Comms. Present: Comms. DeYoung, Butler, Greenfield, Hirt (for executive session only), McLaughlin, Pilcher, and Snyder. Medical Staff Leadership:

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1 King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners' Meeting EvergreenHealth Medical Center, Kirkland, WA October 3, 2017 Study Session and Special Meeting Minutes Comms. Present: Medical Staff Leadership: Others Present: Guests: Comms. DeYoung, Butler, Greenfield, Hirt (for executive session only), McLaughlin, Pilcher, and Snyder Bob Geise, MD; Jim O'Callaghan, MD Bob Malte; Laurene Burton; Jim Fitzgerald; Jeff Friedman; Ty Heim; Nancee Hofmeister; Tom Martin; Tina Mycroft; Bob Sampson; Kay Taylor; Jeff Tomlin, MD None present PUBLIC MEETING AND EXECUTIVE SESSION Comm. DeYoung called the October 3, 2017 Study Session Meeting of the Board of Commissioners of King County Public Hospital District No. 2 to order at 4:30 p.m. and announced that the Board would immediately adjourn into Executive Session to consider and discuss personnel matters, pending litigation, and quality improvement review. Comm. DeYoung further announced that the Executive Session would adjourn at approximately 5:30 p.m. and that the open Public Meeting would resume at approximately 5:35 p.m. after a short recess. The Executive Session commenced at 4:31 p.m. At 5:26 p.m., Ms. Burton made a public announcement that the Executive Session would continue for approximately an additional 10 minutes and that the Public Session would be starting at approximately 5:45 p.m. The Executive Session was concluded at 5:37 p.m., at which time a short recess was taken. Comm. DeYoung reconvened the Public Meeting, calling it to order at 5:42 p.m. and welcoming those present. Order of Business There were no changes to the agenda.

2 KCPHD #2 Board Meeting Minutes 10/3/2017 Page 2 of 5 PRESENTATIONS Monthly Organizational Dashboard Review Dr. Tomlin began by noting The Joint Commission ("T JC") Extension Survey took place yesterday and today. He shared the Risk Matrix used by T JC and noted that all findings were in the "low/limited" area, which is very good news. Credit and thanks was given to all who prepared for this survey, especially the clinic managers and quality team. The clinics did an outstanding job! Comm. DeYoung requested that the Board's thanks and appreciation be given to all who had a role in this process. Dr. Tomlin reviewed the clinical elements of the organizational dashboard, noting areas of opportunity. Ms. Taylor then reviewed the Patient Experience portion of the Dashboard, providing an indepth look at several elements. Board Quality and Safety Committee Report Dr. Tomlin reported that the Annual Absolute Safety & Quality retreat will be. held on Thursday. The outcomes will help generate the matrix for He welcomed any questions regarding the written Board Quality and Safety Committee Report. ACTION ITEMS FOR October 3, 2017 Resolution No Amendment of District's Retirement Plan Resolution No was presented for the purpose of amending the District's Retirement Plan. It was presented in three discrete parts to allow for individual consideration and vote by the Board. Comm. Snyder made a motion to approve Resolution No Amendment of District's Retirement Plan - to eliminate the additional District Contribution for Active Participants who receive Compensation in excess of the Social Security Wage Base, to be applicable only for new employees commencing on or after January 1, Motion carried: Comms. DeYoung, Greenfield, McLaughlin, Pilcher, and Snyder in favor; Comm. Butler opposed.

3 KCPHD #2 Board Meeting Minutes 10/3/2017 Page 3 of 5 Comm. Pilcher made a motion to approve Resolution No Amendment of District's Retirement Plan - to change the matching contributions for physicians and members of the Management Team to a match of $0.50 on the dollar up to a maximum of four percent of compensation for employees hired or promoted to a Management Team position on or after January 1, The motion carried unanimously. Comm. McLaughlin made a motion to approve Resolution No Amendment of District's Retirement Plan - Section E: an amendment to the Plan to change the timing of the matching contributions so matching contributions are made on a quarterly basis, commencing effective January 1, Motion carried: Comms. DeYoung, Greenfield, McLaughlin, Pilcher, and Snyder in favor: Comm. Butler opposed. DISCUSSION ITEMS FOR PROPOSED ACTION ON October 17, 2017 General Contractor/Construction Manager ("GC/CM") Policy As a follow up to an action item approved by the Board in January 2017 which authorized preparation of a Board Policy to implement the General Contractor/Construction Manager ("GC/CM") project delivery method, Mr. Fitzgerald presented the proposed policy. This proposed policy recognizes the reality of the current environment and, although GC/CM is new to EvergreenHealth, it has been successfully utilized in the construction industry by many public agencies for some time. Mr. Heim commented that with the current challenges in the construction.market, this policy will allow more interested parties to bid, particularly for complex projects. Mr. Fitzgerald and Mr. Heim then answered questions from the Board.

4 KCPHD #2 Board Meeting Minutes 10/3/2017 Page 4 of 5 Resolution No Updated District Investment Policy Ms. Mycroft presented the updated Investment Policy, noting it was last approved by the Board in November, The Audit and Finance Committee has reviewed this policy and is supportive of the changes. Mr. Fitzgerald noted that the proposed policy reflects statutory changes enacted by the Washington State Legislature in 2016 and considered best practices from both the Washington Public Treasurers' Association and the Government Finance Officers' Association. Medical Staff Report Dr. O'Callaghan, Vice-President, Medical Staff reported that flu shots are now available and encouraged everyone to be immunized. CEO Report Mr. Malte reported on and gave notice of the following: Mr. Malte, Tom Martin, together with Mike Marsh and Caitlin Hillary from Overlake Hospital, attended the Strategic Regional Healthcare Organization Conference. SRHO is a group of newly-formed system alliances similar to the Eastside Health Alliance. The conference validated the approach EvergreenHealth and Overlake are taking and helped prepare us for the upcoming EHA retreat on November 10th. The next educational session on October 13th will focus on options for facility financing and Phase 2 of the Master Facility Plan. Representatives from Piper Jaffray will attend. The Ophthalmology clinic opened in Coral last week and the Mill Creek Clinic is also in operation with three of the four providers. Mr. Malte asked Ms. Mycroft to share her perspectives on the conversation with Standard and Poor's. She noted it was a positive conversation and information related to the Cost & Revenue initiative was shared. A response regarding the bond rating is anticipated in the next week. Adjourn The. October 3, 2017 meeting of the Board of Commissioners for King County Public Hospital District No. 2 was adjourned at 6:47 p.m. SUBMITTED:

5 KCPHD #2 Board Meeting Minutes 10/3/2017 Page 5 of 5 ATTEST: Minerva Butler, Commissioner atat~- 11/d!P tpt~~a RebeccaD. Hirt, CommissionUr... ~ Timothy L. Mclaughn,Commissioner Charles A. Pilcher, MD, Commissioner'-...- ~ \..._. V ~ -- Virgil L. Sn$. Commissioer Approved as to content and form: J

Comms. Present: Comms. DeYoung, Greenfield, Hirt, McLaughlin, Pilcher & Snyder (Comm. Butler excused) Medical Staff Leadership:

Comms. Present: Comms. DeYoung, Greenfield, Hirt, McLaughlin, Pilcher & Snyder (Comm. Butler excused) Medical Staff Leadership: King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners' Meeting EvergreenHealth Medical Center, Kirkland, WA April 4, 2017 Study Session Meeting Minutes Comms. Present: