8747 MKT Annual Report 2009 final

14,900 people.
One job.
Working together for a healthy community.

2009 Annual Report
to the Community

Creating a Healthier Community

Changes, challenges and triumphs have made for quite a year at Lee Memorial Health System!
From the opening of our newest hospital—Gulf Coast Medical Center—and two new outpatient
centers at The Sanctuary and Plantation, to a successful first year of operation for our Regional
Cancer Center and so much more, we have continued to focus on providing high-quality health
care to our friends, family members and neighbors in Southwest Florida.
Last year, our Board of Directors named patient safety as the No. 1 core value of our health system.
Throughout the system, there are concerted efforts to place extra emphasis on evidence-based
practices to provide the best outcomes for patients. Our intensive care units have focused on
specific clinical protocols that have dramatically reduced—and, in some instances, eliminated
for several months—incidents of ventilator-associated pneumonia and central-line blood stream
infections. We are also working to expand our electronic medical record to ensure that physicians
and other caregivers have immediate access to a patient’s medical history to provide complete and
timely care decisions.
Health care financing in our community has become quite a challenge due to very negative local
economic conditions. Fortunately, our team members found more than $65 million in financial
improvements in 2008-2009 to help ensure the financial future of our health system and avoid sig-
nificant layoffs. We have also restructured our leadership to increase efficiency and coordination
of care as we enter the next decade. Additionally, we are working diligently to further develop col-
laboration with the private medical community, as well as employed and contracted physicians,
with a focus on creating the highest quality and safest health care environment possible.

Our health system also has big plans for the future

We have committed to expanding regional health services for children by opening a pediatric
clinic in Collier County, and are planning for a dramatic expansion of The Children’s Hospital of
Southwest Florida. Our Board of Directors and administration have worked diligently to explore,
develop and initiate plans that will lead to this new state-of-the-art facility for children and their
families from all over Southwest Florida.
We also expect great things from our surgical programs, such as the revolutionary new da Vinci S
HD, our surgical robot that enables surgeons to perform major procedures, including major heart
surgery, with this minimally invasive technology.
Our team of dedicated professionals will continue to focus on delivering compassionate, quality,
state-of-the-art health care in a safe environment for our community. We hope you enjoy the sto-
ries in these pages, which will give you a little more insight into what’s been happening within the
walls of Lee Memorial Health System, where we see large and small miracles each day and night.

Richard Akin Jim Nathan Richard Akin
President Chairman, Board of Directors
Jim Nathan Lee Memorial Health System Lee Memorial Health System

Our Mission… Lee Memorial Health System At A Glance

To continue to meet the health Just under 70,000 hospital admissions in 2009
care needs and improve the health More than 200,000 emergency visits
status of the people of Southwest Almost 10,000 Trauma Center visits
Florida. 40,000 surgeries (more than 50 percent outpatient)
1,423 licensed hospital beds
Our Promise… 4.84 days – average length of stay in our hospitals
9,300 employees
We care for the people you care 4,500 volunteers and auxilians
about most. Approximately 1,100 physicians on our medical staff

Our Vision…

To become the best patient-
centered health care system in
Florida, through balancing quality,
access and cost.

Our Values…

We are committed to the values
of respect, honesty, compassion,
teamwork, loyalty, initiative,
adaptability and resource
responsibility.

Regional Cystic Fibrosis Center
Cares for Children Close to Home

Beatrice, 10

Moira Miner knows what it is like to be travel such long distances because we care Emad Salman, M.D.
on both sides of the cystic fibrosis battle. for children in the six-county area,” says Pediatric Oncology/
Moira’s 10-year-old daughter, Beatrice, Luis Faverio, M.D., Medical Director of Hematology
was diagnosed with the disease when she the Center, whose practice serves as the
was six days old. Moira is also a nurse outpatient center for cystic fibrosis. The Children’s Hospital Expansion:
at Florida Pediatric Pulmonology, an Moira knows exactly how much the Cape Coral and Beyond
outpatient cystic fibrosis center. Cystic Fibrosis Center helps her family.
Cystic fibrosis is characterized by “I take my son to St. Petersburg for A second location of The Children’s Hospital of
abnormalities with the body’s natural treatment for a health issue, and it’s like Southwest Florida opened October 2009 at Cape
secretions that often lead to respiratory night and day,” she says. “We are fortunate Coral Hospital. “We wanted to make sure we were
infections and, possibly, respiratory because we can use the outpatient center meeting the needs of the children and parents of
failure. and all of Lee Memorial Health System Cape Coral and North Fort Myers,” says John Iacuone,
The Children’s Hospital is the only for Beatrice’s care.” M.D., Executive Director of The Children’s Hospital.
dedicated cystic fibrosis treatment The outpatient center has a multi- This extension is one of several steps being taken
program between Tampa and Miami disciplinary team that includes Dr. to create an expanded regional children’s health
and is one of only 11 such centers in the Faverio, a research nurse, a program care program to better serve Southwest Florida,
state. “Our geographic location is very coordinator, a respiratory therapist, a Dr. Iacuone says. In 2009, Lee Memorial Health
important. It means families don’t have to social worker and a nutritionist. System expanded services and advocacy programs
in Collier County and stepped up recruitment of
Pediatric Services for Our Region new children’s specialists—including a pediatric
nephrologist (a kidney and urinary tract specialist).
The Children’s Hospital of Southwest Florida provides the following to our region: Plans are also in the works to construct a separate
tower to house The Children’s Hospital, which will
Regional Perinatal Intensive Care Center Cystic Fibrosis Center be located adjacent to HealthPark Medical Center.
The Regional Perinatal Intensive Care Center Child Life and Social Services This construction will be made possible through
is one of only 11 in the state and is ranked No. Children’s Rehabilitation Center the philanthropic efforts of the Lee Memorial Health
1 in infant outcomes. This program delivers Neurodevelopment Program System Foundation.
medical care to women with high-risk Emergency Services
pregnancies and to sick/preterm newborns. Level III Neonatal Intensive Care Unit
Neonatal Development Follow-up Clinic
Pediatric Oncology/Hematology Pediatric Intensive Care Unit
This regional program serves a five-county Ronald McDonald House
area and is one of only nine centers in Florida
treating children with cancer and blood
disorders.

Sickle Cell Referral Center
This center is one of nine in Florida to provide
care for infants with sickle cell anemia, a
blood disorder.

Brad White Adele Ledain Peter Kouba Carmen DelValle Javanda “Sunshine” Bradley Janis Oxley Michele King Courtney Murray Maria Arroyo-Moreno
Laboratory Laboratory Radiology Food Service Food Service Nurse – Care Management Pediatrics Registration Customer Service

‘Angel’ Provides Support to
Breast Cancer Patient

Tina Gegeckas When Leesa Crapa was diagnosed with Leesa Crapa
Pharmacy, breast cancer in June 2009, she didn’t
Regional Cancer know where to turn. cancer, she helped me fill out paperwork
Center “I was confused and didn’t know what for Medicaid because I do not have health
to expect. I’m from Memphis, so I insurance,” Leesa says.
was unfamiliar with the health care Dara is much more than a resource, Leesa
system here, too,” says Leesa, whose says. She is a friend. “She listens when
treatment included a mastectomy and I cry. She listens when I complain. She
chemotherapy. listens when I’m mad. I feel like she’s one
It is the supplemental services at the of my closest friends,” she says. “Without
Regional Cancer Center that have made Dara, I wouldn’t have known where to
the most difference to the Cape Coral begin. I cannot tell you where we would
woman. She is talking about Dara be without her.”
Leichter, RN, MHA, OCN, CBCN, the
only Breast Health Navigator in Lee
County. “She’s my angel,” Leesa says.
Dara’s job is to help patients navigate their
breast cancer journeys, from diagnosis
through treatment. She helps explain
procedures, prepare patients for what to
expect and answer any questions they
may have. “Even in the very beginning
when I didn’t know for sure if I had

A Sanctuary for the Soul

More than a decade ago—when the Regional Cancer Center was still just an idea—
Sharon MacDonald had one certainty.

Sharon, Vice President of Oncology The Cancer Advocacy Center is a
Services for the health system, knew the telephone line that guarantees patients
comprehensive cancer center would and family members they will talk to a
never be an impersonal place. “We live person within a short timeframe to
knew it would be a place of hope and receive answers to all of their questions.
of healing,” Sharon says. “We wanted To help soothe the body and spirit,
to create a soothing, comforting patients can also take advantage
environment for patients and their family of nontraditional support classes,
members and friends.” such as yoga, meditation, “Creative
In addition to state-of-the-art technology Scrapbooking” and “Not Too Young To
and treatment options, the Regional Fight,” a support group for women with
Cancer Center offers educational and breast cancer.
complementary services to heal the The Cancer Center also has a boutique,
mind, body and spirit. The Cancer Center Cookie’s Place, which provides
has the only Breast Health Navigator and high-quality wigs, massage therapy,
the only Brain and Lung Cancer Navigator mastectomy products and aromatherapy
in Lee County, whose mission is to guide products in a discreet atmosphere.
patients through every step of their
cancer battles.

Trilogy™ Machine Blasts Cancer Cells

The Regional Cancer Center houses a state-of-the-art Trilogy™ radiation therapy
machine specifically equipped to treat brain tumors as small as a few millimeters with
incredibly precise X-ray beams.
The Trilogy uses an advanced 3-D imaging system to pinpoint exactly where the cancer
is located in a patient’s body. Then, the radiation beam is directed precisely to the spot
of the cancer. A sensor even accounts for a patient’s breathing.

Timothy Joyce Martha Judy Cristina Hernandez Debbie Manee Walter Rizo Rosemary Anderson Luis Esquijarosa Nathalie Grondin Jeanne Struve
Nurse Assistant Customer Service Secretary - Obstetrics Secretary Housekeeping Food Services Emergency Department Physical Therapy Dietician

‘I Think I’m Blessed and Doing Pretty Good’

Shirley Gibbs nurse and had never seen blood pressure
Shirley Gibbs, a 69-year-old woman so high in her life,” Shirley says.
from Lehigh Acres, experienced a slight The emergency room physician at
discomfort in the left side of her chest one Lehigh Regional Hospital referred her
day last year when she was doing work for to the cardiac catheterization lab at Gulf
her church. “When I stopped to eat lunch, Coast Medical Center. “I rode up the
I was vomiting. My sister is a retired elevator with the staff that worked on me,
including Dr. Bailey, who was from my
native Barbados. He inserted one small
stent to keep my artery open,” she says.
Shirley stayed in the hospital from
Saturday through Tuesday and then
attended cardiac rehabilitation at
HealthPark Medical Center for 34
sessions. “It was very beneficial to me.
I am a retired registered dietician, so I
know how to eat, but it really opened my
eyes and built my confidence in knowing
my body better and what to listen for,” she
says. “I get to the gym at least two times
per week and have a Stairmaster at home.
I monitor my blood pressure regularly. I
think I’m blessed and doing pretty good.”

The Latest in Technology and Treatment for Heart Care Candida Serrano,
Customer Service
HealthPark Medical Center is an accredited body temperature to between 90- and Associates in
Chest Pain Center. Knowing that 93-degrees Fahrenheit in an effort to Cardiac Care
immediate care can make the biggest preserve brain function.
difference, the emergency department at “Our cardiac program is a fantastic team
HealthPark Medical Center also has the Lex effort to provide the best possible care
and Eileen Roulston Cardiac Decision Unit, for patients in our region. I am honored
which provides immediate assessment to be part of such a remarkable team
and treatment for patients with chest pain. of caregivers,” says Donna Giannuzzi,
One of the newest cardiac treatments RN, Chief Patient Care Officer and Chief
provided by the health system is Administrative Officer for HealthPark
hypothermic cooling, which involves Medical Center.
slowly lowering a cardiac arrest patient’s

The 64-slice CT Scanner provides
extremely high resolution, three-
dimensional images of the heart and
coronary tree in the time it takes for a
patient to take one breath. The three-
dimensional images give cardiologists
a very clear view of a patient’s heart,

allowing them to make more
accurate diagnoses and prescribe
life-saving care immediately.

The Allura Xper FD20 is a sophisticated X-ray system that
provides crisp, detailed images for cardiologists. By viewing
the digital images, cardiologists are better able to assess
any potential heart issues. The faster diagnosis enables the
physicians to begin treatment more quickly.

