VISION: A call for something more
Transcription
VISION: A call for something more
VISION: A call for something more Annual Report of Caring 08 “A vision is not just a picture of what could be; it is an appeal to our better selves, a call to become something more.” Rosabeth Moss Kanter, Harvard Business School professor The purpose of this publication is to demonstrate our commitment to our members, our providers and our communities. We invest tens of millions of dollars to support local organizations and initiatives that improve the quality of life in our communities. A recent health crisis in my family brought home the value of our health system – from hospitals and health care professionals to our own health insurance coverage. When my wife, Linde, was diagnosed with a rare form of cancer last summer, we realized that we’re blessed to have doctors and hospitals in upstate New York on par with national centers of excellence. We could have gone anywhere in the country, but after much research, we concluded that quality care is available locally. The added benefit is having the support of family and friends nearby. Many are directly responsible for the existence of these medical centers. We support the excellent care they provide not only through reimbursements for health care services, but also through our advocacy efforts with elected officials, regulators and industry leaders for supportive public policies. These include measures to reduce taxes on the privately insured, more health insurance options for businesses and individuals, and use of existing government subsidies to aid individuals and small groups in buying coverage. While health insurance may not be a right guaranteed under our Constitution, our company’s leadership is more convinced than ever that as many people as possible should have affordable health care for life. We believe strengthening private health coverage is the least costly and most effective way to accomplish this goal and that government’s role is to help those who cannot afford it. We also believe we have a responsibility to demand quality health care services for our customers and to keep escalating health care costs in check. Linde and I remain positive about her prognosis. Our situation has given me the opportunity to reassess many things in my life and relationships. It’s also reinforced my belief that the success of The Lifetime Healthcare Companies is vital to our communities. David H. Klein President & CEO The Lifetime Healthcare Companies Our vision of affordable health care for life extends beyond our customers to encompass upstate New York as a whole. We’re proud to support other organizations in their desire and effort to bring health care to those who need it, where they need it. In this publication, you can read how collaboration among a few helps many. My family was grateful to have health insurance to pay for appropriate medical care. When you’re a patient or a caregiver, the last thing you want to think about is how you will pay the hospital and doctor bills and whether they’re being paid correctly. If you do have questions about your health insurance, you want your insurer to be patient and supportive. 1 We’re more than a health insurance company and provider of health care services. We not only pay your medical claims and attend to your health care needs, we’re also part of upstate New York’s economic fabric. Our business decisions aren’t made in a vacuum or from some far-off state. We live and work where you do. Our headquarters is in Rochester. We have regional offices stretching from Buffalo to Utica. Our more than 6,000 employees are located here. Most of our financial transactions are here. Something More On behalf of our 1.8 million members, we paid $4.6 billion in medical claims to: We’re Committed to Diversity An organization should look the same on the inside as it does on the outside, i.e., our workforce should reflect the diversity of our communities. We respect, recognize and value the uniqueness and contributions of each person as well as promote, model and reward attitudes and behaviors that foster inclusiveness. We also contribute to organizations that are dedicated to overcoming racism, bias and discrimination, such as the National Federation for Just Communities. Our Lifetime Health Medical Group centers have supported this human relations organization that builds understanding, respect and trust through education, advocacy and community involvement. The federation recently recognized one of our legal counsels, Rebecca Ritchie, for a screenplay she authored that focused on the Jewish community and Holocaust survivors. For the past six years, our Central New York plan has sponsored the Interfaith Works Communitywide Dialogue Duck Race to End Racism. 2 106 H hospitals 18,000 providers We’re one of New York’s LARGEST • employers ($335 million payroll) • consumers of local goods and services ($303 million) Indirect and induced spending Goods and services we purchase $183 million + $335 million + $303 million Our economic impact $821 million Our payroll Using a tool developed by the Bureau of Economic Analysis, we estimate the impact of indirect spending (local spending by the vendors from which we purchase goods and services) and induced spending (local spending by our employees) is responsible for infusing $183 million into the upstate economy and generating 1,530 jobs. Reforming Medical Malpractice We’re a MAJOR taxpayer NYS Health Care Reform Act (HCRA ) $185 million Federal corporate income taxes $28 million Social Security taxes (company share) $23 million New York State Insurance Department assessment $10.5 million New York state corporate income taxes $800,000 Premium taxes $700,000 Other taxes $200,000 Total for 2007 $248.2 million It’s been estimated that 10 cents of every medical benefits dollar paid by insurance premiums reflects the cost and liability of defensive medicine. We support tort reform that includes setting caps on awards for noneconomic damages, limiting the time for filing a medical liability claim, allocating damages fairly in proportion to a party’s degree of fault and lowering medical malpractice costs. Combatting Fraud 61,000 pharmacies Our special investigations unit saved more than $3.4 million by detecting, preventing and helping to prosecute those involved in using our members’ premiums fraudulently or abusively in 2008. A Healthy Environment We strive to be environmentally responsible because it’s the right thing to do and it makes economic sense. Our environmentally safe practices include: • A million pounds of paper recycled annually. • Envelopes produced with wind power. • Newer facilities and renovated spaces with lights on timers and HVAC units that run only when a building is occupied. • Steam purchased through Rochester District Heating for heating our Rochester headquarters. • “Green” cleaning products, organic lawn treatment and pro-green paint products where possible. • Mercury free blood pressure cuffs in our health centers. 3 Business gurus like W. Edwards Deming and initiatives such as Six Sigma have proven time and again that quality goods and services don’t have to cost more; in fact, costs are more controlled when excellence is pursued and achieved. In the business of health care, we embrace quality measures that result in improved outcomes, increased patient satisfaction and lower costs. We’re committed to providing quality on several levels, from giving consumers information to make wise choices about their health care to helping providers improve performance. What’s good for patients and providers is also good for our employer groups and us. Improving the Quality of Health Care 7 Generics Are REAL 7 Hospital Pay for Performance Program 7 Upstate New York Hospital Quality Initiative 7 Upstate New York Surgical Quality Initiative Brand-Name Drugs Are Generics in Disguise After a December 2005 analysis showed that increasing the use of generic drugs in upstate New York could potentially save consumers more than $880 million, we created a public education campaign, Generics are REAL. Follow-up analyses took place in 2006, 2007 and 2008 to track generic fill rate increases in upstate New York and estimate the savings resulting from those increases. A consumer survey in early 2007 assessed the public’s perception of generic drugs. 4 Based on the analyses and survey findings, Excellus BCBS expanded the Generics are REAL campaign to increase public awareness and acceptance of generics. The campaign’s core message is that generic drugs are just as safe and effective as their brand-name counterparts and FDA approved, but they cost less, lot less. We encourage patients to “Ask your doctor or pharmacist if there’s a generic drug that’s right for you.” Our campaign successfully has targeted consumers, employers, providers and members. From 2005 to 2008, the upstate generic fill rate increased from 53.8 percent to 68.4 percent. We attribute the increase to several factors, including a growing public acceptance of generic drugs and the introduction of new generic alternatives to brandname drugs. From 2006 to 2008, savings achieved by increasing use of generic drugs across upstate New York totaled more than $700 million. Yet those savings have been offset by an almost 82 percent increase in the cost of brandname drugs over the past five years. The average cost for a 30-day supply of brand-name drugs escalated from $87.45 in 2003 to $159.06 in 2008. In that same time period, the average cost of generic prescriptions rose 10.5 percent, with the average cost of a 30-day supply of generic drugs $17.43 in 2003 and $19.26 in 2008.* Our fact sheet, “Generic Drug Prescribing Patterns Among Physicians in Upstate New York,” available on excellusbcbs.com, cites a number of studies which confirm that patients’ compliance rates for taking medications is higher when they are prescribed generic drugs rather than brand-name ones. Our Generics Are REAL campaign has generated a groundswell of support from employees and the public. Above, Excellus BCBS employees and friends, Stacie Perry, Shane Kulpa, Dana Plado, Stephanie Perry and Tom Machnik, supported participants at Utica’s annual Boilermaker Road Race. More than 8,336 pairs of Groucho glasses were distributed, breaking the unofficial world record for the most number of people wearing Groucho glasses at one event. The week prior, 6,571 fans, including Southern Tier employee Diane Pendell and her husband, Joey, bottom photo, made “spectacles” of themselves at the Binghamton Mets game. *”Cost Trends of Prescription Drugs in Upstate New York,” Fall 2008. Analysis performed by FLRx, Excellus BlueCross BlueShield’s pharmacy management division that provides pharmacy benefit management services for more than 1.2 million people across 39 counties of upstate New York. Estimates derived by applying an extrapolation model to FLRx administrative data. 5 The scoop on costs, quality and access To educate the public about health care costs, access and quality, we regularly produce Health Policy Reports and Fact Sheets based on unbiased information. Recent ones added to our Web sites, excellusbcbs.com and univerahealthcare.com, are: • Adults With Asthma in New York State • Cost Trends of Prescription Drugs • Leading Causes of Death in Upstate New York • The Facts About Health Insurance Premiums Catching Germs in the Act That translates into: Since 2005, when we implemented our Upstate New York Hospital Quality Initiative to reduce the incidence of hospital-acquired infections, we’ve been heartened by its success in terms of better patient outcomes as well as substantial savings. In the first nine months of 2008, the eight upstate New York hospitals in the program realized a 12.21 percent clinical improvement on infection control. • 295 hospital-acquired infections prevented. • 