CREATING a sustainable health system 2012 PROGRESS report CONTENTS 2012 PROGRESS report Letter from Dr. Jim Weinstein creating a sustainable health system what is a sustainable health system ? saving lives in 3d living beyond limitations creating change with value as our guide Thank You from Chair, Boards of Trustees donor profiles financial, clinical & operational data philanthropic contributions outpatient data boards of trustees & officers 1 4 14 16 20 24 26 28 38 39 39 39 Dartmouth-Hitchcock: Creating a Sustainable Health System, to Improve the Lives of the People and Communities We Serve for Generations to Come One of the greatest benefits of life is the opportunity to help a fellow human being. We in health care are especially blessed as we have the honor of caring for others every day. Everyone who works within Dartmouth-Hitchcock, whether involved in direct patient care or in a supporting role such as mine, is here because they believe in our mission and the work we do. Although health care is going through enormous change right now and the challenges can sometimes appear to cloud our successes, our fundamental commitment to delivering the very best, safest, most appropriate care to our patients and their families remains unshaken. Today, we are creating a sustainable health system for our patients and communities. Our vision includes new models of care, better methods of delivery, collaborations across the region and nationally, and improved efficiency and effectiveness to produce the highest quality care at the lowest cost. In the process, we are becoming a model for the nation. We’re proud of the work we do here and of our colleagues at every level who give 100 percent to doing that work. Most importantly, we are all proud and honored by the trust our patients have placed in us. The best care, in the right place, at the right time, every time. On behalf of everyone who works at Dartmouth-Hitchcock, that’s our pledge. Dr. James N. Weinstein CEO and President Dartmouth-Hitchcock is creating a sustainable health system; one that is proactive — working to keep people healthy with innovative methods and models of care that provide highest quality and best results, safely and at a fair cost. CONCORD Taking Care of Children Young patients receive personalized care at any of the CHaD locations throughout New Hampshire. Aubrey Anderson, age 5, left, enjoys her visit with Tessa Lafortune-Greenberg, MD, at the CHaD clinic located at D-H Concord. 2 3 NASHUA Taking Care of families D-H provides accessible, comprehensive and compassionate care to every member of the family at all D-H locations. Susan Krasner, APRN, examines expectant mother Rachel Dumais. We are building a network of care that will measurably improve the health and health care of the people we serve. Creating A Sustainable Health System “We are honored to be among the very best.” ~ Dr. Jim Weinstein A sustainable health system It is a system that “improves the lives of the people and communities Consortium study of academic medical centers that ranked us number we serve for generations to come,” in the words of Dartmouth-Hitch- one in efficiency and among the top performers in effectiveness of care cock CEO and President Dr. James N. Weinstein. and patient-centered care. In a different ranking, the Institute of Medicine at the National Academies of Sciences found that we have the That is the goal of all who work across the Dartmouth-Hitchcock (D-H) lowest utilization of imaging services, which is a distinction we are partic- system. Our approximately 9,000 employees—physicians, care provid- ularly proud of since overuse of imaging is a major driver of health care ers, staff—are working to create a system of health (not just health costs in the U.S. Dartmouth-Hitchcock also was selected number one care) for the people of our region. In the process, we are leading a among academic medical centers for its top performance on potentially transformation in the way care is delivered and expanding our activities avoidable admissions, length of stay, cost per case and 30-day readmis- beyond the traditional patient-doctor relationship. sion rates by Sg2, an analytics-based health care research group. Among the best With this solid foundation, we believe that working together as a team Our commitment to improve the quality and efficiency of the care we with our colleagues regionally and nationally, and with the people we provide never falters. We will not rest on laurels, but we are proud that serve, we can improve the health of our population by providing the our work received accolades nationally through a University Hospital highest quality, accessible and appropriate care, at a lower cost. 4 5 LEBANON Surgical Expertise From life-saving surgeries to elective procedures, surgical teams advance innovation throughout the D-H system. Ivan Tomek, MD, left, leads a team in anterior hip replacement surgery. Revolutionizing health care We are leading the revolution, moving from a system that communities where it is most convenient for them. D-H physicians are is currently built on gaining market share and producing often at work not just in our own facilities, but in hospitals all across the re- unnecessary care to one where value and one individual’s health are the gion. At the same time, we are talking to hospitals across New England most important objectives. to prepare for a future of tightened resources that will likely see many changes in the network of institutions that exists today. Dartmouth-Hitchcock has been building this new direction for some time. From shared decision-making and informed patient choice to new Growing collaborations models of care and innovative collaborations, Dartmouth-Hitchcock is Nationally, we are working with more than 18 health systems in the changing the dialogue between patient and caregiver. We are shifting High Value Healthcare Collaborative (HVHC). Founded by D-H along the emphasis of our profession from treating illness to ensuring health. with Mayo Clinic, Intermountain Healthcare, Denver Health, and The Dartmouth Institute for Health Policy and Clinical Practice in 2010, the Today, Dartmouth-Hitchcock reaches communities throughout New HVHC seeks to improve quality for patients while reducing costs for Hampshire and Vermont. Increasingly, we are partnering with other the nation. Its growing membership includes prominent health systems providers to make sure that care is available for patients in their own across the U.S., touching more than 70 million patients in all 50 states. 6 7 MANCHESTER Education & Advocacy As a designated refugee resettlement city, Manchester’s refugee population has increased significantly. Cultural barriers often impede education. Roshani Patel, MD, right, strives to educate this vulnerable population about breast cancer issues. We are committed to delivering high-value health care with the best quality at a fair cost. Finding solutions The HVHC is already achieving its promise. Its first study of total knee replacement has resulted in changes across its member systems that are reducing hospital stays and improving outcomes for patients. Key to the work is the sharing of data to arrive at best practices. HVHC is now looking at such conditions as diabetes and congestive health failure, with the same objective—to arrive at the very best care. Ultimately, all its findings will be available to hospitals and health systems throughout the country and around the world. All of this work has one central focus: the patient. Patients and their families deserve the very best care, individualized to their wants and needs, and delivered in locations and in ways that are most efficient, effective, safe and convenient for them. There are many challenges, but we believe there also is great opportunity. As a team of exceptional physicians and staff, with the partnership of the Geisel School of Medicine, Dartmouth-Hitchcock is meeting the challenges and working with dedication and innovation to achieve our goals as we create the future that will be best for patients and their families. 8 NASHUA Cancer Care in Communities The Norris Cotton Cancer Center provides a positive environment for treatment, cure and recovery at a variety of locations. Oncology nurse Amy Welch, RN, chats with patient Elyse Alkalah during a chemotherapy infusion at D-H Nashua. 9 We are grounded in tradition and focused on the future, building on a history of innovation, collaboration and constant improvement. 10 11 We are financially strong, honoring our responsibility to our patients, employees, and communities, now and in the future. the future is now 12 D-H is committed to the future health care of the communities we serve. Pictured is a class from the DHMC Daycare Center, enjoying a day of exploration. 