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All Campus Leadership

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All Campus Leadership

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  1. All Campus Leadership July 10, 2009

  2. “According to the cleanliness of my hands, God rewards me.”Psalms 18:20

  3. All Campus LeadershipLars Houmann July 10, 2009

  4. 2010 PLANNING • Recession • Reform

  5. HEALTHCARE REFORM’S BIG TOPICS • Public Option • Mandate • Cost

  6. AHS/FLORIDA HOSPITAL POSITION • Simple, fair payment system • “Smart” reimbursement • Basic coverage for preventive health • Reform Stark regulations

  7. HOSPITAL INDUSTRY “Do Our Part” – July 7, 2009 • Cover 95% of Americans • $155Bn payment reductions • Public Exchange • Delivery System Reforms

  8. SURE BETS • Improve Patient Experience • Improve Patient Care • Create Value • Align Physicians • Engage Employees • Innovate

  9. NEJM – Table 3 – Classification Requirements

  10. 2012 CHALLENGE • Indisputable market leader • Florida Hospital for Children nationally recognized • Statutory teaching • World leader in training surgeons • FH patient experience as role model • Preventable deaths to zero • Electronic record • Health improvement business model and economic returns • Cash to long-term debt > 110%

  11. All Campus LeadershipMarket Overview

  12. Agenda Market Demographics & Growth Competitive Landscape Market Share Brand (NRC) Major Market Messages

  13. Market Demographics & Growth

  14. Population Growth The Tri-County market is expected to outpace the US population growth rate

  15. Unemployment Trends Source: Florida Research and Economic Database; Tri-Co includes Seminole, Orange, and Osceola Counties

  16. Florida 2009 P 2010 P 2006 2007 2008 315,742 321,741 326,338 331,233 336,201 Orlando Area Uninsured Population

  17. Market Growth Total Hospital Admissions by County Source: AHCA 2008A discharges, all DRGs except 794-795 and 945-946; 2008A is annualized based on Q1-Q3

  18. Competitive Landscape

  19. Competitive Landscape Orlando Health • Arnold Palmer Hospital for Children completed their $56 million renovation, increasing their pediatric bed size from 96 to 158. The renovation included the addition of a new children’s kidney center and new IP and OP oncology wings. • Dr. P. Phillips Hospital plans to complete their $175 million renovation project, increasing bed size from 135 to 240 beds, in 2010. • Dr. P. Phillips Hospital Chest Pain Center recently received full accreditation from the Society of Chest Pain Centers’ Accreditation Review Committee.  South Lake Hospital • South Lake Hospital expects to add 54 new beds in 2010.

  20. Competitive Landscape Nemours Foundation • Nemours to build a 550,000 square-foot, 95-bed subspecialty pediatric hospital on 60-acres in Lake Nona’s Medical City. Completion date expected 2012. Imaging Centers • There are 51 free standing Imaging Centers in the market. Surgery Centers • There are 31 free standing Surgery Centers in the market.

  21. Market Share

  22. 1st Qtr 2009 Market Share • Market Growth 2.7% • FH Growth 4.6% • OH Growth -0.4% • FH Market Share 47.4%  48.2% • Market Share Gap 11.1  13.1

  23. In-Patient % Growth2009Q1 vs. 2008Q1 • Obstetrics • Market Growth -4.8% • OH Growth -8.2% • FH Growth 11.7% • Pediatrics • Market Growth 22.5% • OH Growth 10.1% • FH Growth 35.7% • Acute • Market Growth 3.6% • OH Growth 1.2% • FH Growth 4.1%

  24. Tri-County Market Share Seminole – 50.2% Orange – 47.2% Osceola – 28.0%

  25. Tri-County Market Share Northwest – 52.8% Northeast – 61.4% North – 57.2% Southwest – 23.0% Southeast – 45.8% South – 32.9%

  26. Brand (NRC)

  27. Combined Attributes(Best Doctors, Best Nurses, Best Image / Reputation, Best Overall Quality) 60.0% 50.2% 49.5% 48.6% 47.9% 50.0% 44.9% 38.8% 39.1% 37.8% 36.0% 40.0% 35.2% 30.0% 20.0% 10.0% 0.0% 2005 2006 2007 2008 2009* Florida Hospital Orlando Health Source: National Research Corporation, Tri-County respondents only; 2009 data is January thru May

  28. Consumer Preference by Age Group(based on Combined Attributes) 35-44 18-34 60.0% 60.0% 49.9% 48.0% 43.4% 50.0% 50.0% 44.6% 41.8% 43.9% 43.4% 43.2% 42.1% 41.8% 40.3% 39.0% 38.3% 37.8% 37.0% 36.8% 40.0% 40.0% 33.4% 34.1% 29.7% 26.4% 30.0% 30.0% 20.0% 20.0% 10.0% 10.0% 0.0% 0.0% 2005 2006 2007 2008 2009* 2005 2006 2007 2008 2009* 45-64 65 and Older 60.0% 80.0% 52.3% 69.5% 48.5% 70.0% 47.0% 50.0% 45.4% 42.9% 58.0% 57.1% 60.0% 39.5% 38.4% 38.3% 38.7% 36.8% 40.0% 49.0% 48.4% 50.0% 37.6% 30.0% 34.0% 40.0% 29.6% 30.0% 22.1% 20.0% 19.1% 20.0% 10.0% 10.0% 0.0% 0.0% 2005 2006 2007 2008 2009* 2005 2006 2007 2008 2009* Florida Hospital Orlando Health Florida Hospital Orlando Health Source: National Research Corporation, Tri-County respondents only; 2009 data is January thru May

  29. Consumer Preference by Gender (based on Combined Attributes) Female Male 60.0% 60.0% 53.0% 52.6% 49.7% 49.2% 49.0% 47.8% 48.1% 50.0% 45.7% 50.0% 45.2% 39.2% 38.6% 38.6% 38.0% 35.2% 36.4% 35.9% 36.8% 40.0% 40.0% 34.6% 34.5% 30.1% 30.0% 30.0% 20.0% 20.0% 10.0% 10.0% 0.0% 0.0% 2005 2006 2007 2008 2009* 2005 2006 2007 2008 2009* Florida Hospital Orlando Health Florida Hospital Orlando Health Source: National Research Corporation, Tri-County respondents only; 2009 data is January thru May