Special 100th Anniversary Issue SPRING 2014 STEPS TO BETTER HEALTH. Reflecting on a century of quality care

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1 Special 100th Anniversary Issue SPRING 2014 STEPS TO BETTER HEALTH Reflecting on a century of quality care

2 Contents Inside MMSC Journeys Message from John Hughes...3 MMSC News...4 Groundbreaking Ceremony...Back Cover 5 6 MMSC Executive Leadership Team John Hughes, FACHE President & Chief Executive Officer Andrea Gomez Executive Assistant Todd Burch Interim Vice President of Operations Hilary Dolbee Vice President of Finance/ Chief Financial Officer Less Pain, More Mobility The benefits of hip or knee replacement surgery can enhance the quality of life. The Heart of the Matter Marshalltown resident Rick Smith shares the story of his heart attack and recovery. Gina James Vice President of Nursing/D.O.N. Paul Sliva Vice President of Information Technology Liz Zuercher Vice President of Administrative Services A Look Back Take a trip back through time and learn about the rich history of healthcare in Marshalltown. Lights, Camera, Action Foundation raises $50,000 for colon cancer screening technology enhancements. 14 Breaking New Ground Construction is underway for the new state-of-the-art Outpatient Services Center in Marshalltown. 15 Care Champions Dozens of MMSC physicians, surgeons, nurses and staff are recognized by grateful patients. Volume 2, Number 3 SPRING 2014 MMSC Journeys is published as a community service by Marshalltown Medical & Surgical Center, 3 South 4th Ave., Marshalltown, IA Health information contained in this publication is not intended to provide personal medical advice, which should be obtained directly from a physician. To opt out of receiving future mailings, please send your name and address to journeys@marshmed.com. Editor Liz Zuercher Marketing Coordinator Kathryn Bartling Marketing Specialist Jordan Schossow Design Froehlich Communications, Inc. Contributing Photographers John Stalzer Stalzer Photography Apgar Photography

3 Welcome TO OUR COMMUNITIES As you may know, Marshalltown Medical & Surgical Center is celebrating its 100th anniversary this year. As we celebrate this distinguished year of service, it is a special opportunity to reflect on our rich history, and also look forward to the future. Over our 100 years, this hospital has made a significant difference in the quality of life of the citizens in the communities we serve. We ve been caretakers for their health and well-being, and business stewards for our local and regional economy. We believe the hospital is a very important part of economic development as well. We know we must have a first-class, modern, efficient acute care facility to recruit and retain businesses in our communities. Throughout our 100 year history, The Evangelical Deaconess Home and Hospital, known today as MMSC, has worked together to honor the contributions of those early healthcare pioneers. In doing so, we have set a benchmark and today are nationally recognized for high quality care that will endure for many generations to come. This commemorative issue of Journeys honors the pioneering spirit of those who came before us and whose vision of community service touched so many lives in the process. This issue also features our hospital s future. Phase I of our facility building project includes an Outpatient Services Center that will be completed in the spring of We are excited to bring a new level of care to the communities we serve. Enjoy your journey through these pages as you experience the history and preview the future of your community hospital MMSC Board of Trustees Mike Mason President Emerson Process Management/ Fisher Controls Carol Hibbs Vice President Community Y of Marshalltown Bruce Wirin Secretary Edward Jones Jim Lowrance Treasurer Great Western Bank T.L. Briggs, M.D. Retired, Marshalltown OB/GYN Jacque Goodman Iowa Valley Continuing Education Sharon Greer Cartwright, Druker & Ryden Law Offices Polly Hineman, D.O. MMSC Clinic Tama/Toledo Toledo, Iowa John Hughes, CEO Marshalltown Medical & Surgical Center Sue Martin Community Leader Kim Schryver Community Leader 3 John C. Hughes, President & CEO Marshalltown Medical & Surgical Center Kevin Swartz Wolfe Eye Clinic Stephen Van Buren, M.D. McFarland Clinic

