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A N N U A L

R E P O R T

A New Direction in Healthcare Excellence


“It’s the people who really make a hospital the doctors are excellent, and the care is exceptionally good. Everyone who works here is outstanding.” Andrew J. Mitchell, FACHE President & CEO, PBMC Health & Peconic Bay Medical Center

“PBMC Health is on a quest to achieve a level of clinical and service excellence that will raise the bar in health care. ” Scott B. Sheren, MD President, PBMC Health Medical Staff

“Our ambition is to be the very best every day at everything we do.” Sherry Patterson Chair, PBMC Health Board of Directors

“We’re making a difference in people’s lives. And there’s a lot more we can do.” Gordon Huszagh Chair, PBMC Health Foundation Board


A New Direction in Healthcare Excellence

The year 2012 was a special one for PBMC Health, full of challenge, growth and change. We accomplished a number of major milestones in our continuing mission to serve the people of our communities. In doing so, we accomplished something else that makes PBMC Health proud to be part of this growing community of caregivers. We have changed people’s perceptions about the quality of healthcare service available in eastern Suffolk County. While many people already preferred our hometown brand of compassionate care, many more are now realizing they no longer need to drive west to obtain the most advanced medical technology or the highest safety ratings.

A New Direction in Healthcare Excellence

What was once a small community hospital has grown to become a leading-edge resource—a destination for people seeking the highest quality medical care supported by a comprehensive continuum of health and wellness services. The story of what we have accomplished and our plans for the future are featured throughout this report. As leaders, contributors and supporters, we are proud to present you with our first formal Annual Report as PBMC Health.

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Knowledge of Experts. Compassion of Neighbors.


Contents

Introducing PBMC Health Providing the community and the region with a comprehensive continuum of care

Leadership Message . . . . . . . . . . . . . . . . . . . . . . . . . . . IFC Introducing PBMC Health . . . . . . . . . . . . . . . . . . . . . . . . 2 New Directions in Safety, Technology and Care . . . . . . 4 The PBMC Health Main Campus . . . . . . . . . . . . . . . . . . 6 Expanding Scope of Community-Based Services . . . . . 8 Centers of Excellence & Innovation . . . . . . . . . . . . . . . 10 The People of PBMC Health . . . . . . . . . . . . . . . . . . . . . 12 The PBMC Continuum of Care . . . . . . . . . . . . . . . . . . . 14 Commitment to Safety and Quality . . . . . . . . . . . . . . . 16 A Strong Foundation . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 The Power of Volunteerism . . . . . . . . . . . . . . . . . . . . . . 20 A Foundation for the Future . . . . . . . . . . . . . . . . . . . . . 22 A Sound Financial Footing . . . . . . . . . . . . . . . . . . . . . . . 24 Moving Forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 How You Can Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

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Giving a new name to our enterprise is a public declaration of our commitment to our new direction as a forward-leaning, responsive and proactive community service resource. What began in 1951 as a small community hospital serving the residents of Riverhead has responded to the growing needs of the region by expanding beyond the walls of the hospital to encompass a comprehensive and continuously growing continuum of care under the name PBMC Health. Focused on addressing the needs of the people and families we serve through all the stages of life, the PBMC Health continuum of care now includes:


A New Direction in Healthcare Excellence

Peconic Bay Medical Center, the main campus of PBMC Health, which includes a 200-bed community hospital, a highly regarded Emergency Department and designated Stroke Center, The Kanas Center for Advanced Surgery, Centers of Excellence in Joint Replacement and Bariatric Surgery, minimally invasive and robotic surgery, and a growing range of leading-edge medical services. Peconic Bay Home Health Services, a certified home health agency that provides a comprehensive array of skilled nursing, rehabilitation and home care services to all of Suffolk County. Peconic Bay Skilled Nursing and Rehabilitation Center, a 60-bed facility located right on the grounds of Peconic Bay Medical Center, and rated 5-Stars by US News and World Report, provides short-and-long term care and rehabilitative services, including access to the state-of-the-art Cary Grossman Physical Therapy and Rehabilitation Center. Pegasus House Palliative Care Center, an eight-bed specialty unit focusing on care, comfort and the compassionate needs of seriously ill patients and their families. PBMC Medical Group, providing access to outstanding family medicine and surgical specialist services at community-based physician offices located in Riverhead, Mattituck, Westhampton Beach, Hampton Bays, Center Moriches, and--opening in 2013--Manorville. Peconic Bay Primary Medical Care P.C., a community-based primary care facility associated with and supported by our Graduate Medical Education program. Peconic Bay Graduate Medical Education, Family Medicine and General Surgery Residency Program, training the next generation of primary care physicians and specialists. Peconic Bay School of Radiologic Technology, which provides state-of-the-art preparation for the next generation of radiologic technicians. The Gertrude & Louis Feil Campus for Ambulatory Care, a 25,000 square foot campus opening in Manorville in 2013, which will provide primary care, urgent care, pediatric and orthopedic services followed by an expanding range of advanced specialty services, including digestive diseases and general surgery offices.

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New Directions

‌in Patient Safety

‌in Technology

A New York State Leader: Thanks to the tireless efforts of our staff members, and smart investments in facilities and technology upgrades, Peconic Bay Medical Center has been rated #2 in the Tri-State Area and #3 in all of New York State for Patient Safety by a leading national consumer ratings agency.

