PCOA Annual Report 2022-2023

Publication of Pima Council on Aging, Helping Pima County Age Well Since 1967

Annual Report 2022-2023

Independence. Vitality. Respect.

Dear Friends and Supporters, As we reflect on the past year, it’s hard to believe how far we have come since the early days of the Covid-19 pandemic. We have continued to celebrate the return of in-person gatherings, including our suite of Healthy Living classes, Memory Cafes and community lunches. However, the lasting effects of the pandemic on the economy have left many older adults facing insurmountable challenges. We have been on the front lines providing lifesaving support to older adults every step of the way, but we now find ourselves at a critical juncture. The pandemic- era funding that has sustained our efforts will be ending, just as the needs of our community continue to escalate. Requests for support through our Helpline, and home- delivered meal service, have nearly doubled since the start of the pandemic. Our Home Repair program has seen an increase in the number of jobs completed by approximately 20% each year for the past two years. Housing costs have reached a crisis level, with

PIMA COUNCIL ON AGING IMPACT FISCAL YEAR JULY 2022 - JUNE 2023

416,244 meals

748 people

2,796 people

two-thirds of our calls coming from older adults struggling to afford rent and facing homelessness at an alarming rate. Arizona experienced the largest increase in rent prices in the country, and Tucson’s rent prices have risen more than 30% since the beginning of the pandemic. As PCOA prepares its response plan to bridge the gap between dwindling resources and the growing need for assistance, we have locked arms with Area Agencies on Aging across the state and are excited to share that this year, we successfully secured new legislative funding. These funds will be used to support our targeted client services, including an emergency fund, home delivered meals, and other in-home supports. You will learn more about this in the pages ahead.

The challenges remain great, but we are fortified by the strength of our community partners and the generosity of our donors who partner with us in this work. Together, we will continue to support and empower older adults, ensuring they can age with the respect and dignity they deserve.

received family caregiver information and assistance

served through home repair and adaptation

served through Pima Meals on Wheels and community programs

1,241 people

365 people

received end life care assistance & education

participated in our Healthy Living Programs

In partnership,

100,000+ hours

170,271 hours

33,633 Helpline contacts

Agnes Poore Chair, Board of Directors

of volunteer service

of in-home services provided

3,651 long term care residents

W.Mark Clark President & CEO

28,580 hours

2,838 people

helped to navigate Medicare provided Ombudsman services Participants may have received more than one service from PCOA. of respite provided

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INCLUSION,DIVERSITY, EQUITY & ACCESSIBILITY Commitment to Inclusion At Pima Council on Aging, we don’t just accept differences – they are one of our key values. We support diversity and are committed to creating an inclusive environment for all. We Welcome All Ages | Races and Ethnicities | Religions and Creeds Gender Identities | Countries of Origin | Sexual Identities Immigrants and Refugees | Variations of Abilities Spoken and Signed Languages | Gender Expressions We Welcome Everyone.

AREA AGENCIES ON AGING WIN BIG FOR OLDER ADULTS AT THE STATE LEGISLATURE Thanks to your unwavering support, PCOA and partners across

Arizona achieved remarkable success in advocating for older adults and vulnerable individuals in our community. Through your advocacy, we secured unprecedented one-time funding increases of $10 million for Area Agencies on Aging, including $1 million for services in Pima County. These crucial funds sustain vital programs and introduce new

Pictured L to R: Brandon Baxter, Director of NACOG Aging; Maddy Bynes, Director of AZAging; Mary Beals Luedtka, Fmr. Director of NACOG Aging; Juan Ciscomani, US Congressman; W. Mark Clark, President & CEO of PCOA; Carol Brown, Manager of WACOG Area Agency on Aging

initiatives for housing assistance, ensuring the safety of older adults in their homes. Over the past few years, we’ve worked diligently to build programming and infrastructure to sustain our direct care workforce. Continued advocacy has allowed us to strengthen the workforce by maintaining funding for contracted companies, enabling better recruitment and retention of caregivers. This support addresses long-standing disparities in the workforce, making caregiving more appealing to a new generation. While we’ve seen significant progress, there’s more ahead. Your ongoing support and advocacy are invaluable in communicating the needs of Pima County’s older adults to legislators and Congress. For updates and to join our advocacy efforts, visit advocate.pcoa.org and click “Take Action”. Your dedication ensures our continued advocacy work for older adults and caregivers in Pima County. Thank you for your unwavering commitment!

