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Empowering People with Chronic Conditions to Live Better and Healthier Lives

2019 © Livongo. All rights reserved. Confidential. 2

Livongo is a digital health platform that empowers people with chronic conditions to live better and healthier lives.

Using AI+AI to transform the experience, we’ve created a consumer-first solution that is personalized through connected technology, data science, and human touch.

We offer a whole person approach, starting with diabetes, and now addressing hypertension, prediabetes, weight management, and behavioral health.

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Costs of Multiple Chronic Conditions

Prediabetes

Diabetes

Behavioral Health

pre-diabetes + hypertension

diabetes +hypertension

pre-diabetes + behavioral

health issues

diabetes + behavioral

health issues

hypertension + behavioral health issues

Hypertension

147+Million

Americans havechronic conditions1,2

of US healthcare spend is on chronic conditions7

90%#1 cost driver3$327B

$131B

Cost of diabetes4

Cost of hypertension5

#2 cost driver3

42019 © Livongo. All rights reserved. Confidential.

99.9%Time alone outside the

healthcare system5,000 waking hours or

99.9% of year8

Today’s Approach isn’t WorkingFor people with chronic conditions: Traditional acute care model doesn’t fit a 24/7/365 chronic disease and is filled with hassles.

People are growing less patient with a broken system.0.1% Annual time in

healthcare setting5 waking hours or

0.1% of year8

Data is disconnected and out-of-date

Healthcare providers are overwhelmed and under-resourced

Lack of economic and personal support for whole-person treatment

People expect a consumer-first experience like in other industries

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Why Livongo is Different

• Meets the member where they are and in their preferred mode

• Cellular-enabled• Bi-directional• Exclusive over-the-air updates• Blood Glucose Meter• Blood Pressure Monitor• Connected Scale

• Available 24/7 to provide information within 60 seconds when speed is in order or scheduled sessions

• Accredited and curriculum from ADA, AADE, AHA

• Credentials that frequently include Masters of Science, Registered Dietician, Certified Diabetes Educators, etc.

• Uses AI + AI engine to personalize experience, like Amazon and Netflix

• Delivered digitally over multiple surfaces, including smart watches like Apple Watch, text, and e-mail

• Actionable• Timely

Makes Data ActionableGathers Data with No Effort Expert Coaches

Human TouchConnected Technology Data Science

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The Livongo Solution

Diabetes

Hypertension

Behavioral Health

Diabetes Prevention and Weight Management

Dyslipidemia

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C A T A L Y Z E C H A N G E O N G O I N G S U P P O R TG A I N M O M E N T U M

Designing for Behavior ChangeHealth Nudges 5-Day Challenges Expert Coaching

>60% >75% 2X 35%fewer ER

visits11opt in to educational content,

enabling scalable digital coaching on core topics like nutrition9

of weight management Members complete their first challenge10

estimated HbA1c

reduction11

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Blood glucose reduction

Anxiety reduction

Blood pressure reduction

Group coaching: anxiety reduction

Voice activated bloodpressure monitor

Group coachingpreference

Anxiety support

Weight data

Blood pressure data

Food & Beveragelog

Touch screen blood glucose meter

Blood glucose data

Our AI + AI Engine Drives Deep Personalization forMembers

Claims data

5-day step challengeInsulin dosing

algorithms

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Members love us.

Members are healthier.

$131Per member per month

medical savings in diabetes

Clients are happier.

+64Average Member

NPS score

34%Average first year

enrollment

90%Members wish to

continue after 1 year

10Systolic blood

pressure reduction

0.8HbA1c Reduction

5.5%Year 1 average

weight loss

55%Patients with measured

clinical improvement

3.4xAverage year

1 ROI

96%Average client retention rate

See footnotes to follow for data validation.

DIABETES HYPERTENSIONWEIGHT

MANAGEMENT DEPRESSIONpt mmHG

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Cost Savings: Livongo Demonstrates Year-1 ROI

3.4x ROIAverage Year-1 Cost Savings17

$131 PPPMAverage Year-1 Savings18

Key Drivers

Reduction in Total Medical Spending

26%Avoidable ER Visits Reduction

Diabetes-related savingsand Lower PCP visits for healthy people

22%

20%

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Thank you.

PM05685.A

We’re transforming health and care.Get started today.

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1. As of 2014.

2. According to National Alliance on Mental Illness approximately 180 million are living with behavioral health issues.

3. US Spending on Personal Health Care and Public Health, JAMA, 2016

4. Statistics About Diabetes, American Diabetes Association, 2018

5. Vital Signs: ...of Uncontrolled Hypertension (MMWR), CDC, 2012

6. Medical Care Expenditures for Individuals with Prediabetes, NCBI, 2017

7. C. Buttorff, T. Ruder, and M. Bauman, “Multiple Chronic Conditions in the United States.” Santa Monica, CA: RAND Corporation, 2017. https://www.rand.org/pubs/tools/TL221.html

8. Diabetes Hands Foundation. Presented at ADA Conference 2015.

9. Data on file (DS-2360)

10. Data on file (DS-2890)

11. Data on file (DS-1580)

12. November 2018 Business Report

13. Year-1 Satisfaction Survey Respondents as of November 2018

14. Diabetes book of business as of November 2018

15. Hypertension Beta Program, August 2018

16. 5. WM and DPP book of business as of November 2018

References

17. Livongo’s approach to calculate ROI in the Fortune Client Study was reviewed by Milliman, an independent global leader in actuarial services. The full Milliman report is available on request with the execution of a third party agreement. Milliman validated the methodology but has not validated group-specific ROI calculations. The Milliman work is subject to the terms and conditions of the Consulting Services Agreement between Milliman and Livongo dated 6/18/18.

18. For clients based on retrospective analysis of medical claims for clients with member populations that range from 3,000 to 100,000 covered lives. Normalized range from 1.3-6.7x ROI.

19. Updated from 2019 S1

20. November 2018 Business Report

21. Year-1 Satisfaction Survey Respondents as of November 2018

22. National Center for Chronic Disease Prevention, CDC, 2018

23. Annual Total Medical Expenditures Associated with Hypertension by Diabetes Status in U.S. Adults, 2017

24. Economic Costs of Diabetes in the U.S., American Diabetes Association, 2018

25. National Diabetes Statistics Report, Center for Disease Control and Prevention, 2017

26. Adult Obesity Facts, Centers for Disease Control and Prevention, 2018

27. Annual Medical Spending Attributable To Obesity: Payer-And Service-Specific Estimates, 2009

28. Nearly Half of US Adults... American Heart Association, 2017

29. The Impact of Medical Care Expenditures of Individuals Progressing from Prediabetes to Diabetes. Population Health Management, 2017

30. Evaluating Excessive Burden of Depression on Health Status and Health Care Utilization… a Nationally Representative Sample From the Medical Expenditure Panel Survey 2017