Minimally Invasive Robotic Surgery: The first community hospital in Suffolk County to offer the advanced, minimally invasive technology of the daVinci robotic surgery system, PBMC Health has upgraded to the more advanced, dual console daVinci Si system, which offers increased capabilities for complex surgeries while reducing the number of required surgical incisions.

Advanced Electronic Health Records System: In upgrading to the state-of-the-art Soarian medical records system, PBMC Health has made it easier and faster for caregivers to communicate and collaborate on delivering the safest, highest quality care for every patient. Not only does this use of advanced technology achieve higher standards of quality control and efficiency, but it also enables each of our 1,200 caregivers to provide better and more personalized care to our patients.

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A New Direction in Healthcare Excellence

…in Community-Based Care

…in Creating a Community of Care

Truly Delivering Care…to where it’s needed most: In its mission to provide the best possible health care services for the community, PBMC Health has grown from a one-location community hospital to a wide-ranging network of communitybased services, offices and facilities.

Of the community, for the community: The caregivers of PBMC Health are an integral part of the community. Many of us grew up in Suffolk County. Our patients are not just faceless statistics, but our family members, neighbors and friends. Peconic Bay Medical Center is our hospital of choice, not just to work and provide care, but to receive the best possible care as well.

In addition to Suffolk County’s largest and most comprehensive provider of Home Care services, the PBMC Health continuum of care now includes a growing network of primary care family medicine practices, communitybased specialty physician practices, community-based rehabilitation and laboratory services, and The Gertrude & Louis Feil Campus for Ambulatory Care, which will offer a growing range of services in a convenient Manorville location.

There are more than 1,200 of us working together as a single team to enhance the quality of care for the community, supported by hundreds of dedicated volunteers, generous donors and local business sponsors. Together, we are also improving the community’s quality of life.

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The Heart of PBMC Health: The Main Campus As the center and foundational resource for the PBMC Health continuum of care, the main campus offers central access to leading-edge facilities that support all the other services and service providers of the continuum. Continuous investment in the facilities, capabilities and people of the Main Campus are essential to the continued growth of PBMC Health and our ability to serve the growing needs of the community.

PBMC Health Emergency Center: Providing expert care for 35,000 emergency room visits annually, our emergency department is a NYSdesignated Stroke Center, staffed by faculty physicians from the Stony Brook University’s Department of Emergency Medicine.

The accomplishments shown on these pages would not have been possible without the generosity of our donors, volunteers, hard-working staff members, physicians and community supporters.

Peconic Bay School of Radiologic Technology: PBMC Health’s highly regarded 24-month training and certification program for radiology technologists has now become affiliated with SUNY Empire State College and is the only hospital-based program in Suffolk County.

Peconic Bay Medical Center The centerpiece of the Main Campus and the heartbeat of PBMC Health, Peconic Bay Medical Center is the largest hospital system in eastern Suffolk County.

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Peconic Bay Graduate Medical Education, Family Medicine and General Surgery Residency Program: As a major clinical campus for the New York College of Osteopathic Medicine, PBMC Health has expanded its graduate medical education programs to include residency training programs in Family Medicine and General Surgery.


A New Direction in Healthcare Excellence

New Soarian™ Electronic Health Records System: The advanced new Siemens system supports faster, more accurate diagnoses, while improving patient service and patient safety.

Peconic Bay Skilled Nursing and Rehabilitation Center and Pegasus House Palliative Care: One of the most highly regarded facilities of its kind on Long Island, our nursing, rehabilitation and palliative care programs have earned a Five-Star Quality Rating from the Center for Medicare and Medicaid Services (CMS), which identifies these facilities as “much above average” and received a 5-Star rating from US News and World Report.

The Kanas Center for Advanced Surgery: Widely considered among the top surgical facilities in the Northeast, the Kanas Center is now the surgical venue for two designated Centers of Excellence: Total Joint Replacement for Hip and Knee, and Bariatric Surgery. daVinci Si Robotic Surgery System: The renowned, minimally invasive surgical technique that reduces pain, blood loss and recovery time.

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Going above and beyond... PBMC Health Community-Based Facilities & Services:

The Community’s First Choice for Family Care One of the major changes in direction for PBMC Health—and for health care providers throughout the nation—has been reaching out into the community to provide services that prevent, replace or reduce the need for hospitalizations. This starts with assuring that every family has access to the highest quality in primary care: every family deserves a family doctor. PBMC Health’s growing network of multi-specialty, family practice and urgent care locations continues to provide services for families throughout our region, acting as resources to guide our fellow members of the community to healthier lifestyle choices as well as to the best possible medical services and specialists if they are needed. With the national mandate for health care reform and the implementing of the Affordable Care Act, our focus on community-based primary care and family medicine will continue to grow in the coming years. A Growing Network of Family Practice Locations: s#ENTER-ORICHES s(AMPTON"AYS s-ANORVILLE (opening in Spring 2013) s-ATTITUCK s2IVERHEADLOCATIONS s7ESTHAMPTON"EACH

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The Region’s Most Comprehensive Resource for Home Care A growing range of innovations in portable, mobile and Internet-based technology is enabling PBMC Health’s home care professionals to provide a more comprehensive range of in-home services to patients throughout Suffolk County. Already serving the widest geographic area of Suffolk County of any home care agency, our Peconic Bay Home Health Services team now offers specialized testing and monitoring services as well as wound and ostomy care, post-op rehabilitation, and support for long-term disabilities. Reaching Out with Community-Based Resources To serve the community best, we are reaching out beyond our Main Campus to provide services where they are most needed and most accessible. Our current communitybased facilities include: sPBMC Health Multi-Specialty Practices Conveniently located private office locations make it easier for patients to consult directly with leading specialists. sPeconic Bay Outpatient Physical Therapy & Rehabilitation PBMC Health is focused on expanding community-based access to advanced-technology rehabilitation and therapy services. sThe Gertrude & Louis Feil Campus for Ambulatory Care Opening in Manorville in 2013, this multi-building medical campus will initially provide primary care, urgent care, pediatric and orthopedic services to a growing community. In coming years, the campus will provide an expanding range of advanced specialty services, such as digestive disease and general surgery offices.


