The Resource Group Through our promise to listen

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The Resource Group Through our promise to listen, innovate, and implement, we deliver solutions

The Resource Group Through our promise to listen, innovate, and implement, we deliver solutions that accelerate your organization’s financial performance. The Resource Group © 2016 Confidential 1

The Resource Group By The Numbers Through our promise to listen, innovate, and implement,

The Resource Group By The Numbers Through our promise to listen, innovate, and implement, we deliver solutions that accelerate healthcare organization’s financial performance $7. 4 B Managed Non-Payroll Spend 4 M+ Supply Chain Labor Hours Overseen Annually 927 K+ POs Processed Annually 1500+ 147 Hospitals and 2000 Sites of Care Served Across 70 M Square Feet Supply Chain Associates Managed 1. 38 M+ 632 K+ Requisitions Processed Annually Annual Courier Supply Stops 744 K+ SKUs¹ managed in perpetual and par locations ¹ SKU – Stock Keeping Unit The Resource Group © 2016 Confidential 2

The Resource Group’s Breadth The Resource Group © 2016 Confidential 3

The Resource Group’s Breadth The Resource Group © 2016 Confidential 3

$868 M Annual Expense Reduction Results Driven $648 M in Supplies and $220 M

$868 M Annual Expense Reduction Results Driven $648 M in Supplies and $220 M in Other Non-Payroll Spend Supply Expense as Percent of NPSR (Excluding Pharma) Supply Expense as Percent of NPSR (Pharmacy Only) 6. 50% 20. 10% 20. 00% 6. 00% 17. 80% 18. 04% 17. 84% 5. 50% 17. 05% 16. 12% 16. 00% 16. 11% 16. 16% 16. 14% 5. 00% 15. 33% 4. 56% 14. 14% 14. 35% 14. 10% 14. 00% 4. 21% 13. 27% 3. 66% 3. 69% 3. 74% 3. 78% 12. 00% 4. 50% 4. 31% 3. 95% 3. 82% 3. 77% 12. 30% 12. 33% 2012 2013 12. 16% 4. 00% 11. 95% 11. 83% 11. 58% 3. 50% 10. 00% 3. 00% 2007 2008 The Resource Group © 2016 2009 2010 2011 Confidential 2014 2015 2016 2017 4

Value Realization Equation™ Execution + Discipline Process + Controls Execution + Discipline + Process

Value Realization Equation™ Execution + Discipline Process + Controls Execution + Discipline + Process + Controls + Talent Investment = Value Realization v Limited Business Transformation v Business Transformation ◊ Transactional Supply Chain Roles ◊ Comprehensive Roles ◊ Area Chief Resource Officer ◊ Area Operations Director ◊ Area Implementation Director ◊ Area Critical Products Director Cost Stabilization Cost Optimization: 8% to 10% Savings v Fragmented Process and Controls ◊ Transactional Supply Chain Roles ◊ Comprehensive Roles ◊ Area Chief Resource Officer ◊ Area Operations Director ◊ Area Implementation Director ◊ Area Critical Products Director Cost Escalation Talent Investment The Resource Group © 2016 Confidential 5

Contract Portfolio – Categories of Interest The Resource Group provides value across each of

Contract Portfolio – Categories of Interest The Resource Group provides value across each of the large healthcare spend categories • Medical Surgical Supplies • Pharmacy Supplies • Information Technology Software and Hardware • Medical/Non-Medical Equipment – Major and Minor • Construction • Purchased Services The Resource Group © 2016 Confidential 6

Our Experience at Non-Acute Facilities Typical Savings Percent 8% *Conservative estimate provided as The

Our Experience at Non-Acute Facilities Typical Savings Percent 8% *Conservative estimate provided as The Resource Group has seen savings in the double digits and provides the most value in the physician preference category, which is typically a low spend category at non-acute facilities The Resource Group © 2016 Confidential 7

Four Pillars of User-Directed Strategic Sourcing™ The Resource Group © 2016 Confidential Communication Collaboration

Four Pillars of User-Directed Strategic Sourcing™ The Resource Group © 2016 Confidential Communication Collaboration Communication The User-Directed Strategic Sourcing™ model reduces price and variation while improving quality through integrated change management. This model differs from the traditional procurement models which attempt to lower cost through category management and limiting choice. 8

User-Directed Strategic Sourcing™: Affinity Group and Decision Teams Guiding Principles developed by Clinical Excellence

User-Directed Strategic Sourcing™: Affinity Group and Decision Teams Guiding Principles developed by Clinical Excellence and The Resource Group will guide clinical decisions • The Resource Group will facilitate the process • Clinical Governing Body will support the process • Clinicians from all systems will participate • All acceptable Suppliers will be identified for negotiation purposes • The selection process will be transparent • Existing clinical quality initiatives will be incorporated • The process will take advantage of existing scientific evidence if available The Resource Group © 2016 Confidential 9