Dorothy Turkas Dr. Yanet Rios Dr. Asjad Khan Phoenix Schofield Johnathan Santos Lesa Stillman Kathy Bridge-Liles Valerie Cannady Jenny Donahue
Nurse - Oncology Pediatrics Pediatric Endocrinology Radiology Transport Housekeeping Women’s and Children’s Services Laboratory Nurse - Oncology

Minimally Invasive
Hip Replacement
Helps Patients
Mend Faster

Dolly Haymes, John Wambaugh finally accepted it last John Wambaugh
Total Joint Center year. He needed a new hip. around the hip,” says Dr. Humbert,
Lee Memorial “It was like somebody put hot pokers into who explains other methods may cut
Hospital my hip joints,” John says. “It just burned.” through the gluteus maximus muscle
In March 2009, John had a minimally and four more muscles, increasing pain
All-Star Total Joint Center One of invasive hip replacement procedure. and extending recovery. “Although no
the Busiest in the Nation Through this less-invasive approach, surgery is non-invasive, this comes close
orthopedic surgeon Edward Humbert, with hip replacement. It’s one of the most
The All-Star Total Joint Center at Lee Memorial D.O., replaced John’s right hip without successful surgery techniques of the last
Hospital is consistently ranked as one of the 10 cutting any muscles or tendons, naturally 50 years.”
busiest joint replacement centers in the United allowing a more rapid recovery. “I can’t
States, providing about 1,600 joint replacements tell you the relief I’ve had and how dumb
each year. I feel for waiting as long as I did,” John
The Joint Center takes a team approach to care. says. “My quality of life—even being on
“Our multi-disciplinary team of surgeons, nurses, a walker—my life’s better than it’s been
physical therapists and others all work together in years.”
with the patient to pursue the best possible Dr. Humbert says this minimally invasive
outcome,” says Dolly Haymes, RN, Total Joint approach helps patients return to their
Coordinator for Lee Memorial Health System. active lifestyles more quickly, typically
“We want patients to return to their normal lives with less pain. He hopes John’s story
as soon as possible,” Dolly says. will help others to not hesitate or be
fearful of hip surgery. “This approach
is truly the least invasive to the tissues

Spine Center Provides Nonsurgical Options to
Treat Back and Neck Pain

The Spine Center is Lee Memorial Health “By placing a device on the spinal cord, we
System’s comprehensive treatment center for can essentially mask pain in the arm and
patients suffering from back and neck pain. legs,” Dr. Augusthy says. “The device sends
The goal of this program is to have one-stop signals to the brain before pain signals can
care with a Nurse Navigator facilitating the get there, allowing the pain to be concealed.”
diagnosis and treatment with the physician. Other services available through The Spine
“Historically, there have been very limited Center include physical therapy, medication
options for treating neck and back pain. management and conservative interven-
Now, we have many conservative, minimally tional management. “Patients can come here
invasive therapeutic options available,” says knowing they will leave with a good under-
Reggie Augusthy, D.O., a nonsurgical spine standing of their pathology,” Dr. Augusthy
specialist and Director of The Spine Center. says. “Afterward, they will obtain appropriate
Located in the Outpatient Center at The streamlined therapies, whether conservative
Sanctuary, The Spine Center provides and nonsurgical, or surgical in nature.”
multiple treatment options, including neu- Surgical patients requiring admission to
rostimulation, one of the latest minimally the hospital will receive care in The Spine
invasive pain management treatments, to Center’s unit at Lee Memorial Hospital,
help spine pain that extends to the extremi- which features a restful, spa-like atmosphere
ties, causing back, leg, neck and arm pain. and concierge-style service.

Lisa Quick Amy Cuson Elaine Sedloff Bridgett Cuadrao Susan Fagan Dale Geiger Rachel Hoopes Raj Phagu Donna Bradish
Nurse Assistant – Progressive Care Nurse – Intensive Care Nurse – Medical Surgical Nurse – Emergency Department Nutrition Home Health Nurse – Emergence Department Ultrasound Volunteer Services

‘That Man is a Rock Star’

Port Charlotte Man Receives Life-saving Brain Stenting Procedure

In 2009, John Wacker was driving to his John Wacker
Port Charlotte home from the golf course
when he had a “mini” stroke.
John immediately sought care at
HealthPark Medical Center, where he
learned he had two blockages: one in
his neck carotid artery and a second
life-threatening blockage in a brainstem
artery.
Stenting the carotid artery to restore
blood flow is becoming a standard of
care, but it’s only been in the last two
years that someone with a blockage in
a brain artery had an alternative, says
Eric Eskioglu, M.D., one of a select few
neurosurgeons in the country that can
perform this procedure.
John had successful stenting of both
his carotid artery and brain artery
with resolution of all his symptoms
immediately after the procedure. “I guess
I was on my last legs and didn’t know it,”
John says. “That man is a rock star!”

Treatments and Services You Can’t Get Anywhere Else Kandy Dewitt,
Surgery Services
Lee Memorial Health System is Exclusive Provider of HealthPark
Advanced Cerebrovascular Procedures Medical Center
Eric Eskioglu, M.D., and
Patients suffering from blood clots procedure in the area for brain Brian Mason, M.D.
and blocked arteries in the brain now aneurysms. ONYX—a putty-like
have more alternatives than ever, substance used to fill in the aneurysm,
thanks to Lee Memorial Health System’s preventing it from rupturing and killing
Cerebrovascular Neurosurgery program. the patient—is offered in less than a
Endovascular surgeon Eric Eskioglu, M.D., dozen major medical centers in the
and interventional radiologist Brian country.
Mason, M.D., are two of very few select Drs. Eskioglu and Mason are also trained
surgeons in the country who can unblock to administer clot-
clogged arteries in the brain using “brain dissolving medicine via
stenting.” a catheter into the brain,
Stenting arteries in the heart and as well as mechanically
neck, such as the carotid artery, is fairly remove the blood clots,
common, but it has only been in the past and perform stenting
two years that patients have been able procedures outside the
to receive a stent in the brain to restore brain, such as on the
blood flow, says Dr. Eskioglu, Director carotid artery in the neck.
of Cerebrovascular Specialists for Lee “Currently, we are the only
Memorial Health System. Brain stenting center in the country with
involves using a Wingspan™ brain stent, two surgeons who can do
which is a mesh stent small enough to fit these types of procedures,”
into the brain’s tiny vessels, that opens Dr. Eskioglu says.
up the artery and restores blood flow in They are also working
the brain. with the health system
The Cerebrovascular Neurosurgery to develop an advanced stroke center
program, which is located at HealthPark to address these patients who usually
Medical Center, also offers the only require emergent treatment within six
minimally invasive ONYX™ treatment hours of onset of their symptoms.

