2 0 0 9 A N N U A L R E P O R T

2009 BOARD OF DIRECTORS

Michael Goldsmith, EsquireCHAIRMAN

Jack LawVICE CHAIRMAN

Mort Fearey, Jr. TREASURER

Patti YoungCLERK

Sean Federowicz

Ursula Kreskey

Joan Potter

Edie Radley

Hugh Schwarz

S. Christopher Scott

David Thompson*

Lenny Verville**

Patricia Wheeler

Robert TontiCHIEF EXECUTIVE OFFICER

Kathy DomitrovitchHONORARY DIRECTOR

Gertrude GoffHONORARY DIRECTOR

Richard OlsonHONORARY DIRECTOR

* new member 2010** term expires 2010

By anyone’s measure, we are entering a new and exciting era in health care.

The passage of the Patient Protection and Affordable Health Care

Act in March set in motion reforms that will influence the entire health care industry. We at the Vineyard Nursing Association are most interested in how the legislation will affect home health care on Martha’s Vineyard. We not only are committed to understand-ing the new model and adapting our business practices accordingly, but also to capitalizing on opportunities - created by the legislation - to expand our programs and enhance the services we provide.

The national law also comes at a time of shifting demographics for our community. We are all living longer, and the segment of the Vineyard population over the age of 60 is also growing due to the number of retirees choosing to move here. In less than a decade, almost a quarter of the island population will be senior citizens.

It is clear that the Vineyard will face sharp increases in the demand for home health that require action now.

As we look to the future, we see three priorities for the VNA: investing in staff development, enhancing programs and services, and purchasing our current headquarters.

Our reputation stands on the shoulders of our nurses, therapists, and health aides. The healthcare field changes fast, and finding and retaining professional staff on the Vineyard is difficult. We must shore up our recruitment efforts, as well as develop the skills of current staff by connecting them to professional

education and training opportunities. To this end, with the support of Our Island Club, we are helping a new nurse with the educational costs associated with obtaining her RN. We need to do more of this.

We must also make sure our employees are armed with the best tools and the latest technologies. Already, we have equipped our nurses with laptop computers so they can report and chart patients’ health changes. These reports are also available electronically to physicians, enabling access to the most current patient information possible. Most recently, we invested in automated machines that help in the daily distribution of medication to patients, greatly reducing problems associated with medication mismanagement.

Additionally, we need to develop new programs to meet the growing needs of an aging Vineyard population-expanding our patient and caregiver support groups and potentially implementing an Adult Day Health program for people needing special medical support.

Lastly, few people realize that the VNA does not have a permanent home. In the past five years we have occupied three different locations. Fortunately, we have an opportunity to create a permanent location at our current address. We have a one-time option to purchase our current headquarters. An investment in this location will enable us to invest more than $100,000 a year in savings from rent into new programs and staff that will be required to serve the needs of the Vineyard community.

We encourage you to review this Annual Report to learn more about the VNA and understand how an investment in the VNA is an investment in the health of the Martha’s Vineyard community. We look to you for support and welcome your input.

Best wishes,

Michael Goldsmith Robert TontiChairman CEO

A Message From the Chairman of the Board of Directors and the Chief Executive Officer

Michael Goldsmith, Chairman of the Board of Directors, and Robert Tonti, Chief Executive Officer

OUR SERVICES

The Vineyard Nursing Association is the only certified home health care agency on Martha’s Vineyard. We offer a full range of nursing, home care and other services, with specialties from pediatrics to geriatrics. As such, we are committed to providing the highest quality home health care and assisted living services and health education to the community. All of our compassionate caregivers are trained, CORI checked, insured, licensed and/or certified by the state of Massachusetts. With our expertise in continuous care nursing, we are able to transition even the most complex cases, from the hospital to home. Our primary services are:

Nursing ServicesOur skilled nurses act as case managers coordinating with physicians to implement an individualized care plan for our patients. Specialized and advanced care programs are provided by professionals with extensive home care experience and advanced training which include: wound care management, home IV therapy, cardiac and respiratory care programs, diabetes management, maternal and child health, geriatrics, orthopedics, oncology, osteoporosis screening and management, tele-monitoring, pain management and palliative care.

Home Health AidesSupervised by Registered Nurses, our home health aides, homemakers and companions lead our patients through activities of daily living to help them live in the comfort of their own homes. Some of our services:• Help with bathing, dressing, medication reminders, ambulation, meal preparation and simple physical

exercises.• Light house keeping and transportation services, including transportation to off-island medical appointments.

Rehabilitation ServicesPhysical Therapists Trained therapists provide general therapeutic exercises for ortho/neuromuscular development and improving balance, gait, and transfers.

Occupational TherapistsOccupational therapists provide general therapeutic exercises for patients with an injury or illness affecting perceptual motor skills or the ability to perform activities of daily living such as dressing, eating, or cooking.

Medical Social WorkLicensed Social Workers assess the needs of patients and families and present them with emotional support strategies and appropriate referrals. Coping skills, mental health issues, safety, financial concerns, housing options, counseling, long-term planning, and more are common issues addressed.

OUR PROGRAMS

The above services are offered to patients through four primary ‘Programs’ - the programs are categorized by patient needs and/or type of financial support. In addition to Insured Care (Medicare and Private Insurance) the VNA offers the following programs:

Private Care ProgramThis program provides any and all services designed to offer an “extra layer” of security for those seeking additional help that is not covered by Medicare or when Medicare coverage has ceased.

Elder Services & Disabled Services ProgramElder ServicesThe VNA takes referrals from The Elder Services of Cape Cod & the Islands to provide eligible elders with the supportive services that they may need to live safely and independently at home. Services may include meal preparation, shopping, and homemaking. Financially qualified individuals 60 and over may be eligible for services.

Disabled ServicesOur Home Health Aides provide homemaking services to eligible adults with disabilities who are functionally limited in meeting their own nutritional and environmental needs. The VNA provides these services to people ages 18-60 in a contract with the Massachusetts Rehabilitation Commission through its Homecare Assistance Program. Services we provide enable disabled individuals to maintain their independence while living in the community.

Public Health ProgramThe VNA provides community nursing services for Martha’s Vineyard through contracts with each town’s Board of Health. Community nursing services include:

Nursing Clinics The VNA community nurse holds regularly scheduled nursing clinics at convenient locations across the five towns we serve. The town nurse assesses an individual’s health, provides public health information aimed at improving health, and directs patients to appropriate providers if issues are recognized that need further investigation and diagnosis.

