2013 Annual Report by St. Francis Hospital, The Heart Center

2013 Annual Report

WORLD CLASS CARE — CLOSE TO HOME

3 Catholic Health Services of Long Island: A Message from the President and CEO 5 St. Francis Hospital, The Heart Center®: A Message from the EVP & Chief Executive Officer 7 World Class Care, Close to Home 21 The St. Francis Research and Educational Corporation 26 The St. Francis Hospital Foundation 29 Volunteer Organizations: The Gift of Giving 30 Officers and Boards of Directors/Trustees 31 Hospital Statistics 32 Medical Staff

St. Francis Hospital strives to be a regional leader in the prevention, diagnosis, and treatment of heart disease while making the health care of tomorrow better through research and education. The Hospital seeks to provide an environment in which excellence in its totality is emphasized, incorporating the scientific, technical, psychosocial, and spiritual components of health care. It offers high quality cardiac care and noncardiac services to the community regardless of race, creed, ethnic origin, or ability to pay. As a Catholic health facility, St. Francis Hospital embraces the tradition, values, and charism of its founders, the Franciscan Missionaries of Mary, emphasizing respect for the dignity of individuals and compassionate treatment for all.

St. Francis Hospital, The Heart Center® 2013 Annual Report St. Francis Hospital, The Heart Center® 2013 Annual Report is published by St. Francis Hospital, The Heart Center®. Questions or comments can be directed to St. Francis Hospital, Office of Development and Public Affairs, 100 Port Washington Blvd., Roslyn, New York 11576. (516) 705-6655. Copyright © 2013. All Rights Reserved. St. Francis Hospital is a member of Catholic Health Services of Long Island, the healthcare ministry of the Diocese of Rockville Centre. Writers: Paul Barry, Rosemary Gomez, LaShieka Hunter, Suzanne Stallone • Editorial Assistant: Debra Tischler. • Photographers: Steve Moors, Steve Moors Photography. • Contributing Photographers: William Baker and Joe Danielle • Designer: Roger Gorman, Reiner Design.

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ivine Intervention: Sister Margaret Hartigan was one of the ﬁrst patients to receive a new procedure at St. Francis to treat severely calciﬁed arteries. Richard Shlofmitz, M.D., Chairman of Cardiology, used a roto-rooter like device called the Diamondback 360 to clear up the blockage in the 72-year-old nun’s clogged artery. Now, the former high school principal says she feels better than ever and is back teaching religious instruction courses and acting as a leadership consultant to outside organizations.

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Catholic Health Services of Long Island:

A Message from the President and CEO

Alan D. Guerci,M.D.

President and CEO Catholic Health Services of Long Island

y the numbers, Catholic Health Services can be clearly seen as a powerful force for good. With over 80,000 hospital admissions, more than 302,000 home care visits, and over 236,000 emergency department visits last year, our healing presence was felt in every part of Long Island. We provided meaningful work for 17,000 men and women, and 4,600 members of our medical staff practiced their profession for the benefit of our patients. With $2 billion in revenues, we are a major force in our regional economy and in our local communities. We can be proud of the fact that CHS institutions have been recognized for quality performance and for our record of keeping patients safe. In a recent study by Consumer Reports, CHS hospitals on average were ranked 19th out of 66 hospitals in the New York metropolitan area for quality and patient safety, with North Shore-LIJ hospitals average rank at 30 and Stony Brook at 33. I am proud to say that St. Francis was ranked the #1 hospital in the New York metro area. Given our accomplishments, what is our vision of CHS in the future? Very simply, I want us to be the preferred healthcare

system on Long Island, for those who need us when they are sick or in need of care, for outstanding physicians, and for those who are looking for challenging work in healthcare. In some locations such as St. Francis, CHS institutions are already the health providers of choice, but we know there is an opportunity – in fact, a necessity – to do better. As the business of healthcare changes around us, it is clear that only the most successful hospitals and health systems will survive. We have taken other steps to build for the future, most notably through a strategy called physician alignment. After much planning and development, CHS implemented a Physician-Hospital Organization (PHO) in January of this year. PHOs enable hospitals and physicians to work together to increase efficiency and quality, and insurance companies are willing to share the savings from these increased efficiencies, so it can be a “win-win” for hospitals, physicians, patients, and insurance companies. Our PHO began with over 600 participating physicians and is in turn linked to LIHN and their over 1,500 physicians. We have selected physician leaders for PHO governance as well as CHS service line development. We now have employed a total of 568 primary care and specialist physicians practicing throughout the Long Island community, an increase of 266 physicians since 2010. These are very positive signs of growth and development. In the near term, our work will not get any easier, but with our staff’s continued focus on cost effectiveness, and their unbending commitment to excellence in patient care, I believe our future is bright. I would like to thank Ruth Hennessey, hospital leadership, physicians, nurses, staff, and volunteers for their dedication to St. Francis and their commitment to our mission. I would also like to thank the Sisters of the Franciscan Missionaries of Mary who inspire us by their example and are constant reminders of purpose. I am deeply grateful for the support of our benefactors and for the guidance of the CHS Board and its Chair, Richard J.J. Sullivan, Jr. Finally, I would like to thank our Bishop, the Most Reverend William F. Murphy, for his spiritual example and for being a tireless advocate for Catholic healthcare on Long Island.

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St. Francis Hospital, The Heart Center®

A Message from the EVP & Chief Administrative Oﬃcer

Ruth E. Hennessey

EVP & Chief Administrative Officer St. Francis Hospital

ast year was a time of many successes achieved, opportunities taken, and challenges met. St. Francis, like so many hospitals across the nation, was buffeted by continued major structural changes in the business of healthcare. Dramatic shifts in the utilization of services, declining reimbursements, and a rapid shift from inpatient to outpatient services, all put pressure on healthcare providers to be more nimble, more efficient, and more focused on improving the processes of care. I am proud to say that the men and women of St. Francis responded with a renewed focus on providing excellence in patient care in a cost-effective manner across multiple specialties. Nowhere could the results of these efforts be seen more clearly than in the recognition the Hospital received in 2013. U.S. News & World Reportranked St. Francis one of the top 50 hospitals in the nation in eight specialties: Cardiology and Heart Surgery (#8);

Gastroenterology & GI Surgery (#15); Orthopedics (#23); Geriatrics (#25); Ear, Nose & Throat (#38); Neurology & Neurosurgery (#31); Pulmonology (#45); and Urology (#47). As a further sign of our growing strength in noncardiac specialties, U.S. News also ranked St. Francis high performing regionally in Cancer, Diabetes & Endocrinology, and Nephrology. As a whole, St. Francis was ranked #4 in New York State, and once again we were the top-ranked hospital on Long Island and the only hospital on the island to be nationally ranked in any of the 12 data-driven adult specialties. Last year, St. Francis received top ratings for patient safety from the Leapfrog Group and the Niagara Coalition, and more recently, Consumer Reportsranked our Hospital #1 for patient safety in the New York metropolitan area. Once again we earned the American Heart Association/American Stroke Association’s Get With The Guidelines®-Stroke Gold Plus Quality Achievement Award as well as, more recently, the Get With The Guidelines®-Heart Failure Silver-Plus Quality Achievement Award. In addition to holding one of nursing’s top honors – Magnet designation – St. Francis nurses earned a number of prestigious honors in 2013. Our Surgical Intensive Care Unit joined our CTICU and MICU-2 units in winning the gold-level Beacon Award for Excellence given by the American Association of Critical-Care Nurses (AACN). Our nurses were also honored by the American Nurses Association with its NDNQI Award for Outstanding Nursing Quality – we were one of only six hospitals in the country to earn this distinction. Even as St. Francis faced a challenging financial environment, we remained committed to quality and growth. We welcomed new cardiologists, primary care physicians, and other specialists to our family. Our Cancer Institute continued to thrive and is now poised for expansion, and our Open Heart Surgery Program was extended to Good Samaritan Hospital Medical Center in West Islip, giving Suffolk County residents convenient access to world-class cardiac care. These developments will help us to better meet the growing and changing healthcare needs of our community. All of the Hospital’s good work would not be possible without the support and generosity of our friends and benefactors, for which I am deeply grateful. I would also like to thank the Sisters of the Franciscan Missionaries of Mary who inspire us with their example of dedication and purpose. I want to thank our physicians, nurses, staff, and volunteers, for their hard work delivering St. Francis Hospital’s special brand of healthcare. I am also grateful to our past Board of Trustees and their Chair, Peter Quick, for their leadership, and I would like to acknowledge Alan D. Guerci, M.D, CHS President and CEO, for his stewardship of the CHS system. Finally, I would like to thank our Bishop, the Most Reverend William F. Murphy, for his steadfast devotion to the Church’s healthcare ministry on Long Island. St. Francis Hospital, The Heart Center®

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e’ve Got Your Back: Barney Lough spent his entire career protecting others - as a former

New York City police oﬃcer, train conductor, and guard for a private security ﬁrm. So he has the utmost accolades

for what Gary Gecelter, M.D., Chairman of Surgery, did to protect him. After the St. Francis volunteer was

diagnosed with a cancerous mass on his stomach and esophagus, Dr. Gecelter and his team, including physician

assistant Joanne McDevitt stepped in. The topnotch surgeon removed most of the retired cop’s stomach along

with 39 lymph nodes to keep the cancer from advancing. “He gave me my life back,” says Barney. “Despite losing

74 pounds and going down two suit sizes, I still can eat anything and everything I want.”

World Class Care, Close to Home

itting in the heart of Nassau County, St. Francis Hospital has consistently and proficiently served its community from 1922, when it opened its doors as a summer camp for inner city children, to today, as a nationally recognized leader in cardiac and noncardiac care. St. Francis has been the hospital of choice, close to home, for thousands of patients from Long Island and the wider region, in need of advanced treatment, state-of-the-art technology, and top-ranked compassionate care. In terms of achievements, St. Francis had an outstanding year in 2013, earning unprecedented recognition for excellent care, nursing, patient satisfaction, and patient safety: • For the seventh consecutive year U.S. News & World Report named St. Francis one of the Best Hospitals in Amer-

ica. U.S. News ranked St. Francis Hospital among the top 10 hospitals in the nation for cardiology & heart surgery. • U.S. News also rated St. Francis among the best in the country in seven other adult specialties: ear, nose & throat; gastroenterology & GI surgery; geriatrics; neurology & neurosurgery; orthopedics; pulmonology; and urology – more than any other hospital on Long Island • St. Francis was the top ranked hospital on Long Island by U.S. News and rated fifth in the New York metro area. • The Hospital was also regionally recognized by U.S. News as high performing in three specialties: cancer; diabetes & endocrinology; and nephrology. • The Surgical Intensive Care Unit at St. Francis joined the CTICU and MICU-2 units at St. Francis in winning the American Association of Critical-Care Nurses (AACN) gold-level Beacon Award for Excellence. • The American Nurses Association honored St. Francis with its 2013 NDNQI Award for Outstanding Nursing Quality®. St. Francis was one of only six hospitals in the U.S. to achieve the prestigious recognition for enhancing the quality of nursing services that affect patient outcomes.

