Download - Nobilis corporate presentation 12.13.17
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PrivateLender PresentationNYSEAmerican:HLTHDecember13,2017
CorporatePresentation
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Thispresentationcontainsforward-lookinginformation(withinthemeaningofapplicablesecuritieslaws)relatingtothebusinessofNobilisHealthCorp.(the"Company")andtheenvironmentinwhichitoperates.Forward-lookinginformationmayincludestatementsregardingtheobjectives,businessstrategiestoachievethoseobjectives,expectedfinancialresults,economicormarketconditions,industryspecificinformation,andtheoutlookoforinvolvingtheCompanyanditsbusiness.Suchforwardlookinginformationorstatementsaretypicallyidentifiedbywordssuchas"believe","anticipate","expect","intend","plan","will", "may"andothersimilarexpressions.
Forward-lookinginformation,includinganyfinancialoutlooks,isprovidedforthepurposeofprovidinginformationaboutmanagement'sexpectationsandplansaboutthefutureandmaynotbeappropriateforotherpurposes.Forward-lookinginformationhereinisbasedonvariousassumptionsandexpectationsthattheCompanybelievesarereasonableinthecircumstances.Noassurancecanbegiventhattheseassumptionsandexpectationswillprovetobecorrectandtheforward-lookinginformation,includingthefinancialoutlooksincludedinthisPresentation,shouldnotbeundulyreliedupon.ThoseassumptionsandexpectationsarebasedoninformationcurrentlyavailabletotheCompany,includingthehistoricperformanceoftheCompany'sbusiness.Suchassumptionsincludeanticipatedfinancialperformance,currentbusiness,industryandeconomictrends,andbusinessprospectsandaresubjecttotherisksanduncertaintieswhicharediscussedintheCompany'sregulatoryfilingsavailableontheCompany'swebsiteatwww.NobilisHealth.com,www.sec.gov,oratwww.sedar.com.Anyforward-lookingstatementsthatwe make are based on assumptions as oftoday, and weundertake no obligation to update them.
TheCompany’smanagementhasapproved thefinancialoutlookscontainedinthispresentation.
FORWARD-LOOKINGINFORMATION
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LOCATIONS
• 10marketsacross5states
• 5surgicalhospitals• 12ASCs
• 13multi-specialtyclinics
• 36partnerfacilities
STRATEGY
• Optimizedcasemixandpayor mixacrosstheportfolio
• Higheracuityproceduresleadingtohigherlevelsofreimbursements
• Focusonminimallyinvasiveprocedures
• Compellingvaluepropositionforphysicians,
patients,andpayors
• LowCap-Exrequirements
• Scalableplatformenablesnationwidegrowth
COMPANYOVERVIEW
DIRECT-TO-PATIENTMARKETINGMODEL
• Brandedproceduresdriveadditionalsurgicalvolumetonation-wide
networkoffacilities• Capitalizesongrowingtrendof‘consumerism’inhealthcare
• Drivesorganicgrowth
$315millioninrevenue&$40millioninAdjustedEBITDA,LTMSeptember2017
MarketswithNobilisownedfacilities
MarketswithNobilispartnerfacilities
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UNIQUEMARKETINGMODEL• Multiplemarketingchannelsdriveorganicvolumegrowth• Proprietarytechnologyplatformtargetsprospectivepatients• Strongvalueproposition:Superiorpatientexperiencethatexpandsphysicians’practices
ATTRACTIVEFINANCIALPROFILE
PATIENT-CENTRICVALUEPROPOSITION
FAVORABLEPAYORANDPROCEDUREMIX
ATTRACTIVEINDUSTRYFUNDAMENTALS
EXPERIENCEDMANAGEMENTTEAM
• Lowleverage• Lowcapitalexpenditurerequirements• Stablecashbalance
• Uniquemarketingmodelincreasescasevolumeandprovidessuperiorpatientexperience• Offersoptimalsurgicalenvironmentsthatresultinbetteroverallqualityofcare• Offersancillaryservicesthatleadtobetterefficiencyandoutcomes
• Marketingsegmenttargetshigheracuitycasesresultinginahighlyattractivecasemix• Procedurediversificationincreasesthestabilityoftherevenuebase• Minimalgovernmentpayor claimsreducesriskofMedicare/Medicaidratechanges
• 66%ofallsurgeriesareoutpatientwith>50%performedinASCsvs.32%in2005• Lowercost,highqualityoutpatientsetting;trendtowardincreasedconsumerisminhealthcare• Abundanceofdesirableacquisitionopportunitiesduetofragmentedmarket
• StrongmanagementteamwithM&Aandhealthcareexperience• SeasonedOpsteamleadstofinancialandoperationalefficiencies• Strongin-houseandoutsidelegalteamtosafelynavigatecomplexhealthcarespace
INVESTMENTHIGHLIGHTS
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UNIQUEPATIENTACQUISITIONMODEL
• Acquirespatientsfromphysicianpartnerswhoarenotobligatedtobringcasestotheirfacility
• Physiciansoftenformpartnershipswithinequitablepercentages:
• Productivedoctorsresentlessproductivedoctors
• ManagementCo.onlymanagesanddoesnotdrivepatientstocenters
• Nogrowthdrivers– mustrelyonphysicianpartnerstogrowtheirpracticestothenbringmorepatients
• Noverticalintegration
Traditional Model The Nobilis Model
• Acquirepatientsthrough:• Marketingprograms• Networkofprimarycare
physicianpartners• Physicianemployees
• OwnershipisjustoneofseveralalignmentopportunitiesbetweenphysiciansandNobilis
• Nobilisowns andmanages itsfacilities
Nobilis Health Network / ClinicallyIntegrated Network
Physician Partners
Direct to Consumer Marketing
Joint Marketing with Physicians
Nobilis Health Employed Primary Care Physicians
• Drivepatientflowtoourfacilities
• Controlthepatientexperiencethroughanexpanding continuum ofcare:
• Patientacquisition• Primarycare• Ancillaries• Surgeries• Post-Op
Physician Partners
(Minority Ownership)
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FAVORABLECASEMIX FAVORABLEPAYORMIX
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.
ENT4%
General Surgery4%
Ortho7%
Pain26%
Spine18%
Bariatrics19%
Vein/Vascular4%
Podiatrist2%
GI1%
Plastic Surgery
10%
GYN3%
Migraine2%
AETNA22%
BCBS16%
CIGNA9%
UHC33%
Other Commercial
10%
Self Pay6%
WC3%
Medicare1%
NOBILISBUSINESSOVERVIEW
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“TargetingHigherAcuityCases” “MinimalGovernmentPayorClaims”
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PrivateLender PresentationINDUSTRYOVERVIEW
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AMBULATORYSURGICALCENTERS(ASCs)
• Outpatientonly• >5,500ASCsnation-wide• 70%+ownedbyindependent
physiciangroups
• Full-servicehospital• Inpatientandoutpatient• >5,700hospitalsnation-wide• 60%+not-for-profit
SPECIALTYSURGICALHOSPITALS(SSHs)
• Typicallyoutpatientfocused• Inpatientandoutpatient• ~300SSHsnation-wide
SURGICALSETTINGBACKGROUND
TRADITIONALHOSPITALS
NOBILISHEALTH
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INDUSTRYGROWTH
• Efficientcoststructures• Increasedgovernmentfocusonhealthcare• Agingpopulation• Newlyinsuredaccesscare• Economiesofscaledrivepartnershipdecision
forphysician-ownedfacilities• >50%ofoutpatientsurgeriesperformedin
ASCsettingvs.32%in2005
GROWTHOFTHEASCINDUSTRY
PROJECTEDASCINDUSTRYREVENUE
Independentoperators,hospitals,&smallchainscomprised78%ofASCsintheU.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.
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THESPINESHIFT• Lesscomplexspineproceduresshiftingfrominpatienttooutpatient• Keyspineprocedureshavestrongertailwindsduetodemographicsandimprovementsintechnology• ~31millionAmericanssufferfromchronicbackpain• ~600,000Americansundergospinesurgeryeveryyear
INPATIENTSPINEDISCHARGES2014- 2019
SHIFTTOOUTPATIENT
OUTPATIENTSPINEDISCHARGES2014- 2019
Note: Growth rate data reflects U.S. market. Source: Wall Street Research.
