St. Luke’s
2012
Report to the Community Quality care, close to home
UnityPoint Clinic | UnityPoint at Home | UnityPoint Hospice
unitypoint.org/cedarrapids
2012 Top Accomplishments January:
Internists, P.C. joins St. Luke’s Visiting Nurse Association (VNA) joins St. Luke’s
February: St. Luke’s Foundation Board President Terri Christoffersen named Trustee of the Year by Modern Healthcare March:
Iowa Physician’s Order for Scope of Treatment (IPOST) was signed into law. St. Luke’s was instrumental in getting this end-of-life treatment legislation approved
April:
St. Luke’s named a Top 100 Hospital by Truven Health Analytics
PCI Surgeon Kevin Kopesky, MD, performs the first single-site robotic gallbladder surgery in eastern Iowa at St. Luke’s
St. Luke’s (through UnityPoint Health) forms an ACO with Wellmark
May:
St. Luke’s Hiawatha Campus opens
June:
St. Luke’s launches EPIC, an electronic medical record
July:
St. Luke’s named a Best Regional Hospital by U.S. News & World Report
Hospitals
Private Practices
Doctors
Health Insurers
Multispecialty Group Practices
St. Luke’s named one of the nation’s 100 Great Community Hospitals by Becker’s Hospital Review St. Luke’s Iowa Health Accountable Care, L.C. chosen to participate in a Medicare ACO
A partner in health
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Hospital oint Health – St. Luke’s Ted Townsend, UnityP President and CEO
s Hospital int Health – St. Luke’ Brian Scott, UnityPo air Ch ard Bo
August: St. Luke’s designated as a Blue Distinction Center for knee and hip replacement September: St. Luke’s associates raised $350,000 for the iCare campaign, which helped construct the new inpatient hospice unit
St. Luke’s awarded certification in Heart Failure by The Joint Commission
October:
St. Luke’s named one of the Nation’s Top Cardiovascular Hospitals
Four St. Luke’s programs: Primary Stroke Center, Palliative Care and Joint Replacement Hip and Knee receive The Joint Commission’s Gold Seal of Approval
November: St. Luke’s Dental Health Center dedicated and renamed to honor the late Dr. Rhys B. Jones December: St. Luke’s Auxiliary receives $30,000 from Brewed Awakenings coffee shop
St. Luke’s Administration Ted Townsend, President & CEO John Sheehan, Executive Vice President & Chief Operating Officer Michelle Niermann, Vice President, Operations Milt Aunan, Vice President, Chief Financial Officer Mary Ann Osborn, Vice President, Chief Clinical Officer
Our mission: To give the healthcare we’d like our loved ones to receive.
Excellence and Innovation St. Luke’s now UnityPoint Health – St. Luke’s Hospital Last month the Iowa Health System announced it was changing its name to UnityPoint Health. As an affiliate of UnityPoint Health, St. Luke’s altered its name. The change to UnityPoint Health follows several years of innovation and discussions between the organization’s regions, patients, donors, board of directors, doctors and staff regarding healthcare changes and how to best position the organization for the future.
Our new names OLD NEW St. Luke’s Physicians & Clinics
UnityPoint Clinic
St. Luke’s Home Medical Equipment, Visiting Nurse Association (VNA) and Lifeline
UnityPoint at Home
St. Luke’s Hospice
UnityPoint Hospice
St. Luke’s Hospital
UnityPoint Health – St. Luke’s Hospital
Jones Regional Medical Center
UnityPoint Health – Jones Regional Medical Center
stlukescr.org
unitypoint.org/cedarrapids
A five-time Top 100 Hospital For the fifth year, St. Luke’s has been named to the Truven Health Analytics 100 Top Hospitals list. St. Luke’s first earned this designation nine years ago and then in 2005, 2009, 2012 and 2013. “This is an outstanding achievement for the doctors, nurses, staff, board and volunteers,” said Ted Townsend, St. Luke’s President and CEO. “For the fifth year, St. Luke’s has been named to the Truven Health Analytics 100 Top Hospitals list. This is extremely difficult to accomplish and something our community should be very proud of. The Truven Top 100 designation is a prestigious industry gold standard award, which cannot be purchased most others require payment to market their awards. The Truven award is based on facts, not opinion.” The study has been conducted annually since 1993. The study compared St. Luke’s performance against similarly-sized hospitals across the country. Go to 100tophospitals.com/top-national-hospitals to read the entire 100 Top Hospitals: National Benchmarks study. If all Medicare inpatients throughout the country received 100 Top Hospital care, then:
More than
164,000 lives could be saved
82,000
additional patients could be complication-free
$
6 billion
could be saved
The average patient stay would decrease by half a day.
St. Luke’s only area Top 50 Heart Hospital St. Luke’s joined an elite group as Truven Health Analytics pared its nationally recognized list from 100 to only 50 Top Cardiovascular Hospitals. This is the fourth time in a decade St. Luke’s has been nationally recognized for heart care by Truven Health. St. Luke’s is one of only three Iowa hospitals honored. “This award is a tribute to the entire heart care team at St. Luke’s,” said Todd Langager, MD, UnityPoint Clinic – Cardiology (formerly Cardiologists, L.C.). “It demonstrates the hospital and the staff’s commitment to providing the highest quality of care to our patients. St. Luke’s is the heart hospital.” Top 50 Heart Hospitals have:
41%
fewer deaths
Lower
complications
Lower
hospital readmission rates higher
30-day
survival rates
If the same standards were applied to all inpatients, the impact would be even greater.
St. Luke’s Report to the Community 1
Coordinated Care Healthcare at its best Better care coordination improves patient health, saves money and creates a more sustainable healthcare system. Once a patient is sick, doctors, nurses and hospitals have a clear goal – restore the patient’s health. Keeping patients from getting sick has been a more elusive goal and harder to achieve, particularly for the chronically ill. In the past collaborating with multiple providers wasn’t well coordinated – until now. St. Luke’s and UnityPoint Health (formally the Iowa Health System) have piloted several projects that demonstrated care coordination saves healthcare dollars and improves patients’ health.
Accountable Care Organizations (ACOs) Initiated by healthcare reform and the need for Medicare to reduce costs, ACOs (networks of doctors and hospitals) manage all of the healthcare needs of a minimum of 5,000 Medicare patients for at least three years. ACOs pool resources with the goal of trimming spending while boosting the quality of care. When the ACO shows it is improving care and delivers it for less than the cost projected – a share of the savings is returned to the ACO. St. Luke’s is part of a three ACO models: one for Medicare patients, one for privately insured patients in collaboration with Wellmark, Iowa’s largest private insurer, and Linn Community Care, Cedar Rapids federally funded health clinic that provides primary care for the uninsured and underinsured. Today, St. Luke’s is caring for 48,000 individuals through these partnerships, which is one-third of the entire population the hospital cares for.
James Bell, MD, St. Luke’s Palliative Care medical director
Emergency Department An innovative program at St. Luke’s called the Emergency Department Consistent Care Program (EDCCP) coordinates care between St. Luke’s, the patient’s doctor, home care and mental healthcare. The program got its start thanks to a $50,000 grant secured by St. Luke’s Foundation from Transamerica. “We originally identified 103 patients who had been treated in St. Luke’s Emergency Department (ED) 12 or more times during the previous year,” said Sallie Selfridge, St. Luke’s social worker and case manager for St. Luke’s EDCCP. “Many of these patients used the ED because they did not have a family doctor. Others had difficulty keeping doctor’s appointments because they lacked transportation, had work schedules that made it tough to visit a doctor during normal business hours, or had financial or insurance issues.” The coordination efforts reduced the participating patients’ visits by two-thirds. In 2012, the original 103 EDCCP patients visited the ED 438 times compared with 1,377 visits during the same period in 2011. “We want patients to use St. Luke’s ED when they have an emergency,” said Selfridge. “This isn’t meant to keep these patients out of the ED, we just want to make sure they are getting the most appropriate and timely care – all while working with them to hopefully improve their health and quality of life. Working with the patients and the family doctor is really in the best interest of the patient. It provides that consistency of care and continuous oversight.”
Advanced Medical Team St. Luke’s developed an early intervention program for patients with complex, chronic illnesses called the Advanced Medical Team (AMT). Its goal is to better coordinate patient care by bringing together a team of professionals, including a doctor, nurse, pharmacist, therapist, social worker and others who support the patient’s primary doctor. The team works together to improve the patient’s health and help the patient use services more appropriately. This decreases hospital readmissions and shortens hospital stays. Patients are selected by a trigger tool that identifies individuals requiring frequent hospitalizations, Emergency Department visits and doctor’s office visits. A nurse care navigator serves as the liaison between the patient and their primary doctor and mobilizes resources around the patient.
Palliative care “Palliative care focuses on improving life and providing comfort to people with all types of serious illnesses. We work with the patient and their doctor to refocus on their priorities and care. It’s about maintaining a patient’s quality of life,” said James Bell, MD, St. Luke’s Palliative Care medical director. “Using palliative care doesn’t mean a patient has given up living.” Patients of all ages can receive inpatient or outpatient palliative care at any stage in a serious illness, and it can be provided together with curative treatment. In fact, some patients recover and move out of palliative care. Others with chronic diseases may use it as needed. Patients receiving palliative care have a team of providers that always makes sure the patient’s needs and goals come first and they help patients communicate with specialists about complex decisions. 2 unitypoint.org/cedarrapids
Quality and Safety Surgery leader Outpatients having surgery who received the right kind of antibiotic
This measure tracks how often St. Luke’s staff give patients the right kind of preventive antibiotic for their surgery.
Higher percentages are better.
98.0
97.0
Percent of patients
Antibiotics are medicines that can kill the bacteria that cause infections. Infections are a possible complication of any surgical procedure. For certain types of surgery, some antibiotics work better than others to prevent wound infections, so selecting the right one is important.
100 99 98 97 96 95 94 93 92 91 90 89 88
100.0
Millions of people have surgery every year. Every surgery has risks, but there are some that can be prevented. Hospitals can reduce the risk of infection after surgery by making sure they provide care that’s known to get the best results for most patients.
Pankaj Nagaraj, MD St. Luke’s NICU physician
St. Luke's Average for all Average for Hospital reporting Hospitals all reporting in Iowa Hospitals in U.S.
Breast cancer treatment in half the time St. Luke’s is the only Cedar Rapids hospital to offer Intraoperative Electron Radiation Therapy (IOERT), which offers radiation treatment in half the time to early stage breast cancer patients. “This is exciting technology, which gives select breast cancer patients another treatment option,” said Robert Brimmer, MD, Physicians’ Clinic of Iowa general surgeon. “It eliminates weeks of radiation treatment and applies radiation precisely where most breast cancers recur. Patients will only need three weeks radiation therapy following surgery. Patients who don’t receive IOERT typically require six weeks of radiation therapy.” During surgery, after the doctor removes the tumor, a radiation oncologist applies a concentrated dose of electron beam radiation directly to the tumor bed. A shield and cone protect healthy tissue from unnecessary radiation. In one to two minutes patients receive radiation equal to five to seven daily radiation treatments. Studies show IOERT offers low recurrence rates because it treats the precise area where most breast cancers recur. St. Luke’s is offering IOERT through an international clinical trial. Call 319/369-7216 for more information about IOERT or go to radiationduringsurgery.com.
St. Luke’s sets the standard for fast heart attack care Opening heart blockages faster 120
60
65
62
62
60
68
78
National benchmark
30
The average “door-to-balloon time” at St. Luke’s is 60 minutes. St. Luke’s fastest reported time in 2012 was 22 minutes. At St. Luke’s we beat the national standard – opening blocked arteries the heart in a fraction of that time, setting a standard all our own.
Lower is better. 109
90
Minutes
Within minutes of a heart attack, life begins slipping away. Survival depends on how fast the patient gets to the hospital and how quickly they receive life-saving care. The gold standard for getting a patient from the Emergency Department (ED) to opening a blocked artery is 90 minutes or less. This is called “door-to-balloon time.”
