COMMUNITY REPORT. HCA North Florida. Our Commitment to Excellence. Vanda Ragans. Breast Cancer Patient & Survivor at Capital Regional Medical Center

Transcription

1 2013 COMMUNITY REPORT HCA North Florida Vanda Ragans Breast Cancer Patient & Survivor at Capital Regional Medical Center Our Commitment to Excellence

2 a message from our president In 2012, the HCA North Florida Division played a vital role in providing healthcare services to the communities we serve in North Florida and South Georgia, with an economic impact exceeding $1,500,000,000 annually. Our more than 19,000 employees, physicians and volunteers provide vital healthcare services through our 14 hospitals, five surgery centers, five cancer centers and eight imaging centers. Our emergency departments served more than 600,000 patients, an increase of 50,000 over At the same time, our teams held steadfast to their dedication to expediting patient care and improving patient satisfaction. As our ER volumes grow, so does the number of patients without adequate health insurance or the financial resources to pay for this care. Last year, our hospitals treated more than 145,000 uninsured patients and over 250,000 patients covered through the Medicaid program. The cost of charity and uncompensated care provided by our hospitals totaled $161,833,669 in Despite these challenges, we continue to expand to meet the growing demand for quality healthcare services. Expansion projects were initiated at Gulf Coast Medical Center and Capital Regional Medical Center, adding much-needed capacity and services. In order to make trauma care services more accessible to the communities we serve in Central Florida, we opened a Provisional Level II Trauma Center at Ocala Regional Medical Center. Lastly, North Florida Regional broke ground for Phase IV of its major expansion, which will encompass a four-story patient tower with a new Level II Neonatal Intensive Care Unit. During its first full year of operation, the One Step Patient Transfer Center facilitated over 50,000 patient transfers in support of 21 HCA hospitals across the North Florida and South Atlantic Divisions. The Transfer Center provides critical support not only to our HCA hospitals, but also to over 190 hospital partners in five states by ensuring expeditious patient transfers to meet the patient s medical needs. Throughout the year, we continued our emphasis on providing the highest quality patient care possible. Each of our facilities earned accreditations and recognition of the hard work they do each day to ensure our patients receive the excellent care they deserve. Many of our hospitals offer Accredited Chest Pain Centers, Joint Commission Certified Primary Stroke Centers, and Cancer Centers accredited by the American College of Surgeons Committee on Cancer. These certifications represent the gold standard of care today, awarded by independent accrediting organizations. They are a symbol of our employees dedication to their work, and pride in the care they provide. Sincerely, Michael P. Joyce President, HCA North Florida Division HCA North Florida

3 Doctors Hospital of Augusta Coliseum Northside Hospital Coliseum Medical Centers 65 Fairview Park Hospital West Florida Hospital Fort Walton Beach Medical Center 10 Twin Cities Hospital Gulf Coast Medical Center 10 Capital Regional Medical Center Lake City Medical Center 95 North Florida Regional Medical Center West Marion Community Hospital Ocala Regional Medical Center HCA North Florida 75 Leadership Michael P. Joyce President & Chief Executive Officer David Dye Chief Financial Officer I never thought at 16 I would need back surgery; thankfully I was in the right hands. At 16 years old the last thing I wanted to do was have back surgery. I like to stay active and ride horses but the pain from my scoliosis was becoming so intense that my parents and I knew something had to be done. Surgery was the only option, and it s the best choice I ve ever made. Now I m back to riding horses and being a teenager again. I feel like I owe my life and my health to the surgeon and the staff who cared for me at Doctors Hospital. Susan Adams, now 17 years old, Scoliosis Surgery Patient Our Commitment to Excellence 1

4 Community Impact Summary Statistics Patients Treated...1,374, Annual Admissions...132, Annual Emergency Visits...606,793 Total Medicaid Patients Treated...251,841 Indigent Patients Treated...146,683 Facilities Hospitals...14 Surgery Centers...5 Diagnostic Imaging Centers...8 Inpatient Rehabilitation Facilities...5 Psychiatric Care Facilities...3 Occupational Health Sites...1 Licensed Beds...2,862 Our Hospital Family Total Employees...13,477 Total Medical Staff...4,395 Total Volunteers...1,144 2 HCA North Florida

5 economic impact Total Salaries & Benefits...$859,517,695 Cost of Charity & Uncompensated Care...$161,833,669 Taxes Paid Federal Income Tax...$89,128,702 State Income Tax...$11,797,438 Indigent Care Tax...$27,462,416 Property Tax...$11,123,671 Sales Tax...$13,693,518 Other Local Tax...$82,232 Total Taxes...$153,287,977 Capital Investment (five-year average)...$89,609,202 Total Local Vendor Support...$236,140,796 Minority & Women Owned Business Support...$16,526,561 Physician Specialty Coverage...$32,366,860 Total Economic Impact... $1,532,756,199 Capital Investment 13% Taxes 6% Charity & Uncompensated Care - 12% Local Vendor Support 13% Physician Specialty Coverage - 3% Salaries & Benefits 59% Our Commitment to Excellence 3

6 GIVING BACK TO OUR COMMUNITY A partial list of organizations benefiting from HCA North Florida s involvement: Alzheimer s Alliance American Diabetes Association American Cancer Society American Heart Association American Lung Association Autism Speaks Boy Scouts of America Boys and Girls Club Chamber of Commerce Council on Aging Covenant Hospice Gulf Coast Community College Habitat for Humanity Healthy Start Coalition HCA Hope Fund Lions Club Leukemia and Lymphoma Society March of Dimes Muscular Dystrophy Association Red Cross Retired Seniors & Volunteer Programs Rotary International Salvation Army Southeastern Firefighters Special Olympics United Way WINGS YMCA In 2012, Ronald McDonald House Charities of Tallahassee, Inc. and Capital Regional Medical Center opened the Ronald McDonald Family Room at Capital Regional, the first of its kind at an HCA facility. Community Support The affiliates of HCA North Florida and their employees are committed to improving the health and well-being of those in the communities they serve. This is accomplished not only through the quality of care they provide, but also through the financial and volunteer support they offer to countless community organizations, schools, colleges and non-profit and charitable organizations in their communities. Indigent Patient Education HCA North Florida Hospitals are committed to helping uninsured patients qualify for local and state health benefit programs. Many of our hospitals offer on-site benefit education and Medicaid enrollment assistance. Step Up for Students Since 2005, HCA has redirected corporate income tax to the Step Up for Students program. Through this gift, low income students receive a K-12 scholarship enabling them to receive a quality education tailored for their specific needs. It is well documented that a one size fits all education is not the best approach for every student. Families with the means may choose the perfect school for their child but that is simply not an option for many people. Through this program, children that qualify for the National School Lunch Program can receive scholarships. Qualifying parents can use these grants to send their child to the public or private school that best meets their child s needs. West Florida Healthcare was well represented at the 2012 American Heart Walk raising a total of $9, for the American Heart Association. 4 HCA North Florida

7 Accredited Chest Pain Center Accredited Chest Pain Center w/pci (Heart Attack) Center Primary Stroke Center CARF Certification Awards & Recognition Numerous awards and recognitions are bestowed on our facilities and management teams, acknowledging not only the outstanding medical care and services we provide, but also the leadership role we play in our communities. All of our facilities are Joint Commission (JC) Accredited, with nine JC Accredited Primary Stroke Centers, and JC Accreditation for Spinal Care at Gulf Coast Medical Center and Doctors Hospital of Augusta. This year, 10 of our facilities were recognized by The Joint Commission as one of the Top Performers on Key Quality Measures. This recognition is focused on accredited hospitals that attained and sustained excellence in accountability measure performance during calendar year As Top Performers on Key Quality Measures, our 10 facilities were among only 620 hospitals being recognized for 2011, which represents the top 18 percent of Joint Commission accredited hospitals (of those that report core measure performance data). Ten of our facilities offer Certified Chest Pain Centers, recognizing their consistent high quality care and expertise in dealing with patients suffering with chest pain. Six have been designated by Blue Cross Blue Shield as a Blue Distinction Center for Spine Surgery, and five for Hip and Knee Replacement Surgery. Fairview Park Hospital earned The Joint Commission s Gold Seal of Approval for certification as a Primary Stroke Center. This distinction was coupled with an award from the 2012 Georgia Coverdell Champion Hospital of the Year Award by the Georgia Coverdell Stroke Registry. One of only four hospitals to earn this recognition in the state, Fairview Park is at the top of the list for hospitals beds in size. Recognized for its outstanding care, Doctors Hospital of Augusta s Inpatient Rehab Facility was awarded a three-year Certified Acute Rehab Facility (CARF) accreditation for its adult physical rehabilitation program, the only CARF accredited facility in the greater Augusta area. Additionally, Doctors Hospital was one of 17 Georgia hospitals named to the Georgia Hospital Association s Partnership for Health and Accountability Core Measures Chairman s Honor Roll, the highest on the list. West Florida Hospital s Blood Bank was granted a two-year AABB accreditation for transfusion services following an intensive on-site assessment by specially-trained AABB assessors. This recognition establishes that the level of technical and administrative performance within the facility meets or exceeds the standards set by AABB. By successfully meeting those requirements, West Florida Hospital joins similar facilities located throughout the United States and around the world that also have earned AABB Accreditation. Ocala Health s commitment to accreditation and to evidence-based care is best reflected in its quality achievements for 2012, including its distinction among Thomson Reuters Top 100 Hospitals. HealthGrades Excellence Awards included those for Patient Safety, Pulmonary Care, Women s Health, Vascular Surgery, and Bariatric Surgery. Coliseum Medical Centers received full Heart Failure Accreditation status from the Society of Chest Pain Centers, and is the first hospital in the state of Georgia to achieve this accreditation. Coliseum Northside Hospital achieved Total Joint Certification from The Joint Commission. Additionally, Coliseum Medical Centers received the Get With The Guidelines -Stroke Gold Plus Quality Achievement Award for the third year in a row. 5

8 quality & patient safety Despite our achievements, HCA North Florida recognizes the importance of patient safety and continues to make it paramount. Our initiatives ensure the safety and quality of care given to our patients each day. SurgiTrak Family Notification of Surgical Status enables bedside patient and product verification for blood product administration for enhanced patient safety. In addition, it improves monitoring and reporting regarding blood administration and utilization, while decreasing errors. During 2012, SurgiTrak pilots were launched at Ocala Regional Medical Center, West Marion Community Hospital, and Capital Regional Medical Center. SurgiTrak provides notifications to designated family members of a patient s progression through the surgical episode. Notifications can be sent via text or to a mobile device such as a smart phone, a tablet, or any other computer or laptop with an Internet connection. This provides family and friends who are in a remote geographical location with immediate information about their loved one who is having surgery in an HCA facility. For family members at the hospital, it will provide them the freedom to leave the waiting area without missing vital information about their loved one s surgery. BCTA Barcode-enabled Transfusion Administration Barcode-enabled Transfusion Administration provides our hospital teams with barcoding capability for blood products, with automated reporting and trending of blood utilization in accordance with regulatory guidelines as well as automated reporting of blood transfusion reactions. BCTA implementation began in 2012 and will be completed by mid-year It is an important service to provide our teams because it Modified Early Warning System (MEWS) Monitoring Process In a busy, complex healthcare environment, recognition of deteriorating patient s condition can be delayed. Identification of negative changes in a patient s condition can decrease the number of failure to rescue events and resuscitation efforts through monitoring and timely intervention. The MEWS system has been proven to show a significant relationship between the MEWS score and transfers to the ICU or death. The score is comprised of six measures: Blood pressure Heart rate Temperature Level of Consciousness Respiratory rate MEWS transforms this physiological data, and using weighted criteria, determines an aggregate score that may be used to categorize clinical deterioration and direct care. The score is determined electronically and displayed on each patient s status board. It is important to note that MEWS is a monitoring aid to clinical judgment, a marker of critical illness, and an indicator of physiologic trends. It is intended to trigger critical thinking and assessment prior to making care decisions. Anticipated benefits derived from utilizing the MEWS scores include timely response to changing patients conditions, decreased resuscitation events and decreased patient mortalities. 6 HCA North Florida