2,064 incremental days length of stay avoided. • total economic impact of $1.95 million in hospital direct cost-savings. • $1.92 million in hospital bottom-line savings. Hospitals were selected to participate based on their location, patient volumes and willingness to share in the program’s initial cost. We invested $2 million to help pay for Cardinal Health’s MedMined™ services. The patented data mining technology allows hospitals to monitor and continuously analyze their patient populations for community and hospital-acquired infections. When unusual patterns are detected, the hospital’s infection control team focuses intervention and education efforts where they have the greatest potential for improving patient care and safety. Real-time electronic access to infection-related clinical data helps the hospitals with reporting, charting and automatic alerts. We’ve allocated an additional $5 million to expand the program to all hospitals in our upstate New York network. Currently, 14 have accepted and several more are interested. The offer couldn’t come at a better time. Since October 2008, Medicare no longer pays hospitals for treating two types of hospital-acquired infections, and hospitals can’t bill patients for related care. 6 "As health care providers, our goal is wellness maintenance. In the fight against hospitalacquired infections, MedMined is a powerful clinical support tool that expedites transformation of complex data into usable information. MedMined's incorporation of technology and clinically based education allows our clinicians to practice not only infection control, but also infection prevention, thus decreasing infection-related mortality and morbidity and easing the financial burden to the hospital." -Katie O'Leary, director of Quality and Clinical Outcomes Management Unity Health System, Rochester, NY Performance Counts In our network, 64 of 76 hospitals that represent 97 percent of our patients’ admissions now participate in our Hospital Pay for Performance Program that rewards hospitals for improving quality of care by meeting or exceeding national quality performance averages. As a result, the number of complications, readmissions and days in the hospital is reduced and clinical outcomes are better. Hospital patients should experience more consistent treatment and more routine protocols. By participating in the program, these hospitals choose quality performance measures that deliver care in accordance with published medical standards developed by national health care experts. Performance is measured by clinical care delivery, efficiency, patient safety and patient satisfaction. The program allows for flexibility across the range of hospitals in our network—from small, rural hospitals to large, academic medical centers. We play an integral role in measuring providers’ quality of care, promoting meaningful, worthwhile relationships with them and sharing information about quality. A Cut Above the Rest Improving surgical outcomes is the goal of our Upstate New York Surgical Quality Initiative. Participating in our initial effort in 2008 were four hospitals in our network: Strong Memorial, Highland and University hospitals and Bassett Healthcare. Based on the American College of Surgeons’ National Surgical Quality Improvement Program, the intent of the initiative is to reduce surgical complications in targeted procedures and thus reduce costs as well. By funding a portion of the costs of participation, we hope to attract more hospitals to the program in 2009. Although we don’t have results to report yet, we expect patients, physicians, hospitals and health plans to benefit from this program. " Participation in the Excellus BlueCross BlueShield Hospital Pay for Performance Program has been a very beneficial collaboration and is consistent with our overall performance improvement activities. With our commitment to the highest quality management standards in the industry, we focus on specific processes and measures to verify continual improvement at St. Elizabeth Medical Center, creating a win/win situation for our medical center, our patients and their families. We also add value to the overall health care delivery system by reducing the costs associated with avoidable complications." -David N. Briggs, Quality manager/director of Case Management St. Elizabeth Medical Center, Utica, NY 7 Big-name medical centers are finding that using electronic medical records helps keep track of patients who have multiple physicians and need complex care. In addition, physicians are less likely to provide duplicate and/or unnecessary care. Although electronic medical records can reduce medical errors and administrative costs, they can be very difficult and expensive to implement. More than $50 million in government grants has been awarded to six regions in New York for health information technology pilot projects. As pilot projects get under way, planning and coordination are essential to achieve economies of scale and standardization. Catching Up With Technology 7 Genesee Valley Health Partnership 7 Lifetime Care Telemedicine 7 Lifetime Health Medical Group Electronic Medical Records 7 Rochester Regional Health Information Organization Excellus BCBS awarded $100,000 to the Genesee Valley Health Partnership to help build an electronic health information network in Livingston County. The initiative will use technology to bolster health care quality and give providers secure and immediate access to patient records. The project includes a centralized, standardized electronic medical records system for emergency medical services; a single-point-of-entry system for people with disabilities and chronic diseases who seek health care services; and electronic health records for health care providers. We’re actively supporting the Rochester Regional Health Information Organization, commonly known as Rochester RHIO. It’s a secure, online 8 resource used by authorized medical providers to obtain essential patient information, including lab reports, radiology results, medication history and more. Rochester RHIO, one of 30 across New York and 300 in the country, is farther along than most online health information exchanges. More than 250 authorized health care providers use the service. Benefits include: • Fewer repeated tests because doctors can quickly access the results of tests performed at other locations. • Easier second opinions because all members of the medical team can access diagnostic information. • Reduced risk of mistakes caused by poor handwriting or hard-to-read faxes. • Less chance of drug interactions because the electronic prescribing feature automatically warns of incorrect dosage or potential problems. • Greater convenience for patients, who may no longer have to handcarry lab reports, prescriptions and other medical information. Our Lifetime Health Medical Group centers have scanned 27 million pages of medical records into an electronic medical records system and now enter all new patient data electronically. Providers find it makes work easier, documentation faster and helps them stay current on prescription renewals. Other benefits include automatic reminders for vaccinations or annual exams, reduced risk of medical errors and enhanced communication between providers and patients. Lifetime Care, one of our subsidiaries, is the leading home health agency in the Rochester area to use telemedicine for remote monitoring of patient conditions, including heart disease, lung disease, high blood pressure and advanced diabetes, thus catching irregularities before they become big problems. The agency also uses digital cameras to check wound care and the latest infusion technology to deliver intravenous treatments to patients in their homes. A medication reminder system is available for patients who may be at risk if they don’t take their prescriptions correctly. Above, remote monitoring of patient conditions allows Lifetime Care staff to catch irregularities before they become problematic. Lifetime Health Medical Group physician, Dr. Doug Golding, page 8, says that electronic medical records benefit providers and patients, including Lifetime Health employee and patient Stacy Sellka. • Faster crisis care when essential information is available immediately to emergency room doctors and emergency medical technicians. 9 Local issues require local solutions and local solutions require collaboration among all stakeholders—businesses, community leaders, providers and health insurers. If a community does not manage capacity, costs will increase, services will be duplicated, the volume of services will increase, and there will be fewer reasons for providers to work together. We support establishing regional health commissions composed of key community stakeholders to focus on access, quality and cost. In the meantime, we work with other organizations to ensure that those who are underserved receive care, especially those in rural areas of our state. Planning Goes a Long Way 7 Adirondack Medical Center 7 Canandaigua Clinic 7 Continuing Developmental Services Life Transitions Center 7 Community Free Clinic 7 Rushville Health Center 7 The Health Ministry of the Southern Tier Pooled Resources Our donation to the Continuing Developmental Services Life Transitions Center in Webster was used to build a therapy pool for people with disabilities. CDS clients use the pool for therapeutic, structured activities to increase their strength, endurance and flexibility and for recreational swimming, photo page 11. Employees also use the pool. The fully accessible, enclosed therapy pool has a ramp and a lift for individuals with limited mobility. The temperature-controlled environment of the pool accommodates individuals with developmental disabilities, who are often sensitive to extreme temperatures. 10 Taking a Bite Out of Dental Decay Many rural areas have a shortage of dentists, especially providers who accept Medicaid patients. In addition, water supplies often aren’t fluoridated, putting residents at risk for serious health problems since proper dental care is crucial to overall health. In Yates County and the Northern Adirondacks, our partnership with local providers helps underinsured and uninsured residents and those with Medicaid coverage receive needed dental services. Since we provided a grant to the Rushville Health Center in Yates County in 2007, more than 2,600 children and adults have received dental care. This year, the Adirondack Medical Center’s dental center on wheels will provide services to residents of five counties who in the past traveled up to two hours each way to the center’s dental clinic in Lake Placid. Free Health Services and More Thanks to The Health Ministry of the Southern Tier, residents in Chemung, Steuben and Schuyler counties who lack insurance and the ability to pay have benefited from free health and dental services, prescription assistance, health education, smoking cessation programs, and specialty health care and dental referrals. Clinic staff helps patients determine their eligibility and apply for government and commercial insurance programs. The Community Free Clinic in the Southern Tier got a shot in the arm with funding from Oprah’s Big Give Program via Binghamton’s News Channel 34 and Excellus BCBS. The clinic provides uninsured residents in the Southern Tier with free preventive, primary and acute health care, including prescription medications. Volunteer health care professionals and community volunteers, in partnership with local health care institutions, provide these services pro bono. Excellus BCBS, Thompson Health and Canandaigua Churches in Action are collaborating to provide health care to the uninsured, underinsured and the working poor in the Canandaigua area. Operated by Thompson Health and staffed by a licensed nurse practitioner, clinical secretary and medical technician, the Canandaigua Clinic will open early in 2009. Within three years, the clinic is expected to handle more than 3,500 patient visits annually. Best Interests at Heart Our Case Management staff helps members get the right care at the right time. Their services are much needed by those who have our low-cost Safety Net products for families and children who typically can’t afford health insurance. Real-life examples of staff interventions include: • When a patient needed an antibiotic administered intravenously three times a day, our case manager worked with his physician and a home care agency to have care delivered at home. The result? The member avoided six weeks of hospitalization and had an excellent outcome. • With 18 children to care for in her home, a member was not performing regular blood sugar checks nor administrating insulin to keep her diabetes under control. Our case manager worked with the woman and her doctor to arrange educational sessions at the member’s convenience. She’s now compliant and has avoided complications from her disease. • Through her efforts securing care from a psychiatrist and coordinating school services, our case manager greatly helped a child with attention deficit and obsessive compulsive disorders. With his medication adjusted, the student is better able to control his behavior. In addition, his grades have gone from failing to passing. 