St. Francis Oncology Program 2016 Annual Report St

St. Francis Oncology Program 2016 Annual Report St. Francis A Letter from Oncology Program Robert Siegel, MD 2016 Annual Report What makes an excellent community cancer center? We have all seen commercials, billboards and other advertising for cancer centers of various types highlighting Table of Contents the hardware, research, and other material aspects of their programs. I would submit that most of these elements 02 A Letter from Robert Siegel, MD provide a foundation necessary for the function of a cancer 03 A Message from Sister Dorothy Brogan, CBS center in the 21st century.

04 Program Growth & the Care Continuum An excellent community cancer center, however, focuses intentionally on the communities it serves. Academic cancer centers are often associated with a 05 Our Commitment to Quality large university and faculty, extensive clinical and basic science research, and 06 Cancer Registry Data & Statistics opportunities for management of rare and complicated cases. Such facilities are often some distance from outlying communities, and despite their size, 07 Stem Cell Transplant Program have a limited ability to take on large numbers of additional patients for routine 08 Adolescent & Young Adult Program management. For that reason, 85 percent of patients with cancers are treated in community institutions such as the St. Francis Cancer Center. 10 Spanish Language Initiatives This Annual Report spotlights many of the fundamentals that make for a modern 10 The Oncology Care Model cancer center. Our technology is state of the art and offers innovative approaches 11 CancerLinQ™ to the management of malignancy. Our expert physician and provider staff deliver top-notch consultative and therapeutic care. Our research efforts far 13 Immuno Oncology exceed those of other community cancer programs. As a result, we recently were

13 Precision Medicine selected to participate in new national efforts in both information technology through CancerLinQ™ and programs to stem the tide of rising cost as part of the 14 Radiation Oncology Oncology Care Model administered by the Centers for Medicare and Medicaid Services (CMS). 15 Palliative Care Yet despite the technology and achievements, we are most proud of our staff 16 Patient Navigation that strives to make this center a sanctuary for those suffering from cancer and 16 Lean Process Improvement blood disorders. From the moment people pass through our front doors for the first time, we use all resources available to make the difficult journey as easy as 17 Community Health Outreach possible for them, their caregivers and family. The message embraced by our staff 18 Community Screenings & Health Education is simple—to care for others in a manner that they would want for themselves or a loved one. 18 Giving Back to Our Community Whether it be our reception area staff, lab personnel, financial counseling, 19 Patient & Family Support Groups housekeeping or our clinical staff—physicians, nurse practitioners, nursing, 20 Bon Secours Hematology & Oncology nutrition and social work—our message is the same: “We are here for you.” At St. Francis Cancer Center, we strive for excellence, blending our “high tech” with 20 Hematologists/Oncologists “high touch.” 21 Radiation Oncologists Sincerely, 21 Gynecologic Oncologists

22 Nursing

23 St. Francis Foundation & Donors Robert D. Siegel MD, FACP 35 Contact Us Program Director, Oncology Services

02 A Message from Sister Dorothy Brogan, CBS

Dear Friends,

On January 24, 1824, the Bishop of Paris commissioned 12 young women and called them bon secours--“good help;” they became known as the Sisters of Bon Secours. In the wake of the French Revolution, these women felt called by God to go into homes in Paris to care for those who were sick and dying. The Sisters offered words of comfort and stayed with those who were ill until they were better or died. In an era where there was much suspicion about clergy and religious, their policy of providing care without initiating conversation about belief in God or needing forgiveness bolstered their success. They reflected God’s love with their work, and their ministry grew.

The Sisters came to the United States in 1881 at the invitation of the Archbishop of Baltimore to continue the ministry they started in Paris. Since those early days, we continue to respond to God’s call to provide healing and compassion to all.

It has been my privilege to be a listening, supportive presence in the lives of those with whom I come in contact. I have had the honor to provide a healing presence as patients struggle through their treatments and the opportunity to celebrate with survivors and their families.

Much like the first Sisters of Bon Secours who responded to the call to go out and care for those who were suffering, we continue that mission today—the mission to be Bon Secours, “Good Help to Those in Need®.”

Sincerely,

Sister Dorothy Brogan, CBS Chaplain, St. Francis Cancer Center

03 Program Growth and the Grounded in Our Community: Care Continuum A History of the Bon Secours St. Francis Oncology Program Established in 2010, the Bon Secours St. Francis Oncology Program offers high quality inpatient and outpatient services, 2015 which have grown exponentially from the inpatient and minimal BMT Allogeneic Program Launch infusion services initially offered. The immediate response from the community has demonstrated the need for a choice in cancer 2014 care in Greenville County and the metropolitan area. That, and QOPI Accredited our rising patient volume, repeatedly validates the decision to 2014 expand the program. Cancer cases diagnosed at St. Francis have Cancer Center Opened increased by 50 percent since 2010. 2013 Cancer Center Groundbreaking Cancer Cases 2012 1400 AYA Program Launched 1200 2012 1000 Linac CON Awarded 800 2012 600 Gyn Onc Program Launched 400 2011 200 BMT Program FACT Accredited 0 2010 2011 2012 2013 2014 2015 2010 First Oncologist Hired at UOA Expansion of Services 2010 Nurse Navigator Program Started Over the past six years, the oncology program has worked with patients, community partners and across multiple disciplines to 2010 provide comprehensive cancer services and support. The full Outpatient BMT Services Launched spectrum of our services ensure the highest quality care and best 2009 outcomes, includes: Infusion & BMT Unit Expansion • Prevention • Early detection 2009 • Treatment Photopheresis and Therapeutic Apheresis Services Offered Prevention Education • Survivorship care Screening Services Early Detection Options 2008 Advanced Imaging Hematologic Industry Research Program Implemented Disease Staging Interdisciplinary Planning Prevention Education Prevention Screening Services 1999 and Planning Early Detection Options Commission on Cancer Accredited Advanced Imaging OUR Disease Staging Interdisciplinary Planning 1999 PATIENTS First Inpatient BMT Unit Created in Upstate Integrated Support Comprehensive and Survivorship Treatment 1985 Spiritual and Holistic Care Patient Navigation Social Work Louis P. Batson Jr. Oncology Unit Opened Genetic Counseling Counseling Services Oncology Rehab Palliative Care Nutritional Support Support Groups Complementary Modalities

04 Our Commitment to Quality Distinction on a Quality National Level

The St. Francis Cancer Center has In 2016, the American Society of Clinical Oncology chose Robert earned national accreditation from Siegel, MD and Bon Secours St. Francis as a “Best Practice Provider.” the American College of Surgeons’ Dr. Siegel summarized the provision of quality care in a community Commission on Cancer (CoC) and setting during a podium presentation at the ASCO’s Annual Quality the National Accreditation Program Care Symposium. In addition, the American Society of Clinical for Breast Centers® (NAPBC®), Oncology’s Journal of Oncology Practice included an editorial the American Society for Clinical publication titled, “2016 Exemplars in Quality and Identifying High- Oncology’s Quality Oncology Practice quality Practice: Delivering Quality in the Community Setting (St. Initiative® (QOPI®) and the Foundation Francis Cancer Center).” for the Accreditation of Cellular Therapy The Bon Secours St. Francis oncology program continues its (FACT). The program also chooses commitment to quality through multiple poster and abstract to adhere to the National Quality presentations in a national setting including palliative care, oral standards of The Joint Commission. chemo and others. The program will participate as an OCM pilot To maintain our commitment to quality site and as a vanguard site (one of only 58 sites worldwide) for at every level, we also participate in CancerLinQ™, one of Vice President Biden’s Moonshot Initiatives. acclaimed quality-related certifications and practices such as CancerLinQ™, Oncology Care Model (OCM), the Quality goal is patient-centered care NCI Community Oncology Research Many of today’s most effective cancer treatments are provided Program (NCORP), and Center in an outpatient setting. However, the vast majority of outpatient for International Blood & Marrow cancer services are divided between several locations, creating a Transplant Research® (CIBMTR®). stressful and confusing sprawl for patients. Bon Secours St. Francis’ The Bon Secours St. Francis Oncology state-of-the-art outpatient center incorporates the latest advances Program has developed a culture of self-examination and in cancer treatment, all under one roof. improvement using evidence-based treatment guidelines. Our commitment is to provide compassionate and quality care to each “The commitment to the quality of patient, every time. We continually assess quality and monitor care for our patients is top notch; areas for improvement, execute improvements or corrective constant improvement is just part actions, and monitor completion of these actions. Methods include assessing and promoting staff training, and initiation of protocols of our culture. I would certainly and procedures, with clinical outcome analysis. The program choose Bon Secours St. Francis for assures regular interaction among all clinical sites and compliance oncology care for my own family with standards of accrediting, licensing and regulatory agencies. members and I think that says it

The goal of the oncology quality program is to provide safe, all.” competent, efficient, compassionate and effective care consistent Alison Hammond, Hematology/Oncology with the Mission and Values of Bon Secours St. Francis Health System. In addition to earning additional certifications and Quality and Regulations Manager accreditations, we continue to gain national recognition for our provision of quality care in the community setting.

05 Cancer Registry Data & Statistics Top Ten Cancers The Cancer Registry staff in the Quality Department at the St. 2% Francis Cancer Center collected 1,224 new cancer cases in 2015. 2% Colon Rectal These charts show an overview of the program broken down in 7% Pancreatic 22% different ways. There were approximately 1,027 Caucasian patients Lung 13% and 191 African-American patients. The remaining 6 patients Breast Uterine 7% included 5 Asian patients and 1 “other.” There were a total of 572 Prostate male patients and 652 female patients treated. The top 10 cancers 5% Bladder 22% Kidney treated at the St. Francis Cancer Center include colon, rectal, 6% Hematological 12% pancreatic, lung, breast, uterine, prostate, bladder, kidney and Malignancies Other hematological malignancies. 3%

Where Our Patients Live Cases by Gender

York Spartanburg Pickens Greenville 652 572 Oconee Union

Anderson Laurens

Abbeville Greenwood Out of State McCormick Saluda Cases by Race 6 Abbeville 2 Aiken 2 Anderson 78 Greenville 840 Aiken 191 Greenwood 4 Caucasian Laurens 33 McCormick 1 African-American Oconee 41 Out of State 19 Other Pickens 170 1027 Saluda 4 Spartanburg 27 Union 2 York 1

Age at Diagnosis Cancer Stage

118

06 Stem Cell Transplant Program

The stem cell transplant program at St. Francis Cancer Center The program’s community-minded focus is the force behind its boasts accreditation through the Foundation for the Accreditation pursuit as a collection site to join the global transplant network of Cellular Therapy (FACT) and a new, dedicated transplant through the National Marrow Donor Program. The ability to specialist. Sharif Khan, MD brings a wealth of knowledge, wisdom collaborate with like-minded organizations to participate in the and experience to the program. He has completed a bone marrow collective impact against disease will position the cancer center as transplant fellowship at Vancouver General Hospital (British a leader in bone marrow transplantation. Columbia) and launched a successful haploid identical bone The patient rooms for stem cell transplantation at Bon Secours St. marrow transplant program at another nationally recognized Francis are equipped with air filtration systems and other safeguards institution. He is certified through the American Board of Internal for patients undergoing transplantation or those receiving other Medicine and is a member of the American Society of Hematology intensive therapies. Support from the St. Francis Foundation and the American Society of Blood and Marrow Transplantation. eliminated many barriers to our patients and their families. The “Stem cell transplants can save the stem cell transplant program offers regional cancer patients and lives of people with acute leukemia their families a leading-edge option close to home, which can be life and other dangerous blood diseases. saving for different types of cancers, including acute and chronic leukemia, lymphoma, myeloma, and myelodysplastic syndrome. But getting a transplant is tougher for some people than it is for others. That’s because only about one in five Breaking the Age Barrier in stem cell donors is a minority. And Curative Therapy for Acute the number drops to single digits for people of mixed race ancestry. Leukemia So as part of its adult stem cell Using an investigational radioactive isotope, a person’s bone transplant program, Bon Secours St. marrow can be prepared to receive good donor bone marrow cells. Francis Health System is launching an Older patients, or those with significant comorbidities, might not initiative to reduce the disparities.” survive the strong chemotherapy needed to fight all of the bad cancer cells. This leading edge therapy will allow those patients From “Stem Cell Transplant Program Targets Racial that were previously excluded access to a potential cure. Disparities,” The Greenville News1 Disease of the blood can be hard to treat. The clinical team at The program offers state-of-the-art therapies developed by the the St. Francis Cancer Center is actively participating in clinical nation’s leading institutions. Since the program’s initial FACT trials for people whose blood is being made in the right way accreditation in 2011, it has experienced steady growth in quality (MDS, myelofibrosis, etc.). These studies utilize state-of-the-art and volume, with anticipation of the same strict standards technology and include “first-in-man” or “Phase I” trials. and subsequent development for its allogeneic and haploid transplantation service. FACT, like many accreditations, is voluntary St. Francis Cancer Center has been conducting clinical research with but composed of rigorous peer-reviewed inspections of both bi-specific T-cell engages (BiTEs) with hopes to improve survival our site and quality management system. Accreditation assures rates for aggressive blood cancers. Currently, we are evaluating evidenced-based practices in cellular therapy and adherence to this technology in conjunction with bone marrow transplants for stringent, national standards predicated on leading-edge medical both leukemias and lymphomas that are not responding to normal science. It mandates that cell transplantation is performed safely, chemotherapy. properly and effectively to achieve optimum patient care and the most desirable outcomes. The cancer clinical team continuously assesses documentation compliance and adherence to standards and industry best practices to provide the highest quality of care to its most valued care partners, our patients.

