Enriching Lives 125 Years and Counting

2018 VNSNY CHARITABLE CARE AND COMMUNITY BENEFIT REPORT

1 Enriching Lives Continuing a Tradition of Caring

For 125 years and counting, the Visiting Nurse Service of New York has been there for vulnerable New Yorkers, helping our neighbors who otherwise might not receive the care they so desperately need, and who might slip through the cracks if not for VNSNY.

This report showcases the impact of the charitable care and community benefit programs provided by the not-for-profit Visiting Nurse Service of New York.

2 1 A Message from the Board Chair and the President and Chief Executive Officer of the Visiting Nurse Service of New York

Enriching the lives John P. Rafferty, Board Chair Marki Flannery, President of vulnerable New Yorkers and Chief Executive Officer

We are pleased to share with you our 2018 Charitable Care and Community Benefit Report. This report Thanks in no small part to the tremendous generosity of supporters like you, VNSNY’s commitment to our charitable care highlights the many ways that the Visiting Nurse Service of New York (VNSNY), with the generous help of our donors mission is as strong today as it was in 1893. Together, we are delivering vital services to people and families who might and community supporters, is providing essential and often life-changing assistance to vulnerable New Yorkers. otherwise slip through the cracks. In the following pages, in addition to our program descriptions, you’ll read about individuals we’ve helped, such as 12-year-old Julio, first-time mother Marlenne, and Edward, a U.S. veteran who is VNSNY’s important safety-net programs featured in this report carry a special meaning in this, our 125th year. At a time approaching the end of life with full hospice care and peace of mind, thanks to VNSNY’s Hospice Veterans Program. when the future of America’s health care and social support systems remains uncertain, VNSNY’s ongoing dedication We think you’ll be as inspired and moved by these powerful stories as we are—stories that you helped make happen. to our century-and-a-quarter-old mission of caring for those in need is a testament to our organization’s enduring values and steadfast commitment to make a difference in our patients’ and members’ lives. We hope we can count on your assistance going forward, as we continue to work across the New York area to extend the pioneering work that Lillian Wald began 125 years ago, supporting communities, caring for those in need, and As this report demonstrates, VNSNY’s charitable care and community benefit activities have a profound and sustained enriching lives. impact on New Yorkers of every background—including the chronically ill, the frail elderly, children, the insured, under-insured and the uninsured. In 2017, VNSNY along with its generous supporters and funding partners, including our own employees, provided in excess of $47 million in charitable care and community benefit programs—enabling us to offer free direct home care services to more than 8,500 under-and uninsured individuals, while also carrying out a wide range of initiatives that provided critical support to thousands of additional individuals and families.

John P. Rafferty Marki Flannery Board Chair President and Chief Executive Officer 2018 is a special year for VNSNY in more ways than one. Not only does it mark the 125th anniversary of the year Lillian Wald first began providing home health services to impoverished immigrants on Manhattan’s Lower East Side, but 2018 is also the 35th anniversary of both our VNSNY Hospice and Palliative Care program and our Partners in Care private pay services, as well as the 25th anniversary of VNSNY’s Center for Home Care Policy and Research, and the 20th anniversary of VNSNY CHOICE’s Managed Long-Term Care plan.

2 3 Nurse-Family Enriching the lives of young Partnership mothers in need and their babies

VNSNY’s Nurse-Family Partnership (NFP) provides the them with a specially trained VNSNY nurse. Meeting comprehensive support that young mothers in the Bronx regularly with the mother from pregnancy through the and Nassau need to keep their babies healthy, learning child’s second birthday, the nurse monitors the mother’s and thriving from pregnancy onward. By working closely health, encourages mother-child interactions that with both mother and baby, our NFP staff is helping to enhance the baby’s development, and helps the mother break the cycle of poverty and improve the future for its plan for her child’s future and pursue her own educational clients and their families. and career goals.

The remarkable success of VNSNY’s Nurse-Family Partner- Research shows that, compared to their peers, women ship speaks volumes to the power of this evidence-based who participate in the Nurse-Family Partnership tend to program, which identifies first-time, low-income mothers have better prenatal health, wait longer to have another to be—nearly half of whom are teenagers—and pairs child, and are more likely to continue school and get a job.

Operating in the Bronx and Nassau County, our Nurse-Family Partnership programs receive funding from the New York City Department of Health and Mental Hygiene and the New York State Department of Health. We also thank Robin Hood, the Joan Ganz Cooney & Holly Peterson Fund, The Marion E. Kenworthy- Sarah H. Swift Foundation, Joan and Bob Easton, and our many generous individual donors for their support of our NFP.

4 5 Enriching Marlenne and her baby’s life

Nurse-Family Partnership

Through the joys and rewards of pregnancy and motherhood, Marlenne has been thankful for the Nurse-Family Partnership (NFP) and her VNSNY nurse, Delores Thomas. But it was when motherhood suddenly Since its launch in 2006, felt unmanageable that the power of the NFP program VNSNY’s Nurse-Family became fully apparent. Partnership has served “One day I called Delores, desperate,” recalls Marlenne. over 5,200 families. Despite having strong family support from her husband and mother, she nonetheless felt alone with her infant, Julianne. “I was home by myself with the baby, and she kept on crying. I couldn’t read her cues, and I didn’t know how to handle it.” Delores came right over, and Marlenne asked her about postpartum depression. Delores assured Marlenne that the condition is common and treatable, encouraged her to talk openly about it, and connected her with behavioral health care. “She let me know it was okay to have negative feelings towards your baby, and that there are resources out there and people In 2017, VNSNY’s who are more than willing to help you,” Marlenne says. NFP program served “I get a lot of satisfaction as a nurse when a mother has a 1,069 families. bout of postpartum depression and comes out victorious,” says Delores, who, in addition to guiding Marlenne through the labor and delivery process, is now working with her on the many other aspects of motherhood such as nutrition, breastfeeding, and developmental tools and stages.

Marlenne, who is earning her Master’s in Public Health from Monroe College while working and raising Julianne, plans to pay forward all she’s gained from the NFP by one day starting her own program to counsel and support young mothers. “She’s a mother who kisses her baby from her head to her toes, reads to her, does all the things she supposed to do,” says Delores. “And Julianne is developing beautifully.”

6 7 Community Mental VNSNY Enriching the lives of New York’s Enriching the lives of New Yorkers most vulnerable, regardless of their Health Services by providing a mental health safety net Charitable Care ability to pay

With over two dozen community outreach programs Other CMHS programs include VNSNY’s Mobile Crisis Teams The Visiting Nurse Service of New York has always terrifying reality, VNSNY provides free or discounted care for underserved children and adults struggling with acute or (which respond rapidly to provide in-home psychiatric been committed to providing care to people in our to thousands of New Yorkers each year. chronic mental illness or substance use disorders, VNSNY’s assessment and linkage to long term treatment for adults community who are in need, regardless of their ability to In some cases, our dedicated frontline staff recognize that Community Mental Health Services (CMHS) plays a vital role and children experiencing, or at risk of, a psychiatric or pay. This was an integral part of our mission in 1893, and their patients need more than just medical care—and in New York City’s mental health safety net. psychosocial crisis); our Geriatric Mental Health Outreach it is a commitment we are proud to keep today. Last year, that a small investment in an item or service would go a programs (which provide assessment, counseling, and VNSNY—together with our generous supporters and Drawing on 30 years of experience in the field, CMHS long way toward relieving suffering and improving their psychiatric care to Bronx, Manhattan, and Queens senior community partners—provided over $47 million in offers a wide range of interventions that bring targeted quality of life. citizens in need); our PEARLS program (which provides charitable and community care. care directly to where it’s needed. For children in the cutting-edge treatment for depressed seniors in To address this need, VNSNY established the Patient Bronx living with serious emotional disturbance, for On any given day, our skilled nurses and healthcare Manhattan and Queens); the “100 Schools Project” Enrichment Program Fund, which provides homebound instance, our FRIENDS programs provide community- professionals touch the lives of more than 48,500 New (in which social workers are training public school staff and other vulnerable and disadvantaged patients with based, family-focused mental health and social services to Yorkers. In 2017, VNSNY delivered free and discounted in Queens and Brooklyn to support the behavioral health items and services requested by their VNSNY clinician stabilize behavior and ensure greater academic and social direct home care services to more than 8,500 under-and of students); and care management for Health Homes, that provide comfort and promote healing. These items achievement. Working with several school districts, the uninsured individuals. Some of them lack insurance servicing participants in several New York City boroughs often include prescription medications; eyeglasses; programs bring together VNSNY, the New York State entirely, or don’t have sufficient coverage to pay for the as well as a separate program for adults with substance remote-controlled recliners; podiatrist-recommended Office of Mental Health and the New York City Depart- care they desperately need. As they come to terms with use disorders who apply for or receive public assistance. shoes; and air conditioners. ment of Education to support these vulnerable children. a devastating diagnosis or adjust to a debilitating injury, they may be faced with the choice of paying for life- Bringing this level of care and support to our neighbors saving treatment, or for housing and food for their chil- in need is made possible with the charitable support of dren. To help alleviate the suffering of those facing this VNSNY’s Community Mental Health Services are funded through grants and contracts from several others, including donors like yourself. government offices, including the New York City Department of Health and Mental Hygiene, the New York State Office of Mental Health, and the New York City Human Resources Administration, as well as by managed care organizations designated to provide behavioral health benefits, Phyllis and Slade Mills, and many generous individual donors.

