Casey House Annual Report 2007-2008 EVERY PERSON WHO DIES AT CASEY HOUSE IS REMEMBERED WITH LOVE, REGARDLESS OF HIS OR HER SOCIAL OR FAMILY CIRCUMSTANCES. THE MEMORIAL QUILTS DISPLAYED THROUGHOUT CASEY HOUSE RECORD EVERY LIFE LOST, THOUGH SOME NAMES MAY BE VEILED. THEY WILL NOT BE FORGOTTEN. 1988-2008

Mission

Casey House provides exemplary treatment, support and palliative care for people affected by HIV/AIDS, in collaboration with our communities. 1988 CASEY HOUSE IS FOUNDED AS THE FIRST FREE-STANDING HIV/AIDS HOSPICE IN CANADA, AND ONE OF THE FIRST IN THE WORLD.

Message from Jaime Watt

4 This is the third, and final time, I had the privilege of Directors an enormous debt of gratitude. Volunteer reporting to you on behalf of your Board of Directors. leaders all, they have–to a person–demonstrated In doing so, let me start by saying how enormously courage; appropriate, intellectual skepticism; proud I am of the House and the strong position and focused, principled leadership. They we are in. have given unstintingly of their time and considerable experience and Casey House Over the last few years, we have rebuilt the governance is the better for it. of our organization, aligning ourselves with best practices in the process. We have recruited and In closing, there are many to thank. Our installed a new senior management team with the CEO, Stephanie Karapita who quickly talent and resources to lead us forward. We have demonstrated an astonishing mastery of recruited and installed a new clinical team with the what Casey House is all about. Each and expertise to ensure we are at the forefront of caring every member of our staff for whom, I have for our clients. Our balance sheet is solid. All our often said, caring is both a calling and a commitments to our primary funders, the Ministry vocation. Those amazing volunteers who make of Health and Long Term Care and Central Casey House the special place that it is. And LHIN, are met. And, our Foundation raised more finally, our clients, who truly are the heart of Tcore revenue than ever before. We have worked our place and who give us more than we hard to ensure Casey House will be able to continue could ever hope to give them. to provide a new standard of care for those living with HIV/AIDS everyday.

And while rewarding, it has not been easy work. For that, I owe my colleagues on the Board of Jaime Watt, Chair, Board of Directors

CASEY HOUSE BOARD EX OFFICIO Jaime Watt Brenda Butters Mike R. McKeon Stephanie Karapita Dr. Ann Stewart Chair Chief Executive Officer Medical Director Dr. Abbas Ghavam-Rassoul E. Llana Nakonechny Sandra Cruickshanks SMH Representative Dr. Kevin Gough David Gilmer Tevya (Teddy) Rosenberg Vice-Chair Interim Medical Director Chief Development Officer Jason Grier Kenneth King Courtland Thomson Michael Griffiths Secretary Timothy Thompson Tish Belza Guy Knowles SMH Representative

Message from Stephanie Karapita

5 This 20th anniversary edition of the Annual Report outstanding leadership, his sage advice and his highlights the Casey House memorial quilts. Like passionate commitment to our cause. He is a man Casey House itself, the quilts are a labour of love. with an enormous heart and has given generously Over the years, a group of volunteers has spent time of his time. stitching together a quilt each year to pay tribute to those who have passed away and to allow the Casey Thank you to our highly skilled Board of Directors for House community an occasion for reflection. These the time they volunteer and for their leadership. quilts tell our story. We are very fortunate this year to put in place a As we mark the 20th anniversary of Casey House, the talented new senior team to deliver on our new lasting tribute to the founders is the love that still plans and give leadership to our programs and permeates the house today–all made possible by the service delivery. exceptional care provided through the years by our wonderful staff and volunteers. I feel very proud to Casey House remains the warm, welcoming place our be part of the Casey House team. founders meant it to be. I very much enjoy opportunities to show people through the house and tell the touching This year, our team has been focused on delivering stories behind the quilts, each adorned with hearts. Ton our newly approved strategic plan. Tremendous progress is being made with respect to planning for a Giving compassion a home, Casey House. day health program, developing a harm reduction policy and establishing a quality program. We remain committed to excellence in HIV/AIDS health care to meet the changing needs of people with HIV/AIDS.

At this year’s annual meeting Jaime Watt will step Stephanie Karapita, down as Chair of the Board of Directors. On behalf Chief Executive Officer of Casey House we want to thank him for his 6

CASEY HOUSE Reflection

It wasn’t supposed to be this way. Casey House was never meant to still be helping people live and die with HIV/AIDS 20 years later. But we find ourselves here just the same. Marking a bittersweet occasion with a sense of great accomplishment and pride in all that we have done. 7 Although sometimes expressed as a cliché, we are so incredibly lucky to truly stand on the shoulders of giants. To have benefited from what they have In some ways, we’re in the same place we were 20 taught us and for the opportunity to share in the years ago, looking at a future that remains uncertain. profound experience of helping people to die, as We are just beginning to imagine what the long-term well as the magnificence of helping people to live. needs of people with HIV/AIDS will be. How aging and the long-term impact of years of pharmacological From our courageous and visionary founders, to our regimes will affect our clients. staff and volunteers who give their labour and their Ihearts, to those who generously provide us with When Casey House was founded, we eased dying. necessary financial resources, to our leaders who Today, the vast majority of our work is helping people 1988-2008 ensure that Casey House continues to evolve, we are to live. With that change has come our vision for IN 1988, CASEY HOUSE PROVIDED all unified in working, every day, to provide a new our future. ONLY END OF LIFE, PALLIATIVE CARE. standard of care for people living with HIV/AIDS. IN TWO DECADES OF SERVICE, MORE Our work will continue in a way that is utterly faithful THAN 900 CASEY HOUSE CLIENTS And so, 20 years on, we pause, reflect and to the values of our founders, but adapted so as HAVE DIED. CURRENTLY, 85 PERCENT give thanks for the strong foundation on which to be appropriate for today’s cultural context, for OF OUR CLIENTS ARE DISCHARGED Casey House rests today. today’s clinical context, and for the needs of our HOME, TO THE COMMUNITY OR TO clients as our future unfolds. In that way, our past LONG-TERM CARE. truly is our prologue.

ANNUAL REPORT 2007-2008 If a bout of depression comes on, respite gives you a time out to reset and try to get back into gear so you can come back home and continue. That’s a lot of what I need it for, as well as all the medical conditions Being positive that come up that you can’t handle at home. Without Casey House, I’d be going through the hospital procedure, spending a week waiting in emergency.

At Casey House the staff are friendly, they’re I was diagnosed in 1986. I was working with heavy compassionate, you can be yourself. Whether metal machinery at a plant near the airport. My you’re gay, straight, bi, transgendered, whatever… “friend told me when he found out, then I went there’s no judging. 8 and got tested. They give you as much independence as you can I couldn’t come out at work. We’d organized a deal with. Like when I broke my leg, I could get a union and we’d just succeeded in getting our first volunteer to help me get to the coffee shop, or go contract. That’s when I found out. To have AIDS, on my own if I could manage it physically. And I did with the stigma associated with it–it was all over that many times, even in the middle of winter in my the news, things were really bad. So it forced my wheelchair. I was just determined. In a hospital, they hand. I had to send a resignation letter and walk would have stopped me. For the type of person I away from long-term disability benefits, because if am, I need to have that freedom, and yet still feel I revealed to them, it would be all over. It set me safe and secure and know that I’m working on off into a major depression. what I need to work on. My friend and I, we’ve been together for 24 years – Todd ” now. We’re there for each other. When things get Ireally bad, that’s when we draw on our other supports and Casey House is a big part of that–like my recent stay, coming off morphine and doing two weeks of respite, to give him time to rest.

1992 CASEY HOUSE LAUNCHED COMMUNITY PROGRAMS IN RESPONSE TO GROWING NEED FOR CARE.

CASEY HOUSE 9 INSPIRE

ANNUAL REPORT 2007-2008 10

REMEMBER

CASEY HOUSE 1998 CASEY HOUSE ENHANCES SUPPORTIVE HOME CARE PROGRAMS FOR PEOPLE LIVING WITH HIV/AIDS, THANKS IN PART TO THE SUCCESS OF ANTIRETROVIRAL DRUGS INTRODUCED IN 1995.

Giving compassion a home

11 Working at Casey House is a vocation for our interdisciplinary team who serve at the hospice and in our community programs. Our clients and their families and friends often tell us how the burden of coping with HIV/AIDS is lightened by knowing that when they ask for help at Casey House, the response terms with their grief. “That was really inspirational will be without judgment. They know that they will for me as a nurse,” recalls Nora, who was coping be cared for with excellence and compassion, and with her own teenage children and nursing shiftwork with a loving touch. at the time. “Not to be rushed out, to be encouraged to call any time day or night. They even found some Because of their deep commitment, a good number decent clothes for him. Those little things that mean of our staff choose to stay at Casey House for many so much to you as a family when you’re dealing with years. One such individual is Nora Anderson, an RN at something so awful.” A couple of years later, Nora Casey House for over eight years. Her history with joined Casey House and she continues to draw on Casey House goes back further, to when her brother her special insight in the work she does every day. Paul was cared for at the hospice. “Here were people who were really accepting of W who my brother was, and nobody looked at him Paul’s mental illness surfaced when he was young oddly for some of his more peculiar behaviours. and worsened as he grew older. He ended up on The environment here, the staff here, are just really the street, where he contracted HIV. By the time he loving and I knew I wanted to be a part of that.” came to Casey House he was in the advanced stages of AIDS. It had been years since he had allowed some of his family members near him. Casey House was where they were able to come together again as a family, to say their loving goodbyes and to come to

ANNUAL REPORT 2007-2008 2008 FIFTEEN PERCENT OF CASEY HOUSE CLIENTS ARE FEMALE. WOMEN ACCOUNT FOR 28 PERCENT OF ALL NEW ADULT POSITIVE HIV sleep here the night, it’ll be nice and warm cause TEST REPORTS IN TORONTO. we got sleeping bags.” Okay. Never slept in a sleeping bag before.

I grew up in Willowdale. Don’t know where my family is. It’s like they disappeared right off the A woman’s story face of the earth.

12 I been at Casey House eight weeks. I was here before. They said I died, I just went phoomph. But I rose up, and I died again, and I rose up. “This girl My family doctor told me. My hair was falling out won’t die!” “I told you! I will go when the good and my nails were all fungy. I was more or less 25. Lord says, ‘Carol, it’s time to go home.’” So. “I go straight home, tell Vern. I say, “Did you hear me? I have HIV!” By this time, I’m crying all over Here I paint, I do the art therapy. I do crochet. Wrap the place. He says, “We just gotta follow little health it around, bring it through... I’m making a blanket. procedures.” But meanwhile, he didn’t follow his I watch my home shows. I get morphine in the health procedures, he’s jumping in and out of beds… nighttime. I got pain, in my legs and underneath He seemed to take it well, until he went nuts on my feet, and my knees. I can’t sleep so they give me beer and pills. He’s in jail now, I put him there. So. a sleeping pill, too. It’s good, helps me to nod off.

He threw me out of the house at two in the morning. – Carol ” He hit me here and here. I had black eyes. And it was winter, too. Everyone in the house thought that was really bad of him. Disgusting. So I got a ripped torn dress, no shoes, snowstorm a mile thick, and I’m limping and crying all the way. And my native brothers and sisters were right on the Mcorner, saying, “My god!” They got shoes on my feet, and they said, “You get over there against the wall, Linda will sit there with you.” So she sits beside me, “You hungry?” If it wasn’t for them I would have been froze to death. They said, “We’ll

CASEY HOUSE 13

RECOGNIZE

ANNUAL REPORT 2007-2008 14

EDUCATE

CASEY HOUSE The graying of AIDS

People with HIV/AIDS are living longer than anyone imagined twenty years ago when Casey House first opened its doors. This “graying of AIDS” has led to a host of unanticipated complications, including Bernard wears two medals around his neck. One is opportunistic cancers, osteoporosis, diabetes and his zodiac sign, Cancer. The other is the 20-year cardiovascular disease. People aging with AIDS, badge of the Spearheads, the leather/denim social many of whom have kept their symptoms largely at club to which he belongs. Their leather-clad teddy bay for two decades, often now find themselves rests on his bed. His power of attorney, a friend seriously debilitated by their symptoms, frequently from the Spears, has been helping Bernard with the retreating into significant social isolation and sale of his home and the difficult choice of a long- 15 depression. Currently 43 percent of Casey House term care facility. Bernard can’t imagine moving clients are over 50 years of age. to such a place. “There’s no place else for me,” he says. “I think I’d snap in an old folks’ home.” Bernard is one of our clients teaching us about what Bernard says he needs Casey House now, to grow it means to age with HIV/AIDS. Now 70, Bernard stronger while he makes this impossible choice. has been positive for well over 20 years, and for most of those years successfully kept his symptoms Until there is a cure, more people like Bernard will in check thanks to careful treatment. Now, his age with HIV/AIDS and experience a range of diminished appetite limits this former executive complications–whether caused by the disease or chef to a diet of Ensure. He is too weak to stand, the experimental treatments–that are not yet fully with debilitating pain in his legs. “If I could walk, understood. Casey House staff, coordinated by Peverything would be different,” he says. “Maybe Education Development Coordinator Maureen I could go home to my house. But I don’t have a Mahan, have been providing education in long-term choice. I’m stuck here with these legs.” He’s given care settings, at community agencies such as The up on physio; it’s just too hard. He has lesions in his 519 Community Centre, and in partnership with 2008 mouth. His breathing is shallow, and he coughs research and health care facilities across the province FORTY-THREE PERCENT OF through the night. Hardest of all, his legs keep and internationally. Our experience at Casey House in CASEY HOUSE COMMUNITY aching, his nerve damage a common experience providing the best treatment for people with HIV/AIDS CLIENTS ARE OVER 50 of aging with AIDS. has given us significant insight into the disease. We YEARS OF AGE. share this expertise and are continually learning from our clients and community partners about the complex medical and psycho-social issues surrounding geriatric HIV/AIDS, preparing for what promises to be an inevitable spike in demand for long-term care for people with HIV/AIDS.

ANNUAL REPORT 2007-2008 Looking forward

It was with love that in 1988 June Callwood and a group of humanitarians began their quest to support young gay men who had contracted a new disease called AIDS (Acquired Immunodeficiency Syndrome). Little was known at the time about the disease, and even less about how to treat and care for people with AIDS. It was a time dominated by ignorance and fear when our society was not as accepting of gays and lesbians as it is today.

Our founders’ call for humanity was the touchstone of grace craved by many at the time. Their wise response was to ignore the ignorant, forging ahead to create a 16 home environment in which far too many young gay men would die, cared for with dignity and acceptance, and love. Learning as they went along, our founders created a brand new understanding of what a hospice can be, introducing a newly-created holistic approach to dying and changing the standard of care for people with a terminal illness. Casey House was at the vanguard of an international movement.

The times changed and so did the treatment of HIV/AIDS. Antiretroviral drugs introduced in 1995 gave many clients a chance to stave off the impact of the virus. For Casey House, it was a great triumph to discharge more of our residents home.

Twenty years ago, Casey House was a compassionate and innovative response to a health care crisis. Ten years ago, Casey House underwent a transformation in response to a fundamental shift in the crisis by introducing supportive care programs for people living with HIV/AIDS, while continuing to provide exceptional palliative care. Today, that tradition of compassion and innovation carries us into our future as we anticipate and respond to the next wave of challenges posed by this ever complex disease and all that surrounds it.

CASEY HOUSE Casey House continues to participate in research that deepens the collective body of knowledge about HIV/AIDS, and it is our goal that each learning will make a difference in the lives of people living with HIV/AIDS. When we opened our doors back in 1988, nobody involved with Casey House expected we would still be so needed in 2008. But today, the population of men and women we serve continues to grow in size, diversity and complexity. Clients born here and abroad bring with them many other urgent needs including mental illness, addictions and poverty. HIV/AIDS continues to hit hardest in the population of men who have sex with men, and 17 Casey House continues to draw on our deep roots in the LGBTT community for its vital and enduring support, for which we are deeply grateful.

In 2007, Casey House launched a new strategic plan, continuing our tradition of responding to the changing needs of the people we serve, through vision and innovation. Plans are progressing for a new day health program that will evolve our care for people living with HIV/AIDS. This will entail some very hard work in the years ahead, with the application of the sort of roll-up-your-sleeves commitment that was required of our founders.

The HIV/AIDS crisis has not abated. To this day, HIV/AIDS remains an indisputably cruel disease and it is on the rise, not in decline. Antiretrovirals are no cure, and hopes for a vaccine are persistently thwarted.

Casey House will continue to mobilize our resources and call upon our community for help. As the needs of the population we serve continue to grow in dimension and complexity, we will carefully persevere in building our future upon the bedrock values of our founders, in order to best serve all who require the exemplary health services we provide at Casey House.

ANNUAL REPORT 2007-2008 2012 ONE IN 128 PEOPLE LIVING IN THE TORONTO AREA ARE FORECAST TO BE HIV POSITIVE.

When Casey House started coming in to look after Michael at home, they saw that I needed support too and they took me on as a client. They’ve been so good to me, like I couldn’t even tell you.

Living with AIDS I’ve been at Casey House a lot. A few years ago I went in because my liver was getting really bad, I was 107 lbs and I had no appetite. When I came out after 18 three months I was getting stronger, but I didn’t have a place to live, and so they found me my apartment, Michael and I had a holy union in 1996. That evening and my nurse started coming here and now I’m on he ended up in ICU because his kidneys and adrenal new treatment for my liver. “glands failed. He hung on until 1999. He was 33 when he died. He really wasn’t used to having a I’m in a new relationship. I want him to get involved relationship because he was more on the streets with Casey House because he needs the support. He prostituting and doing drugs. I was really tough always thought, if you want to be a client at Casey with him. His parents saw that, they wrote in a House, you have to be dying. And I told him that’s letter that I was a rock in his life. not true. People think you go in there, you don’t come out. Maybe that was true before, but not now. Before, I used to be a male prostitute. I lived with this john, sort of a sugardaddy, and anything I – Rick ” wanted, I could have. I was the only one on the corner wearing a bunch of gold. 2008 I’d just tested HIV positive when I met Michael, so I TO DATE OVER 8,000 PEOPLE wasn’t feeling sick then. He was getting sicker and AND THEIR FAMILIES HAVE he needed my attention and I promised I would RECEIVED EXCEPTIONAL CARE, Mlook after him and respect his wishes and quit the TREATMENT AND SUPPORT drinking. That was in ’97, and I’ve kept my promise. THROUGH CASEY HOUSE.

CASEY HOUSE 19

IMAGINE

ANNUAL REPORT 2007-2008 20

CASEY HOUSE 2008 EVERY TWO HOURS, A CANADIAN IS INFECTED WITH HIV. Helping hands

Time is a precious commodity and yet volunteers at Casey House give thousands of hours each year, serving with their hearts and exceptional talents. 21 More than 100 Casey House volunteers provide vital present at the very first meetings at which the idea services and support to our clients at the hospice. of Casey House was formed. In 2007-2008 alone, the commitment of these front line volunteers added up to nearly 14,000 hours. Also remaining committed to Casey House since the These dedicated individuals serve in many ways, early days are our quilting volunteers, who each year from helping out in the kitchen to being a friendly create the stunning quilts that commemorate the face at the reception desk, assisting with recreation, people who have passed away within our walls. accompanying clients to appointments, visiting “The philosophy that guides us is that every person them and listening with open minds and hearts. who lives and dies at Casey House ought to be 2003 remembered,” says Nancy Ruth Davidson, who PEOPLE FROM COUNTRIES Another terrific group of highly talented volunteers began volunteering at Casey House 18 years ago. WHERE HIV IS ENDEMIC commit their time to support Casey House Foundation “The quilts record every loss with a full name or REPRESENT 13 PERCENT OF special events. Casey House community programs sometimes just initials. We’ve been asked to honour TORONTO’S HIV POSITIVE are funded through our Foundation, and its work the humanity of the people who have been lost at POPULATION, HAVINGT GROWN would not be possible without the support of over Casey House in a way that is more meaningful than BY APPROXIMATELY 86 PERCENT 200 Foundation volunteers, whose individual time just being counted in a list of statistics.” IN FIVE YEARS. commitment ranges from a few hours at a single event, to many hours each week. The work of our volunteers at Casey House truly enriches and honours all our clients, and is Casey House was founded by volunteers and to this fundamental to what makes Casey House the loving day we remain close to these roots. Some members place it remains today. We are all strengthened by of this year’s 20th Anniversary Committee were their dedication.

