MD • Alma Gonzales, MD • Lance Watson, MD Pediatrics • Tania Khan, MD Endocrinology • Karin Ayer, MD • Sharon Palomo, MD • Michael Duben, MD • Amitha Kadakol, MD • Tiffany Skaggs, MD Hematology/Oncology • Jacob Kaiser, DO • Jeffrey Swanson, DO • Srikar Malireddy, MD Plastic & Reconstructive Surgery • Olga Tezaguic, DO, Neurology • Phillip Stephan, MD • Finbar Woitalla, MD • Eugene Pak, MD Podiatry • Daalon Echols, MD • Chester Williams, MD Physician Specialists Neurosurgery Pulmonology Anesthesiology • Yogish Kamath, MD • Satish Chada, MD • Ryan Gray, MD • John Reeves, MD Psychiatry • Chandler Harvey, MD Obstetrics & Gynecology • Jennifer Dismukes, DO • Christopher Lam, MD • Ryan Bannon, MD Radiology Bariatrics & General Surgery • Bart Spencer, MD • Reza Kazemaini, MD • Christopher Finnell, MD

38 Future In The Falls In 2008, we launched an innovative physician recruitment program that evolved from a conversation between Phyllis Cowling, our president and CEO, Scholarship Fund and Dr. David Flack, a staff pathologist and father of Grants from the J.S. Bridwell, a medical student. Both agreed that individuals who Bryant Edwards and Fain are already familiar with our community could well Foundations and individual be ideal candidates to help build the next generation contributions were used to of local physicians. So began the Future in the establish a Future in the Falls Falls program. Scholarship Fund. Since its establishment in 2009, a total The program reaches out to of 17 scholarships have medical students, residents and been awarded. fellows who have ties to Wichita Falls and the surrounding area.

scholarships The Future in the Falls program reaches out to medical awarded since 2009 students, residents and fellows who have ties to Wichita 17 Falls and the surrounding area. Hospital administration and members of the physician staff regularly communicate with program participants to provide support and guidance as they progress in their medical education. The goal is to recruit them to join our medical community.

At the end of 2011, there were 49 participants actively involved in the program. 39 New Facilities and Campus Consolidation growth As part of our campus master plan, United Regional continues new construction, renovations and major equipment purchases to help ensure the provision of excellent patient care. Some of these projects and purchases include:

2007 ICU - remodel to improve patient access and privacy 2008 Dialysis Center and Pharmacy - renovations, updates and expansions AirEvac Hangar - built for faster accessibility to emergency patient transport 2009 Bridwell Tower - opened in August - our largest expansion project: four-stories, 179,000-square-feet - named in appreciation of the J.S. Bridwell Foundation’s generous lead gift - houses outpatient and diagnostic services, surgical suites, a mother-and-baby unit and pediatric unit - a beautiful environment and advanced technologies support our highly skilled and compassionate staff in the delivery of some of the region’s most progressive medical care Dining Room Renovation - to accommodate more staff at meal times with a larger dining room and a wider variety of food choices 2010 Bethania Building First Floor and Second Floor renovations - part of the campus consolidation plan which relocated services from the 8th Street Campus to the Bethania Building

40 Chapel Renovation - redesigned and expanded to accommodate the increased patient and staff population as the 8th Street Campus services were relocated Emergency Department Renovation - existing space was re-configured in order to implement the new emergency department patient flow process, which provides for faster treatment of patients through the care continuum United Regional Physician Group Primary Care Clinic - renovation of office building on Barnett Road to house United Regional Physician Group (URPG) primary care doctors and other non-URPG specialists, and provided future office space to help with recruiting physicians to our community 2011 Administration Building Renovation to House Patient Education - patient and employee education services were relocated for easier access and more spacious classrooms Bethania Building First and Second Floor - renovations to consolidate all services and employees from the 8th Street Campus and the Administration Building to the Bethania Building and the education center Cardio-Pulmonary Rehab Facility - relocated the Cardio-Pulmonary rehabilitation program from the 8th Street Campus to the Heart Clinic, owned by cardiologists on the medical staff of United Regional Employee Fitness Center - completed as part of our Bee Healthy program, which promotes the health and wellness of our employees United Regional Physician Group Specialty Clinic - remodeled former United Regional Diagnostic building to consolidate the URPG specialties of bariatric surgery, cardiovascular surgery, neurosurgery and orthopedic surgery to one location closer to the main campus for patient convenience - also included enlarging the hospital’s outpatient therapy space to accommodate more patients

