VNA & Hospice1 |

Joining TogetherFOR OUR COMMUNITY

2018 Annual Report

Caring

Compassion

CollaborationCommitment

VNA & Hospice2 |

Thank you

TO OUR GENEROUS SPONSORS

Annual Report | 1

What are the essentials of life for you? Day to day, week after week, month

into month, year by year… what are the things that you most treasure

about life? What are the elements that, if you could not continue to be

engaged in them, would raise questions about quality of life for you?

e each answer these questions differently — some of us more rooted in relationships, some of us more rooted in activities. All of us, at some point,

depend on help for the care of our loved ones, or care of our own self. Of course, when we are asked to answer these questions from vulnerability — who and what kind of support do we need in such tender times?

Each fall, at our annual meeting, we pause together to celebrate and give thanks for what has been in the last year, and to learn a little more together over food and conversation. We ask, implicitly, “What are the essentials for health-care at home?”

With the advent of new leadership and staff, and the ever-changing face of health care at large, it has been a year of change! Invitation to think about essentials again. The agency has had a strong year, financially and organizationally, stepping into some new ideas, and shoring up continuing ones. Lisa’s energy and dedication have been a joy to welcome!

For myself, it has always been an honor to volunteer with this agency — on the board, in people’s homes, and in circles of grief sharing and ritual.

Central New Hampshire VNA & Hospice tries to keep the essentials of our patients, families, and wider community at the heart of who we are. Meeting the needs of folks, even as they evolve and change. Sometimes simply sitting with the questions, and asking them together.

Welcome this night, and welcome to the conversation.

The Rev. Gina M. Finocchiaro, President

A MESSAGE FROM OUR PRESIDENT

W

Rev. Gina M. Finocchiaro

VNA & Hospice2 |

FROM OUR CHIEF EXECUTIVE OFFICER

s the ancient Greek Philosopher, Heraclitus once said “change is the only constant in life.”

During the past year at Central New Hampshire VNA & Hospice, this proverb has rung true. Externally, the rapidly changing regulatory environment is a challenge; Medicare has implemented new Conditions of Participation, which was the first amendment of its kind by the Center for Medicare and Medicaid in over 10 years. As a result, we needed to revise our practices and policies to meet the regulations while continuing to provide care to over 2,200 patients. As part of these efforts, we needed to develop detailed emergency preparedness plans for the agency, our patients, our staff, as well as coordination within the wider community.

All of these adjustments were being worked on during the internal change of leadership. I came on board as the Chief Executive Office in December, three-quarters of the way through the fiscal year. I would like to acknowledge the leadership team for their work during this time. Championed by Chris Long, Interim CEO, it was indeed, a job well done. During this year, there were many other staffing changes including the filling of many positions. Even with all these competing priorities and challenges, the agency had a very good year. This success can be credited to the dedication of all the staff who worked tirelessly in our commitment to our patients and the communities we service.

Relationship and community are the foundations of change. We are planning for a coming year of building. Our plans for the coming year include: more staff education and hiring, refreshing our logo, and a new look for our website. We will be strengthening our relationships with our community and healthcare provider partners. We will be continuing our commitment to our patients and referral sources, through collaborative relationship building. Partnerships are key, as we all need to work together in the healthcare industry, for a better outcome with the patient at the heart of system.

With our foundations shored-up, we can now go on to make Central New Hampshire VNA & Hospice the provider and employer of choice. As we move forward, I am certain Central New Hampshire VNA & Hospice will continue to adapt to the healthcare changes that we face. With our strong leadership team and staff and the support of our Board of Trustees and the wider community, Central will remain one of the top agencies in the state and the New England region. We are positioned with our longevity and stability, to be able to say; “we have been here, we will be here.”

Lisa Dupuis, Chief Executive Officer

A

Lisa Dupuis

Annual Report | 3

2018 CONDENSED BALANCE SHEET

Lisa Dupuis

Fiscal Year Ending March 31

ASSETS

Cash & Cash Equivalents $494,780

Investments 1,261,336

Receivables 1,103,234

Other Current Assets 144,121

Assets Limited As To Use 9,640,525

Property & Equipment, Net 760,397

Total Assets $13,404,393

LIABILITIES & NET ASSETS

Accounts Payable & Accrued Expenses $447,276

Deferred Revenue 415,492

Total Liabilities $862,768

Net Assets $12,541,625

Total Liabilities & Net Assets $13,404,393

VNA & Hospice4 |

Central STATISTICS

Joel ArsenaultALTON

Mark EdelsteinLACONIA

Teresa HaleySANBORNVILLE

David HuotLACONIA

Kevin IrishLACONIA

Barbara LobdellWOLFEBORO

Dr. Rebecca OwenWOLFEBORO

Leo SanfaconGILFORD

Corrine SmithWOLFEBORO

Connie TurnerWOLFEBORO

BOARD OF TRUSTEES

PresidentGina Finocchiaro

WOLFEBORO

Vice PresidentJ. Kristen Gardiner

GILFORD

SecretaryFredda Osman

GILFORD

TreasurerWilliam (Bill) Johnson

GILFORD

2,415

VOLUNTEER Hours

445,694

MILES Driven

2,286

CLIENTS Served

$773,061

COMMUNITY Benefits

30,547

HOME HEALTH Visits

= 84 VisitsPer Day

7,952

HOSPICE Visits

= 22 VisitsPer Day

includes charity, uninsured and underinsured services

Annual Report | 5

MAX’S STORY

This is a story about one little patient you have helped.

ust imagine you bring your 4 year old to the pediatrician because his

color is poor, his appetite is off and he is more tired than you think he should be. The diagnoses comes back and your worst fears are realized – your son has leukemia.

This is a true story. Shortly after his fourth birthday, Max needed chemo.

Pediatric cancer is doubly and even triply difficult because it affects the family in so many ways. In addition to the huge emotional toll, other issues compete for attention. Who’s going to drive Max to Boston twice a week? Who will stay home with his older sister? How much school will they miss? How will Mom and Dad keep their jobs?

Central VNA is the only agency north of Concord that provides healthcare AT HOME to children birth – 18 years of age. “Mr. Max,” as he is known around here, needed weekly blood work and weekly chemo for two full years. That is over 200 appointments. But because

Central VNA could bring the treatment to Max, the impact to his family was greatly reduced. And Max could be seen in his home environment and not a sterile room with a plastic chair, hooked up to a pump by strangers.

When we arrived for his final treatment, the neighbors were there to greet us. Drums banging, hands clapping, cheering and singing ensured. Their thanks goes to you. Because you were there for Max, he is cancer free, back in school full time, and living the life that a six year old is meant to live. Mom and Dad kept their jobs. His sister lost no school days and has moved into the third grade on schedule. And the family is intact.

Your donations helped make this outcome possible. Mr. Max is now a member of your family – the family of patients that Central VNA has treated. Sadly, there are 3 more children receiving chemo at home, and their costs are exorbitant. Your continued support is very much appreciated.

J

VNA & Hospice6 |

Thank you

TO OUR GENEROUS DONORS

$1000 and up Acorn & Oak Society

All Metals IndustriesAlton Centennial Rotary ClubSuzanne & Richard AyersBald Peak Colony Community FundBank of New HampshireMartha Bates & Mike MazzazchiClaire BoardmanDaniell Family Foundation, Inc.William DoyleFirst Congregational Church of WolfeboroMark and Michelle FullertonGE FoundationGranite United WayDana & Karol HamelDavid HartPaul & Brenda HaunfelnerHenry F. Hurlburt III Charitable TrustJockers Family FoundationSusan Macmichael JohnKiwanis Club of Laconia NH, Inc.Charlotte LeavittMeredith Village Savings BankNH Charitable FoundationDave & Fredda OsmanTom & Ollie PerryTerry & Linda RobinsonRussell & Judy SabanekMarnie SchulzDouglas Scott, MD SEI Giving FundMargaret SelleckSally SharplesSim-Ayres Foundation, Inc.Angela StoneCandace ThayerThe Jack & Dorothy Byrne FoundationConnie & Mike TurnerUnited Technologies Corporation

$500 - $999

Pasquale BertuccioRichard BlackburnCecily ClarkBarbara CliffordJohn and Susan DaviesJames DirubboGail EmeryFriends Fidelity Charitable Gift FundJoseph and Terry Ann FlahertyJ. Kristen GardinerKarl GouldGreen Mountain FurnitureRuth HansenLisa and Trevor HarrisGeorge HeinrichHuggins HospitalPhyllis KaczynskiBarbara LobdellStanley LombaraMoultonborough Lions ClubPet Peace of MindRobert PetersonPenny PitouLewis SimmonsMiriam & Bob SmithWebster Valve CompanyWilkinson-BeanWolfeboro Lions Club

Annual Report | 7

Thank you

TO OUR GENEROUS DONORS

$500 - $999

Pasquale BertuccioRichard BlackburnCecily ClarkBarbara CliffordJohn and Susan DaviesJames DirubboGail EmeryFriends Fidelity Charitable Gift FundJoseph and Terry Ann FlahertyJ. Kristen GardinerKarl GouldGreen Mountain FurnitureRuth HansenLisa and Trevor HarrisGeorge HeinrichHuggins HospitalPhyllis KaczynskiBarbara LobdellStanley LombaraMoultonborough Lions ClubPet Peace of MindRobert PetersonPenny PitouLewis SimmonsMiriam & Bob SmithWebster Valve CompanyWilkinson-BeanWolfeboro Lions Club

$250 - $499

AFS, BFS & TFP EmployeesElizabeth BallantyneRaymond & Phyllis AronBelmont Middle SchoolBetsy & Bud BoothEugene BranniganWendy BuzzeoMartha Webb ChandlerKen and Jamie CodyPeter & Judy ColeCarol CoutureBrian & Mary CrathernDC Beane and AssociatesRobert & Maria DeCampDavid & Katherine DietzSusan & Mark EdelsteinMae ElderLynn ElkintonJudy FisherMargaret Franckhauser & Ted CapronAnn GallagherNancy & Bill GaverAl and Brownie Gengras, III Barbara GeorgeMuriel GrahamShirley GulvinDorothy HammondFrank & Ann HardenberghNorman and Joan HarperCarolyn HoffmannTom & Kay HudsonIrwin AutomotiveChristine JacobsWilliam & Erika JohnsonMichael JoyceRichard and Denise LandryRonald & Peggy LawlerDouglas “Magee, Jr.”

Roberta McGinnisMelvin Village Community ChurchMiss Wakefield DinerMoultonboro Women’s ClubRobert NorthMary OrtonJanet PaddlefordWilliam PondRichard & Sylvia Rollins4219 Anne RoomeLeo SanfaconPatricia SchoenbergerCorrine SmithPaul and Sandra StewartRobert StewartSugar Hill Retirement CommunityJane Ter KuileCharles & Ilona TrainJohn TruebeTufpak, IncJames TwaddleMr. and Mrs. William VossIlse WedelWeirs Community Park AssociationFrederick WhitcherWinnipesaukee Yacht Club

Gifts Made To Honor

Peter CasselDan KuschSusan MacLeodAndrew RobinsonLynne Rollin-Garvey and childrenThe Staff at VNA Hospice Nurses Week in NH Home Care Nurses

VNA & Hospice8 |

Dick Adams Richard Adams Deborah Dalton Allie Michael Anders Roger Ballantyne Roberta Batchelder Dennis Bean Kenneth Bell Richard Bennitt Dede Blackburn Arnold E. Boardman Ralph F. Bodette, Jr. Mae Boelig Charles Bousquet Jeffrey Bowser John F. Bridges Ethelyn M. Brown Milly Buckner Glo Bullock Daniel Burpee Suzanne Burrows Betty Callejas Canty-Concannon Family Edgar Caron Frederick Carver Jacqueline Casey Richard Cassarano Kaylee Cassavaugh Veronica Cassell Judith Chase Ralph M. Clark Pat Clarke Marvis Clegg Robert Collins, Sr. Helen Corriveau

Bobby Cudd Patrick Cullinan Wally Cummings Tom Cunningham Janet Daigneault Phyllis Ewens Dame Robert F. Daniell Don D’anteuil Florence DeCandido Norman Dionne Charles F. Divinal Leo Tallent Dodge, Jr. William Donnelly Mary Doyle Leo Drouin Gene Duggan Ksenia Duza Mary Earley Alice Ellingwood Alex Emery Bernard Emond Priscilla Fecteau Lois Flanagan Anita Fortier Victor Fournier Kathryn L. Franks William Gannett Katherine Gauthier Peter George Helen Gingras John R. Given Arthur Godbout Susan Goodgame Al & Mark Goodwin Marlene Gordon

Arthur A. Guilmett Anita Hale Frederick W. Hall Christina Halstead Joan Hamilton Pat Hamilton Wanda Harris Barbara Hart Margaret Fessenden Harter Ann Paul Hatch Louise Hawes Gerald Heald R. Heavey Beverly Hebert Elizabeth F. “Mackie” Heinrich Janet Hellberg Wayne Herbert Sally Hesler Jennette Hodge Marcia Hodsdon Barbara B. Holbrook Gary Hooper Anita Huckins Edwin Huckins Floyd Humphrey Susanne Irwin Roger Jacques Marjorie “Peggy” James Pauline Jenneff Kathy Joyce Michael Joyce Elsie King Wasyl Kucman Fernand Lacroix Fernand “Jerry” Lacroix

Remembering...

