HCS Annual Report 2024

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2024 ANNUAL REPORT

DIRECTORS

BOARD OF

Virginia Jordan Chair

Ann Heffernon Director

David Stinson Director

Julie Green Secretary

Geraldine Holmes CFO

Julie Tewksbury Director

Eric Horne Treasurer

Maura McQueeney President and CEO

Andrew Tremblay, M.D. Director

Paul Berch Director

Don Mazanowski, M.D. Director

Mary Davis Director

William Pearson Director

SENIOR

LEADERSHIP TEAM Maura McQueeney, MPH, DNP President and CEO Judy Arellano Accounting Manager Susan Ashworth, MBA Director of Community Relations Laura Brow, RN Director of Clinical Operations Geraldine Holmes, MBA CFO

Jessica Mack, MBA Director of Operations & Education, Corporate Compliance Officer Gayle Murphy Vice-President for Human Resources Sareen Sarna Director of Growth and Philanthropy Pamela Streletsky Director of Fiscal Operations

MISSION

To provide services which enable people to function throughout life at their optimal level of health, well-being, and independence, according to their personal beliefs and choices.

VISION

To be the leading regional provider for the continuum of care through home health, hospice and community services.

VALUES

HCS values the spirit and talent of a diverse and inclusive workforce that can use evidence to support practice, employee competence, and meaningful work in our holistic approach to meet the health and wellness needs of individuals and families. We value the ability to change nimbly with the aid of technology and continuous improvement and which protects the rich relationships that lead to professional collaboration and donor confidence.

2 � Know us before you need us. HCS is more than you can imagine.

Cover image: Clinical Manager Mike Kolodziej hitting the road for a nursing visit

LETTER FROM OUR

BOARD CHAIR AND CEO Dear Friend of HCS, Some days, in the midst of dealing with new government rules, advanced in-home therapies, escalating costs, and shifting patient demographics, it is easy to feel like we are running in place rather than making our way forward.

There is ALWAYS so much MORE to be done! Writing this report provides a welcome opportunity to reflect upon the significant progress that the Board and staff of Home Healthcare, Hospice, and Community Services made in 2024.

HCS welcomed two new “tenant-partnerships” in 2024 that will pave the way for growth and collaboration. The Keene Senior Center relocated to 312 Marlboro Street, Keene (HCS Main Office) in January, taking advantage of increased space, convenient parking, and weekday Friendly Meals luncheons – all culminating in expanded membership for Keene Senior Center. This November, our HCS Peterborough location transitioned to the Monadnock Community Hospital campus, placing us right next to collaborative physician practices and nearer to patients about to be discharged from hospital to home.

Our Hospice and Palliative Care patient census doubled in size thanks to our reputation as the region’s same day Hospice response team. Additionally, our Home Health team of nurses, therapists, and aides achieved top rankings in New Hampshire and the nation for avoiding patient rehospitalization while under HCS care.

We are excited to announce that our Healthy Starts Family and Child support program and our VNA homecare program promoted three direct care staff to leadership roles; harnessing talent, organizational knowledge, and aspiration for professional challenge to activate new approaches to our work. We partnered with the Monadnock Mobile Integrated Health community paramedicine program to pilot prenatal and post-partum home visits for highrisk mothers and secured a grant to continue this service with additional RN staff.

After months of collaboration with our trusted regional insurance advisor, The Richards Group, we launched a new health insurance plan that offers multiple choices for our staff, allowing them to benefit financially through an Individual Coverage Health Reimbursement Arrangement (ICHRA)- an emerging trend in employee benefits sustainability.

Looking back for a moment, it appears we were not running in place after all. As we journey forward on the road together, we’re making progress with the support and encouragement of friends like you!

Thank you for supporting your local Home Healthcare, Hospice, and Community Services organization, HCS. We feel privileged to share these highlights of 2024 - our 118th year!

Sincerely,

Maura McQueeney, President and CEO

Virginia Jordan, Board Chair

Know us before you need us. HCS is more than you can imagine. � 3

MOMENTS OF CONNECTION

MEALS ON WHEELS

When Meals on Wheels driver Doug Pryor didn’t get a response at Jane’s* door, he was concerned. Jane always greeted him and was appreciative of the few minutes of conversation he brought along with the meal delivery. As a driver with Meals on Wheels for over many years in Hinsdale, he knew that participants relied on him not only for the nutritious meal, but also for a daily safety check. Doug used the ServTracker app on his phone to alert Gia Farina, the program manager for nutrition at HCS of his concerns. Every day, drivers report that 10 to 15 participants have not answered their doors. Gia calls emergency contacts and in some cases local police departments to do a “wellness check” to make sure that participants are safe. Gia notified Jane’s son of the driver’s concerns. He visited his mom that afternoon and found that she had fallen. Due to her multiple health conditions, she was hospitalized. John*, her son, called Gia to thank her for the alert. “Without the call from Meals on Wheels, my mom would have been on the floor for a long time since no one else usually visits her during the week. I thank Doug and Gia for their concern so that I could get mom the care she needed.”

Drivers report concerns not only when someone does not answer the door, but also when someone is not “themselves.” Recently William, who lives alone in Keene, said that he did not feel good, when Paul, his driver dropped off his lunch. At 84, this raised concerns for Paul, who reported this concern to Gia. William had listed all three of his children as contacts, so she left messages with all three. Later that day, she received a call back from his daughter that the whole family was relieved to know that Paul was checking on their Dad every day and were “very grateful for meals on wheels.”

“It is all part of my day,” says Gia. “I view the daily check as important as getting the meals out the door. Not only do the people feel better knowing that someone is checking on them, but I have many families let me know that they are relieved to know that this check on their family member is part of the program.”

KEENE SENIOR CENTER: Daily at Noon 312 Marlboro Street, Keene UNITED CHURCH of JAFFREY: Every Wednesday at 11:30 a.m.

54 Main Street, Jaffrey For more information, visit our website at: hcsservices.org/friendly-meals/

THE ROAD AHEAD FOR TRANSPORTATION People in our rural area with no transportation often face hurdles the height of Mt. Monadnock. Even those with limited access to a ride can find getting to essential medical appointments, groceries, and prescriptions insurmountable.

The Transportation programs at HCS have been helping people of all ages in Keene scale these hurdles with the Friendly Bus, City Express and Medical Express. This year a Passenger Advisory Committee (PAC) was formed to hear directly from riders. The PAC’s mission is not only to give voice to riders, but also to engage them as advocates for improving public transportation.

After requests were made for stops at four new locations, including Cheshire Medical Center’s new Family Medicine facility and Monadnock Family Services, the PAC was called into action. The group critiqued proposed changes to the route and gave staff valuable insight into the rider experience. The changes to Sandra and HCS Bus Driver, Scott the route and schedule debuted on January 2, and even during the cold winter days ridership increased. Said PAC member and regular rider Sandra McDonald, “I have lived in many places throughout my life and always used public transportation. Since moving to Keene, I use both the City Express and Friendly Bus. The service here – the dispatchers and drivers and everyone involved – is second to none. I can’t say enough good things about public transportation and how important it is to a community.”

4 � Know us before you need us. HCS is more than you can imagine.

*Names have been changed to protect privacy.

HEALTHY STARTS A ROADMAP TO THRIVING Sherry* is a young mom of three who came to Healthy Starts when her second child was just under a year old. Sherry was living with her mother after leaving an abusive relationship and unfortunately, Sherry and her mother did not get along.

Sherry needed help to get back on her feet, and as a first step her Healthy Starts worker connected her to supports for mental health at a local mental health agency. Next the Healthy Starts worker ensured she had access to all the benefits that would help Sherry care for her children and gain independence, such as WIC and Food Stamps.

Sherry was a resilient survivor of domestic violence and she continued to co parent for the betterment of her son. She had no job and she was trying to maintain abstinence from substances.

The Healthy Starts worker partnered with Sherry to support her. Many times, this simply meant listening to her story and pointing her in a direction.

Soon after approaching Healthy Starts, Sherry was thrown by a new medical diagnosis of Multiple Sclerosis, but she did not let it stop her from continuing to parent her children the best she could. Over time, Sherry had found employment, was managing her MS, had an improved relationship with her mother, and both had moved from an apartment to a home together. Sherry no longer needed us, but always knew Healthy Starts would be there for her if she needed us in the future.

A few years later after her initial case closed, Sherry became pregnant again and ensured that the hospital referred her to Healthy Starts. A connection was rekindled with the same Healthy Starts worker, and it felt like services had never stopped. Except this time, Sherry’s toolbox was full of all she learned from the previous episode of treatment with Healthy Starts. Everything that the worker suggested was readily adopted by Sherry. She moved from the home she was in, to an apartment in Keene without her mother.

She was continuing to hold down a job and managing both her sobriety and physical health. She also was managing the continued stress from co-parenting.

Sherri’s Healthy Starts worker moved from a gentle guide to an active supporter when they found out that the new baby’s kidneys had a complication. Sherry’s Healthy Starts worker was able to connect Sherry with the Healthy Starts Nurse to oversee the remainder of the pregnancy and monitor her baby’s kidneys. His delivery was not without drama, both from the adults in his life and his own medical issues; however baby Michael arrived in this world and Sherri was over the moon with joy. She continues to provide the best and most consistent care for him and his two older siblings.

Sherry tries to give credit to Healthy Starts but she was the one who found the strength to provide a stable life for her children.

*Names have been changed to protect privacy.

Know us before you need us. HCS is more than you can imagine. � 5

UNDER CONSTRUCTION:

HCS’S COMMITMENT TO QUALITY AND EFFICIENCY At HCS, our mission to provide exceptional patient care is always evolving to meet the needs of our community. This year, we have undertaken several significant changes to improve our services and ensure that every patient receives the highest quality of care. Among these changes are internal process refinements and a renewed focus on quality of life, all aimed at enhancing the overall patient experience.

A HOLISTIC APPROACH TO QUALITY OF LIFE

At the core of our patient care philosophy is a focus on enhancing quality of life. We are currently addressing a crucial aspect of our service delivery—ensuring patients receive the most appropriate level of care for their needs. When patients receive the most appropriate level of care, quality of life improves for both the patient and caregivers. We begin with a comprehensive referral and initial assessment process to identify and address each patient’s unique needs. This stage involves conversations with referral sources to evaluate requirements such as pain management, wound care, caregiver support, and safety concerns. In cases where patients are identified as candidates for hospice care, we ensure that they receive our highest levels of support.

COLLABORATIVE CARE AND INFORMED DECISION-MAKING

Our process continues with a collaborative approach to decision-making. Complex referrals are discussed in our daily intake collaboration meeting. This meeting brings together VNA and hospice managers with intake staff to review referrals that may require special attention. By examining referrals with “red flags” for palliative or hospice care, we can more effectively align our services with the patient’s goals. After these meetings, a manager reaches out to the patient and their family to explain the various services and programs available. This dialogue helps us determine which services would be the best fit and provide the best quality of life. Depending on their needs, patients may receive comprehensive care from our team, including services from registered nurses, social workers, physical and occupational therapists, home health aides, or palliative care from our specialized nurse practitioner.

ENHANCING CARE THROUGH CONTINUOUS IMPROVEMENT

Our commitment to continuous improvement extends to our utilization of expert consultants who help us refine our processes and workflows. This ongoing collaboration ensures that our patient care strategies remain current and effective, reflecting the latest best practices in healthcare.

In conclusion, the changes we have implemented this year at HCS underscore our unwavering dedication to providing exceptional care and enhancing patient quality of life. We are continuously striving to meet the evolving needs of our community with compassion and excellence and these changes ensure that people will have a smoother passage on their healthcare journey when supported

by HCS.

6 � Know us before you need us. HCS is more than you can imagine.

*Names have been changed to protect privacy.

WELLNESS

HAPPY FEET

Working at her computer in the HCS Peterborough office, Nanci was suddenly alerted to bellows of laughter. Walking out to the Foot Clinic waiting room, she found two Foot Clinic patients and the caregiver for a third joined in animated conversation. As she reflected on such a joyful exchange, it was clear how much the patients and caregivers at the Foot Clinic look forward to the social aspect of their much needed medical care.

Many patients have been seeing their Foot Clinic nurse for years and have shared the joys and challenges of their lives. It’s not unusual for a nurse to walk a patient back to the waiting room after an appointment with a patient exclaiming “I just feel so good,” and “Thank you for taking such good care of me,” or “I’ll keep you posted on what happens next time I see you.”

The holistic aspect of care at HCS shines bright. The attention of the wellness nurses goes far beyond the feet. Nurses may recommend that moles be examined immediately by their dermatologist; that a sudden increase in weight is indeed a reason to contact their PCP, and yes diet is important when managing diabetes. This additional support builds trust, a sense of security, and connections within our community.

As she returned to her work, Nanci felt a deep sense of gratitude, realizing that it’s these shared moments made a world of difference in the lives of everyone at the Foot Clinic.

CELEBRATING THE IMPACT OF

HOME SUPPORT SERVICES At HCS, we are reminded daily of the profound difference we make in the lives of our clients. In Winchester, we had the pleasure of supporting Francine,* a delightful client who often felt lonely as she frequently transitioned in and out of skilled rehabilitation facilities. Despite her circumstances, she always radiated kindness and appreciation for her Home Support Providers, Cynthia and Miguel, often stating, “I love them,” when reminded when they would be coming to her home to assist her.

The work is so much more than light housekeeping. Throughout Francine’s journey, she found solace in the companionship offered by her Home Support Providers. Their support brought her comfort during a difficult time, reminding her that she was not alone on this road. Although Francine has since transitioned to long-term care, we know that her time with Cynthia and Miguel made her days at home more hopeful and pleasant.

This story serves as a powerful reminder of why our work matters. We are committed to providing care for the whole person—ensuring that every client feels valued and connected. Companionship organically flourishes and we celebrate the relationships built through our service as we support people on their journeys.

Know us before you need us. HCS is more than you can imagine. � 7

EDUCATION SCHOLARSHIP AWARD

BARBARA R. DUCKETT

Barbara Duckett

The Barbara R. Duckett Scholarship was created to honor Barbara on her retirement as CEO of HCS. She remains deeply committed to this community and to helping it continue to be able to meet its healthcare needs with a steady cadre of educated and trained professionals. The Scholarship is designed to assist those already in the healthcare workforce to advance and elevate their skills and competence and to attract new caregivers to the field. Scholarships are awarded annually to staff who are pursuing certification, licensure, or advanced degrees in support of their work at HCS.

Barbara is personally aware of the significance of financial support in pursing educational goals. Upon R, Dav graduating from high school, Barbara received multiple scholarships which allowed her to enter and complete her nursing education. Her understanding of the need to help and support others inspired the creation of the Scholarship Fund. Over the past fourteen years this scholarship fund has helped over 30 individuals at HCS begin, advance, or enhance their careers in healthcare. This year we are awarding eight more scholarships!

L to R, Sarah Davis, Jessica Mack, Barbara Duckett, Cayla Groeber, Katie Hart.

Not pictured: Jessica Devine, Shana Freda, Hayley Johnson, Tasha Palmieri

2024 SCHOLARSHIP RECIPIENTS Sarah Davis

Hayley Johnson

Jessica Devine

Jessica Mack

Healthy Starts Social Worker, Attends UNH, MSW Candidate HR Generalist, working on SHRM Certification

Shana Freda

Clinical Office Manager, Attends Franklin Pierce University, BS in Healthcare Administration Candidate

Cayla Groeber

Physical Therapy Assistant, Attends National Academy Sports Medicine, taking courses

Katie Hart

Manager for Special Projects, Attends UNH Paul College of Business and Economics, MBA Candidate

8 � Know us before you need us. HCS is more than you can imagine.

