Living withDignity Redefining Hope

Annual Report 2009–2010

®

Living with DignityRedefining Hope

Dear Friends,

Every day, we receive letters thanking Hospice of the Valley’s team for the compassionate care they have given someone’s

loved one; or we receive grateful handwritten comments on the Family Evaluation of Hospice Care surveys sharing

with us how our services have touched their lives. It is because of generous individuals such as yourself that allow

us here at Hospice of the Valley to continue to serve our mission of providing comfort to those facing serious illness

through compassionate palliative, hospice and grief care. Thank you for your generosity because funding such as

yours touches lives.

Many of you might wonder how your donations are spent. We invite you to review highlights of various programs and

projects on pages 4 and 5 that demonstrate impact in the communities in which we serve. And we hope by reading

the profiles of patients who share how hospice has enabled them to focus on living while dying, as well as the letter

written to a hospice nurse, that you will see your contributions at work.

In the coming year, we look forward to reporting back to you on the impact of our strategic initiatives, which were

launched during fiscal year 2010–2011. Significant highlights will include the impact of Una Familia Mas—our Latino

Outreach program (the first of its kind in Santa Clara County)—designed to serve the diverse needs of our community

and to assure multicultural access. We will also share feedback from our market research project, which will inform

our public education and awareness plan, as well as the Palliative Care program.

We are aware every day that our compassionate caring services and programs could not exist without your continued

generous support of Hospice of the Valley. Our board of directors, compassionate staff and volunteers, families and

friends thank you.

Gratefully,

Chris Worrall Sally AdelusChairman, Board of Directors President & Chief Executive Officer

Letter from the Chairman and CEO

ANNUAL REPORT 2009 | 20102

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HOSPICE OF THE VALLEY 3

Hank—Hospice PatientBorn in San Diego, California and raised in San Francisco, Hank has been a professional drummer for over62 years. He recalls his first drum set as pots and pans and, by age 14, he was working professionally.

“My parents couldn’t afford my lessons, so I was self taught,” said Hank. “What I like about Jazz is the freedom to express myself. In jazz, it’s everybody for themselves.”

At age 19, Hank served in the Signal Corps in Taegu, Korea and toured with USO shows. Following theKorean War, Hank performed with such artists as June Christy, Vince Guaraldi, Charlie Byrd, and JohnnyMathis early in Johnny’s career. In order to raise a family, Hank worked for the phone company in the SouthBay but continued to play with small groups throughout the San Francisco Bay Area—most recently the 2010San Jose Jazz Festival.

In the fall of 2009, doctors found a tumor that they estimatedcovered 75% of Hank’s liver.

“A group of oncologists made the determination that my liver was untreatable,” said Hank. “So they referred me toHospice of the Valley, which was probably the best call I evermade. I live alone, and I’m a very stubborn and independentguy, and I don’t want anyone doing things for me. But I knowif I need something, I have Hospice of the Valley. To me, that’sthe great thing about hospice care. I don’t have to botherfriends or relatives because I know that my hospice team isavailable 24 hours a day. It’s a wonderful support system.

And the care I have received from Hospice of the Valley has been instrumental in my feelings. My attitude haschanged. I don’t have a defeatist attitude like I did in the beginning. It’s more positive. My nurse, Joanne, andsocial worker, Trish, have been a big help to me, and they’ve become my friends. They are caring friendsand that means a lot to me.”

Note: At time of publication, Hank remains stable.

Profile

“We are the anytime,anywhere, place for comfort”

Hospice of the Valley invested

$8,482,637in patient/client

care in 2009/2010Hank next to photograph of him with The Merl Saunders Bandbackstage at the Ellis Theater, San Francisco, September 20, 1951

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Hank with hospice nurse, Joanne (left), and social worker, Trish

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Impact

To benefit our communities, Hospice of theValley partners with donors, foundations and

corporations. Together we are fulfilling thepromise of our mission and vision.

As a not-for-profit organization, Hospice of the Valley operates differently than an investor-owned hospice care provider. Without the demands of shareholders, Hospice of theValley is directly accountable to the people in the communities we serve and depends on support from generous donors and grantors to achieve its mission.

Some of the programs and projects supported in 2009–2010 include:

Community Grief and Counseling Center• $96,000 in contributions enabled the Center to extend support to 233 children and

adults experiencing complicated grief

• $1,330 provided crisis counseling to a local organization for the sudden death of anemployee; education to teachers on how to counsel students after the sudden death of a fellow student; and counseling to a local hospital for staff grieving the loss of patients

• $14,215 provided training for the Center interns, which serves as a foundation for the next generation of grief counselors

Serving the Under-insured• $89,425 provided uncompensated care to under-insured individuals

Transitions Program• $118,000 was dedicated to the program, which served 17% more families over

the previous fiscal year

Volunteer Program• $115,000 was dedicated to the program, which increased the number of volunteers

and complimentary services supporting patients, caregivers and families• $7,500 provided training for 25 Calm Companions volunteers who sit in vigil

with imminently dying patients and/or their caregivers and families

Professional Staff Development• $84,000 was invested in leadership training for staff and to improve

operational efficiencies

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Impact

$50,000 and aboveSobrato Family Foundation, $84,000, Second Year Matching

Grant (General Operations)Sovereign Order of St. John of Jerusalem, Knights Hospitalle,

$75,000, Community Grief and Counseling Center Expansion

$10,000–$49,999The Leo M. Shortino Family Foundation, $35,000,

Latino OutreachCisco Systems Foundation, $15,000, Transitions ProgramComerica Charitable Foundation, $10,000,

Transitions ProgramRotary Club of San Jose, $10,000, Alternating

Pressure Relief MattressesSanDisk Corporation Community Sharing Program,

$10,000, Comfort Kits

$5,000–$9,999Hitachi Data Systems and Hitachi Foundation, $7,500,

Transitions ProgramSt. Andrews Opportunity Fund, $5,000, Comfort Kits

$2,000–$4,999Heritage Bank of Commerce, $4,500, Low Income and

Uninsured PatientsSaratoga Rotary Charitable Foundation, $3,200,

Comfort KitsAir Systems Foundation Inc., $2,119.60, Art Supplies for

Children’s Grief CounselingSt. Edward’s Episcopal Church Crossroads 90 Foundation,

$2,049, Calm Companions Vigiling ProgramFrieda C. Fox Family Foundation, $2,000, Children’s

BereavementThe Summit League, $2,000, Children’s Bereavement

$250–$1,999Los Gatos Community Foundation, Inc., $1,500,

Comfort Kits and Pulse OximetersLos Gatos Morning Rotary, $1,250, Pet Companions ProgramMountain View Kiwanis Foundation, $1,000,

Caregiving SuppliesSt. Christopher Ladies’ Guild, $1,000, Calm Companions

Vigiling ProgramJunior League of San Jose, Inc., $750, General Operations

Hospice of the Valley Gratefully Thanks Its 2009–2010 Grant Contributors

Thank you so much, Hospice of the Valley! Having hospice care made such

a difference in my ability to care for my mother and to feel that I was doing it well

enough. The nurse was so helpful in guiding my care and preparing me for what was

to come. I will always feel grateful to all who helped ease my mother into eternity.

–Valerie (A grateful daughter)

Quality AssuranceIn order to assure that patients and families receive the highest quality of care, Hospice of the Valley’s Quality Assurance program utilizes the Family Evaluation of Hospice Care survey created by the National Hospice & Palliative Care Organization to conduct quarterly surveys of families and physicians. Results show:

• 99% of families would recommend Hospice of the Valley to others

• 95% of families rate overall quality of care as Very Good or Excellent

• 96% of referring physicians were Satisfied or Very Satisfied with services

Photos: Annual Compassion in Action conference presentedby Hospice of the Valley andSanta Clara University Centerfor Professional Development,March 25 and 26, 2010

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Annual Report Fiscal Year 2009–2010

