Welcome to Capital Caring

Kathleen Ramkaran, RN, CCM

Kathleen Ramkaran, RN, CCM, is the Nurse Care Manager for Primary Care at Home. She has extensive nursing experience, including chronic care management and acute care hospital experience. Kathleen is originally from Rio de Janeiro, Brazil, and speaks three languages fluently. She received her nursing degree from Howard Community College.

Hali Gantumur

Hali Gantumur is the Team Coordinator supporting the Virginia North team.  She has been with Capital Caring since 2012, supporting the Capital Caring providers and patients. Hali is the point person for patients, families, and providers, as she handles many of the administrative tasks of caring for our patients.     Hali is originally from Mongolia and earned her Bachelor degree in Business Administration from Mongolian Technical University. 

Yasmin Eleady-Cole

Yasmin Eleady-Cole is the Team Coordinator supporting the DC/MD and VA South teams. In this role, Yasmin is the point of contact for patients and families regarding scheduling and all the administrative responsibilities of caring for our patients.    Yasmin is a Washington, DC native with more than 10 years’ experience in the physician practice management field. Yasmin attended North Carolina Central University, where she studied Exercise Sports Science. 

Carol Joy “CJ” Cabahug, BSN RN

Carol Joy “CJ” Cabahug, BSN RN, is the office nurse at Primary Care at Home.  Earned her  BS Nursing degree at Central Philippine University in 1993.  She has 20+ years of Nursing experience, including  Emergency Dept., Med-Surg. Also worked at  Inova Fair Oaks Hospital Medical-Oncology Department  in 2005-2008. Prior to joining CCH, she worked at Manor Care Fair Oaks as a Nurse Supervisor, assigned  in Skilled, Long -Term and Memory Care units. CJ had also served as a part-time Clinical Instructor to LPN students at Ultimate Health School.

Jennifer Olsen GNP-BC

Jennifer Olsen GNP-BC, has more than 15 years experience as a Nurse Practioner with her focus on Geriatrics and Palliative Care. She has extensive work in Palliative Care at Georgetown University Hospital and George Washington University Hospital. She worked at Capital Caring as a Palliative Care Nurse Practioner and we are thrilled to have her return in 2022 as a Primary Care at Home NP.

Jenny grew up outside of Philadelphia and earned her BSN in Nursing from University of Pennsylvania. She received her MSN as a Nurse Practioner from Catholic University of American with a speciality in Geriatrics.

Dr. Cheryl-Lynne McCalla, DO

Cheryl-Lynne McCalla DO is a board-certified Family Medicine Physician. Dr McCalla is originally from Flossmoor, Illnois. She was an Air Force Flight Surgeon taking her from Virgina to Alaska and South Korea. Dr McCalla has worked as a Family Medicine Physician in Georgia and has recently relocated here to Virginia. Dr McCalla will be the Primary Care at Home team’s Physician for Virginia patients outside the beltway.

Dr McCalla received her undergraduate degree in Biology from Tuskegee University and a Masters in BioMedical Science from Barry University prior to attending medical school at Lake Erie College of Osteopathic Medicine. She completed her Family Medicine Residency at Augusta University Medical Center.

Meena Raj, MD, is a board-certified Internal Medicine physician. Dr Raj is originally from Cleveland, Ohio before transplanting herself to the east coast. After working in finance for almost five years, she decided to pursue a career in medicine. Prior to working at Capital Caring Health, Meena was a hospitalist at Inova Fairfax Hospital for almost six years. Dr Raj is the supervising physician for the Primary Care at Home team in Northwest DC and Chevy Chase, Maryland.

Dr Raj received her undergraduate degree in Mathematics and Economics from Northwestern University. She completed a Post-Baccalaureate degree from Columbia University prior to attending Emory University School of Medicine for her Medical Degree. She completed her Residency in Internal Medicine at George Washington University.

Catherine McGrady, RN, MSN, is Vice President, Clinical Programs at Capital Caring Health. In this role she is responsible for the development, implementation, and monitoring of clinical programs in support of high-quality patient-centered care delivery across the continuum of services. Catherine also manages external partnerships including Capital Caring Health’s participation in ACOs and other value-based clinical programs

Prior to joining Capital Caring Health, Catherine was the Director of Care Management and Population Health at Johns Hopkins HealthCare. Catherine worked for more than 10 years with United Health Group, most recently as Sr. Director of Clinical Services for Optum’s Complex Care Management in the MidAtlantic region. In this role she had oversight of care delivery to Medicare ISNP and DSNP populations. She is a board-certified Adult Nurse Practitioner.

Catherine graduated cum laude with a Bachelor of Arts in American Literature from Middlebury College and received a Master of Science in Nursing from Vanderbilt University School of Nursing in Nashville, Tennessee.

Catherine Kravolec

Q: How long have you been working at Capital Caring and what is your role?
A: I’ve been a hospice nurse for 10 years. I first worked at Community Hospices IPU until it closed in 2019. Then I started prn with Capital Caring at Providence IPU. I’ve been part-time at Sibley IPU since it opened earlier this year. I’ve occasionally taken shifts in the home hospice setting but I feel called to and much prefer inpatient acute care. We have a stellar team at Sibley and I’m proud to be a part of it!

Q: What are you looking forward to about being an Employee Ambassador?
A: I want to represent and be a voice for the inpatient staff here at Sibley, as well as listen to and connect with the greater Capital Caring community.

Q: What would you like to share to help other employees get to know you?
A: I love organizing and helped with cataloging and boxing up supplies when we transitioned from Providence to Sibley. When I’m not at Sibley you can find me baking sourdough bread, hiking, running, teaching online contemplative prayer classes, or otherwise busily occupied with my three children ages 5, 8, and 10.

Sherri Parker

Q: How long have you been working at Capital Caring and what is your role?
A: I have been with Capital Caring Health since July 1997, and celebrated my 25^th Anniversary this past July! I am currently the Social Worker on our Primary Care at Home team serving Virginia, Maryland and DC.

I have had the opportunity to serve in many different roles including management, home hospice and long-term care, bereavement. Prior to Primary Care, I worked at Halquist for 5 years as the Lead Social Worker there.

Q: What are you looking forward to about being an Employee Ambassador?
A: I look forward to working with Management & colleagues to ensure our patients get the highest level of care possible, ensure seamless transitions between our different service lines and improve communication to provide the best quality of care. I want CCH to retain the wonderful staff we have & want to help address employee concerns.

Q: What would you like to share to help other employees get to know you?
A: I live in Arlington and have 5 adult children (a blended family). My parents live with me and my Dad is actually a CCH Primary Care at Home patient!! My oldest son is married turns 30 soon, and my youngest is in her 3^rd year at George Mason. I am an animal lover, and adopted an adorable 8 pound Yorkie-poo named Sheba from the Fairfax County Shelter last year. I’m looking forward to becoming a grandmother in the not too far away future! I find my work rewarding and couldn’t imagine doing anything else!!

Anne Young

Q: How long have you been working at Capital Caring and what is your role?
A: I joined CCH in September of 2014 on the very same day that The Adler Center admitted their first patient. I will always remember that day. I have been a part of the Business Development Team for the past eight years. My current role is a Director of Client Relations overseeing Business Development in the Alexandria and Manassas Neighborhoods. In addition, I currently also provide Business Development support in the Virginia Hospitals.

Q: What are you looking forward to about being an Employee Ambassador?
A: I look forward to getting to know other team members from different areas within CCH and working together to ensure we are doing the very best we can every day as a company to accomplish our Mission, Vision, and Core Values.

Q: What would you like to share to help other employees get to know you?
A: I grew up in the suburbs of Philadelphia. I started my career as a Registered Dietitian, obtained an MBA, worked in pharmaceutical sales, was a substitute teacher, marketed for a home care agency and then I discovered my passion in the meaningful work of hospice care and joined CCH. Both my father and brother had received hospice services and I personally experienced the amazing support that hospice was able to provide to my family and myself. I have proudly been the face of CCH in the community for the past eight years. I live in Haymarket, VA with my husband and we have three young adult children.

Odessa Simpson

Q: How long have you been working at Capital Caring and what is your role?
A: I have been an employee of Capital Caring 18 months. I am a Resource Nurse for Montgomery County and Largo.

Q: What are you looking forward to about being an Employee Ambassador?
A: I am believing that the Ambassador can learn more about how Capital Caring operates and therefore help to facilitate positive changes for bother patients and staff.

Q: What would you like to share to help other employees get to know you?
A: I have been an RN for 43 years. I love being an RN. I am also an ordained Elder and my church and I have a Masters Degree in Divinity.

Hope Collazo

Q: How long have you been working at Capital Caring and what is your role?
A: Been working for CCH since June 21^st, 2022

Q: What are you looking forward to about being an Employee Ambassador?
A: Meet individuals from other areas of CCH and representing my coworkers.

Q: What would you like to share to help other employees get to know you?
A: I never take myself too seriously, I like hard work and if you ask me a question I am going to give an honest answer, so buyer beware.

LaWanda Middleton

Q: How long have you been working at Capital Caring and what is your role?
A: I have been working with Capital Caring Health for 4 years but in medical field for 39 years as a CNA.

Q: What are you looking forward to about being an Employee Ambassador?
A: Looking forward to being there for all Employees to bring forth concerns and served as a team leader in whatever is brought to me and share un a professional and caring way.

Q: What would you like to share to help other employees get to know you?
A: I am a great at problem solving and full of information and ideas that may help in our daily duties.

Sally Hughes

Q: How long have you been working at Capital Caring and what is your role?
A: I started working at CCH this time in 2020. My role is now Executive Assistant I to the Regional Executive Director for Virginia. Prior roles: Office Manager and Patient Care Coordinator for Prince William and Loudoun Teams.

Q: What are you looking forward to about being an Employee Ambassador?
A: I look forward to contributing to making CCH an even better place and to be the advocate/spokesperson for those folks I work with.

Q: What would you like to share to help other employees get to know you?
A: I first worked for CCH in 2001-2005 as a billing specialist and then as the Office Manager for Halquist Memorial Inpatient Unit. A fun fact, I love raising chickens and camping.

Jennifer Godwin

Q: How long have you been working at Capital Caring and what is your role?
A: I started working at Capital Caring in 2003 as a RN Case Manager (Hospice of Northern Virginia). Took off in 2009 to complete my Master’s degree and returned to Capital Caring in 2011. I have served in many different capacities at Capital Caring to include; RN Case Manager, Clinical Liaison, Nights/Evenings & Weekends, Admissions, Clinical Manger and IPU nurse and Manager. Currently, my role is as the RN Clinical Educator, but I still do admissions sometimes on the weekends. I am privileged to be able to serve in this role, and great rewards through my support of the clinical staff as well as our patients and families.

Q: What are you looking forward to about being an Employee Ambassador?
A: Sharing ideas about positive growth, to have each employee feel they belong here, and to share the sense of honor about the work that we do. I feel very connected to our mission, vision and core values. I see this as a wonderful opportunity to collaborate and work together to achieve new heights.

Q: What would you like to share to help other employees get to know you?
A: I grew up on the Oregon coast which I adore and visit often. My family shares my enthusiasm for nature and outdoor activities. Usually the family vacations encompass some new outdoor activity such as sand boarding at the Great Sand Dunes National Park. I have two children, Madison and Dylan as well as a French bulldog named Twinkie. Madison is in college studying architecture and Dylan is a senior in high school and plays in pickleball tournaments over the weekend. I enjoy spending time with my family including snuggling with Twinkie. I just recently revived my passion for swimming, and have been able to swim daily.

Henry Fuller

Q: How long have you been working at Capital Caring and what is your role?
A: I’ve been working at Capital for 5 months. I am a Client Relations Executive in DC.

Q: What are you looking forward to about being an Employee Ambassador?
A: I’m looking forward to advocating for my fellow team members to continuously make progressive change in my role.

Q: What would you like to share to help other employees get to know you?
A: I am a total composition of my life experiences and use my unique experience to empower the work, I do each day.

Margaret Doherty

Q: How long have you been working at Capital Caring and what is your role?
A: I have been with Capital Caring for about 5 years as a Clinical Liaison.

Q: What are you looking forward to about being an Employee Ambassador?
A: I look forward to being a change agent and a voice for my peers.

Q: What would you like to share to help other employees get to know you?
A: I believe in staying positive, working hard and making things happen.

Evan Kirschner

Q: How long have you been working at Capital Caring and what is your role?
A: I’ve been working in my role in the hospital for around 3.5 years now.

Q: What are you looking forward to about being an Employee Ambassador?
A: I’m looking forward to using my advocating for staff as much as I do the patients I serve.

