2016 Annual Report Yale New Haven Health... Celebrating 20 Years

Value in high-quality, cost-effective healthcare

Yale New Haven Health System formed in 1996, when hospitals around the country were beginning to create and join larger health systems to deal with the federal government’s new prospective payment plans, the development of HMOs and the growth of powerful insurance companies.

To manage the challenges of an increasingly difficult healthcare climate, Yale New Haven Health helped its hospitals reduce costs by centralizing basic business activities, and by forming clinical relationships and affiliations, which further manage costs and improve the delivery and quality of care.

Highlights of the past 20 years:

– 1996: Bridgeport Hospital joined YNHHS.

– 1998: Greenwich Hospital joined YNHHS.

– 1999: Yale New Haven Health and Yale School of Medicine affiliated to coordinate graduate medical education and support the growth of new clinical services.

– 2009: Smilow Cancer Hospital opened in New Haven; today there are outpatient Smilow Care Centers around the state.

– 2010: Northeast Medical Group formed – a physician foundation that now includes 850 healthcare providers and more than 2,000 employees.

– 2010: Yale New Haven Health began the installation of Epic, one of the country’s most respected healthcare information technology systems.

– 2012: Yale New Haven Hospital acquired the former Hospital of Saint Raphael – adding 500 beds to Yale New Haven Health.

– 2016: Lawrence + Memorial and Westerly hospitals joined YNHHS. Today, Yale New Haven Health is Connecticut’s premier health system with 2,563 beds serving patients from eastern New York throughout Connecticut to western Rhode Island.

On the cover: Cynthia Tosches (left) had peace of mind knowing her mother was well cared for by Maggie Heenan, RN, of Greenwich Hospital’s Home Hospice program. Read more about Cynthia on page 11. Dear friends,

From the opening of a new outpatient facility in Stamford to receiving the prestigious national Magnet® designation for nursing excellence, Greenwich Hospital marked many milestones in 2016.

We enhanced clinical services, expanded our medical staff and acquired advanced technology as part of our long-standing commitment to provide high-quality, safe and compassionate care.

Our caregivers touched the lives of thousands of Connecticut and New York residents, including those featured in this report. Catherine Kringas and her baby survived a potentially life-threatening episode thanks to our rapid response team. Scott Sobeski made a speedy recovery after robot-assisted surgery. Cynthia Tosches’ mother spent her final days at home with family, supported by our Home Hospice Program.

We could not have accomplished so much in a single year without the dedication of thousands of doctors, nurses, employees, trustees, volunteers and community donors. We are extremely grateful for your unwavering support. It’s a privilege to work with you to fulfill our mission of providing patients and their loved ones with the best possible hospital experience.

Arthur C. Martinez Norman G. Roth Paul J. Apostolides, MD John L. Townsend, III Co-Chairman President Chief of Staff Co-Chairman Board of Trustees Board of Trustees 2016 Year in Review – Greenwich Hospital

As a trusted healthcare provider, Greenwich Hospital brought high-quality, cost-effective care to thousands of Connecticut and New York residents.

System Growth In collaboration with Yale New Haven campus handled 39,908 visits. Surgical cases totaled 8,898. Health and Yale Medicine, Greenwich Hospital opened a New Yorkers accounted for 53 percent of inpatients. new outpatient facility on Long Ridge Road in Stamford, established a women’s cardiovascular center, and Safety Hospital Initiative Efforts to create a safe strengthened offerings at the Yale New Haven Pediatric environment included the use of safety coaches, daily safety Specialty Center at Greenwich Hospital. Greenwich huddles, leadership quality safety rounds and “rounding welcomed Lawrence + Memorial Hospital in New to influence” to reinforce protocols. Greenwich received a London and Westerly Hospital in Rhode Island to the Women’s Choice Award for patient safety and earned an “A” health system, which marked its 20th anniversary in 2016. grade from Leapfrog as one of the nation’s safest hospitals.