41 Senior Leadership Team United Regional Board of Directors Phyllis Cowling Blake Andrews President and Chief Executive Officer Linda Beltchev Nancy Townley Phyllis Cowling Senior Vice President of Operations Larry Cook Robert Pert Mike Elyea Vice President of Finance/Chief Financial Officer Howard Farrell, PhD Pamela Bradshaw, RN Paul Foley Vice President of Nursing and Clinical Services Don Hamlin Stevie Jo Brown Yvonne Hearn, MD Vice President of Marketing and Communications Doug Kunkle Rick Carpenter Leo Lane Vice President of Facilities Management Carla Nichols Scott Hoyer, MD Gary Ozier, MD Vice President of Quality/Chief Medical Officer Ash Patel, MD Kevin Thomas, MD Wichita County/ City of Wichita Falls Ex-Officio Members Hospital Board Linda Wilson President, United Regional Foundation Board Howard Farrell, PhD Leo Mercer, MD Woody Gossom Past-President, United Regional Medical Staff Don Hamlin Scott Myers, MD Darron Leiker President, United Regional Medical Staff Renae Murphy Erwin Soell, MD Rita Vokes

42 United Regional Foundation

43 Foundation

United Regional Foundation All who lead the United Regional Foundation are humbled and deeply grateful for the outpouring of contributions from individuals, families, foundations, service organizations, and corporations over the past five years.

Foundation Mission We celebrate their generosity and applaud their starring We promote roles in helping United Regional make a positive difference philanthropy and in the lives of others. practice stewardship to enhance United The Foundation assists United Regional in further improving Regional Health community health through investments in life-saving medical Care System’s ability equipment, programs which improve the health of the to provide excellence community, advanced information technology, and state-of- in health care. the-art facilities.

Foundation Vision In 2011, contributions and pledges of $1,529,932 were We create a dynamic, secured in support of United Regional projects, equipment community-centered and programs, as well as improvements and support for the environment to Rathgeber Hospitality House. This generosity was designated ensure that United for significant improvements such as the renovation of the Regional Health Care second floor of the Bethania Building and the creation of System has the a center for community health and United Regional staff necessary resources education, ensured Future in the Falls Scholarships would to sustain excellence continue for another five years, and assisted in the purchase in health care. of a new microscope for spine and neurosurgery.

Un

44 2011 egion Contributions $2,917,458* was distributed by the Special Gifts $451,249 Capital Gifts & Foundation in 2011 to United Regional Commitments $500,500 and Rathgeber Hospitality House from Children’s Miracle Network $578,183 funds raised for building and facility Total $1,529,932 improvements, Children’s Miracle Network- sponsored equipment and programs, and other special projects. 2011 Funds Distributed Special Projects $137,031 Total contributions of $14,241,339 were Equipment & Programs $565,272 secured from 2007 through 2011 in support Buildings & of major projects including constructing Technology $2,215,155 and equipping the Bridwell Tower, moving Total $2,917,458 Source: 2011 Audit and remodeling the hospital dining room, renovating the chapel, and refurbishing 2007 - 2011 and adding a family room to the Rathgeber Contributions Hospitality House. Funds raised through Special Gifts $1,989,706 Capital Gifts & the Children’s Miracle Network provided Commitments $9,070,546 equipment and programs to ensure quality Children’s Miracle Network $3,181,087 care for infants and children at United Total $14,241,339 Regional. The J. S. Bridwell Foundation, the Bryant Edwards Foundation, and the Fain Foundation joined forces to provide 2007 - 2011 grants totaling more than $100,000 to Funds Distributed Special Projects $987,039 the Future in the Falls Scholarship Fund. Equipment & Programs $2,813,903 Buildings & $ Technology $15,799,579 19,600,521 Total $19,600,521 Total distributions made Source: 2007-2011 Audits by the Foundation 1/1/2007- 12/31/2011