9 Radiation Right Studies have shown that in addition to the benefits of diagnostic procedures that involve radiation, there might also be risks that should be considered by patients and those treating them. Some government agencies and medical organizations have stressed the adoption of two guiding principles of radiation protection for patients: appropriate justification for ordering each procedure and careful optimization of the radiation dose applied during each procedure. Radiation Right incorporates these baseline recommendations but adds additional steps, including adoption of education and competency standards for clinical professionals, meeting and achieving nationally recognized certification standards and adopting As Low As Reasonably Achievable or ALARA dose protocols. Radiation Right also follows The Alliance for Radiation Safety in Pediatric Imaging s Image Gently protocol for pediatric patients. Severe Sepsis Program Earlier this year, North Florida Regional Medical Center began a program aimed at the challenge of severe sepsis. NFRMC adopted early, goal-directed therapies, instituted a Sepsis Alert and invested $100,000 for 8 Vigileo monitors and interface equipment needed to support the therapies. Efforts included ongoing support for FloTrac arterial line sensors and PreSep Oximetric Central lines. Leaders formed a coordinated Sepsis Team. NFRMC s baseline mortality for severe sepsis and shock was 32 percent prior to the program. For the year, mortality is down to 18 percent, already surpassing the program s initial goal. Program managers believe even more reductions are possible and say they will be diligent in detecting and managing this difficult disease. Our radiation-reduction efforts focus on preventing accidental or isolated incidents of excessive exposure, reducing cumulative radiation dose, and focusing on nationally accepted guidelines to assure that we always give the lowest effective dose of radiation possible. NFRMC Sepsis Coordinator Connie Wood, RN, with some of the Sepsis Champions she trained as part of the hospital s program to reduce mortality rates. Our Commitment to Excellence 7

10 specialized care nal Medical Center s new Provisional Level II Trauma Center. FPO The trauma resuscitation room at Ocala Regional Medical Center s new Provisional Level II Trauma Center. Emergency Excellence The combination of our highly skilled emergency physicians and nurses, along with best practices and the latest technology, benefitted close to half a million North Florida and South Georgia residents who sought emergency care in our facilities last year. Protocol driven care that begins in the field through direct communications with local EMS teams, and meeting stringent standards to earn Chest Pain Center Accreditation and Primary Stroke Center Certification by the Joint Commission are all part of our commitment to improve quality in our busy emergency departments. Our strong focus on enhancing care and improving ER processes has also dramatically reduced wait times below national averages. The average ER wait times for each of our hospitals are posted on their websites as well as digital outdoor boards in many of the communities we serve, and are also available by text messaging ER to Smart phone users are able to access average wait times via itriage, an app that helps locate providers for emergency care, while also serving many other medical needs. During 2012, Coliseum Health Center and Fort Walton Beach Medical Center joined Capital Regional Medical Center in offering itriage s prenotification functionality to ER patients. Branded as inotify, this function allows smart phone users to notify the ER that they are on their way, along with symptoms and other information to help the ER team prepare for their arrival. During the course of the year, more than 2,000 ER patients used inotify. Lastly, Ocala Regional Medical Center opened a Provisional Level II Trauma Center, the first center in Trauma Service Area 6 which serves Marion, Hernando and Citrus Counties. This was no small commitment to make, as the project investment totaled more than $6.5 million and required specific training for all staff, as well as the recruitment of highly skilled trauma surgeons. Since its opening in early December, the Trauma Center garnered strong community support and started treating critically injured patients immediately. In 2012, West Florida Healthcare partnered with the Northwest Florida Heart Group to form West Florida Cardiology, providing a wide network of cardiovascular care to area patients. Heart & Vascular Network Our cardiovascular network ensures that lifesaving technology and the latest minimally invasive techniques are available in our communities. Several of our facilities offer accredited Chest Pain Centers: Capital Regional Medical Center, Coliseum Medical Centers, Doctors Hospital of Augusta, Fairview Park Hospital, Fort Walton Beach Medical Center, Gulf Coast Medical Center, North Florida Regional Medical Center, Ocala Health System, and West Florida Hospital. All of our facilities are beating 8 HCA North Florida

11 the national STEMI benchmark of 90 minutes or less, dramatically improving the lives of our patients experiencing a heart attack. Only 40 percent of hospitals in the country have been able to consistently accomplish this, and similar to our average ER wait times, we post our average STEMI times on our hospital websites. The latest surgical techniques for minimally invasive mitral valve and atrial fibrillation repair provide a safer alternative for patients suffering from these conditions, improving their quality of life and reducing their risk for other serious complications. Our Cardiac Catheterization and EP Labs offer stateof-the-art technology and treatments to invasive and non-invasive cardiac procedures. Comprehensive Cancer Care Cancer is the second leading cause of death in this country and our facilities are committed to meet and exceed the many standards required for the American College of Surgeons Commission on Cancer (ACoS CoC). To become accredited, our hospitals commit to regular meetings of the cancer team, which include surgeons, medical oncologists, radiation oncologists, pathologists, radiologists and hospital clinical and support staff to proactively review patient cases. The North Florida Division facilities that have achieved this honor include Capital Regional Medical Center, Coliseum Medical Centers, Doctors Hospital of Augusta, Fort Walton Beach Medical Center, Gulf Coast Medical Center, North Florida Regional Medical Center, Ocala Health System, and West Florida Hospital. We are also committed to bringing the latest in technology to the communities we serve, and our Cancer Centers are no exception. The CyberKnife System, the world s first robotic radiosurgery system, is available at the Cancer Center at North Florida Regional Medical Center. We also offer advanced cancer treatment at our other four cancer centers in Tallahassee, FL, Lake City, FL, Pensacola, FL, and Augusta, GA. Radiologist Jong Kim observes a CT scan for a patient in the Lung Screening Program at North Florida Regional. Our Commitment to Excellence 9

