C o m m u n i t y 2014 Annual Report Excellence S u s t
a Accountability i n a
Delivering b i l on Our Promise i t y Kurt N. Ransohoff, MD, CEO and Chief Medical Officer; Vince Jensen, MBA, President and Chief Operating Officer; Chad Hine, Chief Financial Officer; Vicki Hazard, Chair, Board of Trustees Sansum Clinic Delivering Board of Trustees On Our Promise Vicki Hazard, Chair Ed Rosenblatt, Vice Chair Janet A. Garufis, Vice Chair In 2014, Sansum Clinic faced monumental changes to the healthcare We opened the Medical and Surgical Center on Foothill Road providing Michael Bernstein, MD system as the Affordable Care Act took effect, representing a necessary an additional 60,000 square feet of medical space, including a Kenneth Coates shift in our industry toward greater accountability for quality and cost comprehensive eye center and our first multi-specialty surgical center, Chris Corpuz of care. We are pleased to have ended the year with many successes the Foothill Surgery Center at Elings Pavilion. Roger P. Craton as a result of our dedicated leadership, physicians and staff remaining Paul Hartloff We experienced one of our most successful years in history in securing focused on delivering high quality, patient-centered care. Chuck Kaye philanthropic support from the community, including a $1 million gift Tom Kenny In 2012, the Sansum Clinic Board of Trustees and executive staff from local philanthropist Dr. Virgil Elings and a tremendously Ronald G. Latimer, MD developed a five-year strategic plan with the theme Designing Our successful campaign to expand our Women's Health Program by Julie McGovern Future that centered on four core strategies for the coming years: bringing breast tomosynthesis (3-D mammography) to Sansum Clinic. Steve McHugh 1) Deliver an Excellent Healthcare Experience, 2) Promote a Culture of James McNamara, MD We continue to garner recognition for delivering high quality medical Accountability, 3) Create a Sustainable Mission, 4) Meet the Art Merovick care from national and state organizations including the Institute for Community Need. The theme of our 2014 annual report is Delivering David A. Raphael, MD Medical Quality, the Integrated Healthcare Association and the On Our Promise . We will highlight the major milestones Sansum George Rusznak California Department of Managed Health Care. Clinic has achieved in support of our four core strategies to meet our Beth Vos mission to provide an excellent healthcare experience, recognizing our Sansum Clinic is the healthcare provider of choice for 125,000 first priority is the patients we serve. patients in our community and has been delivering excellence in Honorary Trustees medical care for more than 90 years. Our longevity is due to our Wilton Doane, MD In 2014 we participated in Covered California, our state's first online ability to navigate the complexities of the ever-evolving healthcare J. Thomas Fly healthcare exchange, through an agreement with Anthem Blue Cross. industry while maintaining an unwavering commitment to Maryan Schall This mission-critical decision enabled us to expand coverage to those providing an excellent healthcare experience to every patient. William Wayne who previously had no health insurance. Sincerely,
Vicki Hazard Kurt N. Ransohoff, MD Vince Jensen, MBA Chad Hine Chair, CEO and President and Chief Financial Officer Board of Trustees Chief Medical Officer Chief Operating Officer Contents Delivering an Excellent 4 Healthcare Experience
Promoting a Culture of Accountability 14 Delivering Creating a Sustainable Mission 24 on Our Promise Meeting the Community Need 40
Philanthropy at a Glance 60 Financial Statements 62 Special Thanks to Our Donors 64
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Sansum Clinic 2014 Annual Report Back in 2012 , the Sansum Clinic Board of Trustees and leadership staff completed a five-year strategic plan.
The results of this process included defining our four key strategies – each designed to drive our actions in the coming years. Recognizing that the healthcare environment is changing as the industry moves toward greater accountability for quality and cost of care, Sansum Clinic created a plan to achieve these goals. Thanks to the dedicated efforts of our leadership, physicians and staff, we are pleased to report that our organization is successfully delivering on that promise.
Sansum Clinic will provide an excellent patient care experience using a patient-centered 1 approach to medicine. Our focus will be People, Facilities and Process. We will invest in Delivering an Excellent personnel who recognize our patients are the focal point of our mission. We will develop facilities that promote well-being and are conveniently located to serve our community. We will continue to adopt Healthcare Experience information technology to measure and improve the quality of care. We will focus on providing an efficient delivery of care through continuous process improvement.
Sansum Clinic will promote an environment of accountability in quality, cost, outcome and service through constant measurement, refinement and improvement. We will align our 2 Promoting a performance measures to reward excellence in our physicians and staff. We will build upon our strengths in population management, providing our patients with superior outcomes through best Culture of practices in medicine. We will develop a culture central to our mission, vision and values by evaluating our performance against their standards. We will provide transparency in quality and outcomes. Accountability
3 Sansum Clinic will continue to invest in the brightest, most talented physicians and personnel as they Creating a are our future. We will partner with our doctors to advance our mission and vision. We will ensure our success through talented leaders who are empowered to set the direction of the organization. We will ensure Sustainable Mission the public needs are well served through a strong community Board of Trustees. We will partner with payers, providers and purchasers that share our common goals. We will deliver affordable, value-based care by reducing administrative and care delivery costs. We will stay true to our mission, vision and values in all we do .
In response to community need, Sansum Clinic will serve a greater population throughout the continuum of care. We will develop services central to our mission and convenient to our 4 Meeting the patients. We will partner, where appropriate, to develop a comprehensive network of health services through a seamless delivery system. Sansum Clinic will be the preferred, non-profit Community Need physician and outpatient provider of healthcare services to the communities we serve. Excellent Healthcare Experience 1 Sansum Clinic will provide an excellent patient care experience using a patient-centered approach to medicine. Our focus will be People , Facilities and Process . We will invest in personnel who recognize our patients are the focal point of our mission. We will develop facilities that promote well-being and are conveniently located to serve our community. We will continue to adopt information technology to measure and improve the quality of care. We will focus on providing an efficient delivery of care through continuous process improvement. Delivering an Excellent Healthcar e
All New Medical and 7 Surgical Center Expansion of Primary Care 8 and Urgent Care Services Design and Approvals for 8 Comprehensive Cancer Center Beacon Oncology 11 Information System Coordinating Patient Care 12 Through The Current Health Maintenance Reminders 12 Clinician Advisory Council 13 Pharmacy Expansion to Better 13 Serve Our Patients Patient Access Department 13 Offers Centralized Scheduling
Vince Jensen, Dr. Virgil Elings, Vicki Hazard, Dr. Kurt Ransohoff and Michael Towbes at ribbon cutting for the new Foothill Medical and Surgical Center at Elings Pavilion
We owe many thanks to Michael Towbes and The Towbes Group for their leadership in constructing a first-class facility so efficiently.
– Vince Jensen, President and COO We developed a long-term facility master plan to Experience prepare for the future of healthcare in Santa Barbara
All New Medical and Surgical Center We are so fortunate to have a visionary like Dr. Virgil Elings in our community. In this era of change in healthcare, support like this can ansum Clinic is committed to delivering patient-centered care. Over the make the difference between keeping or cutting important patient last decade, we have seen an upward trend in outpatient services and a care programs. This $1 million gift is a much-needed infusion into Sdownward trend in inpatient services due to new technologies that our healthcare system that doesn't come from patient, employer or allow tests and procedures to take place outside of the acute care setting, as government funding. well as changes in reimbursement rules and payment models. Sansum Clinic – Kurt N. Ransohoff, MD, CEO and has responded by reorganizing physician services and strengthening our Chief Medical Officer, Sansum Clinic ambulatory care services with the opening of the Medical and Surgical Center at 4151 Foothill Road.
The center offers two buildings with 60,000 square feet of new medical space for specialty and surgical care in modern facilities with the latest equipment and technology. Elings Pavilion, named after local philanthropist Dr. Virgil Elings, houses Sansum Clinic's first outpatient surgery center – Foothill Surgery Center at Sansum Clinic – and medical offices for Ear, Nose &Throat (ENT) and Audiology, Orthopedics, Podiatry, Physical Therapy, Radiology and Urology. The Sansum Clinic Eye Center, Building B, provides a full spectrum of ophthalmology services, including a state-of-the-art surgery and procedure room, pediatric ophthalmology, cataract and glaucoma specialties.
Sansum Clinic has established the Elings Surgical Program in honor of Dr. Elings, who contributed $1 million to Sansum Clinic which will be used in part to support high quality surgical care for those who can't afford to pay. This program will provide financial assistance for a surgical procedure prescribed by a Sansum Clinic Karen Neary, RN, BSN, Director of Nursing; physician and performed at Sansum Clinic. n John Keating, MD, Medical Director; Aniko Kim, MPH, Director of Operations – Foothill Surgery Center DESIGN AND APPROVALS ALL NEW MEDICAL AND EXPANSION OF PRIMARY CARE FOR COMPREHENSIVE SURGICAL CENTER AND URGENT CARE SERVICES CANCER CENTER Excellent Healthcare Experience
Expansion of Primary Care and Urgent we have invested in world class physicians, advanced outcome for each patient. technology, and compassionate staff; however, the quality Care Services The new Cancer Center will be a 54,780 square foot of the Pesetas facility has not kept pace with the quality Opening our new Medical and Surgical Center on facility located within two blocks of both Santa Barbara of care we deliver. We will be using the same design Foothill Road created much-needed space to expand Cottage Hospital and Sansum Clinic’s Pueblo Street elements as the Foothill buildings in an effort to continue Primary Care and Urgent Care services at our multi- offices, with three stories of adjacent parking and to unify the look and feel of our clinics. Introducing specialty clinic at 215 Pesetas Lane in Santa Barbara. surrounded by lush, healing gardens. modern facilities that match the caliber of our physicians Improving patient access is a critical priority and this and staff will have a positive impact on our patients' Patient-Centered Care expansion will allow us to better serve our patients by experience at Sansum Clinic. The Pesetas Lane expansion A new regional Cancer Center will offer patients a broad providing more timely access to care in settings that are is made possible largely due to the generous support of network of highly skilled practitioners and support appropriate and convenient for our residents. From a our donors, many of whom are grateful patients. n programs. Patients will be able to enter one door and patient perspective, quality often means receiving acquire comprehensive care from a coordinated team. services that meet their needs at the right time and the Design and Approvals for Health professionals in Radiation Oncology, Medical right place, and the approval and plans for this Comprehensive Cancer Center Oncology, Surgery, Research, Genetic Counseling, Social expansion represent a significant milestone in working Services, Wellness and Nutrition will work together to to meet this goal. Sansum Clinic completed the architectural and interior review individual cases. This new facility will offer a designs for the future comprehensive Cancer Center At the same time, we are taking the opportunity to single, convenient access point for all of the information designed to enhance the collaboration and coordination renovate the Pesetas Lane clinic to create a fresh, a patient will need to make educated decisions about of medical personnel by uniting three locations into one, welcoming and more comfortable environment for our the type of care they wish to receive. The world class bringing the entire team of oncology specialists and patients. This facility was built in the 1960s and has design and advanced technology will serve as a regional staff under one roof for the best possible experience and remained relatively unchanged since then. In recent years destination for patients and physicians alike.
Primary Care and Urgent Care expansion at Pesetas Lane PATIENT ACCESS BEACON ONCOLOGY COORDINATING PATIENT CARE HEALTH MAINTENANCE PHARMACY EXPANSION TO DEPARTMENT OFFERS INFORMATION SYSTEM THROUGH THE CURRENT REMINDERS CLINICIAN ADVISORY COUNCIL BETTER SERVE OUR PATIENTS CENTRALIZED SCHEDULING
Scaled to meet expanding patient load necessary, lengthy and common. A dramatic shift toward that will house a modified unit to treat smaller, surface As life expectancy rises, an increase in the prevalence of outpatient cancer care has occurred and current data oriented cancers. With the new facility, the Cancer cancer is projected in the coming decades. The baby- indicates over 95% of future treatment will occur in Center’s ability to bring emerging technology to Santa boomer generation, now in their sixties, makes up the outpatient facilities like the one proposed. Barbara will be enhanced and will have a long term largest segment of our population who will be impact on the quality of patient care. Sized to Accommodate the Newest Equipment diagnosed with the disease. A 35% increase is projected The continuing advances in the detection, diagnosis and The addition of a free standing, comprehensive cancer to occur for patients 65 and over in the next decade. In treatment of cancer are profound. The science boom is center to Santa Barbara’s medical village will only line with these projections, the Cancer Center cared for creating breakthroughs that offer patients new hope. increase the quality and reputation of medical care in the largest number of patients in a single year in 2014, Advances are more likely to occur in a facility large our community, and will attract more patients and eclipsing the previous number of patients served in 2013. enough to accommodate new equipment, research quality medical personnel to our doors. Major advances in early detection and ever-improving teams and qualified support staff. Our Cancer Center treatment modalities have altered the landscape for Thanks to the diligent efforts of the planning team, the will have the capacity to accommodate the newest how, and specifically where, cancer patients are treated. project has achieved city approval and work is scheduled linear accelerators for radiation therapy in two planned In decades past, more than 90% of cancer diagnoses to commence in 2015. n treatment vaults, along with a High Dose Radiation vault were treated on an inpatient basis. Hospital stays were
% Projected increase of cancer cases to occur for patients 65 and over in the next decade 35 The future comprehensive Cancer Center DESIGN AND APPROVALS ALL NEW MEDICAL AND EXPANSION OF PRIMARY CARE FOR COMPREHENSIVE SURGICAL CENTER AND URGENT CARE SERVICES CANCER CENTER Excellent Healthcare Experience
Gregg Newman, MD, Oncologist 10 months to build core protocols PATIENT ACCESS BEACON ONCOLOGY COORDINATING PATIENT CARE HEALTH MAINTENANCE PHARMACY EXPANSION TO DEPARTMENT OFFERS INFORMATION SYSTEM THROUGH THE CURRENT REMINDERS CLINICIAN ADVISORY COUNCIL BETTER SERVE OUR PATIENTS CENTRALIZED SCHEDULING
The electronic health record (the Wave) launched Advancements in Technology several new information technology programs to Electronic Health Record improve the quality of care we deliver.
