Senator Bob Dole Federation of American Heal Th Systems Friday -- March 26, Thank You Very Much. It Is a Privilege to Be Here

This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

SENATOR BOB DOLE

FEDERATION OF AMERICAN

HEALTH SYSTEMS

FRIDAY -- MARCH 26, 1993

THANK YOU VERY MUCH. IT

IS A PRIVILEGE TO BE HERE.

YOUR PRESENCE HERE IN

WASHINGTON COMES AT A

CRITICAL TIME. IT IS A TIME

Page 1 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

WHEN SOME SO-CALLED

HEALTH CARE REFORMERS

SEEM TO BE IN SEARCH OF AN

ENEMY, RATHER THAN A

SOLUTION. THEY'RE LOOKING

FOR SOMEONE TO BLAME FOR

ALL THE COMPLEX PROBLEMS

CONFRONTING OUR HEALTH

CARE DELIVERY SYSTEM.

UNFORTUNATELY THESE SAME

Page 2 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

REFORMERS, WHILE CRYING

FOR CHANGE ARE TELLING

GROUPS LIKE YOURS THAT YOU

ARE SIMPLY A 11 SPECIAL

11 INTEREST , AND THEREFORE

SHOULD HAVE NO VOICE IN THE

DEBATE. THEY APPARENTLY

FEEL THE SAME WAY ABOUT

REPUBLICANS -- WE'VE ALSO

BEEN EXCLUDED FROM HAVING

Page 3 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

ANY INPUT INTO THE WHITE

HOUSE TASK FORCE UNTIL

AFTER THE 11 PRODUCT11 IS DONE.

WELL, l'M HERE TO TELL

YOU THAT THE ONLY SPECIAL

INTEREST I CARE ABOUT IS THE

AMERICAN PEOPLE. THEY ARE

THE ONES WHO WILL SUFFER IF

THE WHITE HOUSE AND

Page 4 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

CONGRESS DO THE WRONG

THING.

AS MANY OF YOU KNOW,

SENATE REPUBLICANS HAVE

BEEN DEEPLY IMMERSED IN THE

ISSUE. WE'VE HAD A HEALTH

TASK FORCE HARD AT WORK

FOR THE PAST TWO YEARS, AND

I SAY WITH PRIDE THAT SOME

Page 5 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

OF MY REPUBLICAN

COLLEAGUES TAKE A BACKSEAT

TO NO ONE WHEN IT COMES TO

HEALTH CARE EXPERTISE AND

COMPASSION.

THOSE OF US WHO HAVE

BEEN ON THE FRONTLINES OF

THIS ISSUE KNOW FIRSTHAND

THAT THE HEALTH CARE

Page 6 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

CHALLENGE IS BIGGER THAN

ANY ONE GROUP -- BIGGER

THAN THE REPUBLICAN TASK

FORCE, BIGGER THAN THE

DEMOCRATIC TASK FORCE AND

BIGGER THAN THE WHITE

HOUSE -- AND THE SOONER WE

ALL GET INVOLVED THE BETTER.

Page 7 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

NO DOUBT ABOUT IT,

HEALTH CARE IS AN ISSUE THAT

CRIES OUT FOR BIPARTISAN

COOPERATION. IT WILL BE

NEARLY IMPOSSIBLE TO PASS

ANY MAJOR REFORM WITHOUT

IT. AND BIPARTISAN DOESN'T

MEAN SIMPLY PICKING OFF

THREE REPUBLICANS SO THAT

THE DEMOCRAT MAJORITY CAN

Page 8 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

RAM A FLAWED PLAN THROUGH

CONGRESS AND CLAIM VICTORY.

IT IS HARDLY NEWS THAT

HEALTH CARE COSTS HAVE

SPIRALED OUT OF CONTROL --

WE ARE RAPIDLY APPROACHING

THE ONE TRILLION DOLLAR

MARK FOR HEALTH CARE

SPENDING. AND, AS YOU KNOW,

Page 9 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

THIS SPENDING IS ONE OF THE

MAJOR FACTORS IN THE

RECORD-SETTING FEDERAL

DEFICIT, WITH ENTITLEMENT

PROGRAMS GROWING AND

GROWING EACH YEAR, ALONG

WITH THE NUMBER OF

UNINSURED.

Page 10 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

EVERYONE WANTS TO

KNOW WHY HEALTH CARE

COSTS KEEP GOING UP. FOR

LEADERS AND EXPERTS, THE

ANSWER IS THAT THE COST

ISSUE IS A COMPLEX ONE. THEY

REFER TO FACTORS SUCH AS

DUPLICATION OF TECHNOLOGY

AND SERVICES, DEFENSIVE

MEDICINE, TOO MANY

Page 11 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

REGULATIONS, MOUNTAINS OF

PAPERWORK, HEALTH COSTS

ASSOCIATED WITH CRIME AND

DRUG ABUSE, AND AN AGING

POPULATION.

BUT, AS I POINTED OUT TO

SOME OF YOUR COLLEAGUES IN

MEDICINE ON WEDNESDAY,

ACCORDING TO A RECENT

Page 12 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

SURVEY FROM GALLUP, THE

AMERICAN PEOPLE CAN SUM UP

THE COST ISSUE IN ONE SIMPLE

11 11 WORD: GREED • THE SURVEY

SHOWS THAT AMERICANS

BLAME THE HIGH COSTS ON

UNNECESSARY TESTS,

WASTEFUL HOSPITALS,

OVERPAID DOCTORS,

AMBULANCE-CHASING

Page 13 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

MALPRACTICE LAWYERS, AND

OVERPRICED

PHARMACEUTICALS. FROM THE

PUBLIC'S PERSPECTIVE, WE

DON'T HAVE A COST PROBLEM,

WE HAVE A 11 PROFITS 11 PROBLEM.

THE AMERICAN PEOPLE

BELIEVE THAT OUR HEALTH

CARE SYSTEM IS RIDDLED WITH

Page 14 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

WASTE AND GREED.

THEREFORE, NO ONE IS EAGER

TO TALK ABOUT HARD CHOICES.

NO ONE WANTS TO GIVE UP

ANYTHING. AND NOT MANY

WANT TO CONSIDER CHOICES

THAT RAISE THEIR OWN COSTS

OR REDUCE THE SERVICES THEY

GET. THE HARD FACTS ARE, IF

WE ARE GOING TO IMPROVE THE

Page 15 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

LOT OF SOME -- OTHERS WILL

HAVE TO DO WITH CHANGES IN

WHAT THEY GET TODAY. BUT

THAT IS NOT AN EASY PLAN TO

SELL. IT'S MUCH EASIER TO

SIMPLY MAKE YOU THE ENEMY --

TO PUT PRICE CONTROLS AND

GLOBAL BUDGETS IN PLACE. IN

THE VIEW OF THIS SENATOR --

AND IN THE VIEW OF MANY

Page 16 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

OTHERS IN OUR TASK FORCE --

THAT'S NOT THE ANSWER.

THE CATASTROPHIC

HEALTH CARE LEGISLATION

THAT CONGRESS PASSED IN

1988 IS A GOOD EXAMPLE OF

GOOD INTENTIONS GONE BAD.

WE THOUGHT IT WAS A PRETTY

GOOD IDEA. WE SAID TO THE

Page 17 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

PEOPLE WHO WERE BETTER OFF

THAN OTHERS, THAT THEY

OUGHT TO PAY A LITTLE MORE.

I THOUGHT IT MADE A LOT OF

SENSE, AND WAS GOOD

LEGISLATIVE POLICY. IT WAS A

TOUGH DECISION, BUT IT

PASSED CONGRESS BY AN

OVERWHELMING MAJORITY.

LESS THAN A YEAR LATER, IT

Page 18 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

WAS REPEALED BECAUSE THE

PEOPLE WHO WERE GOING TO

HAVE TO PAY MORE HAD A VERY

EFFECTIVE LOBBY. THEY TOLD

US HOW THEY EARNED THESE

BENEFITS, AND HOW EVEN

THOUGH THEY MIGHT BE

BETTER OFF, THEY SHOULDN'T

HAVE TO PAY ONE MORE CENT.

AND LET'S FACE IT, WHEN THE

Page 19 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

SENIOR CITIZENS SPEAK UP,

CONGRESS LISTENS -- AND

WHEY THEY SPOKE, CONGRESS

CHANGED ITS VOTE. WHAT

LOOKED LIKE COMMON SENSE

REFORM WAS QUICKLY

REPEALED.

SO THE LESSON WE

LEARNED THEN, AND WHAT WE

Page 20 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

ARE LEARNING NOW, IS THAT

AMERICANS STILL WANT MORE

CARE, MORE QUALITY, MORE

ACCESS, BUT AT LOWER COSTS.

SO, WHAT DO WE DO?

I BELIEVE WE ALL SHARE

THE SAME GOALS -- UNIVERSAL

ACCESS FOR ALL, IN A SYSTEM

THAT CONTAINS COSTS WHILE

Page 21 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

PRESERVING CHOICE AND THE

HIGH QUALITY OF CARE.

WE ALL WANT TO SEE

HEALTH CARE REFORM -- WE

ALL KNOW THAT WE CANNOT

SUSTAIN OUR CURRENT RATE

OF SPENDING -- AND WE ALL

KNOW THAT WE MUST FIND A

WAY TO BRING EVERYONE INTO

Page 22 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

THE SYSTEM.

THE AMERICAN PUBLIC

SHOULD EXPECT US, THEIR

ELECTED REPRESENTATIVES, TO

SEEK SOLUTIONS THAT

MAINTAIN THE FOLLOWING SIX

PRINCIPLES. THESE PRINCIPLES

SHOULD BE USED TO EVALUATE

ANY PLAN PUT FORWARD BY

Page 23 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

THE ADMINISTRATION OR BY

REPUBLICANS IF THEY ARE

FORCED TO DEVELOP THEIR

OWN ALTERNATIVE.

1. PROTECT QUALITY -- THERE

IS A REASON OUR HEALTH

SYSTEM IS THE ENVY OF

THE WORLD -- WHY PEOPLE

FROM EVERY COUNTRY IN

Page 24 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

THE WORLD SEND THEIR

YOUNG PEOPLE HERE TO

BE TRAINED, TO DO

RESEARCH; WHY THEY

FLOCK HERE TO YOUR

HOSPITALS FOR CARE --

THE REASON IS QUALITY.

THANKS TO OUR SEARCH

FOR QUALITY AND

EXCELLENCE, WE HAVE

Page 25 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

DEFEATED PLAGUES, MADE

SPARE PARTS FOR NEARLY

EVERY BODY ORGAN, YOUR

INTENSIVE CARE

NURSERIES AND CAN SAVE

THE LIFE OF THE SMALLEST,

FRAILEST NEWBORN. IN

OUR WISH TO LOWER

COSTS AND BETTER

MANAGE OUR RESOURCES,

Page 26 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

LET'S NOT THROW AWAY

OUR MEDICAL MIRACLES.

2. INCREASE ACCESS,

PRESERVE CHOICE, AND

FLEXIBILITY -- CONSUMERS,

NOT THE GOVERNMENT,

SHOULD BE THE ONES TO

MAKE CHOICES ABOUT

WHERE THEY GET THEIR

Page 27 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

CARE AND FROM WHOM.

AT THE HEART OF OUR

FREE MARKET SYSTEM, IS

OUR ABILITY TO CHOOSE.

IN HEALTH CARE, AS IN NO

OTHER INDUSTRY, THAT

CHOICE IS CRITICAL TO

MAINTAINING QUALITY

HEALTH CARE FOR YOU

AND YOUR FAMILY. AND

Page 28 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

CRITICAL TO MAINTAINING

CHOICE IS FLEXIBILITY IN

ANY SYSTEM. WHETHER ITS

THE ABILITY TO CHOOSE

BETWEEN HOSPITAL BASED

CARE OR HOME BASED

CARE -- OR THE ABILITY TO

DESIGN A SYSTEM

SPECIFICALLY GEARED TO

THOSE IN RURAL AMERICA -

Page 29 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

- WE MUST ALLOW THOSE

CHOICES AND THAT

TARGETING OF

RESOURCES.

3. PRESERVE JOBS -- THIS

MAY BE ONE OF OUR

TOUGHEST CHALLENGES.

WE ALL AGREE THAT WE

HAVE TO INCREASE THE

Page 30 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

NUMBER OF PEOPLE IN THE

COUNTRY WHO HAVE

ACCESS TO HEALTH CARE

AND HEALTH INSURANCE.

SOME WILL ARGUE THAT

MANDATES ON EMPLOYERS

IS THE ONLY OPTION. BUT

WHAT WE CAN'T AFFORD TO

DO IS PUT OUR PEOPLE OUT

OF WORK BY MANDATING

Page 31 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

AND TAXING SMALL

BUSINESS OUT OF

BUSINESS. EVERY SMALL

EMPLOYER I TALK TO

DESCRIBES THE

PRECARIOUS FINANCIAL

SITUATION THEY ARE IN --

ANOTHER PAYROLL TAX --

ANOTHER MANDATE-COULD

PUT THEM OVER THE EDGE.

Page 32 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

KEEPING PEOPLE AT WORK

AND KEEPING OUR

ECONOMY GROWING IS THE

BEST PRESCRIPTION FOR

BETTER HEALTH CARE

BENEFITS.

4. NO GOVERNMENT

CONTROLLED CARE -- ITS A

SHAME THAT SOME CRITICS

Page 33 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

HAVE TO BE REMINDED,

BUT WE ARE NOT SWEDEN

OR GERMANY OR EVEN

CANADA -- AND WE DON'T

WANT TO BE. YES, WE'VE

GOT REAL PROBLEMS. BUT

THEY REQUIRE AMERICAN

SOLUTIONS. MANAGED

COMPETITION -- AS IT HAS

BEEN DESCRIBED TO ME --

Page 34 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

BUILDS ON THE PRIVATE

SECTOR AND HELPS

PEOPLE MAKE BETTER

CHOICES ABOUT THEIR

FAMILIES AND WHAT THEY

NEED. THE GOVERNMENT

SHOULD BE THERE TO HELP

THOSE WHO NEED IT AND

HAVE NO OTHER

RESOURCES -- IT'S NOT

Page 35 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

THERE TO CONTROL OUR

LIVES. YES, PEOPLE WANT

THE SECURITY THAT AN

ILLNESS WON'T BANKRUPT

THEM. BUT, AMERICANS

DON'T WANT SOCIALISM

WHICH SOME ARE TRYING

MIGHTILY TO INSTITUTE

WHENEVER THEY CAN.

Page 36 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

5. CONTROL COSTS NOT CARE

-- GLOBAL BUDGETS AND

PRICE CONTROLS

TRANSLATE INTO REDUCED

QUALITY AND RATIONED

CARE. CONTROLS ON THE

PRICES OF HEALTH CARE

ONLY POSTPONES THE

NECESSARY

CONFRONTATION WITH THE

Page 37 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

UNDERLYING DEMAND THAT

HAVE PRODUCED THEIR

INCREASE.