12 specialized care Imaging Services The HCA North Florida network provides the most comprehensive array of outpatient imaging services in North Florida and South Georgia. Our facilities are equipped with a broad range of diagnostic technology and most offer extended hours. We are committed to offering imaging services needed across the full continuum of a patient s care. Specially-equipped burn patient ICU room Joseph M. Still Burn Center Ranked among the world s leading burn facilities, the self-contained Joseph M. Still Burn Center at Doctors Hospital of Augusta treats an estimated 7% of burn patients nationwide (3,000 patients each year) about one-third of them children. Renowned for its multi-disciplinary approach to acute burn care, it averages an impressive 97% survival rate annually. Its team of specialists consists of plastic surgeons, general surgeons, maxillofacial surgeons, critical care intensivists, pediatricians, psychiatrists, nurses, physical and occupational therapists, dietitians, and social workers. In addition, its Advanced Wound and Burn Clinic is an outpatient clinic specializing in burn treatment follow-up and other serious skin-related conditions. The Burn Center is the largest in the country with 70 beds, 4 surgical suites, a dedicated ambulance entrance, and 20 outpatient treatment rooms in addition to hyperbaric oxygen chambers and hydrotherapy. Diagnostic services available throughout the HCA North Florida network include: Bone Density/Dexa CT 64-slice CT Digital Mammography Echocardiogram EKG Fluoroscopy Mammography MRA Open & High Field MRI Nuclear Medicine PET/CT Scan Ultrasound X-Ray West Florida Hospital s mobile mammography unit. 10 HCA North Florida

13 O-arm System creates detailed, two- and three dimensional images, which helps streamline the process during surgery. This can mean less time in the operating room, and make all the difference in the patient s surgical experience. In 2012, Fort Walton Beach Medical Center began offering surgical robot technology. Pictured left to right are da Vinci trained physicians, Dr. Donald Whitaker, Dr. Mauri Lunderman, Dr. Chris Dali and Dr. John Brent. Orthopedic and Spine Surgery Patients needing advanced treatments for orthopedic and spine issues can find high quality care at our North Florida Division hospitals. Advanced surgical procedures including Minimally Invasive Hip Replacement, Anterior Approach Hip Replacement, Custom Fit Knee Replacement, Gender Specific Knee Replacement, Knee and Hip Resurfacing, Partial Hip Resurfacing, and Partial Knee Replacement are available to relieve pain and help patients return to normal activities. Our surgeons are committed to performing the latest innovations in their field, and patients benefit from the experience of a panel of orthopedic experts, individualized treatment plans and a high caliber of care. Robotic and Minimally Invasive Surgical Services Our network offers some of the most efficient and well equipped operating rooms in the area. Advanced systems from scheduling to pre-op and discharge planning ensure that patients receive the care they need. One of the most exciting technologies today is the da Vinci Robotic Surgical System. Through the use of robotics, surgeons are able to perform complex and delicate procedures through tiny incisions, with unmatched precision. For patients, this means less blood loss and scarring, and a quicker recovery and return to normal daily activities. Eight of our facilities offer this option for appropriate surgical procedures: Capital Regional Medical Center, Coliseum Medical Centers, Doctors Hospital of Augusta, Fort Walton Beach Medical Center, Gulf Coast Medical Center, North Florida Regional Medical Center, Ocala Health System, and West Florida Hospital. The Orthopedic and Spine Centers of North Florida and South Georgia provide a panel of experts who collaborate on treatment plans for patients. The teams at each Center include pain management professionals, diagnostic-imaging specialists, orthopedic surgeons, physical medicine and rehabilitation specialists, neurosurgeons and physical therapists. Coliseum Medical Centers and North Florida Regional Medical Center offer the O-arm Multidimensional Surgical Imaging System technology. Neurosurgeons are utilizing this revolutionary technology for spine surgery, including lumbar, cervical and thoracic procedures. The Doctors Hospital was recently named a Center of Excellence in Women s Health Surgery by The American Institute of Minimally Invasive Surgery (AIMIS). The designation represents Doctors Hospital s commitment to offering expert surgical care and new and proven medical technologies. Our Commitment to Excellence 11

