I present on product line strategy and its impact on ACOs and the changing healthcare industry. I am joined by industry leader, Karen Corrigan

1. “ Product Line Integration For ACOs Will Follow The Patient's Journey” SRK Educational Webcast December 7, 2010

6. Our Changing Industry: Meet the ACO

9. “ Strategic Halo”

10. New Realities Require Enterprise View

11. The Historical View: A Product Line is the Sum of it’s DRGs and ICD-9 Codes The Silo Model

12. The SRK “Strategic Halo”: Product Lines are Interdependent Downstream Downstream Feeders Feeders Product Line

14. Actual Client Data: A Slight Majority of Provena CV Patients “Enter” From Other Clinical Areas SRK 2010

15. Four Feeder Product Lines Represent 50% of “Existing Business" Upstream Business at PSJH Gastroenterology 7% Pulmonary 10% Orthopedics 15% Endocrinology 18% CV Patients Total Visits 2009 CV Patients

16. But the Mix of Feeder Product Lines Changes at the Sister Ministry PMMC Gastroenterology 10% Pulmonary 14% Orthopedics 16% Neurology 10% CV Patients Total Visits 2009 CV Patients

17. Plus They Saw “Feeder” Services at Procedure Level Plus Demographic Variables SRK 2010

18. Alle-Kiski Medical Center Four Services “feed” 35% of CV Visits from Existing Patients Upstream Gastroenterology Pulmonary Orthopedics Endocrinology CV Patients Total Visits CV Patients 35% Total Visits

19. Alle-Kiski Medical Center CV Entry Patients Provide 18% of the Visits to These Four Product Lines Downstream Gastroenterology Pulmonary Orthopedics Endocrinology CV Patients Total Visits CV Patients 18% Total Visits

20. “ Its so simple and makes so much sense.” Bill Englert Vice President of Operations And Business Development Alle-Kiski Medical Center

31. The Search for Revenue

32. HealthLeaders Study Shows Disconnect On Perceived Value Of Hospital Marketing Source: HealthLeaders Media Industry Survey 2010

34. SRK’s Three Prong Approach to Revenue

35. Gateway’s Core Strength: Integration of Physician and Consumer Data From Exam Room… … To Hospital Discharge

38. Gateway to Revenue offers optional full suite of CRM Tools for a Turnkey Solution