Interim Leadership as a Career Path

45 Years Of Delivering Results HealthTechS3 is a 45 year old, award-winning healthcare consulting and strategic hospital services firm based in Brentwood, Tennessee with clients across the United States. We are dedicated to the goal of improving performance, achieving compliance, reducing costs, and ultimately improving patient care. Leveraging consultants with deep healthcare industry experience, HealthTechS3 provides actionable insights and guidance that supports informed decision making and drives efficiency in operational performance. Our consultants are former hospital leaders and executives. HealthTechS3 has the right mix of experienced professionals that service hospital clients across the nation. HealthTechS3 offers flexible and affordable services, consulting, and technology as we focus on delivering solutions that can be implemented and provide a positive, measurable impact.

Nationwide Client Base HealthTechS3 – currently provides hospital management and consulting services to: More than 50 hospitals and health systems nationwide Community hospitals, critical access hospitals, district hospitals, non-profit hospitals Most operate physician clinics Net Revenue between $20M and $400M Regional Health, a three hospital system including Sunnyside Community Hospital, Yakima Regional Medical & Cardiac Center and Toppenish Community Hospital in Washington state HealthTechS3 is a preferred vendor to: California Critical Access Hospital Network Western Healthcare Alliance Partner with Illinois Critical Access Hospital Network

Client Recognition and Awards July 2017 Critical Access Hospitals to Know (Becker’s Hospital Review) Barrett Hospital & Healthcare, MT Hammond Henry Hospital, IL Tomah Memorial Hospital, WI Most Wired Hospitals & Small & Rural Hospitals (published H&HN) Adirondack Health Hammond-Henry Hospital, IL Sunnyside Community Hospital, WA November 2016 National Rural Health Day Top Performance Leaders (iVantage Health Analytics & the National Organization of State Office of Rural Health (NOSORH)) - In Quality Barrett Hospital & Healthcare Carlinville Area Hospital Hillsboro Area Hospital - In Outcomes Barrett Hospital & Healthcare Cobre Valley Regional Medical Center Sunnyside Community Hospital Tomah Memorial Hospital Tri-Valley Health Care - In Patient Satisfaction Adirondack Medical Center Grant Regional Health Center Hammond Henry Hospital Spooner Health Upson Regional Medical Center - Financial Strength Carlinville Area Hospital Hillsboro Area Hospital

Our Executive Team Strong management team with deep operational expertise, extensive industry experience and a track record of delivering results for our clients More than 20 years of experience in both health care and technology industries. Previously served as Senior Vice President at MedCath Corporation, Operations CFO at IASIS Healthcare, CEO US Operations for Craneware, Hospital CFO at Province Healthcare and Division Director Finance HCA. Brings over 38 years of healthcare experience, of which 35+ years were in the capacity of President and CEO of hospitals ranging from 200 to 300 beds including large academic system, with services including acute care, behavioral health, home care, skilled care and physician practice management. Derek Morkel CEO Neil Todhunter President More than 30 years of healthcare administration experience including the past 25 years with HealthTech Management Services (formerly Brim Healthcare). Previously, served as Executive Vice President and CEO at St. Anthony’s Memorial Hospital in Effingham, Illinois. Brings more than 25 years of healthcare experience to his role providing operational and organizational guidance to healthcare organizations. He has served as CEO in health systems of all types; large community hospitals, public hospital districts, critical access hospitals, and has held senior leadership positions in large academic group practices. He also serves as director of Interim Placement Services. Greg Voss Regional VP Michael Lieb Regional VP An accomplished healthcare executive recruiter, he has more than twenty-five years of executive search experience. Previously worked in various industries as an executive recruiter and spent many years with one of the largest healthcare search firms in the country. Peter Goodspeed VP, Executive Search

