"20/20 Vision: Looking Back on the Last 20 Years, and Looking Forward to 2020 and Beyond" Citi Not-for-Profit Health Care Investor Conference 2019 Michael J. Dowling President and CEO Mark J. Solazzo Executive Vice President, COO Michele L. Cusack Senior Vice President, CFO May 23, 2019
Disclaimer The following presentation contains information which is forward-looking within the meaning of federal securities law. These forward‐looking statements are based on the current plans and expectations of Northwell management. The achievement of certain results or other expectations contained in such forward- looking statements involves known and unknown risks, uncertainties and other factors which may cause actual results, performance or achievements described to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. Northwell expressly disclaims any obligation or undertaking to issue any updates or revisions to those forward-looking statements if or when their expectations change, or events, conditions or circumstances on which such statements are based occur. 2
• A proud history of achievement; innovation and growth. − Consistency of strategy and purpose − Stability of performance • A recognition of how much has changed. − Role of the hospital − Creation of a distributed network − New programs; new business The Northwell • A progressive culture. Perspective − Collaborative and team-based − Optimistic, integrated and adaptive • An understanding of the responsibility and obligation of leadership. − An agent of continuous change and practical disruption − Responsibility to the community at large • A commitment to the promotion and advancement of overall health. − More than the delivery of excellent medical care − Long-term view; multi-year perspective 3
Northwell: A History of Firsts 2002 1907 1938 1967 1993 2011 2015 2018 Teams with Yale- Launches the Welcomes Establishes first Opens the Center Performs first Opens first Named one of health care New Haven Health Physical Therapy for Emergency inaugural class of angio- cardiac Time magazine’s industry’s largest to launch Department in the Medical Services 40 students to cardiography in catheterization top innovators for “corporate SkyHealth, the United States — the largest New university” — the the United States unit in New York its development of Center for Learning region’s first York State’s first hospital-based Metro area “The Fin,” an and Innovation hospital-based new allopathic emergency amphibious (CLI) and the helicopter services medical school in prosthetic leg Patient Safety emergency operation in the 40 years Institute (PSI), medical service featuring the East region’s first simulation lab — one of the largest in the United States 4
* Over * * Includes affiliates
Northwell Health Major Components 6
Feinstein Innovations Are Making Headlines 7
Culture dedicated to innovative learning and training Zucker School of Medicine Graduate School of Nursing & Physician’s Assistants Center for Learning and Innovation 8
Disrupting the Status Quo 9
NORTHWELL HEALTH’S COMMITMENT TO VETERANS To celebrate Northwell’s dedication and leadership position in serving the needs of Veterans, Northwell Health is collaborating with the United States Navy and is creating a music based event closing the annual New York Fleet Week on May 25 th at Rockefeller Center and Radio City Music Hall. 10
Operating Performance Mark J. Solazzo Executive Vice President & Chief Operating Officer 11
Key Focus Areas Current Operations Growth Diversification 12
Key Focus Areas Current Operations Growth Diversification 13
Mission Centric and Focus on the Core Northwell Health continues to enhance the product through improvements across its domains Mission 14
Maintaining the Focus: Quality & Safety • AHA Quest for Quality Prize was awarded in 2018- Northwell is the first and only health system in the country to receive this award • HANYS Pinnacle Award for Quality and Patient Safety awarded in 2018 • Based on the most recent STS report , Northwell Health cardiac surgery programs at Lenox Hill Hospital, Southside Hospital and North Shore University Hospital received Three-Star ratings (highest quality rating given) in several categories • Northwell Health performs more robotic procedures than any other health care provider on the East Coast , with more than 17 da Vinci robotic surgery systems in use. 15