13 It’s a system that improves It’s a system that delivers care the health of our population in the place and at the point of overall—not just the health of time or illness progression to the patients who walk through have the most impact on the the doors of our facilities. continued health of the patient. It’s a system that uses new models of care delivery to make care more accessible, less costly, and more effective. What is a sustainable health system It’s a system that works within our communities, as part of the fabric that holds us together. It’s a system that is It’s a system in which patients financially responsible, can say that this is the best investing prudently in people, experience they’ve ever had in infrastructure, innovation, a health care system, and that education, and research that they’re thankful we are here. will truly serve patients. It’s a system with a workforce working in new ways using the fullest potential of our talented and committed people. It’s a system that treats patients and families as partners in It’s a system that values care, knowing that patients integration and a network who are fully informed often of care, and partners locally, make choices they are happier regionally, and nationally to with than if they had left the improve health and health care. decision up to their physician. It’s a system that is transparent, sharing our It’s a system that measures It’s a system that drives processes and our results its results, so that we know change and improvement, with each other, with our how we are doing, how our rather than just letting patients and their families, and patients are doing, and that change happen to it. with other providers, to hold what we are doing is effective, ourselves accountable and ultimately to make us all better. necessary, and of value. 14 15 Saving Lives in 3D On the eve of undergoing a partial mastectomy of her right breast late in the winter of 2011, Linda Burroughs received a phone call from her radiologist at Dartmouth-Hitchcock, Steven Poplack, MD. “He’d been thinking about me and had re-examined the mammogram of my left breast, and he asked if I would be willing to join a study and have tomosynthesis—the very latest in breast-imaging technology,” Burroughs recalls. “He told me, ‘We have this new machine. It’s 3-D.’ I’d been having mammograms all my life, and I didn’t know they were 2-D. But I said, ‘Sign me up: I’m there.’” As the 47th subject among 50 of a clinical trial comparing tomosynthesis to MRI, Burroughs was joining the study relatively late … and just in time. The Digital Breast tomosynthesis (DBT) imaging detected an abnormality in the left breast, and after a biopsy confirmed the presence of more cancer, D-H surgeon Kari Rosenkranz, MD, LEBANON research advances D-H was among the first institutions in the United States to do research on tomosynthesis, the latest in breast imaging technology. For Linda Burroughs, left, with Steven Poplack, MD, this new imaging modality detected a breast cancer that was not found on a mammogram. performed partial mastectomies on both. Four days later, Burroughs Nearing the end of the current clinical trial, D-H researchers are was joining friends on a long-planned trip to Washington, DC. analyzing data they gathered from Burroughs and the 49 other Following precautionary radiation treatments, she is now enjoying time patients, comparing tomosynthesis with Contrast Enhanced Magnetic with her husband and a future that, for now, appears cancer-free. Resonance Imaging (CEMRI) in the setting of a new breast cancer diagnosis. “It’s been an astonishing experience,” Burroughs said. “This shows what it means to diagnose a person, to be able to learn so much more and be able to give you the right answers.” Poplack is quick to point out after nearly a decade of research into the technology, that “It’s about the technology, but it’s about the people too.” ~ Linda Burroughs more investigation is needed to learn how it will help and how it will best serve. For example, while in Burroughs’ case DBT detected a breast cancer that was not seen on the standard mammogram, it helped spare other subjects of the study the anxiety of receiving false positive diagnoses. While the researchers continue to fine-tune the technology and strive to better understand its benefits, patients like Linda Burroughs Poplack’s team has been collaborating with researchers from the Norris are helping to spread the word about the promise of tomosynthesis, Cotton Cancer Center and the Thayer School of Engineering since 1999 to especially for women with dense breast tissue, as well as the care that develop new breast imaging technologies to both detect breast cancer and women can expect from clinicians and researchers at D-H. 16 limit false alarms. Dartmouth-Hitchcock was among the first institutions in the United States to do research on the tomosynthesis technology, Poplack “Another year [without detection of cancer in her left breast] could says, and was one of five institutions that contributed data that led to its have been too late for me,” says Burroughs. “It’s about the technology, approval from the federal Food and Drug Administration. but it’s about the people too.” 17 emergency care anywhere Dartmouth-Hitchcock Advanced Response Team (DHART) crews provide both ground and air medical transportation services to the medical communities of Northern New England. We are integrating across our region, collaborating to deliver health care with excellence and efficiency where and when patients need us. 18 19 Living Beyond Limitations What leaps out first about Jovante Rodriguez is his bright gaze. He has large, dark eyes and a peaceful smile, reflecting the spirit that refuses to dim beneath the tubes, the bandages, the wires, the tape, the needles, the scars. Jovante, was born premature with a constellation of serious issues including brain damage, seizures and asthma. He cannot walk, talk or eat. Until recently, he needed an ileostomy bag (allowing waste to leave the body through a tube) due to complications from bowel operations. His foster mother, Becky Orton, brought him to Children’s Hospital at Dartmouth (CHaD) when he had trouble breathing and was in danger of developing pneumonia. Many specialists at CHaD were involved in Jovante’s care. Overseeing that care is Shawn Ralston, MD, DartmouthHitchcock’s director of Hospital Medicine. Orton remembers the team of hospitalists and other care providers who took care of her son through the weeks he was at CHaD. “All of them became quite involved,” she says. “They all got to know him quite quickly. A lot of it was problem solving.” Jovante Rodriguez’s medical challenges are immense. But with the support of his foster family and the expert care of his CHaD caregivers, this young patient has a chance to live beyond his body’s limits. When Jovante’s breathing had stabilized, surgeons repaired Jovante’s wishes. Part of that relationship included engaging Orton in family- lower intestine and removed the ileostomy bag—but he continued centered rounds, the deliberate practice of inviting patients and families to to have problems with blood pressure, heart rate, feeding and other be part of regular rounds with students, residents and nurses. It’s standard issues. He ended up staying at CHaD for nearly a month. practice at CHaD. “These rounds allow families to watch the team work, and to see the thought and deliberation that go into taking care of their Orton easily rattles off the list of specialists who were at his side, including child every day,” says Ralston. physicians from Pulmonology, Nephrology, Neurology, Gastroenterology, Surgery, Cardiology and Urology. Ralston helped ensure that Orton was Part of Ralston’s job is to help families understand that medicine still up to date on everything that developed and involved in every decision, involves a great deal of uncertainty. “Our society sees medicine as and made sure that Jovante’s many other caregivers were aware of her having answers,” Ralston says. “If we do enough tests, or the right tests, we’ll be able to diagnose the problem. However, those of us who work in the hospital know that clinical uncertainty is incredibly common. Our job as doctors sometimes consists solely in helping the patient and family understand this, especially in pediatrics.” Photo courtesy of becky orton Jovante is now back home with his family and doing well. “He requires 24/7 care because he can’t do anything for himself,” Orton says. “But his spirit is huge, and he melts my heart with his big smiles and bright eyes. I love this boy with all my heart and can’t wait until he’s legally, officially ours.” “Getting to know Jovante and his mother was, for me, one of those things Communication is the key to patient-centered care for CHaD’s team of hospitalists. Shawn Ralston, MD, center, with Matthew O’Connor, MD, and Michelle Shepard, MD. that make me love my job,” Ralston says. “Becky is an amazing caregiver, and he is a really bright spark, despite living in a body with a lot of limitations. And, while I hope to see him again outside of the hospital, I really hope he doesn’t have to be my patient again anytime soon.” 20 21 We are constantly learning, embracing our status and responsibility as an academic medical center to advance research and education that improves the health of our population. LEBANON shaping medical minds Teaching future clinicians is woven into the daily fabric of patient care. John Modlin, MD, center, is one of many D-H faculty dedicated to medical education. Pictured with trainees Claude-Lyne Valcin, MD, left, and Kate Russell, right. 