Blood Pressure ScreeningEvery month, the community nurse offers free blood pressure screenings in each town.

New Baby WellnessAfter the birth of a child, within two weeks of being at home, families are offered a home visit by a VNA nurse. Services include education, referrals and basic newborn and new mom support.

Influenza ClinicsThe VNA is part of the Island’s coalition of health care agents and healthcare providers who conduct an Island-wide seasonal flu clinic. Additional clinics are offered in the towns and in local elementary schools as needed.

Community Health EducationThe VNA community nurse establishes an annual education plan addressing health issues facing Vineyard residents and visitors. Topics range from diabetes to Lyme disease to breast cancer and more. The nurse will also prepare workshops for children.

Emergency Response TeamIn addition to the contracts with the towns to support community health needs, the VNA is also an associate member of the Medical Reserve Corps of Martha’s Vineyard. The VNA participates in the planning for responses to emergency situations that might arise on the Island. Such emergencies might include pandemics similar to the recent H1N1 influenza outbreak, or medical support during disasters such as hurricanes.

The VNA is responsible for tracking and reporting any outbreak of communicable disease on the Vineyard. Utilizing Department of Public Health software applications, the VNA reports regularly on status information regarding communicable disease. The software also allows VNA to be aware of communicable disease outbreaks around the state.

OUR STAFF AdministrationRobert TontiChief Executive OfficerSandy Corr-Dolby, RNClinical DirectorCheryl Kram, RNClinical SupervisorDiane Figueiredo, RNQuality Improvement ManagerLorna ColageoPayroll AdministratorSandra AlestraClinical Administrative AssistantColleen Corr-PanekIntake CoordinatorLinda MazzottaClinical SupportHannah BeecherClinical SupportGreg DolbyAdministrative Support

FinancialRichard BagdigianChief Financial OfficerDe CareyBilling Associate

DevelopmentAmy HoughtonDevelopment Director

NursingNicole Barlett, RNSue Barton, RNKaren Colaneri, RNKristine Cammorata, RNMelissa Dolby, RNCarolyn Downs, RNTerry Forde, RNAudrey Harding, RNSally Kallmann, RNCourtenay Mckinley-Griffen, RNLaura Murphy, RNPatty Quast-French, RNJoyce Rickson, RNJackie Willey, RN

Ancillary ServicesMiki Badneck, PTAubyn Bartstrom-Veno, PTAnne Good, PTValerie LaVigne, PTMelissa Mahoney, OTKaren Meeks, MSWStephanie Mello, PTJessica O’Connor, PTSuzanne Reppert, PTLisa Schroeder, PTKris Vrooman, PT

Home HealthPatricia LawHome Health Aide SupervisorCyndi ThomasHome Health Aide SchedulerJudith AndrewsJo BriggsSally BrissonNancy BurlesonOlivia Butler Muriel ByeBob CareyNeuseth ClearyBrandy ColeCindy CornerJennifer CorrLinda DotyJoAnne EwingColleen FarrisseySusan HabekostFrank Honey Kamile KhazanLisa LarsenMarie Nielson Ginna OmarKaren PackishAudrey PerryEderia Julia SantosLynn SearleTekla SilvaKathy StinsonJoyce StarukSara SylviaTwona ThomasSarah TosteLena VanderhoopLara UvaAnita Wilson

FINANCIAL AND PROGRAM ACTIVITY SUMMARY

The Vineyard Nursing Association’s financial statements are reflective of a stable and well-run nonprofit organization. The complete financial statements for the fiscal year ending December 31, 2009 were audited by independent accountants Alexander, Aronson, Finning & Co., P.C. who expressed an unqualified, or “clean” opinion on the statements.

Where did the money to support our activities come from and how was it spent?

RevenueOur total revenue in 2009 was $3,325,333, a 16% increase from 2008.

Summary of changes in Revenue from last year

Up 115% Public HealthUp 36% Elder & Disabled ServicesUp 30% Insured Care (Medicare & Private Insurance)

Down 2% FundraisingDown 11% Private Care

Funding SourcesOur largest source of funding is Medicare which represented 60% of the total, yet we have successfully reduced our dependence on Insured Care revenue over the past five years by adding new programs and expanding existing ones.

VNA Revenue Sources

Insured Care $2,200,040Elder & Disabled Services $459,781Fundraising $297,991Private Care $233,864Public Health $104,971Grants $28,686TOTAL $3,325,333

INSURED CARE66%

ELDER & DISABLED SERVICES 14%

FUNDRAISING 9%

PRIVATE CARE 7%

PUBLIC HEALTH 3%

GRANTS 1%

Revenue Growth AnnuallyOur revenue growth reflects an increased demand for existing services as well as adding new programs.

ExpensesWe have contained expense growth for the past five years and have been profitable for the past four years.

Expenses

Insured Care $1,746,783 53.7%Administration $643,372 19.8%Elder & Rehabilitation Services $412,650 12.7%Development $192,261 5.9%Private Care $129,723 4.0%Public Health $96,876 3.0%Education $27,539 0.8%Other $5,262 0.2%Total $3,254,467

2009

2008

2007

2006

2005

2004

$3,325,333

$2,856,335

$2,100,198

$2,131,747

$1,869,018

$1,767,586

$0 $500,000 $1,000,000 $1,500,000 $2,000,000 $2,500,000 $3,000,000 $3,500,000

VNA Program Visits (by Revenue Source)

2009 2008 % Change

Total PatientsTotal Visits

73734,562

71925,264

14%37%

Medicare & Insured Services

Visits by SpecialtySkilled NursingHome Health AidesPhysical TherapyOccupational TherapyMedical Social WorkSpeech Therapy

11,1965,0712,644

352140

41

7,0163,5912,075

350122

83

55%54%27%.6%

15%(51%)*

Elder & Disabled Services

Visits by SpecialtySkilled NursingHome Health Aides

38611,627

1628,985

138%29%

Private Care Services

Visits by SpecialtySkilled NursingHome Health AidesOther

2252,471

9

862,632

—

162%(6%)

100%

Public Health Promotion

# Town Clinics# Health Promotion Patients# Blood Pressure Clinics# Influenza Vaccines

78114105

1,250

n/an/an/an/a

*decrease in visits due to staffing shortage.