Cardiothoracic and Vascular Surgery As the only specialty designated Heart Center, St. Francis Hospital continues to have the largest cardiac surgery volume in New York State. Its team of nationally recognized surgeons performed nearly 1400 open-heart surgeries in 2013. Led by Newell B. Robinson, M.D., Chairman of Cardiothoracic and Vascular Surgery, their reputation for excellence helped win a top 10 rating in Cardiology and Heart Surgery from U.S. News & World Report. Our cardiothoracic surgeons at St. Francis Hospital remain at the forefront of cardiac surgery using leading-edge devices in state-of-the-art settings, including our new hybrid operating room that allows surgeons and interventional cardiologists to work side-by-side as a team. In fact, the hybrid room is used to implant a revolutionary new device known as the transcatheter aortic valve, implanting new valves percutaneously via the artery in the groin. This offers new hope for patients with aortic valve stenosis, who might be deemed inoperable by conventional surgery. Dr. Robinson and George Petrossian, M.D., Director of Interventional Cardiovascular Procedures, along with other members of the Cardiothoracic and Cardiology Departments, have helped pioneer this new, less invasive approach aortic valve replacements, which allows many patients with this condition to bypass open-heart surgery. Their clinical findings were published in the New England Journal of Medicine in May 2014. This publication, along with a preSt. Francis Hospital, The Heart Center®

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World Class Care, Close to Home

vious study as contributors published in the Journal of American College of Cardiology, and a recent publication in the Journal of Cardiovascular and Thoracic Surgery, have helped pave the way for FDA approval of these devices in patients who are either high risk, or inoperable for conventional surgical aortic valve replacement. In 2013, the hospital also began using the FDA approved Edwards Sapien device for transcatheter aortic valve replacement, or TAVR. It was also chosen as the site for the upcoming St. Jude Portico study, which will randomize high risk and extreme risk patients between their Portico valve and a commercially approved transcatheter heart valve. In addition, St. Francis Hospital was chosen for clinical trials investigating the new Evolute-R transcatheter valve introduced by Medtronic Corporation. “This is an opportunity for us as cardiac surgeons and cardiologists to come together on the same playing field,” says Dr. Robinson. “It’s been fascinating for me as a surgeon. In the past, cardiac surgeons and interventional cardiologists have operated in silos, so to speak. At St. Francis Hospital, we have merged our intellect and skill to work together as a team. It’s a win-win for everyone, but most especially for our patients!” St. Francis Hospital extended its world-class open-heart surgery program to Good Samaritan Hospital in West Islip in 2013. The program, led by a Christopher L. La Mendola, M.D., Chairman of the Department of Cardiothoracic Surgery at Good Samaritan, aims to bring the award-winning cardiac care provided at St. Francis Hospital to residents of Suffolk County. He recently performed our centennial case at Good Samaritan Hospital, without a single mortality. In addition, St. Francis Hospital welcomed two new cardiothoracic surgeons to its team in 2013. Edward Lundy, M.D., Ph.D., was the former chief of the International Cardiovascular Institute at Good Samaritan Hospital in Suffern, New York, before joining St. Francis. He was also chief of the Section of Cardiac Surgery and Director of the Cardiovascular Intensive Care Unit. The Hospital also welcomed Maksim Rovensky, D.O., formerly a Clinical Associate in the Department of Thoracic and Cardiovascular Surgery at the Cleveland Clinic Foundation. Dr. Rovensky is an Attending Cardiac Surgeon in the St. Francis Open-Heart Surgery program at Good Samaritan Hospital. The department continues to grow and expand its horizons with respect to new programs. It continues its commitment to providing outstanding outcomes for our patients in open-heart surgery utilizing minimally invasive techniques. This program initiated by Dr. Robinson in 1995, has grown exponentially, and continues to expand with respect to the variety of procedures that utilize these techniques, including aortic valve replacements, ascending aortic root replacements, mitral valve repair/replacements, and more complex repairs including atrial septal defects. In addition, the department continues to expand its interests in the treatment of congestive heart failure with surgical procedures, electrical device therapy and resynchronization, as well as new applications of minimally

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ore of the Matter: Retired library supervisor Ruth Goldberg is never at a loss for words, but has a few precious ones to describe the revolutionary procedure she received at St. Francis. “This valve saved my life,” she says. The 95-year-old dynamo suﬀered from aortic valve stenosis and the clock was ticking fast for a solution. But thanks to Newell Robinson, M.D., Chairman of Cardiothoracic and Vascular Surgery, and George Petrossian, M.D., Director of Interventional Cardiovascular Procedures—pioneers in using a minimally invasive device called CoreValve—her story had a happy ending. Mrs. Goldberg was able to avoid open-heart surgery and is back home enjoying the beneﬁts of a procedure that speaks volumes for its recipients.

World Class Care, Close to Home

invasive approaches to thoracic surgical and oncologic procedures. The Division of Vascular Surgery, led by Richard V. Matano, M.D., and his associates, has introduced new and innovative techniques in endovascular surgery to the armamentarium that includes standard open vascular operations. These endovascular techniques are useful not only in the treatment of major abdominal aortic and peripheral arterial disease, but also in the treatment of thoracic surgical and even proximal aortic disease in association with the Hospital's cardiac surgeons. The department will be expanding this exciting new area of interventional surgery inclusive of a major renewal of its commitment to major thoracic aortic surgical procedures.

Cardiac Catheterization Laboratory St. Francis Hospital’s Cardiac Catheterization Laboratory remained one of the busiest facilities of its kind in the region during 2013. Led by Thomas Pappas, M.D., its topnotch interventional cardiologists performed more than 10,000 cardiac catheterizations, including the largest volume of percutaneous coronary interventions (angioplasty with stents) on Long Island. Most of the interventional cardiologists that comprise the team have been with St. Francis for more than a decade, making it one of the most experienced centers in the world. “Through word of mouth or from past experience, patients come here knowing they can trust us. They feel confident that their hearts will be in the most experienced hands due to the sheer number of cases we handle and our excellent success rates,” says Dr. Pappas, Director of the Cath Lab. In 2013, the Cath Lab at St. Francis continued to be a vital site for transcatheter valve implantation or TAVI. Its initial participation in the Medtronic CoreValve U.S. Pivotal Trial helped to get FDA approval for a minimally invasive device that offers new hope for patients who are two elderly or sick to undergo surgery for aortic valve stenosis. A second study now underway at St. Francis could extend the use of CoreValve to a larger and younger pool of patients depending on the findings. “Playing a critical role in these major nationwide trials will have significant impact on how we will be able to treat valve disease in the future,” says Co-Principal Investigator George Petrossian, M.D., Director of Interventional Cardiovascular Procedures. “It’s an exciting time for cardiologists at St. Francis to be able to offer new, catheter-based alternatives to their patients.” In addition to his pioneering work with CoreValve, Dr. Petrossian was a lead investigator for another noteworthy study in 2013, the Scaffold Trial, which is evaluating a new Carotid Stent in High Risk surgical patients, as well as worked with Andrew Berke, M.D., developing the use of the FDA approved Lariat device for reducing stroke risk in atrial fibrillation patients, through the closure of the Left Atrial Appendage. This work was performed in conjunction with Joseph Levine, M.D., Director of Electrophysiology. Under the direction of Richard Shlofmitz, M.D., Chairman of Cardiology, the Cath Lab was also the site of two other closelywatched national studies—one involving the use of biodegradable stents by Abbott that dissolve over time, and the other using a recently FDA approved roto-rooter like device to clear severely calcified arteries. The device called the Diamondback360® Coronary Orbital Artherectomy System aims for a quicker, easier way to treat calcified arteries, says Dr. Shlofmitz. “It pulverizes the calcium and makes it easier to stent.” St. Francis was one of the first hospitals in the country and the first on Long Island to use this new technology.

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Sean Levchuck, M.D., Chairman of Pediatric Cardiology, also made St. Francis history in 2013 when he performed the first VSD procedures in the Cath Lab, becoming the first physician on Long Island to use the life-saving procedure on children. Dr. Levchuck repaired the holes in two Russian girls hearts using a catheter-based approach. The young patients were brought to St. Francis through the humanitarian organization Russian Gift of Life U.S.A. They had no other alternative in their country but open heart surgery and it failed for one of them. “They came here with a seemingly terminal sentence and we were able to flip the switch,” says Dr. Levchuck.

Arrhythmia and Pacemaker Center St. Francis Hospital’s nationally recognized Arrhythmia and Pacemaker Center continued to have one of the highest caseloads of cardiac arrhythmia procedures in the country. Led by Joseph Levine, M.D., Director of Electrophysiology, its highly respected team set the pace for treating a wide range of arrhythmias with nearly perfect safety and success rates. Its physicians performed nearly 3,400 cardiac arrhythmia procedures in 2013, placing more than 1,300 implantable cardioverter defibrillators and pacemakers in patients, in addition to conducting over 2,000 electrophysiology studies. Dr. Levine and his fellow St. Francis electrophysiologists have long been recognized for being pioneers in treating arrhythmias, helping to set new medical protocols from breakthroughs in radiofrequency ablation and pacemaker and defibrillator implantation. The world-renowned center remained a pivotal site for clinical studies that could change the face of cardiac arrhythmia treatment. In 2013, Dr. Levine began preparations and training with Richard Shlofmitz, M.D., Chairman of Cardiology, to implant the first leadless pacemaker on Long Island, which was performed in April 2014. The miniature, self-contained device is implanted directly into a patient’s heart without surgery. Known as the Nanostim, the minimally invasive, “nano” pacemaker is produced by Minnesota-based St. Jude Medical and is now being tested at St. Francis as part of a national study. Less than one-tenth the size of a regular pacemaker and slightly larger than a quarter, it is routed into the right ventricle of the heart using a catheter inserted into the femoral vein of the leg. Scar tissue eventually grows over the implant, securing it in place. The Nanostim is for patients who require single-chamber pacing or roughly up to 30 percent of patients who need pacemakers. “This is very different from a standard pacemaker,” says Dr. Levine, who believes it’s ideal for younger, active heart patients. “A person can go to the beach and people will not know that person has a pacemaker.” Dr. Levine also collaborated with George Petrossian, M.D., Director of Interventional Cardiovascular Procedures, and Andrew Berke, M.D., in using an FDA-approved device that could reduce strokes in atrial fibrillation patients. The condition, which affects three percent of the U.S. population, is the most common form of cardiac arrhythmia and is characterized by irregular contractions of the heart that could cause strokes.

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he Gold-Standard of Global Care: Anastasia Bakhtiarova (l.) and Katya Lebedeva (r.), both from Russia, share a heartfelt moment with Sean Levchuck, M.D., Chairman of Pediatric Cardiology.

The two girls, who were born with holes in their hearts, did not have access to topnotch cardiac care in their own

country, but they received a lifesaving, minimally invasive procedure at St. Francis and made a remarkable recovery. “When I was starting out in the early 1990’s, we would operate on someone and they would sit still for a week

or 10 days,” says Dr. Levchuck, who has been a pediatric cardiologist for 20 years. “When you look at this, the

patients went home two days later. It’s amazing.”

World Class Care, Close to Home

The new device, called the Lariat, offers an alternative to blood thinners and traditional surgery typically used to reduce the risk of stroke. The minimally invasive, catheter-based approach is done under general anesthesia. It relies on a suture that ties around the left atrial appendage, a pouch where blood can stagnate, helping to reduce chances of clots breaking off and causing a stroke. “At St. Francis, we try to tailor therapy to the patient – what they want and what we think might be safest for them,” says Dr. Levine. “One shoe doesn’t fit all sizes. You need to be in a center that specializes in atrial fibrillation. Otherwise you won’t get the full benefits of what’s out there today.”

Diagnostic Imaging Diagnostic imaging is pivotal to St. Francis Hospital’s ability to provide the highest quality patient care. It is the department’s breakthrough technological advances in radiology and the expertise of our radiologists that consistently deliver excellent service. Led by Scott Sherman, M.D., Chairman, the radiology department performed 322 oncology positron emission tomography (PET)/Computerized Tomography (CT) procedures in 2013, as compared to 190 in 2012. The volume growth is directly related to the Oncology Department. In 2013, the department continued its focus on reducing radiation dose to patients receiving CT scan procedures. This was accomplished by the installation of Adaptive Statistical Intuitive Reconstruction (ASIR) software in 2010. The ASIR technology has the ability to reduce patient dose by 40 percent, and when joined with the snapshot pulse software on the CT scanner, the radiation dose to the patient can be reduced up to 83 percent for patients undergoing cardiac computed tomography angiography (CTA) procedures. In addition to these advances, the department acquired state-of-the-art software called Dose Watch that tracks each patient’s radiation dose received from CT scan procedures. That data will be stored in a searchable data base that will be interfaced in 2015 with the electronic medical record. In 2014, the Radiology Department, in conjunction with the cardiac research department, is expected to install an additional CT scanner that represents a new frontier in medical imaging, and will enhance workflow by setting the benchmark for advanced cardiovascular imaging while simultaneously improving diagnostic accuracy and lowering dose in all exams. The scanner is expected to provide a uniquely comprehensive exam that reduces a patient’s diagnosis time from hours or days to mere minutes. This results in more rapid and successful treatment of patients, particularly those suffering from heart conditions, stroke, cancer, and other serious medical conditions.

Department of Surgery St. Francis Hospital’s ranking among the best in the nation in seven non-cardiac specialties by U.S. News & World Report in 2013 reflects its growing recognition for excellence beyond cardiac care. Led by Gary Gecelter, M.D., Chairman of Surgery, the Department helped win top ratings by U.S. Newsfor ear, nose and throat; gastroenterology and GI surgery; geriatrics; neurology and neurosurgery; and for the first time, orthopedics; pulmonology; and urology.

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World Class Care, Close to Home

The Department also prided itself in working closely with the Cancer Institute at St. Francis to develop a comprehensive approach for treating a multitude of malignancies. In preparation for being designated as a cancer center, it noted a significant increase in the number of newly diagnosed cancer surgery cases at St. Francis being presented at designated GI and Neurosurgery tumor boards. “Navigating through a medical system can be difficult for cancer patients. We want our patients to feel confident in knowing that we will be with them from diagnosis through treatment, providing the best possible options for the best outcomes,” says Dr. Gecelter. The Hospital also experienced continued growth in both orthopedic and neurosurgery—two specialties that received both national and regional recognition for quality and safety. Under the leadership of Richard Johnson, M.D., Director of Neurosurgery, St. Francis expanded its use of minimally invasive brain and spinal surgeries. In 2013, the Division welcomed Rick Madhok, M.D., a neurosurgeon specializing in skull-based surgery, to its topnotch team. Dr. Madhok’s expertise in endoscopic procedures, allows some skull and spine procedures to be done through smaller incisions at a fraction of the size of a standard open procedure. In addition, St. Francis continued to offer patients the latest options in orthopedic surgery. Directed by Richard D’Agostino, M.D., a recognized expert in Sports Medicine, the Division saw an uptick in demand for leading edge techniques in joint repair and replacement. Dr. D’Agostino offered new hope for damaged knees through cartilage implantation, a procedure in which cartilage cells are introduced into joints to form new cartilage that attaches to bones. St. Francis Hospital’s orthopedic surgeons also kept in stride with other state-of-the-art approaches aimed at helping patients regain mobility.

Emergency Department Despite competition from a proliferation of urgent care centers in 2013, St. Francis Hospital’s award-winning Emergency Department was one of only three EDs on Long Island that saw an increase in patient visits. The newly renovated stateof-the-art facility offers world class emergency care to North Shore residents in their own backyards. “Many of our patients drive a little further because they know the Hospital, and they believe that they’ll be safe within our care,” says Mark Hoornstra, M.D., Chairman of the Department. “Our patients just feel safer coming back to a hospital they trust. Even, if they don’t think they are having a cardiac problem, they know they will get the best care that can be obtained anywhere, and they can also rest assured that we understand and can address any cardiac complication that may arise.” Partly in evidence of this is the laudable 69 minute Door to Balloon time for the Catheterization Lab with more than 80 percent of patients being treated within the 90 minute target, adds Dr. Hoornstra. Members of the emergency team were crucial in getting the Stroke Gold Plus Award for the Hospital from the American Heart Association for quality achieve-

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ame. Set. Match. Martin Wostenholme is a pro on the tennis court – Yale Tennis Team, Canadian Davis Cup Team, touring tennis pro – but he really met his match when he needed orthopedic surgery. He already had

an ailing hip when he had a serious auto accident in 2012 that knocked him oﬀ the court. He came to see Bruce Seideman, M.D, Chief of Joint Replacement Surgery at St. Francis, who told him, “Trust me. I will take care of you.” Dr. Seideman performed a total hip replacement on Martin, who, after physical therapy, was back was back to hitting tennis balls ﬁve weeks later. “Since then, I haven’t looked back,” he says, adding, “my experience was far beyond what I imagined with hip replacement surgery. I am grateful to Dr. Seideman because it has changed the trajectory of my life.”

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eacon of Strength: 2013 was a big year for the St. Francis nursing department. Two units, Surgical Intensive Care Unit (SICU) and Medical Intensive Care Unit (MICU-2), were given the gold-level Beacon Award for Excellence by the American Association of Critical-Care Nurses (AACN). The award, which marks a signiﬁcant milestone on the path to exceptional patient care and a healthy work environment, recognizes unit caregivers who successfully improve patient outcomes and align practices with AACN’s six healthy work environment standards. The Hospital's Cardiothoracic Intensive Care Unit (CTICU) received this honor in 2012. “St. Francis is now the proud recipient of three of the ﬁve gold-level Beacon Awards that have been conferred to hospitals in New York State,” says Ann Cella, Senior VP of Patient Care Services and CNO at St. Francis. “This latest recognition is a testament to the continued excellence we provide in nursing care.”

Back row (l. to r.): Antoinette Jordan, BSN, MBA, R.N., NE-BC; Nardia Cooper, AAS, RN; Asha Phillips, BSN, R.N., CCRN; Amanda Kassan, BSN, R.N., CCRN; Bessy Abraham, BSN, R.N.; Maureen Powers, MSN, R.N., CCRN; Tina Hong, AAS, R.N., CCRN; Joan Wallace, BSN, R.N., CCRN; Karen O’Brien, MSN, R.N., CCRN, ANP-C; and Mary Jane Glander, MSN, R.N., CCRN. Front row (l. to r.): Karen Freeman, BSN, R.N., CCRN; Noelle Mastrocovi, BSN, R.N.; Warlita Au, BSN, R.N., CCRN; Anju Joseph, BSN, R.N.; Sara Skiff, BSN, R.N.; Richard Crudo, BSN, R.N.; and Sreeja Nair, BSN, R.N.

World Class Care, Close to Home

ment in stroke care. The Department also helped spearhead a sepsis awareness program that focuses on the early identification and aggressive treatment of sepsis. The Department has worked closely with the Cancer Institute at St. Francis to address the unique needs of Chemotherapy patients who may need urgent care and are at risk of infection. According to Dr. Hoornstra, his department continues to see some of the highest acuity emergency patients in the country, and sees by far the highest acuity patients on Long Island. Nearly 50 percent of patients who enter the ED were admitted to the Hospital. In response to growing demand for its services, the Department added four new Emergency Board Certified physicians in 2013. It also continued to be a source of referrals for Hospital employees, their friends, and loved ones. “There are doctors on Medical Staff who have attending privileges at other hospitals, but when they need emergency care for themselves or for a family member, they come here,” says Dr. Hoornstra, who sees this as a reflection of his department’s history and experience in taking care of the sickest patients with the highest success rates.

Nursing Excellence at St. Francis Physicians, staff, patients, and families would all agree that the St. Francis nursing department is one of the most exceptionally skilled and compassionate nursing departments in the country. The unsurpassed, world-class care that St. Francis nurses provide is the reason why they are the cornerstone of patient care, and also the reason why, year after year, the department receives major accolades and awards. In 2013, the American Nurses Association honored St. Francis with its National Database for Nursing Quality Indicators® (NDNQI) Award for Outstanding Nursing Quality® based on results from 2012. St. Francis was one of only six hospitals in the U.S. to achieve the prestigious recognition for enhancing the quality of nursing services that affect patient outcomes. The winners had to participate in the American Nurse Association’s NDNQI®, the nation’s most comprehensive database of nursing performance measures. “It was an honor for us to be recognized by an association that sets such high standards for nursing care and to be part of an elite group of hospitals,” says Ann Cella, Senior VP of Patient Care Services & CNO of St. Francis Hospital. “This award reflected the ongoing commitment of our nurses to provide the very best in patient care.” Also in 2013, the nurses in the Medical Intensive Care Unit and the Surgical Intensive Care Unit received a gold-level Beacon Award for Excellence from the American Association for Critical-Care Nurses (AACN). St. Francis nurses were also instrumental in the Hospital earning the American Heart Association/American Stroke Association’s Get With The Guidelines-Stroke Gold Plus Quality Achievement Award for implementing specific quality improvement measures for the treatment of stroke patients. In addition to that, the nurses played a major role in St. Francis Hospital receiving an ‘A’ on the Leapfrog Group’s national safety score that rated hospitals on the quality of care for the fourth consecutive time. “Over the past year, we have accepted many challenges and made significant progress,” says Cella. “Going forward, nursing at St. Francis will continue to focus on efficiency and coordinated care across the continuum for our patients.

St. Francis Hospital, The Heart Center®

2013 Annual Report 17

World Class Care, Close to Home

We will also focus on the clinical processes of care to improve outcomes and provide the ideal patient experience.” In 2011, St. Francis Hospital earned Magnet designation for nursing excellence for the second consecutive time. Only 7 percent of American hospitals have been awarded Magnet status. The nursing department is currently working towards achieving a second redesignation. “Our nursing staff has demonstrated commitment to excellence through evidence-based practices. We constantly strive to be the best of the best,” says Cella. “I am extremely proud of our nurses and very grateful to work alongside men and women who continuously provide exceptional care to our patients. They are the fabric of St. Francis Hospital.”

Education and Outreach St. Francis Hospital continued its mission to promote health and wellness throughout Long Island and beyond through its education and community outreach programs. Located at the DeMatteis Center in Greenvale, its cardiac rehabilitation center was the site of nearly 60,000 patient visits in 2013. Its community exercise programs, including Tai Chi and Yoga, also drew a healthy number of visitors looking for ways to enhance their well being. Through its mobile clinic, the Hospital provided almost 4,500 free health screenings in communities ranging from western Suffolk to Eastern Queens and in neighborhoods on both shores of Long Island. It also helped to provide more than 1,400 flu shots to underserved communities through diocesan and parish programs such as HealthSundays, giving much needed immunizations to those who are unable to access or afford healthcare. St. Francis also screened more than 200 high school athletes through its free Student Athlete Cardiac Screening Program. Twenty of these students required follow-up visits for potentially dangerous heart conditions as a result of the program, which continues to grow in popularity as word spreads among schools and parents. In addition to offering cardiac care close to home, the Hospital also provided life-saving heart procedures to children from around the world through its affiliation with a humanitarian organization called Gift of Life. Ten children from the Ukraine, Russia, Haiti, and Kosovo received state-of-the-art medical procedures not available to them in their own countries, including two Russian girls who underwent the first VSD procedures at St. Francis to repair holes in their hearts. “Through our ongoing work in the community, St. Francis Hospital truly strives to achieve our mission of advocating for the underserved, and to promote health and healing for those who need us most,” says Sue Palo, R.N., Director of Rehabilitation and Community Services.

St. Francis Hospital, The Heart Center®

2013 Annual Report 18

Nathaniel Reichek, M.D., Director of Research and Director of Noninvasive Cardiology, pictured on the grounds of the DeMatteis Center.

Research and Educational Corporation

n 2013, research played an essential role in the development of new cardiovascular diagnostic and treatment modalities at St. Francis Hospital. For decades the Hospital’s Research Institute has been in the forefront of producing world-class research and participating in leading edge studies. The Institute is located at The DeMatteis Center for Cardiac Research and Education in Greenvale. The 14,500 square-foot facility is the home of research programs using some of the most advanced and technologically state-of-theart cardiac imaging methods, including magnetic resonance imaging (MRI), computed tomography (CT), and 3-D echocardiography. With Nathaniel Reichek, M.D., a renowned cardiac imaging expert, as its leader, and its outstanding staff, the Research Institute is a premier center for improving cardiac care through research, education, and prevention. Since the opening of St. Francis Hospital’s Cancer Institute in 2012, the Research Institute has initiated a research program focused on early detection of adverse effects on the heart of cancer treatments such as chemotherapy and radiation. The group has been working closely with Bhoomi Mehrotra, M.D., Director of the Cancer Institute and the Hospital’s Director of Oncology, to assist him with the organization of clinical studies. “We have collaborated with the Cancer Institute to embark on novel cardiac imaging research that deals with important problems in oncology,” says Dr. Reichek. “Cardio-oncology, as it’s now being called, is emerging as a new specialty within cardiology because a number of important chemotherapy agents can cause adverse effects on the heart and can produce heart failure. The question is, can you detect those who are particularly vulnerable to that kind of problem earlier on?” The anthracyclines are an important class of chemotherapy drugs that have the potential to weaken and damage heart muscle, says Dr. Reichek, and patients who receive them must have their heart function monitored. “There are now a number of methods that are reported to be more sensitive than ejection fraction – the measurement of the percentage of blood leaving your heart each time it contracts – and may potentially be used for identifying patients at risk early, and then adjusting the amount of chemotherapy they receive, or which drugs they are given. This can avoid heart problems,” says Dr. Reichek. Dr. Reichek and Dr. Mehrotra, along with Haoyi Zheng, M.D., a rising expert on cardio-oncology and the newest member of the St. Francis research team, have joined together to look at problem areas in cancer chemotherapy. The physicians will examine anthracyclines, as well as herceptin, a blocker that is used to treat women with estrogen-sensitive breast cancers. Herceptin was previously used with adriamycin, but the two of them taken together can worsen any underlying cardiac issues a patient may have. The three physicians are also looking at another type of cancer chemotherapy that is growing in usage. This type of chemotherapy blocks the effects of substances normally produced in the body that stimulate the devel-

