Report to Community 10.indd - Maury Regional Healthcare System

COMMUNITY REPORT2010

MAURY REGIONALMEDICAL CENTERBOARD OF TRUSTEESDoug Williamson, ChairmanJeffrey T. Adams, M.D.Charlotte BattlesScott GainesSusan Gray, M.D.Mike GreeneRobert OtwellHouston ParksBob Thompson, Jr., M.D.Mike Tyler, D.D.S.Messagefrom theCEOThe 2010 fiscal year was an eventful one at Maury RegionalMedical Center (MRMC). With the support of our employees,medical staff, volunteers and the board of trustees, we havecontinued to reach new heights in clinical excellence andcustomer service. Our achievements over the past yearinclude:• Being named a 100 Top Hospital®• Implementing bedside medication verification to ensurepatient safety• Receiving the Premier Award for Quality• Chest Pain Center Accreditation• Heart Failure Accreditation• Receiving the Excellence Award from the Tennessee Centerfor Performance Excellence• Expanding new technology and proceduresIn this report, you will find more information about ourprogress over the past year as well as vital informationregarding our services, growth, and accomplishments.I want to personally thank every member of our communitywho chose MRMC for your health care over the past year. Ifyou have not entrusted us with your care recently, we ask thatyou put your faith in a group of individuals with one vision—the very best of care to every patient, every day.Robert Otwell, CEOMaury Regional Medical Center—2—

Awards and RecognitionIn March 2010, MRMC was named one of thenation’s 100 Top Hospitals® by Thomson Reutersand recognized in Modern Healthcare magazine.The award recognizes hospitals that have achievedexcellence in clinical outcomes, patient safety, patientsatisfaction, financial performance, and operationalefficiency. Thomson Reuters, a leading provider ofinformation and solutions to improve the cost andquality of health care, evaluated 3,000 short-term,acute care, non-federal hospitals in nine areas:mortality, medical complications, patient safety,average length of stay, expenses, profitability, cashto-debtratio, patient satisfaction, and adherence toclinical standards of care. This is the third time thatMRMC has been recognized with this honor.OTHER AWARDS AND RECOGNITIONTennessee Center for Performance ExcellenceMRMC earned the Excellence Award from the TennesseeCenter for Performance Excellence (TNCPE). This is the highesthonor given by TNCPE, which recognizes organizations thathave achieved the highest standards of excellence in theiroperations and results. The program uses the Criteria forPerformance Excellence established by the Baldrige NationalQuality Program.Premier Award for QualityFor the second consecutive year, MRMC was recognized by thePremier health care alliance as a winner of the Premier Awardfor Quality. MR MC is one of 21 winners in the nation and theonly winner from Tennessee. This places the medical center inthe top one percent of 3,788 eligible U.S. hospitals. The awardrecognizes leading health care organizations that efficientlyprovide outstanding patient care and consistently set thestandard in clinical excellence nationwide. Organizations do notapply for the award but are independently evaluated based onnationally reported data. Distinguished by its consideration ofperformance-based criteria, including clinical quality outcomes,resource utilization, and clinical process indicators, the awardmeasures top performers at the overall hospital level.Get With The Guidelines (GWTG) SilverPerformance Achievement Award—Heart FailureMRMC received the Get With The Guidelines SM –Heart FailureSilver Performance Achievement Award from the AmericanHeart Association for reaching an aggressive goal of treatingheart failure patients for at least 90 days with core standard levelsof care outlined by the American Heart Association/AmericanCollege of Cardiology secondary prevention guidelines for heartfailure patients. GWTG is a quality improvement initiative thatprovides hospital staff with tools that follow proven evidencebasedguidelines and procedures in caring for heart failurepatients to prevent future hospitalizations.HomeCare EliteMaury Regional Home Services was ranked among the top25 percent of agencies in the nation based on an analysisof performance measures in quality outcomes, qualityimprovement and financial performance. Home Services hasattained this award every year since its inception.Society of Chest Pain Centers (SCPC) AccreditationsMRMC received full three-year accreditation withPercutaneous Coronary Intervention (PCI) from the SCPC,having advanced its chest pain center accreditation from LevelII to Level III—the highest level attainable. The accredited chestpain center’s protocol-driven and systematic approach to patientmanagement allows physicians to reduce time to treatmentduring the critical early stages of a heart attack, when treatmentsare most effective, and to better monitor patients when it is notclear whether or not they are having a coronary event.In addition, the medical center achieved SCPC accreditation forheart failure by demonstrating expertise and commitment toquality patient care, meeting or exceeding a wide set of stringentcriteria and undergoing an onsite review by a team of SCPC’saccreditation specialists. The medical center utilizes proventreatment methods to reduce time to treatment and to decreasepatients’ length of stay.—3—

