Fort Madison Community Hospital’s Vision: To be the Southeast Iowa health care provider most admired for its people, partnership with the community and quality of service.

People » FMCH employs over 460 highly dedicated employees including

25 health care providers. » FMCH was named a 2014 Top Iowa Workplace ranking fifth

in the mid-size division. This was the third year in a row that FMCH has received this honor as recognized by the Des Moines Register based on employee survey results.

» FMCH welcomed Dr. Vanaja Thondapu, FMP&S Internal Medicine; Nurse Practitioners Sara Gudenkauf and Chelsea Youmans to the My Care Walk-in Clinic and Heather Elmore to FMP&S Pediatrics.

» FMCH named Dr. Timothy Staudte as the Employee of the Year at the annual employee banquet in May. Dr. Staudte was chosen from the twelve Employee of the Month winners by a popular vote of all employees.

» FMCH Chief Nursing Officer, Joann Lampe (recently retired) was honored at the Iowa Hospital Association’s Annual meeting as a Hospital Hero. Joann joined nine other well deserving health care workers in Iowa in receiving this honor.

Partnership with the Community » FMCH impacted the economy of Lee County by $38,509,291

according to the latest study by the Iowa Hospital Association. In addition, FMCH employees by themselves spend $10,262,710 on retail sales and contribute $615,763 in state sales tax revenue.

» FMCH is committed to promoting the health and safety for all members of our community through health education and screenings. In 2014 these offerings included Athletic Screenings; Women’s Health Conference; Coaches’ Clinic; Organ Donation with the Brockways; DOT Seminar; Sleep Health Series; Falls Prevention; Community CPR/AED training; First Grade Tours; Wellness Screenings; Lee County Fair Kid’s Day & Senior Day; community parades and Diabetic Foot Clinic.

» FMCH created a new website that is easy to navigate with up to date information and health resources.

» FMCH donated over $137,000 to community projects and programs. This is in addition to the countless hours FMCH Employees volunteer each year in their communities and the support they give to United Way and other community fundraising events.

» FMCH provided the supporting resources and space for five SHIIP (Senior Health Insurance Information Program) volunteers to counsel over 500 Medicare eligible community members.

Quality of Service » FMCH was recognized by the Iowa Healthcare Collaborative for

achieving success on the Iowa Partnership for Patients, Hospital Engagement Network Initiative addressing Obstetrical Adverse Events; as indicated by a reduction in the number of premature deliveries at FMCH as a result of the implementation of new processes.

» FMCH was named a Most Wired Hospital for the seventh time by Hospitals & Health Networks.

» FMCH was recognized as part of The Joint Commission’s 2014 annual report “America’s Hospitals: Improving Quality and Safety,” for attaining and sustaining excellence in accountability measure performance for surgical services and pneumonia. The Joint Commission is the leading accreditor of health care organizations in the United States.

» FMCH was awarded the prestigious American Diabetes Association Education Recognition Certificate for a quality diabetes self-management education program in 2014.

» FMCH was selected as the July 2014 Studer Group® Healthcare Organization of the Month Award winner; recognized as a Fire Starter hospital for sustaining remarkable outcomes on quality measures, HCAHPS (Hospital Consumers Assessment of Health Care Providers and Systems) scores, operational goals and patient survey results.

