The Changing Dimensions of Cloud Alex Candelaria Global Technology Office ACME Health Objectives

Vision 2025 Affordability Consumers of 2025, Making healthcare health model alternatives, easier for all to obtain strategic roadmap

Consumer Digital Strategy OneAH Ubiquity of information over any Unifying ACME’s culture medium the member chooses OneAHand entities

• Information security • Digital strategy ACME Health’s • Cloud 2017 Technology Goals: • Telehealth • Data and analytics • Artificial intelligence

2 of 33 Technologies—Confidential CIO Focus Areas Next 3 Years

• Analytics • Machine Learning Resulting • Cognitive computing in more than • Patient NOC—pro-active care delivered off-site 40% of AH • Cohesive security strategy, tools, and roadmap staff will need • Single box to manage devices and sites to be retooled • Deliver as a Service • IoT

3 of 33 —Confidential IT Imperatives

Modernize People empowerment Speed development Strengthen reliability & security Increase productivity • Knowledge of IT environment • Effectiveness through automation • Technology asset management • Monitoring through instrumentation • Operational excellence • Reinforced controls by eliminating deficiencies • Security assessment & threat detection deployed

4 of 33 Dell Technologies—Confidential Impact of Digitization of Clinical Workforce

• ER physicians spend 44% of their day doing data entry, with 4,000 EHR clicks per day; only 28% of the day is spent with patients1 % % 58 14 • In the exam room with patients, PCPs spend from 25% to 50% of the time attending to the computer1

• “I am no longer a physician but the data manager, data entry clerk and steno girl… I became a doctor to take care of patients. I 58% Healthcare leaders placed Median 13.8% turnover rate have become the typist.” 1 high priority on digital tools to in 2016, up from 9.9% in enable consumer engagement, but 2010. Potential cost of • Sentinel event alert #54 by the Joint just 14% have those capabilities3 $250,000 per physician2 Commission shows that ergonomics and usability issues resulting in data entry errors is the #1 cause of Health IT related adverse events5

1. *Src: Annals of Family Medicine: From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider. Thomas Bodenheimer, MD Christine Sinsky, MD 2. https://www.advisory.com/daily-briefing/2016/06/20/millennial-turnover 3. https://www.kaufmanhall.com/sites/default/files/2017-State-of-Consumerism-in-Healthcare.pdf 5 of 33 Dell Technologies—Confidential4. **Analysis of 120 health IT-related sentinel event reports received by The Joint Commission between January 1, 2010 and June 30, 2013 http://www.jointcommission.org/assets/1/6/SEA_54_HIT_4_26_16.pdf 5. www.healthit.gov/SAFERGuide. Company Overview

The most complete portfolio of technology solutions: software, hardware, and services

DIGITAL IT WORKFORCE SECURITY

Cloud Native Server, Client, Software- Managed Multi-Cloud Software Storage, Software, and Defined Security Management Development HCI Peripherals Data Center Services

6 of 3329 DellDell Technologies Technologies——ConfidentialConfidential High Order Outcomes of a Strategic Partnership with Dell Technologies

Consolidation of suppliers Drive agility & scale Flexible consumption models Cost improvements Affordability Drive economy of scale Improve time to market Consumers of 2025 Transform IT operations Transparency into discounts OneAH Meet customer demand/ requirements Improve automation Standardization & simplification

7 of 3329 DellDell Technologies Technologies——ConfidentialConfidential Proposed AH Multi-Cloud

Native IBM Marketplace Azure IBM Cloud IoT Native Azure ROCs Marketplace Consistent security Consistent network Native GCP Data control and mobility Marketplace Napa Consistent data protection GCP Consistent cloud management services Health Controlled access to marketplace services Services— Cognitive APIs Corona One application platform (apps, containers, functions)

Native Illumina AWS Silver Springs Marketplace Boulder AWS 8 of 33 Dell Technologies—Confidential Modernize

