The HonorHealth Story and Growth Overview

 
The HonorHealth Story
 
A Relatively New and Rising Brand
 
In October 2013, Scottsdale Healthcare (SHH) and John C. Lincoln (JCL) combined assets and strengths
 
SHH
 and 
JCL
, entered into
an affiliation agreement
to form Scottsdale
Lincoln Health Network
(
SLHN
)
 
O
c
t
o
b
e
r
 
2
0
1
3
 
J
a
n
u
a
r
y
 
2
0
1
5
 
M
a
r
c
h
 
2
0
1
5
 
SLHN’s
 name was
changed to
HonorHealth
 
SHH 
and 
JCL
statutorily merged
to form 
SLHN
 
2
 
Revenue has nearly doubled during the Merger Era
 
3
 
EBIDA has sustained in the 9-10% range during growth
 
4
 
W
h
o
 
i
s
 
H
o
n
o
r
H
e
a
l
t
h
?
 
Seventh largest employer in Arizona (Scottsdale’s largest)
 
Second largest healthcare system market share in Maricopa County (the country’s fastest growing
county, which is 15% of the country’s total growth)
 
Ranked Top 25 Best Employer in Arizona by Forbes the past half decade (second highest
healthcare system in AZ this past year, next to Mayo)
 
Issued > $300M in Bonds in January 2021, rated A+ Stable by Fitch ….over 15X subscription
demand to supply
 
Extensive footprint of a continuum of healthcare settings concentrated throughout Scottsdale
and North Phoenix
 
5
 
6
 
Large system-owned medical group:
192
 Primary Care Physicians
10 
Urgent Care Physicians
125
 Specialty Physicians
126
 Advanced Practitioners
 
1,000,473 Medical Group Visits in 2021
447,761
 Primary Care Visits
287,146
 Specialty Care Visits
88,857
 Urgent Care Visits
137,940
 VGP Cancer Care Visits
38,769 
 Med Group Imaging
 
3,400 Combined HonorHealth Medical Staff
 
Dense in core service areas; Catchment to
considerable part of metro Phoenix
 
Hospital
 
Surgical Center
 
Specialty Practice
 
PCP Practice
 
Urgent Care
 
ICP’s Valley Wide Asset Distribution & Network Footprint
 
LEGEND
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
H
o
n
o
r
H
e
a
l
t
h
 
F
o
o
t
p
r
i
n
t
 
HonorHealth
 
is
 more than just a Hospital System
 
7
 
Innovation 
Care
 
Partners
 (ICP)
 
Founded in 
2005, the 
Institute
brings tomorrow’s cures 
to
 
the
community 
today 
by providing
local access to 
cutting-edge
technologies and
 
treatments
 
Physician-led, clinically
integrated 
network 
(
ACO
)
,
managing 
a 
Medicare Shared
Savings 
Programs
 
(MSSP)
ICP delivers
 
value-based
h
e
al
t
h
c
ar
e
 
d
e
fin
ed
 
b
y
 
s
up
e
ri
o
r
 
transitional care  management
 
and
care
 
coordination
ICP 
received $1
4
 million 
in 2020
shared
 savings
 
for 
its 
2019
results 
(delivering $24M savings
to CMS for 56K Medicare
beneficiaries) 
and ranked in 
the
top
 
15 
MSSP savings in 
the US
Over 2,000 
physician
 
members,
170,000 
patient lives, and
contracts 
with 
eight 
major
insurance
 
companies
 
Includes collaborations
 
with
top 
scientists, physicians,
universities, and 
companies
across the
 
globe
Anchors community bioscience
ecosystem to 
attract and
develop 
talent, technologies,
resources 
that enhance
community
 
health
Implant of first leadless
pacemaker in the US (Dr. Rahul
Doshi)
 