22 23 LEBANON patient-centered caRE Low readmission rates are one example of how D-H is leading the shift from a volume-based to a value-based reimbursement system. Alan Kono, MD, right, with patient Caron Bronstein, is one of a team of clinicians who are demonstrating coordinated follow-up care keeps patients out of the hospital. Creating Change with Value as Our Guide Dartmouth-Hitchcock ranks in the top 1 percent of hospitals in the country in its care of heart failure and heart attack patients. For over a decade, Alan Kono, MD, director of the Congestive Heart D-H has achieved excellent performance on this quality measure, Failure Clinic at Dartmouth-Hitchcock (D-H), has refined a basic, yet ranking in the top 1 percent of hospitals in the country in its care of important, strategy to keep his patients healthy after they leave the heart failure and heart attack patients. hospital—coordinated follow-up care. The results—which are based on discharges from July, 2008 through June, “The first 24 hours after a patient is discharged is a critical factor in 2011—are even more impressive considering that D-H is a major “safety-net” determining whether they end up back in the hospital,” he says. Kono and hospital in New Hampshire, providing services to patients who are unable a team of nurses, doctors and care managers empower patients to play an to pay for their care. On average, safety-net hospitals (mostly academic active role in their healing process with patient education, nutrition and medical centers) had higher readmission rates than their counterparts. fitness coaching, and frequent follow-up phone calls. Their goal is to help patients recover successfully once they’ve left the hospital. In the coming year, D-H will be engaged in a number of governmental and commercial insurer incentive programs aimed at making care more While this strategy may not seem typical of the treatment generally effective and efficient for selected populations of patients. prescribed by a nationally renowned heart specialist, the work of Kono and his team is exactly why D-H has surpassed other institutions in “Our performance in this area reflects the exemplary work done by real a key quality indicator that is measured by the Centers for Medicare experts in coordinating follow-up care for patients so they can recover and Medicaid Services—readmission rates. Readmission rate refers successfully once they’ve left the hospital,” says George Blike, MD, Chief to the percentage of patients who are readmitted to a hospital after Quality and Value Officer at D-H. “That’s what reducing readmissions is 24 being previously discharged for the same medical condition. As part all about—improving the care we provide to our patients. We don’t have 25 of federal efforts to improve quality and lower costs of care, hospitals a national health care system that is financially sustainable at this point. across the country now must pay penalties for poor readmission rates We’ve got to create it, and part of creating it is going to be executing with their Medicare patients. change with value as our guide.” Anonymous (27) Bruce and Stephanie Andrus Ed and Judi Becker Selina and Brian Boxer Wachler 670, LLC Anesthesia Associates of New London Becton Dickinson Dr. DeRayne Boykins William P. Annable Bedford Ambulatory Surgical Center H. P. Boyle, Jr. ANSYS, Inc. Philip E. Beekman Anthem Blue Cross Blue Shield Dr. Brion J. Beerle Apple Therapy Services Mr. and Mrs. Peter G. Behr Jeanine Arden-Ornt Dr. Anthony J. Beisler IV Arianne Nemelks Support Foundation Dr. and Mrs. Charles F. Belanger, Jr. Armbrust International Bellwether Community Credit Union Benjamin Moore & Company Annette Bressett Eleanor Carol Bennet Pauline Brine Dr. and Mrs. Steven P. Bensen Barbara K. Bristol and Galway Kinnell AAMI Foundation Abbott Laboratories Dr. and Mrs. William A. Abdu Sally and Gershen M. Abraham Donna and Peter Abramov Matthew E. Abramov (deceased) Mr. and Mrs. William F. Achtmeyer Dr. and Mrs. John G. Adams Adirondack Community Trust Dr. Mary B. Arnold Advanced Cardiovascular Imaging Dr. Bradley Arrick and Danielle Jones Advanced Peer Exchange Dr. Diane L. Arsenault and Peter R. Pirnie AFLAC AGE Inc. Dr. Jeral L. Ahtone Dominic C. Albanese Dr. and Mrs. Anthony S. Albert Mr. and Mrs. Judd H. Alexander Dr. and Mrs. Raymond Alexanian Joseph and Elizabeth Asch Joan Ashley AstraZeneca Pharmaceuticals Athletico Physical & Occupational Therapy Atlantic Air Products Manufacturing, LLC Mr. and Mrs. James D. Austin Allan’s Vending Service Autism Speaks, Inc. Rita Allen Foundation AutoFair Group AllianceData Mr. and Mrs. Christopher J. Auty Daniel S. Bernstein and Claire Foerster American Heart Association Dr. and Mrs. Perry Ball The American Legion Department of New Hampshire Bank of America American Society of Dowsers American Urological Association New England Section Mr. and Mrs. Kenneth S. Barclay Barrette Family Fund Ray and Cynthia Barrette Jay Bartlett Allan and Jane Ames Dr. James R. Barton Amoskeag Beverages Mr. and Mrs. Thomas J. Bascetta Amphenol Backplane Systems Dr. Ellen E. Adams Bassett and James P. Bassett Anagnost Investments, Inc. Dr. Holly S. Andersen and Douglas A. Hirsch Drs. Lavonne and Paul Batalden Baxter Healthcare Corporation Charles H. Anderson Mr. and Mrs. Richard Bayles Dr. and Mrs. Eric R. Anderson Bayside Distributing Patricia M. Anderson B/E Aerospace, Inc. Dr. and Mrs. Blair J. Andrew Mark and Ann Beams John Carey and Lisa Baldez Dr. Glenn M. Brady Chris and Alyson Carpenter The Breast Cancer Research Foundation Sandra D. Carpenter Carroll Concrete Company Rowan A. Carroll Mr. and Mrs. Russell L. Carson Ann B. Carter Casner & Edwards Binnacle Family Foundation Dr. Mark J. Brodkey Neil and Molly Castaldo Prof. and Mrs. Robert B. Binswanger Marlene Brody The Catanzaro Family Dr. Frances C. Brokaw Dr. Edward Catherwood and Terri Catherwood BJ’s Charitable Foundation Dr. Laurie Blach Drs. W. Blair Brooks and Nancy Philips Mr. and Mrs. Leon D. Black Mr. and Mrs. Arthur K. Brown Estate of Elizabeth M. Brown Prof. David Blanchflower American College of Radiology Caravan Trading LLC Bess and John R. Bradshaw Jennifer and Peter Brock Cynthia G. Blake Mr. and Mrs. William J. Baldasaro The Capital Group Companies David and Ann Bradley Burton and Esther Bickford Mr. and Mrs. Theodore E. Bachelder American Cancer Society Dorothy Campion-Corcoran Sargent Bradlee, Jr. Lisa G. Cashdan and Peter R. Stein Axio Enterprises BAE Systems Employee Community Fund Mr. and Mrs. Robert Boynton Rosy H. Bi AVEO Pharmaceuticals David Badurina Mr. and Mrs. Robert A. Campbell Bristol-Myers Squibb Foundation The Beveridge Family Foundation Dorothy L. Alpert and Morrey Halfon American Academy of Neurology Institute Katharine S. Boynton Dr. Kristin Pisacano Casale Mr. and Mrs. William F. Allyn Amalusia, Ltd. Mr. and Mrs. Reid T. Campbell John W. Bristol Fund of the Vermont Community Foundation BlackRock Financial Management Gladys Alvarez Dr. and Mrs. Lawrence A. Callaway Brown Furniture Dr. Mark W. Brown Casella Waste Systems Catholic Medical Center Drs. Margaret A. Caudill-Slosberg and Richard M. Slosberg Jim and Susan Cavanagh Mr. and Mrs. Charles L. Cavness Rosemary and Gary Brown Childhood Cancer Lifeline of New Hampshire Buchanan Family Foundation Stephen P. Ceglarski Mr. and Mrs. Arthur N. Budge Mr. and Mrs. C. Michael Celenza Dr. and Mrs. Kenneth W. Burchard Central Paper Products Company Richard L. Burke Centrix Bank & Trust Patricia W. Burnham Centurion Corporation Atie E. Blinn Burrows Little Falls Foundation CGI Employee Benefits Group Dr. Brian Daryl Blondin Dr. and Mrs. Sanders Burstein Dr. and Mrs. John A. Chabot Barbara Blough Dr. and Mrs. David C. Bush Dr. Kathleen H. Chaimberg Blue Sky Restaurant Group Drs. John and Lynn Butterly Dr. and Mrs. Ta Yuan Chang Body Armor Outlet Buttura & Gherardi Granite Artisans Mr. and Mrs. John F. Chaplin Mr. and Mrs. Robert P. Bland Mr. and Mrs. Christopher D. Blau Marcie and Harry Bleiwise Ruth and Pete Bleyler Drs. George T. Blike and Rebecca L. Johnson Boloco Restaurant Mr. and Mrs. James K. Bonney Books A Million Borealis Ventures Management Company Mrs. Murray Bornstein Boston Scientific Corporation Anne L. Boswell Dr. Francis P. Bowles and Margaret C. Bowles Drs. James W. Byers III and Stephanie A. Chuipek Barbara and Win Chase Dr. Mildred Chen Dr. Ira Byock and Yvonne Corbeil Chiavacci Family Foundation Dorothy and John J. Byrne, Jr. Barbara M. Child The Jack & Dorothy Byrne Foundation Children’s Fund of the Upper Valley C&S Charities, Inc. CHMC Anesthesia Foundation Cabot Creamery Cooperative Ann and Scot Christiano Caldwell Law Dr. Kyung H. Chung Chicago-Soft Mr. and Mrs. Edward E. Emerson, Jr. Frank W. Whitcomb Construction Dr. Peter W. Emery Dr. Joseph W. Franklin Endowment for Health Fraternal Order of Eagles 3765 Ladies’ Auxiliary Dr. George F. Clabaugh Dr. and Mrs. Brian Crathern Jesse F. Devitte Dr. Cantwell Clark V and Susan L. Mansfield Vicki Craver Dr. William E. Dewhirst