THE HEALTH NETWORK OF THE CHESTER COUNTY HOSPITAL I WINTER 2008

MEASURING THE RISK WELLNESS PROGRAMS Diabetes Self-Management Programs Lifestyle Programs Recognized for excellence by the American Diabetes Through its Wellness Programs, The Chester County Association, our comprehensive classes instruct individuals Hospital aims to keep our community well through how to self-manage their diabetes. education and prevention.

Diabetes Basics Stop Smoking Now This educational program is for individuals with newly diagnosed This eight-session program helps participants prepare to become non- or uncontrolled Type 2 diabetes. Teachings review basic diabetes smokers by reviewing the latest information and teaching coping strategies. management principles and include the following: personalized food plan; instruction on self-monitoring blood glucose; weekly evaluation Supermarket Tour of food and glucose records by both a nurse and registered dietitian; Healthy cooking and eating involves smart shopping. Take a FREE inter - prevention of diabetes-related complications; and communications active tour of the supermarket with a Registered Dietitian and learn how with referring physicians. to interpret food label nutritional information to make healthy decisions about the maze of products available. Intensive Insulin Management Training This program is for individuals with Type 1 or Type 2 diabetes who Healthy Steps are on multiple daily injections of insulin or an insulin pump. Through - This three-phase program teaches how to lose weight safely, and develop out this program participants will learn to minimize the high and low healthy habits for a lifetime of weight maintenance. Program includes blood sugar readings often associated with insulin-requiring diabetes. 16 weeks of interactive group sessions and support for six months after Individuals will learn how to match insulin to food intake. class. It follows the most up-to-date medical and scientific evidence in the science of weight control. Diabetes Support Group Nutrition Services for Outpatients The management of diabetes is a continual process and dealing with the life changes and challenges that come along with it can, at times, be dis - Whether you have a chronic health condition or need to lose weight for couraging. You shouldn’t have to go through this alone. These free sup - your own personal and physical well being, we have the expertise and port group meetings offered by the Hospital are for individuals with the programs in place to help you. Credentialed and licensed Registered diabetes who are looking for encouragement, education and camaraderie. Dietitians are available for one-on-one counseling, group nutrition and weight management classes, and community nutrition classes and lectures. Other Diabetes Services Other services include: Gestational diabetes management; Pre-diabetes Heart Tracks: A Screening and Assessment management; Insulin, Byetta or Symlin injection training; Insulin pump This comprehensive program will assess your risk for developing heart training; Insulin pump download with evaluation of pump settings; disease, diabetes or sudden cardiac arrest. It includes cholesterol, HDL, Continuous Glucose Monitoring (CGM) with evaluation; and Basics glucose, blood pressure, body fat measurement and individual counsel - or Intensive Management program follow-up consultations. ing to discuss your results.

Wound Management Workplace Education The Occupational Health Center offers a wide selection of wellness The Wound Management Program sm was created to assist patients with programs including nutrition classes, lifestyle seminars, screenings and difficult wound-healing problems. The program is a complete, individu - more that can be of value to employees at your worksite. alized treatment plan for each patient involving the patient's family doc - tor or referring physician. The Wound Care Center provides advanced Fitness Programs wound healing techniques and state-of-the-art wound assessment, test - As part of our commitment to your weight management and overall ing and treatment for individuals suffering from acute and chronic health, the Hospital offers an on-site Center for Health and Fitness. (hard-to-heal) wounds. The Wound Care Center is an outpatient serv - We provide cardiovascular and strength training, as well as a variety of ice of The Chester County Hospital in collaboration with Wound Care fitness classes. In 2008, the Cardiac Rehab Department will add a Centers, Inc. Call 610.738.2590. Diabetes Fitness Program.

Call 610.738.2300 or visit www.cchosp.com/wellness to learn more about these or any other wellness program. CONTENTS

2 Measuring the Risk: The role of food and fitness The Hospital’s diabetes educators are on a mission to teach people with diabetes or pre-diabetes that simple changes to one’s lifestyle can make a world of difference in their health.

The Diabetic Thread: 4 The complications you want to avoid Diabetes, if unmanaged, can infiltrate a person’s health in a variety of ways. Diabetes has been linked to many serious life-threatening health issues including problems with the heart, kidneys, nerves and eyes. Fortunately, with good self-management, the risk of developing these complications can be lessened.

7 Diabetes 101: Minding your ABCs with some 123s All people with diabetes should be mindful of their 17 SPECIAL FEATuRE: Hemoglobin A1C, their blood pressure and their cholesterol. And to keep these measurements in check, they should adopt three concepts: 1. Eating right. Annual Report 2007 2. Moving more. 3. Taking Medication. The Chester County Hospital proudly shares its

10 report of giving for fiscal year 2007. With an Newsmakers introductory message from Hospital President Since the last issue of Synapse, we’ve celebrated H.L. Perry Pepper, the Annual Report many successes that we’re happy to share with you. acknowledges the numerous individuals and corporations that supported the Hospital financially between July 1, 2006 and June 30, 2007. 12 New Physicians Join the Team The Hospital is pleased to welcome many new doctors to its Medical Staff and to provide you a complete Medical Staff listing. COVER CAPTION: Striving to maintain a healthy weight through proper nutrition and exercise can reduce the risk of developing Type 2 diabetes and the many

MEASURING THE RISK complications associated with the disease. MEASuRING THE

The role of food & fitness

I CAN SEE THE WRITING ON THE WALL . MY MOM HAS DIABETES ; weight can delay or prevent diabetes,” says Amy Corse, MY GRANDMOTHER HAD DIABETES ; AND MY GREAT -GRAND - Outpatient Nutrition and Diabetes Educator. “Food is a critical MOTHER HAD DIABETES . AND , IT ’S VERY WELL POSSIBLE THAT part of managing diabetes because what you eat affects your TYPE 2 DIABETES TRAVELS ALL THE WAY UP MY MATERNAL LINE . blood sugar levels.” SO, YES , THE WRITING ON MY WALL IS BIG , BOLD AND VERY Everyone’s blood sugar rises after eating. The difference for OBVIOUS , AND IT READS , “YOU ARE AT RISK !” a person with diabetes is that their highs are higher because they In fact, there are millions upon millions of Americans lack enough insulin to properly process the glucose or their cells like me who are at risk, more than 54 million who have pre- resist metabolizing the glucose. For people with diabetes, diabetes, and more than 21 million who have Type 1 or Type 2 understanding how their body processes food, specifically diabetes, according to the American Diabetes Association. the sugars found in carbohydrates, is the first step in managing “There are so many people walking around with diabetes the disease. who don’t even know they have it,” says Michele Francis, A person’s knee-jerk reaction might be to cut out carbohy - Coordinator of Nutrition and Diabetes Services at drates completely from their food routine. There are many The Chester County Hospital. Of the 21 million Americans fad diets today that promote this extreme behavior to kick-start who have diabetes, six weight-loss. Risk Factors for Type 2 million are undiagnosed. “Carbs have gotten bad press lately, but they’re not bad for Being overweight or obese. I Some risks, such as you,” Corse says. “We don’t want to eliminate carbs from our I Smoking. family history, are genetic diet. They’re essential.” Your brain needs blood sugar to func - I Family history of diabetes. factors and cannot be tion, so to eliminate them altogether starves your brain of this I Being inactive, sitting for significant periods of time. changed. Other risks, necessary energy source. Since carbs are the biggest predictor I Individuals of African- including being over - of glucose levels, strive for moderation and balance instead. American, Native American, weight or being sedentary, Corse is one of several Certified Diabetes Educators at The Hispanic, Asian, Native are lifestyle factors that Chester County Hospital who teaches diabetes classes. Here, Hawaiian, or Pacific Islander descent. fortunately can be worked members of the community with diabetes learn healthy nutri - I Having a blood glucose on and changed. Adopt - tion, portion control and the physiology of food. level that has been high ing a healthier lifestyle has “The way we teach people to eat is a very good way for every - in the past. been proven to prevent one to eat,” she explains. “It’s all about balance. It’s about eating I Having gestational diabetes or delay the onset of ‘enough,’ but not ‘too much.’ So we’re teaching you what or a baby weighing more diabetes for those at risk, ‘enough but not too much’ looks like.” than 9 pounds at birth. and it can help people There are three main keys to understanding proper I Having heart or blood vessel disease. who have diabetes or nutrition for balancing your blood sugar: I Having high blood pressure. pre-diabetes to lessen the Ẅ I Having abnormal blood complications associat ed Choose appropriate portion sizes. cholesterol or triglycerides. with the disease. ẅ Choose a balance of nutritious foods (carbs, protein and veggies) I Having polycystic ovary A healthier lifestyle syndrome (PCOS). at every meal. is one that includes Ẇ Choose to spread healthy eating nutritious food choices and regular exercise. in shorter intervals throughout “Eating well, choosing the right food and getting to a healthy the day.

* Exercise affects everyone differently. People with Type 1 diabetes are affected differently than people with Type 2. Please defer to your physician’s recommendations prior to starting any exercise regime. 2 SYNAPSE “There’s no such thing as a ‘diabetes diet ’, ”she says. The food In addition, regular Symptoms of Type 2 plan the Hospital’s diabetes program tailors for it’s ‘students’ exercise also lowers blood I Fatigue can carry them throughout their lives, and it puts each of them pressure, lowers LDL (bad I Blurred Vision in the driver’s seat when it comes to making healthy choices. cholesterol), helps in the I Frequent Infections Corse recognizes that there are many conflicting weight-loss process and I Poor wound healing messages when it comes to energy balance, but the bottom can help treat depression, I Dry, itchy skin line is “We’re eating more and moving less.” another common trait I Numbness and tingling Equally important to proper nutrition is maintaining a among people with dia- in hands, legs and feet physically active lifestyle. Simply put, food raises blood sugar; betes. Exe rcise can lower exercise lowers blood sugar. your blood sugar for up to 12 hours after you exercise, which will Mark Kotarski, Program Director for Fitness and help a person with diabetes achieve better blood sugar control. Rehabilitation at The Chester County Hospital, oversees According to new guidelines from the American Heart the Hospital’s Cardiac Rehabilitation Program and the Health Association and the American College of Sports Medicine, and Fitness Center. He has met countless numbers of people all Americans ages 18 to 65 should get 30 minutes of moderate in the cardiac rehab program who have diabetes and are activity most every day. addressing concerns for related heart health problems. Before you begin, the Hospital recommends you consult He adds, “The guideline now is to treat a person with diabetes your physician for medical clearance.* Once cleared, Kotarski as though they have heart disease.” recommends looking for a program that can provide personal Michele Francis reiterates, “Diabetes and heart disease have guidance, and he offers the following suggestions: a significant link. Most people are unaware that two out of three Ẅ Start off easy and slowly to let your body people with diabetes will die from heart disease or stroke.” get used to the added physical activity. For this reason, the Nutrition and Diabetes Services and the ẅ Start a log to track your activity or simply Cardiac Rehab Program are working hand-in-hand to reduce put a check mark on the calendar for this risk by helping people with diabetes to control their blood everyday you exercised. sugar, as well as blood pressure and cholesterol. Later this year, Ẇ Start to reward yourself for your progress. the Hospital will launch a Diabetes Exercise Program to help Corse adds, “When people are trying to make any lifestyle provide guidance for people with diabetes who want to safely changes it may be more realistic to set smaller, more achievable incorporate fitness into their lives. goals.” It has been reported by the Centers for Disease Control “There are literally hundreds of benefits to exercise. The and Prevention (CDC), that losing 5 to 10 percent of your total way the body processes sugar is different if someone exercises weight significantly reduces the likelihood of developing regularly than if they are sedentary,” Kotarski says. And, diabetes and other health problems. For those who are already fortunately, everyday is a new day to begin incorporating diagnosed with diabetes, this small amount of weight loss physical activity into our lives. lessens the chances of developing the complications associated “The goal is to move more. Period,” says Kotarski. Regular with disease. physical activity elevates the heart rate and lowers the blood Changing your eating habits and losing weight are easier sugar. It increases the cells’ ability to absorb the glucose, thereby said than done, of course, but, they are not impossible. For removing it from the blood stream. If unmanaged, diabetes anyone with diabetes and for those of us who are at risk, it can cause damage to your heart, kidney, nerves, eyes and feet. could change your life. Exercise burns the excess energy ingested from carbs, which By Lisa M. Huffman would otherwise be turned into fat.

THE CHESTER COUNTY HOSPITAL 3 The Diabetic Thread

THE COMPLICATIONS YOU WANT TO AVOID

DIABETES PUTS PEOPLE AT RISK FOR SERIOUS COMPLICATIONS Funk and her colleagues convey what she calls a “hopeful THAT CAN WEAVE THEMSELVES THROUGHOUT THE BODY . EDU - message” through the Hospital’s group classes and one-on-one CATION AND PREVENTION ARE THE KEYS TO MINIMIZING THIS counseling. They teach people how to plan healthy meals, exer - RISK AND LIVING A GOOD QUALITY OF LIFE WITH DIABETES . cise, lose weight, and keep their blood sugar within a normal When most people hear the word “diabetes,” they instantly range—all essential steps in preventing long-term complications. think “high blood sugar.” They may not be aware of the far- “We also educate patients to be self-advocates and know what reaching consequences that uncontrolled blood sugar levels can tests their doctors should be ordering,” Funk says. “Complications have throughout the body. tend to develop silently, so being proactive is essential.” Type 2 diabetes occurs either when the pancreas cannot se - “For the most part, complications are not reversible,” adds crete enough of the hormone insulin, or when the body resists Briones. “Tight blood sugar control can keep patients from the effects of insulin. Insulin plays a key role in processing glu - getting worse, but the key is preventing complications before cose, or sugar, in the bloodstream. When you develop diabetes, they occur.” all of your body’s cells are surrounded by blood carrying too Another key is detecting diabetes early, before it has much glucose. Some cells can adapt to keep out excess glucose, the chance to progress. The Chester County Hospital recently but others cannot—and over time, the effects can be damaging. created a Hyperglycemia Taskforce that is working to identify Vulnerable cells include those lining the body’s blood vessels; all patients who are admitted to the Hospital with high blood the small blood vessels in the eyes and kidney; and nerve cells sugar levels. A high level now triggers an A1C blood test, Complications of diabetes in the legs, feet, and other which provides information about average blood glucose levels parts of the body. When dia - over the past three months. Those results could then lead to a I Heart and blood vessels betes is not controlled, a range full diagnostic work-up. I Eyes of complications can develop, “It’s estimated that about one-third of people with diabetes Kidneys I from heart disease and stroke, don’t even know they have it,” says Inpatient Diabetes Educator Feet I to kidney and eye problems, to Julie Frey Fisher, RN, who, along with her colleague Nancy I Nerves pain or loss of sensation in the Steward, RN, is on the front line when it comes to educating I Sexual function feet and limbs. inpatients about their condition. “And diabetes is one that I Emotional health “The possibilities seem is largely self-managed at home.” overwhelming when someone is first diagnosed,” says Mariele Good self-management can help people avoid the following Briones, MD, Endocrinologist, The Chester County Hospital. complications. “We try to help patients evolve their understanding over time. But right away, our number one message is to tighten blood Ẅ Heart Disease and Stroke sugar control.” Over time, uncontrolled blood sugar levels can contribute to the While overwhelming, the potential complications are not in - development of atherosclerosis, or narrowing of the evitable, stresses Julie Funk, Director of Community Outreach arteries, a risk factor for heart attack and stroke. People and Wellness Services at The Chester County Hospital. with Type 2 diabetes typically have other risk factors such “People often think that diabetes is a one-way trip toward se - as abdominal obesity, high blood pressure, high levels of LDL rious health problems,” Funk says. “Yes, it is a progressive or “bad” cholesterol, low levels of HDL or “good” cholesterol, disease, but there is absolutely no reason that someone should and high levels of fats called triglycerides. Smoking also develop complications. We know too much about how to increases these same risks. manage the disease.”

4 SYNAPSE According to the Pennsylvania Department of Health, even a one-percent reduction in the results of A1C blood tests brings a 40-percent reduction in risk for kidney damage, eye problems, and nerve disease.

Ẇ Retinopathy Like the kidneys, the eyes contain tiny blood vessels that are vulnerable to damage. People with diabetes should have an annual dilated eye exam performed by an ophthalmologist. Uncontrolled diabetes can cause damage to the retina, or back layer of the eye, a condition known as retinopathy. Although blood sugar control and a healthy lifestyle can The blood vessels in the retina can become blocked and fluid help, these measures are not always enough to reduce risks can leak into the macula, a central spot in the retina that focuses significantly. Medications often are needed and can include: our vision. Some people develop a more serious form of retinopathy in which blood vessels become so damaged that I Cholesterol-lowering drugs called statins. The Ameri - they close off. New blood vessels form, but they tend to be weak can Diabetes Association (ADA) recommends reduc - and can leak blood. They also can cause scar tissue to grow, ing the LDL level below 100 mg/dl and boosting HDL distorting the retina or pull it out of place, a condition called levels to above 40 mg/dl for men and 50 mg/dl for retinal detachment. women.“The ADA standard now recommends that all diabetes patients over 40 take a statin,” says Briones.

I Blood pressure-lowering medications, such as ACE inhibitors or ARBs. The ADA recommends that peo - ple with diabetes keep their blood pressure below 130/80 (said as“130 over 80”) mmHg.“This not only helps with cardiovascular disease, but it helps pro - tect the eyes and kidneys as well,” adds Briones.

I A daily aspirin to reduce the risk of blood clots that can lead to stroke.

Julie Funk notes that some people resist taking medications because they focus more on the possible side effects than the risk-reduction benefits. But for most people with diabetes, medications play a central role in reducing heart attack and stroke risk. Doctors can treat the damaged retina with laser treatments, which seals off damaged or leaking blood vessels, or with ẅ Kidney Damage medications or surgery. However, these treatments are success - ful only if the damage is caught early. The kidneys are filled with millions of tiny blood vessels called People with diabetes are also at increased risk for other eye capillaries, which filter waste products from the blood. Over conditions: glaucoma, in which pressure increases in the eyeball time, high blood sugar levels and high blood pressure can dam - and leads to vision loss; and cataracts, which cloud the lens of age these vessels, causing them to leak. Useful protein is inap - the eye and leads to blurred vision. As with retinopathy, con - propriately filtered out of the body and lost in the urine. trolling blood sugar and blood pressure levels is the best way to Physicians often prescribe an ACE inhibitor along with lower risk for these conditions, along with regular eye exams. lifestyle changes such as exercise, a low-salt diet, and weight loss. Regular check-ups are essential to monitor blood pressure levels continued and to test the urine for protein, which can be an early sign of kidney damage.

THE CHESTER COUNTY HOSPITAL 5 ẇ Neuropathy PROFILE According to the ADA, about half of people with diabetes have I BOB CARTER, AGE 56 some form of neuropathy, or damage to the nerves. Nerves run I WEST CHESTER throughout the body and connect the spinal cord to muscles, I DIAGNOSED WITH skin, blood vessels, and other organs. TYPE 2 DIABETES IN FEBRUARY 1995. Funk says the feet are especially vulnerable to loss of feeling.

All people with diabetes should check their feet daily for sores, How did you hear cuts, or changes in the skin, since the sensation of pain may be about the Hospital’s dulled—allowing small problems to go unnoticed and become Diabetes Self-Manage - serious. Regular testing for sensation with a monofilament, a ment Program? My Type 2 developed simple device touched to different areas of the foot, can help following surgery to doctors and their patients gauge loss of feeling. remove my colon. Afterward, my family physician recommended the program to me.

Which of the diabetes education program(s) have you taken? I started with “Type 2 Basics” sessions and then took the “Intensive Insulin Management” course, and I’ve taken everything in between, including one-on-one counseling and group sessions.

How would you describe the experience? It was enlightening. I feel fortunate to have these kinds of resources available in Chester County.

How has your life changed before and after the program? Before, it was overwhelming and a bit confusing, being a life-altering event. Now, I have a better understanding of what I need to do to minimize or even avoid complica - Inpatient diabetes educator Fisher notes that while many tions later in life. people are aware of the potential impact on limbs, they are not What is the most important thing you have learned? aware of other bodily functions that can be affected. You must find that balance in your life that keeps you “Different types of neuropathies can cause a wide range of healthy to give you the quality of life you want. I am able problems,” she explains. “Neuropathy can affect regulation of to do this with the help of Michele Francis, Coordinator the heart rate and blood pressure, digestion, balance, muscle of Nutrition and Diabetes Services, my family, my running coach, my acupuncturist and my doctor to help keep my strength, and sexual function. Like other problems, these can be body in balance.* You must take one day at a time and avoided with optimal glucose control, which requires work on don’t get discouraged because the system does work. the part of the patient.” Is it easy? No. Will you be frustrated when you are sitting The effort of self-management, along with the fear of com - in a restaurant and look over at someone eating a large cheese steak, fries and a milkshake? Yes and you’ll say, plications, can cause many people with diabetes to suffer from “Why can’t I eat like that?” Do I cheat and eat pizza and depression, Funk says. She estimates that up to half of all pa - hoagies? At times…absolutely. But the way I feel after - tients deal with depression, and she recommends screening for ward reminds me why I should not. You must find what this lesser known complication as a routine part of diabetes care. works for you. Here and now this works for me. Who knows what the future will bring. I hope with the help I “Diabetes requires you to manage so many aspects of your have from this support team I will find a way to adapt. life in new ways, and there is always a fear of complications de - veloping,” Funk says. “It is a lot to deal with, so people need to * Prior to starting an exercise regimen or exploring integrative therapies, such as acupuncture, please consult your physician. be aware of how they’re feeling and get help if they need it.”

By Kristine Conner 6 SYNAPSE Minding your ABC’s with some 123’s

THE PEOPLE IN THE HOSPITAL ’S WELLNESS CLASSROOM ARE Ạ The A of the ABC’s stands for the Hemoglobin A1C, EACH HERE FOR DIFFERENT REASONS . S OME WANT TO LOSE which is a measurement of a person’s blood sugar levels over the WEIGHT ; OTHERS WANT TO GET OFF THEIR MEDICINE ; AND previous three months. Excessive sugar traveling through the STILL OTHERS WANT TO KNOW WHAT EXACTLY TO EAT . B UT DE - blood vessels, over time, can harm the vessels and set up health SPITE THEIR VARYING GOALS , THEIR VARYING AGES AND THEIR risks for heart disease, stroke and other diabetes complications. VARYING LIFE STORIES , THEY ALL HAVE ONE COMMON TRAIT – An A1C reading for a person without diabetes is between 4- THEY ALL HAVE DIABETES . 6%. People with diabetes should strive to reduce their A1C to Some of the adult students were diagnosed with Type 2 be less than 7% or less than 6.5% ideally. Statistics from the Na - diabetes just two weeks ago and others were diagnosed 20 years tional Health and Nutrition Examination Survey (NHANES) ago, but all were sitting together to learn from the Hospital’s shows that only 35.8% of adults with diabetes have their A1C diabetes educators about how to make some positive lifestyle under the 7% target, but it can be achieved and working toward changes and to self-manage their diabetes. reducing the A1C can have tremendous health benefits. “Our program has seen a lot of growth,” said Michele Fran - The Centers for Disease Control and Prevention (CDC) re - cis, Coordinator of Nutrition and Diabetes Services. “We’re ports, “In general, for every 1% reduction in results of A1C busier than ever.” The diabetes courses offered by the Hospital blood tests (e.g., from 8.0% to 7.0%), the risk of developing are accredited by the American Diabetes Association and cover microvascular diabetic complications (eye, kidney, and nerve the national standards for diabetes self-management. The Hos - disease) is reduced by 40%.” pital offers classes, one-on-one counseling and a support group, which attracts upwards of 35 people each month. ạ B is for blood pressure. Your blood pressure is the level of It used to be that Type 1 was primarily juvenile diabetes, force in your arteries when your heart beats and when it is at and Type 2 was adult onset diabetes. Today’s diabetes snapshot rest. An ideal blood pressure reading is 120 / 70; high blood shows more and more adolescents being diagnosed with Type pressure is a reading greater than 140 / 90. The American 2. The Hospital hasn’t had any adolescents in its classes; Diabetes Association reports that more than 40% of people however Francis says they have been seeing a trend of more with diabetes have high blood pressure (hypertension). people with Type 2 who are only in their 20s or 30s. At last fall’s Diabetes Day event hosted by the Hospital, Between Type 1 and Type 2 diabetes, Type 2 is far more Gregg Neithardt, MD, Cardiology, The Chester County prevalent with nearly 95% of all people with diabetes having Hospital, said to the 200-plus attendees, “I treat patients with Type 2 diabetes. One kind of diabetes is not worse than an - diabetes aggressively as if they already had heart other. They all require good self-management. To learn to self- disease.” The link between the two conditions manage, there are a few ABC’s and 123’s.

