“Multi State Operational Challenges: Difficult Venues and Growing the Company through Mergers and Acquisitions without

1. “Multi State Operational Challenges: Difficult Venues and Growing the Company through Mergers and Acquisitions without Sacrificing Safety” Presented By: Brett Jovanovich, VP Mike Reid, Safety Manager

2. Overview • Introduction / History • Challenges and Obstacles • Internal Safety Programs and Culture • External Resources • Quality Assurance • Future Strategy

3. History • Privately owned service with 500+ team members and over 100 Ambulances and 6 Aircraft • Began in Air Ambulance Industry • Ground Operations begin in 1998 • 5 Start-Ups and 3 Acquisitions

4. Our Mission Provide the highest quality patient care and comfort available in the industry. We are striving to change the face of medical transport, by empowering our employees with a positive can do attitude; by offering our customers a variety of transport options; and by demanding that excellence and quality service be attained in every aspect of our company. Lifeguard strives to be a leader in the medical transport industry.

5. Our Safety Mission Safety Statement To provide the safest working environment in the industry for our team members, our patients, and the public we serve.

6. Challenges / Obstacles • External Challenges • Geographic Concerns • Litigious Venues • EMS Culture • Internal Challenges • Remote Management • Company Culture & Attitude

7. Incident Frequency Data( Graph of Vehicle Contact New Orleans 1998-2003)

8. Incident Frequency Data( Graph of Driver Alert Infractions Nashville, TN 2004-2006)

9. Incident Frequency Data( Graph of Workman’s Comp Injury Companywide 2003-2006 )

10. Internal Safety Programs & Company Culture

11. Getting Started 5 E’s of Policy Formation • Examine Issue • Establish Objectives • Employee Involvement • Education • Enforcement

12. Safety Policies

13. Vehicle Policies • Non-Emergency and Emergency • Wide Variety of Driving Requirements • Equipment Storage and Security • Continuous Training & Feedback

14. Stretcher Policies • 5 Point System • Transfer Policy • Max Weight Policy • Bariatric Equipment • Additional Resources • Continued Education

15. Personal Protection Policies • OSHA Standards • Equipment Usage • Continued Education

16. Safety Conscious Culture • Employee Involvement • Management Support • Consistent Enforcement Examples: • SAFETY Acronym • Weekly Safety Cards • Monthly Training • Quarterly Safety Focus • Quarterly Evaluations • Transparency of Data

17. External Resources

18. Tools / Resources (Hardware) • Drive Cam • Driver’s Alert • Road Safety

19. Tools / Resources (Software) • Smith System • EVOC / CEVO II • National Safety Council • Peer Review and Committees • Thomco/American Agency

20. Integration of External Resources Outside vendors can supply the tools, but it is up to us to utilize the tools to maximize performance. • Education • Enforcement • Evaluation

21. Quality Assurance

22. Review Process • Active Follow-Up on all Concerns • Continuous Review of Policies • Review of Policy Results • Management and Employee Input

23. Incident Frequency Data( Graph of Vehicle Contact New Orleans 1998-2003)

24. Incident Frequency Data( Graph of Driver Alert Nashville, TN 2003-2006)

25. Incident Frequency Data( Graph of Workman’s Comp Company-wide 2003-Current)

26. Future Strategy • Continue Company Growth • Continue Safety Initiative • Continuous Improvement Process

27. Brett Jovanovich, Vice President, Lifeguard Ambulance Service 115-C Walter Davis Drive Birmingham, AL 35209 Phone 205-933-1911 Cell 205-529-8899 Fax 205-324-9915 brettj@lgts.net Mike Reid, Corporate Safety and Risk Manager, Lifeguard Ambulance Service 115-C Walter Davis Drive Birmingham, AL 35209 Phone 205-933-1911 Fax 205-324-9915 mreid@lgts.net THANK YOU !!Contact Information: