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Private	Lender PresentationNYSE	American:	HLTH
January	8,	2018
Corporate	Presentation
1
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,	www.sec.gov,	
or	at	www.sedar.com.	Any	forward-looking	statements	that		we make are based on assumptions as of	today, and we
undertake no obligation to update them.	
The	Companyā€™s	management	has	approved	 the	financial	outlooks	contained	in	this	presentation.	
FORWARD-LOOKING	INFORMATION
2
LOCATIONS
ā€¢ 10	markets	across	5	states
ā€¢ 5	surgical	hospitals
ā€¢ 13	ASCs
ā€¢ 13	multi-specialty	clinics
ā€¢ 36	partner	facilities	
STRATEGY
ā€¢ Optimized	case	mix	and	payor mix	across	the	portfolio	
ā€¢ Higher	acuity	procedures	leading	to	higher	levels	of	
reimbursements	
ā€¢ Focus	on	minimally	invasive	procedures	
ā€¢ Compelling	value	proposition	for	physicians,	
patients,	and	payors	
ā€¢ Low	Cap-Ex	requirements
ā€¢ Scalable	platform	enables	nationwide	growth
COMPANY	OVERVIEW
DIRECT-TO-PATIENT	MARKETING	MODEL
ā€¢ Branded	procedures	drive	additional	surgical	volume	to	nation-wide
network	of	facilities
ā€¢ Capitalizes	on	growing	trend	of	ā€˜consumerismā€™	in	healthcare	
ā€¢ Drives	organic	growth	
$315	million	in	revenue	&	$40	million	in	Adjusted	EBITDA,	LTM	September	2017	
Markets	with	Nobilis	owned	facilities
Markets	with	Nobilis	partner	facilities
3
UNIQUE	MARKETING	MODEL
ā€¢ Multiple	marketing	channels	drive	organic	volume	growth
ā€¢ Proprietary	technology	platform	targets	prospective	patients
ā€¢ Strong	value	proposition:	Superior	patient	experience	that	expands	physiciansā€™	practices
ATTRACTIVE	FINANCIAL	PROFILE
PATIENT-CENTRIC	VALUE	PROPOSITION
FAVORABLE	PAYOR	AND	PROCEDURE	MIX
ATTRACTIVE	INDUSTRY	FUNDAMENTALS
EXPERIENCED	MANAGEMENT	TEAM
ā€¢ Low	leverage
ā€¢ Low	capital	expenditure	requirements	
ā€¢ Stable	cash	balance	
ā€¢ Unique	marketing	model	increases	case	volume	and	provides	superior	patient	experience
ā€¢ Offers	optimal	surgical	environments	that	result	in	better	overall	quality	of	care
ā€¢ Offers	ancillary	services	that	lead	to	better	efficiency	and	outcomes
ā€¢ Marketing	segment	targets	higher	acuity	cases	resulting	in	a	highly	attractive	case	mix
ā€¢ Procedure	diversification	increases	the	stability	of	the	revenue	base
ā€¢ Minimal	government	payor claims	reduces	risk	of	Medicare/Medicaid	rate	changes
ā€¢ 66%	of	all	surgeries	are	outpatient	with	>50%	performed	in	ASCs	vs.	32%	in	2005
ā€¢ Lower	cost,	high	quality	outpatient	setting;	trend	toward	increased	consumerism	in	healthcare
ā€¢ Abundance	of	desirable	acquisition	opportunities	due	to	fragmented	market
ā€¢ Strong	management	team	with	M&A	and	healthcare	experience
ā€¢ Seasoned	Ops	team	leads	to	financial	and	operational	efficiencies
ā€¢ Strong	in-house	and	outside	legal	team	to	safely	navigate	complex	healthcare	space
INVESTMENT	HIGHLIGHTS
4
UNIQUE	PATIENT	ACQUISITION	MODEL
ā€¢ Acquires	patients	from	physician	partners	who	are	not	
obligated	to	bring	cases	to	their	facility
ā€¢ Physicians	often	form	partnerships	with	inequitable	
percentages:
ā€¢ Productive	doctors	resent	less	productive	doctors
ā€¢ Management	Co.	only	manages	and	does	not	drive	patients		
to	centers
ā€¢ No	growth	drivers	ā€“ must	rely	on	physician	partners	to	grow	
their	practices	to	then	bring	more	patients	
ā€¢ No	vertical	integration
Traditional Model The Nobilis Model
ā€¢ Acquire	patients	through:	
ā€¢ Marketing	programs
ā€¢ Network	of	primary	care
physician	partners
ā€¢ Physician	employees
ā€¢ Ownership	is	just	one	of	several	
alignment	opportunities	between	
physicians	and	Nobilis
ā€¢ Nobilis	owns and	manages its	facilities
Nobilis Health
Network / Clinically
Integrated Network
Physician
Partners
Direct to Consumer
Marketing
Joint Marketing
with Physicians
Nobilis Health
Employed Primary
Care Physicians
ā€¢ Drive	patient	flow	to	our	facilities
ā€¢ Control	the	patient	experience	through	an	
expanding continuum of	care:
ā€¢ Patient	acquisition
ā€¢ Primary	care
ā€¢ Ancillaries
ā€¢ Surgeries
ā€¢ Post-Op
Physician
Partners
(Minority Ownership)
5
FAVORABLE	CASE	MIX FAVORABLE	PAYOR	MIX
Note: Unless otherwise dated, figures are based on the LTM period ended 9/30/2017, pro forma for the full year impact of the AZ Vein acquisition.
