HEALTH CARE VISIONS Health Care Visions provides innovative, client-specific EMS consulting services to customers across North America. Incorporated under the name Steven L. Athey, Inc., the company draws on the expertise of contracted professional associates in service to a wide range of clients across the United States and Canada. A flexible consultant-based business structure allows for the better utilization and specialization of personnel with significantly low overhead costs, a savings Health Care Visions is able to pass on to the company's clients.

President Steve Athey founded Health Care Visions in response to his perception of a growing need for EMS-specific consulting services. Thirty years of experience in EMS, much of it spent leading both stand-alone and multi-site ambulance operations, had convinced Steve that the prevailing cookie-cutter approach to EMS management simply wasn't working. He set out to build a company that could effectively deliver specific solutions for distinct issues.

Entering its fifteenth year of operations, Health Care Visions has developed a consulting network of experts that can bring the talent of industry leaders to a project as needed. The Health Care Visions team is just as comfortable working on a single-site, short-term assignment as implementing a long-term multi-faceted project. Health Care Visions consultants offer an average of over 25 years of specialized industry experience. Clients benefit from professional, thoughtful and thorough consulting support.

Product List

Health Care Visions offers a variety of EMS consultant services, including the following.

• System analysis and design

• Strategic management or the development and implementation of strategic plans

• Due diligence review (M&As)

• Operational and financial reviews and improvement

• Management development programs

• Crisis management

• Accreditation preparation and review

• Proposal preparation

• Request for Proposal (RFP) preparation and contracting

• Contracted management services

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• Market protection, marketing plans or Public Relations programs

• Supervisory training programs

• Expert witness services

Experience

The Health Care Visions team has assisted organizations and municipalities with a number of projects as detailed in the company's Client Listing. Health Care Visions is currently engaged in projects including the following products.

• Operational analysis, recommendation development and implementation assistance for a major national EMS firm including response time improvement and System Status Management evaluation and analysis

• Public Relations planning, development and implementation

• System review and proposal development in response to Request for Proposal

• Research and analysis (benchmarking) of EMS systems to discover similarities/differences surrounding personnel issues

• Identification, development and implementation of system enhancements in a major urban EMS system

• Strategic planning and crisis management in a 911 EMS model

References are available upon request.

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HEALTH CARE VISIONS: Associates Personnel are the strength of any project. Health Care Visions is pleased to introduce the company's associates, a strong team of EMS and related industry experts offering specialized experience measured in decades.

Steven L. Athey President/Owner, Health Care Visions

President/owner Steve Athey functions as lead consultant for Health Care Visions, based in Argyle, Texas. Steve founded the consulting firm after over thirty years of service in the ambulance business. Beginning with employment as an EMT in Eugene, Oregon, Steve’s career spans a wide variety of experiences within the EMS industry.

Prior to establishing his own company, Steve was Regional Vice President for the Rural/Metro Corporation with responsibility for ambulance operations across the state of Texas. Employing industry specific strategies, Steve led the turnaround and redirection of MedStar in Fort Worth, improving profitability and efficiencies dramatically in less than two years. The MedStar system and another system under Steve’s direction, Amarillo Medical Services, have both been recipients of the Texas EMS System of the Year Award.

Steve also served as Regional President for MedTrans’ Northern California operations

where his responsibilities included oversight of multiple sites and approximately fifty million dollars in annual revenue. In addition, Steve has operated two very large high performance systems specializing in efficiencies and deployment strategies.

Steve has developed and launched integrated transportation networks in managed care environments. He reengineered and consolidated an entire California division of four individual sites, resulting in improved operational efficiencies.

A member of the American Ambulance Association, Steve has served the Association as a board member, committee chair and Ethics Committee member. He holds a Master's Degree in Business from Texas Wesleyan University where he teaches in the School of Business.

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Paul Driskell President/CEO, Paul Driskell & Associates

Paul Driskell's experience working with the leaders of national, state and local government and with some of the business community's most dynamic corporate executives is unique beyond description. In 1986, he created a strategic consulting and lobbying firm in Washington, D.C., after serving eight years in the leadership staff of the U.S. House of Representatives where, as Executive Assistant to the Speaker and Majority Leader of the House, Paul coordinated the activities of four powerful congressional committees.