8 9 Enriching Arjan’s life

VNSNY Charitable Care Services

Living with congestive heart failure requires a constant balance— a fine-tuning of medications depending on vital signs, weight gain or loss, In 2017, VNSNY diet, activity, and mood. Thankfully for Arjan*, who was hospitalized for the condition, he had VNSNY care coordinator Shaneeza Khan, RN, to help him provided charitable care and his daughter navigate that balance and coordinate his complex to 8,500 of our under- medication management once he returned home. and uninsured neighbors.

“When someone’s in the hospital, their environment is controlled and they’re monitored all the time, but when they come home they are not,” says Shaneeza, who visits Arjan once a week. “Their diet changes, their activity level changes, and that can affect how the medication is working.” In her initial visit, she found that Arjan’s blood pressure was too low and immediately contacted the doctor, who reassessed and cut back certain medications.

Within a few short weeks, Arjan brightened from a sullen, isolated man who would not exchange a word with the visiting nurse to an eager conversationalist (with his daughter, Rina, translating). Uninsured, he speaks no English and is In 2017, VNSNY still grieving the recent loss of his wife, but he is adjusting. “He’s changed a lot provided $7.2M in compared to when he first came home. His walking has really improved, and charitable care for the he’s much more calm and secure, not so nervous as before,” says Rina, adding under- and uninsured. that she, too, feels great relief now that a team is helping her care for her father and keep him safely at home.

“Individuals who don’t have ready access to health care often simply go to the emergency room when things get dire,” says Shaneeza. “The charitable care that we provide is essential, as a way of keeping even one person— this person—out of the hospital.”

* The patient’s name has been changed for privacy.

10 1111 LGBT Patient Enriching the lives of LGBT older Maternity, Newborn Enriching the lives adults by creating a safe, welcoming of families of children with Outreach home health care environment and Pediatrics Program complex medical needs

An estimated 122,400 older New Yorkers identify In addition to this cultural sensitivity training, in early For children up to the age of 18 who are facing themselves as lesbian, gay, bisexual, or transgender. April of 2018, VNSNY expanded its Senior LGBT Outreach. serious and complex medical challenges, VNSNY’s At VNSNY, we understand that many LGBT older adults Funded by a New York Community Trust grant, the Maternity, Newborn and Pediatrics (MNP) program is have experienced discrimination, social stigma, and program is committed to supporting the health of often a critical lifeline. Working closely with families prejudice. To that end, we are committed to treating LGBT seniors in the New York City area. and their physicians to ensure the best possible every patient with empathy, courtesy, and respect. All outcomes, our MNP nurses, social workers, rehabilitation This initiative will facilitate VNSNY’s collaborations with VNSNY nurses, rehabilitation therapists, social workers, therapists and home health aides provide high quality, the growing number of community- based organizations and home health aides, along with administrative and family-focused home care. that serve New York’s elderly LGBT population. The senior staff, have received training on working with LGBT program will also help educate organizations, providers, Our MNP care teams offer medical support for children communities from the LGBT senior advocacy organization and patients about VNSNY’s LGBT-related initiatives, with a wide range of severe conditions, including prema- SAGE (Services and Advocacy for GLBT Elders), ensuring including our gender affirmation surgery program, turity, AIDS, seizure disorders, sickle cell anemia, cerebral that all of our staff are aware of and sensitive to the needs which has provided post-surgical care for 160 patients palsy, disabilities, childhood cancers, organ transplants, and concerns of LGBT older adults. VNSNY is the largest since its launch in 2016, and other efforts to help neurological, respiratory, orthopedic and cardiac disorders, home- and community-based healthcare eliminate barriers to care. and pediatric palliative care needs. organization in the New York City metropolitan area with the SAGECare Platinum level We also provide specialized clinical and home health aide LGBT cultural competency credential. services for pregnant and postpartum women, treating postpartum complications that include post-cesarean wound care, as well as high-risk conditions during pregnancy such as diabetes, pre-term labor, VNSNY’s new senior LGBT Outreach provides the most vulnerable seniors in New York City’s LGBT community hypertension and HIV/AIDS. with greater access to VNSNY home-and community-based services, raises awareness of VNSNY as a safe and trusted ally of the LGBT community, and increases outreach to self-identified and closeted LGBT seniors. We are grateful to The New York Community Trust for providing funding for this LGBT Outreach initiative.

12 13 Enriching Julio and his family’s life

Maternity, Newborn & Pediatrics

For 12-year-old Julio*, progress can be measured in the details of daily life: the bites of empanada he eats with his family, the syllables of communication he can speak, and the broad smile he flashes when his favorite topics In 2017, VNSNY’s come up: Real Madrid, girls and going to school. Maternity, Newborn and Pediatrics services Following a devastating brain hemorrhage and a year provided care to in the hospital, Julio could barely move or speak and 3,930 children and was dependent on a feeding tube. VNSNY put together their families. a comprehensive team to help him and his family on all fronts: nursing, social work, and physical, occupational and speech therapy. The clinicians work in close collaboration with Julio’s parents, who are becoming educated in caring and advocating for their only child.

“Communication and eating are two of the biggest quality-of-life things we take for granted,” says VNSNY speech-language pathologist Jonathan Wise, who visits twice a week to work with Julio on strengthening his oral In 2017, VNSNY motor muscles and expanding his breath support. “I can’t allocated $11.7M to tell you the joy that comes from such a basic thing in life: children’s programs. his mom being able to cook for him, dad being able to feed him. It’s such a human connection.”

VNSNY social worker Johana Guerra has helped Julio’s family navigate the healthcare and social support systems, including finding Spanish translators to overcome the language barrier. She has connected them with charitable funding for his considerable medical supplies and potential housing. Major next steps, still in the works, include enrolling Julio in school and equipping him with a speech-generating device so he can communicate all that is on his active mind.

14 * The patient’s name has been changed for privacy. 15 Chinatown NNORC VNSNY Hospice Enriching the lives Enriching the lives of patients and Community Center of Chinatown’s seniors and Palliative Care and families facing the end of life

VNSNY’s Chinatown NNORC staffhas touched the successfully age in place. Many program initiatives Founded in 1983, VNSNY Hospice and Palliative While the majority of our hospice patients are cared for at lives of almost 1,200 seniors, 60 and older, who reside emphasize ways to maintain health and wellness. These Care is the largest hospice program in the New York home, VNSNY also provides specialized end-of-life care in in Manhattan’s Chinatown Community. Many of these numerous services provide important connections to metropolitan area, as well as the only one serving all other settings, including our Shirley Goodman and Himan seniors live in aging, walk-up tenement apartment buildings, NNORC members in their native languages, facilitated by five boroughs of New York City. Brown Residence (a home-like facility on Manhattan’s which can lead to isolation, loneliness and despair as well staff who understand the culture and needs of these seniors. Upper East Side for patients who cannot remain in their Ours is a program of compassion and deep sensitivity as threaten health and well-being. Since the majority homes), as well as in nursing homes and assisted living In its storefront space at 7 Mott Street, which it shares that provides comfort, dignity and quality of life at the of these seniors speak no English, they are often invisible facilities. VNSNY Hospice and Palliative Care is proud with the VNSNY Chinatown Community Center, our end of life for patients and their families. Our interdisci- to social services and health networks without special to offer specialized outreach to specific constituencies, NNORC offers recreational activities and a variety of plinary hospice teams offer skilled, high-quality medical, outreach efforts. including military veterans, patients with advanced other services. NNORC staff visit members who are frail nursing, emotional and spiritual care to help manage cardiac disease, and patients who identify as lesbian, Through the Chinatown Neighborhood Naturally Occur- or homebound in their apartments to address social symptoms and keep patients as comfortable as possible. gay, bisexual or transgender. ring Retirement Community (NNORC), which was estab- and health concerns, and assist members in making lished in 2006, VNSNY and its Chinatown partnering their home safe and hazard-free. Our NNORC team also organizations work collaboratively to ensure that resi- provides referrals and links to the services offered through dents age sixty and over are connected to the health, our many partner agencies that are aligned with VNSNY’s social and translation services they need in order to mission to support successful communal living.

Your support plays a vital role in enabling VNSNY Hospice and Palliative Care to thrive and expand. We are deeply grateful to the Ambrose Monell Foundation, the Hugoton Foundation, the Balm Foundation, the John Conley Foundation for Ethics & Philosophy in Medicine, The Y.C. Ho/Helen and Michael Chiang Foundation, The Chinatown NNORC receives funding from the New York State Office for the Aging (NYSOFA), New York City the Wasily Family Foundation, Select Equity Group Foundation, Pine Tree Foundation of New York, Wise Hospice Council Discretionary Fund, the New York City Department for the Aging, the Jean and Louis Dreyfus Foundation, Options, NY Foundation for Eldercare, Chaim Freiberg, Phyllis and Howard Schwartz Philanthropic Fund, Ruth and many generous individual donors. The UJA-Federation also provides funding through the Jeannette and David Levine, Peter H. Gleason, Sarah Brown, Jane Burton, Jacques and Emy Cohenca Foundation, and Solomon Fund for targeted enrichment programs. Frank and Diane Vigilante as well as nearly 1,200 other donors for their generous support.

