SwedishAmerican Health System Summary Report 2007-2008

Reaching New Heights For SwedishAmerican, the past two years have been marked by reaching new heights of achievements as we continually improve the quality of our care and the health of the greater Rockford region. The commitment of our employees, physicians and board of directors to the patients we are privileged to serve has produced unprecedented results. Our challenge remains to deliver on our promise and mission, which is: through excellence in healthcare and compassionate service, we care for our community.

A Message to the Community

from Dr. Bill Gorski, President and CEO For SwedishAmerican, 2007 and 2008 were years of reaching new heights—reaching up to continually improve the quality and efficiency of our care, and reaching out to improve the health of the greater Rockford region. Over the past two years, we have enjoyed extraordinary success that can be measured in many ways—clinical outcomes that are among the best in the nation; growth in infrastructure, market share and preference; the quality of our facilities; and the personal strength and dedication of our board, management, physicians, nurses and employees. According to a third-party research firm, consumers consistently rate SwedishAmerican best in terms of cardiac care, women’s health, doctors and surgery. In fact, we are at a point in time when our market share in Winnebago County and in our primary service area are the highest they’ve ever been. SwedishAmerican Health System’s lead in overall preference for our primary service area also has reached an all-time high. After an extraordinary beginning, the Heart Hospital at SwedishAmerican continues to deliver outstanding service and patient care. In 2007, all units within the facility opened to accommodate ever-increasing growth. Best of all, this growth has been met with tremendous patient and staff experiences, as well as accelerating excellence and outcomes in our cardiac services. This is exemplified by numerous honors, including the Society for Thoracic Surgeons Award. Last fall, we broke ground on the new Ryan Jury Child Development and Learning Center, which is named after a courageous boy who died of cancer at the age of 23 months. The center, which now offers full-time and part-time daycare for employees, is a lasting memorial to Ryan and a testament of the care he received at SwedishAmerican. Earlier this year, we celebrated a significant milestone in the acquisition of Northwest Suburban Community Hospital in Belvidere. Opening in early 2009, the newly named SwedishAmerican Medical Center/Belvidere will ensure and restore appropriate healthcare services to the growing city of Belvidere, eastern Boone County and the expanding areas of adjacent McHenry and DeKalb Counties.

Some of the most far-reaching achievements of the past two years include the use of technology to improve safety and the patient experience, as well as being the first hospital in our area to perform the latest medical procedures. For example, SwedishAmerican was the first in the region to automate the delivery of medication at the bedside through barcode technology, perform Laparoscopic Supracervical Hysterectomies and use new MRI-guided breast biopsy technology. This past fall, the SwedishAmerican Medical Group completed the implementation of EPIC Systems’ electronic medical record (EMR), which revolutionized the way we deliver healthcare within our clinic system. The culmination of these and other achievements has resulted in SwedishAmerican reaching new heights. However, although we are recognized as the most preferred health system in our community, we are conscious of the need to continually enhance our services, and to set and achieve higher standards. Providing safe, high-quality care requires a compassionate, committed, knowledgeable and skilled staff. We are proud of our culture, which differentiates us from other workplaces. Our culture promotes honest and open communication that values and recognizes the contribution of every employee, and encourages strong relationships between coworkers based on mutual respect and support. At SwedishAmerican, we also take great pride in the progress we have made in providing our region with the best healthcare. This report provides you with an opportunity to look inside our organization and witness the magnitude of our efforts, as well as our focus on continous improvement. Reaching new heights means to go above and beyond in exceeding the expectations of those we serve. Real patient satisfaction wouldn’t be possible without compassionate human interaction, and that’s where SwedishAmerican makes a difference. What sets us apart is our dedication to excellence, compassionate service and caring for our community, which is part of the fabric and culture at SwedishAmerican—it is true to our history and traditions. It is our promise to you, and to the many who place their trust in us every day.



Bill Gorski, MD President and Chief Executive Officer October 1, 2008

I mproving Quality and Technology

At SwedishAmerican, our focus on quality is continuous. The health system has successfully maintained its long-time status as a recognized leader in the implementation, measurement and improvement of healthcare quality initiatives. Over the past two years, the organization has leveraged new technologies and clinical practices with one ultimate objective in mind: superior clinical outcomes.

Neurosurgeon Dr. Todd Alexander performed the area’s first cervical disc replacement at SwedishAmerican Hospital.

Cervical Disc Replacement

Bedside Medication Verification

The most common surgery for treating cervical degenerative disc disease—a leading cause of neck and arm pain—is an anterior cervical disectomy and fusion. More than 200,000 cervical procedures are performed each year to relieve compression on the spinal cord or nerve roots and to implant an inter-body graft and metal plate to rigidly fuse the vertebrae together.

In 2007 SwedishAmerican was the first healthcare system in the region to automate medication delivery with barcode technology. This new process, called Bedside Medication Verification (BMV), enhances clinical operations and reduces the potential for medication errors.

In September of 2007, a pioneering procedure for patients with this condition became available when Neurosurgeon Dr. Todd Alexander performed the area’s first cervical disc replacement at SwedishAmerican Hospital. The procedure involved the Prestige Cervical Disc, which is the first of its kind for the treatment of cervical degenerative disc disease. It is designed to maintain motion and flexibility while replacing a diseased disc that is removed from a patient’s cervical spine.

BMV requires the use of a scanner, similar to those used at leading retailers. In order to prevent errors before they occur, point-ofcare bar code scanning allows for critical checking of the “five rights” of medication administration: right patient, right drug, right dose, right route of administration and right time. It also allows for real-time documentation of medication administration, providing immediate online data for clinical care, and accomplishes accurate billing based on what was administered to the patient. The Emergency Department went live with BMV in December 2006, followed by the Center for Mental Health in February 2007. BMV was implemented hospital-wide later that year.

Radiofrequency Ablation Radiologist Dr. Mark Traill, SwedishAmerican Hospital Medical Imaging

MRI Breast Biopsy In 2008 SwedishAmerican introduced the latest tool in the fight against breast cancer and became the first hospital in Rockford to use MRI-guided breast biopsy technology. The new tool helps high-risk patients and patients for whom mammogram- or ultrasound-guided biopsy was previously not an option. An MRI-guided biopsy can find the smallest breast abnormality at the earliest possible stage of development. Candidates for breast MRI include women who have already been diagnosed with breast cancer and some women who are considered high risk for the disease. Candidates for MRI-guided breast biopsy are those patients who have a lesion detected by breast MRI that is not seen by a mammogram or ultrasound. Performed at the hospital by a specially trained radiologist, this outpatient procedure takes less than an hour and requires only a local anesthetic.

