OCTOBER 14, :00 PM
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1 OCTOBER 14, :00 PM Nassau Country Club Glen Cove, New York presented by
2 The Harvest Moon Gala Gala Co-Chairs Nabil Kiridly, MD Badri Nath, MD Kathy and Tom Cullen Robin and Pete Roe Gala Committee Hamid Alam, MD Lynn and Gary Brown Darice Cooper Sydney DeAngelis, MD Henri Delbeau, MD Nikki Dougherty Louise Ebert Paul Essner Debi Gaines Anthony Giorgio Ravi Gupta, MD Jason Hill Wazhma Hossaini, MD Rob Lehmann Kumar Mandal, MD Richard T. Margulis Karen Maust Maureen Mennella Clyde Parker Sherri Paxson Mohammed S. Rahman, MD Kelly Murray Rogers Lisa Rose Sally Rose Ravi P. Singh, MD Satyanarayana V. Tanguturi, MD Randy Wolmart Fran Varney Wood Diane and Gary Zanazzi Elizabeth Martin, MD
3 Brookhaven Memorial Hospital Medical Center cordially invites you to join us at Celebrating over 60 Years of Quality Care and Compassion Benefiting Moments Under Construction Capital Campaign Honoring The John White Family Sound Physicians and Dr. Charles Rothberg RECIPIENT OF THE DR. JACOB DRANITZKE AWARD An Evening of Dining, Dancing & Decadent Desserts Elegant Attire Nassau Country Club 30 St. Andrews Lane Glen Cove, NY
4 BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER PROUDLY RECOGNIZES THE JOHN WHITE FAMILY AS THE 2017 COMMUNITY HONOREE As a hospital founder, John White was one of the most instrumental community members for the development of Brookhaven Memorial Hospital Medical Center. His dedication and commitment continues to live on as we have grown to serve over 400,000 lives in our community. Simply put, this incredible community resource would not be here if not for the hard work of the founders. The White Family s generosity and desire to improve people s lives is vastly evident by their philanthropic support of Brookhaven Memorial Hospital, as well as their support of other local institutions and charitable organizations. Their leadership in giving is an inspiration to others in the community to do the same. There is no greater legacy, and family, that deserves to be honored. The White Family has had a profound impact on not just the hospital, but the entire community that we are dedicated to serving. We are thrilled to honor John White with his daughters Janet White Foster, Dr. Rosemary White-Traut and Susan White Callahan and their families.
5 Dr. Rothberg as the 2017 Jacob Dranitzke Award Recipient Charles Rothberg, MD is a widely respected board certified ophthalmologist with a private practice in Patchogue, NY specializing in laser vision correction as well as the management and treatment of cataract, glaucoma and diabetic eye disease. Dr. Rothberg has served on Brookhaven Memorial Hospital Medical Center (BMHMC) medical staff for more than 27 years, and is the current President of the Medical Society of the State of New York (MSSNY). The MSSNY is a non-profit organization committed to representing the medical profession as a whole and advocating health related rights, responsibilities and issues for all New York residents. Their membership includes over 30,000 licensed physicians, medical residents, and medical students across the state. A graduate of Muhlenberg College, Dr. Rothberg earned his medical degree from SUNY Downstate Medical Center. He received his internship training in internal medicine at Nassau County Medical Center and his residency training in ophthalmology at Kings County Hospital. Dr. Rothberg has been actively involved in organized medicine ever since he first sought guidance from his county medical society on starting a practice. He has been president of the Suffolk County Medical Society, the Suffolk Academy of Medicine, and the Second District Branch of MSSNY (Nassau/Suffolk). For seven years, he represented his county as MSSNY Councilor. Additionally, he has been a delegate to the AMA for 11 years and is currently vice chair of the MSSNY Delegation, who honored him with the Charles Sherman Award. Sound Physicians as the 2017 Corporate Honoree Sound Physicians, founded in 2001, is a leading provider of hospitalist services with a proven track record of improving quality, satisfaction and financial performance for its hospital partners nationwide. Sound combines a high-performance model with engaged providers to drive reproducible results across the acute episode of care through emergency medicine, hospital medicine, critical care, transitional care and advisory services. Sound Physicians makes a commitment to serving hospitals and the communities across the United States, supporting clinicians in the practice of their art while embracing the financial realities of healthcare today. Sound Physician s core values of service and teamwork are demonstrated through a commitment to philanthropy at all levels of the organization. In the past two decades, Sound Physicians has impacted local communities by contributing thousands of service hours and millions of dollars in charitable fundraising.
