2013 ANNUAL REPORT

A Message from His Eminence, Timothy Michael Cardinal Dolan

With all the changes taking place in healthcare today, people are more concerned than ever about finding the best care for themselves and those they love. For those who depend on government insurance benefits, changes in how Medicare and Medicaid pay for services like long-term care have only added to their uncertainty and stress.

The genius of the Church is that we always find ways to keep pace with our changing society. As the needs of our commu- nities have evolved, ArchCare has evolved along with them. Over the last several years, our diocesan healthcare ministry has transformed itself from a provider of nursing home care for the frail elderly to offer a broad array of care options, including home and community-based services.

Sadly, as has happened with some public hospitals and nurs- ing homes, we have seen a few Catholic healthcare providers in our area close their doors recently, leaving some to believe that Catholic healthcare is in retreat. Here in the Archdio- cese of New York, nothing could be further from the truth! ArchCare is growing, delivering top-quality care with Catholic values to more people in more places and in fresh, new ways. Forced to adapt to a changing healthcare landscape, many providers said, “We can’t!” We as Catholics say, “We can, and we will!” As the Gospel teach- es, “Nothing is impossible with God!”

While much about healthcare in our country today remains uncertain, at ArchCare there is one thing we can always count on. No matter the need or the setting, all who are touched by ArchCare’s ministry are assured of compassionate, expert care in the name of Jesus, the Divine Physician, and His Church.

With prayerful wishes, I am,

Faithfully in Christ,

Timothy Michael Cardinal Dolan Archbishop of New York

2 Our Mission

The mission of ArchCare is to foster and provide faith-based holistic care to frail and vulnerable people unable to fully care for themselves. Through shared commitments, ArchCare seeks to improve the quality of the lives of those individuals and their families.

Our Values

Justice We live and work as members of a community, and all members of the community have rights that are coupled with responsibilities.

Inclusiveness While we are unified as one community, each of us is valued for our unique heritage and defined only by our eagerness to contribute to the best of our abilities.

Respect Each of us is as important as any other – whether resident, family, friend, volunteer or employee – and we must respect each other if we are to receive respect.

Integrity To be a truly caring community, we must speak and act with total honesty, without concern for the consequences of our truthfulness.

Benevolence We recognize that those with the greatest needs often have the least resources, and we will provide the same care to the disenfranchised that we do to those who have been more fortunate.

Humility While subscribing to high ideals, we will recognize our individual and collective limits. Only then can we continue to grow toward who and what we so earnestly strive to be.

Spirituality While we take pride in following the traditions of the Roman Catholic Church, we seek to serve people of all beliefs equally and to fulfill each individual’s spiritual needs by respecting their distinct beliefs.

3 A Message from the CEO and Chairman

In 2008, few healthcare providers could even envision what the healthcare landscape might look like in just a few years, let alone predict how changes in health policy and consumer preferences would forever alter the way people obtain care for themselves and their families. For ArchCare, however, one thing was crystal-clear. If we remained focused only on caring for people in nursing homes, our ministry’s days were likely numbered.

And so ArchCare embarked on a top-to-bottom transformation that would reduce our dependence on institutional nursing care and equip us to deliver a wider range of services wherever people wished to receive them – in nursing homes, in the community, even in their own homes. With our metamorphosis complete, ArchCare is now thriving, serving more than twice as many people and doing so in ways we never imagined at the start.

Not every institution is able to withstand the degree of change ArchCare has endured. It demands clarity of vision, unity of purpose and no small amount of courage. Above all, it requires faith. Staying true to our Catholic roots and values gave us the fortitude to address the challenges we faced head-on and take the bold steps needed to reinvent our ministry and help keep Catholic healthcare vibrant in our region over the long haul.

There is still much more on our drawing boards. Assisted living programs for residents with special needs, social day centers in Catholic housing complexes, and expanded hospice and palliative care offerings are only a few of the opportunities we are exploring. The creation of a new network of ArchCare parish and community health advocates is also already well under way, and in time will help people in every corner of the archdiocese access the healthcare and other services they need.

We owe a debt of gratitude to the more than 3,500 men and women of ArchCare who have given their all every day to provide top-quality care while turning our vision of a better ArchCare into reality. To our countless donors, volun- teers and friends in the community, we say thank you for your continued support of our ministry and devotion to our vital work, and welcome to the new ArchCare.

Sincerely,

Scott LaRue Francis J. Serbaroli, Esq. President & CEO Chairman of the Board of Trustees

4 5 Report to Our Stakeholders

ArchCare: Transformed for Growth natives to traditional nursing home care. ArchCare emerged from our five years of transformation in 2013 Though residential with a Catholic healthcare ministry that is stronger, larger and nursing home care more dynamic than ever before. In that time, we evolved into a fully will always be an im- integrated healthcare system serving more people in more places portant part of our and ways than ever before. ministry, the mix of services we now offer Every day of the year, we cared for nearly 5,700 people, more than has given us the sta- twice as many as when we began the transformation process in ble foundation needed 2008. We served them in 11 counties, from the southern reaches to continue to grow of Staten Island to Onondaga County upstate, six more than at the and keep pace with start of our transformation. And we did so through a far wider array the evolving health of programs and services that allows us to manage virtually all and long-term care of their medical and social needs and significantly improve their needs of the commu- health and quality of life. nities where we serve.

As essential as all these changes have been, there is one thing about ArchCare that has not changed, and never will. The Catholic values that ground us as an organization and guide our daily work – respect, humility, benevolence, inclusiveness, integrity, spirituality and justice – will always define and distinguish us. These are the principles by which we operate, and they became our touchstones as we made the complex and often difficult decisions needed to secure ArchCare’s future. Expanding Care Options

Becoming a fully integrated health system equips ArchCare to deliver lifelong care where people are most comfortable and best able to receive it – at home, in the community, and in our five nurs- When we began our transformation, nine out of 10 people we served ing homes. Patients and residents can now move seamlessly from were receiving care in an institutional setting. Today, we care for 70 one care setting to another as their health needs change, assured percent in their homes or in a community setting, preserving their of always receiving the same expert medical care and attention to independence and keeping them close to the people they care about their emotional and spiritual well-being they have come to expect. for as long as possible. Our Program of All-inclusive Care for the Elderly, or PACE, ArchCare Diversifying the services we offer and the places in which we pro- Senior Life, continued to grow during the year, helping hundreds vide them responds directly to the ever-increasing demand from of New York seniors stay independent longer. PACE is a nation- families and policymakers alike for effective, high-quality alter- ally recognized home and community-based care model that pro-

6 vides all the medical, social, home care and other services nursing Syracuse-based Loretto, upstate New York’s largest Catholic health home-eligible seniors need to stay healthy, safe and out of nursing system, began offering ArchCare Advantage to residents of its 450- homes. bed Loretto Health and Rehabilitation Center.

During the year, we com- Enrollment in ArchCare Community Life, our Medicaid Managed pleted construction of Long Term Care Plan, grew to 1,750 members in New York City, our third PACE center, at Westchester and Putnam County at year-end. ArchCare Community the ArchCare at Carmel Life is designed for Medicaid beneficiaries age 21 and older who Richmond Healthcare and need more than 120 days of home or community-based care and Rehabilitation Center on are required by the State of New York to enroll in an approved Man- Staten Island. The Carmel aged Long Term Care program. Richmond center features ArchCare’s unmatched experience caring for people covered by a fully equipped medical both Medicare and Medicaid was recognized by the New York State clinic, a physical and occu- pational therapy area and a spacious day center where up to 80 participants can enjoy meals, participate in a wide range of activities or just relax and socialize with peers.

Our first PACE center, which opened in Harlem in 2009, provided comprehensive, 24/7 care to 150 seniors during 2013. ArchCare Senior Life at San Vicente de Paúl Catholic Healthcare Center in the Bronx, which opened in 2012, served more than 100 seniors from the largely Latino local community during its first full year of oper- ation. In addition, ArchCare Senior Life provided care to more than 50 retired priests who reside on the campus of Fordham University. Department of Health when it selected ArchCare to participate in For elders living in nursing homes and other congregate settings, a three-year demonstration project for a new health plan for the ArchCare Advantage, a Medicare Advantage Special Needs Plan, so-called “dually eligible.” When introduced in late 2014, ArchCare offers top-flight preventive care and personalized care coordina- Community Advantage, a Fully Integrated Duals Advantage (FIDA) tion from an ArchCare nurse practitioner/care manager. The goal is plan, will offer a broad scope of services and supports to enable to identify emerging health concerns so they can be treated early, members to continue living safely in the community. Residents of before they can lead to more serious problems and the need for the five boroughs and Westchester who are 21 or older and require hospitalization. Membership continued to grow during 2013 as more than 120 days of community-based long-term care will be more nursing homes contracted with ArchCare to offer the plan to eligible to enroll during the plan’s demonstration phase. their residents. All told, ArchCare Advantage cared for more than 1,400 members during the year, including 260 members of nine ArchCare brought comprehensive care right to the front doors religious orders, which rely on ArchCare Advantage to manage of 4,700 patients across New York City and Westchester in 2013 the care of their retired religious. ArchCare’s care coordination through our relationship with Visiting Nurse Regional Health Care expertise gained recognition well beyond our area in April, when System, one of the region’s oldest and most respected home care

7 providers. VNR’s highly trained team of home care nurses, home Bringing ArchCare’s mission of caring to life is the goal of a new health aides, physical, occupational and speech therapists, medi- ArchCare program launched during 2013, Mission on the Move. cal social workers, wound care technicians and other professionals Through Mission on the Move, serve infants through elders, ensuring continuity of care after a donations to the Catholic Health hospital stay or rehabilitation and better compliance with doctors’ Care Foundation allow staff mem- orders, while easing the burden on family caregivers. Innovative bers to address a special need or programs in areas such as hi-tech infusion, maternal/child health, wish of an individual for whom advanced wound care and telehealth are offered for individuals they care. After a chance conver- and families with specialized home care needs. sation revealed a terminally ill resident’s lifelong wish to view the New York skyline from the top of the Empire State Building, for ex- ample, staff at ArchCare at Ferncliff Nursing Home sprang into ac- tion to arrange the trip. The resident passed away peacefully eight days later with her final dream fulfilled. In another case, caregivers at ArchCare at Carmel Richmond arranged for an elderly resident to be transported to visit her quadriplegic son, whom she worried she might never see again, in the nursing home where he lives.

More than a dozen former nursing home residents also have the Catholic Health Care Foundation to thank for helping them regain their independence and move back into their own apartments. For Deborah Kennedy, a 53-year-old former home care worker, a nursing home unexpectedly became her permanent home after her Multiple Sclerosis left her unable to navigate the stairs to her walk-up apart- Enhancing Lives ment. With nowhere else to go, she remained in the nursing home for three years until ArchCare stepped in to orchestrate her move At ArchCare, tending to the physical needs of those we serve is only to an accessible apartment in a senior community in the Bronx. part of the care equation. To us, nurturing emotional and spiritu- Contributions to the Foundation help subsidize Deborah’s rent and al health is equally important. Our holistic approach focuses on other expenses, while ArchCare manages all her healthcare needs. caring for the whole person – body, mind and soul – and we do so through the supportive social and pastoral care resources we offer. ArchCare also continues to enhance the physical environments and clinical capabilities of our nursing homes. In September, we With reimbursements for many of our services in steady de- were blessed to have His Eminence, Timothy Cardinal Dolan, ded- cline, ArchCare relies heavily on the generous support of indi- icate our newly enlarged rehabilitation center at ArchCare at Mary vidual, corporate and foundation donors. For the second year Manning Walsh Home. The sunlit, 6,000-square-foot therapy suite in a row, our annual fundraising gala raised more than $1 mil- features state-of-the-art fitness equipment, an indoor walking lion for the Catholic Health Care Foundation, which provides path and a simulated apartment in which residents can practice vital funding for special programs, facility enhancements and activities of daily living. The renovation of the Walsh center follows countless other needs. similar modernization projects at ArchCare at Ferncliff in Rhinebeck

8 and ArchCare at Carmel Richmond on Staten Island, as well as tient hospice unit at Mary the recent expansion of the Central Park Rehabilitation Center Manning Walsh Home, which at ArchCare at Terence Cardinal Cooke Health Care Center, oper- will be operated in partner- ated in collaboration with the Mount Sinai Hospital Department ship with Calvary when com- of Rehabilitation Medicine. All told, more than 3,400 patients pleted in 2014. turned to ArchCare’s short-term rehabilitation programs last ArchCare’s dedication to year to ease the transition from hospital to home after a serious serving unmet healthcare illness or major surgery. needs has made us a pioneer Every day, ArchCare’s medical, social work and pastoral care pro- in a host of important areas. fessionals have the sacred honor of caring for people at the end Our renowned 48-bed Mary of life’s journey. Helping individuals and families understand the and Jim White Unit for the options and clarify their wishes for end-of-life care is among the Care of People with Hunting- most important roles any caregiver can play. Relieving the physi- ton’s Disease is considered a cal and emotional pain of those suffering from non-terminal acute national center of excellence or chronic illness is equally when it comes to addressing important to us, and we de- the medical, social and emo- voted significant attention tional needs of those diagnosed with this hereditary neurological and resources during the year disorder. ArchCare’s 50-bed Specialty Hospital for Children at Ter- to educate staff and integrate ence Cardinal Cooke Health Care Center is a warm and caring ha- palliative care principles into ven for medically fragile children and young adults, and our skilled each of our programs. nursing program for people with HIV/AIDS was the first program of its kind in our area when it was created more than 25 years ago. Patients can receive palliative More than 2,000 children and adults also benefited last year from care at home, in an inpatient our array of outpatient services for people with developmental dis- facility or nursing home, and abilities. at ArchCare at Calvary Hos- pital, the nation’s only fully accredited acute care hospital devot- Strengthening Operations ed exclusively to palliative care for adult patients with advanced cancer. Calvary’s comprehensive services include inpatient and Making the most effective and efficient use of the limited resources outpatient care, pain management, home care, home and nursing entrusted to us, prudently managing risks and maintaining an un- home hospice, wound care, bereavement support for children, teens wavering focus on quality are the three main pillars of ArchCare’s and adults, family care, and spiritual care for people of all faiths. operating strategy. Healthcare professionals from around the world also learn Calvary’s As one of the final steps in ArchCare’s transformation, we com- family-centric patient care model from its Palliative Care Institute. pleted the transfer of the 520-bed ArchCare at Kateri Residence on Calvary served nearly 6,000 patients and their families in 2013 at Manhattan’s West Side to a new operator during 2013. The sale fol- its 200-bed Bronx campus, a 25-bed satellite at Lutheran Medical lowed the earlier divestiture of the 98-bed ArchCare at St. Teresa’s Center in Brooklyn and through its home care, home hospice and Nursing Home in Middletown, NY, to another experienced long-term nursing home hospice program, Calvary@Home. Work also began care provider. Both operators pledged to continue to operate the during the year on the construction of an expanded 10-bed inpa- facilities as nursing homes for the foreseeable future.

9 Achieving the highest standards of clinical and service excellence ing the patient experience and the process of transferring between is a top priority and influences every decision we make at ArchCare. care settings or to home. As testimony to our staff’s unwavering dedication to excellence, Major strategic initiatives during 2013 focused on reducing rehos- four of our five nursing homes – Carmel Richmond, Mary Manning pitalizations and integrating marketing and referral management Walsh, San Vicente de Paúl and Terence Cardinal Cooke – received across all ArchCare programs and facilities. four- or five-star ratings (above average or much above average) for quality measures from the U.S. Centers for Medicare and Med- We implemented INTERACT (Interventions to Reduce Acute Care icaid Services in 2013. The quality measures assessment speaks Transfers), a quality improvement program focused on early iden- tification, assessment and management of acute changes in resi- dents’ conditions, as a key clinical intervention tool for preventing avoidable hospitalizations. Assessing our performance in compar- ison to similar healthcare systems and establishing a more open dialogue with our hospital partners have led to early yet encour- aging results, with ArchCare finishing 2013 well below industry benchmarks for 30-day readmissions.

An integrated referral and marketing initiative launched during the year is making it easier and faster for consumers to identify and access the ArchCare services they need. For the first time, a new customer service center is offering consumers a single point of en- to how well a nursing home cares for its residents’ physical and clinical needs based on criteria such as the prevalence of pressure sores and changes in residents’ level of mobility.

As part of our efforts to keep Catholic healthcare alive and re- sponsive to local needs, we continued to play a leading role in the Catholic Providers Forum. ArchCare is a founding member of this unique coalition, which brings together more than two dozen Catholic healthcare organizations from across the region to share insights and uncover opportunities to collaborate. Religious orders from around our area also turn to the forum as a vital resource to understand changes in healthcare policy and to identify the best care options for their retired members.

In addition to working more closely than ever with our Catholic try to obtain information about our full range of services. Trained healthcare partners, ArchCare established or expanded partner- “care navigators” discuss callers’ needs, walk them through the ships during the year with such entities as Mount Sinai Health Sys- available care options, answer questions, and even direct them to tem, Richmond University Medical Center, New York Presbyterian non-ArchCare resources if appropriate. The center complements Hospital and EmblemHealth. Collaborative efforts include optimiz-

10 ArchCare’s website, www.archcare.org, which underwent a top-to- in Catholic housing complexes, are among the many opportunities bottom redesign to provide a more in-depth look at our ministry and we are currently exploring. At the parish level, we are devoting con- make it easier for visitors to find the information they need. Among siderable attention to establishing ArchCare as a trusted health the enhancements is a new “Care Finder” feature that quickly resource, particularly in the northern counties of the archdiocese guides users to appropriate care options based on their answers to where we lack a physical presence. A new ArchCare initiative, the two simple questions. parish and community health advocates program, will over time have representatives throughout the 10-county archdiocese to an- Efforts to make our remaining nursing homes more energy-efficient have begun to generate substantial cost savings while reducing our ministry’s environmental footprint. At Ferncliff, for example, light- ing upgrades, new automated controls for the hot water and steam heating systems and the installation of a higher-efficiency boiler have lowered the home’s energy costs by an estimated $220,000 annually while keeping 927 metric tons of CO2 emissions a year out of the atmosphere. The local electric utility paid $100,000 to- ward the $320,000 project, which has also reduced demand on the local power grid. A $2.5 million project to install two new natural gas-fired boilers with oil backup at Terence Cardinal Cooke Health Care Center is improving reliability and lowering costs, while the installation of a new roof at San Vicente de Paúl Catholic Health- care Center contributed to lower energy usage and lower costs during the re- swer parishioners’ questions and help them access the services cent harsh winter. they need. The first advocates are already at work in Staten Island, Investing in Manhattan and the Bronx. the Future At a time when many healthcare organizations are still struggling to adapt, ArchCare is stronger and better positioned to succeed Continuing to expand our than at any time in our history. Of course, there is always more ministry and bring our work to do. We will stay focused on achieving still higher grades services closer to those for quality, strengthening our financial position, being a valued who need them most will partner of other healthcare providers, and, most of all, remaining be ArchCare’s primary fo- relevant and responsive to the needs of the diverse individuals and cus in 2014 and beyond. families for whom we care. The development of new assisted living programs As always, we will maintain an open dialogue with our stakeholders tailored to residents with about our efforts, the challenges we face and our progress toward developmental disabilities and other special needs, supportive our goals. housing for low-income elders and on-site adult social day centers

11 Catholic Health Care System1 Combined Audited Financial Statements for the year ended December 31, 2013

Total

Operating Revenue: Net Patient Service Revenue $482,850,838 Other Revenue 56,916,189 Realized Gain (Loss) on Investments 5,186,277 Net Assets Released from Restriction 2,148,209 Total Operating Revenue $547,101,513

Operating Expense: Salaries and Employee Benefits 279,397,893 Supplies and Other Expenses 267,243,080 Total Operating Expense $546,640,973

(Deficiency) Excess of Revenue Over Operating Expenses $460,540 Non-operating Revenue 1,886,115 Grants 6,574,580 Gain from Discontinued Operations 69,535,454 Equity Transfer from/(to) Affiliate (19,942,291) Estimated Pension Liability Adjustment 13,225,853

Change in Unrestricted Net Assets $71,740,251

Unrestricted Net Assets at Beginning of the Year $112,867,216

Unrestricted Net Assets at End of the Year $184,607,467

Temporarily Restricted Net Assets at Beginning of the Year $4,548,812 Contributions 1,488,346 Investment Income 585,808 Realized and Unrealized Gain on Investment 1,102,700 Net Assets Released from Restriction (2,529,041) Temporarily Restricted Net Assets at End of the Year $5,196,625

Permanently Restricted Net Assets at Beginning of the Year $5,881,075 Change in Beneficial Interest in Trust 132,565 Permanently Restricted Net Assets at End of the Year $6,013,640

Net Assets at Beginning of the Year $123,297,103

Net Assets at End of the Year $195,817,7322

1 Includes Calvary Hospital, Carmel Richmond Healthcare and Rehabilitation Center, Ferncliff Nursing Home, Kateri Residence, Mary Manning Walsh Home, St. Teresa’s Nursing Home, San Vicente de Paúl Residence, Terence Cardinal Cooke Health Care Center, Catholic Special Needs Plan, Catholic Managed Long Term Care, Catholic Health Care Foundation and Catholic Health Care System. 2 St. Teresa’s Nursing Home was sold in February 2013 and Kateri Residence was sold in August 2013. The net proceeds of the sales are reflected in the financial summary.

12 ArchCare Stories of Caring

Easing a Granddaughter’s Burden And if there is ever a problem or question, Leonza’s ArchCare Community Life care manager, Natalie Koonce, is ready to help. Maria would go to any length to make sure the grandmother who “We make one phone call to Natalie and it’s solved.” raised her is safe and well cared-for. “For her happiness and my happiness, I would quit my job to take care of her,” Maria says. “My grandmother feels better about everything now,” Maria says. Thanks to ArchCare Community Life, she doesn’t have to. “She’s more motivated to do the things she enjoys and keep her- self occupied. She’s much happier now with ArchCare.” Leonza enrolled in the Medicaid Managed Long Term Care Plan following a recent hospital stay, when it became clear she need- Leonza B., Manhattan

A Second Chance at Life

For Rocco, being able to dance a simple box-step again was all the proof he needed that he had beaten the stroke that nearly ended his life.

“On Sunday, I was at my granddaughter’s Communion, danc- ing and having a great time,” the Staten Island resident says, recalling the day his life changed. “When I woke up the next morning I couldn’t move, I couldn’t speak. I had a stroke, and things didn’t look good.”

When Rocco left the hospital, he still had a long road to recovery ed extra help to remain in her own apartment. Before ArchCare ahead. How much function he might regain and whether he would stepped in, Maria says, accompanying her grandmother to fre- even walk again were unanswered questions. ArchCare at Carmel quent doctor visits for her high blood pressure, heart problems Richmond Healthcare and Rehabilitation Center made possible and arthritis was like having a second full-time job. the miraculous recovery he and his family were praying for.

Now, ArchCare Community Life handles all the details, making “When I first came to ArchCare they had to lift me out of bed on a sure Leonza gets to her appointments on time and returning her lift. I couldn’t do anything,” he says. In Carmel Richmond’s newly safely to her apartment, where a home attendant is there to as- modernized rehabilitation suite, Rocco’s personal team of phys- sist her during the week. On weekends, Maria and other family ical, occupational and speech therapists worked with him daily, members care for her and take her shopping. pushing him and offering encouragement as he slowly began to regain his strength and balance. In time, he was able to take a Leonza speaks glowingly of the services she receives, right down few tentative steps. to the transportation. With her previous care provider, the drivers were often late and rarely helped her in and out of the vehicle. Rocco becomes emotional as he recalls a particular session with “With ArchCare, the drivers are always on time, they’re courte- his therapist. ous, and they’re respectful,” she says. She said, “Give me your hand.”

13 “I gave her my hand.” As he struggled along Fifth Avenue, William noticed the sign on the PACE center’s clean, modern building. Figuring he had noth- She said, “Give me your other hand.” ing to lose, he stopped in and started asking questions. Soon, he “I gave it to her. And without even realizing it, I’m dancing. I’m was touring the center and learning about all the ways ArchCare dancing the entire floor with her, not even knowing I’m dancing.” Senior Life could help him.