We reject intolerance and any form of degradation, hurt, or abuse. We commit to uphold this space as a place for all to feel safe, valued, and respected.

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Financial Overview 2022-2023

Financial Overview (continued)

Pima Council on Aging

CareGiver Training Institute

PimaCare at Home

6/30/2023 Unaudited*

6/30/2022 Unaudited*

*Total Expenses $ 16,643,067 *Total Revenues $ 16,879,411

Total Expenses $ 1,926,479 Total Revenues $ 2,231,653

Total Expenses $ 597,091 Total Revenues $ 284,455

TOTAL NET ASSETS $7,481,169

$ 7,723,911

Community Impact

REVENUES*

Chart Title Chart Title Contributions & Grants

Health Care Contracts

Endowments & Bequests

Home & Community Based Services $4.3 Million

Meals Programs $5.2 Million

9%

Local Goverment 3% Local Goverment 3%

7 %

6 %

Neighbors Care Alliance $90K

Family Caregivers $400K

Investment Income 1% Program & Earned Income 1%

5 %

Federal & State 73%

PROGRAM EXPENSES $15 Million

1 2 3 4 5 6 7 1 2 3 4 5 6 7

3%

Community Education & Other Programs $2.2 Million

Case Management $1.7 Million

EXPENSES** Program $15,003,431 Administrative

7%

Home Repair & Adaptation $600K

Medicare Counseling & Healthy Living Programs $333K

$1,109,514 Fundraising $530,092

90%

*Totals include PimaCare at Home and CareGiver Training Institute **PCOA only

*Unaudited financial information. Read the full audited financial statements at pcoa.org when available.

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53 presentations to 480 participants. 761 people received personalized assistance with end of life care planning. 130 people completed advance directives. END OF LIFE INITIATIVES

DEMENTIA CAPABLE SOUTHERN ARIZONA

282 referrals to DCSA Options Counselors. 842 Memory screenings completed. 379 Dementia Friends trained.

DCSA provides Options Counseling services which include free memory screenings, intake/assessment, Person Centered Plans and coordination of services and referrals to community partners. The DCSA Community Engagement Specialist continues to offer a suite of dementia trainings which include Dementia Friends and training on dementia for caregivers. Empowering Caregivers, a support program provided in a caregiver’s workplace, in partnership with the employer, is available to employers countywide. This program works to partner with local employers to provide on-site support and training to their employees who are also informal caregivers. Memory Cafes are thriving in Pima County! Memory Cafes are innovative gatherings that aim to address the pressing needs of individuals in our community living with Alzheimer’s Disease and related dementias, as well as their caregivers, families, and friends. They provide a warm and welcoming environment that fosters a sense of engagement, community, and emotional support

We provide end of life care planning at PCOA because we believe that part of living well is preparing well for dying. We offer services in English and Spanish, including one-on-one coaching to help individuals understand their options, discuss wishes with important people, and formalize end of life decisions, as well as community education and group presentations. PCOA is a founding member of the Arizona End of Life Care Partnership. Anchored by the United Way of Tucson and Southern Arizona, and fueled by the support of local foundations, the End of Life Care Partnership is dedicated to providing education and resources that prepare adults to plan for end of life care. This year, we are excited to share that we nearly tripled the number of people receiving supports and services for their end of life care planning and we will continue to expand our reach in the upcoming year through the generous support of the Shaaron Kent Endowment Fund held at the Community Foundation for Southern Arizona.

through activities including music, art, games, and socialization. There are currently three Cafes offered through DCSA and their partners (La Posada, Senior Pride and AARP Arizona), with a rotating variety of programming throughout the month at the different locations.

“I used to feel like a bad person for not being prepared for what happens after my death, now I feel like a big weight has been taken off of me.” - EOL Participant, after having completed their Advanced Directives

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FAMILY CAREGIVER SUPPORT PROGRAM

HEALTHY L IVING

447 people participated in Family Caregiver Support Groups. 75 family caregivers were trained in Caregiving Essentials. 2,274 people received personalized caregiver support services. 111 caregivers received 28,580 hours of respite services.