Branding and bylaws
update work
Added infrastructure for
more aggressive  Planned
Giving, Corporate Giving
and real estate gifts
Surpassed $50M mark for
gifts in 2020
As 
a 
community-focused
nonprofit organization,
every  
dollar 
donated
supports  breakthrough
research and  compassion
care 
to make a  
difference
for HonorHealth  
patients
and their
 
families
 
N
O
AH
 
In 
1997, 
Neighborhood
Outreach Access to 
Health
(NOAH) 
was created to 
fulfill
 
an
unmet need for 
high-quality
and affordable health
 
services
 
In 
2012, HonorHealth 
began
 
an
affiliation 
with 
NOAH, 
a
federally qualified health
center, to develop a
comprehensive 
model of
 
care
Each 
year, 
the 10 NOAH
locations 
provide 30k
 
adults
and children 
with 
medical,
behavioral, and dental
 
care
NOAH 
also 
provides
 
nutrition
education 
and community
resource
 
assistance
 
The HonorHealth 
Military
Partnership 
Program
 
provides
trauma 
and 
deployment
training 
to 
all branches 
of the
military, active duty, National
Guard, and
 
Reserves
More 
than 
3,000 
soldiers
 
and
airmen have been 
trained in
programs
 
including:
Medical simulation
 
training
Readiness skill sustainment
training
Nurse transition
 
program
Critical 
care/Emergency
Trauma 
Nursing
 
Fellowship
U.S. Air 
Force 
Magnet and
Surgical Leadership
 
Fellowship
 
Research 
and
Innovation
 
Institute
 
HonorHealth
 
Foundation
 
Military
 
Partnership
 
HonorHealth
 
is more than just a Hospital System
 
8
 
For 90 
years, 
HonorHealth
Desert 
Mission has 
been
improving the 
health and
 
well-
being 
of 
individuals 
from 
all
socioeconomic walks 
of
 
life
Offers early 
childhood
education/ enrichment and
senior 
day care/
 
enrichment
Provides food 
bank 
access 
and
nutrition support 
(44,000 boxes
food provided
 
annually)
Focus on employment
 
and
economic
 
success
Delivered thousands of
meals to HonorHealth
employees during the
pandemic surges
 
HonorHealth 
provided
>
$
39
0
 
million
 in value to
the community in 2020:
Financial assistance and charity
care plus unreimbursed 
costs
for 
providing care 
to 
Medicaid
and Medicare
 
patients
Community 
health
improvement
 
services
Clinical 
education 
including
physician residency
 
programs
Community 
service 
activities
 
Partnership addresses
 
the
healthcare 
needs of the
homeless 
population in
Sunnyslope.
 
Includes:
Circle 
the 
City Health
 
Navigator
in 
the ED to 
assist 
with
discharge planning and
 
care
Mobile medical 
unit and 
street
outreach to provide 
illness and
injury treatment, chronic
disease management, flu 
shots,
and behavioral health
 
care
Coordination 
with 
additional
neighborhood associations
 
to
address 
the 
health and social
needs of the 
chronically
homeless
 
The 
Caregiver Well-Being
Program embraces 
and
cultivates 
a 
culture 
of
 
provider
and caregiver resiliency and
well-being
Through 
the program,
healthcare professionals 
who
may 
experience 
stress
associated 
with 
unanticipated
events 
and 
outcomes 
in 
the
workplace can receive
emotional support,
 
prevention
resources, 
and 
tools to
strengthen their ability 
to
manage 
workplace
 
stressors
 
Circle the
 
City
 
Community
 
Benefit
 
Desert
 
Mission
 
In August 
2018, we 
launched
our 
Ambassador 
Movement
with the hope of 
finding 
100
employees who wanted to
connect with 
their colleagues
and represent 
the causes
 
they
care
 
about
There are 
2,050 
registered
Ambassadors 
who have
tracked 16,800 
activities and
logged 3,800 volunteer
 
hours.
Highlights
 
include:
Four 
truckloads 
of 
Military
Care 
Package Drive
 
donations
Mobile Market Food
 
Bags
delivered 
to 
Medical 
Group
colleagues during
 
COVID
 
Care 
for 
the
 
Caregiver
Well-Being
 
Program
 
Ambassador
 
Movement
 
HonorHealth
 
Success
 
Into a Pandemic Crisis
 
Quality &
T
ec
hn
o
l
o
g
y
 
Leapfrog 
(Spring
and  Fall 
2020) 
at 
4
A’s 
and 
1
 
B
CMS Star Rating
GPA from 3.2 in
2019 to 3.8 in 2020
(TPK at 5 stars)
 