Advanced Imaging 13%
Arthrocentesis / Injections 5%
Rehab & Chiropractic14%
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 andDiagnostics
Spinal Decompression/Laminectomy
Vertebral Augmentation Procedures
Revision Spinal Procedure
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PrivateLender PresentationGROWTHSTRATEGY
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MARKETINGEXPERTISEDRIVESORGANICGROWTH
• Multiplemarketingchannelsdrivevolumegrowthathospitals,ASCs,andancillaryservicelines
• Bundledpaymentcapabilities• Strategicallyaddingnewmarketingbrandstoportfolio• Brandedreferralprogram,360Concierge
SERVICELINESANDSPECIALTIES
• Continueoptimizingcasemixtomaximizerevenuepotential
• Increasethevolumeofhighacuityproceduresthatbenefitfromhigherlevelsofreimbursement
• Identifyanddevelopadditionalservicelinesappropriateforoutpatientenvironment
GROWTHSTRATEGY
ACQUISITIONOPPORTUNITIES
• Highlyfragmentedmarketwithmanyidealacquisitiontargets• FocusontargetsthatallowNobilisHealthtocross-sell
servicelinesandleveragemarketingcapabilities• Pursuingin-networktargetsthatareamenabletoNobilisHealth
marketingplatformandallowtheCompanytoleverageexistinginfrastructure
• Acquisitionstrategyincludesfacilitiesandclinicalpractices
1
3
2
4 OPERATIONALLEVERAGE• Focusondrivingcostreductionsthroughoutsystem• IdentifyandachievegreatereconomiesofscaleasNobilis
continuesacquiringnewbusinessesandexpandingitsplatform
• Experiencedleadershipteamwithdecadesofhealthcareexperience
• Clinicallyintegratednetworkforcontractingandcarecoordination
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DIRECT-TO-CONSUMERMARKETING
• Marketingandtechnologyplatformtargetsprospectivepatients
• Uniquevaluepropositiontophysicians;superiorpatientexperience
• Scalablerevenuedriver• Portfolioeffect– directcasestospecificfacilitiesona
procedure-by-procedurebasisforbestclinicaloutcomeandreturnoninvestment
UNIQUEPATIENTACQUISITIONSTRATEGY
PHYSICIANSALES
• In-housemarketingteam• Buildsandexecutesmarketingplansonbehalfofphysicians• Expandsphysicians’practices,optimizedpayor andprocedure
mix,anddrivesadditionalvolumetoNobilisfacilities• Highaveragereturn-on-investment(ROI)
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HIGHTOUCHMARKETINGMODEL
LeadGenerationDirect-to-PatientEngagementPoints• Digital• Traditional(TV,Radio)• Email&Content• Real-TimeFulfillment
ConciergeServiceInsidesSalesTeam+ITPlatform• DedicatedPatientCoordinators• Multi-touch,FullServiceProcess• ProprietarySoftwareSolutions• CRM
ConversiontoSurgicalPatientPatientProcessManagement• PatientEducation• ImagingReviewbyMedicalTeam• InsuranceVerification&Explanation• SurgeryClearanceManagement• SurgeryScheduling/Coordination
PatientTrackingPatientExperienceFollowUp/FacilitateResearch• PostOperativeFollow-upContact• PatientExperienceSurveys&Testimonial• ReferralRequest• 360ConciergeTrackingThrough-outContinuum
ofCare• PromotesSuccinctTreatmentAlgorithmwhich
ResultsinImprovedPatientOutcomesandLowerHealthcareCosts
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FIRSTASSIST