SwedishAmerican Center For Women Nurse Practitioner Lisa Larson

Radiofrequency ablation (RFA) was another breakthrough procedure performed at SwedishAmerican Hospital in 2007. The promising treatment eliminates tumor cells using heat, and is much less invasive than open surgery. Radiologist Dr. Marc Bernstein performed RFA, which usually causes little discomfort and is done as either an outpatient procedure or an overnight hospital stay, on a patient from SwedishAmerican’s Lung Cancer Center. RFA is a useful alternative treatment for patients with small, early-stage lung cancer who wish to avoid, or are too ill to undergo, conventional surgery. It is not intended to replace surgery, radiation or chemotherapy in all patients, and may be effective when used alone or in conjunction with these treatments. RFA also may be used to “de-bulk” a lung tumor that is too large to remove surgically. In this way, the tumor is reduced in size so that the remaining tumor cells are more easily eliminated by chemotherapy or radiation therapy.

Dr. Timothy Durkee and Dr. Earle Pescatore are affiliated with Rock Valley Women’s Health Center.

Laparoscopic Hysterectomy Each year, an estimated 600,000 women undergo hysterectomies in the United States, making hysterectomy the second-most-common surgery for women. The majority of these surgeries are performed using the traditional open-abdominal method, which typically involves a long and painful recovery. In September 2007, gynecologists Dr. Timothy Durkee and Dr. Earle Pescatore were the first in the Rockford area to perform Laparoscopic Supracervical Hysterectomies (LSH). This new, minimally-invasive procedure can transform the hysterectomy experience for most women. LSH causes less stress to the body, and was developed to reduce pain, minimize scarring and shorten recovery time.

The procedure can be done on an outpatient basis, which means a woman can be home resting comfortably within 24 hours and back to her normal activities in less than a week.

Delivering

Clinical and Service Excellence At SwedishAmerican, the pursuit of excellence is exemplified in many ways, from national recognition to investments in a modern physical infrastructure that improves efficiency, facilitates communication, enables better processes and promotes patient safety. Excellence also is exemplified by the nearly 3,000 dedicated employees and more than 500 physicians who share in the health system’s mission of providing compassionate care to our community.

New Pharmacy SwedishAmerican Medical Group Cardiothoracic Surgeon Dr. John Myers.

Cardiac Surgical Excellence SwedishAmerican has a long tradition of excellence in cardiac services. This tradition continued in October 2008, when the health system received the 2009 Cardiac Surgery Excellence Award from HealthGrades—the nation’s leading independent ratings company. The largest of its kind, HealthGrades’ study analyzed patient outcomes at virtually all of the nation’s 5,000 hospitals over the years 2005, 2006 and 2007. For the second consecutive year, SwedishAmerican Hospital was among the top 5 percent in the nation for cardiac surgery. National recognition also was received in December 2007, when the Society of Thoracic Surgeons ranked SwedishAmerican in the highest category of hospitals nationally for quality of cardiac surgery. Only 15 percent of hospitals received this rating. At SwedishAmerican, national recognition of cardiac excellence is a result of physicians, nurses, technicians, therapists and our entire cardiac staff committing to the health system’s quality goals and mission.

SwedishAmerican Hospital’s Pharmacy Department relocated to a new, state-of-theart space in June 2007. The 4,800-square-foot area accommodates the latest pharmacy technology and was designed to further promote patient safety and operational efficiency. Located on the first floor of the hospital, the new pharmacy has a modular design and expanded areas to repackage all medications with a bar code to support the hospital’s bedside medication verification project. While more than 70 percent of medications already include bar codes from drug manufacturers, SwedishAmerican repackages and barcodes more than 100,000 doses of medications each month. The pharmacy also has three mobile isolation chambers to compound and prepare medications in a sterile environment. The units can be used almost anywhere in the hospital in the event of a disaster or other situation.

New Laboratory In February 2008, SwedishAmerican unveiled a new, 16,000-square-foot laboratory on the first floor of the hospital. Renovation and construction for the $6 million project began in 2006. The previous 10,000-square-foot laboratory had services located in three different areas. By consolidating services into one area, the lab was able to improve all of its processes, as well as communication between different departments such as the Blood Bank, Central Processing, Chemistry, Customer Service, Cytology, Hematology, Histology, Microbiology and Pathology.

The laboratory at SwedishAmerican conducts nearly 3 million tests a year. Stroke Center According to the American Stroke Association, each year approximately 700,000 people suffer a stroke. Among stroke survivors, 21 percent of men and 24 percent of women die within a year. In 2008 SwedishAmerican earned Primary Stroke Center Certification from The Joint Commission, the nation’s predominant standards-setting and accrediting body in healthcare, in recognition of our organization’s efforts to foster better outcomes for stroke care. In addition, our health system is participating in the American Stroke Association’s Get With The Guidelines–Stroke program, which seeks to improve acute stroke treatment and prevent future strokes and cardiovascular events.

SwedishAmerican has developed a comprehensive system for providing rapid diagnosis and treatment of stroke when patients are admitted to the emergency department. This includes

providing around-the-clock access to brain-imaging scans, making neurologists available to conduct patient evaluations and using clot-bursting medications when appropriate.

Cardiovascular Services Medical Director Dr. Kenneth Brin, Midwest Heart Specialists at SwedishAmerican Hospital.

New Specialists Building on its strong base of primary care physicians, SwedishAmerican has significantly expanded the number of employed specialists. The addition of two new medical oncologists in 2007 strengthened the SwedishAmerican Regional Cancer Center and allowed further expansion within the communities of Rochelle and Dixon. That year, the health system also welcomed two orthopedic surgeons to its staff. SwedishAmerican’s focus on specialty care continued throughout 2008, with the addition of specialists in cardiology, cardiothoracic surgery, endocrinology, neurology/stroke care, neurosurgery, otolaryngology, podiatry and rheumatology.

Oncologist Dr. Fauzia Khattak (right) joined SwedishAmerican Health System in 2007.

Investing in Our People

Enhancing a Strong Employee Foundation As an “Employer of Choice” in our region, SwedishAmerican has created a respectful work environment where employees have pride in their contribution and recognize their value to our organization. Ultimately, we realize excellent patient care is provided by highly valued, satisfied employees who feel empowered to make a difference. We believe our people create a strong foundation for all that we do.