USE CASE SOLUTION

Multi-cloud operating model Expand the definition and evolution of AH Cloud into a AH controlled, consistent operating environment and infrastructure across public cloud providers, SaaS, and AH premises

• AH will need to connect everything to multiple cloud • All Dell Technologies products are or will be available in every and SaaS providers cloud and are easy to move away from should AH choose— there is no lock in—we must continually earn AH’s business • Organic growth into external providers’ proprietary interfaces leads to “cloud sprawl” • Consistency across providers and extensive automation will materially reduce operating costs • A consistent interface for applications, network, data, resiliency, management, security, and compliance will • Industry leading R&D investment ratios and a history of help AH avoid high costs successfully integrated M&A mitigate temporary gaps in product features or maturity available elsewhere • Fewer management points and comprehensive automation allow for new security and resiliency paradigms • AI and Machine Learning are already built into some cloud management products to self optimize and self manage OUTCOMES

• Reduced operational expense • Cost efficient placement of workloads • Enhanced security • Avoid lock-in • Simplification through consistency • Integrated site resiliency (always on) across providers

9 of 33 Dell Technologies—Confidential ACME Health Modernize

USE CASE SOLUTION

Data center modernization Modernize, migrate, automate, and consolidate and migration data center architecture and infrastructure

• ACME Health is moving to the world of digital transformation and things • We believe we can modernize the infrastructure in the data center to are going to be very different consolidate the entire existing x86 footprint into 40 racks and obviate the • Looking back at the last 10 years AH and Dell have been doing business together, need for the Boulder data center AH focused on systems of record and traditional applications—mostly focused on • Legacy workloads (until re-platformed) can be consolidated into the most storing and reporting transactional data modern, industry leading infrastructure leveraging true end-to-end NVMe • Over the next 10 years technology will move beyond systems of record to systems and machine learning to reduce operational expense and enhance resiliency of engagement and systems of insight. AH is going to engage with customers • These modern systems eliminate the toil, expense, and disruption of through innovative, new applications on mobile devices and other end points. migrations that have been so costly to AH Applications are going to be built for the cloud • We can simplify the transition from “data centers” to “centers of data” as next • We are going to see greater analysis of the streams of data these applications generation compute allows for dynamic allocation of resources based on generate. And AH is not just going to connect phones, PCs, and tablets to the application and data needs Internet, AH is going to connect everything OUTCOMES

• Massive data center consolidation • Eliminate application disruption for • Analytics/ML native to platform(s) • Mission critical systems availability migrations, faster lifecycle time, and • Automated & scalable management maintenance avoidance • Fastest, most efficient deployment • #1 Next-Gen compute & storage

10 of 33 Dell Technologies—Confidential ACME Health Modernize

USE CASE SOLUTION

Provide dynamic end-user computing technology, Increase end-user productivity to optimize user experience, increase productivity, and ensure security across all data points

• AH will need to acquire and manage an ever • Dell Technologies has the most industry awards for growing and diverse fleet of computing devices engaging end point devices • Devices and engagement aligned to personas leads • Virtual workspaces and security are industry leading, to increased productivity and user satisfaction automated and cover all devices and operating systems • Studies are showing that attracting the younger workforce is • Provisioning and lifecycle management have been increasingly tied to the technology they want to use at work matured into consumer like experiences • End point security management across a large and • End-user solutions are complete end-to-end from diverse ecosystem requires automation, simplification, a single entity and a single support infrastructure and intelligent threat management • Consolidation of vendors, lifecycle processes OUTCOMES and provisioning provide substantial savings

• Minimize IT costs and workloads • Attract and retain top talent • Protect data everywhere • Increase employee engagement • Automatic updates/patching across all • Save labor hours spent on and productivity device types and operating systems deployment and support

11 of 33 Dell Technologies—Confidential ACME Health Modernize

USE CASE SOLUTION

Jointly engineer new solutions for precision New technology healthcare, research, machine learning, virtual reality, and blockchain

• The pace of technology change in healthcare will continue • Dell Technologies has invested and co-innovated solutions to accelerate with leading healthcare providers • The diversity of technology will require management • Dell Technologies partners with an extensive ecosystem infrastructure that provides consistency across the ecosystem of healthcare technology and application providers • AH will innovate independently and jointly with • Dell Capital is invested in a number of promising start-ups various providers in the healthcare space

OUTCOMES

• Proving ground platform for just-in-time innovation • VMware’s Project Magna will make possible a self-driving data • Leverage joint R&D budgets to co-develop new solutions center based on machine learning. It is focused on applying with AH and AH’s partners reinforcement learning to a data center environment to drive greater performance and efficiencies

12 of 33 Dell Technologies—Confidential ACME Health Accelerating Development

USE CASE SOLUTION

Platform and developer training to build modern Cloud Native apps and DevOps apps and functions across all clouds and implement DevOps best practices

• Delighting members with engaging, modern apps that • Pivotal pioneered extreme programming and Dell EMC are developed quickly and updated frequently is a competitive has developed a peer-to-peer DevOps coaching program differentiator for AH to accelerate applications development and bring products to market faster with the people re-tooling required to • The pace of growth and impact greatly depends on the succeed on their own agility of the development staff • We believe there is no faster way to adopt cloud native • Diverse platforms and/or customization to suit individual cloud application development, DevOps practices and accelerate providers will lead to increased cost and complexity concept to care at enterprise scale than to adopt paired programming, test-driven development, Platform as a Product through Pivotal , Pivotal Cloud Cache, and the Pivotal Data Suite OUTCOMES

• Accelerate shift to member impacting apps • Containerizing legacy apps in the same platform provides • Material reduction in infrastructure/operations mobility, security, and consistency across every cloud and repurpose $/human capital

13 of 33 Dell Technologies—Confidential ACME Health Accelerating Development

USE CASE SOLUTION

Profile code, migrate, modernize, and retire Application portfolio optimization applications while enabling developers with agility, providing additional security

• AH has already invested in application portfolio analysis • App portfolio optimization is a “lifecycle” program designed to continuously evaluate and optimize the application portfolio • The execution of the disposition of that portfolio can through modern software engineering and infrastructure be accelerated best practices • The process of rationalizing, modernizing, retooling, • Dell Technology’s solution is “Application Portfolio Lifecycle and relocating applications should be programmatic Management,” consistently prioritizing and optimizing and continuous applications, associated processes and workforce retooling • Dell has invested significant time, effort, and money in evolving this practice over the past twelve years with tools and patented methodologies OUTCOMES

• Materially reduce costs by executing on portfolio disposition • Accelerate migration of apps that can and should migrate • Understanding app dependencies supports to public cloud, retire or be re-platformed business continuance

14 of 33 Dell Technologies—Confidential ACME Health Increase Productivity

USE CASE SOLUTION OUTCOMES

• Drive out OpEx Rationalize Reduced spend with defined • Drive out CapEx outcomes, simplified contracts • Simplification technology management • Consistency across all cloud providers • Reduce technical debt

Aggregate storage, business continuance, Healthcare servers, IoT management, software, people Simplification device retooling, carts, monitors, digital signage, • Rollup purchases bedside equipment, wall mounts, scanners, • Volume rebates consolidation printers, and more across Dell Technologies • Lifecycle management and dozens of healthcare vendors

Uniquely built to maximize AH financial impact Transformation Volume discounts, aligns costs • Single Dell Technologies (DT) umbrella contract program to business requirements and • Volume discounts based on Cross-Dell agreement transformational priorities Technologies Spend • Aligns costs to business requirements and transformational priorities