A New Direction in Healthcare Excellence

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Centers of Excellence and Innovation One of the catch-phrases of our times is to “Think Globally. Act Locally.” Our vision has been to serve our community by applying that advice to our healthcare services and facilities. We are committed to bringing world-class healthcare quality and capability right here to Riverhead. With the community’s continued support, the innovative centers on these pages are just the beginning.

Center for Total Joint Replacement Long Island’s leader in this advanced quality-of-life enhancing surgery, we have been named a Center of Excellence for Total Joint Replacement of Hip and Knee by the Joint Commission for Accreditation of Health Care Organizations and received the 2012 Blue Distinction Center for Knee and Hip ReplacementSM, from Blue Cross Blue Shield of NY. Richard L. Rubenstein, MD Center for Bariatric Surgery Offering advanced-technology gastric bypass and banding options, our Bariatric Weight Loss Surgery Program has earned designation as a “Center of Excellence” by the American Society for Metabolic & Bariatric Surgery (ASMBS). Leading Edge Robotic Surgery: Our daVinci Si System The next generation in minimally invasive surgical capability, it means greater safety and precision for Gynecologic, Urologic, Colorectal, Bariatric, and General Surgeries.

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A New Direction in Healthcare Excellence

The Kanas Center for Advanced Surgery Rated as one of the top surgical facilities in the Northeast, our award-winning advancedtechnology surgical pavilion was designed with input from top surgeons to provide leading-edge capabilities while improving patient safety.

Cary Grossman Physical Therapy Center Leading-edge rehabilitation technology designed to provide faster, safer and more complete recovery from surgery, stroke, accident or illness, and fully integrated with our advanced surgical pavilion and skilled nursing facility. Pegasus House Palliative Care Center The Pegasus House program provides an enhanced level of comfort and compassionate care in a family-friendly setting for patients afflicted with chronic or life-limiting illnesses.

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Building on our tradition of caring and compassion The people of PBMC Health share a common bond in our commitment to providing the best possible health care services to our friends, families and neighbors. We are members of a community of caregivers working together as one team, 1,200 strong, focused on improving the quality of life and health for all the people and communities we serve. Each of us is personally committed to living up to the ideals exemplified by our iCare Values statement:

i

stands for innovation: continually finding new ways to improve our services, quality and care.

C stands for compassion: caring for our patients and their families as if they were our own families.

A is for accountability: taking personal responsibility for fulfilling the needs of every patient, every day.

R is for respect: treating every member of our

community as a valued member of our extended family.

E is for excellence: setting the highest standards, never settling for less, and continually raising the bar.

The five letters of iCARE summarize the values we share that brought us to our careers in health care and to PBMC Health. They highlight our commitment to demonstrate those values in the way we do our jobs and interact with our patients and one another every day.

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AWARD WINNING CARE: iCARE INNOVATION Quarterly education modules and awards contests help dramatize and reinforce the importance of the iCARE values. The first quarterly contest focused on the value we place on innovation: the “i� in iCARE. Staff members nominated and voted to recognize an individual staff member, a manager and a team that best exemplify innovation as one of the iCARE values by: sExpanding the range of services we provide to our patients and the community sImproving the quality of our services in terms of outcomes and safety sServing the broadest needs of our patients and families in the care we provide 4th Quarterly iCARE Winners Individual: Halina Otwinowska, Housekeeper Manager: Maureen Stefanidis, RN, 2 South Team: Soarian Implementation Team


A New Direction in Healthcare Excellence

The PBMC Health Continuum: Population of Catchment Area: Operating Budget: Total Bed Capacity: Employees: Medical Staff: Admissions: Emergency Department Visits: Surgical Procedures: Home Visits:

Births:

200,000 $152,000,000 200 1,200 260 7,540 35,800 5,900 20,000

450

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The PBMC Health Continuum of Care 1

Peconic Bay Medical Center Main Campus, 1300 Roanoke Ave., Riverhead

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Peconic Bay Home Health Services Main Campus, 1300 Roanoke Ave., Riverhead

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Peconic Bay Skilled Nursing and Rehabilitation Center Main Campus, 1300 Roanoke Ave., Riverhead

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Pegasus House Palliative Care Center Main Campus, 1300 Roanoke Ave., Riverhead

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Peconic Bay Graduate Medical Education, Family Medicine and General Surgery Residency Program Main Campus, 1300 Roanoke Ave., Riverhead

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Peconic Bay School of Radiologic Technology Main Campus, 1300 Roanoke Ave., Riverhead

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Peconic Bay Outpatient Physical Therapy & Rehabilitation 64 Commerce Dr., Riverhead

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The Gertrude & Louis Feil Campus for Ambulatory Care 496 Rte. 111 (Exit 70, LIE), Manorville

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PBMC Medical Group Center Moriches, Hampton Bays, Manorville, Mattituck, Riverhead, Westhampton Beach

The PBMC Health Service Area PBMC Health serves one of the most vibrant, fastest-growing areas in the entire Northeastern United States. From our main campus location in Riverhead, our service area extends from Hampton Bays to Mastic Beach on the South Fork, and from Shoreham and Wading River to Mattituck of the North Fork. The service area has almost 200,000 residents and the population continues to grow.

