Nobilis Health Corp. is a healthcare company that owns and operates ambulatory surgical centers (ASCs), surgical hospitals, and ancillary services across five states. It has a unique direct-to-consumer marketing model that drives organic patient volume growth. For 2017, Nobilis Health reported $300 million in revenue and $41 million in adjusted EBITDA. The company aims to continue growing organically through marketing and acquiring complementary businesses.
1) Nobilis Health Corp. owns and operates surgical facilities and ambulatory surgery centers across 5 states. It uses various marketing channels to directly generate patient volume and organically grow its business.
2) In 2017, Nobilis Health generated $300 million in revenue and $41 million in adjusted EBITDA. For 2018, it has guided to $345-355 million in revenue and $57-62 million in adjusted EBITDA.
3) Nobilis Health aims to continue growing organically and through acquisitions. Its direct marketing model and ownership of ancillary service lines help maximize revenue and provide a continuum of patient care.
Nobilis Health Corp. presented at the 2017 Cantor Fitzgerald Global Healthcare Conference. The presentation discussed Nobilis' unique patient acquisition model and growth strategy. Some key points:
1) Nobilis utilizes multiple marketing channels and a proprietary technology platform to directly target and acquire patients, driving organic volume growth. This is unlike traditional referral models.
2) Nobilis' growth strategy focuses on continued marketing expertise to generate organic growth, pursuing acquisition opportunities in the fragmented market, and optimizing its case mix to maximize higher-paying procedures.
3) Nobilis operates 4 surgical hospitals, 10 ASCs, and 13 clinics across 5 states, with plans to expand nationwide. The company generated $321 million in revenue
Nobilis corp pres 09.17 cantor fitzgerald conference IRNobilisHealth
Nobilis Health provides a concierge service called 360 Concierge that coordinates patient care from diagnosis through surgery and recovery. The service includes insurance verification, scheduling, and follow up to streamline the patient experience. By controlling the entire process, Nobilis aims to improve outcomes and lower costs for patients, physicians, and insurance companies.
- Nobilis Health Corp owns and operates ambulatory surgical centers (ASCs) and surgical hospitals. It has a unique direct-to-patient marketing model.
- In 2015 it reported revenue of $229.2 million and adjusted EBITDA of $42.1 million. It is focused on organic growth and acquisitions in a fragmented market.
- Its direct marketing approach drives higher case volumes and it capitalizes on the trend of increased outpatient procedures. It aims to continue growing revenue and adjusted EBITDA over 20% organically through 2016.
- Nobilis Health Corp owns and operates ambulatory surgical centers and surgical hospitals across 7 states.
- They utilize a unique direct-to-patient marketing model to drive organic growth and capitalize on the trend of increased healthcare consumerism.
- For 2015, Nobilis reported revenue of $229.2 million and adjusted EBITDA of $42.1 million. They expect continued growth through organic expansion and acquisitions in a fragmented market.
Diplomat Pharmacy Inc - November 2016 Investors PresentationDiplomatIR
Diplomat is a specialty pharmacy focused on oncology and other complex chronic conditions. It has grown revenue at a 42% CAGR from 2010-2015 through both organic growth and acquisitions. Diplomat provides specialty pharmacy services and additional services like hub services and infusion. It has over 100 limited distribution drugs in its portfolio. Recent performance has been strong with 52% revenue growth in 2015 and adjusted EBITDA growth, however DIR fees are a new challenge being addressed through legislation, discussions with CMS, and business strategies.
Presentation Offers Valuation Strategies for Tax-Effective Practice TransactionsPYA, P.C.
The document provides an overview of valuation strategies for physician and dentist practice transactions, with a focus on tax-effective structuring. It discusses key considerations around classifying goodwill as either personal or enterprise goodwill in an acquisition, as this classification can have significant tax implications. The document also outlines current trends in medical and dental practice acquisitions, common challenges, and tax issues that may arise depending on whether the practice is structured as a C-corporation, S-corporation, or LLC.
PYA Healthcare Consulting Senior Manager Robert Mundy co-presented during, “Valuing Hospitals,” Thursday, July 31, at 1 p.m. EST. This webinar explores the changing world of hospital economics, regulations, and valuations and how appraisers can best prepare themselves for both the opportunities and challenges that lie ahead.
1) Nobilis Health Corp. owns and operates surgical facilities and ambulatory surgery centers across 5 states. It uses various marketing channels to directly generate patient volume and organically grow its business.
2) In 2017, Nobilis Health generated $300 million in revenue and $41 million in adjusted EBITDA. For 2018, it has guided to $345-355 million in revenue and $57-62 million in adjusted EBITDA.
3) Nobilis Health aims to continue growing organically and through acquisitions. Its direct marketing model and ownership of ancillary service lines help maximize revenue and provide a continuum of patient care.
Nobilis Health Corp. presented at the 2017 Cantor Fitzgerald Global Healthcare Conference. The presentation discussed Nobilis' unique patient acquisition model and growth strategy. Some key points:
1) Nobilis utilizes multiple marketing channels and a proprietary technology platform to directly target and acquire patients, driving organic volume growth. This is unlike traditional referral models.
2) Nobilis' growth strategy focuses on continued marketing expertise to generate organic growth, pursuing acquisition opportunities in the fragmented market, and optimizing its case mix to maximize higher-paying procedures.
3) Nobilis operates 4 surgical hospitals, 10 ASCs, and 13 clinics across 5 states, with plans to expand nationwide. The company generated $321 million in revenue
Nobilis corp pres 09.17 cantor fitzgerald conference IRNobilisHealth
Nobilis Health provides a concierge service called 360 Concierge that coordinates patient care from diagnosis through surgery and recovery. The service includes insurance verification, scheduling, and follow up to streamline the patient experience. By controlling the entire process, Nobilis aims to improve outcomes and lower costs for patients, physicians, and insurance companies.
- Nobilis Health Corp owns and operates ambulatory surgical centers (ASCs) and surgical hospitals. It has a unique direct-to-patient marketing model.
- In 2015 it reported revenue of $229.2 million and adjusted EBITDA of $42.1 million. It is focused on organic growth and acquisitions in a fragmented market.
- Its direct marketing approach drives higher case volumes and it capitalizes on the trend of increased outpatient procedures. It aims to continue growing revenue and adjusted EBITDA over 20% organically through 2016.
- Nobilis Health Corp owns and operates ambulatory surgical centers and surgical hospitals across 7 states.
- They utilize a unique direct-to-patient marketing model to drive organic growth and capitalize on the trend of increased healthcare consumerism.
- For 2015, Nobilis reported revenue of $229.2 million and adjusted EBITDA of $42.1 million. They expect continued growth through organic expansion and acquisitions in a fragmented market.
Diplomat Pharmacy Inc - November 2016 Investors PresentationDiplomatIR
Diplomat is a specialty pharmacy focused on oncology and other complex chronic conditions. It has grown revenue at a 42% CAGR from 2010-2015 through both organic growth and acquisitions. Diplomat provides specialty pharmacy services and additional services like hub services and infusion. It has over 100 limited distribution drugs in its portfolio. Recent performance has been strong with 52% revenue growth in 2015 and adjusted EBITDA growth, however DIR fees are a new challenge being addressed through legislation, discussions with CMS, and business strategies.
Presentation Offers Valuation Strategies for Tax-Effective Practice TransactionsPYA, P.C.
The document provides an overview of valuation strategies for physician and dentist practice transactions, with a focus on tax-effective structuring. It discusses key considerations around classifying goodwill as either personal or enterprise goodwill in an acquisition, as this classification can have significant tax implications. The document also outlines current trends in medical and dental practice acquisitions, common challenges, and tax issues that may arise depending on whether the practice is structured as a C-corporation, S-corporation, or LLC.
PYA Healthcare Consulting Senior Manager Robert Mundy co-presented during, “Valuing Hospitals,” Thursday, July 31, at 1 p.m. EST. This webinar explores the changing world of hospital economics, regulations, and valuations and how appraisers can best prepare themselves for both the opportunities and challenges that lie ahead.
