1600 Eleventh StreetWichita Falls, TX 76301

940.764.7000

www.UnitedRegional.org

2008annual r e p o r t

WORK

one year of our

LIFE'S

Ms. Vickie L. WilliamsMs. Andrea WilliamsMs. Teresa R. WilliamsMrs. Cindy S. WilliamsMr. and Mrs. Jason WillifordMr. Danny WillisMs. Dana WilsonMr. and Mrs. Rob WilsonMr. and Mrs. Ben WilsonMr. Samuel L. WinklerMrs. Sue WinnMs. Cristi L. WischMr. Marcus WombleMr. and Mrs. Rodd WombleMs. Karen D. WoodMr. Michael R. WorthamMs. Christina WorthingtonMr. Ross E. WrightMs. Gail WrightDr. and Mrs. Joe WursterDr. John WursterMr. and Mrs. Walt Wybiral, Sr.Mr. and Mrs. M.M. YanceyMr. Cecil YapDr. Eric YapYOC Optimist Club of Wichita FallsMs. Amanda E. YorkMs. Laurie YoungMr. and Mrs. Mark YowellMs. Laura ZamoraMr. Andrew J. ZeiglerZion Lutheran Ladies AidMr. Bruce A. Zotz

In Honor ofJack Aaron J.T. Aaron Randy and Anne Aaron Michael AaronNorman and Pat Adams Karl and Barbara MilsteadSara and Doc Anderson Nancy and Joe SherrillCece Baggs Carla Eavenson Beverly BaggsAudrey Barnard Bill and Lolly BarnardMara Berardi Sue CrosnoeBettye Bilder Nancy and Joe SherrillRick & Sheralyn Bowersock Jerry and Lesley ChasteenJordan Brashear Karri BrashearKandis Brashear Karri BrashearJohn and Gretchen Bridgman Karl and Barbara MilsteadKyle Briscoe Kimberly BriscoeGayle Broday Karl and Barbara Milstead Tola HurshCarol Brown Nancy and Joe Sherrill Karl and Barbara MilsteadClare Browning Karl and Barbara MilsteadMerlin and Claudette Burlison Karl and Barbara MilsteadBeverly and Mark Callender Bud and Novella FrancisAlexis Campbell Curtis and Vicky CampbellMaKayla Campbell Curtis and Vicky CampbellMcKenna Campbell Curtis and Vicky CampbellKay and Darrold Cannan Nancy and Joe SherrillChloie Christensen Heather Coats Robert KrahlAngela Clark Gary and Ann SouthardJessica Cooper Ladonna CooperPhyllis Cowling Tony and Marylou PattersonCaven and Sue Crosnoe Jerry and Lesley ChasteenAnna and Ben Cunningham Bud and Novella FrancisMurphy and Bonnie Davis Nancy and Joe Sherrill

Mindy and Roy Davoult Krystal Swiatek Yvonne Sternadel Cory Glassburn Chad Robnett Katie Albus Courtney Standridge Ricky Sikes Wendy Burk Mark Bruce Delores ZugAlan Donaldson Resource Wichita FallsDick and Mary Jo Dudley Karl and Barbara MilsteadErnie Edmonds Delilah WashburnReid Gibson Laura GibsonJim and Ann Ginnings Susan LanfordMark Ginnings Susan LanfordSteven Ginnings Susan LanfordBob and Sandy Goff Jerry and Lesley ChasteenZage Gravitt Byron and Emily GravittZy Gravitt Chad Wheat Byron and Emily GravittJoan Gray Diane HoskinCarol and Bob Gunn Mr. and Mrs. William C. GunnKale & Kline Harris Linda NobileDebby Harvey Peter HarveyKen & Kathy Hines Jerry and Lesley ChasteenBrynlee Hogan Melissa HoganHestan Hogan Melissa HoganBob and Sally Holder Karl and Barbara MilsteadMeagan Hoover Marshall LewisHunter Horschler Tracy Bates Ron and Ashley Whitfield Jesse and Ashley Thomas Thomas and Tamara Horschler Ken Johnson Michael and Katrina Menges Dr. James Poston Joel and Tara WhiteLibby Ingram Lance Ostermann Gordon Smith Raymond Ostermann Travis VaughnRyan Johnson Chad and Christy JohnsonSarah Beth Johnson Chad and Christy JohnsonPolly and Frank Jones Nancy and Joe SherrillVirginia Jones Karl and Barbara MilsteadVineed Kumar Bee Lynn RippyJim and Celia LeBus Karl and Barbara MilsteadAllison Little Bob and Terry PenceTom and Donna Long Karl and Barbara MilsteadKim Maddin Becky SeayScott Manley Laney OliverSarina Martinez Keely MartinezNatalie McBride Susan Johnston Melinda Fritsche Leah FordNeil and Manon McMullen Karl and Barbara MilsteadChristiane and Richard Milisci Bud and Novella FrancisJody and Bing Miller Bud and Novella FrancisCarter Milstead Karl and Barbara MilsteadHudson Milstead Karl and Barbara MilsteadReese Milstead Karl and Barbara Milstead

Tate Milstead Karl and Barbara MilsteadJohnny Mitchell Karl and Barbara MilsteadMilburn and Carol Nutt Karl and Barbara MilsteadDr. Gary Ozier Dr. Raymond OwenDr. Ashwinkumar Patel Bee Lynn RippyKay Patrick Karl and Barbara MilsteadLindsay Patrick Wendy PatrickJordan Peters Dr. Kenneth Sultemeier Dr. Daunne PetersCarrol Price Jean CopelandRuby and Robert Priddy Nancy and Joe SherrillDiane and Mark Prothro Nancy and Joe SherrillNancy and Graham Purcell Nancy and Joe SherrillDebbie Renton Dr. Paul RentonTina Roe Horace and Luane ReynoldsStan and Martha Lou Rugeley Karl and Barbara MilsteadDerek Ruvalcaba Jeanne BarnardDr. Adam Shanes Bee Lynn RippyAnn Sharpe Karl and Barbara MilsteadPat and Dick Shaw Bud and Novella FrancisNancy and Joe Sherrill Carolyn West-Thom Jerry and Lesley ChasteenErin Shryock Joe ShryockSara Jane Wood Nancy and Joe SherrillDrs. Shona and Sriram Sudarshan Bee Lynn Rippy Nancy and Joe SherrillPat and Bill Thacker Fred LowderCarolyn and Alfred Thoms Nancy and Joe Sherrill Karl and Barbara MilsteadUnited Regional Health Care Employees Phyllis CowlingUnited Regional Auxiliary Doris StoneUnited Regional Physicians Phyllis Cowling Ronald HicksUnited Regional Volunteers Phyllis CowlingBen Valadez Kerry ValadezKynleigh Valadez Kerry ValadezLucia and Dick Waggoner Nancy and Joe Sherrill Karl and Barbara MilsteadCade Walker Dr. Kenneth SultemeierFrances Watts Alfred GuinnPat and David Wolverton Nancy and Joe Sherrill Karl and Barbara MilsteadJoe and Michelle Wurster Jerry and Lesley ChasteenAlton and Angela Yancey M.M. YanceyKay and Frank Yeager Bud and Novella FrancisBraiden York Jacklyn York

In Memory ofReece Austin Rick Aaron Regina Hicks Mickey and Amber Gee Jarret Pannell Steven Baber Farms Darrel Dickey Pour Boy Concrete Joe GrayJohn Barfield Nancy and Joe SherrillAngel Bass-Johnson Donna Ware

Jane Berardi Barbara Milstead Sue CrosnoeMarvin Brown Nancy and Joe SherrillDoris Carroll Bob CarrollDebbie Dennis Bud and Novella FrancisDoris Duggan Ronald DugganKarl Durham Dena ParishElva Enloe Mr. and Mrs. Kenneth WilkinsonKeren Michelle Ginnings J.I. and Ann GinningsCardell Hairill Dale and Cynthia BrockJason Harvey Peter HarveyGreta Hogan Bud and Novella FrancisEmma Holder Jim and Cathy BiggsDr. Melvin Horany Jim and Cathy BiggsNelle Kirkland Jack and Marjorie SmithDr. Donn Leuzinger Arnold and Tomi OliverThomas C. Lewis, Jr. Suellen MangeelyColt Lovell Henrietta Floral & GiftsBill Marley Judy MarleyPat Martin Don and Jean MassieMathew Mathews Bill and Melody JenningsMichael Sr. and Hella McDade Kitty MillerCommander John Morris Dale and Cynthia BrockBob Patterson Gerald and Beverly LeopoldDr. Robert Pierce Herbert and Mary Jane Smith William and Patti IngramDr. David Pogue Nancy and Joe SherrillReagan Ashley Ramirez Wells FargoHeard Reeves Lanny and Cheryl GilleyCharles Salter, Jr. Bud and Novella FrancisDavid Jeremias Segura Apolinar and Millie SeguraColonel Thomas Smith Vikki TowlesClaudia Somes Edward and Juanice KuhnMarjorie Spiller Susan SpillerJim Stacks Mary StacksJane Pendleton Stephens Stephens Family FoundationTiffany Stubblefield Jason and Cindy CrainRachel Swanson Benny and Terry LindemanBenny Jo Terry Ronald and Everette CarrollBeth Tugman Bobby and Tempey WebbTillie Wachsman Bud and Novella Francis Wayne Watts Alfred GuinnRichard Weber Ernest and Rebecca RiggsBonnie Young Jim and Cathy Biggs Nancy and Joe Sherrill David and Pat Wolverton John and Gretchen Bridgman

We appreciate every contribution and do our very best to ensure

the accuracy of this list. Please notify us of any concerns or

errors at 940-764-8205.

we're ready.

