Forward Looking Statements · # of Hospitals < Top Quartile. Top Quartile. Source: Premier Quality...

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This presentation may contain statements and information that could be considered “forward- looking statements.” Forward-looking statements are not historical facts but instead represent only our beliefs regarding future events, many of which are inherently uncertain and outside our control. Forward-looking statements include, among other things, statements regarding our future financial performance, business prospects, future growth and operating strategies, objectives and results. Actual results, performance or developments could differ materially from those expressed or implied by these forward-looking statements. With the exception of fiscal year-end information included in our audited financial statements, the information we are presenting is unaudited. Except as required by law, we undertake no duty to update the contents of this presentation after today. Forward Looking Statements 1

Transcript of Forward Looking Statements · # of Hospitals < Top Quartile. Top Quartile. Source: Premier Quality...

  • This presentation may contain statements and information that could be considered “forward-looking statements.” Forward-looking statements are not historical facts but instead represent only our beliefs regarding future events, many of which are inherently uncertain and outside our control. Forward-looking statements include, among other things, statements regarding our future financial performance, business prospects, future growth and operating strategies, objectives and results.

    Actual results, performance or developments could differ materially from those expressed or implied by these forward-looking statements. With the exception of fiscal year-end information included in our audited financial statements, the information we are presenting is unaudited. Except as required by law, we undertake no duty to update the contents of this presentation after today.

    Forward Looking Statements

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  • Terry ShawPresident & CEO

    J.P. Morgan Healthcare ConferenceJanuary 12, 2021

    2

  • 3

  • 82.7%

    67.5%‘20 AA Goal

    92.9%

    64.8%

    81%‘20 AA Goal

    56.7%‘20 AA Goal

    75%‘18 Baseline

    Nov ‘20

    90%‘18 Baseline

    Nov ‘20

    63%‘18 Baseline

    Q3 ‘20

    Brand Aided AwarenessTampa Bay Greater Orlando Kansas City

    4

  • 1973 AdventHealth established

    50

    80,000+ Team members

    5.5 million+ Patients served annually

    11 Skilled nursing facilities

    18 Home health and hospice agencies

    2,289 Employed physicians

    61 Urgent care facilities

    19 Offsite EDs

    Hospital campuses operated in nine states

    $12.5B Revenue

    5

  • 6

  • BodyMindSpirit

    Whole-Personcare

    Driven by our mission of providing wholistic care to all people, AdventHealth will be known for our preeminent, faith-based, consumer-focused clinical care.

    7

  • Vision 2030BodyMindSpiritWhole-PersonCare

    8

  • Body Mind

    Spirit

    Whole-PersonCare

    9

  • 19 14 9 11

    12 19 26 23

    05

    10152025303540

    2017 2018 2019 Jan-Sep'20

    # of

    Hos

    pita

    ls

    < Top Quartile Top QuartileSource: Premier Quality Advisor

    Premier All Adult Observed/Expected Mortality Trend

    10

    Leapfrog Safety Grade

    Goal: Grade A

    A

    B

    C

    D

    F

    CMS Star Rating

    Goal: 4–5 Stars

    5

    4

    3

    2

    1

    StarsSpring 2017 Spring 2020

    14 21

    10 6

    2 3

    1 0

    0 0

    December 2017 January 2020

    1 5

    8 17

    15 5

    4 5

    2 2

  • Spiritual Care in the OP Setting

    Mental Health Care

    Quality and Service Excellence

    Equity in Health Care Outcomes

    2017 2018 2019 2021

    Whole-PersonCare

    11

  • Dynamic LearningCommunity

    Growth of AdventHealth University

    Expanded Research & Academic Programs

    Developing AdventHealth Leaders

    Team MemberPromise

    Excellent Local Leadership

    Fair Economics

    Lighted Career Path

    Caring for People through People

    12

  • Managed Population Risk

    Consumer Focused Connected Network

    Clinical Excellence

    Financial Strength and Growth

    13

  • Managed Population Risk

    Consumer Focused Connected Network

    Clinical Excellence

    Financial Strength and Growth

    • Care advocacy• Consumer tech platform• Epic conversion

    • Risk-based portfolio growth• Risk-enabled provider networks• New care delivery models