User-Directed Strategic Sourcing™: Simplification of Decision-Making Five key attributes are considered when determining acceptable

User-Directed Strategic Sourcing™: Simplification of Decision-Making Five key attributes are considered when determining acceptable products or services • End-User Satisfaction • Clinical/Safety Considerations • Financial Opportunity • Patient Satisfaction • Mission/Values Alignment The Resource Group © 2016 Confidential 10

Integrated to Accelerate Change and Results The Resource Group integrates locally while connecting nationally

Integrated to Accelerate Change and Results The Resource Group integrates locally while connecting nationally through seven Communities of Expertise and four Communities of Collaboration System Office Participants Chief Resource Officer Operations Leader Analyst Implementation Specialist Critical Products Manager Customer Care Person Data Steward Area Leadership Communities of Collaboration: • Clinical Sponsors • Executive Sponsors • Decision Teams • Affinity Groups The Resource Group © 2016 Confidential 11

Talent Investment The Resource Group continues to build a diverse team with cross industry

Talent Investment The Resource Group continues to build a diverse team with cross industry expertise Healthcare Manufacturing and Distribution Healthcare Providers • • • • • • • Adventist Health Alexian Brothers Health System Ascension Health Aurora Health Care BJC Healthcare Chan Healthcare Cleveland Clinic Genesys Health Iasis Healthcare Infirmary Health Mayo Clinic Lourdes Mercy Seton Healthcare SSM Healthcare St. John Providence St. Joseph Hospital St. Luke’s Hospital St. Vincent’s Medical Tenant Healthcare Texas Health Resources Trinity Health UHC University of Michigan Health Ronald Reagan Medical Center Via Christi Health Yale-New Haven Health The Resource Group © 2016 • • • • • • • American Red Cross Amerisource. Bergen Anthem Blue Cross Blue Shield Bausch & Lomb Boston Scientific Cardinal Health Cerner Centene Covidien De. Puy Synthes De. Royal Emed Medical Company Express Scripts Forest Pharmaceuticals Glaxo. Smith. Kline Globus Medical Johnson & Johnson Mc. Kesson Owens & Minor Par Pharmaceutical Pfizer Quorum Health Resources Smith & Nephew Sonosite TEI Biosciences The Harvard Drug Group Sanofi Aventis Group Purchasing, Supply Chain and Logistics • • • • • • Amerinet APL Logistics Cummins Crothall Services Group Dell Fed. Ex HPG Landstar MD Logistics Med. Assets Novation/VHA OHL Logistics Premier ROi Ryder Schneider Tennessee Valley Authority UPS Union Pacific Railroad United States Air Force United States Army Consulting and Finance • • • • • • • Confidential Accenture American General Finance appl. Econ Cap. Gemini Capital One Cass Information Systems, Inc. Cassidy Turley Chase Crothall Services Group Cope Health Solutions Cox Deloitte Edward Jones Enterprise Bank and Trust Ernst & Young Federal Reserve Bank Financial Resource Group First National Bank Humana Integra KPMG Met. Life Premier Client Group NCR Pw. C Veterans United Home Loans Wells Fargo Manufacturing and Retail • • • • • • • • AB In. Bev American Airlines Boeing Brown Shoe Chevron Phillips Chemical Chrysler CKE Restaurants Coca-Cola Con. Agra Foods Conoco Phillips Dollar General Du Pont Ford Genesco Georgia-Pacific Goodwill Honeywell Integra Ingersoll Rand JC Penney Johnson Level Macy’s Nissan Ralcorp Readers Digest SC Johnson & Son Schnucks Silgan Plastics Thompson CAT Walmart Wiese 12

Talent Investment The Resource Group has developed a program that will rapidly prepare associates

Talent Investment The Resource Group has developed a program that will rapidly prepare associates for leadership roles through leadership development, structured training programs, professional certifications, mentoring, and experiential learning in the following areas Program Areas Lean Six Sigma APICS Project Management Leadership/Mentoring Sales Development/Marketing • • Nationally recognized certifications Structured projects and presentations Assigned mentors Two – four year career development plan Negotiations The Resource Group © 2016 Confidential 13

Thank You John E. Eaker Vice President, Chief Resource Officer — St. Vincent’s Health

Thank You John E. Eaker Vice President, Chief Resource Officer — St. Vincent’s Health O: 205. 930. 2192 | John. Eaker@Ascension. org The Resource Group © 2016 Confidential 14