365 older adults participated in our Healthy Living programs

Programs offered this year included A Matter of Balance, EnhanceFitness, Healthy Living with Chronic Pain and the Aging Mastery Program. The feedback received from program participants validates the benefits that they have received and the importance of offering these evidence-based programs in community settings. The overall goal of our programs is to empower older adults with health information, tools and resources to enable them to maintain their independence and quality of life. Volunteer opportunities are available in many of our healthy living programs.

PCOA’s aging & caregiving specialists help to decrease stress and increase support and coping skills for caregivers by providing information and assisting with accessing resources. We offer individual consultations, caregiver support groups (in-person and virtually), education, and respite services to give caregivers a break. We are proud to offer supports and services in both Spanish and English.

"The program content was very engaging and informative. I was pleased to meet many new and interesting people. It was great to learn and interact with my peers!" - Aging Mastery Program Participant

“Excellent class! Makes you feel you are not alone. We all have fallen and can do better, be smarter, and be more aware of our surroundings.”

We serve caregivers providing care to someone 60 or older, or someone of any age with Alzheimer’s disease or related dementia. We also partner with Arizona Kinship Support Services

(or AKSS), a program of Arizona’s Children Association, to support kinship caregivers. This year, we are excited to share that support group participation more than tripled, and personalized consultation more than doubled over the past year.

– A Matter of Balance Program Participant

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HELPLINE

OMBUDSMAN PROGRAM

33,633 people helped through our Helpline services.

3,651 long-term care residents provided ombudsman services. 1,544 complaints resolved. 3,385 visits to long-term care facilities. 435 consultations with family members’ residents in long-term care facilities. 265 consultations to facility staff. 267 resident/ family council meetings.

The Helpline is typically the first point of entry for people in need contacting PCOA. PCOA’s Helpline staff serves two primary functions: to provide accurate information and referrals to services both within PCOA and in the community, and to conduct intake screenings for various case-managed services through the Community Services System.

PCOA’s Long-Term Care Ombudsman Program advocates for residents in long-term care facilities in Pima County, which include 24 skilled nursing facilities and 330 board and care facilities (i.e., assisted living facilities, adult care homes, and adult foster homes). The team conducts monthly visits to 23 Skilled Nursing Facilities, bi-monthly visits to the 51 Assisted Living Facilities, and quarterly visits to 233 Assisted Living Homes. The Long-Term Care Ombudsman Program seeks to: • Resolve complaints made by or for residents of long-term care facilities. • Advocate for residents’ rights and quality care in long-term care facilities. • Educate consumers and long-term care providers about residents’ rights and good care practices. • Provide information to the public on long-term care facilities and services and residents’ rights. • Promote the development of family and resident councils. “Your help with getting resolution with the facility my mother was in was key in getting the outcome we needed. I’m sure this outcome would not have happened so quickly if you had not been involved. I spent several days trying to get information from the facilities to no avail. Your actions made all the difference. To top that off,

PCOA Helpline staff gather basic information about the caller and the issue or question they are calling about. Staff then refer the caller to PCOA-provided services or to a network of other

community agencies that may be able to address their needs. Helpline staff assist people with a diverse range of concerns and

have documented a significant increase in emergency requests including crisis calls or referrals.

you followed up to make sure things were resolved. I cannot thank you enough for your assistance.”

– Ombudsman client

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HOME REPAIR & ADAPTATION

IN-HOME SERVICES

Home Repair referrals are continuing to increase in the community. 748 people served through home repair and adaptation.

1,363 people received 170,271 hours of in-home services.

PCOA’s Home Repair program assists with home repairs for lower-income homeowners in Pima County. We have helped hundreds of people with modifications to their home such as grab bar installation, shower chairs and wheelchair ramps. Home repairs and adaptations help keep the homes of older adults safe and accessible. The number of repairs has increased 20% in the last two years, and we have needed to adjust the type of jobs and client eligibility due to the rising costs of repairs and limited funds. This year, we have been able to hire an additional Home Repair Specialist to help with the increased need in the

PCOA offers in-home support to those who struggle with performing activities of daily living, such as dressing, bathing, cooking, and cleaning. In-home services allow older adults needing help to remain safe and independent in their own homes. Our PCOA case managers visit each client at home twice a year to complete an in-depth assessment and determine what the individual can do themselves and what help they need to remain independent. The case manager then works with the client to build a care plan to meet those needs. Services that can be provided at no cost by PCOA and our network of community providers include light housekeeping, help with bathing and dressing, emergency alert services and shopping. While the need for in-home care continues to outpace the availability of caregivers, our innovative Friends & Neighbors option offers a model where qualifying older adults can hire a caregiver of their choice and submit for reimbursement for approved hours. 232 clients currently served through this option would be waiting on a direct care worker if this option didn’t exist. Our team provides services and information in Spanish or English to meet the needs of our community.

community to help older adults live in their homes longer. PCOA is actively pursuing and successfully acquiring additional funding to meet growing demands.

“Without the cooling assistance, I could not stay in my house, thank you!” – Home Repair Recipient

“I can’t find words to tell you how much I appreciate the help and guidance you provided me with my dad. I was lost in a sea of confusion, and you threw me a raft.” –PCOA Client

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MEALS PROGRAMS 355,107 meals served to over 3,100 clients through our home-delivered meals program. 76,811 meals through 12 community meal sites for older adults in Pima County.

LGBTQI+ INITIATIVES/ VISIBILITY MATTERS

24 Visibility Matters Presentations were provided to 538 people.

As LGBTQI+ people age and need supportive services to meet their aging goals, many of them question whether it is safe to share with their providers that they are LGBTQI+ due to stigma they have witnessed and experienced over their lifetimes. The Visibility Matters training helps care providers gain the tools needed to create a safe place for LGBTQI+ people to be their authentic selves so that their unique needs can be met. The training provides information about how to be more aware, sensitive, and responsive to LGBTQI+ older people

PCOA offers the Pima Meals on Wheels program with the help of various community partners. This is a meal delivery program for home-bound older adults and those who live with a disability where cooking poses a challenge. In addition to home delivery, older adults can enjoy an affordable meal and a fun social outing at one of our 12 community meal sites. We are in the process of opening two new community lunch sites through a new partnership with Chicanos Por La Causa. Both sites are primarily Spanish speaking and low-income senior housing apartment complexes offering English as a Second Language and immigration services to their complexes and surrounding area. Meal demands have nearly

and their families. This year, we exponentially improved the training opportunities available to aging care providers in Arizona, including the development of a new suite of video resources and a follow-up system that will foster institutional change. We have extended our expertise to the larger community, incentivizing LGBTQI+ inclusion within the aging care field throughout Arizona. Our Visibility Matters training is getting notice, both locally and nationally. We have presented at the USAging Conference and the National Alzheimer’s and Dementia Resource Center, among others. PCOA’s LGBTQI+ Initiatives Specialist was the recipient of the 2022 UAHS LGBTQIA+ Community Leadership Award for their contributions to inclusive and affirming healthcare for LGBTQIA+ patients.

doubled since the beginning of the pandemic and Covid-era funds are coming to a close, but we are continuing to aggressively pursue new funding sources to provide meals for our community’s most vulnerable home-bound older adults.

“I wanted to get out and decided to come to the Senior program. Now I love coming and enjoy the food very much!” –Lunch Program Participant

Aging with Pride

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MEDICARE

NEIGHBORS CARE ALL IANCE

2,138 Medicare counseling calls completed. 598 presentation participants. 102 Medicare-related

7,672 volunteers provided 84,374 hours of service. Volunteers drove 542,098 miles to meet clients’ basic needs. 14,189 older adults received volunteer support to remain independent. Each month, an average of 1,182 older adults are assisted by 639 volunteers.

claims/billing issues and alleged scams handled.