Patient Care Manager, Attends Rivier University, MSN Candidate Director of Operations & Education, Corporate Compliance Officer, Attends Frankline Pierce University, MBA in HR Management addition, working on SHRM Certification

Tasha Palmieri

Care Transitions Specialist, Attends SNHU, BS in Healthcare Administration Candidate

SUSAN G. ASHWORTH

COMMITMENT AWARD 2023 - Dan Mastronunzio – The 2023 Susan G. Ashworth Commitment Award was presented to social worker Dan Mastronunzio. The award is given annually to the staff member who exemplifies the four pillars of love for HCS as an organization; a willingness to tackle difficult and complex work; forthright in conversation, and fair and calm in stressful situations. Presenting the award was Susan Ashworth and Evelyn Erb, last year’s award recipient. Evelyn, who nominated Dan, wrote: “Dan never flinches when asked to see clients in the most adverse situations or challenging family dynamics. He is fearless to respond to human need and always sees the person while never rendering judgement. He is always in a positive spirit to listen first and to ask questions to ensure understanding. It is one thing to have a tremendous knowledge base of their field; it is wholly a different skill set to demonstrate total respect for human dignity and to honor the right to self-direction while giving sound advice. There is no agenda with this person. Other than to be of service.”

Dan Mastronunzio, Tina White & Susan Ashworth

2024 - Tina White, is the recipient of the 2024 Susan G. Ashworth Commitment Award. Tina, PT and Rehab Team Leader, was surprised to receive this award during the Annual Employee Recognition last month. Laura Brow, Director of Operations, wrote Tina’s nomination and the four VNA managers joined in to cosign! Tina has consistently demonstrated an unwavering commitment to providing the highest standard of care at HCS. Beyond her direct patient care responsibilities, Tina plays a crucial role in the Quality department, assisting with the quality review of patient records. Her meticulous attention and commitment to excellence ensure that our records are accurate, comprehensive, and up-to-date. In her role, Tina consistently takes on the most challenging and complex cases with a positive attitude and a determination to succeed. She engages in open, transparent conversations with patients, caregivers, and colleagues, ensuring everyone is well informed and on the same page. This forthrightness fosters trust and confidence, creating a supportive and collaborative environment. In the face of stressful and high-pressure situations, Tina remains fair, composed, and PAST AWARDEES 2018 Susan G. Ashworth level-headed. Her calm demeanor and ability to handle crises with grace have 2019 Richard Skeels made her a reliable and trusted resource within our team. Whether managing 2020 Entire HCS Staff a sudden change, in a patient’s condition or addressing complex administrative 2021 Laura Brow & Penny Vaine challenges, she approaches each situation with a balanced and thoughtful 2022 Evelyn Erb perspective. She always has a smile on her face and remains focused and approachable when engaging in any situation.

Congratulations to Tina and Dan!

OUR COMMUNITY SAYS: Keene Sentinel Reader’s Choice: Best Local Home Care Agency – eleven years in a row!

Monadnock Shopper Awards: Gold - Homecare Agency Silver - Best Nonprofit Organization Monadnock Media Group: Gold - Best Home Care and Hospice Silver - Physical Therapy NH Business Magazine: Featured in Top Women-Led Non Profits Know us before you need us. HCS is more than you can imagine. � 9

COLLABORATIONS AND PARTNERSHIPS JOURNEYING TOGETHER

We want to take a moment to express our heartfelt gratitude to our collaboration partners. Your unwavering support and dedication have been instrumental in our shared journey caring for our community. Together, we’ve achieved which wouldn’t have been possible without your expertise and commitment. Your contributions have not only enriched our initiatives but have also strengthened our community. We truly value and appreciate these relationships and look forward to continuing our work together.

Alzheimer’s Association American Red Cross – Blood Drive Cathedral of the Pines Cheshire Medical Center Community Kitchen Connect Families NH Division for Children, Youth and Families Deep Roots Massage Greater Monadnock Collaborative Regional Chamber of Commerce Home Care, Hospice, and Palliative Care Alliance of New Hampshire Keene and Monadnock School Districts Keene Senior Center

Laura Brow (second from right) joined the board of the Home Care, Hospice, and Palliative Care Alliance of New Hampshire 10 � Know us before you need us. HCS is more than you can imagine.

Medical Providers Monadnock Center for Violence Prevention Monadnock Community Hospital Monadnock Developmental Services Monadnock Family Services Monadnock Region Clergy Monadnock United Way NH Care Collaborative NH Charitable Foundation Rise for Baby and Family Southwestern Community Services The Grapevine The Revo Casino The River Center

2023 Christmas Caroling in long term care facilities

COLLABORATIONS AND PARTNERSHIPS JOURNEYING TOGETHER

Butterfly Release at Cathedral of the Pines

2024 Walk to End Alzheimer’s

2024 Clergy Breakfast

Palliative and Hospice Care Managers Evelyn and Vanessa presented to Cheshire EMS personnel

Chaplain Charbel presented a service at a local long term care facility

2024 Clarence DeMar Marathon

Know us before you need us. HCS is more than you can imagine. � 11

THANK YOU TO OUR 2023-2024 DONORS INDIVIDUAL DONORS

Couples, Singles, Surviving Spouse (Alphabetical by Last Name)

Paula M. Aarons Pilar Abaurrea & Gary E. Wehrwein Ruth Abbott Lisa Abohatab & James Schofield Michael Acerno Patrice Aguda-Brown & Christopher Brown Deborah M. Ahlstrom Ann Albrecht Jeffrey Aldrich Joyce Aldrich Ann M. Alexander Jennifer Alexander Lisa Alexay Carrolla S. & Joseph W. Alger Timothy H. & Stacey M. Allen Elizabeth A. & Julie A. Whitney Mary Louise Alther & Glenn Davis Doreen J. & Harvey M. J. Ames Heather & Richard Ames Joan R. Ames Ramona Anderson & Joseph T. Kohler Jean Andrew Christine Andrews Laura B. Andrews Joanne Angell Anonymous (16) Gail B. Ansaldo Gisela Antonuk Carolyn Antrim Elizabeth Appel Tracy Appleton Judy Arellano Barbara & Donald Arguin David Armitage Sharon Arnone Steve & Vicki Arsenault Susan G. Ashworth Fran Atchison Savannah Audet Betty C. Audette K.B. Ayers Carmela & Samuel Azzaro Robin & David R. Babin Vicki & David L. Bacon Charles V. & Gertrude Baier Kathleen & William J. Baldasaro Judith G. & Clark S. Baldwin Deborah Baldwin Eleanor C. Ball Joan Bando Anne & James Banghart Jennifer Barbaro Mary Barbarow Patricia S. Barber Janette M. Barchus Dorothy F. Barden Alison F. Barney Elana Baron Marcia J. & Thomas H. Barrett Sara Barrett Barbara Barrow James E. Barry Shirley Bartashevich Cecily Bastedo Laura Bates Samantha A. Bator Jill I. Batty & Daryl L. Stutes John Bauer Kathleen A. Beam Katie Beam

Lisa R. & James R. Bearce Robert & Renee L. Beard Harriet J. Beckwith Constance Bedaw Josiah & Mary Beer Patricia A. & David B. Beffa-Negrini Catherine A. Behrens Cheryl A. & Stephen B. Bragdon Deanne Belanger Kristin Bell Judith Bell David R. & Nancy N. Belletete Lorraine Bellows Nancy A. Belsky Cheryl Bencivenga Carol M. Benda Dean W. & Jeanne E. Bennett Jeff Bennett Christine & Tedd Benson Paul S. Berch Beth S. & Joseph G. Bergman Lisa Bergmann Liesel Berleth Rosemarie Bernardi Chris Bernart Sarah Bernart Cathy L. Bernius Mark D. Best Shirley E. Beteau Alyse G. Bettinger Lawrence A. Bickford David & Suanne Bickum Elaine H. & Paul Bieber Kathleen Bieke Jessica Bigaj Kathleen M. & Steven D. Bill Ellen S. Bingham Judith E. Bischoff Susan Black Margaret M. & Gregory Blackburn Kristin D. Blais & Michael T. Foot Robin & Frederick Blais Christine Blake Nancy A. Blake Chelsea Blanchard Linda Blicker Jonathan M. Bloom Eileen Boer Christine Bogino Jill A & David R. Bond John Bonell Pierre L. Bonneau, Jr. Suzette Borden Patricia J. Bordner Judith Bosies Nancy Boucher Theresa Boudreau Florence Boulerisse-Morton Rebecca A. Bouley Constance & Robert Bowblis Barbara J. & Douglas E. Bowen, Jr. John A. Boynton Ann Breen Jill & P. Donald Brehm Craig Breismeister Patrice & Richard Brewer Richard and Barbara Brewer Eleanor Briggs Jacqueline Brittain Valerie Britton Karen L. Brook

12 � Know us before you need us. HCS is more than you can imagine.