$10,000+AnonymousCronig’s MarketJohnson Family FoundationMr. and Mrs. Michael Kidder Ms. Pamela Kohlberg and Mr. Curt Greer

$5,000 - $9,999Mr. Albion Hart Karen A. and Kevin W. Kennedy FoundationMartha’s Vineyard Savings BankMr. Hugh SchwarzSutphin FoundationUnited Way of the Cape & Islands

$1,000 - $4,999Mr. and Mrs. Brian AldenAnonymous Automatic Data ProcessingBardwell ElectronicsMr. and Mrs. George BennettMr. and Mrs. Malcom CampbellCarsey Family FoundationCedar FieldsMr. and Mrs. Leo ConveryMrs. Elizabeth Dickinson Mr. and Mrs. Robert DoranMr. and Mrs. Raymond G. EllisMr. and Mrs. Samuel EllsworthMr. and Mrs. Morton Fearey, Jr.Mr. Morton L. Fearey, IIIMr. and Mrs. H. Brian FlandersMr. and Mrs. Garabed GarabedianMrs. Gertrude M. GoffMrs. John A. GreelyMrs. Carole Hole Mr. Patrick JenkinsonMr. and Mrs. Frederick JonesMr. and Mrs. Michael KellyMr. and Mrs. Christopher KierstedMr. and Mrs. Jonathan LairdMr. Louis LarsenMs. Jean Lince Ms. Deborah Lodge and Mr. Robert KriegerMr. and Mrs. Stuart LollisMs. Courtenay McKinley-Griffin Ms. Meg Mercier Mone InsuranceMorton FinancialMr. and Mrs. Robert NewmanNicole Friedler PhotographyOur Island ClubMr. and Mrs. Ralph PackerMs. Jliana Pardo and Mr. Donald S. SextonMr. and Mrs. John S. Potter, Jr. Rotary Club of Martha’s VineyardMr. and Mrs. Steve RusckowskiMrs. Jacquelyne Schuman Mrs. Ellen Sole

Sostek Home CareMr. and Mrs. John StrausMrs. Stuart B. Sutphin, Jr.Tea Lane AssociatesMr. and Mrs. George ThomasMr. and Mrs. Robert TontiTradewind AviationVineyard Golf Club FoundationMs. Barbara Welsh Westfield Capital Management CompanyMr. and Mrs. Robert WheelerMrs. Dorothy F. Winnette Ms. Patti Young and Mr. Tom Colligan

$500 - $999Adorno & Yoss Employee Charitable FoundationMr. Richard BagdigianCapt. and Mrs. Geoffrey BanfieldMr. John S. BrittainHon. Ann W. Brown and Mr. Donald BrownMs. Lisa Anne BrownCape Air AirlinesThe Christina GalleryColonial ReproductionsMr. and Mrs. Robert CoxMs. Sara M. DexterDonaroma’s Nursery & Landscaping ServiceEdgartown Estates Homeowners AssociationEdgartown Paint ShoppeMrs. Belinda EichlerMs. Linda Fairstein and Mr. Justin Feldman Farm Neck Golf Club FoundationMr. Samuel M. FeldmanMr. and Mrs. Fred Fournier, Jr.Mr. and Mrs. Joseph Frelinghuysen, Jr.Mr. and Mrs. Edward GoodmanMr. and Mrs. Craig HallMr. Ed HighamMr. and Mrs. George JacobusJane Brown AssociatesMr. & Mrs. Beth and Seth KlarmanMr. and Mrs. Frank LauingerMr. and Mrs. F. Joseph LoughreyMr. C. James LutherMcCarron, Murphy & VukotaMs. Joan Merry and Rev. Don LyonsMr. and Mrs. Herbert MilsteinMr. and Mrs. Kenneth MonahanMr. and Mrs. Chris and Sheila MorseOak Bluffs Christian Union/Union ChapelRev. Richard OlsonPermanent Endowment Fund of Martha’s VineyardMr. and Mrs. Norman RankowMs. Andrea RossMr. Michael SantoroMr. and Mrs. S. Christopher Scott

Mr. Jeffrey A. SerusaMr. and Mrs. Daniel W. StantonMr. and Mrs. John StinsonThe Swartz FoundationMr. David ThompsonTuck & HolandMr. & Mrs. Philip C. WalshMr. Malcolm M. WalshMr. Jaxon WhiteMr. and Mrs. Thomas Wilmott

$250 - $499Ahearn-Schopfer & Associates Al’s Package StoreMs. Sandra Alestra Alexander, Aronson, Finning & Co.Mr. and Mrs. Gail and Robert AvakianMs. Caroline Baum Rev. and Mrs. Alden BesseMr. and Mrs. Robert BigelowMs. Debra Birtwell and Mr. Robert SparksMrs. Courtney Brady Mrs. Edith BrownMr. Gary Bruno Mr. and Mrs. James Bryan, Jr.Ms. Leslie Bryan and Mr. Bruce MaloyBurnham & MagnusonMs. Pamela Carroll and Mr. Jeremy CriglerMs. Lelia Carroll Chapman, Cole & Gleason Funeral HomeMr. and Mrs. William J. ConnollyMr. and Mrs. John Connors, Jr.Conroy ApothecaryMrs. Judith CookMs. Colleen Corr PanekMr. Michael V. D’OnofrioMr. and Mrs. Dennis daRosaMr. and Mrs. Eugene DeFeliceMr. and Mrs. Pamela and Michael DolbyMr. and Mrs. Thomas Dooley, JrMs. Elizabeth Eddy and Mr. William Lidgerwood Edgartown National BankEdgartown MarineMr. Rodney M. EldenMr. and Mrs. Roger FeingoldMr. and Mrs. Morris Flam Mr. and Mrs. Robert Flanagan Mr. John O. FlenderMr. and Mrs. Jeffery FlynnMrs. Donna FortenbaughMr. Herbert Foster Mr. and Mrs. Richard FrischDr. Gary Fudem Mr. and Mrs. Peter GetsingerMs. Mary GoethalsMr. Michael Goldsmith Ms. Donna Goodale and Mr. Robert Cavallo

