Item 10

Authorize to exercise a renewal option and amend an existing agreement with Mary Hitchcock Memorial Hospital, Lebanon, NH (originally approved by G&C on 9-7-16, item #6A), for the provision of Physician Clinical and Administrative Services to meet the specialized health and related clinical and administrative needs of the residents of the State of NH, by increasing the price by $43,350,069 from $36,554,042 to an amount not to exceed $79,904,111, and by extending the completion date from June 30, 2019 to June 30, 2022. 28% Federal, 32% General, 40% Other Funds.