Employee
E
n
g
a
g
e
m
e
n
t
General staff 
Net
P
romoter 
S
core
of 
72
nd 
percentile
for
 
2020
…Top
Quartile two
years in a row
 
Physician
Ali
gnm
e
n
t
Medical staff Net
Promoter Score 
of
52nd  percentile 
in
2019 
increased to
79
th
 
in
 
2020
 
Financial
P
e
r
f
o
rm
a
n
ce
 
~9-10% EBIDA Margin
in 2019, 2020 and 2021
Despite AZ Cares Act
relief in bottom two in
country per capita
 
G
r
o
wth
 
Sonoran
 
Crossing Medical  
Center
opened
 
Sep
 2020
FastMed
 JV
 
(
urgent care
) 
Dec
 
2020
OrthoAZ JV 
opened Mar 2020
Neuroscience
s
 Institute
open
ed
 
  
May 
2021
UHS  
JV 
Behavioral
 
H
ospital
opened Mar 2022
 
9
 
9
 
H
ono
r
V
i
s
i
on
2015-2019
 
HonorStrategy
 
10
 
Hospital 
System
Magnet Nursing
 
Identity
 
HonorStrategy
2020-2024
 
HH
 
Formation
2013 
-
 
2015
 
Our Biggest Differentiators
 
Our focus on Quality and Patient Experience:
Top Quartile (at least) for most metrics
Strong nursing culture (5 of the 8 Magnet hospitals in AZ)
Heavily led by physician engagement/alignment (physicians in key Exec roles, joint
Board/Med Staff Strategic Planning Committee, and ACO under shared governance)
 
Again, not just the Valley of the Sun’s 2
nd
 largest community hospital system:
HonorHealth Medical Group (one of the Valley’s largest PCP practices)
Innovation Care Partners (one of the Nation’s highest performing ACOs)
HonorHealth Research Institute (~$25M in revenue)
Military partnership for critical care nurses
Desert Mission food bank
 
 
 
11
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HonorHealth, a relatively new and rising brand, emerged from the merger of Scottsdale Healthcare and John C. Lincoln to form Scottsdale Lincoln Health Network in October 2013. Their revenue nearly doubled post-merger, showcasing continuous growth. With sustained EBIDA margins and a significant market presence in Arizona, HonorHealth has positioned itself as a leading healthcare provider. The organization's extensive footprint and diverse healthcare settings reflect its commitment to serving the community with quality care.

  • HonorHealth
  • Healthcare
  • Growth
  • Merger
  • Arizona

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  1. The HonorHealth Story

  2. A Relatively New and Rising Brand In October 2013, Scottsdale Healthcare (SHH) and John C. Lincoln (JCL) combined assets and strengths SHH and JCL, entered into an affiliation agreement to form Scottsdale Lincoln Health Network (SLHN) Shared Vision Shared Vision of the Future of the Future October 2013 October 2013 Complementary Complementary Geographies Geographies Economies of Economies of Scale Scale SHH and JCL statutorily merged to form SLHN January 2015 January 2015 Rationale for Rationale for Merger Merger Accelerated Accelerated Readiness for Readiness for Risk Risk- -Based Based Contracting Contracting SLHN s name was changed to HonorHealth Complementary Complementary Capabilities and Capabilities and Services Services March 2015 March 2015 2