Medicare/Medi-Cal — 83%

Contributions — 8%

Program Service — 6%

Special Events — 2%

Interest Income — 1%

Patient/Client Care — 79%

Management & General — 17%

Fundraising — 4%

Hospice of the Valley RevenuesMedicare/Medi-Cal $9,495,126Contributions* $866,437Program Service** $690,594Special Events $208,193Interest Income $ 71,584Total Revenue $11,331,934* Includes grants

** Includes other insurance and Community Grief and Counseling Center fees and donations

ExpendituresPatient/Client Care $8,482,637Management & General $1,779,390Fundraising $460,323Total Expenditures $10,722,350

EducationThe executive leadership at Hospice of theValley is among the top thought leaders forpalliative and hospice care in the country. Ourlegacy of community educational programsand outreach advances the standard for quality hospice care and advocacy statewide and nationally.

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“We are patient centered, evidence-based and service driven”

Hospice Programs

Hospice Service StatisticsPatients Served 967Average Length of Stay 57 daysTotal Patient Days 46,527Age Range of Patients

21–40 1%41–60 9%61–80 33%81–102 57%

Female 62%Male 38%

Patient DiagnosisCancer 46%Other 21%Dementia 12%Heart 11%Liver* 2%Lung* 6%Kidney* 2%* Non-cancerous

Patient Referral by SourceHospital 50%Physician Office/Clinic 23%Family 18%Home Health Agency 1%Nursing Facility 5%Other 3%

VisitsNurses 12,836Aides 11,294Social Workers 2,629Chaplains 1,252Physicians 184

Other Programs

Grief Counseling ProgramTotal Hospice Bereavement Clients 1,891Total Community Bereavement Clients 223Age Ranges of Hospice

Bereavement Clients Under 18 4418 and Over 1,847

Age Ranges Community Bereavement Clients Under 18 8918 and Over 134

Transitions ProgramClients Served 128Average Days on Service 286Service Days Provided 17,270Female 66%Male 34%Average Age of Patients 75

Volunteer ProgramTotal Volunteer Hours 13,767Value of Volunteer Time $330,133

For rule above maek 0.125"and move column over to5.375".


Profile

“We are changing the conversationabout living and dying”

Hospice of the Valley received

50% of its patient referrals

from hospitals in 2009–2010

Allene—Hospice PatientOn the last day of school in 1933, Allene began keeping a ç. Shewas a 13-year-old freshman and, according to her, it was an inter-esting day. “We didn’t have many interesting days in Faucett,Missouri,” said Allene. “It was a town of 200 people. My familylived on a farm, and we were poor. We didn’t have plumbing orelectric lights.”

Early volumes of Allene’s diary recounted minutiae of a teenager’slife in rural America in the ‘30s—farm happenings, going tomovies, stopping at the soda fountain, and records of books she

read. After Allene graduated at 16, youngest in her class and valedictorian, she wanted to enroll in nursingschool. But, first, she and her sister had to raise the money for her tuition from sales of popcorn and greenbeans from their farm.

Allene first worked in Saint Joseph, Missouri as a private duty and industrial nurse and then at San JoseHospital in San Jose after she moved to California in 1953. She married in 1956, raised two daughters,and after she raised her girls, went back to nursing part-time until retirement in 1982.

“All this is recorded in my diaries,” said Allene. “I like keeping track of things. It helps me pull together the seemingly disjointed pieces of life to see it as a whole.”

In June of 2010, at the age of 91, Allene was diagnosed with lung cancer and admitted to Hospice of the Valley.

“When I was first admitted to hospice care, it depressed me,” said Allene. “The first thing I asked my nurse,Katherine, was how long will I live? She told me what she tells everyone. ‘There are two things in life wehave no control over—when we come into this world and when we go out.’ That first day of her visit all I wanted to do was lie in my bed. And that’s exactly what I did, with Katherine by my side.