4 News MMSC earns national rankings and recognition for quality patient care The results are in! According to a leading national consumer magazine, Marshalltown Medical & Surgical Center is rated fourth nationally and #1 in Iowa for patient safety. Researchers analyzed patient safety data of 2,591 hospitals nationwide to determine the rankings. Facilities were assessed based on various measures of quality, including readmission and infection rates. MMSC also has been recognized for other quality measures including: 5-Star Rated for Gynecologic Surgery by HealthGrades, a leading independent source of hospital quality ratings. Top-Rated for Surgery by a leading consumer magazine. Ranked in the Top 10% of Hospitals for Patient Safety in Iowa for overall medical care by CareChex, a division of COMPARION. To learn more about quality care at MMSC, visit 4 MMSC creates significant impact on local economy According to a recent study conducted by the Iowa Hospital Association, MMSC generates 692 jobs with 1,013 total jobs either directly or indirectly tied to the hospital. That adds $36.7 million in direct worker income with $47.6 million in workers income directly or indirectly associated with the hospital. In addition, MMSC employees spend $11.1 million on retail sales and contribute $667,000 in state sales tax revenue, according to the report. This report shows that our hospital does much more than just provide medical services, said Hilary Dolbee, MMSC Chief Financial Officer. The employment and income generated and its effect on businesses throughout the economy are significant. The IHA study examined the jobs, income, retail sales and sales tax produced by hospitals and the rest of the state s health care sector. The study was compiled from hospital-submitted data on the American Hospital Association s Annual Survey of Hospitals to determine overall economic impact. For more information about the study, visit our website at MMSC is pleased to announce that it has added a bi-lingual Registrar and increased the hours of opreation at the Registration Office. New Registration Office hours are Monday through Friday from 5:00 a.m. to 6:00 p.m. The Cashiers Window is now open Monday through Friday from 8:30 a.m. to 5:00 p.m.

5 Recently, I had two total knee replacements at two different hospitals, by two different surgeons. Dr. Ambrose did my second knee replacement, and I am so grateful he chose MMSC to do his surgeries. He is truly one of the extraordinary people that made a difference in my life." Health Aware LESS PAIN, MORE MOBILITY The benefits of hip or knee replacement surgery can enhance the quality of life Joint replacement surgery is one of the most successful and predictable operations. This surgical procedure yields consistently positive outcomes. Early procedure results are exceptional, with more than 98 percent of all hip and knee replacements functioning well at five years after surgery. Recent historical data shows that over 95 percent of all joint replacements are performing well at 15 years after surgery, and more than 90 percent are doing well at 20 years. In many cases, joint replacement can last a lifetime, allowing patients to lead more active lives with less pain. Responding to an aging population As the population continues to age and more members of the Baby Boomer generation join the retirement ranks, the demand for joint replacement surgery is predicted to skyrocket. Approximately 600,000 patients in the traditional Medicare program have their hips or knees replaced each year. Significant advancements in surgical techniques and implant technology allow orthopedic surgeons to enhance outcomes for joint replacement recipients. Better component design and improvements in metallurgy (the science of metals and alloys) have resulted in stronger and more fatigue-resistant implants. Today, it is extremely rare that any Dr. Ambrose and the surgical support team perform a total knee replacement at MMSC utilizing Sterileview Hoods to maximize sterility and infection control. metallic part of a total hip replacement will break during normal usage over the patient s lifespan, said Dr. Thomas Ambrose, board certified orthopedic surgeon with Iowa Ortho in Marshalltown. Biologically active surface treatments on the metal implants allow for the patient s own bone to attach directly to metal. Post-op rehabilitation An important factor in maximizing the benefits of knee replacement surgery includes a rehabilitation plan. Rehab helps speed recovery and diminishes postoperative pain. Patients are encouraged to get out of bed and walk on their new knee on the day of surgery, and aggressive motion exercises are started immediately under the supervision of a qualified physical therapist. To learn more about knee and hip replacement surgery or to schedule an appointment with Dr. Ambrose, call (641)

