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IMAG INE

I M A G I N E

Imagine a health systemthat focuses on health,not just health care.

Imagine a system wherecare is based on value,not volume,

On the health of our population,not market share,

On new payment models thatreward quality not quantity of procedures,

On care that patients want and need,delivered affordably,conveniently and close to home.

Imagine a sustainable health system with one goal:to improve the lives of the people andcommunities we serve,for generations to come.

Bob Drescher, a technician with a heating/air conditioning company and an avid outdoorsman, had been suffering from back pain for 20 years. The pain became more severe over time, forcing him to miss work and give up favorite activities like hiking and kayaking.

He came to the Dartmouth-Hitchcock Spine Center, hoping surgery was the answer. Through shared-decision making (see page 9), Drescher and his surgeons concluded that the functional restoration program—an intensive physical therapy program—was a better option for him.

Drescher now is back to working full-time consistently, and is once again enjoying long hikes and kayak trips. “Thanks to the program, I have control over my pain, and I’ve been able to regain control of my life.”

Dartmouth-Hitchcock is guided by a simple principle: to do what’s right for each patient and family, providing them with the very best care, quality and service.

This includes providing good, evidence-based information on treatments and conditions so patients can make informed choices about their care paths. It means being open about our costs and our results and how other patients and families report on the care they receive. It means recognizing that every one of our 9,500 employees across the system, no matter what their position, is a caregiver.

We are an academic health system. In addition to providing high-quality care, we conduct research, educate medical students and train residents and fellows. At Dartmouth-Hitchcock, these activities are fully integrated; our research is targeted at finding cures and better treatments that will improve the lives of those we serve. Our educational activities are meant to create a cadre of physicians, nurses and other caregiving team members, who work here and elsewhere, with a truly patient-focused philosophy and approach to practice.

As you read through these pages, I hope the Dartmouth-Hitchcock difference will come through. In everything we do, it’s about you.

Dr. James N. WeinsteinCEO and President

contents

6 Patients at the Center of Care

10 Working Together for the Health of Tomorrow

16 Improving Value in Health Care

20 Elevating Health

21 List of Trustees and Officers

21 Thank You, Donors

22 Donor List and Donor Profiles

6Instead of being located in a remote office, care coordinators are embedded into the primary care medical home settings at various D-H sites. Using methods learned through the D-H Center for Shared Decision Making, they make sure patients are involved in every aspect of their health care journey.

PUTTING PATIENTS

AT THECENTER

OF HEALTH

FOR DONNA JAMESONof Mason, NH, life is difficult manag-ing her diabetes, chronic obstructive pulmonary disease (COPD) and un-stable blood pressure. “Over the past year, Donna has fallen several times, severely hurting her back, and then on another occasion, fracturing her hip,” says her husband, Danny, who has stopped working temporarily to care for her full-time and help her through her frequent hospitalizations.

Recently, Donna was hospitalized for pneumonia and for a life-threatening bowel disorder that required two surger-ies. For Danny, an iron worker by trade, caring for his wife—which includes jug-gling doctors’ appointments, monitoring her blood pressure and blood sugar levels, and making sure she gets the medications and home treatments she needs—has been challenging.

But all has been manageable, thanks to Jackie Weber, RN, a care coordi-nator at the Dartmouth-Hitchcock (D-H) Milford Family Practice, who works closely with Danny to keep Donna as healthy as possible. “We’ve had some great doctors, but Jackie is like the glue that holds everything together,” says Danny. “She converses with Dr. Kaploe, Donna’s primary care physician, and knows all of her other doctors. She’s very knowledgeable and helpful. And she gets things done.”

“THE GLUE THAT HOLDS EVERYTHING TOGETHER”

Care coordinators educate patients

about their illness, and offer resources

and encouragement. They also monitor a patient’s health

care needs and make sure they receive

recommended tests and treatments to

get them back on the road to better health.

For example, when Danny had diffi-culty scheduling an x-ray of Donna’s spine for a chiropractic consultation, Weber took care of it. “She called me back an hour later with an appoint-ment,” he says. “That led to chiroprac-tic treatments that, combined with massage therapy, have made a huge difference. Donna is up and about, she’s cooking meals again and her overall health continues to improve. I can see her getting stronger every day. Knowing Jackie is there for us gives us peace of mind.”

Care Coordination is the Key

As a care coordinator, Weber is an example of how D-H is using the skills of nurses in a new way to directly support complicated medical situa-tions like that of the Jamesons. “I think of our role as identifying the needs of patients who have complex medical conditions and may have a variety of specialty appointments that need co-ordination,” explains Kathryn Kaminski, RN, a care coordinator based at Dart-mouth-Hitchcock Medical Center.

“We’re here to educate patients about their chronic illnesses, give them the resources they need and encourage them to follow up on their own self-care,” she says. “We also help to mon-itor their health and track whether they’ve received recommended tests.”

The care coordinators often use meth-ods based in what has been learned through the D-H Center for Shared Decision Making (see page 9) to make sure patients are involved in every as-pect of their health care journey. “For

me, it means being part of the General Internal Medicine team in Lebanon, NH, which I really like,” says Kaminski. “We can be available to patients and families all of the time. Whether it’s over the phone, in the clinic or at the bedside in the hospital—a big part of our job is to reach out to patients as needed. We’re here to help them manage their chronic illnesses more effectively and efficiently. But primar-ily, we want to hear what their goals are and how we can best help them achieve them.” 7

Coordinated Care = Accountable CareCare coordinators are an important part of D-H’s success in embracing a new model of health care, the Ac-countable Care Organization (ACO). ACOs are simply groups of health care providers and payers (or insurers) who have agreed to work together to improve quality and reduce costs for certain populations of patients.

“For example, in the Pioneer ACO with Medicare, Dartmouth-Hitch-cock is taking responsibility for the health outcomes and total costs of Medicare patients (those over age 65) who receive the majority of their primary care here,” explains Dr. Barbara Walters, who, as executive medical director of Accountable Care for Dart-mouth-Hitchcock (D-H), is overseeing a growing number of ACO contracts for the organization.

The goal of ACOs is to work proac-tively to ensure that groups of patients with similar needs—whether they’re Medicare patients or those with con-gestive heart failure or diabetes—get the same high-quality care, thereby lowering the overall costs. “That’s the population health point of view,” Walters says.

The focus is on value, not volume. Rather than being paid for each

patient visit, as has been done in the traditional fee-for-service payment model, Medicare pays D-H based on the outcomes of its patients’ care, es-sentially for keeping patients healthier.

“We believe that the best way to do that is to provide patients with a primary care medical home,” says Wal-ters. “That’s a primary care team that includes care coordinators who really know the patients and help them man-age their health as they try to navigate through what is often a very complex and confusing health care system.”

Data Informs CareCare coordinators focus their efforts on highest risk patients. “Those who have had hospital readmissions, espe-cially within 30 days, and emergency room visits are the biggest red flags for us,” says explains Michelle Ward, RN, a care coordinator at Dartmouth-Hitch-cock Nashua. “Or, we may find that there’s been a gap in care, such as missed doctors’ appointments or pre-scriptions not being filled as directed.”

Connecting with patients can often get them back on track. “I find that a lot of patients are very receptive to a nurse calling from their doctor’s office; it makes them feel very valued and cared about,” says Ward.

“Another important part of our role is developing relationships with local

hospitals and other health care facili-ties, who notify us when patients have been admitted and discharged,” she says. “That allows us to work together on any discharge plans that may be in place and follow up with the patient more quickly.”

Staying ConnectedIt is during these transitions of care that patients can be most vulnerable. “We try to call our patients within 24 to 48 hours after a discharge to make sure that they have their medications, they understand what their follow up care plan is and they know what signs and symptoms to watch for that may require attention,” explains Leona Kee, RN, a care coordinator at Dart-mouth-Hitchcock Concord.

“We often find that there are barriers to getting their care,” says Kee. “For example, a patient may not be able to afford all of their prescriptions. Or maybe they don’t have a car anymore, or local support from family or friends.”

“We work with community resources to help them overcome those barri-ers,” she says. “It’s really about helping them to stay on a healthy track. And a big part of that is preventing hospi-talizations, readmissions and fre-quent ER visits. Number one, it’s not good for them, and also, it’s just not cost-effective.”

“We’re here to educate patients about their chronic illnesses, give them the resources they need and encourage them to follow up on their own self-care.”

Kathryn Kaminski, RN

8

forbetterbetter DECISIONS

When you’re facing a major medical de-cision the best thing you can do is get all of the information possible before you start treatment.

This is especially true in cases where there are multiple treatment options. For example, some men with signs of prostate cancer may prefer a course of “watchful waiting” to immediate surgi-cal intervention.

At Dartmouth-Hitchcock’s Center for Shared Decision Making, patients and families are given evidence-based, objective information about treat-ment choices, with information about the risks and benefits of each option. Armed with that information, they can balance the options with their own values and what is most important to them.

“This is the best way for communicat-ing between patients and clinicians so they can make wise decisions,” says Dr. Dale Vidal, a plastic surgeon and

the medical director of the Center for Shared Decision Making.

Not only does shared decision making give patients a greater voice in their care, research has shown that patients given good information make better choices, have better clinical outcomes and have higher satisfaction than those who don’t.

Based on this, the Centers for Medicare and Medicaid Services recently award-ed Dartmouth-Hitchcock $26 million to incorporate shared decision making into the work of the High Value Health-care Collaborative (HVHC), which was co-founded by D-H, Mayo Clinic and other institutions. HVHC member or-ganizations are treating patients across the country, with a goal of improving quality and lowering costs.

“Patients can and should be respected partners in their own care”, says Wein-stein. “Shared decision making provides the tools and resources so they can make the choice that’s right for them.”

CARE“The conventional doctrine in medicine is ‘informed consent’ by the patient. At Dartmouth-Hitchcock, we believe in ‘informed choice.’”

- CEO and President Dr. James Weinstein

9

WORKING TOGETHER FOR THE HEALTH OF TOMORROW

To improve population health in the northern New England region, Dartmouth-Hitchcock is focusing on health, not just health care. This proactive approach distinguishes Dartmouth-Hitchcock from many other health care systems around the country.

10

A PATIENT WITH DIABETES goes to the doctor to get help in controlling his or her blood sugar. The doctor sits with the patient—examining, asking questions, counseling, teaching and prescribing the proper medication.

At Dartmouth-Hitchcock (D-H), that doctor’s responsibility doesn’t end when the patient leaves the exam room. That doctor is also responsible for thinking about others in the community with high blood sugars who are at risk for developing diabetes and figuring out how they can be cared for. And that doctor—and Dartmouth-Hitchcock as a whole—is taking responsibility for helping to prevent peo-ple from developing diabetes—and other chronic illnesses and diseases—in the first place. Working in collaboration with community-based partners, Dartmouth-Hitchcock’s goal is to improve the health of the population it serves—from the patient in the exam room to the thousands of people who have yet to seek health care.

