1 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH

2 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH Data source: IMS Health © Hospital data are based on all short-term, acute-care, nonfederal hospitals and are effective as of end-of-year Psychiatric, rehabilitation and children’s hospitals are excluded. 2 Includes hospitals located in Puerto Rico. HOSPITALS

3 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH Data source: IMS Health © Hospital data are based on all short-term, acute-care, nonfederal hospitals and are effective as of end-of-year Psychiatric, rehabilitation and children’s hospitals are excluded. HOSPITALS

4 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH Data source: IMS Health © 2012 HOSPITALS

5 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH Data source: IMS Health © 2012 HOSPITALS

6 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH Data source: IMS Health © 2012 HOSPITALS

7 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH Data source: IMS Health © 2012 HOSPITALS IN MULTIHOSPITAL SYSTEMS

8 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH Data source: IMS Health © 2012 HOSPITALS IN MULTIHOSPITAL SYSTEMS

9 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH Data source: IMS Health © 2012 HOSPITALS IN MULTIHOSPITAL SYSTEMS

10 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH Data source: IMS Health © 2012 HOSPITALS IN MULTIHOSPITAL SYSTEMS

11 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH HOSPITALS IN MULTIHOSPITAL SYSTEMS Data source: IMS Health © 2012

12 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH HOSPITALS IN INTEGRATED SYSTEMS Data source: IMS Health © 2012

13 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH HOSPITALS IN INTEGRATED SYSTEMS Data source: IMS Health © 2012

14 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH HOSPITALS IN INTEGRATED SYSTEMS Data source: IMS Health © Data are based on short-term, acute-care, nonfederal hospitals. 2 Includes 59 hospitals in Puerto Rico. About This Map This map depicts locations of the short- term, acute-care, nonfederal hospitals that were part of the 332 highly integrated health systems in 2011.

15 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH HOSPITALS IN INTEGRATED SYSTEMS Data source: IMS Health © Hospital data are based on all short-term, acute-care, nonfederal hospitals. Average occupancy and average length of stay represent only the acute-care portion of the hospitals’ occupancy. All data are as of December 31, Includes system hospitals that were not part of highly integrated systems and hospitals that were not part of any system.

16 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH HOSPITALS IN INTEGRATED SYSTEMS Data source: IMS Health © HMOs are considered to be in highly integrated systems if they are part of a system by virtue of ownership or contractual arrangements. HMOs are not considered to be in integrated systems if they hold only provider network contracts with systems. All data are as of December 31, Preoperational HMOs are excluded.

17 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH A medical group practice must have five or more licensed physicians whose primary focus of business is seeing regularly scheduled patients for nonsurgical services other than imaging. The physicians must have a share in the physical setting and office management of the practice, which must offer outpatient care and be physically separate from a hospital. Data are effective as of midyear HOSPITALS/SYSTEMS WITH MEDICAL GROUP PRACTICES Data source: IMS Health © 2012

18 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH Numbers and percentages reflect group practices located only in the 50 states and the District of Columbia. Data are effective as of midyear Percentages may not sum to 100% due to rounding. Data source: IMS Health © 2012 HOSPITALS/SYSTEMS WITH MEDICAL GROUP PRACTICES

19 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH Numbers and percentages reflect group practices located only in the 50 states and District of Columbia. Data are effective as of midyear Percentages may not sum to 100% due to rounding. Data source: IMS Health © 2012 HOSPITALS/SYSTEMS WITH MEDICAL GROUP PRACTICES

20 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH Data source: IMS Health © 2012 HOSPITALS/SYSTEMS WITH MEDICAL GROUP PRACTICES

21 Managed Care Digest Series ®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY US.NMH Data source: IMS Health © 2012 HOSPITALS/SYSTEMS WITH MEDICAL GROUP PRACTICES