Lifestyle Programs SwedishAmerican continues to see an impressive increase in the use of its concierge program, which helps employees accomplish some of their “to-dos.” Provided at no cost to the employee, apart from the retail cost of services and mileage, the program includes everything from jewelry and watch repair to making reservations at restaurants and registering for special events. Each year, approximately 5,400 service appointments are made through the concierge program. In addition to the concierge, the hospital offers numerous on-site services to help employees bring balance back to their lives, including on-site wellness exams, an employee health clinic with a nurse practitioner, an online wellness nutrition program and free on-site massage therapy.

SwedishAmerican provides massage therapy to more than 240 employees each week at 30 different sites.

education and provided $22,000 to 10 employees, who used our annual leave donation program because of loss of income due to a serious illness or injury of an immediate family member and who have exhausted all other paid leave.

Scholarship recipients Rubereza Sitchon, daughter of Maria, RN, Cardiac Progressive Care, and Jordan Kurth, son of Amy, claims associate, Risk Management.

Workforce Enrichment Our organization goes to great lengths to create a unique environment and make SwedishAmerican the “Employer of Choice.” Our workforce and employee enrichment activities set a tone and create an environment of appreciation for our employees. These include a range of seemingly small things that are highly valued by staff, from free holiday meals, anniversary and birthday cards with $10 gift cards to providing 40 employees’ children with $1,000 scholarships, and an adoption assistance program that has helped five employees’ families adopt children over the two-year period. A family values approach to our workforce enrichment means that we offer programs that help our employees when they need it most. Through our home buying assistance program, 23 homes have been purchased by employees with assistance from the SwedishAmerican Medical Foundation to aid in improving the neighborhoods surrounding the hospital campus. SwedishAmerican also recognizes that staff may experience hardships that require emergency financial assistance. Over the past two years, our Employee Hardship Fund provided more than $47,000 to 105 staff for unexpected expenses as a result of job loss, illness, death or other circumstances beyond their control. In addition, we’ve invested $691,000 in tuition reimbursement to further our employees’

SwedishAmerican also utilizes employee events to recognize its employees for jobs well done. We offer seasonal family events to thank and encourage great work. Other favorite events are the employee service award banquet, employee Easter egg hunt and holiday party. Collectively, SwedishAmerican invests more than $460,000 in these employee recognition events.

Compensation and Benefit Improvements Our system-wide employee opinion survey is used to monitor employees’ views and concerns. From this, we create action plans to help guide positive changes. Over the past two years, SwedishAmerican has invested nearly $16 million in compensation and benefit changes to place us in a more competitive position locally, regionally and nationally. Over the next fiscal year, SwedishAmerican also has committed nearly $4.3 million in merit pay increases, compensation enhancements, market adjustments and benefits improvements.

From left: Ryan’s parents, Greg and Kelly Jury, and SwedishAmerican Vice Presidents Harvey Lightbody (Human Resources) and Ken Nelson (Operations).

The Ryan Jury Child Development and Learning Center: An Engaging Environment for Employees’ Children. SwedishAmerican helps support the needs of its working families in many stages of their children’s lives. In fact, more than 500 hospital employees have children who are age 12 and younger. That is why the health system invested $5.8 million in the construction of a new state-of-the-art, 16,287-square-foot child development and learning center that offers affordable, accessible and on-site childcare services. The center provides a stimulating child-centered, active learning environment that promotes emotional, physical and cognitive development. Having a convenient place for our employees’ children during working hours will help our staff members focus on their patients, knowing their children are near and secure. Located adjacent to the main hospital, the center is a tribute to the Jury family and their courageous son Ryan, who died of cancer at the age of 23 months. Over the past 22 years, more than $615,000 has been raised through the annual Ryan Jury Memorial Golf Outing and Dinner. Funding for the Jury Center began with an initial donation of $542,500 from the Ryan Jury Memorial Fund, which is a prime example of the Jury family’s long-time commitment to and support of SwedishAmerican. The Jury Center also represents the dedication of our health system to the families of our employees. Ryan’s memory will live on for decades to come, not only in this facility, but in the dedication of those who care for children.

Providing

Compassionate Care and Building Healthier Communities SwedishAmerican has enjoyed many proud traditions. At the center of them all is serving our community. Every day, whether we are escorting patients and visitors to their destination, sponsoring support groups for heart patients and their families or providing quality healthcare to those who cannot afford it, SwedishAmerican strives to make life better for those we serve.

Above: UICOM-R students collaborate in the Healing Garden of SwedishAmerican Hospital.

People Helping People

Meeting Community Need

Beyond large-scale, organization-led initiatives, our employees independently devote extensive amounts of time and resources to a large number of programs, services and activities throughout northern Illinois. In the last two years, SwedishAmerican’s employees have provided nearly 62,000 hours of service to the community. The total labor and material donated during this same time period was more than $3 million.

SwedishAmerican cares for an increasing number of people living below the poverty line. Similarly, we are serving a population that continues to age—and with older patients come more chronic conditions and multiple health problems.

Over the past two years, SwedishAmerican staff reached hundreds of students, grades K-12, with programs and services related to health promotion and education, career exploration and volunteer service opportunities. SwedishAmerican continues to participate in the citywide Healthcare Career Fair, introducing more than 13 occupations to regional high school students; annually contributes money to ensure that all third graders at Jackson School are provided with dictionaries; and supports Jackson Elementary and Lincoln Middle Schools with tutoring, classroom supplies and volunteers for Junior Achievement, as well as donations for school renovation projects. These efforts have impacted the students academically and helped to remove Jackson School from Illinois’ academic watch list.

As we have strengthened our commitment to help the entire population receive the important medical services they need, our total cost of charity care has increased annually. While our expenses for Medicare and Medicaid patients exceed the current level of reimbursement provided by federal and state governments, we have continued to absorb the remaining cost of providing care. Over the last three years, SwedishAmerican Health System provided $78 million in community benefits.

