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36th Annual J.P. Morgan Healthcare Conference
Jim Skogsbergh
President and Chief Executive Officer
Dominic J. NakisChief Financial Officer and Treasurer
San Francisco, CaliforniaJanuary 9, 2018
The following material and presentation contains information which is forward-looking within the meaning of federal securities law. These forward-looking statements are based on
the current plans and expectations of Advocate Health Care Network (“Advocate”) that, although believed to be reasonable, are subject to a number of known and unknown
uncertainties and risks inherent in the operation of health care facilities, many of which are beyond Advocate’s control, tha t could significantly affect current plans and expectations
and Advocate’s future financial position and results of operations. These forward-looking statements speak only as of the date made. Investors are cautioned not to unduly rely on
such forward-looking statements. This presentation should be reviewed in conjunction with Advocate’s December 31, 2016 and September 30, 2017 continuing disclosure reports.
Overview & Strategic Focus
Jim SkogsberghPresident and Chief Executive Officer
Advocate Health Care
Chicagoland/Central IL
1,350 Employed4,970 Physician Partners
6,300 Medical Staff
11 Acute Care4 Teaching / 1 Children’s5 Level 1 Trauma Centers
Home Health / HospicePalliative Care / LTACH
SNF Partnerships
Physicians Hospitals Post-Acute
37,000 Associates
Associates
$6.0 B. Total Revenue$660+ M. Community Benefits
Financials Location
Mission Driven
MISSION - To serve the health needs of individuals, families and communitiesthrough a wholistic philosophy rooted in our fundamental understanding of humanbeings as created in the image of God.
VALUES - Compassion, equality, excellence, partnership and stewardship guide ouractions as we work together to provide health services to others in our communities.
PHILOSOPHY - Is grounded in the principles of human ecology, faith and community-based health care. These principles arise from an understanding of human beings as awhole person in light of their relationship to God, themselves, their families and thesociety in which they live.
More than $783 M community
National Recognition
Increase patient retention,
scale and new revenue
Create consumer-friendly
experience enabled by digital
technology to build loyalty
Standardize and innovate to
reduce cost
Maintain unrelenting focus on
safety and health outcomes
REVENUE GROWTH
CONSUMERS
COSTS
SAFETY & QUALITY
Advocate 2025: Trends & Implications
SAFETY
QUALITY
AFFORDABILITY
ADVOCATECARE®
OUTSTANDING CARE
EXPERIENCE
CONSUMER-FRIENDLY
TRANSACTIONS
RETENTION
SCALE
NEW REVENUE
Strong Physician and Associate Engagement
• Current decline 54%
• 2018 decline target 75%
• Culture of safety
Serious Safety Event
VolumeHRU’s and Physician
Champions increase event
reporting
Safety initiatives
to decrease harm
$118
$89
$32
$108$100
$89
$139
$156$165
$91
$46
0
50
100
150
200
250
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Insurance Expense
ZERO Serious Safety Events by 2020
Saved taxpayers $60.6 million
Achieved shared savings 2nd consecutive year
Ranked 2nd nationallyin savings out of 432 ACOs
Achieved 97.28% of total quality points
Through the Medicare Shared Savings Program in 2016:
Improved Public Exchange Performance
• 68,000 lives
• Collaborative Product with BCBSIL
• Break even performance in 2017 projected
• Significant 2018 premium increase
Retail Clinics Drive Patient Acquisition
• 56 clinics opened May 2016
• Nearly 400,000 visits to-date
• 62 percent new to Advocate
• $25 million additional 2017 downstream revenue
Advocate Aurora Health• Full asset merger
• Single board of directors – equal representation
• Co-CEOs
• Dual headquarters
• Combined executive team
• Continue existing brands
• Consolidated financial statements
Advocate Aurora Strategic Value Drivers
• Adjacent markets in contiguous states
• Complementary expertise
• Alignment of strategic plans and strong cultures
• Embrace population health
• Enhanced scale and operational synergies
• Investment yield upside
Advocate Well Positioned
• National leader in safety and health outcomes
• Top decile workforce engagement
• Strong physician partnerships
• #1 in brand recognition
• Financial strength
• Advocate Aurora Health
Financial Profile
Dominic J. NakisChief Financial Officer and Treasurer
Over 1 Million Value Contracted Lives2014 2015 2016 2017 YTD*
