2016 | Annual Report

Changing Lives

The heart and science of medicine.

FROM THE PRESIDENTThe letters and emails

I receive almost daily

from patients and their

families are reminders

of the impact we have

on so many lives.

Health care is complex,

challenging and ever-

changing. And at the

same time, it’s deeply

personal. The notes I receive are a frequent reminder

of that.

The ability to truly make a difference in the lives of

our patients is a daily challenge. Confidently, it’s one

that our team rises to each day as we devote our

heads, hands and hearts to our patients and each

other. The physicians and employees who work here

are an exceptional group of professionals who do

extraordinary work. They focus their collective

energy and skills on our Patients & Families, our

People and our Community.

In this 2016 Annual Report, you’ll read about

the programs, services and people that are truly

changing lives. You will also learn about the vital

role the community plays in our success. From

supporting the wide variety of CVPH Foundation

events and activities to direct donations to the

Foundation’s funds and initiatives, we’re fortunate to

be part of a community that believes in our mission.

Because of this tremendous support, the Foundation

continues to be a driving force in the health and

wellbeing of our region.

This report also provides a snapshot of the year’s

challenges and accomplishments. As health care

continues to move toward a population health

paradigm, we’re developing new affiliations, creating

new programs and adapting existing services to

embrace change and secure a brighter future. As a

member of The University of Vermont Health Network, we

are better positioned to not only adjust to the new health

care landscape but to take an active role in shaping it.

2016 was a year of introspection and building bridges.

We’ve reconnected with our roots, celebrating one of our

founders, William H. Miner and we committed to fostering

a work environment that is supportive and nurturing to

the personal and professional development of our team.

At the same time, we’ve looked beyond our organization

to partner with others in a quest to support a healthier

community.

On behalf of the Board of Directors, I want to thank

everyone who has played a part in this remarkable year.

Your efforts have laid the groundwork for an exciting new

chapter in this organization’s future.

Stephens MundyPresident & CEO

John Rock feels great these days – and grateful to the Cardiology team from The University of Vermont Health Network. The retired NYSEG lineman credits the team with not only saving his life but changing it in a very positive way.

John was an athlete in his youth but admits that as time passed, some bad habits took hold. Poor diet choices and a sedentary lifestyle began to take their toll. A routine visit to his primary care doctor changed all that.

“I was being treated for high cholesterol and Dr. (William) Pelton heard something odd when he was listening to my heart. He sent me for a stress test and I failed it.” John was then referred to The University of Vermont Health Network - CVPH Cardiology and was scheduled for a catheterization with Dr. Timothy Garrand. “I had so much blockage (in my arteries), the doctor could not place a stent. He told me I was critically ill – 90% of my widow maker was blocked,” Rock explained.

The widow maker is a term commonly used to describe the vessel that runs along the front of the heart (the anterior interventricular branch of the left coronary artery). Should that vessel become blocked, especially at its beginning, the entire front of the heart is deprived of blood which can cause life-threatening consequences. “I had no symptoms – no chest pain – nothing. Dr. Pelton just picked up on something. They told me I was lucky (he did).”

“That was on Tuesday. The next day I was in an ambulance and headed across the lake to The University of Vermont Medical Center. Dr. Frank Ittleman performed open heart surgery the next day.”

Cardiovascular services are one of the first integrated services in The University of Vermont Health Network. Patients are diagnosed and receive care as close to home as possible and benefit from an entire team of cardiac specialists.

John believes the surgery in Burlington, VT was not the end of his journey with heart disease but rather the beginning of a new life. Shortly after his surgery, he was referred to Cardiac Rehabilitation at CVPH and that’s where he met Shirley Doolen, RN, Pam Ryan, Certified Clinical Exercise Physiologist and Ann Watts, Registered Dietitian and Certified Diabetes Educator.

“They changed my life,” he states emphatically.

According to Dr. Christopher Palma, Cardiac Rehabilitation Medical Director, “It is important to acknowledge that cardiac surgery and/or angioplasty with stenting is only half of the process in treating a cardiac patient. The potentially more important component in helping a patient attain a durable outcome is the positive lifestyle changes a patient makes (after their cardiac event).”

Our Accredited Cardiac Rehabilitation Program gives our patients the foundation they need to move forward and make positive lifestyle changes that help them approach living their lives more confidently and healthfully, according to Dr. Palma, who is board certified in cardiology.

Cardiac rehabilitation is a supervised program that incorporates progressive exercise and education, including dietary and lifestyle counseling. It helps patients confidently develop therapeutic lifestyle changes after a cardiovascular event, according to Dr. Palma. “Numerous studies have shown that patients have better survival when they complete a cardiac rehabilitation program.”

“They Changed My Life.”

Our nationally recognized heart program partners with The University of Vermont Medical Center, one of the country’s leading academic medical centers. Together, access to the latest treatment options is available to cardiac patients in our region.

“John came to us with an open mind and was ready to make some changes. He had a wake-up call and knew he had to change his diet, exercise more and change his lifestyle,” explained Pam.

Shirley agrees. “John was motivated to make the lifestyle changes he needed to, such as adding exercise back into his life, changing his dietary habits and soaking up as much information about heart disease and what he could do to make this second chance work.”

The Cardiac Rehab team teaches patients about the importance of exercise, a healthy diet, stress reduction and other lifestyle changes but, Pam points out, they have to actively participate for the real change to take hold.

CVPH Cardiac Rehabilitation team from left, Certified Clinical Exercise Physiologist Pam Ryan, Registered Nurse Shirley Doolen and Registered Dietitian and Certified Diabetes Educator Ann Watts celebrate Cardiac Rehab Graduate John Rock continued success and health. Pam, Shirley and Ann work with cardiologists, physician assistants, nurse practitioners and pharmacists to provide patients with the necessary tools to make lifestyle and behavior changes after a cardiac event.

You have to have a positive attitude – that’s 80% of it. This will change your entire life for the better.

JOHN ROCK | former patient

Shirley said that the experienced Cardiac Rehab team also has access to a variety of other health professionals who can help patients with questions or who need additional help. “We have a wonderful resource pool to go to such as our cardiologists, nurse practitioners and our physician assistants. Having a Registered Pharmacist available to discuss medications is very helpful too.”

“They are fabulous!” John, who is 75 pounds lighter, said. “The information they gave me and what they taught me has changed my life.” He walks at least 2 or 3 times a week, at least 30 minutes each time. He said he’s more aware of what he eats. Vegetables, fruits, nuts, and chicken are mainstays of his diet now. “I used to like my pizza and beer,” he added. Since cutting back on sugar and salt, John said he feels great. “I just feel so much better.” Keeping up with grandchildren is not a struggle.

“Of course, you’re a bit nervous when you start out. But they are there to supervise and encourage. They check on you and make sure you are doing okay – not too fast or too slow.”

“You have to have a positive attitude – that’s 80% of it. This will change your entire life for the better. I was sad when it ended and I’m really glad I did it. I still check labels on the food I eat. It’s a great program and I have nothing but praise for them.”

The CVPH Emergency Department (ED) triage nurse greets the shy 39 year-old man as if they were personal friends. “What brings you here today,” she says, with a slight emphasis on today. The nurse recognizes the man – it’s not his first visit to the ED - it’s his 23rd in the past 120 days.

The CVPH ED sees 48,000 patients each year. A small percentage of those patients are considered super utilizers – they are return customers who have a multitude of physical and behavioral health concerns as well as psycho-social challenges that are often difficult to address in an Emergency Department setting.

“Emergency Departments are not set up to care for patients like this. We are designed to treat the medical issue and admit or discharge,” explained Ken Thayer, Associate Vice President of Patient Care Operations and former Emergency Department Director. He added that not being able to meet the needs of these patients is a huge frustration for the staff. “They want to help; it’s what they do. Sometimes it’s simple things that could make a huge difference for these patients, like having transportation, but we’re not equipped for that.”

Super utilizers put a strain on an already overtaxed system and contribute to the skyrocketing costs of health care. Two percent of the Adirondack Health Institute’s Medicaid enrollees are defined as super utilizers. They account for 26% of the ED visits (by Medicaid recipients) and 28% of inpatient admissions. Medicaid spending on these patients is 2.3 times greater than recipients who are not super utilizers. It spends about $19,000 on each super utilizer and just $8,000 per Medicaid recipient (not considered a super utilizer).

Across New York State, super utilizers also account for a large number of ED visits and inpatient admissions both of which drives a high rate of spending. A review of 2015 state-wide Medicaid claims indicates that super utilizers drive 21% of ED visits and 34% of inpatient admissions by Medicaid enrollees. The average spending per super utilizer over a one year period of time is 4.1 times greater than for no super utilizer recipients.

As part of the state’s Delivery System Reform Incentive Payment Program (DSRIP), a federally funded initiative designed to reduce avoidable hospital use over several years, CVPH has been designated as a hot spot for super utilizers. To help address this concern, the ED enrolled in the Medicaid Accelerated Exchange Series program which brings front line clinicians together to redesign the way care is delivered to this patient population.

A team was assembled that included members of the CVPH ED staff, other hospital specialties and five community organizations: AHI Medical Home, Champlain Valley Family Services, Behavioral Health Services North, National Alliance on Mental Illness, Clinton County Mental Health and the Department of Social Services. The team identified 91 patients (those who had visited the ED 10 or more times in one year) who logged 1,245 visits and 243 inpatient admissions over the course of a year. Patients were invited to participate in the program and assessed to identify non-medical issues that may have led to their admission either to the ED or to a hospital inpatient unit. Connections to outside agencies that may be able to assist with the concerns were also facilitated.

A novel approach to caring for complex patients yields impressive results

These patients are often socially isolated...They have health concerns with no easy medical fix.

KEN THAYER | Associate Vice President of Patient Care Operations

The results of the team’s work are impressive. The 39 year-old man welcomed by the triage nurse is a primary care taker to his disabled wife and suffers from anxiety and social issues. After participating in the program and working with the team, his hospital visits decreased by 65%. Another patient who suffers from anxiety, OCD and depression had 21 visits to the ED in 3 months prior to his participation in the program. After working with the team, he’s had one visit.

Thayer explained, “These patients are often socially isolated. Some (but not all) have substance abuse issues. They have health concerns with no easy medical fix. All see the ED as the only place they can turn to; they don’t feel as if they are in control of themselves or their health care.”

The 39 year-old caretaker agreed. “I have had anxiety with panic attacks for my whole life. For years there have been people that thought I was either faking or I could control what happens, and that is incorrect. This caused me not to trust many people for years.”

The CVPH Emergency Care Department sees about 48,000 patients each year. A new approach to caring for complex patients (which make up a small percentage of their patient population) is yielding impressive results.

“The thing that led me to join the program is the fact that I had to use the Emergency Room approximately 30-40 times in a few months, mainly due to severe panic attacks and the loss of my psychiatrist. The added life stressors on top of everything were making the problem worse. I was shutting down and panicking more and more. In my own head all the stress was completely wearing me down physically and mentally,” he explained.

Thayer added that collaboration and an understanding that every patient is unique and will require an individualized care plan are keys to the team’s success. “Our approach has been different. The team first established a working relationship with the patient, identified barriers to care and provided connections to and engagement with

resources within the community. When he or she comes to the ED, the Case Manager is called in and we follow through on the plan.” He explained that persistence and communication in real time have also been contributing factors. “I think all involved agree that this initiative has changed lives.”

Holding a cup of coffee today means a bit more to Mike Bond of Plattsburgh than it used to. After a horrific work-related accident, there was some question as to whether or not he’d ever be able to hold anything in his right hand again. But Mike’s can-do attitude, coupled with strong support from family and a great partnership with Certified Hand Therapist & Sr. Occupational Therapist Rebecca McCambridge, has put a warm cup of comfort in his hand once again.

Bond was working as a machinist for a local manufacturer in April of 2016 when his right-arm coat sleeve was caught in the mechanisms of a machine he was working on. “It was like something grabbed my arm from behind,” Bond said of his initial thoughts as he grappled to remove his appendage from the machinery. “I guess I was running on adrenaline because I didn’t feel any pain. When I got my hand out, I didn’t look at it,” he added. “I remember thinking, ‘Man, I almost messed up my arm.”

His supervisor quickly applied a tourniquet to the arm and got Mike to the Emergency Department where he was seen by Dr. Marissa Matarrese, board certified plastic, hand and reconstructive surgeon of CVPH Plastic, Reconstructive and Hand Surgery. Despite all attempts to save the hand, the damage was so severe – with uncountable broken bones and severed arteries, tendons and nerves – that the only viable option was amputation.

“I thought I had lost my best friend,” he said of waking from the surgery to learn of the procedure to remove his right hand and lower half of the arm. “Part of me had died.” That feeling of despair did not linger.

“Mike had a very positive attitude towards his recovery and was willing to discuss early prosthetic use. He took an active role in researching different

types of prosthetics,” explained Rebecca. The two began working together two weeks after his surgery. “On the very first visit, I realized that he could still actively contract some of his finger muscles. “I decided that Michael would be a good candidate to be given a myoelectric hand versus a standard (cable-style) system and started to do the research,” she said.

The myoelectric hand uses nerve impulses from the brain to stimulate hand movement. Mike operates the hand using his own muscles, not a cable. Each myoelectric hand is tailor-made for each client. It offers someone like Mike, with a trans-radial amputation, a self-contained unit with 7 types of movement. “It’s a huge advancement to the older style prosthetics,” Rebecca added.

Once the decision was made to pursue the high–tech prosthetic, they began working on neuromuscular reeducation techniques, guided imagery and desensitization techniques to lessen the phantom limb phenomenon and assist with muscle memory. At home and with the support of family, Mike worked on daily range of motion, endurance training and of course, wound care including the shaping of his residual limb to fit in a prosthetic.

At 58 and right-handed, he had lived his entire life relying on the appendage for work and personal activities. The traumatic injury has changed all that but he said he does not consider himself handicapped, and though he believes it will be difficult for him to return to his normal work as an electrician/mechanic, he still has plenty of goals to remain active.

A positive attitude, high tech and expertise offer a stronger grip on a bright future

With the complexity of health care, our Key Results (Our Patients & Families, Our People and Our Community) provide us with focal points on which to dedicate our energy, resources, and passion for high quality patient care. They offer straightforward targets to align our efforts. How are we contributing to the patient experience? What are we doing to help the organization remain financially viable so we can continue to provide great care? How are we treating each other and how is the culture impacting the care we provide? Asking these questions helps us to align everything we, as an organization, say, think and do. Our key results provide clarity, de-cluttering our world and are exceedingly valuable in set our priorities. The following are some of our 2016 highlights with a spotlight on the Key Results:

“I used to play the piano and guitar,” he said. “I never considered being a recording artist, but now maybe I can do something in music.” His brother-in-law has rigged a device he can use to help strum the guitar with his prosthesis. Mike says he is thankful of the support he has received from his daughter, Monique Williamson, and her husband, Jason, who have helped him cope with the changes the accident has had on his daily life. Mike and Rebecca continue to

work weekly at the CVPH Hand Clinic to improve his daily living activities. Mike can use both attachments to his myoelectric prosthetic – the hook and the hand. Rebecca explained that the hook helps with smaller, finer motor tasks like holding silverware where the hand is best used for general grasp/release activities – like driving or holding a warm cup of coffee.

GIVING LOVE A HELPING HAND The R3-Progressive Care Unit hosted a very special event in November when Jenn Dashnaw and Gilles Carter were married with the help of a number of staff members. Jenn’s dad, Daniel Dashnaw was a patient on the unit and in rapidly declining health. Because she couldn’t imagine getting married without having her dad walk her down the aisle, the bride-to-be and her fiancé, decided to abandon the September wedding date and tie the knot as soon as possible. Three days later, in a transformed hospital room, the two were married. Presiding over the nuptials was Rebecca Shutts, RN, Progressive Care Operations Manager who is an ordained minister. Food Service Worker Jane Zinchelli loaned the couple an arch for the wedding and Marketing Communications Specialist Courtney Coryea served as wedding photographer while Vice President and Chief Quality Officer Wouter Rietsema, MD edited the photos after the event. There were many staff members who pulled together to make the day a memorable one for the Dashnaw-Carter Family. “It seems like some people, they go to work and it’s their job, how they pay bills,” said Jeanne Dashnaw, mother of the bride in a Press Republican news story about the special day. “But what they’ve done for my family and what they do for their patients shows that care.”

OUR PATIENTS & FAMILIES

Debbie Gardiner, PT, CHT, ATCRebecca McCambridge, OTR, CHT

OUR KEY RESULTS

I never considered being a recording artist, but now maybe I can do something in music.

MIKE BOND | patient

Suite 103, 214 Cornelia St.,Plattsburgh, NY 12901

JOINT COMMISSION SURVEYORS IMPRESSED The Joint Commission Accreditation Follow up Survey was successful in addressing all of the areas of opportunity for improvement from our Triennial Survey. The unannounced two day survey evaluated compliance with the hospital standards related to environment of care, medication management, infection control and prevention. The surveyor conducted staff interviews and onsite observations. One finding for improvement was the Workstation on Wheels (WOW’s) in the hallways. Receiving The Joint Commission’s Gold Seal of Approval for Hospital Accreditation demonstrates CVPH’s commitment to providing safe and effective patient care.

SAME DAY DISCHARGE FOR SOME PCI PATIENTS Invasive Cardiology now evaluates patients for same day percutaneous coronary intervention (PCI) discharge. This program improves patient satisfaction by allowing the patients who are medically able to return home to recuperate. Cardiology nurses follow up with phone calls the next day to be sure the patient has everything they need and their questions are answered.

Traditionally, PCI patients were being observed for one night post procedure with the exception of acute myocardial infarctions (MI). These patients generally stay two or more nights depending on their conditions. Dr. Eric Gauthier, Interventional Cardiology Medical Director and Beth LeClair, Manager Invasive Cardiology, with input from our network partner The University of Vermont Medical Center (UVMMC) created an algorithm which allows the team to evaluate each PCI patient to determine eligibility for same day discharge. UVMMC and St. Peter’s in Albany have same day PCI discharge programs and report great success. Studies have shown that approximately 25% of the patients are eligible for same day discharge which would give us an average of 13 same day discharges a month translating to an increase of 156 available beds per year.

INTERVENTIONAL RADIOLOGY EXPANDS The Interventional Radiology (IR) Department unveiled its state-of-the-art suite in November. The new addition enables more patients to benefit from this diagnostic and treatment service. IR offers patients minimally invasive, image guided diagnosis and treatment of diseases in nearly every organ system. Patient benefits include quicker recovery, less pain and reduced risk of complication. From left, Curt Snyder, MD,

Chief of Radiology and Interventional Radiologists

William Pace, MD and Julio Lemos, MD cut the

ribbon during the grand opening.

SPECIALIZED CARE OF THE OLDER ADULT PATIENT The R7 team is breaking new ground in the care of older patients, adopting the Nurses Improving Care for Healthsystem Elders (NICHE) program. NICHE, a nurse-driven initiative, uses evidence-based protocols to address issues specific to the older adult patient, improve outcomes and increase patient and family satisfaction levels. Last year, 52% of our Med-Surg population was 64 years old or older. These patients have unique needs and NICHE helps educate and support the team as they care for them. Fulmer Duckworth, III, Geriatric Resource Nurse is part of team focused on introducing NICHE to all Med-Surg units.

CVPH PATIENT TRANSFER HOTLINE As part of our ongoing effort to improve quality of care, a Patient Transfer Hotline was established to help facilitate rapid transfer and direct admissions of patients from referring facilities and to ensure the best possible outcomes. By calling a dedicated phone line, representatives from referring facilities speak with an experience RN Case Manager who assists in getting their patient to the right bed, in the right facility.

VOLUNTEERS ASSIST WITH FALL PREVENTION The Patient and Volunteer Departments have teamed up to establish a program to keep patients safe. The patient care team, after developing protocols to assess the risk of falls, looked to volunteers for assistance. Volunteers are now visiting patients, acting as a second set of eyes.

Falls are the leading cause of hospital injuries and can extend a patient’s stay or complicate their recovery. Every year in this country, according to the Joint Commission, hundreds of thousands of patients fall in hospitals, almost half resulting in injury. At CVPH, more than 80% of patients are at risk. General health, medications and an unfamiliar environment are contributing factors.

Volunteers reinforce how to use the nurse call system and the importance of asking for help if needed. They make sure that items the patient may need or want are within easy reach and their pathway to the door or restroom is not obstructed. Concerns are communicated to the nursing staff.

OUR PATIENTS & FAMILIES

EMT OF CVPH EARNS EMS AGENCY OF THE YEAR AWARD Congratulations to the men and women of EMT of CVPH. They were named 2015-16 EMS Agency of the Year by Mountain Lakes Regional EMS Council. EMT of CVPH is comprised of 50 Emergency Medical Technicians (EMTs) committed to providing the very best pre-hospital care. The company services several towns and fire districts throughout Clinton County as well as providing inter-facility transports. Twenty-four hour coverage is provided for the eastern district of the Town of Plattsburgh, all of Beekmantown, Keeseville and Peru Fire Districts and part of Schuyler Falls. EMS assistance is provided to Chazy and West Chazy Fire District 16 hours a day. The company operates seven ambulances and takes great pride in the work they do. It shows!

PERATREND™ ASSISTS IN PATIENT CARE PeraTrend, a tool that assists in visualizing patient conditions providing opportunities in early intervention, was launched in September. It utilizes a scoring methodology that places 50+ measures in an automated algorithm that displays changes in a patient’s condition real-time. Accurate and timely documentation matters as it determines a patient’s trend in condition. These measures are patient data items that are collected from labs, vitals, and assessments in our current electronic medical record (EMR). PeraTrend is embedded in the electronic medical record allowing for easy access.

CWC TEAM EARNS BRONZE SAFE SLEEP DESIGNATION The Alice T. Miner Women and Children’s Center (CWC) staff was recognized for their work in achieving a bronze safe sleep designation from the National Safe Sleep Hospital Certification Program. Program organizers applauded the team for its commitment to best practices and education on infant safe sleep. The CWC is one of the first units in New York to receive the title. A multidisciplinary task force was created to address this important issue. Sleep related death results in the loss of more than 3,500 infants each year in this country. Education is key to the prevention effort. The team uses the slogan, Always Remember the ABCs of Sleep, in helping parents remember the basics of safe sleep.

• Alone - Your baby should always sleep alone. The safest place for your baby to sleep is in the same room as their caregiver, but not in the same bed.

• Back - Your baby should always sleep on their back.

• Crib - Your baby should always sleep in a crib. Use a crib or bassinet that meets current safety standards.

BACKPACK PROJECT COMES TO CVPH Each of the 70 backpacks displayed on our front lawn represented 25 people (age 10 and older) who were lost to suicide in New York in 2015. The Back Pack Project was sponsored by the Clinton County Coalition to Prevent Suicide to raise awareness about preventing suicide. Free school supplies were also offered. Occupational Health & Wellness, with a helping hand from a number of staff members, assisted in the successful and moving endeavor. Inside, a bulletin board memorialized the loved ones of staff members who were lost to suicide was on display near the cafe.

OUR PATIENTS & FAMILIES

A certificate of need was submitted to the New York State Department of Health for a 35-bed long term care unit on 5Main. The new unit will be built to meet the specific needs of our senior population. A majority of the new unit’s census will include patients who have special medical and behavioral needs. Our staff is uniquely qualified to care for patients who are medically complex. These patients traditionally pose challenges for other long term care facilities and our decision to create this unit is based on a continued need within our community for this type of long term care. Discussions with the Department of Health have also validated this need. When complete, the new unit will include 33 private rooms and one semi-private room, patient/family and staff lounges, enhanced bathing facilities, a dining room and an activity room. The physical nature of the current unit on 6Main has prohibited any significant renovations. The new unit will have 20 long term care beds and the capacity to care for 15 sub-acute patients. It’s expected that pending state approval, the construction project will take four to six months to complete. The total cost of the project is estimated at $1.4 million dollars. Once the 5Main renovation project is complete, the remaining patients on 6Mmain will be relocated to 5Main. Discussions on a plan to create a new Adult Mental Health unit on 6Main have begun.

CREATING A MEANINGFUL VIEW A staff-driven initiative has created a pleasing and meaningful environment at the Diagnostic Center. Lab assistants Nicole Cormick, Tawnia Boire and Shannon Creller paint ceiling tiles, each with a special meaning or message, and are installed in the ceiling of the Diagnostic Center, located in the CVPH Health Plaza.

INTERVENTIONAL CARDIOLOGY REACHES MILESTONE In October the Invasive Cardiology Department reached another impressive milestone when Dr. Timothy Garrand, Interventional Cardiologist performed the 6,000th percutaneous coronary intervention (PCI). Dr. Garrand opened the PCI program here and did the first PCI on January 12, 2005. He went on to do 202 PCIs that first year as the only interventional cardiology physician on staff. Our nationally recognized program now has four interventional physicians performing PCIs. Volume has also grown to an average of 600 PCIs a year. For the past eight years, we’ve earned national recognition for our services. Congratulations to all of the physicians, Dr. Timothy Garrand, Dr. William Bradley, Dr. Eric Gauthier and Dr. Roger Ishac for all of the exceptional care they provide every day to our patients. Without their professional expertise and dedication none of this would be possible. Also, a huge congratulations to all of the dedicated Interventional Cardiology staff pictured above: Michael Roulston, Shawn Newell, Brendon Thornton, Courtney Shutts, Tara Tarbell, Patti Darrah, Crete Decker, Melissa Dolaway, Beth LeClair, Heather Granger, Yamilee Clark, Hannah Warner, Sheila Marshall, Sevket Taskin, Jason Dubrey, Cy Britto, Tina Bedard, Susan O’Connell, and Michele Drollette who work side by side with the physicians each and every day to provide exceptional care to our patients.

SMOKING CESSATION PROGRAMS OFFERED Elise Rock, RN, Care Manager, Northern Adirondack Medical Home, became a certified Tobacco Treatment Specialist through the nationally-recognized Tobacco Dependence Program at Rutgers University. Through the Medical Home, Rock offers smoking cessation support and education.

PLANS FOR NEW LONG TERM CARE UNIT

OUR PATIENTS & FAMILIES

A GIFT FROM THE HEART Theresa Kempisty of the FitzPatrick Cancer Center coordinated a gift from the heart for her friend and Cancer Center patient, Matt Thompson. Matt, who is battling Hodgkin’s lymphoma, received tickets to a New York Yankee’s game. He and his family were also able to meet some of the players. Theresa spearheaded the effort to grant Matt’s wish through the Dream Foundation and is quick to point out that it was a real team effort. Kempisty, a Red Sox fan, and Thompson, a devoted Yankee fan met two years ago when he began his battle against cancer. The two have had a good natured rivalry ever since.

DR. DINO SANTORO RECEIVES FIRST DR. ROBERT L. COLLINS EXEMPLARY COLLEAGUE AWARD The Dr. Robert. L. Collins Exemplary Colleague Award was established to honor the late Dr. Robert L. Collins, mentor, colleague, physician, friend, and advocate for patients, families and co-workers. Dr. Collins was a shining example of what it means to be part of CVPH. Wearing his trademark orange Crocs, he helped us all be and do our best not only for the sake of patients but for our own personal and professional growth. Dr. Dino Santoro, psychiatrist was the first recipient of the award. Nominees were Julie Brunell, Human Resources, Dr. Keith Collins, Family Medicine Center, Greg Freeman, Occupational Health & Wellness, Michael Garvey, Pharmacy, Patricia Johnson, FitzPatrick Cancer Center, Jill Kanaly-Demers, Palliative Care, Cheryl Liberty, Nutrition Services, Billie Pearl, Rehabilitation and Richard Zeppieri, Pharmacy.

SAFETY AMBASSADOR NAMED Ron Paola became our first Safety Ambassador. Ron works in quality and promotes safety and health of all employees. This new role reflects our deep commitment to taking care of our people by creating an environment of safety and awareness.

HEALTH FAIR HIGHLIGHTS OFFERINGS Occupational Health & Wellness and Integrative Therapy hosted an Annual Health Fair that featured a variety of vendors and information about programs about walking programs, community supported agriculture, massage therapy and a number of other programs designed to help employees in their quest to live healthier and happier lives.

SIGN RE-DEDICATION President & CEO Stephens Mundy, left, along with William H. Miner Foundation Trustee Joseph C. Burke, center and Miner Institute Vice President Kirk Beattie helped to unveil a bronze sign that once hung in the Physicians Hospital. The sign included in a display that demonstrates our connection to Miner’s legacy and our Guiding Principle is located in our Lobby across from the Gift Shop.

CONNECTING OUR PROUD PAST WITH OUR BRIGHT FUTURE The re-dedication of a sign that once hung in the Physicians Hospital and the debut of the documentary “Heart’s Delight – The Story of William H. Miner” helped us celebrate our connection with Mr. Miner and his legacy in the North Country. Mr. Miner’s contributions to the Champlain Valley are vast. His reach went beyond the walls of Physicians Hospital to include Heart’s Delight Farm, a state of the art agricultural center, which later became Miner Institute; the first central school district in the country, Chazy Central School, several dams and powerhouses that provided electricity to the area. Coming from small beginnings, he accomplished great things.

Taking our cue from Mr. Miner, our guiding principle, “Every day, I devote my head, hands and heart to my patients, my peers and community” has become embedded into our culture. It connects our proud past to our strong future as part of The University of Vermont Health Network.

We rededicated a sign that was, we believe, first dedicated at the groundbreaking for Physicians Hospital in 1923. It was displayed at the hospital for decades before being retired to Heart’s Delight Farm. It now hangs proudly in our Main Lobby. The documentary was screened at the Strand Theatre with a special showing for the CVPH family.

FLAG DAY CEREMONY ON OUR FRONT LAWN Retired Navy Chief Joe Patnode of Facilities, left, and Army Veteran Jason Laundry of EMT of CVPH prepare the old flag for a proper disposal as part of the Flag Retirement Ceremony held on Flag Day. Thanks to Joe and Jason, Retired Air Force veteran Ken Thayer, RN, of the ED, Retired Army Captain Daniel Lee, RN, PCOC, Retired Navy Captain Kent Hall, MD, Administration, Retired Marine Gunnery Sergeant Dale Wells, AEMT, Retired Air Force Technical Sergeant Kent Faus, Security and Air Force Veteran Roger James, Biomedical Engineer for planning and executing this special event. Interfaith Chaplain Robert Basom offered opening and closing prayers.

OUR PEOPLE

RADIOLOGY SCHOOL CELEBRATES 50 YEARS The School of Radiologic Technology awarded 12 diplomas at its 50th Commencement Exercise in June. The graduation ceremony and reception were held on the front lawn of the hospital. As part of the school’s 50th graduation anniversary, Radiology Associates offered to match any donation made to the school which significantly contributed to the School’s coffers. On hand for the festivities were former members of the schools administration from left, Faye Ashline, Dr. Robert Buran and Jim Wilson.

TRAUMA EDUCATION DAY HELD IN MEMORY OF KAREN PREVO The Trauma Education Day has been renamed The Karen Prevo Trauma Education Day in honor of the late Trauma Manager Karen Prevo. Karen was the driving force behind the first Trauma Education Day. The event is a daylong educational opportunity offering staff up-to-date information about the care of trauma patients.

STUDER CONFERENCES FOCUSED ON QUALITY Many CVPH employees took advantage of the virtual Studer Conferences held here in early May. The Studer Group works with health care organizations to help them achieve and sustain exceptional improvement in clinical outcomes and financial results. The focus of the sessions was HCAHPS Quality of Care. Program topics included engaging patients, employees and physicians, developing front line leaders, shift huddles and rounding.

DIABETES PREVENTION PROGRAM RECOGNIZED BY CDC The National Diabetes Prevention Program (NDPP) coordinated by Occupational Health & Wellness received full recognition by the Centers for Disease Control (CDC). The recognition was awarded after a review of the program and it was determined that it met all of the CDCs standards. The NDPP is offered to employees who meet specific criteria, specifically they must be at risk of developing diabetes (either by risk evaluation or blood test). Participants work with health care professionals to address two major components of preventing Type 2 diabetes, exercise and nutrition. That coupled with group support helps modify lifestyle choices to promote optimum health.

CHIEF OPERATING OFFICER AND CHIEF NURSING OFFICER NAMED Michelle LeBeau was named Chief Operating Officer (COO) and Chief Nursing Officer (CNO) after the retirement of Debra Donahue. Debra stepped down after 35 years, most recently serving as COO.

