Community Report 2010 by Gail Neubert

102 19,071

Diabetes Education self-management classes

People attending all Evergreen Community Health Education programs

42,000+

Community Health Education participant contact hours

99 3,800

Specialists who partner with Project Access

People trained in Community Health Education safety classes

500

Community Grief and Bereavement supportive counseling sessions to individuals and families

1,000

Students participating in ProjectALERT, Community Health Eduction substance abuse prevention program

995,051

Dollars donated through Project Access (excludes value of specialist care or vendor services)

212 625

Horizons programs for seniors and caregivers

Patients who attended Diabetes Education selfmanagement classes

115,000 Calls to Healthline

669

Diabetes Education patients who consulted with a registered nurse and dietician

3,960 39 13 29

Phone calls to Evergreen Care Network

Number of Community Advisors

Horizons sites where classes are offered

Free Health Point Clinic visits via partnership with Project Access (September - December only)

4,000 Senior Health Specialists active patients, many of whom see a doctor at least once a month

Primary care physicians who provide care to patients with barriers to access (via Project Access/ Health Point Clinic partnership)

Keeping Promises: Stories of Hope and Healing 2010 Community Report for Evergreen Healthcare and the Evergreen Healthcare Foundation

479 45

Evergreen Care Network office visits Evergreen Care Network office visits

Caregivers participating in the Evergreen Care Caregivers participating in the Evergreen Care Network King County Respite Program

13 115,000 1,372

Horizons sites where classes are offered

Calls to Healthline

Community Health Education Classes

42,000+

Community Health Education participant contact hours

625

Patients who attended Diabetes Education selfmanagement classes

3,800

People trained in Community Health Education safety classes

500

Community Grief and Bereavement supportive counseling sessions to individuals and families

14,391 1,000

Senior Health Specialists visits

Students participating in ProjectALERT, Community Health Education substance abuse prevention program

3,074

Horizons participants, some of them “repeat customers”

Senior Health Specialists physicians plus two midlevel providers

10 466

Age of Evergreen’s Diabetes Education program

Program participants in Evergreen/Northshore Senior Center partnership

3,960 1,372 102

Phone calls to Evergreen Care Network

Community Health Education classes

Diabetes Education self-management classes

Keeping Promises: Stories of Hope and Healing from Evergreen Healthcare

Keeping Promises Al DeYoung, Chairman of the Board of Commissioners, and Bob Malte, CEO ............................................................ 04

Our Stewardship The King County Public Hospital District No. 2 Tax Levy ............................................................................................ .. 05

Community Health Education: With More than 1,300 Classes, There’s One for You Ernie Ruf: One Healthy 75-Year-Old ................................................................................................................................... 06 Horizons: Screenings and Health Education for Seniors Jane Wernet: Taking Charge of Her Life ........................................................................................................................... 07 Community Grief and Bereavement: Coping with Loss Linda Wood: Witness to a Love Story ............................................................................................................................... 08

Senior Health Specialists: Caring for the Underserved Isobel Sleight and Heather Schreiber: Managing Transitions ......................................................................................... 09

Healthcare Access Program/Project Access: Providing Care to the Under- and Uninsured Molly Milburn: Care for Her Heart through Project Access ............................................................................................. 10 Evergreen Healthline: 24/7 Service for the Community Michele Jacobsen: The Call That Saved Her Life ............................................................................................................... 1 1 Northshore Senior Center: Evergreen Partnership Provides Health and Wellness Programs Donzetta Drumheller: Keeping Her Balance ...................................................................................................................... 1 2 Diabetes Education: Creating a More Informed Community Arnie Somers: Patient Advocate ......................................................................................................................................... 13

Evergreen Care Network: Connecting Those in Need with Needed Services Jacque Saenz: Determined to Find Another Way ............................................................................................................ 14 Emergency Preparedness at Evergreen a “Best Practice” Our Community Partner: Stephanie Day of Kirkland ....................................................................................................... 1 5 Community Advisors Shape the Future of Evergreen Nancy Remak: Eyes and Ears of the Community .............................................................................................................. 1 6 Steve Maffett: Sharing Stories to Build Relationships ...................................................................................................... 1 6 The Evergreen Healthcare Foundation Teddy Overleese, Board Chair, and Kae Peterson, Executive Director ......................................................................... 1 7

Donor/Volunteer Proﬁle The Snepp Family: Grit and Constancy in the Face of Death ......................................................................................... 1 8

Evergreen Healthcare Foundation—Financial Report ............................................................................................. 1 9 List of Donors ..................................................................................................................................................................... 20 Financial Stewardship—Community Beneﬁt Evergreen Healthcare Returns Total Margin of $15.8 Million to Help Meet Needs of Community ............................. 24

Awards and Recognition of Evergreen Healthcare ........................................................................................ ........ 26 How to Contact Us .................................................................................................................................................... ........ 27

Bob Malte Chief Executive Ofﬁcer

Keeping Promises Dear Friends of Evergreen Healthcare and the Evergreen Healthcare Foundation, When Evergreen Healthcare was formed nearly 40 years ago as the public district hospital on the Eastside, we made a promise to the people of this community to be wise stewards of the resources entrusted to us for their healthcare and well-being. The 2010 Community Report for Evergreen Healthcare and the Evergreen Healthcare Foundation is our account of many of the special programs and services that have kept that promise in the past year.

Al DeYoung Chairman of the Board of Commissioners

Each day as a healthcare system we touch more than 1,500 lives through our inpatient, maternity, outpatient, and home health services as well as through our clinics, hospice, and out-reach activities. The patients and their families who come through our doors for care, for the more than 80 different specialties we offer, have come to expect exceptional results from our exceptional staff and physicians—the best clinical outcomes, compassionate and caring service, cost-effective care, and access. Combined, these equate to “value” and “trust.” There are even more lives we touch every day through the special community programs and services you help make possible with the annual tax levy assessed for King County Public Hospital District No. 2, known as Evergreen Healthcare, and from philanthropy through the Evergreen Healthcare Foundation. This year we want to tell some of the many stories of those services and programs and the lives that they touch in our communities. As you will read, these programs help us keep our promise to the under-served, to the under- and uninsured, to our seniors and their families, to those who need advice and information they can trust, to those who want to understand and improve their own health more fully, and to our whole community, enabling it to prepare for times of catastrophe. Through these programs and services, and many more that are funded from operating revenues, we believe we are enriching the individual lives we touch and the life of the communities we serve.

We fulfill our promise in part with the help of levy tax funds entrusted to our care. We also fulfill it with the gifts and donations that you make each year of your time and means. We thank you for those gifts and want to give you an accounting of them also through this report. We are gratified to share just one of the many stories of your generosity in a profile of Karl and Sue Snepp. Their work in support of our hospice and palliative care programs honors the memory of their son whose passing at age 32 was eased by the care he received from Evergreen, and they inspire all whose lives they touch, including ours. It takes many hands and hearts to keep the promises we have made and keep making every day. We are grateful that we count yours among them. The stories you will read here are then, finally, your stories, made possible by you. In the same way, Evergreen is your hospital. We, along with our 5,000 physicians, staff, volunteers, and Board members, are your stewards and caregivers. And this is our report of how we have carried out our promise of care and stewardship to you. Sincerely,

Al DeYoung Chairman of the Board of Commissioners

Bob Malte Chief Executive Ofﬁcer

Our Stewardship The King County Public Hospital District No. 2 Tax Levy for Evergreen Healthcare

Because of your tax support, Linda Wood could find the comfort to ease her grief at the loss of her parents who died within two days of each other; Donzetta Drumheller could take the classes to help her manage her diabetes, asthma, and cardiac condition; Michele Jacobsen could make the phone call that saved her life. Theirs are just three of the stories you will read in the report that follows on how your funds are used to enrich the health and well-being of our community.

One of the fundamental promises that Evergreen keeps is to be a good steward of the public funds it receives through the King County Public Hospital District No. 2 tax levy. In 2010, Evergreen received total tax support of approximately $24 million. Of the $24 million, $14,943,000 was the regular (operating) levy, much of which is committed to help repay bonds raised for several major capital projects, including the DeYoung Pavilion that houses the Evergreen Neuroscience Institute. Another $9.2 million was for an excess levy voters approved to pay for the Silver patient care tower and the new Emergency Department. Both of these help Evergreen attain favorable bond interest rates that help us keep our cost of repayment lower and in turn help us keep our prices lower than other hospitals. Of the $14.9 million, $3.1 million of the operating levy is committed to help support more than a dozen very special programs and services that benefit the community. The grants to these programs are approved each year by Evergreen’s Board of Commissioners, based on recommendations from the Levy Committee. The committee is made up of Commissioners, the Evergreen CEO, members of the executive team, and staff.

Each year the Levy Committee reviews applications for funding from departments within Evergreen and from community partners. The applications for program support are evaluated by the committee on the basis of five main criteria: • Programs or services that have the potential to improve the health and well-being of the community and address the healthcare needs of the community • Programs and services that do not have adequate, or any, funding from insurance payers and therefore would otherwise not exist or be viable • Program and services that improve access to healthcare and that do not duplicate similar services offered in the community • Programs and services that promote community collaboration • Programs and services that are consistent with the purpose, mission, values, and vision of Evergreen.

This year in the Community Report we highlight and tell the stories of 11 of these programs selected for funding in 2010: • • • • • • • • • • •

Community Health Education Horizons Community Grief and Bereavement Senior Health Specialists Healthcare Access Program/Project Access Evergreen Healthline Geriatric Programs at the Northshore Senior Center Diabetes Education Evergreen Care Network Emergency Preparedness Community Advisors.

We think that you will be proud of the difference you help make happen for the healthcare needs of our community.

Based on its evaluation of the applications, the Levy Committee then submits its recommendations to the Board of Commissioners for final approval.

2010 BY THE NUMBERS

1,372 19,071

Community Health Education classes

People attending all Evergreen Community Health Education programs

42,000+ 3,800 1,000 Participant contact hours

People trained in safety classes

Students participating in ProjectALERT

Community Health Education With More than 1,300 Classes, There’s One for You

Ernie Ruf: One Healthy 75-Year-Old Ernie Ruf is one healthy 75-year-old. He hikes six to ten miles twice a week. He doesn’t take any prescription medications. And he uses one of Evergreen’s community health education programs to keep him on the right path—literally. In the fall of 2008, Ernie read about Evergreen’s community wellness screening program in the hospital’s quarterly magazine, Evergreen Monitor. He was checked for metabolic syndrome and received results of his blood pressure, blood glucose, and cholesterol tests right away. “My cholesterol was a little high, but that gave me something to work on,” says Ernie. “I needed to do more hiking and eat less butter!” Ernie tries to follow a healthy lifestyle—lots of fruits and vegetables and regular outings

with the three hiking clubs he belongs to. His lifestyle helps him keep his cholesterol in check without medication. Regular screenings at Evergreen let him track his cholesterol levels year to year. “That ﬁrst test gave me a baseline, and getting it checked every year helps me keep my cholesterol in the healthy range for my age group,” Ernie says. “I like the peace of mind of having that information.” Ernie goes back for a screening at least once a year and shares the results with his primary care doctor. “I like keeping my health in check on my own,” Ernie says. “But by getting a yearly screening, I’ll know if something changes and I need to see my doctor.”