Healthcare Provider of Choice Thousands of area Patient Experience Greenwich Hospital received two residents turned to Greenwich Hospital for high-quality Guardian of Excellence Awards from Press Ganey for care. The Emergency Department handled 40,100 visits superior patient satisfaction scores and received the 2016 from Connecticut and New York residents. Inpatient Healthgrades Outstanding Patient Experience Award. The discharges reached 13,077; outpatient encounters totaled hospital earned six Women’s Choice Awards for best patient 280,636. The Smilow Cancer Hospital’s Greenwich Hospital experience, patient safety, breast center, stroke center, cancer care and obstetrics.

Quality and Performance Achievements The Sleep Center was accredited by the American Academy of Sleep Medicine. The Medical Education program was accredited by the Accreditation Council for Graduate Medical Education. The hospital received national accreditation from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program.

Employer of Choice A record number of Greenwich Hospital employees considered themselves “engaged” in the workplace, according to an employee survey. Recognition programs honored 142 employees for outstanding service excellence, while 270 employees received awards for their years of service. Quality Awards were expanded to include a Team of Heroes recognition category. The hospital presented annual awards, including the Marion Nowak Award, Helen Meehan Award, Physician Partner in Care Award and Partner in Care Award.

Medical Staff Fifty-two new physicians joined the medical staff, including specialists in hyperbaric medicine, sleep The My First Book program promotes literacy and parent-child bonding. disorders and pain management.

2 Long Ridge Medical Center in Stamford offers a variety of outpatient services.

Clinical Initiatives and New Programs Long Ridge Medical Center Greenwich Hospital opened Behavioral and Nutritional Health To better reflect its the Long Ridge Medical Center in Stamford in collaboration mission, Greenwich Hospital’s Weight Loss and Diabetes with Yale Medicine’s Center for Musculoskeletal Care and Center was re-named the Center for Behavioral and primary care physicians with Yale New Haven Health’s Nutritional Health. Northeast Medical Group.

Maternity Cardiology Greenwich Hospital opened the Yale New A total of 2,812 births took place, reaffirming Haven Health Women’s Cardiovascular Center at 15 Valley Greenwich Hospital’s reputation as the destination Drive in Greenwich, staffed by Yale Medicine physicians, maternity hospital in the region. The hospital launched the dietitians and exercise physiologists. A full-service vascular “My First Book” program for newborns to promote literacy imaging center opened for evaluation of venous and arterial and bonding between parents and their children. vascular disease. Oncology Greenwich Hospital unveiled the latest Emergency Department Renovations continued to technology with the installation of the TrueBeam radiation create four additional patient rooms, centralized nursing therapy system. The Breast Center at Greenwich Hospital station and a new Behavioral Health Unit with more space received a three-year, full accreditation by the National to accommodate the increasing number of people with Accreditation Program for Breast Centers. For the third behavioral-related illness. consecutive year, Greenwich Hospital received the 2016 Women’s Choice Award as one of America’s Best Breast Centers. Two senior Fairfield University nursing students

3 screenings. Uninsured women received free mammograms through a partnership with the Breast Cancer Alliance. The 18th Teddy Bear Clinic drew 1,200 residents. The hospital and local partners conducted school-based health and educational programs. Hospital-sponsored community programs included Family Night Out at the Boys & Girls Club in Greenwich; Kids Cooking in the Kitchen at the Carver Center in Port Chester; cancer wellness seminars; and “Friday Health Talks” at the Greenwich YMCA.

Volunteer Services and the Greenwich Hospital Auxiliary The Greenwich Hospital Auxiliary donated $792,000 to support surgical, cardiovascular and other services. The President’s Call to Service Award went to two volunteers Greenwich Hospital marks the installation of the TrueBeam radiation therapy system. with more than 4,000 hours of service. Four Greenwich High School seniors pursuing healthcare college degrees received scholarships. In all, 692 adult and junior volunteers graduated from the Susan D. Flynn Oncology Nursing provided 50,602 hours of service. Fellowship Program at Greenwich Hospital. A cancer survivorship celebration welcomed cancer team members, The Greenwich Hospital Foundation Gifts to the survivors and their families. Greenwich Hospital Foundation exceeded $7.8 million from more than 2,500 donors through its annual campaign, Nursing Greenwich Hospital received the prestigious ongoing major gift efforts and special events. Donations Magnet® designation from the American Nurses included $1 million for prostate cancer research and Credentialing Center, placing it among seven percent of the treatment; $400,000 to create a distinguished lectureship more than 5,600 hospitals nationwide – and one of only six in urology; $250,000 to the Palliative Care program; and in Connecticut – to achieve the highest honor of nursing $100,000 to the Pulmonology Department. Hundreds excellence. The hospital was commended for best practices of area residents attended the Greenwich Hospital Gala, in support for nurses’ participation in community outreach Taste the Towns and Under the Stars fundraisers to programs; strategic planning and commitment to safety and quality; and use of evidence-based care.

