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August 2016 INVESTOR PRESENTATION

Investor relations presentation 8.16.16

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Page 1: Investor relations presentation 8.16.16

August 2016

INVESTOR PRESENTATION

Page 2: Investor relations presentation 8.16.16

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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 Annual Report on Form 10-K, Quarterly Reports on Form 10-Q and the Company’s other reports filed with the Securities and Exchange Commission. 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.

Page 3: Investor relations presentation 8.16.16

Press Ganey Overview

MissionTo help healthcare organizations reduce patient and caregiver suffering and improve clinical quality, safety and the overall patient experienceTransformational SolutionsPatient ExperienceCaregiver EngagementClinical QualityReliability & Safety

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Disruptive Forces In Healthcare

Shift to value-based models/Population health Process to outcome measures Narrow networks

Growth in Spending

Patient-centricity Caregiver Engagement / Care coordination Operational integration and advanced analytics Demand for reliable measures Honor consumer through transparency Brand awareness / Patient Loyalty/ Market Share

Increased patient engagement Focus on performance and outcomes Expanded CAHPS programs

Care Redesign

Market ResponseHealthcare Dynamics

Expanding Regulation

Rise of Consumerism

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Industry Leader With Partners AcrossThe Continuum Of Care

80%+

60%+

80%+

70%+

Note: All information as of 12/31/15 5

Acute Hospitals

Major Teaching Hospitals

MD Groups w/ >50 Physicians

Acute Hospitals w/ 100+ Beds

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Strategic Competitive Advantage

ThoughtLeadership &

Innovation

400+Client-FacingAssociates

Technology& DigitalPlatform

Analytics& Insights

Advisory &Consulting

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OUR SOLUTIONS

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Actionable data targeting improvement opportunities Drive patient loyalty, improve outcomes, optimize reimbursement

Operational, Clinical & Financial Performance Improvement

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Engagement insights tiered for effective action planning Retain caregivers, increase productivity, improve performance

Measure, report and act on clinical and quality performance Achieve nursing excellence and quality standards, improve outcomes

Assess operational, quality and safety performance Transform culture, reduce safety events, achieve high reliability

C-Level Solutions that Drive Performance ImprovementPatient Experience

Demo

nstra

ted RO

ICaregiverEngagement

Clinical &Quality Outcomes

Reliability &Safety Consulting

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Differentiated Products Built On Leading Digital Platform

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4.5 3.9 3.7

0.0

1.0

2.0

3.0

4.0

5.0

6.0

Low Middle High

Avera

ge Le

ngth

of Sta

y (Da

ys)

Reliability Score Rank by Tercile

1. Reliability and length of stay data derived from our 2013 HCAHPS all-facilities database, N=2,289,639.2. Based on Medicare Spending by Claim, 2014 Hospital Compare and Billian’s 2014 data, N=3,080.

15.0%

8.7%5.9%

12.1%

0%

4%

8%

12%

16%

20%

Bottom Decile Top Decile

~6% less spending due to readmissions

Patient Experience Solution Foundational To Clinical And Financial PerformanceAverage Length of Stay by Patient Experience Reliability Tercile (1)

Lower Cost of Care, Higher Operating Margin for Top Performers on HCAHPS (2)

Patient Experience is a Powerful Tool for Performance Improvement

Hospital Net Margin

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% of Spending on Readmission

HCAHPS Overall Rating

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71 70 77

82 75 76

84

31 23

42 37

50

63

47

0

20

40

60

80

100

Nurse Responsiveness Physician Pain Medication Discharge Rating

Avera

ge Na

tiona

l Perc

entile

Rank

Top Quintile of Employee Engagement Bottom Quintile of Employee Engagement

National Percentile Rank Based on Employee Engagement Scores (1)

Employee Engagement Improves Patient Experience

1. Based on Engagement data from 36 projects, year 2014. HCAHPS data from 2014 PG Database.

Complementary Solutions Accelerate Performance Improvement

11Created by Healthcare Metrics Team.

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Census Based Surveying Enables Innovation: Transparency Study

• Census Based Surveying increases patient data by 80%• UT Transparency has resulted in 50%+ of docs in 90th percentile in 2014

Dr. CampbellPress Ganey Data1164 Reviews4.6 Stars vs Vitals 2.5

Dr. CampbellPress Ganey Data1164 Reviews4.6 Stars vs Vitals 2.5

Dr. CampbellPress Ganey Data1164 Reviews4.6 Stars vs Vitals 2.5

Dr. LeiserPress Ganey Data74 Reviews4.9 Stars vs. Vitals 2.5

Dr. LeiserPress Ganey Data74 Reviews4.9 Stars vs. Vitals 2.5

Dr. LeiserPress Ganey Data74 Reviews4.9 Stars vs. Vitals 2.5

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Industry Leading Sales And Client Management Teams

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400+Client Facing Associates

Transformational Consultants

Sales Professionals

Advisory Professionals

Account Management Supporting Clients

4473135162 Geographically-based model for majority of client base

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Innovation And Thought Leadership Offer Deeper Value To Clients

Executive Council members of Press Ganey nonprofit

Speaking engagements

Clients at national conference

Attendees across regional symposiums

Monthly user logins for improvement solutions

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Investing in Thought Leadership28 245+

2,800

1,000+

265,000+

Industry articles in key trade publications

Participants in the online community

Custom analytic reports generated annually

300+

26,0003,000+

Participants in CNO Quarterly Best Practices Roundtable

250

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GROWTH STRATEGY / TOTAL ADDRESSABLE MARKET

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Total Addressable Market

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Quality, Safety, Consulting, Other

