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Page 1: 2013 Annual Report - Almost Home Kids...Almost Home Kids 2013 Annual Report Liska + Associates 691021 11.12.13 Revision 2 F inancial Review April 1, 2012 to March 31, 2013 Statement

Almost Home Kids 2013 Annual Report Liska + Associates 691021 11.12.13 Revision 2

2013 Annual Report

Page 2: 2013 Annual Report - Almost Home Kids...Almost Home Kids 2013 Annual Report Liska + Associates 691021 11.12.13 Revision 2 F inancial Review April 1, 2012 to March 31, 2013 Statement

Almost Home Kids 2013 Annual Report Liska + Associates 691021 11.12.13 Revision 2

Our Mission at Almost Home Kids is to provide transitional care in a home-like setting to children with complicated health needs, training for their families and respite care.

Cover: Kathleen (AHK Volunteer) reads to Ghaith, age 2

Paige (AHK Volunteer) reads to Angel, age 7

Page 3: 2013 Annual Report - Almost Home Kids...Almost Home Kids 2013 Annual Report Liska + Associates 691021 11.12.13 Revision 2 F inancial Review April 1, 2012 to March 31, 2013 Statement

Almost Home Kids — 2013 Annual Report

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Almost Home Kids 2013 Annual Report Liska + Associates 691021 11.12.13 Revision 2

Dear Friends, Fiscal Year 2013 has been a year of growth and change for Almost Home Kids. With two homes now thriving in both Naperville and Chicago, we have been able to provide transitional and respite care in a home-like setting for twice as many children as we were able to care for in previous years. The expansion of Almost Home Kids translates to millions in cost-savings to the State and a great improvement in quality of life for each child and family we serve.

Collaboration has been a key component to the success of Almost Home Kids. Now more than ever we rely on our partnerships with health care providers and our corporate community partners that provide insight and expertise on our operational and programmatic needs. Our collaboration with leaders in the design, marketing, real estate, project management, legal and insurance industries, just to name a few, has helped ensure our success in the future. Each of our Board and Committee members brings a wealth of expertise and passion for the advancement of our mission, and our legislative partners continue to promote legislation that protect children with medical complexities and their families.

Collaboration has also lead to a very exiting new chapter for Almost Home Kids. We have signed an affiliation agreement with the Children’s Hospital of Chicago Medical Center (CHCMC), the parent corporation for Ann & Robert H. Lurie Children’s Hospital of Chicago.

The affiliation means that Almost Home Kids, under the CHCMC umbrella, will be able to improve care coordination for children who are medically fragile and/or technology dependent, increase efficiency and reduce costs, which will be critical as reforms in healthcare move forward. AHK will be able to offer a greater number of services to children with complex medical conditions and their families, while expansion into other geographically convenient areas will become a reality far sooner than it would have been possible before the affiliation. Lurie Children’s is impressed with AHK‘s community-based healthcare model and foresees many future synergies.

As we look to the future we are so grateful for the countless donations of time, talent and dollars that have made our success possible. Each of our donors, partners and volunteers have played a role in advancing the critical model of care that Almost Home Kids provides for children who are medically fragile. We are counting on your support to ensure that all children with complicated health needs have the chance to thrive. The families who rely on Almost Home Kids have been through so much. Together, we can make a difference and give them hope for a brighter future.

Sincerely,

Deborah A. Grisko, RN President & CEO

Bill Neustadt Chairman, Board of Directors

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Almost Home Kids 2013 Annual Report Liska + Associates 691021 11.12.13 Revision 2

The Almost Home Kids Model Almost Home Kids envisions other facilities throughout the region and beyond adopting the AHK medical model of providing high quality care close to home and strong local community support.

All key community and policy stakeholders are fully committed to the AHK model and recognize it as the premiere community-based standard of care for children with medical complexities.

How We Do It

Transitional Care — A bridge from hospital to home

AHK provides a 120-day Transitional Care Program for children who are ready to be discharged from a hospital but for whom preparations at home need to be made. In a comforting environment, children receive 24-hour medical and nursing support from skilled pediatric nurses. AHK trains families on how to both care for their children who are medically fragile and how to prepare the home.

Respite Care

The Respite Care Program at AHK offers children a comfortable place to stay with access to medical and nursing support while their parents/caregivers tend to personal or urgent family issues. The Respite Transportation Program provides roundtrip transportation for children from their home to an AHK facility.