Beacon Oncology Information System “Each protocol also contains links to relevant scientific Of the many benefits of Beacon, improvements in patient publications so that the treatment team can review the safety are the most important. Alerts in Beacon clearly For the Cancer Center, the Wave team implemented evidence basis for the treatment being used. Another identify patients who are currently receiving cancer BEACON, an Oncology Information System which benefit is the rapid assimilation of new information into therapy, alerting all of their providers to the presence of enables physicians to initiate treatment plans based on a particular treatment plan which is then available for all an active oncology treatment plan. These alerts track standard protocols and comprehensive decision support. patients receiving that treatment plan as well as carefully each patient's total dose of cancer therapy and The Beacon Protocol Collaborative is made up of Wave patients who may be treated in the future.” they minimize the risk of any unexpected medication analysts, oncologists, clinical staff and managers from – Mukul Gupta, MD interactions. The program tracks changes in patient our oncology sites. The role of the Collaborative is to parameters (like weight) or lab results (like kidney The benefits of Beacon are countless, the most build standardized protocols to help improve the function), allowing for constant adjustment of important of which is patient safety. For example, we scheduling, authorizations and other clinical aspects of chemotherapy doses. The Beacon module also includes have placed alerts in Beacon which identify patients oncology care. By applying National Comprehensive cancer staging tools, a Treatment Plan Manager for currently receiving chemotherapy or supportive therapy. Cancer Network (NCCN) practice guidelines, the organized treatment planning, cumulative dose tracking, This important information is available to clinicians Collaborative has built more than 200 chemotherapy medication calculations, and references to the published outside of oncology and enables all of the staff caring protocols or treatment plans. Our oncologists use these studies on which all of the treatments are based. Finally, for our patients to be aware of the oncology treatment standardized guidelines for IV, oral and intramuscularor Beacon standardizes our clinical policies and procedures, plan. These alerts also communicate when certain drugs subcutaneous chemotherapy administration to create insuring uniformity of care at all three of our cancer have increased potential for a medication reaction. In customized treatment plans for each patient. treatment locations. – Fred Kass, MD addition to alerts, when patient medical information Building the core protocols took over 10 months to changes (a lab value for instance) the provider is alerted complete. With national guidelines ever-evolving as new at the time the patient is seen and able to modify For oncology patients, Beacon offers trending of key lab research and therapies become available, the dosages and perform complex calculations within the tests, an oncology-specific medication list, and oncology- Collaborative has an ongoing commitment to the review treatment plan with no need for other calculators. Some specific appointment information all in a single place process. The Collaborative maintains comprehensive of the robust tools of the Beacon module include Cancer within the patient's MyChart account. n records on all the guidelines and protocols and their Staging with American Joint Committee on Cancer review on a regular basis ensures that each treatment (AJCC) standards, Treatment Plan Manager, Cumulative plan meets current clinical practice guidelines. Dose Tracking, Medication Calculations, Treatment Summaries (Survivorship) and Reporting. DESIGN AND APPROVALS ALL NEW MEDICAL AND EXPANSION OF PRIMARY CARE FOR COMPREHENSIVE SURGICAL CENTER AND URGENT CARE SERVICES CANCER CENTER Excellent Healthcare Experience
Coordinating Patient Care procedure orders for radiology and imaging studies, also appear in patients' charts and generate MyChart Through The Current which helps community physicians better manage their messages directly to patients with friendly reminders patients’ care. Community users can upload designated about recommended screenings. In 2014 we launched the Current, Sansum Clinic’s web- file types into the patient’s chart, such as EKGs, progress based application for providing community physicians The Wave team also implemented several Population notes, or digital images. with secure remote access to select patient information Management tools that help providers and care in our electronic health record system, the Wave. The community user group has grown to include managers quickly identify which patients are most at affiliate billers, long-term care facilities, and other non- risk for future or more acute illness. Easy access to this Community users are primarily referring and referred-to traditional roles involved in providing coordinated information allows Sansum Clinic to reach out to those physicians outside of Sansum Clinic who might need to patient care. n patients, partnering with them to take steps towards review the clinical and administrative information of preventing future illness. patients seen at Sansum Clinic. Health Maintenance Reminders Sansum Clinic is more committed than ever to ensuring Community physicians primarily use the Current to view Preventive medicine plays an important part in a the good health of our patients. Looking ahead, we are the patient medical record and documentation patient's health and wellbeing. In 2014 we formally developing a comprehensive strategy for ensuring completed after they have referred a patient to Sansum implemented Health Maintenance plans to help adherence to preventive health procedures and engaging Clinic. Giving community physicians the power to view providers and patients know when it is time for regular specific at-risk populations. Key aspects of this strategy this information on demand helps prevent frustration screenings such as colon cancer, breast cancer, or cervical revolve around provider engagement, patient they might otherwise experience in not receiving cancer screening or when it is time for important engagement and education, thoughtful outcome information about patients they have referred to immunizations like a flu shots or pneumonia monitoring, and leveraging the capabilities of the Sansum Clinic. vaccinations. This system helps providers by reminding electronic health record to facilitate ongoing population Users can submit electronic referrals to Sansum Clinic them when a patient is due for preventive health surveillance and efficient care coordination between the via the Current. When a referral is managed in the Wave procedures by sending a pop-up alert during the visit, healthcare team and the patient. Our goal is to deliver an from start to finish, the community physician’s office when it’s easiest to place the order and discuss the excellent care experience and have a positive impact on can track the progress of the referral from scheduling to procedure with the patient. Health Maintenance plans the health outcomes of our entire patient population. n completion. The Current also permits users to enter
The Members of the Alex Koper, MD Ali Javanbakht, MD Ann Lee, MD Bret Davis, MD Brett Simon, OD Bryce Holderness, MD Cecily Bosma, PA Jay Winner, MD Joe Aragon, MD Karen Johnson, MD Kari Mathison, MD Lucy Ortega, PA Urology Family Medicine Pulmonary Dermatology Optometry Internal Medicine Urology Family Medicine Cardiology Pediatrics Family Medicine Endocrinology PATIENT ACCESS BEACON ONCOLOGY COORDINATING PATIENT CARE HEALTH MAINTENANCE PHARMACY EXPANSION TO DEPARTMENT OFFERS INFORMATION SYSTEM THROUGH THE CURRENT REMINDERS CLINICIAN ADVISORY COUNCIL BETTER SERVE OUR PATIENTS CENTRALIZED SCHEDULING
Clinician Advisory Council delivery hours and better integrated our pharmacy We also installed a new call back system which allows services into the Wave, ensuring a more seamless patients to push a button to receive a call back to any In 2014 we established the Clinician Advisory Council experience for our patients. n phone number. Many patients have commented that including clinical leaders from across Sansum Clinic who this has made a considerable difference in their are committed to continuously optimize and improve Patient Access Department experience by allowing them the freedom of the usability of our Electronic Health Record. Specifically, Offers Centralized Scheduling communicating with our staff without losing valuable they are the group responsible for reviewing and time on hold. n approving all enhancements as well as helping to In 2014, we made great strides in streamlining the standardize workflows across the clinic. Some recent scheduling and registration processes for primary examples would include determining the frequency and care services, including Internal Medicine, Family severity for medication alerts in order to improve Medicine and Pediatrics. Our new Patient Access awareness of concerns prior to ordering. n Department has a centralized scheduling process that reduces scheduling time and improves the efficiency Pharmacy Expansion and accuracy of registration.
to Better Serve Our Patients Centralized scheduling will ultimately provide a single
We expanded our retail pharmacy operation by call-in number for patients seeking primary care bringing the pharmacy located at 317 W. Pueblo Street services, which enables our schedulers to help patients determine the most convenient access for into the Sansum Clinic family. The pharmacy was in Centralized scheduling staff under the leadership existence for more than 30 years and in 2014, it the care they need. In the first few months of of Betty Lee, Director of Patient Access became part of Sansum Clinic and is now called operation we showed significant improvement in Prescription Pharmacy, allowing us to better serve the wait time for an appointment. healthcare needs of our community. We expanded our
Clinician Advisory Council Michael Bernstein, MD Mukul Gupta, MD Nicole Christiano, MD Priti Gagneja, MD Ryan Fante, MD Chris McNamara, SVP Kurt Ransohoff, MD Vince Jensen, MBA Sean Johnson, RN Laura Polito, MD Kim Hurley, RN Barbara Conviser, MPH Internal Medicine Oncology Family Medicine Internal Medicine Ophthalmology Corporate CEO and Chief President and COO Electronic Health Wave Team Physician Wave Team Work Wave Team Clinical Medical Officer Record Director Champion Flow Analyst Informatics Lead Culture of Accountability 2 Sansum Clinic will promote an environment of accountability in quality, cost, outcome and service through constant measurement, refinement and improvement. We will align our performance measures to reward excellence in our physicians and staff. We will build upon our strengths in population management, providing our patients with superior outcomes through best practices in medicine. We will develop a culture central to our mission, vision and values by evaluating our performance against their standards. We will provide transparency in quality and outcomes. Promoting a Culture o f
Integrated Healthcare 17 Association Report Card Re-Accreditation by the 18 Institute for Medical Quality Ambulatory Surgery Center 20 Accreditation California Department of 20 Managed Health Care Award Leadership Council 21 Sansum Clinic by the Numbers 22
Sansum Clinic Quality Management Team (L to R) Sean Johnson, RN, BSN, Wave Director; Barbara Conviser, MPH, Clinical Informatics Lead; Marjorie Newman, MD, Assistant Medical Director; Laura Polito, MD; Cynthia Moxley, RHIA, Quality Specialist; Kurt N. Ransohoff, MD, CEO and Chief Medical Officer; Vince Jensen, MBA, President & COO
4.5 out of 5 on the Physician Group Clinical Care Report Card Accountability
National and Statewide Recognition for Clinical Quality Today, patients are more involved than ever in making decisions about their healthcare, and they are prioritizing quality when choosing a provider. In 2014, Sansum Clinic garnered accolades from national and state healthcare associations for a wide range of clinical quality measures.
Integrated Healthcare Association Physician Sansum Clinic is the only medical group in Santa Barbara that earned 4.5 Group Clinical Care Report Card stars. Other world class medical groups that scored high in California are Cedars Sinai Medical Group and UCLA Medical Group with 4 stars and Palo ansum Clinic received 4.5 out of a possible 5 stars on the Physician Alto Medical Foundation/Sutter Health with 5 stars. n Group Clinical Care Report Card issued by the Integrated SHealthcare Association (IHA). IHA is a statewide leadership group Integrated Healthcare Association that promotes quality improvement, accountability, and affordability of Pay for Performance healthcare in California. IHA measures the performance of physician groups in treating their Medicare Advantage patients on a subset of the Sansum Clinic was also honored by IHA with the 2014 Annual Pay for Medicare Stars clinical quality measures. Performance (P4P) Most Improved award. The P4P program is the largest non-governmental physician incentive program in the United States, The Medicare Stars Physician Group Clinical Care Ratings are a set of which measures and promotes improved quality among healthcare sixteen clinical measures which are collected from participating health providers in California. plans and from self-reporting physician groups. Results are audited to ensure accuracy and consistency across groups. The measures are based Awards are based on performance in three P4P quality measurement on the services provided to Medicare Advantage members who were areas: meaningful use of health information technology, patient patients of the physician group. experience and clinical quality measures that include priority conditions INTEGRATED HEALTHCARE INTEGRATED HEALTHCARE ASSOCIATION PHYSICIAN GROUP ASSOCIATION CLINICAL CARE REPORT CARD PAY FOR PERFORMANCE Culture of Accountability
such as cardiovascular disease, diabetes, musculoskeletal Re-Accredited by the and respiratory diseases and prevention. In addition to Institute for Medical Quality celebrating the top performers, IHA honored the Sansum Clinic achieved ambulatory care re-accreditation physician organizations that demonstrated the most from the Institute for Medical Quality (IMQ), quality improvement from 2012 to 2013, which included demonstrating the Clinic's commitment to providing Sansum Clinic for the second consecutive year. n high quality healthcare and a safe environment for patients. Sansum Clinic voluntarily sought the rigorous survey during which IMQ representatives visited clinical Sansum Clinic strives to provide our sites throughout Sansum Clinic's many locations in 2014. Sansum Clinic was evaluated against a set of rigorous ambulatory care patients with the highest quality IMQ is an independent, not-for-profit organization, healthcare, along with an enhanced which evaluates medical groups on ambulatory care standards by an IMQ team standards that have been developed by physicians with patient experience. This award experienced in the delivery of special expertise in a wide range of ambulatory care recognizes the medical expertise ambulatory healthcare services. settings. The standards are specific to the California Achieving accreditation and compassionate care that our practice setting reflecting current medical practice staff and clinicians provide each day techniques, statutes governing the operation of demonstrates Sansum Clinic's to ensure patients in our community ambulatory care facilities and regulations adopted by dedication to providing high quality the Medical Board of California. IMQ surveyors evaluated continue to choose Sansum Clinic and safe care to its patients. Sansum Clinic on a range of topics but specifically for their care. targeted patient safety standards and effectiveness of – Vince Jensen, MBA, President and treatment provided. n Chief Operating Officer of Sansum Clinic – Kurt N. Ransohoff, MD CEO and Chief Medical Officer RE-ACCREDITED BY THE INSTITUTE AMBULATORY SURGERY CENTER CALIFORNIA DEPARTMENT OF MANAGED LEADERSHIP COUNCIL ESTABLISHED TO SANUM CLINIC FOR MEDICAL QUALITY ACCREDITATION BY AAAHC HEALTH CARE AWARD ADVANCE OPERATIONAL INITIATIVES BY THE NUMBERS
1 out of 4 county residents served by Sansum Clinic
(L to R) Cynthia Moxley, RHIA, Quality Specialist and Marjorie Newman, MD, Assistant Medical Director of Sansum Clinic, pictured with Shelley Roulliard, Director, California Department of Managed Healthcare INTEGRATED HEALTHCARE INTEGRATED HEALTHCARE ASSOCIATION PHYSICIAN GROUP ASSOCIATION CLINICAL CARE REPORT CARD PAY FOR PERFORMANCE Culture of Accountability
Ambulatory Surgery Center Our patients deserve the best. When you see our certificate of accreditation, you will know that AAAHC, an Accreditation by AAAHC independent, not-for-profit organization, has closely examined our facility and procedures. It means we as The Foothill Surgery Center at Sansum Clinic received an organization care enough about our patients to strive for the highest level of care possible. accreditation from the Accreditation Association for – Kurt N. Ransohoff, MD, CEO and Chief Medical Officer Ambulatory Health Care (AAAHC) accreditation process and receipt of Medicare Deemed Status.
The Center is now fully operational and our skilled and experienced surgeons are working closely with our highly California Department of monitoring/treatment and specifically with lipid trained surgical and no together to provide the highest Managed Health Care Award management in diabetic patients. The bronze level of quality of care for our patients and the community. performance is for Clinics in the national 90th percentile California Department of Managed Health Care (DMHC) of performance in any one of the Right Care Initiative Status as an accredited organization means Sansum awarded Sansum Clinic with a 2014 Right Care Initiative designated control measures: Blood Pressure, Clinic has met nationally recognized standards for the (RCI) award, given annually to California health plans Cholesterol, or Blood Sugar. n provision of quality healthcare set by AAAHC. More than and medical groups who meet clinical performance 5,000 ambulatory healthcare organizations across the standards for controlling blood pressure, blood sugar United States are accredited by AAAHC. Not all and/or cholesterol. It is gratifying to be recognized at the ambulatory healthcare organizations seek accreditation; statewide level for our ability to help control The objective of the Right Care Initiative is to not all that undergo the rigorous on-site survey process measurably improve clinical outcomes through the effects of chronic illness and to keep our are granted accreditation. enhancing the practice of patient-centered, evidence- patients healthy, improving quality of life Ambulatory healthcare organizations seeking based medicine. Launched in 2008, RCI is a and reducing healthcare costs. accreditation by AAAHC undergo an extensive self- public-private collaborative effort focused on preventing premature disability and death from heart attacks, assessment and on-site survey by AAAHC expert – Marjorie Newman, MD surveyors – physicians, nurses, strokes and diabetic complications. Assistant Medical Director at Sansum Clinic and administrators who are Sansum Clinic was recognized with the bronze award for actively involved in ambulatory the Clinic's excellent management of cholesterol in healthcare. n diabetic and cardiovascular patients. The Clinic also scored high with diabetic nephropathy RE-ACCREDITED BY THE INSTITUTE AMBULATORY SURGERY CENTER CALIFORNIA DEPARTMENT OF MANAGED LEADERSHIP COUNCIL ESTABLISHED TO SANUM CLINIC FOR MEDICAL QUALITY ACCREDITATION BY AAAHC HEALTH CARE AWARD ADVANCE OPERATIONAL INITIATIVES BY THE NUMBERS
Leadership Council Established to and Department Directors. Entitled Leadership communities we serve and managing the Advance Operational Initiatives Council, this group meets regularly to address key population’s healthcare needs while also creating a strategic and operational matters. The Leadership model of care that will thrive in California’s rapidly In 2014, Sansum Clinic formed a new committee Council is an integral part of implementing our changing healthcare arena. n comprised of the organization’s Executive Leadership vision of providing high-value healthcare to the
The Sansum Clinic Leadership Council was established in 2014 to advance clinic-wide strategic initiatives INTEGRATED HEALTHCARE INTEGRATED HEALTHCARE ASSOCIATION PHYSICIAN GROUP ASSOCIATION CLINICAL CARE REPORT CARD PAY FOR PERFORMANCE Culture of Accountability
Number of Patient Visits by Insurance Category 2014 Sansum Clinic By the Numbers 319,590 165,592 Fee for Service Patients Commercial HMO Recognized for the Highest Standards of Healthcare Patients 40% 21%
80,830 Institute for Medical Quality (IMQ) accreditation for ambulatory care Senior HMO 10% 225,544 California Association of Physician Groups’ (CAPG) Standards of Medicare Patients Excellence Award for Elite Status 29%
California Office of the Patient Advocate Rating: Highest Overall on the Central Coast for meeting national standards of healthcare
Integrated Healthcare Association Certificate of Outstanding Charity 855 Performance for patient experience Commercial HMO 157,221 Ambulatory Surgery Center Accreditation by Accreditation Association Commercial HMO – IPA 8,409 for Ambulatory Health Care Fee for Service 2 Echocardiography Lab accredited by Intersocietal Commission for Indemnity 1,472 the Accreditation of Echocardiography Laboratories (ICAEL) Medi-Cal 21,484 Medi-Cal HMO 16,704 Integrated Healthcare Association Certificate of Outstanding Medicare 225,499 Performance for diabetes management Occupational Medicine 62 American Diabetes Association (ADA) recognition for Diabetes Other 4,753 Self-Management Education Program Other Fee for Service 5,650 Bariatric Center of Excellence designation by American Society Other Government 3,821 for Metabolic and Bariatric Surgery (ASMBS) PPO 250,639 Self-Pay 9,569 Doctors' Weight Management Program Gold Standard Award from HMR Senior HMO 75,842 American College of Radiology (ACR) Accreditation for US, Stereotactic Senior HMO – IPA 5,019 Breast Biopsy, MRI, CT, and PET/CT Workers Comp 4,550 American College of Radiology (ACR) Mammography Quality Standards Total 791,623 Act (MQSA) – State and Federal accreditation for all mammography
Breast Care Alliance accredited by the National Accreditation Programs for Breast Centers (NAPBC) RE-ACCREDITED BY THE INSTITUTE AMBULATORY SURGERY CENTER CALIFORNIA DEPARTMENT OF MANAGED LEADERSHIP COUNCIL ESTABLISHED TO SANUM CLINIC FOR MEDICAL QUALITY ACCREDITATION BY AAAHC HEALTH CARE AWARD ADVANCE OPERATIONAL INITIATIVES BY THE NUMBERS
Number of Patient Visits by Department 2014 Allergy & Immunology 7,630 Ambulatory Surgical Center 7,259 Anticoagulation Clinic 4,563 Number of Patient Visits by Region Cardiology 29,783 Dermatology 43,379 2014 Doctors’ Weight Management Program 2,803 Ear, Nose, Throat (ENT) 14,468 Endocrinology 18,340 Southern Santa Barbara County 79,729 Patients Facial Plastic Surgery & Aesthetics 3,094 Outside of U.S. 64% 52 Patients Family Practice 94,203 Outside of CA Gastroenterology 12,914 0% 1,986 Patients 2% Genetic Counseling 417 Health Education 5,452 San Luis Obispo County Infectious Disease 1,614 2,351 Patients Internal Medicine 46,937 2% Northern Santa Lymphedema Therapy 340 Barbara County Ventura County 28,687 Patients 4,383 Patients Nephrology 3,517 23% 4% Neurology 13,005 Other CA Counties Neurosurgery 474 7,789 Patients Nuclear Medicine 7,778 6% Obstetrics/Gynecology 31,990 Oncology 36,939 Ophthalmology & Optometry 52,590 Orthopedics 26,156 Pediatrics 40,114 Pharmacy 122 Physical Therapy 29,829 Podiatry 13,066 Procedure Center 8,490 Psychiatry & Psychology 9,735 Pulmonary & Critical Care 8,441 Radiation Therapy 24,023 Radiology 88,057 Rheumatology 10,429 Support Services 10,126 Surgery 13,176 Travel Medicine 1,844 Urgent Care 51,383 791,623 total number of visits in 2014 Urology 17,143
Total Number of Visits in 2014 791,623
Unique Patients Treated in 2014 124,977 Sustainable Mission 3 Sansum Clinic will continue to invest in the brightest, most talented physicians and personnel as they are our future. We will partner with our doctors to advance our mission and vision. We will ensure our success through talented leaders who are empowered to set the direction of the organization. We will ensure the public needs are well served through a strong community Board of Trustees. We will partner with payers, providers and purchasers that share our common goals. We will deliver affordable, value-based care by reducing administrative and care delivery costs. We will stay true to our mission, vision and values in all we do. Sustainabl e
New Physicians and Key Staff 27 Visiting Professor 30 of Surgery Program Professional Enrichment 32 of Our Staff New Advance Care Planning 35 Program for Sansum Clinic Kurt N. Ransohoff, MD 2014 35 Physician of the Year Healthcare Champions 36 Key Partnerships 38
New Cancer Center 39 The new Elings Eye Center
800 Number of employees in 2014 Mission New Physicians and Key Staff
In 2014 Sansum Clinic invested in a number of physicians and key staff with the skills and expertise to lead us into the next era of healthcare in Santa Barbara. f f a t S y e
K Karen Neary, RN, BSN Aniko Kim, MPH Jonathan Andrews, MHA, Susan Sheard, PA Rania Shenoda, PharmD, Jeffrey S. Snyder, MBA, RTT Clarence Thompson, RTT, BS Director of Nursing Director of Operations CNMT Advance Care Prescription Navigator Director of Cancer Center Chief Radiation Therapist w Foothill Surgery Center Foothill Surgery Center Associate Vice President of Planning Facilitator Ms. Shenoda earned her Radiation Oncology Mr. Thompson received his e Ms. Neary received her Ms. Kim received her Diagnostic Imaging and Ms. Sheard received her undergraduate degree in Jeff has been a radiation training from Johns Ancillary Services N Bachelor of Science in Bachelor of Arts from Bachelor of Arts from UC Psychobiology from UCLA therapist since 1983. Mr. Hopkins Hospital in Nursing degree at St. Tufts University in After his service in the Santa Barbara and is a and her Doctor of Snyder received his MBA Baltimore, MD. He Mary’s College and Medford, MA. She went on United States Marine graduate of the Yale Pharmacy degree from from Ashford University obtained his Bachelors of Samuel Merritt University to receive her Master of Corps, Jonathan received School of Medicine the University of Southern with a minor in project Science from the in Moraga, CA and Public Health from the his Bachelor of Science in Physician Assistant California. Her previous management. He worked University of Baltimore in completed her nursing University of California, Nuclear Medicine program. Her past clinical employment includes several years as a Health Systems internship at Santa Los Angeles. Ms. Kim Technology from the experience has been in doing medication department manager for Management. Mr. Barbara Cottage Hospital. comes to Sansum Clinic Rochester Institute of pediatric and adult reconciliation upon Sharp Healthcare in San Thompson comes to Ms. Neary comes to from Cottage Health Technology, in Rochester, oncology. She is hospital admission and Diego before taking on Sansum Clinic with over Sansum Clinic from the System where she served NY, and went on to earn contracted by the Alliance discharge consultations at implementation of a 20 years of experience. Outpatient Surgery Center as a Practice Development his Master of Health for Living and Dying Well UCLA, and as a Pharmacy ground up hospital based at Cottage Hospital where Consultant. Administration from who has partnered with Manager for Kaiser radiation oncology center she worked as a Level III Suffolk University in Sansum Clinic to provide Permanente. for Hospital Corporation Clinical Resource Nurse, Boston, MA. Jonathan onsite advance care of America in Idaho Falls. Operating Room Nurse, comes to us from Kaiser planning services to After that, Jeff went to Pre-Op Nurse and Permanente, Northwest Sansum Clinic patients. Vancouver, WA to manage Pediatric Oncology Nurse. where he served as the a radiation oncology Regional Director of department refresh which Imaging Services though included a new CyberKnife has spent the bulk of his for Stereotactic career on the east coast to Radiosurgery. Mr. Snyder include Johns Hopkins has over 20 years of Health System and leadership experience in Massachusetts General radiation oncology Hospital. management. VISITING PROFESSOR OF SURGERY PROGRAM ADVANCES SURGICAL NEW PHYSICIANS AND KEY STAFF CARE IN SANTA BARBARA Sustainable Mission s n a i c i s y
h Anne White, DO Kristen Nelson, NP Christine Yip, PA-C Amit Malkani, DO, FAPWCA Grace Park, MD, MPH Ryan Fante, MD
P Rehabilitation and Lompoc OB/GYN Occupational Medicine Lompoc Urgent Care Pueblo Internal Medicine Foothill Eye Center Extended Care Ms. Nelson received her Ms. Yip received her Dr. Malkani received his Dr. Park is board-certified Ophthalmology w Dr. White is board- degree from the Master of Science degree medical degree from in internal medicine and Dr. Fante received his e certified in internal University of San Diego in the physician assistant Touro University College her medical degree from medical degree from the medicine and received her and earned a Master of program at the University of Osteopathic Medicine the University of Chicago, University of Colorado N medical degree from Science as a Family Nurse of Detroit Mercy and is in Vallejo, CA. Dr. Malkani Prizker School of Medicine Denver School of Western University of Practioner. Ms. Nelson certified by the National completed his Family and completed her Medicine and completed Health Sciences, College received her post- Commission on Practice residency at residency in internal his ophthalmology of Osteopathic Medicine master’s certification in Certification of Physician Memorial Hospital in York, medicine at the Brigham residency at the in Pomona, CA. Dr. White Women’s Health from Assistants, Inc. PA and is board-certified and Women’s Hospital, University of Michigan completed her residency Harbor-UCLA Medical by the American Harvard Medical School. Kellogg Eye Center. at Los Angeles Center. Osteopathic Board of County/University of Family Physicians and is Southern California also board-certified in Medical Center in Los Wound Care by the Angeles, CA. American Board of Wound Care. ENHANCING CARE THROUGH PROFESSIONAL ENRICHMENT NEW ADVANCE CARE PLANNING KURT N. RANSOHOFF, MD OF OUR STAFF PROGRAM FOR SANSUM CLINIC 2014 PHYSICIAN OF THE YEAR HEALTHCARE CHAMPIONS KEY PARTNERSHIPS
Nicole Stern, MD, FACP Rachel Mendoza, PA-C Liana Gonzalez, MD Timothy West, MD Timothy Jones, MD Beth Prinz, MD John Keating, MD Hitchcock Urgent Care Lompoc Urgent Care Pesetas Internal Medicine Pueblo Neurology Lompoc Urgent Care Pesetas Internal Medicine Medical Director Lompoc Urgent Care Ms. Mendoza received her Dr. Gonzalez is board- Dr. West is a board-certified Dr. Jones received his Dr. Prinz is board-certified Foothill Surgery Center Dr. Stern is board-certified Master of Health Sciences certified in internal neurologist and multiple medical degree from Ross in internal medicine and Dr. Keating received his in internal medicine and in Physician Assistant medicine and earned her sclerosis specialist. He University School of earned her medical degree medical degree from earned her medical degree Studies from Quinnipiac medical degree at the received his medical degree Medicine in New York, NY. from the Medical College Georgetown School of from the University of University in Connecticut. Medical College of from the University of He completed his internal of Virginia, Virginia Medicine in Washington, D.C. Arizona in Tucson, where She is NCCPA board- Wisconsin where she also California, San Francisco, medicine residency at the Commonwealth University. and completed his she went on to complete certified as well as BLS and completed her internal where he also completed Kern Medical School in Dr. Prinz completed her anesthesiology residency at her internal medicine ACLS certified. medicine residency. his neurology residency Bakersfield, CA and in internal medicine residency the Naval Hospital in San residency. Dr. Stern then and multiple sclerosis board-certified in Family at St. Vincent’s Hospital Diego. He also completed a went on to complete a fellowship. Practice. and Medical Center in New Pulmonary Physiology Primary Care Sports York. Research Fellowship at the Medicine Fellowship at the University of California, San University of Oklahoma Diego and a Cardiovascular Health Sciences Center. Anesthesiology Fellowship at John Hopkins Hospital in Baltimore, MD. Dr. Keating comes to Sansum Clinic from the Anesthesia Medical Group of Santa Barbara where he acted as Practice Manager for the past ten years. He has also served as Medical Director of Outpatient Surgery at Cottage Hospital. VISITING PROFESSOR OF SURGERY PROGRAM ADVANCES SURGICAL NEW PHYSICIANS AND KEY STAFF CARE IN SANTA BARBARA Sustainable Mission
Dr. Julie Ann Freischlag and Dr. Ronald Latimer (center) with Sansum Clinic surgeons (left to right) Drs. Greg Greaney, Marc Zerey, Rosa Choi, Paul Cisek and James Dunn ENHANCING CARE THROUGH PROFESSIONAL ENRICHMENT NEW ADVANCE CARE PLANNING KURT N. RANSOHOFF, MD OF OUR STAFF PROGRAM FOR SANSUM CLINIC 2014 PHYSICIAN OF THE YEAR HEALTHCARE CHAMPIONS KEY PARTNERSHIPS
Improving Patient Care Through Education: Visiting Professor of Surgery Program Advances Surgical Care in Santa Barbara
The Visiting Professor of Surgery Endowment Fund was established in chair of the Vascular Surgery Section at the Medical College of December 2010 by Ronald G. Latimer, MD (Emeritus) and Sansum Wisconsin. She returned to UCLA as the chief of the Division of Clinic to advance the level of education available to surgeons in Santa Vascular Surgery before her appointment at Johns Hopkins. Barbara and to demonstrate the Clinic’s commitment to quality Dr. Freischlag is the president of the Society for Vascular Surgery and surgical care for our patients. The fund allows a prominent national chair of the Board of Regents of the American College of Surgeons. or international surgeon to be in residence in Santa Barbara for one She is recognized as an expert in the diagnosis and treatment of week each year. This unique education program elevates the level of thoracic outlet syndrome. She has published more than 200 surgical expertise available in our community, and is made possible by manuscripts, numerous abstracts and book chapters, and has given generous support from grateful patients, medical groups, individual presentations nationally and internationally. community surgeons and physicians, and corporate donors. During her week in residence, she provided direct interactive teaching
Julie Ann Freischlag, MD, Visiting Professor of Surgery for 2014 to the surgical residents in training at Santa Barbara Cottage Hospital and gave educational lectures about the diagnosis and treatment of Dr. Freischlag is the vice chancellor of human health sciences and the vascular diseases to both the medical and surgical staffs. dean of the UC Davis School of Medicine, UC Davis Health System. For Dr. Freischlag also delivered a public lecture on “Leading Through the past 11 years, she had been the William Stewart Halsted Professor, Times of Change: Principals of Leadership.” n chair of the Department of Surgery and surgeon-in-chief at The Johns Hopkins Hospital in Baltimore, MD.
After attending Rush Medical School, Dr. Freischlag completed her surgical residency in general surgery and a vascular surgical fellowship at UCLA. She was appointed professor of surgery and vice
Years of service to our community 93 VISITING PROFESSOR OF SURGERY PROGRAM ADVANCES SURGICAL NEW PHYSICIANS AND KEY STAFF CARE IN SANTA BARBARA Sustainable Mission
The Visiting Professor of Surgery program has been a tremendous success. This program has been one of the most important additions to surgical We have been fortunate to have had three outstanding surgeons, all education, community wide in the past 10 years. It offers great educational value leaders in their field. The program benefits the surgical residents, surgical to surgeons, surgeons in training and the public. It represents one of the unique staff and our patients. The lecture for the public and our donors has also programs in the community that can claim such a wide comprehensive approach been well received. The value to our community, to Cottage Health to surgical education. The Visiting Professor of Surgery Program really includes System, and to Sansum Clinic is priceless. Thanks to Dr. Ron Latimer, this multiple avenues for people to interact with high level surgical educators, and is program will continue to be a success. a community asset, not exclusive to Sansum Clinic doctors or patients.