It takes a team with both skill and dedication to perform our life's work.

Our life’s work can be holding a hand one minute and restarting a heart the next.

With each improvement in the delivery of quality care, we are advancing our life’s work.

Our life’s work depends on financial strength to fuel it.

As the community's needs change and grow, so does our life’s work.

People. Service. Quality. Finance. Growth.

PASSION

PURPOSE

PILLARS

our

our

accomplished through our

To provide excellence in health care for the communities we serve.

To make a positive difference in the lives of others.

2008

annualreport

"What it means to be an engaged employee is that you are an involved employee. Involved, not only with the patients that you care for or your co-workers, but also with hospital and community functions and with projects that benefit others. When you are a caregiver, you do not simply turn that off when you go home at night. You are always thinking of things that you or your team can do for someone else that can make a positive difference in the lives of others."

Rhonda Jorgensen, Respiratory Therapist

Modern hospital facilities with advanced technologies are important components in delivering quality healthcare services to patients. Our new Bridwell Tower, scheduled to open in August 2009, will offer patients just that.

But it’s what happens inside a building that matters most. That’s where an experienced, skilled and compassionate staff, working as a team, meets the physical, emotional and spiritual needs of the patient. Their efforts provide the foundation for delivering excellent patient care.

Creating and fostering an employee culture that embraces United Regional’s passion for excellence begins with hiring the right people, but it doesn’t end there. Additional effort goes into retaining and engaging those employees by providing training and resources and investing in their current and future well-being.

Employee engagement, a demonstrated commitmentto personal and professional growth, and the generosity of our employee giving, all speak to a workforce that lives by, "More than a day’s work. It’s our life’s work."

people

It takes a team with both skill and dedication to perform our life’s work.

2008

annualreport

Survey Administration-August - September 2008-1,950 employees invited to participate-1,844 employees responded

2005 2006 2008

100

80

60

40

20

0

78% 84% 95%

Response Rate Trend

Engagement of Our EmployeesEngaged employees are defined as those who are fully involved in, and enthusiastic about, their work. They are connected to the organization, and work with a sense of passion.

In August 2008, we asked all United Regional employees to take an employee engagement survey. This was the third such survey since 2005.Our employee participation rates and results have improved each time.

This year, of the 1,950 employees invited toparticipate, 1,844 responded – resulting in an unusually high participation rate of 95%. A high participation rate gives great validity to the results. It also shows that employees know the information will be used to make continued improvements.

The survey was conducted by Morehead Associates, a national organization specializing in employee opinion research. Morehead’s national health care database of more than 600,000 hospital workers was used as a benchmark for comparison to the United Regional employee responses.

United Regional employees ranked significantly above the 2008 National Health Care average on 51 survey questions, placing our hospital in the top 10% of hospitals nationwide, and in the top 4% on “power items” — those survey questions that have the greatest impact on employee level of engagement with their organizations.

Our outstanding results tell us that our employees are very engaged in the goals of our hospital and the initiatives that we have in place to provide outstanding clinical care and customer service for our patients. We believe that our high patient satisfaction is due in large measure to this strong level of enthusiasm and passion.

people

Investment in Our EmployeesUnited Regional encourages and supports the personal and professional growth of our workforce. In addition to health and retirement benefits, employees have the opportunity to attend job-related conferences and workshops. We also help develop and support our leaders, offering approximately 130 directors and managers a two-day, off-campus training program presented each quarter through our Leadership Development Institute.

School to Work is a unique United Regional program that helps employees further their education while helping the hospital ensure an ample number of skilled caregivers to serve our patients. The program provides financial assistance to full-time employees who want to continue their education toward LVN or RN undergraduate degrees. United Regional allows employees to attend school on a full-time basis while working 24 hours part-time — still receiving full-time pay and benefits. Tuition and other eligible expenses are also covered. Currently, 59 employees are participating in this program.

Following graduation, employees commit to work one year in their current department. However, 82 out of the 84 employees who have graduated through our School to Work program (since 2006)have chosen to stay at United Regional beyond the one-year commitment and are still working here today.

Lucho Marin was a nurse’s aide for seven years and is now an RN. He says, “I am grateful to UnitedRegional for giving me this opportunity. My life is totally different, and I highly recommend the School to Work program.”

2008

annualreportThe Generosity of Our EmployeesEach year, United Regional employees are invited to make personal donations through the annual Spirit of Giving campaign, organized by the United Regional Foundation. And, each year, their generosity is extraordinary. “Our employees have a remarkable capacity for giving,” says Phyllis Cowling, president and CEO. “Not only do they give their skill and compassion to patients, they willingly provide monetary donations to support our community.”

In 2008, 69% of our workforce contributed a total of $247,749 — a 10% increase from 2007. The number of first-time givers totaled 337, while 295 employees increased their contributions from previous years. “Our employees

have a remarkable capacity

for giving,”

says Phyllis Cowling, president and CEO. “Not only do they give their skill and compassion to patients, they willingly provide monetary donations to

support the community.”

people

Children’s Miracle Network is a non-profit organization dedicated to saving and improving the lives of children by raising funds for children’s hospitals across North America. As a Children’s Miracle Network hospital, United Regional utilizes funds raised to provide:• Pediatric medicine• Intermediate special care nursery • Labor, delivery and nursery care• Emergency department• Intensive care• Respiratory, radiology and surgical services• Educational services

Elevating Excellence Capital Campaign has been instrumental in funding the new Bridwell Tower, a four-story addition providing advanced technology, as well as medical and surgical services, for both inpatients and outpatients.

Rathgeber Hospitality House provides overnight accommodations for the familymembers of patients hospitalized at United Regional. Friendship Fund uses funds donated by generous co-workers to provideloans to employees who face catastrophic situations.

United Way uses the donations of United Regional employees to support a variety of local charities and non-profit organizations.

The Spirit of Giving campaign fundsmany worthwhile services:

Children’s Miracle Network

Elevating Excellence Capital Campaign

Rathgeber Hospitality House

Friendship Fund

United Way

What our patients said:

“Superior,wonderful, caring nurses – my family from out-of-town was amazed.”

“I have never received

the care, kindness and concern for my comfortas I did atUnited Regional.Nurses and staff are the

best I’ve evercome across.”

2008

annualreportService means many things. It’s attentiveness to our patients’ needs. It’s compassion toward those who are in pain or alone. It’s hospitality for our patients’ families. It’s community outreach. It’s the means through which we fulfill our passion of providing excellence in health care for the communities we serve, and our purpose of making a positive difference in the lives of others.

Our Patients’ Perception of CareHow well we achieve our passion and purpose is continuously measured through the eyes of our patients and their family members. Using a satisfaction survey, mailed to a random sampling of our patients following their hospitalization, we are able to compare our Patient Perception of Care to peer hospitals across the nation.

Patients evaluate many aspects of their stay with us, beginning with the admission process and continuing through discharge – including nursing and physician care, food service, room cleanliness and comfort, and radiology and laboratory services. In addition, patients and their families have the opportunity to rate us, not only on the technical skills of our caregivers and support staff, but also with regard to the friendliness and courtesy of everyone involved in their care. In 2008, United Regional ranked in the top 15% of similar hospitals nationwide for three out of four quarters. While we are proud of this accomplishment, we continue to look for opportunities to improve each patient’s experience, striving for excellence in every way, every day.

can be holding a hand one minute and restarting a heart the next.

our life’s work

service

Meeting Our Patients’ Special Needs:

NOSA and NODAImagine being in the hospital alone, without family or friends to comfort you in times of pain, without anyone to ease your fears, to cheer your progress, to share your disappointments and to do the little extras that help you through your stay.

2008

annualreportWe at United Regional understand that sometimes loved ones are unable to be with patients during their hospital stay. Now, through our No One StaysAlone (NOSA) and No One Dies Alone (NODA) programs, patients no longer have to face challenging circumstances by themselves.

Through our Pastoral Care department, volunteers receive extensive training on how to serve patients in their time of need. Volunteers who participate in No One Stays Alone are available to help fill the hours by reading to patients, making conversation, playing games or just providing company. No One Dies Alone volunteers provide support in whatever way is most meaningful to the dying patient. Musical CDs, inspirational books, blankets, lotion and more are provided to help volunteers comfort patients.

Both programs were launched in October 2008, with more than 40 volunteers comprised of both our employed staff and members of the community. In just two-and-a-half months of operation, the program achieved remarkable results:

Our Volunteer ServicesVolunteers play a vital role and contribute greatly to United Regional. In 2008 alone, more than 350 volunteers donated 37,945 hours of service. We welcomed 115 new volunteers into our adult and teenage programs. Through donations and fundraising projects, our volunteers contributed $52,375 to United Regional’s Rathgeber Hospitality House, the 55 Advantage program, the departments of Cardiology and Pastoral Care, and the Children’s Miracle Network.

76

2626

3745

Patients Served Volunteers Involved Hours Given

NOSA 7 26 37

NODA 6 26 45

Our Service to the Community Providing medical care and health education is only part of how United Regional supports the community. In 2008, we contributed, in numerous ways, to community organizations and events with volunteer manpower and monetary donations. In addition to the programs listed below, many employees give their time and effort as members of community organization boards and committees.

Hotter ’N Hell HundredWe provided staff and supplies for 18 medical service tents and treated over 400 participants.

Kids FestOver 2,500 attended and visited our educational booths on child-related disease prevention and treatment and child safety.

Senior FocusOur staff manned health education and screening booths at this annual event.

262 wellness screenings 405 flu shots given 79 PSAs done

Breast Cancer Awareness Month Over 200 women attended and had the opportunity to schedule or complete a mammogram that day.

Heart of a WomanWe provided health screenings and education - over 3,000 women attended the expo.

Community Education SeminarsEach year, we provide community education seminars in Wichita Falls and the surrounding area. Over 200 people attended 13 seminars on health-related topics presented by physicians on the staff of our hospital.

Leadership Wichita FallsWe hosted 45 class members on Health Day to educate them about our services and our Bridwell Tower expansion project.

55 Advantage Monthly ProgramsAttendance for our 12 programs topped 4,800. Physicians and other clinical staff provided presentations on senior-related health topics and enjoyed a meal together.

MSU Health FairStudents visited booths to learn about our medical services and health conditions and treatment. Health screenings were also provided.

American Cancer Society Relay for LifeWe sponsored a team and had more than 50 walkers to support the event that raises money and awareness for the American Cancer Society.

Light the Night Leukemia WalkWe sponsored a team of walkers to support this organization.

Susan G. Komen Race for the CureOur team had 75 members among the 2,000 participants.

service

2008

annualreport2008

annualreportquality

The ever-rising standards of skill and compassion among our caregivers, the ongoing pursuit of best practices and the adoption of newer and better patient safety initiatives are examples of how we strive for quality every day. Employees, physicians, senior leadership and the hospital board all share a commitment to continuous improvement. To fulfill our commitment, United Regional participates in several national patient care quality initiatives. We highlight two of these initiatives that have resulted in outstanding achievements:

Quality Initiatives

Door-to-Balloon TimeEvery minute of delay in treating a heart attack increases the likelihood and the amount of cardiac muscle damage due to oxygen deprivation. To help ensure that heart attack patients are treated as quickly as possible, United Regional adopted the standard, presented by the American College of Cardiology and the American Heart Association, to achieve a door-to-balloon time of 90 minutes or less. Door-to-balloon is the time measured from when a patient enters the emergency room with symptoms of a heart attack, to when the patient is in the cardiac catheterization lab and the “balloon” has been inflated in the blocked artery to open it and restore blood flow.

As soon as a patient arrives at our emergency roomwith heart attack symptoms, caregivers immediately perform an EKG. The EKG is promptly reviewed by theemergency room physician, who determines if thepatient is experiencing a heart attack. When confirmed,the ER notifies a team made up of catheterization lab staff, a cardiologist, a respiratory technologist, security and the nursing house supervisor. The patient is quickly taken to the catheterization lab and prepared for the balloon procedure.

With each improvement in the delivery of quality care, our life’s work

we are advancing

90-Minute Door-to-Balloon Time Success

88% 63% 66%

UnitedRegional

TexasHospitals

U.S.A.Hospitals

In 2008, United Regional met the 90-minute door-to-balloon time in 88% of heart attack cases, missing the remaining 12% by only one to four minutes. During the same period, the average for other Texas hospitals was 63%, and nationwide for hospitals was 66%.

Preventing Ventilator-Associated Pneumonia (VAP)VAP increases the risk of death and hospital length-of-stay among critically ill patients and can add approximately $40,000 in cost to a single hospitalization. At one time, VAP was considered a non-preventable risk for ICU patients who required a ventilator for more than 48 hours. Today, United Regional is proving that VAP can be prevented.

With the goal of eliminating VAP, our respiratory care department, intensive care units and physicianintensivists implemented a process called a ventilator bundle — a series of interdependent, scientifically grounded steps that can prevent VAP.

Everyone on the critical care team became excited when the first three months passed without a single VAP case. Then, three months became six, and six became eight. On December 31, 2008, we celebrated 349 days without one case of VAP. January 16, 2009, marked a full year with no VAP cases.

2008

annualreport

The ventilator bundle includes:

• raising the head of the patient’s bed 30 to 45 degrees• providing treatment to prevent blood clots• giving the patient medication to prevent stomach ulcers• daily assessments to determine if the patient can breathe without the aid of the ventilator

Advanced TechnologyIn 2008, United Regional invested in leading-edgetechnology to enhance the quality of patient care and improve patient outcomes. Some of these advances include:

Digital MammographyUnited Regional is proud to provide women in ourcommunity with one of the most advanced screening technologies available today: full-field digital mammography. This technology helps identify cancers at their earliest stages, when they are the most treatable. The digital mammography system provides 15% more accurate mammograms among women who are under age 50 or not yet in menopause, and 11% greater accuracy among women with dense breast tissue. Digital images are available almost immediately, making results more readily accessible to physicians and anxious patients.

Surgical Navigation SystemJust as a GPS can guide a driver to a precise location, the Stryker Navigation System helps guideorthopedic surgeons during joint replacementprocedures. By improving precision in alignment, the computer-assisted system helps optimize stability, durability and range of motion in artificial joints.

quality

2008

annualreportThe navigation system uses an infrared camera and instruments, along with unique tracking software, to continually monitor the position and alignment of the implant components in relation to the patient’s anatomy. The computer analyzes and displays data on a monitor, showing the angles, lines and measurements needed to more accurately align the prosthetic hip or knee with the patient's body.

Infant CPAP After they're born, babies must breathe continuously to get oxygen. In a premature baby, the part of the central nervous system that controls breathing is not yet mature enough to allow nonstop breathing. This causes large bursts of breath, followed by periods of shallow breathing or stopped breathing, known as apnea of prematurity. When this occurs, babies often require a form of assisted breathing called nasal continuous positive airway pressure (CPAP). The pressure from the CPAP machine helps keep preemies’ lungs open so they can breathe on their own.

With the addition of the infant CPAPs, premature babies no longer must be transferred to out-of-town pediatric hospitals for access to life-saving treatment. Newborns can now remain in our community without separation from their moms and dads while they receive the specialized care they need.

quality

Giraffe® BedPremature infants lack the body fat necessary to maintain their body temperatures. Their skin is very thin and its moisture evaporates very quickly. These babies are also vulnerable to illness and infection.

The Giraffe® bed is a microenvironment for these infants. The bed is named “giraffe” because of its long neck that can go up or down at the push of a button. Through an innovative design and advanced technology, The Giraffe® bed serves as an incubator, radiant warmer and crib all-in-one. The bed provides essential heat to maintain a normal body temperature, in either an open or closed position. Because the bed is so versatile, babies can remain in it throughout their stay without the stress of being moved from bed to bed.

Chemistry AnalyzerPatients in intensive care are at increased risk for sepsis, a condition in which the body is fighting a severe infection that has spread via the bloodstream. The chemistry analyzer allows for earlier detection of sepsis indicators so that treatment can be administered more rapidly.

Galileo MissionGalileo Mission is our name for a multi-year, multi-phase, $22-million transformation of our information systems. Phase 2 of Galileo Mission went live on September 27, 2008, implementing electronic applications to improve documentation of patient care in the emergency department. Also implemented was the radiology information system, which enables physicians to view X-rays and scans on their office or home computers.

2008

As United Regional has grown in financial strength, we’ve reinvested capital into worthy initiatives, such as the construction of new facilities and facility upgrades, as well as the purchase of new equipment and advanced technologies. At the same time, we’ve continued our commitment to uncompensated care and community benefit programs.

How Our Money is Spent To pay our employees' salaries and benefits $110,360,392 To purchase supplies $44,944,166 To allow for wear and tear on our buildings $16,585,807 and equipment To pay interest on our outstanding debt $2,737,153 To allow for patient costs $18,948,372 that were not paid (bad debt)

Other operating expenses $46,187,481 Total operating expenses $239,763,371 *source: 2008 United Regional audited financial statements.

annualreport

Because We Did Not Receive Full Payment (and Other Community Benefits Delivered) From those unable to pay $21,530,593 (Charity care based on costs) From Medicaid $8,447,390 For community benefit programs $6,743,415Total cost of community benefits $36,721,398

* source: 2008 Annual Statement of Community Benefit Standards. The cost of community benefits does not include unreimbursed Medicare program costs.

What We Reinvest in Our Community To construct new facilities $33,621,917 On information technology $5,441,300 To purchase equipment $7,519,334 Total cost of community reinvestments $46,582,551

* source: 2008 United Regional internal records.

finance

depends on financial strength to fuel it.

our life’s work

2008

annualreportgrowth

For almost 100 years, United Regional has provided the residents of Wichita Falls and the surrounding area with progressive medical care. As the communities we serve change, we continually assess and reassess their health care needs to make sure we are fully prepared to meet them.