Our model for providing transitional and short-term respite care can be replicated throughout the country. Where the need exists, the organization will help facilitate development of other Almost Home Kids locations.

Community Support

In addition to training and care, AHK provides community resources and activities that become a support system the family can depend on for years to come.

Zain and Lauren race past the Nurses Station (AHK Chicago)

Medically Fragile DefinedChildren who are medically fragile are in a stable condition, but dependent on life-sustaining medications, treatments and equipment and have a need for assistance with daily-living activities.

Eligibility Requirements■ Ages from Birth to 21■ Children who are Medically Fragile■ Children who are Technology Dependent

Services■ Medical Home Provider■ 24/7 care by Pediatric Advance Life

Support (PALS) and Ventilator Certified Registered Nurses

■ On-site Pediatric Medical Director■ Speech Therapy■ Occupational Therapy■ Physical Therapy■ Development Therapy■ Nutrition Consultation■ Weekly Care Conferences■ Discharge Coordination Meetings■ Individual Educational Coordination■ Fully Accessible Playground (Naperville)■ Beautifully Landscaped Grounds with

Wheelchair Accessible Paths (Naperville)■ On-site Respite■ Emergency Respite■ Respite Transportation Services■ Case Management ■ Parent Advocacy Assistance■ Case Coordination — Medical Team■ On-site Pediatric Nurse Practitioner■ Counseling Services■ On-site Social Worker■ Medical Education Program■ Sleep Study Program■ On-site Certified Child Life Specialist

Community of SupportFrom navigating the healthcare system to providing emotional support, Almost Home Kids introduces families to a continuum of care that is community based.

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Almost Home Kids — 2013 Annual Report

Almost Home Kids 2013 Annual Report Liska + Associates 691021 11.12.13 Revision 2

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Medical Home Model

The child is ready to be discharged from the hospital, but parents and other caregivers need to continue learning their child’s care and home support needs to be established.

Child is diagnosed with complicated health care needs during acute phase at hospital.

Transitional Care offers short-term care for the child, care coordination and training for caregivers.

Respite Care offers a safety net in the continuum of care.

Trained caregiver takes the child back home.

Parent needs to take a short break.

Almost Home KidsHospital Home Environment

Clockwise from top left: Crystal with Dienice (AHK Clinical Aide). Aiden with Jenna (AHK RN). Aaliyha with Cara (AHK RN). Miriam with her mom.

Page 6: 2013 Annual Report - Almost Home Kids...Almost Home Kids 2013 Annual Report Liska + Associates 691021 11.12.13 Revision 2 F inancial Review April 1, 2012 to March 31, 2013 Statement

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Almost Home Kids 2013 Annual Report Liska + Associates 691021 11.12.13 Revision 2

Financial Review April 1, 2012 to March 31, 2013Statement of Operations 2013 2012

Program Services 2,535,628 2,162,795

Contributions & Other Support* 734,591 731,235

Change in Value of Beneficial Interests 24,284 -33,420

Expense 4,044,728 2,647,040

Change in Net Assets -220,059** 972,727

Balance Sheet

Assets

Current Assets 754,101 1,330,886

Property and Equipment 1,797,524 1,541,682

Beneficial Interests 1,703,000 1,616,834

Total Assets 4,254,625 4,489,402

Liabilities

Current Liabilities 135,245 17,182

Long-Term Liabilities 957,897 1,090,678

Net Assets 3,161,483 3,381,542

Total Liabilities 4,254,625 4,489,402

41% Foundations

30% Individuals

17% In-Kind Gifts

11% Corporations

1% Civic and Religious Groups

Almost Home Kids Private Donations: $1,441,203

Days of Care

41%

30%

17%

11%

1%

2,639 2,728

4,375

FY 2010

2,446

FY 2009 FY 2011 FY 2013FY 2012

3,366

*Does not include In-Kind Gifts nor Temporarily Restricted Funds. **Loss attributed to expense required in advance of new facility opening in Chicago

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Almost Home Kids — 2013 Annual Report

Almost Home Kids 2013 Annual Report Liska + Associates 691021 11.12.13 Revision 2

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Our EfficienciesAlmost Home Kids has thrived in part because of our resilience and efficiency. While our children have complex medical needs, our model is simple. Our costs have remained low because of our dedication to providing the highest level of care at the lowest cost. With two homes in operation, we rely now more than ever on volunteer and in-kind support to keep our administrative costs at a minimum.

