YVMC 2015 Annual Report

ANNUAL REPORT1914 1921 1946 1950 1972 1984 1998 2001 2014 A Legacy of Care Ya m p a Va l l e y Me d i c a l C e n t e r H e a l t h c a r e Fo u n d a t i o n f o r t h e Ya m p a Va l l e y

YVMC Annual Report 2015 • yvmc.org

01.01.2014 The first of 288 babies is born at the Family Birth Place.Excellent Healthcare A message from Frank May, YVMC CEO In 2014, Yampa Valley Medical Center celebrated 100 you about the care and services we provide through ouryears of serving the healthcare needs of Northwest patient satisfaction surveys. We greatly appreciate youColorado residents and visitors. As we take time to taking the opportunity to communicate things we doreflect on the valued relationships we’ve developed well and things we can improve. Patient satisfactionover the years in the Yampa Valley, we believe our most surveys are a critical component of the quality caresignificant accomplishment was, and is, keeping access provided by our 500 employees, 80 local physicians,to excellent healthcare local. and more than 140 volunteers. Understanding your needs and the steps we need to take to ensure you have We are continually looking to improve access to care the best experience possible are important pieces ofand locally available services through ongoing educa- the process.tion, training and investments in new technology andprograms. This past year, our commitment to keep care It is a privilege to serve as the team leader at Yampalocal was demonstrated by our relationship with the Valley Medical Center and work alongside our dedicatedMayo Clinic Care Network. This collaboration provides staff, physicians and volunteers as we continue to striveour physicians access to Mayo specialists, either by each day to achieve our mission of providing outstandingphone or through a formal consulting process, for healthcare to those we serve through safe, personal-potentially difficult cases, allowing patients to get ized, quality care.answers without leaving the valley. In 2014, we alsoadded new services including the Gloria Gossard Frank MayBreast Health Center, the da Vinci Si surgical robot Chief Executive Officerand myChart, an online health record tool. We continue to hear very positive feedback from YVMC Annual Report 2015 • yvmc.org 1

03.05.2014 Mayo Clinic Expertise, Close to Home Mayo Clinic Receiving top-notch health care sometimes requires at more complicated cases,” said Dr. Jennifer Kempers, and Yampa travel. But most people agree it’s best when that level of internal medicine physician. “Patients put their trust in Valley care is available at home. Mayo Clinic. We can give this peace of mind to our Medical patients without leaving Steamboat Springs.” Center As one step to offering the highest possible care announce close to home, Yampa Valley Medical Center became a 2. AskMayoExpert: This online database allows their member of the Mayo Clinic Care Network in March physicians to access various resources, from physician- collaboration. 2014. YVMC was the second Colorado hospital to be vetted Care Process Model algorithms to frequently asked invited to join the network. An invitation involves a questions. With a quick search, physicians can find expert rigorous selection process with criteria based on clinical information on hundreds of conditions and patient care, clinical excellence and more. discover ways to offer improved patient care. Because it’s online, the data is available any time, day or night. As part of the network, YVMC physicians can access the expertise at Mayo Clinic through three programs. 3. “Doc of the Day”: Physicians now have easy access to peers and other resources. “The specialists on the 1. eConsult: In an eConsult, a line have been great for quick, specific questions,” Dr. Mayo Clinic specialist will Kempers said. “I can call in and get the answers I am review a patient’s electronic looking for.” medical records, imaging studies and lab tests, then answer a With the resources of Mayo Clinic right out their physician’s specific question doors, residents of Northwest Colorado are reminded about diagnosis and treatment. again that there’s no place like home. “It is reassuring to patients to have another set of eyes look Dr. Jennifer Kempers and Sonya Damore, RN, discuss a patient’s care.2 YVMC Annual Report 2015 • yvmc.org

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A place where tranquility meets technology.4 YVMC Annual Report 2015 • yvmc.org

Gloria Gossard Breast Health Center Offers 04.14.2014Comfortable, Expert Care The Gloria From routine mammograms to advanced diagnos- The Breast Health Center’s services include diag- Gossardtics, the Gloria Gossard Breast Health Center offers nostic and screening mammograms, breast ultrasound, Breast Healthquality care in a calming, spa-like environment that’s breast MRI and bone density scans. It is also equipped Center opensclose to home. to perform ultrasound, stereotactic and MRI biopsies. its doors, bringing The goal of the Breast Health Center is to make what Women receive imaging results quickly and are advancedcan be a stressful experience a little less so. It does just assisted with scheduling additional testing. They can diagnostics tothat with the latest technology for breast health, small also take advantage of the breast health navigator: a area residents.details like warm robes and gowns, and a highly trained registered nurse, who is experienced in breast healthstaff. The three technologists together have more than and coordinating patient support, guides each patient Breast Health Navigator Frannie38 years of mammography experience. along the best roadmap for care. Johnson, RN, and Dr. Terese Kaske, breast health radiologist, touch base Since opening in April 2014, the Breast Health And it’s all done locally, in a peaceful setting that about a new patient.Center has served approximately 2,000 Northwest helps women feel comfortable, by people who care.Colorado women. Dr. Terese I. Kaske, Medical Director, “We understand women,” Dr. Kaske said.is the Center’s breast health radiologist. It’s a field shepursued because she enjoys not only the work, butalso the people. Establishing a personal connection topatients is of top importance to her. Dr. Kaske brings a wealth of knowledge and 18 yearsof experience to the Yampa Valley, having served as theMedical Director of Invision Sally Jobe for six of thoseyears. “I can utilize all of my skills and establish relation-ships with women,” Dr. Kaske said. “That is one thing Iparticularly enjoy about working here in Steamboat.” If a mammogram shows a possible issue, the ad-vanced technology at the Breast Health Center allowsDr. Kaske to get more information, without the patienthaving to leave town. “We can get additional imaging scheduled quickly,”she said. “We have the ability to be flexible and takecare of people sooner.” 5Y V M C A n n u a l R e p o r t 2 0 1 5 • y v m c . o r g

05.08.2014 Robotic surgery comes to Yampa Valley Medical Center. Surgical Technologist Robin Hedstrom and Minimally Invasive Service Line Coordinator Sarah Kerrigan, RN, prep the operating room for a procedure.Robotics: A New Step into the robotic surgery room at Yampa Valley mean smaller incisions, reduced pain and trauma toTool for Minimally Medical Center, and you just might feel like you’re in the body, decreased scarring and a shorter recoveryInvasive Surgery a scene from a science-fiction movie. Instead, you’re time for patients. watching one of the latest innovations in surgery. The surgeon moves the robotic arms with two hand With four robotic arms that each have tiny, wristed controls, watching the work through a console with a instruments, the da Vinci Surgical System is a state-of- magnified, 3D high-definition image. The surgeon is the-art tool for surgeons at YVMC. The “da Vinci Si” fully in control of every movement each arm makes, was purchased with the help of a generous gift to the while automatic safety checks ensure the machine does Healthcare Foundation. exactly what the surgeon directs. Robotic surgeries are used to treat various conditions, Surgeons must undergo extensive training to use the including cancers of the prostate, ovary and kidney. system. To assist during these surgeries, YVMC has a The benefits to patients are numerous. The arms on robotics team of registered nurses and surgical techs the da Vinci Si have a range of motion that’s even great- who have also been specially trained. er than the human hand, allowing for easier access. The machine can control for hand tremors. It can scale “Robotic-assisted surgery is our next giant leap in motions, allowing surgeons to make tiny movements surgical care, and we are fortunate to offer this care in for a high level of accuracy. Together, those advantages our community,” Dr. Mark Hermacinski said. (pictured right)6 YVMC Annual Report 2015 • yvmc.org

Surgeries performed at YVMC with theda Vinci Surgical System include:Colon resectionGallbladder removalHernia repairsHysterectomiesPartial and full bladder removalPartial and full kidney removalPelvic floor reconstructionProstate removal YVMC Annual Report 2015 • yvmc.org 7

“I’m extremely excited to have the opportunity to provide the community with outstanding healthcare with the support of Yampa Valley Medical Center,” said Nurse Practitioner Jona Ely, who cares for Baggs residents four days a week.8 YVMC Annual Report 2015 • yvmc.org

