Building our future: right time, right place, right care 1 Caring for the people of the Kennebec Valley Today, tomorrow & for generations to come

Building our future: right time, right place, right care 2 An unprecedented opportunity to: 1.Recruit/retain highly trained primary and specialty care physicians 2.Keep high-quality health care services in the Kennebec Valley without traveling to Portland or Bangor 3.Build on the success of the Harold Alfond Center for Cancer Care 4.Preserve hundreds of high-quality jobs and promote economic development

Building our future: right time, right place, right care 3 Care we deserve 1.Recruit/retain highly trained primary & specialty care physicians National physician shortage, 2 campus coverage unsustainable Reduce physician on-call schedule to meet today’s physician needs Attract young families to central Maine

Building our future: right time, right place, right care 4 “ Consolidating inpatient services, providing larger specialty practices and modernizing facilities are important tools for attracting and retaining physicians in today’s tough competitive market and national physician shortage.” Maine Development Foundation Economic Impact Report - July 2009

Building our future: right time, right place, right care 5 Care we deserve 2.Keep high-quality health care services in the Kennebec Valley without traveling to Portland or Bangor Stem travel out of the region for care — bring home the $64 million in services lost yearly that could be invested in prevention, care and physicians Reduce hardship and cost to patients and their families If people choose care elsewhere, health care jobs follow

Building our future: right time, right place, right care 6 Our service area Serving 190,000 people of the region Primary Service Area: blue, Simple majority of inpatients use MGMC Secondary Service Area: brown, 15 percent of inpatients use MGMC

Building our future: right time, right place, right care 7 Inpatient regional hospital, comprehensive outpatient services

Building our future: right time, right place, right care 8 Care we deserve 3.Build on the success of the Harold Alfond Center for Cancer Care Before: Cancer treatment was provided in two cramped facilities No space for family members No space to upgrade technology

Building our future: right time, right place, right care 9 Care we deserve Today: Comprehensive cancer treatment consolidated into one regional outpatient facility A stress-reducing, healing environment with light-filled spaces, space for loved ones Patient choice, private rooms, group & outdoor spaces 5 physicians recruited to the area

Building our future: right time, right place, right care 10 Care we deserve Meeting the needs of the region: Three oncologists/hematologists recruited Ronald Hart, MD Abderrahim Khomani, MD Robin Locke, MD

Building our future: right time, right place, right care 11 Care we deserve Two sub-specialists with unique training to serve cancer patients Gastroenterologist, Director of Gastrointestinal Oncology Program Sean McGarr, DO Thoracic & vascular surgery, treatment of lung cancer Cristobal Alvarado, MD

Building our future: right time, right place, right care 12 Care we deserve Meeting the needs of our “own”: HACCC allows us to care for more patients In 2005, before the HACCC opened, we treated 3,489 patients In 2009, two years after the HACCC opened, that number increased to 4,210 patients

Building our future: right time, right place, right care 13 Care we deserve 4.Preserve hundreds of high-quality jobs and promote economic development MaineGeneral is the state’s 3 rd -largest health care provider and central Maine’s largest MaineGeneral’s 3,800 employees contribute $91 million directly to the local economy through employee spending That generates another $138 million which supports 1,346 additional jobs

Building our future: right time, right place, right care 14 “From a larger economic development perspective, a new, state-of-the-art medical center is a major attraction for people of all ages, for business and for investments in the region.” Maine Development Foundation Economic Impact Report - July 2009

Building our future: right time, right place, right care 15 Building on our investments in the Waterville area Hathaway Creative Center, anchor tenant Thayer Campus ED, ORs, Imaging, Endoscopy FirstPark Oakland Maine-Dartmouth Family Practice, Four Seasons Family Practice

Building our future: right time, right place, right care 16 Committed to Waterville City’s largest employer — now and in 2015 Many “back office” jobs will move to Waterville Anticipate more community investments Outpatient services are growth areas; Thayer employment will grow over time

Building our future: right time, right place, right care 17 The project  Build a 226-bed, 580,000-square-foot replacement hospital located on the site of the cancer center in north Augusta  Convert the Thayer Campus to a comprehensive outpatient facility and 24/7 Emergency Department which builds on recent investments including outpatient surgery  Close Augusta and Seton campuses to reduce complexity and increase efficiency

Building our future: right time, right place, right care 18 For you The majority of your care won’t change You will visit your doctor as you do now Outpatient services will remain at satellite sites in Gardiner, Oakland and Winthrop Outpatient services such as X-rays, tests, treatments such as dialysis that don’t require overnight stay will be available at Thayer and the new hospital Emergency Departments at Thayer and the new hospital will continue to serve you 24/7

Building our future: right time, right place, right care 19 Thayer Emergency Department

Building our future: right time, right place, right care 20 The cost  New regional hospital — $322 million for construction and equipment  That includes $10 million for renovations/equipment to the Thayer Campus

Building our future: right time, right place, right care 21 Financing  A 30-year loan and bond financing, much like a mortgage payment  Capital campaign fund raising  MGMC equity contribution of 10 percent of the cost

Building our future: right time, right place, right care 22 The timing  Our plans call for approval in 2010; however, we will time the project with: the economy interest rates — costs of borrowing the health of the financial market and our investments  The cost of doing so is unlikely to ever be lower

Building our future: right time, right place, right care 23 The economic impact “In the short term, the construction project will bring more than $266 million into the state in direct and indirect spending. Further, two large commercial properties may be added to the local tax rolls.” Maine Development Foundation Economic Impact Report - July 2009

Building our future: right time, right place, right care 24 Transportation needs  Project includes $96,000 to expand bus service in Waterville and Augusta provided by Kennebec Valley Community Action Program: When the new hospital opens in 2015, hourly service between Augusta and Waterville with stops at the new regional hospital

Building our future: right time, right place, right care 25 The timing Board approves plan State approval Building begins CON to state Thayer renovations complete Regional hospital opens Sept Dec June 2010 Fall st quarter

Building our future: right time, right place, right care 26 If we don’t proceed “ … maintaining the ‘status quo’ will likely lead to a loss of patients, practitioners and health care services …” Maine Development Foundation Economic Impact Report - July 2009

Building our future: right time, right place, right care 27 An unprecedented opportunity By consolidating inpatient services and maintaining comprehensive outpatient services, we can: Recruit and retain primary and specialty care physicians Retain high-quality care here in the Kennebec Valley Build on the success of the Harold Alfond Center for Cancer Care Preserve jobs, promote economic development

Building our future: right time, right place, right care 28 We’re asking for your support  We need to preserve the best, high-quality health care in the Kennebec Valley and keep good jobs here  This project is really about… the right place, at the right time, with the right care