This document summarizes a presentation on homecare valuations given at the NAHC 28th Annual Meeting and Exposition in Los Angeles in 2009. The presentation discusses concepts of value, value drivers, the capitalization of earnings method, and case studies of small, medium, large, and largest homecare transactions to illustrate how valuation formulas should be applied intelligently within context.
Needs-Based Segmentation: Lessons from the Fieldtoomuchaj
Axel J. Leichum, Partner at Blue Canyon Partners, Inc. hosted a webinar for nearly 150 attendees and discussed the topics of: why segmenation matters, the benefits of needs-based segmentation, why it's not just for end customers, multi-stakeholder environments, how to measure if your current segmentation is effective, and best practices for developing and implementing segmentation.
For complete information on needs-based segmentation, please contactus@bluecanyonpartners.com.
Needs-Based Segmentation: Lessons from the Fieldtoomuchaj
Axel J. Leichum, Partner at Blue Canyon Partners, Inc. hosted a webinar for nearly 150 attendees and discussed the topics of: why segmenation matters, the benefits of needs-based segmentation, why it's not just for end customers, multi-stakeholder environments, how to measure if your current segmentation is effective, and best practices for developing and implementing segmentation.
For complete information on needs-based segmentation, please contactus@bluecanyonpartners.com.
Improving your business operations by meeting your company’s objective, missi...Kenny Ong
Marcus Evans Business Process Improvement & Transformation Conference
KL, March 2012
Improving your business operations by meeting your company’s objective, mission and current business landscape
• Re-energising your company’s mission by developing a strategic improvement plan that aligns with its objective
• Establishing business imperative, defining vision and targets, realising the targets and fine-tuning your upcoming business transformation needs
• Measuring the effectiveness of your business processes to see how you can improve your margins
The old model of selling purely on clinical benefit in the U.S. healthcare industry is dead. Profound changes are underway in how hospitals and other healthcare providers make purchase decisions for medical devices, services, diagnostics, and pharmaceuticals.
In this half-hour webinar, Christopher Provines describes the dramatic impact that the Accountable Care Act (ACA) will have on all healthcare suppliers. Chris explains how new purchasing practices and business models such as value-based purchasing, bundled payments, Accountable Care Organizations and quality-based reimbursement will change the rules of the game for selling and negotiating.
Learn:
* Tips for how to effectively engage customers in this "new normal" healthcare environment
* Strategies for quantifying the value of your offering and how to connect it to your healthcare customers' business model
* Best practices for how to grow your healthcare business
Smart companies are leveraging online commerce channels and networks to improve performance and accelerate sales. They are finding new business, converting it into revenue, and enhancing customer relationships for sustainable future growth. In this session, learn how two leading companies are using the Ariba Discovery service to find business and reduce sales cycles, increase revenues, and dramatically improve their valued customer relationships.
2012 Ariba Commerce Summit in Cleveland.
This course will take you through the process of a typical business valuation engagement, from scoping the work to ultimately arriving at a conclusion of value. Through a case study, we will address fundamental issues including valuation approaches (asset, income and market), normalizing analysis and valuation discounts.
Veracap M&A International Inc. is a leading investment bank advising on acquisitions, divestitures, financing and shareholder value initiatives.
This presentation provides an overview of primary business valuation errors, valuation report problems, and protective measures to help you to avoid common errors in business valuation.
Corporate Strategy or Strategic Management
Concepts and Cases by Fred R. David,
Francis Marion University, Florence, South Carolina, &
Forest R. David,
Strategic Planning Consultant
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Improving your business operations by meeting your company’s objective, missi...Kenny Ong
Marcus Evans Business Process Improvement & Transformation Conference
KL, March 2012
Improving your business operations by meeting your company’s objective, mission and current business landscape
• Re-energising your company’s mission by developing a strategic improvement plan that aligns with its objective
• Establishing business imperative, defining vision and targets, realising the targets and fine-tuning your upcoming business transformation needs
• Measuring the effectiveness of your business processes to see how you can improve your margins
The old model of selling purely on clinical benefit in the U.S. healthcare industry is dead. Profound changes are underway in how hospitals and other healthcare providers make purchase decisions for medical devices, services, diagnostics, and pharmaceuticals.
In this half-hour webinar, Christopher Provines describes the dramatic impact that the Accountable Care Act (ACA) will have on all healthcare suppliers. Chris explains how new purchasing practices and business models such as value-based purchasing, bundled payments, Accountable Care Organizations and quality-based reimbursement will change the rules of the game for selling and negotiating.
