1. CRMC BOARD REPORT – AUGUST 2013 THE DATA

2. HOSPITAL STRENGTH INDEX Ivantage: New England aggregator that focuses on rural hospital performance 2011 data compilation: all from publicly available sources (cost report, MEDPAR, HCRIS, core measures, HCAHPS, HHI, etc…) 8 indicators that are percentile ranked: Competitive strength: facility HHI (herfindahl, hirschman index) Competitive intensity: market competitor’s HHI Market size/growth: 5 year demand projection Quality: process of care measures (AMI, HF, PN, SCIP, outpatient) Outcomes: mortality, readmission, safety Patient perspective: HCAHPS definitely recommend and overall quality Cost and charges: case weighted i/p and o/p charges and cost Financial stability: debt ratio, liquidity, capital efficiency, resource availabilty

3. CRMC PERFORMANCE - 2011 CRMC Overall Composite Score: 79.54 High score - Quality Index: 96.90 Low score – Market Size & Growth: 7.45 How do we compare?

4. TORCH PERFORMANCE - 2011 High Performers:Low Performers: Kerrville94.11Linden0.11 Hamilton93.91Chillicothe0.16 Graham92.94Grimes0.41 Fredericksburg91.90Tahoka0.29 Childress79.54 Borger1.42 Brownwood79.29Iraan1.44 Columbus78.97Kermit1.56 Other scores: Quanah – 6.32, Wellington – 38.45, Vernon – 36.87, Perryton - 12, Hereford – 7.22, Dalhart – 6.20, Dumas – 46.05

5. TORCH PERFORMANCE - 2011

6. TORCH PERFORMANCE – 2011 (CONTINUED)

7. CONCLUSION Choices on Change: 1. fight it and die 2. accept it and survive 3. lead it and prosper “Leadership is learning faster than the world is changing.”- Dan Stultz Questions/Comments?