7 7 is that significant. A person with diabetes might require more THE ABC ’S OF DIABETES ADA Treatment Goals than one type of blood pressure medication to bring their hy - HAVE BECOME ACCEPTED pertension into a healthier target range: less than 130 / 80. TERMINOLOGY FOR DIABETES I A1C <7% Studies show that blood pressure control can reduce the risk EDUCATORS . IT ’SASIMPLI - Preprandial plasma for heart disease and stroke by 33% to 50% and lessen the risk FIED WAY OF REMEMBERING glucose 90-130 mg/dl for microvascular disease by about 33% (CDC statistics). THE KEY HEALTH FACTORS Peak postprandial plasma OF A COMPLICATED DISEASE . glucose <180 mg/dl Ả Cholesterol, the C, is categorized in three ways – bad People who have dia - (usually 1 to 2 hours after the start of a meal) cholesterol (LDL), good cholesterol (HDL), and triglycerides. betes or pre-diabetes should All cholesterol comes from two sources – the foods you eat and have their ABC’s monitored I Blood Pressure (mmHg) what your body produces naturally. Basically, cholesterol is regularly by their physician. Systolic Diastolic a fat-like substance transported in your blood stream and The NHANES survey states <130 / <80 housed in your body’s cells. that only 7.3% of adults with Cholesterol – A high level of LDL deposits the cholesterol along the walls diabetes have attained the I Lipid Profile (mg/dl) of your blood vessels forming plaque. A high level of HDL, on recommended goals for LDL Cholesterol <100 the other hand, can carry the cholesterol away from the arteries the ABC’s of diabetes, but HDL Cholesterol to the liver where it is then removed from the system. Triglyc - again, it can be done. Men > 40 Women > 50 erides, which can be elevated as a result of unhealthy lifestyle To help manage the Triglycerides <150 choices, are a form of fat produced by the body. ABC’s, a person with dia - According to the American Heart Association, “Elevated betes ought to adopt three self-management steps to under- triglycerides can be due to overweight/obesity, physical inactiv - stand their health and to delay the natural progress ity, cigarette smoking, excessive alcohol consumption and a diet of the disease. very high in carbohydrates (60 percent of total calories or more).” Bringing total cholesterol levels to a healthy standard Ẅ (<200 mg/dl total) can reduce the risk of heart attack or Eat Right stroke. In fact, the CDC reports that improved control of When you eat, your blood sugar goes up. Eating foods in cholesterol can reduce cardiovascular complications 20% to 50%. appropriate portions and in healthy balance can control the extent to which your blood sugar rises throughout the day. Carbohydrates are the biggest predictor of blood sugar levels. Choosing carbs that are high in fiber, low in sugar, less processed and a proper portion size, and balancing them with lean protein and small amounts of healthy fats will help maintain a more even blood sugar to bring your A1C into a better, healthier target. Cutting out all carbs or all sugar from your diet is neither a realistic expectation nor a healthy decision. But managing the types and portions of foods with sugars that you eat can potentially lessen the risks and complications, as does reducing the amount of salt and fat in your diet to help control your blood pressure and cholesterol. Francis recommends meeting with a dietitian to individualize a food plan and to learn how to properly Diabetes Educators: The Hospital’s team of diabetes educators includes understand food labels and portion sizes. (from left) Amy Corse, Nancy Steward, Michele Francis, Julie Frey Fisher and Kathy Jones, as well as (not pictured) Linda Weinberg, Kim Beazley and Maureen Boccella.

8 SYNAPSE ẅ Move More FOR A PERSON WITH DIABETES , TESTING YOUR BLOOD SUGAR REGULARLY IS A NECESSITY . S OME WILL NEED TO TEST MULTIPLE After you exercise, your blood sugar TIMES EACH DAY . M ONITORING THE SWINGS IN BLOOD SUGAR AT goes down. Exercise, actually, im - VARIOUS TIMES OF THE DAY WILL HELP A PERSON WITH DIABETES proves the acceptance of glucose into UNDERSTAND THEIR OWN TRENDS . the cells from the blood stream, and “We encourage our patients to keep a health journal,” says has many positive indications for Francis, “so they can better understand their own patterns. If managing blood pressure, too. Regu - they can see their own trends, then they can be their own advo - lar exercise, even as simple as a brisk 30-minute walk most days cate during their doctor visits.” As you monitor your blood sugar of the week, combined with healthy eating, can have tremendous level, Francis suggests keeping track of what and when you eat; impact on managing your weight, improving your metabolic when you exercise; and when you take your medication. processes, and easing stress. Finally, Francis suggests, people with diabetes need to build One graduate of the Hospital’s diabetes education program, a support ‘team.’ The team should include their family for en - Susan Marshall, says, “When I was encouraged by my nutri - couragement, their primary physician, a nutritionist, a fitness tionist to get involved in an exercise plan, I was very resistant. I mentor, a diabetes educator and their pharmacist. In addition, had never been athletic, and I had the ‘I just can't do it’ attitude. other medical specialists including an endocrinologist, a podi - However, I knew that if I was going to accomplish weight loss, I atrist, a cardiologist, an ophthalmologist, and a nephrologist needed to follow everything my nutritionist set before me. I met could be extensions of the team to assist directly with the glands, with a trainer and with her gentle encouragement I began to ac - feet, heart, eyes and kidneys, respectively. complish some small goals set before me. Before I knew it I was However, Francis stresses, “The patients themselves are the pushing through that invisible wall. I honestly look forward now most important person on their team. If you picture a wheel, to exercising five days a week, doing both cardio and weight they are the hub.” Because they should be an advocate for their training. I never realized I could stretch my endurance level to own health, the Hospital’s diabetes educators ultimately aim to a point of enjoyment, but I did.” teach them how to manage their diabetes. Diabetes Intensive Management alumnae Wanda Webb was Ẇ Take Medication diagnosed with Type 2 diabetes in 1997. She was frustrated that Sometimes nutrition and she was not able to control her blood sugar, despite using in - exercise are not enough to sulin, and she was starting to develop complications associated keep blood sugar levels in with the disease, including neuropathy. target range. The next step “There’s a psychological benefit you get from this program would be to take oral because you go in so hopeless,” she says. Today, “I can control medication or insulin injections to further control blood sugar. my diabetes. It’s not controlling me; I’m controlling it. Having People with Type 1 diabetes don’t make insulin. For them, that knowledge about diabetes let’s me be free to live my life insulin shots are the only way to keep blood sugar levels down. how I want to live it.” Only people with Type 2 diabetes can use pills to manage their On average, says Francis, people who have participated in diabetes. These medications work best with meal planning the diabetes education programs at The Chester County and exercise to help control blood glucose to reduce the risks Hospital have reduced their A1C more than two percentage associated with diabetes. Because oral pills are sometimes not points because they’ve learned about proper nutrition, exercise enough to adequately control blood sugar, some people with and medication as ways to manage their blood sugar. Type 2 diabetes will also require insulin injections. There are no ‘quick fixes’ when it comes to diabetes. The All diabetes medications sold in the United States are part lifestyle changes that are necessary to manage the disease are not of six classes of drugs that work in different ways to lower blood temporary. But armed with greater knowledge about living with glucose. Because these medications have different actions, some diabetes and about the changes that can be made have the people with diabetes may be on one or a combination of several potential to make the life you choose to lead much healthier. medications for optimal glucose control. People with diabetes will By Lisa M. Huffman need their physician’s guidance to find which combination of oral pills and/or insulin is best to treat their diabetes. Search “diabetes” on www.cchosp.com to learn more.

THE CHESTER COUNTY HOSPITAL 9 movers shakers newsmakers Showering the Parents-to-Be For more than 10 years, the Hospital has been inviting expecting par - ents and couples con - sidering having a baby to get to know the Hos - pital, tour the ameni - Inpatient Hospice Now Open ties, and meet the clinical staff. The Hospi - Neighborhood Health Agencies, Inc. proudly opened the tal hosted its largest doors to its Neighborhood Hospice Inpatient Unit, the first baby shower yet last hospice inpatient unit in Chester County. It hosted a Grand November. This year, Opening celebration on November 3, where tours of the 174 couples enjoyed private rooms and suites were given. Located across the the baby shower, street from the Hospital, the unit will provide private rooms which was supported with adjacent dining and lounge areas. Rooms will include by several local sponsors, such as Babies“R” Us, GRACO, accommodations for family members who wish to stay with Joya Artwear, Olly Shoes, and Citadel. Pictured: Olly’s mascot their loved one. Pictured: Chester County Commissioner Carol with one of the many mothers-to-be. Aichele, State Rep. Barbara McIlvain-Smith, NHA Director of Hospice Heidi Owen, U.S. Rep. Joe Pitts, U.S. Rep. Joe Sestak, and NHA Chairman Keith Coughey.

The 2007 Whittaker Award Each November at Diabetes Day, the Hospital acknowledges a member of the community who has made a positive impact in the Talking it up lives of people with diabetes. The 2007 Whittaker The CardioVascular Center was featured on The Big Talker’s Award was given to long-time diabetes educator Virtual Health and Wellness Fair series this past October. Nancy Marquette, RN. (Pictured with Michele Francis Dr. Mian Jan, Cardiologist, and Julie Funk, Director of (right), Coordinator of Nutrition and Diabetes Services.) Past recipients have been Marianne McAndrew, Community Outreach and Wellness Programs, took to the Diane Zimmerman, Carol Ziegler and Harriet Whittaker, airwaves to speak about what everyone should know for whom the award is named. about Metabolic Syndrome.

10 SYNAPSE Fall Fundraisers successfully support Hospital’s mission

I Fore Health Golf Tournament

I Chester County Day

I Dilworthtown Wine Festival

I SHINE y h p a r

The SHINE Committee hosted a stellar event. g o t o h P d r o f f Over the course of just four weeks in the fall, four major i G y b s o t

fundraisers occurred to benefit various aspects of the o h P Hospital’s mission. The first of the events was the Fore Health Guests enjoyed the tasting at the Wine Festival. Golf Tournament, which took place on September 17. Sponsored by Siemens and planned by the Willistown Branch the Greystone and Turks Head branches of the Auxiliary. of the Women’s Auxiliary, it raised $29,000 in support of the The proceeds, more than $46,000, will be split between Auxiliary’s $1,000,000 pledge to the Capital Campaign. The Cancer Center of Chester County and Neighbor - Chester County Day, always the first Saturday in October, hood Hospice. The final event of the fall season, SHINE, raised nearly $20,000 more than it did in the previous year. raised more than $130,000 in support of the Cancer The $122,000 from the event will also be earmarked for the Center, topping its proceeds of $70,000 from the Auxiliary’s pledge. The Dilworthtown Wine Festival, held previous year. This elegant gala was held at Winterthur October 14, was co-arranged by the Dilworthtown Inn and Country Estate on October 20.

‘Little Smile s’Leads to Big Smiles Members of Little Smiles paid a visit to the CHOP Connection at The Chester County Hospital Pediatric Unit to present the nursing staff and patients with a donation of toys, goodies and a much-needed IV pole. Little Smiles is a charitable organization that strives to put smiles on the faces of children in hospitals, hospices and shelters by pro - viding toys, games, videos, computers, outings and special appearances among other opportunities. This donation is just one of many from the members of Little Smiles that support the Unit and admitted children. Pictured (from left): Pediatric nurses Amy Nguyen, RN and Kathleen Urbine, RN; Founding Director of Little Smiles Jeff Mullen and members Matt Peterson and Rob Rae; and Unit Secretary Torri Toaltoan, CNA.

THE CHESTER COUNTY HOSPITAL 11 ATTENDING STAFF

Matthew Baichi, Ronald Fronduti, M.D., Department of M.D., Department of Medicine, Section of Medicine, Section of Gastroenterology. Dr. Internal Medicine. Baichi graduated from Dr. Fronduti graduated the State University from Jefferson Medical of New York Health NEW PHYSICIANS College and completed Science Center at Syracuse, and then com - an internship and residency at Mercy Catholic pleted a residency in Internal Medicine at welcome Medical Center (Conshohocken). Dr. Fronduti Thomas Jefferson University Hospital, and a is Board Certified in Internal Medicine and fellowship in Gastroenterology and Hepatol - has joined Penn Primary Care. ogy at the University of Rochester. Dr. Baichi Stephanie is Board Certified in Internal Medicine and Ciccarelli, M.D., Renee Giometti, Gastroenterology and has joined the West Department of M.D., Department of Chester Gastrointestinal Group. Medicine, Section of Medicine, Section of Internal Medicine. Pulmonary Diseases. Reina Bender, Dr. Ciccarelli graduated Dr. Giometti graduated M.D., Department of from Wake Forest from the University of Medicine, Section of University School of Medicine (Winston- Tennessee Health Gastroenterology. Salem, NC) and completed an internship and Sciences Center (Memphis) where she also Dr. Bender graduated residency at Christiana Care (Newark, DE). completed an internship, residency and fel - from Albany Medical Dr. Ciccarelli is Board Certified in Internal lowship. Dr. Giometti is Board Certified in In - College, and then Medicine and Emergency Medicine and has ternal Medicine, Critical Care Medicine and completed a residency at the Brown Univer - joined Medical Inpatient Care Associates of Pulmonary Diseases and has joined Chester sity School of Medicine Program at Rhode Chester County. County Critical Care Medical Associates. Island Hospital (Providence), and a fellowship in Gastroenterology and Hepatology John DeStafeno, Maureen Hewitt, at the Brigham and Women’s Hospital M.D., Department of M.D., Department of and Harvard Medical School. Surgery, Section of Medicine, Section of Dr. Bender is Board Certified in Internal Ophthalmology. Dr. Hematology/Oncology. Medicine and has joined the West Chester DeStafeno graduated Dr. Hewitt graduated Gastrointestinal Group. from Albany Medical from Louisiana State College, and then University School Antonette Brigidi, completed an internship at Rogers Williams of Medicine (New Orleans), and completed a M.D., Department of Medical Center, (Providence, RI), a residency residency and fellowship at the Medicine, Section of at Long Island Jewish Medical Center Hospital of the University of Pennsylvania. Internal Medicine. (New Hyde Park, NY), Albert Einstein College Dr. Hewitt is Board Certified in Internal Dr. Brigidi graduated of Medicine (Bronx, NY), and a fellowship at Medicine and has joined Chester County from the University Duke University Eye Center, Duke University Hematology Oncology Services. of Maryland School of College of Medicine (Durham, NC). Dr. Medicine (Baltimore) and completed a resi - DeStafeno is Board Certified in Ophthalmol - Jatin Kyada, M.D., Department of dency at the Hospital of the University of ogy and has joined Chester County Eye Medicine, Section of Internal Medicine. Pennsylvania. Dr. Brigidi is Board Certified in Care Associates. Dr. Kyada graduated from M.P. Shah Medical Internal Medicine and has joined Whiteland College (Jamnagar, Gujarat, India), and then Medical Associates for Progressive Health. completed an internship at Frankford Hospital and a residency at Lankenau Hospital. Dr. Kyada is Board Certified in Internal Medicine and has joined Hospital Care Specialists.

12 SYNAPSE Eduardo Mercurio, Carrie Miller, M.D., Department of Medi - COuRTESY STAFF M.D., Department of cine, Section of Gastroenterology. Dr. Miller OB/GYN. Dr. Mercurio graduated from New York University School of Allan Ho, M.D., Department of OB/GYN. graduated from The Medicine, and then completed a residency at Dr. Ho graduated from New York Medical George Washington Thomas Jefferson University Hospital, and a College (Valhalla) and completed an School of Medicine fellowship in Gastroenterology and Hepatol - internship and residency at Maimonides (Washington, D.C.) then ogy at The University at Buffalo, The State Medical Center (Brooklyn). Dr. Ho is Board completed an internship and residency University of New York. Dr. Miller is Board Certified in OB/GYN and has an office at Abington Memorial Hospital. Dr. Mercurio Certified in Internal Medicine and has joined in West Grove. has joined Associates for Women’s Medicine. the West Chester Gastrointestinal Group. Arthur Hodess, M.D., Department of William Merriam, Jennifer Spector, D.P.M., Department Medicine, Section of Cardiology. Dr. Hodess M.D., Department of of Surgery, Section of Podiatry. Dr. Spector graduated from Columbia University College Surgery, Section of graduated from Temple University School of Physicians and Surgeons (New York, NY) Urology. Dr. Merriam of Podiatric Medicine, and then completed and completed an internship, residency and graduated from MCP a residency at Christiana Care (Newark, DE). fellowship at the Hospital of the University Hahnemann School of Dr. Spector has joined the Accurate Foot and of Pennsylvania. Dr. Hodess is Board Certified Medicine, and then Diabetic Care podiatry practice. in Internal Medicine, Cardiovascular Disease completed an internship at the University of and Critical Care Medicine and is in practice with Brandywine Valley Cardiovascular Massachusetts Medical School (Worcester), Dawn Thornton, Associates. and a residency at Thomas Jefferson Univer - D.O., Department of sity Hospital. Dr. Merriam has joined Urology Medicine, Section of Robyn Ivker, D.M.D., Department of Sur - Center of Chester County. Internal Medicine. Dr. gery, Section of Pediatric Dentistry. Dr. Ivker Thornton graduated graduated from Temple University School of Todd Michener, from Lake Erie College Medicine and completed an internship at M.D., Department of Osteopathic Medi - Temple University Hospital. Dr. Ivker has of Surgery, Section cine (Erie), and then completed an internship joined Children’s Dental Health Associates. of Orthopedics. Dr. and residency at Lehigh Valley Hospital Michener graduated (Allentown). Dr. Thornton is Board Certified Philip Pearson, M.D., Department of from Vanderbilt Univer - in Internal Medicine and has joined Gateway Surgery, Section of General Surgery (Colon sity School of Medicine Medical Associates. (Nashville, TN), and then completed an and Rectal Surgery). Dr. Pearson graduated from the University of Virginia School of Orthopaedic Surgery residency at the Jonathan Zieff, Medicine (Charlottesville), then completed a University of Pennsylvania, and a Sports D.O., Department of general surgery residency at Thomas Jeffer - Medicine fellowship at Steadman Hawkins Medicine, Section of son University Hospital, and a Colon and Clinic of the Carolinas (Spartanburg, SC). Dermatology. Dr. Zieff Rectal Surgery fellowship at the University of Dr. Michener has joined Chester County graduated from the Uni - Minnesota (Minneapolis). Dr. Pearson is Orthopedic Associates. versity of New England Board Certified in General Surgery and has College of Osteopathic joined Surgical Specialists, P.C. Medicine (Biddeford, ME), then completed an internship and residency at the University Daniel Pryma, M.D., Department of Hospital, State University of New York Radiology. Dr. Pryma graduated from Loyola at Stony Brook. Dr. Zieff is Board Certified University School of Medicine in Illinois Complimentary in Dermatology and has joined Main Line MEDICAL DIRECTORY (Chicago), and then completed a residency Dermatology. and fellowship at Memorial Sloan-Kettering Contact the Corporate Marketing Cancer Center (New York, NY). Dr. Pryma is office at [email protected] Board Certified in Nuclear Medicine. or 610.738.2793.

