© Homewood Health™ Confidential & Proprietary 1 Homewood Health Inc. and Homewood Health Centre The Business of Care Presenter: Title: Date:

© Homewood Health™ Confidential & Proprietary 2 Our Purpose Our purpose in presenting this Powerpoint: To provide insight into Homewood Health Inc. To show how Homewood Health Centre is a part of HHI; its role To demonstrate how both HHI and HHC fit into the Canadian healthcare system To help you better understand our direction; to see the big picture To change our perspective on who we are, our role, and how business and clinical care can work together

© Homewood Health™ Confidential & Proprietary 3 The Day that Changed Homewood On October 11, 2013, Homewood changed with the announcement of Homewood Health Inc. and the creation of a new Executive Committee We announced to ourselves and to the world the amalgamation of Homewood Health Centre, Homewood Human Solutions, and Homewood Disability Treatment Program

© Homewood Health™ Confidential & Proprietary 4 With HHI We Became: The Canadian Leader in mental health and addiction services: We achieve outstanding outcomes National network of nearly 4,000 employees and clinical experts Homewood Health Centre One of the largest, leading facilities for medical treatment of mental health and addiction Complete suite of services customized to meet the needs of individuals and organizations

© Homewood Health™ Confidential & Proprietary 5 Continuum of Services This is everything that HHI represents Our strength is in this continuum where people can enter at any point and move effortlessly throughout: Connect Co-ordinate Simplify To make this happen, we need to be: Flexible Nimble Dedicated to service

© Homewood Health™ Confidential & Proprietary 6 Another Way to See the Continuum

© Homewood Health™ Confidential & Proprietary 7 Stay At Work Services The Objective of Stay at Work Services: Help clients and their employees obtain and sustain productive functioning physically and emotionally

© Homewood Health™ Confidential & Proprietary 8 Stay at Work Services Wellness/Prevention: Tools to assess and support optimal individual and organizational wellness EFAP/Crisis Management/Disability Prevention: Counselling to employees dealing with specific conditions or situations that can be addressed while still at work

© Homewood Health™ Confidential & Proprietary 9 Stay at Work Services 169 employees in 16 locations across Canada 2,500 affiliates Clinicians contracted to provide counselling services to our customers 6,000 customers 2,000,000 lives covered

© Homewood Health™ Confidential & Proprietary 10 Return to Work Services For clients and their employees who are absent from work or on a disability claim due to a mental health or addiction issue Goal is to: Reduce time to treatment Shorten duration of disability Support sustainable return to work

© Homewood Health™ Confidential & Proprietary 11 Return to Work Services Multidisciplinary clinical team including: psychiatrists, psychologist, physicians, occupational health professionals, specialized clinicians Provide assessments, case/file reviews, in-person evaluations Complex case management: For more complex cases, we provide end-to-end case management and treatment This includes admission to our inpatient treatment services (including HHC)

© Homewood Health™ Confidential & Proprietary 12 Return to Work Services # of employees # of locations # of customers # of lives covered

© Homewood Health™ Confidential & Proprietary 13 Treatment Services This is a part of the continuum that no other organization can match Specialty Clinics A national network of outpatient clinics for mental health and addiction (see map) Homewood Health Centre 300 bed inpatient treatment facility New Residential treatment facilities opening in 2015 Alberta and Quebec

© Homewood Health™ Confidential & Proprietary 14 Treatment Services Xxx employees in xx locations by 2015 Capacity to treat xxx patients per year

© Homewood Health™ Confidential & Proprietary 15

© Homewood Health™ Confidential & Proprietary 16 Why are we doing this? Why do we need to create HHI in this way?