Go West, YVMC! 04.01.2014 Keeping care local is not just a goal for the residents health care in the region. Providing primary care, lab YampaCareof Routt County, but for the entire region of Northwest services, treatment of minor injuries, immunizations FamilyColorado. In collaboration with Yampa Valley Medical and even some limited pharmacy services, the Little MedicineAssociates, YampaCare Family Medicine was born. Snake River Clinic stays busy in this isolated locale. opens its Yampa Valley Medical Center employs a team of six to doors in YampaCare, located in Craig, Colorado, opened its maintain the health of the residents of Baggs and other Craig,doors on April 1, 2014. Four board-certified doctors and rural communities in the area. Colorado.one experienced nurse practitioner provide care. With3,237 patient visits in just more than eight months, theclinic clearly filled a need for primary care in the com-munity. YampaCare Family Medicine provides care forthe entire family, creating a medical home for those inCraig and the surrounding areas. The clinic is open fivedays a week, offering high-quality, family care. Head north from Craig, driving 40 miles through asparsely populated area with no services, and you’llfind Baggs, Wyoming. When the town of Baggs founditself in need of someone to operate their local clinic,Yampa Valley Medical Center partnered with the LittleSnake River Rural Health District to provide clinicmanagement. Nurse Practitioner Jona Ely now providescare in the clinic four days a week, increasing access toDr. Sarah Hopfenbeck is just one of the board-certified physicians who care for patients at YampaCare Family Medicine. 9Y V M C A n n u a l R e p o r t 2 0 1 5 • y v m c . o r g

Financials EXPENSES Fiscal Year Ending September 30, 2014 What it cost REVENUE To pay our employees wages and benefits........................................................($33,072,127) To purchase supplies, insurance, utilities, other..............................................(38,383,600) We charged our patients To pay interest on debt...................................................................................................(1,776,659) For hospital services..................................................................................................$120,053,889 For depreciation of plant and equipment..............................................................(5,025,748) For Doak Walker Care Center services*.........................................................................573,719 Total cost of caring for patients............................................................. (78,258,134) Subtotal patient service revenues.......................................................$120,627,608 Net income.................................................................................................... $6,653,080 We charged but did not receive full payments From governmental programs (Medicare, Medicaid)..................................($29,714,304) Total return patient service revenues.......................................................................... 5.52% From other discounts & allowances..........................................................................(7,252,228) From uncollectable accounts (bad debt).................................................................(1,147,984) How we used cash reserves Subtotal uncollected charges................................................................($38,114,516) Total principal payment on long-term debt........................................................$1,485,000 Contributions to the community............................................................................. $1,723,582 We provided financial assistance and charity care totaling......................... (1,854,452) Investment in new technology and equipment...................................................$5,370,662 Total net patient services revenue.......................................................$80,658,640 *Doak Walker Care Center moved to Casey’s Pond on October 29, 2013. This number represents almost one month of services. In addition, we received Contributions........................................................................................................................1,147,084 Net interest income on investments.............................................................................. 846,820 Other sources.......................................................................................................................2,258,670 Subtotal other revenues..............................................................................$4,252,574 Total revenue................................................................................................ $84,911,2142014 Vital Statistics SportsMed visits.....................................18,820 Infusion therapy visits...............................865 Laboratory tests................................... 105,393 Chemotherapy visits..................................932 Emergency visits......................................8,166 CT scans..................................................... 3,732 Cardiac rehab visits.................................2,019 Inpatient admissions.............................. 1,330 MRI scans.................................................. 1,598 Number of active volunteers....................148 Surgical cases/treatments..................... 4,544 Mammograms........................................... 2,672 Volunteer hours worked....................... 4,569 Newborn deliveries................................... 288 Special Care Nursery days.........................2511 0 YVMC Annual Report 2015 • yvmc.org

06.23.2014 YVMC’s patient portal, myChart, launches on yvmc.org.YVMC Board of Trustees: Back row: Rich Lowe (Vice Chair), Frank May (YVMC CEO), Wade Gebhardt (Treasurer), Laura Sehnert,M.D. (Chief of Staff), Scott Marr, Ron Spangler. Front row: Stephany Traylor, Sharon Gulley, M.D., William Cox, M.D., Diane Tarnoff(Secretary), Kristi Brown, Tony Connell (Chair). Not Pictured: Allen Belshaw, M.D.A Message from the Board of Trustees Celebrating 100 years of healthcare in the Yampa inpatients as well as those from the emergency depart- YVMC’s Mission:Valley was truly a highlight of 2014. This year gave us ment and outpatient surgery. Prescriptions can be filledthe opportunity to demonstrate our commitment to and delivered to the patient’s room, or picked up prior To provideimproving access and quality of healthcare in our to going home, providing ample opportunity for medi- outstandingcommunity. cation counseling and questions. healthcare to those we serve The Board of Trustees, along with Yampa Valley As part of our commitment to serving the patients through safe,Medical Center leadership, set out to improve the access and families of Northwest Colorado, YampaCare Family personalized,to healthcare and “keep care local” in 2014. As part of Medicine was opened in Craig, Colorado, partnering quality care.this pledge, Yampa Valley Medical Center partnered with Yampa Valley Medical Associates. Physicians andwith Northwest Colorado Visiting Nurse Association nurse practitioners are helping to meet the needs forand held 16 open enrollment sessions. Through these primary care in Craig. We’ve also expanded our reach tosessions 182 people were offered assistance in enroll- Baggs, Wyoming, providing primary care services to anment for health insurance. otherwise unserved community. These partnerships are helping us to “keep care local” beyond the residents of MyChart, our online patient portal, was launched Routt County.mid-year. Patients are now able to access their lab results,view upcoming appointments and review medical As we look to the future, we continue to raise theinformation online anytime, anywhere. New features bar for service excellence. We remain focused on ourof myChart will continue to evolve over the next few promise of quality care in all we do and are guided byyears, offering greater convenience to our patients. our core values. We belong to and are privileged to serve the community. The outpatient pharmacy opened, helping our 1 1Y V M C A n n u a l R e p o r t 2 0 1 5 • y v m c . o r g

08.11.2014 Quality Reports & Awards Healthgrades Patient Safety about new measures that will focus on adverse drug presents YVMC events for opioids, anticoagulants and insulin, and with awards for Yampa Valley Medical Center worked closely with appropriate care for mothers following labor and Patient Safety the Colorado Hospital Association, the American delivery. Excellence and Hospital Association, and the Health Research Outstanding Education and Trust to measure patient harm and Quality Care Patient safety by participating in the Hospital Engagement Experience. Network (HEN). This network allowed YVMC to share Making sure our patients do not come back unex- data about patient safety with other hospitals across pectedly is one of the best ways to measure YVMC’s All-Cause Readmission Rate the United States to see how we compare, while giving high-quality patient care. Yampa Valley Medical Center YVMC access to state-of-the-art practices to reduce closely monitors its “all-cause readmission rate.” This preventable harm. rate gives us the number of patients that received inpa- tient care and had to be admitted again within a 30-day The HEN challenges hospitals to cause zero instances window of their discharges. of patient harm for avoidable events. These instances include catheter associated urinary tract infections, Over the last two years YVMC focused on specific projects to assist in ensuring patients were not read- central line associated blood- mitted. These changes include implementing post-dis- stream infections, inducing charge phone calls, opening an outpatient pharmacy labor before a fetus reaches a and automating patient discharge instructions. These gestational age of 39 weeks changes dropped YVMC’s readmission rate from a (early elective deliveries), historical average of 6.94 percent in 2012 and 2013 to an harm associated with a average of 4.71 percent in 2014. patient being on a ventilator (ventilator-associated event), The discharge phone calls allow a nurse to ensure hospital-acquired pressure that the patient understands their follow-up treatment ulcers, acquiring a blood clot and responsibilities after being discharged from the without proper prophylaxis hospital. The outpatient pharmacy allows a hospital (venous thromboembolism) pharmacist to go over new prescriptions with patients or having a hospital-acquired before being discharged so they understand their new surgical site infection. medications. The new discharge instructions include YVMC agreed to partner with HEN again in 2015 diagrams and standardized instructions that are easier and will continue to monitor these safety metrics and for patients to read and follow. improve upon current processes. 2015 will also bring1 2 YVMC Annual Report 2015 • yvmc.org

