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December 2015
INVESTOR PRESENTATION
SAFE HARBOR / DISCLAIMER
This presentation includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of
1995, which relate to future, not past, events and are subject to risks and uncertainties. The forward-looking statements,
which address the Company's expected business and financial performance and financial condition, among other matters,
contain words such as: “believe,” “could,” “opportunities,” “continue,” “expect,” “may,” “will,” or “would” and other words and
terms of similar meaning.
Forward-looking statements by their nature address matters that are, to different degrees, uncertain, such as statements
about expected income; earnings; revenues; and growth. Although the Company believes the expectations reflected in such
forward-looking statements are based upon reasonable assumptions, it can give no assurance that the expectations will be
attained or that any deviation will not be material. Readers are cautioned not to place undue reliance on these forward-
looking statements, which speak only as of the date on which they are made. Factors that could cause actual results to differ
materially from these forward-looking statements can be found in the Company's Registration Statement on Form S-1 and
the accompanying prospectus filed with the Securities and Exchange Commission on May 22, 2015. These or other
uncertainties may cause the Company’s actual future results to be materially different than those expressed in any forward-
looking statements. The Company undertakes no obligation to update or revise any forward-looking statements.
This presentation also contains estimates and other statistical data made by independent parties and by us relating to market
size and growth and other data about our industry. This data involves a number of assumptions and limitations, and you are
cautioned not to give undue weight to such estimates. In addition, projections, assumptions and estimates of our future
performance and the future performance of the markets in which we operate are necessarily subject to a high degree of
uncertainty and risk.
This presentation also contains non-GAAP financial measures. You can find a reconciliation of the non-GAAP financial
measures to the most directly comparable GAAP financial measures in the appendix to this presentation.
2
INVESTMENT HIGHLIGHTS
Recognized Position of Leadership in a Large and Growing Market
Investing in Disruptive Solutions
Strong Financial Performance
A Leading Industry Platform Poised for Growth
Favorable Industry Dynamics
Proven Management Team
3
EXPERIENCED MANAGEMENT TEAM
Patrick T. Ryan, Chief Executive Officer
30+ years of experience working with healthcare leaders
and providers
Previously served as CEO of The Broadlane Group,
PolyMedica Corporation (PLMD) and Physicians Dialysis
Patricia Riskind, Chief Client Experience Officer
25+ years of healthcare experience
Previously founded PatientImpact, acquired by Press
Ganey in 2009, and co-founded 3d Health
Joe Greskoviak, President, Chief Operating Officer
30+ years of healthcare experience
Previously served as President of MedAssets’ spend and
clinical resource management business (MDAS) and as
EVP and Chief Development Officer for The Broadlane
Group
Dr. James Merlino, President & Chief Medical Officer,
Consulting
17 years of experience
Practicing surgeon
Previously Chief Patient Experience Officer for The
Cleveland Clinic Health System
Dr. Thomas Lee, Chief Medical Officer
35 years of healthcare experience; practicing physician
Previously served as Network President for Partners
Healthcare System and CEO for Partners Community
Healthcare, Inc.
Board member of Geisinger Health System and NYP /
Weill Cornell Medical Center
Christina Dempsey, Chief Nursing Officer
30+ years of healthcare experience
Faculty for the Missouri State University Dept of Nursing
Previously VP at Patient Flow Technology and VP for
surgical and emergency services at Mercy St. John’s
Deirdre Mylod, Executive Director, The Institute for
Innovation and SVP, Research and Analytics, Press Ganey
19 years of healthcare experience
Launched the Institute for Innovation to reduce patient
suffering and improve patient engagement
Breht Feigh, Chief Financial Officer
25+ years of financial experience
Previously served as CFO of American Dental Partners
(ADPI)
4
INHERENT
SUFFERING
Experienced even if
care is delivered
perfectly
GOAL
Alleviate this suffering
AVOIDABLE
SUFFERING
Caused by defects
in the approach
to deliver care
GOAL
Prevent this suffering
Design the Patient Experience to Reduce
Suffering
PRESS GANEY OVERVIEW
Mission To help healthcare organizations reduce suffering and improve clinical
quality, safety and the overall patient experience
History A pioneer and thought leader in the patient experience industry with 30
years of experience
Built Company on the simple premise that “the patient voice matters”
Strengths An industry leader in the approximately $3.7B patient experience
measurement and performance improvement solutions market
Viewed as a strategic partner to our clients
Represent healthcare providers across the continuum of care
Scale and Growth Multiple drivers of sustainable organic growth
Natural operating leverage
High revenue visibility
5
PRESS GANEY PIONEERED THE INDUSTRY AND CONTINUES TO DRIVE INNOVATION TODAY
Unrivaled patient experience database
constitutes barrier to entry
Investment in innovation to address
dynamic industry demands
30 years of improving the patient
experience
1985: Established by Co-Founders
Dr. Irwin Press & Dr. Rod Ganey
Establish
Market
Industry
Growth Thought Leadership & Innovation
Evolve
the Model
1992: Government begins tying patient
experience metrics to reimbursement
2002: Develops online
client forum
2012: New
Management Team
2012: Morehead
Acquisition
2013:
Introduction
of Suffering
Framework
2009 - 2010: Four
Strategic Acquisitions:
Patient Flow
Technologies
PatientImpact
Data Advantage
Quality Indicator Project
1997: Press Ganey releases
One Million Patients
Have Spoken
2012: Institute for
Innovation
2013: Census Based
Surveying
2014: NDNQI
Acquisition
2014: DCS
Acquisition
2014: Compassionate
Connected Care
Over 300 C-Suite Visits
(2012-2014)
2006: CMS introduced
HCAHPS Program
2014: ACA
Implemented
2015: Transparency
Summit – 140 clients
2013: OTS
Acquisition
2014: NCC -
2500 clients
2015: Peds
Summit –
50+ clients
2015: HPI
Acquisition:
2015: NCC -
2900 clients
6
Competitive Forces
30 Years Technology & Innovation Investment
Advanced Analytics & Insights
Thought Leadership
Advisory Strength
Client Relationships
PRESS GANEY’S ECONOMIC MOAT
7
DRIVING CULTURAL AND OPERATIONAL PERFORMANCE
Scientific
Measurement • Scientifically rigorous
• Industry-leading
benchmarking database
• Robust data sets (CPT,
DRG, ICD-9)
• 105 million+ surveys
distributed in 2014
Advanced
Analytics • Integrated data insights
• High reliability analytics
• Sentiment analysis
• VBP modeling
• Quality measures
Intuitive
Reporting • Enterprise view
• Drill down to service,
unit, physician levels
• Targeted improvement
opportunities
Expert
Advisors • Nationwide advisory
support
• Access to subject matter
experts, PhDs
• Discrete consulting
engagements
Patient-Centered Solutions
Patient experience
improvement
Physician, nurse and
employee engagement
Nursing quality indicators
Patient reported outcome
measures
Core measures
Culture and engagement
Safety and high reliability
Compassionate Connected
Care
Patient Experience /
Engagement Solutions
Clinical & Quality
Outcomes
Consulting
Services
8
300+ Client Facing Associates
72 Quota-Driven Sales Professionals ($18.5mm) (1)
120 Advisory Professionals ($12.4mm) (1)
144 Account Management Supporting Clients ($9.2mm) (1)
1000+ Press Ganey Total
Geographically-based model for majority of client base
INDUSTRY LEADING SALES AND CLIENT MANAGEMENT TEAMS
1. Includes salary, incentives, commissions, taxes and benefits.
9
DISTINGUISHED CLIENT BASE Deep Customer Relationships with High Level of C-Suite Connectivity
~3% largest client
revenue
contribution(1)
~94% average
annual revenue
retention(2)
~8 years average
duration of hospital
client relationship
99% operational
effectiveness(3)
1. Represents year 2015.
2. Represents 2012 - 2014.
3. Operational effectiveness error rate calculated by dividing total errors in the collection, compilation and / or presentation of data by total requests for data.
10
CASE STUDIES
4.3
3.7 3.6
0.0
1.0
2.0
3.0
4.0
5.0
6.0
Lowest Middle Best
Av
era
ge
Le
ng
th o
f S
tay
(D
ay
s)
Reliability Score Quintile Rank
Average Length of Stay by Patient
Experience Reliability Score Ranking (1)
1. Reliability and length of stay data derived from our 2013 HCAHPS all-facilities database and CMS Hospital Compare database.
Source: Based on MSPB (Medicare Spending per Beneficiary) 2012, HCAHPS.
Note: Hospital Compare 2012 and Billian’s 2012 data, N=2,655.