6 6 Editor s Note: The following testimonial is authored by Marshalltown resident Rick Smith. It chronicles his recent experience at MMSC and the MMSC Cardiovascular Catheterization Lab. We thank Mr. Smith for sharing the personal details of his life-threatening medical condition and his road to recovery. Here is his story, in his own words. Without the skillful and knowledgeable intervention by the staff at the MMSC Cardiovascular Cath Lab, my story likely would have a different ending a lot different! But this story has a happy ending. I m alive! The theme of this brief summary is about real value. It focuses on the value created by people who come to work every day with the knowledge, the experience, and the love it takes to make a difference to people who are truly in need. It s about saving lives, including my own. My story begins in early I was having my gallbladder removed through a fairly routine laparoscopic surgical procedure that required a general anesthetic. I m including this preface so you ll know why so much of the following details are second-hand. You see, I was sleeping for much of it (or very close to being dead!). Inside the operating room, I remember an anesthesiologist telling me to take a deep-breath. The very next thing that I recall is my lovely wife looking down at me saying, Rick, we re in Des Moines, you ve had a heart attack. So how did I get from take a deep breath to a heart attack? The gallbladder removal went very well. There were no surprises. Following surgery, I was moved from the O.R. to Intensive Care for observation at MMSC. And then all hell broke loose (or so I was told). My heart decided to stop beating. A Code Blue alert was called over the hospital s paging system. Dr. Chokesuwattanaskul (known as Dr. Choke) of the Iowa Heart Center and some of her staff had heard the page and quickly responded. CPR, CPR, and more CPR is what the medical

7 Patient Story team ordered. My heart would re-start and proceed to re-quit. The story I ve heard is that my heart quit four or five times. I was rushed to the Cath Lab where Dr. Choke and her team cleaned up three in-place stents and added two new stents. I was then quickly loaded into a waiting ambulance for a trip to Mercy Medical Center in Des Moines. The next thing I recall is waking up in the Intensive Cardiac Care Unit at Mercy. Nine days later, I was on my way back home. Shortly after, I began cardiac rehabilitation at MMSC and found that the regular scheduled routine became a social outlet. One day after rehab, I had a real urge to meet Dr. Choke. She d saved my life a few weeks earlier. I had to meet and thank her, and everybody else! I told Rose, the rehab nurse, what I had in mind and asked her to steer me in the right direction. Enough said. My wife and I were on our way to the Cath Lab to share our gratitude. The doors of the Cath Lab swung open and there stood a bunch of people dressed alike in green scrubs, standing in a semicircle as if they were waiting for us to arrive. And I met em all. I met a lady who introduced herself as, I m the one who broke your ribs. Another said, I rode with you in the ambulance to Des Moines. And there was Dr. Choke! It just seemed like the only thing left to do was to cry, so I started crying. I m sitting in front of my computer right now. CRYING! Once in a while, it just sneaks up on me, and I realize how fortunate I ve been. I m very confident that there are similar success stories from others who have experienced similar situations. And let s not overlook God s role during this entire hiatus. This story has gotten a lot longer than I intended, but it seemed like the only way to express my thanks. In closing, I have only one small suggestion to MMSC: Please consider offering frequent flyer miles for ambulance trips. 7 Patient Rick Smith offers his thanks to members of the MMSC Cath Lab team, including (from left): Jessica Schmidt, Tracy Anderson, Scott Goodwin, Sara Cuva Sorsen, Dr. Choke, Kristen Kinsella, Heather Bergfeld, and Lori Smith.

8 Historical Timeline 8 This article was written by Mike Donahey and reprinted with permission of the Marshalltown Times-Republican. Nursing Tradition Runs Deep o hospitals or nurses here 50 years ago, read the headline Nfrom page 41 of the June 6, 1949 Fifty Years of Progress in Marshalltown, a special edition published by the Times-Republican. The publication marked the purchase of the paper by D.W. Norris and associates in 1899, including significant advances in Marshalltown s commerce over that time. However, five years would pass before Marshalltonians could proudly counter the no hospitals or nurses claim. In 1904 the St. Thomas Mercy Hospital and its nursing school opened for business. Joining them in 1914 was the Evangelical Deaconess Home & Hospital and its school for nurses. For 82 years the schools endeavored to educate women, and later, a few men in a burgeoning health care field, all within the walls of their respective hospitals. Of the two hospitals and two schools only one remains the Marshalltown Medical and Surgical Center, which evolved from the Evangelical Deaconess Home & Hospital. First to end was Mercy s nursing school in Next was Mercy Hospital in the 1960s (its name had been changed from St. Thomas Mercy previously) when it merged with the Marshalltown Area Community Hospital, MMSC founded as the Evangelical Deaconess Society First class of Evangelical & Community School of Nursing (ECSN) graduates East wing expansion project doubles size of facility Nursing school adds residence housing for students MMSC Hospital Auxiliary organized Intensive Care Unit opens Mercy Hospital and the Evangelical Hospital merge and become Marshalltown Area Community Hospital Hospital begins ambulance operation in partnership with Marshall County Ultrasound service line added Nuclear Medicine service line added Outpatient Surgery program organized Hospital purchases its first CT scanner to provide modern imaging services Skilled Nursing facility opens Cataracts patients become outpatients Hospital changes its name to Marshalltown Medical & Surgical Center Primary care medical clinic established in Tama-Toledo Last ECSN class graduates Primary care medical clinic established in State Center Primary care medical clinic established in Conrad New addition housing the Cardiovascular Catheterization Lab and MMSC Clinic-Marshalltown opens MMSC celebrates 100 years of service to the community New Outpatient Services Center scheduled to open.