11 Unhealthy behaviors, including smoking, obesity/overweight and sedentary lifestyle, contribute to heart disease, cancer, trauma and pulmonary conditions. Along with mental disorders, these conditions account for 35 percent of all health care spending.* There’s much truth to the adage that an ounce of prevention is worth a pound of cure. That’s why we support many programs that encourage nutritious eating and active lifestyles from childhood on. Improving Personal Behaviors 7 2Smart 2Start® 7 Fun 2B Fit® 7 Genesis Health Project 7 Get Healthy Tompkins 7 HeathyBlue/ActiveUnivera® 7 Hornell YMCA Get Fit, Stay Fit 7 Step Up/Take Steps® 7 Youth Sports Teams Starting Young Univera Healthcare’s 2Smart 2Start® is celebrating a decade of bringing smoke-free programming to the youth of Western New York. And there's more reason to celebrate–a Roswell Park Cancer Institute survey indicates the percentage of Erie County ninth graders who smoke plummeted from 33 percent to 18 percent in recent years. The award-winning, schoolbased program offers a theater production emphasizing the importance of healthy choices, presentations of the national Tar Wars curriculum and a peer counseling initiative. More than 128,000 children at 340 area schools have signed the 2Smart 2Start pledge and made their promise to always be smoke-free. Starting healthy habits young will reap benefits far into adulthood is the premise behind Univera Healthcare’s Fun 2B Fit® program for elementary students in Western New York. For 12 weeks, second graders sample recipes from the Fun 2B Fit recipe collection that invites them to try different foods. Led by a Fun 2B Fit fitness instructor, third graders do fun dance moves and *Source: Medical Expenditure Panel Survey. Agency for Healthcare Research and Quality Statistical Brief #167, “The Five Most Costly Conditions, 2000 and 2004. Estimates for the U.S. Civilian Noninstitutionalized Population," March, 2007. meps.ahrq.gov/mepsweb/data_files/publications/st167/stat167.pdf. 12 stretches and are encouraged to repeat the workout at home and involve family and friends. On a field trip to Wegmans Food Markets, fourth graders learn about healthy shopping and food preparation. The two-hour tour introduces children to a variety of nutritious foods in a fun and interactive way that sets the stage for a lifetime of healthy eating. More than 17,000 Western New York students at 65 schools have participated in Fun 2B Fit. Partners are Wegmans Food Markets, Body Shaping By Sandy, and Lifetime Health Medical Group. Univera Healthcare’s Fun 2B Fit program, page 12 and right, uses cool tools—an activity book, book bag, portion plate, stopwatch and shopping list—to get and keep students and parents active and eating well. Above left, we also sponsored a youth indoor soccer team, The Titans, to encourage physical activity and team playing. In other efforts to encourage physical activity for children, we often support youth sports teams. Univera Healthcare sponsored a youth indoor soccer team, The Titans. Composed of 20 kids, the team plays at the Brighton Arena in Tonawanda. In Central New York, we sponsored Little League teams, including one for girls and another for boys in Jamesville-DeWitt. We also sponsored Little League teams in the Utica region. 13 Starting Later With 81 percent of upstate New York black adults being overweight or obese,* the Syracuse community launched a program to reduce obesity among the lower-income black community in 2004. Spearheaded by Syracuse University, Wegmans Food Markets, Wal-Mart, local congregations and Excellus BCBS, the Genesis Health Project now has eight innercity church pastors and 24 lay health advocates leading the charge to eat healthy and get active. In addition to hearing the message during church services, participants can engage in healthy lifestyle programs or attend special programs aimed at men’s and women’s health issues or specific diseases. Last year, each participating church became a “Fry-Free Zone,” abolishing fried foods at fellowship events. In 2006, we provided support for the Hornell YMCA Get Fit, Stay Fit program for adults and children. To Described in the health plan industry as innovative, our newest health plans, HealthyBlue® and ActiveUnivera®, demonstrate that health insurance isn’t only for the sick and injured, but can reward members who practice healthy behaviors. In the initial year, 2008, members earned more than $1 million for activities, including getting regular checkups, stopping or not smoking, exercising and eating nutritiously. HealthyBlue, for Excellus BCBS members, and ActiveUnivera, for Univera Healthcare members, annually rewards adult subscribers and their spouses/domestic partners each up to $500 in cash, Visa® gift cards or healthrelated merchandise. Online tools make the process easy. Last year, HealthyBlue member Jeff Riedl, 30, pictured right, started bicycling and running. The financial incentive motivated him initially, earning him $400. Once he got involved in the program, exercise became part of his daily routine. “Turns out I actually enjoy exercising, especially running,” said the Webster resident, who lost 20 pounds as a result. The 2009 versions of HealthyBlue and ActiveUnivera include more ways for members to use their benefits, earn rewards and practice healthy behaviors. *Source: NYS Department of Health Behavorial Risk Factor Surveillance System. 14 keep people motivated and increase attendance, creative programs, including Buff Brides, were added. More than 250 YMCA members and employees participated in a Step Up challenge. Tompkins County residents can access Get Healthy Tompkins, a free, interactive, Web-based program and e-newsletter, for tools, resources and educational materials to reach their weight and activity goals. Conducted in partnership with the Cayuga Click to Connect Medical Center, the program is an expansion of our Step Up program. Step Up (Excellus BCBS) and Take Steps (Univera Healthcare) are Web-based programs free to anyone. Designed to improve participants’ health through physical activity and healthy eating, the program includes a personalized Web page with tools to set goals, track progress and record daily steps and servings. Fitness and calorie needs, ideal body weight and more. There’s also a library of fitness and nutrition articles, recipes and links to other helpful resources. You can even challenge friends, family or your entire organization to be healthier with our Healthy Competition option. Best of all, we provide everything you need to get started. Go to: stepup.excellusbcbs.com or takesteps.univerahealthcare.com. Our Web sites, excellusbcbs.com and univerahealthcare.com, provide a wealth of health information for the public, including: • Links to compare hospital quality. • Generic drug calculator. • Medical appointment diary. • Healthwise® Knowledgebase to check symptoms, learn about medical tests, find a support group for a disease or condition. • Step Up and Take Steps programs. nutrition calculators help determine 15 Some health conditions are inherited; others are the result of unhealthy habits or environments. We work with local health departments, hospitals, providers and other organizations to help individuals manage their symptoms, eliminate or reduce risk factors and improve quality of life and outcomes. Living Healthier With Disease 7 Asthma Awareness Program 7 Coalition to Prevent Lead Poisoning 7 Lion’s Camp Hickory and Rush Diabetes Camp 7 Live Empowered Lead poisoning can cause serious health problems involving the nervous system and kidneys. To help eradicate childhood lead poisoning in the Rochester area, we’re working with other groups through The Coalition to Prevent Lead Poisoning, a nonprofit organization of community citizens. Among other educational efforts, the coalition has held lead-safe work practices classes in English and Spanish. Diabetes is the sixth leading killer in upstate New York.* Complications include heart disease, stroke, blindness, kidney failure and amputations. Blacks are more than twice as likely as whites to have the disease. The American Diabetes Association, with an underwriting grant from Univera Healthcare, *Data sources for number of deaths: "Vital Statistics of New York State," New York State Department of Health, table 33A for the years 2003-2005. 16 presented programs targeting at-risk populations in the Buffalo area. Live Empowered took place at 12 Buffaloarea churches that have predominantly black congregations. At three of the churches, ID Days (I Decide to Fight Diabetes Days) worship service discussion centered around the seriousness of diabetes, its impact on the community, and how to reduce risk factors or live better with the disease through proper medical management, an active lifestyle and healthy cooking and food choices. In the Southern Tier, we have a threeyear commitment with United Health Services to help fund the Asthma Awareness Program. The program aims to improve the quality of care and health outcomes for children who have asthma. Education for the child and his/her family includes efficient care and self-management. Case management for high-risk children and their families is available. Excellus BCBS awarded scholarships to the American Diabetes Association to help low-income children in the Rochester and Utica areas attend last summer's diabetes camp in Rush. In a supervised setting, the children engage in fun activities and learn about the best ways to manage their diabetes. During two of the hottest weeks of July 2008, 35 children gathered at Lion’s Camp Hickory on the Seneca River in Baldwinsville. By the end of each five-day program, they had learned skills to manage their Type 1 diabetes while simultaneously experiencing such traditional, fun camp activities as fishing, hiking, playing water games and softball. We’ve supported this camp for four years. Summer camps are a fun way for kids to learn to manage their diseases. We awarded scholarships to the American Diabetes Association to help low-income children in the Rochester and Utica areas attend a diabetes camp in Rush and supported Lion’s Camp Hickory in Baldwinsville. 17 Health is not just physical well-being; it also encompasses mental health and social well-being. We support local initiatives that educate parents about child development, build confidence in young students and promote emotional wellness. This approach to holistic health at the individual level results in strong communities. Beyond Physical Health 7 Action for a Better Community 7 Building Brighter Futures for Broome 7 North Country Children’s Clinic Adolescent Pregnancy Program 7 Rural Outreach Mobile Program 7 Rural Youth Counseling Program 7 Veterans Mental Health Program In Broome County, a coalition of 22 agencies representing the human service, government, private business, philanthropic, educational and health care sectors has collaborated to help all children in the county enter school ready to reach their maximum potential. We’ve joined 19 child-care centers, four family resource centers, 30 family child-care sites and more than 500 families in this countywide effort, Building Brighter Futures For Broome. We were glad to support a new literacy program for 44 Head Start classrooms under the auspices of Action for a Better Community. The purchase of literacy kits will help 1,140 threeand four-year-old Rochester students in the preschool program for lowincome children develop reading and writing skills. 18 In 2007, the Mental Health Association of Onondaga County noticed an increasing number of calls from returning soldiers who suffered from post-traumatic stress disorder (PTSD), drug and alcohol abuse and relationship problems. We partnered with the MHA and the office of New York state Sen. John A. DeFrancisco in 2008 on a three-year outreach program for military personnel, veterans and their families. The Veterans Mental Health Program aims to strengthen and coordinate mental health services for veterans and their families residing in Onondaga County. In addition to raising awareness about available services, the program helps soldiers and their family members obtain referrals to therapists who specialize in PTSD or are veterans themselves. The program also advocates on behalf of more mental health services for the military. Our goal is a 35 percent increase in referral sources for veterans and their families, increased knowledge of clinicians who treat veterans and reduced stigma associated with mental health issues in the veteran community. Young mothers form close bonds with their babies as they learn valuable nurturing and parenting skills through the Way to Grow program at the North Country Children’s Clinic Adolescent Pregnancy Program. Funded in 2008 by a $4,000 grant from Excellus BCBS, the program helps teen parents in Jefferson and St. Lawrence counties learn about a baby’s normal growth patterns, health care and nutritional needs, developmental stages and specific activities to promote development. In 2008, Excellus BCBS began funding the Rural Outreach Mobile Program of the Child Care Coordinating Council of the North Country. ROMP brings free play activities to parents and young children in rural Ellenburg, Keesville and Saranac. Activities help foster social and emotional wellness and gross motor skill development. ROMP also offers developmental screenings and links families to appropriate community agencies and services. In 2009, the program will expand into Clinton, Franklin and Essex counties. Above, the Rural Outreach Mobile Program brings play activities to parents and young children in the North Country. Teen parents in the Way to Grow program, page 18, learn valuable nurturing and parenting skills while at the same time recording their babies’ developmental milestones in the Adolescent Pregnancy Program of the North Country Children’s Clinic in Jefferson and St. Lawrence counties. The Healthy Community Alliance’s Rural Youth Counseling Program serves rural, low-income, at-risk children and families with little or no access to needed counseling services. Program participants are residents of northern Cattaraugus and southern Erie counties who come from troubled families or are in crisis, are victims of child abuse/neglect, exhibit self-destructive behaviors, experience common problems in school or at home, or are involved with the juvenile justice system or family court. HCA’s Parent Empowerment Program provides education and support for parents and families in group settings. 19 Education is the foundation upon which our future is built. By helping youngsters achieve academically, exposing them to a world of career opportunities and providing the tools needed to excel, we help them be the best they can be. Working with other community organizations, we develop creative solutions to offset shortages in the health care professions, especially in rural areas. Today’s Students; Tomorrow’s Workforce 7 Buffalo Prep 7 Central New York Area Health Education Center 7 Hillside Work-Scholarship Connection 7 Monroe Community College Nursing and Radiological Technology Programs 7 National Disability Employment Awareness Month 7 Northern Area Health Education Center 7 Oswego County Nursing Shortage Initiative 7 Partnership for Nursing Opportunities 7 St. Elizabeth College of Nursing 7 Wegmans School of Pharmacy Our collaboration with Thompson Health in Canandaigua and the Wegmans School of Pharmacy at St. John Fisher College is one of several initiatives that encourages students to enter health care professions and ensures that needed health care services are provided to underserved populations. 20 Nursing Opportunities Excellus BCBS helped St. Elizabeth College of Nursing in Utica create a state-of-the-art computer lab for students and faculty. The lab, which has 18 computer workstations, 17-inch flat-screen monitors and Internet access, allows students to become familiar with emerging technology. In addition, students have access to remedial computer training, online research resources and Web seminars. Bassett Healthcare’s innovative Partnership for Nursing Opportunities program allows nurses to work part- or full-time in Bassett’s acute care unit while pursuing an associate or bachelor’s degree in nursing on the Bassett campus. In return for tuition, participants commit to one year of full-time employment upon completion of the program. Joining Bassett and us in this effort are Hartwick College and the State University of New York at Delhi. Shortage Initiative, a 10-year workforce development program. Of the 14 RNs who graduated from the nursing school at Cayuga Community College’s Fulton campus in 2007, 10 gained employment in Oswego County. In January of last year, 20 students enrolled in the nursing program. Along with several other organizations in the Rochester area, we’ve recommitted to the Monroe Community College nursing program due to its success in increasing enrollment and graduating qualified candidates for nursing positions. A shortage of nurses affects health care across the United States, but is especially acute in rural areas. Five years ago, our Central New York region partnered with the Rural Health Network of Oswego County and Oswego County Opportunities to form the Oswego County Nursing 21 And Other Health Professions Hands-on work experience in a hospital setting helps encourage and prepare youth to pursue health care careers, thanks to the Central New York Area Health Education Center. By promoting health careers to students before they begin selecting high school courses and setting goals for future careers, the program aims to offset future shortages in health care careers. Attendance at CNYAHEC Health Career Exploration Camps (MASH, MedQuest and Health Quest) has grown steadily over the past three years. In 2008, almost 300 young people participated in 18 camps 22 at 15 hospitals in the 14-county CNYAHEC region. To address the growing health care workforce shortage in Northern New York, we’ve partnered with the Northern Area Health Education Center’s Pipeline to Practice initiative. With our help, 35 mini-recruitment portals on the My Health Career Web site link students and displaced workers directly to potential educational and employer partners in Clinton, Franklin, St. Lawrence, Lewis and Jefferson counties. NAHEC also provides foundational skills assessments, in-school presentations and internship programs to encourage students to pursue careers in health care. We teamed with Thompson Health in Canandaigua and the Wegmans School of Pharmacy at St. John Fisher College in Pittsford to enhance pharmacy services in the Finger Lakes area. The three organizations support a new program in which faculty and students at the pharmacy school work at Thompson Health, which has 113 acute care beds and 188 long-term care beds in Canandaigua. Program goals are to improve patient safety, reduce costs, and help bolster the number of pharmacists who want to work in a community hospital that serves a rural population. We’ve also invested in Monroe Community College’s radiological technology program. Over a five-year period, up to 48 additional radiological technicians are expected to graduate from the program. are provided to 180 students at risk of dropping out from eight Syracuse middle and high schools. Goals include increasing the number of students to 415 during the 2008-2009 school year and ensuring that all ninth graders complete the Youth Employment Training Academy. All Hillside WorkScholarship Connection seniors graduated from high school in 2007 and 2008; 80 percent pursued higher education. Our Rochester health plan also has supported the Hillside Work-Scholarship Connection. Lifetime Health Medical Group, one of our subsidiaries, supports Buffalo Prep, a consortium of private schools that helps educate minority students who demonstrate intellectual promise. In October, employees at Excellus BCBS in Rochester, Syracuse and Utica volunteered to show individuals with disabilities what they do at work every day as part of National Disability Employment Awareness Month. Students participating in the Central New York Area Health Education Center exploration camps, page 22, and the corresponding program in Northern New York, page 23, get hands-on experience in the health care professions. The two programs also aim to offset future shortages in the state’s health care workforce. Additional Support In 2007, we joined the Hillside Family of Agencies and Syracuse CHOICE to address the problem of declining graduation rates in several local urban schools. The objectives of the Hillside Work-Scholarship Connection are to increase urban high school graduation rates and ensure that participants leave high school with the knowledge and skills to pursue post-secondary education or enter the workforce. Services 23 There are two aspects to end-of-life care. First, there’s the care itself. We work with others to ensure that terminally ill children and adults get compassionate care where they want it. National surveys show that the majority of Americans would rather die in their homes instead of in a hospital or nursing home, yet only a fraction do. We also work to ensure that patients’ final wishes about the care they receive at the end of life are acknowledged, respected and carried out. Care at the End of Life 7 Camp Hope for Kids 7 Champlain Valley Hospital Medical Center/Hospice of the North Country 7 Comfort Care Homes 7 Community Approach to Improving Care at the End-of-Life 7 Community Conversations on Compassionate Care 7 CompassionAndSupport.org 7 CompassionNet 7 Donate Life Community Partner Program 7 Elizabeth G. and Jennifer J. Hildebrandt Hospice Care Center 7 Medical Orders for Life-Sustaining Treatment Lifetime Care’s semi-annual Ceremony of Remembrance allows families to honor their loved ones who have passed away. In 2008, the Tibetan Buddhist tradition of creating Sand Mandalas was part of the healing/memorial ritual in the Coleman Chapel at St. John Fisher College in Pittsford. 