Dartmouth-Hitchcock is uniquely positioned to lead a transformation in our national health care system today because of our geographic location and because of our leadership in health care data.

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“We are uniquely positioned to lead a transformation in our national health care system today because of two incredible assets,” says Gregg Meyer, MD, MSc, executive vice president for Population Health and chief clinical officer at D-H. “Our geographic loca-tion as the academic medical system for the region allows us to think more broadly in terms of health care delivery, engaging with school systems, employ-ers and community organizations to focus on improving the health of our population.”

“Our second major asset is our track record as leaders in the study of health care data through our work with the Dartmouth Atlas—which has shown striking geographic variations in health care practices and outcomes—over the last few decades,” adds Meyer. “That is the magic of D-H—bringing all of this work together for the health of tomorrow.”

To improve population health in the northern New England region, Dartmouth-Hitchcock is focusing on health in addition to health care. This proactive approach distinguish-es Dartmouth-Hitchcock from many other health care systems around the country.

“As part of the High Value Healthcare Collaborative, we’re working with a number of other leading

organizations to find the best care pathways for diabetes patients,” says Ethan Berke, MD, MPH,

director of Population Health Innovation for D-H. “We also have a grant from the National

Institute on Aging to look at how patient-reported information can help us design better care.”

Identifying Needs and PrioritiesA community’s health needs can be closely tied to its geography and other demographic factors. For example, oral health has been identified as a critical underserved health need in the region. To help address this need, D-H is expanding its support of screenings, preventive care and parent education provided by Alice Peck Day Hospital’s SMILES program, the Red Logan Dental Clinic, as well as school-based and Women, Infant and Children’s clinics in the area.

Then, there are health issues that are more widely prevalent, such as obesity and tobacco, alcohol and drug abuse, including prescription drug misuse. “When we look at the needs assessments in areas where D-H has community group practic-es—including Keene, Concord, Man-chester, Nashua, NH and Benning-ton, VT—there are more similarities than differences,” says Greg Norman, director of Community Health Im-provement at D-H in Lebanon.

In 2014, D-H will increase invest-ments in services for patients with mental illness and frail older adults and their caretakers. We will also continue to support a number of existing programs aimed at address-ing other identified needs, including health care access and transporta-tion, women’s health, maternal child health, treatment for child trauma survivors, supportive services for those affected by HIV/AIDS and cancer prevention. 12

Keeping People HealthyOverall, the goal is to align communi-ty wellness efforts with the delivery of high-value health care services, with a focus on primary care. “We need to transition from a reactionary health care system, to a proactive system where we’re ahead of the curve in keeping people healthy and engag-ing them to be active members of a health care team,” says Ethan Berke, MD, MPH, director of Population Health Innovation for D-H and direc-tor of primary care in the northern region for D-H.

In recent years, Berke has devoted much of his research time to un-derstanding how the “built environ-ment”—or habitat that people live in—affects their health. “If we want to move the population away from being burdened by high incidences of chronic and severe illness, and being dependent on high-cost specialty and tertiary care services, we need to cre-ate communities that make it easier for people to stay well,” he says.

As a family practitioner, he ap-preciates how the constraints of patients’ physical environment can impact their health. “I really see their location almost as another vital sign,” Berke says. “As providers, we shouldn’t just look at our patients in the vacuum of the exam room, but rather take some time to get to know where they live and how that fits into their larger community and habitat. That can change the way we counsel them and help them develop strategies for how they can live more healthfully.”

Multiple Partners, Multiple StrategiesThe varying availability of resources in different communities requires D-H to play a variety of roles to advance com-munity wellness efforts (see page 15 for examples). But whether it’s providing leadership, education, financial support or time and energy to help leverage existing resources, partnerships are the key to bringing about healthy changes.

“It’s very important to partner with the right organizations that have the ability to provide the services that are needed,” says Jodi Stewart, director of Community Relations and Marketing for D-H’s community group practices in Southern New Hampshire. “For exam-ple, in Manchester, which is a designat-ed refugee resettlement city, we part-ner with organizations such as Child Health Services and the Manchester Community Health Center, providing financial support, as well as health care providers to help sustain the viability of those organizations. They can provide key support services more efficiently and cost-effectively than we can.”

D-H’s community group practices are engaged in a variety of community wellness efforts to improve the health and wellness of our communities. For example, D-H is piloting a new water bottle refill project at Concord High School, which it hopes to expand to other schools. D-H Concord and the Concord Regional Visiting Nurses Association are collaborating to hold a monthly Memory Café event at the Granite Ledges facility in Concord to enhance education and support for peo-ple suffering from memory impairment.

“We need to transition from a reactionary health care system, to a proactive system where we’re ahead of the curve in keeping people healthy and engaging them to be active members of a health care team.”

13

Additionally, Dartmouth-Hitchcock physicians, nurses and other providers volunteer their time, going out into the community to educate vulnerable populations with cultural barriers about the importance of health issues such as breast health and diabetes.

In its popular Healthy Living series, Dartmouth-Hitchcock is hosting monthly health and wellness seminars at its clinic sites in Concord, Manches-ter and Nashua, featuring topics such as stress management, nutrition, sports injuries and joint health. In addition, as part of an effort with Norris Cotton Cancer Center, all Dartmouth-Hitch-cock locations are engaged in a system-wide effort to educate patients and families about the importance of having advance directives in place for end-of-life care.

Thinking More BroadlyAs a leader in health care systems change, D-H has an opportunity to model how health care systems can in-tegrate most effectively with commu-nity organizations, municipalities and residents to improve population health, reduce health care costs and build a system that truly supports the health and welfare of its communities.

“Improving population health is not just about the patients in front of us or the patients who are not getting care; it’s about the community we serve and those patients of tomorrow,” says Meyer. “It gives us the opportunity to not only think about how we deliver care, but also to think about what we can do to keep people safe and healthy moving forward.”14

TACKLING AN ISSUE as prevalent as obesity in a communi-ty is no simple task. “There’s no one button you push that changes it,” says Greg Norman, director of Community Health Improvement at D-H in Leba-non. “You have to have multiple strate-gies and partners working together to change the culture.”

An example of that kind of community engagement is D-H’s work with the Upper Valley Healthy Eating Active Living (HEAL) Partnership. Housed at D-H Lebanon, HEAL works on policy, practice and built environment changes primarily in Lebanon and Mascoma districts. Children’s Hospital at Dartmouth-Hitchcock (CHaD), the City of Lebanon Recreation and Parks Department, the Upper Valley Trails Alliance, Alice Peck Day Memorial Hospital, the Mascoma Valley Health Initiative, the Lebanon and Mascoma School Districts and many other community partners have joined together in this effort.

The HEAL Partnership is working in a variety of ways to encourage increased physical activity and make it easier for kids and families to eat a healthy diet and be more active.

FOR EXAMPLE:

The Mascoma River Greenway, a planned 4-mile off-road paved bike/walk path via abandoned rail corridors, will soon reach the halfway point of its fund development campaign. With 50 percent of Lebanon’s population living within a half mile of the Greenway, this project has high potential to increase physical activity in that area.

A number of pilot projects are un-derway with local farmers’ markets, convenience stores and employers to in-crease access to fresh fruits and vegeta-bles in rural areas and to make healthier food choices available in workplaces and at community events.

By building on Safe Routes to Schools and Safe Routes to Play initiatives and introducing “walking school buses,” towns like Lebanon are making walking to school—as well as walking and biking to destinations—a safer, easier and more enjoyable option for both kids and adults.

Helping the towns of Canaan and Enfield combine resources to reinstitute a lifeguard and a swim instructor will allow swim lessons to occur at Canaan Street Lake. “It’s a great resource for families,” says Norman. “If you teach kids how to swim when they’re young, it’s just one more tool they can use to stay healthy as they get older.”

The partnership has been working with Canaan Elementary School for three years to develop strategies to improve the school’s physical activity environment. “The project includes developing trails, gardens, hills, play equipment and other features that we think will support enhanced physical activity and outdoor learning at the school,” says Norman.

Other major initiatives in the area include introducing healthy choices at child-care and pre-school settings; pro-moting water and reducing consump-tion of sugary beverages in schools; and making food-based fundraisers and classroom snacks healthier.

HEALTHY EATING, ACTIVE LIVING

“You have to have multiple strategies and multiple partners working together to change the environment and the culture around you.” 15

Imagine you’re dining in a fine restau-rant. As you’re seated, a legion of waiters descends and showers the table with dozens of pieces of silver-ware. The meal is delightful—every-thing you hoped it would be. You get the bill and, to your surprise, find that you’ve been charged for every piece of cutlery, every spice and the use of every pot and pan in the kitchen. The bill is detailed and astronomical.

Sound absurd? It’s what happens in operating rooms every day. Dozens of instruments are sterilized, wrapped and laid out on the operating tray, but often fewer than half of them are used.

Working with Dartmouth-Hitchcock’s Value Institute, one surgical section was able to reduce costs simply by reducing the number of instruments provided to only those that would actually be used.

This seemingly simple effort, now be-ing spread to other surgical sections, is part of the D-H commitment to providing value-based care. IMPROVING VALUE in Health Care

16The commitment to providing value runs deep at Dartmouth-Hitchcock. So much so that the Value Institute was created two years ago to provide education, coaching and an infrastructure to support quality and performance improvement efforts throughout the organization.

A Commitment to the Future of Health Care: The Dartmouth-Hitchcock Value InstituteDartmouth-Hitchcock’s commitment to providing value runs deep. So much so that the Value Institute was created two years ago to provide education, coach-ing and an infrastructure to support quality and performance improvement efforts throughout the organization.

Clinical and non-clinical departments across Dartmouth-Hitchcock have been taking a hard look at their every-day work to figure out how to do it better, more efficiently and, ultimately, to provide better care at less cost. The Value Institute trains individuals and teams to think critically about how they can improve the way they perform their day-to-day duties. Using a framework derived from manufac-turing and business industries called Six Sigma, the Value Institute provides the tools and methods for “process improvement.” And the savings show.

Several departments within Dart-mouth-Hitchcock—such as Pathol-ogy, Nursing, Supply Chain Man-agement and the Blood Bank—have embarked on this type of training with incredible results. The total expected savings from the first two years of Value Institute-led projects is approximately $2.4 million.

