www.mwe.com/aSC-2014 ASC 2 014 S y m p o s i u m The premier national conference addressing high-level business and legal issues affecting the ambulatory surgical center industry Friday, FEBrUary 21, 2014 FONTaiNEBLEaU MiaMi BEaCH, FLOrida kEyNOTE SpEakEr: ExTENd yOUr STay: John Ellis “Jeb” Bush, Former Governor of Florida South BEach WinE & Food FEStival 2014 aSc Symposium the changing health care landscape has resulted in a surge of health systems entering the ambulatory surgery center (aSc) space, fundamentally and forever changing the aSc industry. this change has resulted in extremely robust transactional activity in the aSc industry, including mergers and acquisitions, as well as a resurgence of de novo aScs, primarily involving health systems. Many health systems have established aSc divisions to facilitate the acquisition, development and management of aScs. those health systems that have not created internal aSc divisions have entered into tri-party aSc joint ventures with aSc management companies. these tri-party aSc joint ventures allow health systems to utilize the expertise of aSc management companies, while also allowing aScs to enjoy the higher reimbursement rates afforded to health systems. in addition to partnering with health systems, aSc management companies are pursuing transactions, and many have expanded into new ancillary service lines. Given this new spectrum of buyers, independent aScs are still considering their transactional alternatives. the regulatory climate of the aSc industry has changed dramatically in the past year, and will continue to change in the upcoming year in light of the affordable care act roll out, lingering budget battles and the drive to reform Medicare. the recent initial public offering of Surgical care affiliates reflected the public market’s renewed interest in the aSc industry. other national aSc management companies will likely either pursue public offerings or other transactions with strategic or financial buyers. Mcdermott Will & Emery’s 2014 aSc Symposium will provide invaluable insights into these and other critical business and legal issues facing the aSc industry. this conference is a must for physician and non-physician business decision-makers from independent aScs (including those in the start-up phase), senior executives and development personnel from national and regional aSc companies, health system executives and development officers involved in aSc ventures, the health care investment community and other health care executives with a vested interest in aScs. We hope you will join us in Miami for the 12th annual aSc Symposium! Jerry J. Sokol Program chairman 2 McDermott Will & Emery LLP • 2014 ASC Symposium Program Faculty Akhil Agrawal Ann Geier Daniel Melvin President vice President of clinical informatics Partner american Medical depot Source Medical Solutions Mcdermott Will & Emery llP Joel Allison Robert Goettling, Esq. Richard Miller chief Executive officer Principal President & chief Executive officer Baylor Scott & White health the Bloom organization llc virtua health System Jennifer Baldock Danielle Golino Scott Nordlund General counsel & chief compliance officer associate Executive vice President Symbion inc. Mcdermott Will & Emery llP Growth Strategy & innovation chE trinity health Henry Bloom Eric Gordon President & Founder Partner Michael Peregrine the Bloom organization llc Mcdermott Will & Emery llP Partner Mcdermott Will & Emery llP Brett Brodnax Bernard Grondin President & chief development officer Partner William Main Prentice united Surgical Partners international Mcdermott Will & Emery llP chief Executive officer ambulatory Surgery center association Michael Burdine, M.D. Andrew Hayek double-Board-certified & Fellowship-trained President & chief Executive officer David Shapiro, M.D., CASC Pain Management Specialist Surgical care affiliates immediate Past President novaMed Surgery center of Baton Rouge llc ambulatory Surgery center association Christy Heald John Ellis “Jeb” Bush Senior vice President of Business development Effie Silva Former Governor of Florida Surgery Partners llc Partner Mcdermott Will & Emery llP Jason Caron Adam Henick Partner Senior vice President Jerry J. Sokol Mcdermott Will & Emery llP continuum health Partners Partner & Program chairman Mcdermott Will & Emery llP Ira J. Coleman Julie Jackson Partner assistant General counsel Joshua “Jed” Spielman Mcdermott Will & Emery llP Surgical care affiliates Partner Mcdermott Will & Emery llP David Cordova Darin Jay “DJ” Hill director, Medical Economics Founding Partner Michael Stroup tenet healthcare corporation compass Surgical Partners Senior vice President of acquisitions united Surgical Partners international Gary Scott Davis Christopher Jedrey Partner Partner Jennifer A. Vecchio Mcdermott Will & Emery llP Mcdermott Will & Emery llP counsel Mcdermott Will & Emery llP Ralph de la Torre, M.D. Daryl Johnson chairman & chief Executive officer Managing Partner James Weber, M.D. Steward health care System llc healthcare appraisers inc. President & chief Executive officer texas digestive disease consultants Mark Dissette John Lawrence Jr. Senior vice President Senior vice President & General counsel Jessica Zigmond holy cross hospital inc. Surgery Partners llc Washington Bureau chief Modern Healthcare Michael Doyle Jim Leavitt, M.D. chief Executive officer President, Gastro health P.l. Eric Zimmerman Surgery Partners llc co-Founder, uS Gastro llc Partner Mcdermott Will & Emery llP Jordan Fowler Sean Michael Lynch Founder & chief Executive officer co-Founder & chief Executive officer Frontier healthcare holdings anesthesia healthcare Partners 2014 ASC Symposium • McDermott Will & Emery LLP 3 SYMPOSIUM DIAMOND SPONSOR: agenda Friday , FEBrUary 21, 2014 EXhiBit hall oPEn duRinG EntiRE SYMPoSiuM 7:15 – 8:30 am Networking Breakfast and registration NETWORKING BREAKFAST SPONSORED BY: 8:30 – 8:35 am Welcome and Opening remarks Jerry J. Sokol, Partner & Program chairman, Mcdermott Will & Emery llP 8:35 – 9:15 am The impact of Health Care reform on the aSC industry this panel of legislative and regulatory experts will provide insights and predictions on how health care reform will actually affect aSc growth, profitability and operations in the short and long term. William Main Prentice, chief Executive officer, ambulatory Surgery center association Jessica Zigmond, Washington Bureau chief, Modern Healthcare Eric Zimmerman, Partner, Mcdermott Will & Emery llP 9:15 – 10:10 am The Health System perspective: The role of aSCs in the Health Care delivery System this panel of senior executives from leading health systems will discuss investments by health systems in the aSc space, consolidation within the health care industry and the role of aScs in the health care delivery system. Joel Allison, chief Executive officer, Baylor Scott & White health Ralph de la Torre, M.D., chairman & chief Executive officer, Steward health care System llc Richard Miller, President & chief Executive officer, virtua health System Moderator: Ira J. Coleman, Partner, Mcdermott Will & Emery llP 10:10 – 10:30 am Networking Break 10:30 – 11:25 am State of the aSC industry: aSC Management Company Executives this panel of senior executives from leading aSc management companies will provide insight into current market conditions, recent trends and the future of the aSc industry. Brett Brodnax, President & chief development officer, united Surgical Partners international Michael Doyle, chief Executive officer, Surgery Partners llc Andrew Hayek, President & chief Executive officer, Surgical care affiliates Moderator: Jerry J. Sokol, Partner & Program chairman, Mcdermott Will & Emery llP 4 McDermott Will & Emery LLP • 2014 ASC Symposium agenda Friday , FEBrUary 21, 2014 EXhiBit hall oPEn duRinG EntiRE SYMPoSiuM 11:25 am – 12:10 pm aSC Transactions: Trends, Structuring Considerations and Case Studies • State-of-the-art deal terms and structures • how to do a health system or tri-party deal • case studies of recent aSc transactions highlighting key transaction issues Jerry J. Sokol, Partner & Program chairman, Mcdermott Will & Emery llP Jennifer A. Vecchio, counsel, Mcdermott Will & Emery llP 12:10 – 12:45 pm Health System/aSC Transactions • Key economic benefits of health system/aSc transactions • identifying, maximizing and verifying reimbursement “lift” • the risks of maintaining reimbursement “lift” into the future Henry Bloom, President & Founder, the Bloom organization llc Robert Goettling, Esq., Principal, the Bloom organization llc 12:45 – 2:20 pm Networking Luncheon SPONSORED BY: keynote Speaker: John Ellis “Jeb” Bush, Former Governor of Florida 2014 aSc Symposium • Mcdermott Will & Emery LLp 5 concurrent Sessions Friday , FEBrUary 21, 2014 EXhiBit hall oPEn duRinG EntiRE SYMPoSiuM aFTErNOON SESSiONS SpONSOrEd By: 2:20 – 3:00 pm Health System and improving aSC profitability The physician perspective: aSC Management Company • decreasing expenses through Life after an aSC deal Joint Ventures more effective supply chain a panel of physicians who have • Why do hospitals want and need management participated in aSc transactions to partner with aSc management • Revenue cycle management will discuss: companies options to improve profitability • owning an aSc after a deal: • discussion of key issues in aSc • increasing patient satisfaction/ What really changes? management company and health operating efficiency with one click • developing synergies, leveraging system partnerships of the mouse experience and utilizing the • increasing revenue through expertise of each partner • Key business points and biggest physician syndication • Key post-closing issues and obstacles to negotiating a tri-party deal Akhil Agrawal, President, strategies for addressing/ american Medical depot managing issues • aSc development company: consultant vs. equity