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AHIA’s 36thAnnual ConferenceAugust 27 – 30, 2017Boston, MA

Founded in 1981, AHIA is a network ofexperienced healthcare internal auditprofessionals who are responsible forassessing and evaluating enterprise risk ina complex and dynamic heal thcareenvironment. Through its highly regardedannual conference and other educationalevents, online tools, professional guidance,and award-winning publication, NewPerspectives, AHIA helps elevate andadvance the internal audit professional to bean authoritative voice and strategic partnerwithin healthcare. Visit www.ahia.org formore information.

We understand that you need return oninvestment for your sponsorship, exhibiting,and advertising dollars. Partnering with AHIAgives you strategically focused access to aninfluential audience of internal auditorsspecifically engagedin healthcare. This allianceoffers many key opportunities, includinghigh visibility, hospitality, and networking.

Our sponsorship levels are designed tohelp you maximize your organization’seducational interests and sales benefit.Additionally, we can customize a packagebest suited for your goals.

High Quality, Year RoundEducational Opportunities:• Annual Conference• Regional Seminars• Webinars• Roundtables• EHR Auditor User Group - Epic events

Professional Networking

Membership Discounts

Relevant Publications:• New Perspectives• E-News• White Papers

AHIA Career Center

Member’s Only Website• Continuously Updated Audit Library• Searchable New Perspectives Article Archive

Access to First-rate, InteractiveCollaboration Vehicles:• Tech Talk• List Serv - AHIA Discussion Forum• LinkedIn

Online Membership Directory

Reference and BenchmarkingResources:• AuditNet• AHIA’s Bi-Annual Healthcare Internal Auditing Survey

AHIA Membership Benefits

10200 W. 44th Avenue, Suite 304Wheat Ridge, CO 80033(888) ASK-AHIA | FAX (720) 881-6101ahia@ahia.org | www.ahia.orgM

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South Central 12%

Midwest 14%

Western 26%

South East 21%

North East 25%

International 2%

Midwest 14%

68%

32%

CAEs, Vice Presidents,Directors, Managers

Audit Staff or Other

Who attends AHIA Educational Events?

• Healthcare Internal Auditors • Chief Compliance Officers• Chief Audit Executives • Healthcare Consultants• Privacy and Security Officers • Medical Auditors

AHIA Members are interested in the following types ofaudit information:

• Electronic Medical Records• ICD-10• Information Technology and Controls• Integrated Audit Approaches• Operational• Financial• Regulatory/Compliance

Other areas of interest:

• Governance• Audit/Compliance Committee Effectiveness• Enterprise Risk Management• Billing, Coding & Reimbursement Services• Risk Assessments• Audit Software• Internal Audit Benchmarking• Leadership Development• Internal Audit Hot Topics

South Central 12%

Midwest 14%

Western 26%

South East 21%

North East 25%

International 2%

Midwest 14%

68%

32%

CAEs, Vice Presidents,Directors, Managers

Audit Staff or Other

Geographic Distribution of Members by Region

AHIA Members:The Decision Makers

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Educational Events

Regional Seminars $2,500

AHIA hosts regional seminars throughout the year thatattract local attendees. Your company name will bedisplayed on the AHIA website and seminar brochure asthe sponsor with recognition during the openingremarks at the seminar. In addition, your company hasthe opportunity to present a topic at the regional seminar.

I f you are in teres ted in organ iz ing and/orsponsoring a Regional Seminar please contactjsalas@kellencompany.com.

CAE/Audit Roundtables $3,000

AHIA hosts roundtables throughout the year for Chief Audit Executives and other internal audit professionals in partnership with Sponsors. Your company name will be displayed on the AHIA website and on invitations to Audit Executives. Your company will also assist in identifying topics of interest and facilitating discussions. Events will be scheduled for Sunday, August 27. Meal will be provided and sessions will be limited to 30 attendees

Auditor User Group $2,000

The AHIA EHR Auditor User Group - Epic has beenestablished to connect Epic users to one anotherthrough online and in-person educational events anddiscussion forums. It is our goal to provide AHIAmembers and friends with the opportunity to enhanceEHR auditing skills by sharing best practices and lessonslearned, identifying audit r isks and developingreferences. Webinar, Roundtable and other sponsorshipopportunities are available.

