Town Hall Meetings | May 2016 Greg Sims, CEO

HMH Financials 2 □ As of 03/31/2016, we again, far exceeded all financial measures required by our lender and debt covenants □ As of 4/30/2016, inpatients revenue trails budget by about 2% □ As of 4/30/2016, outpatient revenue exceeds budget by about 8%, O/P revenue now accounts for 82% of hospital revenue □ As of 4/30/2016, total clinic revenue exceeds budget by 19% and 88% over last year □ Cash on hand remains just over $5 million with nearly 130 days cash on hand □ Since July 15 District has spent approx. $260,000 on IT network upgrades □ 3/14/2016 HM Foundation Invested $425,000 on new GE CT scanner, replacing one in service since Nov

Strategic Plan 3 Operational Plan Department Goal Setting & Implementation

Strategic Plan 4  Key performance indicators are complete  Directors department goals will be in these areas:  Financial  Patient satisfaction  Quality  Safety  Employee / Physician Satisfaction  Improving Community Health  Department goal setting will take place last week of May  Directors will develop goals and action items that will impact key performance goals for their departments which supports the organizational goals  Department Goals will be reported monthly on posters  Eventually will be part of the performance reviews  Deployed beginning of our fiscal year, July 1

Financial KPI 5  (YTD through April 2016)  Improve McLeansboro Family Clinic revenue 10% over previous year from $829,532 in YTD FY '15-'16 to $912,485 in YTD FY '16-'17.  Improve Carmi Family Clinic revenue 10% over previous year from $489,652 in YTD FY '15-'16 to $538,617 in YTD FY '16-'17.  Improve Downtown Family Clinic diagnostic revenue 10% over previous year from $228,310 in FY '14-'15 to $271,410 in YTD FY '16-'17.  Increase overall hospital net revenue 4% from $14,094,414 in YTD FY '15-'16 to $14,658,190 in YTD FY ’16-’17.  Improve hospital outpatient financial growth revenue 2% over previous year from $19,381,868 in YTD FY '15-'16 to $19,769,505 in YTD FY '16-'17.  Maintain overall hospital and clinic salary projected cost of $5,687,315 in FY '16-‘17.  Reduce overall hospital and clinic supply costs by 3% from $1,071,982 in previous YTD FY '15-'16.  Maintain overall hospital expenses excluding salaries with a 3% +/- variance from $8,304,035 from previous YTD FY '15-'16.  Maintain ER transfers to less than 14% of visits from same month of previous FY ’15-’16.  Improve and maintain monthly ER admission to inpatient units to greater than 8% of ER patient visits from same month of previous FY ’15-’16.  Improve surgery revenue by 3% over previous year from $1,174,942 in FY ’15-’16 to $1,210,190 in FY ’  Improve transitional care rehab / swing bed admissions by 2% of admission from same month of the previous FY ’15- ’16.

Satisfaction KPI 6  Improve CG CAHPS question indicating helpful, courteous, and respectfulness of office staff rating from 77% (4Q 2015) to 90%.  Improve Communication with Nurses on HCAHPS from yellow box rating 78% (4Q 2015) to green box state average 79%.  Improve Responsiveness of Hospital Staff on HCAHPS from red box 53% (4Q 2015) to green box state average 72%.  Improve Rate the Hospital on HCAHPS from red box 69% (4 th Q 2015) to green box state average 71%.  Improve likelihood to recommend ED on ED patient surveys from 41% (3Q 2015) to benchmark of 66%.  Improve Communication about Medications on HCAHPS from red box 53% to green box state average 63% (4Q 2015).  Maintain Hospital Environment on HCAHPS green box 74% (4Q 2015).  Improve expectations of wait times on Outpatient Satisfaction Survey to 80% in FY’ 16-’17 from 25% (3Q 2015).  Improve staff introduction of self, department and care to be provided on Outpatient Satisfaction Survey to 100% in FY ’16-’17 from 89% (3Q 2015).

Quality 7 □ Improve patient follow-up in Family Clinics ensuring 80% of patients are scheduled for initial routine mammograms, pap smears, and colonoscopies. □ Improve ED response of patients presenting with chest pain for door to EKG from 21 minutes in 2015 to 15 minutes in FY ’16-’17. □ Improve ED response of patients with myocardial infarction to EKG from 8 minutes in FY ’15-’16 to 6 minutes in FY ’16-’17. □ Maintain average length of stay at less than 4 days to an average of 3.4 days in FY ’16-‘17 □ Maintain average unassisted patient falls per 100 in patient days at.98 falls in FY ’16.-’17. □ Maintain average readmissions of patients within 30 days of discharge at 5 readmission in FY ’16-’17. □ Improve patients returning within 72 hours to ED after discharge to 1.8% in FY’16-’17 from 2.5% in FY ’15-’16.

Safety 8 □ Maintain central line infections at 0% for FY ’16-’17. □ Improve hospital acquired urinary tract infections from.22% in FY’15-’16 to 0 in FY ’16- ’17. □ Improve MRSA rates from.44% in FY’15-’16 to 0 in FY ’16-’17. □ Improve hand washing by staff and physicians from 85.3% FY’15-’16 to 100% in FY ’16- ’17. □ Decrease incidents of C-diff in Med/Surg from 0.17 FY’15-’16 to 0 in FY ’16-’17. □ Improve the # of lost time accidents from 1 currently in 2015 by 100%, to no lost time accidents in 2016 according to the OHSA log. □ Improve the # of reported incidents 3 currently in 2015 by an increase of 3% in 2016 according to the OSHA log.

Employee/Physician Satisfaction 9 □ Improve 2015 employee participation in town hall by mandating staff participation 2 times per year by excel tracking sheet. □ Improve monthly employee appreciation events averaging less than one time per month in 2015 to one time per month in □ Improve employee participation in employee survey from 0% in 2015 to 50% in 2016 by # of received surveys.

Improving Community Health 10 □ Improve clinic provider participation to at least 1 community event per year. □ Reduce infant mortality rate in Hamilton County to state average of 6.9 per 1,000 births from 14.7 per 1,000 births. □ Recruit 1 new family practice physicians in 16’-17’ fiscal year from 0 in the previous year. □ Improve community education from 0 in 2015 by providing education opportunities to 6 per year in FY ’16-’17 both Carmi and McLeansboro.

Service Line Re-branding 11

Transitional Care Rehab 12  New name reflects service provided  Steering team reviewing  Data  Review Opportunities for Improvement  Education opportunities  ED physicians  Staff  Acute Care facilities  Secured meeting with all of case management and social services at SSM Health Good Samaritan  SSM developed dashboard to show where patients are going and why  Marketing needs  Update materials  Testimonial  Marketing like a service line; too important not to

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Media 16  Hamilton County has very little access to media that markets directly to residents  Radio is spill-over from Carmi and Benton  Billboards are non-existent  Remedy  Billboard installment on Irvin’s Jewelry  Hospital specific magazine

17  12’x24’  Lease agreement  HMH owns hardware  Monthly rental fee

Magazine 18  8 page, custom magazine; specific to HMH  Mailed to 7,500 households in Hamilton, White, and Macedonia, Wayne City zips; woman over age of 30+ living in household  Improve public perception  Educate customers on services  Remarkably successful; ROI $4 and $7 in net revenue for every $1 spent

Logo | Refresh 19

Community Outreach 20  CHNA indicated need for enhanced community outreach  Many opportunities to reach out to the communities we serve by participating in:  Family Literacy Night – over 100 families & children  HCJH Wellness Fair – all of junior high students  White County Extension Presentations – 30 seniors  Community Safety Day  Continuation of Business facilitation  Chamber of Commerce  Groundbreaking of Carmi Clinic expansion  Wellness classes / Spring wellness lab draws  Shriners Free Screening Clinic Carmi & McLeansboro

Carmi Clinic |Expansion 21  April 12 th Groundbreaking  Completion expected Fall 2016

Spring Wellness 22  Very successful fasting lab work offering  670 total draws  112 on Saturdays  Carmi one-day only offer  22 draws

Foundation Update 23  Foundation Board of Directors  Chairperson, Bobbin Lasater  Vice-Chairperson, Ginger Launius  Secretary/Treasurer, Sandra Bryant  Hunt Bonan  Marie Pyle  Nolene Rubenacker  Ann Johnson  Leesa White  Mike Lewis, ex-officio  Greg Sims, ex-officio  Kent Mitchell, financial advisor  Victoria Woodrow, executive director

Scholarships 24  Awarded: CWCHS  Camryn Howard  Carlie Gee HCSH  Katelynn Troops  Sarah Davis NCOE  Sydney Tucker  Melanie Ellison  Announced at awards ceremonies at each school

Things are Changing at HMH 25 Pamela Harbison HIM Director Mark McDaniel Interim Lab Director Dr. Ramirez Colorectal Surgeon Starts June 30 We will say goodbye to Dr. Palepu at the end of August Actively recruiting new family practice physicians ER group changed from ECI to Integritas – Dr. Doolittle

QUESTIONS? 26