0
Improving newborn intensive care across eastern Iowa St. Luke’s Newborn Intensive Care Unit (NICU) doctors, nurse practitioners, nurses and outreach personnel are helping improve NICU quality standards at our sister hospitals in Waterloo, Bettendorf and Moline, IL. Pankaj Nagaraj, MD, NICU medical director at Allen Hospital is a member of St. Luke’s NICU team. His connection to the St. Luke’s NICU team helped him improve the care in the Allen Hospital NICU since July 2011. “As part of the group from St. Luke’s, we provide 24/7 newborn intensive care at the Allen Hospital NICU and handle more complicated babies, which in the past may have been transferred to another facility,” Dr. Nagaraj said. Allen’s seven-room, Level II NICU caters to the populations in Waterloo, Waverly and surrounding areas as far as New Hampton and West Union. “In the past, some sicker babies born before 34 – 36 weeks were transferred to Iowa City. But now, most babies over 30 weeks are staying in the NICU here,” Dr. Nagaraj said. “Parents have really seen the benefits because they’re able to stay with their babies closer to home.” The success of St. Luke’s NICU outreach model at Allen is now embraced by UnityPoint Health – Trinity in Bettendorf and Moline. St. Luke’s NICU is the area’s only Level II Regional Neonatology Center, caring for more than 350 babies each year. Learn more at unitypoint.org/cedarrapids.
Baseline 2007 2008 2009 2010 2011 2012
St. Luke’s average time to open blocked arteries.
St. Luke’s Report to the Community 3
Access
Doctors at this clinic are dedicated to internal medicine with specialty training in endocrinology, infectious diseases, nephrology (kidney diseases) and pulmonology (lung disorders).
tists 3 Den
9
UnityPoint Clinic has three Urgent Care Clinics to provide better access and convenience to patients. Last year Bowman Woods Urgent Care relocated to the Hiawatha Campus, which is located at 1001 North Center Point Road. Check Urgent Care & ER wait times online at unitypoint.org/cedarrapids
UnityPoint – Urgent Care locations: Marion Campus
Hiawatha
• Medication tracking, drug interaction alerts and automatic pharmacy medication orders • Up-to-date diagnosis and treatment notes
1001 N Center Point Rd
42nd St.
380
NE
Rd.
NW
Cedar Rapids
94 Mt. Vernon Rd.
Westside Family Medicine/Urgent Care 2375 Edgewood Rd. 16th Ave.
C
SE
St .
380
To Airport
2375 Edgewood Rd. SW
151
SW
30
4 unitypoint.org/cedarrapids 6
Marion
1st A ve.
Glass
Center Pt. Rd.
• Elimination of duplicate tests • Allergy and immunization history and alerts • Sharing information with specialists collaborating on care • Reduction in complexity and repeating of information between UnityPoint Health hospitals and clinics
Hiawatha Campus
100
C Avenue
An electronic health record provides many benefits to patients, including:
2996 7th Ave.
Boyson Rd.
Bowling St.
Patients in need of other specialists need to look no further than Internists, P.C., which is now called UnityPoint Clinic – Multi-Specialty. The physician group chose St. Luke’s as its partner in 2012.
Patient charts are all electronic at St. Luke’s Hospital thanks to the transition to a new electronic health record (EHR). In June, 2012 the hospital implemented Epic, which allows healthcare providers access to critical patient information more quickly, including medical history, test results and prescriptions. Epic is a system that advances patient safety and quality of care by providing a single, shared and secure electronic health record. St. Luke’s is the first hospital in the area to implement an electronic health record.
Improving patient access
6th St.
UnityPoint Clinic – Cardiology also has clinics in Manchester and Dubuque. Outreach services are also offered in nine surrounding communities – providing easier access and convenience for patients.
An “EPIC” change at St. Luke’s
Edgew ood Rd .
UnityPoint Clinic – Cardiology will practice exclusively at St. Luke’s Hospital starting June 1. UnityPoint Clinic – Cardiology is the largest cardiology practice in eastern Iowa and three out of four patients in Cedar Rapids are cared for by UnityPoint cardiologists. All 16 board-certified cardiologists work to provide the highest quality care with fewer complications, better outcomes and higher survival rates.
ers y provid onolog lm u P 10 y log s er chos y s id r p v e o o eur rovid pr 2N p gy o ol hr ep 5N
Wiley Blvd.
UnityPoint Clinic – Cardiology (formally Cardiologists, L.C.) has a new name and a new location. Their offices are now located at the PCI Medical Pavilion at 202 10th St. SE, Cedar Rapids. The new location offers more space, better parking and the ability for patients to see multiple doctors in one location on the same day.