Drs. Joseph and Carolyn Cravero Sandra Dickau Fred and Sophia Crawford David S. Dickenson II Dr. (deceased) and Mrs. Robert Crichlow Melville P. Dickenson (deceased) Crohn’s & Colitis Foundation of America Mr. and Mrs. S. Whitney Dickey Ensearch Management Consultants Cheryl Dickson Stephen Ensign Mr. and Mrs. Courtland J. Cross Anthony J. Dietz Epic Systems Corporation Alexandra Essey Richard Essey Drs. Jane R. Clark and Jonathan P. Gertler Clarke’s Hardware Dr. David Cloutier Coca-Cola Bottling Company of Northern New England COCO Mart, Inc. John S. Engelman Fraternal Order of Eagles New Hampshire State Grand Aerie Fred Fuller Oil Company Dr. John R. Freeman Harris B. Freidus Dr. Jeffrey Cohen and Renee Vebell Dr. and Mrs. John F. Crowe Dr. and Mrs. James A. DiNardo Judy and Tom Csatari Mr. and Mrs. Jeffrey A. Dionne Susan N. Cohen Cullenberg & Tensen, PLLC Mr. Frank Dluzniewski Mr. and Mrs. R. Bradford Evans Dr. and Mrs. Mitchell D. Cohn Christine Cullenberg Dr. and Mrs. Thomas M. Dodds Mr. and Mrs. Edwin D. M. Evarts Estate of Oscar M. Cohn Cumberland Farms Cleveland H. Dodge Foundation Mr. and Mrs. George H. Evarts Dr. and Mrs. Thomas A. Colacchio Mary S. Cunningham Gail and Frank Dolan Evergreen Capital Partners Frito Lay Penny and Andrew Cunningham Mr. and Mrs. Milton Frye Dr. Sandra J. Cunningham Dr. and Mrs. Emil R. Dominguez, Jr. EVO Products Corporation Colby-Sawyer College Coldwell Banker Redpath & Company Barbara and Tom Cole Cure With Hope John J. Donahoe II and Eileen E. Chamberlain Drs. Peter and Bonni Curran Drs. Richard and Miriam E. Donn Current Concepts Foundation Dr. Alan E. Donnenfeld Drs. Jesse W. and Judith S. Currier Drs. Eric D. Donnenfeld and Marleen B. Donnenfeld Mr. and Mrs. Philip R. Currier Downs Rachlin Martin PLLC The Colgan Family Foundation Cystic Fibrosis Foundation Therapeutics Mary and Allan Doyle Mr. and Mrs. Miles C. Collier D.F. Richard, Inc. S B Collins, Inc. Drs. Lawrence and Linda Dacey Comcast Brian and Erika Dade The Commonwealth Fund Kevin Scott Dalrymple Foundation H. Howard Colehower Foundation Fund of The Philadelphia Foundation Mr. and Mrs. William S. Colehower The Community Foundation for the Greater Capital Region’s Bill and Mary Barnet/Carol B. and Alan Fuchs Donor Advised Fund Dr. and Mrs. Aristotle J. Damianos Computac Dancesteps Etc. Mr. and Mrs. William J. Conaty Daniell Family Foundation Mr. and Mrs. Vincent S. Conti Mr. and Mrs. Craig D. Darling Convent General Knights of the York Cross of Honour (A Masonically Affiliated Organization) Dartmouth Transportation Company Drs. Anne E. de Papp and Daniel G. Dadourian The Co-op Food Stores Dr. and Mrs. Milton Cooper Dr. and Mrs. Miguel Damien Dr. David Doyle Dr. Laurie F. Draughon DreamWorks Animation SKG Dr. and Mrs. Douglas M. Dressel Christine M. Driscoll-Carignan Mr. and Mrs. Michael M. Drouin Mr. and Mrs. Richard B. Drubel, Jr. Bernard V. Drury The Dublin Fund Dulude Family Foundation Drs. Diane Dwyer and Joseph Gall Eastman Golf Association Ken and Vickie French Calvin W. Frese Mr. and Mrs. Sam Frieder Dr. and Mrs. Alan J. Friedman Exxon Mobil Foundation Dr. and Mrs. Freddie Ho Keung Fu Mr. and Mrs. Peter M. Fahey Rabbi and Mrs. Alan D. Fuchs Sherman Fairchild Foundation FUJIFILM Dimatix Fairpoint Communications John N. Fulham III and Wiley M. Fulham Dr. and Mrs. William E. Falk Michael and Sharon Fanger Farmington Fire & Rescue Association Dr. and Mrs. Charles S. Faulkner II Mr. and Mrs. James N. Fawcett Mr. and Mrs. Barry M. Feinberg Mr. and Mrs. Philip J. Ferneau Dr. and Mrs. David R. Fett The Fine and Greenwald Foundation Dr. Ann Furtado Dr. Imre Gaal, Jr. Gabelli & Company Gabrielle’s Angel Foundation for Cancer Research Gallagher, Flynn & Company Dr. Stephen J. Galli Mr. and Mrs. A. John Gambs Game Creek Video Cynthia Gannaway First Republic Securities Company Garnet Hill Fisher Cats Foundation Mr. and Mrs. Michael S. Fletcher Dr. and Mrs. Theodore H. Gasteyer II Dr. and Mrs. Timothy P. Flood Gate City Electric, LLC Mr. and Mrs. Douglas C. Floren The Bill and Melinda Gates Foundation Robert J. and Leigh M. Garry Hugh M. Eaton III Florida Association of Neonatal Nurse Practioners Theodore L. Gatsas Katharine Z. Eaton Philip de Toledo Fogg’s Stoneworks Mr. and Mrs. Robert J. Eckenrode Mr. and Mrs. Manton Copeland III Dr. and Mrs. Ralph A. DeFronzo, Jr. Edwards Lifesciences Dr. Brent Forester and Kimberly Lewis Dr. Marc Gautier and Sarah H. Davie Dr. and Mrs. G. Robert Delong Susan M. Eichholz Dr. and Mrs. Alan B. Gazzaniga Carlos A. Cordeiro Foundation Nancy and John Formella Dr. David Eisner Mark Formica and Linda Brunini-Formica General Electric Foundation Jayne and Michael Costello The Demers Group Cottage Hospital Susan Dentzer and Charles Alston Foundation for Informed Medical Decision Making Geokon Foundation for the National Institutes of Health Dr. Barbara and Michael Gerling John J. Cotter Estate of Eleanor and Norris Cotton Couch Family Foundation The Couch Philanthropy Fund Mr. and Mrs. Richard W. Couch, Jr. Depuy Mitek, Inc. Derry Sports & Rehab, LLC Mr. and Mrs. Jonathan B. Detwiler Dr. R. Paul Detwiler Devine, Millimet & Branch, P.A. Dr. John F. Eisold The Stuart S. and Barbara R. Elkind Trusts Drs. R. Mark Ellerkmann and Ariane Cometa Dr. and Mrs. Robert M. Ellsworth Mr. (deceased) and Mrs. Louis B. Ely, Jr. Mr. and Mrs. Norman W. Gavin Mr. and Mrs. Antonio Gentile The Gerber Foundation Dr. Diane Louise Fountas Kathleen Geurkink Joan P. Fowler Gilbane Building Company Jonathan R. Fox James Gilbert David T. Foy Phoebe H. Giles 26 27 Donor profile Out of tragedy comes triumph extraordinary dedication In memory of his daughter, Kristin, John Xiggoros has raised more than $1 million for CHaD’s pediatric oncology unit. Dartmouth-Hitchcock recognized his extraordinary dedication with its 2011 Outstanding Community Ambassador Award. Photo by jon gilbert fox Many milestones mark the journey that John and Patty Xiggoros began when their daughter, Kristin, was diagnosed with a rare form of lymphoma more than 15 years ago. Some milestones are tragic, such as Kristin’s death in 1997 after a three-year fight with the disease. And some are triumphant, such as surpassing $1 million in donations to Kristin’s Gift—a fund that the Xiggoroses established in memory of their daughter at the Children’s Hospital at Dartmouth (CHaD). Kristin’s Gift underwrites projects and programs at CHaD’s pediatric oncology unit in Lebanon and Manchester, NH, offering hope and support to hundreds of children and families. A gift in September 2011 from St. Louis Cardinals pitcher Chris Carpenter and his wife, Alyson, pushed the fund over the $1 million mark. The Carpenters made the gift a few days before DartmouthHitchcock awarded John Xiggoros the 2011 Outstanding Community Ambassador Award for his tireless fundraising efforts. “We’re not rich people, but if you don’t have money, then you can volunteer; if you have money, give it,” said Xiggoros upon receiving the award. His passion for helping kids with cancer and for supporting CHaD is rooted in the care his daughter received so many years ago. “When Kristin was sick we visited many hospitals . . . some of the great centers,” said Xiggoros. “It was a long journey, but at Dartmouth-Hitchcock and CHaD all we felt was love and happiness and just a culture of caring for the patient. I can’t think of a better place to get passionate about than Dartmouth-Hitchcock because the bottom line is it cares for the kids, it cares for you, it cares for us.” Donor profile Dartmouth-Hitchcock Annual Fund sets a new record Those who give to the Dartmouth-Hitchcock Annual Fund (DHAF) come from all walks of life and locations near and far. Some are former patients or their relatives. Others are employees or community members. But the handwritten notes that sometimes accompany these donors’ gifts share a common theme of gratitude. “My husband and I want to thank everyone for the wonderful care that we receive from DartmouthHitchcock,” wrote one recent donor from central Vermont. Such gratitude and the generous contributions of 3,287 donors propelled DHAF to a record-breaking finish for the year ending June 30, 2012. Many previous donors and 752 first-time donors gave a total of $802,628. Gifts to DHAF are put to work immediately to meet the institution’s most urgent needs. The Fund also supports the broader academic medical enterprise, including the Geisel School of Medicine at Dartmouth, whose faculty, students, and researchers help ensure that the latest in biomedical research and medical advances are available to D-H patients. The Annual Fund’s success this year would not have been possible without the DHAF Working Group, a committee of volunteers drawn from the DartmouthHitchcock Assembly of Overseers. David Cioffi, who has chaired the committee for many years, brought his usual tireless energy to the effort and helped rally new and previous donors. “Dartmouth-Hitchcock always rises to the occasion to bring world-class health care to the communities it serves,” says Cioffi. “Likewise, community members have risen to the occasion to support Dartmouth-Hitchcock with their generous gifts.” Other members of the Working Group are Barbara Blough, Linda Burroughs, Jane and Jack DeGange, Phil Desmond, Brian Doyle, Joan “Posey” Fowler, Mike Gerling, Susan Leahy, Jerry and Nancy Mitchell, Gary Neil, Don Wharton, and John Woodward-Poor. extraordinary gRATITUDE Almost 3,300 donors made gifts to the Dartmouth-Hitchcock Annual Fund during the year ending June 30, 2012. Their generosity supports a broad range of patient care, teaching, and research activities at Dartmouth-Hitchcock and the Geisel School of Medicine. 28 29 Dr. and Mrs. Steven Gillis Mr. and Mrs. Gordon C. Gilroy, Sr. Global Forest Partners LP Gertrude M. Goff Mr. and Mrs. Daniel A. Gold Ron and Liz Goldberg William Goldman Foundation Gold’s Gym Maya D. Goldschmidt Alan Golub Mr. and Mrs. Jeffrey P. Goodell Dr. and Mrs. Roger R. Guillemette Dr. Simon C. Hillier and Kimberley Hillier Dr. Randi E. Isaacs and Michael J. Zaidel Paul and Veronica Guyre Hinckley, Allen & Snyder LLP Dr. and Mrs. Mark A. Israel Barbara F. Hall Dr. Francis H. Hinnendael Mr. and Mrs. Almon W. Ives Reverends Lyle and Lisbeth Hall Mr. and Mrs. David G. Hobart Catherine H. Jacobus Robert Halper Foundation Mr. and Mrs. John A. Hochreiter Dr. and Mrs. Ross A. Jaffe Mr. and Mrs. Roger W. Hamblin David Hodgson Jane’s Trust Hamill Family Foundation Dr. Eric K. Hoffer and Anne W. Gordon Mr. and Mrs. Daniel P. Jantzen Dr. and Mrs. Walter C. Kerschl Alex Jasiukowicz Dr. and Mrs. Richard I. Kertzner Russell A. Holden John Hancock Matching Gifts Program Drs. William M. and Cynthia Nichols Kettyle Estate of Helen H. Holland Johnson & Johnson Robert D. Kilmarx Mr. and Mrs. Romer Holleran Johnson & Johnson Contribution Fund Kimball Union Academy Dr. and Mrs. Charles Hamlin Hampshire First Bank Alice F. Hance Mr. and Mrs. Earl T. Hoffman Dr. and Mrs. David C. Goodman Mark Hansen Mr. and Mrs. Sean M. Gorman Dr. and Mrs. A. Stuart Hanson Dr. E. Ann Gormley and Richard Wallace Alex and Laura Hanson CGF Maureen L. Gosselin Dr. and Mrs. Russell W. Hardy, Jr. Granite State Harley-Davidson Dr. William D. Harley Mr. and Mrs. Wayne G. Granquist Dr. Allan C. Harrington Ward F. Gravel, D.D.S. Mr. and Mrs. Roby Harrington III Liz and Alex Gray Chip and Wendy Harris The Greater Cincinnati Foundation John and Alice Harrison Dr. Alan I. Green and Frances S. Cohen Dr. and Mrs. James M. Hartford Dr. Harriet W. Hopf and Leo M. Hopf Lori R. Hartglass and Ralph J. Schwan Dr. John Houde and Jennifer Rybeck Houde Drs. Gregg S. and Jinny K. Hartman Mr. and Mrs. Coleman W. Hoyt Robin Lois Green Dr. and Mrs. William R. Green Dr. and Mrs. Jonathan A. Greenberg Estate of Robert J. Greene Dr. and Mrs. Jeffrey S. Greenwald Hugh Gregg Foundation The Hon. and Mrs. Judd A. Gregg Julia N. Griffin and John A. Steidl Robert E. Griffin Hugh and Shana Griffiths Dr. and Mrs. Bruce G. Hardy Drs. John and Joyce Harrison Harvard Pilgrim Health Care Foundation Harvey Construction Corporation Holloway Motor Cars Dr. Richard W. Holt and Ann T. Wallace Tony and Linda Johnson Anne and Kimpton Honey Dr. and Mrs. Stephen J. Johnson Charles H. Hood Foundation Mr. and Mrs. Robert F. Johnston Melanie J. Hook Mr. and Mrs. A. Wilson Jones Drs. P. Jack Hoopes and Vicki Scheidt Joan H. Jones Hank and Lynn Hopeman Foundation Dr. Jiong-Ming Hu and Yi-Jun Chen Mr. and Mrs. John A. Hubbard Wentworth Hubbard Jeffrey Hastings and Kathy Emery-Hastings Estate of Frances T. and Earl H. Huff Hawkins Delafield & Wood LLP Howard Hughes Medical Institute Jane and Monte Haymon Ellen Foscue Johnson Jordan & Kyra Memorial Foundation Dr. Peter G. Kachavos Dr. Sarah A. Kahn and Richard M. Routhier Dr. and Mrs. John S. Kaiser Dr. Robert M. Kamen Drs. Catherine and Samuel Katz Mr. and Mrs. Jeremy L. Katz Hyannis Air Service, Inc. Dr. Anne M. Hebert and John P. Cooke Dr. and Mrs. John W. Hyland The Julia and Seymour Gross Foundation Richard W. Grossman and Elaine R. Warshell Dr. Bonnie Henderson and Edward Henderson Dr. and Mrs. Hardy Hendren III IBM Corporation Illinois Bone and Joint Institute Mr. and Mrs. Jeffrey R. Immelt Impact Applications, Inc. Gryphon International Investment Corporation Hendricks/Felton Foundation Heritage Operating, L.P. Invest in Others Charitable Foundation Drs. Mary Lou and C. Robertson Guerinot Dr. and Mrs. Michael J. Hession Drs. Margaret F. and Marshall A. Guill III Mr. and Mrs. Merrick Kleeman Rona Klein Mr. Frederick P. Koallick Mr. and Mrs. Murray P. Kohl Kohl’s Department Stores Susan G. Komen for the Cure Dr. C. Everett Koop Barbara and Eugene Kopf Dr. and Mrs. Paul C. Koutras Hearing Health Foundation Hypertherm H.O.P.E. Foundation Kiva Foundation Kraft Foods Global Dr. and Mrs. Walter C. Griggs The Henderson Family Foundation Kinney Pike Insurance Drs. Kathleen M. Katamura and Kenneth R. Larsen Mr. and Mrs. Alfred L. Griggs Peg A. Grondin King Arthur Flour Bruce and Mary King Mr. and Mrs. Richard M. Kosnik Peter D. Kaufman Dr. Kent Hymel Kimberly-Clark Corporation Karen’s Climb Foundation Mr. and Mrs. Raymond J. Hutchinson William W. Helman IV Elizabeth C. Kent Dr. Carolyn Kerrigan and David Greenwood Dr. and Mrs. J. Gregory Kane Dr. and Mrs. John A. Heaney Grimshaw-Gudewicz Charitable Foundation Ann D. Kent Ella M. Korenman Kaufman, Hall & Associates Jessica S. Griffiths and Timothy J. Wennrich Kendal at Hanover Brian E. Kensil Estate of Edward and Lucy Kammler Charles and Elva Hutchinson Healthcare Services Preston T. and Virginia R. Kelsey Posy and John H. Krehbiel Dr. Thomas R. Kuhns Carl A. Kuniholm and Rick Kuniholm Dr. Vlavas Kaupas Dr. Benedikt Kurz and Sandia Wang Dr. and Mrs. Haig H. Kazazian, Jr. L&D Safety Marking Hannah Kearney L&D Worksafe Mary Hart Keeley Lafayette Fireside Inn Dr. and Mrs. Robert C. Keene John D. Lafayette Dr. Jonathan P. Keeve Drs. John M. and Margaret J. Lagnese Al and Jo Keiller Dr. and Mrs. Robert B. Keller Dr. E. Lynne Kelley and Charles F. Kelley Lake Sunapee Bank Lakes Region Ice Racing Club Mr. and Mrs. Brian T. Lally Dr. Thomas W. Irvine Dr. Elizabeth A. Kelley and Robert H. Dumanois Drs. David R. and Andrea H. Lambert HHP, Inc. Irving Oil Corporation Kellogg’s Mr. and Mrs. John R. Lamoureux Dr. and Mrs. Donald W. Hight Mr. and Mrs. Robert H. Irwin Dr. James V. Kelsey Dr. Carol L. Langley Dr. Stephanie R. Lash Mr. and Mrs. John B. Lovelace Susan M. Mayer (deceased) Dr. and Mrs. Peter J. Millett NEPC, LLC Drs. Laurie and John Latchaw Joyce and Clair Lovell Mr. and Mrs. Peter H. Milliken Scott A. Neslin Estate of Edward Connery Lathem Drs. Daniel and Catherine Lucey General William Mayer Foundation Ellen C. and Keith B. Minard Mr. and Mrs. Charles F. Nettleship III Dr. and Mrs. Glenn W. Laub Lumina Foundation for Education Mr. and Mrs. Harold A. LaValley Bud and Terri Lynch James S. Lawrence Dr. and Mrs. D. James Lawrie Mr. and Mrs. Stuart J. McCampbell Dr. and Mrs. Richard M. Moccia Network For Good Tom and Victoria McCandless Dr. and Mrs. John F. Modlin Mr. and Mrs. Daniel T. Lynch Mr. & Mrs. Sanford N. McDonnell Foundation Moglia Family Foundation Lynch Family Charitable Foundation Dr. Fletcher H. McDowell Monarchs Care Foundation McDowell Foundation Dr. and Mrs. Paul M. Montrone New Hampshire Electric Cooperative Dr. John E. McGowan, Jr. Mark Moon New Hampshire Fisher Cats Dr. Joseph P. Lynch Dr. O. Ross McIntyre Dr. and Mrs. John M. Moran M2S, Inc. Dr. Charles Alan McKay, Jr. Morano Gelato New Hampshire Football Officials’ Association Dr. Donald A. Macdonald, Jr. Bernard Mckee Morgan Stanley Dr. and Mrs. John S. Macdonald, Jr. Mr. and Mrs. John J. McKeon Morgan Stanley Smith Barney Patrick and Deborah McKernan Prof. and Mrs. Robert M. Macdonald Dr. Michael F. Morris McLane, Graf, Raulerson & Middleton, P.A. Winifred W. Morrisey MacLean-Fogg Company MacMillin Company Michael Scott McLaughlin Foundation Dr. and Mrs. Ting D. Lee, Jr. D. Hugh MacNamee Memorial Trust Fund Peter McLaughlin and Jane Kitchel McLaughlin Dr. John E. Leggat, Jr. Dr. and Mrs. Paul F. MacVittie Daniel W. McNeill Sandra and Carl Lehner Sean Mahoney Dr. Michael B. Leslie and Dane Rasmussen Mead Johnson Nutritional Group Malco Distributors of New England Measured Progress Carola B. Lea David Leathers Mr. and Mrs. David P. Leatherwood Lebanon High School Lebanon Opera House Improvement Corporation Lebanon Paint & Decorating Dean F. LeBaron LeBaron Foundation Mr. and Mrs. Stephen J. LeBlanc Ledyard National Bank Governor John H. and Dr. Susan E. Lynch Annette R. Levine Mane Street Styles, Inc. Mr. and Mrs. Douglas M. Lewis Carla Manley-Russock and Robert Russock F. Corbin Moister, Jr. Mr. and Mrs. Larry E. Morse Drs. Richard A. and Christie L. Morse Mr. and Mrs. Mike Nevelson New Hampshire Charitable Foundation New Hampshire Industries Incorporated New Hampshire International Speedway New Hampshire Musculoskeletal Institute New Hampshire Orthopaedic Center Brigida J. Mosley New Hampshire Prostate Cancer Coalition Moultonborough Police Association New Hampshire Steel Fabricators Mt. Roeschmore Foundation New Hampshire Union Leader Mountain View Publishing Newforma Meat House Distribution, LLC Alison A. Moy Medtronic, Inc. Eleanor Mudge Dr. Georgia L. Newman and David P. Young, Ph.D. Olivia Meek Dr. and Mrs. Gilbert F. Mueller, Jr. NH Sportsplex Christopher A. Lien Dr. and Mrs. Leon I. Mann Dr. Diane Melancon Muir Lumber Corporation Nixon Peabody, LLP Lincoln Financial Foundation Jane I. Marett Mellam Family Foundation Randall C. Mullen NOCSAE Litchfield Middle School Mr. and Mrs. Stephen R. Marion MembersFirst Credit Union Dr. and Mrs. David L. Muller Dr. and Mrs. Brian W. Nolan Drs. Philip Livingston and Lucy Hann Philip Maritz Dr. Vincent A. Memoli Dr. and Mrs. Albert G. Mulley, Jr. Linda D. Norman Markem-Imaje Corporation Memorial High School Mr. and Mrs. Stephen R. Munger North Country Smokehouse Marcella and Dennis Logue Merck Partnership for Giving Thomas S. Murphy, Jr. Northeast Delta Dental Mr. and Mrs. David W. Lonergan Dr. and Mrs. James W. Markworth Dr. Paul A. Merguerian Long Trail Brewing Company Dr. Peter J. Marro MVP Health Plan Dr. and Mrs. Anthony L. Merlis Northeast Kingdom Eagles Ladies Auxiliary Dr. and Mrs. Daniel S. Longnecker Thomas Marshall Foundation Dr. and Mrs. Edward Merrens National Foundation for Cancer Research Liberty Mutual Dr. Matthew P. Longnecker and Stephanie J. London Loomis, Sayles & Company Drs. Howard Martin and Donna Ambrosino Mr. and Mrs. John A. Martin Eliot P. S. Merrill Mr. and Mrs. Keniston P. Merrill Merrimack Mortgage Company Edward M. Lopata Drs. Meredith A. Martin and Thomas L. Treadwell Dr. Alfred Lopez William and Judith Martin Metro Aviation, Inc. Drs. Jennifer J. Loros and Jay C. Dunlap W. William Martinez Mr. and Mrs. Robert S. Meyer Mascoma Savings Bank John and Shelly Michalowski Los Ninos Children’s Medical Clinic Masimo Americas, Inc. Microsoft Matching Gifts Program Michael and Nancy Loucks Mr. and Mrs. Douglas M. Loudon Elizabeth M. Loughlin Mary Masland Mr. and Mrs. Peter C. Mertz The Northern Trust Company National Multiple Sclerosis Society Dr. Mark R. Northfield Charles E. Nearburg Mark and Peggy Notestine Geraldine Nebor Novartis Pharmaceuticals Corporation Dr. and Mrs. D. Dirk Nelson Dr. and Mrs. Eugene C. Nelson Eunice P. Nelson Jack H. Nelson Linda L. Nelson Christiane Northrup, Inc. Peter (deceased) and Dr. Renee Novello 30 NRO Charitable Giving 31 Nutt Hospital Trustees Mr. and Mrs. Richard B. Nye Millicent Mason Milford Lumber Company and Muir Showrooms Dr. Lisa Nelson and William Nelson III Mass Bay Brewing Company Mill Park Foundation Mr. and Mrs. Walter B. Nelson Mr. and Mrs. Jerald Oaks Dorothy J. Matthews Millennium Running, LLC Dr. and Mrs. William H. Nelson Oasis Health & Sports Center Oak Foundation Donor profile A Foundation for the Future: The Audrey & Theodor Geisel School of Medicine at Dartmouth “Unless someone like you cares a whole awful lot, nothing is going to get better. It’s not.” Invoking those lines from The Lorax by Dr. Seuss, Dean Wiley “Chip” Souba,MD, ScD, paid tribute to the remarkable work and generosity of Theodor Geisel and his wife, Audrey, at a festive gathering last spring celebrating the naming of Dartmouth’s medical school. The nation’s fourth oldest medical school is now the Audrey and Theodor Geisel School of Medicine at Dartmouth. Theodor “Ted” Geisel, known worldwide as the author and illustrator “Dr. Suess,” was a Dartmouth graduate of the Class of 1925. The Geisels’ philanthropy to Dartmouth, both during their lifetimes and through their estate plan, is the most significant in the institution’s history. “Ted would be proud to have his name forever connected to one of America’s finest schools of medicine,” said Audrey Geisel, who was married to Ted from 1968 until his death in 1991. “Given my background as a nurse, this moving gesture on the part of Dartmouth joins Ted’s great love of his alma mater and my passion of caring for others through the practice of medicine.” “Ted and Audrey Geisel’s work and life serve as a timeless example for our future physicians at the Geisel School of Medicine,” said Dean Souba. “We teach our students to be compassionate, to pursue knowledge that benefits their patients, and to have the courage and humility to make a profound difference in the lives of others.” Thanks to the Geisels’ benefaction, the Medical School bearing their names now has a stronger foundation than ever from which to launch young physicians and biomedical scientists who will become the health care leaders of tomorrow. lifetime commitment The naming of the Medical School in honor of the late Theodor Geisel and his wife, Audrey, honors the couple’s extraordinary generosity to Dartmouth, both during their lifetimes and through their estate plan. Donor profile Every cancer center in the country is eager to bill itself as a place that promotes collaboration and interdisciplinary research. But that wasn’t always the case. Such ideas were just emerging in the mid-1970s when Dr. O. Ross McIntyre, director of the newly established Norris Cotton Cancer Center, embraced such a vision. From 1974 until his retirement in 1992, he fostered an environment in which basic scientists, clinical researchers, and caregivers could collaborate, share resources, and advance each other’s work. Under McIntyre’s leadership, the Cancer Center grew from a small research and patient care enterprise to one of the nation’s premier Comprehensive Cancer Centers, as designated by the National Cancer Institute. In 2012, Norris Cotton Cancer Center celebrated its 40th anniversary. Thanks to the generosity of more than 60 donors, McIntyre’s legacy will be forever remembered through the O. Ross McIntyre, MD, Endowed Professorship at the Geisel School of Medicine at Dartmouth. The chair will be held by a clinician-scholar in the field of oncology. “Ross was highly regarded, not only as a caring and highly competent physician and talented investigator, but also as an excellent administrator and a charismatic teacher,” says Dr. John Moran, who, like McIntyre, is a member of the Medical School’s Class of 1955. Moran initiated the effort to establish the chair. “There could be no more appropriate way to recognize his contributions.” Steven Gillis, PhD ’78, who with his wife, Anne, contributed the lead gift to establish the endowment, is a pioneer in tumor immunology and cofounder of two successful biotech companies. “I’ve always had a fondness for Dartmouth and for the freedom and support I was given during my time there to follow my nose and let the results take me wherever they may,” says Gillis. “I view it as a privilege that Anne and I are in a position to give something back to the greater Dartmouth community in honor of Ross.” Photo by Tom McNeill Endowed professorship honors McIntyre legacy lifetime legacy Celebrating the newly established professorship in his name, O. Ross McIntyre, MD (center) was joined by his friend John Moran, MD (right), who initiated the effort to establish the chair, and Steven Gillis, PhD (left), who with his wife, Anne, made the lead gift. 32 33 Dr. Jeanne E. O’Brien and Brian Leary S. Richard & Patricia R. Penni Charitable Trust Drs. Joan O’Brien and James Wall Frances Pepper Mr. and Mrs. Donald L. O’Bryant The Pepsi Bottling Group, Inc. Dr. and Mrs. Nick P. Perencevich Randy and Storme Odell Dr. and Mrs. Georges Peter Dr. and Mrs. Robert A. Oden, Jr. Peters & Monyak LLP Dr. and Mrs. Joseph F. O’Donnell, Jr. The Charles E. and Joy C. Pettinos Foundation Dr. and Mrs. Makio Ogawa Dr. and Mrs. Daniel L. Ogg Thomas A. O’Grady Dr. George D. and Deborah M. Olsen Denise M. O’Neill Dr. P. Pearl O’Rourke Orr & Reno Professional Association Mr. and Mrs. J. Irving Rawding Signa L. Read Dr. Nandi J. Reddy Pfizer Foundation Pharmaceutical Research and Manufacturers of America Robert B. Regius Dr. and Mrs. William G. Phippen Shirley M. Reid Phoenix Engineering Associates Drs. Richard Reindollar and Ann Davis PhRMA Liz and Bill Pierce Winthrop Piper Point of View Foundation Polar Beverages Mr. and Mrs. Nathan G. Pond David and Mary Otto Dr. Misty Blanchette Porter and Thomas Porter PaineWebber Jacqueline D. Ravaris Jeffrey B. Reed and Elizabeth S. Perry Otto & Associates, Inc. Marilyn M. Paganucci Dr. Joseph M. Rosen and Stina L. Kohnke Nathaniel Raughley Dr. and Mrs. Richard W. Reece Mr. and Mrs. Peter Pillsbury P&G Pharmaceuticals Earl Ransom and Amy Huyffer Dr. and Mrs. David Pfister Orthopaedic Research and Education Foundation Owens Family Foundation Dr. and Mrs. Robert J. Rose, Jr. Amy Redpath Mr. and Mrs. David A. Pillsbury Daniel and Pamela O’Shaughnessy Roos Studios randstad Pew Charitable Trusts Orthocare Medical Equipment OSG Paintball Dick and Sallie Ramsden Dr. and Mrs. Robert E. Porter Mr. and Mrs. Bob Poulin Poultry Products Northeast Erin E. Reiner Mr. and Mrs. Eric C. Resnick Resource Systems Group Grant Reynolds Mr. and Mrs. James A. Reynolds Dr. and Mrs. Jason E. Reynolds Prof. Andrew D. Richard and Karen J. Richard The Richards Group Dr. John E. Richards, Jr. Peter M. Richards Roderic R. Richardson Dr. Daniel I. Rifkin Palace Theatre Precision Contract Manufacturing Image-Tek S.H. Pallmerine, Inc. Mark Prestipino Fannie E. Rippel Foundation Brian Palmer Mr. and Mrs. Peter Preuss River Meadow Campground Parent, McLaughlin & Nangle Mr. and Mrs. Robert M. Priest River Valley Club Dr. and Mrs. George W. Parker Dr. Elizabeth B. Pritchard Rivier College Dr. Richard A. Parker Pro-Cut International, LLC The Parthenon Group Dr. W. Robert Prouty Dr. Kathryn H. Robbins and Kristin K. Robbins Gladys Patalano Dana Patterson 1991 Revocable Trust #1 Provincial Grand Lodge, U.S.A. - The Royal Order of Scotland (A Masonically Affiliated Organization) Anne W. Pattison Prudential Foundation Estate of Jean A. Pawlusiak Karen A. Pushee and Dr. Mark L. Greenberg Ruth W. Payne Dr. and Mrs. Norman C. Payson PECO Foundation Dr. Vincent D. Pellegrini, Jr. Mr. and Mrs. James A. Putnam Jane Quale Jacqueline Quayle The Penates Foundation Keith Quinton and Barbara Fildes Mr. and Mrs. Donald W. Penfield QLLA Charities, Inc. Drs. Anna Penna and Lawrence Finkel QVT Financial LP R.A.D. Foundation Margaret and Matt Rightmire Robert Wood Johnson Foundation Dr. and Mrs. Andrew B. Roberts Dr. and Mrs. David W. Roberts Jona Roberts and Jennifer Rickards Mr. and Mrs. Dana R. Robes Laurance & Mary Rockefeller/ Woodstock Foundation Fund of the Vermont Community Foundation Roedel Companies Linda and Rick Roesch Dr. and Mrs. Malcolm P. Rogers Richard W. and Irene Rooker Family Foundation Mr. and Mrs. David A. Rosenblum Schubert Family Limited Partnership Steven and Sandra Schubert Rear Admiral Anne Schuchat and Fariborz Paydar Drs. Gary and Lynn Schwartz Samuel Rosenblum Foundation Marc Schwartz Mr. and Mrs. E. John Rosenwald, Jr. Mr. and Mrs. Robert L. Schwartz George M. Rountree and Dr. Kendall L. Hoyt Samuel B. Rowse Drs. Alan A. Rozycki and Diane Kittredge Fred and Joan Rueckert Elizabeth Ruml David H. Russ and Eileen F. Fehskens Elisabeth W. Russell Gordon W. Russell Drs. Margaret Ruyle and Daniel B. Rukstalis Drs. Stephanie Z. and Stephen R. Ruyle Albert J. Ryan Foundation Prof. M. Anne Sa’adah Sunny Sabnani Brady Sadler Orson L. St. John, Jr. Saint Johnsbury Academy St. Joseph Hospital St. Mary’s Bank St. Paul’s Episcopal Church of Brookline Dr. and Mrs. Joseph D. Schwartzman Ardis M. Schwarz Scleroderma Research Foundation Robert T. and Joan M. Scott Mr. and Mrs. Walter A. Scott Mr. and Mrs. Thomas A. Scully Robert Seelig and Karin Dell’Antonia Mr. and Mrs. Christopher S. Segal Segal Family Foundation Service Credit Union Dr. and Mrs. Natarajan Sethuraman Michael S. Shannon Dean J. Shapiro Dr. Francis E. Sharkey Adalbert F. and Mavis L. Shaw Estate of Nancy Shea Dr. Kimberly G. Shepard and Christopher Shepard Drs. Matthew L. and Janet C. Sherman Dr. and Mrs. Robert C. Shoemaker Salem Firefighters Relief Association Social Fund Mr. and Mrs. Richard S. Shreve Salix Pharmaceuticals Drs. Christopher R. and Margaret A. Shuhart Salmon Foundation Drs. Paul and Angela Sanchez Vahan Sarkisian Mr. and Mrs. Richard Sayles W. Herbert Scannell and Sarah Reetz Dr. and Mrs. James E. Scharback Marjorie Gordon Schaye Sig Sauer, Inc. Mr. and Mrs. Andrew C. Sigler David Sigler Mr. and Mrs. William A. Silverman Todd B. Sisitsky and Holly R. Hagens Timothy C. Scheve Drs. Jonathan S. Skinner and Martha A. McLafferty Jill and John Schiffman Dr. and Mrs. Peter L. Slavin Dr. William R. Schillhammer, Jr. Hazel G. Slayton Mr. and Mrs. Mark C. Schleicher Drs. Maggi Smeal and Ed Hattler Patricia P. Schlesinger Benjamin H. Schore Mary Jean and Frank P. Smeal Foundation Mr. and Mrs. Ronald B. Schram Dr. Barry D. Smith Dale and Kathy Smith Diane L. Smith Mr. and Mrs. Edward R. Smith Edwin H. and Ruth B. Smith Foundation Dr. and Mrs. Frank Rees Smith Drs. Hugh C. and Aynsley M. Smith Paul W. Smith Townsend C. Smith Mr. and Mrs. Austin L. Smithers Matthew E. and Melissa A. Stoller Elizabeth B. Stommel Lauri Strauss Leukemia Foundation E. James Streator III Dr. and Mrs. James C. Strickler TMSi Logistics Cindra and Thomas Wallin Dr. and Mrs. John H. Williams Total Image, Inc. Wal-Mart Foundation Debra L. Williamson Dr. Stephen S. Tower and Janice Tanaka Tower Wal-Mart Stores Dr. Douglas Williamson and Leslie Williamson Towers Watson Delaware TransCanada Stryker Craniomaxillofacial John and Evelyn Trevor Charitable Foundation Mr. and Mrs. Emanuel R. Sturman Tucson Sunrise Foundaton Dr. and Mrs. Stanley J. Stys William J. Sullivan Mary E. Turner Dr. and Mrs. Peter A. Tuxen Mr. and Mrs. Richard Smolowe Sulloway & Hollis, PLLC Dr. and Mrs. James R. Snapper Tyler, Simms & St. Sauveur PC CPA Summit Distributing UCB Pharma Frank E. Snyder, Sr. Brooke Soffer and George Perez James and Debora Surdel Dr. and Mrs. Wiley W. Souba, Jr. Dr. and Mrs. Douglas M. Surgenor South Royalton High School Stephen David Surgenor Mr. and Mrs. John T. Souther Dr. and Mrs. Jeffrey L. Susman Mr. and Mrs. David P. Spalding Drs. Harold M. Swartz and Ann B. Flood Speedway Children’s Charities Dr. Peter Spiegel and Peregrine Spiegel Spirit Halloween Super Stores Drs. Mark E. Splaine and Joyce A. DeLeo Mr. and Mrs. David F. Springsteen United Parcel Service Upper Valley Haven Upper Valley Hotel Group Drs. Edward A. and Sarah R. Walton Mr. and Mrs. Michael Ward Warner Chilcott US Winthrop M. Wassenar Allan Waters Marion & Bruce Waters Arthur K. Watson Charitable Trust Barry and Elsa Waxman Samuel Waxman Cancer Research Foundation The Walter H. and Hannah H. Webb Extended Family Foundation Mundy Wilson Joanne Wilusz Windham High School Donald Winterton Dr. and Mrs. Charles R. Wira Morton E. Wise Dr. and Mrs. Robert Withington, Jr. Natalie W. Wolf Mr. and Mrs. Thomas W. Wolf Frederic K. Upton Joan C. Weider Helen H. Wood Mr. and Mrs. Kurt M. Swenson USA Karate Littleton NH Lorne Weil Tim Wood Fred Swymer Memorial Fund The Utility Club of Lyme Dr. and Mrs. James N. Weinstein The Woodbury Foundation Sylvester M. Foster Foundation Mr. and Mrs. Thomas S. Vaccaro Systems & Communications Sciences, Inc. Mr. and Mrs. James D. Vail Dr. and Mrs. William H. Weintraub Drs. Peter G. and Jennifer L. Woodson Mr. and Mrs. Robert J. Weissman James R. Woodworth Malik Tahir David and Peggy Epstein Tanner Mr. and Mrs. David G. Staples Sheila H. Tanzer Prof. and Mrs. Vincent E. Starzinger Dr. and Mrs. Brad Taylor Dr. Mojdeh Talebian Team Alzheimer’s Margaret C. Vail Dr. James C. Vailas Mr. and Mrs. Robert W. Valpey Mr. and Mrs. Richard A. Weissmann Dr. and Mrs. Jack Van Hoff WellPoint Mr. and Mrs. Roy T. Van Vleck Wells River Savings Bank The Vanneck-Bailey Foundation Wesbell Electronics James and Lucinda Varnum Mr. and Mrs. William S. Wesson Vectronix Alfred and Loralee West, Jr. Mr. and Mrs. Ronald D. Verge West Family Foundation Tina M. Stearns Team Athletes Multisport Partnership, LLC Sara A. Steele-Rogers Dr. Lloyd B. Tepper Vermont Beef Mrs. Franklin H. West Steffens 21st Century Foundation II Dr. Paul A. Testa Vermont Mutual Insurance Group Mr. and Mrs. Alan R. Weston Mr. and Mrs. John L. Steffens Thermal Dynamics Corporation TEVA Neuroscience Sara S. Thomas Mrs. William H. Thomas Jeffrey Steinkamp Drs. Craig B. and Tullia Thompson Stellar Restaurant Group Dr. Philip P. Thompson, Jr. Mr. and Mrs. John G. Stephens Dr. Sally B. L. Thompson Jane and Bill Stetson Robb Thomson Stettenheim Foundation Thoratec Corporation Steve Desjardins, LLC Drs. Robert L. and Shari L. Thurer Mr. and Mrs. Bayne Stevenson Marie C. and Joseph C. Wilson Foundation The Sweet Peas Foundation Lynne and John Stahler Roger H. Stein Susan K. Williamson Mr. and Mrs. Hartley D. Webster J. T. Tai & Company Foundation Dr. Harise Stein and Peter D. Staple Estate of Georgina M. Williamson Upper Valley Pediatrics Terrance F. and Martha S. Stadheim Stave Puzzles Mr. and Mrs. C. Jerome Underwood Claire Walton Mr. and Mrs. Todd R. Stiefel Timken Company Charitable Trust Ruth D. Stoddard Title Mortgage Solution, LLC Anne-Lee Verville VFW Ladies Auxiliary Department of New Hampshire Victor Technologies Dr. and Mrs. Frank R. Virnelli Henry E. Vittum Mr. and Mrs. Peter F. Volanakis Von Bargen’s Jewelry Glenn N. Wagner and Sally Jane Rutherford Dave Wahrhaftig Dr. Lucy R. Waletzky Dr. and Mrs. Michael H. Wall John and Jane Whelihan Judy S. Whelihan Lynne and Hunt Whitacre Frederick E. Whitcher Dr. and Mrs. Jon C. White White Mountains Capital Sarah White Jeff Wiepking Mr. and Mrs. Peter G. Wilds Dr. and Mrs. Christopher W. Wiley John Wiley & Sons, Inc. Jennifer A. and Stanton N. Williams Wolter Institute Charles J. Wooster President Emeritus James Wright and Susan DeBevoise Wright Pamela Wright Dr. and Mrs. Martin N. Wybourne Mr. and Mrs. A. Bradford Wyman Mr. and Mrs. William W. Wyman Wyman Design Concepts LLC Mr. and Mrs. John E. Xiggoros Dr. Paul Yang The Yanofsky Family Dr. and Mrs. Philip A. Yazbak Dr. and Mrs. Mark P. Yeager YIPPEE Foundation Kevin P. and Siobhan Yorgensen Edward York Dr. and Mrs. Oglesby H. Young Robert and Victoria Young Dr. and Mrs. Leo R. Zacharski Dr. and Mrs. David S. Zamierowski Dr. and Mrs. Douglas P. Zipes Dr. and Mrs. Robert M. Zwolak 34 35 Donor profile Affirming the art of medicine enduring compassion Dr. Alan Friedman believes deeply in the importance of the doctor-patient relationship. The Friedman Family Legacy Fellowship, established by Dr. Friedman and his wife, Diane, will support the training of medical students in what he describes as “the art of medicine.” photo by Jon Gilbert Fox Dr. Alan Friedman believes doctors should be much more than technicians