THE CHESTER COUNTY HOSPITAL 13 OFFICERS Courtesy Staff Courtesy Staff Courtesy Staff Mian A. Jan, M.D., Kent Bream, M.D. Bernard Greenberg, M.D. Chhinder Binning, M.D. Chief of Staff Susan Dallas Feeney, D.O. Seth Haplea, M.D. Consulting Staff William Clay Warnick, M.D., Jonathan K. Hetzel, M.D. Consulting Staff Vice Chief of Staff Joseph LaBricciosa, D.O. Ronald Rubin, M.D. Leonard R. Geiger, M.D. Pamela P. Scott, M.D., Sheldon Lebovitz, D.O. SECTION OF Secretary Treasurer Raymond S. McLaughlin, M.D. INFECTIOuS DISEASES Thomas Graham, M.D. Fred M. Weinblatt, M.D. Leonard Schuchman, D.O. Attending Staff EXECUTIVE COMMITTEE Pedro Solanet, M.D. Nasrin Golshan, M.D., Chief SECTION OF Patricia A. Laffey, M.D., PHYSICAL MEDICINE Emeritus Staff Marguerite W. Werrin, M.D. Chairman Attending Staff Arthur Byler, M.D. Courtesy Staff William Atkins, M.D. Robert J. Kreb, III, M.D., Robert H. Hanna, M.D. Kimberly Bay, M.D. Raida Rabah, M.D. M.P.H., Chief Walter L. Kester, M.D. Richard D. Donze, D.O. David B. Trevino, M.D. Daniel Kane, M.D. (Ex Officio) L. Clifford Lewis, M.D. SECTION OF NEPHROLOGY Pat Riley, M.D. Scott Garber, M.D. Robert B. McKinstry, M.D. Barry C. Hertz, M.D. Robert Poole, M.D. Medical Staff Attending Staff Courtesy Staff Ruth Holland, M.D. Lewis Savar, D.O. Ambereen Jan, M.D. Pasquale Colavita, D.O. Andrew Sitkoff, D.O. Jeffrey M. Wahl, M.D. Robert H. Huxster, M.D. Herman J. Michael, M.D. Brian Murphy, D.O. Honorary Staff Rashna Staid, M.D. William Clay Warnick, M.D. Heidar K. Jahromi, M.D. Matthew Schaeffer, M.D. Francis P. Rohrmayer, M.D. Jean B. Stretton, M.D. Courtesy Staff Mian A. Jan, M.D. Courtesy Staff Jane Sunoo, M.D. Sat P. Arora, M.D. SECTION OF PSYCHIATRY Franklin Kelton, M.D. Affiliate Staff Isaac Ti Yuen Tam, M.D. David Bernbaum, M.D. Sean Dorrell, M.D. Jeffrey Melini, D.M.D. Stephanie Bennett, D.O. Attending Staff Parineetha Thangada, M.D. Antonio Chamoun, M.D. Steven Han, M.D. Mary-Anne Ost, M.D. Angela Davis Brown, M.D. M. Anjum Irfan, M.D., Chief Dawn Thornton, D.O. Donald Ferrari, D.O. C. Nathan Okechukwu, M.D. Gabriel Ruggiero, D.O. Maureen Buckley, M.D. John Walsh, D.O. Arthur Hodess, M.D. Matthew Smith, M.D. Visiting Staff Scott Saul, M.D. Elizabeth Cerva, D.O. Marguerite W. Werrin, M.D. Thomas Metkus, M.D. Randolph G. Westby, M.D. Burton T. Mark, D.O. Pamela P. Scott, M.D. Cheryl Hlavac, M.D. Ronald J. Werrin, M.D. Michael Sabadish, M.D. Andrew Sitkoff, D.O. Melanie S. Ice, D.O. Alan Troy, M.D. SECTION OF Courtesy Staff PuLMONARY DISEASES Fredric Squires, M.D. Steven Lewis, D.O. Courtesy Staff George Adams, M.D. SECTION OF William Clay Warnick, M.D. Brandt S. Loev, D.O. Attending Staff Stephen D. Conrad, M.D. ENDOCRINOLOGY Emeritus Staff Thomas Marino, D.O. & METABOLISM Barry C. Hertz, M.D., Chief Indranee Elanchenny, M.D. Eugene A. Jaeger, M.D. DEPARTMENT OF John Potts, D.O. Andrew Brown, D.O. Douglas Lieberman, M.D. Attending Staff FAMILY PRACTICE David Rooney, M.D. Donald Emery, M.D. Honorary Staff Martye Marshall, M.D. Mariele Briones, M.D. Mary-Anne Ost, M.D., Margaret M. Stroz, M.D. Renee Giometti, M.D. Hardy Sorkin, M.D. Matthew S. Kane, M.D. E. Lee Porter, M.D. Chairman Christine Tressel, D.O. Joseph E. Trojak, M.D. George Lieb, M.D. Consulting Staff John Riccardo, Jr., D.O., Emeritus Staff Rajesh Patel, M.D. Vice Chairman DEPARTMENT OF Emeritus Staff Harold H. Orvis, M.D. John H. Roberts, M.D. Nicholas D'Orazio, M.D. Edward A. Kelly, Jr., M.D., MEDICINE Harold H. Orvis, M.D. William Plummer, III, M.D. John Wang, M.D. Peter D. Schindler, M.D. Secretary Mian A. Jan, M.D., SECTION OF Consulting Staff SECTION OF SECTION OF Chairman PuBLIC HEALTH Attending Staff Constance C. McKelvy, M.D. GASTROENTEROLOGY RHEuMATOLOGY Karl Zimmerman, M.D., Lawrence K. Alwine, D.O. Ronald Rubin, M.D. Consulting Staff Vice Chairman Attending Staff Attending Staff Charles J. Barr, M.D. John P. Maher, M.D., M.P.H. Shabih Khan, M.D., Laurence M. Weinberg, Michael Rosen, M.D., Chief Stephen F. Belfiglio, D.O. Affiliate Staff Secretary M.D., Chief Anne C. Bowen, M.D. Courtesy Staff Bruce A. Colley, D.O. Matthew Baichi, M.D. DEPARTMENT OF SURGERY SECTION OF Lisa B. Johnson, M.D. Steven J. Dickter, M.D. Reina Bender, M.D. Ronald Krauser, M.D. Robert H. Huxster, M.D., Steven M. Ginsburg, D.O. INTERNAL MEDICINE SECTION OF ALLERGY David Bobman, M.D. SECTION OF DERMATOLOGY Chairman AND IMMuNOLOGY Leonard C. Giunta, D.O. Attending Staff Alex Kuryan, M.D. Scott Garber, M.D., Attending Staff Mary Lisa Gunning, M.D. Karl Zimmerman, M.D., Chief Attending Staff Carrie Miller, M.D. Vice Chairman I. Dennis Holgado, D.O. J. Edgar Alarcon, M.D. Drew McCausland, M.D., Alexander Keszeli, D.O., Guillermo R. Juncos, M.D., David Neiblum, M.D. Chief Edward A. Kelly, Jr., M.D. Douglas Atlas, M.D. Chief Secretary Andrew E. Schwartz, M.D. Jamea Campbell, M.D. George H. Limpert, M.D. Helise Bichefsky, D.O. Andrew Murphy, M.D. Elyse Seidner-Joseph, M.D. Michael Damiano, M.D. SECTION OF Antoninus J. Manos, D.O. Antonette Brigidi, M.D. GENERAL SuRGERY SECTION OF CARDIOLOGY Valerie McAuley, D.O. Stephanie Ciccarelli, M.D. Courtesy Staff David Manion, M.D. Attending Staff Michael McGuire, M.D. Ronald Fronduti, M.D. Attending Staff Steven J. Goldstein, M.D. Adrienne Rencic, M.D. Kenneth Witterholt, M.D., Frederic Meyers, M.D. Robert A. Rhodes, M.D. Boyd C. Myers, M.D. Ruth S. Holland, M.D. Nicholas A. Vaganos, M.D., Chief Chief Michael Waronker, D.O. Scott Schafrank, M.D. Bao-Dan Nguyen, D.O. Harry J. Hutchinson, III, D.O. Kenneth Boyd, M.D. Monica Norris, M.D. Timothy J. Boyek, M.D. Jonathan Zieff, D.O. Basil S. Jawad, M.D. SECTION OF Steven Fukuchi, M.D. Alain Efstratiou, M.D. Mary-Anne Ost, M.D. Dwight Johnson, D.O. HEMATOLOGY/ONCOLOGY Courtesy Staff Samir Parikh, M.D. Rita Falcone, M.D. Robert L. Parsons, D.O. Vinod K. Kataria, M.D. Attending Staff Scott Gottlieb, M.D. Donelle Rhoads, M.D. Hope Helfeld, D.O. John Riccardo, Jr., D.O. Jatin Kyada, M.D. Calvin Lu, M.D., Chief Anthony Santoro, M.D. Pamela P. Scott, M.D. Richard Hui, M.D. Edward P. Rock, D.O. Azza Kenawy, M.D. Dennis A. Berman, M.D. Michael Saruk, M.D. George A. Trajtenberg, M.D. Gabriel Ruggiero, D.O. Shabih Khan, M.D. Mian A. Jan, M.D. David Grossman, M.D. SECTION OF NEuROLOGY L. Peter Soraruf, IV, M.D. Catherine Lubwama, M.D. Joseph Lewis, M.D. Maureen Hewitt, M.D. Visiting Staff George Spyropoulos, D.O. Christine Meyer, M.D. Gregg Neithardt, M.D. Cheryl A. Johnson, M.D. Attending Staff William M. Dellevigne, M.D. Karen Squire, M.D. Matthew Ochs, M.D. Robert Perdoncin, M.D. William E. Luginbuhl, M.D. Heidar K. Jahromi, Courtesy Staff Cindi Oh, M.D. Marc Platt, M.D. James Patterson, M.D. M.D., Chief Visiting Staff Philip Pearson, M.D. Uzma Quraishi, M.D. Donna Marie Reed, D.O. Molly Stumacher, M.D. Philip Adelman, M.D. Earl R. Trievel, D.O. William Simon, D.O. Michele Tedeschi, M.D. Brian Kelly, M.D.

14 SYNAPSE Consulting Staff SECTION OF Gary F. Wingate, M.D. Robyn Ivker, D.M.D. SECTION OF PERINATOLOGY Emeritus Staff OPHTHALMOLOGY (Pediatric) N. Scott Adzick, M.D. Sean Wright, M.D. Attending Staff Coulson A. Conn, M.D. (Pediatric) Attending Staff Sadhu Ram Kataria, D.D.S. Robert B. McKinstry, M.D. Courtesy Staff Garrett Colmorgen, M.D. Ignatius S. Hneleski, Jr., Robert M. Krauss, D.M.D. Nicholas G. Spyropoulos, SECTION OF Roslyn C. Souser, M.D. Wadia Mulla, M.D. CARDIAC SuRGERY M.D., Chief (Endodontics) M.D. Brian Bigler, M.D. Michael Lemper, D.M.D. Courtesy Staff Attending Staff Consulting Staff Affiliate Staff John DeStafeno, M.D. (Pediatric) Carolyn Hadley, M.D. Verdi DiSesa, M.D., Chief Benjamin Chang, M.D. Richard C. Nelson, D.D.S. Jerome Hric, M.D. Carolyn Glazer- (Pediatric) Martin LeBoutillier, III, M.D. Glenn W. Paskow, D.M.D. SECTION OF REPRODuCTIVE Hockstein, M.D. ENDOCRINOLOGY SECTION OF ALLERGY SECTION OF uROLOGY SECTION OF Beth Handwerger, M.D. Richard M. Ram, D.M.D. AND IMMuNOLOGY VASCuLAR SuRGERY Donald L. Robbins, D.M.D. Courtesy Staff Ignatius S. Hneleski, III, M.D. Attending Staff Attending Staff Rodney S. Smith, D.M.D. Michael Glassner, M.D. Attending Staff Raymond R. Jones, M.D. Kenneth P. Collins, M.D., Chief Mahmoud Effat, M.D. (Orthodontics) John J. Orris, D.O. Ronald Mattson, M.D., Chief Robert P. Liss, M.D. Donald Andersen, M.D. Richard Tanzilli, D.M.D. George W. Kern, IV, M.D. Ananth Vijay Mudgil, M.D. Kenneth Fitzpatrick, M.D. William Pfeffer, M.D. Gerald Patton, M.D. (Orthodontics) Nawal G. Metry, M.D. Sean Ryan, M.D. Bruce Saran, M.D. Deborah A. Kulp, M.D. Neil Elliott Weiss, D.M.D. DEPARTMENT OF Courtesy Staff Bruce I. Stark, M.D. William Merriam, M.D. (Periodontics) Courtesy Staff PEDIATRICS Heatly Sebring, M.D. Rebecca Ward, M.D. Jeffrey Rosenblum, M.D. N. Wayne Zaayenga, D.M.D. Ali Ahmadinejad, M.D. Kimberly Bay, M.D., SECTION OF CARDIOLOGY Orville H. Domingo, M.D. Courtesy Staff Courtesy Staff Emeritus Staff Chairman Gary J. Levin, M.D. James R. Bollinger, M.D. Karen Pinsky, M.D., Courtesy Staff SECTION OF ANESTHESIA Charles R. Weber, D.M.D. Steven K. Luminais, M.D. Michael Chiusano, D.O. Vice Chairman/Secretary Marie Gleason, M.D. Attending Staff Gregory M. Thompson, M.D. Stephen Paridon, M.D. Emeritus Staff DEPARTMENT OF OBSTET - Attending Staff Scott Garber, M.D., Chief RICS AND GYNECOLOGY Thomas S. Johnston, M.D. Emeritus Staff Kimberly Bay, M.D. SECTION OF Craig Steiner, M.D., Chief Richard B. Kent, M.D. William Atkins, M.D., Jill Brazelton, M.D. GASTROENTEROLOGY Louis Boxer, M.D. William Morton, M.D. Chairman Una Brewer, M.D. Courtesy Staff Catherine DiGregorio, M.D. SECTION OF ORAL AND Consulting Staff Dianne Hotmer, M.D., Carol Curley, M.D. Daphne Florence, M.D. MAxILLOFACIAL SuRGERY Chris A. Liacouras, M.D. Stephen Zderic, M.D. Vice Chairman Francesco D'Urso, M.D. Julius Heyman, M.D. SECTION OF NEONATOLOGY Attending Staff (Pediatric) Celeste DeBaptiste, M.D., Mark Faber, M.D. Jill Krasner, M.D. James F. Gustainis, D.M.D., Secretary SECTION OF NEuROSuRGERY Jeffrey S. Fendrick, M.D. Attending Staff Russell Levin, M.D. Chief Christina Ellis, M.D., Jessy John, M.D. Jennifer Kaplan, M.D. Marc Romisher, M.D. Cynthia Trentacosti, D.D.S. Attending Staff Secretary Thomas Kalkiewicz, M.D. Pamela Russell, M.D. Marshall Strode, M.D. Jeffrey Yablon, M.D., Chief Courtesy Staff SECTION OF OB/GYN George W. Kern, IV, M.D. Kirby S. Tirk, M.D. Courtesy Staff Fredrick C. Disque, D.M.D. Emeritus Staff Attending Staff Shanti Krishnan, M.D. Cherie Foster, M.D. Emeritus Staff Pierre L. LeRoy, M.D. Jennifer Akins, M.D. L. Gregory Lawton, M.D. Emeritus Staff Helene Lebischak, M.D. Lawrence Bernberg, M.D. Alan M. Askinas, M.D. Helen Matthews, M.D. Joseph R. Pisano, D.D.S. Honorary Staff Iyalla Peterside, M.D. Alexander Keszeli, M.D. William R. Atkins, M.D. Daniel May, M.D. Robert L. Bell, M.D. Mary Ellen Skalina, M.D. Honorary Staff Cheryl Bellaire, M.D. Neha Mehta, M.D. Consulting Staff SECTION OF PODIATRY Renee Bender, D.O. Christopher Meyer, M.D. SECTION OF NEuROLOGY A. Michael Broennle, M.D. Frederick W. Bahler, D.D.S. William Brazerol, M.D. Sharon D. Oehler, M.D. (Pediatric) Attending Staff Consulting Staff SECTION OF Neil D. Pennington, M.D. OTOLARYNGOLOGY – Alan L. Meshon, D.P.M., Chief Celeste DeBaptiste, M.D. Christina Bergquist, M.D. SECTION OF ORTHOPEDICS Karen Pinsky, M.D. HEAD & NECk SuRGERY Steven Chen, D.P.M. Melissa Delaney, D.O. Peter Berman, M.D. Christina Ellis, M.D. Lori Schwartz, M.D. Attending Staff Attending Staff Timothy Chen, D.P.M. Amy Brooks-Kayal, M.D. Robert Friedman, M.D. Constantine Serkes, M.D. John H. Benner, IV, M.D., Michael Picariello, M.D., David Erfle, D.P.M. Robert Clancy, M.D. Chief Chief Bradford Jacobs, D.P.M. Corazon G. Gemil, M.D. Visiting Staff Dennis Dlugos, M.D. Morrie G. Gold, M.D. Robert H. Huxster, M.D. Mark E. Beaugard, M.D. Erin McGovern, D.P.M. David J. Cooper, M.D. Eric Marsh, M.D. Dianne Hotmer, M.D. John Manta, M.D. Andrew Chuma, M.D. Lisa Michaels, D.P.M. Richard W. Rissmiller, D.O. Margarita Meehan, M.D. Todd Michener, M.D. Alexander Keszeli, D.O. Theodore G. Mushlin, D.P.M. Pamela Kurey, M.D. Brenda Porter, M.D. Cheston Simmons, Jr., M.D. Joseph L. Smith, II, M.D. Julia Siegerman, D.P.M. Richard J. Mansfield, M.D. Courtesy Staff Donald Younkin, M.D. Adrienne Towsen, M.D. Michael J. Ward, M.D. Jennifer Spector, D.P.M. Eduardo Mercurio, M.D. Halette Anderson, M.D. Richard W. Ziegler, M.D. Sean Walpole, D.P.M. Lydia G. Slavish, M.D. Joseph Becker, D.O. DEPARTMENT OF Visiting Staff Sandra Becker, M.D. PATHOLOGY Courtesy Staff Courtesy Staff Alfred J. Mauriello, II, M.D. Courtesy Staff Loretta D. Bonanni-Metkus, Kenan Aksu, D.O. Richard Conti, D.P.M. Edwin Abbott, D.O. M.D. Attending Staff Andrew S. Frankel, M.D. Courtesy Staff Daniel D. Beninati, M.D. Janice H. Dickter, M.D. James I. Heald, M.D., Consulting Staff Christopher Lyons, M.D. Roy Stoller, D.O. Ronald P. Clauhs, M.D. Michael Dreyer, M.D. Ph.D., Co-Chairman Michael Maggitti, M.D. Ronald H. Melincoff, D.P.M. Carol L. Coldren, M.D. Emeritus Staff Norman L. Fienman, M.D. Scott H. Saul, M.D., Allan Ho, M.D. Co-Chairman Emeritus Staff Maury Hoberman, M.D. SECTION OF DENTISTRY Rosamary Giacobbe, M.D. Helen Kuroki, M.D. Henry Karsch, D.O. Mehmet Goral, M.D. Jack Bocher, M.D. William S. Lovrinic, M.D. Courtesy Staff Bethany Kutz, M.D. Liza Perez Ferrizzi, M.D. Harold M. Broder, M.D. Jeffrey Melini, D.M.D. Emeritus Staff Consulting Staff Ira LaVoe, D.O. Zachary B. Friedenberg, M.D. (Pediatric), Chief Joseph L. Abbott, M.D. Emeritus Staff Lawrence Tom, M.D. Jodi Levine, M.D. Michael J. Ward, M.D. Thomas A. Brady, D.M.D. Charles W. Korbonits, M.D. Eugene A. Bentley, Jr., M.D. (Pediatric) Manyan Ng, M.D. Charles R. Wolf, M.D. (Orthodontics) Albert A. Lucine, Jr., M.D. Hugh Bonner, M.D. SECTION OF PLASTIC Glenn A. Burkland, D.M.D. Sidney C. Rabin, M.D. Lisa O'Mahony, M.D. Consulting Staff AND RECONSTRuCTIVE (Orthodontics) Jennifer Shrager, M.D. SuRGERY Mohammad I. Rowghani, M.D. DEPARTMENT OF John Flynn, M.D. (Pediatric) Stephen Chermol, D.M.D. Ekrem Turan, M.D. Barbara Stipe, M.D. RADIOLOGY (Periodontics) Erica Turner, M.D. Attending Staff Fredric Squires, M.D., Eric Felix, D.M.D. SECTION OF Wendy Wallace, D.O. Paul S. Kim, M.D., Chief GYNECOLOGIC ONCOLOGY Chairman David C. Kim, M.D. (Pediatric) Debra Zussman, M.D. David Singer, M.D. David Iglewicz, D.M.D. Courtesy Staff (Pediatric) Michael Stefan, M.D. Joel Noumoff, M.D.

THE CHESTER COUNTY HOSPITAL 15 Attending Staff Harry Chen, M.D. Margaret McKernan, M.D. SECTION OF RADIATION Ramesh Rengan, M.D. Attending Staff William J. Barry, M.D. Steven Ciabattoni, M.D. Christopher Miller, M.D. ONCOLOGY Jeffrey Rosenstock, M.D. Dudley Backup, M.D. Philip Bergey, M.D. Michael Cooney, M.D. Kimberly Miller, M.D. Attending Staff Lawrence Solin, M.D. Ricardo Gelman, M.D. Steven Borislow, M.D. Simin Dadparvar, M.D. Andrew Newberg, M.D. William P. Levin, M.D., Chief Terry Styles, M.D. Diana Kane, M.D. Edward Carter, M.D. John M. Egan, D.O. James Norconk, M.D. Ann Marie Siegal, M.D. Zelig Tochner, M.D. Franklin C. Kelton, Jr., M.D. Chaitanya Divgi, M.D. Timothy Fisher, M.D. Thomas Pettinger, M.D. Neha Vapiwala, M.D. Beverly Mikuriya, M.D. Frank Du Pont III, M.D. Britta Gooding, M.D. Lisa Pinheiro, M.D. Courtesy Staff Richard Yelovich, M.D. Jeanne Rubenstone, M.D. Jeffrey Gramp, M.D. Maheep Goyal, M.D. Daniel Pryma, M.D. Keith Cengel, M.D. B. Richard Stiles, D.O. SECTION OF uLTRASOuND Patricia A. Laffey, M.D. Steven Greenberg, M.D. Pamela Puder, M.D. Won Chang, M.D. Geoffrey J. Winkley, M.D. Mimi Pinto, D.O. Antje Greenfield, M.D. Thomas Quinn, M.D. Et-tsu Chen, M.D. Attending Staff Courtesy Staff Jonathan Rubin, M.D. Laurie Gutstein, M.D. Ritu Rajwar, M.D. Heather Curry, M.D. Patricia A. Laffey, M.D. B. Royce Russell, Jr., M.D. Vikram Hatti, M.D. Guy Ross, M.D. Christopher Gallagher, M.D. Christopher Ware, M.D. Mary Scanlon, M.D. Peter Holt, M.D. Douglas Rusnack, M.D. Anjali Gupta, M.D. DEPARTMENT OF SECTION OF Barry Smoger, M.D. Mabel Jones, M.D. Russ Savit, M.D. Stephen Hahn, M.D. EMERGENCY MEDICINE OCCuPATIONAL MEDICINE Gary Kao, M.D. Fredric Squires, M.D. Thomas Jones, M.D. Lee Secrist, M.D. Franklin C. Kelton, Jr., M.D., Courtesy Staff Lilie Lin, M.D. Chairman Asha Kovalovich, M.D. Bradley Snyder, M.D. Richard D. Donze, D.O., M.P.H. Courtesy Staff Robert Lustig, M.D. Dudley Backup, M.D., Lisa Klein, M.D. John Thomas, M.D. Joel H. Mattleman, D.O. Dean Batten, M.D. Frederick Kraus, M.D. Rolf Tonseth, M.D. Amit Maity, M.D. Vice Chairman Michael Bleshman, M.D. Mark Kuzucu, M.D. Thomas Vreeland, M.D. James Metz, M.D. B. Richard Stiles, D.O., Affiliate Staff Secretary John Boardman, M.D. David Levy, M.D. Gregory Ochsner, M.D. Susan Blydenburgh, M.D. Emeritus Staff George Bocobo, M.D. Evan Madianos, M.D. Harry Quon, M.D. Richard Chalfin, M.D. David Burdette, M.D. David Malamed, M.D. William F. Foxx, M.D. Margaret Stroz, M.D. Edward Callaway, M.D. Paul Mayer, M.D. George Zeiner, M.D. Accreditations & Affiliations

ACCREDITED BY MEMBER OF COOPERATIVE Crozer-Chester Medical Immaculata College — University of Delaware — RELATIONSHIP Center — Nurse Nutrition Physical Therapist Program The American Hospital The Joint Commission on Anesthetist Program Association University of Pennsylvania Immaculata College — University of Pennsylvania Accreditation of Healthcare Delaware County Community R.N. Degree School of Nursing The Hospital Association of Health System Organizations College — Associate Completion Program Pennsylvania University of Pennsylvania College of American Degree in Nursing and Jefferson Health System — School of Nursing — Nurse The Delaware Valley Hospital Pathologists CLINICAL AFFILIATIONS other Allied Health Ultrasound and Cardiac Anesthetist Program Council, Inc. American College of Programs Ultrasound University of The American Association of The Children's Hospital of Radiology Delaware Technical and Neumann College — Physical Pennsylvania School of Blood Banks Philadelphia American Association of Community College — Therapist Program Medicine — Clinical Blood Banks United Way of Chester County University of Pennsylvania Physical Therapist Health System — Cancer, Pennsylvania Hospital — Clerkship in Obstetrics and American Association of The Penjerdel Council Assistant Program GYN Residency Program Gynecology for Third Year Cardiovascular and Radiology, Radiation Health and Welfare Council of Oncology Drexel University College of Philadelphia College of Students Pulmonary Rehabilitation Chester County, Inc. Nursing and Health Osteopathic Medicine — West Chester University — Nuclear Regulatory Board Crozer Keystone Health Professions — Physical Emergency Medical Services Network — Perinatology, Elective Medical Student Cardiac Rehabilitation Centers for Medicare and Council Therapist Program, Nurse Rotations West Chester University — Gynecologic Oncology Anesthetist and Physician Medicaid Services (CMS) Chamber of Commerce of Philadelphia College of Health Care Administration Cleveland Clinic — Heart Assistant Students Greater West Chester Surgery Osteopathic Medicine — Education Chester County Chamber of Gwynedd Mercy College Physician Assistant West Chester University — APPROVED BY Business and Industry Invasive and Non-Invasive Program Nursing Education Cardiology including: The Pennsylvania Exton Region Chamber of TEACHING AFFILIATIONS Philadelphia University — West Chester University/Bryn Cardiovascular Department of Health Commerce Physician Assistant Mawr Hospital — Alvernia College — Physical Technicians, Vascular and American College of Students Respiratory Therapy Southern Chester County Therapist Assistant Cardiac Ultrasound Surgeons (Cancer) Chamber of Commerce South Hills School — Clinical West Chester University — Program Harcum Junior College — Pennsylvania Medical Internship in Cardiac Speech Therapist Program Maternal and Child Health Arcadia University — Medical Laboratory Society (CME) Ultrasound Consortium of Chester Physical Therapist Program Technician Program Widener University — County Thomas Jefferson University Physical Therapist Program Bloomsburg University — Harcum Junior College — — Physical Therapist Chester County Healthy Speech Therapist Program Physical Therapist PARTNER Communities Partnership Program Center for Arts and Assistant Program Ultrasound Diagnostic NuRSING EDuCATION Voluntary Hospitals of Chester County Economic Technology — Brandywine Harrisburg Community School — Clinical America, Inc. Development Council Campus — School of College — Ultrasound and Pennsylvania State Externship in Cardiac and Health Care Advisory Board Practical Nursing Cardiac Ultrasound, Board of Nursing Diagnostic Ultrasound Cardiovascular Technician, EKG Technician

e health services provided by e Chester County Hospital are available for all persons without regard to race, color, creed, age, sex, sexual preference, national origin or handicap. e Chester County Hospital is an Equal Opportunity Employer.