24 Last year, we commissioned a survey to determine upstate New Yorkers’ feelings and actions regarding health care proxies and living wills. Nearly nine of 10 surveyed said it's important to have someone close to them making medical care decisions on their behalf if they were to have an irreversible terminal condition and were unable to communicate or make decisions. Yet, only 42 percent have designated a health care proxy to ensure their wishes are actually carried out. It’s encouraging to note, however, that the completion rates on health care proxies are higher in upstate New York regions than the 30 percent range in national surveys. Three years in the making, Medical Orders for Life-Sustaining Treatment or MOLST is now law in New York state, thanks in large part to Bomba’s efforts on behalf of our organization. Starting in 2005, she helped to establish a MOLST pilot program in Monroe and Onondaga counties. Our efforts came to fruition on July 8, 2008, when Gov. David Paterson signed into law the bill which ensures that a person’s end-of-life wishes are followed, whether he/she is at home, in a nursing home or in any other nonhospital setting. Created by the Community-wide End of Life Palliative Care Initiative, MOLST is a single document that functions as an actionable medical order. “Our Web site, MOLST video and advance care planning and end-of-life care programs have received 10 national awards for excellence,” said Bomba. “What’s important is that our programs serve as a model for other communities across the country to implement initiatives that will allow patients to receive the care they want at the end of life.” A "living will," the other major document that is part of advance care planning, specifies a patient's wishes and guidelines for medical care if he or she develops an irreversible terminal condition. Eight of 10 survey respondents acknowledged the importance of a living will, but only 26 percent had completed their own. Our Web site, CompassionAndSupport.org, provides information, check lists and forms about health care proxies and living wills. Also included is our award-winning Community Conversations on Compassionate Care video developed and produced by Patricia Bomba, M.D., vice president and medical director of Geriatrics for The Lifetime Healthcare Companies. The video features accounts from patients and families about the peace of mind afforded them by planning their or their loved ones’ last days. 25 CompassionNet expands services to seriously ill kids, families CompassionNet, sponsored by Excellus BCBS and Univera Healthcare, recently completed its seventh year of serving very sick children and their families. Case managers with CompassionNet often arrange support services that might not be covered by health insurance: massage therapy for stressed parents, art and music therapy for siblings, meals, travel reimbursement, or help with insurance issues. Ever since the program hired a pediatric nurse practitioner, Philene “Bean” Cromwell, PNP, and a consulting physician, David Korones, MD, it has offered pediatric palliative care services for the most gravely ill children and their families. Cromwell joined CompassionNet in 2004 after 25 years at Golisano Children’s Hospital in Rochester, where she frequently collaborated with Korones on patient care. “We’re most likely to get involved with pain and symptom management as a child’s disease exacerbates,” said Cromwell. Working as a complement to a child’s primary medical team, CompassionNet providers address relief of suffering while primary treatments attempt to cure. When a child’s prognosis is poor, they also facilitate difficult discussions about adjusting goals of care and assist families in reassessing their hopes and desires. “With more children signing up for CompassionNet at initial diagnosis [of life-threatening illness], many respond to treatment well, get cured, and come off the program,” said Cromwell, whose role is finding out what each child and family needs and deciding how to alleviate their suffering. For some, it means a more effective pain management regimen; for others, less conventional forms. In one case, Cromwell was contacted when it became clear that a 16-year-old girl’s prognosis was terminal. The parents asked her to talk to the girl’s sisters and cousins; Cromwell learned that they worried about not being able to say good-bye. The day the girl died, Cromwell arranged to bring the siblings and cousins home from school to take part in end-of-life rituals and say good-bye. Delivery of care at home is the focus of CompassionNet. “If a child wants to be at home, we’ll do everything we can so they get the same expert care they would get in a hospital,” said Cromwell. A study of end-of-life care for Rochester-area children in CompassionNet confirms the program’s value. Eighty-eight percent of children who expressed a preference for home or hospital died at the location they preferred; 73 percent of the deaths were described as peaceful and/or in the parents’ arms. The study concluded that children who died in the CompassionNet program “received numerous supports in the home that may not be available in the hospital setting. Community-based teams are invaluable in easing the medical, social, emotional and financial burdens of dying children and their families.” 26 With the passing of the MOLST legislation, requests for training about how to implement the MOLST program increased significantly. In response, we developed a “Community Approach to Improving Care at the End-of-Life” all-day MOLST conference. The 530 participants are now equipped to train others on the MOLST program, form, facility and community implementation. Our collaborators/partners included: • Southern Tier End-of-life Coalition in Binghamton. • Kaleida Health Bereavement Committee and Clinical Education Department in Erie County. • Lutheran Home and Rehabilitation Center in Jamestown. Lifetime Care’s Elizabeth G. and Jennifer J. Hildebrandt Hospice Care Center celebrated its first anniversary last November. The 11-room center operates at 89 percent occupancy, with a patient census averaging 10 a day. As a result, use of acute care beds for patients receiving hospice service declined sharply. In cooperation with the local sailing community, Rochester has hosted a hospice regatta every year since 1999. These 10 events have raised about $500,000 to support Hospice of Rochester and Hospice of Wayne & Seneca Counties. In 2009, the Hospice Regattas National Championship and In conjunction with the Rochester sailing community, Lifetime Care has hosted a hospice regatta, below left, every year since 1999, raising about $500,000 to support Hospice of Rochester and Hospice of Wayne & Seneca Counties. This summer, the Rochester Yacht Club will sponsor both the Hospice Regattas National Championship and the local regatta, with proceeds benefitting local programs. Below right, children dealing with grief and loss have fun while engaging in therapeutic activities at Camp Hope for Kids. the local regatta will take place June 5-7 in the waters of Lake Ontario. Hosted by the Rochester Yacht Club, the event will donate proceeds to benefit local programs. Excellus BCBS in Central New York sponsored the Oswego and Jefferson County Hospice Cup regattas in 2008. To help local communities provide quality care for individuals at the end of life, Excellus BCBS has donated grants to comfort care homes and hospices throughout upstate New York for the last two years. Comfort care homes, or homes for the dying, care for one or two people at a time with the help of volunteers and nurses. These organizations independently provide care at no cost to residents or families. A hospice nursing agency supports residents’ care with nursing, social work, chaplain and aide visits. Because access to quality end-of-life care in a rural setting can be a challenge, we collaborated with the Champlain Valley Hospital Medical Center and Hospice of the North Country to provide essential health care services to individuals with lifelimiting illnesses in rural Franklin County. By educating physicians on the importance of early referral to hospice, increasing the length of time an individual spends in hospice, and providing community education on advance care planning and palliative care, we hope to better meet the medical, spiritual and emotional needs of patients in their last days. Camp Hope for Kids, for children dealing with grief and loss, is staffed by professional social workers, teachers and nurses who have had experience working with young ones experiencing these emotions. The camp encourages fun and play, while at the same time engaging children in therapeutic activities such as creating memory books and participating in healing circles. Campers engage with others their age who have experienced loss. They can grieve openly and learn coping skills to deal with their emotions. The Donate Life Community Partner Program through the Upstate New York Transplant Services is designed to boost awareness and action with regard to organ, eye, tissue and blood donation throughout Western New York. Univera Healthcare collaborates with UNYTS on its Donate Life project, where high school students from select Buffalo public schools participate in a leadership and communication program to increase their awareness about the Gift of Life. 27 In keeping with our belief that local problems require local solutions, we encourage our health plans and subsidiaries to respond to nonprofit organizations’ requests for support and participation. In particular, we like to aid organizations that address health issues. Keeping It Local 7 AED grants 7 AIDS Ride for Life 7 American Red Cross 7 Carol M. Baldwin Breast Cancer Research Fund 7 CPR Teddy Bears and Training 7 Girl Scouts Foothills Council 7 Kicking for Miracles 7 Lifespan 7 National Center for Missing and Exploited Children Since 2006, we’ve been a major sponsor of the Girl Scouts—Foothills Council’s Veni. Vidi. Vici., the largest girls-only event of its kind in the Utica area that celebrates the power of girls together. Nearly 600 girls from across upstate New York attended a sleepover in 2008. Scouts try new activities, test their skills, learn about healthy behaviors and build new relationships in a supportive environment. 28 For many years, Univera Healthcare has been a major corporate underwriter of Kicking for Miracles, a nationwide event in partnership with World Class Tae Kwon Do, American Tae Kwon Do United and Children’s Miracle Network. In Western New York, students of Master Chong’s Tae Kwon Do schools use their training to break 4,000 boards, collecting sponsorships to benefit the Women & Children’s Hospital of Buffalo. During cardiac arrest, every second counts; within minutes, brain damage can be permanent. Immediate use of automated external defibrillators, in conjunction with CPR, can save thousands of lives each year. Univera Healthcare gave AED grants to the Buffalo & Erie County Historical Society, Martin House Restoration Corp., the Buffalo & Erie County Naval and Military Park, the Rev. Dr. Bennett W. Smith Sr. Family Life Center, Riviera Theatre, Greater Niagara Frontier Council of the Boy Scouts of America and Musical Fare Theatre. Excellus BCBS donated AEDs to senior centers in Rome and Utica. In light of recent drowning deaths and the heroic use of CPR by two Rochester-area residents, Excellus BCBS awarded $12,000 to the Finger Lakes Region of the American Red Cross to train 500 people in a six-county area in CPR, first aid and automated external defibrillator use and to purchase 24 adult mannequins and 24 junior mannequins to use in training. Our Central New York region donated $10,000 to the Onondaga-Oswego chapter of the American Red Cross to provide essential services that help our communities prepare for, prevent and respond to disasters. Last year, Excellus BCBS presented the United Health Services neonatal intensive care unit with 32 CPR Teddy Bears. Used as training aids in the NICU, maternity unit and birthing center at Wilson Hospital as well as at United Health Services Hospitals’ Stay Healthy Center in Oakdale Mall, the teddy bears also help expectant moms and dads learn CPR during childbirth education courses. The bears are sent home with families when their babies are released from the NICU. Excellus BCBS was a sponsor of the 10th Annual Southern Tier AIDS Program AIDS Ride for Life last September. The Ithaca tradition brings together hundreds of riders and volunteers to raise awareness and more than a quarter of a million dollars. For many years, EBS Benefit Solutions has designated the National Center for Missing and Exploited Children as the primary beneficiary of its donations. MedAmerica, our long-term care insurance provider, likewise has sponsored Lifespan’s Celebration of Aging event many times. SSA supported the Carol M. Baldwin Breast Cancer Research Fund. In 2008, we donated AED grants to many local organizations, from the Buffalo & Erie County Naval and Military Park, top photo, to the Parkway Recreation Center in Utica. Since 2006, we’ve been a major sponsor of an annual Girl Scout event that attracts nearly 600 girls from across upstate New York, photo below. The Foothills Council’s sleepover allows scouts to try new activities in a safe environment. 