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March 2016
INVESTOR PRESENTATION
2
Safe Harbor / Disclaimer
This presentation includes forward-looking statements within the meaning of the Private Securities Litigation Reform
Act of 1995, which relate to future, not past, events and are subject to risks and uncertainties. The forward-looking
statements, which address the Company's expected business and financial performance and financial condition,
among other matters, contain words such as: “believe,” “could,” “opportunities,” “continue,” “expect,” “may,” “will,” or
“would” and other words and terms of similar meaning.
Forward-looking statements by their nature address matters that are, to different degrees, uncertain, such as
statements about expected income; earnings; revenues; and growth. Although the Company believes the
expectations reflected in such forward-looking statements are based upon reasonable assumptions, it can give no
assurance that the expectations will be attained or that any deviation will not be material. Readers are cautioned not to
place undue reliance on these forward-looking statements, which speak only as of the date on which they are made.
Factors that could cause actual results to differ materially from these forward-looking statements can be found in the
Company’s Annual Report on Form 10-K, Quarterly Reports on Form 10-Q and the Company’s other reports filed with
the Securities and Exchange Commission. These or other uncertainties may cause the Company’s actual future
results to be materially different than those expressed in any forward-looking statements. The Company undertakes
no obligation to update or revise any forward-looking statements.
This presentation also contains estimates and other statistical data made by independent parties and by us relating to
market size and growth and other data about our industry. This data involves a number of assumptions and limitations,
and you are cautioned not to give undue weight to such estimates. In addition, projections, assumptions and estimates
of our future performance and the future performance of the markets in which we operate are necessarily subject to a
high degree of uncertainty and risk.
This presentation also contains non-GAAP financial measures. You can find a reconciliation of the non-GAAP financial
measures to the most directly comparable GAAP financial measures in the appendix to this presentation.
Press Ganey Overview
Mission
To help healthcare organizations reduce patient and caregiver
suffering and improve clinical quality, safety and the overall
patient experience
Transformational Solutions
Patient Experience
Caregiver Engagement
Clinical Quality
Reliability & Safety
3




4
Disruptive Forces In Healthcare
 Shift to value-based models/Population health
 Process to outcome measures
 Narrow networks
Growth in Spending
 Patient-centricity
 Caregiver Engagement / Care coordination
 Operational integration and advanced analytics
 Demand for reliable measures
 Honor consumer through transparency
 Brand awareness / Patient Loyalty/ Market Share
 Increased patient engagement
 Focus on performance and outcomes
 Expanded CAHPS programs
Care Redesign
Market ResponseHealthcare Dynamics
Expanding Regulation
Rise of Consumerism
Industry Leader With Partners Across
The Continuum Of Care
80%+
60%+
80%+
70%+
Note: All information as of 12/31/15 5
Acute Hospitals
Major Teaching Hospitals
MD Groups w/ >50 Physicians
Acute Hospitals w/ 100+ Beds
6
Strategic Competitive Advantage
Competitive Forces Competitive Forces
Competitive Forces Competitive Forces
OUR SOLUTIONS
 Actionable data targeting improvement opportunities
 Drive patient loyalty, improve outcomes, optimize reimbursement
Operational, Clinical &
Financial Performance Improvement
8
 Engagement insights tiered for effective action planning
 Retain caregivers, increase productivity, improve performance
 Measure, report and act on clinical and quality performance
 Achieve nursing excellence and quality standards, improve outcomes
 Assess operational, quality and safety performance
 Transform culture, reduce safety events, achieve high reliability
C-Level Solutions that Drive Performance Improvement
Patient
Experience
DemonstratedROI
Caregiver
Engagement
Clinical &
Quality Outcomes
Reliability &
Safety Consulting
Differentiated Products Built On
Leading Digital Platform
9
4.5
3.9
3.7
0.0
1.0
2.0
3.0
4.0
5.0
6.0
Low Middle High
AverageLengthofStay(Days)