Summer Brooks Faith Brousseau Laura & Daniel Brow John D. Brown Pauline O. Brown Katherine Brown-Hoekstra Kathleen L. & Charles L. Bruce Lynn M. & Henry F. Brunjes, Jr. Anna K. Brunk Nancy L. Bryce Constance Buch Marcia Buckman Sarah McKelvey Bulger Dale Bull Peter Bumpus Linda Olson & Kenneth R. Bundy Kim Bunszel Lizabeth Buoro Beverly Burgess Kelly Burke Kathleen Burke Kathleen K. Burke Renee Burkley Mary Burnett Diana Burnham Ken Burns Tracey Burroughs Elaine Burroughs M Noella Buschbaum Suzanne S. & Larry G. Butcher Deborah A. Butler James E. & Christine Brenner James E. & Kathryn K. Butterfield Pamela Bys H. Meade Cadot Mary Louise Caffrey & Kenneth Stewart Donna & Joe Calabro Melinda L. Cambiar April Cambre John N. Cameron Laurel Cameron Patricia I. Campbell Sally J. & Michael Candello Jane F. Canfield Esther M. Cantua Eleanor Cappa Catherine Carabello Sarah Carbone Don Carlisle Heidi Carlisle Nancy L. Carlson Marisa Carpenter Elaine Carril Jennifer L. Carroll Michael C & Lillian R. Carter Anne S. Cartwright Solace Carvajal James Casey Neal Cass Steve Caswell Linda Cates Barbara Caverly John P. Cavolo Clarke O & Carole Reid Thomas F. Chabot Theodore Chabott Nancy Chabott Bonnie C. S. & Carter R. Chamberlin Jerry & Emmy Chamberlin Janet Chamberlin Dianne S. Champion

Maureen E. Chandler June Chandler Emma Charles Vernon E. Charlonne Brinda Charry Barbara J. & William V. Chase BA Chase Sandra Chase Andrea J. Cheeney Michael R. & Kathleen Chelstowski Catherine Chiarelli Katherine D. Christensen Elizabeth C. & Michael Christiansen William H. Chumley Betsey H. & Richard P. Church Jill G. Cielinski James Clark Kimberly Clark Mary L. Clark Kathleen L. Clark Sarah B. Clark Catriana Clark Darlene Clark Christine Clarke Michelle O. Clarke Bethann Clauss Diane S. Claveau Philip Clay Robert Clemens Kimberly Clift Barbara & Ronald Coburn Claire Coey Jan & Richard B. Cohen Tamera Z. & Robert Colgate Stephen Collette Allan Collier Martha B. & Maurice W. Collins, Jr. Kathy Collinsworth Robert Collinsworth Laura Colquhoun Nicole Concordia Cathy Ann & Richard Meyer Marcelle L. Connare Denise S. Connors Catherine Conrey Kelly & Thomas Cook Lisa Cook Elizabeth Coppola Charles Corts Margaret Costick Pamela Cotnoir Elizabeth B. Cotter Steven Coty Vera Coupal Sharon S. & Dale A. Courtney Rachel Courtney Rosemarie Couture Margaret Cramer Carolyn Crane Michaela Crooks Dorothy Crosby Debbra A. & Larry L. Crowder Charlotte M. Crowell Florence J. Crowell Barbara A. Cumback Larry Cummings Electra Cummings Jane B. Cunningham Donna M. Cunningham Deborah A. Currier Kimberly & Gregory C. Curry

THANK YOU TO OUR 2023-2024 DONORS Stephen Curtin & Mary N. Wilke Christine Curtis Maureen F. Curtiss & Dean E. Beaman Patricia A. Cutler Caroline Cutter David D. & Carol S. Dahlberg Kenneth M. & Kathryn M. Dale Dorothy R. Damiano Beth Daniels Harriet T. & James C. Davenport Harold Davis Maryann & J. Michael Davis Peter Davis Bennett Daviss Jackson J. Daviss Ann B. Day Judith V. de Forest Carlton E. Dean Alicia Deaver Louise & James Degrenier Mary K. Delaney Mary A. DeLisle Michelle DellaVita Yvonne Demay Hilda L. Demoya Joseph M. Descoteaux Linda Desilets Wesley deSousa June & J. Roland Despres Ariel Despres John Despres Diane Desrochers Rosemary Dettelback Rebecca J. Devoyd Clark Dexter Anthony & Janet Di Blasi Lynn Ashworth & Michael G. Dickerson Catherine M. Diduk Elisabeth Dignitti Maureen Dion Susan & Charles Donahue Dennis A. Donegan June A. Donegan Laurie Donohue Patricia Dooley Anne Doucet Alma R. Dougherty Rosemarie Dowling Sarah Downing Heidi Downs Darcy Doyle Beth Doyle Susan A. Doyle Susan C. Doyle Caroline E. Driscoll Margaret A. Driscoll Nancy C. DuBois Sharon L. Dubruiel Wendy Ducharme Barbara R. Duckett & John McPeake Paul & Pamela Duckett Patricia C. & Richard B. Dugger Margaret L. & Michael Dunham Dolores Durant Donald E. Dyer Denis J. Dynan Amy-Merie A. Earley Charles P. Eastley Patti Echoff Jane W & Robert D. Eckert Caroline Edge

Adriana Elliot Molly Ellis Alfrieda J. & Robert J. Englund Pam Erdmann Doris & John Ernst Carolynn L. Ernst Melanie S. Everard Caroline & Thomas M. Ewing Jennifer Fabis Linda Fahey Sylvia Fairbanks Joely A. & John F. Fanning Jane Farina Edrick L. Farina Jeananna M. & Robert H. Farrar Susan S. & Richard W. Farrell Anne Faulkner Josephine S. Faux Cynthia Feiker JoAnn C. & William F. Fenton Kimberly Ferguson Grace Fernald Elizabeth Fernands John Ferranti Linda Field Jackie Filiault Eve Finkenstadt Brenda Finnell Ann & Jeffrey Firestone Linda J. Firmin Christine A. Fisher Harry Flanagan Dianne Flanders Karen Flavin Michael & Deborah L. Fleming Paula K. & Donald N. Flemming Susan Fletcher Ann Foerster John F. & Carole G. Foley Carla Folkert Lisa & George B. Foote, Jr. Susan S. Ford Ed Forster Greg Fortier Susan Foster Dru Fox Margaret E. Foxweldon & Leonard Weldon Susan H. Francis Joslin K. Frank Maryanne Frank John Franklin Arrita P. Frantz Dorothy & Jason Frazier Brenda Frazier Shana Freda GS Friedman Joan Friets Daniel G. Frigulietti Stephen R. Froling Cheri Fry Courtney Fugere Gilbert & Alice Fuld Jessica Fuller Christina N. & Robert K. Furlone Michael Furlone Leonard F. Gaetano Carol J. & George V. Gage Ann M. Gagnon Abigail & Glenn Galloway L. Robert Galloway & Paula J. Zitta F. H. Galloway Marcia A. Galloway

