Report to Our Donors Spring 2014
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REPORT TO OUR DONORS SPRING 2014 FIRST-CLASS COMMUNITY HOSPITAL WITH WORLD-CLASS PARTNERS On Nantucket, we are your health care home. We care for your everyday and ongoing needs – primary, surgical and specialty care – provided by our own doctors, as well as experts who come to the island from Massachusetts General Hospital and other premier mainland hospitals. For emergencies and urgent care, our state-of-the-art capabilities are here for you 24/7. We do it all – save lives, monitor your health, perform diagnostic tests and offer top-tier specialty care, right here. TABLE OF CONTENTS Message from the President 2 Accomplishments of 2013 3 NCH by the Numbers 4 - 5 Financial Overview 6 Our Donors 7 - 27 The Slosek Family – From farm to table to hospital 10 - 11 Ben Brasher – Wise beyond his years 16 - 17 The Beach-Stanton Family Fund – A legacy of giving that spans generations 22 - 23 Boston Pops on Nantucket 28 - 29 Hospital Thrift Shop 30 Swim Across America 31 Volunteerism 32 - 33 1911 Society 34 Our Team 35 - 39 NCH Foundation 40 1 MESSAGE FROM THE PRESIDENT This is our hospital. These words embody the spirit of Nantucket Cottage Hospital’s talented staff as well as the community that has consistently demonstrated its support for the critical role NCH plays in island life. As we strive to sustain quality patient care and deliver services 30 miles at sea, the generosity of this community continues to be our lifeline. Over the past three years we’ve righted our ship, focusing on the patient experience, setting the foundation for fiscal sustainability, and creating a roadmap to guide our future. The time to replace our aging 1957 facility has come, and a capital campaign to build a new home for Nantucket Cottage Hospital is now underway. Ensuring that this undertaking is successful will require not only the hard work and dedication of the NCH team and our affiliates Massachusetts General Hospital and Partners HealthCare, but the backing of the entire island community as well. After all, this is our hospital. And even as we embark on this journey to build the new NCH together, we must also be mindful of our existing mission and commitment to patients by continuing to nurture The NCH Fund, which sustains general hospital operations, so we can remain Nantucket’s wellness leader and safety net. This report is filled with the names of people who recognize that life as we know it on Nantucket wouldn’t be the same without a hospital that meets the needs of a thriving year-round community. It’s one of the ways we acknowledge the hundreds of men, women and children who generously share with us their talents and treasures as volunteers, donors and staff. People like you allow Nantucket Cottage Hospital to navigate the uncertainties of a changing health care environment while remaining constant in our mission to serve the island community. On behalf of the NCH family, thank you. Sincerely, Margot Hartmann, MD, PhD President and CEO 2 ACCOMPLISHMENTS OF 2013 NEW CLINICS To meet the growing need for specialists and specialized care for our patients, we developed new services in oncology and endocrinology. Partnering with the MGH Cancer Center, we created new on-island oncology services so our cancer patients can receive expanded world-class care right here on Nantucket. We also expanded our services in maternal fetal medicine, neurology, orthopedic and laparoscopic surgery, pediatrics, podiatry, pulmonary medicine, rheumatology, and emergency medicine. The hospital is working to increase urgent care capacity through a walk-in clinic by the summer of 2014. NEW PRIMARY CARE CLINICIANS We continued our investment in primary care. Excellent, accessible primary care doctors and clinicians are the foundation to the hospital’s success and the community’s wellness, so we continued our efforts to recruit additional full-time staff. Opening a practice in 2013 was Dr. Jock Lawrason, an internist specializing in pulmonary, critical care and internal medicine who also serves as Chief Medical Officer and hospitalist physician at NCH. Carrie Fisher, a full-time nurse practitioner, and Eileen Carlsen, a seasonal, bilingual nurse practitioner, also joined our team in 2013. These skilled clinicians are critical to the delivery of primary care services at NCH. We are also pleased to announce that Dr. Heidi Larson, a primary care physician from Portland, ME, will be joining the NCH team in June 2014 to open a new island-based practice within the Massachusetts General Physicians Organization (MGPO). FINANCIAL HEALTH We continued to balance fiscal prudence with the need to grow on-island services. Consistent with trends throughout health care, outpatient services, such as laboratory, imaging and physical therapy, have become a new reimbursement engine for NCH. Our inpatient “Swing Bed” rehab program continued its ongoing success in mutually befitting both patients and NCH as a whole. PATIENT SATISFACTION Nantucket Cottage Hospital was recognized for excellence in patient satisfaction by the National Organization of State Offices of Rural Health (NOSORH). NCH was among three Massachusetts rural hospitals ranked in the top quartile for the criteria “willingness to recommend” and “overall quality.” The hospital also scored above the national and state averages on key patient satisfaction criteria in the annual federal survey released in 2013. PLANNING FOR THE FUTURE We reviewed planning recommendations for a new hospital building with external experts to confirm that our original conclusions are still valid. Additionally, the assumptions remained accurate when clinic and hospital data from 2013 were added to the model. We are fine-tuning our original design in light of the possibility of a new site for the hospital. SUSTAINING GREAT CARE The blizzard of February 2013 tested our ability to provide complex care in a nearly full hospital while transportation to and from the island was shut down for 48 hours. Two emergency C-sections and a variety of care continued seamlessly during the Commonwealth’s state-of-emergency. Despite our current building being expensive to maintain and not ideal by today’s medical standards, our physicians and staff delivered extraordinary care nonetheless. These successes are only possible because of the generous support and commitment of people like you. We are truly grateful for your support and welcome your thoughts and suggestions at any time. 3 NANTUCKET COTTAGE HOSPITAL “We are a lot more hospital than you might think, and we’re an improbable amount of hospital for an island 30 miles at sea.” – NCH President and CEO Dr. Margot Hartmann 4 FY 2013 BY THE NUMBERS Inside the walls of Nantucket Cottage Hospital, our team of experienced doctors and clinicians provide an extensive number of medical services that continue to grow. We are proud to offer a wide range of treatments, diagnostic testing and procedures that allow Nantucket residents to receive the care they need right here on the island. 5 OUR FISCAL HEALTH FY 2013 OPERATING REVENUE We continue to right our ship by setting the foundation for scal sustainability and matching our services to the MEDICARE 32% needs of our patients. BLUE CROSS 28% UNCOMPENSATED CARE 4% OTHER COMMERCIAL 21% MEDICAID 15% FY 2013 OPERATING EXPENSES SALARIES & WAGES 45% PHYSICIAN FEES 5% CONTRACT LABOR 9% DEPRECIATION 4% EMPLOYEE BENEFITS 8% INTEREST 1% PURCHASED SERVICES 6% OTHER EXPENSES 22% NET OPERATING REVENUE & NET INCOME FY 2013 vs. FY 2012 $40,000,000 $30,000,000 NET OPERATING REVENUES $20,000,000 NET INCOME / LOSS $10,000,000 $33,347,183 $127,494 $31,039,602 $1,136,302 $0 FINANCIAL OVERVIEW 2013 2012 6 OUR DONORS The following is a list of our donors who made one or more contributions between October 1, 2012 and January 31, 2014. $1,000,000 AND GREATER Mr. & Mrs. Charles B. Johnson Elin Hilderbrand Hackett Family Tracey & William Marshall Joan & Gene Hill Marlin & Ginger Miller Debbie & Rick Hohlt $250,000 TO $999,999 The Newhouse Family Mr. & Mrs. Eric Holch Anonymous Mr. & Mrs. Christopher C. Quick The Horchow Family Alton L. “Roy” Flanders, III Mr. & Mrs. Francis C. Rooney, Jr. Island Properties Nan & Chuck Geschke Warren & Harriet Stephens The Jockey Hollow Foundation The Hospital Thrift Shop Richard Swain Trust Joyce & Seward Johnson Foundation Karp Family Foundation Linda R. Taylor Mr. & Mrs. Steven M. Kaye Karen W. Rainwater Suzy & Jack Welch Sol & Elizabeth Kumin Wolff Family Foundation Doris Gray Kynett Trust $100,000 TO $249,999 Mr. & Mrs. Robert R. Larsen Anonymous $10,000 TO $24,999 Mr. & Mrs. Frederick N. Levinger Ms. Nellie O’Gara & Mr. Kevin Hickey Mr. Michael S. Lorber Anonymous Mr. & Mrs. G. Nicholas Miller Mr. & Mrs. J. Randall MacDonald Mr. & Mrs. Stephen C. Anderson Mr. & Mrs. Robert M. Rosenthal Miriam & Sonny Mandell Mr. & Mrs. William H. Andrews, III Kim & Finn Wentworth Mr. & Mrs. George K. Martin Mr. & Mrs. Frank Anton Ms. Nancy A. Martin Mr. & Mrs. Robert Atchinson $50,000 TO $99,999 Massachusetts General Hospital Anne W. Baldwin, Sally West, Austin West & David West Anonymous (3) Mr. & Mrs. Mike Massie Melanie & Ben Barnes Baltimore Community Foundation Mr. & Mrs. Edward J. McCarthy † Mr. & Mrs. Harold J. Baxter Irene M. Beach Mr. & Mrs. Jeff McDermott Gary & Carole Beller Mr. & Mrs. Nelson Doubleday Bill & Katie McNabb Mr. & Mrs. John J. Beni Martha L. Berman & Robert I. Lipp Mr. & Mrs. Richard Menschel Peter & Kay Bernon Mrs. John H. Morrison Herb & Miriam Mittenthal Estate of Herbert L. Seigle Nancy Sayles Day Foundation Craig & Ann Muhlhauser Max Berry Mr. Scott A. Nathan & Ms. Laura DeBonis N Magazine/Bruce Percelay Joan R. Bolling PAN Communications The Nantucket Hotel Patricia Murray Bridier Bob & Laura Reynolds Mr. & Mrs. Paul B. Newhouse Mrs. Owsley Brown David & Vickie Smick Mr. & Mrs.