2006 annualreport - Dartmouth

Transcription

2006 A N N U A L
R E P O R T
T A B L E
O F
C O N T E N T S
Message from Leadership . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Cardiovascular . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Spotlight on Philanthropy John Fennessey . . . . . . . . . . . . . . . . . . . . . . 7
Norris Cotton Cancer Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Neurosciences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Spotlight on Philanthropy Frank and Brinna Sands . . . . . . . . . . . . 11
Orthopaedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Women’s Health and CHaD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Special Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Financial Statements and Operational Report . . . . . . . . . . . . . . . . 23
Community Health Improvements and Benefits . . . . . . . . . . . . . . 27
Board Memberships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
1
M I S S I O N as Action
Providing high quality health care,
Comforting those with sickness and injury,
Preventing illness among the well,
Advancing health care,
through Educating and Researching,
Serving our community,
Improving clinical practice,
Communicating with depth, clarity, and sensitivity,
and Collaborating with those who value this same mission.
Nancy A. Formella, MSN, RN
Acting President, Mary Hitchcock Memorial Hospital
& Dartmouth-Hitchcock Alliance
Thomas A. Colacchio, MD
President, Dartmouth-Hitchcock Clinic
Stephen P. Spielberg, MD, PhD
Dean, Dartmouth Medical School
“We thank you for your confidence in us and for your
ongoing support of our mission, people, and programs,
and for playing a vital part in transforming medicine.”
3
M
E S S A G E
F R O M
L E A D E R S H I P
Leading academic medical centers attract a special breed of passionate, dedicated, and talented people.
We are extremely fortunate that so many physician scientists, compassionate nursing professionals,
recognized leaders in premier medical education, and committed staff choose to focus their energy
and talents on advancing patient care, education, research, and community service through
Dartmouth-Hitchcock Medical Center and Dartmouth Medical School.
As we look ahead, several notable achievements and future commitments set the stage for DHMC’s
continued impact on the quality of health care—regionally, nationally, and internationally. Most notably,
Dartmouth Medical School, in partnership with Dartmouth College and DHMC, will begin construction
later this summer on the C. Everett Koop Medical Science Complex, a visionary new translational and
clinical research facility on DHMC’s main campus. Thanks to the generosity of foundations, corporations,
and nearly 50,000 individual donors, the Transforming Medicine Campaign has now reached over
$142 million in gifts and pledges.
Dartmouth-Hitchcock Medical Center also continues to have a profound impact on the advancement of
medicine and national healthcare policy. For example, the current research of James Weinstein, DO, MS, is
focused on leading a five-year, $13.5 million, multi-center trial that is receiving national and international
attention, and revolutionizing how physicians and patients view and treat back pain. Also, Center for the
Evaluative Clinical Sciences (CECS) senior faculty John Wennberg, MD, and Elliott Fisher, MD, MPH,
continue to influence national healthcare policy at the highest levels through their work on healthcare
delivery and outcomes.
For DHMC, 2006 was another year of evolution and accomplishment. Following months of preparation
by a diverse team of clinicians and staff, DHMC received full accreditation by the Joint Commission on
Accreditation of Healthcare Organizations (JCAHO) and Gold Medal status on all required patient safety
and quality of care standards. Dartmouth Medical School continues to rank among America’s top medical
schools and Norris Cotton Cancer Center was again recognized as one of the top 50 cancer centers in the
country by U.S. News & World Report. DHMC was also named by Solucient as one of the top 100 hospitals in
the country for cardiovascular care.
The year was also one of transition for the leadership team. James W. Varnum retired in May after a
stellar 28-year career as president of Mary Hitchcock Memorial Hospital and president of the
Dartmouth-Hitchcock Alliance. Nancy A. Formella, MSN, RN, formerly DHMC’s senior nurse executive,
was appointed acting president to succeed Jim. Nancy joins Thomas A. Colacchio, MD, president of the
Dartmouth-Hitchcock Clinic, in leading and achieving consistently higher performance on measures of
patient satisfaction, patient safety, quality of care, and financial strength for DHMC’s clinical enterprise.
As one of America’s top academic medical centers, DHMC has a special obligation to our region and to
the advancement of medicine. Our mission requires us to improve the health care and quality of life for
the people in the communities we serve; to train tomorrow’s physicians and medical scientists; and to lead
research efforts that save lives, accelerate healing, and improve clinical practice. This mission often requires
DHMC to treat the most acutely ill patients in both New Hampshire and Vermont. It also means being the
region’s “safety net,” by providing more free or discounted care and serving more Medicaid patients than
the vast majority of other providers in the two-state region. DHMC is heavily relied upon for advanced
specialized care, especially trauma services, cancer treatment, and the pediatric capabilities of the
Children’s Hospital at Dartmouth (CHaD).
We are fortunate to have so many passionate, dedicated, and talented people to meet these daunting
challenges, and to have such strong support from the many communities we serve. We are especially
fortunate to have the financial strength to support this mission, something that many of our peer
institutions lack. Much of that strength derives from your continuing generosity, which is so critical to
our current and future success. We thank you for your confidence in us and for your ongoing support
of our mission, people, and programs, and for playing a vital part in transforming medicine.
4
Something extraordinary
happens when a patient is
treated at Dartmouth-Hitchcock
Medical Center.
An inspiring collaboration
takes place here. Medicine is
transformed by the participation of everyone involved in
that patient’s care. Researchers
and donors lay the groundwork for translating laboratory
results into improved clinical
practice. Professors communicate research findings and best
practices toward the expansion
of medical knowledge.
Physicians refine and apply
that knowledge with each
patient interaction. And there
is a simple result—we improve
our quality of living.
5
C O L L A B O R A T I O N
“Successful treatment in one area of the body can
positively affect the others. That’s what I enjoy the
most about my practice.”
C A R D I O V A S C U L A R
—Craig A. Thompson, MD, MMSc
Craig A. Thompson, MD, MMSc
Interventional Cardiology,
Assistant Professor of Medicine
“What is most interesting for me
is being able to treat the entire
patient and deal with all of the
patient’s vascular problems. The
disease process that affects the
heart doesn’t lend itself to a
compartmentalized approach.
Rather than just simply focusing
on peripheral vascular disease or
stroke, I believe in a more integrated approach to taking care
of the disease process.
Richard J. Powell, MD
Vascular Surgery,
Associate Professor of Surgery
& of Radiology
“In taking care of patients with
peripheral vascular disease, this
is the most exciting time in
history. Many new developments
enable us to do a much better
job of taking care of patients in
less invasive manners. These
include less invasive treatments
for aneurysm disease and for
carotid artery disease using
carotid stenting.
“A real strength of the cardiovascular program is the capacity for
multiple individuals and multiple
departments to have meaningful
collaboration. This ultimately
improves the local, regional and
national delivery of healthcare in
terms of clinical care, educational
programming, and research.
“Working collaboratively with
multiple physicians to treat vascular disease enhances the clinical
outcomes for patients. We are
developing a multidisciplinary
vascular clinic and are working
closely with the cardiologists in
developing protocols. When our
vascular patients are screened for
coronary disease, we emphasize
preventive measures, such as
making sure they are on the
appropriate drugs that help
prevent the development of
atherosclerosis in the future.
“The clinical research that we do
here provides treatment opportunities for some patients who have
limited options. Some patients
come here specifically because
of these clinical trials that are
not available anywhere else
regionally.”
“The most rewarding
thing to me as a surgeon
is to see patients whose
lives have been improved
because of the care
that we’ve been able to
provide them.”
—Richard J. Powell, MD
“There are some unique characteristics of Dartmouth-Hitchcock,
in culture and hierarchy, that
really support this interdisciplinary team approach to
patient care.
“The work I've done is virtually
always with teams and groups of
individuals. I view that as being
very significant, not only with
building professional relationships but with enhancing clinical
outcomes and improving patient
management.”
A patient arrived with unstable coronary syndrome. Before catheter-based
interventions could begin, he had a stroke on the table and went into a coma.
The stroke response team—Dr. Clifford Eskey, an interventional neuroradiologist
and Dr. Timothy Lukovits, a stroke neurologist—along with Dr. Craig Thompson,
an interventional cardiologist, redirected attention from the heart to the head. The
three worked together, gave the patient clot-busting medication, and retrieved the
blood clot from the patient's brain. He survived and recovered well.
6
John Fennessey
appreciates
the straightforward
qualities of his
doctors at DHMC.
He calls them
“exceptional.”
J
O H N
F
E N N E S S E Y
S U P P O R T I N G
:
C A N C E R
C A R E
A T
D H M C
Fourteen years ago, Quechee, Vermont, resident
John Fennessey came to the Emergency
Department at DHMC with a lump in his throat.
It turned out to be cancer.
“I feel that I would have been gone a long time ago
if it wasn’t for the Cancer Center,” Fennessey says.
“I was really ill, and they made me better.”
Under the care of oncologist Pamela Ely, MD, PhD,
Fennessey fought a long, difficult battle with cancer
that required chemotherapy and radiation, and
eventually a bone marrow transplant. Through it
all, he recalls, “Dr. Ely was very kind and completely
honest with me. I never felt that she was giving me
false hope. If I asked her a question, she answered
it, straightforward. I like that.”
Although he moved from Quechee to Lincolnville,
Maine, in 2003, Fennessey never considered
receiving his care anywhere but DHMC, despite the
four-hour drive to Lebanon. “They [Dr. Butterly and
Dr. Turco] are exceptional doctors and there’s no
one in Maine I’d rather see,” he says matter-of-factly.
He ultimately prevailed against the cancer and
gratefully credits Dr. Ely with saving his life. In
recent years, he has been coming to DHMC for
ongoing care from cardiologist John Butterly, MD,
and endocrinologist John Turco, MD—both of
whom were recommended to him by Dr. Ely.
To his delight, the qualities he appreciated in
Dr. Ely were ones he found in both Dr. Butterly
and Dr. Turco. “Dr. Butterly is a very caring man,
the sort of doctor I feel comfortable with,” he
notes. Of Dr. Turco, he says, “He’s a nice guy and
very straightforward with me about my diabetes.”
Fennessey also notes an added bonus: he and
Dr. Turco share a passion for golf.
He is not only loyal to DHMC, he is also generous,
having recently included the Medical Center in his
estate plans. Fennessey hopes that his ultimate gift
will inspire others to remember DHMC in their
estate plans, a process that he says “was very easy
and uncomplicated.”
While Fennessey, a longtime donor to both the
Fund for Dartmouth Medical School and the
Dartmouth-Hitchcock Annual Fund, is no stranger
to supporting DHMC, his latest gift will significantly
enhance cancer research and patient care at
Norris Cotton Cancer Center, a place where he has
an especially strong connection. “I feel that I would
have been gone a long time ago if it wasn’t for the
Cancer Center,” he says. “I was really ill, and they
made me better.”
8
E R A S I N G
“While our main goal is to treat the
cancer, we strive to do so in a way that
enhances our patients’ lives. Whether
that means getting dressed each morning
without facing reminders of cancer, or
simply getting back to things they love to
do, we offer patients options that help
them regain what they may have lost
along the way.”
—E. Dale Collins, MD
Kenneth R. Meehan, MD
Director, Bone Marrow Transplant
Program,
Associate Professor of Medicine
(Hematology/Oncology)
“I like to think of innovative new
ways to treat people. We have a
very unique clinical trial here
where we give patients various
types of medication to allow their
bone marrow to release bone
marrow cells into the blood and
also to stimulate their immune
system so these cells are released
into the blood. We collect those
cells and use them in the
transplant. Worldwide, this is
only the second or third trial
utilizing this approach.
“We know the immune system
following transplant dictates
9
B O U N D A R I E S
E. Dale Collins, MD
Director, Comprehensive
Breast Program
Associate Professor of Surgery
(Plastic-Reconstructive Surgery)
“Breast cancer patients face big
decisions, and one of the first is
what treatment to choose for
their care. A unique initiative in
the Comprehensive Breast
Program ties comprehensive
health screening and decision
making into the routine care of
our patients. Before their surgical
consultations, patients view an
informational video and answer
questions that measure their
understanding. They also complete a simple, computerized
questionnaire that gathers information on medical and family
history, and identifies emotional
concerns like distress, depression,
or anxiety.
“If a woman reports emotional
concerns, an e-mail is automatically sent to our breast cancer
coordinators, who are trained
social workers. They make
contact with the patient as quickly
as possible to offer support and
guide her or her family members
to appropriate services. Patients
have been unbelievably grateful
to us for implementing this
process.
“The screening tool allows us to
have upfront information about
our patients’ medical history,
level of emotional distress, understanding of treatment options,
and personal values. We can
provide a more comprehensive
level of support—based on who
they are and what is important to
them, not just as patients but
as people.”
C A N C E R
long-term prognosis. So if we can
provide cells in transplant that
will bump up or improve their
immune system immediately post
transplant, we hopefully will
improve their outcome.
“We use medications to stimulate
a patient’s immune system after
transplant and actually give back
their own cells that have been
expanded in the laboratory to
become killer cells as a vaccine.
That has only been done in
maybe two other clinical trials.
“Our team—about 40 people—
meets every Tuesday to talk
about all new patients. That sort
of team spirit, where people really
take responsibility, has put us on
the map.”
“To have an idea, test it in the laboratory, take it to
clinical trial, treat a patient, and hopefully improve
that person’s quality of life and outcome—that is
very fulfilling and happens every day.”
—Kenneth R. Meehan, MD
C R E A T I N G
S O L U T I O N S
“What really attracted me to the
medical center was the wonderful focus
on patient care.” —Clifford J. Eskey, MD, PhD
Clifford J. Eskey, MD, PhD
Director, Interventional
Neuroradiology
Assistant Professor of Radiology
& Surgery
“When someone has a stroke,
there is very little time to save
the brain. If they get to the
hospital within three hours, the
proven treatment is intravenously
administered TPA, a clot-busting
drug. If it is too late or the patient
can’t get intravenous TPA, we can
place a very small catheter into
the blocked blood vessel in the
brain to deliver small amounts of
TPA right at the clot, with a better chance of opening the vessel
and with lower risk. Or, we can
use a corkscrew device to pull the
clot out and open the vessel.
“We are also able to treat brain
aneurysms less invasively. Instead
of opening the skull to put a clip
on the aneurysm, we go in
through the blood vessels and fill
the aneurysm with soft platinum
coils, effectively blocking it off
from the rest of the circulation so
it can’t hemorrhage.
“Being able to treat lifethreatening diseases with
minimally invasive procedures
is very gratifying, as is working
with my colleagues in the
clinical neurosciences at
Dartmouth-Hitchcock Medical
Center to provide state-of-the-art
patient care.”
Dr. Clifford Eskey
is the only
N E U R O S C I E N C E S
interventional
neuroradiologist
in New Hampshire.
Timothy G. Lukovits, MD
Co-Director,
Comprehensive Stroke Program,
Assistant Professor of Medicine
“Stroke can be caused by many
diseases, so I have to be like a
detective to determine the cause
and best treatment. Through
accurate and skillful testing and
interpretation, I determine what
has happened to the patient,
which leads to logical optimal
treatment.
“Often it requires an extra level of
review with multiple radiologists,
which is easily available at DHMC.
My field is multidisciplinary,
allowing me to interact with other
subspecialties, something I find
most satisfying and stimulating.
DHMC’s size and somewhat less
formal atmosphere foster collaboration between the subspecialties,
which has changed the way we
manage patients with stroke.
“When a patient is admitted with
a frightening event like a stroke,
there often is an opportunity to
change lifestyle. A lot of the
secondary stroke prevention
that I do hinges on education of
patients and families. On a given
day I am seeing the patient and
their family and friends multiple
times, so I have lots of
opportunities to help them learn.
It’s an opportunity to change
someone’s habits in a very
effective way.”
“Stroke can dramatically
change a person’s life and
the essence of what that
person is in seconds.
It’s critical for me to be
actively involved with my
patient and the family to
help them understand
the potential impact on
their lives.”
—Timothy G. Lukovits, MD
10
By investing in
an extraordinary
institution, the
Sands are having
a big impact
on the health of
people within their
community—and
around the world.
F
R A N K
A N D
B
R I N N A
T H I N K I N G
S
A N D S
G L O B A L L Y,
For many, “think globally, act locally” is no more than
a popular catchphrase. But for Upper Valley resident
Frank Sands, who is the chairman and former CEO of
King Arthur Flour in Norwich, Vermont, and his wife,
Brinna, it is a way of life.
“We want our children and grandchildren to inherit a
better world,” says Brinna Sands. It’s this desire that
drives the couple to volunteer and support local
“I have this sense that, long after we’re gone,
our kids and grandchildren will benefit from this
gift and know that we did something to help
improve health care.”
organizations and educational institutions, among
them the Upper Valley Land Trust, a non-profit
organization dedicated to providing permanent
protection of land and its resources throughout the
Upper Valley, and Dartmouth College, Frank Sands’
alma mater.
“Dartmouth is very important to our family,” he notes.
It’s easy to understand why. Frank’s father, Walter, was
a graduate of the Class of 1922, Frank himself is a
proud member of the Class of 1958, and Frank’s
brother graduated from Dartmouth in 1959. Two of
the Sands’ children are also Dartmouth alumni.
While Frank and Brinna Sands have a long tradition
of giving to the college, the lion’s share of their most
recent generous gift will go toward supporting the
construction of facilities for the Center for the
Evaluative Clinical Sciences (CECS) within the
C. Everett Koop Medical Science Complex, to be built
on the Lebanon campus of Dartmouth-Hitchcock
Medical Center. CECS’s new home in the Koop
Medical Science Complex will put CECS investigators
in close proximity with physicians and scientists,
leading to a better flow of knowledge from the lab to
the bedside and the community.
A C T I N G
L O C A L L Y
“We see the hospital as an extension of the
Dartmouth community, and of the Upper Valley
community,” Frank explains. Over the years, DHMC
has also become an important part of the Sands’ lives:
three of their grandchildren were born at the Medical
Center, and Frank came to DHMC to have both of his
shoulders replaced by orthopaedic surgeon John
Nutting, MD.
But according to Frank, it is Peter Williamson, MD,
who gets the credit for inspiring this latest gift. “Pete
is a classmate of mine,” he notes. Dr. Williamson is
also the founder and director of DHMC’s renowned
epilepsy program and co-chair of the Transforming
Medicine Campaign.
“Pete’s a wonderfully contributive guy,” says Frank of
Dr. Williamson, whose own generous campaign gift
will establish an endowed chair in honor of Alexander
Garden Reeves, MD, retired DMS professor emeritus
and former chief of neurology. Frank also notes the
contributions of another friend and member of the
Dartmouth College Class of 1958, Reverend Preston
“Pete” Kelsey, whose generosity will create an
endowed chair at Norris Cotton Cancer Center. “They
are wonderful role models,” he explains. “And Brinna
and I wanted to be part of that.”
Brinna notes that they decided to direct their gift to
CECS “because of the cross-fertilization that goes on
between the College, Medical School, Medical Center,
Tuck and Thayer.” Nationally and internationally
recognized for its research on health outcomes,
decision making, and policy, CECS draws on the
expertise of physicians, scientists, and clinicianscholars throughout the Dartmouth community,
with the goal of improving the healthcare system.
The Sands’ gift may be going to a local institution,
but the impact of their generosity will help improve
the quality of health care throughout the nation and
the world. “I have this sense that, long after we’re
gone, our kids and grandchildren will benefit from
this gift and know that we did something to help
improve health care,” says Frank.
12
Q U E S T I O N I N G
A S S U M P T I O N S
“I lost a daughter to leukemia when she was 12, and saw her struggle
from the age of 15 months. That certainly influenced my desire to help
people with illnesses understand that there are treatment options.”
—James N. Weinstein, DO, MS
James N. Weinstein, DO, MS
Chairman, Department of
Orthopaedic Surgery
Professor of Orthopaedic Surgery &
Community and Family Medicine
“In many instances in health care,
there are choices for patients.
Our Spine Patients Outcomes
Research Trial (SPORT) provides
evidence that supports patient
participation in the care decision.
This means we must integrate
our patients’ preferences and
values into that decision-making
process.
“DHMC has a wonderful resource
available for our patients—the
Center for Shared Decision
Making, the first of its kind in the
nation. This Center provides
information for our patients
about many of their conditions,
including end-of-life treatment
options. This information allows
our patients to understand the
best evidence to support one
treatment or another, and to
have a meaningful discussion
with their doctor. It’s this
connection with my patients
that motivates and inspires me,
each and every day.”
O R T H O P A E D I C S
William A. Abdu, MD, MS
Medical Director, Spine Center
Associate Professor of
Orthopaedic Surgery
“We understand that our patients
often have very difficult problems.
Our goal in the Spine Center is to
make sure we can offer something
to every one of our patients,
whether it’s functional restoration,
physical therapy, occupational
support, counseling, pain management, or an operation.
“All the disciplines are in one
place in the Spine Center. This
approach is uncommon, but we
believe this is the best care for
our patients. We all learn from
each other, the collaboration is
wonderful, and our patients
benefit from the combined
knowledge of the multidisciplinary team.”
“We find it extremely motivating when our patients
come back and have significant improvement in
their quality of life.”
—William A. Abdu, MD, MS
13
T R A N S F O R M I N G
C .
M E D I C A L
E
V E R E T T
S C I E N C E
Transcending Boundaries
to Nurture Discovery
Barriers between science and
medicine are disappearing and
collaboration is taking their
place. Dedicated medical and
science faculty, researchers, and
clinicians know that today’s
complex problems of disease and
optimum patient care will not be
solved by one person or even
within one field of study. Creating
solutions for intricate medical
problems takes the combined
resources of many disciplines to
nurture discovery.
K
M E D I C I N E
O O P
C O M P L E X
Stephen P. Spielberg, MD, PhD,
dean of the Medical School,
describes the collaborative
approach as powerfully effective,
requiring spaces specifically
designed to transcend traditional
boundaries and enhance
collaboration, speeding the
process of discovery and its
translation into cures.
The C. Everett Koop Medical
Science Complex will bring
state-of-the-art research and
exceptional academic programs
together in close proximity to
clinical and patient care areas in
uniquely designed environments
intended to foster collaboration
and discovery. “In our new
translational research building,
we will expand scientific investigation with an emphasis on
multidisciplinary problem solving
in neuroscience, cardiovascular
science, immunology/infectious
diseases, and other evolving
areas,” Spielberg explains.
focusing on healthcare delivery,
optimizing care at the national to
the local level, and evaluating
new interventions, will interact
with bench scientists,” Spielberg
says. “Such physical juxtaposition
will, hopefully, lead to a new era
of more thoughtful flow of knowledge—from the bench to the
bedside to the community and
back. It’s an elegant system, with
patients at the center of it all.”
“Our Center for the Evaluative
Clinical Sciences will be joined
to the translational sciences
building. Investigators in CECS,
“The healthcare payment system is fundamentally
broken and is a barrier to achieving high-quality
health care.”