Michelle began her career at CVPH as a Critical Care Nurse in 1991. After serving as a Home Health Administrator for Home Medical of America/Chartwell Caregivers from 1995 to 2002, she returned here as Employee Health Supervisor. In addition to her nursing degree, she holds a bachelor of science in business management and a master’s degree in Human Resource Management. “We have exceptional people doing extraordinary things every day. We come together to do our very best for our patients, each other and the community every day. I look forward to working and learning beside them as we achieve our next level of

success,” LeBeau said.

HELLER NAMED SNF ADMINISTRATOR Brad Heller returned to the Skilled Nursing Department as Administrator in July. Brad received a Bachelor of Science in Business Administration from Kentucky Christian College, Grayson, Kentucky in 1994, a Masters of Arts in Healthcare Administration from Dallas Baptist University, Dallas, Texas in 2004, and later completed his Licensed Nursing Home Administrator Core of Knowledge course from The Ohio State University,

Columbus, Ohio in 2005.

He has a strong background in long term care administration having worked for Altercare Skilled Nursing Facility of Ohio from 2006-2008, Millcreek Nursing and Rehabilitation from 2008 to 2009, and CVPH from 2009-2011. Most recently Brad has been Program Director for Mount Carmel East Wound Care Center in Columbus, Ohio.

PARTNERS IN KNOWLEDGE DAY A HIT The Clinical Education Manager Team hosted a Partners in Knowledge Day, a one-stop opportunity to learn lots of “good stuff” about the equipment, expertise, skills and services offered here every day. Wound vacs, bariatric beds, chest tubes, the Women & Children’s Center’s blood warmer, fluid warmer and a bladder scanner were on display and information about pharmaceutical waste, palliative care, restraints/seclusion and the Columbia Suicide Screening was available. Details about the American Association of Critical Care Nursing, Academy of Medical Surgical Nurses, Occupational Health & Wellness, Environmental Services were also on hand for the daylong event.

MGM GROWS Medical Group Management (MGM) welcomed 150 staff members of the MGM practices as CVPH employees. Urology and Interventional Cardiology practices joined MGM which provides administrative support to physician offices affiliated with CVPH and The University of Vermont Health Network.

OUR PEOPLE

FAMILY MEDICINE RESIDENCY WELCOMES FIRST CLASS The first class of Family Medicine Residents was announced in March - National Match Day during a celebration held in the Lobby. Ashley Bernotas,

MD of Toronto, Ontario, Aaron Esterson, MD of Montreal, Quebec, Therese Ray, MD of Cleveland, OH and Stephen Winfield, MD of Charlottetown, Prince Edward Island, began their training in Family Medicine here in July.

FAMILY MEDICINE RESIDENCY STUDENT LOAN RELIEF We’ve partnered with other northern New York health care facilities and The University of Vermont Health Network and The UVM Medical Group, to offer graduates of the Champlain Valley Physicians Hospital Family Medicine Residency up to $120,000 over three years to help offset their student loans. In return, the graduates commit to practicing in the region.

NEW HEALTH CENTER, OUTPATIENT PHARMACY PROJECTS RECEIVE STATE FUNDING Capital projects involving The University of Vermont Health Network received a total of $18,281,355 from New York State Capital Restructuring Financing Program (CRFP). CVPH patients will benefit from $5.5 million of that amount as plans can now advance to construct a federally qualified health center and renovate for additional behavioral health services.

The federally qualified health center, a collaborative endeavor with Queensbury-based Hudson Headwaters Health Network received $3.6 million in CRFP funds. Hudson Headwaters is a not-for-profit system of 17 community health centers. The health center will be located on the site of the CVPH Health Plaza and will provide comprehensive primary care to the entire community.

The renovation of space for an outpatient pharmacist and transitional care coordinator for our behavioral health patients received $1.95 million in state funds. The new outpatient pharmacy will be located across from the Emergency Department on the second floor of the hospital. The goal is to assist patients as they transition to outpatient care and improve medication adherence while decreasing unnecessary readmissions or visits to the Emergency Department. Projects in Ticonderoga ($9.1 million) and Malone also benefited from this capital funding program.

LAB HELPS VETERANS WITH SUCCESS HEP C SCREENING The Laboratory Team joined forces with the American Legion Post 1619 to conduct a Hepatitis C screening for veterans back in November at the Legion on Rand Hill Road, Morrisonville. Hepatitis C is a viral pathogen that can lead to liver cancer and death. Veterans who served between 1964 and

1985 are encouraged to be tested. The successful program received national recognition from the Veteran’s Association which has encouraged the local veteran’s organization to share the screening program with others.

BIG LATCH ON SUPPORTS BREASTFEEDING North Country families took part in the Big Latch on, a world-wide event to promote breast feeding as the gold standard in infant nutrition. Held on the hospital front lawn, moms and babies latch on at precisely 10:30 a.m., along with thousands of others across the globe. The annual event was sponsored by the Alice T. Miner Women & Children’s Center.

OUR COMMUNITY

NUTRITION SERVICES CELEBRATES BY GIVING BACK During National Health Care Food Service Week, the Nutrition Services team celebrated by giving back to the community. The team donated 1,300 pounds of pet food and other items to the SPCA. This team of professionals works hard each day providing superb customer service and great meals for patients, staff and visitors.

RECORD YEAR FOR UNITED WAY SUPPORT We contributed $61,763.74 to the United Way of the Adirondack Region exceeding our 2016 goal by $11,763 and $13,000 more than our 2015 donation.

ALICE HYDE MEDICAL CENTER JOINS THE UNIVERSITY OF VERMONT HEALTH NETWORK Alice Hyde Medical Center in Malone became the fifth hospital to join the University of Vermont Health Network. The inclusion of Alice Hyde in The Network strengthens a long term partnership between the hospital and The University of Vermont Medical Center, who have been clinically affiliated since 1997.

STEPHENS MUNDY NAMED RURAL HEALTH CHAMPION Stephens Mundy, President and CEO of CVPH, was awarded the 2016 Rural Health Champion of the Year award - an award from the Adirondack Rural Health Region (ARHN), a program of Adirondack Health Institute. The Rural Health Champion of the Year award recognizes an individual who demonstrates leadership and provides exceptional care to community members within the seven counties of the ARHN.

OUR COMMUNITY

From the Executive Director... CHANGING LIVES WITH THE SUPPORT OF OUR COMMUNITY Our community is getting healthier and our hospital is getting stronger thanks to the many generous Foundation supporters. Each year, your gift helps us reach thousands of people including our patients, our employees and our community. It’s often hard to quantify and truly understand the impact that your gift makes on our friends and neighbors. I share with you three stories to demonstrate how your support is changing lives:

GETTING HER LIFE BACK Imagine suffering a stroke and losing total use of your right side, your dominant side. That’s what happened to a local woman who quickly became frustrated with her new limitations and grew depressed. All that changed when she began to work with her rehabilitation therapist and used a mobile arm support (MAS) unit which was purchased earlier this year thanks to supporters of The Foundation of CVPH. The Rehab team says the MAS has made a huge difference for patients. Through use of the MAS, she has been able to strengthen her mobility and is relearning how to draw, use the computer and even cross stitch. Her family has noticed a huge improvement in her outlook and she feels she is “getting her life back.”

The MAS was purchased through our hospital department grant program. For 20 years, departments have made requests to a review committee who funds grants that have enhanced patient care. A five-minute presentation to the committee is required and offers them a glimpse at the passion the staff has for the job they do and the care they give. In 2016, The Foundation awarded $150,000 in grants to departments throughout the hospital. With growing demand and your support, we’re looking to increase this grant amount in the future.

GAINING FREEDOM A patient was house-bound for two years due to ill health and being overweight. Through partnership with a health coach, the patient and her family have become healthier. She’s now able to leave her home to go to medical appointments and is even taking walks with her family. Through The Foundation of CVPH Transitions Success Program, this patient was able to receive dietary consultation and drastically improve her life.

Transitions Success is a program that started in 2013 at the suggestion of nursing staff and case managers who identified the need to provide additional support to patients upon discharge so they can remain at home safely. There are items, some quite simple, which can make a big difference in maintaining health but some patients are not able to afford such as blood pressure cuffs, weight scales, dietary consults and medication co-pays. All are essential to the recovery process. Referrals come from nurses who follow up with patients after they are discharged and case managers who need to ensure the patient is going home to a safe, healthy environment. Costs range from $30 to $500 to help someone at home and in 2016 your support directly helped 40+ patients.

WATCHING OUT FOR HER HEALTH A surgical patient in her 20s struggled with diabetes and was quite unwell. It was during her pre-surgery appointment that she met Dr. Aaron Esterson, one of our new Family Medicine Residents, who was doing his surgical rotation. Upon inquiry, Dr. Esterson learned the patient did not have a primary care provider and was not seeking medical assistance to actively manage her diabetes. After encouraging her to get a primary care provider, Dr. Esterson was thrilled to see that patient in the Family Medicine Center, where he sees patients. She is taking control of her health and is now able to be the active young woman she has wanted to be.

Dr. Esterson is part of the first class of residents welcomed by the Champlain Valley Family Medicine Residency. The Residency was established to help improve access to primary care throughout our region. Foundation supporters have helped to expand the Family Medicine Center to accommodate these four residents and the classes that will follow them. In recent months, it has been announced that the program will expand to six residents per year, totaling 18 residents when the program is in full operation. Future donations will support the ongoing growth to further develop this program.

EVERY DONATION MAKES A DIFFERENCE These stories represent just a small number of the lives that you are touching. The people who are helped, the programs that are funded, the care that is enhanced and the lives that are touched, are all possible because of your support.

~ Kerry Haley Executive Director

The Foundation of CVPH offers a variety of ways that you can make a difference in our community:

• Annual giving

• Contributions in honor and memoriam

• Legacy gifts

• Stepping Out for Your Heart

• Families Helping Families 5K

• Jim Abbott & Dick Coffey Memorial Golf Tournament

• The Foundation’s Signature Summer Fundraising event

• Foundation of CVPH Mayor’s Cup Bike Ride

• Janice McLean Basket Raffle

• Vendor Sales

• Girl’s Night and Men’s Night Out

• And many events coordinated by kind-hearted community members

FOUNDATION

Each year many donors request that we restrict their

gift to a specific program or hospital department.