Reliability Score Rank by Tercile
1. Reliability and length of stay data derived from our 2013 HCAHPS all-facilities database, N=2,289,639.
2. Based on Medicare Spending by Claim, 2014 Hospital Compare and Billian’s 2014 data, N=3,080.
15.0%
8.7%
5.9%
12.1%
0%
4%
8%
12%
16%
20%
Bottom Decile Top Decile
~6% less spending
due to
readmissions
Patient Experience Solution Foundational To
Clinical And Financial Performance
Average Length of Stay by Patient Experience
Reliability Tercile (1)
Lower Cost of Care, Higher Operating Margin
for Top Performers on HCAHPS (2)
Patient Experience is a Powerful Tool for Performance Improvement
Hospital Net Margin
10
% of Spending on Readmission
HCAHPS Overall Rating
71 70
77
82
75 76
84
31
23
42
37
50
63
47
0
20
40
60
80
100
Nurse Responsiveness Physician Pain Medication Discharge Rating
AverageNationalPercentileRank
Top Quintile of Employee Engagement Bottom Quintile of Employee Engagement
National Percentile Rank Based on Employee Engagement Scores (1)
Employee Engagement Improves Patient Experience
1. Based on Engagement data from 36 projects, year 2014. HCAHPS data from 2014 PG Database.
Complementary Solutions
Accelerate Performance Improvement
11
Created by Healthcare Metrics Team.
12
Census Based Surveying Enables Innovation:
Transparency Study
• Census Based Surveying increases patient data by 80%
• UT Transparency has resulted in 50%+ of docs in 90th percentile in 2014
Dr. Campbell
Press Ganey Data
1164 Reviews
4.6 Stars vs Vitals 2.5
Dr. Leiser
Press Ganey Data
74 Reviews
4.9 Stars vs. Vitals 2.5
Industry Leading Sales
And Client Management Teams
13
375+
Client Facing Associates
Transformational Consultants
Sales Professionals
Advisory Professionals
Account Management Supporting Clients
39
72
120
141
Geographically-based model for majority of client base
Innovation And Thought Leadership
Offer Deeper Value To Clients
Executive Council
members of Press
Ganey nonprofit
Speaking
engagements
Clients at national
conference
Attendees across
regional symposiums
Monthly user logins
for improvement
solutions
14
Investing in Thought Leadership
28 245+
2,800
1,000+
265,000+
Industry articles in key
trade publications
Participants in the
online community
Custom analytic reports
generated annually
300+
26,0003,000+
Participants in
CNO Quarterly Best
Practices Roundtable
250
GROWTH STRATEGY / TOTAL ADDRESSABLE MARKET
Total Addressable Market
16
Quality, Safety,
Consulting, Other
ExistingClientsProspects
Patient
Experience
Caregiver
Engagement
$319 Million (2015 PGND Revenue)
Patient Engagement,
Care Coordination, Other Consulting
$865 Million
$294 Million
$2.7 Billion
New SolutionsExisting Solutions
$4.2 Billion Total Addressable Market
$1.5 Billion
Expanding CAHPS Requirements
Will Accelerate Improvement Efforts
2%17 2%2%
2%
Hospital Outpatient
Surgery Departments
Voluntary Anticipated Mandatory
2016 2017 2018
Ambulatory Surgery Centers Voluntary Anticipated Mandatory
Pediatric Inpatient Hospitals
Emergency Departments Planning Anticipated Voluntary Anticipated Mandatory
Long Term Care Hospitals Planning Anticipated Voluntary Anticipated Mandatory
Inpatient Psychiatric Facilities Planning Anticipated Voluntary
Inpatient
Dialysis
ACOs
Medical Practices
Hospice
Home Health
Mandatory
Inpatient Rehab Facilities Planning Anticipated Voluntary Anticipated Mandatory