As the designated State Health Insurance Assistance Program for Pima County, PCOA provides unbiased, no- cost direct assistance with Medicare. We aim to empower, educate, and assist Medicare-eligible individuals through objective outreach, counseling, and training, to make informed health insurance decisions that optimize access to care and benefits. PCOA does not sell nor endorse any Medicare plans. Our staff and volunteers are highly trained and certified to help Medicare beneficiaries, their families, and caregivers with information about Medicare, Medicare Advantage plans, Medicare Prescription Drug coverage, Medigap plans, explaining how supplemental insurance options work with Medicare, fraud concerns, and much more. PCOA’s Medicare program also has Medicare and Senior Medicare Patrol presentations available in Spanish to better serve the second largest Medicare population in Pima County. “As I get older, finding the best Medicare plan would be impossible if not for PCOA! From my whole heart, thank you!” –Medicare Participant

PCOA’s Neighbors Care Alliance (NCA) is a network of neighborhood volunteer programs helping older adults to live and thrive safely in their homes. Volunteers support older adults through a variety of services which can include: transportation to medical appointments and shopping, running errands, meal delivery, phone calls and visits, light house and yard work, and caregiver respite. Services vary by organization. Neighbors connecting to neighbors reduces the social isolation many older adults face while helping to meet everyday needs. This year, the 15 Neighbors Care Programs continued to expand their reach within their communities and the impact was significant. In every tracked area, services and support increased: Over 89,000 more miles driven, over 2,900 volunteer hours were provided, 108 more older adults are served on average monthly, and 919 new older adults were enrolled. PCOA recognizes the need to establish new Neighbors Care Programs and is currently working collaboratively

with multiple neighborhood groups with the prospect of becoming participants. PCOA was invited to present the Neighbors Care Alliance program model at the Age of Connections: 2022 Age Friendly Arizona Conference in Phoenix (Sept. 2022) and at a forum sponsored by the ELDER Alliance in Tucson.

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RIGHTS & BENEFITS

SENIOR COMPANION PROGRAM

Through 6,529 contacts, the Rights and Benefits team assisted 1,768 clients during the last fiscal year. During the 2023 tax season six PCOA volunteers helped 19 eligible older adults claim $62,242.00 in property tax credit refunds.

27 volunteers provided 10,293 hours and received 2,853 training hours. 71 clients received support services from the Senior Companion Program.

The Senior Companion Program (SCP) is a national service program under AmeriCorps Seniors, engaging low-income volunteers 55+ to support isolated and homebound older adults providing transportation, respite to family caregivers, and companionship. Volunteers

PCOA’s highly skilled and trained Rights and Benefits staff and volunteers help and advocate for older adults with a wide range of issues, such as landlord/ tenant disputes, accessing financial assistance resources, and consumer issues such as unfair sales practices and unsatisfactory service. Services offered include one-on-one counseling or advice, contacting creditors or other entities, assisting in filling out forms, helping to file for property tax refunds, benefits enrollment, and much more. A personal budgeting program is also offered to help older adults who may struggle with creating a household budget or maintain timely bill payment. During the past year, Rights and Benefits has continued to see a significant increase in housing-related concerns. Nearly two-thirds of calls to PCOA’s Helpline cite housing as a major concern, which is echoed by partner agencies who report an alarming rise in homelessness amongst older adults in Pima County. The lack of affordable housing options is a critical issue for older adults who may only receive Social Security and are being priced out of the rental market. PCOA has secured some one-time funding to alleviate emergency needs and we continue to advocate for policies and public funding allocations that confront this housing crisis.

receive tax-exempt financial incentives while helping to reduce loneliness and isolation in our community. SCP partners with seven non-profit organizations also serving older adults, including two tribal nations, to better identify high risk individuals needing these services. In

addition to providing much needed transportation and moral support, Senior

Companions serve as an extra set of eyes and ears in the home and have helped clients to avoid scams, and utility overpayments due to a water leak, and to seek urgent medical attention when medical providers did not follow up on irregular lab results. Giving their time and friendship, Senior Companions work as part of a team of professionals to help older adults age in place longer.

“Thank you for the valuable legal consultations that you arrange.” –Rights & Benefits Client

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PIMACARE AT HOME

CAREGIVER TRAINING INSTITUTE

105 clients served. 65,915 hours of services provided. 98 Direct Care Workers employed. 1,165 training hours provided.

CGTI awarded 106 certificates in our four programs (Nursing Assistant, Bridge to Caregiver, Caregiver and Assisted Living Manager).