Community Outreach and Support Services Volunteers offer Community Health Community Health at Greenwich sundries and companionship Hospital and Community Health of Fairchester reached to patients. more than 19,000 people through health fairs, free screenings, support groups, wellness programs, workshops, lectures and career programs in Fairfield and Westchester counties. The 2016 Community Health Needs Assessment was completed and the Community Advisory Committee will monitor implementation of the improvement plan. More than 6,300 people received free blood pressure screenings through The Nurse Is In and the Parish Nurse Program and scores had free cholesterol and prostate cancer

4 Children interact with healthcare professionals at the Teddy Bear Clinic. support oncology services, community health programs, and inpatient services, strengthening its reputation as an and pediatric and neonatal services, respectively. The industry leader in service excellence and patient safety, Foundation also assisted the Women’s Health Initiative and increasing patient access to care by expanding its Advisory Board to sponsor free lectures. geographical reach.

Finances Based on consolidated financial statements from Greenwich Health Care Services, Inc., and its subsidiaries, the consolidated net operating gain from operations was approximately $21.1 million, with a positive bottom line of $23 million. The hospital provided about $13.9 million in uncompensated care at cost, including nearly $8.5 million in free and charity care. The Employee Hardship Fund assisted those facing unexpected financial challenges.

Looking Forward As part of Yale New Haven Health, Greenwich Hospital is strategically positioned to enhance the patient experience. The hospital remains committed to broadening outpatient Staff members celebrate the hospital’s Magnet® nursing designation.

5

Quick response saves mother and baby

After going through a full-term pregnancy Today, Cathy and baby Alyssa are both healthy and without complications, Cathy Kringas was excited enjoying life, thanks to the quick action and extraordinary about checking into Greenwich Hospital where, skill on the part of Greenwich Hospital’s rapid response in a matter of hours, she and her husband would team and medical caregivers who acted immediately when celebrate the birth of their first child. a problem arose.

As a routine course of labor progressed, Cathy’s vital “Greenwich Hospital is amazing,” said Cathy. “I never signs were stable and the fetal heart rate was within normal met such nice doctors, and the nurses were angels. I limits. That was around lunchtime. No one could have can’t imagine what would have happened if I had gone anticipated the complications to come. somewhere else.”

At 8:58 pm that February night, Daniel Brown, RN, a labor and delivery nurse, noticed a slowing of the baby’s heart rate. He alerted Caterina Violi, MD, an obstetrician who quickly rushed to Cathy’s bedside.

“I remember feeling very tired and lightheaded. I got the chills and then I felt like I couldn’t breathe,” said Cathy. She doesn’t remember losing consciousness or when resuscitation to keep her alive began.

Dr. Violi recognized that Cathy was most likely experiencing an amniotic fluid embolism, a rare and unpredictable condition that requires rapid diagnosis and immediate treatment to save the lives of both the mother and the baby. The survival rate for this type of unpreventable emergency is less than 40 percent.

Within minutes, Cathy was in the operating room where Dr. Violi performed a cesarean section. The baby was stable and whisked to Greenwich Hospital’s Neonatal Intensive Care Unit. Cathy, though, was not doing as well. She was placed in a medically induced coma to keep her alive.

Cathy woke up in the intensive care unit where she spent seven days slowly improving. “Every time I opened my eyes, someone was there. It seemed like a hundred people checking on me, making sure that I was okay.”

