Prime Healthcare Presentation

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1 Prime Healthcare Presentation

2 Prime Healthcare Services Prime Healthcare Services and the Prime Healthcare Foundation together are one of of the largest hospital systems in the U.S Founded by Dr. Prem Reddy, M.D., FACC, FCCP. Began by rescuing Desert Valley Hospital and Desert Valley Medical Group in Victorville from bankruptcy. Specializes in saving failing hospitals from bankruptcy saving hospitals, saving jobs, saving lives. Largest for-profit operator of hospitals in the state of California based on number of facilities. Recent diversification into Pennsylvania, Indiana, Kansas, Michigan, Nevada, New Jersey, Rhode Island and Texas. Hospitals provide full range of both inpatient and outpatient services including general acute care services, emergency room, general and specialty surgery, intensive/critical care, obstetrics, behavioral health, rehabilitation and diagnostic services. Prime Healthcare hospitals are known for always keeping their emergency rooms open, rarely requiring patient diversion to other hospitals. Operates 29 acute care hospitals (includes 6 managed by the non-profit Prime Healthcare Foundation) with 5.2 thousand licensed beds and more than 30,000 employees; facilities are located in the following states: California: 15 Texas: 4 Indiana: 1 Kansas: 2 Michigan: 1 Nevada: 1 New Jersey 1 Pennsylvania: 2 Rhode Island: 2 2

3 Dr. Prem Reddy, Chairman of the Board, President and CEO Prem Reddy, MD, FACC, FCCP Dr. Prem Reddy is double Board-Certified in Internal Medicine and Cardiology. During his 25 years of practice in California, he performed more than 5,000 cardiac procedures, including coronary angiography and angioplasty and permanent pacemaker implantations. In 2001, Dr. Reddy founded Prime Healthcare Services, which owns and operates 22 hospitals. In addition, Dr. Reddy and his family founded and entirely funded the non-profit Prime Healthcare Services Foundation, which owns six non-profit acute care hospitals both in California and Texas. Combined, Prime Healthcare Services and the Foundation have hospitals in nine states: California, Indiana, Kansas, Michigan, Nevada, New Jersey, Pennsylvania, Rhode Island and Texas. Among the many accolades, Prime Healthcare was recognized as one of the Top 15 Health Systems in the nation in This was the third time in six years Prime Healthcare has been recognized. In addition, since 2003, Prime Healthcare hospitals have been recognized among the 100 Top Hospitals in the nation 27 times. The Foundation, with current assets of over $800 million, also funds various charities that support health education, education scholarships, public healthcare education and free community clinics. Dr. Reddy was named as one of the 50 Most Influential Physician Executives in health care by Modern Healthcare in 2014, the fourth time in six years. He was also recognized as one of the Top 25 Minority Executives in 2014 for the third time. 3

4 Prime Healthcare Affiliated Foundations Dr. Prem Reddy Family Foundation, 501(c)(3), Est Has donated more than $5 million to Victor Valley Community College toward scholarships and the construction of a new health and science building. Donated $500,000 to Cal State San Bernardino and its department of nursing. To recognize his gift, the nursing lab was renamed the Dr. Prem Reddy Nursing Laboratory. Supports the Public Health Library. Awards scholarships for students entering the field of healthcare, including the Dr. Prem Reddy Academic Excellence Scholarship. Provides grants and support for free community clinics, community education, public projects and to other nonprofit organizations. The Prime Healthcare Services Foundation, 501(c)3, nonprofit public charity, Est Donated $40 million to build and start a new nonprofit medical school, which will be called the California University of Science and Medicine. Includes five non-profit hospitals donated debt free to the Foundation: Encino Hospital Medical Center Huntington Beach Hospital Montclair Hospital Medical Center Pampa Regional Medical Center Sherman Oaks Hospital Knapp Medical Center acquired directly by the Foundation in Both foundations, founded and funded by Dr. Reddy and his family, have combined assets of more than $800 million. 4

5 Company History: Long Term Track Record of Facility Growth Recent expansion focused on diversifying outside CA and into KS, MI, NV, NJ, PA, RI and TX. Signed purchase agreements in NJ. Prime Healthcare Hospitals Non-Profit/Donated Hospitals E Acquired Desert Valley Chino Valley Sherman Oaks Montclair Huntington Beach La Palma West Anaheim Paradise Valley Centinela Encino Garden Grove Shasta San Dimas Alvarado Harlingen (TX) Roxborough (PA) Saint Mary s (NV) Lower Bucks (PA) Dallas (TX) Pampa (TX) St. John (KS) Providence (KS) Landmark (RI) Rehabilitation Hospital of RI (RI) St. Mary s (NJ) - APA St. Michaels (NJ) APA St. Clare s Health System (NJ) APA 3 Hospitals Garden City (MI) Glendora (CA) Donated Encino Montclair Sherman Oaks Huntington Beach Knapp (TX) acquired by Foundation Pampa Regional (TX) 5