Healthcare IT Services Insights - January 2016Duff & Phelps
The document discusses healthcare information technology M&A activity in the second half of 2015. Some key points:
- 209 HCIT deals were announced in 2015, similar to the 198 announced in 2014. Acquirers sought solutions for electronic health records, meaningful use, and issues affecting revenue cycles.
- Strategic buyers represented 93% of deals, with financial buyers representing the remaining 7%.
- Approximately 25% of M&A activity involved cloud-based solutions for areas like EHRs, imaging storage, and billing due to their lower costs and elasticity.
- The largest deal was the $2.7 billion acquisition of MedAssets by Pamplona Capital Management, expected to close in late January
Healthcare Valuations in an Era of Reform and UncertaintyPYA, P.C.
PYA Principal Jim Lloyd's AICPA Health Care Industry Conference presentation explored reform and current environment highlights, healthcare transactions and affiliations, valuation considerations, and regulatory issues.
Apollo Medical Holdings (“ApolloMed” or “AMEH”) is a leading population management and physician healthcare delivery company. Apollo provides medical management and care coordination for over 1,000 providers and 40,000 patients; including many senior patients. In addition, Apollo doctors provide care for over 100,000 patients in hospitals, facilities, and clinics. ApolloMed’s integrated healthcare delivery platform is comprised of ApolloMed Hospitalists, ApolloMed ACO (Accountable Care Organization), Maverick Medical Group IPA (Independent Physician Association), Apollo Palliative Services, and ApolloMed Care Clinics. ApolloMed is able to provide high quality, cost-effective care, and its revenue model ranges from traditional volume-based payments to taking full clinical and financial risk for pools of patients.
Apollo Medical Holdings (ApolloMed) is a leading integrated healthcare company providing solutions to hospitals, health plans, physicians, and other health providers to provide cost-effective, quality healthcare. We work with providers and hospitals to coordinate care with local primary care physicians to reduce preventable hospital admissions and re-admissions, best in class patient centric care, and avoidable emergency room visits.
The document provides an overview of Nobilis Health Corp., a healthcare development and management company. It summarizes Nobilis' business model, including owning and managing surgical hospitals and ASCs across multiple markets. It highlights Nobilis' direct marketing model, optimized case mix, revenue cycle management platform, and technology platform. The document also discusses Nobilis' growth strategy of acquisitions and physician marketing to drive continued revenue and earnings growth.
This corporate presentation provides an overview of Nobilis Health Corp., a full-service healthcare development and management company. Some key points:
- Nobilis owns and manages 4 surgical hospitals and 5 ASCs across 7 states, and partners with 36 additional facilities.
- They utilize a direct-to-patient marketing model and proprietary technology platform to generate leads and efficiently coordinate patient care.
- Nobilis has an optimized mix of profitable procedures and commercial payors. They are also pursuing bundled payment programs through their Concertis subsidiary.
- The company has achieved strong revenue and EBITDA growth through acquisitions and organic growth of existing facilities. Management projects continued expansion in the coming years.
This corporate presentation provides an overview of Nobilis Health Corp., a full-service healthcare development and management company. Some key points:
- Nobilis owns and manages 4 surgical hospitals and 5 ASCs across 7 states, and partners with 36 additional facilities.
- They utilize a direct-to-patient marketing model and proprietary technology platform to generate leads and efficiently coordinate patient care.
- Nobilis has an optimized mix of profitable procedures and commercial payors. They are also pursuing bundled payment programs through their Concertis subsidiary.
- The company has achieved strong revenue and EBITDA growth through acquisitions and organic growth of existing facilities. Management projects continued expansion in the coming years.
ProMed Alliance International is offering 100 units for $10 million total, with each unit consisting of 10,000 preferred shares, 10,000 common shares, and 10,000 stock options. The minimum investment is 1 unit ($100,000). ProMed Alliance aims to partner with over 300 physicians within 3 years through solutions to improve revenue cycle management, reduce expenses through a group purchasing organization, and develop new profit centers. The goal is to combat low physician satisfaction by streamlining operations and reducing costs.
PYA Principal Carol Carden's AICPA Health Care Industry Conference presentation addressed the current hospital/physician affiliation environment and its impact on physician compensation.
Integrated Healthcare for Better Patient Outcomes is an investor presentation by Apollo Medical Holdings, Inc. summarizing the company's integrated population healthcare management model. Apollo provides medical management, care coordination, and physician care for over 100,000 patients. It has experienced nearly 200% year-over-year revenue growth to $33 million in FY2015, primarily through organic expansion. Apollo aims to scale its network of physicians and patients both within California and in new geographies to continue driving improved outcomes and lower costs through an integrated care model.
Life sciences vc strategy deck samplesdmukherjee24
The document summarizes Alphaeon's strategy to enter the cash-pay healthcare market. It notes that the global cash-pay market is valued at $18 billion currently and is poised to grow to $29 billion by 2016, with medical aesthetics and ophthalmics being attractive segments. Currently, big pharmaceutical and device companies dominate the cash-pay market but lack expertise in direct-to-consumer marketing and sales. Alphaeon plans to acquire medical aesthetics and ophthalmic platforms to operate independently under a shared practice management model exempt from regulations limiting physician compensation. This will allow Alphaeon to better engage cash-pay customers and physicians.
Presented by PYA’s Jim Lloyd (Consulting Principal) and Robert Mundy (Consulting Senior Manager), "Valuation of Dental Practices,” provide valuable insights regarding dental practice operations, merger and acquisition activity, and valuation approaches. The presentation also covers:
Key operating statistics that drive the value of dental practices.
Compensation trends for dentists.
Regulatory constraints and related issues.
Healthcare Reform and Physician Compensation— Presentation Examines What’s in...PYA, P.C.
Among the many questions facing physicians in the wake of healthcare reform—how will they get paid? PYA Principal David McMillan recently addressed this question at the PKF Healthcare Fly-In with “Current Reform Initiatives and Their Impact on Physician Compensation.”
PYA Principal Scott Clay presented “Pacing Volume-to-Value Transition” at the AlaHA Annual Meeting, June 8-11, 2016.
The presentation explored volume- to value-based reimbursement, and how the pace of change is unique to each organization. The presentation introduced a strategic framework to establish and communicate a pace of change befitting various organizations, explaining:
How government policies “set the floor” on the degree of change requested.
How to determine the pace of change in your market.
How to identify your organization’s current position and culture in relation to value-based payment models.
How to set and communicate the pace of transition consistent with your market and your organization’s culture.
Agility Health is a leading physical rehabilitation services provider with over 150 locations across the US. The presentation provides an overview of Agility Health's business model, growth strategy, and financials. Key points include:
- Agility Health operates across multiple rehabilitation settings including outpatient clinics, long-term care facilities, hospitals, and industrial worksites.
- The growth strategy focuses on acquisitions, de novo clinic openings, and organic growth across existing and new markets.
- Financial highlights show increasing revenue, EBITDA, and margins in recent years and quarters. Management has taken steps to reduce costs and improve profitability.
- The physical therapy industry is highly fragmented, providing opportunities for consolidation.
Measuring, Mismeasuring, and Remeasuring - Creating Meaningful Key Performanc...Dan Wellisch
Here is our September 2019 meeting presentation to the Chicago Technology For Value-Based Healthcare Group (https://www.meetup.com/Chicago-Technology-For-Value-Based-Healthcare-Meetup/) on meaningful KPIs in the hospital setting.
Industry Insights Healthcare Information Technology - October 2016Duff & Phelps
This issue of Healthcare IT Services Insights details the impact credentialing, privileging and enrollment has on the revenue cycle, providers and patients. Practitioner credentialing, used broadly here to include privileging and enrollment, is an often overlooked but increasingly critical process at the front end of revenue cycle management.
PYA Thought Leader Defines Role of Radiation Oncology in Clinical IntegrationPYA, P.C.
PYA Senior Consulting Manager Chris Wilson presented “Clinically Integrated Networks (CIN) and the Role for Radiation Oncology” at the SATRO® 16 Conference, April 24-25, 2014, at the Crowne Plaza Ravinia in Atlanta, Georgia.
This document discusses Quality Systems, Inc. and its subsidiary NextGen Healthcare Information Systems. It provides an overview of the company's business, markets served, products, growth strategy, financial performance, management team, and competitive advantages in the healthcare information technology industry. Key points include Quality Systems' focus on developing practice management and electronic health record software, its track record of strong revenue and earnings growth, experienced management team, and positioning to benefit from positive industry trends driven by government initiatives.
Financial Management In Healthcare PowerPoint Presentation SlidesSlideTeam
This document discusses various topics related to financial management in healthcare, including:
- Key financial trends in the healthcare industry such as value-based payments and data analytics.
- A comparison of healthcare expenditures as a percentage of GDP across different countries.
- An overview of different healthcare financing models.
- Metrics and analysis used for healthcare system financial analysis including profitability ratios.
- A comparison of hypothetical healthcare organization financial statements under two alternatives.
- Calculations of direct and indirect healthcare costs.
- Various statistics related to healthcare spending, quality, and the size of the global healthcare market.
The document presents an investor review for an organization, noting that it contains forward-looking statements about plans, expectations, and intentions that involve risks and uncertainties, and provides an overview of the company's significant value creating opportunity, recent platform wins that validate its strategy, and diversified revenue streams and expanding profitability.
Nobilis health corporate presentation june 2017IRNobilisHealth
Nobilis Health Corp owns and operates ambulatory surgical centers (ASCs), surgical hospitals, and clinics across 7 states. The company has a unique direct-to-patient marketing model that focuses on physician marketing and a concierge patient experience. For the last twelve months ending March 31, 2017, Nobilis reported revenue of $302.8 million and adjusted EBITDA of $35.6 million. The company's growth strategy focuses on organic growth through marketing and acquisitions in the fragmented ASC industry. Nobilis provides financial guidance for 2017 of $310-325 million in revenue and $40-45 million in adjusted EBITDA.
Healthcare IT Services Insights - January 2016Duff & Phelps
The document discusses healthcare information technology M&A activity in the second half of 2015. Some key points:
- 209 HCIT deals were announced in 2015, similar to the 198 announced in 2014. Acquirers sought solutions for electronic health records, meaningful use, and issues affecting revenue cycles.
- Strategic buyers represented 93% of deals, with financial buyers representing the remaining 7%.
- Approximately 25% of M&A activity involved cloud-based solutions for areas like EHRs, imaging storage, and billing due to their lower costs and elasticity.
- The largest deal was the $2.7 billion acquisition of MedAssets by Pamplona Capital Management, expected to close in late January
Healthcare Valuations in an Era of Reform and UncertaintyPYA, P.C.
PYA Principal Jim Lloyd's AICPA Health Care Industry Conference presentation explored reform and current environment highlights, healthcare transactions and affiliations, valuation considerations, and regulatory issues.
Apollo Medical Holdings (“ApolloMed” or “AMEH”) is a leading population management and physician healthcare delivery company. Apollo provides medical management and care coordination for over 1,000 providers and 40,000 patients; including many senior patients. In addition, Apollo doctors provide care for over 100,000 patients in hospitals, facilities, and clinics. ApolloMed’s integrated healthcare delivery platform is comprised of ApolloMed Hospitalists, ApolloMed ACO (Accountable Care Organization), Maverick Medical Group IPA (Independent Physician Association), Apollo Palliative Services, and ApolloMed Care Clinics. ApolloMed is able to provide high quality, cost-effective care, and its revenue model ranges from traditional volume-based payments to taking full clinical and financial risk for pools of patients.
Apollo Medical Holdings (ApolloMed) is a leading integrated healthcare company providing solutions to hospitals, health plans, physicians, and other health providers to provide cost-effective, quality healthcare. We work with providers and hospitals to coordinate care with local primary care physicians to reduce preventable hospital admissions and re-admissions, best in class patient centric care, and avoidable emergency room visits.
The document provides an overview of Nobilis Health Corp., a healthcare development and management company. It summarizes Nobilis' business model, including owning and managing surgical hospitals and ASCs across multiple markets. It highlights Nobilis' direct marketing model, optimized case mix, revenue cycle management platform, and technology platform. The document also discusses Nobilis' growth strategy of acquisitions and physician marketing to drive continued revenue and earnings growth.
This corporate presentation provides an overview of Nobilis Health Corp., a full-service healthcare development and management company. Some key points:
- Nobilis owns and manages 4 surgical hospitals and 5 ASCs across 7 states, and partners with 36 additional facilities.
- They utilize a direct-to-patient marketing model and proprietary technology platform to generate leads and efficiently coordinate patient care.
- Nobilis has an optimized mix of profitable procedures and commercial payors. They are also pursuing bundled payment programs through their Concertis subsidiary.
- The company has achieved strong revenue and EBITDA growth through acquisitions and organic growth of existing facilities. Management projects continued expansion in the coming years.
This corporate presentation provides an overview of Nobilis Health Corp., a full-service healthcare development and management company. Some key points:
- Nobilis owns and manages 4 surgical hospitals and 5 ASCs across 7 states, and partners with 36 additional facilities.
- They utilize a direct-to-patient marketing model and proprietary technology platform to generate leads and efficiently coordinate patient care.
- Nobilis has an optimized mix of profitable procedures and commercial payors. They are also pursuing bundled payment programs through their Concertis subsidiary.
- The company has achieved strong revenue and EBITDA growth through acquisitions and organic growth of existing facilities. Management projects continued expansion in the coming years.
ProMed Alliance International is offering 100 units for $10 million total, with each unit consisting of 10,000 preferred shares, 10,000 common shares, and 10,000 stock options. The minimum investment is 1 unit ($100,000). ProMed Alliance aims to partner with over 300 physicians within 3 years through solutions to improve revenue cycle management, reduce expenses through a group purchasing organization, and develop new profit centers. The goal is to combat low physician satisfaction by streamlining operations and reducing costs.
PYA Principal Carol Carden's AICPA Health Care Industry Conference presentation addressed the current hospital/physician affiliation environment and its impact on physician compensation.
Integrated Healthcare for Better Patient Outcomes is an investor presentation by Apollo Medical Holdings, Inc. summarizing the company's integrated population healthcare management model. Apollo provides medical management, care coordination, and physician care for over 100,000 patients. It has experienced nearly 200% year-over-year revenue growth to $33 million in FY2015, primarily through organic expansion. Apollo aims to scale its network of physicians and patients both within California and in new geographies to continue driving improved outcomes and lower costs through an integrated care model.
Life sciences vc strategy deck samplesdmukherjee24
The document summarizes Alphaeon's strategy to enter the cash-pay healthcare market. It notes that the global cash-pay market is valued at $18 billion currently and is poised to grow to $29 billion by 2016, with medical aesthetics and ophthalmics being attractive segments. Currently, big pharmaceutical and device companies dominate the cash-pay market but lack expertise in direct-to-consumer marketing and sales. Alphaeon plans to acquire medical aesthetics and ophthalmic platforms to operate independently under a shared practice management model exempt from regulations limiting physician compensation. This will allow Alphaeon to better engage cash-pay customers and physicians.
Presented by PYA’s Jim Lloyd (Consulting Principal) and Robert Mundy (Consulting Senior Manager), "Valuation of Dental Practices,” provide valuable insights regarding dental practice operations, merger and acquisition activity, and valuation approaches. The presentation also covers:
Key operating statistics that drive the value of dental practices.
Compensation trends for dentists.
Regulatory constraints and related issues.
Healthcare Reform and Physician Compensation— Presentation Examines What’s in...PYA, P.C.
Among the many questions facing physicians in the wake of healthcare reform—how will they get paid? PYA Principal David McMillan recently addressed this question at the PKF Healthcare Fly-In with “Current Reform Initiatives and Their Impact on Physician Compensation.”
PYA Principal Scott Clay presented “Pacing Volume-to-Value Transition” at the AlaHA Annual Meeting, June 8-11, 2016.
The presentation explored volume- to value-based reimbursement, and how the pace of change is unique to each organization. The presentation introduced a strategic framework to establish and communicate a pace of change befitting various organizations, explaining:
How government policies “set the floor” on the degree of change requested.
How to determine the pace of change in your market.
How to identify your organization’s current position and culture in relation to value-based payment models.
How to set and communicate the pace of transition consistent with your market and your organization’s culture.
Agility Health is a leading physical rehabilitation services provider with over 150 locations across the US. The presentation provides an overview of Agility Health's business model, growth strategy, and financials. Key points include:
- Agility Health operates across multiple rehabilitation settings including outpatient clinics, long-term care facilities, hospitals, and industrial worksites.
- The growth strategy focuses on acquisitions, de novo clinic openings, and organic growth across existing and new markets.
- Financial highlights show increasing revenue, EBITDA, and margins in recent years and quarters. Management has taken steps to reduce costs and improve profitability.
- The physical therapy industry is highly fragmented, providing opportunities for consolidation.
Measuring, Mismeasuring, and Remeasuring - Creating Meaningful Key Performanc...Dan Wellisch
Here is our September 2019 meeting presentation to the Chicago Technology For Value-Based Healthcare Group (https://www.meetup.com/Chicago-Technology-For-Value-Based-Healthcare-Meetup/) on meaningful KPIs in the hospital setting.
Industry Insights Healthcare Information Technology - October 2016Duff & Phelps
This issue of Healthcare IT Services Insights details the impact credentialing, privileging and enrollment has on the revenue cycle, providers and patients. Practitioner credentialing, used broadly here to include privileging and enrollment, is an often overlooked but increasingly critical process at the front end of revenue cycle management.
PYA Thought Leader Defines Role of Radiation Oncology in Clinical IntegrationPYA, P.C.
PYA Senior Consulting Manager Chris Wilson presented “Clinically Integrated Networks (CIN) and the Role for Radiation Oncology” at the SATRO® 16 Conference, April 24-25, 2014, at the Crowne Plaza Ravinia in Atlanta, Georgia.
This document discusses Quality Systems, Inc. and its subsidiary NextGen Healthcare Information Systems. It provides an overview of the company's business, markets served, products, growth strategy, financial performance, management team, and competitive advantages in the healthcare information technology industry. Key points include Quality Systems' focus on developing practice management and electronic health record software, its track record of strong revenue and earnings growth, experienced management team, and positioning to benefit from positive industry trends driven by government initiatives.
Financial Management In Healthcare PowerPoint Presentation SlidesSlideTeam
This document discusses various topics related to financial management in healthcare, including:
- Key financial trends in the healthcare industry such as value-based payments and data analytics.
- A comparison of healthcare expenditures as a percentage of GDP across different countries.
- An overview of different healthcare financing models.
- Metrics and analysis used for healthcare system financial analysis including profitability ratios.
- A comparison of hypothetical healthcare organization financial statements under two alternatives.
- Calculations of direct and indirect healthcare costs.
- Various statistics related to healthcare spending, quality, and the size of the global healthcare market.
The document presents an investor review for an organization, noting that it contains forward-looking statements about plans, expectations, and intentions that involve risks and uncertainties, and provides an overview of the company's significant value creating opportunity, recent platform wins that validate its strategy, and diversified revenue streams and expanding profitability.
Nobilis health corporate presentation june 2017IRNobilisHealth
Nobilis Health Corp owns and operates ambulatory surgical centers (ASCs), surgical hospitals, and clinics across 7 states. The company has a unique direct-to-patient marketing model that focuses on physician marketing and a concierge patient experience. For the last twelve months ending March 31, 2017, Nobilis reported revenue of $302.8 million and adjusted EBITDA of $35.6 million. The company's growth strategy focuses on organic growth through marketing and acquisitions in the fragmented ASC industry. Nobilis provides financial guidance for 2017 of $310-325 million in revenue and $40-45 million in adjusted EBITDA.
HCS499 v4Goals for Stevens District Hospital, Part 1HCS499 v.docxshericehewat
HCS/499 v4
Goals for Stevens District Hospital, Part 1
HCS/499 v4
Page 2 of 2
Goals for Stevens District Hospital, Part 1
Clear, actionable, and measurable goals are essential to strategic planning. It is important that the goals are designed to support the mission and vision of an organization.
Answer the following questions witha total of 260 to 350 words. Your analysis should bebased on your review of the data provided in the Stevens District Hospital strategic planning scenario and your SWOT analysis.
Enter your answers beneath the prompts. (Write Answers on this page for this assignment)
Identify a clear, actionable, and measurable technology goal for the organization that clearly supports the mission and vision.
Analyze how this goal supports the mission and vision of the hospital.
Explain how you would measure progress toward the goal.
· Discuss milestones necessary for progress.
· Discuss the criteria you would use to measure that the goal was completed.
Cite 2 peer-reviewed, scholarly, or similar references according to APA guidelines.
References
Copyright 2019 by University of Phoenix. All rights reserved.
Copyright 2019 by University of Phoenix. All rights reserved.
HCS/499 v4
Stevens District Hospital Plan
HCS/499 v4
Page 8 of 8
Strategic Planning ScenarioBackground
Stevens District Hospital is a 162-bed acute care hospital that is qualified as a not for profit facility. The hospital was originally a county-owned facility and its status was transferred to an independent facility three years ago. The hospital receives no external funding from government agencies for operations. The hospital is accredited by The Joint Commission and received reaccreditation during their triannual survey last year. The hospital has an aggressive quality management program and a low volume of medical malpractice claims. The hospital is located in Jefferson City, which is a city of 50,000 with 80,000 in the regional market. The hospital provides a general range of acute care services, including medical/surgical, rehab, and emergency care. Current Performance AnalysisMission and Vision
Our mission: To improve health by providing high-quality care, a comprehensive range of services, and exceptional service.
Our vision: Stevens District Hospital and its affiliates will be the health care provider of choice for physicians and patients. Our five year vision is to create a large, multispecialty physician practice system that would include at least six family practice physicians and specialists in cardiology, oncology, and women’s services. Currently, the hospital employs three family practice physicians, one obstetrician, one medical oncologist, and one non-invasive cardiologist. Previous Strategic Plan Review
Goal
Accomplishments
Increase market share by recruiting three family practice physicians.
The hospital was able to recruit only one family practice physician to increase primary care market this past year. The limited number of state med ...
This document summarizes Diplomat Pharmacy's business and growth strategy. It discusses Diplomat's position as the largest independent specialty pharmacy in the U.S., with a focus on oncology and limited distribution drugs. It highlights Diplomat's diversified revenue streams including specialty pharmacy, infusion, and pharmaceutical manufacturer services. The document also outlines Diplomat's financial performance with strong revenue and adjusted EBITDA growth. Finally, it discusses Diplomat's M&A strategy and criteria for expanding into new therapies, geographies, and services.
The document discusses the evolving rural healthcare environment and significant changes occurring in recent years. It notes increased rural-urban affiliations, physicians transitioning to hospital employment, declining patient volumes, growth of high-deductible health plans, and reduced Medicare payments. It summarizes changes in federal healthcare reform, Medicaid managed care, commercial insurance, and new payment models like accountable care organizations and bundled payments that are putting pressure on rural hospital finances and operations.
- The presentation provides an overview of Cross Country Healthcare's Q2 2019 financial results and outlook for Q3 2019. It discusses Cross Country Healthcare's business segments, growth strategies, and market opportunities.
- Cross Country Healthcare reported revenue of $202.8 million for Q2 2019 and expects revenue between $200-205 million for Q3 2019. Adjusted EBITDA was $6.3 million for Q2 2019 and is expected to be between $5.5-6.5 million for Q3 2019.
- The company aims to expand its managed service programs, diversify its service offerings, and strengthen client relationships to achieve consistent, sustainable growth above market rates.
HCS499 v4Stevens District Hospital PlanHCS499 v4Page 8 of .docxshericehewat
HCS/499 v4
Stevens District Hospital Plan
HCS/499 v4
Page 8 of 8
Strategic Planning ScenarioBackground
Stevens District Hospital is a 162-bed acute care hospital that is qualified as a not for profit facility. The hospital was originally a county-owned facility and its status was transferred to an independent facility three years ago. The hospital receives no external funding from government agencies for operations. The hospital is accredited by The Joint Commission and received reaccreditation during their triannual survey last year. The hospital has an aggressive quality management program and a low volume of medical malpractice claims. The hospital is located in Jefferson City, which is a city of 50,000 with 80,000 in the regional market. The hospital provides a general range of acute care services, including medical/surgical, rehab, and emergency care. Current Performance AnalysisMission and Vision
Our mission: To improve health by providing high-quality care, a comprehensive range of services, and exceptional service.
Our vision: Stevens District Hospital and its affiliates will be the health care provider of choice for physicians and patients. Our five year vision is to create a large, multispecialty physician practice system that would include at least six family practice physicians and specialists in cardiology, oncology, and women’s services. Currently, the hospital employs three family practice physicians, one obstetrician, one medical oncologist, and one non-invasive cardiologist. Previous Strategic Plan Review
Goal
Accomplishments
Increase market share by recruiting three family practice physicians.
The hospital was able to recruit only one family practice physician to increase primary care market this past year. The limited number of state medical school graduates makes local recruitment difficult.
Improve quality HCAHPS scores in all six criteria to a baseline of the 85th percentile.
The hospital improved HCAHPS scores in four of six criteria. Lagging elements in HCAHPS scores are inpatient patient satisfaction and primary care patient satisfaction.Market Forces Affecting the HospitalVolumes
Patients
The continued growth of chronic disease will require changes to the care management model.
Percent of Population by Age
Five Years Ago
Five Years From Now
Under 18
24
18
18 to 44
46
32
45 to 65
26
30
Over 65
4
20
More than 53 percent of residents have at least some college education, with just over 29 percent having an associate, bachelor’s, or graduate degree. More than 90 percent of residents have at least a high school diploma.
The average unemployment rate in the county is 9.9 percent:
Market Share Distribution Percentage With a Major Competitor
Five Years Ago
Last Year
Stevens District Hospital
48
35
Competitor
30
43
Out of County Hospitals
22
22
Patient Origin by Zip Code
96101 is Stevens District Hospital zip code
94963 is major competitor hospital zip code
Increases in the percent of population with chronic disea ...
Do you believe that all data should be encrypted Many computing p.docxmadlynplamondon
Do you believe that all data should be encrypted? Many computing professionals think this is a good idea. But a small number of computing experts feel that no data should be encrypted—that all data and software should be openly available to anyone who wants it
Post your initial DISCUSSION response and reply to discussions posted by two other students.
(Will attach discussions posted by class soon)
HCS/499 v4
Stevens District Hospital Plan
HCS/499 v4
Page 8 of 8
Strategic Planning ScenarioBackground
Stevens District Hospital is a 162-bed acute care hospital that is qualified as a not for profit facility. The hospital was originally a county-owned facility and its status was transferred to an independent facility three years ago. The hospital receives no external funding from government agencies for operations. The hospital is accredited by The Joint Commission and received reaccreditation during their triannual survey last year. The hospital has an aggressive quality management program and a low volume of medical malpractice claims. The hospital is located in Jefferson City, which is a city of 50,000 with 80,000 in the regional market. The hospital provides a general range of acute care services, including medical/surgical, rehab, and emergency care. Current Performance AnalysisMission and Vision
Our mission: To improve health by providing high-quality care, a comprehensive range of services, and exceptional service.
Our vision: Stevens District Hospital and its affiliates will be the health care provider of choice for physicians and patients. Our five year vision is to create a large, multispecialty physician practice system that would include at least six family practice physicians and specialists in cardiology, oncology, and women’s services. Currently, the hospital employs three family practice physicians, one obstetrician, one medical oncologist, and one non-invasive cardiologist. Previous Strategic Plan Review
Goal
Accomplishments
Increase market share by recruiting three family practice physicians.
The hospital was able to recruit only one family practice physician to increase primary care market this past year. The limited number of state medical school graduates makes local recruitment difficult.
Improve quality HCAHPS scores in all six criteria to a baseline of the 85th percentile.
The hospital improved HCAHPS scores in four of six criteria. Lagging elements in HCAHPS scores are inpatient patient satisfaction and primary care patient satisfaction.Market Forces Affecting the HospitalVolumes
Patients
The continued growth of chronic disease will require changes to the care management model.
Percent of Population by Age
Five Years Ago
Five Years From Now
Under 18
24
18
18 to 44
46
32
45 to 65
26
30
Over 65
4
20
More than 53 percent of residents have at least some college education, with just over 29 percent having an associate, bachelor’s, or graduate degree. More than 90 percent of residents have at least a high school diploma. ...
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Similar to Nobilis health corporate presentation march 3.23.18 final[2] (20)
This document provides an overview of Nobilis Health Corp., including:
- Nobilis operates surgical hospitals, ambulatory surgery centers (ASCs), and clinics across multiple states, utilizing a direct-to-consumer marketing model.
- Their growth strategy focuses on optimizing their case mix, acquiring additional facilities and service lines, and leveraging operational efficiencies through scale.
- Their unique marketing approach drives organic patient volume growth by targeting prospective patients and providing a superior experience for physicians and patients.
The document provides an overview of Nobilis Health Corp., including its business model, growth strategy, and the healthcare industry landscape. Nobilis owns and operates ambulatory surgical centers and specialty hospitals across multiple states. It utilizes a direct-to-consumer marketing model to drive organic patient volume growth. Nobilis' growth strategy focuses on acquiring additional facilities, optimizing its service lines and case mix, and leveraging operational efficiencies. The healthcare industry is shifting procedures to lower-cost outpatient settings like ASCs, which provides opportunities for Nobilis to expand.
Nobilis health corporate presentation dec2018IRNobilisHealth
This presentation provides an overview of Nobilis Health Corp., including:
- Nobilis operates surgical hospitals, ambulatory surgery centers (ASCs), and clinics across Texas and Arizona.
- They have a unique direct-to-patient marketing model that drives organic patient volume growth.
- Nobilis has experienced strong revenue and Adjusted EBITDA growth in recent years and expects continued growth through acquisitions and new facilities.
- The healthcare industry is shifting procedures to lower-cost outpatient settings like ASCs, which benefits Nobilis' business model focused on such facilities.
This presentation provides an overview of Nobilis Health Corp., including its business model, growth strategy, financial performance, and industry outlook. Nobilis utilizes a unique direct-to-patient marketing model to acquire patients and drive organic growth. It has a growing portfolio of surgical facilities across several states. Nobilis is pursuing growth through marketing initiatives, optimizing its case mix, acquisitions, and leveraging operational efficiencies. The ambulatory surgical center industry is large and growing due to favorable trends of cost efficiencies, increased access to care, and an aging population.
Nobilis health corporate presentation august 2017 2IRNobilisHealth
Nobilis Health Corp. utilizes a unique direct-to-patient marketing model to drive additional surgical volume to its portfolio of facilities. The model involves targeting prospective patients through multiple marketing channels and providing a personalized concierge service. This generates higher acuity cases and a scalable revenue stream while offering physicians an opportunity to expand their practices. Nobilis owns and operates surgical hospitals, ambulatory surgery centers, and clinics across five states, utilizing its marketing expertise and portfolio approach to maximize returns.
Nobilis health corporate presentation august 2017 IRNobilisHealth
Nobilis Health Corp is a healthcare company that owns and operates surgical hospitals, ambulatory surgery centers (ASCs), and clinics across five states. The company has a unique direct-to-patient marketing model that drives additional surgical volume to its portfolio of facilities. Nobilis provides a compelling value proposition for physicians, patients, and payors through high-quality and cost-effective care. The company has achieved strong revenue and earnings growth through acquisitions and its marketing strategy, and management aims to continue expanding nationwide.
The document provides an overview of Nobilis Health Corp., including its business model, growth strategy, financial performance, and investment highlights. Specifically:
1) Nobilis owns and operates ambulatory surgical centers and surgical hospitals across multiple states, employing a direct-to-patient marketing model.
2) The company pursues acquisitions of surgical facilities and clinics to expand its geographic footprint and service lines. It focuses on accretive deals that can leverage its marketing capabilities.
3) Nobilis has achieved strong revenue and adjusted EBITDA growth in recent years through both organic growth and acquisitions. It expects this growth trend to continue in 2017 and beyond.
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Methanex is the world's largest producer and supplier of methanol. We create value through our leadership in the global production, marketing and delivery of methanol to customers. View our latest Investor Presentation for more details.