– James T. Dunn, MD, FACS, Sansum Clinic Department of Surgery – Paul Cisek, MD, Sansum Clinic Department of Surgery
Visiting Professors of Surgery 3 5 2 John L. Cameron, MD Hiram C. Polk, Jr., MD Julie Ann Freischlag, MD Keith D. Lillemoe, MD 4 1 1 1 The Alfred Blalock Distinguished Ben A Reid, Sr. Professor of Surgery, Emeritus 1 Vice Chancellor Surgeon-in-Chief 0 0 0 0 2 2 2 Service Professor of Surgery University of Louisville, School of Medicine 2 Human Health Services Chief, Department of Surgery Massachusetts General Hospital The Johns Hopkins University Dean, UC Davis School of Medicine School of Medicine UC Davis Health System
A Legacy of Education: extraordinary physician group with a talented and provide employees with unique personal and dedicated team of employees creates the environment professional development opportunities to expand their Enhancing Care Through necessary for the delivery of outstanding patient care. value within the Sansum healthcare delivery team, thus Professional Enrichment of Our Staff creating a stronger and more dynamic platform for Recognizing that people are Sansum Clinic’s most Sansum Clinic’s mission is to provide patients with an patient care at the Clinic. valuable asset, Dr. Jim and Chris McNamara established excellent healthcare experience. Throughout our 93 year the McNamara Fund for Professional Enrichment and This program is a testament to the McNamaras and history, the Clinic has depended upon the quality of our Education. The program was established in 2014 to their commitment to medical excellence through people to fulfill this commitment. Supporting our ENHANCING CARE THROUGH PROFESSIONAL ENRICHMENT NEW ADVANCE CARE PLANNING KURT N. RANSOHOFF, MD OF OUR STAFF PROGRAM FOR SANSUM CLINIC 2014 PHYSICIAN OF THE YEAR HEALTHCARE CHAMPIONS KEY PARTNERSHIPS
39 medical specialties
Dr. Jim and Chris McNamara
33 VISITING PROFESSOR OF SURGERY PROGRAM ADVANCES SURGICAL NEW PHYSICIANS AND KEY STAFF CARE IN SANTA BARBARA Sustainable Mission
ongoing education to benefit not only our employees in support of the work of the Clinic’s outstanding “It is with admiration, respect and affection that I but also our patients and the community. physicians. Recognizing that it is this collaboration write to congratulate you on your well-earned between the Clinic’s physicians and the employees that retirement from the practice of medicine. For 35 years With the announcement of his retirement, many of Dr. enables Sansum to provide patients with an excellent McNamara's patients asked him what they could do as a you have been a constant in my life; a safe haven when healthcare experience, we wish to establish the way to say thank you for the many years of care he concerns of health and well-being presented education program in perpetuity in the interest of themselves. You have my heartfelt gratitude for your current and future employees of the Clinic," Dr. wise counsel and care during all those years. You have McNamara shared. always conducted your professional and public life to "My grandfather and both of my parents were physicians. the highest standards and well beyond the call of duty. Drs. Delbert and Doris McNamara were among the first I salute you in your effort to build the McNamara physicians hired by Dr. William Sansum (the founder of Education Fund to fulfill your vision of enhancing the Sansum Clinic) in the 1920s. The gifts they gave me professional development of the healthcare included the love of medical service but also a great appreciation for and understanding of the value of a professionals at Sansum Clinic. This worthy initiative broad education. I too want to provide the opportunity will continue your amazing record of contributions to for education to others. Support from my patients, my patients, Sansum and the community. Thank you for Jim McNamara and his parents, fellow physicians, the medical staff and my family and your professional counsel and personal kindness. I Drs. Doris and Delbert McNamara friends means a great deal to Chris and me, to the many wish you all that you desire and that life has to offer employees who will benefit from this program and to the in your next chapter.” Sansum Clinic patients whose healthcare experiences will Note of appreciation from a grateful patient that provided. His response was to ask them to join him and be enhanced, ” said Dr. McNamara. n accompanied a gift for the McNamara Education Fund Chris in building the McNamara Fund. "The legacy my wife Chris and I wish to establish at Sansum Clinic is a special program for the continuing education of the talented and dedicated employees who contribute their clinical, technical and administrative skills and services ENHANCING CARE THROUGH PROFESSIONAL ENRICHMENT NEW ADVANCE CARE PLANNING KURT N. RANSOHOFF, MD OF OUR STAFF PROGRAM FOR SANSUM CLINIC 2014 PHYSICIAN OF THE YEAR HEALTHCARE CHAMPIONS KEY PARTNERSHIPS
New Advance Care Planning Program Recently, a local couple in their 60s and in good health, Kurt N. Ransohoff, MD for Sansum Clinic attended a community workshop to learn about 2014 Physician of the Year Advance Health Care Directives on the advice of their Sansum Clinic entered into a new partnership with the Dr. Ransohoff was named the Santa Barbara County physician and as a part of their routine healthcare. Alliance for Living and Dying Well (ALDW) to provide Medical Society’s 2014 Physician of the Year for his They completed their advance directives, told their onsite education and support for our patients in the efforts to protect and improve public health and the three adult children what a good quality of life meant completion of Advance Health Care Directives. Since quality of healthcare, his advocacy for universal access to to each of them and encouraged their children to 2009, ALDW has functioned as a collaboration of leaders healthcare and his involvement in community service. complete their Advance Directives, as well. Several and organizations committed to sustaining a months later, they went on a trip out of the country, The Medical Society's President Dr. Christopher compassionate, seamless, continuum of end-of-life care during which the husband fell ill. They returned Lumsdaine presented Dr. Ransohoff with the prestigious in our community. We believe it is never too early for any quickly to Santa Barbara and discovered that he had award and a resolution from the California Medical adult to have meaningful conversations with both loved cancer. He died three weeks later. While this story is Association (CMA). The resolution recognized and ones and physicians regarding healthcare choices we tragic, his wife and children were tremendously honored Dr. Ransohoff for representing his colleagues for would make if we could not speak for ourselves in a grateful that they knew what kind of care he desired many years in organized medicine by serving on CMA’s health crisis. and were able to honor his wishes. Regrets and doubts Council on Legislation, the Medicare TAC, the Physician- The partnership between Sansum Clinic and the did not further complicate their natural grief. Hospital Alignment TAC and as a Delegate for the Alliance for Living and Dying Well is providing Medium Group Forum. – Susan Plummer, executive director of the Alliance patients with Advance Care Planning support through for Living and Dying Well Dr. Ransohoff is board certified in Internal Medicine and two avenues. Either by attending an Advance Care has been with Sansum Clinic since 1992. He graduated Planning Five Wishes® Workshop at Sansum Clinic; or from Bowdoin College in 1980 with degrees in English through physician or self-referral, patients can receive and Biochemistry. He received his Medical Degree from one-on-one facilitated Advance Care Planning (ACP) UCLA where he also completed his internship and by appointment. A trained Advance Care Planning residency serving as Chief Resident and Clinical Facilitator communicates with physicians about the Instructor from 1988-1989. progress of the ACP process through the electronic health record system as well as benefit from He has been honored as Teacher of the Year by Santa physician input regarding ongoing advance care Barbara Cottage Hospital and as Healthcare Grand planning discussions. There is no charge or insurance Champion by the Pacific Coast Business Times . billing for this free service to Sansum Clinic patients Dr. Ransohoff has served as Chairman of Sansum Clinic’s and chosen healthcare agents are always encouraged Internal Medicine Department and Medical Director and has been CEO and Chief Medical Officer since 2002. He to attend all appointments. n Susan Sheard, PA, Advance Care Planning Facilitator serves on the boards of CAPG and CenCal Health. n VISITING PROFESSOR OF SURGERY PROGRAM ADVANCES SURGICAL NEW PHYSICIANS AND KEY STAFF CARE IN SANTA BARBARA Sustainable Mission
Healthcare Champions
Sansum Clinic had a strong showing in the Pacific Coast Business Times 2014 "Champions in Healthcare" issue and awards luncheon, where our honorees participated in a panel discussion on “Affordable Care in the Tri -Counties: Strategies for Implementing Health Care Reform”.
Thomas Anderson, Sr., MD was named Healthcare Volunteer of the Year in recognition of the 18 trips and countless hours he has dedicated in operating a free clinic in earthquake devastated Haiti, when he’s not providing urgent care to Sansum Clinic patients are our clinic on Hitchcock Way.
Julie Nadel was named the Healthcare Philanthropist of the Year in large part for her leadership in organizing the gala hosted by Jay Leno that raised $1.2 million for oncology care in Santa Barbara in celebration of the partnership of Sansum Clinic and the Cancer Center.
Kurt Ransohoff, MD was named Grand Champion in Healthcare for his leadership in navigating the changes in healthcare in our community resulting from the passage of the Affordable Care Act, while at the same time maintaining a physician practice - something he says is key to staying in touch with the real people that are at the center of the affordable care challenge. n
Thomas Anderson, Sr., MD, Julie Nadel and Kurt N. Ransohoff, MD ENHANCING CARE THROUGH PROFESSIONAL ENRICHMENT NEW ADVANCE CARE PLANNING KURT N. RANSOHOFF, MD NEW REGIONAL OF OUR STAFF PROGRAM FOR SANSUM CLINIC 2014 PHYSICIAN OF THE YEAR HEALTHCARE CHAMPIONS KEY PARTNERSHIPS CANCER CENTER FACILITY
Sansum Clinic Orthopedics Department at the new Foothill Medical Center
23 patient care locations VISITING PROFESSOR OF SURGERY PROGRAM ADVANCES SURGICAL NEW PHYSICIANS AND KEY STAFF CARE IN SANTA BARBARA Sustainable Mission Strategic Partnerships for Success McKesson Corporation construction was finished, Sansum Clinic chose to surgery centers nationwide. SCA offers access to clinical continue its partnership with SCA to manage the surgery systems such as standardized toolkits, continuing In 2014, Sansum Clinic formed a partnership with center given their successful track record in establishing education for staff, and detailed clinical variance analyses McKesson Corporation in an effort to manage growing and managing outpatient surgery centers. ensures Foothill Surgery Center’s patients will receive the costs of medical, surgical, and pharmaceutical supplies. best possible care. Foothill Surgery Center participates in McKesson’s dedication to price transparency and The benefits of this ongoing relationship are numerous. a number of SCA benchmarking studies including patient consistency is allowing us to control our supply expenses SCA’s relationships with vendors on a national level afford satisfaction, surgical site infections, and other markers of with cost analysis tools, vendor agreements, and access Foothill Surgery Center increased leverage in negotiating quality and performance. The tools provided by SCA have to network-wide Group Purchasing Organization (GPO) contracts and rates for surgical supplies and services. SCA resulted in Foothill Surgery Center achieving 100% contracts. By aligning with McKesson as our primary continues to support Sansum Clinic business office patient satisfaction scores and complication rates well supplier, the Clinic projects savings of nearly $6,000,000 functions such as center-specific payer contract below even SCA’s strict standards. SCA’s presence is felt in over the next 4 years. n negotiations, oversight of billing and coding, and revenue every aspect of Foothill Surgery Center. As a behind-the- analysis to ensure maximum revenue and cost efficiency. scenes partner, SCA’s resources and talents continue to Surgical Care Affiliates These benefits allow opportunities for additional blend seamlessly with those of Sansum Clinic to provide physician affiliations. SCA’s reputation in the ambulatory After many years in development, Foothill Surgery Center a safe, nurturing environment to our patients. healthcare community acts as a beacon for top talent – at Sansum Clinic opened its doors as the outpatient attracting highly skilled candidates to fill key roles within What took a village to achieve has developed into a surgery center of choice in Santa Barbara. It was through the surgery center. relationship of which both SCA and Sansum Clinic can be the efforts of dedicated Sansum Clinic staff, community proud. Through our continued affiliation, the Clinic’s involvement, and corporate partnerships that the However, these achievements would not be possible patients, staff, and physicians will see the benefits of our longstanding plans came to fruition. The Surgery Center’s without the additional benefits enjoyed by patients. shared values – Compassion, Accountability, Respect, motto, “It Takes a Village”, not only applies to its current Through their accreditation consulting services, Foothill Excellence, and Stewardship – evident in the care our approach to holistic patient care, but also speaks of the Surgery Center achieved accreditation upon the initial Foothill family provides. n synergistic partnership between Sansum Clinic survey performed by Medicare in association with the departments and Surgical Care Affiliates (SCA). SCA, the Accreditation Association for Ambulatory Health Care. Cancer Foundation of Santa Barbara current market leader in clinical quality and partner of This phenomenal result is the outcome of months of choice in 192 outpatient facilities and surgical hospitals, preparation and practice, with SCA and Sansum Clinic The Cancer Foundation of Santa Barbara is the largest was a welcome companion in the Foothill Surgery Center staff working side by side to achieve excellence. SCA’s annual donor to Sansum Clinic, the leading provider of endeavor after SCA bought out Health Inventures’ focus on clinical outcomes ensures that every patient is outpatient cancer care on the central coast. The Cancer existing development agreements in 2014. Even after treated with the quality of care expected at the finest Foundation raises and distributes millions of dollars each ENHANCING CARE THROUGH PROFESSIONAL ENRICHMENT NEW ADVANCE CARE PLANNING KURT N. RANSOHOFF, MD OF OUR STAFF PROGRAM FOR SANSUM CLINIC 2014 PHYSICIAN OF THE YEAR HEALTHCARE CHAMPIONS KEY PARTNERSHIPS
year to the Cancer Center allowing it to deliver a higher level of care than would otherwise be possible in a community our size, on par with many renowned cancer centers in the United States.
The mission of the Cancer Foundation is to ensure superior cancer care for all citizens of Santa Barbara County regardless of means. The Foundation is the leading fundraising and grant making non-profit dedicated to cancer care in Santa Barbara. Foundation trustees focus on funding the programs that will make the most significant, immediate and long term impact on cancer in this community.
A minimum of 85% (up to 100%) of the proceeds from the Foundation’s endowment and fundraising efforts support cancer diagnosis, treatment, research, technology and support programs at the Cancer Center of Santa Barbara with Sansum Clinic.
The administrative and volunteer leadership of Sansum Clinic and the Cancer Foundation of Santa Barbara have worked with Cancer Center
physicians and medical staff to design a cutting- L-R: Hugh Boss, Chair, Cancer Foundation Board of Trustees; Rick Scott, edge cancer center for the Central Coast (see President, Cancer Foundation; Vicki Hazard, Chair, Sansum Clinic Board of Trustees; pages 8 – 9). n Kurt N. Ransohoff, MD, CEO and Chief Medical Officer, Sansum Clinic; Vince Jensen, President and COO, Sansum Clinic; Chad Hine, CFO, Sansum Clinic Community Need 4
Sansum Clinic will continue to invest in the brightest, most talented physicians and personnel as they are our future. We will partner with our doctors to advance our mission and vision. We will ensure our success through talented leaders who are empowered to set the direction of the organization. We will ensure the public needs are well served through a strong community Board of Trustees. We will partner with payers, providers and purchasers that share our common goals. We will deliver affordable, value-based care by reducing administrative and care delivery costs. We will stay true to our mission, vision and values in all we do. Communit y
The Advent of the Affordable Care Act 43
Collaboration with Anthem Blue Cross 44
Prescription Navigator Program 46
Sansum Clinic Legacy Society 48
Expanded Screening & Detection Programs 49
Camp Wheez 51
Sansum Clinic and the 51 Santa Barbara Neighborhood Clinics
Communitywide Flu Shot Clinics 52
The Women's Council of Sansum Clinic 52
Good Health KIDS Magazine 54
Noticias: Sansum Clinic – A Legacy of Medical Innovation 54
The Silver Lining 54
Oncology Nurses Honored 56
Oncology Nursing Symposium 56
Glow in the Park 58 Need
The Advent of the Affordable Care Act
n 2014, we entered into an agreement with Anthem Blue Cross to organization in Santa Barbara in CenCal, our regional insurance plan. participate in the first-ever Covered California state healthcare CenCal has seen a growth of about 30,000 patients of 30% year over year. exchange established as part of President Obama's Affordable Care I All of the key players in healthcare in Santa Barbara, including Sansum Act (ACA). This was among the most important events in national Clinic, Cottage Health System, CenCal, Santa Barbara Neighborhood healthcare in decades. Although we started the year with a great deal of Clinics, independent physicians and insurance companies, have worked uncertainty about how this would impact our community and Sansum together to successfully implement this initiative in our community. n Clinic, we remained focused on ensuring that patients in Santa Barbara could obtain insurance through Covered California and be seen at Sansum Clinic through an agreement with Anthem Blue Cross.
We anticipated that an increase in volume would put additional stress on the clinical areas with already poor access and technology cost pressures would persist, but Sansum Clinic is a safety net and we exist for the sole purpose of caring for this community. While we accepted reduced reimbursement rates, we knew it was critical to our mission to be included in the Affordable Care Act's exchange program.