6 Brookhaven Memorial Hospital Medical Center Proudly Recognizes Our Foundation Partners DIAMOND SPONSORS Knapp Swezey Foundation Island Outreach Foundation Lisa Rose Ric And Sally Rose PLATINUM SPONSORS Emergency Ambulance Service Donaldson s Subaru GOLD SPONSORS Affinity Skilled Living Rehabilitation Center B & G Industries LTD Bellhaven Center For Rehabilitation And Nursing Brookhaven Health Care Facility Damianos Realty Group LLC Swezey Fuel Company, INC. TD Bank SILVER SPONSORS The Amato-Waldbauer Group- UBS Financial Racanelli Construction Company, INC. Paul Essner And Michael Waters, TSG Financial, LLC BRONZE SPONSORS Kerly, Walsh, Matera and Cinquemani PC Putney, Twombly, Hall & Hirson Llp CHAMPION SPONSORS Lewis Johs Avallone Aviles LLP Route 112 Office Campus People s United Bank PATRON SPONSORS BDO USA, LLP Fumuso, Kelly, Swart, Farrell, Polin And Christesen LLC Mullooly, Jeffrey, Rooney & Flynn LLP SUPPORTER SPONSOR Tritech Healthcare Management, LLC To become a Foundation Partner, please contact Susan Daconto at ; sdaconto@bmhmc.org Brookhaven Memorial Hospital Medical Center 101 Hospital Road, Patchogue NY Online registration at
7 BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER Name Title/Company Address City/State/Zip Phone Guests Names We have enclosed a check for $ payable to the BMH Foundation Please bill my credit card for $ American express Visa MasterCard Discover Credit Card # Exp. Date Security Code Signature Name (as it appears on card) Please return this form and payment to: Development Office Brookhaven Memorial Hospital Medical Center 101 Hospital Road, Patchogue, New York Telephone: Online registrations go to PLEASE RESPOND ON OR BEFORE OCTOBER 7, 2017 BMH Foundation is a tax-exempt 501 (c) 3 organization. Tax ID#
8 SPONSORSHIPS AND TICKETS ALL FUNDS RAISED WILL SUPPORT THE MOMENTS UNDER CONSTRUCTION CAPITAL CAMPAIGN Harvest Moon - $50,000 Reserved VIP seating for twenty four guests, special recognition at the Gala, a full-screen e-journal ad, and a full-screen ad on Gala event website. Full Moon - $25,000 Reserved VIP seating for sixteen guests, special recognition at the Gala with a full-screen e-journal ad, and a full-screen ad on Gala event website. Crescent Moon - $15,000 Reserved seating for ten guests, special recognition at the Gala with a full-screen e-journal ad, and a full-screen ad on Gala event website. New moon - $10,000 Includes eight tickets, special recognition at the Gala with a half-screen e-journal ad, and a half-screen ad on Gala event website. half-moon - $6,000 Includes six tickets, recognition at the Gala with a quarter-screen e-journal ad and quarter-screen ad on Gala event website. moon Beam - $3,500 Includes four tickets, recognition at the Gala with a quarter-screen e-journal ad and quarter-screen ad on Gala event website. Moon Stone - $2,000 Includes two tickets, greeting (one line, plus name) in e-journal and on Gala website. INDIVIDUAL TICKETS - $500 Please reserve tickets(s) at $500 per guest, JOURNAL ADS FULL SCREEN - $3,000 Recognition with a full-screen e-journal ad on Gala website and at the Gala. HALF SCREEN - $2,000 Recognition with a half-screen e-journal ad on Gala website and at the Gala. QUARTER SCREEN - $1,000 Recognition with a quarter-screen e-journal ad on Gala website and at the Gala. GREETING - $500 Recognition with a greeting (one line, plus name) on Gala website and at the Gala. LISTING - $250 Name recognition on the Gala website and at the Gala. The Ad should read: I/We would like to make a contribution of $ to the BMH Foundation.
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