Education is crucial to preventing and managing a host of health issues. From school-based drug awareness programs to senior health classes at local senior centers, Evergreen offers health education on a range of topics at sites throughout our community. Need to learn more about a recent diagnosis? Looking for a support group for a chronic condition? Preparing for surgery or trying to improve your health? There’s an Evergreen community health education program for you: • Safety programs, including CPR training, ﬁrst aid, and babysitting basics • Wellness screenings—for blood pressure, glucose, and cholesterol—with instant results and follow-up counseling • Health and wellness classes—nutrition, exercise, stress management, anger management, smoking cessation, and more • Disease management—education and support groups for managing chronic conditions • ProjectALERT substance abuse prevention • Pre-operative education for those facing orthopedic surgery, such as knee or hip replacement, or spinal surgery to help patients and caregivers learn what to expect from surgery and recovery • Complementary and alternative therapies • Corporate wellness screenings and programs • Diabetes education and senior health classes (proﬁled elsewhere in this report).

Unique Dance Program Helps Parkinson’s Patients Movement can become increasingly difﬁcult for Parkinson’s patients as their condition worsens. A unique community health education program, which is offered by Evergreen’s Booth Gardner Parkinson’s Care Center in partnership with Seattle Theater Group, Spectrum Dance Theater, Mark Morris Dance Group, and Peter Kirk Community Center, helps Parkinson’s patients get moving. Dance for Parkinson’s allows patients and caregivers to move and dance to live music in a class taught by trained professional dancers. Participants work on balance, rhythm, and stretching—whether seated, standing, or in a wheelchair. “The music changes their mobility, their attitude,” says Shelly Henderson, Evergreen’s lead health education coordinator. “You can see the joy for them and their caregivers.” The eight-week Dance for Parkinson’s class has had 450 students in the last two years.

Horizons Screenings and Health Education for Seniors

2010 By the NumBers

4 13 23+ 212 3,074

Horizons cholesterol and diabetes screening sites

Sites where classes are offered

Age of the Horizons program

Programs for seniors and caregivers

Horizons participants, some of them “repeat customers”

Health education and engagement are among the keys to living well longer, and Evergreen’s Horizons program provides free or low-cost health screenings and health education classes for seniors. Offered on the Evergreen campus and at senior centers and assisted living facilities in the community, classes range from “Superfoods” and “Home Sweet Home” to “Upset Stomach: a Naturopathic Approach” and “Assisted Living: Is it Time?” The Horizons program includes: •

•

• •

Health screenings, including diabetes and cholesterol, because if seniors know their numbers, they can better manage their conditions or risk factors Disease management education and support groups, helping seniors manage their diabetes, cardiac health, Parkinson’s, and other chronic conditions Well-being classes in estate planning, safe driving, fraud prevention, and mental health Classes targeted to caregivers and families.

Jane Wernet: Taking Charge of Her Health Jane Wernet isn’t one to stand by and do nothing about a problem or issue. She helps wherever she can and has helped herself, too, by taking charge of her health. When Jane, a retired counselor, came to Kirkland 12 years ago, she knew that getting involved in her new community would help her adjust to a new life. Jane joined the Peter Kirk Community Center and quickly became a mainstay there, volunteering five days a week and serving on the center’s advisory board.

classes and tried to improve my weight and fitness to prevent diabetes.” Jane has lost weight and lowered her cholesterol by exercising and adopting the healthy eating habits she learned in her Horizons classes. “I’m fitter, I’m stronger, I sleep better… everything is improving,” Jane says. Now 78, Jane still volunteers at Peter Kirk three times a week and recommends the Horizons health classes to those who come into the center.

Now Jane’s physical health is her priority. She manages a number of chronic conditions and has struggled with her weight for many “Eating healthier and exercising has given me years. To improve her health, Jane takes more energy and brought my weight down Evergreen’s Horizons classes at Peter Kirk. quite a bit, so now I want to go farther and They cover a range of health and nutrition faster!” Jane exclaims. topics, such as “Bone” Appetit, Good Intestines, Tai Chi for Back Pain, Meditation for Holiday Stress, and Growing Older, Eating Better: Nutrition for Seniors. “I’ve been going nearly every Friday for 10 years,” Jane says. “The classes touch every area of your life and caring for yourself.” Jane is most thankful for the Horizons classes on diet and nutrition. “I have sleep apnea, and I want to lose weight and get off my breathing machine,” Jane says. “Plus I’ve always been scared of developing diabetes. I’ve taken the

Community Grief and Bereavement Coping with Loss

2010 By the Numbers

500

Supportive counseling sessions to individuals and families

900

Calls seeking resources, information, and other assistance

220

Individuals participating in support groups

Linda Wood: Witness to a Love Story Theirs was a love story, one Linda Wood was privileged to witness her entire life and one she mourned when her parents were gone, particularly when they passed within two days of one another. Linda had known her mom and dad’s deaths were imminent. She had spent the last six weeks of their lives with them. Her mother had been suffering from Alzheimer’s for years, although it was breast cancer that eventually took her life. Then, during her mom’s final weeks, she saw her dad’s health begin to deteriorate at great speed as pneumonia began to overtake his body. “My mom and dad had known each other since they were in first and third grade, respectively,” she recalls. “I think when he realized there was no hope for her, he stopped wanting to live.” In her parents’ last weeks, Linda moved them into the same room so they could still be close to one another. And to Linda’s surprise, her father died first. “I didn’t really expect that, but it was for the best. He wouldn’t have been able to deal with her death,” she says.

A short 58 hours later, her mother passed as well. After the combined memorial service and the packing up of their apartment, Linda knew she needed to do something positive for herself as she mourned the loss of one of the greatest love stories she had ever experienced. Linda joined the Adult Bereavement support group at Evergreen. While she walked into a room of strangers, she soon learned they shared the common bond of loss. “The first meeting was difficult because you need to cross all the barriers that come with being complete strangers,” she says. “Through the sessions, we were able to move on as we all worked toward acceptance and rebuilding our lives.”

For some, the death of a loved one is sudden and unexpected, while others find themselves in a long, anguishing process. However that loss happens, people are often unprepared for the varied emotions that accompany death. Evergreen’s Community Grief and Bereavement program is available to offer support and education to community members as they cope with the loss of a loved one, learn to adjust to their new circumstances, and rebuild their lives. In addition to consultations, resources, and supportive counseling services, Evergreen holds support group sessions throughout the year to help people deal with the death of a family member or friend and connect with others who are experiencing similar situations. A variety of support groups are available to address the unique experiences surrounding death. These include: • Adult Bereavement, for those coping with the natural death of a loved one • Sudden and Traumatic Loss, for those who have experienced the traumatic death of a friend or family member due to accident, homicide, or suicide • Supporting Our Children As We Grow Through Grief, for children and parents as they cope with a death in the family (includes art, music, storytelling, and ritual as part of the healing support).

Senior Health Specialists Caring for the Underserved

2010 BY THE NUMBERS

8 4 2 1 4,000

Physicians plus two mid-level providers

Registered nurses

Social workers

Full-time pharmacist

Isobel Sleight and Heather Schreiber: Managing Transitions Isobel Sleight, 87, is a retired surgical nurse supervisor, but even with her medical experience, she didn’t notice the changes in herself that indicated she was developing dementia. When she moved to the area in 2007, she lived fairly independently in a 55-plus community, keeping active, taking yoga and Spanish classes, and driving herself when she went shopping or out to dinner. But it wasn’t long before Isobel’s daughter, Heather Schreiber, could see her starting to decline. Heather had already taken Isobel to Senior Health Specialists after a friend raved about their quality of care, and social worker Sherry Haig stepped in to help mother and daughter with the transition to assisted living. “It was good to have someone less emotionally involved helping us understand the situation,” says Heather. “Sherry helped us see that rather than waiting for a catastrophe to happen, we needed to ask questions and make changes. Throughout the process, she respected Mom’s intellect and listened to her concerns about her future.”

“She helped me see that there was nothing wrong with moving Mom to assisted living. It allowed her to maintain some independence for another 15 months,” Heather adds. Heather credits Sherry with helping her family through a rough patch as her mother’s health declined. After Isobel took a particularly bad fall, Heather’s son in California raised questions about the quality of care Isobel was receiving. Sherry mediated a family conference with the three family members and the director of the assisted living facility.

Active patients, many of whom see a doctor at least once a month

14,391

Senior Health Specialists visits

Senior Health Specialists: Caring for the Underserved It takes special people to care for the underserved in our community. The staff of Senior Health Specialists (SHS) shows its commitment every day, seeking out the patients in need of the most care and advocating for their needs. Senior Health Specialists is a geriatric clinic that treats only the oldest and sickest seniors in our community, such as those managing multiple chronic conditions. The clinic provides medical care, counseling, care coordination, and on-site pharmacy services.

“My son was able to express his concerns, and it removed the tension between us,” Heather says. “Sherry had been through the whole process and could look him in the eye and tell him that I’d been a good caretaker.”

The staff at Senior Health Specialists focuses on caring for the whole person, treating seniors with dignity and helping them maintain their independence and quality of life. The staff works with seniors and their families to create supportive and safe home environments so they have fewer acute situations.

“That was so valuable for my relationship with my mother and my son.”

The SHS staff includes: • Physicians, nurses, and medical assistants who are experts in senior health issues and help coordinate care and assist seniors in managing multiple medical conditions • Social workers who provide counseling and education and help connect seniors and their caregivers to resources in the community • An on-site pharmacist who oversees coordination of prescription medications, reducing the risk of dangerous drug interactions.

Healthcare Access Program Project Access Providing Care to the Under- and Uninsured

2010 By The NumBers

995,051

Dollars donated through Project Access (excludes value of specialist care or vendor services)

Molly Milburn: Care for Her Heart through Project Access

Primary care physicians who provide care to patients with barriers to access (via Health Point Clinic partnership)

99 250 29

Specialists who partner with Project Access

Molly Milburn had been having trouble sleeping for weeks. That progressed into difficulty breathing for several days in a row. It got so bad one night that she thought she was having a full-fledged panic attack. Scared and feeling out of control, she asked her son to take her to the emergency room at Evergreen Hospital. She was surprised by the diagnosis: congestive heart failure. In fact, her heart was only functioning at an alarming 20 percent. The weight of that news—and the need for long-term, ongoing treatment—was enough to really make her panic. “I told the people in the ER, ‘I have to get out of here. I have no insurance and no way of paying,’” she recalls. But she was astounded by their response, “They told me not to worry… that they would help me.” Within 24 hours, Molly had met with someone from Project Access, and arrangements were made for her to be evaluated and treated by Edward Kim, MD, a cardiologist with Eastside Cardiology and one of the nearly 100 specialty physicians who partner with Project Access to treat patients such as Molly who have significant barriers to accessing proper healthcare. “Dr. Kim is just smart as a whip,” Molly says. “And you can tell he is passionate about caring for patients. It’s like it’s his way of carrying forward his purpose in life.”

In addition to being treated by Dr. Kim, Molly was connected to the Cardiac Enhancement Center, a specialized heart failure clinic at Evergreen. There, Molly continues to receive the ongoing maintenance care she needs to improve her heart and overall health. With the help of Nancy Bartholomew, ARNP, Molly pumped up her knowledge of congestive heart failure—often a hard-to-manage diagnosis—and the lifestyle modifications she needed to make to improve her body’s most important muscle. “I don’t know what I’d do without them. Through the doctor visits and classes, I’ve gotten the treatment I need and learned about what is healthier for me. I’ve dropped 30 pounds as a result,” she says. The Project Access team also made sure she had access to the maintenance medications for her heart. They worked with her treatment team to ensure that she could take advantage of the $4-$10 generic medications offered by many pharmacies today. Molly is first to admit that, without Project Access, her situation would have been much direr. In fact, Project Access continues to provide support as she waits for her disability and Medicare coverage to become effective. “I hate to even imagine where I’d be without them,” she says. “I am so grateful for their continued support.”

People who received assistance

Free Health Point Clinic visits (September – December only)

Vendors who provide free medical equipment, supplies, labs, and other equipment and services

Good health is something we may take for granted until we get sick, especially if we have difficulty getting the medical care we need. Many people today face that reality because of turbulent economic circumstances, a lack of adequate insurance, or perhaps no insurance at all. These challenges make Evergreen’s Healthcare Access Program especially important to King County residents. The Healthcare Access Program includes two main clinical components: • Primary Care at Health Point Clinics—In the fall of 2010, Evergreen formed a partnership with Health Point Clinics to provide primary care to those unable to access general care. Eligible participants receive two free visits to the clinic, courtesy of Evergreen. • King County Project Access—Launched as part of a nationwide healthcare initiative, Project Access connected un- and under-insured individuals to specialty care in areas such as cardiology, oncology, gastroenterology, and pulmonology. Today, nearly 100 specialty physicians provide treatment at no charge through Project Access.

Michele Jacobsen: The Call That Saved Her Life

Evergreen Healthline 24/7 Service for the Community

2010 BY THE NUMBERS

115,000 40 18

These nurses are available 24 hours a day to assist callers with any health questions they have. The nurses can tell callers when a runny nose is probably just allergies or when shortness of breath means they should get to the emergency department right away.

Calls to Healthline

Healthline staff

Registered nurses on the Healthline staff working the nurse triage service

By calling Evergreen Healthline, patients and community members can: Get health advice from a registered nurse • Anyone in the community can call any time of day with questions on any health issue Get a referral • Patients can ﬁnd a physician who meets their needs or get connected to a resource in the community such as a naturopath, medical supplier, or local cancer agency • Physicians can connect their patients to other providers in the Evergreen network Get information • Register for one of Evergreen’s Community Health Education classes • Learn about Evergreen’s service lines, treatments, and new technologies Evergreen Healthline is one of the few call centers in the area that is staffed with registered nurses.

Healthline’s registered nurses do not diagnose over the phone, but they can provide information, assess the seriousness of symptoms, and give guidance about whether to seek treatment. In addition, the nurses track the nature of incoming calls to detect health trends or outbreaks, helping them prepare to respond to callers. For example, when residents feared an outbreak of H1N1 influenza, Healthline staff worked with the county health department to ensure that correct information was available and, when callers did exhibit flu symptoms, that an appropriate level of care was recommended. Healthline staff also make post-discharge calls to make sure patients have filled prescriptions and understand their instructions following a hospital stay. All Evergreen Hospital discharge instructions include the Healthline number in case patients have questions or concerns. Healthline serves Evergreen patients and the larger community as a source for health information, to research home care treatments before coming to Evergreen, ask questions about symptoms, or find a physician or connect to community health resources. It also plays a role in keeping our community informed in the event of a health outbreak.

With kids ages 15, 5, and 17 months, Michele Jacobsen has made plenty of calls over the years to Evergreen Healthline for guidance from one of the nursing team. But never was a call more important than the one that, Michele believes, saved her life. A month after Michele had major surgery, she started having what she describes as “strange symptoms,” such as upper back pain. “The nurse said it could be a number of things, but her next words really struck me,” says Michele. “She said, ‘I have to recommend that you go to the ER to rule out the possibility of a blood clot in your lung.’” Michele adds, “I’m notorious for trying to tough things out, but the nurse’s strong words convinced me to go to the ER.” Michele did have a pulmonary embolism and was admitted to the hospital. The doctors there were impressed that the nurse, based just on Michele’s call, was able to recognize the seriousness of her symptoms and recommend the appropriate level of intervention. “Without her advice, I might have gone on ignoring the symptoms,” Michele says. “I don’t even know her name, but I credit her with saving my life!” Michele recommends Healthline to everyone she knows. “It’s helpful to have someone to call who will listen and offer guidance. The Healthline nurses are so patient and kind. They have real concern for patients—they’ll even call back to check how things are going. “Healthline is my ﬁrst call when one of us has a health issue, even before the doctor’s ofﬁce!”

To register for an Evergreen health class, get a referral to a specialist, or ask about symptoms without scheduling a doctor’s visit, there’s one place to call—Evergreen Healthline. These services and more are available 24 hours per day to help the residents of Evergreen’s hospital district.

Northshore Senior Center Evergreen Partnership Provides Health and Wellness Programs

2010 By the Numbers

Full-time social workers on staff to help members with social services, education, referrals, or interventions

Donzetta Drumheller: Keeping Her Balance Donzetta Drumheller loves everything about Northshore Senior Center. The health classes, the rehab facility, and the sense of community you see in the coffee room or on Tuesday afternoons, otherwise known as Northshore’s “pie day.” Donzetta had a triple bypass more than five years ago, and after doing rehab at Evergreen, she came to Northshore to continue it. “The rehab program brought me to Northshore,” she says, “But what really drew me in were the ‘Grandma’s Attic’ antique sales!” It’s the sense of community that keeps Donzetta, 76, trying different classes and activities at Northshore. “They have more things than I can work into my schedule!” she quips. One class that has had a big impact on Donzetta is Living Well with Chronic Disease. The class is for anyone managing a chronic condition, and for Donzetta, who manages diabetes, asthma, and a cardiac condition, it has been very helpful in learning to cope with her health issues. “The chronic disease class showed me I’m not alone, that I’m still able to do things,” says Donzetta, “even if I have to skip the pie.”

What Donzetta appreciates most about Living Well with Chronic Disease is that, in addition to formal instruction, participants can ask questions and share their own tips for coping with conditions. “I’m not bashful—I’m willing to ask a question for myself or someone else,” says Donzetta. “I have knowledge that can help others, and they help me. I think everybody takes something away from the class.” Another favorite class is Matter of Balance, which has enabled Donzetta to strengthen her sense of balance and learn how to prevent falls. In fact, she enjoys the class so much that she’s taking it a second time and encouraging others to try it out. “This senior center is a lifesaver for a lot of people,” says Donzetta. “I have a friend who needs to come take Matter of Balance because she’s had falls. I’ve dropped hints, but maybe I need to entice her—I’ll tell her they have pie!”

466

Evergreen program participants

Northshore Senior Center, one of the country’s largest, serves seniors and caregivers with a wellness center, adult day care, and hundreds of activities and educational opportunities. Through a partnership between Evergreen Healthcare and Northshore, the center’s members can participate in many of Evergreen’s health and wellness programs, including: • Evergreen Enhance Wellness, one-on-one counseling and goal setting to help seniors maintain control of their lives • Program to Encourage Active, Rewarding Lives for Seniors (PEARLS), a depression self-management program • Powerful Tools for Caregivers, a six-week program that emphasizes self-care caregiver situation management • Matter of Balance, an education and exercise program designed to increase strength and decrease the risk of falls • Living Well with Chronic Conditions, a program to help seniors learn to cope with chronic health problems • Support groups, facilitated by trained staff, including diabetes, Parkinson’s disease, and depression.

Diabetes Education Creating a More Informed Community

2010 By the Numbers

10 102 625

Age of Evergreen’s diabetes education program

Diabetes self-management classes

Patients who attended diabetes self-management classes

669

Patients who consulted with a registered nurse and dietitian

309

Attendance at community classes

Diabetes is becoming more prevalent in our society with no end in sight to the increase in patients diagnosed with the disease. That makes Evergreen’s diabetes education programs critical to a growing segment of our community. “As diabetes becomes more common, our goal with Evergreen diabetes education is to create a more informed community with regard to this disease,” says Vickie Ravenscroft, manager, Disease Management and Diabetes Center. Evergreen’s outpatient diabetes education program helps patients control their diabetes through lifestyle changes and family and community support. The program offers all the tools diabetics and caregivers need to understand and effectively manage the condition, helping patients live a long and healthy life with diabetes. Evergreen’s program follows the American Diabetes Association curriculum, led by an interdisciplinary team of certified diabetes educators (nurses and nutritionists), experts, and patient advocates. The program includes one hour of individual health consultation and/or nutritional counseling and nine hours of diabetes self-management education. Group classes cover diabetes fundamentals, understanding carbohydrates and blood glucose, medications, nutrition, exercise, glucose meters and insulin pumps, foot and eye care, and strategies for managing diabetes. The diabetes support group gives patients and caregivers a forum for sharing information and keeping up-to-date on treatment guidelines. Evergreen also offers community diabetes classes in partnership with Evergreen Community Health Education at senior centers and retirement homes.

Arnie Somers: Patient Advocate Arnie Somers became a diabetes patient advocate because he knows how important education is in managing the disease. In 2008, Arnie went to Evergreen for colon surgery. In the process, his doctors discovered and diagnosed his diabetes. “Who knows how long I was walking around with diabetes without knowing the ramifications?” Arnie asks. “I took the bull by the horns in learning about and managing my disease.” Now Arnie is part of the entire spectrum of diabetes education at Evergreen. A past education series participant, he attends the support group, became a patient advocate to encourage others, and was invited by Evergreen staff to join the Diabetes Steering Committee to improve hospital processes. Arnie has put what he learned into practice and enjoys sharing his experience with newly diagnosed diabetics.

Arnie is also a fan of the diabetes support group, having seen first-hand how valuable it is for keeping current on medical information and sharing tools and tips for coping with diabetes. “The classes and support group are not only for the diabetic,” Arnie says. “Diabetes is a disease that affects the whole family.” “With diabetes, the patient owns the disease,” Arnie says. “So the more you know, the better off you are.” Arnie, 66, lives in a community in Redmond for residents 55 and over and sees the increasing number of senior diabetics. Whenever he hears that someone has been diagnosed with diabetes, he lets that person know about the tools and support offered at Evergreen. “I’m retired, so now it’s time to give back and help others,” says Arnie. “I want to help other diabetics help themselves through education.”

“Lifestyle education is very important for a diabetic,” he says. “The Evergreen classes teach you what diabetes is and how it affects you. You learn about carbs and sugar and the science behind them. You learn to balance your nutrition without being deprived.”

Evergreen Care Network Connecting Those in Need with Needed Services

Jacque Saenz: Determined to Find Another Way Determination paid off for Jacque Saenz when she got the physical therapy help she needed from Evergreen therapist Laura Kerns (right) through the Evergreen Care Network. After years of working hard labor jobs— railroad, construction, welding—and rearing three children on her own, Jacque was nothing if not determined. And that determination served her well when it came to taking care of her health last year. Rotator cuff tears in her shoulder—the result of two different falls within a month— necessitated physical therapy because Jacque struggled to perform even basic daily functions. “I could barely lift my arm, which was making it hard to change clothes or even eat at times,” Jacque says. She began receiving physical therapy at a downtown Seattle hospital. But with only Medicare for medical coverage, no Part D, and nearly $50 a week in gas and parking, Jacque couldn’t afford to continue. She wasn’t going to give up, though. She decided to call Evergreen to see if she could get help. She was immediately connected with Evergreen Information & Assistance, a program of the Evergreen Care Network. “You never know until you ask so I knew I had nothing to lose,” Jacque says. “I was just determined to find another way.” She found that she had everything to gain. She qualified for Evergreen’s charity care, which now covers the 20 percent that Medicare doesn’t for her therapy. Evergreen Information & Assistance also helped Jacque apply for a pharmaceutical assistance program to receive free medications. And, just as important, she was connected to an Evergreen primary care physician much closer to home. “I don’t have to drive all the way into Seattle anymore,” she says. “It’s much more convenient, and everyone’s just been wonderful to me.”

An elderly man needs help signing up for Medicare; a woman has no transportation to her weekly physical therapy appointments; a young mom-tobe is in need of baby clothes. Whatever the need, the Evergreen Care Network connects eligible King County community members with the health and human services they need—help that is vitally important because today’s social needs often encompass multiple issues. The Evergreen Care Network includes several key programs: • Evergreen Information & Assistance provides information and referrals for a variety of community resources, such as health care, mental health, elder care, domestic violence, transportation, and housing. • Case Management handles complex cases and employs social workers to assess individual needs and provide ongoing assistance with managing daily activities for those without adequate family or other support. • The King County Respite Program offers information on respite options that allow caregivers time off by providing temporary care at home or in an adult day care setting.

2010 By the Numbers

3,960 479 170 45

Phone calls

Office visits

People referred to Case Management services

Caregivers participating in the King County Respite Program

Emergency Preparedness at Evergreen a “Best Practice”

While we hope we never have to use our emergency preparedness plan, we know, after the natural disasters that have gripped the nation in recent years, that the failure to plan only increases destruction and the death toll. That’s why we decided to expand Evergreen’s plan, and our efforts over the last two years have led to our emergency preparedness program being named a “Best Practice” by the Joint Commission, an independent, non-profit accreditation organization for healthcare institutions. Key accomplishments include: • Purchase and installation of LiveProcess incident management system. In the event of a community crisis, LiveProcess serves as a virtual command center that provides instantaneous updates to key responders (fire, police, EMT, city, hospital) and ensures proper delegation of responsibilities to avoid duplication or gaps in service. In an emergency, Evergreen will extend the use of its system to the City of Kirkland. • Training for Kirkland’s top 45 emergency preparedness leaders. Evergreen and its community partners from the City of Kirkland, including fire, police, and emergency management, participated in an intense, week-long Disaster Leadership Training in 2010 at the Noble Training Center in Anniston, Alabama. • Hazard Vulnerability Analyses. Hazard vulnerability analyses of each Evergreen facility identified potential organizational threats and the necessary steps to reduce those threats. • H1N1 Surge Unit and Supplies. After the widespread threat of H1N1 in 2009, Evergreen outfitted a surge unit—complete with patient privacy screens and mobile medication carts—and supplies, such as surgical masks, full facepiece respirators, and powered air respirators.

Our Community Partner: Stephanie Day of Kirkland Because a hospital is the focal point of a community’s response effort during a disaster, “critical planning, purchases, and training must be accomplished before the next emergency arises. Once it arrives, it’s too late,” says Barb Jensen, trauma and emergency preparedness program manager. “Our community expects us to be ready. If we’re not, it will ultimately hamper the ability of EMT, ﬁre, and police to respond effectively and efﬁciently.” That’s why Evergreen gathered its closest community partners in Kirkland for intensive, hands-on training at the Noble Training Center in Anniston, Alabama, the nation’s leading training facility for health and medical responders in disasters (including acts of terrorism, manmade disasters, and natural disasters). “It was really eye-opening for all involved,” says Stephanie Day, emergency preparedness coordinator, City of Kirkland. “It helped us to better understand what a hospital faces in the midst of a disaster and how we can all work together to respond more quickly and effectively and ultimately mitigate loss and greater risk.”

Through the training, the community team was able to assess its joint resources, including gaps, and develop a thorough understanding of each partner’s role and current operating structure. Additionally, the team worked through numerous problems that can occur, such as loss of technology, trafﬁc roadblocks or jams, and miscommunication. By learning and understanding Evergreen’s internal response plan, members of Kirkland’s Ofﬁce of Emergency Management were able to adjust their plans to better coordinate emergency resources, reduce response time, and, ultimately, save lives. “We now have more awareness of Evergreen’s potential needs and unique challenges and are better prepared as a result,” says Day. All of that preparation really revolves around protecting the community. “We want to serve as many as possible. That means we need to be able to respond quickly and stay open and care for those coming through our doors,” Jensen says. “All the preparation we put into this—not to mention the levy funds allocated to it—are aimed at taking care of our community at the worst possible time.”

15 15

Community Advisors Help Shape the Future of Evergreen

2010 By the Numbers

39 1984 3

Number of advisors

Date started

Term length in years

Steve Maffett: Sharing Stories to Build Relationships

Nancy Remak: Eyes and Ears of the Community

Steve Maffett, a vice president and commercial loan officer at Columbia Bank, says he has heard and shared stories of extraordinary care and service along with stories of what he calls “constructive criticism.”

Nancy Remak, who has been an Evergreen Community Advisor since 1991, sees the role of advisors as being the “eyes and ears of the community” for Evergreen and specifically for Evergreen’s CEO, senior executives, and elected Board of Commissioners, Evergreen’s governing body.

“A good friend finally got pregnant after years of trying but lost the baby,” says Steve. She received “unbelievably good” care at Evergreen, but “there was nothing they could have done. The compassion, the personal touches, the whole experience, though, were incredible,” Steve adds. Steve also shares what he calls “constructive criticism” with the Board of Commissioners and hospital to improve its service. “My coworker went into the emergency room (ER), got checked in, very professionally, but felt she waited too long before someone saw her and assisted her.” Steve shared that story with the head of the Emergency Department who understood and said improving those issues were top goals of the department. As the representative of Sammamish, Steve sees telling those stories as his most important role as a Community Advisor. “Everything I do has this common theme, and that is the relationship with other people. That’s a special passion of mine,” says Steve.

“I really believe that the Commissioners value what the community is thinking and what our needs are,” says Nancy. Conversely, Community Advisors also act as “ambassadors from the Commissioners and Evergreen back to the community.” Nancy sees her ambassador role with friends, neighbors, and members of her other volunteer organizations as “educating as many people as possible about what Evergreen has to offer. The campus is absolutely fantastic. It has cutting-edge technology, but I think the quality of the care has been there from the beginning.” One advantage of long service like hers as a Community Advisor, says Nancy, is “a continuity of vision. I don’t feel things have really changed that much, even through three CEOs, in terms of what Evergreen is all about.”

At Evergreen, when we want to know how to shape our programs and facilities and even the way we do business to be responsive to our communities, we only have to turn to the members of the Community Advisors, unpaid volunteers who give their time and service to the residents of Public Hospital District No. 2. Community Advisors have played a large role in being the “voice of the patient and the community” in how we register patients for surgery, how we design our website, even how a waiting room should look, says Laurene Burton, Administrative Director, Governance and Community Affairs. One of the group’s most recent contributions was providing input for the design of the DeYoung Pavilion, which houses the Evergreen Neuroscience Institute. Representatives from the Community Advisors and the Patient Advisory Board were consulted in all decision making about the building, right down to the colors. “It’s not too much to say that our Community Advisors have shaped the future of Evergreen,” Burton says, and have done so for the last 27 years. In fact, the State of Washington has recognized the group’s effectiveness by naming Evergreen’s Community Advisors a “best practice” for connecting a hospital to its community. The Community Advisors’ 39 members are appointed by Evergreen’s Board of Commissioners to represent each community in King County Public Hospital District No. 2. Successful candidates who apply for and then are named to the position are appointed to threeyear terms and may serve successive terms, giving the Community Advisors strong continuity. It is not unusual for a Community Advisor to then go on to serve as a member of the Board of Commissioners. The Community Advisors meet monthly for educational sessions with Evergreen staff, and members serve on various other hospital committees, including the Board Quality Committee and Evergreen’s Ethics Committee.

The Evergreen Healthcare Foundation Chair and Executive Director’s Letter

Dear Friends of Evergreen Healthcare, It is our great pleasure to present a few of the many highlights of 2010 for the Evergreen Healthcare Foundation. We are incredibly proud of our fundraising efforts to support the work of Evergreen Hospital Medical Center, enabling us, by working together, to continue to enrich the health and well-being of every life we touch.

Kae Peterson Executive Director Evergreen Healthcare Foundation

Teddy Overleese Board Chair Evergreen Healthcare Foundation

The Evergreen Healthcare Foundation is a nonprofit organization focused on expanding and enhancing the top-tier healthcare already provided by Evergreen Hospital. We rely on donated gifts from community individuals, corporations, associations, and other foundations in order to provide crucial hospital services, programs, equipment, and facilities that make Evergreen the Eastside’s premier hospital.

So as we celebrate Evergreen’s achievements in 2010, we look forward to the future of promises kept for the care of our community. Thank you to everyone who has given leadership, vision, and generosity in support of Evergreen. It is our pleasure to serve you, and we send our very best wishes for your good health.

In an economic climate that continued to create a challenging year for fundraising, the Foundation hosted a very successful 2010 Evergreen Gala last May, raising $850,000 to benefit Evergreen’s Cardiovascular Services. The second annual Seasons of Hope Luncheon, held in November, was also a great success. This very special event saw 320 guests gather together to support Evergreen’s Hospice and Palliative Care Programs and Services, which includes program support, volunteer training, and uncompensated care and patient emergency needs.

With Warmest Regards,

Teddy Overleese Board Chair Evergreen Healthcare Foundation

Kae Peterson Executive Director Evergreen Healthcare Foundation

In the fall, 600 Evergreen staff, physicians, and volunteers participated in the Campaign for Evergreen—a joint internal fundraising campaign to benefit both Evergreen Hospital Medical Center and the United Way of King County.

19 17

Donor/Volunteer Proﬁle

The Snepp Family: Grit and Constancy in the Face of Death When Dave Snepp was diagnosed at twentythree with medullary thyroid cancer, rare and deadly, he embraced and included his entire family—his parents, Sue and Karl, and his younger sister, Karen—in the decisions he made about his life and treatment. When his parents talk about Dave, they do not use words such as “courage,” “strength,” or “character.” They don’t need to. Dave’s great heart and a spirit to match are abundantly clear. During Dave’s nine-year journey with cancer, he maintained his active and purposeful life, working in commercial jetliner wing design and enjoying his hobbies—photography and biking in the Paciﬁc Northwest that had become his home. In those years, though, Dave also had two major surgeries, radiation treatment, and chemotherapy. Karl, Sue, and Karen helped Dave research medical developments and arrange consultations. They were, Karl has written, his staff. The picture that emerges of Dave’s life and death reveals a deeply thoughtful, caring family with remarkable grit and constancy. The same could be said of the Evergreen palliative and hospice care providers who assisted Dave and

20 18

his family in the last months of his life, when Sue moved in with him so he could stay at home. Dave’s care providers came regularly to help Sue care for her son. “Looking back,” Karl has written, “I marvel at how adept they all were at meeting our needs as parents without compromising any of their professional obligations to Dave.” Because of his family’s commitment and the care from his providers, Dave never had to leave his apartment—his own surroundings, Sue says. And because Dave’s family had been so well prepared by his providers to undertake his end-of-life care, Dave died at the end of a Memorial Day weekend at home surrounded only by his family. The same deeply thoughtful, caring steadfastness so apparent in Dave and his family imbues the legacy Karl and Sue have built in honor of their son. They know well the toll such a death takes not only on families but also on care providers and so, characteristically, have sought to help all those who must confront such tragedies. The Dave Snepp Fund for Professional Development provides the means for Evergreen to conduct workshops, retreats, and lectures from

other experts in hospice and palliative care to help Evergreen’s staff continue to provide to others the kind of care the Snepps received and to help Evergreen providers take care of themselves in the midst of the demands their dedication to their patients exact. The Snepps also honor Dave’s legacy by helping to organize and plan fundraising events for Evergreen’s Hospice and Palliative Care Services and have spent many years volunteering for The Compassionate Friends, a self-help bereavement organization for families who have had a child of any age die. The Snepps hope that knowledge of and access to the choices families can have when supported by hospice care will continue to grow. They also hope those who are suffering the death of a child know members of The Compassionate Friends are there, Sue and Karl among them.