Q: What would you like to share to help other employees get to know you?
A: I take self-care seriously and encourage others to do the same. Myself and other members of my team often jog in place to get all our steps in for the hour!

Gabby True

Q: How long have you been working at Capital Caring and what is your role?
A: I have been with Capital Caring for just over 1-1/2 years and am a Pediatric Nurse Case Manager with Capital Caring Kids.

Q: What are you looking forward to about being an Employee Ambassador?
A: I’m most looking forward to working with other CCH members of various disciplines to promote the ideas and voices of all team members.

Q: What would you like to share to help other employees get to know you?
A: I love to cook and always take a cooking class when traveling. With a kitty and new puppy at home, life is never dull.

Carla Thompson

Q: How long have you been working at Capital Caring and what is your role?
A: I have worked for Capital Caring for five years. I began in Alexandria office and am presently at the IPU at Sibley Hospital. I have served as a chaplain throughout my entire employment with Capital.

Q: What are you looking forward to about being an Employee Ambassador?
A: As an Ambassador I am looking forward to listening thoughtfully to as many ideas as possible. The art of change is directly connected to listening, valuing opinions and acting on those ideas which enhance the work environment for all. Respect, collaboration and implementation are the watchwords for any strong organization.

Q: What would you like to share to help other employees get to know you?
A: How do you become a person of compassion and empathy? I would suggest it is through life experience. For me that road led me through almost getting my PH.D in Medieval Scandanavian History (who knew), being a police office in Champaign, Illinois (many stories), working for the U.S Department of State (many travels and adventures, and finally becoming an Episcopal priest. A very eventful life path which has taught me a great deal.

I love to laugh, walk the ferocious miniature poodle Oberon, hold friends close to my heart, watch British mysteries, and generally be grateful for life in all its manifestations.

Shannon Collier

Q: How long have you been working at Capital Caring and what is your role?
A: I joined CCH as a PRN chaplain in the fall of 2019 and transitioned to a fulltime grief counselor in DC in February 2020, 30 days before the pandemic lockdown. I now cover Bereavement for DC TEAM 1, Sibley IPU and provide regular, limited coverage for our organization-wide grief intake call center.

Q: What are you looking forward to about being an Employee Ambassador?
A: Getting to know my peers and being a translator and bridge-builder for the various perspectives and experiences of CCH employees. I would like all of us to feel seen, heard, known, understood, valued, and appreciated.

Q: What would you like to share to help other employees get to know you?
A: Generally, I am a major introvert and prefer one on-one-connection so putting myself out there for this role is a growing-edge for me. I love quiet, being in nature, swimming, health/wellness pursuits, reading, insights about life and people, gardening/anything plant-related, and travel. Currently, I live in DC with my husband of 18 years and have a diverse community of friends and neighbors.

Annette Lindsay

Q: How long have you been working at Capital Caring and what is your role?
A: 9 years I have been working for Capital Caring. I am a certified nursing assistant working to take care of residents of Prince George’s County.

Q: What are you looking forward to about being an Employee Ambassador?
A: I am looking forward to being an Employee Ambassador. I would like to help promote all the company has to offer.

Q: What would you like to share to help other employees get to know you?
A: I am a wife and a mother. My passions are camping, bike riding, and homesteading. I recently hiked 4 miles, overnight camped, and rode my bike for 26 miles. I love the creator for making all things possible.

Jason Sobel, MD

Q: How long have you been working at Capital Caring and what is your role?
A: I have been working at CCH since 2014 so already 8 years!

My current role is to serve as attending for our GIP patients at Fairfax Hospital, provide support to other physicians serving as GIP attendings at the other Inova hospitals, and also assist w/ complex discharges of hospital patients to our home hospice teams.

I used to be the medical director for Arlington home teams and at Halquist IPU.

Before that, I worked in the Chicagoland area for another non-profit hospice company, also caring for palliative care and hospice patients in residential, IPU, and hospital settings.
Can’t believe it’s been 19 years of doing this amazing work! Time flies!

Q: What are you looking forward to about being an Employee Ambassador?
A: I love working on interdisciplinary teams so that we can create beautiful care for patients and families going through difficult times. I am excited about being an Ambassador as it is an opportunity to go beyond the walls of Fairfax Hospital and connect and reconnect with colleagues in other hospitals and out in the communities that we serve.

Q: What would you like to share to help other employees get to know you?
A: One fun (non-clinical) fact about myself: One of my highlights in life was to bike across the country the summer after my first year of medical school. I rode with 20 other people, mostly college students. It was a wonderful opportunity to meet all kinds of people within the group and in the communities that we visited. And I got to appreciate the vastness and variety in terrain within our country! That was also a time to re-imagine myself, even for just the 6 weeks of travel, when I shaved my head and explored a different part of myself! LOL

Brenan Nierman

Q: How long have you been working at Capital Caring and what is your role?
A: Over 15 years as a social worker on the Arlington team.

Q: What are you looking forward to about being an Employee Ambassador?
A: Serving my colleagues and the mission we all share. In a nutshell, an ambassador is a position of service.

Q: What would you like to share to help other employees get to know you?
A: I have many interests and enthusiasms: reading literature and mysteries (I’m a huge Inspector Morse fan), poetry (which I read and write: Housman, Keats, Kipling, Poe, Dickinson are favorites), history and biography, watching films and sometimes collecting movie one-sheets from films I particularly love like FAREWELL MY LOVELY, LA CONFIDENTIAL, CHINATOWN and ONCE UPON A TIME…IN HOLLY WOOD (my all-time favorite).

For the first ten years of my life, I rode horses, growing up on a horse farm where my parents raised and bred Arabian horses.

I consider myself a political junkie, and got in my first political argument in 1968, when I was in the third grade of elementary school

I went to Staunton Military Academy and thrived in that environment. That school basically shaped me into who I am today.

After graduating from Gettysburg College, I spent 15 months in a Jesuit novitiate to prepare for the priesthood, but as I sometimes tell others, when I realized I enjoyed talking with the girls who worked n the refectory there rather than gossiping with the priests and brothers over coffee, the sign marked “EXIT” was already on the wall. I then came to DC and went to social work school at The Catholic University of America, then earned another graduate degree from Georgetown. My first social work job was being Director of Social Services at Christ House, which is an in-patient medical facility for the homeless. After doing that for several years, I started the Early Head start program in Arlington and then managed health access programs in collaboration with Fairfax County.

I am married to my beloved wife and best friend Josefina “Fina”, who is from the Bicol province in the Philippines, which is where we hope to retire. I have two children, our daughter Jereille, and my son Frankie. We also have a cat, Happypawn, who is named after Jennifer Yu, a young lady who won the United States Women’s Chess Championship in 2019, with an almost perfect score.

Susan Roberts

Q: How long have you been working at Capital Caring and what is your role?
A: I have been working here for approximately 6 months. I am the Human Resources Generalist at Headquarters.

Q: What are you looking forward to about being an Employee Ambassador?
A: Being able to provide valuable feedback, serve as a connection point between teams and headquarters to help improve communication, shape employee appreciation activities, and develop creative solutions to address challenges.

Q: What would you like to share to help other employees get to know you?
A: I am a people person, a good listener, and an observer of life. I enjoy making new friends and learning from them. I am organized and I’ve always been the person in between employees and management to make things run smoothly.

Jackie Gouline

Q: How long have you been working at Capital Caring and what is your role?
A: I have been at Capital Caring since February 2020 (a little over 2 ½ years). My current role is Social Work Clinical Manager for the Maryland region. Previously, I was a Social Worker on the Montgomery County team.

Q: What are you looking forward to about being an Employee Ambassador?
A: I am looking forward to improving communication across the company and working toward moving the company forward.

Q: What would you like to share to help other employees get to know you?
A: Though I grew up in Maryland, I am relatively new to working in this area, having previously worked in Baltimore. I have 2 young daughters, ages 7 and 4, who take up most of my time when I am not working. I enjoy following and watching women’s soccer and am also excited to watch the men’s World Cup next month.

Stacy Brown

Q: How long have you been working at Capital Caring and what is your role?
A: I have worked for Capital Caring since 1996, 26 years loving my work and feeling proud of my organization.

Q: What are you looking forward to about being an Employee Ambassador?
A: I am looking forward to sharing ideas and information from my office region colleagues to improve our organization and express concerns/resolutions for general practices. Looking forward to hearing from my colleagues and making a difference.

Q: What would you like to share to help other employees get to know you?
A: I passed my LPN Nsg Boards in 1985, Love Hospice Work. I try to have a healthy work/life balance and plan vacations, hiking, kayaking and time with family and friends. I’ve been know to visit a Brewery/Winery and fly kites, play bocce, cards, board games, love watching my friends kids play their sports too! Brings back awesome memories! Fun and Life Balance go together!

Kremena Bikov

Q: How long have you been working at Capital Caring and what is your role?
A: I have been with Capital Caring since May 2018 as a nurse at the Adler Center for Caring.

Q: What are you looking forward to about being an Employee Ambassador?
A: I look forward to being part of this important effort towards improving communication and connection. I’m also excited about meeting colleagues from other teams, learning about their experience, and sharing ideas.

Q: What would you like to share to help other employees get to know you?
A: I look forward to getting to know each other better through this experience

Allison Kuchar

Vice President, Pediatric Services

Allison Kuchar is the Vice President of Pediatric Services. In this role, she oversees all children’s hospice, palliative care, and community bereavement programs. She is also responsible for facilitating ongoing complex care coordination and best practices for all pediatric patients, paving the way for how pediatric concurrent care is effectively implemented, and provides needed guidance, resources, and support to the Capital Caring Kids team. She is also involved with managing grants, donors, and sponsorships supportive of Capital Caring Kids programming and local, regional, and national involvement with increasing access and awareness of pediatric hospice and palliative care for infants, children, adolescents, and young adults. Allison, formerly the Director of Pediatric Care Coordination with Capital Caring Kids, has worked closely for years with hospitals and outpatient clinics in the metro region to educate providers of children’s hospice eligibility and offer support with hospital to home discharge planning. She has supported hundreds of parents through difficult decision making, guiding them through the process of enrolling with hospice.

Pediatric programs require specialty considerations for models of care delivery, staffing ratios and management, funding mechanisms for care, and methods for care coordination. Allison is committed to breaking down accessibility barriers for children with complex illness and their families and has presented on topics pertaining to concurrent hospice care, complex care coordination, and pediatric hospice program structure at multiple national conferences, including with the Hospice Foundation of America. She is also a contributing author in several scholarly articles on these topics, some of which have been featured in the Journal of Palliative Medicine and American Academy of Pediatrics.

Allison’s journey with hospice started twelve years ago as a volunteer with Capital Caring, when she would visit hospice patients in their home to offer companionship and socialization. Her passion with caring for patients and their families navigating end-of-life has led to a ten-year career with hospice. She holds a Bachelor of Science in Behavioral and Community Health, along with a Master’s of Healthcare Administration, Masters of Business Administration, and advanced certificates in Health Education.

Angi Stapleton

Regional Executive Director, DC

Angi Stapleton, BSN, RN, is the Regional Executive Director for the District of Columbia. In this role, she provides leadership and support to the interdisciplinary teams caring for patients and families in DC. Angi has extensive healthcare experience, from her start as a Licensed Practical Nurse to the completion of her bachelor’s degree and working in a medical and trauma intensive care unit. As her career progressed, Angi developed a deep compassion for patients and families experiencing challenging times, leading her to seek work in hospice.

After working as a travel contract nurse with Capital Caring Health, Angi became a full-time employee and served as a Clinical Manager. Angi’s enthusiasm and dedication to Capital Caring Health have continued to grow throughout her tenure, especially in her current role as Regional Executive Director.

Angi holds a Bachelor of Science from Mount Aloysius College in Cresson, Pennsylvania.

Missy Ring

Vice President of Quality and Clinical Compliance

Melissa “Missy” Ring, DNP, BA, RN, is the Vice President of Quality and Clinical Compliance at Capital Caring Health. In her 26 years of nursing, Missy’s hospice and palliative care work experience includes hospital, community based, national, and integrated health systems in both profit and nonprofit organizations. She has presented at the local, state, and national levels. Missy brings vast experience in nursing, evidence-based practice, regulatory and compliance, quality and standards, operations, administration, and patient safety to her work here at Capital Caring.

She holds a Doctor of Nursing Practice from James Madison University, as well as a Bachelor of Arts with a concentration on Business Administration from Mary Baldwin College.