PAGE 1

FMCH Community Calendar

F M C H H e a l t h N O T E SA N N U A L R E P O R T

F I S C A L Y E A R 2 0 1 4

5445 Avenue OFort Madison, IA 52627

PAGE 1 PAGE 2 PAGE 3 PAGE 4 PAGE 5 PAGE 6

• A Year in Review at FMCH 2014

• 10 Powerhouse Foods• Employees That Shine &

Employees of the Month• Employees Hired in 2014

• 2015 Building a Better Care Delivery System

• A Culture of Excellence

• FMCH, A Year In Review By the Numbers

• FMCH Leadership • FMCH Upcoming Events

PAGE 5

Fort Madison Community Hospital Leadership

DEPARTMENT DIRECTORS

Jody SuminskiPatient Financial Services

Amanda BurgusOutpatient Services

Bryan BuckertMaterials Management

Barb Marlin Safety Risk Management

Joe BlunierPharmacy

Angie BudnikCommunity Relations

Terry CramblitDietary

Jacque MoellerHealth Information

Ron GreckschAccounting

Carrie GreenFoundation

Debbie GreenHome Health

Becky HunterLaboratory

Laurie LampeQuality Services

Heather StevensonMaternal Child Services

Marcia KruseCase Management

Jason LampeRadiology Services

Lynn LillieSurgical Services

Shannon SchneiderInpatient Services

Deb NagelCardiopulmonary

Sleep Studies Center

Bob SchierbrockFacilities Management

Shane TapperInformation Technology

Jane WentzienRehabilitation Services

Joyce KirchnerClinical Documentation Director

ADMINISTRATIONC. James Platt

President/CEO

Vicki KokjohnVP, Compliance & Employee Operations

Matt MullinsVP, Physician Services

Brad KokjohnVP, Finance

Shelby DickensVP, Patient Care Services

Tim TorglerVP, Ancillary Services

HOSPITAL BOARD

Bob BontaPresident

Ann MenkeVice PresidentDeanna Barr

Past PresidentJohn McKillip

Jim GerdesDave Poland

Vicki Stephenson

FOUNDATION BOARD

Dick Canella, PresidentEric Boeding

Becky FullenkampJim Gerdes

Marilyn HolmesLynn Hoyer

Dawn KempkerJoAnn LampeAnn Menke

Chuck OsmanskiKevin Rink

Sharon Scholl-NabulsiDr. Roy Tinguely

Cardiology Abdullah Alwahdani, M.D. James Hopson, M.D. Linda Lee, M.D. John Mehegan, M.D. Vikas Sharotri, M.D. Nicholas Walker, M.D.

Dermatology Mark Cleveland, M.D.

Emergency Room Mark O’Brien, D.O.,

Medical Director Christina Goebel, M.D. Susan Roefer, D.O. David Studer, D.O.

Family Practice Kathy Anderson, M.D. Bryant Mutchler, D.O. William Napier, M.D. Chase Newton, D.O. David Wenger-Keller, M.D.

Internal Medicine Roseller Libarnes, M.D. Vanaja Thondapu, M.D. Artemio Santiago, M.D.

Neurology Anil Dhuna, M.D. Aneesh Neekhra, M.D. Jagalkishar Raval, M.D.

Obstetrics & Gynecology Meenakshi Palani, D.O. Timothy Staudte, D.O. Leah Steffensmeier, M.D.

Oncology Mark Karwal, M.D.

Ophthalmology Jonathan Cutler, M.D. Mark Reynolds, M.D.

Orthopedic Brent Woodbury, M.D.

Otolaryngology Douglas Henrich, M.D.

Pathology Jon Fagre, M.D.

Pediatrics Kolleen Burnett, D.O.

Podiatry Heather Perry, D.P.M. Michelle Gerdes-Boelens, D.P.M. Ronald Lee, D.P.M. Mark Saathoff, D.P.M.

Pulmonology Alan Moy, M.D.

Psychiatry Truce Ordoña, M.D.

Radiology Steven Davis, M.D. Raymond Harre, M.D. Matthew Hoffman, D.O. Pil Kang, M.D. Stephen Murphy, M.D. John Paiva, M.D.

Surgery, General W. Riggs Bagan, M.D. Roy Tinguely, M.D.

Urology Louis Kantzavelos, M.D. Matthew Knudson, M.D.

Allied Medical Staff Ann Aschoff, A.R.N.P. Jeff Biggs, C.R.N.A Katie Bentler, P.A.-C. Heather Elmore, A.R.N.P. Joyce Francis, C.R.N.A. Nicki Gellatly, F.N.P. Sue Gingerich, C.R.N.A. Sara Gudenkauf, A.R.N.P. Peggy Hirte, A.R.N.P. Amy John, P.A.-C. Steve Knight, C.R.N.A. Melissa Lambert, W.H.N.P. Carol Menke, P.A.-C. Amanda O’Tool, A.R.N.P. Paul Ostby, P.A.-C. Mark Panther, C.R.N.A. Michael Schwab, C.R.N.A. Bryon Sobczak, C.R.N.A. Ted Smith, P.A.-C. Amy Wallis, F.N.P.

MEDICAL STAFF

The Medical Staff are either Active, Courtesy or Consulting providers

at FMCH.

PAGE 6

A Year in Review at FMCH 2014

For more information on these and other programs go to wwww.fmchosp.com or find us on facebook.

M A R C H5 Jewelry is Fun Sale

9:00 am to 4:00 pmFMCH Conference Rooms

5 FMCH Auxiliary Meeting9:30 amFMCH Conference Rooms

12 Diabetes Support Group4:00 - 5:00 pmFMCH Conference Rooms

12 Prepared Childbirth 1-Day Class6:00 to 8:30 pmFMCH Conference RoomsRSVP to 319.376.BABY

21 Women’s Health Conference 9:00 amFMCH Conference RoomsFree and open to the public.

28 Athletic Enhancement Clinic8:00 am to 12:00 NoonFMCH Conference RoomsFree to area coaches and parents.RSVP to kessing@fmchosp.com

30 Doctor’s Day

A P R I L2 FMCH Auxiliary Meeting

9:30 amFMCH Conference Rooms

6, 13,

& 20

Prepared Childbirth6:00 to 8:30 pmFMCH Conference RoomsRSVP to 319.376.BABY

9 Diabetes Support Group4:00 - 5:00 pmFMCH Conference Rooms

11 Grandparents Class6:00 to 8:30 pmFMCH Conference RoomsRSVP to 319.376.BABY

14 Heroes LunchCelebrating Community Heros

15 Community CPR Course5:30 - 8:30 pmFMCH Conference RoomsRSVP to 319.376.2223

28 Sibling Class6:00 to 7:00 pmFMCH BirthPlaceRSVP to 319.376.BABY

M A Y4 Breastfeeding Class

6:00 to 8:30 pmFMCH Conference RoomsRSVP to 319.376.BABY

7 FMCH Auxiliary Meeting9:30 amFMCH Conference Rooms

9 Prepared Childbirth 1-Day Class6:00 to 8:30 pmFMCH Conference RoomsRSVP to 319.376.BABY

11 Car Seat Safety Class6:00 to 7:00 pmFMCH Conference RoomsRSVP to 319.376.BABY

14 Diabetes Support Group4:00 - 5:00 pmFMCH Conference Rooms FMCH Reward & Recognition team

members dress up for Santa’s visit

FMCH Dietary Department with their hat and mitten donation

We Need

Your Help.

Survey Inside!

2015 Building a Better Care Delivery System Our fiscal year ended on October 1, 2014. We ended the year with one of the best financial years in the history of FMCH. We are now almost five months into our new fiscal year and things seem to have slowed down. While we are seeing record number of patients in our My Care Walk-in Clinic and Emergency Room, our numbers are down in other service areas. But even with these challenges, FMCH continues to focus on quality health care at a reasonable cost, positioning us as a leader in Value Based Purchasing indicators among Iowa health care organizations. As our new Marketing campaign states, the face of health care may be changing, but the things that matter most will never change at FMCH including providing quality, compassion, results, empathy, communication, teamwork and respect to all those who come to us for care. Our goal is to continue to build a better care delivery system and address head on the changing health care needs of our community. In 2015, we will continue to improve the safety and accessibility of our facility with a renovation of the Emergency Department. We will also be evaluating the growing needs of our Birthplace. And we continue to move forward on our joint venture with Blessing to open the Keokuk Medical Center, a primary care clinic, in 2015. In closing, I personally want to thank you for choosing FMCH for all of your health care needs and invite you to take our enclosed survey to help us serve you better.

C. James Platt, CEO

2014 Employees That Shine

Fort Madison Community Hospital is proud of their 463 employees. At the Annual Service Awards Banquet held in May 2014, the following employees were honored for their dedication to providing continued years of service:

40 YEARS OF SERVICEDale Pollmeier

35 YEARS OF SERVICEJana Cunningham

30 YEARS OF SERVICEAnn Torgler

25 YEARS OF SERVICELori Wilband Patricia Weirather Teri Welborn

20 YEARS OF SERVICELisa Lozano Mary Overton Jim Platt

15 YEARS OF SERVICEDr. Kathy Anderson Rebecca Clay Kim Fraise Patty Harvey Deann Huffman Carrie Kruse

Sue Moffett Becky Orr Tracy St. Clair Holly Turner Stefanie Westermeyer

10 YEARS OF SERVICEJanet Fedler Debbie Green Jenica Hampton

Michelle Hornung Jennifer Jarvis Cheryl Leonhard Dr. Roseller Libarnes

Ralph Newbanks Stan Seager Julie Setterberg Wendy Simpson Kristin Smith Megan Stull

Kim Tackett Lindsay Walker

5 YEARS OF SERVICEJeremy Alexander Katie Bentler, PA-C

Kelly Bergman Amanda Burgus Cathy Cleesen Kathi Davidson Heather Davis Hallie Eisnnicher Carrie Green Ashlee Hoskins Jessica Johnson Penny Johnson Tracy Jordan Kayla Matlock

Beth McBurney-Daly Gwen Moss Claire Muegge Cathy Ough Katelyn Pezley Tiffany Rhoades

Joel Ash Annetta Steffensmeier Cindy Swinderman Lynn Jones

5445 Avenue O, Fort Madison, Iowa 52627Phone: 319-376-2244 • www.fmchosp.com

PAGE 2 PAGE 3FMCH, A Year in Review By the Numbers.

Fiscal Year October 1, 2013 - September 30, 2014

2 0 1 2 2 0 1 3 2 0 1 4

Total Employees 450 458 463

Admissions 2,285 2,203 2,135

Births 312 371 419

Surgeries 3,221 3,357 3,281

Home Health Visits 17,106 18,743 18,699

Emergency Room Visits 13,261 13,340 14,590

ExpendituresDuring 2014, Fort Madison Community Hospital employed 463 individuals from our local communities at a cost of over $33 million in wages and benefits.

Uses of RevenueDue to charity care and governmental allowances, 59 cents of every dollar generated by the Fort Madison Community Hospital is not collected.

Fort Madison Community Hospital is a not-for-profit organization. Any financial surplus is reinvested in the organization to improve and expand current services and develop new programs. In 2014, Fort Madison Community Hospital provided in excess of $86 million of uncompensated care through governmental allowances and charity care.

Sources of RevenueGovernment sponsored programs account for 57% of Fort Madison Community Hospital’s revenue generation.

Supplies14%

Medicaid14%

Medicare41%

Employees Hired in 2014

2014 Employees of the Month

A little over six years ago, Fort Madison Community Hospital embarked on a journey of hardwiring excellence. We engaged the services of the Studer Group to help us reshape our culture through the use of proven tools. By executing the FMCH Culture of Excellence, quality has remained at its core. As we continue on this journey we have implemented a number of consistent tactics, processes and principles to help drive quality while controlling costs. We rely on the passion of our employees to provide the very best care possible while achieving success with evidence based practices. There have been many quality indicators identified that ensure that safety and positive outcomes for all patients is at the core of all that we do at FMCH.

These results are from patients who had overnight hospital stays from

January 2014 through December 2014. As reported by Press Ganey.

For a complete Quality Report go to www.hospitalcompare.hhs.gov

Depreciation6%

Utilities & Others

20%

Salaries & Benefits

60%

Salaries & Benefits

23%

Charity & Allowances

59%

Operating Expenses17%

Future Programs 1%

Other45%

Would patients recommend the hospital to friends and family?

Bars Represent “Yes” Responses.

How do patients rate the hospital overall?

Bars tell the percent of patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest).

0%

10%

20%

30%

40%

50%

60%

70%

80% 100%

72.7%

74.9%

84.8%

National Average 2011

All Press Ganey Hospitals

Press Ganey Same Size Hospitals

FMCH Average 2014

Iowa Average 2011

Iowa Average 2012

FMCH Average 2011

FMCH Average 2012

always

PAGE 4

0%

10%

20%

30%

40%

50%

60%

70%

80% 100%

71.5%

75.8%

82.7%

National Average 2011

Iowa Average 2011

Iowa Average 2012

FMCH Average 2011

FMCH Average 2012

All Press Ganey Hospitals

Press Ganey Same Size Hospitals

FMCH Average 2014

Employee of the Year, Dr. Staudte, accepting

his award at the Annual Employee Banquet

FMCH Nurses celebrating Nurses Week

Mary Overton & Lynda Rickelman Celebrating our Firestarter Award

• Amburn, Christopher • Ashworth, Barbara • Barlow, Valarie • Batley, Anna • Begner, Lisa • Bleigh, Elizabeth • Bryant, Denise• Butler, Nancy• Diercks, Rachel• Dowdall, Jessica

MayMegan Stull, FMP&S Clinic

JuneDr. Brent Woodbury,

FMP&S Orthopedics & Sports Medicine

JulyPam Franklin, Home Health

• Drake, Kashia • Eastin, Amy • Elmore, Heather • Harrington, August• Hill, Betsy• Karr, Carla • King, Darci • Kniffen, Crystal • Logsdon, Brady • Ludolph, Vivian • Martin, Dorothy

• McCandless, Rebecca • McCrea, Stefanie • McGhghy, Michelle• Pardall, Kristen • Parriott, Rhiannon • Peterschmidt, Brian • Peterson, Brooke • Plenge, Ashley • Pumphrey, Samantha • Seabold, Jennafer • Shatley, Ashley

• Smith, Erica • Smith, Ted • Stanford, Thomas • Steele, Carrie• Tate, Melissa • Thondapu, Vanaja• Troyer, Samantha • Wagner, Nicole • Wheeler, Tara • Wray, Nicole • Youmans, Chelsea

AugustNeva Koechle, BirthPlace

SeptemberDr. Timothy Staudte, The Women’s Center

OctoberLuna Price, ER

NovemberJenny Briggs, Surgical Services

DecemberChrissy Campbell,

Rehabilitation Services Center

JanuaryClaire Muegge, Med/Surg

FebruaryAudrey Housel, Pharmacy

MarchBob Cullen, Facilities

Management

AprilStephanie Montgomery, ER

A Culture of Excellence:

Centered on Quality

FMCH Measurement Team

FMCH Courtesy Services Van

What you eat has a huge impact on your heart health. Try adding these foods to your diet 4 to 6 times a week.

Oatmeal

A great source of soluble fiber,

which seems to reduce the amount of cholesterol absorbed in your intestines.

Beans They’re chockful of soluble fiber,

which can help lower cholesterol and blood sugar levels.

Red Wine It’s phytonutrients

(including resveratrol) and ethanol raise “good” (HDL) cholesterol and help lower the risk of blood clots.

Dark Chocolate It’s a rich source of flavonoids

and other antioxidants. Eating it daily for just one week can help improve cholesterol levels & reduce inflammation in women.

Leafy Greens Spinach, kale and broccoli are rich in

carotenoid antioxidants, which protect the blood vessels.

Ground flaxseeds Full of omega- 3 fatty acids, fiber and plant estrogens, which

reduce inflammation, improve cholesterol levels and help regulate blood pressure. Sprinkle them on cereal or yogurt.

Nuts Also amazing sources of

fiber. Walnuts are rich in omega- 3s, which reduce inflammation, triglyceride levels, blood pressure and the risk of heart arrhythmias.

Avocado It’s got fat, yes, but a good kind - monounsaturated

- that helps lower LDL and maintain or raise HDL cholesterol.

Berries Raspberries, strawberries, blueberries and blackberries are

loaded with soluble fiber and antioxidants that promote healthy blood flow and protect blood vessels.

Salmon This fish is a great source of omega- 3 fatty

acids, which lower LDL and triglyceride levels, raise HDL and reduce inflammation

1 2 43

5 6 89 10

7