—Elliott S. Fisher, MD, MPH
Elliott S. Fisher, MD, MPH
Professor of Medicine & Community
and Family Medicine
Center for the Evaluative
Clinical Sciences
“The healthcare payment system
is fundamentally broken and is a
barrier to achieving high-quality
health care.
“The Institute of Medicine
(IOM) report that I participated
in recommends that pay-forperformance consider broad
aspects of performance, such as
clinical quality, patient-centered
care, and efficiency. We have to
look beyond narrow measures in
determining performance.
“Although some see pay-forperformance as a ‘magic
bullet,’ our committee raises
serious doubts about its
implementation.
“The research that we are
conducting on this issue at
Dartmouth’s Center for
Evaluative Clinical Sciences
(CECS) should continue to
influence IOM policy statements.
Being part of IOM is a validation
and recognition of the relevance
and importance of the work
we’re doing at Dartmouth
around the relationship between
spending, clinical practice, and
the outcomes of care.”
14
P A T I E N T - C E N T E R E D
W O M E N ’ S
C A R E
H E A L T H
Michele R. Lauria, MD, MS
Maternal-Fetal Medicine,
Associate Professor of Obstetrics and
Gynecology (Maternal-Fetal
Medicine) & of Radiology
“Working with families who have
difficult decisions to make,
explaining the limits of medical
knowledge, the possible outcomes of specific choices and the
uncertainties—in ways they can
understand so they can make
good decisions based on their
personal beliefs—this is what I
“I enjoy caring for families facing
difficult choices, where there is clearly
no correct choice.”
find both challenging and
rewarding.
Best practices are
“These situations typically arise
with the use of ultrasound to
diagnose congenital malformations. Often, there is a range
of outcomes, and we can’t
accurately predict where a
child will fall in that range.
Many of these couples are
facing parenthood for the first
time and are challenged to make
their first parenting decisions
prior to birth. This is often the
first time they experience the
unpredictability of life.”
looking at
developed from
variations in care
and outcomes
from data derived
from OBNet , a
Web-based
delivery registry.
—Michele R. Lauria, MD, MS
Richard P. Morse, MD
Section Chief, Pediatric Neurology,
Associate Professor of Pediatrics
(Pediatric Neurology) & of Medicine
“Pediatric epilepsy most inspires
me in my day-to-day work.
Helping a family and child
overcome a challenging disease
and blossom provides my inspiration. I can think of several
children with intractable
seizures who have been made
seizure-free by a careful surgical
approach to their epilepsy. When
the entire epilepsy team works
together and the outcome is
reflected in the improved quality
of life of the child and family,
that is inspiring!
“We all share a desire to translate
bench research observations into
the clinical arena. We are
looking at the critical early post-
15
trauma events that may underlie
the process of post-traumatic
epilepsy, as well as a brain cooling
project for neonatal brain injury.
The pediatric neuroscience
program is also moving forward
with an initiative in deep brain
stimulation for epilepsy. These
projects and others influence the
care of patients in allowing us to
offer a more comprehensive
approach to treating epilepsy.
“We take a team approach in
coordinating care, facilitated
by the proximity of our offices
and the frequent and varied
forums that involve discussion of
patient care. DHMC places great
emphasis on finding ways to
improve patient care.”
“I get great personal satisfaction when
I see a child with epilepsy get better.”
—Richard P. Morse, MD
The remarkable spirit of
generosity is seen every day
at Dartmouth-Hitchcock
Medical Center. Community
members and alumni of
Dartmouth Medical School
share our vision for creating
leaders and defining clinical
practice in health care.
In the pursuit of clinical
advancements, from more
effective treatment discoveries
to comfortable healing and
disease prevention, our
donors collaborate with our
teams not only to express their
personal vision for health and
healing, but to truly transform
medicine. This partnership
confirms that our efforts are
recognized, appreciated,
and supported.
16
T H A N K
Abbott Laboratories Fund
Abcomm, Inc.
Alison Abdu and Barry L. Glass
Dr. and Mrs. William A. Abdu
Dr. and Mrs. Donald W. Abel
Academy of Movement
Dr. Miriam and Sheldon G. Adelson
AGS Foundation for Health in Aging
Dr. Jeral L. Ahtone
Clarence and Estelle Albaugh Trust
Mr. and Mrs. Judd H. Alexander
Dr. and Mrs. Raymond Alexanian
Joseph Alexant
Allergan
William G. Allyn (deceased)
Dr. Katharine Swift Almy
Joel B. Alvord
American Academy of Family Physicians
American Academy of Neurology
American Cancer Society, Inc.
American College of Rheumatology
American Heart Association
American Institute for Cancer Research
AmeriCares Foundation
Ameriprise Financial Services, Inc.
AMG Charitable Gift Foundation
Amgen, Inc.
Estate of Gladyce V. Amidon
Mr. and Mrs. Charles H. Anderson
Dr. and Mrs. Blair J. Andrew
Androscoggin Valley Hospital Foundation
William P. Annable
Anonymous (14)
Anthem Blue Cross Blue Shield
Dr. and Mrs. Walter R. Anyan, Jr.
AO Foundation
Dr. and Mrs. Frederick M. Appleton
Margaret F. Aronson
Dr. Bradley A. Arrick and
Danielle D. Jones
Dr. Diane L. Arsenault and
Peter R. Pirnie
Dr. Lori Arviso-Alvord and
Jonathan D. Alvord
Astellas Pharma US, Inc.
AstraZeneca LP
Mr. and Mrs. David M. Atkinson
Au Bon Pain
Dr. and Mrs. James P. AuBuchon
Auto Re-Nu-It Auto Body, LLC
Aventis Pasteur
Louise R. Avery
Axcan Scandipharm Inc.
Elliot A. Baines
Drs. Emily R. Baker and Michael L. Beach
Dr. and Mrs. Richard J. Baker, Jr.
Mr. and Mrs. William J. Baldasaro
Nicholas Baldick
Dr. and Mrs. Perry A. Ball
Dr. Karen and John Ballen
Bank of America, N.A.
Bank of America
Banknorth, N.A.
Gail and Steve Barba
Mr. and Mrs. Kenneth S. Barclay
The Barley House, LLC
17
Dr. and Mrs. John F. Barlow
The Bryant and Doris Barnard
Family Foundation
Michele Barnett
Mr. and Mrs. Raymond J. Barrette
Robert V. Bartles and Loren L. McGean
Drs. Lavonne and Paul Batalden
The Bayson Company
Prof. Deborah R. Becker
Ed and Judi Becker
Bedford Ambulatory Surgical Center, LLC
Joel and Catherine Bedor
Philip E. Beekman
Katherine A. Beinder
Alexander Graham Bell Association for the
Deaf and Hard of Hearing
K. Reed Berkey
Berlex, Inc.
Dr. and Mrs. James L. Bernat
Anne and Arthur Berndt
Dr. and Mrs. Philip M. Bernini
Dr. and Mrs. Henry H. Bernstein
Lawrence H. Bernstein
Lawrence H. Bernstein Foundation
Theodora B. Betz Foundation
Suzanne and George Beyea
Mr. and Mrs. Burton M. Bickford
Prof. and Mrs. Robert B. Binswanger
Biogen Idec
BioSan Laboratories, Inc.
Dorothy S. Bischoff
Dr. and Mrs. Harry C. Bishop
Dr. Laurie Blach
Mr. and Mrs. Leon D. Black
Dr. and Mrs. William C. Black
David J. Blackwell
Elizabeth A. Blauvelt
Dr. and Mrs. Raymond M. Bleday
Dr. George T. Blike
Atie E. Blinn
Barbara and Foster Blough
Boatwright Foundation Inc.
Mr. and Mrs. Antranig A. Boghosian
Mr. and Mrs. John C. Bogle
Bonneville & Son, Inc.
Mrs. Murray Bornstein
Naomi T. Borwell
Boston Financial Management, Inc.
The Boston Foundation
Boston Scientific Corporation
Mary Kay Boudewyns and
Robert Sadlemire
Drs. Philip and Suzanne Boulter
Dr. DeRayne Boykins
Dr. and Mrs. William E. Boyle, Jr.
Katharine S. Boynton
Mr. and Mrs. Robert Boynton
Mr. and Mrs. G. Paul Bozuwa
BrainZ, USA
Dr. Mark G. Brauning
Mr. and Mrs. William J. Breed
Pauline Brine
Mr. and Mrs. Charles E. Brinley
Bristol-Myers Squibb Company
Mr. and Mrs. Allen H. Britton, Jr.
Broad Street School PTO
Jennifer and Peter Brock
Y O U
D O N O R S
The Jennifer Brock Charitable
Lead Annuity Trust
Drs. Constantine Brocoum and
Ophelia Chang
Dr. Carlene H. Broderick
Dr. Mark J. Brodkey
Marlene Brody
Mr. and Mrs. David K. Brooker
Dr. Katherine M. Brower
Lucy Brown
Dr. Mark W. Brown
The Buchanan Family Foundation
Dr. and Mrs. Kenneth W. Burchard
Burdick Foundation
J.E. and Z.B. Butler Foundation
Marjorie W. Butler
Drs. John R. and Lynn F. Butterly
Dr. Ira Byock and Yvonne Corbeil
The Byrne Foundation
Dorothy and John J. Byrne, Jr.
The Jack & Dorothy Byrne Foundation
Drs. Thomas W. and Joan E. Byron
C&S Wholesale Grocers, Inc.
Cadbury Schweppes
California HealthCare Foundation
Mr. and Mrs. Robert A. Campbell
The Capital Group Companies, Inc.
Ann Fraser Carpenter
Chris P. Carpenter
Mr. and Mrs. Russell L. Carson
Ann B. Carter
Carvers For Kids
Dr. Kristin Pisacano Casale
Mr. and Mrs. Ernest Castellano
Catholic Medical Center
Joyeuse Gile Cavaney
Centurion Corporation
Cerner Corporation
Joseph Cerniglia
George B. Chandler
Mark W. Chapman and Martha
Blakemore Chapman
Mr. and Mrs. William Henry H. Chapman II
Dr. Mildred Chen
Drs. Ambrose and Yvonne Y. Cheung
Children’s Fund of the Upper Valley
Estate of Janet I. Chipman
Chiron Corporation
Chittenden Bank Community Fund
Michael Choukas
Mr. and Mrs. Stephen F. Christy
Dr. Kyung H. Chung
David and Ann Cioffi
Citizens Financial Group, Inc.
Citizens United for Research in Epilepsy
City of Lebanon
Marilyn L. Clark
Mr. and Mrs. Ray G. Clark
Mr. and Mrs. Richard R. Clayton
ClearChannel Worldwide
Robert E. Clegg, Jr.
Mr. and Mrs. Frederic S. Cluthe
Coca-Cola Bottling Company of
Northern New England, Inc.
Mr. and Mrs. Edmund S. Coffin
Dr. Jeffrey Cohen and Renee Vebell
Mr. and Mrs. Richard B. Cohen
Susan N. Cohen
Dr. and Mrs. Mitchell D. Cohn
Oscar Mandel Cohn Charitable Trust
Estate of Oscar M. Cohn
Dr. and Mrs. Thomas A. Colacchio
Coldwell Banker Redpath & Company
Mr. and Mrs. William S. Colehower
Dr. and Mrs. Lawrence S. Coleman
Mr. and Mrs. Miles C. Collier
John and Helene Collins
The Commonwealth Fund
Community Foundation of
Western Massachusetts
ConEdison, Inc.