St. Francis Hospital, The Heart Center®

2013 Annual Report 21

Research and Educational Corporation

opment of blood vessels. Some cancers can secrete these molecules and grow their own blood supply, so that the tumor enlarges. One of those substances is called VegF. It’s normally produced by the body in some circumstances such as wound healing and can be produced in the healing around a heart attack,” explains Dr. Reichek. “But certain kidney and lung cancers can produce large amounts of VegF which helps the cancer grow. There are now VegF inhibitors used for treating some of these types of cancers. But they also can impair the normal healing process for blood vessels in the heart and can have adverse effects on normal blood vessels. So we have developed techniques for detecting effects on blood vessels also so that treatment can be properly managed.” A major highlight in the research department last year was the completion and reporting of results for the initial Pivotal High Risk CoreValve trial, for which St. Francis played an important role in the overall recruitment and treatment of patients. The CoreValve system by Medtronic is an innovative system for transcatheter aortic valve replacement (TAVR) – replacing the heart’s aortic valve without open heart surgery. Newell Robinson, M.D., Chairman of Cardiothoracic and Vascular Surgery, and George Petrossian, M.D., Director of Interventional Cardiovascular Procedures, were the principal investigators at St. Francis, and they were coauthors on a research paper presented at the American College of Cardiology’s meeting in Washington D.C. and also published in the New England Journal of Medicine. “The research showed for the first time, better outcomes in patients treated with TAVR, than those treated with surgery. The work that had been done before that, with the Edwards Sapien device had shown comparable outcomes with both types of treatment. But the CoreValve Pivotal Trial showed better outcomes with TAVR and that was an eye-opener,” says Dr. Reichek. “The CoreValve device is now available commercially and between that and the fact that the Sapien device is also available commercially, we’ve got a rapidly growing clinical program going now.” Elizabeth Haag, R.N., Research Nurse Manager, and her team will be supporting Drs. Robinson and Petrossian and St. Francis’ Administration in developing a Heart Valve clinic to support the clinical TAVR program. “Their group has the expertise, and there is now a new clinical program being formed based on the research we’ve been developing. TAVR at St. Francis has had a phenomenal impact on the very elderly, very sick patients. There are some risks, but patients who have severe symptoms of intractable heart failure can see dramatic improvement with TAVR if they have a smooth course. The benefits can be really spectacular,” says Dr. Reichek.

Emerging Research and Technology Dennis Mihalatos, M.D., Director of Clinical Echocardiography, who supervises the echo testing for the TAVR program, has been using CT imaging to improve the echo testing used to evaluate TAVR patients. CT scanning is St. Francis Hospital, The Heart Center®

2013 Annual Report 22

used to measure the area where the TAVR device will be implanted to ensure a proper fit. “If there is a mismatch between the device and the area in which it is being implanted, there may be leakage, which would not be good for the patient,” explains Dr. Reichek. Jie Jane Cao, M.D., Clinical Director of Cardiac CT and MRI, embarked on several exciting research projects in 2013, including a pair of studies that focus on patients with heart failure. Dr. Cao has developed new methods of estimating measures of heart function that were previously only obtainable in the Cath Lab, and she has also been examining blood flow in the lungs in patients with pulmonary hypertension, caused by abnormal function of the blood vessels in the lungs, that has become a more serious and widespread problem in recent years. “Dr. Cao has done some very interesting work studying how disease of these arteries and of the lungs themselves effects the distribution of blood throughout the lungs and interacts with heart disease,” says Dr. Reichek. Dr. Cao teamed with up Lin Wang, M.D. and Elana Koss, M.D., both recent additions to the Hospital’s echocardiography group. Working with Joseph Levine, M.D., Director of Electrophysiology, these physicians are conducting a study on patients who have had an ablation procedure to treat atrial fibrillation. Before these patients have the procedure, they also have a CT scan on the same day to show the anatomy of the left atrium of the heart, which is most responsible for atrial fibrillation. Patients also have transesophageal echocardiography (TEE) to be sure that there is no blood clot in the left atrium that could break off during the procedure. Drs. Cao and Wang are looking at 800 patients who have had these procedures to see whether using a CT scan alone they can develop reliable ways of detecting blood clots. If successful, this approach can save people from having to have a TEE, which requires heavy sedation or actual anesthesia and is associated with modest risks. Last year, Eddy Barasch , M.D., Co-Director of Echocardiography, continued his work in aortic stenosis and published a series of studies looking at how a variety of factors influence the outcome of patients with aortic stenosis and their survival, as well as their need for surgery and the results of surgery. Now he is researching better ways to detect the severity of calcification of the aortic valve and how the amount of calcium relates to the outcome of the disease. Dr. Barasch has also developed new ways of evaluating the interplay between heart blood pressure and aortic stenosis. So far, he has studied over 500 surgical patients at St. Francis. Andrew Van Tosh, M.D., Clinical Director of Nuclear Cardiology, and Kenneth Nichols, M.D., a biomedical engineer and leading basic investigator in nuclear cardiology, continued to conduct research on measuring blood flow through the heart muscle with positron emission tomography (PET) techniques, as well as how well the heart is pumping. “They’ve developed new ways to use nuclear testing to better evaluate heart muscle pumping function using PET,” says Dr. Reichek. Drs. Van Tosh and Nichols have also been investigators in the Twins Heart Study, and looking at the degree to which the heart muscle blood supply increases during stress is genetically determined in twins. St. Francis Hospital, The Heart Center®

2013 Annual Report 23

On the Horizon Dr. Reichek says that St. Francis will be getting a very advanced CT scanner in the coming months. The new scanner will be able to generate 640 image slices and can image the coronary arteries in a single heartbeat, when heart rate is reasonably slow. The radiation dosage on the new machine will be dramatically lower, the X-ray contrast dosage will be lower, and the machine is considerably faster than most CT scanners. “The new scanner will enable us to start a new research program on blood flow in the heart muscle. Much of the stress testing that we do, through nuclear imaging and MRI, is with imaging of blood flow in the heart muscle. We’ve done much research using MRI and PET to do quantitative measurements in milliliters of blood flowing through each gram of tissue in the heart walls, but we haven’t been able to start similar work with CT because the X-ray and contrast dose is too high with the older technology. With this new technology we can do it,” say Dr. Reichek. In 2013, St. Francis researchers presented 25 original research papers on work originating at the Hospital at scientific meetings of organizations such as the American Heart Association, the American College of Cardiology, the European Society of Cardiology, the Radiologic Society of North America, the International Society of Magnetic Resonance in Medicine, the Society for Cardiovascular Magnetic Resonance, the Society of Nuclear Medicine, and the American Society of Echocardiography. St. Francis researchers also authored 17 articles in major journals such as the Journal of the American College of Cardiology, Circulation Cardiovascular Interventions, Journal of the American College of Cardiology Cardiovascular Interventions, Magnetic Resonance in Medicine, Journal of Nuclear Cardiology, Journal of the American Society of Echocardiography, Journal of Magnetic Resonance Imaging, and the Journal of Cardiovascular Magnetic Resonance. In all, 20 multicenter clinical trials protocols monitored by the Institutional Review Board (IRB) in 2013 were supported by the St. Francis Research Institute, including six that began in 2013 and are actively enrolling patients. An additional five new multicenter clinical trials are slated to undergo IRB submission and begin enrollment in the second quarter of 2014. In addition, research relationships with Columbia University and the Biomedical Research Alliance of New York are under development. This level of activity will reinforce and expand the Hospital’s reputation nationally and internationally as an important contributor to cardiac research.

St. Francis Hospital, The Heart Center®

2013 Annual Report 24

The St. Francis Hospital Foundation

s the incidence of cancer grows, so does the need for care that is high quality, close to home and delivered with compassion. St. Francis Hospital’s decision to create a new Cancer Institute has inspired many members of the hospital community to put their hearts into cancer care. Over the next five years, we will work together to raise $30 million through a capital campaign to expand the oncology program at St. Francis. Plans include a new outpatient center where patients will have access to infusion therapy, imaging and their physicians’ practices, all in one central location in East Hills. Prior to the campaign’s official launch, generous benefactors had already directed philanthropic support totaling more than $3 million to this initiative. Herbert J. McCooey, Jr. is leading the campaign on behalf of the St. Francis Hospital Foundation. During the annual St. Francis Hospital Gala in November, Bhoomi Mehrotra, M.D., Director of Oncology and Director of the Cancer Institute at St. Francis, underscored the importance of “putting our hearts into cancer care.” This suc-

cessful event honored Tanja and James Dixon, and was chaired by Christina and Sal Naro. In June, Stuart Acker chaired St. Francis Hospital’s 39th annual Golf Classic which brought together more than 300 friends in support of the hospital. The St. Francis Hospital Foundation received a total of $5.8 million in new gifts from individual, corporate and foundation donors in 2013. This philanthropic support included major gifts, planned gifts, and contributions to the annual fund and special events.

Generous donors contributed $5.8 million in 2013 to grow and sustain the St. Francis culture of compassionate care.

St. Francis Hospital, The Heart Center®

2013 Annual Report 26

ound of Applause: He has shared the silver screen with Elvis and appeared in over 40 movies and television shows, but these days, actor Will Hutchins has a new lease on life, thanks to Bhoomi Mehrotra, M.D., Director of Oncology and Director of the Cancer Institute at St. Francis Hospital, The Heart Center®. In December 2012, the actor discovered a lump on his throat while shaving and shortly after was diagnosed with head and neck cancer. He came to St. Francis Hospital’s Cancer Institute and immediately formed a bond with Dr. Mehrotra, who is the star in Will’s eyes. “He is such a wonderful guy. Such a jolly fellow. You cannot go wrong in his hands,” says Will. “Dr. Mehrotra, the nurses, and the entire staﬀ are angels. I had a great experience at St. Francis.”

riorities in Place: Emily Masiello loves helping others so much she makes it her top

priority. “I actually work my job schedule around being a volunteer, so I can put volunteering ﬁrst, thanks to my bosses who understand how much it means to me,” says Emily. The 22-year-old student is also taking classes at the State University at Farmingdale to become a physical therapist and works part-time as a

restaurant hostess. “I love coming to the Hospital and helping people,” says Emily, who volunteers eight hours a week at St. Francis - even during her Spring break.

Volunteer Organizations: The Gift of Giving

ow can you spot a St. Francis Hospital volunteer? By their signature coats and their warm smiles. These are the men and women, ages 15 to 96, who are part of the fabric of the hospital, and who tirelessly dedicate their service, 365 days a year, seven days a week, to making the Hospital a better place. They have become an important and much-needed part of the patients’ lives, as well as the lives of the doctors, nurses, and staff at St. Francis Hospital. In 2013, 604 volunteers donated over 77,000 hours of their time to the

non-profit organization dedicated to the distribution of books and music

Hospital, totaling $1.7 million for their collective service, based on figures

on cassette at no fee to eligible recipients. The program has been very

compiled by the U.S. Bureau of Labor Statistics. “Our volunteers comple-

rewarding and satisfying for patients at St. Francis, as well as for Morris

ment the services at the Hospital,” says Kimberley Arlotta, Director of Vol-

who enjoys going room to room offering books and music on tape to the

unteers. “We have a wonderful, friendly group who are always available.”

patients.

The volunteers contribute their services to the Emergency Department,

That is a perfect example of the type of compassionate service that the

Information Desk, Pastoral Care, PACU, Patient Relations, Admitting, Pa-

volunteers love to give back to St. Francis Hospital. “It’s their dedication

tient Transport, Dietary, Clerical, Gift Shop, Endoscopy Unit, and the sur-

and loyalty that stands out,” Arlotta says. “Many have been patients

gical waiting areas in the Heart Center waiting room and the DeMatteis

themselves and have been treated beautifully here, and that’s why they

Pavilion waiting room at St. Francis, and the cardiac rehabilitation center

want to give back. They love everyone here, and they love to see their

at the DeMatteis Center.

doctors walking by and have the doctor recognize and acknowledge

Last year, the volunteers began helping out in the ACU, the Catheteriza-

them. That makes a big difference for them.”

tion Lab, and in the Infusion Center at the hospital’s Cancer Institute. Ar-

This past spring, Johnson, Bodkin, and Morris were honored at the an-

lotta says that the volunteers provide “friendly visits” to the cancer

nual Volunteer Awards Luncheon for their time and dedication to St. Fran-

patients and provide them with coffee, tea, or pleasant conversation dur-

cis Hospital.

ing their time in the Infusion Center. The volunteers are now also donat-

Volunteers have been a pillar at St. Francis Hospital since 1941 when sev-

ing their time at St. Francis Hospital’s Bishop McHugh Health Center, which

eral women volunteers established The Guild of St. Francis. Over seven

provides primary care to patients in the community, regardless of a pa-

decades later, the Guild continues to thrive. In 2013, the Guild hosted a num-

tient’s ability to pay.

ber of notable fundraising events, including their Heart to Heart Luncheon,

St. Francis Hospital’s oldest volunteer is Robert Bodkin at 96 years-old,

Annual Spring Luncheon and Tree of Lights. Their dedicated efforts, to-

who has donated 3,000 hours of his time. Last year, Bill Johnson was the

gether with proceeds from The St. Francis Hospital Gift Shop, resulted in a

volunteer who donated the most hours for the second year in a row, giv-

donation of $130,000, bringing them one step closer to fulfilling their third

ing 1,200 hours, for a total of 18,000 hours since he started volunteering

$1 million pledge to the Hospital’s Master Facilities Plan. The Brave Hearts of St. Francis also continue to provide support and in-

at the hospital in 1998. In 2013, the Hospital had 60 volunteers under the age of 20. These jun-

formation for recovering heart patients. This volunteer group was founded

ior volunteers often transport patients, run errands, and deliver newspa-

in 1975 by a group of patients who had received lifesaving cardiac care at

pers. Arlotta says that a lot of the younger volunteers come to the Hospital

St. Francis. Their mission is to serve as ambassadors for all open-heart sur-

to complete community service requirements for their college applica-

gery patients, and today the group continues to promote friendship be-

tions and other school requirements. “Volunteering is a good way to get

tween open-heart patients, their families and the Hospital. In 2013, the

the hospital experience required for pursuing careers in the medical field.”