• Cover100%ofoutpatientspinecasesthroughqualifyingdirect-to-consumer
• Specialties:spine,bariatrics,ENT,orthopedic,plastic,andgeneralsurgery
NEUROMONITORING
• Focusedonspineprocedures(100%ofdirect-to-consumercases)
• 5 stateswith54differentfacilities(Nobilis &Non-Nobilis)• Specialties:spine,neuro,orthopedic,CV,andENT
ANCILLARYSERVICES
ANESTHESIA
• AllNobilis facilities• Helpsrecruitpartnerphysicians• Specialties:spine,bariatrics,ENT,orthopedic,plastic,and
general
PHYSICALTHERAPY• LaunchedApril2017asahospitaloutpatientdepartment
ofPlanoSurgicalHospital• Providespatientsandphysicianswithapartnerinthe
continuumofcare
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BENEFITS
• Continuityofcareforpatients• Helpsrecruittopphysicians• Increasespatientandphysiciansatisfaction• Improvespatientoutcomes• Accretiveearnings
ANCILLARYSERVICES
DEVELOPMENT
• Nobilis activelyseekspotentialM&Atargetsintheancillaryservicesspace
• Focusonacquisitionswithrevenuepotentialsystemwide
• IncreasedcapabilitiespositionNobilis toexecutealternativepaymentmethodologiesforpayors
PATIENTCENTRICSTRATEGY
• Achieveeconomiesofscale• Makeefficientuseofcapitalandoperatingresources• Treatsamelevelofdemandwithlesscapacitythen
standalonefacilities• Resultsinincreasedproductivity,lowerstaffing
requirementsandreducedoperatingandunitcosts
FINANCIALCONTRIBUTION
• 2016revenueof$20.4millioncomparedto$2.3millionin2015
• Maximizesrevenuebycapturingadditionalrevenuestreamsperpatient
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• Concertis isNobilisHealth’sClinicallyIntegratedNetwork(CIN)ofhealthcareproviders,ancillaryproviders,andfacilitiesthatimprovesthepatientexperienceacrossthecontinuumofcare
• TheCINcapturesreferralsfromprimarycarephysicianstocoordinatepatientcarewithNobilisHealthancillaryproviders,surgeonsandfacilities
• 360Conciergeandthephysicianportal,divisionsofConcertis,allowproviderstheabilitytomonitorpatientcareastheymovethroughtheNobilisHealthcontinuumofcare
• AsofSeptember,wehaveover100providersinthe360Conciergesystemacrossourthreemajormarkets,whichhasresultedinover1,000referralstotheNobilisHealthsystem
• Alignwithphysiciansthroughemployment,bundledpaymentproducts,360Concierge,andotherfinancialandclinicalproducts
CONCERTISSTRATEGY
PRIMARYCAREPRACTICES
• Lessexpensivetoacquirethanspecialists• AllowsNobilisHealthtocontrolpatientexperienceacrossthe
continuumofcare• Feedsvolumeintobundledpaymentand360Concierge• Achievesclinicalintegration• Bringphysiciansintoournarrownetwork• Ourcarenavigatorsaretrainedhealthcareprofessionalswho
serveaspatientconcierges,guidingpatientsthroughtheentireepisodeofcarefromdiagnosistopost-surgicalcare
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PrivateLender PresentationELITETRANSACTIONOVERVIEW
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• 4ASCs&SurgicalHospitalsinHoustonMetroArea• $49.0MLTM9/30/17Revenue• $30.3MLTM9/30/17AdjustedEBITDA• 76PhysicianPartners• 86ReferringPhysicians
COMBINEDREGIONALLEADER
This image cannot currently be displayed.