ANNUAL REPORT 2007-2008 1988-2007 DQ: ONE MILLION DOLLARS. 20 YEARS. 10 PRODUCTIONS. NO PLACE LIKE HOME.

DQ productions have been a significant source of Casey House funding since the very beginning, when the first DQ show raised $30,000 and helped prove to the Ministry of Health that the volunteers behind Casey House were backed by a deeply supportive community, with the ever-important capacity to fundraise. Over the following two decades, annual 22 DQ productions have cumulatively raised over $1 million, the largest amount of money raised by a single community group for Casey House. Bravo, magnificente! A million dollar gift All of the proceeds from events such as DQ, SnowBall and Art with Heart fund Casey House In 2007 the oh-so-sparkly DQ curtain came down community programs. To the many volunteers, for the last time, the grand finale to 20 years of sponsors and attendees of these events: Thank fabulous frocks and frivolities. An homage to the glitz you for your generous support. You’re helping and glam of the Vegas of yore, Diva Oz Vegas was to give compassion a home. mounted by an all-volunteer cast and production team who gave their time, talent and love–along with Presented By: many rolls of lamé and millions of sequins–under the keen direction of DQ chair Brian MacDonald, producer Marlene Smith and director and creator Graham Maxwell. Striking a nostalgic note, this final Production Sponsors: production was dedicated to the memory of June Callwood and the many other DQ angels who no longer grace our stage. At the final performance, Performance Sponsors: Casey House CEO Stephanie Karapita and June’s granddaughter Bree Fitzgerald took the stage to accept on behalf of Casey House a cheque for $110,000 raised by Diva Oz Vegas, the final production of DQ. I Dickson, MacGregor, Appell LLP CASEY HOUSE CELEBRATE

23 Art with Heart 2007

CASEY HOUSE 25

Presented By: Platinum Sponsors:

Silver Sponsors:

New Beverages from the Coca-Cola Company ANNUAL REPORT 2007-2008 Corporate, Foundation and Event Donors 2008 YOUNG PEOPLE BETWEEN THE AGES OF 15-29 ACCOUNT FOR 27 CORPORATIONS EMPLOYEE & $10,000 to $49,999 PERCENT OF ALL NEW POSITIVE COMMUNITY GROUPS Carolyn Sifton $25,000 + Foundation Inc. HIV TEST REPORTS IN TORONTO. RBC Financial Group $5,000 to $9,999 The Horace W. Goldsmith through RBC Foundation BMO Employees’ Foundation Scotiabank Charitable Foundation The Rotary Club of IBM Employees’ Charitable COMMUNITY EVENTS ARTISTS PATRONS’ CLUB Sunil Gupta Derek Sullivan Toronto Charitable Bradley Harms Michael Taglieri $10,000 to $24,999 Fund $10,000 to $24,999 Robin and Malcolm Anthony Foundation Drew Harris Tracey Tarling Abbot Laboratories Ltd. George Lam’s Holiday Dr. Paul and Mrs. Joyce Peter Hoffer Reece Terris Alliance Atlantis $1,000 to $4,999 Gift Grab Chapnick $5,000 to $9,999 Raffael Iglesias Christy Thompson Communications Corp. Amex Canada Inc. Ticot Social Society Inc. Ira Gluskin and Maxine Audrey S. Hellyer Charitable Joshua Jensen-Nagle Harold Town BMO Financial Group Bell Canada Employee Granovsky Gluskin Foundation Geneviève Jodouin David Trautrimas CIBC Giving Program $1,000 to $4,999 Charitable Foundation J.P. Bickell Foundation Davida Kidd Dr. Ian Varney Rogers Communications Inc. Canadian Press/Broadcast Daniel Kelly Jaime Watt, Navigator Ltd. James Raymond Cowling Christopher Kier George Vergette News Ltd. John Windisman’s Pride Al Pace and Kristin Morch Charitable Foundation Kris Knight Natalie Waldburger $5,000 to $9,999 Power Generation Celebration Robert and Donna Poile The Julie-Jiggs Foundation David Kramer Douglas Walker GlaxoSmithKline Employees’ Charity Trust Stonegrill on Winchester Inc. Rogers Communications Inc. Jason Kronenwald Robert Waters Foundation TD Bank Financial Group Heather Thomson $1,000 to $4,999 James Lahey Donna Weatherall Great-West Life, London $500 to $999 Grace Vidal-Ribas Aqueduct Foundation Angela Leach Margaux Williamson Life and Canada Life $500 to $999 Esther Myers’ Yoga Studio F. K. Morrow Foundation Micah Lexier Andrew Wright The Equitable Trust First Christian Reformed Ticot Social Society Inc./ ART WITH HEART Jackman Foundation Dennis Lin Company Church of Toronto Trillium Monarchist Society Millon Dollar Round ARTISTS IATSE Local 822 Crystal Liu Table Canadian Shelley Adler $1,000 to $4,999 Kiwanis Club of Riverdale EVENT SPONSORSHIP Marianne Lovink Charitable Foundation Cadillac Fairview Toronto Inc. Rene Pierre Allain Attila Richard Lukacs The A & A King Family BMO Financial Group Corporation Ltd. Kodak Employee Chest & Danielle April Peter MacCallum Foundation Cineplex Media Canadian Tire - Yonge and Trust Fund Barbara Astman Euan Macdonald The Ben & Hilda Katz Coca-Cola Canada Church London Life Employees’ Jack Bishop Virginia Mak Charitable Foundation Concord CityPlace Capital International Charity Trust Brian Boigon Maleonn The Borden Ladner Gervais Corby Distilleries Ltd. J.S. Cheng & Partners Inc. Manulife Financial Jesse Boles Robert Marchessault Foundation CTV Maple Leaf Foods Inc. North Peel Secondary Margaretha Boostsma Dyan Marie The Conn Smythe Dickson, MacGregor, 2008 Powell & Bonnell School Dianne Bos Kelly Mark Foundation Appell LLP HIV DIAGNOSIS AMONG THE Incorporated RBC Financial Group - Jordan Broadworth John McEwen The George Lunan FASHION Telus Communication Inc. Employees’ Charity Trust Edward Burtynsky Casey McGlynn POPULATION OF MEN WHO Foundation Home Depot Canada Franklin Templeton Rotary Club of Whitby Michael Caines Christian McLeod HAVE SEX WITH MEN HAS The Harold E. Ballard M.A.C AIDS Fund Investments Streetsville Secondary Darren Cerkownyk John Monteith Foundation Merck Frosst Canada Ltd. INCREASED BY 44 PERCENT The Boiler Inspection and School Amanda Clyne Steven Nederveen The Justin and Elisabeth Nicholas Pinney Design SINCE 2000, AND REPRESENT Insurance Company of Nicole Collins Lori Newdick Lang Foundation Scotiabank Canada FOUNDATIONS Miles Collyer Sandy Nicholson 69 PERCENT OF HIV POSITIVE The K.M. Hunter TD Waterhouse Scott Conarroe Sarah Nind UBS Global Asset PEOPLE IN TORONTO. $50,000+ Charitable Foundation Management (Canada) Douglas Coupland Nigel Nolan The Catherine and Maxwell The Manchee Foundation Winners Vale Inco Limited Chris Curreri Nick Ostoff Meighen Foundation The McLean Foundation 104.5 CHUM FM Cathy Daley Charles Pachter The Raptors Foundation Ken Danby Luke Painter The W. P. Scott Charitable Chadwick Kyle Erechook Tina Poplowski Foundation Brendan Flanagan Katherine Pretti Connie Gallotti Royal Art Lodge Chad Gerth Jaclyn Shoub Greg Girard Dionne Simpson Will Gorlitz Oleh Sirant Heather Graham Kevin Sonmor CASEY HOUSE Individual Donors