Learn:
* Tips for how to effectively engage customers in this "new normal" healthcare environment
* Strategies for quantifying the value of your offering and how to connect it to your healthcare customers' business model
* Best practices for how to grow your healthcare business
Smart companies are leveraging online commerce channels and networks to improve performance and accelerate sales. They are finding new business, converting it into revenue, and enhancing customer relationships for sustainable future growth. In this session, learn how two leading companies are using the Ariba Discovery service to find business and reduce sales cycles, increase revenues, and dramatically improve their valued customer relationships.
2012 Ariba Commerce Summit in Cleveland.
This course will take you through the process of a typical business valuation engagement, from scoping the work to ultimately arriving at a conclusion of value. Through a case study, we will address fundamental issues including valuation approaches (asset, income and market), normalizing analysis and valuation discounts.
Veracap M&A International Inc. is a leading investment bank advising on acquisitions, divestitures, financing and shareholder value initiatives.
This presentation provides an overview of primary business valuation errors, valuation report problems, and protective measures to help you to avoid common errors in business valuation.
Corporate Strategy or Strategic Management
Concepts and Cases by Fred R. David,
Francis Marion University, Florence, South Carolina, &
Forest R. David,
Strategic Planning Consultant
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
1. NAHC 28th Annual
Meeting and Exposition
October 12, 2009
Los Angeles, California
Homecare Valuations in the Real World:
Putting Theory into Practice
Jack J. Eskenazi, Jr. , Managing Partner
Healthcare Advisory Partners
Brian Bruenderman, Director of Development
ResCare
Healthcare Advisory Partners
Copyright 2009 All Rights
Reserved
2. Overview
•Concepts of Value
•Value Drivers
•Capitalization of Earnings
Method
•Case Studies
Healthcare Advisory Partners
Copyright 2009 All Rights
Reserved
3. Concepts of Value
•Market Capitalization
•Book Value
•Goodwill
•Enterprise Value
Healthcare Advisory Partners
Copyright 2009 All Rights
Reserved
5. Value Drivers
•Determine Premium or
Discount
•Qualitative Value Drivers
•Quantitative Value Drivers
Healthcare Advisory Partners
Copyright 2009 All Rights
Reserved
6. Qualitative Value
Drivers
•Business Mix
•Geography
•Management Depth
Healthcare Advisory Partners
Copyright 2009 All Rights
Reserved
7. Quantitative Value
Drivers
•Size
•Trends
•Margins
Healthcare Advisory Partners
Copyright 2009 All Rights
Reserved
8. Financial Statements
•Transparent Financial Reporting
GAAP
•Accrual Basis Financial Statements
•Break Out Direct and Administrative
Expenses
Healthcare Advisory Partners
Copyright 2009 All Rights
Reserved
9. Capitalization of
Earnings Method
•Service Companies use
Income Approach
•Boil Complexity Down to
Single Number
•Enterprise Value is Expression
of Earning Power of Investment
Healthcare Advisory Partners
Copyright 2009 All Rights
Reserved
12. No Magic Formula
•EBITDA Multiplier
•3-5x Adjusted EBITDA
•Transaction Structure
•Convention Due to Historical
Pattern: Not Prescriptive
•Typically between 1xGP and
1xRevs
Healthcare Advisory Partners
Copyright 2009 All Rights
Reserved
13. Real World Context
•Market Conditions
•Regulatory Environment
•Financing
Healthcare Advisory Partners
Copyright 2009 All Rights
Reserved
14. Formulas Must be Applied
with Intelligence
•Analyze within Context of
Industry and Individual
Benchmarks
•Is Operation Reproducible?
•Guideline – Not Prescriptive
Healthcare Advisory Partners
Copyright 2009 All Rights
Reserved
15. Case Study:
Small Transactions
•Very Common but Formulas
Least Applicable
•Licensure
•Small but Viable
•The Overachiever
Healthcare Advisory Partners
Copyright 2009 All Rights
Reserved
16. Case Study:
Medium Transactions
•$2 - $15 Million
•Standard from which Formula
is Derived
•Formula is Most Applicable
•Premium
•Discount
Healthcare Advisory Partners
Copyright 2009 All Rights
Reserved
17. Case Study:
Large Transactions
•$15-$25+ Million
•Platform Investment
•Size Premium May Exceed
5xEBITDA Ceiling
•Strategic Buyer
•Financial Buyer
Healthcare Advisory Partners
Copyright 2009 All Rights
Reserved
18. Case Study:
Largest Transactions
•Exceptional Cases
•Often Publicly Traded
•Often Exceed 5xEBITDA
•Apria/ResCare/Healthfield/Addus
Healthcare Advisory Partners
Copyright 2009 All Rights
Reserved
19. Conclusions
•Formulas Reflect Market
Parameters
•Formulas Must be Applied
Intelligently
•Market is Active and Robust
•Good Companies Available for
Premium
•Weaker Companies Available
for Discount
Healthcare Advisory Partners
Copyright 2009 All Rights
Reserved