Compass Surgical Partners Market President Feedback Form

Date of Interview*

Name: Interviewer

First Last

Name: Candidate

First Last

Compass Cultural Fit

One - Below Average
Two - Average
Three - Above Average
Four - Exceptional

Demonstrated humility and capacity for working within a complex partnership environment with "partner first" muscle and navigating political/structural nuance successfully.

Notes: Compass Cultural Fit

Provider Partnership Depth

One - Below Average
Two - Average
Three - Above Average
Four - Exceptional

Experience working in physician centric segment within healthcare services and the demonstrated capacity to create lasting strategic relationships

Notes: Provider Partnership Depth

Analytical/Intellectual HP

One - Below Average
Two - Average
Three - Above Average
Four - Exceptional

Quick study of complex clinical/operational puzzles with proven experience of using data and metrics to make business decisions

Notes: Analytical/Intellectual HP

Leadership and EQ

One - Below Average
Two - Average
Three - Above Average
Four - Exceptional

Proven ability to hire/train/develop team members in the midst of organizational growth and evolving market opportunities

Notes: Leadership and EQ

Runway/Potential

One - Below Average
Two - Average
Three - Above Average
Four - Exceptional

Capacity for future growth in responsibility/accountability within Compass Surgical Partners over time

Notes: Runway/Potential

What is your level of energy around hiring this candidate?*

One
Two
Three
Four

Notes: Level of Energy Around Hiring

Final Thoughts/Recommendations