Evergreen Healthcare Foundation 2010 Financial Report

CONTRIBUTIONS BY SOURCE

FUND DISTRIBUTION

BALANCE SHEET

ASSETS

Current Assets

$4,659,809

Investments

$1,648,806

Noncurrent Assets Total Assets

$120,029 $6,428,644

LIABILITIES & NET ASSETS

Accounts Payable

Individual Donors

Corporations Associations/ Organizations

Foundations Individual/ Family Trusts

43.73 % 31.92 % 13.39 % 10.85 % 0.11 %

Evergreen Fund

Hospice and Palliative Care

Patient Care Fund

Patient and Family Needs Fund

Cancer Program Fund

Other

42.72 % 34.62 % 15.53 % 4.36 % 2.06 % 0.71 %

Accrued Expenses Net Assets Total Liabilities

$331,088 $0 $6,097,556 $6,428,644

Evergreen Healthcare Foundation—2010 Donors Thank you to the individuals, families, foundations and businesses who supported Evergreen in 2010. Your generosity in giving to the Evergreen Healthcare Foundation is essential in helping to maintain the breadth and excellence of services at our hospital, community clinics and outreach programs.

Benefactors ($25,000+) Cathy Boshaw and Doug Edlund Cascade Cancer Center Jeff and Sharon Clark Al and Donna DeYoung Stella DeYoung Evergreen Medical Staff Dennis and Patricia Foster Grand Chapter of Washington: Order of the Eastern Star Elling and Barbara Halvorson Howard S. Wright Constructors, LP KeyBank Kirkland Concours d’Elegance Livengood, Fitzgerald & Alskog, PLLC Byron and Alice Lockwood Foundation The Anderson Foundation The Norcliffe Foundation United Way of King County Sustainers ($10,000-$24,999) CB Richard Ellis Alison and John Corby Cymetrix Majdi and Dana Daher Davis Wright Tremaine, LLP Denali Advanced Integration Evergreen Emergency Services Evergreen Surgery Center, LLC Evergreen Surgical Clinic— Proliance Surgeons, Inc. Bob and Shirley Ferguson First Choice Health Network Michael and Mary Kay Hallman Clifford H. Hersman and Victoria Serles Dr. Michael and Kayoko Hunter Auggie and Sally Jo Kempf David W. and Doreen Keyes Keyes Foundation Sue and Bob Malte Tim K. Matson MedData, Inc. Merchants Credit Association Orthopedics International, Ltd. Payden & Rygel Investment Management Point B Solutions Group, LLP Radia Renton Collections, Inc. The Safeway Foundation

Sidne Schaake The Schaake Family Charitable Foundation Dr. Lloyd Stambaugh and Dr. Maria Chong Dr. Eric Taylor and Ms. Sheena Aebig Transamerica Foundation Wells Fargo Foundation

Turner Construction United Collection Service, Inc. Morey Wetherald Williams & Williams, PSC Woodinville Pediatrics Dr. and Mrs. Harry H. Yu

Sponsors ($5,000-$9,999)

American Medical Systems, Inc. Anonymous (2) api software, inc. Dr. Kathryn L. Arendt and Stephen Griego Dee Aust and Brian Aust AWB Agency Services Victor and Ann Bahna Baldwin Resource Group, Inc. Jeff and Mary Bander Terri L. Bardsley Barton Family Funeral Service Sarmila Basu Bob and Cathy Betz Pastor Naomi and Bruce Blake Robert and Mary Blanchard Jody Bonner Don and Meg Briggs Lawrence T. Brighton Chuck Brockway and Vicky Nollette Dr. and Mrs. James D. Brown Elizabeth M. Bruno, RN John Bullwinkel Richard C. Carlsen Dr. Kara L. Carlson Dr. and Mrs. Roger F. Carlson Calvin Chambers Dr. Stephen J. and Laurel M. Chentow May and Don Chin Cingular Wireless Matching Gift Center Citi Global Impact Funding Trust, Inc. City of Kirkland Kelly and Tammy Clinch Dr. James S. Colquhoun Combined Federal Campaign: King County Dr. and Mrs. Steven N. Connelly Linda K. Cooper John and Janine Corrado Dr. Sharon and Gregory Courlas Bill E. Covin and Patsy Covin Curtis and Sarah Cox Robert and Gail Cranmer Nicolas A. Daluiso David and Karen Danielson Chris Desautelle Lucy DeYoung Diageo Market

Aegis Living Anonymous Barclay Dean, Inc. Boeing Employees Community Fund Steven and Mary Brown Center for Women’s Health at Evergreen Cerner Corporation CIGNA Healthcare Copiers Northwest Inc. Costco Wholesale Crane Fund for Widows and Children David & Caroline H. Sizer Living Trust Eastside Cardiology Associates Eastside Pathology, Inc. Evergreen Women’s Health Center Brenda Halvorson and Mark Rex Richard and Christina Harris Dr. and Mrs. Wayne L. Hill Brett Johnson Richard and Norma Lahanier Lee Johnson Chevrolet Mazda KIA Steve and Janet Mara Marsh Kevin and Diane Martineau Matrix Anesthesia— Evergreen Division MedAssets Mercer Dr. and Mrs. James G. Mhyre Oppenheimer Funds Legacy Program Outreach Services Pediatrix and Obstetrix Medical Group Pillar Data Systems Dr. Susan Kupferman and Mike Raskin Dr. Gregory Roeben and Susan F. Raunig Robert and Judith Rosso Rural/Metro Ambulance Bob and Amy Sarkie David Sizer Louis Soreano Sparling, Inc. Spheris Synergy Construction, Inc.

Advocates ($1,000-$4,999)

Dr. John W. Drake Mike and JoAnn Dunne George and Brooke Edlund Eli Lilly and Company Estate of Anna F. Gasslander The Estate of Katherine M. Olsen Estate of Sonya Anderson Ethicon Products Evalyn O. Flory Foundation Thomas and Alison Evert Guy Farmer and Family Dr. and Mrs. Kenneth D. Faw Dr. Geoffrey Ferguson James S. and Barbara L. Fitzgerald William A. Fitzhugh Susi and Greg Fletcher Ruth Forhan Steven Gallagher and Pat Molnar Dr. and Mrs. Archimedes D. Garbes Katharyn A. Gerlich Kathleen and Brian Gilles Michelle and Andy Goerdel Don and Roe Jean Grant George T. Grubb Julie Hagglund Kent and Suzie Halvorson Cecile E. Haw Health Industry Technology, LLC Mel and Cherie Hester Dorothy Hinds Drs. Jennifer and Nathan Hines Rebecca & Thomas Hirt Robert Homchick Carol Hooper Christine Hughes Dr. and Mrs. Stephen G. Hyde David and Becky Johnson Ginny Johnson in Memory of Lee Johnson Dr. Larisa A. Kaukonen Brian and Jill Kenkman Theresa Kirkpatrick Betty R. Klineburger The Kramer Group Lynn LaBoda Larry Benaroya Family Foundation Mark and Rae Lembersky Gloria and Tom Leonidas Jr. Drs. David and Laurin Likosky Jeff and Alodie Loney Donna and Preston Lyon David and Jeanne Markley Dr. Nancy A. Marshall Tom and Tami Martin Martin, Bircher, Buller & Flynn, PC Nancy McCormick Patrick and Leslie McFarlan Mary K. McIntyre, Esq. and Lee M. Barns, Esq.

McKesson Automation, Inc. Donna and Jim Minahan MLS technologies, Inc. Modern Medical Systems Company, Inc. Barrett Monsaas Mary Jim Montgomery Holly and Mick Moore Dick and NyAnne Morgan Thomas G. and Susan C. Mormino Kathleen A. Muehlbauer Cheryl Nail, RN, MN National MS Society Greater WA Chapter Mr. and Mrs. Michael Nelson Tom Newbourne Nintendo of America, Inc. Novartis Ella Nuckolls JeanAnn S. O’Brien John and Teddy L. Overleese Dr. and Mrs. Ryan Padgett Dr. and Mrs. Ettore Palazzo Linda L. Pankow The Rick Pankow Foundation Kae and Tom Peterson Lubomir Petrovich Dr. and Mrs. Charles A. Pilcher Sandra Pineros William and Deborah Reffett Regence Blue Shield Dr. and Mrs. Francis X. Riedo Frances A. Simperman, Anya Stutz and Paul Rogers Dr. and Mrs. Jeffrey Roh The Sabbatino Family Funding Trust Marisol Samphire George and Suzanne Santino The Schuler Family Foundation The Schwab Fund for Charitable Giving Joanne and Michael Scott Gwen Shinneman Chris and Alex Simons SKB Architects Dr. Mary E. Skrypzak Polly S. Slater Karl and Sue Snepp Kathleen Stahl Dean and Christine Stensby Steve’s Custom Cars Larry and Pamela Stewart Dr. Scott and Rebecca A. Stuart Megan I. and Mark Sweeters Paul and Kay Talbott Helen and Martin Tarvydas Jeanna L. Taylor, RN

Gifford E. Thomas Janet Thorson-Mador Three Rivers Entertainment and Production Thurston Charitable Foundation Cherry L. Tinker Dr. and Mrs. Jeffrey J. Tomlin Ralph J. Torchia Quentin “Bing” W. Torpin Jamie and Beth Trigg Dr. and Mrs. Joseph E. Turner USWEST Foundation Glenn Vail John and Elizabeth Weaver Sherrye and Ron Webster Hope Wechkin and Christopher Shainin Dr. Mitch B. Weinberg Bill and Betty Williams Rick and Karen Wirthlin Chrissy and Eric Yamada Dave and Barbara Young Robert Zimmerman Partners ($500-$999) Dr. Julie Adam and Thomas Boriotti William and Donna Addison Alaska Distributors Co. Libby Allgood Brent Anderson Angelo Foundation Gregg and Kirsten Aoyama Gwynn Marie and Butch Aranas Dr. Elizabeth M. Arias Randall S. Asplund and Julie Ann Oiye Dr. Vernan Atienza Bank of America Matching Gifts Program Bank of America United Way Campaign Wilma E. Barstow, Janet L. Barstow-Vine, John Barstow and Ann Barstow Betty J. Baylor Michelle Beasley Dr. Brent Benjamin and Alejandra Tapia Nanette and Richard Bergdahl Ronald Besch Mary and Steven Biehn Black & White Design Jim and Mavis Board Donald J. Bodmer, Jr. John and Kimberly Bradley Craig and Jacqueline Brissey Karen K. Brumbaugh-Huber R. Scott and Karen Burger Susan E. Burnash Laurene H. and Steven F. Burton

Cardiac Science Corporation Jean Cassetta Samuel Chambers Charitable Gift Fund Dr. Angela Chien Russell and Claudia Christensen Jamie Clark Eugene C. Coan Conway Family Trust Anthony and Jenny Cowan Rebecca, Joann and David Crown, Judy Craver and Families Ann Crumpacker Harriet Dart and Family Charles and Janice Davis Dr. Steven M. and Tia R. Dawson Amish and Michelle Desai Robert and Sharon DeWolf John and Diane DeYoung Tara Douglas David Driscoll and Suzanne Hardison Tom Dykstra Bob and Virginia Eastman Dr. and Mrs. William Ericson, Jr Allicia and Neil R. Ferguson Rick and Jackie Finger Alan and April Fink Steve Fleming Gregory C. Fletcher Gary Fong and Shelley Groudan Frederick K. Bellmont Trust Mike and Lisa Gano Pat and Phil Garner Patricia Gladwell Jorge and Rosario Gonzalez Anonymous Commander Kurt X. Gores, NOAA (Ret) Beverly and John Graham Jan Gray Laurie and Gary Griff Sherry and David Grindeland Erin and Steve Guthrie Catherine M. Hadley, RN Shirlee and James Hall Janice and Nik Halladay Peggy and Kenneth Hamernik The Happily-Ever Crafters Michael Hartley Brian and Mary Hatch Dr. and Mrs. Patrick Heffron Carol Hinkley Alison Hodges Margo W. Hollenbeck, R.Ph. Dorothy J. Hood Paul and Alice Horii George and Carrie Hu Dr. Arthur Israel J & M Toso Construction, Inc. Del, Jane, Nate and Colton Jennings