  3. Revenue has nearly doubled during the Merger Era Total Operating Revenue $3,000,000 $2,500,000 Total Operating Revenue $2,000,000 $1,500,000 $1,000,000 $500,000 $0 2015 2016 2017 2018 2019 2020 2021 Total Operating Revenue $1,606,363 $1,716,544 $1,763,223 $1,967,247 $2,056,619 $2,153,054 $2,585,079 3

  4. EBIDA has sustained in the 9-10% range during growth EBIDA Margin % 14.0% 12.0% 10.0% EBIDA Margin % 8.0% 6.0% 4.0% 2.0% 0.0% 2015 2016 2017 2018 2019 2020 2021 EBIDA Margin % 9.8% 9.5% 6.5% 12.8% 10.6% 9.6% 9.2% 4

  5. Who is HonorHealth? HonorHealth? Seventh largest employer in Arizona (Scottsdale s largest) Second largest healthcare system market share in Maricopa County (the country s fastest growing county, which is 15% of the country s total growth) Ranked Top 25 Best Employer in Arizona by Forbes the past half decade (second highest healthcare system in AZ this past year, next to Mayo) Issued > $300M in Bonds in January 2021, rated A+ Stable by Fitch .over 15X subscription demand to supply Extensive footprint of a continuum of healthcare settings concentrated throughout Scottsdale and North Phoenix 5

  6. HonorHealth Footprint Large system-owned medical group: 192 Primary Care Physicians 10 Urgent Care Physicians 125 Specialty Physicians H 126 Advanced Practitioners LEGEND 1,000,473 Medical Group Visits in 2021 H H H Hospital 447,761 Primary Care Visits 287,146 Specialty Care Visits Surgical Center 88,857 Urgent Care Visits H Specialty Practice H 137,940 VGP Cancer Care Visits PCP Practice Urgent Care 38,769 Med Group Imaging H 3,400 Combined HonorHealth Medical Staff Dense in core service areas; Catchment to considerable part of metro Phoenix ICP s Valley Wide Asset Distribution & Network Footprint 6

  7. HonorHealth is more than just a Hospital System Research and InnovationInstitute Innovation CarePartners (ICP) HonorHealthFoundation NOAH MilitaryPartnership Physician-led, clinically integrated network (ACO), managing a Medicare Shared Savings Programs(MSSP) ICP deliversvalue-based healthcaredefinedby superior transitional care management and carecoordination ICP received $14 million in 2020 shared savingsfor its 2019 results (delivering $24M savings to CMS for 56K Medicare beneficiaries) and ranked in the top15 MSSP savings in the US Over 2,000 physicianmembers, 170,000 patient lives, and contracts with eight major insurancecompanies Founded in 2005, the Institute brings tomorrow s cures tothe community today by providing local access to cutting-edge technologies andtreatments Includes collaborationswith top scientists, physicians, universities, and companies across theglobe Anchors community bioscience ecosystem to attract and develop talent, technologies, resources that enhance communityhealth Implant of first leadless pacemaker in the US (Dr. Rahul Doshi) Branding and bylaws update work Added infrastructure for more aggressive Planned Giving, Corporate Giving and real estate gifts Surpassed $50M mark for gifts in 2020 As a community-focused nonprofit organization, every dollar donated supports breakthrough research and compassion care to make a difference for HonorHealth patients and theirfamilies In 1997, Neighborhood Outreach Access to Health (NOAH) was created to fulfillan unmet need for high-quality and affordable healthservices In 2012, HonorHealth beganan affiliation with NOAH, a federally qualified health center, to develop a comprehensive model ofcare Each year, the 10 NOAH locations provide 30kadults and children with medical, behavioral, and dentalcare NOAH also providesnutrition education and community resourceassistance The HonorHealth Military Partnership Programprovides trauma and deployment training to all branches of the military, active duty, National Guard, andReserves More than 3,000 soldiersand airmen have been trained in programsincluding: Medical simulationtraining Readiness skill sustainment training Nurse transitionprogram Critical care/Emergency Trauma NursingFellowship U.S. Air Force Magnet and Surgical LeadershipFellowship 7