14 surgical treatment options for various neurological disorders. The focus has expanded to include patients living with Parkinson s disease and other movement disorders that could benefit from Deep Brain Stimulation surgery. Our facilities utilize the team concept, incorporating therapists, dietitians, neurologists and case managers to diagnose and treat the needs of patients. Women s Services Obstetrics services are offered at eight of our facilities, with a range of amenities that include private family waiting areas and beautiful home-like surroundings, along with state of the art equipment to help make the birthing process go as smoothly as possible. Our commitment to providing the best in women s services, from digital mammography, bone density ultrasound, to stereotactic breast biopsy, is unsurpassed. Capital Regional Medical Center and Coliseum Medical Centers offer comprehensive breast centers, providing women access to advanced breast imaging technology in a warm, spa-like environment. Patient navigators at several of our facilities work with women who have potentially concerning findings to help them understand the process from detection to diagnosis to treatment. Our facilities ensure that patients receive the most advanced diagnostic technology and the highest quality of healthcare available in North Florida and South Georgia. NeuroSciences and Stroke Care Nine of our hospitals have earned Joint Commission Primary Stroke Center designation, the gold standard for ensuring the highest level of care is immediately available: Capital Regional Medical Center, Coliseum Medical Centers, Doctors Hospital of Augusta, Fairview Park Hospital, Fort Walton Beach Medical Center, Gulf Coast Medical Center, North Florida Regional Medical Center, Ocala Health System, and West Florida Hospital. HCA hospitals also offer surgical and non- 12 HCA North Florida Bariatric Surgery The goal at our Bariatric Centers is to improve the health and lives of those in our communities who are struggling with obesity and its associated health problems, which can be fatal. With more than 60 million adults considered obese, the Centers offer specialized weight-loss treatment options to those who need help with their obesity. The services offered include behavioral, nutritional, and exercise intervention, as well as surgical options that consist of gastric banding, gastric bypass and gastric sleeve. After a complete medical evaluation, a customized program is developed for each patient. Six of our hospitals offer bariatric surgery programs: Capital Regional Medical Center, Coliseum Medical Centers, Doctors Hospital of Augusta, Gulf Coast Medical Center, North Florida Regional Medical Center, Ocala Regional Medical Center. In addition, North Florida Regional Medical Center and Ocala Regional Medical Center are designated bariatric Surgery Centers of Excellence by the American Society of Metabolic and Bariatric Surgery. I talk to people every day about the dangers of diabetes and really didn t feel healthy myself. That has all changed now, thanks to Coliseum! Carol Radney, LAP=BAND patient and director of the Diabetes Center at Coliseum

15 Affiliate Hospitals Our Commitment to Excellence 13

16 Capital Regional Medical Center 2626 Capital Medical Boulevard Tallahassee, FL (850) Statistics # of Licensed Beds 202 Total Annual Admissions 11,551 Total Annual Emergency Visits 88,982 Total Patients Treated 126,891 Total Medical Staff 505 Total Employees 1,140 Total Payroll $76,748, Taxes Paid $11,502,029 CENTERVILLE RD TIM GAMBLE PL CENTRE POINTE BLVD 261 CENTRE POINTE LN CARE DR CENTERVILLE RD Brian T. Cook Chief Executive Officer 319 WELAUNEE BLVD T ALLAHASSEE L AHASSEE WACKY WAY Capital Regional Medical Center is located on Capital Medical Boulevard in Tallahassee, Leon County. BUFORD BLVD. CARE DR CAPITAL CIRCLE NE 261 BUFORD BLVD. CAPITAL AL REGIONAL MEDICAL LC CENTER BUFORD CT PROFESSIONAL PARK CIRCLE CAPITAL MEDICAL BLVD. 24/7 Emergency Services Tallahassee & Gadsden County Accredited Chest Pain Center Bariatric Center Capital Regional Medical Group Main Campus Capital Regional Medical Group Crawfordville Capital Regional Medical Group Chattahoochee Capital Regional Medical Group Southwood Capital Regional Cardiology Associates Capital Regional Women s Health Capital Regional Infectious Disease Capital Regional Surgical Associates Cancer Center Certified Primary Stroke Center Comprehensive Breast Center Critical Care da Vinci Robotic Surgical System Family Center H2U Program Heart & Vascular Center Hyperbaric Oxygen Therapy Imaging Services Neonatology Surgical Services Tallahassee Outpatient Surgical Center Wound Care Center When you discover you have cancer, you just want it out of you. My experience with Capital Regional Medical Center was phenomenal. Vanda Ragans, Breast Cancer Survivor at Capital Regional Medical Center 14 HCA North Florida

17 Coliseum Medical Centers & Coliseum Center for Behavioral Health 350 Hospital Drive Macon, GA (478) Hour Emergency Services Accredited Breast Center Accredited Chest Pain Center Cancer Center and Accredited Cancer Program Center for Pulmonary Health and Rehabilitation Certified Primary Stroke Center da Vinci Robotic Surgical System Diabetes Management Center Family Ties Birthing Center with Level III Neonatal ICU Geriatric Psychiatric Services H2U Program Heart Institute Imaging Services Neurosurgery 2012 Statistics # of Licensed Beds 310 Total Annual Admissions 13,451 Total Annual Emergency Visits 43,331 Total Patients Treated 99,291 Total Medical Staff Total Employees 1,132 Total Payroll $79,943, Taxes Paid $9,157,495 RIVERSIDE DR WALNUT ST MONROE ST 23 MADISON ST NOTTINHAM DR MACON ORANGE ST 87 BOND ST JONES ST WALNUT ST 404 Coliseum Medical Centers and Coliseum Center for Behavioral Health are located on Hospital Drive in Macon, Bibb County. 49 RIVERSIDE DR BLVD AVE BLVD AVE SUMMIT AVE LAUREI AVE NORTH AVE EMERY HWY 2ND ST CURRY PL 11 CLINTON RD HALL ST EMERY HWY 22 GRAY HWY CENTER ST COLISEUM MEDICAL LCENTERS COLISEUM DR Orthapedic Services including Inpatient Rehabilitation Psychiatric and Substance Abuse Treatment Same Day Surgery Center Women s Center Charles Briscoe Chief Executive Officer Coliseum Health System Jim Eyler Chief Executive Officer Coliseum Center for Behavioral Health At Coliseum, our goal is to meet a mother s individual, unique needs, and a nurse navigator makes that possible by increasing comfort and making her special time more personal. Navigators get to know mothers, so if an issue such as postpartum depression or difficulty breastfeeding arises, there s already a relationship and working together feels natural and easy. Kristy Fors RN, IBCLC, OB Nurse Navigator at Coliseum Medical Centers Our Commitment to Excellence 15