10.0%
14.8%
10.5%
2.8%
0%
4%
8%
12%
16%
20%
TopPerformers
BottomPerformers
~5% Over-
payment
for bottom
performers
HIGHLY RELEVANT SOLUTIONS Patient Experience Is Linked to Clinical & Financial Performance
Average Length of Stay Cost of Care and Operating Margin
Patient Experience is a Powerful Tool for Performance Improvement
Hospital Net Margin
CMS spending on 30 Days Readmission
12
72
62 61
71 70 70 74
27
20 21
34
28
40
30
0
20
40
60
80
100
Nurse Responsive Physician Pain Medication Discharge Rate
Avera
ge N
ati
on
al P
erc
en
tile
Ran
k i
n P
ati
en
t E
xp
eri
en
ce
Top 20% of Employee Engagement Bottom 20% of Employee Engagement
National Percentile Rank Based on Employee Engagement Scores (1)
Employee Engagement Improves Patient Experience
1. Based on Engagement data from 52 projects, HCAHPS data from Jan-Dec 2013 hospital compare dataset.
HIGHLY RELEVANT SOLUTIONS Patient Experience Is Linked to Operational & Organizational Performance
13
CASE STUDY: EMPLOYEE ENGAGEMENT
Use of employee engagement surveying since
2004, but scores were declining without actionable
improvement plan
Developed comprehensive engagement strategy,
implementing more of Press Ganey’s prescribed
approaches
By 2011, employee engagement at Carolinas
moved to the 93rd percentile from the 76th
percentile in 2010, and has since remained in the
top decile
Supported by our solutions, CHS observed
significant performance benefits including:
- Efficiency (patient discharges per employee)
improved 23% from 2009 through 2013
- Effectiveness (net patient revenue per
employee) improved 17% from 2009 through
2013
Workforce has produced both improved
productivity and contribution
23%
17%
Efficiency Effectiveness
14
CASE STUDY: CENSUS BASED SURVEYING / TRANSPARENCY
In 2011, implemented Census Based Surveying,
increasing survey returns by 170% from 2010 to
2012
By end of 2012, went to full transparency via
University of Utah online physician review site,
driving increased accountability and resulting in
significant improvement according to the client
Physician ratings rose from 9% of providers in 90th
percentile in 2010 to 50%+ in 90th percentile in
2014 based on Press Ganey’s benchmarking
database
Additionally, improved from 3% of providers in 99th
percentile in 2010 to 26% in 99th percentile in 2014 9%
22%
27%
46%
50%+
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
2010 2011 2012 2013 2014
% of Total Providers
% of Providers at 90th Percentile or above
15
INVESTING IN INNOVATION AND THOUGHT LEADERSHIP
29 Executive Council
members of Press
Ganey nonprofit
245+ Speaking
engagements
2,900 Attendees at annual
client conference
1,000+ Attendees at five
regional
symposiums
261,000+ Monthly user logins
for improvement
solutions
300+ Industry articles in
key trade
publications
26,000+ Participants in the
online community
3,000+ Custom analytic
reports generated
annually
250 Participants in CNO
Quarterly Best
Practices
Roundtable
Investing in Thought Leadership
Invested $20.4 mm Toward Technology Platform in 2014
~69% New Product Innovation, Additional Product Functionality and Business Growth
16
GROWTH STRATEGY / TOTAL ADDRESSABLE MARKET
VIRTUOUS CIRCLE OF GROWTH
18
FAVORABLE INDUSTRY DYNAMICS
Healthcare Dynamics Market Response
Shift away from fee-for-service to value-based
models of care delivery
Narrow networks
Shift to Value-Based Healthcare
Rise of Consumerism in Healthcare
Expanding Government Regulation
Growth in U.S. Healthcare Spending
Manage population health / care coordination
Patient-centricity movement
Operational integration and advanced analytics
Demand for more comprehensive data
Transparency
Brand awareness / equity
Expanded CAHPS programs
Patient engagement critical for payment
Focus on performance and outcomes
19
PQRS CAHPS
PERFORMANCE MANAGEMENT IS ESSENTIAL Expanding CAHPS Impact on Financial Performance
2%
Medical Practices 2+ EPs
Emergency Departments Anticipated ED CAHPS Implementation ED CAHPS Survey Development
Hospital Outpatient Departments, Ambulatory Surgery Centers
OAS CAHPS Implementation OAS CAHPS Survey Development
Pediatric Inpatient Hospitals Child HCAHPS Implementation
Inpatient Hospitals HCAHPS
Inpatient Psychiatric Facilities Inpatient Psychiatric CAHPS Survey Development Anticipated PY CAHPS
Implementation
Dialysis Centers ICH CAHPS
Hospice Providers Hospice CAHPS
Accountable Care Organizations ACO CAHPS for Pioneer & Shared Savings programs
Medical Practices 100+ EPs
Home Health Agencies HHCAHPS
PQRS CAHPS used within VBPM
PQRS CAHPS
Medical Practices 25+ EPs PQRS CAHPS
2015 2016 2017
Voluntary Required for
Payment
Penalty
PQRS CAHPS Anticipated MIPS
Anticipated MIPS
Anticipated MIPS
20
TOTAL ADDRESSABLE MARKET
Total addressable market is
large and expanding as patient-
centric care becomes mission-
critical
Ample opportunity to grow in the
white space with new and
existing clients and in new
markets
Patient Experience Measurement and
Performance Improvement Solutions
Source: 2014 Stax analysis.