Community Collaboration SwedishAmerican has worked with other community organizations, public agencies and community leaders to improve the quality of life in the Rock River Valley. We continue to be collaborative partners with the Rockford Health Council Inc., Black Health Care Initiative Coalition and Crusader Clinic to assure access, eliminate existing health disparities and improve the health of the region’s underserved populations in Boone, Ogle and Winnebago Counties. Looking to the future, SwedishAmerican is working to ensure that communities in the region have enough well-trained physicians, nurses and other health professionals. We are the sole sponsor of the University of Illinois College of Medicine at Rockford’s Family Practice Residency program, to which we contribute more than $4 million annually. In response to the hundreds of students who cannot get into nursing programs due to a lack of instructors, we are working with local and regional colleges and universities to improve the situation through the contributions of our professional staff.

In the summer of 2006, the SwedishAmerican Medical Foundation purchased a foreclosed house a block south of the hospital and made it available to East High School’s construction class for work during the 2006-2007 school years. Students received academic credit while working several days a month rehabbing the entire house, in conjunction with the Foundation’s efforts to revitalize the neighborhood surrounding SwedishAmerican Hospital. During the past five years, the Foundation has cleared land and sponsored the construction of 29 new, owner-occupied homes in the area (in partnership with Habitat for Humanity); purchased and provided land for the City of Rockford to construct three additional owner-occupied homes; constructed a neighborhood park and playground; constructed more than 15 new garages for home owners; made more than 60 matching grants to home owners for exterior repairs and remodeling; and purchased and rehabbed 17 homes for resale to SwedishAmerican employees, local fire fighters and police officers and public school teachers.

Pictured is one of 29 homes that the SwedishAmerican Medical Foundation sponsored in its neighborhood homeownership program.

Access to Care With physicians seeing patients in 15 clinic locations throughout northern Illinois, SwedishAmerican Medical Group–the region’s largest primary care medical group–cares for almost 400,000 patients annually. Our Home Health Care staff visit 30,000 patients a year throughout 11 counties in northern Illinois. In January 2007, SwedishAmerican Health System opened a Multidisciplinary Lung Cancer Center (MLCC). The MLCC is a group of specialists brought together to evaluate patients with known or suspected lung tumors in a timely and coordinated manner. SwedishAmerican is the region’s first hospital to develop this type of service for lung cancer. In April 2007, the Center For Women added a second advanced practice nurse to accommodate growing demand for their comprehensive range of health services. That October, a grand opening was held for the center’s outpatient services on the second and third floors of the Renaissance Pavilion.

Illinois 251 and Illinois 72 in Davis Junction. The clinic includes nine exam rooms, a procedure room, as well as laboratory and X-ray services. In November 2007, the SwedishAmerican Wellness and Therapy Center opened at the YMCA of Rock River Valley’s Northeast Branch. SwedishAmerican physical therapy staff provide physical therapy and consultation services, as well as injury screening, all within the beautiful setting of the YMCA’s new state-of-the-art fitness facility. In July 2008, SwedishAmerican’s Center for Mental Health began a partnership with Associates in Counseling to provide psychiatric services at their clinic in Sycamore. A SwedishAmerican psychiatrist is now seeing patients there each week.

In June 2007, SwedishAmerican Medical Group/Davis Junction opened an expanded 4,500-square-foot clinic at the intersection of

Right: Dr. Eric Trautmann, SwedishAmerican Medical Group.

SwedishAmerican Medical Center/Belvidere SwedishAmerican Health System has been looking at ways to better meet community needs in Boone County for several years. The University of Illinois College of Medicine at Rockford’s 2006 community health study helped us identify appropriate health services in the greater Belvidere community. In December of 2007, the Illinois Health Facilities Planning Board approved our organization’s plans to acquire Northwest Suburban Community Hospital in Belvidere. When construction is completed in 2009, the SwedishAmerican Medical Center/Belvidere will restore emergency, surgery, diagnostics and imaging services to the fastest growing area in our region, including Belvidere, eastern Boone County and the expanding areas of western McHenry and northern DeKalb Counties.

“Obtaining the license for Northwest Suburban Community Hospital is a very big deal for SwedishAmerican, and from the many positive comments we have received, it’s a big deal for the community of Belvidere. This positions us well to provide much needed medical and emergency services to this growing part of the region.” -SwedishAmerican Health System President and CEO Dr. Bill Gorski

SwedishAmerican Medical Museum and Heritage Center A museum and heritage center highlighting SwedishAmerican’s culture and history of medicine is slated to open as part of the health system’s centennial celebration in 2011. Through the leadership of SwedishAmerican Medical Foundation Executive Vice President John Mecklenburg (above right) and retired physician and SwedishAmerican Vice President of Medical Affairs Henry Anderson, MD (above left), floor plans are being completed, artifacts are being collected, policies are being developed and private donations are being raised. The museum and heritage center will be located on the first floor of the 10-story patient tower, adjacent to the healing garden. With its key location, it will serve as a focal point to link and interpret SwedishAmerican’s past, present and future.

“This is history that we believe shouldn’t be lost. If we don’t tell our story now, it’s going to be lost to the next generation.” – J ohn Mecklenburg

Remembering. Robert A. Henry, MD On May 26, 2008, at the age of 83, SwedishAmerican lost an inspirational leader with the passing of Dr. Robert Henry. Bob served SwedishAmerican for more than 25 years. His impact and influence is still felt across the entire health system. Bob came to Rockford in 1965 from Lansing, Michigan to develop a new psychiatric service. He was named the department medical director in 1968. In 1973, Bob was named vice president for medical affairs for SwedishAmerican Hospital. From 1977-89, he served as president and CEO of SwedishAmerican Health System. Many CEOs are remembered for the buildings and programs that are developed during their tenure. And of course, Bob oversaw many of those types of developments from the growth and expansion of the hospital into a multi-site health system, to major investments in outpatient services. But Bob more likely is remembered for the growth and development of people. He was always looking for and encouraging ways to inspire and unlock the talents in people. Many SwedishAmerican staff fondly recall his teaching right brain/left brain thinking, and pursuing excellence. Bob helped recruit many members to the SwedishAmerican medical staff. Today those doctors are recognized among the leading physicians in the community. He also recruited many key nurses, professional staff and administrators who are current leaders of the organization. Bob was active both locally and nationally, serving terms as president of more than a dozen boards. Bob was a true visionary and will be remembered by those who knew and worked with him.