Voluntary
Strategic Acquisition Track Record
18
2009
Caregiver
Engagement
Safety/
Consulting
Clinical/
Quality
Patient
Experience
2013 2014 2015
FINANCIAL REVIEW
Financial Overview
20
Revenue
Predictability
 Retention: 97% client retention / 95% revenue retention 3-year average 2013-2015
 Visibility: Average contract life for top 100 patient experience clients is 2.8 years
 Existing Solutions: $1.5B White space
 New Solutions: $2.7B Opportunity
 Cost of Revenue: Greater percentage of insights from electronic platform
 Technology Improvements: Redesign of platforms for collecting and sharing data
 Sales Force: Broader product offering
 Unlevered Free Cash Flow: 79% of EBITDA from 2012 to 2015
 Balance Sheet: deleveraged and lower interest rates
Organic
Growth
Operating
Leverage
Cash Flow
Long Term Growth Targets
Revenue: 7-9% organic / 2-3% acquisition
Adjusted EBITDA: 13-15%
$0
$50
$100
$150
$200
$250
$300
$350
2012 2013 2014 2015
Revenue
Growth Track Record
($ in millions)
$0
$25
$50
$75
$100
$125
2012 2013 2014 2015
Adjusted EBITDA
21
5.4x
4.6x
4.0x
1.3x
0.0x
1.0x
2.0x
3.0x
4.0x
5.0x
6.0x
2012 2013 2014 2015
Total Net Debt (2) / Adjusted EBITDA Ratio
Cash Flow And Leverage
1. Unlevered free cash flow = adjusted EBITDA – capital expenditures.
2. Net debt = total debt – cash.
($ in millions)
$0
$10
$20
$30
$40
$50
$60
$70
$80
$90
$100
2012 2013 2014 2015
Unlevered Free Cash Flow (1)
22
APPENDIX
Adjusted EBITDA Reconciliation
1. Includes costs associated with modification of equity awards in connection with the liquidating distribution and IPO of $70,438 in May of 2015.
2. Write-off of unamortized deferred financing fees, loss on original issue discount and lender fees in connection with debt refinancings.
3. Non-cash property and equipment and intangible impairment charges related to the discontinuation of certain clinical solutions in 2013.
4. Management fees paid to Vestar.
5. Transaction costs incurred in connection with completed and potential acquisitions.
6. Expense associated with executive separation agreements and targeted employee headcount reductions.
7. Primarily consists of professional fees incurred in connection with corporate strategic planning and technology consulting projects, as well as expenses and revenue credits related
to client retention due to the discontinuation of certain clinical solutions and software applications.
Fiscal Year ended December 31
($ in thousands) 2012A 2013A 2014A 2015A
Net income (loss) $(7,391) $99 $15,583 $(36,627)
Interest expense 32,157 24,644 19,832 11,163
Income tax expense (benefit) (604) 5,926 13,196 7,528
Depreciation & amortization 27,202 32,468 35,102 41,224
EBITDA $51,364 $63,137 $83,713 $23,288
Equity-based compensation(1) 14,256 9,787 8,034 86,745
Extinguishment of debt (2) 7,185 7,922 2,894 1,750
Non-cash impairment charges (3) - 2,579 - -
Management fee to related party (4) 968 907 1,047 553
Acquisition expenses (5) 1,327 902 462 945
Severance (6) 2,797 625 1,084 2,095
Loss on disposal of property & equipment - 274 1,719 307
Other non-comparable items (7) 1,465 2,159 3,606 1,802
Adjusted EBITDA $79,362 $88,292 $102,559 $117,485
24
Unlevered Free Cash Flow
Fiscal Year ended December 31
($ in thousands) 2012A 2013A 2014A 2015A
Adjusted EBITDA $79,362 $88,292 $102,559 $117,485
Capital Expenditures (18,191) (17,230) (19,414) (26,197)