Medical StaffDuring the 2010 fiscal year, 14 new physicians joined the medical staff at MRMC. Specialtiesincluded anesthesiology, emergency medicine, family medicine, internal medicine/pediatrics,neonatology, neurology, pathology, and radiology. There are more than 185 physicians on themedical staff, representing 34 specialties.PHYSICIANOF THEYEARDeborah L. Goldsmith, M.D., a specialist in infectious disease, wasnamed Maury Regional Medical Center’s Physician of the Year at theannual meeting of the medical staff. This award is given annually to thephysician who best represents his or her profession and the mission,vision and values of the medical center. Dr. Goldsmith was selected bythe medical staff and employees for her outstanding professionalismand compassion.Dr. Goldsmith has been a member of the medical staff since 2003 andis involved in numerous committees and medical center initiatives.She currently serves on the Medical Staff Executive Committee asthe Medicine Department representative. In addition, she has servedon the Infection Control Committee since 2004, serving as chairfrom 2005 until 2010. Dr. Goldsmith is also a current member of thePharmacy and Therapeutics Committee, Critical Care Committee,and Medicine Committee. She previously served on the UtilizationManagement Committee.2010MEDICAL STAFFOFFICERSWilliam B. Sutter, M.D.Chief of StaffGibran B. Naddy, M.D.Vice Chief of StaffJeffrey T. Adams, M.D.Past Chief of StaffJames Grant Barr, M.D., Ph.D.Secretary/TreasurerDr. Goldsmith received her medical degree from the University ofColorado in Denver. She completed a residency at Medical Universityof South Carolina in Charleston and a fellowship in infectious diseaseat the University of Arizona Health Sciences Center in Tucson. She isboard certified in internal medicine and infectious disease.—4—

Service ChampionsMRMC recognizes employees each month who display behaviors and actions thathelp the medical center achieve its mission, vision, values and critical success factors.Nominations are submitted outlining the contributions that the employee makes inhis or her position. Those recognized in the 2010 fiscal year for their contributionswere:ServiceChampionof the YearBreanna AndrewsImaging DepartmentEmily Benefield, Respiratory CareLynn Chunn, Surgical ServicesKim Dickinson, Patient AccessSandra Hinson, Physical MedicinePatti Hollinsworth, RN, PediatricsRobin Jack, Environmental ServicesElizabeth Joyce, Cardiac Diagnostic TestingJim Norton, RN, OncologyJessica Reyes, RN, Second WestStephen Staggs, RN, Emergency DepartmentChad Sullivan, Information TechnologyChad Williams, FinanceThe MRMC Auxiliary provides valuableservices to the medical center. There are morethan 500 men and women who serve in 25areas of the medical center in roles rangingfrom ambassadors who greet incomingvisitors to those who play music to create asoothing environment for our patients andtheir families. During the past year, volunteersdedicated 67,368 hours of service to MRMC,the equivalent of $727,574. In the past 10AUXILIARYyears, the MRMC Auxiliary has donatedapproximately $1 million to the medicalcenter to help fund special projects.AUXILIARY OFFICERSJoe Bell, PresidentBetty Wells, Vice PresidentJoe Anne Moore, Corresponding SecretaryJudy Shackelford, Recording SecretaryDorothy Witherow, Treasurer—5—

