January 11, 2016 - Advocate Health Care

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34th Annual

J.P. Morgan Healthcare

Conference

San Francisco, California

January 11, 2016

Jim Skogsbergh

President and Chief Executive Officer

Lee B. Sacks, M.D.

Executive Vice President and Chief Medical Officer

Dominic J. Nakis

Chief Financial Officer and Treasurer

The following material and presentation contains information which is forward looking within the meaning of federal securities law. These forward-looking statements are based on the current plans and expectations of Advocate Health

Care Network (“Advocate”) that, although believed to be reasonable, are subject to a number of known and unknown uncertainties and risks inherent in the operation of health care facilities, many of which are beyond Advocate’s control, that could significantly affect current plans and expectations and Advocate’s future financial position and results of operations. These forward-looking statements speak only as of the date made. Investors are cautioned not to unduly rely on such forward-looking statements. This presentation should be reviewed in conjunction with Advocate’s December 31, 2014 and September 30,

2015 continuing disclosure reports.

Introduction and

Advocate Overview

Jim Skogsbergh

President and Chief Executive Officer

Advocate Health Care

Hospitals (12)

4 teaching

1 children's

1 critical access

5 level 1 trauma centers

Physicians

1,350 employed

5,175 Advocate Physician Partners

6,400 medical staff

Post-acute

Home health, hospice, long-term acute care hospital and palliative care

33,700 associates

$5.7 billion total revenue

Delayed NorthShore Merger

Merger Objective: Increase competition by dramatically changing the way that managed care products are constructed and sold in the Chicago area.

6

• FTC obtained federal court injunction to block merger December 22, 2015

• Judge denied an FTC motion to seal documents

• Hearing date set for April 6, 2016

Recognitions

$783 million community benefit

8

Key Market Dynamics

• Provider & health plan consolidation

• Dominant health plan

• Narrow networks emerging

• Revenue pressures – utilization, mix and price

• Cost pressures – labor and drugs

Advocate Well Positioned

• Top decile safety and health outcomes

• Strong brand

• Population health leader

• Narrow network exchange product

• Pluralistic approach to physicians

• Robust ambulatory network & retail clinics

• Financial strength

9

10

11

Report Card

Key Result

Area

Measure

Serious Safety Event Rate Change

SAFETY

Safety Event Reporting Rate

QUALITY

SERVICE

GROWTH

FUNDING OUR

FUTURE

COORDINATED

CARE

Health Outcomes Score

Patient Engagement

Associate Engagement

Physician Engagement

Net Revenue Growth

(% vs Prior Year)

System Operating Margin

Hospital Cost per Discharge

Medical Group Cost per Visit

Philanthropy (millions)

AdvocateCare® Index

Target

-20.0%

3.5

100

75

80

75

4.8%

4.0%

$8,010

$115.19

$20.0

100

Actual

-34.0%

5.4

112

59

>90

79

3.9%

5.3%

$7,764

$116.85

$20.7

83

Achieved

12

14,0%

12,0%

10,0%

8,0%

6,0%

4,0%

2,0%

0,0%

Market Share Leader

20,0%

17,8%

18,0%

16,0%

9,2%

8,9%

7,5%

4,8%

Advocate Presence Northwestern Amita NorthShore

RY June 2015

4,6% 4,4% 4,2%

Rush Edward-Elmhurst Trinity

3,6%

Tenet

13

Pluralistic Physician Platform

Employed

~1,350

Aligned ~ 3,825

Advocate Physician Partners ~ 5,175

Medical Staff ~ 6,400

AdvocateCare®

Achieving the Triple Aim

Lee B. Sacks, M.D.

Executive Vice President and Chief Medical Officer

15

Triple Aim Requires New Business

Model

Five+ years ago, Advocate recognized three ways providers could earn revenue:

1. Maximize unit reimbursement

2. For given unit reimbursement, maximize quantity

3. Take financial risk for managing the health of a population, lowering total costs and serve a greater number of unique patients

16

Fee for Service to Value – Shifting

Incentives

2015

1%

Projected 2020

5%

15%

26%

15%

50%

50%

15%

23%

17

Current Value-Based Agreements

Contract

Commercial

Medicare ACO

Medicaid ACE

Medicare Advantage

Advocate Associates

Total

Lives

415,000

145,000

100,000

37,000

28,000

725,000

Total Spend

$1.5 B

$1.7 B

$0.2 B

$0.4 B

$0.1 B

$3.9 B

High Performance Network (“HPN”)

Competes on Value

• 2016 BlueCare Direct

® in collaboration with

Advocate

– Public exchange and small group market

– Lowest priced Blue Cross plan

– Projected enrollment: 58,000 lives, $138 million revenue

18

• 2017 Market for the product expands:

– SHOP (small business health option program) exchange

– Large employer group market

Co-Marketed HPN

19

20

Medicare Advantage (“MA”)