1Osby, Liv. “Stem Cell Transplant Program Targets Racial Disparities.” The Greenville News. September 26, 2016. 07 Adolescent & Young Adult Hematology and Oncology Program

“Too old for pediatric care, too young for adult care — adolescents and young adults sometimes fall through the cracks, but health systems like Bon Secours St. Francis want to Historically, oncology patients between the ages of 15 and 40 were referred to as “the lost tribe.” Adolescents and young adults (AYAs) catch them.” From have not had a medical home where they feel that they belong “A Lost Generation or where they can relate to other patients in their age range. In of Cancer Patients.” 2012, the St. Francis Cancer Center established an AYA program, From “A Lost Generation of Cancer Patients,” opening its doors and offering expertise in the care and treatment The Greenville Journal1 of this specific population battling cancer and other blood-related abnormalities. AYA Facts Cancer may not care how old you are, but at the St. Francis Cancer

Center, we do. While there is no good time in life to get cancer, • Each year, more than 70,000 adolescents and young adults in teens and young adults have unique challenges that children and the United States are diagnosed with cancer older adults do not experience. If you are in high school, cancer • In South Carolina, AYA patients accounts for approximately 10 treatment can disrupt your plans for graduation. If you are working, percent of newly diagnosed patients it has the potential to derail your career goals. Add to that concerns about relationships, appearance, independence, health insurance, AYA Facts originated from: https://www.cancer.gov/types/aya questions about future ability to have children, and your social and emotional well-being, and it is safe to say a cancer diagnosis at this stage in life can turn your world upside down. About AYA

AYA is a comprehensive, community-based program focused on coordinating care and improving clinical trial access of adolescent and young adult patients in the Upstate. it is the only community based program of its kind in South Carolina - and one of the few in the United State - dedicated to supporting this population diagnosed with cancer. It is one of the few AYA programs in a community-based oncology program rather than a traditional academic setting.

The program takes a team approach to coordinate patient care providing the best treatment protocols and enrollment in groundbreaking clinical trials to improve their quality of life while undergoing treatment. The goal is to assure longer, healthier lives

1Young, Melinda. “A Lost Generation of Cancer Patients.” 08 The Greenville Journal. September 26, 2016. AYA Research

St. Francis is an active participant in the Work Ability in Young Adult Survivors (WAYS) trial through an NCI-funded partnership for young people with cancer. with Wake Forest University. The study is evaluating the levels of labor force participation, occupation and educational attainment Bon Secours St. Francis announced an exciting new partnership of AYA cancer survivors versus national benchmarks with local philanthropic group Clement’s Kindness this past spring, which enabled the outpatient cancer center to upgrade and St. Francis participates in the National Cancer Institute’s Children’s designate space specifically for AYA patients. The organization’s Oncology Group (COG) through the Clinical Trial Support Unit generous funding of $83,500 provides these patients their own (CTSU). Participation in this group allows our adolescent patients outpatient Activity Center and Waiting Room equipped with access to COG’s treatment options without having to limit their educational and entertainment resources to promote connectivity facility of choice to a pediatric hospital. within the group, focus on their school and vocational paths and Hal Crosswell, MD is the Chair of the Adolescent and Young provide enjoyment in the midst of cancer treatment (such as a Adult Committee for the Southeast Clinical Oncology Research computer, TV, art therapy materials, gaming, and three mobile Consortium (SCOR). carts). The funding also helped support the addition of an AYA coordinator position to develop and grow the program. Local/National Affiliations & “There’s a growing recognition that cancer patients 15 to 40 years of Resources

age require new models of care • American Cancer Society with a focus on research studies • Athletes for Cancer and collaborative decision making • Clement’s Kindness between pediatric and medical • Critical Mass oncologists and their patients and • First Descents families. Since 2012, Bon Secours St. • Flashes of Hope Francis has embraced this new model • Greenville/Pickens/Spartanburg Cancer Societies of care delivery for providing faith- • Kate’s Crates based, state-of-the-art care of AYAs • Let There Be Mom closer to home, in their community, • Leukemia/Lymphoma Society and I’m extremely honored to be part • Live Strong of the AYA Care team.” • Make-a-Wish®

Howland (Hal) Crosswell, MD, Bon Secours St. Francis • Ronald McDonald House Adolescent and Young Adult program • Teen Cancer America • Thomas Epting Faith Fund • Stupid Cancer • The Children’s Security Blanket

09 Spanish Language Initiatives The Oncology Care Model

As the local population continues towards increased diversity, the St. Francis Cancer Center has an opportunity to improve the “A new oncology model being rolled out quality of care and services for all Upstate residents. Specifically, across the country is aimed at rewarding the center encounters Spanish-speaking new and referred patients practices that eliminate unnecessary daily while nonclinical and clinical staff remains almost exclusively blood tests and scans, which should be native English speakers. welcome news for patients and insurance Many Spanish-speaking patients seen at the center also have a delay companies.” in diagnosis. This often results in added expense for treatment of the disease at more advanced stages with an unfavorable impact From an article in the Spartanburg (S.C.) Herald-Journal, September 26, 20162 on outcomes. The addition of a bilingual lay navigator to the patient care team–coupled with the efforts of a highly capable clinical staff—is a proactive means of effective, evidence-based outreach to Reducing the Cost of Cancer Care this underserved population. Establishing a coordinated pathway— with a dedicated bilingual lay navigator, bilingual clinical outreach Cancer is one of the most common and devastating diseases in the staff and Spanish-language materials and events—will provide a United States.to the National Institutes of Health, based on growth robust community resource for our Spanish-speaking patients and and aging of the U.S. population, medical expenditures for cancer their families. in the year 2020 are projected to reach at least $158 billion—an

In addition, identifying those most at risk will reduce strain on local increase of 27 percent over 2010. A significant proportion of those safety net and welfare systems. By treating these patients earlier diagnosed are more than 65 years old and Medicare beneficiaries. and more effectively, the St. Francis Cancer Center will strengthen The Bon Secours St. Francis Oncology Program was selected as its role within the community to be “Good Help to Those in Need®.” a pilot site for the launch of the Centers for Medicare & Medicaid Service’s Oncology Care Model, which strives to enhance the coordination and quality of care delivered as a means of reducing the overall cost of cancer treatment. The pilot is a five-year program Goals of the St. Francis that benchmarks the cost of oncology care against individual Cancer Center Spanish- practices’ historical data and national averages. speaking Initiative “The Oncology Care Model encourages greater collaboration, • Improve the wellness of our local Spanish-speaking population information sharing, and care coordination, so that patients get the • Recruit and retain a bilingual (English/Spanish) lay care they need, when they need it.” navigator Health and Human Services Secretary Sylvia M. Burwell • Assess and verify through Interpreting Services bilingual status of supplemental staff

• Establish Spanish-language outreach documents, patient Meaning of the Oncology Care Model education materials and clinical assessment tools Pilot Site Designation

• Transition interpreting responsibilities to the lay • One of only 200 sites selected nationally to launch the navigator to reduce expenses on contractual employees initiative

• Patient care driven by nationally recognized clinical guidelines

• Designed to deliver high-quality and well-coordinated care at lower cost

10 • Providers and care team work closely together so that patients’ care plans are without gaps CancerLinQ™: How One

• Additional patient services provided at no charge Person’s Cancer Experience

Practices participating in the five-year Oncology Care Model Can Help Thousands of will provide treatment following nationally recognized clinical Others guidelines for beneficiaries undergoing chemotherapy, with an emphasis on person-centered care. They will provide enhanced Each person’s cancer experience tells a unique story. When services to beneficiaries who are in the Oncology Care Model, to these stories come together, they become a powerful tool that help them receive timely, coordinated treatment. These services can actually improve cancer care for everyone. It happens with may include: CancerLinQ™, a health information technology system created

• Coordinating appointments with providers within and outside and maintained by the American Society of Clinical Oncology, that the oncology practice for timely delivery of diagnostic and collects and analyzes medical and treatment data from people with treatment services cancer.

• Providing 24/7 access to care when needed “CancerLinQ™ will allow cancer care providers to improve the quality and • Arranging for diagnostic scans and follow-up with other members of the medical team such as surgeons, radiation value of care by analyzing millions oncologists, and other specialists that support the beneficiary of cancer patient medical records, through their cancer treatment uncovering patterns and trends, and

• Making sure that data from scans, blood test results, and other measuring their care against that tests are received in advance of patient appointments so that of their peers and recommended patients do not need to schedule additional visits guidelines. The CancerLinQ platform

• Providing access to additional patient resources such as is the only effort of its kind being emotional support groups, pain management services, and driven by a non-profit, physician clinical trials organization, and it leverages the

The Bon Secours St. Francis Oncology program has many services combined expertise of 40,000 of in place to meet these goals along with continuing efforts to the world’s leading oncologists who 1 enhance the level of care provided to our patients. comprise ASCO’s membership.”

Current care coordination services in place include: When a doctor participates in CancerLinQ, treatment information • Multidisciplinary treatment planning sessions for treatment about the doctor’s patients is added to a database that includes and support service intervention thousands of other individuals with cancer. Doctors can use this information to help make decisions about their patients’ care, and, • Disease-specific nurse navigator services in turn, their patients’ information contributes to the care of others. • Comprehensive, integrated electronic medical record system Today, almost all of our cancer treatment insights come from a • Infusion services available 12 hours a day, 7 days a week, 365 tiny subset of clinical trial, research, patients. In the United States, days per year 1.7 million people are diagnosed each year with cancer, but only 3

• On-site social work, nutrition, financial counseling and case percent enroll in clinical trials. To improve care for every patient, management services we need insights from the other 97 percent of people receiving cancer care. • Integrated rehab, palliative care and survivorship plans

• Partnering with multiple community and national support networks

• Community care service liaisons on site

2ASCO’s CancerLinQ™ Extends its Reach – 58 Oncology Practices, 750,000 Patient Records, 1,000 Providers Under Contract, New Partnership Launch With the Nation’s Leading Cancer Informatics Association. News Release, June 5, 2016. 11 At the same time, the volume of published cancer research has TM increased dramatically, along with an accumulation of genomic data CancerLinQ FAQs (your DNA or genes), and information about new, targeted cancer 1. How does it help me? therapies, or treatment that is directly identifying and blocking the CancerLinQTM can help you and your doctor make more growth and spread of cancer. informed decisions about your care. Your doctor can compare your treatment to that of other patients like you and find out if CancerLinQ is organizing the explosion of information into usable there are ways to improve your care. knowledge, personalized for each patient. 2. How does it help others? We offer this state-of-the-art, innovative approach right here in Through CancerLinQ, you’re helping to improve cancer care Greenville. The Bon Secours St. Francis Oncology program was today and in the future. That’s because every time you receive selected as a “Vanguard Site,” leading one of the first programs to care, you contribute to a large collection of information from participate and gain access to this cutting edge information; we are thousands of patients with cancer. Doctors will be able to use one of 58 sites selected to launch in the nation. that information to find better ways of diagnosing, treating, and monitoring the disease. The goal of CancerLinQ is to enhance understanding of cancer, 3. What information about me is part of CancerLinQ? improve treatment of cancer, and increase the value of the care CancerLinQ collects data about you that already exists in your that is provided. The initiative is allowing us to deliver high quality, doctor’s EHRs. The information collected through CancerLinQ evidenced-based care in a community setting. might include: • General information, such as your name, gender, date of CancerLinQ is a powerful health technology platform that harnesses birth, and ethnicity big data to improve the quality of care for people with cancer. • Clinical information, such as your medical history and test Every patient’s journey is different, with individual characteristics, results treatments, and outcomes. Until now, this information has been • Therapy information, such as your treatment plans, drug locked away. CancerLinQ is a tool that we can use to collect and regimens, and the outcomes of your treatment analyze electronic medical records to provide data we can use to • Other information, such as your address and occupation make more informed decisions. 4. Who can see it? The data collected will leverage information from 40,000 Beyond your doctors, only a small number of selected, trained oncologists and over one million patients. Programs will use this personnel from CancerLinQ and its technology team will be able information to uncover patterns and trends that have been hidden to see your identifiable information. until now. Instead of waiting for analytic reports that can be obsolete 5. What about privacy? CancerLinQ uses state-of-the-art techniques to protect your by the time they are disseminated, we will have access to real-time health information. From advanced security software to the quality feedback including benchmark data for new initiatives. The physical security of computer facilities, CancerLinQ meets data will become usable, searchable, and up to date bringing about applicable laws, regulations, and industry standards to protect an environment of continuous learning. patients’ information and privacy CancerLinQ supports our values of compassion, quality, growth and 6. What should I do if I do not want my data to be in CancerLinQ? innovation. Ultimately, by taking part in the initiative we move closer Talk to your doctor or another member of your healthcare to the mission of our ministry. team about your concerns. If you decide not to participate in CancerLinQ, let your doctor know in writing and you will receive an opt-out form. Once you complete the opt-out form and give it to your doctor, your identifiable data will be removed from CancerLinQ. Any anonymous data already in the system will remain. In addition, CancerLinQ will provide support and assistance for practices that would like to notify patients who no longer receive treatment at their facility regarding opt-out NCI — Molecular Analysis for therapy Choice (NCI-MATCH) options.2 is a clinical trial that analyzes patients’ tumors to determine whether they contain genetic abnormalities for which a targeted drug exists and assigns treatment based on the abnormality.

