ANOTHER STEP FORWARD - Visiting Nurse Service

Transcription

ANOTHER STEP FORWARD AMALGAMATION A HISTORYBecause of the need for greater office space, in 1958 the VNA securednew quarters on the second floor at 304 Main Street in Huntington,NY. The following year, Board Members Mrs. Robert Gilmore andMrs. Richard James established the Budget Shop which proved to be asuccess and brought in additional income for the Association.OF CARING AND COMMUNITYMiss C. Hilbert making her first house call in 1952.In 1962, the Visiting Nurse Association voted to become a participatingmember of the United Fund of Huntington Township, thus assuringa more stable income. In that same year, the Association also becamea member of the Federation of VNA’s of Nassau County to discusscommon problems of administration. Also in 1962, Helen Strobljoined VNS as Supervisor of Nurses and Director.In 1964, the Association, with the endorsement of Mrs. Gilmore,moved to 377A New York Avenue in Huntington in order to securemore office space. Now though, it was able to rent the entire building,which had been recently renovated with the Budget Shop on the groundfloor, an attractive entrance, and rooms upstairs for the nurses’ offices.Signing the papers to unite VNA with Suffolk County Dept of Health, 1965.Helen Strobl with VNS nurses, 1965.8bout this time the possibility of amalgamatingwith the Suffolk Countyof theHealthWithDepartmentthis amalgamation,Visiting Nurse Association changedits name to VisitingService,presented itself, and a committeeof theNurseVNAwasalthough it still maintained itsown identity, officers, Board of Directors, and budget and was stillappointed to study the situationand take it up withresponsible for raising some of its funds to help carry on the program.Open house reception to celebrate new offices at 505 Main Street in Northport.full wouldsalaries for allow4 to 6 nurses.the Health Department.It paidThisfor Ina addition, a certain number ofPublic Health nurses from Health Department staff were assigned tomuch broader basis of nursingand health servicesthe office at 377A New York Avenue. Mrs. Helen Strobl, DirectorSupervisorof theVisitingpreviouslyNurse Association since 1962 was retainedto local communities thanhadbeenInas the nineties there continued to be rapid growth of utilization of allDirector-Supervisor of the combined services, thus making for greaterprovided. Also, the recent advent of Medicareanditsimplicationforcoordination of work.health care services and Medicare expenses grew to pay for that utilization.all medical services to patients made it imperative that some action beAn added incentive for taking this step at this time was that Visitingtaken by VNA.At the same time health care delivery service was also evolving into newNurse Service would thereby become an accredited agency of the2017 ANNUAL REPORTmodels that included many mergers. In 1995, Huntington Hospital, theNew York State Department of Health, and thus became eligible forparticipating in the Medicare program, when it started on July 1, 1966.As a result of this study, and after much consultationwith Dr. MichaelAlso, the Visiting Nurse Service could call on the Health DepartmentBuscemi, Mr. Lawrence Wright and Miss MarianPetraske,of theHealthfor consultationservicein someof its specialties, such as orthopedicsingle largest source of hospital referrals to Visiting Nurse Service, affiliatedrehabilitationVNA had not previously offered.Department, a satisfactory agreement was andreachedandwork,thewhichstepthewaswith the North Shore Health System, which had a Certified Home Healthfinally taken in October 1965. H. Lee Dennison,ExecutiveofonlySuffolkSince Huntingtonwas theTownship in Suffolk County that hada Visitingit washoped that it would serve