S p e a r e m e m o r i a l h o S p i t a l

More than you expect

2011 Annual Report

“For us it was a huge decision to have a baby and we

ChoiceMeet Jackson

wanted to make sure that the experience overall was the best it could be,” says Michelle.

“We didn’t want to be treated like a number.”

2

Choice That is the Speare experience.

For Ken Grey and Michelle Moren-Grey of Beth-lehem, the decision to start a family was a very conscious one. Being first-time parents to son, Jackson, at almost 40 years old, they were well aware of the risks.

“For us it was a huge decision to have a baby and we wanted to make sure that the experience overall was the best it could be,” says michelle. “We didn’t want to be treated like a number. at some facilities that’s the experience we’ve had—it has nothing to do with patient care, but how many people they can push through in a day.” Not so at Speare memorial hospital and why they chose to come back.

michelle explains, “I tend to be very demanding with my healthcare. I expect someone to listen to my needs and hear what I have to say. i know my body best. i live with it every day. i wanted someone who was going to pay attention to me and answer my questions even if they were questions they have heard a million times.”

That’s exactly what they got from Dr. mark Banister, the plymouth oB/GYN staff and the Birthing Suite. “Never once did i get the feeling i was inconveniencing them. We were just impressed with everybody.”

michelle says it was a little nerve racking to choose a male as her doctor, “But Dr. Banister put me at ease with the whole process. he was always very professional, but at the same time relaxed enough to make me feel comfortable with what was going on, and the questions i was asking , like ‘Can i ride a motorcycle? Can i still ski ?’

“But as we got closer to Jackson’s due date, i got toxemia and i saw an-other side of him—now we have to get down to business, you need to go on bed rest and this is what we are doing. i never had any doubt in my mind that we were doing the right thing for Jackson in making sure

he came out healthy. i was comforted by the fact Dr. Banister was on top of his game and knew what he was doing.”She continues, “Our experience was more than we expected. it was excellent care. it was personal. i didn’t feel as though i was just another person coming in to have a baby. The people involved, they had probably delivered 150 babies this year, but Jackson was number one. It was as important to them as it was to us.”

amy tomasello, rN, in the Birthing Suite was one of the “people involved.” Ken and michelle first met amy when they were sent up to the Birthing Suite for a non-stress test after her toxemia (water reten-tion and high blood pressure) diagnosis. michelle recalls, “i was very upset, this is not supposed to happen, what is going wrong? amy said we’re going to monitor Jackson and make sure everything is okay. She just made us feel at ease with not knowing what was going to happen. She seemed to understand our family dynamics well and how impor-tant this was to us.

amy was also there when michelle came in to deliver, and again when Jackson needed to come back for overnight observation. “amy was just very good at keeping things calm and running as smoothly as possible. even answered questions we didn’t have, like how to bathe this child. and she was there when we had to come back in with Jackson. he wasn’t feeding very well and had lost a pound since birth, so we came in to be monitored. amy said he was fine, just slow on the intake.”

For most that would be the end of the story. Not so for Ken and michelle.Four weeks after Jackson was born, michelle had a day where she didn’t feel good, and was very uncomfortable by that evening. She says, “We called our primary care provider at the time and they said it was prob-ably related to my c-section. So i called Dr. Banister and he asked if we called our primary care because it sounded like gall bladder. i agreed with him because i’ve experienced gall bladder pain before. he said if you can get through the night come in first thing in the morning and we’ll take care of you.”

Well, michelle didn’t make it through the night and at 10 p.m., arrived in the emergency Department at Speare. it wasn’t her c-section or her gall bladder. She needed an emergency appendectomy. While not Dr. Banister’s area of expertise, michelle says, “it was reassuring to know he was going to get me the care i needed.”

Every story starts with a decision

3

Caring Creig’s story

4

Caring“I want everyone to know how appreciative I was... They were there to take care of you like you were the only patient on the floor... You began to feel like it ’s a family.”

When Creig Doyle of holderness woke up on the morning of November 11, 2010, he noticed his right arm felt stiff and that it was a little swollen. Seeing two “red dot pin prick” marks he chalked it up to a spider bite. as he was shaving he recalls his arm feeling tighter, and that he couldn’t make a fist, but continued on with his morning routine.

as the chief of plymouth State University police, he arrived at the office about 7:45 a.m. By 8:30 a.m. the swelling in his arm had inched up his bicep toward his shoulder, and the little voice inside his head was saying, “maybe i should get this checked out.” he proceeded to the emergency Department at Speare memorial hospital.

Being Veterans Day it was fairly quiet. after being triaged, Sharon hilger, rN, talked to him about what was going on, and she was followed a few minutes later by Dr. Steve Danosi. Creig notes, “he had a really good demeanor, per-sonal but professional, wanting more detail on symptoms and their onset. he disagreed with my assessment saying, ‘i don’t think we have any spiders in New hampshire that would make this happen, so let’s see if we can figure out what is going on.’ That’s when he decided on blood work and ordered an ultrasound.”

it wasn’t long before Dr. Danosi had an answer. The ultrasound showed Creig had a wrist to clavicle blood clot that Dr. Danosi began addressing right away. “oh, you mean

i’m staying,” Creig asked.

