Horizon

3

HOSPITAL FOR SPECIAL SURGERY:SPECIALISTS IN MOBILITY

SPRING 2007

2006 ANNUALREPORT

TransformingPatient CareThrough Scienceand Technology

HorizonIN THIS ISSUE:

Transforming Patient Care Through Science and Technology 1

2006 Leadership Report 30

Caring for Children in the 21st Century 38

Financial Report 40

Professional Staff, Management, and Volunteers 43

Contributing Friends 49

Officers and Board Members 60

A Lifetime of Philanthropy Endures 61

On the Cover:

A hydrogel sample is

ready for analysis to

determine its potential

as a material to repair

cartilage that lines the

surface of the knee joint.

Opposite page:

Suzanne Maher, PhD, is

one of many scientists at

Hospital for Special

Surgery seeking to solve

the challenge of repair-

ing damaged cartilage

and other soft tissues.

Diagram below:

With a hydrogel implant

placed into a cartilage

defect, growth factors

attract cells that generate

new and healthy tissue. Executive Editorial BoardSteven R. Goldring, MD Edward C. Jones, MDStephen A. Paget, MDAldo Papone, ChairmanDeborah M. SaleThomas P. Sculco, MDLouis A. ShapiroPhilip D. Wilson, Jr., MD

Editor-in-ChiefJosh Friedland

Managing EditorLinda Errante

Assistant EditorRachel Olszewski

DesignArnold Saks Associates

PrintingMonroe Litho

Major PhotographyRobert Essel

Other PhotographyBrad Hess

Horizon is published twice a year by the DevelopmentDepartment, Hospital forSpecial Surgery, 535 East 70thStreet, New York, NY 10021.

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rmed with the latest technologies and clinical advances,

the physicians, scientists, and health professionals

at Hospital for Special Surgery confront the challenges

of musculoskeletal conditions today, while pursuing pivotal

research that will bring the breakthroughs of tomorrow.

A

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During his first climb of the morning on Ragged Mountain inConnecticut, Graham Seaton lost

his footing and fell 35 feet, landing withfull force on his right leg. The October2005 accident left him with catastrophicfractures below the knee. But today, Mr. Seaton is back mountaineering thanksto the skills and novel approaches to complex orthopedic challenges he foundat Hospital for Special Surgery.

Mr. Seaton is one of thousands ofpatients each year who benefit from theincredibly focused expertise and depth ofexperience that only a specialty institu-tion can provide. “Hospital for SpecialSurgery represents the unique integrationof a world-class hospital and researchinstitute with the eventual goal of eradi-cating musculoskeletal conditions throughscientific discoveries,” says Stephen A.Paget, MD, Physician-in-Chief and theJoseph P. Routh Professor of RheumaticDiseases in Medicine. “When you placethe world’s best and the brightest in sucha productive and stimulating environment,progress is assured for our patients.”

A New World in Orthopedic SurgeryNearly 18,000 orthopedic procedures areperformed each year at Hospital forSpecial Surgery. This wealth of experi-ence is the source of many of theadvances in techniques and technologiesnow in use around the world.

In recent years, orthopedic surgery has pursued less invasive procedures toaddress a range of conditions – from disabling joint problems, to sports injuriesand spinal disorders, to major trauma.Arthroscopic procedures, once reservedfor repairing soft tissue injuries in the kneeand shoulder, have been expanded toinclude applications for certain hip condi-tions, such as labrum tears around the hipjoint, instability, and synovial disorders.

The once standard 12-inch incision fora total knee replacement has been virtual-ly replaced by surgery performed throughan incision of only three to four incheslong. With hip replacement, the incisionhas been reduced from 10 inches to fouror five. “Although the most noticeable evi-dence of these newer joint replacementtechniques is the smaller incision, the realvalue of these procedures is in how wellpatients do following the surgery,” says

Thomas P. Sculco, MD, Surgeon-in-Chief,and the Korein-Wilson Professor inOrthopedic Surgery, who pioneered themodified technique for hip arthroplasty.“Pain relief and improved mobility areaccompanied by the benefits of less trau-ma to the muscles and soft tissues, lessblood loss during surgery, and an easierrehabilitation.”

In addition to new techniques for jointreplacement, our surgeons and bioengi-neers continue to develop and refine sur-gical tools and joint implants. Noveldevices and smaller instruments are mak-ing less invasive surgery possible, whileimprovements in materials and implantdesigns are adding durability and flexibility

Above: With

arthroscopy, a minute

fiberoptic camera is

inserted through

incisions as small as an

eighth of an inch to

view the inside of a

joint for diagnostic and

treatment purposes.

Left: Dr. Timothy Wright

and his colleagues in

the Department of

Applied Biomechanics

in Orthopedic Surgery

are pioneers in the

design and development

of joint implants.

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of motion. “Implant wear is influenced bypatient weight and activity level,” saysTimothy Wright, PhD, F.M. Kirby Chair inOrthopedic Biomechanics. “Our surgeonsand engineers are evaluating variousimplant-bearing surfaces such as metal-on-metal, ceramic-on-ceramic, and cross-linked polyethylene. Our goal is toprovide patients with low-friction, low-wear joint replacements that can with-stand a rigorous lifestyle.”

Among the surgical tools that havebeen developed here is customized instru-mentation to lessen trauma to tissue during joint replacement surgery. Theseinclude an angled reamer that can beinserted without putting too much tensionon the skin when surgeons prepare thebones for the implant, and a hemisphere –a small cutting device that makes it easierto carve out a new hip socket.

Among the concerns of patientsundergoing any surgery is the possibleneed for a blood transfusion. The Hospitalis a leader in developing and incorporat-ing into practice the latest blood conser-vation techniques. “Blood management is an important consideration in any surgery,” says Gregory A. Liguori, MD,Anesthesiologist-in-Chief. “To minimizeintraoperative blood loss and the poten-tial for transfusion with donated blood,we use a number of approaches, includingintraoperative autologous blood recoverysystems, often called cell saver machines.”

The cell saver machine is used to collectblood lost during the operation, filteringand washing it so that it may be given backto the patient. This technique is commonlyused when significant blood loss is expect-ed, such as during spine surgery.

Utilizing this technique, the Hospitalhas been able to reduce the need forblood transfusions from the blood bank by97 percent.

Hospital for Special Surgery leads allhospitals in New York State in surgical

infection prevention. Contributing to ourexcellent record is a newly constructed,state-of-the-art central sterile supply unitthat serves the Hospital’s operating roomsuites. Features of the new unit include sixsterilizers, of which four are floor-loader,walk-in sterilizers, and an automated sys-tem that tracks the processing and sterili-

zation of approximately 600 instrumenttrays a day. “Every one of our trays is bar-coded and indexed for inventory control,”says William McDonagh, RN, AssistantVice President of Perioperative Services.To further maintain the integrity of thesterile environment, dedicated elevators –one on the decontamination side and oneon the sterile side, accessible only to peri-operative staff – transport trays directlyto and from the operating rooms.

Advancements in RadiologyThe Hospital has one of the most techni-cally advanced musculoskeletal imagingdepartments in the country. It is one ofonly a few to use an open gantry magneticresonance imaging camera in which radi-ology specialists can image virtually anysized patient in any position. The Hospitalfor Special Surgery Musculoskeletal MRICenter, with five MRIs and two more sitedand pending acceptance testing, will bethe largest academic MR imaging center inthe nation dedicated to musculoskeletal

In the new Central

Sterile Supply unit, the

average turnaround

time, from the time an

instrument tray goes

into the decontamina-

tion area from the OR

through the washer

to the sterilizer and

then wrapped, is

approximately three

and a half hours.

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medicine. And, with the recent opening ofthe new Center for Musculoskeletal Ultra-sound, the Hospital is realizing the multi-faceted potential of ultrasound for bothdiagnostic and therapeutic applications.

“The new Center enhances diagnosticcapabilities and treatment options forpatients with musculoskeletal disease,”notes Helene Pavlov, MD, Radiologist-in-Chief. “It features three ultrasound roomsthat capture the real-time motion of mus-cles and tendons and provides exquisiteresolution for more well-defined images.The equipment and the faculty expertiseallow us to offer innovative treatments,including image-guided therapeutic injec-tions for conditions such as tendinitis and arthritis.”

Dr. Pavlov and her colleagues are alsoat the forefront of using MR imaging forearly diagnosis of osteoarthritis. “We’relooking at cartilage, which cannot be seenon a routine X-ray,” she explains. “By visu-alizing almost to the microscopic level ofcartilage striations, we can determine ifthe cartilage is starting to erode or becom-ing compressed long before surgical treat-ment or long-term management may benecessary.”

New Horizons in ResearchWith a complement of nearly 100 basicand clinical scientists, Hospital for SpecialSurgery’s robust research program is producing valuable data and informationat every level and in every orthopedic and rheumatological specialty – helpingpatients today and laying the foundationfor new therapies to come.

“Together, we are advancing SpecialSurgery’s research mission to translatebasic science findings into new ways oftreating and preventing musculoskeletalconditions,” says Steven R. Goldring, MD,Chief Scientific Officer and the St. GilesChair in Pediatric Genetic Research. “Weare committed to expanding our interdisci-plinary research efforts and developing a

continuum of clinical and basic sciencethat fosters translational research.”

As part of this commitment, theHospital welcomed Carl Blobel, MD, PhD,in 2004 as Program Director of theResearch Division’s Arthritis and TissueDegeneration Program, and the Virginia F. and William R. Salomon Chair inMusculoskeletal Research. Dr. Blobel’s

research into a family of enzymescalled ADAMs –with particularattention to theirrole in rheumatoidarthritis and the for-mation of new bloodvessels – is further-ing the understand-ing of the critical roles that molecules playin tissue degeneration and regeneration.

“We incorporate our current experi-ences with patients in order to assure,through scientific discovery, better out-comes for others in the future,” adds Dr. Paget. “It is just this scientific processthat leads to continued progress andeventual cures.” n

Left: During a spine

surgery, Piergiuseppe

Roma, RN, uses the cell

saver technology to

clean the patient’s blood

for retransfusion.

Below: The work of

Gisela Weskamp, PhD,

Associate Scientist,

and Dr. Carl Blobel and

their identification of

an enzyme that appears

to play a pivotal role

in the development of

rheumatoid arthritis,

was recently published

in the prestigious

scientific journal Nature

Immunology.

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Transforming Patient CareThrough Science and TechnologyUncovering the minute details of a genetic

marker…analyzing precise measurements

of a body in motion…inspiring new designs

in implants and instrumentation – on the

following pages read about innovative

efforts at Hospital for Special Surgery to

improve the lives of our patients.

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Analyzing a body in MOTION

W hen a person has foot pain, chances are there will also be a problem in another joint.“Malalignments rarely travel alone,” says

Howard J. Hillstrom, PhD, Director of the Leon Root, MD,Motion Analysis Laboratory. “If you evaluate the kineticchain – from the foot to the knee, hip and pelvis – you canusually find a primary, correlated, and compensatory effect.”

Using high-tech and unique assessment tools, Dr. Hillstromand his team are contributing important knowledge abouthow a pathology is manifested while a patient is in motion.

Measuring the pressures beneath one’s feet enables staff toquantify how someone walks, runs, or stands. By obtaininga comprehensive picture of the origin of the problem andwhy it progresses, they can then define how to treat it.

The Motion Analysis Lab, along with the Biomechanics Lab and the Soft Tissue Engineering Lab, examines mobility issues from different perspectives. “We look at the problem at the in vivo scale with different technologiesand techniques,” says Dr. Hillstrom, “but each lab bringsanother piece of the puzzle to the table – providing analy-sis, for example, of injury-induced osteoarthritis at thejoint level, the tissue level, and the chemistry level. Thegoal is to integrate the information to arrive at new andmore creative treatments – surgical or conservative – thatwill help the patient move with greater mobility.”

Dr. Howard Hillstrom

(far left) and Sherry

Backus, MA, PT, Senior

Research Physical

Therapist (right),

evaluate movement in

patients with various

pathologies. The stick

figure image (above)

represents a patient

who is bowlegged and

walks abnormally –

placing excessive stress

on joints, which can

damage cartilage and

related soft tissues.

Prior page: This three-

dimensional, multi-col-

ored display of pressure

beneath the foot during

walking aids mobility

specialists in pinpointing

the abnormal biome-

chanical function within

the lower extremity.

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8

Dr. S. Robert Rozbruch

evaluates the progress

of John Kuklis as his

wife, Charlene, looks on.

Mr. Kuklis’ significant

foot and ankle deformity

and leg length discrep-

ancy was caused by a

trauma decades earlier

and made walking

difficult. Dr. Rozbruch

performed ankle recon-

struction and deformity

correction using the

Ilizarov method.

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A rock climbing accident

left Graham Seaton

with a shattered ankle.

Despite initial treatment,

he was left with a

destroyed ankle joint

and limb threatening

bone loss. Dr. S. Robert

Rozbruch and Dr. David S.

Levine performed a limb

salvage reconstruction

that included an ankle

fusion and simultaneous

leg lengthening. Today,

Mr. Seaton is back on

the mountain, skiing,

mountaineering, and

ice climbing.

LengtheningLIMBSone

millimeter at a time

One inch, two inches…even 12 inches of new bonecan be grown to address limb length discrepancies,thanks to amazing techniques pioneered by S. Robert

Rozbruch, MD, Chief of the Adult Limb Lengthening andDeformity Service.

Limb length discrepancies may result from trauma, growthdeformity, disease, or a congenital defect. Limb lengtheningand reconstruction techniques are used to replace missingbone and to correct deformed bone segments in both theupper and lower extremities. Surgeons cut and graduallydistract the bone to enable new bone to grow withoutinjecting or inserting any synthetic material or performingbone grafts. The bone is stabilized using external fixationframes or implantable internal devices.

“A computer assisted deformity correction system enablesus to make very precise and simultaneous corrections inthree planes,” says Dr. Rozbruch.

Dr. Rozbruch’s LATN (lengthening and then nailing) procedure has drawn national recognition. With thisapproach, a rod is inserted into the bone marrow cavityand serves as a stabilizing mechanism while the boneheals. What’s particularly exciting, says Dr. Rozbruch, isthat by substituting internal fixation at the end of thelengthening phase, the frame can be removed much soonerand bone healing is accelerated.

“Our job is to straighten, lengthen, and make the bodysymmetrical,” says Dr. Rozbruch. “The bone grows naturally,and by pulling it apart very, very slowly – a millimeter perday – it regenerates by about one inch per month.”

And there’s no time limit for performing the procedure. Dr. Rozbruch has cared for patients with traumas datingback 20 years who come from the era of traction, and hehas been able to help them. (More online www.hss.edu/horizon)

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STANDINGup for digital

imaging

Above: Dr. Helene

Pavlov and Mario Solano,

radiology technologist,

review images taken

with the new weight-

bearing 3-D fluoroscopy

unit. Within seconds,

images taken of the

patient while standing

can reveal important

information of a patient’s

pathology, not other-

wise evident.

T he Department of Radiology and Imaging, which is recognized worldwide for musculoskeletal, orthopedic,and rheumatologic clinical and research imaging,

is once again at the forefront of applications for muscu-loskeletal imaging that are likely to prove a breakthrough forclinical care. In collaboration with Philips, the Departmentis helping to develop a new use for three-dimensional axialweight-bearing fluoroscopy, which provides digital X-rayimages of a patient’s pathology while standing. Hospital forSpecial Surgery is the only site in the country applying thistechnology for orthopedic diagnostics, which was originallyapproved by the Food and Drug Administration for use incardiac studies.

“This is the first time we can look at a patient’s knee orankle when it is in a weight-bearing position and constructa 3-D representation of the body part in an X-ray mode,”says Helene Pavlov, MD, Radiologist-in-Chief. While a CTscan – which can only be performed with the patient lyingdown – gives important information, upright fluoroscopyprovides what a CT scan cannot – the effect of forces on ajoint. “This is truly emerging technology, and it is providinga more comprehensive evaluation of pathology that wasnot previously available to us.”

An image taken of a joint while the patient is standingreveals very different information from an image of a jointat rest. For example, if an image of a knee joint is takenwhile the patient is supine, it could show adequate spacein the joint. But the joint space narrows considerablyunder the load of standing weight, providing some verytelling diagnostic information about cartilage degenerationand the cause of pain.

“Subtle misalignment in a joint might be missed when the patient is imaged lying down,” adds Dr. Pavlov, “soapplying gravity holds enormous potential.”

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Above: These 3-D

images reveal how

weight-bearing forces

on an ankle joint pro-

vide important diagnos-

tic information.

Left: Teresita Leynes,

MSN, NP, Assistant

Director of Radiology

and Imaging, demon-

strates how the new

imaging application is

used for diagnosing

ankle disorders while

standing.

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Working together to heal TISSUE

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On the fifth floor of the Hospital’s Research Building,scientists in the Tissue Engineering, Regeneration,and Repair (TERR) Program are tackling some of

the most serious clinical challenges through their work at the bench. Among them are Marjana Tomic-Canic, PhD,Director of the Laboratory of Tissue Repair; SuzanneMaher, PhD, who heads the Laboratory for FunctionalTissue Engineering; and Peter Torzilli, PhD, Director of the Laboratory for Soft Tissue Research, who oversees theoverall TERR program.

While they each pursue different types of tissue injury,they share a common interest in the role of inflammation,which is present in any wound whether it’s to bone, carti-lage, tendon, or skin. Since these tissues share similarcomposition, the cellular processes that guide their repairmechanisms have many common properties and similartherapeutic approaches may be applicable.

Dr. Tomic-Canic is seeking solutions to the widespreadproblem of pressure sores and skin ulcers that are amongthe leading causes of mortality in hospitalized elderlypatients. “Some of the breakage in skin is linked todecreased vasculature, and some is due to pressure,” saysDr. Tomic-Canic. “We’re trying to understand how loadaffects tissue integrity of skin, which molecules areinvolved, and why this evolutionary protected mechanismbecomes impaired in elderly people or those who havemetabolic diseases, such as diabetes.”

Dr. Tomic-Canic is now adopting a model system that wasdeveloped by Dr. Torzilli’s lab for testing cartilage that willenable her to put load on skin and test its mechano-biological

Above: A porous scaf-

fold may provide tissue

engineers with a means

for repairing damaged

cartilage.

Above, right: Dr. Suzanne

Maher prepares a solu-

tion that will then be

solidified and studied

for its potential as a

hydrogel scaffold.

Left: Dr. Marjana Tomic-

Canic’s laboratory has

identified a pathogenic

marker that is present in

pressure ulcers, diabetic

foot ulcers, and venous

ulcers. “We rely on these

molecular markers to

demarcate bad tissue

from good,” she says.

This is the first molecule

to be discovered that

actually prevents wounds

from healing.

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Dr. Chris Chen and Dr.

Peter Torzilli mechanically

load cartilage tissue

specimens to look at

how the cells respond to

being compressed by a

system that simulates a

joint bearing weight

during walking. They are

specifically interested in

how the cartilage cells

react to excessive load.

15

properties as a model for pressure ulcers. “We stretch thatskin after load and also look at molecules and enzymesthat may compromise the integrity of skin,” she says.“Understanding these initial changes triggered by load inskin will allow us to understand how a pressure ulcerdevelops.”

Nearby, Dr. Suzanne Maher is investigating porous hydrogelsto replace damaged articular cartilage. “Our goal is to pro-vide a matrix with mechanical properties similar to that ofarticular cartilage in which embedded growth factors stimu-late the proliferation and migration of healthy cells to theaffected areas,” says Dr. Maher. To create the ideal hydrogelscaffold involves preparing solutions that are stirred at dif-ferent speeds for different times, using a range of additives.The solution is then poured into molds and subjected tofreezing cycles to solidify it.

“Once brought back to room temperature, we can slice thematerial, look at the structure under a microscope, andthen mechanically test it,” she says. “We can change thevariables during preparation of the solution to understandhow they change the structure and mechanical propertiesof the scaffold. There needs to be a balance between havingthe scaffold porous enough so the cells can get in and yetnot too porous so it is mechanically weak. Ultimately, wehope to generate a computer model that will facilitate thisscaffolding process.”

Dr. Peter Torzilli and Dr. Chris Chen are interested in determining how cyclic loading similar in a joint affects cellsin the articular cartilage. “By mechanically overloading the cartilage, we’re able to produce in the tissue specimen aresponse in a short period of time that is similar to whathappens in the long-term damage that occurs in osteoarthri-tis,” says Dr. Torzilli.

Of more interest, Dr. Torzilli and his colleagues haverecently found that normal walking is beneficial in reducinginflammation. “Cyclically loading cartilage at the level simi-lar to normal walking can inhibit degradative events due to joint inflammation,” says Dr. Chen. “This implies that ifyou walk daily, you may have less chance of developing aninflammatory degradation in cartilage. But there is a bal-ance. When you have too much loading it could wear outthe tissue – but the right amount is actually beneficial.”

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The Computer Assisted

Orthopedic Surgery

Center provides a simu-

lated OR environment

in which to investigate

and further develop

navigational software.

Here, Dr. Andrew Pearle

demonstrates the

acquisition of reference

points by navigated

instruments to help

plan knee replacement

surgery.

In the Hospital’s state-of-the-art computer assisted orthopedic surgery laboratory, Andrew D. Pearle, MD, is playing a key role in developing the burgeoning arena

of surgical navigation technologies that will help define thefuture of orthopedic surgery.

According to Dr. Pearle, Clinical Director of the Hospital’sComputer Assisted Orthopedic Surgery (CAOS) Center,surgical navigation is akin to having a Global PositioningSystem in the operating room, where surgical instrumentsand a patient’s anatomy are simultaneously tracked with amapping system.

“In the OR, we use an optical tracking system in whichreflective markers are mounted on surgical instrumentsand implants, and affixed to the patient,” explains Dr.Pearle. “In this way, we can visualize the instrumentationand anatomy to determine where to prepare the bone andplace an implant.”

As an orthopedic surgeon, Dr. Pearle serves as a bridgebetween companies that develop navigational software andthe OR. “To improve patient care, it is essential to identifyimportant clinical issues that can be addressed using thistechnology,” says Dr. Pearle. “Our primary purpose is towork with engineers to translate current applications to surgical tools that can guide surgeons in the operating theatre and drive the industry in the direction we think ismost important for patient care.”

“These navigation systems also offer important opportunitiesto answer fundamental research questions,” notes David L.Helfet, MD, Senior Director of the CAOS Center and Chief ofOrthopedic Trauma. Over the next several years, the Centerwill focus on translational research that evaluates navigationstrategies and modifies these tools for use in trauma, arthro-plasty, and sports medicine procedures.

Navigating theFUTUREof

orthopedic surgery

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18

Left: Following surgery,

patients wait in a bright

and spacious recovery

area adjacent to the

new ambulatory operat-

ing room suite.

Below: Viewing high-

tech monitors that pro-

vide sharp detail of the

patient’s knee anatomy,

Dr. Frank Cordasco

performs an arthroscopic

meniscal repair in the

“OR of the future.”

Below, right: A nurse

completes a pre-surgical

interview with a patient

in the new holding area.

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Hospital for Special Surgery’s ninth floor has beentransformed into a new state-of-the-art surgicalsuite dedicated to outpatient procedures, along

with spacious and comfortable pre-surgical, recovery, andfamily waiting areas. With nearly 18,000 surgeries per-formed annually at the Hospital, ambulatory proceduresnow account for half.

“In the last 10 years, our surgical volumes have increasedby almost 60 percent,” says Thomas P. Sculco, MD,Surgeon-in-Chief. “This unprecedented growth is beingfueled by a growing group of people in their 60s and 70sand an increasingly active younger population at risk forsports injury.”

“We view this as an operating room of the future,” says FrankA. Cordasco, MD, who guided the development of the newOR suites and is the Surgical Director of the AmbulatorySurgery Center. Each operating room features three high-def-inition, flat panel television monitors that provide greaterdetail of surgical procedures and can be viewed by everyonein the room, at any given time. In addition, many of theinstruments and electronic equipment previously stored onrolling towers now hang from booms, clearing floor space sothat surgical staff can access the patients and instrumentseasily and efficiently.

“The new ORs accommodate the larger equipment that weneed for more recently developed outpatient procedures, suchas hip arthroscopy,” notes Dr. Cordasco, “while also creatingan environment that is more conducive to performing complexknee and shoulder ligament and tendon reconstructions.

“We have also integrated an information technology infrastructure that allows us to transmit live surgery notonly to the amphitheatre on the Hospital’s second floor,but also to conference rooms in Boston, Bangalore, orBeijing,” adds Dr. Cordasco. “From the standpoint of education, we can provide training to surgeons anywherein the world.”

OptimizingAMBULATORYsurgery

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Left: Dr. Michael

Lockshin with Brendon

Feldgoise, one of the

first babies delivered

by a mother with lupus

in the PROMISSE study.

Center: More than 350

patients have enrolled

in the study, including

Lee Urena (left), with

daughter Gabriela, who

is joined by Schiffon

Phillips, Project

Coordinator; Phuong Le,

Clinical Research

Coordinator; and Marta

Guerra, Administrator,

Translational Research

Project.

Right: Dr. Jane Salmon

(and above) with

Dr. Guillermina Girardi,

who studies antiphos-

pholipid antibodies

in experimental models.

Predicting pregnancy outcomes in

LUPUS

Apregnancy should signal a joyous time. But forwomen with lupus, pregnancy can bring complica-tions, particularly in those who have the antiphos-

pholipid syndrome. A research team, led by Jane E.Salmon, MD, the Collette Kean Research Chair and Co-Director, Mary Kirkland Center for Lupus Research, crossesboth basic and clinical arenas to help address pregnancyloss in these patients through PROMISSE – a multimilliondollar, multicenter study funded by the National Institutesof Health that seeks to define biomarkers that predict a badpregnancy outcome. “From PROMISSE, we have learnedthat pregnancy complications are less frequent than pre-dicted – the result of more aggressive therapies,” says Dr.Salmon. “Now, we are looking for circulating proteins thatpredict placental damage and fetal injury in patients whofail treatment. These biomarkers may identify new targetsto prevent pregnancy complications.”

Michael D. Lockshin, MD, Director of the Barbara VolckerCenter for Women and Rheumatic Disease and Co-Director,Mary Kirkland Center for Lupus Research, was among the firstto describe the association between pregnancy loss in lupusand antiphospholipids back in 1985. “The PROMISSE studyis the type of research that will lead to a new textbook thatwill rewrite the rules about lupus pregnancy.”

21

22

Above: As a basic scien-

tist and a rheumatolo-

gist, Dr. Lionel Ivashkiv

is fostering research that

spans from the cellular

level to clinical care.

Top: Linda Leff, RN,

Coordinator of the

Infusion Therapy Unit,

talks with Kim Davis,

who is undergoing infu-

sion therapy with intra-

venous immune globulin

four times a month as

treatment for her con-

nective tissue disease.

23

Dr. Peggy Crow and her

colleagues are interested

in the interferon path-

way and other inflam-

matory pathways that

might reveal potential

therapeutic targets in

patients with lupus.

Translating DISCOVERIES

into treatments

T he basic science work of Lionel Ivashkiv, MD, andPeggy Crow, MD, is crossing the bridge from benchto bedside.

By pinpointing the mechanism through which intravenoustherapy combats chronic inflammatory diseases, Dr. Ivashkivand his colleagues have discovered that this time-consuminginfusion therapy may be able to be replaced with an injec-tion. “Intravenous immune globulin (IVIG) or antibody therapy works, in part, by blocking the function of interfer-on gamma, a major inflammatory factor,” says Dr. Ivashkiv,Director of Basic Research and the David H. Koch Chair forArthritis and Tissue Degeneration Research. “Only a smallcomponent of the IVIG solution, which is pooled from thousands of blood donors, is responsible for blocking thisreceptor, suggesting that the immune complexes within thepreparation are causing the therapeutic effect.” As a result,clinicians may be able to use small amounts of so-calledimmune complexes in the therapy.

Peggy Crow, MD, the Benjamin M. Rosen Chair inImmunology and Inflammation Research, directs theAutoimmunity and Inflammation Program. One project inher laboratory is focused on interferon-alpha as a mediatorof disease in lupus. “A significant number of lupus patientshave interferon pathway activation as a major component of their immunological response,” says Dr. Crow. “Specificinterferon-alpha responsive genes are turned on in the setting of active lupus. Determining the cause of interferon-alpha production and understanding its implications for disease are our challenges.”

Says Dr. Ivashkiv, “Dr. Crow’s basic science work carriesthe potential for a major breakthrough in the treatment of lupus – the first in 30 or 40 years.” The therapies thattarget these interferons have just begun to be tested inearly Phase 1 clinical trials.

24

s a teacher of 44 second-graders, Nancy Daileyspends a lot of time on her feet. So when a sharp

pain radiating down her leg suddenly came on last summer, she had reason for concern. Her rheumatolo-gist Michael D. Lockshin, MD, Director of the BarbaraVolcker Center for Women and Rheumatic Disease, recom-mended she see a spine specialist, and Mrs. Dailey came to see Andrew Sama, MD. Dr. Sama identified a cyst on her spine that was impinging a nerve at the fourth andfifth lumbar vertebrae. She managed the pain for severalmonths with epidural injections, but by January it wasexcruciating and Dr. Sama recommended surgery.