16 SYNAPSE Annual Report 2007

T H E C H E S T E R C O U N T Y H O S P I T A L

Ahead of the curve and just around the corner

THE CHESTER COUNTY HOSPITAL 17 Letter from the President

In the life of The Chester County Hospital, we have celebrated many ‘firsts.’ We were the County’s first healthcare institution. We founded the first School of Nursing and opened the first pediatric ward. We implemented the first paramedic unit. We provided the County with its first cardiac catheterization service and performed the first open heart surgery. We have the first Level III Neonatal Intensive Care Unit, still the only one in Chester County. And we were the first to offer tertiary-level radiation oncology and cancer care, close to home.

As I briefly highlight our many ‘firsts,’ I must also acknowledge one very significant ‘last.’ We are the last truly independent healthcare provider in the region. Why is this noteworthy? As a stand-alone, not-for-profit facility, The Chester County Hospital can provide you with the best care at the most reasonable price. Pair this with excellent quality indicators, a sophis - ticated medical and nursing staff, and the provision of high-caliber services, patients from our area and beyond are turning to us for care. While welcome, this demand places a strain on our operations, as I’m sure you can understand. Now more than at any other point in our history, new growth through expansion is of vital importance to accommodate the growing healthcare needs of our community.

This year’s Annual Report is a reflection of community members who have generously come forward to help meet our goal for future growth. In September, this expedition began with the kick off of our capital campaign – Advancing Care. Building Community. Many of our physicians, employees, board members, administrators and friends have already pledged their support with contributions to this ongoing campaign. We are grateful for their generosity, and we are continuing our appeal to the community for support. The benefits that an independent hospital provides to the infrastructure of one’s community are important. Providing such care is our founding mission but it does come with a cost. To be here for you, your family and the generations of loved ones to come, your support of our plan for growth is necessary to help guarantee that the significant ‘last’ of which we are so proud – the independent status of The Chester County Hospital – will be secure for years and years to come. Warm regards,

H.L. Perry Pepper President 18 PROPOSED ExTERIOR ADVANCING CARE. BUILDING COMMUNITY.

Today, The Chester County Hospital serves as the only independent, community- owned, community-governed non-profit hospital in Chester County. It maintains its commitment to delivering the highest quality of healthcare to the community it has served for 115 years. In addition to general medical and surgical services, the Hospital specializes in cardiovascular care, cancer diagnosis and treatment, orthopedics and a broad range of women’s health services. Its specialty programs are unique in bringing strong clinical affiliations to the community. The Level III Neonatal Intensive Care Unit and the pediatrics program work in partnership with The Children’s Hospital of Philadelphia and are staffed full time by Children’s Hospital specialists. The Cancer Center of Chester County is owned jointly by the Hospital and the Abramson Cancer Center of the University of Pennsylvania; and the cardiac surgery program in The CardioVascular Center is affiliated with Cleveland Clinic. This affiliation with the #1 Heart Program in the country will help The CardioVascular Center become a leading regional provider of heart services in the Delaware Valley.

Chester County is growing at a very rapid rate and the Hospital must keep pace with the growth so that it can accommodate all who seek care. With the aging of the population, and the steady increase in heart disease, the demand for cardiac services will continue to rise.

In just five years, regional demand for services at the Hospital’s CardioVascular Center has KICK-OFF GUESTS increased substantially. Now, with the Cleveland Clinic affiliation, that demand will increase at DR. DENNIS BERMAN, DR. NICK VAGANOS AND MRS. CARLA BERMAN an even more rapid rate. In the planned Heart Hospital within the Hospital, all cardiovascular PROPOSED INTERIOR services will be organized to best meet the needs of the patients and their families, to provide efficient and effective patient flow, and to improve patient and physician satisfaction. At the same time, the construction of the Heart Hospital will alleviate stresses on other sections of the Hospital which are now straining under the pressures of increasing demands. Finally, as the only such specialty center in the Delaware Valley, the Heart Hospital will be a unique regional resource for the prevention, diagnosis and treatment of cardiovascular disease. The Capital Campaign is being undertaken to support the construction of the Heart Hospital.

To once again meet the needs of the community, the Hospital has embarked on a building plan to add a new wing to the Hospital that will: Ẅ achieve The CardioVascular Center’s goal of consolidating all cardiovascular services into a single location – the Heart Hospital within the Hospital; ẅ add 48 new patient rooms, with space to expand to 72 patient rooms; Ẇ add additional operating and procedural rooms; and ẇ increase efficiencies in the Emergency Department. The facility is projected to cost $110 million, and while the Hospital plans to finance most of the cost through a bond issue, it has also embarked on a comprehensive fundraising campaign to raise $30 million with at least $25 million of that total to be raised toward the construction cost of the building. Groundbreaking is scheduled for spring 2008 with completion projected to occur in 2010.

After a “silent phase” of the Campaign in which 100% participation from Board members and senior administration was secured, as well as several pace-setting leadership gifts, the CAMPAIGN CO-CHAIR Hospital publicly announced the Campaign in September 2007 and is now asking the com - JOHN A. FEATHERMAN, III munity at large to support this effort.

As of December 31, 2007, The Chester County Breakdown of the $20,732,975 total: Hospital Foundation had raised $24,333,867 $12,378,756 Individual Gifts toward the $30 million Comprehensive $7,441,498 Corporate/Foundation Gifts Campaign goal (81% of goal) with $20,732,975 $649,516 Physician Gifts of that amount designated to the $25 million $263,205 Employee Gifts goal (83%) for construction of the new facility. Capital Campaign

THE CAPITAL CAMPAIGN SUPPORTS THE HOSPITAL’S PLANS TO EXPAND ITS CAPACITY TO BETTER SERVE THE GROWING

POPULATION OF CHESTER COUNTY. THE FOLLOWING INDIVIDUALS, FOUNDATIONS AND CORPORATIONS MADE GIFTS OR

PLEDGE PAYMENTS OF $100 OR MORE DURING FISCAL YEAR 2007 WHICH SPANNED JULY 1, 2006 THROUGH JUNE 30, 2007.

WE THANK THEM FOR THEIR GENEROUS AND CONTINUING SUPPORT. AT THE CONCLUSION OF THE CAMPAIGN,

A REPORT OF ALL CAMPAIGN GIFTS WILL BE PUBLISHED.

$1 million or more Rencourt Foundation Nadine Atkinson John and Michele Francis Mrs. Eileen McGovern Crystal Trust Hon. Walter and Mrs. Mrs. Mary Jo Bacho Janice Fritsche Ms. Julia McLean Longwood Foundation, Inc. Georgianna H. Stapleton Ms. Janice Baker Donna and Joseph Froio Ms. Patricia McNelis Mr. and Mrs. William S. Mr. Michael D. Barber Julie Funk Daniel E. Mellinger and $500,000 – $999,999 Wood, II Katherine M. Barr Mr. and Mrs. Stephen A. Laurie A. Mellinger, Ph.D. Mr. and Mrs. Robert D. Mrs. C. B. Zimmerman Ms. Nancy Bates Garrison Deb Mellon – OB Clinic McNeil $2,500 – $4,999 Mr. Gregory Bay Barbara Geisel Ms. Moira Meyreles Ms. Sarah M. Gillespie Ms. Claire W. Miller $100,000 – $499,999 Ms. Nancy O. Carr Sue Bechhold Mr. John Gose Ms. Linda Miller Anonymous Mr. and Mrs. J. Gibson Mr. Brian Becker Mr. and Mrs. Henry I. McIlvain, III Christine Biggs H. Scott Greenley Ginny Moll Brown, III Modern Mushroom Mr. and Mrs. J. Jeffrey Bowden Ms. Kathy Grier Darlann Morgan Mr. John J. Ciccarone Farms, Inc. Ms. Donna Bowles Ms. Laura J. Grunwell Charlene A. Morelli Lester M. Bowman Mr. and Mrs. Louis J. Steve and Donna Mosakowski Estate of Mrs. Dorothy B. $1,000 – $2,499 Hertig Ms. Marilyn I. Branton Guardiani Barbara L. Myers Mr. and Mrs. Oscar Lasko Dr. and Mrs. John H. Mrs. Mary T. Brauman Anne-Marie B. Guthrie Mr. and Mrs. Hai V. Nguyen Benner, IV Mr. and Mrs. George C. Ms. Barbara Brautigam Ms. Evelia Gutierrez Mr. Lan T. Nguyen Dr. and Mrs. Dennis A Berman Mason Steven W. Bray Claudia A. Haberle Ms. Susan A. Nichols The Roemer Foundation Dr. and Mrs. Harry J. Ms. Donna M. Hagerty Ms. Despina L. Nolan Hutchinson, III Beryl L. Biddle Ms. Barbara T. Hanson Karen A. Novielli $50,000 – $99,999 Kirkwood Foundation Mr. and Mrs. Joseph E. Buckley Lawrence Hart and Mr. George F. Otto First Cornerstone Mr. and Mrs. C. David Ms. Madeline Budzik Meredith Fetters Ms. Susan J. Parkyn Foundation, Inc. Murtagh Mary Burnett Ms. Daneen N. Hegarty Mr. and Mrs. H.L. Perry John Lazarich Foundation Miss Jean M. Oakes Robert H. Burnett Mr. Ray Hess Pepper Mr. and Mrs. Jack R. Loew Dr. and Mrs. Robert Poole Jessica Ann Hessel, RN Mr. and Mrs. Daniel J. Pickerd Mr. and Mrs. Carlos Questell Mr. and Mrs. Russ $25,000 – $49,999 Cacciavillano Donna and Bob Hetzel Susan M. Pizzi Mr. and Mrs. Edgar Scott, Jr. A. Duie Pyle, Inc. Mary Lou Callazzo Ms. Christine B. Hinks Eileen J. Polito Dr. and Mrs. L. Peter Pam Holler Hankin Foundation Soraruf, IV Nancy E. Canfield Kevin and Michelle Ralph Leigh and Greg Holman Mr. and Mrs. Dallas L. Krapf Dr. and Mrs. Fredric Squires Marie Cantwell Ms. Claire Reilly John and Jo Ann Carey L. Huber Leslie Faye Rice $10,000 – $24,999 Mr. Nicholas Trainer Jeanie Castaldi Mr. and Mrs. Richard F. Mr. William Saccomandi Mr. and Mrs. Francis H. $500 – $999 Mr. and Mrs. Richard Castle Huffman Angela Schiavello Abbott, Jr. Ms. Mary Ellen Josephs Mr. and Mrs. Gerard Caulfield John and Mary Kehner Mr. Matthew D. Schwab Anonymous Ms. Esther S. Peterson Ms. Sharon K. Clark Maureen Kenzakowski and Mr. and Mrs. Randy J. Scott Mr. and Mrs. Michael E. Family Mr. and Mrs. Joe T. Wootten Angela Coladonato Tammi Smith Drummond Mr. and Mrs. Edmond Kerollis Anne L. Conlon Barbara Snyder Mr. and Mrs. John A. $100 – $199 Ms. Sharon Kirkby Featherman, III Mr. and Mrs. Alexander In Memory of Alexi Soutos, Suzanne Simenhoff and Conroy The Knapp Family age 5 Mr. and Mrs. Michael Moran Dr. Louis Boxer Monica Ahern Convery Mr. and Mrs. Mark Kotarski Nancy Steward Mr. and Mrs. W. Thomas Ms. Mary A. Kurpinski Musser Medical Staff Division Jennifer Corse, BSN, RN, Dr. and Mrs. David Stocker CNOR Mrs. Maria D. Lain Phillips Mushroom Farms, L.P. Dr. and Mrs. John H. Benner, IV Ms. Sandra L. Tatnall Janet M. Daily, RN Dianne Lanham Mr. and Mrs. Robert G. Dr. and Mrs. Dennis A. Berman Mr. and Mrs. M.W. Taylor Mr. David Laurento Roskamp Dr. and Mrs. Harry J. Ms. Margaret C. Darlington Betty and Frank Tepper Ms. Edwina Lester Sartomer Company, Inc. Hutchinson, III Teresa Davidoff Victoria Toaltoan Andrea M. Levenite Mr. and Mrs. William W. Dr. and Mrs. William Ms. Linda D. Densmore Ms. Rebecca Toole Wylie, Jr. Plummer, III Joy M. Dodge Ms. Paula Levens Mr. and Mrs. Paul T. Vanore Dr. and Mrs. Robert Poole Mr. and Mrs. Frank J. Doll Colleen Leonard Leyden Ms. Patricia A. Wagner $5,000 – $9,999 Suzanne Simenhoff and Ms. Laura Donnelly Susanna W. Linton Ms. Inger Wallin Alumni School of Nursing of Dr. Louis Boxer Mr. and Mrs. Brent Douty Ms. Alice Longenecker Mr. and Mrs. Robert C. Wallis The Chester County Hospital Dr. and Mrs. L. Peter Soraruf, IV Francis Doyle Ms. Carol Lukatch The Weidman Family Mrs. Margaret Anderson Dr. and Mrs. Frederic Squires Beverly Drake Ms. Amy Jo Magee Mary Werner Mr. and Mrs. Antelo Ms. Carol Dunigan Ms. Kathie Magee Devereux, Jr. Employee Division Mrs. Robert Whiteman Brenda Fairchild Barbara Lampley Mandich Amber and James Winner, Jr. Estate of Mr. Benjamin F. The following employees supported Maria E. Faith Angie Matthews Griffith, Jr. the Capital Campaign during Ed and Elizabeth Zehner David and Charleen Faucette Charles T. Matthews Mr. and Mrs. John S. Halsted Fiscal Year 2007. Mr. and Mrs. John Felicetti Bob M. Mazur Mr. and Mrs. Kevin Holleran Ms. Patricia A. Allen Mrs. Mary J. Fenimore In Memory of Mr. and Mrs. Michael Matz Ms. Sofia Andaya Ms. Judith Fitzpatrick Stillmun/McAnally Family Dr. and Mrs. William Anonymous (19) Mr. and Mrs. Kenneth E. Thomas and Jacqueline Plummer, III Stephanie Aston Flickinger McCarter

20 THE CHESTER COUNTY HOSPITAL * Designates grateful recognition to our friends who Annual Appeal have donated for five or more consecutive years.

OUR ANNUAL DONORS GAVE GENEROUSLY TO SUSTAIN THE DAILY OPERATIONS OF OUR COMMUNITY-BASED

CHARITABLE HOSPITAL. WE ARE VERY GRATEFUL FOR THEIR CONTINUING SUPPORT.

FOUNDER'S CLUB Dr. and Mrs. David Grossman Country Properties Mr. and Mrs. Edgar Scott, Jr.* Mr. Richard J. Comerford $5,000.00 + Mr. Curtis A. Heckman Mr. John E. Defibaugh Sheller Oil Company Mr. and Mrs. John B. Mr. Horace A. Hemenway Dr. William M. Dellevigne Dr. and Mrs. Fredric Squires Cording, Jr. Mr. and Mrs. William Mr. and Mrs. Michael L. Gallagher Mr. and Mrs. Kevin Holleran* Mr. and Mrs. William M. Mr. and Mrs. James R. Denny, Jr. Stevenson Cotter The Jerrehian Foundation* Ms. Betty V. Hollett Mr. and Mrs. Charles M. Mr. and Mrs. Joseph W. Mr. James E. Coyle Mr. and Mrs. David J. Knauer* Mr. and Mrs. Robert B. Horne* DiMarco* Strode, Jr. Mr. and Mrs. James Craig* Mr. and Mrs. Robert v. d. Luft Mrs. Ginny Kettenring Mr. and Mrs. Rick Dougherty Mr. and Mrs. John B. Mr. and Mrs. Raymond B. Dr. William Luginbuhl and Emergency Care Swayne, III* Cromer Dr. Erica Turner Mr. Akseli S. Khalla Specialists, P.C. Mr. and Mrs. Thomas C. Mrs. Robert E. Cullen* Manito Abstract Company Mrs. Antoinette Kusch* Mr. and Mrs. Theodore E. Swett* Mr. and Mrs. Philip D. Curtin Mr. and Mrs. W. Thomas Mr. and Mrs. Sanford Lipstein Enoch* Mrs. Anna B. Thompson Mr. Michael Damico Musser* Mr. Donald G. Lundberg* Mr. and Mrs. John Felicetti Dr. Michael J. Ward and Mr. and Mrs. Peter J. Sanders Foundation MacElree Harvey Forney Family Foundation* Dr. Rebecca Ward D'Angelo* Mrs. Anne F. Thorington* Mr. and Mrs. Ian A. Mr. Thomas F. Gallagher, Jr. Ms. Nancy E. Wilkinson* Mr. and Mrs. John C. Mr. and Mrs. William G. MacKinnon Ms. Jennie R. Gervatoski* Mr. and Mrs. William S. de Ruyter* Warden, III* Dr. and Mrs. Aaron Martin Wood, II* Mr. and Mrs. David M. Dean* Mr. and Mrs. David F. Martin Dr. and Mrs. Morrie G. Gold* Mr. Alfred A. Gollatz and Mr. and Mrs. Joseph CHAIRMAN'S Mr. and Mrs. Ellice Mrs. Jill Garner BENEFACTOR DellaVecchia, Jr. CIRCLE McDonald, Jr.* Mr. and Mrs. Robert M. Dols Miss Nancy Moore Mr. and Mrs. Philip B. $200.00 + $2,500.00 + Haeckler Mr. and Mrs. F. Michael Mrs. Dorothy E. Mullestein Dr. and Mrs. Joseph L. Abbott Anonymous Mr. and Mrs. John S. Halsted* Donohue* Mrs. Margaret R. Nagy Abbott Laboratories Mrs. Joan S. Blaine Mrs. Mary D. Hayes* Dopaco, Inc. Mr. and Mrs. Peter W. Orr* Mr. and Mrs. Richard D. Mr. and Mrs. Henry I. Mr. and Mrs. John Hesselberth Mr. and Mrs. John J. Dr. and Mrs. James Patterson Abbott Brown, III* Dr. and Mrs. William C. Dougherty* Phillips Mushroom Farms, L.P. Mr. and Mrs. Robert F. Mrs. John M. Cleveland Hewson Adams* Mr. and Mrs. Robert E. Mr. and Mrs. R. Marshall Dreisbaugh Mr. and Mrs. Irénée Dr. and Mrs. Maury Mrs. June M. Angelini du Pont, Jr. Phillips* Ms. Esther Z. Dusinberre Hoberman* Mr. and Mrs. Ralph Antonelli Mr. Joseph T. Fiodo* Mr. Frank A. Piliero Mr. Norman W. Elliott* Ms. Gail Hoffman Mrs. Agnes Antonowich* Mr. and Mrs. Dallas L. Krapf* Mrs. Asa W. Potts Mr. Kenneth G. Emerson* Mr. and Mrs. George A. Bam Margera Inc. Laura Moses Trust Mr. and Mrs. Carlos Questell* Hornberger Mrs. Betty Engan* Mr. Philip E. Bannan* Ruth Camp McDougall Dr. and Mrs. John H. Roberts Mr. and Mrs. Stephen P. Hoyt Mr. and Mrs. Philip A. Mr. Michael D. Barber Charitable Trust Dr. Scott H. Saul and Dr. and Mrs. Harry J. Flournoy, Jr. Ms. Lois H. Barker Mr. and Mrs. William W. Dr. Marjorie Saul Hutchinson, III Mrs. Virginia G. Ford* Mr. and Mrs. Amos E. Wylie, Jr.* Mr. and Mrs. Deacon Shorr Cheryl A. Johnson, M.D. Mr. and Mrs. Howard Fussell Bassett, Jr. Mr. and Mrs. Eli Silberman Mr. and Mrs. Bruce A. Mr. and Mrs. Philip M. Gale* Mr. and Mrs. Thomas P. Battle PRESIDENT'S CLUB Dr. Andrew Sitkoff and Kavanaugh Mr. and Mrs. Albert J. Mr. and Mrs. Henry S. Dr. Christina Ellis Dr. Richard B. Kent Giannantonio, Jr.* $1,000.00 + Belber, II Mr. Nicholas Trainer* Mr. and Mrs. Ronald W. Kosh GlaxoSmithKline Foundation Dr. Mary B. Allan Ms. Adele Bendes Mr. and Mrs. Ted Trethewey Mr. and Mrs. Dale N. Krapf Martin G. Goch, Esq.* Dr. Donald H. Andersen Ms. Betsy Benner The Tri-M Group, LLC Dr. and Mrs. Robert M. Krauss Dr. Bernard Greenberg Mr. and Mrs. Richard M. Dr. and Mrs. John H. Mr. and Mrs. Donald Mr. and Mrs. Brian Leyden Mr. Richard B. Grekila Armstrong, Jr.* Twaddell* Benner, IV* Mr. and Mrs. C. Minor Dr. Robert P. Liss Mr. and Mrs. Elwood P. Mrs. Beulah Hamilt* Barringer* Ms. Phyllis M. MacLardy* Blanchard, Jr. Mr. and Mrs. John B. TRUSTEE Hannum, Jr. Mr. and Mrs. Edward W. ASSOCIATE Dr. and Mrs. Burton T. Mark* Mrs. Isabelle D. Blank Bauman, Jr. Dr. Ronald Mattson Mr. Leroy W. Bortell Mr. and Mrs. Michael Harris $500.00 + Dr. and Mrs. Dennis Berman Mr. David D. McCoach Mr. and Mrs. Joseph E. Mr. and Mrs. Warren R. Mr. John J. Ciccarone Mrs. Margaret Anderson Mrs. Gwynne G. McDevitt Boyd, Jr. Heidelbaugh* Ms. Jeanne K. Criddle Mrs. Katherine M. Mr. and Mrs. Peter McNeely Ms. Mildred C. Boyd Mr. and Mrs. Norman M. Armstrong, Sr. Heisman Mr. and Mrs. Peter Davenport* Mr. Richard L. Mullin Mr. and Mrs. Lawrence G. Dr. and Mrs. Frank Baldino, Jr. Mr. and Mrs. Randolph Hess* Mr. and Mrs. Stephen DeLeo Mr. and Mrs. C. David Brandon* Ms. Linda A. DeNardo* Ms. Janet M. Barr Murtagh Ms. Marilyn I. Branton Mr. Jessie B. Hill Mr. and Mrs. Antelo Mr. and Mrs. John R. Beddall Mr. and Mrs. Robert Newell* Mr. John J. Brautigam* Mrs. John J. Hill, III Devereux, Jr.* Mr. and Mrs. Charles B. Mr. and Mrs. Donald F. Mr. and Mrs. Edward S. Mr. and Mrs. John R. Drummond Scientific Blevins Parsons, Sr.* Brinton Hillegass* Company* Dr. and Mrs. Hugh Bonner Mr. and Mrs. James C. Mr. and Mrs. Joseph E. Brion Ms. Theresa Hodson Mr. and Mrs. John A. Brandywine Lions Club Patterson Mr. and Mrs. David P. Brodar* Mr. John P. Hollingsworth, Sr. Featherman, III Mrs. Mary Brauman* Pellini, Gold & Associates, Mr. Ho Chang Mr. Douglas Hotmer and Dr. Dianne Hotmer Dr. and Mrs. Albert E. Filano* Dr. Richard T. Brown and Ltd.* Chester County Eye Care Mrs. Ruth A. Frame Dr. Barbara Stewart Miss Constance M. Plunkett* Associates Mr. and Mrs. Leon W. Houp Ms. Carol Ware Gates* Mr. and Mrs. Jeffrey Carlow* Mr. and Mrs. William E. Mr. and Mrs. Francis Mr. Kenneth H. Huntoon GE Foundation Ms. Nancy O. Carr Reimer, Jr.* Ciarrocchi Mr. Zaheer T. Husain Dr. Corazon G. Gemil* Mr. and Mrs. Gerard Mr. Steven L. Ritchey Mr. and Mrs. Attilio Ciorrocco Mr. and Mrs. John R. Jackson Mr. and Mrs. Albert J. Caulfield* Ms. Karen L. Rothenbuhler* Mr. and Mrs. Thomas A. Dr. Mian A. Jan and Giannantonio, Jr. Keith and Donna Coughey* Dr. and Mrs. Bruce R. Saran Clardy Dr. Ambereen Jan

