journeys | summer 2015

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Taylor aces recovery SUMMER 2015 JOURNEYS “Destiny is not a matter of chance, it is a matter of choice …” – William Jennings Bryan

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Page 1: Journeys | Summer 2015

Taylor aces recovery

SUMMER 2015

JOURNEYS“Destiny is not a matter of chance, it is a matter of choice …” – William Jennings Bryan

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Page 2: Journeys | Summer 2015

01 FROM OUR PRESIDENT

02 PATIENT EXPERIENCE TraumaChampfindsanewpassion

06 BRYAN FOUNDATION b2020:ChooseYourImpact

09 NEW AT BRYAN CryotherapyatBryanLifePointestopspaincold,acceleratesrecovery

10 BRYAN HEART CardioMEMSHFcomestoBryan:Monitoringdevice bringspeaceofmind

12 VOLUNTEERS & CUSTOMER CARE Volunteersoffercomfortatendoflife

14 MEDICAL STAFF SPOTLIGHT Askthedoctor:Whatisafecalmicrobiotatransplant?

17 MEDICAL STAFF UPDATE 18 CRETE AREA MEDICAL CENTER Interpretershurdlelanguagebarriers

20 OUR SUPPORT OF YOU BryanHealthcommunitybenefitsreport 22 YOUR SUPPORT OF US Supportisatwo-waystreet Donorschoosetheirimpact

26 BRYAN TRUSTEES NurseryownerCampbellhelpsgrowhealthcareleaders

28 BRYAN FOUNDATION Hinkleysencouragecharitablegiving

29 BEYOND EXPECTATIONS Giftssaluteexceptionalservice

30 2014 ANNUAL REPORT ON GIVING

41 ACHIEVEMENTS

43 BRYAN COLLEGE OF HEALTH SCIENCES

44 BRYAN STERLING CONNECTION

45 COMMUNITY CALENDAR

SUMMER 2015

ALL ABOUT JOURNEYSStatesman William Jennings Bryan, one of the original benefactors of Bryan Health, said:

“Destiny is not a matter of chance, it is a matter of choice; it is not a thing to be waited for, it is a thing to be achieved.”

Journeys tells our story of how Bryan chooses to achieve. This free publication is mailed quarterly to our employees, physicians, volunteers and the communities we serve.

STAY IN TOUCHWe welcome your comments. For more information about Journeys, contact the Advancement team by calling 402-481-8674. To learn more about Bryan programs and services, visit us online at bryanhealth.org.

OPPORTUNITIES TO SUPPORTYour contributions help us care for those who come to Bryan at every stage of life. To find out how you can participate, call 402-481-8605, or write to us at: Bryan Foundation, 1600 S. 48th St., Lincoln, NE 68506.

You also can learn how you can help and make a gift online at bryanhealth.org/bryan-foundation.

Kimberly RusselPresident & CEO, Bryan Health

John Woodrich President & COO, Bryan Medical Center

Gary “Gus” Hustad, MD Chief of Staff, Bryan Medical Staff

Bob RavenscroftVice President of Advancement & CDO

Edgar BumanisDirector of Public Relations

Paul HadleyEditor

JOURNEYS Check out ournew websites!

OurnewBryanHealth.orgwebsitehaslotsofuser-friendlyfeaturesforyou.Someoftheseare:

n FindaDoctor—withvideosandonline appointmentrequest;n LocationsandDirections—includesphotosofour locationsandentrances,plusdrivingdirections;n Findusonthego—useonanysizedeviceorphone withconvenient,one-touchcalling;n Easy-to-usesearchforservicesandtreatments;n ClassesandEvents;andn OnlineScreenings. Plus, we’ve launched these new websites:n BryanHealthCollege.edu—fortheBryanCollegeof HealthSciences.n BryanLifePointe.com—offeringfitness,rehabilitation andspaservices.

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F R O M O U R P R E S I D E N T

“Your destiny is to fulfill those things upon which you focus most intently. So choose to keep your focus on that which is truly magnificent, beautiful, uplifting and joyful. Your life is always moving toward something.” — Ralph Marston

locally owned and governed, nonprofit health care system, to always be there for all who turn to us for care, including those who cannot afford to pay for their care.

We hope you enjoy reading about the people of Bryan — staff members, physicians, volunteers and students — and their focus on what is magnificent and uplifting to them personally. Their proven intensity and drive lead to achievements in support of our mission and commitment to the people we serve.

From the proven and most trusted, to new partnerships for delivery and access to care, we’re here to meet your family’s health care needs.

Bryan Health. Forward. Together.

Kimberly A. RusselPresident and Chief Executive Officer, Bryan Health

BryanJourneys1

lease spend a moment reviewing our annual reports on giving and community benefit in this edition of Journeys. This is our yearly look back that showcases how you invest in Bryan and

in turn we invest in you. However, beyond the numbers, what really is magnified is the work of our co-workers, medical staff, board members, regional partners and the trust you place in them. It is clear that you value how Bryan continues to earn our long-held reputation for providing leading edge care of the highest quality. As we move into our 90th anniversary year, we pledge to continue partnering with the community and with you to ensure Bryan Health meets the needs of our region tomorrow and well into the future.

You’re going to read about gifts your friends and neighbors have made to help Bryan further its mission. You’ll also read about our commitment to support and collaborate with those who work so hard to make our community safe, vital and welcoming.

Our total quantifiable community benefit of $72 million attests to our unwavering promise, as your

To learn more about this latest national recognition, go to bryanhealth.org/high-performing-hospital.

Bryan Medical Center

P

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2 Summer2015

Taylor Graham — recognized as a trauma survivor at this year’s Tribute to Trauma Champions — has honed his tennis skills to become a nationally ranked competitor.

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P A T I E N T E X P E R I E N C E

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Beforelastyear,TaylorGrahamofLincolnhadneverevenpickedupatennisracquet,andnowhe’sthereigningnationalchampioninhisdivision,winningthe2014U.S.OpenQuadAChampionship.

“It.Is.My.Passion,”hesaysoftennis,thesporthehasembracedaftersurvivingamotorcyclecrashthatdramaticallychangedhislife.

OnAugust29,2013,Taylorwasridinghismotorcycleandaftercrestingahill,cameuponavanwithouttaillights.Withtrafficboxinghimin,helockedupthebrakes,skiddedmorethan100feet,fishtailedthreetimesandwentflyingthroughtheairforanother50feetbeforesmashingheadfirstintothebackofthevan.

Tayloropenedhiseyesandeverythingwasatastandstill.Hisneckhurtandhecouldn’tmove.

“WhenhearrivedattheBryanTraumaCenter,Taylorwasclassifieda‘CategoryOneTrauma’—athighriskfordying,”saysReginaldBurton,MD,directoroftraumaandsurgicalcriticalcareatBryanMedicalCenter.

“Taylorwasconsciousanddidn’taskifhewasgoingtobeparalyzedforalongtime,”Dr.Burtonrecalls.“Hejustwantedtoknowifhewouldlive.”

Long odds to overcomeConsideringtheconditionhewasinatthattime,the

traumateamwasunsurewhetherTaylorwouldeverwalkagain.“Hisinjurywaslikebeingatthecenterofanutcracker,”saysorthopedicspinesurgeonGeoffreyMcCullen,MD,oftheLincolnOrthopaedicCenter.“Piecesofbonepushedonthespinalcord,damagingandseveringthenerves,resultinginquadriplegia.”

Assevereasthespinalinjurywas,Taylorneededimmediatesurgerytostopbleedingfromhisliver.Othersurgerieswouldfollowtorepairacollapsedlung,brokensternum,anopencompoundfractureofthefemurandhisdamagedspine.

Thespeedandexperienceofthefirstrespondersonthescene,coupledwiththededicatedteamofhighlytrainedtraumaspecialistsatBryan’sLevelIITraumaCenter,ensured

Taylorwouldsurvive.Taylor’sparents,ScottandPaulaGraham,areamazedatthe

levelofresourcesthatwereavailabletohim.“Youthinkaboutalltheskillsandallthetoolsthathadto

beinplaceforTaylortogetthebestchancetosurvive—Idon’tthinkLincolnunderstandswhatwehaveinBryan,”Scottsays.

Positive influencesAfteraweekintheBryanICU,Taylorspentthreemonths

atMadonnaRehabilitationHospitalandsincehasundergoneoutpatienttherapytocontinuetoregainmovement.Hecannowwalkwithforearmcrutches—andevenwalksshortdistancesunaided.

Tayloristhankfulforthemanywhohavehelpedhim,andcontinuetosupporthim,throughoutthisjourneyandcreditsthemwithhisabilitytomaintainapositiveoutlook.

“ImmediatelyafterIopenedmyeyesatthescene,Iwasthankfultobealive,andthenwasgreetedbyRitaWalz,thefirstresponder.Irecognizedherfrommychurch;knowingshewasaregisterednurseprovidedacalminginfluence.IalsofeltsecureastheEMTsfromLincolnFireandRescuestabilizedandtransportedmetothehospital,”hesays.

TaylorremembersDr.BurtontellinghimhewasattheBryanTraumaCenterontheBryanWestCampus,andthatitwasthebestplaceforhim.Aftersurgery,theICUnursesandstaffwereefficient,caringandthoughtful.AndrespiratorytherapistCoreyMohnikeconnectedwithTaylorrightaway;heemphasizedhowimportant,butchallenging,therapywasgoingtobeandstoodbyTaylor’ssidewhenthestaffgothimupforthefirsttime.

“Havingthosepositiveinfluencesallaroundhelpsyoubelieveyoucanmakeitthroughanything.Ineverhadanybodytellme‘No’butreceivedpositivefeedbackandsupportandtheconstantreminderthatthereisalwayspotential,”Taylorsays.

“ThefirsttimeIsawDr.BurtonintheTraumaClinic,hegotdownonhiskneesandputhishandsonmykneesandlookedrightintomyeyesandtoldmeheandhisteamsavedmylife.Thenhereassuredmehewouldcontinuetobethereforme.”

Dr.Burtoncertainlyhasbeen.“Icontacthimifsomethingis

Trauma survivor finds

Anewpassion

This story is brought to you by Union Bank & Trust.

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P A T I E N T E X P E R I E N C E

4 Summer2015

goingonmedicallyandIneedhisadviceorevenifIjustneedsomeonetotalkto.Henotonlykeepsupwithme,butalsowithmanyotherpatientshehashelpedalongtheway.”

Savoring opportunitiesDr.Burtonhasbeenimpressedwith

Taylor’sresolve.“Hewasfantasticthroughallofthisandwasalwaysaskingwhatheneededtodotogetbetter,”Dr.Burtonrecalls.

Withanunendingdrivetorebuildhislife,bothphysicallyandspiritually,Taylorisdeterminedtoimprovehissituation.Onabreakfromoutpatienttherapy,hepracticesongoingself-therapyandkeepsveryactive,pushinghisbodyasheparticipatesinhisnewpassion,wheelchairtennis.

TheLincolnteamtravelsregularlytotournamentsinaseveralstateregion,includingtheregionalsandnationalswhereTaylorexcelledlastyear.Heisparticularlyexcitedabout

asummercampwherehewillreceiveintensivecoachingfromaninternationallyrankedpowerwheelchairathlete.

“Ihavedevelopedabaseoffriendswhotrulycareaboutme,Ihavefoundmyownpassions,I’mpursuingadegreeinweldingatSoutheastCommunityCollege,andIamlookingforwardtothefuture,”hesays.

ThinkingaboutthefuturewasespeciallytopofmindasTaylorcelebratedhis21stbirthdayinJune.

Hesays,“I’vebeengivenagiftandamthankfulthatthroughthegraceofGodandthededicatedhealthprofessionalsatBryan,Ihavetheopportunitytosavoreverymomentgoingforward,whetheritbeinstartingafamily,buyingahouse,

finishingmydegree—orplayingalittletennis.”n

To find out how your gift can support Bryan Health, please call 402-481-8605.

Helmets to patients promote bicycle safety

Crash doesn’t keep this champion down

Thanks to Bryan Foundation support, the trauma program was able to launch a Bicycle Helmet Program on the Bryan West Campus this spring.

Trauma Outreach and Injury Prevention Coordinator Heather Talbott notes that only 16 percent of the 266 patients seen by the trauma team during January to August, 2014 were wearing bicycle helmets.

According to the Centers for Disease Control and Prevention, helmets greatly reduce the risk of head and brain injuries in the event of a crash. Most people are aware that bicycle helmets are for every age, not just children, but they may not realize helmets are similar to car seats in that any helmet involved in a crash or otherwise damaged needs to be replaced.

The Bicycle Helmet Program provides new bicycle helmets to patients involved in bicycle crashes and who are

brought to the Bryan West Campus.

In the first months of the program, more than 30 free helmets were distributed — and three-fourths of those patients had not been wearing helmets when they crashed.

Talbott says, with the support of the Bryan Foundation, the program will be offered on the Bryan East Campus when expansion of the Emergency Department is completed.

If you are interested in supporting the bicycle helmet program, contact the Bryan Foundation at 402-481-8605. n

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Hundredscelebratetraumachampions

Retiring Bryan Vice President Shirley Travis (left) accepts the first-ever Pillar Award from Director of TraumaReginald Burton, MD.

Trauma survivor Nick Boruch of Osceola poses with those who were among the first to respond to the scene of his crash.

Dr. Burton surprises Barb McMeeken, information technology, with this year’s Trauma Director’s Award.

T R I B U T E T O T R A U M A C H A M P I O N S

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VIDEO

More than 500 gathered April 22 at the Embassy Suites to join Bryan Trauma Center and Nebraska Trauma System in honoring trauma survivors Nick Boruch and Taylor

Graham and their trauma champions. To see inspiring videos about their treatment and recovery, go to bryanhealth.org/tribute-trauma-champions.

Trauma survivor Taylor Graham of Lincoln delights the crowd at the annual Tribute to Trauma Champions by walking from his wheelchair and up the stairs to the stage.

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B R Y A N F O U N D A T I O N

b2020allowsyoutopartnerwithBryanHealthtochooseyourimpactonthecarethisgenerationandthenextwillreceive.b2020hasthreeprimarycomponents.

Supportersofb2020willopenopportunitiesinthefollowingways:

The environment you create

Yourgifthelpsusprovideaphysicalenvironmentthatpromoteshealing,convenienceandthemostadvancedcareourpatientsexpect.

b2020supportsmajorcapitalimprovements,suchasintheSpecialtyClinic,operatingroomsandotheropportunitiesthroughoutBryanHealth.OurcampaignalreadyhasfundedtheNeonatalIntensiveCareUnitRooftopHealingGarden,BryanIndependenceCenterandtheBryanWestCampusChapel.

6Summer2015

b2020

Generous contributions make facilities such as the new Bryan Independence Center a reality.

“Destiny is not a matter of chance; it is a matter of choice.”

— William Jennings Bryan

WetakethisstatementtoheartatBryanHealth,andwillnotleavethehealthcareofourcommunitytochance.Thisisreflectedinourrecentpublic

announcementaboutourcomprehensivecampaign,knownasb2020 Choose Your Impact.

TheBryanFoundationBoardofTrusteeslaunchedb2020in2013withthecompletionofourFineLineCampaign,thatwasdedicatedtoraisingfundstobuildthenewBryanIndependenceCenter.

Youhavehelpedussurpassthe50percentmark,andwehaveraisedmorethan$22milliontowardouroverall$40milliongoal.Goingforward,throughDec.31,2020,wearecontinuingoureffortstosecuresupportformanyimportantservicesandprogramsatBryanHealth.

Theopportunitiesforyoutochooseyourimpactareimmense,andb2020isourwayofensuringthelegacyofBryan’scommitmenttoexcellenceincaringforyou,yourfamily,friends,neighborsandcommunity.Theb2020campaignpreparesusforthefuturewhileremainingattentivetopresentneeds.

Weinviteyoutojoinus!Supportb2020,andchooseyourimpact.PleasecontactourBryanFoundationstaffbycallingorsendinganemailmessageto:

Bryan Foundation at 402-481-8605 [email protected].

To see a video about b2020, please go to bryanhealth.org/b2020.

Thankyou! BobRavenscroft,VicePresidentofAdvancement andChiefDevelopmentOfficer

VIDEO

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Choose Your Impact

The knowledge you help impart

Greathealthsystemsprepareandattractthemosttalentedco-workers.YourgiftcouldhelpfundscholarshipsforBryanCollegeofHealthSciencesstudents,supportoffacultyandresearchandcontributetocapitaleffortssuchastheSimulationCenter.

The lives you enrich

It’speoplewhodeliverhealthcare,soinvestinginadvancedtrainingforourstaff,non-reimbursedservicesandprogramdeliveryhelpsmakeagreathealthsystem.

Youmaychoosetosupportongoingminorcapitalneeds,servicesandendowments.ThenewNurseNavigatorandEndofLifeCompanionprograms,theNICUPatientCareEndowment,communityhealthscreenings,educationalpresentations,theSexualAssaultNurseExaminerprogram,pillowsforheartsurgeryandorthopedicpatientsandcomfortkitsforfamilieswhohavelostlovedonesareexamples.

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B R Y A N F O U N D A T I O N

Mannequins in the Center for Excellence in Clinical Simulation help prepare tomorrow’s caregivers.

Infants — such as the Laxterkamp triplets — benefit from your gifts in support of the Neonatal Intensive Care Unit (NICU). Emma, Benjamin and Nathan Laxterkamp were born eight weeks early in 2010 and now (as shown with neonatologist Albert Owusu-Ansah, MD) are healthy five-year-olds.

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B R Y A N F O U N D A T I O N

8 Summer2015

BigEventrevealsb2020 Choose Your ImpactBryan Health publicly unveiled the

b2020 Choose Your Impact campaign May 30. About 300 guests celebrated Bryan Health’s past, present and future at the Nebraska Innovation Campus.

Thank you to our partners who joined us on this special night:

Davis DesignInpatient Physician AssociatesSoutheast Nebraska Cancer CenterMapes IndustriesCasslingNelnet Premier Connections Sampson ConstructionShanahan Mechanical & ElecticalAonCrib NotesEdwards Lifesciences

HologicLatsch’sLinet AmericasRound the Bend Steakhouse

Runza NationalTabitha Health Care ServicesXenex Disinfection Services.