Francoise C. & Gerald J. Galus Deborah H. Ganley Barbara S. Gard Mary Helen Gardner Kate Gardner Jeannette Gardner Sherry Garland David Garrecht Jean E. Garrecht Kristel & Steven Gatcombe Jay M. Gaudry Darryl Gauthier Virginia G. & Ira Gavrin Janet Genatt Ellen Gero Shoshannah Gil Robert Gillis Beth Gilmore Seglinde Gilmore James & Judy Gilmour Linda Giragosian Sandra A. Goff Yvonne P. & Cherie A. Holmes Thelma P. Gomarlo Ellen M. Gomarlo Christelle Gonzales John Goodhue Francoise R. Gooding Willard Goodwin Norman Gorges Michael Grab Vicki Gragen Margot J. Graham Hal Grant Nancy & Bruce Graves Karin M. & Carl J. Gravina Peter L. & Cathy N. Gray Janet Grayson Sharon & Ken Greatbatch Julie & Douglas Green Stephen H. & Beverly B. Green Stanley J. Greene Zaiga Greenhalgh Christine Greenspan Jennifer Greenwald Erika Greenwald Julie E. Greenwood Anne M. Griffin Keith Griffin Nichole Griffin Phyllis Groth Jennie & Steve Gryczka Sherry Guardiano Sandra Gulla Mildred Gundry Alfred Guptill Charlotte S. Guyer Lori Guyette Nancy Guyette David Haaren Peter Haas Charlene L. Haas Steven M. Haber Kathy & Samir Habiby Nancy Hadzick Catherine Haefs Elizabeth Hale Susan Hale Nancy K. & James N. Hall Anita G. Hall Stephanie L. Hall Patricia Halpin Jeanna C. Hamblet Sylvia J. Hamilton

Sandra S. & Robert C. Hamm Jennifer Hanrahan Elizabeth L. & Peter D. Hansel Robert Hansel Sarah H. Hansel Marcus & Michele Hansen H. R. Hansen Jeffrey N. Hansen Mildred E. Hansen John & Elizabeth C. Hanson Judith E. Hardwick Paul & Eleanor M. Hardy Barbara A. Harling Lorna Harling John R. & Jeanne M. Harper Sarah Harpster James Harrington Martha Harrington Susan M. & John Harris Kelsey Harris Joseph D. Harris Kathleen M & Harry O. Hart Katie & John T. Hart Jr. Emily Hartshorne Rianne Hartwell William & Edith Hasbrouck James Hassinger Veronica Hatfield Anne R. & Thomas Havill Susan Hay Susan Hayes Betty J. Haywood Elizabeth T. Hebert Cheryl Hedayat Bruce Hedin Peter W. Heed Richard Heepe Ann K. Heffernon Jennifer & Christopher Heger Elena Heiden Roberta Heinonen Billie & Joel Heller Muriel A. Henault Ann Henderson Judith L. Henderson Sussan D. & Paul R. Henkel Frederick B. Henning Martha Hennum Dorothy A. & Eric C. Herr Richard G. Higley Debbie A. Hill Kelly Hill Nancy L. & James Hillier Frances & Leonard Himmelberg Jennifer Hinson Robert Hirschey Gloria H. Hodgkins Joanne D. & Julius R. Hof Meryl K. Hof Carrie L. Hoffman Jean & John E. Hoffman Patricia G. Hoffman Deb J. & James A. Hogancamp Susan Holden Mary E. Hollenbeck Norma Holmes Carol A. Holt Marci Homan John R. & Carol C. Hoogstrate Jacqueline M. & Stephen L. Hooper William D. Hooper Sally R. Hoover Catherine M. Hoover

Teresa M. & Eric J. Horne Ginny Houle-Ryder & Richard Ryder Pamela House Christine Houston Charles R. & Michelle Howard Susan L. Howard Sharman Howe Michelle L. Howe Lauren Hubele Anne E. Huberman Pamela Hudson Kerry Hughes Gilbert W. Hunter Stephanie & Todd Hunter Eric Hunter James W. & Caroline W. Huntley Cheryl L. Huntley Janet Hurley Debra Husbands Susan M. Hutchinson Ann Hutt Joan W. Hylander Steve Ide Cecille M. Ingalls Veronica Ingbretsen Patricia B. A. & Carl I. Ingelstrom Mary & Robert G. Ingram Carolyn Isaak Isakson Family Brenna L. & Tobias G. Iselin Alouette B. Iselin Ruth & Carl B. Jacobs Genevieve Jacobs Trina Janeczek Jessica Jardine Anna Jarvis Heather M. Jasmin Catherine E. Jenness Peter & Cornelia P. Jenness Mary E. Jensen Helen Jesse Dorothy & Raymond A. Jobin Jessica Johansson Kenneth R. & Sandra A. Johnson Nancy E. Johnson & Donald Caruso Cynthia Johnson Harry Johnson Susan M. Johnston Clifford Jones Mary Jane Jones Virginia & Michael Jordan Constance R. Joyce Carol Jue Judith Junkins Cheryl J. & Jay Kahn Judith J. Kalich Seth R. Kallman Karyn Kaminski Susan A. Karalekas & Nickolas Lupinin Roxanne & Karl Karter Richard J. & Diana M. Kasper Jim Kasper Margaret Kasschau Deborah Kaufman Michael Kavenagh Karen Kay Marcia G. Kayser Joseph T. Keating

Know us before you need us. HCS is more than you can imagine. � 13

THANK YOU TO OUR 2023-2024 DONORS Jean T. Keefe Risa G. & Douglas W. Keene Karin Kelly Shawn E. Keniston Misty Kennedy Kristine G. Kennedy Shirley Kernozicky Susan K. Kessler Megan B. Kidder Jennifer Kiernan Sandra L. Kingsbury Anita & Alan A. Kintisch Rachel Kipka Eugene J. & Anne W. Klein Gregg Kleiner Jennifer Knox-Dassau Robert G. Koch Sandra Kochman Stephanie & Michael Kolodziej Catherine Koning Leonard Korpi Holly Koski Adam P. Kossayda Luke Kostu Paul C. Koutras Barbara Koutras Suzanne S. Koziell James Kozlowski Bonnieta Kraft Judith Kratz Suzanne S. & Paul J. Krautmann Kenneth Kryst Colleen Kurlansky Ilona W. Kwiecien Lorraine Labadie Karen & Andrew LaBelle Nancy LaBonne Barbara G. & Walter H. Lacey Thomas C. & Linda A. Lacey Joni H. Laferriere Karen Lamoureux Douglas Lamson Carol & Drew P. Landry Elaine G. & Lyn E. Landry Nancy Lane Molly B. Lane Kristina A. Lang Erin Langille Joan Larkin Jane G. & Steven Larmon Janet C. LaRoche Mary Larsen Giselle A. & Carlo P. LaScala Brenda Lashua Barbara J. & Murray A. Latti Philip S. Latvis Cynthia L. Lawrence Ernesta F. Le Piane Kristen A. Leach Lilliane L. & Philip Lauriat Joan E. Leblanc Charlene M. Ledoux Karen L. & Richard D. LeDuc Dorothy W. Ledwith John F. Lee Kara J. Lee Jacqueline B. Lefebvre Marion Lefrancois Theresa Lehnen Amy Lehr Lisa Leinau & Todd Silberstein Sheila M. & Charles T. Lennon Carol A. Lepisto Judy Lessard