This year:

■ 86% of our costs go to programs and children; only 14% to administrative needs

■ Volunteers contributed more than 2700 hours of recreation, maintenance and clerical support

■ In-Kind donations of everything from beds and diapers to marketing and design consultation valued more than $240,000

■ Less than 2% of our children were re-admitted to the hospital within 30 days of being discharged from AHK

■ Almost Home Kids expansion to Chicago is projected to provide an additional 3,500 days of care per year. This translates to an estimated $22 million in cost savings to Illinois taxpayers with the two locations.

■ 100% of parents report a reduction of stress upon completion of the transitional care program at Almost Home Kids

This year we celebrated yet another milestone… the 1000th child served by AHK!

This October Kevin and his mother Mary Duenas came to AHK Chicago from Ann & Robert H. Lurie Children’s Hospital of Chicago for transition care to get ready for his next cardiac surgery.

On behalf of the more than 1000 children who have been served by Almost Home Kids, won’t you join us again in support of these very special children? Every dollar makes a difference, and our children and their families depend upon it. To make a gift of stock or discuss our giving options, please contact Raeann Olsen-Jackson at [email protected] or call 630-786-1765.

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Almost Home Kids 2013 Annual Report Liska + Associates 691021 11.12.13 Revision 2

Corporate and Civic CollaborationsCorporate and civic partners continue to make a tremendous difference at Almost Home Kids. Whether providing direct service or maintenance to one of our facilities or programs, or by supporting one of our events or needs with a monetary donation, corporate collaborations flourished in fiscal year 2013. Below are just a few examples of the impact made by our corporate and civic friends and neighbors this year:

■ Baker & McKenzie provided expert pro-bono legal advice and leadership this year, for which lead attorney Robert Deignan received our Share the Care Champion award at the 2013 Share the Care Ball

■ International Facilities Management Association (IFMA) – Chicago Chapter selected Almost Home Kids as their charity partner for the year which yielded more than $15,000 in event proceeds and introduced us to many new friends in the facilities management and hospitality industry

■ Lend Lease employees visit AHK Naperville for the seventh year in a row to provide landscaping and facility improvements.

■ Artist Jeff Zimmermann created an inspirational mural for the entrance to our 211 E. Grand Avenue home in collaboration with the design team from Gary Lee Partners.

Clockwise from top left: Baker & McKenzie pro bono team visiting AHK Chicago from left Bob Deignan, Debbie Grisko, Sali Guirguis and Ed Dunn. Jeff Zimmermann in his Chicago Studio. IFMA Bowling Challenge Winning Team Rightsize Facility Performance Debbie Abrams and Jeanine Taddatz. Lend Lease crew give the thumbs up with Juan, age 16.

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Almost Home Kids — 2013 Annual Report

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Almost Home Kids 2013 Annual Report Liska + Associates 691021 11.12.13 Revision 2

We Need Your SupportWith two homes to support and a vision that includes expansion within and outside of Illinois, our need for philanthropic support has never been greater. The generosity of individuals, companies and organizations have enabled our progress to this point and will be critical for our continued success.

Caiden spent months in several hospitals and underwent multiple surgeries and treatments for a newly diagnosed brain tumor. When it was determined that he would need to travel to the Chicago area for proton beam therapy treatment, OSF Children’s Hospital of Illinois Medical Center in Peoria recommended Almost Home Kids. Caiden’s treatment and successful outcome has required collaboration between several hospitals in addition to OSF including The Jim and Trudy Maloof St. Jude Midwest Affiliate Clinic, Central DuPage Hospital and Ann & Robert H. Lurie Children’s Hospital of Chicago.

“Every single member of the staff at the (AHK) location in Naperville surprised me with their open arms and warm hearts because they made me feel like we had known each other for a long time and treated me like I was a part of their family. They did an amazing job taking care of Caiden even through his roughest times and never gave up on trying to make sure he had a great time. There were some amazing volunteers that also took time to play with Caiden and that made him feel special too. During our six week stay Caiden was a little boy and not a patient.” — Rebecca, mother of Caiden

Clockwise from top left: Christopher, 3, with volunteer Kara. Kailyn, 14, with nurse Danielle. Quentin, 15, with tutor Michelle. Zain, 18 months, and Lauren. Jasper, 7, with his mom.