One year into the ACA, it is clear that we are working toward meeting the overall goal of decreasing the number of uninsured people in Santa Barbara County. Sansum Clinic saw about 6,740 Covered California patients year in 2014. We have a strong Medi-Cal managed care COLLABORATION PRESCRIPTION HOSPITAL BROWN BAG AFFORDABLE WITH ANTHEM NAVIGATOR DISCHARGE MEDICATION SANSUM CLINIC CARE ACT BLUE CROSS PROGRAM MED REVIEW REVIEW LEGACY SOCIETY Community Need
Collaboration with Anthem Blue Cross personal coordinated care or more aggressive Ensuring that patients get appropriate personal and – Accountable Care Organization (ACO) management of their medical condition(s) - patients preventive disease-specific monitoring (e.g., who were identified by Blue Cross as being “at risk” mammography, colonoscopy, Lipid screening, Sansum Clinic is making a concerted effort to expand based upon their medical diagnoses and/or prior diabetes monitoring-A1C, LDL, etc.). the range of services offered to manage the health of healthcare utilization, in an effort to engage them in an There is no cost to the patient for this program and the populations we serve. active enhanced care management program. there is no difference in their healthcare coverage or In 2014, Sansum Clinic partnered with Anthem Blue In 2014, 108 patients who elected to participate in the benefit structure. The only difference is that the patient Cross to enhance the care and management that is program gained access to a dedicated nurse case has access to our dedicated nurse to help them navigate provided to a subset of Anthem Blue Cross PPO manager, also known as an Enhanced Care Navigator, the healthcare system, coordinate their care, and offer members by establishing an Accountable Care who enhances the patient’s care by: support as needed. The benefit to the health plan is Organization (ACO). ACO is an innovative, new model reduced claims costs as a result of enhanced care being used by many health plans in collaboration with Answering clinical questions and providing coordination with fewer ER visits, hospital admissions, or healthcare organizations to enhance clinical quality information that may be needed for the patient unnecessary/duplicative testing. while also decreasing the cost of healthcare by keeping and/or caregivers to better understand the medical condition, thereby enhancing compliance with patients “healthy”, connected and out of the emergency In addition to reviewing claims data, and as part of our the plan of care. room or hospital. In addition to decreasing hospital bed commitment to preventive care, we also work with Blue days, the goal is to also decrease the number of Working with the patient’s primary clinician (primary Cross to monitor clinical quality metrics for all of the unnecessary tests or procedures that may result when or specialty care physician) to ensure that the attributed ACO members, which include the following: patient gets appropriate referrals and clinical patients are seeing multiple providers in an unrestricted Screening mammography annually for female and uncoordinated manner. Anthem Blue Cross has services in a timely manner (e.g., helping the patient patients age 50-70 navigate the Sansum Clinic system, and beyond, as acknowledged Sansum Clinic's good performance on Colonoscopy every ten years for patients age 50-70 need is indicated). our managed care (HMO) population which consistently Cholesterol screening indicates that the Clinic is providing high quality Attending appointments with the patient and/or healthcare while keeping costs/inappropriate utilization caregiver to enhance support, education Chlamydia testing for sexually active women age 16-24 communication and compliance with the physician’s down. As a result, Anthem Blue Cross sought to Diabetics-annual HgbA1c, annual LDL, annual treatment plan. collaborate with Sansum Clinic on the PPO population in Proteinuria monitoring (unless on ACE or ARB’s) an effort to engage those patients that would benefit Helping coordinate needed services outside of the Chem panel testing for patients on digoxin from enhanced care coordination. Clinic (e.g., home health, hospice, palliative care, or diuretics residential recovery programs, and rehab/skilled The Clinic actively reached out to those Anthem Blue nursing facilities). MMR/VZ immunization for children n Cross PPO patients who might benefit from more EXPANDED SANTA BARBARA THE WOMEN'S ONCOLOGY ONCOLOGY SCREENING AND NEIGHBORHOOD COMMUNITYWIDE COUNCIL OF GOOD HEALTH THE SILVER NURSES NURSING GLOW IN DETECTION CAMP WHEEZ CLINICS FLU SHOT CLINICS SANSUM CLINIC KIDS MAGAZINE NOTICIAS LINING HONORED SYMPOSIUM THE PARK
Ophthalmologist Dr. Toni Meyers and a patient at the Elings Eye Center COLLABORATION PRESCRIPTION HOSPITAL BROWN BAG AFFORDABLE WITH ANTHEM NAVIGATOR DISCHARGE MEDICATION SANSUM CLINIC CARE ACT BLUE CROSS PROGRAM MED REVIEW REVIEW LEGACY SOCIETY Community Need
Prescription Navigator Program
Sansum Clinic is leading the way in Santa Barbara Our electronic health record gives the Prescription multiple medications at home. Also, it can be County with a Prescription Navigator program. This is a Navigator the information needed to assist patients challenging to obtain insurance authorizations for pharmacist-led medication therapy management with their therapy through access to provider notes, lab certain high cost medications and the Prescription program that ensures the safe, effective, and appropriate work, and by communicating with providers about any Navigator and the Prescription Pharmacy of Sansum use of medications by Sansum Clinic patients. The Clinic concerns or recommendations. Clinic are here to help. joins the prestigious list of healthcare systems that have The Prescription Navigator often works with caregivers seen the benefit and have developed mediation therapy Brown Bag or family members to give them a better understanding management programs, such as UCLA, Cedars Sinai, Medication Review of medications they might help administer, and to guide Kaiser, Johns Hopkins and most recently USC. them with setting up pill boxes for proper adherence to Patients who take multiple Our Prescription Navigator is well trained in the medication therapy. medications or have any medication therapeutic uses and effects of drugs and can help concerns can benefit from an In a Patient Satisfaction Survey, 96% of the 291 patients ensure appropriate medication use, reduce medication- appointment with the Prescription who utilized the Prescription Navigator Program in 2014 related problems and improve health outcomes. Navigator to: responded that they were satisfied with the care from Physicians refer patients to the Prescription Navigator the Prescription Navigator and believe the program is Review all medications to ensure patients for one-on-one office visits or telephone consultations, very helpful. n understand what has been prescribed and why and patients can also self-refer to the program through Look for adjustments that may increase the the Brown Bag Medication Review program. Hospital Discharge Medication Review effectiveness of the therapy and Reconciliation Pilot Program Screen for potential interactions or side effects For Sansum Clinic patients started on high risk Assure that the medication list is up to date medications during their hospital stay, our expert Answer medication questions and discuss the pharmacist will meet with patients and/or caregivers at risks and benefits of one's medications with a the bedside to ensure they have all of the necessary health professional n medications needed upon discharge. The Prescription Navigator will ensure that the patient understands their medication regimen upon discharge from the hospital The Prescription Navigator Program is as that can be confusing for patients who may be on generously funded by Jack and Julie Nadel EXPANDED SANTA BARBARA THE WOMEN'S ONCOLOGY ONCOLOGY SCREENING AND NEIGHBORHOOD COMMUNITYWIDE COUNCIL OF GOOD HEALTH THE SILVER NURSES NURSING GLOW IN DETECTION CAMP WHEEZ CLINICS FLU SHOT CLINICS SANSUM CLINIC KIDS MAGAZINE NOTICIAS LINING HONORED SYMPOSIUM THE PARK
The Prescription Navigator was very helpful and proactive in following up with me after my heart surgery and discussing the medication that the doctor prescribed.
Rania provides an invaluable service to both patients and doctors. Many patients see multiple providers all of whom may prescribe multiple medications. It is a major challenge to stay on top of the resulting complicated regimens and potential drug interactions with other drugs as well as with foods. Rania helps her patients sort through all of this with a highly professional attitude, great skill, and a warm smile!
- David Dodson, MD, Internal Medicine
In 2012, 73% of physician visits resulted in at least one prescription medication.
Approximately 30% of adverse events leading to hospitalization are due to medication errors, interactions or side effects.
Data suggests that only 33-50% of patients with chronic conditions adhere to their prescribed medication therapies.
Medicare beneficiaries with multiple chronic illnesses see on average 13 different physicians, fill 50 prescriptions each year, account for 76% of all hospitalizations and are 100 times more likely to have a preventable hospitalization than those with no chronic illnesses. Rania Shenoda, Pharm D, Prescription Navigator, reviews medication with a patient COLLABORATION PRESCRIPTION HOSPITAL BROWN BAG AFFORDABLE WITH ANTHEM NAVIGATOR DISCHARGE MEDICATION SANSUM CLINIC CARE ACT BLUE CROSS PROGRAM MED REVIEW REVIEW LEGACY SOCIETY Community Need A Legacy of Giving Sansum Clinic Legacy Society
The Sansum Clinic Legacy Society recognizes healthcare experience, recognizing our first Legacy Society. those who have included Sansum Clinic in their priority is the patients we serve. A provision in If you wish to leave a gift or would like estate plans. Our members represent all ages, your estate to remember Sansum Clinic information, please contact Dru A. Hartley, come from all walks of life and are dedicated to enhances our opportunity to provide future Director of Philanthropy, at (805) 681-7726 or helping Sansum Clinic bring together the best generations with quality healthcare services. [email protected] . We can arrange a physicians, the latest technologies, and the Please consider leaving a legacy to Sansum meeting with our gift planning specialist at most comprehensive healthcare to meet the Clinic by which you will be remembered. your convenience. n specialized needs of our community. If you have provided a gift in your estate plan, Today, more than ever, philanthropic support is please let us know so that we can say thank We would like to acknowledge and thank our loyal family of vital to our mission to provide an excellent you and include you as a member in our friends that comprises the Sansum Clinic Legacy Society:
William R. Allen Mr. and Mrs. Charles Cox Dr. Daniel and Jean Gibson Daisy J. Hudson* John W. and Christine James D. Scheinfeld* Sansum Clinic Alves Family Living Trust* Mr. and Mrs. Robert Lucile R. Graham* The Ishibashi Trust* C. Morrisset Ailie E. Sten* Legacy Society Beatrice A. Askman* William Cox, Jr.* Ursula Parola Greditzer Paul Jaconette Esther A. Nielsen* Jennifer Thomas Charitable Foundation Robert G. and Elnora Jon W. and Barbara The Kaye Family Trust Herbert R. and Barbara Elna R. Thuesen* Members J. Cuillier* Burke Peterson* Garrison E. and Kathleen K. Greenleaf Mary Kershner* The William L. Wayne and A. Bielen Azile L. and Florence Kurt N. Ransohoff, MD John S. Haigh and Margaret Marion Crawley Lamont* Marsha J. Wayne Family Trust Thank you to Dr. and Mrs. Peter Brill H. Currier* Neil Haigh Family Trust C.H. Reisner* Ray and Vicky MacGregor Clifford E. and Dorothy our donors! Mary Miller Rose Bruick* Dr. and Mrs. Wilton Doane Ellie* and Tom Harriman Donald B. and Alita P. Wrightson* Dr. James V. and Christine H. Blake and Patricia Dr. and Mrs. C. Christopher Melville H. Haskell, Jr., MD* W. Rhodes Donner McNamara McNamara Chatfield Ethel Heller* Drs. Ann and Mike* Rice Florence Mary Franco* Dr. and Mrs. George *deceased Sharon Clenet-Purpero Ardis O. Higgins* Messerlian Ed and Bobbie Rosenblatt Tim and Linda Gamble Drs. JW and Sue Colin James Kenneth Hill* Richard* and Maryan Schall
I have included Sansum Clinic in my estate plan to honor all the former presidents, CEOs and doctors whose dedication made the Clinic what it is today.
– Ursula Parola Greditzer EXPANDED SANTA BARBARA THE WOMEN'S ONCOLOGY ONCOLOGY SCREENING AND NEIGHBORHOOD COMMUNITYWIDE COUNCIL OF GOOD HEALTH THE SILVER NURSES NURSING GLOW IN DETECTION CAMP WHEEZ CLINICS FLU SHOT CLINICS SANSUM CLINIC KIDS MAGAZINE NOTICIAS LINING HONORED SYMPOSIUM THE PARK
Expanded Screening response to this campaign was tremendous and we and Detection Programs anticipate this latest technology will be available to patients in 2015. One of the greatest benefits of the ACA is that more people have access to preventive medicine. Central to our A national lung cancer screening trial with more than success in population health management will be a focus 50,000 participants showed a 20% decrease in lung on prevention through ongoing investment in screening cancer deaths among those screened versus those who and detection. In 2014, Sansum Clinic made significant are not. We have created a vision for expanding our progress in transforming our screening and diagnostic screening program by implementing low dose lung cancer screening through a collaboration between our programs to ensure we have the capacity to meet our Hologic Selenia Dimensions community's needs with the best technology possible. Pulmonary Medicine, Radiology and Medical Oncology digital 3D mammography system departments in 2015; as well as a vision for expanding We are working to enhance our Women’s Health our genetic counseling program to include a colon Program by ensuring that we offer our patients the most cancer screening program. n advanced diagnostic imaging services available. Thanks to a generous gift from a family foundation, Sansum Clinic has acquired the Invenia ABUS (Automated Breast Ultrasound System) that provides advanced breast Traditional Versus 3D Mammography screening for women who may not receive clear test results using routine digital mammography. ABUS 2D 3D screening can find small cancers that might otherwise Traditional Hologic be overlooked, supporting early detection for better Mammography Mammography patient outcomes. In 2014 our Philanthropy Department initiated a fundraising campaign for the next evolution of our Women's Health Program to offer Breast Tomosynthesis, also known as 3-D mammography. 3-D mammography will offer patients earlier detection, greater accuracy, and decreased recall rates. The A malignancy easily missed with conventional 2D mammography was clearly seen with Hologic 3D Mammography COLLABORATION PRESCRIPTION HOSPITAL BROWN BAG AFFORDABLE WITH ANTHEM NAVIGATOR DISCHARGE MEDICATION SANSUM CLINIC CARE ACT BLUE CROSS PROGRAM MED REVIEW REVIEW LEGACY SOCIETY Community Need
th 37 anniversary of Camp Wheez EXPANDED SANTA BARBARA THE WOMEN'S ONCOLOGY ONCOLOGY SCREENING AND NEIGHBORHOOD COMMUNITYWIDE COUNCIL OF GOOD HEALTH THE SILVER NURSES NURSING GLOW IN DETECTION CAMP WHEEZ CLINICS FLU SHOT CLINICS SANSUM CLINIC KIDS MAGAZINE NOTICIAS LINING HONORED SYMPOSIUM THE PARK
Camp Wheez volunteer hours make Camp Wheez possible. Sansum through a generous gift to Sansum Clinic from Santa Clinic wishes to thank the Swanton Foundation, Marcel Barbara Philanthropist Dr. Virgil Elings. Since the Sansum Clinic hosted 40 children at the 2014 Camp Sassola and Santa Barbara Specialty Pharmacy and the inception of the program in 2008 Sansum Clinic has Wheez in August in Santa Barbara. Camp Wheez is a day many individual donors who make it possible for us to screened 515 patients. Three people were diagnosed camp for elementary school children ages 6 – 12 with provide Camp Wheez free of charge. It’s an honor with colon cancer. Many more were diagnosed with pre- chronic asthma, providing a camp experience designed serving our littlest community residents. n malignant polyps. n for their special needs.
