Le The erageNetwork · The HcBI recognition event highlights and creates visibility for our corporate partners and charter partner members. • Receive up to two (2) one-on-one videoconference

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INFLUENCE • EMPOWER • CHANGE

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CORPORATE MEMBERSHIP PACKAGE

THELEVERAGENETWORKINC.COM

2 | Membership Package

OUR MISSIONThe Leverage Network (TLN) is dedicated solely to promoting the advancement of Blacks in Governance and healthcare services with a goal to increase the representation of Black leaders holding seats on the boards of healthcare organizations across all sectors of the industry.

OUR VISIONThe Leverage Network is the preeminent organization for the advancement of Blacks in the boardrooms of healthcare organizations across this nation.

OUR CORE VALUESINFLUENCE • EMPOWER • CHANGE

CORPORATE OBJECTIVES• To be recognized as a reputable resource for the

promotion and advancement of Blacks in governance and board roles in the healthcare industry;

• To increase the number of board seats held by Black executives on healthcare boards nationally;

• To increase the number of Blacks serving in executive leadership roles within the healthcare industry (c-suite and two levels down); and

• Elimination of health disparities in communities of color by ensuring equitable representation of Blacks on healthcare boards and in senior leadership roles.

TLN EXECUTIVE LEADERSHIP COMMITTEE

President/CEOAntoinette Hardy-WallerThe Leverage Network

ChairCaretha ColemanPresidentColeman Consulting

DIRECTORS

Alfreda Bradley-Coar, JD Principal The Bradley Coar Group, LLC

Eric Conley SVP, COOFroedtert Hospital

John Daniels Chair EmeritusQuarles & Brady

Michael Loiacano PartnerHeidrick & Struggles

LaRue Martin, Jr. Community RelationsUPS

Amber Walsh PartnerMcGuireWoods, LLP

Ramon Gregory, Former SVPCardinal Health

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VALUE PROPOSITIONENHANCE CORPORATE VALUE TO YOUR COMMUNITY• As a corporate member you will be recognized as a reputable resource for

the promotion and advancement of Blacks in governance and board roles in the healthcare industry

• As a corporate member you will have access to board-ready candidates with an array of talent, experience and expertise

• As a corporate member you align with TLN’s mission and values to have a demonstrative commitment to inclusion through participation in TLN’s advanced programming related to diversity in healthcare

• As a corporate member you have made a decision to impact health disparities in communities served by ensuring a diverse board

• Enhance organizational performance by ensuring diversity of thought, perspectives and experiences

• Alignment with values and corporate social responsibility to create bio health environmental protection that looks out for the wellbeing of the community and civil society specifically for communities of color both now and in the future

• Enhanced insights to diverse customers and environments

• Impact health disparities and inequities for communities and people of color

CORPORATE MEMBER BELIEFS TO IMPACT HEALTHCARE

• A consciousness that a diverse board is more reflective of the base of constituents

• A belief that a diverse boardroom helps address complex health disparities

• A consciousness that a diverse board can help healthcare organizations adapt to an ever-changing healthcare environment

• An understanding that boards with a diverse membership have a breadth of personal experience better equipped to handle emerging challenges related global bio security


MEMBERSHIP OVERVIEWThe Leverage Network’s purpose is twofold:

1. To ‘ready’ members for board opportunities across all sectors of the healthcare industry; and

2. To influence the board selection process and increase healthcare organizations’ board diversity

Corporate membership demonstrates the importance of board diversity and supports the business case for improved organizational performance. Membership also supports the human case, that by ensuring board diversity that better represents customers, patients and populations served we can impact health disparities and inequities especially in communities and populations of color.

MEMBERSHIP TYPES & FEES• Charter Partner - 3 year commitment

• $150,000/year• $100,000/year• $50,000/year• $25,000/year

• Corporate Membership - 1 year commitment

• $10,000/year


CHARTER PARTNER MEMBERSHIP BENEFITS

Annual Charter Partner Membership Fee: $150,000• Includes five (5) full memberships for CEO and four (4) appointed senior level executives to

The Leverage Network (TLN)

• Includes eligibility for the CEO and senior level executives to participate in the Healthcare Board Initiative (HcBI) Cohort

• Includes potential opportunity for CEO or senior level designee to participate on TLN Board of Directors to help further the organization’s mission

• Includes access to all members through an exclusive member portal that includes individual executive members, corporate partner members, and charter members that encompass national and international industry leaders

• Includes firsthand access to emerging research and data as related to board diversity within the healthcare industry

• Receive industry research on executive level and board diversity opportunities for executives within the Fortune 100, 500 and 1,000 healthcare / corporate industry

• Supports corporate brand on TLN website and social media platforms

• Receive annual TLN Diversity magazine related to diversity and its impact on disparities and inequities

• Opportunity to participate in TLN-produced digital, broadcast, and print mediums (webinars, podcasts and magazine). These platforms provide insight, thought leadership and real-time examples of the current atmosphere of the disparities within vulnerable healthcare communities.

• Receive premium branding, recognition, and VIP guest invitations for ten (10) executives and optimal participation as the $50K Premier Title Sponsor of TLN’s annual Executive Women of Color Summit. Hosted at five star locations across the U.S., the EWOC Summit expands the intersection of diversity and inclusion leadership from within with a top down perspective through educational cohorts, supportive leadership development and training.

• Receive special corporate recognition and eight (8) invitation-only tickets to TLN’s annual Healthcare Board Initiative Recognition Event. The HcBI recognition event highlights and creates visibility for our corporate partners and charter partner members.

• Receive up to two (2) one-on-one videoconference or in-person sessions with TLN’s CEO, regarded as one the top 50 most influential African Americans in healthcare. Corporate members have the added advantage of gaining knowledge and insight regarding the intersecting values of their corporation and analysis of the corporate diversity and inclusion mission.



Annual Charter Partner Membership Fee: $100,000• Includes five (5) full memberships for CEO and four (4) appointed senior level executives to










• Receive premium branding, recognition, and VIP guest invitations for six (6) executives and optimal participation as a $25K level (Opening/Closing Reception, or Power Luncheon) Sponsor of TLN’s annual Executive Women of Color Summit. Hosted at five star locations across the U.S., the EWOC Summit expands the intersection of diversity and inclusion leader-ship from within with a top down perspective through educational cohorts, supportive leader-ship development and training.

• Receive special corporate recognition and one (1) table which includes eight (8) invitation-only tickets to TLN’s annual Healthcare Board Initiative Recognition Event. The HcBI recognition event highlights and creates visibility for our corporate partners and charter partner members.




Annual Charter Partner Membership Fee: $50,000• Includes four (4) full memberships for CEO and three (3) appointed senior level executives to










• Receive premium branding, recognition, and VIP guest invitations for four (4) executives and optimal participation as a $10K level (Breakfast Host, Master Class, Leadership Panel, or Board Governance) Sponsor of TLN’s annual Executive Women of Color Summit. Hosted at five star locations across the U.S., the EWOC Summit expands the intersection of diversity and inclusion leadership from within a top down perspective through educational cohorts, supportive leadership development and training.

• Receive special corporate recognition and four (4) invitation-only tickets to TLN’s annual Healthcare Board Initiative Recognition Event. The HcBI recognition event highlights and creates visibility for our corporate partners and charter partner members.




Annual Charter Partner Membership Fee: $25,000• Includes two (2) full memberships for CEO and one (1) appointed senior level executives to









• Receive premium branding, recognition, and VIP guest invitations for four (4) executives and optimal participation as a Lead Sponsor of TLN’s annual Executive Women of Color Summit. Hosted at five star locations across the U.S., the EWOC Summit expands the intersection of diversity and inclusion leadership from within a top down perspective through educational cohorts, supportive leadership development and training.

• Receive special corporate recognition and two (2) invitation-only tickets to TLN’s annual Healthcare Board Initiative Recognition Event. The HcBI recognition event highlights and creates visibility for our corporate partners and charter partner members.



CORPORATE MEMBERSHIP BENEFITS

Annual Corporate Membership Fee: $10,000• Includes two (2) full memberships for CEO and one (1) appointed senior level executive to


• Includes eligibility for the CEO and a senior level executive to participate in the Healthcare Board Initiative (HcBI) Cohort




• Supports corporate member brand on TLN website and social media platforms

• Receive annual TLN Diversity magazine

• Opportunity to participate in TLN-produced digital, broadcast, and print mediums (webinars, podcasts and magazine). These platforms provide insight, thought leadership and real-time examples of the current atmosphere of diversity and the impact on disparities and inequities within communities of color.

• Receive special corporate rates and VIP status for TLN’s annual Executive Women of Color Summit. Hosted at five star locations across the U.S., the EWOC Summit expands the intersection of diversity and inclusion leadership from within with a top down perspective through educational cohorts, supportive leadership development and training.

• Receive two (2) complimentary invitation-only tickets to TLN’s annual Healthcare Board Ini-tiative Recognition Event. The HcBI recognition event highlights and creates visibility for our corporate partners and charter partner members.



CHARTER PARTNER/CORPORATE MEMBERSHIP TERMS OF ENGAGEMENT

• The Charter Partner/Corporate Member’s organization will appoint anAdministrator/Senior Executive as the main contact for the CharterPartner/Corporate Membership. The Administrator/Senior Executive willbe responsible for issuing applications and communicating the qualifiedexecutives, annually.

• Membership is effective upon signature of the Charter Partner/CorporateMembership commitment Form.

• Charter Partner/Corporate Memberships are automatically renewedannually on anniversary date of membership.

• TLN Charter Partner/Corporate Membership fees are due upon signing.

• If the CEO or Senior Level Executive leaves the corporation theirmembership status is transferable to the newly appointed CEO or SeniorLevel Executive.

• A Charter Partner/Corporate member executive may transfer theirmembership to another corporation by having the new employer companybecome a Charter Partner/Corporate Member or by becoming a TLNIndividual Executive Member.


CHARTER PARTNER/CORPORATE MEMBERS ARE ENCOURAGED TO SIGN TLN’S

DIVERSITY PLEDGE As America becomes more ethnically and culturally diverse it is essential that healthcare organizations and systems better reflect the populations they serve in order to meet complex and diverse healthcare needs. It’s vital to understand that no industry stands outside of the centerpiece of this business imperative to end disparity.

A corporate membership program with TLN will provide your organization - whether banking, finance, insurance, manufacturing, retail, technology or a direct provider - with advanced opportunities to strengthen healthy communities in America.

CHARTER PARTNER/CORPORATE MEMBER COMMITMENT TO DIVERSITY PLEDGE

The diversity pledge represents dedication to enhancing board diversity within your own organization and advocacy for diversity in healthcare leadership.

Your corporation is committed to work diligently to increase the number of board seats held by Black executives on healthcare boards.

Your corporation is committed to the value of increasing the number of Blacks serving in executive leadership roles within the healthcare industry (c-suite and two levels down).

Your corporation believes in the values of increasing diverse representation on boards.

Your membership includes a commitment to:

• Be supportive of TLN’s mission and vision for diverse governance and board roles

• Be willing to participate in TLN programming for executive members

• Actively participate and engage in networking events

• Partner with TLN to promote qualified board candidates

CHARTER PARTNER / CORPORATE MEMBERSHIP COMMITMENT _______________________________________________________________________

PLEASE FILL OUT THE FORM IN ITS ENTIRETY

DATE _____/_____/__________

(PLEASE CHECK ONE)

CHARTER PARTNER: ______ $150K_____ $100K_____ $50K_____ $25K_____ (IF SIGNING UP FOR CHARTER PARTNER, PLEASE CHECK ONE)

CORPORATE MEMBER: ______ $10K_____

NAME OF COMPANY: _______________________________________________________________________________________

PLEASE PROVIDE A GENERAL DESCRIPTION OF YOUR COMPANY:

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

COMPANY WEBSITE ADDRESS: _______________________________________________________________

DO YOU WANT TO LIST YOUR COMPANY’S WEBSITE ON THE MEMBER PAGE? YES / NO

PLEASE LIST THE NAMES OF ALL SENIOR LEVEL EXECUTIVES WHO WILL BE COVERED UNDER YOUR DUES:

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

KEY CONTACTNAME: ________________________________________________________________________________________TITLE: _________________________________________________________________________________________ADDRESS: _____________________________________________________________________________________CITY: ____________________________________ STATE:________________ ZIP CODE: ____________________COUNTRY: ______________________________________ PHONE:_______________________________________EMAIL ADDRESS: ______________________________________________________________________________


CEONAME: ______________________________________________________________________________________COMPANY/ORGANIZATION: _________________________________________________________________TITLE: _______________________________________________________________________________________ADDRESS: ___________________________________________________________________________________(IF DIFFERENT FROM KEY CONTACT)

CITY: _________________________________________________________________________________________STATE/PROVINCE: ________________________ ZIP/POSTAL CODE: _____________________________COUNTRY: ____________________________________________________________________________________PHONE:________________________________________ FAX: ______________________________EMAIL:________________________________________________________________________________________

SENIOR-LEVEL EXECUTIVE NAME: ______________________________________________________________________________________COMPANY/ORGANIZATION: _________________________________________________________________TITLE: _______________________________________________________________________________________ADDRESS: ___________________________________________________________________________________(IF DIFFERENT FROM KEY CONTACT)

CITY: _________________________________________________________________________________________STATE/PROVINCE: ________________________ ZIP/POSTAL CODE: _____________________________COUNTRY: ____________________________________________________________________________________PHONE:________________________________________ FAX: ______________________________EMAIL:________________________________________________________________________________________

METHOD OF PAYMENT: (MAKE CHECK, MONEY ORDER PAYABLE TO THE LEVERAGE NETWORK INC.)

[ ] CHECK ENCLOSED [ ] MONEY ORDER [ ] AMEX [ ] VISA [ ] MASTERCARD

CARD NUMBER ______________________________________________________ EXPIRATION DATE ________________________

CVC __________________ NAME AS IT APPEARS ON CARD __________________________________________________________

BILLING ADDRESS _______________________________________________________________________________________________

CITY ________________________________________________ STATE ___________________ ZIP ______________________________

PHONE ___________________________________ EMAIL ________________________________________________________________

CARDHOLDER’S SIGNATURE _____________________________________________________________________________________

Please email this completed form and mail payment to The Leverage Network Inc. 200 S. Wacker Drive, Suite 3100 | Chicago, IL 60606 | P: 312.674.4925 | F: 312.674.4501

eFax: [email protected]

CHARTER PARTNER / CORPORATE MEMBERSHIP COMMITMENT ______________________________________________________________________

PLEASE FILL OUT THE FORM IN ITS ENTIRETY (CONTINUED).


Le erageNetworkThe


Le erageNetworkThe


200 S. Wacker Drive, Suite 3100 Chicago, IL 60606

P: 312.674.4925 | F: 312.674.4501TheLeverageNetworkInc.com

Documents

Le The erageNetwork · The HcBI recognition event highlights and creates visibility for our corporate partners and charter partner members. • Receive up to two (2) one-on-one videoconference