UNFORTUNATELY,

CONTROLS ARE INEVITABLY

TARGETED AT THE

SYMPTOMS NOT THE

CAUSES. LET'S CREATE AN

ENVIRONMENT TO REDUCE

COSTS AND UTILIZATION

Page 38 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

THROUGH A BETTER, MORE

APPROPRIATE USE OF

SERVICES. LET'S PUT

RESPONSIBILITY ON NOT

ONLY PROVIDERS, BUT

ALSO ON EMPLOYERS AND

EMPLOYEES TO USE CARE

WISELY. LETS ENCOURAGE

PREVENTION -- LETS

ENCOURAGE BETTER

Page 39 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

MANAGEMENT OF CARE

AND RESOURCES. LETS

CHANGE FINANCIAL

INCENTIVES NOT CREATE

NEW BARRIERS.

6. REAL TORT REFORM -- IN

NO OTHER INDUSTRIALIZED

COUNTRY DO HEALTH CARE

PROVIDERS CONFRONT THE

Page 40 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

DAY-TO-DAY THREAT OF

LITIGATION. IT'S NO

WONDER PHYSICIANS AND

NURSES AND OTHERS FIND

IT HARD TO SAY NO WHEN A

PATIENT DEMANDS

ANOTHER TEST, OR ORDER

A TEST SO AS TO AVOID

THE CHARGE THEY DIDN'T

DO ENOUGH. THAT'S NO

Page 41 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

WAY TO DO BUSINESS.

NOW, LET ME BE CLEAR --

NO DOUBT THAT MISTAKES ARE

SOMETIMES MADE AND SOME

PATIENTS ARE FULLY

DESERVING OF PROTECTION

UNDER THE LAW, AND ARE DUE

PROPER COMPENSATION. BUT

AT SOME POINT, REASON MUST

Page 42 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

RULE. IT'S LONG PAST TIME

FOR THE DEMOCRAT MAJORITY

ON CAPITOL HILL TO STAND UP

TO THE TRIAL LAWYERS

ASSOCIATION AND SAY,

ENOUGH IS ENOUGH! IT'S ALSO

TIME FOR US TO CREATE A

LEGAL ENVIRONMENT THAT

ENCOURAGES HOSPITALS AND

OTHER INSTITUTIONAL

Page 43 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

PROVIDERS TO USE THEIR

RESOURCES IN WAYS THAT

REDUCE COSTS, MAXIMIZE

ACCESS AND REWARD

INNOVATION.

THIS YEAR, AS YOU KNOW,

WE ARE DISCUSSING 11 MANAGED

11 COMPETITION , WHICH SOME

SAY WILL CONTROL COSTS

Page 44 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

WHILE BRINGING EVERY

AMERICAN INTO THE SYSTEM. I

HAVE TO BELIEVE THAT MANY

AMERICANS -- INCLUDING SOME

IN GOVERNMENT -- ARE

UNCERTAIN OF WHAT MANAGED

COMPETITION IS, OR HOW IT

REALLY WORKS. I, FOR ONE,

HAVE QUESTIONED HOW

MANAGED COMPETITION WILL

Page 45 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

WORK IN RUSSELL, KANSAS, OR

ANY RURAL AREA, OR INNER

CITY, WHERE THERE ARE ONLY

ONE OR TWO DOCTORS.

AND, THERE IS CONCERN

BY MANY THAT MANAGED

COMPETITION WILL REDUCE THE

ABILITY OF AMERICANS TO

CHOOSE THEIR PROVIDERS, OR

Page 46 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

WILL LEAD TO RATIONING OF

CARE. THESE ARE ISSUES THAT

WILL HAVE TO BE ADDRESSED.

THE CHALLENGE NOW IS TO

DEVELOP A FAIR AND

EQUITABLE HEALTH CARE

STRATEGY TO MAKE HEALTH

CARE AVAILABLE TO ALL

AMERICANS THROUGH A

Page 47 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

COMPETITIVE PRIVATE SECTOR

HEALTH CARE SYSTEM.

PERHAPS THE REAL

CHALLENGE IS TO ACCOMPLISH

THIS WITHOUT RAVAGING THE

ECONOMY -- WITHOUT HURTING

BUSINESS -- AND WITHOUT

FURTHER STRAINING OUR

BANKRUPT ECONOMY. IT'S

Page 48 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

PRE I I Y EASY TO PROMISE

EVERYBODY EVERYTHING, BUT

THAT KIND OF PROPAGANDA

WILL ONLY HELP MAKE THE

CRISIS A PERMANENT ONE.

THIS DEBATE CAN NOT

DISINTEGRATE INTO A POLITICAL

CONTEST. IF IT DOES, THE

AMERICAN PEOPLE WILL BE THE

Page 49 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

LOSERS. THE AMERICAN

PEOPLE WANT ANSWERS AND

SOLUTIONS, AND THEY DON'T

CARE WHICH PARTY TAKES

CREDIT. CLEARLY, WE HAVE TO

WORK TOGETHER -- PROVIDERS,

BUSINESS, INSURERS,

CONSUMERS, AND THE

GOVERNMENT.

Page 50 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

I AM CONVINCED THAT

REFORM CAN TAKE PLACE --

AND I AM CONVINCED THAT IT

CAN BE DONE WITHOUT

CREATING VOLUMES OF NEW

REGU.LATIONS.

NO DOUBT ABOUT IT, THE

ADMINISTRATION AND

CONGRESS MUST WORK

Page 51 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

TOGETHER ON REFORMING OUR

NATION'S HEALTH CARE

SYSTEM. AND REPUBLICANS

ARE READY TO ROLL UP OUR

SLEEVES AND FACE THE

DIFFICULT DECISIONS THAT

MUST BE MADE.

THE PRESIDENT HAS DONE

THE RIGHT THING BY MAKING

Page 52 of 99 ------=------~~...__.__.,. This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

HEALTH CARE A TOP PRIORITY.

NOW COMES THE HARD PART:

LEADERSHIP. FOR THE NEXT

FEW MONTHS, THE HEALTH

CARE CHALLENGE WILL BECOME

A REAL TEST OF HIS

LEADERSHIP ABILITIES. THE

PRESIDENT CAN TRY TO GO IT

ALONE. HE CAN SHUT OUT THE

EXPERTS. HE CAN WELCOME

Page 53 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

ONLY HIS DEMOCRAT ALLIES TO

THE OVAL OFFICE, BUT THAT'S

NOT LEADERSHIP. THE

AMERICAN PEOPLE WANT

ACTION, THEY WANT RESULTS.

IF THE PRESIDENT LISTENS TO

THE PEOPLE, HE'LL GET THE

MESSAGE. IF HE DOES, WE'LL

ALL BE PLAYERS. IF NOT, WE'LL

ALL BE THE LOSERS. THAT

Page 54 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

WOULD BE A DISASTER.

I CAN ASSURE YOU THAT

REPUBLICANS CONTINUE TO BE

FULLY COMMITTED TO

REFORMING OUR HEALTH CARE

DELIVERY SYSTEM. WE

CONTINUE TO MEET ON A

WEEKLY BASIS AND WILL

REMAIN COMMITTED UNTIL

Page 55 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

HEALTH CARE COSTS ARE

CONTAINED AND ALL

AMERICANS HAVE ACCESS TO

THE SYSTEM. WE MAY BE

LOCKED OUT OF THE WHITE

HOUSE, BUT WE REFUSE TO BE

LOCKED OUT OF THE DEBATE.

IF THE WHITE HOUSE REFUSES

TO INCLUDE THE FEDERATION

OF AMERICAN HEALTH SYSTEMS

Page 56 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

AND EVERY OTHER GROUP OF

PROFESSIONALS, THEN IT'S TIME

TO TELL THE WHITE HOUSE IT

NEEDS A CHECK-UP.

AGAIN I THANK YOU FOR

YOUR EFFORTS, AND LOOK

FORWARD TO WORKING WITH

YOU.

Page 57 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

Page 58 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

Page 59 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu CONTENTS

Chairman's Message

1993-94 Federation President's Message

Executive Director's Report

Positions and Policies: The Federation on Major Health Care Issues

About The Federation 8

FAHS Committee Structure 12

Investor-owned Industry Faces an Era of Change 14

Directory of Investor-owned Health Systems 22

1993-1994 FAHS Officers and Board of Directors

Board of Governors

FAHS Offices and Staff 32

Page 60 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

he Federation's agenda based health reform that holds costs in 1992 was devoted primarily to in check, increases access to care, preparing for the upcoming health and maintains the traditional excel- reform debate of 1993. Through a lence of that care. well-planned strategy of federal, Spreading that message has been legislative and community relations, an integral part of my 1992-93 term the Federation has carved out a as FAHS President, via the promo- solidly based position with the poli- tion of the Business Outreach cymakers in Washington. Our role Program among our hospital and in the past year has been to forge corporate executives. I am pleased new relationships as we fortify the with the heightened awareness wit- old. We must act on the strength of nessed in voters during the 1992 these foundations in 1993 to become elections, when health care became an ever more serious and influential one of the top-priority issues for contender in the battle over health both Presidential and Congressional care reform. candidates. I look forward to seeing The Federation's cooperative the further expansion of this pro- efforts with such coalitions as the gram into the legislative realm. Healthcare Leadership Council FAHS members at all organizational (involving the participation of some levels should seize the opportunity of our own company CEOs) are to make inroads with their elected especially beneficial in uniting representatives while these men and health care leaders in the campaign women are formulating opinions on to bring about responsible reform. the direction health care reform Diverse members of the health care should take in 1993. At stake in the industry, representing insurance, debate is the very framework of our providers, pharmaceuticals and sup- health care system. If we act with pliers, have signed on together with discipline and resolution, the advan- their counterparts in business to tage can be ours. achieve a common goal - market-

"Members ... should seize the opportunity to make inroads with their elected representatives."

Victor L. Campbell 1992-1993 President 1993-1994 Chairman of the Board Federation of American Health Systems

Page 61 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

way to accomplish this task without sacrificing quality is by creating new incentives for all through managed competition. This concept envisions a system wherein health prob- care insurers and providers are lem be- forced to compete within the market fore them. for subscribers and patients, who in Meanwhile, that turn have increased accountability problem grows more for their health care choices and critical each day, as health their costs through changes in tax care costs increase and more and treatment. Such a realignment of our more Americans lose their insurance health care system's current incen- coverage and face illness and pover- tives would expand coverage, bring ty without proper medical care. Our costs within a reasonable scope and health care system is under fire, and "Our message is simple. ensure the sustenance of quality care reform is necessary and inevitable. for all Americans. Recognizing this, the hospital Increase access for all The onus of preserving that industry must make a concerted which is best in our system while effort to have its voice heard both in Americans to quality health correcting what ails it is upon the the halls of Congress and in the industry today. We must participate White House, demanding the preser- care, while embracing in the debate by offering real solu- vation of quality care unrivaled by tions to the crisis. During my term the concept of the world's other health care sys- as FAHS President, I will actively tems. The extension and refocusing promote the accelerated involve- & managed competition of the Federation's Business Out- ment of all FAHS members in the 2 3 reach Program, "Making Health legislative process. The Federati?n to contain costs." Care Reform Work: Let's Do It serves as its members' resource m Right," into an approach for legisla- this effort, offering its staff and tive communication by our hospital information to assist in preparing for administrators and corporate execu- this critical contact with our elected tives can prove to be our most effec- representatives. Yet the task of get- tive weapon in our battle on behalf ting the message before our elected of responsible health care reform. leaders fa ll s upon the industry's Our message is simple. Increase shoulders as a whole. I look forward access for all Americans to quality to my term as an opportunity to lead health care, while embracing the the hospital industry in its endeavor concept of managed competition to to advance a sound and efficient contain costs. The Federation be- solution to the current crisis in li eves that any plan calling for a health care while protecting the he year 1993 brings government takeover or even an quality which has come to be~ hall- us a new President and Administra- expanded federal regulatory role mark of our system. I am confident tion, a reorganized Congress and, wou ld seriously undercut the ability we can accompli sh that goal with with them, "a new beginning." Not of our system to continue to provide the vigorous, unified support and since 1965, with the advent of Med- the level of high-quality care Amer- involvement of our members. icare, has health care reform provid- icans deserve and have come to ed the rallying cry for change a- expect, and undermine competitive mong voters in quite the way it did marketplace success. in the elections of 1992. Our newly But our system has its flaws and elected representatives in Washing- is in desperate need of repair. We ton from the White House to the can write a conclusion to the seem- Co~gress, have heard the call and ingly never ending story of rising W. Randolph Smith are certain to turn their attention and costs and diminishing health insur- 1993-1994 President energy to forging a solution to the ance benefits. The most effective Federation of American Health Systems

Page 62 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

beneficial compromise, and the overwhelming necessity for change serves as a constant reminder to each of us. The problems plaguing our health care system are numerous. Medicaid covers onl y a fraction of the fami lies and individuals in need of fi nancial health care assistance; 60 percent are left outside the um- brella's protection. Simultaneously, states try to economize by setting prohibitive eligibility standards and still come up short. While we wit- ness the "graying of America," the ~ cs of health Medicare program stands in disarray, "Patients must have a reform in 1992 has changed its routinely compensating providers dynamic in 1993. A new Admin- below the real cost of their services. financial stake in the cost of istration and Congress, infused with And perhaps the greatest injustice is a mandate for change from the elec- the amount of potential revenue lost their care; physicians and torate, appear clear-sighted and - billions of dollars - as higher in- ready to accept the challenge before come workers enjoy an open-ended hospitals must be induced to them. President Clinton made a subsidy granted to employer-provid- pledge to introduce a health reform ed insurance premiums. deliver only necessary care, bill within the first 100 days of hi s If the policymakers in Washing- term. On the opening day of the ton are truly to attain the lofty goal and insurance companies 103rd Congress at least 16 bills of reform that their constituents are were introduced relating to health demanding, they must be willing must be encouraged to care. first to step out on a political limb. minimize administrative costs The real test for our elected They must address the faulty incen- representatives will be to follow tives entwining our system. The pre- and maximize through on what are now just pro- carious situation we are in today is mises and make meaningful health due in large part to how our health consumer satisfaction." care reform a reality. For the first care system virtually discourages time in many years, the prevailing cost-effective decisionmaking by spirit among the interested parties in patients, providers and insurance the debate bodes well for success. companies. Policy makers must be The voters have articulated their shown how managed competition concern; members of Congress, reforms could realign incentives for elected on a wave of anti -i ncumbent all parties. Patients must have a and anti-gridlock sentiment, appear financial stake in the cost of their to be responsive to that public opin- care; physicians and hospitals must ion; various sectors of the industry be induced to deliver only necessary are softening their self-protective care, and insurance companies must stances to search for a universally be encouraged to minimize adminis-

