A Year in Review 2019 ANNUAL REPORT

Founded in 1910, the Animal Medical Center (AMC) is a non-profit academic veterinary hospital dedicated to providing compassionate and collaborative care to animals and to leading the advancement of veterinary medicine through clinical research and education. AMC has a staff of 461, including 119 veterinarians, whose combined expertise covers more than 20 specialties and services. Housed in the Elmer and Mamdouha Bobst Hospital on East 62nd Street in New York City and open 24 hours a day, 365 days a year, AMC is the largest and busiest veterinary hospital in the United States, with an extraordinary volume and diversity of medical cases. In 2019, the Animal Medical Center recorded 56,117 patient visits, a 3.3% increase over the prior year.

2019 brought some important staffing changes to AMC, including the appointment of Dr. Katherine Quesenberry, DVM, MPH, DABVP (Avian), as Chief Medical Officer and Neil M. McCarthy as Chief Administrative Officer. Dr. Quesenberry brings more than three decades of experience in animal care, research, and veterinary leadership to her new role. Mr. McCarthy, who served as an AMC Trustee for 25 years, works with all departments and the senior management team to advance AMC’s strategic direction, develop important alliances, and identify business opportunities to ensure sustainability and broaden the institution’s imprint across the evolving veterinary landscape. In 2019, we also appointed Dr. Chad West as Associate Medical Director to assist in providing medical oversight and direction for all clinical activities. To enhance these clinical activities and meet increased demand, we added five new staff doctors, and to enhance patient care and client services, as well as to improve the quality of life among AMC staff, we also welcomed Judith Harbour as our full-time, on-site Licensed Clinical Social Worker.

“AMC’s Emergency and Critical Care Service, which treats 20,000 patients annually, offers an integrated team approach so that all patients with lifethreatening, traumatic injuries receive the highest standard of care to ensure the best possible outcomes.” Kathryn Coyne President and CEO

Cancer Institute

The Cancer Institute at the Animal Medical Center, founded in 2015 with a gift from Elaine and Kenneth Langone, is modeled after the most progressive, patient-centered human cancer hospitals in the country. The Institute takes an integrative and centralized approach to patient care, utilizing the most innovative treatments to prevent, diagnose, and care for animals with cancer. Its visionary design provides AMC’s oncology team with the optimal environment needed to diagnose and treat patients, focus on early detection, enhance outcomes, and work toward a cure for cancer through advanced research. In 2019, the Cancer Institute recorded 5,255 patient visits for 1,284 patients. In 2019, 11% of AMC’s patient visits involved cancer. Research conducted by the Institute’s staff doctors and residents in 2019 included examining whether the drug propranolol reduces tumor regression and lengthens survival time, studying the comparative success rates of vaccination versus chemotherapy in treating oral melanoma tumors, and determining whether electrocauterization to stop bleeding during surgery kills or spreads bacteria. These studies have therapeutic potential for both animal and human medicine and exemplify the groundbreaking impact of AMC’s efforts.

Emilia Saint-Amand Krimendahl Institute for Trauma Care

The Emilia Saint-Amand Krimendahl Institute for Trauma Care at the Animal Medical Center is a state-of-the-art facility, providing compassionate and expert care for pets that need emergency and critical assistance. AMC is the only Level 1 Veterinary Trauma Center in New York City and one of only a few Level 1 trauma centers around the United States that can provide total care for every aspect of the management of the small animal trauma patient. We are fully equipped to manage life-threatening traumatic injuries and staffed

by experienced veterinarians with specialty training in emergency medicine. In partnership with the emergency room, our intensive care unit (ICU) is staffed by a team of clinicians who work alongside in-house specialists and referring veterinarians to provide the highest standard of care. Because we never close, we are able to provide round-the-clock monitoring and treatment of critically ill pets. Of all AMC’s services, Emergency and Critical Care experienced the largest caseload in 2019; almost a third of AMC’s cases in 2019 were handled by ECC.