Advertising Opportunities

New Perspectives,E-News andMobile App Advertising

AHIA publishes and distributes New Perspectives, itsprofessional journal, to members and subscribers ona quarterly basis. Our award-winning journal reachesevery member, with a wide range of advertising packages available. View the enclosed order form or form or contact AHIA at (888) 275-2442, or Mcunningham@kellencompany.com for advertising details.

Website Advertising

AHIA accepts banner advertisements for the website and our monthly E-News. View the order form or form or contact AHIA at (888) 275-2442, or Mcunningham@kellencompany.com for advertising details.

Webinar Speaking Opportunities $500

AHIA hosts internal audit webinars each month. Yourcompany has the opportunity to be associatedwith high-quality, cost-effective education. Sponsored webinars will feature your logo on promotional materials, web pages, and audio-visual materials used during the webinar.

2017 Webinar Dates• January 19 • July 20• February 16 • September 21• March 16 • October 19• April 20 • November 16• May 18 • December 14• June 15

Please Note: Watch our website for additionalopportunities listed on the Calender of Events page.

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Annual Conference ExhibitingThis year’s AHIA Annual Conference is scheduled for August 27 – 30, 2017 at the Boston Marriott Copley Place. The conference attracts approximately 450 registered participants from across the country. The 3.5 day event provides numerous opportunities to network with internal audit leaders and differentiate your services and/or products from your competition.

Conference LocationThe conference will be held at the held at the Boston Marriott Copley Place, 110 Huntington Ave., Boston, MA 02116. A special rate of $239 of single occupancy double occupancy (plus applicable taxes has been arranged) To received special AHIA rates you must identify yourself as an AHIA Annual Conference Attendee. Please be sure to book your rooms early as we only have a certain number of rooms available at the special rate.

Experience BostonFounded in 1630, Boston is one of the oldest cities in the U.S. Boston offers an array of rich history through its diverse neighborhoods, and legacy of arts, culture and education.

The Boston Marriott Copley Place is located in downtown Boston, just a few steps away from Copley Square and minutes from captivating attractions such as Boston Common, Fenway Park, and Freedom Trail, a

2.5 mile walking route of historic sites that tells the story of the nation’s founding. Important Dates and Deadlines:• On Site Program Ad Copy - July 7

• Exhibitor Application – July 21

• Early-Bird Conference Deadline – July 14

• Hotel Reservation Cut-off – August 3 @ 5:00 pm

Basic Exhibit Package $1,500• Exhibit space

• 6’ draped table

• Two (2) chairs and a wastebasket

• One (1) complimentary conference registration

• Recognition in Exhibitor listing

• One (1) extension cord with electricity

Deluxe Exhibit Package $2,000• Exhibit space

• 6’ draped table

• Two (2) chairs and a wastebasket

• One (1) extension cord with electricity

• Two (2) complimentary conference registrations

• Recognition in Exhibitor listing

• Priority selection of booth location

• One (1) insert in registration bag

Set-up HoursSunday, August 27 2:00 PM – 5:00 PM

Exhibit Viewing HoursMonday, August 28 7:00 AM – 6:30 PMTuesday, August 29 7:00 AM – 6:30 PM

Teardown HoursTuesday, August 29 6:30 PM – 8-30 PM

Application Deadline: Applications not filed by July 21, 2017 will be assigned on a space available basis and a $100 late fee will be required before your application can be processed.

*Please note times are subject to change and will be confirmed prior to the conference. Exhibitors are not required to staff booths during times attendees are in session.

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AHIA’s 36thAnnual ConferenceAugust 27 – 30, 2017Boston, MA

Fee

Value$18,000

$14,000

$10,000

$6,000

$2,000

$16,000

$12,000

$8,000

$4,000

$0

$20,000

SponsorDiamond SponsorPlatinum Sponsor Gold Sponsor Silver ExhibitDeluxe Exhibit Basic

$3,000

$2,500

$2,000

$1,500

$1,000

$500

$0

Regional

Seminar

CAE

Roundtable

Webinars

Fee

Value

Annual Conference SponsorshipValues

Seminar/Webinar SponsorshipValues

Annual ConferenceSponsorship Opportunities

Silver Sponsor $2,500• Basic Exhibit Package

• Post-conference attendee list for one-time mailing

• Company description in the Onsite Conference Program (75 word maximum)

• Company name and logo displayed on Annual Conference signage

• Company name and logo displayed on AHIA Annual Conference website

• Annual Conference sponsor recognition in New Perspectives

• Two (2) conference registrations

Gold Sponsor $5,000• Silver Sponsor elements

• One (1) half-page advertisement in the AHIA Onsite Conference Program

• Three (3) conference registrations

Platinum Sponsor $7,500• Gold Sponsor elements with upgrade to

Deluxe Exhibit Package

• Pre-conference attendee list for one-time mailing

• Company website link on AHIA conference website

• Four (4) conference registrations

Diamond Sponsor $10,000• Platinum Sponsor elements

• Recognition during General Session opening remarks

• Company name and logo displayed on Onsite Conference Program cover

• One (1) full-page ad in the Onsite Conference Program

• Company name and logo on all conference e-mail correspondence

• Five (5) conference registrations

* Custom packages available upon request.

Contact Jose atjsalas@kellencompany.com

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Name & logo on Onsite Conference Program cover

One full-page ad in the Onsite Conference Program

Name & logo on conference email promotions

Recognition during General Session remarks

Pre-conference attendee list

Company name and logo inclusion with link on conference website

One 1/2 page ad in the Onsite Conference Program

Post-conference attendee list

Company description in Onsite Conference Program

Name & logo on conference signage

Name & logo on conference website

Sponsor recognition in New Perspectives

Priority booth selection

Registration bag insert (1)

10' x 18' furnished exhibit space

Complimentary registration(s)

Recognition in exhibitor listing

Diamond Platinum Gold Silver Deluxe Basic

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Additional Annual Conference Sponsorship OpportunitiesOpening Reception ($3,000) Your company name and logo will be displayed in the conference program as sponsor for this event. In addition, your logo can be printed on napkins which will be used during the reception. You have the opportunity to upgrade the reception with entertainment, upgraded décor, and sponsor logos on reception signage. Co-sponsorship for up to four companies will be accepted.

Keynote Speaker ($3,500) Your organization will be the exclusive sponsor of one of two keynote presenters on Monday, August 28 or Tuesday, August 29.

Benefits:• Sponsor will introduce keynote speaker

(introduction written by AHIA)

• Sponsor’s logo displayed during the keynoteintroduction

• Sponsor’s logo on keynote speaker signs

• Opportunity to distribute a one-page promotionalflyer at General Session (to be approved by AHIAand provided by sponsor at sponsor’s expense)

• Sponsor’s logo and 100-word description in theconference program, which is given to all attendeesonsite

• Recognition on the AHIA website with a direct linkto sponsor’s website

• Sponsor’s name and logo on signage throughoutthe conference

• Recognition at General Session

Cyber Café ($3,500) Nearly every attendee stops by the Cyber Café at some point or another, making this sponsorship a great means of promoting your company on a large scale. Your company name and logo will be featured on all Cyber Café signage, and you’ll have the opportunity to distribute approved literature in the computer area. The Cyber Cafe attracts attendees who want to stay connected with their colleagues, check their email or catch up on the latest headlines. This sponsorship provides 5-10 laptop stations with branded screensavers.