Audrey Easaw

Senior Vice President, Philanthropy, Communications & External Affairs
Executive Director, Center for Health Equity

Audrey Easaw oversees the acquisition of philanthropic gifts of time, talent, and treasure to advance the overall mission of Capital Caring Health. She develops short- and long-term goals and strategies in collaboration with senior and executive leaders to ensure that the Philanthropy program supports Capital Caring’s strategic and business goals. She collaborates with staff across Capital Caring to ensure that strategic communications and outreach, and engagement with public and private sector partners and donors are aligned to inspire others to join our commitment to enhanced access to care in all communities we serve.

In her role as Executive Director, Center for Health Equity, Audrey continues to focus on concrete goals established by her predecessors and CEO, Tom Koutsoumpas. Audrey collaborates with front-line staff who serve as diversity, equity, inclusion and belonging (DEIB) ambassadors, a steering committee, community and faith-based partners, and Associate Director to advance the Center’s mission, strategies, and practices. The Center’s focus includes education and training to support a diverse workplace and leverage the impacts of diversity to increase access to service and growing community relationships.

Audrey has a 25-year track record of leading corporations and nonprofits through transformational change. She is a strong proponent of public-private partnerships that enhance the human condition in the areas of education, health, housing and community development, and financial services. Her diversity, equity inclusion & belonging (DEIB) training approach is infused with counseling psychology clinical experience gained while serving multicultural populations. Most recently at McMillon Communications, Audrey provided program operations and strategic partnership expertise for clients focused on disparity studies and multicultural populations. Prior to that at AARP, she partnered with leadership across the organization to ensure alignment on membership programs and initiatives for its 37 million members.

Audrey has a Bachelor of Arts degree in Journalism from the University of South Carolina and a Master of Arts degree in Counseling Psychology from Bowie State University. She holds leadership certificates from George Mason University and the Senior Executive Leadership Program in Cambridge, MA.

Lisa Robinson

Regional Executive Director, Maryland

As Regional Executive Director for Maryland, Lisa Robinson oversees the clinical teams supporting Maryland patients daily at Capital Caring Health. Lisa has served in healthcare for 24 years, including as an emergency room nurse and a pediatric HIV and AIDS nurse, a role that brought her into patients’ homes and worked closely with families.

Lisa was introduced to Capital Caring in 2006 when she witnessed the high-quality care and what she calls “committed compassion” towards a family member. The experience left an indelible impression on her life, ultimately leading her to hospice nursing at Capital Caring. Lisa’s experience as a case manager and a clinical supervisor prepared her for work in the field which she enjoys with her team. The most gratifying part of her work is receiving words of appreciation from families and knowing that she and her staff are making a difference.

Julia Feldman

Vice President, Public Affairs and Philanthropy

Julia Feldman is Capital Caring Health’s Vice President of Public Affairs & Philanthropy. In this role, she focuses on establishing long-term relationships with foundations, communities, and local, state, and federal leaders & organizations to secure financial support for the vital programs Capital Caring Health delivers to patients and families in Virginia, DC, and Maryland. Julia began her career in the Washington DC area helping national nonprofits and membership organizations implement their direct mail fundraising campaigns. After several years at AARP Foundation fundraising on behalf of their charitable and advocacy efforts, she joined the AARP Membership team to help improve member engagement through communications and product marketing. After AARP, Julia joined Sunrise Senior Living to lead their Product Development and Innovation work. Before joining Capital Caring Health, Julia started her own consulting practice working primarily with nonprofits to advise in the areas of marketing, communications, and brand strategies, as well as business optimization.

Julia’s career has focused on improving the lives of people as they age, including their caregivers and families. She lives in Arlington County, VA with her family and loves to cook, discover new outdoor adventures especially hiking or at the beach.

Gus has been a part of the Capital Caring Health family for nearly fifteen years. Ten of those years have been in leadership, working with colleagues and co-workers to achieve the best in their ability while promoting CCH core values. Gus has a background in nursing and a lifelong passion for technology. In each position at CCH, Gus has found ways to integrate technology to enhance outcomes and job satisfaction.

Provide leadership to the IT Department
Guide CCH to new technological heights and capabilities
Drive IT related outcomes to ensure every CCH employee has the best possible IT experience
Develop the CCH data strategy and infrastructure
Work alongside strategic IT vendors and partners such myUnity, Aprima, and NorthStar

Pat Bishop

Regional Executive Director, Western Virginia Region

Patricia A. Bishop, RN, MSN, CHPN, is the Regional Executive Director for the Western Virginia region. Pat provides leadership, management, and support for the clinical operations and services for Loudoun, Western Fairfax, Prince William, and Fauquier counties, serving over 300 patients daily. Pat’s scope of responsibilities includes hospice home and facility patients, the Adler Center for Caring – a 21-bed hospice inpatient facility located in Aldie, VA, and inpatient care with our partner hospitals within the service area.

Pat has extensive healthcare experience, including both acute care hospital and hospice, devoting the past 25 years to hospice and palliative end-of-life care. In addition to her experience in leadership and management of clinical operations, she has experience and a special interest in quality, performance improvement, and regulatory compliance.

Pat holds both Bachelor of Science and Master of Science degrees from George Mason University in Fairfax, Virginia, and maintains national certification in Hospice and Palliative Care.

Elizabeth Ariemma

Regional Executive Director, Fairview Park Region

As Regional Executive Director for Fairview Park, Elizabeth’s role is to ensure patients and families have the highest quality of care and team support when receiving hospice care in their homes. Her mission is to support our teams with the right tools, resources, knowledge, empowerment, and financial viability to provide our patients and families with a genuine hospice hug.

Her education includes degrees in nursing, psychology, and metaphysics. Her background in nursing includes medical-surgical, geriatrics, addictionology, and behavioral health. These disciplines led her to an executive-level career in managed healthcare, including medical, EAP, and behavioral health utilization review and case management. Elizabeth’s greatest professional joy is when families complement staff for support during the most difficult time of life and when our staff identifies a magic moment of healing within the patient and family.

Joe Murray

Chief Financial Officer

Joe Murray is the Chief Financial Officer at Capital Caring Health. In this role, Joe provides leadership, guidance and management of the finance and accounting team, in addition to providing strategic recommendations, financial forecasting and planning. Joe has more than 20 years of experience in healthcare finance, including major financial roles the long-term care industry and hospital setting. Most recently, Joe was the Vice President of Operations Finance at SavaSeniorCare where he was responsible for 70 nursing facilities with $500 million in annual revenue. Prior to his responsibility at SavaSeniorCare, Joe was with the Johns Hopkins Health System where he served as the Director of Finance for the Ambulatory Services & Armstrong Institute and earlier as the Director of Financial Reporting and Accounting in the Controller’s Office. Joe began his career in healthcare at MedStar Health. Joe has a history of operational improvements, business analysis and has a collaborative approach.

Joe has a BS degree in Economics from Mount St. Mary’s University and Master of Finance degree from University of Baltimore.

Mia DeBarbieri

Vice President Business Development

Mia DeBarbieri is the Vice President of Business Development for Capital Caring Health. In addition to leading a team of professionals who provide external advocacy for those in need of Advanced Illness Care, she is also responsible for the cultivation and implementation of integrated marketing and business development initiatives that support Capital Caring Health’s mission, vision, and core values.

Mia was a noteworthy leader in the fields of finance, telecommunications, and technology before pivoting to senior healthcare leadership more than a decade ago. During this time, she has personally assisted countless families find support for their loved ones across all areas of the senior healthcare spectrum.

Carrie Pelletier

Vice President Clinical Performance

Carrie is the Vice President, Clinical Performance. In this role she provides direction in all quality of care and performance improvement initiatives and acts as liaison between CMS/CGS and other Medicare Administrative Contractors. She has worked in healthcare a cumulative total of 30+ years, 15 of those in the Hospice and Palliative Care environment. She received her Bachelor of Science Degree in Nursing from Chamberlain College of Nursing in Downer’s Grove Illinois.

Carrie joined Capital Caring Health, when it was known as Capital Hospice, in 2007 when the newly revised Medicare Conditions of Participation were released. This revision to the Regulations created the “QAPI” regulation for hospice, and Carrie was the first nurse appointed to the newly created Quality Department, eventually rising to Director of Quality, and then to her current position as Vice President, Clinical Performance. She believes that fostering a culture of trust is integral to promoting change that enhances the quality of the care provided to each patient and family, every day.

Lin Maurano

Chief of Clinical Operations

Lin brings a wealth of knowledge and experience to this role, having served as President and CEO of the Visiting Nurse Association of Washington, President of MedStar Enterprises, Inc and, just prior to returning to Capital Caring Health in 2019, as Executive Director of Holy Cross Home Care and Hospice.

Lin holds a Master of Science degree in Nursing from The Catholic University of America in Washington, DC and a Bachelor of Science in Nursing from Salve Regina University in Rhode Island. She has published several prominent articles and book chapters on home care and hospice management and speaks locally and nationally on these and related topics. Lin has also served on a number of Boards such as the American Red Cross, DC Chapter, the Child Health Corporation of America and was one of the founding members of the Capital Home Health Association which serves home care and hospice organizations in Maryland and the District.

Dwayne Barton, NP

Extensive background in critical care, advanced heart failure, and multi-organ transplantation. Practiced in Baltimore, MD, San Diego, CA, Los Angeles, CA, Washington, DC, and now Arlington, VA. When I’m not working, I love hiking, spending time with my nieces and my dog, Fred.

Nursing Education

University of Maryland – Master’s in Adult-Gerontology Acute Care Nurse Practitioner Program
University of Maryland Medical Center – Clinical Rotations in Acute Pain Management, Trauma Critical Care, Neurosurgery Critical Care
The Johns Hopkins Hospital – Clinical Rotation in Solid Organ Transplantation

Jacob Phillips, MD

Dr. Phillips lives in Silver Spring, MD with his family. They have one dog and two cats. His hobbies include drumming and ice hockey.

Medical Education

Lake Erie College of Osteopathic Medicine, Seton Hill Campus

Internship

East Liverpool City Hospital – Internal Medicine

Residency

East Liverpool City Hospital – Internal Medicine

Fellowship

George Washington University School of Medicine and Health Sciences – Geriatrics
George Washington University School of Medicine and Health Sciences – Hospice and Palliative Medicine

Tabitha Gingerich, NP

Throughout her career, Tabitha has and continues to seek to accompany others in the promotion of wellness and alleviation of suffering. She first developed an interest in Hospice care during her undergraduate studies and returned to the field following various positions in primary care, community health, and long term care settings. Her practice, whole-person approach, and care for social justice have been deeply influenced by her time working at Joseph’s House in Washington, DC and through the Metta Institute’s End of Life Practitioner Program. Tabitha and her husband, Keith, live in Prince George’s County, Maryland, where they are active members of Hyattsville Mennonite Church. They enjoy walks in nature and spending time with their extended families.

Medical Education

James Madison University Master of Science in Nursing – Family Nurse Practitioner
Eastern Mennonite University – Bachelor of Science in Nursing

Donna Smith

Leading a program for children

Helping others deal with grief and loss in so-called “normal” times is a challenge for healthcare workers. That challenge is often compounded when a child is lost, or a young person faces the death of a family member. But facing those challenges in a pandemic adds another layer of complexity to the task. To help meet those challenges, Capital Caring is tapping the talents of Donna Smith, a veteran counselor who led The Children’s Room, a groundbreaking non-profit organization designed to help grieving children and families.
Smith has been working since April at Capital Caring Health, the largest non-profit provider of elder health, advanced illness, hospice, and at-home care services for the Maryland, Virginia, and Washington, D.C. area.

A midlife change

Donna came to her role as a counselor after a midlife career change. At 35 she lost her mother, then five years later, her father died suddenly. After some introspection, Smith decided to leave her career in business. Armed with a degree in accounting, she had worked in small businesses in a variety of roles, but had found herself gravitating away from the numbers side of the business to the personal, working in human resources. Following her father’s death, she reevaluated her working life and decided to pursue a job totally focused on helping people.

She decided to become a counselor, and she gravitated to helping families cope with loss. Her path led her to a part-time job at Children’s Room, the Arlington, Mass. based non-profit that provides grief support services for families and children up to age 19. The project had begun in 1993 as a single room within a hospice care facility set aside for the needs of children either housed in hospice care or visiting family members there. Smith went on to develop her part-time job into a full-fledged role as program director, serving in that role from 2005 to 2010, and then took over as executive director of the non-profit. When she stepped down in 2017, the Children’s Room team hailed her service and her leadership. She was credited with developing programs like Parenting While Grieving and the Teen Program during her tenure.