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Almost Home Kids 2013 Annual Report Liska + Associates 691021 11.12.13 Revision 2

Individual Donors

$25,000 and greaterAnonymousDorothea Hanning TrustJames R. English and JoAnn Crowe

$10,000 - $24,999 Rosemary and Gary JonesMary and Bill NeustadtNicole and Doug TruaxThomas M. Curran, Sr. Memorial Fund

$5,000 - $9,999Michael G. BusseMarcia Glenn and James HoagChristian HellerJanet and Jeffrey JonesDr. Ann Karch and Gary KarchKarin and Joshua PrangleySusan J. SchwartzDarlene and John ScottAbbe and John BlacketorDeborah A. and Steven E. Grisko

$1,000 - $4,999Carrie and Tord AldenEricka and Michael ArbourMark AselLaurie and Dale AshcraftSuzanne and David AugustynSusan AxelrodKim Moreland and Jason BeansJessica BeaucheminMaureen M. and Robert J. BinglePaul BogdanskiDebra BoyceSuzi Bramson Brooks and Charles BrooksHelen and Donald BrownRobert BudayAngie and Brian BybeePenny Cate and Ken M. RosenzweigJoyce and John CipollaMona ClaytonJoan CloleryJen CluneSusan ColemanMary Pat and Desmond Curran, Sr.Theresa and Robert DankoJoe DealterisAmy EgelstonDeb FiddelkeMike FrazinRosemary and Donald FryJoel N. GoldblattJoanne and Travis HaldemanMark W. HenningDr. Michael T. Hoffman and Erica HoffmanJen and Daniel HorsleyCarolyn and Joe JohnsonNancy M. and Edward A. KarasekCarol and Ted KaussDr. Mary Keen and Charles KirchoffBethany and Brad KeownDana KochAlene KorbyAnonymousLeann and Patrick LazzariChristine and Darryl LevineSteve LorenziniFern and Stan ManneGina MasciopintoKim and James McKinneyCasey MeyerKathy and George Michalpoulos

Matthew MillerSharon MoceriKathleen McDonald and Joseph MonahanJayme and Robert MurielJeni and Ryan MurphyColleen and Tom MurrihyElizabeth and David NehfJulie and Jon NeustadtMolly and Paul NeustadtBarbara NeustadtDiane and Doug OberhelmanKathy OlechowskiRonald C. OlsenJason PammlerLinda and James ParckGinny PasiekaRussell J. Pass and Mindy KalchmanMichael PhilippiAllison and Andrew RemakRobert ReynoldsKathy and Tom RothChristopher and Dianne SchenkenbergThe Stoelting Family Charitable Giving FundSarah TromansDr. Sabrina TsaoJennifer TurnerShawn TyrrellBarbara and John WardSusan and Michael Wolz

$500 - $999Dennis BartolucciMollie M. and John R. CarrollIrene CataneseFelicia and Phil CohenEnrique CorralSusan and John CurranGail CutlerAdam B. d’AugusteTripp DavisKevin P. DonovanCharlie DudleyMartin DudleyElizabeth and Martin DugganJim FadelinKathleen and Thomas FeifarLarry FeyWesley FiddelkeMarlene FrankeMichelle FriesJosette Goldberg Klopfer and Steve KlopferBrenda and James GruseckiMidge HanoGeri and Gregory HansenCarolyn HarperDavid HeinzRobert HermanPatricia and David HessScott HodesPatrick HoltzmannSusan HuntLoretta JulianDan KardatzkeJoan and William KelleyMr. and Mrs. Tom SchrickelEllen and Daniel LeemputteKenneth LudwigNancy LyonCatherine and James MaddenGeorge MansourDan McPherrinMary and Kevin MitchellPaul MokdessiJane Morrison Memorial Fund

Kathleen and Todd Mulcahy ParadisShawn and Matt MullarkeyTejal and Marty Mullarkey, Jr.Lisa and Michael MullarkeyJames O’ConnorBrian OttensFranklin OttensGayle and Philip PerzekElizabeth and Ronald PieroniNancy A. PorretMrs. Carol Prins and Mr. John HartAnn and Sean ReardonChristina RicePaula RichardsonWallace RobertsThomas RyanSandi SchlueterDobson SchofieldTom SchreickleJoel SchrieverDee and Raymond SchumacherStephen SehlerAnne and Peter Shannon, Jr.Stephen SilversteinJuliana and Bernie SimmonsMaryBeth and Bob SmithJoanne C. Smith, M.D.Elana Spitzberg and Avi MarkowitzScott SterbaLindi StrobelPaul TenutaStephanie and Jack ThurstonJoan and Greg VrablikLea C. WayneSusan and Bob WislowBeverly and Arnold Yusim

Companies, Corporations and FoundationsAareteAdvanced Data TechnologiesAmicus FoundationAnonymousAon FoundationArch Insurance GroupBank of AmericaAlvin H. Baum Family FundAlfred Bersted FoundationWilliam Blair Company FoundationBlue Cross Blue Shield of IllinoisBMO Harris BankHelen Brach FoundationThe Breen Family FoundationCareerBuilderChicago Fire FoundationChicago SoccerThe Coleman FoundationCommunity Bank of Downers GroveCompusystemsCorboy and DemetrioDelta Dental of IllinoisDesign Center at Merchandise Mart Properties, Inc.Enterprise Holdings FoundationExecutive Construction Inc.The Field Foundation of Illinois, Inc.Gary Lee PartnersGrant Thornton LLPLeo S. Guthman FundDorothea Hanning TrustHinsdale Bank & TrustThe John R. Houlsby FoundationIllinois Women’s Soccer LeagueJessica Jones Charitable Fund

AcknowledgementsAlmost Home Kids is extremely grateful for the support of donors and volunteers. We thank the following individuals, foundations, corporations and civic groups for their contributions received from April 1, 2012 through March 31, 2013.

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Almost Home Kids 2013 Annual Report Liska + Associates 691021 11.12.13 Revision 2

Kardos Family FoundationLexisNexisAnn & Robert H. Lurie Children’s Hospital of ChicagoMeson SabikaMonarch LandingMullarkey Associates, Inc.Neuco, Inc.Ostrow Reisin Berk & AbramsThe Owens FoundationPricewaterhouseCoopers LLPThe Private BankSheraton Chicago Hotel & TowersSignature BankSilicon Valley BankSonoma County VintnersStefani Management ServicesTopfer Family FoundationTrustmarkTurano Foundation, Inc.Tyco Pac Charitable MatchUS Equities RealtyVeritas Risk ServicesWeist Foundation

West Monroe Partners, LLCWolf & Company LLP

Civic and Other Non-Profit Organizations100 Women Who Care - Downers GroveCollege of DuPage Service GroupDowners Grove Area Newcomers ClubInternational Facililities Management Association - Chicago ChapterPresbyterian Women Of Knox Presbyterian ChurchNaperville Mayor’s Golf OutingNaperville Noon Lions FoundationNeuqua Valley High School OrchestraHenry Puffer SchoolSt. Margaret Mary ChurchSt. John of the Cross Catholic Women’s ClubUnited Way of Metropolitan ChicagoWoodridge JayceesYomechas Indian Guides

While we greatly appreciate gifts of any amount, due to space constraints we cannot list every donor who supported us this year. Those listed here and hundreds of other partners have made a tremendous impact on the lives of the children and families we serve.

Almost Home KidsBoard of DirectorsBill Neustadt Neuco, Inc., Proprietor & CEO Chairman/Board President

Josh Prangley JP Morgan, Vice President, Investment Banking Vice Chair

Matthew Mullarkey Centerpoint Properties Sr. VP, Special Projects Treasurer

Nancy Karasek Wintrust Financial Corporation Secretary

Theresa Danko VOA, Sr. Vice President, Business Development

Marcia Glenn Business Advisor

Michael Hoffman, MD Elmhurst Clinic, Pediatrician

Douglas Truax Vertias Risk Services, President Immediate Past President

Christopher Schenkenberg Grant Thornton, Partner Member at Large

Deborah A. Grisko, RN Almost Home Kids, President and Executive Director

Paula Noble Ann & Robert H. Lurie Children’s Hospital of Chicago, Chief Financial Officer

Michelle Stephenson, DNP, RN, NEA-BC Ann & Robert H. Lurie Children’s Hospital of Chicago Chief Patient Care Services Officer & Chief Nurse Executive

Committee Members

Dan Ault Cabrera Capital Partners, Principal

Paul Bogdanski Grant Thornton, Senior Manager

Julia Chappell Design Center at the Merchandise Mart, Managing Director, Marketing

Jen Clune Clune Construction, Sr. Vice President

Catherine Corbin Cannon Design, Senior Associate

Adam D’Auguste Lend Lease, Vice President

Kevin Dolan Community Volunteer

Amy Egelston Plante Moran, Senior Director

Marlene Franke, CPA ORBA Business Development Manager

Josette Goldberg Goldberg Executive Coaching President

Kimberly Hyla Millennium Garages, Director of Marketing

Carolyn Johnson Continental Automotive, Senior Staff Engineer

Ann Karch, MD Pediatrician

Bethany Keown Community Volunteer

Marty Koehler Mid America Group

Ryan Murphy PricewaterhouseCoopers, Partner, Investigations and Forensics

Karin Prangley Krasnow Saunders, Attorney

Ann Reardon Boeing Company, Manager Strategic Benefit Plan Initiatives

Lynn Rodgers Community Volunteer

Bill Rogers Jones Lang LaSalle, International Director

Tom Roth Village Bank and Trust

Susan Schwartz Corboy & Demetrio, Partner

Marita Sullivan JMG Financial Group, CEO

Sarah Tromans The Drake Hotel, Director of Finance

Shawn Tyrrell Adventist Hospitals Vice President/Chief Nursing Officer

Kathy Wennerstrum Community Volunteer

Medical Advisory CommitteeMichael Hoffman, MD Elmhurst Clinic, Pediatrician Chair, Medical Advisory Committee

Allison Bartlett, MD, MS University of Chicago Medicine Comer Children’s Hospital, Associate Director, Infection Control

Chris Bender, MD Ann & Robert H. Lurie Children’s Hospital, Pediatrics

Patti DeJuilio, MS, RRT-NPS Central DuPage Hospital

Larry Desch, MD Advocate Hope Children’s Hospital Division Chair, Pediatric Dev.

Denise Goodman, MD Ann & Robert H. Lurie Children’s Hospital, Attending Physician, Critical Care

Natasha Henner, MD Ann & Robert H. Lurie Children’s Hospital, Dept. of Pediatrics

Ann Karch, MD Pediatrician

Dr. H. Kim, MD Edward Hospital Director of Pediatric Emergency Room

Francine Pearce, MD PFF, Ann & Robert H. Lurie Children’s Hospital of Chicago

Preetha Prazad, MD Pediatrician

Christine Sajous, MD Loyola University Medical Center Pediatric Neonatologist

Kitty Shannon, RN, MSN, PNP-BC Ann & Robert H. Lurie Children’s Hospital of Chicago

Peter J. Smith, M.D Comer Children’s Hospital at University of Chicago Associate Professor of Pediatrics

Amy Sun, MD Advocate Lutheran General Hospital Physical Medicine and Rehabilitation

Keith Veselik, MD Loyola University Medical Center Primary Care Center Assistant Professor of Pediatrics

Almost Home Kids Members:

Carrie Alden, RN MSN CPNP AC/PC AHK Chief Clinical Program Development Officer

Layenie Anderson, RN AHK Director of Case Management

Deborah A. Grisko, RN AHK President and Executive Director

Kathy Jo Stegman, MBA, RN, BSN AHK Chief Nursing Officer

Almost Home Kids would like to acknowledge the dedicated individuals who serve on our Board and Committees.Their work and involvement makes an immeasurable difference in the lives of our children.

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Almost Home Kids 2013 Annual Report Liska + Associates 691021 11.12.13 Revision 2

Naperville Location 7 S 721 Route 53 Naperville, Illinois 60540630.271.9155

Chicago Location 211 E. Grand Avenue, 6th FloorChicago, Illinois 60611

AlmostHomeKids.org

Connect with us on Facebook for daily Almost Home Kids updates! facebook.com/AlmostHomeKids

“Blue Cross and Blue Shield of Illinois is honored to support the amazing work of Almost Home Kids,” says Karen Atwood, President of Blue Cross and Blue Shield of Illinois. “I’ve been there, I’ve seen the smiles on the caregivers and volunteers who bring such wonderful positive energy to caring for these children who are medically-fragile. The name says it all – parents know it is the next best thing to having their children at home.”

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