Temple University Health System. Continuing Disclosure Agreement Statistical Updates For the Period Ended June 30, 2017

Temple University Health System Continuing Disclosure Agreement Statistical Updates For the Period Ended June 30, 2017 Temple University Health System - Series of 2007 A/B Temple University Health System - Series of 2012 A/B

Temple University Health System (TUHS) Utilization Data For the Periods Ended Total Health System Acute Discharges 37,787 Discharged Patient Days (excluding observations) 244,203 Census Patient Days 250,830 Census Patient Days (including observations) 264,176 Discharged Length of Stay 5.8 % Occupancy (based on staffed beds) 77.0% % Occupancy w/observations (based on staffed beds) 81.0% Emergency Department Visits 175,192 Emergency Department Admissions 20,904 CDU Observation Cases 1,077 CDU Non-Observation Cases 9,318 % of Acute Inpatient Discharges (admitted from ED) 58.9% % of Adult Discharges 55.3% Inpatient Surgeries 11,571 Outpatient Surgeries 14,289 Medicare Case Mix Index 2.04 Total Case Mix Index 1.82 Births - Discharges 2,650 Cardiology Procedures 6,199 Total Transplants 326 Total Outpatient Registrations 497,406 MRI & CT Scan Procudures 34,652 Radiation Therapy Procedures 25,347 Chemo Infusion and Related Procedures 60,594 Diagnostic Imaging Studies 63,037

Temple University Health System Utilization Data For the Periods Ended Temple University Hospital (TUH) Acute Discharges 26,924 Discharged Patient Days 192,445 Census Patient Days 198,276 Census Patient Days (Including Observations) 206,863 Discharged Length of Stay 6.2 % Occupancy (based on staffed beds) 80% % Occupancy w/observations (based on staffed beds) 83% Emergency Department Visits 135,400 Emergency Department Admissions 15,226 CDU Observation Cases 1,077 Non-CDU Observation Cases 6,448 % of Acute Inpatient Discharges (admitted from ED) 61.8% % of Adult Discharges 56.6% Inpatient Surgeries 8,018 Outpatient Surgeries 7,174 Medicare Case Mix Index 2.11 Total Case Mix Index 1.91 Births - Discharges 2,650 Cardiology Procedures 4,796 Total Transplants 326 Total Outpatient Registrations 338,717 MRI & CT Scan Procedures 11,719 Jeanes Hospital (JH) Discharges 6,653 Discharged Patient Days 28,844 Census Patient Days 29,499 Census Patient Days (including Observations) 33,956 Discharged Length of Stay 4.3 % Occupancy (based on staffed beds) 55.0% % Occupancy w/observations (based on staffed beds) 64.0% Emergency Department Visits 39,792 Emergency Department Admissions 5,678 Non-CDU Observation Cases 2,641 % of Acute Inpatient Discharges (admitted from ED) 85.3% % of Adult Discharges 85.3% Inpatient Surgeries 1,544 Outpatient Surgeries 3,948 Medicare Case Mix Index 1.59 Total Case Mix Index 1.53 Cardiology Procedures 1,403 Total Outpatient Registrations 101,627 MRI & CT Scan Procedures 23,017 AOH and Affiliates (AOH) Discharges 4,210 Discharged Patient Days 22,914 Census Patient Days 23,055 Census Patient Days (incl. Observation cases) 23,357 Discharged Length of Stay 5.4 Census Occupancy On Staffed Beds 95% Census Occupancy of Staffed Beds Including Observation 96% Non-CDU Observation Discharges 229 Inpatient Surgeries 2,009 Outpatient Surgeries 3,167 Medicare - Case Mix Index 1.83 Total - Case Mix Index 1.75 Total outpatient registrations 57,062 Radiation Therapy Treatments 25,347 Chemotherapy Infusions 60,594 Diagnostic Imaging Studies 63,037 Physician Visits 111,468

Temple University Health System Payor Mix Key Indicators by Discharge For the Periods Ended Temple University Hospital Inc. June 30, 2017 Medicaid 12,503 46.44% Medicare 10,760 39.96% Blue Cross 2,309 8.58% Managed Care 1,318 4.90% Other 34 0.13% Total 26,924 100.00% Jeanes Hospital Medicaid 1,256 18.88% Medicare 3,888 58.44% Blue Cross 978 14.70% Managed Care 441 6.63% Other 90 1.35% Total 6,653 100.00% American Oncologic Hospital Medicaid 358 8.50% Medicare 1,971 46.82% Blue Cross 1,314 31.21% Managed Care 560 13.30% Other 7 0.17% Total 4,210 100.00% Temple University Health System Medicaid 14,117 37.36% Medicare 16,619 43.98% Blue Cross 4,601 12.18% Managed Care 2,319 6.14% Other 131 0.35% Total 37,787 100.00%

Medical Staff and Physicians Relations Temple University Health System Continue Disclosure Update For The Period Ending June 30, 2017 Medical Staff Temple University Hospital Medical Staff As of June 30, 2017, the total medical staff numbered 1,261 (including Allied Health professionals). The active medical staff of Temple University Hospital consisted of 529 physicians and dental specialists with an average age of 47. A total of 92% of the active medical staff were Board-certified as of June 30, 2017. Jeanes Hospital Medical Staff As of June 30, 2017, the total medical staff numbered 608 (including Allied Health Professionals). The active medical staff of Jeanes Hospital consisted of 544 physicians and dental specialists with an average age of 50. A total of 83% of the active medical staff were Board-certified as of June 30, 2017. American Oncologic Hospital and Affiliates As of June 30, 2017, the total medical staff numbered 402 (including Allied Health Professionals). The active medical staff of Fox Chase Medical Center consisted of 156 physicians with an average age of 42. This group performs in excess of 90% of the clinical services performed at Fox Chase with the remainder of services being performed through voluntary or contracted medical staff.

Employment At TUH & JH Full-Time Equivalents (FTEs) 5,139 Nursing Employees (Registered & LPNs) 1,646 Registered Nurses as a Percentage of Nursing Employees 100% FTEs per Adjusted Occupied Bed - TUH* 5.19 FTEs per Adjusted Occupied Bed - Jeanes* 5.83 * Excludes interns and residents Employment At AOH Full-Time Equivalents (FTEs) 1,896 Nursing Employees (Registered & LPNs) 380 Registered Nurses as a Percentage of Nursing Employees 98%

Medical Staff (Cont.) COLLECTIVE BARGAINING UNITS TEMPLE UNIVERSITY HOSPITAL Number of Covered Employees Employees 6/30/2017 PASNAP Nurses 1,298 PASNAP Allied Health Professionals 630 District 1199C TUH Service 720 District 1199C TUH Clerical 323 International Union of Engineers Local 835 Engineers 19 Health Professionals and Employees (HPAE) Registered Nurses Unit and Technical Unit 179 District 1199C EHC Service 99 District 1199C EHC Mental Health Unit 87 COLLECTIVE BARGAINING UNITS Jeanes Hospital Number of Covered Employees Employees 6/30/2017 PASNAP Jeanes Nurses 240 COLLECTIVE BARGAINING UNITS American Oncologic Hospital Number of Covered Employees Employees 6/30/2017 IBEW Local 98 Maintenance 28