Page 63 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu trative costs and maximize con- strengths of our system through the thron is administrative assistant for sumer sati sfaction. market-based reforms of managed meetings. Kirk Clayborn, director of Meaningful debate was stalled in competition. sales and marketing, handles our 1992 by Congress' inability to ven- The Federation will work to national exposition held in conjunc- ture beyond partisan feuding. A accomplish these goals through the tion with the annual conference and marriage of political convenience dedicated service of staff me mbers works with our associate members. was struck when the concepts of each well versed and accepted in He is assisted by Pearl Jones, cus- global budgeting and managed com- their fields. W. Campbell Thomson tomer services coordinator. Helen petition were melded into a s ingle oversees our communications opera- Garvin is assistant to the controller; bill. Continuing this misguided tions and administrative functions. the receptionist is Melody Durham. strategy during 1993 will lead to Mary R. Grealy, Esq., directs the Health Systems REVIEW, a sub- total derailment of the debate. Federation's policymaking activities sidiary of the Federation, is edited Global budgets and price controls in as executive counsel; Lynn Hart by John Herrmann. Jennifer L. principle re move the incentives directs our federal legislative efforts Smith is the assistant editor, and essential for a competitive market to on Capitol Hill; Patricia J. Carmack Shirley Brainard is the production function effectively. Under global handles our public affairs activities coordinator. Martha Hahn is director budgeting, consumers would remain and, along with Communications of advertising. Health Systems isolated from the financial ramifica- Assistant D. Brooke Leonnig, works REVIEW's circulation manager is tions of their health care decisions; with administrators in support of our Brenda Emerson. providers would benefit from the grassroots program. Christine M. Members may be confident that quantity - not quality - of care Solomon works with FAHS mem- with this dedicated and experienced delivered, and in surers would be bers and the 50 state hospital associ- staff we will continue to work to obliged only to offer a package ations to keep track of state legisla- make 1993 a productive and au spi- whose price tag falls just under the tive and regulatory matters. cious year for the investor-owned ceiling set by the national health Roseanna Thoman guides the hospital industry. board, thereby transforming it into a office in her capacity as Adminis- floor. trative Assistant; Catherine Walton Prevention of further political provides support to the Executive gridlock lies in allowing reoriented Council and Director of Federal tax incentives and managed compe- Legislation; Priscilla Ross provides tition to work together to control research assistance to members and costs and extend coverage to more support to the Director of State 11::!:!~~Executive Director Americans. The FAHS I 0-point Legislation; and Jacquie Whitley Federation of American 4 &5 plan (see p. 7) also endorses other supports the daily operations of the Health Systems steps we can take to put our system Federation' Washington office. back on track. Malpractice laws The support of the Adminis- must be revamped; federal standards trative and Member Services Office must be set for Medicaid eligibilty; in Little Rock enables our Washing- state laws mandating benefits must ton staff to concentrate on legisla- be preempted; the Medicare pro- tive and regulatory efforts. Cindy gram must embrace cost-effective Lasater directs the staff, following health network plans and tax its the retirement this year of Dorothy wealthiest beneficiaries for benefits (Dottie) McAllister. The controller received; treatment protocols must is Charles White. Judy Gray is our be developed and information on membership coordinator. Julie Caw- practice patterns shared with the public, and state laws limiting the development of managed care sys- Bromberg talks with reporters following an FAHS press conference. Pictured tems must be banned. from left to right: Modern Healthcare's Karen Peti11e and AHA ews' Linda The burden to reach a consensus Oberman. on health care reform is on Con- gress. The burden to assist them in making an informed decision, and to make known to them the poten- ti al havoc global budgets and price control s would wreak on the quality of health care delivered in the U.S., is on our industry. The year ahead wi ll be one of challenges for each of us. And we all must remain active in the struggle to preserv e the

Page 64 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu As we enter 1993, the dialogue among the critical players is becoming decidedly more focused. Finally, health reform, the center of such serious public and political concern, has risen to a position of prominence sec- ond only to jobs and the economy. The Year in Review Federation of A . The opening of 1992 foreshad- mencan Health Systems owed its conclusion as President Bush considered both tax code DATIU.INg: Wash. changes and managed care as possi- J. ngton , o.c. ble starting points for health care reform. Other concepts were presented throughout the year, but any concrete action was stalled by partisan politics and the resulting Con- gressional gridlock. When they weren't dissenting over the basics of health care reform, members of Congress turned their attention to the federal budget. A proposal to cap entitlement spending better to curb the spiralling costs of such informed programs as Medicare and Medicaid and was rejected by the Senate only involved through procedural maneuvering. In cast of a further move to restrain spending, legislators, especially on entitlements, the push a new Pres- for a balanced budget amendment ident promis- also gained favor in the House, but ing to play a ultimately went nowhere. With the leading role and frustration on Capitol Hill about an electorate offer- curbing health care costs, the threat ing its rapt attention. to entitlement programs is certain to As health reform endure into 1993. took its position on cen- Under constant scrutiny, a num- ter stage over the past year, ber of modifications to the Medicare the Federation lobbied and Medicaid programs were Congress against further gov- advanced in 1992. The proposed ernment intervention in health changes to Medicare included the care, as embodied in numerous reinstatement of a separate reim- ' · proposals advocating a single-payer bursement for EKG interpretations, system, "play-or-pay" and Medicare- the limitation of geographic reclassi- for-all. Raising public awareness, fication for hospitals and the phase- especially in the business communi- in of HCFA's realignment of pay- Positioning Health ty, was a vital aspect of our campaign ments to outliers, providing more for responsible health reform. The for cost outliers and less for day out- Reform overriding goal of the FAHS grass- liers. These measures never made it roots plan, "Making Health Care into law as the bill to which they The Federation's efforts in 1992 Reform Work: Let's Do It Right," were attached, an urban aid mea- were predominantly devoted to par- was to assist our hospital administra- sure, was vetoed by President Bush. ticipating in Washington's dress tors in reaching out to their commu- Despite efforts for reform, Congress rehearsal for health care reform. nities to inform them on the issues strengthened Medicaid's "best Members of Congress, presidential and prepare them for the corning price" drug policy, under fire for candidates and industry leaders debate. Employees, patients and the escalating costs to providers not eli- spent the year practicing their lines, business community were targeted in gible for its discounts. All of the introducing various proposals, but the effort to present the real choices above issues are sure to resurface in never quite mustering the resonance to the people. All segments were Congress' 103rd session. necessary to pass any of them into urged to make their views known to law. Fortunately, the net result is a their members of Congress.

Page 65 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

competition had grown exponen- The New Agenda tially.President-elect Clinton had for Reform embraced the concept's benefits, The FAHS 1O·Point Even with the past year's as had both the Business Round- Reform Plan absence of enacted legislation, table and the National Federation significant ground was covered in of lndependent Business. A com- HEALTH CARE COVERAGE SHOULD BE positioning health care reform panion measure to the CDF bill hi gh on Washington's priority li st. had been introduced in the Senate UNIVERSAL AND SHOULD BE FINANCED While the different factions in by Sens. Boren (D-Oklahoma) BASED ON ABILITY TO PAY: Congress offered an assortment of and Breaux CD-Lo ui siana). The ill-fated proposals rangi ng from AMA's House of Delegates voted •Reform Medicaid by setting a play-or-pay to global budgeting, a in favor of managed competition minimum benefits package and and against global budgets. And group of moderate House Demo- standardizing eligibility require- the Progressive Policy Institute, crats came forward with their plan ments; for managed competition. the think tank of the Democratic Shepherded by Rep. Jim Leadership Council (which •Create new tax incentives Cooper CD-Tennessee), the Con- Clinton helped found and to extend servative Democratic Forum's chaired), endorsed managed com- employment-based health coverage "Managed Competition Act of petition without global budgets in to all tull-time workers; and 1992" provided a sound alterna- its book of advice for the incom- tive for politicians averse to back- ing Clinton administration, • Devise a national safety net to Mandate ing government takeover of the for Change. Going one protect individuals from the high step further, both the National health care system and the global cost of catastrophic illness. budgets and price controls inher- Governors Association and the ent to such an arrangement. As Health Insurance Association of 0NLY A COMPETITIVE MARKETPLACE the debate proceeded throughout America declared their support the year, the concept of managed for a tax cap on employer-provid- WILL CONTAIN HEALTH CARE COSTS competition gained progressively ed insurance benefits. WITHOUT DESTROYING QUALITY: more support. At mid-year, As longtime advocates of Democrats used a "veto-bait" market-based reform through • Limit the amount of health insur- strategy to gain enough support to changed incentives, Federation ance premiums that employers and members can be encouraged that pass a price control bill through employees may deduct or exclude the Ways & Means Health other leading organizations are from taxable income; Subcommittee. The bill fai led to now considering - and in some garner the necessary support to be cases embracing - these propos- 6 &7 brought to the House floor. als, some of wh ich seemed so far- • Eliminate the current state-level Meanwhi le, the American reaching when they were adopted regulatory barriers that impede the Medical Association gave its by our Board of Governors over development of managed-care informal endorsement to managed the past 10 years. Nevertheless, plans; care and the use of HM O's. the real battles are yet to be waged, so the Federation now By year's end, growth in the • Eliminate state-mandated benefits numbers championi ng managed must intensify its campaign to promote responsible health care above the basic benefits package; reform. If we are successful, the industry, our patients and the • Privatize Medicare and Medicaid nation are certain by converting them to programs to benefit. tliat buy health (OVERAGE instead of health SERVICES;

•Tax the actuarial value of Medicare benefits for wealthy beneficiaries;

• Accelerate the development and use of "best practice" treatment standards; and

• Eliminate the high cost of defensive medicine by capping malpractice awards and creating an arbitra- tion system .

.. Mandate for Change, produced by the Democratic Leadership Council's L..,,;:/I Progressive Policy Institute, endorses managed competition as the most effective solution to our health care system crisis. Page 66 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

The Fed erati on is governed by an Executi ve Committee of six me mbers, a B oard of Directors of up to 20 members, and a Board of G overnors of over 150 members. Several standing committees make r ecommendati ons to the leaders hip on a vari ety of issues and projects, a nd special or over a quarter of wide sp ectrum of i ssues rang ing committees and task fo rces are or ga- a century, the Fed eration of Ame ri- fro m overall nati onal h ealth policy ni zed as the need a ri ses. It is can Health Systems has re prese nted to sp ecific issues in volving the th rough thi s structure that Fede ra- the in vestor-owned h ospital a nd Medicare and Medicaid programs. ti on po li cy and legisla ti ve and r egu- health care s ystems industry, con- The Fed erati on's primary f unc- latory st rategy are d eveloped. sisting of more than 1,400 institu- ti on is to serve as the in vestor- Activities and services conduct- ti ons in all 50 states , the Di strict of owned h ospital industry's ad vocate ed by the Fede ration for the industry Columbia, Puerto Ri co and 11 for- to Congress, the Executi ve Branch, include: eign nations. the me dia, acade mia a nd the public. In that time, it has become an It is the clearinghou se from which important health care po li cy devel- Fede ration me mbers a nd others m ay Annual Conference and opment organi zation, a ddressing a obtain vital information on health Business Exposition care iss ues and industry The Annual Conference and positions, po li cies a nd Business Exposition, he ld each stati sti cs. spring, is w idely r egarded as one of

Col111nbia Hospital Corp.' s Vista Hills Medical Ce111er in El Paso. Texas.

Community Hea lth Syste rns' Scott County Hospital in Oneida, Tenn essee.

National Medical Enterprises' No rth Shore R egional Medical Center in Slidell. Louisiana.

Page 67 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

FAHS Director of Federal Legislation Ly1111 S. Hart meets with Senator David Pryor (D-A rkansas).

the health industry 's finest policy forums. The Conference program features the discussion of pi votal health issues by high-ranking representatives from Congress, the Exec- utive Branch, the business community, the health care industry and the news media, and participation by those who manage on a day-to-day basis the government programs that are critical to the industry. An Expo- sition program that is unique to the industry affords improved communications between providers and Hillary Cli111on. named head of Preside111 Clinton's Task Force 011 suppliers on both policy and com- Natio;wl Health Care Reform. meets here with Davide M. Carbone, mercial matters. The growing suc- executive director of Humana Hospital-Biscayne in Aventura. Florida. cess of the exposition may be credit- while 011 a whirlwind tour of South Florida during her husband's presidential campaign. ed to the participation of multi-facility health care system executives from the entire hospital industry. and operations information, and The Federation's annual educa- Research hospital industry developments; and tional workshop program, a tradition The Federation conducts re- the annual Directory of fn vestor- of the afternoon schedule, has been search on various health issues and owned Hospitals, Residential lauded for the value of its curricul a prepares position papers and other Treatment Facilities and Centers, and the knowledge and expertise of informational literature relating to Hospital Management Companies its faculty. The 1993 Conference the industry. The Federation also and Health Systems. and Exposition will be held in sponsors polls and surveys, and HOTLINE, a biweekly newslet- Wash ington, D.C. compil es health and economic sta- ter of Washington events is read tistics about and for the industry. widely not only throughout the Media Relations health care industry, but also on The Federation fi elds questions Publications Capitol Hill. about the industry and health pol icy The Federation (through a sepa- Other publications include this from the press and sponsors periodic rate corporation, FAHS Review, Annual Report, State-to-State, a monthly newsletter reporting on informal briefings with the Wash- Inc.) publishes Health Systems ington media. Officers and staff of REVIEW magazine, a bimonthly health care-related legislative and the Federation frequentl y meet with features publication th at offers regul atory events in the 50 states, editors and reporters in various health policy news and analysis, and Grassroots in Action, an occa- communities across the country. multi-hospital systems management sional report of the legislati ve and

Page 68 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

business outreach acti vities of FAHS members in the fi eld . FAHS Executive Counsel Mary R. Crealy , Esq., met with Senator John McCain (R-Ari:ona) during the 1992 Legal Services Annual Conference and Business Exposition in Las Vegas, Ne vada. The Federation mo nitors legal acti on in volving the h ealth care industry and enters litigati on at the direction of the or gani zation 's leadership. "Fed Pac" FedPac is the Federa ti on 's poli t- ical action committee. Its role has increased proporti onately w ith the Federati on's ongoing effort to he lp shape government decisions that ealth care industry. Featured speakers during a session affect the h on Total Quality Manageme/I/ at In the 1 994 electi on cycle, Fed- the Federation's 1992 Annual Con- Pac will contribute approx imately ference and Business Exposition $200,000 to candidates fo r the U.S. Federation of American Health Systems included (r to I) Victor Campbell, Senate a nd House of Representa- 1992 FA HS president and Hospital Corporation ofArnerica vice presi- ti ves who s upport a plura li sti c OTAL QUALITY MANAGE de111 of corporate relations; health care system a nd recogni ze Sponsored By Corning Inc. Chairman and CEO the importance of in vestor-owned tjMERCK James Houg hton, and Joint institutions to Amer ica's health care !;, ,., ~SIOrl Commission on Accreditation of system. Healthcare Organi:ations President Dennis O'L eary, M.D. Membership The Federati on offers fo ur cate- gori es of members hi p: ( 1) institutional, (2) associate, (3) indiv idual (per sonal and student) and (4) affil - iate. Membership cri teri a for insti- the grand opening of Celebrating ies of Continemal Medical Systems' tutional and some categor Central Arkansas Rehabilitation associate members in cl ude accredi- Hospital in Sherwood.former tation by the Joint Commission on Arkansas Governor Clinton wel- Accreditation of Healthcare Organ- comes CMS Chairman & CEO izations (JCAHO); or the American Rocco A. Orten: io with the "Arkansas Traveler Award," for Osteopathic Association (AOA), or visiting dignitaries. Medicare or Me dicaid certifi cation. The "affiliate" category is a "by inv itation onl y" category for leading h ealth care companies that share the Federati on 's phil osophies and goals. Affiliates are entitl ed to voting representation on the Feder- ation's Board of Directors. CIG A and Beverl y E nterprises are affi li- ate members. James Todd, M. D., ealthTrust (Left to right) H executive vice president of the Chairman, President & CEO R. Clayton McW/10rter ; Hospital Ame ri can Medical Association, Corpo.ration of America Chairman. represents the AMA on the Fed- Preside/I/ & CEO Thomas F. Frist, eration Board. Jr .. M.D .. and Represe111ative Jim Information about membership, Cooper (D-Tennessee) disrnss health care reform at a recent the annual conference and adminis- forum. trative matters may be obtained from the Federation's Administra- tive Office in Little Rock, Arkansas. The Federation's primary acti vities, including legislation, regulation and

Page 69 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu communications programs, are con- ducted in the national office in Washington, D.C. Michael D. Bromberg has been the Federation's executi ve director since 1969.