The following is a list of the recipients of those gifts

in 2016:

Adam Jarvis ScholarshipAdult Mental Health UnitApril LaValley FundBill Shene Asthma & Respiratory FundAmbulatory Surgery Education FundBreast Cancer SupportCancer Services ProgramChild & Adolescent Behavioral Health UnitCircle of Healing & HopeChelsea’s Rainbow FundCVPH CardiologyCraig Sample FundCVPH School of RadiologyCVPH Travel FundCenter for Women & ChildrenCVPH Family Medicine ResidencyDebra Donahue ScholarshipDiabetes EducationDr. Robert L. Collins Memorial FundDavid Reuter Free Helmet FundEmergency DepartmentEmployee Educational FundElizabethtown Renal ServicesFitzPatrick Cancer CenterFamilies Helping FamiliesGeneral Fund (Unrestricted)Helen Lyons Nursing ScholarshipIntensive Care Unit FundIntegrative Health & HealingJanice McLean Employee Assistance FundKaren H. Prevo Memorial ScholarshipKevin J. Carroll ScholarshipKidney Dialysis UnitLaboratory Educational FundMelisa Lahtinen Penfield Organ Donor FundMedical LibraryNursing Scholarship Fund

Palliative CarePediatricsPet Therapy ProgramProgressive CareR5 Nursing UnitR6 Nursing UnitR7 Nursing UnitRadiologyRehabilitation ServicesRabin FundRoger Senecal FundSafe Kids AdirondackSkilled Nursing FacilityStephanie Wheet FundWomen’s Imaging Center

CVPH HERITAGE SOCIETY MEMBERS

Mr. & Mrs. Michael Antkowiak

Mr. & Mrs. Terry Beyer

Mr. & Mrs. Ralph Boire

Mr. & Mrs. Alan B. Booth

Anonymous

Mr. & Mrs. Neil Fesette

Mrs. Henry K. Freedman

Ms. Michelle Gosselin

Mr. & Mrs. Richard Guglielmo

Mr. & Mrs. William Haley

Anonymous

Mr. Gerard Kelly

Ms. Clara LaRose

Mrs. Francine Luck

Mark & Deena McCullough

Mr. & Mrs. Stephens Mundy

Mr. & Mrs. Patrick Russell

Anonymous

Mrs. Arabella Trudeau

Dr. & Mrs. H. Alan Walker

Mr. John Weldon

Mr. & Mrs. Eugene Zurlo

2016 DONORS

2016 DONORS

BUSINESSES:LEADERSHIP - ($10,000.00 +) Charles R. Wood Foundation Lake Champlain Transportation W. B. Mason William H. Miner Foundation

DIAMOND - ($2,500.00 +) Abbott, Frenyea & Russell, CPAs Associates in Radiology of Plattsburgh, P.C. AuSable Valley Golf Club CancerBgone Casella Waste Systems Champlain Valley Electric Supply Coaches vs. Cancer Community Bank ETS Staffing Essex Operations Associates Fujitsu Transaction Solutions Fust Charles Chambers Georgia Pacific-Plattsburgh Giroux’s Poultry HCR Homecare KeyBank Foundation Kiwanis Club of Plattsburgh Luck Bros. M. M. Hayes Manning & Napier Foundation Nine Platt Hospitality Group Nixon Peabody LLP Northern NY Electrical Contractors Nova Bus PC Construction Pfizer Play To Give Softball Tournament SeaComm Federal Credit Union Stafford, Owens, Pillar, Murnane Kelleher and Trombley SUNY Plattsburgh University of Vermont Health Network - CVPH Medical Staff University of Vermont Medical Center Walmart

PLATINUM - ($1,000.00 +) Adirondack Foundation Adirondack Health Agency Insurance Boquet Foundation Dannemora Federal Credit Union Dick’s Customizing Durocher Auto Sales Empire Blue Cross Fesette Realty, LLC Fuller Excavating Glens Falls National Bank Graymont Materials

Jeffords Steel and Engineering Company Lenny’s Shoe & Apparel Mold-Rite Plastics Monaghan Medical MorrisSwitzer & Associates Murnane Building Contractors NBT Bank, N.A. Northern Insuring Agency Anonymous PrimeLink Rogers-Carroll Family Foundation Schneider & Palcsik Touraid Travel Trahan Apartments Ufirst Federal Credit Union United Way of the Adirondack Region University of Vermont Health Network - CVPH Cardiac Service Line Wells Communication Service Wilson’s Appliance Centers WPTZ TV

GOLD - ($500.00 +) A.N. Deringer Adirondack Mall Realty Aero Precision Sheet Metal, LLC Behavioral Health Services North Boulrice & Wood, CPAs Bowitch & Coffey, LLC Brunner’s Brauhause Champlain National Bank Della Auto Group Fountain Bros. Post 1619 Frederic W. Cook & Co., Inc. High Peaks Dental James C. Smith & Son Knight Automotive LaBarge Agency Liquor & Wine Warehouse Martindale Keysor & Co. Mike Kalman Painting Mountain View Equipment, LLC NYCO Minerals Peru Federal Credit Union Plattsburgh Rotary Club Plattsburgh State University Women’s Basketball Team R. W. Walker Funeral Home Raymond James Saranac Teachers Association Triangle Electrical Systems Valley Vending

SILVER - ($250.00 +) Adirondack Tool Co Alexander Edwards & Company ARDAK Hospitality, LLC Auto Barn Collision Center

Bruce L. Pellerin Construction Burnham Financial Services Champlain Valley Educational Services - LPN Club Comfort Inn & Suites Donlan & Barcomb Eye Care for the Adirondacks FireProTec Global Fitness & Martial Arts Club Golub Foundation of Price Chopper Law Office of Gary Favro Mountain View Pediatrics Mousseau Properties Plattsburgh High School Booster Club Plattsburgh Police Local 812 RE/MAX North Country River Hospital Saranac Central School District The University of Vermont Health Network - Elizabethtown Community Hospital

BRONZE - ($100.00 +) American Management Association Arnie’s Restaurant Beekmantown PTO Blue Knight Mc New Jersey Chapter 2 Brushtech Carpenter Bros. Moving & Storage Champlain Centre Champlain Valley Agronomics Clinton County Health Department Developmental Services Clinton County Legislature and Staff Country Expressions Flowers & Gifts Dodge Marketing Duprey’s Technical Eagle’s Nest Veterinary Hospital Fleet Promotional Products Forrence Orchards Goodhart Sons H&H Properties of Plattsburgh Hamilton Funeral Home Hartson Total Opening Haun Welding Supply JFP Enterprises LaPoint Realty McSweeney’s Red Hots Mickey’s Restaurant Network for Good NICHQ North Country Squares Dance Club Overeaters Anonymous Parsons Well Drilling Payson & Stoughton Jewelers Peru High School Boys Soccer Booster Club Peru Pharmacy

Peru Rod & Gun Club Plattco Plattsburgh Ford Plattsburgh Medical Group Plattsburgh Plaza Raville Painting Corporation Richard Crawford Construction Riley Ford Shane’s Lawn Care The Cabinet Gallery Ultimate Skin Solutions, LLC The University of Vermont Health Network - CVPH Facilities WELCare Family and Sports Chiropractic X-Plo Zuke’s Corner Store

FRIEND - ($50.00 +) Adirondack Farms, LLC Camso Champlain Valley Audiology, PLLC Clinton County Health Department Dragoon’s Farm Equipment Everett Orchards, LTD Handy Buick GMC Cadillac Morrison & Miller Peru Memorial VFW Post 309 Pinkerton Academy Career & Technical Education Preserve the Peaks R. L. Sharpening Service Syracuse University True Insurance Agency WeCare Transport

INDIVIDUALS:LEADERSHIP - ($10,000.00 +) Mr. & Mrs. Rocky Giroux Drs. Molly & Brent Hastings Anonymous Anonymous

DIAMOND - ($2,500.00 +) Mr. & Mrs. Michael Antkowiak Anonymous Anonymous Ms. Robin Brown Mr. Robert Buran Dr. Anthony Ching Dr. & Mrs. Joseph Donnery Drs. Angela Mallozzi & Robert Eberle Dr. Paolo Fedi Drs. Laura Schned & Eric Gorman Mr. Harry Jacobs, Jr. Mr. & Mrs. Larry Jeffords Mr. & Mrs. Stephens Mundy Mr. & Mrs. Glendon Rafferty Dr. & Mrs. Wouter Rietsema Mrs. Floriane Sullivan Anonymous Ms. Meegan Wood-Trombley

PLATINUM - ($1,000.00 +) Dr. & Mrs. Joseph Arguelles Mr. & Mrs. Robert Ashline Anonymous Ms. Eleanor G. Berger & Mr. Mike DiNunzio Mr. & Mrs. Christopher R. Booth Mr. & Mrs. Dennis Brunell Ms. MaryAnne Bukolt-Ryder Anonymous Ms. Shirley Curtin Mr. & Mrs. Jerry DeCelle Dr. George Disney Mr. & Mrs. Mason Forrence Mrs. Eleanor Goldman Dr. & Mrs. Wallace Good Dr. Alison Guile & Mr. David Stauffer Mr. & Mrs. William Haley Dr. & Mrs. Kent Hall Dr. & Mrs. Russell Hartung Ms. Allison Hoff Mr. David Gibson Dr. & Mrs. Duck Kim Mr. Alex Laramie Ms. Michelle Lebeau Mr. & Mrs. Dean Lombard Dr. Victor Ludewig Mr. Vincent Ludewig Ms. Cristina Lund Mr. Matthew Lyman Deena & Mark McCullough Mrs. Janet Murnane Ms. Kristia Murray Ms. Nancy Olsen Ms. Karen Phillips Mr. & Mrs. Robert Porter Mrs. Doris Rury Mr. & Mrs. Patrick Russell Dr. David Stinson Ms. Cynthia Taylor Mr. & Mrs. Merle Thornton Mr. Jeff Titherington

GOLD - ($500.00 +) Mrs. Mary Abbott Ms. Beverly Agnew Mr. & Mrs. Daniel Alexander Anonymous Mr. Daniel Bernard Mr. & Mrs. Matthew Boire Mr. & Mrs. Ralph Boire Mr. & Mrs. Alan B. Booth Mr. & Mrs. Robert T. Booth Dr. & Mrs. William Bradley Anonymous Ms. Angela Brown & Mr. Kellum Smith Ms. Angela Bucci Mr. James Buran Mr. & Mrs. Robert C. Burnell, Sr. Mrs. Shirley Coffey Dr. Marissa Matarrese & Mr. Bryce Collins Mrs. Elli Collins Mr. & Mrs. Thomas Conners