In March, 2020, as the Covid-19 pandemic began to take hold, Capital Caring hired Smith to develop programs to help children deal with the crisis. The children’s program was set up within Capital Caring’s hospice care program where a teamwork structure is well matched to the new task, Smith says.

Building on experience

Smith is drawing on her Children’s Room experiences in her new role as a grief counselor. A key hallmark of the work at Children’s Room was flexibility, the need to adapt to each child’s specific needs, and she is applying that in her new mission. For example, Smith cited the case of a mother and her two children, a 10-year-old son and eight-year old daughter who had been home when their father suffered a fatal heart attack. The family came to Children’s Room for support, but the daughter felt like she bonded more with adults rather than a children’s group. So after becoming a familiar face in the Children’s Room community, she was allowed to join a teen group with older children who had come to know her. One of the older members of the group was a Harvard student whose parent had been killed in Oregon. They bonded and together created a theater piece, a project that helped them both. The little girl would go on to form a performance group as a teenager, and later she became an art student. That bonding at Children’s Room “had an enormous impact on her,” Smith says. It shows the “difference you can make if you are grounded in the community, and not giving time limited services.”

As the Capital Caring hospice staff members find themselves working with more children who are losing family members to the virus, the challenges are mounting. Creating community has been difficult in the current situation, given social distancing and the necessity of communicating virtually. The program also has developed family circle times, bringing multiple families together, and setting up break out rooms with activities for children. To encourage communication about their feelings, Smith says the program has been using what she calls “question balls” – beach balls for each family labelled with fun questions about the person they have lost. “Nobody’s ever asked these questions,” Smith says, “(its’) amazing the discussion that comes after them.”

The resilience of children

One thing Smith has learned in her work, a lesson that has been underlined during the pandemic, is that children know how to work through grief, and often can talk more honestly about it than adults who sometimes are hampered by their reluctance to discuss their loss. The overwhelming burden of dealing with covid has made many people not wanting to think about the potential loss and that leads to avoidance. We are “so death avoidant in this culture,” Smith says. But for Smith and her fellow hospice workers they are “reminded every day that life is short,” and that spurs them to help families cope with the crisis.

“The work that I do is so life affirming,” Smith says, adding that she feels “privileged and inspired to witness kids who went through something really, really hard and went out the other side even stronger.”

In her personal life, she draws comfort and support from her own two adult children and three grandchildren. When not at work, she spends a lot of time with her family, and as an “outdoorsy person” recharges by walking, running and hiking. An avowed explorer of new things, she also enjoys reading and cooking. But it is the teamwork and the resiliency of children that she finds in her work that also bring her joy.[/vc_column_text][vc_button border_width=”0″ link=”url:https%3A%2F%2Fapp.memorywell.com%2Fstory%2F722%2Fmemorywell%2Fpdf” icon=”fa fa-file-pdf-o”]PDF[/vc_button][/vc_column][/vc_row]

Paulette Davidson, Chaplain

The silent voice praying by the bedside

Paulette Davidson’s first job as a healthcare chaplain was at the top trauma hospital in Washington D.C. When patients were brought in from car accidents or with gunshot wounds or third-degree burns, she was there. “I was that silent voice praying by the bedside while doctors are working to save their lives,” she says.

And when family members burst in — screaming, in shock, terrified — she was there to scream with them or hold their hands or calm them down so they could listen to the doctors.

In 2019, she accepted the job at Capital Caring, the largest non-profit provider of elder health, advanced illness, hospice, and at-home care services for the Maryland, Virginia and Washington, D.C. area. She says she wanted to view death and grief from a different perspective — beyond that time of intense stress and loss. She wanted to help families the next day and the day after that as they came to terms with death.

“I have seen it from the hospital,” she says. “I wanted to see it from the home.”

A preachers’ kid

Paulette grew up a “preachers’ kid” in Pittsburgh, the youngest of four children. Both her parents are pastors and her father has been working as a chaplain for the last 25 years at a VA hospital.

She studied business in college initially, then switched her major to social work. While in school she decided to enlist in the Army. At the time she says, “I couldn’t do a push up to save my life.” But she says the experience was transformative and taught her purpose and discipline. When she went back to finish her degree, she decided to join ROTC to become a leader in the Army. She decided to pursue military chaplaincy as a way help people.

She became pregnant in her last year of college. She chose an internship in a high school working with teen moms and dads. “I was 23 years old, becoming a new mom, and these were 16-year olds with young children. I was teaching them about education, and they were teaching me about parenting,” she says.

She has carried that teaching and learning philosophy with her into her career. In support groups, she leads by helping people learn from each other and find strength from within, she says.

From military to healthcare chaplain

When she graduated from college, she commissioned as an officer in 2010 and worked in the reserves while she enrolled at Howard University School of Divinity to pursue her Master’s degree.

Her daughter was only 2 yrs old, and she was a single mom, living in a new city far from home. She worked hard and found success. After three years, she graduated and was ordained as an Elder in the Pentecostal church, though she emphasizes that chaplains do not discriminate, regardless if you are “Methodist or Buddhist or Wicken or Spiritual or not.”

Rather than going active duty with the military, as she had planned, she retired from the Army in October 2015 and applied for a clinical pastoral education residency with Medstar Washington Hospital Center so she could work in healthcare settings. “I fell in love with the work,” she says.

Now, as a hospice and palliative care chaplain, her job is to address the emotional, psychological and spiritual needs of patients and families. She typically would visit a roster of patients in different assisted living communities, but the novel coronavirus pandemic has changed the daily rhythm of her job and the needs she is trying to meet.

Spiritual care amid Covid-19

Now she spends most of her time on the phone – often with family members who are worried about loved ones they can no longer see. She encourages new ways to connect with their loved ones, whether through technology or care packages or regular visits to the window to say hello.

And she helps them identify meaningful ways to honor their loved one when they die, as most in-person memorial services have been put on hold. “If they liked to wear purple, wear purple. Choose a date on the calendar to remember them and light a purple candle. Their spirit/legacy is going to live on in you if you have a funeral or not,” she says.

She also runs a monthly bereavement support group. In her work, she says, she tries to meet people where they are. From a spiritual standpoint, she asks herself, “what is God trying to say to me and to this person in this moment,” she says.

She also helps people identify the things they are grateful about at difficult time – Grateful for zoom calls. Grateful for work. Grateful that their loved one is free from physical pain and the fear of an ongoing pandemic.

“Even when we are discouraged, the sun still shines. The moon still rises. The world is still evolving,” she says.

https://app.memorywell.com/story/714/memorywell/pdf

Colleen Carberry, RN Case Manager

Nursing through a pandemic

Throughout her more than 20-year career as a hospice care nurse, Colleen Carberry has never appreciated the healing power of a smile—or a touch—more than she does now.

In the midst of a pandemic, she still provides in-person care for patients approaching end of life and comforts their families. But she can no longer hold their hands or give them a hug. And with a mask covering her face during visits, she can no longer even share a smile.

A coincidental start to nursing

Colleen started her nursing career 27 years ago. At the time, she was a recent college graduate working at a surf shop in Virginia Beach when one of her coworkers brought in a brochure for nursing school orientation. Colleen agreed to attend the orientation and found a lasting fit.

She was drawn to hospice care early on because of the intimacy of the work, she says. After working as a nurse care manager and educating doctors, nursing homes, and hospitals about hospice care, she wanted to focus on direct patient interactions and she took a job at Capital Caring Health, the largest non-profit provider of elder health, advanced illness, hospice, and at-home care services for the Maryland, Virginia, and Washington, D.C. area.

“There is something beautiful about holding someone’s hand as they take their last breath,” Colleen says. “It moves me to see my patients smile and relax as they cross that threshold and are finally comfortable again.”

An emphasis on touch

The novel coronavirus has made it more difficult to share in those intimate moments. Physical distancing protocols are taking a toll on her patients and their families.

In assisted living, she sees family members come to the window of the facility in order to “hold hands” with their loved ones, some of whom don’t understand why they cannot be hugged in person.

The changes are especially difficult for patients with dementia, who rely more on facial recognition and facial cues for connection. “The masks may seem scary to them,” she says. “They are confused.”

Without the ability to smile or hold hands, she is spending more time in conversation with patients and families and trying to show her empathy through active listening.

“I believe that the job of a nurse is to comfort and give peace,” she says.

That affects what she sees as a central part of her work. “I love caring for my patients and their families,” Colleen says. “I like to love on their mind, body, and spirit.”

Carberry is one of thousands of frontline care workers who are taking risks each day to attend to the needs of their patients. In the first few months of the pandemic, she did not have any covid-positive patients, but she saw first-hand how the threat of the virus is dramatically transforming care for millions of older adults even through their final days.

https://app.memorywell.com/story/664/memorywell/pdf

Sherri Parker, Team Leader Medical Social Worker

Primary care at home

Sherri Parker started her career as a social worker nearly 30 years ago working with hospice patients. Now she is leading an effort to bring care into the home much earlier for older adults who have an advanced illness or disability.

Primary Care At Home is a new program from Capital Caring Health, the largest non-profit provider of elder health, chronic illness, hospice, and at-home care services for the Maryland, Virginia, and Washington, D.C. area.

“A lot of patients have difficulty getting to the doctor, and now with Covid-19, it is even harder to get to the doctor,” she says. So this old fashioned house call program, as she calls it, brings home-based medical care, including visits from a doctor, a nurse practitioner and a social worker who all specialize in geriatrics. The team can provide in-home blood work or other diagnostic tests when needed. The goal is help people stay out of the emergency room or hospital and to age in place safely by addressing health concerns early. “With our help, these patients can still get outstanding care,” she says.

Sherri works with patients and families to access community resources and she runs a biweekly caregiver support group.

This work chose me

When Sherri started college, she knew that she wanted to help people. She took classes in education and social work and in the end she “fell in love with social work.”

During one of her social work classes, she received a field assignment in the oncology wing of a hospital. She found the experience very gratifying. Since then she has worked in home-based hospice and home health, in grief and bereavement counseling, and in acute care and long-term care settings. She has been at Capital Caring for 23 years.

She helps people think through what matters most to them and how they want to live in their final years. Sherri also enjoys mentoring graduate students and inspiring the next generation of social workers. “I love what I do so much that I think it filters over to them and they decide to stay,” she says.

‘We are not letting Covid-19 stop us!’

The novel coronavirus pandemic has made in-home care more challenging, but the Primary Care At Home team is still working to help older adults who need services.

“We are not letting Covid-19 stop us,” she says.

Sherri and the rest of the team are getting creative to make sure patients can access the care they need. In some cases, the team sends smartphones to patients who don’t have them so they can connect through Zoom. And they still visit patients and their families in person when necessary. She visits one patient at home who is blind, for example, and also calls her to check in by phone.

“We use PPE and we can stay safe,” she says.

After months of quarantining, in-person home visits can be really energizing, she says. Sherri recalls the joy she felt after visiting with a patient who lives alone and struggles with technology. It was a bittersweet farewell.

Before Covid-19, she would sometimes hug her patients goodbye, she says. Now she can’t do that. Instead, when she went outside the door, she removed her face shield and mask, so her patient could see her face and the emotion in her smile and tried to connect with her through the window. “With technology we can do a lot, but nothing can replace a hug.”

At home, she recharges with gardening. She took a recent trip with her husband to the beach, and she loves spending time with her family. Sherri is excited for the future and doesn’t see herself stopping this work anytime soon.

“Some people go to a job and come home but this isn’t that. It is more like I can’t imagine doing anything else that would bring me this much fulfillment. I feel like I make a difference everyday,” she says.

https://app.memorywell.com/story/710/memorywell/pdf

Steven Skobel’s Story

Dealing with loss: the nature of the business

Helping families cope with loss is an intrinsic part of daily work for Steven Skobel, a palliative care nurse practitioner. “Anyone who works in this business knows in their soul of understanding this is the nature of the business,” he says.

At Capital Caring Health, the largest non-profit provider of elder health, advanced illness, hospice, and at-home care services for the Maryland, Virginia, and Washington, D.C. area, he tends to the needs of patients and families alike as a life comes to an end. But even with that familiarity, it has been a challenge to cope with the sheer volume of Covid-19 deaths. There is no escaping the shadow of the pandemic at work, and away from the hospital Skobel and his colleagues have had to find new ways to recharge their batteries for another challenging shift.

A medical embrace

As an expert in the field of palliative care, Skobel is part of a relatively new discipline, but one with deep roots in the very origins of nursing. The first hospice was founded in the U.K. after World War II, and in 1990, the World Health Organization recognized palliative care as a specialty dedicated to relieving suffering and improving quality of life for people with serious illnesses. The specialty takes its name from the Latin word, pallium, meaning “cloak.”