Since its inception two years ago, the Value Institute has trained 462 Yel-

lowbelts, those who are “team ready” to engage in projects led by those with more expertise, and 84 Green-belts, those trained to an intermedi-ate level of process improvement skill and who can lead projects. Dart-mouth-Hitchcock currently draws on the expertise of 13 Blackbelts to lead large and complex projects.

“Under the new Accountable Care Act, controlling costs while improving

outcomes for patients will be the expectation,” says George Blike, MD, chief quality and value officer. “Using what we know works under the Value Institute is important to not only survive in this new era but to thrive and do what’s right for our patients and the communities we serve. The challenging thing in health care is, for every patient every time, doing what matters. Providing value is now our imperative.”

This past year, Dartmouth-Hitchcock was among 33 health systems participating in the

Pioneer Accountable Care Organization model, created by the Centers for Medicare and

Medicaid Services (CMS). In the first year, Dartmouth-Hitchcock’s share of the savings

came to just over $1 million.

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Training in Action: Streamlining Pathology LabsMore than 4,000 lab specimens are received, sorted, labeled, processed and reported back to clinicians at Dartmouth-Hitchcock every day. Clinicians and patients rely on timely and accurate results to drive their prescribed treatment. Handling this influx of lab specimens daily can pro-vide opportunities—sometimes, un-fortunately, opportunities for error. Recently, the Pathology department turned this kind of opportunity into an improvement project that gener-ated some extraordinary results.

A step-by-step analysis showed that each urine sample coming into the lab is handled 39 times. Each step takes time and ultimately has a cost. The analysis showed that 68 percent of the time is spent getting the actual results, while the remaining 32 percent is “wasted” time for each sample—for example, sitting in a rack on a cart waiting to be processed. So, if a typical urine sample costs $10, it’s really costing $6.80 to run that sample while $3.20 is less-productive time. The goal is to reduce wasted time. If only a minute or two can be shaved off the

process—maybe saving a minute of handling time—that could translate into less cost. Multiply that by thou-sands of daily samples of all types and it quickly adds up.

“Scrutinizing the process is better for patient safety,” says Jim Tracy, one of the Value Institute-trained team members in Pathology. “Every urine sample or blood-draw needs to be matched to the patient’s medical record. There is no room for error. That’s why we are doing this. Yes, it’s about efficiency. Yes, it’s about saving time and cost. But most importantly, it’s about making sure our patients are safe, getting the results they need for the treatments they need—as soon as possible.”

Adapting, Evolving in a New Era of Health Care According to Wendy Wells, MD, chair of Pathology, the department’s journey to improve their lab processes wasn’t just about saving money or cre-ating efficiencies, it was also a way to adapt to increasing demands for more lab testing with limited space to do so.

“We moved to this campus in Lebanon in 1991, and we’ve been on the same footprint of space since that time,” says Wells. “But the rest of the campus has dramatically increased in size, and, therefore, the demand for lab testing has increased. The only way we have survived is by embarking on our con-tinuous improvement projects.”

But Wells says the department has reached its limit. As a result it is now incurring expenses by outsourcing certain testing to commercial labs because it physically doesn’t have the space to develop those new tests in-house. Fortunately, the new Williamson Translational Research Building will provide much-needed space for Pathology (see sidebar on page 19). “We’ve planned it as a beautiful open space because we want to be able to constantly change how we lay out the equip-ment, how we move the technolo-gists, how we get the specimens in, what testing we do,” says Wells. “As we continuously improve, we don’t want to have barriers like walls or divisions or dividers in that space.”

Our readmission rates are in the lowest 1 percent in the nation for chronic heart failure.

Number of lab specimens processed and reported back to clinicians every day

Number of times each urine sample coming into the lab is handled

39>4,000

The total expected savings from the first two years of Value Institute-led projects is approximately $2.4 million.

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Leaders in Value: Positive and Promising ResultsA focus of health reform has been to more closely track value measures such as complications, hospital-acquired infections and readmissions. Hospitals now face financial penalties if their rate of readmissions is too high, for example.

Dartmouth-Hitchcock is already showing promising results by demon-strating that it can meet quality mea-sures and provide value-based care, but at significant cost savings. This past year, Dartmouth-Hitchcock was among 33 health systems participat-ing in the Pioneer Accountable Care Organization (ACO) model that was created by the Centers for Medicare

Pathology: Essential Partner in Translational Research

The new space in the Williamson Building will not only allow Pathology to bring testing in-house, but will make it possible for the department to continue their process improvement work.

and Medicaid Services (CMS). In the first year, Dartmouth-Hitchcock’s share of the savings came to just over $1 million. Dartmouth-Hitchcock also met all quality benchmarks under the program, ensuring that Medicare patients’ preventive health needs are met, and lowering hospital admission and readmission rates.

“To create the sustainable health sys-tem, we need to build a system where care is based on value, not volume; on the health of our population; on new payment models that reward quality, not quantity of procedures; and on care that patients want and need, delivered affordably, conveniently and close to home,” says Dr. Jim Weinstein, CEO and President, Dartmouth-Hitchcock.

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IN SEPTEMBER, Dartmouth-Hitchcock

announced that it had joined

with Elliot Health System and

Harvard Pilgrim Health Care of

New England in an innovative

partnership to provide

employers and their employees in New Hampshire with a new

definition of value in health care: access to health insurance that will

promote high-quality health care and better health outcomes at a

lower premium cost.

FIRST OF ITS KIND HEALTH PLAN FOR NEW HAMPSHIRE

Called ElevateHealth, the new part-nership is a non-profit, high-perfor-mance, defined-network product that will offer access to New Hampshire’s premier hospitals and providers, including more than 400 primary care doctors and 2,600 specialists, with an insurance premium savings of at least 10 percent over Harvard Pilgrim’s simi-lar full-network plans. As members of ElevateHealth, patients will receive their care at Dartmouth-Hitchcock and its community group practices, El-liot Health System, Cheshire Medical Center, New London Hospital, South-ern New Hampshire Medical Center and Foundation Medical Partners, Derry Medical Center, Southern New Hampshire Internal Medicine, and other affiliated physicians and physi-cian practices. The health systems will coordinate care in a seamless fashion, focusing on the needs of the individu-al patient.

“New Hampshire employers know better than anyone that the health

system we have today is unsus-tainable,” says Dr. James N. Wein-stein, CEO and President of Dart-mouth-Hitchcock. “They want their employees and their families to have access to great health care, but at a cost they can afford. Our three organizations, with a shared focus on population health and coordinated, high-quality care, are committed to providing an option that gives the greatest access at the lowest cost, while offering a higher level of care delivery and customer service.”

D-H CEO and President Dr. Jim

Weinstein (second from left) joins Eric H. Schultz,

President and CEO of Harvard Pil-

grim Health Care, left, and Doug

Dean, President and CEO of Elliot

Health System, in announcing

“ElevateHealth,” an insurance plan

aimed at New Hampshire em-

ployers and their employees.

ElevateHealth will feature:

• Enhanced provider-driven care coordination to improve the health and wellness of members.

• A transformative role for the nurse as part of an effective care delivery team, including a pivotal role as patient advocate and clinical liaison with primary care providers and specialists.

• Care coordination professionals to help guide the member through the health system for easier access and better health outcomes.

While the goal of the three-way partnership is to create innovation through that seamless health delivery system, future initiatives aimed at improving the value of health care services in the region may spring from the collaboration.

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ElevateHealthSM

Thank you.Since the founding of Mary Hitchcock Memorial Hospital in 1893, the organization now known as Dartmouth-Hitchcock has existed for one purpose: to serve the patients, families and communities of our region. Throughout these six score years, we have in turn been served by our donors and friends, whose belief in us and dedication to our mission is indeed humbling.

In the past year, Dartmouth-Hitchcock and the Geisel School of Medicine have received almost $29 million in gifts and pledges from more than 38,000 donors. There can be no more tangible expression of your faith in us and your generosity on behalf of our patient care, research and educational programs. Beyond that, your contributions show a visionary commitment to the future, to future cures, innovations in care delivery, scientific discovery and the training of exceptional physicians, residents, nurses and other caregivers.

Listed on the following pages are those who have made gifts or pledges of $1,000 or more during the past fiscal year (July 1, 2012–June 30, 2013). It is of course but a small token of our immense and sincere gratitude to all who give, in whatever amount, to support our tradition of service.

On behalf of my fellow trustees, thank you.

Prof. Robert A. Oden, Jr.Chair, Dartmouth-Hitchcock Boards of Trustees

DARTMOUTH-HITCHCOCK BOARD OF TRUSTEES – 2013

The Dartmouth-Hitchcock Board of Trustees is a dedicated group of individuals who volunteer their time, energy and expertise to ensure that Dartmouth-Hitchcock is well positioned to create a sustainable health system and to achieve the healthiest population possible in our region and beyond.

William A. Abdu, MD, MS Hanover, NH

William J. Conaty Sunapee, NH

Vincent S. Conti Cape Elizabeth, ME

Denis A. Cortese, MD Fountain Hills, AZ

Barbara J. Couch Hanover, NH

Peter A. DeLong, MD Norwich, VT

Matthew B. Dunne Hartland, VT

Michael J. Goran, MD Bodega Bay, CA

Wayne G. Granquist Weston, VT

Senator Judd A. Gregg Rye Beach, NH

William W. Helman IV Vice Chair Cambridge, MA

Alan C. Keiller Treasurer Brownsville, VT

Laura K. Landy Morristown, NJ

Jennie L. Norman Secretary Harrisville, NH

Robert A. Oden, Jr., PhD Chair Hanover, NH

Steven A. Paris, MD Bedford, NH

Richard J. Powell, MD Hanover, NH

Richard I. Rothstein, MD Etna, NH

Richard S. Shreve Orford, NH

Hugh C. Smith, MD Rochester, MN

Wiley W. Souba, Jr., MD, ScD, MBA Dean, Geisel School of Medicine Hanover, NH

Anne-Lee Verville Hopkinton, NH

James N. Weinstein, DO, MS CEO and President Lyme, NH 21

Anonymous (43)

Dr. and Mrs. William A. Abdu

Sally and Gershen M. Abraham

Mr. and Mrs. William F. Achtmeyer

Dr. and Mrs. John G. Adams

Ndubuisi Ajukwu

Dr. and Mrs. Anthony S. Albert

Dr. and Mrs. Raymond Alexanian

Dr. Jandel T. Allen-Davis and Anthony T. Davis

Mr. and Mrs. William F. Allyn

Dorothy L. Alpert and Morrey Halfon

Gladys Alvarez

Allan Ames

Dr. Holly S. Andersen and Douglas A. Hirsch

Charles H. Anderson

Patricia M. Anderson

Dr. and Mrs. Blair J. Andrew

Dr. and Mrs. Joseph P. Annis

Jeanine Arden-Ornt

Dr. Mary B. Arnold

Dr. Robert B. Arnot

Dr. Bradley Arrick and Danielle Jones

Dr. Diane L. Arsenault and Peter R. Pirnie

Joan Ashley

Mr. and Mrs. James D. Austin

Mr. and Mrs. Mark B. Avery

Dr. and Mrs. William W. Babson, Jr.

