2010 Annual Report. Leadership. Innovation. Quality

2010 Annual Report Leadership. Innovation. Quality. Our Mission VNA Hea thCare L is dedicated to improving the health and well-being of individual...
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2010 Annual Report

Leadership. Innovation. Quality.

Our Mission VNA Hea thCare L

is dedicated to improving the health and well-being of individuals by providing a full range of home care, hospice and community-based health and wellness services.

VNA HealthCare, Inc. and Affiliates Directors and Officers VNA HealthCare, Inc.

Fund Committee

VNA Health Resources, Inc.

Directors Nancy G. Dean, Chair Jason Benedict, Vice Chair/Treasurer Constitution Billing & Financial Services Chakrapani (Chuck) Vallurupalli, Vice Chair Thomas Aitken, Thomas Capital Atty. Laura Bellotti, Pullman & Comley, LLC Atty. Christine Blethen, Levy & Droney Ingrid Collins Victor Diaz, City of Waterbury Wendy Elberth, Hartford Hospital Michael Fresher, The Bushnell Avery Gaddis, Waterbury Development Corporation Meg Gildea, Pratt & Whitney John Giliberto, C.M. Smith Agency, Inc. David Gollob, Metallizing Service Company, Inc. John Hussey, Hussey & Gordon Atty. Angeline Iannou, Nuzzo & Roberts, LLC Atty. Robert Nastri, Jr., Tinley, Nastri, Renehan & Dost, LLP Carolyn Orrell, Saint Mary's Hospital Dina Plapler, University of Connecticut Health Center Jeffrey Stein, M.D., Hartford Medical Group Joyce Walter, Wesleyan University

Directors John Hussey, Chair Dianne Antos Atty. Laura Bellotti Stacey DiPiazza, Infoshred Kara Flanagan, Coldwell Banker Michael Fresher Avery Gaddis John Giliberto Elaine Granata, Capital G Enterprises, LLC Helen Krzyczynski, Coldwell Banker Martin C. Noreika, Whittlesey & Hadley, P.C. John F. O'Connell, Jr., CEBS, CLU, C.M. Smith Agency, Inc. Karen R. Paulson, CIMA, Fiduciary Investment Advisors, LLC Dina Plapler Barbara Rubin, iStar Asset Services, Inc. John S. Stout, CB Richard Ellis Chuck Vallurupalli Joyce Walter

Directors David Gollob, Chair Thomas Aitken Atty. Christine Blethen Victor Diaz Meg Gildea Atty. Angeline Iannou Sandra Roosa, Saint Mary's Hospital

Officers Ellen D. Rothberg, President Andrew Eaves, V.P. Kathy Peirce, V.P. Frederick P. Lauria, V.P., Secretary Richard Nankee, V.P. Pilar Schmidt, V.P. James M. Blazar, ex officio, Hartford Healthcare

Officers Ellen D. Rothberg, President

Professional Advisory Committee Robert Bianchi, R.Ph., MPH Rita Bonczek, APRN Hospital for Special Care Meg Gildea, APRN, MSN Pratt & Whitney Beth Lawlor, RN, BSN, MS, CCM, CPUM, CNA-PC, Hartford Hospital Sandra Micalizzi, RN, MSN Heart Center of Greater Waterbury David Santoro, Southington Care Center Jeffrey Stein, MD Mary Jane Williams, RN, PhD Christine M. Waszynski, APRN Hartford Hospital

Transitions in Life are inevitabLe.

How they are managed makes aLL the difference. Dear Friends of VNA HealthCare, When transitions involve one’s health, independence or quality of life, it can leave those affected feeling confused and scared. That’s why for generations, thousands of patients, families, and physicians have trusted VNA HealthCare’s expertise to help manage some of life’s most difficult transitions.

Ellen D. Rothberg President and CEO

All of them know that in their time of need, they can rely on VNA HealthCare’s tradition of leadership, innovation, and quality to manage whatever transition life brings.

Leadership

Nancy G. Dean Chair, Board of Directors

Perhaps no other sector of our economy has experienced more change this year than healthcare. Our nation is moving to a system that rewards high quality clinical and patient satisfaction outcomes; in this future-state, patients are the greatest beneficiaries. VNA HealthCare has remained ahead of this curve through its clinical innovation, focus on patient-centered care and by implementing nationally-recognized best practices before others. We have committed our resources to being the region’s leader in home health care, as well as being a leading advocate for the industry by educating local and national policymakers on the consequences that proposed cuts have on non-profit VNAs who serve as the region’s health care safety net through the provision of low-cost and highly effective care to millions.

Innovation

VNA HealthCare has been a pioneer in developing and implementing specialty programs aimed at keeping patients out of the hospital. To that end, the agency was an early adopter of telehealth technology and was the first agency in the state to offer patients a specialized pulmonary program led by a respiratory therapist. We also augment our outstanding clinical care with leading-edge wound, diabetes, and cardiac nursing programs.

milestone enables us to realize communication efficiencies and increases the collaborative benefits of multi-disciplinary teams caring for a patient’s total needs. We continue to leverage the resources available to us as a system partner with Hartford Healthcare. Our affiliation ensures that VNA HealthCare patients experience seamless transitions of care among the nine system partners and have access to the most advanced technology and nationally recognized expertise available.

Quality

Last October, VNA HealthCare was named to the 2009 HomeCare Elite™, a compilation of the top-performing home health agencies in the United States. This prestigious, annual review identifies the top 25 percent of home care agencies as ranked by an analysis of quality outcomes, quality improvement, and financial performance. Thanks to the skill and expertise of our nurses, specialists, therapists and support staff, the agency has consistently exceeded many state and national home care quality benchmarks throughout the year. We’ve also made significant strides in reducing our patient re-hospitalization rates and currently boast one of the lowest rates among similar agencies in our service area.

Mission

Our focus on quality, innovation and leadership poises our agency for success and, coupled with community support, enables us to continue our 109-year-old mission of caring for everyone in the towns we serve. We deeply appreciate our community partners and friends whose generous support helps to ensure that VNA HealthCare continues to manage life’s transitions for generations to come: foundations, corporations, the United Way, and our donors. We are also grateful to our dedicated staff, board of directors and volunteers for helping us ensure that year after year, “the best care is coming home.” Sincerely,

During the past year, the agency has successfully completed its transition to electronic medical records. Achieving this

Ellen Rothberg and Nancy Dean

Restoring QuaLity to Life Sandra Werkheiser was granted a new lease on life. Seven months ago, end-stage congestive heart failure prevented the once-active 76-year-old from participating in her favorite activities. “I went from being an avid walker to being unable to walk more than 20 feet. I didn’t feel well and couldn’t socialize like I used to. I just wanted to enjoy life again,” she explained.

“I have my life back, and that means the world to me.”

Deemed ineligible for a heart transplant due to age, Sandra was left with few options. Concerned, she turned to the experts at Hartford Hospital’s Henry Low Heart Center where she learned about an innovative procedure for transplant-ineligible patients: LVAD (Left Ventricular Assistive Device) for Destination Therapy. Sandra’s doctors explained how an LVAD implant would help pump blood more efficiently through her body. Eager to return to the activities she loved, Sandra opted for the leading-edge procedure, becoming just the second patient in the state to receive the treatment that had been approved one month earlier. Throughout Sandra’s four-week recovery in the hospital, her team of cardiac specialists and case coordinators worked hand-in-hand with Hartford Healthcare system partner VNA HealthCare to ensure a seamless transition home and to teach her visiting nurses about the highly specialized care that she would require. Twice weekly, Didi Prignano, RN, a visiting nurse with extensive cardiac care experience, visited Sandra at her home to perform a cardiac assessment, change her wound dressings, and continue the education she received in the hospital about her condition. The visiting nurse continually updated Sandra’s doctors and nurses at Hartford Hospital about her patient’s progress.

VNA HealthCare Cardiac Program Manager Beka Apostolidis, MS, RN, and visiting nurse Didi Prignano, RN, use a telemonitor to assess Sandra's cardiac condition.

In addition to her regular nursing visits, Sandra’s vital signs were checked daily by a home health telemonitor. Often used for cardiac patients with complex conditions, the device prompts them to take their own vital signs, and securely relays the information via phone lines to VNA HealthCare. A telemonitoring nurse with extensive training in cardiac care reviews incoming results and immediately intervenes at any indication of an abnormality. “With this technology,“ said Beka Apostolidis, MS, RN, VNA HealthCare Cardiac Program Manager, “any irregularities in patients’ vital signs can be discovered and treated before they can exacerbate. We’re often able to prevent patients from visiting the emergency room or being admitted to the hospital.” “The telemonitor definitely kept me compliant and in a routine,” Sandra stated. “It was reassuring to know that I was in good hands.” Thanks to the collaborative efforts of Hartford Hospital and VNA HealthCare, Sandra has regained her quality of life and has achieved her goal of once again attending her beloved bridge club with her friends. “I have my life back,“ Sandra said “and that means the world to me.”

OLd Guard of West Hartford: Commitment to their Community “When our volunteers finish delivering meals on a route, they have a real sense of having accomplished something important,”

The term “Old Guard” is often used to describe any group of distinguished, respected and trustworthy individuals - and it’s a fitting name for the Old Guard of West Hartford. Founded in 1966 by the West Hartford YMCA, Old Guard members gather for weekly meetings replete with songs and guest speakers. More than a social club, the group of 300 retired professionals is staunchly committed to giving back to their community and has been one of VNA HealthCare’s most loyal cadres of Meals on Wheels volunteers for more than 34 years. “Everyone experiences a transition during retirement,” explained member Dick Harris. “As you leave something behind, you also want to look forward to something. Volunteering keeps our members linked with the community and their colleagues, and keeps us all younger.” Harris, along with members Tom Montgomery, George McGauley and Brad Blanchard, coordinates 50 Old Guard members to deliver thousands of meals each year to elderly and disabled West Hartford residents.