Brett and Connie Johnson Terry and Michael Jorgenson Larry and Darla Jurgens Roger and Barbara Kemis Karen Ketner Key Foundation Susan M. and Robert C. Kingsley Kathi Kinsella, RN Evelyn and Robert Knetzger Ryan and Amanda Kozak Charles and Lori Kramer Don Kress Drs. Chris and Iwona Krol Stewart and Susan Kuehne Christa Laukaitis Dr. Dana L. Lawrence Jacquie Levine Ben Lindekugel David B. and Charlotte J. Lomet Gerry A. and Milton Lumpkin Scott and Robyn Lundberg Jeffrey Lyon and Shannon McCullough Margaret A. Bank Revocable Trust Richard E. Marshall Yvonne Martineau Mike and Anne McClure Roger and Ann McColley Mr. and Mrs. G. Dean McKee Donald J. and Wendy McNamara Bill and Colleen Meacham Greg Meckling Medtronic, Inc. Jeni L. Meissner Merck Partnership For Giving Donald D. and Trudy Moseng Pankaj Naik Dr. and Mrs. Ali J. Naini Don and Cathy Nelson Judith Newman NiSource Notkin Mechanical Engineers Nicholas and Betty Novak Mary K. and David R. O’Brien Kim and John Ospina Bobbie Overton, RN Dr. and Mrs. Raymond D. Park Dr. and Mrs. Philip J. Parsons Dennis and Martha Paul Mr. and Mrs. Richard W. Pershing Craig A. and Cassandra A. Peterson Ed and Shauna Rauzi Kerry and Frank Read Donald C. Redmon Reece Angell Rowe Architects

Mary and Jerry Reed Kenneth B. Reynolds Elizabeth Richardson Trish Rohner Dr. and Mrs. Jonathan E. Rosenthal Brenette Rundquist Safeway Employees’ Association Dr. and Mrs. Steven S. Sasaki Richard W. and Patricia L. Shinstrom Shannon Simms Sue Smiley Dr. Connie J. Smith Elsa Spicochi Barbara L. Steinberg and Craig Kasman Debra and Brian Stemmerman Stryker Gene and Ellen T. Stumpf Taco Time Rhonda and Brian’s Monday Night Group Jennifer and Bill Taylor Ermelinda M. Thomas George Thorbeck Ralph and Diane Trieselmann Vickie Trotter Dr. Gary Twiggs Van Vong David and Julie Wendleton William J. and Vivian A. West Michael and Sue Wilenzick The Arthur Wilk Family Alida Wilkes Kinnon W. Williams Lisa Wissner-Slivka Mark and Kristen Woodward Dr. Tony Yen and Traci Knutzen-Yen Paul and Cindy Zemann Bill and Beth Zollars FRIENDS ($250-$499) Sandra Adair, LPN C. Lester and Doris Alexander Judi Allen and Laird Philbrick Chuck and Libby Atkinson Victor A. Bagne Charles E. Balee, Jr. Theresa and Jon Barchenger Tara Barnes Gethen Bassett Katherine Batts Arlene Mae Bechtel Glen and Paula Beyer Richard O. Bienenfeld, D.D.S. Christen Bingaman Mitzi T. Brennan

Gary and Joanne Brenner Dr. Mitch Weinberg and Aimee Brice Lynn Brown, RN Dr. and Mrs. Ted Brown Wendy Brown Teri and Robert Brunswick Susan Burker Bruce Cable Bruce and Jo Caldwell Paul and Jan Caletti Larry and Susan Calkins Patricia Chalk Cheryl Chamberlin Yee Man Chan Stephanie Cheung Dr. Noel M. Chia Mr. and Mrs. Don N. Chin Mike Collins Cynthia Cross and the Carr Family Hongyue Dai Raymond Delger Marco and Tracy DeMiroz Don and Merrily Dicks Joanne Dieringer Mark and Karen DiRe Jacqueline Dooley Meda M. Duggan Katie and Andy Dujenski Susan Dunlap Eastside Glass Gail Erickson Marcie and Jason Faaborg Kelly Fay Dr. Lewis D. Fink Kris Fitting Jerra and Wayne Fjelstad Rick and Diane Fletcher Ford of Kirkland Lynley Fow Lucille and Linda Funk Tucker and Janette Garner Axumauijt and Abeyu Gebremariam Jeff and Wendy Gerbing Ken and Mary Anne Goldblatt Linda R. Goodwin Blanche Gordon Don and Jerri Gordon Diane A. Groendyke Andrew Gulick Roberta K. and Thomas Gurtowski Ruth Hall Stanton Hall Dr. John Halloran Larry W. and Sharon L. Hanks Trust Charlotte and Craig Hanson Carol Hawes Jack Heath Mark Honda Dr. Pen Hou Hub International Northwest, LLC Mr. and Mrs. George B. Hubmer

Nadine Hudson Katherine Hultquist Rick and Mary Hyatt Melissa and Joseph Irons Tara James Terry and Cherry Jarvis Joseph Jenkins Barb Jensen Teresa M. Johnston Robert L. Kaftan Pauline and Bruce Keefer Phyllis J. Keller John Kennedy Dianna Klineburger KMJ International, Inc. Jennifer French Knutson Rick Koch Bill and Kathie Kreager Ray and Constance Krontz Elizabeth Ann Kruse and William Drummond Janis Kulvinskas Daryl and Kathy Lambert Richard and Nora Larew Michelle and Kevin Latimer Erin LeVee Duncan and Rochelle Libby Danny and Irene Lim Bill Lozon M.W. Sutton Trucking Ben Maier Matrix Absence Management, Inc. Diane F. McArdel Linda McCloskey Garrett and Junko McGowan Marilyn and G. Dean McKee Mary Beth Menagh Metastorm, Inc. Connie Miller and Carol Leppa Virginia A. Miller Mr. and Mrs. James I. Mock, D.D.S. Kay Moore, RN N.D.E. Technology, Inc. Renee D. Navarre, RN Scott and Dana Neilson Ernest and Judith Norehad Donna M. Oiland Mutsuko M. Okada Lillian Otani Sheryl Pauk Fran and Marian Pedrizetti David and Gloria Peterson Jill Peterson Peter “Pete” Povick Stephen W. Price, P.A. Kathie Quiniola Geoff Quinn Sholine Ravensberg Vickie L. Ravenscroft, RN Rob Rees Bonnie Richter, MSW Pamela Riem Carla S. Rodschat and Peter J. Palamar Maureen Rogers

Rodney Russell Margaret Samuelson Bob and Lawson Sebris David J. and Joylyn Seeley David M. Shank Hilary and Patrice Simard Judy Simonelli Helen E. Smythe Nancy Spring-Bartholomew State of Washington Ofﬁce of State Treasurer Claire Stauffer Sterling Realty Organization Susan Strine Dawn Sullivan Mr. and Mrs. Matthew P. Sullivan Ralph Swanson Dr. Ken Takemura and Dr. Jill Williams Carol Taylor Jane Thirasawat Joyce Toledo Tina Trott Mr. and Mrs. Juan Ulloa VML Foundation Fred Waggoner Mr. and Mrs. Fred Weber Steve J. Weir Chris and Liz Whitcomb Jacquelyn S. White Karen Winger Kathy S. Wood Richard and Susan Wuhrman Karen M. Yaji, MSW TRIBUTES AND MEMORIALS Each year, many of our patients, along with family members and friends, make gifts to Evergreen to commemorate someone special. These funds directly support the services of the departments designated by the contributor or, for undesignated gifts, are used where the need is greatest. These individuals were honored or remembered by a gift to Evergreen. Cindy Aaltonen Dolores Abrams Jeff Adkinson Mina Afkhami Alice Aiken Marian Alcorn Donald Allan Rory Alley Dorothy Anderson Elaine Anderson Gary Anderson Orville Anderson

Evergreen Healthcare Foundation—2010 Donors Suzy Anderson-Jones Bill Andrews Francis Anstett Bill Arns Verna Asmussen Charles Baier Charlotte Bailie Mary Baird Charles Balee William Ball Eileen Bannon Frederick Barene Adam Barwinski Wayne Bechtal Arlene Bechtel Wayne Bechtel Roger Beck Jacquelyn Beeson Robert Bell Edwin Belling Gary Benson Terry Bergman Rita Bernstein Vivian Berschauer Randall Birkel Rudolf Bisenz Meagan Blazey Joyce Bolster Ruth Boone Zora Bowen Gloria Boyce Rena Braden Sue Bragg Earl Brashears Hildegard Brazelton Janet Bresler Daniel Brown John Brown Edward Bruegeman Carolyn Brune Joan Bryant Wheatleg Bucher Ban Yen Bullock William Bullock Jean Burgess Kenneth Burgess Letha Burns Laurene Burton Jess Butler Judith Byrne Harriett Callahan Ann Campbell Joyce Campbell Christine Carey Carl Cason Jeanne Cassady James Cawley Anne Chanel James Chapman Ross Chinn James Chong Asha Chopra Mary Christenson Lois Christie Colleen Clark William Clem Eunice Cochran Cathy Coleman Luella Colling Raymond Commet Emil, Berta and Alice Connell Joanne Cooper Paul Cordova John Cormana Irene Cosentino Emily Costanzo Connie Cottle Jim Coulter Jane Courtney Irene Cowing Robert Crane Charles Crapser Irene Crase Patti Creek

Benjamin Crossan David Cunningham Betty Daggett Geraldine Dally Juliana Davidson Beth Davies James Davies Laura Mae Davis Margaret Davis Carmen Debelio Leo DeDonato Sue Dermody Denise Dewey Cecil Dey Robert DeYoung Jack Dierdorff John Donovan Robert Dootson Thomas Doyle Kermit DuBois Homer Dyer Glenn Eaton Rosemary Eckmann William Edwards Leo Egan Kathy Egger Richard Eichner Albert Ellenbogen Carol Elliott Frank Emme Mertyl Ericson Bydell Ernst Consuelo Farmer Cleo Fellers Lewis Fisher Rosemary Fleischer Phil Forde Linda Fowler M. Frazier Robert Frazier Katherine Fritzinger Cheryl Frobenius Jessie Furth Mardell Gaddis Shirley Gaines Donald Gallert Dolores Gama Joe Gama William Garhart Shirlee Garratt Ben Gay Alan Gerard Leaine Gibson John Gillingham Brant Gittins David Glann Charles Gliva Ralph Goldman Michael Goodfried Linda Goodwin Douglas Gordon-Jorgeson Carol Gosnell Norman Gowin John Grafﬁus Genevieve Grandy Lawrence Gravel Dale Gredler Ronald Green Enrique Gryalva Jerald Hall Edith Hamar Helen Hampton Mildred Handlin Calvin Hanson Jacob Hanson Jerome Hanson Frank Harowicz Winnie Harris George Harsh Darlene Hart John Hart Terry Hatada Louise Haughey Ray Hawes Wade Hawkins