Yampa Valley Medical Center Honors in 2014Personalized Care Healthgrades 2014 Patient Safety businesses that epitomize the core values of Excellence Award™ successful leadership - strength, innovation, Over the last few years, many articles have been published about This is the second consecutive year YVMC has ingenuity, knowledge and foresight - values thatproviding good service at healthcare facilities in addition to quality received the Patient Safety Excellence Award, are imperative to carving out powerful businessescare. These articles demonstrate that providing great service in- which places it within the top 5 percent of all hos- in the economy.creases the chance of patients having a better clinical outcome. pitals for excellent performance in safeguarding patients from serious, potentially preventable 2014 Press Ganey Guardian of Excellence According to a study performed by The Center for Health Care complications during their hospital stays. Award for Exceptional Patient ExperienceQuality at George Washington University Medical Center, the patient YVMC was one of four Colorado hospitals to beexperience correlates directly to clinical quality outcomes. Part of the Healthgrades 2014 Outstanding Patient recognized as a top-performing facility thatreason for the correlation is that patients with positive experiences Experience Award™ consistently achieved in the top 5 percent of allare more engaged and adherent with the care they receive. According Outstanding Patient Experience Award winners hospitals working with Press Ganey, approximatelyto the study, “healthcare providers cannot achieve positive health perform well in five areas of particular importance 11,000 healthcare facilities.outcomes without patient commitment and action. Patient care ex- to patients: nurse communication, pain control,periences correlate to patient adherence to medical advice and receiving discharge instructions, receiving help 2013 Top Performer on Key Qualitytreatment plans, and to improved outcomes of care.” quickly and how well staff explained medications. Measures®for Surgical Care The Top Performer is awarded by the Joint YVMC strives to include our patients in their care decisions and 2014 Navigator Awards Business of the Year Commission for performance the prior year oncommunicate effectively about treatment and care options. By The Navigator Award, presented by the evidence-based interventions that increase theparticipating in a national database, YVMC can compare patient Steamboat Springs Chamber Resort Association chances of healthy outcomes for patients withexperience scores to other hospitals across the country based on and the Steamboat Pilot & Today, is given to certain conditions.a standardized survey. Yampa Valley Medical Center ranks in the top 6 percent of allhospitals in the United States for how our patients rated their inpa-tient experiences and in the top 2 percent for their experiences inthe emergency department. Our commitment to providing patientswith an excellent experience is an extension of our commitment toproviding quality care. Ensuring quality care is our responsibility,while delivering it with a smile is our privilege. 1 3Y V M C A n n u a l R e p o r t 2 0 1 5 • y v m c . o r g

Medical StaffActive Medical Staff General Surgery Pathology Consulting/Associate Medical Staff Allen Belshaw, M.D. William F. Cox, Jr., M.D.Anesthesiology Mark Hermacinski, M.D. James Hopfenbeck, M.D. The following members of the Consulting and Associate Medical StaffJennifer Appelman, M.D. regularly practice medicine in Steamboat Springs.Scott Fahrner, M.D. Internal Medicine PediatricsCatherine Johnson, M.D. Kevin Borgerding, M.D. Ronald Famiglietti, M.D. Cardiothoracic and Vascular Surgery Orthopaedic SurgeryScott Kempers, M.D. Sarah Hopfenbeck, M.D.* Dana Fitzgerald, M.D. Mark Guadagnoli, M.D. Jerome Wiedel, M.D.Jeffery Mako, M.D. Jennifer Kempers, M.D. Sheila Fountain, M.D. Omar Mubarak, M.D. Lori Harrington, M.D.Eric Meyer, M.D. Mark McCaulley, M.D. Steven Ross, M.D.Jeffrey Pal, M.D. Lambert Orton, M.D. Dentistry Pediatric Cardiology Charlie Petersen, M.D. Pediatric Dentistry Curtis Comeau, D.D.S. David Miller, M.D.Cardiology Louise Thielen, M.D. Hank Salyer, D.D.S. Gary Fresques, D.D.S.William Baker, M.D. Neil Ganz, D.D.S. Plastic Surgery Obstetrics/Gynecology Plastic Surgery Lisa Hunsicker, M.D.Ear, Nose and Throat Surgery Leslie Ahlmeyer, M.D. John Lupori, M.D., D.D.S. DermatologyKristen Fahrner, M.D. Mary Bowman, M.D. Scott Sulentich, M.D. Sandra Eivins, M.D. PsychiatryMaryann Wall, M.D. Diane Petersen, M.D. Maryann Wall, M.D. Richard Berkley, M.D. David Schaller, M.D. Hospice William Philip, M.D.Emergency Medicine Podiatry Carole Milligan, M.D.Angela Alexander, M.D. Ophthalmology Kris Boyce, D.P.M. Pulmonology/Sleep MedicineNathan Anderson, M.D. Mark Helm, M.D. Neurology James Hoyt, M.D.*David Cionni, M.D. Radiology Pamela Kinder, M.D. Mark Petrun, M.D.Jeanne Fitzsimmons, M.D. Oral and Maxillofacial Surgery Fred Jones, M.D. Gerald McIntosh, M.D.Carlos Ortiz, M.D.* John Lupori, M.D., D.D.S. Terese I. Kaske, M.D.* Rehabilitation MedicineLaila Powers, M.D. Dan Kreider, M.D.* Obstetrics/Gynecology Cliff Gronseth, M.D.Laura Sehnert, M.D. Orthopaedic Spine Surgery Robert Lile, M.D. Richard Porreco, M.D. John Tobey, M.D.David Wilkinson, M.D. Henry F. Fabian, M.D. Malaika Thompson, M.D. Occupational MedicineFamily Medicine Orthopaedic Surgery Urology Frederick Scherr, M.D.M. Shannon Becker, M.D.* Bryan Bomberg, M.D. Stacy Childs, M.D.Phaedra Fegley, M.D. Alexander Meininger, M.D. Clay Pendleton, M.D.* OncologyBrian Harrington, M.D., M.P.H. Greg Sarin, D.O. Jamie VanOveren, D.O. Allen Cohn, M.D.Rosanne Iversen, M.D. Andreas Sauerbrey, M.D. Robert Rifkin, M.D.Michelle Jimerson, M.D. Michael Sisk, M.D. * Physicians who joined theLaura Mordi, M.D. Eric Verploeg, M.D. medical staff in 2014.David Niedermeier, M.D.Christopher Speer, M.D. Pain ManagementDavid Williams, M.D. Brian Siegel, M.D.Kristin Wilson, M.D.*1 4 YVMC Annual Report 2015 • yvmc.org

Moving Forward A Message from Dr. Laura Sehnert Medical Executive Committee While 2014 was a remarkable year for Yampa Valley choices available in surgical care for our residents. Let’s Chief of Staff: Laura Sehnert, M.D.Medical Center for many reasons, one milestone stands not forget the award-winning patient satisfaction Vice Chief of Staff: David Niedermeier, M.D.out above all others: celebrating a century of care in the delivered in the YVMC emergency department, which Secretary/Treasurer: Jamie VanOveren, D.O.Yampa Valley. From our earliest beginnings with Dr. consistently ranks in the top 2 percent of the nation, as Chief Medical Officer: Larry Bookman, D.O.Frederick E. Willett to our current medical staff of more measured by Press Ganey. Chair Department of Medicine: Jennifer Kempers, M.D.than 80 physicians at Yampa Valley Medical Center, we Chair Department of Surgery: Allen Belshaw, M.D.continue to take care of Northwest Colorado. Physicians have engaged in decision-making at all Members At-Large levels, with representation on the Board of Trustees and The physicians who cared for the Yampa Valley hospital quality committee. Many of our doctors have Scott Fahrner, M.D.throughout the last century relied on values and princi- participated in strategic planning at YVMC over the last Dana Fitzgerald, M.D.ples that are still alive today. We may no longer make two years; further demonstrating our commitment to the Fred Jones, M.D.house calls, but we are committed to providing outstand- health of our community. Alexander Meininger, M.D.ing healthcare through safe, personalized, quality care. I am honored to be a part of this dedicated medical Innovation and quality have been demonstrated staff as we embark on our second century of healthcarethrough our many accomplishments this year. Local in the Yampa Valley. The hospital and medical staffphysicians collaborated with YVMC to provide a better remain intent on caring for our neighbors and keepingexperience for our patients. We began offering primary you well into the future.care to underserved areas and improved access tospecialists. New robotic surgical tools, previously un- Laura Sehnert, M.D.available in Northwest Colorado, have enhanced the Chief of Staff, YVMC 1 5Y V M C A n n u a l R e p o r t 2 0 1 5 • y v m c . o r g

