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Report to the Communi FOR THE FISCAL YEAR 2016 CARE & DIRECTION

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Page 1: CARE & DIRECTION › documents › MMC_Annual... · 2017-09-26 · medicine, podiatry, pediatrics, gastroenterology, ENT, family practice, internal medicine, hematology/oncology,

www.marshallmedical.org / 2016 REPORT TO THE COMMUNITY 1

Report to the CommunityFOR THE FISCAL YEAR 2016

CARE & DIRECTION

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2 2016 REPORT TO THE COMMUNITY / www.marshallmedical.org

LETTER TO THE COMMUNITY

“The time to repair the roof,” John F. Kennedy said, “is when the sun is shining.” Marshall Medical Center applied that logic to our many achievements during Fiscal Year 2016. We maintained our financially conservative approach, despite reduced federal and state government payments (and a base of roughly 80 percent Medicare and Medi-Cal patients). We also invested in a product more significant than anything: our ability to provide quality healthcare services for our community.

Expansion served as a prominent Marshall theme this past year. That smart growth was not only reflected in additional clinics, medical services and efficiency-minded policies. Marshall’s eye toward the future also led to the crafting of a succession plan for our next generation of executive leadership. Indeed, 2016 saw a unique combination of events positioning Marshall for success in both the short and long term:

• Construction and completion of the new state-of-the-art ICU, which opened in the South Wing in November 2016. The unit, which increased the hospital’s licensed bed-count from 113 to 125, contains an abundance of technology in its 6,300 square feet. Marshall also began a remodel of existing hospital space to accommodate an expanded Cardiac Services Department. When open later this year, expanded diagnostic capabilities will relocate to the new unit.

• A strategic partnership with UC Davis Medical Center on a license to transition to the Epic electronic health record system. The agreement was completed in the spring of 2016 and work is underway, working toward full implementation by November 2017.

• Expansion of Marshall Orthopedics & Sports Medicine to El Dorado Hills, a location that will supplement the Placerville office. The El Dorado Hills clinic is strategically located to attract patients from the greater Sacramento region.

• Implementation of 24-hour pharmacist and 24-hour hospitalist coverage inside Marshall Hospital.

• Establishment of Marshall’s Kaizen Department, with consultation from Seattle-based Virginia Mason Institute, to employ lean management methodology to the healthcare setting. Through the program, Marshall is cultivating a culture of efficiency and a patient-centered approach to decision making.

• Recruitment, which led to the hiring of new providers in the following specialties in the past 18 months: general surgery, cardiology, hospitalist, anesthesiology, radiology, family medicine, podiatry, pediatrics, gastroenterology, ENT, family practice, internal medicine, hematology/oncology, orthopedics and wound care.

• Formation of an organization-wide succession plan, whereby Marshall created the new position of Assistant Chief Operating Officer. Brandon Tudor of Washington, D.C.-based MedStar Health was hired to fill, bringing nearly a decade’s worth of healthcare management experience with him.

To elaborate on this last point, retirement is expected to claim over 50 leadership positions – roughly 75 percent of management – in the next five years. In addition, Marshall expects 50 doctors to retire in the next five years. We said goodbye to many great employees and managers this past year due to retirement.

To this end, administration has developed a plan for these positions to make the turnover a successful one. Through a combination internal development and outside recruitment, the goal is to maintain Marshall’s unique and friendly culture. As we continue to meet our mission of offering affordable, quality healthcare for our community, we’re excited for what this bright and sunny future will hold.

JOHN DRISCOLL Board of Directors

Chair

JAMES WHIPPLE Administrator & CEO

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www.marshallmedical.org / 2016 REPORT TO THE COMMUNITY 3

Marshall Medical CenterFINANCIAL INFORMATION FISCAL YEAR ENDED 10/31/16

REVENUEFor care provided to patients, we charged: For 25,139 days of inpatient care ............................................................................................................ $445,410,549 For outpatient and emergency department services .............................................................................. $578,900,228

Subtotal ...........................................................................................................................................$1,024,310,777

We charged, but did not receive payment: From those unable or unwilling to pay ...................................................................................................... $11,573,521 From Medicare ......................................................................................................................................... $484,898,014 From Medi-Cal .......................................................................................................................................... $190,618,149 From other insurance programs .............................................................................................................. $105,631,669

Subtotal .................................................................................................................................................. $792,721,353

In addition, we received: From interest earned, rental income, cafeteria and other businesses ........................................................ $4,802,670

Total funds available ................................................................................................................................$236,392,094

EXPENSESWhat it cost: To pay our 1,565 employees ...................................................................................................................... $83,903,046 To provide them with benefits .................................................................................................................... $39,391,842 To purchase medical and physician services ............................................................................................ $36,448,028 To keep the lights on, feed patients and staff, do laundry, empty the trash and waste, etc. .................... $55,296,264 For interest on loans and bonds .................................................................................................................. $1,490,392 For depreciation on equipment and facilities ............................................................................................ $11,395,660 For our insurance premiums and legal fees ................................................................................................ $1,931,158 Investment market underperformance on pension obligation .................................................................. $17,849,412 Loss funded out of past reserves ............................................................................................................($11,313,708)

Total funds used .......................................................................................................................................$236,392,094

Donation received from Marshall Foundation for Community Health for various expansion projects including the Cancer Center and the South Wing ICU. ................................................................... $426,000

Designated contributions held by Marshall Foundation for Community Health for Marshall Medical Center for future community needs (Foundation funding for grants, programs, etc. not included) ............. $126,000

OTHER STATISTICSInpatient days: Medicare patient days ......................................................................................................................................... 17,359 Medi-Cal patient days ........................................................................................................................................... 4,698 Commercial Insurance patient days ..................................................................................................................... 2,914 Uninsured patient days ............................................................................................................................................ 168Outpatient visits and procedures ............................................................................................................................. 131,797Emergency Department visits .................................................................................................................................... 28,775Newborns ........................................................................................................................................................................ 497Surgeries: Inpatient................................................................................................................................................................. 1,066 Outpatient .............................................................................................................................................................. 1,998Home Health visits ...................................................................................................................................................... 10,850Physician Clinic Visits ............................................................................................................................................... 182,057Rural Health Clinic Visits .............................................................................................................................................. 3,577

www.marshallmedical.org / 2016 REPORT TO THE COMMUNITY 3

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4 2016 REPORT TO THE COMMUNITY / www.marshallmedical.org

