Catholic Health Initiatives has posted the following webcast: First Quarter Fiscal 2016 Investor Update Presentation

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1 January 11, 2016 WEBCAST Catholic Health Initiatives has posted the following webcast: First Quarter Fiscal 2016 Investor Update Presentation The webcast is available at or to either MyNetRoadShow registered users or to Guest Users by entering the following Deal Entry Code: CHI2016 The webcast can be viewed until January 29, 2016 QUESTION AND ANSWER TELECONFERENCE In addition, Catholic Health Initiatives invites you to join a Q & A teleconference regarding material in this webcast on: Thursday, January 14 at 9:30 a.m. MT (8:30 a.m. PT, 10:30 a.m. CT, 11:30 a.m. ET) Call Name: CHI 1 st QTR FY 2016 Investor Update Presentation Dial-in Number PLEASE DIAL-IN 15 MINUTES PRIOR TO THE START OF THE CALL TO REGISTER

2 First Quarter Fiscal 2016 Investor Update Presentation Dated January 11, 2016 Live Q&A Teleconference will be held on Thursday, January 14, :30 AM MT/11:30 AM ET Call Name: CHI 1 st QTR FY 2016 Investor Update Presentation Dial in #: (This is a moderated call. Please dial in at least 15 minutes in advance.)

3 Disclaimer This presentation is provided as of January 11, It has been prepared for informational purposes only, and it should not be used for the purpose of making investment decisions concerning CHI. This presentation is not intended to supplement or be a substitute for the legal disclosure for CHI or for the disclosure related to the public offering of any of its securities. The information contained herein is subject to completion and amendment without notice. If you are viewing this presentation after the date stated above, events may have occurred that have a material adverse effect on the financial information presented. This presentation does not constitute nor does it form part of an offer to sell or purchase, or the solicitation of an offer to sell or purchase, any securities. This presentation contains forward-looking statements that involve risks, uncertainties and assumptions. If the risks or uncertainties ever materialize or the assumptions prove incorrect, the results may differ materially from those expressed or implied by such forward-looking statements. Accordingly, we caution you not to place undue reliance on these statements. All statements other than the statements of historical fact could be deemed forward-looking. All opinions, estimates, projections, forecasts and valuations are preliminary, indicative and are subject to change without notice. This presentation is based on available information as of the date of the presentation, and CHI undertakes no obligation, other than as required by applicable law, to update or revise such investor presentation, whether as a result of new information, subsequent events, anticipated or unanticipated circumstances or otherwise. By viewing this presentation you acknowledge that you understand and agree to the provisions of this page. 2

4 Presenters J. Dean Swindle President, Enterprise Business Lines and Chief Financial Officer Nicholas M. Barto Senior Vice President, Corporate Finance & Investments 3

5 CHI Snapshot - June 30, States 102 Hospitals 30 critical access $15.7 billion in revenue* $23.7 billion in assets* Over 3,885 employed providers $7.2 billion in cash and investments* 12 Clinically Integrated Networks** 680,000 covered lives Total Operating Revenue Greater than $2 billion * Represents the CHI Reporting Group as of June 30, 2015 ** As of September 30, 2015, CHI has 10 direct and 2 joint venture CINs $1 billion to $2 billion Less than $1 billion 4

6 Strategic Focus NEXT ERA Evolution Consumer focused integrated care Care management and population health capability Clinical and Operational Excellence Payment for Value New market growth - Texas Creating market relevance Strengthening statewide networks Strategic Growth Operational Excellence Physician integration and performance improvement Focused market integration and turnaround plans Enterprise-wide overhead reduction 5

7 Overview FY2015

8 Diverse Revenue Sources FY 15 Revenue Operating EBIDA Margin before restructuring Tennessee 4% North Dakota 5% Other 5% Pacific Northwest 16% North Dakota/Minnesota 11.3% Colorado 10.8% Arkansas 5% Pacific Northwest 10.0% Texas 9.4% Iowa 6% Kentucky 15% Ohio 8.5% Tennessee 8.4% Iowa 7.6% Ohio 7% Arkansas 3.9% Kentucky 3.2% Colorado 12% Texas 12% Nebraska 13% Nebraska 2.7% 7