Arthur W. Anderson In July of 2007, SwedishAmerican bid farewell to Art Anderson, who was a valued member of the SwedishAmerican board from 1980 to 2002. Born in Rockford on June 14, 1922, Art was a civic leader devoted to charitable causes and community service. Affectionately known as “Mr. Loves Park,” Art owned and operated the A.W. Anderson Agency Inc. in that city for more than 50 years. A board member for 22 years, Art served as SwedishAmerican’s board chairman from 1989 to 1991. Art exemplified the spirit, dedication and commitment that has characterized our board for decades. He cared deeply about SwedishAmerican. He cared not only about our success as an institution, but he was a leader in holding us all accountable to live up to our mission of serving those who place their trust in us.

Lawrence E. Gloyd Larry Gloyd, SwedishAmerican board member from 1983 through 2005 and board chairman from 1994 to 1996, passed away September 6, 2008 following a lengthy illness. Larry was 75. A native of Indiana, Larry came to Rockford in 1961 as a territory salesman for Amerock Corp. He rose through their ranks, eventually becoming president and general manager of Amerock in 1981. Larry joined J.L. Clark Manufacturing in 1986 as president and chief operating officer and later served as president, CEO and board chair of CLARCOR. Larry led numerous local and national economic organizations and community charities, providing wise administrative and fund-raising expertise. He and his family have contributed generously to hundreds of local efforts, which have made an enormous and positive impact on the greater Rockford community. Larry was a strong and vocal advocate of SwedishAmerican and its work in quality and continuous improvement.

System performance is a driving force behind customer preference, utilization and growth.

Willingness to Recommend Inpatient Hospital 97%

96%

96%

‘06

‘07

‘08

Willingness to Recommend Medical Group

Willingness to Recommend Outpatient Hospital

Willingness to Recommend Home Health

98%

99%

98%

98%

99%

100%

‘06

‘07

‘08

‘06

‘07

‘08

Inpatient Volume Hospital Patient Discharges

Outpatient Registration Volumes

(includes Newborns) 98%

97%

19,064

97% 16,574

‘06

‘07

‘08

Emergency Department Patient Visits 55,308

56,534

55,976

‘06

17,543

‘07

2,275

354,526

266,697

‘08

Health System Employees Full Time Equivalency 2,184

323,171

‘06

‘07

‘08

Health System Assets ($ in Millions)

2,324 395

421

348

‘06

‘07

‘08

‘06

‘07

‘08

‘06

‘07

‘08

From left: Board Chairman Dave Rydell, Dr. Bill Gorski and Immediate Past Chairman Pat Derry.

TRUSTEES, OFFICERS AND DIRECTORS SwedishAmerican Health System Board of Directors David R. Rydell Chairman Frank Walter First Vice Chairman & Secretary/Assistant Treasurer Dan G. Loescher Second Vice Chairman & Secretary/ Assistant Treasurer Patrick T. Derry Immediate Past Chairman Ted F. Brolund Danny L. Copeland, MD Gordon H. Geddes James L. Gingrich Robert L. Head, PhD Dennis W. Johnson Gregory R. Jury Marco T. Lenis Robert J. Meuleman Fran Morrissey John C. Myers, MD D. William Robertson William C. Roop John E. Scheub, MD C. Steven Sjogren James S. Waddell Thomas R. Walsh Amy J. Wilcox Allen D. Williams, MD

SwedishAmerican Hospital Board of Trustees

David R. Rydell Chairman Frank Walter First Vice Chairman & Secretary/Assistant Treasurer Dan G. Loescher Second Vice Chairman & Secretary/ Assistant Treasurer Patrick T. Derry Immediate Past Chairman Ted F. Brolund Danny L. Copeland, MD Gordon H. Geddes James L. Gingrich Robert L. Head, PhD Dennis W. Johnson Gregory R. Jury Marco T. Lenis

Robert J. Meuleman Fran Morrissey John C. Myers, MD D. William Robertson William C. Roop John E. Scheub, MD C. Steven Sjogren James S. Waddell Thomas R. Walsh Amy J. Wilcox Allen D. Williams, MD

SwedishAmerican Medical Foundation Directors C. Steven Sjogren Chairman Gordon H. Geddes Vice Chairman David R. Rydell Secretary Tara A. Blazer Ted F. Brolund Marco T. Lenis Robert J. Meuleman John C. Myers, MD Richard A. Rundquist John W. Shugart James S. Waddell

SwedishAmerican Administrators William R. Gorski, MD President and Chief Executive Officer Richard P. Walsh  Executive Vice President and Chief Operating Officer Kathleen M. Kelly, MD Chief Medical Officer and Chief Quality Officer Donald L. Haring Vice President, Finance and Treasurer Ann M. Gantzer Vice President, Health and Patient Services Harvey R. Lightbody Vice President, Human Resources Thomas M. Myers Vice President, Strategic Planning and Marketing Kenneth C. Nelson Vice President, Operations Phil A. Wasson Vice President and Chief Information Officer

Don F. Daniels Vice President, Medical Group Management Administrator, Medical Center/Belvidere John R. Mecklenburg Executive Vice President, Medical Foundation Julia N. Zimmerman Vice President, Medical Group Physician Resources Kathleen T. Andersen Director, Medical Group Business Office E. Thomas Carey Director, Pharmacy Marianne Culich Director, Internal Audit Patti A. DeWane Director, Corporate Accounting Judith E. Elkins Director, Women’s, Children’s and Clinical Services Glenn R. Evans Director, Facility Planning/Design/ Construction Ellen G. Farrell Director, Health Information Management Services and Information Security Michael J. Ford Director, Medical Group Operations Kathi L. Gehrke Director, Medical Surgical Adult Care Patrick S. Gilliland Director, Reimbursement and Budget John M. Gonsiorek Director, Decision Support Jan A. Hagenlocher Director, Public Relations Randall A. Hann Director, Business Office Operations Ingrid A. Hargrove Director, Employee Relations Services Jean L. Holm Director, Clinical Quality and Patient Safety Butch Gaylor Johnson Director, Materials Management Sheryl J. Johnson Deputy Chief Information Officer June M. Koch Controller, Management Services Organization Jane A. Langenfeld Director, Outpatient Cardiovascular Services and Diagnostics Kevin R. Lewis Director, Managed Care Contracts Agnus S. Mandrgoc Director, Community Services Richard D. Marsh Director, Engineering, Biomedical Services and Telecommunications Mary R. McCarthy Director, Quality Management Dawna R. Menke Director, Oncology and Medical Imaging Services Beverly J. Merfeld Director, Risk Management Robert W. (Bill) Mewes, RN Director, Inpatient Cardiovascular Services

Carol E. Mittel Director, The Ryan Jury Child Development Learning Center Jeanette M. Murray Director, Perioperative Services Brian E. Reck Director, Marketing and Government Relations Kenneth J. Scrivano Director, Clinical Services Norm E. Shirk Director, Pastoral Care and Volunteer Services James E. Stoltz Director, TriRivers System Engineering Toni D. Thompson Director, Organizational Development Cynthia J. Thompson Director, Compensation and Benefits Services Joseph P. Thompson Director, Medical Group Information Management Debra S. Tiffany Director, Laboratory Victoria L. Tronc Director, Center for Mental Health Marilyn R. Wetzel Director, Employment Services Pamela J. Wetzel, MD Director, Medical Affairs

SwedishAmerican Medical Group Oscar A. Anton, MD Orthopedic Surgery Mohammed Ashraf, MD Family Medicine Nesher G.Asner, MD Neurosurgery Alvydas J. Baris, MD Family Medicine Arthur J. Breck, MD Family Medicine Kenneth P. Brin, MD Cardiology Glendon C. Burress, MD Pediatric Gastroenterology Melinda R. Carter, MD Family Medicine Daniel F. Chamberlain, MD Internal Medicine Danny L. Copeland, MD Family Medicine Gayle R. Crays, MD Family Medicine Lisa D. Crutcher, MD Family Medicine Kara A. Cummins, MD Family Medicine William K. Cunningham, Jr, MD Ob/Gyn Richard E. Deming, MD Family Medicine Harvey E. Einhorn, MD Hematology/Oncology Merat K. Esfahani, MD Hematology/Oncology Ralph W. Everson, MD Family Medicine Tiffanie S. Ferry, MD Family Medicine Timothy M. Flynn, MD Family Medicine Kevin J. Gander, MD Family Medicine

Andrew P. Geddes, MD Priya Sabharwal, MD Pediatric Medicine Ob/Gyn Chantal T. Girod, MD Mohammed Sajed, MD Family Medicine Neurology Reginald A. Givens, MD Jose Alberto Salazar, MD Psychiatry Internal Medicine Katherine A. Godfrey, MD Hugo J. Salgado, MD Child & Adolescent Psychiatry Family Medicine Daniel R. Herdeman, MD Jaime F. Sanz, MD Internal Medicine Internal Medicine Juan C. Hernandez, MD Thomas M. Schiller, MD Family Medicine Family Medicine Eric J. Hess, MD David J. Schleicher, MD Internal Medicine Ob/Gyn Heath A. Hoffman, DPM William C. Schulz, MD Podiatry Hematology/Oncology Katia V. Ilieva, MD Rakesh J. Shah, MD Family Medicine Child & Adolescent Psychiatry Mary Jo Ironside, MD Zaheer Sheikh, MD Family Medicine Rheumatology Robert C. Johnson, MD Sharon K. Shipp, MD Family Medicine Hematology/Oncology Fauzia G. Khattak, MD Zahid Shuttari, MD Hematology/Oncology Family Medicine Andrew Kotis, DO Mary D. Simmons, MD Cardiology Family Medicine Kelly R. Lawler, DPM Bruce L. Stiles, MD Podiatry Family Medicine Susan M. Lewinski, MD Rose M. Stocker, DO Family Medicine Family Medicine Billie S. Lin, MD Karen S. Thompson, DO Family Medicine Cardiothoracic Surgery Manu Lonial, MD John C. Trapp, MD Family Medicine Ob/Gyn Leynard M. Martinez, MD Eric C. Trautmann, MD Family Medicine Family Medicine Denise A. McGuffin, MD Paul T. Vaitkus, MD Internal Medicine Cardiology Louis S. McKeever, MD Jorge L. Villacorta, MD Cardiology Family Medicine Steven Milos, MD Kanchana Viswanathan, MD Orthopedic Surgery & Endocrinology Sports Medicine Snigdha Volety, MD, Elsayed I. Mohamed, MD Family Medicine Cardiology Allen D. Williams, MD Fatima T. Mohiuddin, MD Internal Medicine Allergy James L. Woodman, MD GianeCarla B. Montero, MD Family Medicine Pediatric Medicine Ninef Zaya, MD April L. Moore, MD Otolaryngology Family Medicine David G. Moore, MD Gynecology Syed Naser Mujeeb, MD Family Medicine John C. Myers, MD Cardiothoracic Surgery John M. Nielsen, DPM Podiatry Prakash J. Pedapati, MD Radiation Oncology Ryan K. Phasouk, MD Family Medicine Peter F. Phelan, MD Internal Medicine Margaret A. Provenza, MD Otolaryngology William S. Renk, MD Pediatric Medicine Daniel R. Retzer, MD Family Medicine Emily L. Rogers, MD Family Medicine Joseph E. Ross, MD Family Medicine Executive Vice President and Chief Operating Officer Jeffrey S. Royce, MD Rich Walsh; Chief Medical Officer and Chief Quality Family Medicine Officer Dr. Kathleen Kelly; and Vice President, Health and Patient Services Ann Gantzer.

SwedishAmerican Management Services Organization Committee Fran Morrissey, Chairman Danny L. Copeland, MD Patrick T. Derry Dennis W. Johnson Timothy M. Flynn, MD Peter F. Phelan, MD Arnold M. Rosen, MD David R. Rydell Hugo J. Salgado, MD William C. Schulz, MD C. Steven Sjogren Richard P. Walsh Frank Walter

StaffCorp Board Fredric C. Kullberg, MD President S. Christopher Moore, MD Vice President Pamela J. Wetzel, MD Medical Director Bethany L. Atwood Secretary/Treasurer Stephen A. Bernsten, MD Leslie P. Edgcomb, MD Daniel R. Herdeman, MD Arturo S. Manas, MD Daniel R. Retzer, MD Timothy W. Starck, MD Eric C. Trautmann, MD Richard A. Valadez, MD

ACTIVE MEDICAL STAFF Allergy & Immunology Fatima T. Mohiuddin, MD Howard J. Zeitz, MD

Anesthesiology Bryan S. Apple, MD Mark J. Cirella, MD Norbert C. Duttlinger, MD Lowell D. Enser, MD Rao J. Gondi, MD Steven A. Gunderson, DO John M. Jaworowicz, MD Maria Laporta, MD John L. Mansell, MD Lawrence D. Mason, MD W. Stephen Minore, MD

Marsa L. Mitchell, MD Edith M. Newsome, MD Edward L. Post, MD Vincent J. Quinlan, MD David B. Rydberg, MD Larry M. Schick, MD John M. Shiro, MD Timothy W. Starck, MD

Cardiothoracic Surgery Thomas L. Carter, MD Peter H. Marks, MD John C. Myers, MD Karen S. Thompson, DO

Cardiovascular Disease Kenneth P. Brin, MD Paul M. Christensen, MD Guergana H. Enikova, MD G. Steinar Gudmundsson, MD Robert H. Harner, MD Joel B. Hellman, MD Mark W. Hiser, MD Andrew Kotis, DO Elsayed I. Mohamed, MD Louis S. McKeever, MD Robert L. Minor, MD Jose J. Rivera, MD Jagdeep Sabharwal, MD Eugene A. Silva, MD Jan P. Skowronski, MD Edward A. Telfer, MD Paul T. Vaitkus, MD George A. Zaverdas, MD

Child & Adolescent Psychiatry Katherine A. Godfrey, MD Rakesh J. Shah, MD

Colon & Rectal Surgery Lawrence P. Prabhakar, MD

Dentistry Tina M. Brenza, DDS W. James Ongena, DDS William G. Shold, DDS David A. Varland, DDS Kurtis E. Wirth, DDS

Dermatology Maria I. Al-Basha, MD Nicole A. Hartsough, MD Albert W. Hudson, MD Paul D. Revis, MD

Diagnostic Radiology Marc A. Bernstein, MD Stephen A. Bernsten, MD Frank S. Bonelli, MD Martin G. Butler, MD Eric A. Cuasay, MD Rimvydas P. Gilvydis, MD Hyungmin Kang, MD Edward F. Steffen, MD Mark R. Traill, MD

Emergency Medicine Hector G. Aguilera, MD Halleh Akbarnia, MD Glenn E. Aldinger, MD Thanh T. Andreakos, MD Scott D. Bailey, MD Sonia F. Callejas, MD Michael J. Casner, MD KellyAnn Cullen, DO Stuart M. Feldman, DO Scott C. French, MD Terrence E. Goyke, DO R. Jason Hallock, MD Michael P. Lehmann, MD Ximena R. Llobet, MD John Longano, MD Sheffey N. Massey, DO Anthony A. Niezyniecki, MD Michael H. Oster, DO Azeem S. Pasha, MD Chhaya Patel, DO John T. Piotrowski, MD Michael D. Polka, MD Martin M. Rene, MD Michael T. Sims, MD Richard T. Tovar, MD John L. Underwood, DO Mark G. Vaselakos, DO Gary J. Zaid, MD Michael P. Zimmerman, MD

Family Medicine Mohammed Ashraf, MD Peggy L. Bandy, MD Alvydas J. Baris, MD William E. Baxter, DO Arthur J. Breck, MD Melinda R. Carter, MD Danny L. Copeland, MD Gayle R. Crays, MD Lisa D. Crutcher, MD Kara A. Cummins, MD Harry W. Darland, MD Richard E. Deming, MD Katerina C. Doronila-Hughes, MD Joseph J. Eckburg, MD Douglas W. Edgren, MD Ralph W. Everson, MD Tiffanie S. Ferry, MD Timothy M. Flynn, MD Kevin J. Gander, MD Chantal T. Girod, MD Juan C. Hernandez, MD Jamil Hussain, MD Katia V. Ilieva, MD Mary Jo Ironside, MD Robert C. Johnson, MD Mitchell S. King, MD Ken Kinoshita, MD Brian J. Knabe, MD Kenton Lee, MD Susan M. Lewinski, MD Billie S. Lin, MD Richard A. Londo, MD Manu Lonial, MD

Therese M. Lucietto-Sieradzki, MD Leynard M. Martinez, MD Anna L. Meenan, MD April L. Moore, MD Syed N. Mujeeb, MD Edwin O. Okeson, MD Ryan K. Phasouk, MD David G. Pocock, MD Michael J. Polizzotto, MD Daniel R. Retzer, MD Randall W. Robyn, MD Joseph E. Ross, MD Jeffrey S. Royce, MD Hugo J. Salgado, MD Atisak Sapying, MD Thomas M. Schiller, MD Eduardo C. Scholcoff, MD Zahid Shuttari, MD Arvin Thomas I. Silva, MD Mary D. Simmons, MD Bassam Soufan, MD Bruce L. Stiles, MD Rose M. Stocker, DO Esther A. Sy, MD Adriana Tobar, MD Eric C. Trautmann, MD Jorge L. Villacorta, MD Snigdha Volety, MD Charles M. Washington, MD Farion R. Williams, MD James L. Woodman, MD Ana J. Zavadzkas, MD

Gastroenterology Robert L. Barclay, MD William N. Baskin, MD John J. DeGuide, MD James T. Frakes, MD Roger L. Greenlaw, MD Steven O. Ikenberry, MD Michael J. Manley, MD S. Christopher Moore, MD Ilche T. Nonevski, MD Kevin J. Peifer, MD Arnold M. Rosen, MD Aaron J. Shiels, MD Mark T. Shiels, MD Chandrashekhar Thukral, MD Joseph J. Vicari, MD Donald E. Vidican, MD

Internal Medicine

Obstetrics & Gynecology

Leroy P. Bach, MD Irene M. Boswell, MD Tracy C. Brito, MD Daniel F. Chamberlain, MD Susan J. DeGuide, MD Daniel R. Herdeman, MD Eric J. Hess, MD Kent J. Hess, MD Shobha S. Iyengar, MD Kathleen M. Kelly, MD James D. Koepsell, MD Denise A. McGuffin, MD Peter F. Phelan, MD Linda M. Razbadouski, MD Jose Alberto B. Salazar, MD Jaime F. Sanz, MD Lydia Savic-Durnas, MD Pamela J. Wetzel, MD Allen D. Williams, MD

Antoun Y. Al Khabbaz, MD Teddi I. Bachawaty, MD William K. Cunningham, MD Jyothi Gondi, MD Tarek S. Harb, MD Jodi L. Holbrook, MD Bruce A. Jasper, MD Candance M. Leaphart-St. Cloud, DO Jack W. Lenox, MD Nicole O. Macaulay, MD Mohamad S. Mahmoud, MD Lisa M. Malone, MD Arturo S. Manas, MD David G. Moore, MD Earle M. Pescatore, DO Priya Sabharwal, MD David J. Schleicher, MD Lee C. Sesslar, MD Sudha P. Shah, MD Ana-Maria H. Soleanicov, MD C. David Stephenson, MD John C. Trapp, MD

