1 Outpatient Medical Center Inc Providing Quality Healthcare

1 Outpatient Medical Center, Inc. Providing Quality Healthcare To All

2 Welcome Introduction of Chief Executive Officer Mr. Carl I. Walters, CEO Outpatient Medical Center, Inc.

Key Leadership Members Jim Richard, COO/CFO Dr. Lynda Roberts, Chief Medical Director Dr. Don Williams, Chief Dental Director Chenire R. Craig, Chief Human Resources Officer Angelle Ansardi, CEO Exec Admin/HR Generalist Doris Kochinsky, LCSW, Director of Behavioral Health Services Crystal Armstrong, Director Of Nursing Kazue Seo, Director MIS/IT Cynthia Parker, Director of Outreach & Enrollment De’Marquis Hamilton, Site Coordinator (Leesville Site) Rosie Kye, Site Coordinator (Tallulah Site) Ruby Mitchell, Site Coordinator (Natchitoches Site) Outpatient Medical Center, Inc. 3

Mission Statement THE MISSION OF OUTPATIENT MEDICAL CENTER, INC. IS “TO PROVIDE COMPREHENSIVE, AFFORDABLE, ACCESSIBLE, QUALITY, PRIMARY HEALTH CARE SERVICES TO ALL PATIENTS WITH A FOCUS ON EDUCATION AND PREVENTION”. Outpatient Medical Center, Inc. 4

Our Vision Improve existing patient utilization � Improve patient clinical outcomes � Improve patient system access � Improve patient education � Expand/diversity system utilization/revenue diversification � Increase system marketshare in all markets in which we have presence � Increase OMC Inc’s community outreach/education efforts � Align OMC to be an employer of choice � Align OMC to be one of the best run and performing FQHCs in the country � Outpatient Medical Center, Inc. 5

� Family Practice � OB/GYN � Pediatrics � Dental Services � Behavioral Health Services � Outreach and Enrollment Services � Urgent Care Services � Patient Prescription Assistance � 340 B Pharmacy Services � Preventive Screening Outpatient Medical Center, Inc. Services 6

Then � � � � Timeline 7 Established in 1977 from a grant written by Ms. Abigail Hahn, Administrator/Executive Assistant of the Natchitoches Area Action Association, Inc. Official name: Natchitoches Outpatient Medical Center, Inc. Begin providing services on Bossier Street, Natchitoches, LA, under the direction of Mr. Ted Hernandez. Provided only medical care and operated on a sliding fee scale along with Medicaid/Medicare. In the 1980’s OMC contructed a new building at 1640 Breazeale Springs street and relocated from the Bossier Street location. At the building of the new location the services of the Dental Department, WIC/Nutritional Services and Transportation were added. On November 18, 1997 Natchitoches Outpatient Medical Center, Inc became selfsufficient and changed the name to Outpatient Medical Center, Inc. In 2008, the Natchitoches Health Center building was expanded to help provide more patient services. Outpatient Medical Center, Inc.

Now � � � Timeline continued…… 8 Today Outpatient Medical Center, Inc. serves the entire community in need of accessible, affordable, and quality healthcare. Currently employs over 80 employees and providers Outpatient Medical Center now serves the populations of Natchitoches, Leesville, and Tallulah, and is dedicated to fulfill all healthcare needs. � Annual budget of nearly $6 Million � Providing over 15, 000 patient encounters per year � Expanded Dental and Behavioral Health services to cover all three populations Outpatient Medical Center, Inc.