By the numbers
1 Endocrinology provid er
y og ol ch sy rs l P de i ica ov ers vid ed pr M pro try hia syc 7P
Specialists at your service
Need a doctor? Find one at unitypoint .org/ cedarrapids
e as se der i D vi us ro tio lty p c e nf cia ers 1 I spe vid o r p gy olo e ath P edicin 6 nal M io t s a r p e cu id 6 Oc prov 13 Neonat o providerslogy 4P h Re hab ysica ilita l Me tio dic n p ine rov & ide rs
2
Todd Langager, MD UnityPoint Clinic – Cardiology
We have more doctors and providers ready to care for you and your family. These doctors include cardiologists, pediatricians, family medicine and specialty doctors. Our team is ready and standing by to serve you and your family through any health need.
18 Ad u prolt Ho vid spi ers tali st 2 Ped iatric Hosp italis ts
Int er pronal M vid ed ers icin e 28 Emergenc y Medicine pr oviders
UnityPoint – St. Luke’s Hospital and UnityPoint Clinic has the largest fully integrated healthcare group in eastern Iowa.
2N eur osu rge ry p rov ider s
16 Pediatr ic provid ers dicine ily Mers 62 Fam provide rs ide rov ist gy p og iolo iol ard rd 18 C Ca ric iat ed 1P
Vast network of care
Service Emergency Department patient satisfaction As one of the busiest Emergency Departments (EDs) in the state, it’s the hospital’s priority that patients see a doctor as quickly as possible. It’s also important individuals and their families receive timely, expert care to make an otherwise frightening experience as enjoyable as possible.
John Roof, MD UnityPoint Clinic regional vice president and medical director
With that in mind the ED recently added an additional triage nurse at the check-in desk during busy times. This nurse helps to gather information from patients and assess conditions – working with the rest of the team to prioritize patient care. When waiting is unavoidable the nurse monitors patients in the event a patient’s condition worsens.
Average Score
These steps are paying off in the form of increased patient satisfaction scores in our Emergency Department.
Emergency Department Satisfaction 90 89
Higher is better
88 87
UnityPoint Clinic receives marks for quality and patient experience
86 85 84 83 82 81 80
Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 2010 2010 2010 2011 2011 2011 2011 2012 2012 2012 2012
Collaborative cancer care Providing local collaborative cancer care that is physician-led and patient-focused – that’s the mission of the Helen G. Nassif Community Cancer Center in Cedar Rapids. The Center is the area’s only community-centered cancer center. It’s patient-centered and brings together providers from various specialties to provide a comprehensive assessment and care planning for cancer patients. Rather than requiring patients to navigate the many different parts of the healthcare system, they’re given direct access to an entire team of local cancer experts offering a unified treatment plan and greater continuity of service. A multidisciplinary group of doctors provide leadership for the Center. There are more than twenty medical and surgical specialties.
Cedar Rapids patients are giving UnityPoint Clinic a thumbs-up based on recent patient satisfaction survey results. Cedar Rapids Clinics scored the highest of all UnityPoint Clinics – across the state. “We strive to provide the best care possible for our patients,” said John Roof, MD, UnityPoint Clinic regional vice president and medical director. “These results show we have a demonstrable measure of success from our collective efforts in the Cedar Rapids region.” The UnityPoint Clinic Quality Assurance Committee, which is led by doctors, sets performance targets. The metrics are based on national measures for benchmarking against other healthcare organizations. A random sample of patients is chosen to take a survey. Patient Experience is an integral piece to UnityPoint Clinics goal of “Best Outcome For Every Patient, Every Time Period.’ “It is our opportunity to engage our patients and ask them how well we are doing in providing them with a quality patient experience,” said Dr. Roof.
The Helen G. Nassif Community Cancer Center is now located in the new PCI Medical Pavilion located in the MedQuarter Regional Medical District. It offers same day consultations by calling 319/558-4876.
St. Luke’s Report to the Community
5
Financial Overview St. Luke’s Healthcare provided nearly $57 MILLION
2012 Service Record
That is 13.9 percent of St. Luke’s annual expenses.
St. Luke’s Hospital
of charity care, community benefit, other uncompensated care and taxes in 2012. St. Luke’s is committed to providing the highest level medical care to improve patients’ lives, regardless of their ability to pay. We are focused on strengthening the quality of life and well-being in our communities through sponsorships, in-kind donations, volunteer activities, innovative medicine and unparalleled passion and commitment to our patients. Examples of free services and programs provided include health screenings, support groups, counseling and immunizations.