Old Guard volunteers Dick Harris, Bert Berlin, Tom Pandolfe, and Len Albert

“Every so often, we’ll notice that something is amiss with a client,” Harris said. “When that happens, we call VNA HealthCare immediately so that their staff can check on them.” “Sometimes, we’re the only individuals that these people see all day. We always stop to say hello and provide that human touch,” Harris explained. “When our volunteers finish delivering meals on a route, they have a real sense of having accomplished something important,” he said. “Every day, our customers thank our volunteers for being there. That’s reward in itself!”

VNA HealthCare Volunteers

“Our volunteers know that Meals on Wheels is often the one component that keeps individuals living in their own home and out of a nursing home. A lot of people on our route are too sick or disabled to cook or shop. Some receive meals on an interim basis after an operation or serious illness; it takes a huge burden off their shoulders as they transition back to health,” said Harris.

Volunteers

Hours

Meals on Wheels Hospice Administrative/Office Support Board of Directors, Professional Advisory and Ethics Committees

687 90 19

29,742 2,210 1,489

56

437

Total

852

33,878

“Receiving these meals is certainly a big help,” said Frances, a West Hartford resident whose Meals on Wheels are delivered three times a week by the Old Guard. “These gentlemen are excellent, and so is the program,” she stated.

Value per hour*

Total Value

$21.83

$739,556.74

* The hourly dollar valuation is derived from Independent Sector.

Stacey DiPiazza: Pursuing Her Passion Stacey DiPiazza wears many hats. She’s a wife and a busy mom of three young girls. She’s the owner of a booming business. And she’s a caregiver to her 96-year-old grandmother.

When Stacey’s family determined that her beloved 96-year-old grandmother, Margaret, could no longer remain by herself during the day, the solution, Stacey said, was clear: VNA HealthCare.

But despite her hectic schedule, Stacey always finds time to pursue her passion: helping to raise funds and awareness for VNA HealthCare, an organization close to her heart.

Although the family wasn’t sure what services their grandmother would need, an intake nurse specialist at VNA HealthCare helped them determine that Margaret would benefit from a Personal Care Attendant. Shortly after the phone call, Elcira Navarro arrived at the front door.

“I truly believe that everything happens for a reason,” Stacey said, alluding to her initial involvement with VNA HealthCare. “Seven years ago, I received a call from the agency’s Vice President of Development asking if I would join their fund board. He said that he just read my honoree profile in the Hartford Business Journal’s ’40 Under Forty’ section and thought that my experience would complement their goals,” she explained. After discussing the opportunity with her husband, Jack, Stacey was determined to not only give her time and talent, but also in-kind shredding services from her company, InfoShred. Stacey and her beloved grandmother, Margaret.

“Knowing that my grandmother is well taken care of has been invaluable to my family.“

“We talked about VNA HealthCare’s reputation in the community and how helpful it was to Jack’s grandmother when she was ill. We felt that the agency could use the money saved on shredding services and put it back into their other vital programs.” she said. Stacey enthusiastically plunged into her new role on the fund development committee. Since 2003, she has been an eager leader, generous philanthropist, and corporate sponsor, donating nearly $100,000 in in-kind shredding services to the agency. She also volunteers with the agency’s Nurturing Families program and has been a catalyst and champion for the annual “A Taste for Hope” event, which to-date has raised nearly $75,000 for VNA HealthCare’s hospice program.

To the family, Elcira represents much more than daily help with personal care and housekeeping. She’s a much-loved companion and best friend to Margaret. And to Stacey and her parents, the Personal Care Attendant is “peace of mind personified.” Stacey’s experience with helping to coordinate her grandmother’s care has only strengthened her resolve to ensure that others have access to the same exceptional care. She admits, however, that her enthusiasm for volunteering has a deeper meaning. “I want to set an example for my daughters on how important it is to give back to others,” she stated. “My hope is that by watching my actions, they will choose that path for their own lives.” “If I am able to inspire my girls or anyone else to get involved,” she explained, “then everything I have done has been worth it. I truly believe that what you give out to the world, you get back. Our family’s experience with VNA HealthCare is living proof of that.” Personal Care Attendant, Elcira Navarro is a best friend and helper to Margaret.

AngeL of Hospice 4th Annual Angel of Hospice Awards Event Honors Local Champions of End-of-Life Care Angel of Hospice Award winners, from left: Valerie Jones-Perkins, Chapel Memorial Funeral Home; Jan Elwell, Saint Mary’s Hospital; Nancy Decker, Our Lady of Mt. Carmel Knitting Group; and Nan Gano and Holly Bemonte, accepting on behalf of Dr. Anamika Katoch and Dr. Kert Sabbath of The Harold Leever Cancer Center.

VNA HealthCare honored seven local doctors, nurses and community members for their commitment to providing quality end-of-life care to the Greater Waterbury community at its November 19th “Angel of Hospice” awards reception. “The program is based on recognizing those whose professionalism and compassion for the terminally ill have made a profound difference in the lives of hospice patients and their families,” said Tara Green, Director of Hospice.

Harold Leever Cancer Center oncologists Dr. Anamika Katoch and Dr. Kert Sabbath were recognized with an Angel of Hospice Award for their support of terminally ill patients and symptom management. Accepting on their behalf were staff Nan Gano, Sharon Ignatavich, Kelly Danforth, Holly Bemonte, and Karen Bisson.

The following individuals were honored as “Angels of Hospice” based on criteria developed by the agency’s H.O.P.E. (Hospice, Oncology, and Palliative Expertise) Team: Jan Elwell, APRN, Saint Mary’s Hospital; Valerie Jones-Perkins, Chapel Memorial Funeral Home; Dr. Anamika Katoch, Harold Leever Cancer Center; Our Lady of Mt. Carmel Knitting Group; Denise Paradisi, Wolcott View Manor Extended Care Facility; Elaine Patterson, office of Dr. James Hoffman; and Dr. Kert Sabbath, Harold Leever Cancer Center.

Larry Baker, retired VNA HealthCare CFO, and Golf Committee Chairman Jason Benedict, Constitution Billing and Financial Services.

11th Annual VNA HealthCare Golf Classic The Annual Golf Classic was held on May 24, 2010, at the Shuttle Meadow Country Club in Kensington and raised more than $64,000 in support of Meals on Wheels. More than 13,000 meals were made available to community neighbors through this tournament. The Meals on Wheels program is a vital service for many homebound individuals. For many, the home-delivered meals they receive, coupled with

the personal interaction received with each delivery, make the difference between being able to remain living independently in their own home or moving to an institutional healthcare facility. VNA HealthCare wishes to thank Byram HealthCare, C.M. Smith Agency, and Mutual of America for their continued leadership level sponsorship.

Committee Members Jason Benedict, Chair Paul Dean Mike Fresher Avery Gaddis John Giliberto David Gollob

Golf Committee member Peter Walbert, Brad Drazen, Pat Sullivan, and Tim Coppage.

John Hussey Steve Lowry Marty Noreika Chuck Vallurupalli Peter Walbert Joyce Walter

Platinum Sponsors Allscripts ConnectiCare, Inc. Connecticut Health and Educational Facilities Authority Elm Press NBC Connecticut HD - Hot Coffee Sodexo Dinner Sponsor Shipman & Goodwin, LLP Gold Sponsors Constitution Surgery Centers Hartford Hospital Metallizing Service Company, Inc. PMA Management Corp. of New England Simione Consultants, LLC Saint Mary's Hospital Silver Sponsors Brown & Brown of CT, Inc. (DBA Dill, Joyce & Thresher, Inc.) Philips Lifeline Vizibility

Hospitality Sponsors Delta Dental Plan of New Jersey, Inc. Hartford Medical Group USI Consulting Group Webster Bank Lunch Sponsor MidState Medical Center Bronze Sponsor Clemow Consulting Group, LLP Tee Sponsors All Waste, Inc. Baker Home Care Financial, LLC Highland Park Market Reid & Riege, P.C. Trust Company of Connecticut A Division of NewAlliance Bank VNA HealthCare Independent Living Services We Care Home Care LLC

Titanium Sponsors: Gary Debes, Byram; Ellen Rothberg, VNAHC President and CEO; John O’Connell, C.M. Smith; Pam Giunti and Lou Marchetti, Mutual of America

Titanium Sponsors

Cabernet Sponsors E-Tech Systems; Infoshred, LLC; Owens & Company, LLC; Waste Management Chardonnay Sponsors Andros, Floyd & Miller, P.C.; Brown & Brown Insurance; C.M. Smith Agency, Inc.; Harrington Court; Marchion & Faucher; Marquee Events & Catering; Mitchell Volvo; Pullman & Comley; Purcell Associates; Smith Brothers; Trust Company of CT Pinot Noir Sponsors Addison Village, LLC; Carmon Community Funeral Homes, Inc.; Carrier-Ripley Insurance, Inc.; Double A Veterinary Hospital; Fiduciary Investment Advisors; Helen Krzyczynski; USA Hauling & Recycling, Inc.; Waterbury Setaro Motors, Inc.; Wolff Financial Group

5th Annual Taste for Hope A Taste for Hope, VNA HealthCare’s annual wine tasting event, was held at Cavey’s Restaurant in Manchester. The sold-out event raised more than $32,000 for the Hospice program. Sometimes, the ability to spend one's last days in the comfort of home, surrounded by family and loved ones is the greatest gift we can give. Charitable care made possible by this event brings dignity and compassion to our patients and their families through this most difficult time.

Champagne Sponsors Wine Committee from left: Renee Picard-Walsh, Susan Granata, Stacey DiPiazza (Chair), Karen Pagliaro, Karen Paulson and Helen Krzyczynski. Not pictured: Pam Andros, Laura Bellotti, Kara Flanagan, Elaine Granata and Karen Hatcher.

Committed to Nursing ExceLLence 8th Annual Nightingale Awards for Excellence in Nursing (Above) The Nightingale program awarded $2,500 in scholarships to local nursing students. Receiving their scholarship from Ellen Rothberg include Lisa Zahina, Goodwin College; Laura Bauer, Saint Joseph College; Coleen Smart, University of Hartford; Melissa Brousseau, Central Connecticut State University; and Amber Kauffman, Capital Community College. (Left) VNA HealthCare Nightingale honorees Sharon Casey, RN, BSN, Clinical Educator Coordinator and Sharyn Sweeney, RN, AS, Visiting Nurse.

On May 6th, 2010, more than 500 people gathered at the Hartford Marriott Downtown to celebrate Connecticut's unsung healthcare heroes: nurses. Hosted by VNA HealthCare, the Eighth Annual Hartford Regional Nightingale Awards for Excellence in Nursing Gala honored 102 nurses from 30 local health care institutions. The goals of the gala – Connecticut’s largest nursing awards event – are to focus public attention and recognize the breadth and scope of nursing practice at the local level, to encourage nursing retention, and to inspire the next generation of nurses. Since 2003, the Greater Hartford Nightingale Gala has provided more than $46,000 in scholarships to local high school and college students who are interested in pursuing a career in nursing. VNA HealthCare is proud to continue to host the Nightingale Awards for Excellence in Nursing Gala and is pleased that so many of our colleagues and regional health care institutions have joined in support of this effort.

Toastmasters from the gala’s Official Sponsors: Dick Brvenik, President and CEO of Windham Hospital; Kathleen Roche, MSRN, Executive Vice President, Chief Operating Officer and Chief Nursing Officer of Saint Francis Hospital and Medical Center; Cato Laurencin, MD, PhD, Vice President for Health Affairs and Dean of the School of Medicine with the University of Connecticut Health Center; Elliot Joseph, President and CEO of Hartford Hospital and Hartford Healthcare; Lucille Janatka, President and CEO of MidState Medical Center; Ellen Rothberg; and Clarence Silvia, President and CEO of The Hospital of Central Connecticut. Not pictured: Peter J. Karl, President and CEO of Eastern Connecticut Health Network.

Official Sponsors Eastern Connecticut Health Network Hartford Hospital The Hospital of Central Connecticut MidState Medical Center Saint Francis Hospital and Medical Center University of Connecticut Health Center Windham Hospital

Meet the Board Members

VNA HeaLthCare Senior Management

Nancy G. Dean Chair

Vice Chair

Jason Benedict

Vice Chair/Treasurer Constitution Billing & Fin. Srvcs

Thomas Aitken

Laura Bellotti

Christine Blethen

Ingrid Collins

Victor Diaz

Wendy Elberth

Michael Fresher

Avery Gaddis

Meg Gildea

John Giliberto

David Gollob

John Hussey

Angeline Ioannou

Robert Nastri, Jr.

Carolyn Orrell

Dina Plapler

Jeffrey Stein, M.D.

Joyce Walter

Thomas Capital

The Bushnell

C.M. Smith Agency

Seated from left: Richard Nankee, Chief Financial Officer; Ellen Rothberg, President and CEO; Andrew Eaves, Vice President Marketing. Standing from left: Pilar Schmidt, Vice President Development; Fred Lauria, Vice President Human Resources; Kathy Peirce, Vice President Clinical Operations.

Chuck Vallurupalli

Nuzzo & Roberts LLC

University of Connecticut Health Center

Pullman & Comley, LLC

City of Waterbury

Waterbury Dev. Corp.

Metallizing Service Co.

Tinley, Nastri, Renehan & Dost, LLP

Hartford Medical Group

Levy & Droney, PC

Hartford Hospital

Pratt & Whitney

Hussey and Gordon

Saint Mary's Hospital

Wesleyan University

The Future of Health Care

What role does home health care play in the health system of the future?

What is the biggest challenge facing health systems and home care?

JIM BLAZAR: Throughout our country’s health care system, a major shift is taking place towards creating incentives that reward patient outcomes and patient satisfaction. Forward-thinking health systems are building continuums of care to improve transitions from one health care setting to the next, to enhance communication between providers, and to ensure that patients receive the right care in the right setting to maximize outcomes.

ELLEN ROTHBERG: Certainly the impact of legislation is critical to home care’s future. Health care reform is needed, but must be undertaken with a full understanding of the role and value for the components of the health care system. For example, I continue to advocate on behalf of home care in Washington and in Hartford. The balance of Medicare and Medicaid is delicate and together allows home health care to treat a wide population of all those in need. Cuts in one impact the other, and I strongly urge legislators to take that into account as they evaluate healthcare reform proposals.

Home health care is critical to the success of these networks because it can save the system valuable resources by achieving strong clinical outcomes, reducing patients’ need for re-hospitalization and achieving high levels of satisfaction in the process due to being treated in the comfort of the home environment with highly skilled, compassionate professionals.

How does VNA HealthCare ensure that quality outcomes are achieved? ELLEN ROTHBERG: VNA HealthCare has long been committed to innovation and best practices that can help us achieve outstanding outcomes and patient satisfaction. That’s why our agency was the first in the state to adopt telehealth technology and is the first agency in the state to offer a specialized pulmonary program led by a respiratory therapist. Development of such specialty programs requires significant financial investment but the payoff is outstanding patient outcomes and program growth through increased referrals and enhanced reputation.

Ellen D. Rothberg President and CEO VNA HealthCare

JIM BLAZAR: From a health system standpoint, the biggest operational challenge we face is effectively managing patients’ transitions from one setting to the next, ensuring that a continuity of care is maintained and that communication between providers is optimized. Home care is often the bond between settings. By highlighting the role of home care in our health system, Hartford Healthcare and VNA HealthCare are providing leadership that will be regionally and nationally recognized by a steady progression of innovation and quality performance, benefiting patients and improving health care in our region.

James M. Blazar Sr. Vice President and Chief Strategy Officer Hartford Healthcare

VNA HeaLthCare QuaLity Measures Investing in technology and innovative care to achieve superlative results. Ensuring the best outcomes for our patients is our top priority. That’s why VNA HealthCare is committed to investing in the latest home health care technologies and creating specialty clinical programs to help our patients enjoy the best quality of life possible in their own homes.

This care, delivered by our highly skilled nurses, therapists and other staff, has enabled VNA HealthCare to consistently achieve many state and national home care quality benchmarks throughout the year:

15

17% 10

tients who needed o the hospital

10

10

100 100

20

15

92

15

27% 32% 23% 27% 17% 32% 27%

Percentage of patients need Percentage of patients who who needed Percentage of patients who needed unplanned medical care to beurgent, admitted to the hospital to be admitted to the hospital Lower is better is better Lower isLower better

100

94 20

23% 27% 23% 100% 10

96

96

94

94

50

92

90 10

92

51% 100% 92% 100% 45%

92% 27%

Percentage ofof clients are need Percentage patients who Percentage of patients whowho need very or completely satisfied urgent, unplanned medical urgent, unplanned medical care care theirisprivate better duty care Lowerwith isLower better

100 100 100

40

30 90

90

100

60

50

50

40

40

51%

92%

Percentage of patients Percentage ofwho clients Percentage of clients who arewho are getvery better at walking or or completely or very completely satisfiedsatisfied moving around with their private duty care with their private duty care

100

60

VNAHC

15

25

25

VNAHC

15

20

96 State average

20

VNAHC

20

25

30

30

All VNAHC patients State average State average

25

VNAHC

25

30

98

National average

30

98

35

National average

30

98

Living Services

35

100

VNAHC Independent State average

35

60 100

VNAHC VNAHC Independent Living Services

35

National average State average

35

100 40

State average

40

VNAHC Independent VNAHC Living Services

40

patients using a All VNAHC home health telemonitor patients

32%

40

patients using a home health telemonitor

State average

27%

40

VNAHC

All VNAHC patients

CLinicaL PerFormance

30

51

30

Percentag Percentage of pa getat better get better walk movingmoving around ar

60

Percentage of patients Percentage of patients whowho needed getadmitted better attowalking or to be the hospital moving around Lower is better

100

80

98

60

96

State average

15

State average

32% 92%

VNAHC Hospice

State average State average

% 2%

20

95 VNAHC

patients VNAHC

25

40 20

23%100% 27% 99% 10

who needed etsof patients who are e hospitalsatisfied mpletely home care services

100

90 Percentage of patients whowho need Percentage of patients urgent, unplanned medical care would recommend hospice Lower is better to others

0

60

100%

100% 91%

30

94 92

State average

100

Percenta very or c with thei

100

80 50

60 40 40

20

51%

92%

90 Percentage of clients who are Percentage of patients who believed very controlled or completely that hospice theirsatisfied with private duty care symptoms to their an acceptable degree.

100

1

30

95

92%45%

State average

35

100

VNAHC Independent State average Living Services

40100

92

Percentage of patients who need urgent, unplanned medical care Lower is better

State average

Patient Satisfaction

94

90

10

30

National average

Percentage of clients who are very or completely satisfied with their private duty care

23%

27%

VNAHC Home Care

10

VNA HealthCare patients

90

15

17%51% 27%45% 32%

92%

100%

20

VNAHC

15

27%

State average

40

96 25 State average

20

98

30

All VNAHC patients

25

patients using a home health telemonitor

50

VNAHC

92

National average

94

30

35

VNAHC

VNAHC Independent Living Services

96

100

40

35

98

e of patients who need planned medical care etter

Home Care

40

VNAHC

100

State average

VNAHC

%

Leadership. Innovation. Quality.

92%

0 Percentage of patients who who are Percentage of patients get better or satisfied veryatorwalking completely movingwith around their home care services

1

90

Percenta would re to others

5% 2%

Medicare

11%

Medicaid

FinanciaL HighLights

Managed Care

44%

17%

VNA HeaLthCare

Self Pay Grants

21%

Other

6%

Patients by Payor Source

Revenue by Payor Source

5%

Medicare

7%

Medicaid

6%

Self Pay Managed Care

Fiscal Year Ended June 30, 2010 Consolidated Income Statement - Unaudited Revenue Medicare Medicaid Self Pay Managed Care Other Revenue Public Support and Grants Total Revenue

23,234,711 7,773,458 3,008,479 2,385,176 2,302,585 2,151,636 40,856,045

Expense Salaries and Salary Related General & Administrative Total Expenses

32,402,652 8,893,460 41,296,112

Operating Gain/(Loss)

(440,067)

Additional Non-Operating Revenue

1,938,683

Excess of Revenues Over Expenses

1,498,616

19%

57%

Other Revenue Public Support and Grants

Branch Office Core Service Area Independent Living Services Expanded Area

VNA HealthCare Statistics Home Health Care Nursing Visits

PT Visits

OT Visits

ST Visits

MSW Visits

HHA Visits

Other Visits

Total Visits

Clients Served

38,498 50,547

16,590 16,495

2,869 2,576

706 55

858 1,339

40,392 51,737

40 7

99,953 122,756

4,878 4,758

89,045

33,085

5,445

761 2,197

92,129

47

222,709

9,636

Location

Days on Care

Clients Served

Hartford Region Waterbury Region

14,202 10,092

486 324

24,294

810

Location

Hartford Region Waterbury Region Total Home Care

Hospice Care

Total Hospice Care

Independent Living Services Nursing Hours

Homemaker Hours

Personal Care Attendant Hours

Total Hours

Clients Served

3,196 461

32,882 51,792

116,181 40,045

152,259 92,298

590 504

3,657

84,674

156,226

244,557

1,094

Meals On Wheels (per delivery)

Emergency Response Rentals (months)

Blood Pressure, Glucose, Cholesterol Screenings

Flu and Pneumonia Vaccinations

Clients Served

78,836 91,936

6,621 7,145

3,447 987

12,072 4,653

1,309 1,326

170,772 1,166

13,766 1,469

4,434

16,725

Location

Hartford Region Waterbury Region Total Independent Living Services

Other Services

Location

Hartford Region Waterbury Region Total Total Clients Served Towns Served Amston Avon Beacon Falls Berlin Bloomfield Broadbrook Cheshire Cromwell Durham East Granby East Hartford East Windsor Ellington Enfield

2,635 Total Clients Served:

Farmington Glastonbury Granby Hartford Hebron Kensington Manchester Marion Marlborough Meriden Middlebury Middlefield Middletown Milldale

Naugatuck New Britain Newington Oakville Plantsville Plymouth Poquonock Prospect Rocky Hill S. Windsor Southbury Southington Suffield Terryville

Thomaston Union City Unionville Vernon Wallingford Waterbury Watertown West Hartford Wethersfield Windsor Windsor Locks Wolcott Woodbury Yalesville

14,175

Independent Living Services Expanded Area Andover Bolton Bristol Burlington Canton Chaplin Coventry Harwinton

Mansfield New Hartford Plainville Simsbury Tolland Torrington Willington

Martha WiLkinson Society

AnnuaL Campaign The following list recognizes VNA HealthCare individual donors and organizations that made a cash or stock gift of $100 or more to the Annual Campaign from July 1, 2009-June 30, 2010. Donors who have given for ten or more consecutive years are noted in bold, and we extend our great gratitude to all for their generosity. If we have inadvertently omitted a name, please accept our apologies and let us know by calling (860) 493-7168.

Patrons ($5,000.00 + )

In 1901, Martha Wilkinson served as the first visiting nurse for the fledgling Hartford Visiting Nurse Association. Today, VNA HealthCare serves as one of the largest and most comprehensive VNA’s in the state and is sustained in-part through the generosity of community members. The Martha Wilkinson Society gratefully recognizes individuals who have contributed $25,000 or more throughout their lifetime. Anonymous (3) Mr. Frank B. Bauer Mr. Andrew C. Brown The Estate of Arlene T. Brown Mrs. Hazel S. Buckley Mr. John M. K. Davis Shirly J. Dawson Mr. Richard J. Gates David S. Gollob Mrs. Donald W. Henry Miss M. Eleanor Honan Emma M. Keeney Mr. Alex Lloyd, Esq. Mr. Robert J. Loffredo Mrs. Loretta Lublin Mr. John A. Martocci Mr. and Mrs. John F. O'Connell, Jr. Mrs. Annella C. Preble Ms. Barbara Rubin Mr. Nat A. Sestero Mr. Paul K. Smith Mrs. Frances S. Stout Mr. and Mrs. John S. Stout

Anonymous (2) Mr. and Mrs. Charles Cusson David S. Gollob Hartford Foundation for Public Giving The Reynolds Charitable Foundation Vernon D. Roosa and Florence E. Roosa Fund President's Society ($2,500.00 + ) Ahold Financial Services Mr. Robert J. Loffredo Guild of Saint Barnabus Society ($1,000.00 + ) Anonymous Mr. and Mrs. Peter M. Antos Mr. and Mrs. Charles G. Arnold Fund Beth El Temple of West Hartford Ms. Anne H. Clarke Mr. George David Mr. and Mrs. Paul Dean Jack and Stacey DiPiazza Irving L. Gilman Family Charitable Foundation Ms. Eileen A. Griffin Mr. and Mrs. William H. Habicht Donald and Jean Henry Fund at the Connecticut Community Foundation Mr. Frederick P. Lauria Mrs. Concetta P. Melo The Honorable Sheridan L. Moore Pfizer Foundation Volunteer Program Ms. Mindy J. Rosenberg Ms. Ellen D. Rothberg

Ms. Barbara Rubin Mr. Nat A. Sestero Sorenson-Pearson Family Foundation Mr. and Mrs. John S. Stout The Willsey Family Zachs Family Foundation, Inc. St. John's Dispensary ($500.00 + ) Anonymous (3) Mr. Thomas Aitken and Dr. Susan Stone Dr. and Mrs. Peter R. Barnett Mr. and Mrs. Christopher J. Berman Mr. and Mrs. Edward H. Budd Connecticut Asthma & Allergy Ctr, LLC Dr. and Mrs. William D. Conrad, Jr. Mr. Peter Cushing Ms. Marlene P. Denney Mr. George A. Doherty Mr. Richard D. Dube Mr. Chris Evensen Ms. Marguerite M. Gildea John and Kristina Giliberto Mr. and Mrs. Steven S. Goldenberg Mary Ellen and Pierre Guertin Ruth-Ann and John J. Hussey Aaron and Nora Kinne Mr. and Mrs. James M. Mann Mountain Laurel Senior Living Community Mr. Robert Nastri, Jr. Ms. Joanne F. Neidlinger Mr. and Mrs. John F. O'Connell, Jr. Mr. and Mrs. Ross Palmes Ms. Kathleen Peirce Ms. Dina L. Plapler and Mr. Earl F. McMahon Stanley and Martha Livingston Fund at the Rhode Island Foundation Ms. Jean M. Sennett Fund Ms. Patricia Snyder

AnnuaL Campaign (the 1901 Society continued) Mr. Chuck Vallurupalli Ms. Elizabeth S. Van Gemeren Mr. Ronald Williams Mr. and Mrs. Thomas A. Willsey The Founders Society ($250.00 + ) Anthem Blue Cross & Blue Shield Mr. and Mrs. Daniel A. Antion Mrs. Jane Arute Mr. Charles K. Barton Ms. Sharon M. Beaulieu Berlin High School Enterprise Fund Bertrand P. Bisson, M.D. Mrs. Jennifer Cancellaro Mrs. Catherine J. Capuano Cars4Charities Charles F. Monzeglio, Sr. Trust Mr. and Mrs. Wayne W. Chopus Mrs. Theresa B. Cicchetti Mr. David L. Coffin Community Club of South Glastonbury Dr. and Mrs. H. David Crombie Mrs. Lois A. Crovo Ms. C. Nancy Culos Mr. and Mrs. Edwin M. Dahill, Jr. Dr. and Mrs. Cleveland R. Denton Mr. and Mrs. Francis A. DeRobertis Mrs. Sandra W. Douglas Ms. Lorraine Duquette Mr. Avery Gaddis Ms. Janet M. Gallugi Mr. Paul Gannon Dr. Jennifer E. Granata Greater Hartford Community Foundation, Inc Ms. Dorothy Green Mrs. Janet A. Griffin Mr. and Mrs. Charles J. Halpin Mr. and Mrs. Richard A. Heimgartner Mrs. Beverly S. Heminway Mrs. Cortlandt Heyniger Mr. and Mrs. David I. Hoff Mr. and Ms. R. Stuart H. Holden, Sr. Mrs. Judith A. Horan Mr. David L. Hutchinson Ms. Kathleen G. Lavalley Mr. and Mrs. Roman A. Leskiw Mr. and Mrs. William E. Martin Mattatuck Industrial Scrap Metal, Inc.

Mr. and Mrs. Richard P. McHugh Fund Ms. Deene Morris Mrs. Wanda W. Newman Martin and Pamela Noreika Mr. and Mrs. William Nugent Mr. and Mrs. Paul A. Orrell Mrs. Nancy H. Roggeveen Bob Rosensweig Mr. and Mrs. Ronald R. Roth Mary and Joe Sargent Secor, Cassidy & McPartland, P.C. Mr. James W. Sharp Mr. and Mrs. Michael C. Slason, Sr. Ms. Virginia B. Smith Mr. Jeffrey B. Snyder Jeffrey Stein M.D. Ms. Jeannine F. Tancredi TelecomPioneers [Connecticut Chapter #9] Mr. and Mrs. John H. Tentoni Ms. Joyce Walter Ms. Bethanne Watts Reverend and Mrs. Arthur Weil Mrs. Warren G. Willsey, Jr. Mrs. Susan L. Winter Mr. Yuen-Chi Wu Mr. and Mrs. Paul Zanoni

Ms. Deborah E. Beach Mr. Robert E. Beaulieu Dr. and Mrs. Roger S. Beck Mrs. Holly Bessoni-Lutz Ms. Nancy R. Bestor Mr. and Mrs. John M. Biancamano, Jr. The Honorable and Mrs. William C. Bieluch Mr. and Mrs. Angelo R. Bigatel BL Companies, Inc. Attorney Christine K. Blethen Bloomfield Electric Company Ms. Joan J. Blumenthal Mrs. Patricia G. Bourbeau Ms. Evelyn A. Bowen Mrs. Eleanor B. Brady Mrs. Anne P. Breglio Mr. and Mrs. Leo Bricuglio Mrs. Teresa A. Brine Mr. and Mrs. Harold C. Buckingham, Jr. Mrs. Charles A. Bucknam Mr. and Mrs. Kenneth G. Burr Drs. Mary & Catherine Burrell Ms. Elsie M. Butler Mr. and Mrs. Robert L. Calvin Mrs. Nan C. Carmon Ms. Donna F. Carter Ms. Sharon Casey Mr. and Mrs. John H. Cassidy, Jr. Mr. Robert J. Ceravollo Mr. Gardner L. Chapman Mr. and Mrs. Paul E. Charette Mr. and Mrs. Anthony J. Chesto Mrs. M. Jane Christensen Ms. Patricia A. Christiana Ms. Marie Christofano Mr. and Mrs. Michael D. Cimini Civitan Club of Wethersfield Mrs. Elizabeth M. Clark Ms. Barbara L. Clarke Mr. Jonathan E. Clune and Ms. Sarah Potter Clune Dr. and Mrs. Richard J. Cobb Mr. and Mrs. Clinton C. Coddington Mr. and Mrs. Thomas E. Colasanto Mr. and Mrs. Harry Congdon Connecticut Underwriters, Inc. Mr. Stephen W. Connelly and Ms. Patricia Cronin Ms. Kathleen Connolly Mr. Mark D. Conrad Ms. Veronica A. Conroy

Leadership. The 1901 Society ($100.00 + )

Anonymous Abrams & Company Publishers Acme Packet, Inc Mr. Kenneth Adams, D.O. Mrs. Helen E. Adamski Mr. Joseph J. Adler Ms. Mary P. Aiello Mr. and Mrs. Augustino Aiello Ms. Arlene Albert Mrs. Jacqueline T. Allen Mr. Frederick C. Anderson Apex Lighting Solutions, LLC Mrs. Justine Upson Arnold Mrs. Ruth V. Atwell Baldelli & Company, CPA's Mr. and Mrs. Merritt Baldwin Mrs. William L. Barroll Bart LoRusso & Sons, Inc Mr. and Mrs. Harry O. Bartlett Ms. Grace Bartram

AnnuaL Campaign (the 1901 Society continued) Mr. Wayne Cook Mr. Stephen Corcoran Mr. John A. Cordone Dr. Robert W. Cornell Mr. Michael R. Cortigiano Mr. John C. Cosgrove Mrs. J. Noyes Crary Mr. and Mrs. John F. Cremins Mr. and Mrs. Eugene P. Cronin Mrs. Patricia L. Cutrali Mr. and Mrs. Joseph J. D'Agostino Edward and Jean Dalton Ms. Pamela T. D'Amico Ms. Elyse B. Darefsky Mr. and Mrs. James H. Davis William and Doris Davis Del Conte, Hyde, Annello & Schuch, P.C. Ms. Teresa M. Desopo Mr. Maurice Devin Mrs. Rose Dews Mrs. Alice F. Dibble Mr. John D. DiLaurenzio Dongan Electric Mfg., Co. Mr. and Mrs. William H. Dowd Jr. Ms. Gloria Drakes-Brathwaite Mr. and Mrs. Joseph Dresnok Mr. and Mrs. Richard Driscoll Mr. and Mrs. John R. Dufour Jr. Ms. Barbara J. Duigan Mrs. Dorothy L. Dunn Mr. and Mrs. Robert G. Dwyer Mr. and Mrs. Rob Eckert

Mr. and Mrs. Joseph H. Edelson Mr. and Mrs. Robert B. Edwards Dr. Ellen Eisenberg Brad, Eileen and Roz Elliott Mr. John Elliott Mr. and Mrs. William L. Ellison Mr. and Mrs. James E. Elsner, Sr. Mr. and Mrs. James F. English, Jr. Mr. and Mrs. Frank E. Estey Mr. David W. Ewick The Fechtor Family Foundation, Inc. First Congregational Church of Waterbury Ms. Helen S. Fitzgerald Mr. and Mrs. Sean M. Fitzpatrick Mr. Laurence P. Fleming Mr. and Mrs. John D. Fletcher Mr. Robert Fochi Ms. Margaret D. Foley Ms. Mary R. Foran Drs. Ludwig and Hallie Frank Frankies Enterprises, Inc. Mr. and Mrs. Michael L. Freedman Ms. Nancyann A. French Mr. Michael Fresher Ms. Lillian B. Frew Mrs. Eleanor S. Frye Mrs. Harriet T. Fuller Ms. Theodora Gagnon Mr. and Mrs. Peter H. Galullo Mr. Robert M. Garneau Ms. Phyllis M. Gelles George Weston Bakery

Ms. Paula Gilberto Glastonbury Democratic Town Committee Mr. and Mrs. Robert E. Gonyea Goodale-Ramaker Post No. 56, Inc. Ms. Janet L. Goodhue Mrs. Catherine I. Gorczyca Granby Chamber of Commerce Ms. Sophie M. Graus Ms. Tara Green Mr. and Mrs. James Greenfield Ms. Jacqueline Griffin Mr. and Mrs. Raymond B. Griffiths Mr. and Mrs. John G. Gubitosi Mrs. Helen Gworek Thomas J. Gworek, D.M.D. Mr. Matthew Hamer and Ms. Gaylien Chun Linda O. Hamid Mr. John R. Hansen Mr. and Mrs. Shawn C. Hanson Mr. and Mrs. Elwyn V. Harp Mr. and Mrs. Richard H. Harrington Mr. and Mrs. Richard E. Harrison Mr. Joseph F. Hart Ms. Judith M. Healey Ms. Joan I. Height Mr. and Mrs. Dudley Henderson Dr. and Mrs. David H. Hild Mr. T. John Hill, Jr. John and Marcia Hincks Mrs. Ann C. Hodges Hometown Appraisers Ms. Jane C. Hopkins

Innovation.

How Your Charitable Gifts Suppor t VNA HealthCare

7.7% 13.3% .4% 78.6%

Hospice Care: 7.7% These donations provide compassionate medical and palliative expertise along with emotional and spiritual care for both patients and their loved ones. Meals on Wheels: 13.3% With the goal of ensuring health and independence, these dollars are directed to supplying prepared meals to individuals who lack funding or resources for this service. Nurturing Families: 0.4% Financial contributions support a landmark home visiting program that helps first-time parents meet the challenges of parenthood, create a safe environment for their child and learn positive parenting skills. Subsidized Patient Care and Specialty Nursing Services: 78.6% Donations provide basic patient needs through care to individuals who lack the financial resources or adequate insurance to cover the full scope of care needed to meet their health care needs. These funds also enable us to support clinical expertise and specialty nursing services such as wound care, diabetic care, pulmonary and cardiac care as well as the implementation of in-home telemonitors to support such care.