The Tina Santi Flaherty Rehabilitation & Fitness Service

The Tina Santi Flaherty Rehabilitation & Fitness Service (TSFRFS) continues to thrive with 4,385 patient visits in 2019. The scope of therapeutic services available in the TSFRFS has also expanded, allowing us to treat a wide range of cases from routine post-operative care to advanced orthotics/prosthetics and regenerative medicine. Clinical trials conducted by the department in 2019 included an FDA clinical trial on the effects of allogeneic stem cells on naturallyoccurring osteoarthritis in dogs, evaluation of a Platelet Rich Plasma kit on canine whole blood cell parameters, and an FDA clinical trial on a novel anti-nerve growth factor monoclonal antibody for the treatment of feline osteoarthritis.

Compassionate Programs & Charitable Funds

AMC’s charitable programs lie at the heart of our mission to protect and strengthen the profound connection between people and their pets. Thanks to the generosity of our donors, in 2019, AMC provided more than $3 million in free or subsidized care. Our charitable Community Funds, such as AMC to the Rescue, the Frank V.D. Lloyd Fund for Guide Dogs, Seniors’ Animal Veterinary Effort (SAVE), and the Patient Assistance Fund, account for approximately half of these subsidies. The remaining portion of charitable care provided by AMC includes assistance offered to other non-profit animal welfare organizations; discounts to the New York Police Department; and the care of stray animals left in AMC’s custody.

“AMC to the Rescue has been a real game changer for fosterbased organizations like Rescuzilla and dogs like Gus. When we first saw him at the city shelter, we were drawn to his sweet demeanor and goofy personality, but his orthopedic issues were a roadblock in finding his forever home. Thanks to AMC’s program, we were able to provide the care he needed, Gus became a permanent member of his foster family, and we can continue to give second chances to animals that need a little help along the way.” Katherine Good, CPDT-KA, Co-President, Rescuzilla

Anna-Maria and Stephen Kellen Institute for Postgraduate Education

“The Anna-Maria and Stephen Kellen Foundation is deeply rooted in medicine and medical research as well as supporting education and animal welfare. Recognizing that training the next generation of veterinarians is critical to advancing veterinary medicine, we are proud and honored to support the Animal Medical Center with a $5 million gift to establish the AnnaMaria and Stephen Kellen Institute for Postgraduate Education.” Michael M. Kellen and Marina Kellen French, Anna-Maria and Stephen Kellen Foundation

For more than 50 years, AMC has offered veterinarians the opportunity to pursue additional training through the rigorous internship and residency programs of our Anna-Maria and Stephen Kellen Institute for Postgraduate Education. This invaluable educational experience allows veterinarians to reinforce, extend, and refine their clinical skills and enhance their diagnostic and therapeutic capabilities. At the Elmer and Mamdouha Bobst Hospital at AMC — with a staff of 461, including 119 veterinarians — young vets benefit from the size and diversity of AMC’s caseload and from the opportunity to participate in a collaborative learning environment under the guidance of veterinary doctors who are board certified in multiple medical specialties.

AMC initiated its internship program in 1963, and it is now one of the most competitive in the U.S. Since the program’s inception, more than 2,000 veterinarians have completed internships at AMC. In 2019, AMC received 170 applications for 28 internship spots. AMC offers residencies in numerous specialties including Cardiology, Dentistry, Oncology, Surgery, and Emergency and Critical Care. Each three-year residency is intended to lead to board certification. In 2019, AMC had 36 residents in various stages of their three-year clinical training programs under the direct guidance of experienced medical staff. Each AMC resident plans and executes a research project leading to a scientific manuscript for submission to a peerreviewed professional publication. Because AMC is a member of New York’s extensive biomedical community, residents benefit from research collaborations with several prominent human medical centers, including NYU Langone Health, Weill Cornell Medicine, The Rockefeller University, Memorial Sloan Kettering Cancer Center, and the Icahn School of Medicine at Mount Sinai.

