The Role of Leadership in a Vital and Complex Industry RUSSELL REYNOLDS ASSOCIATES

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1 The Role of Leadership in a Vital and Complex Industry RUSSELL REYNOLDS ASSOCIATES

2 The health services sector is undergoing a period of unprecedented change as payers, providers, thirdparty firms, and associations/foundations that serve them, grapple with new technologies, expanding expectations and overstretched resources. Providers in particular are seeking to improve alignment between hospitals and physicians in order to increase quality and efficiency in an increasingly transparent, consumer-centric world. This challenge requires not only bridging silos through belated adoption of cutting-edge IT systems, but a major shift from provider convenience to consumer and payer needs. These new pressures require a partnership mentality and new levels of cost management innovation. Payers, meanwhile, are utilizing sophisticated information management to optimize pay-for-performance and an evolution from disease management to a more holistic, outcomes-based model. They are also bolstering their functional capabilities in technology and other efficiencies by aggressively absorbing best practices from other industries. Innovative service providers that serve both providers and payers are scrambling to bridge gaps, address inefficiencies and better address care delivery and payment dysfunction. Many of the transformative strategies needed to address intractable problems will, as always, come from the entrepreneurial sector. The Role of Leadership For all segments of this complex sector, success in meeting challenges depends upon exceptional leadership. Hospital CEOs must combine superb skills in physician relations with the ability to set strategic direction and manage across functions. Chief Information Officers need to be able to work with clinical IT leaders in managing the transition to electronic medical record systems. Medical group leaders must develop sophisticated approaches to align physician compensation and productivity. Payer CEOs and senior executives must design and execute strategies that allow them to achieve stable growth serving a mature, price-sensitive market during a time of rising costs and acute political scrutiny and hoped-for health reform.

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5 Industry Commitment We are commited to advancing our industry and are proud to be the driving force behind the California Health Leadership College s effort to develop tomorrow s CEOs, undertaken for the past five years in conjunction with the California Hospital Association and underwritten in part by the California HealthCare Foundation. A similar Massachusetts Health Leadership College was established in 2008, in partnership with the Massachusetts Hospital Association. These highly touted fellowships are designed to support developing executives readiness for top leadership roles. Additional fellowships are under development in other regions. Our team is committed not only to being the best in executive search and assessment but also to improving our clients governance quality. In addition to our growing board development work, we have partnered with the American Hospital Association s (AHA) Center for Healthcare Governance, and the Healthcare Research & Educational Trust (HRET) in designing and supporting a Blue Ribbon Task Force on Healthcare Governance that has recommended best practices governance standards and tools for healthcare organizations.

6 Finding the Right Health Services Leader Russell Reynolds Associates Health Services Practice works with the full gamut of health services companies to meet their senior leadership needs. Our consultants bring broad experience with both not-for-profit and commercial hospitals, medical groups, managed care organizations, specialty health services, hospital associations, consulting and other outsourcing vendors, and healthcare technology firms, as well as government and policymaking organizations. Combined with our proven search techniques, this sophisticated expertise enables us to work with our diverse clients in a truly consultative manner to define current and future talent needs and then represent them in the highly competitive talent market. Our advanced solutions include personality and cultural fit tools that further enhance exceptional candidate selection. Tailored, Team-Based Solutions Russell Reynolds Associates structure and culture allow our consulting teams to be custom-built to meet the requirements of individual assignments. We work seamlessly across and within sectors and regions, including not only our Health Services and Healthcare Technology Practices, but also in: CEO/Board Services; Finance; Human Resources; Legal, Governance and Compliance; Government/Associations; Technology; Pharmaceuticals and Life Sciences; Medical Technology, Devices and Diagnostics; Public Sector; and Global Health.