as a “PilotCounty, and Mrs. Robert N. Gilmore, PresidentofNursethe Service,VisitingNurseAgency of its own. In 1996, North Shore introduced representatives ofAssociation of Huntington signed the agreement which was to becometheir agency to provide home care services themselves to the patientseffective on January 1, 1966.109treated in Huntington Hospital, presenting a competitive environmentnot previously familiar to the not for profit world.At the same time Medicare sought to reign in mounting healthcare expenses, and in August of 1997, President Clinton signed theBalanced Budget Act which changed the reimbursement method forCertified Home Health Agencies. Agencies such as Visiting NurseService, with growth in utilization and costs since the 1993 base yearfor new reimbursement calculations, experienced the greatest impactof reduced revenue per patient. In order to survive, VNS reduced thevisits per patient and corresponding staffing costs. A grassroots letterwriting campaign, and lobbying by the Visiting Nurse Associations ofAmerica and other membership organizations, ultimately resulted inlegislative changes that specifically addressed the inequity of penalizing

PRESIDENT’S REPORTBOARD OF TRUSTEESRobert P. Cogliati, CPAPresidentJohn J. Lynch1st Vice PresidentPatricia M. Matos-Puente, MD2nd Vice PresidentGregory P. Garra, DOSecretaryAndrew G. BeneTreasurerKatherine MoffattHonorary ChairwomanRalph LambertTrustee EmeritusRonald J. Duswalt, CFP, MSFSTeri L. GeorgeElizabeth Haeni, DPMDavid Harris, MD, MPHMike HrichakSusan LyonsBarbara Kos-Munson, PhD, RNMichael L. McCarthy, Esq.Peter NolanChristopher W. O’NeillWilliam PyszczymukaJudy RossAlan Sherr, DCMary Skinas, MPA, BS, RNArlene D. Trolman, EdDDavid M. Weiss, PhD.VNSHS FoundationBoard of DirectorsJohn J. LynchPresidentA MESSAGE FROM ROBERT P. COGLIATIDear Friend,In 2017 Visiting Nurse Service & Hospice of Suffolk(VNSHS) has marked another milestone in celebrating its65th anniversary. Over these 65 years the agency hasbeen sensitive and responsive to changing health careneeds in our community, with the expansion of programsthat included Certification as a Home Health gency in1966 and then as a Hospice in 1989, followed by the building of the HospiceHouse in 2004. This growth and development was made possible throughthe combined efforts of a forward looking Board, competent staff, dedicatedvolunteers, and supportive community. Such growth was afforded in thecontext of a flexible organizational structure of our free standing communitybased organization exclusively driven by our mission of service. This year, in, the oard took a major step within the scope of its fiduciary responsibilityto secure and protect this mission by establishing a foundation for the solepurpose of supporting the programs of Visiting Nurse Service & Hospice ofSuffolk going forward. Through optimal management of funds – includingfrom you, our generous donors - VNSHS can meet the challenge to hireand retain qualified employees at all levels, provide critical support servicesincluding cutting edge tools of technology, and offer state of the art staffeducation, while still exploring the agency’s role to provide new or expandedprograms in response to identified health care needs in our community.VNSHS highly values and is proud of our consistent and publicly reportedpatient satisfaction, we are not content to maintain but rather seek to improveour service always. We enjoy and appreciate the close relationship to ourcommunity and are forever grateful for your untiring support. The Board ofTrustees and the entire organization look forward to this continued allianceand thank you for all you do for Visiting Nurse Service and Hospice of Suffolkand for our community!Robert P. Cogliati, CPAVice