Linda Nicholson (right) discusses technology with Scott Ohle, Amy Burg and Valery Wachter.

Sandra Hansen and Dr. Dale Hansen chat with Kim Russel, Bryan Health president.

Dick Campbell poses with Anne and Andrew Loudon and Kristen and Dr. Gene Stohs.

Richard McGinnis (above) Bob Norris and Steve Erwin meet. At right, Heather Talbott demon-strates a new device for Donna Woods (left).

Chris Ware, Sharon Harms, Tiffany and Andy Beer, and Dan and Karly Olson socialize at the Big Event.

Dr. Nathan Green, Dr. Lisa Peterson, Dr. Cary Peterson, Dr. Steven Dunder and Dr. Scott McHam enjoyed the Big Event at Nebraska Innovation Campus.

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KevinFoxcompetesinendurancecyclingevents.Farmorethananafternoonbikeride,thesecompetitionsrangefrom100to300-plusmilesongravelroads,acrossvariableterrain,inallweatherconditions.

“Extensivetrainingisrequired,”Kevinsays.“Foranyonecompetinginendurancesports,itisessentialtorecoveradequatelytopreventinjuryandimproveperformance.”

AfterspeakingwithstaffmembersatBryanLifePointe,hede-cidedtotrycryotherapy,anewtreatmentavailablefromBryanHealth.

“Evenafterthefirstsession,Ifeltrelieffromsorenessinmanyover-workedlegmuscles.Thedeepacheinmythighsandcalvessubsidedalmostimmediately,”henotes.

“Eachsessionwasinvigorating.Iwouldfeelasurgeinenergy,lesspain,andcouldreturnquicklytomyworkouts.”

Cryotherapyusesnitrogengastolowerskinsurfacetempera-tureby30-50degreesoveraperiodoftwotothreeminutes.Participantsstepintoachamber-likeenclosurethatsurroundsthebody,leavingtheirheadabovethechamber.Specialsocks,glovesandbootsareprovidedforparticipantstowearduringtreatments.

Duringtheprocedure,theskinreactstothecold,sendingmessagestothebrainthatactasastimulanttotheregulatoryfunctionsofthebody,triggeringthereleaseofanti-inflammatorymoleculesandendorphins.Atrainedtechnicianremainsclosebytomonitoreachsession.

Benefitsofcryotherapyincludereducedpain,fatigue,sorenessandinflammation;acceleratedrecoveryandimprovedperformance;andincreasesinimmunesystemfunctionandbloodcirculation.Itactivatesthenaturalbiologicalregenerationprocess,increasescollagenproductionandpotentiallyreducescellulite,blemishesandskinaging.

BryanLifePointememberDailaBumanisaddedcryotherapytoherroutinetobettermanageherrheumatoidarthritis.

“I’vebeenthroughfivesessionsandhaveexperienceddecreasedpaininmyjoints,”shesays.“Mykneesdon’tacheliketheyusedto.Isleepbetteraftereachsession,aswell.”

Cryotherapyalsocanbeusedtotreatautoimmuneandinflam-matorydisorders,fibromyalgia,osteoarthritisandosteoporosis.

Cryotherapyhasbeenincreasinginpopularity,especiallyamongprofessionalteamsandDivisionIathletics.BryanLifePointe

managerLorriBenamorpointsoutthisserviceisanotherexampleofhowBryanHealthintroducesleadingedgeandproventechnologytoourregion. n

To learn more about cryotherapy, contact the staff of Bryan LifePointe at 402-481-6300, or go to bryanlifepointe.com/cryotherapy. To find out how your gift can support Bryan Health, please call 402-481-8605.

N E W A T B R Y A N

CryotherapyatBryanLifePointestopspaincold,acceleratesrecovery

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Long-distance cyclist Kevin Fox counts on cryotherapy on the Bryan LifePointe Campus to help him stay race ready.

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LynnWilsonhasalwayslovedmotorcycles—especiallyHarley-Davidsons—andhasbeenridingthemsincehewas14.HeevengotaHarleytattooin1992—anitemonhis“bucketlist“—incelebrationofsurvivingthreeheartattacksandtriplebypasssurgerythatyear.

LivinginKearneythen,LynnwassenttoBryanHeartinLincolnforthesurgery.Almostaquartercenturylater,hestillvisitsBryanHeartregularly,ashiscongestiveheartfailureneedsconstantmonitoring.ButsincebecomingthefirstpersoninNebraskatoreceivetheCardioMEMSHFSystem,thosevisitsarebecominglessfrequent.

Managingcongestiveheartfailureisdifficultforpatientsandphysicians.Bythetimesymptomspresent,suchasweightgainorshortnessofbreath,hospitalizationoftenisneeded.ButCardioMEMSmonitorschangesinpulmonaryartery(PA)pressure,toidentifypotentialproblemsbeforesymptomsoccur.

Detects congestionThesystemfeaturesadime-sizedpressure-sensingdevice

thatcardiologistMathueBaker,MD,implanteddirectlyintoLynn’spulmonaryarteryduringaminimallyinvasiveprocedure.ThisdeviceenablesLynntouseasmallbedsideunitthatresemblesapillowtotakePApressurereadingsathome.

ThereadingsaresenttoBryanHeartwirelesslysotheycanbereviewedanytimedayornightthroughBryanHeart’ssecurewebsite.IfpressuresfalloutsidearangethatDr.Bakerhasset,BryanHeartautomaticallyreceivesemailalertstoletthemknowthestaffneedstointervene.

“Thisdevicegivesustheabilitytodetectcongestion,whichisthehallmarkofheartfailure.Congestionresultswhenextrapressureandfluidsarepresentinsideofthelungtissue.Thelungsarelikesponges,andwhenthepressurereachesacertainpoint,thefluidseepsoutintothosespacesinthe‘sponge’andthelungssoakitup,makingthemverystiff.Thiscausesthepatienttohavedifficultybreathing,”Dr.Bakerexplains.

“TheCardioMEMStechnologydetectscongestionatitsveryearliestphasewhenthepressuresstarttorise.Thisallowsus

toadjustmedicationstoeliminatethefluidssopatientsdonotexperiencesymptomsorhavetogotothehospital,whichinturn,improvestheirqualityoflife.”

“Beforetheimplant,Iwasoftenanxious,notknowingwhethertopackupandgotothehospitalortostayathomeandadjustmymedication,”Lynnsays.“Notonlydoesthedevicekeepmeoutoftheemergencyroom,italsohelpsmetobelessanxious.”

Dr.Bakernotes,“Idon’tthinkyoucanoverstatethepeaceofmindthisbringspatients—toknowthatsomeoneiswatchingclosely.Andclinically,ourphysiciansareexcitedtohaveconcretedatawhichallowsustoseetrendsinapatient’sconditionovertime.”

Success storiesInadditiontoLynn,Dr.Bakerhasprovidedthissystemto

manyheartfailurepatients—patientsnowbenefitingfrom

CardioMEMS HF comes to Bryan

Monitoring device brings peace of mind

B R Y A N H E A R T

Lynn Wilson (left) is the first Nebraskan to benefit from the CardioMEMS HF System (in photo at right). Thanks to Dr. Mathue Baker and the team at Bryan, Lynn says life is good.

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CardioMEMS HF comes to Bryan

Monitoring device brings peace of mind

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B R Y A N H E A R T

BryanHeart’sparticipationintheclinicaltrialthathelpedbringthetechnologymainstream.CardiologistStevenKrueger,MD,wasresponsibleforgettingBryanHeartinvolvedinthetrial,andBryanbecameoneofthetopfivetrialsitesinthenation.

BryanHearthasputalotofeffortintobeingontheveryleadingedgeofmedicineandtechnologyandhasacloserelationshipwiththeirindustrypartners.Inaddition,BryanHeart’srobustresearchprogramallowsthemtogetthistypeoftechnologyandtheverylatestinmedicaltherapyouttotheirpatientssooner.

Regional presence“BryanHearthasaverybigfootprint.InadditiontoLincoln,

onanygivenday,wehavecardiologiststravelingtheMidwest,fromIowatoMissouriandKansas,orouttoMcCookorupto

Valentine—andmanyplacesinbetween.Deviceslikethisallowustokeeptrackofpatientswhoaremilesaway,”Dr.Bakersays.

“TheBryanadministrationisextremelysupportivewhenweapproachthemwithideasliketheCardioMEMSHFsystemthatrequiresignificantinvestmentbythehospitalupfront;theyarewillingtoworkwithussothattogetherwecanprovidethelatest,mostsophisticatedcareforBryanpatients,bothlocallyandthroughouttheregion.”

NowlivinginLincoln,ridingagreenJohnDeerearoundhisyardinsteadoftheblack

andchromeHarleyonthehighway,Lynnsayslifeisgood.Thismonthhe’scelebratinghis50thweddinganniversarywithhishighschoolsweetheart,Sandi,andthankstoBryanHeart,he’sfeelinggreaterpeaceofmindthanhehasinalongtime.n

To see a video about CardioMEMS HD, go to bryanhealth.org/heart-failure.

To learn how you can support the work of Bryan Heart, please call the Bryan Foundation at 402-481-8605.

Lynn enjoys using his lawn tractor — although he prefers riding motorcycles.

VIDEO

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Compassionate companions

Volunteersoffercomfortattheendoflife

V O L U N T E E R S & C U S T O M E R C A R E

Whenpeoplethinkabouttheendoflife,”saysBryanChaplainNinaRedl,“oneofthefearsnearlyallofushave

isthatofdyingalone.Weallwishforthepresenceofsomeonewhocaresaboutus.”

Whathappens,though,tothosewhohavenoone—eitherhavingoutlivedorbecomeestrangedfromfriendsandfamily,orwhosefamilymembersarefarawayorcan’tstayatthebedside?

“Thatisaverybigconcernthesedays,assomepatientsspendtheirlastdaysinahospitalratherthanathome,”Redlsays.

“Becausesomanypeoplehavethatneed,”shecontinues,“we’vestartedtheEndofLifeCompanionProgram,inspiredbyanationalprogramcalled‘NoOneDiesAlone.’Ourvolunteersspendtimewithdyingpatientswhohavenoonetobewiththem,aswellasthosewhoselovedonesneedashortrespitefromthebedsidetocareforfamilyorpersonalneeds.Knowingthatwewereatthebedsidecanalsobeacomforttopeoplewholearnthattheirlovedonediedbeforetheywereabletoreachthehospital—suchasincasesofpatientsinjuredinaccidents.”

VolunteersandCustomerCareDirectorEllenBeanssays,“WhenNinasuggestedtheEndofLifeCompanionProgram,wewere100percentbehind

Volunteers such as Mary Wit help ensure that no patient is alone at life’s end.

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V O L U N T E E R S & C U S T O M E R C A R E

theideaandworkedwithhertocreateatrainingprogramandrecruitvolunteers.Ourvolunteersreceiveahalf-dayoftrainingwithpastoralcarestaff,palliativecarestaffandnursemanagers,plusongoingtrainingandsupportfromourchaplains.”

Beansandthechaplainagreewhichuniquequalitiesthesevolunteersneed.“They’reverylovingpeople,passionateaboutthiswork,anddowntoearth,”Redlsays.“Somehavehealthcarebackgrounds,andothershaveexperiencecaringforfriendsorfamilymembersattheendoflife.”

“Ourvolunteersarekindandcompassionate,”Beansadds,“aswellasnonjudgmentalandcomfortabletalking—orjustlistening—topatientsaboutanythingtheywanttodiscuss.”

VolunteerMaryWitsharesherexperienceofsupportingpatientsneartheendoflife.

“Thereisapeacethatcanexistduringthedyingprocess,andthisissomethingwevolunteerscanhelpprovidepatients

whodon’thavesomeonewiththem,”shesays.“Ialsofeelagreatsenseofpeace,myself,whenIsitwithapatient.

“Clinicalcareisprovidedbythenurses;thevolunteer’sroleissimplytolistenandspendtimewithpatientsandoffercomfortbydoingthingslikeplayingmusic,holdingtheirhands,andtalkingifthey’dliketo.Somepatientswanttotalkaboutspirituality,butnotallarereligious;somearecomfortedjustknowingthatwe’llstaywiththemthroughthisdifficulttime.”

PlansforexpandingtheEndofLifeCompanionProgramareintheworks.

“Asmorepeoplelearnaboutwhatwedo,theneedcontinuestoincrease,sowe’relookingfor

“Our volunteers spend time with patients who otherwise would have no one with them at the end of life, as well as those whose loved ones need a short respite from the bedside to care for family or personal needs.” – Nina Redl, Chaplain

morevolunteers,”saysRedl.“Ourgoalistohave25volunteersworkingwithusthroughthisprogram,butbecausewetraininsmallgroups,we’llhavetobuildtothatpointovertime.”

Sheconcludesbynoting,“Theendoflifeisoftenasacredtime,andit’saprivilegetoprovidethisverynecessaryserviceforourpatients.”

For more information about the End of Life Companion Program, including obtaining services, contact Chaplain Nina Redl in Pastoral Care Services by calling 402-481-8064.

To find out about these and other volunteer opportunities at Bryan Medical Center, call 402-481-3032, or visit bryanhealth.org/volunteer.

Intensive care nurse manager Mona Reynolds (left) discusses the End of Life Companion Program with Bryan Chaplain Nina Redl. Nurses alert the chap-lains when they have patients who may benefit from this new program.

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M E D I C A L S T A F F S P O T L I G H T

Ask thedoctors:What is a fecal microbiota transplant?Unlikely treatment for severe gastrointestinal infection proves highly successful

Itisn’toftenthatanewmedicalprocedurehasahighsuccessratewithveryfewsideeffects,butthat’sthecaseforanewly-availabletreatmentforthepotentiallydeadlycondition,Clostridium difficile(C.diff.)infection.

GastroenterologistWilliamLawton,MD,andpathologistAinaSilenieks,MD,describetheverysuccessful,ifseemingly

unusual,treatmentoffecalmicrobiotatransplantation(FMT),asimpleprocedureinvolvingintroductionofhealthydonorfecalmaterialintothecolonofpatientssufferingfromsevereorrecurrentC.diff.infection.

Q. What is Clostridium difficile infection and why is it a problem?

Dr. Silenieks: C.diff.infectioncanhappenwhenthenaturalbalanceofintestinalbacteriaisdisruptedbyuseofantibiotics.It’streatedwithadditionalantibiotics,thoughthattreatmentdoesn’talwayswork.Cdiff.causesvomitinganddiarrheathatcanbelife-threatening—about14,000Americansdieeveryyearfromthedisease.

Q. What is FMT, and how does it work?

Dr. Silenieks: DuringFMT,asmallamountofpurifiedfecesfromacarefullyscreened,healthydonorisplacedintothepatient’scolon.“Healthy”gutbacteriafromthedonorfeceshelpsrestorethenaturalintestinalbacteria,allowingthepatienttofightC.diff.infectionmoreeffectively.

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M E D I C A L S T A F F S P O T L I G H T

Q: Let’s face it, FMT sounds peculiar. How do patients get past their initial reactions?

Dr. Lawton: Typically,ourpatientswithC.diff.havebeensickforseveralmonthsandareinterestedinnewtreatmentsthatmighthelpthem.So,whentheyhearabouthowsafeandeffectiveFMTcanbe,theyquicklygetovertheirinitialconcerns.We’veprovidedFMTto10patientsoverthepastyear,andofthese,9experiencedcompleteresolutionoftheirsymptomswithminimalsideeffects.Thiskindofsuccessconvincedusandourpatientsofthevalueofthetreatment.

Q: Does fecal material have to be used? Isn’t there another way to get the same effect?

Dr. Silenieks: Humanstoolcontainsmillionsofbacteria,andanappropriate“balance”isnecessaryfornormalintestinalfunctionandpatients’abilitytofightinfectionslikeC.diff.Researchhasn’tidentifiedtheexactbacteriathathelptreatpatientswhohaveC.diff.Untilthathappens,we’llcontinuetousewell-screeneddonorfecalmaterialforFMT.

Q: What is it like for patients before, during and after the procedure?

Dr. Lawton: Patientstakeanoralcolonicpreparationsolutionandreceiveanintravenoussedativejustastheywouldbeforeacolonoscopy.Duringtheprocedure,weuseacolonoscope,thesameinstrumentusedinastandardcolonoscopy,to infuseasmallamountofdonorfecal materialintothepatient’scolonover about5minutes.Ourpatientstypically awakenwithnodiscomfort,though somewhatgroggyfromthesedative.Atno timedotheyseeorsmellthedonorfecal material.Technically,the“transplant”amountstoperformingastandardcolonoscopy,askilllearnedbyallgastroenterologistsduringmedicaltraining.TheinnovationinvolvedinFMTisusingdonorfecalmaterialto

BryanJourneys15

Aina Silenieks, MD, of Pathology Medical Servicesand William Lawton, MD, of Gastroenterology Specialties

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16 Fall2014

M E D I C A L S T A F F S P O T L I G H T

restorethepatient’snaturalintestinalbacteria.

Q: How long after FMT do patients experience remission of their symptoms?

Dr. Lawton:Ourpatients’symptomsaretypicallybetterafter24hours,andalmostgone72hoursaftertreatment.Thatmeanspatientswiththesevere,chronicdiarrheaweseeinC.diff.infectionareexperiencingnearlycompleteresolutionoftheirsymptomswithinthreedaysofgettingFMT.

Q: What are the possible side effects of FMT?

Dr. Lawton:FMThasbeenusedtotreatintestinalinfectionsformanyyears,sowehavemanystudiestolookbackonregardingitssafetyandsideeffects.Ingeneral,sideeffectsareminimal,andsimilartoastandardcolonoscopy.Italkwithmypatientsaboutrisksassociatedwithsedationandanycolonoscopy(bleeding,perforation,etc.),andtheoreticalrisksthatmightexistbecauseofrareinfectionsandautoimmuneconditionsnotincludedindonorscreening.Fortunately,whenappropriatelyscreeneddonorstoolisused,studiesperformedsofarsupportthelong-termsafetyandeffectivenessofFMT.