Cathy Kringas and her daughter, Alyssa, are happy and healthy following a rare life-threatening embolism during labor that was treated immediately by Greenwich Hospital’s medical team. 7

Robot-assisted surgery speeds recovery

“I had a tumor in my stomach the size of a “I’ve been fixing cars for 44 years so I think like a tangerine,” said Scott Sobeski of Greenwich. mechanic. When I went in for the surgery, I saw Dr. Petrotos sitting at a table looking into a computer monitor. Shouldn’t The problem began last summer. “I wasn’t feeling well you be getting ready?” Scott asked jokingly. “That’s when at all. I could barely eat anything without feeling like I Dr. Petrotos showed me the robotic surgery console and had overeaten, and I’m a big guy so that’s unusual for me. how he would control everything from where he was sitting. Then my bowel habits changed and I knew something That robotic surgery is unbelievable.” was wrong.” “I’ve never had surgery before, and my pain after this A CT scan and endoscopic ultrasound of Scott’s robotic procedure was hardly anything. I was able to go abdominal cavity detected a mass. Whether cancerous back to work in three weeks and I started heavy work or not, the tumor had to come out because it was another week later,” Scott recalled. growing and impacting his health. Along with the tumor, Dr. Petrotos also removed the General surgeon Athanassios Petrotos, MD, told Scott he lower part of Scott’s stomach, leaving clean margins. was a candidate for robot-assisted surgery, which involves Although he didn’t require further treatment, Scott did four small incisions instead of one large cut. Small incisions need to change his eating habits because he now had a also significantly minimize scarring and, more important, smaller stomach. He said the episode – which he considered create less trauma, which allows the body to heal more a “wake-up call” – has led to a new, healthy way of eating. quickly. As the owner of an auto repair shop, Scott knew how important it was for a small business owner to get “It’s like overhauling your engine,” said Scott. “I feel great.” back to work as soon as possible.

Small business owner Scott Sobeski was happy to get back to work after a faster-than-expected recovery thanks to robot-assisted abdominal surgery to remove a tumor. 9

Finding peace at home

After a five-year battle with colon cancer, Susan Sometimes when Susan slept, a hospice nurse or spiritual Tosches, 89, decided she wanted to spend her counselor would sit and talk with Cynthia, her sisters and final months at home with her family in familiar dad, because hospice assists families as well as patients. surroundings, once she knew treatment would no Every family member needs to find his or her own peace longer be beneficial. and comfort.

A former longtime nurse at Greenwich Hospital, Susan After Susan passed away, Cynthia attended Greenwich was familiar with the quality of care provided through the Hospital’s bereavement support group. She found it Home Hospice program, and felt strongly about being on enormously comforting to be surrounded by people the receiving end in her time of need. at different stages of grief, which she learned is as individualized as each of their loved ones. “We all know “When Maggie, the hospice nurse, first arrived I think she people who have lost someone. When it happens to you, it’s was a little surprised that Mom was feeling so well. She reassuring to know others are with you,” she said. looked good,” said daughter Cynthia Tosches. It’s been a little over a year since Cynthia lost her mom, and “Susan answered the door,” recalled Maggie Heenan, RN. it’s still not easy. “But she was home and comfortable, and “She hopped down the stairs and was completely for that I will be forever grateful.” comfortable. It’s not all that unusual. Susan was very, very sick when last admitted to the hospital. She received fluids for hydration and medication that helped her reach her optimal point before going home.”

Cynthia said her mom was clear and lucid until a few days before she passed away. She was aware of, and involved in, her treatment the entire time.

“Initially, I had many questions,” said Cynthia. Maggie explained that dying at home is a process. “She was very forthright and reassuring. As Mom progressed, she started to sleep and was only awake for very short periods of time. I made a few late-night phone calls and knew there would always be someone there.”

Cynthia Tosches, left, shares memories of her mom with Maggie Heenan, RN, from Greenwich Hospital’s Home Hospice program, which provides emotional support to families even after the loss of a loved one. 11 Greenwich Healthcare Services, Inc. and Subsidiaries – Consolidated Balance Sheets

Year ended September 30 2016 2015 (In thousands) ASSETS Current assets: Cash and cash equivalents $22,272 $31,360 Short-term investments 116,197 72,659 Accounts receivable for services to patients, less allowance for uncollectible accounts, charity and free care of approximately $72,815 in fiscal 2016 and $57,904 in fiscal 2015 39,165 41,279 Other receivables 11,074 6,220 Professional liabilities insurance recoverable receivable 6,837 6,309 Other assets 7,049 7,637 Total current assets 202,594 165,464