1 Source: www.asco.org. 2 Source: ASCO’s CancerLinQ™ Frequently Asked Questions, 2015

12 Bon Secours St. Francis is actively engaged in many precision Immuno-Oncology medicine clinical trials. Retrospective trials are evaluating “exceptional responders” to answer the question: “What about this Every day there are changes occurring in a person’s DNA; every person’s individual DNA and/or environment allowed this patient to day the immune system checks for these changes. If there is a do so well when others with the same disease and treatment did damaged cell the immune system identifies and destroys it. If the not?” damaged cell is able to avoid detection by the immune system and subsequently be able to multiply then it becomes “cancer.” Other trials, such as the National Cancer Institute’s MATCH program, proactively identify abnormalities in a cancer cell’s DNA that might For more than a hundred years scientists have known that if they be driving development of the disease. Based on these changes in could make the immune system do what it should be doing – then the DNA, a therapy is chosen that will act on the mutation. This is cancer could be cured. Making the immune system do that, however, in stark comparison to traditional therapy where medications are has been filled with challenges and setbacks. Very recently the chosen based on where the cancer originated. scientific community has been able to identify certain key aspects of the immune systems relationship with cancer cells.

The American Society of Clinical Oncology (ASCO) announced in February 2016 that “No recent advance has been more transformative than the rise of immunotherapy, particularly over this past year...these new therapies are not only transforming patient lives, they are also opening intriguing avenues for future research.”1

Immunotherapy is a promising new strategy to treat cancer. It may be able to control tumor growth and have fewer side effects than chemotherapy. Although existing advances have been made, research will focus on making these benefits extend to more and more patients. Scientists are also exploring how they can predict who will respond best to certain immunotherapy regimens.

Immunotherapy requires dedicated oncologists, infusion services, and advanced patient navigation resources in order to appropriately monitor and treat the unique side effects that can be caused by this class of drugs.

This approach to treatment is now commercially available for several types and stages of cancer. STF is dedicated to pursuing additional opportunities that utilize this novel cancer fighting approach through clinical trials for lung cancer, melanoma, breast cancer, head and neck cancer, ovarian cancer, colon cancer, bladder cancer, pancreatic cancer, brain cancer, lymphomas, and blood cancers.

Precision Medicine

Precision medicine is an emerging approach for disease treatment and prevention that considers individual variability in genes, environment and lifestyle for each person. In 2015, President Barack Obama launched the Precision Medicine Initiative Cohort Program that laid the foundation for physicians to predict more accurately which treatment and prevention strategies for a particular disease will work in which groups of patients.

13 Drs. Daniel Fried and Jeremy Kilburn are especially excited to Radiation Oncology be part of something truly innovative and novel in the treatment of prostate cancer. St. Francis Cancer Center was among the St. Francis Cancer Center offers leading-edge, state-of-the-art first in the country to use technology to help treat our prostate TrueBeam™ technology. patients with fewer side effects without compromising our ability This high-precision radiotherapy system brings the latest cancer to cure. SpaceOAR is an FDA-approved injectable water based care advancements to our community providing safe and effective gel (hydrogel) placed in the space between the rectum and the treatment. prostate. It creates a separation between the two structures, allowing higher radiation doses to the prostate without overdosing The Varian TrueBeam system is capable of treating cancer the rectum, reducing side effects. anywhere in the body. Common areas include lung, breast, prostate, and head and neck malignancies. TrueBeam uses the very best “I have found that the radiation image guidance technology to help the team provide accurate and treatment plans are significantly timely delivery of radiation to patients. Treatments that previously better with regard to rectal radiation required 10-30 minutes are now delivered in 2-5 minutes, greatly dose and our patients tolerate the improving the patient’s comfort and the efficiency of treatment. treatments better than could be achieved without SpaceOAR.”

Daniel Fried, MD, PhD, MA on the effectiveness of SpaceOAR

The highly experienced and skilled team at the St. Francis Cancer Center, armed with our excellent technology, concentrates on giving our patients the high quality of care they deserve with faith, hope and expertise. Radiation Research

Our Radiation Oncologist, Jeremy Kilburn, MD received a Young Investigator status in 2014 by the National Cancer Institute.

In 2014, Bon Secours St. Francis received a National Cancer Institute Community Oncology Research Program grant in partnership with the Southeast Cancer Consortium. Through the NCI partnership, St. Francis is able to offer many clinical trial opportunities including

Intensity-modulated radiotherapy is a form of treatment available those dedicated to radiotherapy. Through National Clinical Trials with TrueBeam. It allows physicians to maximize radiation dose to Network radiotherapy patients are able to contribute to: areas within the tumor while minimizing radiation to those areas • The improvement of survival outcomes and quality of life of around the tumor (the heathy tissues). This mitigates any severe adults with cancer through the conduct of high-quality clinical side effects and enables our patients to experience less disruption trials in their everyday lives. • The evaluation of new forms of radiotherapy delivery including In addition to IMRT we are very proud to offer other innovative stereotactic radiotherapy, brachytherapy and others in the technology such as brachytherapy treatments. Brachytherapy is a context of clinical research targeted radiation treatment that allows our physicians to deliver • The testing of new systemic therapies in conjunction with radiation directly into or near a tumor. It also has the advantage of radiotherapy completing treatment in less overall time so that treatments that were done over weeks can be done in days. Brachytherapy is often • The employment of translational research strategies to identify used in the treatment of gynecological, uterine, prostate and skin patient subgroups at risk for failure with existing treatments cancers. and identify new approaches for those patients

14 increased the involvement of supportive care services and Interdisciplinary Care Rounds improved the interaction between care team members. in a Community Cancer Center

Changing the Paradigm of Supportive Palliative Care Service Involvement in Cancer Care The National Cancer Institute defines palliative care as: “Care given Cancers centers have focused on optimizing seamless to improve the quality of life of patients who have a serious or life- Multidisciplinary Care (MDC) at tumor boards and/or clinics, threatening disease.” The goal of palliative care is to prevent or treat and there has been little published on effective ways to involve as early as possible, the symptoms of a disease, side effects caused supportive services in the management of cancer patients. by treatment of a disease and psychological, social and spiritual problems related to a disease or its treatment. Palliative Care is also The Institute of Medicine 2008 report, Cancer Care for the Whole called comfort care, supportive care, and symptom management. Patient: Meeting Psychosocial Health Needs, related high quality health care to the “level of interactions among different clinicians As stated in the World Health Organization’s definition of palliative serving the same patient.” St. Francis Cancer Center program care: Palliative Care is applicable early in the course of illness, in includes palliative medicine, oncology rehabilitation service and conjunction with other therapies that are intended to prolong life, other supportive care services. These programs were underutilized such as chemotherapy or radiation therapy. for oncology patients. Referrals for January through June 2014 Palliative Care has been provided to hospitalized patients at Bon were: PM total visits-204 with a monthly average of 34; ORS total Secours St. Francis since 2006; however, the need to provide visits-92 with a monthly average of 15; and referrals to the American palliative care to our outpatient oncology patients became evident Cancer Society were 23 for January through November 2014, with three or four years ago. Despite this recognition, the space for this a monthly average of 2 referrals. care was not available until the opening of the St. Francis Cancer

St. Francis initiated Interdisciplinary Care rounds to increase Center in October 2014. Care is provided by a physician who is referrals to supportive care services—PM, ORS, and ACS in board certified in Palliative Medicine, as well as Nurse Practitioners September 2015. IDC rounds participants represent the following who are also certified in Palliative Medicine. areas: medical oncology, navigation, clinic nursing, PM, financial counseling, psychology, nutrition, home care, hospice, Adolescent and Young Adult (AYA) program, ORS and ACS. Areas of Expertise

Patients with malignancies are discussed within three weeks of • Physical aspects of care: pain, dyspnea, nausea/vomiting, presentation and at any point during the continuum of care and fatigue, constipation, activity status, medical diagnoses a treatment strategy formulated. A database was created to track education and medication adjustments new patients and record the recommendations of this weekly • Assistance with goals of care discussion, which are then forwarded to the primary medical oncologist for review and approval. Navigators are pivotal to the • Assistance with advanced care planning process. They anticipate needs for supportive services that may • Family support not be evident during other points of contact. The team relies on Spiritual aspects of care: spiritual, religious or existential; navigation for identification of needs during IDC rounds. • hopes and fears; forgiveness Referrals for January through May 2016 • Social aspects of care: communication, interaction and 1. Palliative Care total visits-334 with a monthly average of 67; support with family and friends; caregiver crisis

2. ORS total visits-134 with a monthly average of 27; and

3. Referrals to the American Cancer Society were 291 with a monthly average of 58.

Our results demonstrated referrals to supportive services have increased since the introduction of the IDC rounds. IDC rounds

15 Expansion of Palliative Services oral chemotherapy. This includes scheduling the patient with a financial counselor and chemotherapy education with the The Palliative Care outpatient clinic has experienced significant clinical pharmacist. The navigator provides basic drug education growth since October 2014. The clinic is now open 32 hours/week, — (i.e., drug name, what it is designed to do, how often it is given, which is an increase from the initial 20 hours/week — with the ability and common side effects). Once oral chemotherapy has been to see patients in the Infusion Center, Radiation Oncology, and Bon started, the navigator contacts the patient within the first 48 to Secours Hematology & Oncology. 72 hours to discuss barriers related to toxicities and compliance.

