Conference Materials

21 280+ HE A LTH IT A ND RE V ENUE C YCLE E XPER T SPE A KERS FROM HOSPITA L S A ND HE A LTH S YS TEMS, 4,000+ AT TENDEE S TOTA L TO REGISTER: CALL 800 417 2035 • FAX 866 678 5755 • EMAIL REGISTRATION@BECKERSHEALTHCARE.COM TUESDAY, OCTOBER 13TH Track A - Keynotes, Revenue Cycle and Health IT Track B - Health IT and Innovation in the C-Suite - New Ideas, Challenges and Leadership Track C - Health IT + Innovation Track D - Health IT + Innovation Track E - Revenue Cycle and Finance in the C-Suite - New Ideas, Challenges and Leadership Track F - Revenue Cycle + Finance Track G - Revenue Cycle + Finance Track H - Thought Leadership Track I - Thought Leadership Track J - Innovation Theater Track K - Executive Leadership Forums Concurrent Sessions: REGISTRATION INFORMATION REGISTRATION FEES REGISTRATION FORM Photocopies are acceptable. Please print or type below. Please use a separate registration form for each attendee. 280+ HEALTH IT AND REVENUE CYCLE EXPERT SPEAKERS FROM HOSPITALS AND HEALTH SYSTEMS CONTINUING EDUCATION ACHE Qualified Education Credits + CHIME Credits Available - More Information to Come! HOTEL RESERVATIONS https://www.hyatt.com/en-US/group- booking/CHIRC/G-JBEC CONFERENCE QUESTIONS For additional information regarding the conference, exhibiting or sponsoring please contact: Becker's Healthcare Phone: 800-417-2035 Fax: 866-678-5755 Email: registration@beckershealthcare.com ADA REQUEST If you require special ADA accommodations, please contact us at 800-417-2035. ONLINE REGISTRATION https://beckers.dragonforms.com/init. do?omedasite=HITRCC_2020 ONE REASONABLE PRICE Come for as much of the conference as you would like! www.beckershospitalreview.com/health-it- revenue-cycle-conference CONNECT WITH US! #BeckersITRCM2020 TO REGISTER: CALL 800 417 2035 • FAX 866 678 5755 • REGISTRATION@BECKERSHEALTHCARE.COM COMPLETE REGISTRATION FORM AND MAIL OR FAX AS FOLLOWS: Fax: Fax registration form with credit card information to 866-678-5755 Call: Call 800-417-2035 to register by phone Email: registration@beckershealthcare.com Cancellation Policy: Written cancellation requests must be received within 120 days of transaction or by Sept. 1, 2020, whichever is first. Refunds are subject to a $100 processing fee. Refunds will not be made after this date. Multi-Attendee Discount Policy: To be eligible for the discount, your hospital must be registered at one time and work at the same address. Just copy the registration form for each attendee. Employees from a second location are not eligible for the discount. Becker's 6th Annual Health IT + Revenue Cycle Conference OCTOBER 13-16, 2020 NAVY PIER CHICAGO, ILLINOIS ANNUAL CONFERENCE & EXHIBITS – One reasonable registration price - come for as much of the conference as you would like! Receive multiple registrant discounts. The more people you send, the greater discount you receive. The prices listed below are per person. Your registration includes all conference sessions, materials and the meal functions. MAIN CONFERENCE ONLY FEES AMOUNT FEES AMOUNT (Before 8/1/20) (After 8/1/20) 1st Attendee $900 $ __________________ $1000 $ _______________ 2nd Attendee $875 $ __________________ $975 $ _______________ 3rd Attendee $850 $ __________________ $950 $ _______________ (Ask about larger group discounts) TOTAL ENCLOSED $________________________________ c I authorize to charge my: c c c Credit Card Number: __________________________________ Expiration Date: _____________________ Printed Cardholder Name: _____________________________ Zip Code: ___________________________ Cardholder Billing Address: ___________________________ City/State/Zip:_______________________ Signature: ______________________________________________ CVV#/3-digit #:______________________ First/Last Name: ______________________________________________________________________________ Degree/Designations (As you wish it to appear on your badge): _____________________________ Title:__________________________________________________________________________________________ Facility/Company: ____________________________________________________________________________ Address: _____________________________________________________________________________________ City/State/Zip:________________________________________________________________________________ Phone: ______________________________ Fax:___________________________________________________ Email: ________________________________________________________________________________________ GENERAL INFORMATION TO REGISTER PAYMENT INFORMATION

• Cover