9 Operating Indicators $20.0 $15.0 Operating Revenues* (dollars in billions) $14.0 $ , , ,000 Admissions* 502, ,586 $10.0 $5.0 $3.7 $ , , , , ,646 $0.0 FY 14 Q4 FY 15 Q4 FY 14 FY 15 0 FY 14 Q4 FY 15 Q4 FY 14 FY 15 Acute Inpatient Days* CHI Total Outpatient Visits 3,000,000 2,500,000 2,000,000 2,369,480 2,526,929 8,000,000 6,000,000 6,598,571 7,220,588 1,500,000 1,000, , , ,886 4,000,000 2,000,000 1,660,320 1,895,603 0 FY 14 Q4 FY 15 Q4 FY 14 FY 15 0 FY 14 Q4 FY 15 Q4 FY 14 FY 15 * Represents CHI Reporting Group 8

10 Financial Results* Operating EBIDA Margin before restructuring Operating Margin before restructuring 10% 8% 6% 4% 5.8% 7.4% 6.9% 8.3% 2% 1% 0% (0.1)% 0.2 % 1.3 % 2% -1% (1.1)% 0% FY 14 Q4 FY 15 Q4 FY 14 FY 15-2% FY 14 Q4 FY 15 Q4 FY 14 FY 15 Operating EBIDA before restructuring (dollars in millions) Operating income before restructuring (dollars in millions) $2,000 $1,750 $1,500 $1,250 $1,000 $750 $500 $250 $0 $214.0 $290.7 $966.1 $1,307.7 FY 14 Q4 FY 15 Q4 FY 14 FY 15 $250 $200 $150 $100 $50 $0 -$50 -$100 ($40.1) ($2.3) $25.4 $200.6 FY 14 Q4 FY 15 Q4 FY 14 FY 15 * Represents CHI Reporting Group 9

11 Year Over Year Momentum FYE 2014 Operating EBIDA* $966.1 M/6.9% FYE 2015 Operating EBIDA* $1.3 B/8.3 % Focused Market Performance Integration Activities System Implementations COE Expansion & Support Transformation * EBIDA before restructuring and represents CHI Reporting Group 10

12 Balance Sheet Measures* Total Assets & Total Cash (dollars in billions) Days Cash on Hand $30.0 $25.0 $20.0 $15.0 $10.0 $22.4 $7.3 $23.7 $ $ $0.0 FY 14 Assets FY 14 Cash FY 15 Assets FY 15 Cash 100 Debt to Capitalization Ratio FY 14 FY % 50.0% 47.7% 49.5% 45.0% 40.0% FY 14 FY 15 * Represents CHI Reporting Group 11

13 Continuing Operations CHI Reporting Group ($ in millions) FY 2014 FY 2015 YoY % Change Total operating revenues $14,035 $15, % Operating EBIDA before restructuring $966 $1, % Operating EBIDA margin 6.9% 8.3% Operating Income before restructuring $25 $201 Operating Income margin before restructuring 0.2% 1.3% Operating income (loss) ($92) $34 Nonoperating gains $778 $104 Excess of Revenue over Expenses $686 $138 Excess margin 4.6% 0.9% 12

14 Progression of Operations FY2014 Actual to FY2015 Actual Year over Year Change Operating EBIDA Before Restructuring $ in millions CHI Reporting Group 2014 Actual $ 966 Business Combination Gains 14 Significant Market Changes - Operating EBIDA Kentucky 142 Pacific Northwest 105 Texas 58 Arkansas 44 Nebraska (161) Other Corp & National entities 90 All other, net 50 CHI Reporting Group 2015 Actual $ 1,308 13

15 2015 Financial Performance Highlights Operating EBITDA before restructuring improved $334 million from $966.1 million in FY 2014 to $1.3 billion in FY 2015 EBITDA at the market level increased across all markets except for Nebraska due to BCBS contract dispute Accountable Care Act benefits were $111 million in FY 2015 Overall volumes were relatively flat Investments in capability development most notably in OneCare, Prominence Health and the Physician Enterprise 14

16 Overview QTR 1 FY2016

17 Continuing Operations CHI Reporting Group ($ in millions) Three months ended 9/30 FY 2015 FY 2016 YoY % Change Total Revenues $3,602 $4, % Operating EBIDA before restructuring $161 $ % Margin % 4.5% 7.8% (Loss) income from operations before restructuring ($97) $ % Margin % -2.7% 0.7% (Loss) income from operations ($121) $6 Nonoperating losses ($77) ($352) Deficit of revenue over expenses ($198) ($346) Margin % -5.6% -9.1% 16