Existi

ng Cli

ents

Prospe

cts

Patient Experience

Caregiver Engagement

$319 Million (2015 PGND Revenue)

Patient Engagement, Care Coordination, Other Consulting

$865 Million

$294 Million

$2.7 Billion

New SolutionsExisting Solutions

$4.2 Billion Total Addressable Market

$1.5 Billion

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Proposed Mandatory

2018

Medical Practices

Expanding CAHPS Requirements Will Accelerate Improvement Efforts

2%2%2%

Hospital Outpatient Surgery Departments Voluntary

2016 2017

Ambulatory Surgery Centers Voluntary Proposed Mandatory

Pediatric Inpatient HospitalsEmergency Departments Planning Anticipated Voluntary Anticipated Mandatory

Long Term Care Hospitals Planning Anticipated Voluntary Anticipated Mandatory

Inpatient Psychiatric Facilities Planning Anticipated Voluntary

InpatientDialysisACOsHospiceHome Health

Mandatory

Inpatient Rehab Facilities Planning Anticipated Voluntary Anticipated Mandatory

Voluntary

Mandatory Anticipated Voluntary (with new MIPS)

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Strategic Acquisition Track Record

18

2009

Caregiver Engagement

Safety/Consulting

Clinical/Quality

PatientExperience

2013 2014 2015 2016

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FINANCIAL REVIEW

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Financial Overview

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RevenuePredictability

Retention: 97% client retention / 94% revenue retention 3-year average Q2 2014 –Q2 2016

Visibility: Average contract life for top 100 patient experience clients is 2.9 years

Existing Solutions: $1.2B White space New Solutions: $2.7B Opportunity

Cost of Revenue: Greater percentage of insights from electronic platform Technology Improvements: Redesign of platforms for collecting and sharing data Sales Force: Broader product offering Adjusted EBITDA less Capital Expenditures: 79% of Adjusted EBITDA from

2012 to 2015, 83% YTD 2Q16 Balance Sheet: deleveraged and lower interest rates

Organic Growth

OperatingLeverage

Cash Flow

Long Term Growth Targets Revenue: 7-9% organic / 2-3% acquisition Adjusted EBITDA: 13-15%

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$0$50

$100$150$200$250$300$350

2012 2013 2014 2015 YTD2Q15

YTD2Q16

Revenue

Growth Track Record($ in millions)

$0

$25

$50

$75

$100

$125

2012 2013 2014 2015 YTD2Q15

YTD2Q16

Adjusted EBITDA

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5.4x

4.6x4.0x

1.3x 1.0x

0.0x

1.0x

2.0x

3.0x

4.0x

5.0x

6.0x

2012 2013 2014 2015 YTD 2Q16

Total Net Debt (1) / Adjusted EBITDA Ratio

Adjusted EBITDA Less CapEx & Leverage Ratio

1. Net debt = total debt – cash.

($ in millions)

$0$10$20$30$40$50$60$70$80$90

$100

2012 2013 2014 2015 YTD2Q16

Adjusted EBITDA Less Capital Expenditures

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APPENDIX

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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. Expense associated with executive separation agreements and targeted employee headcount reductions.7. Primarily consists of professional fees incurred for the preparation for compliance with Section 404 of the Sarbanes-Oxley Act and for design of the equity incentive and

compensation programs, professional fees incurred in connection with the IPO and capital structure, 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 YTD($ in thousands) 2012A 2013A 2014A 2015A 2Q15 2Q16Net income (loss) $(7,391) $99 $15,583 $(36,627) $(47,843) $16,046Interest expense 32,157 24,644 19,832 11,163 8,354 2,366Income tax expense (benefit) (604) 5,926 13,196 7,528 (1,360) 13,169Depreciation & amortization 27,202 32,468 35,102 41,224 20,096 23,115EBITDA $51,364 $63,137 $83,713 $23,288 $(20,753) $54,696Equity-based compensation(1) 14,256 9,787 8,034 86,745 74,997 13,349Extinguishment of debt (2) 7,185 7,922 2,894 1,750 638 -Non-cash impairment charges (3) - 2,579 - - - -Management fee to related party (4) 968 907 1,047 553 553 -Acquisition expenses (5) 1,327 902 462 945 203 1,191Severance (6) 2,797 625 1,084 2,095 - 709Loss (gain) on disposal of property & equipment - 274 1,719 307 (31) 20Other non-comparable items (7) 1,465 2,159 3,606 1,802 864 106Adjusted EBITDA $79,362 $88,292 $102,559 $117,485 $56,471 $70,071

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Adjusted EBITDA Less Capital Expenditures

Fiscal Year ended December 31 YTD

($ in thousands) 2012A 2013A 2014A 2015A 2Q16

Adjusted EBITDA $79,362 $88,292 $102,559 $117,485 $70,071

Capital Expenditures (18,191) (17,230) (19,414) (26,197) (12,231)Adjusted EBITDA Less CapitalExpenditures $61,171 $71,062 $83,145 $91,288 $57,840Adjusted EBITDA Less CapEx as Percentage of Adjusted EBITDA 77% 80% 81% 78% 83%

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Capitalization

As Reported

($ in thousands) 12/31/12 12/31/13 12/31/14 12/31/15 6/30/16

Cash $7,845 $32,635 $6,962 $35,235 $46,383

Total Debt $431,851 $434,423 $418,319 $189,267 $182,575

Net Debt $424,006 $401,788 $411,357 $154,032 $136,192

LTM Adjusted EBITDA $79,362 $88,292 $102,559 $117,485 $131,085

Total Net Leverage 5.3x 4.6x 4.0x 1.3x 1.0x

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