1. ® Association of Washington Public Hospital Districts: Member survey May 2010

2. Objectives of the survey Understand what services are most important to members Gather objective data on what services to reduce or eliminate Use data to make critical organizational decisions 2

3. The survey Developed by JayRay and AWPHD Emailed to 56 member hospital CEOs 33 completed Some questions left unanswered, accounting for numerical differences in data 3

4. % represents how to allocate $85 budget 4

5. For items marked $0 Would you pay additional fee? 5

6. 6 Other options Rank other considerations

7. 7 Membership information Why do you belong to AWPHD Advocacy (10 mentions) “We belong because of the tremendous job of informing the state on healthcare issues done by AWPHD …” Legal (3 mentions) Advice/Networking/Information (15 mentions) “The services provided are helpful; working with our peers is essential.” “As a hospital district, we operate under peculiar roles. AWPHD keeps us up-to-date.”

8. Membership information Most important benefit? Advocacy (10 mentions) Focused on district hospital issues Information/informed (10 mentions) Networking/interaction with colleagues (6 mentions) 8

9. Membership information Any reason you wouldn’t renew? No! “No reason other than a fiscal crisis.” “No, valued.” “If AWPHD chose only to raise dues and not take action on what this survey has attempted to extract from the leadership of individual districts.” “If I had to chose between WSHA and AWPHD, I’d drop WSHA first.” 9

10. Membership information Service/benefit you’d eliminate? No: 9 mentions Reduce or eliminate legal: 4 mentions Executive compensation survey: 2 mentions Retreat/make retreat fee for service: 2 mentions Other “Not sure at this time …” “Would have to review how often each is used before I could decide.” 10

11. Membership information Service/benefit you’d add? No: 7 Education “… seminars that tell us/show us how to run more efficient, effective districts …” “… more board member education; open public meetings act, public records act education.” “Avoid redundancies, overlap of other hospital organizations … keep it member driven.” 11

12. Membership information Operating expense as measurement for core dues 12

13. Report more than operating expenses to DOH? 13

14. Days cash on hand? 14

15. Membership information Other questions/suggestions? “Keep up the good work.” “Association does a wonderful job with very limited budget.” “I support reducing AWPHD’s reserves.” “Define which operating expenses are used in the calculation.” “I think using hospital operating expenses for calculation core dues over charges large hospitals.” “Ask WSHA to allocate a portion of our WSHA (from AWPHD hospitals) to support AWPHD.” 15

16. Membership information Demographics 16

17. Insights & recommendations Organization has high membership satisfaction and loyalty Members value most, if not all, services Support for raising dues split Reducing overall number of services is top recommendation, followed by reducing $1 million reserve fund Website/listserv, Administrator retreat and executive compensation survey are most likely targets for reduction 17

18. Other questions? 18 Questions & Discussion