PresidentDavid Harris, MD, MPHSecretaryRobert P. CogliatiPresidentJohn DeFalcoStan GelishGregory KennedyTimothy RossiterANOTHER STEP FORWARD AMALGAMATION1950’sFirst house call.21960’s 1952 - Visiting Nurse Service of 1962 – Helen Strobl joins VNA as Supervisor ofHuntington Township becomesnurses; VNA joins the United Fund of Huntingtonincorporated & makes firstTownship and becomes a member of Federationhouse callof VNA’s of Nassau County 1958 – Due to the need for 1965 – VNA amalgamates Suffolk County Departmentadditional office space, VNAof Health and changes name to Visiting Nurse ServiceSigning the papersto unite VNASuffolk CountyDept of Health, 1965.moves to 304 Main Street 1966 – VNS becomes eligible to participate in theSigningthewithpapersto unitebout thistime theCountypossibility of amalgamatingVNA withSuffolkin HuntingtonMedicare program when it begins on July 1, 1966with the Suffolk County Department of Healthof andHealth.presented itself,a committee of the VNAwas 1959 – Thrift Shop is established, Department 1967– VNS moves to larger office space located atappointed to study the situation and take it up withthe Health Department. This would allow fora Elm Street in Huntingtonbringing an extra source of income52much broader basis of nursing and health servicesto local communities than had been previouslyprovided. Also, the recent advent of Medicare and its implication forall medical services to patients made it imperative that some action betaken by VNA.As a result of this study, and after much consultation with Dr. MichaelBuscemi, Mr. Lawrence Wright and Miss Marian Petraske, of the HealthDepartment, a satisfactory agreement was reached and the step was1970’sFire destroys buildingon Elm Street. 1970 – FoundingPresident, H. Stuart Ortloffpasses away 1978 – Fire destroysbuilding on Elm Streetand all patient andbilling records lost –agency moves to 125 WestHills Road in HuntingtonStation a few weeks later

CHIEF EXECUTIVE OFFICER’S REPORTA MESSAGE FROM LINDA TAYLORADMINISTRATIVE STAFFDear Friend,Scott J. Williamshie inan iaIn 2017 Visiting Nurse Service & Hospice of Suffolk markeda 65 year anniversary, continuing a long tradition of homehealth care in our community with steadfast focus on patientneeds and mutually identified goals to improve individualwell-being and overall quality of life. The inpatient hospicehouse in East Northport provided continued supportiveoptions for care when the home setting alone called for amore intense level of care or when much needed respite relieved family membersproviding the yeoman’s work in their homes on a daily basis, with a much neededbreak. Without losing sight of our mission to provide high quality care through all ofour programs, we seized the opportunity from our position of financial strength in2017 to enhance operational tools used by administrative and clinical staff alike withthe implementation of two technology driven initiatives. In 2017 VNSHS introducedtwo major computer programs, one to better manage human resources from a singledata base with a transparent system for optimal staff utilization at all employeelevels, and one to better manage clear and comprehensive patient care documentationfor improved interdisciplinary care planning and coordination of care. These werehuge undertakings given the financial commitment required not only for initial costsbut for lost productivity to accommodate the significant learning curve required.We are stronger both operationally and professionally because of that investment intime, money, and our most precious asset – employees and volunteers.Diana Gallo, MSN, RNDirector of OperationsLinda Taylor, MA, BSN, RNhiee ti eererBeth Rosenfeld, MBA, BSN, RNDirector of Quality Assurance& Performance ImprovementAndrea Cowles, MA, BSN, RNDirector of Intake & ServiceDevelopmentSusan BruderEvents PlannerPROGRAM STAFFCERTIFIED HOME HEALTH AGENCYDiana Gallo, MSN, RNDirector of Clinical OperationsSilvia Rivera-Belardo, BSN, RNClinical ManagerPROGRAM STAFFCERTIFIED HOSPICEKathy Genova, BSN, RNDirector of OperationsBirjis G. Akhund, MDMedical DirectorJohn Ferraro, MDAssistant Medical DirectorIn 2017 we added a new class of volunteers to our active core group of over 100individuals - volunteers who often come to us often having experienced our serviceto family or friends. From the perspective of their own life stories, they bring a uniquecommitment to help others facing an assortment of health care crises and relatedstresses, and extend a personal hand in friendship that complements the professionalcare of all VNSHS disciplines, adding full meaning to our mission.Laurie Alonso, GNP, BC, RNNurse PractitionerBruce S. Zitkus, EdD, ANP-BC CDENurse PractitionerRev. Mark BigelowPastoral Care CoordinatorWe are gratified by the confidence and trust you place in us every day, as evidencedby our consistently high patient satisfaction reported, your referral of friends andfamily for care, participation at events and generous giving. Thanks to you again,our patients who inspire us and our loyal supporters and donors who sustain us, aswe look forward to another year in which we welcome every opportunity to make adifference every day.Joan Lewis, MA, LMSWBereavement CoordinatorBonnie GruberVolunteer CoordinatorLinda TaylorChief Executive OfficerN u rses m a k er e c o r d visits1980’sNurses make record visits.F IF T E E N Y EA R S O F S E R V IC E : M ary RyaA left , a re g isle re dn u rse fro m N o rth p o rt. a n d A udrey Nelson (center), a s e c re ta ryfrom E a s t N o rth p o rt. w ere given a w a rd s fo r le n g th y serv ice toth e V isiting N u rse S erv ice o f H untington a t th e serv ice ’s an n u alm eeting. C ongratulaU ng th e m Is J o a n H olcom b o f H uotington,p re sid en t o f th e b o a rd o f th e sen d e e .2New app ro ach es to th e c a re andhelp of cancer p atien ts and th eirfam ilies w as th e topic of a talkgiven by Dr. M ary J a n e M assie,a n a tte n d in g p s y c h ia tr is t a tM em o ria lS lo a n -K e tte rin gCancer C enter in New Y ork, a t th eM arch 16 an n u al m eetin g of Cheboard of d irecto rs of th e V isitingN u rse S e rv ic e of H u n tin g to nTownship.At th e m eeting, J o a n H. Hol comb, president of-the b o a rd , r e ported a record n u m b e r of 26,200hom e visits by nu rses, th e ra p ists,social w orkers, an d hom e healthaides in 1982. She sa id th a t ad d i tional grow th Is e xpected w ith aprojected budget of SI.2 milliontor 1SS3.Holcomb w elcom ed new boardm em b ers Sally G ibney, A ndrisG rants, E lizabeth Ivins, C arolynN akam ura, and R ozanne T aylor.Also, plans w ere m a d e fo r a be nefit to be held on F rid a y , J u n e 10,on board Che sailb o at P e k in g a tth e South St. S e a p o rt M useum ,N ew York City, a n d a w ard s fo r ISy e a rs of serv ice w e re p resen ted tos e c r e ta r y A u d re y N e lso n an dnurse M ary Ryan.A decade of incredible growth; the ’s broughtsignificant change in the provision of homehealth care increasing its service area and typesof services offered 1980 – Helen Strobl retires; inda Taylorbecomes Executive Director 1989 – VNS wins State Hospice Certification,becoming second official hospice on ong slandM ELV ILLE FIR E M A N R E M E M B E R E D : T he M elville F ireD e p artm e n t to u m a /n e n l te a m re c e n tly re c eiv ed a le g tro p h y inm e m o ry o f flre m a n and ex -co m m issio n er W illiam S e n e tra , whod ied la s t y e ar- H ose C om pany N o, 2, o f w hich S en etra w as am em b er, m a d e th e presen tatio n to th e d e p a rtm e n t a t a re c e n tc e r e m o n y .P a rtic ip a tin g w e re d .to r.l c ap tain J o h n iie in k ele .J r ., LI. J a m e s H einkele, T h ird A ssista n t C hief an d to u rn a m e n tte a m c ap tain R a y C rin erc. and F ir e C h ief V incent Pepc.fSteve Silverm an photo)A d e lp h i p la n s o p e n h o u s e a t a d u lt c e n t e rAdelphi U niversity/H untington,145 Pidgeon Hill Rd., H untingtonStation, w ill host a n open house onT hursday, A pril 14 fro m 8 to 10p.m . to r adults o v er 21 w ho areinterested in re tu rn in g to schoolthrough Adelphi U niversity Col lege fo r AdultsT h ro u g h U n iv e rsity C ollege,a d u lts c an e a r n a n asso ciate ofa rts , b ach elo r of a r t s o r b ach elo rof scien ce d e g re e in m an ag em en tan d co m m u n icatio n ; n a tu ra l s c i en ce an d m a th e m atics, c re ativ ea rts , h u m an istic stu d ie s and so c ia l s c ie n c e . C a r e e r - r e la t e dspecializalions in lin an cial p la n n in g , c o m p u te r p r o g r a m m in gan d p a ra le g a l stu d ie s (L aw y ers'A ssista n t P ro g ram ) a r e also a v ailable.F o r m o re in fo r m a tio n , in te re s te d p erso n s should c a ll 6631120.THIS MONTH1990’sOpen house reception tocelebrate new offices at505 Main Street in Northport. 1991 – VNS moves intocurrent address, 5 5Main Street in Northport 1997 – Balanced BudgetAct is signed by PresidentClinton changing thereimbursement method forcertified home health agencies2000’sHospice HouseGroundbreaking 2001 – First 5 un for the Health of tfundraiser 2002 – Visiting Nurse Service officiallybecomes Visiting Nurse Service &Hospice of Suffolk 2004 – VNSHS opens New ork State’sfirst freestanding inpatient hospice,Hospice House in East Northport 2009 – First Helen Strobl MemorialScholarship is awarded to high schoolstudent entering nursing school

MEDICAL DIRECTOR REPORTA MESSAGE FROM BIRJIS AKHUND, MDI am a Medical Oncologist who wears several hats – one ofthese hats is in my capacity as a medical practitioner, thesecond is as an educator to fellow colleagues in a rapidlychanging landscape of medical knowledge, and the third,and most important one is as Medical Director of the VNSHShospice program.This is where I am gracefully brought back to Earth to face theeveryday reality of our limits in medical management and help direct care for thosewho are in need.Many years ago, our mantra had been to never give up since in medical school ourtraining was uniquely directed toward healing. Now, with many years of experiencewe have come to realize the importance of palliative and hospice programs. Today,the referral of patients in need of such services has been less difficult and whendone in a timely manner the outcomes have been gratifying – especially for patientswhere the focus is the alleviation of suffering, the respect of individuality, and theunderstanding of unmet needs.It is of course, a sad fact of life that illness and infirmary will affect all of us at sometime in our lives. It is our hope and desire that programs like those provided byVNSHS will always be there to ensure that in the challenging chapters of our life’sjourney, an extension of comfort care to alleviate suffering is ever-present.I would like to take this opportunity to extend our deep and heartfelt gratitude to thepatients, families and programs that make palliative and hospice care possible.Thank you to the staff and volunteers who dedicate their time, efforts andcompassion to the patients and families who seek help and comfort in a momentof tremendous need.Thank you to the physicians and families who courageously recognize the need toincorporate palliative and hospice care in a timely manner so that suffering can beaddressed meaningfully and patient’s times are not left suspended in medical futility.Thanks to the families that have participated in the program, and contributedgreatly to the care of their loved ones. Hospice is not a four walled building orother structured entity; it is a system, a process, a state of caring and understandingwhere the families play a role of immeasurable importance. It is with the families’support that we are allowed to flourish and care for the community we live in.Finally, thank you to the most important component of the program – the patientswho entrusted us with their care in the twilight of their lives.Birjis Akhund, MDHospice Medical Director4

QUALITY ASSURANCE & PERFORMANCE IMPROVEMENTQuality health care that improves individual health and well-being is important to everyone.We strive every day to provide the best in home health and hospice care. We are proud to reportthat our satisfaction survey outcomes, once again, exceed New York State and National averages.How do patients rate the overall care from thehome health agency?Would patients recommend the home healthagency to friends and family?Patients who gave their home health agency a rating of9 or 10 on a scale from 0 (lowest) to 10 (highest).Patients who reported YES, they would definitely recommendthe home health agency to friends and 4040404020202020000081%72%78%72%78%Results are from patients who received home health care services between October 1, 2016 and September 30, 2017, as reported in www.medicare.gov/homehealthcompare.What number would you use to rate yourfamily member’s hospice care?Would you recommend this hospice to yourfriends and family?Family members who gave their hospice a rating of 9 or 10 on ascale from 0 (worst possible care) to 10 (the best hospice carepossible).Family members who answered ‘definitely yes’ to this 604040404020202020000090%85%85%85%85%Results are from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice survey for the period January 1, 2017 to December 31, 2017,and were obtained from Strategic Healthcare Programs, our data collection vendor. These results are not yet published.For the twelfth consecutive year, Visiting Nurse Service & Hospice of Suffolk has been named to the HomeCare EliteTM,a recognition of the top-performing home health agencies in the United States. In 2017, we were recognized as a topagency – a distinction we are extremely proud of. For 12 years, HomeCare Elite has annually identified the top 25% ofMedicare-certified agencies and highlights the top 100 and top 500 agencies overall. Winners are ranked by an analysisof publicly available performance measures in quality outcomes, best practices implementation, patient experience (HomeHealth CAHPS ), quality improvement and consistency, and financial health. Out of 9,064 agencies considered, 2,268 arerecognized as elite.5

2017 FINANCIAL DATAPATIENT SERVICE REVENUEPATIENT SERVICE REVENUE BY SOURCEMedicaidHospiceHouseDonations andOther Net Revenue10% 1%At HomeHospiceCommercialInsurance6%CertifiedHome HealthCare Agency31%Private Pay 1%Medicare90%58%TOTAL EXPENSES4%PROGRAM EXPENSESGeneral &Administrative18%HospiceHouse12%At HomeHospice15%ClinicalServices82%6CertifiedHome HealthCare Agency73%

Fundraising and other revenue from the community are critical to our abilityto provide charity care and programs that are not supported by a funding source.GROSS CONTRIBUTIONSAND FUNDRAISINGUnited WayCommunityThrift Shop5%Townwide Fundof Huntington3%10%Fundraising30%PATIENTS SERVED (TOTAL 3337)Hospice Combined21%Hospice At HomeHouseHospice43% 57%GeneralContributionsCertifiedHome HealthCare Agency52%79%VNSHS Foundation DataAGE DISTRIBUTION OFPATIENT ADMITSAVERAGE LENGTH OF HOME CAREAND HOSPICE COMBINED181-365 Days21-45 Years2%46-65 Years15%0-20 Years 1%91-180 Days5%365 Days2% 7 Days91 Years17%2%31-90 Days21%16%66-75 Years19%76-90 Years47%8-30 Days54%7