Connecticut River Bank, N.A.
Cook’s Equipment, Inc.
Bill and Nancy Cook
The Jane B. Cook 1992 Charitable Trust
Dr. and Mrs. Milton Cooper
Mr. and Mrs. Hans R. Copeland
Mr. and Mrs. Martin F. Corcoran, Sr.
Cordis
Dr. and Mrs. Cornelius J. Cornell, Jr.
Michael Costello and
Jayne McLaughlin-Costello
Estate of Eleanor and Norris Cotton
County of Sullivan
Mr. and Mrs. Michael T. Cowhig
Pamela P. Crary
Drs. Joseph and Carolyn Cravero
Mr. and Mrs. Richard T. Crawford
The Cremona Fund, Inc.
Dr. and Mrs. Robert W. Crichlow
Mr. and Mrs. Courtland J. Cross
Mary S. Cross
Dr. and Mrs. Harte C. Crow
Dr. and Mrs. John F. Crowe
Dr. John M. Crowe
Mr. and Mrs. James W. Crowell
Crown Point Cabinetry Corporation
Mr. and Mrs. Thomas C. Csatari
CTC Communications
Cubist Pharmaceuticals, Inc.
Ann M. Cullen
Cullenberg & Tensen, PLLC
Mr. and Mrs. Andrew W. Cunningham, Jr.
Mary S. Cunningham
Dr. Sandra J. Cunningham
Drs. Jesse W. and Judith S. Currier
Mr. and Mrs. Philip R. Currier
Mr. and Mrs. Frederick G. Cushing, Jr.
Cystic Fibrosis Foundation
Therapeutics, Inc.
Cystic Fibrosis Services, Inc.
D & R Products Company, Inc.
Drs. Lawrence and Linda Dacey
Mr. and Mrs. W. Brian Dade
Dr. Peter A. Dale
Dr. and Mrs. Miguel Damien
Damon Runyon-Walter Winchell Cancer
Research Foundation
Elaine and David Dana
Drs. William Danford and Nancy Pettinari
Barbara E. Daniell
Daniell Family Foundation, Inc.
Danielson Surgical Associates
Dr. and Mrs. Kenneth S. Danielson
Mr. and Mrs. Phidias G. Dantos
2006
With nearly 25,000 donors providing over $37 million in support through
gifts and pledges for Dartmouth-Hitchcock Medical Center and Dartmouth
Medical School, 2006 was an extraordinary fundraising year. All
contributions to the Medical School and the Medical Center support the
Transforming Medicine Campaign, which seeks to raise $250 million by the
end of 2009. The enthusiastic response we received from our philanthropic
community is a testament to the confidence our donors have in our ability to
transform medicine by advancing patient care, medical education, scientific
research, and community service. We are profoundly grateful to our friends,
alumni, faculty, staff, and other supporters for their continued generosity.
While gifts of all amounts are sincerely appreciated, included here are the
names of donors who made gifts to the Medical School or Medical Center
totaling $1,000 or more during 2006.
Estate of Louise C. Darrow
Dartmouth Class Of 1961
Dr. John G. Davenport
Mr. and Mrs. Philip de Toledo
Steve Dearing
Mr. and Mrs. Gary M. DeGasta
Delta Dental
Dr. and Mrs. Carl S. DeMatteo
The Demers Group
Susan Dentzer
Depuy Spine
Derryfield Restaurant
Robert A. Derzon
Carol J. Descoteaux
Dennis A. DeVaux
Linda M. DeVere
Devine, Millimet and Branch, P.A.
Mr. and Mrs. Bradley Dewey, Jr.
Dr. William E. Dewhirst
Sandra G. Dickau
Mr. and Mrs. S. Whitney Dickey
Martha E. Diebold
Digestive Care, Inc.
Frances K. Dimmick
Cleveland H. Dodge Foundation, Inc.
Mr. and Mrs. Richard P. Donadio
Drs. Eric D. Donnenfeld and
Marlene B. Donnenfeld
Dr. and Mrs. Richard W. Dow
Mary L. Downing
Downs Rachlin Martin PLLC
Mr. and Mrs. Allan M. Doyle, Jr.
Dr. Pepper/Seven Up, Inc.
Robert T. Drape
Mr. and Mrs. Bruce M. Dresner
Dr. Kristina M. Duarte and Bridget Baird
Dr. Kathleen R. Dube
Dr. Ann-Christine Duhaime and
Stanley A. Pelli
Mr. and Mrs. Robert S. Dustin
Mr. and Mrs. Donald R. Dwight
Drs. Diane Marie Dwyer and
Joseph G. Gall
Mae E. Eagleson
East Bay Community Foundation
Eastern Mountain Sports
Eastman Golf Association
Dr. and Mrs. Walter L. Eaton, Jr.
EBI, L.P.
The Echlin Foundation
John Edmiston
Edwards Lifesciences LLC
Dr. and Mrs. Burton L. Eisenberg
Dr. David Eisner
Mr. and Mrs. H. Newcomb Eldredge
Elliot Hospital
Stephan and Barbara Elliott
Jennifer Ellis
Dr. and Mrs. Robert M. Ellsworth
Mr. and Mrs. Louis B. Ely, Jr.
Embryon, Inc.
Endowment for Health
Engelberth Construction, Inc.
Mr. and Mrs. Otto A. Engelberth
John S. Engelman
Ensearch Management Consultants
Stephen W. Ensign
Epply Charitable Foundation
William R. Epply
Dr. and Mrs. John F. Erkkinen
Mr. and Mrs. Harry F. Espenscheid
Estes & Gallup Builders, Inc.
Tony Eun
EV3 Inc.
Drs. C. Douglas and
Megan W. Evans
Mr. and Mrs. Joseph P. Exner
Expedition Inspiration, Inc.
Exxon Mobil Foundation
Mr. and Mrs. Fred J. Eydt
Dr. and Mrs. Charles S. Eytel
Fahey Family Foundation
Mr. and Mrs. Peter M. Fahey
Sherman Fairchild Foundation
Fairfield County Community
Foundation, Inc.
Sami A. Fam
Dr. and Mrs. Gilbert J. Fanciullo
Fantini Baking Company, Inc.
Mr. and Mrs. Wallace J. Farr
Mr. and Mrs. Russell B. Faucett
Dr. and Mrs. Charles S. Faulkner II
Mr. and Mrs. Quentin P. Faulkner
Faultless Starch / Bon Ami Company
Mr. and Mrs. John J. Fennessey
Mr. and Mrs. Allan R. Ferguson
Dr. Susan K. Ferrand
Dr. and Mrs. David R. Fett
Fidelity Investments Charitable Gift Fund
Frances W. Field
Doris A. Fielding
Drs. Mary P. and Mark F. Fillinger
First Colebrook Bank
Dr. and Mrs. William X. Fischer
Fisher Scientific International Inc.
Annabelle Fishman
Dr. and Mrs. Reginald H. Fitz
Flight Attendant
Medical Research Institute
Dr. and Mrs. Timothy P. Flood
Ford Motor Company
Forest Pharmaceuticals, Inc.
Nancy and John Formella
Foundation for Healthy Communities
Foundation for Informed
Medical Decision Making
Foundation for Orthopedic Trauma
Dr. Diane Louise Fountas
Joan P. Fowler
Francis Families Foundation
The Jane & Stephen
Frank Foundation
Dr. Judith E. Frank
Mr. and Mrs. Stephen Frank
Fraternal Order of Eagles Grand Aerie
Fraternal Order of Eagles
NH State Grand Aerie
Fred’s Plumbing and Heating, Inc.
John D. Freeman
David Friedensohn
Dr. and Mrs. Alan J. Friedman
Mr. and Mrs. Gerald A. Friedman
Frisbie Memorial Hospital
Mr. and Mrs. Milton Frye
Dr. and Mrs. Freddie Ho Keung Fu
Bob and Sharon Fuehrer
Dr. Ann Furtado
Dr. Imre Gaal, Jr.
Gabelli & Company, Inc.
Gay H. Gahagan
Charitable Lead Trust
Elizabeth L. Galbreath
Dr. Stephen J. Galli
Valerie A. Galton
Dr. John V. Gandolfo
Mr. and Mrs. Paul B. Gardent
Garnet Hill
Dr. and Mrs. Theodore H. Gasteyer II
Deborah and Bradley Gebbie
Geisinger Health System
The Gemi Fund
Genentech, Inc.
General Electric Foundation
Geokon, Inc.
Mr. and Mrs. William V. Geraghty
Dr. Barbara and Michael Gerling
Dr. and Mrs. S. Peter Gibb
Dr. Gary H. Gibbons
Prudence D. Gilmore
Mr. and Mrs. Gordon C. Gilroy, Sr.
Mr. and Mrs. Edward F. Glassmeyer
GlaxoSmithKline
GlaxoSmithKline Foundation
John C. Gleason
Holly Glick and Jonathan Frishtick
Globus Medical, Inc.
Dr. and Mrs. Richard G. Glogau
Paul W. Glover, Jr.
Mr. and Mrs. Richard F. Gluck
GlycoFi, Inc.
Gertrude M. Goff
The Arnold P. Gold Foundation
Goldman Sachs Philanthropy Fund
William Goldman Foundation
Mr. and Mrs. Robert G. Goldstein
Dr. Joseph S. Gonnella
Good Beginnings Inc.
Mr. and Mrs. Philip P. Goodkin
Estate of Marion L. Goodwin
W.L. Gore & Associates
Dr. E. Ann Gormley and Richard Wallace
Mr. and Mrs. James F. Gosselin
Dr. and Mrs. Robert E. Gosselin
Mr. and Mrs. Thomas L. Gosselin
Goss-Logan Insurance Agency, Inc.
Mr. and Mrs. George A. Graham, Jr.
Mr. and Mrs. Wayne G. Granquist
Charles Grant
Dr. and Mrs. Joseph L. Grant
Great Eastern Radio, LLC
Great State Beverages, Inc.
Dr. Alan I. Green and
Frances S. Cohen
Mr. and Mrs. Raymond C. Green
The Greenspan Foundation
Dr. and Mrs. Jeffrey S. Greenwald
Mr. and Mrs. Tom Greig
Garth H. Greimann
Mr. and Mrs. Steven D. Griffin
Mr. and Mrs. Alfred L. Griggs
Dr. and Mrs. Walter C. Griggs
Grimshaw-Gudewicz
Charitable Foundation
Guidant Foundation
Edna & Monroe C. Gutman
Foundation, Inc.
Charles Haffajee
The Hagen Group
Mr. and Mrs. David K. Hall
Mr. and Mrs. Sheffield J. Halsey
Dr. and Mrs. Charles Hamlin
Mr. and Mrs. Warren S. Hance
Richard Hanlon
George D. Hano and Diane Crowley
Hanover Lions Club
Hanover Transfer and Storage
Mr. and Mrs. Robert W. Hardy
Dr. William D. Harley
Mary and Kathleen Harriman Foundation
Dr. Allan C. Harrington
Sheila A. Harrington
Mr. and Mrs. Charles F. Harris, Jr.
Jeffrey M. Harris
Mr. and Mrs. Francis W. Hatch, Jr.
Hawkins Delafield & Wood LLP
Dr. Hamilton R. Hayes
Warren J. Hayes
Robert E. Haynes, Sr.
Head Family Trust
Estate of Dr. John M. Head
Health Care Direct, Inc.
Dr. and Mrs. John A. Heaney
18
The enthusiastic response we received from our philanthropic
community is a testament to the confidence our donors have in
our ability to transform medicine.
Marian Heiskell
Mr. and Mrs. Armin B. Hemberger
Dr. Bonnie and Edward Henderson
Dr. and Mrs. W. Hardy Hendren III
Mr. and Mrs. Paul Hendricks
Hendricks/Felton Foundation
Prof. John W. Hennessey, Jr.
Mr. and Mrs. Fred L. Henning, Jr.
Mr. and Mrs. Robert R. Henry
Heritage United Way
Dr. and Mrs. Kenneth L. Herrmann
The Hershey Company
Mr. and Mrs. John C. Heston, Jr.
Hike for the Cure
Hill-Rom, Inc.
Hinckley, Allen & Snyder LLP
Hazen B. Hinman, Sr., Foundation, Inc.
Dr. Francis H. Hinnendael
Mr. and Mrs. Harold R. Hiser, Jr.
Sandra U. Hoeh
The Hoffman Family Foundation
Mr. and Mrs. Romer Holleran
Dr. Don A. Holshuh
HP Hood, Inc.
Dr. and Mrs. Bruce J. Hookerman
Drs. P. Jack Hoopes and Vicki Scheidt
Dr. Harriet W. Hopf and Leo M. Hopf
Albert L. Hopkins and
Lynne L. Zaccaria
Florence O. Hopkins Charitable Fund, Inc.
Mr. and Mrs. Michael T. Horvath
Mr. and Mrs. Amos Hostetter
Brian and Jennifer A. Hotz
Deanna Howard and Dr. Thomas Sullivan
Mr. and Mrs. Coleman W. Hoyt
Mr. and Mrs. John A. Hubbard
Wentworth Hubbard
Marion Huber Trust
James A. Hughes
Matt Hurley
Dr. and Mrs. John W. Hyland
Hypertherm, Inc.
IBM Matching Grants Program
Dr. and Mrs. Richard S. Idler
IKI Manufacturing, Inc.
Susan C. and Stephen J. Immelt
The Impact Group
INCE
Integrated Therapeutics Corporation
International Myeloma Foundation
Investment Management
Advisory Group, Inc.
iParty Retail Store Corporation
Dr. Thomas W. Irvine, Jr.
Irving Oil Corporation
Dr. and Mrs. Mark A. Israel
Mary E. Ives
Mr. and Mrs. Carl E. Jackson
Jane’s Trust
Mr. and Mrs. James P. Jannuzzo
Mr. and Mrs. Daniel P. Jantzen
Mr. and Mrs. Wendell Jesseman
Jewish Communal Fund
JMH Wealth Management, LLC
Johnson & Johnson
Johnson & Johnson Contribution Fund
Carol A. Johnson
Ellen Foscue Johnson
19
Linda J. Johnson
Peter A. Johnson and Claire P. Lyon
Robert Wood Johnson Foundation
Dr. and Mrs. Stephen J. Johnson
Dr. and Mrs. James R. Johnston
Albert C. Jones
Mr. and Mrs. A. Wilson Jones
Ellen Kaatz
Warren K. Kaplan and
Carolyn J. Stopak
Kappa Kappa Gamma
Katz Family Foundation
Dr. and Mrs. Arnold M. Katz
Drs. Samuel L. Katz and Catherine Monnier
Wilfert-Katz
Dr. and Mrs. Haig H. Kazazian, Jr.
Dr. William M. Keane
Judith J. Keating
Dr. James K. Keeley
Mr. and Mrs. Alan C. Keiller
Kathleen and Mark Kelley
Kellogg’s
Dr. James V. Kelsey
Reverend and Mrs. Preston T. Kelsey II
Mr. and Mrs. Robert P. Kelsey, Jr.
Abigail E. Spies Kennedy and
Bradley Kennedy
Dr. and Mrs. Alexander W. Kennedy
Elizabeth C. Kent
Mr. and Mrs. S. Leonard Kent
The John and Estelle Ketterer Foundation
Mr. and Mrs. John Ketterer
Kristin H. Ketterer and Robert A. Oden III
Kettering Family Foundation
Sidney Kimmel Foundation for
Cancer Research
Mr. and Mrs. Bruce P. King
Kinney Pike Insurance Inc.
Susan C. Kirincich and Charles P. Wooster
Kiva Foundation
Kleen Laundry & Drycleaning
Knox Family Foundation
Mr. and Mrs. Frederick P. Koallick
Kohl’s
Komen Vermont Race For The Cure
Susan Komen Breast Cancer Foundation
Dr. Alan T. Kono
Dr. and Mrs. C. Everett Koop
Drs. Murray and Antoinette Korc
Dr. and Mrs. Gary Korenman
Dr. Kenneth J. Koval and Mary Reynolds
KPMG LLP
KPMG Peat Marwick
KTRS-AM, L.L.C.
Michael Kulacz
Dr. Benedikt Kurz and Ms. Sandia Wang
Pierre Lafitte
Dr. Bruce F. LaFollette
Drs. John M. and Margaret J. Lagnese
Lakes Region Ice Racing Club
Lake Sunapee Bank
Mr. and Mrs. Brian T. Lally
The Lancaster National Bank
Emily Landecker Foundation, Inc.
Constance M. Landmann
Lang Middlebury LLC
Dr. and Mrs. Robert J. Lang
Mr. and Mrs. Walter E. Lankau, Jr.
Drs. Laurie and John Latchaw
Patricia A. Latona
LaValley Building Supply, Inc
James S. Lawrence
Dr. and Mrs. D. James Lawrie, Jr.
Estate of Jennie Ethel Laws
Carola B. Lea
Dr. David C. Leach
Mary Susan Leahy
Mr. and Mrs. David P. Leatherwood
Dean F. LeBaron
Mr. and Mrs. Stephen J. LeBlanc
Ledyard National Bank
Dr. and Mrs. Donald J. Lefkowits
Virginia Leighton
Mr. and Mrs. R. Willis Leith, Jr.
Dr. Hugh F. Lena Jr.
The Leukemia & Lymphoma
Society of America
Annette R. and Samuel M. Levine
Dr. and Mrs. Gary M. Levine
Dr. and Mrs. Richard M. Levy
Mr. and Mrs. Howard H. Lewis
Nancy Lewis
Hiroko Li
Dr. and Mrs. Robert Paul Liberman
Ted and Suzanne Lieser
Eli Lilly and Company
Barbara C. Liming
Agnes M. Lindsay Trust
Lippincott Williams & Wilkins
Peter Lique-Naitove
Litchfield Middle School
Littleton Regional Hospital Charitable
Foundation
Live Nation
LM Charitable Gift Trust
Drs. W. Charles and Gretchen K. Lobitz
Mr. and Mrs. Douglas M. Loudon
Estate of Dr. Mark L. Lowmiller
Lumina Foundation for Education
Daniel Lussier
Lydall Thermal Acoustics
Dr. Franklin Lynch, Jr.
Dr. Joseph P. Lynch
Lyndonville Savings Bank
John D. & Catherine T. MacArthur
Foundation
Dr. Donald A. Macdonald, Jr.
Prof. and Mrs. Robert M. Macdonald
Heidi Mackay
Mr. and Mrs. Richard S. Mackay
MacLean-Fogg Company
Mr. and Mrs. Roderick J. MacLennan
D. Hugh MacNamee Memorial Trust Fund
Duke MacNamee
Major League Baseball Players
Trust For Children
Barbara H. Malcolm
Reverend and Mrs. R. DeWitt Mallary, Jr.
Dr. Lisabeth Maloney and Joseph Maloney
Dr. and Mrs. Alan J. Mandel
Mr. and Mrs. Stephen F. Mandel, Sr.
Dr. and Mrs. Paul D. Manganiello
Carla Manley-Russock and Robert Russock
Dr. Bernard J. Mansheim
Estate of Dr. Philip A. Marden
Dr. Sandra L. Margoles
Mr. and Mrs. Stephen R. Marion
Blanche S. Marsh
Mr. and Mrs. Gordon L. Marshall
Mr. and Mrs. Jeffrey A. Marshall
Drs. Howard Martin and Donna Ambrosino
W. William Martinez
Mascoma Savings Bank Foundation
Mascoma Savings Bank
Pauline F. Mason
Dr. and Mrs. David M. Mauney
Maverick Lloyd Foundation
General William Mayer Foundation, Inc.
Susan M. Mayer
Priscilla K. Maynard
Mayne Pharma (USA), Inc.
Mr. and Mrs. Gary R. Mayo
McCarthy Building Company Inc.
Mr. and Mrs. Philip H. McCaull
Dr. and Mrs. Robert W. McCollum
Drs. Martha Dawes McDaniel and
Stephen K. Plume
Kelly McDermott
McDowell Foundation
Dr. Fletcher H. McDowell
The Foster G. McGaw Educational
Foundation
Paul McGoldrick
Dr. and Mrs. Donald O. McIntyre
Dr. O. Ross McIntyre
Jennifer McKay
Dr. Sylvia Wyman McKean and
Thomas McKean
Leo C. McKenna
McKesson Corporation
McLaughlin Family Foundation
Judith L. McLaughlin
Michael Scott McLaughlin Foundation
Peter McLaughlin and Jane Kitchel
John R. McNair
Daniel W. McNeill
Linda Meader
Medical College of Wisconsin
Medical Education Consultants, LLC
Medical Metrx Solutions
Medtronic, Inc.
Olivia Meek
The Melanoma Research Foundation
Dr. Vincent A. Memoli
Merchants Bank Foundation
Merck & Co., Inc.
Merck Partnership for Giving
Dr. and Mrs. Anthony L. Merlis
Merriam-Graves Corporation
Merrill Lynch, Pierce, Fenner & Smith, Inc.
Mr. and Mrs. Keniston P. Merrill
Mr. and Mrs. Dennis G. Merrow
Mr. and Mrs. Peter C. Mertz
Mr. and Mrs. Robert F. Meserve
Mr. and Mrs. Robert S. Meyer
Michael Meyers
MGI Pharma, Inc.
Mr. and Mrs. Clifford L. Michel
Dr. and Mrs. Robert E. Michler
Mr. and Mrs. Lawrence Midtbo
Mill Park Foundation, Inc.
Miller Nissan Jeep Volvo
Miller Trading Company
Mr. and Mrs. Morgan L. Miller
T H A N K
Estate of William A. Miller
William H. Miller
Million Dollar Round Table Foundation
Maurice J. Mintzer
Mr. and Mrs. James P. Mithoefer
Dr. and Mrs. Richard M. Moccia
Dr. and Mrs. John F. Modlin
Dr. and Mrs. Mark B. Moeller
Dr. Kenneth Moller III and Tracey Burton
Monadnock Mountain Spring Water Inc.
Monterey Fund, Inc.
Benjamin Moore & Company
Charles Moore
Mr. and Mrs. George A. Moore
Dr. and Mrs. John M. Moran
Morgan Stanley
Richard B. Morgan
Dorothy W. Mori
Mr. and Mrs. Wayne Morong
Dr. and Mrs. Daniel H. Morrison
Professor and Mrs. Leonard E.
Morrissey, Jr.
Dr. and Mrs. Harry R. Morse
Motorsports Charities Inc.
Mount Sunapee Resort
Mr. and Mrs. William T. Mroz
Eleanor M. Mudge
Dr. and Mrs. Gilbert F. Mueller, Jr.
Jim and Mary Ann Mulkin
Dr. and Mrs. Albert G. Mulley, Jr.
Multiple Myeloma Research Foundation
Mumler Family Trust
Estate of Margaret Mumler
Dr. and Mrs. W. P. Laird Myers
Emily S. Nagle
Benjamin Naitove Trust
Matthew Naitove
Noah Naitove
Nanogen
Mr. and Mrs. Robert E. Nasar
Mr. and Mrs. Cyrus H. Nathan
National Multiple Sclerosis Society
National Niemann-Pick
Disease Foundation
Dr. and Mrs. D. Dirk Nelson
Dr. and Mrs. Eugene C. Nelson
Eunice P. Nelson
Mr. and Mrs. John K. Nelson
Linda L. Nelson
Mr. and Mrs. Walter B. Nelson
Dr. and Mrs. William H. Nelson
Katherine A. Nerrie
Mr. and Mrs. William H. Neukom
New England Employee
Benefits Company, Inc.
New England Wire Technologies
Corporation
New Hampshire Association of
Chiefs of Police, Inc.
New Hampshire Business Review
New Hampshire Charitable Foundation
New London Hospital
New York Community Trust
NH Fisher Cats
Dr. and Mrs. David W. Nierenberg
NMT Medical, Inc.
Mr. and Mrs. F. George Nordstrom
Jennie L. Norman and William C. Walker
Y O U
Northern New England Clinical
Oncology Society
Dr. Mark R. Northfield
Northmac Inc.
Dr. Christiane L. Northrup
Northway Bank
Norwich Wines & Spirits
Novartis Pharmaceuticals Corporation
Novo Nordisk Pharmaceuticals Inc.
Sandra Nowicki
James E. Noyes and Laraine Solomon
The Joseph C. Nugent Family
Charitable Trust
Mr. and Mrs. Joseph C. Nugent, Jr.
Dr. and Mrs. William C. Nugent, Jr.
Nutt Hospital Investment Management
Mr. and Mrs. David C. Nutt
Oakhurst Dairy
Mr. and Mrs. Bud Oatway
Mr. and Mrs. Donald L. O’Bryant
Occum Marin LLC
Frederic and Joyce Oeschger
Mr. and Mrs. Charles B. Officer
Dr. and Mrs. Makio Ogawa
Dr. and Mrs. Daniel L. Ogg
Dr. and Mrs. Thomas B. Okarma
Onyx Pharmaceuticals, Inc.
Orr & Reno Professional Association
Ortho Biotech Inc.
Orthopaedic Research and
Education Foundation
Mr. and Mrs. Kirk L. Oseid
Meghan O’Shaughnesy
Mr. and Mrs. Stephen C. Osman
Mr. and Mrs. Rudolph M. Ostermueller
Bethany Ottman
The Ovarian Cancer Research Fund, Inc.
Ovatios Pharmaceuticals, Inc.
Owens Family Foundation
Mr. and Mrs. George F. B. Owens, Jr.
P&G Pharmaceuticals, Inc.
Marilyn M. Paganucci
Anne Page
Mr. and Mrs. Scott Page
Elsa U. Pardee Foundation
Christopher P. Parios and Susan L. Wyant
Dr. and Mrs. Steven A. Paris
Dr. and Mrs. George W. Parker
Dr. Richard A. Parker
Parkland Medical Center
Ara Parseghian Medical
Research Foundation
Dr. Philip F. Parshley, Jr.
Mr. and Mrs. Larry S. Partridge
Passumpsic Savings Bank
The Thomas C. and Janet M. Paul Fund
Mr. and Mrs. Thomas C. Paul
Mr. and Mrs. David B. Payne
Dr. and Mrs. Norman C. Payson
Virginia W. Peart
Estate of Alvin W. Peck
Dr. Vincent D. Pellegrini, Jr.
Peninsula Community Foundation
S. Richard & Patricia R. Penni
Charitable Trust
The Pepsi Bottling Group, Inc.
Margery B. Perlo
Elizabeth Shaw Perry
D O N O R S
Mr. and Mrs. Bob R. Perry
Estate of W. Scott Peters
The Charles E. and Joy C. Pettinos
Foundation
Karl Pfister III
Pfizer Foundation
Pfizer, Inc.
Marcia M. Pierce
Dr. Marvin S. Platt
Daniel Pond
Dr. and Mrs. Steven P. Poplack
Dr. and Mrs. John T. Porvaznik
Mr. and Mrs. Steven B. Potter
Carol R. Powell
Dr. Patricia M. and Prentiss Pratt
Kim Preston
Mr. and Mrs. Peter Preuss
Proctor & Gamble
Pro-Cut International Ltd, LLC
Professional & Scientific Associates, Inc.
ProPac Marketing, Inc.
Gloria Raffaelly Pucci
Mr. and Mrs. John M. Purdy
Winifred M. Purdy Foundation
Mr. and Mrs. Agnar Pytte
QLLA Charities, Inc.
QL Resorts, LLC
Q-Med Scandinavia, Inc.
Jacqueline R. Quayle
Prof. and Mrs. J. Brian Quinn
R.S.D. Leasing
Radiant Mortgage Inc.
K. Philip Rahbany
Dr. Lawrence G. Rand
Rasselstein GmbH
Mr. and Mrs. J. Rodney Reck
Dr. and Mrs. Alexander G. Reeves
Susan A. and David W. Reeves
Robert B. Regius
Shirley M. Reid
Estate of Robert M. Reininger
Dr. and Mrs. Theodore Renna
Research Applications
Financial Tracking Inc.
Eric Resnick
Riblet Foundation Trust
Mr. and Mrs. Henry J. Riblet
Andrew Richard
Dr. John E. Richards, Jr.
Ride-Away Handicap Equipment Corp.
Mr. and Mrs. Harold C. Ripley
Riverstone Resources LLC
Denis Rizzuto
Susan Roberson
Dr. and Mrs. Andrew B. Roberts
Mr. and Mrs. David H. Roberts
Dr. and Mrs. David W. Roberts
Mr. and Mrs. F. David Roberts
Sylvia M. Roberts-Moss
Mr. and Mrs. Sanford R. Robertson
Mr. and Mrs. Dana R. Robes
Mr. and Mrs. Frederick A. Roesch
Dr. and Mrs. William D. Rogers
Dr. and Mrs. Peter R. Rogol
Dr. and Mrs. Richard W. Rooker
Dr. Joseph M. Rosen and Stina L. Kohnke
Mr. and Mrs. David A. Rosenblum
Mr. and Mrs. Robert G. Rosenblum
Samuel Rosenblum Foundation
Mr. and Mrs. Jay Rosenfield
Mr. and Mrs. E. John Rosenwald Jr.
Samuel B. Rowse
Dr. Walter Royal III
Dr. Frederic Rueckert, Jr.
Gordon W. Russell
Peter L. Rutledge and Christine M.
Lauchenauer
Drs. Stephanie Z. and Stephen R. Ruyle
Albert J. Ryan Foundation
Bonnie Johnson Sacerdote Foundation
Saint Johnsbury Academy
The Salmon Foundation, Inc.
Sam’s Club #6352
Sam’s Club Foundation
Sam Wyly Separate Property
Dr. Charles A. Sanders
Dr. and Mrs. John H. Sanders, Jr.
Carolyn H. Sands
The Frank and Brinna Sands
Foundation, Inc.
Mr. and Mrs. Frank Sands
Sanofi Aventis
Michael A. Satzow
Rick Sayles
Dr. and Mrs. Ernst J. Schaefer
Dr. Mark M. Scheffer
Schering-Plough Pharmaceuticals, Inc.
Dr. Malinda J. Scherpa
Mr. and Mrs. Edward M. Scheu, Jr.
Mr. and Mrs. John T. Schiffman
Dr. William R. Schillhammer, Jr.
Mr. and Mrs. Mark C. Schleicher
Dr. and Mrs. F. Richard Schneider
Dr. Anne Schuchat and Fariborz Paydar
Charles Schwab Corporation Foundation
Mr. and Mrs. Robert L. Schwartz
Dr. and Mrs. Joseph D. Schwartzman
Dr. Berthold E. Schwarz
Tod H. Schweizer
Scleroderma Research Foundation
Mr. and Mrs. Robert T. Scott
Mr. and Mrs. Walter A. Scott
Walter A. and Mary Catherine Scott
Foundation
Securitas Security Services USA, Inc.
Mr. and Mrs. Steven G. Segal
Dr. and Mrs. Dilip K. Sengupta
Sepracor
20
Serono, Inc.
Drs. Alan D. Sessler and Martha Ann Smith
Dr. John L. Seymour, Jr.
Mr. and Mrs. Mel A. Shaftel
Michael S. Shannon
Antoinette M. Shapiro
John M. Shapiro Charitable Trust
Dr. and Mrs. Cyril E. Shea, Jr.
Mr. and Mrs. Morton A. Shea
Mr. and Mrs. Stuart S. Shepard
Shepherd & Goldstein, LLP
Shepley Bulfinch Richardson and
Abbott, Inc.
The Eliot B. Shoolman
Charitable Lead Trust
Mr. and Mrs. Richard H. Showalter, Jr.
Mr. and Mrs. Richard S. Shreve
Drs. Christopher R. and Margaret A. Shuhart
The SIDS Alliance
Mr. and Mrs. Herbert J. Siegel
Mr. and Mrs. Andrew C. Sigler
Dr. Anne M. Silas
William & Edna Silverman Charitable Fund
Mr. and Mrs. William A. Silverman
Hugh A. Simonds (deceased)
Mr. and Mrs. Charles J. Simons
Mr. and Mrs. Carl N. Singer
Singer Family Foundation
SIR Foundation
Sisters of Holy Cross
Robert J. Slattery
Mr. and Mrs. Ronald T. Sliwinski
Dr. Barry D. Smith
Edwin H. and Ruth B. Smith Foundation
Dr. and Mrs. Frank Rees Smith
Drs. Hugh C. and Aynsley M. Smith
Joanne B. Smith
The Stephen “Hurricane” Smith Fund, Inc.
Stephen M. Smith
Prof. and Mrs. William M. Smith
Mr. and Mrs. Austin L. Smithers
SNHU Athletic Department
Somersworth Middle School
SourceCF
Southern New Hampshire Medical Center
Mr. and Mrs. David P. Spalding
Sam Sparhawk III
Spectra
Dr. and Mrs. Peter K. Spiegel
Drs. Stephen P. and Laurel Spielberg
Dorothy Spies
Mr. and Mrs. Howard W. Spiess
Drs. Mark E. Splaine and Joyce A. DeLeo
Mr. and Mrs. Biria D. St. John
Orson L. St. John, Jr.
St. Joseph Hospital
St. Jude Medical Foundation
Barbara J. St. Pierre
Mr. and Mrs. John C. Stahler
Robert L. Stahlman
The Stanley Medical Research Institute
State of New Hampshire
Stave Puzzles, Inc.
Mr. and Mrs. John L. Steffens
Steffens 21st Century Foundation II
Dr. Harise Stein and Peter D. Staple
Jeffrey Steinkamp
21
Sterling Investment Partners Advisers, LLC
Priscilla S. Sterling
Lou & Harry Stern Family Foundation
Mr. and Mrs. E. William Stetson III
Mr. and Mrs. Peter R. Stettenheim
The Stettenheim Foundation
George M. Stevens & Son Company
Mr. and Mrs. Bayne A. Stevenson
Stitch ‘n Bitch
Ruth D. Stoddard
Dr. and Mrs. Robert Stragnell
Mr. and Mrs. John B. Strasenburgh
Strategic Hotel Capital, LLC
Drs. Karen Lizbeth Straus and
Randolph H. Renzi
Dr. James C. Strickler
Mr. and Mrs. Stanley S. Stroup
Stryker Biotech
Mr. and Mrs. Scott M. Stuart
Sugar River Savings Bank
Sulzberger Foundation Inc.
SUNA
Dr. and Mrs. Stephen David Surgenor
Dr. Jeffrey L. Susman and Sarah May
Mr. and Mrs. Laurence T. Susman
S. Donald Sussman
Dr. and Mrs. John E. Sutton, Jr.
Dr. and Mrs. Elliott B. Sweet
Mr. and Mrs. Kurt M. Swenson
E. Clinton Swift and Bonnie R. Allard-Swift
J. T. Tai & Company Foundation
Sheila H. Tanzer
TAP Pharmaceutical Products, Inc.
Martha Taylor
Tele Atlas North America, Inc.
Mr. and Mrs. John Telischak
Carolyn C. Tenney
Mr. and Mrs. Theodore H. Teplow
Dr. Lloyd B. Tepper
Teva Neuroscience, Inc.
Dr. Vijay M. Thadani
Mr. and Mrs. John M. Thatcher, Jr.
Brad and Bee Thayer
Dr. and Mrs. Charles A. Thayer
Redmond and Milou Thayer
The Preuss Foundation, Inc.
Mr. and Mrs. Robert H. Theriault, Jr.
Sara S. Thomas
Dr. and Mrs. William H. Thomas
Drs. Craig B. and Tullia Thompson
Dr. Sally B. L. Thompson
Barb Thrasher
Drs. Robert L. and Shari L. Thurer
Estate of Minetta E. Tibbetts
Mary C. Tiedemann
Louise I. Tillotson
Timken Aerospace
Title Mortgage Solution L.L.C.
Dr. Ivan M. Tomek and
Sheri J. Hancock-Tomek
Mr. and Mrs. Frank N. Tomlinson
Estate of Jean Torrance
Town of Canaan, New Hampshire
TransCanada PipeLine U.S.A. Ltd
Dr. Thomas L. Treadwell
John and Evelyn Trevor Charitable
Foundation
John B. Trevor, Jr.
Truman Charitable Fund
Trust Company of Connecticut
Gregory J. Tsongalis
Amos Tuck School of Business
UBS Global Asset Management
(Americas) Inc.
UCB Pharma, Inc.
UMass Memorial Health Care, Inc.
Union Bank
United Health Foundation
United Healthcare Services, Inc.
United Way of the Upper Valley
University of Colorado
University of Massachusetts
University of North Carolina at Chapel Hill
Upper Valley Hotel Group LLC
Mr. and Mrs. Frederic K. Upton
The V Foundation
Margaret C. Vail
Vanguard Charitable Endowment Program
James and Lucinda Varnum
The Venetian Foundation
Verizon Foundation
Vermont Community Foundation
Vermont Mutual Insurance Company
Anne-Lee Verville
VETTE Corporation
VFW Ladies Auxiliary
VFW Ladies Auxiliary Department
of NH VHA
Mr. and Mrs. Drury L. Vinton
Mr. Andy L. Voda
Dr. and Mrs. George H. Vogt
Drs. Nancy Wade and John Leary
Dr. Lucy R. Waletzky
Patrick T. Wallace
Wal-Mart
Wal-Mart Foundation
Brian F. Walsh and Linda J. Patchett
Dr. and Mrs. Daniel B. Walsh
Earl C. Ward
Mr. and Mrs. Gail L. Warden
Dr. and Mrs. Bruce L. Warshauer
Dr. and Mrs. Lewis J. Warshauer
Bruce Warwick
Mr. and Mrs. Bruce M. Waters
Watson Wyatt & Company
Arthur K. Watson Charitable Trust
Thomas J. Watson Foundation
Mr. and Mrs. Donald E. Watson
Abby N. Watt
Dr. and Mrs. Theodore R. Waugh
Wausau Paper Foundation, Inc.
Mr. and Mrs. Barry Waxman
Samuel Waxman Cancer Research
Foundation
Mr. and Mrs. John H. Weaver
The Walter H. and Hannah H. Webb
Extended Family Foundation
Mr. and Mrs. Hartley D. Webster
Dr. and Mrs. James N. Weinstein
Mr. and Mrs. Robert J. Weissman
Mr. and Mrs. Rodger E. Weismann, Jr.
Wellpoint Foundation
Wellpoint, Inc.
Wells River Savings Bank
Estate of Maxine L. Wells
Dr. and Mrs. John E. Wennberg
Mr. and Mrs. William S. Wesson
Alfred P. West, Jr.
Dr. and Mrs. Franklin H. West
Herman O. West Trust
Drs. John D. West III and
Stephanie R. Lash
George Weston Bakery
Mr. and Mrs. Helmut Weymars
Mr. and Mrs. Frank L. Whitcomb
Frank W. Whitcomb Construction Corp.
White Cliffs Golf Shop
Dr. and Mrs. Jon C. White
Mr. and Mrs. Robert F. White
Mr. and Mrs. Stephen L. Whitman
Dr. and Mrs. John H. Williams
Mr. and Mrs. Stanton N. Williams
Debra Laughton Williamson
Dr. and Mrs. Douglas E. Williamson
Dr. and Mrs. Peter D. Williamson
Wilson Sonsini Goodrich & Rosati
Wilson Tire, Inc.
Estate of Stanton W. Wilson
Donald Winterton
Dr. and Mrs. Charles Wira
Edith M. Wisiol
Mr. and Mrs. Daniel H. Wolf
Natalie W. & Leo E. Wolf Foundation
Arthur and Helen Wood
Dr. and Mrs. Robert W. Woodhouse
Woodstock Foundation, Inc.
Woodsville Guaranty Savings Bank
World Learning
Worldwide Healthcare Comm - Serono
Worldwide Peak
Mr. and Mrs. James E. Wright
Sam Wyly
Mr. and Mrs. William W. Wyman
Mr. and Mrs. John E. Xiggoros
Mr. and Mrs. Yeong-Shyang Yang
Mr. and Mrs. Harold Yanofsky
Mr. and Mrs. Barry B. Yellen
York Cross of Honour
Medical Research Foundation
Dr. and Mrs. Oglesby H. Young
Susan Young
Dr. and Mrs. David S. Zamierowski
Mr. and Mrs. John C. Zimmermann III
Marie & John Zimmermann Fund, Inc.
Dr. and Mrs. Douglas P. Zipes
Dr. Michael Zubkoff and
Leslee A. Michaels
T H A N K
Y O U
D O N O R S
Dartmouth-Hitchcock Medical Center
2006
2005
$ 28,012,905
$ 24,069,505
Unrestricted and Annual Funds
$ 1,639,882
$ 1,730,575
Restricted Funds
$ 15,044,055
$ 13,882,453
Total Current Operations
$ 16,683,937
$ 15,613,028
$
6,585,937
$ 5,815,144
$
4,743,512
$ 2,641,333
Total Philanthropic Contributions (July 1-June 30)
Current Operations
Endowment
Total Endowment
Plant and Equipment
Total Plant and Equipment
D H M C
P H I L A N T H R O P I C
C O N T R I B U T I O N S
Dartmouth-Hitchcock closed the 2006 fiscal year in
a position of financial strength. Total unrestricted
revenue and other support reached $913.9 million
for the system while experiencing steadily increasing demand for patient care services. Our net assets
improved by $89 million, and we retained our A+
bond rating in the eyes of two major rating
agencies, Standard & Poor’s and Fitch. Research
and training awards received by Dartmouth
Medical School also reached new highs, totaling
$133 million in 2006.
Also in 2006, we formally recognized our
commitment to exceptional financial performance
as being critical to long-term fulfillment of our
patient care, teaching, research, and community
service missions. We initiated a comprehensive
performance improvement plan early in the year
designed to strengthen operating performance on
a broad array of measures—quality of care, patient
safety, access to care, operating margin, financial
liquidity, and others. We ended the fiscal year with
an operating margin of $1.3 million; with non
operating gains of $14.5 million, DartmouthHitchcock realized a total margin of $15.8 million.
More importantly, we registered improvements in
access to care, patient flow, and a number of
important quality indicators while continuing to
strengthen our financial performance.
2003
$972,825
S E L E C T E D
F I N A N C I A L
I N F O R M A T I O N
Operating
Expenditures
(000s omitted)
Dartmouth-Hitchcock
Medical
Center
2006
2005
Operating Expenditures (000s omitted)
$ 203,198 $ 189,051
2006
2005
Dartmouth-Hitchcock
912,601
842,936
$ 203,198 $ 189,051
Veterans Affairs Medical Center
110,535
97,696
Dartmouth-Hitchcock
912,601
842,936
Total
$ 1,226,334 $ 1,129,683
110,535
97,696
Total
$ 1,226,334 $ 1,129,683
Revenue Sources
Payment for Patient Services from
Revenue
Sources
Third Parties
and Patients
$ 878,999
PaymentBudgets
for Patient Services from
Federal
Third
Parties Affairs
and Patients
$ 106,946
878,999
for
Veterans
Services
Federal
Budgets
Funded Research
137,673
for Veterans Affairs Services
106,946
Tuition Income and Fees
16,848
Funded Research
137,673
Gifts, Bequests, Endowment and
Tuition
IncomeIncome
and Fees
16,848
Investment
35,464
Gifts,
Bequests,
Endowment
and
Other Income
66,400
Investment Income
35,464
Total
$ 1,242,330
Other Income
66,400
Total
$ 1,242,330
$ 819,073
$ 819,073
94,040
128,472
94,040
15,043
128,472
15,043
45,550
75,478
45,550
$ 1,177,656
75,478
$ 1,177,656
2006
2006
$1,242,330
2005
2005
$1,177,656
2004
2004
$1,106,195
T O T A L
R E V E N U E
2 0 0 3 - 2 0 0 6
24
S E L E C T E D
F I N A N C I A L
I N F O R M A T I O N
Revenue Sources (000s omitted)
2006
Third Parties
$
DMS
D-H
10,965
$ 868,034
Federal Budgets for Veterans
Affairs Services
Funded Research
TOTAL
$ 878,999
$ 106,946
106,946
3,589
137,673
134,084
16,848
Investment Income
18,453
17,011
35,464
23,063
$ 203,413
43,337
$ 928,382
$ 110,535
66,400
$ 1,242,330
DMS
D-H
VA
TOTAL
$ 10,977
$ 808,096
Other Income
Total
2005
Third Parties
16,848
Federal Budgets for Veterans
Affairs Services
Funded Research
$ 819,073
$ 94,040
94,040
3,656
128,472
124,816
15,043
Investment Income
16,379
29,171
45,550
21,229
$ 188,444
54,249
$ 891,516
75,478
$ 1,177,656
Other Income
Total
25
VA
15,043
$
97,696
O P E R A T I O N A L
A N D P A T I E N T
Dartmouth-Hitchcock
R E P O R T
2006
2005
2006
Patients Discharged
Outpatient Visits
Patient Days of Service
Northern Region
2005
2,519
2,481
15,269
15,137
449,609
432,932
Average Daily Census
42
42
Operations Performed
2,566
2,755
Concord Offices
177,750
176,295
Outpatient Visits
Manchester Offices
344,885
330,128
Nashua Offices
221,318
209,973
Keene Offices
349,319
344,577
156,715
1,699,596
185,871
1,679,776
Lebanon
Community Practices
Other
Total Outpatient Visits
Patients Discharged
New Hampshire
173,785
170,794
Same Day Procedures
4,611
3,953
Home Health Visits
2,144
2,844
58,151
59,856
Dartmouth-Hitchcock
6,414
6,211
1,105
1,104
649
649
Medical Students
294
304
Residents and Clinical Fellows
362
347
Basic Medical Sciences
197
185
Other
122
95
28
1,003
29
960
Volunteer Hours
Employees (full-time equivalents)
11,548
11,296
9,030
8,909
1,015
** 21,593
1,049
21,254
** 105,055
103,428
Average Daily Census
288
283
Operations Performed
16,420
15,708
1,120
1,108
Emergency Department Visits
28,728
29,187
Volunteer Hours
46,000
48,500
Postdoctoral Research Fellows
Total
29,343
32,800
** Includes patients admitted for observation and intensive care
nursery bassinet patients.
