Alone we can do so little.

Annual Report July 2014 - June 2015

Together we can do so much. ~Helen Keller

TEAMWORK. Where would any of us be without it? This fiscal year brought new challenges and opportunities for our agency. I thank our strong clinical team, diligent support staff, volunteer board of directors and you – our loyal donors and supporters. Without each of you playing a role, we could not have had as successful a year as we did. I’m am truly grateful and touched by what I’ve seen and heard this year; here’s a sample:

Family Caregivers require more training… Thanks to you, a team of our expert clinicians held community focus groups and tested new classes to help family caregivers tackle complex situations at home, like dementia care, wound care and incontinence. With the data collected, we created The Family Caregiver Education Series to help coach family caregivers in a variety of specific issues and challenges. As you know, we are passionate about helping family caregivers and our Family Caregiver Support Network has helped more than 1,200 family caregivers since it launched in 2003. We are excited to see how many more we can help with this new education series.

Our community is moving more… this year we saw a 14% increase in our exercise class participation. People were trying new things like Tai Chi, Yoga and Zumba. Thanks to donor support, we can keep our rates low so our classes are available for all fitness and income levels.

More people want to know their numbers… more than 2,500 individuals participated in our free Ask the Nurse Clinics. Thanks to your support, thousands learned what their blood pressure was, reviewed their medications and got advice from our community nurses.

Our continuum is vital… Our care affiliates, LIFETIME Care at Home and Strong House Adult Day Center continue to offer our community choices and resources to help individuals remain safely at home. LIFETIME Care at Home continues to seek out new and innovative technologies and services to help families succeed. You can read more about their accomplishments online at www.LIFETIMECareatHome.com.

Our seniors are falling less… Thanks to our successful Fall Free Living program, funded by the Connecticut Collaboration for Fall Prevention at Yale University School of Medicine through the Connecticut State Department on Aging, more than 800 area seniors were screened, coached and monitored to help them prevent falls! The program is so successful that it won the prestigious Triple Aim Award from the CT Association for Healthcare at Home this year. We saw an 82% reduction in falls, 78% reduction in ER visits and a 79% reduction in hospitalization.

Team meeting to discuss scheduling and patients needs. From left to right: Arlene Collins, Elizabeth Garcia, Patty Raffone, Janine Fay, Kristin Smith, Jenny Mathews, Kelli Filosa, Anthony Jenkins, and Karen Naccarato

Board of DirectorsFY 15 (July 1, 2014 - June 30, 2015)

Chair: Robyn WesterkampRichard Corcoran, CBO/CFO

David L. Cowan Jeff Dow

Janine Fay, President/CEOJames Fischer, Esq.

Pamela KatzGerard J. Kerins, M.D.

Bradley D. KronstatRobert McHugh Camille Murphy

Donald Offner, Jr.Sally R. RinaldiKathryn Ross

We’ve also partnered with PRIDE, a new program developed by Yale University School of Medicine (Department of Emergency Medicine Section of Emergency Medical Services), other home healthcare agencies and local emergency medical services, to provide in-home fall risk assessments to patients who call 911 for lift assists.

What we do matters… the letters I receive about our visiting staff and the care they provide are truly inspiring. In the following pages are two such stories out of the thousands of patients we help each year. We thank you for supporting us as we provide vital, necessary care; helping our community get healthier – one visit at a time.

Wishing you good health,

Janine Fay, BSN, MPH President & CEO

Roberta Solimene, OT helping her patient regain

her strength.

“I feel so safe knowing VNA Community Healthcare is watching out for me” A patient reflects on her telemonitor service

Lois Kiesewetter is a spunky, kind hearted, retired realtor who has an overwhelming love for her family, which includes grandkids and great grandkids.

At 83, she struggles with pain and discomfort from Chronic Obstructive Pulmonary Disease (COPD), Congestive Heart Failure (CHF), and Diabetes. She requires constant oxygen and has extreme difficulty leaving her home, only doing so for medical appointments.

But Lois doesn’t let it get her down; “I’ve had a full life and I was able to spend 50 years married to the love of my life.” Her husband sadly passed away a few years ago. She now lives with her son Carl and her delightfully peppy 4 year old Havanese dog, Jewel.