18 C o l iseum Nor t hs i d e Hos p ita l 400 Charter Boulevard Macon, GA (478) Statistics 24-Hour Emergency Services # of Licensed Beds 103 Total Annual Admissions 2,569 Total Annual Emergency Visits 23,404 Total Patients Treated 42,856 Day Hospital Diagnostic and Imaging Services Endoscopy General Surgery Total Medical Staff Total Employees Total Payroll Georgia Bariatric Center 290 H2U Program $19,479,027 Taxes Paid Coliseum Northside is located on Charter Neurosurgery Boulevard in Macon, Bibb County. $2,501,300 NICHE Senior Services 75 1 Coliseum Health System Orthopaedic Institute AT L A N TA FO RS YT HR COLISEUM C COLISEU NORTHS CO COLI COL COLIS OL OLIS LIS L IS SEU SEUM EUM EUM UM NORTHSIDE OR OR ORTH RT TH T HS SID IDE DE DE HOSPITAL L HOSP HOSPI OSP PT TA TAL A AL D D BLV BASS RD ZEBULON RD TU ER CK FO RD RS Y LL HI Outpatient Rehabilitation Services RD OR F CH AR TE R 19 T ES TH R D Wound Healing Center RIDGE AVE MACON Mike Sherrod Chief Executive Officer KWY TE P RSTA Y KW EP TAT WHITN RS EY PL WH ETER ISPE PKWY RIN G PIN ES D R E INT ES EX PY INTE BOBB Y JON 402 EW EY CIR ED GRA Y WM JD PERIM After the (LAP-BAND ) seminar in February, I knew I wanted to have LAP-BAND surgery as 415 D R RD KR WHEELE AR LP I knew I didn t want to go anywhere else. CLE ICA soon as possible. And as soon as I met the staff and physicians at Coliseum Northside Hospital, LER RD WHEE Cheney Brinkley LAP-BAND patient at the Georgia Bariatric Center at Coliseum Northside Hospital 16 H C A N o rt h F lo r i d a 520

19 Doctors Hospital of Augusta 3651 Wheeler Rd Augusta, GA (706) Accredited EEG Laboratory Accredited Inpatient Rehabilitation Facility 24-Hour Emergency Services Accredited Chest Pain Center with PCI Accredited Primary Stroke Center Accredited Sleep Center Advanced Burn and Wound Clinic Advanced Surgical Services American Burn Association Verified Burn Center Bariatric Surgery / Healthy Living Center Accredited Cancer Care Center Center for Women / Pelvic Health 2012 Statistics # of Licensed Beds 354 Total Annual Admissions 13,241 Total Annual Emergency Visits 49,950 Total Patients Treated 189,572 Total Medical Staff 511 Total Employees 1,602 Total Payroll $100,929,315 Taxes Paid $23,646,971 A UGUSTA U INTERSTATE PKWY Doctors Hospital of Augusta is located on Wheeler Road in Augusta, Richmond County PERIMETER PKWY da Vinci Robotic Surgical System Diagnostic Services / Outpatient Imaging WHISPERING PINES DR DOCTORS HOSPITAL OF FAUGUSTA USTA INTERSTATE PKWY W MEDICAL PARK RD WHITNEY PL PERIMETER PKWY 415 BOBBY JONES EXPY Family-Centered Maternity Care with Level II NICU INTERSTATE PKWY WHEELER RD J DEWEY GRAY CIRCLE WHEELER RD 520 H2U Program Healthy Living Center Human Motion Institute - Joint / Spine Center Doug Welch Chief Executive Officer Physical and Occupational Therapy Hyperbaric Oxygen Therapy Occupational Medicine Center Vestibular Balance Center Doctors Hospital saved his life and gave me the opportunity to marry my best friend. Allison Leonard Murphy, Wife of Richard Murphy, ER/Cardiac Patient Our Commitment to Excellence 17

20 Fairview Park Hospital 200 Industrial Boulevard Dublin, Georgia (478) Statistics # of Licensed Beds 190 Total Annual Admissions 7,623 Total Annual Emergency Visits 38,886 Total Patients Treated 79,350 Total Medical Staff 188 Total Employees 672 Total Payroll $41,156,099 Fairview Park Hospital is located on Industrial Boulevard in Dublin, Laurens County. 24-Hour Emergency Services Accredited Chest Pain Center with PCI Cardiology Services/Cardiac Catheterization Critical Care H2U Program Imaging Services Inpatient/Outpatient Taxes Paid $9,396, MOORES GA HWY 257 DUBLIN VETERANS BLVD FAIRVIEW IEWP PARK HOSPITAL 257 INDUSTRIAL BLVD JAMES L GILLIS MEMORIAL HWY BELLEVUE AVE TELFAIR ST N JEFFERSON ST E JACKSON ST GLENWOOD AVE 319 CENTRAL DR BUCKEYE RD Level II Nursery Orthopedics Sleep Center Surgical Services Surgicalist Program Therapy Services Women s Services MARTIN LUTHER KING DR Donald R. Avery Chief Executive Officer I m turning 70 years old soon. When my wife came to Fairview Park the day after my surgery, she told me she hadn t seen me walk like that in years. I cannot believe how much I couldn t do before this surgery. It has been truly phenomenal and life-changing. I m back to enjoying my horses. John Matter, Recent Anterior Hip Replacement Patient 18 HCA North Florida

