Research showing hospitals how to best maintain their independence while conducting a thriving business model in changing times of governmental regulation.

1. This event is live as of XYZ
Keeping Community Hospitals
Thriving and Independent
Reed Liggin
VP Sales, athenahealth

2. 2
100%
90%
80%
70%
60%
50%
50%
30%
%ofRegistered
2011 2012 2013 2014
33%
61%
84%
66%
83%
93%
95%94%
EH
EP
Source: http://www.cms.gov/Regulations-and-
Guidance/Legislation/EHRIncentivePrograms/Downloads/October2014_SummaryReport.pdf
Virtually all physicians and hospitals intend to adopt an
EHR to help coordinate care

3. Those intentions aren’t translating into
results
87%
of physicians can’t exchange
information electronically with others
outside their organization
of eligible hospitals attested to
Stage 1 MU
of eligible hospitals have attested
to Stage 2 MU
85%
34%
41%
of EHR adopters can’t even enter
lab and imaging orders or request a
consult electronically
72%
of adults can’t access their online
medical record
Source: http://www.healthit.gov/facas/sites/faca/files/HITPC_CMS_DataUpdate_2014-12-09.pptx
http://www.healthit.gov/FACAS/sites/faca/files/HITPC_InteroperabilityUpdate_2014-08-06.pdf
3

4. And the hospital business model is under
assault, necessitating new operating platforms
4
Source: http://www.tha.com/blog/Default.aspx?pid=17
5.0%
0.0%
-5.0%
-10.0%
-15.0%
-20.0%
-25.0%
Total Hospital Medicare Margins by Year
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

5. Community hospitals have been hit especially
hard
5
Between
2013 and 2014,
14 CAHs closed
in 10 states.
Of the 2,000 community
hospitals open in 2012,
20 filed for bankruptcy
in 2014.
14

6. More than 60% of the nation’s hospitals are now part of
larger hospital systems
6
Since the passage the ACA, total mergers rose
from 50 in 2009 to more than 100 in 2012.
‘05 ‘06 ‘07 ‘08 ‘09 ‘10 ‘11 ’12
50 54
60 60
50
76
93
105
38
41
36
16
2222
3234
67
52
4034
3838
2216
Total
Deals
For-Profit
Buyers
Non-Profit
Buyers
Hospital mergers
and acquisitions
Source: New York TImes

7. And yet community hospitals have some key advantages
in the market
7
• Long history and deep
experience with community
health
• Well-established relationships
with patients and providers
• Smaller size makes it easier to
adapt to change and
standardize processes
• Experience in looking across
the continuum of care
• Increased payments from
those previously uninsured
• Experience running lean

8. My health care
journey started as a
hospital pharmacist

11. Our success formula requires an experience that
feels native to athenaNet
11

12. 12
We are building a national health information backbone.
We build trust with health care providers, helping them do
well by doing the right thing.
VISION
MISSION

13. athenahealth’s award-winning services can
help you thrive through change
13“2014 Best in KLAS Awards: Software & Services,” January, 2015. © 2015 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com
#1
Practice
Management
System
(1-10, 11-75 physicians)
#2
Practice
Management
System
(over 75 physicians)
#2
EHR
(over 75 physicians)
#2
Patient Portal
#2
Overall Physician
Practice
Vendor
2014 Best in KLAS
• 62,000+ providers on athenaNet®
• Clients ranging from 1 to 5,000+ providers
• 50 states and 112 medical specialties
• $14 billion in client collections per year
• Acquired Epocrates March, 2013

14. The Cloud-based Service
14
Performance&visibility
HIGH
HIGH
Connection to Outcomes
Software
ASP
SaaS
Cloud-
Based
Service
The
Cloud

15. Both RazorInsights and athenahealth were leaders
in bringing the Cloud to health care
Ready for fee-
for-value
Open platform
Easy, automatic
updates
Rapid, low-cost
implementation
Best in KLAS
usability
#1
No capex
Designed first
for mobile
Single patient record across the
continuum of care
Visibility, insight & performance
coaching
Interoperability-as-a-service
Software | Knowledge | Work

16. By joining our network you are clinically
integrated with the care continuum
16
• 170,000+ Interfaces
• 65,000+ Trading Partners
• 7,000+ new interfaces created
per month
• Less than 0.01% message
processing error rate
• 62,000+ Providers
• 60 million patients
• 350+ Imaging Centers
• 39,000+ Pharmacies
• 1000+ Labs
• 320+ hospitals, IPAs, HIEs
• 47 Registries

17. Network services
Population health
management
Aggregates data, identifies
gaps in care, contact patients
and coordinates care.
Patient access
and care
coordination
Ensures seamless transitions
of care for patients and less
work for staff. We take on your
order and referral management
work.
Ambulatory services
Revenue cycle
management
Automated intelligence
and back-office teams
take on your administrative
busywork.
Electronic health
records
Keeps providers focused on
care. Delivers measurable
quality and efficiency
improvements.
Inpatient services
Electronic health
records
Connects care in
hospital and across your
community, via single
inpatient information system.
Includes all patient
encounters from admission
to discharge.
Revenue cycle
management
Provides comprehensive
financial management
information. Delivers a real-
time view of your hospital
financials.
One platform to coordinate care across all care
settings
17

18. What you can expect that no one else can
deliver:
18
Immediate
Results:
We implement
and start seeing
results within 6
months.
Minimal
investment:
No upfront
costs ensure
immediate benefit
with
no risk
Seamless
updates:
without costly
upgrades
Partnership:
Perpetual
monitoring,
sharing and
implementation of
best practices