“This machine (Telemonitor) has been a great comfort… every day I check my oxygen levels and, if they are off, my nurse calls me to find out what’s going on. They give me special tips on how to relax my breathing and then my oxygen levels always go up and we are both happy!”

By monitoring her heart health, the wireless telehealth monitor gives both Lois and her nurse daily insight into her cardiac health changes. Her nurse will notify her doctor about changes in her condition and work with him or her to change treatment plans.

In addition to checking Lois’ oxygen levels, the telemonitor checks her weight, blood pressure, heart rate, and day-to-day well-being. The goal is to prevent a trip to the hospital.

“I can’t imagine not having my daily check-ins (with the telemonitor)… I like to know that I’m doing ok, and if I don’t feel right, this machine can tell my nurse exactly what is wrong…. I am so grateful to have it and would recommend it to anyone like me,” states Lois.

Telemonitors are NOT covered

by Medicare or any insurance provider; your donations help

VNA Community Healthcare provide

this lifesaving service designed to help

patients just like Lois.

We thank you, our donors, for enabling us to help Lois and 559 other patients like her. Telemonitoring is the future of home healthcare and it is not an inexpensive service. The cost in fiscal year 2015 was more than $200,000. We could not provide this service without your support and generosity.

“We couldn’t do it without you” A dedicated grandmother reflects on the team of nurses who help her grandson live a normal life at home.

Anthony Caruso was born in 1997 with cerebral palsy. His grandmother, Ruby recalls that the doctors told them, “he would be a vegetable… he would never eat or drink, never sit up, never speak or communicate and would have to live in a facility…”

With that Anthony’s vibrant, gentle blue eyes lit up and he began to sing and dance in his chair, smiling the biggest smile you’ve ever seen. Ruby sighed and looked adoringly at him as a warm, proud smile swept across her face, “I ask you, does he look like a vegetable?”

“We were devastated with what his first doctor told us, but I was determined to fight for Anthony.” And fight she did. Finally, after the first agonizing 18 months of his life, Anthony had ongoing hospital trips, suffering from horrible reflux that destroyed his esophagus and up to 200 seizures a day, Ruby found her “dream doctor”. “Dr. Testa gave us (Ruby and her husband Ralph) hope, changed Anthony’s medications and he became seizure free and we could finally go home with help from VNA (Community Healthcare). Our lives changed for the better and it was the first time Anthony smiled.”

When VNA Community Healthcare first started to care for Anthony, our nurses worked 24 hours a day. He now attends ACES High School and 4 different nurses work with him daily for a total of 88 hours a week. “They have given us a life... life would be unimaginable without them. They have become part of our family.”

His nurses administer his medications through a tube in his stomach (G-tube); monitor his health, as he is prone to sinus infections and seizures; do exercises 2-3 times daily with him; transfer all 120 pounds of him into his stander, a device that enables him to stand for at least an hour a day; attend to all his personal care and bathing; and help him redirect his agitation when he gets frustrated or upset.

Anthony cannot walk and requires the use of a specially equipped wheelchair and total assistance from his nurse and family. He has good days and bad days. On the good days, you can find him with his family watching a concert on the Branford green or going for a ride.

We rely on you, our donors,

to protect this program and to

keep families like the Carusos

together and out of facilities.

“During the summer we get in the car and drive… Anthony sings and spots American flags as we go… he always spots the flags,” Ruby says with a smile. With that Anthony, started singing the Star Spangled Banner. He is unable to say the words, but you know that he knows them and tries hard to carry the tune. “Since he was a baby I sang to him and we listened to music… anything from Tina Turner to Barney. He loves it all.” He has a portable DVD player that enables him to play music at any time and that soothes him.

Patients like Anthony deserve to live a quality life and VNA Community Healthcare helps them achieve that goal. But services such as these are not fully compensated by insurance or government programs. Your contributions help us sustain this program.

At Strong House Adult Day Center, we stimulate and celebrate seniors with memory or physical care needs who may need a little extra help during the day. By keeping them engaged and catering to each of their unique abilities, we preserve each client’s dignity and help them maintain their highest level of function while enriching their lives. Our veteran staff of 12 and volunteers provides a safe, yet warm and comfortable home-like setting for the 20 clients that visit each day. Health & wellness services and medication assistance are provided by an on-site RN. We do a variety of activities and take frequent field trips. Every day we do exercises, provide stimulating recreational programs customized for all levels, and offer interactive musical entertainment. We take pride in making the lives of our clients and their family caregivers a little easier. All charitable gifts we receive go towards enhancing the programs they so love.