Marshall Medical CenterHOSPITAL PATIENT VOLUME FISCAL YEAR 2016

TOTAL NUMBER OF PATIENTS RECEIVING SERVICES IN THE HOSPITAL: Number of Patients Served Gross Charges Inpatient (incl. SNF) ..................................................................... 4,436 ................................................. $501,723,718Emergency Room ...................................................................... 17,417 ................................................. $149,667,130Outpatient................................................................................... 34,526 ................................................. $145,577,888Outpatient Surgery & Procedures ............................................... 3,323 ................................................. $107,327,587Observation Patients ....................................................................... 673 ................................................... $28,334,850Physician Clinics ........................................................................ 37,634 ................................................... $88,001,149Home Health ................................................................................... 753 ..................................................... $3,678,455

Hospital Patients Served ...................................................... 53,493 ............................................$1,024,310,777

MEDI-CAL PATIENTS RECEIVING SERVICES IN THE HOSPITAL: Number of Patients Served Gross Charges Inpatient (incl. SNF) ..................................................................... 1,399 ................................................. $102,252,826Emergency Room ........................................................................ 7,529 ................................................... $55,280,426Outpatient..................................................................................... 6,720 ................................................... $25,629,689Outpatient Surgery & Procedures .................................................. 733 ................................................... $23,589,879Observation Patients ......................................................................... 69 ..................................................... $2,738,152Physician Clinics .......................................................................... 9,635 ................................................... $15,496,888Home Health ..................................................................................... 22 ........................................................ $115,916

Medi-Cal Patients Served ..................................................... 15,822 ...............................................$225,103,776

MEDICARE PATIENTS RECEIVING SERVICES IN THE HOSPITAL: Number of Patients Served Gross Charges Inpatient (incl. SNF) ..................................................................... 2,089 ................................................. $322,194,667Emergency Room ........................................................................ 4,478 ................................................... $51,717,889Outpatient................................................................................... 12,525 ................................................... $79,981,387Outpatient Surgery & Procedures ............................................... 1,622 ................................................... $50,322,311Observation Patients ....................................................................... 519 ................................................... $22,238,154Physician Clinics ........................................................................ 12,689 ................................................... $48,551,421Home Health ................................................................................... 592 ..................................................... $2,683,759

Medicare Patients Served ..................................................... 16,500 ...............................................$577,689,588

PATIENTS WITH NO FINANCIAL SPONSOR RECEIVING SERVICES IN THE HOSPITAL: Number of Patients Served Gross Charges Inpatient (incl. SNF) .......................................................................... 25 ..................................................... $1,905,083Emergency Room ........................................................................... 480 ..................................................... $3,177,641Outpatient..................................................................................... 2,463 ........................................................ $805,580Outpatient Surgery & Procedures .................................................... 31 ..................................................... $1,526,346Observation Patients ........................................................................... 7 ........................................................ $272,210Physician Clinics .......................................................................... 2,720 ..................................................... $1,333,120Home Health ....................................................................................... 0 ................................................................... $0

Patients Served with No Financial Sponsor .......................... 5,004 ...................................................$9,019,980

4 2016 REPORT TO THE COMMUNITY / www.marshallmedical.org

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www.marshallmedical.org / 2016 REPORT TO THE COMMUNITY 5

JOHN DRISCOLL, CHAIR A Marshall Foundation for Community Health Board member since 2005, John became Marshall Board of Directors Chair in 2017. The former Placerville City Attorney and City Manager/Attorney has provided years of financial and strategic planning advice for Marshall Medical Center. His wife Pam is a teacher in Placerville.

JAYNE MOORE, VICE CHAIRJayne has lived in El Dorado County since 1961. She graduated from El Dorado High School (like her three children). A former Board of Directors Chair, she has compiled over 35 years with El Dorado Savings Bank and is currently a senior Vice President/Branch Administrator there.

GABRIELLE MARCHINI, SECRETARY/TREASURERAn advocate for children, Gabrielle has served in the Buckeye Union School District for 20 years as a teacher, a principal, and an administrator. In her current role as Assistant Superintendent, she oversees curriculum, instruction, and technology.

BRADLEY BARNHILL, MD CHIEF OF STAFFDr. Barnhill is a board certified internal medicine physician who has practiced in El Dorado County since 1991. He returned to his Chief of Staff post on Jan. 1, 2017. A staff physician at Marshall Family & Internal Medicine, he is married with two daughters.

MEMBERS:

JIM ABERCROMBIEThe general manager of El Dorado Irrigation District, Jim is also a 30-year resident of El Dorado County. The regis-tered engineer also managed PG&E’s El Dorado County gas and electric distribution business unit from 1987 to 1998. He and wife Ginny live in Placerville.

PETE BARBA, MDDr. Barba (pronounced Bahr-BAY) is a board certified family medicine practitioner at Marshall Sierra Primary Medicine. He takes pride in promoting exercise and a healthy diet. Before joining Marshall, he served as chief resident at Swedish Family Medicine in Colorado.

TOM CHANDLERThe owner of Inter-County Title Company, Tom has been a Placerville resident since 1970. He served 10 years on the Marshall Foundation for Community Health’s Board of Trustees, in addition to 10 years on the California Land Title Association’s Board of Governors.

RICHARD DETWILER, MDDr. Detwiler is a board certified general surgeon with Marshall General Surgery. He began practicing in El Dorado County in 1989 and joined Marshall in 2012. The American College of Surgeons fellow has also served as Marshall Medical Center’s Chief of Surgery.

BRUCE DICKSONA respected financial planner and philanthropist, Bruce is a former Marshall Foundation for Community Health Board of Trustees president (2000-2004). He is a member of the Finan-cial Planning Association and the Financial Services Institute, and a Sierra Wildlife Rescue lifetime member.

BETH GOODLIN-JONES, PH.D.Dr. Goodlin-Jones is an accomplished clinical developmental psychologist. She serves clinical research coordinator for UC Davis Health’s MIND Institute and is an active member of the clinical diagnostic assessment teams. She also owns Lava Cap Winery in Camino.

STANLEY HENJUM, MD Dr. Henjum is a board certified cardiologist with Marshall Cardiology. A former Lieutenant Commander in the United States Navy, Dr. Henjum provides general cardiology care including diagnostic cardiac catheterizations. He is a former Marshall Chief of Staff.