Helen Hay Edward Heck Ruth Hedreen Edie Henderson Janice Hersch Clyde Hertlein Aagot Hess Abel Hewitt Wanda Hohnstein Phyllis Hollingsworth Timothy Hoops Jill Hoover Ruth Horn Marian Hornsby Barbara Houghtelin Harold Houston Robert Howisey Brydon Hubbard Susan Hulick Robert Hunt Virginia Hunt Mary Hunter Beatrice Hutchings Ferrol Ivers Connie Iverson Wendell Jacobs Georgina Jaffe Georgina Jaffee Madeleine Jaillet Doris Jakubek Ruth Jansen Elmer Jarosky Frances Johansen Forrest Johnson Lee Johnson Milton Johnson Maudelle Jones Torben Jorgensen Philip Kahn Kito Kaneta Daniel Karpelman Nancy Kassell Bev Keenan Ed Keenholts Glenna Kellie Dorothy Kelly Silas Kendrick Barbara Kennedy Richard Kimball Elizabeth “Betty” Kimsey Dale Kimzey Ione Kimzey Eleanor Kiner Doris Kirk Fran Kirkland August Kleewein Rolf Klug Richard Kmen Mary Knapp Jane Knudtson Dr. Kohn Violet Kondo Ruth Kraszeski Marie Kruh Carol Kummet John Kunz Richard Kurt Kathy Kvalheim Dugan Lange Lou Lange Mary Lou Lange Helen Larsen Ada Larson Adele Lautenslager Gregory Lawrence John Lawrence Patricia LeBaron H. Lee Samuel Lee Virginia Maxine Leever Caroline Leuthold Lindsay Libby Herbert Liebenson William Liles Douglas Lindsay

Irene Lo Frederick Lockyear Hannah Loeb Millard Lord John Lundquist Betty Lyman Byron Lyon Calvin MacDonald William MacHam Donald Mackey Erling Madsen Ralph Maertens Elmer Magnussen Kelly Malmgren Joseph Manley James Marenakos Daniel Marks Pat Marshall James Martin Jerry Martin Madeleine Martin Lester Martinson Betty Mathews Robert McAlpine Clarene McCarthy Shirley McCarty Carmen McDowell Daniel McKay Beula McKinsky Patrick McLaughlin Nicole McLoughlin Donna McMackin Mark McNulty Rory Meagher Metcaf Alene Miller Evelyn Miller Marvin Miller John Milner Bernie Milton Polly Milton Finnis Mitchell Lorraine Mitchell Robert Mitchell Bette Mocker Ralph Mocker LaVerne Moen Gene Mohr George Molnar Edward Monnot Maxine Montgomery Ward Morse Joanne Muir Richard Murray Peggy Nail Ali Naini Keith Nelson Mike Nelson Elden Nenstiel Joe Neveril Albert Nevin Steve Newman Colleen Newton Ronald Nistler Harold Nordwall Nicholas Novak Douglas Obert Donna Oiland Shizuka Okazaki Donald Olson Iver Olson Shirley O’Neil Lil O’Neill Greta Oprea David Otteni Kathleen Otto Joanne Pahinui Laurena Palkowski Colin Pallemaerts Pete Palmer Roberta Paola Lillian Patricio Elaine Peck Pamela Peebles Robert Peek

Caroline Pehling Al Perella Rose Perella Dorothy Peterson Howard Peterson Lillian Petricio James Petritz Chad Pierce Linda Plato Erna Poliak Elmer Pollack Christina Popchoi Joseph Porter Anthony Primozich Alexandra Prokopiof Ronald Pruett Elizabeth Purdom William Quillinan William Ramsey Florence Rapuano Constance Rasch Jerry Reber Lisa Rector Chris Reese Bonnie Regelein Arlene Regis Edward Reid Lucille Reiniger Adele Reynolds Michele Reynolds Pamela Reynolds Marie Rhodes Roger Richter Melvin Riel Burton Ritz Dorothy Roberts Ellen Romano Cappy Rooks Denton Rose Mary Ross Judith Rosso James Roush Norman Routh Caples Runnels Helen Ruskowski Cheryl Rutan Carla Rutz Maxine Ryan Benito Sabbatino Ben Sakai Kazue Sakamoto Jacqueline Sanders Harry Sanford Harry & Sanford Martha Sanford Matea Sapida Jessie Satter Mary Schipper Mary Schneider Pauline Schneider Herb Schock Patricia Schoonover James Schroeder Patricia Schultz Kay Schunk Alan Schy Norman Seelye Evelyn Seibert John Sekreta Kenneth and Dorothy Shelley Dianna Shepherd Mildred Shields Bernadene Siggstedt Vincent Simian Clint Simmons Christopher Simons Clarissa Sirles Alvin Smith Carlene Smith John Smith Lawrence Smith Monna Smith Nancy Smith Dave Snepp

Karl Snepp JaRon Snow Lillian South Ken Spietz Richard Springer Olive Staats Benita Stafford-Smith Suellen Stalford Juanita Stansberry Trudy Start Mary Ann Steeley Margaret Stern Todd Still Carl Stoecker Marilyn Stoeser Jean Strand Tom Stratman Klara Studer Gail Stulberg John Suge Doris Sullivan Xiulan Suo Anitha Suwandi Felix Szemplenski Bryan Thielke Martin Thieme Walter Thompson Verlee Thorpe Gregg Tinker Lillian Tomlin Linda Torchia Quentin Torpin Lois Townsend John Tracy Timothy Tracy Swend Trefethen John Tripp Don Trotter Trunk John Turnquist Byron Urbanick Deborah Vaden May Van Alstine Dorothy Vaughn Mary Vaughn Gladyce Vautherine Ellen Vieg Robert Volz Takeo Wagatsuma Thaine Wagoner Chester Wainhouse William Walker Jack Wallace Jessie Wallace Janet Wanink Fern Washburn Arthur Watanabe Richard Watson Evelyn Watts Franklyn Watts Deana Weitzel John Welsh Jacqueline White Leslie Whitson Priscilla Wiest Vera Willet Bernice Williamson Harry Wilson J. V. Wilson James Victor Wilson Thomas Wishart Hilda Wolf JoMae Woods Tom and Hilda Woods Florence Worley Donna Wright Dorothy Youngs Ronald Zarelli

Gifts-in-Kind A diverse group of individuals, organizations and businesses gave generously to the Evergreen Healthcare Foundation through in-kind donations and gifts. Our thanks to all of those who gave in-kind donations in 2010 to help support the Evergreen Healthcare Foundation. Acapulco Fresh Mexican Grill John W. S. Acheson, III and Dr. Lorraine Robertson Advent Print Resources Alderbrook Resort and Spa Anonymous (2) Argosy Cruises Asset Management Strategies, Inc. Jeff and Mary Bander Barclay Dean, Inc. The Bardessono Bear Creek Country Club Bellevue Arts Museum Martin Benning and Emily Garner Nanette and Richard Bergdahl Betz Family Winery Bis on Main David and Liesl Bohan Brian Carter Cellars Brix Wine Cafe Carolyn Brock Cactus in Kirkland Cafe Veloce Cafes, Inc. Jim and Lynda Calder Campbell’s: A Resort on Lake Chelan The Carlton Inn at Totem Lake The Catering Company Catering Gourmet Chateau Ste. Michelle Marilyn Chatten Dale and Leslie Chihuly The Children’s Museum Terry Christianson The City of Redmond Fire Department Jeff and Sharon Clark Club Zum Continental Airlines Corporate Express

Majdi and Dana Daher Steven A. Davis, O.D. DeLille Cellars Denali Advanced Integration Al and Donna DeYoung Lucy DeYoung Mary and Stephen Diederichs Dog Gone Sisters Duke’s Chowder House Dynamic Designs Jewelry Earth, Sea and Sky Vacations Evergreen Laboratory Evergreen Marketing and Communications Department Evergreen Patient Registration, Patient Financial & Revenue Services Evergreen Postpartum Outpatient Services Evergreen Emergency Department Eliot’s Flower & Garden, LLC Elizabeth & Alexander’s English Tea Room Christie and Tom Elliott Evergreen Anticoagulation Clinic Evergreen Escapes Evergreen Healthline Evergreen Medical Group Sammamish Staff Evergreen Medical Staff Evergreen Planning and Marketing Department Evergreen Post Anesthesia Department The Fairmont Olympic Hotel Family Fun Center Fastframe Kathy and Jim Feek Bob and Shirley Ferguson Nancy Fiala Sharon and Maury Floathe Thomas and Debra Franklin Michael L. Friedline and Vicki Young Fury—Extraordinary Consignment Ruth Galos Steven R. Gay, Sr. Gene Juarez Salons & Spas Ann Graham Greater Kirkland Chamber of Commerce

The Green Car Company Scott W. Steedman, D.D.S. and Jeanne Hall Steedman Diana Halsey Gary Hamburgh The Harbor Club Richard and Christina Harris The Herbfarm Restaurant Clifford H. Hersman and Victoria Serles Nick and Kathryn Highland Dr. and Mrs. Wayne L. Hill Hilling Design Fine Portraiture Linda and Charles Holman Hotel 1000 and BOKA Kitchen+Bar Hotel Andra Howard Mandville Gallery Hyatt Regency Bellevue Ideal Jewelry and Gallery In Beauty Integrated Garden Design and Services The Inn at Cannon Beach The Inn At Port Hadlock INTIMAN Theatre Company Izaak Walton Inn Januik Winery Jeri Rice Eyvonne and Harvey Johansen Ginny Johnson in Memory of Lee Johnson K1 Speed Barry and Pat Kaltenbaugh Karen’s Karat Gold Jewelry Kenmore Air Harbor KeyBank Kirkland Concours d’Elegance Kirkland Fire Department Layne and Jack Kleinart Lake Chelan Winery Dan Larsen The LeMay Museum— “America’s Car Museum” Gloria and Tom Leonidas Jr. Fred Lisaius Lizzy’s Antiques & Jewelry, Inc. Machtig & Associates Marina Park Salon Mark’s Hallmark Kurt McCann McIntyre & Barns Mary K. McIntyre, Esq. and Lee M. Barns, Esq.

Metropolitan Grill Elizabeth and Matthew Mihalovich Mizuno USA Molbak’s Mary Jim Montgomery Moss Bay Catering Dennis J. Newell and Linda Scott Nike Golf Olympic Nursery, Inc. John and Teddy L. Overleese Dave Owens Oz-Mosis Jazz Trio The Paramount Club Dr. Marshall T. Partington Pawprint Promotions PCC Natural Markets PetCandy Philips Medical Systems Piatti Ristorante & Grill Doris N. Pierce Dr. and Mrs. Charles A. Pilcher Ping Golf Joan Pinney Rich Pitkethly Plaza Garcia Michael Presley Prima Bistro PRO Sports Club Pump It Up Party—The Inflatable Party Zone Purple Café & Wine Quilts of Comfort Volunteers Real Card Company Reasons to Believe Recycled Cycles Red Hook Brewery Red Ticking Remlinger Farms Rikki Rikki Miranda Roberts Amy Robles Max F. Rothwell Rue De Lyon Russell’s Schoenholz Living Trust Schwartz Brothers Restaurants Dr. and Mrs. Pierce Scranton Semiahmoo Resort Shamiana Christine Sharp Joanne Shellan Sonya Shepard

Beverly Shimada Doug Smith Steve Solomon Larry Springer and Penny Sweet Stanleys’ Woodcrafts Starbucks Coffee Company The Honorable Bob Sternoff Stevens Pass Suncadia Sundance Gardens Mark Swenson The Heathman Hotel The MarketSpice The Third Floor Fish Cafe Marilyn Thomas Tom Douglas Restaurants Sherrill Tooley Lisa Torres Lynn Tran Transcending Fiber Arts TravelBaskets.com Tsillan Cellars Winery Tulalip Resort Casino Tully’s Coffee Corporation The Tuxedo Club Tuxedos And Tennis Shoes Catering Veritables Voila! Bistro Dr. Mitch B. Weinberg Whidbey Island Winery and Vineyards Willows Lodge & Barking Frog Wine Enthusiast Cos. Sim Wissler Woodinville Oral Surgery Woodmark Hotel, Yacht Club & Spa X Gym The Yoga Garden Yuroz Dr. and Mrs. Ralph Zech David and Jill Zimmerman