Expansion of Our Medical StaffIn 2008, United Regional recruited into the community four new physicians in the areasof cardiovascular surgery, neurosurgery, orthopedicsurgery and minimally invasive general andbariatric surgery. These additions have enabledus to meet the community’s increased need forthese medical specialties.

As the community's needs change and grow, so does our life’s work

Christopher W. Finnell, MDGeneral SurgeryDr. Finnell is a native of Holliday, Texas, and a graduate of Midwestern State University. He was fellowship-trained in minimally invasive bariatric and gastrointestinal surgery at Hackensack University Medical Center in New Jersey. He graduated from the University of Texas Medical School in Houston and completed his surgical residency at the University of Tennessee in Memphis. He is board-certified in general surgery by the American Board of Surgery.

James Obney, MDCardiovascular and Thoracic Surgery Dr. Obney joined the United Regional medical staff from Tampa, Florida, where he served as the Chief of Cardiothoracic Surgery at the Veteran’s Hospital. He graduated from the Medical College of Ohio at Toledo and completed his surgical training at Brooke Army Medical Center in San Antonio. Dr. Obney holds board certifications from the American Board of Surgery and the American Board of Thoracic Surgery.

Future in the FallsUnited Regional continually assesses our region’s need for various physician specialties, evaluating not only current demands, but anticipating future ones as well. In 2008, we launched an innovative physician recruitment program that evolved from a conversation between Phyllis Cowling, our president and CEO, and Dr. David Flack, a staff pathologist and father of a current medical student. Both agreed that individuals who are already familiar with our community could very well be the ideal candidates to help build the next generation of local physicians. So began the Future in the Falls program.

The Future in the Falls program reaches out to medical students, residents and fellows who have ties to Wichita Falls and the surrounding areas. Hospital administration and members of the physician staff regularly communicate with program participants to provide support and guidance as they progress in their medical education. The goal is to recruit them to join our medical community. At the end of 2008, there were 23 potential recruits actively involved in the program.

2008

annualreportCampus AdditionsAs part of our campus master plan, United Regional continues new construction, renovations and major equipment purchases to help ensure the delivery of excellent patient care. Some of these projects and purchases include:

Dialysis center and pharmacy renovations, updates and expansions provide higher quality patient care Air Evac Lifeteam hangar provides betteraccessibility for emergency patient transport to the United Regional campus from the communitieswe serve

Bridwell TowerUnited Regional’s most exciting expansion project is the Bridwell Tower, named in appreciation of the J.S. Bridwell Foundation’s generous lead gift. Currently under construction, the four-story, 179,000-square-foot facility is our single largest investment in the communities we serve.

Scheduled to open in August 2009, the new tower will house outpatient and diagnostic services, surgical suites, a mother-and-baby unit and pediatric services. Its beautiful environment and advancedtechnologies will support our highly skilled and compassionate staff in the delivery of some of the most progressive medical care available anywhere.

Joshua J. Schacter, DOOrthopedic Surgery

Dr. Schacter completed the Doctor of Osteopathic Medicine program at

Oklahoma State University College of Osteopathic Medicine and his residency

in orthopedic surgery at Doctor’s West/Grant Medical Center in Ohio.

Dr. Schacter specializes in sports medicine, ligament reconstruction, joint replacement

and arthroplasty, and hand and upper extremity surgery. He is a member of the American

Academy of Orthopaedic Surgeons and the American Osteopathic

Academy of Orthopedics.

John D. Reeves, MDNeurosurgeryDr. Reeves returned to Wichita Falls after serving as the Chief of Neurosurgery at Ochsner Foundation Clinic in New Orleans, specializing in spine surgery. He completed his medical degree and neurosurgery residency at Louisiana State University Medical Center in New Orleans, and he has been in practice since 1992. He holds a board certification from the American Board of Neurological Surgery. He specializes in complex spine management and surgery, brain tumors, neurotrauma and general neurosurgery.

growth

While 2008 was a year filled with advances and achievements, we are

always aware

that our work will never be done.

It begins again with each new year,with each new patient, and with each new opportunity to improve care.

So while some

might be tempted to rest on their laurels, we are not. As 2008 drew to a close, we were already striving to make 2009 even better. After all, what we do at

United Regional is far more than a day’s work. It’s our life’s work.

John Barker, PhD Howard Farrell, PhD Woody Gossom Don Hamlin

Lanham Lyne Renae Murphy Arnold Oliver

Phyllis CowlingPresident and Chief Executive OfficerNancy Townley, RNSenior Vice President of OperationsRobert PertChief Financial OfficerPamela Bradshaw, RNVice President of Nursing and Clinical ServicesRick CarpenterVice President of Facilities ManagementStevie Jo BrownVice President of Marketing and Communications

Doyle BentleyPaul Bice, MDPhyllis CowlingHoward Farrell, PhDCarol GunnDon HamlinBarbara Hanson

Doug KunkleLeo LaneJohn Martinez, PhDAli Moshtaghi, MDGary Ozier, MDAnn PopejoyKevin Thomas, MD

Wichita County/City of Wichita Falls Hospital Board

Senior Leadership Team

United Regional Board of Directors

Ex-Officio Members

Cathy Biggs

Yvonne Hearn, MD

Ashwinkumar Patel, MD

United Regional Foundation Financial Overview

The mission of United Regional Foundation is to enhance United Regional’s ability to provide excellence in health care through philanthropy and stewardship.

The Foundation secured contributions and pledges of $8,093,257 in support of United Regional projects, equipment and programs in 2008. The Elevating Excellence campaign for the new Bridwell Tower accounted for more than $7,000,000 of that amount.

The Foundation distributed $3,147,359 to United Regional from funds raised for building and facility improvements, Children’s Miracle Network - sponsored equipment and programs, and other special projects.

2008 Contributions and Pledges

Special fundraisers and gifts $393,458 Children’s Miracle Network $660,155 Capital gifts and commitments $7,039,644 Total $8,093,257

*source: 2008 United Regional Foundation audited financial statements.

2008 Distributions

Special projects $266,069 Equipment and programs $523,160 Building projects $2,358,130 Total $3,147,359

*source: 2008 United Regional Foundation audited financial statements.

United Regional Foundation

Elevating Excellence Campaign Cabinet

Cathy Biggs (President)Linda Beltchev (Past President)Dale BrockBobby BrownBeverly CallenderTodd DavenportRoy DavoultKevin GoldsteinAnn GunnBrent Hillery

Kim McClellan (Secretary)Jim ParkerGale RichardsonRick Schleider (Treasurer)Brian StahlerKenneth Sultemeier, MDMarva WalkerArthur Bea WilliamsLinda WilsonLarry Young, MD

Carol Gunn – Co-ChairRobert Gunn – Co-ChairDoyle BentleyMike BullittMac CannedyMike ElyeaMartha Fain

Al GuinnFred Langner, MDAshwinkumar Patel, MDMarilyn StaffordTom StephensTy ThackerLarry Young, MD

2008-2009 United Regional Foundation Board of Directors

Rathgeber Hospitality HouseOne beneficiary of the Foundation is the Rathgeber Hospitality House. When out-of-town families and friends are able to be here during a loved one’s hospital stay, the Rathgeber Hospitality House provides a safe, secure, affordable and caring place to live. A donation of $35.00 per night is requested, but no one is turned away because of inability to pay.

26 States &3 Countries

$17,489

$100,000

Guests Served From

Room FeesSubsidized Money raised that goes to room fees, food and other guest supplies

“What a wonderfulsurprise to find thisbeautiful haven. A sad trip for us as we came to be with my brother’s family.

He will be released to hospice and we are so thankful

for a little time with him and his family. So thank you

all who have given, that we might enjoy the sweet hospitality.

A beautiful, comfortable place to come for a night of rest.”

2008 United Regional Foundation DonorsUnited Regional Foundation wishes to express sincere appreciation to all whose contributions and participation in Foundation and Children's Miracle Network events help support excellence in health care for the communities we serve. This annual report acknowledges all who made contributions and pledge payments of $100 and above between January 1 and December 31, 2008.

