2O18 Impact Report More Meaningful Moments Find comfort here. Contents 2018 Board Letter from CEO of Directors and Board Chair . 3 OFFICERS 2018 By the Numbers . 4 Kyle Kepley, Board Chair Daniel James, Vice Chair Letter from CFO and Edwina Hardee, Secretary Finance Committee Chair. 6 Overview of Agency MEMBERS Expanding Our Presence. 7 Jon Applebaum Frank Cagle Patient Care . 8 Russell Compton Debbie Fanary Support Services . 9 Ken Hall More Meaningful Moments Sid Proctor Campaign Update . 10 Isabell Elaine Rector Tina Royal Letter from Community Nancy Wright Relations Director . .11 Kelly Young Creating Your Own Community Legacy. 12 Increasing Awareness/ Fundraising . 13 Donor Lists . .14 Ways to Give. 27 find comfort here. 2 Find comfort here. our mission Letter from CEO and Board Chair Reflecting back on 2018, we recognize it was a year of significant accomplishments. The most meaningful being entrusted to care for more than 900 patients and families in need of our services. Time and time again we hear “we couldn’t have gone through this without your team.” Our specialized care offers a different kind of hope for those facing the most difficult and vulnerable times in their lives. It is a privilege to be looked to as the expert in end-of-life care for our community. For the fourth consecutive year, Hospice of Davidson County was recognized by Healthcare First as a Only through your “Hospice Honors” provider by exceeding rigorous quality standards. This national recognition places us in the top group of hospices across the United States. More than 94 percent of families who completed continued support the Consumer Assessment of Healthcare Providers Survey indicated satisfaction levels above the national average with the care Hospice of Davidson County provided for their loved one. can we move our The health care sector continues to rapidly change and the hospice medical specialty continues to respond to the challenges. Hospice of Davidson County remains committed to the mission to improve mission forward quality of life by providing expert physical, spiritual and emotional care for our community. in delivering the To help ensure we are prepared to meet our mission while keeping up with the ever-changing healthcare industry, the agency hired a full-time clinical educator to plan, develop, and implement an education highest quality program to promote clinical excellence. Additionally, thanks to grant funding through the NC Department of Health and Human Services, we built a state-of-the-art learning lab to provide hands-on education for end-of-life care for clinical staff to practice and refine their clinical and communication skills. From serving more patients and families than ever, to raising $1.8 million of our $2.3 million goal through our community! our More Meaningful Moments Campaign, we have been able to expand services, enhance our care models, and provide for future needs. Moving forward, we remain committed to being the expert in providing the best clinical, psychosocial, and spiritual support at end-of life care. We value your partnership in caring for our community. Laura Owen Kyle Kepley Chief Executive Officer Chair, Board of Directors Find comfort here. 3 2018 By the Numbers Patient Visits Days of Care Access to Care Patients & families The Hinkle Hospice Physician office benefited from House team provided referrals for care more than 22,000 3,424 days of care 3,424 increased 20% 22,000 visits in across general inpatient, by over 20% in 2018. their homes or routine and respite residences from stays. our hospice care team members. Chaplain Visits Home Care & Facility Chaplains provided Average Census spiritual support 1,100 Admissions The average daily through over 1,100 visits. In 2018, 766 patients census for 2018 was 135 were admitted into 766 135 patients. Hospice of Davidson County's care. Facility Visits Members of the clinical care team provided 7,546 Donation Increase care for patients in clinical care facilities Giving increased through 7,546 visits. by $134,468 in 2018. $134,468 More Meaningful Moments 4 Find comfort here. Education Connections Social Work The addition of a 1,898 connections The Social Worker team state-of-the-art were made with provided psychosocial learning lab allows community 1,898 support through 2,900 for our staff to members through 2,900 visits to enhance critical skills. our grief support patients and services programs families. through telephone calls, visits, and the agency’s annual Satisfaction Grief Conference. Education and 94.1% of families who completed the Community Outreach Consumer Assessment 94.1% Hospice of Davidson and Healthcare Providers Volunteer Hours County hosted 85 Survey, indicated education events 4,212 satisfaction levels above Volunteers contributed for faith-based organizations, the national average 3,402 patient care 3,402 civic groups and healthcare for patient care. hours providing nearly $80,000 in cost savings. partners