1915-21 1921-50 1950-99 1999-Present100-Year Timeline 1910’s Steamboat Springs was a bustling community of 1,200 1950’s After several years of fundraising, design and construc- residents with thriving retail stores, hotels and schools. tion, Routt County Memorial Hospital was dedicated onHospital nurse Ethel The only thing missing was a hospital. The townsfolk 1960’s August 13, 1950. The hospital opened with three doctorsMay was happy to and six hardy Steamboat-based doctors stepped up to 1970’s and a staff of 10: a superintendent, bookkeeper, cook,be assisted by Natalie fill that gap. In 1914, the town’s first public hospital maintenance man, three registered nurses, and threeWillett, at right, who opened with support of the town. No photos exist of the practical nurses. Within just a few years, the hospitalmoved to Steamboat original building on Sixth Street, but the second hospital faced a financial crisis. The Hospital Auxiliary wasSprings to help out (pictured above) is now known as the Old Town Pub and instrumental in saving the hospital, which was in dangerher “Uncle Fred.” Restaurant. of closing its doors. 1920’s Dr. Frederick E. Willett moved the hospital into new Storm Mountain, now Steamboat Ski Area, opened in quarters in 1921. Formerly an apartment building at 1963. While it was a smaller operation, it drove the devel- 1940’s Seventh and Aspen streets, this location would be home opment of winter tourism in Steamboat Springs, and to the hospital for 29 years. Residents were able to with it, increased visitors, the growth of the town and receive care for injuries and illness, deliver babies and the need for hospital services. have surgery. The population of Steamboat Springs more than doubled Flash forward to 1946, Dr. Willett, Dr. M. L. Crawford during this decade, and the hospital continued to grow and the townspeople knew it was time for a modern with a major addition and enhanced emergency medical hospital and a non-profit organization to run it. The services. The sign above the new entrance read: “Ski Steamboat Springs Hospital Association elected a Injuries Only.” The region’s first orthopaedic surgeon Board of Directors that selected a site on Park Avenue joined the medical staff in 1972 and other specialties soon for the new hospital. Dr. Willett then donated his hospital followed. The hospital was renamed Routt Memorial building to the cause; purchased by the Steamboat to clarify its private, non-tax-supported status. In 1979, Springs School District, the building would serve as a the community asked the hospital to assume operations music practice room for many years. of the adjacent nursing home, which was renamed Routt Memorial Extended Care Center.1 6 YVMC Annual Report 2015 • yvmc.org

1940 1986 1990 20141980’s In 1980 the first OB/GYN joined the medical staff. 2000’s During our first decade on the current campus we estab- 1940: Olive Insley,1990’s GrandKids Child Care Center opened in November 1981, 2010’s lished the Healthcare Foundation for the Yampa Valley, Martha George and a needed community service. It was the first child care YampaWorks Occupational Health, Pulmonary Rehab, Maxine Lykins were center to be located inside a skilled nursing facility in digital mammography, pediatric therapies and cardiology the nurses at Steamboat the state of Colorado and became a pioneer in intergen- diagnostics. The population of Steamboat neared 12,000 Springs Hospital. erational programming. Routt Memorial began another and our employee base grew to 500 by the end of 2009. major expansion in 1983 and made room for the region’s 1986: Fairolene Chapman, first CT scanner in 1986. SportsMed opened in Sundance A massive expansion was completed in 2010, doubling Irene Meyers and Plaza in 1989. the size of our Family Birth Place and adding much-need- Lynn Jones with Routt ed space for surgical services and other departments. The County’s youngest and By 1992, the need for a larger hospital was obvious. New Mobility Joint Replacement Program and Integrated oldest citizens. Planning and fundraising began for a new medical center Health were added to our list of services. YVMC bid a and campus on a centrally located 46-acre site near heartfelt farewell to the Doak Walker Care Center in 1990: Dr. Dave Steamboat Ski Area. A generous community donated 2013 when it moved to Casey’s Pond. In 2014 we saw a Wilkinson more than $6 million. Our medical staff grew from 19 rapid growth of services to keep up with the needs our to 41 Steamboat-based doctors during this decade. community and keep care local. The Gloria Gossard 2014: Dave Murray Groundbreaking for Yampa Valley Medical Center was Breast Health Center, YampaCare Family Medicine, Little works with a held in February 1998, and the hospital opened on Snake River Clinic, Mayo Clinic Care Network and the SportsMed patient. November 21, 1999. The Medical Office Building, Doak addition of robotic surgery are all examples of our com- Walker Care Center and GrandKids were completed the mitment to the communities we serve and a celebra- next year. tion of 100 years of healthcare in the Yampa Valley.1914 A CENTURY STRONG 2014 Stan Whittemore founded Radiology Department Head the IV’s, also known as Janis Kondrat showed off Information Volunteers, RMH’s first mammography when YVMC opened in 1999. equipment in 1986. 1 7Y V M C A n n u a l R e p o r t 2 0 1 5 • y v m c . o r g

“Steamboat completed the circle of health for me. If I could recommend doing it at home, wherever you are, then do it at home,” said Luke Norland when talking about choices for cancer treatment.1 8 YVMC Annual Report 2015 • yvmc.org

Cancer Care in Your Backyard 08.14.2014 When Luke Norland was diagnosed with Hodgkins In cancer treatment, coordinated, multidisciplinary YVMCLymphoma in May 2013, he started doing his research. care is vitally important. Physicians from the Gloria announcesHe had a lot to live for, especially his seven-year-old Gossard Breast Health Center and Rocky Mountain plans todaughter, Kelsey, and wife Petra, of 19 years. Cancer Centers, pathologists, urologists, breast sur- build a new geons, primary care doctors and nurse navigators work Cancer Care With family in larger cities surrounded by nationally together to determine an accurate diagnosis and a first- Center.known cancer centers, Luke had choices for care, but he decided rate treatment plan using a combination of treatmentto explore what treatment options were available at home. modalities. After meeting with Dr. Robert Rifkin of Rocky Mountain When patients require more advanced diagnosticsCancer Centers, one of two cancer specialists who treat patients and/or treatment, Yampa Valley Medical Center’sin Yampa Valley Medical Center’s Cancer Care program, he Cancer Care program worksmade the decision to stay home and receive treatment. with Rocky Mountain Cancer Centers and other cancer While his cancer journey was far from easy, Luke took providers to access advancedcomfort in sleeping in his own bed at night. As a small cancer detection tools andbusiness owner, he was able to keep working and was treatment options.grateful to be with his wife and daughter, while still receivingthe best care possible. Best in class, Yampa Valley Medical Center is accredited Luke was officially declared in remission as 2014 began. by the American College of Surgeons’ Commission Yampa Valley Medical Center’s Cancer Care program on Cancer. Only 30 percentprovides individuals facing a cancer diagnosis nationally of hospitals in the Unitedaccredited care while “keeping care local.” The purpose is States earn this accreditation.to provide quality, compassionate patient care that encom- This means patients can bepasses the medical, physical, emotional and educational confident in the quality ofneeds of patients and their families. care provided. Providing care for more than 20 years, the YVMC Luke, Petra and Kelsey enjoy aCancer Care program gives residents throughout bluebird day in Steamboat Springs.Northwest Colorado the opportunity to remain closeto home for medical oncology, chemotherapy andinfusion, breast surgery, robotic surgery, clinical trials,diagnostic testing, integrated health services, counselingand rehabilitation. 1 9Y V M C A n n u a l R e p o r t 2 0 1 5 • y v m c . o r g

The Best Defense is a Good Offense Where do our cancer patients Yampa Valley Medical Center participates in In 2014, Yampa Valley Medical Center undertook a come from? numerous community activities and events to build breast cancer awareness campaign expanding beyond cancer awareness about risk assessment, prevention the month of October. Women throughout Northwest4% Grand/Jackson Counties 2% Out of State and issues specific to Northwest Colorado. We’re Colorado received information and were challenged to breathing new life into the old adage: the earlier cancer find out if they were one in seven to be diagnosed in is caught, the better our chances of curing it. their lifetime. More than 2,600 women had mammo- Educating our community on lifestyle changes and grams in 2014, and 31 of them were positively diagnosed choices that can help prevent the disease altogether with breast cancer. Early detection is the best is an important responsibility we take seriously. protection!20% Moffat County Breast Cancer Awareness 2014 One 74% Routt County Seovuteonf Drawing from our most recent Community Needs Assessment, our 2013 breast cancer awareness campaign emphasized that one of seven Colorado women would be diagnosed in her lifetime, but that early detection was the best protection against the disease. 2014 Statistical Summary of YVMC Cancer Data 2014 Community Outreach Seminars Total cases entered into the Registry (2011-2013)......................... 240 Colorectal Cancer Chemobrain Total cases diagnosed at YVMC (2011-2013).................................. 190 Side Effects of Chemotherapy Skin Checks at Community Health Fair Total cases diagnosed elsewhere, but treated at YVMC.................. 50 Benefits of Physical Therapy Cancer Fighting Cuisine Number of Cancer Committee Meetings..............................................4 Journaling for Cancer Patients Fatigue in Cancer Patients Number of Tumor Board Meetings...................................................... 12 Yoga for Cancer Patients Nutrition for Cancer Patients2 0 YVMC Annual Report 2015 • yvmc.org

Focus on Screening Total Mammograms Performed at YVMC As the chair of Yampa Vally Medical Center's Cancer Fiscal Year 2012 2,439Committee, I review the annual cancer statistics for 2013Steamboat and the surrounding Routt County. Breast cancer 2014 2,433 GOLD COMMENDATIONis the third-leading cause of cancer death in women and is by 2,672far the most common cancer in our region, representing 0 500almost 30 percent of all (non-skin) new cancer cases. 1,000 1,500 2,000 2,500 3,000 Screening mammography is the most powerful breast Breast Biopsies Performed at YVMCcancer detection tool we have, helping find cancer in its earli-est stages and improving chance of survival. Unfortunately, Fiscal Year 2012 27the breast cancer screening prevalence rate for Routt County(65 percent of women 50 and older) is well below Colorado 2013 26and national goals (80 percent). One of our key committeegoals is to increase screening mammography rates in our 2014 65community to 80 percent within a two-year period. 0 10 20 30 40 50 60 70 80 ~ James Hopfenbeck, M.D.Cancer Types Treated at Yampa Valley Medical Center (2011-2013) Total Sex Stage Distribution - Analytic Cases Only Unknown Cancer Staging ExplainedTop Primary Sites M F Stg 0 Stg I Stg II Stg III Stg IV Staging is a process used to look at how much cancer isDigestive System 47 31 16 2 6 6 10 14 8 in a patient’s body and where it is located. Doctors use staging information to plan treatment. It can also beRespiratory System 12 8 4 0 4 1 0 7 0 used to predict a patient’s outlook, or prognosis. AMelanoma – Skin 19 14 5 4 11 2 1 1 0 Stage 0 cancer, for example, is a very early cancer andBreast 52 1 51 10 23 14 4 1 0 has a very good prognosis. A Stage I is next in line. A more advanced cancer diagnosis would receive a higherMale Genital System 35 35 0 0 8 18 3 1 0 Stage number, with the highest being Stage IV. Cancers in all stages can be treated.Female Genital System 6 0 6 1 1 0 0 1 2 2 1Y V M C A n n u a l R e p o r t 2 0 1 5 • y v m c . o r gUrinary System 39 31 8 17 11 3 5 1 1Lymphoma 13 7 6 0 2 0 6 4 1

Julie Friese, RN, comforts her patient with a smile.2 2 YVMC Annual Report 2015 • hfyv.org

Looking Forward & Giving Back The mission of the Healthcare FoundationDear Friend of Yampa Valley Medical Center, home to receive quality medical treatment? For this is to support the Every year we are honored to have your support and reason, YVMC is now in the process of planning a new healthcare services Cancer Care Center and constructing spaces for other of Yampa Valleycommitment, and 2014 is no exception. We are excited medical services necessary for the good of us all. Medical Center for theto report on the progress we have made during the communities it serves.most recent fiscal year, October 1, 2013 – September 30, To those of you who have supported YVMC in the2014. The Healthcare Foundation for the Yampa Valley past, simply saying “thank you” for your past giftswas established in 2002 and we continue to provide seems inadequate; but please know we are deeplyvital support to Yampa Valley Medical Center’s programs grateful. We welcome and encourage those who areand initiatives. Because of your generosity and dedica- considering becoming involved for the first time. Yourtion, YVMC continues forward in its ongoing journey support will enable us to provide outstanding health-of providing excellent, compassionate service to our care throughout Northwest Colorado. On behalf of allpatients and communities. those we serve, thank you. We hope you are inspired by the people in this As always, we encourage your feedback and welcomeAnnual Report – many of whose stories you helped your observations.make possible. We continue to believe that the mostimportant work we can do is to provide funding that Sincerely,enables YVMC’s clinical programs to develop and grow.By providing the critical financial support to build Liz Finegan, Executive Directorthese programs, we will advance the quality of healthcareto people of our community and the surrounding area. James J. Moylan, Chairman Our ability to provide the kind of care we have cometo expect is only possible with the support of all of us.Who of us would say they prefer to travel away from 2 3Y V M C A n n u a l R e p o r t 2 0 1 5 • h f y v . o r g

heritageJack & Geneva Taylor “I moved to Steamboat Springs in 1969 and met government and work with non-profit organizations, Geneva where she worked at The Routt County we are fully occupied. This small-town community National Bank. I asked her on our first date by offers so much. filling in a blank counter check with her name, signed it and in the amount field wrote, ‘One JACK: The one thing that helps everyone here, date to the Denver Symphony Orchestra on April resident and visitor alike, is Yampa Valley Medical 27, 1970.’ She looked at the check, smiled and Center. I realized this recently when I became ill and said, ‘I think I can take care of this.’ We were needed medical care. Having a good hospital right married in 1973.” here where we can be taken care of by people we know is important to us. GENEVA: We are so extremely fortunate to live here and many of my family members are still here Few people realize that our hospital receives no and share the love of Routt County and its people. property tax. The heritage of this hospital is 100 years Our daughter grew up here and each year we have old. It has always functioned on operations and family and friends gather where we live, overlooking donations. It’s important that we ensure the financial the mountains and Soda Creek. What more beautiful health of our hospital. I encourage everyone, even if place could there be? you don’t have the income now, to consider naming the hospital in your estate planning. It doesn’t always JACK: As a State Representative and State Senator, take a lot of money, it takes thoughtful giving. I worked 14 years to pass a bill to permanently sup- port the needs of marketing our Colorado tourism Geneva grew up in Routt County. She worked for brand. We live here for the hiking, skiing and other The Routt County National Bank for forty years and is sports but we, like others, are involved with helping dedicated to the well-being of our senior citizens. Jack, people in our community. originally from Iowa, served in the Navy and worked for Boeing Aerospace on the Apollo Moon Landing Project. GENEVA: Between our friends, church, interest in He served in the State Legislature and Senate for a total of 16 years.2 4 YVMC Annual Report 2015 • hfyv.org

“What brought us to Steamboat Springs years ago about helping people recog- gbivaicnkgBill & Kris Benslerare the same things that bring many to this town, nize the need that not-for-a beautiful community that offers a wide variety of profit hospitals have.year-round recreational activities.” DELANEY: I’m so fortunate KRIS: My interest has always been in healthcare. I to have parents who have theserved on the North Colorado Medical Center board means and desire to supportin Greeley for 13 years, where I participated in three their community. They have taught me about givingcapital campaigns. Karl Gills, former YVMC CEO, and back and that generosity matters. My mom and dadDiane Tarnoff, YVMC board member, invited me to give from their hearts. I plan to continue my parents’join the Foundation board. I am grateful to have served legacy and one day start something of my own. I wanttwo terms. to see the efforts of giving and the difference it makes. I cannot emphasize enough that this hospital is BILL: Giving back is part of who we are. If you haveone of the single most important institutions in our never made a contribution, or haven’t recently made acommunity. The caliber of services offered at YVMC donation, we invite you to do so. It feels so good to knowexceeds the expectations of a rural hospital. Without you are helping others.the level of care offered at YVMC, people would haveto drive to the Front Range. Let’s take an active role in keeping our hospital at the forefront of technology. Together we can ensure BILL: Our hospital exists because of strong over- that YVMC will continue to provide excellent care forsight from the board and administration, the care of the residents of, not only Steamboat Springs, but all ofcapable physicians and caregivers, and the contribu- Northwest Colorado.tions of donors. Kris and I have been so blessed, andgiving back to our community, and this hospital, is the Bill has owned property in Steamboat Springs since theleast we can do. 1980s. They married in 1991 and bought a home here in 1996, the same year their daughter, Delaney, was born. KRIS: As a not-for-profit hospital, Yampa Valley Recognizing that Steamboat not only offered a splendidMedical Center receives little taxpayer money. It’s all quality of life, but also a fine school system, they made Steamboat Springs their permanent home in 2002. 2 5Y V M C A n n u a l R e p o r t 2 0 1 5 • h f y v . o r g

&Diamonds Benefiting YVMC’s New Cancer Care Center Denim The Doc Willett presents Diamonds & Denim gala “Super Diamond,” which rocked the stage and filled was held on August 14, 2014, in celebration of 100 years the dance floor. of healthcare in the Yampa Valley. The gala sold out well in advance of the event. Guests arrived wearing The initiative to raise $1.5 million for the new Cancer their best Steamboat-style, a virtual parade of western Care Center was first announced at the gala. Because of regalia. the generosity of our sponsors and donors, we exceeded our expectations, raising more than $200,000. Special Attendees were treated to a delicious dinner catered recognition goes to Corporate Sponsor Alpine Mountain by The Steamboat Grand. Entertainment was provided Ranch & Club and presenting sponsors Bill and Kris by the San Francisco Neil Diamond tribute band Bensler and Ed and Bonnie Calhoun.2 6 YVMC Annual Report 2015 • hfyv.org

Jan 1-Dec 31, 2014 Donors ♦ Donors for two consecutive years or more ♦♦ Two years or more donors AND an employee“I like knowing where the money I ♦ Kris and Bill Bensler ♦ Lynn and Gayle Earnest ♦ James J. Moylanraised goes because I want to help ♦ Edwin and Bonnie Calhoun ♦ Arthur J. Gallagher & Co ♦ Orthopaedics of Steamboat Spgspeople here.” ~ Lexi, Cancer Care ♦ Mr. and Mrs. David Dennis ♦ Donna & David Howell Charitable Fund ♦ Polsinelli, PCCenter fundraiser ♦ Harriet Freiberger ♦ Edward and Barbara Robison The Sandy Mailliard Fund of the YVCF ♦ Rocky Mountain Radiologists, PCDoc Willett Society $25,000 + ♦ Franny Mervis ♦ Luck Family Foundation ♦ Carole Schneider ♦ Anthony and Emily Seaver ♦ Harold and Janet Lydick ♦ Elizabeth Searle and Michael Branham♦ The Bruce G. Allbright III Family Trust ♦ Jeffrey and Patty Sussman ♦♦ Frank and Diane May Dr. Laura Sehnert♦ Estate of Joseph Eugene Coffman Robert J. Welborn Estate of the YVCF ♦ Bere Neas Steve and Carol Sehnert♦ Sara and Michael Craig-Scheckman ♦ Yampa Valley Medical Center ♦ Professional Finance Company ♦ Virginia and Richard Srednicki♦ Estate of Donald C. Lufkin ♦ Steamboat Emergency Associates, PLLC ♦ Steamboat Pilot & Today Steve and Debbie Modzelewski 1914 Society $5,000-$9,999 ♦ Steve and Pam Williams ♦ Steamboat Ski & Resort Corp.♦ Neale Family Foundation ♦ WorldWest, LLC Carl Steitman♦ Vernon F. Summer Charitable Trust ♦ Bruce and Leslie Allbright YVEA Caring Consumers Program ♦ Geneva and Jack Taylor ♦ David and Debbie Dacus ♦ Francis and Pat ThomasJudge Addison Gooding Society ♦ The Dean Revocable Trust Aspen Society $1,000-$2,499 ♦ Pam and Lonny Vanatta$10,000-$24,999 Drs. Terese Kaske and Richard Porreco James D. Walter ♦ Litterman Family Foundation Frank and Susan Adams ♦ Ralph and Jennifer Watts♦ Alpine Bank ♦♦ Rich and Anne Lowe Paula Cooper Black♦ Alpine Mountain Ranch & Club ♦ Marvin Meyers ♦ Hill Blackett, Jr. 1950 Society $500-$999 ♦ Mark and Maureen Miller Family ♦ Tim and Janet Borden ♦ Samuel and Elfriede Brooks ♦ A-1 Collection Agency, LLC Foundation Cantina II, LLC ♦ Alpine Taxi/Limo Inc. DBA Go Alpine Medline Industries, Inc. ♦ Tony and Karen Connell BKD, LLP ♦ Sandy and Gary Neale ♦ Bunnie Crichton Ricky D. Akin and Jennifer Schubert-Akin ♦ Jean S. Neas Estate ♦ Steve Dawes ♦ Russell and Carol Atha Morgan Nields ♦ Larry and Karen Desjardin ♦ Margaret Bass Berglund Lewis & Kathy Niewoehner E3 Restaurant, LLC ♦♦ Dr. Larry Bookman and Margy Bookman ♦ Peabody Twentymile Mining, LLC ♦ Robert and Audrey Enever ♦ James and Louise Brainard James and Dabney Roe John and Nancy Fontaine Robert and Lori Burks ♦ Sundance @ Fishcreek ♦ Steve and Susie Frasier ♦ Central Park Management, Inc. ♦ Jeffrey and Diane Tarnoff Gift Fund of ♦ Karl and Mary Gills ♦ Cynthia and James Chamness ♦ Joseph and Mary Harker ♦ Dr. Stacy Childs and Diana Childs the YVCF ♦ Dr. Peter Heitman Mark Clark ♦ Urology Clinic, PC Dianna Herbst ♦ Dr. William Cox and Kathleen Cox ♦ Wells Fargo Bank ♦ Frans and Jacqueline Hijkoop ♦ Emdeon Business Services ♦ Stanley Whittemore ♦ HLCC Construction Company ♦ Employee Benefit Management Services, ♦ Yampa Valley Bank ♦ Holiday Inn of Steamboat Springs ♦ Innovest Portfolio Solutions, LLC Inc. Lincoln Society $2,500-$4,999 ♦ Theodore and Anette Kahn ♦ Fairview Construction, Inc. Punch and Penny Martyn ♦ Gary and Carol Fey Aurum Food & Wine ♦ Paul and Debbie Matheny Fund of the ♦♦ Soniya and Frank Fidler Gary and Carol Berman ♦♦ Liz Finegan and John M. Thompson Steve and Kelly Bloom YVCF ♦ Crawford and Fang Foundation 2 7Y V M C A n n u a l R e p o r t 2 0 1 5 • h f y v . o r g

Jan 1-Dec 31, 2014 Donors♦♦ Robert and Melissa Flake ♦♦ Marie Timlin Dave Mihaich “I appreciate the Foundation’s♦ Mr. and Mrs. William H. Friesell ♦ Daniel Tyler ♦♦ Todd and Tiffany Moore dedication to raising funds for the♦ Dr. Neil Ganz ♦ Curt and Mary Weiss Nancy Moroli hospital’s needs. It enables us, as♦♦ David Garner ♦♦ Sheri West ♦ Jo Ann and Michael Mow doctors, to provide state-of-the-art Michael and Christine Gilfillan ♦♦ Dr. Jerome Wiedel and Mary Jo Wiedel ♦ Native Excavating, Inc. technology to our patients and give♦ Grubstake Restaurant DBA Gondola Pub ♦ Yampa Joe Gary and Holly Nelson regional care. YVMC is a forward- ♦♦ Amanda J. Pierson thinking hospital that listens to & Grill Park Avenue Society $250-$499 ♦ John and Diane Pietig doctors to ensure patients receive♦ Dr. Sharon Gulley and Dr. Lawrence ♦♦ Ian and Heidi Prichard the most up-to-date, evidence-based ♦ Elizabeth Albro ♦ Robert N. Robinson treatments available.” Gulley Kathy Arce ♦ John and Ellen Serhant ~ Clay Pendleton, M.D. Kim Haggarty Gerald and Rosemary Barth ♦ Arthur and Gloria Smith♦ Dr. Brian Harrington and Dr. Lori Wendy Baumann ♦ Steamboat Village Brokers, Ltd. Patrick Clune ♦ Mix and Karen Beauvais ♦ Robert and Saundra Steele Coldwell Banker Silver Oak, Ltd. Harrington Dr. Mary Bowman and Jack Bowman ♦♦ Herald and Laura Stout The Colgan Family Foundation♦ Katherine L. Hasfjord Gary and Catherine Boyer ♦ Stephany and Glen Traylor ♦ Joan and Robert Conroy♦ Dr. Daniel W. Heflin ♦ Ronald and Linda Branish ♦ Carl Vail Jessica Courtney♦ Jonathan and Barbara Heuberger ♦ Kristi and Jeff Brown ♦ Western Security Systems, Inc. Richard J. Curran♦♦ Frederick and Sandra Jones ♦♦ Ellen Campbell ♦♦ Mary K. Wirta Custom Coon Electric♦ Jacquelyn Kaster-Torrens ♦ Casey’s Pond Distinctive Senior Living Bill and Lynn Davis♦ Jim and Erin Kissane ♦ Gene and Betty Lu Chupik 1999 Society $100-$249 Eric Deering♦ Leslie and Robert Knutson Community First Foundation♦ John and Rebecca Kugler ♦ Component Bar Products Ace Hardware, Inc.♦ Land Title Guarantee Elizabeth Davis ♦ James and Glyna Aderhold♦ Bob Larson ♦ Elemental Design and Fabrication, LLC Lesley Alderton♦ Lockton Companies Dr. and Mrs. James A. Fagan Mitch Anderson♦ Jack and Anita McEncroe ♦ Paul and Bridget Ferguson ♦♦ Jennifer Andrews♦ Maria and Kevin McEvoy ♦ Meg and Steven Firestone ♦♦ Lisa and Daniel Bankard MPWALL, MD, PC ♦ Michael and Gail Goode ♦ Gilbert and Ann Barbier♦♦ Michael and Danielle Nelson ♦ Tim and Joann Haas David Barnes Northern Trust ♦ Jain Himot and Renny Daly William and Lucelia Belisle Joseph and Toni O’Connor Holly Hunter Scott and Connie Blair Erica Olson ♦ Norm and Anne Jacobson ♦ Skeeter and Susan Bourn♦ Dr. Thomas Page and Julie Page ♦♦ Devin King David and Barbara Bradt♦ Pearl Senior Living, LLC ♦ Ann M. King-White BRSTINA, LLC♦ Keith and Colleen Poole ♦ James and Susan Larson ♦ Bucking Rainbow Outfitters Herchel Portman ♦ Verne and Nancy Lundquist Bob Carraway Bruce Ranney ♦ Delmar and Kristine McAfee Henry and Melissa Cartan♦ Ken and Judy Riskind Kimberly McKay Centennial Bank♦ Gary Robinson ♦♦ Karen McRight Central Electric, LLC♦ Ski Town USA Rotary Club Christine Mellyn Richard Clark♦ Paul and Noreen Slivon Mews Tavern Kelly Clasen♦ John Smith and Gail Ward♦ Ronald and Sharon Spangler♦ The Carpet Shoppe2 8 YVMC Annual Report 2015 • hfyv.org

