Timothy O’Connor Executive Vice President Chief Financial Officer Treasurer

1. PRACTICE PROFILE JANUARY 11, 2005 Timothy O’Connor Executive Vice President Chief Financial Officer Treasurer Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

2. About Lahey • Dr. Frank Lahey formed a group practice in 1923 with a vision that every component of a patient’s health care would be coordinated under one roof. • The practice was located on Commonwealth Ave in Boston until 1980 when it moved to it’s current Burlington location. • From 1923 to 1980 the physicians of the Lahey Clinic practiced at the New England Deaconess Hospital and the Brooks Hospital. • The move to Burlington in 1980 included the building of Lahey’s first hospital, a 200 bed Lahey Clinic Hospital. 1 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

3. About Lahey • In 1990 the Hospital expanded adding 72 beds. • Between 1993 and 1997 the Clinic expanded by acquiring group practices in approximately 30 communities which added approximately 150 physicians. • In 1994 the Hospital expanded again by acquiring the Symmes Hospital in Arlington in a partnership with Advantage Health. 2 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

4. About Lahey • Later in 1994 the Hospital’s expansion continued, this time by building a new facility in Peabody that included 10 inpatient beds, an emergency room, ambulatory surgery, outpatient treatment and diagnostic services and an ambulatory clinic with multiple physician specialties. 3 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

5. About Lahey • Around 1999 the Symmes Hospital in Arlington closed it’s inpatient services and emergency services, the partnership with Advantage Health was discontinued and Lahey began operating outpatient diagnostic and testing services along with physician services in that facility under the Lahey Clinic Hospital license. • Between 1999 and 2003 the Clinic did not renew the contracts of some of the community group practices reducing the size of the community practice network to 13 sites and 80 physicians. 4 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

6. Lahey Today • Today Lahey is an integrated group practice and hospital and operates: • Lahey Clinic, Inc. a 420 FTE physician group practice with 18 locations seeing approximately 1,000,000 visits per year and 2,000,000 WRVUs. • Lahey Clinic Hospital, Inc. a Tufts teaching hospital with 130 residents; 278 beds at three locations serving 19,000 discharges with an average length of stay of 4.6 and a CMI of 1.78; 55,000 emergency room visits; 12,000 ambulatory surgeries; 3,300 observation patients and 1,200,000 outpatient visits. • Lahey Clinic Foundation, Inc. a company holding all of the capital assets, investments and debt as well as the philanthropy for the organization. 5 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

7. Lahey Today • Today Lahey operates: • Lahey Clinic Affiliated Services, Inc. an entity partnering with other health care providers in surrounding communities to deliver care. • Lahey Clinic Insurance Company Limited a medical malpractice captive insurance company domiciled in Bermuda to provide medical practice and general liability insurance to the Lahey organizations. • Lahey Clinic Canadian Foundation a Canadian company that provides grateful patients that are Canadian nationals the ability to donate money to Lahey and receive a Canadian tax deduction. 6 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

8. Mission Statement Lahey Clinic, as one of the world’s premier health care organizations, will: • Provide superior customized health care tailored to each patient’s needs to ensure the best possible outcome for every patient; • Exceed our patients’ high expectations for service each day; and • Advance medicine through research and the education of tomorrow’s health care leaders. 7 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

9. Mission Statement Our goal is to care for our patients: • With compassion and openness; • With unsurpassed expertise • With a drive for continuous learning and improvement, and, according to our Guiding Principles: • With respect – recognizing everyone’s contribution and value; • With caring – valuing others’ accomplishments; • With excellence – striving to exceed expectations for quality; • Through teamwork – sharing, cooperating, and working together for success; • With commitment to doing our personal best – valuing integrity, performance, and pride in one’s work. 8 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

10. Corporate Overview Lahey Clinic is comprised of six sister corporations • Lahey Clinic, Inc. • Lahey Clinic Hospital, Inc. • Lahey Clinic Foundation, Inc. • Lahey Clinic Affiliated Services, Inc. • Lahey Clinic Insurance Company Limited • Lahey Clinic Canadian Foundation 9 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

11. Corporate Structure Lahey Clinic, Inc Lahey Clinic Hospital, Inc Lahey Clinic Foundation, Inc Lahey Clinic Affiliated Serv, Inc Lahey Clinic Insurance Co, Ltd Lahey Clinic Canadian Foundation Burlington Burlington Corporate Corporate Corporate Corporate Northshore Northshore Arlington Arlington Lexington Corporate Community Amesbury . Merrimac . Haverhill Arlington . Billerica Arlington Pediatrics Beverly . Danvers . Ipswich Essex Hamilton Wenham Lexington Wilmington 10 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

12. Division Overview The organization operates in six geographic divisions • Lahey Clinic Medical Center Burlington • Lahey Clinic Northshore Peabody • Lahey Arlington • Lahey Lexington • Lahey Community Group Practices (13 locations) • Lahey Corporate 11 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

13. Division Structure Burlington Northshore Arlington Lexington Community Corporate Clinic Clinic Clinic Clinic Clinic Hospital Hospital Hospital Foundation Hospital Affiliated Insurance Canadian Found 12 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

14. Executive Overview Chief Executive Officer • EVP, Chief Financial Officer and Treasurer • EVP, General Counsel and Secretary • EVP, Chief Operating Officer and Chief Medical Officer • SVP, Chief Nursing Officer • SVP, Philanthropy 13 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

15. Executive Structure Chief Executive Officer EVP CFO and Treasurer EVP General Counsel EVP COO and CMO SVP CNO SVP Philanthropy Community Finance Claims Mamagement Ambulatory Services Hospital Services Cardiac Care Philanthropy Airway Diseases Cancer Cardiovascular Community Medicine GI and Transplant International Health Musculoskeletal Neurosciences Primary Care Women’s / Men’s Health Anesthesia Emergency and Trauma Laboratory Operating Rooms Pathology Pharmacy Radiology Contracting Corporate Compliance Emergency Services Legal Services Corporate Finance Intensive Care Risk Management Internal Audit Medical and Surgical Financial Services Nursing Education Patient Finance Surgical Services Infrastructure Services Revenue Finance Care Management Facilities and Operations Human Resources Information Services Medical Education Patient and MD Support Public Affairs Research Strategy and Planning Support Services Treasury Services LC Insurance Company 14 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

16. Clinical Overview Chief Executive Officer • Division Chair, Internal Medicine • Division Chair Medical Specialties • Division Chair, Surgery • Division Chair, Hospital Based • Division Chair, Community Medicine 15 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

17. Clinical Structure Chief Executive Officer Board of Governors Division Chair Internal Medicine Division Chair Medical Specialties Division Chair Surgery Division Chair Hospital Based Division Chair Community Medicine Cardiovascular Allergy Cardiothoracic Anesthesiology Family Practice Endocrinology Dermatology Colon and Rectal Clinical Pathology General Internal Gastroenterology Neurology Emergency Medicine Neuroradiology Pediatrics General Internal Psychiatry General Pathology Hematology Gynecology Radiation Oncology Infectious Disease Hepatobiliary Radiology Nephrology Neurosurgery Oncology Ophthalmology Pulmonary Orthopaedic Rheumatology Otolaryngology Plastic Surgical Critical Care Urology Vascular 16 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

18. Quality and safety Capital development Strategic growth Revenue cycle improvements Contracting improvements Leadership development Staff retention Attracting the best and brightest Information / medical technology Supply chain management Major Initiatives 17 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best

19. Questions and Comments 19 Respect · Caring · Excellence · Teamwork · Commitment to Personal Best