Global Capitation
Commercial HMO 203,000 206,000 253,000 257,000
Medicare Advantage 34,000 37,000 47,000 47,000
Partial Capitation
Commercial HMO 28,000 31,000 36,000 38,000
Shared Savings
Commercial PPO/EPO 185,000 207,000 303,000 444,000
Medicare Shared Savings 134,000 146,000 136,000 144,000
Medicaid FHP 72,000 97,000 95,000 86,000
Total Lives 656,000 724,000 870,000 1,016,000
*November 2017
Revenue Growing
$390 $414 $412 $488
$1,303
$4,548$4,816 $4,981
$5,100
$4,854
$0
$500
$1,000
$1,500
$2,000
$2,500
$3,000
$3,500
$4,000
$4,500
$5,000
$5,500
$6,000
$6,500
$7,000
2013 2014 2015 2016 2017 Projected
Re
ven
ue
s in
mill
ion
s
Risk Based Revenues Net Patient Service & Other Revenues including Shared Savings
$300 $339 $331 $264 $172 $153
6.1%6.3% 6.1%
4.7%
4.1%3.3%
0%
5%
10%
$-
$100
$200
$300
$400
2013 2014 2015 2016 2016 Q3YTD
2017 Q3YTD
Do
llar
s in
Mill
ion
s
Operating Income Operating Margin
Operating Results Trend in Line with Peers
//
Operating Cash Flow is Solid
25
$567 $636 $633 $587 $420 $417
11.5% 12.0% 11.7% 10.5%10.1%
9.0%
0%
5%
10%
15%
$-
$100
$200
$300
$400
$500
$600
$700
2013 2014 2015 2016 2016 Q3YTD
2017 Q3YTD
Do
llars
in M
illio
ns
Operating Cash Flow Operating Cash Flow Margin
//
Investment Assets and Yields Contribute to Financial Strength
$343 $188
$(184)
$374
$326 $487
7.1%
3.2%
-2.6%
7.8%7.1%
8.8%
-20%
-10%
0%
10%
20%
$(200)
$(50)
$100
$250
$400
$550
2013 2014 2015 2016 2016 Q3 YTD 2017 Q3 YTD
Dolla
rs in
Mill
ions
Investment Income Investment Yield
27
29%
12%
28%
31%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Actual September 30
HedgeFunds
FixedIncome
PrivateEquity
PublicEquity
//
$386 $508 $504 $402 $304 $270
182%
212%
196%
149% 149%
123%
0%
50%
100%
150%
200%
250%
$0
$150
$300
$450
$600
$750
$900
2013 2014 2015 2016 2016 Q3 YTD 2017 Q3 YTD
Do
lla
rs in
Mil
lio
ns
Cash Spending Capital Spend Ratio
35
//
Capital Spend Moderating
$0.0
$20.0
$40.0
$60.0
$80.0
$100.0
$120.0
2017 2019 2021 2023 2025 2027 2029 2031 2033 2035 2037 2039 2041 2043 2045 2047 2049 2051
Deb
t Ser
vice
(in
$mill
ions
)
Total debt of $1.6 billion, annual debt service is level and average life is 18 years
Debt Profile – low, level & long
Debt Profile – Well DiversifiedUnderlying Debt Mix Net Interest Rate Mix
Renewal Risk Credit Provider Mix
$930, 60%
$321, 21%
$142, 9%
$100, 6%
$70, 4%
Fixed Rate
Weekly VRDOs
Tender Bonds
Direct Purchase
Windows VRDBs
$930, 60%
$326, 21%
$142, 9%
$165, 10%
Fixed Rate
Synthetic FixedRateIntermediate
$930, 60%
$212, 14%
$185, 12%
$100, 6%
$87, 5%
$49, 3%
Fixed Rate
Self Liquidity
JP Morgan
US Bank
Northern
Wells$49.2
$127.9 $144.2
$22.0
$50.0
$42.8
$77.5
$100.0
$69.7
$0
$50
$100
$150
$200
$250
2018 2019 2020 2021 2024
TermLoan
DP
TenderBonds
DirectPlacement
SBPA
Advocate Aurora Health Merger• Neither Advocate nor Aurora has agreed to assume any
liability for or otherwise guarantee the other party’s debt as part of the transaction
• Evaluation of optimal credit structure, and any potential refinancing of all or part of existing debt, will be determined based upon market conditions, management considerations and other factors
42
Strong Coverage & Capitalization
9.5 9.4 7.6 8.5 8.7 9.1
24.0% 23.2% 23.9% 21.8% 22.3% 20.2%
0%
5%
10%
15%
20%
25%
30%
35%
40%
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
9.0
10.0
2013 2014 2015 2016 2016 Q3YTD
2017 Q3YTD
Tim
es
Debt Service Coverage Ratio (times) Debt as % of Unrestricted Capitalization
31
//
Robust Cash to Debt Ratio
283 296 280 297 298 321
250
260
270
280
290
300
310
320
330
2013 2014 2015 2016 2016 Q3 2017 Q3
Per
cen
t
//
$840 $899 $915 $979 $1,060 $838 $937 $945 $999 $1,037
100% 96% 97%
98%102%
50%
60%
70%
80%
90%
100%
110%
$500
$550
$600
$650
$700
$750
$800
$850
$900
$950
$1,000
2013 2014 2015 2016 2017 Q3 YTD
Do
lla
rs in
Mil
lio
ns
Assets PBO Percent Funded
33
//
Pension Plans Fully Funded
Substantial Liquidity Position
$4,518 $4,725 $4,712 $4,962 $4,966 $5,329
386383
368 370 371
353
330
340
350
360
370
380
390
$4,000
$4,200
$4,400
$4,600
$4,800
$5,000
$5,200
$5,400
2013 2014 2015 2016 2016 Q3 YTD 2017 Q3 YTD
Da
ys
on
Ha
nd
Do
llars
in M
illio
ns
Dollars Days Cash and Investments on Hand34
//
Advocate Well Positioned• National leader in safety and health outcomes
• Strong brand
• Physician partnerships
• Top decile workforce engagement
• Balance sheet strength and solid operating performance
• AA+ (S&P), Aa2 (M) AA (F) bond ratings, stable outlooks
• Advocate Aurora Health42
• Close with Advocate logo slide