Strengths WEAKNESSES Highly engaged board New leadership

Strengths WEAKNESSES Highly engaged board New leadership team, dedicated and passionate employees Favorable fee-for-service environment New, updated facilities and equipment History of service to community History of relationship with community college nursing program Major employer and economic driver of community Significant recent improvements to quality and service Outmigration in key service lines Decline in inpatient volume Recruitment challenges Financial challenges Poor Quality & Service scores via public reporting Decreased trust by community Lack of full-time specialty services Lack of dedicated urgent care services Low commercial volume Lack of primary care base OPPORTUNITIES \ THREATS Physician engagement Alignment/partnership with key independent groups Continued investment in core services Community involvement Alignment with Foundation to support growth and expansion Further leverage relationship with academic medical center for expertise (clinical and administrative) and branding New competitive challenges from niche organizations (ie. urgent cares) Regional hospitals making large capital facility and program investments Large, independent physician groups competing for outpatient volume. Limited population growth Payment reform Magnitude of change required to succeed in more competitive market of healthcare reform Wildcards (regulatory, payer reform) Develop strategies to address one of the identified priorities by considering: How can strengths be used to take advantage of the opportunities? How can strengths be used to overcome the threats? What can be done to overcome the identified weaknesses to take advantage of the opportunities? How will weaknesses be minimized to overcome the identified threats?

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