For wife leonetta, it was a miracle he took himself to the emergency room to begin with. She says, “he down plays everything. When i arrived at Speare he

was still in the emergency Department, but moved upstairs shortly thereafter. i was very concerned because it was a blood clot, and i realized the seriousness of it even though he was playing like it’s nothing.”

had Creig waited any longer to come to the emergency Department, he would be telling a different story. his primary care physician/hospitalist Dr. Kathleen pearson was clearly worried, which solidified leonetta’s concern.

Creig says, “Dr. pearson gave me a very somber over the top of the glasses look, ‘it is a good thing you came in when you did. We got you in the nick of time.’ That’s when the light bulb went on that this is serious.”in an effort to dissolve the blood clot, Creig was taking Coumadin and on a heparin drip. While not in traction, he had limited mobility with his arm propped up on two pillows. at times he was allowed to sit in a chair, but other-wise no walking around. Dr. pearson was insistent, “You are not to move.”

Despite “just hanging out” in the hospital for eight days, leonetta remembers her husband to be in good spirits. Creig insists, “i was in no pain, i didn’t feel sick and felt so guilty for taking up a bed.”

Leonetta says it was the teamwork of the staff—clinical and non clinical— that made a difference. “i want everyone to know how appreciative i was. They never made you feel rushed or imposed upon. When they were there, they were there to take care of you like you were the only patient on the floor. it just amazed me they gave you the time you needed and maybe a few minutes more. You began to feel like it’s a family.”

Creig and leonetta made a particularly special connection with lNa amy enderson. The emotion rises in leonetta’s voice as she reflects back: “amy talk-ed to me at length a few different times. once was just to ease my concerns and say whatever she could to encourage me. Then we began to connect on a more personal level. The day we found out something showed up on a follow-up x-ray and might be a spot on his liver, amy was there for me. i had questions and she helped put me at ease.” an mri cleared up any lingering concerns.

leonetta continues, “Amy was one of those people God puts in your life to help you through something. She is a woman of faith, and so are we . . . i felt that i had the faith support i needed. it was then i realized this is a community, and i felt i belonged.”

Never, in any other hospital i’ve been anywhere, was the staff concerned about my needs as a family member like they were here at Speare. it was a good warm feeling. That stood out most importantly for me.”

Creig went back to work the monday after Thanksgiving, but put himself on the “rubber gun squad” during the five months of physical therapy that followed. he became an avid reader during his down time, but is back to being fully active, working around his yard, as well as trying something new— kayaking.

leonetta Doyle

5

Many Thanks !10,144 Hours

Annual Volunteers

John adams

mary ann adams

Brenda akerman

Bethany atwood

David Bartholomew

mary Bartholomew

Kerry Beal

Joan Bergstrom

Nancy Bird

Karen Bissonette

ann Blair

irene Blake

Jean Bolstridge

Dan Bowers

Sue Brothers

ann Burghardt

michael Buttolph

Kathryn Caldwell

Jessica Carpenter

Deborah Casale

linda Cochran

megan Cooper

pat Corbin

Julia Cote

Kaela Cote

Sandy Crisp

rachael DeSantis

irene Deutsch

ruth Doane

Jules Doner

Virginia Dunn

helen ellsworth

Chuck engborg

lois estell

mal estell

Cheryl Fifield

richard Flanagan

lee Fortier

elaine Freedman

Claudine Gall

marie Gardner

Christopher Gonzalez

marilyn Gonzalez-rudis

Judith Gooch

John Gray

Dianna Green

Bernice Grossman

aditi Grover

mike Guy

Gayle hannan

David hiltz

marguerite hoyesen

tiffany Johnson

Sarah Kilfoyle

Susan Kipphut

Joanne Koermer

lucy lahey

rachel lamphier

Chantal laplante

leo leBlanc

Brian letourneau

emily lonergan

Carol mabin

Kathy macDonald

Shirley marcroft

Suzanne martin

tara mcKenzie

Darlene Nadeau

tobias Nyatsambo

Joan o’Connor

robin orr

Brittany phelps

Carolyn piantedosi

elva piehn

Joan poitras

Janet rapp

Katie roukes

lauren Sargeant

George Smith

Jenna Stearns

Sarah Steenbergen

Susan Stepp

Sarah Stewart

marty Stokes

Wallace Stuart

June tackett

ann Thibodeau

Joan Thomas

larry tingley

eileen torrey

patricia von Klock

alexandre Wagner

Bethany Ward

ed Weber

Joy Webster

Christopher Wilk

Spirit Team Volunteers

77Hours Cathleen anderson

Brooke Banister

Seth Beyer

Jordan Browne

amy Cirrone

Katie Darragh

Sydney henderson

heather Johnston

alejandra manheimer

alisha mcGlone

Connor mersch

erin moore

amanda morse

Brett pestana

ryann Sargent

Sarah Solomon

eric trott

erin Yorke

10,221Total Volunteer Hours

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Many Thanks !hillary moore has always been interested in nursing, but after high school she chose a different path and became a travel agent. after 19 years, due to changes to the travel industry over time and the economic downturn, she was laid off. it was then she decided to turn her focus back to the medical field.

after several applications, but no bites on her resume from area physician offices, hillary became a volunteer at Speare memorial hospital. her assignment placed her at plymouth orthopedics & Sports medicine Clinic (poSm) putting her customer service background to work greeting patients, filing and other patient care support activities. Shortly thereafter, poSm was in need of a medical secretary on a per diem (as needed) basis and hired hillary.