Mrs. Kenneth W. Horton Ms. Jerilynn Howley Mr. and Mrs. Craig Hubble Mrs. Virginia W. Hughes Mr. and Mrs. Kimball H. Hunt IMCORP Instrument Manufacturing Company Mr. James Ingraham and Family Ms. Angeline Ioannou It's Tax Time LTD Ms. Carol T. Jalbert JAM Recycling Mrs. Anne M. Jednorowicz Mr. John H. Jesser Mr. and Mrs. Christopher R. Johnson Dr. and Mrs. Donald W. Johnson Mrs. Curtiss S. Johnson, Jr. Mr. and Mrs. Robert P. Jones Dr. Patricia Joyce Ms. Mary Julian Ms. Rebecca Kaminsky Mr. Scott M. Karsten Mr. Mark C. Kavitsky Mr. Douglas E. Kehl Mr. and Mrs. Frank Kenna Mr. and Mrs. Robert T. Kenney Kenworth Tri-State Diesel, Inc Mr. and Mrs. Richard M. King Ms. Colleen A. Kissane Mr. and Mrs. John B. Kleiman Ms. Hilary K. Kline Mr. William Kovel Mrs. Julia Krawiec Ms. Helen B. Krzyczynski Mr. Ira Kushner Mr. and Mrs. David N. LaBau Ms. Sheila Laing Mrs. Ann Largay Mr. and Mrs. Lance A. Larsen Mr. Daniel C. Larson Dr. William S. Lavine Mrs. Gertrude C. Lavoie Mr. and Mrs. Joseph M. LaVoie Law Offices of Leonard M. Crone Mr. A. Gordon Lawrence Mrs. Roseanne LeBlanc Mr. and Mrs. Richard A. Leggett Ms. Ann Z. Leventhal Mr. and Mrs. Salvatore Locario Mr. Kenneth Lynch Mr. William T. Lynch

Mr. and Mrs. Mark Macary Mr. and Mrs. Joseph A. Malick Jr. Mr. and Mrs. Brian R. Mandeville Ms. Denise Marcella Amy Majewski Bruce Marshall, M.D. Mr. and Mrs. Michael A. Mastromonaco Roger Matzen Mr. Vernon L. Maxwell Ms. Diane M. Mazur Mr. and Mrs. William S. McCaffrey Mr. and Mrs. John L. McDonough Mr. and Mrs. John McGuire Mrs. Francis J. McGurkin Ms. Laura L. McIntyre Mrs. Kathleen E. McLaughlin Mr. Robert H. McMillen Mr. J. Bard McNulty John and Pamela Meehan Ms. Claudia E. Melo Mrs. Ruth M. Merrill Mr. Harry W. Messemer Mr. and Mrs. Harry E. Meyer Michael Considine, Attorney At Law Mr. and Mrs. Anthony P. Mientek Ms. Ana M. Miguel Mr. Donald F. Mills Mr. Dylan Mitchel & Family Monaco Ford Ms. Judith A. Morris Ms. Barbara D. Morton Mr. John R. Muckstadt Mr. W. Howie Muir NAVA Ski Club Ms. Beverly Naylor Ms. Julianne W. Neaverson Mr. Tenison W. Newsom, Jr. Mr. and Mrs. Edward C. Nollman, Jr. Mr. William J. Noonan Mr. and Mrs. Howard Oakes Ms. Melissa O'Keefe Old Guard Inc. Madeleine Olson, R.N. The Honorable John W. Olver Mary V. Owens Mr. Ronald E. Packer Pals Power Washing, LLC Mr. and Mrs. Carmine Paolino Ms. Rose C. Parenti Dr. Alexander S. Peck, Jr.

Pediatric Associates, LLC Mr. and Mrs. Alexander Pelissari Mr. and Mrs. Ronnie C. Peoples Mrs. Rosemarie B. Perrotti Ms. Helen Marie Phelan Mr. William J. Pilkington Todd H. W. Pinter, M.D. Pistone/Rainsford, Inc. Ms. Kathleen D. Plourde Ms. Lori Polito Ms. Iris Pollock- Prudhomme Ms. Sylvia G. Ponitoski Ms. Martha L. Porteus Mr. Jonathan E. Clune and Ms. Sarah Potter Mrs. Betty J. Prelle Ms. Paige L. Price and Mr. Nevin Steinberg Ms. Jane E. Pronovost Propkop, P.A. Mr. William C. Prouty Mrs. Arney A. Pulford Ms. Margaret J. Quigley Mr. Martin S. Quigley Mr. Joseph T. Raczkowski Radio Frequency Systems Mrs. Carole L. Ravenscroft Dr. and Mrs. David P. Reed Ms. Catharine Reid-Murphey Mr. and Mrs. R. William Reinsmith Ms. Jody Ressler-Tatro Rexel Electrical & Datacom Supplies Mr. and Mrs. Robert A. Ricci Mr. John A. Ringrose Mrs. Marion G. Rita Mrs. Maria M. Rodrigues Ms. Beth Rogozinski Mr. and Mrs. Francis J. Romano Mr. Robert E. Rosati Mr. and Mrs. David A. Rosenfield Mr. and Mrs. David Ross Mrs. Elizabeth K. Rossbaum Mr. and Mrs. Richard G. Rouse Mr. Edward H. Ruestow Mr. Daniel J. Ryan Mr. and Mrs. Charles A. Sabino Mrs. Joan F. Sales Mrs. Joy Savulak Mr. and Mrs. James F. Scaia Ms. Patricia C. Scalf Mr. Mark P. Schillinger Mr. Ralph C. Schunk

Quality.

AnnuaL Campaign (the 1901 Society continued) Mr. Richard Scott Dr. and Steven E. Selden Self Service Sales Corporation Mr. Mario Servidone Mr. and Mrs. Jonathan Seymour Mrs. Guy C. Shafer Mr. James C. Shafer Mr. and Mrs. Edward L. Shanley Mr. and Mrs. Robert M. Shepard Shipman & Goodwin, LLP Mr. and Mrs. William C. Shook Dr. and Mrs. Robert Siegel Mrs. Eileen Sinn and Family Ms. Katherine C. Skelley Ms. Maureen E. Slane Mr. and Mrs. Donald Slater Mrs. Margaret Slater Ms. Mary Holly Smith Mr. and Mrs. William H. Smyers, Jr. Ms. Rena Spice Ms. Patricia Srenaski Mr. Alfred F. Stanco Mr. and Mrs. Gerard P. Staves, Sr. Mr. and Mrs. Daniel Stetson Mr. and Mrs. Richard A. Stevens Mr. and Mrs. Peter F. Storms Mr. and Mrs. John Stover Ms. Jane Streltzoff

Mrs. Robert A. Stuart Ms. Ann G. Sullivan Ms. Rosemary Sullivan Mr. and Mrs. Joseph R. Summa Ms. Sharyn Sweeney The Flatbread Company, Inc. The Roberts Agency, Inc. Mr. and Mrs. DeRoy C. Thomas Ms. Margaret A. Thomas Ms. Kristin C. Thurston Mr. George F. Titterton, Jr. Mr. and Mrs. James Toce Ms. Maureen B. Tonarelli Towers Watson Travel Insured International, Inc Mr. and Mrs. Arthur L. Tucker Ms. Jayne Tyrrell Mr. and Mrs. George D. Uhl Mr. William A. Veronesi and Ms. Barb Walden The Reverend Joseph E. Vujs Mrs. Michelle A. Wallace Mrs. Elin Walpole Mr. and Mrs. John J. Walsh Mr. and Mrs. John W. Walton Mrs. Mary Wazer Ms. Marsha I. Webber Ms. Sheryl G. Weber David L. Weil, D.D.S.

Corporators Corporators of VNA HealthCare are a group of former Board members and friends of the Agency who remain connected to the institution because of its mission and commitment to providing state-of-the-art home healthcare for the community. These long time supporters of the institution know best how important the mission is to maintaining a viable community which cares for its members as they recover from health challenges or as they face end-of-life situations with dignity and courage. We honor these corporators who are knowledgeable and committed ambassadors for VNA HealthCare.

Ruth D. Abbott Christine Abrom Barbara H. Aiudi Arlene Albert Ruth P. Antonucci William P. Arnold Mary Lou Basdekian David Bradley Rita Casey Nancy W. Conner Leslie Coopersmith Cynthia J. Coppage Mary H. Crary George David Kenneth J. DeLisa Stephen Dominko Jose M. Eguia Hinda N. Fisher Venton B. Forbes Cynthia and David G. Gordon Claire Leader Goss Elaine and Richard N. Granata

Mrs. Judith K. Weingarden Mr. Eric M. Weisel Mrs. Maureen L. Welch Wellpoint Associate Giving Campaign Mr. and Mrs. Donald E. Wetmore Ms. Jennifer White Ms. Mary K. White Ms. Karin F. Whittemore Mr. and Mrs. Alan C. Wiedie Mr. Charles E. Wiesner, Jr. Ms. Loretta S. Wilcox Mr. and Mrs. Daniel B. Willey Mr. and Mrs. Robert L. Willsey Ms. Sheila L. Wilmer Mr. and Mrs. Raymond J. Wisniewski Ms. Tracy Wodatch Mr. and Mrs. Robert M. Wolcott Mr. and Mr. Thomas A. Woodcock Mr. and Mrs. Robert G. Woodward Mr. and Mrs. Peter R. Wortman Mr. and Mrs. Thomas W. Wraight Ms. Susan C. Wright Mr. Walter H. Zessin Mr. Friedrich Zingler Mr. Leo J. Zirolli Dr. and Mrs. Fred M. H. Ziter, Jr. Mr. William Zola Mrs. Shirley E. Zumwalt