Accomplishments and AdvancementsCANCERSERVICESThe Cancer Center added newtechnology to enhance theprecision of radiation therapyfor cancer patients this pastyear. The Varian® On-BoardImager® (OBI) makes dynamictargeting image-guidedradiation therapy (IGRT) moreefficient and convenient.The system delivers improvedtumor targeting using highresolution, low dose digitalimaging in the treatment room.By having the best possibleimage information, physiciansand staff are able to make timelydecisions and obtain exactalignment, which is criticalwhen delivering high dosesof radiation. OBI providesthe tools to manage changesin position caused by set-upconditions as well as changesin position during a patient’streatment session because ofnormal respiratory and organmotion. This enables physicians and staff to confidentlymanage patients and target movement—both before andduring treatments.OBI is the latest tool added for radiation treatment ofcancer and complements intensity modulated radiationtherapy (IMRT) and brachytherapy. In addition, theMaury Regional Cancer Center was the first in the stateto utilize the Dose Verification System® for the treatmentof breast cancer and is accredited by the Commission onCancer of the American College of Surgeons.—6—

HEART SERVICESMRMC has continued to advance its heart services. Themedical center has received full three-year accreditationwith Percutaneous Coronary Intervention (PCI) fromthe Society of Chest Pain Centers (SCPC), havingadvanced its chest pain center accreditation fromLevel II to Level III—the highest level attainable. Inaddition, the medical center also attained heart failureaccreditation from the SCPC following a stringentreview.MRMC provides a comprehensive array of cardiacservices, including interventional procedures toopen blockages, electrophysiology services such aspacemakers and defibrillators, and cardiothoracicsurgery through a partnership with Vanderbilt Heartthat includes off-pump procedures.The time it takes for a patient to go from the EmergencyDepartment to the catheterization lab at MRMC—commonly referred to in health care as door-to-balloontime—is nearly half the nationally recommended90 minutes. In addition to traditional interventionalprocedures in which the catheter to open a blockedvessel is inserted in the leg, the physicians on themedical staff also perform transradial procedures inwhich the catheter is inserted through the wrist, whichoffers patients who qualify the ability to be back ontheir feet almost immediately and resume most normalactivities the next day.Surgical procedures include bypass surgery, includingoff-pump procedures, transmyocardial laserrevascularization in which laser channels are createdinto the heart muscle enabling new blood vessels toform, minimally invasive valve surgery, and the Mazeprocedure which is a highly complex surgical treatmentoption for atrial fibrillation.—7—

HOME SERVICESMaury Regional Home Services has hada stellar year, including another nationalranking by HomeCare Elite as one of thetop 25 percent of home care agencies inAmerica. Home Services is also ranked thirdin the state by HealthInsight, a private, nonprofitorganization that evaluates home careagencies.Patient outcomes are better than state andnational averages in 11 measures and patientsatisfaction scores are at the 100 th percentile,resulting in a Top Performer award byProfessional Research Consultants, a premiermarketing research organization.Maury Regional Home Services providesquality health care to patients at home,working closely with physicians to establishunique care plans for their patients. Servicesinclude nursing care, rehabilitation services,home infusion and medical social workers.—8—