Ms. Lynne Crouse Mr. & Mrs. Robert Donlan Ms. Shirley Doolen Mr. & Mrs. Elmer Duprey Mr. & Mrs. James Evans, Jr. Mr. & Mrs. Dale Gebo Ms. Joann Gerrish & Mr. Greg Bechard Mrs. Dawn Ryan-Glaude & Mr. William Glaude Charlotte & Thomas Gosrich Ms. Lois Clermont & Mr. Robert Grady Mr. & Mrs. Richard Guglielmo Ms. Ruth Guydosh Ms. Dusti Hidook Ms. Jane Preston & Mr. Alan Hipps Ms. Carrie Howard-Canning Mr. & Mrs. George Huttig Ms. Kati Jock Dr. James Johnson Ms. Rosemary Killeen Ms. MaryAnn Kirby Ms. Julie Kramer Mr. Timothy LaDuke Ms. Stacey Lafave Mr. Michael Lagree Judge & Mrs. John Lahtinen Ms. Lannie Lipson Mr. & Mrs. Kevin Manchester Mr. Robert McBride Mr. & Mrs. Patrick O. McGinn Dr. Sadaf Mir Mrs. Anna Nardelli Ms. Angela Neyer Douglas & Nancy Osborn Mr. & Mrs. Matthew Parrott Mr. & Mrs. Jack Piller Ms. Pam Poirier-McClain Mr. & Mrs. Stanley Ransom Mr. & Mrs. Thomas Recny Dr. & Mrs. Duane Record Anonymous Mrs. Beverly Reuter Mr. Christopher Ruitz Mr. John Ryan Mr. & Mrs. Thomas Ryder Mr. & Mrs. Paul Sands Mrs. Mary A. Schneible Mr. & Mrs. Jospeh Seguin Dr. Linda Shepard Mr. & Mrs. Robert C. Smith Dr. & Mrs. Curt Snyder Mr. & Mrs. James Tooley Drs. Joanne Astill & Anthony Vaccaro Dr. Giuseppe Ventre Dr. & Mrs. H. A. Walker Mr. & Mrs. Richard Weerts, II Mr. & Mrs. Fred Woodward Mr. & Mrs. Thomas Wyand Dr. Gaoyong Zhu

SILVER - ($250.00 +) Mr. & Mrs. Timothy Barnett Dr. Christopher Belber

2016 DONORS

SILVER - ($250.00 +) - CONT. Ms. Colleen Bell Mr. & Mrs. Terry Beyer Mr. & Mrs. Robert BiesemeyerMr. & Mrs. Donald Blake Ms. Melanie Bliss-Hall Mr. & Mrs. Christopher H. Booth Ms. Carol Brown Mrs. Gail Calongne Ms. Shannon Caron Mr. & Mrs. John H. Carpenter Mr. & Mrs. Reginald Carter Mr. & Mrs. David Chafetz Mr. Scott Charette Dr. & Mrs. Harold Chaskey Ms. Debra Good & Mr. Douglas Chaves Dr. Nancy J. Church & Mr. Walter Church Ms. Deborah Cleary & Mr. Dan Albert Ms. Melissa Cole Ms. Natasha Seguin & Mr. Adam Congrove Mr. & Mrs. Robert Coryer Mr. & Mrs. Mal Cutaiar Dr. & Mrs. Robert Davis Ms. Karen Delaney Mr. & Mrs. Michael Della Bella Mrs. Barbara Dorrance Mr. William Drew Ms. Julie Falletta Ms. Dianne Farnsworth Ms. Vernice Finch Ms. Sarah Forkey Mr. & Mrs. Robert Frenyea Drs. Marty & Richard Frost Mr. David Gadway Ms. Molly Ryan & Mr. Eric Gadway Dr. Barbara Gannon & Mr. Joseph Gannon Mr. & Mrs. Chad Garcia Mr. & Mrs. Michael Garvey Mr. Thomas Glasgow Ms. Amelia Goerlitz Mr. & Mrs. Alan Gordon Mr. & Mrs. David Gosnell Mrs. Catherine Green & Mr. Jeffrey Green Dr. Diego Grinberg-Funes Mr. & Mrs. Michael Haley Ms. Luce Hebert Mr. & Mrs. Richard Higgins Mr. & Mrs. Frank Hochreiter Mrs. Trisha Howard Mr. & Mrs. Craig Jackson Ms. Mary Jarvis Lola & Raymond Johnson Mr. Claude Johnston Ms. Christine Kaiser

Dr. & Mrs. Michael Kanevsky Drs. Kathleen & Donald Kasprzak Mr. & Mrs. Gerard Kelly Mr. & Mrs. Timothy Kononan Laura & Jim Kopaska Ms. Wendy LaFountain Mr. & Mrs. Rick Lajti Ms. Carol LaPorte Mr. & Mrs. Melvin Laramie Mr. & Mrs. Trevor Laughlin Mrs. Stacy Lavoie Mr. Daniel Lee Mr. Arthur LeFevre Mr. Paul Liberty Dr. Alfred Loka Mr. & Mrs. Thomas Loughan Dr. & Mrs. Richard Lutinski Ms. Barbara MacDonald Mr. & Mrs. Martin Mannix, Jr. Ms. Lindsey Martin Mr. & Mrs. Robert Marvin Mr. & Mrs. John Masella Dr. & Mrs. John Mazur Ms. Iwona Miazek Mr. & Mrs. Michael Miller Drs. Margaret Balassone & John Mills Drs. Stephanie & Robert Moore Mr. William Morgan Drs. Jacqueline Connelly & Paul Morocco Ms. Roseanne Murphy Ms. Trisha Myers Ms. Karen O’Connor Ms. Nancy Houth & Dr. Joseph J. Odnoha Ms. Karen Ohlsen Mr. & Mrs. William Owens Mr. & Mrs. Robert Parks Mr. & Mrs. Kevin Peryer Drs. Brenda & Michael Phillips Mr. & Mrs. Mark Pope Dr. & Mrs. Robert Potter Ms. Michele Powers Ms. Lisa Rabideau Mr. & Mrs. William Reif Mr. & Mrs. John Ryan Mr. & Mrs. Michael Rock Mr. & Mrs. Drew Sabella Ms. Natalie Sargeant Ms. Pam Sayward Ms. Michelle Senecal Mr. Albert Senyah Mr. Dhananjay Shetty Dr. Samer Siouffi Mr. & Mrs. Matthew Spiegel Ms. Maureen Stiefel Mr. & Mrs. Jeremy Stiles Rev. & Mrs. David Sullivan

Mr. & Mrs. Kenneth Thayer Mr. Fenton Thompson Ms. Kim Titherington Mr. & Mrs. Fritz Tobrocke Mrs. Lucille Trahan Mr. Michael Tumbarello Ms. Shelly Turner Dr. & Mrs. Frank Ultee Ms. Roxanne Vasquez Mr. Todd Way Ms. Miriam Goulding & Mr. Wallace Westfeldt Mr. & Mrs. Richard Whalen Ms. Julia Widelski Mr. & Mrs. Robert Williams Ms. Heidi Woerheide Dr. & Mrs. Joel Wolkowicz Mr. & Mrs. John Zielinski

BRONZE - ($100.00 +) Ms. JoAnn Adams Mr. & Mrs. Kenneth Adams Dr. & Mrs. Richard Archuleta Mr. & Mrs. Joseph Ashline Ms. Elizabeth Ashworth Mr. & Mrs. Kent Backus Ms. Becky Bacon Ms. Shirley Baker Mr. James Barcomb Ms. Patricia Beauharnois Ms. Bernadette Bechard Stephanie & Robin Bechard Mr. & Mrs. Robert Beebe Mr. & Mrs. John Bell Ms. Dusti Pilon & Mr. Charles Benjamin Mr. & Mrs. Warren Bennett Ms. Holly Benoit Mr. & Mrs. Robert Bessette Mr. & Mrs. Roger Bigelow Mr. & Mrs. Ken Billups Mrs. Margaret Bilow Mr. & Mrs. George Bissell Mr. & Mrs. John Bjelko Dr. & Mrs. Howard Black Mrs. Amanda Blaise Mr. & Mrs. Donald Bogucki Ms. Tara Bombard Mrs. Joanne Boule Dr. & Mrs. Michael Boule Ms. Roxanne Bova Mr. & Mrs. Joshua Bowen Ms. Kathy Bracero Mrs. Deborah Bracy Anonymous Mr. & Mrs. George Brendler Ms. Robin Bresette Ms. Kristen Brougton-Feazelle Ms. Tonya Brown

Mr. & Mrs. James Brubaker Mr. & Mrs. Melvin Bryant Dr. & Mrs. Wolodymyr Bula Ms. Judith Bunnell Dr. & Mrs. Robert Buran Mr. Bruce Butterfield Mr. Brian C. Byrne Dr. & Mrs. William P. Caldon Mrs. Sue Carpenter Mr. John Carter, Esq. Mrs. Diane R. Cebzanov Mrs. Karen Champagne Mrs. Joyce Channell Ms. Nancy Cheeseman Ms. Malayia Chen Mr. David Chun Ms. Teresa Conner Dr. Lisa Connery Mrs. Nina Coolidge Mr. & Mrs. Daniel Courneene Ms. Penny Cowan Ms. Tiffany Creighton Mr. Steven Cross Ms. Mary Cullen Mr. & Mrs. David Curry Mr. & Mrs. David Dalton Mr. Douglas Darby Dr. & Mrs. Michael Darst Mr. & Mrs. Scott Davis Dr. & Mrs. Claude Deschamps Mr. & Mrs. Richard DeNeale Ms. Therese Denton Mrs. Barbara Desimone Ms. Kathy Deyo Hassatou Diallo Ms. Heather DiCicco Mr. & Mrs. Raymond A. Domenico Ms. Stacie Donah Anonymous Mr. James Douglass, Jr. Ms. Emily Doyle Mr. & Mrs. David Drollette Mr. & Mrs. Marshall Ducharme Mr. & Mrs. Chris Duley Mr. & Mrs. Donald Duley Mr. & Mrs. Robert Dumas Mr. & Mrs. Chris Dupell Ms. Katie Duprey Mrs. Brenda Duquette Mr. & Mrs. Burt Duquette Mr. Gary Duquette, Sr. Mr. & Mrs. Robert Dwyer Ms. Carol Edwards Ms. Cathy Labare & Mr. John Edwards Mr. & Mrs. Dennis Egglefield Ms. Carol Elliott Ms. Lisa Lewis & Dr. John Ettling Mr. Robert Evans Ms. Jane Munro & Dr. Charles Everly Ms. Lori Fabian Mr. & Mrs. Albert Faiella, Sr. Dr. Lonnie Fairchild Ms. Wendy Farrell Mr. Francis Feltman

Mr. & Mrs. Allen Fessette Ms. Nykole Fillion Mr. Gary Fisher Mr. John Fitzgerald Mr. & Mrs. James Flavo Mr. & Mrs. Tom Fleury Ms. Deborah Flock Mr. James Forcier Ms. Melanie Ford Dr. Richard Foreman Mr. John Forner, III Mr. & Mrs. Todd Fortin Ms. Patricia A. Frank Ms. Nicole Franco Mr. Raymond Gagnon Ms. Cherylene Gallagher Dr. & Mrs. Anthony Garami Mr. & Mrs. Joseph Garcia Mr. Robert Garrow Mr. & Mrs. Timothy Garrow Mr. & Mrs. William Gearhart Mr. & Mrs. Randall Giltz Mr. & Mrs. Roderic Giltz Mr. & Mrs. Jamie Giroux Ms. Angela Goodspeed Ms. Melissa Gooley Mr. Eric Graves Mrs. Betty Green Ms. Marlene Green Mr. Phillip Green Mr. & Mrs. Peter Gucker Ms. Loretta Gusberti Mr. Raymond Guydosh, Ph.D. Ms. Carlyn Haag Ryan & Kevin Hamel Mr. & Mrs. Maher Hanna Mr. Jack Harris Dr. & Mrs. Driss Hassam Mr. & Mrs. Ray Hawksby Mr. & Mrs. John Hay Mr. & Mrs. Gordon Hazel, Sr. Ms. Brittany Heflin Mr. Dominick Hendrickson Dr. Patricia Higgins Ms. Wendy Hilburn Dr. & Mrs. David Hinsman Ms. Vickie Hockersmith Tari & Boyd Hoekel Ms. Catherine Hogan Mr. Robert Hogan Ms. Laura Holzer Mr. & Mrs. John Homburger Ms. Janet Horton Mrs. Christine Howard Mr. Curtis Howard Mr. & Mrs. George Hubbell Ms. Josephine Hum Dr. & Mrs. Craig Hurwitz Ms. Erin Hynes Mr. Melvin Irwin Ms. Beverly Jabaut Ms. Patricia Jensen Ms. Patricia Johnson Ms. Suzy Johnson