Our head camper is Dr. Myron Liebhaber who started Sansum Clinic and the Santa Barbara Camp Wheez over 37 years ago. Dr. Liebhaber often Neighborhood Clinics entertains the campers with his magic tricks. Of course, Sansum Clinic has been providing diagnostic services to the magic goes both ways says Dr. Liebhaber, “I consider patients of the Santa Barbara Neighborhood Clinics Camp Wheez a wonderful opportunity to interact with (SBNC) for nearly a decade to ensure good health is We are very grateful for the radiology and children and families. I watch the children grow and available for everyone. SBNC is a critical health safety net cardiology services that Sansum Clinic gain competency in their asthma management in a fun provides to our uninsured patients. This for Santa Barbara County dedicated to providing quality, environment. Camp Wheez has made me the oldest and unique collaboration is rarely available to affordable, medical and dental care to nearly 17,000 low- happiest camper.” safety net providers elsewhere in the country. income patients, regardless of one’s ability to pay. We spoke to a patient who needed an MRI of Highlights include all kinds of games, from kick-ball and In the last five years Sansum Clinic has provided 3,401 his brain and he was so thankful that we were limbo to Asthma Wheel of Fortune and Jeopardy. SBNC patients with 4,063 diagnostic services totaling able to arrange this procedure that would Making sock puppets and duck tape wallets in crafts and over $1.6 million. The cardiology diagnostic services have severe financial stress for his family had silly putty in science lab were also popular attractions. include echocardiograms and cardiovascular device the program not been available. Families appreciated the option for their child to take monitoring and other diagnostic services such as the Easy Lift bus from Camp Wheez to the Santa Barbara – Charles C. Fenzi, MD, Chief Medical Officer, SBNC general and special radiology, MRI scans, CT scans, Downtown Boys & Girls Club for an extended day. The ultrasounds and mammograms. SBNC has enjoyed a wonderful relationship with parents of the campers also learned the latest about Sansum Clinic over many years. We look forward asthma by attending a lunch-and-learn hosted by Dr. Since the Affordable Care Act we have seen a decline in to a continued strong collaboration built on the Liebhaber and Dr. Jinny Chang. people served from 719 patients in 2013 to 591 patients in mutual respect for each other’s contribution to 2014 and 159 less diagnostic services. Camp Wheez is open to the community and free of the overall health of our community. charge thanks to our generous donors and to a great SBNC also serves as the facilitator for the nation’s largest – Trula Breuninger, CEO, SBNC many volunteers and supporters. In total, nearly 1,000 free colonoscopy screening program established
In the last five years Sansum Clinic has provided 3,401 SBNC patients with 3,063 diagnostic services totaling over $1.6 million. COLLABORATION PRESCRIPTION HOSPITAL BROWN BAG AFFORDABLE WITH ANTHEM NAVIGATOR DISCHARGE MEDICATION SANSUM CLINIC CARE ACT BLUE CROSS PROGRAM MED REVIEW REVIEW LEGACY SOCIETY Community Need
Communitywide Flu Shot Clinics The Women's Council of Sansum Clinic oncology services with a gala celebrating the partnership of the Cancer Center and Sansum Clinic in Sansum Clinic provides flu shots through our The Women's Council of Sansum Clinic, led by local 2012 hosted by Jay Leno. community-wide Flu Shot Program conducted in the fall philanthropists Julie Nadel and Bobbie Rosenblatt, works and winter each year. Annual seasonal flu vaccine is the closely with the Sansum Clinic Philanthropy and In 2014, the Women’s Council hosted In the Pink , a panel best way to reduce the chances that individuals will get Marketing Departments to host town hall meetings and discussion on breast care, with a focus on healthy seasonal flu and spread it to others. When more people other educational forums to inform our community lifestyle choices for cancer prevention, treatment and get vaccinated against the flu, less flu can spread, about timely health issues, to bolster the Clinic’s survivorship. Sansum Clinic’s Assistant Medical Director, resulting in better health and well-being for the position as a leader in local healthcare, and to Dr. Marjorie Newman led the panel discussion, during residents of our community. We have conducted these strengthen the relationship with patients, potential which guests were invited to ask questions and visit clinics for more than a decade, providing more than patients and donors. information stations to learn about Radiation Oncology, 100,000 people with flu shots. In 2014, Sansum Clinic Oncology Support Services, Breast Care Navigation, The contribution by these women of time, talent and vaccinated more than 10,000 people who were served at Clinical Research and the Cancer Resource Library. treasure has been invaluable in communicating the role 10 flu shot clinics offered at 7 different sites in of Sansum Clinic in our community. In the last ten years, Carpinteria, Santa Barbara, Goleta, Solvang and Lompoc. Panelists included: the Women's Council has been integral in bringing new Special thanks to ExxonMobil for their ongoing support Sarah Washburn, MS, RD, CSO – Oncology Nutrition equipment, new programs and new key staff to Sansum of this program. n Rosa Choi, MD – Breast Surgery Clinic, as well as spearheading upgrades to our facilities Monica Micon, MD – Radiology, Whole Breast Ultrasound that enhance our patients experience. Among their many accomplishments, we have the Women's Council Julie Taguchi, MD – Medical Oncology to thank for bringing the first digital mammography to Tammy Stockero, RN, BSN, OCN – Breast Care Navigation Sansum Clinic in 2007, educating our patients about the Marjorie Newman, MD – Moderator H1N1 virus in 2009, and helping to raise $1.2 million for (pictured at right) n
people participated in our Health Education programs Kurt N. Ransohoff, MD, CEO, and Vicki Hazard, 17,500 Chair of the Board of Trustees, with Bill Alston and Kyle MacIntosh of ExxonMobil EXPANDED SANTA BARBARA THE WOMEN'S ONCOLOGY ONCOLOGY SCREENING AND NEIGHBORHOOD COMMUNITYWIDE COUNCIL OF GOOD HEALTH THE SILVER NURSES NURSING GLOW IN DETECTION CAMP WHEEZ CLINICS FLU SHOT CLINICS SANSUM CLINIC KIDS MAGAZINE NOTICIAS LINING HONORED SYMPOSIUM THE PARK
3,500 patients participated in Oncology Wellness programs COLLABORATION PRESCRIPTION HOSPITAL BROWN BAG AFFORDABLE WITH ANTHEM NAVIGATOR DISCHARGE MEDICATION SANSUM CLINIC CARE ACT BLUE CROSS PROGRAM MED REVIEW REVIEW LEGACY SOCIETY Community Need
Good Health KIDS Magazine A Legacy of Medical Innovation, written by Sansum The Silver Lining – Clinic physician Dr. Erno Daniel and historian Erin Graffy. New York Times best selling author There is nothing more important to parents than the Noticias is the Historical Museum's journal devoted to and former Cancer Center of Santa health of their children. In 2014 we launched the study of the history of Santa Barbara. The Women's Barbara patient Hollye Jacobs shared GoodHealth KIDS to help parents stay informed and Council of Sansum Clinic and the museum hosted a the story of her cancer journey involved in their children's health. cocktail reception and book signing in conjunction with More than 100 people turned out for a book- At Sansum Clinic, we believe that when people know more a lecture by Dr. Daniel and Ms. Graffy at the museum, signing reception with Hollye Jacobs, RN, MS, about their own health, they are more likely to stay during which brothers George, Bill and Bob Burtness MSW, author of The Silver Lining: A Supportive & healthy. It can be difficult for busy parents to stay up-to- unveiled a bust they commissioned of Dr. William David Insightful Guide to Breast Cancer, hosted by Sansum date on important healthcare information, so we created Sansum, the founder of Sansum Clinic, which has been Clinic, Cancer Center of Santa Barbara with Sansum GoodHealth KIDS tool to provide parents with information placed on permanent display at Sansum Clinic's multi- Clinic, and Cancer Foundation of Santa Barbara. about health trends, lifestyle choices and nutrition tips, specialty site at 317 W. Pueblo Street. Their father, Hildahl and we include pages of fun and educational health- Burtness, was a physician at Sansum Clinic for 53 years Ms. Jacobs has had an extraordinary journey from related activities for our littlest patients. n and worked with Dr. Sansum from 1930 to 1948. medical provider to patient to counselor, and is now an inspiration to countless others. Her memoir outlining Dr. Erno S. Daniel is an internal medicine specialist at Noticias: Sansum Clinic – her experience with cancer is a practical, supportive Sansum Clinic, one of the first physicians in Santa A Legacy of Medical Innovation resource for anyone whose life has been touched by Barbara certified in geriatric medicine. He has been with breast cancer. Sansum Clinic partnered with the Santa Barbara Sansum Clinic for 36 years. He is a 1964 graduate and Historical Museum to publish Noticias, Sansum Clinic – 2013 Wall of Fame Award recipient at Santa Barbara High Four years ago, Ms. Jacobs could not have imagined her School. Dr. Daniel became involved in preserving the life as it is today. The active mother now has 55,000 Clinic’s history in 1983, Santa Barbara’s 200th Twitter followers and provides insights and inspiration anniversary. Manuscripts he edited which relate to to tens of thousands of readers of her award winning Clinic histories are preserved in the library of the Santa blog: The Silver Pen, an honest guide to navigating the Barbara Historical Museum. n realities of cancer with a focus on health, balance and humor. Her quest to uncover The Silver Lining in her own Sadly, Dr. Erno Daniel died unexpectedly in life has led her on a journey that included the March February 2015. He will be greatly missed. 2014 release of her book by that same name by publisher Simon and Schuster. George, Bill and Bob Burtness with the bust of Dr. William David Sansum EXPANDED SANTA BARBARA THE WOMEN'S ONCOLOGY ONCOLOGY SCREENING AND NEIGHBORHOOD COMMUNITYWIDE COUNCIL OF GOOD HEALTH THE SILVER NURSES NURSING GLOW IN DETECTION CLINICS CAMP WHEEZ FLU SHOT CLINICS SANSUM CLINIC KIDS MAGAZINE NOTICIAS LINING HONORED SYMPOSIUM THE PARK
At the time of my diagnosis we were new to Santa Barbara, having moved here from Chicago only three months prior. Now, I was thrilled to be living in Santa Barbara, but after having worked at multiple academic healthcare institutions I wondered whether it was possible to get the same world-class care that I knew was readily available in Chicago. So, as a discerning clinician myself, I went into my medical network to get additional opinions and explore Dr. Fred Kass, Hollye Jacobs, Julie Nadel other treatment options. My search and Bobbie Rosenblatt led me right back home to the Cancer Center of Santa Barbara.
– Hollye Jacobs COLLABORATION PRESCRIPTION HOSPITAL BROWN BAG AFFORDABLE WITH ANTHEM NAVIGATOR DISCHARGE MEDICATION SANSUM CLINIC CARE ACT BLUE CROSS PROGRAM MED REVIEW REVIEW LEGACY SOCIETY Community Need
The book signing reception was co-chaired by Julie The Cancer Center has been caring for cancer patients in Oncology Nursing Symposium Nadel and Bobbie Rosenblatt of the Women's Council of our community since 1949, and has worked with the Thanks to a generous gift from a grateful family, the Sansum Clinic. The Walking Company was a sponsor of American Cancer Society in a multitude of ways over the Cancer Center of Santa Barbara with Sansum Clinic’s the event and generously donated 500 copies of The decades, as the American Cancer Society raises funds for oncology nurses attended Cottage Health Systems 7th Silver Lining to ensure it is available to all breast cancer cancer research, translating the findings into action to Oncology Nursing Symposium at The Fess Parker. Cancer patients who are interested in the book, regardless of lead the fight to end cancer. n Center oncologist Dr. Dan Greenwald’s father, Peter their ability to pay, which are available through the The 25 nurses honored at the ball include: Greenwald, MD, DrPH, Associate Director for Prevention, Cancer Center's Cancer Resource Library. n Laura Albrecht, RN Betsy Sweda, RN National Cancer Institute, Assistant Surgeon General Cynthia Ambriz Gasser, RN, OCN Christopher Terpening, RN USPHA (Ret), was the keynote speaker. A highlight of Oncology Nurses Honored Deborah Ames, RN Beverly Toole, RN Martha Becker, RN Jessica Trejo, RN the day was when Henrietta Lacks’ granddaughters at the American Cancer Society’s Adriane Butler, RN Socorro Williams, RN, OCN discussed the contribution of Ms. Lacks' enduring cell Annual Riviera Ball Christy Calder, RN Cheryll Willin, MSN, NPC, AOCN line to the advancement of science and oncology care. Karen Jorgensen, RN, BSN Robin Wissert, RN The guests of honor at the American Cancer Society's Kimba Madsen, RN Hangama Abassi, NP The symposium was designed to meet the 2014 Riviera Ball at the Bacara Resort included all 25 Victoria Mandujano, RN Elaine Campo, RN Dena McCague, RN Candice Laura, RN educational needs of nurses and other healthcare nurses from Cancer Center of Santa Barbara with Nona Medina, RN Katarzyna Dzieran, RN professionals interested in expanding their Sansum Clinic for the compassionate care and support Theresa Sampson, RN Marla Lindsay, RN knowledge in the field of Oncology. n they provide to cancer patients and their families. Tammara Stockero, RN, BSN, OCN
Our Oncology Nurses provide compassionate care to all patients of the Cancer Center of Santa Barbara with Sansum Clinic EXPANDED SANTA BARBARA THE WOMEN'S ONCOLOGY ONCOLOGY SCREENING AND NEIGHBORHOOD COMMUNITYWIDE COUNCIL OF GOOD HEALTH SEARCHING NURSES NURSING GLOW IN DETECTION CLINICS CAMP WHEEZ FLU SHOT CLINICS SANSUM CLINIC KIDS MAGAZINE NOTICIAS FOR SILVER HONORED SYMPOSIUM THE PARK
patients were seen at the new Foothill Medical and 11,393 Surgical Center in the first six months of operation COLLABORATION PRESCRIPTION HOSPITAL BROWN BAG AFFORDABLE WITH ANTHEM NAVIGATOR DISCHARGE MEDICATION SANSUM CLINIC CARE ACT BLUE CROSS PROGRAM MED REVIEW REVIEW LEGACY SOCIETY Community Need
Glow in the Park
Sansum Clinic was the title sponsor of the inaugural balloon glow fundraiser at Eling’s Park to benefit Doctors Without Walls - Santa Barbara Street Medicine.
DWW-SBSM is dedicated to providing free, volunteer medical care for the most vulnerable of Santa Barbara County, when and where they are in need, including in times of disaster. The organization also provides education and training for DWW-SBSM volunteers and others, in order to promote the excellent practice of humanitarian medicine in our hometown and elsewhere.
Sansum Clinic would like to recognize our physicians and staff who dedicate their personal time supporting this worthy organization:
Laura Polito, MD , Urgent Care and Assistant Medical Director of the Wave/Electronic Health Record Mary-Louise Scully, MD , Infectious Diseases, Travel & Tropical Medicine Lynn Matis, MFT Lucy Ortega, PA , Endocrinology Emily Hecker, PA , Family Medicine, Solvang Country Clinic Twilight Robin , Manager, Wave Training Aaron Lewis , Wave Principal Trainer Corey King , Medical Assistant Trevor Mells , Medical Assistant, Dermatology Jordan Bleecker , Medical Assistant, Dermatology EXPANDED SANTA BARBARA THE WOMEN'S ONCOLOGY ONCOLOGY SCREENING AND NEIGHBORHOOD COMMUNITYWIDE COUNCIL OF GOOD HEALTH THE SILVER NURSES NURSING GLOW IN DETECTION CLINICS CAMP WHEEZ FLU SHOT CLINICS SANSUM CLINIC KIDS MAGAZINE NOTICIAS LINING HONORED SYMPOSIUM THE PARK
Sansum Clinic proudly served as title sponsor at the in inaugural Glow in the Park Philanthropy at a Glance
Lovelace Fund For Medical Excellence
The Lovelace Fund for Medical Excellence was established Infectious Disease, Internal Medicine, Neurology, upgrade also allows for growth of our Women’s Health in 2012 by the Sansum Clinic Board of Trustees as a Obstetrics and Gynecology, Orthopedics, Pulmonary and Program with the installation of new 3-D tribute to the late Jon Lovelace and the Lovelace Family Critical Care, Rheumatology, Urology and Ophthalmology. mammography capabilities. for their visionary support of Sansum Clinic. The Facility Improvement Program will assist us in The larger-scale changes will occur on the North end of This fund encompasses two important programs, the modernizing our facilities to enhance our patients' the building, including the transition of the Rykenboer Physician Housing Program and the Facility experience and support our ongoing efforts to attract entrance as the main entry point for the building. Improvement Program. the highest caliber physicians from around the United In addition, this expansion will allow us the opportunity States. The upgrade of our Pesetas building is part of The Physician Housing Program enables us to offer to provide a resource not previously available in our our long-range facility plan designed to better serve shared-appreciation home loans to new physicians community – a medical facility capable of providing the needs of our community. for the purchase of homes they would otherwise ambulatory care and triage following an environmental find unaffordable in our high-priced real estate This work not only means that the aesthetics of the disaster. By equipping the new Urgent Care with market. Since the inception of the program in 2006, Pesetas building will now meet the design standards we dedicated back-up power, we stand prepared to partner Sansum Clinic has used this special program to set with the Foothill campus, but also that we are in our community’s medical response in the case of attract 18 highly skilled physicians in a broad range providing greater access to care through the expansion wide-spread power failure or emergency. of specialties and practice areas. of Primary Care and Urgent Care services. We will double Projects like these are enabling Sansum Clinic to keep our Urgent Care capacity and employ new patient In 2014, those physicians saw 20,140 unique patients at pace with the rapidly changing healthcare environment, workflows for greater efficiency and service. This 38,222 appointments in Cardiology, Gastroenterology, and anticipating the community’s needs. n 3,500 people participated in community health events
Programs/ Oncology Programs Philanthropy at a Glance Operations & Services Sansum Clinic is a nonprofit 2014 $196,409 $2,013,617 p
l organization. Generous Capital $504,790 Unrestricted $ 1,232,456 e support from donors and Restricted $ 642,643 grateful patients enables Capital $ 1,225,642 Lovelace Fund for $466,983 Where the Need H Programs/Operations $ 2,210,026 Medical Excellence is Greatest Sansum Clinic to offer Facility Improvements $1,232,456 Total $ 5,310,767 & Physician Housing Oncology community service Programs Equipment $720,852 programs that contribute
Endowment Programs to the wellbeing and quality $175,660 of life of all members of the community.
If you wish to make a gift to Sansum Clinic or would like information, please contact Dru A. Hartley , Director of Philanthropy, at (805) 681-7726 or [email protected] , Financial Statements
Balance Sheet December 31, December 31, Assets 2014 2013 Liabilities and Net Assets 2014 2013
Current assets Current liabilities Cash and short-term investments $22,687 $21,607 Accounts payable and accrued expenses $24,499 $26,193 Patient accounts receivables $15,930 $15,786 Current portion of long-term debt $4,595 $2,969 Other current assets $10,211 $6,528 Total current liabilities $29,094 $29,162 Total current assets $48,828 $43,921 Long-term liabilities Property, plant and equipment, net of Long-term debt $36,043 $23,850 accumulated depreciation and amortization $53,285 $38,740 Other long-term liabilities $7,926 $8,705
Other assets Total long -term liabilities $43,969 $32,555 Donor restricted assets $2,002 $2,468 Net assets Other assets $12,142 $14,749 Unrestricted $36,486 $32,830 Total other assets $14,144 $17,217 Restricted $6,708 $5,331 $116,256 $99,878 Total net assets $43,193 $38,162 (Amounts in thousands) $116,256 $99,878
(Amounts in thousands) Endowment Funds
Endowment net asset composition Permanently by type of fund as of December 31, Restricted Unrestricted Funds Funds 2014 was as follows: 20% 80% Functional Expenses
Sansum Clinic provides general healthcare services to residents Overhead 9.9% Medical Services within its geographic location. and Research 90.1% Expenses related to providing these services for 2014 are as follows:
Statement of Statement of Cash Flows Operations December 31, December 31, Statement of Cash Flows 2014 2013 Statement of Operations 2014 2013
Cash flows from operating activities Revenues: Increase in net assets $5,032 $3,250 Net patient service revenue $160,533 $144,568 Depreciation and amortization $7,293 $6,060 Premium revenue $67,987 $70,918 Other changes in operating assets and liabilities ($5,684) ($947) Other revenue $6,888 $6,773 $6,641 $10,354 Net cash provided by operating activities Total unrestricted revenues, gains and other support $235,408 $222,258 Cash flows from investing activities Expenses: Net cash used in investing activities ($24,317) ($6,066) Medical service contracts $82,703 $81,395 Salaries and employee benefits $65,824 $65,714 Cash flows from financing activities Medical and professional expense $58,566 $50,911 Net cash provided used in financing activities $15,811 ($ 1,400) Occupancy expense $9,267 $8,329 Net change in cash and cash equivalents ($ 1,865) $3,674 Other expenses $16,805 $14,288 Cash and cash equivalents, beginning of year $21,607 $18,933 Total expenses $233,165 $220,637
Cash and cash equivalents, end of year $ 19,742 $ 21,607 Excess of revenues over expenses (Amounts in thousands) to fund clinical programs $2,243 $1,621
(Amounts in thousands) Our Donors
Sansum Clinic gratefully acknowledges the generous support of our donors for 2014 (January 1 through December 31). Our donors serve an incredibly important role in helping us provide the high quality healthcare our community needs and deserves. Our ability to utilize the most advance technology and deliver the most compassionate care is why Sansum Clinic has been the first choice of patients for more than 90 years. Working together we are making a difference.