Q. How are the donors selected?

Dr. Silenieks: Patientscanchooseadonor(oftenafamilymember),whomustundergoavarietyofteststomakesuretheyarehealthy,includingscreeningtoconfirmthatthey’refreefromC.diff.infectionthemselves,andfrominfectiousdiseaseslikeHIVandhepatitis. Alternatively,patientscanusedonormaterialfromacompanythatcarefullyselectsandscreensdonors,thenpurifiesandshipsdonorsamplestohealthcarefacilitiesthatperformFMT.Sofar,thishasbeentheoptionchosenbyallpatientsreceivingFMTatBryan.

Q: How did FMT come to be offered at Bryan?

Dr. Lawton: FMTisavailableinLincolnonlyatBryan.ItwasintroducedintopatientcareduringmytrainingattheUniversityofNebraskaMedicalCenterandbecameavailableinLincolnthroughanexcellentteameffortbyBryanVicePresidentDavidReeseandotherseniormanagersandstaff,Dr.Silenieks,andthephysiciansatGastroenterologySpecialties.

Q: Is FMT covered by medical insurance?

Dr. Lawton: It’snotcoveredbyallinsuranceprograms,asit’sstillbeingreviewedforFDAapproval.So,wetypicallybillpatientsonlyforthecolonoscopyperformedduringtheprocedure.Thereareadditionalcostsfortestingorobtainingdonorfecalmaterial,butthesecostsareequivalenttoorlessexpensivethanrepeateduseofantibioticstotreataC.diff.infection.

Q: What developments might we see in FMT in the future?

Dr. Lawton:BasedontheexcellentsuccessrateofFMT(greaterthan90percent),wecanexpectitwillsavethelivesofmanyofthe14,000patientswhowouldotherwisediefromC.diff.eachyear.AlthoughwecurrentlyuseFMTonlyforrecurrentorsevereC.diff.,becauseofitseffectiveness,lowsideeffectsandcost-effectiveness,itmaybecomeinitialtreatmentforallpatientswithC.diff.inthenearfuture.FMTmayalsoprovevaluableforotherseveregastrointestinalconditions(inflammatoryboweldisease,irritablebowelsyndrome,etc.),butmoreresearchisneededonthatpoint.n

Meet the physicians: Dr. William Lawton grew up in Grand Island and completed his medical residency and training in internal medicine and gastroenterology at the University of Nebraska Medical Center, Omaha. As a gastroenterologist, Dr. Lawton treats a variety of diseases of the digestive tract, including C. diff. infection. He is associated with Gastroenterology Specialties (402-465-4545) and Lincoln Endoscopy Center (402-858-1950). Dr. Aina Silenieks grew up in Lincoln. She graduated from the University of Nebraska Medical Center School of Medicine, Omaha, and completed a pathology residency at the University of Michigan Medical School, Ann Arbor. Dr. Silenieks has been with Pathology Medical Services (402-465-1900) since 1986.

For more information about fecal microbiota transplantation for C. diff. infection, please contact Bryan GI Specialties manager Penny LeDuc at 402-481-3580.

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Bryan

Colleen Baker, MD, hospitalist,hasjoinedInpatientPhysicianAssociates,402-481-8577.

Dr.BakerearnedaBachelorofScienceinBiologicalSciencesin2003fromtheUniversityofNebraska-Lincoln.In2007,shereceivedherDoctorofMedicinefromtheUniversityofNebraskaMedicalCenterSchoolofMedicine,Omaha.ShecompletedaninternalmedicineinternshipattheUniversityofNebraska

MedicalCenter,whereshealsowasaresident.Followingresidency,sheservedasahospitalistatMethodistHospitalinOmahaforfiveyears.

J. Bruce Bavitz, DMD, oral surgery, iswiththeUniversityofNebraskaMedicalCenterCollegeofDentistryinLincoln,402-472-8900. Dr.BavitzreceivedhisundergraduatedegreefromBucknellUniversityinLewisburg,Pennsylvania.HeearnedhisDoctorofDentistryin1984fromtheUniversityofPennsylvaniaSchoolofDentalMedicine,Philadelphia. HecompletedageneralpracticeresidencyattheGraduateHospitalinPhiladelphia.Dr.BavitzreceivedfurthertraininginoralandmaxillofacialsurgeryatAlleghenyGeneralHospitalinPittsburgh.He’sbeenaprofessorattheUniversityofNebraskaMedicalCenterCollegeofDentistrysince2002. Dr.Bavitzholdsapatentonadentalimplantsystemandhaswonmanygrantsfromvariousentities.Hehaspublishedinseveralmedicaljournalsandperformswiththeall-dentistrockandrollband,“RawNerve.”

M E D I C A L S T A F F U P D A T E

Jenna Cook, MD, family medicine, hasjoinedSalineMedicalSpecialties,402-826-3222,andPhysiciansforWomen,402-488-4022.Dr.Cookearnedanunder-graduatedegreefromNorthwestMissouriStateUniversity,Maryville,andgraduatedin2009fromSt.George’sUniversitySchoolofMedicineinGrenada,WestIndies.ShefulfilledherresidencythroughLincolnMedical

EducationPartnershipinLincoln.ShedidreliefworkinGrenadaafterHurricaneIvan.

Kurt Kapels, MD, hospitalist,hasjoinedInpatientPhysicianAssociates,402-481-8577. Dr.KapelsearnedaB.S.inBiologyfromNebraskaWesleyanUniversity,Lincoln.Hegraduatedin2011fromtheUniversityofNebraskaMedicalCenterSchoolofMedicine,Omaha,wherehealsocompletedaninternalmedicineresidency.

Kosta Matrov, MD, hospitalist,hasjoinedInpatientPhysicianAssociates,402-481-8577.

Heearnedhismedicaldegreein1995fromMedicalUniversityinSofia,Bulgaria.HewasaphysicianattheStatePulmonaryHospitalinPernik,Bulgaria,andacaregiverattheFoundationforSeniorLivinginPhoenix.Dr.MatrovcompletedaninternalmedicineresidencyatKingsbrookJewishMedicalCenterinBrooklyn,NewYork,in2011.Duringthenextthreeyears,hewasahospitalistatseveralhospitals,mostrecentlyatGreatPlains

RegionalMedicalCenterinNorthPlatte. Heather Miller, MD, obstetrics and gynecology,hasjoinedPhysiciansforWomen,402-488-4022. Dr.Millerearnedabachelor’sinPsychologyatStanfordUniversity,California.ShegraduatedfromtheUniversityofSouthernCaliforniaSchoolofMedicine,LosAngeles,in2003.Dr.Millercompletedanobstetrics/gynecologyinternshipandresidencyatLosAngelesCounty/USCWomen’sandChildren’sHospital.ShehasworkedatWomen’sHealthcareSpecialtyGroup,Torrance,California,since2007andisfluentinSpanish.

New faces at

Welcome these colleagues to the Bryan medical community

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C R E T E A R E A M E D I C A L C E N T E R

TounderstandtheimportanceofinterpretersatCreteAreaMedicalCenter(CAMC),thinkofallthecommunicationthattakesplaceatadoctor’sap-

pointmentorhospitalstay:thepaperwork,labwork,explanationofsymptoms,instruc-tionsfromdoctors,thescheduling.

Nowimaginethoseappointmentsifyoudon’tspeakEnglish.

Explainingappendicitiswouldbeprettystraightforward.

Butwhataboutdepression?Howwouldyouasksomeonetoexplain

abillwhenyoucan’tcommunicateorreadthelanguage?

“Weprovideavoice.Forthepatient.Forthedoctor,”saysElviraBaques,oneoffourfull-timeinterpretersatCAMC.

TheyarethevoicewhenapatientfromGuatemalaneedstomakesenseofaprescription;whenadoctorneedstodelivertheresultsofamammograminSpanish.

Somedays,theirvoicesarethediffer-encebetweenlifeanddeath,notesJoyceHarrington,TranslationServicessupervisorandpatientaccesssupervisor.

TranslationsServiceshasbeenades-ignateddepartmentatCAMCfor10years,providinginterpretingandtranslating.Butitstartedevenearlier,inthePhysiciansClinicandformerCreteHospital,whenbilingualstaffmembersbeganhelpingpatientsnavi-gatelanguagebarriers.

AsCrete’smulticulturalpopulationgrew,sodidtheneedfordesignatedinterpret-ingstaff,andCAMCwanteditsinterpretingstandardstomatchitsqualityofmedicalcare.

“StreetSpanish”wouldn’tcutit,Harringtonpointsout.Today,interpretersaretestedforproficiencyandearncom-petencyinhealthcareinterpretingand

medicalcertificationinSpanishthroughLanguageLineUniversityandSoutheastCommunityCollege.

SomehospitalssettingupsimilardepartmentshavelookedtoCAMCasastandardtofollow.Harringtonsays,“I’mproudthatwehaveoneofthebest interpretinggroupsinNebraska.TheyprovidethequalityofcarethatanyEnglish-speakingpatientwouldget.”

Today,inadditiontobilingualco-workers,CAMCinterpretersarestationedthroughoutitsclinicandatthemaindesk.Patientsalsocanreachthemthroughadesignatedphoneline.Staggeredshiftsallowinterpreterstoprovideserviceseachweekday,Saturdaysuntilnoonandintotheeveningwhentheclinicisopenlate.Addi-tionalinterpretationisprovidedatanytimethroughtele-interpretersandMARTTI(MyAccessibleReal-TimeTrustedInterpreter)—avideoremoteinterpretingsystemwhichusescomputertechnologysimilartoSkype.Itconnectspatientstointerpreterstrainedinmedicalterminologyinmorethan150languages,includingsign.

CAMC’sinterpretershavebeenonthejobfor3-14years.SomebringCNAback-grounds.Alltreatpatientswithempathy.

BaquescametotheU.S.fromMexicoknowingonlythewords“Hi”and“Bye”inEnglish.

“Thatwashardasamother,”sherecalls.ShetookEnglishlanguageclassesatDoaneCollegesoshecouldmoveupinthework-force.“Iliketohelppeoplehere.Iknowwhatitmeans.”

AnahiLimaandWendyJaimes,interpret-ersfor14years,bothremembertranslatingfortheirparents.Lima’smomwouldsome-timesneedhertotranslateatdoctor’svisitsofapersonalnature,andtodayLimafeelsforyoungchildreninthesameuncomfort-

ablesituation.WhenJaimeswasinterpretingforhermother,shewouldsometimesskipdetailsbecauseshedidn’tknowhowtointerpretthem.“IrealizenowhowmuchIcouldhavemessedup,”shesays.

Whenpatientsworkwithinterpreters,thecommonreactionisgratitude,accordingtotheTranslationServicesteam.Patientsrelax.Thefamiliarlanguageissoothing,andtheyareabletohandofftheburdenofcommunicationandfeelingisolated.It’sonereasontheinterpreterroleisaboutmuchmorethanwords,thefoursay,astheygatherforaninterview,cellphonesinhand,waitingforthenexttextthatwillsendthemwhereneeded.

Theinterpretersneedtoknowtheregionaldifferencesinlanguages,mainlybetweenCuba,PuertoRico,GuatemalaandMexico.Forexample,“bottle”canbesaidfourdifferentways.

Knowingalanguageisdifferentthanknowingmedicalterms.Jaimessharestheexampleofafemalepatientwhoseemedtobeoverlydistraughtatthenewsthatsheneededhergallbladderremoved.Talkingtothewomanrevealedthatheryoungsonhadtoldthewomansheneededtohaveherbladderremoved.

“Youalsohavetoknowthecultureandbeabletoexplainittothedoctors,”saysNataliOrnelas.SomeCentralAmericanpatientsdon’twantsurgeries,includingdeliveriesbyCaesareanSection,becauseofculturalbeliefs.OneofOrnelas’mostrewardingexperiencescamewhensheworkedwithawomanwhoneededaC-Sectiontosaveherbaby.Ornelassays,“Iheldherhandandtalkedtoher,strokedherforehead,andshestartedfocusingandlisteningtome.Iexplainedtoherthatsheandthebabycouldliveifshedidthis.”

Baqueswasabletouseculturalknowl-

Interpretershurdlelanguagebarriers

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edgetohelpatacriticalemergencycall.AwomanarrivedunconsciousfromasuicideattemptandBaquesobtaineddetailsandcalmedthepersonwhoaccompaniedthewomantotheEmergencyDepartment.“Hedidnothavedocuments,andinsituationslikethispeopleareoftenscaredandwon’ttalktodoctorsorpolice,butheeventuallytalkedwithme,”shesays.

“Partofitisjusteducation,”Jaimesexplains.“Maybethetreatmentisnotavail-ablewherethepatientlivedbefore,soweexplainitortalkabouttheirbeliefs.Theinterpretersalsodoculturaltrainingwith

newstaff,helpingthemunderstandhowbeliefsandtraditionsofpatientsmayaffectmedicalcare.”

KateHesser,MD,givestheinterpret-ershighpraise.“Wecouldn'tdoourjobswithoutthegreatinterpretingstaffthatwehavehereatCAMC.Therehavebeenmanytimesthatpatientshavebeenfrustrated,be-causetheycouldnotunderstandwhatIwastryingtorelatetothem.Ithendiscussedthematterwiththeinterpreters,andwetriedtoexplainitinawaythatmadesensetothepatient,”saysDr.Hesser.“Ourinterpretershavedoneagreatjobofteachingusthe

manyculturaldifferencesthatexistamongthevariousHispanicculturesinourcom-munity.”

AcellphonebuzzesandOrnelasleavestheinterviewtemporarily.Textssummonthemthroughouttheday,usuallywithnomoreinformationthan:“WeneedyouinRoom102.”ThenextcontactmaysendthemtotheEDorSpecialtyClinic,toasur-gerydischargeorradiologyappointment.

Interpretersfollowpatientsthroughmorelevelsofinteractionthanmostmedi-calproviders.Theymayinterpretaphysi-cian’sdiagnosticmammogram,thenwalkthepatienttothefrontdesktoscheduleafollowup.Theyfollowfemalepatientsfromtheinitialnewsofpregnancy,throughpre-natalvisitstothedeliveryandwell-childvis-its.LimaassistedawomanthroughoutherpregnancyuntilthepatientbecamegravelyillandwastransportedtoaLincolnfacility.Limaheldherhandintheambulancealltheway,feelingasthoughshegavethewomansomemeasureofpeaceontheride.

Theymayinformapatientheorshehascancerandbeatthatperson’sside,medi-cally,untiltheend.Thefourhaveallrelayedtopatientsagrimdiagnosis,wordsthatarejustasupsettinginSpanishasinEnglish.Inthemostdifficultmedicalsettings,theyrelyontrainingandacodeofethics:Rememberthatyouarethepatient’sadvocate.Holdbackemotions.Sayonlywhatthedoctorsays.

Manyothertimes,though,theyarewit-nessestojoy,daysthatremindthemtheirjobisaneducationandoften,anhonor.

Jaimesremembersanotherwoman,whowalkedinthehospital’sfrontdoor,alreadybeyondlaborandintodelivery.

“Therewasnotimetocalladoctor.I’mtryingtointerpretforeveryone;there'sblood;everyoneistalkingsofast.Themotherwassothankfulafterward,shenamedthebabyafterme.Sooutthere,somewhere...there’sanotherWendy,”shesays,laughing.n

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C R E T E A R E A M E D I C A L C E N T E R

Natali Ornelas (left), Wendy Jaimes, Translation Services supervisor Joyce Harrington, Anahi Lima and Elvira Baques help patients and families communicate with their caregivers at Crete Area Medical Center.

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O U R S U P P O R T O F Y O U

20 Summer2015

Co-workers’ good deedsimprove community

Bryan partnered with these organizations by financially supporting them in 2014

Alzheimer’s AssociationAmerican Cancer SocietyAmerican Red CrossBetter Business BureauCedars CenterPointeChild Advocacy CenterChild Guidance CenterClinic with a HeartCommunity CropsDavid City High School Post PromDown Syndrome Association for Families of NebraskaEl Centro de las AmericasGuillain-Barre SyndromeHeartland Cancer FoundationHildegard Center for the ArtsInterchurch Ministries of NebraskaIrvingdale Neighborhood AssociationJunior Achievement of LincolnJuvenile Diabetes Research FoundationLeadership LincolnLincoln Children’s MuseumLincoln East High School Post PromLincoln High School Post PromLincoln Lutheran High School Post PromLincoln Medical Education Partnership Lincoln Rotary Club #14Lincoln Southeast High School Post Prom

Madonna Rehabilitation HospitalMartin Luther King Freedom BreakfastMary Lanning FoundationMental Health Association of NebraskaMilkworksMourning HopeNebraska Chamber of Commerce & IndustryNebraska Medical AssociationNebraska State Stroke AssociationPalmyra High School Post PromPartnership for a Healthy LincolnPeople’s Health CenterPius X High School Post PromRaymond Central High School Post PromRetreat & Refresh Stroke CampSoutheast Nebraska Cancer FoundationSouthwood Lutheran ChurchSt. Monica’sTabitha FoundationTeach a Kid to FishTeam Jack FoundationThe Kim FoundationThe Nebraska Cancer Research CenterUnited Way of Lincoln & Lancaster CountyVoices of HopeVolunteer PartnersYMCA

Bryan’semployeesareintouchwithourcom-munity!The2014involvementsurveyrevealed255employeesvolunteered23,568hourstoeventsandnonprofitorganizationsthroughoutLincoln.

FromparticipatinginKids’SafetyFairandtheannualRuntoOvercome,toBooattheZooandClinicWithaHeart,ourstaff,physiciansand studentshelpedmakeLincolnabetterplace.

Since the inception of the Lincoln National Guard Marathon, Bryan co-workers and students have kept runners refreshed at our water station near the Bryan West Campus.

Physicians join volunteer caregivers from Bryan in aid stations at the marathon.

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BryanJourneys21

O U R S U P P O R T O F Y O U

BryanHealthcommunitybenefitsreport

Community receives more than $72 million

Cost of charity careFreeordiscountedhealthservicesprovidedtopatientswhocannotaffordtopayandwhomeetallthecriteriaforfinancialassistance. Charitycaredoesnotincludebaddebt.If you have questions about Bryan’s financial assistance program, go to bryanhealth.org/financial-assistance, or visit our financial counselors at 402-481-5791.