At that moment, Rocco realized just how far he had come. “From the first time I walked through the door I met one beautiful person after another,” William says. “I was very impressed by the “I could walk out of ArchCare, stand up tall, and see my grand- cleanliness and the layout of the clinic and day center.” children again,” he says. “ArchCare gave me a second life.” To William, it was like his prayers for a more independent life had Rocco M., Staten Island finally been answered. The center’s physical and occupational therapists began working with him, and he was soon able to put aside the walker for good.

Ask William how he’s doing, and he’s quick to say that things just keep getting better.

“Coming here has given me a life,” he says. “The healthcare I get is exceptional because the staff at ArchCare is a team. Ev- eryone pitches in. There are times I come in when I feel the world is crashing in on me. No matter if I’m feeling good or feeling bad, no matter what mood I’m in, when I’m at ArchCare, there is always someone I can talk to. They listen.”

William N., Manhattan

One Beautiful Person after Another

It was a chance sighting of ArchCare’s red awning that first brought William to the ArchCare Senior Life Program of All-inclu- sive Care for the Elderly (PACE) in Harlem. It is the warmth and caring he discovered inside that keeps him coming back.

Depressed and reliant on a walker after a car accident in Vir- ginia, William returned to New York to live with his sister and brother with hope of finding better healthcare. A neighbor urged him to visit a local senior center to see if it could help him. He never got that far.

14 2013 Corporate, Foundation and Government Support

Accelerated Care Plus Daraja Enterprises Access Nursing Services Diocese of Camden Allied Health Services Dominican Sisters Family Health Service, Inc Anderson Kill, P.C. Dormitory Authority of the State of New York Andron Construction Corp. EmblemHealth ARC Excess & Surplus LLC EMC Corporation Arc Partners Essen Medical Associates ArchCare at Calvary Hospital Family Aides, Inc. ArchCare at Mary Manning Walsh Home Family Circle and the Volunteer Association of ArchCare Senior Life Mary Manning Walsh Home Archdiocese of New York FDR Services Corp. Arimed Orthotics, Prosthetics & Pedorthics Fidelis Care Arthur J. Gallagher Risk Management Services Findly Asbestos Corporation of America First Care of New York, Inc. Atlantic Dialysis Management Services LLC First Chinese Presbyterian Community Affairs Atlantic Tomorrows Office Home Attendant Program Barwachi Five Boro Printing and Supplies Bell Environmental Services Frank J. Walters Associates, Inc. Bellet Construction Friends of Carmel Richmond Benovia Winery Functional Systems Bergin Interiors, Inc. Gallagher Benefit Services, Inc. Bestcare, Inc. Garfunkel, Wild & Travis, PC Bio Dynamic Technologies George Link Jr. Foundation BioReference Laboratories, Inc. Geriatric Services, PC Blue Chip Building Maintenance, Inc GHD BNY Mellon G-net Construction Corp. / ATEC Contracting Bond, Schoeneck & King, PLLC Gorman Health Group Bronx Lebanon Patient Care Center Gotham Hall Buckley Sandler LLP Green Key Resources, LLC Byram Healthcare Centers, Inc. Greenberg Traurig, LLP Cabrini Eldercare Greenhill & Co., Inc. CapTrust Advisors LLS Grünenthal USA, Inc. Care Kinesis, Inc. Grundman Mechanical Systems, Inc. CareNext H&R Healthcare, LP CareRite Centers LLC Hamilton Cavanaugh & Associates, Inc. Catholic Charities of the Archdiocese of New York Hamlin & Burton Liability Management Catholic Communal Fund Harmony Healthcare International Celerity Health Care Software Inc. Century Elevator Maintenance Corporation Health Dimensions Group Chem Rx Health Search Group Church of the Annunciation Health Value Solutions Cicero Consulting Associates HGTech, LLC CIGNA Holy Spirit Ventures, Inc. City/Suburban Plumber Corp. Homecare USA, Inc. Cleaning Systems and Supply Co. Hugoton Foundation CMS Compliance Group, Inc. Immediate Medical Staffing ComplexCare Solutions, Inc. Infowave Systems, Inc. Comunilife, Inc. Inner City Scholarship Fund Continuing Care Leadership Coalition Intelli-Tec Security Service Continuum Health Partners Isabella Craine Air Conditioning Inc. Jamesport Bay Suites Crothall Healthcare Jewish Home Lifecare / Kittay House Custom Healthcare Solutions John H. and Ethel G. Noble Charitable Trust CVS Caremark Jones Lang LaSalle Dalpos Architects & Integrators Julio Scrap Metal Pick-Up Service

15 2013 Corporate, Foundation and Government Support

Walter H.D. Killough Trust RCM Health Care Services Laura B. Vogler Foundation RehabCare Group Le Cirque Restaurant Reputation Architects Inc. Level Line Construction Revenue Enhancement Services, Inc. Long Term Solutions, Inc. Richmond County Savings Foundation LSG Consulting Associates, LLC Richmond University Medical Center LTC Consulting Services Ridgefield Associates Lundbeck Inc. Risk Management Planning Group Mac Felder, Inc. Riverside Radio Dispatcher Martab Medical Roberts & Fidler, PC Match One Staffing Robin Hood Foundation Maun-Lemke Speaking & Consulting, LLC Ronald Datoullah & Associates McKinney Welding Supply Co., Inc. Royal Waste Services, Inc Med World Pharmacy, an Omnicare Company Rudin Foundation, Inc. Medical Healthcare Services, PC Sachs Consulting Medical Staffing Network Safety and Quality Plus, Inc. Mediture Salcare Home Health Services, Inc. Medline Industries, Inc. Self Help Community Services Mercy Home Care and Medical Supplies Senior Care Emergency Medical Services Milliman Senior Planning Services Mitchell Martin Inc. SigmaCare MMS - A Medical Supply Company SLCE Architects Montefiore Medical Center Stericycle Morrison Senior Living Sterling National Bank Mount Sinai Medical Center Stewart Title Insurance Company Mutual of America Stonebridge Medical MZL Home Care Agency The Butler Foundation New York Catholic Foundation The Fan Fox and Leslie R. Samuels Foundation, Inc. New York Life Insurance Company The Institute for Family Health New York Medical College The Manhattan Institute, Inc NPORT PLLC The New York Community Trust New York City Department for the Aging The Somerset Group New York State Department of Transportation Therapeutic Resources New York State Department of Health ThomasARTS Nouveau Elevator Industries TransCare Ambulance Group NYU Casa Italiana Zerilli-Marimó Transervice Logistics, Inc O’Connor Davies Munns & Dobbins, LLP TriState Benefit Solutions Omega Environmental, Inc True Care Optimum Energy Solutions Tru-Vision Communications LLC Order of Malta Tunstall Americas Order of the Holy Sepulchre Urban Health Plan, Inc. Patient Care Associates, Inc. Valley National Bank Peleton Systems and HNK Associates Vertical Systems Analysis Inc. Personal Healthcare Visiting Nurse Service of New York Physicians’ Reciprocal Insurers VNR Foundation Polaris Group VSP Precision Health, Inc. / MedFax W & M Sprinkler Company, Inc Preferred Home Care of New York White Glove Placement, Inc. Progressive Home Health Services, Inc. Wilson Elser Moskowitz Edelman & Dicker LLP Providence Rest Nursing Home Windels Marx Lane & Mittendorf, LLP Prudential Retirement Windstream PyroSignal & Suppressions, Inc. Wolf Haldenstein Adler Freeman & Herz LLP Quality In Real Time Zarman Surgical Supply, Inc Qwest Contracting Corp. Raymond James

16 2013 Individual Supporters

Karl P. Adler, MD Mr. and Mrs. Donald Fox Dr. Marco Pappagallo Mr. and Mrs. Thomas Alberto Mr. Brandon Fradd Ms. Candice Pasternak Ms. Mitze Amoroso Mr. Terence Gallagher Mr. Pankaj R. Patel Mr. Darren Anderson Mr. Todd Galloway Ms. Eileen Patino Fr. John Anderson Mr. Raymond Gannon, Jr. Mr. Robert E. Pedersen Mr. Joseph P. Anderson and Mr. Kenneth Gardner Ms. Kimberly Pillari Mary K. Dewane The Garzillo Family Areta Podhorodecki, MD Mr. and Mrs. Christopher E. Baldwin Mr. Bernard P. Gawley Mr. Neil Pollack Mr. Joseph G. Beck Ms. Donna Golkin Mr. and Mrs. Fintan Powers Mr. Neil Benjamin Mr. and Mrs. Marco Grassi Deacon John M. Powers Mr. Richard Berley Dr. Andrei Grun Mr. Joseph Prakash Mr. William Bernhard and Ms. Kari Hall Dr. and Mrs. Harold Reilly Mrs. Catherine Cahill Mr. Marshall Haney Ms. Judy Rice Shrikant Bhamre Mr. Francis Higgins Mr. Paul Robbins Mr. Richard Biscotti Mr. Roger A. Imperial, II Ms. Lynn Roldan Ms. Maureen Boothby Mr. and Mrs. George B. Irish Kathryn Rooney, Esq. Sr. Sheila Brosnan Ms. Cyndy Johnson Mr. Lawrence Rutkowski Mr. Mara Browne Robert and Donna Junqua Mr. James Ryan Mrs. Thomas C. Burke Mr. Jonathan Kanovsky Ms. Mary Beth Ryan-Maher Ms. Alexis Buryk Mr. and Mrs. Rory Kelleher Ms. Elizabeth Schmeelk Ms. Ann Carroll Mr. Carl Kelly Dr. Marc Schumann Ms. Barbara Carroll Ms. Catherine Kinney Norman Schumann, DPM, MD Ms. Mary Higgins Clark Dr. Barbara Koppel Mr. David Schunter Ms. Hillarie Collins Ms. Joyce Korn Mr. Craig Schwartz Mrs. Richard Concannon Mr. Richard Kutilek Ms. Clare Shanley Mr. John Conheeney Mr. Scott LaRue Ms. Julia V. Shea Nancy Cooley and Stuart Goode Dr. Anthony Lechich Dr. Frederick T. Sherman Dr. Tara Cortes Ms. Linda LeClair Mr. Michael Spiesman Ms. Annmarie Covone Mr. Timothy Leddy Ms. Joan Squires Ms. Suzanne Craig Ms. Jennifer Leyton Ms. Joan K. Stout Mr. Steve Crane Mr. Roddrick Lynch Mr. Paul Strauchler Mr. Robert F. Dall Mr. Kenneth MacArtney Ms. Sarah Strum Ms. Mary Beth Daniel Ms. Annette L. Mackie Ms. Maura Sweeney Mr. Kenneth David Ms. Jehan Mahmood Mr. Ronald Sylvestri Ms. Nancy M. Davies Mr. Zain Mahmood Nicola Tegoni, Esq. Mr. and Mrs. Charles A. DeBenedittis Mrs. Ann T. Mara Michael P. Tempesta, Esq. Anthony and Christie deNicola Ms. Susan Marotta Mr. Warren Traiger Ms. Eileen Devlin Mr. Mitch Marsh Mr. Michael Valentino Dr. Timothy G. Dezastro Ms. Nancy Matta Ms. Mary Wagner Mrs. Hester Diamond Ms. Paula R. Mensi Mrs. Arete Warren Mr. Albert G. Doumar Ms. Antonette Mentor Honorable Milton L. Williams Mr. Edward J. Dowling, Jr. Mr. Michael T. Monahan Mr. John Williford H.E. Frà John T. Dunlap Ms. Suzy Moran Ms. Patricia Windman Ms. Lisa D’Urso Ms. Nazia Nelaj Mr. Randall Zeese Mrs. Gaetana Enders Ms. Allison Nidetz Mrs. Eva Eng Michael and Diana Nilsen Mr. Eric P. Feldmann Ms. Agnes Nolan Ms. Theresa Fernandez Mr. Thomas M. O’Brien Ms. Evelyn Vita Ferry Ms. Patricia O’Connor Ms. Laura Fisher Ms. Lisa Orriola Dr. Mary Louise Formato Mr. Gregory P. Oussani