Joan G. and William Haines Catherine C. Hamilton Kaye Harrington Jean V.S. Henry David H. Hild Robert T. Kenney Regina Duchin Kraus Harry Lamphier Alice Langley Jeffrey M. Laut Alex Lloyd Robert J. Loffredo Carolyn B. Macdonough Tracy A. Martinez James McCauley Pat McCurdy Lucas L. McEntire Paul H. Mikkelson Martin G. Morrissey Michael Mucciacciaro James Murdick David R. Newton Martin C. Noreika Karen Paulson

Anthony Price David P. Reed R. William Reinsmith Iphingenia M. Rigopulos Jane-Helen Ross Douglas Russell Alfred Schrader Marie M. Spivey John K. Springer Kent K. Stahl Harriet Tenney DeRoy C. Thomas James W. Tilney Betsey P. Todt Ann Traynor Peter C. Walbert Gregory C. Walsh John M. Washburn Iona S. Watterworth Harriet A. Wicke Pat Williams Ardell A. Wilson William P. Wittman Joel Zinn

Supporting Corporate and Foundation Support Benefactors ($10,000.00 + ) Hartford Foundation for Public Giving WalMart Foundation Patrons ($5,000.00 + ) Alice Morton Chase Fund at the Connecticut Community Foundation Fisher Foundation, Inc. The Leever Foundation at the Connecticut Community Foundation Samuel Roskin Trust at the Hartford Foundation for Public Giving President's Society ($2,500.00 + ) William and Alice Mortensen Foundation Charles N. Robinson Fund Swindells Charitable Foundation Webster Bank Guild of St. Barnabus Society ($1,000.00 + ) Simon Hollander Fund Moses Stern Memorial Fund at the Hartford Foundation for Public Giving NewAlliance Foundation St. John's Parish St. John's Dispensary ($500.00 + ) AT&T Employees Community Service Fund Aaron Hollander Fund Solomon and Katie Wohl Foundation

Innovative TechnoLogy VNA HealthCare has completed a major upgrade of its clinical application program to a state-of-the-art electronic medical record system with the support of a $350,000 grant from the Hartford Foundation for Public Giving, the community foundation for the 29-town Greater Hartford region. This gift, combined with significant capital investment on the part of VNA HealthCare, has enabled the Agency to implement a new Electronic Medical Record (EMR) system that supports high-quality patient care decision making, medication management, financial information and increased staff efficiency. The new realities of complex medical care and health care funding challenges have made EMR implementation a necessity. VNA HealthCare has also been able to complete the purchase of laptop computer “tablets,” with wireless capabilities, so that all field staff can input patient data while on patient visits. To make this possible, the Agency has used Allscripts computer software to create an EMR system customized to meet the needs of individual patients, medical professionals and funding sources throughout the continuum of care. To complete this EMR system, VNA HealthCare will install scanners and related software. This technology enhancement will enable staff to scan hard copies of the necessary documents and images into patient files in the EMR system. The Agency is a pioneer in the full adoption of this EMR technology. At a recent New England-wide Allscripts meeting, VNA HealthCare was the only home health care agency to use this EMR system as intended in a fully paperless mode. Already the new technology has enabled the Agency to document high quality outcomes that demonstrate how home health care can enhance patient care and reduce re-hospitalization rates.

“ We are pleased to support VNA HealthCare’s commitment to provide excellent service by introducing the use of innovative, electronic medical record technology,” said Linda J. Kelly, president of the Hartford Foundation for Public Giving. “The Hartford Foundation is committed to helping nonprofit organizations increase their use of technology to better serve residents of Greater Hartford.“ Commenting on the impact of this technology grant, Ellen Rothberg, VNA HealthCare President, said, “We are fortunate to have the support of the Hartford Foundation for Public Giving in an endeavor that is a critical factor in our ability to meet the needs of our patients. High quality patient care management is only possible through the innovations inherent in new electronic medical record technologies.”

Community Benefit Report VNA HealthCare is one of Connecticut’s largest providers of comprehensive home health care, hospice and communitybased health and wellness services. VNA HealthCare is dedicated to its founding mission to improve the health and wellbeing of individuals throughout the community, from the neighbor next door to the family across town. The agency was founded in 1901 in Hartford and over time merged with other local VNAs to become one of the largest VNAs in the state, serving over 60 communities in the Greater Hartford, Central Connecticut and Greater Waterbury regions. The scope of services has broadened through a partnership with the Hartford Healthcare system to create a continuum of care between hospital and home that is essential to community health.

18% 2%

Health Professions Education $67,330

57%

23%

Total

The breadth of the benefits to the community provided by the Agency has a critical impact on the health of community both now and in the future, as the baby boomer population ages. The care provided will become even more important to affordable health care as demands for health care proliferate.

What is community benefit? Community benefit activities are specific programs and services that address a community health need in such a way as to improve residents’ access to health care services, enhance the health of the community, advance medical or health knowledge or relieve/reduce the burden on government or community groups. Categories are defined based on IRS recommendations.

Subsidized Health Services $712,666 Financial and In-Kind Contributions $1,738,216

Challenges in an Era of Health Care Reform:

In an era of health care reform and home health care reimbursement challenges, VNA HealthCare and other nonprofit home care providers are vital to a well-balanced health care continuum because they provide health care and patient education at considerably lower costs than hospitals and skilled nursing facilities.

Community Health Improvement Services: clinics and support groups $543,865

United Way of the Capital Area

$3,062,077

United Way

VNA HealthCare is most fortunate to receive significant community investment support for patient care services from the United Way of Central and Northeastern CT, the United Way of Greater Waterbury and the United Way of Meriden and Wallingford. 10,961 2,183 1,497 706 667 357 247 132 79 71 14 7

Home-Delivered Meals Homemaker Hours Personal Care Attendant Hours Nursing Visits Emergency Response System Rentals Flu Shots Medical Social Worker Visits Physical Therapy Visits Nutrition Visits Home Care Aide Visits Occupational Therapy Visits Speech Therapy Visits

MemoriaL Gifts VNA HealthCare is most grateful to the families and individuals who have chosen the Agency as a memorial beneficiary and/or who have made charitable contributions in memory of the following individuals: Mary Aceto Mariastella Aiello Antonio D. Aires Dorothy C. Aitken Frances M. Aloise Irene Alpin William Andriulaitis Louis Antos Muriel F. Arndt Eugene E. Arnold Ernest Bacco Marjorie Barneschi Clare Barton Margaret Beach Barbara L. Bell Richard Benham Dorothy Bielik Eleanor T. Bona Antoinette Borsari Annie Boucher Fred Bouffard Walter Bowyer Colette Breault Arline Brennan Warren E. Bristol Rosemarie D. Brunetti Margaret B. Buck Pierino Calabrese Frances Callahan Salvatore Cancelliere Ethel C. Caridi Carl A. Carpenter Francis M. Carroll Monica Carroll Elizabeth V. Cassidy Julia F. Celello Antonio Centofanti Nada Ceravollo Hyman Charniak Ernestine Chepul Ann C. Chiarizio Willis A. Cobb Helen Cocchiola Joseph Colella Louise M. Colella Earle E. Coleman Richard Cornelio Arlene Crawford Carmela P. Crean John F. Crean Ellen Creem Garrity Joan A. Cronin Evelyn Crosier Pearl Cudo Vera Cultrera Barbara Cushing Peter Cushing Josephine A. Daddona June C. Darby

Jack Davis John A. Davis Irma C. DeFranzo Thomas P. Delaney Helen M. DeLeon Ethel L. DeLisa Robert F. Devine David DiPrimio Pasquale R. DiSapio Yvonne Doherty Rosemary T. Donnelly Judith Donovan Antonio Dos Santos Aires Shirley M. Driscoll Joan B. Dube Pierre El Zenny Ann Elliott Sharon Eversen Richard T. Famiglietti Anthony J. Fantano Anthony J. Farina Mary Farley Norma Firtel Maura J. Fissel Rose R. Fitzpatrick Elizabeth C. Foran Marie Foster Richard A. Foxall Lena L. Franco Annie Freeman Julius Galin Sandra Gamzon Dale Gangloff Christie Garlasco Ellen J. Garrity John T. Garthwaite Christie Gaslasco Eleanor Gazza Mary Georgeady Joseph Giesen Maida Gillette Michael Giordano Robert Giordano Carolyn P. Gladney Dennis Granata Lucille M. Graziano Eileen A. Griffin John J. Griffin Therese Griffin Leonard Grupe Alberta L. Guardiani Edward F. Gworek Irene A. Halpin Madeleine L. Hamelin Elinor D. Hansen Donna Hart Mark Healey Cassidy Marie Heczko Florence P. Henderson

Richard Herman Arthur Hinkson Eleanor Hoare Kenneth E. Houghtaling Bessie Kaminsky Stanley C. Kashmann Kenneth S. Kerns Olive Z. Kiely Theresa C. Killian Donald C. Kirk Karen B. Knight Rose Ann Koreman Ellen "Lyn" Kovel Julius R. Kristan Shirley T. Lagasse Susan H. Larson Sadie Lazer Rose Lengyel Alzira Lenti Eugene Leonard Alexander Lepak Ralph Luciano Evelyn Maddaluno Manuella Magnanimo Therese Marquis George P. Mason Thomas G. McGuire Michael P. McHugh Margaret McKeever Thomas E. McLaughlin Joseph N. Melo Edward W. Miller Joseph Minervini Mary Moffo Madeline Moriarty William Morrissey Robert C. Mulcahy Antoinette M. Mynahan Ingrid Nelson William J. Nolan Geraldine Nugent Irene H. Palozie Robert A. Perlini Dominic D. Perrotti Dominic Perrotti Nathan Pierpont Rose M. Pinto Mary K. Pivarczyk Jay Podorowsky Joseph A. Prokop Norman Prouty James Pryce Rita Raiczyk Laura Rapport John P. Reed Luis M. Rodriguez Mitchel Rothberg Thelma Rothberg Stephen F. Ruff