Unreimbursed cost of Medicaid and other public programs Representstheshortfallbetweentheactualunpaidcostofprovidingcareandpaymentsreceivedfromthegovernment.

Unreimbursed cost of Medicare Representstheshortfallbetweentheactualunpaidcostofprovidingcareandpaymentsreceivedfromthegovernment.

Health professionals education Costofprovidingaccreditedtrainingandeducationprogramsforphysicians,nursesandotherhealthprofessionalsthroughresidencyeducationandcontinuingmedicaleducation,plusfinancialsupportofthecostoftheBryanCollegeofHealthSciences.

Other community programs and subsidized services Activitiesandprogramscarriedouttoimprovecommunityhealthandwellness;andhealthcareservicesthataresubsidizedbecausetheymeetanidentifiedneedinthecommunity.

Cash and in-kind contributionsCashandin-kinddonationstoothernon-profitorganizationsforcharitablepurposes.

Total cost of community benefits provided and the unpaid cost of Medicare

Unreimbursed Cost of Medicare 51.0%

Health Professionals Education

0.5%

Other Community Programs & Subsidized Services

12.5%

Cost of Charity Care 15.8%

Unreimbursed Cost of Medicaid and Other Public Programs 19.5%

Cost reported for the year ended Dec. 31, 2014

$11,502,063

$14,119,323

$37,088,587

$00377,735

$09,097,412

$00,517,081

$72,702,201

Cash & In-kind Contributions0.7%

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Y O U R S U P P O R T O F U S

Support is a two-way street

Collaboration.ThispowerfulactionisprominentinthemissionandvisionstatementsofBryanHealth.

Collaborationalsoisthecentralthemeforour2014CommunityBenefitReportandourAnnualReportonGiving.

Throughyourverygracioussupport,collaborationsareworking.Giftsofboth

timeandtreasurefromthecommunitytoBryaneclipsed$7.5millionin2014.

Italsoisevidentinourinvestmentintoourcommunities.Bryan’squantifiablecommunitybenefit—morethan$72millionin2014—isextraordinarilyimpactful.

AsaNebraska-ownedandgovernednonprofit,BryanHealthisacutely

awareandattentivetotheregion’shealthneedsandthereforeworthyofphilanthropicsupport.

In2015andbeyond,inordertomoveForward,wemustcontinuetoworkTogether.Thankyouforyoursupport—wearehonoredtocareforyourfamiliesandcommunities.

Our supporters

Totalnumberofdonors............................................$1,112,730Totalnumberofgifts.................................................$1,119,429Averageperdonor..................................................... $ 2,313

Investing in a healthy futureTotal private support generated during Fiscal Year 2014to benefit Bryan Health:

Giftsandpledgesfromindividuals,corporationsandfoundations.......................... $4,084,439Plannedgifts............................................................. $2,186,800Subtotal...................................................................... $6,271,239

In-kindgifts............................................................... $0 41,886Volunteersupport*................................................. $1,264,310Subtotal...................................................................... $1,306,196

TotalcharitablesupportforBryanHealthinFY2014................................................................. $7,577,435

*784 volunteers served throughout Bryan Health and contributed 56,067 hours of service in FY 2014, valued at $1,264,310. The Institute of Philanthropy quantifies the value of each hour of service at $22.55.

Bryan employee giving in FY 2014

Numberofemployeedonors............................... $1,111,885Dollarscommitted.................................................... $1,475,383

How gifts were designated by donors

BryanMedicalCenterclinicalandsupportdepartments $4,843,310BryanCollegeofHealthSciences $1,268,596CollegeofHealthSciencesscholarships $ 965,671CreteAreaMedicalCenter $0.93,424Other $ 0142,124

Gifts to be received at a future date

NumberofconfirmedestategiftsinFY2014tobenefitBryanHealth..................... 6Cumulativeconfirmedestategifts........................... 52HistoricalaverageestategifttotheBryanFoundation.................................... $1,160,000

AverageamountofconfirmedplannedgiftsreceivedinFY2014,withadisclosedamount,andtobereceivedatafuturedate**................................ $ ,195,221

** Confirmed gifts without a disclosed amount are not factored in the amount listed.

Bold type indicates amounts which exceeded totals from the previous year.

other $142,124

clinical & support $4,843,310

BRYAN COLLEGE OF HEALTH SCIENCES

$268,596

crete areamedical center$93,424

How donors designated their gifts in FY 2014

scholarships $965,671

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Donors choose their impact

D O N O R S T O R I E S

Broadcasting pioneersupports Nurse Navigator program

BryanJourneys 23

DickChapin,longtimeLincolnresidentandnationallyrecognizedleaderinradioandtelevisionbroadcasting,hasprovidedafinancialgifttoBryan’sNurseNavigatorprogramtohonorhismotherand

herlongcareerinnursing.HisgiftwillhelpBryanexpandtheprogram,whichprovides

individualizedsupportandresourcesforcancerpatientsandtheirfamiliesbasedonpatients’specificmedicalneeds.Long-termdevelopmentoftheNurseNavigatorprogramisapriorityfortheBryanFoundation,andprivatefinancialgiftsareavitalpartofsustainingtheseservicesinperpetuity.

“IstartedmycareerinbroadcastinginLincolnin1953,asasalesmanonthestreetforKFOR,”explainsDIck,nowCEOofthemediabrokeragefirmChapinEnterprises.Duringhislongcareer,he’sheldstatewideandnationalleadershippositionsandwonmanyawards,includingtheNationalAssociationofBroadcasters’(NAB)DistinguishedServiceAward,thehighestrecognitionabroadcastercanreceive,andhe’sinNAB’seliteHallofBroadcastPioneers.

“WhenIheardaboutBryan’sNurseNavigatorprogram,Iwashappytosupportitasawaytohonormymotherandherworkinnursing,whichsheenjoyedsomuch,”hesays.

“Mymother’snamewasHelenAgnesMcKieChapin—everyonealwayscalledherAggie—andshewasaverygenerouspersonwho‘nevermetastranger.’ShewasapublichealthnurseattheWhitehallHomeforChildreninLincolnandalsoworkedasaNebraskaStateFairnurseformanyyears.

“Toexplainalittleaboutmybackground,Icamefromveryhumbleorigins,”hecontinues.

“Myfatherdiedin1930,whichwasinthedepthoftheDepressionEraandobviouslynota‘banneryear’inthehistoryofthiscountry.ThankGodmymotherwasanurseandwasabletosupportus.EvenintheworstoftheDepression,mybrotherandIcouldalwaysbringafriendhometodinnerandknowtheywerewelcome.Therewasalsoatimewhen,becauseofthehardfinancialtimes,otherrelativescametolivewithus,andmymotherprovidedforthem,aswell.

“Beingraisedbyahard-workingsinglemotherwasanimportantpartofmylife,andmybrotherandIhavegreataffectionforher.Shelovedhernursingcareerandneverstoppedworking.ThehardestthingIhadtodoaftershepassedwastogiveawayherstarchednursinguniforms,whichshe

Dick Chapin is honoring the memory of his mother’s nursing career by contributing to Bryan’s Nurse Navigator program.

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D O N O R S T O R I E S

woretoworkeveryday.“Neartheendofherlife,mymotherhadaseverestroke.

ShewasinacomaatBryanforsevendays,thenhadtobehospitalizedfortwoyearstorecover.MybrotherandItookturnsvisitingherwhenshewasinthehospitalandnevermissedaday,”heremembers.

“ProvidingfinancialsupportfortheNurseNavigatorprogramseemslikeafittingwaytohonormymotherbecauseofherdedicationtohernursingcareerandhowmuchsheenjoyedit.”

Afteramoment’sfurtherthought,headds,“Ithinkshe’dbepleased.”

Electronic Contracting Company executive appreciates Bryan

Lincoln-basedElectronicContractingCompanyhasmadeanimportantfinancialgifttotheBryanFoundationthatwillhelpaddresssomeofourpatients’mostpressingcurrentneeds.Thisphilanthropicgiftis

thethirdofseveralmajorgiftsElectronicContractingCompanyhasprovidedinrecentyearstosupportBryan’songoingcommitmenttoexcellenceandinnovationinpatientcare.

AdamKaravasfoundedElectronicContractingCompany,thenknownasElectronicEquipmentSupplyCompany,in1956,afterhegraduatedfromtheUniversityofNebraska.HisaffectionforBryanbeganafterhecontractedasevereillnesswhiletravelingabroadin1988,andsubsequentlyunderwentmultiplesurgeriesandhospitalizationsatBryanMedicalCenter.

“Ittookmeninemonthstofullyrecoverfrommyillnessandreturntowork,”hesays,“andduringthattimethephysiciansandnursesatBryanprovidedmewithreallyexcellentcare.Thenurseswereespeciallywonderful—theircarewasbothhighlyprofessionalandverypersonalized.IrememberthattheyhadchocolatemaltswaitingformeintherefrigeratoreverynightwhileIwasinthehospital.

“MyfriendDuaneAckliepurchasedElectronicContractingCompanyin1986,”explainsAdam,“andI’verunthebusinessforhimeversinceaspresident.”

Together,themendecidedtohonorBryanHealthwithaphilanthropicgiftbecauseoftheexcellentcareKaravasreceivedthere.

ElectronicContractingCompanynowhasalonghistoryofsupportingmanyaspectsofcareatBryanthroughcontributionstotheFineLineCampaign,theBryanCollegeofHealth

Sciences,andnowtothecomprehensiveb2020campaign.“Forthiscurrentgift,”Adamsays,“Isatdownwith

ValerieHuntoftheBryanFoundationandhadaverylow-keyconversationaboutwaysthedonationcouldbeused.IfeltthattheFoundationknewbesthowwecouldmakethemostimpactforthecommunity,soIaskedthemtodirectthegifttowardtheirmostimmediateneeds.

“ElectronicContractingCompanyhasbeenverysuccessful,”headds,“andwe’repleasedtogivethisgifttoBryan,bothtosupportpatientservices,andtoshowourappreciationtoLincoln,whichhasbeenthehometownforourbusinessforalmost60years.”

Adam Karavas made a gift to Bryan Health to acknowledge the care he received at the medical center.

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D O N O R S T O R I E S

Estate gift promotes memory care needs

MarkStephensofLincolnhasdesignatedthatafinancialgiftfromhisestatebeprovidedtotheBryanFoundationinsupportofBryanpatientswithmemorycareneeds.

ThisnewmemberoftheWilliamJenningsBryanSocietyisthethirdgenerationfamilymembertoruntheLincoln-basedfamilybusiness,BobStephensandAssociates,whichmakesanddistributespromotionalproducts.

“BeingalifelongLincolnite,”saysMark,“IwasobviouslyawareofBryanandhaveagreatdealofconfidenceinthecaretheyprovide.IdecidedtomakethisestategifttotheBryanFoundationbecausemygrandfatheronmymother’ssidesufferedfromAlzheimer’sdisease,andthisexperiencewasveryimpactfulonmeasayoungman.I’vewantedtodosomethingtohonormygrandfatherandhelpotherswhohaveAlzheimer’sdiseaseandtheirfamilies—tome,makingacontributiontoBryanisanappropriateandeffectivewaytoaccomplishthis.”

HisfirststepwastovisitwithValerieHunt,seniordevelopmentofficerattheBryanFoundation,todiscusshowanestategiftcouldbenefitBryan’smissiontocareforpatientswithAlzheimer’sdisease.“WesitdownwithpotentialdonorsforaninformalconversationaboutBryan’scurrentneeds,prioritiesandinterests,andhowthesematchupwiththedonors’plansandideas.Then,together,wecomeupwithaplanforhowtomaximizetheimpactoftheirfinancialgift,”Valeriesays.

“Animportantthingtoknowisthat,becauseofhowBryanvaluesphilanthropy,wearestructuredinawaythatallows100percentofourdonors’giftstogodirectlytothecauseorservicetheyintendthemfor.We’reveryproudofthat.”

Sheadds,“GiftsofalllevelstotheFoundationcanhaveabigimpact.Forexample,somedonationshaveestablishedscholarshipsforstudentsatthenursingschool,andothershavebeenearmarkedtoprovidenewclothingforpatientsintheEmergencyDepartmentwhoareinneed,ormusthavetheirclothingcutoffduringtreatment.”

Mark’sestategiftwillbedirectedtowardhelpingidentifyandtreatBryanpatientswithmemoryissues.“Anexampleofwhatthegiftmightbeusedforarewhatwecall‘busyboxes,’”Valerieexplains.“Theseactivityboxescontainthingslikecardgames,computergames,puzzlesandmusicwithheadphones,whichwe’llprovidetohelpcomfortpatientsandkeepthemmentallyengagedwhilethey’recaredforinthehospital.”

“Mygoalisthatmyestatedonationbeusedveryeffectively,”saysMark.“Ratherthanhavingthemajorityofyourestategototaxes,it’sgoodtoknowthatyoucanmakeyourmoneyworkdouble-timebydonatingtoawell-runnonprofitfoundationlikeBryan—andthatyoucandothatbasicallytax-free.Thatallowsyourmoneytosupporttheworkofthenonprofitfoundationaswellasgivebacktopeoplewithinyourowncommunity.Ifeelreallygoodthatmyestategiftwillletmedothosethingsformanyyearsinthefuture.”

To learn how you can support Bryan Health through the b2020 campaign, please call 402-481-8605, or go to bryanhealth.org/b2020.

Mark Stephens established an estate gift that will help identify and treat patients who have memory issues.

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DickCampbellisnostrangertoboardleadership.

ThiscurrentchairoftheBryanHealthFoundationBoardwasinvitedtoserveontheboardapproximatelyeightyearsago.

“I’vebeenaBryanHealthsupporterforanumberofyears,”hesays.“I’mexcitedtoserveinthisroletohelptheFoundationandorganizationasawholemakeanimpactonthelivesofourpatients.”

HispassioncomesfrompersonalexperienceashisadultdaughterrecentlyrecoveredfromGuillain-BarreSyndrome,adebilitatingdiseasethatattacksthenervoussystem.WhilehertreatmenttookplaceoutsideofNebraska,hesaystheentireexperiencereinforcedhispassionforpersonalized,qualitycare.

Dick’sresumecontainsanimpressivelistofvolunteerservice,includingstintsaspresidentoftheOpenSkyPolicyInstituteBoardofDirectors,andpastchairoftheNebraskaChamberofCommerce,LincolnChamberofCommerceandthetaskforceandcampaignforthenewPinnacleBankArena.HealsoistheownerofCampbell’sNurseriesandGardenCenters,andservedasitspresidentfrom1979until2012.Amasteratempoweringpeoplearoundhim,Dickisfamiliarwiththechallengesandrewardsthataccompanyvolunteerleadership.

“Ilovethepeopleinthiscommunity,”hesays.“Eachandeverypersonispassionateaboutmakingthisoneofthebestplacestolive.It’saprivilegetobeabletoplayapartinaccomplishingthatgoal.”

Sinceitsinceptionin1935,themissionoftheBryanFoundationhasbeensimpleandstraightforward:toprovideneededfinancialsupporttoBryanHealthsoitcanofferthebestinhealthcaretopatientsandtheirfamilies.TheboardexiststoensuretheFoundationiscarryingoutthismission.Withmorethan20members,theboardencompassesavarietyoftalentedindividuals,includingtheexecutiveleadershipofBryanHealthandanumberofcommittedvolunteers,suchasattorneys,physicians,financialexecutivesandbusinessandcommunityleaders.

“It’simportantforustohaveavarietyofviewpointsrepresented,”explainsDick.“Thisleadstovaluablediscussionsthathelpusimprovepatientcare.”

Nursery owner Campbellhelps grow health care leaders

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Foundation Board Chair Dick Campbell says leadership is all about giving back.

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Withthehealthcareindustrychangingrapidly,theBryanFoundationplaysacriticalroleinfundinghospitalimprovements.RecentprojectshaveincludedthenewBryanIndependenceCenterandtheupcomingchapelontheBryanWestCampusandtheNeonatalIntensiveCareUnitHealingGardenintheWomen’sandChildren’sTower.

FundsarealsodistributedwithintheBryanHealthnetworkthroughrequestsmadebyeachdepartment.Theserequestsincludeitemsandequipmentthatwilleasestaffworkloadsandimprovepatientcare.Withalimitedcapitalimprovementbudget,thehospitalcontinuestorelyontheFoundationtohelpsecuretheseresources.Proposalsaresubmittedonanongoingbasis,andtheboardmeetsquarterlytodeterminefundallocations.

Thequarterlymeetingalsoincludesaneducationalcomponentdesignedtoexposetheboardmemberstodifferent

aspectsofBryanHealth.Inthelastcoupleofyears,theboardhasgottenanin-depthlookattheBryanTraumaCenter,theNICU,andtheWomen’sHealthTower,aswellasotherareas.

“Theeducationalcomponentshelpusbetterunderstandthehealthcareorganizationandwhatwecanaccomplishwitheacharea,”explainsDick.“Asboardmembers,we’reabletospeakoftheseadvancementswhenwe’reoutinthecommunity.”

Dickandhiswife,StateSen.KathyCampbell,serveasrolemodelsforanumberofleaderswhodesiretomakeadifferencefrombothaprofessionalandpersonalstandpoint.

