Caring for the people of the Kennebec Valley Today, tomorrow & for generations to come

1. Caring for the people of the Kennebec Valley Today, tomorrow & for generations to come

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

3. Care we deserve • 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

4. Maine Development Foundation Economic Impact Report - July 2009 “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.”

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

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

7. Inpatient regional hospital, comprehensive outpatient services

8. Care we deserve • 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

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

10. Care we deserve Meeting the needs of the region: Three oncologists/hematologists recruited Robin Locke, MD Abderrahim Khomani, MD Ronald Hart, MD

11. Care we deserve Two sub-specialists with unique training to serve cancer patients Thoracic & vascular surgery, treatment of lung cancer Cristobal Alvarado, MD Gastroenterologist, Director of Gastrointestinal Oncology Program Sean McGarr, DO

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

13. Care we deserve 4. Preserve hundreds of high-quality jobs and promote economic development • MaineGeneral is the state’s 3rd-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

14. Maine Development Foundation Economic Impact Report - July 2009 “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.”

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

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

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

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

19. Thayer Emergency Department

20. The cost • New regional hospital — $322 million for construction and equipment • That includes $10 million for renovations/equipment to the Thayer Campus

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

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

23. The economic impact Maine Development Foundation Economic Impact Report - July 2009 “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.”

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

25. The timing Thayer renovations complete Regional hospital opens Board approves plan CON to state State approval Building begins Dec. 2009 1st quarter 2015 Fall 2011 June 2010 Sept. 2008 2016

26. If we don’t proceed “…maintaining the ‘status quo’ will likely lead to aloss of patients, practitioners and health care services…” Maine Development Foundation Economic Impact Report - July 2009

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

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