Donations to The Strong House

Edward & Mary AhearnMargaret BarbaroDiane FidlerMary FuscoDiane GriffinSara HornMarion KahlLaRosa Building Group, LLCFlorence MaciolekMadison FoundationEleanor Rachleff-SerowMarlene SchmittWomen's Club of Madison

In Honor of Audrey Marks Peter & Miriam SteinertLori Murphy Richard Corcoran

In Memory of Cynthia Baran Stanley and Deborah Fisher, Jr. Jeanne Lloyd The Secret Society John & Margaret Walsh Welty Esposito & Wieler, LLC Joseph WicklowRaymond Bartnett Giovanni Cambareri Paul Cremo Mary Beth Detuzzi Anthony & Sue Fraccaroli Marie Fraccaroli Donald and Judith Kulisch Erica Lee Gail Matthew Lydia McMinn Mary & John Roland Eugene & Carol Yetman Ziff Capital PartnersCecile Bessette Lorraine SturwoldGregory Bousquet Killingworth Women’s OrganizationFlorence Heck Anne HeckLeo McDonnell Sarah WestMark Minckler Daniel Roschko Submergence Group, LLC Jody WelpRichard Rae Christine Bailey

“Ellen loves the staff, activities & socialization she receives at the Strong House. Our family would have a difficult time in keeping her home if it were not for the care, professionalism, and stimulation she receives.” ~ Laura Graf, daughter-in-law

Here is Terry M. (left) with her friend Ellen.

Certified with commendation by the CT Association of Adult Day Centers

68 clients attended the Strong House 55% of our clients have been attending one year or more40% received funding assistance

Audrey DeLuciaGail FaithfulAudrey Henderson

Thank You To Our Volunteers & Friends: Gerd NelsonAnn PersonRosemary Riccio

Bud VeceShirley Walker

A doctor says, "Why I give” “I know of no other agency in our area that supports patients and families as you do,” says Dr. Steven Wolfson. “Keep doing what you are doing," he added, “you fill a real void in our community."

Dr. Wolfson is a recently retired cardiologist who has a long history with us, both as physician and volunteer. Starting in the early 1970’s Dr. Wolfson referred his patients to VNA Community Healthcare when they left the hospital, but he also learned the benefit of referring them directly from his office to avoid hospitalization.

“My patients benefited greatly from the compassionate supervision and observation provided by (VNA Community Healthcare) nurses. The result? Fewer hospital admissions.”

Over the last 5 years, Dr. Wolfson looked to VNA Community Healthcare for another purpose: community patient education and engagement. He joined our Health Neighborhood committee and volunteered to be one of the “actors” in our educational video on Health Literacy which describes the importance of bringing someone with you to a medical visit.

“VNA Community Healthcare started the Health Neighborhood for no gain. The purpose was to help educate the community and improve communication among healthcare professionals. This public spirited work is another reason for me to admire VNA Community Healthcare.”

He added, “You do whatever you possibly can to improve the health of those in our community and you never look for profit … you see a need and you seek out ways to fill that need.”

On the following pages, VNA Community Healthcare gratefully recognizes the individuals, corporations, foundations and organizations who donated to our agency in fiscal year 2015. All of you are vital to our agency. We appreciate you!

Thanks to you, approximately $175,500 was raised from July 1, 2014 - June 30, 2015 for VNA Community Healthcare and Strong House Adult Day Center.

Nurse Sue Jankovich checks her patient’s blood sugar. She will later review his medications and discuss concerns his wife has about his care.