• 13ASCs&SurgicalHospitals• 5 ASCs&SurgicalHospitalsinHoustonMetroArea• $314.8MLTM9/30/17Revenue(1)• $39.6MLTM9/30/17AdjustedEBITDA(1)• 41PhysicianPartners• 490ReferringPhysicians
(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&SurgicalHospitals
ASCs,SurgicalHospitals&Clinicsin
HoustonMetro
LTM9/30/17Revenue
LTM9/30/17AdjustedEBITDA
(NetNCI)
PhysicianPartners
ReferringPhysicians
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CASEMIX
PAYORMIX
19,325
29,12630,978 30,701
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
2014 2015 2016 LTM6/30/17
Cases
CASEVOLUME&REVENUEPERCASE
IN-NETWORKCASEMIX
Pain27%
Spine15%
Ortho14%
Bariatrics14%
ENT9%
Plastic7%
Podiatrist4%
Other11%
UHC 29%
Aetna 23%BCBS TX
12%
BCBS 6%
Other Commercial
12%
Cigna 11%
Self4%
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 LTM6/30/17
Rev. Per Case
PROFORMAPOSTACQUISTION
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
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PrivateLender PresentationFINANCIALOVERVIEW
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REVENUEANDADJUSTEDEBITDA
FINANCIALPERFORMANCE
(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
TotalRevenue Adj.EBITDA
TrackRecordofStrongRevenueandAdj.EBITDAGrowth
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*LowerendofguidanceduetoimpactofHurricaneHarvey.2017GuidanceprovidedonMarch13,2017:Revenue:$310M-$325MAdj.EBITDA:$40M-$45M
Revenu
e
Adj.EB
ITDA
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TOTALREVENUE
$51$68 $62
$80$71 $65
$286
$310- $325
$0
$50
$100
$150
$200
$250
$300
$350
Q116 Q117 Q216 Q217 Q316 Q317 2016 2017E
Revenu
e
2017OPERATINGPERFORMANCE
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*LowerendofguidanceduetoimpactofHurricaneHarvey.2017GuidanceprovidedonMarch13,2017:Revenue:$310M-$325MAdj.EBITDA:$40M-$45M
(Millions)
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ADJUSTEDEBITDA
$0.4$2
$9$10
$4$7
$34
$40- $45
$0
$10
$20
$30
$40
$50
Q116 Q117 Q216 Q217 Q316 Q317 2016 2017E
Adj.EB
ITDA
2017OPERATINGPERFORMANCE
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*LowerendofguidanceduetoimpactofHurricaneHarvey.2017GuidanceprovidedonMarch13,2017:Revenue:$310M-$325MAdj.EBITDA:$40M-$45M
(Millions)
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KEYMETRICS
Totalcashof$34.1millionatSeptember30,2017,comparedwith$24.6millionatDecember31,2016
STOCKSNAPSHOT(12/12/17) FINANCIALSNAPSHOT(9/30/2017)
*Allamountsinmillions,unlessdenotedotherwise
*Source:YahooFinance
Symbol(NYSEAmerican) HLTH
SharePrice $1.35
MarketCap $105
SharesOutstanding 77.8
Float 56
InsiderOwnership(%) 28
LTMAdjustedEBITDA $39.6
EnterpriseValue 4.3x
Price/Sales(LTM) 0.33x
Cash $34.1
Accounts Receivable $112.4
NetIncome $1.0
FullyDilutedEPS $0.01
ProjectedCAPEX $7- $8
TotalDebt $75.7
NetDebt $41.6
LeverageRatio 1.9x
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FINANCIALSTATEMENTHIGHLIGHTS
INCOMESTATEMENT
STATEMENTOFCASHFLOWS
BALANCESHEET
Asof9/30/2017
(Millions)
Cash $34.1
TotalAssets $317.1
TotalDebt $75.7
TotalLiabilities $159.1
NetCashProvidedbyOperatingActivities $27.9
NetCashUsed ForInvestingActivities $(13.3)
Net CashUsedForFinancingActivities $(5.0)
Total Revenue $64.7
OperatingExpensesSalariesandBenefitsDrugsandSuppliesGeneralandAdministrativeDepreciationandAmortization
TotalOperatingExpenses
Corporate ExpensesSalariesandBenefitsGeneralandAdministrativeLegalDepreciation
TotalCorporateExpenses
$15.7$10.4$27.6$2.7
$56.4
$2.9$3.3$0.7$0.1
$7.0
NetIncome $1.0
AdjustedEBITDA $6.7
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PrivateLender PresentationAPPENDIX
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HARRYFLEMING
ChiefExecutiveOfficer&ChairmanoftheBoard
• JoinedNobilisin2010• PreviouslyservedasCFO,PresidentandExecutiveChairmanofNobilis• EarnedanMBAfromBostonCollege,aJ.D.fromtheUniversityofHouston,andaB.A.fromthe
