• There are 1,353 people per doctor and 1,755 people per dentist in Strafford County NH
• There are 8.89 nurses for every 1,000 people in the state of NH
• There are 6.5 pediatricians, 3.3 psychiatrists, and 16.8 family medicine physicians for every
  10,000 children in the state of NH
• If current wage patterns persist, workers in healthcare and service industries will be unlikely to
  afford market rate housing
• Although budgeted positions have increased at NH's Community Mental Health Centers, total
  vacancies have increased by 197 over the past three years
• Between Mar. 2020 and Dec. 2021, 4425 nursing assistants allowed their licenses to lapse while
  only 4,003 new licenses were issued, ultimately creating a loss of 422 LNAs, according to data
  from the NH Commission on Aging
• Labor force participation of mothers with children under the age of 5 decreased from 75.8% in
  2019 to 70.7% in 2021
• A study by the Carsey School of Public Policy at UNH found that for households reporting
  insufficient access to childcare, the "lack of access triggered a household employment loss" for
  one-fifth of these households in December 2021
• Average annual salary for a childcare worker in N.H. is $24,490 (less than $12 per hour)

• More than 4,400 people in NH experienced homelessness in FY2021, according to state data.
• NH's one-year estimate for 2019 housing expenses showed that 47% of renters were "cost burdened," meaning that more than 30 % of their gross income went to rental costs (rent+ utilities).
• Vacancy rates for 2-bed units in Strafford County went from 2.10% in 2020 to 0.9% in 2021.
• Only 14% of 2-bed units in Strafford County are below affordable market rent (calculated at $1,184; based on estimated 2021 renter household income).
• In January 2020, there were 3,275 single-family homes for sale in the state. By January 2021, inventory reached 1,442; and by January 2022, only 931 single-family units were available for sale depicting a year-over-year decrease of 35.4 percent.
• Between 2000 and 2020 NH home values rose 111 % and rents rose 94% while the median income of a NH household increased by only 73%.
• U.S. Dept. of Health considers childcare affordable when it consumes no more than 7% of a household income. In NH, childcare averages $14,425 per year, which is37% of a single parent's income and 11% of a two-parent household earning $120Kannually.

• While the underlying Medicaid fee schedule has had few rate increases over the years, NH still has one of the lowest Medicaid reimbursement rates in the nation
• Low Medicaid Reimbursement rates make it challenging for healthcare facilities to offer competitive salaries
• The reimbursement rate for Medicaid is about 60% less than reimbursement for private insurance

• 45.2% of Strafford County Highschool students felt sad or hopeless almost every day for 2 or more weeks in a row and stopped doing some usual activities in the past 12 months
• 54.9% of Strafford County Highschool students never or rarely got help they needed when they felt sad, empty, hopeless, angry or anxious
• 26.7% Strafford County Highschool students have seriously considered attempting suicide in the past 12 months
• Students who have the ability to have support systems outside of their families have better behavioral health outcomes, especially if they've been exposed to adverse childhood experiences (ACEs) at home.

• In 2020, 1 in 11 adults delayed or did not seek medical care due to cost; 26% of uninsured adults delayed seeking care and 23% did not receive care
• As of June 30, 2022, 8,540 Strafford County residents were enrolled in Medicaid Expansion, which is 10.3% of the population
• Nearly 30,000 Granite Staters accessed mental health medication treatments at least once through Medicaid Expansion in the last fiscal year, while at least 8,600 unique individuals received some form of substance use disorder care services
• Medicaid Expansion also paid for 6,000 people who needed dental care, including enrollees aged 19 and 20 years who had full dental benefits and enrollees aged 21 years and older who only had emergency dental services covered through Medicaid Expansion in SFY22
• In FY2022, 70% of Community Mental Health Center's revenues were for Medicaid enrollees, many of which have severe & persistent mental illness

Since the start of Medicaid Expansion:

• 63% reduction in the number of uninsured patients seeking emergency care
• 57% drop in uninsured patient admissions
• 41 % reduction in uninsured outpatient admissions
• Uncompensated care attributable to uninsured patients plummeted from $173 million in 2014 to $69 million in 2021