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December 6 th , 2016

Agenda � BSI Healthcare Services Introductions � Audit Results � Spend Analytics � Vendor Master Analytics Presentation � Audit Analytics � Open Discussion Q & A

Company Information HISTORY � 26 Years in Healthcare Procure-to-Pay Consulting/Recovery Auditing � 100% Focused on the Healthcare Industry � National Service Provider – Over 150 Recurring Clients � Customized Audit Methodology – Augmented to client environment � Professional Relationships with Key Suppliers PARTIAL � 98% Client Retention & Satisfaction CLIENT LIST � Prior History with UPMC � Spectrum Health System � Keck Medical Center of USC EXPERIENCE � Baycare Health System Preferred Service Provider to: � Carolinas Healthcare System � Tucson Medical Center � NYCHHC � MERCY (MO) � FMOL Health System � Beaumont Health System � Trinity Health � BJC Health � Aurora Health

Capabilities ERP EXPERTISE STRATEGY/SECURITY � PeopleSoft � Layered Security Protocol � Lawson � $10M Cyber & Network Insurance Policy � Oracle Financials � Ease of data extraction � McKesson � Secure FTP site � SAP � HIPAA Compliant � Homegrown (experience > 60 platforms) REPORTING/ANALYTICS TOOLS/CUSTOMER PORTAL � Proprietary Audit Software: • Payment error types • Price Variance/Contract Compliance • Statement Tracking � 24/7 Web Portal � Claim Detail � Claim Summary � Claim Status 4 4 4 4

Audit Process

Section IV Audit Results

Audit Statistics � Audit Period � March 1, 2014 through December 31, 2015 � Recovery � 70 Claims - $96,755 � Total Payables Audited � $5.9 Billion � Number of Invoices Audited � 871,160 � Recovery as a Percentage of Payables � .002% (Benchmark .07 to .1%) � Accuracy Rate � 99.92%Accuracy (Goal 97.75% or greater)

Recovery Results $25,000 $22,500 $20,350 $19,166 $20,000 $15,000 $11,792 $8,606 $10,000 $5,871 $5,000 $2,437 $1,933 $621 $315 $- 1 Claim 22 Claims 13 Claims 19 Claims 4 Claims 2 Claims 3 Claims 2 Claims 2 Claims 1 Claim Invoiced Return Not Cash on Duplicate Pricing Cancelled Paid to Credited Invoice Overpayment Twice Deducted Account Payment Contract Wrong Invoice Adjustment Credit Vendor

Benchmark

Section IV Spend Analytics

PO Analytics PO Spend vs. Non-PO Spend 36% $487,642,103 26% $261,702,803 74% 64% $862,092,274 $837,109,731 41% PO Invoices vs. Non-PO Invoices $139,714,657 $200,566,547 59% 2014 2015 2016 239,163 62% 61% 236,928 39% 38% 67% 152,918 146,427 63,827 33% 31,577 2014 2015 2016

Average Days to Pay Average Days to Pay 35 30 25 Days to Pay 20 15 10 5 0 May. Jun- Jul- Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- 14 14 14 14 14 14 14 14 15 15 15 15 15 15 15 15 15 15 15 15 16 16 16 16 Harris County 19 21 19 22 20 23 20 24 28 24 22 22 22 26 23 22 25 21 23 26 29 25 22 23 Benchmark 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30

Efficiency Report Average Days to Recognize Credits 60 50 40 Days to Enter 30 20 10 0 May. Jun- Jul- Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- 14 14 14 14 14 14 14 14 15 15 15 15 15 15 15 15 15 15 15 15 16 16 16 16 All Credits 27 30 26 30 39 25 27 22 12 11 27 35 57 40 12 29 21 26 28 6 7 11 16 16 Benchmark 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30

Section IV Vendor Master Analytics

Active Vendors Vendor Master Review 51,668 Total Vendors Active Vendors - Utilized in 18 Active Vendors - 44,066 Mos. - 36,062 Inactive Vendors (System) - 8,873 Active Vendors - No Spend 18 Mos. - Single Use - 5,820 Active Vendors - No Spend 18 Mos. - Multi Use - 913

Vendor Scrub Vendor Master Analysis Name - 17,749 (2,015) Total Unique Vendors - Potential Duplicate 20,948 Vendors - 26,875 (2,845 w $0 Spend in last 18 Address - 7,852 (657) mths) Department - 14 (1) Tax ID - 182 (26) PO Box - 692 (104) Phone/Fax - 386 (42)

TIN Match Results TIN Match Results TIN and Name combination matches IRS SSN and EIN records - 15 TIN and Name combination matches IRS SSN records - 408 TIN and Name combination does not TIN and Name TIN requiring research - match IRS records - 814 combination matches IRS 863 EIN records - 5,887 TIN entered is not currently issued - 35 TIN Not Submitted to IRS (Other) - 14

Section IV Audit Analytics

Duplicate Payments Duplicate Payments by Subtype $22,500 $7,928 $4,363 $3,149 $1,916 11 Claims 5 Claims 3 Claims 3 Claims 1 Claim Keypunch Error Multiple Vendor System Override Paid to Wrong Invoiced Twice Numbers vendor 23 Claims ~ $37, 430.43

Duplicate Payments Comparison of Duplicate Payments by Resolution Status $180,000 $160,000 $140,000 $120,000 $100,000 $80,000 $60,000 $40,000 $20,000 $- Keypunch Multiple System Paid to Wrong Invoiced Twice Other Error Vendor Override vendor Numbers Applications $10,665 $9,695 $7,500 $- $- $3,627 Validating $4,604 $574 $- $- $- $1,856 Harris County $50,965 $20,059 $156,233 $- $- $17,425 Claims $17,142 $3,149 $1,916 $4,363 $22,500 $-

Duplicate Payments Benchmark $1,200,000 $1,097,675 $1,000,000 $800,000 $749,942 $656,205 $600,000 $400,000 $200,000 $37,430 $- Company A Company B Company C Harris County

Vendor Returns HOSE SPECIALTY AND SUPPLY - 4 Totaling $210 ENNIS PAINT - LABATT FOOD SERVICE 1 Totaling $403 LP - 2 Totaling $2,623 MOTOROLA SOLUTIONS INC - 6 Totaling $3,945 BWI COMPANIES INC - 1 CDW COMPUTER Totaling $12,867 CENTERS INC - 22 Totaling $20,350

Cash On Account Vendor # Vendor Name Claim # Claim Date Count Claim Amount Problem Subtype V00070099 ENNIS PAINT 2869-30 5/26/2016 1 $5,671.78 Incorrect Invoice Number 20729 THOMAS REPROGRAPHICS 2869-31 6/14/2016 1 $735.00 No Remit Information 70981 GREAT SOUTHWEST PAPER CO 2869-39 -48 7/14/2016 10 $12,099.46 Other- Payment outside of data 20544 JOHNSON SUPPLY 2869-90 10/6/2016 1 $660.00 Other- Payment outside of data 13 $19,166.24

Pricing/Contracts � Price Variance � Insufficient data � Local Contracts � Purchasing not involved in audit