Capital Finance Industry Consolidation Buzz Survey January 2013 Supported by:

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1 Capital Finance Industry Consolidation Buzz Survey January 2013 Supported by:

2 2 Methodology A three-question survey on industry consolidation and affiliation was sent to members of the Health Media Council in January The Health Media Council comprises executives from healthcare provider organizations who collectively deliver the most unbiased industry intelligence available. A total of 137 completed surveys are included in the analysis, which included 59 senior leaders. Results for senior leaders are broken out. The margin of error for a sample size of 137 is +/-8.4% at the 95% confidence interval.

3 3 Respondent Profile

4 4 Respondent Profile Title Senior leaders CEO, Administrator, Chief Operations Officer, Chief Medical Officer, Chief Financial Officer, Executive Dir., Partner, Board Member, Principal Owner, President, Chief of Staff, Chief Information Officer 43% 25% Clinical leaders Chief of Orthopedics, Chief of Radiology, Chief Nursing Officer, Dir. of Ambulatory Services, Dir. of Clinical Services, Dir. of Emergency Services, Dir. of Nursing, Dir. of Rehabilitation Services, Service Line Director, Dir. of Surgical/Perioperative Services, Medical Director, VP Clinical Informatics, VP Clinical Quality, VP Clinical Services, VP Medical Affairs (Physician Mgmt/MD) 18% 6% 4% 4% Operations leaders Chief Compliance Officer, Asst. Administrator, Dir. of Patient Safety, Dir. of Quality, Dir. of Safety, VP/Dir. Compliance, VP/Dir. Human Resources, VP/Dir. Operations/Administration, Other VP Senior Operations Clinical Marketing Financial Information Finance leaders VP/Dir. Finance, HIM Director, Director of Case Management, Director of Revenue Cycle Base = 137 Marketing leaders VP/Dir. Marketing/Sales, VP/Dir. Media Relations Information leaders Chief Medical Information Officer, Chief Technology Officer, VP/Dir. Technology/MIS/IT

5 5 Respondent Profile Employment Which of the following best describes your place of employment? Percent Hospital 45% Health system (IDN/IDS) 28% Physician org (MSO, PPO, PHO, PBM) 15% Government, education/academic 4% Ancillary, allied provider 4% Health plan/insurer 3% Long-term care/snf 2% Base = 137

6 6 Respondent Profile Size of Organization Number of Beds Number of Sites Percent % % % Base = 62 (hospitals) Percent % % % Base = 38 (health systems)

7 7 Respondent Profile Type of Organization Which best describes your type of organization? Profit Nonprofit Base = 137

8 8 Survey Results

9 9 Organization s Role in Industry Consolidation and Affiliation In the current climate of healthcare industry consolidation and affiliation, is your organization more likely to be: Base = 137

10 10 Primary Focus of Organization s M&A/Partnership/Affiliation What is likely to be the primary focus for your organization's M&A/partnership/affiliation efforts? Among those organizations involved in industry consolidation and affiliation Total (n=122) Senior leaders (n=54) Geographic footprint expansion/rationalization 42% 43% Response to local market dynamics Acquisition or expansion of specific service lines 21% 20% 18% 15% Strengthening balance sheet or income flow 16% 22% Other 2% 0%

11 11 Focus of Acquisition or Major Expansion If you are considering an acquisition or major expansion, which of the following areas will this be focused on? Among those organizations involved in industry consolidation and affiliation Total (n=122) Senior leaders (n=54) Primary care Physician practices Clinics Diagnostics Research Laboratories Occupational therapy Dialysis Other Not considering an acquisition or major expansion 5% 4% 5% 6% 2% 0% 2% 2% 22% 13% 17% 22% 20% 11% 15% 28% 50% 52% 48% 46% Multi-response

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