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A New Direction in Healthcare Excellence

PBMC Medical Group Practices Primary Care Locations

Multi-Specialty Care Locations

Evan C. Nadal, D.O. Family Medicine 34 Commerce Dr., Riverhead

Lawrence Walser, M.D. Pulmonary Medicine 185 Old Country Road, Riverhead

Vishnu Seodat, M.D. Internal Medicine 31 Main Road, Riverhead

Brett Ruffo, M.D. Colon & Rectal Surgery 34 Commerce Dr., Riverhead

Luigi Buono, D.O. Family Medicine 7905 Main Road, Mattituck

Agostino Cervone, M.D. General Surgery 34 Commerce Dr., Riverhead

Cynthia Carlson, M.D. Family Medicine 7905 Main Road, Mattituck

Jennifer Hill, M.D. Urology and Urologic Surgery 34 Commerce Dr., Riverhead

Steven Spiegel, M.D. Internal Medicine and Family Practice 201 Montauk Hwy. Westhampton Beach

Michael Ciminello, M.D. Orthopedic Joint Replacement Surgery 64 Commerce Dr., Riverhead

Chris Kielbasa, D.O. Family Medicine 240 Montauk Hwy., Hampton Bays Brain McNulty, M.D. Internal Medicine 504B Montauk Hwy., Center Moriches

Louis Romeo, M.D. Orthopedic Joint Replacement Surgery 64 Commerce Dr., Riverhead Peter Sultan, M.D. General Orthopedics and Joint Replacement Surgery 31 Main Road, Riverhead

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Measuring Up Our Commitment to Continuous Improvement Starts with Safety and Quality At PBMC Health, achieving excellent ratings for patient safety and quality outcomes is a constant goal, but it is also a constant effort. When it comes to our mission as healthcare providers, the target is always higher, better and farther ahead. That is the challenge and the reward of our commitment to continuous improvement.

Our skilled nursing facility has earned a 5-Star (the highest) rating from U.S. News & World Report’s 6th annual Best Nursing Homes rankings.

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April 2012, rated in the Top 2 for patient safety in the NY Metro Region. July 2012, rated in the Top 3 for Patient Safety in all of NYS. Patient safety is one of the most important healthcare challenges in the nation and an important topic for hospitals and healthcare organizations throughout the country. Here on Long Island, PBMC Health is becoming known for its commitment to excellence by developing a reputation for outstanding patient safety.


In a study focusing on four key measures of patient safety—hospital-acquired infections, re-admissions, how well members of the hospital staff communicate with patients about medications and discharge planning— PBMC Health received the third highest score among all hospitals in New York State, and ahead of every hospital in New York City.

Designated Stroke Center Peconic Bay Medical Center is a New York Statedesignated Stroke Center.

Bariatric Center of Excellence Peconic Bay Medical Center has been designated by the American Society for Metabolic & Bariatric Surgery (ASMBS) as a “Center of Excellence.”

Joint Replacement Center of Excellence for Hip and Knee Peconic Bay Medical Center has been awarded the Joint Commission Gold Seal of Approval for Total Joint Replacement for Hip and Knee. Notable achievements in quality for 2012 Our organization-wide commitment to continuous improvement includes ongoing safety and qualityimprovement initiatives involving application of evidence-based best practices. While we are proud to announce the results, we remind ourselves that these achievements only raise the bar for tomorrow. sReduction in patient falls sReduction in patient ulcers sReduction in hospital length of stay sExpansion of discharge planning program sRecertification by JCAHCO for Joint Replacement Program as a Center of Excellence sRecognition as a Blue Cross Center of Excellence for knee and hip replacement s5-Star “Best Nursing Home” rating from US News & World Report for the Peconic Bay Skilled Nursing and Rehabilitation Center s2012 Homecare EliteTM Top Tier Home Health Care Agencies in the United States PBMC Health has been rated in the top 2 in the TriState Area and in the top 3 in all of NYS for Patient Safety by a leading national consumer rating agency.

American College of Radiology Accreditation Peconic Bay Medical Center’s 24-month professional certification program in Radiologic Technology has been accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT), the New York State Department of Health and by the American College of Radiology.

Accredited by the College of American Pathologists Peconic Bay Medical Center’s Laboratory Services have been accredited by the College of American Pathologists and the New York State Department of Health.

Joint Commission Accreditation Peconic Bay Medical Center is accredited by The Joint Commission on Accreditation of Health Care Organizations.

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Knowledge of Experts. Compassion of Neighbors.