Assets limited as to use 83,216 108,271 Long-term investments 73,974 64,783 Other assets 9,824 12,522 Professional liabilities insurance recoverable receivable 12,930 10,208

Property, plant and equipment: Land 26,743 26,743 Buildings and improvements 298,252 285,527 Equipment 195,268 182,107 520,263 494,377 Less accumulated depreciation (271,523) (252,107) 248,740 242,270 Construction in progress 9,193 4,840 257,933 247,110 Total assets $640,471 $608,358

LIABILITIES AND NET ASSETS Current liabilities: Accounts payable 14,066 $8,620 Accrued expenses 25,794 24,448 Current portion of long-term debt 2,790 2,675 Professional liabilities 6,837 6,309 Other liabilities 16,749 14,667 Total current liabilities 66,236 56,719

Long-term debt, net of current portion and deferred financing costs 29,280 32,041 Accrued pension benefit obligations 64,829 42,787 Interest rate swap 4,148 4,108 Other long-term liabilities 15,377 14,885 Professional liabilities 21,129 17,819 Total liabilities $200,999 $168,359

COMMITMENTS AND CONTINGENCIES Net assets: Unrestricted - Greenwich Hospital and Subsidiaries 370,941 373,318 Unrestricted - Noncontrolling interest Orthopedic and Neurosurgery Center of Greenwich, LLC 99 1,305 Temporarily restricted 44,533 41,782 Permanently restricted 23,899 23,594 Total net assets 439,472 439,999 Total liabilities and net assets $640,471 $608,358

12 Year ended September 30 2016 2015 (In thousands) CONSOLIDATED STATEMENTS OF OPERATIONS Operating revenue Net patient service revenue $384,207 $372,136 Less provision for bad debts (16,192) (12,484) Net patient service revenue, less provision for bad debts 368,015 359,652 Other revenue 15,716 13,726 Total operating revenue $383,731 $373,378

Operating expenses Salaries and benefits 148,862 153,755 Supplies and other 188,017 167,540 Depreciation 24,802 25,119 Interest 968 314 Total operating expenses 362,649 346,728 Income from operations $21,082 $26,650

Non-operating losses and gains: Change in fair value of swap, including counterparty payments (1,069) (1,430) Change in unrealized gains and losses on investments, net 3,286 (7,035) Other non-operating gains and losses, net 917 2,843 Excess of revenue over expenses, before non-controlling interest 24,216 21,028 Less income attributable to non-controlling interest (1,174) (3,848) Excess of revenue over expenses $23,042 $17,180

Managed Care and Medicare: 25.0% REVENUE 2016 Blue Cross: 59.3%

Medicaid: 3.6%

Commercial Insurance and Other: 12.1%

Food, Supplies, Employee Benefits: 8.2% EXPENSES 2016 General Insurance and Other Expenses: 51.8%

Personnel Cost (minus benefits): 32.9%

Interest: 0.3% Depreciation: 6.8%

13 Statistics at a Glance

Statistical Review Patient beds (including 32 bassinets) 206 Average census 149.8 Patient days of care 54,827 Average length of stay (days) 4.2 Discharges 13,077 Newborns 2,812 Recovery Center discharges 107 Emergency Medicine visits 40,100 Outpatient Medical Clinic visits 13,989 Operating Room procedures (total) 8,898 Ambulatory procedures (total) 12,194 Surgical procedures 5,762 Medical procedures 6,432 Cancer Center visits 39,908 Diagnostic services (EEG, EKG, EMG, Cardiac Lab, Cardiac Catheterization) 32,924 Cardiac Rehabilitation visits 6,584 Hearing, Speech & Language Center visits 2,693 Laboratory procedures 1,368,443 Pharmacy orders filled (inpatient & outpatient) 678,698 Physical Medicine & Rehabilitation treatments 39,029 Psychiatric Treatment Center visits 8,098 Radiologic procedures 139,559

