Regent Surgical Health Vice President of Development Feedback Form Regent Surgical Health VP of Development Feedback Form Date of Interview* Month Day Year Name: Interviewer First Last Name: Candidate First Last Culture Fit One - Below Average Two - Average Three - Above Average Four - Exceptional Demonstrated humility and capacity for working within an executive team led by Thomas with the required DNA of a servant leader. Commitment to team winsNotes: Culture FitM&A Depth - Strategy One - Below Average Two - Average Three - Above Average Four - Exceptional Both the grit to get into the details and formulate clear reality statements for the MD owners/stakeholders and health system partners and drive the cadence of deals in a way that exceeds expectationNotes: FP&A - StrategyAnalytical/Intellectual HP One - Below Average Two - Average Three - Above Average Four - Exceptional Quick study of complex operational/financial puzzles that can identify leading details that will impact outcomes for eventual integration and long term operationNotes: Analytical/Intellectual HPLeadership and EQ One - Below Average Two - Average Three - Above Average Four - Exceptional Proven ability to build best practices and elevate the energy of all the team members who will be critical to success. Reads the room in ways that demonstrate good leadership intuition.Notes: Leadership and EQRunway/Potential One - Below Average Two - Average Three - Above Average Four - Exceptional Capacity for scaling with the business and the advanced needs that might arise within that scale as Regent Surgical Health continues to growNotes: Runway/PotentialWhat is your level of energy around hiring this candidate?* One Two Three Four Notes: Level of Energy Around HiringFinal Thoughts/Recommendations