In the beginning, the idea of hospice care felt like a death sentence. But it’s not like that. Hospice care iswonderful. Every week my hospice aide, Lulu, comes to help me shampoo and shower. That feels good. AndI enjoy eating again and can sleep now better at night. All the things Hospice of the Valley has provided forme has helped me so much. It hasn’t changed my prognosis, but it has changed my outlook on life.”

Note: At time of publication, Allene is still writing daily in her diary and plans to do so until the end of her life.

Allene pictured with hospice nurse, Katherine

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2009–2010 Giving Circle DonorsHospice of the Valley Would Like

to Express Its Gratitude for Your Generous Support

Named EndowmentJerome and Lillian Limburg and George and Frances Striley Endowment

Celebration Circle$10,000 and above

Alameda Family Funeral & Cremation, Inc.

Anonymous (1)Estate of Merlin E. SilverthornColombo Charitable TrustKirkorian Family FoundationMary June Moore-RichardsService League of Hospice of the Valley

Tribute Circle$5,000–$9,999

Robert and Jeanne BettencourtBoucher Family FoundationVirginia and Michael BowmanKieve FoundationYvonne LoscherPatty RobinsonStella B. Gross Charitable TrustLynn and Frank UbhausJeanne L. Wun

Caring Circle$2,500–$4,999

Eric and Kristy BrandenburgPhyllis Gove and Steve CasadJim and Anne CashmanLeila and William CilkerRuth DohnBob and Marilyn GaribaldiMorton and Marilyn LeiterLockheed Martin Employee

Golf TournamentHarris and Sharon MeyersGeorge T. Nakamura FamilyNeptune Society of Central CaliforniaDale M. O’RourkeRobert and Julie RinehartRiva RubnitzFamily of Joyce Ann SchwenderSorci Family FoundationEuan Thomson and Allison Jones ThomsonWilliam H. Cilker Family Foundation

Golden Heart Society$1,000–$2,499

Art and Denise AdamsCarla and David AdamsAnonymous (4)Cecile and Dennis AugustineRichard and Lanae J. AvraBarry Swenson BuilderSanford and Jan BerlinerTed BiaginiRoy and Dorothy BillingsGeorge T. Block, MD and

Mariam M. WahabBrannons MedicalDavid and Sheila BrownValerie and Tom BurnieceDaniel CaputoThomas CarstensNadine C. CavallaroJohn CeltonFamily of Ed ChristiansenElizabeth and William CilkerCheryl and John Colman, MDRobert CuddieAdele DanielsonRoberta DayerNatalie ElefantW.J. and Beatrice C. EmersonPam and Jack FitzhenryRuss FosterMary Jo and Dick GarrettVic and Mariana GiacaloneJohn and Marcia GoldmanLinda GolinoGreen Machine Light EngineGerald HamiltonMichelle and John HansenDonald E. HarmonRoberta and Kevin HayashiDave and Noelle HendersonScott HendersonHans M. HerrndorfEve and Ross JaffeRobert F. JohnsonJos. J. Albanese, Inc.Phyllis KarstenJim and Sylvia KatzmanBenjamin and Doris Keh


(continued on page 10)

John and Dolores KentMarcia KerinsLinda C. Kramer and Deborah K. RadinHoward Lamcke and Susan BernardiniGrace LeeChuck and Sue LeiterWayne and Tina LevenfeldLos Gatos Rotary Charities FoundationCarol LuckhardtScott MlinarichJohn V. MooreLaurie Cantley and Gregory Papadopoulos The Parker Family FoundationGloria Perez-ForteRandall and Cynthia M.G. PondMary and Thomas ReesDonna ReiterRobert RenfroJohn and Charlene RobertsMichael and Emma L. RockSutton RoleyAnnie and Michael RubensteinDan and Deborah RubnitzPaul and Dorothy SchreiberKathy and Felix SchudaJoAnn R. ShankJeng-Ren Shaw and Siok Huang TayRajeev and Kathy SinghBetty Jane SmithSolSterling SpeirnLarry and Carmen StoneKathy SullivanDale and Cheri SwansonRobert and Jessa TacciniThe Richard and Emily Levin FoundationMaureen VantressJohn VelcampGary and Sharon VerghoRandall and Jan WilloughbyWilloughby, Stuart & BeningFred and Ida WoolChris and Kim WorrallKim and Neville Yates


Legacy SocietyWe are proud to introduce the Charter members of our Legacy Society. The following supporters have made a commitment to ensure the future of compassionate care for families in Santa Clara County.