Helen Mavrelis Chrissy Tucker Sandra Avenengo Joan Van Diggelen Shari O’Connor Julie Mullen Shay Watson Jennifer Paz Alina Ward
Speech Therapy Food Services Nurse Assistant Volunteer Nutrition Laboratory Nurse – Critical Care Nurse – Progressive Care Secretary

Quality Care, Close to Home

New Outpatient Centers Put Medical Care in Your Backyard

April Butler, Lee Memorial Health System opened two new The health system also has the Outpatient Center
Customer Service outpatient centers in 2009 to make it even easier at HealthPark Commons, a 39,000-square-foot
The Sanctuary for patients to access a variety of health care facility near HealthPark Medical Center on Bass
services featuring the latest technology and expe- Road. This Center has a wide range of diagnostic
rienced caregivers. and ambulatory care services, including diagnos-
The Outpatient Center at The Sanctuary is an tic radiology, bone densitometry, cardiovascular
80,000-square-foot building adjacent to the testing, pulmonary function testing and rehabili-
Regional Cancer Center near Interstate 75 and tation services. There is also a breast health center
Colonial Boulevard. The Center features full- and pain management.
service imaging, nuclear and cardiovascular The Outpatient Center at Riverwalk features
diagnostics, a breast health center, lab and access to all diagnostic testing in one location, as
rehabilitation services, comprehensive pain well as imaging and radiology services and a full
management and The Spine Center. Primary and range of lab services. Riverwalk Sports Medicine
specialty care physician offices are also located at and Rehabilitation also offers complete outpatient
the Center. An outpatient surgical center is also rehabilitation services.
scheduled to open at The Sanctuary. In addition to the outpatient centers, the health
The Outpatient Center at Plantation has all new system has more than 30 primary care and spe-
equipment in a state-of-the-art building between cialty care physician offices throughout the area,
Six Mile Cypress and Metro parkways. The Center as well as multiple Lee Convenient Care loca-
offers a range of services, such as a neurodiag- tions for minor emergency needs. These offices
nostics lab that runs tests to detect and diagnose include more than 75 doctors, as well as physician
disorders of the brain and nervous system. There assistants, advanced registered nurse practitio-
is also an outpatient lab, home care services, an ners, certified nurse midwives and trained staff
ALS clinic, an asthma management program and committed to taking care of you and your family’s
offices for Lee Physician Specialists. The Sleep health care needs.
Disorders Center at the Outpatient Center is
designed for the diagnosis, monitoring and treat-
ment of sleep-related disorders.

Unique Outpatient Services

Sleep Disorders Center Lee Wound Care and
Hyperbaric Oxygen Therapy
With locations in Fort Myers and Cape
Coral, the Sleep Disorders Center provides Lee Wound Care combines technology
adult and pediatric testing, monitoring and clinical expertise to offer the very
and treatment for a variety of sleep- latest treatments for chronic and non-
related disorders. responsive wounds, which are typically
Sleep-related disorders—such as sleep those wounds that have not healed after
apnea, insomnia, narcolepsy, periodic one month.
limb movement disorders and more—can As part of its comprehensive program,
often lead to inability to focus, memory Lee Wound Care offers hyperbaric
problems, weight gain, increased blood oxygen therapy. Hyperbaric oxygen
pressure, a poor immune system and job treatment accounts for 5 to 10 percent
impairment. of wound care services and involves
putting a patient in a special chamber
and slowly pressurizing it with pure
oxygen.
Lee Memorial Health System has one
of the few 24-hour hyperbaric oxygen
programs in Florida.

Crystal McMillan Heidi Cooney Barry Kandell Cheri Walton Alex Reichert Lisa Howard Kim Gaide Kathy Georgeson Sharon Cleary
Secretary - Oncology Nurse - Neurology Nurse Nurse – Intensive Care Nurse – House Flow Nurse - Radiology Ambulatory Operations Case Management Nurse Assistant - Neurology

A New Hospital for Our Region

An Expanded Gulf Coast Medical Center Opened in 2009

Gulf Coast Medical Center is a state-of-the-art or recovering from procedures. In addition, the Janice Levine,
facility with 349 licensed patient beds. The newest department has new laparoscopic equipment with Renal Transplant
hospital of Lee Memorial Health System was high-definition monitors that enable surgeons to Gulf Coast
created by merging Southwest Florida Regional perform minimally invasive procedures. Medical Center
Medical Center and Gulf Coast Hospital and add- All 233 new patient rooms at Gulf Coast Medical
ing 430,000 square feet of new construction to the Center have secure computer terminals to provide The Kidney Transplant Center
Gulf Coast Hospital building. caregivers instant access to patient information,
“Gulf Coast Medical Center was de- The Kidney Transplant Center at Gulf Coast Medical
signed at the intersection of Metro and such as dietary needs, medication information Center is the only renal transplant center in Southwest
Daniels parkways to be convenient to and past hospital stays. These computers will Florida between Tampa and Miami.
Interstate 75 and U.S. 41. We are in a be enhanced with the health system’s electronic The Transplant Center also has one of the shortest
central location for the region and see medical record technology, providing even more wait lists in the entire nation for patients needing
patients from all over the area, includ- patient information and faster access. kidney transplants. On average, patients in the United
ing Alva, Clewiston, Immokalee, North The cabinets storing the computers also have States wait 37 months for a kidney. At The Transplant
Fort Myers, Estero and Bonita Springs,” wireless barcode scanners that are used each time Center, they wait 13 to 15 months. “We are a smaller
says Doug Luckett, Chief Administrative a patient is administered medication to ensure he program compared to others. When there are fewer
Officer for Cape Coral Hospital and Gulf or she is getting the right medicine at the patients on the list, there is more of a chance of you
Coast Medical Center. right dose. getting the kidney faster,” says Dave Mainous, System
The Radiology department has some of Director of Renal Transplant Services for Lee Memorial
the latest digital technology to provide Health System.
faster diagnoses for treatment, including The Transplant Center opened in 1990, so patients
the Picture Archive Communication and needing transplants would not have to travel out of
Storage system, or PACS, that enables ra- the area for the operation and for a lifetime of follow-
diologists to view X-rays on a computer up care. “When you do a transplant, you follow the
terminal, rather than on traditional film patient forever,” Dave says.
in front of a light. Using PACS, radiologists can The Center averages about 25 to 30 transplants each
manipulate the image to get a clearer image. year and hopes to expand in the coming years.
The department also has two 40-slice CT scan-
ners, one in Radiology and one in the Emergency
Department. The 40-slice scanners create high-
resolution images of the heart, vascular system
and other areas of the anatomy.
Gulf Coast Medical Center also features an
expanded Surgical department, with 22 operat-
ing rooms and 65 beds for patients preparing for

A Fond Farewell to a Landmark

In the fall of 2009, Lee County said farewell The 470,000-square-foot building that
as demolition began on the former home housed Southwest Florida Regional Medical
of Southwest Florida Regional Medical Center is being torn down to make way for
Center on Winkler Avenue. a 250,000-square-foot regional distribution
Lee Memorial Health System combined center for LeeSar, the supply chain
Southwest Florida Regional Medical management company for Lee Memorial
Center, which opened in 1974 as Fort Health System and Sarasota Memorial
Myers Community Hospital, and Gulf Coast Healthcare System. The distribution center
Hospital in March 2009 to open its newest will include a centralized sterilization center
hospital—Gulf Coast Medical Center. for medical supplies and a central kitchen
for patient food service.

Cindy Merrill Mary Anderson Joe Hernandez Sue Thomas Patricia Martinez Jennifer Vega Rose Brantner Vicki Cadsawan Dr. John Iacoune
Oncology Food Services Nurse - Progressive Care Facilities Nurse Assistant - Telemetry Nurse - Pediatrics Nurse – Emergency Department Nurse The Children’s Hospital

Restore. Rebuild. Rehab.

The Rehabilitation Hospital is the only licensed inpatient
rehabilitation facility in Lee County

The Rehabilitation Hospital, a 60-bed specialty “Our goal at The Rehabilitation Hospital is to
hospital located in Lee Memorial Hospital, pro- help patients recover functional abilities, such as
vides comprehensive rehabilitation services for eating, bathing, dressing and grooming, and adapt
patients recovering from strokes, brain injuries, to permanent disabilities, so they can return to the
spinal cord injuries, major trauma and more. community,” says Walt Ittenbach, CRRN, FACHE,
It has also been designated as a state Brain and Vice President for The Rehabilitation Hospital.
Spinal Cord Injury program. The hospital pro- The Rehabilitation Hospital is dually accred-
vided care for more than 1,000 patients in 2009. ited by the Commission on Accreditation of
Patients of The Rehabilitation Hospital are admit- Rehabilitation Facilities, with specialty certi-
ted following an acute care hospital stay. Clinical fication in stroke management, and The Joint
services provided at the hospital include medical Commission. “Comprehensive rehabilitation can
management, psychology, rehabilitation nursing, make a very big difference in a patient’s recovery
physical therapy, occupational therapy, speech/ and quality of life,” Walt says. “Having all these
language pathology, therapeutic recreation and clinical disciplines ensures our patients have a
case management. comprehensive and coordinated rehabilitation
plan of care.”

Fort Myers Couple is a Grand Slam
for The Children’s Hospital

Astrid Gonzalez- In 2001, Jack Blais made an offer to the crowd at organizing committee for the Red Sox tourna-
Parilla, the Boston Red Sox Children’s Hospital Celebrity ment held each year at The Forest Country Club.
Physical Therapy Classic. He pledged to match all cash raised from Jack also serves as a trustee for the Lee Memorial
Rehabilitation the event, dollar for dollar. Health System Foundation and is a member of its
Since then, with the continued support of Jack development committee.
and his wife, Shelley, the event has raised more The Blaises split their time between Fort Myers
than $2 million for The Children’s Hospital of and Framingham, Mass., where they provide
Southwest Florida. “We like to join with people support to a Boston-area hospital that provided
and associations that are really top-notch, and life-saving care to a family member who was
this hospital certainly exudes that,” Jack says. “The diagnosed with a cancer thought to be incur-
management at this hospital is one of the finest in able. “Some of the children and families we never
the world, without question.” meet,” Shelley says. “That doesn’t matter, as long
Jack and Shelley also serve each year on the as you know you’re helping them.”

The Healing Arts

The four-year-old played quietly at The what people can’t get people to do,” Pat says of
Children’s Hospital of Southwest Florida, his animatronics.
a cast on one arm and a mask over his
mouth. He pieced together a puzzle, Pat’s singing creations certainly are not just for
expressionless. kids. Toco lays down a mean rendition of Roger
Miller’s “King of the Road.” One cardiac patient
Then, Pat Starace, a volunteer for Lee heard the snapping fingers and said, “That’s my
Memorial Health System’s Arts In favorite song.”
Healthcare program, came walking
through the door with Toco, his She started singing along, tapping her hand on
singing animatronic toucan, perched the arm of her chair, and said, “Thank you. I will
on his hand. A quick press of an iPod not forget you.”

button, and Toco began to sing, “In The Arts In Healthcare Program, which was
the jungle, the mighty jungle…” created in 1997 by Sonia Arledge-Lomano,
Program Coordinator, is a nationwide
Volunteer His beak crooned wide and his movement that links the expressive arts with
Pat Starace wings opened and his neck swayed, the healing arts to promote the well-being
making the boy raise his eyebrows of patients of all ages and their caregivers.
and laugh so hard his mask fell off. The program has more than 40 volunteers
“For a temporary time, Toco takes you out throughout the health system providing
of your situation,” says Pat, who also visits various forms of art, including visual arts, music,
HealthPark Medical Center with his singing clowning and crafts. Each hospital within the
pineapple, Pablo, and his 3-foot-tall singing system has dedicated galleries to showcase Art
hockey puck, Stanley, a former mascot of By The disABLEd.
the New York Special Olympics.
Arts In Healthcare is supported through
“It’s magic. These things get people to do philanthropy.

Heather Redford Carol Bennett Hank Warner Cathy Brady Pam Bourgeois Stefanie Neff Ketki Shah Maria Nolan Randi Murphy
Licensed Practical Nurse Nurse - Cardiology Security Home Health Nurse Aesthetician Auxiliary Nurse Assistant - Oncology Customer Service

Lee Memorial Health System has Only Trauma
Center in Southwest Florida

The Level II Trauma Center located within Lee is the first hour after the trauma occurs.”
Memorial Hospital is the only one of its kind Trauma patients taken to typical EDs risk losing
between Tampa and Miami, and treats more than too much time because they are not geared for
2,000 injured patients each year. rapid triage, assessment and intervention with the
There are major differences between a trauma necessary services immediately available, he says.
center and an emergency department, says “If too much time passes, and we miss the window
Michael Marcus, RN, ENT-P, Trauma Program of opportunity, it may lead to poor outcomes,”
Manager. he says. “If a patient in our trauma center is sick
A state-designated trauma center must have a enough, we can do the operation right there in the
trauma surgeon available 24 hours a day, seven ED, if necessary.”
days a week, and a back-up surgeon. The center In addition to trauma care, the Trauma Center
must also have trauma-trained personnel ready actively participates in the continuum of care; pro-
all times in the ED and operating room, as well vides multiple outreach, prevention and education
as accompanying services—such as anesthesia— opportunities; collaborates with multiple agencies,
available 24 hours a day and immediate access to such as Lee County Emergency Medical Services;
the subspecialties, such as neurology and orthope- and follows patients from their point of entry into
dic surgeons. the Trauma Center through rehabilitation services
“The entire hospital must be set up to care for and reintegration into the community. “Being a
patients rapidly,” Michael says. “What we are ‘trauma center’ is not just a designation. It is a
consistently fighting for is ‘the golden hour,’ which multi-faceted, dedicated system to care for the
patient,” Michael says.