15 of 33 Dell Technologies—Confidential ACME Health People Empowerment

USE CASE SOLUTION OUTCOMES

Desktops, Lowest cost and best in class workstations Engaging, persona tailored fleet of end • Industry and award leading point devices with lifecycle as a service workstations, laptops, thin clients laptops and and consumer experience • Provisioned like consumer cell phones monitors • Persona-based selection reduces cost

• Simplification and smart spend VDI and Profile users and create personas, • Lowest operational and acquisition cost end-user build end-user and VDI environments, • Every component from single vendor with computing and manage EUC ecosystem greater resiliency • Streamlined support

Dell can assist AH in establishing the 19 success patterns prevalent in high performing organizations. This includes coaching at all levels: executives, • Accelerate the retooling of the 40% Coaching and managers, and individual contributors of the people who need new skills education Robust catalog of courses on everything from DevOps to cloud architect to managers of cloud admins, online to help AH compete in a new services and in person, as short as 90 minutes or as long as 5 healthcare environment days, earning 18 industry awards over the last year with 3 million learning hours

16 of 33 Dell Technologies—Confidential ACME Health Strengthen Reliability and Security

USE CASE SOLUTION

Managed security program Manage risks to within acceptable levels with managed security services

• While digital, IT, and workforce transformations are • By aligning business context to security risks, we close accelerating, the security practices of the past are the gaps of technology-only solutions by leveraging the not keeping pace most advanced capabilities to analyze, prioritize, and investigate threats making security analysts 3x more • Many organizations still struggle with basic security hygiene effective and efficient • Adversaries are exploiting weaknesses in how technologies • Dell Technologies helps you follow the data with the such as multi-cloud, mobile and IoT are deployed, and same protection and security no matter where it is regulatory mandates are increasing

OUTCOMES

• Intelligent, advanced threat management as a service • Employ new security paradigms built for multi-cloud exposure • Security risk defined and managed in business context

17 of 33 Dell Technologies—Confidential ACME Health Strengthen Reliability and Security

USE CASE SOLUTION Consolidate and automate data protection and resiliency under a unified platform. Create a single solution to protect data wherever it Business resiliency lives and provide a single view for clients to validate compliance and availability. Provide instant restart and long-term archival to add more usability and reduce cost

• AH has too much diversity in its protection ecosystem • Dell EMC is the only vendor that has the breath and coverage of products and services to guarantee a solution that meets • Diversity of data protection and resiliency solutions across the complex needs of AH and its business partners cloud and SaaS providers exacerbate complexity and cost • Dell Technologies’ strategically aligned cover all • New resiliency paradigms are emerging to deal with aspects of IT resiliency from replication and restart to cyber threat multi-cloud resilience and data mobility • The continued rise in security threats require a new approach • Dell Technologies’ solutions integrate with all cloud platforms to data recovery to give you a single solution wherever AH’s data lives

OUTCOMES

• Simplification, smart spend, enhanced resiliency • Single vendor, streamlined cost • Consistent data protection across all cloud • Data reduction and mobility providers—on and off-premises • Ransomware protection

18 of 33 Dell Technologies—Confidential ACME Health Proposed Programs

Modernize Complete Elevate Move

“Blue” storage Software defining Cloud management Workloads up the AH Cloud platform to tier efficiency stack one app

Architect Build Re-tool Adopt

For multi-cloud Hyper-converged & People for a New security AKA “Green” hyper-standardized multi-cloud paradigms systems on-premises environment and SRE

19 of 33 Dell Technologies—Confidential Alignment with AH Business Goals Double AH’s members through affordability and modernization

Affordability Vision for Digital patient Unify culture through key factors healthcare engagement and business alternatives model entities for success

AH Proactive AH Security AH Modernization AH Everything AH Healthcare Strategy Through Automation as a Service Unification Establish cognitive Develop a cohesive security Through orchestration Cloud brokerage and multi- Remove AH’s computing through analytics strategic roadmap reduce technical debt and vendor strategy for cloud traditional silo’s and machine learning decrease risk