9 Reflecting on a Century of Service which had changed its name from Evangelical Deaconess. And in 1986, after 72 years of educating nursing students and sending them out worldwide, the Evangelical/ Marshalltown Community School of Nursing graduated its last class. Neither nursing school could have existed without a hospital. And the inspiration to build the hospitals were faith based, generated from a Roman Catholic order and German Evangelical Friends Church. Credit the Sisters of Mercy from Dubuque, for putting Marshalltown on the map in the health care business. Times-Republican archives reported their efforts began on Jan. 14, 1902, when the order announced plans to conduct a fund drive for the construction of a hospital at West State and North 13th streets. On April 10 that year, it was reported the hospital would be built that summer at a cost of $25,000 and on July 23, revealed the hospital would be constructed. Ground was broken Sept. 1, 1902 and the cornerstone laid Oct. 22. It was completed Oct. 29, Saint Thomas Mercy Hospital School for Nurses offered a three-year course. Its graduates were eligible to take the state examination, which upon receiving passing grades, entitled them the R.N. designation. A spacious, well furnished apartment was provided for students in the hospital building at one time. Later, students would live in a rooming house near the hospital. Students were instructed to provide two pairs of white oxfords with white heel, four white slips (12 inches from the floor), toilette articles, and a watch with a second hand among other items. Anatomy and Physiology, Chemistry, Nursing Arts I and Microbiology, among others, were part of the first semester course work. When the student has acquired sufficient knowledge and skill in practice, she spends two hours a day on the floors under skilled supervision applying what she has learned, according to the student handbook. The Evangelical & Community School of Nursing (ECSN) graduated 1,230 nurses, with its first class in 1917 and last in Like its Catholic counterpart, the ECSN started when a church the German Evangelical Friends Church founded a hospital and jointly opened a school of nursing. The Rev. Karl Rest founded Evangelical Deaconess Society in Marshalltown on March 30, The Deaconess system of service, which originated in Germany, was adopted in America by German Evangelical institutions in When consecrated, deaconesses promised a lifetime of religious service, melded with professions such as nursing. The local society initially consecrated 12 deaconesses, the last in The society selected a 180 by 180 foot lot at 2 S. Third Ave., which stood the Wood Sanitarium, formerly the home of H.E.J. Boardman, a prominent attorney. The society would construct a new hospital building on the south side of the Boardman house. Construction started July 25, 1913 and the cornerstone laid Aug. 25. The 1914 school handbook requested the students to bring a Bible, three 9

10 Reflecting on a Century of Service 10 gingham dresses, six large aprons of thoroughly bleached Indian-Head cotton, a good supply of clothing (all marked), and shoes with rubber or quiet soles. Teeth were to be fixed before coming to school. Deaconesses directed the school from 1914 to MMSC staff nurses or others served as directors until it closed in The decision to close the school was made in Administrators cited the increased cost to the hospital for maintenance and management. On May 3, 2014 a group of nurses some retired and others active in their profession from the Alumni Association of Evangelical & Community School of Nursing, held its annual spring banquet at the Best Western Regency Inn in Marshalltown. President Pat Thompson, class of 1984, presided. Importantly, the association announced it had raised money and awarded three $1,000 scholarships so that Marshalltown Community College nursing Rev. Karl Rest students could continue their education. The former dorm now occupied by Center Associates and SATUCI may be the only overt physical reminder of the school, but the alumni banquet proved there are shared memories of helping others and saving countless lives. We are very proud of the school and felt we received an excellent education, said Thompson. Esther Helfer, 101, class of 1933, and Charlotte Applegate, 95, class of 1940 reside in Marshalltown and proudly carry the mantel of their profession. I am living at Bickford Cottage, said Helfer. I will always consider myself a nurse even though I have not practiced in many years. I keep a happy, positive outlook on life and try to help people to see the bright side. Applegate was recently featured in the Times-Republican, as she recounted her experiences as a World War II army nurse in Colorado, Kansas and England. Applegate helped Allied troops prepare for the invasion of Normandy, among other accomplishments. The late Eva Shipman, a Marshalltown native, wrote a pledge and creed upon graduating from the Evangelical school in 1929: Reverently do I pledge myself to the whole-hearted service of those whose care is entrusted to this hospital. To that end, I will ever strive for skill in the fulfillment of my duties holding secret whatsoever I may learn touching upon the lives of the sick. I acknowledge the dignity of the cure of disease and the safeguarding of health, in which no act is menial or inglorious. I will walk in upright faithfulness and obedience to those under whose quittance I am to work, and I pray for patience, kindliness and understanding in the holy ministry to broken bodies.