Brave Hearts donated $25,000 in support of the Hospital’s renovation of

She also says that it’s important for the Hospital to continue to bring in

The Heart Center. This gift represents the Brave Hearts’ third payment on

younger volunteers as the older volunteers retire.

their new pledge of $125,000. The group previously donated $100,000 in

Burton Morris, 92, has been volunteering at St. Francis for 15 years and has been delighting patients with the SJK Listening Therapy Program, a

support of the first phase of the Hospital’s Master Facilities Plan, which included the creation of the Nancy and Frederick DeMatteis Pavilion.

St. Francis Hospital, The Heart Center®

2013 Annual Report 29

Officers and Boards of Directors/Trustees

Catholic Health Services of Long Island – Corporate Members

St. Francis Hospital Foundation Board of Directors

(As of June 2014)

Most Rev. William F. Murphy Msgr. Robert Brennan Sr. Ann Gray, D.W. Rev. Msgr. Robert Morrissey Most Rev. Nelson Perez Sr. Lois Ann Pereira, F.M.M. Sr. Dolores Wisniewski, C.I.J.

Thomas J. Fanning, Sr. Herbert J. McCooey, Jr. Brian Poissant, Esq. Michael N. Vittorio

Administration

Most Rev. William F. Murphy Presiding Member, CHS Corporate Members

Catholic Health Services Board of Directors* (As of June 2014)

Ruth E. Hennessey Executive Vice President and Chief Administrative Officer Ann Cella, R.N. Senior Vice President, Patient Care Services/CNO

Richard J.J. Sullivan, Jr., Chair Alan D. Guerci, M.D., ex-officio

Patricia E. Daye Vice President, Ambulatory Services

Barbara Ellen Black Kevin J. Conway Peter P. D’Angelo

Barbara Fierro Vice President, Human Resources

Thomas Dowling, Jr., M.D. Rev. Peter Dugandzic

Sherry J. Friedman Chief Development Officer, Catholic Health Services of Long Island Vice President for Development, St. Francis Hospital

Virginia Ewen Sister Audrey Harsen Brian P. Hehir Deacon Frank L. Kurre Richard J.J. Sullivan, Jr. Chair, Board of Directors, CHS

George Huryn Vice President, Facilities

Hon. Anthony Marano Brian McGuire, Vice Chair Stephen F. McLoughlin

William Rennie

Rev. Msgr. Robert Morrissey

Vice President, Finance

Patricia Nazemetz Christopher Pascucci, Treasurer

Jack Soterakis, M.D.

Jerome M. Poller

Senior Vice President, Medical Affairs and Medical Director

Daniel T. Rowe Salvatore Sodano Joseph Tantillo, Secretary Rev. Msgr. James Vlaun John J. Wagner *Also Good Samaritan Hospital Board of Trustees, Mercy Medical Center Board of Trustees, St. Catherine of Siena Medical Center Board of Trustees, St. Charles Hospital Board of Trustees, St. Francis Hospital Board of Trustees, St. Joseph Hospital Board of Trustees

St. Francis Hospital, The Heart Center®

2013 Annual Report 30

Hospital Statistics 2013

2012

2011

2010

2009

2008

1,398 4,116 10,276

1,337 4,003 10,025

1,477 4,616 11,005

1,630 4,751 12,018

1,597 4,674 12,331

1,568 4,524 12,303

4,389 3,008 2,879

3,427 3,879 2,719

4,696 3,263 3,046

5,227 3,366 3,425

5,413 3,326 3,592

5,802 2,957 3,544

Non-Invasive Cardiac Lab Procedures Cardiac Rehabilitation Visits Cardiac Arrhythmia Procedures AICDs Pacemakers EP Studies

14,312 59,656 3,646 840 721 2,085

13,356 57,972 3,620 841 693 2,086

14,008 60,523 3,391 908 801 2,222

14,076 62,271 4,107 1,010 757 2,340

13,251 61,388 4,499 1,087 850 2,562

11,896 60,983 4,516 1,078 844 2,594

 Number of Beds (in service) Patient Admissions Days of Patient Care Average Patient Stay (Days) Bed Occupancy Rate Emergency Room Visits (Gross)

306 16,418 98,223 6.0 88% 23,167

306 15,664 96,733 6.2 86% 22,756

306 18,003 108,916 6.1 92% 22,204

312 18,197 104,914 5.8 92% 21,677

316 18,087 104,295 5.8 90% 21,073

336 18,433 106,084 5.8 97% 19,499

 Operating Room Procedures (Including Cardiac Surgery) General Surgery Ambulatory Surgery EP Study Cases Laboratory Tests Electrocardiograms Radiology Exams & Special Procedures Pharmacy Prescriptions Respiratory Therapy Procedures Physical Therapy Procedures Full-Time Employees Part-Time Employees Volunteer Members Hours of Volunteer Services

24,253 7,711 11,028 2,085 2,690,319 43,871 80,558 3,394,698 354,244 25,111 2,171 705 544 72,000

19,051 3,766 9,945 2,086 2,339,248 45,809 88,143 2,182,597 278,924 24,602 2,027 504 454 69,248

19,2422 4,384 8,765 2,222 2,496,715 48,516 88,767 2,253,854 302,291 23,196 2,089 499 430 73,038

17,726 3,841 7,504 2,340 2,304,067 48,525 88,466 2,078,448 295,593 22,180 1,926 466 494 75,578

16,892 3,485 7,136 2,562 2,205,316 49,814 87,127 2,070,906 246,265 21,339 1,863 455 450 68,000

16,579 3,523 6,964 2,594 2,144,381 48,196 86,510 2,081,399 219,655 21,050 1,712 446 426 63,422

Year Ended December 31 (In Thousands/Audited) Patient Service Revenue Less: Charity Care (**) Less Provision for Bad Debt (***) Net Patient Service Revenue Other Operating Revenue Total Operating Revenue

559,995 19,779 2,986 537,230 13,738 $550,968

483,671 15,579 2,630 465,462 21,016 $486,478

484,274 11,061 2,600 470,613 17,696 $488,309

474,449 9,394 2,913 462,142 16,225 $478,367

442,593 6,830 1,809 433,954 13,755 $447,709

405,127 14,497 1,535 389,095 11,671 $400,766

247,531 253,458 5,885 27,077 533,951 $17,017

216,274 233,712 6,141 26,657 482,784 $3,694

214,297 225,104 6,762 24,599 470,762 $17,547

203,728 211,018 6,960 22,989 444,698 $33,672

186,511 198,778 7,446 24,871 417,606 $30,103

158,339 176,494 5,263 18,391 358,487 $42,279

 Open-Heart Surgery Other Cardiothoracic Surgery Cardiac Catheterizations including all Diagnostic, Interventional, and Peripheral Vascular Procedures

Inpatient Catheterizations Outpatient Catheterizations Coronary Angioplasty and other Cardiac and Peripheral Vascular Interventions

 Salaries and Wages Supplies, Insurance and Utilities Interest Expense Depreciation Total Operating Expenses Income from Operations  Inpatient Services Outpatient Services Other Operating Revenue

64% 34% 2%

 Purchase of Plant Assets: 2% Interest and Depreciation: 6% Supplies and Services: 41% Salaries and Employee Benefits: 50%

St. Francis Hospital, The Heart Center®

2013 Annual Report 31

Medical Staff

Compiled June 2014

DEPARTMENT OF

Neil R. Bercow, M.D.

DEPARTMENT OF

Kaupin J. Brahmbhatt, M.D.

David A. Hess, M.D.

ANESTHESIOLOGY

Roberto G. Colangelo, M.D.

CARDIOLOGY

Douglas Byrnes, M.D.

Thinn Hlaing, M.D.

Robert A. Kates, M.D.

Christopher LaMendola, M.D.

Richard A. Shlofmitz, M.D.

Jie Jane Cao, M.D.

David H. Hoch, M.D.

Chairman

Edward Lundy, M.D.

Chairman

Goolam Carim, M.D.

Natalia Hochbaum, M.D.

Ralph Caselnova, M.D.

Shahram Hormozi, M.D.

Alan Goldman, M.D.

Timothy Chen, M.D.

Richard Horowitz, M.D.

Vice Chair

William Chung, M.D.

Jiong Ming Hu, M.D.

Alan B. Cohen, M.D.

Hitender Jain, M.D.

Ari M. Ezratty, M.D.

Barton E. Cohen, M.D.

Vinod K. Jayam, M.D.

Director, Clinical Research

Kenneth H. Cohen, M.D.

Sanjiv Jhaveri, M.D.

Maksim Rovensky, D.O. Michael I. Cohen, M.D. Vice Chair

THORACIC SURGERY Lawrence Durban, M.D.

Zaid Ahmad, M.D.

Director, Thoracic Surgery

John R. Alfarone, M.D. Ankar Anand, M.D.

Cardiac Surgical Assistants

Stephan Cokinos, M.D.

Thomas Joseph, D.O.

Jeffrey E. Baumel, M.D.

Georges J. Abou-Eid, M.D.

Joseph H. Levine, M.D.

Arnold Conrad, M.D.

Madhavi Kadiyala, M.D.

Ching H. Chan, M.D.

Shafie Arif, M.D.

Director, Electrophysiology

Maureen Corry, M.D.

Ganesh Kamath, M.D.

Wayne T. Cohen, M.D.

Leslie Lidonnici, M.D.

Aimee Cowan, M.D.

Alan Katz, M.D.

Ralph Dilisio, M.D.

John McMahon, M.D.

Patrick J. Monteleone, M.D.

Stephen H. Covey, M.D.

Roger Kersten, D.O.

David J. Elkin, M.D.

Soterios C. Philippou, M.D.

Director, Medical Education

Marvin Cramer, M.D.

Mark Kessler, M.D.

Nehal Gatha, M.D.

Kaiduan Pi, M.D.

Ronald D. D'Agostino, D.O.

Back Kim, M.D.

Barry Ginsberg, M.D.

Ramesh C. Raichoudhury, M.D.

Thomas W. Pappas, M.D.

Bruce M. Decter, M.D.

Marc Kirschner, M.D.

Director, Cardiac Cath Lab

Emilio Del Priore, M.D.

Morey Klein, M.D.

Ezra Deutsch, M.D.

Steven M. Kobren, M.D.

Adam Graziani, M.D. Jan Henriksson, M.D.

VASCULAR SURGERY

Bryan Kahan, M.D.

Richard Matano, M.D.

George A. Petrossian, M.D.

Nimish S. Dharia, M.D.

Elana Koss, M.D.

John P. Kelly, D.O.

Director of Service

Director, Interventional

Robert J. Dresdale, M.D.

Jerome H. Koss, M.D.

Cardiovascular Procedures

Jay J. Dubowsky, M.D.

Stuart Landau, M.D.

Fred Fefer, M.D.

Paul Lee, M.D.

Uday M. Kumbar, M.D. Shirley Mayo, M.D.

Renato B. Berroya, M.D.

Fritzline Montalmant, M.D.

Saqib Chaudhry, M.D.

Andrew D. Berke, M.D.

Randy J. Feld, M.D.

Michael Levine, M.D.

Gene A. Musto, M.D.

Patrick DePippo, M.D.

Director of Interventional

Perry A. Frankel, M.D.

Daniel E. Levy, M.D.

Michele Novak, M.D.

William Doscher, M.D.

Cardiology Research

Israel Freeman, M.D.

Jay Lisker, M.D.

Lisa Phillips, M.D.

Larry Frankini, M.D.

Aaron Freilich, M.D.

Andrew E. Lituchy, M.D.

Alan Resnick, M.D.

Peter Patetsios, M.D.

Nathaniel Reichek, M.D.

Gary H. Friedman, M.D.

Antonio P. Madrid, M.D.

Steven B. Schulman, M.D.

William A. Purtill, M.D.

Director of Research and

Gary R. Friedman, M.D.

Michael M. Mannino, M.D.

Eugene W. Segall, M.D.

Omid Rahmani, M.D.

Director,

Anthony Gambino, M.D.

Michael Masciello, M.D.

Andrew Suh, M.D.

Toufic Safa, M.D.

Noninvasive Cardiology

Anthony Garafalo, M.D.

Janice McCormack, M.D.

Barry Tabakin, M.D.

Robert B. Swersky, M.D.

Philip M. Gelber, M.D.

Stephen A. Mezzafonte, M.D.

Philip H. Weinberg, M.D.

John G. Yuan, M.D.

Timothy Vittorio, M.D.

Aaron J. Gindea, M.D.

Dennis G. Mihalatos, M.D.

Director, Center for Advanced

Robert Glaser, M.D.

Joseph Minadeo, M.D.

Cardiac Therapeutics

HC Glick, M.D.

Evan Mintz, M.D.

Douglas A. Goldberg, M.D.

Guy Mintz, M.D.

Jason B. Wells, M.D Brian Woods, M.D.

DEPARTMENT OF

Steven Yap, M.D.

EMERGENCY MEDICINE

PAIN MANAGEMENT

Mark P. Hoornstra, M.D.

Michael Aaron, M.D.

Joel Goldberg, M.D.

Bernard B. Monteleone, M.D.

Chairman

Meyer Abittan, M.D.

Andrew M. Goldfarb, M.D.

Anthony J. Moschetto, D.O.

Olakunle O. Akinboboye, M.D.

George J. Goldman, M.D.

Mohammed Muneeruddin, M.D.

Scott R. Strumpfler, M.D.

James R. Albanese, M.D.

David Goldstein, D.O.

Joseph Musso, M.D.

Vice Chair

Larry Altschul, M.D.

Henry E. Gomez, M.D.

Sriram Naidu, M.D.

Daniel Sajewski, M.D. Co-Director of Service

Patrick Annello, M.D.

Herbert Archer, M.D.

Aasha S. Gopal, M.D.

Thomas A. Nicosia, M.D.

Jason Idelson, D.O.

Hemanth Badhey, M.D.

Andrew M. Grunwald, M.D.

Stuart Okin, M.D.

Michael Kennedy, M.D.

Eddy Barasch, M.D.

Alan D. Guerci, M.D.

Edward H. Oruci, M.D.

Richard Marino, M.D.

Jeffrey M. Bernstein, M.D.

Ronald J. Gulotta, M.D.

Felix I. Oviasu, M.D.

DEPARTMENT OF

Christopher Maurischat, M.D.

Greg Blair, M.D.

Stephen J. Gulotta, M.D.

Adina Pascaru, M.D.

CARDIOTHORACIC AND

Patricia Phan, M.D.

William L. Blau, M.D.

Arun Gupta, M.D.

Raj R. Patcha, M.D.

VASCULAR SURGERY

Diane Sixsmith, M.D.

Steven Blumenthal, M.D.

Martin H. Handler, M.D.

Maulik Patel, M.D.

Newell Robinson, M.D.

Ravi Venogopal, M.D.

Lauren Boglioli, M.D.

David Hersh, M.D.

Sotir Polena, M.D.

Chairman

Subhash Viswanathan, M.D.

Elias Bonaros, M.D.

Ronnie Hershman, M.D.

Scott J. Ratner, M.D.

Co-Director of Service

St. Francis Hospital, The Heart Center速

2013 Annual Report 32

Asif Rehman, M.D.

BISHOP MCHUGH

Chaim Abittan, M.D.

Brian T. McNelis, M.D.

Michael DeAngelis, D.O.

David Reich, M.D.

HEALTH CENTER

Gregory M. Ackert, M.D.

Hina Naqvi, M.D.

Michael Demaria, M.D.

Xiao Li Ren, M.D.

Patricia Tassinari, M.D.

Rajiv Bansal, M.D.

Anju Ohri, M.D.

Hilary Diamond, M.D.

Gerald S. Roberts, M.D.

Director of Service

Eugene S. Bonapace, M.D.

Joseph Pipala, M.D.

Kenneth A. Ewing, M.D.

Michael J. Bradford, M.D.

Frank A. Tomao, M.D.

Charles Gambino, D.O.

Michael Rosenband, M.D. Edward Rutkovsky, M.D.

CRITICAL CARE MEDICINE

Raymond A. Diaz, M.D.

Baruch Wieder, M.D.

Craig R. Grobman, D.O.

Michael L. Sacher, D.O.

Evan S. Sorett, M.D.

Mordecai Dicker, M.D.

Robert Weiner, M.D.

Judah Guy, M.D.

Gonzalo M. Saravi, M.D.

Director of Service

Frederick Gandolfo, M.D.

George A. Zervos, M.D.

Louis R. Heisler, M.D

Leonard Saulle, M.D.

Michael J. Goldstein, M.D.

Tom Hopkins, M.D.

Stuart O. Schecter, M.D.

IJonathan Henesch, M.D.

Neelam Gupta, M.D.

HOSPITAL MEDICINE

Michael Hundert, M.D.

Evan H. Schwarzwald, M.D.

Christine Napolitano, D.O.

Carylann Hadjiyane, M.D.

Marianne Hamra, M.D.

William S. Knight, M.D.

Jorge E. Secchi, M.D.

Rattan Patel, M.D.

Robert D. Herman, M.D.

Director of Service

Peter J. Kurzweil, M.D.

Steven W. Seiden, M.D.

Irina Shpak, M.D.

Seymour Katz, M.D.

Justin Shaber, M.D.

Farzin Rahmanou, D.O.

Neeraj Kaushik, M.D.

Ilanit Aminow, M.D.

Lewis M. Lebetkin, M.D.

Steven Shayani, M.D.

William Kutcher, M.D.

Gina S. Kwak, M.D.

Mohammed Bari, M.D.

Robert Linden, M.D.

William Shin, M.D.

DERMATOLOGY

Omer Masood, M.D.

Rachelle De Le Fuente, M.D.

Mitchell R. Locke, M.D.

Edward Skwiersky, M.D.

John Garofalo, M.D.

David E. Milkes, M.D.

Doina Glodan, M.D.

Anthony L. Luciano, M.D.

Nir Somekh, M.D.

Director of Service

Alex Novogrudsky, M.D.

Zaher Hamadeh, M.D.

David P. Magier, M.D.

Louise A. Spadaro, M.D.

Dean Pappas, M.D.

Syed Naqvi, M.D.

Ralph Mastrangelo, M.D.

Jeffrey Spivak, M.D.

Joshua Fox, M.D.

Howard M. Rattner, M.D.

Jonathan Ohebsion, M.D.

Carole Moodhe-Lysaght, M.D.

Jeffrey Stahl, M.D.

Louise Kaufmann, M.D.

John Rizzo, M.D.

Mhroos Peters, M.D.

Javier Morales, M.D.

Neil H. Stein, M.D.

Giuseppe Militello, M.D.

Stephen R. Siegel, M.D.

Alan Vainrib, M.D.

Reza Naghavi, M.D.

Eric Steinberg, D.O.

Joann Salvemini, M.D.

Alan F. Sloyer, M.D.

Shu Yang, M.D.

Alice S. O'Shaughnessy, M.D.

Mark J. Stern, M.D.

Ian Storch, D.O.

Pushpaben Parikh, M.D.

William Shin, M.D.

ENDOCRINOLOGY

Kevin L. Tack, M.D.

INFECTIOUS DISEASES

Russell Raskin, M.D.

William Tenet, M.D.

Rory S. Breidbart, M.D.

Arthur L. Talansky, M.D.

Alan M. Bulbin, M.D.

Kathleen M. Restivo, M.D.

Salvatore Trazzera, M.D.

Director of Service

Robert E. Tepper, M.D.

Director of Service

Paul Ricca, M.D.

Theofanis Tsiamtsiouris, M.D.

Joseph Tripodi, D.O.

Manish B. Undavia, M.D.

Rachel Fetner, M.D.

Eric Uyguanco, M.D.

Jeffrey Gordon, M.D.

Andrew Van Tosh, M.D. John A. Venditto, M.D. Vasundhara Vidyarthi, M.D.

Tharakaram Ravishankar, M.D.

Howard Sacher, D.O. David B. Brieff, M.D.

Leon E. Schwechter, D.O.

HEMATOLOGY/ONCOLOGY

Dava Klirsfeld, M.D.

Jane Serio, M.D.

Onoufrios Goussis, M.D.

Bhoomi Mehrotra, M.D.

Vitaliy Krol, M.D.

Susan Sharma, D.O.

James Hess, D.O.

Director of Oncology

Hermes Lopez, M.D.

Masooma Sheikh, D.O.

Nathalie Schulhof, M.D.

Sixto A. Siasoco, M.D.

Dilip Patel, M.D.

Farah Shams, M.D.

Jack Soterakis, M.D.

Marvin J. Tenenbaum, M.D.

Joseph W. Szczesniak, M.D.

Lin Wang, M.D. Michael Weber, M.D.

FAMILY PRACTICE

Director of Malignant

Jonathan Weinstein, M.D.

Farzad Tabibzadeh, M.D.

Hematology

Sidharth Yadav, M.D.

Director of Service

Qamar M. Zaman, M.D.

Paul G. Tolins, M.D. INTERNAL MEDICINE

Stephen A. Tranchina, M.D.

Rita Weiss, M.D., Ph.D.

Florence Barricelli, M.D.

Roman Urbanczyk, M.D.

Director of Hematology

Director of Service

Frank R. Vezza, M.D.

Qian Zhao, M.D.

Stephen Burke, M.D.

Haoyi Zheng, M.D.

Natalie Cher, D.O.

Jerome B. Zisfein, M.D.

Raymond Ebarb, M.D.

Anu Chandok, M.D.

Marvin Base, M.D.

Gilbert Weinstein, M.D.

Andrea Kaplan, M.D.

Gerard B. Donnelly, M.D.

Jon Zvi Batash, M. D.

Edward Wolff, M.D.

DEPARTMENT OF MEDICINE

Kenneth Levites, M.D.

Julius Duic, M.D.

Doris Berland, M.D.

Janette Yap-Marcelo, M.D.

Marvin J. Tenenbaum, M.D.

Scott Rex, M.D.

Triantafillos Fillos, M.D.

Deborah Blenner, M.D.

Chairman

Anna Siasoco, M.D.

Richard S. Forte, M.D.

Richard S. Blum, M.D.

NEPHROLOGY

Vincent Siasoco, M.D.

Francisco Garcia-Moreno, M.D.

Maria Brountzas, M.D.

Steve W. Rucker, M.D.

Nicholas Zotto, M.D.

Ari L. Ginsberg, M.D.

Girish Bulsara, M.D.

Director of Service

Jai Grewal, M.D.

Patrick J. Cavanaugh, M.D.

GASTROENTEROLOGY

Ummekalsoom Malik, M.D.

Emia Chan, M.D.

Sayed Ali, M.D.

Anthony J. Celifarco, M.D

John S. Marino, M.D.

Lori Cohen, M.D.

Jeffrey Cohen, M.D.

Director of Service

Jonathan Marsh, M.D.

Joseph Colucci, M.D.

Adam N. Criss, D.O.

Marco E. Vezza, M.D.

ALLERGY/IMMUNOLOGY David Wertheim, M.D. Director of Service Lisa Buglino, D.O.

St. Francis Hospital, The Heart Center速

2013 Annual Report 33

Medical Staff Sunil George, M.D.

Joseph Genovese, D.O.

DEPARTMENT OF SURGERY

Lawrence E. Becker, D.M.D.

Demetrios Halikopoulos, D.O.

Jeffrey E. Haller, M.D.

Jodilyn Gingold, M.D.

Gary Gecelter, M.D.

Jay William Bridbord, D.D.S

Oscar J. Kranz, M.D.