21 Fort Walton Beach Medical Center 1000 Mar Walt Drive Fort Walton Beach, Florida (850) Hour Emergency Services 24-Hour Pediatric Emergency Room Accredited Chest Pain Center With PCI Acute Rehabilitation Unit Adult Critical Care Breast Imaging Center Certified Primary Stroke Center Comprehensive Cancer Program Comprehensive Cardiovascular Program Express Care H2U Program Heart Center Inpatient and Outpatient Rehabilitation Joint and Spine Surgical Services Level II Neonatal Intensive Care Unit Medical Imaging Obstetrics and Women s Health Psychiatric Treatment Center Robotic Surgery Services Spine Surgery Center Wound Care and Hyperbaric Oxygen Therapy Center 2012 Statistics # of Licensed Beds 257 Total Annual Admissions 11,924 Total Annual Emergency Visits 64,549 Total Patients Treated 115,399 Total Medical Staff 293 Total Employees 1,030 Total Payroll $68,134,720 Taxes Paid $15,896,577 Mitch Mongell Chief Executive Officer Fort Walton Beach Medical Center is located on Mar Walt Drive in Fort Walton Beach, Okaloosa County. I d never been hospitalized before having my son, and felt uncertain and scared, but my experience at Fort Walton Beach Medical Center was wonderful. The nurses were kind and accommodating, and made me feel at ease. We were able to stay together as a family, and the staff went above and beyond the call of duty to care for and encourage us as new parents. Fort Walton Beach Medical Center is definitely the best place for our growing family. Samantha and Kevin Fagan and son Landon Patients at Fort Walton Beach Medical Center Our Commitment to Excellence 19

22 LISENBY AVE N COVE BLVD LISENBY AVE SANFORD RD STATE AVE HARRISON AVE MARTIN LUTHER KING JR. BLVD Gulf Coast Medical Center 449 W 23rd Street Panama City, FL (850) Statistics # of Licensed Beds 176 Total Annual Admissions 11,664 Total Annual Emergency Visits 58,580 Total Patients Treated 126,606 Total Medical Staff 453 Total Employees 932 Total Payroll $58,279,595 Taxes Paid 390 $14,392, HUNTINGDON RD GULF COAST MEDICAL A L CENTER N W 23RD AVE 391 AIRPORT RD Gulf Coast Medical Center is located on W. 23rd Street in Panama City, Bay County. JENKS AVE JENKS AVE E 23RD AVE E 23RD AVE Hour Emergency Services Accredited Breast Center Accredited Chest Pain Center with PCI Bariatric Surgery Cardiovascular Center Center for Wound Care Diagnostics and Imaging Center Gastrointestinal (GI) Center Gulf Coast Cancer Institute H2U Program Neonatal Level II Intensive Care Orthopedics and Spine Care Pediatric ER 327 W 19TH ST 391 P anama City Pediatric Specialty Unit Pediatric Surgery 30A 98 30A 98 W 15TH ST E 15TH ST 30A Robotic Surgery Women s and Children s Center Carlton Ulmer Chief Executive Officer Gulf Coast Medical Center continues to stay true to its commitment as a community hospital and to the values inspired by the physicians who started it. The hospital s leadership in quality and technological innovation serves patients of Bay and surrounding counties well. Karen Durden, Member, Gulf Coast Medical Center Board of Trustees Chair, Gulf Coast Medical Center Women s Health Advisory Board 20 HCA North Florida

23 Lake City Medical Center 340 NW Commerce Drive Lake City, Florida (386) Statistics 24-Hour Emergency Services # of Licensed Beds 67 Cardiovascular Services Total Annual Admissions 3,989 General Surgery Total Annual Emergency Visits 27,885 H2U Program Total Patients Treated 62,474 Hospitalist Program Total Medical Staff 120 Invision Imaging Center at Lake City Orthopedic Services Total Employees 472 Total Payroll $28,526,490 Lake City Medical Center is located on NW Commerce Drive in Lake City, Columbia County. Primary Care Rehabilitation Center The Cancer Center at Lake City Women s Health Services Taxes Paid $4,259, SERVICE RD NW YORK DR LAKE CITY MEDICAL CENTER C ER NW COMMERCE DR L AKE CITY 75 NW MEDICAL CENTER LN SERVICE RD NW CAB DR NW BROOKSIDE CT Mark Robinson Chief Executive Officer I have seen healthcare provided by Lake City Medical Center from three perspectives as an inpatient, as the caregiver for my mother and as a six-year member of the Board of Trustees. In all of these experiences, I ve been impressed by the quality of this hospital. From the beautifully maintained modern facility, to the professional and caring medical staff, to the dedicated members of management clearly, this hospital is committed to serving its patients with the highest quality of medical care. We are so fortunate to have Lake City Medical Center in our community. Teresa Byrd Morgan, Former member, Lake City Medical Center Board of Trustees Our Commitment to Excellence 21

24 CUNNINGHAM DR North Florida Regional Medical Center 6500 W. Newberry Road Gainesville, FL (352) Statistics # of Licensed Beds 353 Total Annual Admissions 24,448 Total Annual Emergency Visits 69,606 Total Patients Treated 194,454 Total Medical Staff 479 Total Employees 2,385 Total Payroll $131,431,659 Taxes Paid $30,032,873 North Florida Regional Medical Center is located on Newberry Road in Gainesville, Alachua County. 24-Hour Emergency Services Bariatric Surgery The Cancer Center Company Care Critical Care The Diabetes Center The Endoscopy Center Express Care H2U Program NW 11TH PL NW 11TH PL The Heart & Vascular Center 75 NW 10TH PL NW 69TH ST NW 9TH BLVD NEW 66TH ST NW 64TH TERRACE NORTH N FLORIDA REGIONAL MEDICAL L CENTER Invision Imaging New Beginnings Maternity Neurosciences & Stroke Care W NEWBERRY RD GAINESVILLE ILLE 26 North Florida Surgical Pavilion Orthopedics and Spine Surgery Primary Care The Robotics Center Ward Boston III President and Chief Executive Officer Senior Healthcare Centers The Sleep Disorder Center Surgical Services The Women s Center Wound Care & Hyperbarics We had nothing but excellent care from everyone at North Florida Regional, and we will always be grateful for it. Lillian Porter, Wife of Stroke Patient, Bill Porter Stroke patient Bill Porter was glad to return for a visit with those who cared for him after a stroke. Vascular Surgeon Elmer Croushore, ER Physician Suzanne Vega and nurses and paramedics stopped for a photo with Bill along with nurses and his paramedic. Following his care, Bill has made a full recovery. 22 HCA North Florida