Unlevered Free Cash Flow $61,171 $71,062 $83,145 $91,288
Free Cash Flow Conversion (1) 77% 80% 81% 78%
1. Free Cash Flow Conversion defined as % of Adjusted EBITDA.
25
Capitalization
As Reported
($ in thousands) 12/31/12 12/31/13 12/31/14 12/31/15
Cash $7,845 $32,635 $6,962 $35,235
Total Debt $431,851 $434,423 $418,319 $189,267
Net Debt $424,006 $401,788 $411,357 $154,032
LTM Adjusted EBITDA $79,362 $88,292 $102,559 $117,485
Total Net Leverage 5.3x 4.6x 4.0x 1.3x
26

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Investor relations Presentation - March 2016

  • 2. 2 Safe Harbor / Disclaimer This presentation includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, which relate to future, not past, events and are subject to risks and uncertainties. The forward-looking statements, which address the Company's expected business and financial performance and financial condition, among other matters, contain words such as: “believe,” “could,” “opportunities,” “continue,” “expect,” “may,” “will,” or “would” and other words and terms of similar meaning. Forward-looking statements by their nature address matters that are, to different degrees, uncertain, such as statements about expected income; earnings; revenues; and growth. Although the Company believes the expectations reflected in such forward-looking statements are based upon reasonable assumptions, it can give no assurance that the expectations will be attained or that any deviation will not be material. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date on which they are made. Factors that could cause actual results to differ materially from these forward-looking statements can be found in the Company’s Annual Report on Form 10-K, Quarterly Reports on Form 10-Q and the Company’s other reports filed with the Securities and Exchange Commission. These or other uncertainties may cause the Company’s actual future results to be materially different than those expressed in any forward-looking statements. The Company undertakes no obligation to update or revise any forward-looking statements. This presentation also contains estimates and other statistical data made by independent parties and by us relating to market size and growth and other data about our industry. This data involves a number of assumptions and limitations, and you are cautioned not to give undue weight to such estimates. In addition, projections, assumptions and estimates of our future performance and the future performance of the markets in which we operate are necessarily subject to a high degree of uncertainty and risk. This presentation also contains non-GAAP financial measures. You can find a reconciliation of the non-GAAP financial measures to the most directly comparable GAAP financial measures in the appendix to this presentation.
  • 3. Press Ganey Overview Mission To help healthcare organizations reduce patient and caregiver suffering and improve clinical quality, safety and the overall patient experience Transformational Solutions Patient Experience Caregiver Engagement Clinical Quality Reliability & Safety 3    
  • 4. 4 Disruptive Forces In Healthcare  Shift to value-based models/Population health  Process to outcome measures  Narrow networks Growth in Spending  Patient-centricity  Caregiver Engagement / Care coordination  Operational integration and advanced analytics  Demand for reliable measures  Honor consumer through transparency  Brand awareness / Patient Loyalty/ Market Share  Increased patient engagement  Focus on performance and outcomes  Expanded CAHPS programs Care Redesign Market ResponseHealthcare Dynamics Expanding Regulation Rise of Consumerism
  • 5. Industry Leader With Partners Across The Continuum Of Care 80%+ 60%+ 80%+ 70%+ Note: All information as of 12/31/15 5 Acute Hospitals Major Teaching Hospitals MD Groups w/ >50 Physicians Acute Hospitals w/ 100+ Beds
  • 6. 6 Strategic Competitive Advantage Competitive Forces Competitive Forces Competitive Forces Competitive Forces