Every Vision Needs a Strong Foundation. The PBMC Health Foundation plays a critical fundraising role, providing resources for high impact initiatives that contribute to healthcare excellence. Since its establishment in 2004, the Foundation has been dedicated to raising private support to improve patient care, creating a model for successful publicprivate partnerships. An independent non-profit 501(c)(3) organization, the Foundation depends on the generosity of individuals, corporations and foundations to ensure that Peconic Bay Medical Center and the PBMC Health continuum can pursue its mission to provide: s!CCESSTOHIGH QUALITYHEALTHCAREFOR the community s#OMPREHENSIVE COMPASSIONATECAREFOREVERYONE s3TATE OF THE ARTTECHNOLOGYTHATADVANCESTHECARE of patients s3UPERBEMERGENCYCARE s6IGILANCEINHEALTHEDUCATION

Emilie and Michael Corey – As major benefactors to PBMC Health, Emilie and Michael Corey brought the vision and provided the support to establish our highly acclaimed palliative care program and built what is now our Pegasus House Palliative Care Center. With Emilie’s leadership as Campaign Chair, in 2011 PBMC Health launched an ambitious $13,000,000 capital campaign, Building Upon the Promise of Excellence. “Dear friends, We asked and you responded. Individuals, corporations, organizations and foundations have given generously to PBMC Health’s Campaign, Building Upon the Promise of Excellence. While the original $13 million goal is in reach, the on-going need is far greater. Meeting this challenge requires a remarkable philanthropic commitment and comes from the shared belief that we can provide better access to healthcare through new facilities; enhance therapies and treatments with state-of-the-art technologies; and deliver comfort and compassionate care from the best physicians, nurses and support staff. I am touched by your belief in our mission. We can do more together!”

Emilie Roy Corey Campaign Chair Vice Chair, PBMC Foundation Board

(left to right: Andy Mitchell; John Kanas; Jeffrey Feil)

Flora and Irwin Garsten - Longest serving board member of the Hospital and Foundation, and owner of Apple Honda in Riverhead, Irwin Garsten, and his wife, Flora, make a $100,000 gift to the Building Upon the Promise of Excellence Campaign. Irwin and Flora’s lifetime contributions to the Hospital exceed more than half a million dollars. “What the hospital does for the community is beyond measure. There is no comparison – the care provided by PBMC Health far a more important cause to support.” ~ Irwin Garsten

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The Gertrude and Louis Feil Family Foundation: The long anticipated ambulatory care center in Manorville will open its doors in late spring, thanks in part to one of the largest individual philanthropic donations PBMC Health has received. The Louis Feil Charitable Lead Annuity Trust contributed $5 million toward the completion of the ambulatory campus, and in recognition of the Feil Family’s generous philanthropy, the campus will be named, The Gertrude & Louis Feil Campus for Ambulatory Care. “You are able to help so many people so quickly that didn’t have access to healthcare because the facilities were not available. You are really providing support to the people in the community right away.” ~ Jeffrey J. Feil, CEO, The Feil Organization (on behalf of the Louis Feil Charitable Trust and the entire Feil Family).


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A New Direction in Healthcare Excellence

Making a Difference

During the last year, the PBMC Health continuum provided care for more than 7,500 inpatients; 35,000 emergency room patients and 70,000 outpatients. The PBMC Health Foundation supported the system’s efforts with $7,741,000 in gifts, thanks to thousands of people in our community who made donations and volunteered their time.

PBMC Health Employees: The PBMC Health employees have been instrumental in supporting the Capital Campaign and reached a historic milestone by raising more than a quarter-of-a-million dollars to purchase a new Telemetry System and an MRI Crash Cart. “As an employee, I feel privileged to have had the opportunity to participate in this unprecedented campaign. Together, we raised more than $250,000! This has never been done in our hospital’s history, and we know that we must invest in ourselves before others will invest in us.” ~ Betty Ruth, Plant Operations

Fun with Purpose: Events Deliver Significant Fundraising Results Foundation events are an important way for community members to connect with and support PBMC Health while having some fun. Our three signature annual events held in 2012 offered something for everyone while raising a significant amount for PBMC Health: The Candlelight Ball raised $303,000 for program and education initiatives The Garden Festival raised $107,000 for Pegasus House Palliative Care The Black & White Gala raised $308,000 for emergency care initiatives Sources of Revenue The PBMC Health Foundation is grateful for the generous support of our donors. This support enables the Foundation to provide resources for high-impact, sustainable initiatives that contribute to the excellence of Peconic Bay Medical Center and the entire PBMC Health Continuum.

(left to right: Mary Ellen & Tony Strollo, Jane Millman, TJ Strollo and the Millman children)

The Strollo family, owners of Riverhead Dodge, were looking for a way to make a significant contribution to the community. PBMC Health’s Foundation was a perfect match. Not only did they make a personal commitment from the family, but enhanced their gift with additional support from their business, giving a total of $50,000 to benefit the Campaign for PBMC Health. “We don’t automatically donate money to charities just because they are a not-for~ Anthony Strollo, Owner of Riverhead Dodge

Special Events: 9.2% Non Profits & Government: 4.7% Corporations: 3.3%

Individuals & Private Foundations 77.7%

In-Kind Donations: 2.6% Other: 2.5%

(left to right: Marylou Ambrose, Lesley Anthony, Janine Nebons, Andy Mitchell, Sherry Patterson and Hannah Skorupski)

Tanger Outlet Centers: Tanger Outlet Centers prides itself on being a good corporate citizen and believes it is an important part of their philosophy for success. Through funds raised during their annual Pink Card Campaign, Tanger Outlets of Riverhead, is an important benefactor of Peconic Bay Medical Center’s Cancer Services Program. Tanger presented the Hospital with another $22,000 in 2012; in addition to the $42,000 they gave the prior year to support Cancer Services at PBMC Health. “Our customers and our employees live and work here. They’re part of the community that can count on PBMC Health for critical services.” ~ Janine Nebons, General Manager, Tanger Outlets of Riverhead

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A Community of Care. The Vital Roles and Contributions of PBMC Health Volunteers and the PBMC Health Auxiliary PBMC Health could not fulfill its mission to serve the community without the hands-on support of our many generous and dedicated volunteers and Auxiliary members. They are members of the community from all walks of life who have chosen to become contributing members of our community of caregivers, and they help raise the quality of care our patients and their families receive in countless ways.