$56,861,000 in community support Charity care......................................................................$7,107,000 Uncompensated Medicaid..................................... $14,750,000 Community health improvement services and community benefit operations..................... $1,253,000 Health professions education...................................$1,816,000 Subsidized health services......................................... $5,513,000 Research.................................................................................$18,000 Contributions to community groups.................... $3,344,000 Community building activities....................................$293,000 Bad debt.......................................................................... $4,910,000 Unreimbursed Medicare*..........................................$3,637,000 Income, property, payroll and sales taxes......... $14,220,000
Community health improvement services & benefit operations
Charity care
Health professions education
Uncompensated Medicaid Subsidized health services
Income, property, payroll and sales taxes
Community building activities
Bad debt
Unreimbursed Medicare
Contributions to community groups
Total Community Support............................ $56,861,000
$410,116,000 in operating costs
Depreciation
Salaries & benefits....................................................$241,374,000 Supplies, implants & pharmaceuticals...............$62,978,000 Other expenses & purchased services...............$83,266,000 Depreciation .................................................................$18,517,000 Interest ............................................................................$3,866,000 Provision for uncollectible accounts**...................... $115,000 Total operating costs & provision for uncollectible accounts.................................. $410,116,000
Supplies, implants & pharmaceuticals
Other expenses & purchased services
Provision for uncollectible accounts
Discharges........................................................ .18,305 ER visits...............................................................53,349 Employees........................................................... 3,542 Surgeries.............................................................23,395 Open-heart procedures.................................... 280 Robotic assisted surgeries................................ 859 Cardiac rehabilitation visits......................... 12,962 Heart catheterizations.....................................1,308 Electrophysiology lab procedures............... 1,490 Behavioral Health discharges....................... 2,901 Births...................................................................... 2,595 Newborn Intensive Care discharges.............290 Lifeguard flights.....................................................282 Family Health Center visits...........................6,703 Dental Health Center visits...........................4,790 Diabetes Education visits...............................6,862 Physical Medicine & Rehab outpatient visits.........................................66,950 Visiting Nurse Association visits................21,977 Palliative Care inpatient consults.................1,344 Palliative Care outpatient consults..............1,519 Volunteer hours.............................................106,825 Auxiliary members............................................... 405
UnityPoint Clinic Patient visits.........................................................441,864
Care facilities
Salaries & benefits
Living Center discharges......................................... 325 Interest
Jones Regional Medical Center
$40,495,000 reinvested in the community Facility renovation/construction in progress...........$7,570,000 New services/equipment/clinical improvement..$13,616,000 IT investments...................................................................$19,309,000 Total reinvestments...........................................$40,495,000
New services/ equipment/clinical improvement
Facility renovation/construction in progress
IT investments
Discharges....................................................................584 Outpatient visits................................................... 57,426
Continuing Care Hospital at St. Luke’s (LTACH) Discharges.................................................................... 160
*2011 data **Provisions for uncollectible accounts are expenses incurred when a patient is unwilling to pay. Due to an accounting method change in 2011 the majority of bad debt is netted against gross patient revenue. Total bad debt (at charges) was $15,017,000.
St. Luke’s Hospital Board of Directors Karl Cassell Terri Christoffersen Lee Clancey Randy Easton Kathy Eno Sally Gray, Chair-elect Dr. Vic Hamre Dr. Percy Harris Dr. John Herring
Jim Hoffman Dr. Keith Krewer Chris Lindell Kate Minette Robin Mixdorf Ralph Palmer William Prowell Amy Reasner Marcia Rogers
Brian Scott, Board Chair Jim Sealy Dr. Richard Seitz Drew Skogman, Secretary Mick Starcevich Ted Townsend, St. Luke’s President & CEO Dr. Steven Wahle
St. Luke’s Foundation Board of Directors Steve Allsop, Immediate Past Chair Dr. Kenneth Anderson Milt Aunan, St. Luke’s CFO Ryan Buresh, Treasurer Terri Christoffersen, Chair Sondy Daggett Sally Gray
Phil Hershner Bill Hochstetler, Secretary Marty Hoeger Shirley Holtey, Vice Chair Dr. James LaMorgese Dina Linge Gene Neighbor Lon Olejniczak
Diane Ramsey Sarah Rheinschmidt Paula Roby Jim Sealy, St. Luke’s Foundation President Nancy Skogsbergh Ted Townsend, St. Luke’s President & CEO