Our Consulting Team HealthTechS3 possesses a strong team with deep operational expertise, extensive industry experience, and a track record of delivering results Carolyn St. Charles Regional Chief Clinical Officer carolyn.stcharles@healthtechs3.com Joy Smith Senior Patient Financial Consultant joy.smith@healthtechs3.com Diane Bradley Regional Chief Clinical Officer diane.bradley@healthtechs3.com John Freeman Associate Vice President john.freeman@healthtechs3.com Julie Haynes Strategic Planning Consultant julie.haynes@healthtechs3.com Kevin Stringer Associate Vice President kevin.stringer@healthtechs3.com Susan Murphy Executive Director Supply Chain Resources sue.murphy@healthtechs3.com Cheri Benander Director of Compliance & LTC Consulting Services cheri.benander@healthtechs3.com Faith Jones Director of Care Coordination and Lean Consulting faith.jones@healthtechs3.com

Strategy – Solutions – Support CLINICAL CARE & OPERATIONS Our Services Strategy – Solutions – Support GOVERNANCE & STRATEGY Affiliation Consulting Executive & Management Leadership Development Strategic Planning & Market share Analysis Community Health Needs Assessment Compliance Consulting Services FINANCE Performance Optimization / Margin Improvement Revenue Cycle & Business Office Operations Productivity & Staffing Consulting - Optimum Productivity Toolkit CLINICAL CARE & OPERATIONS Continuous Survey Readiness Quality Assurance Performance Improvement Lean Culture Customer Experience Clinical Resource Management Care Coordination – Primary Care Practice Physician Practice & Clinic Assessment Long Term Care Consulting Swing Bed Consulting Perioperative Services Consulting RECRUITMENT Executive Recruitment Manager and Clinical Positions Physician / Provider Recruitment Information Technology Professionals Interim Placement

Interim Placement Services Mike Lieb, Vice President, leads the Interim Recruitment and Placement Services. HealthTechS3 can provide highly qualified Interim Executives from the C-Suite to Department Directors. Our interims are ready to step in and provide the expertise needed to keep your operations and strategic imperatives moving forward. Our professional interims are all interviewed, background checked, and vetted prior to presentation to you. HealthTechS3 hires these professionals so that you do not have to worry about payroll, benefits, or taxes. We take care of it for you, so you can focus on the needs of your hospital. Retained Contingency Interim Contract

TODAY’S AGENDA What Is An Interim Leader? Why Would An Organization Want One? An Oxymoron? Interim Leadership As A Permanent Career? What Is The Interim Life Like? Good, Bad and Ugly… How Does This All Work? How Do I Get Started?

What Is An Interim Leader? Professional interims are not: People just looking to fill a gap before their next permanent position Folks who have difficulty holding permanent jobs Job jumpers People who will leave you high and dry suddenly when “something better” comes along Caretakers There to be “bomb throwers” or “hatchet men”

What Is An Interim Leader? Professional Interims are: Highly trained executives and administrators Have chosen interim work as their avocation People who enjoy helping solve urgent / pressing problems Subject matter experts Leaders who can quickly understand local issues Not afraid to make tough decisions (often, that is the reason for the opening) Diplomatic and professional Politically astute Their role is to guide an institution through a difficult transition period And, they view themselves as 100% committed to the institution – for as long as is necessary

Why Would A Organization Want One? Interim Leaders are typically project and goal oriented A specific task, project, or need can be filled with external expertise, often not readily available within the host organization Interim’s can bring specialized consulting expertise without the overhead of a large consulting firm Access to highly qualified management skills Interim’s are cost effective Virtually no recruitment costs, other than a typical mark up on the daily rate No PTO, no benefits expense There are no “end costs.” When the project is done, it’s done, and the expense goes away Interim’s are available quickly Usually on-site placement can happen within a week or two Interim’s are generally not a threat to internal staff and management All this means is there is a growing market demand for experienced interim leadership!

An Oxymoron? Interim Leadership As A Permanent Career?