The kind, caring, smiling faces of our front desk volunteers are often the first point of contact for patients and visitors. Our hospital gift shop is entirely staffed by volunteers. Other volunteers serve in our Emergency Department, Skilled Nursing & Rehabilitation Center, Outpatient Physical Therapy & Rehabilitation Center, and in diverse clerical positions throughout the medical center. They provide vital services supporting professional staff members as well as providing comfort, care and assistance to patients, patient families and visitors.

PBMC Health Auxiliary Founded in 1951, the Auxiliary supports the mission of PBMC Health in many ways. Membership is open to all interested men and women (age 18 and above). January 2013 – December 2014: s0RESIDENT-ARY9ARUSSO sST6ICE0RESIDENT4HELMA"OOKER sND6ICE0RESIDENT4HERESA$I4UCCI s3ECRETARY%ILEEN-C.ELL s4REASURER'AY,YNN"AGSHAW

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Auxiliary Initiatives and Community Events: Over $300,000 raised in 2012 Auxiliary pledges $1,000,000 through 2020 for Capital Campaign


A New Direction in Healthcare Excellence

Auxiliary members and volunteers work hard to build support for PBMC Health, helping to organize events such as the Summer BBQ, Fall Fashion Show, Winter Tea and the Annual Candlelight Ball. The Auxiliary also operates the Bay Gift Shop and organizes raffles, bake sales and many other activities.

The proceeds are donated to the hospital and have helped fund many important needs, including vital medical supplies, beds, rehabilitation equipment and renovations for special care units. And the work goes on: the Auxiliary has pledged $1,000,000 through the year 2020 to support the PBMC Health Foundation’s Building Upon the Promise of Excellence Campaign.

Interested in becoming a Junior or Senior Volunteer? High school students 14 years of age and older can gain valuable experience for future careers. Adults and retirees can fulfill their sense of mission in giving back to the community. Even a few hours a month can make a real difference in a patient’s life while providing a rewarding experience for the volunteer. For more information about being part of the PBMC Health Auxiliary or a member of our Helping Hands Volunteers, please contact Lynne LaGrua, Director of Volunteer Services, at 631-548-6021.

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A Foundation for the Future

In its growth from a small, limited-service community hospital to a comprehensive multi-dimensional continuum of care, PBMC Health has responded to the growing healthcare needs of the entire region. As the population of eastern Suffolk County continues to grow and age, those needs will continue to expand. Through the efforts and initiatives of the PBMC Health Foundation, with the continued support of a generous and forward-thinking community of donors and stakeholders, PBMC Health is acting to anticipate those needs.

Challenge: Living Up to our Commitment to Continuous Improvement in Patient Safety and Quality of Care Continuous advances in technology, treatment protocols and evidence-based safety practices have made it possible for regional providers like PBMC Health to offer levels of quality comparable to those found in major urban centers such as Boston and New York City. Achieving those levels, however, requires a serious commitment in terms of staff competence and dedication as well as financial investment. The PBMC Health Response:

These emerging challenges for the future converge into a few broad categories.

sRecognition as a Leader in Safety PBMC Health has been rated in the top 2 in the Tri-State Area and in the top 3 in all of NYS for Patient Safety by a leading national consumer rating agency. s5-Star Rating for our Skilled Nursing Long recognized as the leading determining factor in hospital quality, PBMC Health’s nursing has been recognized by both US News & World Report and the federal Centers for Medicare and Medicaid Services as among the best in the nation. sCenter of Excellence Designations for Bariatric Surgery and Joint Replacement Centered in our award-winning Kanas Center for Advanced Surgery, our Bariatric Weight-Loss Surgery Program has received Center of Excellence recognition from the American Society for Metabolic & Bariatric Surgery (ASMBS), and our orthopedic surgery program has received Gold Seal recognition for total hip and knee replacement from the Joint Commission for Accreditation of Health Care Organizations. sA New, State-of-the-Art Progressive Care Unit The new unit will provide individualized care for medical and surgical patients whose needs are not serious enough for the ICU but too complex for the regular in-patient floor, in a setting designed to maximize patient and family comfort and be more conducive to patient recovery.

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A New Direction in Healthcare Excellence

Challenge: A Continued Shift Toward Community-Based and Home-Based Care New surgical and other treatment techniques are reducing the need for and the length of many hospital stays. Comparative costs of care are also contributing to the growing demand for greater capabilities for community-based care.

Challenge: A Nationwide Shortage of Skilled Medical Professionals With an estimated 30 million newly insured patients soon to be increasing the nationwide demand for healthcare services, the competition for qualified family doctors, nurses, physician assistants and medical technicians is already intensifying. The PBMC Health Response:

The PBMC Health Response: sPeconic Bay Home Health Services Suffolk County’s leading provider of homecare services, our Home Health Services team is constantly upgrading their skills and technology. sPBMC Medical Group With a growing number of locations on both the North and South Forks, PBMC Health’s multi-specialty and family medicine practices are delivering the best in primary and preventive care right in the communities in which our stakeholders live. sThe Gertrude & Louis Feil Campus for Ambulatory Care PBMC Health’s most ambitious off-campus initiative to date, this multi-building medical campus in Manorville will deliver a growing range of primary care and advanced specialist medical services to the growing Manorville area.

sGraduate Medical Education As a major clinical campus for the New York College of Osteopathic Medicine, Peconic Bay Medical Center and PBMC Health host an expanding range of graduate medical education programs in Family Medicine and General Surgery. sSchool of Radiologic Technology One of the region’s major sources of trained professionals for this much-needed discipline, the Peconic Bay School of Radiologic Technology is now affiliated with the SUNY Empire State College. sOngoing Staff Development Supporting our current staff members and future leaders in their career development process is an ongoing commitment, and a necessary investment in the future.

