2018 Physician Practice Management & ASC Symposium

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1 APRIL 25 OPENING GENERAL SESSION KEYNOTE PANEL 11:30 am 1:00 pm Opening Lunch Nashville Hot Chicken & BBQ 1:00 1:05 pm Words of Welcome Jerry J. Sokol, Partner & Program Co-Chair, McDermott Will & Emery 1:05 1:55 pm Titans of the PPM Industry: Vision From the Top PPMs continue to grow at a pace unseen since the late 1990s, with a number of physician specialties joining the trend. In this session, CEOs of national health care services companies, covering varying specialties, share insight regarding where the industry stands, where it is headed and what their current strategies are as the stewards of their companies. Christopher A. Holden, Director, President & Chief Executive Officer, Envision Healthcare Jerry Rhodes, Chief Executive Officer, Dental Care Alliance Geoff Wayne, Chief Executive Officer, U.S. Dermatology Partners Moderator: Jerry J. Sokol, Partner & Program Co-Chair, McDermott Will & Emery 1:55 2:45 pm State of the ASC Industry With the proliferation of PPMs, questions have emerged about the future of facility-based companies and the need to diversify into physician practice management in order to survive. In this session, a panel of top national ASC Company CEOs will discuss their companies strategies; are they planning to pivot into PPMs, maintain their focus on ASC facility JVs or pursue some other strategy in order to survive and thrive in the current health care services environment? 2:45 3:20 pm Protecting your Investment: Avoiding Potential Financial Catastrophes Too often profitable health care services companies suffer financial reversals due to regulatory issues that could have been avoided. This panel comprised of former federal prosecutors and experienced health care lawyers (including a qui tam plaintiff s lawyer) will discuss: Practical steps and tips on what to do and what not to do now to put your company in the best position if in the future you are faced with anti-kickback, Stark or false claims scrutiny The adequacy of compliance plans and the regulatory warning signs for acquisition targets Common "rules of the road" in structuring and executing growth strategies to avoid becoming the next target for price fixing allegations (due to improper managed care contracting among affiliates) or having too much market share Jeffrey W. Dickstein, Partner, Phillips & Cohen LLP, formerly with the US Attorney s Office for the Southern District of Florida, responsible for investigating and prosecuting health care fraud cases Becky Martin, Partner, McDermott Will & Emery, formerly with the US Attorney s Office for the Southern District of New York, responsible for investigating and prosecuting health care fraud cases Stephen Wu, Partner, McDermott Will & Emery Moderator: Jeffrey E. Stone, Partner, McDermott Will & Emery 3:20 3:40 pm Networking Break Sponsored By: Wayne S. DeVeydt, Chief Executive Officer, Surgery Partners Lew Little, Chief Executive Officer, Covenant Surgical Partners Barry Tanner, Chief Executive Officer, Physicians Endoscopy Moderator: Danielle E. Golino, Partner & Program Co-Chair,McDermott Will & Emery

2 APRIL 25 OPENING GENERAL SESSION KEYNOTE PANEL 3:40 4:10 pm Washington Update Reading the Tea Leaves In this era of unprecedented political turmoil, this panel of DC professionals will explore what is expected to occur in Washington on both the reimbursement and regulatory fronts and the resulting impact on the revenue and future prospects of PPM and ASC companies. Adaeze Enekwechi, PhD, Vice President, McDermott+Consulting William Main Prentice, Chief Executive Officer, Ambulatory Surgery Center Association Misha Segal, Director, Berkeley Research Group Moderator: Jason B. Caron, Partner, McDermott Will & Emery 4:10 5:00 pm What the Money Thinks Unlike the often-time irrational and speculative public markets, private equity is typically considered smart money that invests based upon sound business principles. Why are private equity funds continuing to invest in the PPM and ASC sectors, what is their current investment thesis, how has it changed, and what does private equity see as the short-term and long-term future of the PPM and ASC industries? David Alpern, Partner, Varsity Healthcare Partners Investments: EyeCare Services Partners; Forefront Dermatology Andrew Kaplan, Principal, Bain Capital Private Equity Investment: Surgery Partners William D. Lautman, Managing Partner, Nexus Health Capital Church Moore, Investment Partner & Managing Director, Kelso Private Equity Investment: Physicians Endoscopy Michael P. Watts, Partner, Linden Capital Partners Investment: Sage Dental Management Moderator: Kevin L. Miller, Partner & Program Co-Chair, McDermott Will & Emery 5:00 6:30 pm Networking Cocktail Reception Outdoor terrace next to the legendary Country Music Hall of Fame. Sponsored By:

3 8:00 9:00 am Networking Breakfast and Registration Sponsored By: 9:00 9:05 am Welcome and Opening Remarks Kevin L. Miller, Partner, McDermott Will & Emery 9:00 9:05 am Welcome and Opening Remarks Danielle E. Golino, Partner, McDermott Will & Emery 9:05 9:55 am Getting Physician Practice Deals Done in Today s Competitive Environment PPM deal volumes and transaction values continue to soar. Senior development executives of leading PPM companies and investment bankers discuss market trends and acquisition strategies in this highly competitive marketplace. Jay Barnes, Managing Director, Greenhill & Co. Roy S. Bejarano, Chief Strategy Officer & Co-President, PE Gastro Management, Physicians Endoscopy Christopher Fusco, Chief Development Officer, EyeCare Services Partners L.A. Galyon, Managing Director, Brentwood Capital Advisors David Pegg, Chief Development Officer, Dental Care Alliance 9:05 9:55 am Getting ASC Deals Done in Today s Competitive Environment The ASC market is more competitive than ever. Senior development executives of leading ASC management companies discuss market trends, acquisition strategies and competing with PPM/private equity buyers in the ASC industry. Tim Buono, Senior Vice President, Development, SCA Ben Jacobs, Chief Development Officer, Surgery Partners Rob McCullough, Vice President, Development, AmSurg Whit Polley, Executive Vice President & Chief Development Officer, Covenant Surgical Partners Moderator: Danielle E. Golino, Partner, McDermott Will & Emery Moderator: Roy J. Larson, Partner, McDermott Will & Emery 9:55 10:45 am Establishing a Cost-Effective Roll-Up Strategy With increasing transaction volume, executing on your acquisition pipeline requires discipline and cost efficiency. This session will present proven, cutting-edge, cost-efficient solutions for your bolt-on practice acquisitions and integrations through a newly designed, streamlined transaction documentation process and due diligence that exposes key issues upfront to help avoid wasted time and money. Larry C. Guess, Associate, McDermott Will & Emery Kevin L. Miller, Partner, McDermott Will & Emery Krist Werling, Partner, McDermott Will & Emery 9:55 10:45 am Cutting-Edge ASC Structures & Ownership Models A presentation on the latest ASC models, including the valuable use of divisional limited liability companies (LLCs) to operate multiple ASCs through a single entity, the distribution of ASC profits through flexible group practice models, and creative JVs among private equity, health systems, ASC management companies and physicians. Bob Goettling, Esq., Principal, The Bloom Organization Daniel H. Melvin, Partner, McDermott Will & Emery Jennifer A. Vecchio, Counsel, McDermott Will & Emery

4 10:45 11:00 am Networking Break Sponsored By: 11:00 11:50 am Preparing a Large Practice for Sale This panel of leading physician practice investment bankers will address the key preliminary and ongoing actions that will facilitate an efficient and successful sale process that maximizes transaction value. This panel will also take a deep dive into the current physician practice market. Henry H. Bloom, Founder & President, The Bloom Organization Bill Britton, Managing Director, Cross Keys Capital Marc A. Cabrera, Managing Director, Co-Head of Healthcare, Oppenheimer & Co. Slava Girzhel, Managing Director, Cain Brothers John Stearns, Managing Director, Navigant Consulting Moderator: Fred Levenson, Partner, McDermott Will & Emery 11:00 11:50 am De Novo ASCs & HOPD to ASC Conversions After a relatively dormant period while the market absorbed excess ASCs, de novo ASCs are back in a big way. Separately, health systems are exploring a new strategy of converting HOPDs into ASCs, in an effort to align with physicians (some of these HOPDs were originally ASCs). This panel will discuss how today s de novo ASCs and HOPD conversions are being structured for success. Lisa M. Kaderabek, Partner, McDermott Will & Emery Jay Sweetnich, Senior Director, ASC and Ambulatory Acquisitions, Community Health Systems Robert Zasa, Managing Partner & Founding Partner, ASD Management 11:50 am 12:30 pm Rewarding Performance: Physician Alignment through Smarter Compensation and Equity Incentive Programs The key to a successful PPM strategy is ensuring physician alignment and commitment. PPMs must align provider incentives with clinical quality, practice profitability and overall corporate growth. This panel explores the current cutting-edge tools for physician compensation and equity incentives to ensure physician alignment with, and commitment to, PPMs while not running afoul of state and federal health care laws. Bernie Grondin, Partner, McDermott Will & Emery Jerry J. Sokol, Partner, McDermott Will & Emery Jed Spielman, Partner, McDermott Will & Emery 11:50 am 12:30 pm Recovery Care Centers and Total Joints: Expanding the ASC s Role in the Health Care Delivery System With advancements in anesthesia and medical technology, procedures with higher acuity continue to migrate into the ASC setting. This shift has caused an increasing interest in recovery care centers and longer-stay ASCs. This panel explores this trend and limitations under federal and state law. Michael Patterson, President & Chief Executive Officer, Mississippi Valley Health DJ Hill, Chief Executive Officer, Compass Surgical Partners Craig M. McAllister, MD, Chief Medical Officer, The SwiftPath Program, LLC Andrea Slavik, Total Joint Care Coordinator, Total Joint Center of St. Louis (USPI) Moderator: Gary B. Gertler, Partner, McDermott Will & Emery 12:30 2:00 pm Networking Luncheon Sponsored By: Keynote Speaker: Joshua Foer, Science Journalist and Author, Moonwalking with Einstein: The Art and Science of Remembering Everything