6 Prime Healthcare Today: Strong, Growing, and Diversified Acute Care Footprint Facility Locations Shasta Regional Medical Center Saint Mary's Regional Medical Center Monroe Hospital Dallas Medical Center Roxborough Memorial Hospital Nevada California Pampa Regional Medical Center La Palma Intercommunity Hospital Encino Hospital Medical Center Sherman Oaks Hospital Centinela Hospital Medical Center West Anaheim Medical Center Kansas Texas Huntington Beach Hospital Alvarado Hospital Medical Center Paradise Valley Hospital Lower Bucks Hospital Garden City Michigan Hospital Pennsylvania St. John Hospital Providence Medical Center Harlingen Medical Center Knapp Medical Center Landmark Medical Center Rehabilitation Hospital of Rhode Island St. Mary s Hospital of New Jersey San Dimas Community Hospital Glendora Community Hospital Montclair Hospital Medical Center Desert Valley Hospital Chino Valley Medical Center Garden Grove Hospital Medical Center Facility Characteristics Hospitals Occupied beds Licensed beds Acquisition date 1. Desert Valley Hospital /1/01 2. Chino Valley Medical Center /1/05 3. La Palma Intercommunity Hospital /1/06 4. West Anaheim Medical Center /1/06 5. Paradise Valley Hospital /1/07 6. Centinela Hospital Medical Center /1/07 7. Garden Grove Medical Center /1/08 8. San Dimas Community Hospital /1/08 9. Shasta Regional Medical Center /1/ Alvarado Hospital Medical Center /17/ Glendora Community Hospital /23/14 California 1,372 2, St. John Hospital /01/ Providence Medical Center /01/13 Kansas Garden City Hospital /01/14 Michigan Saint Mary s Regional Medical Center /01/12 Nevada St. Mary s Hospital /15/14 New Jersey Roxborough Memorial Hospital /22/ Lower Bucks Hospital /02/12 Pennsylvania Landmark Medical Center /31/ Rehabilitation Hospital of Rhode Island /31/13 Rhode Island Harlingen Medical Center /1/ Dallas Medical Center /26/12 Texas Prime Healthcare Services 2,650 4, Sherman Oaks Hospital /1/ Montclair Hospital Medical Center /1/ Huntington Beach Hospital /1/ Encino Hospital Medical Center /1/ Pampa Regional Medical Center /1/ Knapp Medical Center /2/13 Prime Healthcare Foundation

7 Recognized Quality Healthcare Provider Prime Healthcare has been recognized by Truven Health Analytics (formerly Thomson Reuters) as one of the Top 15 Health Systems in the U.S. based on clinical performance Prime Healthcare named as a Top 15 Health System in 2012 and 2013 based on quality of care, efficiency and patient satisfaction by Truven Health Analytics (formerly Thomson Reuters) Also ranked in the Top 10 in 2009 Only for profit health system named in the Top 15 in the nation in 2013 Eight Prime Healthcare hospitals named 100 Top Hospitals in the nation by Truven Health Analytics (formerly Thomson Reuters) in Prime Healthcare hospitals have been ranked among the 100 Top Hospitals 27 times. Key criteria evaluated: Mortality rates Medical complications Medicare core measures (quality measures) and patient safety standards Risk-adjusted length of stay Patient satisfaction 7

8 Recognized Quality Healthcare Provider (Cont d) Top 15 Health Systems in the Nation by Truven Health Analytics 2012 Detail Top performer Second in class Third in class Top 15 Health Systems Health System Location Large Health Systems (> $1.5 bn) Banner Health Phoenix, AZ CareGroup Healthcare System Boston, MA Jefferson Health System Radnor, PA Memorial Hermann Healthcare System Houston, TX St. Vincent Health Indianapolis, IN Medium Health Systems ($750 mm - $1.5 bn) Baystate Health Springfield, MA Geisinger Health System Danville, PA HCA Central and West Texas Division Austin, TX Mission Health System Asheville,NC Prime Healthcare Services Ontario, CA Small Health Systems (<$750 mm) Baptist Health Montgomery, AL Maury Regional Healthcare System Columbia, TN Poudre Valley Health System Fort Collins, CO Saint Joseph Regional Health System Mishawaka, IN Tanner Health System Carrollton, GA Clinical Metrics of Top Health Systems Winning Health System Complications Mortality Index Index Patient Safety Index Core Measure Percent (%) ALOS (days) Banner Health Baptist Health Baystate Health CareGroup Healthcare System Geisinger Health System HCA Central and West Texas Division Jefferson Health System Maury Regional Healthcare System Memorial Hermann Healthcare System Mission Health System Poudre Valley Health System Prime Healthcare Services Saint Joseph Regional Health System St. Vincent Health Tanner Health System Benchmark Health Systems Medians Peer Group Medians Note: Prime s performance measures place the Company in the top quintile of all health systems 8