Page 70 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

ment Commission (ProPAC) on payment policies for Medicare, CHAMPUS and other federal health The Buyers/Suppliers Expo provides 0 unique format for top exewtives of management companie~, hospital and health systems, and supplier groups to consider newbusiness optwns while servmg as each other s hosts. programs. Adjuncts to the committee are the Health Financing Steering Committee, the Capital Payment r1 Universal.Health Service.s' Executive .... Vice President Sidney Miller meets Subcommittee, the Outpatient with a potential supplier durin g the Payment Subcommittee and the Buyer/Supplier Exposition at the 1992 Hospital Information Subcom- Annual Conference. mittee. The committee and subcom- mjttees are staffed by Federation's Director of Federal Relations.

of the Fraud & Abuse Board of Governors serve Task Force two year terms. This important panel has been Here's a look at the focal point for the association's the key committees that are the response to the government's initia- underpinning of our organization. tives in the Medicare and Medicaid fraud and abuse area. Since 1989 Federation's volun- this task force has spent countless ~lie Legislative Committee hours deliberating the government's tary membership committee struc- The Legislative Committee proposed "anti-kjckback" (safe har- ture has long been the backbone of plays an important role in develop- bor) regulations for the Medicare the organization. In recent years, ing Federation legislative proposals. and Medicaid programs. The task though, the involvement of mem- Members communicate to their hos- force also formulated the Feder- bers in "the field" has become more pital and corporate officials event_s ation's position on the subj ect and critical and intense, as the issues on the legislative front and ways in advised the Federation on its strate- facing our industry have grown both which member hospitals can support gy for monitoring federal legisla- in complexity and importance. our efforts. tion affecting physician ownership Typically, the volunteers who The committee is staffed by of and referral to health care facili- serve on Federation committees Federation Legislative Director ties. The task force is staffed by include officers in the management Lynn S. Hart and State Legislative Mary Grealy, Esq., Executive areas of operation, government rela- Director Christine M. Solomon. Counsel. tions, public affairs and finances; hospital chief executive officers, marketing officers and materials Health Financing Rehabilitation managers. Committee Hospitals Officially, the Federation com- Committee Analyzing the regulations and The Rehabilitation mittees meet twice annuall y - at the Hospitals regulatory proposals issued by the Committee was created ann ual conference and at the annual in 1991 at federal government is the responsi- the FAHS Board Board of Governors' meeting. But of Governors bility of the Health Financing meeting. The Committee was estab- many committees convene far more Committee. It develops recommen- lished to focus regularly, especially when fast-mov- specifically upon the dations on regulatory changes pro- legislative and ing legislative or regulatory devel- regulatory issues and posed by the Health Care Financing concerns opments warrant prompt committee facing rehabilitation hos- Administration, the Department of pitals. deliberations and recommendations The goal of the committee is Defense, the Department of Veterans to explore topics such as Medicare/ to the Board of Directors. Members Affairs and the Prospective Payment

Page 71 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

Medicaid reimbursement, access effort, these committees have helped and quality of care, and regulations Quality Task Force maintain membership levels and involving managed care and fraud The Task Force on Quality provide oversight to the Federation's and abuse. During 1993, this com- addresses quality-related issues as financial affairs including being mittee will focus on the roles of they affect the investor-owned responsible for the Federation's acute and subacute rehabi litative industry. Specific tasks include healthy cash reserve. Staff to both care. Christine M. Solomon staffs working with the Joint Commission committees are Campbell Thomson, this committee. on Accreditation of Healthcare Cindy Lasater, Charles White, con- Organizations and assessing govern- troller, Judy Gray, the Federation's Psychiatric Hospitals ment quality-related information membership coordinator, and Julie and initiatives data. Cawthron, administrative assistant - Committee meetings. As the role of psychiatric hospi- Exhibitors Committee tals in the industry has grown, so A major contributor to the con- Health Systems REVIEW has the importance of the Psych- tinuing financial success - and the iatric Hospitals Committee. The prestige - of the Federation is the Board of Directors committee works to promote interest annual Exposition. The Exhibitors Health Systems REVIEW maga- in mental health issues, to protect Committee, comprised of national zine, published by FAHS Review and enhance the quality of mental sales and accounts managers and Inc. , a wholly-owned, for-profit sub- health services, and to ensure that senior executives from both in- sidiary of the Federation, continues psychiatric institutions are paid ade- vestor-owned health systems and to grow in stature and circulation. quately for their services. This com- major suppliers, plans the exposition FAHS Review Board, comprised of mittee has devoted much of its time and also is responsible for the the top leadership of the Federation, to the issue of inpatient admission to Buyers/Suppliers general sessions identifies issues, trends and helps psychiatric facilities of teens and and workshops at the annual Con- with story development and over- adolescents. The committee also has ference. Among its recent achieve- sees the magazine's budget. addressed various proposals aimed ments, the Exhibitors Committee Staffing the board are Health at regulating utilization review orga- pioneered a new concept in hospital Systems REVIEW Editor John nizations. Mary R. Grealy and industry trade shows by having Herrmann, Campbell Thomson, Christine M. Solomon staff this major for-profit and not-for-profit Cindy Lasater, Director of Adver- committee. systems and organizations acting as tising Martha Hahn, Assistant Di- hosts for the product suppliers in rector for Communications Pat Public Relations attendance. Carmack, Carl Weissburg, the Fed- This committee is staffed by eration's general counsel, and Julie 12 & 13 Committee Cindy Lasater, director of adminis- Cawthron. The Public Relations Committee tration, Kirk Clayborn, director of functions as a clearinghouse of marketing and sales, and Campbell information for and about the in- Thomson. vestor-owned industry. The commit- Having served in the Federation's LiIlle Rock office for twenty-two years, most tee has been involved actively in the recently as Director of Administration, current grassroots effort to educate Administrative Affairs Dorothy (Dollie) McAllister is pictured the public about health care reform. and Audit Committees here celebrating her retirement with 1976 FAHS President John A. Bradley, Ph.D. Throughout 1992 and into 1993, the The Administrative Affairs and PR Committee's challenge has been Audit Committees hold the Fed- and will be to project the message eration together. Through dedicated that America's health care system must not be sacrificed on the altar of Members of the Psychiatric Hospitals deficit reduction. This committee is Committee convened durin g the 1992 staffed by Campbell Thomson, Annual Conference. (Pictured in center deputy director for communications, from left to right: commillee staffpersons Christine M. Solomon, FAHS director of Pat Carmack, assistant director for state legislation, and Mary Grealy, FAHS communications, and Health executive counsel; and Commillee Systems REVIEW Editor John Chairman Richard Conte, Community Herrmann. The Business Outreach Psychiatric Centers chairman & CEO. Task Force developed and continues the implementation of the Federa- tion 's business outreach program, "Making Health Care Reform Work: Let's Do It Right."

Page 72 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

r1 A featured speaker at the 1992 annual meet- .... ing in Las Vegas, James S. Todd, M.D., American Medical Association Executive Vice President and FAHS Board member, shared his vielVS during a session entitled, "Th e Impact of Cost Controls 011 Provider Behavior. " Stuart Altman, Ph.D., chairman of Prospective Payment Assessment Com - mission. is seated to Dr. Todd 's left.

(8.3 percent). Data pro- jections by the Federation indicate that investor-owned hospitals absorbed $760 million in pilation deadline for the 1993 charity care and bad debt. Taxes acute- A Stalwart Industry Directory of Investor-owned paid for the investor-owned Hospitals, Residential Treatment care hospitals for that year are esti- Facing an Era of Facilities and Centers, Hospital mated at $544 million total, with net Management Companies, and income at $920 million and net rev- Change enues around $19.4 billion. Confronted by a changing health Health Systems.) care system on the edge of broad- based reform, the investor-owned Industry Trends A Survey of hospital industry steadfastly main- The percentage of hospital busi- the Industry tained its base in 1992 and actually ness from managed care contracts Data in the 1993 Directory show gained six facilities. Both the do- continued to grow in 1992, with that the investor-owned industry is mestic independently-owned and many hospital executives estimating currently comprised of 87 manage- foreign markets experienced a slight that 25 percent of their current busi- ment companies and five subsidiar- increase in number of hospitals, ness falls under some form of man- ies, representing a four company and seven and 14 respectively. The do- aged care contracting. In order to one subsidiary decrease from 1992's mestic management-company function in this cost conscious atmos- aggregate total of 97. (A manage- owned hospital market, however, phere, the hospital industry has re- ment company is defined as an in- showed a decline of 15 facilities and sponded with proactive measures - vestor-owned company that owns a 137-bed loss. Despite this reduc- such as establishing executive posi- and/or manages acute-care and spe- tion, the investor-owned industry tions responsible for directing man- cialty hospitals, and includes residen- ended 1992 with a total l,460 hospi- aged care contracting, or entering into tial treatment facilities and centers.) tals and 179,631beds,a1,925 gain. the health insurance business itself. The domestic market as a whole (U.S. and Puerto Rico) - including Fred Bailey (at podium), execwive both management company-owned Financial director at American Medical lnternational's North Fulton Regional and independently-owned facilities Responsibilities Hospital in Roswell, Georgia, hosted - while suffering an eight facility According to data developed by Representative Newt Gingrich (R - drop from 199 l ( 1,367 total in the Federation, investor-owned, Georgia) (seated to Ba iley's right) in 1992), gained in total number of announcing his candidacy f or r eelec- acute-care hospitals experienced tion to Congress. beds, adding 159 for a sum of a total of 15,752,000 patient 167,824. ln 1992, domestic in- days in 1991 , the last year for vestor-owned facilities averaged which information was avail- 123 beds per facility industrywide - able. Medicare patients account- a one bed increase from 1991. (All ed for 7,857,000 (49.9 percent) figures are for the period ending of those days, while Medicaid September 30, 1992, the data com- patients represented 1,305,000

Page 73 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

• These companies man age under contract for other owners 335 not- INVESTOR-OWNED INDUSTRY for-profit facilities in the U.S. and DATA Puerto Rico with 34 ,351 beds - an NUMBER OF NUMBER OF CATEGORY FACILITIES BEDS increase of 11 facilities and 506 bed s. 0PERATLNG •Once again , specialty hospitals U. S. and Puerto Rico garnered the majority of domesti c Manageme nt Co. Owned 1,127 142,284 construction projects, with 13 of the Indepe ndently Owned 240 25,540 total 1 8. Of specialty hospitals, the reha bilitati on area showed the strong- Sub-Total 1,367 167,824 est increase, up 24 facilities and Foreign 1,426 beds from 1991 , for a total of Manageme nt Company Owned 93 l l,807 110 facilities with 8,667 bed s; the psychiatric area decreased by 10 TOTAL 1,460 179,631 facilities and 534 bed s, and the alco- UNDER CONSTRUCTION hol/chemical dependency area de- U .S. and Puerto Rico creased by 24 facilities and 151 beds. Manageme nt Co. Owned 15 1,425 Specialty facilities include: alco- Independently Owned 3 568 hol/che mical de pendency; reha bilita- Sub-Total *18 ** 1,993 ti on; p sychiatric; eye; e ar, nose and throat; podiatry; pediatric; ortho- Foreign pedic; de ntal; c hronic disease; di ag- Manageme nt Co. Owned l 188 nosis, and women 's OB/GYN. TOTAL • 19 ••2,181 Although many investor-owned, acute-care facilities have specialized MANAGED UNDER CONTRACT units, stati sti cs in the 1993 Directory U .S. and Puerto Rico rela te only to the freestanding sp e- Not-For-Profit Facilities 335 34,351 cialty facility. Investor-owned Facilities 29 2,151 Sub-Total 364 36,502 Growth in the Foreign Foreign Sector All Types of Facilities 2 746 The investor-owned industry ex- TOTAL 366 37,248 14 &15 panded its presence in foreign m ar- kets during 1992, gaining 14 hospi - * New Facilities Only tals for a total of 93, with 11 ,807 ** New, Expansion and Replacement Beds beds. These hospitals are owned by nine companies and operate in 11 countries. A COMPARISON Accounting for a portion of that NUMBER OF NUMBER OF growth, National Medical Enter- CATEGORY FACILITIES BEDS prises, Inc. (NME), Santa Monica, Californ ia, continued to reinvest in ALL HOSPITALS 0PERATLNG IN THE U.S. 6,649 1,213,000 the foreign market in 1992 by acquiring a c ontrolling interest in Markalinga Li mited ( now Austra li an INVESTOR-OWNED OPERATING IN THE U.S. *1,367 **167,824 Medical Enterprises), an Australian hospital ma nagement company, and * 21 % of Total Industry Facilities 14 % of Total Industry Beds entering into a 50-50 joint venture ** with a private investment company, Qua il Espana, S.A., to build a 188- bed te rtiary care facility to be called The Health Care Industry's New Teknon H ospital in Barcelona, Spa in. Employment Contributions The nine in vestor-owned companies in the foreign market op erate in The health care sector has had a consistently positive effect on wages and the fo llowing countries: Australia, jobs in the United States. Between May 1990 and May 1992, 2.4 mil- Austri a, Engla nd, France, Germany, lion jobs overall were lost in the U.S., but the 639,000 jobs created in the health Irela nd , Mal aysia, Republic of Sing- care industry during the same time cut that loss to 1.8 million jobs. apor e, Saudi Arabi a, Spain and In 1991, hospitals of all ownerships employed 3,653,000 workers, 3.1 Switzerl and. percent of civilian employment, dispensing $128.7 billion (54 percent of total hospital expenditures) in compensation to these employees. The entire health services industry compensation figures stand at $497 billion in 1990, with 18 percent ($89.7 billion) paid to physicians.

Page 74 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

acti ve in the health po li cy-making process nati ona ll y a nd in the com- Geog ra~ munities it serves. AMI is committed to an improved competitive Facilities environment where me dical care is accessibl e to a ll Americans at a r ea- sonable cos t.

