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TOGETHER WE ARE STRONGER What to expect tonight Presentations from: Joanne Conroy, MD Cynthia McGuire, FACHE Joseph Pepe, MD President & CEO President & CEO President & CEO Dartmouth-Hitchcock Health Monadnock Community


  1. TOGETHER WE ARE STRONGER

  2. What to expect tonight Presentations from: Joanne Conroy, MD Cynthia McGuire, FACHE Joseph Pepe, MD President & CEO President & CEO President & CEO Dartmouth-Hitchcock Health Monadnock Community Hospital GraniteOne Health Moderated by: Scott Spradling, Spradling Group Question & Answer Privileged and confidential.

  3. Who are we?  Anchored by Dartmouth-Hitchcock Medical Center  Anchored by Catholic Medical Center  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  16 sites and affiliates Hampshire  380 beds  24 sites in NH and VT  4,000 employees  650 beds  975 physicians  13,000 employees  674,000 outpatient visits  Nearly 1,500 physicians  1.5 million + outpatient visits Privileged and confidential.

  4. A history of partnership 15+ years of clinical collaboration among our organizations in many areas including: Monadnock Community Hospital is D-H provides Norris Cotton a member of D-H’s Cancer Center and New England Alliance for Health gastroenterology services at Monadnock Community Hospital (MCH) and CMC Notre Dame Pavilion Pregnancy Care Center Critical Care, Pulmonary, Special Care Nursery Endocrinology, & Rheumatology OB/GYN Services Privileged and confidential.

  5. New Hampshire Hospital Landscape Evolution – 2012 to Today • Dartmouth-Hitchcock NH Hospitals prior to 2012 NH Hospitals in 2019 Health • GraniteOne Health • North Country Healthcare (NCH) Littleton – LOI to • MaineHealth w/d from NCH • Hospitals Corporation America Major shifts in health care the last • Mass General/ decade have led the majority of Partners hospitals to form or join a system • SolutionHealth Franklin & LR – under neg. for acquisition ? Frisbie – LOI for acq. w/HCA Exeter – LOI ? w/MG/P Privileged and confidential.

  6. Benefits to New Hampshire Bolster Rural Health Care Privileged and confidential.

  7. Benefits to New Hampshire Improve Access Privileged and confidential.

  8. Benefits to New Hampshire Invest in Needed Capacity Privileged and confidential.

  9. Benefits to New Hampshire Invest in Workforce & Housing Privileged and confidential.

  10. Benefits to New Hampshire Improve Quality/ Manage Costs Privileged and confidential.

  11. Benefits to New Hampshire Combat Opioid Crisis & Substance Abuse, Veteran’s Care & Behavioral Health Issues Privileged and confidential.

  12. Together in the Community What does this mean for you? Monadnock Community Hospital will keep:  Name & Brand  Mission & Community Spirit As a member of D-HHGO,  Employees the community will get:  Physicians  More convenient, cost-effective care options  Local Board  More career opportunities for our employees  Resources of an academic health system Privileged and confidential.

  13. 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.

  14. www.ForAHealthierNH.org TOGETHER WE ARE STRONGER

  15. Corporate Structure Bishop of Manchester co-member with reserved powers CMC Dartmouth-Hitchcock Health GraniteOne 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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