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8 Our Track Record A representative sample of recent successful assignments includes: CEO, COO, CMO, CNO and CFO of a multi-site Midwest healthcare system. CEO of major American disease-focused healthcare foundation. President, Clinical Services for a multibillion-dollar healthcare services company. CEO of European national health system. Chief Information Officer and Chief Medical Information Officer of a Northern California hospital recognized for its technology leadership and outstanding quality of care. CEO, new UAE-based academic health system affiliated with a leading US university. President & Chief Executive Officer for a newly created foundation, established by a leading senior health plan. Director of a leading NCI-designated Cancer Center affiliated with a prominent academic medical center and university, supported by more than 200 faculty and $100 million in annual research funding. Chief Medical Information Officer and Director of Governance for a world-renowned Northern California academic medical center. Chief Operating Officer for a healthcare IT professional services firm that provides a holistic, solutions-based approach to payers, providers and employer groups. President of a major Chicago-based academic medical center.

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11 Our Process While every search is tailored to meet our clients unique timelines and requirements, we work within a consistent, proven approach that ensures candidate quality and choice and provides the foundation for an orderly, timely, engaging and successful search process. Organizational Review We begin with a thorough review of the context of the search, the expectations of the hiring authority or search committee and other key constituents, the strategic goals of the organization, the competitive landscape and other factors that shape the leadership requirements and potential for impact. Position Specification Development Our findings are distilled into a document specifying the position s responsibilities in detail as well as the corresponding qualification matrix that serves as a benchmark against which potential candidates are measured. Research/Candidate Identification and Qualification Drawing upon our extensive proprietary database and network of contacts, as well as publicly available data, we develop a list of qualified, viable candidates. Candidate Attraction and Evaluation We then engage and personally interview selected candidates, focusing on the competencies and experience requirements outlined in the position specification. Candidate Evaluation and Selection Working closely with our valued clients, we develop a focused interview guide, schedule first and subsequent rounds interviews and facilitate the evaluation process. Psychological profiling and cultural fit evaluation can be provided as needed. Referencing As priority candidates are identified, we begin an extensive referencing process. As a final candidate emerges, we expand our contacts to a full slate of supervisors, peers and subordinates qualified to provide meaningful, confidential insights, which are gathered into a written report. Negotiation We then assist in the design of a compensation package calculated to attract the finalist. We can also serve as an intermediary to resolve differences and details in order to successfully complete the agreement. Follow-up After an offer is accepted, we periodically follow-up with the organization and the candidate to insure that expectations on both sides are being met. We are also available for executive assessment and development services to assist in galvanizing the team for future success.

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13 Executive Assessment RRA s Health Services Practice collaborates with the firm s Executive Assessment Practice to bring innovative executive assessment, development and succession planning services to our clients. This process combines deep industry-specific expertise with a rigorous assessment methodology that includes psychometrics, culture surveys and other tools to create a complete picture of executives in the larger organizational context in order to optimize team performance. Diversity in Healthcare Leadership Because health services organizations often seek to improve their leadership teams reflection of the diversity of the constituencies they serve, the Health Services Practice is also able to draw upon the resources of the firm s Diversity Practice, which has an extensive track record and focused resources and networks to identify and recruit candidates of all demographics and backgrounds. In order to promote the recognition and encouragement of these growing cohorts of health care leaders, Russell Reynolds Associates has worked with Modern Healthcare to support its Top 25 Minority Executives in Healthcare and Top 25 Women in Healthcare Awards programs.

14 About Russell Reynolds Associates Leadership. In today s ever-changing global business environment, success is driven by the talent, vision and leadership capabilities of senior executives. Russell Reynolds Associates is a leading global executive search and assessment firm with more than 300 consultants based in 39 offices worldwide. Our consultants work closely with public and private organizations to identify, assess and recruit senior executives and board members to drive long-term growth and success. We value teamwork, serving our clients with a collaborative approach that spans our international network of sector and functional experts. Our in-depth knowledge of major industries and our clients specific business challenges, combined with our understanding of who and what makes an effective leader ensure that our clients secure the best leadership teams for the ongoing success of their businesses. For more information, please visit us at

15 RUSSELL REYNOLDS ASSOCIATES Americas Atlanta 1180 Peachtree St., NE Suite 2250 Atlanta, GA Tel: Boston One Federal Street 25th Floor Boston, MA Tel: Buenos Aires Buenos Aires Plaza Manuela Sáenz 323 Seventh Floor, Suites 14 and 15 C1107CBP Buenos Aires Argentina Tel: Chicago 200 South Wacker Drive Suite 2900 Chicago, IL Tel: Dallas 8401 N. Central Expressway Suite 650 Dallas, TX Tel: Houston 600 Travis Street Suite 2200 Houston, TX Tel: Los Angeles Santa Monica Blvd. Suite 350 Los Angeles, CA Tel: Menlo Park 2500 Sand Hill Road Suite 105 Menlo Park, CA Tel: Mexico City Torre Reforma Paseo de la Reforma Lomas de Chapultepec México 11000, D.F. México Tel: Minneapolis/St. Paul 225 South Sixth Street Suite 2550 Minneapolis, MN Tel: New York 200 Park Avenue Suite 2300 New York, NY Tel: San Francisco 101 California Street Suite 2900 San Francisco, CA Tel: São Paulo Av. Nações Unidas, º Andar São Paulo - SP Brazil Tel: Stamford 301 Tresser Boulevard Suite 1210 Stamford, CT Tel: Toronto Scotia Plaza, Suite King Street West Toronto, ON M5H 3Y2 Canada Tel: Washington, D.C Pennsylvania Avenue, NW Suite 400 Washington, D.C Tel: Asia/Pacific Beijing Suite 1320, China World Tower I No. 1 Jian Guo Men Wai Avenue Beijing China Tel: Hong Kong Room 1801, Alexandra House 18 Chater Road Central Hong Kong China Tel: Melbourne 15th Floor Bourke Place 600 Bourke Street Melbourne VIC 3000 Australia Tel: Mumbai Unit 9(A), Grand Hyatt Plaza Santacruz (East) Mumbai India Tel: New Delhi A4, Tower A The Qutab Hotel and Apartments Shaheed Jeet Sing Marg New Delhi India Tel: Shanghai Room 4504, Jin Mao Tower 88 Century Avenue Pudong, Shanghai China Tel: Singapore 2 Shenton Way #08-01 SGX Centre 1 Singapore Singapore Tel: Sydney Level 40, Aurora Place 88 Phillip Street Sydney NSW 2000 Australia Tel: Tokyo Izumi Garden Tower 14F Roppongi Minato-ku, Tokyo Japan Tel: Europe Amsterdam World Trade Center Tower H, 18th Floor Zuidplein XV Amsterdam The Netherlands Tel: Barcelona Edificio Prisma Avda. Diagonal, 613, 2 A Barcelona Spain Tel: Brussels Boulevard St.-Michel 27 B-1040 Brussels Belgium Tel: Copenhagen Østergade 1, 1st Floor DK-1100 Copenhagen K Denmark Tel: Frankfurt MesseTurm Frankfurt/Main Germany Tel: Hamburg Stadthausbrücke 1-3/Fleethof Hamburg Germany Tel: London 24 St. James s Square London SW1Y 4HZ United Kingdom Tel: Madrid Calle Miguel Angel, 11 Seventh Floor Madrid Spain Tel: Milan Via Mascheroni, Milan Italy Tel: Munich Ludwigstraße Munich Germany Tel: Paris 7, Place Vendôme Paris France Tel: Stockholm Hamngatan 27 SE Stockholm Sweden Tel: Warsaw Belvedere Plaza ul. Belwederska Warsaw Poland Tel: Zürich Genferstrasse Zürich Switzerland Tel:

16 2008 Russell Reynolds Associates, Inc. RUSSELL REYNOLDS ASSOCIATES is a trademark of Russell Reynolds Associates, Inc. Other brand names and marks referenced herein are trademarks of their respective owners.

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