Banner Health Deb Krmpotic, RN MS FACHE CEO Banner Thunderbird Medical Center 1

Facilities… Where to Invest? PCP Practice Freestanding Urgent Care Women’s Clinic Full School Clinic Advance Care Center Pediatric Clinic FQHC Pediatric Urgent Care Full Worksite Clinic E-Visits Chronic Care Full Worksite Clinic Retail Clinic Basic Worksite Clinic Mental Health Urgent Care Pediatric After Hours Medical Home Co-Located Urgent Care

Banner’s Six Imperatives 1.Convert focus to clinical quality 2.Eliminate clinical variation 3.Expand service reach to consumers 4.Create capabilities for risk contracts in a value based market 5.Grow market share through risk based contracts 6.Offer a more consumer friendly interface – internet portal, phone, etc.

Facilities New Healthcare System – Electronic access to care and health information(internet portals, call centers, e-visits) – Multispecialty, full service clinics with emphasis on primary care in community and/or workplace – Integrated system of health plan, physicians, hospitals, lab, pharmacy, clinics, post-acute care, etc.; same organization or contractually integrated (or virtually) – Member services for enrollment, physician choice, appointments

The Future (Kaiser)

Real Estate Process Market Prioritization “Pushpins”Service Plan Initial Site Size Requirements Market SurveySite Selection Real Estate Transaction

CriteriaDescriptionWeightRating Scale Net PCP Physician Need Net PCP Need (demand minus supply), for MedStat Network Analyst using productivity-based analyses Buxton Overall Rating Index Combination of pure Primary Care demand index (Buxton White Paper Index) and Primary Care Competition Index 1.0 Assessment using SCOUT maps Buxton Core Primary Care Patients Based on the number and density of the patients that fit the core patient profiles developed with Buxton. These core patients include the consumer segments that will provide the most value to Banner. 1.0 Assessment using SCOUT maps Population Number of people in a zip code. Indicates the volumes that can be expected from a market. Source is MedStat Claritas data > Population Growth Absolute growth in number of people expected in the next 5 years. Source is MedStat Claritas data > Inpatient Payor Mix Percentage of market that is Commercial payors. Source is MedStat data Banner Inpatient Market Share Banner’s total inpatient market share of cases for patients in each zip code. This is an indicator of how much incremental inpatient business could be gained from a zip code. 1.0 > Market Prioritization Criteria

Site Selection Criteria – Health Centers Criteria and Scoring (1-5) Site Size  Site meets Banner's defined site area requirements  Site accommodates Banner Health Center template designs for building and site configuration Location  Proximity of site to population served in target area  Proximity to Banner metro area network (MAN)  Site has proximity to major roadway network  Avoid sites in or adjacent to residential areas (Neighborhood Model)  Avoid sites in or adjacent to residential areas (Community or Regional Model) Accessibility and Adjacencies  Site is accessible from a major thoroughfare (feeder for Neighborhood Model or Arterial for Community/Regional Model)  Site has the ability to incorporate median breaks or lights where required  Adjacent areas include complementary uses currently - retail/professional preferred  Adjacent areas can reasonably be anticipated to include complementary uses in the future  No major transmission lines are adjacent to the site