16 17 Enriching Edward and Marcella’s lives

VNSNY Hospice and Palliative Care

At age 90, many years beyond his World War II military service, Edward Flannigan In 2017, our hospice expressed regret in his final days program served that his Naval medals and 6,086 patients and discharge papers had gone their families. missing. So it was with great pride and gratitude that he received them anew—including the American Campaign Medal, Asiatic-Pacific Campaign Medal, and World War II Victory Medal—from VNSNY Hospice veterans liaison Joe Vitti in a bedside recognition ceremony. Said Edward’s wife, Marcella, “Being a veteran always inspired his honor and dignity.”

Joe worked with the Department of Defense and the National Archives to track down copies of the medals and papers as part of our hospice program’s commitment to serving military veterans at end of life. In recognition of these VNSNY has Level Four efforts, VNSNY has received the highest rating, Level Four, from the national We Honor Veterans campaign. Developed by the National Hospice and Partner status with Palliative Care Organization and the Department of Veterans Affairs, We Honor Veterans as We Honor Veterans collaborates with hospices, state hospice organizations the only hospice provider and Veteran Affairs (VA) healthcare facilities to make U.S. military veterans serving all of NYC to have better aware of end-of-life care and benefits available to them. the distinction.

Joe, who is himself a veteran, not only helps veterans get documents in order but also helps guide veterans and VNSNY social workers through the labyrinthine VA healthcare system and trains staff members and volunteers to better understand the impact wartime combat can have on veterans, even decades later—the most common effects being post-traumatic stress disorder and survivor’s guilt. “Every war veteran has a unique story,” says Joe. “Our partnership with We Honor Veterans makes it possible to let hospice veterans in New York know that their service has not gone unnoticed, and that it is greatly appreciated.”

At Mr. Flannigan’s bedside, Joe ended the medals ceremony as he always does: with one final salute from one veteran to another.

18 19 VNSNY Volunteer Workforce Volunteering to enrich the lives Enriching employee and patient lives Program of VNSNY patients and members Development through enhanced skills training

Volunteers make important contributions through- music, listening, advocacy, meditation, prayer, or reading As part of VNSNY’s workforce development efforts, will be funded through the Ladders to Value Workforce out our entire organization each and every day. to bring comfort to them. we are committed to providing ongoing education and Investment Organization (WIO), a partnership VNSNY has In 2017, more than 577 volunteers provided over 42,000 training opportunities for our staff. For example, we’ve used formed with the 1199 Service Employees International Other VNSNY volunteers organize art shows and holiday hours of service to VNSNY, positively impacting the lives funding from the New York State Department of Health’s Union Training & Employment Funds and the Continuing parties for our disadvantaged mental health clients, provide of vulnerable children and their families throughout the Health Workforce Retraining Initiative (HWRI) to teach Care Leadership Coalition under a special New York State daily support services at our Chinatown Community Center, New York area, as well as homebound elderly patients. VNSNY Partners in Care home health aides (HHAs) to serve initiative to develop the long-term care workforce. assist with the special needs of chronically ill adults and as health coaches. Ranging in age from 18 to 98 years old, VNSNY volunteers children, help with VNSNY’s community outreach, WIO funding has also been earmarked for training Partners provide vital assistance that touches every corner of fundraising and office activities—and much more. In the health coach role, the HHA uses motivational inter- in Care HHAs in the skills needed to support value-based VNSNY. In VNSNY CHOICE, for instance, volunteers reach viewing techniques to help clients set goals for better health, care reimbursement models, such as identifying signs of In 2017, the dollar value of the time and impact donated out by phone to CHOICE members who are living alone then collaborate on a plan to get there. “Our HHA health potential medical problems and then quickly contacting by VNSNY’s volunteers was calculated at more than in their homes. coaches don’t tell clients what to do. Instead, we teach them the client’s medical provider. Other VNSNY workforce $1.3 million—but in truth, their contributions are priceless. to offer suggestions and ask questions,” says Carol Johnson, initiatives include an HWRI-funded collaboration with Within VNSNY Hospice, trained volunteers make Thank you, VNSNY volunteers! RN, who runs the health coach training program for Partners Duke University’s School of Nursing to train VNSNY comforting visits to hospice patients and their families in Care. “Once we understand what the issue is, we can registered professional nurses as certified population care each day. Some volunteers receive additional training in To learn more about becoming a VNSNY volunteer, begin to address it.” For the more than 1,380 Partners in Care coordinators; the VNSNY Hospice Physician Fellowship, order to serve as “Vigil Volunteers.” Developed to address please call us at 212-609-1570. For information on HHAs who have undergone this training, it has expanded which utilizes generous philanthropic support from the simple and humanistic goal that no patient should how to become a VNSNY Hospice and Palliative Care their skill set and transformed their work. The result is a individuals and foundations to provide hands-on training be alone at the end of life, the Vigil Volunteers sit at the volunteer, please call 212-946-9235. win-win for both our HHAs and their clients. in hospice care to physicians, medical residents, and nurse bedside of hospice patients, where they may utilize touch, practitioners from our local medical center partners; and In addition to HWRI funding, the health coach training the HWRI-funded Rehabilitation New Graduate Training program is supported by the Fan Fox & Leslie R. Samuels Program, which offers skills training and preceptorships to Foundation; it previously received funding from the New physical and occupational therapists new to home care. York Foundation for Eldercare. An expansion of the program

20 21 Center for Home Care Transforming healthcare practice and policy to Policy and Research enrich lives

At a time when home health care has a larger broad applications for evidence-based home- and com- place in health and wellness than ever before, VNSNY’s munity-based care, and is also yielding new insights into cutting-edge home care research center is playing a key how care in these settings affects patient outcomes such role in ensuring that our country’s healthcare practice as symptom control, quality of life, and hospitalization risk. and policies are evolving to meet the needs of this trans- The Research Center’s staff collaborates extensively with formative time. As the nation’s preeminent home- and other clinical and academic institutions, and publishes community-based healthcare research center, the inter- its findings in a wide array of peer-reviewed academic nationally renowned VNSNY Center for Home Care Policy journals. In addition to its ongoing clinical investigations, and Research conducts rigorous scientific research aimed the Center frequently hosts delegations from across at improving patient outcomes and promoting positive the country and around the globe. changes in the field of home health care. This new knowl- edge and exchange of ideas generated by the Center has

The Research Center’s work is supported by a number of public and private sources. Studies currently underway rely on federal sources such as the National Institute of Nursing Research, National Institute on Aging, the National Institute of Neurological Disorders and Stroke, and the National Institute of Child Health and Human Development at the National Institutes of Health (NIH), and the Agency for Healthcare Research and Quality (AHRQ). Private funding sources include the Beatrice Renfield Foundation, The Eugenie and Joseph Doyle Research Partnership Fund, and the Fan Fox and Leslie R. Samuels Foundation. The Center also relies on the New York State Health Foundation, Margaret and Alexander Bancroft, as well as other donors.

22 23 2017 Charitable Care and Community Impact

In 2017, the Visiting Nurse Service of New York—together with generous supporters, community partners and VNSNY employees—provided over $47 million in charitable care and community benefit programs.These wide-ranging programs improved the lives of tens of thousands of New Yorkers, young and old, and delivered free and discounted direct home care services to more than 8,500 under- and uninsured individuals. Funding Sources

$47 Million City, State and VNSNY’S Charitable Federal Grants Contribution $27M (57%) $14.1M (30%) Specialized Programs and Services $1.8M (4%) Community Charitable Care for the Mental Health Services Under- and Uninsured $19.6M (41%) $7.2M (15%)

Programs for Children Donations and and Families Development $11.7M (25%) $6.3M (13%)

The Funding Sources chart, above, shows how VNSNY’s charitable care and community benefit programs were funded in 2017.

Hospice Charitable Programs VNSNY Research Center $3.8M (8%) $3.2M (7%)

The over $47 million in community benefit impact shown in the chart above represents the total amount spent by VNSNY and our philanthropic partners on delivering charitable care and community benefit programs. It includes services funded by public grants (city, state, and federal), development (gifts and grants from private donors, employees, foundations and corporations) and VNSNY’s charitable care contribution (the cost of community benefit programs paid for by VNSNY). This total does not include reimbursements to the programs from Medicaid, Medicare, and Managed Care Organizations.