© Homewood Health™ Confidential & Proprietary 17 Why are we doing this? By bringing together all these components under Homewood Health, we are uniquely positioned to provide a continuum of care that is unmatched By building the continuum and ensuring that it works we are the leaders in mental health and addiction care in this country

© Homewood Health™ Confidential & Proprietary 18 Revenue Generation: Examples Sick Kids Director, Business Services & Development Specialty Clinics Lab Services Out-of-province patients Industry Partnerships & Commercialization Office Intellectual property inventions SKI – Qatar contract University Health Network $100-million contract for cancer centre in Kuwait Centric 14 new health companies in seven provinces

© Homewood Health™ Confidential & Proprietary 19 HHC – Critical to Our Success The Health Centre represents the: Iconic historical influence on the organization Evolution of the medical/clinical expertise and integrity Vital influence in creating the ‘Homewood Way’ which will set the standard for care across all of Homewood Health nationwide

© Homewood Health™ Confidential & Proprietary 20 Great Care + Business Acumen Together Homewood Health Inc. A for-profit business Homewood Health Centre A part of Homewood Health Inc. Privately owned and partially publicly funded

© Homewood Health™ Confidential & Proprietary 21 HHC is in the business of care We save lives We will thrive by consistently improving and investing in our clinical care To work here you must be comfortable with being in the business of care Thriving in Canada HHC must find new sources of revenue in order to thrive in Canadian healthcare

© Homewood Health™ Confidential & Proprietary 22 Thriving in Canada In order to thrive, HHC will cater to: Insurance companies People who are employed Private pay We are and will continue to provide acute/crisis services to Guelph-Wellington We fulfill our obligations to the LHIN, to the Government, and the people of Ontario In this way we contribute to the health of all people

© Homewood Health™ Confidential & Proprietary 23 Business Discipline + Clinical Quality Business rigour must work in conjunction with clinical quality In fact, business cannot compromise clinical quality Clinical quality care and service is a key differentiator for Homewood and is vital to growth

© Homewood Health™ Confidential & Proprietary 24 On Being Market Focused HHC will be a market-focused organization We will be looking to, talking to, aware of our patients’ and customers’ needs We will be in touch with the shifting Canadian mental health and addiction landscape We must improve our communication with referral sources and payors such as insurance companies, National Defence, Veteran’s Affairs

© Homewood Health™ Confidential & Proprietary 25 On Being Research Focused HHI and HHC will be research focused Homewood Research Institute: Will be a leader treatment efficacy A critical differentiator in the marketplace Areas of Study: Outcome measures Trauma Mindfulness Addictions Concurrent Treatment Return to Work

© Homewood Health™ Confidential & Proprietary 26 On Being Academically Focused HHI and HHC will be academically focused: Train physicians and other clinicians McMaster Addiction Medicine Fellowship McMaster University Boris Chair in Addiction Research

© Homewood Health™ Confidential & Proprietary 27 HHC and Canadian Healthcare How does Homewood Health Centre fit into the Canadian healthcare system?

© Homewood Health™ Confidential & Proprietary 28 Regulatory Oversight Schedule 1 Facility under the Ontario Mental Health Act Private Hospital Service Accountability Agreement (PHSAA) – Provides service volumes for inpatient mental health days and ambulatory care visits for Ontario patients Multi-Sector Service Accountability Agreement (MSAA)  Provides service volumes for face-to-face visits, telephone contacts, and the number of individuals served in Ontario We submit annual budget, quarterly and year-end reports through SRI (Self-Reporting Initiative) for both inpatient and community services Management Information Systems (MIS) reports are submitted quarterly and at year end to the Ministry of Health and Long-term Care Health Data Branch We report to the Ontario Mental Health Reporting System (OMHRS)

© Homewood Health™ Confidential & Proprietary 29 Operating Budget and Funding $67.7 million total operating budget Less than half of our budget is funded by the LHIN/Ministry of Health and the balance is largely made up by out-of-province admissions and accommodation revenue Over the last 14 years, funding provided by the LHIN has declined from 58% to 45% of total revenue (no increase to funding for the last 3 years) Yet, over that same period the capacity dedicated to Ontario patient days has ranged from 85% to 92%, of our total capacity in addition to providing ambulatory services Homewood’s PHSAA patient day commitment for 2014 – 2015 is 87,663 LHIN-weighted patient days and 9,500 ambulatory care visits Homewood receives no capital funding from the Ministry of Health

© Homewood Health™ Confidential & Proprietary 30 Conclusion Develop a brilliant conclusion

© Homewood Health™ Confidential & Proprietary 31

© Homewood Health™ Confidential & Proprietary 32 Optional Slide Break Between Sections