Essentially, palliative care wraps the patient and their family in a sort of medical embrace, a way to ease the journey.

Skobel’s career has paralleled the enormous growth in palliative care across the country. He earned his degree in 1991, his master’s in 1998, and a doctorate in 2005. When he first entered nursing school, there were just a handful of men in his class. Over time the profession has become more diverse, embracing more men and a broad mix of ethnic and cultural backgrounds.

A job transformed

No one enters nursing without knowing that it is a “very dangerous” occupation, he says, and there have been diseases in the past that have threatened health providers. What is different with Covid-19 is the scope of the outbreak, he says. It is on a scale that has not been seen since the 1918 Spanish influenza epidemic.

Because of the high number of Covid-related deaths, he has been working as a full-time member of the intensive care team, combining his palliative care expertise with other nursing skills needed in the intensive care unit which, at one point, was operating an extended ward to cope with overflow.

Before Covid-19, Skobel was used to seeing families cope with both sudden, unexpected loss and those who have some warning of what is ahead. Perhaps a bad case of pneumonia takes hold unexpectedly, or a longtime cancer winds towards an inevitable end. Family members might be at a patient’s bedside for two or three weeks. Skobel would guide families through the final days, or hours as they sat bedside, able to touch, talk, and comfort their loved one, and, in turn be comforted by nurses and doctors.

But now, in the midst of a pandemic, that family comfort and professional guidance must come at a distance, with farewells said via FaceTime, and updates and developments delivered by phone or text message.

Recharging for the future

In recent weeks, the number of cases his team is seeing has fallen. “But it’s a certainty we will see another wave,” he says.

He believes the medical teams battling the virus are better prepared as new patients come in, thanks to a steep learning curve about which drugs work and help flatten the curve. His fellow professionals also have been sharing both formal research from noted journals, and the sort of anecdotal information grounded in daily experiences.

Like everyone else, his life beyond the hospital has changed. “Before Covid I would go to the gym three times a week,” he says, “and I played in a men’s baseball league on Sundays.” Now, he does the family grocery shopping in his scrubs and face mask as he heads home to his wife and one of two daughters who are sheltering in place. He and his wife are walking the family dog daily. Recharging his batteries in new ways.

Dealing with a pandemic has reinforced a fundamental truth he holds about his chosen profession. As he tells nursing students: “All nurses understand palliative care — that’s why they got into this.”

https://app.memorywell.com/story/665/memorywell/pdf

Marrygold Ugorji’s Story

Returning to work amid a pandemic

Marrygold Ugorji was on leave from her job this spring with a sprained ankle when coronavirus case numbers began to spike in the Washington DC area. She watched the death toll rising on the news and worried about her impending return to work.

As a certified nursing assistant for Capital Caring Health, the region’s largest non-profit provider of elder health, advanced illness, hospice, and at-home care services, Marrygold is one of many frontline care workers whose jobs are more essential—and more dangerous—than ever as they risk exposing themselves and their families to coronavirus while caring for the most vulnerable patients often until the last breath, holding hands and comforting when family can’t.

“What we are going through now is bad and it’s scary,” says Marrygold, a mother of four grown children with 20 years of experience as a nursing assistant.

In the beginning she worried that she would not have the personal protective equipment she needed. But by the time she was back on the schedule in May, the trunk of her car was stocked with N95 face masks, a face shield and a “little pharmacy” of disinfectants.

She also wanted to feel supported in a broader way. “You don’t ever want to get the feeling that, ‘Okay, you knew you signed up for this: just go out and get the job done,’” she says of a job where just okay is never enough for Marrygold.

Feeling part of a team

Fortunately, the morning that she finally got the call to visit her first Covid 19 patient, a scheduler on the other end of the line—someone she had never met in person—put her at ease. She assured Marrygold that another certified nursing assistant would also be there, and that she was part of a team. “She was like a friend,” Marrygold says.

So, she drove to the skilled nursing facility and steeled her courage in the car. She put on her foot coverings, an N95 mask and a surgical mask.

Inside the building, in a “clean room,” she met her colleague and they helped each other with the rest of their protective equipment: a full gown, a head covering and a face shield. With both masks and the shield, it was hard to breathe, she says, but she continued on.

“I went in with a positive mindset,” she says, “and we gave excellent care.”

She left the protective gowns in the “dirty room” on her way out of the facility that day and drove home. Then she took a hot shower and washed her hair before facing her husband and daughter.

Caregiving came naturally

Being a caregiver has always come naturally to Marrygold. She grew up with a large extended family in the U.S. Virgin Islands and watched her aunt repeatedly step in and care for family members when they became ill or needed help.

When she was 16, she moved to New Jersey to attend a vocational school and study culinary arts. She got a job working in the kitchen of a nursing home. But she soon realized that instead of over the stove, she wanted to be in the dining room helping the elderly residents. So, she trained to become a certified nursing assistant.

She spent the next decade working in the geriatric unit of a New Jersey State psychiatric hospital. In 2010, love brought her to Northern Virginia. She married her soul mate, a spiritual and thoughtful man from Nigeria, and they joined their lives.

She started working in an assisted living community, where she encountered hospice care services more often. She recalls building relationships with residents and then losing them.

There was one man who was often angry with his caregivers, but who would calm down with Marrygold. During his last days, she would visit him and sit by his bedside.

“I remember holding his hand and giving him that sense of comfort and telling him it’s okay,” she says. “It was in that moment that I felt: This is where I need to be.”

Love, too, is part of the job

That was her gift to him—and his parting gift to her. Not long after, she went to work for Capital Caring, focusing her energies on people at the end of their lives.

The care plan she follows for each patient is only part of the care she provides, she says. She offers comfort in the form of a light massage or a listening ear or some calming music. She likes to sing to her patients, Caribbean songs she grew up with or inspirational music.

“My husband always tells me this kind of work is very easy for me,” she says. “I am very humble, and I am someone who shows empathy to others.”

Marrygold describes another patient who stands out in her memory. She went to say goodbye to one afternoon, not knowing if she would still be there the next time she came to work. The woman leaned in and whispered, “I love you.”

Love, too, is part of the job, Marrygold says.

“It’s okay to love your patients,” she says, especially in these troubled times. “God loves all of us. Why can’t we love each other?”

Everyone has a story with a beginning, a middle and an end, Marrygold says, and it’s a privilege to be with them for the final chapter.

“I am always grateful that they trust me to be part of the end of their story,” she says.

https://app.memorywell.com/story/656/memorywell/pdf

Sulaiman Bangura’s Story

Seeking a better life

When Sulaiman Bangura came to America from Sierra Leone 17 years ago at the age of 23, he was seeking a better life. He found it not only in the United States, but also through a rewarding career in nursing.

Now as an RN for at-home hospice services with Capital Caring Health, the largest non-profit provider of elder health, advanced illness, hospice, and at-home care services for the Maryland, Virginia, and Washington D.C. area, Bangura looks forward to seeing his patients every day.

More than just a job

“When I first got to the United States, someone told me that I should become a certified nursing assistant,” say Bangura. “They said it was a field where you can always get a job.”

But it soon became more than a job to Bangura; it was a calling. He progressed from working as a CNA at a nursing home to becoming a Licensed Practical Nurse. He then trained to become a Registered Nurse and ultimately got his Bachelor of Science in Nursing degree.

He has worked at Capital Caring for the past 13 years, where he has become passionate about helping people at the end of life. “I fell in love with the job,” Bangura says. “Every patient is unique. You never know who you’ll meet with each admission.”

Covid concerns

The onset of the novel coronavirus pandemic dramatically changed his work. Suddenly he had to connect with patients through virtual telehealth visits.

Bangura says that was really hard. “Part of our job is to make patients feel like they aren’t alone, like someone is there to listen,” he says.

Since the hospice team has been able to make home visits again, they have been careful to take precautions for both the patients and themselves. They pre-screen patients, as well as any family member or caretaker who’ll be present, to check for common symptoms of the virus before each visit.

Bangura goes home each night to his wife, three children and both his mother and mother-in-law, and so he worries about getting the virus or bringing it home. But he says everyone is very mindful about safety at work. “We wear face masks and shields and I wash my hands and sanitize all the time,” he explains. “And then I wash my clothes as soon as I get back home.”

The pandemic has been stressful for everyone, Bangura says, but he believes it’s been especially hard on nurses because of the way it impacts the way they can provide care.

“Hospice is a special kind of nursing,“ he explains. “It’s not just about caring for the patient, but also the family.” He says working with patients at the end of life is very personal. It’s important to build confidence and trust with the patient and their family and to let them know that someone is there for them. The most important thing, he says, is to treat each patient with respect and dignity, whether that’s in person or virtually.

Life’s blessings

Bangura’s key to managing stress is taking one day at a time. In his spare time he likes to listen to music. He enjoys reading books. And he’s very interested in the politics of his adopted country. Bangura walks often and has an exercise machine at home, both of which are great for managing stress. But he especially enjoys weekends watching soccer with his friends.

Most of all, Bangura is passionate about his job in hospice care. “I wish more people were aware of hospice services — it’s such a huge blessing,” he says, adding that hospice patients tend to live a little longer, especially when they begin soon after their end of life diagnosis.

Sulaiman was recently recognized as a Special Ceca Foundation Award Winner for his dedication and professionalism as an RN case manager. His hospice patients and their families were quick to praise his work, saying he consistently displays compassion and goes above and beyond for all his patients.

This is a job where caring for others is just second nature, but Bangura would be the first to tell you he gets much more in return. “When a patient says, ‘Thank you so much,’ it really makes my day,” he says. “It’s just a special feeling to be able to help.”

https://app.memorywell.com/story/728/memorywell/pdf

Neil Parker’s Story

A second chance

Neil Parker’s long-lasting marriage and four beautiful children almost did not happen. He cancelled his engagement mere weeks before his wedding day more than a half century ago, wracked with a severe case of cold feet.

But a few months separated from young Frances Peltzman humbled him, and by the spring he was calling on her again. “I found out I really loved her,” he says of their time apart.

Fortunately for him, she agreed to take him back, and their elopement in the summer of 1965 opened the door to all the good things that followed.

From Trenton to Yardley to Penn State

Neil was born to Sydney and Rose Parker on September 14,1942 in Trenton, New Jersey. The couple went to the same high school and met on the bus to school.

They divorced when Neil was 3. His father owned a printing company and his mother worked for a children’s clothing store and later as a secretary at De Laval turbine company. She and her boss Fred fell in love, a romance that necessitated a change in jobs for her — she became a telephone operator — and led to their marriage. The family bought a house in Yardley, PA.

Growing up, Neil loved baseball and summer trips to Atlantic City with his grandmother.

Neil’s father was diagnosed with Multiple Sclerosis when Neil was young. Sydney Parker lived with his parents after he got sick, and Neil recalls visits to their house on weekends. Sometimes his father would take him bowling. “He kept score and I bowled,” he recalls, noting his father had limited mobility.

Neil graduated from Pennsbury high school in Yardley and went on to college at Penn State. He played minor league football and earned his degree in rehabilitation education. He was interested in working with people with disabilities like his father.

A blind date

During his senior year, Neil met Fran on a blind date. She was working at the New Jersey Department of Health at the time. They got engaged soon after Neil graduated from college and planned a big family wedding. But weeks before their big day, Neil cancelled the wedding.

Fran was devastated. She quit her job and moved to New York City to start fresh. Neil joined the National Guard, training at Fort Dix in Trenton. But several months later his heart pulled him back and he went to find her again. They went to the World’s Fair on a date in the spring of 1965. He asked her to marry him again that weekend. She said no. With some coaxing from her best friend, Fran saw him again, and they agreed to get married.

Their wedding almost did not happen a second time. They found a justice of the peace to marry them, but the judge rejected Fran’s official documentation, a birth certificate that had been doctored to help her get into a club when she was 17. One reissued official birth certificate later, they drove to Maryland and tied the knot on July 31, 1965.

“Nobody knew about it but us,” Fran says. “I was shaking. He was shaking.”

The only thing scarier was telling their parents. “We had to go face the music,” says Neil. He knew he had to earn back the trust of Fran’s parents. And he did.

“I think it was two years before my father said, ‘Neil, you are good man,’” Fran says.

From Philadelphia to Northern Virginia

The couple moved to Philadelphia and Neil got a job as a case worker. He made home visits to determine eligibility for public assistance. On weekends he served in the National Guard. On August 1966, their daughter Sherri Lynn was born. A year later, Scott David was born.

Neil went back to school in the evenings and got his Masters degree in Counseling and Guidance at Temple University. He got a job in Washington DC and the family moved to Virginia when Sherri was five years old and Scott was four years old.

