1 Update on Off-Campus Development in South County: Update to FPP CAC – August 25, 2015 Siteman Cancer Center Expansion Phase II Development

2 Update - Siteman Cancer Center – South County Program Highlights WUSM: medical oncology and chemotherapy infusions BJH Services : Radiation Oncology, Laboratory, and Dual-use CT scanning Expansion: WUSM Medical Oncology: – additional exam rooms and infusion chairs – Nov 2015 BJH Rad Onc: second linear accelerator, beginning design/final board approval in Dec; construction to begin Q1 2016, finish Q

3 South County Campus

4 Update South County Phase II 1)Construction underway – lost several days due to rain/weather. Paric is working to make up days. Current target completion date is end of March 2015, with April 2015 opening. 2)Transition to Governance Structure/Steering Committee in September. Steering Committee will be responsible for: Establishment and review of annual goals related to volume, patient satisfaction, quality, safety, etc. Approval of strategic and marketing plans Review of clinical operations and facilitation across departments Approve material change in scope/operations 3)BJH site director hired (Tara Hearns) to oversee BJH functions in the building (Lab, radiology, OR, mammo) and to function as point person for building management issues for BJH/WUSM. Kelley Mullen will facilitate operations across WUSM departments. Tara/Kelley will be organizing operational and move planning meetings beginning in September. 4)Campus and building signage proposal in development; to be reviewed by work team end of August. Name: Center for Advanced Medicine – South County

5 Program Highlights: WUSM Physician Office Practices: Orthopedics, Medicine, Surgery, OB BJH Services: 2 Operating Rooms + 1 Shell, 2 minor procedure rooms, radiology, lab, screening mammography Leased spaced for PT/OT Center for Advanced Medicine – South County

6 Floor Plan – First floor 6

7 Floor Plan – Second floor 7

8 CAM South County Construction Update: Steel framing complete; Completed first floor slab on grade and all underground rough ins Decked and poured north ½ of the second floor Decked and ready to pour south ½ of the second floor Completing roof deck installation; Completed interior partition layout on the first floor and started framing Started MEPFP roughins on the first floor; Started interior partition layout on the second floor; Started exterior wall framing and sheathing Center for Advanced Medicine – South County Progress as of August 21, 2015

9 Key dates: Completion of exterior wall framing & sheathing 09/16/15 Complete roofing installation 10/14/15 Complete masonry work 10/23/15 Complete curtain wall installation 11/05/15 Current scheduled construction completion date 03/28/16; Open April 2015 Center for Advanced Medicine – South County 7 months away! Progress as of August 21, 2015