“Mrs. Dailey had instability in one level of her spine andsevere degeneration of the discs at the bottom two levels,”explains Dr. Sama. “As a result, she kept forming cysts that would push on the nerves causing her great pain. We needed to take the pressure off the nerves and thenstabilize the spine to allow the bones to heal.”

The complex, six-hour surgery would require stabilizationwith specially designed instrumentation. The Hospital’steam of engineers and surgeons had recently developed acomprehensive spinal fusion system that will eventually be able to address virtually any issue, from the skull to thesacrum. The new instrumentation would prove ideal forMrs. Dailey’s condition.

The array of elements required in the development of theinstrumentation system was staggering – some 50 pieces,including multiple screws color-coded according to theirdiameter, a tap sized for every screw, various rod configu-rations with slightly different curvatures to match the particular location in the spine, as well as pedicle diametermeasurement tools to ensure the precision needed whenoperating close to the spinal cord.

The need for the new instrumentation system was identified by Dr. Sama and Federico P. Girardi, MD, who

Advanced solutions for SPINALsurgery

A

25

A key member of the

spinal instrumentation

development team,

Joseph Lipman illustrates

the application of spe-

cially designed screws

and rods for the lumbar

spine that allows

orthopedic surgeons to

stabilize each individual

vertebrae. The screws

are connected in each

pedicle above and

below the degenerative

disc, while the rods

go between the screws

to provide a stable

construct.

26

are participating in its development and are now using the lumbar component, which was the first phase to becompleted. “The next phase is to expand the system inboth directions, beginning with components for the sacrumand then moving up through the thoracic spine and into the neck and skull,” says Joseph Lipman, MS, Director ofDevice Development, Department of Applied Biomechanicsin Orthopedic Surgery.

“This is strictly a posterior system,” continues Mr. Lipman.“While there are systems on the market that treat just thelumbar spine or cervical spine, none existed that could beused from top to bottom. We have already mapped out theentire system on paper, and now we just have to translatethat paper into parts. The intent is that every componentwill fit together easily and simplify surgery.”

According to the development team, there were many subtle design issues to consider. For example, they had to make sure that the screws wouldn’t breach the pediclewall that protects the spinal cord. It was extremely important that the implant instrument interface wouldhold the screws securely. The team also worked closelywith the medical device company Ortho DevelopmentCorporation to make sure the components could be manu-factured economically.

“We partnered with Ortho Development to develop aninstrumentation system that is very user friendly and applicable to the full length of the spine to bridge thoseareas that are particularly difficult to address due to theirlocation,” says Dr. Girardi. “Going from the neck into the thoracic spine, from the thoracic spine into the lumbarspine, and so on, poses surgical challenges.”

Dr. Girardi adds that the bone has to be reasonably healthyin order to maintain fixation of the screw. However, forpatients who may have some bone issues,” he notes, “weare exploring ways to improve fixation.”

In Mrs. Dailey’s surgery, Dr. Sama used six screws and two rods that could be cut to size to fuse her lower spine.“Because it’s a modular system it can be customized toeach patient,” says Dr. Sama. “And we wanted to develop asystem that would give us greater control and flexibility inthe operating room. I think we’ve done that very nicely.”

Dr. Marcelo Molina,

Dr. Federico Girardi,

and Dr. Andrew Sama

operate on Nancy Dailey

using the new spinal

instrumentation system

designed by Special

Surgery and Ortho

Development engineers

and surgeons. The

implant is made of tita-

nium alloy and pure

titanium – a material

with malleable qualities

making it easy to contour

to a particular shape.

Radiology images of

Mrs. Dailey's spine

before her surgery (left)

and post-operatively

with the new lumbar

instrumentation system

in place that was used

to fuse her lower spine.

28

29

2006 Annual Report

Opposite page:

Nancy Dailey is well on

her way to recovery just

three weeks following

major spine surgery.

Leadership Report 30

Caring for Children in the 21st Century 38

Financial Report 40

Professional Staff, Management, and Volunteers 43

Contributing Friends 49

Officers and Board Members 60

A Lifetime of Philanthropy Endures 61

30

Each year, thousands of patientscome to Hospital for SpecialSurgery confident that our

physicians and health care profession-als will restore their mobility andimprove the quality of their lives. In2006, we made great strides in severalareas central to our mission to meetour patients’ needs by providing thefinest musculoskeletal care in theworld. Major accomplishments includ-ed the opening of state-of-the-artfacilities, new clinical initiatives, continued growth in our researchendeavors, and the recruitment andappointment of outstanding leader-ship and personnel in clinical, scien-tific, and administrative roles.

Recognizing ExcellenceIn 2006, Hospital for Special Surgeryearned national recognition on a num-ber of fronts, reflecting what we con-sider our greatest accomplishment –the extraordinary care that we provide to our patients every day.

In 2006, the Hospital was rankedsecond in the nation in orthopedicsand third in rheumatology byU.S.News & World Report in its“America’s Best Hospitals” survey. It is the only New York metropolitanarea hospital ranked in the top tennationwide in orthopedics. For the16th consecutive year, the Hospitalhas ranked above all other hospitalsin the Northeast in orthopedics andrheumatology. With more than 5,000hospitals evaluated nationwide, rank-ings are based on reputation, quality

measures, nursing care, patient vol-umes, and mortality rates, as well asthe availability of technology services.

In addition, in New York magazine’sinaugural issue of “The Best Hospitals,”Hospital for Special Surgery rankedfirst in knee surgery, back surgery,and hip replacement. In addition, theHospital ranked among the top tenhospitals overall in the tri-state area.Thirty-five of the Hospital’s physicianswere acknowledged in the magazine’s“Best Doctors” issue. Chosen by theirpeers, these physicians are among the top two percent of doctors in theNew York area.

Hospital for Special Surgery’sDepartment of Nursing, committed topatient-centered care that exceedsnational nursing standards, earnedMagnet redesignation by theAmerican Nurses CredentialingCenter (ANCC) in 2006. Acceptedthroughout health care as the goldstandard for nursing, Magnet statusrecognizes health care institutionsthat exemplify excellence in nursing.Our high nurse recruitment andretention rates, job satisfaction, andnurse-to-patient ratios all contributedto this prestigious honor, making theHospital the first in New York Cityand in New York State to be twicedesignated for nursing excellence bythe ANCC. Hospital for SpecialSurgery was first named a Magnethospital in 2002, the first hospital inManhattan to earn this designation.

Promoting Patient-Centered CareHospital for Special Surgery contin-ues to raise the bar in the develop-ment of people, programs, andprocesses to further advance an

Leading the future of

Hospital for Special Surgery

are clockwise from top left:

Dean R. O’Hare and Aldo

Papone, Co-Chairs, Board of

Trustees; Thomas P. Sculco,

MD, Surgeon-in-Chief and

Medical Director; Steven R.

Goldring, MD, Chief Scientific

Officer; Stephen A. Paget,

MD, Physician-in-Chief; and

Louis A. Shapiro, President

and CEO.

2006 Leadership Report

environment of quality, patient safety, and service excellence. In 2006, theseefforts included:

Ambulatory CareThe Hospital has redesigned itsambulatory care program for orthope-dic clinic patients to further enhancethe delivery of both surgical and non-surgical services. Patient care will beoverseen by an orthopedic surgeonrecruited specifically for this programand provided by our outstanding teamof attending orthopedic faculty, aswell as residents and fellows. Theircare will be coordinated with a teamof medical physicians and health careprofessionals. At Hospital for SpecialSurgery, we are committed to provid-ing one level of care to all patientswho come to our Hospital, and thisnew clinic reorganization ensures thatthis will happen.

Hospitalist ProgramHospital for Special Surgery’s inpa-tients are benefiting from an expand-ed hospitalist program, whichprovides physicians whose primaryfocus is the general medical care ofhospitalized patients. Initiated twoyears ago, our hospitalist program hasproven so successful that by July wewill have five full-time hospitalistswho closely monitor and care for anypatient admitted to the Hospital, par-ticularly during nights and weekends.

32

Center for Musculoskeletal Ultrasound In May 2006, the Hospital opened theCenter for Musculoskeletal Ultrasound.The Center uses state-of-the-artimaging techniques to diagnose andtreat orthopedic and rheumatologyconditions. It serves as an educationalresource for medical professionalsand as a research venue for furtherstudy and development of newapproaches that will continue toshape the direction of ultrasound as itrelates to musculoskeletal diagnosisand treatment.

PACS – Picture Archiving andCommunication SystemIn 2006, the first group of Hospitalphysicians began using PACS withgreat results. This filmless systemenables our physicians to view MRI,

CT, ultrasound, and other radiologyimages instantaneously on computersin their own offices.

Leon Root, MD, Motion Analysis LaboratoryThis uniquely designed laboratoryanalyzes movement and muscle pat-terns for clinical and research purpos-es. One of the largest of its kind inthe country, the Root Motion AnalysisLaboratory performs comprehensiveevaluations to determine gait charac-teristics, functional ability, musclestrength, and energy efficiency inindividuals of all ages.

Institute for HealthcareImprovement InitiativeHospital for Special Surgery contin-ues to maintain a very low incidenceof infections. In 2006, the Hospitalhad an overall surgical site infectionrate of 0.29 percent.

Welcome to New Physicians

Teena Shetty, MDNeurology

Friedrich Boettner, MDOrthopedic Surgery

Alejandro Leali, MDOrthopedic Surgery

Li Foong Foo, MDRadiology

Stephanie L. Perlman,MD, Pediatrics

Yon K. Sung, MDRheumatology/

Medicine

Lisa C. Vasanth, MDRheumatology/

Medicine

Wesley Holloman, MDRheumatology/

Medicine

Mary J. Kollakuzhiyil, MDRheumatology/

Medicine

Sonal S. Parr, MDRheumatology/

Medicine

Matthew Fred, MDRheumatology/

Medicine

Suchitra S. Acharya, MDPediatrics

Evette Weil, MDRheumatology/

Medicine

The Hospital continues to makepatient safety its top priority. Inaccordance with our goal of zero tolerance for adverse events, theHospital participated in the Institutefor Healthcare Improvement’s (IHI)100,000 Lives Campaign – a nationalprogram for reducing overall morbidi-ty and mortality in American healthcare. Adopting IHI’s recommendationsfor reducing surgical-related infec-tions, the Hospital – already a leaderin preventing such infections – wasamong the top 10 percent of healthcare institutions nationally that reli-ably administered the correct antibi-otic at the proper time to preventpostoperative infection. In addition,the Hospital undertook several new

Hospital for Special Surgery continues to

recruit outstanding physicians who enable us

to remain a leader in our fields and serve

the increasing number of patients who seek

out our care for musculoskeletal conditions.

33

performance improvement processesto track and communicate patients’medication administration before,during, and after their stay.

Wellness ProgramsTo enable patients to continue tofacilitate their recovery, maximizetheir mobility, and enhance well-beingafter therapy has been completed, theDepartment of Rehabilitation Serviceshas incorporated wellness programsin their continuum of care. These programs, including group exerciseclasses and workshops, targetpatients with specific diagnoses, suchas lower extremity and spine condi-tions. Additionally, programs offeredthrough the Integrative Care Centerhave grown tremendously, with classes in tai chi, yoga, pilates, andosteo fitness. The Hospital’sOsteoporosis Prevention Center hasrelocated to the Integrative CareCenter, complementing the breadth of their wellness offerings.

Introducing New Facilities Fall 2006 heralded the completion ofthe first phase of the Hospital’s majorbuilding project, adding 85,000 squarefeet of new space and 100,000 squarefeet of re-engineered and redesignedspace. A new Ambulatory SurgeryCenter was built on the ninth floor,

with eight ambulatory surgical suites,comfortable pre-surgical and recoveryareas, and a spacious family area forregistration, information, and waiting.Two operating rooms for hand, foot,and ankle surgery remain open on thefirst floor. In addition, a new 8,000-square-foot, state-of-the-art CentralSterile Supply facility was construct-ed, including dedicated elevator service to the operating rooms withone elevator exclusively used for sterile linens and equipment, further-ing the Hospital’s rigorous infectiouscontrol efforts.

The eighth floor added 30 newinpatient beds in both semi-privateand private rooms. The décor, light-ing, and magnificent views of the EastRiver provide a soothing environmentin which patients can convalesce.

Plans call for an increase in thenumber of inpatient operating roomsfrom 15 to 21 on the fourth floor by2010, as well as the addition of twomagnetic resonance imaging machines

in 2007, bringing the Hospital’s number of MRIs to seven and makingit the nation’s largest academic MRimaging center dedicated to muscu-loskeletal medicine.

The Hospital has now embarked onthe next phase of its major buildingprogram. Plans include the construc-tion of a new children’s pavilion in theexisting Hospital, along with two newinpatient units. A new building will beconstructed that will house two of thelargest services at Special Surgery –the Arthroplasty Service and theSports Medicine and Shoulder Service.This expansion will make possible thegrowth of other specialty services, inparticular, our spine program.

The Arthroplasty Center will serveas the hub of Special Surgery’s jointreplacement expertise and containphysicians’ offices, examinationrooms, and on-site radiology services.The Sports Medicine and ShoulderService will contain a state-of-the-artSports Rehabilitation and PerformanceCenter with areas for performancetesting and analysis, using various terrains to replicate performanceenvironments.

Advancing ResearchIn 2006, the Hospital moved forwardwith an ambitious plan to better integrate its basic, translational, andclinical research efforts. The objectiveis to create a platform for insuring the translation of clinical and basicscience to patient care. The programmore closely aligns research and clinical priorities and activities andprovides an optimal environment foreducation and training.

Above: Each of the new

inpatient rooms on the

Hospital’s eighth floor afford

restful views of the East River.

Left: The new Ambulatory

Surgery Center on the ninth

floor includes a spacious

nursing station.

34

Over the years, funding forHospital research from the NationalInstitutes of Health (NIH) has steadi-ly increased. In 2006, a number ofmajor NIH grants were awarded toour scientists, including:

Adele Boskey, PhD – a five-year, $2.8 million grant from the NationalInstitute of Dental and CraniofacialResearch (NIDCR) to continue tostudy the mechanism of bone andhard tissue mineralization, and threegrants from the National Institute ofArthritis and Musculoskeletal andSkin Diseases (NIAMSD); a four-year,$1.5 million grant to study biologicalcalcification in vitro; a five-year,$3.5 million core grant to establish aMusculoskeletal Repair andRegeneration Core Center for investi-gations in this field; and a four-year,$2.2 million grant to study the FT-IRmicroscopy of mineral structure inosteoporosis

Mary Goldring, PhD – a five-year,$1.7 million award from NIAMSD tostudy the role of DDR2 in OA-likepathogenesis in osteochondrodys-plasias (Dr. Goldring recently joinedthe Hospital from Harvard MedicalSchool, bringing this award with her.)