PimaCare at Home provides non-medical in-home care and support to older adults in the safety and comfort of their home environment. Premium services provided by skilled and qualified Direct Care Workers include: • Short term/ Transitional Care - Providing support during postsurgical recovery, and assistance during a life transition. • Long Term Care - Customized care plans to meet clients’ changing needs and maintain safety while retaining their independence. • Respite Care - providing families peace of mind to allow time to care for themselves. • Alzheimer’s and Dementia Care - Ensuring care specifically tailored to the needs of individuals experiencing cognitive and behavioral changes.

CGTI provides students with the academic and professional foundation to build a successful healthcare career. The classes provided include Nursing Assistant, Caregiver, Dual Certification, Assisted Living Manager and CNA Bridge – CNA to Caregiver. This year, we were very excited to enter into a partnership with the Sahuarita Food Bank and Community Resource Center to extend our reach into south and west Pima County. In our continued efforts to address the increasing need for caregivers, we created an innovative value pricing program offering discounts to employers paying for their staff training through CGTI. Additionally, we have fostered a partnership with the Arizona Healthcare Association to be one of the training sites for skilled nursing facilities and assisted living centers. Through the generous support of Tucson Medical Center Foundation, we have been able to offer discounted tuition. All of these measures together resulted in CGTI having the largest graduations to date in 2023!

“I’m 52 and it’s very hard for me to study at this age but I made it. Being a CNA and Certified Caregiver opens

“I had not found a reliable caregiver until I found PCAH. I can now schedule doctor appointments

a lot of work opportunities. Here, everything is possible!”

knowing my caregiver will be here to accompany me. They are amazing!”

– CGTI Graduate from Syria

- PCAH Caregiving Client

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Our Generous Community This year, 1,000+ donors made life-changing services possible for thousands of people. Thank you for helping older adults in Pima County live healthier, happier, more

Robert Tull Rogelio Vega Alyce Walther Susan Winkler William Wissler $400 - $749 Anonymous Donors (61) George Andrews

Robert Johnson Marvie Kaiser Judith Kempf Janet Kenigsberg Barbara Kincaid Dr. Sloan King

George Mairs Robert and Judith Patrick Sereta Robinson Adler Schuppert Family Foundation Simpson Family Fund Angela Weir Nancy and Harold Willingham Charitable Fund held at the Community Foundation for Southern Arizona $1,000 - $2,499 Anonymous Donors (12) Allyn Family Foundation Laura Almquist Clark and Ardith Arnold James J. Britt III Mary P. Carryer Catalina In-Home Services, Inc. Karen Chesrown W. Mark Clark and Stacy Parrish-Clark Community Foundation for Southern Arizona, L.E.S Is More Charitable Fund Jacqueline and Douglas Crockett in honor Janice Crockett & Marjorie Roberts James H. and Carleen S. Denovchek Henry Dittmer Patrick and Sherall Donovan Clarence W. and Susie J. Dupnik Thomas and Jeanne Elmezzi Private Foundation Dennis and Margaret Fesenmyer Michael and Piper Frithsen Edward Gelardin Benjamin and Kathleen Goff Anne Graham Bergin Joe and Tracie Hannah Eden Hart Hackney Tom Hestwood and Therese Jezioro Mary G. Hillmon Mary D. Hilmar Lynn A. Huebner Darrel D. and Mary Hund Julianna T. Kasper Robert Kridler Dr. Alan I. Levenson and Rachael K. Goldwyn Raymond Lopez John and Connie Lowy Gerald and Susan Maggiora Thom and Kathy Mansur Virginia A. Mathis Alan T. Murray Abraham Wu and Christina Noz PayPal Giving Fund Sandra Persels Shaol and Evelyn Pozez Endowment

