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Stephanie Raymond, Executive Director

Stephanie RaymondStephanie has been with Cascade since 1996, including 17 years serving as Associate Director. As Executive Director, she guides the daily operations of 25 full- and part-time staff. She has extensive knowledge of the 340B Federal Drug Discount Program. Stephanie also manages Cascade’s multi-million dollar funding award program to 18 Hemophilia Treatment Centers (HTCs) and 7 Hemophilia Foundations located in Michigan, Ohio and Indiana. Stephanie holds a bachelor’s degree in health care administration from Concordia University. Stephanie is married, and she and her husband, Rodney, have an adorable boston terrier named Winston. They support the Midwest Boston Terrier Rescue. Stephanie feels very fortunate and thankful for the many long-time friendships made throughout her years at Cascade.  “We have an exceptional region filled with many wonderful and dedicated people”.

Chelsea Seal, Finance Director

Chelsea SealChelsea is Cascade’s Finance Director and has been with Cascade since 2015. Chelsea oversees day-to-day operations, assists the Executive Director in the administration of Cascade grants, audits, business planning, and a variety of other activities. What she enjoys most about her job is the variability of what she does – no two days are the same. Also, she feels very lucky to be surrounded by coworkers who are so committed to the community in which Cascade serves. Chelsea has a Bachelor of Business Administration (BBA) in Accounting from Eastern Michigan University and is now working toward her MBA from Spring Arbor University. Chelsea loves spending time with her husband, Jay, and sons Brekin and Kylan.

Michael Altese, PharmD Pharmacy Director
Michael AlteseOur Pharmacy Director, Mike, started at Cascade in 2007. He manages the daily operation of the pharmacy, working with patients and treatment center staff to manage our patients’ pharmacy needs and care. He also manages the inventory for Cascade and our contract Hemophilia Treatment Center partners. Mike enjoys this area of work because of the strong relationships within the bleeding disorder community.

Mike received his Doctor of Pharmacy from the University of Michigan. He is a huge fan of University of Michigan Athletics, and is an avid runner, having completing three marathons and multiple half-marathons. He also loves hiking, particularly in Glacier National Park in Montana.

Ted Beimel, RPh, Pharmacist
Ted BeimelTed has worked at Cascade on a part-time basis for almost as long as Cascade has been in existence; over 20 years. He’s been a pharmacist for many years and previously worked in the hospital environment. Ted enjoys working at Cascade because it allows him talk to a lot of nice people on the phone. This is a very interesting area of pharmacy practice because hemophilia treatment medications have evolved from just a few medications years ago, to many more options.

Ted likes to spend his spare time biking and swimming, learning more about the environment, and doing carpentry. He’s remodeled 8 houses in Ann Arbor and, outside of pharmacy work, enjoys it very much.

Rachel Blake, CPhT, Pharmacy Technician

photo of Rachel BlakeRachel has been a certified pharmacy technician since 2008 and joins our team with over 11 years of pharmacy experience. She has worked at inpatient hospital pharmacies, as well as, other specialized areas of pharmacy, but is excited to join Cascade to serve patients on a more individual level. Rachel joined Cascade because she enjoys serving and helping others. In her free time, Rachel enjoys helping her husband with the Youth Ministry at their church and serving in the church. She also enjoys exploring the outdoors and visiting national parks around the nation. She loves to hike and camp with her sister and two nephews who are her camping buddies.

Rebecca Blumenfeld, Patient Billing and Resolution Specialist
Rebecca BlumenfeldRebecca joined Cascade in December 2020. Rebecca is passionate about healthcare and helping our patients. She completed her Certified Professional Coding Certificate from AAPC, obtained her Associate in Management, and is working toward her Bachelor of Health Care Administration from Central Michigan University. In her downtime, Rebecca enjoys traveling, gardening, and spending time with her three children.
Devin Bromley, CPhT, RPhT, Chief Pharmacy Technician

Devin BromleyDevin was hired as a pharmacy technician in 2014. She received her Bachelor degree in Psychology with a minor in Management from Eastern Michigan University. Together with the pharmacists, Devin ensures that orders are accurate and shipped in a timely manner. She previously worked in retail pharmacy, but finds working for Cascade to be very rewarding. Specifically, because “the community is small and its members are a close knit group.” Devin spends quite a bit of time at the pool, because she loves the workout, but also because she coaches for the Ypsilanti Otters; a large group of kids aged 5-17. In her free time, she loves going out with friends.