Note 2: Case mix based on number of cases; payor mix based on revenue.
ENT
4%
General Surgery
4%
Ortho
7%
Pain
26%
Spine
18%
Bariatrics
19%
Vein/Vascular
4%
Podiatrist
2%
GI
1%
Plastic
Surgery
10%
GYN
3%
Migraine
2%
AETNA
22%
BCBS
16%
CIGNA
9%
UHC
33%
Other
Commercial
10%
Self Pay
6%
WC
3%
Medicare
1%
NOBILIS	BUSINESS	OVERVIEW
6
ā€œTargeting	Higher	Acuity	Casesā€ ā€œMinimal	Government	Payor	Claimsā€
Private	Lender Presentation
INDUSTRY	OVERVIEW
7
AMBULATORY	SURGICAL	CENTERS	(ASCs)	
ā€¢ Outpatient	only
ā€¢ >	5,500	ASCs	nation-wide
ā€¢ 70%+	owned	by	independent
physician	groups
ā€¢ Full-service	hospital
ā€¢ Inpatient	and	outpatient
ā€¢ >	5,700	hospitals	nation-wide
ā€¢ 60%+	not-for-profit	
SPECIALTY	SURGICAL	HOSPITALS	(SSHs)	
ā€¢ Typically	outpatient	focused
ā€¢ Inpatient	and	outpatient
ā€¢ ~300	SSHs	nation-wide
SURGICAL	SETTING	BACKGROUND
TRADITIONAL	HOSPITALS
NOBILIS	HEALTH
8
INDUSTRY	GROWTH
ā€¢ Efficient	cost	structures
ā€¢ Increased	government	focus	on	healthcare
ā€¢ Aging	population
ā€¢ Newly	insured	access	care	
ā€¢ Economies	of	scale	drive	partnership	decision	
for	physician-owned	facilities
ā€¢ >	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	comprised	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, Beckerā€™s.
9
THE	SPINE	SHIFT
ā€¢ Less	complex	spine	procedures	shifting	from	inpatient	to	outpatient	
ā€¢ Key	spine	procedures	have	stronger	tailwinds	due	to	demographics	and	improvements	in	technology	
ā€¢ ~31	million	Americans	suffer	from	chronic	back	pain	
ā€¢ ~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%
Fusion Surgery
Spinal Decom. / Laminec.