Drs. Marshall S. and Talia B. Baker

Mr. and Mrs. William J. Baldasaro

Dr. E. Bradford Baldridge

Dr. and Mrs. Perry Ball

Karen Ballen

Mr. and Mrs. Kenneth S. Barclay

Mr. and Mrs. Richard L. Barnaby, Jr.

Ray and Cynthia Barrette

Mr. and Mrs. James N. Bartlett

Dr. James R. Barton

Mr. and Mrs. Tom Bascetta

Richard Bayles

Mr. and Mrs. John E. Bayliss III

Patricia A. Bazilchuk

Dr. and Mrs. Michael C. Beachley

Mark and Ann Beams

Dr. Teresa M. Bean

Dr. Brian A. Beattie and Brenda Stewart

Mr. and Mrs. Dennis P. Beaulieu

Mr. and Mrs. R. William Becker

Mr. and Mrs. Peter G. Behr

Dr. and Mrs. Steven P. Bensen

K. Reed Berkey

Burton and Esther Bickford

Mr. and Mrs. Charles W. Bimba, Jr.

Prof. and Mrs. Robert B. Binswanger

Mr. and Mrs. Leon D. Black

Mr. and Mrs. Erle G. Blanchard

Drs. Holly Blatman Rothkopf and Douglas Rothkopf

Marcie and Harry Bleiwise

Atie E. Blinn

Dr. Brian Daryl Blondin

Barbara Blough

Mr. and Mrs. James K. Bonney

Mrs. Murray Bornstein

Anne L. Boswell

Mr. and Mrs. Charles M. Boswell

Mr. and Mrs. Dennis R. Bothamley

Frank and Mardi Bowles

Selina and Brian Boxer Wachler

Dr. DeRayne Boykins

Steven H. Boyle

Bill and Susan Boyle

Mr. and Mrs. Robert Boynton

Katharine S. Boynton

Ann and David Bradley

Dr. Elizabeth P. Bradley and Richard J. Bradley

Bess (deceased) and John R. Bradshaw

Dr. Elizabeth W. Brady

Dr. Glenn M. Brady

Dr. Mark G. Brauning

Mr. and Mrs. Charles B. Breen

Ann Bressett

Marius L. Bressoud

Timothy C. Briglin and Laurel M. Mackin

Ruth E. Williams Brinkley

Barbara K. Bristol and Galway Kinnell

Jennifer and Peter Brock

Drs. Constantine Brocoum and Ophelia Chang

Dr. Mark J. Brodkey

Marlene Brody

Dr. Frances C. Brokaw

Drs. W. Blair Brooks and Nancy Philips

Mr. and Mrs. Arthur K. Brown

Mr. and Mrs. Derek C. Brown

Frederick Brown

Dr. Mark W. Brown

Rosemary and Gary Brown

Mr. and Mrs. Scott S. Brown

Robert R. Bruce and Kathryn J. Stearns

Dr. John H. Buckner

Marion and Ken Burchard

Richard L. Burke

Pat Burnham

Drs. James W. Byers III and Stephanie A. Chuipek

Dr. Ira Byock and Yvonne Corbeil

Brenda L. Cadieux

Mr. and Mrs. David L. Calhoun

Dr. James L. Campbell, Jr.

Mr. and Mrs. Reid T. Campbell

Mr. and Mrs. Robert A. Campbell

Dr. and Mrs. Douglas A. Canning

Dr. and Mrs. Mark D. Canning

Dr. Rebecca Sue Carlin

Sandra D. Carpenter

Ann B. Carter

Dr. Kristin Pisacano Casale and Francis Casale

Lisa G. Cashdan and Peter R. Stein

Neil and Molly Castaldo

Dr. Edward Catherwood and Terri Catherwood

Dr. and Mrs. James E. Cavanagh, Jr.

Stephen P. Ceglarski

Dr. Sara Chaffee and Joshua Kilham

Dr. Kathleen H. Chaimberg

Mr. and Mrs. John F. Chaplin

Mr. and Mrs. John G. Chapman

Mark W. Chapman and Martha Blakemore Chapman

Dr. Mildred Chen

Warner Chilcott

Barbara M. Child

Catharine V. Christensen (deceased)

Dr. and Mrs. Quyen D. Chu

Dr. Kyung H. Chung

Dr. Deus J. Cielo

David and Ann Cioffi

Dr. and Mrs. Roger W. Clapp

Dr. Cantwell Clark V and Susan L. Mansfield

Drs. Jane R. Clark and Jonathan P. Gertler

Mr. and Mrs. Davenport Cleveland

Dr. David Cloutier

Edmund Coffin

Mr. and Mrs. Richard B. Cohen

Susan N. Cohen

Dr. and Mrs. Mitchell D. Cohn

Estate of Oscar M. Cohn

Dr. and Mrs. Thomas A. Colacchio

Barbara and Tom Cole

Mr. and Mrs. William S. Colehower

Dr. Ann C. Collier and James A. Vandergrift

Mr. and Mrs. Miles C. Collier

Dr. Daniel W. Collison and Joan C. Collison

Mr. and Mrs. William J. Conaty

Mr. and Mrs. Steven Conine

Dr. and Mrs. Richard C. Connors

Mr. and Mrs. Vincent S. Conti

Donald Cook

Dr. Kathryn S. Cook

Mr. and Mrs. Timothy M. Cooney

Dr. and Mrs. Milton Cooper

Mr. and Mrs. Manton Copeland III

INDIVIDUALS (Please see pages 31 and 33 for listings of foundation and organization donors.)

2222 Learn more about giving to Dartmouth-Hitchcock and the Geisel School of Medicine at http://giving.dartmouth-hitchcock.org.

Harlan and Anne Fair • Embracing Innovation

The new Center for Surgical Innovation, a partnership between Dartmouth-Hitchcock, the Geisel School of Medicine and the Thayer School of Engineering, provides the space and innovative equipment researchers need to dramatically improve common and complex surgeries. A gift from Harlan Fair (right)—a Dartmouth College and Thayer School alumnus—and his wife, Anne (center)—a former nurse and longtime Dartmouth-Hitchcock volunteer —will help the Center achieve its full potential. “Gifts from the Fairs and others will improve surgical care for patients in Northern New England and beyond,” says Sohail Mirza, MD, MPH (left), medical director of the facility. Learn more about the Center for Surgical Innovation at Dartmouth-Hitchcock.org/csi.

23

Dr. Denis A. Cortese

Jayne and Michael Costello

Estate of Eleanor and Norris Cotton

Mr. and Mrs. Richard W. Couch, Jr.

Vicki Craver

Dr. Linda M. Crawford

Dr. Robert W. (deceased) and Marilyn R. Crichlow

Mr. and Mrs. Courtland J. Cross

Dr. and Mrs. John F. Crowe

Dr. and Mrs. John M. Crowe

Judy and Tom Csatari

Penny and Andrew Cunningham

Mary S. Cunningham

Dr. Sandra J. Cunningham

James B. Cuno and Sarah Stewart

John A. and Judith A. Currier

Mr. and Mrs. Philip R. Currier

E. Cutillas

Drs. Lawrence and Linda Dacey

Mr. and Mrs. Dan S. Dale

Marianne Dalias

Dr. and Mrs. Aristotle J. Damianos

Dr. and Mrs. Miguel Damien

Barbara E. Daniell

Elena and Jere Daniell

Dr. and Mrs. Robert A. Danielson

Mr. and Mrs. Craig D. Darling

Castle N. Day

Philip de Toledo

Dr. and Mrs. Kenneth E. DeHaven

Dr. and Mrs. G. Robert Delong

Jon D. Denison

Susan Dentzer and Charles Alston

Mr. and Mrs. Jonathan B. Detwiler

Jesse F. Devitte

Bill and Patty Dewhirst

Melville P. Dickenson (deceased)

Mr. (deceased) and Mrs. S. Whitney Dickey

Cheryl Dickson

Dr. Robert M. Di Mauro

Dr. and Mrs. James A. DiNardo

Dr. and Mrs. Thomas M. Dodds

Dr. and Mrs. Emil R. Dominguez, Jr.

John J. Donahoe II and Eileen E. Chamberlain

Dr. Alan E. Donnenfeld

Drs. Eric D. and Marleen B. Donnenfeld

Vincent J. Dowling

Mr. and Mrs. Robert N. Downey

Mary and Allan Doyle

Dr. David Doyle

Dr. Laurie F. Draughon

Christine M. Driscoll-Carignan

Bernard V. Drury

Drs. Keith R. and Katherine K. Dunleavy

Drs. Diane Dwyer and Joseph Gall

Katie Eaton

Dr. and Mrs. Robert E. Eberhart

Dr. and Mrs. J. Robert Edwards

Elizabeth Eilender

Drs. R. Mark Ellerkmann and Ariane Cometa

Dr. and Mrs. Robert M. Ellsworth

Mr. and Mrs. Edward E. Emerson, Jr.

Otto and Mary Engelberth

Engelman Family Charitable Trust

John S. Engelman

Robert S. Engelman, Jr.

Stephen Ensign

Marilyn R. Erickson

Mr. and Mrs. Joel Eshbaugh

Mr. and Mrs. Russell G. Estes

Mr. and Mrs. R. Bradford Evans

Mr. and Mrs. Edwin D. M. Evarts

Mr. and Mrs. George H. Evarts

Mr. and Mrs. Christopher J. Eykyn

Norma and Bill Faccone

Mr. and Mrs. Peter M. Fahey

Mr. and Mrs. Harlan W. Fair

Michael and Sharon Fanger

Mr. and Mrs. William T. Farrell

Dr. and Mrs. Charles S. Faulkner II

Violetta and Quentin Faulkner

Mr. and Mrs. Barry M. Feinberg

Dr. and Mrs. Bruce A. Feldman

Dr. John D. Feldmann

Stacey A. Fennelly

Mr. and Mrs. Philip J. Ferneau

Aubrey and Tina Ferrao

Dr. and Mrs. David R. Fett

Mr. and Mrs. Robert J. Fieldsteel

Ari S. Fingeroth

Dr. and Mrs. Peter J. Fitzgerald

Robert S. Fleischer

Richard T. Fleming

Dr. and Mrs. Timothy P. Flood

Mr. and Mrs. Douglas C. Floren

Lila May W. Flounders

Nancy and John Formella

Dr. Diane Louise Fountas

Joan P. Fowler

Jonathan R. Fox

David T. Foy

Dr. John R. Freeman

Marjorie L. Frenette

Mr. and Mrs. Calvin W. Frese

Mr. and Mrs. Gerald A. Friedman

Mr. and Mrs. Milton Frye

Dr. and Mrs. Freddie Ho Keung Fu

Mr. and Mrs. Vincent J. Fusca III

Dr. Imre Gaal, Jr.

