Page 4 - COPR-Oct 2017
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Mercy Health Strategic Initiative Scorecard

                                                    System - October 2017



                                                        Thresholds

                          Operating Margin                                        Community Benefit
                            YTD, higher is better                                    YTD, higher is better
                         Brian Smith Dr. Anton Decker                                   Mark Skaja

                    4.0%                 YTD Margin                          10.0%                YTD Benefit
                                         Above Target                                             Above Target
                                         Above Threshold                       9.0%               Above Threshold
                    3.5%       3.6%      Below Threshold                                          Below Threshold
                                                                               8.0%
                    3.0%                                                                8.0%
                                                                               7.0%
                    2.5%                                                       6.0%

                    2.0%                                                       5.0%

                                                                               4.0%
                    1.5%
                                                                               3.0%
                    1.0%
                                                                               2.0%
                    0.5%
                                                                               1.0%
                    0.0%                                                       0.0%
        Mercy Health realized a positive operating margin for September 2017   As of September 2017 YTD, the Mercy Health community benefit
                 Meeting our operating margin and community benefit thresholds are crucial to the success of our Ministry and our ability
        YTD and was favorable to the 2017 threshold and target. Cincinnati,   threshold was achieved with a 1.3% improvement over the prior
        Kentucky, Lorain, Springfield, Toledo, and Youngstown are achieving   month. Cincinnati, Kentucky, and Youngstown are favorable to
                 to provide our ministry to our patients. As of YTD Month 2017, we are not hitting both of our thresholds. Meeting our
                 operating margin and community benefit thresholds are crucial to the success of our Ministry and our ability to provide
        regional 2017 annual targets.                             regional annual budgets.
                 our ministry to our patients. As of YTD Month 2017, we are not hitting both of our thresholds.
                                                         Initiatives
                        Net Revenue Growth                                 Joint Replacement SNF Utilization
                     YTD Operating Revenue, higher is better                         YTD, lower is better
                    Bob Baxter Jason Theadore Dr. Brian Peerless           Dr. Suresh Nayak Chris Hilton Dr. Denver Stanfield

         15.0%  14.4                           YTD                40%                                   YTD
                                               Stretch Target                                           2017 Target
                                               2017 Target                                              Stretch Target
                                                                  30%
         10.0%     9.7                                                 25.2 25.5 25.4 25.4 25.1 25.3 24.7 24.6 24.7
                       8.5
                                                                  20%
                          5.9  6.2     5.5  5.6
          5.0%                   5  4.6
                                                                  10%


          0.0%                                                     0%
               Jan17  Feb17  Mar17  Apr17  May17  Jun17  Jul17  Aug17  Sep17  Jan17  Feb17  Mar17  Apr17  May17  Jun17  Jul17  Aug17  Sep17

        As of September 2017 YTD, the system net operating revenue is below   The Ministry has continued to achieve the target and stretch target for
                                                                     At the System level, we are achieving our target for Joint
           At the System level, we are achieving our target for Net Operating
        budget by 0.4% and not achieving the system strategic initiative   SNF Utilization as of September YTD. Springfield is achieving its regional
           Revenue Growth. This is driven primarily by XXX.
                                                                     Replacement SNF Utilization. This is driven primarily by    XXX.
        growth target. Cincinnati, Kentucky, and Lorain are achieving regional   target while all other regions are achieving the stretch targets.
        targets while Youngstown is achieving its stretch target.
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