1. Strategic Plan

2. Payment Reform is Coming Affordable Care Act State Health Care Innovation Plan The Market Will Adapt Fewer/Larger Payors Fewer/Larger Providers Our Mission Has Not Changed Improve the Health Status of the People in the Communities We Serve

3. Seven Member Elected Board LEADERSHIP Chief Medical Officer* Chief Clinic Officer* Chief of Staff* MD Commissioner (retired) *Active practices

4. Outpatient Diagnostics / Special Procedures Emergency Medical Services Surgical Clinic Occupational Health Rural Health Clinic / Pain Clinic Home Health Surgical Program (Ortho, General, ENT, Podiatry, GYN) Active OB Program Swing Bed Program Pediatrics Therapies Inpatient / Outpatient and Pediatrics Rural–Community Hospital Critical Access Hospital

5. Market Environment Service Area Yakima and Benton Counties 65% Outmigration (2007) Benton Co Residents to Kadlec in Richland 30 miles Yakima Co Residents split Yak (2)/Kadlec 50 miles Primary Care in our primary markets was all FQHC 77% Outpatient 67 % Gov’t Payors 13% Non-Hospital lines of service Recover about 39% of our costs through cost based reimbursement CAH

6. Key Elements of the Strategy WE WILL NEED TO BE PART OF SOMETHING BIGGER WE WILL NEVER ASK OUR COMMUNITIES TO COMPROMISE QUALITY NO Exception NO Footnotes NO Excuses WE MUST PARTNER and OUR PARTNER’S INCENTIVES AND MISSION MUST ALIGN WITH OURS WE ARE A PUBLIC ENTITY GOVERNED BY OUR BOARD AND LEAD BY OUR PHYSICIANS

7. Clinical Partners Adult Hospitalist Program Pediatric Hospitalist Program Community Based Specialists Community Based OB/GYN Marketing Pain Clinic IT Support / EPIC Education/ Clinic Education Policy/Protocol Collaboration Referral Protocols Joint Physician Recruiting Ancillary Support Patient Education

8. Coalition comprised of the four Benton/Franklin Hospitals, local Health District and Group Health Grants and Pilot Programs CHNA & CHIP Standing Committees include Patient Safety Oral Health Mental Health Healthy Life Styles Domestic Violence Livable Sustainable Communities Advocacy Regulatory Marketing Board Education Grants Rural, Critical Access Hospitals, PHDs Provides joint contracting Networking Structure for Grant and Pilot Funding Collaborative Innovation Learning/Sharing Advocacy Regulatory Safety Quality Marketing Education Grants Strategic Partners