GEORGE NIELSENGeorge Nielsen is a longtime Placerville resident. He served as the Placerville’s Chief of Police from 2004-2013, and had nearly 30 years of service with the force upon retirement. He has served many local organizations, including as Marshall Foun-dation for Community Health Board of Trustees president.

HARRY NORRISNow retired, Harry stays active on local volunteer and elected boards after nearly 30 years of El Dorado County residence and business ownership. He was a 10-year member of the El Dorado County School Board, as well as a founding member of the El Dorado Hills Chamber of Commerce.

CHRISTEEN REEGThe Board of Directors’ newest member, Christeen chairs the Planned Giving Committee for the El Dorado Community Foundation. Passionate about serving her community, the former Los Rios Community College Foundation chair also served as a Snowline Hospice board member.

WENDY THOMASWendy’s diverse background includes real estate develop-ment, small business ownership and politics. She is the descendent of a pioneer family that settled in Placerville in 1850. Wendy is a former Placerville vice mayor and has been on the Placerville City Council since 2010.

DALE VAN DAMDean of Instruction at Folsom Lake College’s El Dorado Cen-ter, Dale is a registered professional geologist in five western states. He has over 20 years of experience as an environmen-tal geologist and hydrologist. Dale is a board member of the Placerville Kiwanis Club and Snowline Hospice.

JAMES WHIPPLEJames Whipple is the CEO and Administrator of Marshall Medical Center, a role he has held since 2002. Prior to this, James was Marshall’s Chief Financial Officer for 20 years, joining the organization in 1982. James also serves on the Board of Directors of the California Hospital Association.

BOARD OF DIRECTORSMarshall Medical CenterHOSPITAL PATIENT VOLUME FISCAL YEAR 2016

2017Marshall Medical Center BOARD OF DIRECTORS

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6 2016 REPORT TO THE COMMUNITY / www.marshallmedical.org

Independent agencies continue to give Marshall Hospital high praise.

Each year, Healthgrades® evaluates performance for the 33 most common inpatient procedures/conditions at nearly 4,500 healthcare facilities nationwide. In the most recent round of honors, Marshall was named among the Top 10% for Overall Pulmonary Services and awarded the Pulmonary Care Excellence Award. We also received 5-star honors for quality care in five clinical areas:

• Total Knee Replacement• Treatment of Pneumonia• Treatment of Pulmonary Embolism• Treatment of Sepsis• Treatment of Stroke

MARSHALL EARNS HIGH MARKS In National Ratings

NEW VISION STATEMENT: A Roadmap for Success

The recognition continued when the Center for Medicare and Medicaid Services (CMS) released its inaugural Overall Hospital Quality Star Ratings. CMS awarded Marshall Hospital four out of a possible five stars.

Furthermore, Marshall scored higher overall in the CMS report than all but one of the 10 facilities located in Sacramento and El Dorado Counties. We also placed above the national average in patient experience, effectiveness of care and safety of care.

PAST, PRESENT & FUTURE

6 2015 REPORT TO THE COMMUNITY / www.marshallmedical.org

Success occurs when a vision becomes reality. After achieving over five decades of success, Marshall this year translated its goals into a singular vision statement: “Transforming healthcare for you through compassion, quality and innovation.”

And while change is constant in healthcare, Marshall’s vision statement projects an expectation to chart our own course. It describes who we are and what we want to accomplish in the future.

“Transform is the operative word,” according to CEO James Whipple. “We are looking to change from episodic care, or waiting to take care of a patient when they get sick, to keeping people healthy,” he said. “This entails addressing health conditions and wellness in general before it becomes a problem.”

A commitment to our stated mission, vision and values will help Marshall achieve this transformation. Our

compassion – an ability to recognize our patients’ needs – will combine with maintaining clinical quality and delivering effective care. Our focus is to foster a patient-centered culture revolving around these themes.

Furthermore, all Marshall employees – not just those who provide direct patient care – are key to realizing this vision. This vision statement contains goals vital to our long-term success. We have an express desire to evolve and be proactive about pursuing quality and staying current with innovative approaches.

Marshall Hospital is only one of approximately 40 independent acute-care hospitals remaining in California (a decrease of 16 since 2009). For a successful but independent entity like Marshall, there exists urgency for change and transformation. Our vision statement combines both a desire for a change and continued success.

“Transforming healthcare for you

through compassion, quality and innovation.”

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www.marshallmedical.org / 2016 REPORT TO THE COMMUNITY 7

MARSHALL EARNS HIGH MARKS In National Ratings

Protecting our health and our future involves promoting healthy habits. Marshall’s big step toward those goals in 2016 involved kicking a

harmful one.

Marshall’s campuses, including the Hospital, Cameron Park, El Dorado Hills, Georgetown and all clinic and outpatient locations, became smoke

free as of July 1, 2016. The policy includes vaporizers or e-cigarettes.

The decision reflected a mission to improve the health of our community. Marshall CEO James Whipple said allowing smoking – the nation’s leading

cause of preventable death, according the American Lung Association – was “impossible to justify.”

MARSHALL BECOMES A SMOKE-FREE FACILITY

2016 HIGHLIGHTS

DIVIDE WELLNESS CENTER

Daisy Klith, FNP

FAMILY MEDICINE CAMERON PARK

Jeremy Ernst, DO (Aug 2017)

Niraj Patel, MD (Nov 2017)

HEMATOLOGY/ONCOLOGY

Mamatha Siricilla, MD (Sept 2017)

GASTROENTEROLOGYMatthew Cole, MD

( July 2017)Mark Redor, MD

WELCOME New ProvidersMarshall strives to improve our community’s health with service of superior quality. Our providers are vital to making this possible. Since August of 2016, Marshall has welcomed the following medical practitioners:

MARSHALL SIERRA PRIMARY MEDICINE

Loni Jay, MD Tona Rodriguez, MD

(Aug 2017)

ORTHOPEDICS & SPORTS MEDICINE

Rey Barocio, PA Brandon Beamer, MD

This year, the hospital installed an additional new CT scanner to complement the one in place when the new emergency room opened in 2012.