Jim N. Hilepo, M.D.

Jason B. Karp, M.D.

Chairman

Ralph Cangiano, D.D.S

Willy Ky, M.D.

Susana Hong, M.D.

Jill Karpel, M.D.

Richard Faber, D.D.S

Eunice Lee, M.D.

Abrar Husain, D.O.

David Katz, M.D.

George DeNoto, III, M.D.

Edwin Ginsberg, D.M.D.

Alan B. Marks, M.D.

Alicia Notkin, M.D.

Paul Kuperschmid, M.D.

Director of General Surgery

Matthew Hanna, D.M.D.

Kenneth J. Rosenthal, M.D.

Simon Prince, D.O.

Leonard J. Landesberg, M.D.

Leonard Hoffman, D.D.S

Marc Sirota, M.D.

Lance D. Rubel, M.D.

Stuart Lowenkron, M.D.

John Angstadt, M.D.

Robert B. Light, D.M.D.

Burton S. Sultan, M.D.

Roopal Sampat, M.D.

Sanford M. Ratner, M.D.

Louis J. Auguste, M.D.

Jennifer Mendocha, D.D.S.

Valerie Trubnick, M.D.

Gerard Tepedino, M.D.

Denise Janus Ruttgeizer, M.D.

Mansoor H. Beg, M.D.

Petros Panagos, D.D.S.

Kathleen R. VanValkenburg, M.D.

Marc J. Yunis, M.D.

Robert T. Schreiber, M.D.

Charles C. Conte, M.D.

Eugene P. Pezzollo, D.M.D.

Evan S. Sorett, M.D.

Dwight C. DeRisi, M.D.

NEUROLOGY

Deborah M. Ushkow, M.D.

Mark W. Dobriner, M.D.

GYNECOLOGY

Richard D'Agostino, M.D.

Anthony S. Cohen, M.D.

Jonathan Waxner, M.D.

Robert Dring, M.D.

Alan Garely, M.D.

Director of Service

Jeffrey M. Wolf, M.D.

Dominic A. Filardi, M.D.

Olga Liberman, M.D.

Dominick Gadaleta, M.D.

Benjamin Schwartz, M.D.

ORTHOPEDIC SURGERY

Bruce A. Seideman, M.D.

Richard H. Blanck, M.D.

RHEUMATOLOGY

Shawn M. Garber, M.D.

Teresa DeAngelis, M.D.

William P. Given, M.D.

Larry Gellman, M.D.

NEUROSURGERY

Vincent DeOrchis, M.D.

Director of Service

Michael Giuffrida, M.D.

Richard Johnson, M.D.

Michael Angel, M.D.

Marc L. Greenwald, M.D.

Director of Service

Stanley Asnis, M.D.

Alan Ettinger, M.D.

Chief of Joint Replacement

Laurence D. Haber, M.D.

Lenore Brancato, M.D.

Michael Grieco, M.D.

Michael Han, M.D.

Anna Imperato, M.D.

Spencer Holover, M.D.

Jonathan Brisman, M.D.

Hargovind DeWal, M.D.

Jeffrey T. Kessler, M.D.

Gary Meredith, M.D.

David Hong, D.O.

David J. Chalif, M.D.

Frank DiMaio, M.D.

Joseph Moreira, M.D.

Andrew J. Porges, M.D.

Sanjay Jobanputra, M.D.

Benjamin Cohen, M.D.

Thomas J. Dowling, M.D.

Denis Ostrovskiy, M.D.

Walter B. Schulman, M.D.

Alan S. Kadison, M.D.

Vladimir Dadashev, M.D.

Paul Enker, M.D.

David Podwall, M.D.

Howard S. Weiss, M.D.

Paul Katz, M.D.

Zachariah George, M.D.

William A. Facibene, M.D.

Philip Ragone, M.D.

Sushil Basra, M.D.

Lewis M. Kurtz, M.D.

John Grant, M.D.

A. Philip Fontanetta, M.D.

Dwight J. Rosenstein, M.D.

DEPARTMENT OF PATHOLOGY

Marlene Mancuso, M.D.

Robert Holtzman, M.D.

Christopher Frendo, D.O.

Laura G. Schoenberg, D.O.

Ana Anagnostopoulos, M.D.

Michael Moseson, M.D.

Michael Lefkowitz, M.D.

Andrew Greenberg, M.D.

Puneet Singh, D.O.

Chairperson

Howard Nadjari, M.D.

Ricky Madhok, M.D.

Matthew Goldstein, M.D.

Perry Stevens, M.D.

Lynn O'Connor, M.D.

Harrison Mu, M.D.

Michael Kang, M.D.

William Engellenner, M.D.

Susan M. Palleschi, M.D.

Kevin Mullins, M.D.

Samuel Kenan, M.D.

Sarah Frost, M.D.

Patricia Pezzello, M.D.

Stephen Onesti, M.D.

James Kipnis, M.D.

PSYCHIATRY

Jeffery Hamilton, M.D.

Angelo J. Procaccino, M.D.

Nicholas Post, M.D.

Lewis B. Lane, M.D.

Kenneth Kahaner, M.D.

Peter Hoffmann, M.D.

John L. Ricci, M.D.

Sachin Shah, M.D.

William Long, M.D.

Director of Service

Gilian Levy, M.D.

Eugene Rubach, M.D.

Brian Jeffrey Snyder, M.D.

Thomas M. Mauri, M.D.

Yunjia Tang, M.D.

Tereza Sardinha, M.D.

William J. Sonstein, M.D.

Laurence Mermelstein, M.D.

Nikhilesh Sekhar, M.D.

Lee Tessler, M.D.

Edward Mills, M.D.

Artem Vaynman, M.D.

Hamid R. Mostafavi, M.D.

Paul Wright, M.D.

Adam R. Chester, D.O. Allison Hinds, M.D.

DEPARTMENT OF PEDIATRICS/

Marc Sher, M.D.

Glenn R. Kalash, D.O.

PEDIATRIC CARDIOLOGY

Eric Sommer, M.D.

Sean G. Levchuck, M.D.

Owen T. Su, M.D.

OPHTHALMOLOGY

Steven J. Ravich, M.D.

Chairman

James D. Sullivan, M.D.

Leslie P. Goldberg, M.D.

Timothy Reish, M.D.

Laura A. Sznyter, M.D.

Director of Service

Daniel S. Rich, M.D.

PULMONARY MEDICINE Alan Schecter, M.D. Director of Service

Craig Radnay, M.D.

Samuel Bangug, M.D.

Dimitra Theodoropoulos, M.D.

Edgar Lerias, M.D.

John Wang, M.D.

Ronald A. Balkin, M.D.

Jeffrey Shapiro, M.D.

William R. Basta, M.D.

Douglas Luxenberg, D.O.

Raza Zaidi, M.D.

Herman B. Berg, M.D.

Neofitos Stefanides, M.D.

Jay Berland, M.D.

Steven Purrier, M.D.

Joseph A. Blanco, M.D.

Peter D. Stein, M.D.

David M. Breidbart, M.D.

Barbara Seifert, M.D.

DENTISTRY/ORAL SURGERY

Robert D. Broderick, M.D.

David V. Tuckman, M.D.

Mylene Colucci, M.D.

Ambrose Vallone, M.D.

John A. Sheehan, D.M.D.

Peter D'Arienzo, M.D.

Michael V. Como, M.D.

Masood Yeroushalmi, M.D.

Director of Service

Aimee L. Eichen, M.D.

OTOLARYNGOLOGY

Martin Fletcher, M.D.

Philip W. Perlman, M.D.

Gary W. Freeberg, M.D.

Jeffrey Richmond, M.D.

Director of Service St. Francis Hospital, The Heart Center速

2013 Annual Report 34

Michael K. Ditkoff, M.D.

RADIOLOGY

Klaus Dittmar, M.D.

Reginald R. Arcilla, PA-C, MBA

Karen A. Haunss-Sapinski, M.D. Joseph Feinberg, M.D.

Kenneth J. Goodman, M.D.

Michael R. Dubin, M.D.

Assistant Coordinator

Andrew A. Jacono, M.D.

Director of Service

Chairman

Michael Errico, M.D. Sidney Fenig, M.D.

Erica Lynn Avvento, PA-C

Saul Modlin, M.D.

Tommaso Addona, M.D.

Kenneth Crystal, M.D.

Stephen Fortunoff, M.D.

Linda A. Bastian, PA-C

Michael Setzen, M.D.

David J. Antell, D.O.

Vice Chair

Marvin Frogel, M.D.

Lejdja Beshku, PA-C

Raymond L. Soletic, M.D.

Craig Baldenhofer, M.D.

Burton H. Goldberg, M.D.

Michael Bresnahan, PA

Alexander Sorin, M.D.

Glenn A. Becker, M.D.

Patricia Barry, M.D.

Steven Greenberg, M.D.*

Lisa D. Bruefach, PA-C

Benjamin Talei, M.D.

Ian Bourhill, M.D.

Carolyn Birnbaum, M.D.

Gasper Gulotta, M.D.*

Charles M. Cespedes, PA

Josh Werber, M.D.

Arnold Breitbart, M.D.

Jay L. Bosworth, M.D.

Robert I. Hamby, M.D.

Novlet Davis, ANP-C

PLASTIC SURGERY

William Kennedy, M.D.

Bruce W. Brewer, M.D.

Angela Capo-Granata, M.D.

Edward Honig, M.D.

Michelle C. DeMarco, PA-C

PHYSICAL MEDICINE AND

Jerry Chang, M.D.

David W. Ebling, M.D.

Ali A. Kawi, M.D.

Thomas J. Dussel, PA

REHABILITATION

Kambiz Jacob Cohen-Kashi, M.D. Jeffrey Farkas, M.D.

Jules Levine, M.D.

Stephen T. Friedman, PA-C

Joseph Rothenberg, M.D.

Thomas A. Davenport, M.D.

Elisa Kadish, M.D.

Frank Losito, M.D.

Karen L. Grauer, PA-C

Director of Service

Leland M. Deane, M.D.

Menachem Mandell, M.D.

Frank Marici, M.D.

Laura Ann Hartlieb, PA-C

Gregory A. Devita, M.D.

John Pile-Spellman, M.D.

Joseph Mollura, M.D.

Wei He, PA-C

Luis Ajejo, M.D.

Michael Dobryansky, M.D.

Craig Sherman, M.D.

William J. Noble, M.D.

Vadim Kaziyev, PA-C

Amir Annabi, M.D.

Barry K. Douglas, M.D.

Scott J. Sherman, M.D.

Alfred B. Randall, M.D.

Christopher Koch, PA-C

Barry C. Root, M.D.

Sanford Dubner, M.D.

Lee D. Stein, M.D.

Milton J. Reitman, M.D.

Christopher S. Kunz, PA-C

Christopher Sellars, D.O.

Mariel Eliza, M.D.

Anne F. Vinokur, M.D.

Riccardo Ricciardi, M.D.

Josephine Lombardi, PA-C

Perry Stein, M.D.

Marc Elkowitz, M.D.

Sydney S. Yoon, M.D.

Charles E. Rogers, M.D.*

Paul Rogak, PA-C

Randall S. Feingold, M.D.

Alan Zakheim, M.D.

Joseph Sferrazza, M.D.

Claudia S. Silva, PA-C

PODIATRY

Candido Fuentes-Felix, M.D.

Irvin Spira, M.D.

Beth M. Taylor, PA-C

Mitchell Greenbaum, D.P.M.

Laurence T. Glickman, M.D.

COMMUNITY PHYSICIAN

Nathaniel Spier, M.D.

Justin T. Thach, PA-C

Director of Service

Burt Greenberg, M.D.

Vlassi Batidy, M.D.

Richard J. Strauss, M.D.

LeeAnn Tricarico-Floman, PA-C

Khawaja A. Hassan, M.D.

Michael H. Brisman, M.D.

Alex Stone, M.D.

Karl Weaver, PA-C

Raymond Ferguson, D.P.M.

Harry Intsiful, M.D.

Jeffrey A Brown, M.D.

Norman Thomson, M.D.

Jeffrey A. Fishman, D.P.M.

Ron Israeli, M.D.

Stephen D. Burstein, M.D.

William P. Wagner, M.D.*

MID-LEVEL PRACTITIONER

AnnaMaria Giordano, D.P.M.

Alex Keller, M.D.

Donald Krieff, D.O.

Robert Waldbaum, M.D.

CRITICAL CARE

Brian P. Lynn, D.P.M.

Martin E. Kessler, M.D.

Lewis Levin, M.D.

Howard Weiss, M.D.

