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January 2014 Sample Size: 136 Responses Received: 43 Response Rate: 32% Overall High Satisfaction: 67% Overall Balanced Scorecard Target: 60% or 5% Improvement over FY13 FY13 Overall High Satisfaction: 58% Favorable/Unfavorable FY13 to : 9% High Satisfaction is composed of: 44% Extremely Satisfied 23% Very Satisfied Online survey conducted by HFMA on behalf of the chapter. Sample is composed of regular chapter members not listed as chapter officers or directors that have been HFMA members since at least May 31, 2013. Survey Timeline: First email request with link to online survey sent on October 29, 2013. Second email with link to survey sent to non-respondents on November 7, 2013. Final request to complete survey sent to non-respondents on November 12, 2013.

Your Members' Satisfaction Ratings Response Scale: Low = Dissatisfied & Neutral; Middle = Satisfied; High = Very Satisfied & Extremely Satisfied Table A: Satisfaction with chapter services How satisfied are you with the following services offered? FY13 All Chapters Low Middle High High High Your Chapter's High Satisfaction The chapter educational programs overall 5% 27% 68% 59% 66% The educational topics addressed at chapter programs 5% 29% 67% 53% 66% 68% 67% The speakers at chapter programs 5% 16% 79% 65% 69% 79% The location of chapter programs 17% 17% 67% 53% 60% The chapter's coverage of state and regional issues 5% 29% 66% 63% 67% 67% 66% Chapter newsletter 5% 23% 73% 50% 66% Chapter networking opportunities 5% 23% 72% 60% 62% 73% 72% Chapter website 3% 29% 68% 56% 60% 68% HFMA chapter overall 5% 28% 67% 58% 69% 67% FY13 58% Your Chapter's High Satisfaction Trend 58% 67% 67% - Overall High Satisfaction Trend FY12 62% FY11 68% 62% 68% FY10 55% 55% FY08 68% 68% FY06 63% 63% 1

Services Your Members Would Most Like to Improve Table B1: Improving your chapter Combination of the top two services to improve your HFMA chapter Southern Illinois Chapter All Chapters FY13 Your Chapter's FY13 Percentage The educational topics addressed at chapter programs 65% 62% 46% 65% The speakers at chapter programs 27% 22% 23% The location of chapter programs 27% 38% 35% 27% 27% The chapter's coverage of state and regional issues 38% 28% 31% 38% Chapter newsletter 6% 15% 14% 6% Chapter networking opportunities 13% 21% 30% 13% Chapter website 24% 15% 22% 24% The percentages in Table B1 will add to 200% because the results of the two questions in Table B2 are added together. If you could select one service to improve in your HFMA chapter, which would it be? Southern Illinois Chapter All Chapters If you could select one more service to improve in your HFMA chapter, which would it be? Southern Illinois Chapter All Chapters Table B2: Improving your chapter FY13 FY13 The educational topics addressed at chapter programs 37% 40% 26% 28% 22% 21% The speakers at chapter programs 8% 3% 9% 19% 19% 13% The location of chapter programs 21% 26% 21% 6% 13% 14% The chapter's coverage of state and regional issues 8% 6% 13% 31% 22% 18% Chapter newsletter 0% 6% 5% 6% 9% 9% Chapter networking opportunities 11% 11% 16% 3% 9% 14% Chapter website 16% 9% 11% 8% 6% 11% 2

Topics of Interest to Your Members Response Scale: Low = No Interest & A Little Interest; Middle = Some Interest; High = A Lot of Interest & Extreme Interest Table C: Issues of local interest Please indicate your level of interest in seeing your HFMA chapter address these program topics in the upcoming year. Low Middle High Your Chapter's High Interest Trends and outlook for local healthcare industry 13% 18% 70% 70% Fiscal Intermediary/Medicare Administrative Contractor Reimbursement Update 3% 36% 62% 62% Trends in commercial payment 10% 45% 45% 45% Alignment strategies among healthcare providers 10% 44% 46% 46% Data analytics and business intelligence 15% 38% 46% 46% Strategic planning, business plans, and service line planning 23% 28% 49% 49% State legislative and regulatory update 3% 20% 78% 78% State Medicaid program 10% 25% 65% 65% Local payors and employers response to healthcare reform 10% 28% 63% 63% Payor and provider collaboration 13% 26% 62% 62% Impact of insurance exchanges 3% 25% 73% 73% 3