Vertebral Augmentation
23%
27%
25%17%
-9%
-5%
-2%
2%
-11%
Nobilis Key
Procedures
Lumbar / Thoracic Fusion
Cervical Fusion
No Procedure and
Diagnostics
Spinal Decompression/
Laminectomy
Vertebral Augmentation
Procedures
Revision Spinal Procedure
10
Private	Lender Presentation
GROWTH	STRATEGY
11
MARKETING	EXPERTISE	DRIVES	ORGANIC	GROWTH
ā€¢ Multiple	marketing	channels	drive	volume	growth
at	hospitals,	ASCs,	and	ancillary	service	lines
ā€¢ Bundled	payment	capabilities	
ā€¢ Strategically	adding	new	marketing	brands	to	portfolio	
ā€¢ Branded	referral	program,	360	Concierge	
SERVICE	LINES	AND	SPECIALTIES	
ā€¢ Continue	optimizing	case	mix	to	maximize	revenue	
potential
ā€¢ Increase	the	volume	of	high	acuity	procedures	that	
benefit	from	higher	levels	of	reimbursement
ā€¢ Identify	and	develop	additional	service	lines	
appropriate	for	outpatient	environment	
GROWTH	STRATEGY
ACQUISITION	OPPORTUNITIES
ā€¢ Highly	fragmented	market	with	many	ideal	acquisition	targets
ā€¢ Focus	on	targets	that	allow	Nobilis	Health	to	cross-sell	
service	lines	and	leverage	marketing	capabilities	
ā€¢ Pursuing	in-network	targets	that	are	amenable	to	Nobilis	Health	
marketing	platform	and	allow	the	Company	to	leverage	
existing	infrastructure
ā€¢ Acquisition	strategy	includes	facilities	and	clinical	practices
1
3
2
4 OPERATIONAL	LEVERAGE
ā€¢ Focus	on	driving	cost	reductions	throughout	system
ā€¢ Identify	and	achieve	greater	economies	of	scale	as	Nobilis
continues	acquiring	new	businesses	and	expanding	
its	platform	
ā€¢ Experienced	leadership	team	with	decades	of	healthcare	
experience
ā€¢ Clinically	integrated	network	for	contracting	and	care
coordination
12
DIRECT-TO-CONSUMER	MARKETING
ā€¢ Marketing	and	technology	platform	targets
prospective	patients	
ā€¢ Unique	value	proposition	to	physicians;	superior	patient
experience	
ā€¢ Scalable	revenue	driver	
ā€¢ Portfolio	effect	ā€“ direct	cases	to	specific	facilities	on	a	
procedure-by-procedure	basis	for	best	clinical	outcome
and	return	on	investment
UNIQUE	PATIENT	ACQUISITION	STRATEGY
PHYSICIAN	SALES	
ā€¢ In-house	marketing	team
ā€¢ Builds	and	executes	marketing	plans	on	behalf	of	physicians	
ā€¢ Expands	physiciansā€™	practices,	optimized	payor and	procedure	
mix,	and	drives	additional	volume	to	Nobilis	facilities	
ā€¢ High	average	return-on-investment	(ROI)	
13
HIGH	TOUCH	MARKETING	MODEL
Lead	Generation
Direct-to-Patient	Engagement	Points
ā€¢ Digital
ā€¢ Traditional	(TV,	Radio)
ā€¢ Email	&	Content
ā€¢ Real-Time	Fulfillment	
Concierge	Service
Inside	Sales	Team	+	IT	Platform	
ā€¢ Dedicated	Patient	Coordinators	
ā€¢ Multi-touch,	Full	Service	Process	
ā€¢ Proprietary	Software	Solutions
ā€¢ CRM	
Conversion	to	Surgical	Patient
Patient	Process	Management	
ā€¢ Patient	Education
ā€¢ Imaging	Review	by	Medical	Team
ā€¢ Insurance	Verification	&	Explanation
ā€¢ Surgery	Clearance	Management
ā€¢ Surgery	Scheduling/Coordination	
Patient	Tracking
Patient	Experience	Follow	Up/Facilitate	Research
ā€¢ Post	Operative	Follow-up	Contact	
ā€¢ Patient	Experience	Surveys	&	Testimonial
ā€¢ Referral	Request	
ā€¢ 360	Concierge	Tracking	Through-out	Continuum
of	Care
ā€¢ Promotes	Succinct	Treatment	Algorithm	which	
Results	in	Improved	Patient	Outcomes	and	Lower	
Healthcare	Costs	
14
FIRST	ASSIST
ā€¢ Cover	100%	of	outpatient	spine	cases	through	
qualifying	direct-to-consumer
ā€¢ Specialties:	spine,	bariatrics,	ENT,	orthopedic,	plastic,	