Lanyards ($3,500) All registrants will wear your company name, website address and phone number around their necks.

Conference Welcome Bag ($4,000) Your company name and logo will appear on the outside of the conference welcome bag provided to attendees.

Pens ($1,000) Your company name will appear on the body of the pen provided to attendees in the conference welcome bag.

Highlighters ($1,000) Your company logo and website will appear on the body of the highlighter provided to attendees in the conference welcome bag.

Conference Advertising Opportunities: • Registration Page Insert (Due no later than Aug.

23) - $500

• Onsite Program Guide Full-Page Ad (Due August14) - $850

• Onsite Program Guide Half-Page Ad (Due August14) - $450

Food and Hospitality Sponsorship:

Monday • Continental Breakfast $3,000• Morning Refreshment Break $1,500• Attendee Lunch $4,000• Afternoon Refreshment Break $1,500

Tuesday • Continental Breakfast $3,000• Morning Refreshment Break $1,500• Attendee Lunch $4,000• Afternoon Refreshment Break $1,500

Wednesday • Continental Breakfast $2,500• Morning Refreshment Break $1,500

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Annual Conference Sponsor Packageh Silver Sponsor $2,500h Gold Sponsor $5,000h Platinum Sponsor $7,500h Diamond Sponsor $10,000Sub Total $___________

Annual Conference Exhibitorh Basic Exhibitor Package $1,500h Deluxe Exhibitor Package $2,000h Application Late Fee (after July 31) $100h Additional Exhibitor Only Passes -_____ x $100Sub Total $___________

Annual Conference Sponsorship Opportunitiesh Monday Opening Reception $3,000h Mobile App $2,500h Device Charging Stations $2,500h Conference Wifi $5,000h Keynote Speaker $3,500h Cyber Café $3,500h Lanyards $3,500h Conference Welcome Bag $4,000h Pens $1,000h Highlighters $1,000h Monday Continental Breakfast $3,000h Monday Morning Refreshment Break $1,500h Monday Attendee Lunch $4,000h Monday Afternoon Refreshment Break $1,500h Tuesday Continental Breakfast $3,000h Tuesday Morning Refreshment Break $1,500h Tuesday Attendee Lunch $4,000h Tuesday Afternoon Refreshment Break $1,500h Wednesday Continental Breakfast $2,500h Wednesday Morning Refreshment Break $1,500Sub Total $___________

Conference Advertising Opportunitiesh Registration Page Insert no later than Aug. 23 - $500h Onsite Program Guide Full-Page Ad (Due August 14) - $850

h Onsite Program Guide Half-Page Ad (Due August 14) - $450

Regional Sponsorship Opportunitiesh If you are interested in organizing and/or sponsoring a Regional Event on a different date and/ or location than above, please contact Jose at jsalas@kellencompany.com.

Sub Total $___________

Webinar Sponsorship Opportunitiesh January 19 $500h February 16 $500h March 16 $500h April 20 $500h May 18 $500h June 15 $500h July 20 $500h September 21 $500h October 19 $500h November 16 $500h December 14 $500

CAE/Audit Roundtable Sponsorship Opportunities

h If you are interested in organizing and/or sponsoring a Roundtable, please contact Jose at jsalas@kellencompany.com.

Sub Total $___________Grand Total $___________

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Payment Information

Total amount due: $ ______________________________h Check enclosed h VISA h MC h AMEX h DISCOVERCard #: __________________________________________ Expiration Date mm/yyyy: _________________________ CVV Code: ______________________________________Name on card: ___________________________________ Signature _______________________________________

Return this application with payment to:Jose Salas 10200 West 44th Avenue, Suite 304, Wheat Ridge, CO 80033Phone: (888) 275-2442 l FAX: (720) 881-6101jsalas@kellencompany.com

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Exhibitor Application (Please print legibly)

Exhibiting/Sponsoring Company: _______________________________________________________________________

Contact Name: _______________________________________________________________________________________

