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Catholic Medical Center and Dartmouth-Hitchcock Clinic Announce Signing a Letter of Intent

February 18, 2009
Manchester, NH --


Catholic Medical Center (CMC) and Dartmouth-Hitchcock Clinic, a multi-specialty group physician practice, announce today the signing of a non-binding Letter of Intent creating a platform from which a formal affiliation among their organizations can be pursued.

Over the past five years, Catholic Medical Center and Dartmouth-Hitchcock Clinic have collaborated on several successful and efficient integrated healthcare patient services.

Most recently, in February 2008, Dartmouth-Hitchcock’s Norris Cotton Cancer Center at CMC opened, providing expanded chemotherapy and specialty cancer care to patients in southern New Hampshire.  This follows more than 5 years of previous efforts principally with Dartmouth-Hitchcock Manchester that saw a contractual exchange of provider support in the areas of maternity services, cardiology, pulmonology, expanded primary care, and 24/7 hospitalist coverage.  All of these efforts have strengthened the collective ability to provide increased access and care options to the greater Manchester community. 

The two organizations will now enter a period of designing the architecture for a formal affiliation, conducting due diligence and communicating the progress being made to inform the public about the benefits of creating an integrated delivery system.  Under any arrangement the two institutions will retain their respective identities and they will focus on expanding access to new services.

"Together, Catholic Medical Center and Dartmouth-Hitchcock Clinic share a vision of improving the health of the citizens in the greater Manchester area and beyond by enhancing their ability to access high quality healthcare services," says Thomas Colacchio, MD, President, Dartmouth-Hitchcock Clinic.  

"We share a deep commitment to expand access to care - including specialty and sub-specialty care - to local communities where there is an unmet need, particularly to the poor and under-insured," says Steven Paris, MD, Medical Director, Dartmouth-Hitchcock Manchester.

"This affiliation will be a natural and exciting extension of each institution's mission," says Alyson Pitman Giles, President and CEO, CMC.  "By formalizing our conversations and making our Letter of Intent announcement public, we can now openly engage the community and state and federal regulators in soliciting feedback and communicate the benefits of our proposed affiliation."

As part of the process leading up to the signing of the Letter of Intent, Catholic Medical Center has briefed Bishop John McCormack.  Bishop McCormack, steward of Catholic healthcare, has reviewed the Letter of Intent from an ethical, canonical and governance standpoint and has stated that he has no objections to proceeding to the next level of review and due diligence. 

"Healthcare is a vital aspect of our local community life and of our mission as the Catholic Church.  As Bishop of Manchester, and a steward of Catholic healthcare, I am committed to sponsoring the vision and ministry of Catholic Medical Center now and in the future," says, Bishop John B. McCormack, Diocese of Manchester.  "I have given permission to Alyson Pitman Giles, President and CEO of Catholic Medical Center, to continue to explore further collaboration with Dartmouth-Hitchcock Clinic. "

For more information about Catholic Medical Center, visit, www.catholicmedicalcenter.org.  For more information about Dartmouth-Hitchcock, visit, www.dartmouth-hitchcock.org.

Organizational Quick Facts

Catholic Medical Center 
Organizational Quick Facts based on FY 2008 information:

Employees:    1,921
Medical staff credentialed:   451+
Nurses: 455
Patient days (adult/newborn): 49,054
Total admissions: 10,183
Discharges: 9,314
Avg. Length of Stay: 5.01 days
Average daily census: 134
Occupancy rate: 57%
Surgeries (inpatient/outpatient): 4,504
Cardiac values and CABGs: 431
Medical cardiology/vascular surgery cases: 2,250
Outpatient visits:  
  ER: 35,080
  Ancillary departments:     137,445
  Provider-based physician departments: 39,684 
Case mix:    1.5217
Lab blood draws processed annually:   96,000 (inpatient/outpatient)
Lab service centers: 6
Outpatient draws per day:    200
Calls to ASK-A-NURSE: 55,000
Percentage of ED visits that turn into admissions: 17%
Average number of helicopter lands/transfers: 28 a year

Dartmouth-Hitchcock Medical Center 
Organizational Quick Facts based on FY 2008 information:

Employees: 8,000 full & part-time physicians and staff
  system-wide (815 Manchester)
Physicians: 944 full & part-time system-wide
  (115 Manchester)
Nurses:   1,900 system-wide, 1,600 DHMC
Discharges: 23,902
Patient Days: 114,828
Avg. daily census: 314
Occupancy:  82.3%
Avg. Length of Stay: 4.8 days
Case mix index:  1.7825
OR cases:  18,071 
Outpatient visits:  558,205
ED visits:  25,285
DHART missions: 1,102

Dartmouth-Hitchcock Manchester
Based on FY 2008 information:
Employees: 815 full & part-time physicians and staff
Physicians: 115 full & part-time
Nurses: 155
Outpatient visits:  318,691
Unique patients: 76,016
Radiology procedures: 53,216
Ambulatory Surg. Center:  
  Endo procedures: 4,082
  Surgery:  2,442 
Lab blood draws processed: 54,496


For more information contact Jason Aldous at (603) 653-1913.