Margaret Russotto James A. Salvatore William Sanders Caroline T. Santoro Stanley Sapula Allene M. Scaglia Selma Sciarra Nicholas J. Sciarretta Nocholas Sciarretta Katherine S. Scoville Mary Ann Z. Silvestri Joan Sirtowt Marcella Slason George F. Slater Elizabeth F. Smith Marion Smith Mario A. Sparano Florence D. Spinella Carol Ann Streeter Joan S. Stuer Raymond O. Sugden John J. Sullivan Olive Sullivan Timothy G. Sullivan Jeannine F. Tancredi Shirley A. Tapley Joyce M. Tedeschi Joan B. Tedone Richard J. Templeton Alice Tencza Erva Therrien Leo Thibodeau Lois Thut Mario Tonarelli Salvatore Trigilia Albert Urban Peter J. Uzell Peter D. Vallario Bernard Veits Ruth Vendetti Athena Veturi Ida Vitale Eugene S. Voyer Michael Walter John Wazer Gershon Weil Earl Welton, Jr. Donald W. West Lewis R. Whitehead William H. Wilson Jessie Wojcieszek Carolyn Woodbury Thomas W. Wraight Mary M. Yonika Alacoque C. Zukas C. Bruce Zumwalt

Preserving Dignity 55-year-old Alex*, a highly respected and articulate educator, was diagnosed with an aggressive form of cancer. Deemed terminal by his doctor, Alex wished to spend his final days at home with his family. Private insurance covered the cost of his hospice care, but refused to pay for a home care aide to provide the personal care he could no longer perform himself. The insurance company justified their ruling, claiming that Alex’s family was large enough to sufficiently care for him on their own. But Alex did not want to subject his children, all young adults, to bathing him and tending to his other personal care needs. He wanted to die with dignity, he said, and didn’t want his condition to alter his relationship with his children in his final days.

”I want my children to still be children...” Using charitable funds, VNA HealthCare was able to send a home health aide to Alex’s house daily to provide the personal care he urgently needed and assistance with housekeeping. With a support system in place, Alex and his family were free to focus on the most important thing: spending quality time together. * name changed

John N. Lewis

Legacy Society

GratefuL Patients Program The Grateful Patients Program is a wonderful opportunity for patients and their loved ones to recognize their VNA HealthCare caregivers when making a charitable donation to the Agency. Listed below are the names of staff members honored this year. Rose Ahmed, HCA Beka Apostolidis, RN Angela Bentley, LPN Mary Jane Bernabe, RN Patricia Bousaada, RN Amy Brown, RN Debrorah Carson-Canino, LPN Margaret Clyma, RN Stephanie Creary, HCA Marla Curly, RN Ada Davis, HCA Bridget Dinklocker, RN Donna Duffy, RN Cindy Faccio, RN JoAnn Ferrari, LPN Theodora Gagnon, RN Linda Gilchrist, HCA Diane GoPaul, LPN Alicia Jabs, RN Debra Konopacki, RN Jacki LeVasseur, RN

Vicki Longo, RN Amy Majewski, RN Michelle Malkaukas, RN Denise Marcella, RN Dawn McDonald, HCA Kathleen McGuinness, RN Catherine Melillo, RN Rochelle Miller, RN Ella Moritis, RN Karen Mueller, RN Sharon Pelon, HCA Carole Ravencroft, HCA Patricia Reed, RN Shirley Riley, HCA Josh Russman, RN Carole Sheridan, RN Elaine Spazano, LPN Clara Suarez, HCA Amy Swank, RN Sharon Sweeney, RN Sheryl Weber, RN

The John N. Lewis Society honors individuals who have included VNA HealthCare in their estate plans. In 1903, Reverend John N. Lewis founded the Waterbury Visiting Nurse Association in response to an urgent need for community health services. More than a century later, his mission and vision are supported through the foresight of generous individuals. We are deeply grateful to the following individuals:

Dianne P. and Peter M. Antos Marjorie E. Armstrong Odd Sigmund Aune Florence C. Austin Eleanor N. Ave-Lallemant Frederick Benedikt Doris M. Bessette Edwin H. Bingham Esther Blumenthal Lewis Blumenthal Arlene T. Brown James M. Bunce Elizabeth M. Burt Gertrude L. Charter Flora M. Crary Rocco V. D'Esopo Russell E. Davis Leon K. and Dorothy B.W. Davis Morton H. Dawson A.B. Dayton Emily B. Downs Rose L. Driscoll Theodate M. Ericson Lillian S. Fisher Ruth Fisher Abraham M. Frank Mr. and Mrs. Richard J. Gates Charles L. Goodwin Mary K. Haugh M. Eleanor Honan Olivette Husted Stella Jackson Margaret Gretchen Kahn Lucy T. Kellogg

Martha H. Kenney Alice D. Kimmens Harriet Kirk Elizabeth Kirk Mildred Klewicki Anne M. Koch The Fannie Lublin Trust Christine R. Maher Henry Margolis John A. Martocci Marie H. McCabe James McCauley Alice B. McMahon Mitchell Mitrowski Bernardine Morris Viktoria D. Muller Melita S. Nason Walter H. North David W. Oldman Sarah N. Pardee Carrie E. Powell Myra S. Robottom Ellen D. Rothberg Mary I.B. Russell William C. Russell Frances O. Scontrino Norma Sestero William J. Siemionko W. Easton Smith Helen M.S. Tobin Edward Traurig Mary Pomeroy Wheeler Charles G. Woodward

My View

By Nancy G. Dean, Board Chair, VNA HealthCare

When any one of us encounters a need for nursing and home care for a family member or close friends, it becomes a tremendously lonely period in one’s life. We all need to have some place to turn to help us navigate through those difficult times. And sooner or later, we will all face those decisions, and we need to know which institutions have both compassion and state-of-the-art care. Fortunately, there are institutions like VNA HealthCare that have the passion and expertise

to help us get through those hard times. That is why I have chosen to financially support VNA HealthCare and to volunteer as a board member. As we face the challenges of health care reform and rightsizing reimbursements and system partnerships, I can think of no better institution to support than VNA HealthCare. Here for us now and here for us tomorrow when the need arises.

Ways to Support VNA HealthCare Cash, Check or Credit Card

Planned Giving

Gifts in Kind

Many gifts are cash contributions that are made by check or credit card. These gifts are tax deductible as allowed by law and provide VNA HealthCare with immediate funding for ongoing operations.

Gifts made through estate planning provide for the future growth of the institution. The John N. Lewis Society honors those who have made provisions for VNA HealthCare in their estate plans.

VNA HealthCare welcomes gifts in kind including donations of goods and services that meet the programmatic needs of VNA HealthCare.

Securities and Property

To make a bequest gift to VNA HealthCare, please use the following wording:

Gifts of stock, other securities or property benefit the institution and provide the donor with a tax deduction for the fair market value of the gift when it is made. Additionally, in most cases, the donor does not have to pay capital gains tax on the appreciated value of the stock or property.

“I give, devise and bequeath to VNA HealthCare, Inc. the sum of _____________ (or otherwise describe the gift or specify a percentage of the estate).”

Special and Restricted Gifts VNA HealthCare has a number of funds that have been established by donors for special purposes such as programs or client/patient needs.

Online Giving is available at www.vnahealthcare.org

Matching Gifts Many companies provide their employees with the benefit of increasing their gifts to certain organizations by matching those gifts either dollar for dollar or by a percentage. Please check with your employer about their matching gift program.

For further information about making a gift, please contact the Development Department at

860-493-7133

Core Services

Independent Living Services

• Nursing • Specialty Nurses - Cardiac - Diabetes - Wound • Hospice and Palliative Care • Occupational, Physical, Respiratory & Speech Therapy

• Home Health Telemonitoring • Meals on Wheels • Lifeline Emergency Response • Geriatric Care Management • Home Health Aides • Live-Ins • Homemakers • Personal Care Attendants • Local Wellness Clinics & Flu Immunizations • Senior Assistant Services

For referrals call: 1-800-HOMECARE

For referrals call: (860) 246-1919 or (203) 267-3000

A Member of Hartford Healthcare Corporation. A Caring Partner with Saint Mary’s Hospital.

1781 Highland Avenue Cheshire, CT 06410 203-250-6793 203-250-6798 fax

493 Heritage Road, Suite 2C Southbury, CT 06488 203-267-3000 203-267-3001 fax

113 Elm Street Enfield, CT 06082 1-800-466-3227

50 Brookside Road Waterbury, CT 06708 203-573-1231 203-573-9897 fax

969 Hebron Avenue Glastonbury, CT 06033 860-633-3521 860-633-5981 fax 103 Woodland Street Hartford, CT 06105 860-249-4862 860-246-8734 fax

50 Church Street Windsor Locks, CT 06096 860-623-2689 860-623-2795 fax www.vnahealthcare.org