Central Vermont Home Health and Hospice: Their personal care attendant and homemaking support long-term care program extends beyond the traditional medical sphere. They provide companionship and help with activities of daily living (light housekeeping, cooking, laundry, and bathing and dressing) to central Vermonters who, without the support, would very likely have needed to leave their homes and move to a facility or nursing home. Caring for people in their homes is cost effective, a fraction of an inpatient hospital stay and about half the cost to care for a person in a nursing home. Perhaps more important, by providing one-on-one support, education, and high-quality care in a setting where we know people want to be, they give central Vermonters the tools to manage their conditions and maintain their independence.