Modernize Architect Complete Build Elevate Re-tool Move Adopt

20 of 33 Dell Technologies—Confidential Appendix

Strengthen Accelerate Increase People Modernize reliability development productivity empowerment and security

Multi-could Desktops, Cloud Native Managed operating Rationalize workstations, apps and security model and technology laptops, and DevOps program infrastructure monitors

Data center Application Healthcare VDI and Business modernization portfolio device end-user resiliency and migration optimization consolidation computing

Increase Transformation Coaching and end-user program education productivity agreement services

New technology

21 of 33 Dell Technologies—Confidential Modernize

USE CASE SOLUTION OUTCOMES • Reduced operational expense Expand the definition and evolution • Cost efficient placement of workloads Multi-cloud of AH Cloud into a AH controlled, consistent operating environment • Simplification through consistency operating model across providers and infrastructure across public cloud providers, SaaS, and AH premises • Enhanced security • Integrated site resiliency (always on)

What AH is using today What AH is not using Products and services • Dell EMC storage in hardware • Dell EMC storage in software defined formats • Pivotal Cloud Foundry (PAS,PKS,PFS) format with VMware infrastructure • Pivotal Cloud Foundry—multi cloud platform • VMware vRealize Business Suite and automation with no lock-in • VMware SDDC, NSX, NSX-T, VeloCloud • Robust enterprise class IaaS not yet • VMware NSX-T, VeloCloud, VMware Cloud • VMware Cloud Services + VMC for AWS seen in other large healthcare providers Services, VMware Cloud for AWS • Software-defined ECS and Isilon storage • Maturity is still early in VMware SDDC, • Services for multi-cloud strategy • Software-defined Data Protection suite VMware Validated Designs, NSX and development/architecture/management • Multi-cloud strategy and implementation AH’s adoption of ServiceNow • Dell EMC’s deep ServiceNow integration • ServiceNow Integration & Implementation • Excellent starting points toward and deployment expertise—we advocate for multi-cloud, but “pin prick” tactical in AH to build a multi-cloud management the big picture of a comprehensive platform with ServiceNow Not being used by AH multi-cloud ecosystem In use by AH

22 of 33 Dell Technologies—Confidential ACME Health Modernize

USE CASE SOLUTION OUTCOMES

• Massive data center consolidation • Mission critical systems availability Data center Modernize, migrate, automate, and • Eliminate application disruption for migrations, faster lifecycle time and maintenance avoidance modernization consolidate data center architecture • Fastest, most efficient deployment and migration and infrastructure • Analytics/ML native to platform(s) • Automated & scalable management • #1 Next-Gen compute & storage

How AH is using today Key differentiators Products and services • 90% of the block environment and 2/3 of • Dell EMC is the #1 platform for Epic in the • Converged Infrastructure (Vblock) HealthCare industry the file environment resides on EMC • Hyperconverged Infrastructure (VxRail/VxRack) storage & data protection • We provide the industry’s first true end-to-end NVMe • Pivotal Ready Architecture (Hyperconverged) • AHHC, EPIMMS, Carestream, shared delivering massive consolidation and supporting the most demanding mission critical, diverse • VMAX All Flash storage and Click to Cloud all reside workloads—with multi-petabyte scale • PowerMax with NVMe, Analytics + ML on Dell EMC Platforms • The platform offers the richest data services in the for in-memory, real-time apps • AH Cloud automation and Gen2 IaaS industry (including native data protection, encryption, • Unity delivered via appliance approach, non-disruptive migration, integrated backup, • Avamar/DataDomain and made extensible though vScale geographic site resilience, etc.)—ensuring consistent modular data center architecture performance and availability at enterprise scale • Elastic Data Platform • Hyper converged products are #1 and provide for a software-defined architecture to be used as a cloud In use by AH Not being used by AH transition platform

23 of 33 Dell Technologies—Confidential ACME Health Modernize

USE CASE SOLUTION OUTCOMES • Minimize IT costs and workloads • Increase employee engagement Increase Provide dynamic end-user computing technology, to optimize user and productivity end-user experience, increase productivity, and • Attract and retain top talent productivity • Protect data everywhere ensure security across all data points • Save labor hours spent on deployment and support

How AH is using today Key differentiators Products and services AH is currently leveraging the Dell has a focused perspective • Converged Infrastructure (Vblock) EMC Endpoint portfolio for specific on how Dell Technologies will improve • Laptops use cases within the data center the quality of Healthcare through • PCaaS and clinical space. AH is currently technology. ACME Health is a key leveraging the Dell EMC portfolio in customer that Michael Dell is focused to • Workstations (Precision Medicine) the Radiology department, with collaborate with, as stated in May’s joint • Monitors/Displays monitoring stations, workstations meeting. As a result you can expect from • IoT Gateways (i.e. IMS Evolve) and laptops. AH Washington currently Dell the dedication to help accelerate • Rack Servers leverages Wyse Client, monitors, AH’s IT imperatives with velocity to and servers. The Research provide the competitive advantage • Departments are also leveraging that AH aims to achieve Dell servers In use by AH Not being used by AH

24 of 33 Dell Technologies—Confidential ACME Health Modernize

USE CASE SOLUTION OUTCOMES

• Proving ground platform for Jointly engineer new solutions just-in-time innovation New for precision healthcare, research, • Leverage joint R&D budgets to technology machine learning, virtual reality, and blockchain co-develop new solutions with AH and AH’s partners

PREPARING FOR A 2025 TIPPING POINT How AH is using today Key differentiators Products and services We advocate for AH to look into HPC Dell Technologies is actively partnering • High Performance Computing for research, VMware’s investment in with healthcare providers to develop • Blockchain blockchain with “Project Concord”, solutions such as aggregating data from • Predictive Bedside Monitoring MIC Sickbay for predictive healthcare, bedside equipment and providing predictive Zingbox for device location and where capabilities. We have the resources to then • Medical Device Location virtual reality use cases can impact build viable products at enterprise scale • Virtual Reality care delivery; Google Cloud Platform • EdgeX Foundry standards for IoT/ Co-lo and peering to next gen Health VMware just announced a highly scalable, energy-efficient decentralized trust FOG innovation API based on BigQuery, Bigtbable and infrastructure for digital consensus and AutoML. We have large initiatives with smart contract execution. Project Concord Google Health such as Isilon Co-lo Not being used by AH may be used to power distributed trust In use by AH infrastructures, including blockchains 25 of 33 Dell Technologies—Confidential ACME Health Accelerating Development

USE CASE SOLUTION OUTCOMES

• Accelerate shift to member impacting apps Platform and developer training to • Material reduction in infrastructure/operations Cloud Native build modern apps and functions and repurpose $/human capital apps and DevOps across all clouds and implement • Containerizing legacy apps in the same DevOps best practices platform provides mobility, security, and consistency across every cloud

What AH is not using Key differentiators Products and services AH is not using any Pivotal Cloud Pivotal is the originator of and major • Enterprise Platform as a Service Foundry, Pivotal Kubernetes Service, contributor to open source cloud foundry • Containers as a Service or assistance in accelerating and continues to lead maturity in making • Paired Programming re-tooling developers in a peer-to- enterprise scale easy to use, support, and peer environment (e.g., teach manage in the Pivotal distribution. Pivotal • Enterprise DevOps coaching them how to fish) solutions are providing a faster time to • Application Transformation to market for cloud native applications and Pivotal Cloud Foundry giving their customers a competitive edge • Pivotal Cloud Cache • Pivotal Data Suite

In use by AH Not being used by AH

26 of 33 Dell Technologies—Confidential ACME Health Accelerating Development

USE CASE SOLUTION OUTCOMES

• Materially reduce costs by executing on Application Profile, migrate, modernize, and portfolio rationalization retire applications while enabling • Understanding app dependencies supports portfolio developers with agility, providing business continuance optimization additional security • Accelerate migration of apps that can and should migrate to public cloud

What AH is not using Key differentiators Products and services AH is not using the rich set of Dell EMC, VMware and Pivotal have • Application Code Profiling services available to accelerate a “factory” approach to application • Application Dependency the disposition of the vast AH disposition producing consistency and • Application Migration application portfolio, or migrating a faster time to outcomes for customers lifecycle workloads from end of than is realized typically • Application Re-platforming service life assets to new ones • Application Rationalization The disposition of applications across potentially multiple cloud providers is now being automated and optimized with artificial intelligence and machine learning

In use by AH Not being used by AH

27 of 33 Dell Technologies—Confidential ACME Health Increase Productivity

USE CASE SOLUTION OUTCOMES

• Drive out OpEx Rationalize Reduced spend with defined • Drive out CapEx outcomes, simplified contracts • Simplification technology management • Consistency across all cloud providers • Reduce technical debt

Aggregate storage, business continuance, Healthcare servers, IoT management, software, people Simplification device retooling, carts, monitors, digital signage, • Rollup purchases bedside equipment, wall mounts, scanners, • Volume rebates consolidation printers, and more across Dell Technologies • Lifecycle management and dozens of healthcare vendors

Uniquely built to maximize AH financial impact Transformation Volume discounts, aligns costs • Single Dell Technologies (DT) umbrella contract program to business requirements and • Volume discounts based on Cross-Dell agreement transformational priorities Technologies Spend • Aligns costs to business requirements and transformational priorities

28 of 33 Dell Technologies—Confidential ACME Health People Empowerment

USE CASE SOLUTION OUTCOMES

Desktops, Lowest cost and best in class workstations Engaging, persona tailored fleet of • Industry and award leading end point devices with lifecycle as workstations, laptops, thin clients laptops and a service and consumer experience • Provisioned like consumer cell phones monitors • Persona based selection reduces cost

• Simplification and smart spend VDI and Profile users and create personas, • Lowest operational and acquisition cost end-user build end-user and VDI environments, • Every component from single vendor computing and manage EUC ecosystem with greater resiliency • Streamlined support

Dell can assist AH in establishing the 19 success patterns prevalent in high performing organizations. This includes coaching at all levels: executives, • Accelerate the retooling of the 40% Coaching and managers & individual contributors of the people who need new skills education Robust catalog of courses on everything from DevOps to cloud architect to managers of cloud admins, online to help AH compete in a new services and in person, as short as 90 minutes or as long as 5 healthcare environment days, earning 18 industry awards over the last year with 3 million learning hours

29 of 33 Dell Technologies—Confidential ACME Health Strengthen Reliability and Security

USE CASE SOLUTION OUTCOMES

• Intelligent, advanced threat management Managed as a service • Security risk defined and managed in security Manage risks to within acceptable business context program levels with managed security services • Employ new security paradigms built for multi-cloud exposure

We advocate for AH to look into the Secureworks Counter Threat Platform, AppDefense by VMware for whitelisting, Pivotal Cloud Foundry for rotate, repair and repave, and Dell EMC for Cyber Recovery

Key differentiators Key statistics Products and services • 900+ expert security analysts, researchers, • Dell and Secureworks offers adaptable • Incident Orchestration and Remediation security operations capabilities that apply and responders deep analytics, consumed on-premises and • ~250 billion security events daily • Managed Advanced Threat Services as managed services; delivers secure • ~1,000 incident response • Threat Intelligence modern infrastructure, resilient from the engagements annually • Incident Response ground up, surrounding the data with security • Serves 13 of the 15 Executive Departments of • Global Risk and Compliance • Dell EMC Cyber Recovery provides the ability the US Gov’t., all branches of the US Military • Security & Risk Consulting to recover business critical systems in the • 2017 Magic Quadrant for business continuity • Monitored VMware AppDefense event of destructive cyber attacks, including management program solutions ransomware, by retrieving your data from an • Vulnerability Management environment that is isolated from the network • 7 of the top 10 white hat hackers work at Secureworks for maximum security In use by AH Not being used by AH