Top: Dr. Katie Kennedy and Dr. Nicole Leibman training interns and residents in AMC’s Cancer Institute.

Bottom: Diagnostic Imaging is just one of the many specialty services in which training occurs at AMC.

Caspary Research Institute

Research is a fundamental component of the Animal Medical Center’s founding mission. AMC is proud to advance veterinary medicine by pioneering new discoveries and progressive treatments. Through our Caspary Research Institute, AMC veterinarians work to understand the origins of diseases, to develop preventive measures, and ultimately to achieve cures. AMC doctors conduct clinical investigations of naturally occurring diseases in pets, often in collaboration with physicians studying the same illnesses in humans, to enable more effective diagnoses, advance medical and surgical treatments, and prevent disease in animals and humans alike. Some studies undertaken in 2019 included evaluation of an oral nitrate medication added to conventional therapy to treat congestive heart failure in dogs; evaluation of regular insulin administered by constant rate infusion, as compared to intermittent intramuscular administration, to treat cats with diabetes; evaluation of artificial neobladder placement for dogs with resectable lower urinary tract tumors; investigation of the effects of allogenic stem cells on naturally occurring osteoarthritis in dogs; and comparison of combination chemotherapy and immunotherapy to treat dogs with splenic hemangiosarcoma. “The advancement of veterinary knowledge is central to AMC’s mission, and our staff regularly undertake pioneering research to make sure we’re able to provide the best possible outcomes for our patients.” Dr. Philip Fox, DVM, MS, DACVIM (Cardiology), DACVECC, Head of Cardiology and Director of the Caspary Research Institute at AMC

Usdan Institute for Animal Health Education

“I’m a firm believer in the importance of animal health education and excited to join AMC to help broaden the reach of the Usdan Institute.” Michelle Leifer, Director, Usdan Institute for Animal Health Education

The Usdan Institute for Animal Health Education aims to be the leading provider of pet health information, with the goals of deepening the public’s understanding of general animal health topics, including preventive care and general wellness; raising awareness of public health issues and concerns; and promoting the human-animal bond. With AMC’s staff of more than 100 doctors and the knowledge gained from almost 110 years of experience, the Usdan Institute is uniquely positioned to deliver the best and most up-to-date information about pet health, not only to those in New York City but across the country and around the world. Educational topics such as pet cancer, genetic testing, and first aid are disseminated across a variety of platforms including AMC’s website (www.amcny.org); topical discussions at AMC; speaking engagements at partner institutions; and participation in community events. Through the Institute, AMC is asserting itself as the place for pet health information for pet owners, regardless of location.

Late in 2019, we welcomed Michelle Leifer as the new Director of the Usdan Institute for Animal Health Education. With solid experience in media, as well as the animal world and non-profit arena, Ms. Leifer is uniquely qualified to strengthen and enhance the Usdan Institute’s broad information platform, which includes monthly events, educational videos, informational emails, and outreach to students and community groups.

In 2019, the Usdan Institute hosted or collaborated on 16 events, including seven public health education lectures: Diagnosis & Treatment of Cataracts in Pets, The Cost of Pet Ownership, New Insights into Tracheal Collapse, Pet First Aid, Pet Cancer, Senior Pet Care, and The Impact of DNA Testing. All of AMC’s public lectures are broadcast on Facebook Live. AMC also participated in events at locations throughout New York City and sponsored a pet memorial event at the hospital in September. In partnership with the Usdan Institute, AMC continues its monthly one-hour talk show “Ask the Vet” on SiriusXM Stars 109. The Usdan Institute Community Advisory Council, comprised of active and engaged pet owners, ensures that our efforts are meeting the needs of the public.