ORTHOPEDIC SERVICESMRMC has continued to advance its orthopedic services.The latest advancements include implementing the OwnThe Bone TM program and the use of surgical instrumentscustomized for a patient’s anatomy.MRMC is the first in Tennessee to implement theAmerican Orthopedic Association’s Own the Bone TMprogram, aimed to better identify, evaluate and treatpatients that suffer from an osteoporosis or low bonedensity-related fragility. The medical center was treatingnumerous patients over the age of 50 with fractures,most often the result of poor bone density caused byosteoporosis. The goal was to take steps to reduce futurefractures for these at-risk patients by getting themscheduled for a bone density scan to determine the extentof the disease, prescribing calcium and osteoporosismedications, and providing nutritional consultations witha registered dietitian. The Own the Bone TM program is anational Web-based quality improvement registry that—9—incorporates 10 measures for reducing future fractures andprovides MRMC with immediate feedback on programperformance to measure the medical center’s successand helps benchmark MRMC against other institutions.Results can be immediately quantified and health careproviders can begin to see how their actions are positivelyaffecting patient care.Orthopedic surgeons on the medical staff were amongthe first in Tennessee to utilize systems to build surgicalinstruments for knee replacements that are customizedfor a patient’s unique knee anatomy. The technology usesa patient’s magnetic resonance imaging (MRI) uploadedto a software program that provides the surgeon withprecise three dimensional computer imagery of the kneeto design and build surgical instruments with the goal ofreducing trauma and blood loss to surrounding tissue andto enhance alignment of the knee replacement.

WOMEN’S CENTERIn the past year, the medical center has continuedto advance its services for diagnosing and treatingbreast cancer. While breast MRI has been available foryears, the medical center implemented a new digitalDynaCAD technology that enables physicians to obtainhigher quality images, which aids in diagnosing benignbreast disease and assists in treatment planning forbreast cancer patients. The American Cancer Societyrecommends breast MRI as a screening tool for womenwhose risk of developing breast cancer is 20 percentabove average. Risk factors include a family history ofbreast cancer in a close relative, a positive genetic testfor breast cancer, and chest radiation for Hodgkin’sdisease.In addition, the Women’s Center now utilizes a newbreast biopsy system to safely and quickly biopsy whatis seen under MRI guidance. This state-of-the-art,vacuum-assisted technology allows a larger, more intacttissue sample to be taken, which increases the accuracy—10—for diagnosis. This procedure requires no post-biopsystitches, allowing patients to return to most dailyactivities immediately following the biopsy. The systemalso has a unique device feature that allows continuousdelivery of local anesthetic during the biopsy procedureto increase patient comfort and ultimately keep thepatient’s safety and health as the highest priority.These new tools added at the Maury Regional Women’sCenter complement digital mammography, breastultrasound and stereotactic biopsy. In addition,the Maury Regional Cancer Center was the first inTennessee to utilize the Dose Verification System® forbreast cancer patients. This system allows physiciansto measure the precise amount of radiation deliveredto the location where the tumor was removed by usingan implantable device that measures radiation doses.The center also offers brachytherapy that delivers highdose radiation directly to the area where the tumor isremoved.

About MRMCFor more than 55 years, MRMC has beenthe hub for professional and compassionatehealth care in southern Middle Tennessee.From its beginning as a 102-bed hospital toits current 275-bed capacity, the facility hasbecome a regional medical center serving aneight-county population of 260,000.MRMC provides comprehensive servicesbacked by qualified and caring professionalsand modern medical technology.The medical center has been evaluated byoutside organizations and compared tosome of the most respected medical centersin the country. From patient outcomesto operational efficiency, we have beenrecognized for our quality.MRMC is committed to expanding theservices and technology that have securedour standing as the largest medical centerbetween Nashville, Tennessee and Huntsville,Alabama.—11—