He worked at the College Board, where he tested and counseled teenagers for college readiness. After two years, he was hired by DC government, where he worked with minority youth, including those who were disabled or who had been incarcerated, to help them find jobs. He later became a program analyst.

Fran and Neil had two more children, Frank Paul in 1972 and Michael Alan in 1975. They bought a house in Vienna when Frank was born. Neil coached Little League on the weekends. And in the summers he took his kids to the same stretch of beach in Atlantic City that he used to go to as a child.

He retired after 23 years with the DC government. He missed working with youth, though, and for several years he was a substitute teacher in the Fairfax County schools.

The children loved him, Fran recalls, and delighted in his stories – like the time he and Fran accidentally brought a gecco home in their suitcase from a vacation in Costa Rica. They found it two days later in a roll top desk and set it free in a park, where the neighborhood kids would go and look for it.

A close-knot international family nearby

As their children grew up and got married, the Parker family became increasingly international. Neil and Fran welcomed a daughter-in-law from Mexico, another from Poland, and a third with Japanese ancestry who was born and raised in Lima, Peru.

The extended family lives close to each other and they pitch in to help one another. Neil’s mother lived with him and Fran for ten years before she died, and they helped her through cancer treatment. Then in 2016, they moved into Sherri’s home, the same year Neil was diagnosed with Parkinson’s.

Now his grandchildren go for walks with him and they are very happy to be quarantining together. Neil still loves sports and rooting for the Nationals and the former Washington Redskins.

https://app.memorywell.com/story/684/memorywell/pdf

Michael Toohig’s Story

A life of travel and adventure

Michael Toohig was stationed in Europe during World War II with the US Army. When the war ended, he took a side trip to Ireland to see his ancestral homeland and his grandmother. During the trip, he made the local paper as the first “Yank” to come to town.

That fateful trip was the start of a lifetime of traveling for Michael. It also illustrated his deep and lasting dedication to his family, and not least, his ability to make a splash in all his endeavors, from building a successful, close-knit family to a career that would include others kinds of ‘firsts’ as he worked to develop groundbreaking new technologies.

A large Irish Catholic family

Michael grew up in a large working class family in Lawrence, Massachusetts. He was the oldest son of eight siblings. His parents Timothy Toohig and Catherine “Kitty” Toohig were Irish Catholic immigrants who met in America at an Irish dance. His father was a butcher and his mother a seamstress. The children also worked to help support the family. In the summertime, Michael harvested hay and weeded vegetable gardens at area farms. One winter, he recalls working at an ice house where he was responsible for floating the ice down from the lake to the processing house.

Michael enjoyed playing sports with the other kids in town and swimming in the river below the cliff where he lived. During the school year he studied hard. Only a few people from town went to college at the time, but Michael was one of the few who got a scholarship to go to Boston College when he was 17.

Liberating Europe

After a year in college, Michael joined the Army and fought in World War II. He remained in Europe long enough to stop the Germans from coming through the Alps at the St. Bernard Pass, liberate concentration camps and celebrate with thousands of people in Augsbourg as the American Army tanks rolled in when the war ended. To this day he has two pieces of Lira he took as a souvenir from a bank that he helped to liberate from German occupation.

Michael treasured the trip to Ireland he took after the war because he could see where his parents had grown up. He met his 90-year old paternal grandmother and his maternal grandfather. His grandmother was so excited she hitched up the horse to a jaunting cart and headed off to church with herself and Michael in the back.

Back at home, Michael returned to Boston College and graduated with a degree in Physics. After hitchhiking around the country and finding no jobs, he took advantage of the GI Bill to go on and earn a Master’s degree. When he finished, he went to work at Firestone where he helped design a recoilless rifle that was later used by militaries around the world, including the U.S. military. He also ran a test site at Lake Erie. When the company needed someone to travel around the country, they chose Michael, the resident bachelor, to go.

Building a family and a career

Within a few years, Michael met his future wife Barbara while mingling at a Catholic social for young people in Fort Wayne, Indiana. They dated for three years before they got married. They went on to have five children: Aimee, Michele, Terrance, Timothy, and Delsina. The family lived in Fort Wayne and then later moved to Roanoke, Virginia.

Family has always been at the core of Michael’s life. “My dreams have been to have a good job, a professional job, to support myself and the family.”

And he succeeded. After working at Firestone, Michael transitioned to a company working in the burgeoning fiber optics industry. There, he had a chance to work with Philo Farnsworth, who created the prototype of the first all-electric television. As a director of research, he oversaw a team that developed night vision goggles, which were also adopted by the military, and night vision telescopes. He became a leader in this technology and the company, and he would go on to be the first president of the Night Vision Goggles Association.

Exploring the world and keeping family close

He moved to another division of the company eventually, where he worked closely with Nobel Prize winner Charles Kao, who invented and developed fiber optics. By then, he was focused on international sales. He built sales networks in Puerto Rico, Mexico, Philippines, and many other places.

After the kids were grown, Barbara often traveled with him. Sometimes the whole family would travel together. They especially enjoyed trips to Mexico and the beaches on the West Coast, which Michael describes as the most beautiful in the world.

Closer to home, the family also enjoyed spending time at their historical log cabin at Smith Mountain Lake which Michael fixed up. He built a wrap around porch perfect for stargazing. He also loved tending his garden there.

Michael is proud of the family he has raised. He is especially proud to have sent all five children to college. And now that his children have gone on to lead successful lives, he is proud that “the family is still united.” He still talks to his four living sisters every Thursday. His big family has only grown as it now includes 11 grandchildren and about 40 nieces and nephews, and Michael is glad that his five children call often or live close by.

https://app.memorywell.com/story/706/memorywell/pdf

Hershell Foster

Chief Technology Officer

Hershell Foster is Chief Technology Officer at Capital Caring Health. A senior-level healthcare Information Technology Executive, Hershell has a proven track record of building high-performing teams and leading healthcare organizations with development of long-range strategic plans and IT roadmaps.

His areas of expertise include: guidance for EMR selection processes, project management and implementation, developing long-range strategic plans and IT roadmaps, the design and implementation of support centers with SLAs that drive high customer satisfaction, re-engineering of complex IT processes and implementation of interoperable systems.

Hershell has served in Healthcare IT Director and CIO roles for more than 20 years. Prior to joining Capital Caring Health, he was Vice President for InfoPartners, Inc, based in Nashville, Tennessee and provided strategic and operational guidance to executive teams at numerous healthcare organizations.

Hank Willner, M.D.

Hank Willner, M.D. attended Yale University College and Medical School and completed his residency in Family Practice at the University of Virginia where he was the Chief Resident from 1977-78. He was Board Certified in Family Practice initially in 1978 and has been recertified in 1984, 1991, 1997,2004 and 2014. From 1978-80 he served in the National Health Service Corps as a family practitioner in a large rural health clinic in Buckingham County Virginia. In 1980 he founded Virginia Family Practice Associates, PC in western Fairfax where he worked in private family practice until 2001, when he decided to change careers to focus on Hospice and Palliative Medicine. He worked with Hospice of Northern Virginia, now Capital Caring Health, as a staff Medical Director and a Palliative Care Consultant with Capital Palliative Care Consultants from 2001-2013. He also worked as a part time Emergency Physician from 1997-2013 at Laurel Regional Hospital. He has served as the Chief Medical Director and Palliative Care Consultant at Holy Cross Home Care and Hospice, resigning on 2/20/20. He now works for Capital Caring Health as a Hospice Medical Director

Dr. Willner is active in teaching medical students and House Staff from the Medical Centers in the Washington Metropolitan Area and has served as a Clinical Assistant Professor of Family Practice both at Georgetown University Medical School and the Medical College of Virginia. His special interests include the doctor-patient relationship, informed consent, and Bioethics. He was the Chairman of the Ethics Committee at Fair Oaks Hospital as well as at Capital Caring and is still active on the Ethics Committee at Holy Cross Hospital. He is the Medical Consultant to the Hospice Foundation of America. He also serves on the Maryland State End of Life Council.

His hobbies include spending time with his family and friends, exercise, reading mystery thrillers. He is also an avid golfer. Dr. Willner lives in Bethesda, MD with his sons, Daniel and Jonathan.

Medical Education

Yale University College and Medical School

Residency

University of Virginia – Family Practice

Laura Branker

SVP of Philanthropy, Communications & External Affairs

Laura Branker is Vice President of Philanthropy, Communications & External Affairs at Capital Caring Health. A strategist who develops impactful outreach plans amplified with crisp messaging and strong collaboration with stakeholders and partners, Laura has built a career that crosses the private, public and nonprofit sectors, working for brands such as AARP, Wal-Mart, and United Health Group. Most recently, Laura designed and led global skills-based executive volunteer programs for multi-national corporations. She has held senior political appointments in Florida and District of Columbia governments. Laura graduated magna cum laude with a Bachelor of Science in Journalism from Florida A&M University, and served two terms on the university’s Board of Trustees. As a delegate for the American Council of Young Political Leaders, she traveled as a United States representative to Venezuela and as the team lead to the Republic of Korea. She is an alumna of the Georgetown Leadership Seminar hosted by Georgetown University’s School of Diplomacy. Committed to volunteerism, Laura enjoys contributing her time and leadership to community and civic organizations. She is an avid supporter of cultural and performing arts.

Jason Parsons

Vice President of Public Affairs and Philanthropy

Jason Parsons is Vice President of Public Affairs and Philanthropy at Capital Caring Health. In addition to overseeing Capital Caring Health’s corporate and foundation relations and philanthropic partnerships, Parsons also leads various aspects of Capital Caring Health’s relationships with local, state, and federal elected leaders, business groups, advocacy organizations and other stakeholders to build support for Capital Caring Health’s mission.

Prior to joining Capital Caring Health, Jason served as Executive Director of Business for West Virginia where he advised the West Virginia Secretary of State. He also served as the Executive Director of Keep Prince William Beautiful, a not-for-profit serving Prince William County, Virginia, where he led the organization to record fundraising and new programs and initiatives.

Altonia Garrett

Vice President of Public Affairs and Strategic Partnerships

Altonia Garrett, MBA, MHA, RN, is Vice President of Public Affairs and Strategic Partnerships. She has worked at Capital Caring Health for more than a decade holding leadership roles including Clinical Supervisor, General Manager, and Executive Director for offices in Falls Church and Alexandria, Virginia and Prince George’s County, Maryland. As VP of Public Affairs and Strategic Partnerships, she leads organizational-wide initiatives to build, strengthen, and maintain relationships with key stakeholders that advance the work of Capital Caring Health. Altonia also works closely and collaborates with policy makers, elected leaders, and industry partners as well as oversees the organization’s relationship with local, state and federal legislative and executive branches in Richmond, Virginia; Annapolis, Maryland; and Washington, D.C.

On a national level, Altonia works with the National Partnership for Hospice Innovation as the Program Director for Innovation Lab. In this role, she supports all Innovation Lab activities, including the upcoming launch of the advanced disease specific programs and the ongoing development of other Innovation Lab programs.

Gary Bacher

Chief of Strategy, Policy, & Legal Affairs

Gary Bacher, J.D., MPA, is Chief of Strategy, Policy, & Legal Affairs at Capital Caring Health. In this role, Gary directs efforts to determine how best to improve all aspects of advanced illness and hospice care throughout Capital Caring Health and on a national level.

Gary most recently served as Chief Strategy Officer at the Center for Medicare and Medicaid Innovation where he was responsible for directing the development of new models and initiatives to improve and refine value-based care. For more than a decade, he has led efforts in health care improvement, operating at the intersection of public policy, law, regulatory affairs and business development. Gary is widely recognized as a national expert on a broad range of health plans, encompassing providers, employers, state-based exchanges and government organizations. He has also served as a policy and legal advisor on issues including fraud and abuse, antitrust, HIPAA, government payment systems, and FDA rules and regulations.

Gary also served on active military duty from 1996-2000, as Assistant to the Army General Counsel and during that period assisted at the White House Counsel’s Office. He holds a JD from Stanford Law School, an MPA from the Woodrow Wilson School at Princeton University, and a BA from Georgetown University.

Kieran Shah

Chief Growth Officer

Kieran Shah, CHPCA, is Chief Growth Officer at Capital Caring Health. He is well known for his innovative approach to business development leading to enhanced patient access for both Hospice and Palliative Care. In this role, Kieran coordinates with all parties involved in providing hospice and advanced illness care including the medical community, community government and business leaders, insurers, service partners, patients and their families, and internal staff and volunteers.

As Chief Growth Officer, Kieran also works to elevate our mission, values, and care services to a wider population.