Laurie H. Lewis Lynn Libby D. Michael Lilly Mary Lindstrom Calvin H. Linkenhoker Gail N. Litchfield Pam Little Shirley & Texas Lloyd Dan Lochmandy Mary Loftis Lesley C. Loke Susan M. & David A. Lord Elizabeth Lorenz Hope A. Lothrop Marla Lowrey Nancy E. Luce Judith Lundahl Joan Luz Dianna Lyell Karen & Colin R. Lyle Lawrence Lynch Sharon L. MacCartney Jessica & Daniel Mack Robert MacKenzie Cheryl MacKenzie Sandy Mackenzie Mary C. Mackey Frederick W. MacMillan Mary B. & David M. Macmillin Diana G. & Charlton MacVeagh, Jr. Linda Madden Melissa L. Magaletta Lauren Magnuson Alice S. Mahar Claire D. Mahoney Christina Major Sally Malay Kathleen Malloy Frank P & Martha R. Manley William D. Manley Janis O. Manwaring Alice Manwaring Krystyna Marcom Corinne Marcou Susan B. & James H. Margraf Phyllis & Keith Marinoff Paulette Marion Tonya C. Marshall Cynthia S. Martell Sean Martin Patricia A. Martin Roberta Martineau Patricia L. Mason Robert Masse Susan M. Massin Dian K. Mathews Marlene Mathieu Mary Lu Mathis Michael Matros Diane & Timothy Matson, Sr. Mary E. Matthews Shirley Mattson Barbara May Susan A. Maydwell Richard Mays Donald Mazanowski Sylvia M. & Craig F. McBeth Ann McCann Nora McCasland Mary G. McCord Linda McCray Liz McDaniel Gail D. McDonald

Donna McElligott Lynne A. McEwan Marianne & John M. McGauley Susan & John McGinnis Kathleen McGinnis David McGreer Cynthia McGuire Amy McIntyre Mary D. McKeen Heather McKernan Leslie & David McLean Sarah McLeroy Richard McMahan Deirdre McPartlin Betsey A. McPeake & Allen L. Smith Karen McQueen Maura McQueeney Helen H. & Frederick Mead Elizabeth Meadow Denise Meadows Jennie R. Meister Ellen & Allen Mendelson Heather Merchant Suzanne Merkt Lori A. & Doug Metcalf H. Michael & Diane S. Metell Jacqueline A. & Donald Metivier Evelyn Metzler Jennifer Michaud Susan Michaud Lisa & Thomas L. Migneault Christopher Miller Sally D. & John W. Miller Joseph Miller Phyllis Miller Paula S. Miller Theodore Miller Theodore R. Miller Russell F. & Emily J. Mills Edith C. & Peter W. Milton Kully Mindemann Kathryn S. Miner Joseph & Carol Minichiello Linda K. Minickiello Heather M. & Thomas J. Minkler Jean M. & Thomas Minnich Jenna Minniti Nancy L. Miraldi Elizabeth A. Misiaszek Catharine Mizhir Anna Molesky Pegg Monahan Mary Louise & Charles H. Montgomery Linda S. Moody Susan P. & Robert E. Mooney Marie Moore Nancy Moore Virginia M. Moore Franklin H. Moore Michael Moorman Francis J. Moriarty Suzanne I. Morin Randall Morse Rosemary Morse Beverly Mowbray Anne D. & William D. Moyle, Jr. Keith E. Muhonen Carol A. Mumford Richard & Carolyn Munroe Susan Murata

14 � Know us before you need us. HCS is more than you can imagine.

Jim Murgida Gaylemarie Murphy Eliza Murphy Erik Murphy Joan Murphy Mary Ann Murphy Cathy Murray Yvonne E. Murray Patricia Murray Sarah J. Mustin Cindi A. Nadelman Susan E. Nasiatka Margaret & David E. Nelson Nancy Neumann Jennie E. C. & John T. Newcombe Susan B. & Jeffrey P. Newcomer Eleanor Newell Earick Newton Barbara Neylan Emily Nichols Karen J. & James M. Nickerson Angela & Richard Nicoletti David A. Nielsen Alvah Niemela Patricia Niles Linda C. Niles Scott Nilsen Bruce K. Norlund Amy Noyes Marcia Ober Maria Oberlander Maureen O’Brien Susan C. & Thomas A. O’Connor Mary Oksman David P. & Susan B. Olson Deborah O’Meara Nancy R. & Brian J. O’Neill Ann O’Neill Walter & Donna D. Opdenbrouw Ardis D. Osborn Allison Osborne Ronald E. & Patricia A. Osimo Lynne Pallarino Charles W. Palmer Marcella A. Palmisano William Pamplin Patricia & Robert F. Parent, Jr. Jane Parent Theodore H. Parent Ann Marie & Alfred J. Parenteau Marcia A. Parody Roland A. & Marcia Patten Polly A. Pattison Laura Paul Paul S. Pearson Julie L. Pearson Rebecca Pearson Sandra Pearson William A. Pearson Verna Peck Susan Peery Tracy Pelkey Joyce Pellerin Alan & Heather Perez Judith F. Perry Michele Perry Karen Peterson Martha Peterson-Hof Kristen Petricola Diane E. Petrillo David W & Susan W. Petty Scott Pfeiffer Karen C. Phillips

Charles & Linda Phippard Sandra M. Phipps Alice Picard Valerie A. Piedmont Patricia & Rodney J. Pierce Christina Pierce Sherin E. Pierce Anne Pinard Anne M. Pingpank Vicky Pittman Jane A. & Leslie T. Pitts Jane E. & Perley E. Plante Martha C. Plante Nancy C. Plante Alexa Plewa Geraldine Plotts Barbara T. Plumley Nicole Poirier Andrea W. Polizos Arline J. Polzer Rebecca Poor Carole A. Pope Lisa E. Posco Judith Potocki Amanda Powell Ellen Powers Doris M. Powley-Quinlan Denise C. Pratt Joseph Prelas Vickie Prescott Jean H. Prior Gary & Cathleen S. Puffer Judith H. & James A. Putnam Thomas P. & Barbara B. Putnam Joy Putnam Russell Putnam Irene Putnam Judith Putzel Doris M. Quinlan Erika M. Radich & Leonard Fleischer Deborah Rainey Angela Ramsden Sharon Rasku Jane Rawley Diane L. & Donald E. Ray Martha M. & William B. Raymond Michael Read Mark Rebillard Marie Rechkemmer Reinette A. & Brian J. Reilly Kathy Reilly Lindsey Reis Martin C. Reisig April Reynolds Barbara Reynolds Deborah M. Rhoades Robert C. Rice Clare Richard Joseph A. Richards Cynthia B. Richards Ronald L. Richards Jane A & Philip A. Jones Katherine Richardson Marilyn Richardson Bradley Richardson Frank Richter Carol J. Riel Carolyn Rieth Allison A & Paul Hoffman Marilyn W. Riley Heidi F. Rinehart

Know us before you need us. HCS is more than you can imagine. � 15

THANK YOU TO OUR 2023-2024 DONORS Cheryl L. Ringland Jennifer Risley Cynthia Ritter Mary Rizzotto Staci Robbins Timothy N. Robertson James A. Robinson Jo Ann R. & Lawrence W. Robinson Jill Robinson Robin Rockwell Denise Roderick Phyllis W. & James Rogers Warren Rogers Judy Rogers Lorie Rogers Marjorie Ann Rogers Jeannine Romeo Susan M. Rondeau Deborah S. Roody Ronald & Carol A. Roof Mary D. & Robert M. Rooney Kim Rooney Peter Rooney Linda Rose Laura Rosenthal Carol L. Ross Diane Ross Jane Rossi Zallee T. Rosso Greg Rothman & Linda Singer John A. Round Sharon Rousmaniere Susan Rousse Cynthia J. Rouvalis Wallace H. & Carole U. Rowe Rebecca Roy Daryl Z & Patricia Royce Jeff & Linda Rubin Dunk Rudolf David Ruelle Marie R. Ruffle Josephine & JC Russell Peter R. & Jinnie H. Russell Patricia F. Russell John Russell Lois Russo Lynne D. Rust Kelly Ryan Joseph & Sherrie Sabolevski Maureen Sadd Nancy M. Sandahl Holly & Richard T. Sanders Jill Sanders Elizabeth & Victor Sandman Carole E. Sands Pearl Sandy Philip V. Sarcione Sareen B. Sarna & John Gesek Sita Sama Shivan Sarna Eileen & Michael Sarson Madeline Saulnier Ethel Saulnier Ann Sawyer Rebecca A. Sayles Elizabeth C. Sayre Sheila A. Sbrogna Victoria Scalera Leonard Scarborough Susan Schenck Marcy J. Schepker Michael R. Schesser Katharine M. Schillemat