Mr. and Mrs. Jack GrayMs. Mary I. GreelyMr. and Mrs. Geoffrey GundHancock Real EstateHarbor View Hotel Harborside InnMr. and Mrs. Peter H. HeerwagenMs. Jill Hobby and Mr. Jason NapiorMrs. Frank W. HochMr. and Mrs. Allen JangerMs. Judith M. JardinMrs. Wayne Jervis Mrs. Sam JohnsonJordan’s FurnitureKitchen Porch CateringMr. Ralph Knapp L’Etoile RestaurantMr. and Mrs. Jack LawLeRoux at HomeDr. and Mrs. Robert LevineLinda Jeans RestaurantMs. Patricia LinnDr. J. Keith MaranchieMcBee AssociatesMs. Marjorie F. McCornackMedline FoundationMink Meadows Golf CourseMs. Trudi B. MisharaMr. and Mrs. Donald MohrMr. Charles Morano MV FloristMV TechNavy Yard Insurance AgencyMr. and Mrs. Philip J. Norton, Jr.Past and Presents of Martha’s VineyardMr. and Mrs. Frank PellegrinoMr. and Mrs. Robert PieringerMs. Ellen M. Poss Mr. and Mrs. John Potter, IIIPriestley, Smadbeck & MoneMr. and Mrs. Vito J. Priore Dr. and Mrs. Robert ProvostDr. and Mrs. Peter PuchnerMs. Abby Rabinovitz Mr. and Mrs. Edwin Reade, Jr.Mr. and Mrs. Malcom Reed., Jr.Ms. Rebecca A. Renear Mr. and Mrs. H. John Riley, Jr. Mr. and Mrs. Walter Robb, IIIMr. and Mrs. Edward RorerMs. Cristine Russel and Mr. Ben Heineman George Santos, Jr. OptometristMr. and Mrs. W. Scott SlocumMr. and Mrs. Fredric SmithSmoke ‘N BonesMr. Robert G. StaffordMr. and Mrs. David SteinHon. John Paul and Mrs. SullivanSunrise BuildersTea Lane CaterersTrinity Episcopal Church

The VNA is grateful for the generous support of numerous individuals, organizations and businesses. Their financial gifts enable the VNA to continue to provide crucial services to Martha’s Vineyard residents and visitors.

Dr. and Mrs. Michael VacanteMrs. Janice Van Riper Mr. and Mrs. Alexander W. VietorVineyard Bottled WatersVineyard VinesMs. Margaret von Mehren and Mr. Eric Moss Ms. Barbara Martin WalkerMr. and Mrs. Mike WallaceMr. and Mrs. Peter WeismanWellington Management CompanyMr. and Mrs. Stephen WilkersonMs. Hope Woodhouse and Mr. Richard CantyMr. and Mrs. Edwin WoodsMrs. Jane W. Zimmerman

$1 - $249A-1 Martha’s Vineyard OceansportsDr. and Mrs. Siamak AdibiMs. Mercedes AgardA Hair AffairMs. Janet AirisMs. Mary Jane Aldrich-MoodieMr. and Mrs. Robert A. AldrinMs. Kathryn D. AllenMr. and Mrs. Joseph AlossoAmong the Flowers CafeMs. Dana K. AndersonMr. and Mrs. William G. AndersonMr. Richard AndreMr. Donald R. AndrewAquamarine Dock BuildersMs. Marjory Aronson and Mr. Jeffrey PrebludaMr. and Mrs. Norman B. AsherMr. and Mrs. Brian AthearnMr. and Mrs. George AthearnMs. Judy AthearnMr. and Mrs. Roland J. AubutMs. Fonnie AustinMs. Miki BadnekMr. and Mrs. Norman J. BakerMr. and Mrs. Bruce BalterMr. and Mrs. Daniel G. BancroftMrs. Dorothy K. BangsMs. Theresa M. BaptisteMrs. Frances F. BarnardMr. and Mrs. Carl E. BarrieMs. Anne Barry and Mr. Daniel GreenbaumMs. Barbara BarstowMr. and Mrs. Ralph BarlettMrs. Anwyl BatesMr. and Mrs. Gordon BatesDr. and Mrs. Martin D. BeckerMr. and Mrs. Edward BenDavid, Sr.Ms. Claire BennettMr. and Mrs. Robert BennettMr. and Mrs. William BennettMr. and Mrs. Martin BergerMr. and Mrs. Robert BerryMr. and Mrs. David G. BerubeMs. Lucille BetroMr. and Mrs. Jeremy BiggsMr. and Mrs. Donald BillingsMrs. Doris M. Billings

Dr. and Mrs. Robert S. BlacklowMr. Peter BloomMs. Anita Botti and Mr. Paul MagidMr. George M. BowlerMrs. Elizabeth Mitchell BowringMr. and Mrs. Paul BracyMrs. Jane L. BradburyMs. Elizabeth BradyMs. Penelope H. BragonierMrs. Catherine Brett-SmithMr. and Mrs. Norman BridwellMrs. Mildred BriggsMr. and Mrs. Milton BrittonMs. Gladys Ann BrombergMr. and Mrs. Edwin Brooks, IIMs. Dorothy BrownMr. and Mrs. H. Harding BrownMr. and Mrs. Wesley BrownMr. and Mrs. Victor BrudneyMr. and Mrs. Charles Y. BrushMr. and Mrs. Gray W. Mac Bryan, Jr.Mr. and Mrs. Douglas E. BryantMr. and Mrs. Henry BryantMr. Jeffrey BryantMr. and Mrs. Claus BuchthalMs. Eleanor H. BurkeMr. and Mrs. Fenton BurkeMs. Katherine M. BurkeMrs. Gloria BurkinDr. and Mrs. Padraic BurnsMs. Abbe BurtMr. Otis E. BurtMr. Richard L. BurtMr. and Mrs. Charles K. ButlerMr. and Mrs. Daniel CampbellMs. Hannah C. CampbellMrs. Patience CampbellMs. Barbara A. CarchediMr. and Mrs. Francis X. CarchediMr. and Mrs. Michael Carchedi Mr. Thomas CarrollMs. Janice E. Casey and Ms. Rita A. BrownCash & CarryMr. and Mrs. Perry CaytonC.B. Stark JewelersMrs. Carmine CeroneMrs. Dorothy F. ChaffeeAyn’s Shuttle ShopMr. and Mrs. Howard I. ChechikChilmark FoundationChilmark PotteryChilmark Spring WaterMr. and Mrs. James ChirgwinMs. Charlotte Church and Mr. Jonathan Gaines Ms. Helen B. ChurchMr. and Mrs. Steven CimorelliMr. and Mrs. Laurence S. Clancy Clarion Martha’s VineyardMr. and Mrs. Russell C. Clark, Jr.Mr. and Mrs. Robert H. ClayMs. Elizabeth L. CoffinRev. and Mrs. Timothy CoganMr. and Mrs. Marshall CohanMr. and Mrs. Henry A. ColageoMr. Michael Colageo