29 Neighbors Helping Neighbors Our employees are generous with their time, talents and treasures for a variety of worthy causes. Some have a benefit—volunteer time off—that allows them to work up to eight hours a year on company time for the charity of their choice. Employees may support company-sponsored events, such as blood drives and fund-raising walks, or individual organizations with which they share a passion. Listed here are some of the organizations that benefit from our employees’ involvement. United Way receives our support through annual campaigns encouraging employees to contribute to this lead organization that benefits many community groups. Our employees pledged more than $563,000 in 2008. 162nd Civil Air Patrol Utica Squadron 174th Fighter Wing Family Readiness 289 Recoveries 40 Below 4-H 75th Ranger Regiment Association A Meal and More Soup Kitchens AAU Girls Basketball Abraham House Abundant Life Christian Church Academy of Managed Care Pharmacy Ad Council of Rochester Adirondack Mountain Club Adirondack Schools Advent House African American Leadership Development Program AIDS Community Services Akron Schools Al Sigl Center Al-Anon Albright-Knox Art Gallery Members Council All Inclusive Care for Children ALS Association Alternatives for Battered Women Altmar-Parrish-Williamstown Schools Alyssa's Angels Alzheimer’s Association Amateur Athletic Union America’s Health Insurance Plans American Academy of Professional Coders American Arthritis Association American Association of Diabetes Educators American Bar Association American Cancer Society American College of Healthcare Executives American Diabetes Association American Field Service American Heart Association 30 American Institute of Certified Public Accountants American Legion/Auxiliary American Library Association of Niagara County American Lung Association American Nurses Association American Planning Association American Red Cross American Society for Quality American Society for Training and Development American Society of Actuaries American Youth Soccer Angel Flight Angel Food Ministries Angels2theHeart Animal Service League Apostolic Church of Jesus Christ Aquinas Institute Art & Soul Café Arthritis Foundation ArtPeace Arts Council Asbury First United Methodist Church Aspire of WNY Association of Computer Machinery Association of University Programs in Health Administration Audubon Society Aurora of CNY Autism Speaks Avon Ambulance Awana Clubs International Baden Street Settlement of Rochester Baldwinsville Fire Department Baldwinsville First United Methodist Church Baldwinsville Little League Baldwinsville Pop Warner Cheerleading/Football/Wrestling Baldwinsville Youth Soccer Association Barnard Volunteer Fire Department Basal Cell Carcinoma Nevus Syndrome Life Support Network Bay Knoll Church School Beauchamp Branch Library Beaver Lake Nature Center Believers Chapel Bellegrove Missionary Baptist Church Bellevue Elementary Institute Bellevue Heights Church Bellevue Middle Academy BeninCasa Berne Fire Auxiliary Bethany House Bethany Presbyterian Church Bethel Christian Fellowship Biddy Basketball Big Brothers Big Sisters Binghamton Schools Birthright of Rochester Bishop’s Academy at Holy Family Bishop Grimes Junior/Senior High School Bishop Kearney High School/ Alumni Board Bishop Sheen Ecumenical Housing Foundation Bivona Child Advocacy Center Blessed Sacrament Church Bloomfield Elementary School/Cheerleading/PTSA/Youth Soccer Bloomfield Middle School Softball Blossom North Nursing Home Blue Star Mothers BlueCross BlueShield Association Management Association/National Medical Management Forum Board of Elections Boilermaker Health Expo and Race Bonrinquen Dance Theater Boonville-Oneida County Fair Boston Youth Baseball Boy Scouts of America/Troupe 356, Otetiana Council Boys and Girls Club Breast Cancer Coalition of Rochester Bridgeport Elementary School Bridgeport United Methodist Church Bridges for Peace Brighton Soccer Brighton Volunteer Fire Department Brightstar German Shepherd Rescue Group Broadway Theatre League Brockport Central Schools Brockport Eagles Football/Cheerleading Brockport Lions Club Brockport Soccer Club Browncroft Community Church Buddy Walk™ Buffalo and Erie County Botanical Gardens Buffalo Animal Shelter Buffalo City Mission Buffalo Kanazawa Sister City Committee Buffalo Philharmonic Orchestra Buffalo Prep Buffalo Pug and Small Breed Rescue Buffalo Response to Love Community Center Buffalo Vets Little League Bureau of Jewish Education Burning of the Valleys Military Association Bushnell’s Basin Fire Department Business Council of New York State Business Youth Apprentice Program Calvary Chapel Camden Girls Soccer Booster Club Cameron Ministries Cameroon Association of Greater Rochester Camillus Volunteer Fire Department Camp Good Days and Special Times Camp Healing Hearts Canandaigua Junior Baseball Canandaigua VA Medical Center Canastota Memorial Veterans of Foreign Wars Post 600 Cancer Action Cancer Survivors Golf Classic Candy Apple Pre-School Center Canine Companions Capital Region Human Resources Association CARE Career Development Services Carly’s Club Carol M. Baldwin Breast Cancer Research Fund Carthage Basketball Club Cathedral School of Our Lady of Pompei Catholic Charities Catholic Committee on Scouting Catholic Engaged Encounter Catholic Family Center Catholic Social Workers National Association Catskill Area Hospice and Palliative Care Cayuga Home for Children Center for Dispute Settlement Center for Middle East Studies Center for Youth Services Central New York Academy of Medicine Central New York Area Health Education Center Central New York Cat Coalition Central New York Chinese School Central New York Pop Warner Cheerleading/Football Central Square Fire Department Auxiliary Certified Medical Assistants Association Chamber of Commerce Chances and Changes Charlotte Beautification Group Charlotte Public Safety Charlotte Youth Athletic Association Charlotte-Genesee Lighthouse Historical Society Chenango Bridge School Child & Family Services Child Care Solutions Children’s Miracle Network Chili Fire Department Chili High School Baseball/Softball Chili Lions Pop Warner Football Chili Soccer Association Hope House For several years, Utica employees have helped prepare and serve meals at Hope House, a homeless shelter in Utica’s inner city. The Hope House provides a safe haven from the streets and offers other resources to help make life more manageable for the individuals it serves. Excellus BCBS interns Steve Guzski, Brittany Beane, Katherine Volza and Tanida Isaac donned hairnets and gloves to serve last summer. Christ Church Christ Community Methodist Church Christ the King Church/Parish/School Christmas Bureau Church of Love Faith Center Church of the Assumption Church of the Living Word Church of the Nazarene Church of the Resurrection Church World Service Churchville Moose Lodge Churchville Volunteer Ambulance/Fire Department Churchville-Chili Schools Cicero Christian Central Academy Cicero Democratic Committee Cicero Little League Cicero Youth Hockey Cicero-North Syracuse Football/Hockey Circle K City of Buffalo Animal Shelter City Wide Crusade Youth Literacy Program Clarence Swim Club Clayville Library Association Clean Sweep Cleveland Heights Christian Church Clifton Volunteer Fire Department Clinton Historical Society CNY Friends of the NRA CNY Recruiters Group CNY Works Cobleskill Mutual Ministries Cobleskill Rescue Squad College of the Holy Cross Community Interfaith Community Outreach Partnership Center Community Place of Greater Rochester Community Services for the Developmentally Disabled CompassCare Compassionate Friends of Rochester Compeer Constantia Volunteer Fire Department Cooley’s Anemia Foundation Corn Hill Navigation Corn Hill Neighbors Association Cornell Lab of Ornithology Corning Museum of Glass Cortland Christian Academy Council of Ethical Organizations Court Street School Creekside School Crestwood Children's Center Crohn's and Colitis Foundation of America CROP Hunger Walk Crouse School of Nursing Alumni Cub Scouts CURE Childhood Cancer Cystic Fibrosis Foundation East Syracuse-Minoa Youth Sports Eastern Hills Bible Church Eastern Hills Wesleyan Church Eastern Service Workers Association Eastside Basketball Eastwood Eagl's Girls Softball Eden Soccer Edgewood Free Methodist Church Eldercare Foundation Eldersource Advisory Committee Elite Ladies Household of Ruth Elks Club/Ladies Auxiliary Elm Gospel Church Elmcrest School Emerson School of Hospitality Empire Housing and Development Co. Empire State Pride Agenda Enable End-of-Life/Palliative Care Initiative English Village School/Soccer EnMotion-CNY Amputee Support Group Epilepsy Foundation Episcopal SeniorLife Communities Erick Road School Erie County Community College Erie-Niagara Tobacco-Free Coalition Ernie Davis Community Center Eugenio Maria de Hostos Charter School Explore Rochester I.T. D’Youville College Darwin Martin House Restoration Corp. Daughters of the American Revolution Day of Caring Deferiet Youth Basketball Depew Saints Hockey Club Dimitri House Dioceses of Albany/Buffalo/ Rochester/Syracuse Donate Life America Donovan School Dorothy Day House Dunbar Association Dunham Manor Residents Association East Aurora Volunteer Fire Department East Avon Fire Department East Bethany Presbyterian Church East Coast Sage Circle East Irondequoit Schools East Rochester Resource Center East Rochester Volunteer Ambulance Corps East Rochester Youth Football/Cheerleading League East Seneca Volunteer Fire Co. East Syracuse-Minoa Schools 31 Opportunity Knocks Each year, the Everywoman Opportunity Center helps women transition into self-sufficient individuals by providing the necessary tools and services for women who are reentering the workforce. Employees from Univera Healthcare and a local cleaner took part in a clothing drive to donate clothing and accessories for the center’s clothing closet. Pictured here are Univera Healthcare employees Maryann Randall, Mary Dickinson, Charlotte Deveso, Audrey Rozalski, Kandis Fuller and Carrie O’Geen. Fairport Area Swim Team Fairport Baptist Home Fairport Boys High School Swimming Booster Club Fairport Crew Club Fairport F.I.R.S.T. Robotics Team Fairport Little League Fairport Packers Youth Football/Cheerleading Fairport Public Schools Fairport Soccer Fairy Godmothers of Greater Rochester Faith By Love Family Worship Church Faith Heritage School Faith Lutheran Church Faith United Methodist Church FAM Fund Run-Walk Families & Friends of Murdered Children and Victims of Violence Families of FANA, WNY Family & Children’s Society Family Nurturing Center Family School