and	general	surgery
NEUROMONITORING	
ā€¢ Focused	on	spine	procedures	(100%	of	
direct-to-consumer	cases)	
ā€¢ 5 states	with	54	different	facilities	(Nobilis &	Non-Nobilis)	
ā€¢ Specialties:	spine,	neuro,	orthopedic,	CV,	and	ENT	
ANCILLARY	SERVICES
ANESTHESIA
ā€¢ All	Nobilis facilities	
ā€¢ Helps	recruit	partner	physicians
ā€¢ Specialties:	spine,	bariatrics,	ENT,	orthopedic,	plastic,	and	
general
PHYSICAL	THERAPY
ā€¢ Launched	April	2017	as	a	hospital	outpatient	department
of	Plano	Surgical	Hospital	
ā€¢ Provides	patients	and	physicians	with	a	partner	in	the			
continuum	of	care
15
BENEFITS
ā€¢ Continuity	of	care	for	patients
ā€¢ Helps	recruit	top	physicians
ā€¢ Increases	patient	and	physician	satisfaction
ā€¢ Improves	patient	outcomes
ā€¢ Accretive	to	earnings	
ANCILLARY	SERVICES
DEVELOPMENT
ā€¢ Nobilis actively	seeks	potential	M&A	targets	in	the	
ancillary	services	space	
ā€¢ Focus	on	acquisitions	with	revenue	potential	system	
wide	
ā€¢ Increased	capabilities	position	Nobilis to	execute	
alternative	payment	methodologies	for	payors	
PATIENT	CENTRIC	STRATEGY
ā€¢ Achieve	economies	of	scale
ā€¢ Make	efficient	use	of	capital	and	operating	resources
ā€¢ Treat	same	level	of	demand	with	less	capacity	then
stand	alone	facilities
ā€¢ Results	in	increased	productivity,	lower	staffing
requirements	and	reduced	operating	and	unit	costs
FINANCIAL	CONTRIBUTION		
ā€¢ 2016	revenue	of	$20.4	million	compared	to	$2.3
million	in	2015
ā€¢ Maximizes	revenue	by	capturing	additional	revenue	
streams	per	patient	
16
ā€¢ Concertis is	Nobilis	Healthā€™s	Clinically	Integrated	Network	(CIN)	of
healthcare	providers,	ancillary	providers,	and	facilities	that
improves	the	patient	experience	across	the	continuum	of	care
ā€¢ The	CIN	captures	referrals	from	primary	care	physicians	to
coordinate	patient	care	with	Nobilis	Health	ancillary	providers,	surgeons	
and	facilities
ā€¢ 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
ā€¢ As	of	September,	we	have	over	100	providers	in	the	360	Concierge
system	across	our	three	major	markets,	which	has	resulted	in	over	1,000
referrals	to	the	Nobilis	Health	system
ā€¢ Align	with	physicians	through	employment,	bundled	payment
products,	360	Concierge,	and	other	financial	and	clinical	products
CONCERTIS	STRATEGY
PRIMARY	CARE	PRACTICES
ā€¢ Less	expensive	to	acquire	than	specialists
ā€¢ Allows	Nobilis	Health	to	control	patient	experience	across	the
continuum	of	care	
ā€¢ Feeds	volume	into	bundled	payment	and	360	Concierge	
ā€¢ Achieves	clinical	integration
ā€¢ Bring	physicians	into	our	narrow	network
ā€¢ Our	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
17
Private	Lender Presentation
ELITE	TRANSACTION	OVERVIEW
18
ā€¢ 4	ASCs	&	Surgical	Hospitals	in	Houston	Metro	Area
ā€¢ $49.0M	LTM	9/30/17	Revenue	
ā€¢ $30.3M	LTM	9/30/17	Adjusted	EBITDA
ā€¢ 76	Physician	Partners
ā€¢ 86	Referring	Physicians	
COMBINED	REGIONAL	LEADER
This image cannot currently
be displayed.
ā€¢ 14	ASCs	&	Surgical	Hospitals	
ā€¢ 5 ASCs	&	Surgical	Hospitals	in	Houston	Metro	Area
ā€¢ $314.8M	LTM	9/30/17	Revenue	(1)
ā€¢ $39.6M	LTM	9/30/17	Adjusted	EBITDA	(1)
ā€¢ 41	Physician	Partners
ā€¢ 490	Referring	Physicians	
(1) Pro forma for the full year impact of the AZ Vein acquisition.
(2) Includes $2 million of estimated cost synergies resulting from the consolidation of one Elite and one Nobilis ASC currently colocated at the same address.
ASCs	&	
Surgical	Hospitals	
ASCs,	Surgical	
Hospitals	&	Clinics	in	
Houston	Metro
LTM	9/30/17	
Revenue	
LTM	9/30/17	
Adjusted	EBITDA
(Net	NCI)
Physician
Partners
Referring	
Physicians	
19
CASE	MIX
PAYOR	MIX
19,325
29,126
30,978 30,701
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
2014 2015 2016 LTM
6/30/17
Cases
CASE	VOLUME	&	REVENUE	PER	CASE
IN-NETWORK	CASE	MIX
Pain
27%
Spine
15%
Ortho
14%
Bariatrics
14%
ENT
9%
Plastic
7%
Podiatrist
4%
Other
11%
UHC 29%
Aetna 23%
BCBS TX
12%
BCBS 6%
Other
Commercial
12%
Cigna 11%
Self
4%
Worker's Comp 2%
Medicare 0.6%
Out-of-
Network
54%
In-Network
46%
$7,380
$9,634
$11,432
$12,344
$0
$2,000
$4,000
$6,000
$8,000
$10,000
$12,000
$14,000
2014 2015 2016 LTM
6/30/17
Rev. Per Case
PRO	FORMA	POST	ACQUISTION
Note: All figures unless otherwise stated are based on LTM 6/30/2017 pro forma for the full year impact of the AZ Vein acquisition.
20
Private	Lender Presentation
FINANCIAL	OVERVIEW
21
REVENUE	AND	ADJUSTED	EBITDA
FINANCIAL	PERFORMANCE
(Millions)
$31	
$84	
$229
$286	
$310	- $325
$3
$11	
$40	
$34	
$40	- $45
$-
$20
$40
$60
$80
$100
$120
$140
$-
$50	
$100	
$150	
$200	
$250	
$300	
$350	
2013 2014 2015 2016 2017E
Total	Revenue Adj.		EBITDA
Track	Record	of	Strong	Revenue	and	
Adj.	EBITDA	Growth
22
*Lower	end	of	guidance	due	to	impact	of	Hurricane	Harvey.	
2017	Guidance	provided	on	March	13,	2017:
Revenue:	$310M-$325M
Adj.	EBITDA:	$40M-$45M
Revenue
Adj.	EBITDA
TOTAL	REVENUE
$51
$68
$62
$80
$71 $65
$286
$310	- $325
$0
$50
$100
$150
$200
$250
$300
$350
Q1	16 Q1	17 Q2	16 Q2	17 Q3	16 Q3	17 2016 2017E
Revenue
2017	OPERATING	PERFORMANCE
23
*Lower	end	of	guidance	due	to	impact	of	Hurricane	Harvey.	
2017	Guidance	provided	on	March	13,	2017:
Revenue:	$310M-$325M
Adj.	EBITDA:	$40M-$45M
(Millions)
ADJUSTED	EBITDA
$0.4
$2
$9
$10
$4
$7
$34
$40	- $45
$0
$10
$20
$30
$40
$50
Q1	16 Q1	17 Q2	16 Q2	17 Q3	16 Q3	17 2016 2017E
Adj.	EBITDA
2017	OPERATING	PERFORMANCE
24
*Lower	end	of	guidance	due	to	impact	of	Hurricane	Harvey.	
2017	Guidance	provided	on	March	13,	2017:
Revenue:	$310M-$325M
Adj.	EBITDA:	$40M-$45M
(Millions)
ORGANIC	vs.	ACQUISITION	GROWTH
25
(Millions)
YEAR-OVER-YEAR	ORGANIC	GROWTH
$0	
$50	
$100	
$150	
$200	
$250	
$300	
$350	
2013 2014 2015 2016
Revenue
Total	Organic	Revenue Total	Acquired	Revenue
Total	Rev:	$84mm
YoY	Growth:	$53mm	
Total	Rev:	$229mm
YoY	Growth:	$146mm	
Total	Rev:	$286mm
YoY	Growth:	$57mm	
Total	Rev:	$31mm
YoY	Growth:	$10mm
26
KEY	METRICS
Total	cash	of	$34.1	million	at	September	30,	2017,	compared	with	$24.6	million	at	December	31,	2016
STOCK	SNAPSHOT	(01/05/18) FINANCIAL	SNAPSHOT	(9/30/2017)
*All	amounts	in	millions,	unless	denoted	otherwise	
*Source:	Yahoo	Finance
Symbol	(NYSE	American) HLTH
Share	Price $1.35
Market	Cap $105
Shares	Outstanding 77.8
Float 56
Insider	Ownership	(%) 28
LTM	Adjusted	EBITDA $39.6
EV/EBITDA 4.3x
Price/	Sales	(LTM) 0.33x
Cash $34.1
Accounts Receivable $112.4
Net	Income $1.0
Fully	Diluted	EPS $0.01
Projected	CAPEX $7	- $8
Total	Debt $75.7
Net	Debt $41.6
Leverage	Ratio 1.9x
27
FINANCIAL	STATEMENT	HIGHLIGHTS
INCOME	STATEMENT
STATEMENT	OF	CASH	FLOWS
BALANCE	SHEET
As	of	9/30/2017
(Millions)
Cash $34.1
Total	Assets $317.1
Total	Debt $75.7
Total	Liabilities $159.1
Net	Cash	Provided	by	Operating	Activities $27.9
Net	Cash	Used For	Investing	Activities	 $(13.3)
Net Cash	Used	For	Financing	Activities $(5.0)
Total Revenue	 $64.7
Operating	Expenses
Salaries	and	Benefits
Drugs	and	Supplies
General	and	Administrative
Depreciation	and	Amortization
Total	Operating	Expenses
Corporate Expenses
Salaries	and	Benefits
General	and	Administrative
Legal
Depreciation
Total	Corporate	Expenses
$15.7
$10.4
$27.6
$2.7
$56.4
$2.9
$3.3
$0.7
$0.1
$7.0
Net	Income $1.0
Adjusted	EBITDA $6.7
Private	Lender Presentation
APPENDIX
28
HARRY	FLEMING
Chief	Executive	Officer	&	Chairman	of	the	Board
ā€¢ Joined	Nobilis	in	2010
ā€¢ Previously	served	as	CFO,	President	and	Executive	Chairman	of	Nobilis
ā€¢ Earned	an	MBA	from	Boston	College,	a	J.D.	from	the	University	of	Houston,	and	a	B.A.	from	the
University	of	St.	Thomas
ā€¢ Joined	Nobilis	in	2010
ā€¢ Previously	served	as	Chief	Operating	Officer	&	Chief	Business	Development	Officer	at	Nobilis
ā€¢ Founder	&	CEO	of	Diagnostic	and	Interventional	Spine	Centers
ā€¢ Doctorate	from	Texas	Chiropractic	College
ā€¢ Joined	Nobilis	in	2017
ā€¢ Previously	served	as	Divisional	CFO	for	St.	Jude	Medicalā€™s	America	division
ā€¢ Licensed	CPA
ā€¢ Earned	an	MBA	from	the	University	of	Texas	at	Austin
ā€¢ Joined	Nobilis	in	2014
ā€¢ 15	years	of	healthcare	sales	and	business	development
ā€¢ Previously	held	successful	sales	leadership	positions	at	Intuitive	Surgical,	Medtronic,	and	Pfizer
ā€¢ Earned	a	B.A.	from	Rhodes	College
ā€¢ Joined	Nobilis	in	2016
ā€¢ Partner	at	Baker	Donelson,	specializing	in	health	law	and	served	as	a	Director	of	Legal	Services	
at	Houston	Methodist	Hospital	System
ā€¢ 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
29
MARCOS	RODRIGUEZ
Chief	Accounting	Officer
ā€¢ Joined	Nobilis	in	2016
ā€¢ Began	his	career	at	Deloitte	&	Touche LLP	and	served	five	years	as	Director	at	Opportune	LLP
ā€¢ 19	years	of	financial	&	accounting	reporting,	external	and	internal	audits,	and	SEC	regulations
ā€¢ Earned	a	B.S.	from	Louisiana	State	University	and	is	a	licensed	CPA
ā€¢ Joined	Nobilis	in	2017
ā€¢ 20	years	of	operational	and	managerial	experience	in	the	healthcare	industry
ā€¢ VP	of	Continuous	Improvement	for	United	Surgical	Partners	International/	Tenet	Healthcare	
(ā€œUSPIā€)	and	CEO	of	Memorial	Hermann	Surgical	Hospital	Kingwood,	in	Houston,	Texas
ā€¢ M.S.	in	Healthcare	Management-Emergency	Services	from	University	of	Maryland
ā€¢ Joined	Nobilis	in	2015
ā€¢ Previously	served	as	CFO	at	Northstar Healthcare	LLC	and	Nobilis	Health	
ā€¢ 20	years	of	financial	and	accounting	reporting	in	the	healthcare	industry
ā€¢ Earned	an	M.B.A.	from	Texas	Womanā€™s	University	and	a	B.S.	from	Sacred	Heart	University	
ā€¢ Joined	Nobilis	in	2017
ā€¢ Previously	served	as	Director	of	Marketing	for	Travelocity	and	Director	of	Online	Marketing	at	
Hotels.com	
ā€¢ Earned	a	J.D.	from	University	of	Tennessee	College	of	Law	and	a	B.S.	from	Vanderbilt	University
ā€¢ Joined	Nobilis	in	2014
ā€¢ 10	years	of	finance	&	accounting	experience	in	the	healthcare	industry,	including	HCA	&	Tenet
ā€¢ Earned	an	M.B.A.	from	University	of	Texas	ā€“ 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
30
TEXAS	(DALLAS	AND	HOUSTON) EQUITY
First	Nobilis	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	FACILITIES
Hospitals
31
TEXAS	(DALLAS,	HOUSTON,	AND	EL	PASO) EQUITY
First Nobilis 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 Ortho & 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 ā€“ Scottsdale -------------------------------------- 100%
Chandler Surgery Center ---------------------------------------------------------------------- 100%
Oracle Surgery Center -------------------------------------------------------------------------- 100%
Phoenix Surgery Center ------------------------------------------------------------------------ 100%
Surprise Surgery Center ------------------------------------------------------------------------ 100%
NOBILIS	FACILITIES
ASCs
32
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%
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	ā€“ Glendale	----------------------------------------------------------- 100%
DeRosa	Medical	Clinic	ā€“ Chandler	----------------------------------------------------------- 100%
DeRosa	Medical	Clinic	ā€“ Scottsdale	---------------------------------------------------------- 100%
NOBILIS	FACILITIES
Clinics	
33
NOBILIS	FACILITIES
34
FACILITY	NAME FACILITY	DETAILS SPECIALTIES
PLANO	SURGICAL	HOSPITAL ā€¢	26	Inpatient	Beds ā€¢	Bariatrics
ā€¢	6	ORs ā€¢	Spine
ā€¢	2	Procedure	Rooms ā€¢	Plastic Surgery
ā€¢	Orthopedics
ā€¢	General	Surgery
ā€¢	Pain	Management
KIRBY	SURGICAL	CENTER ā€¢	4	ORs ā€¢	Orthopedics
ā€¢	1	Procedure	Room ā€¢	General	Surgery
ā€¢	Pain
ā€¢	ENT
HERMANN	DRIVE	SURGICAL	HOSPITAL ā€¢	22	Beds ā€¢	Bariatrics
ā€¢	18	Private	Rooms ā€¢	Spine
ā€¢	6	ORs ā€¢	Plastic Surgery
ā€¢	2	Procedure	Rooms ā€¢	Orthopedics
ā€¢	General	Surgery
FIRST	STREET	SURGICAL	HOSPITAL ā€¢	4	ORs ā€¢	Bariatrics
ā€¢	1	Procedure		Room ā€¢	Spine
HOPDs	of	First	Surgical	Hospital: ā€¢	Plastic Surgery
First	Street	Surgery	Center ā€¢	4	ORs ā€¢	Orthopedics
Medical	Park	Specialty	Center				ā€¢	1	OR ā€¢	General	Surgery
ā€¢	Pain	Management
ATRIUM	MEDICAL	CENTER	 ā€¢	Bariatrics
ā€¢	Spine
HOPDs	of	Atrium Medical	Centre: ā€¢	Plastic Surgery
Uptown	Surgery	Center ā€¢	2 ORs ā€¢	Orthopedics
ā€¢	General	Surgery
ā€¢	Pain	Management
NOBILIS	FACILITIES
35
FACILITY	NAME FACILITY	DETAILS SPECIALTIES
NORTHSTAR	HEALTHCARE	SURGERY	CENTER	- SCOTTSDALE ā€¢	4	ORs ā€¢	Plastic Surgery
ā€¢		1	Procedure	Room ā€¢	Orthopedics
ā€¢	General	Surgery
ā€¢	Pain	management
ā€¢	Bariatrics
ā€¢	Podiatry
SCOTTSDALE	LIBERTY	HOSPITAL ā€¢	12	Inpatient	Beds ā€¢	Spine
ā€¢	2	ORs ā€¢	Orthopedic	Surgery
ā€¢	1	Procedure	Room ā€¢	General	Surgery
ā€¢	Podiatry
ā€¢	Bariatrics
ā€¢	Migraine
ā€¢	Vascular
ARIZONA	VEIN	&	VASCULAR	CENTER ā€¢	4	Clinics ā€¢	Vascular
ā€¢	4	ASCs
ā€¢	15	ORs
HAMILTON	VEIN	CENTER ā€¢	6	Clinics ā€¢	Vascular
ā€¢	20	Radiofrequency Ablations	(RFAs)
DEROSA	MEDICAL ā€¢	3	Clinics ā€¢	Health	&	Wellness
ā€¢	9 Providers ā€¢	Weight	Loss
ā€¢	Chronic	Health	Condition	Management
MESA	HILLS	SPECIALTY	HOSPITAL
HOPDs	of	Mesa Hills	Specialty	Hospital:
Mountain	West Surgery	Center ā€¢	2	ORs
ā€¢	2	Procedure	Rooms
ā€¢	Spine
ā€¢	Orthopedic Surgery	
ā€¢	General	Surgery	
ā€¢	Podiatry	
ā€¢	Bariatrics
ā€¢	Migraine
ā€¢	Plastic	Surgery
NOBILIS	FACILITIES
36
FACILITY	NAME FACILITY	DETAILS SPECIALTIES
ELITE	CENTER	FOR	MINIMALLY	INVASIVE	SURGERY	(ā€œTRAVISā€) ā€¢	4	ORs ā€¢	Orthopedic
ā€¢	2 Treatment Rooms ā€¢	ENT
ā€¢	1	Private	Rooms	- Overnight ā€¢	Pain
ā€¢	Podiatry
ā€¢	GI
HOUSTON METRO	ORTHO	&	SPINE	SURGERY	CENTER	(ā€œMETROā€) ā€¢	3 ORs ā€¢	ENT
ā€¢	2	Treatment	Rooms ā€¢	Orthopedic
ā€¢ 2 Private Rooms - Overnight ā€¢	Pain
ā€¢	Spine
ELITE	SPINE	SINUS	&	ORTHO (ā€œRIVER	OAKSā€) ā€¢	22	Beds ā€¢	Pain
ā€¢	18	Private	rooms ā€¢	Orthopedic
ā€¢	6	ORs ā€¢	Podiatry
ā€¢	2	Procedure	Rooms ā€¢	Oculoplastic
ā€¢	Plastic	Surgery
ā€¢ Ophthalmology
ā€¢	Spine
ā€¢ ENT
HOSPITAL FOR	SURGICAL	EXCELLENCE	OF	OAK	BEND ā€¢	4	ORs ā€¢	Pain
ā€¢	1 Treatment Room ā€¢	Orthopedic
ā€¢	6	Inpatient Rooms ā€¢	Podiatry
ā€¢	GI
ā€¢	Spine
ā€¢	ENT
ā€¢	Urology
NOBILIS	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	Omegaā„¢	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	Womenā€™s	Health
MIRI	Womenā€™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	brandā€™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.
37
Personalized	treatment	&	access	to	multi-disciplinary	medical	staff	&	physicians
Goal: Self-source business and maximize ROI
Sales & Marketing
1
Direct to Consumer
(DTC)
Lead Generation
ConciergeService
Conversion to Surgical
Patient
Patient Experience
Follow Up
Successful Patient Outcomes
Sales Outreach to
Referral Community
Physician Referral to
Nobilis Brand
Leverage concierge
service for enhanced
patient experience
3
360 Concierge
Sales Outreach
to Physicians
Physician & Patient
Conversion
Nobilis Facility
CaseAcquisition
2
Physician
Recruitment
Patient and Physician
Satisfaction
SALES	AND	MARKETING	STRATEGY
Our Unique
Approach
38
Private	Lender Presentation
NYSE	American:	HLTH
39

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