Paul's consulting and lobby business is directed towards assisting Fortune 50-500 companies in structuring or augmenting strategic approaches to public affairs of all types. Over the past seventeen years, Paul has assisted countless CEOs, COOs and general counsels in the

selection, direction and strategic planning for nearly every type of political, governmental business difficulty. He monitors the activities and strategies of law, consulting and lobby firms as they impact his clients.

Paul Driskell and Associates has been retained by The American Federation of Healthcare, the nation's largest "for profit" healthcare trade association, the Hospital Corporation of America, Union Oil of California, the Rouse Company, Blue Cross Blue Shield of Ohio, Sun Life of Canada, and FelCor Lodging Trust, as well as countless municipal, county and regional governments. Paul's company provides strategic services where failure would result in unacceptable revenue loss for private companies or government entities. Paul assists CEOs and general counsels in the selection, evaluation and monitoring of government relations and lobby divisions, often without any retained or inside employees made aware of the evaluation or strategic undertaking.

Paul keeps an active public speaking schedule with appearances on The NewsHour with Jim Lehrer, lectures at business retreats and symposiums and academic appearances at law schools and graduate business schools nationwide, including the Kennedy School of Government and the LBJ School of Public Administration. Paul actively advises The Real Estate Tax Institute, the ICSC, the NRC and countless boards and professional organizations on strategic approaches to current business and government conflicts.

Paul holds Bachelor's and Master's degrees from Texas Christian University and taught at the college level for six years before taking a position with the U.S. House of Representatives. He currently lives in Colleyville, Texas.

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Jeffrey M. Goodloe, MD, Medical Director for all Medical Control Board affiliated agencies in metropolitan Oklahoma City and Tulsa. Dr. Jeffrey M. Goodloe serves as the Medical Director for all Medical Control Board affiliated agencies in metropolitan Oklahoma City and Tulsa. Dr. Goodloe began his multifaceted EMS career in Waco, Texas in 1988. He worked as an EMT-Basic, as an EMT-Intermediate, and as a paramedic for Baylor University EMS and American Medical Transport, the 911 system ambulance service for Waco and the surrounding cities within McLennan County, Texas, throughout his years of undergraduate studies at Baylor University.

Graduating cum laude with a Bachelor of Science in Biology, he was accepted in 1991 for medical studies at The University of Texas Medical School at San Antonio. He was conferred the Doctor of Medicine degree in 1995. Throughout his medical school years, Dr. Goodloe continued to work as a paramedic in the San Antonio metropolitan area as well as in Pasadena, Texas. During his last two years of medical school, he was appointed an instructor of EMS personnel (civilian and military), nurses, fellow medical students, and physicians at The University of Texas Health Science Center in San Antonio as well as its counterpart medical institution in Houston.

He completed the residency in emergency medicine at Methodist Hospital of Indiana in affiliation with the Indiana University School of Medicine in 1998. During residency training, Dr. Goodloe worked as a helicopter physician at Methodist Hospital's LifeLine and as a motorsports physician at the famed Indianapolis Motor Speedway. Additionally, Dr. Goodloe served as the Associate EMS Medical Director for Hendricks County EMS, a consortium of fire-based EMS services.

Upon residency graduation, he helped create the EMS fellowship training program at The University of Texas Southwestern Medical Center at Dallas, serving as its inaugural fellow and as an attending faculty physician in Parkland Memorial Hospital's Emergency Department.

Prior to being recruited to the University of Oklahoma School of Community Medicine Department of Emergency Medicine in August of 2007, Dr. Goodloe served 8 years as the EMS Medical Director for the Plano, Texas Fire Department, an EMS organization providing both first response and ambulance transport.

He is an Associate Professor and Director of the EMS Division in the Department of Emergency Medicine at The University of Oklahoma School of Community Medicine. He became board-certified by the American Board of Emergency Medicine (ABEM) in 1999 and successfully recertified his status as an ABEM Diplomat in 2009. Dr. Goodloe is recognized as a Fellow of

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the American College of Emergency Physicians and serves in multiple leadership roles within the College. He maintains an active clinical and academic practice of emergency medicine at Hillcrest Medical Center in Tulsa.

Dr. Goodloe now serves as the Medical Director for the Oklahoma Highway Patrol’s Emergency Medical Services Unit, Tactical Team, Bomb Team, Riot Control Team, and Dive Team. Bringing past leadership and formal certification as an EMT-Tactical, he has structured a comprehensive program of tactical medicine related partnerships, culminating in the founding of the Special Operations Medical Oversight and Support (SOMOS) program at the University of Oklahoma School of Community Medicine Department of Emergency Medicine.

Dr. Goodloe’s EMS clinical interests include cardiac arrest management, airway management with pharmacologically-assisted invasive airways, non-invasive airway management with Continuous Positive Airway Pressure (CPAP), invasive airway confirmation practices with continuous waveform capnography, optimizing timeliness of care for acute coronary syndromes and multisystems trauma, and post-exposure prophylaxis for EMS personnel.

David A. Higson, CPA Healthcare Consultant - Finances

David Higson's professional financial experience spans over twenty five years with extensive experience in the transportation and healthcare industries. David’s experience has centered on senior level financial management, accounting, budgeting and revenue cycle management in both the transportation and EMS markets.

David served as a Senior Vice President of Finance, and Chief Financial Officer for MedTrans Corporation (a wholly-owned subsidiary of Laidlaw). MedTrans provided a full range of medical transportation services from basic patient transit to the most advanced emergency care and pre-hospital assistance. It operated emergency (9-1-1) calls and response services for large and small communities all across the US.

David’s responsibilities included the management and oversight of the Controller, Human Resources department, Accounts Receivables and Reimbursement, Risk and Safety, and Information Systems. Between June 1993 and May 1997 MedTrans grew from $60 million to over $650 million and David played a key role in the acquisition and integration of over 100 companies that comprised the nation's largest medical transportation company and its subsequent integration with American Medical Response. David presided over the creation and installation of proprietary software to handle the unique requirements of billing and reimbursement in the ambulance industry. Improved collection rates by 2% which resulted in a $26 million improvement to the bottom line. David developed and/or utilized several financial and pro-forma models to project financial impact and improve decision making, including:

• Rate setting and impact relationship;

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• Fee Schedule modeling;

• Acquisition and expansion pro-forma models;

• Variable cost models; and

• Operational cost improvements.

David also gained extensive experience in the transportation industry working with Laidlaw who was the largest private contractor of student transportation in North America. David led a financial turnaround in the northeast region from losses of $12 million per year, to a 13% profit making it the most profitable school bus operation within Laidlaw. The region grew to nearly $250 million under David’s leadership.

Additionally David has served as a manager with Clarkson Gordon (Canadian affiliation of Arthur Anderson) Coopers & Lybrand (now PriceWaterhouseCoopers). David is a graduate of Wilfred Laurier University, Waterloo Ontario, Canada (1970) with a Master of Business Administration, in Economics and Marketing David is a Chartered Accountant (CPA equivalent)

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HEALTH CARE VISIONS: Partial Client Listing / Scope of Services

Brytan & Associates

• Strategic planning sessions with key stakeholders

• Financial planning and budgeting; and

• Lobbying efforts with the Texas Department of Health

Metropolitan Emergency Medical Services (MEMS)

• Emergency on-site management and employee intervention

• System analysis and recommendations

• Successful proposal submission for statewide trauma dispatch

On Assignment

• Proposal response to Request for Proposals (RFPs)

• Provided Commission for Accreditation of Ambulance Services (CAAS) accreditation assistance

Cleveland Industries

• The evaluation of strategic opportunities relating to desired new customers and markets

Emertech Industries

• Product development planning

• Development of marketing strategies

EMSJobs

• Article writing and publication in the Trends section of the company's website;

• Marketing through mail and print advertising; and Market development and strategy development

Hunt Memorial Hospital District (HMHD)

• Providing national industry expertise to the County’s ambulance subcommittee

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• Investigating system designs from around the country that would be applicable to Hunt County

Life Ambulance

• Research and report on exclusive ambulance contracts around the state

PADSystems, Inc.