45 *A portion of the funds distributed in 2011 were raised and collected in prior years. Foundation

Education Center Kay Dillard of the Dillard Family Foundation provided a generous grant in 2011 to assist United Regional in providing community and staff Profiles in education and to bring new Philanthropy physicians to the Wichita Falls area. In 2011, a number of significant gifts were Mrs. Dillard made a commitment to received for projects assist in the renovation of a portion that will continue of the second floor of the Bethania to improve United Building for a 3,600 square foot space Regional’s ability to designed to replace similar space in provide excellence in the former Wichita health care for the General building, and is ready to match the next communities we serve. $200,000 raised for this project. To date more We are proud to share than $150,000 has been raised toward this these examples of match, led by a $100,000 grant from Martha leadership level giving Fain and the Fain Foundation. in 2011, and wish to thank all those whose The new area is earmarked not only for staff and community generosity helps education programs, but also as the home of the Children’s United Regional Miracle Network Telethon broadcast beginning in 2012. improve health care. In addition, the Dillard Family Foundation will be providing $15,000 per year for Future in the Falls Scholarships over the next five years. To date, 17 scholarships have been awarded to medical students from the Wichita Falls area through the

46 Future in the Falls program, which keeps in touch with local students in medical school, residency programs and fellowships to encourage them to return to the area to begin their medical practices.

Surgical Microscope In 2011, Fred Stephens and the Stephens Family Foundation made a generous gift in support of the new Zeiss OPMI Pentero surgical micro- scope, leading-edge technology with much higher resolution that allows surgeons to see and remove tumors and make repairs in the delicate areas of the brain and spine. This microscope uniquely combines solutions for basic requirements, such as traditional Peter Pan Birthday Club magnification, with advanced benefits such Former CMN Miracle Child, Audrey Barnard, as intra-operative diagnostics, integration with celebrated her sixteenth birthday by becoming the hospital’s information and communication the first member of the Peter Pan Birthday networks, digital video Club and presenting a check to Donna Ross, recording and editing, and manager of Pediatrics at United Regional. user-friendly operations for Donations to the Children’s Miracle Network in the OR staff. It is the world’s Audrey’s honor now total more than $3,200. first surgical microscope to Many are following Audrey’s example by offer completely integrated joining her as club members and asking their support for fluorescence- families and friends to make contributions to based procedures, such CMN at United Regional rather than giving as tumor resection. them birthday presents.