18 Operating Indicators Operating Revenues* (dollars in billions) Admissions* $5.0 $4.0 $3.0 $3.6 $ , , , , , ,749 $2.0 $ , , ,000 $0.0 FY 15 Q1 FY 16 Q1 115,000 FY 15 Q1 FY 16 Q1 Acute Inpatient Days* CHI Total Outpatient Visits 1,966, , ,842 2,000,000 1,731, , ,876 1,500, ,000 1,000, , , ,000 FY 15 Q1 FY 16 Q1 0 FY 15 Q1 FY 16 Q1 * Represents CHI Reporting Group 17

19 Financial Results* Operating EBIDA Margin before restructuring Operating Margin before restructuring 10% 7.8% 2% 0.7 % 8% 6% 4.5% 1% 0% 4% -1% 2% 0% FY 15 Q1 FY 16 Q1-2% -3% (2.7)% FY 15 Q1 FY 16 Q1 $400 $350 $300 $250 $200 $150 $100 $50 $0 Operating EBIDA before restructuring (dollars in millions) $161.1 FY 15 Q1 FY 16 Q1 $324.3 $80.0 $40.0 $0.0 -$40.0 -$80.0 -$120.0 Operating income before restructuring (dollars in millions) ($97.1) FY 15 Q1 FY 16 Q1 $29.4 * Represents CHI Reporting Group 18

20 FY 16 Q1 Financial Performance Highlights Markets improved $87 million (operating EBIDA* period over period): Pacific NW $(4.6) million Kentucky $32.8 million Colorado $17.8 million Texas $14.5 million Nebraska $(2.9) million Next Era Investments: Prominence ITS MSI CIN/Population Health Nebraska payer situation Clinical and Operational Excellence and short term operating plans Business combination gains $141.7 million * Operating EBIDA before restructuring 19

21 Balance Sheet Measures* Total Assets & Total Cash (dollars in billions) Days Cash on Hand $30.0 $25.0 $23.7 $ $ $15.0 $10.0 $5.0 $7.2 $ $0.0 FY 15 Assets FY 15 Cash FY 16 Q1 Assets FY 16 Q1 Cash 100 FY 15 FY 16 Q1 Debt to Capitalization Ratio 55.0% 50.0% 49.5% 50.3% 45.0% 40.0% FY 15 FY 16 Q1 * Represents CHI Reporting Group 20

22 Performance Turnaround Plan $400-$500 M Opportunity FY16-FY17 Revenue Improvement and Growth Revenue Cycle (Conifer) Exchange Strategy Network Integrity Cost Reduction Initiatives Labor Productivity Total Support Overhead Supply Chain Management (HPG) Travel and Consulting Pharmacy CHI Physician Services (CHIPS) Infrastructure FY16 Capital Spend Level Reduction of ~$500 M 21

23 Continued focus on integration/synergies of recent acquisitions: Kentucky Jewish & UofL Tacoma Highline & Harrison Nebraska Alegent/Creighton Texas St. Luke s, Memorial, St. Joseph s (Sylvania) North Dakota St. Alexius Organic growth initiatives for all markets: Ambulatory & physician network footprint expansion Service line strategies Referral management Continued investment in Next Era capability development: Health Plans CINs/Care Management Population Health Management and Business Intelligence/Predictive Analytics Performance turnaround plan Revenue improvement and growth Cost reduction initiatives Capital spend level reduction Closing Remarks Outlook FY16 FY17 22

24 Live Q&A Teleconference: Next Steps Hosted by Dean Swindle and Nick Barto Thursday, January 14, 2016 at 9:30 AM MT/11:30 AM ET Dial in: (This is a moderated call. Please dial in at least 15 minutes in advance.) Call Name: CHI 1 st QTR FY 2016 Investor Update Presentation Contacts: Linda L. MacDonald, Vice President, Treasury Services lindamacdonald@catholichealth.net Diane Albrecht, Director, Capital Finance dianealbrecht@catholichealth.net

25 Operational Focus High Value Growth Next Era Preparation 24