11 A proud history of caring for the community past, present and future For 100 years, Marshalltown Medical & Surgical Center has expanded and evolved to better meet the needs of the patients it serves. Even before it was known as MMSC, the hospital has had a long tradition of providing excellent health care to the community. On March 30, 1913, the Rev. Karl Rest founded MMSC as the Evangelical Deaconess Society in Marshalltown. Within a month, plans were made to expand the facility and the Wood Sanitarium for $14,000. Although it was not suitable for a hospital, the Sanitarium was used for administrative purposes and plans were made to build a new hospital. The citizens of Marshalltown promised to raise $15,000 of the $26,000 needed for that new hospital. On the first Sunday in January 1914, the Evangelical Deaconess Home & Hospital was dedicated to the service of humanity and patients began to be admitted. At the same time, a training school for the deaconesses and nurses was organized. On January 2, 1914, the first class was admitted to the Evangelical Deaconess School of Nursing. Due to the constant increase in the number of patients, a new $34,000 addition was built in The east wing was built in 1926 and cost more than $200,000. This addition almost doubled the bed capacity. It also contained the surgical department, clinical laboratory, the hydrotherapy department and the isolation ward. Forty years later, Mercy Hospital and the Evangelical Deaconess Hospital consolidated and became Marshalltown Area Community Hospital. In 1976, a $7 million east wing was added to the hospital, bringing the total number of beds to 220. Marshalltown Area Community Hospital became Marshalltown Medical & Surgical Center in In 2007, a new $6.7 million addition housing the Cardiovascular Catheterization Lab and the MMSC Clinic-Marshalltown was completed. A variety things have changed in Marshalltown and in healthcare over the past 100 years, and the MMSC family takes great pride in its heritage and legacy. Honoring our beginning allows us to reflect on who we are as a healthcare provider, a community partner and a not-for-profit organization giving back to the communities we serve. One thing though has never changed our commitment to providing the highestquality medical care possible. 11

12 NEW OUTPATIENT SERVICES CENTER COMING SPRING Future home of state-of-the-art healthcare in Marshalltown takes shape An official groundbreaking ceremony held in April marked the start of construction of the new $35 million Outpatient Services Center. The facility, scheduled to be completed in mid-2015, is phase one of a multi-phase building project that will eventually relocate the main hospital facility to a new 30-acre campus located at the corner of Highway 30 and Highway 14. Our new Outpatient Services Center will allow MMSC to improve patient experiences by building a modern, efficient facility that is easy to navigate and centrally located for patients coming from our service areas, said Liz Zuercher, vice president of administrative services at MMSC. The entire project is being designed with input from doctors, nurses and staff to create efficiencies, maximize best practices, improve patient experiences and throughput. The 75,000 sq.-ft. facility will feature a modern, warm design with the latest in medical technology. The Outpatient Services Center will include four surgical suites, wound care, urgent care clinic, outpatient diagnostic imaging services, a remote laboratory area and outpatient rehabilitation. The facility is being master planned for the future relocation of the inpatient beds, emergency department and physician offices. The building project is being led by the architectural firm Hoefer Wysocki and the general contractor McCownGordon Construction, both of Kansas City.

13 The new Outpatient Services Center will provide patients with access to an array of healthcare services in a modern and welcoming environment. 13 These artist s renderings depict the future look of the hospital campus when all phases of construction are complete. A State Certificate of Need is required for future phases of the building project.