Topics of Interest to Your Members (continued) Response Scale: Low = No Interest & A Little Interest; Middle = Some Interest; High = A Lot of Interest & Extreme Interest Table D: Local perspective on topics of national interest Please indicate your level of interest in seeing your HFMA chapter address these program topics in the upcoming year. Bundled payment reimbursement methodologies Accounting and financial reporting Improving cash collection processes Low Middle High 8% 33% 59% 15% 44% 41% 13% 25% 63% Your Chapter's High Interest 41% 59% 63% Denial prevention and management 10% 36% 54% 54% Changes in Medicare reimbursement policies 5% 25% 70% 70% Compliance with Medicare regulations 5% 21% 74% 74% New technologies in finance, revenue cycle, and clinical-financial integration 8% 23% 69% 69% Managing productivity and costs 15% 28% 56% 56% Leadership skills Implementing the conversion to the ICD-10 standard 10% 43% 48% 5% 46% 49% 48% 49% Strategies for collaborating with clinical areas 13% 54% 33% 33% Table E: Attending an education event When was the last time that you attended a chapter event? Within the last 6 months Within the past year Within the past 2 years Data about Survey Respondents Southern Illinois Chapter 80% 8% 8% Within the past 2 years Within the past year More than 2 years ago Never More than 2 years ago Never 3% 3% Within the last 6 months 4

If you have rated your chapter as less than extremely satisfied, please tell us how we can improve. Please suggest better locations if location is an issue for you. Time since last attended an educational event Zip Code first three < 6 months 622 digits Comment I am from the PFS area, not the accounting area, and sometimes the topics are more directed toward accounting functions, and not as of much benefit to me, but I'm sure they are of benefit to others. < 6 months 622 The chapter website isn't advertised very well to the members. Could use an update. < 6 months 624 Cost of travel for CAH to locations near St. Louis is difficult. < 6 months 624 I am located on the East side of the State. Mt. Vernon or Effingham would be more convenient for me. The Fairview Heights sites are more convenient to me than Carbondale. I do not visit the chapter website. < 6 months 628 All of the officers and directors do a wonderful job getting speakers and putting on the sessions. A really great benefit to Southern Illinois! < 6 months 629 I think you do a good job of moving the locations around. Unfortunately, in order to cover the area someone has to drive! I am less likely to attend the events in the east St Louis metro area. < 6 months 629 Most educational programs are addressed towards reimbursement, and not my area of responsibility < 6 months 629 Some of the speakers, could be better prepared. < 6 months 629 The Hilton Garden Inn in Shiloh, Illinois is amazing! < 2 years 629 Never 624 As some who works with compliance and HIPAA privacy on a daily basis, the Chapter does not provide many opportunities for education at chapter meetings for people like me. I would make an effort to attend more chapter meetings if these areas were addressed. Also, due to budget constraints at our hospital, traveling to the St. Louis area and spending a night in a hotel are out of the question. My budget won't allow for this. It's not that the location isn't probably suitable for most. With budget restraints, the opportunity for travel expense is not there. I mostly utilize services and training that allow me to attend by webinar. 5

Please describe any other topics that you would like to see your HFMA chapter address this year. Time since last attended an educational event Zip Code first three digits Comment < 6 months 620 The Art of Delegation < 6 months 622 Would like to have an expert on Denials Management provide education and advice on the best ways to avoid denials from the front line through UR and billing. < 6 months 629 340B compliance and audits. Meaningful use compliance and audits < 6 months 629 Revenue cycle improvements. Improving cash, net collections vs percent paid to collection agencies. Early out 6

What would make your chapter's events so compelling that you would have to attend more frequently? Please also offer any other comments you would like to offer your chapter. Time since last attended an educational event Zip Code first three < 6 months 622 digits Comment Always having updates on state and regulatory issues as well as an area of focus within the revenue cycle (front line through billing) at each meeting for hospitals < 6 months 622 Topics applicable to PFS. < 6 months 624 Continued emphasis on Federal and State reimbursement issues. Programs on Commercial Insurance trends and contracting strategies. Programs on HIE and Illinois Medicaid reimbursement reform. < 6 months 629 Better speakers. < 6 months 629 close location and time of month. I have been very impresses with the couple of meeting that I have attended. The event planners have clearly put a lot of thought and work into putting the meeting together. < 6 months 629 Educational topics related to accounting - general ledger, financial statements, accounts payable, payroll, purchasing cards, leadership skills < 6 months 629 Have some speakers that deal with other areas other than PFS, Accounting, Finance, HI, or Compliance areas. Look into topics that would deal with employee to employee and manager to employee relationships and some motivational speakers. < 6 months 629 National speakers but I understand that they cost a lot of money to provide. > 2 years 620 The problem has been time and distance. Programs presented close by have coincided or conflicted with other commitments, most for personal reasons over the last year. Coupled with several major implementations over this past 18 months I have had a very challenging schedule. Never 624 Money in the budget to be able to travel. 7