47 Circle of Friends Circle of Friends membership is designed to thank those Foundation who support United Regional and work with us to elevate excellence in health care in Wichita Falls and the surrounding area. Membership includes those whose annual contributions are $1,000 or more. Charter members are those whose Foundation contributions over time have reached $50,000 and above. Board of Directors Linda Wilson Members are invited to the semi-annual Circle of Friends President Lecture Series, featuring prominent speakers from Wichita Falls Brian Stahler and elsewhere who are experts in their respective fields. They President-Elect bring information on important health care topics and introduce Arthur Bea Williams new and innovative programs, equipment and procedures at y Secretar United Regional. Dale Brock Treasurer Todd Davenport Topics covered in past Circle of Friends lectures include robot- Past President assisted surgery, the United Regional Supportive Care program, Bill Barnard a new microscope used in spine and neurosurgery, and Cathy Biggs advances in quality and safety in joint replacement procedures. Yvonne Hearn, MD Liz Martin Circle of Friends Charter Members Renae Murphy Pillars Advocates Mr. and Mrs. Carroll Laing Jim Parker J.S. Bridwell Foundation Mrs. Gayle Broday-Rogers Mr. and Mrs. Tom B. Medders, III Jill Patterson Dillard Family Foundation Ms. Phyllis Cowling Peba Oil & Gas Company Mr. Alfred B. Guinn Hoblitzelle Foundation Postel Family Credit Union Julie Pruett James N. McCoy Foundation Joe & Nan Johnson Family Mrs. Caren Prothro Rick Schleider Perkins-Prothro Foundation Foundation Security’s Lending Hand Foundation The Priddy Foundation Parker Family Foundation Texoma Community Credit Union Marilyn Stafford Stephens Family Foundation Union Square Federal Credit Union Thacker Family David Welch Wells Fargo United Regional Valet Services Visionaries West Foundation United Supermarkets Larry Young, MD Mrs. Beverly Bolin Walmart 420 Mrs. Kay Cannan Champions Walmart Supercenter 1116 Fain Foundation Mr. and Mrs. Doyle Bentley Walmart 1148 Ex-Officio Members Mr. and Mrs. Robert D. Gunn Cells-U-More Walmart 5071 Leota Steed Foundation Gene Conley Foundation Sam’s Club Carolyn Allison United Regional Auxiliary Dr. and Mrs. William F. Dean The Women’s Clinic United Regional Auxiliary Fulbright & Jaworski, LLP Fred Krautz Innovators Mr. and Mrs. J. I. Ginnings AT&T Foundation Mrs. Ann Gunn Rathgeber Hospitality House Mr. Peyton S. Carnes, Jr. Tres Hood Memorial Bryant Edwards Foundation Cancer Foundation Kadane Foundation Hotter ‘N Hell Hundred John and Nevils Wilson Kohl’s Cares for Kids - Children’s Foundation Hospital Program 48 Rathgeber Hospitality House Board of Directors Fred Krautz President Robbie Jeter y Secretar Joe Bauer Treasurer Gayle Broday-Rogers Kevin Goldstein Patrick Guinn Rathgeber Hospitality House Penny Henderson 2011 marked the opening of a new family room addition Randy Martin for the Rathgeber Hospitality House, the 26-room “hotel- Larry Park like” facility serving patient families. Martha Lou Rugeley Jackie Spragins Launched as a project of the United Regional Foundation, the Rathgeber House assists those who must stay close to family members hospitalized at United Regional. Providing rest and respite for more than 10,000 visitor nights each year, the Rathgeber House operates solely on contributions. A minimum donation of $40 per night is requested, although “On behalf of the Board no one is turned away if they are unable to contribute. of Directors and staff of the Rathgeber Hospitality Rathgeber House Board members and staff began raising funds House, my sincerest for a two-phase improvement project in 2010 and completed appreciation is extended to the campaign in 2011 raising just under $560,000. Phase our donors and supporters. one, a refurbishment of the House, was accomplished in You make the Rathgeber 2010, and included replacing double beds with queen beds, House the special ‘home- new linens, improvements to the air conditioning system, away-from-home’ it has new carpet for the entire facility, updates to handicap bath- become for literally rooms, and a whole host of smaller projects. Phase two, thousands of people.” which included the addition of a family room and more - Fred Krautz storage, was completed and dedicated in the fall of 2011. Board President 49 2011 United Regional Foundation Donors United Regional Foundation expresses sincere appreciation to all whose contributions and participation in Foundation, Children’s Miracle Network and Rathgeber Hospitality House activities help support excellence in health care for the communities we serve. This Annual Report acknowledges contributions and pledge payments of $100 and above between January 1 and December 31, 2011.