Mr. and Mrs. Michael ColaneriMr. and Mrs. Victor ColantonioColdwell Banker Landmarks Real EstateMr. and Mrs. Lemuel D. ColesMr. and Mrs. Roger CollaMs. Susan CollinsonMs. Grace ConlinMr. and Mrs. James ConnellMr. and Mrs. William ConnellyMr. and Mrs. Charles Conroy Mr. and Mrs. Robert H. ConwayMr. and Mrs. Marshall R. CookMs. Molly CookMr. and Mrs. William and Sheila Corkhill, Jr.Ms. Sandie Corr-DolbyMr. and Mrs. Charles CostaMs. Patricia A. CostaMr. Wesley E. CottleMr. and Mrs. John D. CoughlinMr. and Mrs. Ross CowanMrs. Mary CraryMs. Jean CriscioneMs. Gail F. CroftMr. and Mrs. C. David CronMrs. Geraldine D. CronigMrs. Sally W. Cross Mr. and Mrs. Stanley R. Cross, Jr.Mr. and Mrs. Arthur Crovatto Mr. and Mrs. Daniel CulkinBrian S. Cullen, D.M.D.Mr. and Mrs. Kilburn E. Culley, Jr.Mr. and Mrs. David J. CunniffeMr. and Mrs. John CunninghamMr. Richard CushingMr. and Mrs. Timothy DaceyMr. and Mrs. Russell E. DagnallMr. and Mrs. Ernest DamanMr. and Mrs. Jonathan M. DaubeMr. and Mrs. Michael DavinRev. Robert and Mrs. DayMs. Cornelia DeanMr. and Mrs. Arne de KeijzerMs. Evelyn DeloachMr. and Mrs. Jeffrey DeLongDepot CornerMr. and Mrs. Nicholas De Rose DétenteMr. and Mrs. Bob DeweyMr. and Mrs. Paul W. Di MauraMr. Richard M. DivverMrs. Marjorie DolbyMr. and Mrs. David Dolinsky Mr. and Mrs. Fred DomontMr. Doug DorrieMrs. Florence A. DoveGen. Michael P. DownsMr. and Mrs. Robert DozierMrs. Cassandra F. DrakeMr. and Mrs. Craig DrippsMr. H. Graham DrippsMs. Caroline K. DriscollMr. and Mrs. John J. DropickMr. and Mrs. Joseph Duart, IIIMr. and Mrs. Timothy DubeMr. and Mrs. Albert Dumas

Mr. G. Thomas Dunlop, IVMr. Robert DusaMr. and Mrs. Sanford N. EarleMr. and Mrs. James E. EarlyMr. and Mrs. John W. EdenMr. and Mrs. Maitland Edey, Jr.Ms. Marie R. EdgarEdgartown Board of TradeEdgartown BooksEdgartown CinemasEdgartown District CourtMr. and Mrs. Steven M. EickMr. and Mrs. Alvin EisenmanElectronic Security SystemsDr. Elizabeth Ellis andHon. Daniel Friedman Mr. Robert E. ErlandsonMr. and Mrs. Frank J. EspositoMr. Harvey EverettDr. Mark Fagelman and Dr. Eliott Fagelman Mr. and Mrs. Douglas FalkMr. and Mrs. Edward FantasiaMr. and Mrs. Andrew FarrisseyMr. and Mrs. Rodney FarrowMr. and Mrs. Christopher FeareyMr. Sean FederowiczMr. and Mrs. Jules R. FeifferMs. Heidi Feldman and Mr. Curtis FriedmanMr. and Mrs. John P. FergusonFiddlehead FarmMrs. Ann Riggs FielderMr. Oliver D. FilleyMr. and Mrs. Kristina FineMr. and Mrs. David FinleyMr. and Mrs. William FinnMs. Joan B. FirmanMr. and Mrs. Joseph FitzgeraldMr. and Mrs. Andrew FlakeMr. and Mrs. Graeme FlandersMr. Terence FordeMr. and Mrs. Robert FordMr. and Mrs. Frank ForgioneMs. Michelle A. Foster and Mr. Stephen KellyMs. Pamela Foster and Mr. Geoffrey GibsonMr. and Mrs. David Frantz, Jr.Mrs. Mary Stokes FrenchMs. Patricia French-QuastMr. and Mrs. Robert FresherMr. Christopher O. FriedMs. Carol Sue Fuller and Ms. Diane GandyMr. and Mrs. Sam FullerMr. and Mrs. Richard GaffeyMs. Anne Gallagher Mr. and Mrs. Aaron A. GalvinMr. and Mrs. Irving GatesMs. Carlene Gatting and Mr. Fred Condon Mr. and Mrs. Daniel GearyMr. and Mrs. Leo GearyDr. Arnold GeigerMs. Beth R. GelfondMr. and Mrs. Robert H. GeorgeMr. and Mrs. Guy Giampapa

Giordano’s RestaurantMs. Barbara Giordano and Mr. Peter ScheinmanMs. Deborah GlasserMs. Sara T. GlendinningMr. and Mrs. Ramanatha and Mrudulla R. GnanadesikanMr. and Mrs. Jeff GoldmanMs. Del Rene GoldsmithDr. Marianne GoldsmithMr. and Mrs. George GomezMr. and Mrs. Kenneth Q. GordonMr. and Mrs. John B. GormanMr. and Mrs. Robert B. GoudeyMs. Mary GouldMrs. Alice F. GoyertMs. Patrie GraceGreat Harbor Real EstateGreat Harbor BoatyardMr. Edwin H. GreenebaumGremlin Fog Pest ControlMr. and Mrs. David GroganMr. Keneth R. GrossDr. and Mrs. Richard L. GrossCareanywareMs. Denise Gorondy GuestMr. and Mrs. Lee J. GuittarMs. Susan HalbyMr. and Mrs. Philip HaleMr. Winthrop HallettMs. Shirley HallMs. Marian HalperinMrs. Shirley HambyMr. and Mrs. Albert HamelRev. Robert and Mrs. HammettMr. Daniel HanavanMs. Katharine A. HancockMr. and Mrs. John HargreavesMr. and Mrs. Nathaniel StillmanMr. and Mrs. Donald HartMr. and Mrs. James C. HartMs. Judith Hartford and Mr. Thad Harshbarger Mr. and Mrs. George HartmanMr. and Mrs. Bill HasenfusMrs. Sherry HatchMs. Margie Haven and Mr. Thomas HaleMr. John D. Hawke, Jr.Mr. and Mrs. Arnoldo HaxHealey Family FoundationMr. and Mrs. Peter HeflerMs. Mildred HendersonMr. Lloyd A. HenkeHenley NeedleworksHenrietta Brewer HouseMr. Mark HessMr. and Mrs. Edward HewettMr. and Mrs. Robert HickeyMrs. Harriet HickieMr. and Mrs. Stephen A. HightMs. Karen Hilker and Mr. Robert Jaffe Heinand Mr. J. Thompson HillerMrs. Sandra HillmanMr. H.D. HinmanMs. Cathrine Hoffman

