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1 Profile Inception date: January 2009 Annualized supply spend: $4.5B 2013 MSS Savings + $35M 2014 MSS Savings + $37M Contracting Contracts in place Contracts in the following categories MedSurg Pharmacy Capital Revenue Cycle Business Development Purchased Services Physician Preference Initiatives Commitment levels: Commodity, Clinical Preference and Pharmacy 85% Physician Preference: By initiative Physician Preference contracts: 31 contracts completed $80.6M annual spend $8.4M annual savings Network highlights MSS governance: Board of Directors: Owner CEOs and senior executives meet quarterly and ad hoc Finance Committee: Owner CFO s meet monthly Operations Committee: Owner supply chain leaders attend 24 meeting/calls per year Pharmacy Committee: Owner pharmacy leaders meet monthly and hold ad hoc meetings as needed Clinical Committees: Owner physicians or clinical leaders are involved in as many as 28 clinical subcommittees. Selected successes ACS CPT s $7.5M annual spend $946K annual savings Owners BJC Healthcare Saint Louis MO Cox Health Springfield MO DMH Health Systems Decatur IL Freeman Health System Joplin MO Hays Medical Center Hays KS Memorial Health System Springfield IL Saint Luke s Health System Kansas City MO Salina Regional Health Center Salina KS Stormont-Vail Healthcare Topeka KS

2 Owners

3 Owners and Owners 1. BJC Healthcare Saint Louis MO 2. Cox Health Springfield MO 3. DMH Health Systems Decatur IL 4. Freeman Health System Joplin MO 5. Hays Medical Center Hays KS 6. Memorial Health System Springfield IL 7. Saint Luke s Health System Kansas City MO 8. Salina Regional Health Center Salina KS 9. Stormont-Vail Healthcare Topeka KS 1. Abraham Lincoln Memorial Hospital Lincoln IL 2. Alton Memorial Hospital Alton IL 3. Anderson County Hospital Garnett KS 4. Anderson Hospital Maryville IL 5. Antelope Memorial Hospital Neligh NE 6. Anthony Medical Center Anthony KS 7. Atchison Hospital Atchison KS 8. Barnes Jewish Hospital Saint Louis MO 9. Barton County Memorial Hospital Lamar MO 10. Beatrice Community Hospital & Health Center Beatrice NE 11. Black River Medical Center Poplar Bluff MO 12. Blessing Corporate Services, Inc. Quincy IL 13. Boone Hospital Center Columbia MO 14. Box Butte General Hospital Alliance NE 15. Bryan Health Lincoln NE 16. Bryan Heart Institute Lincoln NE 17. Cass County Memorial Hosp. Atlantic IA 18. Cheyenne County Hospital St. Francis KS 19. Cheyenne Regional Medical Ctr Cheyenne WY 20. Christian Hospital NE-NW Saint Louis MO 21. Citizens Medical Center Colby KS 22. Citizens Memorial Hospital District Bolivar MO

4 23. Clara Barton Hospital Hoisington KS 24. Clarinda Regional Health Center Clarinda IA 25. Clay County Medical Center Clay Center KS 26. Cloud County Concordia KS 27. Columbus Community Hospital Columbus NE 28. Comanche County Hospital Coldwater KS 29. Community Medical Center Falls City NE 30. Conejos County Hospital Corporation Clay Center KS 31. Cox Medical Center Branson Branson MO 32. Cox North Springfield MO 33. Cox South Springfield MO 34. Cox Surgery Center Springfield MO 35. Cox-Monett Hospital Monett MO 36. Craig Hospital Englewood CO 37. Crete Area Medical Center Crete NE 38. Crittenton Kansas City MO 39. Cushing Memorial Hospital Leavenworth KS 40. Ellinwood District Hospital Ellinwood KS 41. Ellsworth County Medical Center Ellsworth KS 42. Faith Regional Health Services Norfolk NE 43. Faith Regional Surgery Center Norfolk NE 44. Fitzgibbon Hospital Marshall MO 45. Floyd Valley Hospital Le Mars IA 46. Franklin County Memorial Hospital Franklin NE 47. Fredonia Regional Hospital Fredonia KS 48. Freeman East Campus Joplin MO 49. Freeman Midwest Surgery Joplin MO 50. Freeman Neosho Hospital Neosho MO 51. Freeman Purchasing and Receiving Joplin MO 52. Freeman Surgical Center LLC Joplin MO 53. Freeman West Campus Joplin MO 54. Garden County Health Services Oshkosh NE 55. Geary Community Hospital Junction City KS 56. Golden Valley Memorial Hospital Clinton MO 57. Goodland Regional Medical Ctr Goodland KS

5 58. Gordon Memorial Hospital Gordon NE 59. Gove County Medical Center Quinter KS 60. Graham County Hospital Hill City KS 61. Graham Hospital Association Canton IL 62. Great Bend Regional Hospital Great Bend KS 63. Greenville Regional Hospital Greenville IL 64. Grisell Memorial Hospital Ransom KS 65. Gunnison Valley Hospital Gunnison CO 66. Harlan County Hospital Alma NE 67. Hays Med Senior Focused Care Hays KS 68. Hedrick Medical Center Chillicothe MO 69. Herington Municipal Hospital Herington KS 70. Herrin Hospital Herrin IL 71. Hiawatha Community Hospital Hiawatha KS 72. Home Parenteral Services Springfield MO 73. Home Parenteral Services of SEMO Cape Girardeau MO 74. Home Support Systems Springfield MO 75. Illini Hospital Pittsfield IL 76. Jennie Edmundson Memorial Hospital Council Bluffs IA 77. Jennie M. Melham Memorial Medical Ctr Broken Bow NE 78. Jewell County Hospital Mankato KS 79. Johnson County Healthcare Center Buffalo WY 80. Kalispell Regional Healthcare Kalispell MT 81. Kearney County Health Services Minden NE 82. Keokuk Area Hospital Keokuk IA 83. Kiowa County Memorial Hospital Greensburg KS 84. Labette Health Parsons KS 85. Lane County Hospital Dighton KS 86. Lawrence Memorial Hospital Lawrence KS 87. Lawrence Surgery Center Lawrence KS 88. Lexington Regional Health Center Lexington NE 89. Liberty Hospital Liberty MO 90. Lincoln County Hospital Lincoln KS 91. Lindsborg Community Hospital Lindsborg KS 92. Logan County Hospital Oakley KS

6 93. Madonna Rehabilitation Hospital Lincoln NE 94. Marcus Daly Memorial Hospital Hamilton MT 95. Mary Lanning Memorial HealthCare Hastings NE 96. McDonough District Hospital Macomb IL 97. Medical Plaza Imaging Associates Kansas City MO 98. Medicine Lodge Memorial Hospital Medicine Lodge KS 99. Memorial Group Belleville IL 100. Memorial Hospital Abilene KS 101. Memorial Hospital Chester IL 102. Memorial Home Services Springfield IL 103. Memorial Home Services of Central Illinois In Springfield IL 104. Memorial Medical Center Springfield IL 105. Memorial Medical Center - Ship-To Springfield IL 106. Memorial Physician Services Springfield IL 107. Memorial Hospital of Carbondale Carbondale IL 108. Memorial Hospital of Converse County Douglas WY 109. Meyer Orthopedic and Rehabilitation Hospital Springfield MO 110. Minneola District Hospital Minneola KS 111. Missouri Baptist Medical Center Saint Louis MO 112. Mitchell County Hospital Beloit KS 113. Montgomery County Memorial Hospital Red Oak IA 114. Morrill County Hospital Bridgeport NE 115. Myrtue Medical Center Harlan IA 116. Nebraska Methodist Health System Omaha NE 117. Ness County Hospital Ness City KS 118. Newman Regional Emporia KS 119. Niobrara Valley Hospital Corporation Lynch NE 120. Niobrara Health & Life Center Lusk WY 121. Norton County Hospital Norton KS 122. Osmond General Hospital Osmond NE 123. Ottawa County Hospital Minneapolis KS 123. Parkland Health Center- Bonne Terre Farmington MO 124. Parkland Health Center- Farmington Farmington MO 125. Passavant Area Hospital Jacksonville IL 126.Pawnee Valley Community Hospital Larned KS

7 127.Pershing Memorial Hospital Brookfield MO 128. Phillips County Hospital Phillipsburg KS 129. Physicians Alliance Surgery Center Cape Girardeau MO 130. Pratt Regional Medical Center Pratt KS 131. Progress West HealthCare Center St. Peters MO 132. Rawlins County Health Center Atwood KS 133. Regional West Health Services Scottsbluff NE 134. Rehoboth McKinley Christian Health Care Svcs Gallup NM 135. Republic County Hospital Belleville KS 136. Rooks County Health Center Plainville KS 137. Russell Regional Hospital Russell KS 138. Sabetha Community Hospital Sabetha KS 139. Saint Francis Healthcare System Cape Girardeau MO 140. Saint Francis Medical Center Cape Girardeau MO 141. Saint Luke's College of Health Sciences Kansas City MO 142. Saint Luke's East Lees Summit Lees Summit MO 143. Saint Luke's Home Care and Hospice Kansas City MO 144. Saint Luke s Home Care and Hospice-Smithville Smithville MO 145. Saint Luke's Home Management Kansas City MO 146. Saint Luke's Hospital Kansas City MO 147. Saint Luke's Physician Specialists Kansas City MO 148. Saint Luke's South Hospital Overland Park KS 149. Salem Memorial District Hospital Salem MO 150. Salem Township Hospital Salem IL 151. Salina Regional Health Center-Penn Campus Salina KS 152. Salina Regional Health Center-Santa Fe Campus Salina KS 153. Salina Surgical Hospital Salina KS 154. Samaritan Hospital Macon MO 155. San Juan Regional Medical Center Farmington NM 156. San Luis Valley Regional Medical Center Alamosa CO 157. Sarah Bush Lincoln Health Center Mattoon IL 158. Sarah D. Culbertson Memorial Hospital Rushville IL 159. Satanta District Hospital Satanta KS 160.Scott County Hospital Scott City KS 161. Shelby Memorial Shelbyville IL

8 162.Sheridan County Hospital Hoxie KS 163. Sheridan Memorial Hospital Sheridan WY 164.SLN Medical Specialists Kansas City MO 165. Smith County Memorial Hospital Smith Center KS 166. Southern Illinois Health System Carbondale IL 167. St. Joseph Memorial Hospital Murphysboro IL 168. St. Louis Children's Hospital Saint Louis MO 169. Stafford County Hospital Stafford KS 170. Stormont-Vail West Topeka KS 171. Surgery Center at Liberty Hospital Liberty MO 172. Ste. Genevieve County Memorial Hospital Bloomsdale MO 173. Taylorville Memorial Hospital Taylorville IL 174. The Cancer Institute Kansas City MO 175. The Hearthstone York NE 176. Trego County Lemke Memorial Hospital Wakeeney KS 177. Truman Medical Center Hospital Hill Kansas City MO 178. Truman Medical Center Lakewood Kansas City MO 179. Valley County Health System Ord NE 180. Washington County Memorial Hospital Potosi MO 181. Washington University School of Medicine Saint Louis MO 182. Western Missouri Medical Center Warrensburg MO 183. Wright Memorial Hospital Trenton MO 184. Wyoming Medical Center Casper WY 185. York General Hospital York NE

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