Dr. Tisha Gallanter

Dr. Stephen J. Galli

Mr. and Mrs. Thomas C. Galligan, Jr.

Cynthia Gannaway

Mr. and Mrs. Jeffrey R. Gartside

Dr. Theodore H. Gasteyer II

Mayor Ted Gatsas

Dr. Marc Gautier and Sarah H. Davie

Mr. and Mrs. Norman W. Gavin

Dr. and Mrs. Alan B. Gazzaniga

Mr. and Mrs. John M. Gearin

Dr. and Mrs. Jay D. Geller

Lauren A. Gentile

Mr. and Mrs. Antonio Gentile

Dr. Mimi Ghosh

Judith M. Giles

Dr. and Mrs. Steven Gillis

Mr. and Mrs. Gordon C. Gilroy, Sr.

Mr. and Mrs. Daniel A. Gold

Dr. and Mrs. Ronald S. Goldberg

Maya D. Goldschmidt

Linda O. Goldstein

Alan Golub

Mr. and Mrs. Jeffrey P. Goodell

Dr. and Mrs. David C. Goodman

Estate of Dorothy B. Goodstein

Mr. and Mrs. Rick Gordon

Dr. E. Ann Gormley and Richard Wallace

Doris R. Grabosky

Drs. Valerie L. and William G. B. Graham

Mr. and Mrs. Wayne G. Granquist

Estate of Marion W. Grassi

Ward F. Gravel, DDS

Dr. Alan I. Green and Frances S. Cohen

Richard Green and Kathleen Sherlock

Dr. and Mrs. William R. Green

Dr. and Mrs. Jonathan A. Greenberg

Estate of Robert J. Greene

Dr. and Mrs. Jeffrey S. Greenwald

Kathy and Judd Gregg

Mr. and Mrs. William Grenier

Drs. Todd Grey and Lorraine Szczesny

Julia N. Griffin and John A. Steidl

Mr. and Mrs. Alfred L. Griggs

Martin L. Gross and Deirdre M. Sheerr-Gross

Douglas M. Grossman

Mr. and Mrs. Richard L. Guggenhime

Drs. Margaret F. Guill and Marshall A. Guill III

Mary Ann Haagen

David E. Hadley

Barbara F. Hall

Reverends Lyle and Lisbeth Hall

Robert S. Halper

Tish and Roger Hamblin

Mr. and Mrs. William J. Hamilton

Mr. and Mrs. David Hamlin

Dr. and Mrs. Charles Hamlin

David and Vicky Hamshere

Alice F. Hance

George Hano

Hanson Family

Dr. and Mrs. Russell W. Hardy, Jr.

Josie Harper

Dr. and Mrs. Allan C. Harrington

Mr. and Mrs. Roby Harrington III

Louise Harris

Chip and Wendy Harris

John and Alice Harrison

Dr. and Mrs. James M. Hartford

Lori R. Hartglass and Ralph J. Schwan

Drs. Gregg S. and Jinny K. Hartman

Jeffrey Hastings and Kathy Emery-Hastings

Mr. and Mrs. Richard D. Hausman

Monte and Jane Haymon

Guy B. Haynes

Drs. Arthur P. Hays and Eugenia T. Gamboa

Mr. and Mrs. James J. Healy, Jr.

Dr. Anne M. Hebert and John P. Cooke

Drs. Karen Kramer Hein and Ralph B. Dell

INDIVIDUALS (continued)

24 Learn more about giving to Dartmouth-Hitchcock and the Geisel School of Medicine at http://giving.dartmouth-hitchcock.org.

Shea Estate

Legacy of Discovery

A bequest from the estate of Nancy Shea is advancing the lung and pancreatic cancer research of two scientists at Dartmouth-Hitchcock’s Norris Cotton Cancer Center. Scott Gerber, PhD (left), studies the genetic profile of proteins in tumors to develop better, more personalized treatments for lung and other cancers, and Yolanda Sanchez, PhD (center), investigates several compounds that kill pancreatic cancer cells, while sparing normal, healthy cells. “These cancers are the first and fourth leading causes of cancer death in the U.S., but are disproportionately underfunded by the National Cancer Institute,” says Sanchez. “Philanthropy is essential to filling that gap and accelerating research for these devastating diseases.”

2525

Dorothy Behlen Heinrichs

Marian Heiskell

Dr. Bonnie Henderson and Edward Henderson

Dr. and Mrs. W. Hardy Hendren

Dr. and Mrs. Kenneth L. Herrmann

Dr. and Mrs. Michael J. Hession

Mr. and Mrs. Dane Hileman

Lyda H. Hill

Dr. Simon C. Hillier and Kimberley Hillier

Maureen M. Hirtle

Mr. and Mrs. David G. Hobart

David C. Hodgson

Dr. Eric K. Hoffer and Anne W. Gordon

Mr. and Mrs. Earl T. Hoffman

Russell A. Holden

Estate of Helen H. Holland

Mr. and Mrs. Romer Holleran

Mr. and Mrs. Curtis Hollingsworth

Mr. and Mrs. Paul J. Holloway

Mr. and Mrs. J. Kimpton Honey

Robert and Stephanie Hood

Drs. P. Jack Hoopes and Vicki Scheidt

Dr. Harriet W. Hopf and Leo M. Hopf

Richard A. Horsch

Dr. John Houde and Jennifer Rybeck Houde

Mr. and Mrs. Coleman W. Hoyt

Dr. Jiong-Ming Hu and Yi-Jun Chen

Mr. and Mrs. John A. Hubbard

Robert P. Hubbard

Wentworth Hubbard

Estate of Earl H. and Frances T. Huff

Dr. James R. Hughes

Mr. and Mrs. Andre A. Hunter

Charles and Elva Hutchinson

John G. Hutton, Jr. and Dorothy M. Warren

Dr. and Mrs. John W. Hyland

Dr. Kent Hymel

Mr. and Mrs. Jeffrey R. Immelt

Dr. Thomas W. Irvine

Mr. and Mrs. Robert H. Irwin

Dr. and Mrs. Mark A. Israel

Mr. and Mrs. Thomas C. Israel

Mr. and Mrs. Almon W. Ives

Dr. and Mrs. Daniel L. Jackson

Drs. Judith M. and Nicholas J. Jacobs

Dr. and Mrs. Ross A. Jaffe

Eric W. Janson

Mr. and Mrs. Daniel P. Jantzen

Mr. and Mrs. Christopher T. Jenny

Mr. and Mrs. Michael John

Dr. David G. Johnson

INDIVIDUALS (continued)

Carla Manley-Russock

Fairy Godmother

For 10 years, Carla Manley-Russock (right) has been giving to Dartmouth-Hitchcock’s Face of a Child program—the interdisciplinary team at CHaD that provides treatment and support to children born with craniofacial disorders. “I love being a fairy godmother to the craniofacial team,” says Manley-Russock, a former pediatric nurse who remembers struggling to help newborns with cleft lip and cleft palate be able to feed. “Each year I feel like my gift reaches out to so many children in northern New England.” Manley-Russock’s generosity enables Dr. Mitch Stotland (left) and his team to provide essential—but non-reimbursed—services and support for young patients and their families. Here, Manley-Russock and Stotland at CHaD’s 2013 Storybook Ball gala.

26

Ellen Foscue Johnson

Dr. and Mrs. Stephen J. Johnson

Mr. and Mrs. Robert F. Johnston

Arthur and Barbara Jones

Joan H. Jones

Mr. and Mrs. A. Wilson Jones

Ray Joseph and Jody Lachance

William Kaewert

John J. Noffo Kahn

Dr. and Mrs. J. Gregory Kane

Kim and Stephen Kantor

Dr. and Mrs. Bertrand P. Kaper

Deke and Nancy Kaufman

Dr. Vladas Kaupas

Kathleen M. Kayros

Dr. and Mrs. Haig H. Kazazian, Jr.

Mary H. Keeley

Dr. Jonathan P. Keeve

Al and Jo Keiller

Carolyn A. Keith

Dr. Jennifer G. Keller

Dr. E. Lynne Kelley and Charles F. Kelley

Dr. Elizabeth A. Kelley and Robert H. Dumanois

Dr. James V. Kelsey

Preston T. and Virginia R. Kelsey

K. Thomas and Mary O. Kemp

Brian E. Kensil

Ann D. Kent

Dr. Carolyn Kerrigan and David Greenwood

Dr. and Mrs. Walter C. Kerschl

Dr. John H. Kersey, Jr. (deceased) and Anne N. Kersey

Dr. and Mrs. Richard I. Kertzner

Drs. Thomas J. and Rebecca L. Kesman

Drs. William M. and Cynthia Nichols Kettyle

Mr. and Mrs. Donald B. Keyser

Robin Kilfeather-Mackey

Robert D. Kilmarx

Bruce and Mary King

Rona Klein

Drs. David S. and Deborah P. Knopman

Sara L. Kobylenski

Dr. and Mrs. Karl M. Koenig

Steven F. Koltes

Barbara and Eugene Kopf

Ella M. Korenman

Mr. and Mrs. Mark Koulogeorge

Dr. and Mrs. Paul C. Koutras

Posy and John H. Krehbiel

Dr. Thomas R. Kuhns

Dr. Benedikt Kurz and Sandia Wang

Janet H. Lafond

Drs. John M. and Margaret J. Lagnese

Drs. David R. and Andrea S. Lambert

Mr. and Mrs. John R. Lamoureux

Mr. and Mrs. Kevin P. Lane

Dr. and Mrs. Eugene W. Lariviere

Drs. Laurie and John Latchaw

Estate of Edward Connery Lathem

James S. Lawrence

Drs. Peter F. and Karen R. Lawrence

Dr. and Mrs. D. James Lawrie

Carola B. Lea

Mr. and Mrs. David P. Leatherwood

Dean F. LeBaron

Mr. and Mrs. Stephen J. LeBlanc

Dr. and Mrs. T. David Lee, Jr.