FoundersMrs. Beverly BolinJ.S. Bridwell FoundationMr. and Mrs. Darrold Cannan, Jr.Mr. and Mrs. Peyton S. Carnes, Jr.Dillard Family FoundationBryant Edwards FoundationFain FoundationMr. Alfred B. GuinnMr. and Mrs. Robert D. GunnJames N. McCoy FoundationPerkins-Prothro FoundationStephens Family Foundation

PlannersAT&T FoundationJoe & Nan Johnson Family FoundationLeota Steed Foundation

DevelopersKadane FoundationPeba Oil & Gas CompanyUnited Regional AuxiliaryUnited Supermarkets

ConstructorsMr. and Mrs. Doyle BentleyMs. Phyllis CowlingDr. and Mrs. William F. DeanHotter 'N Hell HundredMr. and Mrs. F.T. Johnson, Jr.Mr. and Mrs. W.L. LindemannMr. and Mrs. Jim ParkerMr. and Mrs. Harry PattersonPriddy FoundationThomas S. Schalk ProductionBetty Schalk TrustsMr. and Mrs. John SchalkMr. and Mrs. Hollis SullivanEstate of J.E. Taubert Union Square Federal Credit UnionWal-Mart Supercenter 1116Wal-Mart Supercenter 1148Wal-Mart Supercenter 420Wal-Mart 5071Wal-Mart 353Wells Fargo

PartnersMrs. Darlene AdamsAdvanced Medical Team P.A.American National BankARAMARK CorporationMr. Donnie H. AtchleyBarnard Insurance GroupMr. and Mrs. Alex BeltchevBenchmark Business SolutionsBiggs & Mathews, Inc.Mr. and Mrs. Jim E. Biggs, Jr.Bill and Jan FoundationMr. and Mrs. Randy BishopMr. and Mrs. Carter BohlingMr. and Mrs. Ric BradshawCantu Services, Inc.Carmike Cinema 78827Carmike Cinema 159343Carmike Cinema 159577CarrierCells-U-More/Roy and Mindy DavoultcitigroupCoca-Cola Bottling CompanyColeman Charitable TrustCombined Federal Campaign of North TexasCompleteRx, Ltd.Mr. and Mrs. Ian CottonMr. and Mrs. George CoxMr. Michael A. CoxCredit Union Miracle Day, Inc.Cunningham ElementaryDairy Queen 14169Mr. and Mrs. Murphy Davis, Sr.Mr. and Mrs. Steve DealMr. and Mrs. Dickie DixonDr. and Mrs. Fardin DjafariDuke Construction Co.Mr. and Mrs. Mike ElyeaMr. and Mrs. Paul ErnstMr. and Mrs. John FergusonFidelity BankMrs. Vicki FinnellFirst National Bank of Wichita FallsFirst National Bank of Byers - Cattleman's BranchMr. and Mrs. Paul FoleyMr. and Mrs. Coyal L. Francis, Jr.Fulbright & Jaworski, LLPMr. Richard J. Ganem

Dr. and Mrs. Hossein GhanbariMr. and Mrs. Larry GodwinGolden CorralGolden Corral 0912Goody's Family Clothing 325Goody's Family Clothing 327Goody's Family Clothing 366Hazel & Henry S. Grace FoundationGuarantee TitleAnn & Vince Gunn FoundationMrs. Ann GunnMr. and Mrs. William C. GunnMr. and Mrs. Ralph Harvey, IIIHealthSouth Rehabilitation Hospital of Wichita FallsMr. John G. HeldHerb Easley Motors, Inc.Mr. Bill HofsissMr. Billy F. HuseHydrocarb Production Services LLCIHOP #1494IHOP #1346IHOP #1406Independent Order of Foresters, Branch ChaparralMs. Brenda JacksonMr. and Mrs. Joe L. Johnson, Jr.Johnson's Furniture & Mattress Co.Junior League of Wichita FallsDr. and Mrs. Phillip W. KellyKFDX-TV Channel 3Kiowa CasinoMr. and Mrs. Donald Knox, Jr.Kohl's Department StoreDrs. Rita and Nick KongMr. and Mrs. Doug KunkleMr. and Mrs. Lance LagerstromMr. and Mrs. Randy LanfordLarry's Marine CenterMr. Roger E. LewisMr. and Mrs. Fred H. LowderMr. and Mrs. William P. MaroneyMarriott InternationalMr. and Mrs. Jerry MarshallMcCarthy Building Companies, Inc.Dr. and Mrs. Tim W. McClellanDr. and Mrs. Leo C. MercerMeridian Revenue SolutionsMerrill LynchMidwestern State UniversityMrs. Shelley MoserMr. and Mrs. Dan MowreyMr. Erik NicholsonNissan of Wichita FallsNorth Texas Cardiology Center LLPNorth Texas Home HealthNorthwest Kiwanis of LawtonMr. and Mrs. J. W. Oliver, Jr.Otis Elevator CompanyP & WC Aerospace (US), Inc.Parker Family Foundation of ByersMr. and Mrs. Kevin ParsonsPatterson Auto CenterMr. and Mrs. J.A. Patterson, Jr.Mrs. Reba D. PerryMr. and Mrs. Bob PertPhilips/Ledford Medical SystemsPink DarlingsMrs. Ann PopejoyPostel Family Credit UnionMr. and Mrs. J Michael PriceMrs. Alicia PruittRadiology Associates of Wichita FallsMr. George RaterRe/Max 14131Dr. and Mrs. Paul N. Renton, Jr.Sam's Club 8224Sam's Club 8239Dr. and Mrs. Bradley E. SamuelsonDr. and Mrs. Henry R. Sanchez-LealSecurity's Lending Hand FoundationDr. and Mrs. Michael R. SheenSherrill Crosnoe & GoffMr. and Mrs. Joseph N. Sherrill Jr.Ms. Jennifer SimpsonSmith's Gardentown FarmsSouthwest Rotary ClubSt. Jude Medical, Inc.St. Paul Lutheran ChurchMr. and Mrs. John StaffordStrasburger & Price, LLPStripes Headquarters (Susser, Inc.)Subway 55Mr. Joe C. Sumner, IIIMr. and Mrs. Robert SwansonJulia Lee Taubert FoundationMr. Robert E. Taubert, Jr.Mr. Trevor Taubert

Texas Carpet OutletTexoma Community Credit UnionMr. and Mrs. Thomas T. ThackerDr. and Mrs. Kevin ThomasMrs. Nancy TownleyTrans Star, Inc.Trio Operating Company, Inc.U.S. Pacific EnterpriseUnion Square Federal Credit UnionUnited Regional Valet ServicesUnited Regional Physician GroupUniversity Kiwanis ClubE. Paul & Helen Buck Waggoner FoundationWal-Mart 414Wal-Mart Supercenter 479Wal-Mart Supercenter 269Wal-Mart 3229Wal-Mart 8866Wal-Mart 271Dr. and Mrs. Kenneth M. WarnockMrs. Linda WatersMs. Deborah A. WestWestar TransportationWichita Falls Teachers Federal Credit UnionWichita Falls Chapter of Credit UnionsWichita Falls Area Community Foundation - John Hirschi Donor Advised FundWichita Falls Area Community Foundation - Bill and Pat Thacker Donor Advised FundWichita Falls Area Community FoundationWichita Falls Kiwanis ClubWichita Falls USBC Woman's Bowling AssociationWingler & Sharp, Architects & Planners, Inc.Women's ClinicMr. and Mrs. Ben WoodyMr. and Mrs. Frank Yeager

Helping HandsMr. Rick AaronAce Hardware WF/LawtonMs. Tonya AdamsMr. and Mrs. Jim AdamsMs. Dorothy AdamsMs. Delma AguilarDr. and Mrs. Michael AgyepongAlamo ElementaryMs. Lou AlexanderMs. Jamie AlexanderMr. Danny AllenMs. Michelle M. AllenMs. Frances G. AlleryAllred Armstrong & CompanyAlpha Night CircleMr. and Mrs. Nick AlreadAltrusa Club of Wichita FallsAmerican PlumbingMs. Dana M. AmickMr. and Mrs. Keith AnderleMr. Michael J. AndersonMs. Tina L. AndersonMs. Mary E. AndersonMr. and Mrs. Edmund Andrade, IIMs. Sharion AntonesAPEX Technical Services, Inc.Mr. and Mrs. Rick ApplingMr. and Mrs. Tommy ArensMs. Diana ArnholdMr. and Mrs. Ricky ArnoldMr. and Mrs. Jeffrey ArnoldMr. and Mrs. Mack ArthurAshley Furniture Home StoreMr. and Mrs. Wade C. Ashley, Jr.Steven Baber FarmsDarren and Juliet BaberMs. Ann BairMr. and Mrs. Matt BakerMs. Linda C. BakerMr. Ronald BakerMrs. Susan BaleyMs. Carol BallardMr. and Mrs. Bill BarnardMs. Jeanne M. BarnardJamie S. BarnettBarwise Jr. HighMrs. Jana BeasleyMs. Rebecca L. BedfordMrs. Vickie K. BellBen Franklin ElementaryBen Milam Elementary

