For Immediate Release

Contact:
Scott Harris
Director of Marketing & Sales
Milliman Care Guidelines
Tel +1 206 381.8160
Cell +1 480 203.7268
scott.harris@milliman.com

Jim Loughman
Director, Media Relations & Public Affairs
Milliman
Tel +1 203 698.0008
jim.loughman@milliman.com

Milliman Care Guidelines Welcomes St. Joseph Health System in California as New Licensee

SEATTLE — May 31, 2005 — Milliman Care Guidelines, LLC, a Milliman Company, announced today that St. Joseph Health System of Orange, California has chosen to license the Milliman Care Guidelines^® as part of the larger implementation of a full care management system.

St. Joseph Health System will begin using Ambulatory Care, Inpatient and Surgical Care, Recovery Facility Care, Home Care and the Chronic Care Guidelines with the implementation of an overall care management system that will be used across ten sites. Closely interrelated, the Care Guidelines provide a basis for efficient organization of care across the entire spectrum of healthcare delivery.

St. Joseph Health System (SJHS) will use the Care Guidelines in order to round out its provider resources and improve efficiency, enabling them to further enhance their quality of care and increase patient satisfaction. The care management system that is being implemented will be used in ten facilities across California and Texas.

“The Care Guidelines will be valuable tools to providers across all disciplines represented at St. Joseph Health System. The information contained in the Care Guidelines will help us live up to our commitment to our patients to provide excellence in service,” said Beth Quigley, Director of Care Management with St. Jude Medical Center in Fullerton, CA, a member of SJHS.

“We’re very pleased to add SJHS to the hundreds of facilities utilizing the Care Guidelines to help them offer high-quality care and continue its record of excellence in the community,” said Scott Harris, Director of Marketing and Sales for Milliman Care Guidelines.

The Milliman Care Guidelines are clinical decision support tools used for treating specific patient conditions with appropriate levels of care and optimal progression toward discharge or transition. The Care Guidelines are written and reviewed by experienced physicians, nurses, and other clinicians to describe current best medical practice, recognizing that the unique circumstances of the patient should guide medical decisions. These clinical tools provide up-to-date, evidence-based knowledge, enabling more informed, consistent decisions and promoting the best possible care management, while maximizing efficiency in the use of healthcare resources.

About St. Joseph Health System

St. Joseph Health System (SJHS) is a not-for-profit Catholic healthcare system established in 1982 by the Sisters of St. Joseph of Orange. SJHS provides a broad range of healthcare services within three geographic regions – Northern California, Southern California and West Texas/Eastern New Mexico. In Orange County, SJHS hospitals include St. Joseph Hospital, Orange; St. Jude Medical Center, Fullerton; and Mission Hospital, Mission Viejo. With 2004 net revenue of more than $3 billion, the system family is enriched by the services of nearly 19,000 employees and includes 14 hospitals and three home health agencies, as well as hospice care, outpatient services, skilled nursing facilities and physician organizations. In 2004, SJHS provided more than $310 million in community benefit and care for the poor services.

About Milliman Care Guidelines

Milliman Care Guidelines, LLC located in Seattle, WA, is a Milliman Company and provides its Care Guidelines to many of the firm’s clients in the hospital and insurance industries. The Care Guidelines are evidence-based tools that guide care and improve care management across the continuum of care. They reflect current best practices for the actual working environment of today’s healthcare organizations. The Milliman Care Guidelines are used to support the health care of one in three Americans.

Milliman, whose corporate offices are in Seattle, serves the full spectrum of business, financial, government, and union organizations. Founded in 1947 as Milliman & Robertson, the company has 32 offices in the United States as well as offices in Bermuda, Hong Kong, London, Madrid, Mexico City, Milan, Munich, São Paulo, Seoul, and Tokyo. Milliman employs approximately 1,850 people, including a professional staff of more than 850 qualified consultants and actuaries. The firm has consulting practices in employee benefits, healthcare, life insurance/financial services, and property and casualty insurance. It is a founding member of Milliman Global, an international organization of consulting firms serving insurance, employee benefits, and healthcare clients worldwide. For further information, visit www.milliman.com.