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.