1. 2011 SURVEY OF PHYSICIAN PRACTICE PATTERNS & SATISFACTION KEY FINDINGS 1

2. WHO RESPONDED? 2

3. PRIMARY MESSAGE OF SURVEY: IHS OFFERS A FAVORABLE PRACTICE “BRAND” Reasonable Hours Generally less paperwork Relatively fewer patients More time per patient Minimal call/inpatient duties Supportive hospital relationships Favorable malpractice climate Income “in the ballpark” (for primary care) A BLUEPRINT FOR APPEALING TODAY’S PHYSICIANS 3

4. A RELATIVELY HIGH LEVEL OF PROFESSIONAL SATISFACTION 72% of physicians indicated their practices are somewhat to very satisfying Compared to 34% of non-Indian Health program physicians. 4

5. 78% of physicians find working with Indian health programs to be as satisfying or more satisfying than working in other settings A POSITIVE COMPARISON

6. 71% of physicians said that in the next one to three years they will continue practicing with Indian health programs – compared to 26% of non-Indian health program physician surveyed separately by Merritt Hawkins A HIGH LEVEL OF COMMITMENT

7. WHAT IS UNSATISFYING TO INDIAN HEALTH PROGRAM PHYSICIANS? 7

8. STAFFING: AN ONGOING CHALLENGE  64% currently recruiting physicians  56% currently recruiting non-physician clinicians  51% see an urgent need for primary care physicians  36% see an urgent need for specialists  26% see an urgent need for non-physician clinicians

9.  88% find physician recruiting to be moderately to very difficult  66% find non-physician clinician recruiting to be moderately to very difficult  64% said health reform will moderately to significantly increase need for physicians 9 STAFFING: AN ONGOING CHALLENGE

10. PRIORITIES/RECOMMENDATIONS 10 Leverage/maximize a positive IHS practice brand to overcome misperceptions Restructure/refine/streamline human resource policies Embrace flexible scheduling Encourage physician involvement in staff planning

11. 2011 SURVEY OF PHYSICIAN PRACTICE PATTERNS & SATISFACTION KEY FINDINGS 11