FRIENDS Laurie Clark Teresa Lee Dr. Melvin Tonken Frances Daunt Donald McKenzie FRIENDS INDEED: Patrick Counahan Charles Lewis John Tossell Gayle Duchene John McVicker Jr. PLANNED GIVING $25,000 + Purdy Crawford James Lindsay Daniel Turko Peter Duck David Medland Peter Buckley Peter Buckley Sandra Cruickshanks Gerald Lunz Gary van Haren Mark Eagles Jordan Merkur Rita Bush Tony D’Addario Gail and John Grace Vidal-Ribas Robert Elgie Peter Milligan $10,000 to $24,999 Clementine Carsen Ingrid de Vreeze MacNaughton Alan Vihant Kenneth Everett Terry Morrison Ronald Buston Clifford Curley Joseph DeFoa Robert Maisey Sharyn Vincent Bree Fitzgerald Susan Mullin Dr. Paul and Mrs. Joyce Mary Davern Sean Doyle Jefferson and Sally Mappin John Wallace John Flannery Steve Munro Chapnick Sean Doyle * Dr. Marc DuPèrè Dugald McArthur Stephen Wateridge Trent Frayne Glenne Murray Sara Diamond Jack Garlent Alex Eaton Peggy McCallum Alan Westbrook Mark and Diane Fujita James Neilson Marnie Kinsley W. Terry Graham * Kathryn Elder Martha McCarthy Elisa Williams Paul Gauthier Mary O’Donoghue Dr. David Shaw Jaye and Vern Holland Dr. Paul Ellis Michael McKeon Penny Williamson Katherine Gay Edward Ozimek Dr. Jane Wall and Sally Finley Johnston Peter Erlendson Seaton McLean and Arthur Wong David and JoAnne Gilmer Helen Pak-Guenette Simpson Bruce Lawson Naomi Erlick Sonja Smits Moses Znaimer Jane Glassco Ellen Pickering Francesco Maccianti Nancy Evans Johanna Metcalf Valerie Gow Steven Rapkin $5,000 to $9,999 Brian MacDonald Gareth Faulkner Bonte Minnema $500 to $999 M. Grace Rival Roussel Salah Bachir Nikola Manojlovich Rob Ferguson William Mockler Ashley Abbott Chris Graham Andrea Sabada James Belshaw George Marsland Patricia Fletcher Arthur Morin Melanie Abbott Trudy Grant S and J Scriver Morris Berchard Don Mountford Hugh and Mary Folkard M. Joan Chalmers Helen Anderson Lucinda Greer Brian Shackleton Gerry Boushel Gordon Mullane David Fotheringham Scott Mullin Helen Anderson George Hale Nigel Skinner Michael and Liz Fitzhenry E. Llana Nakonechny * Robert H. Gibson Pearse Murray Ronald Anderson Nenagh Hanly Karen Smiley Danny Greenglass and Laurie Pawlitza Robert W. Gibson Desmond Neill Caroline Andrewes Kathleen Hermant Stephen Smith Joe Brennan Susan Portner Anthony Giosi Michael Nininger Claire Angus Caplan Keith Holland Clinton Snell Stanley Griffin Carolyn Purden Anthony Dr. J. Lawrence Gitterman Keith Norton Rob Amour Tien Huang Paul Straatman Lynda Hamilton Don Quick and Jane Glassco Marilyn Orecchio Bruce Armstrong Renata Humphries Courtland Thomson Tom Heslip Horst Dantz Kevin Gough Doug Paterson Heather Armstrong Norman Hunt Mark Tiffin Michael Higgins Robert C. Smith Stacey Grabowski Laurie Pawlitza William Aston Mark Hutchinson Beverley Vanstone Dr. Grant Maxted Stephen J. Smith Jerry Grafstein Susan Peacock Paul Beeston Jan Innes Brent Vickar E. Llana Nakonechny Roy Suthons John Grand Susan Portner H. Peter Behn Marni Jackson John Wedler Ian Nordheimer Sharyn Vincent Lindy Green Andrew and Valerie Pringle Lee Bennett Mary T. Jones Kevin Wig Don Quick and Jaime Watt Andrew Grimes Michael Prini Reginald Blundell Shanitha Kachan Brian Wilding Horst Dantz Daniel Wright Dr. Mark Halman Brian Provini Glyndon Bowie Stephanie Karapita and 20 anonymous donors Gillian Stacey 1 anonymous donor Gary Hamwi Douglas Rienzo Jim Bratton and Drew Tait O’Neil Smith Tim Thompson Julie Hannaford Dave Ritchie David Brethauer David Kurdyla BEQUESTS 07/08 Philip Toop *New Judith Harris Benny Romano Ernerst Brown Patrick Markey Daniel Wright Peter R. Quaid Ydessa Hendeles Tevya Rosenberg Ross Brown John Kriter Clifton Roberts Every effort has been made Ernest Herzig Jane Rosmus Noreen Burns Wulfred and Lindsay $1,000 to $4,999 Kevin P. Partington Beverley Hisey Alan Rowe John Burry Kronenberg to ensure the accuracy and Patrick Aubert and Bernard Borshay Michael Hobart Geoff Rytell Bill Calkins and John James Lahey completeness of these Don Gilroy Bernard Freedman B. C. Holmes John and Joyce Shea Joseph Mastandrea Michael Laine important lists. If we have Robert Bartlett Edward S. Kamski Brian Howard Taras Shipowick Bill Campbell Spencer Lanthier erred, please accept our sincere Dr. Guy Beaudin John Earley Robert Howe Scott Shortt Robin Cardozo Dr. Bernard Lawless apologies. Please notify us of Thomas Beechy Raymond Wright Alan Husdal Elizabeth Shropshire Brent Carver Louis Michael and Sandra Janet Bodley Robert Bunn any errors or omissions by Richard Ivey Robert Sirman Charpentier Beverley Lawrence Raymond Boyce Helen Stacey calling 416.962.4040 ext. 231 Dr. John Jordan Gillian Stacey Chemos Guy Leduc Andrew Braithwaite William MacKay Gale Kelly David Stevenson Paul Cherry Joan Lesmond Gabriel Villada Betty Kennedy Ian Swan Caralyn Cipin Judith Mappin Dean Carlson Jim Lawrence Louis Tancredi Jack Connell Joan Mayer John Chilcott Bruce Lawson Helen Tennyson Paul Crake J. McEwan Rosemary Chisholm Feick Duane Ledgister Heather Thomson Kathy Cunningham Stella McFadden ANNUAL REPORT 2007-2008 Casey House Hospice Inc. Condensed statement of revenue and expenditures and net assets

FOR THE YEAR ENDED MARCH 31, 2008

2008 2007 $ $ Revenue Provincial grants 4,708,994 4,491,274 Grants from Casey House Foundation 927,999 1,344,291 28 Community Care Access Centre billings 169,400 130,412 Interest 52,428 46,896 Other 131,149 194,701 Amortization of deferred revenue - 8,516 Amortization of deferred contributions and grants 109,190 88,085 6,099,160 6,304,175