$3.7B
$6.0B
2014 2018
21
HISTORY OF SUCCESSFUL ACQUISITIONS
Patient
Experience
Clinical
Consulting
Engagement
Disciplined acquisition strategy for acquiring capabilities in core and adjacent markets
2015 2014 2013 2012 2011 2010 2009
eSurvey technology
platform
Point of care
technology platform
Engagement survey
platform, benchmarks
Core measures
reporting platform and
expertise
Patient reported outcomes survey
Nurse engagement surveys,
benchmarks, insights
Throughput analysis and
process improvement Safety and reliability consulting
22
HPI ACQUISITION EXPANDS PATIENT EXPERIENCE SOLUTIONS SUITE
Safety Directly Impacts the Patient Experience
- 440,000 Americans die from preventable hospital errors
- 3rd leading cause of death in the US
- 1 in 25 hospitalized patients develop a preventable hospital infection
- Seniors have a 25% chance of injury, harm or death from a preventable
hospital error
Patient injury/error related cost to hospitals ~ $2,013 per discharge
Improvement requires providers to understand the interdependency of
safety, quality and patient-centeredness
23
HPI offers industry-leading safety and reliability consulting
‒ Founded 2006
‒ 20+ Consultants
‒ 700+ Hospital clients
FINANCIAL REVIEW
FINANCIAL OVERVIEW
Retention: 97% client retention / 94% revenue retention 3-year average 2012-2014
Visibility: average contract life for top 100 patient experience clients is 2.5 years
Duration: ~8 years average duration of hospital client relationship
Government: accelerant due to CAHPS mandates and Value Based Reimbursement
Census Based Survey: deeper, actionable insight
Engagement: linkages to patient experience and quality
Consulting: operational improvement
Cost of Revenue: greater percentage of insights from lower cost electronic surveys
Technology Improvements: redesign of platforms for collecting and sharing data
Sales Force: broader product offering
Working Capital: prepayment of services
Unlevered Free Cash Flow: 81% of EBITDA from 2012 to 9/2015
Balance Sheet: deleveraged and lower interest rates
Organic
Growth
Revenue
Predictability
Operating
Leverage
Cash Flow
Long Term Growth Targets
Revenue: 7-9% organic / 2-3% acquisition
Adjusted EBITDA: 13-15%
25
$0
$50
$100
$150
$200
$250
$300
$350
2012 2013 2014 9 Mos'14
9 Mos'15
LTM9/15
Revenue
GROWTH TRACK RECORD
($ in millions)
$0
$25
$50
$75
$100
$125
2012 2013 2014 9 Mos'14
9 Mos'15
LTM9/15
Adjusted EBITDA
9 Months
+13%
9 Months
+16%
26
THIRD QUARTER PERFORMANCE
$72
$81
$0
$25
$50
$75
$100
3Q14 3Q15
Revenue Adjusted EBITDA ($ in millions)