MedicalSpecialtiesAllergy & ImmunologyAnesthesiologyCardiologyCardiothoracic SurgeryCritical Care MedicineDermatologyEmergency MedicineEndocrinologyFamily MedicineGastroenterologyInfectious Disease (Inpatient)Internal MedicineInternal Medicine/PediatricsNeonatologyNephrologyNeurologyObstetrics & GynecologyOncologyOphthalmologyOral SurgeryOrthopedic SurgeryOtolaryngologyPathologyPediatric DentistryPediatricsPhysical MedicinePlastic SurgeryPodiatryPsychiatryPulmonary MedicineRadiologyRheumatologySurgeryUrologyOutpatientServicesCancer Center Radiation TherapyCardiopulmonary Services Cardiac Rehabilitation EKG Testing Pulmonary RehabilitationDiagnostic Imaging CT MRI Nuclear Medicine UltrasoundHome Services Nursing Care Home InfusionIV TherapyLaboratoryRehabilitation Services Aquatic Therapy Industrial Medicine Lymphedema Management Occupational Therapy Physical Therapy Speech TherapySleep Center Sleep StudiesWomen’s Center Bone Densitometry Breast MRI Breast Ultrasound Breast Biopsy (stereotactic &MRI-guided) Digital MammographyWound Center Hyperbaric Oxygen Therapy Wound Care—12—

Facts at a GlanceAdmissions ......................................................................................................................... 15,769Emergency Department Visits ........................................................................................ 43,456Ambulatory Care Visits .................................................................................................... 40,282Outpatient Registrations ................................................................................................ 116,494Births ..................................................................................................................................... 1,547Surgeries ............................................................................................................................... 7,258Cardiac Catheterizations .................................................................................................... 5,631Lab Tests ....................................................................................................................... 1,918,932Imaging Procedures ........................................................................................................ 153,368Endoscopy Procedures ..................................................................................................... 13,507Salaries & Benefits ................................................................................................. $111,205,121Community ContributionsCharity & Indigent Care ................................................................................. $12,053,930Contribution to Maury County Government ................................................... $900,000Emergency Medical Services (unreimbursed) .................................................. $640,865Jail Health Services ............................................................................................... $195,388School Athletic Trainers ....................................................................................... $114,809Community OutreachMRMC takes pride in providing healthopportunities to residents in our servicearea. Community outreach includesscreening programs, educational eventsand fairs, and support groups. Duringthe past year, our staff:• Participated in 890 community events• Donated 15,418 hours of communityservice• Invested $422,203 in hours and supplies• Donated blood quantities equal to522 lives saved—13—

Maury RegionalHealth Care FoundationIn January 2010, I was appointed executive director of thefoundation. I have been overwhelmed by the support that I havereceived from the medical center and an outstanding board ofdirectors.Messagefrom theExecutiveDirectorThe foundation’s mission is to support Maury Regional MedicalCenter and its affiliates in providing excellent health care services tothe region it serves. I have been humbled by the growing need formedical assistance for citizens who are uninsured or underinsuredand I am committed to working diligently with the medical centerand other agencies to aid in satisfying these unmet needs.In the past fiscal year, the Maury Regional Health Care Foundationhas provided $125,559 in programs and services to this region,including providing medications to patients in need, communityoutreach and education, assisting employees at the medical centerwith disaster assistance, providing wigs to cancer patients, andoperating a hospitality house called The Retreat for cancer patientsundergoing treatments and family members of neonatal and criticalcare patients.We appreciate all of our partners who generously contributed infiscal year 2009-2010. The foundation continues to grow and sodoes our support for individuals in need. To learn more about thefoundation, visit our Web site at mauryregional.com/foundation.htmand sign up for our e-mail newsletter. Thank you for your support.Joe K. KilgoreExecutive Director—14—