Anonymous (26)Ann AbelySusan AddissChalmer AlexanderMillie AngeloniAnthem Blue Cross Blue Shield of CTJoan ArmstrongMargherita BaconL. Ann BakerDorothy BeanSandra BeatificatoJanet BechtelDawn BeckertJo Ann BegleyAlan BennettPeggie BergantinoBarbara BernsteinGladys BethkeBHcare, Inc.Patti BillerRev. Robert & Patricia BlackKurt BodeBorrow My Glasses, LLCRoger BoudreauRenee BoudreauTanya BoveeDeborah BradleyAnn BradleyBranford Hills Care CenterBrenner, Saltzman & Wallman, LLPWendy BrockmanKathrine BroderickMarva BrownDr. J. Michael BrownBrown and Knapp Group Benefits, LLCShirley BuckleyMary H. BuddsDonald BuellSally CahillJane CaldwellKevin CallCharles CampbellAlbina CannavacioloAlbert & Sharon CanosaBeth CapobiancoRichard CapobiancoCarabetta Management Co.David and Helen CarlsonRobert CarmodyJ. Gregory CarrollNorma CavaliereSusan CecchiniLouis CelentanoLorraine CerritoRon & Mary Beth ChamberlainJean CherniAntonia ChipeloM. Elizabeth ChipmanPatricia Chmielewski

Anne ChristoffersonAlison Clark-TalburttConstance ClementAndrew CliffordKathryn CoffinMarjorie CohenDavid ColbournCommunity Foundation for Greater New HavenConnex Credit UnionWilliam CooperRichard Corcoran Salvatore CorsoLisa and Paul CourtneyDavid L. CowanWilliam and Sharon CrainDouglas CrowleyEdna CullAnthony DaddettaNigel DawNicholas DeFrancescoArthur DefrankAnn DeLuciaRosemary DempseyDeborah DeMusisBernadette DeMusisAnthony DeMusisMargaret Hunter DevorakBernadette DiGiulianMorton DimensteinNancy DoerrMargaret DoolittleMichael and Rosemary D’OrlandoCornelia DorseyMillard & Jackie DorwinRobert DowlerJohn and Carolyn DuganStephen DuhamelDonna DumelinJoanne and Edward DymitrukRosellen EastEast River EnergyEchlin FoundationDouglas and Audrey EisenlohrEnvironmental Office SolutionsSusan & Gerald FarisFast SignsJanine FayPatrick FayDianne FernicolaFischer & Fischer, LLCStashia FitzgeraldDr. George FlorentineJoseph FormatoKatherine & Seymour GarayGaylord Specialty HealthcareTimothy GeelanJeannette GeorgeShirley Gershman

Rosemarie GibbonsSusan GlantzElena GogginJoe and Cindy Goldberg Family FoundationVictoria GreenbergChristopher & Pamela GreeneJane GriffinFrances Guadagno Guilford Community FundGuilford Savings BankElizabeth GuttR.G. HaleMartin HallierHelen Harris Lee HarrisonEleanor HartmannBarbara HarveyJohn HaverkampfHealthy Home CompanyNancy HetmanskiJoan and Dennis HickeyDr. Walter & Bente HierholzerCharles HiltonJean HopsonBrenda HowlettEugene & Connie HubbardLillian HulinLucie IannottiJames & Camille IfkovicGail JacobsVirginia JamesShirley Janssen John Watts AssociatesFrederick JohnsonRichard & Marjorie JohnsonCecilia JonesRonald KaiserMarisa KaltBarbara & Jerry KatzPam KatzLois KellyDr. Gerard KerinsMabel KerriganRose KingJanice KirbyJane KircaldieMary KlarmanDavid KnappWilliam KohlheppWalter KoskiMichelina LandinoMary Agnes LarsonCatherine & Brian LeeVictoria LeipnerLenny & Joe’s Fishtale RestaurantJohn LetiziaPamela LincolnCarol Link UdeAnne Loin

Recognizing our donors

Katherine LongMaureen & Dwight Lopes Ann LynchJ. Thomas Macy Madison HouseWilliam MahoneyLaura MarandoJosephine MarraCecilia Martin Catherine & Robert MathisCharlotte MatteiLois MauroLouise MazurOrrin McFarlandPhyllis McGouldrickPatrick McHughD. Laverne McKenzieChristopher McLeodNewton MeadNormand Methot Barbara MilesMonastery of our Lady of GraceMary Alice MontaineEvelyn MordecaiCharlotte MouschKaren NaccaratoAdrianna NaizbyJoan NaradJudith NelsonDawn O’ConnellGerald O’DellDonald OffnerRobert OgdenRoy Ogren Elizabeth OlivieriEdna OrlinsKaren OsbornMaryellyn PagePhyllis Pallett-HehnRose PalmisanoRocco PannellaPasi, LLCDaniel PattersonLisa PattinPeach & McPherson, CPAPatricia PearsonLisa Peccini Frederick PecharIda PendletonAlbert PerryRobert PetrilloPfizer FoundationLois PhelanLoretta PizzellaJoan PlatnerBeverley PlyerNancy PorterRobert PostPress/Cuozzo Realtors