Interim Leadership As A Permanent Career? Why might you consider Interim Leadership as a permanent career? It is now becoming so commonplace within hospitals and other medium to large organizations that is being recognized as a defined career path The “stigma” of being a ”temp” is gone You are usually a full member of the leadership team rather than a consultant This means that you typically will get to “do” things – Implement vs. just make recommendations This adds value to the organization as they get the implementation alongside the consulting expertise It is a great opportunity to help an organization identify the scope of its problem, but also to develop and implement the fix… Not always a ”problem fix” either. Interim’s can launch new projects, lead structural or organizational changes, or anything else that the organization does not have the internal skill set to manage at the time.

Interim Leadership As A Permanent Career? Things to think about… Are you looking for new challenges? Do you prefer being a ”doer” and a ”fixer”? Do you like variation in your work? Can make a significant difference for an institution in a relatively short timeframe Bring specialized expertise Greatly reduced internal / local politics – you can focus on the job, and not the next promotion Chance to be creative without being constrained by institutional history You get to do what you do best / most enjoy Interested in a different work/life balance Flexibility in schedule/type of projects Travel opportunities

What Is The Interim Life Like? The Good, The Bad and The Ugly…

What Is The Interim Life Like? Good, Bad and Ugly… The Good: Make a difference in a short period of time Usually have strong support from board and other leadership They had a problem or vacancy to overcome Can usually focus on two or three major items – and not the entire realm of “administrivia…” Institution understands there is a need for your particular expertise and is willing to listen and accept (and act on) your advice You get to do the kind of work you like most - fulfilling Choose your own work schedule – don’t need to accept a job until you are ready See new parts of the country/world Earning potential can be very good, particularly as you are needed on a “instant” basis Points!

What Is The Interim Life Like? Good, Bad and Ugly… The Bad: Extended time away from home and family Sometimes takes a while to get connected in the organization and community Tend to work more than 8-5 Hotels (motels) and restaurants Sometimes you don’t get to see projects through completion Typically have to get your own benefits (1099 vs W-2) As an IC, you are responsible for your own taxes When you are not working, you aren’t earning You are only as good as your last engagement Can be gaps in employment (particularly during holiday seasons) May have to take assignments in less than desireable locations

What Is The Interim Life Like? Good, Bad and Ugly… The Ugly: Extended time away from home and family Can be lonely You are often a solo traveler as opposed to a larger team consulting project If you are the boss, especially Smaller communities are especially sensitive to external behaviors – gossip networks travel at light speed...

How Does this all work? Typically Independent Contractor Arrangements vs W-2 Travel home every other week Standard arrangement is 20-22 days onsite per month Paid on a daily rate – which varies depending on position/scope Travel, Housing, Car is paid Per Diem for MI&E (meals, incidentals and expenses) IC Agreement with a placement company Company does background and reference checks (immediately prior to placement also a drug screen) Agree on a daily rate for a given assignment Candidates are presented to client facility who then selects candidates for direct interview (usually via Skype or phone) If agreed by all, Interim firm issues work order to both client facility and to interim Assignment begins!

How Do I Get Started? You will need both time and patience Get in contact with multiple Interim Placement Firms Interim positions tend to arise quickly and then disappear Be ready to move quickly Think realistically about your availability (can you meet the needs of the prospective client)? Be honest with a client or placement firm about requirements Prior commitments (both professional and personal) Travel barriers (distance, access, time, season issues…) Do you really have the skill set to do this particular assignment? Think about your daily rate requirements (be fair and don’t price yourself out of a position). Keep your resume current Maintain regular contact with the interim firms about availability and to keep top of mind

How Do I Get Started? HealthTechS3 is growing its candidate pool Our interims are supported by our deep consulting base Financial, Clinical, Compliance, Revenue Cycle, Materials, Strategic Planning, Affiliation Consulting and more Link to our candidate database http://www.hts3execrecruiter.com/ You can upload your resume here and watch (and apply) for open interim positions Let me know you have done so, and keep in touch regarding your availability

We look forward to working with you THANK YOU We look forward to working with you Mike Lieb, FACHE Regional Vice President Michael.Lieb@HealthTechS3.com 214-280-6189 www.healthtechs3.com