Both capture 3-D images to help doctors diagnose and treat serious conditions like sepsis and pulmonary embolism. Marshall utilizes the latest in diagnostic imaging technology, including a 64-slice CT, PET/CT, MRI, in addition to all standard imaging methods such as all-digital mammography, DXA Bone Density testing, Nuclear Medicine, X-ray and Ultrasound. We will also unveil a new Wide-Bore MRI in late 2017. “The community should be reassured to know that Marshall has medical technology that some people would be surprised to find in a local, community hospital,” said Dan Weaver, Director of Diagnostic Imaging Services. “It’s part of Marshall’s investment in and a commitment to provide the best care we can, right here, in El Dorado County.”

Patients Benefit from STATE-OF-THE-ART RADIOLOGY EQUIPMENT

PODIATRYHarprit Bajwa, DPM

PEDIATRICSKatherine Milroy, MD

WHOLE CHILD HEALTHKatie Long, MD

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8 2016 REPORT TO THE COMMUNITY / www.marshallmedical.org

and the El Dorado Hills Endowment Cabinet. Andrea joined the Marshall Foundation Board of Trustees in 2014 and currently serves on the Executive Committee, Annual Funding Committee, Strategic Planning Committee, and the Bob West Drive for Marshall Golf Committee. Married to husband Tom for 10 years, she has three step-children (Courtney, Cameron and Taylor), two grandchildren (John Parker and Mack), and two rambunc-tious Labrador Retrievers (Woody and Olive).

TREASURER JUDY MORRIS moved to El Dorado County in 1989. Now in her 10th year with Marshall Founda-tion, she serves as chair of the Finance and Investments Committee after

previously chairing the Planned Giving Com-mittee. In 2016, Judy received the Trustee of the Year award for her passionate and devoted dedication to excellence. Service on numerous nonprofit boards over the past 28 years exemplifies Judy’s personal mission of community service. Her 20 years experience on education boards has been a catalyst for education and a lifelong learning in her life. Through leadership roles throughout the community, Judy has volunteered count-less hours with various agencies that serve children, families, women and seniors. She is blessed to have two children and a sup-portive husband of 43 years, Richard. She says the greatest love and inspiration in her life are her grandchildren.

PRESIDENT BOB GILLETT was born and raised in Placerville. He graduated from El Dorado High School in 1971 and attended American River College. He began his career

in two family businesses: Patterson Mo-tors in Placerville and Placerville Lumber Company. He began a new career work-ing for Piland Electric and was employed for 19 years, many of which were spent at Marshall Hospital during various phases of expansion. Bob’s family has also been involved with Marshall Hospital. His dad Robert Gillett and father-in-law Robert O. “Bob” West helped launch the Marshall Foundation for Community Health in 1974. Both family members were Board of Trustees members who began The Drive for Marshall golf tournament, the Foundation’s first fundraiser (the 34th edition is June 14, 2017). Bob also worked in the building restoration trades becoming a partner in El Dorado Restoration. He joined the Marshall Foundation Board in 2012 and currently serves on the Annual Funding, Committee on Trustees, Strategic Planning, Marketing and Donor Relations and Executive Com-mittees. He chairs the Bob West Drive for Marshall Golf Committee. He and Janet, his wife of 40 years, have two children (Chris and Shelley) and three grandchildren (Wil-liam, Brody and Braden).

VICE PRESIDENT DARYL WARDEN was born in Placer-ville and raised in Diamond Springs. He graduated from Ponderosa High School in 1974 before marrying

wife Lori, four year later. They have two daughters and two grandsons. Daryl started his career in the automotive and truck repair industry in 1972. He joined El Dorado Disposal Service as the shop foreman in 1978 and completed his career with them as chief maintenance officer in 1998. Daryl then started his own private contractor business, repairing and fabricating trucks and equipment for the garbage and log-ging industry. Daryl is an avid four-wheeler whose summers include frequent trips to the Rubicon. He and his family volunteer for the Rubicon Trail Foundation. He also sup-ports the Placerville Kiwanis Club’s major philanthropic efforts, in addition to Images

of Hope El Dorado’s White on White cancer awareness fundraiser. His famous tri-tip has become a fixture at such events. Daryl’s mom volunteered as a “pink lady” (the fore-runner to today’s Auxiliary) throughout her 60’s and 70’s. He joined the Board of Trust-ees in 2012 and has served on the Planned Giving, Annual Funding and Finance and Investments Committees.

SECRETARY ANDREA HOWARD began working in El Dorado Hills in 1999, several years after joining Parker Development Company and upon graduating with an

undergraduate degree in business admin-istration from Sacramento State. As an assistant planner for Parker, Andrea helped develop the Serrano community before moving there in 2005. Since then, her work as principal planner and public agency liaison introduced her to the compassion-ate network of El Dorado County residents and professional colleagues who also have a passion to serve. Inspired by her employer’s philanthropic corporate culture, Andrea has been a fixture in the local com-munity. She serves as a Board member for the following charitable organizations: Boys and Girls Club El Dorado County Western Slope, El Dorado County Chamber of Com-merce Economic Development Corporation

MARSHALL FOUNDATION BOARD OF TRUSTEES: (left to right) Back Row: Andrea Howard, Kurt Raffetto, Daryl Warden, Tim Cordero, Bob Gillett, Mark Stanley, Brian Veerkamp

Middle Row: Kathy Witherow, Judy Morris, Janie Esposito

Front Row: Marsha Jackson, Laurel Brent-Bumb, Lisa Marie Slaven, Christa Campbell, Debi Harlow

Not shown: Kevin James, Jake Parsons

MARSHALL FOUNDATION BOARD OF TRUSTEES 2017

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www.marshallmedical.org / 2016 REPORT TO THE COMMUNITY 9

www.marshallfound.org

COMPASSIONATE CARE A Summary of Year Ending September 2016

A total of 2,489 loyal donors provid-ed gifts totaling $520,718 in contri-butions.

Your Compassion in Action distrib-uted $543,167 to the local healthcare community. Through your generos-ity together we extended help to the hurting.

The 2015-16 fiscal year ended with assets of $3,360,208.

The 33rd annual Bob West Drive for Marshall golf tournament drew a field of 150 golferss. The event in memory of the late Jean West raised $66,129 for local healthcare pro-grams (a 32 percent increase from 2015). Kicking off the event was the first VIP reception honoring spon-sors at the $1,500 level and above. A special thanks to the continued Executive Sponsorship of UNION BANK; Dinner Sponsor Carter Kelly, Inc. and the Shingle Springs Band of Miwok Indians as Double Eagle Sponsor. We are grateful for all who participate each year in this re-nowned event.

