Our Commitment To Excellence

Transcription

1 C A W e s t F l o r i d a CA West Florida Our Commitment To Excellence Medical Center of Trinity opens with strong community support and represents a more than $186 million investment, featuring all private rooms and the latest technology. Services designed for patient privacy and family involvement abound, with adult and pediatric emergency services and obstetrics proving to be very popular. CA West Florida will be opening another new hospital this year in Poinciana COMMUNITY REPORT COMMUNITY REPORT

2 Our Commitment To Excellence A Message From Our President Peter A. Marmerstein, FACE President & Chief Executive Officer CA West Florida Leadership Peter A. Marmerstein, FACE President & Chief Executive Officer Timothy Burroughs Chief Financial Officer Larry J. Feinman, D.O., FACOS Chief Medical Officer CA WEST FLORIDA CA West Florida completed a very successful year, contributing more than $1.8 billion to the economic health of west and central Florida. As one of the largest employers, our contributions are significant, from economic to clinical and far exceeding other health systems in a variety of publicly reported metrics. With 25,000 employees, physicians, and volunteers who serve the area s unique and diverse communities, we are committed to providing the highest quality medical care, while supporting the region where we live, work, and raise our families. At a time when many businesses are cutting back, CA West Florida has significantly expanded our operations with the opening of the $186 million Medical Center of Trinity in early 2012 and our first freestanding ER in Plant City. We are expediting construction for a new hospital to serve the residents of southeast Osceola County, Poinciana Regional Medical Center, operating two Level II Trauma Centers, completing Phase I of a $52 million expansion in ernando County, significantly expanding our medical education and training initiatives, recruiting and employing more physicians to meet community needs, and breaking ground for a second freestanding ER in Oviedo. All of these projects are bringing needed medical services and specialists to the area and will serve as an economic base for future growth and expansion. In a state still recovering from a recession, CA West Florida s contributions as a major tax payer and employer are far reaching. We provided $1.17 billion in salaries and benefits in west and central Florida and paid more than $108 million in taxes in This is an increase of $33 million in tax dollars paid over the previous year. With the need to provide medical care as efficiently as possible, and our ability to secure national contracts, we were still able to demonstrate our commitment to the communities we serve by purchasing $172 million in goods and services locally. Our clinical teams provided outstanding care to more than 1.2 million patients last year, as evidenced by 12 of our 15 hospitals named Top Performers, a special quality recognition by the nation s leading healthcare accrediting body, The Joint Commission. We ended the year with an unprecedented fourth quarter composite inpatient CMS Core Measures score of percent. This places our hospitals in the top decile for quality, as defined by these objective measures of quality. The Leapfrog Safe ospital score, a key industry ranking for patient safety, awarded our CA hospitals a total of 10 A ratings in Finally, CA West Florida hospitals also earned 41 disease-specific certifications from The Joint Commission. With one-third of the state s budget spent on healthcare, CA understands the importance and significance of providing high quality and cost effective healthcare. CA West Florida will continue to work with local, state, and national governments as well as with area business leaders to ensure continued access to healthcare for the residents of west and central Florida. Sincerely, Peter A. Marmerstein, FACE President & Chief Executive Officer

3 C A W e s t F l o r i d a Oviedo ER Groundbreaking Growing To Meet The Needs Of West & Central Florida Communities Poinciana Medical Center will open in summer 2013 as a 110,000 square foot acute care hospital, featuring 24 private medical-surgical beds and a six-bed intensive care unit. The facility will provide a full range of acute care services including emergency, diagnostic imaging, inpatient and outpatient surgery, cardiac catheterization, laboratory and pharmacy. The Emergency Department is approximately 11,000 Poinciana Construction square feet with 12 exam rooms and will include an EMS entrance and helicopter pad for rapid transport of critically ill patients to Osceola Regional Medical Center. Freestanding ERs CA West Florida built and opened its first freestanding ER in October, enabling Brandon Regional ospital to expand services into Plant City. Freestanding ERs provide around the clock emergency care and are staffed, equipped and function as a hospital ER, but can be located in adjacent communities to improve access. Groundbreaking for a second freestanding ER was held in December in Oviedo, which will open later this year as a department of Central Florida Regional ospital. Brandon s Plant City ER 2013 COMMUNITY REPORT 1

4 Our Commitment To Excellence CA West Florida ospital Locations Marion Regional Medical Center Bayonet Point Medical Center of Trinity West Pasco Campus Citrus Oak ill ospital Pinellas ernand rnando 75 Pasco Manatee Sarasota Sumter Lake Largo Medical Center TAM P A Largo Medical Center illsb borough Indian Rocks Road Campus 275 Polk S T. P ETERS E BUR RG 75 Northside ospital St. Petersburg General ospital Brandon Regional ospital Edward White South Bay ospital ospital Englewood Community ospital Medical Center of Trinity Blake Medical Center ardee Doctors ospital of Sarasota 75 DeSoto Charlotte Lee 4 Volusia Seminole Orange OR L A N DO ighlands Fawcett Memorial ospital Glades endry Central Florida Regional ospital Osceola Regional Medical Center Future Site: Poinciana Medical Center Osceola Okeechobee Brevard Indian River St. Lucie Mar tin Palm Beach ERNANDO, PASCO & CITRUS COUNTIES Oak ill ospital Medical Center of Trinity & Medical Center of Trinity West Pasco Campus Regional Medical Center Bayonet Point ILLSBOROUG COUNTY Brandon Regional ospital South Bay ospital MANATEE, SARASOTA & CARLOTTE COUNTIES Blake Medical Center Doctors ospital of Sarasota Englewood Community ospital Fawcett Memorial ospital OSCEOLA COUNTY Osceola Regional Medical Center Poinciana Medical Center (Future Site) PINELLAS COUNTY Edward White ospital Largo Medical Center & Largo Medical Center Indian Rocks Road Campus Northside ospital St. Petersburg General ospital SEMINOLE COUNTY Central Florida Regional ospital Our Facilities & Services ospital Campuses Surgery Centers Diagnostic Imaging Centers Inpatient Rehabilitation Sites Inpatient Psychiatric Care Sites Occupational ealth Sites Skilled Nursing Units Graduate Medical Education Programs Number of Licensed Beds ,787 Total Employees Total Physicians Total Volunteers 17,756 3,979 3,490 2 CA WEST FLORIDA

5 C A W e s t F l o r i d a 2013 Community Impact Summary Statistics Total Patients Treated Annual ospital Admissions Annual Emergency Visits Total Medicaid Patients Treated Medicaid Market Share Total Uninsured Patients Treated 1 Uninsured Market Share 1,204, , , , % 135, % (1) excludes Medicaid patients treated Economic Impact Total Salaries & Benefits $ 1,168,404,859 Cost of Charity & Uncompensated Care $ 205,443,470 Taxes Paid: Federal Income Tax $ 39,960,160 State Income Tax $ 9,109,425 Indigent Care Tax $ 30,236,179 Property Tax $ 14,713,960 Sales Tax $ 14,520,234 Other Local Tax $ 204,468 Total Taxes $ 108,744,426 Capital Investment 1 $ 119,614,955 Total Local Vendor Support $ 172,498,223 Minority & Women Owned Business Support $ 1,064,626 Physician Specialty Coverage for Emergency Care $ 34,160,296 TOTAL Economic Impact (1) 5 year annual average FY 2012 statistics $ 1,808,866,229 Total Cost of Charity & Uncompensated Care 11.4% Local Vendor Support 9.6% Total Taxes 6% Total Salaries & Benefits 64.6% Capital Investment 6.6% Physician Specialty Coverage for Emergency Care 1.9% 2013 COMMUNITY REPORT 3

6 Our Commitment To Excellence Giving Back To Our Community CA West Florida hospitals provide financial and volunteer support to countless civic organizations, schools, colleges, community projects and charitable organizations in their communities. Our hospitals also sponsor a wide range of community health information programs, screenings and seminars, which are posted on hospital websites, on the Classes and Events calendar. Going Green CA hospitals are involved with green initiatives at the facility level and in many cases in the greater community. CA is an active member of Practice Greenhealth, an industry leader in sustainable, eco-friendly practices. It is part of our commitment to have a comprehensive environmental strategy in concert with our mission of the care and improvement of human life. Consult a Nurse Free physician referral and health information are available around-the-clock by calling CA-DOCS ( ). Registered nurses are available for consultation through this bilingual community service, which also registers people for the numerous community education classes and programs sponsored by the CA hospitals in central and west Florida. ealth Partners We partner with a wide range of resources, including ealthgrades and itriage, to bring our communities the latest health information, quickly and conveniently. For information on downloading the itriage mobile application, visit our hospital websites or urricane Preparedness We offer one of the most comprehensive hurricane preparedness plans to ensure our patients and our staff who care for them are safe before, during and after a storm. CA West Florida has contracts with vendors from around the state and nation to provide support from on-site security, to generators, to food. Transfer processes and plans with our network of hospitals across the country also exist should patients need to be relocated. Benefit Enrollment Assistance We are committed to helping uninsured patients qualify for local and state health benefits programs. Each hospital offers on-site benefit education and Medicaid enrollment assistance. Social Media CA West Florida and many of our hospitals now have a social media presence to engage our patients and the communities we serve as fully as possible. Links to Facebook, Twitter, and other channels can be found on our hospital websites. 4 CA WEST FLORIDA

7 C A W e s t F l o r i d a Volunteering CA West Florida employees donated countless volunteer hours last year. From providing medical care and expertise on mission trips, to serving on Chamber Boards and nonprofit advocacy, our staff, volunteers and physicians give back to our communities, inside and outside of our facilities. A Partial Listing of Organizations Benefiting From Our Involvement: Adam s Garden African American Club Alzheimer s Family Organization American Cancer Society American eart Association American Legion American Lung Association American Parkinsons Disease Association American Red Cross Arthritis Foundation Autism Speaks Better Breathers Club Boy Scouts Boys and Girls Club Brandon Foundation Brandon Outreach Clinic C.A.R.E. Center for Abuse and Rape Emergencies Chambers of Commerce Chamber Leadership Programs Charlotte County omeless Coalition Charlotte Symphony Orchestra Children s Cancer Center Citrus County arvest Coastal Wildlife Club Community Colleges Cystic Fibrosis Foundation Deputy Darlings Diabetes Support Group Economic Development Councils Education Foundations Falls Prevention Coalition Florida Association of Physicians of Indian Origin Florida Blood Services Foster & Adoptive Parents Association Girl Scouts Good Samaritan Services Goodwill Great American Teach-in abitat for umanity CA ope Fund 2U Partners Club ospice Junior Achievement Junior League Juvenile Diabetes Research Kiwanis Clubs Lealman Asian & Neighborhood Family Center LifeLink LifeSouth Community Blood Center Lighthouse for the Blind & Visually Impaired Locks of Love Lupus Foundation March of Dimes Mayor s Mentors & More Meals on Wheels Medical Associations & Societies Metropolitan Ministries Ministerial Associations Muscular Dystrophy Association Patriots Club Police Athletic League Rao Musunuru, M.D. CARES Senior Enrichment Center Rotary Salvation Army Sheriff s Youth Education Shoes for Kids South African Medical Expedition Special Olympics St. Petersburg Free Clinic St. Vincent De Paul ealth Clinic Sun City Center Emergency Squad Suncoast Community Blood Bank United States Military United Way Urban League USO Year of the Child Young Life YMCA 2013 COMMUNITY REPORT 5

8 Our Commitment To Excellence Quality And Patient Safety Putting Patients First is the foundation of our culture and passion for providing quality healthcare. Many of our initiatives serve as national models today, as we lead the way in adopting best practices to eliminate clinical variations. Clinical Excellence CA West Florida hospitals achieve industry leading performance on public clinical measures, including CMS Core Measures. We completed 2012 with a preliminary fourth quarter Core Measures composite inpatient score of 99.78%, and 12 of our 15 hospitals earned national recognition as Top Performers in Key Quality Measures from The Joint Commission in the areas of eart Attack, eart Failure, Pneumonia and Surgical Care. Larry J. Feinman, DO, FACOS Chief Medical Officer 6 Chief Medical Officer CA West Florida welcomed Chief Medical Officer (CMO) Dr. Larry Feinman to provide physician leadership, support and oversight to our robust quality and patient safety agenda. Dr. Feinman is an accomplished general and vascular surgeon who most recently served as CMO at Largo Medical Center. Today, he collaborates with CMOs and medical staff leadership throughout the division to enhance the reduction of clinical variation, support the expansion of graduate medical education programs and promote our quality and clinical decision support programs. CA WEST FLORIDA We earned 10 A ospital Safety Score ratings in 2012, which uses national performance measures from the Leapfrog ospital Survey, the Agency for ealthcare Research and Quality (ARQ), the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare and Medicaid (CMS) to produce a single score representing a hospital s overall performance in keeping patients safe from preventable harm and medical errors. Our hospitals are saving lives, reducing complication rates and eliminating unnecessary costs through a strong focus on quality. We are achieving and exceeding national clinical goals and benchmarks. These efforts are strongly supported by CA s Clinical Services Group, an industry leader in bringing evidenced based medicine to the bedside in community hospitals nationwide. AIM for Zero The goal is to eliminate Central Line- Associated Blood Stream Infections (CLABSI) through the consistent application of proven techniques to protect patients from preventable blood stream infections during their hospital stay. Flu Season Preparation We are making our hospitals safer for our patients and visitors through our flu vaccine initiative. This includes providing free vaccines to staff and requiring vaccinations of health workers with direct patient contact. When a vaccine is not possible, the caregiver wears a mask. Airstrip OB & Cardiology Several of our hospitals have adopted this technology that allows physicians to remotely access and view patient monitors from their smartphones. Broselow System for Acute Pediatric Administration of Drugs All of our hospital emergency departments, nurseries and pediatric programs are equipped with this sophisticated medication safety system to ensure the proper dosing and administration of drugs to infants and children.

9 C A W e s t F l o r i d a St. Petersburg General ospital is one of only two hospitals in Florida designated as a GYN Robotic Epicenter. Physicians from around the country come to train on the da Vinci robotic system and learn from the hospital s best industry practices. Maternal/Fetal Safety Initiatives CA took a leadership role with the March of Dimes and other national organizations by participating in initial research studies to minimize or eliminate elective deliveries before 39 weeks gestation. Study results showed a positive impact on the health of babies. Today this is a standard practice in our hospitals. We were the first US healthcare system to perform a blood test to screen newborns for kernicterus, which can cause permanent brain damage and physical impairment. If identified immediately, it is easily treatable. Today, this screening is a standard of care in hospital newborn nurseries across the county and as a result the incidence of kernicterus has been dramatically reduced. All of our obstetrics programs adhere to the latest in patient safety guidelines, with Brandon Regional ospital providing Level III Neonatal Intensive Care Unit (NICU) services, the highest level available. Osceola Regional Medical Center offers a Level II NICU program and around the clock obstetrical coverage through its OB/ GYN hospitalist program. Medical Education More than 200 physicians came to the area last year to complete their medical education in CA sponsored programs. Studies indicate that many of these physicians will make the community where they complete their graduate medical education their permanent home. Largo Medical Center, which has been conferred the status of Statutory Teaching hospital by the Agency for ealthcare Administration, is home to the largest osteopathic teaching program in the southeastern United States and features 13 medical residency/fellowship training programs on campus. St. Petersburg General ospital and Northside ospital also sponsor medical training programs including Traditional Rotating Internship and Family Practice Residency. We are finalizing plans now to open new programs at Oak ill ospital and Osceola Regional Medical Center in 2014 and programs at other facilities in Medical Research Eight West Florida CA hospitals participated in the national Randomized Evaluation of Decolonization versus 2013 COMMUNITY REPORT 7

10 Our Commitment To Excellence Universal Clearance to Eliminate (REDUCE) MRSA Trial study in conjunction with investigators at arvard and the Agency for ealthcare Research and Quality (ARQ) and the Centers for Disease Control and Prevention (CDC). Results released in October show universal treatment of all patients in the Intensive Care Unit (ICU) resulted in a 37 percent reduction of risk of methicillinresistant staphylococcus aureus (MRSA) clinical isolates and a 44 percent reduction of bloodstream infections by all pathogens. As a result of this groundbreaking study, CA is rolling out universal decolonization company-wide. Another research focus is on improving trauma care in Florida through our collaboration with USF ealth. Level II Trauma Centers at Blake Medical Center and Regional Medical Center Bayonet Point are participating in gathering information that will be used to develop best practices in trauma care. Largo Medical Center is actively engaged in clinical research. Current research studies conducted by the medical staff involve cardiac and primary care related issues. The residents/ fellows also participate in research as part of their training. The Central Florida Cardiac & Vascular Institute at Osceola Regional Medical Center and Northside ospital are cardiovascular clinical research strategic sites, affiliated with the Sarah Cannon Research Institute of Nashville (SCRI). SCRI is one of the largest clinical research programs, conducting community-based clinical trials in oncology and cardiology through affiliations with a network of more than 700 physicians. It was formed in 2004 through a joint venture between CA and Tennessee Oncology. Additionally, many of our hospitals work with physicians engaged in research and clinical trial initiatives in multiple specialty areas. Radiation Right Radiation Right applies patient safety principles and actions to medical imaging and radiation therapy with the goal of protecting patients from the harmful effects of radiation overexposure. Radiation Right focuses on providing each patient with the Right Exam, of the Right Site, in the Right Dose. Initially developed by the CA Clinical Services Group, this program has been adopted by all CA West Florida hospitals and imaging centers. Sepsis Program Severe sepsis is now one the most common causes of death in ICUs nationally. We are aggressively working to reduce this patient safety threat through hospital and community-wide focus on early recognition and management. STEMI Initiative A STEMI (ST-Elevation Myocardial Infarction) is a deadly type of heart attack, which is identified on an EKG. Early treatment to the blocked coronary artery minimizes the extent of the heart muscle damage and preserves the pumping function of the heart, thereby increasing survival and reducing or eliminating complications. CA West Florida hospitals are saving lives through an aggressive focus on treating STEMI patients quickly. Partnering with EMS has allowed medical treatment to begin immediately on the scene, before the patient arrives in our emergency departments. STEMI times are defined as the time it takes to reestablish blood flow and the American College of Cardiology, the American eart Association and the Joint Commission have established that this should occur in 90 minutes or less. Our hospitals are averaging times well below this and, in most cases, are posting STEMI times on their hospital websites. CA West Florida hospitals have made great strides, reducing STEMI times and PCI complication rates, with 14 of our hospitals Chest Pain Center accredited and 11 offering Percutaneous Coronary Intervention (PCI) services. Vitals Now We piloted this technology to enable the automatic capture of patient vitals from the bedside into our clinical system, making them immediately available for review by clinicians. 8 CA WEST FLORIDA

11 C A W e s t F l o r i d a Specialized Care Emergency Excellence & Trauma Care We are a national leader in improving ER processes to enhance patient care and reduce wait times. From stroke care to ST-Elevation Myocardial Infarction (STEMI) times, we are saving lives and improving the quality of lives through advanced technology delivered quickly. Last year, 618,511 patients received care in our ERs. All 15 hospitals are Primary Stroke Centers and 14 are Accredited Chest Pain Centers, most with PCI services to treat STEMI patients immediately. Our STEMI times are well below the national goal of 90 minutes and we post these on hospital websites along with the ER wait time. Northside ospital is one of only a few designated Comprehensive Stroke Centers in the state, where patients can be transferred for the latest interventions Many of our hospital emergency when needed. rooms provide special amenities We are also saving lives both locally and for pediatric patients and their throughout the state through the CA families, such as this waiting trauma network, which includes two room at Blake Medical Center, West Florida hospitals. More than 2,700 patients have been treated in our trauma one of CA West Florida s programs at Blake and Regional Medical two accredited Level II Trauma Center Bayonet Point, far exceeding Centers. expectations. More than 90 percent of these patients come from the hospital s local community, meaning patients now have immediate access to trauma care within the golden hour and closer to their homes and loved ones. We have recruited a number of excellent surgeons as a result of our trauma programs and we continue to work with USF ealth in researching best practices to improve trauma care statewide COMMUNITY REPORT 9

12 Our Commitment To Excellence Regional ospital, Osceola Regional Medical Center and Oak ill ospital posting Pediatric ER wait times on their websites and by texting ER to eart & Vascular Network Several exciting new cardiovascular services opened this past year, including Blake Medical Center successfully performing the first transcatheter aortic valve replacement (TAVR) in Manatee County. Valve Clinics opened at Brandon, Osceola and Blake, while Regional Medical Center Bayonet Point opened its comprehensive Arrhythmia Center. Words cannot express the gratitude I have for the doctors and nurses at Osceola Regional Medical Center for skillfully saving my life. To say that the nursing staff was excellent doesn t do them justice. They were the bloodline of care I needed to pull through and recover. Alexis Lex Cooper Emergency Thoracic Surgery We are also extending our ER care beyond the immediate community through freestanding ERs. Freestanding ERs provide around-the-clock emergency care and are staffed, equipped and function as a hospital ER, but can be located outside of a hospital s immediate service area, often in communities needing better access to services. Brandon Regional ospital opened a Plant City satellite freestanding ER this past year and Central Florida Regional ospital broke ground on a freestanding ER in Oviedo, which will open in In younger communities, several of our hospitals now provide pediatric emergency care in dedicated units, with Brandon Our cardiovascular network ensures that life-saving technology and minimally invasive techniques are available. The latest surgical techniques for vascular, minimally invasive mitral valve and atrial fibrillation repair provide a safer alternative for patients suffering from these conditions. Our Valve Clinics can identify patients early in the disease process, when more treatment options are available to improve outcomes and quality of life. The TAVR procedure offers patients who are unable to undergo traditional open-heart surgery, or chose not to, a minimally invasive option to surgical aortic valve replacement therapy. Fawcett Memorial ospital received state approval for an Open eart Surgery program, which will open in spring Several of our hospitals have earned certifications and recognition for the outstanding cardiac and cardiovascular care they provide. These are listed on the hospital information sheets. 10 CA WEST FLORIDA

13 C A W e s t F l o r i d a Behavioral ealth A wide range of programs and services are available at our hospitals, including inpatient programs at Brandon Regional ospital, Doctors ospital of Sarasota, Largo Medical Center and Medical Center of Trinity. Comprehensive Cancer Care Cancer is the second leading cause of death in this country, exceeded only by heart disease. Our hospitals have committed to providing the highest quality of care by striving to meet or exceed the many standards for accreditation. Nine CA West Florida hospitals have already earned the Accredited Cancer Center distinction by the American College of Surgeons Commission on Cancer (ACoS CoC). Tumor Board reviews, screenings and education programs, and access to the latest diagnostic and treatment technologies are just a few of the ways we accomplish this. From digital mammography to robotic surgical technology, our hospitals are providing physicians and surgeons the latest techniques and services to treat patients. 2U ealth to You (2U) provides wellness solutions through its consumer and employer based programs. Among the many benefits of membership are a Personal ealth Assessment, Online ealth Portal and Subscriptions to eealth news, national discounts on products and services, and quarterly magazines. 2U for Employers allows employers, large and small, to select from a menu of health and wellness services to create a customized program for their employees. For more information, contact 2U at ( 727) Imaging Services CA West Florida provides a comprehensive array of inpatient and outpatient imaging services through our hospitals and freestanding imaging centers. We are committed to offering imaging services needed across the full continuum of a patient s care and to Responsible Imaging, which includes a number of safety practices to use the lowest amount of radiation possible. Neurosciences & Stroke Care Neurosciences is a key focus at many of our hospitals, with surgeons skilled in treating everything from brain tumors to back pain. Northside ospital is one of only a few state designated Comprehensive Stroke Centers. All of our hospitals are Advanced Primary Stroke Centers, staffed and equipped around the 2013 COMMUNITY REPORT 11

14 Our Commitment To Excellence clock to ensure the highest level of care is immediately available. Orthopedics National recognition for clinical excellence has been awarded to many of our orthopedic programs, including Disease Certifications from The Joint Commission, and Blue Cross Blue Distinction and Unitedealth Premium designations. Our surgeons are committed to performing the latest innovations in their field, including minimally invasive procedures. Many of our hospitals offer classes in advance of surgery to assist patients with planning for their hospital stay and recovery after discharge. Several hospitals offer luxury accommodations and amenities to encourage quick return to daily activities and family involvement, often in conjunction with spine programs. Spine Care Spine injuries can be the result of sudden trauma or unrelentingly degenerative. Either way, they can greatly impact an individual s quality of life. Our network offers a full spectrum of resources to provide an accurate diagnosis and treatment plan, and many programs have earned Joint Commission Certifications and Blue Distinction and Unitedealth Premium designations. Our spine surgeons perform the most minimally invasive procedures available today, with outstanding outcomes and greatly reduced hospital stays. Medical teams affiliated with our hospitals include some of the area s most dedicated neurosurgeons, orthopedic spine surgeons, experts in pain management, and specialists in physical medicine as well as physical therapy and rehabilitation. Surgical Solutions CA West Florida 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, while individual facilities provide a variety of enhanced communications such as waiting room monitors, free wi-fi and tweets to keep the family updated on the patient s progress. From single incision surgery through the navel to the da Vinci robotic system, our hospitals are providing surgeons the tools they need to perform complex and delicate procedures through tiny incisions. In addition to inpatient and outpatient surgical programs at our hospitals, our network includes 16 freestanding outpatient surgery centers. Women s Services Thousands of new residents were welcomed last year in one of our hospital delivery rooms. Five of our hospitals offer obstetrical services to their communities, with Osceola providing a Level II Neonatal Intensive Care Unit (NICU) and Brandon Level II and III NICU, the highest level available. St. Petersburg General ospital is a GYN Robotic Epicenter, one of only two designated in Florida to train surgeons on the latest available robotic equipment. Oak ill ospital and Medical Center of Trinity feature dedicated women s imaging centers. Our commitment to women s services, from childbirth to digital mammography to minimally invasive surgery and robotics is unsurpassed. 12 CA WEST FLORIDA

15 BLAKE MEDICAL CENTER C A W e s t F l o r i d a th Street West I Bradenton, Florida I (941) BlakeMedicalCenter.com N # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid ,684 37,194 82, ,520 $113,354,299 $10,271,197 * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted. BR ADENTO N Blake Medical Center 59th ST W 59th ST W 17th AVE W 21st AVE W GT BRAY PARK BRAD ENTON COUN TRY CLUB 51st ST W PINEBROOK IRONWOODOD GOLF CLUB MANATEE AVE W CORTEZ RD W CORTEZ RD W Blake Medical Center is located on 59th Street West in Bradenton, Florida in West Manatee County. Blake Medical Center is located on 59th Street West in Bradenton, in West Manatee County. 43rd ST W 64 26th ST W th ST W US-301 BLVD W 684 1st ST W Accreditations and Certifications: Accredited ospital Accredited Chest Pain Center WIT PCI (SCPC) ACCREDITED COMMUNITY COMPREENSIVE CANCER PROGRAM (ACoS CoC) ACCREDITED INPATIENT REABILITATION (CARF) CERTIFIED Acute Myocardial Infarction (JOINT COMMISSION) Certified Advanced Primary Stroke Center Certified eart Failure Certified Joint Replacement ip Certified Joint Replacement Knee Verified Level II Trauma Center (FL Dept of ealth) Additional Services: 24-hour Emergency Services Adult Critical Care BREAST CARE CENTER CARDIOPULMONARY REABILITATION COMPANY CARE OCCUPATIONAL EALT COMPREENSIVE CANCER PROGRAM DIABETES EDUCATION EART & VALVE INSTITUTE (WIT CARDIAC SURGERY) INPATIENT Rehabilitation JOINT CARE center MEDICAL IMAGING MINIMALLY INVASIVE SURGERY PRIMARY STROKE CENTER SLEEP DISORDERS CENTER Spine Care Center TAVR Trauma Center Level II Daniel Friedrich, FACE Chief Executive Officer If it was not for the fast responding, quick thinking EMT s and Blake Medical Center s Trauma Center, I would not be here to be able to enjoy my family and the things we enjoy doing. Jerry Johnson I Bilateral Amputee 2013 COMMUNITY REPORT 13

16 Our Commitment To Excellence BRANDON REGIONAL OSPITAL 119 Oakfield Drive I Brandon, Florida I (813) BrandonRegionalospital.com CROSSTOWN EXPY # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted. 75 PROVIDENCE RD T O T A M P A 60 WESTFIELD SOPPINGTOWN BRANDON LAKEWOOD DR BRANDON PKWY Brandon Regional ospital is located in Brandon, on the corner of Parsons Avenue and Oakfield Drive. KINGS AVE 4 BRANDON BLVD OAKFIELD DR Brandon Regional ospital LUMSDEN RD B R A N D O N BLOOMINGDALE BLVD , , , ,159 $126,789,802 PARSONS AVE JON MOORE RD $18,907, T O R I V E R V I E W LITIA PINECREST RD T O V A L R I C O BELL SOALS RD ER TO BR EMERGENCY CENTER PLANT CITY T O F I S A W K R A N C Accreditations and Certifications: Accredited ospital ACCREDITED BARIATRIC SURGERY CENTER OF EXCELLENCE (ASMBS) Accredited Chest Pain Center WIT PCI (SCPC) Accredited Echocardiography Laboratory (ICAEL) Certified Advanced Primary Stroke Center Certified Acute Myocardial Infarction (AMI) Certified Coronary Artery Bypass Graft Certified eart Failure ighest 3-Star National Rating eart Surgery Excellence (Society of Thoracic Surgeons) Top Performer in Key Quality Measures for eart Attack, eart Failure, Pneumonia and Surgical Care Additional Services: 24-OUR EMERGENCY SERVICES BABY SUITES BARIATRICS / WEIGT LOSS Behavioral ealth Center BREAST CARE PROGRAM CYBERKNIFE CANCER CENTER DA VINCI ROBOTIC SURGICAL SYSTEM DIAGNOSTIC AND IMAGING CENTER EART & VASCULAR CENTER (WIT CARDIAC SURGERY) LUNG CENTER MINIMALLY INVASIVE SURGERY NEONATAL LEVEL III INTENSIVE CARE Pediatric Intensive Care Unit PEDIATRICS Plant City Emergency Center Reflux Center The Sinus Center WOMEN S AND CILDREN S CENTER Bland Eng, FACE Chief Executive Officer The Plant City Emergency Center provides the community immediate access to Brandon s high quality emergency services, 24 hours a day, and all of Brandon s specialty programs and services. 14 CA WEST FLORIDA 13

17 C A W e s t F l o r i d a CENTRAL FLORIDA REGIONAL OSPITAL 1401 West Seminole Boulevard I Sanford, Florida I (407) CentralFloridaRegional.com SEMINOLE TOWNE CENTER # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid ,276 47,051 97, ,020 $68,631,848 $4,712,925 * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted CENTRAL FLORIDA ZOOLOGICAL PARK UPSALA RD SEMINOLE EXPRESSWAY 17/92 LAKE MONROE Central Florida Regional ospital Central Florida Regional ospital is located in Sanford on Lake Monroe, three miles east of I-4, between State Road 46 and ighway W AIRPORT BLVD N MANGOUSTINE AVE ER TO CFR EMERGENCY CENTER OVIEDO W 1st ST W 13th ST Accreditations and Certifications: Accredited ospital Accredited Chest Pain Center WIT PCI (SCPC) Accredited Clinical Laboratory (American College of Pathologists) Accredited Mammography and Ultrasound Services (American College of Radiology) Certified Advanced Primary Stroke Center CERTIFIED DIABETES EDUCATION PROGRAM (ADA) Top Performer in Key Quality Measures for eart Attack, eart Failure, Pneumonia and Surgical Care 2nd Consecutive Year Additional Services: 24-hour Emergency Services COMPANY CARE OCCUPATIONAL EALT EART INSTITUTE (WIT CARDIAC SURGERY) YPERBARIC MEDICINE AND WOUND CARE CENTER NEUROEALT SCIENCES AND SPINE CENTER SLEEP DISORDERS PROGRAM W 1st ST TE BABY SUITES Wendy. Brandon, FACE Chief Executive Officer Central Florida Regional ospital breaks ground for the Oviedo ER, an 11,000 square foot freestanding ER, scheduled to open in fall COMMUNITY REPORT 13

18 Our Commitment To Excellence DOCTORS OSPITAL OF SARASOTA 5731 Bee Ridge Road I Sarasota, Florida I (941) DoctorsofSarasota.com # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted. Doctors ospital of Sarasota BEE RIDGE RD MAXFIELD BLVD S A R A S O T A Doctors ospital of Sarasota is located minutes west of I-75 at Bee Ridge and Cattlemen Road ,551 23,061 53, $44,054,047 $5,022,880 CATTLEMEN RD EXIT Accreditations and Certifications: Accredited ospital Accredited Chest Pain Center (SCPC) Accredited Community Cancer Program (ACo S Co C) Certified Advanced eart Failure Certified Advanced Primary Stroke Center Certified Diabetes (JOINT COMMISSION) CERTIFIED Joint Replacement ip (Joint COMMISSION) CERTIFIED JOINT REPLACEMENT Knee CERTIFIED SPINAL FUSION Advanced eart Failure with PCI (Society of Cardiovascular Patient Care) Best Places to Work by Modern ealthcare four years in a row Breast Imaging Center of Excellence (ACR) Thomson Reuters Top 100 ospital and Everest Award Top Performer in Key Quality Measures for eart Attack, eart Failure, Pneumonia and Surgical Care 2nd Consecutive Year Additional Services: 24-OUR EMERGENCY SERVICES ADULT CRITICAL CARE Breast Care Center Cardiovascular SERVICES Diagnostic Imaging GENERAL SURGERY GynecologIC Oncology Neurology Neurosurgery Oncology Orthopedic and Spine INSTITUTE Percutaneous Coronary Intervention (PCI) Rehabilitation Services Robotic Surgery SINGLE INCISION SERENITY PLACE (VOLUNTARY BEAVIORAL EALT FOR ADULTS) UROLOGY Wound Management and yperbaric Medicine Robert Meade Chief Executive Officer The Emergency Room staff was great with my daughter. They explained everything they were doing and made me feel comfortable and confident in their abilities. Colleen Cavanaugh I Payton s Mother CA WEST FLORIDA 13

19 C A W e s t F l o r i d a EDWARD WITE OSPITAL th Avenue North I St. Petersburg, Florida I (727) EdwardWhiteospital.com # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid 162 3,336 11,502 28, $25,156,899 $1,404,795 * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted. Accreditations and Certifications: Accredited ospital Accredited Chest Pain Center (SCPC) Certified Advanced Primary Stroke Center CERTIFIED Joint Replacement ip (Joint COMMISSION) CERTIFIED JOINT REPLACEMENT Knee A ospital Safety Score (Leapfrog Group) CT Accreditation (American College of Radiology - ACR) Ultrasound Accreditation (ACR) Additional Services: 22nd AVE N 22nd AVE N 22nd AVE N 24-hour Emergency Services th ST N 34th ST N 13th AVE N 595 9th AVE N 8th AVE N 7th AVE N 6th AVE N 5th AVE N S T. P E T E R S B U R G 25th ST N 25th ST N 24th ST N 24th ST N 13th AVE N Edward White ospital 23rd ST N 22nd ST N st ST N 21st ST N 20th ST N 9th AVE N 13th AVE N 7th AVE N 16th ST N th ST N CENTER FOR WOUND CARE AND YPERBARIC MEDICINE COMPANY CARE OCCUPATIONAL EALT DIAGNOSTIC IMAGING Orthopedic and Spine Center REABILITATION INSTITUTE Sinus Center SKILLED NURSING UNIT Edward White ospital is located on 9th Avenue North in St. Petersburg, Florida. Sharon D. ayes, RN, BSN, MBA Chief Executive Officer Our highly trained Spine Center surgical team and staff provide innovative care using the latest technology. ere patients are treated compassionately, with a strong emphasis on patient communication and involvement to ensure the best possible surgical outcome COMMUNITY REPORT 13

20 Our Commitment To Excellence ENGLEWOOD COMMUNITY OSPITAL 700 Medical Boulevard I Englewood, Florida I (941) EnglewoodCommunityospital.com # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted ,820 15,486 40, $21,375,139 $1,392,215 Englewood Community ospital is located at 700 Medical Boulevard. On our way to the hairdresser my mom complained of chest and jaw pain. I turned the car around and brought her to Englewood Community ospital s ER. Within 30 seconds, mom was in the ER Room with four nurses and in 20 minutes her pain was relieved. Englewood Community ospital saved my mom s life and I am very grateful for the entire staff of doctors and nurses that took care of her. Muriel Giovanni (left) with her daughter, Stephanie DeWitt Accreditations and Certifications: Accredited ospital Accredited Chest Pain Center (SCPC) Certified eart Failure Certified Joint Replacement ip Certified Joint Replacement Knee A ospital Safety Score (Leapfrog Group) Advanced Primary Stroke Center (ACA) CT Accreditation (American College of Radiology - ACR) Mammography Accreditation (ACR) MRI Accreditation (ACR) Nuclear Medicine Accreditation (ACR) Ultrasound Accreditation (ACR) Top Performers in Key Quality Measures EART ATTACK, EART FAILURE, PNEUMONIA AND SURGICAL CARE Additional Services: 24-OUR EMERGENCY SERVICES CARDIOLOGY COMPREENSIVE REABILITATION DIAGNOSTIC IMAGING ELECTROPYSIOLOGY GASTROENTEROLOGY GENERAL AND VASCULAR SURGERY GYNECOLOGY OSPITALIST INFECTIOUS DISEASE JOINT CARE CENTER AND ORTOPEDICS NEPROLOGY OPTALMOLOGY PODIATRY PULMONOLOGY RESPIRATORY SERVICES SLEEP DISORDER CENTER SPINE SURGERY TELENEUROLOGY UROLOGY WOMEN S CENTER WOUND CARE CENTER Dale F. Alward, FACE, MA, MPA Chief Executive Officer 18 CA WEST FLORIDA 13

21 FAWCETT MEMORIAL OSPITAL C A W e s t F l o r i d a th Avenue North I St. Petersburg, Florida I (727) EdwardWhiteospital.com # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid ,534 24,589 68, $64,592,820 $5,681,950 * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted. ILLSBOROUG BLVD PEACLAND BLVD TAMIAMI TRAIL MIDWAY BLVD VETERANS BLVD P O R T C A R L O TTE 45 AARON ST BRINSON AVE ARBOR BLVD MIDWAY BLVD Fawcett Memorial ospital OLEAN BLVD ARBOR BLVD 41 VETERANS EDGEWATER DR ORLANDO BLVD BEACON DR BLVD BEACON DR KINGS WY WESTCESTER BLVD LOVELAND BLVD ARBORVIEW RD Fawcett Memorial ospital is located at the intersection of Olean and arbor Boulevards in Port Charlotte, Florida. KINGS WY SANDILL BLVD 75 Accreditations and Certifications: Accredited ospital ACCREDITED Chest Pain Center with PCI (SCPC) ACCREDITED COMMUNITY CANCER PROGRAM (ACo S Co C) ACCREDITED Inpatient Rehabilitation Program (CARF) Certified Advanced Primary Stroke Center CERTIFIED Joint Replacement ip (Joint COMMISSION) CERTIFIED JOINT REPLACEMENT Knee CERTIFIED SPINE SURGERY A ospital Safety Score (Leapfrog Group) Top Performer in Key Quality Measures for eart Attack, eart Failure, Pneumonia and Surgical Care 2nd Consecutive Year Additional Services: 24-hour Emergency Services CARDIOLOGY (CARDIAC SURGERY COMING IN 2013) Fawcett Senior ealth Center, North Port Minimally Invasive General Surgery ONCOLOGY PERCUTANEOUS CORONARY INTERVENTION (PCI) Spine AND Orthopedic Center SPORTS AND REABILITATION SERVICES VASCULAR, Gynecology, Urology and Thoracic SURGERY Women s Imaging Center WOUND MANAGEMENT AND YPERBARIC MEDICINE Thomas J. Rice, FACE Chief Executive Officer After taking an ambulance to Fawcett Memorial ospital, the staff was waiting for me and a stent was put in, all within 67 minutes from the time I walked into Englewood Community ospital. With the excellent, immediate care I received and the miracle power of my God, my life was saved and there is little or no damage to my heart. Larry Shoemaker I STEMI Patient 2013 COMMUNITY REPORT 13

22 Our Commitment To Excellence LARGO MEDICAL CENTER th Street SW I Largo, Florida I (727) Indian Rocks Rd. I Largo, FL I (727) LargoMedical.com # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted. INDIAN ROCKS RD S LARGO MEDICAL CENTER 14th Street SW Campus 8th AVE SW ,132 43,780 79, ,661 $106,210,293 W BAY DR $11,820,451 LARGO MEDICAL CENTER INDIAN ROCKS ROAD CAMPUS Largo Medical Center 14th Street SW Campus is located in Largo, on 14th Street SW, just south of West Bay Drive. Largo Medical Center Indian Rocks Road Campus is also located in Largo, at 2025 Indian Rocks Road South. 14th ST SW PINECREST GOLF COURSE TAYLOR LAKE CLEARWATER LARGO RD S CLEARWATER LARGO RD S Accreditations and Certifications: Accredited ospital ACCREDITED BREAST CENTER (ACo S) ACCREDITED Chest Pain Center with PCI (SCPC) ACCREDITED COMMUNITY CANCER PROGRAM (ACo S Co C) BREAST CENTER ACCREDITATION BY TE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC MAMMOGRAPY ACCREDITATION (American College of Radiology - ACR) Certified Advanced Primary Stroke Center A ospital Safety Score (Leapfrog Group) Top Performer in Key Quality Measures for eart Attack, eart Failure, Pneumonia and Surgical Care 2nd Consecutive Year Additional Services: 24-our Emergency Services A TEACING OSPITAL Behavioral Medicine CARDIOVASCULAR SERVICES (WIT CARDIAC SURGERY) CENTER FOR Wound Care with yperbaric Medicine Company Care Occupational ealth Florida Breast Institute Florida Knee & Orthopedic Pavilion FLORIDA SPINE & NEURO CENTER Graduate Medical Education PROGRAM Inpatient & OUTPATIENT Rehabilitation Sleep Disorders Laboratory Anthony Degina Chief Executive Officer Largo Medical Center is proud to support its military employees, family members and friends in the community. Captain Scott ewitt, D.O., will be a surgeon in the U.S. Air Force following his residency at Largo Medical Center. 20 CA WEST FLORIDA 13

23 C A W e s t F l o r i d a MEDICAL CENTER OF TRINITY 9330 State Road 54 I Trinity, Florida I (727) MedicalCenterTrinity.com LITTLE RD # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid ,534 44,826 77, ,257 W OODS $79,910, C IT R U S $7,399, OAK ILL OSPITAL * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted. GULF ARBOURS MARINE PKWY GULF DR IG ST N E W P O R T R I C E Y FRANCES AVENUE PARK GRAND BLVD CECELIA DR GRAND BLVD MEDICAL CENTER OF TRINITY WEST PASCO CAMPUS STARKEY BLVD MARINE PKWY GEORGE ST SCOOL RD TROUBLE CREEK RD MEDICAL CENTER OF TRINITY TRINITY BLVD MADISON ST MADISON ST IG ST CECELIA DR O L I D A Y T A R P O N S P R I N G S 19 P A L M A R B O R U D S O N 19 S P R I N G I L L P A S CO Medical Center of Trinity is located on State Road 54 in Trinity, Florida. ROWAN RD SEVEN SPRINGS BLVD EAST LAKE RD LITTLE RD T R INITY TRINITY BLVD TARPON AVE GUNN WY SUNCOAST PKWY LAND O LAKES VETERANS EXPSWY 54 DALE MABRY WY S U G ARMILL 41 E RNAN D O LUTZ BROOKSVILLE Accreditations and Certifications: Accredited ospital ACCREDITED COMMUNITY COMPREENSIVE CANCER PROGRAM (ACo S Co C) Certified Advanced Primary Stroke Center A ospital Safety Score (Leapfrog Group) CT Accreditation (American College of Radiology - ACR) Mammography Accreditation (ACR) MRI Accreditation (ACR) Nuclear Medicine Accreditation (ACR) State Approved PERCUTANEOUS Coronary Intervention Program (PCI) Ultrasound Accreditation (ACR) Top Performer in Key Quality Measures for eart Attack, eart Failure, Pneumonia and Surgical Care 2nd Consecutive Year Additional Services: 24-OUR EMERGENCY SERVICES (MAIN CAMPUS/TRINITY) BEAVIORAL EALT (WEST PASCO CAMPUS) CANCER CARE DIAGNOSTIC IMAGING EART AND VASCULAR MEN S EALT SPINE AND ORTOPEDICS SURGICAL SPECIALTIES WOMEN S EALT AND OBSTETRICS Women s Imaging Center Leigh Massengill Chief Executive Officer Future Site: Medical Center of Trinity My stay was so wonderful. The staff, doctors, nurses and everyone involved with my surgery were friendly and very competent. The technology was state-of-the-art and it was great to have my prolapsed bladder taken care of with minimal invasion and minimal pain. I only spent one night in the hospital and was home the next day. I really used no pain meds when I got home and had to be reminded I just had major surgery. Lynne Boismier I Robotic Assisted Surgery 2013 COMMUNITY REPORT 13

24 Our Commitment To Excellence NORTSIDE OSPITAL th Street North I St. Petersburg, Florida I (727) Northsideospital.com # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted ,946 31,412 43, $70,832,209 $3,589,686 Accreditations and Certifications: Accredited ospital ACCREDITED Chest Pain Center with pci (SCPC) Certified Advanced Primary Stroke Center COMPREENSIVE STROKE CENTER (STATE DESIGNATED) CT Accreditation (American College of Radiology - ACR) MRI Accreditation (ACR) Nuclear Medicine Accreditation (ACR) Ultrasound Accreditation (ACR) Top Performer in Key Quality Measures for eart Attack, eart Failure, Pneumonia and Surgical Care 66th ST N 66th ST N 66th ST N 46 60th ST N 58th ST N 58th ST N PINELLAS PARK th ST N 49th ST N 49thST N PARK AVE N 62nd AVE N 54th AVE N 689 Northside ospital S T. P E T E R S B U R G GANDY BLVD N SAWGRASS LAKE PARK W 1st ST 275 Additional Services: 24-hour Emergency Services 64-SLICE CT SCANNER CARDIOPULMONARY OUTPATIENT REABILITATION Company Care Occupational ealth DIAGNOSTIC SERVICES GRADUATE MEDICAL EDUCATION PROGRAM EART ATTACK PREVENTION PROGRAM NEUROSCIENCE INSTITUTE NEURORADIOLOGY SPINE AND Orthopedic Institute TAMPA BAY EART INSTITUTE (WIT CARDIAC SURGERY) Northside ospital is located in St. Petersburg, on 49th Street North. 38th AVE N Dia Nichols, FACE Chief Executive Officer Alan Jones, St. Petersburg Fire and Rescue paramedic, receiving the CA Pinellas Market EMS All-Star Award. Alan is also on the staff of the ER department at the hospital and was recently awarded 2012 Paramedic of the Year from St. Petersburg Fire and Rescue. 22 CA WEST FLORIDA 13

25 SUNCOAST PKWY OAK ILL OSPITAL C A W e s t F l o r i d a Cortez Blvd /SR 50 I Spring ill, FL I Oakillospital.com Citrus: (352) /ernando: (352) TO CITRUS COUNTY and Sugarmill Woods 50 WEEKI WACEE SPRINGS 19 # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid ,666 38,104 87, ,105 $69,453,163 $8,244,496 * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted. OAK ILL OSPITAL COMMERCIAL WAY DELTONA BLVD 19 CORTEZ BLVD 572 NORTCLIFFE BLVD EXAM RD MARINER BLVD 38T AVE N 493 CORTEZ BLVD Oak ill ospital is located on ighway 50/Cortez Boulevard, two miles east of U.S SPRING ILL SUGARMILL WOODS CITRUS BROOKSVILLE 75 ERNANDO 301 Accreditations and Certifications: Accredited ospital ACCREDITED Chest Pain Center with pci (SCPC) ACCREDITED EART FAILURE CENTER (SCPC) ACCREDITED COMMUNITY CANCER PROGRAM (ACo S Co C) Certified Advanced Primary Stroke Center Certified Joint Replacement ip Certified Joint Replacement Knee Certified Spinal Fusion CT Accreditation (American College of Radiology - ACR) Mammography Accreditation (ACR) MRI Accreditation (ACR) Nuclear Medicine Accreditation (ACR) Ultrasound Accreditation (ACR) Additional Services: 24 our Emergency Care CENTER CONSULT-A-NURSE/PYSICIAN REFERRAL Diagnostic IMAGING Services eart Institute (with CARDIAC SURGERY) OSPITALIST SERVICES Medical Digital Imaging with 24/7 in-house coverage MINIMALLY INVASIVE SPINE SURGERY Orthopaedic & SPINE INSTITUTE PEDIATRIC EMERGENCY CARE CENTER PEDIATRIC CARE ROBOTIC ASSISTED SURGICAL SYSTEM VASCULAR SURGERY WOMEN S IMAGING CENTER Mickey Smith Chief Executive Officer The ribbon is cut to open Phase 1 of the $52 Million North Tower OR & Bed Tower expansion. Currently two stories high, the North Tower can accommodate expansion to six stories. The second floor contains 36 private Intensive Care Unit (ICU) rooms. Other features include six surgical suites, new robotic assisted surgical capabilities, and an additional 18 beds in its Post-Anesthesia Recovery Unit. Additionally, a new parking lot for patients, guests and families opened COMMUNITY REPORT 13

26 S TACKER AVE N N TACKER TACKER AVE AVE N N JON JON YOUNG YOUNG PKWY PKWY N JON YOUNG PKWY Our Commitment To Excellence OSCEOLA REGIONAL MEDICAL CENTER 700 West Oak Street I Kissimmee, Florida I (407) OsceolaRegional.com KISSIMMEE MUNICIPAL AIRPORT # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted. 192 W CLAY ST S JON YOUNG PKWY W CARROLL ST W DONEGAN AVE W VINE ST W OAK ST EMMETT ST 441 N MAIN ST E DONEGAN AVE K I S S I M M E E E VINE ST LAKE TOOPEKALIGA ,027 90, , ,712 $109,951,312 $12,210,206 NEPTUNE RD Osceola Regional Medical Center is centrally located on West Oak Street, two blocks west of 441 wy in Kissimmee, Florida, just minutes from Orlando. MICIGAN AVE 192 RONALD RONALD REAGAN REAGAN T-PIKE T-PIKE FLORIDA S T-PIKE 91 E SPACE COAST PKWY Accreditations and Certifications: Accredited ospital ACCREDITED Chest Pain Center with pci (SCPC) Accredited Community Cancer Program (ACo S Co C ) Certified Advanced Primary Stroke Center Certified Breast Cancer Certified Colorectal Cancer Certified Joint Replacement ip Certified Joint Replacement Knee Certified Lung Cancer Certified Carotid Stenting (CMS) Top Performer in Key Quality Measures for eart Attack, eart Failure, Pneumonia and Surgical Care A ospital Safety Score (Leapfrog Group) Additional Services: 24-OUR EMERGENCY SERVICES 24-OUR OB Physician Onsite Coverage TE BABY SUITES BREAST CARE CENTER CARDIOVASCULAR YBRID OR CENTRAL FLORIDA CARDIAC & VASCULAR INSTITUTE (WIT CARDIAC SURGERY) KISSIMMEE PYSICAL TERAPY CENTER AND REABILITATION MINIMALLY INVASIVE VALVE SURGERY NEONATAL CARE LEVEL II ORTOPEDIC & SPINE CARE CENTER OSCEOLA IMAGING CENTER PEDIATRIC ER OUCLESS PROGRAM Single Incision Robotic Surgery WOUND EALING CENTER & YPERBARIC MEDICINE Robert Bob Krieger Interim Chief Executive Officer Mended earts of Osceola, Chapter 364, is a nonprofit community based organization of heart patients, caregivers, healthcare professionals and others interested in helping patients with the emotional recovery for heart disease. Monthly support meetings are sponsored by the hospital and open to members and visitors. 24 CA WEST FLORIDA

27 FIVAY RD. C A W e s t F l o r i d a REGIONAL MEDICAL CENTER BAYONET POINT Fivay Road I udson, Florida I (727) RMCealth.com BEACON WOODS DR # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid ,927 40,803 79, ,264 $83,250, CIT RUS $9,142, * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits. BROOKSVILLE 2012 numbers unless otherwise noted. 50 REGIONAL MEDICAL CENTER BAYONET POINT CLOCK TOWER PKWY UDSON AVE UDSON AVE. FIVAY RD FIVAY RD MEDICAL DR. FIVAY RD. MAJESTIC BLVD YOSEMITE DR. CLAYTON BLVD 52 CLAYTON BLVD GLACIER DR. 1 O L I D A Y T A R P O N S P R I N G S P A L M A R B O R UDSON AVE LITTLE RD 19 SEVEN SPRINGS BLVS Regional Medical Center Bayonet Point is located on Fivay Road, one block east of U.S. wy 19 in udson, Florida. 19 ERNA N U D S O N 52 T R I N ITY EAST LAKE RD GUNN WY S P R I N G I L L SUNCOAST PKWY LAND O LAKES VETERANS EXPSWY DALE MABRY WY S U G ARMILL W OODS P A S C O LUTZ 275 D O Accreditations and Certifications: Accredited ospital ACCREDITED Chest Pain Center with pci (SCPC) ACCREDITED COMMUNITY CANCER PROGRAM (ACoS CoC) CertifiCATIONS JOINT COMMISSION: Acute Myocardial Infarction, Advanced Primary Stroke Center, COPD, Coronary Artery Bypass Graft, heart failure, Joint Replacement ip, Joint Replacement Knee, Lung Cancer, Pneumonia, Wound Care CT Accreditation (American College of Radiology - ACR) MRI Accreditation (ACR) Nuclear Medicine Accreditation (ACR) Ultrasound Accreditation (ACR) Verified Level II Trauma Center (FL Dept. of ealth) A ospital Safety Score (Leapfrog Group) Top Performer in Key Quality Measures for eart Attack, eart Failure, Pneumonia and Surgical Care 2nd Consecutive Year Additional Services: 24-OUR EMERGENCY CARE Arrythmia Center of Florida Cardiopulmonary Rehabilitation Center COMPANY CARE & OCCUPATIONAL EALT CONSULT-A-NURSE ELECTROPYSIOLOGY LAB The eart Institute (WIT CARDIAC SURGERY) MINIMALLY INVASIVE SURGERY NeuroScience Center of Excellence ORTOPEDICS SLEEP DISORDERS CENTER Spine Care Centers of West Florida Trauma Center Level II VASCULAR Wound & yperbaric Medicine Shayne George, MBA, MA, FACE Chief Executive Officer Thanks to the skilled trauma surgeons and his healthy lifestyle, Austin Sievers is back to training in gymnastics, cheerleading and modeling COMMUNITY REPORT 25

28 Our Commitment To Excellence SOUT BAY OSPITAL 4016 Sun City Center Blvd I Sun City Center, Florida I (813) SouthBayospital.com 674 # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted. E COLLEGE AVE ,078 27,597 65, $36,403,483 $2,796,552 S U N C I T Y C E N T E R South Bay ospital 674 SUN CITY CENTER BLVD South Bay ospital is located on S.R. 674/Sun City Center Boulevard, just east of Interstate Accreditations and Certifications: Accredited ospital Accredited Chest Pain Center (SCPC) ACCREDITED EART FAILURE (SCPC) Certified Advanced Primary Stroke Center Certified in Total ip Replacement Certified in Total Knee Replacement Accredited Echocardiography Laboratory (ICAEL) CT Accreditation (American College of Radiology - ACR) MRI Accreditation (ACR) Ultrasound Accreditation (ACR) Top Performer in Key Quality Measures for eart Attack, eart Failure, Pneumonia and Surgical Care 2nd Consecutive Year Additional Services: 24-our Emergency Services Adult Critical Care Breast MRI Cancer Resource Center CARDIOLOGY CENTER FOR JOINT AND SPINE CARE Diagnostic Imaging DIGITAL MAMMOGRAPY INFECTIOUS DISEASE Medical Imaging Minimally Invasive Surgery Neurology Orthopedics Outpatient Diagnostic AND RehabILITATION Center Podiatry Pulmonary Medicine SPINE CARE Urology Vascular Surgery Sharon L. Roush Chief Executive Officer South Bay ospital s team of vascular surgeons repaired aneurysms in my aorta and saved my life. Now I m back to enjoying life s simple pleasures. Richard Follin I Vascular Surgery Patient 26 CA WEST FLORIDA

29 C A W e s t F l o r i d a ST. PETERSBURG GENERAL OSPITAL th Avenue North I St. Petersburg, Florida I (727) StPeteGeneral.com 66th ST N 66th ST N # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid 215 7,480 33,661 50, $48,849,563 $4,136,176 * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted. 62ndAVE N 54th AVE N 58th ST N 58th ST N St. Petersburg General ospital 49th ST N 49th ST N 54th AVE N 38th AVE N Accreditations and Certifications: Accredited ospital ACCREDITED BREAST CENTER with DIGITAL IMAGING & COMPUTER-AIDED DETECTION (CAD) (ACR) Accredited Cancer Center (ACoS CoC) Accredited Chest Pain Center (SCPC) Certified Advanced Primary Stroke Center Accredited GME Program/Family Practice Top Performer in Key Quality Measures for eart Failure, Pneumonia and Surgical Care Additional Services: 24-OUR EMERGENCY SERVICES Center for Wound Care COMPANY CARE OCCUPATIONAL EALT DIAGNOSTIC IMAGING GYN/OBSTETRICS GYN Robotic Surgery Epicenter ospitalists Medical Stabilization Service for Substance Abuse Orthopedic/Joint Replacement/Spine Surgery Robotic Surgery (General, Urology, Gynecology, GYN Oncology) SLEEP DISORDERS CENTER WOMEN S SERVICES 66th ST N TYRONE BLVD N 22nd AVE N 58th ST N 49th ST N 22nd AVE N S T. P E T E R S B U R G St. Petersburg General ospital 5T AVE N is located 5T on AVE N38th Avenue North in St. Petersburg, Florida. Robert B. Conroy, Jr. Chief Executive Officer Jennifer Rowland has three older children but chose St. Petersburg General ospital to give birth to her fourth (and youngest) child, a beautiful baby daughter, Avalisse, on 12/2/1993. Nineteen years later, Avalisse also chose St. Petersburg General ospital to bring her bouncing baby son, Isiah, into the world on 10/16/ COMMUNITY REPORT 13

30 Our Commitment To Excellence Regional Medical Center Bayonet Point Medical Center of Trinity West Pasco Campus Largo Medical Center Largo Medical Center Indian Rocks Road Campus Northside N h ospital i 5 St. Petersburg General ospital Edward White ospital Blake Medical Center Oak ill ospital Medical Center of Trinity 1 Brandon Regional ospital BR Emergency Center - Plant City South Bay ospital 7 Doctors ospital of Sarasota Englewood Community ospital 15 Fawcett Memorial ospital CA WEST FLORIDA

31 C A W e s t F l o r i d a CA West Florida Facilities Central Florida Regional ospital Future Site CFR Emergency Center - Oviedo 12 Osceola Regional Medical Center Poinciana i Medical lcenter MAP KEY CA West Florida ospitals CA West Florida Specialty Service Locations: CA AMBULATORY SURGERY CENTERS IMAGING CENTERS FREESTANDING ERs Map locations are approximate and subject to change. For exact locations, please call the facility or go to CA Ambulatory Surgery Centers Our 16 free-standing Ambulatory Surgery Centers are conveniently located throughout the network. They are equipped with today s most sophisticated technology to provide a wide range of same-day outpatient surgical procedures, as well as pain management and selected diagnostic procedures. The Centers are accredited by the Joint Commission or the American Association of Ambulatory Surgery Centers and all adhere to CA s rigorous standards of quality and patient safety. Our Ambulatory Surgery Center locations: Ambulatory Surgery Center Tampa Bayonet Point Surgery & Endoscopy Center udson Belleair Surgery Center Clearwater Brandon Surgery Center Brandon Center for Special Surgery St. Petersburg Countryside Surgery Center Clearwater Doctors Same Day Surgery Center Sarasota Florida Surgery Center Altamonte Springs 9 Gulf Coast Surgery Center Bradenton 10 Gulf Pointe Surgery Center Port Charlotte 11 Kissimmee Surgery Center Kissimmee 12 Merritt Island Surgery Center Merritt Island 13 New Port Richey Surgery Center at Trinity Trinity 14 Same Day Surgery Center of Orlando 15 Surgery Center at St. Andrews Venice 16 Tampa Eye & Specialty Surgery Center Tampa Imaging Centers Our centers provide a comprehensive array of outpatient imaging services at four locations throughout west and central Florida, most with extended hours for patient convenience. Our centers are equipped with the broadest range of diagnostic technology, with the ability to transfer imaging data electronically so physicians get their patient s images faster than ever before. Positron emission tomography, also called PET imaging, is provided by our mobile service. This adds up to the most convenient imaging network in west and central Florida. 1 2 Total Imaging of Sun City Total Imaging Parsons Brandon 3 4 Tower Diagnostic Center of Brandon LAD Imaging Deltona 2013 COMMUNITY REPORT 29

32 Our Commitment To Excellence As an experienced fire fighter and paramedic, I immediately knew I was having a heart attack. I survived because I was in great physical shape. It can happen to anyone. The medical attention I received at Osceola Regional Medical Center was just extraordinary. Frank Rodriguez eart Attack (2 Stents) An unprecedented 12 CA West Florida hospitals earned the Joint Commission Top Performer on Key Quality Measures recognition last year. These facilities are industry leaders in using evidence-based processes to provide patient care in the areas of eart Attack, eart Failure, Pneumonia and Surgical Care. In total, our hospitals have earned 41 Joint Commission Disease Specific Certifications and we received 10 A rankings in Patient Safety from the Leapfrog Group. All 15 of our hospitals are designated Primary Stroke Centers, 14 are accredited Chest Pain Centers and nine have Accredited Cancer Programs by the American College of Surgeon s Committee on Cancer. Doctors ospital of Sarasota is a Thompson Reuters Top 100 ospitals in the nation and for the fourth consecutive year, recognized as one of Modern ealthcare Best Places to Work. Blake Medical Center I Brandon Regional ospital I Central Florida Regional ospital Doctors ospital of Sarasota I Edward White ospital I Englewood Community ospital Fawcett Memorial ospital I Medical Center of Trinity I Largo Medical Center Northside ospital I Oak ill ospital I Osceola Regional Medical Center Regional Medical Center Bayonet Point I South Bay ospital I St. Petersburg General ospital CA WEST FLORIDA N. Rocky Point Drive West, Suite 400, Tampa, Florida (813)