Jonathan Reich Marjorie Reveal Douglas Rowsell Wallace and Linda Rumsey Leah Saunders-Fileman in honor of PCOA’s Intake Team Merrith L. Sayre Carl and Mabel E. Shurtz Foundation Jerry and Paula Sims Beth Smith Andrew W. and Nancy K. Smith Eleanor Weinzapfel Marvyl M. Wendt Frank and Linda Williams David Yarger $750 - $999 Anonymous Donors (15) Raymond F. and Patricia A. Adams Melanie Borrego J.M. and D.O. Bowden Mary Lu Breshears Nora and Jennifer Caragan Dr. Roger and Mrs. Dawn Cole Community Foundation for Southern Arizona, Lorraine Maria Hamilton Endowment Fund Sevren and Dennis Coon Michael Cozzi and Karen Steffens Loring and Susan Green James and Diane Hays Rev. Patrick and Mrs. Debra Henry Jason Hisey Margaret Houghton Dale B. and August Johnson Robert Kafes and Sheldon Fishman Gloria G. and Ned P. Krier Amy and Malcolm Levin Maria Mata Robert Olsen and Cheryl Langer Robert Olson Katrina B. Pappas Karen Reilly In Memory of Richard and Alice Masherella Larry and Linda Schloss Richard and Veronica Schultz Julia Sherman Eldon and Jeanette Smith Gene Spinelli Lou Spivack Thomas P. Stoffel Richard and Marcia Strange Dan Streeter Mai Tsai Fangamer, LLC D. Joan Forbes Patricia Gillis Brian Gonzalez Ruth Gosman Julia B. Graf

Lourdes LaCandola Bonnie Leko-Shapiro Marilyn J. Ludwig Jody Mallie Richard Marshall Andrea Mate Donald and Carolyn McCarthy Kathleen M. McDaniel Debra McPherson Jon and Sandra Miller Mission Management & Trust Co. Heather Murphy Pedro and Veronica Najera Bill and Kathie Peterson John and Marian Petrole Pima County ECAP Urbano Rada Peter and Lucy Read Lisa Reams Norm and Becky Rebenstorf Allan Resnick Kay Richter Karl Ronstadt Marlene Rosin Edward Schechner and Lucy Wilson Bryan Scott Robert Shannon Bruce and Rachael Simon Geoffrey Skerrett Jaye Smith Randy and Marilyn Smith Arnold and Kathleen Snover Annie Sparks Roy G. Spece, Jr., J.D. and Mrs. Rose Marie Ibáñez, M.D., J.D. Rica Spivack Steven and Sue Carol Stensel Marcia Neugebauer Barbara Norrander Brian O’Laughlin Mary Ellen Thompson Alan and Sandy Tiano Dr. David Updegraff David and Moira Volk Johanna Von Mayr Joan Warfield Frederick and Debra Waring Gary and Celine Weaver David and Sally West Bob Williams Alex Wilson Diane Wimmer R. Wayne and Danna Wood Fund James and Terri Zarling Denise Taylor Sandra Taylor

Larry and Linda Bachel Charles and Janet Baker Janet Baker William and Sandra Barr Sharon Baylor Jill Bernett Sandra Bidwell Janel Boston Peter and Joyce Boyle Bonnie Bradford John Braswell Ronald Breiger and Linda Waugh Walter Brem Jr. Michael and Etta Bryant Richard Buchroeder Irma Burruel Sandie Businger Maddy Bynes Dana and Jay Caldwell Roger and Ellen Caldwell Kathleen Campbell Lisa Capristo Care Coordinators, Inc. Carolynn Carter Dr. John Carter and Loren Jensen-Carter Charles Casey Shirley Cheramy Gina and Jon Chorover Jeff and Nancy Coker Stuart Croll Clyde Cross III and Ann Strine Paul Maseman and Lucinda Davis Robert and Carol Dohrmann Linda Drake and David Van Wyck Susan M. Dumanowski Barry and Roggie Edberg Ruth Edsall Carol English Dr. Palmer and Mrs. Sally Evans Hon. Stanley and Norma Feldman David and Susan Ferguson

independent lives. $100,000 and up Anonymous Donors (1)

Mercy Care/Mercy Care Advantage The David and Lura Lovell Foundation

Willingham Family Trust $25,000 - $99,999 Anonymous Donors (1) Pat Raskob and Tom Paulus John Schaefer TMC Foundation

$10,000 - $24,999 Anonymous Donors (1) Arizona Community Foundation Kellenberger + Tollefson Center for LGBTQ Philanthropy Joe and Colleen Babcock Connie Hillman Family Foundation Shirley Kubiak LGBTQ+ Alliance Fund Andy and Agnes Poore John M. Simpson Foundation Community Foundation for Southern Arizona, Joe Quinton Latta Legacy Fund Greater Green Valley Community Foundation, Inc. Mary Greer William Kaiser Robin Klaehn Quilliam Janet S. Moore Eliot Spalding Foundation Ronald and Sharon Thomas $5,000 - $9,999 Anonymous Donors (1)

