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1. Please start/continue my FREE subscription to Healthcare Finance News.

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2. Please start/continue my FREE subscription to Healthcare Finance NewsWeek, the electronic newsletter delivered FREE every week (email address is mandatory).

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3. Which of the following best describes where you work?

Select One ACUTE HEALTHCARE PROVIDER    Hospital, Multi-Hospital System, Delivery Network, Including Headquarters locations    Medical/Surgical Clinic, Ambulatory Care Facility    Medical/Surgical Group Practice    Home Health Care Organization    Nursing Home/Extended Care/Rehabilitation Facility HEALTHCARE FINANCIAL MANAGEMENT SERVICES    Accounting Firm    Revenue Recovery/Collections/Accounts Receivables Firm    Physician Practice Management Firm    Consulting Firm    Law Firm HEALTHCARE PAYER    Health Insurance Company    Health Plans: HMO/PPO/MCO HMO/PPO/MCO    Third Party Administrator OTHER ORGANIZATION    Healthcare Financial Solutions & Services Vendor/Supplier    Other, Allied to Field (please specify)

4. Which of the following best describes what you do?

Select One FINANCE    CFO, VP Finance, Director Finance, Controller, Treasurer    Assistant CFO, Assistant VP/Director Finance, Manager Finance    VP/Director/Manager Patient Accounts, Admissions    VP/Director/Manager Collections, Coding & Other Reimbursement Depts.    VP/Director/Manager Purchasing    VP/Director/Manager Managed Care    VP/Director/Manager of Quality/Risk/Patient Safety/Compliance Depts.    VP/Director/Manager of Other Finance Depts. (please describe) GENERAL AND ADMINISTRATIVE    CEO, Partner, Managing Dir, Gen'l Mgr, Pres, Exec Dir, Admini, Consultant, Grp Pract Mgr, Board Officer    COO, Executive VP, Senior VP, VP, Asst Administrator    Other C-Level Titles, VP/Director/Manager Other General & Administrative Depts. (please describe)    Other (please describe)

5. Do you budget, specify, recommend, approve or buy the purchase and/or implementation of healthcare financial solutions and services?

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No

6. Number of beds (hospitals/surgical clinics)?

Select One    1000+    500 - 999    400 - 499    300 - 399    200 - 299    100 - 199    < 100

7. Number of physicians (ambulatory)?

Select One    300+    200 - 299    100 - 199    50 - 99    26 - 49    10 - 25    < 10

8. Number of lives covered?

Select One    > 2 million    1.1 - 2 million    501,000 - 1 million    251,000 - 500,000    101,000 - 250,000    < 100,000

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