• Total visits for 2015 were 559 with 158 new patients seen Toxicities and adherence are also documented at each medical oncology visit. • Through August 2016, total visits were 586 with 136 new patients seen QOPI data abstraction was repeated in 2015. In all oral chemotherapy (defect-free) indicators was observed. In QOPI “Embedding Palliative Care in a Community-Based Cancer Center: indicators were: Benefits and Barriers” was a poster presentation at the 2016 ASCO Palliative Care in Oncology Symposium in San Francisco. The mission 1. Plan for oral chemotherapy increased from 37.90 percent in of the palliative care service continues to be to fulfill the mission 2014 to 62.50 percent in 2015; of Bon Secours St. Francis Health System: to bring compassion to 2. Oral chemotherapy education provided from 25 percent in health care and to be of good help to those in need. 2014 to 75 percent in 2015; and

Patient Navigation: 3. Oral chemotherapy monitored from 41.67 percent in 2014 to Steering the Course 100 percent in 2015. Improvement in compliance with QOPI oral chemotherapy Navigate is defined by the Merriam-Webster dictionary as “to steer indicators demonstrates the effectiveness of the navigation a course, to find the way to get to a place, and to make one’s way process to manage and monitor oral chemotherapy. Use of oral over or through.” In 2010, the St. Francis Cancer Center initiated a chemotherapy agents has grown tremendously. Navigation is an Navigation Program that focused on patients with hematologic important tool for compliance and patient safety. malignancies and lung cancer. Today, the program has grown to nine nurse navigators providing services for both hematologic Navigators at the St. Francis Cancer Center work with the care malignancies and solid tumors (cancers). team to steer the course, find the way and help every patient diagnosed with cancer make their way over and through cancer. Navigators attend critical touch point visits with the patient to help coordinate care. Many hours of “behind the scenes,” activities make sure care transitions are seamless. Nurse navigators facilitate, coordinate, advocate, educate and support the patient and their Lean Process Improvement: caregiver through their cancer treatment and survivorship. Clinical Transformation

An example of navigation is the management and monitoring of Bon Secours Saint Francis is committed to providing high quality, oral chemotherapy. Components include documentation of the patient-centered care. Bon Secours has adopted a “Lean” culture oral chemotherapy plan, education, adherence and monitoring that promotes continuous improvement, and empowers those for toxicities using the American Society for Clinical Oncology’s with “boots on the ground” to find the solutions. Lean is an Quality Oncology Practice Initiative®. Oral chemotherapy (defect- outcome-focused methodology that seeks to deliver value to free) indicators include a documented plan for oral chemotherapy, the customer throughout the elimination of waste. Wastes can education, and monitoring for toxicities. Data abstracted in 2014 be processing, unevenness, or overburden. An example of waste demonstrated opportunity for improvement in all three categories. is time spent waiting. The Oncology Program is dedicated to use Our goal was to improve compliance with oral chemotherapy the methodology in our goals for clinical transformation. The standards measured through QOPI. following is an example of a successful Lean project from the A multidisciplinary team convenes to develop and implement an oral oncology program. chemotherapy process. The health care team and patient agree on the treatment plan and the order is written. The navigator initiates and oversees the comprehensive process to manage and monitor

16 Head & Neck Patient Pathway

Treatment of Head and Neck cancer oncology, medical staff, dietary, palliative incidents with proactive intervention patients is a complex process care, pharmacy, navigation, speech of supported services, our patients with multiple modalities. Often, therapy, oncology rehab, interventional enhanced their quality of life. Before inconsistencies occur with the radiology/surgery/gastrointestinal, and the project, 50 percent of patients management of patients. Patients may dental. experienced an incident, and 29 experience a high number of incidents percent of those patients experienced and communication breakdowns Action more than one incident, including two that can result in a lack of supportive readmissions. After the project, patients services. experienced no incidents. While any The team streamlined communication program could not likely sustain zero strengthening safety nets to prevent the The Lean project goal was to emergency department visits or hospital opportunity for patients to fall through standardize care for patients with a admissions, this speaks volumes for the cracks at any stage. Emphasis was streamlined process from diagnosis to what a streamlined, developed head on role and timeline development. treatment. We expected to improve the and neck program can accomplish. Ownership, standardization and quality of life, decrease incidents and Ultimately, providing top quality care a proactive approach became provide more support proactively to and enhancing the quality of life for our commonplace. A schedule rhythm patients. We also expected to eliminate patients is our mission, and this project was developed; care was brought to treatment delays. was another successful representation of the patients rather than patients being how Bon Secours St. Francis honors that brought to the care (one of the “under mission. Multidisciplinary one roof” initiatives). New checklists Approach and processes increased value to the patient’s care. Achievements The team conducting the project was • Fewer incidents, better quality of life a multidisciplinary team including a Results physician, registered dietitian, palliative • Improved Communication care nurse practitioner, radiation • Improved patient care Post implementation, treatment delays oncology manager, nurse navigators, from diagnosis to therapy decreased • Improved scheduling clinical pharmacist, intake nurses, quality by an average of two days. However, nurse navigator, and quality manager. • More support, fewer incidents the most impressive story was not • Roles established The project included multiple modalities the quantity of days, but the quality including radiation oncology, medical of life. By reducing the number of • Strengthened safety nets

Early Detection: Community Health Outreach

The goal of the St. Francis Cancer Center is to stay ahead of the In an effort to take our mission of “beating cancer with faith, hope curve in providing preventative screenings to our community. In the and expertise” to the community, we take part in and sponsor past two years, our annual Cancer Screening events have served several outreach events throughout the year. Our long-standing more than 150 individuals from our community, offering oral, head partnership with the American Cancer Society and the Leukemia/ and neck, prostate, lung, skin and breast screenings. Most of these Lymphoma Society helps provide our patients with additional screenings are at no charge to the patient. support services, including free wigs and hotel accommodations. Our goal is to care not just for the medical needs of our patients, In addition, our lung-screening program was the first of its kind but to care for the whole person. The concept of “high touch and in the Upstate. The program is modeled after a very successful high tech” is the culture that we firmly believe in and have tried to lung-screening program in Burlington, Massachusetts at the Lahey instill in our program. Hospital and Medical Clinic. Since its inception, our program has diagnosed several patients in the early stages of lung cancer, Since January 2016, Bon Secours St. Francis Oncology Services has which, in turn, offered those patients some curative options. For sponsored and participated in more than 15 community outreach the first year and a half, the program was offered free of charge events. Our community outreach program is an integral part of our to patients who met the NCCN criteria for lung screening, with a oncology program. We have been quite successful in getting staff, physician’s order. It continues to be offered, but is now submitted patients and patient family members and friends to volunteer and through the patient’s health insurance with a physician’s order. For participate in these events. This further helps to build connections those patients without health insurance, the screening is offered at among co-workers and the relationships with our patients and a reasonable price with a physician’s order. those who are important to them.

17 Screenings & Education Results of the 2016 St. Francis Cancer Screening Each year, about 14 million people of the global population learn and Education Day they have cancer. Research suggests that the number of new cancer cases can be reduced and many deaths from cancer can be Oral, Head, and Neck Findings prevented by screening. On Saturday, August 27, 2016, St. Francis Cancer Center hosted a day cancer screening and education. Free screenings were provided for prostate; oral, head, & neck; lung; 1 Enlarged Thyroid Gland and breast. Approximately 150 upstate South Carolina residents 2 Thyroid Gland Nodule attended the screening. 1 Salivary Gland Lump Lymph Node (positive)

1 1 Soft Tissue Prominence 90 patients evaluated, Nine referrals made to ENT, Giving Back to Our Community Two referrals made to Dental Prostate Findings Community Outreach Elevated PSAs 4 6 • 2nd Annual Cancer Screening Event 2 Abnormal DREs • Fight for Air Climb (American Lung Association) 4 BPH 12 Elevated PSA + BPH • Hope Garden Elevated PSA + Abnormal DREs • Open Mic Night benefiting the American Cancer Society, 43 men were evaluated. Six referrals made. Breast Findings Leukemia/Lymphoma Society and St. Francis Cancer Center Patient Assistance Fund

2 • Road Warriors HOPE Run

Additional Testing Benign Sponsorships 13 15 women evaluated. Two referrals made. • Bark for Life (American Cancer Society) Presenting sponsor

• CHOP Cancer (Cancer Survivors Park) Event sponsor

• Drive to Thrive (Cancer Survivors Park) Event sponsor

• Race for the Cure (Susan G. Komen Foundation) Event sponsor

• Light the Night (Leukemia/Lymphoma Society) Presenting sponsor

• Making Strides Against Breast Cancer (American Cancer Society) Presenting sponsor

• Moonlight and Magnolias (American Cancer Society) Event sponsor

• Oxygen Ball (American Lung Association) Event sponsor

• Relay for Life (American Cancer Society) Presenting sponsor

• Stick it to Cancer (Greenville Swamp Rabbits™) Event sponsor Partnerships

• Cancer Survivors Day (Cancer Survivors Park)

• Color Run for Cancer (American Cancer Society)

• Pearls and Pumps (Pearlie Harris Breast Health Center)

18 Support Groups

Our mission of “Beating Cancer with Faith, Hope and Expertise” is really put into action with our support group services. Our goal is to get as many patients and survivors involved in these individual support groups as possible. This is made possible by a tremendous effort from the staff facilitator for each support group. Many of these staff facilitators have been involved since the inception of each of these groups. We offer the following support groups at our center: Leukemia/Lymphoma; Young Survivors Coalition - Face2Face (for women affected by breast cancer); Lung, Oral, Head and Neck; Look Good, Feel Better (offered quarterly); and also a Parkinson’s support group.

Our lung cancer support group was conceptualized in early 2013 by a staff nurse and one of our patients. We saw a great need for it in our community. This group was among the first of its kind in the state. Since November of 2013, the group has grown and participated in numerous community activities. In July, the group attended the opening night of the Carolina Panthers training camp. They were given behind-the-scenes passes which included dinner and the opportunity to meet the players. The group has also taken part in Stick it to Cancer, the American Lung Association’s Oxygen Ball, and many other activities outside of the monthly meeting.

Our Young Survivors Coalition - Face2Face group was also started by one of the Cancer Center nurses and a patient undergoing treatment, reaching a vast number of breast cancer patients and survivors. The patient facilitator is now the statewide facilitator for breast cancer patients and survivors through this support group.

These support groups connect its members with other patients and survivors who have been through similar circumstances. It gives them the opportunity to share their experiences and learn from guest speakers who are knowledgeable in their particular type of cancer, and/or have been through the treatment process. We received some very positive feedback from our patients who participate in our support groups. We believe that we are offering them an invaluable service that reaches past the boundaries of their medical treatment. These groups help to treat the whole person.

19 Bon Secours Hematology & National Oncology Physicians recognition at the AONN Annual Hematologists/Oncologists Meeting Poster Presentations Robert Siegel, MD, FACP (November 2016)

Medical School: Columbia University College of Physicians and Terra Dillard, RN, Alison Hammond, Surgeons, New York BS, Patricia Hegedus, MBA, BSN, Internship and Residency: Barnes Hospital, Washington RN, OCN, S. Lyndsey McGrath, University School of Medicine - St. Louis PharmD, and Christina Sloan, MSN, Fellowships: RN, OCN for acceptance of their Medical Oncology Fellowship: Dana-Farber Cancer abstract for poster presentation Institute - Boston on The Role of the Navigator in Clinical Fellow: Harvard Medical School - Boston the Oral Chemotherapy Process: Hematology Fellowship: Brigham and Women’s Ensuring Compliance and Patient Hospital - Boston Safety. The presentation focuses Board Certification(s): on the improvement in compliance American Board of Internal Medicine, Hematology and Medical with QOPI® oral chemotherapy Oncology indicators and the effectiveness of Professional Memberships: the navigation process to manage American Society of Clinical Oncology and monitor oral chemotherapy. The American Society of Hematology use of oral chemotherapy agents American College of Physicians (Fellow) has grown tremendously. The American Medical Association navigation process is an important Connective Tissue Oncology Society tool to insure compliance and Stephen Dyar, MD patient safety. Medical School: Medical University of South Carolina - Tina Redenz1, Patricia Hegedus1, Charleston Robert Siegel1, Hal Crosswell1, Internship and Residency: Carolinas Medical Center - Terra Dillard1, Jennifer Bayne1, Charlotte Kyle Duggan1, Angela Belew1, and Fellowship: Mayo Clinic, Jacksonville, Fla. Elizabeth Tilley2 for acceptance Board Certification:American Board of Internal Medicine, of their abstract for poster Hematology and Oncology presentation on Interdisciplinary Care Rounds in a Community Cancer Howland Crosswell, MD Center: Changing the Paradigm of Medical School: Medical University of South Carolina - Supportive Service Involvement Charleston in Cancer Care. The presentation Internship and Residency: University of Louisville (Ky.) Kosair demonstrates how referrals to Children’s Hospital supportive services have increased Fellowship: Pediatric Hematology/Oncology: Emory University, since the introduction of the IDC Children’s Healthcare of Atlanta rounds. IDC rounds increased the Board Certification:American Board of Pediatrics, Pediatric involvement of supportive care Hematology/Oncology services and improved interaction Specialties: Adolescent and Young Adult Oncology, Survivorship, between care team members. Personalized Medicine, Rare Leukemias, Solid Tumors, Thrombosis 1St. Francis Cancer Center, Greenville, SC 2American Cancer Society 20 Sharif Khan, MD Radiation Oncologists Medical School: Baqai Medical College, Karachi, Pakistan Daniel B. Fried, MD, PhD Internship and Residency: Coney Island Hospital, New York Medical School: University of North Hematology Fellowship: Coney Island Carolina-Chapel Hill Hospital, New York Residency: University of North Carolina Bone Marrow Transplant Fellowship: - Chapel Hill Vancouver General Hospital, British Columbia Board Certification:The American Board Certification:American Board of Board of Radiology (Radiation Oncology) Internal Medicine Specialty: Bone Marrow Transplantation Jeremy Kilburn, MD (Blood and Marrow Transplantation) Medical School: East Carolina Fahd Quddus, MD University Brody School of Medicine, Medical School: Allama Iqbal Medical Greenville, N.C. College, Lahore, Pakistan Residency: Wake Forest (N.C.) Baptist Internship and Residency: Englewood Health (N.J.) Hospital and Medical Center, Mount Sinai Fellowship: Carolinas Medical Center School of Medicine Board Certification:The American Fellowship: University of Nebraska Medical Board of Radiology (Radiation Oncology) Center – Omaha Board Certification:Internal Medicine, Gynecologic Oncologists Hematology and Oncology by the American Board of Internal Medicine David Griffin, MD, PhD Alex Yang, MD Medical School and Doctorate: Medical School: China Medical University - Vanderbilt University School of Medicine, Shenyang Nashville, Tenn. Residency: Georgetown University, Internship and Residency: East Washington (D.C.) Hospital Medical Center Carolina University School of Medicine, Pitt Program County Memorial Hospital, Greenville, N.C. Clinical Fellow: Georgetown University Fellowship: University of South Florida Hospital, Lombardi Cancer Center, Washington, - Tampa Bay D.C. Board Certification:American Board Postdoctoral Fellow: National Cancer of Obstetrics and Gynecology Institute, Bethesda, Md. Specialties: Gynecologic Oncology Research Fellow: National Cancer Institute, Bethesda, Md. Board Certification:American Board of Internal Medicine

21 Nursing: Providing “Good Help to 2016 Dedicated Those in Need ®” Service Award recipient Lacy Rainey, RN

Lacy Rainey, a nurse at the Louis P. Batson Jr. Cancer Center, embodies the spirit of the Bon Secours Health System Mission to “…bring compassion to health care and to be good help to those in need, especially those who are poor and dying.” Here is her story:

One day, while caring for her patients, For many cancer patients, treatment requires a hospital stay. The Louis P. Batson Jr. Lacy found one particular patient Cancer Care Center at St. Francis Hospital in Downtown Greenville provides inpatient that tugged at her heart. The patient patient-centered care with access to advanced imaging, surgical suites, treatment, was dealing with a terminal diagnosis and diagnostic services in one central location. while her husband was nearing end At the St. Francis Cancer Center, you see compassionate nursing care in action. of life at a separate care facility. Nurses are involved in all levels of cancer care—prevention, diagnosis, treatment and When the patient shared her growing survivorship. Outreach Coordinator Amy Fuller, RN extends our emphasis on cancer anxiety about a leaking roof in her prevention and early diagnosis throughout our community; she will facilitate at least home, Lacy sprang into action. 12 events this year reaching thousands of people. Sherry Riggins, RN is one of nine Upon the patient’s discharge Lacy nurse navigators serving patients from Carolina Surgical Associates (a member of the and her family—husband Randal Bon Secours Medical Group). She works with physicians, patients and caregivers to and daughter Chloe—arrived at the oversee the seamless transition of care from diagnosis to treatment. Clinical research patient’s home to make the much- nurses provide innovative research options to treat cancer. needed repairs. Another employee, Bethaney Lee, also lent a hand. As Randal repaired the roof, Lacy, Chloe and Bethaney mowed the grass and cleaned the patient’s home. Overwhelmed with gratitude, the patient designated Lacy as her own Guardian Angel.

In a few weeks, when Lacy and Randal checked in on the patient, they found her in the bathtub, near death. With a 911 call, the patient was rushed to Patients undergoing stem cell transplant treatment will meet Tia Wilkins, RN in the St. Francis and placed on a ventilator. Infusion Center, an integral member of the infusion nursing staff. Tia, along with Kristin The patient now is home and doing Jensen, RN from the Quality Department, received recognition as Employees of the well, thanks to her Guardian Angel. Quarter for their steadfast pursuit of quality patient care. The caring, compassionate nurses that patients meet throughout the continuum of care are among the many reasons many St. Francis Cancer Center patients recommend us to others for their cancer care.

St. Francis Cancer Center nurses—good help to those in need.

22 St. Francis Foundation: St. Francis A Special Thanks to our Donors Foundation Cancer Center Donors “It is on the shoulders of these giants we stand. Thank 3M Club you to the names listed and for those anonymous Michael J. Ackerman donors for helping to bring the St. Francis Cancer Mr. & Mrs. Kenneth Ackerman Center to fruition. Philanthropy has been a part of Macario Acosta Jonathan R. Acosta our ministry from the very beginning and we will Bonnie S. Acosta depend on it to sustain us for future programs and Anne Marie Acres endeavors.” Amy M. Adams Maria L. Adams Erik Whaley, Vice President, St. Francis Foundation AFL Global For additional information on supporting the St. Francis Cancer Center, please Travis Agnew Deborah Y. Aiken contact the St. Francis Foundation office at 864-255-1040, or visit bonsecours. Terri E. Aiken com/greenville/donate. Regina M. Aiken The following employees, businesses and individuals made gifts to the St. Francis Heather A. Aiken Tracy C. Albertson Cancer Center during the Campaign May 2013 to December 2015. The St. Francis Carol C. Alcorn Cancer Center strives to list all donors accurately; for questions or concerns, please Deborah A. Aldridge contact the St. Francis Foundation office at 864-255-1040. Andrea C. Alerre Mary E. Alexander Mr. & Mrs. Melvin G. Alexander Stacy R. Alexander Donna E. Allen Joan M. Allen Lucy H. Allen Miranda M. Allen Zola M. Allen Jennifer B. Allenspach Danny N. Allison Devena E. Alston-Johnson, MD Connie Alt Karen D. Alvarenga Jeanne M. Amidon Kayla D. Ammons Stephanie L. Anastos Anita B. Anderson Betty D. Anderson David G. Anderson Donna M. Anderson Drae L. Anderson Jan A. Anderson Loretta J. Anderson Taria F. Anderson Amy E. Andrews Cynthia L. Armstrong Elizabeth C. Armstrong Mr. & Mrs. John S. Arnold

23 Wendy T. Arnold Angela M. Belew Tracy T. Boothe ASE Wealth Advisors Abigail L. Bell Dianna L. Boothroyd Sylvia P. Ashley Bell Carrington & Price, LLC Rev. Audrey Boozer Mr. & Mrs. Russell C. Ashmore Jr. Joseph A. Bell R. Douglas Boroughs Audrey M. Astar P. Griffin Bell Michael E. Borron Mr. & Mrs. Paul C. Aughtry III Paula A. Benavides Margaret K. Borry Judith A. Ault Dena Benedict Jeannie Bouton Victoria E. Avery George A. Bentley Jeannie F. Bowen Mr. & Mrs. Mark Aycock Lisa M. Benton Teresa N. Bowen Noreen M. Bachman Raphael T. Bernard Letitia N. Bowens Brittany D. Bagwell Melissa G. Berry Randell S. Bowers Jennifer E. Bagwell Ann Bible-Batson Margie Y. Boyd Maureen Bailey Pamela N. Birchfield Mercedes Zubieta Boyd David N. Baker Stacie H. Bird Sydney M. Boyd George A. Baker Betty D. Bishop Tammie W. Bradley Todd W. Baldree Cindy A. Bishop Mr. & Mrs. William C. Bradshaw Mary Leesa Ballard J. Barry Bishop, MD Toni G. Brady Sean G. Ballard Jeanna B. Bishop Brains on Fire Shawnda P. Balliew Peggy A. Bishop Mary L. Bramlett Bank of Travelers Rest Kathleen M. Bitsura Mary J. Brantley Amy Banks Stacy L. Bizzell Dr. & Mrs. Edward W. Bray III Mr. & Mrs. Jerry Barber Jessica D. Black Charlisa L. Brazel Shelly W. Barber Lauryn A. Black Rebecca Breckenridge Sandra L. Barbery-Drafts Kenneth T. Blackburn Theresa T. Breland Greg M. Bard Sheila Bland Yvette M. Brewer Emma Barksdale Natatash M. Blandin Margaret B. Brewster-Goolsby Michael A. Barksdale Jennifer L. Blucas Donna C. Bricker Susan L. Barlet Carolyn W. Blue Brenda H. Bridges Sharyn L. Barlik Blue Cross Blue Shield of SC Jennifer W. Briggs Elizabeth Barnes Foundation Brittany J. Bright Nancy C. Barnes Marianne B. Blume Lynne Bright Patricia A. Barnes Tamra Blyler Sarah N. Bright Kathryn P. Barnett BNC Bank Eleanor Brinkley Rose M. Barrett Lynn P. Bodiford Angela C. Britcher Barbara J. Barton Linda B. Boe Anita J. Brock Tracelyn D. Barton Cheryl G. Bogatay Kelli J. Brooks Christa J. Barton-Smith Jennifer L. Boggess Brandy J. Brooks Cynthia H. Basinger Scott M. Boileau Mr. & Mrs. Monnie L. Broome Brenda L. Bate Judith A. Bolinski Caroline G. Brown Ashley R. Batson Denise S. Bomar Mr. & Mrs. Craig D. Brown Mary N. Batson Kaitlin N. Bomar Danette Brown Phyllis & Louis Batson Bon Secours Health System, Inc. - Elena D. Brown Walter A. Batson Corporate Jamie R. Brown Thomas E. Baumgarten, MD Bon Secours Hematology & Jeanette A. Brown Oncology Jennifer H. Bayne Joe Ann L. Brown Bon Secours Human Resources Mr. & Mrs. David L. Beard Judy L. Brown Operations Center Brooke E. Beasley Karen M. Brown Kathryn K. Bonini Roseann K. Becher Michael S. Brown Bonitz Contracting Company, Inc. Debra L. Begin Michelle R. Brown Evelyn D. Bonnell Amber Belcher Mr. & Mrs. William W. Brown Ahmad Boota, MD

24 Brown Mackie College Laurie A. Cantrell Lisa R. Cobb Lisa A. Browning Patrick C. Carey, MD Sally H. Coble Drs. Noel & Caroline Brownlee Brenda M. Carney Kimberly Cochran Melissa Brownlow Diane L. Carper Jacqueline G. Coggins Sheila T. Brown-Young Donna M. Carr Gail H. Coggins Mr. & Mrs. F. Lee Bryan III Teresa D. Carr Mr. & Mrs. Kenneth E. Cole Carolyn F. Bryant S. Lindsay Carrington Mr. & Mrs. Sam Cole Faith D. Bryant Barbara J. Carroll Kate Collins Shannon E. Bryant Tara D. Carroll Mr. & Mrs. Marshall J. Collins Jr. Dr. & Mrs. Michael N. Bucci Rebecca P. Carter Natalie D. Collins Kimberly A. Bufano James M. Carter Beverly C. Coln Eduardo R. Buitrago Mr. & Mrs. Greg Cash Eva M. Colodonato Crystal D. Bulman John F. Castile, CBI Mr. & Mrs. Nick Columbus Mr. & Ms. Daniel L. Bundrick John E. Cebe, MD Community Foundation of Kim Burdette Lori P. Center Greenville Marquetta A. Burdette Tabitha S. Cepek Matthew & Lynn Conlin Angelique S. Burdsal The Rev. Jon D. Chalmers Mark D. Converse Jennifer M. Burgess Linda A. Chancellor Elaine C. Cooke-Cudd Karen Burgess Sherry F. Chandler Mr. & Mrs. Fred B. Cooper Kathleen Burgess Consandra D. Chapman Stephanie F. Cope Marion J. Burgess Harold Chapman Jennifer L. Corbin Dr. Joan H. Burkhardt & Nicholas Maria E. Chapman Darrell Corder Burkhardt Charity Ball of Greenville Core Pipe Products Karen Burkhart Francisca I. Chavez Alan M. Cornatzer Jamie Burnett Chet & Dr. Elizabeth A. Chea Country Meadows Subdivision Joan M. Burns Sheila Chee Homeowners Association Kelly G. Burns Mr. & Mrs. Langdon C. Cheves Jr. Chad Covert Jason S. Burrell Cheryl L. Childers Imogene H. Covington Sherry G. Burris Karin M. Childress Bryan Cox Jane K. Burton Rhonda B. Childress Kimberly S. Cox Shauna M. Busch Kilolo N. Chiles Richard L. Cox Michelle M. Bushey Hollie E. Chinn Theresa G. Cox Jamie M. Buss Caren E. Chitwood Laura P. Crain Rhonda L. Butterfield Claudia A. Chonka Melody P. Craine Brenda L. Byerson Diane C. Chrisley Jessica L. Crawford Sarah Byrd Maurice Christopher Dr. & Mrs. Stuart W. Crawley Aimee N. Byrd Belinda L. Churchill Brandy N. Creamer Judy A. Bystrom Lucia B. Cissell Jacqueline K. Crenshaw Patricia A. Calder Sarah L. Clark Lavern H. Crews Elizabeth O. Camacho Christine E.P. Clark Julia Burnette Critser Rhonda R. Cameron Nancy F. Clay Mr. & Mrs. Mark S. Crocker Cameron Construction, Inc. Brittney P. Clayton Karen D. Cronin Campbell Young Leaders, Inc. Cheri Clayton Kim D. Crosby Andrea D. Campbell Jennifer J. Clayton Rebecca G. Crosby Denise Campbell Mr. & Mrs. Lannie G. Clayton Howland E. Crosswell, MD Jacci L. Campbell Kellie A. Clement Nancy L. Crosswell Lena B. Campbell James M. Clements Gregory S. Crowe Brother Peter E. Campbell, CFX Ashton N. Clever Lisa N. Crowe Sibrena M. Campbell Tina L. Clifford Virginia R. Crowell Paula Canfield William C. Clough Sandra Crume Krystal H. Cantrell Sharon M. Cudd