The third annual White on White event raised over $23,000 – a 51 percent increase over a year ago – for Images of Hope El Dorado. The event benefits cancer patients who find healing through art therapy. You can find more information at www.imagesofhopeeldorado.org.

The 10th annual Honor-A-Nurse Reception recognized 62 nurses and groups, while supporting the Mathewson-Bonser Nursing Schol-

FOUNDATION HIGHLIGHTS

Funding Programs That Care for People

The challenge of providing assistance for the pressing health needs of our community for the past 43 years has been the focus of forward-thinking board members and staff in partnership with our donors and volunteers. The Foundation could not provide these resources without the help of our generous and loyal donors, together with Marshall Employees, physicians, volunteers, and the Marshall Hospital Auxiliary. This team exceeds expectations each year:

"Exceeding expectations, that’s where the joy is. And it’s where lasting impact can be found."

~John C. Maxwell

The success of the past year hinges upon the belief that as we add value to others, we help our passionate donors accomplish their dreams and desires for a healthier community.

2016 Golf Winners: McCready's Team (EPIC); Eric Shaw, Tom McCready, Lynda and Jeff Vernon

Max, Marshall Cancer Services’ therapy dog, with Susan Ward-Baldwin.

iWalk to School 2016 Project With Marshall Mouse

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10 2016 REPORT TO THE COMMUNITY / www.marshallmedical.org

Funds went to training mentors to serve as positive role models for vulnerable 3-5 year-olds.

• Funds for Bipolar Insights cre-ated the opportunity to expand visibility of its programs and involve more people into educa-tional groups. One-time classes for ages 18-30 and classes for families with children under 17 were provided with scholarships for low income recipients.

• Marshall’s Cardiac Rehabilita-tion Department benefitted with a Trackmaster treadmill for its patients, some of whom are low-income. Features included side rails and a polar display with contact heart rate to help patients achieve their target rate zone, in addition to a 500-pound weight capacity.

• Mother Lode Rehabilitation Enterprises (MORE) established curriculum and instructor train-ing to reach its most abused population. While teaching empowerment skills to survivors of domestic abuse, the program helped create lives that could be enjoyed and fulfilled.

Additional Community Health Grants of $30,736 provided:

• Mental health education through free workshops at the Marshall Community Health Library

• Funding to Mother Teresa Maternity Home of El Dorado County for unwed mothers and their babies

• Nursing scholarships for Marshall nurses to upgrade their skills and attain registration

• Education on the long term benefits of exercise and safe pathways through the 13th annual iWalk to School project

• Awareness of saying no to tobacco and alcohol use through the National Night Out program

• Scholarships for City of Placerville Adult Lap Swim program

HELPING HANDS AWARDS The Marshall Foundation for Community Health recognizes those who consider it an honor to serve others.

WENDY GOOSSEN serves the cancer community with enthusiasm, and we applaud Marshall’s Director of Cancer Services as a leader and innovator of services that improve the quality of life for patients and their families. In 2012, Wendy founded the Images of Hope El Dorado program that sup-ports art therapy for cancer patients. While promoting awareness of all cancers, she created both the annual White on White fundraiser event and Pink in the Night, which illuminates Placerville store-fronts with pink lights and symbolizes a united fight against breast cancer. In 2014, Wendy brought smiles to everyone when she began Marshall’s Canine Therapy pro-gram utilized at the Cancer Resource Center and Marshall Hospital. We are grateful for her strategic, forward-thinking mindset that rallies around

FOUNDATION HIGHLIGHTS

arships. Sponsored by Union Bank, the celebration raised $23,092 for nursing scholarships (up 40 percent over last year).

In the fall of 2016, scholarships provided seven Marshall Medical Employees in the nursing service with $20,000 in scholarships. Since its inception, $227,900 has been awarded to 147 recipients in the nursing service at Marshall.

INVESTING IN THE HEALTH OF OUR COMMUNITYAbove all, The Foundation again helped to ensure a healthier com-munity. Many local health resources of exceptional value made full use of the $22,560 our Endowment for Health awarded them:

• The Center for Violence-Free Relationships supplemented its staff with graduate level interns. Together with a Licensed Clini-cal Social Worker, they expanded mental health treatment for post-traumatic stress resulting from their exposure to domestic violence.

• Big Brothers Big Sisters of El Dorado County’s Start Early program connected at-risk chil-dren with one-on-one support.

Learn How You Can LEAVE YOUR OWN LEGACYTo consider your own legacy, request “Your Personal Guide to Gift Planning,” or access our interactive guide online at www.marshallfound.org to understand how leaving a legacy gift to Marshall Foundation can accomplish your dreams for the future. To discuss support of local health programs please call Executive Director Karen Good, CFRM, CNEL at (530) 642-9984 or email [email protected].

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www.marshallmedical.org / 2016 REPORT TO THE COMMUNITY 11

improving patient outcomes.

LORI VEERKAMP is the quintes-sential volunteer who gives selflessly in providing a hand up in support of her community. Lori regularly vol-unteers her time and resources to not just one nonprofit, but twenty-one organizations. In addition, she serves on the El Dorado Union High School District as a board member; she does rounds at every high school, ROP programs, and various committees to move ideas forward. She has served on the Drive for Marshall Committee for years looking for ways to improve the tournament. Her service and devotion is truly exceptional and extraordinary.

C & H MOTOR PARTS/WILBUR HOWE is a caring philanthropist who has considered it an honor to serve the healthcare community and be-yond since the founding of Marshall Hospital in 1959. He continually sup-ports “programs that care for people.” He provided leadership and served as president for numerous local orga-nizations. As a dedicated and experi-enced volunteer he greatly improved his community. As a valued business owner, the in-kind and charitable contributions to nonprofits are vast and numerous.

PROGRAM HIGHLIGHTS

The Foundation continues to provide consistent funding for cancer trans-portation needs; free mammograms; crisis funding for Marshall Medi-cal patients and employees; cardiac rehab equipment; the BirthPlace at Marshall; grief support for sudden loss; art therapy for cancer patients; and Max – canine therapy for pa-tients.

New babies at Marshall deliver at a “Baby-Friendly” Hospital, a special

designation encouraging mothers to breast feed to promote the future health of their child. Certification funding is provided through Mar-shall Foundation.

The 1 + 1 = 11 Marshall Employee Campaign – Nearly $60,000 went to 11 local nonprofits to benefit the community through the Nonprofit Partnership Campaign chaired by Cardiac Services Employee Ginny VanDuyn. The concept of support-ing local health was based on ONE pledge for ONE year to support eleven nonprofits. These resources provided extraordinary public benefit.

Strength for the Journey continues to offer hope to those who experience sudden loss. Weekly share sessions have provided a resource to the com-munity for the past thirteen years. The group hosted the 12th “Remem-brance Celebration” of loved ones at Chapel of the Pines in December.

The Marshall Cancer Center in Cameron Park provides diagnosis and treatment, transportation for

www.marshallfound.org

cancer patients, complete patient resources, including a patient navi-gator and canine therapy with Max, the therapy dog. One-on-one caring assistance allows our cancer patients one less thing to be concerned about while Marshall Foundation provides funding for many of these programs.

Images of Hope provides art therapy for cancer patients and/or family members through the generosity of individuals and businesses in our community.

The Janet Nachtman Fund continues to provide free mammograms to every woman who cannot afford the screening.

WHY MARSHALL CONTINUES TO THRIVEIt’s because of you! Our success relies upon the trust of our loyal donors and visionary leaders. To meet today’s needs and tomorrow’s challenges, we need your help. Please consider the Gift of Health.

2016 Mathewson Bonser Scholarship Recipients: Roy Mayhugh (husband of recipient Janelle Mayhugh), Janelle Montgomery, Amanda Wilkinson, and Foundation Board of Trustees president Bob Gillett.

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12 2016 REPORT TO THE COMMUNITY / www.marshallmedical.org

Gifts from March 1, 2016 to February 28, 2017

ALZHEIMERS FUND Adele SissonCatherine Maul

AUXILIARY SPECIAL NEEDS FUND Dave and Yvonne AllanAmazonSmile ProgramAnonymous Gifts

BOB AND JEAN WEST SCHOLARSHIP FUND Gilfix & La Poll Associates LLPBillie L. GillettAncil and Janet HoffmanDean and Mary Lou JenningsJudge and Mrs. Patrick J. RileyCarl and Mickey Visman, Jr.Cathy E. West

BRIAN MCNATT TESTICULAR CANCER AWARENESS FUND Daryl and Lori WardenDorothy M. BoydMarjorie D. McNatt

BRIDGING THE GAP/EMPLOYEE ASSISTANCE FUND AnonymousNanette M. BatemanSusan BobbinKelly A. BroughtonMelissa BurksKimberly CorsiniMs. Laurie DahlEl Dorado Community FoundationRich and Martha EnglefieldElena A. EstradaMary Beth FahyLori S. Heuser, PA-CNicole HillDr. and Mrs. Mark P. KalCynthia KerrCheryl J. PurgettMadeline M. SimmonsKathy and Fred TennapelRosemarie WalentschkaMyra and George Wentworth

CANCER CENTER CAMPAIGN Jim and Virginia AbercrombieBradley and Cindy BarnhillDave and Jennifer CopelandDr. and Mrs. A. J. diVittorioJohn and Pam DriscollEl Dorado Disposal ServiceEl Dorado Savings BankJanie and Richard EspositoBob and Janet GillettBrian J. Goldsmith, MDWendy F. GoossenDr. and Mrs. Stanley C. Henjum, IIJohn and Georgi KnightNeil and Edna KnutsenKathy and Tom KrejciEd and Gabrielle MarchiniMoney/Arenz Foundation, Inc.Dave and Jackie NelsonRob and Lauren PrichardMichael and Lynn RyanNecati and Derya TekinWendy and Dennis ThomasShannon L. Truesdell and Stephen F. RobertsJohn and Theresa TuckerDale and Adale van DamBrian and Lori VeerkampJames and Deborah Whipple

CANCER CENTER HEALING GARDEN Threads of Life - Quilt Auction CommitteeBryan Phipps, Attorney at LawTina A. Smith

CANCER FUND June CombellackRobin L. Locke, MDMr. Luis H. MedalAdele SissonDonald G. Smith, Jr.Michael and Jennifer BassettRonald and Mary BidstrupCargill, Inc.Jim and Maureen CarterRita CastroDavid DiAndreaPatricia J. FrenchDiana and Tommy KellyDennis P. KissingerMichael and Theresa KokinosLake Oaks Social Club

Catherine MaulZangeni MualchinOMP FoodsPrestage FoodsTammera RidingsWerner and Inge RiedlingRoger and Jerriann SindelSmithfield FarmlandDavid and Shirley SmytheUC DavisEdward and Patsy WebsterNellie C. WellerLouise and Rudy WhitmerNancy Wilcox

CANCER TRANSPORTATION FUND Kelly FoundationMichael S. WoffordMr. and Mrs. Bob E. ApplebeeBerle BelizEl Dorado Community Health Center

CARDIAC FUND AnonymousAngelo and Joan Cardanini Fund at the El Dorado Community FoundationAdele SissonSusan BobbinKimberly CorsiniLourdes EdralinMary Beth FahyMarlene MarkowichCardiac Rehab and CHATT Program Staff and FriendsMichael McIntoshAaron and Cory McMickenTanya and Tony MoranWerner and Inge RiedlingKimberly Z. TurnerNellie C. WellerWendy T. White

CHAPEL FUND Thomas Weikert

COMMUNITY CARE NETWORK FUND Kathleen Gramsgibbs and Keith Gibbs

COMMUNITY HEALTH LIBRARY FUND Sharon H. ColemanRuthie M. Loeffelbein

With sincere gratitude to our generousFOUNDATION DONORS

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Albert Schweitzer once said, “At times our own light goes out and is rekindled by a spark from another person. Each of us has cause to think with deep gratitude of those who have lighted the flame within us.” We would like to thank the hundreds of donors who make a huge difference in the lives and health of the community we serve. We extend our heartfelt thanks to all of you!