Internal Medicine/Hospitalist Majed Al-Hamwi, MD Sathish Kumar H. Cullath, MD Preethi Donakonda, MD Johara A. Hassan, MD Owais W. Lodhi, MD Ashima Salwan, MD Indermohan S. Thethi, MD Omer Yusaf, MD

Neonatal - Perinatal Medicine Martin A. Anyebuno, MD Prabha C. Dosi, MD Gillian M. Headley, MD Lida Kechavarz, MD Potluri B. Rao, MD

Nephrology Mashood Ahmad, MD John C. Maynard, MD Joanna M. Niemiec, MD Michael J. Robertson, MD Krishna Sankaran, MD James A. Stim, MD Charles J. Sweeney, MD David L. Wright, MD

Neurological Surgery

Chester Durnas, MD

Todd D. Alexander, MD Nesher G. Asner, MD Morris M. Soriano, MD Ronald F. Yake, MD

Hematology/Oncology

Neurology

William R. Edwards, MD Harvey E. Einhorn, MD Merat K. Esfahani, MD Fauzia G. Khattak, MD Tejas B. Lodhawala, MD William C. Schulz, MD Sharon K. Shipp, MD

Mohammed S. Afzal, MD Mohammed Sajed, MD Madhav K. Srivastava, MD

Geriatric Medicine

Infectious Disease Scott R. Homann, MD

Neurology/Pediatric Neurology Marabella A. Alhambra, MD

Ophthalmology Richard T. Coppoletti, MD Masud I. Malik, MD Richard A. Miller, MD David I. Turok, MD W. Steve Yoon, MD

Oral Maxillofacial Surgery Stephen W. Albers, DDS David A. Francis, DDS

Orthopedic Surgery Oscar A. Anton, MD Victor D. Antonacci, MD Thomas J. Danaher, MD William C. Dannenmaier, MD James F. Dougherty, DO Steven Milos, MD Scott R. Nyquist, MD Christopher D. Sliva, MD

Otolaryngology Andrew I. Jun, MD Margaret A. Provenza, MD James M. Severson, MD Ninef Zaya, MD

Plastic Surgery William N. Georgis, MD James S. McAdoo, DO Jerome S. Weiskopf, MD

Podiatric Surgery

Pathology Sara E. Fleming, MD Roger D. Hilbert, MD Hiu Lui A. Lau, MD Rebekha G. Neu, MD Samuel S. Park, MD

Pediatric Cardiology Ronald B. Foran, MD

Pediatric Dentistry Jeffrey J. Johnson, DDS Andy J. Malcolm, DDS Joseph L. Zakarija, DDS

Pediatric Gastroenterology Glendon C. Burress, MD David E. Deutsch, MD

Pediatric Hospitalist Valerie J. Bell, MD Maria E. Caceres, MD Mazen Rachid, MD

Pediatric Pulmonology David S. Shoberg, MD

Pediatric Surgery Arthur Rettig, MD

Pediatrics Errol C. Baptist, MD Thomas M. Danko, MD Elizabeth O. Dee, MD Andrew P. Geddes, MD John A. Hart, MD Raquel Z. Malabanan, MD Kelly N. McGregory, DO GianeCarla B. Montero, MD Mohammad A. Mustafa, MD Bertram H. Nanayakkara, MD Ignacio U. Omengan, MD Patricia M. Panzica, MD Karen W. Phelan, MD Michael J. Potts, MD Anselma C. Ramilo, MD William S. Renk, MD

Physical Medicine & Rehabilitation Scott A. Craig, MD Linda K. Li, MD Anatoly M. Rozman, MD

Flavio Cordano, DPM Tina R. Entwistle, DPM Joseph T. Fanara, DPM Heath A. Hoffman, DPM Kelly R. Lawler, DPM John M. Nielsen, DPM Dinesh C. Pandya, DPM Philip W. Seeber, DPM

Podiatry Paul A. Galluzzo, DPM Mary C. White, DPM

Psychiatry Ann T. Agustsson-Mathers, DO Martin J. Fields, MD Reginald A. Givens, MD Zaffar A. Rizvi, MD Rakesh J. Shah, MD

Pulmonary Disease Nadeem Hanif, MD Fredric C. Kullberg, MD Vivek Thappa, MD

Radiation Oncology Prakash J. Pedapati, MD Virendra S. Saxena, MD

Reproductive Endocrinology and Infertility John P. Holden, MD

Rheumatology Zaheeruddin Sheikh, MD

Surgery Stephen J. Bradley, MD Frederick W. Church, MD Leslie P. Edgcomb, MD Mary E. Keller, MD Darin J. Miller, MD Christopher J. Moran, MD Marc Whitman, MD

Urology Dennis M. Corcoran, MD Mark E. Cormier, MD Michael J. Fumo, MD Daniel L. Houlihan, DO Warren L. Lowry, MD Douglas P. Roegner, MD Daniel L. Swift, MD Richard A. Valadez, MD

SWEDISHAMERICAN HEALTH SYSTEM SwedishAmerican Hospital SwedishAmerican Medical Center/Belvidere SwedishAmerican Medical Group/Belvidere SwedishAmerican Medical Group/Byron SwedishAmerican Medical Group/Davis Junction SwedishAmerican Medical Group/Five Points SwedishAmerican Medical Group/Midtown SwedishAmerican Medical Group/Northwest SwedishAmerican Medical Group/Roscoe SwedishAmerican Medical Group/Valley SwedishAmerican Medical Group/Woodside SwedishAmerican Ambulatory Rehabilitation Therapy SwedishAmerican Camelot OB/GYN SwedishAmerican Center For Women SwedishAmerican Health Alliance SwedishAmerican Health Management Organization SwedishAmerican Home Health Care SwedishAmerican Infusion Services/DME SwedishAmerican Management Services Organization SwedishAmerican Medical Foundation SwedishAmerican Realty SwedishAmerican Regional Cancer Center SwedishAmerican Wound Care and Hyperbaric Clinics Brookside Immediate and Occupational Care Brookside Specialty Center Midwest Heart Specialists at SwedishAmerican Northern Illinois Health Care Network Roscoe Immediate and Occupational Care The Heart Hospital at SwedishAmerican TriRivers Health Partners List as of October 2, 2008

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