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Events / Business / Dartmouth Health ends Tele-ICU and...
Business service discontinuation

Dartmouth Health ends Tele-ICU and Tele-ED services

Analysis based on 8 articles · First reported Aug 17, 2026 · Last updated Aug 18, 2026

Sentiment
-20
Attention
2
Articles
8
Market Impact
General
Live prominence charts, article sentiment distribution, and event development timeline available on the Ergen Dashboard
Market Impact

The discontinuation of telehealth services may increase operating costs for rural hospitals that relied on them, potentially impacting their financial stability. Dartmouth Health's decision reflects ongoing financial pressures in the healthcare sector, which could affect investor sentiment toward telehealth providers and rural hospital operators.

Healthcare Telehealth
Event Summary

Dartmouth Health, a United States — Keene, New Hampshire-based health network and the second-largest healthcare provider to United States — Vermonters, announced it will end its Tele-ICU and Tele-ED telehealth services due to unsustainable costs without external support. The services provide rural hospitals with remote access to specialists at Dartmouth–Hitchcock Medical Center. The closure affects five United States — Vermont hospitals and several in United States — Keene, New Hampshire. Dartmouth Health reported a $63.5 million operating deficit in May, citing significant financial challenges. The network will work with affected hospitals to ensure alternatives are in place before finalizing closures. Grace Cottage Hospital, a user of Tele-ED, confirmed the notice and may switch to Avel eCare, a South Dakota-based telehealth provider, for full-time coverage.

Key Actions
100 Dartmouth Health announced closure
80 Dartmouth Health reported operating deficit
60 Grace Cottage Hospital confirmed closure notice Dartmouth Health
50 Grace Cottage Hospital may switch provider Avel eCare
Entities Involved
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Dartmouth Health
Dartmouth Health is the central actor, deciding to end Tele-ICU and Tele-ED services due to financial unsustainability, reflecting its $63.5 million operating deficit.
Importance 100.0 Sentiment -30.0
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Dartmouth–Hitchcock Medical Center
As the flagship medical center providing specialists for the telehealth services, it is directly affected by the closure, losing a service line that supported rural hospitals.
Importance 80.0 Sentiment -20.0
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Grace Cottage Hospital
A rural United States — Vermont hospital that relies on Tele-ED, it faces increased costs and reduced access to emergency physician guidance, likely switching to Avel eCare.
Importance 70.0 Sentiment -40.0
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Avel eCare
A telehealth provider that may gain Grace Cottage Hospital as a full-time client, potentially expanding its business.
Importance 60.0 Sentiment 30.0
loc
United States — Vermont
The state's rural hospitals are significantly affected, potentially increasing healthcare costs and reducing access to specialty care.
Importance 60.0 Sentiment -20.0
priv
Northwestern Medicine
Uses Tele-ICU and will lose remote intensive care support, potentially increasing costs and transfer rates.
Importance 50.0 Sentiment -20.0
priv
Southwestern Vermont Medical Center
A Dartmouth affiliate using both Tele-ICU and Tele-ED, it will need to find alternatives for remote specialist coverage.
Importance 50.0 Sentiment -20.0
priv
Brattleboro Memorial Hospital
Uses Tele-ED and will lose remote emergency department support, potentially affecting patient care and costs.
Importance 40.0 Sentiment -20.0
priv
Mount Ascutney Hospital and Health Center
A Dartmouth affiliate using Tele-ED, it will need to secure alternative telehealth arrangements.
Importance 40.0 Sentiment -20.0
loc
United States — Keene, New Hampshire
Several hospitals in United States — Keene, New Hampshire also use the services, and the closure may impact rural healthcare delivery in the state.
Importance 40.0 Sentiment -10.0
per
Audra Burns
Spokesperson for Dartmouth Health, communicated the decision and cited financial challenges.
Importance 30.0 Sentiment 0.0
per
Jennifer Zweig
Chief medical officer at Grace Cottage Hospital, expressed surprise and concern about the closure's impact.
Importance 30.0 Sentiment -10.0
per
Olivia Sweetnam
CEO of Grace Cottage Hospital, expressed the value of the Tele-ED partnership to regulators.
Importance 20.0 Sentiment 0.0
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