“Thereisajoyinbeingabletoseetheneedsofthecommunity,andtocomeupwiththemeansandmethodstofulfillthoseneeds,”Dicksays,smiling.“Boardleadershipisallaboutgivingback.That’swhyweserveandwhywefinanciallysupporttheBryanFoundation.” n

B R Y A N T R U S T E E S

Bryan Health

GeneBrakeDickCampbellDaveDyke,MDStevenErwin,ChairRichardEvnenJonHinrichs,MDAndrewHoveJr.JackHuckWilliamLesterPremPaul,DVM,PhDDondePlowman,PhDKimberlyRusselReneeSjulinMarkWalzRossWilcoxJohnWoodrich

Bryan Medical Center

Sen.KathyCampbellNicholasCusickJohnDeckerJohnDittmanStevenErwinRichardEvnen,ChairBrendaFranklin,RNRonHarrisGaryHustad,MDDavidKeck,PhDMartinMassengale,PhDGeorgianneMastera,PhDEdwardMlinek,MDBeauReidKimberlyRusselGeneStohs,MDJohnTrapp,MDLisaVail,DNP,RNJohnWoodrichScottYoung

Bryan Foundation

SamBairdBrianBossard,MDRichardCampbell,ChairWilliamCintaniGregDynekCharlesGregorius,MDArthurKnoxJanetLabenzAndrewLoudonJaineMerlissKatieMillerRobertNefskyRobertNorrisAlbertOwusu-Ansah,MDTreyPittengerTrentReedKimberlyRusselAinaSilenieks,MDBethSmithJamesStangeKathyStewartJenniferTrickerCoriVokounDeeAnnWenger

Crete Area Medical Center

WayneDrummondTadEickman,ChairKenFosterTomKozisekTimothyLieske,MDMikePavelkaBobRavenscroftLindaStonesAmyVertin,MDBillWelch

BryanEnterprises

TomBall,ViceChairRussellGronewoldAngieMuhleisenRobertNefskyBobRavenscroftJohnReed,MDKimberlyRusselKristianRutford

Bryan College of Health Sciences

BrendaFranklin,RNSusanGourley,PhDJamesGriesen,PhDMichelleJohnson,PhD,RNGeorgianneMastera,PhD,ChairJakeMcCainAndrewMerliss,MDMarilynMoore,EdDAngieMuhleisenErinPemberton,JD,MSNSameanoPorchea,PhDRogerReamerKimberlyRusselMauriceRussell,RPhLisaVail,DNP,RNJohnWoodrich

Meet our Board members

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William Jennings Bryan Society member profiles

Hinkleysencouragecharitablegiving

BryanHealthholdsaspecialplaceintheheartsofDonnaandLloydHinkley.

“IwasbornatBryan.Ideliveredmythreechildrenhereatthishospital,”Donnasays.“We’vebeeninvolvedaspatientsandsupportersforanumberofyears.”

TheconnectionrunsdeepforLloyd,too.

“IwashonoredtoserveontheBryanFoundationBoardfor26years,”hesays.“IactuallystartedonthefoundationboardforLincolnGeneralHospital.”

Whenthetwoorganizationsmerged,Lloydcontinuedtoserveontheboardforseveralmoreyears,eventuallybecomingitschair.

Overthelastseveraldecades,LloydhasservedontheLincolnCityCouncil,theHousingAuthority,theNebraskaAppraisalBoardandtheRealEstateCommission.ThisKoreanWarveteranalsowasprivilegedtoparticipateinarecentFreedomFlighttoWashington,D.C.

Nowretiredfromsuccessfulcareersinrealestate,bothLloydandDonnaenjoyspendingtimewithfamilyandfriends,whilegivingbacktothecommunity.DonnaservesasadocentattheNebraskaHistoryMuseumandlooksforwardtovolunteeringwithamusicgroupforlocalretirementhomesandfacilitiesandplayingbridgewithfriends.

Lloydmaintainsasmallofficedowntown,keepingafewhoursopenduringtheweektomanagetenantsin10officespaces.TheHinkleysenjoy

Huskersportingeventsandwatchingtheirgrandchildrenparticipateinsports,aswell.

“IstoppedplayingsoftballwhenIwas69yearsold,”saysLloyd,smiling.“NowIgettocheeronmygrandkids—andgivethemgame-winningtips!”

There’snodoubtaboutit:TheHinkleyscheerforthegoodofthecommunity.

“Thehealthcarefieldhaschangedsomuch,”saysDonna.“We’vebeenabletowitnessthegrowthfirsthandfromanumberofviewpoints.”

ThecoupleencouragesotherstobepartoftheaforementionedgrowthbyconsideringBryanHealthintheirestateplanning.

“Whenchoosingtogiveforcharitablepurposes,youcan’tgowrongwithanorganizationsuchasBryan,”Lloydsays.“Theywillmakesureitgoesbackintothecommunity,makingthisabetterandhealthierplacetolive.”

To learn how you can support Bryan Health, please call 402-481-8605, or go to bryanhealth.org/b2020.

Lloyd and Donna Hinkley of Lincoln support efforts to make their community a healthier place in which to live.

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B E Y O N D E X P E C T A T I O N S

Gifts salute exceptional serviceOur patients and their families made gifts to Bryan in honor of these physicians and employees, who went beyond expectations toprovide exceptional service.

Larry BackesAmber BeardApril BehrensLacey BelzerDr. Reginald BurtonDr. Christopher ChristensenJared CloughDr. John CordovaKatie CutshallJayme DrogeSally EppenbachMikaela EsterlingDr. Douglas FiedlerChrissy FleuryDr. Timothy GardnerKate GuardiolaMary GuntherBethany HaysKristine HindmanLillian HollingsedDuane HugoJona KeelerMikaela Kidwell

Shawn KroghJessica KuhrDr. Michael KutayliDr. Sean LeachSharla MadJohn MaierBenjamin MallamDoris MartinCandace MelcherJanel MichaelDr. Ellen MillerTisha MinzelNicole MolczykSara MortonNatalie NilesKaitlin NissenDr. Robert Oakes

Dr. Stanley OkosunFarida O’NeillMary PetersSandra PetersenJoy PlautzDr. Kevin PogrebaCarrie ReynoldsMona ReynoldsJeff RollerHeather RossJessica RothChelsea RussellSarah SchroederScott SchroederBeau Searcy HudsonSherri SelvageMadie Smith

Rina StrydomAshley StuartBrett SwartsRobyn Swartzentruber Nicole Tan Borgeson Jo Thompson Dr. Noel Timmons Dr. Daniel Tomes Claire Valder Daniel Van Ranken Dwayne Ventry Sr. Connie Walters Heather Watson Dr. Ryan Whitney Rachel Zagozda OR Heart TeamCardiovascular ICUCardiac Cath LabBryan East Campus Emergency DepartmentBryan West Campus 5E/5W

You can recognize outstanding care with a Beyond Expectations gift. Contact the Bryan Foundation staff at 402-481-8605 to learn how.

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The William Jennings Bryan Society recognizes people who have invested in the future of Bryan through a planned gift.

CarlJ.AnderDiane&SteveAndersenMarilynM.BakerVilis&HelenBerstLyleF.BigleyMaryH.BrownFrancesBuellJeff&AmyBurgJoseph&MargaretCarlsonDr.CarolynCodyEdwardL.CooleyJamesCuddefordKen&ShirleyDermannDr.AlanDominaBarbaraA.GoddenGerald&NancyGondringerJim&MargaretGriesenRonGroepperRichardHansenDorothy&FrancisHaskins

Catherine&GregoryHershbergerLloydHinkleyDonnaHinkleyPhylisHollamonBergDiane&LarryKatholDr.AlexanderKingsleyNelisLagoTomLesoingLynette&BruceMcKeagDr.BruceMillerMarilyn&DavidMooreRev.Dr.ClarkeMundhenkeHarold&MarilynPfeifferVerla&TomPlummerBob&KarenRavenscroftDr.Vonn&DebraRobertsCherylRourkeSharriRowleyKimberlyA.RusselRobertSchiebinger

DianeSnappJerry&BarbaraSolomonJim&SuanneStangeMarkStephensDavid&LindaSundbergDavidThompsonVirginia&BurnellVonSeggernPatricia&ClintonWebbHerm&HelenWiebersDavidWilcox

William Jennings Bryan Society

Cumulative gifts of $500,000 or more.

CecilAlbertEstateAnonymousBryanMedicalCenterBryanVolunteersandCustomerCareAaronBuckstaff(DC)TheCommunityHealthEndowment

ofLincolnCreteAreaHealthCareFoundationE.J.FaulknerEstatePhylisHollamonBergRobertE.&MaryJ.Moore(DC)Lee&BettySchroeder(DC)

MaryG.&DuaneT.Swanson(DC)JohnL.&SophyH.Teeters(DC)

(DC) indicates deceased.

Founders

Cumulative gifts of $250,000-499,999.

TheDr.BastaniFamilyDavisDesignTheHawksFoundationWayne&NancyHesterAlbert&LoisHoeschEstate

ChristineJanda(DC)TheKimFoundationLincolnHospitalAssociationElizabethM.MillerEstateRogersFoundation

DonaldR.&MaryL.(DC)SwansonUnionBank&TrustCompany

(DC) indicates deceased.

Leaders

Cumulative gifts of $100,000-249,999.

MarilynBakerBryanHeartBryanMedicalCenterWestAuxiliaryJeff&AmyBurgDr.CarolynCodyElectronicContractingCompanyFrederick&HallieHoutzEstateDorothy&FrancisHaskinsHealthLincolnInc.LincolnCommunityFoundationInc.LincolnRadiologyGroup,PC

MedtronicCharles&EstherMillerEstateMarilyn&DavidMooreHarold&MarilynPfeifferVance&BarbaraRogers(DC)KimberlyA.Russel&DirkBrom,MDRichardSaduikis(DC)SampsonConstructionJohn&LauraSlife(DC)DianeSnappKenSnider

USBankOdethWall(DC)HelenWeber

(DC) indicates deceased.

Builders

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Cumulative gifts of $50,000-99,999.

Duane&PhyllisAcklieAlliedTour&TravelRobertAllingtonEstateAmeritasCharitableFoundationJeanAmesTrustAgnesAsmussenEstateAssurityLifeInsuranceCompanyRaymondJ.Becker(DC)LyleF.BigleyBryanMedicalCenterAdministrationBryanSchoolofNurseAnesthesiaBryanWoman'sBoardDr.ReginaldBurton&Dr.JamieSnyderWayneE.CarnicleEstateCarverTrustFund

CityofLincolnEleanorDixonEstateDKJLFamilyFoundationJ.E.DunnConstructionCompanyAliceG.EberhardEstateEducationQuestFoundationInc.EmergencyMedicalServicesInc.DaleFadschildEstateDuaneFjellin(DC)HeleneFuldTrustDr.LewisHarris(DC)Lloyd&DonnaHinkleyIndependenceCenterAlumni

AssociationKinderPorterScottFamilyFoundation

LincolnIndustriesMDSPharmaServicesAngie&DanMuhleisenStuartNichols(DC)PathologyMedicalServices,P.C.MildredRowley(DC)SandhillsPublishingTheJamesStuartIIIFamilyFoundationFernD.Swanson(DC)SwingAgainstCancerWoodsCharitableFund

(DC) indicates deceased.

Cumulative gifts of $25,000-49,999.

AbelFoundationAlphaPhiCraig&DevonAmesCarl&Jane(DC)AnderBob(DC)&AnnBrownBryanSchoolofNursing

AlumniAssociationDr.Stephen&BethCarvethCommercialInvestmentPropertiesEdward&Doris(DC)CooleyJosephCooperEstateCornhuskerBankLoisDargelohDialysisCenterofLincolnDonlanFoundationEPreward,Inc.RichardEvnen&KimberlyHeierKen&DebFosterDonFreemanJanGarvin&JimSpaldingGenentechInc.BarbaraA.Godden

JimandMargaretGriesenRuss&JaneGronewoldViolaHronis(DC)Everett&MaryJaneKnoche(DC)WilmaKuster(DC)Dr.Glen&ElbaLauCharles(DC)&HermineLefflerBill&JudyLewisArthur&GladysMarquardt(DC)FlorenceMauroulesLynette&BruceMcKeagDaniel(DC)&RuthMcPhersonNAI/FMARealtyNebraskaEmergencyMedicine,PCNebraskaHospitalAssociationNebraskaTrauma&

AcuteCareSurgeryPfizerInc.QuestDiagnosticsBob&KarenRavenscroftTheRobertWoodJohnsonFoundationRuthSchwartz(DC)

Jerry&BarbaraSolomonDonnaStone(DC)TheStuartFamilyFoundationDavidandLindaSundbergBeverly&RobertTaylorShirleyTravisUNICOGroup,Inc.W.K.KelloggFoundationRon&ValeryWachterRobertWadeTrustPatricia&ClintonWebbEllenWeissingerWellsFargoWilliam(DC)&MaeWhitmerDr.James&MimiWicklessRoss&JudyWilcoxDoug&LoisWilsonWindstreamJohn&JeannieWoodrich

(DC) indicates deceased.

Cumulative gifts of $10,000-24,999.

Kay&Edwin“Bud”(DC)AbbottActionForStudentsAmeritiasFinancialServicesAssociatedAnesthesiologists,PCViolaBabcockTrustBaileyLauermanSam&JoyceBairdOliverBakerMemorialTrustDr.JohnBaldwinNadyneBauer

Ellen&PatBeansBob&JoAnneBettenhausenBettenhausenFamilyFoundationEstherBeynon(DC)Gary&ConnieBinderRay&BettyBloomquistDeb&EdBoehleMarshall&JennieBorchertBresterConstructionInc.BryanMedicalStaff

EdgarBumanisOsvalds(DC)&DailaBumanisBurlingtonNorthernFoundationRuthJonesCadwallader(DC)Dick&KathyCampbellJack(DC)&MaryCareyAldaCarlsonJoseph&MargaretCarlsonJackCarnieGeorge&ElaineCarr

2 0 1 4 A N N U A L R E P O R T O N G I V I N G

Progressives

Defenders

Champions

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This list (Pages 32-39) recognizes gifts of $50 or greater in 2014. An asterisk (*) denotes Bryan Health Employees as of Dec. 31, 2014.

KayAbbottJustinAbbottAbelFoundationJenny*&SteveAblerBecki*&RonAckermannActiveLifeFamilyChiropracticTinaAdamsRoger*&ChristinaAdamsPriscilla*AdamsKaren*AdamsheckKelsey*AddisonAhmed*Al-AbdilyAlbersBrownLawFirmHannah*AlbrachtJamesAlexanderSusan*&DelbertAllenApril*AllenAlliedTour&TravelAlphaPhiGina*Alvarez

Carrie*AmbroseDr.CoriAmend&RyanSothanCraig&DevonAmesCarlAnderDawn*&ScottAndersenDiane*AndersenErica*AndersonJaclyn*AndersonJennifer*AndersonMickey*AndersonMorgan*AndersonPam*AndersonStacey*AndersonColleen*AndrewsMarthaJoanAndrosDr.Albert*AnsahAOICorporationAONAORNDorthy*&RobApplegate

Ardean&EloiseArndtTiffani*&JJArndtSarah*ArnttWendy*ArpAshaSalonCynthia*AultAaron*AupperleKatie*&Jeff*AustinJeffrey*AustinJanice*&StacyAyresB&RStoresKen&SidoniaBabcockSally*&TravisBachCharlesBachinskiKelli*BackmanDennis*&MaryJaneBadeJamie*&RustinBaderTeri*&GregBaerRick*BagbyWendell&DonnaBailey

Honor roll of donors for 2014

Richard&JackieChapinClineWilliamsWrightJohnson

&OldfatherLLPCooperFoundationJimCuddefordNick&AnnCusickRoger&Gayle-annDouglasWilliam(DC)&BettyDresserMike&TerriDunlapDuTeauChevrolet-SubaruEellsTrustT.A.FilipiEstateNeil(DC)&GailFinsandFirsTierBankDean&DebbieFisherTed&Marlene(DC)ForkeHarrietFort(DC)RuthFosterEstateEstherFoxDr.DeepakGangaharDr.BenjaminGelberGeneralMillsFoundationGenerals’ClubDr.Charles&CarolynGregoriusGuidepointGlobalSharon&EricHadenfeldtRichardHansenRon&ChrisHarrisRon&ChrisHarrisCharitable

FoundationRuthHartley(DC)LeonardHartwig(DC)Larry&SandyHarveyDr.Bob&HelenHayesJean&LarryHennings

Frank&LizHilsabeckGeorge&AliceHolmstedt(DC)CraigHowlettKathleenHowlettIMSCORPDonB.Johnson(DC)MabelH.JohnstonEstateHarold&Charlotte(DC)KelleyKensingtonQuiltersKidwellInc.KLKN-TVDrs.Elizabeth&StevenLauRick&AnitaLeggottLincolnAssociation

ofHealthUnderwritersLincolnGeneralHospitalFoundationLincolnInsuranceGroupLincolnTelephone&TelegraphLincolnVoiture103Marv&JuneLymanPaul&KayMaizeDrs.Christopher&ErinMasadaJamesA.&GeorgianneMasteraCampbellMcConnellSuzanneMcMastersDr.Clyde&SusanMeckelWynn&SheilaMehlhaffDr.Andrew&JaineMerlissCharlie&SherryMeyerMilius,Gibbens,Friesen,Hattan,

Martin,Rauner&RutanCheryl&MartyMillerKen&PatMorrisonRev.Dr.Clarke&SharonMundhenkeTressieMurdockEstate

NationalParkServiceNebraskaCommunityBloodBankNebraskaHeartInstituteRobert&MaryNefskyLucilleNefskyEstateJamesF.&VirginiaNissenNovartisConsumerHealthInc.OlneyFoundationInc.David&RuthPatrick(DC)MargaretPavelkaEstateTashaPfenning&CurtElikerElvinL.PlattEstateVerlaandTomPlummerPrivITPurdueLectureProgramGroupMrs.E.B.Reed(DC)Dr.John&KayReedDr.Herb&GinnyReese(DC)RegionVServicesSusan&PaulRegoDr.Vonn&DebraRobertsKarenRockSharriRowleyRunzaNationalRuralHealthPartners,Inc.SaintElizabethRegionalMedical

CenterAdministrationStevenD.Salisbury(DC)BennoSand&MarlysGapsturSandSchneider(USA)Inc.Florence&PaulSchorr(DC)TheJoeW.&RuthK.Seacrest

FoundationJuneSmithSmithKlineBeecham

SoutheastNebraskaHematology&OncologyConsultants

Jim&SuanneStangeStateofNebraskaStuartFoundationSutterPlaceInteriorsSwansonRussellTakedaPharmaceuticalsNorthAmericaThoratecTierOneBankDennis&PatVermaasVHADr.Walt(DC)&JoannWeaverWellerFoundationDr.Vernon&JanetWestbergDr.Ryan&MariettaWhitneyHerm&HelenWiebersDr.Eric&KathleenWilliamsLynn&RobynWilsonShirley&CarlWohlfarthDr.LarryWoodWoodsBrosRealtyWyethAyerstLaboratoriesVerla&GordonYoungquist

(DC) indicates deceased.

