EPSi was founded in 1999 with the goal of re-engineering decision support. Over the past 20 years we have grown our client base to over 950+ individual healthcare institutions across the United States and internationally. Our customers rely on our platform for the insights they need, including 15 of the top 20 U.S. News & World Best Hospitals; and, and, our experience in delivering world-class financial decision support and integrated performance management applications is unparalleled. EPSi’s platform has always been highly scalable. We have installations in regional medical centers and community hospitals, as well as large health systems. This includes 128 Integrated Health System customers, among them Catholic Health Initiatives, a flagship EPSi customer and one of the nation's largest healthcare systems comprised of 108 acute care hospitals and over 11,000 beds. EPSi’s base also includes 40 very prestigious academic medical centers and 14 stand-alone pediatric hospitals using our software applications. In addition to the above, EPSi continues our rich history of innovation with the launch of our new RealCost™ platform. Our vision for RealCost™ was catalyzed by the rapidly changing healthcare landscape with new reimbursement models, increasing cost of care and organizational consolidation; while available systems today do not offer the level of integration, precision, and timeliness required to optimize effective decision making. RealCost™ changes all of this with a high performing, cloud-based solution encompassing specific application modules along with intuitive workflow and embedded analytics. One of the goals of RealCost™ is to predict upcoming cost variances so that you can avoid costs before they happen – thereby empowering healthcare organizations to move away from the traditional practice of month-end retrospective analysis and inefficient backend processes – in favor of real-time actions – to help drive more timely and effective decision making for streamlining operations and improving financial outcomes. RealCost will supplement existing decision support applications – and in some cases replace specific decision support system functions entirely – like Cost Accounting, the first RealCost™ module released in 2018. Additional modules scheduled for release in 2019 include Rolling Forecast and Real Time Cost.

1. EPSi Overview
and RealCost™ Platform
March, 2019
See further. Do more. Don’t look back.

2. Proprietary and Confidential 2
9 of the Top 10 hospitals* win with EPSi
Many top pediatric facilities International installations
Consistently high rankings in KLAS,
Black Book
Peer-reviewed by HFMA
950
hospitals in the U.S.
128 40
IDNs academic medical centers
*U.S. News and World Report

3. Proprietary and Confidential 3
Introducing
RealCost™, a cloud-based,
highly secure, platform that
focuses on simplifying
workflow while delivering
improved performance,
innovative functionality, and
advanced analytics for more
timely and effective decision
making.
Powered by AWS
Powers the RealCost™ platform
with industry leading
performance, reliability, security
and cost efficiency.
Embedded Analytics
Visualization and analytics
features to help organizations
see and better understand their
data.
Modern Technology
Built for the Future with frontend
and backend technologies to
provide a license-free, cutting
edge user experience.
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RealCost™ Modules
Modules produce
integrated, informed
and actionable
information to drive
superior financial
outcomes
Traditional monthly cost accounting process that allocates
overhead, calculates activity costs and reconciles to the General
Ledger. Establishes a baseline for variance comparisons that
are leveraged by Real-Time Cost.
Cost Accounting
Monthly General Ledger and Payroll forecasting informed by
historical trends, actual results and real-time Cost analytics.
One year time horizon.
Rolling Forecast
Leveraging real-time variances and near-term predictive
analysis to drive immediate change. Real-time reaction drives
superior financial outcomes.
Real-Time Cost
Long range financial planning that incorporates information from
other RealCost™ modules with strategic growth assumptions to
produce a 10 year financial plan.
Long Range Planning
EPSi’s RealCost™ platform is designed to
avoid costs before they happen by using
data aggregated from across the enterprise
combined with sophisticated analytics to
predict and alert to variances before they
happen so costs can be avoided or
minimized.

5. Proprietary and Confidential 5
Cost Accounting
Key Features
• Traditional monthly cost accounting process
• Allocates overhead
• Calculates activity costs
• Reconciles to the General Ledger
• Elegantly accommodates provider costing
• Establishes a baseline for variance comparisons
Key Takeaways
• Monthly
• Retrospective
• Adds Provider Costing
• Cloud-based

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Rolling Forecast
Key Features
• Continuous monthly General Ledger and Payroll forecasting
• Informed by historical trends
• Leverages actual results and real time Cost analytics
• One year time horizon
Key Takeaways
• Enhances budgeting
• Refreshed monthly
• Increased accuracy

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Real Time Cost
Key Features
• Leverages inputs from key feeder systems in near-real time
to proactively identify unnecessary costs
• Real time labor and productivity analysis
• Real time supply cost analysis
• Predictive cost variances
• Enterprise efficiency via throughput capacity management
Key Takeaways
• Real Time variance analysis
• Comprehensive data model
• Near term, predictive analytics

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Long Range Planning
Key Features
• Leverages actual historical results
• Advanced statistical modeling
• Capital expenditure planning
• Incorporates patient data to facilitate a service line approach
to planning.
• New programs and what if assumptions can be incorporated
into the model.
Key Takeaways
• Driven by detailed patient data
• Connects long range plan with operational plan
• Comprehensive ‘what-if’ modeling
• Produces full financial statements

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03
PLATFORM THAT’S
BUILT FOR THE FUTURE
Architected for the cloud and
leveraging AWS's state of the
art tools
04
REDUCE IT COST AND
RESOURCES
Being a SAAS, cloud
application, reduces IT time
and hardware costs
01
INCREASED
PRODUCTIVITY
Through dramatically
improved workflow, instant
alerts, and improved
performance
02
MORE ACCURATE
COSTING RESULTS
Using new cost methods, and
more detailed input data,
accuracy is improved
The Value to Your Organization
05
INDUSTRY LEADING
DATA SECURITY
AWS provides the most
secure platform available
Proprietary and Confidential 9

10. Feedback and
Next Steps