    • Financial discipline• Cost improvement• Same store and

    organic growth

    • Safe and reliable culture• Achieving quality outcomes• Leverage analytics for

    performance improvement14

  • Vision 2030Whole-PersonCare

    15

  • COVID-19

    16

  • Strengths going into the Pandemic

    StrongBalance Sheet

    Consumer Investments

    UnitedClinical Team

    One-Brand Approach

    17

  • Main Inbound Line

    Total Call Volume

    222,400

    Hope, Digital Chat Bot

    Total Chat Volume

    230,630

    eCare Visits

    Total eCare Visits

    16,254

    Live Chat with Care Advocate

    Total Messages

    23,034

    Vivify-Go

    Total Patient Referrals

    13,419

    Nurse Triage

    Total Call Volume

    51,280Total Make Goods

    37,589

    Service Recovery

    Total Consumer Engagement Summaryfor COVID-19 Virtual Response Plan

    Total Engagement = 594,606

  • Protect the Team

    PPEProcurement

    ManagementApproach

    19

  • AMWAY Arena

  • Protect the Team

    COVID Service Line

    HRInitiatives

    PPEProcurement

    CommandCenter

    Expense Management

    ManagementApproach

    21

  • 0

    200

    400

    600

    800

    1,000

    1,200

    Aver

    age

    # of

    CO

    VID

    -19 P

    ositi

    ve a

    nd P

    UI P

    atie

    nts

    437

    1,113

    889

    584 605

    869

    1,045

    556

    COVID-19 Average Daily Census

    Florida Outside Florida

    May June July August September October November December

    11% 12% 22% 18% 12% 12% 17% 20%% of Admissions

    22

  • COVID-19 Key Learnings

    • Lack of standardization of ancillary clinical services

    • Disruption of just-in-time inventory system

    • Over-reliance on ED & surgery revenues

    • Supporting business re-openings

    • Lack of a clear national message

    • Lack of effective local public health systems

    • Testing capabilities

    MarketInternal

    23

  • COVID-19 Key Learnings

    • Lack of standardization of ancillary clinical services

    • Disruption of just-in-time inventory system

    • Over-reliance on ED & surgery revenues

    • Supporting business re-openings

    • Lack of a clear national message

    • Lack of effective local public health systems

    • Testing capabilities

    MarketInternal

    26

  • Vision 2030 Adjustments

    • Re-envisioned Supply Chain Process and Ancillary System Leadership

    • Accelerated Consumer andRisk-Based Care Model work

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  • Paul RathbunSenior Executive Vice President & CFO

    J.P. Morgan Healthcare ConferenceJanuary 12, 2021

    28

  • Aspirational Priorities

    Fund Organizational Growth

    Strategic Growth

    Capital Model Tied to Operating Performance

    Consistent Operating

    Performance

    Maintain AA Credit Rating

    Disciplined Financial Management

    Competitive & Transparent Pricing (Affordable)

    Transparent Pricing

    Fund Investments in Strategic Priorities

    Strategic Priorities

    Optimize Cost Structure

    Value Journey

    Financial Strength and Growth

    29

  • Same Store Volume Statistics vs. PY

    * Same Store Excludes CTMC, Heart of Florida, Lake Wales, Ottawa & TH Huguley

    Admissions

    Surgeries

    OP Observations

    OP ER Patients

    1.8%

    1.9%

    8.4%

    5.8%

    67,310

    54,623

    24,912

    255,931

    Jan - Feb 2020

    (17.4%)

    (38.8%)

    (33.3%)

    (33.5%)

    79,993

    51,371

    24,165

    244,633

    Mar - May 2020

    (1.3%)

    (3.9%)

    (14.7%)

    (19.2%)

    185,676

    156,914

    59,649

    570,356

    Jun - Nov 2020

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  • GAAP Income StatementNovember YTD