Working to End Childhood Obesity: A First For NYS! PBMC Health helps bring Project Fit America to our schools It’s a nationwide epidemic that is costing lives and causing healthcare spending to spiral out of control. In fact, obesity is considered by many to be both the leading and yet the most reversible cause of health costs and problems. Experts and advocates, including First Lady Michelle Obama, agree that the best place to start in addressing this epidemic is with our children—in our homes and our schools. Obese children are more than twice as likely to become diabetic compared to children of normal weight. PBMC Health invites you to join in the effort to address this vital issue. With community support, PBMC Health is helping launch the first ever Project Fit America program in New York State.

The start-up program will serve all five elementary schools in the Riverhead Central School District: s0ULASKI3TREET%LEMENTARY3CHOOL s2OANOKE!VENUE%LEMENTARY3CHOOL s2ILEY!VENUE%LEMENTARY3CHOOL s0HILLIPS!VENUE%LEMENTARY3CHOOL s!QUEBOGUE%LEMENTARY3CHOOL Approximately 2,765 students and their families will be involved in the program the first year. After that, the program will be selfsustaining and hopefully expanded to every school district in the PBMC Health service area. 23


A Sound Financial Footing

Peconic Bay Medical Center (PBMC) operates as a notfor-profit, academic medical center and is a member of the East End Health Alliance (EEHA). The medical center was noted as the fastest growing hospital in all of Suffolk County, and second on Long Island, for both the 2010 and 2011 calendar years.

24

Founded in 1951, PBMC was originally known as Central Suffolk Hospital until its official name change in 2006. In 2004, the medical center formed its Foundation, which coordinates all fundraising, development, marketing and communications activities. In early 2012, PBMC Health was established as a new overarching health system. The mission of PBMC Health is to improve the overall health of the population by providing the highest quality comprehensive and compassionate care for all the communities we serve. PBMC Health’s vision is to be the healthcare provider of choice for Eastern Suffolk County.


A New Direction in Healthcare Excellence

Revenue Distribution Source Net Patient Revenues Contributions/Other Revenues Total Revenues

Expense Distribution Source Salaries & Benefits

$ Thousands

Percentage

2011

2012

$144,266

$149,793

95.19%

4,626

7,571

4.81%

$148,892

$157,364

100.00%

$ Thousands

Percentage

2011

2012

$70,973

$76,920

49.36%

Fees & Purchased Services

10,206

11,027

7.08%

Supplies & Materials

35,459

36,436

23.38%

Other Direct Expenses

4,295

4,209

2.70%

Insurance & Other Expenses

2,985

3,756

2.41%

New York State Assessment Depreciation Provision for Doubtful Accounts Total Expenses

Consolidation Balance Sheet Assets Current Assets Non-Current Assets Total Assets

663

706

0.45%

4,761

5,500

3.53%

17,588

17,275

11.09%

$146,930

$155,829

100.00%

$ Thousands

Percentage

2011

2012

$39,842

$48,045

67,097

67,756

58.51%

$106,939

$115,801

100.00%

$ Thousands Liabilities and Net Assets Current Liabilities Non-Current Liabilities Total Liabilities Net Assets Total Liabilities and Net Assets

41.49%

Percentage

2011

2012

$25,411

$26,400

25.48%

74,913

77,230

74.52%

100,324

103,630

100.00%

6,615

12,171

$106,939

$115,801

100.00%

25

Knowledge of Experts. Compassion of Neighbors.


Moving Forward: Plans for 2013. A Grand Opening in Manorville: The Gertrude & Louis Feil Campus for Ambulatory Care Our proactive response to the growing need for medical and wellness services in this growing residential community, the first of the medical services to open on the new campus will include a walk-in Urgent Care Center—no appointment necessary—as well as practices specializing in Family Care, Pediatrics and Orthopedics. The next building in the complex, still under construction, will include advanced-technology office space for urology services, a digestive disease center and a general surgery practice. Soon to follow in the multi-building medical campus development—encompassing more than 25,000 square feet of medical and ambulatory care offices—will be a range of specialty practices focused on addressing the needs of Manorville and the surrounding region.

Expanding our Leadership in Surgical Services Leading with Five Advanced-Capability Service Lines Thanks to our investments in advanced surgical skills and technology, we can save many more lives and improve the quality of life for many more people. The new, minimally invasive techniques offer smaller incisions, less pain and bleeding, faster recoveries and improved safety. With one of the finest teams of surgeons and surgical support staff on Long Island operating out of arguably one of the finest surgical facilities on Long Island, we offer advanced surgical capabilities that were unheard of even five years ago. This year, we are making it a priority that the message be heard. Through a series of public education campaigns, we will focus attention on five of our most-needed surgical service lines. In doing so, we will make these vital services available to a much wider audience of patients—and enhance the reputation of PBMC Health as the region’s leading provider of quality healthcare services.