Legacy Society members have notified Hospice of the Valley that they haveincluded a charitable component to their estate plan and have named Hospice of the Valley in their will, trust, or other estate plan.

If you, too, would like to ensure the sustainability of Hospice of the Valley and make a gift that will be remembered by generations to come, please contact Beth Williams at 408.559.5600 to become a Legacy Society member.

Art and Denise AdamsSally and John AdelusAnonymous (10)Valerie Norwood Burniece

and Thomas F. Burniece IIIJim and Anne Cashman

Natalie ElefantNicholas and Dina FerentinosMary Jo and Dick GarrettRoberta and Kevin HayashiDon and Marian LimburgJeannette Mihalak

Dale M. O’RourkeSutton RoleyCarlene SchmidtJohn VelcampChris and Kim Worrall

$500–$999Adaptec FoundationMarianne AmbrosiniAnonymous (5)Berger Lewis Accountancy

CorporationDana BoomWilliam and AngelaBridgemanRichard and Tara ButtonRobin and Shirley CheungMatt ChristianoJohn ClarkGladys CollegeRobert ConroyRoland and Kimberly K. CortesGay and Roy CrawfordCarolyn M. DeLeon, DMPam DickinsonRalph DreikeThomas and Pauline B. DuffyMichael and Juanita Duggleby

Trudy EllerbeckWes and Cathy EmisonRay and Giselle FarrisRosula FernandezMartin and Barbara FishmanBarbara GoldenMaria GoulartPamela HammerHeffernan Insurance BrokersJohn and Holly S. HenryDr. John HermanLinda HigginsJohn and Valerie HopkinsCharles HouserSusan HyattAtsuko ItoCatherine IvyEdwin KayJudy Keel-SmithSimon and Phyllis M. KleinmanDonna KollarDavid and Cynthia Lazares

Barbara LedwellH. Ogden and Rose Claire LillyGeorge and Elisa A. LottiBetty MagowanJames and Sara Wigh McManisJennifer McMillanKirby MillerMr. and Mrs. William MoershelCharles MorganFrank MosebarBernice NakagawaFrank and Patricia NicholsBarbara NogglePeggy O’LaughlinEdward and Julie OliverWalt OxleyJohn and Debbie M. PinkstonTerry Rabinowitz, MDWilliam and Deborah RicksArthur and Evalynn Sue RinskyThomas and Lynn R. Robinson

Thomas and Charmaine B. Rogers

Allen and Cynthia RubySan Jose British MotorsSantana RowJean SchraderJohn SchreierRobert SchwartzDave SinghalNeal Slatkin, MDFlorence SordelloJohn and Nancy StalloneEdward and Nancy StrongShannon SullivanJerald TatroThe Health TrustUnion Church of CupertinoUnity Community ChurchBruce and Joan WallaceRonald WilliamsBrian Yick

2009–2010 Donors continued from page 9

Roberta and Kevin Hayashi

Carolyn Am

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Letter to a Hospice of the Valley Nurse

Dear Jeanne,

It is a week before Andrea’s 43rd birthday. I find myselfthinking about her last days with us—not an unusual train of thought these days. It is impossible to think of that timewithout thinking about you and how you helped Andrea—all of us—get through that impossible time.

Yes, I know. Nursing is your profession. That’s what you do. But this was still different, at least with all of us. While I can’t speak for Andrea’s family members, I am certainthey would echo my sentiments. Your calm competence was a blessing to all of us. It will always be so.

In any case, I am speaking as Andrea’s father. It will come as no surprise to you that Andrea is one of themost beautiful things in my life and that will not change. To watch her suffer the torture that terminal cancerimposes was clearly the most painful experience in my 76 years.