25 Lura L. Culclasure Vicki H. Donald Margie B. Erskine Kimberley Cummings Carolyn D. Donald Ronald Eskew Linda M. Cummings Lindsey N. Donlan Laura M. Eubanks John J. Cunningham Devon L. Donnelly John W. Eudy Kim D. Cureton Lynnette K. Donovan Connie Evans Ann B. Curry James M. Dorn Cynthia Evans Gay H. Dacus Natalie T. Dougherty Teresa E. Everett Kathleen G. Dailey Doris G. Doughty Heather L. Everhart Beverly W. Dalton Matthew L. Dowling Glynis R. Fair John N. D’Amico Stacey Dowling Cheryl M. Fairley Sarah M. Damske Doris E. Downs Mr. & Mrs. Tim Fallon Lorraine L. Dandeneau Dorothy J. Driggers Patricia Fargis Julie M. Dangler Judy D. Dudley Ann H. Farr Mr. & Ms. Steven J. Dauber Matthew P. Dufala Jeanne W. Farr Barbara A. Davenport Daniel Duggan Joe W. Farry Octavia C. Davenport Kyle Duggan FBI Recreation Association Jenna E. David Juanita Dunbar-Sledge Diane L. Fecio Fiona J. Davidson Elizabeth A. Duncan Kathleen G. Fedor Deborah M. Davis Laure A. Duncan Mr. & Mrs. J. Philip Feisal Heather M. Davis Holly K. Dunn Susan B. Fender Jean R. Davis Laura E. duPont Jacqueline H. Fennell Mr. & Mrs. Rick Davis Barbara M. Durham Rebecca E. Ferguson Takeuila Davis Delores Durham John J. Fernander Mr. & Mrs. Tim Davis Cheryl Durkin Jackie Fernandes Vernecia C. Davis Stephen H. Dyar, MD Ann R. Ferrell Christine B. Dawson Buddy E. Dyer Teri Ficicchy Wanda H. Day Sandra M. Edens Lindsay T. Fields Mr. & Mrs. Robert E. DeLapp III Stacey M. Edens Amy H. Finch Jennie J. Dempsey Tammy G. Edge Stephen B. Finch Loyce W. Dempsey Karen Edgell First Christian Fellowship Pamela A. Dempsey Tecora G. Edwards Jennifer Fisher Heather M. Dennis Ezzat El-Bayoumi, MD Amanda L. Fisher Kristin M. Dennis Mr. & Mrs. R. Charles Eldridge Jr. Dee Flaspoehler Lisa M. Derr Sue B. Elledge Fernando A. Fleites Gloria M. Devore Deborah H. Ellenburg Barry G. Fleming Meredith M. Dew Becky Eller Katie M. Florian Traci L. DeWald Debra C. Eller Krystal R. Foggie Denise J. Diaz Glenda L. Eller Mr. & Mrs. Peter J. Foley Doan X. Dickard Carmalena S. Ellis Jennifer Folston Tracy G. Dickey Karen Ellis Marc T. Fontaine Michael Dickey Nancy L. Ellis Rasheedah K. Ford Francesca L. Dill Wanda D. Ellis Casey J. Foster Susan W. Dillard Estate of Meacy A. Elmore Christina L. Foster Terra Dillard Mary B. Endicott Paul R. Foster Loretta M. Divine Charles Engroos Robert J. Foster Linda Doan Christy L. Engroos Marietta F. Fountain Cindy L. Dobbins Donna H. Epps Four Bees Foundation Lula J. Dogan Nancy A. Epps Amanda S. Fowler Jonathan R. Doherty, MD Michael R. Epstein Cynthia A. Fowler Gail A. Dohring Stephanie A. Erdeljac Gloria Fowler

26 Michez J. Fowler Charles E. Gill Deborah D. Gursslin Patricia J. Fowler David R. Gillespie Vickie E. Guy Ryan C. Fowler Kala M. Gillespie Mr. & Mrs. Michael L. Haggard Tammy S. Fraga Kim W. Gilliam Mr. & Mrs. John A. Hagins Jr. William R. Francis Heather D. Gilmer Dana K. Hagy Mr. & Mrs. George M. Francis Perry Gilreath Mr. & Mrs. M. Dexter Hagy Mr. Michael Francis Jr. Barbara M. Gilstrap Mary Y. Hailstock Mr. & Mrs. Jamile J. Francis Jr. Angela D. Gilstrap Christina K. Hale Alecia D. Franklin Sara M. Gilstrap Jamie R. Hale Carol A. Franklin Joy Glenn Bang N. Hall Nina L. Frazier Claudia G. Glover Jeanette L. Hall Ashley B. Freeman David & Jane Godwin Sally C. Hall Lawrence W. Freeman, MD James J. Goforth Ann Hallman Freeman & Moore PC Dr. & Mrs. Steven J. Gold Kathryn E. Hallman Rebekah S. Frick Timothy N. Goldsmith Misty D. Hambright Dr. & Mrs. Daniel B. Fried Jennifer O. Gonzalez Kristen L. Hames Amy M. Fuller Patricia C. Gooding Thomas E. Hamilton Mr. & Mrs. Timothy Fulton Danielle M. Gori Alison N. Hammond Julia Funke-Carlton Kim K. Gosnell Brandy S. Hammonds James R. Fuson Lisa P. Gossett Sung J. Han, MD Nancy Fuzy Daniel T. Goulson, MD Michael & Anita Haney Jeanne E. Gaenslen Gloria M. Gowens Lisa G. Harding Amy L. Gaines Burnley K. Graham Patti K. Harlan Janet B. Galbreath Jillian L. Grant Mr. & Mrs. Harry E. Harman Mr. & Mrs. Harold F. Gallivan III Heidi G. Grant Mary A. Harned Mr. & Mrs. Gene M. Gallivan Mr. & Mrs. Joseph L. Grauwiler Bridgette G. Harper Mr. & Mrs. H. Mills Gallivan Margaret A. Gray Jeffrey C. Harper Mr. & Mrs. Harold F. Gallivan Jr. Carolyn S. Graybeal Deborah P. Harrington Mr. & Mrs. Ladson T. Gallivan Lesley T. Graydon Gwen Harris Michael W. Galloway Eileen M. Green Catherine G. Harrison Mario E. Galvarino, MD Matt Green Catherine W. Harrison Michelle Garcia Myrna S. Green Elizabeth Harrison Kajuana M. Garner Greenville Medical Assistants Lisa M. Harrison Crystal D. Garrett Association Teresa A. Harrison Connie M. Garrison Carolyn A. Gregitis Ashleigh M. Hart Jason S. Garver Connie M. Gregory Rebecca A. Hart Dionne L. Gass Phillip W. Gregory Sharon A. Hart Faye B. Gass Robert A. Greim Dr. & Mrs. Edward E. Harte Marla S. Gatlin Angela M. Grice Tiffany C. Hartman Jeffrey J. Gauthier Berkeley Grier Mr. & Mrs. Robert G. Hartness Bill Gay Rebecca L. Griffeth Rhonda M. Harvey Jeannie George David & Stephanie Griffin Gregory W. Haselden Elizabeth T. Gettys Stacie D. Griffin Michael F. Haskell Dr. & Mrs. Steven J. Getz Lisabeth A. Griggs Mary F. Hassett Arthur H. Gibbs Christopher V. Groke Connie A. Haudricourt Aaron C. Gibson Gabriele K. Gromoll Lynsey J. Haught Bentley Gibson Anne H. Grubb Elaine M. Haule Mr. & Mrs. Gordon L. Gibson Troy & Greta Gue Katrina A. Hawkins Nancy W. Gibson Craig M. Guidry Lynne E. Hawkins Suzi Gilbreath Robin L. Gundana Mildred Hawthorne Jessica C. Gunnells

27 Jennifer L. Hayes Debra H. Holland Mary Jarvis Lorene M. Hayes Mr. & Mrs. William T. Holland Lela M. Jenkins Robert C. Hayes Rebecca L. Holland Marsha L. Jenkins Samantha P. Haynie Wayne M. Hollinger, MD Mr. & Mrs. Ray Jenkins Tommy Hays Mr. & Mrs. John Hollowell Doug Jennings Kimberly W. Haywood Gregory D. Holmes Mr. & Mrs. Elmer C. Jennings Julianne A. Head Jamie Y. Holmes Nancy Jennings Susan Hedrick Michelle N. Holmes Natasha L. Jennings Francis E. Heidt Andrea M. Holtzer Kristin L. Jensen Dr. & Mrs. Edward P. Heidtman Natalie M. Holtzer William C. Jerman Jennifer M. Hellard Rita L. Hooker Susie Jeter Dianne K. Hemmert Evelyn Hooper Jewish Endowment Foundation Deborah Henderson Jan M. Hopkins John I. Smith Charities, Inc. Barbara S. Hendley Mary E. Horodeck Heather P. Johns Betty R. Hendricks Mr. & Mrs. Henry Horowitz Bob Johnson Jane C. Hendrix Dr. & Mrs. William H. Horton Jr. Cynthia C. Johnson Robin M. Hendrix Dr. & Mrs. Paul E. Houmann Gregory M. Johnson Jackie D. Henry Victoria L. House Gretchen H. Johnson Susan C. Hensley Carmen K. Houston Julie A. Johnson Sandra K. Herman David L. Hudson Maggie Johnson Mr. & Mrs. Edward J. Hertwig Rhonda F. Huffstetler Sharon Johnson Julie L. Hester Rex Hughes Sharon Y. Johnson Rusty L. Hewett Thomas M. Hughes Sherry T. Johnson Kim Y. Hicks Velda & Jackson Hughes Tami T. Johnson Laura S. Hicks Linda A. Hugo Kirby K. Johnstone Tonyia J. Hight Laura B. Hunnicutt Jolley Foundation Amanda H. Hightower Michael L. Hunnicutt Dollie M. Jones Amy L. Hilberath Younce E. Hunnicutt Julie A. Jones Sandra “Gail” Hiles Amy S. Hunt Mary A. Jones Mattie W. Hill Mary A. Hunt Melanie R. Jones Michael L. Hill Susan A. Hunt Melissa D. Jordan Rebecca K. Hill Laola M. Hunter Cathie J. Joyce Rosezetter M. Hill Mr. & Mrs. Michael L. Hunter Dr. & Mrs. Joseph A. Kavanagh Shirley D. Hill Judith K. Hussey Kathryn R. Kazimer Mr. & Mrs. R. Glenn Hilliard Kathy L. Hussion KDS Commercial Properties, LLC Kim Himmelfarb Ronnie & Elizabeth Hyatt Dean W. Kearney Jami F. Hines Donna R. Ide Charles R. Keefer Lauren A. Hines Kathleen R. Imholz KeenanSuggs, Inc. Richard D. Hinton Dora H. Impson Sunny M. Keisel Deirdre A. Hixson Philip M. Ingegneri Kristi Keith Tanya T. Hodges Jane W. Ingram Liz Keith Juliana M. Hoffman Teresa R. Irby Rick J. Keizer, MD Ronald Hoffman Andrea D. Iriarte Cynthia E. Keller Sandra L. Hoffman Joanne D. Irvin Daphne S. Keller Mr. & Mrs. Thomas B. Hogan III Kim B. Isbell Dr. & Mrs. Michael P. Kellett Irene Z. Holcombe Ruth D. Iseman Amy B. Kelley Margaret L. Holcombe Clementine E. Jackson Debra M. Kelley Mr. & Mrs. Wayne W. Holcombe Julie W. Jackson Margaret M. Kelley Brooke S. Holden Brenda M. Jaillet Stephanie B. Kelly Amber S. Holdiness Sarah E. Jamison David W. Kelly