Ann and Charles Johnson One Health Institute

“The health of people, animals, and the environment is intertwined, and medical advances in understanding and treating diseases and illnesses in one species may be applied to other species. All AMC veterinarians are dedicated to the One Health approach to medicine and routinely collaborate with researchers and doctors at leading human healthcare institutions to help improve diagnosis, treatment, prevention, and ultimately patient outcomes.” Dr. Katherine Quesenberry, Chief Medical Officer

In 2019, the Animal Medical Center named the Ann and Charles Johnson One Health Institute in recognition of a generous gift to AMC from Ann and Charles Johnson. The Institute supports the One Health approach to medicine, recognizing the growing connection between the health of animals, people, and the environment. This synergism advances 21st century healthcare and helps protect and save millions of lives in our present and future generations. The Institute will continue to provide the platform from which AMC veterinarians can continue to work collaboratively through interdisciplinary research with leading New York City medical centers to help advance veterinary and human medicine.

One Health Conference and One Health Day

On November 2, the Animal Medical Center, in partnership with the Clinical and Translational Science Center at Weill Cornell Medicine, conducted its fifth annual One Health conference, Connecting Human and Veterinary Medicine, A Comparative Approach to Environmental Emergencies. During the day-long conference, members of AMC’s Emergency and Critical Care team presented on veterinary approaches to environmental emergencies in conjunction with human emergency medicine physicians from Weill Cornell Medicine and Sollis Health. Topics included heat stroke, burn injuries, anaphylaxis, submersion injuries, and electrical injuries.

On November 4, AMC joined institutions world-wide to commemorate Global One Health Day and raise public awareness of the collaborative efforts of health professionals in different fields to ensure the wellbeing of people, animals, and the environment. AMC marked the day with a panel discussion, The Impact of DNA Testing on You, Your Pet, and Your World.

Top: Dr. Dava Cazzoli, DVM, DACVECC, presenting at the One Health Conference.

Bottom: Dr. Katherine Quesenberry, CMO, with participating emergency specialists from both animal and human medicine.

The Gift of Love Capital Campaign

“I am heartened by the enthusiastic and generous response from AMC’s donors to the Gift of Love capital campaign. The outpouring of support demonstrates a commitment to AMC’s mission and to sustaining our leadership role in the world of specialty veterinary medicine, education and research for many years to come.” Robert Liberman, Chairman On October 22, AMC launched its $70 million Gift of Love capital campaign, the largest campaign in the institution’s history. This transformational three-year renovation and expansion will add more than 11,000 square feet of new space to AMC and will renovate more than 26,000 square feet of existing clinical and client space. The Gift of Love campaign secures AMC’s ability to continue to provide the best possible care for our patients for the next generation of veterinary medicine, while creating new opportunities for our veterinarians, staff, residents, and interns in a premier medical environment. Thanks to the leadership of AMC’s Board of Trustees and the generous support of an expanding group of individual donors, the Gift of Love campaign was successful in raising more than $46 million of its $70 million goal in 2019. AMC’s future renovation and expansion will add new programs and amenities to its current offerings, including the following enhancements:

-Renovated Exterior will signal AMC’s position as a world-class institution, a place for the most advanced veterinary care and clinical research.

-Renovated Lobby will provide a warm, welcoming environment to the more than 100,000 patients, families, and staff who come through AMC’s doors each year.

-Emergency Room and Intensive Care Unit will nearly triple the current footprint on the second floor, adding needed equipment, exam tables, and cages. An improved layout connecting the ER and ICU will optimize patient outcomes, and an ICU isolation room will keep animals that may be contagious away from other pets. Six new clinical rooms will be added and all treatment areas will be reconfigured.

-Special Care Unit will expand by 5,500 square feet, nearly 40% of its current footprint, allowing AMC to accommodate more patients. The SCU will provide separate areas for feline and canine recovery, as well as amenity spaces for visitors.

-Dog Run and Park will be part of the third floor SCU expansion and will provide a controlled outdoor environment for canines during their in-patient stay.