Patient Demographics Patient by Location Tallulah 29% Natchitoches 36% Insurance Demographic Uninsured 20% Medicare 11% Leesville 35% Private Insurance 21% Medicaid 48% 9

Patient Demographics cont……… 10 Chart Title Hawaiian/Pacific Islander Unreported 25 30 58 Patients By Age Unreported 1 -5 0. 0400 6 -10 0. 0332 37461 47483 95270 0. 1620 02505 11 -20 43 0. 1224 22945 2753757 44603 90213 1 1 65 & over Caucasian 1, 947 64% African American Hispanic/Latino -121 Non-Hispanic Latino-5, 890 3, 901 21 -64

How Are We Funded 11 $2, 938, 191. 00 $110, 000. 00 Patient Service Income Other-Fund Raising $2, 909, 399. 00 Outpatient Medical Center, Inc. Federal BPHC 330 Grant (Includes O/E ES Funds)

Board Governance Model 12 President John Winston Vice President Thomas Roque Treasurer Melvin Holmes Berteal Rogers Fletcher Cheatham Outpatient Medical Center, Inc. Secretary Doris Hullaby Diane Jones Travis Barnum Anita Hatcher Fannie Williams Arthur Ward

OMC, Inc. Board of Directors Fletcher Cheatham John Winston President Thomas Roque Vice-President Anita Hatcher Secretary Melvin Holmes Treasurer Travis Barnum Authur Ward Diane Jones Doris Hullaby Not Pictured Mrs. Berteal Rogers and Mrs. Fannie Williams 13

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Louisiana’s Federal Qualified Health Centers 15 � � � � Serve more than 340, 000 patients annually through more than 1 million patient visits Serve 13. 4% of the total Medicaid population, but account for only 0. 8% of the state’s total Medicaid expenditures Improves health outcomes in underserved areas Had a total annual economic impact of $504. 9 million Saved the healthcare system $434. 9 million at $1, 263 saved per patient Generated 4, 032 jobs in 2015 (2, 300 direct jobs and an additional 1, 732 non-direct jobs) Generated $48. 7 million in federal tax revenue and $9 million in state tax revenue

Louisiana FQHC Site Map 16 34 Louisiana FQHC Organizations operating 215 Individual FQHC service Delivery Sites

Louisiana Health Centers 2016 YEAR IN REVIEW 17 Individual 344, 364 Patients Served 400, 635 New Medicaid Patients 70, 000 60, 000 50, 000 40, 000 30, 000 20, 000 10, 000 0 2016 Marketplace Enrollment Numbers New Orleans Baton Rouge Shreveport Lafayette Monroe Lake Charles Alexandria

FQHC’s Have a Powerful National Impact Over 25 million patients served, including: Over 300, 000 veterans Nearly 1. 2 million Homeless patients Most FQHC Patients are Uninsured or Publicly Insured Medicare 1, 400 + Organizations 9% Private, Nationwide Other Public, 1% 17% 18 Over 900, 000 Migrant farm Workers 7. 5 Million Are children +++++++ 83% are Uninsured or Publicly insured +++++++ 92% Are low income Uninsur ed 24% 9, 800+ Delivery sites

Financial Impact for Louisiana in 2016 $504. 9 Million Total Annual Economic Impact $57. 7 Million Annual Total Tax Revenue $4, 032 JOBS 19 0. 8% Louisiana’s Community Health Centers serve 13. 4% of Louisiana’s Medicaid population, but only account for 0. 8% of overall Medicaid expenses Including Direct and Non-Direct Jobs $434. 9 Million Annual Cost Savings $1, 263 Saved per FQHC Patient

Three Locations to Better Serve You OMC at Natchitoches, LA 1640 Breazeale Springs Natchitoches, LA 71457 Phone (318) 352 -9299 800 -268 -5872 Outpatient Medical Center, Inc. OMC at Leesville, LA 1603 Boone Street, Ste. B Leesville, LA 71446 Phone (337) 238 -1274 800 -308 -7569 OMC at Tallulah, LA 804 Beech Street. Tallulah, LA 71282 Phone (318) 574 -1453 800 -308 -7566 20

CLOSING COMMENTS 21 Outpatient Medical Center, Inc. has been providing high-quality, medically-appropriate and culturally sensitive integrated primary care services for over 40 years. We remain steadfast in our health system commitment to improve the quality of the lives of our valued community families. We are privileged to care for you because caring for you, is what we do.