Dartmouth-Hitchcock Medical Center

Annual Report 2001

Experience. Vision. People.

Throughout its history, Dartmouth-Hitchcock has attracted and retained thevery brightest researchers, academicians,administrators, physicians and nurses in order to fulfill our mission to providethe very best in patient care, education, and research.

In 2001, we marked the tenth anniversary of our Lebanon campus–the physicalembodiment of all the talent and dedica-tion of the people who work here.

We also celebrated the arrival of severalnew ”leaders-physicians” with the vision to increase Dartmouth-Hitchcock MedicalCenter’s impact on the regional andnational level.

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Internationally recognized cancer physician andresearcher, Mark Israel, MD, is the new Director of DHMC’s Norris Cotton Cancer Center andProfessor of Pediatrics and of Genetics at DartmouthMedical School.An accomplished, consistently fundedinvestigator in the field of neurooncology, as well as ateacher, clinician and administrator, Israel comes toDartmouth-Hitchcock Medical Center from stints atthe National Institutes of Health and the University ofCalifornia at San Francisco. He brings with him avision for a greatly expanded range of clinical trials andresearch.

Leadership

John F. Modlin, MD, was named CHaD’s (Children’sHospital at Dartmouth) new director and has been avital member of DHMC’s Department of Pediatricssince 1991. He was also named chair of the pediatricsdepartment in 2001.A leading childhood infectiousdisease, virology and viral vaccines expert, Modlin wasin great demand for his expertise and advice followingthe 9-11 incidents. He is an award-winning teacherand an active participant in the national health carepolicy debate, but his role as clinician is his true love.

Michael Simons, MD, became Cardiology SectionChief and the Director of DHMC’s new AngiogenesisResearch Center.Angiogenesis is a process of growingnew blood vessels for heart disease treatment. Simonshas brought with him a new team of researchers and extensive funding from the National Institutes ofHealth, the American Heart Association, and industry.

CHILDREN’S HOSPITAL

Dartmouth-Hitchcock Medical Center is a teachinghospital and research center where patients find medicalexperts, advanced treatments, and a commitment topatient comfort and convenience.We have physiciansfor all major specialties, including cardiac services,cancer care at the only designated National CancerInstitute comprehensive cancer center in NewHampshire, and the Children’s Hospital at Dartmouth(CHaD), an accredited children’s hospital. In emergen-cies, the Dartmouth-Hitchcock Advanced ResponseTeam (DHART) transports people by helicopter toDHMC for urgently needed care. Our partners are theMary Hitchcock Memorial Hospital, the DartmouthMedical School, the VA Medical Center in White RiverJunction,VT, and the Dartmouth-Hitchcock Clinics.We have 427 physicians, and we trained 277 medicalstudents and 317 residents this year.

Dartmouth-Hitchcock Medical Center is committed tomaking every patient encounter a good one.We workto meet the continually growing patient volumes. Inparticular, we are focusing attention on reduction oftime spent waiting for an appointment.Whether it’s acall for an appointment, asking questions of our staff atthe Information Desk, coordinating care with a PatientRelations representative, having surgery, and of courseseeing a doctor for a regular visit, we are committed toservice excellence.

Who We Are: CoordinatingResearch, Education & Patient Care

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This past year we celebrated our move to Lebanon tenyears ago which allowed us to integrate the researchlaboratory space with the hospital and clinic, so thatdoctors and researchers could collaborate more closely.We’ve experienced tremendous overall increases in clin-ical trials and research funding over the past decade.Productive collaboration in research directly impacts thetreatment we are able to provide our local patients. Ourability to take laboratory discoveries directly to ourDHMC patients is a significant contribution we maketo the region.

Some examples of our current research include: Dr.James Sargent’s work on the influence of popularmovies on teen smoking habits; Dr. Patricia Carney’sinteresting research on the wisdom of obtaining yearlymammograms; and Dr. Madeline Dalton’s investigationsinto the increase of tanning booth usage and how itrelates to increased rates of cancer. In addition, Dr. JohnWennberg of the Center for Clinical Sciences atDartmouth Medical School recently published the latestissue of the US Atlas of Healthcare, used extensively as aresource for providers and policy makers across thecountry.These researchers were covered extensively inthe worldwide press this year because of the impact oftheir work on disease prevention. Our researchers haveattracted over $80 million in funding this past year, 14percent higher than the previous year.

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How We Stack Up: NationalPublications Give Us High MarksDHMC encompasses a wide range of services and pro-grams, and our doctors, researchers, and providers of alltypes often receive press recognition about their indi-vidual or department efforts.This past year, our centerwas widely recognized in several national publications.

US News & World Report is popular for its annual “top100” rankings from year to year. In 2001, Dartmouth-Hitchcock Medical Center was ranked in the top 50hospitals for our treatment of Digestive Disorders,Gynecology, Heart Related Diseases, and Orthopedics.

Modern Healthcare magazine ranked us among the top 100 cardiovascular hospitals in 2001.“Top hospitals”are noted for their effective operations, and hence theirability to reduce mortality rates and to save money.

In addition, Hospitals & Health Networks rated DHMC asone of the “Most Wired” in their 2001 survey.The surveyshowed that those hospitals that invested in informationtechnology saw a healthy return for that investment interms of “better control of expenses, higher productivity,and more efficient utilization management.”

We know that the most valuableasset we have is people.We careabout the quality of their lives andregularly monitor their satisfaction.

Nurses play a very important role,and we’re proud of our higher thanaverage level of retention. One ofthe ways we do this is by providingongoing education.

Refresher Course for Nurses

Returning to the Profession

Certified Nursing Assistant — six

weeks of comprehensive class-

room and practical training,

including NH state license.

Nurse Internship Program — eases

the transition from novice to

graduate nurse.

Operating Nurses Training Course

In addition, the DHMC AuxiliaryBoard has made $20,000 available tofund the DHMC Auxiliary NursingScholarship for DHMC employeesentering the profession of nursingand experienced registered nursescompleting baccalaureate nursingdegrees.

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People Love to Work Here

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This is a referral hospital, which means that

people come from miles around. When a

child is in the intensive care nursery, it isn’t

possible for parents to get in all of the

time. But doctors believe that a baby needs

to feel a warm body and be held in order

to mature. So, a group of us come in and sit

there and take the baby into our arms and

hum. I used to discuss the Red Sox and

pretty soon the baby would slumber off...

Foster Blough, DHMC Volunteer

Dave Beidler, DHMC Volunteer

We are grateful to the many emergency services per-sonnel that collaborate with us to provide appropriatetreatment to patients in emergency circumstances. It isthe total dedication and hard work of the emergencymedical service personnel who staff the regional ambu-lance services and serve our local fire and police depart-ments that makes life in our rural area secure.

Emergency Preparedness in the wake of 9-11As we ended Fiscal Year 2001, we anticipated celebrat-ing the tenth anniversary of our move to Lebanon.Theseries of events on September 11 caused us to postponeour facility-wide event until late spring 2002. Instead,the entire medical center readied itself to respond toimmediate community needs and to prepare to assist ifinjuries exceeded the capabilities of New York area per-sonnel and volunteers.We developed a database of hun-dreds of nurses and doctors willing to locate to GroundZero if needed. In fact, several of our paramedics werecalled and spent weeks providing assistance. For hisefforts, DHART paramedic John Hinds was given a flagthat had flown over the Stuyevesant School nearGround Zero on the day of the attack.

Community Collaboration: Sharing a Part of Your Life

“By the end of our

mission at Ground

Zero we’d treated

15,000 patients over

12 days, 24 hours

per day, across five

medical stations.”

John Hinds, DHART Paramedic

Local and DHMC emergency personnel

Friends, colleagues, patients, volunteers...we crossboundaries constantly. Staff are sometimes patients andboth patients and staff volunteer throughout the medical center and throughout the community. Forexample, many of our pediatric residents—as part oftheir training in the Boyle Pediatrics Program—volunteer at other nonprofit services like Listen, CarterCommunity Center, the Haven, Hannah House, GoodBeginnings,The Family Place, and the Good NeighborHealth Clinic.Their experiences influence the qualityof the training our physicians receive.

DHMC has been extremely supportive of the GoodNeighbor Health Clinic since its inception. Our physicians, nurse practitioners, nurses, and para-medicalprofessionals donate their own time to support thework of the clinic which provides free primary medicalcare to those in need who are without insurance or the means to pay. DHMC also provides the continuityof care for our Good Neighbor patients by covering the costs of their labs, diagnostic tests, and referrals to specialists.

More than 300 volunteers help to coordinate theAudrey Prouty Memorial Century Ride and FitnessWalk to benefit cancer research at Norris CottonCancer Center.They staff the rest areas along the route,register participants, serve food at the barbecue, andprovide support to riders and walkers.

The Dartmouth-Hitchcock Mascoma Pediatric Clinicin Canaan celebrated its 20th anniversary in 2001.Dr.William Boyle started the clinic and still providesservices there on a regular basis. He knows that takingcare of children involves much more than seeing themin his office or during hospital rounds.As part of hisspecialty practice—treating children with chronic ill-nesses like cancer, diabetes, and cystic fibrosis—he hasworked with Upper Valley school systems and socialservice agencies. He’s seen first-hand the importancepediatricians play in the broader community.They arepart of a team that includes a child’s family and friends,as well as other professionals and support people.

Our nurses serve on the front line of patient care, fromeveryday patient care to advanced critical care facilitiessuch as our Level I Trauma Center and Level IVNeonatal Intensive Care Unit (both are highest levelrated).Working in New Hampshire’s leading teachinghospital, our nurses are also actively involved in majorresearch studies, serve as educational resources for othernurses and in executive positions in national organiza-tions.They also share in decision making throughoutour organization as we address the ongoing challengesof 21st century medicine.

Several of our nurses were honored in 2001. GeorgiaAnn Bru (since deceased) of Woodstock,VT, won theMentorship Award from the American Organization ofNurse Executives for being a “true mentor, trustedcounselor.” Marilyn Bedell of West Lebanon, NH, waspresented the Oncology Nursing Society Linda ArenthExcellence in Cancer Nursing Management Award.And Marie Bakitas Whedon of Lebanon, NH, wasnamed New Hampshire Nurses’Association 2001Nurse of the Year.

Mary Hitchcock Memorial Hospital is a member of theDartmouth-Hitchcock Alliance, a group of ten localhospitals, mental health centers, and home health agen-cies in Vermont, New Hampshire, and Massachusetts.Each member is an independently owned and operatednonprofit organization, overseen by its own board ofdirectors, with its own budget, and supported, in part,by charitable gifts raised in each community. In ourcommunities, we each treat illness and improve well-ness.As a group we share knowledge, resources, andsolutions to improve the quality, efficiency, and availabil-ity of health care.

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One value-added service DHMC is able to provide tothe community is in the form of free seminars, lectures,and workshops. Our research and education combinedleads to enhanced patient care and an ability to shareour knowledge with the community.A partial list from2001 includes:

Dartmouth Community MedicalSchool’s series on the workings of thebrain

CHaD Symposium for Parents inResponse to 9-11

Trimester Mother/Baby Group

Numerous Cancer Support Groups

Living with Alzheimer’s Disease class

Exploring Your Spiritual Needs workshop

Identifying & Locating AppropriateHealthcare Resources guide

What Every Family Caregiver ShouldKnow guide

Diabetes Support Group

Essential Facts about Prostate Cancerbrochure

Community Health Screenings

Kidney Early Evaluation Program

Grief after Sudden Death: A Forum forSurvivors

Two new endosurgical suites, designed specifically forlaparoscopic surgical procedures to support theDepartment of Surgery’s minimally invasive program,went on line last spring. DHMC surgeons are amongthe first in the Northeast to utilize voice-activatedequipment, a robotic camera arm, state-of-the-art digi-tal imaging capabilities, ceiling-mounted equipmentbooms, and voice-controlled digital image capturingcapabilities. Using a hands-free headset, the surgeon canuse the voice-activated technology to position up toseven different camera angles.The technology alsoallows for live, two-way videoconferencing between thesurgeons and the other departments and specialists.

DHMC installed the Medication Access Computer(MAC) to retrieve medications to fill prescriptions inour pharmacy. It took three years for the robot to bedeveloped and it now fills more than 90 percent of allDHMC prescriptions or more than 3,000 doses a day.Central pharmacists now spend more time focused onpatient care and clinical functions such as reviewingdrug therapy, and preventing, detecting, and resolvingdrug-related problems.All medication is stocked in barcoded packages, and the robot reads the codes to signif-icantly reduce prescription filling error, enhance patientsafety, and provide inventory control data.

DHART provides community hospitals the ability totransport critically ill patients 24 hours a day/7 sevendays a week via both air and ground transport.The verylatest life-saving technology and a team of dedicatedintensive care staff are at the ready to treat critically illor injured patients as they travel to a facility that canbest care for them.

DHMC’s Children’s Hospital at Dartmouth (CHaD)has adopted a whole child “pain free” approach to care.It is one of many principles of care which keep childrenand their families directly involved in decisions abouttreatment.To soothe children and calm their anxietyduring procedures, a new suite with digital video, audio,and computer simulation is being used to distract andentertain children. Relaxation techniques and seda-tion/anesthesia can be delivered here, too.

We embarked on a five-year plan to enhance ourClinical Information System (CIS).The plan providesfor a continuing transition to online documentation andsubstantive enhancement to our multimedia medicalrecord.

With funds from a research grant received in conjunc-tion with Creare, Inc., and NASA, DHMC this yearinstalled a six atmosphere Hyperbaric Chamber.The useof oxygen under pressure allows more oxygen to be dis-solved in the blood and brought to the areas that needit. In addition to wound healing, other conditionsapproved for treatment include exceptional blood lossdue to anemia, compromised skin grafts and flaps, andthermal burns.

Technology: Advanced Tools for Enhanced Care

The kidney transplantation program reached a majormilestone this year: the 200th kidney was transplanted.Working closely with the New England Organ Bank toassure that the match between the donor organ and therecipient is correct, the team transplants 20-25 kidneys ayear in patients from New Hampshire and Vermont.

DHMC is New Hampshire’s only Level I TraumaCenter.We have an Intensive Care Unit; surgeons andoperating-room personnel on duty 24 hours a day; car-diac and microvascular surgeons on staff; in-house CTscanning technology and Magnetic Resonance Imaging(MRI); and other resources for helping patients in criti-cal condition.As a Level I Trauma Center, we areactively involved in research to improve trauma care andprevent injury. DHMC’s Trauma Center is just one partof an extensive collaborative network of emergencypersonnel who work together to ensure that patientsalways receive care at the nearest appropriate facility.

During the year of our tenth anniversary in the newLebanon facility, we launched a major expansion plan to meet the incredible growth over the last decade.In the fast-paced world of health care and medical science, Project for Progress will help us provide newtechniques, improve services, and promote high-quality health care.

What we plan to buildA New Doctors Office Building will house most of theoutpatient exam space and will add 184,000 square feetof new space, doubling the current space.

An expanded Diagnostic & Treatment area will providegreater capacity in the operating rooms, radiology, andemergency and support services.

Norris Cotton Cancer Center, Rubin Building: Fournew floors will add 100,000 square feet that will housephysician offices and cancer research labs.

New East Mall:This area will be an entrance for theexpanded outpatient facility and will serve as a primaryentrance for patients and staff.

New Parking:The project includes two new parkingareas—a parking structure for 540 patient vehicles andan employee surface parking lot for 950 vehicles.

Patient Care by the Numbers1991 2001 Increase

Chemotherapy Treatments 3,812 10,824 184%

Same Day surgeries 2,894 6,259 116%

Emergency Room visits 13,167 22,180 68%

Doctor visits 254,037 419,465 65%

Project for Progress: Key Facts • 470,000 square feet of new space• 280,000 square feet of renovated space• $207 million• 540 car patient parking garage• 950 car staff parking lot

Construction MilestonesSummer ’03 NCCC expansionSpring ’04 New Doctors Office BuildingSpring ’04 Parking GarageSummer ’04 Diagnostic & Treatment expansionWinter ’05 Clinic renovationWinter ’06 Project completion

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Against a backdrop of tumultuous world events,Dartmouth-Hitchcock Medical Center reaffirmed itscommitment to its community and our communityresponded in kind. More than $22 million in charitablecontributions from donors around the region and acrossthe country were made to DHMC.Those who madegifts of $1,000 or more in calendar year 2001 are recog-nized in this report with our sincere gratitude.

The generosity of our many friends sustains the vitalityof our work in important ways, from scholarships andprofessorships, to program funds which allow for inno-vation in cancer palliation, research and children’s care,to substantive foundation and corporate grants whichenrich research and medical training.

This year, support from the Robert Wood JohnsonFoundation continues to strengthen our programs inhealthcare improvement.The Byrne Family Founda-tion’s generous support of our Palliative MedicineService is helping to improve the quality of life for theseriously ill and their families. Invaluable support from Jennifer and Peter Brock augments our successfulefforts in genetic research and teaching. C&S WholesaleGrocers is providing considerable assistance for ourwork in pediatric-oncology. Mr. and Mrs. Philip R.Currier continue to provide important support for the Clinical Oncology Scholars Fund for the NorrisCotton Cancer Center.The J.T.Tai & CompanyFoundation is adding vital strength to our medical education programs with their continuing scholarshipsupport.Through the Friends of the Norris CottonCancer Center, thousands of individuals who participatein special events collectively provide enormous supportfor our cancer care, research, and prevention programs.

These are just a few of our many supporters who help Dartmouth-Hitchcock Medical Center to be ahighly regarded regional and national resource in healthcare, research, and training.We owe much to the commitment of our community and friends. Charitablesupport remains crucial to our success in providing an advanced level of quality health care, training tomor-row’s doctors and scientists, and exploring the perplex-ing questions biomedicine present.

We remain deeply grateful for the support of ourdonors, friends, and alumni whose interest and involve-ment enrich all that we do.

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Philanthropy:An Extraordinary YearAn Extraordinary Community

Charitable ContributionsFiscal Year 2001

July 1, 2000 – June 30, 2001

Current Operations

Unrestricted Funds $3,742,961Annual Funds $1,072,705Restricted Funds $12,973,293Total Current Operations $17,788,959

Endowment

Restricted & Unrestricted $2,508,066Endowment

Student Aid Endowment $388,829Research Endowment $404,477Total Endowment $3,301,372

Plant and Equipment

Total Plant & Equipment $706,461

Life Income Gifts

Total Life Income Gifts $721,170

Total $22,517,962

Dartmouth-Hitchcock Clinic2001 2000

Outpatient Visits

Northern RegionLebanon 446,322 420,228 Other Sites 133,497 126,747Subtotal 579,819 546,975

Southern RegionConcord Offices 140,821 140,479Manchester Offices 251,999 228,038Nashua Offices 183,030 179,003Keene Offices 265,769 263,455Other 50,892 17,704Subtotal 892,511 828,679Total 1,472,330 1,375,654

Dartmouth Medical School2001 2000

Physician Office Visits

Psychiatry 30,224 30,324Total 30,224 30,324

Veterans Affairs Hospital2001 2000

Patients Discharged 2,388 2,324Patient Days of Service 15,756 15,977Average Daily Census 43 44Operations Performed 3,823 2,712Outpatient Visits 140,375 132,230Same Day Procedures 5,759 6,968Home Health Visits 6,515 9,181Volunteer Hours 57,044 53,715

Patient Statistics & Financials

Mary Hitchcock Memorial Hospital2001 2000

Patients Discharged

New Hampshire 10,111 9,749Vermont 8,521 8,108Other States 913 894Foreign CountriesTotal 19,545 18,751

Patient Days of Service 97,336 93,132Average Daily Census 267 255

Operations Performed

Inpatient 7,258 7,375Outpatient 5,883 5,285Total 13,141 12,660

Births 1,014 996Emergency Department Visits 22,180 20,651Volunteer Hours 42,649 45,172

Employees (Full-time equivalents)2001 2000

Mary Hitchcock Memorial Hospital 2,877 2,796Dartmouth Medical School 890 830Dartmouth-Hitchcock Clinic 2,433 2,300Veterans Affairs Medical Center 608 577

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Educational Programs2001 2000

Medical Students 271 274Residents and Clinical Fellows 298 278Graduate Students in

Basic Medical Sciences 129 112Other 80 65Postdoctoral Research Fellows 27 31Total 805 760

Operating Expenditures (000s omitted)2001 2000

Dartmouth Medical School $124,964 $114,764Mary Hitchcock Memorial Hospital 333,654 300,501Dartmouth-Hitchcock Clinic 265,316 348,212Veterans Affairs Medical Center 73,302 64,605

Total $797,236 $828,082

Revenue Sources

Payment for Patient Services from 76% 67%Third Parties and Patients

Federal Budgets for 9% 7%Veterans Affairs Services

Funded Research 10% 8%Tuition Income and Fees 1% 1%Gifts, Bequests, Endowment and

Other Income 4% 17%Total 100% 100%

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30

45

60

75

90

2000 2001

Research Awards (000s omitted)2001 2000

Federal Government

Department of Health & Human Services $53,225 $46,561Department of Defense 464 1,082Other 101 312

Subtotal 53,790 47,955Private Foundations 8,236 7,584Corporations 6,774 6,111Other 11,983 9,218

Total $80,783 $70,868

Dartmouth Medical School/DHMCResearch Awards (000s omitted)

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The Value of Our Community Benefits

Number of patients receiving 6,168

Charity Care

Charity Care $9,858,295

Community Education and Outreach 1,558,443

Subsidized Health Services

Regional Physician Practices 767,536in Rural Communities

Norris Cotton Cancer Center 694,453Mobile Intensive Care Unit 651,001State Poison Control Program 580,923Dartmouth-Hitchcock 226,416

Advance Response Team Level One Trauma Services 192,726Medication Assistance Program 118,590Community Health 283,588

Clinics & ProgramsVisiting Nurse Alliance/VNH 60,000Other Subsidized Services 264,252

in the Community

Cash and Inkind Donations 671,938

Community Services 498,240

Medical Education

Financial Support Provided to 6,538,417Dartmouth Medical School

Teaching Physicians and 6,361,537Volunteer Time

Other Medical and 1,222,304Health Professional Education

Total Community Benefit Activities $30,801,205

Meeting Community Needs in the Upper Valley and ThroughoutOur RegionDHMC serves as the primary provider and communityhospital for the Upper Valley area of New Hampshireand Vermont. Last year a new law went into effect inNew Hampshire requiring health care charitable truststo file an annual plan and report activities that meetcommunity needs. Our community’s needs wereassessed using a variety of tools, including the “UpperValley Human Services Needs and Assets Assessment,2000,” community agency reports, and interviews withcommunity leaders.The assessments identified needsrelated to: cost and access to health, dental and mentalhealth services; substance abuse services; transportation;affordable housing; and availability of jobs.

DHMC has long provided a multitude of communitybenefits, but this was the first time we tallied the overallcosts and value. In Fiscal Year 2001, Mary HitchcockMemorial Hospital and Dartmouth-Hitchcock Clinicin Lebanon and northern New England provided morethan $30 million in community benefits and free or discounted care.

Last year’s plan included four areas of targeted need,which we attempted to meet in the following ways:

• Address the need for indigent access to dental care.• Develop a plan to reduce teen substance abuse

by working with the Upper Valley Prevention Partnership.

• Continue to provide community outreach through health education programs, preventive health screenings and community and school initiatives,and to improve internal infrastructure in this area.

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This report includes the names of donorswho have made a gift of $1,000 or moreduring 2001.

Dr. and Mrs.William AbduAccreditation Council for Graduate

Medical EducationMr. and Mrs. Jay D.AdamsAir Products FoundationEstelle H.AlbaughBarbara and Todd AlbertAlcyon FoundationMr. and Mrs. James A.AlexanderMr. and Mrs.Arthur E.Allen, Jr.Allen Engineering, Inc.Alzheimer’s AssociationDrs. Donna M.Ambrosino and