partner Ann Geier, vice President of clinical Michael Burdine, M.D., informatics, Source Medical Solutions double-Board-certified & Fellowship- Jordan Fowler, trained Pain Management Specialist, Founder & chief Executive officer, Christy Heald, Senior vice President novaMed Surgery center of Baton Frontier healthcare holdings of Business development, Rouge llc Surgery Partners llc Adam Henick, Senior vice President, Jim Leavitt, M.D., continuum health Partners Darin Jay “DJ” Hill, Founding Partner, President, Gastro health P.l., compass Surgical Partners Scott Nordlund, Executive vice President, co-Founder, uS Gastro llc Growth, Strategy & innovation, Moderator: Bernard Grondin, Partner, James Weber, M.D., chE trinity health Mcdermott Will & Emery llP President & chief Executive officer, Michael Stroup, texas digestive disease consultants Senior vice President of acquisitions, Moderator: Joshua “Jed” Spielman, united Surgical Partners international Partner, Mcdermott Will & Emery llP Moderator: David Shapiro, M.D., CASC, immediate Past President, ambulatory Surgery center association 6 McDermott Will & Emery LLP • 2014 ASC Symposium concurrent Sessions Friday , FEBrUary 21, 2014 EXhiBit hall oPEn duRinG EntiRE SYMPoSiuM aFTErNOON SESSiONS SpONSOrEd By: 3:00 – 3:40 pm Managed Care for aSCs The Sticking point: disputes anesthesia arrangements: • aSc managed care update and Contentious issues New Models and recent Trends • antitrust issues relating to related to aSCs • update on office of inspector managed care: how aScs can • Physician owner disputes and General advisory opinion 12-06 and legally leverage off of hospital strategies for handing such its implications to the aSc industry contracts disputes • current state of aSc/anesthesia • acos, bundled payments and • Enforceability of restrictive models clinically integrated networks covenants and tortious • outsourcing anesthesia: Selecting interference claims a third-party anesthesia provider David Cordova, director, • other legal issues that arise in Medical Economics, Eric Gordon, Partner, the ownership or management tenet healthcare corporation Mcdermott Will & Emery llP of aScs Gary Scott Davis, Partner, Sean Michael Lynch, Jennifer Baldock, General counsel Mcdermott Will & Emery llP co-Founder & chief Executive officer, & chief compliance officer, anesthesia healthcare Partners Symbion inc. Julie Jackson, assistant General counsel, Surgical care affiliates John Lawrence Jr., Senior vice President & General counsel, Surgery Partners llc Moderator: Effie Silva, Partner, Mcdermott Will & Emery llP 3:40 – 4:00 pm Networking Break 4:00 – 4:40 pm key regulatory issues aSC Governance issues: Hospital physician affiliations impacting aSCs responsibilities and Liabilities • hospital employment of • Preparing for an aSc deal: of a Board Member physicians and acquisitions how to present an attractive • Key legal issues that arise when of physician-owned practices compliance profile serving on the board of directors • hospital outpatient departments • Responding to and managing or the board of managers of (hoPds): converting aScs into risk associated with government an aSc entity hoPds audits • how to effectively deal with • hospital investments in aScs: • Syndication pricing and fair Key business terms crisis and minimize personal market value considerations and entity risk • hospital service line Jason Caron, Partner, Michael Peregrine, Partner, co-management arrangements Mcdermott Will & Emery llP Mcdermott Will & Emery llP Mark Dissette, Senior vice President, Danielle Golino, associate, holy cross hospital, inc. Mcdermott Will & Emery llP Christopher Jedrey, Partner, Daryl Johnson, Managing Partner, Mcdermott Will & Emery llP healthcare appraisers inc. Daniel Melvin, Partner, Mcdermott Will & Emery llP 4:40 – 6:30 pm Networking Cocktail reception 2014 ASC Symposium • McDermott Will & Emery LLP 7 accommodations FONTaiNEBLEaU MiaMi BEaCH 4441 collins ave. Miami Beach, Fl 33140 tel: +1 305 538 2000 a spectacular blend of Golden Era glamour and modern luxury, Fontainebleau today reinvents the original vision of legendary architect Morris lapidus. at Fontainebleau, striking design, contemporary art, music, fashion and technology merge into a vibrant new kind of guest experience. Guests are invited to enter a world where they are free to play, shop, dine, spa, meet or simply relax—however they define a perfect day. Situated on oceanfront collins avenue in the heart of Millionaire’s Row, Fontainebleau Miami Beach is one of the most historically and architecturally significant hotels on Miami Beach. a landmark since its debut in 1954, Fontainebleau is thought to be the most significant building of lapidus’ career. it has been restored and transformed by a team of renowned architects and designers to create one of the world’s most dynamic destination resorts. in 2008, following a $1 billion reinvention, Fontainebleau Miami Beach reopened. a