  8. HonorHealth is more than just a Hospital System Care for theCaregiver Well-BeingProgram DesertMission Circle theCity CommunityBenefit AmbassadorMovement Partnership addressesthe healthcare needs of the homeless population in Sunnyslope.Includes: Circle the City HealthNavigator in the ED to assist with discharge planning andcare Mobile medical unit and street outreach to provide illness and injury treatment, chronic disease management, flu shots, and behavioral healthcare Coordination with additional neighborhood associationsto address the health and social needs of the chronically homeless In August 2018, we launched our Ambassador Movement with the hope of finding 100 employees who wanted to connect with their colleagues and represent the causesthey careabout There are 2,050 registered Ambassadors who have tracked 16,800 activities and logged 3,800 volunteerhours. Highlightsinclude: Four truckloads of Military Care Package Drivedonations Mobile Market FoodBags delivered to Medical Group colleagues duringCOVID For 90 years, HonorHealth Desert Mission has been improving the health andwell- being of individuals from all socioeconomic walks oflife Offers early childhood education/ enrichment and senior day care/enrichment Provides food bank access and nutrition support (44,000 boxes food providedannually) Focus on employmentand economicsuccess Delivered thousands of meals to HonorHealth employees during the pandemic surges HonorHealth provided >$390million in value to the community in 2020: Financial assistance and charity care plus unreimbursed costs for providing care to Medicaid and Medicarepatients Community health improvementservices Clinical education including physician residencyprograms Community service activities The Caregiver Well-Being Program embraces and cultivates a culture ofprovider and caregiver resiliency and well-being Through the program, healthcare professionals who may experience stress associated with unanticipated events and outcomes in the workplace can receive emotional support,prevention resources, and tools to strengthen their ability to manage workplacestressors 8

  9. HonorHealth SuccessInto a Pandemic Crisis Physician Alignment Employee Engagement Quality & Technology Financial Performance Growth Sonoran Crossing Medical Center openedSep 2020 FastMed JV (urgent care) Dec 2020 OrthoAZ JV opened Mar 2020 NeurosciencesInstitute opened May 2021 UHS JV BehavioralHospital opened Mar 2022 Medical staff Net Promoter Score of 52nd percentile in 2019 increased to 79th in 2020 General staff Net Promoter Score of 72nd percentile for2020 Top Quartile two years in a row Leapfrog (Spring and Fall 2020) at 4 A s and 1B CMS Star Rating GPA from 3.2 in 2019 to 3.8 in 2020 (TPK at 5 stars) ~9-10% EBIDA Margin in 2019, 2020 and 2021 Despite AZ Cares Act relief in bottom two in country per capita 9 9

  10. HonorStrategy HonorStrategy 2020-2024 Enhance the PhysicianEnterprise HonorVision 2015-2019 Expand Market Essentiality & Presence Vertically Integrated Healthcare Network HH Formation 2013 - 2015 Create a Transformative Digital FrontDoor Value Proposition for PopulationMgmt. Hospital System Magnet Nursing Identity Impact the Social Determinants of Health Optimizing theDelivery System 10

  11. Our Biggest Differentiators Our focus on Quality and Patient Experience: Top Quartile (at least) for most metrics Strong nursing culture (5 of the 8 Magnet hospitals in AZ) Heavily led by physician engagement/alignment (physicians in key Exec roles, joint Board/Med Staff Strategic Planning Committee, and ACO under shared governance) Again, not just the Valley of the Sun s 2nd largest community hospital system: HonorHealth Medical Group (one of the Valley s largest PCP practices) Innovation Care Partners (one of the Nation s highest performing ACOs) HonorHealth Research Institute (~$25M in revenue) Military partnership for critical care nurses Desert Mission food bank 11

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