Mandy Brouillard

Mandy Brouillard earned a Bachelor of Science degree in Human Science from Georgetown University. After graduating from Georgetown, she spent a year volunteering full-time with the Jesuit Volunteer Corps in Albuquerque, New Mexico, where she served patients as a Clinic Coordinator at Casa de Salud, a family medical clinic. After completion of her service year, Mandy returned to the Washington D.C. area and worked as a Case Manager at One Care DC, a core service agency providing mental health rehabilitation services to DC residents.

Mandy holds a certification in Harm Reduction from New Mexico’s Department of Health, and she is proficient in Spanish.

In her spare time, Mandy enjoys exploring the outdoors, playing any and all sports, and baking. She loves these activities even more when she is joined by her family, friends, or six month old puppy.

Deanna Cho

LCSW

Deanna Cho is a Licensed Clinical Social Worker with a Certificate in Advanced Clinical Dementia Practice.

She earned a master’s degree in Social Work from the University of Michigan School of Social Work. Prior to joining Capital Caring Health, she was a geriatric medical social worker for the MedStar House Call Program. She supported elderly patients and their caregivers through aging and health-related transitions, facilitated an over-the-phone discussion group for home-limited elders, and provided crisis intervention.

She has served as a faculty member for the Home Centered Care Institute, educating providers interested in starting home-based primary care practices. She also instructed undergraduate students on the topic of geriatric social work and cultural competency. She was a co-contributor for the 2018 Best Research Poster of the Year in at the American Academy of Homecare Medicine, which explored the role of Home-Based Primary Care Social Workers.

Deanna enjoys rock climbing, reading, culinary experiences and traveling.

Sherri Parker

LCSW

Sherri Parker, LCSW, an experienced clinician with Capital Caring Health for 20-plus years has served in a variety of social work roles including home care, long-term care and grief support.

In her most recent role, she was the Lead Social worker at the Capital Caring Halquist Memorial Inpatient Center, a 15-bed acute care hospice unit. In this role, Sherri provided emotional support and counseling for individuals, couples, and families coping with challenges adjusting to serious illness, addressing increased caregiving needs and developing discharge plans. Sherri guided patients and families in accessing community resources and navigating insurance issues.

Sherri earned a bachelor’s and master’s degree in Social Work from Virginia Commonwealth University. She is a licensed clinical social worker and member of NASW, who provides field instruction to graduate-level social work students at local universities, and clinical supervision to colleagues pursuing clinical licensure.

In 2018, she was presented the Employee of the Year Award from the Healthcare Council of the National Capital Area.

Sherri’s hobbies include spending time with her family and friends (including dogs), cooking, gardening and enjoying vacation time at the beach.

Sayaka Hanada

MSN, FNP-C

Sayaka Hanada, MSN, FNP-C is a board-certified Family Nurse Practitioner with more than five years of experience in direct patient care. Prior to joining Capital Caring Health, she worked at George Washington University Hospital in the Intensive Care Unit. Sayaka also served as a clinical instructor adjunct professor at the George Washington University’s School of Nursing.

She earned a master’s degree in Nursing from George Washington University. Sayaka also holds a bachelor’s degree Brain and Cognitive Sciences from Rochester University, and she graduated summa cum laude with a degree in Nursing from George Washington University.

Her hobbies include cooking/baking, yoga, traveling, and taking care of her dog, Kai.

Caitlin Geary

MS, FNP-C

Caitlin Geary, MS, FNP-C, is a board-certified Family Nurse Practitioner with more than seven years of direct patient care experience. Prior to joining Capital Caring Health, she worked at The George Washington University Hospital in the Intensive Care Unit.

She earned a master’s degree in Nursing from Georgetown University. She also holds a bachelor’s degree in Nursing and bachelor’s degree in Journalism from the University of Central Florida.

Her hobbies include running, hiking, traveling, and spending time with her husband and cat.

Heidi Young

Hospice and Palliative Medicine Physician

Dr. Heidi Young has more than a decade of experience as a hospice and palliative care physician. After earning a bachelor’s degree in Biological Sciences from the University of Nebraska-Lincoln, she attended Georgetown University School of Medicine.

She completed an internal medicine residency at the University of Chicago followed by a chief resident year at MacNeal Hospital in Chicago. She returned to Washington, D.C., in 2010 and completed fellowship in Hospice and Palliative Medicine through the National Institute of Health and Capital Caring in 2011. Prior to joining Capital Caring, she served as a general internist and palliative medicine consultant at MedStar Georgetown University Hospital as well as the Chief of Palliative Medicine at MedStar Georgetown for five years.

She currently serves as an Associate Professor with Georgetown University School of Medicine. Dr. Young is based in Arlington, Virginia.

Linda Biedrzycki

Vice President of Practice Management

Linda Biedrzycki, MHA, an innovative healthcare administrator with a proven track record in effectively managing physician practices, serves as Vice President of Practice Management at Capital Caring Health.

In this role, she is responsible for daily business operations of our new Primary Care at Home (PCH) service as well as CCH’s hospice and palliative care programs.

Prior to joining Capital Caring Health, Linda was the Administrative Director for Emergency Medicine at MedStar Medical Group. During her time at MedStar, she was responsible for operations of the emergency departments at MedStar’s Georgetown University Hospital and Southern Maryland Hospital Center. She led more than 50 clinicians who cared for nearly 85,000 lives per year.

Linda is a graduate of the University of Michigan where she earned a bachelor’s degree in Neuroscience. She completed a master’s in Health Administration at Johns Hopkins School of Public Health.

She enjoys traveling, Crossfit, cooking, spending time with family, friends, and her German Shepherd.

Heidi Young, M.D.

Dr Young has been drawn to primary care from a young age, learning from her own family physician in her Nebraskan hometown. She attended the University of Nebraska-Lincoln for undergraduate studies. She then attended the Georgetown University School of Medicine, graduating in 2006.

After graduating, Dr. Young trained at the University of Chicago for internal medicine residency, followed by a chief resident year. Years of training in the hospital setting attracted Dr. Young to palliative care. The clinicians she trained under were experts in two skill sets: communicating with patients, and helping patients feel better.

Ultimately, she felt palliative care training would help her realize her full potential, leading her to a hospice and palliative care fellowship with Capital Caring in 2011. Since that time, Dr. Young has an extensive background in palliative and internal medicine, serving as Associate Professor of Internal Medicine at MedStar Georgetown University Hospital. While there, she served as the Section Chief of Palliative Medicine and as a primary care internist. At MedStar, Dr. Young embraced the teaching aspects of her position, focusing on communications training and palliative medicine symptom management for students, residents, and fellows.

Dr Young returned to Capital Caring Health in 2019 as a hospice medical director for the Arlington region. In 2021, she became the Medical Director for Primary Care. In 2022 Dr. Young was appointed Associate Chief Medical Officer, with a focus on clinical strategy, policy and education for a continuum of care encompassing primary care, palliative care, and hospice. Professionally, she enjoys time at the bedside with her patients, teaching, and developing novel strategies for delivering complex care to seriously ill patients. In her free time, Dr. Young enjoys spending time with her husband and four young children, being outside as much as possible, and yoga.

Medical Education

Georgetown University School of Medicine

Residency

University of Chicago Medical Center – Internal Medicine

Vijaya Sunkara, M.D.

Medical Education

Guntur Medical College

Residency

St. Barnabas Hospital – Internal Medicine

Jason Sobel, M.D.

Medical Education

Boston University School of Medicine

Residency

St. Joseph Mercy Hospital – Internal Medicine

Fellowship

University of Michigan – Geriatric Medicine, Midwest Palliative & Hospice CareCenter – Hospice and Palliative Medicine

Anne Silao-Solomon, M.D.

Dr. Silao-Solomon has been the hospice medical director in Capital Caring Health’s Loudoun community since 2010. She is also currently the hospice medical director in the Winchester region. She is certified in both Family Medicine and Hospice and Palliative Medicine. Her main interests include management of cancer related symptoms, end of life communication, and integrative approaches in pain management to help maximize patients’ comfort at the advanced stage of their disease.

Medical Education

University of the East

Residency

University of Pittsburgh Medical Center – Family Medicine

Fellowship

Capital Hospice – National Institutes of Health (NIH)

Mohammad Saleem, M.D.

Medical Education

Albany Medical College

Residency

Albany Medical Center – Diagnostic Radiology

Maleeha Ruhi, M.D.

Residency

Meharry Medical College – Internal Medicine

Christopher Pile, M.D.

Medical Education

Eastern Virginia Medical School of the Medical College of Hampton Roads

Residency

Riverside Family Practice – Family Practice

Elizabeth Phan, D.O.

Medical Education

Oklahoma State University Center for Health Sciences College of Osteopathic Medicine

Residency

Memorial Family Medicine – Family Medicine

Fellowship

M.D. Anderson Cancer Center – Hospice and Palliative Medicine

Cameron Muir, M.D., FAAHPM

Medical Education

University of Virginia School of Medicine

Residency

Dartmouth Hitchcock Medical Center – Internal Medicine

Internship

Dartmouth Hitchcock Medical Center – Internal Medicine

Fellowship

University of Chicago Medical School – Clinical Medical Ethics

Northwestern University Medical School – Hospice and Palliative Medicine, Medical Oncology

John McCue, D.O.

Fellowship

Medstar Washington Hospital Center – Palliative Medicine

Matthew Irwin, M.D., M.S.W.

Dr. Ray Garcia is a Medical Director with more than 10 years experience providing hospice and palliative care and 14 years practicing Family Medicine. He is a firm advocate for providing comfort and dignity to patients and families facing life-limiting illnesses, and promoting a positive philosophy of hospice care to the community.

Medical Education

University of the East Ramon Magsaysay Memorial Medical Center

Residency

University of Pittsburgh Medical Center – Family Medicine

Fellowship

Cleveland Clinic

Internship

University of Pittsburgh Medical Center

Olubukola Bolaji, M.D.

Shaz Anwar, D.O.

Dr. Anwar attended the Philadelphia College of Osteopathic, after which he went on to complete a residency in Internal Medicine in Blacksburg, VA at HCA LewisGale Montgomery Hospital. During his final year of residency, he served as Chief Resident. Dr. Anwar joins Capital Caring Health after completing his fellowship in Hospice and Palliative Medicine at OhioHealth Riverside Methodist Hospital.

In his spare time, he enjoys exercise, cooking, and spending time with his family.

Medical Education

Philadelphia College of Osteopathic Medicine

Internship

HCA LewisGale Montgomery Hospital

Residency

HCA LewisGale Montgomery Hospital – Internal Medicine

Fellowship

OhioHealth Riverside Methodist Hospital – Hospice and Palliative Medicine

Lee-Anne West, M.D.

Medical Director, Inpatient Hospice Services

Medical Education

St. Christopher’s Iba mar Diop College of Medicine

Residency

Internal Medicine

Martina Peri, M.D.

Medical Education

St. Matthew’s University

Residency

Carilion Clinic – Family Medicine

Fellowship

Carilion Clinic VTC – Hospice and Palliative Medicine

Melissa McClean, N.P.

Medical Director, Community-Based Palliative Care Services

Nursing Education

Lewis University, Romeoville, IL – BSN
University of Colorado, Colorado Springs, CO – MSN

Registered Nurse for 18yrs, Nurse Practitioner for 11yrs
Veteran of the U.S. Air Force Nurse Corps deployed in support of Operation Iraqi Freedom/Operation Enduring Freedom
Clinical experience includes surgical nursing, post-anesthesia care, First Assist/operating room, emergency medicine, and expeditionary medicine
Achieved certifications in Medical-Surgical and Hematology-Oncology Nursing, and advanced certification in Hospice and Palliative Care
Advanced Practice Nursing career focus on end-of-life care, palliative care in community settings, program development, and administration/management

Laura Hofmann, M.D.

Medical Director, Education

Medical Education

University of Texas Southwestern Medical Center at Dallas

Residency

University of Texas Southwestern Medical Center – Family Medicine

Fellowship

George Washington University – Hospice and Palliative Medicine

Michael Byas-Smith, M.D.

Medical Director, Interventional Symptom Management

Dr. Michael Byas-Smith, an expert in interventional pain and symptom management and palliative care, is now seeing patients in Washington, D.C.

With more than 25 years of experience, Dr. Byas-Smith performs interventions to relieve pain associated with cancers of the breast, lung, and abdominal organs and manages symptoms associated with neuropathy, osteoarthritis, and a wide variety of advanced illness.