Mr. & Mrs. Stephen Johnston Mr. & Mrs. Michael Kalman Ms. Florence Kaufman Ms. Jorunn Gran-Henriksen & Mr. Todd Kempainen Mr. & Mrs. Edward Kempisty Kristy & Shannon Kennedy Ms. Sharon L. Kennedy Ms. Susan Kennedy Mr. Christopher Koon Mr. & Mrs. Christopher Kreig Mr. & Mrs. Larry Kriff Mr. & Mrs. Eric LaBounty Anonymous Mr. & Mrs. Peter Lacy Mr. Robert Lafaver Ms. Norma Lamere Dr. Deborah Lang Mr. & Mrs. Robert Lanni Mr. Kevin LaPoint Ms. Anne Larkin Ms. Marjorie LaRose Ms. Jean Latour Ms. Kirstan LaTour Mr. & Mrs. Richard Laurin Ms. Amber LaValley Ms. Kim Lawrance Ms. Neta LeBlanc Mr. Matthew LeClair Dr. & Mrs. Julio Lemos Mr. & Mrs. Jay LePage Ms. Elise Lieb Ms. Sharron Lintner Ms. Yvonne LoRe Ms. Kelli Loughan Mr. Timothy Loughan Mr. & Mrs. Vincent Lower Ms. Kirsten Lynch Ms. Thelma Lyon Mr. George Maffey Mr. & Mrs. Michael Maloney Ms. Deborah Manchester Ms. Virginia Mancuso Mrs. Judith Mannix Drs. Lisa Mark & Alexandre Dostie Duvelkis Marmolejos Mr. Dylan Martin Ms. Kathleen Martin Mr. Cale Marx Mr. & Mrs. Robert Mathieu Mrs. Paula McDonald Mr. & Mrs. Michael McKeon Mr. Chris McMahon Ms. Deborah McNamee Mr. & Mrs. Thomas McNierney Mr. & Mrs. Rob Meisenheimer Mrs. Gizelle Menard Ms. Chelsea Menn Dr. & Mrs. Edward Miller Mr. Howard Miller Mr. & Mrs. John D. Miller Ms. Emilie Mitchell Ms. Sarah Mitchell Ms. Amy Moon

2016 DONORS

BRONZE - ($100.00 +) - CONT. Ms. Haila Conant & Mr. Donald Moore Mrs. Erica Moore Ms. Vivian Mora Mr. James Moran Ms. Kristin Mousseau Mr. & Mrs. Albert Mulbury Mr. Peter Mullen Mr. & Mrs. Kevin Mulligan Ms. Catherine Mundy Ms. Brenda Murphy Mr. James Murray Mr. & Mrs. Allan Nautel Mr. Travis Nelson Mrs. Catherine Van Nortwick Mr. & Mrs. Michael O’Connor Mr. & Mrs. John Orr Mr. & Mrs. Brendan Owens Dr. & Mrs. Charles Paepke Ms. Susan H. Angell & Mr. W. Timothy Palmer Mr. David Passino Mr. Robert Perkins Mrs. Lena Pesce Ms. Katherine Peterson Ms. Charissa Petrashune Ms. Cathy Phillips Ms. Holly Plumadore Ms. Kirsten Pope Ms. Becky Provost Ms. Barbara Rabideau Mr. & Mrs. Steve Recor Mr. & Mrs. Harold Recore Ms. Jean Relation-Spinner Mr. Alfred T. Riley, IV Mrs. Theresa Riley Mr. & Mrs. Chad Rivers Mr. & Mrs. Glenn Rivers Mr. & Mrs. Gregg Roberts Mr. Kyle Roberts Ms. Judith Rogers Mr. & Mrs. Robert Rogers Mr. John Rooney Mr. & Mrs. Albert Rose Ms. Cindy Rosson Mr. & Mrs. George Rotella Miss Ruth Rushby Mrs. Susan Rushman Mr. & Mrs. Thomas Russell Mr. & Mrs. Terry Ryan Ms. Ilona Trosman & Dr. Vladimir Sabayev Dr. & Mrs. Bijoy Sarmaroy Mr. & Mrs. Donald Sayah Dr. Lynn Schlesinger Mr. Charles Schneible Ms. Sharron Schneider Mr. Jonathan Schneiderman

Mr. Shey Schnell Mr. & Mrs. Dale Sears Ms. Mary Ellen Shambo Ms. Jennifer Shantie Mr. & Mrs. Travis Sheehan Mr. Gil Shemesh Mr. & Mrs. Gregory Sherman Ms. Rebecca Shutts Theodore & William Sill Mr. Charles Simpson Ms. Leonard Skillen Mr. & Mrs. Matthew Slattery Mr. & Mrs. Bradley Smith Mr. Frederick G. Smith Mr. & Mrs. James Snook Ms. Koren St. John Mr. & Mrs. Robert St. John Mr. Michael Stay Mr. & Mrs. Joseph Stemper Mr. & Mrs. Noel Stewart Mr. & Mrs. David Stortz Ms. Shannon Strong Sullivan Family Ms. Catherine Supple Dr. & Mrs. John Tanner Mr. Louis Taormina Mrs. Eleanor Tart Ms. Sharon Terry Mr. Kevin Tetreault Mr. & Mrs. Randy Tetreault Dr. & Mrs. Mark Thomson Mr. & Mrs. Christopher Thompson Ms. Norma Torrance Ms. Sally Tourville Ms. Cathy Trombley Ms. Margaret Ryan & Mr. Joey Trombley Ms. Nancy Trombley Ms. Tammy Trombley Mr. & Mrs. William Trumbull Ms. Tracey Tuller Ms. Charleen Tuthill Ms. Catherine Van Nortwick Mr. & Mrs. John VanNatten Dr. & Mrs. Robert Virostek Mr. Corey Wallace Mr. & Mrs. Bernard Walpole Mr. & Mrs. James Wehar Ms. Peggy Whipple Mr. & Mrs. Ryan Williams Mr. John E. Wilson Mrs. Sheila Wilson Ms. Erma Wilson-Cogan Mr. & Mrs. Charles Witherbee Mrs. Christine Wolfe Mr. Donald Woodward Mr. & Mrs. Fred Woodward Col. & Mrs. Henry Wurster

Mr. Frank Zapalla Mr. & Mrs. Richard Zeppieri Mr. & Mrs. John Zurlo

FRIEND - ($50.00 +) Ms. Sharron Aabye Mrs. Lauren Acton Mr. & Mrs. J. D. Allan Mr. Della Allen Mr. & Mrs. Donald Anderson Mr. Matthew Arless Mr. & Mrs. William Ashley Mr. & Mrs. Joseph Ashline Ms. Dawn Ashline Ms. Michele Aubin Dr. Nicholas Aunchman Mr. & Mrs. Frank Baehre, Jr. Mr. & Mrs. Charles Barber Mr. & Mrs. Steven Barcomb Rev. Robert Basom Mr. & Mrs. Bernard Bassett Mr. & Mrs. Claude Bechard Mr. & Mrs. Glenn Bechard Mr. & Mrs. Norman Bechard Mr. & Mrs. John Bernardi Ms. Jennifer Beveridge Ms. Kathaleen Blanchard Ms. Shelia Blankenbush Mr. Karl Booth Mr. & Mrs. Anthony S. Bouchard Mr. & Mrs. Gary Boulerice Ms. Sandra Bradley Mr. & Mrs. Richard Brandell Mr. & Mrs. Terrence Branon Ms. Jessica Breen Ms. Bernadette Bridgeman Mr. Kyle Brister Mr. & Mrs. Alan Brockbank Ms. Lia Broderick Mr. & Mrs. Thomas Broderick Ms. Susan Brodeur Mr. & Mrs. Chris Bull Ms. Krista Bull Ms. Sheila Bull Ms. Katrina Burkhart Mr. Paul Burt Mr. Norlene Buskey Ms. Janice Butler Ms. Mercedes Cadieux Ms. Gwen Canteenwala Mr. & Mrs. Alan Cardin Mr. & Mrs. James Carroll Ms. Mary A. Cayea Ms. Judith Clark Mr. Lee Clark Mr. & Mrs. Daniel Clermont Ms. Elizabeth Coats Mr. & Mrs. Ronald Coe

Ms. Victoria Colby Mr. & Mrs. Michael Conine Ms. Heidi Cormier Ms. Michelle Corrigan Mr. & Mrs. William Crosby Mrs. Laurie Cross Mr. Ralph Cross Ms. Lisa Cyphers Mr. Daniel Damour Ms. Megan Dandrow Ms. Kelly Davis Ms. Shelley Davis Donald W. Davison, DDS Mr. & Mrs. Art de Grandpre Mrs. Jill E. Delascro Ms. Courtney DeLaura Ms. Nilsa Delgado Mr. & Mrs. William Denton Mr. Robert Dickie Mr. Mark Dixon Ms. Ashley Doelger Mr. & Mrs. Joseph Dominic Anonymous Mr. & Mrs. Richard Downey Mr. & Mrs. Brian Dragon Mr. Alec Drucker Mr. & Mrs. Robert Dumas Mr. & Mrs. Robert Dwyer Ms. Tara Ebere Mr. & Mrs. Kenneth Edwards Ms. Cheryl Eggert Mr. & Mrs. Peter Ensel Mrs. Lisa Esher Ms. Caryn Evans Mr. & Mrs. Kent Faus Ms. Joyce Favreau Ms. Cecile Filion Mr. Edward Finnerty Mr. & Mrs. Donald Fitzpatrick Mr. Timothy Foley Ms. Heather Ford Mr. Seth Forrence Mrs. Beverly Forster Ms. Margaret Foulds Mrs. Nancy Frenyea Ms. Cynthia Gagnier Mr. & Mrs. Garth Gallagher Ms. Margaret Gerhardt Ms. Renee Gifford Ms. Lucille Gillette Ms. Mary Gilmer Ms. Erin Goldberg Mrs. Eleanor Goodspeed Ms. Amanda Gooley Ms. Theresa Gouhin Mr. Philipp Graf Ms. Elizabeth Green Mr. & Mrs. Paul E. Green Mr. & Mrs. Thomas Greenwood Ms. Sandra Guynup Mr. & Mrs. Michael Hagadorn Ms. Tristina Haley Mr. & Mrs. Jeffrey Hammons Mr. Adam Hardy

Mr. & Mrs. William B. Harp Mr. Steven Harris Mr. Stephen Harstedt Mr. & Mrs. John Haubner Mr. & Mrs. Ralph F. Hensel Dr. Lise Heroux Ms. Marion Herrmann Ms. Pamela Heywood Ms. Rachel Hite Ms. Diane Holdridge Ms. Suzanne Holdridge Mr. Michael Holland Ms. Deborah Howard Mr. Erik Howard Mr. & Mrs. Chris Huchro Mr. & Mrs. Arthur Hurwitz Mr. & Mrs. Eldred Hutchins Mr. & Mrs. Ken Hynes Mrs. Bertha Irwin Ms. Ashley Jabaut Mr. & Mrs. Richard Jennett Mr. & Mrs. Arnold Jensen Ms. Dana Jeweler Ms. Alice Johnson Ms. Mary Joyce Ms. Melissa Joyce Mr. & Mrs. Robert Joyce Mr. & Mrs. Derren Juneau Rev. Daniel Keefe Ms. Julie Kelly Ms. Carolyn Kennedy Ms. Jo-Anne Kerst Branch Mrs. Eileen King Mr. & Mrs. Michael Kirk Mr. Daniel Knef Mr. & Mrs. Thomas Kowalowski Ms. Tammi Kreckel Ms. LeeAnn LaBombard Mr. & Mrs. Randy LaBombard Ms. Heather Lacey Ms. Sonya LaFountain Ms. Constance LaLonde Ms. Karen Lamberton Ms. Cheryl A. Lamora Ms. Melissa LaMountain Ms. Jeanne Langevin Ms. Susan LaPierre Mr. & Mrs. Ernest Lapine Dr. Frederic Laporte Ms. Rebecca Larkin Ms. Carol Latinville Mr. & Mrs. Scott LaValley Mr. & Mrs. Edward Lavigne, Jr. Ms. Heather Lavigne Ms. Laura Leavine Mr. & Mrs. Stephen LeClair Ms. Yee Lee Mr. Jared Lehman Mr. & Mrs. Edward Liberty Mr. & Mrs. Antonio Lipari Ms. Rosemary Logue Ms. Kimberly Lucas Ms. Candis Luck Mr. & Mrs. Jon Lustenader

Ms. Hongvan Ly Mr. & Mrs. Gerald Macner, Jr. Ms. Wendy Braje & Mr. Stephen Mansfield Ms. Diane Marcoux Mr. & Mrs. Jerry Marking Ms. Michele Martin Mr. Christian Mason Ms. Lisa Mastrean Mr. & Mrs. Richard Matott Ms. Alice Mattoon Ms. Beverly Maynard Ms. Michelle McCasland Mrs. Judy McCusker Mr. & Mrs. John McGaulley Mr. & Mrs. Thomas McGowan Ms. Mary McKenzie Mr. & Mrs. Ronald Mease Mr. Harold Mero Ms. Dawn Metcalfe Mr. & Mrs. Thomas Metz Mr. & Mrs. Richard Mikkelson Mr. Frank Milian Mr. & Mrs. Jason Miller Mr. Robert Miller Mr. Robert Miner Ms. Kelsey Mitchell Ms. Lisa Mockus Ms. Shiela Mofor Mr. & Mrs. Arthur Momot Ms. Sarah Montano Mr. Dominic Montello Mr. Steve Monty Ms. Elizabeth Mooney Ms. Kathy Mousseau Mr. & Mrs. William Murray Ms. Marie Nacht Ms. Sally Naro Ms. Prudy Nelson Ms. Lou A. Nielson Mr. & Mrs. Patrick O’Connor Mrs. Annette Ormsby Ms. Tessa Parent Mrs. Megan Parker Ms. Dorothy Parks Mr. Michael Parrott Ms. Marcie Parsons Mr. Tim Parsons Ms. Barbara Patinka Ms. Cathy Patnode Mr. & Mrs. Joseph Patnode Ms. Jennie Pelkey Erica & Rod Pelletier Mrs. Joan Perkett Mr. Thomas Perkett Mr. & Mrs. John Peschau Ms. Judith Peterson Ms. Cynthia Pfeifer Mr. & Mrs. Anthony Pilcher Ms. Penny Pitts Ms. Susan Plumley Mr. & Mrs. Robert Pooler Mr. & Mrs. Ronald Powers Mr. & Mrs. Andrew Prescott

2016 DONORS

FRIEND - ($50.00 +) - CONT. Ms. Helene Mailhot & Mr. John Prim Ms. Alyssa Pytlak Ms. Ashlie Raudenbush Ms. Bonnie Reid Ms. Joan Renadette Mr. & Mrs. Walter Rickert Ms. Sandra Robbins Dr. Tracy Orkin & Mr. Mark Robinson Mr. & Mrs. Michael Roberts Mr. & Mrs. Michael W. Roberts Mr. & Mrs. Peter Rocha Ms. Kathy M. Rogg Mr. Gary Rowe Mrs. Kathy Ryan Mr. & Mrs. Quinn Ryan Mr. & Mrs. Peck Sample Mr. John Santor Ms. Mary Sargeant Ms. Jodi Schiff Mr. Paul Schneible Mr. & Mrs. Joseph Schofield Mr. John B. Seguin Anonymous Mr. & Mrs. Preston Sellars Ms. Disa Seymour Ms. Betty Sherman Mr. & Mrs. Roderick Sherman Mr. Ross Silverberg Mr. & Mrs. Douglas Skopp Ms. Mary Snide Ms. Bethany Soucy Mr. & Mrs. Robert Spencer Ms. Cheryl Spinner Ms. Melody Stevens Ms. Carrie Stone Mr. & Mrs. Charles Stone Ms. Phoebe Sturm Mr. & Mrs. Paul Supley Mrs. Pamela Sutton Mr. & Mrs. Peter Svelnis Mr. & Mrs. David Tackett Ms. Katherine Tarasavage Ms. Tara Tarbell Ms. Dawn Taylor Mrs. Sandra Test Mr. & Mrs. John Thew Ms. Abbey Thompson Mr. & Mrs. Michael Toohey Mr. & Mrs. Craig Treggett Ms. Kristy Trombley Ms. Leane E. Trost Mr. Adam Tuper Anonymous Mr. Michael Turner Mr. & Mrs. Kevin Vassar Ms. Cayla Ventre Mr. Jon Verseput

Mrs. Elizabeth Vicencio Mr. & Mrs. N. Lee Walfield Mr. William Wellman Mr. Dale Wells Mr. & Mrs. Reginald Wells Mr. Richard West Ms. Luanne Willette Ms. Margaret Wilson & Mr. Robert Andrews Mr. & Mrs. Ronald Wilson Ms. Stacey Wood Ms. Nikki Woodward Mr. & Mrs. Roger Wright Ms. Eileen Wrisley Mr. & Mrs. James Wyand Mr. & Mrs. Matthew Yanulavich Ms. Charlene Yasment Ms. Mary Yelle Mr. & Mrs. Gary Ziemer Mrs. Laura Zwart

IN 2016, MANY GIFTS WERE MADE IN MEMORY OF A SPECIAL FAMILY MEMBER OR FRIEND. THIS IS A LIST OF PEOPLE WHO WERE NAMED IN MEMORIAM. In Memory of: Eloise Atkinson Patricia Bair Margaret Balassone Sherry Barber Lillian Bergquiest Veronica Brasdat Leon Brooks Fred Brunet Harold David Busha Thomas Campbell James Champagne Jean Clemons-Nelson Robert Collins Andrew Coughlin Katherine Courtemanche John Day Donald Duke Kenneth Duquette Herman & Queenie Gadway Mary Gagnier Muriel Gamache Mitchel Garrand Sidnee Garrow Daniel Gebo Marie Gennett Susan Gibson Shirley M. Gimber Donald Green Arlene Hamilton Leon S. Harding

Gordon Hazel Marjorie Holdridge Francisca Irwin Adam Jarvis Kevin Kemp Arline King Nancy L. LaBarre William Lagree Carl LaPierre Richard LaPorte Elizabeth Lashua Jack Lattrell Theresa Lavoie Nancy Lefeure Rosa Lilladahl Harry P. Malark Ronald Malseptic Terri Manley David Manning Judy Martin Lorna Marx Larry McDonald Robert McMillian Scott Miner Ruth Moore Virginia Murphy Susan Murray Frank Nardelli Dennis Narducci Eleanor O’Neil Margaret Palardy Tracy Pray Karen Prevo John Renadette David & Gerald Reuter Robert Ricci Deborah Roberts John Rury Joanne Ryan James Salafia Mike Sayah Philip Schneible Jack Sullivan John Thume Robert Trumbull Helen Widelski Irene Williams

Every effort has been made to ensure the accuracy of this publication. If you notice any errors or omissions, please accept our sincere apology and contact us at (518) 562-7169 so that we may correct our records. Thank you.

2013 2014 2015 2016

OPERATING REVENUE Net Patient Service Revenue 280,455,527 288,861,200 216,089,814 293,722,313

Other Operating Revenue 10,637,085 8,104,071 4,997,433 10,134,304

Total Operating Revenue 291,092,612 296,965,271 221,087,247 303,856,617

OPERATING EXPENSES Salaries and Wages 138,668,324 141,228,106 111,012,433 155,040,891

Employee Benefits 36,883,710 38,229,393 27,617,053 42,572,054

Supplies and Other Expenses 92,209,473 93,862,266 70,273,567 95,445,090

Interest 3,583,629 3,227,086 2,149,279 2,893,397

Depreciation 17,339,600 16,368,548 11,827,481 15,835,260

Total Operating Expenses 288,684,736 292,915,399 222,879,813 311,786,692

OPERATING MARGIN Operating Margin 2,407,876 4,049,872 (1,792,566) (7,930,075)

Inpatient Admissions 10,152 10,399 7,923 9,885

Patient Days 96,974 99,248 69,134 78,431

Births 862 871 708 898

Outpatient Visits 355,708 343,284 259,109 365,527

Emergency Visits 48,656 47,958 36,481 49,042

Surgical Procedures 20,824 20,778 16,208 20,456

ADMISSIONS Inpatient 9,088 9,297 7,103 8,940

Nursery 862 871 708 898

Skilled Nursing Facility 202 231 112 47

Total Admissions 10,152 10,399 7,923 9,885

PATIENT DAYS Inpatient 55,600 54,604 40,266 50,522

Nursery 2,158 2,079 1,585 1,943

Skilled Nursing Facility 34,409 34,711 23,509 19,859

Observation 4,807 7,854 3,774 6,107

Total Patient Days 96,974 99,248 69,134 78,431

2016 CVPH FINANCIALS9-Months

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