2017 DONOR LISTWe would like to acknowledge and thank all who contributed in support of the work ofVisiting Nurse Service & Hospice of Suffolk in our community. 25,000 - 99,999 1,000 - 2,499Mrs. Diane VazquezPark AdikesMr. & Mrs. Anthony VelaMr. Lester Bellows 500 - 999Brueggemann Funeral HomeMs. Shirley BadiaCaring People, Inc.Mr. Joseph BessetteCraco & EllsworthMs. Carol BrandMr. Frank CutroneCannoli FactoryRobert FesslerCrab Meadow Ladies Golf AssociationInternational Union of Operating EngineersMr. & Mrs. John DeFalcoKissinger Family FoundationMs. Kathleen EllisMr. Kenneth LathamMs. Sonia ErlichAtria, East NorthportMcCarthy & Reynolds, PCMs. Carol Fallon-DeJongDaniel Gale Agency, Inc.MFox Family FoundationMs. Elizabeth HammellMr. & Mrs. Peter NolanGive With LibertyHarris Corp.Steve & Carol PeltierMr. & Mrs. J. William JohnsonCommunity Thrift Shop 10,000 - 24,999AnonymousMs. Diane AlbinoBorg & Borg, Inc. InsuranceAsset Graphics, Inc.Caminiti & Cogliati, CPA’s, LLPMr. Andrew BeneCerini & Associates, LLPBethpage Federal Credit UnionMs. Gail CulletonMs. Estelle BurnsElite Feats, Inc.Commack Abby Funeral HomeMr. Andrew HickmanMr. Christopher DeeSusie & Robert KellyLawrence & Catherine DemeglioMr. Richard KrulikEpiscopal Church Women of St. Johns Church 2,500 - 4,999Mr. Michael ManninoEsposito Realty Associates, LLCAxis Construction CorporationMedline Industries, Inc.Mr. John FollisMr. Douglas DuvalMorgan StanleyMs. Roberta GainesDavid Harris, MDNorthport Yacht ClubMs. Carolyn HarriganHealth Care Answering ServicesPeople’s United Bank, NAKinemotiveMinuteman Press International, Inc.Presbyterian Women Mission CoordinatorLaborers Eastern Region Organizing FundPeople’s United BankMs. Denise RempeMr. Richard LewisyRotary Club of NorthportMr. Frank SavelliMrs. Susan LyonsMs. Deborah SolbertMs. Virginia Sica-PetersMr. & Mrs. Mario MarchiMs. Rose Marie WalshMr. David SteinMs. Elizabeth McCarthyThe Elena Melius FoundationMr. John MongeluzziThe Spionkop Charitable TrustNational GridBushell & KleczkaEast Northport Chamber of CommerceEstate of Derith SutherlandJohn W. Engeman Theater at NorthportTownwide Fund of Huntington, Inc.United Way of Long Island 5,000 - 9,999Mr. James V. ArchdeaconDentists For A Better Huntington, Inc.Mr. Robert GillcristMutual of AmericaShore DrugMr. & Mrs. Warren TaylorUSI Insurance Services, LLCIndian Hills Country ClubMi he e Miroffer o n ation Mat hinitro raDr. Barbara Kos-MunsonNolan & Taylor-Howe Funeral HomeMr. John PufahlMr. Andrew LawrencePink Tie 1000 FoundationRossiter Financial Group, Inc.Mr. Steve LohleinSheehan & Company, CPA, PCScottradeMagellan Aircraft Services, LLPThe First National Bank of Long IslandSmart Local Union 137Patricia M. Matos-PuenteDr. David M. WeissThe Business Women’s Golf Association of LIMs. Simone MonahanThe Huntington Club, Inc.My Tribute Gift Foundation, Inc.8

Mr. Robert NoskaMs. Joan O’ConnellMs. Denise PleckaitisMr. Thomas PooleRaymour & FlaniganMr. Thomas ReynoldsMs. Irene RodgersRyant Enterprises CorporationMr. John SafarikMs. Gunnar SalumaaMr. David SchroterMr. Russell SchroterSignature Properties of Huntington, LLCMr. & Mrs. David StormTenders, Inc.Trachtenberg & Pauker, LLPMr. Thomas VolpicellaMs. Tracy Walsh 250 - 499Ms. Linda Abrahamo ertMeni e ffenitaharon aff toMs. Marie BastiMrs. Olympia BatsedisMr. Marvin BergerBondee Enterprises, Inc.Ms. Sherri BrownMs. Susan CanaleCement & Concrete Workers Local 6-AMreoffrehe iMr. John ChueMs. Roberta ColyerCopenhagen BakeryBenedict & Elizabeth CozziCuddles Pet Care ServiceMr. Robert DavisDominic & Deborah DeFalcoMs. MaryRose DiMartinoDr. R.E. Young & Dr. A.L. Vazquez-YoungFauser Associates, PCMr. & Mrs. Robert FestaJohn & Beth FilipponiMr. Donald FisherMr. Marc FishsteinForchelli LawMr. Jarod FrankFrassanito Jewelers Corp.Frey & Warner, CPA’s, PCMr. & Mrs. Robert FriemannGeneral Building Laborers Local No. 66Mr. John GibbonsGino’s of NorthportGlen Feldman & Feldman PropertiesMr. & Mrs. Walter GrambowMr. Brian HanrahanMr. MH HarbinMs. Christine HaukMr. Michael HaynesHenry Viscardi SchoolMs. Emmy HoernerDr. Ronald IannaconeInsulation Contractors Associationof NYC, Inc.- Promotional FundMr. & Mrs. Frank JenkinsMs. Debra KawallerMs. Nancy KillianBarbara & Mark KleineMs. Karen KoellnMr. Harvery KreiswirthMs. Barbara LaValleLawler HaigMs. Ellen LedermanMr. Bruce ListhausLaborers’ Local 1010Laborers’ Local 1010, Laborers-EmployersCooperation & Education TrustMs. Antoinette LombardiLynch & AssociatesMagellan Group Investment, LLCMain Street Cafe of Northport, Inc.Mr. Noelle MannMs. Mary McLaughlinMr. & Mrs. Gary MeliusMendes & Mount, LLPMr. Eugene MiataMs. Helen MisianoMs. Elizabeth MoritzMs. Janice NillMr. Robert NockNorthport Farmers Market, Inc.Northport Volunteer Fire DepartmentMr. Mark PaarPaper Fibers, Inc.Mr. Benjamin PaternosterMs. Catherine PirylisBarney & Robin PodlaskiMr. Vincent PontePrimetime Title Agency, LLCMr. & Mrs. Jorge PuenteMr. Donald RavellaMs. Doris ReeseRKC Financial Services, Inc.Robbins Realty, Inc.Ms. Judy RobertsJudy & John RossMr. & Mrs. John RungeMs. Maryann SacherMs. Maureen SandersonMs. Carolyn SargentMrs. Marilyn SchererMr. Frederick SchmittMs. Elaine SchultheisMr. David ShapiroMr. Nicholas SignorelliMrs. Mary SkinasSquare Peg Promotions, Inc.The Strekas FamilyGeorge & Catherine StubbsThe Boston FoundationThe Marcus OrganizationThe Segal Consulting CompanyTruistAgnes & Lou VaccarelliMr. Frederick WicksMr. Steven WoghinJay & Trudy Yost 100 - 2493 Greenhill Road, LLCMs. Gail AbbaleMr. Robert AberleAbsolute Resources, Inc.Ms. Nordeen AccardiAccuvein, Inc.Ms. Lynn AdlerMr. & Mrs. Reed AjamianMs. JoAnn Alario-PaulsenMs. Kelly Ales9

2017 DONOR LISTLauretta AlioDr. & Mrs. Richard AllmanRonald & Maxine AlschulerMr. Ronald AmbrosiniMs. Marcia AndreuMr. Thomas AntorinoAny Part Auto Part StoresMs. Claire ArbourMr. Mark ArduinoMr. & Mrs. Jonathan ArleoMr. William AtzlMr. David BachrackMs. Linda BachrackMs. Marie BadinMr. James BaechleMs. Joan BanksMs. Diane BarberMr. Lewis BarberaMs. N. BarnesMr. & Mrs. Nicholas BatemanMr. Andrew BatesBelkin Burden Wenig & Goldman, LLPMs. Jill BergmanLiesel BerlethMr. Joseph BernardBethpage DMV Co-WorkersWilliam & Theresa BettaMs. Mary Bifulco & FamilyMrs. Kerin BjelkeMs. Marilyn BlumeMs. Frances BolithoMrs. Mary Ann BonacumKaren & Stephen BoyerMr. Thomas BoyerMr. & Mrs. William BrosnanMs. Mary BuckleyMrs. Beatrice BuonpaneMr. Nicholas BurkeShelagh & Michael BurkeMs. Virginia BurkeMr. Ronald BusciolanoThe Cacace FamilyMr ohnaffreMr. Andrew CalevMr. Philip CaporussoMr. Alexander CaroneMr. & Mrs. Gary CarrollMs. Jean CarrollMrs. Carole CasamassimaMs. Sandra CastTom & Maryann CastronovoEglantine CavanaghMr. & Mrs. John CavanaghMr. & Mrs. Anthony CeroneMr. & Mrs. John CettaMr. & Mrs. Walter ChaskelFrances ChesterMrs. Susan ChrencMs. Marilyn ChristelDr. & Mrs. John ChronakosMr. Bill CieslaCitizens for LeonickMr. John ClaryMr. John ClearyMs. Pamela CobbMr. Robert CogliatiCohen, Weiss and Simon, LLPMrs. Barbara CollinsMs. Susan ConeysJohn & Lisa ConnorsMr. & Mrs. Timothy ConnorsMrs. Jenine CookMs. Carol CostaCousins Metal IndustriesThe Cox Fa

Nurse Service would thereby become an accredited agency of the New York State Department of Health, and thus became eligible for participating in the Medicare program, when it started on July 1, 1966. . a Visiting Nurse Service, it was hoped that it would serve as a "Pilot Helen Strobl with VNS nurses, 1965. 13