total of 1,504 guestrooms offer luxurious comfort and amenities, from deluxe guest rooms and three-bedroom suites to breathtaking penthouses. the 20-acre oceanfront hotel features an expansive poolscape, a pristine atlantic ocean beach, state-of-the-art conference and event facilities, two chic nightlife venues and the 40,000-square-foot lapis spa. at the direction of culinary celebrities from around the globe, Fontainebleau offers 12 fine dining and casual restaurants, bars and lounges. rESErVaTiON iNFOrMaTiON a block of guest rooms is being held at the Fontainebleau Miami Beach. to receive a special room rate starting at $369/night, based on availability, call reservations at +1 800 548 8886 and be sure to mention the Mcdermott aSc Symposium when securing your reservation. You may also visit www.myregsite.com/mwe_asc_2013/venue.html to make your reservations online. reservations must be made by Thursday, February 7, 2014. additional room requests received after February 7 are subject to room and group rate availability. no-shows will be charged the full room revenue for the dates of the reservation. addiTiONaL rOOM BLOCk iNFOrMaTiON a small block of additional guest rooms is being held at the townhouse hotel. the townhouse hotel is located less than two miles away from the Fontainebleau Miami Beach. to receive a special room rate starting at $240/night plus tax, based on availability, please call the townhouse hotel directly at +1 305 534 3800 and be sure to mention the Mcdermott Will & Emery block when securing your reservation. For more information on the townhouse hotel, please visit their website at www.townhousehotel.com. 8 McDermott Will & Emery LLP • 2014 ASC Symposium additional information THE FOOd NETWOrk SOUTH BEaCH WiNE & FOOd FESTiVaL (FEBrUary 20-23, 2014) the 2014 aSc Symposium will be held during the Food network South Beach Wine & Food Festival. We hope you will choose to extend your stay and purchase tickets to various events. the Food network South Beach Wine & Food Festival presented by Food & WinE is a national, star-studded, four-day destination event showcasing the talents of the world’s most renowned wine and spirits producers, chefs and culinary personalities. hosted by Southern Wine & Spirits of Florida and Florida international university (Fiu), the festival benefits Fiu’s chaplin School of hospitality and tourism Management teaching Restaurant and the Southern Wine & Spirits Beverage Management center. to date, this event has raised more than $19 million for the school. To learn more about the festival and to purchase tickets to various events, please visit http://corporate.sobefest.com/. airpOrT iNFOrMaTiON the Fontainebleau is located approximately 12 miles from Miami international airport and 28 miles from Fort lauderdale international airport. taxis are readily available outside the baggage claim area at both airports. the hotel concierge can also arrange car service to and from both airports. 2014 ASC Symposium • McDermott Will & Emery LLP 9 Registration and accreditation the cost for this full-day event is $795 per person and $695 for additional individuals from the same organization. SpECiaL rEGiSTraTiON FOr pHySiCiaNS! the cost for physician-owner attendees is $395 per person. Payment is accepted in the form of a personal or company check or credit card. Please complete a separate registration form for each attendee. a confirmation e-mail will be sent to you upon paid registration. CaNCELLaTiONS/SUBSTiTUTiONS the registration fee is refundable with a written notice received by Friday, February 14, 2014. after February 14, no refunds will be given, although you may transfer your registration to another person from the same organization. You may also use the registration fee toward a future Mcdermott program. Please fax the completed registration form to +1 212 547 5444 or, if paying by check, please mail to Mcdermott Will & Emery, attention: teresa deRienzo, 340 Madison ave., new York, nY 10173. aCCrEdiT aTiON Continuing Medical Education (CME) Credit this cME activity has been planned and implemented in accordance with the Essential areas and Policies of the accreditation council for continuing Medical Education (accME) through the Joint Sponsorship of the institute for Medical Studies (iMS) and Mcdermott Will & Emery llP. iMS is accredited by the accME to provide continuing medical education for physicians. the institute for Medical Studies designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. attendees must sign in onsite at the Symposium in order to qualify for cME credit. Continuing Legal Education (CLE) Credit clE credit is pending in california, illinois, new York and texas. a uniform certificate of attendance will be made available to participants requesting clE credit in all other states. attendees must sign in onsite at the symposium in order to qualify for clE credit. 10 McDermott Will & Emery LLP • 2014 ASC Symposium