Greenwich Hospital Family Trustees (including emeritus) 28 Active Medical Staff 499 Adjunct Medical Staff 1 Affiliate Medical Staff 165 Emeritus Medical Staff 4 House Staff (residents) 26 Employees 1,861 Volunteers 692 Volunteer Hours 50,602

14 Board of Trustees and Medical Staff

Hospital Trustees & Trustees Emeritus Physicians Melissa Langhan, MD Greenwich Health Care Mrs. Chandler Bates, Jr. As of September 30, 2016 John P. Magnan, MD Services, Inc. Marshall Clark Tania V. Mariani, MD As of September 30, 2016 Peter B. Griffin Medical Staff Officers Bonnie J. McGuire-Wreschner, MD Mrs. Langdon Van Norden Paul J. Apostolides, MD Alexandra Meis, MD Chief of Staff Officers David W. Wallace Cerrah L. Mendelsohn-Elzam, MD Arthur C. Martinez James R. Sabetta, MD Thomas R. Naparst, MD Co-Chair Assistant Chief of Staff Immediate Past Langley E. Partridge, MD Chief of Staff John L. Townsend, III Erez Salik, MD Jennifer M. Provataris, MD Co-Chair David Evans, MD Secretary Karen Rummel, DO Barbara B. Miller Paul B. Sygall, MD Karen Santucci, MD Vice Chair Auxiliary Officers Treasurer Christine Randolph William Shestak, DO Norman G. Roth President Jeffrey T. Weintraub, MD President Active Medical Staff Jan Zislis, MD Teal Lindsay Anesthesiology Anne Juge Vice President Treasurer Gary E. Kalan, MD Medicine Laura Delaflor Director Elizabeth G. Galt James R. Sabetta, MD Secretary Secretary Hanief M. Abrahams, MD Director Ed Farrell Francisco J. Brea, MD Treasurer Cardiology Hospital Trustees Mark Chrostowski, MD Christopher J. Howes, MD Paul J. Apostolides, MD Terry L. Cochran, MD Administration Section Head W. Robert Berkley Tiffany T. Denepitiya-Balicki, MD President David J. Amstel, MD Alan W. Breed Scott C. Graham, MD Norman G. Roth Eric M. Bader, MD Peter DaPuzzo Julie H.Y. Huang, MD Kevin E. Conboy, MD Marc Gabelli Senior Vice Presidents Michael F. Levin, MD David G. Cziner, MD Robin Bennett Kanarek, RN Susan Brown Danielle M. Lindenmuth, MD Alexander Del Vecchio, MD Barbara B. Miller Eugene J. Colucci Jillian L. Marousek, MD Wilmore B. Finerman, Jr., MD Amy Minella Marc Kosak Elizabeth R. Ryan, MD Glenn Gandelman, MD Jack Mitchell Spike Lipschutz, MD Heena Sultan, MD Amanda R. Ganem, MD Daniel L. Mosley, Esq. Melissa Turner Paul B. Sygall, MD Sasanka N. Jayasuriya, MD Christopher M. O’Connor Alfonso A. Tagliavia, MD Vice Presidents Daniel G. Lorch, MD Venita Osterer Cassandra L. Tribble, MD Christine Beechner Francis J. Neeson, MD Thomas Pellechi, MD Christian J. Whitney, DO Deborah A. Hodys Thomas J. Nero, MD Christine Randolph Dana Marnane Emergency Medicine Maria C. Pavlis, MD James Sabetta, MD Jim Wright Christopher M. Davison, MD Harvey Seidenstein, MD John Schmeltzer, III Director John F. Setaro, MD Bruce Warwick Marc Auerbach, MD Robert M. Stark, MD Felice Zwas, MD Renée Baranin, MD Joseph J. Tartaglia, MD J. Allen Britvan, MD Anja Wagner, MD Michael S. Canter, MD Dermatology Andrew K. Chang, MD Richard C. Connors, MD Robert S.T. Chang, MD Section Head Servando de los Angeles, MD Andrew Bronin, MD James M. Dodington, MD Henry C. Gasiorowski, MD Stacey M. Donegan, MD Kenneth B. Goldman, MD Amy P. Gandhi, MD Lynne M. Haven, MD Francisco J. Garrido, MD Julia B. Sabetta, MD Kristin E. Harkin, MD Robert A. Woodbury, MD

15 Endocrinology-Metabolism Elaine C. Fajardo, MD Lisa Kurian, MD Nephrology Judith C. Goldberg-Berman, MD, PhD José L. Gomez-Villalobos, MD Max Lataillade, DO, MPH Francis X. Walsh, MD Section Head Jason J. Heavner, MD Alan I. Lebowitz, MD Section Head Ranee R. Lleva, MD José D. Herazo-Maya, MD Ronald M. Levine, MD Nazanine Khairkhah, MD, MPH Yi-Hao Yu, MD, PhD Felipe Lopez-Gonzalez, MD Spike Lipschutz, MD Iosif Kolbovsky, MD Peter S. Marshall, MD Sandra D. Lithgow, MD Anthony F. Korosi, MD Gastroenterology Tatsiana Palvinskaya, MD Michael Liu, MD Marianne Monahan, MD Felice R. Zwas, MD Aydin U. Pinar, MD Caroline K. Lodato, MD Section Head Neurology Christopher B. Remakus, MD Franklin A. Loria, MD Jennifer L. Barro, MD Alice H. Rusk, MD Maor Sauler, MD Matthew B. Lubin, MD Nelson A. Bonheim, MD Section Head Jonathan M. Siner, MD Jolanta E. Lukawski, MD Andrew P. Francella, MD Samit Malhotra, MD Muhammad A. Syed, MD Roger S. Madris, MD Hashem Hashem, MD James R. Morris, MD, PhD Venu M. Velagapudi, MD Ellika P. Mardh, MD Alan H. Jaffe, MD Frederick K. Nahm, MD, PhD Christopher J. Winterbottom, MD Marcus A. Mayus, MD Neda Khaghan, MD Adam J. Messenger, MD Occupational Health Scott J. Kramer, MD Medicine Steven P. Mickley, MD Nicholas H. Browning, MD Jonathan Z. Potack, MD James R. Sabetta, MD Caleb I. Moore, MD Chander E. Devaraj, MD Neal J. Schamberg, MD Director Steven A.R. Murphy, MD Esther R. Nash, MD Alan E. Selkin, MD Anthony A. Alleva, MD Mario Mutic, MD Mark B. Russi, MD Ana Tuyama, MD Herbert M. Archer, MD, PhD Irem Nasir, MD Diana Arevalo-Valencia, MD Palliative Medicine Hematology-Oncology Allison B. Ostroff, MD Dean Basulto, MD Donna E. Coletti, MD Dickerman Hollister, Jr., MD Qaayam Pabani, MD Ryan A. Bell, MD Section Head Section Head Debora A. Pareja-Neyra, MD Steven J. Bennett, DO D. Barry Boyd, MD Thomas E. Pellechi, MD Physical Medicine & Patrick J. Benton, MD Rehabilitation Beverly J. Drucker, MD, PhD Donna Phanumas, MD Shaan Bhojwani, MD Linda F. Grant, MD Jarett L. Feldman, MD Jayne F. Pincus, MD, PhD James A. Brunetti, DO Section Head M. Sung-Woo Lee, MD Jeffrey S. Puglisi, MD Allen L. Chodock, MD Janet Freedman, MD Julie A. Monroe, MD Sunil Rana, MD Tracy-Ann Clarke-Leconte, MD Jeffrey M. Heftler, MD Burton R. Rubin, MD Immunology-Allergy Wendy J. Cleare, MD, PhD Tamar Kessel, MD Rolando R. Santos, MD Mark D. Litchman, MD Stephanie K. Conner, MD Christopher S. Sahler, MD Section Head Charles B. Seelig, MD Erin L. Culbert, DO Halina M. Snowball, MD Joshan K. Shajan, MD Aymeric E. Louit, MD Ryan J. Dadasovich, MD Judith F. Shea, MD Pulmonary Medicine Agnieszka Matczuk, MD Pravin R. Date, MD Linda R. Silberstein, MD Michael J. Franco, MD Tania T. Dempsey, MD Infectious Diseases Yauheni Solad, MD Section Head Adnan K. Diwan, MD James R. Sabetta, MD Christopher Song, MD Bruno F. DiCosmo, MD Section Head Tao Du, MD, PhD Maureen K. Steele, MD, MPH James J. Doyle, III, MD Bridgette I. Earle, MD Arthur L. Forni, MD Pavel Teslya, MD Alissa Greenberg-Lee, MD Christopher M. Edelmann, MD Sandra Kesh, MD Kiyoko Karen Tomita, MD Bruce E. Sherling, MD Elyse R. Erlich, MD Gavin X. McLeod, MD Jeremiah H. Tyson, MD Lisa Youkeles, MD Gail M. Fennell, MD Geena K. Varghese, DO Chetan Vaid, MD Steven J. Glasser, MD Rheumatology Chaula K. Vora, MD InSight Tele-ICU Kakra S. Gyambibi, MD Richard L. Danehower, MD Sandra Wainwright, MD Gioiamaria B. Berna, MD Taimur Habib, MD Section Head Rebecca L. Warkol, MD Clemente J. Britto-Leon, MD Donna Henig, MD Lana Bernstein, MD Litchia L. Weber, MD Mariane Charron, MD Joon Ho Jang, MD Mark D. Litchman, MD Jeffrey H. Weinberger, MD Geoffrey R. Connors, MD Stephen G. Jones, MD Howard S. Yudin, MD Tro Kalayjian, DO Mary M. Kane-Brock, MD Melanie S. Kelton, MD

16 Obstetrics & Gynecology Beth J. Simon, MD Dana S. Jaggessarsingh, MD Courtney E. Spada, MD Patricia T. Calayag, MD Caroline Stella, MD Gary Letts, MD Mitchell A. Stevens, MD Director Caterina Violi, MD Michael K. Miller, MD Stylianos N. Theofanidis, MD Elizabeth A. Molinelli, MD Joshua L. Waldman, MD Kisha Mitchell Richards, MD Shravani Vundavalli, MD Assistant Director Michelle Wallenstein, MD Fabiola G. Souza, MD Mary G. Versfelt, MD Diana M. Adams, MD Carla J. Williams, MD Isil Yildiz, MD Gail Weiner, MD Yvonne N. Ankrah, MD Barry R. Witt, MD Kristen M. Woodard, MD Pediatrics Catherine E. Berzolla, MD Orthopedics Peter J. Acker, MD Pediatric Gastroenterology Gary S. Besser, MD Steven E. Hindman, MD Director Danya J. Rosen, MD Annette L. Bond, MD Director Rachel A. Aronow, MD Pamela Valentino, MD Anate A. Brauer, MD Joseph M. Bellapianta, MD Karen E. Beckman, MD Monica M. Brito, MD Pediatric Orthopedics Adam R. Brodsky, MD Jennifer J. Bragg, MD Stephen F. Carolan, MD Cordelia Carter, MD Matthew B. Cantlon, MD Lauren W. Carton, MD Dzwinka C. Carroll, MD Russell J. Cavallo, MD Alison M. Cass, MD Pediatric Pulmonary Medicine Patricia B. Close, MD Noah B. Chinitz, MD Loretta M. Cody, MD Hossein Sadeghi, MD Ranjan K. Dasgupta, MD Michael R. Clain, MD Barbara J. Coven, MD Corinne E. de Cholnoky, MD Pediatric Surgery James G. Cunningham, MD Amy E. Cram, MD Leslie A. Donovan, MD Peter S. Liebert, MD Joseph M. D’Amico, MD Maria Luisa de la Morena, MD Sara B. Elias, MD Daniel G. Solomon, MD Demetris Delos, MD Rosaria DiMarco, MD Caroline F. Filor, MD Frank A. DiFazio, MD Amy B. Eisenberg, MD Pediatric Urology Gaetane C. Francis, MD Kenneth W. Donohue, MD Nancy Fazzinga, MD Lori L. Dyer, MD Leila J. Garrett, MD Francis A. Ennis, Jr., MD Mary K. Fraga, MD Ronnie G. Fine, MD Paul F. Gleason, MD Alex Gitelman, MD Shruti Gupta, MD Paul F. Zelkovic, MD Vanessa A. Grano, MD R. Timothy Greene, MD David A. Hedrick, MD Herbert F. Gretz, III, MD P