Making a DifferenceThe Maury RegionalHealth Care Foundationwould not be ableto impact the livesof patients and theirfamilies without thegenerosity of ourcontributors. In the pastyear, the foundation hasprovided $125,559 inservices for the region.Community Health ........................................... $73,204Diabetes Education .................................................. 536Special Needs & Dispensary of Hope ............... 23,947The Retreat (hospitality house) ........................... 1,350Women’s Center Wigs ........................................... 2,978Employee Assistance ........................................... 21,197Neonatal Intensive Care ....................................... 2,347Total ................................................................. $125,559Special thanks to our contributors(Donations received July 1, 2009 through June 30, 2010)Founder($10,000 +)Balfour-Beatty ConstructionBritco UniformsBurger King of Maury CountyHart Freeland Roberts, Inc.Maury Regional Medical CenterMed AssetsMorrison Management SpecialistsRedman-Davis, Inc.Con VrailasBenefactor($5,000 - $9,999)Medline FoundationRoger Witherow & Associates, Inc.Specialty SurgicalInstrumentation, Inc.SynthesWells FargoPatron($1,000 - $4,999)A. L. Stanfield and Associates, Inc.Abbott LaboratoriesDavid AdcoxAmerican Paper & TwineApplied MedicalAtmos EnergyA-Z Office Resource, Inc.Charles A. Ball, M.D.Batten & Shaw, Inc.Mary Darlene BaxterCharles BeamBlue Cross Blue ShieldBoston ScientificGinger BryantKathryn P. CardenPatrick CarterColonel Littleton Ltd., Inc.—15—Community First Bank & TrustEslick Daniel, M.D.Tara DanielsDelta ImagingDeRoyal IndustriesEMCEmdeon BusinessEmerson Industrial AutomationFerrell, Olson, Moore, Pearson,Bramlett, PLLCFirst Farmers & Merchants BankGeorgia Baptist Health CareMinistry FoundationWick HallidayCarolyn HarrisonRebecca HawkinsCynthia KingTillman Knox(continued on next page)

(continued from previous page)Winona LockeSusan MacArthurMadison Academy Linen ServiceGreg MartinMasonic Lodge - GL VisionMcKesson Automation, Inc.Medical NecessitiesMedtronicMiller & Martin, PLLCMolnycke HealthCareMorgan StanleyAubrey NelsonDennis OnksRobert OtwellPayment AmericaPershing & YoakleyPhoenix TextileDavid PinkstonRJ Young Company, Inc.Douglas RodmanEmilio (Tony) Rodriquez, M.D.Wayne ScottSmith Seckman Reid, Inc.Nick & Cindy SwiftTennessee Farm Bureau FederationTRH Health PlansLaura TurshenU. S. FoodserviceVanderbilt Medical CenterVHA FoundationDan WheelerRita WilliamsWiremastersSponsor($500 - $999)Jeffrey T. Adams, M.D.Affiliated Creditors, Inc.Dina BaileyKim BarrickColeen BidwellNancy BlackburnDeborah BrattonKaye BrewerPhyllis BrownChamberlan EdmondsRufus Clifford, M.D.John R. CollierColumbia Rotary ClubColumbia State Community CollegeMelinda FlemingTerri FoggCindy FoxSusan Gray, M.D.Camille HowellJ & S PaintingJohnson ControlsLesa JohnsonRoberta KaslowMarie KempJoe KilgorePatricia LentzJanet LindseyDeborah LumpkinsBill MarbetMRMC AuxiliaryBeverly MayBen McKnightDalton M. MoungerNeurology Center of Middle TN,PLLC—16—Ron PopeJennifer SutherlandBrenda TottyTSSAAWilliam R. WalterJulia WestJennifer ZolaSupporter($200 - $499)Rodney AdamsCarey AlbrightFathi Ali, M.D.Janelle ArnoldJean Mac BallBeverly BashamCharlotte BattlesJune BeckumKaren BellLydia BenefieldGeorge Tony BentonJeff BinkleyCarol Broadway, M.D.Angela BrownLatisha BrownRichard BrownGeorgia BruntonAnne CainCynthia CollieTedd A. ComerfordSandra CondonTerr y CookJohn CorsoDavid CraigMatthew Ryan Darks(continued on next page)