9 Recognized Quality Healthcare Provider (Cont d) Top 15 Health Systems in the Nation by Truven Health Analytics 2013 Detail Top performer Second in class Top 15 Health Systems Health System Large Health Systems (> $1.5 bn) Advocate Health Care Banner Health Memorial Hermann Healthcare System OhioHealth Location Oak Brook, IL Phoenix, AZ Houston, TX Columbus, OH Clinical Metrics of Top Health Systems Winning Health System Complications Mortality Index Index Patient Safety Index Core Measure Percent (%) ALOS (days) Advocate Health Care Alegent Creighton Health Asante Scripps Health San Diego, CA Medium Health Systems ($750 mm - $1.5 bn) Alegent Creighton Health Omaha, NE Exempla Healthcare Denver, CO Mission Health Asheville, NC Prime Healthcare Services Ontario, CA TriHealth Cincinnati, OH Small Health Systems (<$750 mm) Asante Medford, OR Cape Cod Healthcare Hyannis, MA Mercy Health Southwest Ohio Region Cincinnati, OH Poudre Valley Health System Fort Collins, CO Roper St. Francis Healthcare Charleston, SC Banner Health Cape Cod Healthcare Exempla Healthcare Memorial Hermann Healthcare Sys Mercy Health Southwest Ohio Region Mission Health Ohio Health Poudre Valley Health System Prime Healthcare Services Roper St. Francis Healthcare Scripps Health TriHealth Bench Median Peer Median Note: Prime s performance measures place the Company in the top quintile of all health systems 9

10 Recognized Quality Healthcare Provider (Cont d) Truven Health Analytics (formerly Thomson Reuters) with Modern Healthcare Magazine also issues a study each year that recognizes the 100 Top Hospitals in the Nation. Prime Healthcare hospitals are regularly among the 100 Top Hospitals: Centinela Hospital Medical Center 3 Times including 2014 Chino Valley Medical Center 3 Times including 2014 Desert Valley Hospital 5 Times Garden Grove Hospital Medical Center 3 Times including 2014 La Palma Intercommunity Hospital 2014 Montclair Hospital Medical Center 2 Times Paradise Valley Hospital 2014 San Dimas Community Hospital 2 Times including 2014 Shasta Regional Medical Center 2 Times including 2014 West Anaheim Medical Center 5 Times including 2014 The Company's hospitals have been recognized numerous times in the past by various renowned national benchmarking organizations for their quality and efficiency in patient care 10

11 Recognized Quality Healthcare Provider (Cont d) Eleven Prime Healthcare Hospitals were recognized as Top Performers by The Joint Commission in 2013, the leading accreditation agency of health care organizations in the nation (eight in California): Centinela Hospital Medical Center Encino Hospital Medical Center (Non-Profit) Garden Grove Hospital Medical Center Huntington Beach Hospital (Non-Profit) La Palma Intercommunity Hospital Paradise Valley Hospital San Dimas Community Hospital Shasta Regional Medical Center In Kansas: Saint John Hospital In Pennsylvania: Roxborough Memorial Hospital In Texas: Harlingen Medical Center The Company's hospitals have been recognized numerous times in the past by various renowned national benchmarking organizations for their quality and efficiency in patient care 11

12 Infrastructure Improvements In 2013, Prime Healthcare spent approximately $138 million on Capital Improvements and Equipment. Since 2005, the organization has invested approximately $788 Million on Capital Improvements and Equipment for its facilities. Prime Healthcare Hospitals continuously strive to improve patient care and experience by improving their infrastructure by investing in: 65 bed expansion at Desert Valley Hospital including new operating rooms and new Heart Center with full cardiac surgery program. New Cardiac Cath Labs at Desert Valley Hospital, Chino Valley Medical Center, Huntington Beach Hospital, and Sherman Oaks Hospital. ER expansion at Roxborough Memorial Hospital in Pennsylvania. $40 million investment in Landmark Medical Center and the Rehabilitation Hospital of Rhode Island. $30 million investment in St. Mary s Hospital in New Jersey. $40 Million ER expansion and seismic upgrades at Centinela Hospital Medical Center. New state-of-the-art Patient Monitoring and IT Systems. State of the art medical/radiology equipment. Information Systems Infrastructure. Hospital Physical Environment/ Plant improvements. Modernization of Hospital Systems to increase safety. 12

13 Charity Care Prime Healthcare s for-profit and non-profit hospitals provide more charity and uncompensated care on a per patient day basis than their competitors. Since 2010, Prime Healthcare hospitals have provided more than $2 Billion in charity and uncompensated care. The Prime Healthcare Foundation also operates two indigent community clinics. Prime Healthcare Hospitals continuously strive to provide safety net acute care services to uninsured and indigent residents of the communities they serve $ 383 million $ 395 million $ 487 million $ 739 million 13

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