Jane E. Lemire

Dr. Michael B. Leslie and Dane Rasmussen

Mr. and Mrs. Douglas M. Lewis

Willmott “Bin” Lewis, Jr. (deceased) and Barbara H. Jones

Mr. and Mrs. George Lightbody

Mr. and Mrs. Robert W. Limbacher

Dr. and Mrs. Carl W. Lindquist

Mr. and Mrs. Kenneth C. Lippmann

Howard and Lannie Lipson

Thomas and Sharyn Lobrano III

Marcella and Dennis Logue

Mark S. London

Mr. and Mrs. David W. Lonergan

Dr. Matthew P. Longnecker and Stephanie J. London

Edward M. Lopata

Dr. Alfred Lopez

Drs. Jennifer J. Loros and Jay C. Dunlap

Michael and Nancy Loucks

Mr. and Mrs. Douglas M. Loudon

Clair Lovell

Drs. Klaus and Patricia Lubbe

Pamela M. Lunny

Nora Lusterio and Michael McFetridge

Mr. and Mrs. Daniel T. Lynch

Mr. and Mrs. Dennis P. Lynch

Bud and Terri Lynch

The Honorable John H. and Dr. Susan E. Lynch

Dr. Joseph P. Lynch

Dr. and Mrs. John S. Macdonald, Jr.

Prof. and Mrs. Robert M. Macdonald

Mr. and Mrs. Barry L. MacLean

Mr. and Mrs. Thomas H. MacLeay

Dr. Kelly Marie MacMillan and Michael Ryan

David and Ann Malenka

Dr. and Mrs. Kevin A. Malott

Dr. and Mrs. Douglas K. Mandel

Carla Manley-Russock and Robert Russock

Mr. and Mrs. Stephen R. Marion

Therese and Jeffrey Marshall

Drs. Howard Martin and Donna Ambrosino

Mr. and Mrs. John A. Martin

Drs. Meredith A. Martin and Thomas L. Treadwell

Michael D. Martin

Mr. and Mrs. Peter B. Martin

W. William Martinez and Marie M. Pomainville

Mary Masland

Dorothy J. Matthews

Louise S. Mauran

Drs. Jennifer L. R. and Peter L. Mayer

Tom and Victoria McCandless

Audrey T. McCollum

Drs. Martha Dawes McDaniel and Stephen K. Plume

Peter McDermott

Dr. John E. McGowan, Jr.

Dr. O. Ross McIntyre and Helen Whyte

Dr. and Mrs. Charles A. McKay, Jr.

Bernard Mckee

Dr. and Mrs. Timothy M. McKenna

John M. McKenzie

Peter McLaughlin and Jane Kitchel McLaughlin

Drs. William McLaughlin and Jerrianne Seger

Mr. and Mrs. William McNabb

Daniel W. McNeill

Olivia Meek

Dr. Vincent A. Memoli

Dr. and Mrs. Anthony L. Merlis

Dr. and Mrs. Edward Merrens

Eliot P. S. Merrill

Mr. and Mrs. Keniston P. Merrill

Mr. and Mrs. Peter C. Mertz

Charlotte Metcalf

Drs. Gregg Meyer and Bonnie Blanchfield

Mr. and Mrs. Robert S. Meyer

Eugene and Marietta Meyers

Michael Meyers

Peter Michaelsen and Deborah Murray

Cathy E. Minehan

Dr. and Mrs. Richard M. Moccia

Dr. and Mrs. John F. Modlin

Mr. and Mrs. Roger S. Moore

William Moore

Dr. and Mrs. John M. Moran

George and Jane Morehouse

Nancy L. Morrell

Dr. Michael F. Morris

Winifred W. Morrissey

Mr. and Mrs. Larry E. Morse

Drs. Richard A. and Christie L. Morse

Alison A. Moy

Eleanor Mudge

Dr. Sharon M. Mullane

Dr. and Mrs. David L. Muller

Estate of Jane M. Muller

Dr. and Mrs. Albert G. Mulley, Jr.

Mr. and Mrs. Peter G. Mulvihill

Thomas S. Murphy, Jr.

Charles E. Nearburg

Geraldine Nebor

Paul Neely

Dr. and Mrs. D. Dirk Nelson

Dr. and Mrs. Eugene C. Nelson

Eunice P. Nelson

Dr. Lisa Nelson and William Nelson III

Dr. and Mrs. William H. Nelson

Scott A. Neslin

Mr. and Mrs. Charles F. Nettleship III

Marianne and Mike Nevelson

Mr. and Mrs. Jeffrey T. Newton

Deborah Nichols

Joan and David Nierenberg

Mr. and Mrs. Peter A. Nieves

Drs. Dennis E. and Catherine B. Niewoehner

Dr. and Mrs. Hisashi Nikaidoh

Mr. and Mrs. William Nimmo

Dr. and Mrs. Patrick C. Noble

Dr. and Mrs. Brian W. Nolan

Jennie Norman and Bill Walker

INDIVIDUALS (continued)

Learn more about giving to Dartmouth-Hitchcock and the Geisel School of Medicine at http://giving.dartmouth-hitchcock.org. 27

Linda D. Norman

Dr. Mark R. Northfield

Mark and Peggy Notestine

Peter (deceased) and Dr. Renee Novello

Mr. and Mrs. Joseph C. Nugent, Jr.

James B. O’Brien III and Dr. Chatherine L. Lines

Rob and Teresa Oden

Dr. and Mrs. Joseph F. O’Donnell, Jr.

Dr. and Mrs. Makio Ogawa

Thomas A. O’Grady

Michael D. O’Halleran

Dr. and Mrs. Ernst M. Oidtmann

Dr. George D. Olsen and Deborah M. Olsen

Denise M. O’Neill

Dr. P. Pearl O’Rourke

Estate of Dr. Barbara M. Osborne

Meghan O’Shaughnessy

David and Mary Otto

John P. Otto and Joanne C. Lorence

Marilyn M. Paganucci

Mr. and Mrs. J. Brian Palmer

Dr. and Mrs. Steven Paris

Dr. and Mrs. George W. Parker

Dana Patterson 1991 Revocable Trust #1

Anne W. Pattison

Dr. and Mrs. Norman C. Payson

Dr. Vincent D. Pellegrini, Jr.

Abbie and Don Penfield

Dr. Anna M. Penna

Dr. Susan M. Pepin and Anthony J. Dietz

Frances Pepper

Dr. and Mrs. Nick P. Perencevich

Dr. Arminda Perez

Dr. and Mrs. Georges Peter

Drs. Andrew Charles and Cecily Karen Peterson

Dr. Loryn W. Peterson

Dr. and Mrs. David Pfister

Mr. and Mrs. Kirk Phelps

Dr. and Mrs. Ervin Philipps

Dr. and Mrs. William G. Phippen

Liz and Bill Pierce

Mr. and Mrs. Vincent A. Pietroniro

Drs. Catherine M. and J. Marc Pipas

Winthrop Piper

Dr. and Mrs. Ronald J. Polinsky

Dr. and Mrs. Robert E. Porter

Christine A. Posey

Mr. and Mrs. Bob Poulin

Dr. Mark A. Powers and Karen E. Lauterbach

Dr. and Mrs. Lyle J. Prairie

Mark P. Prestipino

Dr. and Mrs. Donald C. Proctor, Jr.

Patricia P. Pruiksma

Mr. and Mrs. James A. Putnam

Jane Quale

Allie J. Quinn

Keith Quinton and Barbara Fildes

Mr. and Mrs. Harrison P. Quirk

K. Philip Rahbany

Dick and Sallie Ramsden

Drs. William H. Ramsey and Carolyn Rochester Ramsey

Earl Ransom and Amy Huyffer

Jacqueline D. Ravaris

Mr. and Mrs. J. Irving Rawding

Francena and Roy Raymond

Signa L. Read

Amy Redpath

Dr. and Mrs. Richard W. Reece

Shirley M. Reid

Andrea Reimann-Ciardelli and Dr. Thomas L. Ciardelli

Drs. Glenn Rennels and Margaret Forsyth

Mr. and Mrs. Philip C. Rentz

Mr. and Mrs. Eric C. Resnick

Dr. and Mrs. Jason E. Reynolds

Dr. John E. Richards, Jr.

Dr. and Mrs. William F. Rigby

Margaret and Matt Rightmire

William and Sharon Risso

Dr. and Mrs. Andrew B. Roberts

Dr. and Mrs. David W. Roberts

Mr. and Mrs. Dana R. Robes

D. John Robinson

Mary L. Robinson

Dr. and Mrs. Sol Rockenmacher

Linda and Rick Roesch

Jill and Gary Rogers

Dr. Joseph M. Rosen and Stina L. Kohnke

Mr. and Mrs. David A. Rosenblum

Mr. and Mrs. E. John Rosenwald, Jr.

George M. Rountree and Dr. Kendall L. Hoyt

Samuel B. Rowse

Dr. and Mrs. Walter Royal III

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

Prof. M. Anne Sa’adah

Mr. and Mrs. Biria D. St. John

Orson L. St. John, Jr.

Richard and Barbara St. Pierre

Mr. and Mrs. Richard Sayles

W. Herbert Scannell and Sarah Reetz

Dr. and Mrs. James E. Scharback

Dr. and Mrs. Thomas G. Schell

Timothy C. Scheve

Mr. and Mrs. John T. Schiffman

Dr. William R. Schillhammer, Jr.

Mr. and Mrs. Mark C. Schleicher

Andrew Schlessinger

Benjamin Schore

Steven and Sandra Schubert

Rear Admiral Anne Schuchat and Fariborz Paydar

Jan Schultz and Barbara Sherrington

Drs. Gary and Lynn Schwartz

Mr. and Mrs. Robert L. Schwartz

Dr. and Mrs. Joseph D. Schwartzman

Dr. and Mrs. M. Roy Schwarz

Robert T. and Joan M. Scott

Mr. and Mrs. Walter A. Scott

Mr. and Mrs. Thomas A. Scully

Mr. and Mrs. James B. Sellers

Drs. Alan D. Sessler and Martha Ann Smith

George H. Seward and Wendy M. Woods

Dr. and Mrs. Robert M. Seymour

Mr. and Mrs. Michael S. Shannon

Dr. Francis E. Sharkey

Drs. Matthew L. and Janet C. Sherman

Dr. and Mrs. Stephen A. Sherman

Dr. Robert C. (deceased) and Betty F. Shoemaker

Rick and Shelly Shreve

Drs. Christopher R. and Margaret A. Shuhart

Mr. and Mrs. Byron C. Shutz

Mr. and Mrs. Andrew C. Sigler

David Sigler

Dr. Bruce Sigsbee

Mr. and Mrs. William A. Silverman

Susan and Clayton Simmers

Todd B. Sisitsky and Holly R. Hagens

Drs. Maggi Smeal and Ed Hattler

Dr. Barry D. Smith

Dale and Kathy Smith

Diane L. Smith

Drs. Hugh C. and Aynsley M. Smith

Joanne B. Smith

Paul W. Smith

Mr. and Mrs. Austin L. Smithers

Mr. and Mrs. Richard E. Smolowe

Gary D. Snyder

Mr. and Mrs. Robert E. Snyder

Arthur P. Solomon and Sally E. Lapides

Kurt F. Somerville

Drs. Leland J. and Alicia L. Soto

Dr. and Mrs. Wiley W. Souba, Jr.

Mr. and Mrs. John T. Souther

Mr. and Mrs. David P. Spalding

John Spellman and Cindy McCollum

C. Elizabeth Spencer

Leah Sperber

Dr. Peter Spiegel and Peregrine Spiegel

Drs. Mark E. Splaine and Joyce A. DeLeo

Dr. Jeremy Springhorn

Mr. and Mrs. David F. Springsteen

Terrance Stadheim

Mr. and Mrs. John M. Stadler

Prof. and Mrs. Vincent E. Starzinger

Tina M. Stearns

Elizabeth S. Steele

Mr. and Mrs. John L. Steffens

Dr. Harise Stein and Peter D. Staple

Jeffrey Steinkamp

Jane and Bill Stetson

Dr. and Mrs. G. Melvin Stevens

Mr. and Mrs. Bayne Stevenson

Mr. and Mrs. James B. Stinson

Dr. and Mrs. Jeffrey D. Storey

E. James Streator III

Dr. and Mrs. James C. Strickler

Mr. and Mrs. Scott M. Stuart

INDIVIDUALS (continued)

28 Learn more about giving to Dartmouth-Hitchcock and the Geisel School of Medicine at http://giving.dartmouth-hitchcock.org.

Dick Fleming • Mapping Health Care

“Delivering the right amount of health care at a reasonable cost: that is the essence of the Dartmouth Atlas and what attracted me to learn more about it,” says Richard Fleming (right), a Dartmouth College and Tuck School of Business alumnus. The Dartmouth Atlas Project, now led by David Goodman, MD, MS (left), and Elliott Fisher, MD, MPH, of The Dartmouth Institute for Health Policy and Clinical Practice, has documented dramatic geographic variations in costs, utilization and outcomes in U.S. health care for more than 20 years. Fleming’s gift will help to ensure that this important work continues to inform local and national health policy.

PHO

TO B

Y JO

N G

ILBE

RT F

OX

29

Marlene Brody

Extending Hope

Remembering her husband’s struggle with pulmonary fibrosis, Marlene Brody (left) supports the research of Richard Enelow, MD (right), chief of Dartmouth-Hitchcock’s Section of Pulmonary and Critical Care Medicine. Enelow and his team study the mechanisms of unremitting inflammation and fibrosis in the lungs and the possible roles that genetics, viruses and environmental factors may play. “Marlene’s support allows us to conduct research that helps us better understand these relentless and incurable diseases and, hopefully, discover effective treatments for patients who currently have very few options,” says Enelow.

30

Mr. and Mrs. Emanuel R. Sturman

William and Carolyn Stutt

Gladys Sullivan

William J. Sullivan

Lois H. Surgenor

Dr. Stephen D. Surgenor

Dr. Jeffrey L. Susman

Mr. and Mrs. Henry Swan

Drs. Harold M. Swartz and Ann B. Flood

Mr. and Mrs. Kurt M. Swenson

Drs. David M. Systrom and Kathryn A. Martin

Drs. Mojdeh and Farhad Talebian

David and Peggy Epstein Tanner

Sheila Harvey Tanzer

Dr. and Mrs. Brad Taylor

Carrie W. Teffner

David Teiger

Drs. Trinidad L. Tellez and P. Travis Harker

Carolyn C. Tenney

Dr. Lloyd B. Tepper

Brad and Bee Thayer

Dr. and Mrs. Charles A. Thayer

Mrs. William H. Thomas

Drs. Craig B. and Tullia Thompson

Dr. Sally B. L. Thompson

Drs. Robert L. and Shari L. Thurer

Sara R. Timmons

Jennifer B. Truman

Dr. Peter A. Tuxen

Mr. and Mrs. C. Jerome Underwood

Margaret C. Vail

Mr. and Mrs. Timothy W. van Leer

Eyk A. Van Otterloo

Mr. and Mrs. Roy T. Van Vleck

James and Lucinda Varnum

Mr. and Mrs. Ronald D. Verge

Anne-Lee Verville

Henry E. Vittum

Mr. and Mrs. Peter F. Volanakis

John M. Von Bargen

Glenn N. Wagner and Sally Jane Rutherford

Cindra and Thomas Wallin

Claire Walton

Drs. Edward A. and Sarah R. Walton

Elaine R. Warshell and Richard W. Grossman

Allan Waters

Marion and Bruce Waters

Mary Waters

Barry and Elsa Waxman

Alan W. Weber

Mr. and Mrs. Kenneth E. Weg

Joan C. Weider

Lorne Weil

Dr. and Mrs. James N. Weinstein

Dr. and Mrs. Frank M. Weiser

Mr. and Mrs. Robert J. Weissman

Mr. and Mrs. Richard A. Weissmann

Lauren Wendel and Christopher Dougherty

Mr. and Mrs. William S. Wesson

Alfred and Loralee West, Jr.

Alan and Martha Weston

Dr. and Mrs. Igor Westra

Mr. and Mrs. Philip H. Wheeler, Jr.

Mr. and Mrs. J. Douglas Whelan

John and Jane Whelihan

Lynne and Hunt Whitacre

Frederick E. Whitcher

Dr. and Mrs. Jon C. White

Sarah White

Mr. and Mrs. Peter G. Wilds

Dr. and Mrs. Christopher W. Wiley

Alicia Willette, DDS

Dr. and Mrs. John H. Williams

Jennifer A. and Stanton N. Williams

Debra L. Williamson

Dr. Douglas Williamson and Leslie Williamson

Susan K. Williamson

Dr. Marta Willoughby and Justin Willoughby

Mundy Wilson

Donald Winterton

Morton E. Wise

Dr. and Mrs. Robert Withington, Jr.

Mr. and Mrs. Daniel H. Wolf

Mr. and Mrs. Thomas W. Wolf

James R. Woodworth

Dr. E. James Wright III

President Emeritus James Wright and Susan DeBevoise Wright

Pamela L. Wright

Timothy Wu

Dr. and Mrs. Martin N. Wybourne

Mr. and Mrs. A. Bradford Wyman

Mr. and Mrs. John E. Xiggoros

Dr. Feiyu Xue and Fang-Mei Chen

Mrs. Gratian M. Yatsevitch

Dr. and Mrs. Philip A. Yazbak

Dr. Mark P. Yeager

Kevin P. and Siobhan A. Yorgensen

Edward York

Kyle J. York

Dr. and Mrs. Oglesby H. Young

Dr. and Mrs. David S. Zamierowski

Dr. and Mrs. Douglas P. Zipes

Dr. Michael Zubkoff and Leslee Ann Michaels

Mr. and Mrs. John A. Zuccotti

Dr. and Mrs. Robert M. Zwolak

INDIVIDUALS (continued) FOUNDATIONS

Adirondack Community Trust - Evergreen Fund

American Cancer Society

American Heart Association

Bank of America Charitable Foundation

Theodora B. Betz Foundation

The Beveridge Family Foundation

BJ’s Charitable Foundation

Buchanan Family Foundation

Burrows Foundation

The Jack & Dorothy Byrne Foundation

C&S Charities, Inc.

California Healthcare Foundation

Chiavacci Family Foundation

Children’s Fund of the Upper Valley

CHMC Anesthesia Foundation

Clinton Family Foundation

Cogswell Benevolent Trust

The Commonwealth Fund

Couch Family Foundation

Crohn’s & Colitis Foundation of America

Cystic Fibrosis Foundation Therapeutics

The Dallas Foundation

Kevin Scott Dalrymple Foundation

Daniell Family Foundation

Delta Airlines Foundation

The Doctors Cancer Foundation

Cleveland H. Dodge Foundation

The Echlin Foundation

Endowment for Health

Exxon Mobil Foundation

Fine and Greenwald Foundation

Fisher Cats Foundation

Sylvester M. Foster Foundation

Foundation for Informed Medical Decision Making

Foundation for the National Institutes of Health

Francis Family Foundation

Fraternal Order of Eagles New Hampshire State Aerie

KRFrench Family Foundation

General Electric Foundation

The Gerber Foundation

William Goldman Foundation

William T. Grant Foundation

The Greenspan Foundation

Grimshaw-Gudewicz Charitable Foundation

Julia and Seymour Gross Foundation

Hamill Family Foundation

Mark and Anne Hansen Foundation

Alex and Laura Hanson CGF

Douglas A. Hirsh and Holly S. Andersen Family Foundation

Charles H. Hood Foundation

Hormel Foods Corporation Charitable Trust

Evelyn Hudson Foundation

Hypertherm H.O.P.E. Foundation

The Ironwood Foundation

Jordan & Kyra Memorial Foundation

Karen’s Climb Foundation

Kiva Foundation

LeBaron Foundation

Luckow Family Foundation

Lukaj Foundation

Lumina Foundation for Education

Lynch Blades Foundation

Lynch Family Charitable Foundation

Macy’s Foundation

March of Dimes Foundation

Thomas Marshall Foundation

Mascoma Savings Bank Foundation

Mellam Family Foundation

Merck Partnership for Giving

Moglia Family Foundation

Monarchs Care Foundation

Mt. Roeschmore Foundation

Multiple Myeloma Research Foundation

Muscular Dystrophy Association

National Multiple Sclerosis Society

Learn more about giving to Dartmouth-Hitchcock and the Geisel School of Medicine at http://giving.dartmouth-hitchcock.org. 31

New Hampshire Charitable Foundation

New Hampshire Electric Co-op Foundation

Novartis Foundation

Oak Foundation

Orthopaedic Research and Education Foundation

Owens Family Foundation

Page Hill Foundation

Gustavus and Louis Pfeifer Foundation

Pfizer Foundation

Point of View Foundation

Leon Prince Charitable Foundation

Prudential Foundation

Renaissance Charitable Foundation

Fannie E. Rippel Foundation

Robert Wood Johnson Foundation

Samuel Rosenblum Foundation

Albert J. Ryan Foundation

Andrew Sabin Family Foundation

Salmon Foundation

Scleroderma Research Foundation

Scoliosis Research Society

Mary Jean & Frank P. Smeal Foundation

Wendell M. Smith Foundation

Speedway Children’s Charities

Steffens 21st Century

Sulzberger Foundation

Susan G. Komen for the Cure

Susan G. Komen for the Cure Vermont-New Hampshire

J. T. Tai & Company Foundation

Timken Company Charitable Trust

John and Evelyn Trevor Charitable Foundation

Tuscon Sunrise Rotary Foundation

UBS Foundation

Upper Valley Rowing Foundation

Vail Family Foundation

Vanneck-Bailey Foundation

Verizon Foundation

Vermont Children’s Aid Society

Vermont Community Foundation

Wal-Mart Foundation

Arthur K. Watson Charitable Trust

The Walter H. and Hannah H. Webb Extended Family Foundation

WellPoint Foundation

West Family Foundation

Marie C. and Joseph C. Wilson Foundation

The Woodbury Foundation

YIPPEE Foundation

FOUNDATIONS (continued)