Family Service of Rochester Family Services of the Mohawk Valley Farmington Volunteer Fire Department Fayetteville Manlius Schools Football/Hockey/Lacrosse Fenner Renewable Energy Education Center Fiddlers of the Genesee Financial Executives International Finger Lakes Health Systems Agency Finger Lakes Migrant Health Project Finger Lakes Occupational Health Advisory Board Firemen’s Association of the State of New York 32 First Baptist Church of Penfield First Bible Baptist Church First English Lutheran Church First Night Binghamton First Presbyterian Church First Presbyterian Church of Lyons First Spanish Baptist Church First Trinity Lutheran Church Flower City Work Group Food Bank of Central New York Food Bank of the Southern Tier Food Shuttle Foodlink Fourteen Holy Helpers Elementary School Francis House Frankfort Little League Frankfort Youth Basketball Franklin Middle School Free and Associated Masons, Seneca Lodge Friends of Beaver Lake Friends of Ferals Friends of Gates Recreation and Parks Friends of Jefferson Friends of Sutherland Soccer Friends of the Public Market Friendship House Frontier Central Schools Future Business Leaders of America Future Care Planning Services Advisory Board Gananda Central Schools Gates Volunteer Ambulance Service Gates-Chili High School Music Booster Club Gates-Chili Schools Gay Alliance of the Genesee Valley Geddes Little League Geddes-Westvale Pop Warner Football Gem & Mineral Society of Syracuse General Herkimer Schools Genesee Center for Arts and Education Genesee Country Village Museum Genesee Valley Healthy Partnership Genesee Valley Medical Foundation Genesee Waterways Center Geneva Presbyterian Church George Eastman House Gerontological Society of America Geva Theatre Center Gilda's Club Girl Scouts of America Girls Inc. Girls Sports Foundation Golisano Children’s Hospital at Strong Golisano Education Partner Good Shepherd Church Grace and Truth Sports Park Grand Island Fire Co. Great Lakes Girls Hockey League Greater Rochester Association of Women Attorneys Greater Rochester Enterprise Greater Rochester Medical-Legal Collaborative for High-Risk Seniors and Vulnerable Individuals Greater Rochester Mothers of Twins Club Greater Rochester Quality Council Greece Central Schools Greece Chargers Football Greece Eclipse Soccer Club Greece Little League Greece Swim Club/Marlins Swimming Greece Tree Council Gregory Kunde Chorale Grover L. Priess Primary School Guardian Angels Gujarati Christians of Philadelphia Habitat for Cats Habitat for Humanity Hadassah Hamburg Municipal Hockey Hamburg Schools Happiness House Hardwood Club of Syracuse University Harris Hills School Harts Hill School Hasek’s Heroes Hockey Head Start Huron Health Advancement Collaborative of Central New York Health Festival Health Finance Management Administration Health Friends Healthcare Executive Forum Healthcare Human Resource Managers Association Healthcare Information and Management Systems Society HealtheLink HealtheNet Healthy Kids Day Heifer Fund International Helping Hands Helping Hands Healing Hearts Henninger High School Henrietta Christian Fellowship Heritage Christian Services/Stables Herkimer County Humane Society Hickock Center for Brain Injury Hidden Valley Hospitality Committee High Falls Film Festival Hillside Children’s Center Hillside Work-Scholarship Connection Hillview Elementary Hilton Parma Recreation Program Hilton Raiders Hilton Schools/Boys’ Basketball Program/Football Committee/ Girls’ Basketball & Booster Club/Music Booster Club Hilton Volunteer Fire Department HIV/AIDS Task Force Holy Cross Church/School Holy Family Church/School Holy Name of Jesus Church Holy Spirit Church Health Ministry Home HeadQuarters Home School Association Honeoye Falls-Lima Schools/Sports Honeoye Falls-Mendon Youth Baseball Hope Chest Buffalo Hope for Bereaved Hope From Home Hope Hall Hope House HOPE Youth Mentoring Hospice Buffalo Hospice Care Hospice of Rochester House of the Good Shepherd Housing Opportunities Made Equal Hugh O’Brien Youth Leadership Hugs and Hope Foundation Humane Society Huntington’s Disease Association Huther-Doyle Ilion Pop Warner Illion Little League India Community Religious and Cultural Center Indian Landing School Insight House Drug Dependency and Treatment Center Institute of Internal Auditors International Council on Systems Engineering, Finger Lakes Chapter For Whom the Bell Tolls For the past several years, Excellus BCBS in Rochester has opened its doors to the Salvation Army. Employees, including Laurie Polatas, Peggy Capotosto and Matt Margolis, served as bell ringers to encourage fellow employees to donate to the charitable organization. International Orthodox Christian Charities Ionia United Methodist Church & Food Bank Irish Festival Irondequoit Food Cupboard Irondequoit Soccer Iroquois Central Schools It’s About Childhood & Family James A. Beneway School Jamesville Community Church Jamesville-DeWitt Schools Jefferson Avenue S.D.A. Church Jefferson Avenue School Jehovah's Witnesses, Orchard Park Jessie House Jewish Community Center Jewish Community Federation Jewish Family Service of Rochester Jewish Family Services of Buffalo Jewish Home of Rochester JFK Middle School Joel Stephens Memorial Jordan Community Council Jordan Fall Festival Jordan-Elbridge Marching Band Booster Club Journey Home Comfort Care Junior Achievement Junior Ladies of Charity Junior League Junior Senators Hockey Juvenile Diabetes Research Foundation Juvenile Firesetter Intervention Response and Education Kadimah School of Buffalo Kenmore East School Kenmore West High School Girls Rugby Ken-Ton Schools Kids Adjusting Through Support Kids Miracle Making Club Kidz Korner Day Care King of Kings Lutheran Church Kirk Park Colts Pop Warner Football Kiwanis Club KJ’s Angels Memorial Fund Klem Road South School Knights of Columbus Knights of Columbus Ladies Auxiliary Knights of Pythias LaFayette Central Schools Lake Avenue Baptist Church Lake Shore Behavioral Health Lakeland Little League Lakeside Hospital Lambda Psi Delta Sorority Lancaster Depew Baseball/Heat Softball/Ponytails Lancer Marching Band/Schools Latino Association Le Moyne College Leadership Rochester Lean Enterprise Institute Learning Disabilities Association of America LeRoy Christian Community Project LeRoy Youth Soccer Association Leukemia & Lymphoma Society Life Solutions Lifespan Lifespan Elder Abuse Consortium Lifetime Assistance Lighthouse Baptist Church Lima Presbyterian Church Lincare Quality Committee Lion’s Camp Hickory Literacy Volunteers Little Peanuts School Liverpool Community Band/Chorus Liverpool Community Church Liverpool Crew and Football Booster Clubs Liverpool Middle School Cross Country/Track Liverpool Schools/Hockey/Lacrosse Living Hope Assembly of God Lockport City Ballet Locks of Love Lollipop Farm Long Ridge Schools Loretto Foundation Loretto Utica Center Lourdes Hospice LPGA Corning Classic Lyncourt Little League Lyncourt Wesleyan Church Macedon Recreation Facility Macedon Schools Madison County Children’s Camp Main Street Baptist Church Make A Child Smile Make-a-Wish Foundation Manlius Pebble Hill School Marcellus Central Schools Marcellus First Presbyterian Church March of Dimes Marcy Schools Marilla First Baptist Church Marine Corps Heritage Foundation Martha Brown School Mary Cariola Children’s Center Mary M. Gooley Hemophilia Center Masonic Order McMahon-Ryan Child Advocacy McQuaid Jesuit School Meals on Wheels Medical Group Management Association Medical Societies of Erie, Monroe and Onondaga counties Medical Society of the State of New York Megan Markus Fund Memorial AME Zion Church Memorial Art Gallery Mendon Center Schools Mendon Community Baseball Mendon Fire Department Auxiliary Mental Health Association Mercy Outreach Center Messiah Christian Academy Messinger Woods Wildlife Rehabilitation Center Methodist Clothing Exchange Mexico Schools Midget B Team Hockey Midlakes Schools Military Officers Association of America Miss Greater Rochester Scholarship Program Mohawk Regional Dietetic Association Mohawk Valley EDGE Mom’s House Mommies for Miracles Moms of Preschoolers Monroe Community College/ Advisory Board/Foundation Monroe Community Hospital Monroe County Bar Association Monroe County Girls Youth Sports Monroe County School Boards Association Monroe County Schools Monroe County Youth Hockey Morgan Road School Most Holy Rosary Church Mount Carmel Hospice House Mt. Hope Family Center Mt. Zion Ministries Multiple Sclerosis Resources of Central New York Multiple Sclerosis Society, Upstate Chapter Muscular Dystrophy Association NAACP National Academic Foundation National Administrative Services Purchasing Council National Association of Catholic Youth Ministry Leadership National Association of Fire Chiefs National Association of Health Underwriters National Association of Purchasing Management National Association of Social Workers National Athletic Trainers’ Association National Black MBA Association National Center for Missing and Exploited Children National Committee for the Prevention of Elder Abuse National Kidney Foundation National Medicare Evidence, Development and Coverage Advisory Committee National Multiple Sclerosis Society National POLST Paradigm Taskforce National Weather Service National Women’s Hall of Fame Navy Club USA/ Auxiliary Nazareth College Nazareth Hall Nazareth Schools Near East West Side Task Force Neighborworks Rochester Neil Armstrong School 33 New Destiny Development Center New Hartford Fire Department New Hartford Historical Society New Hartford Pop Warner Cheerleading/Football New Hartford Schools New Hope Missionary Baptist Church New York eHealth Collaborative New York Employee Benefits Association New York Health Information Management Association New York State Amateur Hockey Association New York State Athletic Trainers Association New York State Bar Association New York State Delegate for White House Conference New York State Elder Abuse Coalition New York State Office of Children & Family Services Community Advisory Board New York State School Boards Association New York Tree Council Newark Reds Soccer Booster Club Newman Oratory at SUNY Brockport Next Level Church Niagara Frontier Industry Education Council Niagara Hose Co. #3 Niagara University Niagara Wheatfield School Nimmonsburg United Methodist Church North Area Health Education Center North Rose Wolcott Schools North Syracuse Baptist Church North Tonawanda Schools North Utica Community Center North Utica Little League North West College Preparatory Law School at The Frederick Douglass Campus Northcoast Basketball Organization NorthEast Community Center Northeast Highland Cattle Association Northstar Christian Academy Northstar Christian Academy Happy Five Soccer Northtowns Soccer Club Notre Dame High School/ Basketball/Varsity Football Nurse Practitioner Association NYS DEC Hunter Safety Education Program NYS Loving Education At Home NYS Pinto Horse Association NYS Woodsmen's Association Ohio Home Interest Organization Olmsted Parks Oneida Castle School Oneida County Community Oneida County Sheriff's Mounted Unit Oneida Pop Warner Football Oneida Public Library Oneida Rotary Club Onondaga Board of Elections Onondaga County Bar Association Onondaga County Foster Parenting Onondaga County Medical Society Onondaga Youth Hockey Association Spreading Warmth To help a local radio station in the Southern Tier with its annual drive for those needing winter outerwear, employees in Binghamton checked their closets and brought in coats to donate. Employees included Jay Bongiorno, Diane Pendell, Kathy Phelan, Michelle Zduniak and Kim Ackley. 