Vickey Fisher Willow Frazier Fry’s Food Stores Dr. Kendra H. Gaines Dr. John O. Geiger Dorothy Gyurko

Susan Von Kersburg White Elephant, Inc. $2,500 - $4,999 Anonymous Donors (6)

AARP Arizona Karl W. Flessa Sali Katz Jack and Virginia Kelly Daniel and Adaline Klemmedson

Kevin and Kristine Hall Clint and Sherryl Hardy William and Marion Harlow Don and Mary Herk Constance Hillyer

Fund held at the Jewish Community Foundation

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leadership

partners

Board of Directors Executive Commitee Agnes Poore, RN, Chair Estella Searcy, Vice Chair Ava Butler, Secretary Robert Ramirez, Treasurer Adaline Klemmedson, Immediate Past Chair Karla Bennington AAA Advisory Council Chair Directors Josephina Ahumada

Executive Management Team W. Mark Clark, MSW, ACSW President & CEO Rebekah McGee Senior Vice President, Business Development & Strategy John Motowski Vice President, Chief Financial Officer Lisa Reams Vice President, Programs & Services Victor Quiros Vice President, Operations Sarah Spearman Vice President, Philanthropy & Communications Jennifer Cain Vice President, Health & Community Partnerships

PCOA’s work would not be possible without the partnership of our generous major funders and the dedicated subcontracted organizations that help us carry out services and make an impact in our community. Major Funders Federal Older Americans Act through AZ Department of Economic Security, Division of Aging and Adult Services Federal Social Service Block Grant through AZ Department of Economic Security, Division of Aging and Adult Services State of Arizona through AZ Department of Economic Security, Division of Aging & Adult Services Center for Medicare and Medicaid Partners in Service Accent Care Addus HomeCare, Inc. Aires, LLC All Ways Home Care Arcadia Home Care & Staffing Arizona Children’s Association, Arizona Kinship Support Services Arizona Tender Hands Blue Rose Legacy Catholic Community Services of Southern Arizona

Piper Frithsen Kristin Norstad Christina Noz Mary Okoye Beth Smith Denise Taylor R. Wayne Wood M.D. David Yarger

Services through AZ Department of Economic Security, Division of Aging and Adult Services City of Tucson Pima County United Way of Tucson and Southern Arizona Pima Association of Governments, Regional Transportation Authority Arizona Long Term Care System (ALTCS through Mercy Care and Banner University Health Plans U. S. Corporation for National and Community Service U.S. Department of Health and Human Services, Administration on Community Living Southwest Gas Fuel for Life

Area Agency on Aging Advisory Council Karla Bennington – Chair Wendy Ascher - Vice Chair

City of Tucson Parks and Recreation Community Home Repair Projects of Arizona (CHRPA) Interfaith Community Services Jewish Community Center Lutheran Social Services of the Southwest Mobile Meals of Southern Arizona Mom’s Meals Mosaic Senior Services/dba Soreo In-Home Support Services My House In Home Care Patient Care Advocates LLC Philips Lifeline Posada Life Community Center Saguaro Christian Church Southern Arizona Family Services Southern Arizona Legal Aid Total Care Connections United Cerebral Palsy of Southern Arizona

Fred Bossemeyer Carla Castaneda Frederick R. Eisele Allan Gordon Denise Ochoa-Puchi Stella Mae Smith

Our mission is to promote dignity and respect for aging, and to advocate for independence in the lives of Pima County’s older adults and their families.

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Since 1967, PCOA has led the way to improving the experience of aging in Pima County. Providing unbiased information, advocacy, and expert services for older adults and the people who care for them is at the heart of our work.

Admin: 520-790-0504 Online: www.pcoa.org Email: help@pcoa.org

Admin: (520) 790-0504 Online: www.pcoa.org Email: help@pcoa.org

8467 E. Broadway Blvd. Tucson, Arizona 85710 Helpline: (520) 790-7262

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pcoa.org

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