• Chicago area Medicare population is over 1 million and growing 3% per annum

• 9.5% Advocate MA enrollment growth in 2015

• Turning 65 population represents a market opportunity

21

Medicaid is Critical for OB and

Children’s Hospital

• Illinois Medicaid expansion grows managed

Medicaid Lives

• Selective fee for service contracts with Medicaid managed care payers

• Transition to global risk with an insurance partner anticipated mid-2016

22

Going Forward…

• Shared Savings is a transition model

• Medicare Advantage is growth opportunity

• Positioned for managed Medicaid

• High Performance Network Products for

Public/Private Exchanges

Financial Profile

Dominic J. Nakis

Chief Financial Officer and Treasurer

Intense Focus on Revenue and Cost

Management Driving Margin Performance

Revenue

• Revenue Cycle Standardization/Consolidation

• Clinical Documentation Improvement

• Coding Training and Education

Cost

• Labor Cost and Productivity

• Clinical Effectiveness

• Supply Chain and Purchased Services

24

25

Operating Performance Consistently

Strong

$400 10%

6.3%

6.8%

$300

6.5% 6.1% 5.3%

5% $200

$100

$-

$301 $298

2011 2012

Operating Income

$300 $331 $214 //

2013 2014 2015 YTD

Operating Margin

Q3

0%

24

26

Operating Cash Flow is Solid

$700

$600

$500

$400

$300

$200

$100

$-

11.7% 11.6% 11.5%

12.0%

10.9%

15%

10%

5%

$518

2011

$532

2012

Operating Cash Flow

$567

2013

$627 $436

//

2014 2015 YTD

Q3

Operating Cash Flow Margin

0%

25

Diversified Investment Portfolio

27

$450

$250 -0.2%

10.6%

7.1%

3.2%

20%

10%

-3.0% 0%

$50

$(34)

$(150)

2011

$439

$343

2012 2013

$188

//

$(145)

-10%

2014 2015 YTD Q3

-20%

Investment Income Investment Yield

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

15%

20%

25%

10%

30%

0%

Target

Expected return of 7.1%

Risk/return ratio at 0.72

15%

25%

21%

7%

32%

Actual Sept 30

Real Assets

Hedge Funds

Fixed Income

Private Equity

Public Equity

27

28

Debt Profile is Low, Level and Long*

Tax-exempt debt is $1.6 billion, average annual debt service is generally level through 2038 at $95 million and average life is 19 years.

$100.0

$50.0

$40.0

$30.0

$20.0

$10.0

$90.0

$80.0

$70.0

$60.0

$0.0

2016 2018 2020 2022 2024 2026 2028 2030 2032 2034 2036 2038 2040 2042 2044 2046 2048 2050

* Debt profile as of October 31, 2015

Debt Portfolio Characteristics*

Intermediate

$181,0mm,

11%

Underlying Debt Mix

Synthetic

Fixed,

$321.3mm

20%

Fixed Rate,

$920.8mm

58%

Liquidity Mix

JP Morgan,

$185.4mm, 12%

Wells Fargo,

$49.2mm, 3%

Northern Trust,

$86.6mm, 5%

None,

$920.8mm, 58%

Product Mix

Windows VRDB

$70.0, 4%

Self-Liquidity,

$351.0mm, 22%

Variable Rate

$170mm

11%

Weekly VRDBs

$321.3, 20%

* Debt profile as of October 31, 2015

29

Multi-Annual

Tender

$120.3, 8%

Direct Purchase

$100.0, 6%

Annual Tender

$60.6, 4%

Fixed Rate

$920.8, 58%

30

Strong Coverage and Capitalization

30

12.0

10.0

8.0

6.0

4.0

2.0

0.0

25.9%

24.4%

24.0%

8.7

2011

11.1

2012

Debt Service Coverage Ratio (times)

9.5

2013

23.2%

9.4

2014

//

24.1%

10.5

2015 YTD Q3

Debt as % of Unrestricted Capitalization

40%

35%

30%

25%

20%

15%

10%

5%

0%

31

31

Robust Cash to Debt Ratio

280

275

270

265

260

255

250

245

300

295

290

285

265

2011

287

2012

283

2013

296

2014

290 //

2015 YTD Q3

32

32

Pension Plans Well Funded

$950

$900

$850

$800

$750

$700

$650

$600

$550

$500

100%

86%

92%

$654 $762

2011

$768 $835

2012

Assets

$840 $838

2013

PBO

96%

94%

$899 $937 $890

2014

Percent Funded

$945

//

2015 YTD Q3

100%

90%

80%

70%

60%

50%

33

33

Substantial Liquidity Position

$6,000

$5,000

$4,000

$3,000

$2,000

$1,000

$-

304

$3,211

2011

351

$3,842

2012

386 383 384

$4,518

2013

$4,725

2014

Days Cash and Investments on Hand

//

$4,851

2015 YTD Q3

Dollars

150

100

50

0

300

250

200

450

400

350

34

34

Significant Capital Expenditures Past

Three Years

900 250%

212%

196%

750

182% 200%

150%

600 146%

150%

450

100%

300

50%

150

0

$251

2011

$281

2012

$386

2013

$508

2014

$370 //

2015 YTD Q3

0%

Cash Spending Capital Spend Ratio

35

Summary

• National leader in safety, health outcomes and

Population Health Management

• Market share leader and brand strength

• Growth through new risk based products

• Balance sheet strength and solid operating performance

35

• AA bond ratings with stable (M/F) and positive

(S&P) outlooks

42

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