ANNUAL REPORT 21 Johnson & Johnson Mrs. Charles W. Sheller Mr. and Mrs. Joseph E. Mr. John E. Castle Mr. Charles T. Ehlers Family/Matching Gifts Mr. and Mrs. Gilbert H. Anthony Mrs. James Cavanaugh Mr. and Mrs. Charles S. Mr. Gregory Johnson Showalter* Mr. and Mrs. John H. Dr. Richard Chalfin Ellis, Jr. Johnson Matthey, Inc. Suzanne Simenhoff and Armstrong* Mr. and Mrs. Thomas A. Ms. Frances S. Ennis Mr. and Mrs. James J. Dr. Louis Boxer Mr. Vikrank K. Arya Chambers Mr. Gregg E. Ercole Kavanaugh* Dr. and Mrs. L. Peter Dr. and Mrs. Alan M. Askinas Mr. H. Raymond Chandler Mr. and Mrs. Michael J. Etue Mr. and Mrs. John T. Kehner Soraruf, IV* Dr. and Mrs. Nelson P. Aspen Mr. and Mrs. Lewis W. Mr. and Mrs. James A. Ferrier* Mr. James Kelsch Dr. and Mrs. Robert L. Mr. and Mrs. Neal Atkins Charnock Mr. George W. Fetters, Jr. Sumner* Kent-Lucas Foundation Mr. and Mrs. Robert Mr. Leon Chetty Ms. Merideth A. Fetters and Mr. Brian G. Kiernan Mr. and Mrs. H. Fletcher Atkinson* Mr. Danny P. Christiana Mr. Lawrence J. Hart Swanson* Mr. and Mrs. John D. Komar* Dr. Douglas Atlas Mr. and Mrs. Kenneth B. Mr. and Mrs. James J. Finegan* Mr. and Dr. Harold C. Mr. William Laffey and Mr. and Mrs. Nelson J. Ayoub* Church Mr. and Mrs. Paul H. Finley Swisher* Dr. Patricia A. Laffey Mr. and Mrs. J. Louis Ms. Carmela Cinquina Mrs. Bernadette A. Flaherty Mr. Thomas G. Taylor Mr. and Mrs. William S. Latoff Bachofer* Mr. and Mrs. Alan Clark* Mr. and Mrs. Jack Foreman Mr. and Mrs. Wallace G. Mr. and Mrs. Vince Lawn Mr. and Mrs. William Baer, II Mr. and Mrs. Richard C. Taylor* Mr. and Mrs. Louis A. Fort Mr. and Mrs. Shawn C. Mr. and Mrs. Thomas M. Cloud* Dr. Michele Tedeschi Mr. and Mrs. Peter S. Fortin Lawson Barker* Ms. Barbara M. Cockley Mrs. Joseph L. Terrels Mrs. Richard Foulk Mr. and Mrs. James J. Lennon Mr. and Mrs. Harry D. Barr* Mr. Paul J. Cody and The The Landon Family Founds Funeral Home, Inc. Mr. Samuel S. Levin Mr. and Mrs. John Batley* Honorable Jacqueline Cody Foundation* Ms. Joan K. Fowler Mrs. Felicia H. Lincoln Mr. John J. Battle Dr. and Mrs. Mark A. Cofone Mrs. Caroline R. Thomas* Mr. and Mrs. Evan Fox Mr. Henry M. Lloyd* Mr. and Mrs. Richard A. Coins of Chester County* Mr. and Mrs. Leonard Traines Mr. and Mrs. Richard Franzen Dr. and Mrs. Earlin D. Lutz Baxter Ms. Mary T. Coleman Mrs. Rosemary Waldron Mr. and Mrs. David L. Freese* Mr. Ronald L. Beal Mr. Elson A. Collins, Jr. Mr. and Mrs. Lawrence A. Tucker Mr. and Mrs. Jere W. Fridy Mates, II Mr. and Mrs. David T. Beard Mr. Edward N. Collison UPS Foundation, Inc. Mr. and Mrs. Joseph L. Froio* Ms. Lois Mayer Mr. and Mrs. Jeffrey S. Becker Mr. John L. Combs Mr. and Mrs. William Uster Mr. and Mrs. Andrew O. Mr. and Mrs. John T. Dr. Joseph D. Becker Mr. and Mrs. Charles Concklin Mrs. Amina C. Valocchi Fuller McCosker Mrs. Curtis Bedwell Ms. Carolann D. Contino Mrs. Dianne Vaughan* Mr. and Mrs. James R. Mr. and Mrs. John B. McCrory Dr. and Mrs. Richard E. Mr. William Cooke Gallagher* Mr. and Mrs. Hendrik Visscher Bell, Sr. Mr. and Mrs. Louis A. Mr. and Mrs. William A. Mr. and Mrs. Kevin M. Galvin Meilink, Jr. Mr. and Mrs. Samuel Wagner Mr. and Mrs. George C. Corbishley* Mr. Richard C. Gasloli Mr. and Mrs. Daniel Mr. and Mrs. William G. Bellenger, Jr.* Mr. Robert T. Corcoran Gayle Corporation Mellinger* Warden, IV* Mr. Stephen E. Bennett Mr. and Mrs. Timothy P. Cost Dr. and Mrs. Ricardo Gelman Mrs. Elizabeth H. Mercer Mr. and Mrs. Ralph B. Watson Bentley & Harris Mr. and Mrs. Rene C. Cottrel Mrs. Victor Giardini Dr. Beverly Mikuriya Mr. and Mrs. Donald W. Mr. Kirk T. Berger Weaver* Ms. Joan D. Courtless Ms. Marjorie L. Gibson Dr. Gladys M. Miller* Bernardon Haber Holloway Mr. and Mrs. Eugene W. Mrs. Walter J. Cowan, Jr.* Mrs. Phyllis W. Gilmour Mrs. Jean Miller* Architects PC Weaver Mr. and Mrs. Richard A. Cox Mrs. Charlotte G. Gilpin Mr. Richard S. Moog* Mr. and Mrs. Steven J. Bessett Dr. and Mrs. Charles R. Weber Mr. and Mrs. Donald V. Crater Mr. and Mrs. Lawrence A. Mr. and Mrs. George L. Dr. Helise Bichefsky Mr. and Mrs. Michael A. Ms. Mary Lou Daddezio Goldberg Moore* Mr. and Mrs. Joseph Bird* Weidinger Mr. and Mrs. John V. Dalton* Mr. and Mrs. Ronald F. Mr. and Mrs. Keith W. Moore Mr. and Mrs. Barrett Block Mr. and Mrs. Robert N. Mr. Dominic D'Ambro, Sr. Gorman* Mr. and Mrs. John W. Morris Mr. and Mrs. Scott Bond Werwinski, Sr. Mr. and Mrs. Kell Damsgaard Ms. Doris Grassi Mr. Paul S. Mory, Jr.* Mr. and Mrs. Edward T. Borer Mrs. Paul M. Wick Ms. Virginia Dawson Mr. Roger Greene Dr. and Mrs. Boyd C. Myers Dr. and Mrs. Thomas Bott* Mrs. Jeanette Wickersham* Mrs. William H. Dean* Mr. Scott G. Gregg Mr. and Mrs. Harry Nagel* Ms. Lois Bourke Ms. Joan Wilcox Mr. and Mrs. John H. Deane* Mrs. Katharine D. Gregory Dr. John Nannos and Mr. and Mrs. Romuald J. Mrs. Dorothy Willard Mr. Patrick J. Deeney Mr. and Mrs. Joseph L. Gricco Dr. Catherine A. Popovitch Boutin Joyce P. Winston, BCD* Mr. Alfred DelDuca Mrs. Margaret C. Griest Mr. and Mrs. Timmy T. Nelson Mr. and Mrs. David Bovell Mr. and Mrs. George F. Mr. James S. Denham Mr. Gregory E. Gross Mr. Nick H. Nunn, III* Mr. and Mrs. Richard L. Wintersteen Mr. and Mrs. Ernest A. Ms. Ada A. Haas Miss Jean M. Oakes* Bovenkerk Mr. Keith A. Wood Derryberry Mrs. Nancy Hageman Dr. and Mrs. John J. Orris Mr. and Mrs. Gregory Bowen* Mr. and Mrs. Robert S. Wood Mrs. Janet Conrad Dettra Mr. and Mrs. H. Kenneth Mr. Ray Ott, Jr. and Mr. and Mrs. Austin J. Bowles Mr. and Mrs. Paul H. Mr. and Mrs. Phillip B. Hagerty The Honorable Paula Ott* Mr. Clifton Boyd Woodruff Dewey* Mr. William B. Haines Mr. and Mrs. Gerald J. Parsons Mr. and Mrs. William P. Brady Wusinich, Brogan & Stanzione Ms. Rosanne E. Dillingham Mr. Edward J. Hand Mr. and Mrs. Richard M. Brandywine Direct Marketing Mrs. Jane Wylie Mr. and Mrs. Nicholas J. Parsons Group Mrs. J. Carol Hanson Mr. Robert Wylie DiMarino* Mr. and Mrs. John Pastrick Mr. and Mrs. Stuart Brooks* Mr. and Mrs. Russell L. Hartz Mr. and Mrs. Robert H. Mr. Dewey K. DiMarzio Mr. and Mrs. H. L. Perry Ms. Theresa Bryant Ms. Christine M. Hasen Yerkes* Mr. Harshad R. Dodia Pepper* Mr. and Mrs. Frederick J. Mr. and Mrs. William P. Mr. C. W. Yockey Dr. and Mrs. John M. Dolphin Dr. and Mrs. Arthur J. Buffone Hauser* Mr. and Mrs. Charles L. Young Dr. William Donawick Petrella* Mr. and Mrs. Paul H. Mr. and Mrs. Garth Heald Mr. Carlos M. Yuste Mr. and Mrs. Richard Phillips* Burke, Jr. Dr. and Mrs. Richard D. Mr. and Mrs. David Heckman* Mr. and Mrs. John S. Zajac* Donze* Mrs. Harold Pyle* Dr. and Mrs. Bruce Burt Mr. and Mrs. Wilhelm M. Mr. and Mrs. George Zumbano Mr. and Mrs. John F. Dr. and Mrs. Robert F. Reder Mr. Charles E. Busby Heeb Dougherty Miss Jean M. Reidnour* Mr. and Mrs. Richard C. Ms. Melissa M. Henderson GUARDIAN Ms. Caroline Dow Mr. and Mrs. Gerald Risser Bussom* Mr. John J. Henry Mr. Clayton H. Downes Dr. and Mrs. Richard W. $100.00 + Mr. Armando M. Byrne, Jr. Mr. and Mrs. Paul B. Hermans Mr. and Mrs. Marshall L. Rissmiller* and Ms. Deborah D. Jaworski Dr. Julius Heyman A. Duie Pyle, Inc. Downes Mr. and Mrs. Edward A. Ritti Mr. Richard F. Calef* Mr. John W. Himes Mr. and Mrs. Vincent T. Mrs. Kathleen Duffy Ms. Janet A. Rizzo Abessinio Mrs. Dorothy W. Cann Mr. and Mrs. James Hindorff Mr. and Mrs. Michael J. Ms. Cheryl Cantrell Mr. Thomas C. Hinkle Mr. John J. Schmitz Mr. and Mrs. Robert G. Durning Adams, Jr. Mr. David B. Caria Mr. Howard E. Hoctor Mr. and Mrs. Richard E. Mr. Lloyd T. Eastburn Schramm Mr. and Mrs. John M. Alden Mr. and Mrs. Robert Carr Mr. Jeffrey J. Hoehing Dr. and Mrs. Mahmoud K. Mr. and Mrs. Richard R. Mr. Cecil R. Anderson Mrs. Harriet A. Carroll Effat Ms. Doris Hoffman* Shaffer Ms. Marian W. Anderson Ms. Jean Castaldi* Mrs. Helen B. Hoffman*

22 THE CHESTER COUNTY HOSPITAL Dr. Ruth S. Holland Mr. and Mrs. Jim Lyons Mr. and Mrs. Andrew F. Mr. and Mrs. Kenneth E. Mr. and Mrs. Thomas W. Mr. and Mrs. Kenneth Mr. Robert H. Mackey* Pimley, Jr.* Silverwood Van Grofski Hopkins* Mr. and Mrs. Thomas E. Mr. Joseph B. Poole Mr. Leslie M. Simmler Mr. Peter Vanderwerff Mr. and Mrs. William C. MacNeal* Dr. and Mrs. Robert Poole Dr. Cheston Simmons, Jr. Mr. and Mrs. Paul T. Vanore* Hopkins Ms. Michelle M. Maher Mr. and Mrs. Gerald H. Porter Mr. and Mrs. Richard B. Mr. and Mrs. William C. Dr. and Mrs. Stanley Horwitz Mrs. Howard M. Malick Mr. and Mrs. Kennard G. Simon* Vansant Mr. and Mrs. Jerry R. Mr. and Mrs. Suhaimi Mansor Porter, Jr.* Mr. and Mrs. Kenneth H. Slack Mr. Ronald H. Vaughn Hudnall, Jr. Ms. Clara P. Mantini Mr. Timothy Potts Mr. Henry Smedley Mr. and Mrs. Harry T. Dr. and Mrs. Matthew H. Mr. and Mrs. Frederick J. Precision Tool Company, Inc. Mr. A. Roy Smith Verngren Hulbert* Marenco Mr. and Mrs. Robert B. Priest Mr. and Mrs. Bruce D. Mrs. Eva L. Verplanck* Mr. and Mrs. William D. Mr. and Mrs. Bruce L. Marra Mrs. Betty Pullekines Smith, Jr. Mr. and Mrs. Nicholas R. Huttinger* Mr. and Mrs. Franklin Mr. and Mrs. Jonathan Pulsifer Mr. and Mrs. C. Charles Smith Vita, Jr. Mr. and Mrs. Thomas M. Isola Marshall Ms. Karen H. Pyle Mr. and Mrs. William G. Mr. John P. Voge Ms. Jeanne Jagers* Mr. and Mrs. William G. Ms. Lisa Quiveors Smith* Mr. Dennis Wallace and Mr. and Mrs. Philip D. Ms. Carol Hanson Mattern Mr. and Mrs. William J. Mr. William W. Smith Jamison* Mr. and Mrs. William D. Ramagnano Mr. and Mrs. Naaman W. Mr. and Mrs. Michael J. Walsh* Mr. and Mrs. John B. Jarrett Matthews Mr. Lorin J. Randall Smoker Ms. Laura H. Waltz Dr. and Mrs. Basil S. Jawad Mr. Bob M. Mazur* Mr. William D. Ravdin Ms. Christine B. Smyth* Mr. and Mrs. Gregg C. Ward Mrs. Helen F. Jensen* Mr. and Mrs. James Mr. and Mrs. Dennis J. Mr. Edward Snyder Mr. John H. Ware, IV Mrs. Patricia Gayle Johns McCahon, III Reardon Dr. and Mrs. John E. Spellman Dr. Sara A. Warren Dr. and Mrs. Edwin W. Kane Mr. and Mrs. Lawrence D. Reilly & Sons, Inc. Mr. and Mrs. Robert D. Weathervane Wealth McDevitt Mr. and Mrs. Kenneth D. Kane Mr. and Mrs. Robert R. Spencer Management Mr. Chester Kapinski* Ms. Constance McEvoy Reymos Mr. Christopher Sperber Mr. and Mrs. Timothy J. Weber KarMar Realty Group, Inc. Representative Barbara Mr. and Mrs. S. Edward Mr. and Mrs. Charles G. Mr. and Mrs. James R. Wells Mr. and Mrs. Bill Kay McIlvaine Smith Rhoads* Sproule, III Mr. and Mrs. John R. Dr. and Mrs. William T. Kelley Dr. Robert B. McKinstry* Mr. John M. Richardson* Mr. Donald E. Stapleton* Wenrich, Jr. Mr. Brian T. Kelly Ms. Lucy M. McSwain Mr. and Mrs. Russell Rickert* Mr. and Mrs. George Steele Mr. Carl F. Werley Kelly's Sports, Ltd. Mr. George R. Meinig, Jr. Mr. and Mrs. Harry G. Rieger Mr. Donald Steffes Mr. and Mrs. Thomas E. Ms. Mary J. Kent* Mr. and Mrs. John R. Merhar* Mr. and Mrs. Thomas M. Ms. Patricia Steinberg Werner* Mr. and Mrs. Donald J. Kester* Dr. and Mrs. Erich R. Merson* Rivello Mr. John Stipe and Dr. Ronald J. W. Werrin Dr. and Mrs. Walter L. Kester Mr. and Mrs. Taylor Merwin Ms. Anna L. Roberts Dr. Barbara Stipe West Chester Capital Advisors, Inc. Ms. Donna A. Kibbie Dr. Alan L. Meshon Mr. and Mrs. Joseph P. Dr. and Mrs. David Stocker Mr. Greg Westerbeck and Mr. and Mrs. Jeffrey W. Mr. Dominique Messerli Rochford Mr. and Mrs. Gordon Stone Dr. Katie L. Dawson Kitchen Mr. and Mrs. Alan Milberg Mrs. Susan Windle Rogers* Mr. Richard Storlazzi Mr. and Mrs. James A. Mr. and Mrs. Kenneth Klein Ms. Jean Miller Mr. and Mrs. William W. Mr. and Mrs. Steven E. Strand Whitcraft Mr. and Mrs. Duane D. Knecht Mr. and Mrs. Peter P. Ronayne* Mr. and Mrs. Fred A. Strauss Mr. and Mrs. Paul A. White Dr. and Mrs. Walter E. Miller, Jr. Mr. and Mrs. Joseph A. Mrs. George Strawbridge* Mrs. Cathie Whitlock Kottmeyer Mr. and Mrs. Stephen L. Miller Ross, Jr.* Ms. Marilyn Strong Mrs. Rachel S. Whittington Mr. and Mrs. George Krall Mrs. Doris Mitman Mr. and Mrs. Robert Ross Mr. and Mrs. Gary R. Subers* Mr. and Mrs. Ralph B. Mr. and Mrs. W. C. Krausser Mr. Gerald Montaigne* Mr. and Mrs. Franklin W. Mr. and Mrs. Ben Summers Rossiter Wickersham Mr. and Mrs. David N. Kreno Mr. and Mrs. Charles S. Moore Mr. John P. Swan Mr. and Mrs. Fred M. Mr. and Mrs. Mark Wildgen Mr. and Mrs. John A. Ms. Virginia M. Morgan Mr. and Mrs. Roy Sweet Rothman Mrs. Marjorie E. Williams Krieg, Jr.* Mrs. Everett F. Morrow Mr. and Mrs. William P. Mrs. Helen U. Rothrock* Mr. and Mrs. Thomas Wilson Mr. and Mrs. Brian S. Krug* Mr. and Mrs. Thomas C. Tait, Jr. Mr. and Mrs. Dennis J. Royer Mr. and Mrs. William Wittig Madeline H. Lamb, Esq.* Morton Mr. and Mrs. James P. Tarpey* Ms. Margaret L. Rueger Ms. Margaret Y. Wonderland* Mr. and Mrs. Robert E. Mr. and Mrs. Gary Muessig Ms. April M. Taylor Ms. Betty D. Russell Mr. and Mrs. Joe T. Wootten Lambert* Mr. Conrad E. Muhly, III Mrs. Eleanor T. Taylor Dr. Pamela Russell Ms. Joyce A. Yates Mr. and Mrs. Roy G. Lance Mr. and Mrs. Creighton F. Mr. and Mrs. Gustave Mr. and Mrs. Samuel L. Lane Murphy, Jr. Safety Compliance Services Teipelke, Jr.* Mr. Bruce Yelton* Mrs. Joan C. Lange* Mr. and Mrs. John S. Myatt* Ms. Anne C. Sangree* Ms. Eva Abbott and Mr. and Mrs. John B. Yerkes, Jr. Phanh Laomoi Mr. and Mrs. Mark B. Myers* Mr. and Mrs. Ernest C. Mr. Van Temple Savage, Jr. Mr. and Mrs. William L. Mr. and Mrs. Warren H. Dr. and Mrs. Ali Naggar Ms. Gloria Terranova Young* Lauder Mr. and Mrs. Dominic F. Mr. and Mrs. George B. Ms. Bonnie Terrey Scarlett Mr. Nicholas H. Zahiri and Mr. and Mrs. Luigi V. Launi* Nappi The Vanguard Group Schindler Elevator Corporation Ms. Catherine G. Castracane Mr. and Mrs. Richard T. Mr. Richard Nason Foundation Dr. and Mrs. Richard W. Lawman Mr. Chris Nemchik Ms. Andrea L. Schmidt Mr. and Mrs. John Theis Ziegler* Ms. Jacqueline P. Leach Mr. Joseph M. Noonan* Mrs. Mary Jane Schoch Mr. and Mrs. Abraham Mr. and Mrs. Marshall L. Mr. James Nowlin Mr. Brian R. Schofield Thomas PATRON Learn Mr. Timothy E. Nuss Mr. Fritz Schumann Dr. and Mrs. Peter D. Mr. Tak S. Lee Mr. and Mrs. Arnold F. Mr. and Mrs. Charles Schwartz Thompson $30.00 + Dr. John Lemcke* Orazietti Mr. and Mrs. James D. Seagers Mr. William H. Thompson Mr. and Mrs. Leigh M. Abbott Mr. and Mrs. Albert T. Ms. Margaret R. O'Rourke* Mr. and Mrs. Robert W. Secrist Mr. and Mrs. William S. Adam Varrenti Jr. and Leonhard Mr. Dimitri A. Pappas Mr. Fusun Sevgen Thompson, Jr.* Associates Mr. James Leslie Ms. Dorothea M. Parker Mr. and Mrs. Samuel C. Shane Ms. Nancy F. Thorington Mr. David E. Adelizzi Mr. and Mrs. William J. Linn Mr. and Mrs. William C. Mr. and Mrs. Donald P. Mr. and Mrs. Joey Tigue Mr. and Mrs. Thomas A. Mr. and Mrs. Eugene B. Liskey Patten Sharples Mr. Thomas Tracy Aglira Mr. and Mrs. Thomas W. Mr. Eugene F. Patterson Mr. and Mrs. John R. Shaw Dr. and Mrs. George Ms. Margaret Allen Loane, Jr. Paul Sevag Motors, Inc. Dr. and Mrs. John C. Shea Trajtenberg Mr. and Mrs. Robert P. Alston Ms. Audrey L. Lucker Mr. David L. Peakes* Mrs. James D. Sheetz Ms. Joan M. Travers Mr. A. R. Andersen Mr. Timothy J. Luedtke Mr. John Peterman, III Mr. and Mrs. Daniel R. Shoop* Dr. and Mrs. Thomas D. Mr. and Mrs. Don R. Treacy Mr. Timothy M. Lutz and Mr. and Mrs. Richard C. Mr. and Mrs. Swithin C. Anderson Ms. Elizabeth Srogi Phillips* Shortlidge, IV Mr. and Mrs. Martin Tully Mr. and Mrs. Peter C. Ms. Rita Lynch Mr. and Mrs. Frank A. Pici Mrs. Charles W. Shreiner, Jr.* Mr. and Mrs. Lester H. Anderson, III* Mr. and Mrs. William F. Lynch Mr. Joseph C. Sicoli Van Eck* Mr. William F. Anderson

ANNUAL REPORT 23 Mr. and Mrs. Arthur Andress Mrs. Marilyn H. Cornell Mr. and Mrs. Millard C. Mr. and Mrs. Frederick C. Mr. Andrew G. Lehr Anonymous* Mr. William R. Cowper Fitzgerald, Jr. Heiken Mr. and Mrs. William Leigh Mr. and Mrs. Peter F. Apple Mr. and Mrs. Mark Cox Mr. and Mrs. Eugene Mr. and Mrs. William E. Mr. F. W. Leonard* Mr. and Mrs. Josiah D. Ms. Doris B. Coxe* Flanagan* Helms, Jr.* Mr. Richard A. Leonard Ashenfelder* Mr. and Mrs. Wayne E. Coyle* Mr. and Mrs. Richard D. Fling Mr. and Mrs. Michael C. Mr. and Mrs. Charles Leto* Henry Mrs. Virginia Ashton Mr. and Mrs. David Cremi Mr. Paul L. Flynn Mr. and Mrs. Seth P. Levy Mrs. Josephine Herron* Mr. and Mrs. William E. Mrs. Elizabeth Culp Mr. and Mrs. Lawrence E. Ms. Brenda L. Lewis Fogel Mr. William B. Hetrick Averona Mr. Alfred H. Cumens Mr. and Mrs. Ivan F. Lichty* Mr. Richard Forster Ms. Eleanor Hickman Mr. and Mrs. Ward E. Bailey Mr. and Mrs. Ira Cumens Mr. David Link Mr. and Mrs. Dale H. Frens Mrs. Virginia G. Hines* Mr. and Mrs. Alfred J. Mr. and Mrs. Dominic A. Mr. and Mrs. Allan S. Baker, III Cusano Mr. Jeffrey A. Friedman Mr. and Mrs. Barry L. Hinkle Livingston Ms. Joan O. Baldwin Mr. and Mrs. Daniel P. Mr. and Mrs. Terry P. Gallen Mrs. Ellsworth Holden Mrs. Colin M. Lofting Mr. and Mrs. Herbert E. Dalmonte Ms. Joan K. Galloway Mr. Leon L. Hopkins, Jr. Mr. and Mrs. Keith G. Logan Balian* Ms. Mary Ann C. Damico Mr. and Mrs. James E. Gasho* Mr. and Mrs. Jeffery B. Horton Mr. Samuel B. Long Mr. Donn W. Barber Mr. and Mrs. Lawrence A. Mr. and Mrs. Raymond J. Mr. and Mrs. Charles H. Mr. and Mrs. Bruce W. Dr. and Mrs. Paul A. D'Angelo Geffre, Sr.* Hossack Longenecker Barenberg Mrs. Harry Daniels Mr. and Mrs. Jacob C. Mr. and Mrs. James H. Houser Mrs. Earl F. Lott Mr. and Mrs. James H. Barnett Geisel, Jr. Mr. and Mrs. George P. Ms. Patricia R. Huber Mr. and Mrs. Thomas C. Mrs. Joseph Barnett Dargay Mr. and Mrs. Harry Gilbert Mr. and Mrs. Richard F. Lownes, Jr. Mr. William A. Bauernschmidt Mrs. Nancy F. Darling Mr. and Mrs. Kenneth L. Huffman Mr. Thomas E. Lunny Gillem* Mr. Scott C. Beckert Ms. Susan C. Davis Ms. Linda Hughes Mrs. Margaret MacNeal* Mr. Alex Giorgiani Mr. Marvin D. Bellamy* Mr. and Mrs. Roger S. Deacon Ms. Marolyn E. Hughes Mr. Jerome Makowski Mrs. Barbara S. Giunta Dr. and Mrs. Daniel D. Mr. Robert Degnan Mr. and Mrs. Arthur A. Mr. and Mrs. Edward L. Beninati* Mr. William J. Degnan, Jr.* Ms. Cynthia Goch Iacobone Malikowski Mr. and Mrs. Leslie F. Mr. and Mrs. Rich Delargey Mr. and Mrs. Jeffrey J. Goetz Mr. and Mrs. Harold Ikeler Ms. Barbara Malseed Bennett, Jr. Mr. Joseph W. Derickson Mr. and Mrs. James J. Gold Mr. and Mrs. Leon F. Impriano Mr. and Mrs. Peter J. Mangelli Mr. and Mrs. Paul F. Mr. and Mrs. Frank Desiderio Dr. Michael M. Gold, M.D. Mr. and Mrs. William A. Mr. and Mrs. Richard P. Bente, III* Irving, Jr.* Mr. John P. Devido Mr. and Mrs. Joseph A. Gothie Marinelli Mr. and Mrs. Donald R. Bigler Mr. and Mrs. William F. Mr. and Mrs. John P. DiBiase Mr. and Mrs. Michael R. Mr. and Mrs. Harry C. Mr. and Mrs. Ray W. Bock Gould* Itzstein Mr. and Mrs. Charles J. Marquette Mr. Frederick Boehlke, Jr. Mr. and Mrs. Millard H. Dickinger Mr. and Mrs. Sidwell A. Green Ms. Phyllis D. Marron* Mr. and Mrs. David Bonanni Jackson, III Mr. and Mrs. Michele Mr. and Mrs. Albert P. Mr. and Mrs. David W. Martin Mr. and Mrs. Jerome G. Jalosky Mr. and Mrs. David E. Bond* DiPietro* Greenleaf* Mr. George E. Martin Mrs. Ruth Jensen Mr. and Mrs. Bruno E. Mr. and Mrs. Andrew P. Mr. and Mrs. Warren E. Mr. and Mrs. John J. Martin* Bottcher Greenwald Rev. and Mrs. Alvin S. Jepson DiProspero Mrs. Mary E. Martin Ms. P. H. Boucheron Mr. and Mrs. James C. Gregg Ms. Frances Johns Mr. and Mrs. Anthony F. Col. and Mrs. Norman L. Mr. Thomas D. Boyd* DiRocco, Jr. Mr. and Mrs. Roger A. Grey Mrs. Dorothy L. Johnson Martin Mr. and Mrs. Paul H. Bozarth Mr. and Mrs. Richard R. Mr. and Mrs. Patrick J. Mrs. Ethel B. Johnson Ms. Patricia E. Martin Gribbin* Mr. and Mrs. Scott J. Dixon Miss Helen Johnston Mr. Paul B. Martin Braunschweig Mr. and Mrs. Paul S. Grove* Mr. and Mrs. Robert D. Mr. Richard S. Jones Mr. and Mrs. Shawn P. Martin Mr. and Mrs. James A. Breslin Dodge, Jr. Mr. and Mrs. Wayne Grover Mr. and Mrs. Timothy Mr. and Mrs. Todd C. Martin Mr. and Mrs. James E. Brouse Mr. and Mrs. Neal A. Doll Mr. and Mrs. Wolfgang H. Jones, Esq. Mr. and Mrs. William C. Gunther Ms. Juanita Bustonera Mr. Crescencio D. Dominguez Mr. Edward M. Jordan, Sr. Martin Mr. and Mrs. Robert R. Mrs. Katherine D. Buttenberg* Mr. Edward W. Donohue Ms. Mary E. Josephs* Mr. and Mrs. Anthony J. Hadfield Mr. and Mrs. Thomas C. Butts Mr. Camillo Dorazio Mr. and Mrs. Leroy H. Mascherino Mr. Henry G. Hagerty Ms. Edria Byler Mr. Bill C. Dorminey* Kane, Sr. Mr. Howard Mattson Mrs. Ruth Hagy Mr. and Mrs. Michael Caldwell Ms. Alexandra C. Dow Mrs. Marjorie Kaskey Mr. Shawn M. McAnally Mr. and Mrs. Richard D. Hahn Mr. and Mrs. Richard H. Mr. and Mrs. George Dowd Ms. Ruth C. Keim Mr. and Mrs. Guy L. Caldwell Ms. Mary Dowd Mr. and Mrs. Donald Haley Ms. Susan M. Kelly McCandless Mrs. Dorothy S. Campbell Mr. Russell G. Doyle Ms. Ellie Haller Kennett Dental Mr. Michael McCann Mr. and Mrs. Rusty Canfield Ms. Margaret Dracup* Mr. and Mrs. Joseph P. Mrs. Lillian V. Kent* Mrs. Bette McConnell Hamelton Mr. Ronald V. Caputo* Ms. Beverly A. Drake Mrs. Stephen Kent Ms. Maureen McCool Mr. and Mrs. Kenneth F. Mr. and Mrs. John R. Carey Mr. and Mrs. Gary R. Mr. and Mrs. Walter R. Kirijan Mr. and Mrs. Ronald McCoy Hamilton Mr. Michael C. Carey* Drumheller Mrs. John S. Kistler Mr. and Mrs. Robert Mr. and Mrs. George Mr. and Mrs. Horace C. Carter Mr. and Mrs. Frank H. Duke Ms. Lois R. Klahn* McCullough Hammond Mr. Joseph R. Casavant Mr. Courtland E. Dunn, Jr. Mr. Kerry W. Knapp Mr. and Mrs. P. James Mr. and Mrs. James M. McDonald Mr. and Mrs. Michael V. Mr. and Mrs. Daniel D. Dunn Handy, Jr.* Ms. Lucy Knickerbocker Cassidy Ms. Wanda L. Mr. John B. Dunning Mr. and Mrs. John B. Mrs. Reed Knox McGlinchey-Ryan* Ms. Margaret B. Chalfant Mrs. and Mrs. George Ealer Hannum, III Mr. Edward Kohler Mr. John W. McGonigle Ms. Margaret J. Chapman* Ms. Louise Elkins Mr. and Mrs. Donald E. Mrs. Margaret R. Koncir Mr. Albert J. Cialini Mr. and Mrs. Jeffrey C. Elmer Hanway Ms. Jane S. Krick Mr. James M. McGrath Maria Cichy-Knight, Ph.D. Mr. Raymond H. Emplit Ms. Margaret H. Harper* Mr. Lazarus Krikorian Mr. and Mrs. David J. McIlmoyle Mrs. Anthony L. Cilea* Ms. Celia Esplugas* Mr. and Mrs. Alan Hartman Mr. Edward Kronenberg Mr. and Mrs. Albert J. Mrs. Irma I. Cimini* Mr. Steven F. Farina Mr. and Mrs. Robert W. Mr. Francis P. Kutta McNeill* Mr. Robert B. Clarke Mr. and Mrs. Peter J. Farley, Jr. Hawkes Mr. and Mrs. Robert E. Kyle Ms. Judith P. McVitty Mr. Edward E. Clayton Ms. Angelina Farrell Mr. and Mrs. Doyle L. Hayes Mr. and Mrs. Mark H. Landon Mr. and Mrs. Richard D. Mr. and Mrs. Martin Mrs. Mildred M. Hayes* Mr. and Mrs. Stephen W. Fedor Mr. and Mrs. Karl H. Mead* Clompus* Mr. Andrew T. Hayman Langlois, Jr. Mr. Kevin J. Ferris Mr. and Mrs. Joseph R. Mr. and Mrs. Charles R. Coin Ms. Nancy J. Fetrow Ms. Sandra Heaps-Duling Mr. Alejandjo Larh-Zavala Meaney Mrs. Beatrice F. Conner Mr. and Mrs. Robert K. Fetters Ms. Theodora A. Heathcote Mr. and Mrs. John C. Larson* Mr. and Mrs. John Meighan Mr. and Mrs. Vincent T. Mr. Raymond S. Field Mr. and Mrs. Eric J. Mr. David Laurento Mr. Chris P. Menan Coppola Heidelberger* Mr. Roland R. Fiore Ms. Rebecca A. Layfield Mr. William J. Meoli Mr. and Mrs. Joseph W. Mr. Thomas Leeson Cornelius* Mr. and Mrs. John T. Messner

24 THE CHESTER COUNTY HOSPITAL Drs. Amir and Nawal Metry Ms. Suresh B. Pillai Mrs. Alberta H. Smith* Mr. and Mrs. Russell R. Wells Chester County Health Mr. Timothy D. Michel Mrs. Faith M. Platt Mr. Ashton B. Smith, Jr. Mr. Peter N. Werner* Department Ms. Elizabeth A. Miller Dr. and Mrs. William Mr. and Mrs. Dennis M. Smith Ms. Anna Wert Chester County Mothers of Mr. George F. Mohr* Plummer, III* Mr. and Mrs. Edward W. Mr. and Mrs. R. John West* Multiples Club Mr. and Mrs. John Mohr Mr. Walter H. Pogue, Jr. Smith* Mr. and Mrs. Paul Westerfield Delaware County Community College – Departments of Mr. and Mrs. Rand D. Moll Mr. and Mrs. Alan M. Mr. and Mrs. Eric B. Smith Mr. William Whitcraft* Accounting, Budget, and Pomeroy Mr. Frederick R. Smith, Jr. Mr. and Mrs. Eugene M. Mr. and Mrs. William R. Administration Monahan Mr. Richard K. Poole Mr. James J. Smith White* First National Bank of Mr. Gary H. Powers* Mrs. Michael F. Moore* Mr. Neil J. Smith and Mrs. Betty Whittle Chester County Mr. and Mrs. John Prader Ms. Laurette Rup Mr. William P. Moore Mr. and Mrs. Samuel Graco Children's Products Mrs. Esther Pratt Mr. and Mrs. Elwood F. Snyder Wickersham, Jr. Mr. and Mrs. Daniel H. Mrs. Dorothy B. Hertig Morris, Jr.* Mr. Alfred C. Prime* Mr. and Mrs. Leonard D. Mr. William T. Wickersham Mr. and Mrs. John Hesselberth Mr. Russell E. Morrow Mr. and Mrs. Andrew M. Snyder Mr. and Mrs. David A. Mr. and Mrs. Kevin Holleran Mr. and Mrs. C. Richard Prokop Mr. Michael J. Soroka Wientjes* Hoxie Harrison Smith Morton Mr. and Mrs. Allen S. Puy Mr. and Mrs. Gavin B. Speirs Mr. and Mrs. Rich Willard Foundation Mr. and Mrs. Mario F. Ms. Amanda D. Raihall Mr. and Mrs. Robert H. Ms. Daphne R. Williams Joya Artwear Moschitta Mrs. Thomas J. Redmond Spencer Mr. and Mrs. Eugene Williams Mrs. Marion Kaufmann Mr. and Mrs. Albert J. Moses Mr. and Mrs. Charles Reed Mr. Francis H. Spickler Mr. C. E. Wilson Lexus of Chester Springs Mr. Roy I. Mosicant Mr. and Mrs. Wallace E. Ms. Jean Sprenkle* Ms. Christine F. Wilson* Lifescan, Inc. Mr. and Mrs. James J. Muir Rees, Jr. Ms. Ruth M. Staddon Mr. and Mrs. John L. Windle* Lions Club International Mrs. James F. Mulligan Ms. Virginia M. Reiland Mrs. Ruth S. Stanley Mr. and Mrs. Harold A. District 14-P Mrs. Mary A. Mulligan Mr. and Mrs. John J. Reilly Mrs. Jean K. Starn Wingerd Medical Services of Mr. and Mrs. John F. Mr. Lawrence D. Reimer, Jr.* Ms. Pamela J. Stephani Ms. Ann Wolfrey America, Inc. Mulqueen Mrs. Milly Reinecke Steve Polito Ceramic Tile Mrs. Gladys B. Woodward Medtronic MiniMed Ms. Patricia A. Murphy Installations, Inc. Mr. Jeremy S. Reinhardt Mr. James L. Woodward, III MOMS Club of Mr. Brian Murray and Mr. and Mrs. William A. Reiter Mr. and Mrs. Harold L. Mrs. Annie Young Downingtown East Dr. Audrey Murray* Stoner* Ms. Laura P. Reutter Dr. and Mrs. Robert D. Young* MOMS Club of West Mr. and Mrs. Frank A. Natalie Mrs. Nancy Richards Mr. and Mrs. Donald M. Ms. Marge E. Zacharkow Chester-West Stonestrom Mr. Robert F. Nelson Ms. Mary C. Riley Mr. Stanley Zebrowski Morrissey Family Foundation Mrs. Jane K. Stout* Mr. and Mrs. Michael J. Ney Mrs. Ruth Rissinger Mr. Joseph Zonetti Novartis Nutrition Corporation Mrs. A. Darlington Strode Quy X. Nguyen Mr. and Mrs. William K. Mr. and Mrs. Joseph D. Novo Nordisk Mr. John Nichols Robb, Jr.* Mr. and Mrs. Fred Stuckmeyer Zunino* Pharmaceuticals Inc. Ms. Susan A. Nichols Robinson Electrical Mr. and Mrs. Walter R. Mr. and Mrs. Thomas J. Sanders Foundation Sundstrom Mr. and Mrs. William B. Construction Zunino Ms. Vittoria Sciortino and Nichols* Mr. and Mrs. John P. Mr. and Mrs. Vincent V. Mr. Jorge A. Acevedo Suppan Mr. and Mrs. Victor L. Rodzvilla, Jr. ADDITIONAL Mrs. Eleanor Scott Mr. and Mrs. Lewis F. Swayne Nicoladse, III* Mrs. Rosemary M. Rooney* CONSECUTIVE Simpers Associates LP Mr. and Mrs. Thomas E. Mr. and Mrs. Paul M. Mr. William R. Root CONTRIBUTORS The Honorable Elinor Sweeney Norris, Sr. Ms. Joan G. Roscoe Mrs. Arthur G. Baldwin Z. Taylor Mr. Marvin S. Swinehart Mr. John R. Norton Mr. Gary M. Rose* Mr. Lester M. Bowman United Way of Chester County Mr. and Mrs. Steve Tallman Mr. and Mrs. Jeffrey L. Novak Mr. Donald J. Runowski Mr. and Mrs. Bruce Boyd Wal-Mart Mr. and Mrs. Rodolfo Theis Mrs. Anne F. O'Brien Ms. Julia D. Ryan Mr. Thomas D. Boyd Dr. and Mrs. Robert A. Mrs. D. Gilbert Thomas Ms. Mary E. O'Connell* Mr. William Saccomandi Mrs. Emma E. Bramble Whittaker Mr. and Mrs. Timothy W. Mrs. David Dalla O'Dell Mrs. Dorotha Samuelson XL Specialty Caring Thompson Mr. and Mrs. Frank Coffey Ms. Marie O'Donohue Mr. and Mrs. Worthy C. Community Mrs. J. M. Thomson Ms. Elizabeth F. Dispenziere Mr. and Mrs. Eric Olson Sanders, Jr. Mr. and Mrs. Lance K. Ziering Ms. Susan S. Tiernan Ms. Sylvia W. Fuller Mrs. Laverna O'Melia Mr. and Mrs. Michael R. Mr. Arthur C. Tompkin* Mr. James E. Goodnow Ms. Irene Orloski Sandy Mr. and Mrs. C. Barry Lewis MATCHING GIFTS Ms. Patricia A. Oswald Mr. Anthony Sarnese Mr. and Mrs. Ronald P. Toussaint Mrs. Ruth Maconachy These generous companies Mrs. Ethel W. Otter Mr. Forrest Schaeffer Mr. and Mrs. Richard Mrs. Kathleen F. Oakes supported our mission by Mr. Michael Owens Mr. Richard D. Scheer Townsend Ms. Patricia Overdeer matching the donations of Mrs. Marion E. Painter* Mrs. Ruth Schick* Mr. and Mrs. George P. Turner Mr. and Mrs. John J. Randolph their employees. Mr. and Mrs. Anthony P. Mrs. George J. Schu* Mr. James W. Turtle Mr. and Mrs. James Rosenthal Pantalone Mr. Robert J. Schultz Abbott Laboratories Mr. Donald D. Urbanic Ms. Carolyn M. Soroka Mr. Alan J. Papson Ms. Jeanne A. Schwab Aetna Foundation, Inc. Mr. and Mrs. Ronald E. Ms. Hsu-Lin Su Dr. Frank R. Parchen, Jr.* Mr. and Mrs. Anthony C. Uschold Ms. Jane R. Vyvenberg Bank of America Mr. Ralph G. Parkman* Scimone Mr. and Mrs. Ryan Mrs. Karl L. Ziegler Brandywine Trust Group, LLC Mrs. Josephine C. Parman Mr. and Mrs. Philip Sciscione* Vandermeulen GE Foundation Mrs. Joyce F. Parrett Mr. Steven M. Seide Mr. and Mrs. W. Rex GlaxoSmithKline Foundation SPECIAL GIFTS Mr. and Mrs. Frank K. Mr. and Mrs. Walter H. Seitzer VanWinkle Johnson & Johnson Family of Patterson Mr. and Mrs. Edward M. Setar Mr. and Mrs. Thomas The following friends made Companies Mr. and Mrs. Walter R. Mr. A. T. Shank Verderame gifts to specific areas of need. JPMorgan Chase Foundation Pavelchek* Mr. and Mrs. Tong C. Shin* Rev. Samuel A. Verruni Merck Partnership for Giving Dr. and Mrs. Frank Baldino, Jr. Mr. and Mrs. Walter L. Paynter Mr. and Mrs. Charles G. Mr. Carl Von Zemenszky SAP Bayer HealthCare LLC Mrs. Elva Pepper Shoemaker Mr. and Mrs. Mark A. Wagner Sartomer Company, Inc. Becton Dickinson and Mrs. Alice L. Peters Ms. Shirley M. Shoffner Ms. Valerie R. Wallace The Vanguard Group Company Mr. and Mrs. Robert E. Mr. Joseph C. Shrum Mr. Joseph M. Warihay Foundation Peterson Mr. and Mrs. John R. Carey Mr. and Mrs. Robert K. Ms. Eileen H. Weaver Verizon Foundation Mr. and Mrs. Thomas Petko Mrs. Vivian S. Carlow Shuttleworth Mr. and Mrs. John W. Weaver Wyeth Mrs. Nancy L. Phillips Mr. and Mrs. Michael H. Casel Dr. Mary L. Sicoli Mr. and Mrs. Joseph L. Weber Mr. William L. Phillips Mr. Frederick P. Slack Cassatt RRG Holding Mr. and Mrs. Warren O. Company Mr. and Mrs. Antonio N. Mr. and Mrs. Ziad Y. Sleiman Weiler, Jr.* Piccone CCS Medical – DEGC Ms. Jane R. Smiley Mr. Donald F. Weir Mr. and Mrs. Robert W. Pierce Enterprises US, Inc.

ANNUAL REPORT 25 THE CANCER Mrs. Elliott Vaughan, Secretary M s . T heresa Bryant Ms. Diane G. Harrison Mr. Christian S. Petrangeli CENTER OF Mrs. Charlotte Gilpin, Ms. Denise M. Bugey Mr. Steve Hendershot Ms. Sara Fenn Pevoto CHESTER COUNTY Treasurer Mr. Gregory R. Byrnes Ms. Danielle Hendricks Mr. Thomas F. Phelan These special donors gave Mrs. Doris Mitman, Assistant Mrs. Mary Lou Callazzo Ms. Christine B. Hinks Ms. Susan M. Pizzi generously to underwrite the Treasurer Mrs. Sharon M. Castle Mr. Robert V. Hogan, Jr. Mr. Bret Pleines patient and family services Mrs. Harriet A. Whittaker, Mrs. Jean M. Caufield Mr. Jeffrey Hunter Mr. Alec D. Plotkin Past President offered by The Cancer Center. Ms. Gennine Chendy Mr. Abraham S. Johnson, Jr. Dr. Denise Potosky Donors who gave memorial Ms. Renee A. Chico Mr. John C. Jubin, Jr. Mr. Boris Radisik THE MEN OF THE Mr. Gary Chin Ms. Amy Kabatt Mrs. Patricia A. Reaney donations to support this cause CHESTER COUNTY are listed in the ‘In Memoriam’ HOSPITAL Mr. John J. Conlin Mr. Thomas R. Kain Mr. Donald N. Reed section of this report. Mr. Michael P. Conlon Mr. Roy Kilgore Mr. John E. Regina This service and fundraising Mr. Richard S. Conner Mr. John Kinkead, II Ms. Leslie R. Rice Mr. and Mrs. Richard H. Berry organization works year-round Mr. James H. Conrad, II Mr. William Kleinfelter Mr. Paul S. Roenne Brush & Palette to support day-to-day opera - Mrs. Sandra L. Cremi Mr. Hemanth Kulkarni Ms. Patricia A. Sabo Cappella Studio Boutique tions of the Hospital, as well as Ms. Christie I. Cruz Mr. Stanley Kumiega, III Mr. and Mrs. Gerard R. Sealy Mr. and Mrs. Joseph J. to assist with many fundraising Ms. Jeanette L. Damnjanovic Ms. Dianne G. Lanham Mr. Suresh Seelam DellaVecchia, Jr. and wellness events. From book Mrs. Kathleen DeCamillo Mr. and Mrs. Steven W. Mrs. Eugenia M. Seybold The Hesselberth Family Fund sales to the May Festival Attic Ms. Jean Delviscio Laudermilch Ms. Joan Shavor Merck Partnership for Giving Attack, this year the group Mr. and Mrs. John C. Ms. Xiangmin J. Li Mr. Donald A. Sheldon Radley Run Junior Golf raised nearly $8,000. de Ruyter Mr. John P. Litchko Mrs. Tracie Shupard Program and Committee Mrs. Janet W. DiBartolomeo Mr. Phuoc Lu Mr. John D. Simmons SHINE Committee Ms. Pamela K. DiJoseph Mr. Daniel K. Luczka Ms. Marina Skoufalos Ms. Yolanda Siderio UNITED WAY Mr. James Dolhancryk Ms. Bernadine Mascherino Ms. Elizabeth Smith Ms. Barbara F. Weichert We are grateful for the annual Mr. Frank J. Doll Ms. Sharon L. Massimini Mr. Erich Smith support of many community Mrs. Donna S. Doss Ms. Marilyn Maxwell Ms. Christine B. Smyth WOMEN’S members who choose to Ms. Catherine P. Dulka Mr. and Mrs. Guy L. AUXILIARY TO Mr. Mario J. Spina THE CHESTER support us through a variety Mrs. Monique P. Evans McCandless Mr. Peter Stephenson COUNTY HOSPITAL of local United Way Donor Mr. Joseph Farley Mr. Joe McKeller Mrs. Kathy J. Stocker Options Programs. Mrs. Mary Farquaharson Ms. Sue McNutt The Women’s Auxiliary has Ms. Jennifer C. Swahl Ms. Charleen B. Faucette Mrs. Mary F. Mengel Ms. Geanette M. Thompson been an integral part of the Mr. Michael Aceto Ms. Margaret M. Feeney Merck Partnership for Giving Mr. Robert A. Townsend Hospital since nearly the Ms. Frances W. Adams Ms. Mary J. Fenimore Mr. and Mrs. John J. Molinelli Mr. David E. Adelizzi Mr. Fred M. Valentino beginning. Once again the Mr. Sean J. Fennelly Ms. Marianne B. Moorer Aetna Foundation, Inc. Ms. Carol A. Walbert Auxiliary has broken all Mrs. Karen R. Finley Mr. Richard L. Morgan Ms. Jennifer Anderson Mr. Samuel E. Walker records, and raised an amazing Mr. C. Edward Firth Mr. Michael B. Morkun Mr. Andrew S. Androwick Mr. Kevin N. Wardlow $576,085 this year. The Mr. Kenneth E. Flickinger Mrs. Sandra Murphy Mr. Ernest A. Angelucci Mr. Richard Weaver Auxiliary is well on its way to Mr. and Mrs. Stephen G. Mr. and Mrs. Harry Nagel Mr. Michael Wengrin, III reaching the goal of donating Anonymous (5) Frederick Mr. John Neider Mrs. Judith J. Atticks Mrs. Darlene K. Whenry $1.0 million to the Capital Mr. and Mrs. Richard J. Fuchs Mr. Stephen F. Nessel Ms. Donna R. White Campaign over three years. Mr. and Mrs. David C. Mr. William P. Gassmann Mrs. Karen A. Novielli Biddle, Jr. Mr. Mark C. Williams Mr. Francis M. Gavin Mr. and Mrs. Thomas H. Women’s Auxiliary Mr. and Mrs. Mark Bilinski Ms. Melissa V. Williams Ms. Barbara Geisel O'Donnell Executive Committee Mr. and Mrs. Roger Bove Ms. Shawnte Wilson Ms. Joann M. George Mr. Patrick J. O’Donnell, Jr. Mrs. Nancy Robinson, Ms. Marilyn I. Branton Mrs. Terri L. Winchock Mr. Brian D. Gillespie Miss Jean M. Oakes President Mrs. Mary T. Brauman Mr. and Mrs. Constantine Ms. Tara Gold Mr. Subhaga Pathak Mrs. Debbie Hess, Mr. Taylor Breslin Zikas Mr. Richard B. Grekila Mr. Glenn A. Paton First Vice President Mr. Lloyd K. Brown Mr. Curtis Zimmerman Ms. Brigitte A. Grenell Mr. H. L. Perry Pepper Mrs. Harriet A. Whittaker, Dr. John A. Bruhn Mr. Edward J. Hand Mrs. Lucy Perkins MSecond Vice Preesidment orMr. iIdina D. Blrutscshe and Tributes

IN MEMORIAM In Memory of Megan B. Bates Ms. Gwen Martin Mr. and Mrs. Raymond J. In Memory of Raymond F. Mr. and Mrs. Walter D. Barrick Mr. and Mrs. Douglas W. Smolders Boshold In Memory of Harold H. Alderfer Mr. and Mrs. Richard Bates McIlvaine South Jersey Radiology Advent Electric, Incorporated Mr. and Mrs. Samuel Wagner Ms. Mary Joan McIlvaine Associates Mr. and Mrs. Robert D. Bates In Memory of Gordon S. Bowker Richard E. Meanix, Esq. The Daley Family In Memory of Marie C. Calvary Lutheran Preschool Ms. Eleanor M. Arasin Mr. and Mrs. Rich Miller Ms. Dona Withkowski Argentieri Mr. and Mrs. Michael T. Mr. and Mr. Paul J. Daley Conley Ms. Marilyn B. Newman Mr. and Mrs. W. Scott Yarde Mr. and Mrs. Vincent A. Mr. James W. Franciscus Donato Delta Medix, P.C. Mr. and Mrs. Michael E. Mr. and Mrs. Irving Zucker Mr. and Mrs. Charles L. Niemczyk Mr. and Mrs. Vincent Genovese Mr. and Mrs. Mark A. Duerst In Memory of Charles H. Benton Griffith Ms. Nicole P. O'Connor Mr. and Mrs. Martin Kuper Four Year Old Afternoon Class Mr. and Mrs. Gerald E. Benton Mr. and Mrs. Robert E. Kelly at Calvary Lutheran Preschool Mr. and Mrs. Michael R. Mr. and Mrs. Jim Lees Mr. and Mrs. Barrett C. Mrs. Mary S. Laird Mr. and Mrs. Jeffrey W. Fowler Palombo Ms. Kay A. Pali Caldwell Mr. John T. Page Ms. Andrea M. Harley People to People International Ms. Bonita Perry Ms. Peggy B. Corley Mr. and Mrs. Robert H. Ms. Barbara J. Pierce Ms. Louise M. Smith Mr. and Mrs. Charles L. Mr. and Mrs. William Gable Spatola Hover, Jr. Mr. and Mrs. Gregory Mr. and Mrs. Larry B. Traver Ms. Teresa Jusino Mr. and Mrs. Earl C. Taylor Jack L. Benson Family Quintana SAP Mr. and Mrs. Gerrit S. In Memory of Robert B. Barry Mr. William D. Lockhart Mr. and Mrs. Jeffrey S. Rachau Mr. and Mrs. Benjamin Selfe Van Straten Mr. and Mrs. Bruce D. Mr. Darren G. Marcus Ms. Ann M. Robinson Mr. and Mrs. Jan S. Selfe Bowman Mr. and Mrs. Robert C. Mr. Steven M. Seide In Memory of Jay Campbell Ms. June C. Crumb Mariencheck Ms. Rose Pinto

26 THE CHESTER COUNTY HOSPITAL In Memory of Ernest J. Cecilia Mr. and Mrs. Richard A. Mr. Michael E. Roynan In Memory of Varney Hoopes In Memory of Corlet Jackson Mr. Ernest E. Cecilia Dwelley Ms. Catherine A. Tuckloff West Chester Evening Ms. Hazel A. Brickert Mr. and Mrs. Kevin R. Craig Ms. Elizabeth Emack Mr. and Mrs. John J. Vanore Auxiliary of The Chester Mr. and Mrs. Roger Gant, Jr. Mr. and Mrs. John Falco Mr. and Mrs. Robert G. County Hospital Mr. and Mrs. Ronald G. Gould In Memory of Mildred Haller Ms. Janet Gurski Hayden Mr. and Mrs. Milton C. Mrs. Agnes Antonowich In Memory of Anthony P. Mr. and Mrs. Vince W. Mrs. Barbara Krieger Hrincevich Jackson, Jr. Mr. William C. Baldwin Overholt Mr. and Mrs. Gerald P. Kynett Ms. Paula E. Bedrick and Mr. Timothy M. Jackson and Ms. Betsy Benner Mr. and Mrs. Gary A. Pakalski Mr. and Mrs. Samuel E. Line, Jr. Ms. Geraldine Goody Ms. Shirley Gaufin Mr. and Mrs. John W. Mr. and Mrs. Robert A. Mr. and Mrs. Isaiah J. Mr. John R. Merrick In Memory of Ma Cho Beyer, Jr. MacDonnell Bingaman Mr. and Mrs. John B. Mr. and Mrs. Henry H. Khine Mrs. Ginny Brehmer Mr. and Mrs. Robert D. Mr. and Mrs. Warren M. Swayne, III McNeil Dr. and Mrs. Alan A. Creamer Bingaman In Memory of Gerald Clark, DDS In Memory of Richard Jackson Mrs. Mary A. Mulligan Mr. and Mrs. Stanley H. Eames Mr. and Mrs. James C. Braca Mr. and Mrs. Robert B. Horne Mr. Vincent Geraci Mr. and Mrs. J. Lewis Reynolds Mr. George W. Fetters, Jr. Mr. and Mrs. J. Richard Cain Mrs. Patricia Jackson In Memory of Joan A. Cleary Mrs. Susan Windle Rogers Mr. and Mrs. James J. Finegan Center for Medicare and Mr. and Mrs. John L. Barr, Jr. Ms. Alberta V. Scheck Mr. and Mrs. James H. Fisher Medicaid Services Colleagues In Memory of Anne S. Keegan Chick-Fil-A of Lionville Ms. Mildred D. Slack Mr. and Mrs. William J. Ms. Barbara Cerbone Cavanaugh Family Mr. and Mrs. Michael Grayson Mr. and Mrs. Richard O. Smith Hilliard Mr. and Mrs. Ronald W. Cook Ms. Lynne Eisenstaedt The Murphy Family The Stredler Family InformEd, Inc. Mr. and Mrs. Steve Coppola Ms. Carole Vincent Mr. and Mrs. John J. Mr. and Mrs. Joseph W. Ms. Ruth Isinger Mr. and Mrs. James M. Emig In Memory of Vaughan Y. O'Donnell Strode, Jr. Mrs. Ginny Kettenring Mr. and Mrs. Charles Farren Mr. and Mrs. William R. O'Neil Mr. and Mrs. John D. Komar Kramer In Memory of Russell A. Draves Mr. and Mrs. Robert F. Fischer Ms. Jane Petner Mr. and Mrs. Joseph S. Kunkle Mr. and Mrs. David N. Ms. Pearl Lynn Mr. and Mrs. John E. Whittaker Mr. Kenneth R. Ross Mr. Donald G. Lundberg Gallagher Mr. and Mrs. Robert R. The Sacchetti Family Mr. and Mrs. Victor E. Mello In Memory of Hannah D. Lamb McElroy Mr. James H. Hake Ms. Nancy Shea Mrs. Doris Mitman Mr. and Mrs. Joseph Bent Mr. and Mrs. John T. Messner Ms. Marian H. Hetherington The DiValerio Family Mr. and Mrs. Harry H. Mr. and Mrs. Andrew W. Mr. and Mrs. James J. Obzud Mr. and Mrs. William P. Ms. Colleen Walsh Mulholland Hetrick Bishop Mr. and Mrs. Francis E. Mr. and Mrs. Patrick J. Warner Mr. and Mrs. Asbury S. Ms. Esther S. Cope Sarnecki Mr. and Mrs. Douglas High Mr. and Mrs. Harry J. Watson Neilson Mr. and Mrs. Kenneth W. Mr. John N. Shainline, III Mr. and Mrs. J. Anthony Mrs. Barbara Notemyer Iannetti Darlington Mr. and Mrs. Samuel B. In Memory of Helen Davis Mr. and Mrs. Peter W. Orr Mr. and Mrs. Roy R. Stevenson Mr. and Mrs. John A. Iannetti Mrs. Agnes Antonowich Mrs. Marion Rieker Detweiler, III The Capper Family Mrs. Lois A. Lantz In Memory of Patricia C. Ms. Carol H. Rockafellow Mr. and Mrs. Larry Levin Dr. and Mrs. James B. Erdmann deBordenave In Memory of Doris Q. Eufrasio Mrs. Lucille Stanton Mr. and Mrs. John B. Marino Mr. and Mrs. Stefan J. Frei Mr. and Mrs. Winslow K. Ms. Barbara Edwardson Mr. and Mrs. Joseph W. Mr. and Mrs. Harry A. Mirach Mr. and Mrs. David B. Abbott Ms. Eileen R. McKechnie Strode, Jr. Mr. and Mrs. Gregory F. Hackney Mrs. Agnes Antonowich Mr. Edward G. Sawa Ms. Janet Sullivan Niblock Mr. and Mrs. Ronald E. Hays Mr. and Mrs. Chester G. Mr. and Mrs. William S. Octorara Elementary Sunshine In Memory of Patricia B. Evans Implementation Management Bragaw Thompson, Jr. Mr. and Mrs. Jeffrey M. Mr. Vernon E. Evans Assistance, Inc. Mrs. Virginia Collie Mr. and Mrs. Leonard Traines Ostroff Mr. and Mrs. Michael E. Lee Mrs. Beatrice F. Conner In Memory of Lillian Falgie Mr. Edward Tucker Mr. and Mrs. Christopher A. Mr. and Mrs. Theodore V. Mr. and Mrs. Jeffrey C. Dore Mrs. Dianne Vaughan Dr. and Mrs. Jack C. White Palmer Lenthe Mrs. Betty Engan Women’s Auxiliary to Mr. and Mrs. Jeffrey L. Polaski Ms. Jennie A. Mack Ms. Dorothy E. Fitzgerald In Memory of Fran Fasel The Chester County Hospital Mr. and Mrs. M. Bruce Pote Mr. and Mrs. Alfred A. Mr. and Mrs. Robert S. Rita R. King, Ph.D. Mr. and Mrs. William L. Young Mr. and Mrs. Lee Scarpone Mummert Fitzgerald Mr. and Mrs. Kenneth M. Ms. Linda E. Smeltzer Witek In Memory of John B. Hannum Reilly & Sons, Inc. Ms. Ann C. Hemphill Mr. and Mrs. David Stinsman Madeline H. Lamb, Esq. Ms. Laura J. Rupp Mr. and Mrs. Peter B. Howard In Memory of Howard E. Friele Mr. and Mrs. Walter A. Mr. and Mrs. Michael Spoll Mrs. Ginny Kettenring Mr. and Mrs. Douglas N. In Memory of Herbert G. Stinsman, Jr. Mr. and Mrs. E. Dean Dr. Raza Khwaja and Yocom Hanson Mr. and Mrs. Dean H. Vesling Stanton, Jr. Dr. Pamela Scott Mr. Joseph Abele Mr. and Mrs. Richard E. In Memory of Victor Giardini Mr. and Mrs. Steven E. Strand Mr. Gerald Montaigne Mr. and Mrs. Bernard Kot Weaver Ms. Elizabeth M. Stratton Mr. and Mrs. Peter W. Orr Mr. Vincent A. Di Cioccio Mr. and Mrs. John G. Wenzel In Memory of Kathryn Hawkes Mr. John M. Straton and Mrs. Susan Windle Rogers Mr. and Mrs. Rick Dougherty Alberta Worthington & Family Radiology Filing Room Staff of Ms. Linda L. Bonar Mr. and Mrs. Orville Immaculata University Mr. and Mrs. Wayne A. The Chester County Hospital Mrs. Bertha M. Swart Sippel-Wetmore Mr. and Mrs. Stewart T. Jaffee Worthington Mr. and Mrs. Lee F. Mrs. Lucille Stanton Ms. Patricia L. Miller In Memory of Nancy Hayward In Memory of Virginia Hufford Van Wormer Mr. and Mrs. Richard E. Stewart Shamona Creek Friendship Mrs. Helen B. Hoffman Agilent Technologies, Inc. Warriors Path Financial, Inc. The French Group - Deborah, Committee Women’s Auxiliary to Mr. and Mrs. Robert H. Yerkes Mariane, Marta, Shirley Shamona Creek Home and The Chester County Hospital Mr. David A. Baker Ms. Judith A. Hufford Mrs. Rosemary Tucker School Association In Memory of Joan Leo In Memory of Florence Heisler Mr. and Mrs. John E. Paxson Mr. and Mrs. Donald Twaddell Mr. and Mrs. H. Fletcher Ms. Margaret M. Dorsey Swanson Mr. and Mrs. Harold M. Mrs. Jean Thompson Mrs. Eva L. Verplanck Ms. Joyce Faville Mr. and Mrs. Jeffrey D. Dutter Women’s Auxiliary to Ms. Susan J. Torello Tansimore Mr. and Mrs. John P. The Chester County Hospital In Memory of Francis G. Helmer Mr. and Mrs. Robert Weer Greenfield Vita Novas Bakers Dozen Mr. and Mrs. Charles M. Mrs. Jeanette Wickersham Ms. Ruth L. Guessford In Memory of Fred Disque Mr. and Mrs. Ralph DiMarco Women’s Auxiliary to The Ms. Patricia Q. Hamilton Mrs. Hovey S. Dabney von dem Hagen Chester County Hospital Mr. and Mrs. Robert V. A. Dr. and Mrs. Charles R. Weber In Memory of Josephine Herron In Memory of Mary A. Goslin Mr. and Mrs. William F. Cahill In Memory of Kitty Huntington Harra, Jr. In Memory of Karl R. Ms. Margaret S. Anderson Ms. Doris S. Herman Ms. Mia Argentieri Mr. and Mrs. Harold Hublein Dorries, Jr. Mr. and Mrs. Joseph R. Mr. and Mrs. Lyle H. Phifer Ms. Candyce Hublein-Pizzala Dougherty Mr. and Mrs. Alden S. Bennett Mr. and Mrs. Robert E. Ms. Donna L. Leo Ms. Jacqueline L. Dietz Ms. Gillian G. Facher Stafford Mr. and Mrs. Joseph A. Paloni Mr. and Mrs. Peter Kafigian Mr. and Mrs. John R. Wright ANNUAL REPORT 27 Mr. and Mrs. John Pannell In Memory of La Verne Mr. and Mrs. D. Michael Westtown-Thornbury Mr. and Mrs. Samuel Wagner Mrs. Ann C. Rumford Middlestead Condon Elementary School Staff Ms. J. Elizabeth Yarnall Mr. and Mrs. George V. Starr Mr. and Mrs. Albert J. Mr. and Mrs. Donald D'Ginto Mr. and Mrs. Dean G. Wetzel Giannantonio, Jr. Ms. Reni Versagli Mr. and Mrs. Louis A. Fort Mr. and Mrs. Albert A. Zavalis IN HONOR Mr. and Mrs. Charles S. Wilmington Trust of Delaware In Memory of Dorothy and In Memory of Jon J. Spicer Lloyd Moore Gatwood In Honor of Mary Basilio In Memory of James E. Lewis Mr. James E. Hitchens Ms. Mia Argentieri Mr. and Mrs. Dana Heberling Mr. Evan S. Phillips Mr. and Mrs. Andrew G. Mr. and Mrs. Mark R. Herb In Memory of Marie Springer Scheerer In Memory of Lucille E. Moran Ms. Shirley Herb Mr. and Mrs. Albert J. In Honor of Les Bear and JoAnne Peskoff In Memory of Helen E. Lucenko Mr. and Mrs. John Wolfe Mr. and Mrs. Larry E. Hoch Giannantonio, Jr. Mr. and Mrs. Stephen I. Baer Mr. and Mrs. Louis G. Acorn Development In Memory of Helen Nagy In Memory of Catharine Stiteler Corporation Hufnagle Ms. Barbara J. Bear Mr. and Mrs. Robert K. Nagy Mr. and Mrs. Harry Gilbert Berkowitz & Berkowitz Mrs. Vashti E. Humanick Mr. and Mrs. William J. Mr. Thomas C. Nagy Ms. Mary V. Powell Crocetto Mr. and Mrs. Mark D. Brady Mr. and Mrs. Ronald S. Knerr Mr. Lawrence D. Reimer, Jr. Mr. and Mrs. Jon Harvey Ms. RoseAnn M. DeAngelis In Memory of Dr. Vijaya Naidu Ms. Wanza Lenny Mr. and Mrs. James H. Weeks Madeline H. Lamb, Esq. Mr. and Mrs. William A. Mr. and Mrs. Robert D. Mr. and Mrs. George J. Graham, IV Hillenbrand Madden Westtown Auxiliary to Mrs. Mary Peskoff The Chester County Hospital Mr. and Mrs. James C. Shelby Ms. Constance G. Kramer In Memory of Adele Pevar Ms. Pamela Marone Ms. Ann Marie Malone Mr. and Mrs. Erwin Abrams Mr. and Mrs. Raymond In Memory of Sen. Robert J. In Honor of Mian A. Jan, M.D. Marquette Thompson Mr. and Mrs. Russ Napolitano Anonymous Mr. and Mrs. Lance K. Ziering Ms. Kate McKeeta Mrs. Lillian Regalmuto Ms. Megan L. Nazarchyk Dr. and Mrs. Steven A. Appel Mr. Maurice E. Miller In Honor of Carli Meister The Bailey Group Ms. Lillian Brunstein In Memory of Harry Tomlinson Mr. and Mrs. John M. Cassatt RRG Holding The Graham Company Ms. Francine Frydlewicz Monaghan Mrs. Jeanne Tomlinson Company Ms. Patricia Zepp Mr. and Mrs. David S. Leff Mr. and Mrs. Elliott E. In Memory of Edward Tucker In Honor of Inan S. Ramdas In Memory of Nancy H. Mr. Joshua S. Mann Moore, Jr. Mrs. Barbara Notemyer Mr. and Mrs. Narendra B. Lundberg Mr. and Mrs. Mark Pachman Mr. and Mrs. David C. Bam Mr. and Mrs. Eugene V. Bucci Mr. and Mrs. Edward Spector Morgan In Memory of Dorcas Van Horn Mr. Sudharshan A. The Dranoff Family Women’s Auxiliary to Mr. and Mrs. Robert H. Mr. and Mrs. Michael J. Ney Bindiganavile and The Chester County Hospital Burrus The Pfannenstiel Family Ms. Jean B. Osbahr Ms. Sunita Lyengar Mr. and Mrs. Michael J. Mr. and Mrs. Warren Verbit Mr. and Mrs. Thaddeus In Memory of Ross W. Wiggins Ms. Tiffany S. Derrick Delconte Osiecki In Memory of Robert Pinto Krugers Rental Service Ms. Jane M. Fisher Mr. and Mrs. Kenneth L. Eller PA District 28 LLBB Ms. Rose Pinto Main Attractions Mr. Raj Ganesan and Mr. and Mrs. Richard W. Mr. and Mrs. Paxson Ms. Rama Balakrishnan Gance Mr. and Mrs. J. Howard Moore In Memory of Lucy Rabin Ms. Elizabeth L. Peterson GlaxoSmithKline Foundation Mr. and Mrs. James A. Mr. and Mrs. William K. Dr. Richard B. Kent Mr. and Mrs. Vincent R. Pitetti Mr. Vasuki Kakkadasam and Graham Paynter Dr. and Mrs. Walter L. Kester Mr. and Mrs. Martin Ms. Meena Bhashyam Mr. and Mrs. Kevin Holleran RSS Distributors Renninger Mr. and Mrs. David E. Mr. and Mrs. John D. Komar In Memory of Florence Mr. and Mrs. Raymond J. Mr. and Mrs. Peter J. Rohall Smith Lundberg Mr. Donald G. Lundberg Remington Mr. and Mrs. Carl Schultze Mr. Thomas L. Smith Mr. and Mrs. Bharat P. Mistry Mr. and Mrs. Paul M. Oravez Women’s Auxiliary to The Chester County Hospital Mr. Leonard E. Schwartz Mr. and Mrs. Walter R. Mr. and Mrs. John M. Parach Mr. and Mrs. Peter W. Orr Mr. and Mrs. Norton R. Vaughan, Jr. Mr. and Mrs. Shankar Pillai Mr. and Mrs. Robert B. Priest In Memory of William J. Seaman Ms. Geraldine E. Windle A.V. Ramaswamy Mr. Lawrence D. Reimer, Jr. Richards Ms. Beth K. Siglin Mr. and Mrs. Naresh N. Mrs. Brenda J. Sacchetti Mrs. William J. Richards Ms. Bernice K. Snyder In Memory of Randall Yarnall Ramdas Mr. and Mrs. Raymond P. Chester County Antique In Memory of Everett and Mr. and Mrs. Carl J. Snyder Mr. Frederick E. Rubino Sarnacki Car Club Helen Rogers Mr. Dennis G. Snyder Mr. and Mrs. Rajeev Sharma Mr. and Mrs. John L. Ms. Mary J. Cook Ms. Marilyn R. Becker Mr. and Mrs. J. Timothy Shoemaker Snyder Mr. Jacob Hartmetz, Jr. In Honor of Lydia G. Slavish Ms. Nancy E. Wilkinson In Memory of Norman W. Southport Christian School Mr. and Mrs. Robert J. Hirsch Ms. Yan Yan Wong Skillman Mr. and Mrs. George M. In Memory of Don Marbach Mr. and Mrs. Russell J. Tapper In Honor of William B. Sweitzer Miss Jean M. Oakes Knox, Jr. The Iverson Family Mr. Scott Borel Mr. and Mrs. Chris Reedel Mr. and Mrs. William In Memory of Phares Dean The Malloy Family McGrogan In Honor of Harriet A. In Memory of Anne Martin Snyder The Phipps Family Mr. and Mrs. Victor E. Mello Whittaker Mr. Charles C. Martin Mr. and Mrs. William J. Tri Valley High School Boyer, Jr. Mr. and Mrs. Keith C. Dr. and Mrs. Robert A. Ms. Sandra Wargolet Oberholtzer Whittaker Mr. and Mrs. Neil T. Campbell Westtown-Thornbury PTO Mr. and Mrs. Mark T. Quinlan

For further information, please contact: The Chester County Hospital Foundation 701 E. Marshall Street • West Chester, PA 19380 Visit www.cchosp.com/foundation to learn more 610-431-5642 • [email protected] about the various ways to give to the Foundation. 610-431-5366 • [email protected]

While we do everything in our power to report all donations accurately, omissions and errors do sometimes occur. We welcome hearing from you if you see an inaccuracy.

All contributions to The Chester County Hospital Foundation are tax deductible as provided by law.

28 I WANT TO THANK ALL OF OUR COMMUNITY MEMBERS, Board Members STAFF, PHYSICIANS AND BOARD MEMBERS WHO HAVE GIVEN SO GENEROUSLY DURING THE 2007 FISCAL YEAR. THIS

ANNUAL REPORT LISTS THE LEVEL AND TYPE OF SUPPORT INDIVIDUALS, FOUNDATIONS AND CORPORATIONS CONTRIBUTED TO

OUR HOSPITAL. OUR DEEPEST APPRECIATION GOES OUT TO ALL OF OUR DONORS AND VOLUNTEERS WHO EACH YEAR GIVE SO

GENEROUSLY OF THEIR TIME AND RESOURCES TO CONTINUOUSLY BRING QUALITY HEALTHCARE TO OUR COMMUNITY. THANK YOU.

THE CHESTER Mr. James S. Denham Richard D. Donze, D.O., COUNTY HOSPITAL Mr. Antelo Devereux, Jr. Senior Vice President, FOUNDATION Mr. William Gallagher Medical Affairs CORPORATE Alfred A. Gollatz, Esq. Mrs. Jean Caulfield, TRUSTEES Senior Vice President, John S. Halsted, Esq. Kevin Holleran, Esq. Kevin Holleran, Esq., Professional Services Maury Hoberman, M.D. Chairman Mr. Kevin O’Brien, Senior Ms. Mary Ellen Josephs Mr. Richard M. Armstrong, Jr. Vice President, Development Mr. David J. Knauer Dennis Berman, M.D. Mrs. Angela Coladonato, NEIGHBORHOOD PROFESSIONAL Mr. C. David Murtagh HEALTH AGENCIES, PROVIDERS, INC. Mrs. Nancy Carr Senior Vice President, Mr. R. Marshall Phillips INC.BOARD OF BOARD OF Mr. John J. Ciccarone Nursing/Chief Mr. Carlos Questell Nursing Officer DIRECTORS DIRECTORS Mrs. John A. Featherman, III Mr. Deacon Shorr Ms. Mary Ellen Josephs, Mr. Keith Coughey, Chairman Mr. Nicholas P. Trainer, Mr. Robert B. Horne L. Peter Soraruf, IV, M.D. Secretary Mr. Peter F. Apple Chairman Mr. W. Thomas Musser Mrs. Georgianna H. Stapleton First National Bank of Chester Charles J. Barr, M.D. Mr. Peter F. Apple Mrs. John C. Nagy Mr. William S. Wood, II County, Assistant Treasurer Mrs. Esther R. Brown, M.S.N., Mr. William Gallagher Mr. Nicholas P. Trainer R.N. Maury Hoberman, M.D. Mrs. William G. Warden, III Honorary Members TURK'S HEAD Mrs. Mary Ann Gitzendanner Kevin Holleran, Esq. William Plummer, III, M.D., Mr. Daniel Cornwell HEALTH Mrs. Marjory Greenwald Mrs. John C. Nagy Trustee Emeritus Miss Jean M. Oakes SERVICES, INC. Mrs. Janet S. Hickman Mr. H.L. Perry Pepper Thomas C. Swett, BOARD OF Mr. Barry L. Hinkle Chairman Emeritus DIRECTORS OFFICERS OF THE Mr. Steven D. Hobman CORPORATION Mr. Dallas Krapf, Chairman THE CHESTER Mrs. Stephen P. Hoyt Mr. H.L. Perry Pepper, Mr. Thomas A. Clardy COUNTY HOSPITAL Ms. Mary Ellen Josephs President BOARD OF Mr. William Gallagher Mrs. Charlotte Mackey, DIRECTORS Mr. Michael Barber, Chief Mr. John B. Hannum, III M.S.N., R.N. Operating Officer Harry J. Hutchinson, III, D.O. Mr. Edward Pollard Mr. William W. Wylie, Jr., Mr. Kenneth E. Flickinger, Chairman Mr. Peter A. Latta Mr. Kevin Rulis Treasurer and Senior Vice Mr. Timmy T. Nelson John H. Benner, IV, M.D. President, Finance Mr. Richard A. Stevenson Mrs. Nancy R. Corson Mr. Kenneth H. Slack

IN HONOR OF THE HOSPITAL’S FOUNDING YEAR, THE 1892 SOCIETY RECOGNIZES

1892 Society FRIENDS WHO HAVE PROVIDED FOR FUTURE GENERATIONS OF PATIENTS.

THE 1892 SOCIETY MEMBERS HAVE MADE GIFT COMMITMENTS THROUGH

BEQUESTS, LIFE INCOME ARRANGEMENTS, OR OTHER PLANNED GIFT OPTIONS. IF YOU ARE NOT LISTED BELOW AND HAVE MADE

SUCH A GIFT, OR ARE INTERESTED IN JOINING THE 1892 SOCIETY, PLEASE CONTACT THE FOUNDATION OFFICE AT 610-431-5366.

Dr. and Mrs. Joseph L. Abbott Mrs. Nancy R. Corson Internal Medicine of Ob/Gyn Assoc. of Mr. and Mrs. Donald M. Dr. Mary B. Allan Mr. and Mrs. Antelo Devereux, West Chester Downingtown & Stonestrom Anonymous Jr. Mr. and Mrs. Philip D. Jamison West Chester Mr. and Mrs. Joseph W. Mrs. Margaret Anderson Mr. and Mrs. Paul J. Dukes, Jr. Mr. and Mrs. Eldridge Mr. and Mrs. Peter W. Orr Strode, Jr. Mr. and Mrs. Richard M. Dr. and Mrs. William F. Foxx Johnson, II Mr. and Mrs. H. L. Perry Mr. and Mrs. Thomas C. Swett Armstrong, Jr. Mr. and Mrs. William Ms. Mary Ellen Josephs Pepper Mrs. Mabel L. Thompson Mr. William C. Baldwin Gallagher Mr. and Mrs. David J. Knauer Mr. and Mrs. R. Marshall Mrs. Nancy Thompson Phillips Dr. and Mrs. Mark Beaugard Dr. Corazon G. Gemil Mr. and Mrs. John D. Komar Mr. Nicholas Trainer Miss Constance M. Plunkett Dr. and Mrs. John H. Benner Mr. and Mrs. Robert A. Mr. and Mrs. Dallas L. Krapf Mr. and Mrs. Leonard Traines Dr. and Mrs. Robert Poole Dr. and Mrs. Dennis A. Hageman Ms. Madeline Lamb Dr. and Mrs. Nicholas Vaganos Berman Mr. and Mrs. John S. Halsted Dr. Debra Loeb Mr. and Mrs. Carlos Questell Mr. and Mrs. Joseph J. Viscuso Dr. and Mrs. Lawrence Dr. and Mrs. Barry C. Hertz Mr. and Mrs. George C. Mr. Lawrence D. Reimer Mr. and Mrs. Robert C. Wallis Bernberg Dr. and Mrs. William C. Mason Dr. and Mrs. Marc Romisher Dr. and Mrs. Michael J. Ward Dr. Timothy Boyek and Hewson Dr. and Mrs. Alfred J. Ms. Karen L. Rothenbuhler Mr. and Mrs. William G. Dr. Leslie Poor Dr. and Mrs. Maury Mauriello Mrs. William J. Scarlett Warden, III Mrs. Mary T. Brauman Hoberman Miss Nancy Moore Mr. and Mrs. Deacon Shorr Mr. and Mrs. David Whittaker Mrs. Paul W. Brown, Jr. Mrs. Vernon L. Hoffman, Jr. Mrs. William E. Mullestein Mrs. Norman W. Skillman Ms. Nancy E. Wilkinson Ms. Nancy Carr Mr. and Mrs. Kevin Holleran Mr. and Mrs. W. Thomas Mr. and Mrs. Kenneth H. Slack Dr. and Mrs. Charles R. Wolf Chester County Mr. and Mrs. Robert B. Horne Musser Dr. and Mrs. L. Peter Mr. and Mrs. William S. Ob/Gyn Assoc. Mr. and Mrs. Stephen P. Hoyt Mrs. John C. Nagy Soraruf, IV Wood, II Chester County Surgical Assoc. Dr. Robert H. Huxster and Miss Jean M. Oakes The Honorable Walter and Mr. and Mrs. William W. Mr. and Mrs. Alan F. Clark Dr. Barbara Forney Mrs. Georgianna H. Wylie, Jr. Mr. and Mrs. Daniel Cornwell Stapleton

ANNUAL REPORT 29 50537_synapse-2.qxd 1/31/08 3:31 PM Page 2 Financials

THE CHESTER COUNTY HOSPITAL BALANCE SHEET JUNE 30, 2007

AS SETS LIABILITIES AND NET ASSETS Cash and short term investments $20,727,250 Current installments of long-term debt $1,793,721 Patient accounts receivable (net) 22,335,050 Accounts payable 4,601,817 Other accounts receivable 1,101,853 Accrued salaries, wages and vacation 5,805,822 Due from affiliates 4,974,491 Accrued interest payable 1,445,488 Assets whose use is limited 3,239,209 Estimated third-party payor settlements 1,477,723 Inventories 3,022,110 Other liabilities 156,670 Prepaid expenses and other current assets 274,874 Total current liabilities 15,281,241 Total current assets 55,674,837 Long-term debt 44,527,529 Assets whose use is limited 7,486,440 Accrued malpractice and workers comp 2,389,757 Long-term investments 1,056,634 Total liabilities 62,198,527 Beneficial interest in perpetual trusts 15,441,227 Investment in and advances to CCHOS 1,357,764 Net assets: Interest in net assets of TCCH Foundation 9,640,562 Unrestricted 63,436,280 Property, plant and equipment (net) 59,919,142 Temporarily restricted 10,294,112 Deferred financing costs (net) 961,444 Permanently restricted 15,610,389 Other assets 1,258 Total net assets 89,340,781

Total assets $151,539,308 Total liabilities and net assets $151,539,308

THE CHESTER COUNTY HOSPITAL STATEMENT OF OPERATIONS JUNE 30, 2007

REVENUES: Unrestricted, gains and other support Net patient service revenues $168,905,779 Other revenues 6,537,184 Mission Statement Net assets released from restrictions used for operations 27,468 Total unrestricted revenues, gains and other support 175,470,431 The mission of The Health Network of EXPENSES Salaries and wages 72,636,576 The Chester County Hospital Supplies expenses 64,993,550 is to provide Employee benefits 16,132,643 Depreciation 7,369,132 high quality care, Provision for doubtful collections 6,152,800 consistent with identifiable Insurance 4,112,934 health care needs of Interest 2,905,223 Amortization 114,463 Chester County area residents Total expenses 174,417,321 and within the constraints of sound fiscal management, Operating Income 1,053,110 as well as the education OTHER INCOME of health care professionals Investment income 1,072,917 Equity gain in Chester County Hematology-Oncology Services 163,072 and the community. Total revenues in excess of expenses 2,289,099 Visit www.cchosp.com Change in net unrealized losses on investments 427,825 to learn more about Net asset released from restriction used for property & equipment 25,000 The Chester County Hospital. Transfers to Parent (1,000,000) Increase in unrestricted net assets $1,741,924

30 THE CHESTER COUNTY HOSPITAL 50537_synapse-2.qxd 1/30/08 4:48 PM Page 3

THE CHESTER COUNTY HOSPITAL FOUNDATION JUNE 30, 2007

BALANCE SHEET STATEMENT OF REVENUES AND EXPENSES AS SETS LIABILITIES AND NET ASSETS ASSETS REVENUES Cash and short term investments $20,727,250 Current installments of long-term debt $1,793,721 Cash and short term investments $13,376,580 Capital Campaign contributions $6,042,627 Patient accounts receivable (net) 22,335,050 Accounts payable 4,601,817 Other accounts receivable 549,449 Donations and other income 1,023,172 Other accounts receivable 1,101,853 Accrued salaries, wages and vacation 5,805,822 Prepaid expenses 97,548 Total revenues 7,065,799 Due from affiliates 4,974,491 Accrued interest payable 1,445,488 Total current assets 14,023,577 Assets whose use is limited 3,239,209 Estimated third-party payor settlements 1,477,723 EXPENSES Inventories 3,022,110 Other liabilities 156,670 Pledges receivable 3,597,936 Salaries and wages 530,304 Prepaid expenses and other current assets 274,874 Total current liabilities 15,281,241 PP&E 1,090,959 Supplies and other expenses 740,150 Total current assets 55,674,590 Investments in affiliates 2,454,015 Employee benefits 59,509 Long-term debt 44,527,529 Total assets 21,166,487 Depreciation 34,405 Assets whose use is limited 7,486,440 Accrued malpractice and workers comp 2,389,757 Interest 38,757 Long-term investments 1,056,634 Total liabilities 62,198,527 LIABILITIES AND NET ASSETS Total expenses 1,403,125 Beneficial interest in perpetual trusts 15,441,227 Demand note payable 500,000 Investment in and advances to CCHOS 1,357,764 Net assets: Other liabilities 2,773,459 Net revenues 5,662,674 Interest in net assets of TCCH Foundation 9,640,562 Unrestricted 63,436,280 Total current liabilities 3,273,459 Property, plant and equipment (net) 59,919,142 Temporarily restricted 10,294,112 OTHER INCOME Deferred financing costs (net) 961,444 Permanently restricted 15,610,389 Other noncurrent liabilities 283,077 Investment income 428,783 Other assets 1,258 Total net assets 89,340,781 Total liabilities 3,556,536 Total revenues in excess of expenses 6,091,457

Total assets $151,539,308 Total liabilities and net assets $151,539,308 Net Assets : Increase in pledges 3,597,935 Unrestricted 7,969,390 Change in unrealized gains on investments 368,547 Temporarily Restricted 9,640,561 Transfers to affiliates (2,009,954) Total liabilities and net assets $21,166,487 Transfer from The Chester County Hospital 1,000,000 Increase in net assets $9,047,985

THE CHESTER COUNTY HOSPITAL STATISTICAL RECORD OF SERVICE : JUNE 30, 2006 AND JUNE 30, 2007 2006 2007

Adult and Pediatric Patient Admissions (excluding Newborns) 14,065 14,720 Adult and Pediatric Days (excluding Newborns) 60,672 61,852 Average Length of Stay (excluding Newborns) 4.35 4.10 Newborn Admissions 2,268 2,447 Newborn Days 4,562 4,803 Average daily census, Adults and Pediatrics 166.2 169.5 Average daily census, Newborns 12.5 13.2 Patients treated in the Emergency Room 41,774 43,855 Outpatient visits to Clinic, Ambulatory Care Center, Laboratory, X-Ray, Cardiology, etc. 369,042 367,144 Surgical Operations: Inpatient 3,812 3,979 Surgical Operations: Outpatient 5,065 4,580 Laboratory tests 1,075,426 1,199,289

X-Ray Examinations and Treatments 176,958 185,664

ANNUAL REPORT 31 Special Events JULY 1, 2006 – JUNE 30, 2007

THE CHESTER COUNTY HOSPITAL FOUNDATION BENEFITS FROM SEVERAL ANNUAL SIGNATURE FUNDRAISING EVENTS,

WHICH ARE LISTED BELOW. EACH EVENT HAS ITS OWN STYLE, VARIED OPPORTUNITIES FOR PARTICIPATION, AND RAISES

FUNDS FOR THE VITAL PROGRAMS OUR HEALTH NETWORK PROVIDES TO THE LOCAL COMMUNITY.

FORE HEALTH GOLF DILWORTHTOWN INN WINE FESTIVAL TOURNAMENT The 15th annual Dilworthtown Inn Wine Festival on October The 21st annual Fore Health Golf 15, 2006 raised funds for The Cancer Center of Chester County Tournament was organized by the and Neighborhood Hospice program. A new event to the Willistown Branch of the Women’s Hospital, the Wine Festival attracted thousands of wine Auxiliary to The Chester County Hospital connoisseurs from the Delaware Valley who enjoyed fine and was hosted by White Manor Country Club on wines from around the country, entertainment, a vendor tent, September 18, 2006. Golfers enjoyed a beautiful day and a silent auction. The Festival is jointly organized by the to benefit The Chester County Hospital. Dilworthtown Inn and the Turks Head and Greystone Co-Chairs: Mary Jo O’Rourke, Betty Drummond; Presenting Sponsor: Siemens Medical; Auxiliaries to The Chester County Hospital. Gold Sponsor: Guidant; Contest Sponsor: Otto’s BMW; Silver Sponsors: Drummond Co-Chairs: Cheri Beard, Katie Fultz, Susan Horenkamp, Annette MacLachlan; Scientific Company, Superior Group, Inc.; Print Sponsor: Precision Print Communications Platinum Sponsors: National Penn Bank, Parkway, Verve Marketing & Design; Gold Sponsor: Lexus of Chester Springs; Silver Sponsors: Frank and Sandra Baldino, The annual SHINE fundraiser First National Bank of Chester County for The Cancer Center of Chester County was held at the MAY FESTIVAL home of Nancy and Jay McManus on September 29, 2006. The 24th annual May Festival More than 300 attendees enjoyed cocktails, dinner, danc - was held May 18-20, 2007 on the ing, and an exciting live auction to light the way to excel - Hospital grounds. The Festival raises lence in cancer care…close to home. funds to support a variety of programs and services, and creates a general Chair: Jamie Grossman; Gold Sponsors: Calista Grand Salon and Spa, Communications Test Design, Inc.; Silver Sponsors: Amgen, Chester County Hematology/Oncology Services, awareness of the many wellness Devon Hill BMW, Maureen Hewitt of RE/MAX Town & Country, Penn PET at The Chester opportunities offered by the Hospital County Hospital, Schering-Plough to the surrounding community. The weekend’s events include a Friday Night Gala, amusements, children’s activities, CHESTER COUNTY DAY food, entertainment, 5k run and two mile walk, a 5, 10, 25, 50, The 66th Annual Chester County Day historic home tour and 63-mile bike tour, and much more. was held on October 7, 2006. More than 3,000 ticket Co-Chairs: Roberta Feder, Dallas Matthews; Vice-Chair: Christina Valocchi; Founding Sponsor: holders visited more than two dozen historic homes in Thomas Chevrolet; Presenting Sponsor: First National Bank of Chester County; Major Sponsors: the northeastern quadrant of Chester County, along with ACAC Fitness & Wellness Centers, Citadel Federal Credit Union, Daily Local News, Precision Print several public sites in the region. Chester County Day is Communications, The Chester County Hospital Medical Staff, QVC; Dash for Diabetes Presenting an event rich in history hosted by the Women’s Auxiliary Sponsor: The Bryn Mawr Trust Company; Chester County Challenge for Cancer Presenting to The Chester County Hospital. Sponsor: J & L Building Materials, Inc. Co-Chairs: Nancy Pastrick, Sally Wilson; Sponsors: Guidant, Stillman Volvo THE CHESTER COUNTY POLO CUP HOSPITAL INVITATIONAL The first annual Chester County The first annual golf Invitational was held on June 4, 2007 at Hospital Polo Cup was held on Whitford Country Club, and was attended by 88 players who June 10, 2007 at the Polo Fields enjoyed a round of golf to benefit Women’s and Children’s of Toughkenamon. The Turks Services. This year’s net proceeds totaled $15,000, which Head Auxiliary organized this assisted in the purchase of the first Giraffe Bed for the NICU – new family event, which had a state-of-the art piece of equipment to help high-risk babies more than 500 ticket holders in stay infection-free and be examined without leaving the attendance to enjoy the food, fun and a polo match. secure environment of the bed. Co-Chairs: Lisa Kitchen, Coleen Herbst; Benefactor: Verizon; Patrons: Edward Jones Invest - Presenting Sponsor: L.F. Driscoll Co.; Silver Sponsors: Chester County OB/GYN Associates, ments, Otto’s BMW; Divot Donors:, Bove Jewelers, Walter W. Grant and Valerie DeMarino Saul Ewing; Contest Sponsor: Berks Ridge Company Enterprises, Inc.; Hole-in-One Contest Sponsor: Sloan Ford

32 THE CHESTER COUNTY HOSPITAL

Heart, Mind & Body A HEALTHH E A LT H EXPOE X P O FORF O R WOMEW O M E N

MAYMAY 1,1, 20082008 • 55:30pm:30pm - 8:308:30 pmpm TheThe DesmondDesmond HotelHotel andand ConferenceConference CenterCenter • $$1515 pperer ppersonerson

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SSoo... bringbring youryour mom,mom, youryour sister,sister, youryour daughter,daughter, youryour friendsfriends andand enjoyenjoy thisthis vveryery specialspecial eeveningvening forfor women!women! Pre-registrationPre-registration required.required. CCallall 610.431.5644.610.431.5644.

NON-PROFIT The Health Network of U.S. POSTAGE The Chester County Hospital PAID 701 East Marshall Street PERMIT #9 West Chester, PA 19380 WEST CHESTER, PA

Synapse is a publication of The Chester County Hospital Corporate Marketing Department William W. Wylie, Jr. Chairman, Board of Directors H.L. Perry Pepper President Colleen Leonard Leyden Editor-in-Chief Lisa M. Huffman Managing Editor AN EQUAL OPPORTUNITY EMPLOYER If you would like to be on our mailing list, or if you are receiving more than one copy of Synapse by mail, please call us at 610-738-2793. Thank you! DESIGN AND PHOTOGRAPHY The Bing Group

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