During the p ast fi scal year, Charter Medical Corpora- tion (Macon, Georgia) succ essfully American Healthcare completed its fin ancial re organi za- Management, Inc. (King of ti on a nd emer ged as a publicly-trad- Prussia, Pennsylvania) focused its ed company. The reorgani zation NV 11/0 1992 efforts on improving its ca pital ena bled Charter to reduce its de bt by structure, repositioning its hospitals approximately $700 mi llion, cut to focus on primary, medi cal/surgical annual net interest expense in half to care in its markets, improving opera- approximately $85 million and el im- tional e ffi cie ncies, and enhanc ing inate $233 million of preferred revenues in outpatient and inpatient stock. Cha rter al so hired a c onsult- services. Debt was significantly ing firm to complete a pi lot study AZ reduced and replaced wi th much researching me ntal he alth outcomes. 21/4 lower cost senior bank borrowings. The study's r esul ts wi ll be applied to Equity increased to $ 1 26 million, the new comprehensi ve Clinical resulting in a de bt-to-total-capitali za- Outcome Monitoring S ystem tion ratio of 56 percent, a 37 per cent (COMS) to be impleme nted reduction from two years ago. W hile throughout Charter 's psychiatric aggressively c ontroll ing costs, AHM hospitals. Eventuall y COMS wi ll be has been able to enhance revenues in employed in the fu ll Cha rter outpati ent and inpati ent services. Continuum of Care. The av ailability of improved cash flows has al lowed AHM to ex pand and enhance a w ide range of services Columbia Hospital Cor- througho ut the system. poration (Ft. Worth, Texas) ex pe- ri enced a year marked by increased Texas) di versified its op erati ons income and new acquisitions. Be fore by acquiring four hospitals a nd Under a new man agement tea m, an extraord inary loss on earl y extin- entering three new markets. The American Medical Inter- guishment of de bt, Columbia's in- first acquisition was Me tropolitan national (Dallas, Texas) concen- come increased by 45 percent in the General Hospital in Pinell as Park , trated on internal g rowth during the first qua rter of 19 92 compared to the Florida, a 154-bed h ospital that year a nd was successful in meeting first quarter of 199 1, and continued cooperates with two o ther h ospitals important cost re duction, productivi- with thi s trend throughout the year. in its market to operate as a s ingle ty and quality improvement goals. In addition to gaining three facilities system, sha ring many a dministrati ve AMI repo rted its first year of profi t in the So uth Fl orida market a nd two functi ons, business office opera- since the 1989 leveraged buyout by in Houston, Columbia also acquired ti ons, marketing pl ans a nd fin ancial pare nt company Ame ri can Me di cal eig ht general , acute-care hospitals goals. Other new additions to Holdings, Inc. Ongoing programs to through a mer ger of Basic Ameri can Community Health 's ne twork are streng then operati ons a nd reduce Medical, Inc., with a wholly owned Parkway Regional H ospital, a 70- debt have prepared the company fo r subsidiary of Columbia. bed me di cal surgical center in I growth beyond AMI 's existing po rt- Fulton, Ke ntucky, and Park wood fo lio and for the impending chan ges Hospital, a 60-bed psychi atri c fac ili - ,\ in the he alth care industry. Recog- Duri ng 19 92, Community ty in Olive Branch, Michi gan. ni zing the need for new direction, Health Systems (Hous ton, the company w ill continue to be

P"1 Norrlt Las Vegas. Nel'(lda, Mayor Jam es Seasrrand rakes ro rhe podi um during rite ... gra nd ope ning celebration of a four story rower add irion ro American Healrltcare Managemenr' s Lake Me ad Hosp11a/ Me di cal Center. Seared behind rhe mayor. from left ro rig/ 11 . are Ernie Libman. CEO of Lake Me ad Hospira/; Sre1•enL. \fol/a. Cha irman, Presidenr & CEO of AHM ; Ter esa Reid. wife ofSenaror Harry Reid (D -Nevada) ; and Nevada Governor Bob Miller.

Page 75 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu aphical Distribution of Investor-owned Facilities and ~s Managed by Investor-owned Hospital Companies

ND MT 1/0 3/11 so 2/1 WY 2/2 IA NE 2/4 3/2 co 15/10 KS MO 18/5 21/7

OK 23/16 NM 15/5

TX 219/20

KEY: Owned/Managed Hospitals

Responding to a dramatical- from an inpatient psychiatric ly changed re imbursement envi- hospital company to one offer- ronment for psychiatric hospi- ing a broad range of inpatient, tals dominated by the growth of partial and outpati ent psychi - man aged care, Community atric and lower-cost addiction Many FANS member hospitals co111ribured Psychiatric Centers (La- medicine services. Concurrent rlieir resources to victims of /-lurri ca11e gun a Hill s, California) launched with this effort, CPC's board Andrew in South Florida. Picrured here are a m ajor effort in 1992 to evolve made a strategic decision to some of the medical staff volunteers of Columbia 1-/ospital Corp.· s Victoria 1-/ospira/' s 1-1 .A. R.T. (/-/11 rrica11e Andrew Relief These two childre11 represent satisfied patienrs Team). (Lefi ro right: 1111ide111ijied, Dr. ji"om Communiry 1-/ealrli Sysrems' Parkway Magdalena Averhoff. vice chief of sraff. Dr. Regional 1-lospital in Fulro11 , Ke11 111 cky. Tile lios- Enrique Gome:, c/1iefofsraff, and Dr. Adrian piral' s fl oar, "Trained ro Care for You,'" wo11 firsr Legaski, surgical 011cologis1 . place in Fulron' s lnremario11al Banana Fesfi\'{/I.

Page 76 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

diversify beyond psychiatric care to make better use of vacant beds, first establishing a new subsidiary, Tran- Represemative Pete Geren (D-T exas) discussed health care reform, loan sitional Hospitals Corp., to develop repayme /1/ for me dical students, RBRVS and the importance of being and operate transitional health care in volved in the political process during a recent luncheon at John Peter facilities. In May, Richard L. Conte Smith Hospital in Fort Worth . (Pictured from left to right: Geren, Julie sident succeeded James W. Conte as chair- Co wan of EPIC' s Physician Recruitment, and John Peter Smith's Pre & CEO M.T. Philpot.) man and chief executive officer.

Continental Medical Sys- tems, Inc.'s (Mechanicsburg, Pennsylvania) financial highlights in the fiscal year 1992 include exceed- ing $650 million in net operating revenues; reporting such record net revenues and income from operations for a sixth consecutive year, and completing a three-for-two stock split in November. CMS increased its operations by opening eight new medical rehabilitation hospitals in as many states, beginning construction of eight more and extending its outpatient network to 96 centers in 22 states. During the course of this Hallmark Healthcare Corporation sponsored a tour of 12 of their hospi- growth, CMS hired 3,500 new staff tals by Art Linkle11er,former television and radio personality and renowned advocate of the elderly on the issues of aging and medical care. members nationwide. Mr. Linkletter is shown here visiting with staff at Cleveland Community Hospital in Cleveland, Tennessee.

Completing it's fourth year of operations in September 1992, EPIC HEALTHCARE GROUP (Dallas, Texas) reported FY92 net revenues of $940.5 million. This 17.3 percent increase has been attributed to EPIC's expansion of outpatient services company-wide, and to strategic Represelllative Sam Johnson (R-Texas) congratulates Joe Dilorenzo, financial transactions designed to Hospital Corporation of America president of western group operations, the Medical Center in Plano, Texas. realign the company's capital struc- on the $48 million expansion of ture. In March 1992, EPIC Holdings, Inc., completed the sale of its 12 percent Senior Deferred Coupon Notes due 2002 for total net proceeds of approximately $135 million. Of those proceeds, $ 130 million were then used to purchase EPIC Hold- ing 's Class A & B Preferred Stock owned by American Medical international , Inc. In addition, EPIC con-

Page 77 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu tinued implementation of its Health Management The year l 992 was the most Continuous Quality Improvement Associates (Naples, Florida) exciting one for HealthTrust, process, with all of its hospitals earn- reported an outstanding financial Inc. (Nashvi ll e, Tennessee) since its ing JCAHO accreditation. performance in FY92, with net earn- founding in 1987. Dramatic changes ings for the year increasing 89 per- and improvements were made to the cent. In addition, HMA's board capital structure. An initial public Hallmark Healthcare approved a 3-for-2 stock split to offering was completed and the Corporation (Atlanta, Georgia) expand the marketability and distrib- stock was li sted on the New York was active in 1992 adding new ser- ution of common stock. Maximizing Exchange. The company achieved vices on a selected basis and posi- their potential for efficiency, HMA's impressive financial results and tioning the company for the chang- hospitals have offered extended out- ended the year well positioned for ing health care market. Among the patient services, often acting as the the future. In add iti on, HTI has con- services expanded were emergency sole outlet for outpatient surgery in tinued the implementation of its room care, psychiatric treatment of their communities. In order to pro- grassroots activities, focused on both geriatric patients, and managed care vide the height of quality care, HMA federal and state policies affecting programs. One of Hallmark's major faci lities also implemented such pro- the health care industry. HTI subdi- community initiatives was a tour of grams as "Nurse First," to ensure vided its efforts into two outreach 12 of their hospitals by Art Link- fast, capable tri age, and "MedKey," programs fo r hospital administrators: letter, a former radio and television a computerized patient information IMPACT, geared toward local busi- personality and current advocate on system. ness, government and provider com- the issues of aging and elder care. munities; and the Legislative Impact Hallmark reported a 5.4 percent Program, directed toward federal and increase in net revenue in FY92. state elected representatives.

Total: 15,752,000

18 &19 Medicare: 7,857,000 (49.9°k)

Medicaid: 1,305,000 (8.3%)

All others: 6,590,000 (41.8%)

Net Revenues: $19.4 billion

Charity Care/Bad debt: $760 million ---~

Taxes: $544 million

Net Income: $920 million

Page 78 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

Page 79 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

COMPANY FACILITIES BEDS COMPANY FACILITIES BEDS COMPANY FACILITIES BEDS

Accord Health Care Corporation Brim, Inc. Community Psychiatric Centers 3696 Ulmerton Road 305 N.E. 102nd Aven ue 24502 Pacific Park Dri ve Clearwater, Flori da 34622 Port land, Oregon 97220-4 199 Lag una Hill s, Cali fo rni a 92656 (8 13) 573- 1755 (503) 256-2070 (7 14) 83 1-11 66 Owned 3 IOI Mana ed 56 3963 Owned 44 4643 Managed 1 40 Tota l OQerat ing 56 3963 Ow ned (Foreign) 6 389 Total OQerating 4 141 Total OQerating 50 5032 Cambridge International, Inc. AdvantageH EALTH Corporation 7505 Fann in, Suite 670 Comprehensive Addiction Programs, Inc. 304 Cambridge Road P.O. Box 20624 8000 Towers Crescent Dri ve , Suite 220 Woburn , Massachusetts 0180 I Houston, Texas 77225 Vienna, Virginia 22 182 (6 17) 93 5-2500 (7 13) 790- 11 55 (703) 847-2600 Owned 3 388 Owned 4 298 Owned 7 275 Total Operating 3 388 Total Operating 4 298 Total Operating 7 275

Affiliated Medical Enterprises Century HealthCare Corporation Comprehensive Care Corporation 1915 W. Ora ngewood Ave., Suite 300 76 15 E. 63rd Pl ace, Suite 200 16305 Swingley Ridge Dri ve, Suite 100 Orange, Cali fo rni a 92668 Tul sa, Ok lahoma 74 133 Chesterfie ld, Mi ssouri 630 17 (7 14) 939-8788 (9 18) 250-965 1 (3 14) 537- 1288 Owned 5 7 11 Owned 6 384 Owned 12 970 Total Operating 5 7 11 Mana ed I 2 Total 0Qerating 12 970 Total OQerating 7 476 Alliance Health Inc. Continental Medical Systems, Inc. 4250 Perimeter Park So uth , Suite I 02 Champion Healthcare Corporation 600 Wilson Lane Atlanta, Georgia 3034 1 14340 Torrey Chase, Suite 320 P.O. Box 715 (404)452- 122 1 Houston, Texas 770 14 Mechanicsburg, Pen nsylvania 17055 Owned 5 250 (7 13) 583-549 1 (7 17) 790-8300 Total OQerat ing 5 250 Owned 3 655 Owned 30 197 1 Tota l 0 eratin 3 655 Tota l OQerating 30 197 1 American Healthcare Management, Inc. 660 America n Aven ue, Sui te 200 Charter Medical Corporation The Cooper Companies, Inc. King of Prussia, Pennsylvania 19406 577 Mul berry Street 250 Park Aven ue (215) 768-5900 P.O. Box 209 New York, New York I 0177 Owned 16 204 1 Macon, Georg ia 31298 (2 12) 557-2690 22 &23 Total Operating 16 204 1 (9 12) 742- 11 61 Owned 3 259 Ow ned 88 8769 Manaoed 3 220 America n Medical International, Inc. Owned (Foreign) 3 173 Total OQerating 6 479 AM I Dall as Service Center Managed 4 414 820 I Preston Road, Su ite 300, P.O. Box 2565 1 Tota l Ope rating 95 9356 Cumberland Hea lth Systems, Inc. Dallas, Texas 75225-5651 2100 West End Avenue, Su ite 900 (214) 360-6300 Columbia Hospital Corporation Nashvi lle, Tennessee 37203 Owned 35 7822 777 Main Street, Suite 2100 (6 15) 327-2200 Total OQerating 35 7822 Fort Worth, Texas 76102 Owned 6 447 (8 17) 870-5900 Managed 5 256 AmeriHealth, Inc. Ow ned 21 44 16 Total 02erating 11 703 P.O. Box 530 1 Mana<>ed 1 40 Richmond, Virgin ia 23220 Total OQerating 22 4456 EPIC HEA LTHCA RE GRO UP (804) 643- 1422 3333 Lee Park way Owned 2 265 Community Ca re Systems, Inc. P. 0. Box 650398 Mana ed 4 448 203 Grove Street Da llas, Texas 75265-0398 Total 0 eratin 6 713 Well es ley, Massachusetts 02 181 (2 14) 443-3333 (6 17) 239-087 1 Owned 38 4555 Asklepios Hospital Corporation Owned 4 348 Total OQerating 38 4555 249 East Ocean Blvd. , Suite 600 Total Operating 4 348 Long Beach, California 90802 First Hospital Corporation (2 13) 437-7717 Community Health Systems, Inc. 240 Corporate Boul evard Owned 5 589 3707 FM 1960 West, Suite 500 Norfo lk, Virgin ia 23502 Owned (Foreign} 10 1703 Houston, Texas 77068 (804) 459-5 100 Tota l Operating 15 2292 (7 13) 537-5230 Owned 15 1252 Ow ned II 1080 Total OQerating 15 1252 Mana ed 4 307 Total Operating 15 1387

Page 80 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

COMPANY FACILITIES BEDS COMPANY FACILITIES BEDS COMPANY FACILITIES BEDS

Schick Laboratories, Inc. Universal Health Services, Inc. FA HS AFFILIATE MEMB ERS 12700 Ventura Boulevard, Suite 200 Universal Corporate Center Studio City, Cali forn ia 91604 367 So uth Gul ph Road Beverly Enterprises (8 18) 766-2 100 King of Pruss ia, Pennsy lvan ia 19406 1200 So. Waldron Road, # 155 Owned 3 143 (2 15) 768-3300 P.O. Box 3324 Total OQe rating 3 143 Owned 28 3610 Fort Smi th, Arkansas 729 13-3324 Total OQerating 28 36 10 (50 l) 452-67 12 Southern Health Corporation 5605 Glenridge Dri ve, Suite 960 Vencor, Incorporated CIG NA Corporation Atl anta, Georgia 30342 Brow n & Willi amson Tower, Suite 700 One Li berty Pl ace (404) 843-8337 Loui sv ille, Kentucky 40202 Phil adelphi a, Penn sylva ni a 19192 Owned 3 191 (502) 569-7300 (2 15) 76 1-55 18 Managed 4 176 Owned 20 1634 Total OQerating 7 367 Total 0 Qerating 20 1634 Humana Inc. (Managed Care Co.) Summit Health Ltd. Yendell Healthcare, Inc. 500 West Main Street 2600 W. Magnolia, P.O. Box 2100 340 1 West End Avenue, Su ite 500 P. 0. Box 1438 Burbank, Ca li fo rni a 91507-2 100 Nashvi ll e, Tennessee 37203 Loui sv ille, Kentucky 40201 -1438 (8 18) 84 1-8750 (6 15) 383-0376 (502) 580- l 000 Owned 12 1649 Owned 8 514 and Total OQerati ng 12 1649 Total 0Qerating 8 514 1825 I Street, N. W. , Su ite 400 Washington, D.C. 20006 Summit Medical Holdings, Ltd. (202) 429-20 15 l 000 Abernathy Road Building 400, Sui te 645 Atl anta, Georgia 30328 NOTE: Companies with less than 3 hospitals are not reflected in the above list. (404) 392- 1454 SOURCE: FA HS' 1993 Directory. Owned 5 393 Managed l 212 Total OQerating 6 605