“my time as a volunteer was great on the job training,” notes hillary. “i was a good fit for their needs, and they were able to see my initiative and ability to work well with patients.” Soon, one thing led to another and hillary now works per diem in eight different medical secretary/health unit coordinator positions around Speare.

She says, “it just snowballed and has become so much more than i expected. at poSm i get to work with the doctors and in the emergency room watch the nurses and the role they have in saving someone’s life. it is not your typical everyday job.”While hillary’s passion for nursing may have been sparked long ago, it was through her volun-teer experience at Speare that the flame was ignited. hillary has been accepted, and will enter the nursing program at plymouth State University this fall, where her journey will begin anew.

“My time as a volunteer was so much more thanWhile Hillary’s passion for nursing may have been sparked long ago, it was through her volunteer experience at Speare that the flame was ignited.

I expected,” notes Hillary.

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FamilyCommunity Dr. ebner and his family enjoying all that New hampshire has to offerLifestyle.

8

The doctors at Speare memorial hospital have studied at Dartmouth, Yale, tufts, The ohio State University, and other nationally-recognized top medical schools. We have completed rigorous residency training programs in large metropolitan areas such as New York City, philadelphia, Boston, Denver and Detroit, and remain board certified in our areas of expertise. For some this comes as a sur-prise and more than you expect from a small, rural, community hospital.

So why do qualified, well-trained physician elect to live in central New hampshire and work at Speare? For the same reasons YoU do. our doctors enjoy the hiking, biking, boating, and skiing that the lakes and White mountains regions have to offer. The greater plymouth commu-nity also enables physicians —as local residents—to become involved in theatre, non-profit organizations, and town politics.

Dr. Bentwood volunteers for the pemi Youth Center, Dr. White sits on the CaDY board of directors, Dr. Cunis has been very involved with First Star tonight, and Dr. Casey serves on the holderness School Board. additionally, many of us have seen Drs. Casey and Gennaro

perform on stage as part of the educational Theater Collaborative in plymouth, or Dr. Medlicott performing with revels North in hanover. We physicians recognize what a blessing it is to find a practice opportu-nity that allows us to work and live where we like to play.

Dr. Stack recently joined plymouth oB/GYN seeking a better life bal-ance. She has previously practiced in the Boston area and Detroit and is excited to explore the White mountains and better integrate her profes-sional life with her other interests like hiking and kayaking. She hopes to plant a garden next spring, and invest in some livestock.

Dr. Koren, who has advanced professional training in minimally invasive surgery, leaves the operating room at Speare each day to tend to the animals on his farm. he and his wife enjoy the challenges of “living off the land”, milking the goats, and experimenting with goat cheese production.

Dr. Danosi joined the emergency room last fall from Columbus, ohio to be closer to the mountains and his daughter, currently a student at Dartmouth College.

Dr. Russo brings new ophthalmologic procedures to our community at White mountain eye Care. Being closer to family, and a great place to start their own family, were key decision points for he and his wife, Nicole, in choosing Speare and the greater plymouth area.

The value of this work/life balance is reflected in the care the medical staff provides our patients. Speare memorial hospital continues to rank best in class among New hampshire critical access hospitals with regard to national healthcare quality measures including patient satisfaction. This is in part due to the fact that our physicians can restore their sense of well-being outside of the hospital. This “rejuvenation” energizes us to stay current in our specialties by attending courses, learning new procedures and introducing new technologies.

at the same time we are part of this community, and YoU— our family, friends and neighbors—are our patients. as always our care is centered around you, and reflects our commitment to your health and well being.

So why do qualified, well-trained physicians elect to live in central New Hampshire and

work at Speare? For the same reasons YOU DO!

Dr. KorenDr. Danosi

Dr. Stack

Joseph ebner, mDChief Medical Officer

Dr. russo

9

Patient Satisfaction

SafetyQuality

10

You may have read or heard of the often used expression, “ensuring that the right patient receives the right care, at the right time.” indeed, this phrase has been transformed into a slogan for many healthcare organizations across america. The current marketplace not only demands that health care delivery meet this standard, but hospitals must also

quantify their clinical processes and patient outcomes. Over the past year, Speare Memorial Hospital has made continuous gains in this work by strengthening the partnership between Quality and Nursing.

This partnership has contributed to sustained “best in class” performance, higher levels of patient satisfaction, and patient safety.

on any given day within the hospital, staff from the departments of Quality and Nursing can be seen reviewing charts or rounding on patients. Teamwork is essential and information is shared and recorded which helps ensure that patients receive evidence-based care and follow-up. moreover, such connectivity helps department leadership address patient safety concerns, if they arise, in a timely and effective manner, as well as addressing patient concerns and questions during and after the hospital stay.

• hardwire clinical care delivery so that favorable patient outcomes are sustained regardless of shift or day of the week

• Quantify nursing-sensitive indicators and compare outcomes within a national database (e.g. falls, pressure ulcers, catheter-associated urinary tract infections).