28 James E. Kelly Elizabeth T. Kyle Somer L. Lorenz Dr. & Mrs. Jason P. Kelly Mr. & Mrs. Michael B. Lackey Anita J. Lovelace Jennifer S. Kelly Blair H. LaMarche Ruby A. Lovern Katherine J. Kendall Cynthia A. Lammon Silas E. Lucas Dana P. Kendrick Rebecca L. Land Patricia S. Luce Barbara Kidd Alicia D. Landreth Drs. Michael J. Ludkowski & Lakendra Workman Kilgore Debbie Landreth Julie P. Ludkowski Shameka L. Kilgore Carleen K. Lanfear Taylor E. Ludy Ronald D. Kilpatrick Richard F. Lanham Pearl J. Lundborg Kim’s Nails Todd Lantz, MD Mr. & Mrs. Robert L. Lung Alfreda L. King Judy D. Lapointe Susan R. Luttrell Ashley D. King Mr. & Mrs. Peter P. Larocque Veronica L. Lutz Erica N. King Susan Latham Adele S. Lynagh, MD Cassandra M. Kirby Dr. & Mrs. J. Thomas Latham Jr. Mr. & Mrs. Barry J. Lynch Victoria Kirby Ralph E. Lattimore, MD Mr. & Mrs. Donald E. Lynn Mr. & Mrs. Michael W. Kiriakides Ashley B. Laubenstein Nancy C. Lynn The Kiriakides Family Richard G. Laurens, MD Gina Lysek Mr. & Mrs. Fletcher L. Kirkland Jr. Barry M. Lazenby, MD Mr. & Mrs. William MacIntosh H. Dan Kirkpatrick Hurdle H. Lea Macy’s, Inc. Matching Barry D. Kiser Lisa L. Leary Gifts Program Beth A. Kiser Elaine Ledford Mr. & Mrs. E. Erwin Maddrey II Linda M. Kiser Bethaney L. Lee James J. Maguire Debra L. Kisler Brenda A. Lee Shirley S. Mahy Caroline E. Kissam Cathy L. Lee Amy E. Malcomb Linda W. Kitsos Jane M. Lee Mary Maloney Ginger M. Kline Tina R. Lee Barbara Mangle Aaron D. Knecht Karen S. Lehotay Ellen Mangle Delina D. Knight Rose M. Leo Michele R. Mann Trina R. Knight Annie I. Leonard Mr. & Mrs. Wellington Manning Jr. Jean D. Knighten Beate Leonhardt Mr. & Mrs. Seabrook L. Marchant Jody A. Knisley Sherry N. Leonhardt Ann M. Marcie Katrina L. Knox Amber D. Lewis Katia Marini-Nunez Joanna E. Koenig Kathryn A. Lewis Arlis M. Markkula-Ternes Kathy E. Koger Lanette S. Lewis Kathleen M. Marlatt Steven P. Konstant Liberty High Class of 1957 Samantha M. Marlatt James H. Kopp Marjorie A. Linder Wanda L. Marseglia Patricia E. Kopp Charles A. Lindquist, MD Tanika S. Marshall Linda R. Kornman Shara Y. Lipscomb Anastasia E. Martin Paul D. Kountz, MD Mr. & Mrs. Paul D. Lister Beatrice L. Martin Dr. & Mrs. Paul D. Kountz Jr. Jennifer R. Little Deborah Martin Barbara Kramer Jeanette Litton Kathryn Martin Margaret A. Krause Laura E. Lizak Lois C. Martin Melinda S. Kreisman Paige P. Loftis Mr. & Ms. Mike A. Martin Cynthia A. Kress Beth L. Lollis Toni Martin Karin E. Krussig Mary C. Lollis Delores K. Martinez Joseph S. Kubiak, MD Adrianne B. Looper Amanda K. Marullo Roy Kulikowski Lindsey M. Looper Teresa & Ed Maskell Meenu Kumar Mr. & Mrs. Heinrich E. Looser Patricia H. Massey Joseph K. Kurkjian, MD Steven A. Lorang Robin L. Masters David L. Kyle Jenny H. Lord William E. Masters & Dr. Anne G. Masters

29 Eva M. Mathews Lori A. McKitrick Susan B. Morehead Reed A. Mathias Cheryl W. McLeod Brandy P. Morgan Carolyn Mathis David & Jenny McLeod Kimberly J. Morgan Louis B. Mathis McMillan Pazdan Smith, LLC Leanne C. Morris Linda Mattern Dawn L. McMurry Mr. & Mrs. Timothy P. Morris Ken Matthews Julia E. McNamee Thomas Morris, PhD Sarah E. Matthews Allison H. McNeely Margaret Moseley Kiki S. Mattress Mr. & Mrs. Michael D. McNicholas Shenequa Moton Mary K. Matzko Alex McPherson Mountain View Elementary Monica A. Maxie Mr. & Mrs. Keith G. Meacham Lindsay D. Moxie Krista M. Mayberry Vicki K. Mead Mt. Sinai Baptist Church Amy T. Mayfield Deborah Meadows Charles A. Mueller Rome Maynard Dianne M. Medlin Rebecca Mueller Cynthia L. McCall Pam Medlin Mr. & Mrs. Robert J. Mulholland Myra S. McCall Tracey L. Medlin Charles V. Mullen David A. McCann Joanne F. Medlock Mary F. Mullen Tom L. McCann Denise C. Mehany Mr. & Mrs. Michael E. Munafo Jennifer A. McCarragher Mr. & Mrs. Garnett Mercer William E. Munley Donna W. McCauley Dale Merritt Marshall J. Murphy, MD Mr. & Mrs. William H. McCauley III Suzanne C. Metz Seth C. Murphy Pamela W. McClellan Donna M. Meyer Tammy C. Murrell Debra A. McCormick Tonya N. Middleton Mr. & Mrs. Barry A. Myers Julie K. McCormick Michelle Mikell Mr. & Mrs. Marvin R. Myers Mary C. McCormick Amy A. Miller Sanford E. Myers Barbara G. McCoy Debra Miller Sherry W. Myers Dr. & Mrs. R. Maxie McCoy Judith A. Miller Mr. & Mrs. Robert Nachman II Mr. & Mrs. James D. McCoy Mr. & Mrs. Kip D. Miller Andree A. Nadeau Mr. & Mrs. R. Craig McCoy Mr. & Mrs. Scott S. Miller John W. Nagle Robert L. McCoy Ruth H. Miller Raana P. Naidu, MD Alice O. McCrary Sean A. Miller Chanthou Nan Mr. & Mrs. William V. McCrary Jr. Tonya L. Miller Mark S. Nantz Kayce M. McCroskey Wendy J. Miller Rebecca J. Nappi Raymond E. McCulloch Seraphin J. Millon National Christian Foundation Shelby J. McCullough Nancy S. Mills Kellie Neighbors Sunjia L. McCullough Sarah E. Mills Crystal L. Newman Mr. & Mrs. Heyward McDaniel Mr. & Mrs. William A. Misiaveg Dr. & Mrs. Jeffrey M. Newman Deborah E. McDonald Larissa A. Mitchell Nexsen Pruet, LLC Dr. & Mrs. T. Wayne McDonald April M. Mobley Nghia Nguyen Sarah G. McGaha Tracie M. Molizon Charles A. Nicholson III, MD Colleen A. McGahee Monaghan Baptist Church Jason R. Nicholson Mr. & Mrs. Douglas M. McGrath James R. Monroe, MD Sara T. Nicholson Sara L. McGrath Audrey I. Moore Thomas E. Nicholson Leeann McGrier Brandon M. Moore Lisa B. Niemeyer Michelle F. McGuinn Christy R. Moore Katie H. Nisky Sheila A. McKechnie Courtney S. Moore Tanja Nitschke Megan E. McKee Lesley Moore & David Black Melynda L. Nix Connie J. McKelvey Jacqueline Moorehead Sandra B. Nix Elizabeth H. McKinney Ralph H. Moose Jr. Thomas C. Nix Rebecca L. McKinney Karla P. Mora Magana Ben Noblitt Tracy D. McKinney Carmen H. Moran Linda H. Norris

30 Lisa B. Norris Sharon F. Patterson Latasha D. Polintz North Greenville Rotary Club John H. Paylor Jessica A. Pomeroy Jennifer A. Novak Elaine Payne Mr. & Mrs. David C. Poole Dr. & Mrs. Dennis E. Novia Patricia E. Payne Lydia Poole Robert J. Nutley Mr. & Mrs. John T. Pazdan Michelle D. Poole Luanne J. Nuttall Mr. & Mrs. Joseph M. Pazdan II Stephen C. Poole Jeffrey Oak, PhD & Rev. Dr. Carol Dr. & Mrs. Alan M. Peabody Ryan J. Potvin Pinkham Oak Louise S. Peabody Ashley C. Powell Linda M. O’Bryant Peabody Foundation Rebecca J. Powell Mr. & Mrs. Stephen O’Kane Beth Pearson Rhonda H. Powell Amy P. O’Quinn Betsy A. Pearson Stephanie D. Powell Diana L. Ortiz Cindy D. Pearson Tracy S. Powell Herbert L. Osbey Sheree L. Pearson Christel D. Power Deborah A. Osborne Mr. & Mrs. Warren W. Peden Mr. & Mrs. James Power Sara M. Ostendorff Hamindrawatie Pedro Lynn Prather-Hallums Courtney P. Ouzts Janice Peele Cayce S. Prescott Mark J. Overstreet Mr. & Mrs. William H. Pelham Rosalyn Prescott-Freeman Mark D. Overton Dr. & Mrs. David E. Pelino Paula J. Price Karen J. Owens Tracy Pellett Amber E. Price Logan F. Owens Grace E. Pena Process Automation Solutions Rachel C. Owens Irene J. Peña Cynthia L. Proctor Mr. & Mrs. Steven H. Owings Pepsi of Greenville Linda V. Pruitt Arquisa Paden Deresh T. Perez Misty R. Pry Pamela C. Padgett Francele Perkins Mr. & Mrs. Linton B. Puckett Mr. William N. Page Darlene A. Perry Walter L. Pugh, MD Richard A. Paiz Hazel A. Peskopos Mary S. Putman Kristy L. Palm Heather D. Peters Patricia R. Putnam Michael J. Palmer Ann Michele Peterson Tina M. Putnam Palmetto Anesthesia Associates Sonya B. Petroff Linda J. Pym Mr. & Mrs. Lee C. Palms Becky F. Pew Fahd Quddus, MD Scott H. Panhorst Elizabeth K. Pheiffer Teresa Quinn Nancy K. Pardue Marion Phelps R. Howard Dobbs Jr. Foundation, Inc. Ashley D. Parker Michael J. Phelps Jennifer C. Rafter Denise B. Parker Catherine E. Phillips John J. Ragin Michele Sawyer Heidi B. Phillips Arvin Raheja Charlene B. Parkins Jennifer L. Phillips Margaret C. Raheja Joyce Parks Katherine S. Phillips Lacy W. Rainey Wibard H. Parks Michelle C. Phillips Linda K. Rainey Shannon M. Parmer Robbin Phillips Mark & Tammy Rainey Dr. & Mrs. Neil H. Parnes Mr. & Mrs. Eric H. Philpot Nada Ramos Mr. & Mrs. Henry L. Parr Jr. Katherine M. Picardy Kirk Rampey Sandra P. Parra Sandoval Audra L. Pierce Kimberly A. Ramsey Dr. & Mrs. John F. Parrott Jr. Christopher D. Pierce John L. Rathbun Patricia P. Parsons John S. Pietras Megan D. Ratica Charles R. Pate Jr. Laurie A. Pietras Dianne E. Ray Mr. & Mrs. Charles R. Pate Sr. Caroline W. Pike Odette R. Ray Kesha Patel Sandra T. Piotrowski Tammy A. Raymond Patricia Paterson Angelia E. Pittman Cynthia A. Realmuto Allison Patrick Larry C. Pitts Nancy C. Rector Helen D. Patterson Mr. & Mrs. Gary Poeta Tina T. Redenz Mr. & Mrs. Russell J. Patterson

