OVERVIEW. System Highlights. CHS has facilities across Nassau and Suffolk. More than 4,600 Medical Staff More than 3,000 volunteers

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1 October 24, 2014

2 OVERVIEW 2 CHS has facilities across Nassau and Suffolk Counties, includes six hospitals, three skilled nursing facilities, a regional home health agency, hospice and a multiservice, community-based agency for persons with special needs. System Highlights 1,928 Certified Hospital Beds 790 Nursing Home Beds Approximately 17,000 Employees More than 4,600 Medical Staff More than 3,000 volunteers $2 Billion in Revenues

3 2013 STATISTICS 80,057 Hospital Discharges 30,387 Safety Net Discharges (inc. SJEH) 5,549 Newborn Deliveries 56,182 Ambulatory Surgeries 27,851 Inpatient Surgeries 382,806 Ambulatory Outpatient Visits 8,930 Cardiac Catheterizations 2,996 Coronary Angioplasties 1,029 Open Heart Surgeries 236,814 Emergency Dept. Visits $85,905,793 in Charity Care 302,823 Home Care Visits 136,321 Hospice Days of Care Tens of Thousands of Rehabilitation Visits Day & Residential Services for 2,150 Individuals With Special Needs, Behavioral/Mental Health Concerns & Substance Abuse Issues 3

4 Other (LI Residents who leave Nassau and Suffolk) % Health System Change Catholic Health Services 22.3% % 22.8% 21.9% -0.4% Other Long Island Health Network ( LIHN ) Hospitals % North Shore-Long Island Jewish Health System % Eastern Long Island Hospital % Long Beach Medical Center % Nassau University Medical Center % Peconic Bay Medical Center % Southampton Hospital % Stony Brook University Medical Center HOSPITAL MARKET SHARE Catholic Health Services has strong market share, over 40% when combined with Long Island Health Network % Total 100.0% 100.0% 100.0% 100.0% Note: Market Share information provided by HANYS and based on total admissions (normal newborns excluded), Fiscal Year Ended December 31st 1 Other LIHN hospitals include Brookhaven Memorial Hospital Medical Center, John T. Mather Memorial Hospital, South Nassau Communities Hospital and Winthrop University Hospital 4 2 Includes St. Joseph s market share to demonstrate same store change (St. Joseph acquisition was not completed until 2010) 3 Includes only NSLIJ hospitals located in Nassau and Suffolk counties

5 AWARDS AND RECOGNITION HIGHLIGHTS All Six Hospitals have the Get With The Guidelines (GWTG) Stroke Gold Plus Achievement Award from the American Heart Association/American Stroke Association St. Francis and Good Samaritan have Magnet designation for excellence in nursing services twice in a row, an honor earned by fewer than 7% of American hospitals St. Francis was named One of the Best Hospitals in the country for the seventh consecutive year, according to U.S. News & World Report, and the only hospital on Long Island to be top-rated nationally for cardiology and heart surgery, as well as the only one nationally recognized in eight adult medical specialties, including ear, nose and throat; gastroenterology and GI surgery; geriatrics; neurology and neurosurgery; orthopedics; pulmonology; and urology ( ) All Six Hospitals have The Joint Commission Gold Seal of Approval, signifying full accreditation by the nation's predominant standards-setting body in health care Catholic Home Care ranked by HomeCare Elite TM within the top 25% of home health agencies nationwide 6 years in a row and in the top 500 of 26,000 for 5 consecutive years Our Lady of Consolation Nursing & Rehabilitative Care Center and St. Catherine of Siena Nursing & Rehabilitation Care Center both earned five stars from the Centers for Medicare & Medicaid Services and were listed among the Best Nursing Homes by U.S. News & World Report ( ) 5

6 Catholic Health Services of Long Island ( CHS or the System ) operates six hospitals (and one affiliated) and offers a wide range of services throughout Long Island, including three nursing homes, hospice, and the largest regional home care group in Long Island and a community-based agency for persons with special needs CHS has maintained a steady market share of approximately 22% in Long Island and is an essential provider in Nassau and Suffolk and Eastern Queens CHS is in the midst of a transition from a volume based (heads in beds) fee for service provider to an integrated delivery system designed to manage the health needs of a population CHS has made investments in Electronic Medical Records ( EMR ) EPIC and all six hospitals and 100 s of physicians both employed and voluntary are up and running In 2012 CHS embarked on a journey to create a physician hospital organization, the purpose of which was to contract with all payors commercial, Medicare and Medicaid in an Accountable Care model Today, over 700 physicians are in the CHS PHO

7 In Q4 2013, CHSLI and SJEH entered into a clinical affiliation agreement. SJEH in 2012, 9,127 discharges of which 8,292 or 90.85% (safety net) were Medicaid or dual eligible. CHS commits to SJEH that it will apply as a lead hospital in a DSRIP network to include SJEH and 3 CHS hospitals in Nassau County. In early 2014, DSRIP is officially announced.

8 1. On October 1, 2014, CHSLI completed the acquisition of 50% of BHP and its related companies BIPO and BIPA. St. John s Episcopal Hospital (SJEH) is a partner in our 50% and other hospitals are considering buying in. CHSLI has a PHO with 700 doctors, Beacon has over 300 combined plus 1,000 physicians 2. BHP is an ACO that participates in the MSSP and has 20,000 lives 3. BIPA has contracts with a number of commercial MCO s and has approximately 40,000 lives 4. SJEH has a risk contract with Health First covering 12,000 Medicaid lives 5. We anticipate that in the 2 DSRIP networks, we will be in managing an additional 180,000 lives BEACON HEALTH PARTNERS

9 Delivery System Reform Incentive Program 9 DSRIP

10 1. HOW DO WE INTEGRATE INTO OUR POPULATION HEALTH STRATEGY? 3. HOW DO WE COLLABORATE WITH OTHER HEALTH SYSTEMS WHO ARE THE OTHER 23 HOURS A DAY, OUR COMPETITORS? WHAT IS DSRIP? AND MORE IMPORTANTLY HOW DO WE SUCCEED IN ACHIEVING GOALS?

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16 NUMC CHS NSLIJ OTHER MAJOR PUBLIC 4 HOSPITALS 6 HOSPITALS 2 HOSPITALS STONY BROOK CHS NSLIJ OTHER MAJOR PUBLIC 3 HOSPITALS 2 HOSPITALS 4 HOSPITALS 1 OTHER HOSPITAL NASSAU PPS SUFFOLK PPS

17 NSLIJ NUMC CHS LOCAL MANAGEMENT LOCAL MANAGEMENT LOCAL MANAGEMENT CARE MGMT. FUNCTION CARE MGMT. FUNCTION CARE MGMT. FUNCTION LIJ NUMC SJEH FRANKLIN SOUTH NASSAU MERCY NORTH SHORE WINTHROP ST. FRANCIS GLEN COVE HUDSON RIVER FQHCs ST. JOSEPH'S PLAINVIEW PHYSICIANS JPAFHC (ADDABBO) SYOSSET BEHAVIORAL HEALTH PHYSICIANS/IPAs/ACOs CLINICS/FQHC NURSING HOMES BEHAVIORAL HEALTH PHYSICIAN NETWORK NURSING HOMES BEHAVIORAL HEALTH NURSING HOMES 17 NASSAU PPS DRAFT NSLIJ NUMC CHS GOVERNING BOARD DSRIP PROJECT MANAGEMENT DATA ANALYTICS, FINANCIAL MANAGEMENT