Vermont
Other States
Total Patients Discharged
Patients Days of Service
Births
Physician Office Visits—Psychiatry
Education Programs
Graduate Students in
26
Responding to the
letter and spirit of
the New Hampshire
Community Health
Benefits Law
Core Values of
Community Health
Improvement
Identifying and
coordinating a
Target for
Change
Strengthening
community
partnerships and
leaders
Expanding
community
education
for health
and Benefits
C
O L L A B O R A T I N G
T O
I
M P R O V E
C O M M U N I T Y
The Community Health
Improvement and Benefits
program is a very vital part of
Dartmouth-Hitchcock’s mission.
Our aim is to work collaboratively
to promote wellness, prevent
illness, and remove barriers that
hinder access to health care by
working hand in hand with the
communities we serve.
A
Making a focused impact on at
least one major public health
issue is our Target for Change as
we work to effect positive change
through community partnerships
and leaders. A recent example
is the leadership role DHMC
played in strengthening the
education, prevention, and
treatment options for addiction
in the Upper Valley and
surrounding region.
L Z H E I M E R
’
H E A L T H
With clinical leadership from
Alan Green, MD, PhD, chair of
Dartmouth Medical School’s
Department of Psychiatry, DHMC
opened the Addiction Treatment
Program in September 2005.
Dr. Green notes that this
intensive outpatient treatment
program has been “extremely
effective and well subscribed” in
its first year of operation. In
addition, the program has been
supplemented by a more
tightly coordinated network of
addiction prevention, education,
and treatment resources in
the community.
Dr. Robert
S
Santulli’s vision
A N D O T H E R
M E M O R Y D I S O R D E R S
led to the Upper
Valley Memory
Center.
“Talking to Dr. Santulli
and other agency
personnel and being
able to ask them questions
[about memory disorders]
was priceless.”
—Marie Spencer
27
Most successful programs begin
when a catalyst brings people of
vision together to create a
program that improves the
quality of life for others. And so
it was with the establishment of
the Upper Valley Memory Center
(UVMC).
The catalyst in this case was
Robert Santulli, MD, associate
professor of psychiatry at
Dartmouth Medical School,
geriatric psychiatrist at
Dartmouth-Hitchcock Medical
Center, and now director of the
UVMC. The people of vision he
brought together were those who
work with the elderly in a number
of arenas. Their goal is to offer
services, information, and
support, and to create awareness
of Alzheimer’s and other memory
disorders within the Upper Valley
community.
When Marie Spencer learned
about UVMC, her father had
been diagnosed with Alzheimer’s
disease and her mother had other
dementias. Marie, her sisters,
and her brother were looking
for one central place to get
information and meet others
struggling with similar problems.
UVMC helped Marie’s family in
several ways. Ultimately, it
helped them understand their
challenges in a new way. “We’ve
done the best we possibly could
for our parents,” said Marie.
“That’s all anyone could ask.”
C
O M M U N I T Y
H
E A L T H
L E A D E R S H I P
The first DHMC Community
Health Leadership Awards were
given in 2006 to two key volunteers. Each winner received a
small financial gift to be used for
community health.
Colleen Warren, a DHMC nurse,
spearheaded an evidence-based
approach to addressing tobacco
use with inpatients. She coordinated training 200 nurses and
other clinicians to support these
A W A R D S
interventions. Colleen used her
award to create a fund to help
needy patients pay for nicotine
replacement medicines.
John “Andy” Daubenspeck
worked to keep the doors open
at Headrest, a long-standing
community agency that provides
treatment for addiction and runs
a crisis hotline. He became
president of the Headrest board
when illness, death, and turnover
in its leadership threatened to
A
close its doors. Andy’s dedication and leadership brought out
the best in staff and the board.
Today, Headrest is thriving.
Andy used his award to arrange
Headrest services for clients of
10 Bricks, the homeless shelter
in Lebanon.
D D I C T I O N
T
Colleen Warren
(right) speaks with
a clinician who
learned how to
intervene with
patients about
tobacco use and
addiction.
R E A T M E N T
P R O G R A M S
“Their whole life changes when they get better. Instead
of looking for their drug so they don’t go into
withdrawal, they go to work or start taking care of
their kids. Their lives just get better.”
—Donald West, MD
During its first year, the
Addiction Treatment Program
at DHMC evaluated 166 area
residents. The comprehensive
initial evaluation process includes
psychiatric evaluation for
co-occurring disorders, as 60
percent of people seen have a
pre-existing mental health
condition as well as an addiction,
including alcoholism, illicit
drug use, or illegal use of pain
medications.
Roughly half of patients admitted
to the intensive outpatient
program completed the entire
12-week program, which is
designed to enable patients to
continue working and living at
home while receiving treatment.
The program focuses on helping
participants avoid substances,
cope with cravings, and engage
in healthy replacement activities,
key strategies in addiction
treatment, notes Dr. Turner.
“Because the program is
embedded in the Department of
Psychiatry, patients have excellent
access to a psychiatrist and, if
necessary, can detox in the
community, which is very rare in
a rural community,” says Win
Turner, PhD, clinical director of
the Addiction Treatment
Program.
For people with opiate
addictions, the program’s
Buprenorphine Clinic provides
outpatient treatment. Buprenorphine reduces cravings,
minimizes withdrawal, and helps
people wean themselves from
opiate use, says Donald West,
MD, medical director of the
Addiction Treatment Program
and Buprenorphine Clinic.
Twenty-one of the 46 people seen
at the clinic were able to keep
their jobs, stay in school, and/or
manage their households.
Dr. West, who is also the medical
director of inpatient psychiatry at
DHMC and has a subspecialty in
addiction treatment, says, “This is
the most gratifying work that I do
in psychiatry.”
Dartmouth-Hitchcock Community Benefits
Number of Patients Helped
Patients Receiving Charity Care
DHMC/Northern Region
Southern Region
Patients with Medicaid
Southern Region
Patients with Medicare/CHAMPUS
Southern Region
5,400
6,255
29,654
25,562
43,799
26,847
Value of FY 2006 Community Benefits at Cost
Uncompensated Medicaid
Cost of Financial Assistance
Support for Medical & Other Professional Education
In-kind Support of Research & Other Grants
All Other Community Benefit Activities
Total Community Benefits Value
$34,508,700
21,916,523
13,086,443
1,757,258
6,383,542
$77,652,466
28
B O A R D
Mary Hitchcock
Memorial Hospital and
Dartmouth-Hitchcock Clinic 2006
Boards Of Trustees
Emily R. Baker, MD
Trustee, Dartmouth-Hitchcock Clinic
Lebanon, NH
Stephen P. Barba
Board Vice-Chair,
Dartmouth-Hitchcock Clinic
Trustee, Dartmouth-Hitchcock Clinic and
Mary Hitchcock Memorial Hospital
Concord, NH
Stephen F. Christy
Lebanon, NH
Lebanon, NH
John C. Collins
Treasurer and Secretary, DartmouthHitchcock Clinic
Lebanon, NH
Lawrence J. Dacey, MD
Lebanon, NH
Carol J. Descoteaux, CSC, PhD
Manchester, NH
William H. Edwards, MD
Lebanon, NH
Acting President, Mary Hitchcock
Memorial Hospital and
Dartmouth-Hitchcock Alliance
Trustee, Mary Hitchcock Memorial
Hospital
Lebanon, NH
Robert C. Fuehrer
Board Secretary,
Peacham, VT
Alfred L. Griggs
Board Chair, Mary Hitchcock
Memorial Hospital
and Mary Hitchcock Memorial Hospital
Northampton, MA
Board of Overseers 2006
Alan C. Keiller
Board Treasurer, Mary Hitchcock
Memorial Hospital
West Windsor, VT
Nils M. P. Daulaire, MD, MPH
White River Junction, VT
Jennie L. Norman
Harrisville, NH
J. Brian Quinn
Chair, Dartmouth-Hitchcock Assembly
of Overseers
Hanover, NH
Carolyn H. Sands
Lebanon, NH
Alan D. Sessler, MD
Board Chair,
Dartmouth-Hitchcock Clinic
Rochester, MN
Richard S. Shreve
Trustee,
Orford, NH
Hugh C. Smith, MD
Rochester, MN
Hanover, NH
Donald E. Watson
President, DHMC Auxiliary Board
Trustee,
Michael J. Goran, MD
The Sea Ranch, CA
Diana J. Weaver
Versailles, KY
Wayne G. Granquist
Board Vice-Chair, Mary Hitchcock
Memorial Hospital
Weston, VT
William W. Wyman
Hanover, NH
29
M E M B E R S H I P S
Robert H. Young
Rutland, VT
Lebanon, NH
Ex officio
Gary M. DeGasta
Director, Veterans Affairs Medical
Center
Ex officio
Susan G. Dentzer
Chevy Chase, MD
Eric Donnenfeld, MD
Rockville Center, NY
Freddie H. Fu, MD, DSci (Hon)
Pittsburgh, PA
C. Everett Koop, MD
Hanover, NH
Ex officio
Renee M. Landers, JD
Boston, MA
Stuart MacLeod, MD, PhD, FRCPC
Vancouver, BC
Albert G. Mulley, Jr., MD, MPP
DC Trustee
Boston, MA
Thomas B. Okarma, MD, PhD
Chair
Menlo Park, CA
Norman C. Payson, MD
Concord, NH
James E. Wright, PhD
President, Dartmouth College
Hanover, NH
Ex officio
Martin N. Wybourne, PhD
Hanover, NH
Ex officio
Oglesby H. Young III, MD
President, DMS Alumni Council
Concord, NH
Ex officio
Dartmouth-Hitchcock
Medical Center
Board of Trustees 2006
Lebanon, NH
John C. Collins
CEO, Dartmouth-Hitchcock Clinic
Lebanon, NH
Gary M. DeGasta
Director, Veterans Affairs Medical
Center
Peter M. Fahey
Port Washington, NY
Acting President, Mary Hitchcock
Memorial Hospital and DartmouthHitchcock Alliance
Lebanon, NH
Cecil B. Pickett, PhD
Cambridge, MA
Alfred L. Griggs,
Chair
Northampton, MA
Peter Preuss
La Jolla, CA
Albert G. Mulley, Jr., MD
Boston, MA
Charles A. Sanders, MD
Chapel Hill, NC
Alan D. Sessler, MD
Rochester, MN
Barry P. Scherr, PhD
Hanover, NH
Ex officio
Hanover, NH
Hanover, NH
Ex officio
William W. Wyman
Hanover, NH
Robert L. Thurer, MD
Boston, MA
Richard M. Weinshilboum, MD
Rochester, MN
The patient is at the
center of all we do,
whether we are teaching
residents and medical
students, caring for
patients, or doing
research. And that’s a
very powerful factor in
our being able to provide
such a high level of care
for our community.
One Medical Center Drive
Lebanon, NH 03756
www.dhmc.org

2006 annualreport - Dartmouth

Transcription

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