Cheshire Medical Center and Dartmouth-Hitchcock Announce Closer Affiliation Discussions | Cheshire Medical Center / Dartmouth-Hitchcock Keene



Cheshire Medical Center and Dartmouth-Hitchcock Announce Closer Affiliation Discussions

September 26, 2013
Keene, NH

Cheshire Medical Center and Dartmouth-Hitchcock have entered into an agreement to formalize discussions on how a closer affiliation between the two organizations could benefit patients, employees, and the residents of Southwestern New Hampshire and Southeastern Vermont.

Approved by the Cheshire Medical Center's Board of Trustees, the affiliation discussions are the result of a year-long study to identify how Cheshire Medical Center / Dartmouth-Hitchcock Keene can be strong and vibrant resources and to be part of a sustainable health system. In the coming months, leaders of the two organizations will examine the ever-changing health care environment and how to address numerous challenges, including reduced reimbursement, increased Medicaid Enhancement Tax payments, declining inpatient volumes, the emergence of new payment models, all while improving population health.

The goal of the discussions is to facilitate the determination of whether the two parties should affiliate more closely with each other, and if so, the scope and nature of such affiliation. These discussions and negotiations are expected to conclude on or before January 31, 2014. Any proposed agreement would be subject to the review and approval by the New Hampshire Director of Charitable Trusts and the New Hampshire Attorney General's office, the receipt of any other necessary approvals and the completion of a comprehensive due diligence investigation by both parties.

Cheshire Medical Center and Dartmouth-Hitchcock have been affiliated since 1998 by means of a Joint Operating Agreement involving Dartmouth-Hitchcock Keene, a multi-specialty group practice that comprises the majority of Cheshire Medical Center's medical staff. A closer affiliation is a natural step as both organizations share a common vision of the future of health care that is based on creating a sustainable health system, focusing on population health, delivering value-based care, and embracing the opportunities provided by new payment models.

Jay Kahn, PhD, Chair, Cheshire Medical Center Board of Trustees, stated, "Fifteen years ago, Cheshire Medical Center and Dartmouth Hitchcock entered into an innovative Partnership Agreement 'to provide a more extensive, effective and efficient health care system to the communities in the Monadnock region.' Under the Keene Health Alliance, that agreement has been very successful. Health care has changed a great deal over that time, however, and will change a lot more over the next fifteen years. To ensure health care in this region remains on the leading edge of these changes, the Boards of CMC and DH have declared their desire to explore together what our future should be and how most effectively to organize to achieve our shared goal."


Cheshire Medical Center / Dartmouth-Hitchcock Keene is a nonprofit community hospital and clinic with a mission to lead our community to become the nation's healthiest through our clinical and service excellence, collaboration, and compassion for every patient, every time. Founded by CMC/DHK, Healthy Monadnock 2020 (formerly Vision 2020) is a community-wide health initiative designed to actively engage the citizens of Cheshire County in the process of becoming the nation's healthiest community by 2020. For information, please call (603) 354-5400 or visit


Dartmouth-Hitchcock is a national leader in patient-centered health care and building a sustainable health system. Founded in 1893, the system includes New Hampshire's only Level 1 trauma center and its only air ambulance service, as well as the Norris Cotton Cancer Center, one of only 41 National Cancer Institute-designated Comprehensive Cancer Centers in the nation, and the Children's Hospital at Dartmouth-Hitchcock, the state's only Children's Hospital Association-approved, comprehensive, full-service children's hospital. As an academic medical center, Dartmouth-Hitchcock provides access to nearly 1,000 primary care doctors and specialists in almost every area of medicine, as well as world-class research at the Audrey and Theodor Geisel School of Medicine at Dartmouth.

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