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Deb*&BradBaileyRenae*BaileyCamille*BailousSam&JoyceBairdMarilynBakerBob*&MaryBakerDr.Mathue*BakerShelley*BaldassanoLois*BaldwinAnissa*&MikeBallardCaroline*BarberCharles*BareAndrew&AmyBargenNancy*BargenLarry*BarkdollDr.Amy*BarkerSusan*BarnasonKatie*&JodyBarnesDrs.Sean&StephanieBarryJerome*&Chelsa*BarryJerilyn*BartaLowellBartekJeanBartelsMargaret*BartelsMarjorieBartelsMelissa*&TannerBartelsChristie*BarteltSarah*&GaryBarthChristine*BartooDr.Jay&ShobaBastaniAnn*&ShayneBauerPatBaumertDr.Larry*&JanBauschKimberly*&WillisBaxDawn*&KevinBaxaViron&MildredBaxterTammy*BaylissKristopher*BeahanDebora*BeamEllen*&PatrickBeansBeatriceCommunityHospital

&HealthCenterJacalyn*BeauRossBeaversClayton*BecherTandy*BecherDeberah*BeckLinda*BeckerRhonda*BeckerSamantha*BecklerSloane*BecklerCourtneyBeckmanKama*&ChrisBedientBarb*BedkeJeff*BedkeMichele*BeekmannStephanie*BehrensNicole*BehringCathy&DavidBehrnsEdward*BeinsBellaBabyPhotography

Marsha*BelzLacey*BelzerBruce*BenedettoKathleen*BenesBettyBenjaminDaniel*BensonMelinda*BentjenHolly*BeranAnn*&EricBergStacey*BergantzelJanine*&CoreyBergerJill*BergerGalen*&MeganBernadtMelanie*BernadtCarolyn*BernasekKathryn*BerndtRebecca*BernerCharles*BerstSharon*&SamBethuneDeborah*BevardDebra*&JackBewleyLyleBigleyWilmaBinderGary*&Connie*BinderGregory*BischofAlla*BishkoLaurie*BlankmanDarcy*&JerodBlayneyKayla*BledsoJerry*BlickfeldtBetty*BloomquistRay*BloomquistPam*BlyDeb*&EdBoehleBrian&VickiBoescheGay*BoganJulie*Bogle-MackeTiffany*BohmPatty*&RandyBollingerBrianne*BoltinghouseNorma&RobertBoltonScott*BoltzTracy*&SamBomanEileen*&RogerBoninLinda*BonjocKaren*&ChrisBorderDeb*BorderAndreyBorkovskiyJulie*BornemeierMary*BornmanJose*BosquesConnieBosterLina*&BrettBostwickAbbie*BottrellJena*BouwensPhyllisBoveeDonna*BrabbEileen*BradburyLeora*BradleyGeneBrakeJanelle*&RyanBray

Roger*&MaryBreitbarthPaula*BrennanBresterConstructionInc.Barb*&BradBrettmannPaula*BrettmannKatie*&NickBreunigJudy*&JimBrichacekVivian*BrinkmeyerBJ*BrittenhamBonnie*BroDebra*Brockman-CusterJana*BroekemierRichardBronderAnnBrownMelissa*BrownMichael*BrownShonda*BrownTheresa*BrownLisa*&TimBrummErin*BrummettKathy*BruneJanelle&DougBruningSusanne*BruningBryanMentalHealth

ManagementTeamBryanVolunteersandCustomerCareHeather*BrydenDara*BuckendahlBethany*BuczinskiCrystal*Buhl-VetickEdgar*BumanisNancy*BundyLinda&GeraldBunting-BlakeCarol*&BillBurbachSarah*BurbachJeff*&AmyBurgJennie*BurianekGloria*BurkeyLisa*BurkhardtMonica*&KevinBurklundNicole*BurleighDeb*&LeonBurowKristin*&JimBurressRebecca*BursonJulie*BurtonSharonBuskirkConnieBussingerPatricia*&CurtisButlerJudson&KarenByleenGail*ByrdAlan*&JudyCableEuniceCadeLori*CaldwellTabatha*CaldwellJaimi*&ToddCalfeePamela*CalkinsAmie*CallahanDick&KathyCampbellChristine*&RichardCampbellCollin&AngieCanevaCanyonCoffeeRoasters

RobertCardwellMaryCareyJolynnCarlsonJoseph&MargaretCarlsonKay&CurtCarlsonMarcia*&JeremyCarlsonSarah*CarothersColleen*CarpenterGeorge*&ElaineCarrDawn*CartaSarah*CarterMatthew*CarverCourtney*&BryanCederburgCorinna*CervenyDebra*CervenyChadCRGImagesBarbara*ChadekHarold&FrancesChaffeePeggy*ChantryCortneyChapinRichard&JackieChapinMichael*ChapmanElizabeth*&ClaytonChesebroSin*ChongJudy*&JerryChristensenPaula*&ScottChristensenJune*&RichChristyJenniferCintaniBill&MarilynCintaniDr.Dennis&RhodaClaridgeAmy*ClarkMegan*ClarkBobbi*&SamClinchLydia*ClodfelterDr.Scott*&LouannCoatsworthDr.Carolyn*CodyDeborah*CoffeyKris*ColeNorma*ColemanKandice*Coleman-ArnbergerKarenColleranLisa*CollinsCompleteChildren'sHealthHeather*ComstockRochelle*CondonCarrie*ConleyDoreen*&JimConnellJayConradRon&ShirleyConradiJanice*CookRamona*CookusDeeAnn*&ScottCooperJoe*CooperJessica*CorderToni*CordesSue*CorkillChelsey*CorlettKimberly*CornerCornerstonePrint&MarketingBrooke*&ChadCoseJohn&LynneCostin

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Diane*CottinghamGinaCottonJean*&RickCottonLinda*CoulterSara*&BrettCoverBeverly*&JamesCowellKay*CrabtreeMonica*CrammHidy*CrandellSusan*CraneCreteAreaHealthCareFoundationCribNotesJulie*&DavidCristRhonda*CronLynn*CroninTina*&SteveCrosbyBrian*CrossTiffany*CrounsePatricia*CrowCroweHowathLLPJames*CrowleyCrownPointeTownhomeAssociationPatty*CrueyKirstin*CulhaneCarliCuljatDaniel&ShannonCullanPegCullenJames*CummingsJulie*CummingsMaurice*CunninghamCindy*DahlCalvinDaleKatrina*DannewitzRebecca*DarrahCarol*&LloydDarroughDatapeakInc.Andrea*DavenportHeather*DaveyLori*DavidsaverJohn&MarthaDavidsonValdaDavidsonJulieDavisMichael&TeriDavisDavisDesignMiranda*DavisPeggy*DavisJohn&TammyDeckerKristi*DeffenbaughDr.JudithDeGraffApril*&RyanDeisAndy*DejongTheresa*&Aaron*DelahoydeLuis*DelgadoSandy*DelpBarbara*DennerDonna*DensbergerDavid*DermannBarbara*DethlefsKelly*&RyanDewingMary*&FrancisDickersonDianneDickey

Beth*DickhautJulie*Dickinson-ArmstrongHolly*DidierRod*DidierMandi*DierbergerVicki*DierkingKim*DierksMary&JohnDilleyKris*DittmerLisa*DitzlerMike*&Julie*DixonDKJLFamilyFoundationAliceDoaneSharonDollJulie*&MyronDornLisa*&WesleyDornDawn*DorseyJulie*&AlanDosterCarol*DoughertyJoyceDouglasAnita&HarlowDoverAngela*DowdingBrenda*DowneyLinda*&GarryDragooMathew*DragooJackie*DrakeMaureen*DrakeGeriDraperSara*&DaveDrausDr.Anthony*&LisaDresbachSuzanne*&ToddDrewJayme*DrogeJenna*&RonDubasJason*DubasTeresa*DuffAnne*DuhsRobbie*DumondDianne*DunkleAlison*&AndrewDunlapBarbaraDunnMarsha&DonaldDunnNghia*&ThuyVuDuongDuTeauChevrolet-SubaruLaurie*EackerLynelle*EarnestLillianEasleyMarissa*EbelPatricia*EbertLuAnn*EbkeEducationQuestFoundationInc.PamEdwardsStephanie*&JeffEellsAliceEggersEhlersAnimalCareLaureen*&RogerEhmenTadEickmanColleen*&RandyEickmeierAdam*EickmeierJennifer*EisenhauerRonda*EitzmannTravis*Ekeren

Wendy&DouglasElderElectronicContractingCompanyElkhornValleyAnesthesiaPCReginald*&CarieEllisMark*EltisteDelbert&JaniceEmersonDebra*EnderleJessie*EnfieldLoretta*&MikeEngelChrista*EngelShannon*EnglerKristine*EricksonDr.Nicole*AndersonEricksenSummer*EricksonKari*&MikeEskensRosa*EspinozaCindy*&DaveEssayJohn&MollyEsseksMikaela*EsterlingSheryl*&DennisEvansWilliam*&JenniferEvansPatty*&RogerEvansKaren*&BobEverittRichardEvnen&KimberlyHeierExcelChiropracticandWellnessDr.Lynette*ExumJohn*FahrnbruchCarolynFainesHerbFalingDr.John&JeanFallickJoyce&RonaldFaltysTammy*&ToddFandrichPaula*FankhauserLinda*FarisSpencer&AmeliaFarrellLaurie*FastSondra*FeekenSusan*FehringerSuzanne*FelixJennifer*FenclAlyson*FergusonLora*FergusonRuth*&PaulFewCarolyn*&DavidFialaPeterField&JulieLumJanet*&GeorgeFinleyFirstUnitedMethodistChurch,LincolnFirstUnitedMethodistChurch,WaverlyDean&DebbieFisherFitRepublicEvalyn&Donald(DC)FitzwaterJennifer*FlemingKristine*FlemingMarieFletcherTedForkeSara*&KevinForsbergDon&PeggyFosbenderKatie&KurtFossenJackie*&TroyFosterKen*&DebraFosterSherry*&KenFougeron

EstherFoxSteve*&ValerieFragerDiann&JackFrahmLeighAnne*FrameJanelle*&JamesFrancisBrendaFranklinDarryn*FranklinLauraFranzluebbersSheryl*FreemanJoy*FreyMaryLynn*FreyBarbara*FrickeJacquelynn*FriedmanCarol*&ArdellFriesenMatilda*FrimpongStephanie*FrinkDoug*&Adrianne*FrohnWilliam*FrommeKatrina*&LarryFultzJean*&EricFungLeia*GadekenLowell&BarbaraGaitherJohn&CarolGaleBarbaraGalvinJennifer*&ScottGametConnie*GanzAndria*GardinerTimothy&PattiGardnerJanGarnerJan*Garvin&JimSpaldingSuzanne*GasperRobyn*GasselingMichael*GaverSuzanne&MarkGeistGeneralMillsFoundationBriana*GenettiPenny*GermanJill*GeschkeHeather*&BobGettnerDouglas&MargaretGibsonAdam*&WhitneyGibsonNancy*GibsonMaryAnn&RobertGiesGwen*GiesEugeneGilesPam&TomGillaspieYidenekachw*GizawGeorgiaGlassLoisGleavesPatsy*&ScottGleimRoger*GlenMichelle*GlennBarbaraA.GoddenGoetzTruckingAmanda*GoldenMelinda*GonzalezMelissa*&DanielGoodmanJames&EleanoraGoodrichYuka*GoosicJill*GortonSusan&BarryGourley

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Judith*&EugeneGrabowAmy GrahamJenny*GramannNancy*GrantKimberly*GravesJoshua*&JenniferGrayCharlene*&BrantGreenChristina*GreenRachel*&ChadGreeneMindy*GreenrodArlene*GreeverRita*GreggDr.Charles&CarolynGregoriusGregory&AppelInsuranceKathyGressleyMelvaGressleyJim&MargaretGriesenHeidi*GriessEdye*GriffinPatricia*&JoeGrofRuss*&JaneGronewoldKristina*&DuaneGroppKen&JoanneGrossWanda*GrothenDiana*&MichaelGrubbChristiana*GrubbKathy*&Dr.JefferyGrubbeElizabeth*GrummertHarriet*&HarryGrupyCristina*GuerreroGuidepointGlobalMary*GuntherLoretta*GurtsakGynecology&FertilityPCDelores&RobertHabermanSharon*&EricHadenfeldtPaul*&RachelleHadleySharon*&BrianHagelgantzPatricia*HaggardBug*&BobHahnNancy*Hakel-Smith&DavidSmithJanet*HallKimberly*HallerZachary*HalleyRhonda*&KennethHallquistDawnHalvorsenIstiglal*HamadAmy*HamburgerCynthia*HamikDavid*HamiltonDavid*&Barbara*HanenSara*&BobbyHanesMike*HaniganBecky*&JamesHansbroughJamie*&RobertHanselDennis&JoyceHansenDr.Dale*&SandraHansenMary*HansenDebaraHanshawAngela*&TrevorHansonJacklin*Hanson

Donald&SandraHardingerTeresa*HardyLinda*&JohnHarmsSharon*&DanielHarmsKent*HarnerMarcia&JohnHarnlyJerroldHarrensteinLeah*&JasonHarringtonDonnaHarrisRon&ChrisHarrisSusanHarrisAngela*HarrisDonna*HarrisElia*HarrisJan*HarrisChristina*HarromCory*HartMargaretHartSusieHartKari*HartleyCarol*HarveyHarold*HarveyLacey*HarveyRenee*HathawayTimothyHauckLinda*HaunBryanna*&JarrettHayesKimberley*HazeltonHDRArchitectureInc.HealthcareFinancialManagement

AssociationBlair*&SeanHeardHeartCityBullBashKathleenHeckerSue*HeckmanCathy&CharleyHedstromJulianne*HeftieHelen&GeraldHeimAnne*HeimannJane*HeineLeigh*&MarkHeithoffJaniceHejlCarlaHeltonSally*HempelMatthew*HenjesMichael*&JillHenleSara*&JohnHennessyCari*&TroyHenningJodi*HenningJean&LarryHenningsJessica*HenrichsDanielle*&CollinHenricksenArlisHelzerHenryStephanie*&DerrickHenselAngela*HerbertDeanna*HermanKelly*HerrellBrenda*&BartHerrickCatherine&GregoryHershbergerJoyce*&DonHerzCarmen*Hesser

Sapphire*HesserWayne&NancyHesterJim&MarjorieHewittAprilHeyenDonna*&LarryHeyenApril*HeyenMaurice*HigginsMarkHightowerChristine*HildrethBetty&RossHillErika*HillLloyd&DonnaHinkleyDr.JonHinrichsandDonnaWoodsDickHitzEdward&MarilynHladkyKristieHochHannah*HoebelheinrichRebecca*HoescheSadie*&GarthHoesingTwila*HofererPatricia*HofferberHeidi*&EricHoffmanMilton&BettyHofstadJoan*HogancampRobyn*HoisingtonPhylisHollamonBergJessica*HollandClifford&MarciaHollestelleLillian*HollingsedPatricia*&JimHollowayLarry*HolmquistTracyHolsingMaryEllen*HookLesa*&TomHoppeMary*HoppeMollie*HopperJoe&MarianHorkyVirgil*&SusanHorneJr.Robert*HoslerCarla*&DanHottovySue*&PaulHottovyDonna*&StevenHouchinJennie*HouserAndrew&EllanHoveJolene*HowellSarah*HowellKathleenHowlettJanis*&WilliamHowlettDr.Gordon&SallyHrnicekColleen*HudsonDick&AnnHudsonLisa*HuettnerColleen*HughesEmily*HughesNancy*&MikeHulaJill*&TylerHullRhonda*HuntValerie*&AdamHuntDr.Rubab*&AhsanHusainCheryl*HustedDavid*Hutcheson

Lynn*HuttHy-VeeDonna*HydeDaniel&JeanHyllandMichelle*&RandyHynek-ThomasBrianneIbarraHarlow&LindaInmanInpatientPhysicianAssociatesDawn*&TravisIsaacsTanyaIslandJanee*IsomJodi*IsomAlan*JacksonBarbara*&JamesJacksonDawn&JasonJacksonJacobNorthPrintingCo.Inc.David*&LynnJacobsSusan*JagodaFatmata*JallohPat*JamesDeborahJankyKim*&StevenJanssenTricia*&JamesJaraKaren*&MichaelJardineJoseph&AnitaJareckeJulie*&TerryJaroszAutumn*JayAngie*JedlickaLinda*JefferyAlicia*&JeremyJenningsKennethJensbyErmaJensenJensenConsultingMary*&WaltJensenMarcia*JensenAnnette*JobmanAshley*JohannesGail*JohansenBradley*JohnsonChrystalJohnsonCindy*JohnsonDarlene*JohnsonDiane*&CraigJohnsonJessica*JohnsonLaura*JohnsonLinda*&ScottJohnsonLori*A.JohnsonLori*K.JohnsonMatthew*JohnsonMichael*JohnsonMichelle*&MikeJohnsonMolly*&PaulJohnsonMolly*A.JohnsonRichard&MargaretJohnsonRosemarie&TateJohnsonSherrie*JohnsonStephanie*JohnsonTeresa*JohnsonTerryJohnsonAnneJonasEdna*&LarryJones

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Gretchen*JonesJanice*JonesKevin*&MichelJonesLisa*JonesPaula&JohnJonesRogerJorgenson&JanMeyerPhilip*&ChristaJoyTravisJuedenAngie*&RandyJurgensPatty*KahlerSusan*KaltenbergerAnn*KaminoChad&KristinaKamlerAnn*KansierRobin*KapplerBarb*KastensKathy*KastlChris*KastrinosKatheryn*KatheDiane*KatholLinda*KattesRoy*KaupChad*KecklerCindy*KecklerDanielle*KellerHaroldKelleyRuth*&MichaelKellnerTim*&LindaKellyKathleen*KellySarah*KellyShellee*KersenbrockLaurie*&BernieKetterlKidwellMikaela*KidwellFred&VivianKiechelKiechelFineArtColette*Kiefer-BartonAmy*KiefferTheKimFoundationDavid*&KatieKimbroughAmy*KimminauLinda*KimminauSharon*&Frank*KimmonsAmy*KingMary*KingeryMaryKinseyLari*KipleSandra*KirchnerSarah*KirchoffDiana*KirkDonnaKirkendallJeanne*KleebMarilyn*KlemKLKN-TVKelli*&ToddKlopfensteinCharlyKnaussCarrie*KnievelSharlene&MarvinKnippelmeyerKaren*KnobelArt&EarleneKnoxLinda*Knudsen