Minimally Invasive Surgeries Our advanced daVinci Si® robotically-assisted surgery system provides greater precision and shorter recovery times for complex surgeries as well as routine procedures.

Safer. Faster. Better. PBMC Health’s investment in a state-of-the-art electronic health records system and IT infrastructure is already paying dividends in improved quality of care.

26


A New Direction in Healthcare Excellence

Tentative public education and media campaign schedule JAN-MAR

APR-JUN

JULY-SEPT

OCT-DEC

Orthopedics / Joint Replacement Focus: total replacement of knees and hips as a life-changing treatment for deterioration due to injury, age and arthritis. Digestive Disorders / Bariatrics Focus: a new range of treatments for chronic obesity and diabetes offers improved success rates and long-lasting health benefits. Minimally Invasive / Robotics Focus: the range of conditions that can be addressed quickly and safely with minimal life-disruption through advanced surgery. Urology / Pelvic Floor Institute Focus: effective, non-invasive treatments for urinary, gynecologic and colorectal disorders to save and improve the quality of lives. Neurosurgery / Spine Center Focus: new hope for chronic back and neck pain sufferers offering advanced treatment and real relief.

Tanger Outlets Food Court Display PBMC Health has a prominent share-of-mind presence in one of the area’s most popular consumer shopping centers.

Ads in Prominent Publications Series of full-color print ads supporting each of the service line campaigns are running in the region’s most-read newspapers and magazines.

Website “Landing Pages” Detailed information about each service line will be featured prominently on the PBMCHealth.org website, available 24/7.

27

Knowledge of Experts. Compassion of Neighbors.


How you can help

Five Keys to a Healthier Community

Your words and deeds can make a real difference in people’s lives Community support plays a vital role in helping PBMC Health and our hospital programs provide the latest advances in patient care, promote healing environments and foster community health. The professional efforts of our 1,200+ staff members and physicians would not be possible without the supportive efforts of the thousands of community residents—your friends, neighbors and family members—who contribute their time, energy and financial support. We ask and urge you to get involved in helping us improve the quality of health and life in our communities. You can help by making a financial donation; or by volunteering your time, energy and expertise; or by contributing to and becoming a member of the PBMC Health Foundation.

1. Take Care of Yourself You are your own first line of defense against disease. Eat healthy, sensible meals; get plenty of exercise and rest; and follow your family doctor’s advice about getting regular check-ups and preventive care.

2. Volunteer a Little of Your Time Even two hours a week can make a real difference in people’s lives while immeasurably enriching your own.

We can promise you rewards that cannot be measured in any bank statement. 3. Learn About Your Health Care Options Studies show that well informed patients have better outcomes. Keeping up with today’s rapid advances in medicine and the health care system is vital.

4. Ask Questions and Speak Up About Your Needs When it comes to your health or the health of someone you love, the only foolish question is the one that is not asked. Talk to your doctor or call us at PBMC Health. We want to make sure you understand your options and that we understand your needs. 5. Tell Us How We’re Doing Your feedback helps. If we have areas in need of improvement, we want to hear about it. And if you want to tell us we’re doing a good job, it makes us want to do even better.

28


A New Direction in Healthcare Excellence

Give Us Feedback Online

It’s easy. Just log onto PBMCHealth.org and click on “Contact Us”


Peconic Bay Medical Center Board of Directors

PBMC Foundation Board

Sherry Patterson, Chair

J. Gordon Huszagh, Chair

J. Gordon Huszagh, 1st Vice Chair

Irwin Garsten, Vice Chair

Andrew S. Mendelson, 2nd Vice Chair

Emilie Roy Corey, Vice Chair

Rev. George Summers, Secretary

Richard Israel, Secretary

Charles Massoud, Treasurer

Joan S. Levan, Treasurer

Jesse R. Goodale III, Immediate Past Chair

Bruce Barnet

Andrew J. Mitchell, FACHE, President and CEO Marc S. Alessi, Esq. Kenn Barra James R. Farrell Robert J. Gaffney, Esq. Joseph Gergela III Edward Harbes Richard Israel

Serving ALL your family’s health care needs

Kenn Barra Barry Brandeis Carole G. Hankin, Ph.D. David J. McCann Andrew J. Mitchell, FACHE, President and CEO Richard Rubenstein, M.D. Joseph Van de Wetering Richard L. Winslow, Ph.D. Stanley Zinberg, M.D., M.S.

Joan S. Levan Marilyn McLaughlin, M.D. Richard V. Musto, M.D. L. Reuven Pasternak, M.D. Richard Rubenstein, M.D. Scott Sheren, M.D. Rabbi William Siemers Joseph Van de Wetering Richard L. Winslow, Ph.D. Mary F. Yarusso Gerry Zunno, R.N., M.S.N.

2 0 1 2

A N N U A L

The PBMC Health Continuum of Care:

R E P O R T

Peconic Bay Medical Center s2IVERHEAD Peconic Bay Home Health Services s3ERVINGALLOF3UFFOLK#OUNTY Peconic Bay Skilled Nursing & Rehabilitation s2IVERHEAD Peconic Bay Outpatient Physical Therapy s2IVERHEAD PBMC Medical Group s#ENTER-ORICHES s(AMPTON"AYS s-ANORVILLE s-ATTITUCK s2IVERHEAD s7ESTHAMPTON"EACH The Gertrude & Louis Feil Campus for Ambulatory Care s-ANORVILLE Learn more at PBMCHealth.org


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