Cancer Pain Specialist,Dr. Byas-Smith is medical director of the Capital Caring Health Adler Center and the Center for Pain and Palliative Care. He provides comprehensive interventional pain and palliative care consulting services in Northern Virginia and Washington D.C., for patients with advanced disease symptoms.

Medical Education

University of Illinois School of Medicine

Residency

Emory University School of Medicine – Anethesia

Internship

Cook County Health and Hospital Systems

Fellowship

National Institute of Mental Health – Pain Medicine

Nancy Cook

Vice President, Marketing, Communications & Public Relations

Nancy Cook, MS, is Vice President of Marketing, Communications & Public Relations at Capital Caring Health. She has more than 30 years of experience in marketing, communications, and public relations, having held leadership positions in this capacity at Georgetown University Hospital, the American College of Radiology, Magellan Health, and Providence Hospital. She oversees all Marketing, Communications and PR initiatives for the organization and works in collaboration with team leads from all departments to ensure consistency in messaging and branding.

She has received numerous awards for her work in health care marketing and communications including an Addy Award from the American Advertising Federation, a national Telly Award, and more than 25 MarCom platinum and gold awards.

Nancy has a Bachelor of Arts degree in Communications and Spanish Language and Literature from Syracuse University, and a Master of Science degree in Marketing Strategy and Business from Johns Hopkins University. She is a certified Project Manager and is an active participant in fundraising efforts on behalf of St. Jude Children’s Research Hospital, the national philanthropy of Tri Delta sorority, for which she is an officer.

Kimberly Grove, CHPO, VP, Executive Director, Operations

Kimberly Grove is the VP, Executive Director, Operations for Capital Caring Health, a proud affiliate of the Chapters Health System. In this role, she is responsible for the day-to-day operations of the Greater Washington region’s largest nonprofit advanced illness care provider, ensuring consistent, high‑quality, person‑centered care for patients and families.

Since joining Capital Caring Health in 2016, Kimberly has advanced through several senior leadership roles, including Chief of Staff, Chief of Human Resources, and Managing Director. She played a key role in supporting the organization’s affiliation with Chapters Health System, strengthening system alignment, and operational performance across the hospice network. With more than 20 years of experience in healthcare operations and human resources, she is recognized for her strategic leadership and ability to build strong, mission‑driven teams.

Kimberly’s leadership philosophy is grounded in dignity, equity, and compassion—principles highlighted in a recent Forbes feature profiling her work to expand access to timely, high-quality hospice care. At the center of her leadership is a deep commitment to patients and families, ensuring they feel seen, supported, and cared for during life’s most vulnerable moments.

Steve Cone

Chief of Communications, Marketing, and Philanthropy

Steve Cone is Chief of Communications, Marketing, and Philanthropy at Capital Caring Health. In this role, he provides leadership to increase public and brand awareness of Capital Caring Health, and he also oversees the organization’s philanthropic activities and develops strategies to enhance the organization’s impact and reach.

Prior to his role with Capital Caring Health, Steve co-managed a data consulting and marketing services firm headquartered in New York. From 2015 to 2017, Steve was Chief Revenue Officer of the American Bar Association and from 2010 through June 2015, Steve was AARP’s Executive Vice President responsible for all membership activities and partnerships with corporations across America.

With more than 45 years of senior-level marketing and fundraising experience, he has created or led efforts to develop many national loyalty programs including United’s MileagePlus®, Hyatt’s Gold Passport, and Saks Fifth Avenue’s, SaksFirst rewards program.

Steve has provided marketing services to major organizations including Apple, American Express, FedEx, Memorial Sloan-Kettering, and the San Diego Zoo. Steve has also led marketing campaigns for environmental groups like The Nature Conservancy and the World Wildlife Fund. He has also provided marketing support to presidential campaigns for both major parties.

Eric De Jonge, M.D.

Chief of Geriatrics

Eric De Jonge, M.D., is one of the nation’s most renowned physicians specializing in geriatrics. As Chief of Geriatrics at Capital Caring Health, he is leading efforts to build an array of health services for elders with advanced illness, including Primary Care at Home (PHC), Social Services, and other needed senior health services.

Dr. De Jonge served as President of the American Academy of Home Care Medicine from 2017 to 2019. He also served as Executive Director of the MedStar House Call Program and Director of Geriatrics at MedStar Washington Hospital Center in Washington, D.C.

He was named National House Call Physician of the Year by the AAHCM in 2003. In 2007, Dr. De Jonge helped develop and advocate for a Medicare reform law called Independence at Home (IAH) to advance the field of home care medicine and reduce Medicare costs. The IAH demonstration began in 2012 and Dr. De Jonge directed a successful IAH site at MedStar Health for seven years.

A native of Chicago, Dr. De Jonge graduated with honors from Stanford University and from the Yale School of Medicine. He trained in primary care internal medicine at Johns Hopkins Bayview and completed fellowships in health policy at Georgetown and Geriatrics at Johns Hopkins. He is on the teaching faculty at Georgetown School of Medicine and Johns Hopkins Medicine.

Medical Education

Yale University School of Medicine

Internship

University of Washington, Seattle – Primary Care Internal Medicine

Residency

Johns Hopkins Bayview – Primary care Internal Medicine

Fellowship

Johns Hopkins Bayview – Geriatrics
Georgetown University School of Medicine – Health Policy

David Schwind

Chief Financial Officer

David Schwind serves as Chief Financial Officer for Capital Caring Health. David joined Capital Caring Health in 2005 and has 25-plus years of experience in the healthcare. Prior to joining Capital Caring Health, he served as the Senior Vice President for Reimbursement and Regulatory Affairs of an organization providing ancillary support services to long-term care facilities throughout the United States. He has held management positions in several of the largest teaching hospitals on the East Coast. David is an advanced member of the Healthcare Financial Management Association and is a past president of their Washington, D.C. Chapter. He is a graduate of the University of Maryland.

Vivian Hsia-Davis

Chief People Officer

Vivian Hsia-Davis, CHHR, is Chief People Officer at Capital Caring Health. Vivian’s background prior to joining Capital Caring in January 2018, includes extensive engagement in recruitment and retention, employee relations, employee communications, talent management, compensation, benefits, occupational health and wellness, and organizational development. She has a Bachelor’s Degree in Psychology and a Masters Degree in General Administration. She also holds a certification in Healthcare Human Resources (CHHR).

In her role as Chief People Officer, Vivian has responsibility for Human Resources and Education, which includes talent acquisition, management and retention, compensation and benefits, regulatory compliance, policy development and staff development, training and education.

Cameron Muir, M.D.

Chief Innovation Officer

Cameron Muir, M.D., FAAHPM, is Capital Caring Health’s Chief Innovation Officer. In this role, Dr. Muir is responsible for identifying and implementing new business initiatives based on emerging innovative models designed to care for people with advanced illness. Prior to his work with Capital Caring Health, Dr. Muir was Medical Director of the Palliative Care and Home Hospice Program of Northwestern Memorial Hospital. He served as the Director of the Palliative Care Program of the Northwestern University Medical School. Dr. Muir is Board-Certified in Hospice and Palliative Medicine and Internal Medicine. He received his medical degree from the University of Virginia School of Medicine, completed his residency in internal medicine at Dartmouth-Hitchcock, and earned fellowships in bioethics at the University of Chicago Medical Center and in Hospice and Palliative Medicine at Northwestern University Feinberg School of Medicine.

Keith Everett

Chief Officer for Performance, Compliance, and Cultural Operations

Keith Everett, MBA, MHA, ACHE, is the Chief Officer for Performance, Compliance, and Cultural Operations at Capital Caring Health. He holds Master of Science in Business and Healthcare Administration from South University. Keith is certified in Lean Six Sigma and Public Health Quality and he serves on the Board of Examiners for the 2020 Malcolm Baldrige National Quality Award. The board is composed of more than 300 leading experts competitively selected from industry, professional, trade, education, health care, and nonprofit (including government) organizations from across the United States.

Prior to joining Capital Caring Health, Keith served as Vice President of Quality and Systems Improvement for the American Heart Association, Mid Atlantic Affiliate. During his time with the AHA, he managed the regional operations and implementation of the association’s quality agenda to support the achievement of its Strategic Plan for 350+ hospitals from South Carolina to Maryland. Keith is a member of several organizations including: the American College of Healthcare Executives, National Association for Healthcare Quality, American Society of Quality and the American Heart Association.

Susan Boris

Chief of Clinical Operations

Susan Boris, RN, BSN, has 30-plus years of nursing and health care leadership experience. Susan has served in the executive director role for Capital Caring Health offices in Loudoun and western Fairfax counties and she was also the executive director for Prince William and Fauquier counties from 2014 to 2016. Susan has also worked as clinical operations manager, clinical supervisor and RN case manager during her time with Capital Caring Health.

Susan has a Bachelor’s of Science in Nursing and more than 30 years of nursing and leadership experience in the adult and pediatric clinical settings with a focus on end-of-life, hospice and palliative care.

Carolyn Richar

Chief Mission Officer

Carolyn Richar has 30-plus years of nursing experience, certified hospice and palliative care nurse. Carolyn developed a deep love for hospice as a chaplain volunteer for Hospice of Northern Virginia (now Capital Caring) from 1988 to 1990. She returned in 2000 to work as a chaplain for the Prince William and Loudoun regions and then moved into the general manager position for the Prince William region in 2005. Carolyn has served as executive director for the Arlington region, including the Capital Caring Halquist Inpatient Center since 2009. She has also served in various roles including as a U.S. Senate Staff aide on health care issues and as a nursing home administrator.

Brendan Flynn, DO, FAAHPM, HMDC, Medical Director

Dr. Brendan Flynn is the Medical Director for Capital Caring Health, a proud affiliate of the Chapters Health System. As a board‑certified hospice and palliative medicine physician, Dr. Flynn brings nearly 20 years of experience in end‑of‑life and serious illness care, with deep expertise in complex symptom management and the delivery of high‑quality hospice care services across different programs.

In this role, Dr. Flynn oversees the clinical support of patients throughout DC, Maryland, and Virginia to help fulfill the organization’s mission of taking care of patients, or taking care of those who do. He is known for his pragmatic, patient‑centered approach and his ability to translate bedside realities into effective interdisciplinary and organizational practice.

As an experienced communicator and trusted medical resource, Dr. Flynn builds and maintains effective relationships with administrative teams, staff members, and other groups to develop, implement, and evaluate policies and procedures that advance high‑quality care across the agency.

Medical Education

Philadelphia College of Osteopathic Medicine

Tom Koutsoumpas

President & CEO

Tom Koutsoumpas serves as President and CEO of Capital Caring Health, one of the largest not-for-profit hospice and advanced illness care providers in the nation. Capital Caring Health ( CCH ), under Tom’s leadership, is dedicated to delivering 24 by 7 care in the patient’s home for anyone of any age suffering from one or more advanced chronic illnesses including children. For those patients that require more intense care around the clock, CCH also operates four inpatient residential centers including the nation’s first inpatient center for hospice services that became operational in 1982. The dedicated staff at CCH serve patients and their caregivers in Washington D.C., Maryland, and Virginia.

Tom also serves as President & CEO of the National Partnership for Healthcare and Hospice Innovation ( NPHI ). NPHI is a unique not- for- profit organization that includes as members 70 hospice/advanced illness care providers. Collectively NPHI members serve over 121,000 patients and families across America every day and annually provide over 40 million dollars in charity care. Their shared mission is that care must be delivered at the bedside and not dictated in the boardroom.

Earlier in Tom’s career he focused on making the hospice movement in America a reality by helping lead the effort to develop and implement the Medicare hospice benefit. His passion to improve care delivery also led him to be a co-founder of the Coalition to Transform Advanced Care ( C-TAC ). C-TAC is a national, non-profit non partisan alliance of patient and consumer advocacy groups, health care providers both public and private, and faith-based organizations, all with the shared mission of providing comprehensive world-class patient-centered advanced illness care especially for those who might otherwise not have access to the best available chronic illness management.

Other accomplishments include helping establish Healthsperien, a consulting and legal services firm focused on strategic issues that bring together the public and private sectors to advance hospice and advanced illness care. And, Tom is a member of the Roundtable on Quality Care for the seriously ill which is attached to the Medical Division of the National Academy of Sciences and is a contributor to the Project on Advanced Care at the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School.

Tom is a co-author of A Roadmap to Success: Transforming Advanced Illness Care in America. He also penned the foreword to the publication, Have Your Own Say: Getting the Right Care When It Matters Most ( 2012 ) by Gundersen Health System and the Center for Health Transformation.

A native of Indiana, Tom received his Bachelor of Arts degree in American Studies from Georgetown University, Washington, D.C. where he has served as a Board of Regents member.

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