Then you walk in the door. And then again. And finally, the day Andrea died, twice. Each time youappeared was a gift to her and to me. I will never forget how you asked Andrea, a week after she hadbeen bouncing around the house almost like always, if she had let go. I can still hear and see the two ofyou by the fireplace. You bent over to be close to her and, in a gentle but firm voice, asking her if shehad let go. Eventually, she nodded her head, and we all knew that her struggles would soon be over.

That scene is so mindful of exactly the right words in Debbie Mueller’s beautiful poem about Andrea: “I’ve heard grace in the way she looks a friend in the eye, connecting and engaging never uttering anunkind word, any word spoken always having meaning…” That was you, Jeanne, in those pivotalmoments with Andrea and, in fact, all of your moments with her.

It is an inspiring experience to observe someone in any profession carry out not only the letter of professionalexcellence but the intent as well. That was our common experience with you. I hope the comfort you witnessin people going through their most challenging time in life—the approach of death—as they respond toyour gentle guidance gives you the kind of personal satisfaction you deserve. I am in awe of the strengthyou must own to be able to do that.

I have met a few truly memorable people in this long life. You are one of them. Bless you.

Gratefully,Al Bell

Andrea as a child with her parents

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Nurses made over 12,836 visits to patients

needing care from Hospice of the Valley

Andrea and Steve, her parents, and three children

Photo provided by the family

4850 Union Avenue l San Jose, California 95124408.559.5600 l hospicevalley.org

About Hospice of the ValleyFounded in 1979, Hospice of the Valley is the first not-for-profithospice and grief care organization to serve the community ofSanta Clara County. Hospice of the Valley is a member of theCalifornia Hospice and Palliative Care Association and theNational Hospice and Palliative Care Organization. Hospice of the Valley is licensed by the State of California, and isMedicare and Medi-Cal certified. Our services are covered by Medicare, Medi-Cal, and most private insurance plans.

We are committed to serving our diverse communities andhonor all cultures, beliefs, and traditions; we provide equitableaccess to care for all patients and families—regardless of theirfinancial ability.

Hospice of the Valley seeks the additional funding necessaryto support our service excellence. Please contact us formore information or to learn about ways you can supportHospice of the Valley.

Hospice of the Valley Mission StatementWe affirm dignity and hope for those facing serious illness byproviding comfort through compassionate palliative, hospiceand grief care. We strengthen our community through advocacy,education, research, and volunteerism.

BOARD OF DIRECTORSChris Worrall, ChairmanHéctor Sánchez-Flores,

Chairman-ElectKatherine Tallman Schuda, Esq.,

Secretary

Art AdamsZoe AlamedaGeorge Block, MDValerie BurnieceCarolyn DeLeon, DMLinda Golino, RNRoberta Hayashi, Esq.Sylvia KatzmanHarris MeyersSutton RoleyTerry RutledgeRajeev SinghJeff StrawnRobert TacciniEuan Thomson, PhD

Sally Adelus,President & CEO

Jim Ptak,Chief Financial Officer

Neal E. Slatkin, MD, DABPM,Chief Medical Officer

Christine O’Connor, RN,Chief Clinical Officer

PROFESSIONAL ADVISORY BOARDChris Worrall, ChairBrian AdamsLarry BlitzJames Cohen, MD Gay CrawfordDevon DabbsFranco DiamondKathleen Fahey, RN, AOCNJeff FisherJames Hallenbeck, MDRobert Humphreys, Esq.Monique Kuo, MDDale Larson, PhDJohn Massey, MD Nianne Neergaard, RN, MSNPaula Reed, RN, OCNTerry RutledgeSandy Chen Stokes, RN, MSNKaren StoreyJoseph Toscano, MDRandy Willoughby

SERVICE LEAGUESylvia Katzman, PresidentNancy Wendling, TreasurerAnnie Rubenstein, Corresp.

SecretarySherry Britt, Recording

Secretary

Documents

Living withDignity Redefining Hope