Comms. Present: Comms. DeYoung, Greenfield, Hirt, McLaughlin, Pilcher & Snyder (Comm. Butler excused) 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 April 4, 2017 Study Session Meeting Minutes Comms. Present: Medical Staff Leadership: Others Present: Guests: Comms. DeYoung, Greenfield, Hirt, McLaughlin, Pilcher & Snyder (Comm. Butler excused) Bob Geise, MD; Jim O'Callaghan, MD Bob Malte; Laurene Burton; Jim Fitzgerald; Jeff Friedman; Nancee Hofmeister; Debbie Sandona; Kay Taylor; Jeff Tomlin, MD Rachel Nies (Exhibit A) PUBLIC MEETING and EXECUTIVE SESSION Comm. DeYoung called the April 4, 2017 Study Session 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 property, personnel, litigation, and quality assurance matters. 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. The Executive Session was concluded at 5:25 p.m., at which time a short recess was taken. Comm. DeYoung reconvened the Public Meeting, calling it to order at 5:33 p.m. and welcoming those present. Order of Business There were no changes to the agenda.

2 KCPHD #2 Board Meeting Minutes 4/4/2017 Page 2 of 6 PRESENTATIONS Quality and Safety Reports Jeff Tomlin, MD, CMO, shared the Leapfrog results, noting EvergreenHealth's score was a "B," ever-so-slightly below an "A" rating. He also explained The Joint Commission SAFER matrix, a new process for displaying scope and risk of findings, and reported on information from the RCA/CR Audit Report. Members of the Board Quality Committee rounded in the Laboratory. The Lab just completed its CAP survey, with a highly successful outcome. Dr. Meckler was acknowledged for his leadership and for stepping in for Dr. Callahan, who resigned due to her move out of the area. Finally, Dr. Tomlin then reviewed the executive dashboard, highlighting trends and opportunities for improvement. Annual Joint Venture/Partnership Report Jeff Friedman, VP, Hospital and Medical Group Operations, presented the performance evaluation and update for EvergreenHealth's joint ventures, which included: Evergreen Radia's 2016 volumes for Kirkland and Redmond, 2016 net income, and key initiatives for 2016 and 2017; and PacLab 2016 financials, tests performed, payments and highlights, together with 2017 PacLab key initiatives and an update on the PacLab sale transaction. He concluded with a summary of EvergreenHealth's Joint Venture Investments and Income. The Board thanked Mr. Friedman for an informative report. Bi-Annual Customer Engagement Report Kay Taylor, VP, Marketing and Communications, introduced Debbie Sandona, Executive Assistant and thanked her for all that she does in her role. She also invited Laurene Burton, Executive Director, Governance/Community Affairs, to introduce Rachel Nies, a student from LWIT who will be interning with Administration for the next few weeks. Ms. Taylor then presented the Customer Engagement Bi-Annual Update which included: Reputation Management and Results; Division Highlights; and Provider Star Ratings on the Web. The Board expressed appreciation to Ms. Taylor for the great information and is pleased at the progress being made. DISCUSSION ITEMS FOR PROPOSED ACTION ON April 18, 2017

3 KCPHD #2 Board Meeting Minutes 4/4/2017 Page 3 of 6 AGB Charter and Bylaws and AGB Delegation of Authority Jim Fitzgerald, General Counsel, presented the annual review of the EHM AGB Bylaws and Delegation Policy done by the EHM AGB Bylaws Committee. Key changes reflected the Policy on Policies, the CEO's role in employment of the CAO, updated Committee language, improved consistency between the EvergreenHealth Board Delegation Policy and EHM AGB Delegation Policy, and the adoption of a similar reports matrix to reflect actual and desired timing of AGB reports. The Board provided input based upon the drafts and thanked the Bylaws Committee and, in particular, Mr. Fitzgerald, for the substantial work that has gone into these documents. Board Committee Appointment Comm. DeYoung proposed that Steve Rabuchin, General Manager of Global Sales, Business Development and Developer Relation for Amazon Web Services, be appointed as a community member representative to the EvergreenHealth Board Digital Health Advisory Committee. Mr. DeYoung stated his opinion that considering Mr. Rabuchin's background and experience, he should be a valuable addition to this committee and he is willing to serve. Evergreen Health Redmond Imaging Change from Under Arrangement to Staff Lease Arrangement and Purchase of Equipment Mr. Friedman presented a recommendation for approval of the purchase from Evergreen Radia, LLC of the imaging equipment at EvergreenHealth's Redmond facility and to change from an "under-arrangement" agreement with Evergreen Radia to a staff lease arrangement for the Redmond site only. Mr. Friedman responded to questions from the Board regarding the proposed transaction. Annual Environment of Care Report The Annual Environment of Care Report was presented in a written format covering the following : 2016 Department of Health Survey Findings; 2016 Performance Standards; and Management of Safety, Hazardous Materials and Waste, Fire and Life Safety, Emergency Preparedness, Medical Equipment, Utility System, and Security. In addition, Phase 2 work on the Boiler Room Replacement was presented, as well as the 2016 Environment of Care Area of Focus. Medical Staff Report Bob Geise, MD, Medical Staff President, reminded the Board of the annual Medical Staff Meeting on May 18 1 h and extended an invitation to the Board and Administrative Council to attend.

4 KCPHD #2 Board Meeting Minutes 4/4/2017 Page 4 of 6 Medical Staff Report, cont. Jim O'Callaghan, MD, Medical Staff Vice-President, gave kudos to the Physician Wellness Committee, with appreciation to Ors. Jack Handley and Jim Brown for their leadership, noting that the work of the committee is truly making a difference in the lives of some of EvergreenHealth's providers. CEO Report Bob Malte, CEO, reported on and gave notice of the following: Mr. Malte commented that due to the recent resignation of Gene Barker as a community member of the Board Quality Committee, consideration of his replacement was underway. At least two people have expressed interest and will be interviewed. Mr. Malte and the Board expressed appreciation and gratitude to Mr. Barker for his valued senice, and noted that he was also recently nominated for a Health Hero award due to his many contributions. Mr. Malte invited focus on the draft agenda for the upcoming Board/Leadership retreat, noting that information from the Advisory Board would be incorporated therein and well-qualified speakers from various communities have been invited to provide other healthcare perspectives. It should be time well spent. Adjourn The April 4, 2017 meeting of the Board of Commissioners for King County Public Hospital District No. 2 adjourned at 7:01 p.m. SUBMITTED: er ATTEST:

5 KCPHD #2 Board Meeting Minutes 4/4/2017 Page 5 of 6 Minerva Butler, Commissioner Rebecca D. Hirt, Commissioner Timothy L. Mclau Charles A. Pilcher, MD, Commissioner Approved as to content and form: J

6 KCPHD #2 Board Meeting Minutes 4/4/2017 Page 6 of 6 Exhibit A - Guests Name Rachel Nies Residence Bothell, WA