GIFTS MADE IN MEMORY

Annual Report | 9

Arthur A. Guilmett Anita Hale Frederick W. Hall Christina Halstead Joan Hamilton Pat Hamilton Wanda Harris Barbara Hart Margaret Fessenden Harter Ann Paul Hatch Louise Hawes Gerald Heald R. Heavey Beverly Hebert Elizabeth F. “Mackie” Heinrich Janet Hellberg Wayne Herbert Sally Hesler Jennette Hodge Marcia Hodsdon Barbara B. Holbrook Gary Hooper Anita Huckins Edwin Huckins Floyd Humphrey Susanne Irwin Roger Jacques Marjorie “Peggy” James Pauline Jenneff Kathy Joyce Michael Joyce Elsie King Wasyl Kucman Fernand Lacroix Fernand “Jerry” Lacroix

Joseph Lahut The Landry Family Richard LaPlante, Sr. Edmond Laroche Richard Laskey Roland G. Lefebvre Fred & Irene Legassie William Lionetta Bernard (Jerry) Littlefield Ella Lombara Dennis & Marcella Loubier Madeline Lovely Joan Lovering Donald Lundgren Juliette Maheux Peter Makris Charles F. Malone Thomas & Gretchen Manter Carroll F. Marden Jane Marrett Jeanne Mazur Jerry McCabe John (Jack) McGinnis Bill McNeal Christina Michael Constance Mirski Carol Morgan Lynne Morin Holly Morrison Ronald Mount Jean Moynihan Virginia E. Moynihan James, Mary & Joe Mullan John J. Murphy Fred Nason

Ralph Neff Lillian Newhall Helen Newton Linwood Nichols Raymond Nicol Timmy Nolan Sheila North Russell C. Orton John Paddleford Karen Paddleford Houser James Pafford Marianne Palmason William Stephen Pantos Natalie (Gleason) Peterson Albert Petitt Cynthia Piper Richard Plumley Patricia Pond Agnes Powell Eleanor Prior The Provencher Family Bernard Rayno Lucille Reardon Anthony J. ReSavage Jose Jacinto Cipres Reyes Audrey Ricci Jesse Ricci Paul A. Richardson Bernadette Roberge Lee Robertson Paul B. Robie Betty D. Robinson Donald Roe Lucienne Royce Anne R. Russo

Polly Sanfacon Doris & Julian Sawyer Henry B. Schoenberger Bill Schulz Roger E. Scott Suzanne Simmons Geraldine Simoneau Aline Sirois John L. Southwick, III Edward Splaine Helene B. Stacy Marge Stapleton Sally Stewart Tommy Stone Therese Sullo Marie Wuhrer Tait Eleanor Tarbox William Taylor Gerald Thayer Larry Thornton Robert L. Towle Pren Troup Janet Waldron Shirley Warren Alfred Wedel Carol Weeks Father Dick Wegman Crawford Wentworth Wilma Wescott Sally Whittemore Jane Wilkins Alice Williams Dennis Witherbee Raymond Wixson Joseph P. Woodward Moses Edward Wright III

Remembering...

GIFTS MADE IN MEMORY

VNA & Hospice10 |

COMMUNITIES WE SERVE

CORPORATE OFFICE

780 North Main Street, Laconia, NH 03246Tel: (603) 524-8444 • Toll Free: (800) 244-8549

Fax: (603) 524-8217 • Referral Center Fax: (603) 527-1821

BRANCH OFFICE

240 South Main Street, PO Box 1620, Wolfeboro, NH 03894Tel (603) 569-2729 • Toll Free: (888) 242-0655

Referral Center Fax: (603) 527-1821

AltonAlton BayAshlandBarnsteadBelmontBristolBrookfi eldCenter BarnsteadCenter HarborCenter OssipeeCenter SandwichCenter TuftonboroChocoruaEast Wakefi eldEffi nghamFranklinFreedomGilfordGilmantonGilmanton Iron WorksHoldernessLaconiaLakeport

LochmereMelvin VillageMeredithMiddletonMirror LakeMoultonboroughNew DurhamNew HamptonNorthfi eldOssipeeSanborntonSandwichSouth TamworthTamworthTiltonTuftonboroUnionWakefi eldWest OssipeeWinnisquamWolfeboroWolfeboro Falls

www.centralvna.org