34 Ontario Primary School Ontario Volunteer Emergency Squad Open Door Mission Operation Christmas Child Optimist International Orchard Park Emmanuel United Methodist Church Order of the Eastern Star Our Lady of Czestochowa Church Our Lady of Mercy Church/High School Our Lady of the Assumption Church Our Lady of the Rosary Church OUTSpoken For Equality Paleontological Research Institution Palmyra Community Center Palmyra-Macedon Schools Wrestling Pancreatic Cancer Action Network Parkinson Support Group Parkland School Parkminister Music School Parkminister Presbyterian Church Parkside Community Association Parkway Senior Center Parma Christian Fellowship Partners in Caring Partners of the Americas Partnership for Nonprofit Executive Excellence Pathfinder Village P.E.A.C.E. Pearce Parish Penfield Schools Penfield Soccer Penn Yan Community Band/ Chorus/Theater Co. Project Pennsylvania State University People for Animal Welfare Society of Orleans County People Rebuilding and Living in Dignity Perinatal Network Perinton Community Church Perinton Food Shelf Person to Person Citizen Advocacy Pet Pride Pinebrook Schools Pinnacle Lutheran School Pioneer Hook & Ladder Co. Pittsford Baptist Church Pittsford Community Lacrosse Pittsford Mustangs Pittsford Schools Pittsford Volunteer Ambulance PKD Foundation Plaid Ministry Plank Road Chamber of Commerce Planned Parenthood PM4Kids Podhale Parents & Youth Association Pride Center of Western New York Program Management Institute, Rochester Chapter Project Management Institute Psoriasis Foundation Public Relations Society of America Pulaski Wesleyan Church Rescue Mission Response to Love Center Risk Insurance Management Society RIT Golisano College Deans Council River Keepers Road Race Roberson Museum & Science Center Roberts Wesleyan College Rochester Advertising Council Rochester Area Diabetes Educators Rochester Area InterFaith Hospitality Network Rochester Association of Minority Police Rochester Broadway Theater League Rochester Business Alliance Rochester Cares Rochester City Schools #7, 22 and 33 Rochester Community Foundation Rochester Diabetes Network Rochester Do the Right Thing Foundation Rochester Education Foundation Rochester Fencing Club Rochester Futbol Club Rochester Genesee Regional Transit Authority Rochester International Jazz Festival Rochester Knitting Guild Rochester Landmark Society Rochester Lilac Festival Rochester Museum & Science Center Rochester Philharmonic Orchestra Rochester Protectives Rochester Psychiatric Center Rochester Regional Health Information Management Association Rochester Regional Health Information Organization Rochester School of the Holy Childhood Rochester Society of Radiologic Technologists Rochester Speech and Hearing Center Rochester Youth Hockey Rockwell Museum Rogers Middle School Rome Free Academy Fastbreak Booster Club Rome Memorial Hospital Foundation Ronald McDonald House Charities Rosamond Gifford Zoo at Burnet Park Roswell Park Cancer Institute Rotary Club Rural Health Network of South Central NY Rush Henrietta Schools/Lacrosse/ Singers/Soccer Club/Youth Football Rush United Methodist Church Ruth A. Lawrence Poison and Drug Information Center Sacred Heart of Cicero Church Sacred Heart/St. Mary's Church Saint Anne Church Salem Hyde School Salt City for the Performing Arts Salvation Army Samaritan Center Sands Cancer Center Scarlet Thread Ministries School of the Holy Childhood Scott Spino Foundation/Literacy Program Seneca Community Players Seneca County Children’s Committee Seneca Park Zoo Seneca River North Little League Serenity House of Victor Seventh-day Adventist Church Shared Ski Adventures Shea’s Buffalo Theatre Shriner's Hospitals for Children SIDS Network Siena Catholic Academy Sisters of Mercy of Rochester Skaneateles Outreach Center Skating Athletes Bold at Heart Skating for the Cure Smith Road School Society for Human Resource Management Society for the Protection and Care of Children Sodus Point United Methodist Church Youth Group Sojourner House Solace School Solvay Fire Department Solvay High School Booster Club Solvay Little League Solvay Tigers Athletic Club Solvay-Lakeland Little League Soule Road School South Buffalo Community Table South Gate Ministries Southern Oswego Volunteer Ambulance Corps Southern Tier End of Life Coalition Southlawn Primary School Southside Community Coalition Southwest Community Center Spanish Action League Spaulding Pray SPCA Special Olympics Spencerport Schools Spiritus Christi Split Rock School Spring Farm Cares Square Pegs Adults With Asperger's/Autism Support Group St. Agnes Church St. Ambrose Church St. Andrew's United Methodist Church St. Ann’s Community Church St. Anthony’s Church St. Augustine’s Church St. Boniface Church St. Camillus Health and Rehab Center St. Catherine of Siena Church St. Cecilia’s Church St. Charles Borromeo Church St. Daniel/St. Matthew Academy St. Daniel’s Church St. Elizabeth Ann Seton Church St. Elizabeth Hospital/ Foundation/School of Nursing St. Francis of Assisi Church St. George Macedonian Orthodox Church St. Gregory the Great Church St. Helen Church St. James Church St. John Fisher College St. John of Rochester Church St. John the Baptist Catholic Church LifeTeen Youth Ministry Program St. John The Baptist Church St. John’s Lutheran Church St. Joseph’s House of Hospitality St. Joseph’s Villa for Children St. Joseph's Church St. Joseph's Church Lee Center St. Joseph's Neighborhood Center St. Joseph's Villa St. Jude Hospital St. Jude’s Church St. Lawrence Church St. Leo’s Church St. Louis Church St. Luke’s Mission St. Margaret Mary Church/CYO Basketball St. Margaret’s School St. Mark's Church/Men's Club St. Martin Lutheran Church St. Mary Church of the Assumption St. Mary’s Academy St. Mary’s Church St. Mary’s of the Lake Church St. Matthew’s Church St. Michael School St. Michael’s Church St. Patrick’s School St. Paul Lutheran Church St. Paul of the Cross Church St. Paul’s Church St. Paul’s Episcopal Church St. Peter's and Paul's Kitchen St. Philip the Apostle Church St. Rita Church/School St. Rose of Lima Church/CYO Basketball St. Sophia's Greek Orthodox Church St. Vincent DePaul Church/Summer Camp St. Vincent’s Church Stafford Volunteer Fire Department State Society on Aging of New York Step By Step of Rochester Stephen’s Ministry Steven Swan Humane Society Stittville United Methodist Church Stonehedge School Storybook School Strong Kids Safe Kids Strong Memorial Hospital Strong National Museum of Play Sts. Peter and Paul Church Studio Arena Success by Six Sullivan Community Council Boys’ Basketball League Sunshine School SUNY at Brockport Foundation/ Buffalo/Geneseo/Institute of Technology Susan B. Anthony House Susan G. Komen for the Cure Sweet Home Schools Syracuse Academy of Science Charter School Syracuse Brigadiers Sr. Drum & Bugle Corps Syracuse Chargers Rowing Club Syracuse Opera Syracuse Select Youth Basketball Program Syracuse Stage Syracuse Symphony Orchestra Syracuse University Center for Business Information Technology Syracuse VA Medical Center Tawn Marie Dance Center Booster Club Tax Executives Institute Teens Living With Cancer Temple Adath Yeshurun Temple Beth Zion Temple Concord Ten Lives Club Ten Thousand Villages The Arc The August Group The Baobab Cultural Center The Church of Jesus Christ of Latter-day Saints Extreme Makeover Home Edition Three Central New York employees, Kristin Riccardi, Deborah Johnson, left, and Brandy Burnham, volunteered for ABC’s Extreme Makeover Home Edition last summer to benefit a deserving Geneva family. The three did everything from carrying boxes of tile to preparing and serving food to the 1,000 volunteers who tore down the family home and built a new one in a week’s time. 35 Shirts tell all RMSCO employees got good wear out of their company-sponsored event shirts in 2008. The shirts listed the organizations, including the ALS, March of Dimes and breast cancer walks, in which the employees participated. Kevin Vanboden and Nancy Gouchie model the shirts. The Community Food Cupboard of Rochester The Empire State Pride Agenda The Father's House The First Tee of Rochester The Friendly Home The Genesis Group The Girls Sports Foundation The LAM Foundation The Leatherstocking Ballet Co. The Myeloma Research Foundation The Senior Center The Towne Players The Twitchell Lake Water Works The Vine Wesleyan Church Thea Bowman House Thompson Guild T-NT Youth Wrestling Toastmasters International Tompkins County Health Planning Council Tonawanda Board of Education/ Booster Club/Schools Tonawanda Fire Department Toomey Residential and Community Services Torch Club Tourette’s Foundation Town of Cicero Teen Center Town of Greece Soccer Town of Onondaga Historical Association Town of Paris Historical Society Town of Perinton Youth Soccer Town of Wheatland Recreation and Cultural Commission Toys for Tots Tri-Cities Opera Tri-County Youth Hockey Tri-Town Soccer Club Tri-Valley Pop Warner Association True Bethel Development Corp. Tully United Community Church 36 U.S. Bowling Congress U.S. Coast Guard Auxiliary U.S. Power Squadron Ukrainian Catholic Church of Epiphany Ukrainian Cultural Center of Rochester Ukrainian-American Youth Association Uninsured Taskforce of Saranac Lake Union Hill Volunteer Ambulance/ Fire Department Unitarian Universalist Church United Cerebral Palsy United Church of Christ Parish Nurse Advisory United Church of Pittsford United Health Services Foundation United Way University of Rochester, Simon School University of Tampa Upper Room Family Worship Center Upstate New York Transplant Services USA Hockey USO Utica Medical Society Utica Symphony Utica Zoo Valley Gymnastics Booster Club Valley Junior Athletic Association Basketball Vera House Vernon Fire Co. Vernon Verona Sherrill Future Farmers of America Booster Club Vernon Verona Sherrill Schools Wrestling Vernon Verona Sherrill Sports Booster Club Veterans of Foreign Wars & Ladies Auxiliary Veterans Outreach Victor-Farmington United Soccer Victor Schools Victor Youth Winterguard Program Victory Baptist Church Vineyard Christian Fellowship of Irondequoit VolleyFX Girls Volleyball Club Volunteers of America Walk America Waterloo Schools/Music Boosters/Parent Group Waterville Pop Warner Watson Williams School WCNY Webster Athletic Association Webster Bible Church Webster Board of Education/ Schools/Marching Band/PTSA Webster Comfort Care Home Webster Ice Arena Webster Presbyterian Church Webster Schroeder High Cheerleading Booster Club Webster Thomas School/Cross Country/Track Webster Volunteer Fire Department Webster Wildcats Pop Warner Cheerleading/Football West Canada Valley American Youth Soccer Organization West End Little League West Genesee Schools/Athletic Club/Booster Club/ Cheerleading/Football West Irondequoit Schools West Monroe Fire Department West Seneca Central Schools West Seneca Lions Club West Webster Volunteer Fire Department Western New York Perinatal Bereavement Network Western New York Volunteer Western Steuben Rural Health Network Westernville Town Library Westhill Central Schools Westridge Schools Westvale-Geddes Knights Wetzel Road School Wheatland-Chili Schools Whitesboro Fire Department/Ladies Auxiliary William “Come-Unity” Center Williamson Central Schools Williamson Fire Co./Women's Auxiliary Willowfield Elementary School WNY Health Care Decisions Coalition WNY Optics Golf Tournament WNY Physically Challenged Youth WNY Wellness Works Women and Children’s Hospital of Buffalo Women United Women Within International Word of Life Assembly of God Church/Fellowship Ministries WXXI Yad B’Yad Yates Community Center YMCA of Greater Rochester YMCA of the Greater Tri-Valley Young Audiences Young Entrepreneur's Academy Young Life Rochester YWCA Zion Lutheran Church Zululand Hospice Excellus BlueCross BlueShield Univera Healthcare Beacon Network Services EBS-RMSCO Lifetime Care Lifetime Health Medical Group MedAmerica Sibley Nursing Personnel Service Support Services Alliance (SSA) 165 Court Street, Rochester, New York 14647 www.lifethc.com Excellus BlueCross BlueShield is a nonprofit independent licensee of the BlueCross BlueShield Association GP-1972 / 3122-08