Ms. Heather Hohenthal and Mr. David StoneMr. Bernard M. HollanderMr. and Mrs. Warren HollinsheadHomemakers Club of Martha’s VineyardMr. and Mrs. Frank HoneyMr. and Mrs. Michael HorvitzCapt. and Mrs. Jim HowerMrs. Laurie HowickMr. John HowlandHughes & J. C. Murphy Real EstateMr. and Mrs. John HughesMr. Robert H. HughesMr. Albert HurwitzMr. and Mrs. Robert HussMs. Roberta Hutchinson and Dr. John HartleyMr. and Mrs. Robert IadiciccoMrs. Patricia IrvingMrs. Eleanor IselinIsland Food ProductsMr. and Mrs. Ronald JacksonMs. Victoria H. JacksonMs. Marjorie JacobsMr. and Mrs. Edward JeromeJerry Bennett MusicJ.L. Property Owners AssociationMr. and Mrs. Richard Joel, Sr.John Keene ExcavationMr. and Mrs. Lowell C. JohnsonMr. and Mrs. Rex JarrellMr. and Mrs. Ralph JonesMr. T. Curry JonesJon Hanson InvestmentsMr. and Mrs. Michael JoyceJoy Street FoundationJP Everhart and CompanyMs. Florence P. JuddVineyard Tax MattersMr. and Mrs. Ward JustMr. Richard KaikaMr. and Mrs. Eugene KalkinMrs. Polly KaltenbacherMr. and Mrs. Michael KaplanMs. Mary E. KauffmanMr. and Mrs. Peter D. KeefeMr. and Mrs. Allan KeithRev. and Mrs. Paul KennedyRev. and Mrs. John H. KidderMr. and Mrs. Warren Kimber, Jr.Mr. and Mrs. Lewis KingMs. Natalie Dickinson KingMrs. Connie KinsleyMrs. Patricia KnappMrs. Hazel Knight and Mr. Walter V. CollierMr. and Mrs. Richard Knight, Jr.Mr. and Mrs. Hugh KnipmeyerMr. and Mrs. David H. KnollMrs. Patricia KolbeMr. and Mrs. Jaroslav KralMr. and Mrs. Ralph KrauseMrs. Ursula G. KreskeyK.T. Galley and CompanyLaBell ElectricLandscope Construction

Ms. Shirley P. LangerDrs. Katherine Lapierre and Peter Lang Mr. and Mrs. John LarsenLarsen’s Fish MarketLaw Office of Cini and MillerMs. Karen Langford and Mr. Rich Fernalld Ms. Melissa LawryMr. Peter Lawson-JohnstonMrs. Ann Fay LawtonMiss Julia LeeMr. and Mrs. Leslie LelandMr. and Mrs. Timothy LeLandMs. Kim LeonardoMr. and Mrs. Michael LevandowskiMr. and Mrs. Edwin LewisMr. and Mrs. John LewisMr. and Mrs. Richard LindequistLittle Rock Farm CateringMr. and Mrs. Norman Lobb, IIIMrs. George LockwoodMs. Katherine Logue and Mr. Ernest Mendenhall Ms. Katherine LongMr. and Mrs. Frank LoRussoLouisa Gould Photography & GalleryMr. Ralph Lowell, Jr.Mr. and Mrs. Ed LudwigMr. Jiri LuncarMs. Helen LynchMr. and Mrs. H. Paul MacCowattMr. and Mrs. Lanning Macfarland, Jr.Ms. Melanie M. MacintyreMr. and Mrs. John E. MacKentyMr. and Mrs. William MacomberMr. and Mrs. Eliot MacyMr. and Mrs. Carl E. Magnuson, Jr.Mrs. Moses MalkinMr. Allan ManingsMr. and Mrs. George ManterMr. Jeffrey S. ManterMr. and Mrs. Stanley MarshallMs. Nada MartecchiniMartha’s Vineyard AppraisalMartha’s Vineyard Insurance GroupMartha’s Vineyard Neighborhood ConventionMartha’s Vineyard Antiques ClubMartha’s Vineyard Agricultural SocietyMr. and Mrs. Fred MartinMr. and Mrs. James G. Masek Dr. and Mrs. Howard MathisenMs. Molly Mattoon and Mr. Carl LawrenceMr. and Mrs. Eric MaxwellMr. and Mrs. Paul H. Mayhew Mr. John McBrideMr. and Mrs. T. Robert McCarronMrs. Mabel McCarthyMr. and Mrs. Barry McCloskeyMs. Patricia K. McCornackMr. and Mrs. Maxwell McCreeryMs. Dorothy McElaney-ClarkMr. and Mrs. A. D. McGrathMr. and Mrs. Luke McGuinnessMs. Linda McGuireMr. and Mrs. John P. Medgyesy