New, Roomy Emergency Department at
Gulf Coast Medical Center

The Emergency Department at Gulf Coast in South Lee County. Gulf Coast Medical Center Lael Desmond, M.D.,
Medical Center has the highest ambulance traffic also has the only kidney transplant center between Emergency
of any ED in Lee County, due to its convenient Tampa and Miami. “Our largest admissions, by Gulf Coast Medical
location at Metro and Daniels parkways. far, are cardiac patients. We also have higher Center
The 43-bed, state-of-the-art ED is also the “go-to” volumes of acute strokes. We have to know our
place for stroke and cardiac patients transported cardiac, our neuro, our pediatrics and our endo-
by ambulance. crine, for those patients who need or have had
That is why the ED’s “blended culture” is so transplants,” Delecia says. “When a patient comes
valuable, says Delecia Tidaback, RN, MSN, through our doors, they will know that someone
Nursing Director of Emergency Services for there has had hands-on experience providing the
Gulf Coast Medical Center. When the hospital care that they need.”
opened in March 2009, it merged the staffs To keep up with the heavy patient flow, the ED
of two hospitals. “Gulf Coast Hospital had a has an Intake program designed to get patients
smaller community hospital feeling and a strong with less severe needs treated as quickly as pos-
background in pediatrics. Southwest Florida sible, so caregivers can focus on those with more
Regional Medical Center had a more urban severe needs.
feeling with a lot of cardiac and neurology The ED is located in Gulf Coast Medical Center
patients,” Delecia says. “The staff has been really near some of the best technology for emergency
proactive about learning from each other.” care, such as the 40-slice CT scanner that shows
The ED at Gulf Coast Medical Center often sees three-dimensional, high-resolution images of
patients from Collier and Hendry counties, as well the heart, vascular system and other areas of the
as Lehigh Acres, because it is the easternmost ED anatomy.

Cape Coral Hospital Expands Emergency Department

The Weigner-Taeni Center for Emergency so they do not have to wait as long in the dedicated entrance and wash-down area for
Services at Cape Coral Hospital is the busiest ED,” says Lawrence Antonucci, M.D., Chief patient isolation, such as those exposed to a
emergency department in Lee County, with Operating Officer for Hospital
55,000 patient visits each year. and Physician Services. hazardous chemical, that is part of
the ED’s Decontamination Area.
That’s why Lee Memorial Health System Phase 3 will consist of Cape Coral Hospital is the state-
decided several years ago that it was time to adding more exam rooms designated Decontamination
expand the ED. The five-phase project should and support space. Phase 4 Receiving Facility for the area.
be completed in winter 2011. involves modernizing and When the entire project is
Phase 1 involved moving the Medical Records renovating the treatment finished, there will be 23,400
department. Phase 2 consisted of expanding space that will become vacant square feet of space. In addition to the
the ED’s Fast Track area. “The Fast Track area after Phase 3 is complete. Phase 5 will focus expanded Fast Track area, there will be 42
is where people with minor injuries and on upgrading finishes in the space near and patient beds, instead of the current 24, and
illnesses get evaluated and treated quickly, adjacent to the ambulance entry, as well as a some will be dedicated to pediatric care.

Dawn Strey Jeanine Senat Sandy Estrada Sandra Raak Rommy Neyra Francine Gagel Frank Gurecki April Solt David Gaylor
Customer Service Food Services Pharmacy Interior Design Nurse - Surgery Registration Occupational Therapy Nurse Assistant - Pediatrics Plant Operations

Services Available in Our Community

Gina Delano, Hospitals Neuroscience Step Down
Volunteer with Cape Coral Hospital Nutrition Counseling
Brutus, Gulf Coast Medical Center Obstetrics
Therapy dog HealthPark Medical Center Older Adult Services
Lee Memorial Hospital Open Heart Intensive Care
The Children’s Hospital of Southwest Florida Oncology Services, Inpatient and Outpatient
The Rehabilitation Hospital Orthopedics
Pain Management
Outpatient Centers Pediatric and Pediatric Specialties
HealthPark Commons Prescribed Pediatric Extended Care
The Sanctuary Progressive Care – Medical and Surgical
Plantation Radiology
Regional Cancer Center Regional Perinatal Intensive Care
Riverwalk Respiratory Care
Senior Behavioral Health Center
Lee Convenient Care Skilled Nursing Facility
Sleep Disorders Center
Clinical Services and Programs Spine Center
Adult and Pediatric Primary Care Stroke
Adult and Pediatric Specialty Care Surgical Services and Outpatient Surgery
ALS Clinic Trauma Care
Asthma Management Program Transplant Center
Balance Clinic Women’s Services
Bariatric Program Wound Care
Blood Centers
Breast Health Centers Special Care Services
Cardiac Catheterization Childbirth Classes and Family Education
Cardiovascular Community Health Screenings and Education
Chest Pain Center Corporate Employee Health
Congestive Heart Failure Care Ethics Consultation Group
Diagnostic Imaging Parish Nurse Program
Electrophysiology Lab Pediatric Bereavement Counseling
Emergency Care Medical Social Work and Case Management
Endoscopy Spiritual Services
Fitness Centers Support Groups
Home Health
Hyperbaric Oxygen Therapy Rehabilitation and Wellness Programs
Infusion Center Services for Antibiotic and Cardiac Rehabilitation
Anticoagulant Therapy Children’s Rehabilitation Center
Intensive Care – Medical and Surgical Outpatient Therapies
IV Therapy Pulmonary Rehabilitation
Laboratory Services Traumatic Brain and Spinal Injury Program
Diabetes Care
Lithotripsy Volunteer Resources and Auxiliaries
Medical Telemetry Cape Coral Hospital Auxiliary
Neonatal Intensive Care Gulf Coast Medical Center Auxiliary
Neurodiagnostic Labs Lee Memorial Auxiliary

A Priceless Gift of backgrounds, but share a common desire to
help others and their community. They give up
There are more than 4,500 volunteers and their personal time to help not only the commu-
auxilians within Lee Memorial Health System nity, but also the employees and physicians who
who donate more than a half million hours work within Lee Memorial Health System.
each year. Volunteers and auxilians are
individuals who come from a wide variety

MJ Noone Terry Botma Bob Browning Susan Cook Nancy Leonard Susan Ilczyszyn Steve Stockbridge Dale Miller
Pediatrics Nurse Assistant Security Wellness Center Food Services Wellness Center Plant Operations Nurse Assistant – Medical Surgical

The Future of Health Care

Transforming the Way We Manage and Communicate Patient
Medical Information

For more than a decade, Lee Memorial Health Memorial Health System could receive as much as
System has been working to incrementally create a $40 million in stimulus funds to further develop
community electronic medical record. the electronic medical record.

The health system’s existing electronic medical re- A comprehensive community-wide electronic Luis Esquijarosa,
cord, NetAccess, has been very successful, but the medical record would give health care provid- Emergency
health system is now installing a new electronic ers instant access to patients’ medical records, Department
medical record to meet future requirements, says meaning faster and more accurate diagnoses, Cape Coral
Mike Smith, Chief Information Officer. elimination of duplicative paperwork and testing, Hospital
The health system has already invested $5 mil- higher quality care and significant cost savings
lion to install the new electronic medical record for patients, physicians and other care providers.
technology—called Epic—in the emergency “This really is a new era in health care and the
departments at Cape Coral Hospital, HealthPark way physicians and other caregivers communicate
Medical Center and Lee Memorial Hospital, as with each other and with patients,’ says Lawrence
well as in more than half of the Lee Physician Antonucci, M.D., MBA, Chief Operating Officer
Group offices. It will take an additional $70 for Hospital and Physician Services. “This is the
million to complete the project throughout the future of health care.”
system. To qualify for the federal funds, the health system
The plan is for Epic to be fully functioning in must have the electronic medical record in place
2013. When that is accomplished, the health throughout the health system. The next step is
system will meet the criteria for federal stimulus to have Epic fully in place at Gulf Coast Medical
dollars through the American Recovery and Center by mid-2011. In 2012, all of the health
Reinvestment Act. This Act has set aside $19 bil- system’s hospitals will have the new technology.
lion for hospitals and health systems to establish In 2013, Epic will be installed in all Lee Physician
electronic medical records. “The legislation says Group and employed specialists’ offices, and the
you have to be a ‘meaningful user’ of advanced hospitals will be using the advanced “meaningful
EMR capabilities to qualify. We intend to meet use” functionality.
this qualification,” Mike says. The health system also intends to make Epic avail-
Funds will be divided among hospitals based on a able to interested community physicians who are
formula of each hospital’s Medicare and Medicaid not employed by the health system but need an
patient caseloads. With more than 60 percent of electronic medical record for their practices.
patients eligible for Medicare or Medicaid, Lee

A Community that Cares

Thanks to generous community support and donations, the Lee Memorial Health System Foundation was able
to provide $5.48 million to Lee Memorial Health System in Fiscal Year 2008-2009. Here is a list of just some of the
health system’s facilities, programs, services and equipment that benefited from the Foundation’s support:

• Heart & Vascular Institute - NICU Ambulance • Intensive Care Units
• Barbara’s Friends (pediatric cancer care) - Pediatric Intensive Care Unit • Cancer Research
• The Children’s Hospital of Southwest - Pediatric Oncology • Medical Library
- Sunshine Ambassadors (grandparents • Employee Assistance Program
Florida • Friends of Nursing
- Arts In Healthcare support program) • Staff Education
- Autism Outreach • Pediatric Oncology Research • Nursing Research
- Bereaved Parents of Southwest Florida • Cerebrovascular Neurosurgery • Lee Parkinson’s Care
• Emergency Departments • Memory Clinic
(pregnancy loss support group) • Cape Coral Hospital • Older Adult Services
- Child Advocacy Program • HealthPark Medical Center - Care Giver Grant
- Child Life Program • Lee Memorial Hospital - Gerontology
- Child Safety Seat Program • Gulf Coast Medical Center • Pharmacy Education
- Cystic Fibrosis Center • Healthy Start Care Coordination • Q-Life Palliative Care Program
- Cystic Fibrosis Newborn Screening • Regional Cancer Center • Sew Angelic
• Lee Diabetes Care • Spiritual Services
Program • Gestational Diabetes Education • Parish Nurse Program
- Hospital Teacher Program • Scholarship Grant Program • Trauma Center
- Memory Garden • Disaster Preparedness
- Music Therapy
- Neonatal Intensive Care Unit (NICU)

Dr. Roberto Monge Shari Keller Rod Allen Michelle Waddell Les Brenkman Lindy French Linda O’Bannon Pamela Schroeder Renee Sheppard Dr. Chakrapani Gupta
Pediatrics Mammography Plant Operations Neonatal Intensive Care Auxiliary Oncology Facility Construction Nurse - Oncology Nurse - Oncology Anesthesiologist

Lee Memorial Health System’s
Economic Impact

Cape Coral Hospital In Fiscal Year 2009, Lee Memorial Health System Based on a projection for this study, for every
636 Del Prado Boulevard had an overall economic impact in Lee County of additional 100 people employed at Lee Memorial
Cape Coral, Florida 33990 nearly $1 billion, resulting in more than 13,600 Health System, an additional 78 jobs will be cre-
239-574-2323 jobs, acording to a study by Florida Gulf Coast ated in the county.
HealthPark Medical Center and University. The six-week study by Florida Gulf Coast
The Children’s Hospital of Southwest Florida Lee Memorial Health System commissioned the University looked at the fiscal year ending
9981 S. HealthPark Drive Regional Economic Research Institute at Florida September 2009. During that time period, the
Fort Myers, Florida 33908 Gulf Coast University to conduct an economic health system spent $532 million in salaries for
239-433-7799 impact study of Lee Memorial Health System employees and $927 million in total expenditures.
on Lee County. The goal: to discover the overall In addition, $77 million was spent on new equip-
economic impact of the health system’s four acute ment and facilities, including constructing Gulf
care hospitals, outpatient facilities and other sup- Coast Medical Center.
port services in the county. As a result, the overall economic impact of Lee
“Economic impact studies look at how an orga- Memorial Health System on Lee County had an
nization brings economic value to a community. added value (primarily income) of $984.1 million;
For instance, in 2009, the health system employed $763.2 million in labor income and $1.6 billion in
the equivalent of 7,660 full-time employees, who expenditures.
spent their salaries on mortgages, groceries, “During the difficult recession years of 2008 and
entertainment and other goods and services,” 2009, Lee Memorial Health System and the Lee
says Gary Jackson, PhD, Director of the Regional County health care industry were one of the few
Economic Research Institute at Florida Gulf Coast industries to add employment. Health care is
University. expected to continue to be a fast-growth industry
“Because these employees spend their salaries in creating health care employment and supporting
Lee County, and the health system also makes a wide range of other employment for local goods
purchases and investments benefitting other busi- and services that support health care and their
nesses, approximately 6,000 additional employees employees,” Dr. Jackson says.
in Lee County are hired by other firms to support
Lee Memorial Health System and its employees.”