UniversityofSt.Thomas
• JoinedNobilisin2010• PreviouslyservedasChiefOperatingOfficer&ChiefBusinessDevelopmentOfficeratNobilis• Founder&CEOofDiagnosticandInterventionalSpineCenters• DoctoratefromTexasChiropracticCollege
• JoinedNobilisin2017• PreviouslyservedasDivisionalCFOforSt.JudeMedical’sAmericadivision• LicensedCPA• EarnedanMBAfromtheUniversityofTexasatAustin
• JoinedNobilisin2014• 15yearsofhealthcaresalesandbusinessdevelopment• PreviouslyheldsuccessfulsalesleadershippositionsatIntuitiveSurgical,Medtronic,andPfizer• EarnedaB.A.fromRhodesCollege
• JoinedNobilisin2016• PartneratBakerDonelson,specializinginhealthlawandservedasaDirectorofLegalServices
atHoustonMethodistHospitalSystem• EarnedaJ.D.fromtheUniversityofHoustonandB.A.cumlaudefromRiceUniversity
MANAGEMENTTEAM
KENNETHEFIRD
President
DAVIDYOUNG
ChiefFinancialOfficer
PATRICKYODER
ChiefRevenueOfficer
MARISSAARREOLA
ChiefStrategyOfficer/President,Concertis
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MARCOSRODRIGUEZ
ChiefAccountingOfficer
• JoinedNobilisin2016• BeganhiscareeratDeloitte&Touche LLPandservedfiveyearsasDirectoratOpportuneLLP• 19yearsoffinancial&accountingreporting,externalandinternalaudits,andSECregulations• EarnedaB.S.fromLouisianaStateUniversityandisalicensedCPA
• JoinedNobilisin2017• 20yearsofoperationalandmanagerialexperienceinthehealthcareindustry• VPofContinuousImprovementforUnitedSurgicalPartnersInternational/TenetHealthcare
(“USPI”)andCEOofMemorialHermannSurgicalHospitalKingwood,inHouston,Texas• M.S.inhealthcaremanagement-emergencyservicesfromUniversityofMaryland
• JoinedNobilisin2015• PreviouslyservedasCFOatNorthstar HealthcareLLCandNobilisHealth• 20yearsoffinancialandaccountingreportinginthehealthcareindustry• EarnedanM.B.A.fromTexasWoman’sUniversityandaB.S.fromSacredHeartUniversity
• JoinedNobilisin2017• PreviouslyservedasDirectorofMarketingforTravelocityandDirectorofOnlineMarketingat
Hotels.com• EarnedaJ.D.fromUniversityofTennesseeCollegeofLawandaB.S.fromVanderbiltUniversity
• JoinedNobilisin2014• 10yearsoffinance&accountingexperienceinthehealthcareindustry,includingHCA&Tenet• EarnedanM.B.A.fromUniversityofTexas– SanAntonioanda B.S.fromNewYorkUniversity
MANAGEMENTTEAM
MARCCELIA
EVPofOperations
KENNETHKLEIN
CFOofOperations
PHILAYRES
VPofMarketing
BRANDONMORENO
VPofFinance
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TEXAS(DALLASANDHOUSTON) EQUITY
FirstNobilisHospital-------------------------------------------------------------------------- 51%HermannDriveSurgicalHospital---------------------------------------------------------- 54.75%PlanoSurgicalHospital----------------------------------------------------------------------- 100%HospitalforSurgicalExcellenceofOakBend-------------------------------------------- 50.1%
ARIZONA(SCOTTSDALE)
ScottsdaleLibertyHospital------------------------------------------------------------------ 75%
NOBILISFACILITIES
Hospita
ls
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TEXAS(DALLAS,HOUSTON,ANDELPASO) 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%
ARIZONA (PHOENIX, SCOTTSDALE, AND TUCSON)
Northstar Healthcare Surgery Center – Scottsdale -------------------------------------- 100%Chandler Surgery Center ---------------------------------------------------------------------- 100%Oracle Surgery Center -------------------------------------------------------------------------- 100%Phoenix Surgery Center ------------------------------------------------------------------------ 100%Surprise Surgery Center ------------------------------------------------------------------------ 100%
NOBILISFACILITIES
ASCs
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TEXAS (DALLAS, HOUSTON, ROUND ROCK, SAN ANTONIO) EQUITY
HamiltonVeinSugarLandClinic------------------------------------------------------------- 100%HamiltonVeinWoodlandsClinic------------------------------------------------------------ 100%HamiltonVeinClearLakeClinic-------------------------------------------------------------- 100%HamiltonVeinKatyClinic---------------------------------------------------------------------- 100%HamiltonVeinStoneOakClinic--------------------------------------------------------------- 100%HamiltonVeinRoundRockClinic------------------------------------------------------------- 100%
ARIZONA (CHANDLER, GLENDALE, PHOENIX, SCOTTSDALE, AND TUCSON)
ArizonaVein&VascularChandlerClinic---------------------------------------------------- 100%ArizonaVein&VascularOracleClinic------------------------------------------------------- 100%ArizonaVein&VascularPhoenixClinic----------------------------------------------------- 100%ArizonaVein&Vascular SurpriseClinic---------------------------------------------------- 100%DeRosaMedicalClinic– Glendale----------------------------------------------------------- 100%DeRosaMedicalClinic– Chandler----------------------------------------------------------- 100%DeRosaMedicalClinic– Scottsdale---------------------------------------------------------- 100%
NOBILISFACILITIES
Clinics
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NOBILISFACILITIES
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FACILITYNAME FACILITYDETAILS SPECIALTIESPLANOSURGICALHOSPITAL •26InpatientBeds •Bariatrics
•6ORs •Spine•2ProcedureRooms •Plastic Surgery
•Orthopedics•GeneralSurgery•PainManagement
KIRBYSURGICALCENTER •4ORs •Orthopedics•1ProcedureRoom •GeneralSurgery
•Pain•ENT
HERMANNDRIVESURGICALHOSPITAL •22Beds •Bariatrics•18PrivateRooms •Spine•6ORs •Plastic Surgery•2ProcedureRooms •Orthopedics
•GeneralSurgeryFIRSTSTREETSURGICALHOSPITAL •4ORs •Bariatrics
•1ProcedureRoom •SpineHOPDsofFirstSurgicalHospital: •Plastic Surgery
FirstStreetSurgeryCenter •4ORs •OrthopedicsMedicalParkSpecialtyCenter•1OR •GeneralSurgery
•PainManagement
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NOBILISFACILITIES
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FACILITYNAME FACILITYDETAILS SPECIALTIESNORTHSTARHEALTHCARESURGERYCENTER- SCOTTSDALE •4ORs •Plastic Surgery
•1ProcedureRoom •Orthopedics•GeneralSurgery•Painmanagement•Bariatrics•Podiatry
SCOTTSDALELIBERTYHOSPITAL •12InpatientBeds •Spine•2ORs •OrthopedicSurgery•1ProcedureRoom •GeneralSurgery
•Podiatry•Bariatrics•Migraine•Vascular
ARIZONAVEIN&VASCULARCENTER •4Clinics •Vascular•4ASCs•15ORs
HAMILTONVEINCENTER •6Clinics •Vascular•20Radiofrequency Ablations(RFAs)
DEROSAMEDICAL •3Clinics •Health&Wellness•9 Providers •WeightLoss
•ChronicHealthConditionManagementMESAHILLSSPECIALTYHOSPITAL
HOPDsofMesa HillsSpecialtyHospital:
MountainWest SurgeryCenter •2ORs•2ProcedureRooms
•Spine•Orthopedic Surgery•GeneralSurgery•Podiatry•Bariatrics•Migraine•PlasticSurgery
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NOBILISFACILITIES
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FACILITYNAME FACILITYDETAILS SPECIALTIESELITECENTERFORMINIMALLYINVASIVESURGERY(“TRAVIS”) •4ORs •Orthopedic
•2 Treatment Rooms •ENT•1PrivateRooms- Overnight •Pain
•Podiatry•GI
HOUSTON METROORTHO&SPINESURGERYCENTER(“METRO”) •3 ORs •ENT•2TreatmentRooms •Orthopedic• 2 Private Rooms - Overnight •Pain
•SpineELITESPINESINUS&ORTHO (“RIVEROAKS”) •22Beds •Pain
•18Privaterooms •Orthopedic•6ORs •Podiatry•2ProcedureRooms •Oculoplastic
•PlasticSurgery• Ophthalmology•Spine• ENT
HOSPITAL FORSURGICALEXCELLENCEOFOAKBEND •4ORs •Pain•1 Treatment Room •Orthopedic•6Inpatient Rooms •Podiatry
•GI•Spine•ENT•Urology
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NOBILISBRANDS
NorthAmericanSpineTheflagshipbrand,NorthAmericanSpineoffersinnovative,minimallyinvasivebackandnecksurgeriesandenjoysasolidtrackrecordofsuperioroutcomes.Theminimallyinvasive,laserspineproceduresenjoyhighrecognitionintheirmarketsandtheagingpopulationencouragesstrongnaturalgrowth.
ClarityVein&VascularClarityVeinandVascularprovidesminimallyinvasivesurgicaltreatmentofpainfuland/orunsightlyvascularconditionsrangingfromtherelativelybenign,likevaricoseorspiderveins,tothedangerous,likedeepveinthrombosisorperipheralarterydisease.
HamiltonVeinCenterHamiltonVeinandVascularisafull-serviceclinicalpracticewithmultipleTexaslocationsandanimpressiverecordofsuccessfultreatments.Adeptatcosmeticproceduresforconditionslikespiderandvaricoseveins,thepracticealsoexcelsatdiagnosingandtreatingpotentiallyharmfulunderlyingconditions.
MigraineTreatmentCentersofAmericaMigraineTreatmentCentersofAmericaistheexclusiveprovideroftheOmega™Procedure,anon-pharmaceuticalsurgicalimplantforthereliefofchronicmigrainepain.Increasingawarenessofneurostimulation techniques,vocalsupportfrompastpatients,andfavorableinsurancepoliciespositionthebrandasveryhighgrowth.
ArizonaVein&VascularCenterArizonaVeinandVascularisamaturepracticeinthePhoenix/Scottsdaleareathat,likeClarityVeinandVascular,providesminimallyinvasivetreatmentofvenousconditionsanddisordersfromtheunsightlytothedangerous.
MIRIWomen’sHealthMIRIWomen’sHealthfocusesonminimallyinvasivesurgeriesforgynecologicalconditionsandofferssecondopinionsforthoseseekinganalternativetotraditionalhysterectomies.
EvolveEvolve,abariatricsurgerybrand,benefitsfromincreasingmedicalconsensusonthehealthbenefitsofbariatricsurgeryoverconventionaldietandexerciseforthesignificantlyormorbidlyobese.Nationallyrisingratesofobesityandmorefarsighted,preventiveinsurancepoliciespoisethebrandforstronggrowth.
OnwardOrthopedicsOnwardOrthopedicstreatsnon-spinejointissuesforpatientsofallagesandtypes.Thebrandbenefitsfrompartnerphysicianswithsolidhistoriesofhigh-profilesportsclients,andcanprovidereferralstotheNorthAmericanSpineandNueStep brands.
NueStepNueStep focusesontheminimallyinvasivereliefoffootandanklepainduetonerveentrapmentandavarietyofotherpodiatricissues.Thebrand’ssuccessisaresultofeducationalmarketingcampaignsdesignedtocorrectahistoricalunder-appreciationoffootpainandtherapeuticmodesusedtoaddressit.
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Personalizedtreatment&accesstomulti-disciplinarymedicalstaff&physicians
Goal: Self-source business and maximize ROISales & Marketing
1
Direct to Consumer (DTC)
Lead Generation
Concierge Service
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 Outreachto Physicians
Physician & Patient Conversion
Nobilis Facility CaseAcquisition
2
PhysicianRecruitment
Patient and PhysicianSatisfaction
SALESANDMARKETINGSTRATEGY
Our UniqueApproach
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PrivateLender PresentationNYSEAmerican:HLTH
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