Ms. Dawn BenhamMs. Sandra BenoitMs. Julie Anne BerendMr. and Mrs. Doug BerendMr. and Mrs. Brandon BeshearMr. Jacky BettsMr. Thomas BillickMs. Lisa A. BindelMs. Tammie BishopJay and Karen BitscheMr. and Mrs. Jim BlackMs. Teresita L. BlackMs. Carolyn BlackMr. William S. BlackMs. Lydia BlackmonMs. Cindy BladesMs. Denise BlairMs. Kelley J. BlassingameMr. and Mrs. Doug BlevinsMr. and Mrs. Henry C. BodinMr. and Mrs. Dennis BogartBoley-Featherston InsuranceMr. and Mrs. Clay BolinMr. Hiram J. BollingerMr. Ray L. BookoutMr. and Mrs. Rick BooneMr. and Mrs. Warren W. BooneMs. Mary L. BostMs. Lori BoswellMr. and Mrs. Glenn BoydMr. and Mrs. Daniel BoydMs. Laura B. BoydMr. Robert BoydMs. Lisa BoydstonMr. Donald L. BoydstonMr. and Mrs. Dub BrackeenMrs. Eva M. BrackettMr. and Mrs. Lester E. BraddockMs. Leah BradleyMr. and Mrs. William BradleyMs. Jaime L. BradshawMs. Alice F. BradshawMs. Amy BraggMrs. Stella BrandMr. and Mrs. Ken BrashearMr. and Mrs. Brian BrasherMs. Delnita BrayMr. and Mrs. William H. BrelandMr. Matthew BridgesMs. Sherry BristowMr. David BriteMr. and Reverend Deryl BrockMr. and Mrs. Jeff BrooksMs. Paula BrooksMs. Julata BrooksBrookshire and Super OneJudge and Mrs. Robert BrothertonMark and Nancy BrownMr. and Mrs. Bobby BrownMrs. Vanessa BrownMs. Stevie Jo BrownMr. and Mrs. Richard BrownMr. and Mrs. Mark BrownMrs. Gayle BrownMr. and Mrs. Benton BrownMr. William F. BrownMr. Kim A. BrownleeMs. Jacquelin BruffeyMr. Steven BryanMr. and Mrs. Ken BryantMr. Kyle BurgoyneMs. Danielle BurkeMs. Mitzi BusseyMs. Shona L. BusterMr. Jack E. Butler, Jr.Mr. and Mrs. Robert Butterfield, Jr.Ms. Betty BynumMs. Candace ByrneMr. Kenneth ByrneMs. Diana CaldwellMr. and Mrs. Kevin I. CampbellMr. and Mrs. Curtis W. CampbellMr. and Mrs. Harry CampseyMrs. Ellen A. CannonCarmike Cinema 78820Mr. and Mrs. Rick CarpenterMs. Kathleen D. CarrMr. and Mrs. Steven CarterMr. and Mrs. Randy CaseMr. Stephen CashMr. Jim CassMr. John K. CathcartCentral Christian ChurchMr. Mike CephusMs. Ellen ChancellorMrs. Karen ChancellorMr. and Mrs. Jerry ChasteenMrs. Beverly Childs

Chillicothe Lions ClubCity Concrete, IncCity View ElementaryCity View High SchoolMr. and Mrs. Bo ClarkMr. and Mrs. Paul ClarkMr. A. P. Clark, Jr.Mr. and Mrs. Christopher ClarkMr. and Mrs. Charles Clark, IIIMr. Perry ClarkMr. and Mrs. Tom H. ClarkinMs. Ladonna ClubbMs. Monica ClubbMr. Gerald ClubbMs. Heather CoatsMrs. Jenni CobbMrs. Donette CokerMs. Hazel ColemanMs. Cynthia CollazoComanche Red River CasinoCombined Federal Campaign of North TexasCombined Federal Campaign of Ft. SillMr. and Mrs. Tim ConnollyMr. James ConyersMr. and Mrs. Joe E. Cook, Sr.Ms. Tammy L. CookMs. Christine CookMr. Michael T. CookeMr. and Mrs. Steve CookinghamCo-Op Financial ServicesMr. and Mrs. R.G. CooperMs. Rebecca A. CooperMr. and Mrs. Craig A. CooperMs. Rhonda CorbellMs. Nicole CostaCountry Club Self StorageCountry Worship Cowboy ChurchMs. Christy CowanMs. Ginger CowanMs. Christine CowmanMs. Shelby CrabtreeMr. Raymond CragarMr. and Mrs. Jason L. CrainMr. and Mrs. Freddie D. CramptonMr. and Mrs. Caven CrosnoeMr. and Mrs. Jeffrey CrostonMrs. Amanda G. CrowMr. and Mrs. Bill CrutcherMrs. Kimberly J. CullarFreddie Joe CullarMr. and Mrs. Corky CummingsMs. Coelita CurleeMs. Anne DabovichMs. Jennifer DacyDairy Queen 13810Dairy Queen 14602Dairy Queen 14210Dairy Queen 14170Dairy Queen 13912Dairy Queen 14455Dairy Queen 14202Mr. James DalrympleMs. Terri M. DanielsMs. Judy DarnellDataprobe, IncMr. and Mrs. Todd DavenportMr. and Mrs. Erwin Davenport, Esq.Ms. Rachel D. DavilaMs. Helen DavisMr. Marlon E. DavisMrs. Jonell D. DavisMr. and Mrs. Don R. DeanJody K. DeanMs. Brandy DeHoyosDell Direct Giving CampaignMs. Donna DemersDenman Leasing CompanyDr. and Mrs. Andre P. DesireMs. Julie M. DiamondMr. and Mrs. Darrel DickeyMr. and Mrs. Warren V. DixonMrs. Kelli DoleyMs. Julie A. Dollahite Ms. Nancy A. DonaldsonDonnell FoundationDoor Systems of Wichita FallsMrs. Betty DowdyMr. and Mrs. Phillip DowlingDr. and Mrs. Steve DrydenDuffle EnterpriseMs. Judy C. DukeMr. and Mrs. Ralph Dunkelberg, IIIMs. Mary H. DuranMs. Nancy DurasMr. and Mrs. Lawrence E. DwyerMs. Jo Lynn EasonMr. Richard EasterMs. Carla EavensonMr. Ernie EdmondsMs. Tammy Edwards

Mrs. Carla EdwardsMs. Mildred EdwardsMr. and Mrs. Michael EdwardsMr. and Mrs. M.B. EinhausMr. Mark R. ElginMr. Kevin D. ElkinsMrs. Brandie ElliottEPOCH Group, L.C.Ms. Linda EschlerSandra M. EsquibelSenator and Mrs. Craig EstesEstesMr. and Mrs. Robert EstradaMr. Lanny R. EvansMr. and Mrs. Lee EwellFamily Practice Associates, LLPFannin ElementaryMs. Edith FarmerMrs. Kristi L. FaulknerMr. and Mrs. Brad FeatherstonFeed & Garden StoreMr. and Mrs. Rick FenlawMr. and Mrs. Kenneth FergusonMr. and Mrs. Dallas FillingimMrs. Jean FinklerFirst Wichita 719, LLCFirst Baptist ChurchFirst BankFirst United Methodist ChurchMrs. Paula FitzgeraldMr. Al Flack, Jr.Ms. Beverly FlanaganMr. and Mrs. Roosevelt FlaniganMr. John FlanneryMrs. Linette FleitmanMr. and Mrs. Mark FlemingMs. Marilyn FloresMr. Richard FloresMs. Dee Ann FluhmanMrs. Lola FobergMr. and Mrs. Bob FonckMr. J C. ForemanMs. Marsha L. FranklinFred's Inc.Mr. and Mrs. Darrin FrenchMs. Cindy FrieMs. Jana FristoeMs. Melinda FritscheMs. Nancy FryFujifilm Medical Systems U.S.A., Inc.Fulfer-Vanek Well Servicing Company, Inc.Ms. Sandra K. FurlowMs. Andrea N. GalesMr. Peter GallagherMs. Jennifer GalyeanDr. and Mrs. Ved GaneshramMs. Mandy GarciaMs. Jayla GarciaMs. Tamera L. GarciaMrs. Glynda J. GardnerMr. and Mrs. Randy GarrettMr. and Mrs. Tim L. GarrettMs. Sarah GarrisonMr. Charles W. GaryMr. and Mrs. Joe GazdikDr. and Mrs. Mehari GebreyohannsMr. and Mrs. Mickey R. GeeMrs. Caroline E. GellnerMr. Doyle W. Germany, IIDr. and Mrs. Mac GeyerMr. and Mrs. Carl GfellerMrs. Angela GibbonsMs. Rita GiglioMrs. Tracie GilesMs. Jennifer R. GillespieMs. Cynthia GillilandMr. and Mrs. J. I. GinningsMrs. Kandis GivensMs. Sarah GlougieMs. Lisa R. GoffneyMr. and Mrs. Roy Golleher Mr. and Mrs. Juan M. GonzalezMs. Carla GoodallGoody's Family ClothingMargie GordonMr. and Mrs. Glen GordyMr. Willie GossettGrace Medical ClinicMs. Lacy GrahamMr. and Mrs. Byron GravittMr. Joe L. GrayMrs. Lisa GreenMr. and Mrs. Bill GreenMr. Ronald GreenthalerMr. and Mrs. Tom GreenwadeMr. Jody GregoryMs. Leslie GreshamMr. and Mrs. Larry GribbleMr. and Mrs. Jerry B. GriffinMr. John GrishamMr. Walt Gromadin