  • 8.  Actionable data targeting improvement opportunities  Drive patient loyalty, improve outcomes, optimize reimbursement Operational, Clinical & Financial Performance Improvement 8  Engagement insights tiered for effective action planning  Retain caregivers, increase productivity, improve performance  Measure, report and act on clinical and quality performance  Achieve nursing excellence and quality standards, improve outcomes  Assess operational, quality and safety performance  Transform culture, reduce safety events, achieve high reliability C-Level Solutions that Drive Performance Improvement Patient Experience DemonstratedROI Caregiver Engagement Clinical & Quality Outcomes Reliability & Safety Consulting
  • 9. Differentiated Products Built On Leading Digital Platform 9
  • 10. 4.5 3.9 3.7 0.0 1.0 2.0 3.0 4.0 5.0 6.0 Low Middle High AverageLengthofStay(Days) Reliability Score Rank by Tercile 1. Reliability and length of stay data derived from our 2013 HCAHPS all-facilities database, N=2,289,639. 2. Based on Medicare Spending by Claim, 2014 Hospital Compare and Billian’s 2014 data, N=3,080. 15.0% 8.7% 5.9% 12.1% 0% 4% 8% 12% 16% 20% Bottom Decile Top Decile ~6% less spending due to readmissions Patient Experience Solution Foundational To Clinical And Financial Performance Average Length of Stay by Patient Experience Reliability Tercile (1) Lower Cost of Care, Higher Operating Margin for Top Performers on HCAHPS (2) Patient Experience is a Powerful Tool for Performance Improvement Hospital Net Margin 10 % of Spending on Readmission HCAHPS Overall Rating
  • 11. 71 70 77 82 75 76 84 31 23 42 37 50 63 47 0 20 40 60 80 100 Nurse Responsiveness Physician Pain Medication Discharge Rating AverageNationalPercentileRank Top Quintile of Employee Engagement Bottom Quintile of Employee Engagement National Percentile Rank Based on Employee Engagement Scores (1) Employee Engagement Improves Patient Experience 1. Based on Engagement data from 36 projects, year 2014. HCAHPS data from 2014 PG Database. Complementary Solutions Accelerate Performance Improvement 11 Created by Healthcare Metrics Team.
  • 12. 12 Census Based Surveying Enables Innovation: Transparency Study • Census Based Surveying increases patient data by 80% • UT Transparency has resulted in 50%+ of docs in 90th percentile in 2014 Dr. Campbell Press Ganey Data 1164 Reviews 4.6 Stars vs Vitals 2.5 Dr. Leiser Press Ganey Data 74 Reviews 4.9 Stars vs. Vitals 2.5
  • 13. Industry Leading Sales And Client Management Teams 13 375+ Client Facing Associates Transformational Consultants Sales Professionals Advisory Professionals Account Management Supporting Clients 39 72 120 141 Geographically-based model for majority of client base
  • 14. Innovation And Thought Leadership Offer Deeper Value To Clients Executive Council members of Press Ganey nonprofit Speaking engagements Clients at national conference Attendees across regional symposiums Monthly user logins for improvement solutions 14 Investing in Thought Leadership 28 245+ 2,800 1,000+ 265,000+ Industry articles in key trade publications Participants in the online community Custom analytic reports generated annually 300+ 26,0003,000+ Participants in CNO Quarterly Best Practices Roundtable 250
  • 15. GROWTH STRATEGY / TOTAL ADDRESSABLE MARKET
  • 16. Total Addressable Market 16 Quality, Safety, Consulting, Other ExistingClientsProspects Patient Experience Caregiver Engagement $319 Million (2015 PGND Revenue) Patient Engagement, Care Coordination, Other Consulting $865 Million $294 Million $2.7 Billion New SolutionsExisting Solutions $4.2 Billion Total Addressable Market $1.5 Billion
  • 17. Expanding CAHPS Requirements Will Accelerate Improvement Efforts 2%17 2%2% 2% Hospital Outpatient Surgery Departments Voluntary Anticipated Mandatory 2016 2017 2018 Ambulatory Surgery Centers Voluntary Anticipated Mandatory Pediatric Inpatient Hospitals Emergency Departments Planning Anticipated Voluntary Anticipated Mandatory Long Term Care Hospitals Planning Anticipated Voluntary Anticipated Mandatory Inpatient Psychiatric Facilities Planning Anticipated Voluntary Inpatient Dialysis ACOs Medical Practices Hospice Home Health Mandatory Inpatient Rehab Facilities Planning Anticipated Voluntary Anticipated Mandatory Voluntary