Evergreen Healthcare Foundation Board of Trustees Officers Teddy Overleese, Board Chair, Community Volunteer Jeff Bander, Vice Board Chair & Treasurer, Wells Fargo Tim Ferraro, Secretary, US Bank Lucy DeYoung, Immediate Past Board Chair, Simpson Hawley Properties Majdi Daher, Capital Campaign Chair, Denali Advanced Integration Kinnon Williams, Program Committee Chair, Williams & Williams, PSC Members Carlos Aragon, Hemispheres Marcia Barker, Community Volunteer David Bohan, Brooks Sports, Inc. Chuck Brockway, Fortune Bank Al DeYoung, Donn Al Investments, Inc. Bob Ferguson, Ben Franklin Crafts and Frame Shop Doug Edlund, PAC Promotions Fred Green, Microsoft Corporation

Andy Hill, Washington State Senator, 45th District Wayne Hill, M.D., Retired Auggie Kempf, Kempf & Co., Inc. Gloria J. Leonidas, ERW Mary K. McIntyre, Esq., McIntyre & Barns Donna Minahan, Community Volunteer Randy Pepple, Office of Attorney General Rob McKenna Charles A. Pilcher, M.D., Board of Commissioners Jeff Tomlin, M.D., Evergreen Hospital Medical Center Ex Officio Members Bob Malte, CEO, Evergreen Healthcare Kae Peterson, ED, Evergreen Healthcare Foundation Terry Pheifer, M.D., Evergreen Hospital Medical Center Eric Taylor, M.D., Evergreen Hospital Medical Center

Evergreen Healthcare Financial Stewardship Evergreen Healthcare Returns Total Margin of $15.8 Million to Help Meet Needs of Community

2010 GROSS REVENUE SOURCES Represented in millions of dollars.

Evergreen Healthcare’s financial picture shows that, despite the continuing, challenging overall economic environment, we have been able to return a total margin in 2010 of $15.8 million that was used to help meet the healthcare needs of the community.

Commercial 429.2 Medicare 271.7

That margin comes from total revenues of $392.2 million dollars, expenses of $388.5 million, and net income from the tax levy, investment income, and interest paid of $12.1 million.

Medicaid 70.7 Other Operating 34.1

Typical of most hospitals, the majority of Evergreen’s expenses, 62%, are for salaries and benefits with the remainder largely for supplies needed to operate the hospital. By carefully managing our expenses relative to its revenues, Evergreen has been able to increase its total margin each of the last three years—from $5.6 million in 2008 to $8 million in 2009 to $15.8 million in 2010.

Self Pay 32.2 Tax Revenue for Levy Programs 3.1

That total margin has helped contribute to Evergreen’s total community benefit, outside of direct patient care, of $19.2 million:

51.1 32.3 8.4 4.0 3.8 0.4

Total 841.0

2010 STATISTICS

$4.2 million

290

15,811

$9.0 million

15,255

4,347

$3.1 million

50,910

Licensed Beds

Charity Care Costs

Inpatient Admissions

Subsidized Medicaid Costs

Inpatient Days

Levy Programs

3.34

$2.9 million Subsidized Health Services

109,078

Hospice Program Days

3,280

Employees

186,150

926

53,909 Emergency Room Visits

6,357

Home Health Episodes & Admissions

Births

Average Length of Stay

Outpatient Visits Details for Subsidized Health Services Healthline $1,967,541 Disease Management $580,230 Emergency Preparedness $243,469 Trauma $142,176 $2,933,416

Surgeries

Physicians and Providers

1,134

Volunteers

% % % % % %

2010 Revenues and Expenses REVENUE

In 2010, we billed patients for: Inpatient general care and services and outpatient services And we received Tax Revenue for Levy Programs Giving us total gross revenues We did not receive more than 50% of billed patient services, largely because of contractual discounts Contractual discounts, including Medicare, Medicaid and other payors: $408.9 million Charity Care provided: $16.5 million Patient bad debts: $23.5 million We also received other operating revenue Net operating revenue

$803.8 million $3.1 million $806.9 million

($448.9) million

$34.2 million $392.2 million

EXPENSES

We had operating expenses for: Employee salaries, wages and beneďŹ ts

$241.5 million

Supplies, services and other expenses

$119.2 million

Depreciation Total operating expenses

Net from Operations for service improvements Tax Revenue for Debt Repayment Interest expense and other non-operating funds Funds from All sources for improvement of services and payment of debt

$27.8 million $388.5 million

$3.7 million $21.0 million ($8.9) million $15.8 million

15 25

BOARD OF COMMISIONERS— EVERGREEN HEALTHCARE

FROM LEFT TO RIGHT: Jeanette Greenﬁeld, Board Secretary • Al DeYoung, Board Chair

Recent Awards and Recognition of Evergreen Healthcare

2010 Distinguished Hospital for Clinical Excellence

Top Doctors Practicing at Evergreen

Additional HealthGrades 2010 achievements include:

Charles Pilcher, MD, Commissioner • R. August Kempf, Commissioner • Rebecca Hirt, Commissioner

Members of the Evergreen medical staff were honored by four of the Northwest’s leading publications as “Top Doctors” in 2010. • Seattle Magazine selected 51 of our physicians. • Seattle Metropolitan Magazine selected 42. • Washington Magazine named 64 as among the state’s best doctors. • 425 Magazine named 3 to its list of “Best of….” To see the complete list of honorees, please go to www.evergreenhospital.org/topdocs2010. To see the full list of awards and honors won by Evergreen in 2010, please go to www. evergreenhospital.org/awards.

Evergreen was ranked by HealthGrades among the top 5% of hospitals nationwide for clinical excellence, one of only two hospitals in Washington State and the only one in King County to achieve this recognition. HealthGrades is the nation’s leading provider of independent hospital ratings, assessing the quality of care at 5,000 hospitals nationwide.

• • • • • • • • • •

#1 in Washington State for Treatment of Stroke Top 5% in the US for Treatment of Stroke Top 5% in the US for Maternity Care Stroke Care Excellence Award Maternity Care Excellence Award Top 5 in the state for Gastrointestinal Services Top 10 in the state for General Surgery Top 10 in the state for Overall Critical Care Top 10 in the state for Overall Pulmonary Care 5-Star Rated for Maternity Care (7 years in a row).

You may ﬁnd more information about our HealthGrades ratings at www.evergreenhospital.org/healthgrades.

Blue Distinction Center for Spine Surgery and Knee and Hip Replacement ®

Evergreen Hospital Medical Center has been named a Blue Distinction Center for Spine Surgery® and a Blue Distinction Center for Knee and Hip Replacement® by Regence BlueShield for demonstrating better overall quality of care and patient results in those specialties. Blue Distinction® is a national designation awarded by Blue Cross and Blue Shield companies to medical facilities that have demonstrated expertise in delivering quality healthcare in the areas of bariatric surgery, cardiac care, complex and rare cancers, knee and hip replacement, spine surgery, or transplants. To earn this designation, Evergreen was evaluated based on an objective, evidence-based selection criteria established with input from expert physicians and medical organizations. The goal of Blue Distinction® is to identify medical facilities that deliver better overall quality and medical outcomes for a speciﬁc area of specialty care, helping patients and doctors to make more informed hospital choices.

1,372 3,800

Community Health Education classes

People trained in Community Health Education safety classes

How to Contact Us Thank you for reading this year’s Community Report for Evergreen Healthcare and the Evergreen Healthcare Foundation. We welcome your comments and questions. You can provide your feedback by emailing us at MarCom@evergreenhealthcare.org. If you would like to learn more about our clinical and health promotion programs, please visit our website, www.evergreenhealthcare.org. And if you would like to learn more about the programs in this report, please see the contact information below.

Community Health Education and Screenings For information or to register for a class, call 425.899.3000 and press “ 1.” www.evergreenhospital.org/classes. Diabetes Education 425.899.3008 is the number to call for more information or to register for a class. www.evergreenhospital.org/diabetes. Healthline 425.899.3000 is the number to call for class registration, physician referral and the 24-hour Nurse Line. Evergreen Care Network For more information on these programs, call Evergreen Information & Assistance at 425.899.3200. En Espanol, 425.899.3250. www.evergreenhospital.org/carenetwork. Healthcare Access Program/Project Access For more information on these programs, call Evergreen Information & Assistance at 425.899.3200. En Espanol, 425.899.3250. www.evergreenhospital.org/access. Horizons Program To ﬁnd class information and locations, visit www.evergreenhospital.org/horizons. To receive our free quarterly Horizons newsletter with class information, leave a message at 425.899.1858 or email us at Horizons@evergreenhealthcare.org. Program coordinator is Lauren Bolen, 425.899.2654. Geriatric Programs at the Northshore Senior Center Northshore Senior Center 10201 E Riverside Drive Bothell WA 98011-3708 Program Coordinator at the NSC is Kerri Schwindt, 425.487.2441. Senior Health Specialists 11521 NE 128th Street, Suite 100 Kirkland WA 98034 425.899.6800 is the phone number for information. www.evergreenhospital.org/seniors. Grief and Bereavement 425.899.1077 is the phone number for information and scheduling. www.evergreenhospital.org/grief. Emergency Disaster Community Preparedness For information call Barb Jensen at 425.899.2409. Community Advisors www.evergreenhospital.org/communityadvisors.

102

Diabetes Education self-management classes

19,071

People attending all Evergreen Community Health Education programs

500

Community Grief and Bereavement supportive counseling sessions to individuals and families

42,000+

Community Health Education participant contact hours

669 Diabetes Education patients who consulted with a registered nurse and dietitian

1,000

Students participating in ProjectALERT, Community Health Education substance abuse prevention program

466

Program participants in Evergreen/ Northshore Senior Center partnership

995,051

Dollars donated through Project Access (excludes value of specialist care or vendor services)

212 900

Horizons programs for seniors and caregivers

Calls seeking resources, information, and other assistance from Community Grief and Bereavement

115,000 Calls to Healthline

4,000

Senior Health Specialists active patients, many of whom see a doctor at least once a month

99 3,960 4.8

Specialists who partner with Project Access

Phone calls to Evergreen Care Network

Scan this Tag on your smartphone to get to our website.

Average ranking (out of 5) in Healthline patient satisfaction surveys

Presorted Standard US Postage

PAID Evergreen Healthcare

Evergreen Healthcare 12040 NE 128th Street Kirkland, WA 98034

Purpose Working together to enrich the health and well-being of every life we touch.

Mission Evergreen Healthcare will advance the health of the community it serves through our dedication to high quality, safe, compassionate, and cost-effective health care.

Vision Evergreen Healthcare will create an inclusive community health system that is the most trusted source for health care solutions.

Evergreen Healthcare. Only Hospital in Puget Sound Area to Achieve

Top 10% in the Nation for Patient Experience Designated 2011 Outstanding Patient Experience Award Recipient by HealthGrades.

Congratulations and thank you to the staff, physicians, and volunteers of Evergreen for their dedication to exceptional patient care and service. HealthGrades is America’s trusted, independent source of physician information and hospital quality outcomes.

Values Compassion—We care for and about our patients, families and each other. Respect—We respect the beliefs and values of everyone we encounter.

For more information contact:

Excellence—We strive for excellence in all we do.

MarCom@evergreenhealthcare.org or call Healthline 425.899.3000

Collaboration—We work in partnership and believe every voice makes a difference. Accountability—We are accountable to one another and to our community.

Evergreen Healthcare 12040 NE 128th Street Kirkland, WA 98034 www.evergreenhealthcare.org

Our facilities: Evergreen Hospital Medical Center in Kirkland, including Home Health and Hospice 24-Hour Emergency Care in Redmond Urgent Care in Redmond and Woodinville Primary Care in Redmond, Woodinville, Canyon Park, Duvall, Kenmore and Sammamish