25 Ocala Regional Medical Center & West Marion Community Hospital Ocala Regional Medical Center 1431 SW First Avenue Ocala, FL (352) West Marion Community Hospital 4600 SW 46th Court Ocala, FL (352) Hour Emergency Services Bariatric Surgery Cancer Center Cardiovascular Services H2U Program Imaging and Diagnostics Neurosciences Orthopedic Joint Care Center Senior Wellness Community Center Women s Services Wound and Hyperbaric Center 2012 Statistics # of Licensed Beds 270 Total Annual Admissions 16,471 Total Annual Emergency Visits 75,652 Total Patients Treated 156,766 Total Medical Staff 506 W SILVER SPRINGS BLVD Total Employees 1,811 OCALA Total Payroll $101,224,166 Taxes Paid $15,810,569 Includes Ocala Regional Medical Center and West Marion Community Hospital. SW 43RD CT SW 20TH ST SW 40TH ST WEST W MARION A COMMUNITY HOSPITAL SW 43RD CT SW COLLEGE RD 75 SW 20TH ST SW 27TH AVE SW 27TH AVE W SILVER SPRINGS BLVD SW COLLEGE RD OCALA REGIONAL R N MEDICAL L CENTER N SW 42ND ST SW 17TH ST SW 7TH AVE RD SW 7TH AVE SE MAGNOILIA EXT SE 3RD AVE Randy McVay Chief Executive Officer Ocala Health Ginger Carroll Chief Executive Officer West Marion Community Hospital Other than a little time off for the lumpectomy, I have continued to work. I still do my kayaking and swimming. I ve even taken up cycling a few months ago. Laura Ivey, cancer patient at Ocala Health Our Commitment to Excellence 23

26 Twin Cities Hospital 2190 Highway 85 North Niceville, Florida (850) Statistics # of Licensed Beds 65 Total Annual Admissions 1,820 Total Annual Emergency Visits 15,055 Total Patients Treated 1 39,432 Total Medical Staff 147 Total Employees 285 Total Payroll $16,865,247 Taxes Paid $2,654,157 1 Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits Twin Cities Hospital is located on Highway 85 in Niceville, Okaloosa County. 24-Hour Emergency Services Adult Critical Care Certified Diabetes Education Program Certified Joint Replacement Program Diagnostic Imaging H2U Program Inpatient Acute Care Services Minimally Invasive Surgery Nutritional Counseling Physical Rehabilitation Program Private Rooms Spine Surgery Surgical Services Wellness Center Women s Health and Imaging Center David Whalen Chief Executive Officer I have been an ongoing patient at Twin Cities Hospital for the past ten years and would recommend their service and staff to anyone in need of medical care. I have experienced the best and most professional treatment from outpatient surgery to the medical-surgical floor. If you have any medical needs, I strongly recommend Twin Cities Hospital. Ronald Mayer, Retired Educator - Niceville, FL 24 HCA North Florida

27 West Florida Hospital 8383 North Davis Highway Pensacola, FL (850) Hour Emergency Services Accredited Chest Pain Center Cancer Center Certified Primary Stroke Center Covenant Hospice & Palliative Care Center Critical Care da Vinci Robotic Surgery System Family Birthplace Heart Center H2U Program Imaging Services Memory Disorder Center Orthopedics The Pavilion (Psychiatric Services) Primary Care Rehabilitation Institute 2012 Statistics # of Licensed Beds 515 Admissions 14,113 Total Annual Emergency Visits 50,913 Total Patients Treated 141,620 Total Medical Staff 620 Total Employees 1,502 Total Payroll $100,558,514 Taxes Paid $13,659,643 N HILBURN RD 10 ACORN LN SABRA DR WHITMIRE DR WHITMIRE DR E OLIVE RD BLACKWELL LN LILAC LN ALWOOD DR UNIVERSITY PKWY 291 E JOHNSON AVE E JOHNSON AVE WEST FLORIDA HOSPITAL 10 West Florida Hospital is located on North Davis Highway in Pensacola, Escambia County. N DAVIS HWY GREGG RD 291 E OLIVE RD ALWOOD DR FAIRBURN ST 8 BINKLEY ST 290 LAWTON ST LAWTON ST CARL DEAN ST PENSACOLA A Sleep Disorders Center Surgical Services Brian Baumgardner Chief Executive Officer I was in labor for over 24 hours, and didn t think I would make it. Every nurse I had at The Family Birthplace was so positive and soothing. That was exactly what I needed. I felt right at home in the comfortable maternity suites, and my family was able to stay together from labor through recovery. The staff was with me every step of the way, and we now have a beautiful little addition to our family! Thanks to West Florida Hospital for helping us bring this bundle of joy into our lives. Charlie Cadet, Patient, The Family Birthplace Our Commitment to Excellence 25

28 Capital Regional Medical Center Coliseum Medical Centers & Coliseum Psychiatric Center Coliseum Northside Hospital Doctors Hospital of Augusta Fairview Park Hospital Fort Walton Beach Medical Center Gulf Coast Medical Center Lake City Medical Center North Florida Regional Medical Center Ocala Regional Medical Center & West Marion Community Hospital Twin Cities Hospital West Florida Hospital com