Exhibit Representative Name(s): _____________________________________________________________________________________________________________________________________________________________________________

Address: ______________________________________________ City, State, Zip: ________________________________

Phone: ________________________________________________ Ext. ________ Fax: _____________________________

E-mail: ________________________________________________ Website/URL: _________________________________

Company contact name & email to be posted on AHIA website: ____________________________________________

Additional “Exhibitor Only Passes” Names: ($100 each) ___________________________________________________

_________________________________________________ ___________________________________________________

Acknowledgement of terms: Please indicate that you have read and agree to the Exhibit Regulations for the 2017 AHIA Annual Conference, on pages 11 & 12, also available on the AHIA website. This agreement becomes valid when payment is received. Signature ____________________________________________________________________________________________

Application Deadline: Applications not filed by July 21, 2017 will be assigned on a space-available basis and a $100 late fee will be required before your application can be processed.

Exhibit Booth Location RequestPlease list preferred booth choices: Late fee (if applicable): $ ______________________________________________________________________________________________________________________

1st: ________________________________ 2nd: _____________________________ 3rd: ________________________ __

If our space section is not available: h We will accept AHIA’s alternate placement. h Contact us for a new choice.

Booth Location PLEASE LOCATE US NEAR...We prefer to be located NEAR one of the following companies (specific names, not type of businesses):

1. ___________________________________________________________________________________________________

2. ___________________________________________________________________________________________________

3. ___________________________________________________________________________________________________

DO NOT LOCATE US NEAR...“Located away” means not directly next to or across the aisle. We prefer to be located away from the following, competing companies (specific names, not type of businesses):

1. ___________________________________________________________________________________________________

2. ___________________________________________________________________________________________________

3. ___________________________________________________________________________________________________

Payment Information: Exhibit booth is not secured until full payment is received.

Company Listing

IMPORTANT: All information in this page must be submitted to AHIA no later than July 24. Provide a description in 50-words or less for your company’s product(s)/service(s) to be published in AHIA promotional materials, includingthe on-site program. Please include your description here OR email your description to jsalas@kellencompany.com.

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Exhibit RegulationsTo ensure your exhibiting experience at AHIA’s Annual Conference is successful, please read the following rules and regulations carefully. By submitting an exhibitor registration application you agree to abide by these and any other rules and regulations set forth for this event.

Exhibit SpaceWhenever possible, space assignments will be made by AHIA in keeping with the preferences for location requested by the exhibitor. Exhibitors wishing to avoid assignment of space adjacent to that of a particular exhibitor should indicate so on the application. In the event of conflicting requests for space, booth space will be assigned based upon the order in which applications with full payment are received. AHIA reserves the right to make the final determination of all space assignments in the best interests of the exhibition.

AHIA reserves the right to decline to permit an exhibitor to conduct and maintain an exhibit, if, in the judgment of AHIA, said exhibitor or exhibit, or proposed exhibit, shall, in any respect, be deemed unsuitable. This reservation relates to persons’ conduct, articles of merchandise, printed matter, souvenirs, catalogs, and any other items, without limitation, that affect the character of the exhibition.

Exhibitors are prohibited from assigning or subletting a booth or any part of the space allotted to them, nor shall they exhibit or permit to be exhibited in their space any merchandise or advertising materials which are not a part of their own regular products.

Exhibits Two chairs per exhibitor, 6’ draped table, and one wastebasket will be provided to each exhibitor. NOTE: To maintain uniformity and to prevent obstruction of the view of adjoining booths, displays must NOT be higher than 8’ in the back and 4’ high along dividers and aisles. No walls, partitions, decorations, or any other obstructions may be erected which in any way interfere with the view of any other exhibit. Utilities (e.g. internet, telephone, etc) must be ordered directly from the designated vendors and are not included in the booth fee.

Exhibit Staff Depending on exhibit level, the exhibit fee includes “exhibit only” passes for booth representatives. These passes do not allow access to conference sessions. Meals are included in the booth fee. If additional representatives are needed, a fee of $100 per person applies.

