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TOGETHER WE ARE STRONGER Who are we? Anchored by Dartmouth-Hitchcock Medical Center Anchored by Catholic Medical Center 5 hospitals & 24 sites in NH and VT 3 hospitals, 16 sites and affiliates 650 beds 380 beds


  1. TOGETHER WE ARE STRONGER

  2. Who are we?  Anchored by Dartmouth-Hitchcock Medical Center  Anchored by Catholic Medical Center  5 hospitals & 24 sites in NH and VT  3 hospitals, 16 sites and affiliates  650 beds  380 beds  13,000 employees  4,000 employees  Nearly 1,500 physicians  975 physicians  35,737 discharges  14,590 discharges  1.5 million + outpatient visits  674,000 outpatient visits  Members: Alice Peck Day Memorial Hospital,  Members: Catholic Medical Center, Cheshire Medical Center, Dartmouth-Hitchcock, Huggins Hospital, Monadnock Mt. Ascutney Hospital, New London Hospital, Community Hospital Visiting Nurse & Hospice for Vermont & New Hampshire Privileged and confidential.

  3. New Hampshire Hospital Landscape Evolution – 2012 to Today • Dartmouth-Hitchcock NH Hospitals in 2019 NH Hospitals NH Hospitals  In New Hampshire, the hospital composition has Health prior to 2012 2012 - 2016 shifted from 80% independent to 80% who are • GraniteOne Health members of a system. • North Country Healthcare (NCH) Littleton – LOI to  60% of US hospitals are part of a health system. • MaineHealth w/d from NCH • Hospitals Corporation  The number of independent hospitals is shrinking America • Mass General/ by about 1% a year. Partners • SolutionHealth  Approximately 100 rural hospitals have closed in the United States over the past 10 years.  53.2% of US standalone hospitals have lost money Franklin & LR – under neg. for on their operating balance every year for the past acquisition ? five years compared to 25.9% of system-owned Frisbie – LOI for acq. w/HCA hospitals. Exeter – LOI ? w/MG/P Privileged and confidential.

  4. Benefits to New Hampshire Invest in Needed Capacity Bolster Rural Health Care Invest in Workforce & Housing Improve Access Combat Opioid Crisis & Improve Quality/Manage Costs Substance Abuse, Veteran’s Care & Behavioral Health Issues Privileged and confidential.

  5. Together in the Community What does this mean for you? Huggins Hospital will keep its:  Name & Brand  Mission & Community Spirit  Employees  Physicians  Local Board And, as a system, D-HHGO will be able to offer:  More convenient, cost-effective care options  More career opportunities for our employees  Resources of an academic health system Privileged and confidential.

  6. What’s Happening Now? Due diligence – we’re learning Internal education – about each other’s organizations speaking to all our employees and writing our formal agreement External education – meeting with Public forums – we will hold patients, neighbors, employers, official comment sessions this elected officials and others fall, after filing our agreement Privileged and confidential.

  7. www.ForAHealthierNH.org TOGETHER WE ARE STRONGER

  8. Corporate Structure Bishop of Manchester co-member with reserved powers Dartmouth-Hitchcock Health GraniteOne CMC Healthcare System “Dartmouth Hitchcock” (DH) Mary DH Clinic Cheshire Med Alice Peck New London Mt. Ascutney VNH Huggins Monadnock CMC Hitchcock (DHC) Ctr Day • D-H Keene (NH) • D-H Lebanon (NH) D-H Putnam • (Bennington, VT) • D-H Concord (NH) • D-H Manchester (NH) • D-H Nashua (NH) Privileged and confidential.

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