Founders Dr. and Mrs. Eugene W. Brock Stripes Convenience Store 2356 Ms. Margaret Baer Mr. and Mrs. Jeffrey Briscoe Dillard Family Foundation Mr. and Mrs. Richard Bundy Stripes Convenience Store 2357 Mrs. Ona Pearl Baggett Mr. Dale W. Brock Mr. and Mrs. Robert D. Gunn Mrs. Kay Cannan Stripes Convenience Store 2358 Mr. David Bagwell Dr. Mike Brooking James N. McCoy Foundation Carmike Cinema 78827 Stripes Convenience Store 2359 Mr. and Mrs. Gary Baker Mr. and Mrs. Jeff Brooks Perkins-Prothro Foundation Mr. and Mrs. Rick Carpenter Stripes Convenience Store 2361 Mr. and Mrs. Matt Baker Ms. Libby Brooks Stephens Family Foundation Cells-U-More Stripes Convenience Store 2364 Mr. Ronald Baker Ms. Paula Brooks Cima Solutions Group Stripes Convenience Store 2365 Ms. Carol Ballard Mr. and Mrs. Benton Brown Planners Ms. Dana Clay Stripes Convenience Store 2366 Mr. and Mrs. Bobby E. Banner Mr. and Mrs. Bobby Brown Mrs. Gayle Broday-Rogers CompleteRx, Ltd. Stripes Convenience Store 2371 Mr. and Mrs. Bill Barnard Mrs. Lisa Brown Bryant Edwards Foundation Complete Lawn Service, LLC Stripes Convenience Store 2374 Mr. and Mrs. Charlie Barnard Mr. and Mrs. Mark E. Brown Mr. and Mrs. Carroll Laing Coca-Cola Refreshments USA, Inc. Stripes Convenience Store 2375 Mr. and Mrs. John K. Barnard Ms. Rita Brown The Priddy Foundation Mr. and Mrs. Jeff Crenshaw Stripes Convenience Store 2376 Ms. Alisha Barnes Mr. and Mrs. Robert Brown Leota Steed Foundation Dallas Tate Construction Mr. and Mrs. Bob Sullivan Ms. Jamie S. Barnett Mr. Kim A. Brownlee United Regional Auxiliary Dr. and Mrs. Andre P. Desire Julia Lee Taubert Foundation Dr. and Mrs. Danny R. Bartel Mr. Steven Bryan Diversified Texas Carpet Outlet Ms. Susan Basham Ms. Ginger Buck Developers Duke Construction Co. Mr. and Mrs. Bill Townley Ms. Peggy A. Beach Ms. Cynthia Buford American National Bank Ms. Martha Fain Trans Siberian Orchestra Mrs. Jana Beasley Mr. Scott Bullington B.P.O.E. Elks No. 1105 First National Bank of Wichita Falls Trans Star, Inc. Mr. Darrell Beck Mrs. Olivia Burdette Mr. and Mrs. Doyle Bentley Mr. Mark Flusche Trio Operating Company, Inc. Ms. Debrah Beck Mrs. Mitzi Bussey Mr. and Mrs. Randy Bishop Mr. and Mrs. Paul Foley United Regional Pink Darlings Ms. Rebecca L. Bedford Mr. and Mrs. Bradley Buster Mr. and Mrs. Rick Boone Franklin Pharmacy University Kiwanis Club Ms. Joyce Bedoian Mr. and Mrs. Bill Butler J.S. Bridwell Foundation Dr. and Mrs. Ved Ganeshram URPG - Neurosurgery, Orthopedic Ms. Amber Beeman Mr. and Mrs. Gary Butler Ms. Stevie Jo Brown Ms. Jennie Gerdes Surgery & Sports Medicine Mr. and Mrs. Dewayne Bell Mr. Jack E. Butler, Jr. Gene Conley Foundation Mr. and Mrs. Larry Godwin URPG-Specialty Care Ms. Tammy S. Belvin Ms. Stacy Butler Ms. Phyllis Cowling Golden Corral 0548 E. Paul & Helen Buck Waggoner Foundation Ms. Veronica Belvin Ms. Betty Bynum