5 AFTERNOON SESSIONS 2:00 2:40 pm Critical Corporate Practice Developments and Key PPM Accounting Issues The Corporate Practice of Medicine (CPOM) presents unique legal and accounting challenges for PPM businesses. This panel of leading advisors addresses common CPOM and related accounting pitfalls, best practices and recent state-specific developments. New evolutions in MSO structures and their accounting treatment will also be addressed. Failure to meet applicable CPOM requirements can result in dire consequences for a PPM. David S. Ivill, Partner, McDermott Will & Emery Ronald L. Ralph, CPA, Partner, Crowe Horwath LLP Joel C. Rush, Partner, McDermott Will & Emery Moderator: Dawn R. Helak, Partner, McDermott Will & Emery 2:00 2:40 pm After the Deal: Keys to Successfully Partnering with Physicians A panel of executives from leading ASC management companies discuss effective strategies to keep physician partners productive and engaged, including the enforcement of extension of practice requirements, senior vs. junior physician issues, physician recruitment, rights of first refusal, and today s broad noncompete covenants. Jennifer Baldock, Senior Vice President & General Counsel, Surgery Partners Chris Bishop, Chief Executive Officer, Regent Surgical Health Andy Johnston, Chief Operating Officer East, USPI Larry Taylor, President & Chief Executive Officer, Practice Partners in Healthcare, Inc. Moderator: Monica Neuman, Partner, McDermott Will & Emery 2:40 3:20 pm Closing Is Just the Beginning: Keys to Successful Practice Integration With a frenzied acquisition pace, ultimate success depends in large part on successful integration of practices to create a truly unified company, rather than a loosely affiliated franchise arrangement. This was one of the achilles heals of the PPMs of the 90s. Leading operating and integration executives share lessons learned in overcoming deal fatigue to develop and execute successful integration plans for operations, culture and infrastructure, including a smooth transition of employee benefits and coordination. Mark Ahern, Senior Advisor, McKesson Specialty Health Steven Boyd, Managing Director, Alvarez & Marsal Nicholas E. Glaser, Vice President, Practice Integration, MEDNAX Health Solutions Partner Maureen O Brien, Partner, McDermott Will & Emery 2:40 3:20 pm Current Valuations of ASCs With private equity entering the fray, an expansion of ASC buyers, and the combination of ASC/practice transactions, this panel of experienced valuators will address how ASCs are being valued in today s marketplace and factors that increase or decrease an ASC s valuation. Steve Aguiar, Managing Director, Provident Healthcare Partners Curtis Bernstein, Principal, Pinnacle Healthcare Consulting Nicholas J. Janiga, Partner, HealthCare Appraisers Todd J. Sorensen, CVA, Managing Director, Business Valuation & Transaction Advisory, VMG Health Moderator: Ibrahim Barakat, Partner, McDermott Will & Emery Moderator: Jenny Wang, Partner, McDermott Will & Emery

6 3:20 3:40 pm Networking Break Sponsored By: 3:40 4:30 pm Delivering on the PPM Value Proposition: Preventing Physician Resentment The closing cash was great, but what has management done for me lately? This complaint contributed to the downfall of the 90s PPMs. This panel will explore how top PPM management teams capitalize on opportunities and avoid pitfalls in delivering on the PPM valuation proposition with greater clinical support, cost reduction, improved efficiencies, revenue enhancements from new lines of business and improved reimbursement strategies in an effort to truly effect successful income repair for physicians. Sami Abbasi, President & Chief Executive Officer, Unifeye Vision Partners Lawrence S. Carter, Managing Partner, Global Healthcare Advisors, LLC Dan Murrey, Chief Medical Officer for Specialty Practices, OptumCare Moderator: Patrick J. Martinez, Partner, McDermott Will & Emery 3:40 4:30 pm Maximizing Revenue in the ASC Setting This panel of ASC reimbursement experts and legal advisors present their strategies for increasing revenue in the ASC setting, with a focus on: Improved payor contracting Developing an effective reimbursement strategy in today s regulatory climate Bundled payments and total joints Capturing anesthesia revenue in a legally compliant manner Chip Burgett, Director, Contracting & Convergent Operations, Global One Ventures, LLC Deborah Godes, Senior Director, McDermott+Consulting Eric Gordon, Partner, McDermott Will & Emery Jeff Hignite, Manager, ECG Management Consultants Moderator: Gary Scott Davis, Partner, McDermott Will & Emery 4:30 6:30 pm Networking Cocktail Reception

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