and scientists. Doctors should first and foremost be good listeners and compassionate caregivers. They should be highly skilled in—and understand the value of—taking a medical history, conducting a physical exam, and communicating in ways that foster trusting doctor-patient relationships. “I think every medical student should graduate with these skills,” says Friedman, who is a 1957 graduate of the Medical School and the second of three generations of ophthalmologists in his family. So strong are Friedman’s convictions that he has established the Friedman Family Legacy Fellowship with a gift of $1 million to support the training of medical students in what he describes as “the art of medicine.” Training future physicians in the art—not just the science—of medicine is something that the Geisel School of Medicine has long been committed to. For example, in On Doctoring, a required course that spans the first two years of the medical curriculum, students learn the fundamentals of the doctor-patient relationship through small group sessions and working one-on-one with community-based doctors. It’s a resource-intensive but highly successful model. Now, with the Friedman gift, this kind of teaching will have a strong and enduring foundation from which to grow and continually improve. “Dartmouth is the ideal place to promulgate the art of medicine because it’s small enough,” says Friedman, “and has a humanistic attitude.” That’s a quality that Friedman embodies as well. Donor profile Enduring support essential to success of Atlas During more than 30 years at the helm of Johnson & Johnson, General Robert Wood Johnson transformed a small, family-owned business into one of the world’s largest health and medical products manufacturers. But Johnson’s contributions to health care and medicine extend far beyond the business world. In 1968, he established the Robert Wood Johnson Foundation (RWJF), which remains the nation’s largest philanthropy devoted solely to the country’s health. Much like its namesake, RWJF has proven itself willing to support pioneering and sometimes controversial work—as it did in 1994 when it began funding the Dartmouth Atlas Project. Headed by Dr. John Wennberg and first published in 1996, the Dartmouth Atlas of Health Care showed striking geographic variations in health care practices and outcomes that were not explained by medical or demographic factors. In the 18 years since then, RWJF has provided more than $14 million in grants to support this important work and a group of researchers that has grown to include epidemiologists, economists, and statisticians, as well as other physicians. Today, Atlas researchers, who are part of the Dartmouth Institute for Health Policy and Clinical Practice at the Geisel School of Medicine, are the nation’s leading authorities on health care variations and outcomes research. Their work informs policies on the local, regional, and national levels. They provide data and analyses free of charge thanks largely to RWJF grants. In 2011, the Foundation extended its commitment with an additional $2.7 million award. RWJF’s enduring support has enabled Atlas researchers to provide information essential to improving health and health care for all Americans. That’s a purpose that General Johnson would surely be proud of. 36 37 enduring support The Dartmouth Atlas of Health Care creates maps like this one to illustrate its findings of widespread variations in health care practices and outcomes. The Robert Wood Johnson Foundation has supported this pioneering work since 1994. financial data - 2012 In 2012, the Dartmouth-Hitchcock Boards of Trustees approved a change to the fiscal year end, which transitioned from September 30 to June 30. This transition resulted in the 2012 fiscal year spanning a nine-month period instead of 12 months. Therefore, this financial summary reflects a comparison of nine months for 2012 to 12 months for 2011. Revenue Sources (x $1,000) For the Nine Months ended June 30, 2012 (1) For the Year Ended September 30, 2011 Net patient service revenue, net of provision for bad debt $863,095 1,077,187 - 41,693 4,192 3,265 Medicaid uncompensated care revenue Funded research Unrestricted gifts, bequests, and endowments Investment income Other income Total revenue sources Operating expenditures (x $1,000) 717 798 32,031 964 84,080 101,384 984,115 1,225,291 940,253 1,227,892 - 15,781 940,253 1,243,673 Voluntary early retirement program Total operating expenditures clinical & operational DATA - 2012 Patients discharged New Hampshire Vermont Other Total Patients discharged Patient days of service Average daily census Operations performed Births 9,993 7,591 756 12,944 10,067 1,138 18,340 24,149 89,069 118,983 325 326 14,398 19,313 7671,068 Emergency department visits 22,841 31,295 Volunteer hours 45,026 52,890 Employees (full-time equivalents) Dartmouth-Hitchcock 7,3677,534 Dartmouth-Hitchcock and Geisel School of Medicine Philanthropic Contributions (July 1, 2011 through June 30, 2012) Current operations Unrestricted and Annual Giving Restricted Funds Current Operations Subtotal $2,708,313 $17,705,811 $20,414,124 outpatient data - 2012 *An outpatient appointment refers to a single scheduled appointment by a patient as opposed to an outpatient visit, which refers to the services performed during an appointment. D-H Appointments* For the Nine Months ended June 30, 2012 Northern region Lebanon Plant and equipment$1,035,722 Community group practices Concord Keene Manchester Nashua Subtotal for Community Group Practices Total philanthropic contributions D-H total appointments Endowment$3,833,897 $25,283,743 For the Year Ended September 30, 2011 366,303 475,051 13,124 241,689 221,021 109,137 7,232 315,827 281,772 132,230 584,971 737,061 951,274 1,212,112 BOARDS OF TRUSTEES AND OFFICERS - 2012/2013 MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH)/DARTMOUTH-HITCHCOCK CLINIC (DHC)/ DARTMOUTH-HITCHCOCK HEALTH (D-HH)/DARTMOUTH-HITCHCOCK MEDICAL CENTER (DHMC) William A. Abdu, MD, MS DHC/D-HH Trustee Hanover, NH Carol Folt, PhD DHMC Trustee Hanover, NH Ruth Williams Brinkley* MHMH/DHC/D-HH Trustee Louisville, KY Nancy A. Formella, MSN, RN* MHMH/D-HH/DHMC Trustee Ex-officio: Executive Advisor to the Board Lebanon, NH William J. Conaty MHMH/DHC/D-HH Trustee Sunapee, NH Vincent S. Conti MHMH/DHC/D-HH Trustee Cape Elizabeth, ME Denis A. Cortese, MD MHMH/DHC Trustee Fountain Hills, AZ Barbara J. Couch MHMH/DHC/D-HH Trustee Hanover, NH Peter A. DeLong, MD DHC Trustee Norwich, VT nursing excellence Nursing staff are at the core of D-H’s commitment to providing patient- and family-centered care. Hilary Hawkins, RN, of Emergency Services, shares a smile with a new patient. Matthew B. Dunne MHMH/DHC Trustee Hartland, VT Peter M. Fahey DHMC Trustee Port Washington, NY Michael J. Goran, MD MHMH/DHC/D-HH Trustee Bodega Bay, CA Wayne G. Granquist MHMH/DHC/D-HH/DHMC Trustee MHMH/DHC/D-HH Boards’ Chair (2012) DHMC Board Vice Chair Weston, VT Sen. Judd A. Gregg MHMH/DHC Trustee Rye Beach, NH Alfred L. Griggs MHMH/D-HH/DHMC Trustee DHMC Board Chair MHMH Chair Emeritus Northampton, MA John L. Harrison, Jr.* MHMH Ex-officio President, DHMC Auxiliary William W. Helman, IV MHMH/DHC/D-HH/DHMC Trustee Cambridge, MA Alan C. Keiller MHMH/DHC/D-HH/DHMC Trustee MHMH/DHC/D-HH Boards’ Treasurer West Windsor, VT Laura K. Landy MHMH/DHC Trustee Morristown, NJ Jennie L. Norman MHMH/DHC/D-HH Trustee MHMH/DHC/D-HH Boards’ Secretary Harrisville, NH Daniel Ocker DHMC Trustee Ex-officio: Acting Director, Veterans Administration Hospital Robert A. Oden, Jr., PhD MHMH/DHC/D-HH Trustee MHMH/DHC/D-HH Boards’ Chair (2013) Hanover, NH Richard I. Rothstein, MD DHC Trustee Etna, NH Richard S. Shreve MHMH/DHC/D-HH Trustee Orford, NH Hugh C. Smith, MD MHMH/DHC/D-HH Trustee Rochester, MN Wiley “Chip” W. Souba, MD, ScD MHMH/DHC/D-HH/DHMC Trustee Ex-Officio: Dean, Geisel School of Medicine at Dartmouth Hanover, NH Stephen D. Surgenor, MD, MS DHC/D-HH Trustee Meriden, NH Anne-Lee Verville MHMH/DHC/D-HH Trustee Hopkinton, NH James N. Weinstein, DO, MS MHMH/DHC/D-HH Trustee DHMC Board Ex-officio: CEO, Dartmouth-Hitchcock; President, D-HH Lyme, NH William W. Wyman DHMC Trustee Hanover, NH Representative * Veterans Administration Hospital Robert M. Walton, (2012), Marc F. Levenson, MD (2012, Acting), Danielle Ocker (2012, Acting); Deborah Amdur (2013) * Board Member for 2012 only 38 39 coordinated care at its best Patient cases are presented and discussed in an interdisciplinary setting to determine the best treatment plan and ensure coordinated care. Pictured here is what is called a tumor board to discuss cases related to patients with cancer. We are nimble, bold and determined as we pursue our mission and chart a sustainable future for our patients and communities, all within a culture of caring. CREDITS Editors Victoria McCandless Kate Villars E. Senteio Design David Jenne Writers Deborah Kimbell Jennifer Durgin Susanna French David Corriveau Photography Mark Washburn Unless otherwise noted Published by Dartmouth-Hitchcock / Communications and Marketing All contents © 2013. 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