Provident ConceptThomas PughRaffaela PugliaElizabeth Rayner Reed ExhibitionsRehab Concepts Physical TherapyRehab Solutions, LLCJudy ReiberDr. Randy ReinholdJacqueline RemusRonald RepettiSusan RianhardEllen RobertsLouis RomaoKathryn A RossRobert RuggieroRose SantoroGloria SauroJennie SawickiPat & Bill SchneiderYvonne ScottDawn ScottVictor SekelskyJane SiebertSimione Healthcare ConsultantsTerry SinclairNancy SissonThomas SmithSmith Brothers FinancialSean Soares Camille SolbrigSaundra SolitareJake StarThomas StopaJohn & Bettye SwindellDaniel Tavares The Guilford FoundationThe Hearth at GardensideThe Hearth at Tuxis PondThe M.J. Petretto FoundationGuy TommasiR. Eugene TorrentiTremonte Auto Group, Inc.Vivian TroianoSharon TurnerUnited Way of Coastal Fairfield Cty.Louis VanegghenHarold and Joan VayoDominic VenturaP.F. WallaceJohn WasilewskiRudolph WegenerJane WeimarBernadette Welsh Robyn WesterkampRonald WhitneyWhitney Manor Rehabilitation & Nursing CenterRobert Wieland

Wilson, Pinder & Snow, LLCWireless ZoneWORX BrandingJohn WrinnYale University Marvin Zimmerman

In Kind Donations116 CrownAll Pet’s ClubBack East BreweryBags in BloomBenchmark Senior LivingBishop’s Winery & Farm MarketBoston Bruins Carol’s CreationsMichael DurkinEdible Arrangments - North Haven Eli’s Restaurant Group Essex Steam Train & Riverboat Everything Under the RoofFintasticFlavor-its Flowers on the Green Gelato GiulianaGouveia VineyardGrade A Home ImprovementGUESSHamden Women’s ClubHamden HealthcareHarbor Yard - BridgeportHarstan’s JewelersHealthtrax Fitness & WellnessDan Horgan & Molly Standley Long Wharf TheaterLucian’s Florist & GreenhouseMaplewood at OrangeMassage SavvyMerle Norman Cosmetic Studio- BranfordMt. Carmel Congregational ChurchNatural Family HealthNelson AmbulanceNY JetsNY SkyrideOasis Nail & Spa Orange Hills Country ClubOvershores BreweryParadise Hills Pine Orchard Country ClubPolite PawsWilliam PopoliQuassy Amusement ParkRoses for Autism Sharon SchmiedelSports HavenTeam Dick & Jayne: Coldwell BankerTexas Roadhouse

We thank you

The Dog FatherThe Hartford Restaurant Group The High Lane ClubThimble Island BreweryYvonne Thompson Top of the RockUnlimited Potential Skin Care & SpaVineyard VinesWallingford Country ClubWalt Disney WorldWhitney Manor In Honor Of:Anthony Anastasio Eleanor AnastasioMary Battista Anthony BattistaRichard Corcoran Deborah Buenger*Selma Engel Phyllis KaufmanBarbara Katz Dr. Steven Wolfson*Phyllis Nolan Jean MooreBarbara Peterson Bertil PetersonDr. Martin Sklaire Kenneth Rosen

In Memory Of:Ernest Anderson Patricia AndersonPat Cacace Cheryl HankeGeraldine Chartier Noella HaynesJ.W. Chester Marcia CopelMae Christie Carolyn PiersonBrian Culver Clark and Patricia CulverAnn Delmonte & Virgina Golymbieski Sally RinaldiSheila Dubak Richard and Constance KupchunosJohn Durkin Eileen Durkin*Sigurd Jensen Linda JensenEdward and Matilda Jerz Frances BeaumontBetty Jones Douglas Crowley*