reaching 4,212 attendees. To all of the staff for their tireless efforts... To every volunteer who selflessly gave their time and talents... To our donors who gave so generously of their resources... Thank you for making 2018 such an incredible year! More Meaningful Moments Find comfort here. 5 our growth Letter from CFO and Finance Committee Chair As part of our mission, Hospice of Davidson County supports patients and families in our community by Our cash flow providing the same level of high-quality care to all patients and families, regardless of the cost of their care or their ability to pay. We recognize that families benefiting from our care are navigating one of the increased $872,217 most stressful times in their lives. We are proud to be able to support them in ways that make the experience meaningful without adding the burden of worrying about the cost of care. and our reserves Our priority is delivering expert, compassionate care, while also being wise and monitoring expenses to ensure increased by financial stability. This practice is key to remaining financially strong today, and for decades to come. In 2018, we worked closely with local financial institutions to review our deposit and savings accounts to $276,042 to bring us increase interest earned. Additionally, we worked with leadership and mid-level management to revise our processes and reporting to enhance efficiency and effectiveness agency-wide. This new structure allows us to a balance of to provide more competitive compensation for our staff and helps to ensure financial sustainability to help the organization manage stable growth. $1,858,198 as of We ended 2018 in a positive position. Our cash flow increased $872,217 and our reserves increased by $276,042 December 31, 2018. to bring us to a balance of $1,858,198 as of December 31, 2018. These financial results provide strength and security so Hospice of Davidson County can manage anticipated changes in the healthcare landscape that may impact our future ability to provide these critical services to our community. Thanks to generous community support, it is possible to meet the growing demand for our services and bridge the gap between insurance reimbursement and the costs of providing care. Thank you for your ongoing support. Daniel James Glen Hubbard Daniel James Chief Financial Officer Chair, Finance Committee 6 Find comfort here. OVERVIEW OF THE AGENCY Growing our reach Expanding Our Presence like never before. In 2018, we pressed forward in several ways to make our presence known to more people in the communities we serve. We visited more patients in their homes, in long-term care and skilled nursing facilities, and the Hinkle Hospice House than ever. Through our community outreach initiatives, volunteer services, and our marketing services, we dramatically increased awareness of Hospice of Davidson County’s mission. And we achieved great success in growing our referral networks and donations. Find comfort here. 7 Patient Care Meeting patients where they are – literally in their homes, in care facilities, or in the Hinkle Hospice House – Our main focus is is what we do. Creating individual care plans to meet each patient's needs. Supporting patients, not just physically, but psychologically and spiritually. When we tell people they will “Find Comfort Here,” this is to help our patients a promise to provide comprehensive support to anyone facing a terminal illness, and help them realize the highest quality of life possible. We can only achieve these ends by having an incredible team of manage pain and professionals in place who work tirelessly to ensure EVERYONE in our care truly “Finds Comfort Here.” Achievements in 2018 to better serve our patients included: symptoms, and • Achieving recognition by Healthcare First as a “Hospice Honors” hospice center by exceeding 18 out provide spiritual of 24 quality standard metrics. This national recognition places Hospice of Davidson Count in the top group of hospice organizations across the United States who can quantify the quality of care we provide. and emotional • A 94.1 percent overall patient care satisfaction rate, which was achieved according to the Consumer Assessment of Healthcare Providers. This was above the national average. support for patients • Home Care Nurses and Hospice Aides providing end-of-life care and education to those we serve and their caregivers. with nearly 10,000 home visits. The Facility Care team touched the lives of many more with more than 7,500 facility patient care visits. • Facilitating 766 total admissions; a 3% increase from prior year and highest year to date. • A 19% increase in facility referrals, meaning more facilities referred patients to us than ever. 8 Find comfort here. Support Services Hospice of Davidson County provides far more than just patient care. Our holistic approach includes spiritual and emotional support that is available to family members and caregivers, as well as patients.