Connie & John G. Schlegelmilch Philip W. Schlichting Jeraldine & William Schmidt Kurt G. & Shelley L. Earley Hailey Schmidt Nathan Schmidt Lisa K. Schmitt Mary A. Schneckenburger Mary M. & Gary W. Scholl Christine Schrauth Kathleen Schultz Montanta Schultz Robert Schultz Michael A. Schuman Patricia A. Schuttig Lael Schwabe Janet L. Schweizer Jeffrey Scott Sheldon Scott Steven Scott Charles H. & Patricia Seaver Lisa Seelen Susan Seibert Charbel Semaan Sandra Sendell Laura Seraichick Penny S. Shanks William & Carolyn Shannon Jane M. & Gary M. Shapiro Anne M. Shaw Maria Shaw Ann Shedd Toby Sheehan Brian Sheffer John Sheldon Linda Shepard Patricia Shepardson Nahida & Howard C. Sherman Frances J. Shippee Julie A. Shonbeck Nancy Shonbeck Janet Armstrong & Charles H. Shook Lynda Sillner Meaghan Silverman Lynn M. & Arthur W. Simington Stella S. Sise Winnifred Skeates Jennifer Skelton Linda Skrzyniarz Barbara Skuly Pamela Slack Louise & A. Richard R. Slayton Timothy J. & Charlotte Small Sharin Smeeth Sandra L. Smidutz Laurie R. & Jonathan Smith Mary Smith Season K. Smith Virginia M. Smith Jean Snow Byron and Heidi Snyder Gargi R. Sodowsky Alison K. Solomonides Kay Somero Maria J. Somero Nancy Somero Katherine M. Somero Susan M. Soucise Marcy B. & Charles S. Southgate Earle & Janet Spafford Jennifer E. Spear-O’Mara Deborah Spellman

Carol Spindler Carol Sprague Deborah Sprague Carolyn H. Spring Sheri St. Laurent David G. & Jane Stabler Suzanne Stagner Heidi Stanclift Valerie A. & Jonathan E. Starbuck Teresa Starkey Linda Stavely Lisa Steadman Ann Stehney Amy Steinberg Christine Stelmack Nicholas F. Stenzel Therese M. & Stephen J. Stepenuck Linda W. Sterling Rochelle Sternberg Debora M. Stevens Suzanne Stevens Lloyd K. Stimson Cynthia A. H. & Joseph D. Stinson Marion Stinson Judith Stockwell Louisa C. Stonehill Patricia A. & Michael D. Stoudt Sharon P. Stout Pamela Streletsky Barbara K. & Bill W. Goodwin Tracy Summers Katie Sutherland G. W. & Annagreta Swanson Sandra & William J. Swinburne Jeanie M. Sy Eileen Synnott Barbara A. Taft Richard J. Talbot Patricia & John Targett Kathleen Tarrant Lucille M. Tatro Rhonda & Edward Taylor Dixie Gurian & Cameron M. Tease Natalie Tefft Maria H. Temple Julie A. & Gregg R. Tewksbury Amy Thelen Lianne S. & Robert W. Therrien Lisa & David P. Therrien Arnold & Jean Thibodeau Jeanne Thieme Denise Thomas Nancy P. & Rodney C. Thompson Diane Thompson Anna Z. Tilton Kristan Tilton Dianne M. & Robert A. Tisdale Sheila & Donald J. Tisdale Karen Titus Judith Tobin Rebecca Todd Terri Todd Alan & Elaine M. Toegel Irene Tomkinson Louise Tommila Elizabeth Tong Patricia Tonweber Carol Torgesen Ronald A. Tourgee

Samantha Whelan Christine W. Tourgee Kimberly Whitaker Caitlin Towsley Paula Whitcomb Rhonda C. Tralli Patricia M. Whitcomb Evelyn P. Tranfield Edward N. White Barbara S. & Anthony M. Tina White Tremblay David White Andrew Tremblay Fred A. White Elsie L. Tretler Wendy White Kristen E. Trombly Elizabeth Whitehouse Faith M. Trueax Clara Whitney Lucy & Gill G. Truslow Richard Whitney Robert Tucker Kathleen & Lewis N. Whittum Robert I. Tupper Mary Wichland Wendy A. Turek Donna J. Wilber Stephen Turner Ilena Wilde Tara Twist Anne D. Twitchell Liane T. Wiley & David F. Barry Peggy Ueda George M. & Susan J. Willard David & Theresa M. Upton Thomas & Beth Willey Penny R. & Jeffery H. Vaine Gareth R. Williams Mary C. Vallier-Kaplan Jeanne L. Williams Johanna Van Riel Judy E. Wilmeth Wesley Van Velsor Mark Wilson Geniene Vasquez Pamela S. Wilson Paul Vicino Donald W. Wilson Nancy T. & Paul Vincent Nikki Wilson Catherine Vincent Jane E. Winnie Lisa Vitale Mary-Anne Wisell Carole Vogeley Ellen M. Wishart Elaina M. Waibel Beth S. Wollett Millard D. Waite David W. Wolpers Joseph C & Judith M. Walier Mary Ann T. Wood Jessica Walker Gayle Woodcock Paige Walker Barbara T. Woodward Carol Walker-Dumont Aylene L. & Jack Wozmak Kathleen M. & James G. Wall Elizabeth R & George A. Constance & Robert B. Wright Walsh, Jr. Susan Wright Derek Walsh T. Spencer Wright Karen Walsh Patricia Wright Ernest Walsh Lisa M. & Robert W. Wyman Sandra Van de Kauter & John Carol H. Yadeta N. Walter, Jr. Ronald Yantiss Sue Walthour Jo-Anne L. & Steven D. Pamela Walton Yardley Helen D. Wambolt Gwendolyn Yardley Henri Wante Yvette Yeager Karen Wante Nancy M. Yeaton Susan B. Warren Lauralee P. & Thomas E. Ruth O. Warren Ylitalo Dana P. Wasserbauer Carmen Yon Kathy Watets Joseph H. & Lorraine P. Youngs Susan S. Watling Linda Zannotti Douglas K. Watson Catherine L. Zebrowski Joan Watson Anna E. Zengel Kate Wear Louise Zerba Donna & Richard L. Webb Debra M. Zilske Sarah S. Webb Martha J. Zimmerman Jessica Weber Mirandi Wechsler Charles & April Weed Kathleen S. & William J. Donor Advised Funds Weibel offer a flexible and Rosemary T. Weidner Pam Weinrieb impactful way to support Stephen Weisbuch our mission, allowing Marjorie P. Wellman you to make a difference Karin & Peter Wells today while maximizing Christopher F. Wells Alison S. Welsh your charitable giving.

Mary Werden Please consider donating Cindy Westover through your DAF. Laurie Whaley Allan Whatley

THANK YOU TO OUR 2023-2024 DONORS IN MEMORIAM David W. Barden H. Robert Blake Alice C. Corkery Wayne F. Crowell Joseph M. Cunningham

Anthony A. D’Ambrosio Edward P. Dechellis Laurette Descoteaux Joanne S. Dexter Mary Goodnow

Nancy W. Hansen Robert Hardy Jane M. Howe Brenda Korpi Timothy J. McCann

Delbert E. Meyer Herbert F. Miller Kathleen E. Nuttall Ruth D. Parent Celia A. Pearson

John M. Rumburg Nathaniel Stout Charles P. Tranfield Jean G. Whatley

BUSINESSES, GRANTS & ORGANIZATIONS Acworth Women’s Club Adelard A and Valeda Lea Roy Foundation American House AmFund American Fundraising Foundation Anonymous Through Sponsoring Organization (2) Athens Pizza Beffa-Negrini Giving Fund Blais & Associates Realtors C&S Wholesale Grocers Cathedral of the Pines Charles and Sandra Andrus Liv Trust Charlesworks LLC Cheshire County Retired Educators Association Claremont Savings Bank Foundation Concord Bingo Too, LLC Connecticut River Sportsmen’s Club Covenant Living of Keene Cremation Society of NH, Inc. David and Lisa Therrien Charitable Davis Oil Company, Inc DECCO, Inc Deep Roots Massage Dixie Wonders Trust Douglas Company, Inc. Dublin Community Church Electronic Imaging Materials, Inc. Fenton Family Dealerships Filtrine Manufacturing Co. First Church in Jaffrey Fletcher Funeral Home

Francoise R Gooding 1993 Trust Fraternal Order of Eagles 1413 Ladies Auxiliary Good Fortune Jewelry & Pawn Granite United Way H.H. Warren Insurance Agency, INC. Hamshaw Lumber, Inc. Hannaford Harrisville Designs HCS HKS Associates, Inc. Hogancamp PC Holstein Retiree Association Homestead Thrift Shop Hubbard Farms Charitable Foundation Iola and Leslie Hubbard Fund Jeanne L. Williams Revocable Trust John and Doris Ernst Family Foundation John and Jennifer Bone Revocable Trust John G. Burk & Associates John H. Roach Charitable Trust Johnson Family Fund at Cheshire Health Foundation Joseph E. Broderick Jr. Revocable Trust K Conroy Gifting Fund KCS Architects Keene Elm City Rotary Keene High School Class of 1971 Keene Senior Citizens Kiwanis Club of Keene Knights of Columbus Council 6921

Ladies Aid Society of the Westmoreland United Church Lange Family Foundation II Lin and Joseph Hart Charitable Fund LR Littlefield and EF Littlefield Revocable Trust of 2021 Monadnock Community Hospital Monadnock Shopper News Monadnock United Way Monadnock Worksource Moore Nanotechnology Systems Movement Mortgage Munsonville United Methodist Church NAMI New Hampshire Nelson Congregational Church Network for Good New Hampshire Automobile Dealers Association New Hampshire State Council on the Arts NH Charitable Foundation Norman and Mary Whittle Living Trust Norton & Abert, P.C. Oliver and Dorothy Penniman Hubbard Fund PayPal Giving Fund Peachblow Farm Putnam Foundation Quinton Fildes McManamy Family Fund River Center - A Family & Community Resource Center RiverMead Road’s End Farm

Robert J. & Linda L. McMahon Liv Trust Savings Bank of Walpole Scheneckenburger Revocable Trust Singing Wood Foundation Stems NH Summerhill Assisted Living Suzanne Mieso Family Trust The Berch Dunn Revocable Trust The Community Church of Harrisville & Chesham The Douglas and Julienne Green Fund The Eleanor C Ball Revocable Trust The Melanson Company The Richards Group The Scott-Farrar Home Tieger Realty Co. Tina M Sprega Family Trust Turning Leaf Consignment LLC United Church of Acworth, Female Charitable Society United Church of Christ in Keene, Women’s Fellowship United Way of Massachusetts Bay and Merrimack Valley W.S.Badger Company, Inc. Walier Chevrolet Walter and Christina Niland Living Trust Westmoreland United Church William Marconi Italian Club Winchendon Senior Center Womens Fellowship of Christian Service Yankee Publishing, Inc.

GIFTS-IN-KIND DONORS Anonymous (6) April Cornell Deep Roots Massage Michael B. & Elizabeth M. Forrest Gem Graphics Mary Beth Given

Granita Enoteca Anna Griffin Ann K. Heffernon Marlborough Gardens Maura McQueeney Dawn Michelizzi MJD & Co Hair Design

New England Fleet Services Peterborough Marble and Granite Works Sareen B. Sarna & John S. Gesek Shivan Sarna Sita B. Sarna

Saxy Chef LLC Skyn by Nora Spoonwood Dental Partners Stonewall Kitchen Shawn M. Tomkinson Tumi Outlet Urban Exchange

Wicked Art Glass Jo-Anne L. & Steven D. Yardley

PLANNED GIVING CIRCLE OF HOPE SOCIETY

In Memoriam. We are grateful to these generous donors whose planned and estate gifts continue to support the work of HCS today.

Carol Bader Lewis T. Batt Jr. Family Trust O. Miriam Bednar Bonnie Bowman Arlene A. Dart Barbara W. Eaton Jeanne B. Eaton Trust Elizabeth Fissette David A. Glynn Jane R. Green Helen F. Hazelton Trust Norma Hemphill

Theodore Hoffman E. Allen and Nancy R. Holbrook Robert and Liesbeth V. Hook Oliver J. and Dorothy P. Hubbard Robert P. Hubbard Lola and Leslie Hubbard Fund Ira and Gertrude Hubbard Fund Hubbard Farms Charitable Foundation Johnson Family Fund Shirley M. Kane Ruth Kellom Frederick P. Koallick

Toivo W. Koski Mary I. Laberge Olive M. Labrie Charles B. Loos Edith Mulliner Frederick Norris Deborah Pamplin Dorothy and Walter Peterson Eleanor Proudman Walter H. Rohr Nancy Shea Trust

Walter Sy Theodore Van Holm Harry & Catherine Weathers Weston V. Wilbur Jr. Barbara W. Wilson Trust Dixie W. Wonders Trust

If you are interested in planned giving for HCS and becoming a Circle of Hope Society member, please contact Sareen Sarna at ssarna@hcsservices.org or 603-352-2253.

16 � Know us before you need us. HCS is more than you can imagine.

FUNDING

BY SOURCE Medicare

13,544,797

Contracts

2,335,079

Medicaid

795,449

Commercial Insurance

752,432

Contributions & Fundraising

421,419

Town, City, & County

396,097

Veterans Administration

362,527

Private Pay Fees

238,572

Towns/County 2.1%

Miscellaneous

8,457

Veterans Administration 1.9%

Contracts 12.4% Medicaid 4.2% Commercial Insurance 4.0%

Medicare 71.8%

Contributions & Fundraising 2.2%

Total $18,854,829

Private Pay Fees 1.3%

EXPENSES

BY PROGRAM Skilled Home Health VNA

9,996,314

Hospice

6,139,673

Nutrition

1,237,996

Healthy Starts

828,658

Home Support

755,555

Transportation

648,798

Wellness

310,002

Castle Center

252,074 Total $20,169,070

Nutrition 6.1% Hospice 30.4%

Healthy Starts 4.1% Home Support 3.7% Transportation 3.2% Wellness 1.5% Castle Center 1.2%

Skilled Home Health VNA 49.6%

*Unaudited FY2024. HCS awaiting final rule at time of printing.

Know us before you need us. HCS is more than you can imagine. � 17

PROGRAM STATISTICS 2023-2024 City Express: ...................................... 20,486 trips

Healthy Starts: .................................. 2,849 visits

Friendly Bus: ...................................... 7,184 trips

Meals on Wheels:.............................. 98,050 meals

Friendly Meals: ................................ 2,257 meals

Medical Social Work: ...................... 2,473 visits

Home Health Aide: .......................... 20,109 visits

Nursing Care: .................................... 18,401 visits

Homemaking: .................................... 19,097 hours

Rehabilitation Therapies: .............. 18,908 visits

Hospice:.............................................. 33,010 days

Wellness: .......................................... 542 foot clinics

18 � Know us before you need us. HCS is more than you can imagine.

THE HCS PETERBOROUGH LOCATION IS MOVING!

454 Old Street Road Medical Arts Building - Suite 208 Peterborough, NH 03458 603-532-8353 | HCSservices.org Visiting Nurses • Palliative Care and Hospice at HCS • Foot Care Clinics Healthy Starts • Bereavement Support • Caregivers Support Group

Know us before you need us. HCS is more than you can imagine. � 19

2025 BUTTERFLY RELEASE DATES

Thursday, June 19 Cathedral of the Pines – Rindge, NH Friday, June 20 Butterfly Park – Keene, NH Saturday, June 21 Butterfly Park – Keene, NH

312 Marlboro Street PO Box 564 Keene, NH 03431 603-352-2253

33 Arbor Way Charlestown, NH 03603

www.HCSservices.org • info@hcsservices.org

454 Old Street Road Suite 208 Peterborough, NH 03458 603-532-8353