Dates: - Desired start date? At least 2 weeks out -Hospital Privileges / Credentialing (Length to Process, Committee Meeting, Other) 2-3 Weeks Min Schedule: -Monday -- Friday? Monday, Tuesday, Thursday, & Friday (Wednesday off) -Typical Surgical hours: 7:00AM - 3:00PM or some other standard start/end times? 7:00AM-5:00PM Staffing Model: -How many MDAs? 1 -How many CRNAs? 22 -Care Team Model or MDA only? Care team (are there any times that our provider will run their own room? Care Team / YES -If Care Team Model: -Who reviews chart/pre-op and determines treatment plan? CRNA -Who starts the case and, intubates, and monitors until PACU? CRNA -Is this for all surgical specialties? YES -Regional Blocks, Epidurals, C-Sections? None -What is the ratio of MD/DO to CRNA (i.e. 1:4)? Is this different for any specialties? 1:1 / NO Caseload & Clinical: ·-What types of cases/surgical specialties for peds? None ·What types of cases/surgical specialties for adults? Endoscopy · ASA 1-5e? < 3 · Trauma services provided? NO · Patients/cases per day? Approx 20 · How many OR's? 7 · How many OR's are running daily? 7

Charting & Software: · EMR/EHR: · EPIC? Cerner? Meditech? Provation / Ggastro · Medication Management/Digital Pharmacy: None · OmniCell, Pyxis MedStation, Plexis System? None