2. This presentation contains forward-looking information (within the meaning of applicable securities laws) relating to the
business of Nobilis Health Corp. (the "Company") and the environment in which it operates. Forward-looking information
may include statements regarding the objectives, business strategies to achieve those objectives, expected financial results,
economic or market conditions, industry specific information, and the outlook of or involving the Company and its
business. Such forward looking information or statements are typically identified by words such as "believe", "anticipate",
"expect", "intend", "plan", "will", "may" and other similar expressions.
Forward-looking information, including any financial outlooks, is provided for the purpose of providing information about
management's expectations and plans about the future and may not be appropriate for other purposes. Forward-looking
information herein is based on various assumptions and expectations that the Company believes are reasonable in the
circumstances. No assurance can be given that these assumptions and expectations will prove to be correct and the
forward-looking information, including the financial outlooks included in this Presentation, should not be unduly relied
upon. Those assumptions and expectations are based on information currently available to the Company, including the
historic performance of the Company's business. Such assumptions include anticipated financial performance, current
business, industry and economic trends, and business prospects and are subject to the risks and uncertainties which are
discussed in the Company's regulatory filings available on the Company's web site at www.NobilisHealth.com or at
www.sec.gov. Any forward-looking statements that we make are based on assumptions as of today, and we undertake no
obligation to update them.
The Company’s management has approved the financial outlooks contained in this presentation.
FORWARD-LOOKING INFORMATION
2
3. LOCATIONS
• 11 markets across 5 states
• 5 surgical hospitals
• 12 ASCs
• 15 multi-specialty clinics
• 34 partner facilities
STRATEGY
• Optimized case mix and payor mix across the portfolio
• Higher acuity procedures leading to higher levels of
reimbursements
• Focus on minimally invasive procedures
• Compelling value proposition for physicians,
patients, and payors
• Low Cap-Ex requirements
• Scalable platform enables nationwide growth
COMPANY OVERVIEW
DIRECT-TO-PATIENT MARKETING MODEL
• Branded procedures drive additional surgical volume to nationwide
network of facilities
• Capitalizes on growing trend of consumerism in healthcare
• Drives organic growth
$300 million in Revenue & $41 million in Adjusted EBITDA, FY 2017 3
4. UNIQUE MARKETING MODEL
• Multiple marketing channels drive organic volume growth
• Proprietary technology platform targets prospective patients
• Strong value proposition: Superior patient experience that expands physicians’ practices
ATTRACTIVE FINANCIAL PROFILE
PATIENT-CENTRIC VALUE PROPOSITION
FAVORABLE PAYOR AND PROCEDURE MIX
ATTRACTIVE INDUSTRY FUNDAMENTALS
EXPERIENCED MANAGEMENT TEAM
• Low leverage
• Low capital expenditure requirements
• Stable cash balance
• Unique marketing model increases case volume and provides superior patient experience
• Offers optimal surgical environments that result in better overall quality of care
• Offers ancillary services that lead to better efficiency and outcomes
• Marketing segment targets higher acuity cases resulting in a highly attractive case mix
• Procedure diversification increases the stability of the revenue base
• Minimal government payor claims reduces risk of Medicare/Medicaid rate changes
• 66% of all surgeries are outpatient with >50% performed in ASCs vs. 32% in 2005
• Lower cost, high quality outpatient setting; trend toward increased consumerism in healthcare
• Abundance of desirable acquisition opportunities due to fragmented market
• Strong management team with healthcare and M&A experience
• Seasoned Ops team leads to financial and operational efficiencies
• Strong in-house and outside legal team to safely navigate complex healthcare space
INVESTMENT HIGHLIGHTS
4
5. UNIQUE PATIENT ACQUISITION MODEL
• Acquires patients from physician partners
• Physicians often form partnerships with inequitable
percentages:
• Productive doctors resent less productive doctors
• Management Co. only manages and does not drive patients
to centers
• Must rely on physician partners to grow their practices to then
bring more patients
• No vertical integration
Traditional Model The Nobilis Health Model
• Nobilis Health owns and manages its
facilities
• Drive patient flow to our facilities
• Control the patient experience through an
expanding continuum of care:
• Patient acquisition
• Primary care
• Ancillaries
• Surgeries
• Post-Op
Nobilis Health
Clinically
Integrated Network
Physician
Partners
Direct to Consumer
Marketing
Joint Marketing
with Physicians
Nobilis Health
Employed Primary
Care Physicians
Physician
Partners
(Minority Ownership)
5
• Ownership is just one of several alignment
opportunities between physicians and
Nobilis Health
• Acquire patients through:
• Direct to Consumer Marketing
• Employment of Primary Care
Physicians
• Clinically Integrated Network
• Joint Marketing with Physicians
• Physician Partners (Minority
Ownership)
6. BUSINESS OVERVIEW
6
Bariatrics
19% General Surgery
5%
GI
1%
Obstetrics &
Gynecology
3%
Orthopedic Surgery
11%
Otolaryngology
5%
Pain
26%
Podiatry
3%
Plastic & Reconstructive
10%
Spine
12%
Vascular
5%
2017 Case Mix 2017 Payor Mix
BCBS TX
17%
BCBS Other
12%
Aetna
11%
Cigna
8%
UHC
18%
Commercial
10%
Self Pay
14%
Workman
Compensation
3%
Medicare
6%
Other
1%
*Note: Measured as a percent of case volumes
7. BUSINESS OVERVIEW
7
Case Volume Revenue Per Case
8,740
17,814
19,941
18,757
0
5,000
10,000
15,000
20,000
25,000
2014 2015 2016 2017
CaseVolume
$9,611
$12,867
$14,329
$15,979
$0
$2,000
$4,000
$6,000
$8,000
$10,000
$12,000
$14,000
$16,000
$18,000
2014 2015 2016 2017
RevenueperCase
* Note: Based on the Company’s average 2017 revenue per case figure of $15,979, the impact of Hurricane
Harvey in the Houston market led to an estimated loss of volume within the range of 950—1,250 cases in 2017.
*
9. AMBULATORY SURGICAL CENTERS (ASCs)
• Outpatient only
• > 5,500 ASCs nation-wide
• 75%+ owned by independent
physician groups
• Full-service hospital
• Inpatient and outpatient
• > 5,700 hospitals nation-wide
• 60%+ not-for-profit
SPECIALTY SURGICAL HOSPITALS (SSHs)
• Typically outpatient focused
• Inpatient and outpatient
• ~300 SSHs nation-wide
SURGICAL SETTING BACKGROUND
TRADITIONAL HOSPITALS
NOBILIS HEALTH
9
10. INDUSTRY GROWTH
• Efficient cost structures
• Increased government focus on healthcare
• Aging population
• Despite recent consolidation activity, the ASC
industry remains highly fragmented
• Industry revenues expected to grow 7.5% as the
population ages and the newly insured access
care, reaching $40 billion annually
• The eight largest ASC owner/operators comprise
~22% of the overall market
• > 50% of outpatient surgeries performed in ASC
setting vs. 32% in 2005
GROWTH OF THE ASC INDUSTRY
Projected ASC Industry Revenue
Independent operators, hospitals, & small chains comprise 78% of ASCs in the U.S.
($ in billions)
$16 $17
$19 $20 $21 $22 $23
$25
$27
$30
$32
$34 $36
$38
$40
$0
$5
$10
$15
$20
$25
$30
$35
$40
$45
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015E
2016E
2017E
2018E
2019E
2020E
Source: CSM, Equity Research, IBIS healthcare expenditures estimates, Becker’s.
10
11. THE SPINE SHIFT
• Spine procedures shifting from inpatient to outpatient
• Key spine procedures have stronger tailwinds due to demographics and improvements in technology
• ~31 million Americans suffer from chronic back pain
• ~600,000 Americans undergo spine surgery every year
INPATIENT SPINE DISCHARGES 2014 - 2019
SHIFT TO OUTPATIENT
OUTPATIENT SPINE DISCHARGES 2014 - 2019
Note: Growth rate data reflects U.S. market.
Source: Wall Street Research.
Advanced Imaging 13%
Arthrocentesis / Injections
5%
Rehab & Chiropractic
14%
Standard Imaging
13%
E&MVisits
17%
FusionSurgery
Spinal Decom. / Laminec.
Vertebral Augmentation
23%
27%
25%17%
-9%
-5%
-2%
2%
-11%
Nobilis Health
Key Procedures
Lumbar / Thoracic Fusion
CervicalFusion
No Procedure and
Diagnostics
Spinal Decompression/
Laminectomy
Vertebral Augmentation
Procedures
Revision Spinal Procedure
11
13. MARKETING EXPERTISE DRIVES ORGANIC GROWTH
• Multiple marketing channels drive volume growth
at hospitals, ASCs, ancillary service lines, and clinics
• Bundled payment capabilities
• Strategically adding new marketing brands to portfolio
• Branded referral program, 360 Concierge
SERVICE LINES AND SPECIALTIES
• Continue optimizing case mix to maximize revenue
potential
• Increase the volume of high acuity procedures that
benefit from higher levels of reimbursement
• Identify and develop additional service lines
appropriate for outpatient environment
GROWTH STRATEGY
ACQUISITION OPPORTUNITIES
• Highly fragmented market with many ideal acquisition targets
• Focus on targets that allow Nobilis Health to cross-sell
service lines and leverage marketing capabilities
• Pursuing in-network targets that are amenable to Nobilis Health
marketing platform and allow the Company to leverage
existing infrastructure
• Acquisition strategy includes facilities and clinical practices
1
3
2
4 OPERATIONAL LEVERAGE
• Focus on driving cost reductions throughout system
• Identify and achieve greater economies of scale as Nobilis Health
continues acquiring new businesses and expanding
its platform
• Experienced leadership team with decades of healthcare
experience
• Clinically integrated network for contracting and care
coordination
13
14. 14
Nobilis Brands
Lead Generation Concierge Service
Inside sales team and IT platform
to maximize patient experience
9 brands marketed directly to
patients via omni-channel
marketing strategy
Patient Tracking Conversion to Surgical Patient
Patient education, medical
review, insurance verification,
and surgical scheduling
Patient follow-up, experience
surveys, and referrals
• Marketing and technology platform that targets prospective
patients
• Unique value proposition to physicians; superior patient
experience
• Generates higher acuity cases vs. traditional referral model
• Scalable revenue driver
• In-house marketing team works one-on-one with physicians to
develop and distribute customized marketing plans
• Helps to expand physicians’ practices, while also driving
additional volume to facilities
• High average ROI
Direct-to-Consumer Marketing Physician Sales
High-Touch Marketing Model
UNIQUE PATIENT ACQUISITION STRATEGY
15. NEUROMONITORING
• Specialties: spine, neuro, orthopedic, Cardiovascular,
and ENT surgery
• 5 states with 54 different facilities (Nobilis & Non-
Nobilis)
ANESTHESIA
• Specialties: spine, bariatrics, ENT, orthopedic, plastic,
and general surgery
• All Nobilis Health facilities
• Helps recruit partner physicians
FIRST ASSIST
• Specialties: spine, bariatrics, ENT, orthopedic, plastic,
and general surgery
• Higher trained providers with Nobilis Health
PHYSICAL THERAPY
• Launched April 2017 as a hospital outpatient department of
Plano Surgical Hospital
• Provides patients and physicians with a partner within Nobilis
Health’s continuum of care
ANCILLARY SERVICES
15
BENEFITS
• Continuity of care for patients
• Improves patient outcomes
• Increases patient and physician satisfaction
• Helps recruit top physicians
• Maximizes revenue by capturing additional revenue streams per patient
DEVELOPMENT
• Nobilis Health actively seeks potential M&A targets in the ancillary
services space
• Focus on acquisitions with revenue potential system wide
• Increased capabilities position Nobilis Health to execute alternative
payment methodologies for payors
PATIENT CENTRIC STRATEGY
• Efficient use of capital and operating resources
• Treat same level of demand with less capacity then stand alone facilities
• Results in increased productivity, lower staffing requirements and reduced
operating and unit costs
16. • Concertis is Nobilis Health’s Clinically Integrated Network (CIN) of
healthcare providers, ancillary providers, and facilities that
improves the patient experience across the continuum of care
• The CIN captures referrals from primary care physicians to
coordinate patient care with Nobilis Health ancillary providers,
surgeons and facilities
• 360 Concierge and the physician portal, divisions of Concertis,
allow providers the ability to monitor patient care as they move
through the Nobilis Health continuum of care
• Launched in May of 2017, the 360 Concierge platform has
generated over 1,000 referrals and approximately of $2.3M in
referral-driven procedure revenue in 2017
• The platform currently enrolls over 100 referring physicians across
Nobilis’ three core markets
• Align with physicians through employment, bundled payment
products, 360 Concierge, and other financial and clinical products
CONCERTIS STRATEGY
PRIMARY CARE PRACTICES
• Less expensive to acquire than specialists
• Allows Nobilis Health to control patient experience
across the
continuum of care
• Feeds volume into bundled payment and 360
Concierge
• Achieves clinical integration
• Brings physicians into our narrow network
• Nobilis Health’s care navigators are trained health
care professionals who serve as patient concierges,
guiding patients through the entire episode of care
from diagnosis to post-surgical care
16
19. ORGANIC vs. ACQUISITION GROWTH
$0
$50
$100
$150
$200
$250
$300
$350
2013 2014 2015 2016 2017
TotalRevenue
Total Organic Revenue
Total Acquired Revenue
Total Rev: $31mm
YoY Growth: $10mm
Total Rev: $84mm
YoY Growth: $53mm
Total Rev: $229mm
YoY Growth: $145mm
Total Rev: $286mm
YoY Growth: $57mm
19
YEAR-OVER-YEAR ORGANIC GROWTH
Total Rev: $300mm
YoY Growth: $14mm
(Millions)
20. 20
KEY METRICS
Cash from Operations of $26.4 million at December 31, 2017, compared with $1.6 million at December 31, 2016
STOCK SNAPSHOT (03/21/18) FINANCIAL SNAPSHOT (12/31/2017)
Symbol (NYSE American) HLTH
Share Price $1.65
Market Cap $129M
Shares Outstanding 78.2M
Float 57M
Insider Ownership 27%
EV/Revenue (2018E) 0.65x
EV/ EBITDA (2018E) 3.82x
Cash $22.5M
Accounts Receivable $144.5M
Net Income $3.8M
Fully Diluted EPS $0.05
Total Debt $120.9M
Net Debt $98.4M
Leverage Ratio 2.5x
* Net income impacted by $6.0 million deferred tax asset adjustment
21. 21
FINANCIAL STATEMENT HIGHLIGHTS
INCOME STATEMENT
STATEMENT OF CASH FLOWS
BALANCE SHEET
As of 12/31/2017
(Millions)
Cash $22.5
Total Assets $431.0
Total Debt $120.9
Total Liabilities $216.3
Net Cash Provided by Operating Activities $26.4
Net Cash Used For Investing Activities $(67.4)
Net Cash Provided by Financing Activities $39.0
Total Revenue $299.7
Operating Expenses
Salaries and Benefits
Drugs and Supplies
General and Administrative
Bad Debt (recovery) Exp
Depreciation and Amortization
Total Operating Expenses
Corporate Expenses
Salaries and Benefits
General and Administrative
Legal
Depreciation
Total Corporate Expenses
$63.8
$48.9
$124.0
$2.4
$11.3
$250.4
$11.7
$12.8
$2.1
$0.4
$27.0
Net Income $3.8
Adjusted EBITDA $41.4
* Net income impacted by $6.0 million deferred tax asset adjustment
23. HARRY FLEMING
Chief Executive Officer & Chairman of the Board
• Joined Nobilis Health in 2010
• Previously served as CFO, President and Executive Chairman of Nobilis
• Earned an MBA from Boston College, a J.D. from the University of Houston, and a B.A. from the
University of St. Thomas
• Joined Nobilis Health in 2010
• Previously served as Chief Operating Officer & Chief Business Development Officer at Nobilis
• Founder & CEO of Diagnostic and Interventional Spine Centers
• Doctorate from Texas Chiropractic College
• Joined Nobilis Health in 2017
• Previously served as Divisional CFO for St. Jude Medical’s America division
• Licensed CPA
• Earned an MBA from the University of Texas at Austin
• Joined Nobilis Health in 2014
• 15 years of healthcare sales and business development
• Previously held successful sales leadership positions at Intuitive Surgical, Medtronic, and Pfizer
• Earned a B.A. from Rhodes College
• Joined Nobilis Health in 2016
• Partner at Baker Donelson, specializing in health law and served as a Director of Legal Services
at Houston Methodist Hospital System
• Earned a J.D. from the University of Houston and B.A. cum laude from Rice University
MANAGEMENT TEAM
KENNETH EFIRD
President
DAVID YOUNG
Chief Financial Officer
PATRICK YODER
Chief Revenue Officer
MARISSA ARREOLA
Chief Strategy Officer / President, Concertis
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24. MARCOS RODRIGUEZ
Chief Accounting Officer
• Joined Nobilis Health in 2016
• Began his career at Deloitte & Touche LLP and served five years as Director at Opportune LLP
• 19 years of financial & accounting reporting, external and internal audits, and SEC regulations
• Earned a B.S. from Louisiana State University and is a licensed CPA
• Joined Nobilis Health in 2017
• 20 years of operational and managerial experience in the healthcare industry
• VP of Continuous Improvement for United Surgical Partners International/ Tenet Healthcare
(“USPI”) and CEO of Memorial Hermann Surgical Hospital Kingwood, in Houston, Texas
• M.S. in Healthcare Management-Emergency Services from University of Maryland
• Joined Nobilis Health in 2015
• Previously served as CFO at Northstar Healthcare LLC and Nobilis Health
• 20 years of financial and accounting reporting in the healthcare industry
• Earned an M.B.A. from Texas Woman’s University and a B.S. from Sacred Heart University
• Joined Nobilis Health in 2017
• Previously served as Director of Marketing for Travelocity and Director of Online Marketing at
Hotels.com
• Earned a J.D. from University of Tennessee College of Law and a B.S. from Vanderbilt University
• Joined Nobilis Health in 2014
• 10 years of finance & accounting experience in the healthcare industry, including HCA & Tenet
• Earned an M.B.A. from University of Texas – San Antonio and a B.S. from New York University
MANAGEMENT TEAM
MARC CELIA
EVP of Operations
KENNETH KLEIN
CFO of Operations
PHIL AYRES
VP of Marketing
BRANDON MORENO
VP of Finance
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25. TEXAS (DALLAS AND HOUSTON) EQUITY
First Surgical Hospital -------------------------------------------------------------------------- 51%
Hermann Drive Surgical Hospital ---------------------------------------------------------- 54.75%
Plano Surgical Hospital ----------------------------------------------------------------------- 100%
Hospital for Surgical Excellence of Oak Bend-------------------------------------------- 50.1%
ARIZONA (SCOTTSDALE)
Scottsdale Liberty Hospital ------------------------------------------------------------------ 75%
NOBILIS HEALTH FACILITIES
Hospitals
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26. TEXAS (DALLAS, HOUSTON, AND EL PASO) EQUITY
First Street Surgical Center (HOPD) ------------------------------------------------------- 51%
Kirby Surgical Center -------------------------------------------------------------------------- 25%
Medical Park Drive Specialty Center (HOPD) -------------------------------------------- 51%
Elite Center for Minimally Invasive Surgery (HOPD) ----------------------------------- 50.1%
Houston Metro Orthopedic & Spine Surgery Center (HOPD) ----------------------- 50.1%
Elite Sinus Spine & Ortho (HOPD) ---------------------------------------------------------- 50.1%
Mountain West Surgery Center (HOPD) -------------------------------------------------- 100%
Uptown Surgery Center (HOPD) ---------------------------------------------------------- 100%
ARIZONA (PHOENIX, SCOTTSDALE, AND TUCSON)
Northstar Healthcare Surgery Center – Scottsdale -------------------------------------- 100%
Chandler Surgery Center ---------------------------------------------------------------------- 100%
Oracle Surgery Center -------------------------------------------------------------------------- 100%
Phoenix Surgery Center ------------------------------------------------------------------------ 100%
NOBILIS HEALTH FACILITIES
ASCs
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27. TEXAS (DALLAS, HOUSTON, ROUND ROCK, SAN ANTONIO) EQUITY
Hamilton Vein Sugar Land Clinic ------------------------------------------------------------- 100%
Hamilton Vein Woodlands Clinic ------------------------------------------------------------ 100%
Hamilton Vein Clear Lake Clinic -------------------------------------------------------------- 100%
Hamilton Vein Katy Clinic ---------------------------------------------------------------------- 100%
Hamilton Vein Stone Oak Clinic --------------------------------------------------------------- 100%
Hamilton Vein Round Rock Clinic ------------------------------------------------------------- 100%
Piney Point Women’s Center (HOPD) ------------------------------------------------------- 51%
P5 Performance (HOPD) ------------------------------------------------------------------------ 100%
ARIZONA (CHANDLER, GLENDALE, PHOENIX, SCOTTSDALE, AND TUCSON)
Arizona Vein & Vascular Chandler Clinic ---------------------------------------------------- 100%
Arizona Vein & Vascular Oracle Clinic ------------------------------------------------------- 100%
Arizona Vein & Vascular Phoenix Clinic ----------------------------------------------------- 100%
Arizona Vein & Vascular Surprise Clinic ---------------------------------------------------- 100%
DeRosa Medical Clinic – Glendale ----------------------------------------------------------- 100%
DeRosa Medical Clinic – Chandler ----------------------------------------------------------- 100%
DeRosa Medical Clinic – Scottsdale ---------------------------------------------------------- 100%
NOBILIS HEALTH FACILITIES
Clinics
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28. NOBILIS HEALTH BRANDS
North American Spine
The flagship brand, North American Spine
offers innovative, minimally invasive back and
neck surgeries and enjoys a solid track record of
superior outcomes. The minimally invasive,
laser spine procedures enjoy high recognition in
their markets and the aging population
encourages strong natural growth.
Clarity Vein & Vascular
Clarity Vein and Vascular provides minimally
invasive surgical treatment of painful and/or
unsightly vascular conditions ranging from the
relatively benign, like varicose or spider veins,
to the dangerous, like deep vein thrombosis or
peripheral artery disease.
Hamilton Vein Center
Hamilton Vein and Vascular is a full-service
clinical practice with multiple Texas locations
and an impressive record of successful
treatments. Adept at cosmetic procedures for
conditions like spider and varicose veins, the
practice also excels at diagnosing and treating
potentially harmful underlying conditions.
Migraine Treatment Centers of America
Migraine Treatment Centers of America is the
exclusive provider of the Omega™ Procedure, a
non-pharmaceutical surgical implant for the
relief of chronic migraine pain. Increasing
awareness of neurostimulation techniques,
vocal support from past patients, and favorable
insurance policies position the brand as very
high growth.
Arizona Vein & Vascular Center
Arizona Vein and Vascular is a mature practice
in the Phoenix/Scottsdale area that, like Clarity
Vein and Vascular, provides minimally invasive
treatment of venous conditions and disorders
from the unsightly to the dangerous.
MIRI Women’s Health
MIRI Women’s Health focuses on minimally
invasive surgeries for gynecological conditions
and offers second opinions for those seeking an
alternative to traditional hysterectomies.
Evolve
Evolve, a bariatric surgery brand, benefits from
increasing medical consensus on the health
benefits of bariatric surgery over conventional
diet and exercise for the significantly or morbidly
obese. Nationally rising rates of obesity and more
farsighted, preventive insurance policies poise
the brand for strong growth.
Onward Orthopedics
Onward Orthopedics treats non-spine joint
issues for patients of all ages and types. The
brand benefits from partner physicians with
solid histories of high-profile sports clients, and
can provide referrals to the North American
Spine and NueStep brands.
NueStep
NueStep focuses on the minimally invasive
relief of foot and ankle pain due to nerve
entrapment and a variety of other podiatric
issues. The brand’s success is a result of
educational marketing campaigns designed to
correct a historical under-appreciation of foot
pain and therapeutic modes used to address it.
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