    * There May Be Rounding Differences Due to Format* Dollars in Millions

    2019 Actual

    2020 Actual

    Total Operating Revenue $ 10,812 $ 11,232

    Total Operating Expenses 10,082 10,796

    Operating Income 730 436

    Investment & Other 653 73

    Net Income $ 1,383 $ 509

    Operating Margin 6.8% 3.9%

    Recognized: $335MDeferred: $116M

    Nov YTD CARES Funds

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  • 13.3% 13.5% 13.3% 13.0%

    10.3%

    0%

    4%

    8%

    12%

    16%

    2016 2017 2018 2019 2020 Nov YTD

    1,146.3

    Total Operating EBDITA Margin

    * Minority Interest and LOR Reflected Below EBDITA

    1,355.61,268.4 1,450.4 1,539.9

    * Dollars in MillionsEBDITA Margin

    Average Margin 11.6%Sep – Nov 2020*

    * Average Margin Sept-Nov Excludes CARES Provider Relief Funds32

  • Balance Sheet Metrics

    27.6%

    21.1% 22.1%

    15%

    20%

    25%

    30%

    35%

    2016 2017 2018 2019 2020 Nov YTD

    221238

    253234

    150

    200

    250

    300

    2016 2017 2018 2019 2020 Nov YTD 2020 NovAdjusted

    164%

    221% 223% 206%

    100%

    150%

    200%

    250%

    300%

    2016 2017 2018 2019 2020 Nov YTD 2020 NovAdjusted

    Total Cash to Total Debt

    2.402.01

    2.75

    0

    1

    2

    3

    4

    2016 2017 2018 2019 2020 NovAnnualized

    Days Cash on Hand

    Total Debt to Capitalization Total Debt to EBDITA

    * Adjusted Days Cash on Hand & Total Cash to Total Debt Excludes Medicare Accelerated Payments & Deferred Payroll Taxes Through November

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  • Strategic Priority – EMR Conversion

    +

    Hospital

    PhysicianHH & HospiceHH & Hospice

    HospitalHospital

    PhysicianPhysician

    HospitalPhysician

    Home HealthHospice

    Care Everywhere + Community

    Connect

    Current Configuration Future Epic Configuration

    A fully connected care network is foundational to AdventHealth’s strategy to deliver on our brand promise of whole-person care, advancing our consumer promisesto provide a seamless experience to all those we serve.

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  • TimelineStrategic Priority – EMR Conversion

    Q1

    2020

    Q2 Q3 Q4 Q1

    2021

    Q2 Q3 Q4 Q1

    2022

    Q2 Q3 Q4

    Pre-work Build & Test Train & Deploy

    Estimated Project Costs

    Capital Costs $370MOperating Costs $290M

    Scheduled go-live

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  • Capital Allocation MethodologyStrategic Growth

    2021 − 2023

    Hospital

    Strategic

    28.0%

    37.5%

    82.0%

    Division 12.0%

    IT 4.5%

    2018 − 2020

    33.0%

    28.0%

    75.0%

    9.5%

    4.5%

    Capital Allocation Model Percent of EBDITA*

    * EBDITA-Based Model Utilized Since 2001

    $1.6B of Estimated

    Strategic Capital for 2021-2023 Capital Cycle

    36

  • West Florida Outpatient StrategySouth Overland Park Tampa TowerTexas Health Mansfield

    Strategic GrowthMajor Construction – 2018 through 2020

    Multi-State Division

    Central Florida Division

    West Florida Division

    Winter GardenFish Memorial Central Florida Outpatient Strategy Celebration Tower

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  • Strategic GrowthAcquisition Activity | State of Florida

    AdventHealth Hospital FacilityAs of January 1, 2018

    38

  • AdventHealth Hospital Facility

    2018-2019 Acquisitions

    As of January 1, 2018

    Health First Hospital Facility –2020 Acquisition of Minority Interest

    Strategic GrowthAcquisition Activity | State of Florida

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  • Extending the Healing Ministry of Christ

    Forward Looking StatementsSlide Number 2Slide Number 3Brand Aided AwarenessSlide Number 5Slide Number 6Slide Number 7Slide Number 8Slide Number 9Slide Number 10Slide Number 11Slide Number 12Slide Number 13Slide Number 14Slide Number 15Slide Number 16Strengths going into the PandemicTotal Consumer Engagement Summary� for COVID-19 Virtual Response PlanSlide Number 19Slide Number 20Slide Number 21Slide Number 22Slide Number 23Slide Number 24Slide Number 25Slide Number 26Slide Number 27Slide Number 28Slide Number 29Same Store Volume Statistics vs. PY GAAP Income StatementTotal Operating EBDITA MarginBalance Sheet MetricsStrategic Priority – EMR ConversionStrategic Priority – EMR ConversionStrategic GrowthSlide Number 37Slide Number 38Slide Number 39Slide Number 40