ALTRU HEALTH SYSTEM OBLIGATED GROUP COMBINED BALANCE SHEET SEPTEMBER 30, 2017 and 2016 ASSETS

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2 COMBINED BALANCE SHEET SEPTEMBER 30, 2017 and 2016 ASSETS CURRENT ASSETS Cash & Cash Equivalents $ 45,798,938 $ 59,523,083 Investments 158,168, ,105,932 Receivables - Net 73,751,326 64,136,909 Notes Receivable 789, ,625 Due From Affiliates 3,805 4,225 Inventories 8,687,577 8,682,842 Prepaid Expense 4,766,549 7,103,935 Assets Whose Use is Limited - Held by Trustee 2,859,541 5,854,459 Total $ 294,826,318 $ 288,202,010 ASSETS WHOSE USE IS LIMITED Held by Trustee: Under Trust Agreements $ 14,503,185 $ 11,823,476 Held by Trustee: Under Bond Indenture Agreements 27,743,909 6,797,279 Total $ 42,247,094 $ 18,620,755 PROPERTY, PLANT AND EQUIPMENT Land and Improvements $ 18,920,070 $ 18,372,385 Buildings 252,218, ,403,507 Leasehold Improvements 1,715,833 1,715,833 Equipment 234,283, ,849,130 Construction in Progress 19,610,482 6,265,448 Total $ 526,748,260 $ 530,606,303 Accumulated Depreciation (326,347,864) (327,007,280) Total $ 200,400,396 $ 203,599,023 OTHER ASSETS Unamortized Bond Issue and Other Costs $ 5,489,423 $ 6,387,917 Other 6,252,265 6,196,843 Total $ 11,741,688 $ 12,584,760 TOTAL ASSETS $ 549,215,496 $ 523,006,548 LIABILITIES AND NET ASSETS CURRENT LIABILITIES Accounts Payable $ 12,242,533 $ 10,811,767 Estimated Third Party Payable 925,531 1,805,840 Deferred Revenue 480, ,285 Accrued Expenses 33,552,193 38,391,101 Current Portion of Long-Term Debt 2,575,306 6,113,664 Total $ 49,775,833 $ 57,466,657 LONG TERM LIABILITIES Special Assessments Payable $ 728,195 $ 872,154 Revenue Bonds Payable 216,898, ,186,182 Pension & Post Employment/Retirement Benefit 11,687,578 13,668,977 Other 14,560,523 11,942,794 Total $ 243,874,545 $ 213,670,107 TOTAL LIABILITIES $ 293,650,378 $ 271,136,764 NET ASSETS $ 255,565,118 $ 251,869,784 TOTAL LIABILITIES AND NET ASSETS $ 549,215,496 $ 523,006,548

3 COMBINED STATEMENT OF OPERATIONS For the Nine Months Ended September 30, 2017 and 2016 UNRESTRICTED OPERATING REVENUE Net Patient Service Revenue $ 399,317,877 $ 390,933,261 Provision for Bad Debts (8,592,362) (6,642,131) Net Patient Service Revenue Less Provision for Bad Debts $ 390,725,515 $ 384,291,130 Other Operating Revenue 26,708,592 26,047,190 Total Unrestricted Operating Revenue $ 417,434,107 $ 410,338,320 UNRESTRICTED OPERATING EXPENSES Patient Care Services $ 63,656,649 $ 63,543,829 Clinic Professional Services 136,843, ,882,227 Other Professional Services 67,949,668 68,516,969 Other Services 3,099,810 2,905,797 General Services 18,818,288 18,374,531 Administrative Services 54,262,393 42,150,192 Bond Issue Carrying Costs 514, ,100 Real Estate Taxes 734, ,346 Interest 6,137,637 6,265,612 Depreciation and Amortization 19,999,480 20,253,931 Insurance 1,877,390 1,988,752 Employee Benefits and Payroll Taxes 42,190,910 42,641,101 Total Unrestricted Operating Expenses $ 416,084,866 $ 398,668,387 NET INCOME FROM OPERATIONS $ 1,349,241 $ 11,669,933 Other Income - Primarily Investments 5,387,846 2,388,553 Loss on Advance Bond Refunding (1,892,098) - EXCESS OF REVENUE OVER EXPENSE $ 4,844,989 $ 14,058,486 Unrealized Gain (Loss) on Investments 10,086,080 6,035,844 INCREASE IN UNRESTRICTED NET ASSETS $ 14,931,069 $ 20,094,330