Payment Payment in full is expected at the time the exhibitor application is submitted.

Failure to Occupy Space not occupied by the close of installation (unless previous written arrangements were made) will be forfeited by the exhibitor. AHIA may resell, reassign, or use the space. If display equipment is available, AHIA may choose to have the exhibit erected at the exhibitor’s expense. The exhibitor is not relieved of the obligation to pay the full exhibit price.

Meeting Cancellation It is mutually agreed that in the event of cancellation of the Annual Conference due to acts of God, war, terrorism, natural disaster, strikes, civil disorder, curtailment of transportation, government regulations, or other emergencies making it inadvisable, illegal or causes which would prevent its scheduled opening or continuance, then and thereupon, this agreement will be terminated. AHIA shall determine an equitable basis for the refund of such consideration of expenditures and commitments already made.

Cancellation of Exhibit Space Cancellations of exhibit space must be directed in writing to AHIA, 2017 Annual Conference, 10200 West 44th Avenue, Suite 304, Wheat Ridge, CO 80033. Refunds, less a $100 cancellation fee, will be made at the discretion of AHIA. No refunds will be given for a cancellation made after August 7, 2017.

Additional SpaceRequests for use of function space at the facility must be made in writing to AHIA. Upon receipt of request for function space, AHIA will notify you if space is available. It is the responsibility of the exhibitor to finalize arrangements with the hotel.

Fire Protection All exhibits must conform to fire laws, health regulations, electrical codes, and other ordinances of the local fire department. All materials are subject to the inspection of the local fire department and their regulations shall govern. Any exhibits or parts thereof found not to be fireproof may be ordered dismantled. Enclosed ceilings are not permitted in the exhibit hall. The hotel reserves the right to dismantle any exhibit it feels does not conform to the fire laws, health regulations, electrical codes, and other ordinances of the local fire department.

Liability Exhibitors shall protect, save and hold AHIA, and their officers, directors, employees, and agents; the hotel in which AHIA’s meeting is being conducted, and all agents and employees thereof; and show management and its officers, directors, employees and agents (hereinafter collectively called “Indemnities”) forever harmless from any damages or charges imposed for violations of any law or ordinance, whether occasioned by the negligence of the exhibitors or those holding under the exhibitors and further, exhibitor shall at all times protect, indemnify,

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save and hold harmless the Indemnities against and from any and all losses, costs damages, liability, or expense (including attorney’s fees) arising from or out of or by reason of any accident or bodily injury or other occurrences to any property, person or persons, including the exhibitor, its agents employees and business invitees, which arise from or out of or by reasons of said exhibitor’s occupancy and use of the facilities, or any part thereof.

Certificate of Insurance The AHIA does not provide insurance for exhibitors’ property. Exhibitors must insure their exhibit materials, goods, and/or equipment against theft, damage by fire, accident, or loss of any kind.

Damage to Property The exhibitor is liable for any damage caused to hotel floors, walls, or columns or to booth equipment or to

other exhibitors’ property. The exhibitor may not mark, tack, make holes, or apply paint, lacquer, adhesives, or other coating to hotel floors, walls, or columns or to booth equipment.

Americans with Disabilities Act Exhibitor represents and warrants (i) that its exhibit will be accessible to the full extent required by law; (ii) that its exhibit will comply with the American with Disabilities Act (ADA) and with any regulations implemented by the ADA; and (iii) that it shall indemnify and hold AHIA harmless from and against any and all claims and expenses, including attorneys’ fees and litigations expenses, that may be incurred by or asserted against AHIA, its officers, directors, agents, or employees on the basis of the exhibitor’s breach of this paragraph or noncompliance with any of the provision of the ADA.

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BOOTHS ARE 8' x 10' ( 25 ) - 8' ROUNDS ( 20 )2017

AISLE WIDTHS ARE NOTEDREVISED 4-3-16 REV 2

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