• Authoring a position paper to the country’s largest EMS medical device company discussing integrating data collection

• Providing strategy and counseling to the PAD marketing team

Fort Worth Chamber of Commerce

• Strategic planning; providing guidance and direction on the process

Hinson Systems

• Positioning of the firm and its officers in preparation for the proposal

• Development of bid strategy

LifeNet EMS

• Researching and producing salary surveys for all levels of employees

• Providing management development and supervisory training for staff

• Researching and producing a market analysis for a neighboring metropolitan area

• Successful proposal submission for Texarkana and Hot Springs, AK

Genesis EMS / Ameritech

• System assessment – analyzing all aspects of the company and providing an objective third-party analysis of future needs

• Strategic planning sessions to address assessed needs

• Management development presentations

American Medical Response (AMR)

• Fort Worth, TX Retainer consulting in preparation for MedStar RFP and proposal

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• Aurora, CO Press release development

• Aurora, CO Strategy session on Medical Pathways product

• Port Arthur, TX Press release development and media coverage promotion

• Houston, TX: Proposal development for Texas City

• Dallas, TX Strategy session/development/proposal regarding Columbia

• Grimes, TX Proposal generation and production

• Jackson, MS Strategy development and market protection planning

• Richmond, VA Strategy development and RFP planning

• Arlington, TX Proposal production, budgetary and strategy development

• Cobb, GA Proposal production, budgetary and strategy development

• Cleburne, TX Financial and operational analysis, strategy development

• Fort Wayne, IN Strategy development, proposal development and production

• Santa Clara CO, CA Strategy development, proposal development and production

• Seattle, WA Proposal production, budgetary and strategy development

Grayson County, Texas

• Evaluate the current EMS situation; negotiate and retain EMS services for an interim period

Anderson County, South Carolina

• Evaluate the current EMS situation; negotiate and retain EMS services through a competitive bid process

Emergency Medical Care, Inc. (EMC)

• Provide a complete system review and analysis; provided and implemented strategies to improve financial and operational performance

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Hammeroff Law Firm

• Expert witness services in a negligent injury case

Crescent Realtors, International

• Provide strategy session facilitation for the financial group

Cape Fear Valley Hospital

• Complete a full system analysis including all first responder components

• Implemented cost improvement strategies

• Develop and assist in implementation strategies

Richmond Ambulance Authority

• Review and advise on disputed contract elements and provide a complete contractual compliance review of the system

Area Metropolitan Ambulance Authority

• Provide a complete review of response time compliance related to the system’s “divert status” and to contract with the PUM to provide a subscription program

Arizona Ambulance

• Provide expert witness testimony in a certificate of need (CON) court process.

Bayshore Ambulance

• Provide a complete on-site operational analysis and strategic plan

Metro West Ambulance

• Proposal writing in response to the Clackamas County RFP.

• Provided full analysis of non-emergency services, worked with ownership to provide improved financial performance

City of Jacksonville, TX

• Provide a complete financial and operational analysis of the system and system design.

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Rockwall County, TX

• Complete a full system analysis, contract negotiations and ongoing Board oversight

Hamilton Healthcare Systems, Dalton, GA

• Complete a full system analysis complete with recommendations

• Provided interim management to begin financial turnaround process

• Retainer agreement to work with local management team to implement recommendations

City of Pasadena, TX

• Complete a full system analysis and system design recommendation

• Implemented contract elements to reduce city’s subsidy by 50%

• Retained to develop RFP and begin procurement process

Stillwater Medical System, Stillwater, OK

• Complete a full system analysis

• Develop RFP and process resulting in an enhanced system design

• Developed new funding mechanism

Labette County Medical Center, Parsons, County

• Complete a full system analysis

• Provide guidance toward implementation

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