4 COMBINED STATEMENT OF CASH FLOWS For the Nine Months Ended September 30, 2017 and 2016 CASH FLOW FROM OPERATING ACTIVITIES: Increase in Unrestricted Net Assets : $ 14,931,069 $ 20,094,330 Adjustments to Reconcile Change in Net Assets to Net Cash from Operating Activities : Depreciation and Amortization 21,227,167 18,992,880 Provision for Bad Debts 8,592,362 6,642,131 (Gain) Loss on Investments (2,916,742) 640,443 Loss on Disposal of Equipment 237,423 1,338,947 Excess of Revenue Over Expenses - Limited Use Assets (67,327) (124,098) Unrealized (Gain) / Loss (10,086,080) (6,035,844) Effect on Operating Cash Flows from Changes in: Receivables (16,629,036) (288,849) Due from Affiliates (876) (2,152) Inventories (198,050) (55,085) Prepaid Expense (1,891,155) (6,220,760) Accounts Payable (6,465,959) (6,091,974) Due to Affiliates (8,226) - Estimated Third Party Payable (1,710,234) (2,198,156) Accrued Expenses 2,304,192 7,337,785 Deferred Revenue (49,210) 23,306 NET CASH PROVIDED BY OPERATING ACTIVITIES $ 7,269,318 $ 34,052,904 CASH FLOW FROM INVESTING ACTIVITIES: Acquisitions of Property and Equipment $ (19,859,703) $ (19,489,819) Sale of Property and Equipment 446,804 - Investments in Assets Whose Use is Limited (89,538,706) (8,728,500) Transfers from Assets Whose Use is Limited 66,913,576 4,120,909 Purchases of Investments (21,308,958) (48,103,652) Sales of Investments 20,631,803 45,326,233 Advances on Notes Receivable (961,000) (1,096,004) Payments Received on Notes Receivable 442, ,663 NET CASH PROVIDED (USED) BY INVESTING ACTIVITIES $ (43,233,759) $ (27,757,170) CASH FLOW FROM FINANCING ACTIVITIES: Payments of Long-Term Debt $ 30,603,820 $ (250,157) Payments for Financing Costs - - Proceeds from Sale of Bonds - - NET CASH USED BY FINANCING ACTIVITIES $ 30,603,820 $ (250,157) NET CHANGE IN CASH AND CASH EQUIVALENTS $ (5,360,621) $ 6,045,577 CASH AND CASH EQUIVALENTS BEGINNING OF PERIOD 51,159,559 53,477,506 CASH AND CASH EQUIVALENTS END OF PERIOD $ 45,798,938 $ 59,523,083

5 Ratios September 30, 2017 Trailing 12-Month Days Cash On Hand: Basis Operating Expense $ 535,653,020 $ 398,668,387 $ 416,084,866 $ 553,069,499 Depreciation & Amortization 25,401,770 18,992,880 21,227,167 27,636,057 Total $ 510,251,250 $ 379,675,507 $ 394,857,699 $ 525,433,442 Unrestricted Cash & Investments $ 203,967,551 Days Cash on Hand Trailing 12-Month Maximum Annual Debt Service Coverage: Basis Excess of Revenue Over Expense $ 10,470,074 $ 14,058,486 $ 4,844,989 $ 1,256,577 Interest Expense 8,359,175 6,265,612 6,137,637 8,231,200 Depreciation & Amortization 25,401,770 18,992,880 21,227,167 27,636,057 Income Available for Debt Service $ 44,231,019 $ 39,316,978 $ 32,209,793 $ 37,123, Maximum Annual Debt Service $ 16,697,900 Maximum Annual Debt Service Coverage Ratio 2.22 Debt to Capitalization: Long Term Debt $ 210,855,835 Accrued Pension Liability 11,687,578 Net Assets 255,565,118 Total $ 478,108,531 Debt to Capitalization Ratio 44.10%