DIABETES EDUCATION FUND Adele Sisson

EMPLOYEE WELLNESS FUND EPIC BrokersAnonymousMyrna BrauchKimberly Marie BrownMelinda and Steve FrankRebecca HulseyKathy and Tom KrejciKelley KrohnStephanie MartinSharon McKenzieAmanda MilesLyndee WrightGraciela Zamora, CNA

ENDOWMENT FOR HEALTH Arnolds for AwardsEd and Sandy Mathews

FORGET-ME-NOT FUND Lawrence A. Red

GENERAL FUND ALPHA FundBarbara AshwillSergio and Noel BarrosNorma D. BrinkMerwin E. ButlerChrista Campbell and Tom HeflinCarsten's Yearly Analysis, Inc.Roy and Pearl CarterCarter-Kelly, Inc.Diane C. ChildMichelle and Dennis CollingwoodGary and Dee CutterEl Dorado DisposalGE FoundationGold Country Artists GalleryPaul and Marni KaplanRandall and Deanna KerrDrs. Alexander Massey and Helen ChengDennis and Carolyn NeuRobert and Marcella ReederAdele SissonShingle Springs Band Miwok IndiansUnion BankAnonymousVernon ArambelDavid and Karen Ashe

Jack and Myrna AugsburgerRichard and Kathleen BaierskiRoger and Tracey BaileyKaren and Randy BarrowWilliam and Carole BeckettCarol L. BlevinsLaurel Brent-BumbJohn and Alice BurhenneGerhardt and Bonnie BurkC. Robert and Joanne ClarkePeter and Mary Ellen ComerfordDaniel and Arlene ComstockTim and Laurie CorderoCarl and Sheryl DingleBertram C. DrouinJames and Dorothy DuckworthElder Options, Inc.Clifford and Janet FlanneryJohn W. FlorinCarol Foley, FNPLillian R. GeorgeAlyson M. KlevesahlEleanor M. LaszloDouglas and Marian LeiszThomas and Barbara LindTom and Lucille LivingstoneStacy Marshall-VerbitskyGerold and Cynthia MerkerTom and Jane MeuserTanya and Tony MoranHarry and Jan NorrisMonte and Kay OsbornGaylord and Phyllis ParksJanice E. PetersenElizabeth and Doug ShelstadSteven and Penny SherveyWilliam and Doreen ThornhillUnited WayCher Williams

GIVE TO THE MAX - PET THERAPY PROGRAM Tindel-Finck Endowment at the El Dorado Community FoundationAnonymousMenka BelgalEd and Karen GoodAndrea and Tom HowardStephanie JohnsonRoxie MattockJanet M. OsterdockTina A. SmithLinda M. Spafford

GREEN TEAM FUND Karen R. DostartMary Beth FahyPatricia Garcia, RNNancy Getz, CCRNMike and Deanna JonesClifford L. SchmidtJames and Deborah Whipple

IMAGES OF HOPE Alvarez Vineyards, LLCAnonymousJim and Maureen CarterHoly Trinity ChurchTindel-Finck Endowment at the El Dorado Community FoundationJustin TurnerMikie AguilarAnonymousLois E. BrownAllan B. CombellackCombellack'sDr. Karen L. CummingsLinda DunleavyAudrey C. EricsonMary Beth FahyMaudie M. FowlerBillie L. GillettDeborah GroteP. J. HiltonCathleen A. HopperJulia M. HuweChristie JohnsonKathleen LishmanEllen MartinLaura MastrosimoneRobert P. MussoJan NewellOff BroadwayPatricia S. RainesCindy RobertsScott Shaw Enterprises, Inc.Karlyn SheplerSole DesireStan and Pam StarkeyGayle and William Wilson

INTENSIVE CARE FUND Marshall Hospital AuxiliaryRobert and Sandie Bylin

FOUNDATION DONORS

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14 2016 REPORT TO THE COMMUNITY / www.marshallmedical.org

IWALK (INT'L WALK TO SCHOOL) FUND Soroptimist International of PlacervilleTanya and Tony MoranSierra School Parents Club

JANET NACHTMAN CANCER FUND 18 Hole Ladies GroupLinda BarrettJune CombellackTod and Judy Pickett Fund at the El Dorado Community FoundationEl Dorado Rod & Gun ClubOak Ridge Sports Boosters ClubWindwalker WineryAnonymousRonald AspesiLarry CarstenBilly and Billie ChapmanEl Dorado Rod & Gun ClubBonnie L. GarvinBillie L. GillettJames and Rebecca JerwersDr. Larry and Lynne MooreCarissa MorkowskiPete and Vickie PhelanEric SchwagerusBob Wering

JUNIOR VOLUNTEERS FUND AnonymousAshley AzevedoChris BelmerTheresa M. CrowleyRuth F. EricksonJennifer and Tyson FiterreJami and Jason FreseJoseph FusanoPamela A. GregoryRobert HalkShelby C. JocoyKelley KrohnHeather LamontAnnette McCormick GierkeElaine O'ConnellJudy PeasePaul and Sherry PhillipsenHolly SalvestrinEric and Danika SchultzTheresa L. Short

KAREN MILLER MEMORIAL FUND Marty and Gary Aalberg

MATHEWSON-BONSER NURSING SCHOLARSHIP FUND Norma BrinkB T Rocca Jr FoundationUnion BankRichard and Jean AlluredMaureen GillClaire and Jeffrey Winger

MCDEVITT EDUCATION FOR ICU FUND Wenonah WilliamsonAnonymousMary Beth FahySusan BobbinKatherine OlneyStacey RobertsMadeline M. SimmonsLinda A. SmalridgeShannon Yourkvitch

PEDIATRIC FUND Estate of Dean Dodge

PINK IN THE NIGHT FUND Tindel-Finck Endowment at the El Dorado Community Foundation

PINK RIBBON FUND FOR BREAST CANCER AWARENESS Tod and Judy Pickett Fund at the El Dorado Community Foundation

SAVE A LIFE GIVING CLUB Bonnie and Jack LineJanet M. Osterdock

SPIRIT OF RECIPROCITY Laurel Brent-BumbChrista Campbell and Tom HeflinJanie and Richard EspositoBob and Janet GillettEd and Karen GoodDebi HarlowAndrea and Tom Howard

Marsha JacksonPenny Lehrman, BSRNMary W. MeaderTanya and Tony MoranJudy and Richard MorrisJake ParsonsMark and Robin StanleyBrian and Lori VeerkampKathy and Greg Witherow

STRENGTH FOR THE JOURNEY - SURVIVING SUDDEN LOSS Larry and Jackie AbelJane WilliamsonMarilyn ChapmanJohn and Cheryl CookEl Dorado Savings BankElizabeth and Doug ShelstadRick and Diane Skinner

