CEO SUMMIT MAXIMIZING HCAHPS SCORES F. Nicholas Jacobs President/CEO Windber Medical Center

HCAHPS Survey Communications with Nurses 74% - US 73% - WMC 82% - PA Communications with Doctors 76% - US 79% - WMC 88% - PA Responsiveness of hospital staff 61% - US 60% - WMC 75% - PA Cleanliness of hospital environment 67% - US 68% - WMC 82% - PA Discharge information 79% - US 79% - WMC 87% - PA Windber Medical Center's scores were compared to the State and U.S. Average in several categories.

Communications with Nurses

74% - US 73% - WMC 82% - PA

Communications with Doctors

76% - US 79% - WMC 88% - PA

Responsiveness of hospital staff

61% - US 60% - WMC 75% - PA

Cleanliness of hospital environment

67% - US 68% - WMC 82% - PA

Discharge information

79% - US 79% - WMC 87% - PA

HCAHPS Survey Overall rating; WMC in the 9-10 scale; PA 61% - US 63% - WMC 76% Willingness to recommend this hospital - Yes-definitely - PA 65% - US 67% - WMC 82% Windber Medical Center's scores were compared to the State and U.S. Average in several categories.

Overall rating; WMC in the 9-10 scale; PA 61% - US 63% - WMC 76%

Willingness to recommend this hospital - Yes-definitely -

PA 65% - US 67% - WMC 82%

Outcomes Emergency Room Visits Increased 3 X’s Payroll from $7 to $21M Average 3 year growth in net patient rev. 4.8% WMC was 21.58%

Emergency Room Visits Increased 3 X’s

Payroll from $7 to $21M

Average 3 year growth in net patient rev. 4.8% WMC was 21.58%

Outcomes Average PA operating margin .98% WMC 3.36% HCAHPS top 10% in the United States 8 of 11 years of profit from operations

Average PA operating margin .98% WMC 3.36%

HCAHPS top 10% in the United States

8 of 11 years of profit from operations

Financial Picture

10 Year Financial Picture *2008 projected

Campus Redesign

HealthStyles Fitness Center Institute of Integrative Medicine Dean Ornish Coronary Artery Disease Reversal Center Breast Care Center Senior Citizen Center Attached Walking Trails The New Medical Center

HealthStyles Fitness Center

Institute of Integrative Medicine

Dean Ornish Coronary Artery Disease Reversal Center

Breast Care Center

Senior Citizen Center Attached

Walking Trails

Community Fitness Center 4200 Pop. 1300 Members

Healing Arts… Nutrition for the Soul

Improve Image and Services Hotel Services Room Service Fresh Flowers Bread Baking Live music Artwork Fountains Accommodations for loved ones Bathrobes and pajama bottoms

Hotel Services

Room Service

Fresh Flowers

Bread Baking

Live music

Artwork

Fountains

Accommodations for loved ones

Bathrobes and pajama bottoms

Close to Home

A Healing Environment

Fresh baked bread, coffee & tea Wireless Computer hook-ups Live Music TV-VCR for instant playback Specialty Suites

Fresh baked bread, coffee & tea

Wireless Computer hook-ups

Live Music

TV-VCR for instant playback

Preventive Health Services Flu & Pneumonia Shots Primary Care Physician Services Medical Specialties (Podiatry, Internal Medicine, Occupational Therapy) CENTER FOR LIFE

Preventive Health Services

Flu & Pneumonia Shots

Primary Care Physician Services

Medical Specialties (Podiatry, Internal Medicine, Occupational Therapy)

“ I shall not leave you comfortless…” Windber Hospice

Architecture Natural Light Plants Music Clergy & Psychologists Design Philosophy

Architecture

Natural Light

Plants

Music

Clergy & Psychologists

Hospice Patient Rooms

Breast Care Center

Comforting Environment

Employee Satisfaction 94% 97% 98% 98% 98% I believe my compensation is competitive in the local marketplace. My work responsibilities are generally clear. My job is important to Windber’s success. I understand what is expected of me on the job. I enjoy the type of work I do.

I believe my compensation is competitive in the local marketplace.

My work responsibilities are generally clear.

My job is important to Windber’s success.

I understand what is expected of me on the job.

I enjoy the type of work I do.

State-of-the-Art Equipment

Employee Communications Nick’s Blog Open Door Policy Windber Medical Center Newsletter Pizza with the President Town Hall Meetings Management by wandering around Caught You Caring

Nick’s Blog

Open Door Policy

Windber Medical Center Newsletter

Pizza with the President

Town Hall Meetings

Management by wandering around

Caught You Caring

Employee Physical Wellness Osteoporosis Program Smoking Cessation Eat Well for Life Program Strength Training Cardiac Rehab Walking Trails

Osteoporosis Program

Smoking Cessation

Eat Well for Life Program

Strength Training

Cardiac Rehab

Walking Trails

Employee Empowerment 25 PTO Days Donation of PTO days On site Baby Sitting Social Welfare Death of an in-law or grandchild 3 days

25 PTO Days

Donation of PTO days

On site Baby Sitting

Social Welfare

Death of an in-law or grandchild 3 days

Employee Fitness HealthStyles – Nearly 50% of employees are members Open approximately 90 hours per week. Employee costs approximately $10 per month Includes classes in kick boxing, aerobics, water aerobics, yoga, tai chi

HealthStyles – Nearly 50% of employees are members

Open approximately 90 hours per week.

Employee costs approximately $10 per month

Includes classes in kick boxing, aerobics, water aerobics, yoga, tai chi

Disney Training for ALL employees EQ2/Emotional Quotient Training Planetree Training Team Employee Training & Development

Disney Training for ALL employees

EQ2/Emotional Quotient Training

Planetree Training Team

Six Weeks of Ornish Light Personal Nutrition Counseling Healthy Vending Machines Healthy Choice Meals (Fat Free, Vegetarian) Dr. Dean Ornish Program for Reversing Heart Disease

Six Weeks of Ornish Light

Personal Nutrition Counseling

Healthy Vending Machines

Healthy Choice Meals

(Fat Free, Vegetarian)

Integrative Therapies Yoga Tai-Chi Reiki Acupuncture Drumming Music Therapy Massage Therapy Pet Therapy Humor Therapy Aroma Therapy

Yoga

Tai-Chi

Reiki

Acupuncture

Drumming

Music Therapy

Massage Therapy

Pet Therapy

Humor Therapy

Aroma Therapy

Employee Emotional Health The Greenhouse Planetree Room Healing Gardens Gazebos Live Music Counselors Clergy The Swat Team

The Greenhouse

Planetree Room

Healing Gardens

Gazebos

Live Music

Counselors

Clergy

The Swat Team

Greenhouse

Continued Dedication to Employee Personal Growth Reimbursement for additional college level credits and degrees Workshops Conferences Video Teleconferencing

Reimbursement for additional college level credits and degrees

Workshops

Conferences

Video Teleconferencing

More Employee FUN!!! Sundae Parties Subs and Pizza Parties Trips to Pittsburgh Pirates Baseball Tickets to: The Symphony, The Opera, Theater, Hockey, and lots of DINNERS. Employee Recognition Dinners Hospital Week Cookout BIG HOLIDAY PARTY

Sundae Parties

Subs and Pizza Parties

Trips to Pittsburgh Pirates Baseball

Tickets to: The Symphony, The Opera, Theater, Hockey, and lots of DINNERS.

Employee Recognition Dinners

Hospital Week Cookout

BIG HOLIDAY PARTY

We Ask Bullies to RESIGN Anesthesiology Critical Care Specialists Internal Medicine Physicians Surgeons In the past 11 years we have asked 11 highly qualified physicians and 37 employees to LEAVE because they were bullies

Anesthesiology

Critical Care Specialists

Internal Medicine Physicians

Surgeons

In the past 11 years we have asked 11 highly qualified physicians and 37 employees to LEAVE because they were bullies

Source: The Hospital Council of Western PA Average Length of Stay

Hospital-wide Nosocomial Infection Rate Average rate for 2004-2007 - 0.96 Below 1%

Mortality Comparison by Hospital Windber Medical Center had the lowest mortality rate of 0.8% compared to 8 peer hospitals all above 1% Risk-adjusted index is statistically significant at a confidence level of 95%

Restraints

Readmission Rate

Windber Research Institute

Department of Defense Walter Reed Army Medical Center University of Pittsburgh Preventive Medicine Research Institute Samueli Institute General Electric Research and Development Georgetown University Geisinger Health System University of Maryland Our Strategic Partners…

Department of Defense

Walter Reed Army Medical Center

University of Pittsburgh

Preventive Medicine Research Institute

Samueli Institute

General Electric Research and Development

Georgetown University

Geisinger Health System

University of Maryland

How Innovative Leadership Cured Ailing Medical Center Military-Civilian Endeavor Makes Breast Cancer Strides J.M. WindberCare Mammography Gown Breast Cancer Vaccine Shows Promise Digging for Nuggets of Wisdom Joyce Murtha Breast Care Center Collaboration at its Finest The Largest Data Warehouse In The World? National Attention

“ Close your eyes if you want to see health care in the future. Then open them, and see the extraordinary facility here at Windber. This is the future of health care, it focuses on prevention and research. Keeping people healthy and focusing on end of life.” DONNA SHALALA U.S Secretary of Health & Human Services