Expenditures Salaries and benefits 3,871,107 4,541,813 General and administrative 631,215 889,122 Interest 65,281 70,824 Pharmaceuticals 392,675 409,676 Resident/client care 211,133 246,861 Building and maintenance 324,006 - Redevelopment 291,620 - Amortization of property and equipment 241,034 223,131

6,028,071 6,381,427 Excess (deficiency) of revenue over expenditures for the year 71,089 (77,252) Net assets – Beginning of year 4,646,951 4,724,203 Net assets – End of year 4,718,040 4,646,951

CASEY HOUSE Casey House Foundation Condensed statement of revenue and expenditures

FOR THE YEAR ENDED MARCH 31, 2008

2008 2007 $ $ Revenue Donations 999,019 1,029,515 Bequests 189,466 397,902 29 Special events 1,196,558 832,855 Donations in kind 302,850 315,515 Interest and other 205,624 163,864 2,893,517 2,739,651 Expenditures Fundraising and special events 849,404 735,859 Administrative 464,977 309,002 Donations in kind 302,850 315.515 Amortization of equipment 2,087 2,553 Unrealized investment loss 151,243 - 1,770,561 1,362,929

Excess of revenue over expenditures before grants to Casey House Hospice Inc. 1,122,956 1,376,722 Grants to Casey House Hospice Inc. 935,933 1,349,693 Excess of revenue over expenditures for the year 187,023 27,029

The complete audited financial statements for Casey House Hospice and Casey House Foundation are posted on our website at www.caseyhouse.com. The audits were conducted by PricewaterhouseCoopers LLP.

ANNUAL REPORT 2007-2008 Early friends & founders

Roger Abbott Audrey Loeb Dr. Tom Alloway John Lownsbrough Joan Anderson Chris Lowry Rod Austin Wendy MacKeigan Dr. Rosemary Barnes Brian Madigan Dr. Skip Bassford Pat Maynard Dr. Bill Berinati Margaret McBurney Dr. Michael Bogart Sister Catherine Doug Bonnell McDonough Linda Boyd Mark McNab 30 Rebecca Bragg Sister Margaret Joyce Brown McNamara Eleanor Brydone Eleanor Meslin June Callwood Johanna Metcalf Elinor Caplan Pearse Murray Patrick Conlon Michal Oscars Mary Cornish Lawrence P. Jane Darville Judi Phalen Theresa Dobko Carmen Phinney Murray Elston Bob Rae Jake Epp Dr. Linda Rapson Dr. Greg Fraser Dr. Stanley Read Steve G. John Ronson Doug Graydon Nancy Ruth Larry Grossman Jay Scott Elaine Hall Phil Shaw Carol Hamilton Jim Shea Elma Heidemann Taras Shipowick Dr. Patrick Higgins Jim St. James Daphne Intrator Deborah Stinson Hank Kates Devon Stutt Joe LaVoie Kristine Thompson Dr. Dorothy Ley Sylvie Tourigny Dr. Larry Librach Eric Turner Jim Wakeford Phyllis Wyper

CASEY HOUSE 1988-2008 TWENTY YEARS AGO, PEOPLE NEVER IMAGINED THAT CASEY Generous spirits HOUSE WOULD STILL BE NEEDED TO DELIVER COMPASSIONATE CARE FOR PEOPLE LIVING WITH HIV/AIDS.

In 1988, our founders called upon the human capacity for kindness as they took action to care for the growing number of marginalized people who had become ill and isolated because of the frightening 31 new disease, AIDS. One of the first facilities of its kind, Casey House has helped to change the way While much has changed since our founding, HIV/AIDS the world has come to view people with HIV/AIDS. continues to be a cruel, frequently baffling, and unrelenting disease. It poses a growing threat to an Twenty years later, that pioneering spirit is still increasingly diverse population who require care for called upon daily at Casey House as we continually a complex mix of health and social issues. It took refine our approach to care, always guided by the much wisdom and courage–as well as many open loving values of our founders. We have become hearts and minds–to create Casey House. It will internationally respected for our highly developed take the commitment of our entire community to expertise, for our remarkable staff and volunteers, continue to give compassion a home at Casey House. and for our collaborative approach in delivering on our mission to provide exemplary treatment, support Our clients, their families and loved ones, your Iand palliative care for people affected by HIV/AIDS. neighbours and friends–all depend on us for help. Your financial support of Casey House directly helps people living with HIV/AIDS enjoy better and healthier lives. We thank you for your enduring and loyal To make a donation please call us at support and ask you to continue to give generously. 416-962-4040 ext. 232 Or visit our website www.caseyhouse.com

Casey House 9 Huntley Street Tel: 416.962.7600 Toronto, Ontario email: [email protected] M4Y 2K8 Charitable number 10687 8374 RR0001

ANNUAL REPORT 2007-2008 Thanks to staff, donors, volunteers Development: Nancy Hawley and residents for assisting with Photo credits: Glenn Bell Perry Blocher the production of this annual report. Special friends: Carlos Idibouo Norman Rojas www.caseyhouse.com Illustrator: Maurice Vellekoop Reactor Design: d’na (dakis & associates inc.) Co-editor: Kathleen Sandusky