Complete and verifiable information is required in order to qualify for this eNewsletter.

Your offer confirmation will be sent to your business email address entered above.

Related FREE Offers from TradePub.com: Check to view offer information and register.

I wish to receive a FREE subscription to Hospitals & Health Networks. For eight decades, Hospitals & Health Networks has continually provided hospital and health care business executives with direction, perspective and information essential to their life's work. Hospitals & Health Networks chronicles the values and ideas that drive the new era in health care. H&HN is the place leaders turn for new insights and to recharge their imagination. H&HN stands for stewardship, creativity and results. It delivers short, high-impact reporting and analyses on trends and issues that interest health care executives and emerging leaders. H&HN covers the trends that drive strategic decision-making in health care provider and payer institutions across the country. Note: Offer Valid in USA Only.

Please check your preferred format.

Both Print and Digital     Digital

Do you wish to receive Health Forum's e-newsletter H&HN Weekly for FREE?

Yes     No

Please indicate your primary type of institution/firm:

Select type of institution/firm Multihospital System/IDN Multihospital System/IDN Corporate Headquarters Hospital—Stand Alone (for profit, nonprofit, government) Hospital—Children's Hospital—General/Acute Hospital—Psychiatric/Behavioral Hospital—Rehabilitation Hospital—Specialized Hospital—Women's/Maternity Academic Medical Center Emergency Department Surgi-Center/Ambulatory Care Center Medical Clinic/Group Practice Laboratory/Imaging Center/Dialysis HMO/PPO/Managed Care Long-Term Care Architect/Construction/Design Firm IT Vendor/Software Developer Hospital Group Purchasing Organization or Alliance Government/Voluntary Health Org/Nonprofit Government Purchasing Agencies Consulting Firm Manufacturers of Hospital Equipment & Services Other Please Specify for Other:

Please check the one category that best describes your title:

Select title CEO/President Administrator CFO CIO/CMIO CMO/Medical Director/Chief of Staff/VP Medical Affairs CNO/CNE/VP of Nursing COO CPO/VP/Director of Materials Management/Purchasing Executive VP/Executive Director/Administrative Director Board Chairman/Member Assistant Administrator/Assistant Executive Director Controller/Chief Accountant Finance & Accounting—VP/Director Business Manager/Accounting Manager IS/IT/MIS—VP/Director/Manager HIM—Director/Manager HIS—Director/Manager Human Resources—VP/Director/Manager Compliance—Officer/VP/Director Risk Mgmt—VP/Director/Manager Marketing—VP/Director/Manager Sales—VP/Director/Manager Telecommunications—VP/Director/Manager Public Relations—VP/Director/Manager Business Development—VP/Director/Manager Planning & Development—VP/Director Corporate Communications—VP/Director/Manager Medical Records—Administrator/Director/Manager Quality Management—VP/Director/Manager Quality & Patient Safety—VP/Director Security—VP/Director/Manager Safety—Officer/Director/Manager Patient Care Services—VP/Director/Manager Nursing—Director/Manager Registered Nurse Surgical Services—VP/Director/Manager Operating Room—VP/Director/Manager Pharmacist/Pharmacy—VP/Director/Manager Radiology & Imaging—Administrator/Director/Manager Laboratory—Director/Manager Cardiology—Chief/VP/Director Emergency Dept—VP/Director/Manager ICU/Critical Care—Director/Manager Respiratory Care—Director/Manager Ambulatory Care—VP/Director Clinical Svcs—VP/Director/Manager Case Mgmt—Director/Manager Utilization Review—Director/Manager Managed Care—VP/Director Materials Mgmt/Purchasing—Manager/Coordinator Facilities Management/Operations/Engineering—VP/Director Legal Affairs/Counsel Program—VP/Director/Manager Professional Services—VP/Director Health Care/Services—VP/Director/Manager Home Health Care—VP/Director/Manager Consultant Other Please Specify for Other:

Number of beds in your organization:

Select number of beds 500-over 400-499 300-399 200-299 100-199 50-99 26-49 1-25

Other than subscription notices, would you like to receive additional industry-related information for Health Forum and the AHA?

Yes     No

Hospitals & Health Networks is an audited circulation magazine. In order to verify request in lieu of a signature, Health Forum's auditors require that they ask for one piece of personal information from you. This information is solely for the purpose of audit requirements. What was the last high school you attended?

---

Are you a doctor/nurse who works with cancer patients? Register with Acurian and receive information about cancer clinical trials happening near your office. There is no cost to you or your patients and Acurian will send you $10 honorarium for joining their community and helping research move forward. Note: Offer Valid in USA Only.

Are you a doctor/nurse who works with cancer patients?

Yes     No I am a:

For which cancer types do you want info? (select all that apply)

	Bone and soft tissue cancer	Head and neck cancer
	Brain and spinal cord cancer	Hematologic cancers and Lymphoma
	Breast cancer	Lung cancer
	Endocrine cancer	Skin cancer
	Gastrointestinal cancer	Urologic cancer
	Gynecological cancer	Genitourinary cancer

---

I wish to receive a complimentary Comparison Guide: Enterprise VoIP PBX - Leave a lasting positive impression with your customers! For many businesses the contact center is where your customers will connect and interact most frequently with your company. VoIP systems are becoming the ultimate solution to building an ongoing positive experience for your customers. This FREE Comparison Guide walks you through the major vendors of VoIP-enabled contact centers and includes topics such as: How VoIP contact call centers work The benefits and risks of VoIP Costs and pricing Basic and advanced features Note: Offer Valid in USA, Canada Only.

Which of the following best describes your industry?

Select industry Agriculture Biotechnology and Chemical Computers, IT, Technology Construction Consulting Education Engineering Environmental Financial Services Food and Beverage Government and Public Service Healthcare Human Resources Industrial and Manufacturing Internet Media and Marketing Networking and Communications Not For Profit Other Industries Retail and Wholesale Telecommunications and Wireless Trade and Professional Services Transportation and Logistics Utility and Energy Please Specify for Other:

Which of the following is closest to your job function?

	Select job function President/C-level Manager IT Decision Maker VP Marketing/Sales/Operations/Business Development VP Engineering/Research/Technology Manager/Director - Marketing/Sales/Operations/Business Development Manager/Director - Engineering/Research/Technology Engineer/Researcher/Scientist Business/Sales Staff Educator Professional Services/Consultant Other
	Please Specify for Other:

---

I wish to receive a FREE subscription to HealthLeaders Magazine - provides a monthly look at the issues and trends that are shaping the business of healthcare today. Subscribe today and read about the latest trends in market strategy, finance, technology, policy, culture and innovation. Note: Offer Valid in USA (Print Edition Only).

In lieu of a signature, HealthLeaders Media requires a unique identifier used only for subscription verification purposes. What is your month of birth?

Select month born January February March April May June July August September October November December

Which of the following best describes your place of employment?

	Select Your Place of Employment Hospital Health System (IDN/IDS) Physician Org (MSO, IPA, PHO, Clinic) Health Plan/Insurer (HMO/PPO/MCO/PBM) Ancillary, Allied Provider (Home Health, SNF, Lab, Rehab Post-Acute, etc.) Government, Education/Academic Vendor/Supplier (Technology, Pharmaceutical, GPO) Professional Services (Consulting/Law/Financial Services) Other
	Please specify for Other:

Which of the following titles most closely describes your position/title?

Select Your Position/Title Administrator Chief Compliance Officer Chief Executive Officer Chief Financial Officer Chief Information Officer Chief Medical Officer Chief of Staff Chief Operations Officer Chief Purchasing Officer Executive Dir., Partner, Board Member President Principal Owner Asst. Administrator Chief Counsel Dir. of Patient Safety Dir. of Purchasing Dir. of Quality Dir. of Safety VP/Dir. Compliance VP/Dir. Human Resources VP Dir. Operations/Administration Chief of Cardiology Chief of Neurology Chief of Oncology Chief of Orthopedics Chief of Radiology Chief Nursing Officer Dir. of Ambulatory Services Dir. of Clinical Services Dir. of Emergency Services Dir. of Inpatient Services Dir. of Intensive Care Services Dir. of Nursing Dir. of Rehabilitation Services Dir. of Surgical/Perioperative Services Medical Director VP Clinical Informatics VP Clinical Quality VP Clinical Services VP Medical Affairs (Physician Mgmt /MD) VP Nursing VP/Dir. Finance Chief Medical Information Officer Chief Technology Officer VP/Dir. Technology/MIS/IT VP/Dir. Marketing/Sales VP/Dir. Media Relations U.S. House Representative U.S. Senator Other

Please specify for Other:

Which best classifies your place of employment by the number of beds?

Select Number of Beds 1–50 beds 51–199 beds 200–499 beds 500–999 beds 1,000+ beds Not classified by number of beds

Which best classifies your place of employment by the number of sites within your organization?

Select Number of Sites 1–5 6–20 21–49 50+ Not classified by number of sites

Which best classifies your place of employment by the number of physicians?

Select Number of Physicians 1–2 3–9 10–25 26–49 50–99 100+ Not classified by number of physicians

Which best classifies your place of employment by the number of enrollees?

Select Number of Enrollees 1–49,999 50,000–99,999 100,000–249,999 250,000–499,999 500,000+ Not classified by number of enrollees

---

Security Check: Enter both words below, separated by a space.