Sue Carlini, Senior Accountant
Sue CarliniSue graduated from the University of Michigan with a Bachelor degree in Accounting and began working for Cascade in 2011. As Senior Accountant, she is responsible for Cascade’s accounts payables and receivables, for financial records of Cascade’s HTC contract pharmacy programs and the recording of daily financial transactions. Sue has two daughters who are the loves of her life. She enjoys working out, solving Sudoku puzzles and baking treats for her family and for the office.
Gail Donehue, Operations Assistant
Gail Donehue Gail is very pleased to be working at Cascade. She joined the team in March, 2018 as Operations Assistant. Prior to working at Cascade, Gail was employed with Hewlett Packard Company (HP) for 29 years in various positions. She enjoys traveling and finding new adventures with her daughters. She also enjoys gardening and walking in the beautiful Ann Arbor neighborhoods. Gail “looks forward to assisting our patients and working with her new co-workers here at Cascade!”
Roxana Dumitrache, PharmD, Pharmacist

Roxana Dumitrache, PharmD, PharmacistRoxana graduated from the University of Michigan where she earned her Doctor of Pharmacy degree. Her previous pharmacy experience includes outpatient pharmacy and investigational drugs. Since joining Cascade in 2021, Roxana has been inspired by the mission and operational model of Cascade which allows her to utilize her clinical skills and focus on providing the best care to each individual patient. Furthermore, she enjoys the interdisciplinary collaboration between all the staff at Cascade and personnel from HTCs, all of whom are dedicated to empowering patients in the Hemophilia community to live healthy and happy lives.

Roxana spends most of her free time traveling and visiting with family and friends. She loves being outdoors and staying active, yet she is also a foodie who loves to try new, local restaurants!

Coriano Ford, CPhT, Pharmacy Technician
photo of Coriano FordCoriano is from Ypsilanti, Michigan and is the proud father of four children: three girls and one boy. He has been in the pharmaceutical industry since 1997 in various roles included retail, mail order, inpatient as well as outpatient duties. I am extremely happy to join the Cascade family this year and I look forward to growing as a person and employee!
Sara Gligoroff, CPhT, Prior Authorization, Insurance Specialist

photo of Sara GligoroffSara is a graduate of Eastern Michigan University with a Bachelor of Science in Therapeutic Recreation. She has worked in many different pharmacy settings as a Pharmacy Technician throughout her career, most recently within a Specialty Pharmacy in Ohio. Sara is excited to experience a different aspect of the Pharmacy world, working with Prior Authorizations. In her spare time Sara likes to spend time with her husband and son enjoying the many things that Michigan has to offer.

Kirk Haddas, PharmD, Pharmacist
Kirk Haddas Kirk is a graduate of the University of Michigan where he earned his Doctor of Pharmacy degree. His previous pharmacy experience includes hematology/oncology, investigational drugs and pharmaceutical industry research and development.

Since joining Cascade in July 2019, Kirk has enjoyed becoming part of such a welcoming and patient-focused team who goes out of their way to work together with healthcare partners and patients in the community.

Kirk is a “car guy” and likes talking shop with others. He also enjoys spending time with his family doing a variety of activities including movies, concerts, football games or just hanging out and having dinner together.

Kristina Halcomb, CPhT, Pharmacy Technician

Kristina Holcomb, CPhT, Pharmacy TechnicianKristina joined the Cascade team in August 2021. She has many years of experience as a Pharmacy Technician in a variety of environments, including retail, long term care, and a medical office, and she is excited to add Cascade to that list; Kristina enjoys working with a team that is so dedicated to serving their community and creating positive outcomes for patients. She has a bachelor’s degree from Siena Heights University in Radio and TV Broadcasting. In her spare time, Kristina enjoys sewing, gardening, camping, dance parties with her sisters, and hanging out with her spouse, friends, and collies.

Dean M. Hindenlang, Ph.D., Director of Public Policy and Strategic Initiatives

Dean M. Hindenlang has been serving the nonprofit and government sectors for over 25 years, focusing on strategic planning, administrative oversight and governance, and coalition-building, through an equity-based lens. As Director of Public Policy and Strategic Initiatives, Dean understands the importance of coalition-building, while helping to ensure that individuals needing assistance are advocated for at multiple levels of community- and government-based engagement. He is a proven leader in assisting members of marginalized and underserved communities. Mr. Hindenlang holds a Ph.D. in Public Policy and Administration, a Master of Public Administration, a Master of Science in Marketing and Communication, and a bachelor’s degree in English.

Dean serves Cascade by engaging local and state authorities, as well as elected officials, on matters of public policy actions, projects, and patient education and advocacy. As the Director of Public Policy and Strategic Initiatives, Dean is acutely aware that change is an iterative process; equity is sustained not offered; and, that patients deserve the best possible care and advocacy, when accessing their healthcare providers.

Colleen Joiner, LMSW Clinical Care, Education and Outreach Manager
Colleen JoinerColleen started with the Cascade team in 2016. She attended Michigan State University and then Wayne State University for her Master in Social Work degree. Colleen has worked with individuals and families living with chronic illness throughout the span of her career including HIV/AIDS and geriatric health. She began working in the bleeding disorder community in 2001, and appreciates working with such caring and resilient group of people. She has 15 years of experience managing educational programming, psychosocial events and support services to individuals and families living with a bleeding disorder, and currently provides patient insurance navigation, education and outreach with Cascade. Colleen loves to travel and explore new cultures as well as spend quality time with friends and family.
Paul Kasdorf, Medical Insurance Billing Specialist/ Internal IT Support
Paul KasdorfPaul joined the Cascade team in 2018 and enjoys working with such a compassionate and dedicated staff in helping the community Cascade serves. He obtained his Certified Professional Coding certification from AAPC. Prior to Cascade, he was a project manager at L-3 Communications working on projects for federal, state, and automotive clients. Whenever time permits, Paul loves to go on road-trips and exploring our national parks with his family. Paul is a veteran of the United States Air Force.
Casey Kepczynski, PharmD, Pharmacist