$1,000,000+ Leatrice Luria The Crary Foundation Paul and Loretta Bonjour Dorothy Hamstra/ Dr. and Mrs. Richard S. Ponce BioScrip Hamstra Dairy Virgil Elings, PhD Tania Modic and Bruce Gray Mr. and Mrs. Roger Craton Drs. Rabindra and Beth and Richard Jerold Black, MD Dr. and Mrs. Kurt N. Ransohoff ExxonMobil S.L. Braganza Charles and Carol Hart Rogers/Rogers Family Robert W. Blair Foundation Bobbie and Eddie Rosenblatt Chris and Caryn Felipe John M. Campbell Dru A. Hartley Susan Bowey $100,000 - Bob and Joan Rothenberg $499,999 The Towbes Foundation James Michael Giles Family Donna S. Cannady, RN, FNP Jim Hartley John and Shirley Carter Denis and Jennifer Sanan ANONYMOUS (1) Foundation Jacques A. Charest, PhD Heuer Family Trust CenCal Health $5,000 - $9,999 John and Christie Glanville Mr. and Mrs. Kenneth Coates John and Shirley Hobson Santa Barbara County Quarter Jeffrey and Judy Henley/ Horse Association Ron and Pam Challis J & J Family Foundation Bronwen Brindley, MD and Ms. Ursula P. Greditzer Victor Cole and Patricia Green Chuck and Marlyn Hope Santa Barbara Tennis Club David J. Chapman Warren and Mary Lynn Staley John L. Warren Gloria and Paul Griffin Sue and JW Colin Vince and Shida Jensen Rosa Choi, MD and Richard Nancy Gong Santa Ynez High School Bill Wayne Bob and Francene Hill Alfred W. Cortese, Jr. Frederic Kass, MD Football Boosters Chung, MD Mr. and Mrs. Danny Stephen and Carol Jones Dr. and Mrs. Erno* Daniel Dr. and Mrs. Karl Kassity Chuck’s of Hawaii $50,000 - $99,999 Greenspun Christine Sauer Dr. and Mrs. Ronald G. Latimer Harryette and Jerry David Koper Family John and Sylvia Schwasnick William and Phyllis Daniels ANONYMOUS (1) Charles and Rebecca Kaye Family Foundation John T. Lundegard Karen Lehrer Melvyn and Dorothy Semmel Greg Davidian/ Julie and Jack Nadel/The Herbert and Elaine Kendall Laura Davidian and Family Flashpoint Graphix Nadel Foundation Charitable Foundation Tom and Ellen Orlando Mr. and Mrs. Peter D. Lewis Oscar and Linda Sepulveda Benjamin Diener, MD Bret E. Davis, MD Lady Leslie Ridley-Tree Tom Kenny and Susan Fredric and Lundy Reynolds Mrs. Judith P. Loughrin Mr. and Mrs. Robert Short Family Foundation Judy and Rod Ditzler Glenn and Barbara Davis McMillan Fredric and Joyce Lukas John Sim, MD Seymour and Shirley Lehrer Victoria Riskin, PhD and David Dr. David C. Dodson Madison Healthcare Suzanne G. Dean and Family $25,000 - $49,999 Rintels Mr. and Mrs. Peter Stalker Leslie and Philip Bernstein Connie and Lavere* Lund James and Ronda Dunn Insurance Services, Inc. Noel L. Diaz George and Julie Rusznak Richard Steinberg, PhD The Eli and Edythe Broad Nancy Martinelli Trust John and Mimi Elder Daniel and Gwen Mairs Carol Dodero, NP Mark and Lynda Schwartz Jim and Denise Taylor Foundation Steve and Julie McGovern Nancy Englander and Harold John and Sally Mandle David Dodero, AuD Patricia A. Scott M. Williams James C. Templeton Janet Friesen Montecito Bank & Trust Kathleen Mayes John A. Domingos George Short Norm and Jaylene Enriquez Mr. and Mrs. Edwin Thorp Mr. and Mrs. Paul W. Hartloff, Jr. Dr. Nancy O'Reilly/Women William and Rhonda McBride Ginni and Chad Dreier Union Bank Matching Gift Epic Systems Dr. and Mrs. H. Vicki and Bob Hazard Connect4Good Foundation Dr. and Mrs. James Wallace Vandever Mr. and Mrs. John Program Virgil P. Evans, Jr. V. McNamara Dykstra/Dykstra Dairy Sansum Santa Barbara Peggy Rose Gretchen C. Wagner Medical Clinic, Inc. Richard and Frederica Welch Beverlye and Bob Fead Mercer Construction James Egan, MD Barbara N. Rubin Foundation The Walking Company Maryan and Dick* Schall Mr. and Mrs. Steve Zola Stan and Roberta Fishman Arthur J. Merovick Daniel and Mary Ellis James D. Scheinfeld Family Ron and Mary Werft Richard and Noelle Wolf Foundation Mr. and Mrs. J. Thomas Fly Estate of Jane Merovick Dennis and Frederika Emory $1,000 - $2,499 Kemball White and Lila and Joseph* Scher John T. Fodor James M. Merrick and Joseph S. Franzia ANONYMOUS (3) Kathleen Reid $10,000 - $24,999 Mr. and Mrs. George Serpa Carlos Fontes Elizabeth Matthews Charlotte S. French Peter and Rebecca Adams Mary F. Wilk Ben May Charitable Trust Swanton Foundation Nancy Furman-Alex, DO Charles and Elise Meyer Mr.* and Mrs. Henry Frustere James N. Arabian David Wyatt, MD* H. Blake and Patricia Elizabeth Vos Hewson and Caroline Gadsby Bob and Val Montgomery Greg Gaitan, MD McNamara Chatfield Kathi D. Backus Milton Warshaw and Maxine Dr. and Mrs. John Gainor The Nichols Management $500 - $999 Anne and David Gersh Cottage Health System Jeannie Baer Group, Ltd. Prisyon/William H. Kearns Janet Garufis ANONYMOUS (5) William J. Ghiglia Frank and Joseph Gila Fund Foundation Jerry and Linda Baird William C. Nielsen Edward Gastaldo Eleanore J. Alexander Dr. and Mrs. Gregory Taj Ismail and Family Fred Barrett Paul and Kathryn* Orlopp $2,500 - $4,999 Marilyn Gilbert and Dr. and Mrs. Thomas G. C. Greaney Dr. and Mrs. Vincent Jaccarino Julia and John Baucke Nathan Rundlett* Pacer Foundation Anderson Dr. and Mrs. William Hahn Evan and Pat Aptaker Ann Jackson Family Robert Baur, Jr. Martha Gonzalez Mr. and Mrs. Robert G. Peteler Al Baltes Saida Hamdani, MD Beatrice A. Askman Charitable Foundation Lois Y. Bell Mr.* and Mrs.* Herbert R. Foundation Tom and Anne Goodson Dr. and Mrs. Paul Barrett Patti B. Healy Julie and Jamie Kellner Arnold and Jill Bellowe Peterson/David Peterson Michael T. Cameron Bruce Greer Dr. and Mrs. Thomas Beamer Chad and Lilia Hine William W. Kelly Family Foundation James and Darla Phelps Jeff and Paula Clark Larry and Astrid Hammett Robert Beckham/The Ruth G. Hoover Mike and Shannon Bernstein Mr. and Mrs. James M. Pollak Beckham Family Trust -- Rated highest on the Central Coast for providing children access to the right care* 5multi-specialt*Syocuarcree: ScteatnetoefrCs alifornia Office of the Patient Advocate Randall H. Howard, MD Stanley Schneider Paul and Ann De Bruyn Kops Jim Moghtader, MD Patricia J. Acton Valerie P. Calamaro Dr. and Mrs. Farooq Husayn Dorothy Schuele Drs. William and Winnie Nancy Murdock, MFT Kieran and Diane Adam Larry and Sally Canchola Mr. and Mrs. Jeffrey Jacobs Robin Schutte Dunbar James and Delia Netto Genevieve M. Adams Mr. John A. Carbon Mr.* and Mrs. Bent Jensen John Sestak/Gaviota Group Rebecca Escobedo Charles and Betsy Mr. W. R. Adams and Ms. Jane Marvin and Ria Carlis Tom and Liz Kaplan Michael Shenoda, MD Dr. and Mrs. David T. Fisk Newman/Newman Family Brody Shirley Carlisle Fund Douglas Katsev, MD Marshall and Barbara Sherrill Mr. and Mrs. John E. Flick Nathalie Alberts Renee Cary Susan M. Flynn Drs. Marjorie and Gregg Cari Allen Ann Keesee Nancy P. Smith Newman H. P. Castellanos Eldon Ford, Jr. Remon and Kathleen Amboy Carroll Ketchpel Mrs. Jean K. Svoboda Andrew Norris and Sally Edward Cate Barbara A. Lane Tom Swall Peter G. Ford, MD Sheridan Mounir and Carol Ashamalla Dan and Shirley Caulfield David F. LaPatka, MD Richard and Carole Taniguchi Judy Gillen Dorothy and Bernie Novatt Robert and Linda Badal Robert M. Cerda Gary S. Luka and Thomas Terbell Chuck and Mabel Gong Barry and Hillary Posner Gary and Rosalie Baker Stebbins and Mary Carolyn Diane Dreier Luka Theofanis and Danae Edward and Julia Goodrich Judith Anne Rand, NP Thomas and Cheryl Banigan Chandor Eugene Machado Theofanous Winnifred I. Grayson John Rasmussen, MD Russell and Rosemary Banko Ronald Chegwidden Lisa Markham Pamela Thiene, MD Bob and Theresa Griswold Marco and Robie Rinaldi Margery Baragona Dr. David Chernof Sherry L. McBride Jennifer Thomas Van R. Hamilton, MD Robert and Lorraine Rinker John and Virginia Barrison Kuen and Cindy Cheung Lorraine M. McDonnell and Robert Trevino, MD Bruce and Joan Handel David E. Ruch John and Kazuko Beamis Jonathan and Wendy Church M. Stephen Weatherford Marcia Tusinski John and Susan Hanna John P. Satragni Barbara Beckham Ira Cleveland Stephen W. McHugh John Vallee, MD Sandra Helps James Scheib, MD Ann W. Beebe Paul and Paulette Dr. and Mrs. Lowell John VanderHeide, MD Brad and Cheryl Hess Timothy G. Behunin Clinkunbroomer G. McLellan Mary Louise Scully, MD James and Carol Dixon David and Mary Ann Fleming Theodore and Erma Waddell Lt. Col. and Mrs. Sam J. Hillis William Benson Stephen M. Cobb George Messerlian, MD Stuart Segal, MD Edgar Doehler Jill and Joseph Fonte Robert and Paula Weiss Taylor Holve, MD Donald and Jacqueline Bercu John and Shirley Coffey Frank* and Barbara Molina Sharon E. Shamoon Al and Joyce Donald Steve Forsell Sylvia B. Weller David L. Holzhauer William H. Berger Allen Cohen Mark Musicant, MD Errol and Judy Shaw Altevina Donnelly Justin and Debbie Fowler Tom Willis Dr. and Mrs. James Ingersoll Dr. and Mrs. Bruce A. Berlow Larry and Shelley Coldren Diane Nguyen, MD Joe and Marie Simoes C. Christopher Donner, MD Lylie G. Francis Gloria Jank a Robert Berwald Roger D. Cole Erna Nielsen James and Wilhelmine Smith Steven Dosch, MD William and Linda $250 - $499 Al i Javanbakht, MD Patricia Bigoni George W. Conk, Jr. Richard and Larie Smith Thomas and Jackie Doss Friend/Friendly Antiques Dr. and Mrs. George Northrop ANONYMOUS (5) Nigel Copley David and Lillian Jewell Lawrence and Ida Bird Joe Furnish/Lake Street Pamela Olsen Robert and Tomika Sollen Betty Mann Doutt Cassius Allison Karen Johnson, MD Linda C. Bishop Mr. Brandon Cox Associates Maureen O’Rourke, NP Darcia A. Stebbens Mr. Larry Douziech Mr. and Mrs. Kurt R. Anker Pete and Gerd Jordano William and Nora Bolthouse Mr. and Mrs. Charles Cox Martina Gallegos Timothy G. Owen Doris Stein Alice and Peter Drus Thomas and Dorothy Dr. and Mrs. John Keating Dennis and Bonnie Borowsky Jewell C. Creigh Paul Gertler, MD Crosby and Ruth Panoyan Avila/Bug Man Farms Jack and Charnee Stevenson Helen L. Duffy Ernest Kolendrianos, MD Dr. and Mrs. Allan Bosko Margaret E. Crites Ms. Carol R. Gessert Drs. John and Grace Park Virginia H. Baker Joseph Terry Duane H. Dunker Joseph and Diane Lemons Richard R. Boulette and Curtis and Lorraine Crotzer Patricia Gilkey David and Jamie Perkins Donald and Anita Barry Marlen S. Tilford Robert and Susan Dunton Robert Leposavic, MD Teresa Boulette, RN, PhD Mr. and Mrs. Merlyn F. Norma Gillingham JoAnne and Donald Petersen Rebecca G. Benninghoff Drs. Rachel and Eric Cummings Frederick Elias, PhD Myron Liebhaber, MD Trautwein Earl T. Bowen, Jr. Ronda K. Gilman John L. Petrini, MD Lawrence and Marlene Curtimade Dairy, Inc. Anne Elman Ken and Darlene Lindahl Lloyd Trujillo, MD Richard and Grace Bower Tom and Jayashree Gopalan David L. Phreaner, MD Bibbens Charles P. Cusumano Richard A. Emmert Joanie Lindendoll Russell and Nancy Werner Daniel and Marcia Boyer Robert and Connie Goins Pamela Plummer, PNP Drs. Jason Boyatt and Toni Erminio and Elisabeth Neal B. Enslin Meyers Janice L. Maggiore Joy H. Williams Merna Braun Butch Breeden Arlyn and Marlowe* Goldsby Dr. Dave and Lisa Raphael Dalfuoco Patricia Ericson Kay S. Bruce Austin Maness Roberta Williams James M. Breyman William and Rebecca Golgert and Family Fred and Juanita Dalpiaz Richard and Jane Evans Diana Bullock Dr. and Mrs. Edward J. Paul Willis, MD Heather Brodhead Kenneth E. Gould Katherine Remington, MD Terence Daly Charles M. Everett Metoyer, RN CDE McGinn William and Mona Wise Ralph and Carolyn Brown Leonard and Cathleen Donald B. Rhodes, MD Joseph Dandona and Lynn Richard and Greta Ann Carol McHenry Frank S. Brownie Grabowski Bill and Ginny Rogers Carole and Daryl Burgess Roy and Edna Yamauchi Mayeda Fairchild Mr. and Mrs. James H. Christian and Jane Brun Stephen and Janet Graham Merebeth E. Rohrer Melissa and Joe Carrillo Jeffrey Yim, MD Gary and Norma Davenport James and Joan Faith McKenzie William Burtness Mr. Harvey Green Ian and Muriel Ross Jack and Felicia Cashin David L. Zamichow John and Frances De Rosa Tomaso Falzone, MFT Andrew F. Mester, MD Ron and Gale Busch David Gronsky Dr. and Mrs. Clifford J. Ruddle Carnzu A. Clark* Paula H. Deley Kimberly D. Faulkner Justin Meyer, DPM $100 - $249 Sqn Ldr David O. Buxton, Ret. Robert Gutierrez Elmer G. and Shirley M. Raymond A. Cole Vince Deral Jim and Joanne Fazio Geraldine Middleton and ANONYMOUS (16) Nigel and Connie Buxton Charles and Peggy Hamilton Sadocchi Chris Corpuz and Ronald B. Howard William DeVivo Douglas and Carolyn Fenton Margo H. Handelsman and Ali Saleh Donna Kell, MD Marion F. Aberle Benjamin Bycel David M. Dietrich Robert Mireles/Mireles Anthony Ferrara/The Ferrara Barry V. Kaufman Tony and Mary Salierno Jim and Susan Deacon Automotive Action Roofing Michael and Lillemor Byrne Mike Digregorio Air Conditioning Company John and Mary Rose Handley Our Donors 1,500 visits to the Health Resource Center