(continued from previous page)Mary Lewis DavisAnnette DixonRosemary EdmondsKelly EllerSarah FitzgeraldJanet FlispartJames B. FosterLinda L. FosterRobin Gilmore, M.D.Patricia GreenAshlie HaddockLarry HaggardKathleen HasseEddie HickmanWaymon HickmanFrances HoltDenice HornbakerJim HudsonPhillip HulseyThomas HumphreysBridget JonesPerry KahlerDaniel KlapperichHolly KunzLucy KuykendallEdward LancasterJoe LancasterPortia LeaCarrie LongHardy LoydCathy MalonePatricia MaloneKaye MarlinChrista MartinMasonic Lodge - Columbia 31Masonic Lodge 655 - LorettoLisa M. McClainJoan McClureRobert McClure, M.D.Dacia McEversBarbara McIntyreJennifer McKinneyKathy McNabbMedQuistEdward MooreLinda Rippey MooreDuke MossJames NashNHC Healthcare - ColumbiaNHC Healthcare - HillviewLinda NicholsJames NortonTrent OgilvieDiane PerryPratt CorrugatedThomas Quinn, M.D.Jennifer RawlingsBeverly Kay RayburnDana SaltersBeverly ScruggsMike SearsJackson SimsNorman SimsState Farm InsuranceStephens Media, LLCBill Sutter, M.D.Deborah SuttonBeth SweeneyTennessee Farmers MutualJoseph ThomaTiger Shredding, LLCCharles TisherPatricia TrousdaleTamara TurnerVolunteer Scrubs & EmbroideryDebra WatkinsJanet WebbJohn O. WilliamsMarcia WilliamsPam WilliamsDouglas W. WilliamsonReda WitherowLesa Young—17—

Making aDifferencein ManyWaysHere are just two examplesof how the foundationhas provided assistance topeople who really needed it:“After my house wascompletely flooded andwe lost everything, I didn’tknow how we were goingto make it. When coworkersand the foundationcame through, it was anindescribable blessing.”—Jamie SmithIntensive Care“The wig provided to me bythe foundation through theWomen’s Center was sucha blessing during a verydifficult time.”—Betty SkelleyCancer PatientMAURY REGIONAL HEALTH CAREFOUNDATION1224 Trotwood AvenueColumbia, TN 38401Phone 931.380.4075mauryregional.com/foundation.htm—18—

You can help us make a differenceThe foundation has provided assistance in many areas of need. With your generous gifts, we can doeven more. Gifts are tax deductible to the extent allowed by the law. Gifts of endowment (plannedgiving) are an especially rewarding way of giving. If you would like more information, please call thefoundation at 931.380.4075. If you want to help now, please fill out the form below and mail it, alongwith your contribution, to:MAURY REGIONAL HEALTH CARE FOUNDATION1224 Trotwood AvenueColumbia, Tennessee 38401I wish my gift to bedesignated as follows: Area of Greatest Need Cancer Fund Community Health Fund Diabetes Fund The Retreat Fund(Hospitality House) Special Needs Fund William R. WalterEmployee Assistance FundFor a complete description offunds, visit mauryregional.com/foundation.htmMy gift is being given:Name _______________________________________________________(as you wish it to appear in print)Spouse’s Name ________________________________________________Address _____________________________________________________Phone ______________________________________________________E-mail ______________________________________________________Enclosed is my/our contribution of $ ______________________________(Make checks payable to Maury Regional Health Care Foundation)( ) $100 ( ) $75 ( ) $50 ( ) $25 ( ) Other $ ________________ MasterCard Visa # ______________________________________Expires ______________________________________________________Print name as it appears on the card _______________________________Signature ____________________________________________________Please notify: In memory of _____________________________ In honor of _______________________________Occasion _________________________________Mr./Mrs./Ms. ________________________________Name ______________________________________Address ____________________________________City _______________________________________State ____________________Zip Code ___________Phone _____________________________________—19—

MAURY REGIONAL MEDICAL CENTER1224 Trotwood AvenueColumbia, Tennessee 38401NON-PROFIT ORG.U. S. POSTAGE PAIDNASHVILLE, TNPERMIT NO. 1471224 Trotwood AvenueColumbia, Tennessee 38401Phone 931.381.1111mauryregional.com