Vision – Our vision is for a financially healthy, compassionate, vibrant, self-sustaining organization. Our Mission is to ensure that agencies and organizations serving people with disabilities have practical tools and services to meet their visionary ends Values – Ethics, Integrity, Honesty, Execution with Quality and Promptness. Recognizing we are serving those who serve those in need.

Founded in 2012 Fred Sears named Executive Director in August 2012

Management Services Solutions is a for profit LLC. Initial funding for the Management Services Organization came from selling shares to investors: 100 $7,500/share Board of Managers Executive Committee made up of: Marcel Martino, Chairman Greg Sorrentino, Vice-Chairman Thomas Mandelkow, Treasurer Thomas Sy, Secretary Monthly Board meetings. Organizational Objectives

Operational Objectives Provide goods and services that bring cost savings, operational efficiencies and value to the customers. Create business models that provide value to the customers as well as a sustainable revenue stream to the MSO so that we can: Increase Owner Equity Develop and grow services that provide value to the customers Provide a return on investment to the owners that includes operational savings and rebates

1/1/2013 we began our relationship with UISS/Premier as our GPO partner, a non- exclusive business relationship The estimated purchased volumes of non- clinical, essential products is $15,000,000 To date we have analyzed $313,000 of purchases representing $106,000 of savings or 34% cost reduction opportunity Need contract for us to collect purchase data We will work towards a centralized procurement business model to create purchasing efficiencies Business Plan Activities Selection of a National Group Purchasing Partner

Business Plan Activities Task Groups formed for HR Services 3 Executive Directors engaged to review RFIs Task Groups formed for GPO Services 3 Purchasing Managers engaged to review RFIs

Transportation Needs (fuel, maintenance, purchase/lease) IT ServicesPayroll ServicesEnergy Needs Pharmacy Services HR Services Business Plan Activities Survey Information obtained for the following

Business Plan Activities Marketing to other Not-For-Profit providers Abilities First, Poughkeepsie, NY became an Investor ACDS, Plainview, NY is pending board approval I also continue to work collaboratively with QSAC/AGNY and IAC in NYC Made presentations to: CD Monarch, Rochester, NY Community Based Services, North Salem, NY Community Services, Buffalo, NY Ulster County NFP Group New Horizons, Pleasant Valley, NY Person Center Services, Western NY Network Pathways, Corning, NY Spectrum Services, Kingston, NY United Way of Dutchess County

Business Plan Activities Creation of Pharmacy Services Business We have 3,258 beds within the provider agencies 12 providers identified the need for help with controlling client pharmacy costs Real opportunity for the MSO to create a closed door pharmacy business that would not only save the providers on drug costs, but after 13 months return a positive cash flow Added benefit will be working with our Medical Directors to build out a formulary, manage utilization Negotiate drug costs from a position of strength Once established, we would then market this service to other providers

Business Plan Activities Creation of Employee Benefits Program 7/1/2013 engaged Solid Benefit Guidance, to assist the MSO in creation of an employee benefit program. This process will: reduce the costs of health insurance reduce the rate of increase introduce wellness programs, lower cost supplemental, non-statutory programs to the 18,000 employees within our family SBG will assist in: negotiating for us from a position of strength with the insurance companies cutting down on the number of insurance companies in use as well as the number of brokers

Business Plan Activities Creation of Insurance Services Business MSO becomes a licensed insurance broker. Which will allow us to: Sell statutory and non-statutory ancillary insurance products to the providers Reduce the commissionable fees (savings to the providers) and collect a portion of the commissionable fee to the MSO

Creation of an IT Services Business A high priority from the Executive Directors was assisting to manage the complexity of Information Technology services. Center Information Services (CIS) out of Rochester, NY Will help us build out a short-term and long-term business plan. To date we have surveyed and collected a needs assessment from 60% of the provider agencies. Business Plan Activities

Through collaboration we expect to reduce the cost of administrative overhead (back office services) by offering centralized services that eliminates the redundancies and duplication of efforts in the provider organizations. Create business models that provide customer value in centralization of core business practices that reduce the operating expense at the provider agencies as well as increasing owner equity in the MSO. Establish data collection tools and processes so that MSS, LLC can provide solid benchmarking services to the providers, not only on goods and services purchased, for operating costs benchmarking to assist in determining best practices within the provider groups. Business Plan Recap

Anticipated Revenues Revenue $300,000 - $700,000 Savings 2-8% on $10,000,000 spend Revenue $100,000 Savings 2-10%

Business Plan Recap 35%

Business Plan Recap S = R/ E > 1