-Integrative Health and Education Center, located in the 5,500-square-foot addition on the fourth floor, will provide medical day-care, as well as nutritionist and pet behaviorist services. It will feature an expanded Education Center, with nearly double the current capacity, allowing for enhanced public health education programs.

-Peri-Operative and Surgical Suite (below), on the seventh floor, will provide three times the space as the current footprint. The relocation of surgical services from the second to the seventh floor will enable AMC to create five state-of-the-art operating rooms, a procedure room, a recovery room segregating dogs and cats, and a Central Sterile Center.

VISIONARIES ($5M+) Anna-Maria and Stephen Kellen Foundation Emilia Saint-Amand Krimendahl Mr. and Mrs. Kenneth G. Langone Mrs. Katharine Rayner

BENEFACTORS ($1M+) Mr. and Mrs. William R. Acquavella Anonymous The Emma and Georgina Bloomberg Foundation Chris and Bruce Crawford Ann and Charles Johnson Mr. and Mrs. Robert Liberman Mrs. Marianne C. Mebane Mrs. Oscar de la Renta Mr. and Mrs. David T Schiff Mr. and Mrs. Andrew H. Tisch

PATRONS ($250K+) Mr. and Mrs. Leonard H. Berkeley Blue Dot Foundation Mr. and Mrs. Stanley F. Druckenmiller Tina Santi Flaherty Mr. and Mrs. David B. Ford The Freed Foundation Brooke and Ed Garden Kathryn O. Greenberg Mr. and Mrs. Michael Horvitz Mr. and Mrs. Neil M. McCarthy Jeffrey A. Schoenfeld Jeanne Sorensen Siegel Foundation Barbara J. Slifka Mrs. Margaretta J. Taylor

SPONSORS ($100K+) Mrs. Edwin M. Burke Peggy & Millard Drexler Family Foundation Mr. and Mrs. J. Pepe Fanjul Alexandra C. Goelet Dorothy and Jerry Goldstein Mary G. Herms and Ryan J. Marshall Linda D. Kofmehl Sharon and Cary A. Koplin The Edith and Herbert Lehman Foundation Elizabeth and Clement Moore The Redlus Family Sascha Rockefeller Ms. Jacqueline Weld Mrs. Janet York

SUPPORTERS (<$100K) Ms. Gabrielle Armand Susan L. Baker and Michael R. Lynch Dr. Mahnaz Ispahani Bartos and Mr. Adam Bartos Gale Rundquist Chen Dr. and Mrs. William D. DeHoff Robert Fagenson Dr. Hal & Mrs. Kimberly Folander Ms. Laura A. Garner and Mr. Roger Hardon Mr. Michael Heaner Ms. Nicola Heryet The Honorable and Mrs. Henry Kissinger The Ronald and Jo Carole Lauder Foundation Dr. Betsy D. Lawrence and Mr. Bryan H. Lawrence Melinda Lloyd Jacqueline B. Mars Linda L. Munson Kane and Martin Nussbaum Mr. and Mrs. William B. Roberts Elizabeth Gore Ross Mrs. Daisy M. Soros Marcia Brady Tucker Foundation Lindsay Wilcznyski Dr. Deborah Miller Zabel and William D. Zabel, Esq.

Pledges made as of 12/31/2019

Donor Societies

AMC is fortunate to have committed and loyal supporters who embrace our mission to provide compassionate and collaborative care to animals and to lead the advancement of veterinary medicine through innovative clinical research and education. Those who give to AMC annually are critical to our success and are recognized with membership in one of our special giving societies.

Opposite Page: Trustees Laura Garner, Elizabeth Moore, Katharine J. Rayner

Left: Jeffrey Schoenfeld and Trustee Ann Tisch

Chairman’s Circle

The Chairman’s Circle is AMC’s leadership donor group, comprised of benefactors who believe in the importance of providing worldclass veterinary care to all the pets we serve. Donors who contribute $25,000 or more annually are invited to become members of the Chairman’s Circle.