Dairy Queen 14169 Golden Corral 0912 Dr. and Mrs. Hulse Wagner Mrs. Dawn Benham Ms. Candace Byrne Mr. and Mrs. Paul Ernst Gunn Oil Company Dr. and Mrs. Olyn Walker Mr. and Mrs. Kirk Bennett Mr. and Mrs. Joe Cadle Senator and Mrs. Craig Estes Mr. and Mrs. Ralph Harvey, III Walmart 271 Ms. Martha Bennett Ms. Diana Caldwell Fidelity Bank Dr. and Mrs. Lowell Harvey Walmart 353 Ms. Sandra Benoit Mr. Gil B. Cameron First Bank Ms. Catherine Hass Walmart 414 Mr. and Mrs. Tim Berardi Mr. and Mrs. Kevin I. Campbell Fulbright & Jaworski, LLP Dr. Yvonne and Patrick Hearn Walmart Supercenter 479 Mr. and Mrs. Jerry Beshear Mrs. Geneva Campsey Mr. Al Guinn Mr. John G. Held Walmart 3229 Mr. and Mrs. Jacky Betts Ms. Sally A. Cannedy HealthSouth Rehabilitation Hospital of Dr. and Mrs. Scott Hoyer Walmart 8866 Ms. Dianne Beutel Mrs. Ellen A. Cannon Wichita Falls Mr. and Mrs. William F. Jeter Wells Fargo Mr. and Mrs. Jim E. Biggs, Jr. Cantey Hanger, LLP Hotter ‘N Hell Hundred Mr. and Mrs. Jerry Johnson, III Ms. Deborah A. West Mr. and Mrs. Pablo Billan Mr. Clayton Cantwell Joe & Nan Johnson Family Foundation Junior League of Wichita Falls WFACF-Flack Family Donor Advised Fund Mr. and Mrs. Doug Bilyeu Ms. Sherri Carlson Kadane Foundation KFDX-TV 3 WFACF Priddy Foundation Matching Ms. Lisa A. Bindel Carmike Cinema 159343 Kohl’s Cares for Kids - Children’s Hospital Drs. Rita and Nick Kong Gifts Program Ms. Tammie Bishop Carmike Cinema 159577 Program Mr. and Mrs. Doug Kunkle WFACF - Bill and Pat Thacker Donor Bishop Realtor Group, Inc. Mr. Peyton S. Carnes, Jr. Postel Family Credit Union Mrs. Jacqueline Lammers Advised Fund Mr. and Mrs. Jim Black Ms. Kathleen D. Carr Sam’s Club 8224 Lookin Good Wichita Falls Kiwanis Club Ms. Bri Black Ms. Janet Carroll Security’s Lending Hand Foundation Love’s 13 Wichita Heart & Vascular Center, PLLC Mr. and Mrs. Jon L. Black Mr. and Mrs. Steven Carter SIDS and KIDS of TEXOMA Love’s 55 Willen Electric Co. Ms. Lydia Blackmon Mr. and Mrs. Randy Case Strasburger & Price, LLP Love’s 269 Mr. and Mrs. Rob Wilson Mrs. Cindy Blades Castaway Cove Waterpark, L.P. Mr. Joe C. Sumner, III Love’s Travel Stops & Country Stores Mr. and Mrs. Rodd Womble Ms. Denise Blair Ms. Amanda K. Cave Texoma Community Credit Union Mr. and Mrs. Ray Lunn Ms. Kelley J. Blassingame Central Christian Church Mr. and Mrs. Thomas T. Thacker Mr. and Mrs. Jerry Marshall Helping Hands Mr. Mikel Blaylock Ms. Amanda Cerny Union Square Federal Credit Union Mr. and Mrs. John McGowan 3-M Land & Cattle Co. Ms. Pierra Boardingham Dr. David Cerreta and Dr. Sumi King United Regional Mr. and Mrs. Jeff McKnight Action Battery Mr. and Mrs. Henry C. Bodin Mr. and Mrs. Tony Chacon United Regional Valet Services Mr. and Mrs. Rick Moser Mr. and Mrs. Jim Adams Mr. and Mrs. Doyle Boggs Ms. Paula M. Chambless United Supermarkets Mr. David Navarro Ms. Dorothy