1. Penn-Ohio Regional Healthcare Alliance Annual Meeting February 13, 2014 A. J. Harper, President

2. Highlights from Hospital Council of Western Pennsylvania’s Flash Survey

3. Admissions No. of Facilities Admissions 4th QTR FY 12 Admissions 4th QTR FY 13 % Change Western Pennsylvania58533,352515,820-3.29% Eastern1158,53356,556-3.38% Northwest1799,77994,773-5.02% Southwest30375,040364,491-2.81%

4. Inpatient Surgical Operations No. of Facilities Inpatient Surgical Operations 4th QTR FY 12 Inpatient Surgical Operations 4th QTR FY 13 % Change Western Pennsylvania58162,514155,801-4.13% Eastern1115,38114,242-7.41% Northwest1725,27024,682-2.33% Southwest30121,863116,877-4.09%

5. Outpatient Surgical Operations No. of Facilities Outpatient Surgical Operations 4th QTR FY 12 Outpatient Surgical Operations 4th QTR FY 13 % Change Western Pennsylvania58308,412297,769-3.45% Eastern1150,01548,432-3.17% Northwest1755,45953,908-2.80% Southwest30202,938195,429-3.70%

6. Other Outpatient Registrations No. of Facilities Other Outpatient Registrations 4th QTR FY 12 Other Outpatient Registrations 4th QTR FY 13 % Change Western Pennsylvania5810,696,34210,548,635-1.38% Eastern111,468,0911,439,135-1.97% Northwest172,476,2332,389,874-3.49% Southwest306,752,0186,719,626-0.48%

7. Emergency Room Registrations No. of Facilities Emergency Room Registrations 4th QTR FY 12 Emergency Room Registrations 4th QTR FY 13 % Change Western Pennsylvania581,754,1361,776,4871.27% Eastern11242,115240,199-0.79% Northwest17435,144437,1940.47% Southwest301,076,8771,099,0942.06%

8. Operating Margin Ratio No. of Facilities Operating Margin Ratio 4th QTR FY 12 Operating Margin Ratio 4th QTR FY 13 Western Pennsylvania584.44%1.81% Eastern113.75%2.39% Northwest172.98%1.82% Southwest304.86%1.72%

9. Operating Margin Trend

10. Full Time Equivalents No. of Facilities FTEs 1st QTR FY 13 FTEs 1st QTR FY 14 % Change Western Pennsylvania5770,56369,017-2.19% Eastern118,2748,164-1.33% Northwest1613,56513,374-1.41% Southwest3048,72547,479-2.56%

11. Healthcare Employment Drops for First Time in Decade* Healthcare, an engine of employment through the recession, shed 6,000 jobs in December with payroll declines in ambulatory care and hospitals. Healthcare added 271,000 jobs last year to bring the industry’s total to 14.57 million. Hiring fell about 2% below the annual average since 1980. *Modern Healthcare January 10, 2014 By Melanie Evans