Jan 1-Dec 31, 2014 DonorsBen Wharton, Tatum Sear and Nick Sear, pictured above, Andrew Picking ♦ Michael and Ronna Autreydonated their graduation gifts to the Heathcare Foundation. John and Katherine Piva ♦ John and Patricia Ayer“When people ask what I am up to I think it’s cool to be able Chris and Wendy Puckett ♦ John and Virginia Azzatoto say I am helping to build a Cancer Center in my hometown. Eric and Samantha Rabesa ♦ Peter A. BaldingThis is what Dad would have wanted.” ~ Nick Sear Greta Rehling ♦ David and Peggy Bargren Susan Ring Kathryn Baucke Albert Dowden ♦ Kelly and Jason Landers Karen and Jim Schneider ♦ Ben and Millie Beall Nicholas Elliott Michael and Diane Lane Carol Sitlington Kimberly Beaulieu♦ Monica Fenton Bill and Sue Leeson Elaine and William Siverling Mary Becker David Finley Lifetouch National School Studios Scott and Kimberly Slamel Andrew Beckwith Ryan Fisher ♦ Les and Linda Liman P. D. And Bonita Sohn ♦ Diana Behling♦♦ Tracey and Jim Fortson ♦ Robert and Valerie Lish ♦ Jim and Jo Stanko ♦ Jeremy Behling and Sarah Fox-Behling Philip Giacinti Jack and Carolyn Little Steamboat Orthopaedic Assc, P.C. ♦ Dr. Allen Belshaw and Dr. Catherine E. Joan C. Gibbs Bryce Lokey Steamboat Select Insurance Group♦ Renee Gilbertson ♦ Dr. John Lupori Lucy Stroock Johnson Craig Gundlach Linda MacFarlane Elizabeth Taintor Jordan Bertram Cynthia Gundlach Kathleen Malone Hilary Trottier Jeannette Biggs Daniel Hagney Kimberly L. Matysik ♦ Harold Unruh Begee Biggs♦ Brian Harvey MDM Group Associates, Inc. ♦ Stanley and Jean Urban ♦ Betsy Birkinbine Leslie and Steve Hatch ♦♦ Christine and Bill McKelvie Shelly Van Goethem ♦ Todd Bonatti♦ David and Amy Hill Nicholas and Tracy Metzler ♦ Nancy Veskerna ♦ Martin and Joanne Boomgarden P. Scott Johnston Richard and Roxie Miles John Weber ♦♦ Pam Bosch Richard and Christine Jones Particia Moon ♦ Amy and John Wharton Dale and Paige Boucher Pamela Kammerer Priscilla Mooney Randy and Gail White ♦ James and Deidre Boyd Steven and Marcia Kaufman Marijo and Patrick Moran Cheryl Wolf ♦ Sara Bradt Alan and Gail Keeffe Graham Muir Alvin Wolff Lisa Broccoletti-Gutierrez♦ Dr. Scott Kempers and Dr. Jennifer Marlyn and Calvin Myers Elizabeth Wright ♦♦ John Brockman Jackie Nielsen Alyssa Brook Kempers Roger Norris Heritage Society Up to $99 Katie Brown Larry Klingman ♦ Annie and Mark Nowe ♦♦ Helen Brown Linda Knox Paul Orzech ♦♦ Pamela Albrecht-Wedel Peter Brown Michael Kopke Ann Osborn Robert Allen Maryanne Brown Pamela Kramer Sudhir Patel ♦ Adonna and Troy Allen Katherine Cannon♦♦ Loretta and Jerry Kuhlman Brian Pendleton Andrew Allen Louis A. Carmichael Tina Kyprios Adam Alspach Marie Carmichael Pearson Alspach Casey Carmichael ♦ Bruce Alston Chuck Cerasoli Carolyn Andrews ♦ Dennis and Marianne Chadwick ♦ Aragon, Debbie A. Ins. Agency, Inc., State Lori and Scott Church Cindy Clark Farm Insurance Co. ♦♦ Matthew T. Clark Cynthia Ashley Suzzie Clark ♦♦ Vonna and David Ault Reall Colbenson 2 9Y V M C A n n u a l R e p o r t 2 0 1 5 • h f y v . o r g

Jan 1-Dec 31, 2014 Donors Sarah Coleman Janice Forcum Donor funds made possible the purchase of a van for GrandKids Colorado Cattlemen’s Association Greg and Julie Forney Child Care Center for visits to Casey’s Pond and other adventures. Michael Condran Len Foster Clint and Emily Conjura Stephen Fowler Derek Hodson Koshi-Baker, Inc. H. Jeffery Connor Stuart Fox ♦♦ Deb Holloway ♦ Tom Krabacher♦ Jody L. Corey Amy Fox Ann Holmes ♦ Peter and Kim Kreissig Danelle Cubria ♦ Jan and Greg Fritz Peter Hunter Toria Kuntz Kathryn Cummings ♦ Katherine D. Funkner ♦ Tom and Joan Ihrig Kim and Gene Kuppenbender Nikki Danellis Jeana Garrison Paul and Mary Inglefield Frances R. Lalive♦♦ Suzi and Rundy Davenport Cheryl Garrity Marti Irish Rebecca and Larry Lamb Karen Dawson ♦ Wade and Tiffany Gebhardt ♦♦ Jamie L. Jackson Sara Lambert John Dayton ♦ Katrina and Gerard Geis Kay E. James ♦ Diane Lane♦ Craig Deehring ♦ Karen and Dan Gilchrist ♦ Glen Jammaron Richard Largey Genevieve DePersis Don Glaser Alexandra Sandy A. Jochec Beth Largey♦♦ Jane K. Dickinson and Randall W. ♦♦ Karen Goedert and Michael Peilet ♦♦ Lisa Joens Amy Lawton ♦ Kenneth and Patricia Gold Magen Jonathans Kristina Leonetti Hannaway Jeff Good Tuinita A. Jones Laurel Linner♦ Doogan Contruction Management Kim Gourieux Jamie Jones William Linner Taylor Douthit Regina Gower ♦♦ Mary Jones Kris Linner Harold and Donna Downing Liana Gregory Josh and Karin Kagan Eric Linner Steven and Pinky Downs Jonathan R. Grinnell Jean Karren David and Evie Linner Michael Doyle Steven Grinnell William Kelly Leslie Lovejoy Stephanie Drennen Brenda Grober ♦♦ Mona Kent Carolyn Lovejoy♦ Martin Dragnev Betsy H. Grundy Heather Kiniston James Low♦ Susan Dreska Heather Hack ♦♦ Karen Klaussen Tanya Lucero Steve Dressen ♦ Sandra Hagen ♦ Alice and Randall Klauzer Richard Ludlow Keely Drever Dan Haggarty Dean Klingner Heather Lurie Anne Dutelle Keith Hanson David Knapp ♦ Lyon’s Drug Store Bill Eck Kaili Hardy Kevin Kopasz Creg MacFarlane Jeanne P. Eliades ♦♦ Liliana and Ted Hargis ♦♦ Kevin and Christine Kopischke ♦♦ Michael and Holly MacKinnon Wayne R. Elston Scott Harrell Scott Engelman ♦♦ Debra Harris Maria Erz Edward and Erin Havel♦ Gail P. Eulenstein ♦ John and Carrie Hayden Kris Feddersen Heidi Flint Red, LLC♦♦ Jenifer and Robert Felinczak Neal Heiman Max Felix Noah Hensley Dawn Finch Kathleen Hentzen I.J. and Carol J. Fisher Larry and Leslie Herchline♦ Dr. Jeanne Fitzsimmons Sally Hertzog Stephanie Fletcher Ann Heselbach Daniel Foley Arlene Hetherington♦ Shannon Forbes3 0 YVMC Annual Report 2015 • hfyv.org