• Continuously improve communication processes and patient hand-offs which elevate patient safety and patient satisfaction

• ensure that nursing staff are appropriately represented and supported on hospital committees such as: medication Safety, Clinical policies and practice, and the hospital Quality Council (Board-level)

• Develop a meaningful strategy for implementing a Just Culture; a method for evaluating human culpability following a medical error

• identify effective methods in teaching the science of performance improvement to nursing directors and staff leaders

A Quality Partnership Leads to Improved Care Delivery

Nursing and Quality Patient Safety Partnership Goals

SMH Mean

NationalRank

92.884

SMH Mean

NationalRank

94.888

SMH Mean

NationalRank

92.989

SMH Mean

NationalRank

Emergency Department* Nursing courtesy

Ambulatory Surgery* Degree pain was controlled

Inpatient Care* Nurses’ attitudes toward patient requests

Outpatient Services* Skill of techs/therapists/nurses

96.082

*National rank as compared to all hospitals participating in the press Ganey database 0Patient HarmThe number of occurrences

of adverse drug events during FY 2011

11

Leadership12

Quality. Safety. Affordable. Coordinated.These are the key words that come to mind when describing our patients’ expectations regarding their healthcare experience at Speare memorial hospital.These words also define the aspirations of an industry in transition. Unlike days gone by when the local doctor carried his signature black bag and made house calls, caring for the whole family, to-day’s healthcare system has become fragmented and complex. against a backdrop of rising costs, lack of medicare/medicaid funding, the economy, politics, the insurance debate, and incentives focused on fee for service instead of overall patient outcomes, we are all working to transform healthcare locally, regionally, and nationally.

Despite this conflict and financial uncertainty, Speare memorial hospital remains a cornerstone in the central New hampshire healthcare community. We continue to shape the future by staying true to our core mission—your health—and keeping care personal.

Quality care is not defined by size. in fact, Speare memorial hospital’s quality of care is among the “best in class” for critical access hospitals. We have

achieved and maintained a level of care excellence higher than both the state and national averages across all four National hospital Quality measures: heart attack, congestive heart failure, community acquired pneumonia and surgical care improvement. as the graphs to the left demonstrate, our patients are receiving care in compliance with these evidenced-based standards of care.

Furthermore, we take into consideration the whole

patient and their family. “i don’t feel like a number”

is something we hear often from our patients and is

demonstrated by our patient satisfaction scores across hospital departments. From the er to the or patients consistently ranked us in the 90% percentile relative to their satisfaction with their Speare experience. it is more than they expect given our small size and rural location.

also demonstrating our commitment to patient and family centered care is the development of a Family advisory Council. The role of patients and families as partners in their care is essential from the bedside to the boardroom. over the last year family advisors have contributed their own healthcare experiences and perspectives to enhance our new visitor’s policy, retool our signage to improve way-finding throughout the hospital, and develop bedside protocols in the iCU. This is just a small sampling of how they are helping to shape the Speare experience.

patient Safety is ensuring the right patient is receiv-ing the right care at the right time. Speare memorial hospital has responded to the national effort to re-duce medical errors and adverse events by building effective working partnerships with clinical staff and leaders, and supporting a culture of transparency.

one example is our medication safety committee, which consists of representatives from the depart-ments of quality, nursing, and pharmacy. Quite simply the goal is to eliminate patient harm from a medication error by taking a more comprehensive look at our medication safety practices—not just when an error occurs but when one doesn’t, thanks to a ‘good catch’—to prevent errors in the future. The number of adverse drug events at Speare last year was zero.

affordable care is another key healthcare compo-nent. Quality and safety help to drive down costs by increasing efficiency and effectiveness thereby en-suring better patient outcomes. These improvements have been facilitated by: further implementation of electronic charting and documentation which promotes coordination of care between departments

and providers; promoting patient safety through enhanced prevention measures; reducing hospital readmission by facilitating post-hospital care follow-up and increasing patient knowledge and under-standing of disease management.

This brings us back to primary care as the founda-tion of the healthcare system. patients who partner with their primary care provider are better educated about disease prevention and management, and the services available to assist them in advancing their own overall health and wellness. our goal is to ensure everyone has access to care by providing support to local physicians, removing barriers with our Community Care financial assistance program, and offering free healthcare screenings and health education throughout the year.

This is coordinated healthcare at work. over the past decade we have responded to the growing needs of our community to increase access to services by expanding clinical care space, the addition of new programs and updated technologies. These include digital mammography, 3-D ultrasound, high defini-tion endoscopes, medical fitness, and most recently the Sleep lab. While we continually reinvest in our community’s health and wellness locally, we are also a gateway to the larger critical care network.

as your healthcare partner we promise access to quality patient and family centered care when and where you need it. let us make your health, our mission.

NH StateAverage

NationalAverage

Speare

Heart Attack

98%

96%

100%

NH StateAverage

NationalAverage

Speare

Community Acquired Pneumonia (CAP)

91%

89%

100%

NH StateAverage

NationalAverage

Speare

Surgical Care Improvement Project (SCIP)

90%

87%

99%

NH StateAverage

NationalAverage

Speare

Heart Failure

93%

90%

100%

Core Measure Data

Colleen BrickleyChair, Board of Directors

michelle mcewen, FaChe, CpaPresident & CEO

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Finance

opportunitiesOur Mission:

To provide and coordinate quality

healthcare services based on principles

of compassion and professionalism while

promoting wellness and prevention.

Speare Memorial Hospital Administration

Michelle McEwen, FACHE, CPA President & CEO

Dr. Joseph Ebner Chief Medical Officer

Kris Hering Chief Nursing Officer

Richard Werkowski Chief Financial Officer

Laurie Bolognani Human Resources Officer

Board of Directors

Colleen Brickley, Chair

William Larsen, Vice Chair

Brian Chalmers, Treasurer

Stanley (Lee) Freeman, Assistant Treasurer

Susan Karkheck, Secretary

Michelle McEwen, FACHE, CPA, President & CEO

Quentin Blaine

Dr. Linda Crawford

Clint Hutchins

Alison Ritz

Ron Sibley

Steve Taksar

David Talbot

Eldwin A. Wixson

Challenges

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Finance

opportunities

2011 2010

Total Net Operating Revenues Anticipated dollars to be collected for services

46,446 42,888

Expenditures For:

Wages, Contract Staff and Physician Fees 20,920 19,297

Employee Benefits 6,310 6,153

Supplies, Utilities, Insurance & Other Expenses

13,955 13,848

Depreciation on Buildings & Equipment 3,173 2,622

Interest on Debt 1,319 1,022

Total Funds Paid Out 45,677 42,942

Net Income (Loss) from Operations 769 (54)

2011 2010

Emergency room visits 18,221 18,496

Outpatient (Registrations) 60,819 67,125

Surgical Services Cases 2,238 2,209

Physical & Occupational Therapy Treatments 33,392 20,372

Laboratory Tests 132,094 132,760

Radiology Exams 25,739 25,696

Oncology Procedures 5,259 6,454

Cardiac Rehab (Includes Cardiology, Diabe-tes and Cancer Rehab Sessions)

1,329 1,123

Total In-Patient Days 4,905 4,060

Physician Practice Visits 34,138 33,171

Statement of OperationsFinancials for the year ending June 30 (in thousands of dollars)

Summary of Patient Services

From a growth perspective we saw the expansion of White mountain eye Care & optical with the addition of ophthalmologist Dr. Chris russo in august. in January we merged rehabFit medical Fitness with Choice physi-cal Therapy, creating plymouth regional rehabilitation Services located at Speare memorial at Boulder point. our state-of-the-art Sleep lab opened in June offering central New hampshire access to a “better night’s sleep.”

Simultaneously, however, other hospital practices and departments saw no growth or a decline in patients. We attribute these trends to the unsettled economy which continues to leave people unemployed and without insurance or paying more for insurance with higher

deductibles. Therefore, patients are postponing preventative care and elective procedures because of the out-of-pocket costs and/or loss of income from taking time away from work.

Financially we did experience an increase in overall patient activity compared to last year. These increases are attributable to White mountain eye Care & optical, rehabilitation services and an increase in the number of overnight, inpatient stays. add in funds from a newly redesigned New hampshire Disproportionate Share hospital program (DSh), and Speare had a positive year.

The DSh program is intended to provide additional funding to those hospitals that serve a higher level of

medicaid and uninsured patients. This was the first, and most likely the last, time Speare will receive these extra funds due to further changes in the state’s allocation plan.

We anticipate other challenges as our economy struggles to recover. The newly approved State budget has proposed significant cuts to medicaid funding, much of which is geared toward reducing hospital payments for services provided to medicaid patients. at the federal level, additional payment reductions can be expected, further stressing the healthcare industry.

Speare memorial hospital is adapting to the changing environment, pursuing opportunities to ensure our continued service to the greater plymouth community.

A mix of challenges and opportunities, against a backdrop of economic uncertainty, once again shaped Speare Memorial Hospital’s financial performance this past year.

Challenges

15

many of our patients write to us after an unexpected visit to our hospital expressing appreciation, and often surprise, at the exceptional care given by our small, rural hospital. of course, we are not surprised. high quality staff, new facilities and the latest technology only happen with careful planning, anticipation of future healthcare needs and the allocation of the necessary resources.

over the years, community support has been an integral part of our efforts to assure that this outstanding care is here, in central New hampshire. our donors make sure that we have needed

resources to fund capital improvements and equipment, support community outreach and deliver remarkable patient care. Whether giving an unrestricted gift, to be used where most needed, or to a special program, each gift makes an important difference.

With deep and sincere appreciation, the Board and Staff of Speare Memorial Hospital acknowledge the generous support from the following individuals, families and businesses. Gifts totaling $242,589 were received during our 2011 fiscal year. Thank you!

Giving Levels:

Philanthropist $1,000+

Benefactor $500 - $999

Founder $250 - $499

Ambassador $100 - $249

Steward Up to $99

* Speare memorial hospital gratefully recognizes organizations, individuals and families who have supported our annual Fund for four or more consecutive years as members of the evergreen Society.

PHILANTHROPIST

Brown Brothers harriman & Co.

anne l. Bryan

Charles Foundation, inc.

Creative printed Solutions

Deachman & Cowie, p.a.

martha and Don Dolben

John and anita Downing

edwin S. Webster Foundation

George V. Durgin Charitable trust

Granite State plumbing and heating, llC

harvey Construction Corporation

marcam associates

meredith Village Savings Bank

mid-State health Center

patrick and linda Nestor

New hampshire electric Co-op Foundation

Nh Dental Society Foundation, inc.

Northeast Delta Dental

Northway Bank

procter & Gamble Company

rockywold-Deephaven Camps, inc.

mr. and mrs. robert C. rooke

Dorothy m. Smith

Stanley elevator Company, inc.

murray and Jean Swindell

toSa Foundation

town of Waterville Valley

Volpe Charitable trust

BENEFACTOR

arthur and lise albert

amerinet

allan and Jane ames

Bridgewater power Co., lp

roz and Dave Carlson

Central paper products Co.

Community Guaranty Savings Bank

Bea and Woolsey Conover

Dr. and mrs. David J. Cunis

anne and Glenn Dorr

ehlers management Group

elsie h. hillman Foundation

lois and mal estell

Fitzemeyer & tocci associates

Fred Fuller oil Co., inc.

lee and Joël Freeman

The Guy de Chazal Family Charitable Fund

John and Sylvia horgan

Clint and michele hutchins

hutter Construction Corporation

Dr. James "Sandy" Kelsey

mr. and mrs. appleton King

lakes region Coca-Cola Bottling Co.

Bill and Sandy larsen

Sam and Barb laverack

Sandra and Carl lehner

lovering Volvo

main Street Dental, llC

Joan and David martin

alex medlicott and Kristi medill

Dana merrithew, m.D.

New hampshire electric Cooperative, inc.

promutual Group

r.m. piper, inc.

Samyn-D'elia architects, p.a.

The Scott lawson Group, ltd.

tyler, Simms & St. Sauveur

Vanguard Charitable endowment program

henry e. Vittum, ph.D.

Waste management

William Gallagher assoc.

peter m. Wood

Woodsville Guaranty Savings Bank

FOUNDER

Fletcher W. adams

Baker Newman & Noyes

Scott and Sharon Bartlett

Bear images

len and Chris Bierbrier

Boston private Bank & trust Company

annie Cote

linda m. Crawford, m.D.

“Over the years, community support has been an integral part of our efforts to assure that this outstanding care is here, in central New Hampshire.”

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SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial HospitalSpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital16

MattersSpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial HospitalGiving

mary Durgin is proud to hand-deliver checks to Speare memorial hospital from her late brother George V. Durgin’s charitable trust, as he had provided for in his will. after all, the Durgin family has had a long-standing rela-tionship with plymouth’s hospital. mary and her brothers grew up in Campton just across the street from the emily Balch and Soldier and Sailors memorial hospital, then referred to as the plymouth memorial hospital.

after retiring from twenty-two years in the United States air Force, George moved back to this area where he would ultimately make provisions for many local charities. mary agrees that creating an estate plan which will benefit Speare memorial hospital demonstrates strong dedication to our community, helping others long into the future.

For more information about

supporting Speare memorial

hospital, contact Director of

Development Susan Durgy,

mBa, CFre at (603) 238-2211.

17

John and Donna Currier

michael Currier

Will and Jessica Davis

Sara J. Dembiec

Susan Durgy and Charles Barilla

evergreen embroidery

hon. and mrs. arthur J. Gajarsa

Nancy W. Grady

Granite State Credit Union

mrs. rita e. Grote

mr. and mrs. Keith m. harger

harris Family Furniture

healthplans inc. / a harvard pilgrim Company

helms & Company, inc.

Giff and Sally Kriebel

lavallee/Brensinger architects

leaders for today

mary and edward liston

Sue lopes

Dr. and mrs. timothy lyons SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

mango Security Systems, inc.

Jeff and missy mason SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

James and michelle mcewen SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

mechanical Concepts, inc.

robert S. miller

paul and Suzanne montour

Nh endodontics, pllC

oliver Drug

owl's Nest Golf Club

richard and Barbara peterson SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

hermann K. platt

plymouth Family practice Center

robert and alison ritz

robert and Sara rothschild Family Foundation

Nance and Ken ruhm SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

mary Sampson

Dorothy a. Thompson

town of hebron

David towne, mD

peg trimby

Dr. mark Vrhas

richard Werkowski

AMBASSADOR

ron and mary ann adams

anonymous

anonymous

Dana and Jack armstrong

ashland lumber / Belletetes

anonymous

Kevin and Nancy Barrett

Sharon Beaty and Wendell Broom

paul and Nancy Beck

mr. and mrs. lawrence Beeson

Joan and Steve Belkin

paul r. Belyea SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Quentin and marcia Blaine

attorney Quentin Blaine SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

mr. and mrs. George Blaisdell

robert and Karin Bleakney

mary a. Bohn

Jonathan and penelope Bourne

malcolm and ann Brawn

mr. and mrs. Neil Burlingame

Warren and rima Burroughs

richard and Florence Butler

Carolyn B. Calley

mr. paul t. Carolan

Cynthia Woodman Carver

The Cavezzali Family

richard and Jean Chisholm SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

eugene and Dona Colangelo

mr. and mrs. Thomas r. Coolidge

Bill Crangle and lee Webster

r. Carlene Crowley

Jack Curtin

Bill and Nancy Dailey

richard Davenport

mr. and mrs. Douglas r. Decluitt

marilyn and Bob Derrickson SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

maynard Weston Dow SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Dr. and mrs. Joseph ebner

alan and Jerry english

Douglas Fais SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Joseph and irene Ferro

Fidelity Charitable Gift Fund

mr. and mrs. timothy o. Fisher

Dr. Victor Gennaro and Dr. mary-Catherine Gennaro

mr. and mrs. Thomas m. Gilligan

Global montello Group Corp

margaret W. Goodwin

Samuel Gough and Sarah Crane

Granite State Glass

martha and Christopher Grant, Jr.

anonymous SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Joanne and tom Greene

Nate Grifkin

richard and patricia hage

Joanne and William harris

anonymous

Barbara hendrick SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Kris hering

