Exhibit 16 Upfront investment determines long-term productivity outcomes (high-level estimates)

- incremental, accelerated, and breakthrough - adoption. They require substantial, front-loaded investment in digital infrastructure, system scale. Across all scenarios, costs are incurred early domains. In robotics, systems also need to deploy As illustrated in the graph above, systems that secure, interoperable platforms, retrain clinical generate limited net savings by 2040, despite and technical staff, and redesign workflows to meaningful efficiency potential. High transition support automation and learning at scale. Most of costs, duplicated systems, fragmented pilots, from compounding. By contrast, accelerated deliberate, coordinated investment in shared platforms, integration, and capability buildup, decline over time. When they are not reinvested, cybersecurity, data integration, and workforce productivity gains remain episodic, fragile, and AI, robotics, and automation as long-term investments in hospital capacity, pharmaceutical across clinical, administrative, and operational manufacturing, and national health IT systems.