Mr. Gordon GrubbsMr. Russell GuessMr. Mason GuinanGuinn Foundation, Inc.Gunkel DistributingMs. Emily GunterMr. and Mrs. Dustin GwynnMr. John C. HackleyMrs. F. Elizabeth HaleMs. Holli R. HallMr. and Mrs. Daniel HamanMs. Lisa HamiltonMr. and Mrs. Glen HamiltonMr. and Mrs. Don HamlinMrs. Vera Jo HamptonJohn L. Hancock Co., Inc.Mr. and Mrs. Stephen P. HangerMr. and Mrs. Kenneth HankinsMr. Elmer A. HanveyMrs. Althea C. HargroveMs. Chelsea HargroveMs. Judy L. HarmonMr. Robert L. HarperMr. and Mrs. C. E. HarrellMrs. Minnie B. HarrimonMr. and Mrs. Rusty HarrisMs. Mary D. HarrisMr. and Mrs. Paul L. HarrisMs. Elizabeth HarshMs. Wendy HartmanMr. and Mrs. David B. Hartman, Jr.Harvest Drug & GiftDr. and Mrs. Lowell HarveyMr. and Mrs. Dan D. HarveyDr. and Mrs. Peter M. HarveyMs. Catherine HassMr. Robert HassellMr. and Mrs. Donald HawkinsMs. Tessa HawkinsMr. Jerry D. HaynesMr. Donald HeardDr. Yvonne and Mr. Patrick HearnMr. and Mrs. James HelmMr. and Mrs. Jim HendersonMr. and Mrs. Wesley HendricksMs. Brandy HendryMs. Juanita D. HenleyMs. Lisa HenningMr. Kim HenryMs. Veronica HenryMr. and Mrs. Ray HerringMs. Judy HessingerMr. and Mrs. Ronald H. HicksMr. Douglas HicksMs. Regina HicksMr. Tommy HightowerMr. and Mrs. Mitchell HillMs. Terri J. HillMs. Amanda HillHill Country Memorial Health System FoundationHirschi InvestmentsMrs. Carolyn HobbsMs. Cindy A. HoffMr. and Mrs. Jeremy HoganMr. and Mrs. James HolcombMs. Carolyn S. HolleyMs. Cindy HolmesMr. and Mrs. Tim HolmesMr. and Mrs. Brian HonsMr. and Mrs. Joe B. Hood, Sr.Mrs. Meagan HooverMrs. Kristie HopkinsMs. Barbara HopkinsMr. and Mrs. Larry G. HoppeMs. Rachel HornMs. Crystal HornMrs. Debbie HorneMr. Bob and Dr. Flavia HorthMs. Ranelle M. HouseMr. Christopher HowardMr. Clyde HowardW.P. Howle Masonry Contractor, Inc.Mr. and Mrs. Robert HrabovskyDr. and Mrs. David S. HuangHuey ElementaryMr. Kip HughesMr. Steve R. HulcyMs. Jessica HulseMs. Betty HumpertMrs. Tola J. HurshMs. Vicki E. JacksonMr. Bob JacksonMrs. Donna JamesJames Lane Air ConditioningMr. and Mrs. Marshall JeffusMr. and Mrs. Billy L. JenningsMr. Scott JensenMs. Rebecca J. JeterMr. and Mrs. Steve JohnsonMr. and Mrs. Chad JohnsonMr. and Mrs. Bob Johnson

Ms. Susan JohnstonMs. Frieda JonesMs. Shauna M. JonesMs. Alisha JonesMr. Vernon B. JonesMs. Joni K. JonesMrs. Virginia N. JonesMr. Marion JordanMs. Rhonda JorgensenThe Joy Sunday School ClassMs. Angela M. JoynerMs. Mary L. JulianMs. Misty JulianMr. and Mrs. Joe JustinMrs. Teresa J. KahookeleKate Burgess ElementaryKate Haynes ElementaryMs. Laurie KeithKelly Propane & FuelsMs. Shanda D. KelseyKemp Center for the ArtsMs. Gayla S. KennedyPatsy KidwellRuth Anderson Kimbell FoundationMr. and Mrs. Stan KimbellMr. and Mrs. Greg KingMr. and Mrs. Stuart KingMr. Steven KingMs. Carolyn L. KingMs. Misty KingMr. Charles L. KingMrs. Susan K. KinneyMr. and Mrs. Ronnie KirkpatrickKiwanis Club of BowieMrs. Kristi Klinkerman GarveyMs. Jennifer K. KnisleyMs. Lori KosankeMr. and Mrs. Chris KrajcaMr. Robert KrastinMr. and Mrs. Fred KrautzMs. Cindy KrebsMr. and Mrs. Todd KreutzerMrs. Ann M. LaginessMr. and Mrs. Phil N. LamLamar ElementaryMr. and Mrs. John LamberthLandmark Title Company, Inc.Mr. and Mrs. Lynn W. LandrumMs. Rhonda LaneMs. Jody LangMrs. Laurie A. LangeMr. and Mrs. Matthew LauMr. Robert E. LauMs. Brenda LawsonMr. and Mrs. David LawsonMs. Anh Nguyet LeMr. and Mrs. Jim LeBusMr. and Mrs. Clint LeeMs. Sonia R. LeeMs. Brenda S. LeeMs. Fejovita LeeMs. Laura P. LeeMr. and Mrs. David LeeMrs. Kathy LeeMr. and Mrs. Gerald R. LeopoldMs. Tiffany LeslieDr. and Mrs. Justin P. LeVasseurMr. and Mrs. Craig LewisMs. Lynne LewisMr. Mark LewisErin C. LewisMrs. Marlene LewisMr. Dave Lilley, Esq.Mrs. Julie A. LimMr. and Mrs. Benny LindemanMrs. Carol LindseyMs. Cynthia LittekenMs. April LittleMr. Larry LittlefieldMr. and Mrs. Paul F. LittlehaleMs. Candace LloydLong X Cattle CompanyMrs. Melissa LopezLove's 263Love's 13Ms. Loree LunaLunn's Colonial Funeral HomeM & D ConstructionBrij MadanMrs. Kim MaddinJeri MahaffeyMs. Felicia K. MaherMs. Bonnie G. MahergMs. Sheri MahlerMs. Donna MajewskiMr. and Mrs. Greg MajewskiMs. Lynda MaloneyMs. Suellen ManeelyMr. and Mrs. William MankinsMs. Lisa ManningMs. Dianna ManuelMr. Adam Marchand

more than a day’s work. it’s our life’s work.

A day’s work is measured by the

punch of a time clock. A life’s work is

measured in goals met, lives touched

and differences made. Once a year, we

pause to see how we’re doing, to take

stock of our progress and to evaluate

our life’s work relative to our five pillars:

people service

quality finance growth

Mr. Jack T. MarshallMrs. Jeri MartinMrs. Susan Knowles-MartinMr. and Mrs. Victor MartinezMs. Mary MastersMs. Kathy L. MathewsMs. Holly MaxwellDr. and Mrs. Brett MayMr. and Mrs. Brett MayoMs. Jessi L. McBrideMr. and Mrs. Terry J. McBroomMr. and Mrs. Kent McClatchyMs. Kathleen A. McClellanMr. and Mrs. Mark McClellandMs. Sandra K. McDonaldMcGaha AcademyMs. Rhonda McGarryMr. and Mrs. Jerry D. McGeeMr. and Mrs. Dennis McGownMr. and Mrs. Sid McGuireMs. Anna L. MckeeMr. and Mrs. Jeff McKnightMr. Terry McMillanMs. Sylvia McMullenMcNiel Jr. HighMrs. Michelle L. McQuerryMs. Robin McwhorterMs. Amber MeadorMs. Ann MedfordMedline FoundationMs. Ann M. MeinzerDr. and Mrs. Rodrigo X. MenchacaMs. Vera MerrillMs. Gretchen MetznerMr. Mark A. MichaelMidwest Dental Equipment & SupplyMr. and Mrs. Clay MillerMr. and Mrs. Jackie M. MillerMr. Troy MillerDr. Daniel MillerMr. and Mrs. Rudy MillerMs. Melanie MilnerMr. and Mrs. Britt MilsteadMr. and Mrs. Karl MilsteadMiss AmericaMs. Sue MitchellMr. and Mrs. Charlie MoellerMs. Misty MontellanoMr. Elton MontgomeryMr. George MoodyMs. Emily MooreMr. Tom MooreMs. Wynette MooreMr. Wayne MooreMs. Marcie A. MoralesMs. Sarah MoranMr. and Mrs. Daniel T. MorathMr. and Mrs. George MorathMs. Jeanne MoreauDr. Armando T. MorenoMs. Lori MorganMr. and Mrs. James MorrisMrs. Marilyn MorrisMrs. Sue MorrisMs. Gena MorrisMrs. Ella M. MorrisMrs. Kim MorrisDr. and Mrs. Ali MoshtaghiMs. Jennifer MosleyMr. and Mrs. David MowreyMr. PayrollMs. Whitney MulhollandMutual Investment Club of Wichita FallsMrs. Gail W. NataleNatixis Asset Management Advisors, L.P.Ms. Tisha NealDr. and Mrs. Bill S. NealeMr. and Mrs. John NeasonSGM Vicente C. NededogMrs. Michelle NelsonMr. Robert A. NewmanMs. Gail NewtonMr. and Mrs. Wayne NicholsonMs. Alison N. NiellMs. Karen NixMs. Linda NobileLynn NobileMr. Tim NobleNumantraNunn Electric Supply Co.Ms. Cynthia A. OchoaMs. Kelly O'DellMr. and Mrs. Luke OechsnerMr. Charles T. OliverMr. Laney OliverMr. Richard OotenMr. and Mrs. Joseph OrenderMr. Lance OstermannMr. and Mrs. Robert OswaldOur Lady Queen of PeaceDr. Raymond L. OwenDr. and Mrs. Gary P. Ozier