6 Altru Health System & Affiliates Combined Balance Sheet September 30, 2017 and 2016 ASSETS Current Assets Cash & Cash Equivalents $ 45,854,446 $ 59,620,770 Investments 159,587, ,599,934 Due from Restricted Assets 100, ,529 Receivables - Net 73,755,189 64,141,465 Notes Receivable 789, ,625 Inventories 8,687,577 8,682,841 Prepaid Expense 4,767,434 7,104,822 Limited Use Assets - Current 2,859,541 5,854,459 Total $ 296,402,130 $ 289,907,445 Assets Whose Use is Limited or Restr. Under Trust Agreement $ 14,503,185 $ 11,823,476 Under Bond Indenture Agreements 27,743,909 6,797,279 By Donors 12,150,286 11,177,496 Total $ 54,397,380 $ 29,798,251 Property, Plant & Equipment Land & Improvements $ 18,920,070 $ 18,372,385 Buildings 253,934, ,119,340 Equipment 234,404, ,970,065 Construction in Progress 19,610,482 6,265,448 Total $ 526,869,195 $ 530,727,238 Less: Accumulated Depr. (326,429,469) (327,084,666) Total $ 200,439,726 $ 203,642,572 Other Assets Unamortized Costs $ 5,489,423 $ 6,387,917 Other 6,252,265 6,196,843 Total $ 11,741,688 $ 12,584,760 Total Assets $ 562,980,924 $ 535,933,028 LIABILITIES AND NET ASSETS Current Liabilities Accounts Payable $ 12,265,795 $ 10,830,448 3rd Party Payor Settlements 925,531 1,805,840 Accrued Expenses 33,604,179 38,449,142 Long Term Debt - Current 2,575,306 6,113,664 Unearned Income 480, ,285 Total $ 49,851,081 $ 57,543,379 Long Term Liabilities Special Assessments Payable $ 728,195 $ 872,154 Bonds Payable 216,898, ,186,182 Pension/Health Benefit 11,791,693 13,789,648 Other 14,583,431 11,967,265 Total $ 244,001,568 $ 213,815,249 Net Assets Unrestricted $ 258,236,486 $ 254,603,344 Temporarily Restricted 7,634,550 6,861,168 Permanently Restricted 3,257,139 3,109,888 Total $ 269,128,175 $ 264,574,400 Total Liabilities & Net Assets $ 562,980,824 $ 535,933,028

7 Altru Health System & Affiliates Combined Statement of Operations For the Nine Months Ended September 30, 2017 and 2016 Unrestr. Revenues & Gains: Net Patient Service Rev. $ 399,317,877 $ 390,933,261 Provision for Bad Debt (8,608,448) (6,638,130) Other Operating Revenue 26,669,821 25,975,234 Total Revenue $ 417,379,250 $ 410,270,365 Expenses: Nursing Services $ 63,655,620 $ 63,543,697 Clinic Professional Serv. 136,843, ,882,226 Other Professional Serv. 66,644,494 67,382,403 Other Services 4,433,761 4,089,714 General Services 18,875,236 18,410,255 Administrative Services 54,552,506 42,533,210 Bond Issue Costs 514, ,100 Real Estate Taxes 734, ,346 Interest 6,137,637 6,265,612 Depreciation & Amortization 20,002,640 20,257,175 Insurance 1,877,930 1,989,292 Employee Benefits 42,252,353 42,694,406 Total Expense $ 416,524,848 $ 399,193,436 Operating Income $ 854,402 $ 11,076,929 Other Income - Primarily Investments 5,610,808 2,567,173 Loss on Advance Bond Refunding (1,892,098) - Excess of Revenues Over Expenses $ 4,573,112 $ 13,644,102 Change in Unrealized Gains and Losses 10,186,252 6,072,241 Increase in Unrestricted Net Assets $ 14,759,364 $ 19,716,343