30 of 33 Dell Technologies—Confidential ACME Health A Quick Word on VDI…

1. Registration/Reception 2. Nurse station 3. Patient room 4. Surgical / OT 5. Remote Telemetry • Patient Registration • EMR Access (Shared WS) • Bed-side Computing • Monitors/Surgical panels • Remote telemetry cockpit (Front desk / Kiosk) • Personal workspace/cube • Real-time charting @point-of-care • PACS read station • Remote specialist • Reception, Digital signage • Care team conference • Patient Infotainment • Anesthesia and other consultations • Printing / Scanning • Patient experience - AR/VR specialty carts (PACS, • Status monitoring dashboard AR/VR…)

6. Medical imaging 7. Pharmacy 8. Lab / Pathology 9. Bio Med 10. ED / Trauma

• Primary diagnosis • Med dispensing carts • Lab IT / EUC Devices • Bed-side monitoring • EMR Carts / access points • Secondary consultations & • Inventory, packaging, • Digital imaging – primary reads • Clinical workstation • PACs at Nurses Station Tele-Radiology distribution & secondary consultations • Imaging workstation • Digital imaging workstations • Diagnostic monitors 31 of 33 Dell Technologies—Confidential ACME Health• Digital signage A Quick Word on VDI…

11. Outpatient/Doc office 12. Home Health 13. Facilities 14. Conference room •• FrontOptiplex desk, All –-Inregistration-One / • •LatitudeMobile Laptops,computing 2-in-1s / rugged •• BuildingGateways, automation Embedded •• VirtualLarge formatmeetings displays • dischargeLatitude Laptops, 2-in-1s • •SecureAt home Workspace monitoring devices • SmartPCs energy • Groupand projectors collaboration •• ExamMonitors, Room, Mounts, Office Keyboards, space

15. Research 16. Non-clinical staff • Fixed/mobile Workstations • Research computing • IT, Finance, HR, Marketing • HPCUltra highworkstations def monitors w GPU • (simulationsHPC workstations / visualizations) w GPU (simulations / visualizations) • High perf storage 32 of 33 Dell Technologies—Confidential Strengthen Reliability and Security

USE CASE SOLUTION OUTCOMES Consolidate and automate data protection and • Simplification, smart spend, resiliency under a unified platform. Create a enhanced resiliency Business single solution to protect data wherever it lives • Consistent data protection across all cloud and provide a single view for clients to validate providers—on and off-premises resiliency compliance and availability. Provide instant • Single vendor, streamlined cost restart and long-term archival to add more • Data reduction and mobility usability and reduce cost • Ransomware protection

How AH is using today What AH is not using Products and services AH currently leverages EMC Data AH uses certain subsets of our overall bundled • IT Continuity/Disaster Recovery Protection Suite to provide live instant data protection toolset. AH uses some backup • Cyber Recovery restores for Epic, Oracle, Vmware, and schedulers, but not our monitoring platform. • Data Domain many other workloads. Our solutions AH uses storage direct and application direct • ProtectPoint provide the basis for your business backups but haven’t integrated the copy data • SRDF • Avamar continuity design and application management tools that come with the solution. • RecoverPoint restart. DPS protects a wide variety As AH looks to add more and more service • Data Protection as a Service of applications from remote office to architectures AH will find it difficult to integrate • Resiliency Program Management file to mission critical databases. With technologies without having an overarching • SRE Program Development one toolset we can protect nearly every architecture with automation and compatibility • Data Protection Reporting application that AH uses today and offer • Copy Data Management and Compliance flexibility to keep data in the cloud, or local depending on the needs In use by AH Not being used by AH

33 of 33 Dell Technologies—Confidential ACME Health