  • 18. Strategic Acquisition Track Record 18 2009 Caregiver Engagement Safety/ Consulting Clinical/ Quality Patient Experience 2013 2014 2015
  • 20. Financial Overview 20 Revenue Predictability  Retention: 97% client retention / 95% revenue retention 3-year average 2013-2015  Visibility: Average contract life for top 100 patient experience clients is 2.8 years  Existing Solutions: $1.5B White space  New Solutions: $2.7B Opportunity  Cost of Revenue: Greater percentage of insights from electronic platform  Technology Improvements: Redesign of platforms for collecting and sharing data  Sales Force: Broader product offering  Unlevered Free Cash Flow: 79% of EBITDA from 2012 to 2015  Balance Sheet: deleveraged and lower interest rates Organic Growth Operating Leverage Cash Flow Long Term Growth Targets Revenue: 7-9% organic / 2-3% acquisition Adjusted EBITDA: 13-15%
  • 21. $0 $50 $100 $150 $200 $250 $300 $350 2012 2013 2014 2015 Revenue Growth Track Record ($ in millions) $0 $25 $50 $75 $100 $125 2012 2013 2014 2015 Adjusted EBITDA 21
  • 22. 5.4x 4.6x 4.0x 1.3x 0.0x 1.0x 2.0x 3.0x 4.0x 5.0x 6.0x 2012 2013 2014 2015 Total Net Debt (2) / Adjusted EBITDA Ratio Cash Flow And Leverage 1. Unlevered free cash flow = adjusted EBITDA – capital expenditures. 2. Net debt = total debt – cash. ($ in millions) $0 $10 $20 $30 $40 $50 $60 $70 $80 $90 $100 2012 2013 2014 2015 Unlevered Free Cash Flow (1) 22
  • 24. Adjusted EBITDA Reconciliation 1. Includes costs associated with modification of equity awards in connection with the liquidating distribution and IPO of $70,438 in May of 2015. 2. Write-off of unamortized deferred financing fees, loss on original issue discount and lender fees in connection with debt refinancings. 3. Non-cash property and equipment and intangible impairment charges related to the discontinuation of certain clinical solutions in 2013. 4. Management fees paid to Vestar. 5. Transaction costs incurred in connection with completed and potential acquisitions. 6. Expense associated with executive separation agreements and targeted employee headcount reductions. 7. Primarily consists of professional fees incurred in connection with corporate strategic planning and technology consulting projects, as well as expenses and revenue credits related to client retention due to the discontinuation of certain clinical solutions and software applications. Fiscal Year ended December 31 ($ in thousands) 2012A 2013A 2014A 2015A Net income (loss) $(7,391) $99 $15,583 $(36,627) Interest expense 32,157 24,644 19,832 11,163 Income tax expense (benefit) (604) 5,926 13,196 7,528 Depreciation & amortization 27,202 32,468 35,102 41,224 EBITDA $51,364 $63,137 $83,713 $23,288 Equity-based compensation(1) 14,256 9,787 8,034 86,745 Extinguishment of debt (2) 7,185 7,922 2,894 1,750 Non-cash impairment charges (3) - 2,579 - - Management fee to related party (4) 968 907 1,047 553 Acquisition expenses (5) 1,327 902 462 945 Severance (6) 2,797 625 1,084 2,095 Loss on disposal of property & equipment - 274 1,719 307 Other non-comparable items (7) 1,465 2,159 3,606 1,802 Adjusted EBITDA $79,362 $88,292 $102,559 $117,485 24
  • 25. Unlevered Free Cash Flow Fiscal Year ended December 31 ($ in thousands) 2012A 2013A 2014A 2015A Adjusted EBITDA $79,362 $88,292 $102,559 $117,485 Capital Expenditures (18,191) (17,230) (19,414) (26,197) Unlevered Free Cash Flow $61,171 $71,062 $83,145 $91,288 Free Cash Flow Conversion (1) 77% 80% 81% 78% 1. Free Cash Flow Conversion defined as % of Adjusted EBITDA. 25
  • 26. Capitalization As Reported ($ in thousands) 12/31/12 12/31/13 12/31/14 12/31/15 Cash $7,845 $32,635 $6,962 $35,235 Total Debt $431,851 $434,423 $418,319 $189,267 Net Debt $424,006 $401,788 $411,357 $154,032 LTM Adjusted EBITDA $79,362 $88,292 $102,559 $117,485 Total Net Leverage 5.3x 4.6x 4.0x 1.3x 26