Deanne*KobzaKristina*KochSherry*KoenigsmanJanet*&DanKoernerJean*KolarMary*KolarKenneth&LizKoopDixie*KornfeldRolanda*KortanCheryl*&RicoKotrousKatie*KranauDonna*KrausAnne*&DavidKrauseFranklin*&SarahKrauseLarry*&KarenKrebsbachJennifer*KreifelsKerri*KreifelsBonnie*&LonnieKreiterDexter*KrellJosef*KrenWilla&KenKritnerLauren*&LarryKroekerGordon&JaneKroghRod&DawnKroghShawn*&DesaraiKroghDr.Steven*&JudyKruegerKiedra*KruegerSteven&MarleneKruseRachel*&RonKubalekMarcia*&DeanKubeKathy*&DavidKubertBernice*KubicekPolly*KubikKathleen&RandallKuceraPamela*KuhlWilliam*&LilaKulwickiJoseph*&LynKummerKarla*KunkleChris*KunzKaren*KurbisCatherine*KurpgeweitDeborah*KurtzAmanda*KutaDr.Michael&AmberKutayliMichael*KuznetsovMary*LabadieJanet&RichardLabenzBarbara*LacherDr.SushilLacyJulie*LacyNelis*LagoKyle*LambAdam*&MichelleLambrechtJames*LamkenJohnB.Lamphere(DC)Ron*&MarthaLaneDaniel*LantisJulia*&DuaneLantzDian*LarrewLarry*LaschanzkyTeresa&WilliamLasniewski

Teresa*LassenLatsch'sApril*LauJennifer*&AnthonyLautenschlagerKhoi*LeNang*LeNancy*LeavittRebecca*LebruskaPenny*&JohnLeDucLori*&JohnLeeDouglas*LeeDeborah*LeggottAndrea*LeibhartSusan*LeishmanMark&BonnieLemkeLouis*LemonLindsey*&RyanLempkaAmy*LengelAnita*LeonardJimLeslieTeresa*&DeanLesoingKristin*LeuenbergerMichael&LindaLeupoldTeresa*LewisJennifer*&GarthLienemannBrenda*&Dr.TimLieskeAnn*&DeanLifSusan*&TimLikensSherri*LinamJennie*&DavidLinaresLincolnAssociation

ofHealthUnderwritersLincolnCommunityFoundationInc.LincolnIndustriesLincolnJournalStarLincolnLutheranMiddle&HighSchoolLincolnOrthopaedicCenterLincolnVoiture103Amie*LindgrenConnie*LindnerScott*LinkeJoshua*LiversDeanna*LloydDale*&Maureen*LobbBecky*&SamLoewePamela*LoewensteinDenise*LoganDebra*LohmeierCarol*LombardPatricia*LongKatrinaLongeJennifer*LongoriaJoe*LoudonSharon*LoudonJoe&GailLoxterkampMarsha*&CharlesLuginbillLaurel&BurdetteLukertAndrew*&AshleyLundstromVeraMaeLutzMaureen*LyonsSteffani*&MichaelMaas

JonMacDowellJoshuaMackieKimberly*&DaveMacoubrieKara*&RayMadisonKaitlyn*MadisonPatriciaMadisonBallDorinda*MagnusChris*&ToddMagnusonJennifer*&KentMahlerJohn*MaierKay*&PaulMaizeDonna&HerbertMalanyTami*&MitchellMallumJanice*&RyanMaloneJacobMalousekCandolin*MalousekLisa*MalyTerry*MalyMegan*Manning-KechelyJason*MaplePeggy*&LarryMareshBecky*MarrDeborah*MarrMonica*&KentMarschmanBecky*&DannyMarshallCatherine*MartinKim*MartinSheryl*MartinJaime*MartinezCindy*MasekMiranda*MasekJamesA.&GeorgianneMasteraKasey*MathiesenDale*&IlaMatthesDaniel*&KaitMatthesMary*MattoxSheri*MatzkeKatherin*MayDeEtta*&TerryMayroseAnn*McBreenKaren*&ToddMcCainAmy*McCartneyJill*McCartyTracey*McChargueAngela*&KyleMcCownMichael*&LizMcCoyDiane*McCoyMelissa*&JamieMcCulloughBrenda*McGinnMary*McGinnSandra*McGinnisRuby*McGuireSheila*McKeeganNicole*McKinneyErinMcLaughlinJennifer*&JasonMcLaughlinR.J.&JoanMcMahonPam*McMasterBarbara*McMeekinDarci*&KyleMcMurrayMichael*McMurtry

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Lisa*McNeelLinda&EdMcPherrenRuthMcPhersonKristin*McQuistanMaryBeth*&DaveMcWilliamsDr.Clyde*&SusanMeckelStacie*MederMedicalActionIndustriesEdwin*MeelhuysenTeresa*MeintsCandace*&ChadMelcherKerri*&JayMerkelDr.Andrew*&JaineMerlissCharlesMessbargerCarmen&AnthonyMessineoKsau*MetesJoyMeyerKelseyMeyerCharlie*&SherryMeyerAllison*MeyerJamie*MeyerJenniferMickelsonJennifer*&NicholasMiddlekauffJeremy*&SusanMiddletonDavid*&LanaeMiersHayley*MilamMilius,Gibbens,Friesen,Hattan,

Martin,Rauner&RutanElizabeth*&JeffreyMillerJenna*MillerJudy*MillerDr.Keith*&KatieMillerKimberly*MillerMark*MillerPeggy*MillerLois&LewisMillionRobert&ShirleyMiltonGates&DaisyMinnickTisha*&MarcusMinzelCarol*MiyoshiMMICPeggy*&KimMoellerBrenda*MoesKurt*MoesDenise*&JohnMoeschenWilliam&DawnMohrShirley*Mohr-BurtArthur&BarbaraMolnarVicky*MondayMatthew&JillMontgomeryGlennW.MooberryTrustFundChristi*&BrianMoockMarilyn*&DavidMooreSharonMooreAukermanEllaMoravekJulie*MorbachCindy*MorganLarry*&ReneeMorrisonJoanna*MorrisonJulie*MorrisonLinda*Morrow

Kristin*MorterJulie*MortonSara*MortonJessica*&JoshMoserKathyMossLouiseMountfordMaryMoyerAngie&DanMuhleisenWendy*&RayMuirCraig*MulliganSuzan*MulliganMaryJeanMulvaneyChad*&Kerri*MumaDee*MurmanMyGymChildren'sFitnessCenterAmy*MyersGeraldine*MyersDr.Stephen&KarlaNagengastRuthannNahornyNAIFMARealtyNanonationLaura*NasonBruceNattrassAnn*NebelBreanna*NedvedBrenda*&MarkNeemannCynthia*&MichaelNeheDr.James&PatriciaNeidRuthNeilNelnetInc.RogerNelsonSpencer*&LynneNelsonElizabeth*Nespor-HartigJacob*NewHuy*NguyenNormaNichelsonLinda*&TomNicholsonChristina*&KermanNickelLynnette*NickellChristy*NickelsDanell*NicolarsenJoel*NicolarsenAllison*&DavidNielsenNicole*&BrianNielsenRachelNielsenRachelNiemeierJulie*&LeeNienaberPam*NienaberJackie*&BrentNisleyJamesF.&VirginiaNissenKaren*&DouglasNissenPamela*NobbmanBeverlyNobleHilloriNolanKellie*NoriegaNorlandInternationalShelleyNorsworthyHuenergardtPatNovakSharon&ThomasNuttOALinksofLincolnIntergroup09135Dr.Robert*&FayetteOakes

Betty*OaksSamantha*ObergJoDiane*ObermeyerStephanie*OelkeKilee*&HenryOetjenRobin*&GaleOggBetty*OhsBridgett*&EricOjedaNichole*OlberdingRhonda*OlmstedSarah*&KaseyOlsonLois*OlsonJody*OltmanMichelle*OmeliaOneNeckITSolutionsLil*&MikeO'NeillThomasO'NeillMary*OppSadie*OppegardJami*Oppegard-RoederAlvin*&DianneOslerAmy*&JayOstermeyerAnabel*OstiguinMario*OstiguinSheryol*OtjenJanice*OttVladimir&KarinaOulianovBill*&RitaOvertonDeanna*OvertonAndris*OzolsTracy*PageJimPalmerJayna*PalmerJeanPancharoenSheri*&MarkPaneitzPattyPansingBrooksTwilaPapikYolanda*&ArenPapkeJodiePaprockiAmanda*PaprockiCortnie*PapsteinCathy*&DanParkerAaron*ParksSlava*PaulMargaretPavelkaEstatePhillip&KimberlyPeacockShannon*PeckaRoger*PedersenErinPembertonPen-LinkLTDSusan*&CarterPendergrassDon*&SylviaPercyJayme*PerdewBetsy*PerezPamela*PerezScott*&HollyPerssonPatty*&MichaelPetersMisty*PetersenRebecca*PetersenSandra*PetersenDebrah*Peterson

Diana*PetersonJessica*PetersonTalia*PetersonSherryPettitHarold&MarilynPfeifferTasha*Pfenning&CurtElikerJohnPfisterJohn*PfrimmerStephanie*PhillipJuanita&T.D.PhillipsJeri*&EdPhillipsAnn*PhillipsMarcia*PhillipsMarcya*PhillipsCharles*PhilpotStacy*PickeringKendra*&JonathanPieningAaron*PierceAllison*PiippoSue*PilkerDr.DebraPlacekKristy*&TimPlanderVicki*&JerryPodwinskiMary*PoeGary&CarolPohlmannandfamilyDenise*PohlmannJessica*PorterRosemary*&TonyPortoJoel*PotterCandace*&JonPowellKayla*PowleyMary*PremerPremierConnectionsMaryAnn*&BrucePrenosilJennifer*&DalePrestonMarianPriceSara*&MichaelPricePrivITProfessionalChoiceRecovery,Inc.Beverly*PuckettDennie&SusanPuelzPushPedalPullJawad*QudusVicki*QuillenHeidi*RademacherRuth&RaleighRadenslabenRose*RalstonCara*RamaekersMichael*&DianneRandallJudy&WayneRasmussenArlen*RasmussenNorma*RathJason*RathbunMichelle*&MichaelRatheJill*&ClintRatkovecBob*&KarenRavenscroftFatherFredL.&SusanC.RaybournAbby*&RickyRechMaryLisa*ReddingDebbie*RedetzkeCarol*&IvanReed

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Dr.John&KayReedJulia*ReedKristinReederDavid*&LauraReeseJenna*RegennitterMarilyn*RegueiraDerik*ReikofskiKim*&DavidReinhardtTravis*ReinkeRobert&BeckyReisdorffRemboltLudtkeMiranda*RemmersCindy&MarvRennerMelvin&VirgieRennerGayle*ReshShirley*&AlanRetzlaffMona*ReynoldsJuneRicardsJan*&WilliamRiceEllen*&JonRichardsNancy*RichardsLeslie*&JPRichardsonAngela*&CoryRichmondDarcy*RichtarikMichelle&BenjaminRichterCindy*RidderCarolyn*&BernieRiekeJoni*RikliMike&SharonRiordanKendra*RiveraKimRobak&WilliamMuellerDr.Vonn&DebraRobertsPatriciaRobinsonShanon*RoblyerJackie*RochaPenny*&JeffRodgersKelli*RodieAlicia*RodriguezHelenRoeskeRogersFoundationBreanna*&CaseyRogertHolly*RootSarah*RosaConnie*RoseKatherine*&KennethRosePatty*&DaveRoselandNormanRosenbergLoweneRosendahlSarah*RossBeth*&AdrianRothBrenda*RothJackie*RothLisa*RothgebLisa*RotschaferErin*RoubalRoundtheBendSteakhouseCheryl*RourkeChristina*RowdenDorothy*RuhlDebra*RuhrdanzDot*Rung

Travis&LauraRunquistRunzaNationalGary&SharonRupprechtKimberly*A.Russel&DirkBrom,MDTamara*RussmanLynneRustadKris&MaryRutfordLynn*&TonySaegerAnne*SalestromIsmet*SalkanovicSampsonConstructionSam'sClubKathrynSamuelsonBennoSand&MarlysGapsturSandDeanna*SandJoann*&LukeSandersLori*SandersSheryl*SandersMichelle*SarafianSartorHamannJewelersMarlene&DanielSasekKenzie*&TonySattlerDr.DonaldP.SauberanChristina*SaumThomas*SchadlTricia*SchadlAngie*SchaeferKimberly*SchaferRebecka*SchaferMarita*SchafersWardKristina*SchauerScheelsLinda*ScheffertAriadne*&RobertSchemmSusan*ScheppkeHeidi*&KevinSchieuerSandy*SchleppenbachClarissa*&BrentSchluckebierCarol*R.SchmidtCarol*SchmidtDennis*SchmidtKristin*SchmidtNancy*&DaleSchmidtAlicia*&CraigSchmitSallySchneiderGlenn&DorothySchnieberKarla*SchollAmy*&DarenSchrinerColleen*&HarlanSchrinerPeggy*SchroderAshley*&ZachSchroederCharlin*&Morris*SchroederCindy*&TrevisSchroederElizabeth*&JakeSchroederGary*SchroederSarah*&CharlesSchroederAmber*SchulerBillSchullerJane*&NormSchullerAndrea*SchultzCathy*&HenrySchultz

Kevin*SchultzNatalie*SchultzOtto*SchultzCharlesSchulzJanelle*&TimSchulzRobin*&ToddSchumacherLindaSchutz-MuehlingAmi*SchwabKelli*SchwallerAmy*&RickSchwarzSusan*SchwarzMark*SchwedeLindsay*&MattScottDr.Monte&MarlysScottSamantha*&RandyScottAimee*ScudderScott*SeamanTheresa*SearsHeather*&JustinSeebaSara*SeemannJason*SegerShelley*&RickSeiler-PrasekAllison*SeligElaine*&DuaneSeligPolzienPamela*SellKaren*&ScottSelzerDr.H.RussellSemmHelenSeymourGraceShackelfordNicole*ShafferSteven&ElizabethShanahanShanahanMechanical&Electical,Inc.Kelly*SharpeJulie*&TimothyShawLori*ShawStacy*ShawDon*&PamelaSheetsNathan*ShelbournChris*SheridanRebecca*SheridanSarah*ShimerdaVern&PhyllisShiresNancy*ShookLisa*&ByronShoreDiane*ShriverLaura*ShriverCurtis*ShumakerZakaria*SiddiquiRonSieckVirginia*&GlenSieckTracy*SieckMitchSiegel&JeffreyOvermanDr.AinaSilenieks&TylerSuttonMary*&KevinSilveyWesley&MaxineSimeKaren*SimmsDianne*&DonaldSimpsonLorna*SitherwoodBarbara*&RichardSittnerAngela*SitzmanJane*Sivill

Renee&CarlSjulinJanSkalaCynthia*SkinnerLeigh*&AdamSkodaJulie*SkrabalSaraSkrettaKristin*&DaveSlamaNancy*&JoeSloanCindy*&LarrySmackCatherine*SmetterAlyssa*SmidKate*&DuaneSmidAllison&RichardSmithClay&BethSmithDennis*&SharonSmithDebbie*SmithJulie*SmithJune*SmithKimberly*SmithMargie&CarsonSmithMichael*SmithSally*&RogerSmithSherri*SmithKristine*Smith-HahneKenSniderKristi*SniderMaryJeanSohlDunton*SolomonMarilyn*&DuaneSorensenVera*SotnikovJanisSouleSpacelabsHealthcareKaren*SpaderRobin*&RandySpanglerLisa*SpatzBrian*SpeichRuthSpencerDwan*SpethSpine&SportsChiropracticSt.Monica'sJim&SuanneStangeWade&HeidiStangeMargaretStanosheckLillus*StanosheckLinda*StansburyPeggyStarkFrances*&GaryStatlerKelly*&JustinSteebyChristie&JosephSteeleLaura*SteeleMarkStephensAmy*StevensJanice*StevensonLineva*StewartMike*&TraciStewartStacy*&ShaneStewartJanet*StiefelMegan&JakeStittOpalStivrinsDr.Tim&CarolStivrinsShar&DarrellStock

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MickStoehrDr.Gene&KristenStohsKate*StoklasaMelanie*StonerShawn*StonerLinda*&MartinStonesAdam*&JessicaStoverBonnie*StrainKristine*StrandPaulJStrawheckerInc.Cindy*StrehleJoanStrewler-CarterDenise*&ScottStrombergBonnie*StruthersRina*StrydomVirginiaStrykerStrykerSustainabilitySolutionsTheJamesStuartIIIFamilyFoundationSteven*&TammiSufficoolThomas*SuhrTimothy*SuhrAmy*SullivanMichelle*SummersJenny*&BrettSundbergLynnSundermanDonSwansonDanielle*&AlanSwansonSteven*SwansonCasey*SwartzCassandra*&BroderickSylvesterSueAnn*&FaramarzTabatabaiHeather*&BenTalbottHollyTalkingtonSiokhoon*TanBorgesonKristie*TangKwengTangBeverly&RobertTaylorConnie&DonaldTaylorGeneTegtmeierCatherineTeinertRae*TeinertAmy*TempleGaeTennisonAmy*&ChadTermaatDr.Todd*&LisaTessendorfPeggy*TewesJoan*TexelDorisThallasTheatreArtsforKidsLindsey*ThegeLynette*ThelenElaine*&BruceThielJoAnneThieleStacy*&TerryThoeneKandi*&JeffreyThomasAmy*ThompsonBrian*ThompsonPam*&GregThompsonDr.Richard*B.ThompsonSuzanne*ThompsonBridget*Thornton

