The Value of Partnership with UnityPoint Health: The Meriter Hospital and Meriter Health Services Stories Leadership Symposium April 29, 2013 1 OVERVIEW Meriter Health Services • Meriter Hospital • Meriter Medical Group Review of the Madison Market Why UnityPoint Health? Overview of Meriter • • • • • 448-bed tertiary teaching hospital founded in 1898 Fifth largest hospital in Wisconsin Free-standing Child and Adolescent Psychiatry Hospital $450 million in revenue; not-for-profit 3,500 employees; 1,000 member medical staff Overview of Meriter (continued) • Major clinical programs include: - Cardiology - Women’s Services - Orthopedics - Digestive Health - Surgical Services • Largest birthing center in Wisconsin Overview of Meriter (continued) • Sampling of national recognition: - 100 Top Hospitals® by Thomson Reuters in 2010 & 2011 - 50 Top Cardiovascular Hospital® Thomson Reuters in 2012 - Most-Wired Hospital in 2011, 2012, 2013 DeForest – Windsor Clinic. Recognized “Best in the Nation: Recommended to Others.” NRC Picker’s First Quarter 2013 survey - American Hospital Association, “Quest for Quality Citation of Meriter” in 2012 Meriter Medical Group • Founded in 2008 • 120 employed physicians with eight clinic locations throughout Dane County • Specialty mix: 23% Hospital Medicine 33% Primary Care 44% Specialists Madison/Dane County Market Overview – Key Facts Four hospitals within a six-mile radius - UW Hospital and Clinics (840 beds) - St. Mary’s Hospital/SSM (440 beds) - Meriter Hospital (448 beds) - Veterans Administration Hospital (200 staffed beds) Strong Market Demographics - Comparatively wealthy; median household income of $58,000 growing at 4%/year - Dane County’s 4.7% unemployment rate is lower than the State and National averages - One of the top three fastest growing counties in Wisconsin - Stable base of employers include Government, education, healthcare, manufacturing, biotechnology, etc. Historically a closed Managed Care Market - 60% of Dane County’s population is a member of one of the four local HMO’s - 90% of the commercially insured population is a member of one of the four local HMO’s Why Affiliate? Board of Directors Key Affiliation Objectives Ensure that Meriter Provides High Quality, Cost-effective Health Care to its Patient Population Enhance and Preserve the Patient-centered Culture of Care Delivered at Meriter Enhance and Preserve the Community-oriented Focus of Meriter Strengthen the Capitalization and Competitive Position of PPIC to Ensure Long-term Relationship with Meriter Facilitate the Growth of Meriter Medical Group Create a Statewide Integrated Delivery System Ensure Meriter’s Financial Stability over the Long Run Status of Affiliation with UnityPoint Health • Transaction officially closed January, 2014 - Meriter Management and 17-member board remain intact - Two members of Meriter Board appointed to UPH Board - Operating margins generated by Meriter to be reinvested in Meriter and Madison • Physicians Plus Insurance Corporation (PPIC) acquired by UPH February, 2014 • Meriter Hospital and Meriter Medical Group join UnityPoint Health Partners (ACO) February, 2014 Status of Affiliation with UnityPoint Health • Meriter’s long-term debt to become part of the UPH Obligated Group (in progress) • Early stage UPH Network Development underway in Wisconsin - Affiliations, Joint Ventures - ACO, Population Health, PPIC • Primary Operational Focus for FY2014: - Stabilization and Growth of PPIC - Rebalancing Meriter’s relationship with UW Health - Integration of Corporate Services - Growth of ACO and access to Population Health