Lillian Josephson Linda Amarante Gary and Diane Arnold Lita Blitz Philip and Kathe Burger Jodie Burgess Janet Demaio Department of Developmental Services Farmington Bank Dianne Fernicola Robert Fromhartz Donna Galwey Kelly Iannone Anne Josephy-Zack Donna Josephson Steven Kornfeld and Laura Kolk Kelly McCormack Donna McCaw Catherine Olinski Sharon O’Neill Helen Page Theresa Page Reed Exhibitions Gail Siegel Brian Smith Susan VisheCarl Langner Jean Langner*Genevieve Legg Ray and Rebecca OrtegaDoris McGriff Carol MillironEugene Mezeiski Branford Association of Support Staff Rosemarie and Brian Lynch Stephanie J. PageElizabeth Moody Martha MoodyBarbara Peterson Bertil PetersonDaniel Rubino Anna RubinoLouis Sansone Eleanor AnastasioMarilyn Sembler-Carter Helene and Mike Belisle Frances Blackwood Tanya Bovee Susan and David Childs Susan Crisafi Maryann Davies Virginia Ells Mae Ennever Donna Galwey Linda & Walter Gancarz Roselyn Kelsey

Joanne Lewin Karen McGuire Joan McNeil Nancy Murtha Ann Pavlou Debra Ryker Jayne and Christopher Soles Patricia Turner Caryl Viola Paul and Joan WeberMarjorie Lampe Talbot Essex Savings Bank Ron and Mary Chamberlain Bernadette DeMusis Michael and Rosemary D’Orlando Anthony and Cathy Niglio Mike and Tricia SiefkerAnna Townsend Pat and Lori Keurian Ginna Plude Ronald Sonnak David and Catherine Walsh Jonathan and Suzanne Yale

Thank You to Our VolunteersPhyllis AbbatelloBetty AbelEstelle BaltimoreConnie BrandLinda BullardKaren DelChiaro Tony & Ann DeluciaSally EsbornGail EtterBarbara FussellBarbara GloverGwen GunnMary HigginsLinda Holmes Linda JensenMaureen JonesMarie LeonaAdrienne PatrellaNancy Porter Anna RauchElizabeth SantoroCarol UdePeter and Judy Van Heiningen

Please contact our Development Department at 203.458.4277 if you have any questions and/or if you find an inaccurate listing. We strive to correctly acknowledge everyone. Thank you.

*Indicated those donors who also made a donation to VNA Community Healthcare in addition to a honorarium/memorial.

With Honor & Remembrance

Operating RevenuesPatient Services 30,546,132$ Contracted Clinical Services 361,500 Grants and Municipal Appropriations 169,689 Other Revenue 63,712 Total Operating Revenues 31,141,033$

Operating ExpensesSalaries, Payroll Taxes and Benefits 26,261,928$ Office and Occupancy 1,957,015 Transportation and Medical Supplies 755,030 All Other 1,975,705 Total Operating Expenses 30,949,678$

Operating Income 191,355$

The annual report (July 1, 2014 - June 30, 2015) is presented on a consolidated basis andincludes VNA Community Healthcare, Inc. and LIFETIME Care at Home, LLC.

46%

21%

14%

10%9%

FY 2015 Patients by Payer6,200 Patients

Medicare

Mgd Medicare

Commercial

Private Pay

Medicaid

39%

35%

12%

7%4% 3%

FY 2015 Patients by Discipline6,200 Patients

Therapy

Skilled Nursing

Home Health Aide

Medical Social Work

LIFETIME

Behavioral Health

NURSING SERVICES

FAMILY CAREGIVER RESOURCES

ConnecticutHomecare.org

THERAPY SERVICES

PROFESSIONAL EDUCATION

SUPPORT SERVICES

WELLNESS PROGRAMS

• Medical/SurgicalNursing• SurgicalNursing• MaternalNursing• PediatricNursing• PalliativeCare

• FamilyCaregiverSupportNetwork• Helpline• SupportGroups• PrivateConsultations• FamilyCaregiverSchool

• PhysicalTherapy• OccupationalTherapy• SpeechTherapy

• ClinicalAdvancements• MedicareRegulations• HealthLiteracy• StatePrograms&Funding

• Telemonitoring• SocialWorkers• HomeHealthAides

• HealthScreeningswithNurseCoaching• FallPrevention• ExerciseClasses• Flu&PneumoniaVaccines• CorporateWellness

TOWNS WE SERVE:

ConnecticutHomecare @VNA_CHC

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We are beside you at every turn