Kristin*ThrockmortonKatie*&RobTiedemanJamie*TiernanMaryJo*TietjenRachelTietzChristi*TindallImekedong*TkelRobert*&CinthiaTobeyTimothy*TommerupAmee*TontegodeHeidi*TophamCristela*TorresTerry*TorsonJudy&IvanTracyArlene*TrainorKhuong*TranPaul*TranTraneDebbie*TrautmanShirley*TravisSage*TrehearneRebekah*&ConradTrevinoMatthew*TrittKimberly*&GlennTroudtWilliam*TrumlerJoanne*TsuiJan*&DaleTubbsJerry*TurmanDiane*&PatTvrdyHolly*TyrrellHenry*UedaSusan*UlandUnifiedEmployeeBenefitsUnionBank&TrustCompanyUnitedTransportationUnion

LocalNo.5Jodi*UrbanJoyceUrbanovskyDr.Craig&ArleneUrbauerCheryl*UrwillerLyubov*UstimchukDr.Lisa*&MarkVailCarolyn*Valencia-ManuelRuth*&RichardVanGerpenBenjamin*VanHorn

&SarahEckles-VanHornNancy*VanKirkPatricia&GaryVandewegeMalveneVanisJoyce*VeachSharlotte*VeburgChris*VejnovichDennis*VerMaasViaVanBloomTour&TravelMarilyn*&WarrenViehlSarah*ViethStephanie*VodehnalCori&DanVokounJulie*VolkmerMeesha*&JonVollertsenSvitlana*Volynska

Rachel*VonderfechtTracie*VoogAnnVossRon&ValeryWachterBarbara*&LanceWagnerChris*&JerryWagnerJordan*WagnerMarilyn&BobWagnerTravis*WagonerJane&GaryWahlgrenPete&WilliamWakelyKenneth*WakemanSherry*WaldmanRebecca*WallerRoseWallmanEmily*WalterSandra*WalterCraigWanamakerRuilin*WangSteven*WardHeather*WareHolly*WarnerKrista*WarrenStephanie*WatsonKrista*WeardenDavidR.Webb,Attorney-at-LawBrandon&KristinWebbHelenWeberAndrea*&BrianWeberBecky*WeberJeffrey*WeberScott*WeberRobert*&KelliWeichelLouise*WeidesEllenWeissingerMichael*WelchWellsFargoDeeAnn&BobWengerDarryn*WernerCelia*WeskampHilary*&MattWestenburgTara*WesterbuhrWesternFederalLands

HighwayDivisionShelly*WestfallKaitlin*WestlingTy*&Roberta*WestoverMichele*&ThomasWheelerDerek*WhiteMelinda*WhiteR.Gene&DonnaWhiteDr.Ryan*&MariettaWhitneyWholeFoodsMarketDr.James&MimiWicklessHerm&HelenWiebersHeather*&ChristopherWiebkeSonja*&ScottWielandJames*WieseRoxann*WieseJohn&MariaWilcoxKathryn*Wilcox

Candi*WildLynda*WilesDeb*&LukeWilkeVicky*WilkinsonSondraWilliamsCody*&StacyWilliamsLisa*WilliamsJoy*&Linda*WilliamsonJoni*WilliamsonBobbie*WilsonDoug&LoisWilsonDwayne*&CaryllWilsonDavid*WiltshirePatricia*WingDr.Doug&LauraWinjumMichael*WiruthCharlotte*&DavidWischGailWishnowRodney*&LindaWitfothCalliWitherbyKathleen*WittmusMargaret*WoeppelJerome*WohlebShirley&CarlWohlfarthKathy*&RogerWolfRoger*&StaceyWolfConnie*WolfeMichael*WolfeMartha&Dr.LarryWoodJohn*&JeannieWoodrichWoodsBros.RealtyRhonda*WoodsideDoris*&TomWoodwardKaren*WoofterEdicColleenWooldridgeLinnea*WorkingTerryWorkmanLisa*WorksJeanine*&LanceWorleyElizabeth*&JoshWoznyLacy*&PatrickWrightStephen*WrightSteveWulfMarcy*&RichardWyrensRose*&JamesYankechKarmin*&Kevin*YeackleyStacey*&RickYoungDebra*YoungJudithA.ZabelC.J.ZajicekSamZanderholmJoan*Zeleski-MartinFrances*Zessin

(DC) indicates deceased.

2 0 1 4 R E P O R T O N A N N U A L G I V I N G

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40Summer2015

This list recognizes gifts made in memory of the following people in 2014.

Edwin"Bud"C.AbbottLindaBeltranTimothyJ.BinderJanetBirdsallNancyBoringJoshBrestelHowardBrockmanOsvaldsBumanisKarenConradHubDollJudsonDouglasPaulA.DouglassBetteEnglerNeilFinsandRonFrameCarolynGarvinJudyK.GibsonVivianHaunDanielHeibelO.MerleHenningsBarbaraHoutzRuthHowlettLloydL.JohnsonCharlotteJ.KelleyJesseKirkendall

PatriciaKrausLloyd&EleanorMacDowellMargeMartinezAliceMcGillJohnMcNeillBonE.MoravekBettyMorrisonMildredMulhallenRedNauslarWilmaI.NelsonFrancisNeumayer,MDEsmaraldeOcionesSandraOdgaardEmilPaprockiMargaretB.PavelkaKayPetersonHaroldPickeringBettyM.RasmussonCarolRobinsonVyRobyHuldaSchmidWilliamSesowCurtisSieckRogerSkalaLeeA.Smith

TwilaStuhrFrancisValentaJeanetteVandersliceLarryVanisChrisVinderslevDianneY.VogtJoeWadeIsaiahMatthewWallCarolWestoverAltaWicklessLawrenceWohlebTeresaH.WollenburgAdamZetterman

This list recognizes gifts made in honor of the following people in 2014.

TiffaniArndtAnnBauerEllenBeansDebBeckAustinByleenGeorgeCarrSarahCarterJimCuddefordChristaEngelJoyFreyCarolFriesenPennyGermanGwenGies

IzakGressleyAngelaHerbertAutumnJayMarciaJensenDianaKirkFranklinKrauseAdelynMadsenDorindaMagnusDeEttaMayroseDonnMcCashlandCharlieMeyerWendyMuirIzabellaOlson

CynthiaRennerKayeLynetteRufLindaStonesRogerSvatosLisaVailMarilynViehlKarenWalkerMarcyWyrens

2 0 1 4 R E P O R T O N A N N U A L G I V I N G

Memorials

Honor

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A C H I E V E M E N T S

Christina Saum was honored by her alma mater.

CollegerecognizesSaum

SoutheastCommunityCollegehonoredChristinaSaum,MT,withitsDistinguishedAlumniAward.ShegraduatedfromSCC’sMedicalLaboratoryTechnologyprogramin1995andearnedabachelor’sinAlliedHealthfromDoaneCollegein1999.

Saumisaclinicallaboratoryspecialist-microbiologyatBryanandisaclinicalmicrobiologyinstructorforSCC.

SheisresponsibleforthequalityandtypesoftestinginBryan’smicrobiologydepartmentandservesontheInfectionPreventionCommitteeandteamsrelatedtourinarytractinfectionpreventionandantimicrobialstewardship. n

Eric Mooss is president of the Bryan Physician Network.

Mooss leadsBryan PhysicianNetwork

EricMooss,FACHE,CMPE,isthenewpresidentoftheBryanPhysicianNetwork.HesucceedsShirleyTravis,whoretiredinJuly.

MoosswasexecutivedirectorofprimarycarefortheBannerMedicalGroupinNorthernColorado;beforethathewasinleadershiprolesinmajorhealthsystemsinDenverandOmaha.

HeisaFellowintheAmericanCollegeofHealthcareExecutivesandaCertifiedMedicalPracticeExecutive.Moossearnedabachelor’sinHealthAdministrationandPolicyatCreightonUniversity,Omaha,andaMasterofHealthAdministrationattheUniversityofIowa,IowaCity. n

HFMA honorsFriesen withMedal of Honor

Mussman isCrete hospital’spresident/CEO

BryanVicePresidentofHealthSystemServicesCarolFriesen,FHFMA,hasbeenrecognizedbythestateandnationallevelsoftheHealthcareFinancialManagementAssociation(HFMA).

TheNebraskaChapterofHFMAawardeditsFoundersMedalofHonortoFriesenthisspringinrecognitionofhersignificantserviceandleadershipattheorganization’schapterandnationallevels.

InJune,shebeganatermassecretary-treasurerontheNationalHFMABoard.Withmorethan40,000members,HFMAisthepremierorganizationforhealthcarefinanceleaders. n

RebekahMussmanbecomespresidentandchiefexecutiveofficerofCreteAreaMedicalCenterinAugust.

Forthepastsixyears,shehasservedaschieffinancialofficerofKearneyCountyHealthServicesinMinden.MussmanbeganhercareeratHarlanCountyHealthSystemininformationmanagementandadvancedtochieffinancialofficerandinterimchiefexecutiveofficerduringhersevenyearswiththatorganization.

ShealsoisactiveasanofficerintheNebraskaHealthcareFinancialManage-mentAssociation(HFMA). n

Rebekah Mussman is the new Crete Area Medical Center CEO.

Carol Friesen received national and state HFMA recognition.

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Congratulations,Class of 2015

42Summer2015

B R Y A N C O L L E G E O F H E A L T H S C I E N C E S

Seventy-nine Bryan College of Health Sciences graduates received diplomas May 8. Sadie Dilly (1) accepts congratulations from Bryan

College Board of Trustees Chair Georgianne Mastera, PhD. Marie Fletcher, CRNA, (2) gave the address. Provost Kay Maize, EdD,

(3) hooded nurse anesthesia graduates, like Kellyn Nieland, and Faculty Senate Chair Lina Bostwick, EdD, (4) led the procession.

1 3 42

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B R Y A N A L U M N I N E W S

True to their school

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Alumni Weekend ( June 5-6) drew graduates from across America back to Lincoln. Some of the groups included members of the Lincoln General Hospital School of Nursing Class of 1970 (above) and the Bryan School of Nursing Class of 1965 (right).

Evalyn (Zabel) Tenopir represented the LGH Class of ‘45.

Lois (Stork) Ullman and Mary (Heiden) Swanson of the LGH Class of ‘65 visited their old room in the Teeters dormitory.

Bryan College of Health Sciences and the Bryan Alumni Association hosted the annual reunion.

The Lincoln General Hospital School of Nursing’s Class of 1965 (above) posed outside the former Sophy Teeters Nursing Dormitory during the group’s 50-year reunion.

Suzanne (Krenzein) Stolcpart (left) accepted an Alumni Award for Clinical Excellence on behalf of her classmate and late husband, Rick Stolcpart of the LGH Class of ‘70. Diane (Swenson) Grundman was the Alumni Award honoree from the Bryan Class of ‘70.

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44Summer2015

B R Y A N S T E R L I N G C O N N E C T I O N

Areyou50orbetter,butnotamemberofBryanSterlingConnection? Joinus!Gotobryanhealth.org/sterlingconnectionforanonlineapplication,orcall402-481-3355.

Annual Flu Shot ClinicWednesday,Oct.7,7:30-11a.m. Savethedateforyourannualshot!

Seminars

ThesefreeseminarswillbeinthePlazaConferenceCenterontheBryanEastCampus,1500S.48thSt. You must pre-register! Goonlinetobryanhealth.org/calendar,orcall402-481-8886.

Welcome to MedicareTuesday,Aug.18,6:30-8:30p.m. Manybabyboomersaregettingreadytoretire,andsomemayfindunderstandingMedicaretobeadauntingtask. AliciaJones,programdirectorfortheSeniorHealthInsuranceInformationProgram(SHIIP),willexplaintheinsandoutsofMedicare.

Countdown to Retirement: Financial Planning, Social Security & Long-term NeedsThursday,Sept.17,6:30-8p.m. Youhavebeensavingforretirement;now,howdoyoumakethemostofyoursavingstoenjoyretirement? JoinexpertsfromUnionBank&TrustastheydiscussturningretirementsavingsandSocialSecurityintoaregularstreamofincomeduringretirementyears.

Travel with us! Doyouenjoyseeingnewplacesandmeetingnewpeople?TherearestillseveralopportunitiestojoinyourfellowSterlingConnectionmembersonourremaining2015tours. Visitbryanhealth.org/traveltodownloadbrochures,orcall402-481-3355or800-742-7844.

One-day tours

Pipe Organs to Elephantsin OmahaThursday,Sept.24 JoinusforadayinOmahatorediscovertheHenryDoorlyZoowithitsnewexhibits,visitamanufacturing

plantrunbysight-impairedemployees,andexperiencetheawesomepowerofthemightyKimballPipeOrganplayedexclusivelyforourgroupintheBobMarkworthresidence.

New Dinner Theaterin Overland Park, KansasWednesday,Nov.4 TheNewTheaterRestauranthasbeenratedtheNo.1dinnertheaterinthecountryandit’srighthereintheheartland. See“YouCan’tTakeItWithYou,”adelightfulPulitzerPrize-winningcomedystarringWilliamChristopherofM*A*S*Hfame.

Ice Cream Social is a hit again — Shirley Haislet (left), Lori Lee and John Kuntz scoop ice cream June 28. Hundreds look forward to this annual Sterling Connection event, featuring fellowship, treats and live music in the Bryan Conference Center.

Your connection to fun, friends and information

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C O M M U N I T Y C A L E N D A R

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Bryan Community Health Education and Sterling Connection present:

Tips for Keeping Kids SafeThursday, Aug. 6, 6:30-8 p.m.

Howsafeisyourhome?Doyouknowhowtoinstallanduseachild/infantcarseat?Alothaschangedregardingsafety,andmanydevicesinthehomecanposeathreatifwedon’ttakesimplestepstocreateasafeenvironmentforchildren.Whetheryouareaparentorgrandparentwhoprovidesfull-timecareorafriendorotherfamilymemberwhooccasionallyprovidescare,thereissomethingnewforyoutolearn.

Cost: Free,butyouneedtopre-register.Where: BryanEastCampus,PlazaConferenceCenter,1500S.48th. Toregister,goonlinetobryanhealth.org/calendar,orcall 402-481-8886.

Concussion: Under Recognizedand Under TreatedThursday, Sept. 3, 6:30-8 p.m.

BecauseoftheNebraskaConcussionAwarenessActandothernewlaws,wehearmoreaboutconcussions;butmanystillareuninformedregardingrecognition,treatmentandmanagement.JoinBrainInjuryAssociationofNebraskaspeakersastheydiscussidentify-ingconcussions,managementstrategiesandavailableresources.

Cost: Free,butyouneedtopre-register.Where: BryanEastCampus,PlazaConferenceCenter,1500S.48th. Toregister,goonlinetobryanhealth.org/calendar,orcall 402-481-8886.

Diabetes Prevention ProgramClasses begin Thursday, Aug. 27

TheNationalDiabetesPreventionProgram,taughtbyBryanDiabetesCentereducators,canhelpyoupreventordelayType2diabetes.You’lllearnwaystoimprovefoodchoicesandincreasephysicalactivity,withagoaloflosing5-7percentofyourbodyweight.You’llfeelbetter,behealthierandbestofall,reducebyhalfyourriskofdevelopingType2diabetes! Workwithadiabetespreventioncoachandotherparticipantstolearnskillsformakinglastinglifestylechanges. Thisprogramincludes16sessionsoverthecourseofayear.Tolearnmore,callBryanLifePointeat402-481-6300.

Boo at the ZooMonday-Friday, Oct. 26-30, 5:30-8 p.m. BringyourfamilytoLincoln’slargesttrick-or-treatevent!BryanHealthispleasedtopresentBooattheZoowithover35booths,treats,couponsandmore.TicketsaresoldeachnightattheLincolnChildren’sZoo.FreeshuttlesfromparkinglotsnearLincolnHighSchoolandnortheastofthezooareavailable.

Dancing With the Starscontestant highlightsRun to Overcome festivities

2015 Bryan Health Run to Overcome

Saturday, Sept. 19, 8 a.m.5KRun/Walkand10KRun

JoinusforthefifthannualRuntoOvercome.TheloopedcoursebeginsandendsattheBryanPineLakeCampus(40thandPineLakeRoad).

Weencourageeveryonetoparticipate,whetheryou’reabeginnerorexperiencedroadrunner.Raceproceedswillbeusedtoraiseawarenessandprovideeducationaboutmentalhealthtopics.

Noah Galloway,militaryveteranandthird-placecontestantonABC’sDancing With the Stars, willbeinLincolnFriday,Sept.18,tosupporttheRuntoOvercome!

Noahwillmakeanappearanceatpacketpickupandmakebriefremarksat11:45a.m.thatdayatSouthPointePavilionsShoppingCenter.

Here’showtoregister:5K Walk/Run and 10K Run$25 Shortsleeve,dri-fitshirtforages13andolder.$10 Cottonshortsleeveshirtforages12andyounger.

RegistrationdeadlineisSept.4toreceiveaRuntoOver-comeshirt.Noentrieswillbeacceptedafter3p.m.,Sept.17.

Gotobryanhealth.org/run-to-overcometoregisteronline.

Team competitionisavailableforatleastfourparticipants,andeachteammemberreceivesa$5registrationdiscount.Toregisteryourteam,call402-481-8855,[email protected].

Tribute Champion$100 Thisspecialsponsorshipisanopportunityfortwo runnerstocelebratealovedoneduringtherace. Championsreceiveraceentriesandshirts.Theywill receivestickerdecalstowearonraceday,andtheir tributewillbedisplayedattheRuntoOvercome.

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PRSRT STDU.S. POSTAGE PAID

LINCOLN NEPERMIT NO. 1299

1600 S. 48th St., Lincoln, NE 68506

Address service requested

Inspirationalspeaker Noah Galloway,militaryveteranandthird-placecontestantonABC’sDancing With the Stars, willbeinLincolnFriday,Sept.18,tosupporttheannualRuntoOvercome! Noahwillmakeanappearanceatpacketpickupandmakebriefremarksat11:45a.m.thatdayatSouthPointePavilionsShoppingCenter. ForinformationandtoregisterfortheSept.19RuntoOvercome,presentedbyBryanHealthandTheKimFoundation,gotobryanhealth.org/run-to-overcome.

Dancing With the Stars contestant Noah Galloway

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