…for every 100 people employed at
Lee Memorial Health System, an additional 78
jobs will be created in Lee County.

Gulf Coast Medical Center Lee Memorial Hospital and
13681 Doctor’s Way The Rehabilitation Hospital
Fort Myers, Florida 33912 2776 Cleveland Avenue
239-343-1000 Fort Myers, Florida 33901
239-332-1111

Maylene Charles Dr. Rodrigo Mon Gail Cannistraro Itzel Mitchell Karen Evesson Rosemarie Vitale Dr. Sunil Pammi Maite Fernandez Daisy Roberts
Secretary – Intensive Care Pediatric Surgery Scheduling Nurse - Neurology Customer Service Home Health Pulmonary Medicine Nurse – Infectious Disease Food Services

Lee Memorial Health System System Leadership
Gives Back to the Community
Jim Nathan, President
As a public safety-net hospital system created under the laws of the State of Florida, Lee Memorial
Health System is committed to meeting the needs and improving the health status of the people of John Wiest, Chief Operating Officer, Business
Southwest Florida. We do this without any local tax support. In fact, we are the largest public hospital and Strategic Services
system in the state without local tax support, and one of the largest in the country. We assess the health
care needs in our community, and assess our ability to allocate significant resources to support those Larry Antonucci, M.D., Chief Operating Officer,
needs that would otherwise go unmet. We provide essential services that are either not paid or under Hospital and Physician Services
paid because of our commitment to the community.
Gaile Anthony, Chief Administrative Officer,
In 2009, we provided in excess of $218 million in charity care, community outreach and education, Lee Memorial Hospital
and unique one-of-a-kind medical services, low income services provided at less than cost, such as
Medicaid, and necessary services that are provided at a loss such as Trauma care or other government Jon Cecil, Chief Human Resource Officer
programs.
Donna Giannuzzi, Chief Nursing Officer and
Because we are tax exempt, we received a benefit of approximately $35.7 from taxes we did not pay. Chief Administrative Officers, HealthPark
The chart below shows the true value to the community of $182.5 million as adjusted for the taxes we Medical Center
did not pay.
Charles Krivenko, M.D., Chief Medical Officer
Community Benefit Millions Clinical Services

Cost of Charity Care for low income patients $35.8 Doug Luckett, Chief Administrative Officer,
Gulf Coast Medical Center and
Cost of community outreach, education 12.3 Cape Coral Hospital

Cost of unpaid Medicaid services 26.2 Medical Staff Presidents

Cost of unpaid Medicare and other government programs 143.9 Cape Coral Hospital
President, Medical Staff Executive Committee
Total value of services provided by Lee Memorial Health System to the community 218.2 David Reardon, M.D.

Less the benefit to Lee Memorial Health System of taxes not paid due to tax exemption (35.7) Gulf Coast Medical Center
President, Medical Staff Executive Committee
Net Value of the 2009 Community Benefit 182.5 Charlie Bisbee, M.D.

Financial Statement — Fiscal Year 2009 HealthPark Medical Center
President, Medical Staff Executive Committee
Lee Memorial Health System reinvested $156.2 million back into the community in new buildings and Ralph Gregg, M.D.
equipment this year, as shown in the summary of cash flows below. We are committed to growing with
our expanding community, so we can continue to meet your health care needs with technologies and Lee Memorial Hospital
facilities when and where you need them. President, Medical Staff Executive Committee
Razak Dosani, M.D.
Consolidated Statement of Cash Flows Millions
The Children’s Hospital of Southwest Florida
Cash provided from operations $156.2 President, Medical Staff Executive Committee
Emad Salman, M.D.
Cash provided from non-operating activities, primarily investments and donations (34.6)
Auxiliary Presidents
Cash retained to fund future replacement of buildings and equipment (11.7)
Cape Coral Auxiliary
Total Cash Available 109.9 Mary Pat Roleke

Cash reinvested into Lee Memorial Health System new buildings and equipment (67.0) Gulf Coast Medical Center Auxiliary
Nancy Stanfield
Cash used to make financing payments on prior years purchases of buildings and equipment (42.9)
Lee Memorial Auxiliary
Total Cash Used to Improve the Quality of Health Care (109.9) Nora Harmon

Christine Strong Deidra McNeal Rem Delaney Linda Shingler Marie Hepp Woody Brown Nora Harmon Rita Conway Vicki Durso
Volunteer Housekeeping Radiology Home Health Oncology Pharmacy Auxiliary Customer Service Ambulatory Operations

Lee Memorial Health System
Board of Directors

District 1

Stephen R. Brown, M.D. Marilyn Stout

District 3

Lois C. Barrett, MBA Linda L. Brown, ARNP, MSN
District 2

Richard B. Akin Nancy M. McGovern, RN, MSM
District 4

Frank T. La Rosa Dawson C. McDaniel

District 5

James Green Jason Moon

23 56 8 9 11 12 14 1617 19 21 23
13 24

22

1 4 7 10 15 18 20

25

Lee Memorial Health System team members on the cover:

1. Patricia Martinez 14. Brad White
2. Amy Cuson 15. Janice Levine
3. Courtney Murray 16. Jeanne Struve
4. Maria Arroyo-Moreno 17. Dolly Haymes
5. Donna Bradish 18. Astrid Gonzalez-Parilla
6. Heidi Cooney 19. Dr. Emad Salman
7. Adele Ledain 20. April Butler
8. Sue Thomas 21. Lisa Quick
9. Joe Hernandez 22. Kandy DeWitt
10. Dr. Lael Desmond 23. Bob Browning
11. Rommy Neyra 24. Itzel Mitchell
12. Linda O’Bannon 25. Candida Serrano
13. Tina Gegeckas

www.LeeMemorial.org

© 2010 Lee Memorial Health System All Rights Reserved 8747 MKT 5-10