Casey Kepczynski, PharmD, PharmacistCasey is a graduate of Ferris State University where she earned her Doctor of Pharmacy degree and an alumna of Oakland University where she received her Bachelor of Health Science. Her previous experience includes retail pharmacy, but she’s always had an interest in specialty pharmacy. Cascade and the Hemophilia community hold a special place in her heart by having family directly affected by the disorder. She is excited to influence the community with her clinical and personal knowledge within Cascade and is looking forward to collaborating with the variety of healthcare providers by using a team-based approach for every patient. Casey enjoys going out with her family and friends, taking care of her Pomeranian Gracie, and loves all things Disney.

Thomas Kwaske, AAS, Accountant/Bookeeper

Thomas Kwaske, AAS, Accountant/Bookeeper

Thomas graduated with an Associate’s of Applied Science – Accounting degree and an Accounting for Business Certificate in May 2020 from Washtenaw Community College. Thomas previously worked as an Accounting Assistant and an Accounts Payable Specialist. At Cascade, his responsibilities include assisting with the maintenance and balancing of the organization’s financial systems. He is still the “new kid on the block” at Cascade, but everyone has been very welcoming, and says he can “already tell this is an amazing place to work.”

Melissa Laustroer, CPhT, Operations Director

Melissa LaustroerMelissa is excited to work with Cascade as the Operations Director. She started in October of 2020 and comes from Spectrum Health Hospitals where she acted as the Data Manager and Pharmacy Coordinator for Helen DeVos’s pediatric Hemophilia Treatment Center. Melissa graduated in 2017 with her bachelor’s in human resources from Davenport University and is also a licensed pharmacy technician. In her spare time, Melissa enjoys camping with her husband Marco and their dog Tucker, baking, and traveling.

Mary McClure, Office Manager
Mary McClureMary began working at Cascade in 2012. As Office Manager, she is usually the first voice you hear when you call Cascade. She keeps the office flowing and makes sure our patients are directed to the appropriate staff. Mary is certified in Medical Billing and Coding. After learning about the Cascade mission and witnessing the compassion and hard work of the Cascade staff, she decided that she wanted to be part of Cascade. Outside of work Mary enjoys watching old movies, spending time with her family and serving her church.
Joanna Pangilinan, PharmD, BCOP, Compliance Officer
Joanna PangilinanAn Illinois native, Joanna attended the University of Illinois in Urbana-Champaign. She graduated from St Louis College of Pharmacy and completed a pharmacy practice residency at Northwestern Memorial Hospital in Chicago. Joanna started at Cascade in 2008 as an as-needed pharmacist. She currently works in the role of compliance officer ensuring that Cascade maintains its high accreditation standards. In her free time, she enjoys visiting Chicago, reading fiction and trying out new recipes on her husband and three daughters.
Ethan Perry, RPhT, Pharmacy Technician

Ethan Perry, RPhT,  Pharmacy Technician

Ethan joined the Cascade team in April of 2022. He has over 5 years of retail pharmacy experience and says he discovered his passion for pharmacy while working toward his Bachelor of Business Administration from Siena Heights University. Ethan joined Cascade because of his love for helping others. In his free time, Ethan enjoys playing card and board games with friends and family. He is also a big movie lover and continues to add to his collection.

Stephanie Sibrel, BSN, RN, Clinical Care, Education and Outreach Manager

Stephanie SibrelStephanie joined the Cascade staff in September of 2019 as a Registered Nurse with over 20 years of experience in the hospital and ambulatory setting. She obtained her Bachelor of Science in Nursing from Spring Arbor University. She has an immense passion for the bleeding disorder community having worked as the Nurse Coordinator for the Northwest Ohio Hemophilia Center in Toledo, Ohio. Stephanie loves volunteering in the community and has served at Camp Bold Eagle, on the FAMOHIO Board, and at multiple Northwest Ohio Hemophilia Foundation events. Stephanie lives in northwest Ohio with her husband, two sons and Golden Lab. She has 3 adult stepchildren and an infant grandson, and enjoys spending time with her family and friends, gardening, baking, serving at her church and traveling to Michigan’s many wonderful lakes. Stephanie will continue to cheer for her favorite football team, THE Ohio State Buckeyes, despite being surrounded by Wolverine and Spartan fans!! She is very excited to serve the entire region in her new role!

Debbie Whelan, LMSW, Clinical Care Manager
Debbie WhelanDebbie has a bachelor’s degree in Psychology and a master’s degree in Social Work from the University of Michigan. She has worked in a variety of settings including foster care, mental health, developmental disabilities and chronic illness. Debbie has worked in medical settings for the past 20 years including Henry Ford Hospital and Children’s Hospital of Michigan. She joined Cascade in 2009 as a Social Worker where she enjoys helping families and treatment centers navigate a myriad of insurance challenges. Debbie lives with her husband, two young adult sons and two cats. She enjoys camping, baking and is an avid Detroit Tigers fan.