Howard D. MartinAmerican Cancer Society, Inc.American Diabetes AssociationAmerican Express Financial CorporationAmerican Heart AssociationAmerican Society of Clinical OncologyAmgen, Inc.Connie W.AndersonElaine L.AndrewDr. and Mrs. Dennis L.AngellisAnonymous (3)Lance Armstrong FoundationDr. Bradley A.ArrickArthritis FoundationAstraZenecaAventis Pharmaceuticals, Inc.Louise R.AveryJames and Miki BairdMr. and Mrs. Richard J. BakerDr. John C. BaldwinDr. Karen K. BallenMr. and Mrs. Kenneth S. BarclayMr. and Mrs. Ray BarretteMr. and Mrs.Thomas J. BascettaNancy J. BassettDr. and Mrs. Paul B. BataldenAlan F. BeaneMr. and Mrs. Philip E. BeekmanMr. and Mrs. B. David Benson, Jr.K. Reed BerkeyJeanette S. BerryMr. and Mrs. Robert BinswangerBiogen, Inc.Drs. John D. and Nancy J. BirkmeyerDr. and Mrs. Harry C. BishopDr. and Mrs.William BlackHeather Blair and Robert CutlerThe Blessing Way FoundationDr. and Mrs. Jerome M. BlockMr. and Mrs. Foster W. BloughCharlene R. BohlBonneville & Son, Inc.Selma S. Bornstein

The Borwell Charitable FoundationNaomi T. BorwellEstate of Edna BowlesKatharine S. BoyntonMary Lou BradleyMr. and Mrs.Taylor BrennanMr. Richard A. BresnahanRuth E. BrittanJennifer and Peter BrockTrudi M. Brock and Paul L. KristensenDr. Mark J. BrodkeyDr. Jules H. BrombergMr. and Mrs. Gary R. BrownDr. and Mrs. Mark W. BrownMr. and Mrs. Francois G. BrutschThe Buchanan Family FoundationDr. and Mrs. John D. BullockDr. and Mrs. Kenneth W. BurchardEstate of Anna T. BurnapButler FoundationJ.E. and Z.B. Butler FoundationMr. and Mrs. Martin ButlerDrs. John R. and Lynn F. ButterlyThe Byrne FoundationMr. and Mrs. John ByrneC & S Wholesale Grocers, Inc.Prof. and Mrs. Colin D. CampbellDr. Edmund R. Campion and

Margaret N. NortonTown of Canaan, NHAnn F. CarpenterCarvers For KidsMr. and Mrs. Neil F. CastaldoJuliet CastonguayDr. and Mrs. James E. Cavanagh, Jr.Century 21 Energy Shield Realty, Inc.Dr. and Mrs. James J. ChandlerRuth H. ChapmanEstate of Ruth C. ChilcottDr. Kyung H. Chung and Gordon S. PhelpsFrank ClemDr. and Mrs. David M. ClementWynanda B. CliffordBeatrice R. CloughJean M. CluettMr. and Mrs. Frederic S. ClutheThe CMH FoundationViolet B. CoffinOscar M. Cohn TrustOscar Mandel CohnCoKnowledgeBarbara ColbronJohn Clark CollinsThe Compass FundDr. and Mrs. Charles C. ConteDr. and Mrs. Milton CooperEstate of Eleanor and Norris CottonRichard W. CouchMr. and Mrs. Calvert H. CraryMr. and Mrs. Stephen T. CraryCremona Fund, Inc.Mr. and Mrs. Courtland J. Cross

E. J. Cross FoundationDr. and Mrs. John F. CroweDr. and Mrs. John M. CroweMr. and Mrs. James W. CrowellRobert Cowles and Assoc.Joseph F. Cullman IIIMr. and Mrs. Philip R. CurrierDrs. Michele Cyr and Gregory TowneCystic Fibrosis FoundationDr. and Mrs. Miguel DamienBarbara E. DaniellDaniell Family Foundation, Inc.Hellen S. DarionDr. and Mrs. George C. DarrDartmouth CollegeMurray G. Davidson and Doreen E. StaffenDr. and Mrs. Forbes DelanyDerry-Londonderry-Timberlane

United WayMr. and Mrs. Bradley Dewey, Jr.Mr. and Mrs. S.Whitney DickeyMr. and Mrs. Peter DieboldFrances K. DimmickDr. James A. DiNardo and

Ms. Mary Ann MatterDr. and Mrs. Ethan DmitrovskyDr. and Mrs. George R. DochatOliver S. & Jennie R. Donaldson

Charitable TrustDr.Alan E. DonnenfeldDrs. Eric D. Donnenfeld and

Marleen B. Brajer-DonnenfeldDr. and Mrs. Richard W. DowMr. and Mrs.Allan Doyle, Jr.Mr. and Mrs. Paul DreifussDryer Management CompanyDoris Duke Charitable FoundationDulude Family Foundation, Inc.Dupont Pharmaceutical Co.Drs. Diane Marie Dwyer and

Joseph G. GallE.J. Cross FoundationEastman Golf AssociationDr. and Mrs.Walter L. EatonMr. and Mrs. Robert J. EckenrodeEstate of Esther M. EdwardsDr. and Mrs. J. Robert EdwardsEdwards Lifesciences, LLCDrs.William H. and Susan T. EdwardsEstate of Martha EgeDr. and Mrs. John F. EisoldDr. and Mrs. Robert M. EllsworthDr. and Mrs.Waverly J. Ellsworth, Jr.Mr. and Mrs. Louis B. Ely, Jr.Endometriosis AssociationEngelberth Construction, Inc.Engelman Family Charity TrustJohn S. EngelmanRobert Saul Engelman

Benefactors

Epply Charitable FoundationMr. and Mrs. Harry F. EspenscheidEvergreen Capital Partners, LLCExxonMobil FoundationDr. and Mrs. Charles S. EytelSherman Fairchild Foundation, Inc.Dr. and Mrs. Charles S. FaulknerMr. and Mrs. Martin S. FeinsDr. and Mrs. Geza Fejes-TothMr. and Mrs. Stanley H. FeldbergMr. and Mrs. John J. FennesseyDr. Susan K. FerrandDr. and Mrs. David R. FettDoris FieldingMary P. FillingerRita H. FischbeckDr. and Mrs. Lloyd C. FisherMr. and Mrs. Bernard FishmanDr.Timothy P. FloodFoodstop, Inc.Ford Motor CompanyForest Pharmaceuticals, Inc.Foundation for Digestive

Health & NutritionMr. and Mrs. Richard E. FoxClarabelle FrahmThe Francis Families FoundationDrs. John G. Ketterer and Judith E. FrankThe Marshall Frankel FoundationFraternal Order of Eagles, Grand AerieFraternal Order of Eagles, Ladies Aux. 3765Dr.A. Lindsay Frazier and

Mr. Owen DempseyMr. and Mrs. Robert L. FrenchFriends of the Norris Cotton

Cancer CenterFrisbie Memorial HospitalMr. and Mrs. Robert C. FrischMr. and Mrs. Milton FryeThe Fuller Foundation, Inc.John W. FunderMan-Lung FungElizabeth K. FunstonDr.Ann FurtadoGay H. GahaganDr. and Mrs. Stephen J. GalliDr. John V. GandolfoDr. and Mrs.Theodore H. Gasteyer IIRyan GatchellDr. and Mrs.Alan B. GazzanigaGeographic Data Technology, Inc.Mr. and Mrs. Harry B. Gilmore, Jr.GlaxoSmithKlinePaul W. Glover, Jr.

Mr. and Mrs. Richard F. GluckDr. Joseph S. GonnellaMr. and Mrs. Philip P. GoodkinDr. E.Ann Gormley and Richard WallaceMr. and Mrs. James F. GosselinDr. and Mrs. Robert E. GosselinDr. and Mrs.William T. GoulburnMr. and Mrs. Jack GraboskyMr. and Mrs. George A. Graham, Jr.Mr. and Mrs.Arthur Randolph Greene, Jr.Greenspan FoundationMr. and Mrs. Robert W. GriffinMr. and Mrs. Steven D. GriffinMr. and Mrs.Alfred L. GriggsBeatrice B. GriswoldBarry and Susan GrovemanGrimshaw Gudewicz Charitable

FoundationEdna and Monroe Gutman FoundationHope R. Hacker (deceased)Dr. and Mrs. Edward M. HaleyMr. and Mrs. David K. HallMr. and Mrs. Sheffield J. HalseyDr. and Mrs. Giles B. HamlinCarolyn and Neil HammerschmidtHanover, NH,Veterinary ClinicMr. and Mrs. Charles J. HanrahanMr. and Mrs. Robert W. HardyDr. and Mrs.William D. HarleyMr. and Mrs. Jacques HarlowWilliam B. Hart Irrevocable TrustTown of Hartford,VTHaukeland University HospitalHealthcare Foundation of New JerseyDr. and Mrs.W. Hardy Hendren IIIProf. and Mrs. John W. Hennessey, Jr.Hermit Hill Charitable Lead TrustCarl J. Herzog Foundation, Inc.Carl and Ludmila S. Hess FoundationMr. and Mrs. Carl B. HessDorothy A. Price HillHazen B. Hinman, Sr., Foundation, Inc.David C. HodgsonHelen HollandEleanor & Alexander Holtzman FoundationHomebuilders Association of NHCharles H. Hood FoundationH.P. Hood, Inc.Dr. and Mrs. Bruce J. HookermanDr. Harriet Hopf and Leo HopfMr. and Mrs.Albert L. Hopkins, Jr.Florence O. Hopkins Charitable FundBrian and Jennifer HotzHowfirma FoundationDr. Li-Ming Hu and Ms. Ida Y.WangWentworth HubbardJ.M. Huber CorporationHoward Hughes Medical InstituteJames A. HughesDr. and Mrs. John W. HylandHypertherm, Inc.IBM Corporation

Dr. and Mrs. Richard S. IdlerInstitute for American ValuesMr. and Mrs. Richard J. JamesonJanssen Pharmaceutica, Inc.J.T. Jobbagy, Inc.Johnson and Dix Fuel CorporationJohnson & JohnsonRobert Wood Johnson FoundationDr. and Mrs. James R. JohnstonBarbara M. JonesCarole M. JonesKen Jones, Inc.Sara W. Jones TrustSara W. JonesJuvenile Diabetes Foundation Int’l.Dr. Sarah A. Kahn and

Richard M. RouthierDrs. Samuel L. and Catherine M. KatzJill J. KearneyKeene Medical Products, Inc.Robert J. KeeshanPeter R. and Cynthia K. Kellogg

FoundationMr. and Mrs. Preston T. KelseyMr. and Mrs. Robert P. Kelsey, Jr.Mr. and Mrs. S. Leonard KentLarissa KingDrs. Kathryn Kirkland and Marc GautierKleen Laundry and DrycleaningKnox Family FoundationDr. and Mrs. Michael O. KochSusan Komen Breast Cancer FoundationDr. and Mrs.Alan T. KonoDrs. John P. and Patricia C. KoonceDr. and Mrs. C. Everett KoopDr. and Mrs. Gary KorenmanRobert R. KrummDr.Thomas R. KuhnsMr. and Mrs. Lawrence B. KurlandMarjorie E. KutznerLadies Auxiliary for Veterans of

Foreign WarsDr. and Mrs. Bruce F. LaFolletteDrs. John M. and Margaret J. LagneseDr. and Mrs. Eugene W. LariviereMr. and Mrs. Robert L. LaszewskiEdward Connery LathemDr. and Mrs. D. James LawrieCarola B. LeaLeach and Garner CompanyMr. and Mrs. Edwin F. Leach IIDean LeBaron AssociatesMr. and Mrs. Dean LeBaronEstate of Mary E. LeeDr. and Mrs.Alan N. LeslieMr. and Mrs. Samuel M. LevineHiroko LiLaurence W. Lilienthal (deceased)Marion T. LilleyEli Lilly and CompanyElsa M. LindAgnes M. Lindsay TrustLitchfield Middle SchoolMr. and Mrs. Douglas M. LoudonDr. and Mrs. Franklin Lynch, Jr.Dr. and Mrs. Joseph P. Lynch

19

John D. and Catherine T. MacArthur Foundation

Prof. and Mrs. Robert M. MacdonaldEsther Norris MacEachran

Charitable Lead TrustDr. and Mrs. John H. MacEachranD. Hugh MacNamee Memorial Trust FundDiane MagnantMaher, Guiley and Maher, P.A.Mr. and Mrs. Michael MaherDr. and Mrs. Michael J. MajewskiDr. Lisabeth Maloney and Joseph MaloneyDr. Richard D. Mamelok and

Midori AogaichiManchester Automobile Dealers

Charitable FundMr. and Mrs. Stephen F. Mandel, Sr.Therses MarshallMary MaslandDr. Charles M. MaxfieldDr. and Mrs. Robert G. MaxfieldMr. and Mrs. Robert G. Maxfield, Jr.Drs. Jennifer L. and Peter L. MayerEstate of Donald S. McClintockRonald McDonald House

Charities of Eastern New England, Inc.James S. McDonnell FoundationDr. Fletcher H. McDowellMcDowell FoundationMcGovern FundLeo C. McKennaJames J. McLaughlinMcLaughlin, Piven,Vogel, Securities, Inc.Susan F. McLaughryWilliam E. McLaughryDrs.Vincent A. Memoli and

Natalie MemoliMerck and Company, Inc.Mr. and Mrs. Keniston P. MerrillMerrimack Leo ClubMetLife FoundationMFS Investment Management &

SubsidiariesMiller Construction, Inc.Miller Nissan Jeep VolvoWilliam A. MillerMarc MilowskyMobil Foundation, Inc.Brian MolloyElizabeth L. MooreMr. and Mrs.William H. MooreErnest MoorheadDr. and Mrs. John M. MoranRichard B. MorganMr. and Mrs. David F. MoyerDr. and Mrs. Gilbert F. MuellerDr. and Mrs.W.P. Laird MyersNARSADCyrus H. NathanNational Cancer Awareness FoundationNational Multiple Sclerosis SocietyNational Niemann-Pick Disease

FoundationNational Osteoporosis FoundationNationwide Mutual Insurance Company

Dr. D. Dirk Nelson and Mary Kathi Tellman-Nelson

Mr. and Mrs.Walter B. NelsonMr. and Mrs. Charles F. Nettleship IIINew Place FoundationState of New HampshireNew Hampshire Charitable FoundationNew Hampshire International SpeedwayNew York Community TrustEstate of Howard Winthrop NewellDr. Mark R. NorthfieldDr. Christiane N. NorthrupNovartis Pharmaceuticals CorporationNaser Al NowaisMr. and Mrs. Paul Z. NowickiMr. and Mrs. David C. NuttMr. and Mrs.William A. OatesObsessive Compulsive FoundationDr. and Mrs. Daniel L. OggOhiyesa, Inc.Dr. and Mrs. Joseph T. OkimotoONS FoundationOracle CorporationOrr & Reno Professional AssociationEstate of Norbert V. OsterlandMr. and Mrs. George F. Owens, Jr.Pacific Vascular Research Foundation

Ara Parseghian Medical Research Foundation

Norman C. Payson Revocable TrustDr. and Mrs. Norman C. PaysonDr. and Mrs. Howard A. PearsonDr.Vincent D. Pellegrini, Jr.Peninsula Community FoundationPenn Traffic CompanyJ. C. Penney Company, Inc.Estate of Helen PerkinsPfizer, Inc.Pharmaceutical Research &

Manufacturers of AmericaPharmacia & Upjohn CompanyPhase Five Communications, Inc.Stephen L. PikePinnacle Communications Group, Inc.Dr. Marvin S. PlattDr. and Mrs. Fred PlumDrs. Stephen Plume and Martha McDanielDr. and Mrs. Robert E. PorterDr. and Mrs.William B. PrattMr. and Mrs.William R. PutnamJacqueline R. QuayleK. Philip RahbanyRAS Holding Corporation

20

Thomas D. RathRBM Systems, Inc.Reader’s Digest Foundation Inc.Redpath and Co. Realtors, Inc.Shirley M. ReidRiblet Foundation TrustMr. and Mrs. Henry J. RibletDr. and Mrs. Charles E. Richards, Jr.Dr. and Mrs. John E. RichardsFrances C. Richmond SchoolDr. and Mrs. Paul D. RighiDr. and Mrs.Andrew B. RobertsFayralyn O. RobertsSylvia M. RobertsRoche Laboratories, Inc.Rock of Ages CorporationLaurance S. RockefellerMr. and Mrs. Frederick A. RoeschDr. and Mrs. Malcolm P. RogersDr. and Mrs. Joseph M. RosenMr. and Mrs. David A. RosenblumSamuel Rosenblum FoundationB. and J. Rosenfield Family FundMr. and Mrs. Jay RosenfieldRoss Products Division,

Abbott LaboratoriesRSNA Research & Education FoundationDr. and Mrs. Stephen L. RudnaiDr. and Mrs. Frederic Rueckert, Jr.Mr. and Mrs. Dale F. Ruedig, Jr.William B. Ruger, Sr.Susan M. RugnettaDamon Runyon-Walter Winchell

FoundationGordon W. RussellDrs. Stephanie A. and Stephen R. RuyleAlbert J. Ryan FoundationDr. Kathleen S. RymanThe Salmon Foundation, Inc.Dr. John H. Sanders, Jr.Carolyn H. Sands

The Frank and Brinna Sands Foundation, Inc.

Vicki J. ScheidtSchering-Plough CorporationDr. and Mrs.William R. Schillhammer, Jr.Robin and Arrien SchiltkampMr. and Mrs. Hans L. SchlesingerKevin D. SchonMr. and Mrs. Ronald B. SchramMr. and Mrs. Robert L. SchwartzBerthold & Ardis Schwarz Charitable TrustDr. Berthold E. SchwarzScleroderma FoundationTracy M. ScottService Credit UnionDrs.Alan D. Sessler and Martha Ann SmithDr. and Mrs. John L. Seymour, Jr.Estate of Thomas B. ShawMr. and Mrs.Andrew ShinnGeorge L. Shinn & Clara S. Shinn

Foundation, Inc.Mr. and Mrs.William A. SilvermanDr. and Mrs. Barry D. SmithDr. and Mrs. Frank Rees SmithMr. and Mrs. Rodney W. SmithMr. and Mrs.Austin L. SmithersMr. and Mrs. Stanley C. SmoyerDr. and Mrs. James R. SnapperMr. and Mrs. Howard W. SpiessLucille B. SpitzBiria St. JohnOrson L. St. John, Jr.St. Jude Medical, SC, Inc.Harry R. Staley TrustMr. and Mrs. Edward H. StansfieldMr. and Mrs.William G. Steele, Jr.Drs. Stephen Stein and Emily FineJeffrey SteinkampThe Stettenheim FoundationMr. and Mrs. Peter R. StettenheimMr. and Mrs. Bayne A. StevensonStewart Property ManagementRuth D. StoddardDr. and Mrs. Mitchell StotlandDrs. Karen L. Straus and