Lionel Ivashkiv, MD – a five-year, $2.1 million grant from the NationalInstitute of Allergy and InfectiousDiseases (NIAID) to study interferonregulation in systemic lupus

Theresa Lu, MD, PhD – a five-year,$1.9 million from NIAID to study lymphoid tissue microvessel growth

Eric Meffre, PhD – a five-year, $2.2 million grant from NIAID tostudy the loss of B cell tolerance inrheumatoid arthritis

Inez Rogatsky, PhD – a five-year, $1.6 million grant from NIAID tostudy the mechanisms of immunosup-pressive actions of glucocorticoids

Jane Salmon, MD – a five-year, $1.9 million award from NIAMSD tostudy the mechanism of aPL antibody induced pregnancy loss

Louis A. Shapiro, President and Chief Executive Officer

In October,

2006 Louis A.

Shapiro joined

Hospital for

Special

Surgery as

President and

Chief Executive Officer. Mr. Shapiro

will guide the exceptional growth

and change the Hospital is undergo-

ing in this new century.

Mr. Shapiro came to the Hospital

from Geisinger Health System – a

highly respected health care system

serving 2.5 million people in north-

eastern and central Pennsylvania.

While there, he served as Executive

Vice President and Clinical

Enterprise Chief Operating Officer,

contributing to the System’s signifi-

cant clinical and academic growth

and development.

A graduate of the University of

Pittsburgh’s College of Arts and

Sciences, Mr. Shapiro earned a mas-

ter’s degree in Health Administration

from the University of Pittsburgh’s

Graduate School of Public Health.

He is a Fellow in the American

College of Healthcare Executives.

Of particular note, two of ourorthopedic surgeons – Jo A. Hannafin,

MD, PhD, and Scott A. Rodeo, MD –have reached a milestone in their bio-medical careers with the awarding oftheir first R01 grants from the NIH inthe area of anterior cruciate ligamentrepair. These awards recognize notonly their record of scientific achieve-ment, but also the importance of theresearch of the Hospital’s clinician-scientists to the field of orthopedicsurgery. Dr. Hannafin’s three-year,$1.1 million award supports her workto explore the effect of mechanicalstimuli on the structure and functionof the anterior cruciate ligament inorder to facilitate ACL repair, includ-ing tissue engineering approaches.The long-term objective of Dr. Rodeo’sfour-year, $1.4 million award is toinvestigate the cellular and molecularevents that control healing at the ten-don-to-bone attachment site and tounderstand the effect of mechanicalload on inflammation and healing atthis site.

In addition, a five-year, multimillion-dollar grant was received from theAgency for Healthcare Research and Quality to establish a Center forEducation and Research onTherapeutics (CERT), with a focus on therapeutic medical devices. Thestudy is a collaborative effort betweenthe Arthroplasty Service at Hospitalfor Special Surgery and clinicalresearchers both at Special Surgeryand Weill Cornell Medical College. TheCERT grant supports research toevaluate the uses and success of pros-thetic orthopedic devices. A compre-hensive prospective Total JointReplacement Registry is being devel-oped to collect data to address

35

questions regarding outcomes, varia-tions, and economic impacts of totaljoint surgeries. This is the first exter-nal major funding of this magnitudefor clinical research at Hospital forSpecial Surgery and a landmarkaccomplishment.

Pursuing AcademicAchievementIn August 2006, the Division ofEducation – which oversees academictraining; professional education;research education and training; andpatient and public education – hostedits first annual retreat to review anddiscuss strategic plans and developeducation standards of excellence incommunication, accountability, andprofessionalism.

In March 2006, the Hospital’sResidency Selection Committee inter-viewed 55 of 435 applicants for itshighly competitive and sought-afterorthopedic surgery residency pro-gram. Once again, all eight positionswere filled with outstanding candi-dates coming from the prestigiousuniversity medical schools ofColumbia, Cornell, Harvard, JohnsHopkins, University of Pennsylvania,Vanderbilt, University of Wisconsin,and Yale. In June 2006, seven resi-dents and 47 fellows graduated fromthe Hospital’s rheumatology andorthopedic educational programs. AnACGME site visit of the adult recon-struction fellowship conducted inApril resulted in approval to perma-nently increase the complement offellows from four to six and continuedaccreditation for five years. Our annu-al Department of Health unan-nounced site visit for monitoring ofresident work hours and supervisionresulted, once again, in full compli-ance with State regulations.

The Division has established a rela-tionship with the accrediting agencyin Italy to help provide CME courses,and through our International VisitorsProgram hosted 30 Italian orthopedicsurgeons for a two-day comprehen-sive conference on best practices inknee replacement. In addition, theHospital has formed an affiliation withClinica Alemana in Santiago, Chile foreducational and clinical collaborationand exchange. The orthopedic serviceat the Clinica is one of the largest andmost prestigious in South America.

The fourth edition of the HSSJournal – the only multidisciplinarymusculoskeletal peer-reviewed jour-nal in the world – was published anddistributed to 15,000 medical profes-sionals worldwide. The fifth edition ofthe Journal has been broadened toinclude articles by faculty from otherinstitutions.

Patient, public, and professionaleducation programs continued toflourish in 2006, reaching more than4,000 participants. The GreenbergAcademy for Successful Aging, a collaboration of Hospital for SpecialSurgery and NewYork-Presbyterian/Weill Cornell, held 30 programsreaching nearly 800 individuals.

Caring for the BestThe Hospital’s physicians and athletictrainers manage the care of numerousmajor professional sports teams andorganizations, including the New YorkMets, New York Giants, New YorkKnicks, New York Liberty basketballteam, the Association of TennisProfessionals, and the U.S. RowingTeam. Joining this impressive rosterare the New York Red Bulls soccerteam and the New Jersey Nets basket-ball team. With its new partnership,the Red Bulls has officially namedRiley J. Williams III, MD, as its teamphysician and David S. Levine, MD,and Bryan T. Kelly, MD, as associate

team physicians. David W. Altchek,MD, and Dr. Williams were namedteam physicians for the Nets.

Celebrating Our SuccessesAt the core of Hospital for SpecialSurgery is a committed staff dedicatedto their work and who aspire to greatachievements in musculoskeletal med-icine. Among those recognized fortheir accomplishments in 2006 were:

David W. Altchek, MD and Scott A.

Rodeo, MD – named Co-chiefs of theHospital’s Sports Medicine Service,succeeding Thomas L. Wickiewicz,MD, who served as Chief for morethan a decade

Oheneba Boachie-Adjei, MD – honoredby the Scoliosis Research Society withthe Blount Award for dedication to the advancement of knowledge in thefield of scoliosis and in recognition ofunique talents in this area

Stephen W. Burke, MD – retired fromorthopedic practice after two decadeswith the Hospital, having served asChief of the Pediatric OrthopedicService for seven years

John Cavanaugh, PT/ATC – served asHead Athletic Trainer for the USANational Swimming Team at theWorld Short Course SwimmingChampionships in Shanghai, China

Charles N. Cornell, MD – namedClinical Director of OrthopedicSurgery at the Hospital

Edward V. Craig, MD – named Director of the Hospital’s OrthopedicResidency Program

Steven B. Haas, MD – named Chief ofthe Knee Service at the Hospital, succeeding Russell E. Windsor, MD,who led the service for 15 years

36

Janet J. James – received the 2006Wholeness of Life Award for her out-standing contributions as a nursingtechnician in ambulatory rheumatol-ogy services

Lawrence J. Kagen, MD – retired after36 years of service to the Hospital,having served as Medical Director ofOccupational Health Services andMedical Director of the Laboratory ofClinical Immunology

Richard S. Laskin, MD – honored witha named Chair in Orthopedic MedicalEducation in recognition of histremendous contributions to orthope-dic education. Support for the HSSJournal, for which Dr. Laskin servesas Editor-in-Chief, will also be gener-ated from this Chair.

Eileen McCullagh, RN, ONC, CCRC –elected President of the OrthopedicNurses of New York

Douglas E. Padgett, MD – namedChief of the Hospital’s Hip Service,succeeding Paul M. Pellicci, MD, who served as Chief for 15 years

Helene Pavlov, MD – recognizedamong the most influential people in radiology in 2006 by RT Imagemagazine

Niles Perlas, RN – honored with thePresidential Filipino Award for herservice to the indigent people of thePhilippines

Eduardo A. Salvati, MD – named recipient of the Lifetime AchievementAward for Orthopedic Surgery by theArthritis Foundation. Dr. Salvati, who is Emeritus Director of the Hip and Knee Service, will be honoredat the Hospital’s 2007 annual gala witha second Lifetime Achievement Award.Additionally, a Chair in Hip Arthroplastyhas been created to recognize thecountless contributions Dr. Salvati hasmade to hip surgery and research.

Eduardo A. Salvati, MD, Nigel

Sharrock, MB ChB, Geoffrey Westrich,

MD, Hollis Potter, MD, Alejandro

Gonzalez Della Valle, MD and Thomas

P. Sculco, MD – received the prestigiousNicolas Andry Award of the Associationof Bone and Joint Surgeons for theirstudy entitled “Three Decades ofClinical, Basic, and Applied Researchon Thromboembolic Disease after Total Hip Arthroplasty”

Peter A. Torzilli, PhD – awarded the2006 Herbert R. Lissner Medal fromthe American Society of MechanicalEngineers

Marjolein van der Meulen, PhD –featured as one of the world’s leadingwomen in engineering in ChangingOur World: True Stories of Women Engineers, released by theExtraordinary Women EngineersProject

Scott W. Wolfe, MD – named Directorof Faculty Development for theHospital’s Department of OrthopedicSurgery

Aviva L. Wolff, OTR/LCHT – elected an affiliate director of the AmericanAssociation for Hand Surgery

Department of Rehabilitation Services –celebrated the publication of its textbook entitled PostsurgicalRehabilitation Guidelines for theOrthopedic Clinician – the only oneof its kind, and featuring 25 years ofcollective knowledge on the spectrumof postsurgical rehabilitation as itrelates to musculoskeletal disease

Supporting Special SurgeryHospital for Special Surgery is grate-ful for its many close friends andlong-time supporters who provide theresources that enable us to sustainand advance outstanding patient care,

Steven R. Goldring, MD Chief Scientific Officer

Steven R.Goldring, MD,an interna-tionally recog-nized expertin orthopedicand rheuma-

tology research and care, hasbeen named Chief ScientificOfficer at Hospital for SpecialSurgery. Dr. Goldring heads theHospital’s basic and clinicalresearch faculty and will shapethe overall direction of clinicaland basic research at HSS.

Dr. Goldring joined theHospital from Harvard MedicalSchool, where he was Chief ofRheumatology at Beth Israel

Deaconess Medical Center andNew England Baptist Hospital,Boston. In addition, he served asProfessor of Medicine at HarvardMedical School and was Directorof Research at New EnglandBaptist Bone and Joint Instituteat Harvard Institutes of Medicine.

Dr. Goldring received a BAfrom Williams College in 1965,and earned his MD at WashingtonUniversity School of Medicine in1969. He served his residency inmedicine at Peter Bent BrighamHospital, Boston, and completeda clinical and research fellowshipin the Arthritis Division atMassachusetts General Hospital,Boston, in 1976.

37

education, research, and communityservice programs. In 2006, philan-thropic giving surpassed $34 million.As of April 3, 2007, the Hospital’s cap-ital campaign has raised more than$47.5 million.

In June 2006, 925 friends of theHospital gathered at Pier Sixty,Chelsea Piers for the 23rd annualtribute dinner. The event honoredRussell F. Warren, MD, Surgeon-in-Chief Emeritus, and Roland Betts,Founder and Chairman of ChelseaPiers Management, raising $2.1 mil-lion – the highest level of support inthe event’s history. New York CityMayor Michael R. Bloomberg made aspecial appearance to present the2006 Tribute Award to Mr. Betts inrecognition of his professional andpersonal contributions to New YorkCity. Dr. Warren received the 2006Lifetime Achievement Award in trib-ute to his leadership and exceptional29-year commitment to SpecialSurgery. The dinner was co-chairedby Tom A. Bernstein, President,Chelsea Piers Management; JeffBewkes, President and COO of TimeWarner; Steve Schwarzman, head of The Blackstone Group, and William Salomon, trustee. Mrs. EmilMosbacher, Jr., trustee, served asDinner Committee Chair.

On November 10, 2006, the Hospitalheld its annual gala dinner, “A Night atthe Opera,” to benefit medical educa-tion. More than 300 guests enjoyed the New York City Opera’s productionof The Elixir of Love, while helping to raise $278,000. Cynthia P. Sculcoserved as Chairperson of the BenefitCommittee.

The Hospital’s Junior Committeecompleted its first year, raising morethan $35,000, including $25,000brought in through the Committee’sthree benefits – Jazz Age, a Fresh AirHome Reunion, and its second annualcomedy event Funny Bones. Thefunds support Special Surgery’sPediatric Outreach Program.

Moving Forward TogetherHospital for Special Surgery is fortunate to have the best doctors inthe world, a family of employees whoare passionate about what they do, aBoard of Trustees committed to furthering our mission, and countlessvolunteers and friends who supportour efforts to improve the lives of our patients. A newly establishedBoard of Advisors joins theInternational Council as ambassadorsfor the Hospital.

Last year, the Hospital’s Board of Trustees welcomed Charles P.Coleman III, and Monica Keany. Mr. Coleman is the founder of TigerGlobal Management, LLC. Previously,he was a partner at Tiger Management,LLC, in the firm’s technology group.Ms. Keany is a managing director inthe Fixed Income Division at MorganStanley. Before attending HarvardUniversity for her MBA, she workedas Special Assistant to the FirstDeputy Mayor of New York.

We would also like to take thisopportunity to extend our gratitudeto John R. Reynolds, who steppeddown as President and CEO in thefall. Mr. Reynold’s commitment to theHospital over the last two decadeshas been extraordinary. During histenure, the fiscal health of theHospital was strengthened and thescope of our services for muscu-loskeletal disease greatly enhanced.

Much has been accomplished inthe last year. Going forward, ouropportunities as a world leader inmusculoskeletal care are virtually lim-itless. Our highest priority has beenand always will be to care for ourpatients and provide them with themobility to enjoy a better quality oflife. Working together, we will contin-ue to make a difference for each andevery patient who comes to us formusculoskeletal care.

Dean R. O’HareCo-Chair

Aldo PaponeCo-Chair

Louis A. ShapiroPresident and CEO

Thomas P. Sculco, MDSurgeon-in-Chief and Medical Director

Stephen A. Paget, MDPhysician-in-Chief

Steven R. Goldring, MDChief Scientific Officer

38

Since its founding in 1863,Hospital for Special Surgery hasbeen dedicated to the care of

infants, children, and adolescentswith disabilities. Over the years, theHospital’s expertise in pediatric orthopedics and pediatric rheumatol-ogy has grown steadily, and our physicians and health professionalsare recognized worldwide for theircontributions to the diagnosis andtreatment of such complex conditionsas cerebral palsy, limb length discrep-ancies, club foot, spina bifida, skeletaldysplasia, juvenile arthritis, and pediatric lupus.

As the Hospital’s reputation hasgrown, so has the number of parentsand caregivers who bring their chil-dren to us for care. Today, with nearly13,000 pediatric patient visits a year,the time has come to create a dedi-cated Children’s Pavilion that willbring together all of our pediatric pro-grams in a beautiful and child-friendlyenvironment.

“Our goal is to meld the technolog-ical advances of a state-of-the-art specialty hospital with all the person-al and caring attributes of a children’shospital,” says Roger F. Widmann,MD, Chief of Pediatrics, who is spear-heading its development. “This newfacility will bring together all therelated pediatric disciplines on onefloor to facilitate interaction amongthe staff and provide patients andfamilies with coordinated family-centered care.”

An anonymous donor has con-tributed a lead gift of $15 milliontoward the development of the pavil-ion, which is scheduled for comple-tion in 2009. The Children’s Pavilion

will span the fifth floor and be sup-ported by an increased depth andrange of pediatric staffing and servicesand an endowment to perpetuate the pavilion and its quality care,important to so many families. The34,000-square-foot facility will housean expanded program for outpatients,a state-of-the-art rehabilitation com-plex for children with mobility chal-lenges and developmental delays, anda spacious inpatient unit with single-bedded rooms for privacy, enablingparents to stay overnight comfortablywith their children. As soon as childrenenter the Pavilion – with its cheerfulplayroom, and colorful and intriguingsights – they will know they are in awing just for them.

Caring forChildren in the21st Century

Dr. Roger Widmann (left)

and Dr. David Scher, along

with their colleagues

Walther H.O. Bohne, MD;

Daniel W. Green, MD;

Cathleen L. Raggio, MD; and

Leon Root, MD, have

personally supported the

building of a new Children’s

Pavilion at Hospital for

Special Surgery.

39

A physician who has dedicated hislife’s work to the musculoskeletal careof children, David M. Scher, MD, isplaying a key role in the developmentof the new pavilion. Says Dr. Scher,“We treat the wide spectrum of ortho-pedic conditions in children of allages and from all socioeconomic strata. The image and feeling that wewant to portray is that when ouryoung patients come here, they knowit’s a special place specificallydesigned for them.”

Ruth and Gilbert Scharf and Matt and Mariko LeBaron know wellthe level of expertise that Hospital for Special Surgery’s pediatric serviceprovides.

The Scharf’s son Ben suffered afracture of his femur at the growthplate when he was 8 years old. At age11, he came to see Dr. Widmann,beginning a nearly year-long treat-ment process to address complica-tions resulting from the earlierfracture, including complex surgeriesand a leg lengthening procedure tocorrect a 20-degree growth deformity.Ben will still need another procedureto complete his treatment, but in the meantime, he has returned to afull level of activity, playing tennis, basketball, and even snowboarding.

“I’m a big believer in giving back,”says Mr. Scharf, who with his wife, isgenerously supporting the Children’sPavilion. “Everyone worked as a well-coordinated team. Ben receivedsuperlative care, and we wanted toshow our gratitude.”

The LeBarons knew that theirdaughter Emma would be born withbilateral club feet. They met with Dr. Widmann before her birth, andEmma had her first appointment with

him when she was two days old. Overthe next three years, she underwent aseries of casting, a surgical proce-dure, and bracing to keep her feetpositioned properly. Now, nearly fouryears old, she has completed treat-ment and is participating in all theusual activities of children.

“Emma got absolutely first classmedical care at Hospital for SpecialSurgery, and we are thankful forthat,” says Mr. LeBaron. “We wanted

to do what we could to help othershave just as good an experience orbetter in the new Children’s Pavilion.”

Hospital trustee Susan Rose, alongtime friend and patient of SpecialSurgery, is one of the most ardentsupporters of the Children’s Pavilion.“Whenever I see a child with a disabilityI think about what it does to a momand a dad, how it alters a sibling rela-tionship, and most of all, the struggleof that child trying to conquer it,”says Mrs. Rose. “I am so happy thatwe are expanding our facilitiesbecause we’ve got the top doctorswho can help the children most inneed stand straight and walk well. I have utmost respect for every one of the doctors I’ve met – to me theyare just giants.”

Emma LeBaron and

Ben Scharf can enjoy their

childhood thanks to the care

they received at Hospital

for Special Surgery.

The demand for Hospital for Special Surgery’s unique andspecialized inpatient and outpatient services has grown ata rapid pace over the past few years and it is anticipatedthat this trend will continue. This is largely due to thequality of patient care provided by the Hospital to patientswith musculoskeletal disorders and the increased awarenessthereof. Furthermore, the aging of the population in general,as well as the growing population of people over 50 yearsof age who desire to lead a pain-free and active lifestyle,are favorable demographic trends for the growth of ortho-pedics and rheumatology. Patients come to the Hospitalfrom all over the New York metropolitan area, as well asnationally and internationally.

In order to continue to accommodate the demand forthe Hospital’s services while also maintaining and enhanc-ing the quality of patient care, we embarked on a majorfacility expansion and renovation project during 2005. Theproject incorporates additional operating rooms, inpatientbeds, doctor offices, expanded space for ancillary and support functions, as well as a children’s pavilion to servethe unique needs of our pediatric patient population. The first phase of this project was completed at the end of 2006 and included 60,000 additional square feet. Thesecond phase of construction immediately followed andwill continue through 2010. Included in this phase is morethan 150,000 square feet of new space and renovation of existing space. The total cost of the project will be inexcess of $230 million and will be financed by outside borrowings and a capital fundraising campaign.

The Hospital’s Research Division is internationally recognized as a leader in the study of the diagnosis andtreatment of musculoskeletal disorders. Our commitmentto both basic and clinical research is a component of theoverall Hospital mission and is critical to Special Surgerymaintaining and enhancing its status as a premier institutionin orthopedics and rheumatology. The close relationshipbetween our clinical and basic researchers enables a rapidapplication of scientific discovery to the patient care setting. During 2006, $29.7 million was dedicated to awide variety of research initiatives and programs. Theongoing recruitment and retention of gifted scientists

and clinicians will enable the Hospital to continue toexpand the scope of its research activities and maintain its leadership position in its fields. In addition to research,Special Surgery has continued to make significant invest-ments in other programs critical to its mission, includinginformation technology, patient care enhancements, andmedical education.

Our consistently strong financial results and successfulfundraising campaigns have provided the Hospital with the resources to make significant investments in personneland capital infrastructure in an environment that posesnumerous financial challenges. These challenges includecomplex and costly regulatory requirements, labor shortagesin nursing and other critical staff categories, and expenseinflation in excess of revenue inflation.

Hospital for Special Surgery is committed to investingthe resources necessary to advance its ability to providethe highest quality musculoskeletal care, to train toporthopedic surgeons, rheumatologists, physiatrists, andother related specialists, and to conduct pacesettingresearch. In addition, we continue to make extraordinaryprogress in the development and implementation of technology that will enhance our ability to deliver care in a safe and efficient manner, while at the same timeupgrading the Hospital’s infrastructure to support eachaspect of our mission. As a fiscally sound organization, the Hospital will continue to manage and grow its financialresources in order to meet the increasing need for muscu-loskeletal services and provide care for all patients whoseek our expertise.

Stacey L. Malakoff Executive Vice President and Chief Financial Officer

40

Finance Report

41

Financial Information(1)(2)

Hospital for Special Surgery and Affiliated Companies

Statement of Income(3)

Year Ended,

(In Thousands) 2006 2005(4)

Hospital for Special Surgery

Total Revenue(5) $424,369 $403,294Total Expenses(6) 420,081 392,707

Operating Income from Hospital for Special Surgery $ 4,288 $ 10,587

Affiliated Companies

Total Revenue(6) $ 44,197 $ 39,930Total Expenses(5) 44,715 40,017

Operating (Loss)/Income from Affiliated Companies $ (518) $ (87)

Operating Income $ 3,770 $ 10,500

Statement of Financial PositionDecember 31,

(In Thousands) 2006 2005

Assets

Current Assets (Excluding Investments) $ 96,262 $103,672Investments(7)

Current 152,238 121,585Long Term 56,589 51,851Assets Limited as to Use 36,724 42,890

Property, Plant and Equipment – Net 302,930 262,410Other Non-Current Assets 40,962 33,930

Total Assets $685,705 $616,338

Liabilities and Net Assets

Current Liabilities $129,777 $117,673Long Term Debt 191,715 167,260Other Non-Current Liabilities 13,936 14,555

Total Liabilities 335,428 299,488

Net Assets 350,277 316,850

Total Liabilities and Net Assets $685,705 $616,338

(1) Includes activities relating to Hospital for Special Surgery and its affiliates (Hospital for Special Surgery Fund, Inc., HSS Properties Corporation, HSS Horizons, Inc., HSS Ventures, Inc., and Medical Indemnity Assurance Company, Ltd).

(2) Complete audited Financial Statements of both Hospital for Special Surgery and affiliates are available upon request from the HSS Development Department at 212.606.1196.

(3) Excludes $30.6 and $19.4 million of restricted philanthropic contributions in 2006 and 2005, respectively.(4) For purpose of comparison, certain reclassifications have been made to the 2005 column to conform with the 2006 presentation.

Such reclassifications had no effect on changes in net assets.(5) Includes $1.0 million and $0.9 million of transactions between affiliates that are eliminated in consolidation in 2006 and 2005, respectively.(6) Includes $29.3 million and $26.4 million of transactions between affiliates that are eliminated in consolidation in 2006 and 2005, respectively.(7) Hospital for Special Surgery is the beneficiary in perpetuity of income from an outside trust. The fair value of investments in the trust are not

included above and were $39.5 million and $36.3 million at December 31, 2006 and 2005, respectively.

42

Philanthropic Highlights

In 2006, Hospital for Special Surgery experienced a banner year in fundraising, with contributions totaling $34.1 million,including $27 million for Building on Success: The Campaign for the Future of HSS. This is the greatest amount everraised by Special Surgery in a single year.

The Hospital continues to draw extraordinary support from countless individual, foundation, and corporate donors.Special Surgery is also attracting an increasing number of ambassadors who assist the hospital in community outreachand achieving philanthropic goals. The Junior Committee, chaired by Matt Paget, Christian Salvati, and Sarah JaneSculco in 2006, exemplifies this new level of commitment. We are deeply grateful to all for their generosity and personaldedication, which helps to ensure our ability to provide the highest level of orthopedic and rheumatological care.

Sources of Support 2006

Foundations, $4,964,250, 15%

Corporations, $1,984,074, 6%

Bequests, $1,167,866, 3%

Individuals, $26,024,820, 76%

Fundraising in 2006

In 2006, Hospital for Special Surgeryhad a number of exciting fundraisingaccomplishments. These include:

• An anonymous pledge of $15 millionto successfully launch the develop-ment of the Children’s Pavilion, a “children’s hospital” within themain hospital

• A record-breaking $2.1 millionraised through the annual gala,expanding the breadth of unre-stricted support for Special Surgery

• Attainment of the $2 million goalfor the Russell Warren Chair inOrthopedic Research

• More than $1.2 million receivedthrough bequests and the establish-ment of six new charitable giftannuities as increasing numbers offriends and grateful patients areproviding for the hospital in theirestate plans.

Indeed, gifts from individual donorsand their estates was the major sourceof support, accounting for 76 percent oftotal philanthropic giving. Foundationsprovided 15 percent of dollars raised,while corporations and bequests acc-ounted for 6 percent and 3 percent,respectively.

Building on Success is dedicated toraising support for new clinical facili-ties and an expanded program of clinical research. Current and futurepatients are the beneficiaries of thisundertaking. This represents both thelargest capital renovation in the historyof Special Surgery, as well as the mostcomprehensive initiative aimed atstrengthening disease-based research.

To date, Building on Success hasraised nearly $48 million, bolstered byunprecedented support from Boardmembers and HSS medical staff during this quiet, “nucleus” phase.The Campaign continues to gainmomentum under the leadershipof Campaign Co-Chairs Mrs. DouglasA. Warner III and Kendrick R. WilsonIII. The medical staff campaign isbeing chaired by Surgeon-in-Chief

Thomas P. Sculco, MD, and LeonRoot, MD. In addition, Trustee ChairEmeritus Richard L. Menschel is serving as Honorary Chair, having led the Campaign for Research to its successful $115 million completion.

Building on Success: The Campaign for the Future of HSS

Medical Board

ChairmanThomas P. Sculco, MD

SecretaryThomas J. Quinn, MD

Board MembersMathias P. Bostrom, MDPeter G. Bullough, MDCharles N. Cornell, MDTheodore R. Fields, MDStephanie Goldberg,

MS, RN, CNALisa A. Goldstein, MPSMarion Hare, MPA, RNDavid L. Helfet, MDWinfield P. Jones, TrusteeRichard S. Laskin, MDGregory A. Liguori, MDGregory E. Lutz, MDConstance Margolin, Esq.Stephen A. Paget, MDHelene Pavlov, MDThomas J. Quinn, MDBernard A. Rawlins, MDLeon Root, MDThomas P. Sculco, MDLouis A. Shapiro,

President and CEOScott W. Wolfe, MD

Medical Staff

Surgeon-in-Chief and Medical Director Thomas P. Sculco, MD

Surgeons-in-Chief EmeritiRussell F. Warren, MDAndrew J. Weiland, MDPhilip D. Wilson, Jr., MD

Executive Assistant to Surgeon-in-ChiefMathias P. Bostrom, MD

Department of Orthopedic Surgery

Clinical DirectorCharles N. Cornell, MD

Academic DirectorMathias P. Bostrom, MD

Orthopedic Research DirectorJo A. Hannafin, MD, PhD

Faculty Development DirectorScott W. Wolfe, MD

Orthopedic Surgeons EmeritiStanley E. Asnis, MDStephen W. Burke, MDMichael J. Errico, MDAllan E. Inglis, MDLewis B. Lane, MDDavid B. Levine, MDPeter J. Marchisello, MDRichard R. McCormack, Jr., MDThomas D. Rizzo, MD

Attending Orthopedic SurgeonsDavid W. Altchek, MDOheneba Boachie-Adjei, MDCharles N. Cornell, MDEdward V. Craig, MDJo A. Hannafin, MD, PhDJohn H. Healey, MDDavid L. Helfet, MDJoseph M. Lane, MDRichard S. Laskin, MDPaul M. Pellicci, MDChitranjan S. Ranawat, MDLeon Root, MDEduardo A. Salvati, MDThomas P. Sculco, MD

(Surgeon-in-Chief)Russell F. Warren, MD

(Surgeon-in-Chief Emeritus)Andrew J. Weiland, MD

(Surgeon-in-Chief Emeritus)Thomas L. Wickiewicz, MDPhilip D. Wilson, Jr., MD

(Surgeon-in-Chief Emeritus)Russell E. Windsor, MDScott W. Wolfe, MD

Associate Attending Orthopedic SurgeonsAnsworth A. Allen, MDEdward A. Athanasian, MDWalther H.O. Bohne, MDMathias P. Bostrom, MDRobert L. Buly, MDFrank P. Cammisa, Jr., MDFrank A. Cordasco, MDJonathan T. Deland, MDJames C. Farmer, MDMark P. Figgie, MDDaniel W. Green, MDSteven B. Haas, MDRobert N. Hotchkiss, MDJohn P. Lyden, MDRobert G. Marx, MDStephen J. O’Brien, MDPatrick F. O’Leary, MDMartin J. O’Malley, MDDouglas E. Padgett, MDBernard A. Rawlins, MDScott A. Rodeo, MDHarvinder S. Sandhu, MDGeoffrey H. Westrich, MDRoger F. Widmann, MDRiley J. Williams, MD

Assistant Attending Orthopedic SurgeonsMichael M. Alexiades, MDScott W. Alpert, MDDavid E. Asprinio, MDFriedrich Boettner, MDMichelle G. Carlson, MDStruan H. Coleman, MDAaron Daluiski, MDDavid M. Dines, MDShevaun M. Doyle, MDAndrew J. Elliott, MDStephen Fealy, MDAustin T. Fragomen, MDFederico P. Girardi, MDAlejandro Gonzalez Della Valle, MDCharles B. Goodwin, MDWilliam G. Hamilton, MDRussel C. Huang, MDEdward C. Jones, MDLana Kang, MDAnne M. Kelly, MDBryan T. Kelly, MDJohn G. Kennedy, MDAlejandro Leali, MDDavid S. Levine, MDJohn C. L’Insalata, MDDean G. Lorich, MDJohn D. MacGillivray, MDDavid J. Mayman, MDMichael J. Maynard, MDPatrick V. McMahon, MDBryan J. Nestor, MDAndrew D. Pearle, MDCathleen L. Raggio, MDDaniel S. Rich, MDMatthew M. Roberts, MDJose A. Rodriguez, MDHoward A. Rose, MDS. Robert Rozbruch, MDAndrew A. Sama, MDDavid M. Scher, MDMark F. Sherman, MDBeth E. Shubin Stein, MDSabrina M. Strickland, MDEdwin P. Su, MDWilliam O. Thompson, MDKurt V. Voellmicke, MDSteven B. Zelicof, MD, PhD

Attending SurgeonsK. Craig Kent, MD

(Vascular Surgery)

Associate Attending SurgeonsGary A. Fantini, MD

(Vascular Surgery)Francis W. Gamache, Jr., MD

(Neurosurgery)Lloyd B. Gayle, MD

(Plastic Surgery)

Jam Ghajar, MD, PhD(Neurosurgery)

William I. Kuhel, MD(Otorhinolaryngology)

Michael P. LaQuaglia, MD(Pediatric Surgery)

Michael H. Lavyne, MD(Neurosurgery)

Robert B. Snow, MD(Neurosurgery)

Nitsana A. Spigland, MD(Pediatric Surgery)

Assistant Attending SurgeonsAnthony C. Antonacci, MD

(General Surgery)Peter L. Faries, MD

(Vascular Surgery)Lloyd A. Hoffman, MD

(Plastic Surgery)Kenneth O. Rothaus, MD

(Plastic Surgery)Mark M. Souweidane, MD

(Neurosurgery/PediatricNeurosurgery)

Consulting StaffSteven Z. Glickel, MD

(Pediatric Hand)

Fellows in Orthopedic SurgeryJerome Boatey, MD

(Metabolic Bone)Stephen Brockmeier, MD

(Sports Medicine/Shoulder)Robert Brophy, MD

(Sports Medicine/Shoulder)Barrett Brown, MD

(Sports Medicine/Shoulder)Matthew E. Cunningham, MD, PhD

(Spine/Scoliosis)Jeffrey Davila, MD

(Sports Medicine/Shoulder)Seth Gamradt, MD

(Sports Medicine/Shoulder)Purushottam Gholve, MD

(Pediatrics)Thomas Huff, MD

(Adult Reconstruction)Paul Issack, MD

(Trauma)Holly Johnson, MD

(Foot/Ankle)Nakul Karkare, MD

(Adult Reconstruction)Mohammad Khadder, MD

(Limb Lengthening)Yongjung Kim, MD

(Spine/Scoliosis)Clayton Lane, MD

(Sports Medicine/Shoulder)Nina Lightdale, MD

(Hand)

Professional Staff(April 1, 2007)

43

44

Margaret Lobo, MD(Foot/Ankle)

Marcelo Molina, MD(Spine/Scoliosis)

Anthony Mollano, MD(Hand)

Markku Nousiainen, MD(Trauma)

Mark Pizzurro, MD(Adult Reconstruction)

Joseph Schwab, MD(Spine/Scoliosis)

Anil Taneja, MD(Adult Reconstruction)

Nazzar Tellisi, MD(Foot/Ankle)

Andrew Todd, MD(Spine/Scoliosis)

Daniel Tomlinson, MD(Sports Medicine/Shoulder)

Charles Toulson, MD(Adult Reconstruction)

Eric Walsh, MD(Hand)

David Watson, MD(Adult Reconstruction)

Lorne Weeks, MD(General Orthopedics)

Yoram Weil, MD(Trauma)

Residents PGY5Scott Ellis, MDMichael Gardner, MDChristopher Good, MDMatthew Griffith, MDLuke Oh, MDDana Piasecki, MDSamuel Robinson, MDWakenda Tyler, MD

PGY4Christopher Dodson, MDMark Drakos, MDJohn Ehteshami, MDLawrence Gulotta, MDThomas Lawhorne, MDShane Nho, MDWilliam Robertson, MDKatharine Vadasdi, MDTony Wanich, MD

PGY3Joseph Barker, MDFrank R. Henn, MDCarolyn Hettrich, MDBenton Heyworth, MDChristoper Mattern, MDMichael Shindle, MDAdrian Thomas, MDJames Voos, MD

PGY2Cassie Gyuricza, MDChristopher Kepler, MDAnna Miller, MDNgozi Mogekwu, MDAndrew Neviaser, MDDaryl Osbahr, MDBradley Raphael, MDSeth Sherman, MD

PGY1Haydee Brown, MDMichael Cross, MDDemetris Delos, MDDuretti Fufa, MDSommer Hammoud, MDPatrick Jost, MDHan Jo Kim, MDTravis Maak, MDDaniel Osei, MD

Department of AppliedBiomechanics in Orthopedic Surgery

DirectorTimothy M. Wright, PhD

Associate EngineersPeter Evans, MSMatthew Gortner, MSJoseph Lipman, MSDarrick Lo, MEng

Department of Medicine

Physician-in-Chief and Director of MedicineStephen A. Paget, MD

Physician-in-Chief EmeritusCharles L. Christian, MD

Physicians EmeritiKlaus Mayer, MDWilliam C. Robbins, MD

Attending PhysiciansRichard S. Bockman, MD, PhD

(Endocrinology)Barry D. Brause, MD

(Infectious Disease)Mary K. Crow, MDAllan Gibofsky, MDLawrence J. Kagen, MDThomas J.A. Lehman, MD

(Chief, PediatricRheumatology)

Michael D. Lockshin, MDJoseph A. Markenson, MDIrwin Nydick, MD

(Cardiology)Stephen A. Paget, MD

(Physician-in-Chief)Francis Perrone, MD

(Cardiology)Jane E. Salmon, MDJames P. Smith, MD

(Pulmonary Medicine)Harry Spiera, MD

Associate Attending PhysiciansHarry Bienenstock, MDTheodore R. Fields, MDLionel B. Ivashkiv, MDC. Ronald MacKenzie, MDSteven K. Magid, MDCarol A. Mancuso, MDMartin Nydick, MD

(Endocrinology)Ernest Schwartz, MD

(Metabolic Bone)Sergio Schwartzman, MDRobert F. Spiera, MDRichard Stern, MD

Assistant Attending PhysiciansAlexa B. Adams, MDDalit Ashany, MDLaura V. Barinstein, MDAnne R. Bass, MDHelen Bateman, MDJessica R. Berman, MDLisa R. Callahan, MD

(Sports)Gina DelGiudice, MDStephen J. DiMartino, MD, PhDDoruk Erkan, MDMatthew Fred, MDRichard A. Furie, MDJacobo Futran, MDFlavia A. Golden, MDSusan M. Goodman, MDStewart G. Greisman, MDBrian C. Halpern, MD

(Sports)Melanie J. Harrison, MDWesley Hollomon, MDMichael I. Jacobs, MD

(Dermatology)Osric S. King, MD

(Sports)Kyriakos K. Kirou, MDMary J. Kollakuzhiyil, MDLisa A. Mandl, MDJaqueline M. Mayo, MDCharis F. Meng, MDJordan D. Metzl, MD

(Sports)Sonal S. Parr, MDEdward J. Parrish, MDJill M. Rieger, MDLinda A. Russell, MDLisa R. Sammaritano, MDYon K. Sung, MDAriel D. Teitel, MDLisa C. Vasanth, MDMary Beth Walsh, MDEvette Weil, MDArthur M.F. Yee, MD, PhDDiana A. Yens, MDWendy S. Ziecheck, MD

Physicians to Ambulatory Care CenterJames P. Halper, MDBento R. Mascarenhas, MDLakshmi Nandini Moorthy, MDHendricks H. Whitman III, MDDee Dee Wu, MDDavid A. Zackson, MD

Consulting StaffThomas M. Novella, DPM

(Podiatric Medicine)

Fellows in Rheumatic DiseaseJuliet Aizer, MDDeborah Alpert, MDR. Krishna Chaganti, MDDiana Goldenberg, MDJessica Gordon, MDNeal Moskowitz, MDTimothy Niewold, MDDana Orange, MDCarla Scanzello, MDAntigoni Triantafyllopoulou, MD

Fellows in PediatricRheumatologySheila Angeles, MDLilliana Barillas, MDJennifer Belasco, MDEmma MacDermott, MDAyman Mansour, MD

Fellow in Metabolic Bone DiseasesAlan Serota, MD

Neurology

ChiefMoris Jak Danon, MD

Neurologist EmeritusPeter Tsairis, MD

Attending NeurologistsAbe M. Chutorian, MDMoris Jak Danon, MDMichael Rubin, MDJonathan D. Victor, MD

Associate AttendingNeurologistsBarry D. Jordan, MDHoward W. Sander, MDJ. Patrick Stubgen, MD

Assistant AttendingNeurologistsEdward K. Avila, DOBridget T. Carey, MDCarl W. Heise, MDBrion D. Reichler, MDTeena Shetty, MDGerald J. Smallberg, MDDexter Y. Sun, MD, PhDAnita T. Wu, MD

Fellow in NeurologyJennifer Langsdorf, MD

45

Pediatrics

ChiefLisa S. Ipp, MD

Attending PediatricianThomas J.A. Lehman, MD

(Chief, PediatricRheumatology)

Associate AttendingPediatriciansJessica G. Davis, MD

(Genetics)Donna DiMichele, MDNunzia Fatica, MDAlfred Gilbert, MD

(Genetics)Myles S. Schiller, MDGail E. Solomon, MD

(Neurology)

Assistant AttendingPediatriciansAlexa B. Adams, MDSuchitra S. Acharya, MDLaura V. Barinstein, MDSusan B. Bostwick, MDHyun Susan Cha, MDMary F. DiMaio, MDLisa S. Ipp, MDJordan D. Metzl, MD

(Sports)Stephanie L. Perlman, MDDana I. Ursea, MD

Psychiatry

Chief and AttendingPsychiatristJ. Warren Brown, MD

Assistant AttendingPsychiatristRuth Cohen, MD

Consulting PsychiatristAllan M. Lans, DO

Department ofAnesthesiology

Director and Chief Gregory A. Liguori, MD

Attending AnesthesiologistsSpencer S. Liu, MDNigel E. Sharrock, MD

Associate AttendingAnesthesiologistsGregory A. Liguori, MDJeffrey Y.F. Ngeow, MDMichael K. Urban, MD, PhDWilliam F. Urmey, MD

Assistant AttendingAnesthesiologistsJames D. Beckman, MDDevan B. Bhagat, MDBradford E. Carson, MD

Mary F. Chisholm, MDKathryn DelPizzo, MDChristopher Dimeo, MDChris R. Edmonds, MDMichael A. Gordon, MDEnrique A. Goytizolo, MDDouglas S.T. Green, MDStephen N. Harris, MDMichael Ho, MDKethy M. Jules, MDRichard L. Kahn, MDRichard S. King, MDVincent R. LaSala, MDAndrew C. Lee, MDDavid L. Lee, MDDaniel Maalouf, MDStavros Memtsoudis, MDJoseph A. Oxendine, MDLeonardo Paroli, MD, PhDThomas J. Quinn, MDDaniel I. Richman, MDJames J. Roch, MDLauren H. Turteltaub, MDPhilip J. Wagner, MDSeth A. Waldman, MDDavid Y. Wang, MDJacques T. YaDeau, MD, PhDVictor M. Zayas, MD

Consulting StaffAllan M. Lans, DO

Fellows in AnesthesiologyGeorge Anastasian, MDCynthia Feng, MDYi Lin, MDDanielle Ludwin, MDStephen Melton, MDJaime Ortiz, MDTyler Phillips, MD

Department of Laboratory Medicine

Director and ChiefPeter G. Bullough, MD

Pathologist EmeritusKlaus Mayer, MD

Attending PathologistsManjula Bansal, MDPeter G. Bullough, MD

Associate Attending PathologistEdward F. DiCarlo, MD

Assistant Attending PathologistGiorgio Perino, MD

Chief of Blood Bank, Attending Hematologist andImmunohematologistDavid L. Wuest, MD

Associate AttendingHematologist andImmunohematologistLilian M. Reich, MD

Consulting Neurologist in PathologyMoris Jak Danon, MD

Department of Physiatry

Director and ChiefGregory E. Lutz, MD

Associate AttendingPhysiatristsJoseph H. Feinberg, MDGregory E. Lutz, MD

Assistant AttendingPhysiatristsPaul M. Cooke, MDStephen G. Geiger, MDSvetlana Ilizarov, MDJulie T. Lin, MDChristopher Lutz, MDPeter J. Moley, MDAlex C. Simotas, MDJennifer L. Solomon, MDVijay B. Vad, MD

Consulting StaffRock G. Positano, DPM

(Podiatric Medicine)

Fellows in Physiatry Vincenzo Castellano, MDMarc Grossman, MDShikha Sehti, MD

Department of Radiology and Imaging

Director and ChiefHelene Pavlov, MD

Academic DirectorCarolyn M. Sofka, MD

Research DirectorHollis G. Potter, MD

Radiologist EmeritusRobert H. Freiberger, MD

Attending RadiologistsRonald S. Adler, MD, PhD

(Chief, Ultrasound andBody CT)

Bernard Ghelman, MDRichard J. Herzog, MD

(Chief, Teleradiology)Theodore T. Miller, MDHelene Pavlov, MDHollis G. Potter, MD

(Chief, Magnetic Resonance Imaging)

Robert Schneider, MD(Chief, Nuclear Medicine)

Associate Attending RadiologistsSherri B. Birchansky, MD

(Chief, Neuroimaging)Douglas N. Mintz, MDCarolyn M. Sofka, MD

Assistant Attending RadiologistsEric A. Bogner, MDLi Foong Foo, MDGregory R. Saboeiro, MD

(Chief, InterventionalProcedures and CT)

Radiologist to Ambulatory Care CenterBonnie G. Lemberg, MD

Fellows in MusculoskeletalRadiologyMichael Abiog, MDMadhavi Battineni, MDQi Chen, MDDaniel Feinberg, MDAlex Maderazo, MD

Department of Rehabilitation Medicine

Director and ChiefLeon Root, MD

Honorary Staff

Stephen W. Burke, MDCharles L. Christian, MDRobert H. Freiberger, MDDavid B. Levine, MDKlaus Mayer, MDRobert C. Mellors, MD, PhDPeter Tsairis, MD

Research Division

Chief Scientific OfficerSteven R. Goldring, MD

Director of Basic ResearchLionel B. Ivashkiv, MD

Director of Clinical ResearchRobert N. Hotchkiss, MD

Senior ScientistsCarl Blobel, MD, PhDAdele L. Boskey, PhDNathan Brot, PhDPeter G. Bullough, MDMary K. Crow, MDStephen B. Doty, PhDMary Goldring, PhDRichard Herzog, MDLionel B. Ivashkiv, MDJoseph M. Lane, MDThomas J.A. Lehman, MDMichael D. Lockshin, MDStephen A. Paget, MDHelene Pavlov, MDMargaret G.E. Peterson, PhDJane E. Salmon, MDThomas P. Sculco, MDNigel E. Sharrock, MDPeter A. Torzilli, PhDRussell F. Warren, MDAndrew J. Weiland, MDPhilip D. Wilson, Jr., MDTimothy M. Wright, PhDJohn B. Zabriski, MD

Associate ScientistsRonald S. Adler, MD, PhDDavid W. Altchek, MDMadhu Bhargava, PhDOheneba Boachie-Adjei, MDRichard S. Bockman, MD, PhD

46

Nancy P. Camacho, PhDFrank P. Cammisa, Jr., MDJonathan T. Deland, MDEdward DiCarlo, MDGuillermina Girardi, PhDJo A. Hannafin, MD, PhDJohn H. Healy, MDDavid L. Helfet, MDRobert N. Hotchkiss, MDC. Ronald MacKenzie, MDCarol A. Mancuso, MDHollis G. Potter, MDLuminita Pricop, MDPaul Edward Purdue, PhDLaura Robbins, DSWEduardo A. Salvati, MDMarjana Tomic-Canic, PhDMichael Urban, MDThomas L. Wickiewicz, MD

Assistant ScientistsMathias P. Bostrom, MDChih-Tung Chen, PhDCharles N. Cornell, MDAaron Daluiski, MDXianghua Deng, MDMark P. Figgie, MDFederico P. Girardi, MDSteven B. Haas, MDChisa Hidaka, MDRussell Huang, MDKyriakos Kirou, MDGregory A. Liguori, MDTheresa Lu, MD, PhDSuzanne A. Maher, PhDJoseph A. Markenson, MDRobert G. Marx, MDEric Meffre, PhDBryan J. Nestor, MDStephen J. O’Brien, MDCathleen L. Raggio, MDBruce Rapuano, PhDBernard A. Rawlins, MDScott A. Rodeo, MDInez Rogatsky, PhDAndrew A. Sama, MDLisa R. Sammaritano, MDHarvinder S. Sandhu, MDIoannis Tassiulas, MDFrancisco Valero-Cuevas, PhDGisela Weskamp, PhDGeoffrey H. Westrich, MDRiley J. Williams, MDScott W. Wolfe, MDJacques Yadeau, MD

InstructorsXianoyu Hu, PhDFriedrich Laub, PhDPhilipp Mayer-Kuckuk, PhDOlivera Stojadinovic, MDWei Zhu, PhD

Visiting ScientistsSteven Arnoczky, DVMItzhak Binderman, DDSJoseph Mansour, PhDMark S. McMahon, MDLance D. Silverman, MD, PhD

Fellows in ResearchTaras Antoniv, PhDYuri Chinenov, PhDClaus Franzke, PhDSamuel Gourian, PhDVictor Guaiquil, PhDMaxime Herve, PhDHao Ho, MD, PhDYang Hu, PhDJing Hua, MD, PhDCarl Imhauser, PhDIsabelle Isnardi, PhDJong Dae Ji, MDGeorge Kalliolias, PhDPanagiotis Koulouvaris, MDSylvain LeGall, PhDYun Feng Ling, MDYi Liu, MD, PhDThorsten Maretzky, PhDKleio Mavragani, MDDejan Milentijevic, PhDMikhail Olferiev, MDTatiana Orlova, PhDNikolaus Papadimitriou, PhDSeonghun Park, PhDEric Pourmand, MDJale Refik-Rogers, PhDAnju Roy, PhDHemant Sabharwal, MD, PhDUmut Sahin, PhDNusrat Sharif, MDSteven Swendeman, PhDKonstantinos Verdelis, DDSSasa Vukelic, PhDLu Wang, PhDPaul West, PhDXu Yang, MDDmitry Yarilin, MD, PhDAnna Yarilina, PhDRuslan Yashin, MDWeijia Yuan, MDHao Zhang, MD, PhD

Scientists EmeritiAlbert H. Burstein, PhDCharles L. Christian, MDLeonhard Korngold, PhDRobert C. Mellors, MD, PhDAaron S. Posner, PhD

Honorary Scientist Michael A.R. Freeman, MD

Adjunct Senior Scientists Donald L. Bartel, PhDAllan E. Inglis, MDCarl F. Nathan, MDFrancesco Ramirez, MDThomas H. Santer, PhDRichard Spencer, PhD, MD

Adjunct Associate ScientistsRobert Blank, MD, PhDLawrence Bonnassar, PhDMark Lachs, MDDaniel MacDonald, DDSMarjolein C.H. van der Mullen, PhD

Adjunct Assistant ScientistsRobert Closkey, MDPeter Kloen, MD, PhDMartin Sanzari, PhDLicia Selleri, MD, PhD

NewYork-PresbyterianHospital Consultants to HSS

Alexander Aledo, MD(PediatricHematology/Oncology)

Sophia Archuleta, MD(Infectious Disease)

Philip S. Barie, MD(General Surgery)

John W. Barnhill, MD(Psychiatry)

David A. Berlin, MD(Pulmonary Medicine)

Mark H. Bilsky, MD(Neurosurgery)

James A. Blake, MD(Cardiovascular Disease)

Jon D. Blumenfeld, MD(Nephrology)

David S. Blumenthal, MD(Cardiovascular Disease)

Roxana M. Bologa, MD(Nephrology)

Jeffrey S. Borer, MD(Cardiovascular Disease)

Mark S. Brower, MD(Hematology/Oncology)

Daniel A. Burton, MD(Allergy/Immunology)

Robert D. Campagna, MD(Cardiovascular Disease)

John A. Carucci, MD(Dermatology)

Jhoong S. Cheigh, MD(Nephrology)

James Chevalier, MD(Nephrology)

Russell L. Chin, MD(Neurology)

Benjamin B. Choi, MD(Urology)

James L. Clarke, MD(General Surgery)

Richard P. Cohen, MD(Internal Medicine)

Bradley A. Connor, MD(Gastroenterology)

Joseph T. Cooke, MD(Pulmonary Medicine)

Rubin S. Cooper, MD(Pediatric Cardiology)

Ronald G. Crystal, MD(Pulmonary Medicine)

Scott G. David, MD(Urology)

Patricia A. DeLaMora, MD(Pediatric Infectious Disease)

Maria T. DeSancho, MD(Hematology/Oncology)

Richard B. Devereux, MD(Cardiovascular Disease)

Lewis M. Drusin, MD(Infectious Disease)

Mark S. Dursztman, MD(Internal Medicine)

Timothy C. Dutta, MD(Cardiovascular Disease)

Soumitra R. Eachempati, MD(General Surgery)

Murray Engel, MD(Pediatrics/Neurology)

Stephen J. Ferrando, MD(Psychiatry)

Frederick J. Feuerbach, MD(Cardiovascular Disease)

Jeffrey D. Fisher, MD(Cardiovascular Disease)

John E. Franklin, Jr., MD(Gastroenterology)

Kenneth W. Franklin, MD(Cardiovascular Disease)

Christine Frissora, MD(Gastroenterology)

Richard M. Fuchs, MD(Cardiovascular Disease)

Jalong Gaan, MD(Dermatology)

David F. Gardiner, MD(Infectious Disease)

Brian Gelbman, MD(Pulmonary Medicine)

Leonard N. Girardi, MD(Cardiothoracic Surgery)

Marshall J. Glesby, MD(Infectious Disease)

David L. Globus, MD(Nephrology)

Harvey L. Goldberg, MD(Cardiovascular Disease)

Daniel Goldin, MD(Internal Medicine)

Howard Goldin, MD(Gastroenterology)

Marc Goldstein, MD(Urology)

Linnie M. Golightly, MD(Infectious Disease)

Bruce R. Gordon, MD(Hematology/Oncology)

Richard D. Granstein, MD(Dermatology)

Roy M. Gulick, MD(Infectious Disease)

Peter S. Halperin, MD(Dermatology)

Christina Harris, MD(Internal Medicine)

Roger Hartl, MD(Neurosurgery)

Barry J. Hartman, MD(Infectious Disease)

Joseph G. Hayes, MD(Cardiovascular Disease)

Linda A. Heier, MD(Neuroradiology)

David C. Helfgott, MD(Infectious Disease)

47

Rosemary Soave, MD(Infectious Disease)

Allison Spatz, MD(Cardiovascular Disease)

Jason A. Spector, MD(Plastic Surgery)

Carolyn R. Steinberg, MD(Internal Medicine)

Lauren Sternberg, MD(Dermatology)

Michael G. Stewart, MD(Otorhinolaryngology)

Philip E. Stieg, PhD, MD(Neurosurgery)

Mark Y. Stoeckle, MD(Infectious Disease)

Lucian Sulica, MD(Otorhinolaryngology)

John F. Sullivan, MD(Nephrology)

Manikkam Suthanthiran, MD(Nephrology)

Alexis E. Te, MD(Urology)

Jeffrey Tepler, MD(Hematology/Oncology)

Apostolos J. Tsiouris, MD(Neuroradiology)

Theodore I. Tyberg, MD(Cardiovascular Disease)

Carlos M. Vaamonde, MD(Infectious Disease)

Mathew Varghese, MD(Dermatology)

Maria G. Vogiatzi, MD(Pediatrics)

John Wang, MD, PhD(Nephrology)

Craig H. Warschauer, MD(Cardiovascular Disease)

Arnold L. Weg, MD(Gastroenterology)

Alan M. Weinstein, MD(Nephrology)

Stephen R. Weiss, MD(Cardiovascular Disease)

Babette B. Weksler, MD(Hematology/Oncology)

Horatio F. Wildman, MD(Dermatology)

Timothy Wilkin, MD(Infectious Disease)

Hooman Y. Yaghoobzadeh, MD(Cardiovascular Disease)

Cecilia Yoon, MD(Infectious Disease)

Robert D. Zimmerman, MD(Neuroradiology)

Gianna Zuccotti, MD(Infectious Disease)

Gerardo L. Zullo, MD(Cardiovascular Disease)

Michael A. Zullo, MD(Cardiovascular Disease)

Arthur D. Heller, MD(Gastroenterology)

Barbara L. Hempstead, MD(Hematology/Oncology)

Edmund M. Herrold, MD(Cardiovascular Disease)

John L. Ho, MD(Infectious Disease)

Clare A. Hochreiter, MD(Cardiovascular Disease)

John G. Hunter, MD(Plastic Surgery)

Barton Inkeles, MD(Allergy/Immunology)

Lawrence A. Inra, MD(Cardiovascular Disease)

Ira M. Jacobson, MD(Gastroenterology)

Charles I. Jarowski, MD(Hematology/Oncology)

Carl E. Johnson, MD(Neuroradiology)

Valerie L. Johnson, MD(Pediatric Nephrology)

Erica C. Jones, MD(Cardiovascular Disease)

Jacqueline E. Jones, MD(Otorhinolaryngology)

Ashutosh Kacker, MD(Otorhinolaryngology)

Mazen O. Kamen, MD(Cardiovascular Disease)

Robert J. Kaner, MD(Pulmonary Medicine)

Steven A. Kaplan, MD(Urology)

John Karwowski, MD(Vascular Surgery)

Juhayna Kassem, MD(Pulmonary Medicine)

Lawrence A. Katz, MD(Cardiovascular Disease)

Jason S. Kendler, MD(Infectious Disease)

Robert O. Kenet, MD(Cardiovascular Disease)

George J. Kessler, DO(Family Practice)

Thomas King, MD(Pulmonary Medicine)

Barry J. Klyde, MD(Endocrinology)

Erik J. Kobylarz, MD, PhD(Neurology)

Barry E. Kosofsky, MD(Neurology)

David I. Kutler, MD(Otorhinolaryngology)

Anthony N. LaBruna, MD(Otorhinolaryngology)

Arnon Lambroza, MD(Gastroenterology)

Brian R. Landzberg, MD(Gastroenterology)

Keith A. LaScalea, MD(Internal Medicine)

Norman Latov, MD(Neurology)

Jeffrey Laurence, MD(Hematology/Oncology)

David Lefkowitz, MD(Cardiovascular Disease)

Lawrence F. Levin, MD(Cardiovascular Disease)

Margaret Lewin, MD(Hematology/Oncology)

Daniel M. Libby, MD(Pulmonary Medicine)

George V. Lombardi, MD(Infectious Disease)

Jonathan A. Lorch, MD(Nephrology)

Gerald M. Loughlin, MD(Pediatrics)

Charles A. Mack, MD(Cardiothoracic Surgery)

Norman M. Magid, MD(Cardiovascular Disease)