Telecare Corporation 300 Pendleton Way Oakland , Cali fo rnia 9462 1 (5 lO) 632-0 133 Owned 9 915 Total Operating 9 915

United Hospital Corporation 6189 East Shelby Drive Mem phi s, Tennessee 38 141 (90 l) 794-8440 Managed 7 256 Total OQerating 7 256

United Medical Corporation 603 Ma in Street P. 0. Box 11 00 Windennere, Florida 34786- 11 00 (407) 876-2200 Owned 5 598 Total OQerating 5 598

United Psychiatric Group 2001 L Street, N.W. , Su ite 200 Washi ngton, D.C. 20036 (202) 955-3990 Owned 8 492 Total Operating 8 492

Page 81 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

W. Randolph Smith Michael A. Hendricks Michael R. Soper, M.D. President Assistant Treasurer Affiliate Member Representative Executive Vice President, Senior Vice President Senior Vice President and Operations Galen Health Care, Inc. National Medical Director American Medical Louisville, Kentucky CIGNA Corporation International, Inc. Hartford, Connecticut Dallas, Texas Kenn S. George Secretary James S. Todd, M.D. Barry P. Schochet Chairman and Chief Executive Officer AMA Representative President-Elect EPIC HEALTHCARE GROUP Executi ve Vice President President and Chief Operating Officer Dallas, Texas American Medical Association General Hospital Division Chicago, Illinois National Medical Enterprises, Inc. Robert M. Dubbs Santa Monica, Cali fornia Assistant Secretary Vice President and General Counsel CHAIRMAN OF THE BOARD Richard L. Conte American Healthcare Vice President Management, Inc. Victor L. Campbell Chairman and Chief Executive Officer King of Prussia, Pennsylv ania Vice President, Community Psychiatric Centers Corporate Relations Laguna Hills, California Helen K. Cummings Hospital Corporation Chairperson, of America Edwin C. "Mac" Crawford Health Financing Committee Nashville, Tennessee Vice President Vice President, 26 &27 President and Chief Operating Officer Health Financing Resources Charter Medical Corporation Hospital Corporation of America PAST PRESIDENTS/TRUSTEES Macon, Georgia Nashville, Tennessee

Doug Lewis Glenda Rosenbloom Victor L. Campbell Vice President Chairman, Vice President, Vi ce President Legislative Committee Corporate Relations OrNda HealthCorp Vice President, Government Relations Hospital Corporation Nashville, Tennessee American Medical Intern ational, Inc. of America Encino, California Nashville, Tennessee Sidney Miller Vice President Karen Coughlin Patricia A. Davis Executi ve Vice President Affiliate Member Representative Louisville, Kentucky Universal Health Services, Inc. Senior Vice President, Region II King of Pruss ia, Penn sylvania Humana Inc. R. Clayton McWhorter Managed Care Company Chairman of the Board, Sylvia Urlich Louisville, Kentucky President and Vice President Chief Executive Officer James E. Dalton, Jr. Chief Executive Officer HealthTrust, Inc. Affiliate Member Representative Westchester General Hospital Nashville, Tennessee President and Chief Executi ve Officer Miami, Florida Quorum Health Group, Inc. C. Michael Ford Brentwood, Tennessee W. Hudson Connery, Jr. Macon, Georgia Treasurer Boyd W. Hendrickson Chief Operating Officer Affiliate Member Representative and Senior Vice President Executi ve Vice President, HealthTrust, Inc. Operations and Marketing Nashville, Tennessee Beverly Enterprises Fort Smith, Arkansas

Page 82 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

Larry Andrews Jack 0. Bovender, Jr. Derek Cimala James E. Dalton Executive Director Executive Vice President and Executive Director President and Westbury Hospital Chief Operating Officer Humana Hospital - Lake Chief Executive Officer Houston , Texas Hospital Corporation Cumberland Quorum Health Group, Inc. of America Somerset, Kentucky Brentwood, Tennessee Stephen J. Aragon Nashville, Tennessee Michael L. Collins Administrator Patricia A. Davis McMinnville Community Bruce Brandler Executive Director Louisville, Kentucky Union Hospital Hospital Administrator AMI Culver Indiana McMinnville, Oregon Puget Sound Hospital Crawfordsville, Faith Deigan Tacoma, Washington Administrator and William Atkinson W. Hudson Connery, Jr. Chief Executive Officer Executive Director Roger Breed Chief Operating Officer and Greater Pittsburgh Humana Hospital - Aurora Vice President, Senior Vice President Rehabilitation Hospital Aurora, Colorado Corporate Communications HealthTrust, Inc. Monroeville, Pennsylvania Continental Medical Nashville, Tennessee Seymour W. Banner Systems, Inc. Raymond Denson Corporate Vice President, Mechanicsburg, Pennsylvania Richard L. Conte Senior Vice President, Hospital Development Chairman and Operations-East Four Winds Hospital Daniel J. Brothman Chief Executive Officer OrNda HealthCorp Katonah, New York Executive Director Community Psychiatric Centers Nashville, Tennessee Humana Hospital - West Hills Laguna Hills, California , California Wiley Barner Canoga Park Geoff Deutsch Administrator Charles M. Cooper Vice President, Marketing Mountain Crest Hospital Robert D. Brown Allen, Texas Administrator Community Psychiatric Centers Fort Collins, Colorado Laguna Hills, California Deer Park Health Center Karen Coughlin and Hospital Senior Vice President, Region II Mark Benz Lawrence W. Drinkard Deer Park, Washington Humana Inc. Administrator Chief Financial Officer and Managed Care Company Charter Peachford Hospital Senior Vice President Atlanta, Georgia Robert M. Bryant Louisville, Kentucky Chief Executive Officer and Charter Medical Corporation Macon, Georgia Joel Bergenfeld Administrator Edwin M. (Mac) Crawford Executive Director Memorial City Medical Center President and Robert M. Dubbs Century City Hospital Houston, Texas Chief Operating Officer Vice President Los Angeles, California Charter Medical Corporation and General Counsel Tommy W. Bryant Macon, Georgia Kevin E. Blackwell President and American Healthcare Management, Inc. Administrator Chief Executive Officer Kathy Cronen , Inc. King of Prussia, Pennsylvania CPC Pinnacle Point Hospital Yendell Healthcare Administrator Little Rock, Arkansas Nashville, Tennessee Charter North Hospital Thomas E. DuBoise Gregory H. Burfitt Anchorage, Alaska Steven L. Blaine Chief Executive Officer President and Administrator Brea Community Hospital Executive Officer John B. Crysel Davis Community Hospital Chief Brea, California AMI Brookwood Administrator Statesville, North Carolina North Side Hospital Medical Center Barry Dyches Birmingham, Alabama Johnson City, Tennessee George R. Bone Senior Vice President, Hospital Division President, Victor L. Campbell Helen King Cummings Community Psychiatric Centers Eastern Group Operations Vice President, Vice President, Laguna Hills, California HCA Psychiatric Company Corporate Relations Health Financing Resources Hospital Corporation Hospital Corporation Hospital Corporation Claus Eggers of America of America of America Managing Director Nashville, Tennessee Nashville, Tennessee Nashville, Tennessee Valley Hospital Medical Center Las Vegas, Nevada

Page 83 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

James E. English Paul A. Gross Kevin J. Hicks Reynold J. Jennings President and Graduate School of Hea lth Executive Director Vice President, Operations, Chief Fi11a11 cial Officer Administration AMI National Park Eastern Division, United Medi cal Corporation Schoo l of Allied Hea lth Medical Center General Hospital Division Windermere, Florida Profess ionals Hot Springs, Arkansas National Medical Virginia Commonwealth Enterprises, Inc. Paul R. Flowers, Jr. Universit y Earl P. Holland Tampa, Florida Flowers Hospital Richm ond , Virginia Executive Vice President Dothan, Al abama Health Management Jay Kellison As Michael H. Focht, Sr. John Hanshaw sociates, Inc. Administrator Senior Executi ve Execl//i ve Director Naples, Florida Charter Hospital of Corona Vice President and Hum ana Hospital - Metropolitan Corona, California San Antonio, Texas John Holland Director of Operations Executive Director National Medi cal Michael D. Kerr John D. Harryman AMI East Cooper Chief Executive Officer Enterprises, Inc. Community Hospital Santa Moni ca, California Execllli ve Director Lakewood Regional Humana Women's Hospital- Mt. Pleasant, South Carolina Medical Center Indi anapolis Lakewood, California C. Michael Ford Alfred Z. Homiski, Jr. Macon , Georgia Indianapoli s, Indiana President and Dale Kirby Chief Operating Officer William R. Fox Arthur Heimbold Administrator Senior Vice President , Rehabilitation Hospital Charter Hospital of Las Vegas Chief Executive Officer Division Lake Erie Institute of Acquisitions and Development Las Vegas, Nevada National Medi cal National Medical Rehabilitation Enterprises, Inc. Erie, Pennsylvania Enterpri ses, Inc. Alan Kopman Santa Monica, California Santa Monica, California President and Chief Executive Officer Timothy F. Francis Jamie E. Hopping Michael Hendricks Westchester Square Administrator Chief Executive Officer Senior Vice President Medical Center Wagoner Community Hsopital Deering Hospital Galen Health Care, Inc. Bronx, New York Wagoner, Oklahoma Miami, Florida Louisville, Kentucky Matthew A. Kurs Richard S. Freeman Larry Hough Boyd W. Hendrickson President and Chief Executive Officer Regional Vice President, Chief Executive Officer West Boca Medical Center Exerntive Vice President, Texas Region Operations and Marketing AMI Saint Joseph Hospital Boca Raton, Florida HealthTrust, Inc. Omaha, Nebraska Beverly Enterprises Nashville, Tennessee Fort Smith, Arkansas Kenn S. George Sharon H. Kurz, Ph.D. 28 &29 Suzanne Hovdey Chairman and Hector Hernandez Regional Vice President Vice President, Corporate Chief Exerntive Officer Execl//ive Director Community Psychiatric Centers and Investor Relations EPIC HEALTHCARE GROUP Doctors Hospital Of Laredo Lenexa, Kansas Community Psychiatric Centers Dallas, Texas Laredo, Texas Laguna Hills, California James Lathren Thomas D. Gilbert Executive Director Allen M. Hicks Ronald A. Hytoff Adminis1rator Senior Vice President AMI Central Carolina Hospital Charter Regional Executive Director Sanford, North Carolina OrNda HealthCorp Humana Hospital - Medical Center Nashvill e, Tennessee Clevel and , Texas University of Louisville Louisville, Kentucky Gary M. Gilberti Adminis1ra1or Charter Hospital of Milwaukee West Allis, Wi sconsin

Larry Graham Executi ve Director Round Rock Hospital Round Rock , Texas

Andrew F. Gramlich Chief Executi ve Officer Lander Valley Regional Medi cal Center Lander, Wyoming

Gary E. Griffith Public Affairs EPIC HEALTHCARE GROUP Da ll as, Texas

Page 84 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

Doug Lewis Jerry Miller Ronald J. Perry Louis Rubino, Ph.D. Vice President Vice President, Administrator Regional Vice President Or da HealthCorp Hospital Finance Ashley Valley Medical Center Paracelsus Healthcare Nashville, Tennessee Humana Inc. - Hospital Vernal, Utah Corporation Company Van Nuys, California Ernest Libman Louisville, Kentucky Steven J. Peterson Executive Director Administrator Elliot A. Sainer, Ph.D. Lake Mead Hosp ital Sidney Miller Desert Springs Hospital President and Medical Center Executive Vice President Las Vegas, evada Chief Executive Officer North Las Vegas, Nevada Uni versa l Hea lth Services, Inc. Co ll ege Health Enterprises King of Prussia, Pennsylvania Patrick Petre Huntington Beach, Ca li forn ia Thomas B. Mackey Chief Operating Officer Senior Vice President, John L. Mims Garfield Medical Center Barry P. Schochet Operations, Western Division Executive Director Monterey Park, California President and General Hospital Division McAllen Medical Center Chief Operating Office1; National Medical McAllen, Texas Pete Petruzzi General Hospital Division Enterpri ses, Inc. Executive Director Nati onal Medical Santa Monica, Ca li fornia Anthony F. Misitano Hum ana Hospi tal - Florence Enterprises, Inc. Executive Vice President, Florence, Alabama Santa Monica, Ca li fornia Rex Macklin Hospital Group Administrator Continental Med ical Dennis J. Phillips William J. Schoen Sunrise Rehabilitati on Hospital Systems, Inc. Chief Executive Officer Chairman, President and Ft. Lauderdale, Florida Mechanicsburg, Pennsy lvania AM I Frye Regional Chief Executive Officer Medical Center Hea lth Management Donald Maloney Dan Moen Hickory, North Carolina Assoc iates, Inc. Executive Direc/or President Naples, Florida Humana Hosp ital - Columbia Hospital Corporation Michael S. Pinkert Hoffman Estates of Southern Florida Presidenl and Don Shaffett Hoffman Estates, Illinois Miami Lakes, Florida Chief Execu1ive Officer Executive Director Mental Health Humana Hospital - Clear Lake Peter A. Marmerstein William P. Moore Management, Inc. Webster, Texas Adminislrator Direclor of Public Affairs McLean, Virginia Joe Sharp Peninsu la Medical Center HealthTrust, Inc. Reg ional Vice Presidenl, Ormond Beach, Florida Bountiful, Utah Karen S. Poole Operations and Development Chief Executive Officer Paracelsus Healthcare Robert M. Martin James T. Muska El Dorado Medical Center Corporati on Regional Vice President, Senior Vice President Tucson, Arizona Bellflower, Californ ia Eastern Region MedRehab, Inc. Hea lthTrust, Inc. Sugar Land, Texas Russell D. Ragland, Jr. Phil Shaw Nashville, Ten nessee Senior Executive Executive Director C. Thomas Neill Vice President and AM I Spalding Regional Hospi tal Bill A. Mason Vice President, Chief Financial Officer Griffin, Georgia President Corporate Services NME Specialty Hospital Group Springhill Memorial Hospita l Quorum Hea lth Group, Inc. Washington, D.C. Bruce A. Shear Mobile, Alabama Brentwood, Tennessee President Richard E. Ragsdale Pioneer Hea lthcare, Inc. James T. McAfee, Jr. Robert A. Ortenzio Chairman Woburn, Massachusetts President and Comm unity Health Systems, Inc. Chairman and James D. Shelton Chief Operating Officer Brentwood, Tennessee Chief Executive Officer Senior Vice Presidelll , Conti nental Medical Hallmark Healthcare Operations, Eastern Di vision, Dave Richardson Corporation Systems, Inc. General Hospital Division Mechanicsburg, Pennsylvania Senior Vice President, At lanta, Geo rgia National Medical Hospital Operations Enterprises, Inc. Rocco A. Ortenzio Charter Medical Corporation Roland E. McPeters Tampa, Florida Jonesboro, Arkansas Chairman and Macon, Georgia Chief Executive Officer Luis G. Silva Conti nental Medical Lindy Richardso n R. Clayton McWhorter Executive Director Director of Marketing! Chairman of the Board, Systems, Inc. AM I Mid-Jefferson Hospital Mechanicsburg, Pennsy lvania Public Affairs President and Nede rl and, Texas Chief Executive Officer Ga len Health Care, Inc. HealthTrust, Inc. G. Wayne Peloquin Louisville, Kentucky W. Randolph Smith ashville, Tennessee Executive Director Executive Vice President, Humana Hospital - Augusta Thomas Rine Operations R. J. Messenger Augusta, Georgia Hospital Operations American Medical President and EPIC HEALTHCARE GROUP International, Inc. Chief Operating Officer Thomas Permetti Dallas, Texas Dall as, Texas Paracelsus Healthcare Executive Director Corporation Medical Arts Hosp ital Pasadena, Ca li fo rni a Dallas, Texas

Page 85 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

Robert L. Smith Charles Stokes James S. Todd, M.D. Stephen Weinstein Vice President, Execwive Director Executive Vice President President and Operations, Western Division Humana Hospital - Shoals American Medical Association Chief Executive Officer General Hospital Division Muscle Shoals, Alabama Chicago, Illinois American International ational Medical Hospital Enterprises, Inc. Donald Strange Joseph R. Tucker Zion, Illinois Santa Monica, California Chief Operating Officer Executive Director EPI C HEALTHCARE GROUP Byrd Memorial Hsopital Edward J. Welz Michael R. Soper, M.D. Dall as, Texas Leesville, Louisiana Vice President, Operations Senior Vice President and Eastern Division National Medical Director Leann Strasen, R.N. Sidney F. Tyler, Jr. General Hospital Division CIGNA Corporation Senior Vice President, Executive Vice President, National Medical Hartford, Connecticut Patient Care Services, General Hospital Division Enterprises, Inc. General Hospital Division National Medical Tampa, Florida Neil M. Sorrentino ati onal Me dical Enterprises, Inc. Sr. Executi ve Vice President, Enterprises, Inc. Santa Monica, California David R. White Operations Santa Monica, California Executive Vice President and Sylvia Urlich General Hospital Division Chief Operating Officer Chief Executive Officer National Medical John L. Sundberg Community Health Westchester General Hospital Enterprises, Inc. Sepul veda, California Systems, Inc. Miami, Florida Santa Monica, California Brentwood, Tennessee David R. Tatum Tom Usher George (Ed) Stainback Senior Executive Directo1; Administrator William G. White, Jr. Administrator Health Facilities, Vicksburg Medical Center President, Chief Executive Selm a Medical Center Developmenl a nd Vicksburg, Mississippi Officer and Chairman Selm a, Alabama Government Relations AmeriHealth, Inc. Charier Medical Corporation David T. Vandewater Richmond, Virginia Morgan Staines Macon, Georgia President and Senior Assistant General Chief Operating Officer Stephen L. White, Ph.D. Counsel Stephen L. Taylor Columbia Hospital Corporation Vice President, Community Psychi atri c Centers Executive Director Fort Worth, Texas Customer Service Division Laguna Hills, California Humana Hospital - Morristown Charter Medical Corporation Morri stown, Tennessee Wolfgang von Maack Macon, Georgia Richard J Stephenson Senior Vice President Chairman of the Board Barbara Thames Healthcare Services Division Earl S. Whiteley Cancer Treatm ent Centers Chief Executive Officer Manor Care, Inc. Administrator of Ameri ca Santa Rosa Medical Center Alice Physicians and Silver Spring, Maryland 30 &31 Zion, Illinois Milton, Florida Surgeons Hospital Kent Wallace Alice, Texas Donald Stewart Frank Tidikis Regional Vice President, President Executive Vice President, Western Division Steve Woerner Humana Hospital- Operations - Eastern Division HealthTrust Inc. Executive Director Medical City Dall as General Hospital Division Nashville, Tennessee Denton Regional Da llas, Texas ational Medical Medical Center En terprises, Inc. Barry G. Weinbaum Denton, Texas Allan Stipe Tampa, Florida Chief Executive Officer Executive Director Alvarado Hospital Barry A. Wolfman Humana Hospital - Sunrise Medical Center Chief Executive Officer Las Vegas, evada San Diego, California J. F. Kennedy Memorial Hospital Indio, California

Tony Young Executive Director Doctors' Hospital Tulsa, Oklahoma

Page 86 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

NATIONAL OFFICE/HEADQUARTERS ADMINISTRATIVE SERVICES HEALTH SYSTEMS REVIEW

1111 19th Street, N.W. P. 0. Box 8708 P. O. Box 8708 Suite 402 1405 North Pierce Street 1405 North Pierce Street Washington, D.C. 20036 Suite 311 Suite 308 (202) 833-3090 Little Rock, AR 72217-8708 Little Rock, AR 72217-8708 (501) 661-9555 (501) 661-9555

Michael D. Bromberg Cindy K. Lasater John Herrmann Executive Director Director of Administration Editor

W. Campbell Thomson Charles L. White Je nnifer Smith Deputy Director- Communications Controller Assistant Editor and Administration Judy L. Gray Shirley Brainard Mary R. Grealy, Esq. Membership Coordinator Production Coordinator Executive Counsel Julie Cawthron Martha Ha hn Samuel A. Mitchell Administrative Assistant - Meetings Director of Advertising Director of Research and Federal Relations Kirk Clayborn Brenda L. Emerson Director of Sales and Marketing Circulation Manager Lynn S. Hart Director of Federal Legislation Pearl Jones Coordinator, Customer Services Patricia J. Carmack Assistant Director for Helen Garvin-Wentz Communications Accounting Assistant

Christine M. Solomon Melody Durham Director of State Legislation Receptionist Roseanna Thoman Administrative Assistant

Catherine Walton Staff Assistant to Legislative Director

Priscilla Ann Ross Research Assistant GENERAL COUNSEL D. Brooke Leonnig Communications Assistant Carl Weissburg, Esq. Weissburg and Aronson, Inc. Jacquie Whitley Two Century Pl aza Receptionist 2049 Century Park East Los Angeles, CA 90067

Page 87 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

ACKNOWLEDGEMENTS

The Federation extends its full appreciation to those who contributed to this annual report:

PH OTOS: Mary DeLatte, Metairie, Louisiana; Russ Stoddard, Boise, Idaho; Columbia Hospital Corporation, Fort Worth, Texas; Community Health Systems, Houston, Texas; National Medical Enterprises, Santa Monica, California; Central Arkansas Rehabilitation Hospital, Sherwood, Arkansas; HealthTrust, Inc., Nashville, Tennessee; Humana Hospital-Biscayne, Aventura, Florida; Hospital Corporation of America, Nashville, Tennessee; EPIC HEALTHCARE GROUP, Dallas, Texas; Hallmark Healthcare Corporation, Atlanta, Georgia; Parkway Regional Hospital, Fulton, Kentucky ; Quorum Health Group, Nashville, Tennessee; American Medical International, Encino, California; Lake Mead Hospital Medical Center, North Las Vegas, Nevada; Health Management Associates, Naples, Florida.

This report was designed by Dennis Oxley/Oxley Art, Little Rock, Arkansas; and written by D. Brooke Leonnig/Federation of American Health Systems, Washington, D.C. Production coordi nation and typesetting by Shirley Brainard/Federation of American Health Systems, Little Rock, Arkansas. Printing by Capitol Off-Set Printing Company, Little Rock, Arkansas.

Page 88 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

582106 ROBERT~DOLE UNITED STATES SENATE

WASHINGTON?DCv 20510-0001

Page 89 of 99 This document is from 202the collections 851 00 at53 the Dole Archives, University of Kansas 03125193 15:16 'a'202 861 0063 http://dolearchives.ku.eduFED AMER HEALTH ~001

1993 CONFERENCE SCHEDULE '' The New Legislative Agenda" Washington Hilton Hotel Washington, D.C.

Wednesday, March 24

1:00-4:30 pm Buye~s Exposition (Exhibit Hall)

4:30-6:30 pm Buyers/Suppliers Appreciation Reception Entertainment: Jeffrey Jena (Crystal Ballroo~)

Thursday. March 25

7:30-9:30 am suppliers Exposition Breakfast (Exhibit Hall)

9:30 am FAHS Conference Opening Session (International Ballroom Center) Lou Holtz, head football coach for University of Notre Dame

10:15 am David Gergen and Mark Shields of PBS' ''MacNeil/ Lehrer NewsHour 11

11:00 am Rep. Dan Rostenkowski CD-IL)

11:30 am Don n a E. Sha 1 ala. Ph.D....:.., Secretary, U.S. Department of Health and Human services

11:30-5:30 Spouse Event

Noon-2:30 pm Suppliers Exposition - Lunch (Exhibit Hall)

2:30-5:30 pm Buye r / Supplier Workshops (concurrent session)

I. Captial Equipment (Int'l Ballroom/East) "Safe Medical Device Regulation" Keynote: Richard o. Martin, Ph.D., President & CEO, Physio-Control corporation; and Ronald M. Johnson, Director, Off ice of Cornpl iance and Surveillance, U.S. Food and Drug Administration. Panel : F • David Ro l }_ o , M. D. , Ph - D. , President, Metricor; Edwin French, Senior Vice President, American Medical International, Inc.; John Murray, President, Hausted; Joel Noble, Ph.D., President and CEO, Emergency care Research Institute; Joe Swenson, Senior vice President-operations, Hill-Rom; John w. strong, Vice President, Materials Management, Premier Hospitals Alliance, Inc.; Gerry Varney, Manager Equipment Procurement, HealthTrust, Inc.; Ed

Page 90 of 99 03 / 25/ 93 15:16 "6'202This document 861 is0063 from the collections atFED the Dole AMER Archives, HEALTH University of Kansas 141002 http://dolearchives.ku.edu

Kuklenski, Vice President, Child Health Corporation of America; Jonah Hughes, Senior Vice President, Purchasing, Daughters of ·' Charity National Health System; Robert Bird, Manager, Equipment Planning, Hospital corporation of America; and Daryl Reynolds, Assistant Vice President, Medical Systems, National Medical Enterprises, Inc. Moderator: James C. Olsen, Vice President, Materials Management, Humana Inc.

II. Pharmaceuticals - (Int'l Ballroom/West) A. "Healthcare Legislation & The National Account Environment 11 Keynote: Rep. Ron Wyden (D-OR) Panel: Michael M. Beaudrias, Senior Product Manager, Pharmacy Business Unit, VHA; William w. Collins, Director of Institutional Programs, Gla~o 1 Inc.; Robert D. CUrrey, R_Ph., Corporate Contract Administrator, Pharmacy services, OSF Healthcare System; Jerome E- Herberholt 1 Director, Pharmacy Purchasing Program, Daughters of Charity National Health System; and Michael Reicher, President, UDL Laboratories. Moderator: Ron Adams, Director of Pharmacy Programs, MedEcan Services, Inc.

B. 11 outcomes Research & Management: What It Means to Provider and Supplier" Keynote: Mark zitter, President, The Zitter Group Center for Outcomes Information · Panel: Scott Bolenbaugh, Director, Health Economics, MERCK Human Heal th Div is ion; Les Noe, R.Pb., Health Services Research Specialist, Synergen: Herbert W. Stokes, R.Ph., Vice President, Purchasing, owen Healthcare, Inc.; and Norrie Thonias, R.Ph., Ph.D., President and coo, Cliical Pharmacy Advantage. Moderator: William (Bill) R. Magruder, R.Ph., Assistant Vice President, Pharmacy Program, Premier Hospital Alliance.

6:30-8:30 pm Presidents' Reception with entertainment by "The Capitol Steps'' (Back Terrace/Int'! Ballroom Ctr)

Friday, March 26

7:00 am SK RLln/Walk

8:00-9:30 am General Membership Meeting (Hemisphere)

Page 91 of 99 03 / 25/93 15:16 '6'202This document 861 is0063 from the collections at FEDthe Dole AMER Archives, HEALTH University of Kansas iai 003 http://dolearchives.ku.edu

S:00-9:45 am Buyers/Suppliers General Session (Int~rnational Ballroom West) Topi~: General contracting "Buyer/Seller Relationships, Challenges Facing Suppliers in the 1990s" Keynote: Stephen x. Doyle, President 1 Stephen X. Doyle & Co. Panel~ Edward Benecke, Vice President of Corporate Accounts, Johnson & Johnson Hospital Servi ces; Reed Rosling, Vice President of National Accounts, Bergen Brunswig Drug company; Kevin Peters, Vice President of Corporate Sales/Multi-

Hospi ta ls 1 Baxter Healthcare Corporation; Edward Carty, Vice President, Purchasing, Colwnbia Hospital corporation; Connie Woodburn, Senior Vice President of Hospital Services, Premier Hospitals Alliances, Inc.; Warren Rhodes, President, Mercy National Purchasing, Inc.; Wally Staley, Director of National Accounts, Ohmeda; and Gary Wyngarden, President and CEO, MedEcon Services, Inc. Moderator: Scott Farrar, Director, Contracts Management, HealthTrust, Inc.

10:00 am FAHS conference Session (Int'l Ballroom Ctr.) senat e Minority Leader Robert Dole (R-KS)

10:45 am Joint Presentation on Health care Networks Speakers: Rep. Jim Cooper (D-TN) and AHA President Richard Davidson. Reactors: James S. Todd, M.D., AMA Executive Vice Pre$ident; and Michael A. stocker, M.D., President, CIGNA Healthplans. Moderator: W. Randolph Smith

12:30-2:00 pm Awards Luncheon (International Ballroom East) Inco~ing President's Remarks - W. Randolph Smith, Executive Vice President, Operations, American Medical International 1 11 ' The Importance of Grass Roots Involvernent - Mic~ael Bromberg, FAHS Executive Director

Page 92 of 99 03 / 15/ 93 13:22 'lr202This document 861 is0063 from the collections at FEDthe Dole AMER Archives, HEALTH University of Kansas !41002 http://dolearchives.ku.edu ~

~---.------~----5 PE AK ~ Q. rck. ~~ -=r;:-I 7Yl /D'.00 0..M- Federation of American Health Systems LVo..~I~~ -tt·. H~

March 12, 1993

1111 19th Street N.W. Suite 402 Washington. D.C.:. 20036 202-833-3090 The Honorable Robert Dole 141 Hart Senate Off ice Building Michael D. Bromberg 20510 Executive Dircct0r Washington, D.C. Dear Bob: will be The Fed¢ration of American Health ststems, its 1993 Annual Conference and Bus ness Exposition holding Hilton. The March 24-26 ~ere in D.C. at the Washington year's meeting will be "The New Legislative theme of this our W1~ would 1 ike to invite you to address Agenda." l,OOO audience, consisting of approximately from all fields of the health care representatives 10:00 AM: industry, on· the morning of Friday, March 26, at the Your P,resentation · at the last conference ljleld in Washington was a highlight of the Federation will be able three-day rne,eting and I certainly hope you tc~ our group again. This year's confirmed to speak (D-IL), speakers incQude Representatives Dan Rostenkowski ;( D-TN) and Ron .. Wyden ( D-OR) , HHS Secretary J irn Cooper President Donna Shala la, American Hospital Association Dav~dson, American Medical Assodiation Executive Richard coach Lou Vice President James Todd, M.D., Notre Dame analysts David Gergen and Mark Holtz and political 11 Shields of ABS' "MacNeil/ Lehrer NewsHour, early, favorable reply would be greatly An soon. appreciated: I look forward to hearing from you

. Bromberg ecutive Director )01/ ~"3 '3-30'lD MOB.dbl . ~A enc1asurefjire t11 Ch( ------. IL Page 93 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

··----'"-·----· BOB DOLE

KANSAS Wnittb ~tatcs ~cnatc

OFFICE OF THE REPUBLICAN LEADER WASHINGTON, DC 20510-7020

March 15~ 199.3

Senator Dole. ~

The Federation o~ A.me;r~ca,n Hea,lth Systems would l;i:_ke fol;' yoµ to ~pea,k .:\t their: meeting on Fr:j:_da,y, Ma,):"ch 26 at 1 1 10:\00a.m. at the Wa,shington H ~lton . - ~ the need a reply A~AP.

----''---will spea,k -- move 10:30 appt.

~--,_ will not speal<

---- no deci'.s;i:on ;:i,t . thi :s t;;i,_iye

Yvonne

Page 94 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu

MARCH 24 ·26, 1993

THE NEW AGENDAPage 95 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.edu 1993 FAHS Annual Conference and Business Exposition - March 24-26 Washington, D.C.

OFFICIAL HOUSING REQUEST FORM Return to: FEDERATION OF AMERICAN HEALTH SYSTEMS •Telephone requests not accepted. Administrative Services Office • Please print or type all items to assure accuracy. 1405 N. Pierce, Suite 311 •All acknowledgments will be sent to individual indicated below. Little Rock, AR 72217-8708 Actual room confirmation will follow from hotel. Fax: 501 -663-4903 • Photocopy this form if more than one room is required.

IN STRUCTION: Please complete requested data using abbreviations as necessary. ROOM RESERVATION CUTOFF DATE: March 1, 1993.

All room cancellations must be made through FAHS until March 1, 1993. You may call the hotel direct with name and date changes.

Guest Name ______Arrival Date ______

Share With ______Departu re Date ______

Company Name ______Expected Arrival Time ______

Address. ______Credit Card No. ______

0 AM EX 0 MC 0 VI SA 0 DC 0 CB City/State ______Zip ____ Expiration Date _ _ _ _ PhoneNo.(____)______Deposit Amount *$____ _ Special Request ______* One night's deposit is required to guarantee accommodations.

*Please indicate 1st, 2nd and 3rd choice of hotel.

*O Headquarter Hotel: *O Sheraton Washington Hotel Washington Hilton and Towers 2660 Woodley Road at Connecticut Ave. N.W. Connecticut Ave. at Columbia Road N.W. Washington, D.C. 20008 Washington, D.C. 20009 Single: $155 Double: $155 Single : $165 Double: $165 Tower Single: $200 Tower Double: $200 Cancellation Policy: Accommodations are held until 4 pm on arrival day unless guaranteed by a major credit card or Standard Su ite: 0 One-bedroom/$387 check covering first night's deposit (including 11 % tax plus 0 Two-bedroom/$552 $1.50 county tax) . Any reservation cancelled at least 72 Hilton Honors#______hours prior to arrival will have the deposit refunded. (Guest must obtain a cancellation number.) Check-in time is 3 pm; Cancellation Policy: Accommodations are held until 6 pm check-out is 12 noon. on arrival day unless guaranteed by a major credit card or check covering first night's deposit. Any reservation can- Shuttle Transportation will be provided to and from the celled by 6 pm on arrival day will have the deposit fully Washington Hilton & Towers. refunded.

*O Quality Hotel Central ADA: In compliance with the Americans with Disabilities 1900 Connecticut Ave. N.W. Act, the Federation of American Health Systems will Washington, D.C. 20009 make all reasonable efforts to accommodate persons with disabilities at its meeting. If ADA special assistance is Single: $94 Double: $104 required , please indicate on this form :

Cancellation Policy: Accommodations are held until 4 pm on arrival day un less guaranteed by a major credit card or check covering first night's deposit. Any reservation cancelled at least 24 hours prior to arrival will have the deposit refunded.

Page 96 of 99 This document is from the collections at the Dole Archives, University of Kansas http://dolearchives.ku.eduTHE NEW AGENDA SCHEDULE THURSDAY, MARCH 25 - What to Expect from Congress and This material has been prepared to comply with the HFMA guidelines for MoRNrNG external programs which meet the certification and certification mainte- How to Have Your Hospital's Voice Heard nance requirements.

WEDNESDAY, MARCH 24 BE 1:00 pm - 4:30 pm Buyers Exposition A PART 4:30 pm - 6:30 pm Buyers/Suppliers "Appreciation Reception"- Entertainment by Jeff OF THE CHANGE Jena and the Lennie Williams Trio

THURSDAY, MARCH 25 8:00 am - 10:00 am Suppliers Exposition - Breakfast Served 7:30 - 8:30 am "The national policymak- 10:00 am - 12:30 pm FAHS Opening General Session - ers featured at FAHS' pro- TOPIC: "The New Agenda" grams has helped give our SPEAKERS: Lou Holtz, head football coach executives in-depth knowl- of PBS' "MacNeil/ Lehrer NewsHour" University of Notre Dame Rep. Dan Rostenkowski Donna Shala/a will provide their expert political Mark Shields, political columnist, edge of what to expect to be (Invited) analysis of the new administration and the Washington Post, and coming 'down the pike' Opening the Conference Thursday morn- potential for the enactment of health legisla- David Gergen, editor-at-large, from Washington. Over the ing will be Lou Holtz, who not only has dis- tion in the 103rd Congress. US News & World Report years this has helped our tinguished himself Rep. Dan Rostenkowski (D-IL) (invited) on the football Donna Shalala, Secretary, HHS HT/ executives prepare for 11:30 am - 5:30 pm Spouse Event - Washington's Treasures the future. In 1993 we have field, but also at the 12:30 pm - 2:30 pm Suppliers Exposition - Lunch Served the additional opportunity to podium for his 2:30 pm - 5:30 pm Workshops present our views and poli- skills as a motiva- tor. His speech to * Legislative Briefing and Capitol Hill Visits cies to the decision makers * Pharmaceuticals - "Healthcare Legislation encourage health and the National Account Environment" in Congress who hold the care executives to SPEAKER: Rep. Ron Wyden (D-Oregon) key to responsible health prepare for the & "Outcomes Research and Management - reform. HT/ personnel will fight to reform the What it Means to Provider and Supplier" be there in force to take our health care system * Capital Equipment - "Safe Medical Device message to the Hill. I urge will set the tone for Legislation" Lou Holtz David Gergen Mark Shields 6:30 pm - 8:00 pm FAHS Presidents' Reception others to join us." the entire meeting. (Open to all attendees) Following Holtz's presentation Thursday - Clayton McWhorter morning, David Gergen and Mark Shields Thursday morning's session is sponsored by FRIDAY, MARCH 26 Chairman, President and CEO Wyeth-Ayerst Laboratories. HealthTrust, Inc. 7:00 am SK Run/Walk 8:00 am - 9:45 am Buyers/Suppliers General Session AFTERNOON TOPIC: Buyer/Seller Relationships, Three exciting and informative workshops will be presented. Select the one that best addresses your needs: Challenges Facing Suppliers in 1990s "At HCA, we've been SPEAKER: Stephen X. Doyle * Legislative Briefings and * Pharmaceuticals-Healthcare * Capital Equipment-Safe 10:00 am - 12:30 pm FAHS General Session pleased to take advantage Capitol Hill Visits Legislation and the National Medical Device Legislation PANEL DISCUSS ION : "Health Care Networks - of the low rates for hotels REMARKS BY: Account Environment MODERATOR: What Hospitals Must Do to Participate" and airfares which the Victor L. Campbell, KEYNOTE ADDRESS : James C. Olsen, Vice SPEAKERS: FAHS has negotiated. It's FAHS President, and Rep. Ron Wyden (D-OR) President, Materials Richard Davidson, AHA President an economical package and BRIEFING BY: Lynn Hart, (Reaction from a panel of Management, Humana Inc. Rep. Jim Cooper (D-Tennessee) a timely opportunity to pre- Director of Federal industry executives) and ... KEYNOTE ADDRESS: Michael Soper, M.D., sent our views to our elect- Legislation, FAHS Outcomes Research and Richard 0. Martin, Ph.D., CIGNA Senior Vice President ed representatives." James S. Todd, M.D., (Transportation to Hill Management - What it President & CEO, AMA Executive Vice President - Victor L. Campbell will be provided) Means to Provider and Physio Control, and Vice President, Supplier Ronald M. Johnson, 12:45 pm - 2:30 pm FAHS A wards Luncheon Sponsored by MERCK SPEAKERS: W. Randolph Smith, Corporate Relations KEYNOTE ADDRESS: Director, Office of Com- Human Health Division Incoming FAHS President Hospital Corporation of pliance and Surveillance, America Mark Zitter, President, Michael Bromberg, Zitter Group Center of Devices and FAHS Executive Director (Reaction from a panel of Radiological Health, FDA industry executives) (Reaction from a panel of . ' FederatiOn of American ~ealth Systems · industry executives) Page 97 of 99 This document is from the collections at the Dole Archives, University of Kansas THE NEW AGENDA http://dolearchives.ku.edu • FRIDAY, MARCH 26 - What Your Hospital Must Do to ms in a Health Care Network Annual Conference MORNING Participate \\ll bington 1993 FAHS The Buyers/Suppliers Session will focus and Business Exposition on "Buyer/Seller Relationships and Chal- T If you wish to exhibit, lenges Facing Suppliers in the 1990s." All Please contact FAHS at registrants may attend. Address will be by NON-EXHIBITOR REGISTRATION FORM (501) 661 -9555 or 1(800) 880-3247. Stephen X. Doyle, founder of Stephen X. (Exhibitors will receive separate registration form.) Doyle and Company. Reaction from a panel of industry suppliers and purchasing execu- ORGANIZATION TYPE: (check one) tives will follow. Scott Farrar, Director Contracts Management, HealthTrust, Inc., _ Hospital : Investor-owned Title: ______Hospital : Not-for-profit will moderate this session. _ Multi-hospital Group: Investor-owned _ Multi-hospital Group: Richard Davidson Rep. Jim Cooper Organization :______GENERAL SESSION Not-for-profit A distinguished panel of health care lead- _ Accounting Firm Street Address:. ______Financial Institution ers will offer their expert advice on what the _ Law Firm health care networks of the future will look _ Manufacturer or Supplier City:______State:__ Zip :____ Telephone: .____ _ hospital will need to do _ Professional Associ ation like and what your _ Press _ to become a viable participant. This session If you have any questions about the reg1strat1on process _ Other _ ___ will truly be a guide for the survival of your or ab out exh1b1t1ng. please call (501) 661-9555 Fees institution as Congress and the marketplace redesign our health delivery system. Panel Please register me as a: _ FAHS Member ($495) _ Non-Member ($545) for: $ _ ___ participants: Richard Davidson, AHA (Group discounts available - Call (501) 661-9555 for details) President; Rep. Jim Cooper (D-Tennessee); Choose conference #1 or# 2 - (not both) and indicate Workshop A, B, or C. Michael Soper, M.D., CIGNA Senior Vice Workshop Note: Whether you are attending the FAHS Conference or the Michael Soper, M.D. James S. Todd, M.D. Buyers/Suppliers Business Conference, you may select either Workshop A, B, or C President; and James S. Todd, M.D., AMA (Choose one workshop only). Your convention badge will identify workshop attendance. Executive Vice President. Friday morning's session is sponsored by Mallinckrodt Medical, Inc. 1_ FAHS Conference and Workshop (Thurs., March 25 and Fri., March 26) Workshop A_Legislative Briefing and Capitol Hill Visits LUNCHEO (Transportation will be provided) The conference events wi ll conclude with 2_ Buyers/Suppliers Business Conference and one Workshop (Wed., March 24, Thurs., March 25 and Fri., March 26) SPECIAL EVE TS - TH URSO AY the FAHS Annual Awards Luncheon, featuring Workshops B_ Capital Equipment - Safe Medical Device Legislation remarks by 1993 FAHS President W. Randolph C_ Pharmaceuticals - Legislative Issues and Outcomes Presidents' Reception - This evening is a Smith, executive vice president of operations, Research and Management time for food, fun and relaxation. Entertainment will be by the Capitol Conference Note: Both Conferences include 3 meal functions, Presidents' Recep- tion , one workshop and all respective Conference sessions. (Buyers/ Suppliers Confer- Steps, a musical political satire troupe of cur- ence includes a reception Wednesday afternoon March 24 and a general session Friday rent and former Congressional Aides. The morning March 26.) Access March 24 to the Buyers Exposition (1 :00 - 4: 30) and Buyers/ troupe has become a favorite on the Washing- Suppliers Appreciation Reception (4:30 - 6: 30) , is limited to exhibiting suppliers, hospital and multi-hospital group personnel only. (Sorry , personnel from non-exhibiting companies ton social circuit receiving rave reviews, that supply products/services will not be admitted on the exposition floor at these times.) laughter and wild applause. $___ _ Sponsored by KC/. 3_ Please register my spouse (Fee: $135) ______Includes Spouse tour and lunch, Name Spouse Event - Washington's Treasures all social functions and conference sessions. Total :$_ ___ Tour and Luncheon includes the following: PAYMENT: If you are charging your registration to a credit card, Visit to Library of Congress to view the By Mail - Send registration form and payment or please select one and fill in blanks below: Vatican Exhibit, lunch at Chez Grand-Mere Michael D. Bromberg W. Randolph Smith credit card information to: 0 American Express 0 Mastercard in Georgetown, a stop at the Washington FEDERATION OF AMERICAN HEALTH SYSTEMS American Medical International, Inc., and an Administrative Services Office 0 VISA 0 Diners Club/Carte Blanche National Cathedral, drive along Embassy 1405 No. Pierce, Suite 311 Row, and a visit to Dumbarton Oaks in address by FAHS Executive Director Michael Little Rock, AR 72217-8708 Card Number Exp. Date Georgetown. For more information contact D. Bromberg on "The Importance of Grass By FAX - Send the registration form to FAHS at What the Industry Must (501) 663-4903 before March 19, 1993 only. the FAHS Little Rock office. Roots Involvement... (Credit card registrations only.) Signature Sponsored by B oehringer Mannheim Do to Have Its Voice Heard." 1s received by March 5 1993 80% refund through Corporation. Refund and Cancellation Policy: 100% refund 1f the request This luncheon is sponsored by Johnson Controls. March 19. 1993 No refunds after March 19. 1993 Requests for refunds must be made in writing. Page 98 of 99 Please return this form by March 19 to Federation of American Health Systems, Little Rock office. This document is from the collections at the Dole Archives, University of Kansas 64 days into the http://dolearchives.ku.edu FIRST CLASS 'Fede.ation U.S. Postage Paid of Amedcan Health Systems Federation of American Clinton Administration Administrative Office - Health Systems 1405 No. Pierce, Suite 311 ' and you'll be there! Little Rock, Arkansas 72217-8708

The best timing ever: The Federation will convene in the nation's Capital and present some of the most important health care leaders from around the country at a time when the new Congress and Administration will be formulating health system reform policy and legislation. You can't afford to miss it!

Page 99 of 99