Randolph H. RenziSturm, Ruger and Company, Inc.Mr. and Mrs. F. M. SundmanMr. and Mrs. Kurt M. SwensonJ.T.Tai & Company FoundationGilbert R.TanisDr. and Mrs. Radford C.TanzerLouise N.TaylorCarolyn C.TenneyDr. and Mrs. Lloyd B.TepperDorothy R.ThatcherDr. and Mrs. Charles A.Thayer

The Emmes CorporationMr. and Mrs. Gerard l.ThibodeauDr. and Mrs.William H.ThomasDrs. Robert L. and Shari L.ThurerDrs. Michele Cyr and Gregory TowneThe Tuck School of Business at Dartmouth

“Run For The Kids”Estate of Kathryn H. UnderhillPatricia R. UnderhillUpper Valley Community FoundationUnited Way of the Upper ValleyVanguard Charitable Endowment ProgramMr. and Mrs. James W.VarnumVerizon FoundationVermont Community FoundationVolkl Sport America CorporationWahrsager FoundationWal-MartWal-Mart FoundationDr. Lucy R.WaletzkyDr. and Mrs. Daniel B.WalshDr. and Mrs. Lewis J.WarshauerMr. and Mrs. Bruce M.WatersThe Webb Family FoundationDr. and Mrs. Dudley J.WeiderCarolyn June WeinsteinDr. and Mrs. Frank M.WeiserRodger and Pamela WeismannH.G.Wellington and Company, Inc.Margaret WesbrookMr. and Mrs.William S.WessonDr. Franklin H.West and Margot I. ShoberMr. and Mrs. Frederick H.WestD. Eugenia WestEstate of Alice F.WheelerWhite Mountains Insurance Group, Ltd.Metza Y.WhiteleyMr. and Mrs. Ellis G.WillardMary E.WilliamsMr. and Mrs. Stanton N.WilliamsDr. and Mrs. Peter D.WilliamsonMr. and Mrs. Francis G.WilsonEstate of Phyllis WilsonDr. and Mrs. Erich S.WisiolMr. and Mrs. L.Wynne WisterWoodstock FoundationMr. and Mrs. George D.Wrightson, Jr.Wyeth-Ayerst PharmaceuticalsRosalie and William WymanXerox Corporation, USAMr. and Mrs. John XiggorosDr.William Z.YahrMr. and Mrs.Yeong-Shyang YangDr. and Mrs. Philip A.YazbakDr. David L.YerzleyYork Cross of Honour Medical Research

FoundationMr. and Mrs. John M. ZennerMarie and John Zimmermann FundMr. and Mrs. John C. Zimmermann IIIMr. and Mrs. Christopher J. ZinskiDr. and Mrs. Douglas P. ZipesEli R. Zunder

Dartmouth-HitchcockMedical Center Board ofTrusteesJohn C. Baldwin, MDHanover, NHStephen BosworthMedford, MAThomas A. Colacchio, MD, ex officioNorwich,VTJohn C. CollinsHanover, NHGary M. De Gasta, ex officioNorwich,VTSusan G. DentzerChevy Chase, MDAlfred L. GriggsNorthampton, MARichard M. Page (Chair)East Orleans, MAJ. Rodney ReckBrownsville,VTAlan D. Sessler, MDRochester, MNJames W.Varnum (Secretary)Etna, NH

Mary HitchcockMemorial Hospital andDartmouth HitchcockClinic Boards of TrusteesDoris M. ArmstrongAvon, CTJohn C. Baldwin, MDHanover, NHStephen P. BarbaDixville Notch, NHStephen F. ChristyLebanon, NHThomas A. Colacchio, MD (DHC President)Norwich,VTJohn C. Collins(DHC CEO,Treasurer, and Secretary)Hanover, NHPhilip R. CurrierElkins, NHCarl S. DeMatteo, MDBedford, NHCarol J. Descoteaux, CSC, PhDNashua, NHThomas M. Dodds, MDEtna, NHRobert C. Fuehrer (MHMH Secretary)Peacham,VTJoseph S. Gonnella, MDPhiladelphia, PA

Wayne GranquistWeston,VTAlfred L. GriggsNorthampton, MAHarvey D. Hill (MHMH Treasurer)Claremont, NHF. Ray Keyser, Jr. (DHC Chair)Proctor,VTMary Susan Leahy (MHMH Vice Chair)Concord, NH(MHMH Board Member Only)Lisabeth L. Maloney, MD(MHMH Medical Director)Hanover, NHKeniston P. MerrillRandolph,VTWilliam O. MuellerContoocook, NHWilliam C. Nugent, MDMeriden, NHWilliam A. OatesKennebunkport, MEJ. Brian QuinnHanover, NHJ. Rodney Reck (MHMH Chair)Brownsville,VTMargot RousEtna, NHCarolyn H. SandsLebanon, NHAlan D. Sessler, MD (DHC Vice Chair)Rochester, MNJames W.Varnum (MHMH President)Etna, NHWilliam W.WymanHanover, NH

Veterans Affairs Medical CenterGary M. De Gasta (Director)Norwich,VTArthur Sauvigne, MD (Chief of Staff)Lebanon, NH

Dartmouth MedicalSchool Board ofOverseersJohn C. Baldwin, MD, ex officioHanover, NHRobert A. Chase, MDJaffrey, NHThomas A. Colacchio, MD, ex officioNorwich,VTBarbara J. CullitonWashington, DCGary M. De Gasta, ex officioNorwich,VTSusan Dentzer (DC’77)Chevy Chase, MDJames F. Dickson III, MD (DC’44)Provincetown, MAC. Everett Koop, MDHanover, NHRenee M. Landers, Esq.Boston, MARobert LaszewskiWashington, DCAlbert G. Mulley, MD (DC’70)Boston, MAClarence E. Pearson, MPH, CHESNew York, NYSusan Westerberg Prager, JD, ex officioHanover, NHGordon W. Russell (DC’55)Menlo Park, CAMarlene Sachs, MD, ex officioWindsor,VTM. Roy Schwarz, MDNew York, NYCarolyn W. Slayman, PhDNew Haven, CTRobert L.Thurer, MDBoston, MAJames W.VarnumEtna, NHJames Wright, PhD, ex officioEtna, NHRosalie Smith WymanHanover, NH

Board Members

One Medical Center DriveLebanon, NH 03756

(603) 650-5000www.dhmc.org

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