31 Johnna S. Reed Mavis Ross Margaret M. Setta Jade A. Reeves Jennifer M. Rothel Cory A. Shaull Regal Distributing Co., Inc. Rhonda G. Roundtree Linda G. Shaw Mr. & Mrs. Cary S. Reich Rouse Baraca Sunday School Class Dr. & Mrs. Harold E. Shaw Jr. Gretchen C. Reid Helen D. Rowland Sheila R. Shelton Sharon S. Reid Tina G. Rowland Carol R. Shenk Mary B. Remai Denise C. Royster Myra O. Shepard Residue Recycling Renee L. Rubner Roderick L. Shepard Mia A. Rethorn John T. Rucker Dr. & Mrs. John D. Sherbert Deborah A. Revis Bryan C. Ruehmer Anne M. Sherrill Kristen B. Revis Tina M. Rumsey Sandra D. Shockley Amber Reynolds Elaine W. Rush Tanya R. Shook Dawn D. Reynolds April A. Rushing Elaine C. Shore Alicia M. Rice J. Carroll Rushing Arlene Short Elizabeth S. Rice Mr. & Mrs. Donald J. Russ Amy Shoup James D. Rice Dr. & Mrs. H. Earle Russell Jr. Charmaine P. Shucker Kay G. Rice Dr. & Mrs. F. Peter Ryan Jr. Kimberly S. Shultis Heather L. Rich Saria Carter Saccocio, MD Marcia L. Siart Mr. & Mrs. Jeff Richards Terry A. Sadler Robert D. Siegel, MD Saundra H. Richards Brian M. Sadowski, MD Mr. & Mrs. William C. Simon Sr. Debbie Richardson Marisa R. Salinas Lisa M. Simpson Melissa K. Richardson, MD Darius M. Samii Marguerite Sinback Dana D. Riddle Jennifer N. Sams Amy M. Sindersine Mary L. Riddle Mr. & Mrs. Steven W. Sams Sharon Skey Sherry J. Riddle Ryan J. Sanders Jeanne M. Skoug Deborah A. Ridgeway Elizabeth Sargent Suzanne Slacas Stephen R. Ridgeway, MD Mr. & Mrs. Bruce Sasser Christy Sloan Katherine L. Riebling Crystal J. Satterfield Dorothy A. Sloan Barbara A. Riggins Katie E. Satterfield Richard G. Slough Melanie R. Ringlein Denise Satterwhite Theresa Smart Stephanie J. Riopelle Mr. & Mrs. David F. Sawyer Frank C. Smeeks, MD Brian L. Roach Jennifer L. Sayegh A. Carol Smith Larry K. Roark Tammy R. Scarborough Angela C. Smith Mary E. Robb Carrie L. Schaller Asheya K. Smith Tasha C. Robbins Mandy Schaub Ashley A. Smith Mr. & Mrs. James L. Roberts Sr. Michelle L. Scherer Barbara D. Smith Mr. & Mrs. Billy Robinson Leslie S. Schmidt Carol A. Smith Jay Robertson Mr. & Mrs. Clifton W. Schmitt Christy R. Smith Joyce Robinson Mr. Mike Schnur Crystal L. Smith Rockbridge County High School Mr. & Mrs. James D. Scholl Daphne B. Smith Meredith F. Roddey Stacy H. Schroder Deborah M. Smith Beth Roddy Schwab Charitable Fund Diane B. Smith Pat A. Rodgers Karen Schwartz Elizabeth C. Smith Rodgers Builders, Inc. Nadine Scota Gina L. Smith Martha Q. Rodriguez Kathy G. Scott Jacqueline P. Smith Amanda K. Rogers Teena B. Searcy Kay A. Smith John N. Rogers Mr. & Mrs. Art Seaver Lois Smith Tonya Y. Rogers Mr. & Mrs. James R. Sefert Lori A. Smith Leigh D. Rokop Carol L. Seiler Lynn A. Smith Dr. & Mrs. Thomas E. Rosenzweig Kesina J. Selch M.L. Smith Hazel I. Ross Melissa B. Seman Matthew L. Smith, MD

32 Mr. & Mrs. Allen D. Smith Jean P. Stoddard Mary Beth Tessier Paul E. Smith Kristina M. Stoeppler-Biege Kathy B. Thackston Rachel Smith Mr. & Mrs. Kirk L. Stone Meredith R. Thackston Smith Dray Line & Storage Stone Theatres Management, LLC The Beach Ball Foundation Company Andrea L. Stonerock The Lawrence J. & Dora P. Teresa S. Smith Dr. & Mrs. David R. Stoppenhagen Chastang Charitable Foundation Terry A. Smith Melanie B. Stoutenburg The Delta Interests, LLC Tina M. Smith Cynthia D. Strader The Marchant Company Jaclyn R. Snedigar Betty L. Strawhorn The Jean T. & Heyward G. Pelham Calvin M. Snipes Sally Strawhorne Foundation Jerrica L. Snipes Harriett J. Street The Providence Foundation Rachel E. Snow Mr. & Mrs. Robert J. Stripling Jr. Mr. & Mrs. Bryson C. Thomason Sarah S. Sojourner Mary Jane Strobel Karen B. Thomason Carol Solesbee Natalie S. Suarez Tavis L. Thomason Mr. & Dr. Sergey Solomonov James D. Sudduth Bonnie B. Thompson Peter Sommers Agnes Sullivan Mr. & Mrs. Donald E. Thompson Mahmoud Soumsoum Clarkie G. Sullivan Elizabeth D. Thompson South State Bank/ Clorisa L. Sullivan Jessica A. Thompson Upstate Region Darrell Sullivan Jill S. Thompson Larry Southern Donna H. Sullivan Jill W. Thompson Southern First Bank Mr. & Mrs. Joseph F. Sullivan Sr. Marilyn B. Thompson Amanda L. Spacil Laura E. Sullivan Nikki Thompson Marianne I. Sparrow Shanell A. Sullivan Ramonda S. Thompson Bruce A. Spaulding Margaret P. Summers Mr. & Mrs. Roger Thompson Chanda S. Speaks Pamela H. Summey Julie N. Tindall Terri L. Spearman April Sumner Carolyn A. Tinsley Paytra L. Spelts Melvia M. Sumner Robert S. Tinsley Martha W. Spence Xinyuan Sun Frances G. Tipton Ronald P. Spencer Lauren E. Suttles Heather Tirpak Margaret P. Springfield Lynn M. Swanger Cynthia Tisdale Kendra L. Sprogis Maretta B. Sweatt James C. Todd III, MD Lynne M. St Pierre Kayla M. Taciak Julie P. Tollison St. Francis Federal Credit Union Melissa C. Tallent Steven M. Tomski, MD St. Francis Foundation Brenda F. Talley Beatriz Torres St. Francis Physician Services, Inc. Denise C. Talley Isaiah Torres St. Joseph’s Catholic School Rebekah L. Tarrant Carmen G. Totten Karol A. Stahl Julia E. Tate Michael A. Towler, MD Mr. & Mrs. Russell H. Stall Mr. & Mrs. Ronald G. Tate Jr. Mara K. Townsend Edward H. Stall Brian L. Taylor Veronica D. Trevino Theresa M. Standifer Caroline H. Taylor Triangle Construction Company, Inc. Cathy L. Staples Chenille Taylor Barbara A. Tripp Tanya N. Statom-Wideman Glenda B. Taylor Kathy R. Tucker Betty J. Steading Mr. & Mrs. James H. Taylor Debora A. Tulk Mr. & Mrs. Carl M. Stecker Jo A. Taylor Jessica M. Turman Mr. & Mrs. Bill Steiner Joyce M. Taylor Barbara A. Turner Melissa Stephens Kelly A. Taylor Linda Turner Stephanie R. Stephenson Mark W. Taylor Lisa D. Turner Mr. & Mrs. Ken Stern Melissa M. Taylor Michele E. Turner Ashley N. Stewart Sheneeka L. Teasley R. Mackenzie Turner, MD Lori A. Stiles Jennifer R. Terrell Suzanne B. Turner Leigh C. Stinnett Juan J. Teruel, MD

33 Harold P. Turpin Tammie Watt Frances Williams Mr. & Mrs. Samuel A. Turrentine Cathy S. Watts Mr. & Mrs. Greg Williams Mr. & Mrs. William N. Turrentine Jr. Mr. & Mrs. Charlie Way Helena C. Williams Joan Tysinger Mr. & Mrs. Randy Weatherford Lacey H. Williams Dr. & Mrs. J. Stanley Ulmer Jacqueline S. Weaver Melissa M. Williams Robert Underwood K. Angela Webb Monica M. Williams United Way of Greenville County Mr. & Mrs. Larry A. Webb Mr. & Mrs. R. Wyatt Williams Upgrade Flooring, LLC J. John Weems Jr., MD Rebecca J. Williams Upstate Carolina Radiology, PA Irma S. Weinstein Robyn L. Williams Upstate Pathology, PA Mr. & Mrs. Stuart S. Weisenberg Shirley J. Williams Alexis Vainas Jessica C. Welborn Victoria Williams Alana M. Valentin Jerry W. Wentz Kensell M. Willingham Judi L. Valentine Sylvia Wentzky Francheska S. Willis Matthew J. Van Vleet Alice B. West Dorothy T. Wilson Louise Palmore Vandiver Jessica L. West Kimberly C. Wilson Dr. Christopher D. VanPelt Patricia G. West Nicole M. Wilson Miranda J. Vaughn Karri & Pat Westmoreland Susan M. Wilson Angela G. Vickery Cheryl L. Westrup Thomas B. Wilson Nicole Vickery Leigh Anne E. Wetzel Jennifer L. Winfield Ms. Dawn Victor-Herring Melissa E. Weyman Stacy A. Wittrock June E. Vieu Ann & Erik B. Whaley Kathy G. Wolfe Blanca H. Villa Dr. & Mrs. Martin D. Whigham Tina E. Wommack Sandra L. Vincent Frank Whisnant Elizabeth A. Wood Elizabeth A. Vita Candice Whitaker Jean A. Wood Delores M. Vizzini Bradley H. White Teresa J. Woodard Mr. & Mrs. Jeffrey Voitel Frankie K. White Kristin C. Woodard Alexander Volfson Jenny White Joseph S. Woodberry Erin J. Wade Linda A. White Aubrey C. Wooten Sue M. Wade Michael White World Acceptance Corporation Leslie A. Wagner Rick Whiten Virginia A. Worrill Anne C. Walker Andrea Whitener Gary Wortkoetter Melanie W. Walker Robin L. Whitener Tammy K. Wylie Yashiko M. Walker Gena N. Whitfield Amanda C. Yanchus Tammi D. Wall Amanda Whitlock Xuezhong Yang Charlotte D. Wallace Drs. John B. Whitney & Laura K. Catherine L. Yarbrough Mr. & Mrs. Scott Wallace Whitney Morgan E. Yarborough Mrs. & Mr. Deborah A. Wallace Mr. & Mrs. Jim Whitt Julia J. Yates John Wallenhorst Joseph D. Whitten Haley E. Yates David M. Walsh Rebecca J. Whitten Evangeline E. Yau Denise D. Walters Melissa A. Whittiker Nicole G. Young Debra C. Walters Mr. & Mrs. Mack I. Whittle Jr. Marnie L. Zbin Maura Ward Lara Widener Lindy C. Zeager Sybil L. Wardlaw Taleena M. Widener Zion Hill Baptist Church Dr. & Mrs. Lawrence N. Warren Jr. Linda S. Wieloch Mr. & Mrs. Tom Zix Melinda C. Waters Dr. & Mrs. Howard O. Wiles III Claudia L. Watkins Tia M. Wilkins Jessica J. Watkins Adrian D. Wilks Anne T. Watson Gianni Willhite Donald E. Watson Charity Williams Dorothy E. Watson Christopher S. Williams Jean M. Watson David E. Williams

34 Contact Us

Telephone Directory

(All numbers Area Code 864)

Department Phone Number Main Line 603-6200 Adolescent & Young Adult Program 417-1705 Boutique 603-6248 Breast Health Center (Pearlie Harris Breast Health Center) 675-4101 Café 603-6273 Community Outreach & Screening Event 603-6201 Financial Assistance 603-6201 Genetic Counseling 603-6334 Guest Services/General Information 603-6201 Infusion Center 603-6380 Inpatient Oncology & Stem Cell Transplant Unit 255-1538

New Referrals: • Medical Oncology 603-6331 • Radiation Oncology 603-6256 Oncology Rehab 603-5415 Outpatient Pharmacy 603-6392 Patient Triage Nurse 603-6330 Quality 603-6225 Radiation Oncology 603-6262 Research 603-6211 Spiritual Care 252-3503 St. Francis Foundation 255-1040 Stem Cell Transplant Program 603-6225

Support Programs: 603-6201 • Navigation

• Nutrition • Palliative Care • Social Worker • Support Group Information Survivorship Program 417-1705 Bon Secours Hematology & Oncology 603-6300

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