STROKE SUPPORT PROGRAM Rosemarie D. BookJanice Weaver, RN

SURGERY EQUIPMENT Bonnie and Jack Line

THE BIRTHPLACE AT MARSHALL HOSPITAL Donna M. HallLadies Auxiliary Fleet Reserve ASN. Unit 275

THE NONPROFIT PARTNERSHIP Marshall Medical Center EmployeesDavid AshbyKathleen D. Krizl

TRANSITIONAL CARE CENTER FUND Jack and Amy BellAnita L. Bonbright

UNRESTRICTED PLANNED GIFTS Estate of Brenda MarquesEstate of Michael PantelEstate of Dorothy A. Wilkin

With sincere gratitude to our generousFOUNDATION DONORS

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Tribute Gifts from March 1, 2016 to February 28, 2017

Kenneth P. Abler, Jr., R.N. Theresa A. Abler Jon L Ackerman, RN Bonnie and Jack Line Amelia Bacoccini Michael and Gale Johnson John W. Barnhill, MD Bradley and Cindy Barnhill David Robert Small Beichley Kathleen R. Beichley Alvin V. Bird Sandy and Barry Bird Christopher Brandon Bird Sandy and Barry Bird Alexandria Carr Bradley and Cindy Barnhill Stephanie Chapman Marilyn Chapman Tim Chapman Marilyn Chapman Betty J. Cochran R. A. Cochran Robert W. "Bob" Combellack June Combellack June Anne Cotten Dave and Yvonne Allan David and Karen Ashe Charles and Barbara Bellmont Audrey de Pass Ronald H. de Pass Joyce Evelyn DiAndrea Amick Farms Ronald and Mary Bidstrup Patricia J. French Diana and Tommy Kelly Lake Oaks Social Club Bonnie and Jack Line Smithfield Farmland David and Shirley Smythe Edward and Patsy Webster Grace Esposito Janie and Richard Esposito Verna Ezzell Roger and Jerriann Sindel Joan Flowers Robin L. Locke, MD

Margaret Geiler Dr. Karen L. Cummings Michele Gillett Bob and Janet Gillett Tom Graff Missouri American Water Tammera Ridings Russell S. Grove Helen I. Grove Marie Gustafson Martha Gustafson Elsie Hardie Catherine Maul Doris Hesselbein Kathleen Gramsgibbs and Keith Gibbs Leland J. Hill Ralph and Sandra Bert Jeffrey Michael Hocking Sandy and Barry Bird Patricia Hocking Sandy and Barry Bird John Stewart Hocking, Jr. Sandy and Barry Bird Mary Kaye Hutchins UC Davis Bill Jensen Donna Jamison Eino V. Johnson Michael and Gale Johnson Theodore Johnson Michael and Gale Johnson Viola T. Johnson Michael and Gale Johnson Robert Jones Dorothy E. Jones Antoinette Kissinger Dennis P. Kissinger Della Lacy Robert and Sandie Bylin Ann Lydon Janice Weaver, RN Bob Mann Sharon and William Jensen Lois J. Maul Richard G. Maul, Attorney at Law

Brian McNatt Marjorie D. McNatt James D. McNatt Marjorie D. McNatt MaryAnn Medal Mr. Luis H. Medal Kenneth L. Meyer Rosemarie D. Book Karen Miller Marty and Gary Aalberg Barbara J. Moore Erma Mikkelsen Janet Nachtman Billy and Billie Chapman Dr. Thomas C. Nutting Dianne Eden Michael Pantel Erni Pantel Adele M. Peirce Michael and Gale Johnson Curtis Peirce Michael and Gale Johnson Dora Petersen Carles E. Petersen Vivia Peterson, RN Claire and Jeffrey Winger Stephanie Chapman Pope and Timothy Chapman Marilyn Chapman Scott Purves Elizabeth and Doug Shelstad George E. and Osa Ramberg Bradley and Cindy Barnhill Robert M. Riley, Jr., MD June Combellack Frankie Paul Rizzo Nellie C. Weller Wendy Roeca Jan Newell Roger Rothlisberger Mrs. Doreen Rothlisberger Clayton Skinner Rick and Diane Skinner Donald W. Sly Verna J. Sly

Michele M. Smith Donald G. Smith, Jr. George Stefanski Corrinne R. Stefanski Saadettin Uygur Tekin Necati and Derya Tekin Carlyle Truesdell Shannon L. Truesdell and Stephen F. Roberts Lee Turner P. J. Hilton Laura Mastrosimone Karlyn Shepler Stan and Pam Starkey Justin Turner Margaret A. Volz Janelle Meekma Kathyrn Wahl Nellie C. Weller Carol Waldron Wendy and Dennis Thomas Michael K. Ward Dr. Larry and Lynne Moore Shige Watanabe Catherine Maul Martin F. Welsh, MD Dr. and Mrs. Mark P. Kal Dr. Larry and Lynne Moore David West Bob and Janet Gillett Marjorie Jean West Gilfix & La Poll Associates LLP Billie L. Gillett Ancil and Janet Hoffman Dean and Mary Lou JenningsJudge and Mrs. Patrick J. RileyCarl and Mickey Visman, Jr. Cathy E. West Alma F. Wiles Mr. Glen A. Wiles Betty Witherow Jim and Maureen Carter Charlotte F. Zak Jerry and Hannelore Zak Brian R. Zinser Charles and Diana Zinser

FOUNDATION DONORS

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16 2016 REPORT TO THE COMMUNITY / www.marshallmedical.org

ABOUT MARSHALL MEDICAL CENTERMarshall Medical Center is an independent, nonprofit

community healthcare provider located in the heart

of the Sierra Foothills between Sacramento and

South Lake Tahoe. Marshall Medical Center includes

Marshall Hospital, a fully accredited acute care

facility with 125 beds located in Placerville; several

outpatient facilities in Cameron Park, El Dorado Hills,

Placerville and Georgetown; and many community

health and education programs. Marshall has over 190

board-certified physicians and a team of over 1,500

employees providing quality healthcare services to over

175,000 residents of El Dorado County.

Mark DeVaughn – Editor Marketing and Community Relations

530-626-2816 / email: [email protected]

KDgraphics – Design

Marshall Medical Center 1100 Marshall Way Placerville, CA 95667 530-622-1441

www.marshallmedical.org