17 ArchCare’s 2013 Gala at Gotham Hall

2013 Spirit of the Season Fundraiser for the Mary & Jim White Unit for the Care of People with Huntington’s Disease

18 Spirit of the Season Fundraiser for the Mary & Jim White Unit for the Care of People with Huntington’s Disease

Mr. and Mrs. John Ammirati Mr. and Mrs. Nicholas DeMartini Ms. Jayne Griesemer Mr. and Mrs. Nino Angelini Ms. Anne Derrick Mr. and Mrs. Mark Grilli Ms. Rebecca Armstrong Mr. and Mrs. George Derrick Ms. Helen Grumo Mr. John Balla Ms. Lucia Dispirito Ms. Megan Guhl Mr. William Balla Mr. and Mrs. Donald Doherty Ms. Kathy Haire Mr. and Mrs. James Bebry Ms. Kimberly Dolan Mr. William Haire Ms. Filomena Becker Mr. and Mrs. Kevin Donahue Mr. and Mrs. John Hannigan Ms. Katherine Becker Mr. and Mrs. Gerard Donoghue Ms. Mary Jo Harris Ms. Nancy Beckman Mr. and Mrs. Terence Donovan Mr. and Mrs. Robert Hayden Ms. Mary Pat Beirne Mr. and Mrs. Timothy Donovan Ms. Joan Henn Mr. and Mrs. Thomas Beirne Ms. Paula Dopsch Ms. Allison Hickey Mr. Salvatore Bellino Ms. Helen Dowd Mr. and Mrs. John Hickey Ms. Maria Bingeman Mr. and Mrs. Thomas Dowd Mr. and Mrs. Lawrence Hicks Mr. and Mrs. Walter Bishop Mr. and Mrs. Timothy Dowd Mr. and Mrs. Joseph Horansky Ms. Virginia Blaauboer Ms. Loretta Dowd and Mr. and Mrs. John Horvat Mr. and Mrs. Bronwyn Black Mr. Martin Ward Mr. and Mrs. Donald Hubert Mr. Steven Boral Mr. and Mrs. Dianne Dowd-Tuffey Mr. and Mrs. Henry Humphreys Mr. and Mrs. Dennis Brady Mr. and Mrs. Edward Dowling, Jr. Mr. and Mrs. Michael Hyland Mr. Edward Brady Mr. and Mrs. John Dreyer Mr. and Mrs. John Ingrilli Ms. Evelyn Brady Ms. Mary Dunleavy Mr. Thomas Izard Mr. and Mrs. William Brady Mr. Patrick Dunleavy Mr. Matt Jahansouz Ms. Colleen Brady Mr. and Mrs. Rex Edwards Ms. Elizabeth Jefferies Mr. Joseph Brostek Mr. and Mrs. Ira Effron Ms. Lynn Joyce Mr. and Mrs. Rocco Bruzzese Ms. Lauren Eshewsky Ms. Elizabeth Kane Mr. George Buckley Mr. and Mrs. John Fahey Mr. and Mrs. Donald Kelly Mr. Douglas Buckley Mr. Kenneth Fairben Mr. Thomas Kelly Ms. Mary Burgess Mr. and Mrs. Carl Falco Dr. Scott Keschner Mr. and Mrs. Randolph Caden Mr. Gerard Fallon Ms. Jean Kiley Mr. Kevin Calhoun Mr. and Mrs. Michael Farrone Mr. and Mrs. Peter Kingston Mr. Robert Calhoun Ms. Juliana Fazio Ms. Margaret Kiselick Ms. Barbara Canalizo Mr. and Mrs. Francis Feehan Ms. Mary Kiselick Mr. and Mrs. Andrew Clarke Mr. Robert Fekete Mr. Philip Kiselick Mr. and Mrs. Ray Clarke Ms. Marianne Ferraro Mr. and Mrs. Kenneth Krasniewski Mr. Raymond Clarke Mr. and Mrs. Richard Ficarelli Mr. Christiano Lachanas Mr. Jeff Collins Ms. Kathleen Finn Ms. Joan Laffin Mr. and Mrs. Steven Collopy Mr. Sloan Finn Mr. Thomas Lally Mr. Thomas Colombo Mr. Ernest Fiore Ms. Lorraine Lamm Mr. Michael Colucci Ms. Mary Ann Fisher Ms. Susan Landers Mr. Richard Constant Mr. and Mrs. Michael Fleming Ms. Anne Lanza Mr. Michael Cooke Ms. Susan Flinn Cobian Mr. and Mrs. Peter Lanzo Mr. and Mrs. Terence Cooke Mr. and Mrs. Kenneth Florio Mr. and Mrs. Scott LaRue Mr. Terence Cooke Ms. Joanne Flower Mr. Matthew Latino Mr. John Corcoran Major General Lawrence Flynn Mr. and Mrs. John Lawrence Mr. and Mrs. Anthony Cosentino Ms. Denise Ford Dr. Anthony Lechich Mr. and Mrs. James Crotty Mr. Joseph Forte Dr. Jane Leggett Mr. and Mrs. Raymond Curatolo Mr. Brian Fullan Mr. Richard Lehrman Mr. and Mrs. John D’Agostino Mr. Joseph Gafa Mr. and Mrs. John Levey Ms. Virginia Daly Mr. and Mrs. Brian Gallagher Mr. and Mrs. Marc Levey Mr. and Mrs. Arnold D’Andrea Mr. and Mrs. William Gerneglia Mr. and Mrs. Robert Levey Ms. Laura Darcy Mr. and Mrs. James Gilroy Ms. Katherine Levey-Scaccia Ms. Rosemary DelGiudice Ms. Elizabeth Gormley Mr. and Mrs. Donald Levonius Ms. Celia Delsandro Mr. and Mrs. Richard Graziano Ms. Viola Lips

19 Mr. Cyril Loumeau Mr. and Mrs. Russell Pinto 33 Huguenot Street LLC Mr. and Mrs. Paul Loumeau Mr. Thomas Potenza 94-15 Jamaica Ave LLC Ms. Helen Lowe Mr. Keith Rabinowitz Accurate Fire Equipment Ms. Kathleen Lynch Ms. Eileen Randazzo ALC Developing, Inc. d/b/a Ms. Joyce Lynn Mr. Bruce Raskin NYC Fire Control Ms. Carol Mackay Mr. and Mrs. John Recchia All Island Blower and Mr. and Mrs. Richard Magee Mr. and Mrs. J. Curtis Ritter Sheet Metal, Inc. Ms. Jehan Mahmood Ms. Teresa Rodriquez AllianceBernstein Ms. Carolyn Malon Mr. and Mrs. John Roe Covenant House Mr. and Mrs. William Malone Mr. and Mrs. Jon Rosenberg Custom Healthcare Solutions Mr. Robert Maloney Mr. Greg Roth Fifth Avenue of Long Island Mr. and Mrs. James March Ms. Jacquelyn Ryder Realty Assoc. Mr. Michael Mattone Ms. Susan Sandler Francis McGrath Trust Ms. Nancy Mattone Ms. Patricia Santosus Goldman, Sachs and Co. Mr. Vincent Mattone Ms. Margaret Saver Hawthorne Investigations and Mr. and Mrs. Frank Mauro, Jr. Ms. Nancy Schneider-Viglotti Security Mr. and Mrs. Robert Mayer Ms. Anne Schwenk INSYS Group Mr. James McCarthy Dr. and Mrs. William Sciales Law Office of Ferguson and Darcy Mr. and Mrs. Patrick McEntee Ms. Andrea Scott Manhasset Lakeville Fire Department Ms. Shannon McEntee Mr. and Mrs. Louis Serico McCarthy Assoc., Inc. Ms. Colleen McGeehan Ms. Eileen Sheridan Merritt Walsh Associates LLC Mr. John McGoldrick Mr. and Mrs. Daniel Sherry MMINC Digital LLC Mr. and Mrs. Patrick McGroary Mr. and Mrs. Scott Singer Pollard Architects Mr. and Mrs. Thomas McKeon Mr. and Mrs. Dennis Siry Robert McCarthy 1980 Trust Mr. and Mrs. John McKeown Ms. Nancy Skelly Scannell Living Trust Ms. Nancy McLernon Mr. Jesse Skinner Scott Sloane Foundation, Inc. Mr. and Mrs. Francis McNamara Mr. Robert Stagg The Longshore Group, Inc. Mr. and Mrs. Joseph Merolla Ms. Ellen Stokes Unity Electric Co., Inc. Ms. Therese Mierswa Ms. Erica Sweppenhiser Vendant Group, Ltd. Ms. Beth Miller Mr. and Mrs. Robert Teetz Mr. and Mrs. William Miller Mr. and Mrs. James Thompson Mr. Patrick Moore Mr. William Togneri Mr. and Mrs. Kieran Morris Mr. John Tognieri Mr. David Morton Ms. Kay Toliver Mr. Richard Moser Ms. Kelly Treacy Ms. Cathleen Moynihan Mr. and Mrs. Michael Tropiano Mr. and Mrs. Robert Muldoon Mr. and Mrs. Anthony Tuccillo Ms. Margaret Mulhall Mr. and Mrs. James Valentino Ms. Lorraine Muller Mr. and Mrs. James Venuti Mr. and Mrs. John Murphy Ms. Angelina Vigliotti Ms. Mary Murphy Ms. Patricia Walsh Mr. and Mrs. Stephen Nicastro Mr. and Mrs. William Ward Mr. Richard Nicastro Ms. Frances Welch Mr. and Mrs. James O’Donnell Mr. James White Mr. and Mrs. Bryan O’Neill, Jr. Ms. Janice White Ms. Alison Palmer Ms. Lisa White-Forte Mr. and Mrs. Thomas Pecora Mr. and Mrs. Joseph Whittaker Ms. Shlomit Perry Mr. and Mrs. Donald Whittam Mr. and Mrs. Frank Pesce Mr. and Mrs. Donald Winters Mr. Jospeh Petrillo Mr. and Mrs. Frances Woda Mr. and Mrs. Timothy Philbin Mr. Ben Yoder Mr. and Mrs. Ralph Piersall Mr. and Mrs. Louis Zanoni

20 Board of Trustees

His Eminence, Timothy Michael Cardinal Dolan Archbishop of New York Honorary Trustee

Francis J. Serbaroli, Esq., Chairman Karl P. Adler, MD Thomas E. Alberto Manfred Altstadt Monsignor William Belford Dr. Tara A. Cortes John T. Dunlap Monsignor Charles J. Fahey Thomas J. Fahey, Jr., MD Eric P. Feldmann John Marinelli Monsignor Gregory A. Mustaciuolo Thomas M. O’Brien Kathryn Rooney G.T. Sweeney Gennaro Vasile Bishop Gerald Walsh

Scott LaRue President and CEO ex-officio

21 Skilled Nursing & Rehabilitative Care

ArchCare at Carmel Richmond ArchCare at Ferncliff Nursing Home ArchCare at Healthcare and Rehabilitation Center 21 Ferncliff Drive Mary Manning Walsh Home 88 Old Town Road Rhinebeck, NY 12572 1339 York Avenue Staten Island, NY 10304 (845) 876-2011 New York, NY 10021 (718) 979-5000 ArchCare at Terence Cardinal (212) 628-2800 ArchCare at San Vicente de Cooke Health Care Center Paúl Catholic Healthcare Center 1249 Fifth Avenue 900 Intervale Avenue New York, NY 10029 Bronx, NY 10459 (212) 360-1000 (917) 645-9200

Program of All-inclusive Care for the Elderly (PACE) Home Care

ArchCare Senior Life in Harlem ArchCare Senior Life at Carmel Richmond ArchCare Empire State Home Care 1432 Fifth Avenue Healthcare and Rehabilitation Center 15 Metrotech Center, 10th Floor New York, NY 10026 88 Old Town Road Brooklyn, NY 11201 (866) 263-9083 Staten Island, NY 10304 (866) 923-7100 ArchCare Senior Life at San Vicente (866) 263-9083 de Paúl Catholic Healthcare Center 900 Intervale Avenue Bronx, NY 10459 (866) 263-9083

ArchCare Advantage ArchCare Community Life Managed Special Needs Plan (SNP) Long Term Care Plan (MLTCP) Palliative and End-of-Life Care

33 Irving Place 33 Irving Place ArchCare at Calvary Hospital New York, NY 10003 New York, NY 10003 1740 Eastchester Road (800) 373-3177 (855) 380-2589 Bronx, NY 10461 TTY/TDD: (800) 662-1220 (718) 518-2000

Administrative Offices

ArchCare 205 Lexington Avenue, 3rd Floor, New York, NY 10016 | (646) 633-4700 | (855) 951-CARE | www.archcare.org

22 205 Lexington Avenue, 3rd Floor New York, NY 10016 (646) 633-4700 | (855) 951-CARE www.archcare.org