Ashish Seth, PA-C, MBA

Michael Pliskin, D.P.M.

Matthew Kilgo, M.D.

Kenneth F. Mattucci, M.D.

Joseph R. Whelan, M.D.

Coordinator

Peter Korn, M.D.

Alan Mechanic, M.D.

B. George Wisoff, M.D.

UROLOGY

David Light, M.D.

Nicole Orr, M.D.

David Wolk, M.D.*

Andrew Nugent, PA-C

Felix L. Badillo, M.D.

Lawrence Lin, M.D.

Ramin Rak, M.D.

Tibor Zahajsky, M.D.*

Assistant Coordinator

Director of Service

Frederick N. Lukash, M.D.

Barbara Seifert, M.D.

*deceased

Eric Mager, M.D.

William Sherman, M.D.

Mitchell I. Buchbinder, M.D.

Tansar Mir, M.D.

Elizabeth Trinidad, M.D.

Johanna Figueroa, M.D.

Noel Natoli, M.D.

Peter Weil, M.D.

Sarah K. Girardi, M.D.

Brian Pinsky, M.D.

Gary D. Goldberg, M.D.

Rachel Ruotolo, M.D.

Eric M. Hochberg, M.D.

Homayoun Sasson, M.D.

Michael A. Levine, M.D.

Mark I. Silberman, M.D.

Charles E. Libby, M.D.

Roger L. Simpson, M.D.

HONORARY MEDICAL STAFF

Roy Constantine, PA-C, Ph.D.

John M. DePietro, ANP-C

Randy Makovsky, M.D.

Lawrence Sirota, D.O.

Henry Abrams, M.D.

Assistant Director, Mid-Level

Shorn Edwards, PA-C

Leonard J. Mondschein, M.D.

Mahira Tanovic, M.D.

Filippo Balboni, M.D.

Practitioner Services

John M. Graffeo, PA-C

Elliot M. Paul, M.D.

Antonio L. Uria, M.D.

Harry Barbaris, M.D.*

Genri Pinkhasov, M.D.

Humayun Waheed, M.D.

Lionel P. Barrau, M.D.

MID-LEVEL PRACTITIONER

William Holecek, PA-C

Steven Robbins, M.D.

Diana Yoon-Schwartz, M.D.

H. Sinan Berkay, M.D.

CARDIOTHORACIC SURGERY

Michael Malavet, PA-C

Raymond Sultan, M.D.

Arthur Wise, M.D.

Seymour Block, D.O.

Cary S. Stanton, PA-C

Mary Marvel, ACNP

Michael M. Ziegelbaum, M.D.

George Xipoleas, M.D.

Paul Damus, M.D.

Coordinator

Marcus Christian Niemi, PA-C

Joshua Zuckerman, M.D.

Edward T. Davison, M.D.

David Berg, PA-C

Mid-Level Practitioners

Josefino C. Bugay, PA-C

Hilma M. Yu, M.D.

Patrick A. Reynolds, PA-C, MBA

Denise N. Chernoff, PA-C

Rebecca Fishman, D.O.

Director, Mid-Level

Vernon A. Chin, PA-C

Pericles Hadjiyane, M.D.

Practitioner Services

Robert S. Dankner, PA-C

Rosario Carlin, ANP

Gwendolyn DelValle, FNP-C

St. Francis Hospital, The Heart Center速

Jessica Hare, PA-C

2013 Annual Report 35

Lisa Nyffler, PA-C

Medical Staff Lillian C. Pena, PA-C

Harrynauth Persaud, PA-C

Meulan Suying Amen, ANP-C

Kimberly Go, ANP-C

Jennifer L. Regan, PA-C

Tabatha Poole, PA-C

Maureen Byrne, FNP

Kathleen A. Henry Muratore, ANP-C Ellen Salone, ANP

William M. Riordan, PA-C

Fay A. Reinhalter, PA-C

Karen E. Carini, FNP-C

Svetlana Iskhakova, ANP-C

Jaclyn Thoresz, ANP-C

Jodi Ronquillo, PA-C

Adam T. Roberts, PA-C

Camelle Charles, NP

Patricia A. Keller, ANP

Jean B Thorpe, ANP-C

Alla Rus, PA-C

Erick George Ruales, PA-C

Jiji George, FNP

Eileen Kenney, ANP-C

Allison Sampson, PA-C

Cathleen R. Schmidt, PA-C

So Young Kim, ANP-C

Maura A. Kenney Kieran, ANP-C

PRIVATE PRACTICE MLP

Robert E. Smith, PA-C

Edward G. Seiter, PA-C

Tanya C. Louis, FNP

Sherri Lee, ANP-C

ORTHOPEDIC SURGERY

Katherine Stevko, ANP-C

Cheryl-Ann Ubarra, PA-C

Catherine D. Maynard, FNP-C

Susan Magro, FNP-C

Dvorah Leah Felberbaum, PA-C

Irene Sullivan, ANP-C

Craig Weschke, PA-C

Katherine A. Murphy, ANP-C

Maranda Manieram-Arjune, ANP-C Boby K. Manu, PA-C

Kevin Whitley, PA-C

Christopher Yagliyan, PA-C

Karen L. O'Brien, ANP-C

Erin Markey, ANP-C

Susan Martinez, PA-C

Michelle Ann Worrell, FNP-C

Avital Yagudaev, PA-C

Valika Parsan, FNP

Jennifer B. McDonough, FNP

Courtney L. Melone, PA-C

Margaret Wrzosek, PA-C

Amanda Yassin, PA-C

Sheena Shaji Varghese, FNP-C

Jillian M. Oswald, ANP-C

Jessica Merlo, PA-C

Lorraine Quirk, FNP-C

Steve B. Reyes, PA-C

Marina Yusupova, FNP-C

Mohammed A. Rasheed, PA-C

MID-LEVEL PRACTITIONER:

MID-LEVEL PRACTITIONER

Donna Ramharrack, ANP-C

MID-LEVEL PRACTITIONER

INTERVENTIONAL CARDIOLOGY

SURGERY

Elizabeth Ring, ANP-C

PRIVATE PRACTICE MLP

EMPLOYEE HEALTH

SERVICES

Mark G. Mokotoff, PA-C

Joseph Santarpia, ANP-C

SURGERY

Wendy Bezko-Colligan, PA-C

Monica Losquadro, PA-C

Coordinator

Luisa Santos, ANP-C

Michael J. Dawson, PA-C

Coordinator

Roberta Schieda, ANP-C

Donna M. Franco, PA-C

Melanie Howard, PA-C, MBA

Patricia Toolan, FNP-C

Katie Brooke Guarino, PA-C

Jeannine Eslinger, PA-C

Maureen Torpey, ANP-C

Coordinator, Bariatric Surgery

Carole Zarcone, ANP-C

Lisa Horvath, ANP-C

Courtney Klingbeil, PA-C

Jenny L. Jackson, PA-C

Program

Ellen Rubenstein, PA-C

MID-LEVEL PRACTITIONER

NURSE PRACTITIONER

Norman Keller, PA-C

Laurie A. Scheuermann, PA-C

ONCOLOGY

Sloan Vahldieck, ANP-C

Melanie M. Diaz, ANP-C

Lisa N. Burke, PA-C

-PALLIATIVE CARE

Christine Kelly, PA-C

Gerlando De Castro, PA-C

Kelly A. Bitran, FNP-C

Dennis G. Lynch, PA

Christine Ann Fiorentino, ANP

Nickie Douroudakis, PA-C

Maria Vitsentzos, ANP-C

Robert Mascarelli, PA-C

MID-LEVEL PRACTITIONER

Peter Kelly, ANP-C

Donna M. Duisin, PA

MEDICINE

Minakshi Khanna, PA-C

Kathleen Dunne, PA-C

PRIVATE PRACTICE MLP

Robert J. Mazaroski, PA-C

Cristina T. Wanek, PA-C, MBA

Sandy Nissel-Horowitz, PA-C

Thomas A. Eschmann, PA-C

CARDIOLOGY

Joanne McDevitt, PA-C

Coordinator

Marsha Sattler, ANP

Lynette George, PA-C

Christina Avdoulos, PA-C

Nikolas McEnerney, PA-C

Tara L. Zickerman, PA-C

John R. Gilbert, PA -C

Debra Fisher, PA-C

Eva Marina Pilchman, PA-C

Bobby Mathews, PA-C

Steven Lam, PA-C

Kevin Gilbert, PA-C

Nicole Senato, PA-C

Roslynn R. Aquino, ANP-C

MID-LEVEL PRACTITIONER

Abraham Lenderman, PA-C

Rosann Gregory, PA-C

Steven A. Stavrides, PA-C

Rya Bankova, PA-C

ORTHOPEDIC SURGERY

Emily McCann, PA-C

Katie Staphos, PA-C

Kenneth E. Strobel, PA-C

Michelle A. Beirouti, PA-C

George J. Staphos, PA-C, MBA

Penelope A. McNicholas, PA-C

ToniAnn E. Bligh, PA-C

Coordinator

Kris Pizarro, PA-C

PRIVATE PRACTICE MLP

Mary Riker, PA-C

EMERGENCY MEDICINE

Payal B. Amin, PA-C

Penny E. Blount, PA-C

Kelly Tortorella, PA-C

Alexandra J. Broccolo, PA-C

Samantha A. Carofano, PA-C

James L. Rogers, PA-C

Paula Drivas, PA-C

Natalia Constantino, ANP-C

Janelle LaScala, PA-C

Cheryl Rothman, PA-C

Maria Zanetis, PA-C

Jennifer Patricia Duperval, PA-C

Barbara A. Lowell, PA-C

Robert J. Siefring, PA-C

Carrie A. Enright, PA-C

Kathleen T. McLaughlin, PA-C

Mabel Wong, PA-C

Sasheen Ferguson, PA-C

Tina Minicozzi, PA-C

Edwige Figaro, PA-C

Andromachi Picoula, PA-C

NURSE PRACTITIONER

Michelle Almaliah, ANP-C

Reanell Gasaway, PA-C

Benedetta Prunella Lerch, PA-C

-CARDIOLOGY

Robin Lynn Arias, PA-C

Adrienne Grande, PA-C

Thomas Savarese, PA-C

Debra Chalmers, ANP-C

Jessica Boado, PA-C

Daryl K. Hartley, PA-C

Tency R. Thomas, PA-C

Danielle Cincinelli, ANP-C

Christopher M. Byrne, PA-C

Syeda H. Hussaini, PA-C

Edwin Valle, PA-C

Camille Colletti, FNP-C

Denise DiMarco, ANP-C

Jean Kittelberger-Joyce, PA-C

PRIVATE PRACTICE MLP MEDICINE

Maryann DeFalco, ANP-C

Vallerie G. Djojoseparto, PA-C

Jeanna Masone, ANP-C

MID-LEVEL PRACTITIONERS

Catherine J. Feliciano, ANP-C

Debra Jemison, PA-C

Bridget O. McGarry, PA-C

PRE ADMISSION TESTING

Melissa A. Fengler, NP-C

Shaheen A. Lakhani, PA-C

Rachel McNally, PA-C

Robbin Friedberg, ANP-C

Anne L. Fioresi, ANP-C

Aline Lennon, ANP-C

Cristina Nunez, PA-C

Coordinator

Maria Jose Fuschetto, ANP-C

Lisa Marie Muscara, NP

St. Francis Hospital, The Heart Center速

2013 Annual Report 36

Erin Yodice, PA-C

Top Hats & Tiaras Gala 2013

Last year, St. Francis Hospital Foundation’s Annual Gala, “Top Hats & Tiaras” was held at Carlyle on the Green. The proceeds will support the Cancer Institute at St. Francis Hospital.

Save the-Date: St. Francis Hospital Foundation Presents “A Night in Casablanca” Saturday, November 22, 2014, Carlyle on the Green For information visit: www.SFHGala.com Honorees: Eugene F. & Mary M. Murphy Chair: Arnie Arnesen

Gifts to St. Francis Hospital St. Francis Hospital’s commitment to the highest quality cardiac care and medical services has been made possible by a tradition of generous private support. Your contribution, for either general or specific purposes, helps us fulfill our commitment to excellence. The Development staff at St. Francis Hospital is prepared to assist you in planning gifts that provide substantial benefits to both you and the Hospital. For further information on outright gifts, trusts, bequests, and other donations, please call: Sherry J. Friedman Vice President for Development and Public Affairs (516) 705-6653

100 Port Washington Boulevard Roslyn, New York 11576 Tel: (516) 562-6000 www.stfrancisheartcenter.com