President’s Council

Donors who contribute $10,000 or more annually join a growing list of individuals whose generosity and foresight allow our doctors to deliver the most advanced specialty medicine, pursue cutting-edge research, and offer groundbreaking educational programs.

Russell Miller and Kiono Thomas

Golden Paw Society

Golden Paw Society members are a group of committed and loyal supporters who understand the importance of our work and the critical role they play in helping us fulfill our mission. Golden Paw Leaders ($5,000 to $9,999), Golden Paw Sponsors ($2,500 to $4,999), and Golden Paw Partners ($1,000 to $2,499) represent a group of donors who value our efforts to provide more innovative and compassionate veterinary treatment to companion animals and their families.

Silver Paw Society

The Silver Paw Society is comprised of donors who give between $500 to $999 annually, enabling AMC to remain at the forefront of veterinary medicine and helping us promote pet health care around the world. The Ellin Prince Speyer Legacy Society welcomes members who have made a commitment to AMC through a bequest, retirement plan, life insurance, lifeincome, or other legacy gift. AMC was established nearly 110 years ago with Ellin Prince Speyer’s vision of promoting compassionate animal care and making it available to pet owners of all means. Since then, AMC has evolved into one of New York’s most vital and beloved institutions. The commitment of AMC’s Legacy Society members will ensure our ability to carry out advanced treatment, research, education, and compassionate care for companion animals well into the future.

ELLIN PRINCE SPEYER LEGACY SOCIETY MEMBERS Anonymous (5) Madelyn Antoncic, Ph.D. Ms. Julie Babka and Dr. Joseph Feldman Melanie Balousek Ms. Fern Beckman Hildy Benick Ms. Judith Binus Dr. and Mrs. Edward* Gerock Boyette Deirdre Brady Ms. Alexandra Buck Marjorie R. Bukzin Mrs. Edwin M. Burke Mr. William A. Carmell Elizabeth Marr and Robert Chase Joni Maya Cherbo, Ph.D. Betty Chiao Y. Daphne Coelho-Adam Ms. Marie C. Cole Gail Cook & Anoop Punjabi Carol Cucchiara Cecily and Roy* Davis David DePorte Maria and Albert DiMeglio Ms. Karen Eckhoff Ms. Jane L. Emery Donald Eugene Family Trust Ms. Mary C. Fey Mrs. Tina Santi Flaherty Nancy B. Fray Joan Fricke Alexandra C. Goelet Gretchen Grant Ellen and Robert Grimes Mr. Michael Heaner and Mr. David Michaud Gail Irwin Hartman Foundation Mr. Robert B. Johnson Linda D. Kofmehl Sharon Amsterdam Koplin Richard P. Krasnow and Nancy Meyrich Ms. Ruth Lapin Janice Levine Joan B. Levine, DDS and Jonah B. Berman, OD Ms. Norma R. Lewin Mr. and Mrs. Robert Liberman Helene F. Linden Claire K. Lindgren Ronald Repogle and Maureen Loftus Susan L. Baker and Michael R. Lynch Mrs. James Marcus Ms. Nadine McCarthy Mr. and Ms. Neil M. McCarthy James G. McMurtry, III M.D. Mr. and Mrs. Clement C. Moore, II Ms. Caryn Eve Murray Ms. Irene Muschel Eileen Nemeroff Joy* and Al Nussbaum Kane and Martin Nussbaum Delia L. Peters Ms. Laurie Pulaski Mr. Robert Restivo Katherine R. Riley Elsie Saccone Fred* and Emilia Krimendahl Mrs. David T Schiff Ms. Petra Schmidt Paula Sidewater Mr. Bruce Smith Mr. and Mrs. Mark J. Stuart Ms. Ronnie Taffet Ms. Maggie Malina and Mr. David Tischman Dr. Tina L. Waltke and Ms. Mary Jane Constant Ms. Atsuko Watanabe Janet York

*deceased