Carl and Shirley Hansen Paul Jaconette Robert E. Kvaas Eric and Colette Mathewson Henry F. Myers Michael Sawicki Dave Walters/The Walters Soma F. Baldwin s Barbara Harwood Mary E. James Michael and Barbara Gary and Barbara Maxwell Virginia Myers Leroy P. Scharfeld Group Creative Herbert D. Bartelt, Jr. r Nancy C. Haviland Kenneth and Denielle Lamboley Mark and Julia McArdle Carol Nelson, NP Frank and Susanne Schiff Jack and Lillie Walton Marc and Leslie Beauchamp o Sue Hawes Janikowski Milton and Arlene Larsen David L. McClure Mr. Robert A. Nelson Otto and Myra Schleich Warmerdam Farms, Inc. Elbert and Marie Beaver Mary Heidt Charles and Paula Johnson Donald L. Laubacher Becky T. McDonald John and Shelia Newman Brad T. Schuette Mr. Chris Weddle Alice Jo Beck n David and Ginger Hentschke Gary L. Johnson, DDS Heidi Lawler Michael and Roberta Lessie S. Nixon Robert and Elainea Scott Seymour Weisberg Annetta A. Beck o Frederick C. Herzog III Jerald and Dawn Kamiya Betty M. Lee McGinnis Dr. and Mrs. Pierre M. Nizet Marty and John* Selfridge Robert Welby Helen J. Bernson Amelia E. Higgins John Karns Frank and Hing Lee Kathleen A. McGuire Gretchen Norqual Beth and Cecil* Sexsmith John and Dorothy Wells Thomas and Irene Bird D Douglas Hiura Neil and Martha Kasbergen King and Maureen Leonard Betty McKibben Shirley S. Novak Pauline B. Shillam Adrian and Hilda Wenner Lorenzo A. Blanco Norman Hoffman Kerry and Frank Katch Margaret Levine Jessie L. McMillan Dale Nutter Joe and Sylvia Signorelli Sandra D. West Dr. Ben P. Blasingame William B. Hoke Joel and Dawn Kaufman/ Aaron Lewis J. Kevin and Vicki McNamara Ellen O'Connor Tonia A. Simon William Whalen Arnon and Beverly Blau Kaufman Foundation Dr. and Mrs. Glenn Mr. and Mrs. Nathan Lewis Joseph P. Meehan Elsie Oliveira Mr. and Mrs. Arlie Skov Thomas A. White Victoria D. Blunt William E. Kauth Hollingshead Mr. Stephen G. Lewis Barbara Merfeld Geary and Tina Olivera Ruth E. Smith Richard L. Willett Paul T. Bornhoft Sharon P. Keigher Donald B. Hollister Louie F. Leyva Meridian Group Rem, Inc. Richard Onishi, MD Thomas Snow Birthe Willis Paul and Jeannie Bouchard Mr. and Mrs. Ken Keith Mrs. Alice L. Homan William and Virginia Linder Walter F. Meurisse Mr. and Mrs. John Orcutt Elaine Snydman Mr. and Mrs. Robert L. Wilson Sina Boyd James and Diana Kennett James and Elizabeth Hopper Waldo and Gretchen Little Janet C. Millar Maria C. Ordaz June C. Sochel Joy H. Winer Linda Brandt John and Mary Ellen Kestel Catherine Howell and Louie and Lin Liu Larry and Claudia Mitchell Pacific Life Steve and Josie Soliz Robert H. Winkler Collette A. Branson Heather Herrmann Sheryl King, PT Mark E. Logan, MD R. Thomas and Barbara Jeremy and Wendy Paley Marta Sovilj, MD Bill and Davita Wolanow Dr. and Mrs. Daniel R. Mark and Carolina Howell Tybie and Bernard Kirtman Mitchell Janet and Richard Longpre Bruce and Sally Pearse Daniel and Marie Spiegle Ms. Virginia M. Worthington Brennan Mr. Norma M. Howell Ralph and Dale Kistler Gloria Mize Miguel and Teresa Lopez Jesus and Kayla Perez David and Marilyn Statucki Robert E. Wright Allwyn A. Brown William C. Hromadka Richard and Chiharu Michael and Judith Modugno Peter and Leslie MacDougall John and Marlene Perrizo Marian E. Steffens Ted Wuerthner Clara M. Brown Dr. Brian Hunt Kitagawa Hector Mon Fernando and Freda Thomas and Helene Phelps Ann M. Steinmetz Mr. and Mrs. David Yager Dorothy Brunkan Sandra C. Hunt James and Diana Knapp Machado Kenneth and Janet Monds David and Dorothy Pickering Paul and Ingeborg Stine Sheila Y. Ybarra Constance Burns Cynthia C. Huntting Daniel and Judy Koenig Joseph and Celia Macias Louise and Ronald Moore Jerry Pimm Dr. and Mrs. Kenneth W. James and Gladwyn Young Virginia L. Burroughs Karl and Nancy Hutterer Gerard and Rosella Koetsier Ed and Libbie Maher Shoji George Morihisa Eliseo and Ana Pizano Stokes Dr. and Mrs. Samuel A. Frank D. Bussi Tamotsu and Haruko Isa Sandra Kramer-Geli, MD Lucinda Malott John W. and Christine C. Youngman George A. Power Julie Taguchi, MD Darcy A. Butterfield Helen V. Ivanhoe Jason and Autumn Krischer Louis and Adele Marietta Morrisset James C. Zmolek, MD Mr. Bob Price Grace Tamura Ishmael and Noemi Buyco Emilda Jaccard Jacqueline Kurkjian Marilyn M. Martin Carolyn C. Murphy, MD Mr. Nasim Qadri Stanley and Charlotte Steven and Carla Tarkington Up to $99 Cabanatuan Julie M. Reed, PA Teri W. Taylor ANONYMOUS (40) Ricardo and Leticia Cabrera Robert and Jacqueline Reid John and Margaret Tatum Adair Joao Camilo James B. Reigle Templeton Juan and Mary Aguilar Sally Ann Camp Mr. and Mrs. Cedric J. Riano Heather Terbell, MD Frederick and Suzanne Allen Churchill Campbell Mr. and Mrs. Brian T. Gerald and April Thede James and Lyla Allen Robertson David and Louise Cannell Michael and Laurie Theobald Mrs. Florence Almcrantz Jimmie and Viola Rogers Kenneth and Adeline Cannon Dr. and Mrs. Ted Thoreson Amazon Smile Betty Rogge Margaret and Dave Carlberg John A. Tierce Larry and Judi Anderson Pedro B. Roman Shirlie Carter Donn and Daisy Tognazzini Gerald E. Andrews Roy and Jelsey Romanini Rudolph and Brenda Castillo Ann Tozier Philip C. Archibald Page and Emily Roos Barbara A. Caudry Connie Trider Edward and Carmen Arellano Willie M. Rowan Eugene and Diane Cecchini Chris Van de Walle Mr. and Mrs. Armen Judith and Gene Russ Shau Chan Patricia Van Every Mrs. Charles C. Arnold Rolf and Bettina Sabersky William and Mona Chapin Ruth J. Varner Jane Ashby-Giffin Sheila Sales Jobe Salter John E. Chestnutt, III Richard M. Vear John and Linda Atkin John and Cynthia Sanger Orlando and Helen Fernando and Virginia Velez Martha M. Aubin Ciabattoni Sheldon Sanov Louie and Elvira Villegas Irma Balboa Kent and Margaret Clampitt Santa Maria Properties Keli Clark, LVN Bo and Ingrid Engmyr Ilse R. Hance Audrey E. Kliman Charlie and Billie Maunz Harry and Nona Papageorge Anne P. Siciliano Elisha B. Turner Rita Joan Clark John and Adriana Engwall Eunice E. Handloser Thomas and Elizabeth Koch Cynthia McAlexander James N. Parks Carmen and Robert* Silva James and Arlene Turri Dean and Renee Clement Judy and Dennis* Ensign Charles and Frances Hanna Adelbert and Carleen Koller Thomas and Christina Jit and Indira Pasrich Mark Silverberg, MD Joanne M. Tveidt Lyda J. Clough V. Arlene Erosky Carrell and Charlene Arthur J. Koski McAlexander Bob and Jan Patch Steven M. Siry Mike and Katsuko Uema Bobby E. Cobb Albert and Linda Estrada Harrington Renee Koviak Bill and Sandra McGrath Robert and Carolyn Paterson Robert and Bonnie Sivers Barbara Upton Berneda Cochran Patsy Favalora Donald R. Harris Wilbur and Lavonne Krauth Don and Joan McKernan Merle and Aileen Pautsch Lillian M. Skeen Robert and Carol Uradnicek Richard L. Cohan Elpidia Favela Kent and Donna Harris Eiden and Vicki Kubota Carol L. McLean John D. "Jack" Pellerin Ralph and Emily Smith Barbara A. Vanwagner Liz Coker, PT Diane G. Favro Shirley D. Harris Jack and Jean Hwang Lai Meredith McMinn Salvador G. Perez Guy and Patricia Smithson Margaret Varner Stephen and Anne James and Sonja Fenwick Gus and Gloria Hauff Thomas and Kristi Lammer Carol McNamara Anthony and Lisa Perocco Florence F. Snyder Ralph and Josephine Velez Compogiannis Mark and Mary Fewell Mariel M. Hawel Steven and Shani Lancaster John K. Mealy Rosemary K. Peters Theodore and Susan Kat Roselies M. Vergara Jerome B. Compton Cleo Fisher Kenneth Hearst Mr. Rocky Landon Sherry L. Melchiorre, PhD Phipps Dale Funeral Chapel Solomon Joann J. Voss Joan R. Connolly John and Michelle Fitton Myron and Sharyl Heavin Philip and Barbara Lansing Adolph and Esperanza Kathryn Ann Phreaner Alyson Lamothe Sorensen, PT Cheryl A. Warren Mendoza Marty M. Contreras Charles and Marlene Fleeger Seward and Jean Heckaman William D. Lascurettes Jerry Pivato Mrs. Joan L. Sorenson Jerry and Brenda Ann John C. Merrill Mark A. Cooper John and Barbara Frair Joseph and Patricia Hecker Roberta D. Latimer Gary S. Platt Lawrence Spann, PA-C, PhD Watkins Roland and Dolores Messori Yvonne and Walden Cooper Martha J. Franklin Gerhard and Brunhilde Heller Carl and Ethel Laubacher Elfrieda J. Plo Kurt and Marceen Speier Betsy B. Watson Mary Miles Delfina M. Corral Matthew and Shirley Ann Jeffrey and Barbara Alma J. Ledbetter Judith A. Pochini Anthony and Brenda Spinella Barbara and David* Weaver Henderson David and Betty Miller Joan Cotich Friel Mary Lou Lerma Fernand and Sharron Ernest and Pauline Spirz Greg and Sandi Weeks Jesus and Alicia Hernandez Marlene Miller James and Peggie Cox Victor F. Fuentes Mr. and Mrs. Richard Levitt Pognant Dr. Jill M. Stein Pat Weeks Alvin L. Hickenbotham Rita B. Miller Sheila Craft Goro Fujiwara Benjamin and Rita Lipman Barbara K. Popp William L. Stephens Linda J. Weirick Caryl A. Hier Dorothy J. Milton Dr. John Crowder and Mrs. Mr. and Mrs. Lorne R. Gadway Joseph and Phyllis Lipman Judith L. Powell Mitchell and Sue Ellen Louis and Mercy Weller Danielle A. Aubertin-Crowder Odette S. Hockin Jon and Roberta Mitchell Stewart Robert and Angela Galloway Steven and Leah Little Joseph and Shirley Rapozo James and JoAnn Welter Harold Dahmer Alfonso and Lupe Garcia Myra Hogan Eugene and Rosemarie Bessie E. Reed Helen M. Stock George and Wanda Jean Lizano Moggia Carol W. Daley Juan and Luisa Garcia Jane Holcombe Kenneth and Diane Reyburn Ms. Shirley Stockero Welzbacher Jack and Rose Lockerbie Henry and Joan Moravec Arthur and Leona Damiani Jeanette Garza Freda B. Hooper Eduardo Reyes Mr. and Mrs. James R. Wanda and Ronald Richard and Doris Loomis David E. Morelli Stormont Westerman Duane and Juanita Daniel Harold and Helen Georges Charles and Beverly Hornick Edward and Mamie Lee Marlene Lopez Bill and Mooneen Mourad Joseph and Jane Streiff Beverly R. Whitmore Karen R. Davidson Gary and Shirley Gettings Diane M. Huerta Robles Stanley and Alicia Lopez Hatija Muntean Lydia Swanson Mrs. Charlotte Widling Kien and Tan Pham Davis Peter and Guadalupe Gheno Marvin and Margaret Jesus and Estela Robles Hughes Stella Lopez Kevin M. Naretto Masoumeh Tajbakhsh Raymond and Susan Wilcox Banaag and Aurora De Norman Gimbel William and Marilyn Rodgers Guzman Zelda Hughes John I. Lord Arthur W. Nelson Bill and Nancy Tanner Tyson and Ruth Willson Irene P. Gin Cheryl A. Rogers Harry E. De Witt Barbara C. Hurd Florence Lose Ned and Janet Nelson Madeleine G. Tchejeyan Kristin Wise, MPT Donald and Sally Glasgow Kathleen and Francesc Roig Dennis J. DeAmicis Karina Israelachvili Karen Loughlin Gisela Neumann Ramona Tejeda Eleanor F. Wyatt Ms. Beatrice Glasmacher Jack and Maria Rose Art DeAngelo, DDS Phillip R. Jackson Linda R. Lucas Evelyn S. Nichols Sheila M. Tenold Suzanne M. Young Bert and Arlene Goebel Robert and Bonnie Royster Simon Demirjian Linda Jalaba, PT M. Green and Company, LLP Albert and Sharon George and Ann Tertick Robert A. Zark Joe R. Gonzalez Carolyn J. Ruiz John and Anna DeVore Maxine G. Jamison Alvin Machado Noormand Dale Tetalman Wayne and Ingrid Zellmer Mr. Payne K. Green Jack and Rita Ryan Rick and Robin Dey Rufus and Mary Jeffris Marvin and Geraldine Laura Novak Cassandra J. Thomsen Don and Siu Zimmerman Sandy Green Machado Micaela O. Sanchez Stephanie Diaz Semiha Jensen Anna Nufer Enrica T. Thure Phillip B. Greene and Barbara Makela Manuel and Olila Sandoval *Deceased Dr. Emma Lou Diemer Clevonease Johnson The Ohanian Family Jo Tinsley Suzanne C. Jacobson Kuno Maliepaard Frances Sauser Arthur and Linda Dinnogen Quentin J. Johnston Helen C. Olson John W. Tinsley Gary and Julie Grienke George and Sharon Manges Richard T. Schiada My Le Diosi Helena Jones Mary C. Orozco James and Blanche Tobin Gifts In Kind Don and Elaine Grimm Robert and Margaret Mann David and Judy Schiefen Cecil and Mary Dome David and Martha Kay John and Chiyoko Oshiro Frank and Elaine Tomatore Marilyn Gilbert Wilma C. Grise Melinda and Dean Mars Laezer and Mary Lynn Ellen E. Downing Mrs. Lee Kephart Alyce E. Ostler Schlomkowitz Paul A. Tonkin Dr. and Mrs. James V. Mario and Juana Guerrero Benjamin Martens McNamara Ernesteen B. Eberhardt Marla J. King Mary Ota Richard V. Sell Amelia Torres Henry and Lillian Hackle Julie M. Martin Dr. and Mrs. Kurt N. Linda K. Edgar Jerald and Janeall Kirkland Jacquelyn Otterbein Mr. and Mrs. Henri Sergent Robert and Ann Townsend Floyd and Lou Hall Richard and Connie Mathena Ransohoff Andreas and Maria Margaret S. Kistel Lucille R. Owens Gail L. Shannon Charles and Janet Travis Steve and Carole Halsted Linda D. Matis, MFT Rusack Family n Eggendorfer Fred M. Klein Nancy Palke Claire Shoemaker Tulare Dairy Herd John D. Hammond Lyle and Kathleen Mattes Jane E. Endacott Mike and Lisa Kliewer Louis and Bobbie Palsgaard Vincent and Kathy Shriver Improvement Association Thank you for your ongoing support of Sansum Clinic. As a non-profit organization, Sansum Clinic relies on private support so that we may continue our commitment to the healthcare needs of our patients and the community. We have made every effort to ensure accurate information. If there are any errors or omissions please accept our apology and contact Dru A. Hartley , Director of Philanthropy at (805) 681-7726 or [email protected].
Delivering on Our Promise
Sansum Clinic’s mission is to provide an excellent healthcare experience, recognizing Mission our first priority is the patients we serve.
As a premier integrated delivery system we provide high-value healthcare to the communities we Vision serve, managing the population’s healthcare needs while also creating a model of care that will thrive in California’s rapidly changing healthcare arena.
Compassion Accountability Values Respect Excellence Stewardship 1 (800) 4-SANSUM www.sansumclinic.org
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Sansum Clinic is a 501(c)(3) California Nonprofit Public Benefit Corporation, and is accredited by the Institute for Medical Quality.