Ms. Michelle PaceMs. Susan A. PageDr. and Mrs. Bruce PalmerMr. and Mrs. Duane PalmerMr. Bryan PanikMr. Jarret PannellMr. Lazlo PapMs. Deborah K. ParkerPartnersource, Inc.Ms. Susan PaschallMr. and Mrs. Scott B. PatrickMs. Sylvia PaytonFrances E. PeckMr. and Mrs. Renato PedonMs. Marisa PenningtonMrs. Dee Dee PenningtonDr. Daunne PetersMs. Mary A. PetersonLt. Col. and Mrs. Thomas W. Pettibon, RetMs. Brenda S. PhilmonDr. and Mrs. Jonathan PinoMr. and Mrs. Duff PitcockMr. and Mrs. John M. Pitts, Jr.Dr. and Mrs. Matt PittsDr. and Mrs. David M. PogueMs. Cheryl PopejoyMs. Debra K. PorterfieldDr. and Mrs. James G. PostonPour Boy ConcreteMs. Phyllis J. PowellMs. Tracy PowellMs. LaDonna L. PowersDr. and Mrs. John PressonMs. Katherine W. PriceMrs. Trena PrinceMrs. Laurian ProctorMrs. Julie PruettMrs. Betty PruettMs. Leslie PruittPuroclean of TexomaRACM, IncMrs. Katie RadebaughMrs. Brenda RainboltMs. Stormi RainesMs. Mary J. RainwaterMs. Jackie RamseyMr. and Mrs. Jammie RamseyMr. Mohammad RamzanMs. Yolanda RangelMr. and Mrs. Brooks RatzlaffRe/Max 16009Re/Max 16038Red River Chapter of TMCAMs. Christine ReeceMr. and Mrs. Wayne ReedMs. Kimberly ReedDr. and Mrs. John ReevesMs. Amber RegaladoMr. Mac ReidMr. and Mrs. Lyle ReidDr. and Mrs. Dennis D. ReinkeResource Wichita Falls, Inc.Mr. and Mrs. Paul A. ReyesMrs. Sheila ReynoldsMs. Florence RichMr. and Mrs. Tommy L. RichardsonMs .Lisa RickmanMs. Julea RicksMrs. Jane RidenourMr. Drew RiderMs. Leah D. RidingerMr. and Mrs. Ernest L. Riggs, IIIMrs. Bee Lynn RippyMs. Mary RivardMr. and Mrs. Eric RobbMr. Larry RobbinsMr. Don RobersonMs. Dorothy Roberts-BurnsMs. Kasey M. RobertsonMr. Dale RobertsonMs. Teresa C. RobinsonMr. and Mrs. Albert RodriguezMr. Alejandro Rodriguez, Jr.Donny and Tina RoeMs. Ann RogersMs. Judy RogersMrs. Dottie RogersMr. and Mrs. Gregory RossMs. Donna Lynn RossMr. and Mrs. Dwight Ross, IIIRotary Club of Wichita FallsMs. Thelma RouseMr. and Mrs. Stan RugeleyMr. Charles RussellMs. Ruth RutledgeMr. Mark C. RutledgeMr. Derek RuvalcabaDr. and Mrs. Stephen D. RuyleMr. Charles L. SagerMr. and Mrs. Michael SaiphooMs. Martha H. SalmonSam Houston Elementary

Mrs. Joanne San MiguelMr. Larry G. SannerMr. Wilson ScalingSchaaf & Clark, Inc.Ms. Lou Ann SchaferMr. Frank SchatteMs. Rhoda J. SchenkMr. Greg SchmidtMrs. Jenny L. SchreiberMs. Rosemary SchroederMr. and Mrs. H.P. SchueleMs. Robin Schulte-BispingMs. Donna L. SchwartzMs. Fran N. ScobleMs. Stephanie ScottMrs. Hazel ScottMr. and Mrs. Mark SeamanMr. and Mrs. Apolinar SeguraMr. and Mrs. Doug SelsorMrs. Carrie SelsorSeymour ElementaryDr. and Mrs. Adam ShanesMs. Linda ShaverDr. and Mrs. Richard B. ShawMs. Polly ShawMs. Heather Shaw-HastyMs. Staci L. SheppardSheppard Secretaries GroupMs. Laura N. ShermanMr. Billy W. SherrellMs. Yreva L. ShireyShive ElementaryThe Shoe ClosetMr. Paul Sikes, Jr.Ms. Rose SilvertoothMr. Lewis SimmonsMs. Robin SimmsMs. Shirley SimonsMr. James W. Simpson, Sr.Mr. Steven SimsDr. and Mrs. Earl F. SingletonMs. Angela D. SkeltonMs. Judy C. SkinnerMrs. Eva SkipworthMr. Donald SmartMs. Kimberly A. SmithMr. and Mrs. Preston SmithMr. and Mrs. Rickey L. SmithMr. and Mrs. Gordon SmithMs. Paula S. SmithMs. Sandra K. SmithMr. and Mrs. Jerry M. SmithMr. Jeton SmythMs. Gloria SolorioSorge AppraisalMrs. Leah E. SpearMs. Jane SpearsMrs. Susan SpillerDr. and Mrs. Michael W. Spiller, Jr.Ms. Amy SpivakMs. Ninell SplawnMr. Donald G. SpringerMs. Heather SpruiellMr. Don Stacy, Jr.Mr. and Mrs. Brian StahlerMr. and Mrs. Carr Staley, Jr.Ms. Verlena StanfordState Farm Insurance - Morris StoneMr. and Mrs. Terry SteeleMs. Lisa SteinSteinberger Drilling CompanyMs. Alice StoddardMs. Doris J. StoneMr. Bud StrainMr. and Mrs. David StrayhornMs. Priscilla StreetMrs. Kim StringfellowMr. and Mrs. W B. StrowdSubway 8Subway 469Subway 56Dr. Maha SultanDrs. Kathy and Kenneth SultemeierMrs. Donna SundermanSunpoint Tanning CenterMr. and Mrs. Roger SwannerMr. and Mrs. Jeff SwaydanMs. Beth SweetMs. Georgiana E. TalleyDr. Lucy TanTangles SalonMs. Alma K. Tanner ValadezMs. Katherine TarasMr. and Mrs. Dallas TateMr. Mark TatumMr. Donald L. TaubertMr. and Mrs. J.E. TaubertMs. Cynthia A. TaylorMr. Rex TaylorDr. and Mrs. Thomas E. TaylorMs. Cynthia Taylor

Mr. and Mrs. Michael R. TaylorMr. and Mrs. Ray TeakellMr. and Mrs. Jim TeeterMr. and Mrs. Larry TegtmeyerMs. Laura TerrellTexas Oncology, P.A.Texoma Association of Health UnderwritersMr. William R. ThackerMs. Theressa ThackerMs. Sue ThackerMs. Kim TheetMr. Timothy J. TheriotMs. Jeanne L. ThibodeauxMr. Stephen ThomasMr. and Mrs. Charles D. ThomasDr. William TidmoreTieken Claim ServiceMs. Deana TimianMr. Glenn ToddMs. Vikki A. TowlesMr. Brandon TownleyMs. Dolores TownsendMr. Rickey TownsonMs. Leslie TrickMs. Terri TriggsTrinity Lutheran ChurchMs. Terri TrippMs. Tami W. TuckerMrs. Jean TuckerMs. Lisa TurnerMs. Reba TurnerMs. Ashley TurnerMs. Michelle L. TwilligearDr. and Mrs. Jesus D. UcolDr. and Mrs. Kent UlrichUnity III Study GroupMr. Gerardo UrangaMs. Michelle UrquizoMrs. Kerry A. ValadezMrs. Alice A. VallejoMr. and Mrs. Steve VaughnMrs. Myrtie E. VeceraMr. Raymond VeitenheimerMs. Trudy VeitenheimerMs. Tonya VelasquezMr. Bradley E. VestalVetrotex Certainteed Off-The-Job- SafetyMrs. Desi VicarsMr. and Mrs. Harold VicarsMr. and Mrs. Jerry ViethMrs. Mona VonDielingenMr. and Mrs. Randy J. WachsmanMs. Carolyn A. WainscottMs. Robin M. WalkerMr. and Mrs. James WalkerMr. and Mrs. Brett WallMr. and Mrs. Jay WallMr. David C. WallaceMr. and Mrs. Dan WardMs. Donna WareMs. Jaquita WarnockMr. and Mrs. James WarnockMrs. Kelly WarrenMr. Michael R. WarrenWashington/Jackson PTAMs. Jacquelin WatsonMs. Michele A. WatsonMr. Danny WebbMr. Michael H. WeeseMs. Melissa M. WeinerMr. and Mrs. David WelchMr. and Mrs. Robert W. WelchMr. Gary WellsMs. Tammy A. WellsMr. Tony WellsMr. and Mrs. R. T. Wells, Jr.Ms. Sonja WesleyMs. Karen WestWest Foundation ElementaryMrs. Carly B. WestbrookMr. Odell WheatMr. and Mrs. Kenneth W. WheelerMs. Sara WheelerLt. Col. and Mrs. Robert WhelanMs. Wilma WhiteheadMr. and Mrs. Jimmie Whitmire, Jr.Wichita Falls Area Community Foundation-Sara Jane Snell Wood Non-Endowed Donor Advised FundWichita Falls Cardiac Care PAWichita Falls Drove #154 TexasWichita Falls Ford-Lincoln-MercuryWichita Falls Heart & Vascular Center, PLLCWichita Falls High SchoolWichita Falls Police Officers AssociationMs. Polly WilkinsonMs. Jeanie WillhoitMr. and Mrs. Eric WilliamsMs. Arthur Bea Williams