Mr. Charles L. MedlerMs. Mabelle MedowskiMs. Kathleen MeleneyMr. and Mrs. Denis MembrenoAll Island SeafoodMr. and Mrs. Albert MercerMr. and Mrs. Robert K. MerryMs. Claudia MetellMs. Dorothy L. MeyerMr. and Mrs. Garry H. MeyersMr. and Mrs. Lloyd MillerMs. Marilyn Miller and Mr. Ronald ZentnerMr. and Mrs. Mark MillerMindshare MediaMr. Elza H. MinorMs. Emily C. MooreMs. Sheila MorganMorning Glory FarmMs. Barbara MorrisonMr. and Mrs. Robert MorrisonMs. Jean C. MosmanMs. Nancy MuirMr. and Mrs. Paul and M.J. MunafoMr. and Mrs. Cyril MuromcewMr. and Mrs. Christopher W. MurphyMrs. Polly Woolcott MurphyMr. Theodore R. Murphy, IIMs. Valerie N. MurphyDr. and Mrs. Joseph E. MurrayMV ZooMr. and Mrs. Sherif NadaMrs. Anne Nancy NagleMr. Daniel J. NalvenMr. Ralph NardoneMr. David NathansMs. Heather Neal and Mr. Craig YuhasMrs. Judith P. NeeldMs. Margaretta NelsonMr. and Mrs. Bernard NessThe Net ResultMr. and Mrs. Peter G. NeumannMr. and Mrs. John NevinMr. and Mrs. Floyd NortonMs. Ginger Norton and Mr. Douglas E. RuskinMr. and Mrs. S. Bailey Norton, Jr.Mr. Paul NourseMr. and Mrs. William O’Brien, IIIOcean Park RealtyMr. and Mrs. Connie B. O’DohertyMs. Michelle O’GradyMr. and Mrs. Michael B. O’HigginsMs. Barbara F. OkunMs. Jane C. OlsonMr. and Mrs. Mark OlsonMr. Michael S. OviosMs. Elaine PaceMr. and Mrs. Carlos PaganMs. Catherine D. PappasMs. Anne ParkerMr. and Mrs. J.B. Riggs ParkerMr. and Mrs. John PatrickMr. and Mrs. Paul PearlsonMrs. Patricia S. PeaseMr. and Mrs. Michael Pease

Ms. Nancy P. PenhuneMrs. Ann PerryMr. and Mrs. Norman PerryMs. Marianne Pfau and Mr. Samuel DenboPhillips HardwareMr. and Mrs. Robert PhillipsMr. and Mrs. James PickmanMr. Edward L. PierceDr. and Mrs. Charles PlotzPlymouth Chamber of CommerceMr. and Mrs. Theodore PolanskyMr. and Mrs. Paul M. PolanskyMr. and Mrs. Alex PolnerMs. Dorothy Poole and Mr. Thomas BlockMr. Everett PooleMr. and Mrs.W. Fergus PorterMr. and Mrs. Thomas L. PorterMr. and Mrs. Michael PostMr. and Mrs. Robert Potter, Jr.Mr. and Mrs. Peter M. PoulosMs. Rosalie PowellMr. John PowersMs. Ursula PradaMr. Thomas PrendergastMr. and Mrs. Danwin PurdyMr. Arthur RailtonMr. and Mrs. Donn RandallMs. Susan RasmussenMr. Earle RayMr. John G. Reed, Jr.Mrs. Eualie ReganMr. and Mrs. William B. Reily, IIIMrs. Jacqueline RenearMs. Josephine A. RicciardelliMs. Joan F. RiceMrs. Lucile RichardsMr. and Mrs. Leroy RieselbachMr. Eugene RiesmanDr. and Mrs. Francis RileyMr. and Mrs. Auguste Rimpel, Jr.Mr. and Mrs. Thomas Rivers, Jr.Ms. Cynthia RobinsonMr. and Mrs. Rupert RobinsonMs. Abby Rockefeller and Mr. Lee HalprinMr. and Mrs. John RodgersMs. Carolyn B. RoedelMs. Barbara Rogers and Mr. Ronald DomuratMs. Helen E. RogersMr. and Mrs. James E. RogersMr. and Mrs. Robert RohrerMs. Suzanne RomanMr. Geoffrey RoseMr. and Mrs. Ronald J. RoseMr. and Mrs. Bruce RosinoffMr. and Mrs. Gilbert Ross, Jr.Mr. and Mrs. Allen RuggMs. Rachel RuMs. Nancy Rummel and Mr. John CoskieMr. and Mrs. Louis M. RusitzkyMr. Karl E. RydholmMs. Avis SabatinelliMs. Carol Sacco

Mr. and Mrs. Frank SaffordMs. Judy Salosky and Mr. James Pepper Dr. and Mrs. Edwin SalzmanSaunders AssociatesMr. and Mrs. Benedict H. SaurinoMr. and Mrs. Irwin SavodnikMr. and Mrs. Thomas ScammellMr. and Mrs. John S. Scanlan Mrs. Annie Ruth ScarvilleMr. James O. SchaefferMs. Marilyn ScheerbaumMs. Gloria ScherMs. Barbara K. ScherlisMr. Robert SchiffmanMs. Cynthia SchillingMr. and Mrs. Charles SchmidtMr. and Mrs. William SchmidtMrs. Audrey L. SchneiderMs. Gail Shufrin and Mr. Leonard S. Schoenfeld Schofield, Barbini & HoehnMr. Irving SchoppeMr. and Mrs. Ronnee SchultzMr. and Mrs. Stephen SchultzMr. and Mrs. Joseph ScotlandSeafood ShantySealiftSea Witch Sailing ChartersMr. Ralph Serrano Ms. Enid ShapiroDr. and Mrs. Sander ShapiroMs. Betsy SheerrMr. and Mrs. Jason E. ShemitMr. and Mrs. Ralph E. ShermanMs. Deborah Shipkin and Mr. Laurence GreenbergShiretown MeatsShirley’s HardwareMr. John M. ShriberMr. and Mrs. Ralph ShunkMr. and Mrs. Edwin L. Sibert, Jr.Mr. Robert SidotiMr. and Mrs. Peter SiegelMr. and Mrs. Jay SiglerMs. Carly SimonMr. and Mrs. Stewart SimsMr. Ernest A. SingerMr. Douglas F. SipleMr. and Mrs. David A. SirignanoMr. and Mrs. William SkinnerSmith Bodfish & Swift CompanyMs. Dianne E. SmithMs. Ethel SmithMs. Shirley Whitehead-SmithMrs. Mary H. SnyderSoikkeli & CompanyMr. Heikki M. SoikkeliMr. and Mrs. Maxwell SoletSollitto AssociatesMr. and Mrs. Roland SoucieSouth Mountain Company FoundationMr. and Mrs. Stephen SpongbergMr. Walter StacyMr. Arthur C. StaffordMr. and Mrs. Edmund A. Stanley, IIIMr. and Mrs. Leslie J. StarkMr. and Mrs. Lawrence O. Stearns

Ms. Susan SteckelMr. and Mrs. Joseph P. Steckelun, Jr.Mr. and Mrs. David F. SteinMs. Bonnie B. StevensMs. Carol B. Stevens EnoMr. Richard StevesMrs. Kathryn StewartMr. Lawrence E. Stewart Mr. and Mrs. Neal StillerMrs. Ruth StillerStonebridge Building & DesignMr. and Mrs. Robert StoneMr. and Mrs. William D. Strecker Suskram Family FoundationMr. and Mrs. Howard G. SuttonMr. and Mrs. Howard H. SwartzMr. and Mrs. John R. Tankard, IIITashmoo Boatyard and Crane ServiceMr. and Mrs. Samuel L. TatelbaumMrs. Hazel TeaganMr. and Mrs. Peter TeelMr. and Mrs. Neville ThameMr. and Mrs. Roger ThayerThe Carroll FoundationThe Frame CenterMr. Dick PrattThe Sweet Life CafeMr. and Mrs. Joseph ThibodeauMr. and Mrs. Otis TholanderMs. Ingrid ThomasDr. and Mrs. William ThomasMr. and Mrs. Melvin D. ThornhillMs. Anna TomlinsonTony’s MarketMr. and Mrs. Richard TooleMs. Penny Uhlendorf and Mr. John S. StephensMrs. Susan UltanUpstairs on the SquareMr. and Mrs. Eduardo A. ValdesMr. Lenny Vanderhoop, Jr.Mr. and Mrs. Robert van RoijenMr. and Mrs. David VaughnMr. Lenny VervilleMr. and Mrs. David B. VietorVineyard Fitness CenterVineyard Home CenterVineyard Playhouse CompanyMr. and Mrs. Von AuMr. and Mrs. D. Warren Vose, Jr.Mr. Norman VunkMrs. Adele WaggamanMs. Jill M. Walsh and Mr. Paul CurranMs. Patia M. WaringMs. Catherine Kelly WarmMr. and Mrs. Samuel Warriner, IIMr. and Mrs. C. Langhorne WashburnMr. and Mrs. Carl E. WattMs. Jennifer Watts and Mr. Kenneth PillsworthMr. Karl WeckmanMr. and Mrs. Thomas WegmanMr. and Mrs. Thomas E. WegmanMr. John WehnckeMr. Robert WeinerMr. and Mrs. Andrew WeissMr. and Mrs. Harry J. Weiss

Mr. Basil WelchMr. Christopher WellsMrs. Edith M. WellsMr. and Mrs. Peter S. WellsWest Minster Acres Residents AssociationMrs. Margot S. WestonMrs. Brenda Tornabene Weston and Mr. Stephen W. WestonMr. and Mrs. George R. WezniakMr. David WheelerMrs. Hope A. WhippleMs. Georgianna M. White and Ms. Jane A. WhiteMr. and Mrs. Pendleton WhiteMrs. Ethel WhitmanMr. Joseph C. WhitneyMs. Suzanne WhittemoreMr. Joshua WiesnerMr. and Mrs. John WightmanReverend and Mrs. John WilburMs. Betty WillisMs. Sarah F. WinterbottomMr. Robert WittigDr. and Mrs. James A. WolffWoman’s Club of Martha’s VineyardMs. Gloria L. WongMrs. Marjorie J. WoodMr. and Mrs. John R. WoodrunMr. and Mrs. Walter WrightMr. and Mrs. Justin WynerMr. and Mrs. Mark YaleMrs. Doris YoungDr. Stefan Young

The VNA strives to provide a complete listing of donors. We apologize for any errors or omissions. Please contact the Development Office at (508) 696-0785 with any comments, concerns, or corrections.

The Island’s Premier Medicare & Medicaid Certified Home Care AgencyWhat We Do

Providing homecare on Martha’s Vineyard since 1984, the Vineyard Nursing Association is committed to the health and wellness of the communities we serve. In keeping with our mission, we are continuously expanding the scope of our services and raising the quality of care we provide.

Our commitment and connection to our neighbors on Martha’s Vineyard that we serve continues to be the foundation upon which the Vineyard Nursing Association builds for the future.

Our Mission

Vineyard Nursing Association is a nonprofit, premier provider whose mission is to provide compassionate, high quality and state of the art care for patients and families with acute, chronic, or advanced illnesses. We are also committed to the interdisciplinary management of palliative pain and symptom control issues through every stage of illness.

Purpose

Vineyard Nursing Association’s purpose is:• To provide skilled nursing, restorative and other therapeutic services and homemaker/home

care aide services on a part time intermittent basis.• To assist in evaluating, promoting, educating, and maintaining the health and welfare of

individuals in the community of Martha’s Vineyard.• To promote cooperation and collaboration among agencies and providers in improving the

health and welfare of the community in response to community needs.

NEIGHBORS HELPING NEIGHBORS

The VNA’s mission is not only to care for our community in the present, but also to anticipate the needs of the future. By all accounts, in ten years the island population will have both grown in size and shifted in demographics. It is estimated that by 2020 more than 20% of people living on the Vineyard will be senior citizens. We also know that 70% of people aged 65 and older require long-term health care services at some point in their lives. In other words, the need for home health care services on Martha’s Vineyard is only going to dramatically increase as time passes, and it is crucial that we expand both our staff and our services in order to meet that need.

The VNA is poised to grow services to meet the needs of our community. We hope to pursue programs such as:

An Adult Day Health Program that will provide social and medical help for seniors who are currently unable to participate in senior programs.

Use of advanced technology such as telehealth & telemonitoring of patients for more regular health monitoring.

Medically related support groups for patients and caregivers, i.e. stroke and diabetes.

Community Interest Health Workshops, i.e. Lyme disease & seasonal influenza.

The Vineyard Nursing Association is prepared to initiate a capital campaign in 2010 to purchase the building in which our headquarters are currently located. By purchasing the building, the VNA will be able to reduce overhead costs and expand services and staff to meet the needs of the community and be equipped for the future growth.

Please contact our Development Office if you are interested in learning more about the Campaign for the Vineyard Nursing Association.

Post Office Box 399 15 Merchant’s Court Vineyard Haven, MA 02568

ph 508-693-6184 fax 508-693-5607

info@vineyardnursing.org www.vineyardnursing.org

A Vision for the Future

VINEYARD NURSING ASSOCIATION