Dorothy and Joseph highland

mr. and mrs. William houle

mr. and mrs. arthur howe, Jr. SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

marguerite hoyesen

mr. and mrs. John l. hyde

interlakes Family Dental Center

mr. and mrs. richard Johannemann

Karen and Bill Joslin SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

mr. and mrs. Scott K. Keefer

Frederick and Katharina Kelsey

richard Khoury

Steve and anita latulippe

audrey m. lindgren

edward m. lindholm

Jean m. lovett

David and Debbie lurie SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Ken and Joyce macDonald

robert and amy mach paul and Jan maggi ms. mary N. masland alan F. mather Kevin mc CannDr. Douglas mcVicar and Frumie Selchen Speare

A C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

megaprint, inc. elaine melquist and Kurt Schroeder Speare

A C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

anne milender SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

John and tashia morgridge michael and Cindy o'leary mr. and mrs. henry W. parker Speare

A C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Kathleen e. pearson, Do Carolyn piantedosi plymouth optical Shoppe, inc. lisa reid Speare

A C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Bob rice Neil and agnes robertson Nina and tim rose adam ross Bernadette and arnold russek Speare

A C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Bob and peg ryan paul San Soucie robert C. Scaia Cynthia Schieman raymond and mary anne Scott ron and eleesa Sibley George Smith alicia and Ken Soper Shirley G. Splaine Speare

A C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital Dan Stack Speare

A C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Frank B. Stevens SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Barbara and John Stokoe SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

W. r. Stratton mr. and mrs. David C. talbot Speare

A C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

mark and Diane Thompson Drs. elizabeth a. and William S. trought twinstate / Voice, Data, Video, inc. tony and Carol Unger

henri and Karen Wante

hartley Webster

Bruce and Betsy Whitmore

Kathy Wieliczko

eugene and Gloria Winslow

Bill Winternitz

marilyn and ed Wixson SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Gerald J. Zinfron ph.D.

STEWARD

alicia and Will abbott

Janet K. adams SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Jim aguiar

peggy alexy

heide and e. John B. allen

eunice m. allen SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

William m. aronson

Dr. and mrs. paul p. Baard

George Baldwin

anonymous

Kevin and Susan Barlow SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

C. Scott Bartlett Jr.

mrs. Janet B. Batchelder

Zita Bello & Joe Vittum

Christa and Gordon Bennett

anonymous

Kathleen m. Beriau

m.J. Blanchard

Francis J. and helen l. Boule

anonymous

Colleen & Samuel Brickley

anonymous

lola F. Brown

Ginny Burnham

mr. and mrs. everett B. Campbell

Dorothy Capeci

Jessica Charon

ronald a. Chase

a. John p. Chivers SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

lawrence and ruth Cohen

anonymous

terry Copsey, CrNa

anonymous SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

James and linda Crawford

William a. Dauer

anonymous

Julie DeGalan and Bryon middlekauff

Jim and Kay Desmarais

Janet and Jules Doner

richard Dudley

Bertha l. Duncklee SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

anonymous

James and Betty ann Dunstan

mr. preston eames

paul & Gisela estes SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Carole J. estes

Charles and linda Fanaras

robin Fitzgerald

anonymous

Brenda Fritz

robert and Suzan Gannett

Virginia m. Garlitz

mr. and mrs. Barry e. Gaw

mr. and mrs. lester Gilbert

John B. and Gail V. Glennon

ray Gosney

John and Valerie Gray

William and rosina Greene

Dodie Greenwood

Joyce a. Grier

aditi Grover

"mil" haines SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

h.r. hamilton

ruth e. harlow SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

phil haskell and terri Johnson SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

peter and peg hendel

Donald and mary-lou hinman SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

anonymous

Chris and tiffany hodges

Charles hogan

marguerite houseworth

irwin toyota, Scion, Ford, lincoln

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

SpeareA Critical Access Hospital

Memorial Hospital

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial HospitalSpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial HospitalSpeare

A C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital18

Julie a. Jenkins

mrs. hilda m. Johnk

Christopher Johnson

leslie Jose

anthony p. Keefer SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Frances and howard Kellogg SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Daniel Keniston

David and Widge Kent

terry Kitto

anonymous

Bernice langevin

Norma r. laVoie

robert and helen lindstrom SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

elizabeth F. lott

richard lovering

Sidney lovett

Kathleen lutter SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Dorothy e. main

michael marino and lee ann moulder

anonymous

Dick and annie martin SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

mascoma Valley regional educational association

helen F. mathieson

anonymous

anonymous

tom mcGlauflin

Bradford mcindoe

Susan mcKimens

anonymous

ed and marge mitchell

mort moore

robert morton SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Barbara Nicholson SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

mrs. mary e. o'Connor

Frank J. osmer Jr.

Joyce palmer and George Dewolf

anonymous

anonymous

mr. and mrs. robert h. pfeiffer

aletea and alvin pickering

Sandra and richard pike

mr. and mrs. Jon pounds

emanuel psilakis

ann K. puglisi

terri rainville

David and enid reed SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Donald richardson

Kim richardson

anonymous

anonymous

tony and Joan roy

anonymous

mr. and mrs. Stanley Sargent

rod and Claudia Scheffer SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Nevin and mary Scrimshaw

anonymous

anonymous

Dorothy a. Smith

Frank e. Stas

David l. Steele

anonymous

robert and Carol Stewart SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Walter t. tatara

mrs. Sylvia taub

ellie and Jack tishler

Gareth and Nita tobin

andy tuttle

Bob and Joey tuveson

phil and Betsy twombly SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

Juanita Wade

Gary and Beverly Walker SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

mary Gardocki Washburn

alma C. West

Seth Wheeler

anonymous

Bruce and Susan Wiggett

anonymous

John r. Williams

patricia m. Wilson

June Winsor

Wright Communications, inc.

Victoria a. Yeaton

Karen a. Young

Bob and maureen Zock

IN TRIBUTE

in honor of John D. lloyd, mD by anne milender

in honor of Jeffrey t. reisert, Do by a. John p. Chivers by Joyce a. Grier by anonymous

in honor of Speare memorial hospital Birthing Suite Staff by Samuel Gough and Sarah Crane

in honor of Speare memorial hospital Cardiac rehabilitation Staff by Donald and mary-lou hinman

in honor of Speare memorial hospital emergency Department by Gerald J. Zinfron, ph.D.

in honor of Speare memorial hospital oncology Staff by mr. and mrs. Keith m. harger

in honor of Speare memorial hospital physicians and Nurses by Cynthia Woodman Carver

IN MEMORIAL

in memory of W. malcolm "mac" Bownes by mary a. Bohn by phil and Betsy twombly

in memory of edward Boynton by anonymous

in memory of Wilmer r. Brown by lola F. Brown

in memory of marion Burrows by mr. and mrs. richard Johannemann

in memory of richard h. Calley by Carolyn B. Calley

in memory of lin Chase by ronald a. Chase

in memory of Grace e. Crowley by r. Carlene Crowley

in memory of Kria anne Cushing by mascoma Valley regional educational association

in memory of Carole J. estes

by paul & Gisela estes

in memory of lawson W. Glidden by Shirley G. Splaine

in memory of pauline e. Glidden by Shirley G. Splaine

in memory of Jack Glidden by Shirley G. Splaine

in memory of rita Gove by mr. and mrs. lester Gilbert

in memory of reginald Greenwood by Dodie Greenwood

in memory of Berenice hall by anonymous

in memory of eugenia Kirk, mD by margaret W. Goodwin

in memory of m. ernestine lindholm by edward m. lindholm

in memory of Joan Campbell lovett by Sidney lovett

in memory of ruth lurie by David and Debbie lurie

in memory of Samuel lurie by David and Debbie lurie

in memory of John S. mitchell by anonymous

in memory of harry C. morgan by robert and Suzan Gannett

in memory of edith morrison by Zita Bello & Joe Vittum

in memory of harold moulton by marguerite hoyesen

in memory of annla l. Neikam by Jim and Kay Desmarais

in memory of louise m. osmer by Frank J. osmer Jr.

in memory of russell palmer by Joan and Steve Belkin by mr. and mrs. everett B. Campbell by eugene and Dona Colangelo by Boston private Bank & trust Company by Daniel Keniston by George Baldwin by mr. and mrs. robert h. pfeiffer by mark and Diane Thompson by hartley Webster

in memory of Virginia a. racine by Zita Bello & Joe Vittum

in memory of Susan G. San Soucie by paul San Soucie

in memory of Gail Smith by Janet and Jules Doner

in memory of edward J. Splaine by Shirley G. Splaine

in memory of Barbara ray Stevens by Frank B. Stevens

in memory of Doris Thompson by Dorothy a. Thompson

in memory of lyle Thompson by Dorothy a. Thompson

GIFTS IN-KIND

antoinette's Flower & Gift Boutique

ashland Woman's Club

BJ's Wholesale Club

Brown Brothers harriman & Co.

Georgia Campbell

Campton Congregational Church

Canobie lake park

Chesley's Glory Station

Church of Jesus Christ of latter Day Saints

Ciao pasta

Clark's trading post

Clay's Chocolate Shop

The Common man

Creative printed Solutions

Dresser's Unlimited

Dunkin Donuts

The Family of alfred and Bertha Fauver

The Flowersmiths

Fugaky restaurant

Glove hollow Christmas tree Farm

Green mountain Coffee

helen & Claus hoie Charitable Foundation

holderness General Store

holy trinity Church - Faith Formation Classes

emily hutchins

Denyse ilsley

Kathy Johnson

eric and Debbie Johnson and Family Joe and Bobby Kretz loon mountain resort mad river tavern The manor on Golden pond meredith Village Savings Bankmountain laurel Flower Shop Nassau Broadcasting / The Wolf Nh endodontics, pllC Northway Bank officemax robin orr elva piehn plymouth regional high School Class of 2014 plymouth Ski & Sports rands hardware malcolm e. and Jean o. ray renaissance Florals rSVp Salmon press Six Burner Bistro Barbara Spike Squam Boat livery, inc. Squam lakes Natural Science Center Shirley Stancheva Starr King Unitarian Universalist Fellowship Sulloway & hollis Thai Smile restaurant tony's italian Grill treads Footwear Uniformly Yours Village pizza & Grill Wal-mart Walter's Basin Waterville Valley resort laurence and Judy Webster Woodstock inn, Station & Brewery WXrV / The river

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial HospitalSpeare

A C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital19

SpeareA C r i t i c a l A c c e s s H o s p i t a l

Memorial Hospital

16 Hospital RoadPlymouth, NH 03264

ECR • WSSNon-Profit Organization

US POSTAGEP A I D

PERMIT #27Plymouth NH

POSTALCUSTOMER