14 Giving Ways 14 MMSC Foundation raises $50,000 for colon cancer screening equipment The MMSC Foundation is proud to announce that it has met its goal of raising $50,000 towards the purchase of life-saving cancer screening technology that keeps MMSC among the best in the state. The funds were raised through the Foundation s 2013 Lights, Camera, Action Annual Giving Campaign and will benefit the MMSC Surgical Services Department. We are grateful for the community minded support that is highlighted by the Foundation s Lights, Camera, Action initiative, said Alan Willis, Director of MMSC Surgical Services. This gift allows us to purchase the most state-of-the-art, high-definition video equipment to better serve our patients. We are excited to put this new technology into action both now and when we move to our new facility. The advanced technology will provide physicians and staff with powerful new tools for early colon cancer detection, including a high-intensity, 300-watt light source, high-definition video imaging and advanced visualization capabilities. We are thrilled to provide this financial support for Surgical Services through corporate and individual philanthropic gifts, said Valerie Ruff, Executive Director of the MMSC Foundation. While we already have state-of-the-art equipment at MMSC, this new HD equipment upgrade is another way MMSC is providing quality, compassionate care right here, close to home. Judy Adland joins Foundation Board Judy (Boone) Adland is a Marshalltown native and is married to David Adland. Together, they own and operate Adland Engraving & Screen Print Company. Their family includes daughter Bianca (Lance Greazel), son Nick and grandsons Grant, Sam and Joe Greazel. She has been involved with Marshalltown- Minami Alps student exchange, Bobcat Booster Club and Assistance League. Judy notes that she is looking forward to making a contribution as the Foundation furthers its campaign for a new regional hospital that will serve all of central Iowa. Proceeds to benefit the MMSC Foundation s PREVENT Program Learn more at facebook.com/ride4time or marshmed.com/foundation ride4time@gmail.com or call Sharon Mabie at (641) for more info and to pre-register. The MMSC Foundation is a non-profit 501(c)(3) organization and gifts of all sizes enable us to carry out our mission and improve the services and programs we provide. To learn more, call the MMSC Foundation office at (641) or foundation@marshmed.com.

15 A Community of Caring Med/Surg/Peds/Tele Diagnostic Imaging Ambulance Med/Surg/Peds/Tele Emergency Dept. Med/Surg/Peds/Tele Med/Surg/Peds/Tele Was at the ER with abdominal pain and had to have an x-ray and the x-ray department was amazing! They are gentle and caring! Every time I ve used them, I ve always been pleased! I had an overnight stay at your hospital. I want to say THANK YOU to your amazing staff, especially Dr. Wilson and Nurse Sarah Owens. Both made me feel less scared about the surgery I had. Surgical Services Med/Surg/Peds/Tele Wonderful staff. Wonderful service. Calm. Expert. Caring. Explained well. Thanks for helping me recover from my broken ankle and my infusions two times daily for six weeks. Exceptional care. Med/Surg/Peds/Tele Diagnostic Imaging Exceptional care is a perfect word to describe my experience with an MRI I was very anxious half way through I was no longer afraid. Thanks to John and your open MRI machine. Did a good job. Dr. Sosnouski was concerned about how comfortable I was. Also the girls were great. Very caring. I appreciate all of them. Glad you are here. Diagnostic Imaging 15 Respiratory Care The MMSC Care Champions program offers patients and their families a unique opportunity to express gratitude for the exceptional level of care they receive at Marshalltown Medical & Surgical Center, MMSC Clinics and MMSC Rehabilitation Centers. To share your grateful patient story, visit foundation. Click the Care Champions link, download the Grateful Patient brochure and express your thanks. Or share your story on our Facebook page at Med/Surg/Peds/Tele Diagnostic Imaging Intensive Care Unit Diagnostic Imaging Emergency Dept. Respiratory Care Emergency Dept. Wednesday, October 22, 2014 MMSC Foundation Breast Cancer Awareness Luncheon Watch for more details coming soon.

16 3 South 4th Avenue Marshalltown, IA Scan the QR Code with your mobile device or visit to learn more about our services and providers. Breaking New Ground! Marshalltown Medical & Surgical Center kicked off construction of the new $35 million Outpatient Services Center with a formal groundbreaking ceremony and community reception held in April. View artist s renderings of the new facility on Page 12.