12.6% YoY Growth
11.6% Organic
1% Acquisition
$27
$31
$0
$10
$20
$30
$40
3Q14 3Q15
17% YoY Growth
Cost of revenue 41.6% → 40.9%
General & administrative 21.9% → 20.8%
27
5.4x
4.6x
4.0x 3.8x
1.6x 1.5x
0.0x
1.0x
2.0x
3.0x
4.0x
5.0x
6.0x
2012 2013 2014 1Q15 2Q15 3Q15
Total Net Debt (2) / Adjusted EBITDA Ratio
CASH FLOW AND LEVERAGE
1. Unlevered free cash flow = adjusted EBITDA – capital expenditures.
2. Net debt = total debt – cash.
($ in millions)
$0
$10
$20
$30
$40
$50
$60
$70
$80
$90
2012 2013 2014 1Q15 2Q15 3Q15
Unlevered Free Cash Flow (1)
28
INVESTMENT CONCLUSIONS
Recognized Position of Leadership in a Large and Growing Market
Investing in Disruptive Solutions
Strong Financial Performance
A Leading Industry Platform Poised for Growth
Favorable Industry Dynamics
Proven Management Team
29
APPENDIX
ADJUSTED EBITDA RECONCILIATION
1. Includes costs associated with modification of equity awards in connection with the liquidating distribution and IPO of $70,438 in May of 2015.
2. Write-off of unamortized deferred financing fees, loss on original issue discount and lender fees in connection with debt refinancings.
3. Non-cash property and equipment and intangible impairment charges related to the discontinuation of certain clinical solutions in 2013.
4. Management fees paid to Vestar.
5. Transaction costs incurred in connection with completed and potential acquisitions.
6. Non-recurring expense associated with executive separation agreements and targeted employee headcount reductions.
7. Primarily consists of professional fees incurred in connection with corporate strategic planning and technology consulting projects, as well as expenses and revenue credits related
to client retention due to the discontinuation of certain clinical solutions and software applications.
Fiscal Year ended December 31 Nine Months ended
September 30
Three Months ended
September 30
LTM ended
September 30
($ in thousands) 2012A 2013A 2014A 2014A 2015A 2014A 2015A 2014A 2015A
Net income (loss) $(7,391) $99 $15,583 $10,509 $(40,427) $4,776 $7,416 $10,516 $(35,353)
Interest expense 32,157 24,644 19,832 15,136 9,921 4,706 1,567 20,757 14,617
Income tax expense (benefit) (604) 5,926 13,196 9,185 1,254 4,174 2,614 9,543 5,265
Depreciation & amortization 27,202 32,468 35,102 25,825 30,624 8,779 10,528 34,785 39,901
EBITDA $51,364 $63,137 $83,713 $60,655 $1,372 $22,435 $22,125 $75,601 $24,430
Equity-based compensation(1) 14,256 9,787 8,034 7,565 81,466 2,658 6,469 10,511 81,935
Extinguishment of debt (2) 7,185 7,922 2,894 2,894 1,750 8 1,112 2,894 1,750
Non-cash impairment
charges (3) - 2,579 - - - - - 2,579 -
Management fee to related
party (4) 968 907 1,047 690 553 230 - 912 910
Acquisition expenses (5) 1,327 902 462 332 319 264 116 450 450
Severance (6) 2,797 625 1,084 - 705 - 705 625 1,789
Loss on disposal of property
& equipment - 274 1,719 1,595 (30) 504 1 1,595 94
Other non-comparable items (7)
1,465 2,159 3,606 1,830 1,246 360 382 3,071 3,021
Adjusted EBITDA $79,362 $88,292 $102,559 $75,561 $87,381 $26,459 $30,910 $98,238 $114,379
31
UNLEVERED FREE CASH FLOW
Fiscal Year ended December 31 Quarter ended
($ in thousands) 2012A 2013A 2014A 3/31/15 6/30/15 9/30/15
Adjusted EBITDA $79,362 $88,292 $102,559 $27,340 $29,131 $30,910
Capital Expenditures (18,191) (17,230) (19,414) (9,185) (5,994) (5,721)
Unlevered Free Cash Flow $61,171 $71,062 $83,145 $18,155 $23,137 $25,189
Free Cash Flow Conversion (1) 77% 80% 81% 66% 79% 81%
1. Free Cash Flow Conversion defined as % of Adjusted EBITDA.
32
CAPITALIZATION
As Reported
($ in thousands) 12/31/12 12/31/13 12/31/14 3/31/15 6/30/15 9/30/15
Cash $7,845 $32,635 $6,962 $12,162 $19,922 $23,793
Total Debt $438,188 $436,736 $419,296 $416,195 $193,979 $193,228
Net Debt $430,343 $404,101 $412,334 $404,033 $174,057 $169,435
LTM Adjusted EBITDA $79,362 $88,292 $102,559 $106,124 $109,926 $114,379
Total Net Leverage 5.4x 4.6x 4.0x 3.8x 1.6x 1.5x
33