Richard J. Mahler, MD(Endocrinology)

Charles Maltz, MD(Gastroenterology)

Kristen Marks, MD(Infectious Disease)

Katherine A. Mathews, MD(Internal Medicine)

Thomas P. McGovern, MD(Urology)

Faith A. Menken, MD(General Surgery)

David H. Miller, MD(Cardiovascular Disease)

Robert M. Minutello, MD(Cardiovascular Disease)

Paul F. Miskovitz, MD(Gastroenterology)

Aeri Moon, MD(Pediatric Endocrinology)

Kevin P. Morrissey, MD(General Surgery)

Roja Motaghedi, MD(Pediatrics)

Henry W. Murray, MD(Infectious Disease)

Elizabeth C. Muss, MD(Cardiovascular Disease)

Jerry Nagler, MD(Gastroenterology)

David M. Nanus, MD(Hematology/Oncology)

Thomas W. Nash, MD(Infectious Disease)

Allyson J. Ocean, MD(Hematology/Oncology)

Anthony Ogedegbe, MD(Infectious Disease)

Francisco Pacheco, MD(Pulmonary Medicine)

Mark W. Pasmantier, MD(Hematology/Oncology)

Raymond D. Pastore, MD(Hematology/Oncology)

Roger N. Pearse, MD(Hematology/Oncology)

Mark S. Pecker, MD(Internal Medicine)

Eduardo M. Perelstein, MD(Pediatric Nephrology)

Alan S. Perlman, MD(Nephrology)

Martin R. Post, MD(Cardiovascular Disease)

Mukesh Prasad, MD(Otorhinolaryngology)

Jacek J. Preibisz, MD(Internal Medicine)

R.A. Rees Pritchett, MD(Internal Medicine)

Rajveer S. Purohit, MD(Urology)

Kyu Y. Rhee, MD(Infectious Disease)

Howard A. Riina, MD(Neurosurgery)

Richard S. Rivlin, MD(Internal Medicine)

John S. Rodman, MD(Nephrology)

Mary J. Roman, MD(Cardiovascular Disease)

Howard E. Rosenberg, MD(Infectious Disease)

Jia Ruan, MD(Hematology/Oncology)

Stuart D. Saal, MD(Nephrology)

Neil S. Sadick, MD(Dermatology)

Abraham Sanders, MD(Pulmonary Medicine)

Sonia K. Sandhu, DO(Neurology)

John A. Schaefer, MD(Neurology)

Robert A. Schaefer, MD(Gastroenterology)

Jonathan D. Schiff, MD(Urology)

Nicholas D. Schiff, MD(Neurology)

Peter N. Schlegel, MD(Urology)

Michael J. Schmerin, MD(Gastroenterology)

Mark H. Schwartz, MD(Plastic Surgery)

Theodore H. Schwartz, MD(Neurosurgery)

Richard F. Scofield, MD(Internal Medicine)

Samuel H. Selesnick, MD(Otorhinolaryngology)

David Serur, MD(Nephrology)

Gillian M. Shepherd, MD(Allergy/Immunology)

Raymond L. Sherman, MD(Nephrology)

Jeffrey I. Silberzweig, MD(Nephrology)

Paul T. Smith, MD(Infectious Disease)

48

Executive Officers

President and Chief Executive OfficerLouis A. Shapiro

Executive Vice President and Chief Operating OfficerLisa A. Goldstein

Executive Vice President for Finance and Chief Financial OfficerStacey L. Malakoff

Executive Vice President for External AffairsDeborah M. Sale

Senior Vice President for LegalAffairs and General CounselConstance B. Margolin, Esq.

Vice President for Patient Care Services and Chief Nursing OfficerStephanie Goldberg, MS, RN,

CNAA

Vice President for AdministrationMarion Hare

Vice President for AdministrationRalph J. Bianco

Vice President for Human ResourcesStephen A. Reday

Vice President for Education and Academic AffairsLaura Robbins, DSW

Vice President for Research AdministrationVincent L. Grassia, Jr.

Vice President for FinanceMarc Gould

Vice President and Chief Compliance OfficerPhyllis Patrick

Management Personnel

Assistant Vice PresidentFinanceStephen Bell

Assistant Vice PresidentFinanceBrian Fullerton

Assistant Vice Presidentand Chief Information OfficerJohn P. Cox

Assistant Vice President Patient Care and QualityManagementSusan Flics, RN

Assistant Vice PresidentRehabilitation ServicesJeMe Cioppa-Mosca, PT

Assistant Vice PresidentPatient AccountingJanit Maguire

Assistant Vice PresidentPhysician ServicesRichard Crowley

Assistant Vice PresidentsExternal AffairsCatherine KrnaRobin Merle

Assistant Vice PresidentNursing, Perioperative ServicesWilliam McDonagh, RN

Assistant Vice PresidentNursing, Inpatient and Ambulatory ServicesMary McDermott, RN

Assistant Vice PresidentService Excellence/Organizational Learning and DevelopmentAnne M. Tarpey

Biomedical EngineeringPaul Sloane

Building ServicesJames Streeter

CommunicationsJoshua Friedland

EducationMartha O’Brasky

Environmental ServicesJoseph Pobliner

Food and Nutrition ServicesEden Kalman

Health Information ManagementGlenn Rispaud

HSS WebJulie Pelaez

International CenterMonina Aste

LaboratoriesStephanie Lovece

Materials ManagementPeter Zenkewich

MarketingRachel Sheehan

Medical Staff ServicesMaureen Bogle

NeurologyElizabeth Pinkhasov, PhD

NursingLisa Autz, RNMarita Baragiano, RNSally Derdzinski, RN

Maryann Eisele, RNEileen Finerty, RNVirginia Forbes, RNValarie Gray, RNDebbie Harris, RNJayne Hoffmann, RNKandy KotabishLinda Leff, RNAnne LoBasso, RNJoy Matejevich, RNJanice Minucci, RNMary Ellen Murphy, RNKen Osorio, RNMarguerite Palmieri, RNImsoo Park, RNRonald Perez, RNCrown PrincePatricia Quinlan, RNNoreen Ryan, RNMargaret Stack, RNAnne Stroud, RN

Organizational Learning and DevelopmentBruce Slawitsky

Osteoporosis Prevention CenterJudith Andariese, RN

Pastoral CareSr. Margaret Oettinger, OP

PharmacyTina Yip, PharmD

Physician AssistantsPamela Katkin, RPA-C

Prosthetics and OrthoticsGlenn W. Garrison, Jr.

Public RelationsPhyllis Fisher

Radiology and ImagingEdward White

Risk ManagementJoanne Melia

SafetyGiovanni Abbruzzese

SecurityDonald J. Foiles

TelecommunicationsBruce Rudish

Hospital Chaplains

Rev. Arnd Braun-StorckFr. Stephen Carmody, OPRabbi Ralph KregerFr. Louis Mason, OPSr. Margaret Oettinger, OPFr. Christopher Saliga, OP

Volunteers

50 years or overMrs. Charles Bannerman

35 years or overMrs. David G. Reuter

30 years or overMrs. John W. FankhauserMrs. Robert H. Freiberger

25 years or overMrs. Bernard AronsonMs. Rose PonticelloMrs. Herman SokolMrs. John Steel

15 years or overMs. Margaret CollisonMs. Anita CrusoMs. Lauren FoxMrs. James Graham, Jr Ms. Maria-Elena HodgsonMs. Brunilda ItturaldiMs. Judith Johnston-GroganMs. Florence MattisonMs. Dola PollandMs. Lisa W. RosenstockMs. Aida SerraMs. Denise SmithMs. Theresa TomasuloMs. Doris Wind

10 years or overMs. Ethel AlbertMs. Doris BarthMs. Reva BlecherMr. Victor BozzuffiMs. Barbara BrandonMs. Adriana BregmanMs. Elisa ClarkeMs. Aseye DemasioMs. Barbara GrooMs. Shirley HyppoliteMs. Diane KellerMs. Tina LocascioMs. Geraldine McCandlessMs. Mary MurphyMs. Marie SherryDr. Beth Viapiano

5 years or overMs. Anery AsteMs. Nesida AugusteMs. Marta BarrerasMrs. Bernarda BerardMrs. Karen CallaghanMr. Frederick ChiaoMr. Thomas CorradoMr. Norman EliaMs. Frances FrankMs. Indra HarnarainMs. Lorraine JohnsonMs. Gail KornMs. Barbara MazieMs. Bebe PrinceMs. Norma PonardMs. Serena SteinfeldMr. Gerard TalbotMs. Marguerite TalbotMs. Lee WeberMr. John Wortley

Management and Volunteers(April 1, 2007)

60

Officers

Co-ChairsDean R. O’HareAldo Papone

Vice ChairsMrs. Emil Mosbacher, Jr.Daniel G. Tully

President and Chief Executive OfficerLouis A. Shapiro

Surgeon-in-Chief and Medical Director Thomas P. Sculco, MD

Executive Vice President and TreasurerStacey L. Malakoff

Executive Vice PresidentLisa A. Goldstein

Executive Vice PresidentDeborah M. Sale

Senior Vice President andSecretaryConstance B. Margolin, Esq.

Chairmen, EmeritiHenry U. Harris, Jr.Richard L. Menschel

Board Members

Answorth Allen, MDJames M. BensonRichard A. Brand, MDPeter L. Briger, Jr.Finn M.W. CaspersenCharles P. Coleman IIICharles N. Cornell, MDBarrie M. DamsonMrs. James D. FarleyLouis R. GaryMelvin J. Glimcher, MDSteven R. Goldring, MDHenry U. Harris, Jr.David L. Helfet, MDJames R. HoughtonWinfield P. JonesMonica KeanyDavid H. KochRandolph D. LernerMarylin B. LevittAlan S. MacDonaldDavid M. MaddenRichard L. MenschelMrs. Emil Mosbacher, Jr.Carl F. Nathan, MDDean R. O’HareStephen A. Paget, MDAldo PaponeSamuel S. PolkCharlton Reynders, Jr.Susan W. RoseWilliam R. SalomonThomas P. Sculco, MDLouis A. ShapiroDaniel G. TullyMrs. Douglas A. Warner IIIRussell F. Warren, MDGene WashingtonRoger F. Widmann, MDTorsten N. Wiesel, MDHenry A. Wilmerding, Jr.Kendrick R. Wilson IIIPhilip D. Wilson, Jr., MDMrs. Ezra K. Zilkha

Officers and Board Members(As of April 1, 2007)

Life Trustees

Loring CatlinKathryn O. GreenbergBeverly Sills GreenoughJ. Peter HoguetCarl B. MengesDavid M. MixterJohn J. Phelan, Jr.Katherine O. RobertsDonald Stone

International Advisory Council

Chair Sir Dennis Weatherstone

Finn M.W. CaspersenLouis R. GaryDr. Henry A. KissingerDavid LiRichard L. MenschelDavid RockefellerPaul VolckerThe Honorable

John C. WhiteheadTorsten N. Wiesel, MD

Board of Advisors

Rajesh GargEarl G. GravesKenneth V. HandalThomas J. HughesRobert D. YaffaEdward M. Yorke

Steering Committee ofthe Junior Committee

Kristin Fisher AllenMoira ForbesMike GoldbergCelene MenschelMatt PagetChristian SalvatiSarah Jane SculcoLancey Williams

A Lifetime of Philanthropy Endures

Revolutionary innovations in medical care and researchlike those highlighted in thisissue of Horizon dependlargely on philanthropic sup-port. Planning a charitablegift to Hospital for SpecialSurgery is a simple, mean-ingful way to leave a lastinglegacy while making a signif-icant impact on quality oflife. Following is the story ofone donor whose extraordi-nary bequest plays an impor-tant role in the pacesettingadvances in bone and jointcare currently underway atSpecial Surgery.

Distinguished philanthropistand a descendant of thefounder of New York’s Cornell

University, George D. Cornell remem-bered friends, family, and over 30prestigious institutions in his will. In2006, Special Surgery received thefinal disbursement from the CornellEstate for a total of $2.8 million, allof which will benefit critical advance-ments in patient care, research, andeducation.

Unassuming GenerosityMr. Cornell’s affiliation with SpecialSurgery began with his wife, Harriet,an HSS patient who lived with poliountil her passing in 1999. The coupleenjoyed a lifetime of philanthropy,committing tens of millions of dollarsto numerous organizations and touch-ing many lives along the way. In onenews article highlighting Mr. Cornell’sphilanthropy, his attorney, JamesMcGarry, said, “Mr. Cornell gave solelyfor charitable purposes, and neversought credit or recognition.”

Described by friends and family asan unassuming and quietly generousman, Mr. Cornell had a remarkablelove for animals, particularly his twoSamoyeds who he also named in his will. “George was a gentle man,”remarked neighbor and longtimefriend JoAnn Peart. “He treatedeveryone the same, no matter whoyou were.”

Born in 1910 in Brooklyn Heights,Mr. Cornell was raised in CentralValley, New York, by Esther Havilandand Edward Cornell. His mother wasan heiress to the Haviland china for-tune, and his father was a prominentNew York lawyer with the IBM corpo-ration. In 1935, Mr. Cornell graduated

from Rollins College, and pursued abrief career in finance. Years later, hereturned to Rollins as a trustee, andtogether with his wife, was the insti-tution’s greatest benefactor.

Honoring a Quaker Heritage“Both sides of my family have beenQuakers for many generations,” Mr. Cornell once said. “Part of thetradition and spirit of the Quakers isto give to charity…” In 2003, GeorgeCornell passed away in his home inDelray Beach, Florida. His extraordi-nary bequest to Special Surgery notonly memorializes Mr. Cornell’s lifeand love for philanthropy, it will pro-vide critical funding for perfectingnew techniques for the delivery ofcare, to advance scientific discovery,and to help educate the next genera-tion of medical professionals.

Individuals who have namedHospital for Special Surgery in their estate plans are recognized asmembers of The Wilson Society. The Society honors the legacy of twophysicians – Philip D. Wilson, Sr.,MD, and his son, Philip D. Wilson,Jr., MD, who have helped shapeSpecial Surgery for more than half ofits existence. If you would like moreinformation or have included HSS in your will, please let us know bycontacting Molly Murray, Director ofMajor Gifts, at 212-606-1196, so thatwe may recognize your generosity.

George D. Cornell

HOSPITALFOR SPECIALSURGERY535 EAST 70TH STREETNEW YORK, NY 10021www.hss.edu

Hospital for Special Surgery is an affiliate of NewYork-Presbyterian HealthcareSystem and Weill MedicalCollege of Cornell University.

As dusk settles over

New York City, Hospital

for Special Surgery

stands out along the

East River promenade,

reflecting the Hospital’s

exciting growth and

the addition of new

patient facilities that

will accommodate the

ever increasing need

for our expertise.