32

800response

Abbott Laboratories

AbbVie

Advanced Cardiovascular Imaging

AFLAC

American Academy of Clinical Neuropsychology

American Academy of Neurology Institute

American College of Radiology

American Legion Unit 21 and Ladies Auxiliary

American Society for Reproductive Medicine

American Society of Anesthesiologists

American Society of Dowsers

Amgen

Amoskeag Beverages

Amphenol Backplane Systems

Anagnost Investments

Anesthesia Associates of New London

ANSYS

Anthem Blue Cross Blue Shield

Apple Therapy Services

AT&T

AutoAlert®

AutoFair Group

AVEO Pharmaceuticals

Banks Chevrolet

Bayside Distributing

BaySon Company

Baystate Financial

Bedford Ambulatory Surgical Center

Bedford Occupational & Acute Care

Bellwether Community Credit Union

BIOTRONIK

BizUnite

Blue Sky Restaurant Group

Bob’s Discount Furniture

Body Armor Outlet

Boloco Restaurant

Books A Million

Borealis Ventures

Boston Scientific Corporation

Brady Sullivan Properties

Brendel & Fisher Wealth Management

Brown Furniture

Buttura & Gherardi Granite Artisans

Caldwell Law

Cape Air/Nantucket Airlines

Carlisle Place

Carroll Concrete Company

Casella Waste Systems

Casner & Edwards

Catholic Medical Center

Center for Physical Therapy and Exercise

Central Paper Products Company

Centurion Corporation

CGI Employee Benefits Group

Champlain Oil Company

Charles Schwab and Company

Child Health Services

Childhood Cancer Lifeline of New Hampshire

Christiano Construction North

Coca-Cola Bottling Company of Northern New England

Colby-Sawyer College

Coldwell Banker Redpath & Company

Comcast

The Community Oven

Community Partners

Compass Healthcare Advisers

Computac, Inc.

Continental Paving, Inc.

Convent General Knights of the York Cross of Honour (A Masonically Affiliated Organization)

Cottage Hospital

Covered Bridges Half Marathon

Covidien

Craig, Deachman & Amann, PLLC

Cross Insurance - Manchester

Cumberland Farms

Cure With Hope

Cystic Fibrosis Services Pharmacy

Dartmouth Class of 1969

Dartmouth Endurance Racing Team

DCU - Digital Federal Credit Union

Dealer Product Services

The Demers Group

Derry Sports & Rehab

Devine, Millimet & Branch, P.A.

Direct Flow Medical

Annual Fund • Building the Future

More than 3,470 donors contributed to the Dartmouth-Hitchcock Annual Fund in FY2013, raising a record-breaking $859,607. Their generosity advances Dartmouth-Hitchcock’s leadership in creating a sustainable health system for the region—supporting illness and injury prevention programs, services for patients and their families, state-of-the-art medical facilities, cutting-edge research and many other initiatives. Among the donors were grateful patients, community members, employees and the Dartmouth-Hitchcock Partners for Community Wellness.

ORGANIZATIONS

33

Downs Rachlin Martin PLLC

Drynk Restaurant

Durgin and Crowell

Eastman Golf Association

Educational Ventures

Edwards Lifesciences

Ellen’s 1/2 Pint Farm

ENSEARCH Management Consultants

Epic Systems Corporation

Evergreen Capital Partners

FairPoint Communications

Farmington Fire Rescue

First Republic Securities Co.

First Shore Group

Fit Werx, Road and Triathlon Cycling Specialists

Fogg’s Stoneworks, Inc.

Franklin Pierce University

Friedman Fleischer & Lowe

Frito Lay

FUJIFILM Dimatix

Gallagher, Flynn & Company

Garnet Hill

Gate City Electric

Gateway Motors

Geokon

Global Forest Partners LP

Global Truck Traders

Goldschmidt & Goldschmidt

W. L. Gore & Associates

Granite State Credit Union

Granite State Doll Club

Granite United Way

Grappone Automotive Group

Grappone Management Company

Griffin York & Krause

GW Plastics

Hampshire First Bank

Hanover Veterinary Clinic

Harvey Construction Corporation

HDR Architecture

HHP, Inc.

Hodge Tool Company

Holloway Automotive

J.M. Huber Corporation

IBM Corporation

Ikaria

Illinois Sports Medicine & Orthopedic Surgery Center

ImmuNext

International Union of Operating Engineers Local 4

Irving Oil

JJM Auto and Fleet Service

Johnson & Johnson

Joseph Equipment Company

JustGive

Kelley Chrysler Plymouth Dodge

Ken Jones, Inc.

Kendal at Hanover

Kimball Union Academy

King Arthur Flour

Kinney Pike Insurance

Kohl’s Department Stores

Lafayette Fireside Inn

Lake Sunapee Bank

Lebanon High School Student Activities Fund

Lebanon Painting & Decorating

Ledyard National Bank

LEGACY Supply Chain Services

Litchfield Middle School

Loginov & Associates

Logo Loc

Long Trail Brewing Company

Longchamps Electric

Los Ninos Children’s Medical Clinic

LPL Financial

M2S

MacLean-Fogg Company

Malco Distributors of New England

Markem-Imaje Corporation

Mascoma Savings Bank

Mass Bay Brewing Company

Massachusetts Mutual Life Insurance Company

Mazzetta Company

MBIA Insurance Corporation

Mead Johnson Nutritional Group

Measured Progress, Inc.

Medtronic, Inc.

Members First Credit Union

Memorial High School

Merrimack Mortgage Company

Millennium Pharmaceuticals

Millennium Running, LLC

Monadnock Mountain Spring Water, Inc.

Morano Gelato

Morgan Stanley

Mountain View Publishing

MVP Health Plan

Nashua Ambulatory Surgical Center

National Comprehensive Cancer Network

National Marrow Donor Program

National Palliative Care Research Center

New England Organ Bank

New Hampshire Fisher Cats

New Hampshire Football Officials Association

New Hampshire Industries

New Hampshire Orthopaedic Center

New Hampshire Prostate Cancer Coalition

New Hampshire Steel Fabricators

Newforma

NH Treats, LLC

Nixon Peabody, LLP

Nobis Engineering

NOCSAE

North Country Smokehouse

Northeast Delta Dental

Northern New England Clinical Oncology Society

Nye Lubricants

Olson Research Group

Olympus Biotech

OneBeacon Insurance Group

Optima Bank & Trust

Orr & Reno Professional Association

Orthocare Medical Equipment

Otto & Associates, Inc.

P&G Pharmaceuticals

Palace Theatre

S.H. Pallmerine, Inc.

Parent, McLaughlin & Nangle

Pepsi Bottling Group

PhRMA

Planet Aid

Polar Beverages

Poultry Products Northeast

Praxair

Precision Contract Manufacturing Image-Tek

Proctor Academy

Pro-Cut International Limited

Professional Car Care of New England

Provincial Grand Lodge, U.S.A. - The Royal Order of Scotland (A Masonically Affiliated Organization)

QLLA Charities, Inc.

Quest Diagnostics - Athena

QVT Financial LP

Randstad

Red Bull North America

Regency Mortgage Corporation

Resource Systems Group

The Richards Group

River Meadow Campground

Rockingham Research, Inc.

Roedel Companies

St. Denis Parish

St. Joseph Hospital

St. Mary’s Bank

Salix Pharmaceuticals

SBCollins, Inc.

Schubert Family Limited Partnership

Service Credit Union

Shamrock Foods Company

Sig Sauer, Inc.

Sirius American Insurance Corporation

SkillSoft Corporation

Somersworth Professional Firefighters Local 2320

South County Pulmonary Medicine

Spirit of Children Fund

STA Communications

Stave Puzzles

Stellar Restaurant Group

Stryker Craniomaxillofacial

Sulloway & Hollis, PLLC

Summit Distributing LLC

Fred Swymer Memorial Fund

Synergy-Salem LLC

Systems & Communications Sciences, Inc.

Target

Team Alzheimer’s

Team Athletes Multisport Partnership, LLC

Thermal Dynamics Corporation

Timken Aerospace

Total Image, Inc.

TransCanada

Truman Charitable Fund

Trumbull Hall Troupe

Turner Construction Company

United Way of Massachusetts Bay and Merrimack Valley

The Utility Club of Lyme

R.L. Vallee, Inc. dba Maplefields

Vectronix

Vermont Mutual Insurance Group

VFW Ladies Auxiliary Department of New Hampshire

Von Bargen’s Jewelry

VP Resales LLC

The Walking Company

Wal-Mart Stores

Water Country

WellPoint, Inc.

Wells River Savings Bank

WesBell Electronics

Western Massachusetts Epilepsy Awareness Committee

Frank W. Whitcomb Construction

White Mountains Insurance Group, Ltd.

John Wiley & Sons, Inc.

Wolverine Worldwide

Young’s Propane

Your Kitchen Store

If we have omitted, misspelled, incorrectly recorded or improperly categorized a name, please accept our sincere apologies and notify us at 603.653.0726 or email Annette.M.Rine@Hitchcock.org.

ORGANIZATIONS (continued)

34 Learn more about giving to Dartmouth-Hitchcock and the Geisel School of Medicine at http://giving.dartmouth-hitchcock.org.

CREDITS Editors

Victoria McCandless Kate Villars

Design

Erin Higgins David Jenne

Writers

Michael Barwell Tim Dean

Jennifer DurginVictoria McCandless

Kate Villars

Photography Mark Washburn

Unless otherwise noted

Published by Dartmouth-Hitchcock / Communications and Marketing

All contents © 2013.

NORRIS COTTON CANCER CENTER | CHILDREN’S HOSPITAL AT DARTMOUTH-HITCHCOCK

LEBANON • CONCORD • KEENE • MANCHESTER • NASHUA • BENNINGTON, VT

Improving the Lives of the People and CommunitiesWe Serve for Generations to Come

CREATING A SUSTAINABLE HEALTH SYSTEM