Unique Patients 1.5. Million. Million

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1 State of the Clinic

2

3 Unique Patients 1 Million 1.5 Million

4 New Patient Visits 125, ,

5 Research Activity 2,

6 1. University of California 2. Harvard University 3. Mayo Clinic 4. National Institute of Health 5. University of California, San Francisco 6. University of Texas, MD Anderson 7. CLEVELAND CLINIC 8. Stanford University 9. John Hopkins University 10. Washington University, St. Louis, MD Top 10 Life Science Research Presenters

7 High Impact Publications 974 1,

8 Patents Granted

9 Sones Innovation Award

10 Sones Innovation Award Jay Alberts, Ph.D.

11 Residents & Fellows 1,793 1,

12 Board Pass Rate 96% 99%

13 MCAT Scores 11.9 Wash. Univ. Univ. Penn Yale Harvard Univ. CLEVELAND Johns Columbia Duke Chicago CLINIC Hopkins

14 Watson Goes to Medical School

15 Health Education Campus

16

17 Ohio University Medical School NorthEast Campus

18 Recycled Waste 47% 11%

19 Supplier Diversity Supply Spend 58% 22%

20 Community Benefit $783M 12.3%

21 Global Center for Health Innovation

22 Brand Awareness 36% 22%

23 Brand Awareness Johns Hopkins Mayo UCLA 22% Cleveland Clinic Mass General 36%

24 Total Operating Revenue 4% $6.5 Billion

25 Cash Flow from Operations 11.7% Margin

26 Operating Income $296 Million

27 Cash and Investments 13% $5.8 Billion

28

29 Medicare Payment Cuts $ Total $415 Billion

30 Payment Structure Volume-Based Value-Based Fee-for-Service Outcomes

31 Value Based Purchasing Experience 30% 2013 Process 70%

32 Value Based Purchasing Experience 30% 2014 Process 45% Outcomes 25%

33 Value Based Purchasing Experience 30% 20% 2015 Process Efficiency 20% 30% Outcomes

34 Value Based Purchasing Experience 25% 10% Process 2016 Efficiency 25% 40% Outcomes

35 Quality Metrics

36 Change Curve Denial Acceptance Morale Anger Bargaining Depression Time

37 Risk Crisis Opportunity

38 Nothing diminishes anxiety faster than action. - Walter Anderson

39 Opportunity

40 Opportunity Growth Value Based Care

41 Networks Owned & Partnered

42 Heart and Vascular Institute Affiliations / Alliances Rochester Ashtabula LakeWest Cleveland Clinic Metro Fisher Titus & Bellevue Cadence St. Francis Medical Christus St. Michael St. Vincent Novant Susquehanna Health MedStar Cape Fear CC Florida

43 National Orthopaedic & Spine Alliance CORE Institute OrthoCalifornia/ Hoag Cleveland Clinic Rothman Institute CORE Institute OrthoCarolina

44 ProMedica

45 Michigan Toledo ProMedica Cleveland Leading system in Toledo 2,000 Beds 450 employed physicians Paramount Health Plan

46 Community Health Systems 206 Hospitals in 29 States

47 Cleveland Clinic Abu Dhabi

48 Cleveland Clinic Abu Dhabi

49 Cleveland Clinic Abu Dhabi

50 Referral Offices

51 International Patients 2,606 3,

52

53 Think anew and act anew - Abraham Lincoln

54 Access

55 Fairview Hospital

56 Hillcrest Labor & Delivery

57 Lutheran ED Expansion

58 Lutheran ED

59 Brunswick ED

60 Palm Beach Gardens

61 Parkland

62

63 Florida Cancer & Neuro

64 Cancer Center

65 Avon Hospital

66 CCHS ED Visits 44,000 per month

67 46 minutes CCHS ED Wait 11 minutes

68 Same Day Visits 1,056, ,

69 MyChart 1,900,000 Auto Enrollment

70 MyChart Test Results Messages Appointments Preventive Care Health Summary

71 Quality

72

73 14 th 2013 UHC Quality Ranking 20 th th th Rank 101

74 189 per month CCHS Patient Safety Indicators 96 per month

75 Readmissions 14% 14%

76 Hospital Acquired Infections 25 per month 33 per month

77 Caregiver Engagement 61 %ile

78 Rate Hospital CMS 90 th %ile Main Florida 45 Community *

79 Complaints Rate per 1K encounters

80 % tile 60 Community Hospital Physician Satisfaction LU FV SP HC EU MM ACMC LW ME

81 Partners In Care Dr. Robert Dlwgosh ACMC Dr. Andrew Brobbey Euclid Dr. John Tafuri Fairview Dr. Jeffrey Lautman Hillcrest Dr. James Crandell Lakewood Dr. Rajesh Sharma Lutheran Dr. Doug Kohler Marymount Dr. Jonathan Funk Medina Dr. Kamal Khalafi South Pointe

82 Affordability

83 491 Energy Usage Index Benchmark =

84 Lab Tests Avoided 17, $1.9 Million

85 Shared Medical Appointment 4,

86 $4,506 Partial Nephrectomy 20% $3,

87 Behavioral Health $104 Per Case $93 Per Case 10%

88 Low Back Pain CarePath Acute Phase 0-6 weeks Sub -Acute Phase 6-12 weeks Chronic Phase > 12 weeks

89 $554 Low Back Pain Cost / Case $237 $136 Pre Post Potential

90 >$300,000 Cost savings Charles Skala Damian Chessar

91 Quality Affordability Value Access

92 No one cares how much you know, until they know how much you care. - Theodore Roosevelt

93 Act as a Unit

94

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