24 25 Who We Touch How We Care

On any given day, the Visiting Nurse Service of New York has over 48,500 patients and health plan members in its care. A Partial List of Our Programs And Services: This care is delivered by a staff of over 13,000 employees, including registered nurses, rehabilitation therapists, social workers, home health aides, and other clinical staff such as physicians and psychologists. Home Care Services Hospice and Palliative Care Behavioral Health Family Support Services (BX, BK, M, Q, SI) In 2017: Home Visiting Physicians (M) Hospice and Palliative Care (BX, BK, M, Q, SI) Physical Therapy, Occupational Therapy Shirley Goodman and Himan Brown and Speech Language Pathology Hospice Residence (M) Remote Patient Monitoring Veterans Program Skilled Nursing Social Work Medicare and Medicaid Health Plans* VNSNY CHOICE FIDA Complete Population Health and VNSNY CHOICE Medicaid Managed Long-Term Care (MLTC) VNSNY Chronic Care Management VNSNY CHOICE Medicare Total patients served: VNSNY provided care to Total professional Complex Illness Management VNSNY CHOICE Select Health clinical visits: COPD VNSNY CHOICE Total 135,192 more than 650 Diabetes patients who were 1,363,488 Heart Failure Private Pay Services from Partners in Care over 100 years old. Rehabilitation Ambulatory Escort Stroke Care Management Wound Care Clinical Assessments Personal Care and Companionship Children and Family Services Physical Therapy, Occupational Therapy Total home health aide hours: 32,826,971 Bronx Fatherhood Program (BX) and Speech Language Pathology Maternity, Newborn and Pediatrics (BX, BK, M, Q) Skilled Nursing Nurse-Family Partnership (BX, N) Training Programs Approximately 62% of our patients were female. Community Mental Health Services Health Coaching 100 Schools Project (BK, Q) Hospice Physician Fellowships Assertive Community Treatment (BX, M, Q) Population Care Coordination The average age of a patient was Behavioral Health Community Transitions Program Rehabilitation 70 years old. Childrens Mobile Response Team (BX, BK, Q) Critical Time Intervention (BX) VNSNY Research Center FRIENDS Program (BX) Advancing and promoting Collectively, VNSNY staff members speak more than 50 languages. Geriatric Mental Health Outreach (BX, M) evidence-based home Health Home Care Management (BK, BX, M) healthcare practice PEARLS Program (M, Q) Promise Zone (BX)

VNSNY serves all five boroughsof New York City Community Outreach as well as Nassau, Suffolk and Westchester Counties. Chinatown NNORC and Chinatown Community Center (M) Community NNORC Collaborations

Heart disease, diabetes, cancer, and wounds Unless otherwise noted, VNSNY serves all five boroughs of New York City were among the most frequent diagnoses of our patients. as well as Nassau, Suffolk and Westchester Counties. Key: BX = Bronx; BK = Brooklyn; M = Manhattan; Q = Queens; SI = Staten Island; N = Nassau; S=Suffolk; W = Westchester. *For VNSNY CHOICE Health Plans service areas, go to: www.vnsnychoice.org 26 27 Solange Landau Jacob W. Friedman Trust R. H. Bluestein & Co. Eugene M. Lang Foundation Future Tech Enterprise, Inc. Milton and Fannie Brown Family 2017 Donors Leonard and Judy Lauder Fund Arthur J. Gallagher & Co. Foundation, Inc. Barbara LaVallee Gannon Vitolo Contracting, LLC Jan P. Browne Loeb & Loeb LLP Audrey D. Gerson / Valiant Foundation, Inc. Mrs. James E. Burke Tom and Elizabeth Mao Betsy Gotbaum Burke Rehabilitation Hospital McBee Associates, Inc. Kathy Greenberg / Alan C. Greenberg Jonathan J. Bush Paul and Mary McEvoy Philanthropic Fund Mr. Neil Calet The Visiting Nurse Service of New York is grateful for the contributions of generous individuals, foundations, and corporations McKesson Patient Care Solutions Greenberg Traurig, LLP Catherine M. Callaway Carolyn and Gene Mercy Evelyn J. Halpert in 2017. Donations from these compassionate people and organizations help provide charitable care and life-changing community Susan Caputo Mercy Home Care & Medical Supplies, Inc. Linda Harris Tom and Joan Cassano benefit programs to New Yorkers in need. Jennifer Milacci and Marc Scher HHAeXchange Adelaida Chao Irene R. Miller The Dr. Maxwell Hurston Family Lisa Chickering Margaret Neimeth Foundation, Inc. Theodore Chu $500,000 and above Sarah Brown Ropes & Gray LLP Ruth Nerken Beverly Jacobs ClinLogica Northern Trust JP Morgan John P. Levine and Susan M. Clopton / Robin Hood Alan T. Brown Foundation to Cure Paralysis Rosenblum Newfield LLC Diane and Clyde Brownstone / Brownstone Sandata Technologies LLC Dennis Paoli / The Heidi Paoli Fund The Hess and Helyn Kline Foundation / Levine Clopton Family Fund $100,000 - $499,999 Family Foundation Andrew N. Schiff, MD Joan and Charles Platt Denise J. Levy Noel Cohen Bernard Posner* LIBERTY Dental Plan Mr. and Mrs. Bertram J. Cohn New York Foundation for Eldercare Mrs. John C. Burton The Marilyn M. Simpson Charitable Trust Gilbert & Ildiko Butler Family Foundation SL Green Realty Corp. Peter and Trudi Richardson MedImpact Healthcare Systems, Inc. Artie Colwell $50,000 - $99,999 Kathy Hirata Chin Tara I. Stacom Mary Clark Romney Medline Industries, Inc. Community Home Health Care Jacques and Emy Cohenca Foundation Solon E. Summerfield Foundation, Inc. Marcia and Philip Rothblum Foundation, Inc. Richard and Ronay Menschel Mary L. Cooper The Balm Foundation Julie and Bob Daum Sy Syms Foundation Earl H. Rovit Milliman, Inc. Cooperative Home Care Associates The Y.C. Ho / Helen and Michael Chiang Joseph and Pamela Donner Pine Tree Foundation of New York / May and Samuel Rudin Family Foundation, Inc. Dinny and Lester Morse Maurice Cory Foundation Jean & Louis Dreyfus Foundation, Inc. Szilvia Tanenbaum Sarah I. Schieffelin Residuary Trust Paul W. Mourning and Laura Locke Peggy and Dick Danziger Eugenie Doyle, MD Edith and Robert DuPuy Thompson Family Foundation, Inc. Lisa and David T. Schiff / The Schiff NewYork-Presbyterian Queens Davidson Kempner Capital Management LP Joan and Bob Easton The Durst Organization Tiger Baron Foundation Foundation NYU Langone Medical Center Sandra Delson, EdD Anne and Joel Ehrenkranz Mary and Kenneth Edlow TMG Health, Inc. Selfhelp Community Services, Inc. Office Depot Inc. Ritchell R. Dignam, MD and Louis Dignam Jr. The Elkes Foundation Empire Office / Steelcase True Care Home Health Care Lynn G. Straus Christopher T. Olivia, MD Judy and Jamie Dimon The Irma T. Hirschl Trust Chaim Freiberg Visiting Nurse Association Health Group Trilogy Leasing Co., LLC The Oved Group Irma Dinn Ruth and David Levine Alice and George Frelinghuysen / Barrie A. and Deedee Wigmore Foundation United Federation of Teachers Kerry and Dee Parker Distinctive Workforce Solutions Robert B. Menschel The Frelinghuysen Foundation Wise Hospice Options Janet Van Name Ricoh Christine Donovan Beatrice Renfield Foundation Mary Ann Fribourg WMC Health vXchnge Rimerman Family Foundation Austin and Paula Dooley Phyllis and Howard Schwartz Gensler Anonymous (4) Laurie Weisberg Myron Sulzberger (“Mickey”) Rolfe Seth H. Dubin Philanthropic Fund GNYHA Ventures, Inc. Willis Towers Watson The Royal Care Carmela D’Urso $5,000 - $9,999 Anonymous (4) Jonathan and Andrea Scilken Eagle Asset Management, Inc. $25,000 - $49,999 Mary W. Harriman Foundation Mary R. (Nina) Henderson and Roger J. Sandra A. Bass / The Sandra Atlas Bass Elizabeth Sesselberg Sarah Eames Alvarez & Marsal Healthcare Industry Group, LLC Branson, MD and Edythe and Sol G. Atlas Fund $2,500 - $4,999 Jennifer Shotwell Ilaina and Mark Edison The Ambrose Monell Foundation Barbara M. Hinck Beacon Health Options Hany Abdelaal SimpleC Edith Ehrlich Cadwalader, Wickersham & Taft LLP Hospital for Special Surgery Bestcare, Inc. Attending Home Care Special Touch Home Care Services Victoria Elenowitz The John Conley Foundation for Ethics & The JPB Foundation Brightpoint Health Axion Healthcare Beatrice Spillane Mari Epstein Philosophy in Medicine Charles S. Keene Foundation Bebe and Doug Broadwater Judith Barlett State Street Global Advisors Everett Foundation Epstein Teicher Philanthropies Marion E. Kenworthy - Sarah H. Swift Byram Healthcare Big Apple Homecare Agency TNT Staffing, LLC Exclusive Ambulette Service, Inc. Audrey Friedland Foundation Cambridge Security Services Deborah B. Breznay, Esq. Unlimited Care, Inc. EY Peter H. Gleason Yoko Ono Lennon Robert M. Carr Teresa C. Brown Vicom Infinity, Inc. / Vicom Computer Michael Faltischek Hugoton Foundation Art Lindenauer Centers Health Care Bull’s Head Foundation Services, Inc. Family Home Care Services of Brooklyn Robert M. Kaufman, Esq. Nancy and Alan N. Locker Alexander and Irene Chu Robert B. Catell Voya Investment Management & Queens / Care at Home - Geoffrey D. Kimball Ann Lozman CLRC, Inc. Chinese-American Planning Council Home Jonathan M. Wainwright Diocese of Brooklyn The Fan Fox & Leslie R. Samuels Foundation Inc. Marcum LLP ConsultNet, LLC Attendant Program Dr. Michael C. Wolf Eliot Feld Select Equity Group Foundation Phyllis and Slade Mills Brian Daniels Collazo Florentino & Keil LLP / Tonianne Anonymous Mary A. Felix Frank and Diane Vigilante Mobile Health E. Mary C. Davidson Florentino Thomas Fenaughty The Wasily Family Foundation The Mount Sinai Hospital Jody Donohue* Cozen O’Connor $1,000 - $2,499 Edward W. Franklin Anonymous NewYork-Presbyterian Hospital and Enexia Specialty Curtis+Perry 1199 SEIU-UHWE Barbara H. Freitag Healthcare System Tina and Raymond Falci Jose M. and Maria Teresa de Lasa All Season Home Attendant Fried, Frank, Harris, Shriver & Jacobson LLP $10,000 - $24,999 Julie and Russel Patterson, Jr. Teresita C. Glinoga Elisabeth de Picciotto The Allure Group Peter Frishauf & KC Rice 5 Penn Plaza LLC Paypro Corporation Global Holdings Management Group Dignity Memorial Amsterdam Continuing Care Health Beverley Galban Alliance For Health, Inc. Donald A. Pels Charitable Trust Heidrick & Struggles EmblemHealth, Inc. System, Inc. Marion Galison Altruista Health People Care Incorporated John G. Hetrick Empire BlueCross BlueShield Arcadia Electrical Co. Inc. Garfunkel Wild, P.C. Michael Arlen Personal-Touch Home Care Homecare Homebase Epstein, Becker & Green, P.C. Avergun Family Fund Gideon and Sarah Gartner Margaret and Alexander Bancroft Mr. and Mrs. Carl H. Pforzheimer III Peter Hutchings and Martha Wolfgang Patricia T. Ewert Jack D. Barchas, MD and Rosemary A. John N. Gilbert, Jr. Belhealth Investment Partners / Care Preferred Home Care of New York Independent Franchise Partners Falk Technical Service Corp. Stevens, PhD, MPH Terry and Julie Gilheany Advantage Premier Home Health Care Services, Inc. Lillian Johnson Daniel and Marki Flannery Rosemary Baughn, RN, MSN John Giordano Jody and Brian Berger Emily and John Rafferty Attallah Kappas, MD Frenkel Benefits, LLC The Beir Foundation Alexander Gitomer and Regina Bronson The Family of Peter Bergmann Corinne H. Rieder, EdD Helen L. Kimmel Beulah E. Friedman Trust Joan Blessing Eloise Goldberg

28 29 $500 - $999 Ellen Dede Barbara K. Kelly 2017 Donors A&A Maintenance Enterprise, Inc. Barbara D. Deller Nancy A. Kernan-Chamberlain A-1 International Amanda Deoki Michael P. Kerrigan Access Staffing, LLC Digital Pulp King Street Rehab Charles Adelman Carole Dituro Ruth Kingsberg Adelphi University College of Nursing Candida A. Dixon Elly Kouri Goldman, Sachs & Co. Magenic Technologies, Inc. Jeffrey A. Rosen and Public Health Alexander Dreier Andrea Krantz Vladimir V. Golovanov Maimonides Medical Center Ann Rosow-Lucchesi and Bruno Lucchesi Aetna Inc. Elizabeth Dreier Mrs. Ranier Kuhn The Gould-Shenfeld Family Foundation Guy E. Clay Maitland Martha Rowen Alexandra Alger and Dan Chung Andrea G. Eisenberg James J. Lally George T. Grant Manatt, Phelps & Phillips, LLP Roytex, Inc. Peter Allen Barbara S. Eisenberg Frederick Lambert Diane Bruno Grasso Maya Manley Susan Rudin Barbara Allister* John P. Esposito Hugh Lamle Greater New York Nursing Services Joseph and Meryl Mark Beth Rudin DeWoody Vannia Ettelman Judy Laskow Janice Greene Dorothy Marks William M. Rudolf Amida Care eviCore healthcare Bonnie Lauder Jeffrey Greenfield / NGL Insurance Group Julie Marks* Mary and Win Rutherfurd Barbara Amster Nicole Fazio Dennis Lazar Marian Haas Evelyn A. Marsh* Frances Scavullo Tsou John Annechino The Halegua Family Mascioni & Behrmann Architecture Lester P. Schindel Apex Laboratory, Inc. Nancy and Hart Fessenden Lazard Asset Management KeunTaek Han & Engineering, P.C. George A. Schwartz Phyllis Arnold Fieldhome Steven Lenkowsky Healthplex, Inc. Nancy R. Mayer Dr. and Mrs. Thomas P. Sculco Asian American Bar Association of New York First Chinese Presbyterian CAHA Corp. Helaine Lerner Abbe A. Heller Brian T. McGovern Rosa Sheehan John H. Asiel Arthur Fitting David L. Lewis Patricia E. Henry William McKee Simione Healthcare Consultants James A. Attwood Diane A. Fitzsimons Jaye Liset-Lynch Henry Schein, Inc. Clare and Howard McMorris Simone Development Companies Joan Baekeland Elizabeth C. Forster Frank Lucente Virginia M. Hoffmann Mary Alice McNamara James F. Slabe Robert S. Bailin Lloyd M. Fowler Peter L. Malkin / The Malkin Fund Anne C. Holbach Medalogix Margot M. Slater Wendy Baker Kathy Franklin Lynn and Betty Mangum Ipsoft, Inc. Medicare Rights Center Lawrence H. Slaughter Sandra Dee Barron Stephen M. Freedman Arnold Manheimer Thomas and Barbara Israel / A.C. Israel Janis & Alan Menken Foundation Angela Solomon Lea O. Battiato M. Jane Gaillard David Marco Foundation Sara B. Miles Rose Soroka Julio Garcia Robert Marshall Jane Iwanowski Marianna Miyazaki Nicholas Sourbis James S. Baumann / The Baumann Joseph Garten Claire A. Marx J. Smith Lanier & Co. / A Marsh & Melene and Robert Nahodil Marian Stadelman Family Foundation Beverly Gasner Cornelius Marx McLennan Company National Medtrans Network Stefanie Steel Daniel Bayoneto Mark Jacobson NEPC, LLC Goldie Anna Charitable Trust Diane M. Becker Harvey Gerstman Richard C. Marx Howard Jacobson Ann Newburger Stroock & Stroock & Lavan LLP Barbara Belknap Janice Gewirtz and George Gewirtz, M.D. A. Cushman May JAMS Susan Northover Judith A. Sullivan / Stewart and Judith Whitney H. Bell Kimberly Glassman Mazars USA LLP Jana Foundation, Inc. NYU Rory Meyers College of Nursing Sullivan Family Fund Tobias Bermant David W. Golann Catherine McCollum Hans G. Jepson Isabelle R. Oaklander Sunnyside Community Services Robert Bertoletti Richard Goldstein Henry McKean JFK & M Consulting Group Office Supply Headquarters Superior Vision John Billeci Jacqueline Gonnet Cathy L. McKeon Joanne Josephy George D. O’Neill Mary I. Swartz James and Barbara Block Pearl Goodman Taylor Ronald McPhee Beatrice L. Kernan Paula K. Oppenheim Swift Shift Portia Bock David Grahame Linda A. Megan King + Company Catherine Orme Mandy Tavakol Brooklyn CHOICE Office Anahid Gregg Mendez Printing Mr. and Mrs. Christopher Kinney PA Consulting Group Judith A. Taylor Marcy Brownson David Grey Matthew V. Merola Steve Kornacki Pace University, The College of Health Time Moving & Storage Inc. Arel Bucalo John R. Gunn Sandra Mintz Helen Kornblau / The Kornblau Professions and the Lienhard School Valerie Tootle Trang Bui Ross Haberman Sharon Moir Family Foundation of Nursing Lucille Tyrrasch Connie and Kevin R. Hackett Morgan, Lewis & Bockius LLP KPMG LLP Pacific College of Oriental Medicine Verizon Wireless Clifton Bullard Mimi Halpern Marie O. Morse Bernard Kramarsky Constance M. Paine VillageCare CABVI Sarah-Ann and Werner H. Kramarsky Michael Patrick and Carol Sedwick Ellen M. Violett Susan Campbell and Ned Bassen Harlin Printing Services Douglas Mund Kupferberg Foundation Carolyn and Bill Patterson Vladeck, Raskin & Clark, P.C. Abigail Canfield Jay R. Harris Mildred Murphy L&L Holding Company, LLC David and Emelyn Patterson Margaret L. Vranesh Daniel J. Carpenedo Jack B. Hartog Nationwide Screening Services Elaine Langone Normal L. Peck Estate Jill Weinstein Elizabeth Carpenter Morrison and Fenella Heckscher Donna Nelis Lautman, Maska, Neill & Company Liz and Jeff Peek Marvin F. White Meredith Carr Catherine M. Heller Lenihan The New York Academy of Medicine Stephen Lee Timothy R. Peng Mark and Jane Wilf Family Foundation, Inc. Catherine Cayer Jill Herman Nussbaum, Yates, Berg, Klein & Wolpow, LLP Joan M. Leiman Neil Pessin, PhD William Blair Paul Cesario Anne and John Herrmann Martin Nydick Lenovo Sheila and Nicholas Platt Nyna F. Wilson Evelyn Chai William H. Herrmann Mary S. Ogden David C. Lindy, MD Ann C. Poll Andrew Winakor Robert M. Chalfin Theodora Hooton Mary O’Neil Mundinger Ethel Lipsitz* Jerome B Posner M.D. Thomas Wittrock Helen Chang Independent Living Systems Rachel Osborne Marianne Longo Deacon John Powers Wolfensohn Family Foundation Ronald M. Cohen Infinity Real Estate Raffaela Pacifico Dan Lowenstein Prestige Care, Inc. James Worth Colliers International J & K Curthoys Garden Landscaping David Paget Helen Lowenstein Queens Boulevard Extended Care Facility Yelena Yudilevich Nancy B. Jackman Ann K. Patton Mary A. Lublin B. Laurence Rachlin Desi and Ben Zalman Renee Conforte Sharry and Arthur Lukach Larry Rachlin Jeffrey Zeiler Frederic W. and Sara J. Cook Charitable Fund Joan M. Jensen Pimco LLC Mary B. Lumet Michael J. Razny Anonymous (9) Cordo & Company LLC Jewish Communal Fund Betsy Pinover Schiff Sidney Lumet* Michael and Emily Rehaut Vincent Covelli Johns Hopkins School of Nursing Kenneth and Bettina Plevan Charlene and Gary E. MacDougal Related Hudson Yards Paul Creegan Dr. and Mrs. Norman Kahn Joseph Polizzotto Robert B. MacNeil Nataly Ritter Mary Curley Laureen Kasper Julie Pollitz Rose Madden Baer Laurance and Wendy Rockefeller * Deceased Beth Dannhauser Christopher Keelty Michael R. Potack

30 31 The Leadership Council recognizes individual donors 2017 Donors 2017 who make a minimum annual gift of $1,250 in a year. Since its founding in 2012, members have contributed Leadership Council millions of dollars to advance VNSNY’s charitable mission. Latanya Powell Susan West Hudson’s Bay Company Elvis Propp Elaine Winters Il Bacco Linda Quest Scott and Linden Wise Il Toscano Ristorante Hany Abdelaal Peter H. Gleason Dinny and Lester Morse Mary K. Quirk Bill Wolf Petroleum Corp. J.R. Watkins Michael Arlen Teresita C. Glinoga Melene and Robert Nahodil Margaret and Alexander Bancroft Eloise Goldberg Margaret Neimeth Jennifer Rajewski Worldwide Security Network Betsy Jenks Judith G. Bartlett Vladimir V. Golovanov Ruth Nerken Ezrael C. Rand George Zalantis Kernel Season’s Sandra A. Bass / The Sandra Atlas Bass Kathy Greenberg / Alan C. Greenberg Robert and Ann Newburger William C. Ransom Cindy and Tom Zanca La Grotta di Marcelo Resturant and Edythe and Sol G. Atlas Fund Philanthropic Fund Susan Northover Cathy J. Raphael Christian and Laurie Zrull Loeb & Loeb LLP Rosemary Baughn, RN, MSN Marian Haas Catherine Orme Mariscal Design Michael H. Reinhardt Anonymous (3) Joan Beir Evelyn J. Halpert Constance M. Paine Nick Mosca Ira M. Resnick Jody and Brian Berger Linda Harris Dennis Paoli / The Heidi Paoli Fund 2017 Matching Gifts Edward A. Muccini Margaret O. Richards Joan Blessing Abbe A. Heller Kerry and Dee Parker The New York Yankees Sheila J. Robbins Altman Foundation Deborah B. Breznay, Esq. John G. Hetrick Wally Patawaran Steven Rockefeller IBM Matching Gift Program Newman’s Own Bebe and Doug Broadwater Barbara M. Hinck Julie and Russel Patterson, Jr. The Roisen Family Foundation, Inc. MBIA Inc. Denise Ortell Sarah Brown Virginia M. Hoffmann Timothy R. Peng Jean Lucier Roland Morgan Stanley Pen Palz Entertainment, Inc. Teresa C. Brown The Dr. Maxwell Hurston Family Neil Pessin, PhD Rosalind Roosevelt The New York Community Trust The Pierre New York, A Taj Hotel Jan P. Browne Foundation, Inc. Mr. and Mrs. Carl H. Pforzheimer III Dr. and Mrs. Michael A. Rosenbluth, MD NJM Insurance Group Ponte Mollo Ristorante Diane and Clyde Brownstone / Peter Hutchings and Martha Wolfgang Joan and Charles Platt Rebecca and Peter Rosow* Ogden CAP Properties Porsche of Larchmont Brownstone Family Foundation Jane Iwanowski Ann C. Poll Safeguard by Bradley Marketing Group Pfizer Foundation, Inc. Premier Home Health Care Services, Inc. Mrs. John C. Burton Beverly Jacobs Bernard Posner* Mitchell J. Sassower Prudential Asset Management Co.,Inc. Raw Indulgence, Ltd. Mr. Neil Calet Lillian Johnson Emily and John Rafferty Robert Schaffner Select Equity Group Foundation RidgeCrest Herbals Susan Caputo Attallah Kappas, MD Peter and Trudi Richardson John and Valerie Schaub Societe Generale Corinne H. Rieder, EdD Robert M. Carr Robert M. Kaufman, Esq. Rimerman Family Foundation Helen M. Scheuer Cathy Rosenbluth Tom and Joan Cassano Geoffrey D. Kimball Myron Sulzberger (“Mickey”) Rolfe Michael Schiffler 2017 Gift in Kind Georgina Sager Lisa Chickering Helen L. Kimmel Mary Clark Romney Steven Schreiber Carlton J. Abbott Philip Sievers Theodore Chu Helen Kornblau / The Kornblau Family Ann Rosow-Lucchesi and Bruno Lucchesi Irwin Selden Aliete Fashions Skinade Jacques and Emy Cohenca Foundation Foundation Marcia and Philip Rothblum Foundation, Inc. Richard Seligman Mimi Aliperti Speedy’s Cafe Mr. and Mrs. Bertram J. Cohn Solange Landau Earl H. Rovit Barbara Seril The Apawamis Club Stresa Italian Restaurant Maurice Cory Eugene M. Lang Foundation Beth Rudin DeWoody Alissa B. Sharmat Approach LLC Sunstar Americas Brian Daniels Barbara LaVallee Phyllis and Howard Schwartz Rochelle Sherreff BigelowTea Temple Shaaray Tefila Julie and Bob Daum Stephen Lee Philanthropic Fund Albert E. Short Bodian Dermatology Tiffany & Co. E. Mary C. Davidson Joan M. Leiman Jonathan and Andrea Scilken Lila Shoshkes Botticelli Portraits Simone Waksberg Jose M. and Maria Teresa de Lasa Yoko Ono Lennon Dr. and Mrs. Thomas P. Sculco Signature Bank Bottled Science Inc. Lawren Weir Elisabeth de Picciotto Ruth and David Levine Elizabeth Sesselberg Jonathan Simon Bradford Renaissance Portraits The Westin New York at Times Square Sandra Delson, EdD The Hess and Helyn Kline Foundation / Rosa Sheehan Cynthia A. Smith Susan Caputo Louis Dignam Jr., Ritchell R. Dignam, MD Denise J. Levy Jennifer Shotwell 2017 Planned Gifts Irma Dinn Art Lindenauer James F. Slabe Spiegel Associates Christie’s Hair Salon Joseph and Pamela Donner David C. Lindy, MD Nicholas Sourbis Marion B. Stewart Alissa Churchill Eileen Bamberger Charitable Trust Jody Donohue* Ethel Lipsitz* Beatrice Spillane Brittani Storen City National Bank Estate of Robert W. Bassemir Austin and Paula Dooley Nancy and Alan N. Locker Marian Stadelman Virginia K. Stowe Julie and Bob Daum Estate of Rita Bentley Eugenie Doyle, MD Marianne Longo Stefanie Steel Nan and Charles Strauch Sandra Delson, EdD Estate of Margaret Dempsey Estate of Ruby B. Fleming Seth H. Dubin Helen Lowenstein Goldie Anna Charitable Trust Lee and Roger Strong Austin and Paula Dooley Edith and Robert DuPuy Ann Lozman Lynn G. Straus Pearl G. Taylor The Douglaston Club Estate of Susan Gaum Estate of Arleen Gingold Carmela D’Urso Robert B. MacNeil Judith A. Taylor TMP Worldwide Advertising Edith and Robert DuPuy Miriam Gordon Trust Joan and Bob Easton Rose Madden Baer Thompson Family Foundation, Inc. & Communications Mario Durso Estate of Laurie Litwin Mary and Kenneth Edlow Guy E. Clay Maitland Valerie Tootle Edward M. Tobin E.T. Browne Drug Co. David M. Mahood Memorial Fund Anne and Joel Ehrenkranz Tom and Elizabeth Mao Janet Van Name Kathleen H. Tripp Emily Skin Care Estate of Robert Piel Patricia T. Ewert Nancy R. Mayer Frank and Diane Vigilante Susan L. Tyler The Estee Lauder Companies Inc. Estate of Channing Pollock Judy S. Fein Paul and Mary McEvoy Margaret L. Vranesh William Vanden Heuvel Judy S. Fein John Roach Trust Barbara H. Freitag Clare and Howard McMorris Jill Weinstein Toni and Shelby Roe Vaughn Diane A. Fitzsimons The Wells College Trust Alice and George Frelinghuysen / Robert B. Menschel Laurie Weisberg VIP Health Care Services Future Tech Enterprise, Inc. The Frelinghuysen Foundation Carolyn and Gene Mercy Dr. Michael C. Wolf Lynn Warshow Golf Event Management Mary Ann Fribourg Sara B. Miles James Worth Wendy Waterman Dr. Max Gomez Peter Frishauf & KC Rice Irene R. Miller Desi and Ben Zalman The Weeks Lerman Group, LLC Catherine M. Heller Lenihan Marion Galison Phyllis and Slade Mills Anonymous (11) Mildred Weissman Trinidad Hidalgo Audrey D. Gerson / Valiant Foundation, Inc. Marianna Miyazaki

32 33 Rosetta Montalbano Irina Serba 1 Rosemary Muldoon Marshalina Serrano Lillian Wald 2020177 Employee Donors Edward Murphy Elizabeth Sesselberg Liliya Murzin Chirag Shah Sarita Nader Sofiya Shimon Heritage Society Employee Donors Anna Naumenko Naomi Shinoda Donna Nelis Peter Shute Asmina Sharon Nelson Siew-Shing Hwang In 2017, more employees than ever before made a contribution to a VNSNY Charitable Care and Community Benefit Program, Members of the Lillian Wald Heritage Society ensure the Dennis Nelson Sukhmani Singh and helped surpass the Strength from Within campaign’s $60,000 goal. These clinicians and support staff went above and beyond, Emily Niesenbaum Hing Lin Sit future of VNSNY through the extraordinary gesture of including and demonstrated their commitment to the organization—and more importantly, to the vulnerable patients we serve. Zameera Nisha Stacey Small a gift to VNSNY in their estate plans. Antonyne Noel Krystle Smith Sabine Noel Rhonda K. Soberman Employees Tom and Joan Cassano Gladys Fuentes Patricia Kyle Susan Northover Tania Sochurek Shirael Bell Anneliese C. Marx Tara Noto Rosanne Sonatore Hany Abdelaal Thomas Castaldo Ling-Wai Fung Aileene Lai Joan L. Benson Phyllis and Slade Mills Mia Oberlink Debbie Sorace Stephanie Ali Mariela Castro Stacy Gale Raaid Lallmohamed Marie Bostinto Hi-Chul Mun Daniel O’Connell Alexis Hannah Spellen Jacqueline Almodovar Clare Catanese Laura Gannon Sing Lam Anita Brenner Barbara Oliver William O’Donnell Georgea Spence-Pessoa Tumika Alston Eileen Cespuglio Josiphiat Gervais Frederick Lambert Sandra Bronston Joan and Charles Platt Felix Okhiria Shauna Spencer Sylvia and Steven Ames Erica Chan Eloise Goldberg Myrna Lao Joel T. Camche and Caren Ann C. Poll Olakumbi Olowofela Stefanie Steel Ayana Anderson-McCall Li Chen Gail Gongaware Bonnie Lauder Opeyemi Omoijuanfo Renee Stephens Raine Camche Ira S. Rimerman Yolene Armand Young Suk Cho Jeri Goodman Alyssa Lawrence Stella Onuoha-obilor Sarra Stephens Lisa Chickering Up-Wingers, Inc./F. Schnall Ashley Artis Esther Cohen Erna Gordon Paulette Lawrence Marilyn Orgas Idee Strong Ronald M. Cohen Phyllis Schwartz Ella Ashuvora Peter Collazo Joan Grace Stephen Lee Peggy Osei-Tutu Christine Stuart Jane P. Coleman Sidney Schwartz Alton Ashwood Cassandra Collins Fortune Grunin Lorna Lee-Turner Florina Ostro Anne Suddaby Marion Cuba Doris Scott Racheal Ayinla Cherry Ava Venesta Collins Svitlana Grynyk Rachel Lelia-Schwartz Tom Pang America Sum Catherine Dugan Allison Simms Bibi Ayube Josephine Colon Jeniffer Guzman Ryland Lewis Kerry and Dee Parker Susanna Tadchiev Eni Bakallbashi Kimberly Colorito Marian Haas Kathleen Lieu Joan and Bob Easton Beverly Moss Spatt Timothy R. Peng Lilya Tamakhina Carrvella Baker Lisa Connors Amerita Habib Teresa Lin Lisa Evered Marian Stadelman Jessica Balanta Esther Adama Conteh Jacqueline Halpern David C. Lindy, MD Angel Peralta Agnes Taylor Claire and Sam Fagin Stephanie Stokes Monsurat Balogun Maya Cooks Nevine S. Hamad Patricia Lombardi Alcenio Perez Ciuela Thomas Mildred Forrell Simonne Stone Sandra Dee Barron Elizer Cooper-Audain Shannon Harris Dan Lowenstein Georgette Personna Kyla Thomas Aaron Frankel Frank and Diane Vigilante Yolanda Barron-Vaya Patrina Copland Michael Delaney and Xinyin Luo Neil Pessin, PhD Glenn Tolchin Chaim Freiberg Gretchen Walther Dumler Roger Philbert Sharon Toney Salvatore Bastardi Barbara Curd Christine Hauck Qi Wen Ma Audrey Friedland Dr. Michael C. Wolf Anna Piccone Susan Tooker Rosemary Baughn, RN, MSN Davika Dabideen Marilyn Hernandez Barbara Maccaro Peter H. Gleason Anonymous (4) Rochelle Pinnock-Herring Theodore Traver Audrey Bell Yvonne M. Daniels Mikelange Herve Pearl Machen Miklos Griesz Vladimir Davydov Lamarr Hinds Rose Madden Baer Julie Pollitz Thomas Triolo Lauren Benyola Abbe A. Heller Virginia Day Lisa Howe-Perry Mir Mahmood Nalisha Pooran Basheeba Tyler Sady Benzaquen Frederick L. Jacobson Joan Benzie Margaret DeGasperis Adyesha Ibrahim Angela Maloney Latanya Powell Marian Unterman Robert M. Kaufman, Esq. Marina Berezovski Dr. John Delfs and Anthonia Ilori Barbara R. Manago Susan Rabinowitz Paul Vandeyar Lucy D. Lieberfeld John Billeci Nanette Bourne Viktoriya Istakhorova Sheila Manahan Jennifer Rajewski Scott Vasey Kimberley Blacks-Pickett Maria Denis Nazeema Isuf Mary Mangle Matthew Rajewski Alexandra Vaynblat Shirley J. Lipsky Rava Blackwell Caroline Denunzio Samuel Jackson Jacqueline Manley Jessenia Ramirez Elina Veksler Frank P. Maltempi Katarzyna Blasik Ritchell R. Dignam, MD Thierry Jean Yvonne P. Mapp Stephanie Ramsey Jessica Velasquez Elsa Boatswain and Louis Dignam Jr. Xiang Jin Sherian Martin Janine Ranieri Manisha Vijayaraghavan Amy Bolton Leslie G. Dorman Deborah A. Jones Abades Martinez Alan Rice Nancy Vitale Millie Bonizio Michelle Drayton Joanne S. Joseph Estelle Masiello Clarene Richards Denise Walpole Annette Bousquet-Maldonado Yvonne Eaddy Nalda Joshua Anne McAuliffe Jared Ripp John Walz Kathy Bowles Dana Edwards Bibi Kadim Taylor McConico Donna L. Rocks Su Lai Wang Rivkah Brenenson Michael Etheridge Julianne Kasinow Tanya McCray Michael Rocks Yingshan Wang Amanda Brenes Edleen Exama Sarah Katabi Margaret McDonald Nausheen Rokerya Amy Weiss Carlin Brickner Tania Fairweather Geraldine Kauffman Sharon McKenne Danny Roman Annie Weiss Valarie Brockington Nicole Fazio Jon Kearney Kareem McKenzie Artis Rumpeters Yajun Weng Brooklyn CHOICE Office Roy and Penny Feldman Christopher Keelty Rose McNeal Miriam Ryvicker Jennifer Whetsell Don Brown Anecqua Felix Marianne Kennedy Linda A. Megan Roxanne Salgado Shannon Whittington Rebekah Brown Damaris Felix Naseebah Khan Natalia Melville Brenda Sand Jessica Williams Shawne Browne-Delaney Jason Ficks Kiran Khokhar Sandy and Mario Merlino Corrissa Sanford-Faber Deborah Wilson Maria E. Cabezas Ginny Field Elaare Knowings Gary Miller Ahilya Sankerpersaud Kathleen Wolfe Sandy Cabrol Arthur Fitting Natalia Kon Lisa Miller Robert E. Santiago Leslie Wong Catherine M. Callaway Daniel and Marki Flannery Vita Kotsar Jessica Miro Nicole Sargeant Cindy and Tom Zanca Susan Caputo Mokhira Fozilova Yelena Kravchinsky Lola Mitchell Lester P. Schindel Lousie Zimmerman Daniel J. Carpenedo Judy Frank Adebola Kuye Marianna Miyazaki Martha Schueneman Anonymous (24)

34 35 35 VNSNY Home Care 20Directors17 Employee Donors Anne B. Ehrenkranz, PhD, Chair Arthur Lindenauer Margaret A. Bancroft, Secretary Carl H. Pforzheimer III Douglas D. Broadwater John P. Rafferty,ex officio & Committee Members Sarah L. Eames Albert L. Siu, MD, MSPH Marki Flannery, ex officio

VNSNY Board of Directors Partners in Care John P. Rafferty,Chairman of the Board Betsy F. Gotbaum Margaret A. Bancroft John R. Gunn Anne B. Ehrenkranz, PhD, Chair Arthur Lindenauer Douglas D. Broadwater Mary R. (Nina) Henderson Margaret A. Bancroft, Secretary Carl H. Pforzheimer III Carmen Beauchamp Ciparick Peter L. Hutchings Douglas D. Broadwater John P. Rafferty,ex officio Robert C. Daum Robert M. Kaufman Sarah L. Eames Albert L. Siu, MD, MSPH E. Mary Davidson Arthur Lindenauer Marki Flannery, ex officio Jose M. de Lasa Kwan Lan (Tom) Mao Eugenie Doyle, MD Joseph D. Mark Edith M. DuPuy Phyllis J. Mills, BSN, RN Sarah L. Eames Carl H. Pforzheimer III VNSNY Hospice & Palliative Care Anne B. Ehrenkranz, PhD Corinne H. Rieder, EdD Frank S. Vigilante, Chair Peter H. Gleason Raymond Falci Andrew N. Schiff, MD,Vice Chair, Secretary & Treasurer Nessa Coyle Robert M. Kaufman Marki Flannery Albert L. Siu, MD, MSPH E. Mary C. Davidson, Vice Chair and Secretary Diane Meier Peter H. Gleason Frank S. Vigilante Jose M. de Lasa Margaret Neimeth Edith M. DuPuy John P. Rafferty,ex officio Marki Flannery, ex officio Corinne H. Rieder, EdD, Treasurer Emeritus Directors John Gordon Juliet Patterson Claire M. Fagin, PhD, RN, FAAN Ira S. Rimerman Alice C. Frelinghuysen Paula L. Root VNSNY Standing Committees Attallah Kappas, MD Kenneth G. Standard (as required by VNSNY bylaws): Mathy Mezey, EdD, RN, FAAN

Executive Committee John P. Rafferty,Chair Marki Flannery, ex officio Robert C. Daum Andrew N. Schiff, MD Anne B. Ehrenkranz, PhD Albert L. Siu, MD, MSPH Subsidiary Boards Audit Committee VNSNY CHOICE Arthur Lindenauer, Chair Peter L. Hutchings Douglas D. Broadwater Robert M. Kaufman Peter L. Hutchings, Chair Kwan-Lan (Tom) Mao, Secretary & Treasurer Carmen Beauchamp Ciparick John P. Rafferty,ex officio Robert C. Daum Joseph D. Mark Marki Flannery, ex officio Phyllis J. Mills, BSN, RN Betty M. Gross John P. Rafferty,ex officio Finance Committee Mary R. (Nina) Henderson Andrew N. Schiff, MD Robert C. Daum, Chair Carl H. Pforzheimer III Michelle Lopez Margaret A. Bancroft John P. Rafferty,ex officio Marki Flannery, ex officio Frank S. Vigilante Mary R. (Nina) Henderson VNS Continuing Care Development Corporation John P. Rafferty,Chair Phyllis J. Mills, BSN, RN Governance Committee Marki Flannery, ex officio Andrew N. Schiff, MD Robert M. Kaufman, Chair Phyllis J. Mills, BSN, RN Kwan-Lan (Tom) Mao, Secretary & Treasurer Jose M. de Lasa John P. Rafferty,ex officio Marki Flannery, ex officio Corinne H. Rieder, EdD Mary R. (Nina) Henderson

36 37 Other VNSNY Committees

Development Committee E. Mary C. Davidson, Co-Chair Betsy F. Gotbaum Phyllis J. Mills, BSN, RN, Co-Chair Robert M. Kaufman Douglas D. Broadwater John P. Rafferty,ex officio Anne B. Ehrenkranz, PhD Corinne H. Rieder, EdD Marki Flannery, ex officio Frank S. Vigilante Peter H. Gleason

Executive Compensation Committee Andrew N. Schiff, MD,Chair Robert M. Kaufman Douglas D. Broadwater John P. Rafferty

Investment Subcommittee Andrew N. Schiff, MD,Chair Peter H. Gleason Margaret A. Bancroft John P. Rafferty,ex officio Robert C. Daum Corinne H. Rieder, EdD Marki Flannery, ex officio

Quality Committee Peter L. Hutchings, Chair Stephanie Goldberg, RN, MSN, NEA-BC Eugenie Doyle, MD John R. Gunn Anne B. Ehrenkranz, PhD Phyllis J. Mills, BSN, RN Marki Flannery, ex officio John P. Rafferty,ex officio Kimberly S. Glassman, PhD, RN, NEA-BC, FAAN Albert L. Siu, MD, MSPH

Strategic Planning Committee John P. Rafferty,Chair Peter L. Hutchings Robert C. Daum Andrew N. Schiff, MD Anne B. Ehrenkranz, PhD Albert L. Siu, MD, MSPH Mary R. (Nina) Henderson

Advisory Committees/Boards

Research Advisory Committee Margaret A. Bancroft, Chair Alvin I. Mushlin, MD, ScM Eugenie Doyle, MD John P. Rafferty,ex officio Marki Flannery, ex officio Corinne H. Rieder, EdD Phyllis J. Mills, BSN, RN Albert L. Siu, MD, MSPH

Community Mental Health Advisory Committee Kathryn Haslanger, Chair Phyllis J. Mills, BSN, RN Sheila H. Akabas, PhD Christy Parque E. Mary C. Davidson John P. Rafferty,ex officio Lisa Dixon Paula L. Root Edith DuPuy

38 39 20How17 Employee You Can DonorsEnrich the Lives of Vulnerable New Yorkers in 2018

The kindness and generosity of individuals, foundations, and corporations has in part helped make everything in this report possible. VNSNY relies on contributions from caring people like you to make our Charitable Care and Community Benefit programs and services available to thousands of our neighbors with nowhere else to turn. Here are some of the ways you can help improve the lives of these underserved New Yorkers:

Join the VNSNY Leadership Council. This group, made gift today. Planned Gifts may increase income, generate up of individual donors who make a minimum annual estate-planning advantages, or provide tax benefits now, contribution of $1,250 in a year, offers an opportunity to while supporting VNSNY’s charitable mission far into become closely involved with VNSNY as a mission-driven the future. organization, with benefits that include invitations to Donate Appreciated Securities that you have owned receptions, special events, and educational programs; for more than one year and receive a tax deduction for reserved VIP seating at events; and access to the Friends the full fair market value of the securities on the day of Care Center Phone Line, in case you or a loved one are transfer to VNSNY. ever in need of VNSNY services.

Make General Contributions that will help VNSNY continue its 125-year charitable care mission to provide the best quality home- and community-based health care to all New Yorkers, regardless of circumstance.

Make Memorial or Tribute Gifts that allow you to leave a lasting and meaningful legacy in honor of a loved one or a special VNSNY staff member or home health aide.

Attend or contribute to a fundraising event. Our annual fall benefit dinner (to raise funds for our Charitable Care and Community Benefit programs); our springtime Golf Classic (to raise funds for VNSNY Hospice and Palliative Care’s Veterans Program); our intimate Food for Thought Cocktail Receptions (to raise funds for our You can use the enclosed gift envelope Hospice program); and our volunteer events all allow to make your gift now, or make an our friends to either attend or contribute to a special online donation at vnsny.org/donate. fundraising event. To learn more about our fundraising For more information about donating events, go to www.vnsny.org/giving/fundraising-events to VNSNY or supporting a specific program, please call our Development Office at Become a member of the Lillian Wald Heritage Society 212-609-1525 or visit www.vnsny.org/giving. by making a Planned Gift to ensure that VNSNY’s out- standing care is available to support generations to come. Thank you! Make VNSNY part of your legacy with a planned gift, such Your generous support of VNSNY provides essential as a Charitable Gift Annuity (CGA), a gift of Retirement care to vulnerable children, adults, and families. Assets (such as an IRA), or a Bequest through your Will to We and our patients are grateful to you for join the Society so we can thank you for your thoughtful making this possible.

40 41 The Mission of The Visiting Nurse Service Of New York:

• To promote the health and well-being of patients and families by providing high-quality, cost-effective health care in the home and community.

• To be a leader in the development of innovative services that enable people to function as independently as possible in their community.

• To help shape healthcare policies that support beneficial home- and community-based services.

• To continue our tradition of charitable and compassionate care.

107 EAST 70TH STREET, NEW YORK, NY 10021 | www.vnsny.org