Jan 1-Dec 31, 2014 Donors♦♦ Carol Mahoney Judith McFarland Arwen Morrison Angela Ray Craig Malchow Dagny McKinley H. Dale Morse Heath Rhorer Frederica Manning Tracey McMahon Margaret Morse Mike Rigoni Janette K. Marino ♦♦ Marty Melland Stephen Mottram Paula Rigoni Cara Marrs ♦♦ Kimberly Miles ♦♦ Stephanie Muhlbauer Willys Rogelstad Les Martin Karen Miller Doug Muller ♦ Bud and Jane Romberg Bret Martin Katie Miller ♦♦ David Murray Ruby Rose♦ Dax and Marci Mattox Chelsea Mitts Lisa Myers ♦ Randall and Kathie Rudasics Valerie McCarthy Nuno Moniz Lindsay Nash E. Russell Dan McCaslin ♦♦ Margaret Montgomery Kellie Nelson ♦♦ David Russell Michael McCrann Karen Moore Kathy Nelson Leslie Ruybalid♦♦ Julie McElvain Bill and Marguerite Moore Erin Nemec Michael and Cynthia Ruzicka♦♦ Julie McFadden Ross Moore Alfred Nemec Gary B. Ryan Alexandra Okomo Judith Ryan“The Three Amigos,” Adam Alspach, David High, and Tom ♦ Old Town Hot Springs Eric SchankermanKrabacher, representing Alpine Bank, were the 2014 winners Dennis A. Orris Bob Scharfof the 11th Annual Penguin Plunge. More than $1 million has James Packard Cooper Schellbeen raised through this annual event. Brooke Packard ♦ Lisa Schlichtman ♦♦ Kelli Pal Karen Schmidt Marilyn J. Palmer ♦♦ Jennifer Schmidt Ric Parrish ♦♦ Deborah Scott Charles and Karen Parsons ♦ Victor and Jan Serafy Joan Parzanese Joanna Sharp Caroleah Patterson Mandi Sherman James Pearson Jon and Melinda Sherman Theresa G. Penfold Ajit Sheth Kasey Pennington Dena Shively ♦ Pet Kare Clinic ♦♦ Pegi Simmerman Michelle Petix ♦♦ Amanda Simpson Charles Pharris Nulsen Smith Janine M. Pierce Lynaia South ♦♦ Amanda L. Pierson Diana Sperry Michael and Eliese Pivarnik Laura and James Spicka Joshua Pluger Allison St. John ♦♦ Linda Poissant Olive Stacey Rob Powers Kelly Stafford Tom and Cindy Ptach Jody Steen Mia Quick Kyle Stefancib William Quinn Susan W. Stempel Jim Rabbitt ♦♦ Matthew and Jessica Stevenson David Ramirez ♦ Mel Stewart Ellie Ray ♦♦ Melanie Stewart 3 1Y V M C A n n u a l R e p o r t 2 0 1 5 • h f y v . o r g

Jan 1-Dec 31, 2014 Donors Rachael Stiedemann ♦♦ James Wirta In Memory of Greg Kammerer ♦ Doc’s Auto Clinic Jeannine Stietzel Pete Wither David and Barbara Bradt ♦ Grubstake Restaurant Deborah and Philip Street Scott Wither Sara Bradt ♦ Honey Stinger♦ Nick and Karen Strong Peggy Wolfe Richard Curran ♦ KPA Productions Adrienne Stroock Melanie Wood Jeanne Eliades ♦ Life Essentials Wellness Spa♦♦ Mary Beth E. Strotbeck Pamela and Abraham Wooster Katherine Hasfjord ♦ Lyon’s Drug Store♦ Bert and Cynthia Svendsen Alicia S. Wright Kay James ♦ McKnight’s Irish Pub and Loft Tera Swartz Xpress Auto Parts Pamela Kammerer ♦ Natural Light Images Collette Swinford Eliza Yeager Bryce Lokey ♦ Northwest Graphics, Inc. Stephany Swinford Andrew Zaback Sandy Mailliard Fund ♦ Old Town Hot Springs Trisha Terada ♦♦ Janet Zacher Kimberly Matysik ♦ Ore House at the Pine Grove Gordon Tewell Marilyn Palmer ♦ Radio Partners, LLC Rachael Thacker Matching Gift Donations Brian Pendleton ♦ Saddleback Ranch♦♦ Keith Thibodeau Abbott Fund Matching Grant Plan Pet Kare Clinic ♦ Sign Central Mary Thompson Exxonmobil Foundation - Mobile Retiree Heath Rhorer ♦ Ski Haus International Amelia Tietsort Olive Stacey ♦ SmartWool Corporation Judy Tietsort Match Gift Program John Weber ♦ Snow Bowl Mike and Belinda Tipton ♦ Soda Creek Pizza Co. Laura Tomcek MEMORIAL DONATIONS In Memory of Mary Ann Enyeart Steamboat Grand Resort Hotel Kristin and Bruce Tormey ♦ Jim and Jo Stanko ♦ Steamboat Pilot & Today Berenice Torres In Memory of Peter Cullinan ♦ Steamboat Restaurant Group♦♦ Kris Tratiak William and Lucelia Belisle In Memory of Andrew Dennis Sunpies Bistro, LLC Karen Tremaine Harold and Donna Downing ♦ David and Marion Dennis ♦ Waterside Day Salon Heidi Troxell Susan Dreska ♦ Wildhorse Salon and Spa Leatrice Truedson Betsy Grundy In Memory of Angus McLeod Kim M. Truong and Michael L. Young Kathleen Hentzen ♦ Carole Schneider Every effort has been made to ensure the♦♦ Kristi Tullis Paul and Mary Inglefield accuracy of these donor lists. If an error has Thomas and Marci Valicenti William Kelly In Memory of Sara Lindsey been made please contact the Foundation office Peter and Gretchen Van de Carr Robert and Valerie Lish Hilary Trottier at 970-871-0700. We would greatly appreciate Kevin VandenBurg Richard and Elizabeth Ludlow hearing from you. Jeffrey VandenBurg Terry and Kathy Malone In Memory of Dr. Vernon Price Lois M. VandenBurg Michael McCrann Greta Rehling We are happy to assist you in making your♦♦ Peggy VanVliet Charles Pharris online donation. Doree Watets John and Katherine Piva Gift-in-Kind Robin Watkinson Laura and James Spicka ♦ Bruce and Leslie Allbright Healthcare Foundation Bebe Welch ♦ Alpine Taxi and Limo Yampa Valley Medical Center Hannah Welsh In Memory of Robert Manville ♦ Beau Jo’s Mountain Bistro hfyv.org • 970-871-0700 Lorri Welsh Colorado Cattlemen’s Association ♦ Todd Bischoff PO Box 883415♦♦ Melissa and Kevin Welu Tuinita Jones ♦ Bucking Rainbow Outfitters Steamboat Springs, CO 80488♦♦ Ronald Wheeler Roger and Emily Jo Norris ♦ Café Diva, Inc. Glenn and Cathy Wiedemer Mike and Belinda Tipton ♦ Catamount Ranch and Club Albert Williams Melanie Wood ♦ Colorado Event Rentals3 2 YVMC Annual Report 2015 • hfyv.org

Healthcare Foundation for the Yampa Valley Board of DirectorsFrom L-R, standing: Bere Neas, Karen Schneider, Steve Sehnert, Leslie Knutson, Jim Moylan, Liz Finegan (Executive Director), Frank May.L-R seated: Alice Klauzer, Geneva Taylor, Kris Bensler. Not pictured: Wade Gebhardt, Sandy Neale, Tom Page. The Healthcare Foundation for the Yampa Valley’s Board of Directors HFYV Financial Reportis comprised of business and philanthropic individuals working togetherto grow community awareness and help garner community support for October 1, 2013 – September 30, 2014Yampa Valley Medical Center. The volunteer Board guides efforts to raise (HFYV Fiscal Year)and manage funds for YVMC, establish policy for the Foundation andhelp determine fundraising needs. They aspire to work closely with the 2014 RevenueYampa Valley Medical Center Board of Trustees. $1,420,109 $318,937 Special Events $468,626 Planned Gifts $204,942 Annual Giving $12,500 Campaign Revenue $7,872 Interest Income $363,256 Donated Operational Support $43,977 General Donations 3 3Y V M C A n n u a l R e p o r t 2 0 1 5 • h f y v . o r g

ON THE COVER:Dr. Frederick E. Willett in surgery.The Jaycee-Ettes make a donation to Routt County Memorial Hospital.Dr. Ron Lewis, Steamboat’s first orthopaedic surgeon.Dr. Larry Bookman, Dean Sandvik, Margaret Sabin, Fred Wolf andJohn Kerst at the groundbreaking for Yampa Valley Medical Center.Mammography technologists Kathy Liberman and Vonna Ault posewith the Giotto.PHOTOGRAPHY: 1024 Central Park Drive, Steamboat Springs, CO 80487Ellen Campbell 970.879.1322 | yvmc.orgDebbie DacusNick EsaresChristine McKelvieNatural Light ImagesHeather RoseSteamboat Pilot & TodayJim SteinbergSpecial thanks to the Willett/Stanko family for the use of historic photos.