Adams Mr. Peter Bognar Ms. Ellen Chancellor Walmart Supercenter 269 Nexion Health/Midwestern Ms. Delma Aguilar Mrs. Stephanie Bohannon Mrs. Karen Chancellor Walmart Supercenter 420 Healthcare Center Ms. Guadalupe Aguilar Boley-Featherston-Huffman & Deal Children’s Dentistry of Wichita Falls Walmart Supercenter 1116 NuTech Inc. AJON Chemical Can Insurance Agency Ms. Bevi Childress Walmart Supercenter 1148 Otis Elevator Company Ms. Leslie D. Alexander Mrs. Beverly Bolin Mrs. Beverly Childs Walmart 5071 Mr. and Mrs. Larry W. Park Ms. Laura Allen Mr. Charles W. Bolin Chillicothe Lions Club WFACF-Darrell Coleman Family Donor Parker Family Foundation of Byers Ms. Jennifer K. Allen Mr. and Mrs. Clay Bolin Ms. Michelle Chunn Advised Fund Mr. and Mrs. Kevin Parsons Mr. Danny Allen Mr. and Mrs. Hiram J. Bollinger Mr. Jim Cincala Wichita Falls Teachers Federal Credit Union Patterson Auto Center Ms. Frances G. Allery Bonehead Hot Rods City Concrete, Inc. The Women’s Clinic Mrs. Reba D. Perry Ms. Rita Allgood Ms. Patsy Bonner Clarke EyeCare Center Mr. and Mrs. Ben Woody Mr. and Mrs. Bob Pert Mr. and Mrs. Richard Allred Ms. Kelly N. Boren Mr. and Mrs. Tom H. Clarkin Ms. Sandra Petty Allred Armstrong & Company Mr. and Mrs. Tony Borgman Ms. Chasteen Clow Partners Pizza Hut Alpha Night Circle Mrs. Marsha L. Borman Mr. Gerald Clubb Ace Hardware WF/Lawton Mr. and Mrs. J Michael Price Mr. and Mrs. Nick Alread Ms. Deborah Bounds Ms. Ladonna Clubb Mrs. Darlene Adams Radiology Associates of Wichita Falls American Plumbing Mr. and Mrs. Chris Bowerman Ms. Monica Clubb Alegis Revenue Group, LLC Mr. and Mrs. Ben Ralston American Resin Corporation Mr. Steed Bowersock Mrs. Amberley Cohn Alliance Power Company, LLC Dr. and Mrs. John D. Reeves Ms. Dana M. Amick Bowles Construction Company Ms. Julie Cohn Allscripts Dr. and Mrs. Dennis D. Reinke Mr. and Mrs. Keith Anderle Ms. Hanna L. 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Gay Williams - Sharp Iron Group Dr. John Reeves - Mara and Tim Berardi Melissa Weede, ACNP Peggy Jarrett - Mildred Dinnin Nancy Stone - Cardiovascular Surgery Team - Sandra and Ronnie Sappington - Talmadge Floyd - Sandra Petty Carolyn West Thom Susie Jarvis - Mary Jane and Charles Herrmann Dr. Nicole Storseth - Barbara and Karl Milstead - Pat and Tony Saulsbury Patsy and Dr. Dennis Reinke Family - Jane and Gary Benson - Nancy and Joe Sherrill Joe Johnson - Dr. Yvonne and Patrick Hearn - Judy Hancock Dr. David Whittiker - Cathy and Jim Biggs Jo Carol Riordan Catherine Stubbs - Wanda Lame Georgia Keesee - Donna Fonck - Diana and Evan Stubbs - JoAnn and Al Sutko - Joe Keesee Ryan Ritchie Mason Franklin Studer - Darcus Talley Carol Mather - Barbara and Karl Milstead - Leta and Joe Studer - Linda Wilson - Teresa and Harold Hartman Dr. Rafael Rivera Dr. Shona Sudarshan Dr. Jonathan Williams Billy and Kirk McClellan 54