Maintaining the Focus: Patient Experience Inpatient: HCAHPS ‘Recommend the Hospital’ – Top Box % Inpatient: HCAHPS ‘Communication with Nurses’ – Top Box % 80.7 80.7 73.4 73.1 79.4 79.6 79.8 79.5 79.6 79.7 72.8 79.5 79.6 72.4 72.4 72.6 72.5 79.4 72.2 72.4 72.4 72.3 72.3 79.1 72.3 79 72.1 78.6 78.7 78.5 71.5 77.7 71.1 70.8 77.1 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 2015 2016 2017 2018 2019 2015 2016 2017 2018 2019 Inpatient: HCAHPS ‘Communication with Doctors’ – Top Box % Inpatient: ‘Quality of Food’ – Top Box % 36.4 81.4 35.2 34.4 33.9 80.7 80.4 79.9 79.8 79.9 79.8 32.7 79.6 31.1 31.7 31.3 31.6 30.9 79.3 79.5 79.3 31.8 79.1 78.8 30.8 31.0 30.9 78.9 78.5 78.6 29.9 29.5 77.8 28.1 77.7 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 2015 2016 2017 2018 2019 2015 2016 2017 2018 2019 Top Box % Linear Trend 16
Enhanced Effectiveness: Operating Efficiency Cumulative Beds Created Through Efficiency Projected 800 740 700 700 660 600 612 571 500 506 469 436 400 402 339 300 280 227 200 120 100 53 - 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 17
Maintaining the Focus: Workforce Engagement 18
Achieving the Quadruple Aim through “What If…” A focus on improving team member well-being will drive the triple aim of achieving an improved patient experience, a better quality of care and a reduction in cost • Improve Clinician • Making patients well-being and the priority and staff engagement developing a to prevent better patient burnout experience Patient Provider Cost Quality • Reducing • Enhancing the quality of care unnecessary cost while maintaining including a greater a high level of care focus on individuals and families 19
Key Focus Areas Current Operations Growth Diversification 20
Total Operating Revenue $12.1B $12,000 $11.5B $10.0B $10,000 $9.3B $8.5B Revenue (Dollars in Millions) $8,000 $7.4B $7.0B $6.6B $6.2B $6,000 $5.5B 42% $4.8B 41% $4.4B $4.2B $3.8B $3.9B $4,000 $3.1B $3.4B $3.6B $2.9B $2.6B $2.8B $2.5B $1.7B $2,000 $ 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Budget Total Operating Revenue 21 Note: Excludes Health Insurance companies
Northwell Health Network – 2013 7 Two 22
Northwell Health Network – Current 23
2018 Ambulatory Referral Funnel Credentialed Voluntary Physicians………….. 13,600 Voluntary Premium IPA……………………………….. 2,446 Employed Physicians……………………………………….. 4,226 Ambulatory Practices………………………………………….... 636 702 Urgent Care Centers………………………………………………….. Ambulatory 51 Locations Ambulatory Surgery Centers………………………………………… 15 Hospitals & Post Acute Services The referral funnel has caused many of our Hospitals to be at or above full capacity 24
Absorbing the Growth from Continued Expansion has Resulted in Increased Market Share & Increased Acute Care Occupancy 140% 140% 127% 118% 127% 117% 120% 120% (max) 118% 117% 106% (max) (max) 106% 100% 100% 105% 105% 105% 105% 104% 104% (max) 103% 103% 99% 99% 100% 100% (avg) (avg) (avg) (avg) 97% 97% 97% 97% (avg) (avg) 96% 96% (avg) (avg) 91% 91% (avg) (avg) (avg) (avg) 90% 90% (avg) (avg) (avg) (avg) (avg) (avg) 88% 88% 80% 80% (avg) (avg) (avg) (avg) (avg) (avg) 60% 60% 40% 40% 20% 20% 0% 0% LIJ LIJ NSUH NSUH Southside Southside SIUH SIUH 2016 2016 2017 2017 2018 2018 Note: LIJ added 50 beds in 2017, Southside added 9 beds in 2018 25
Patient Centric View Building the Continuum of Care Around the Patient Telehealth The Digital Patient Experience 26
Northwell Health eICU Telehealth Pediatric ED Telestroke Telehealth Services enable the highest quality of specialist care in both inpatient and Telepsychiatry eSNF outpatient settings An interdisciplinary team from across Trauma Telehealth Center eHospitalist Consultation the enterprise Interconnecting our systems to provide a Neuro Pediatric Critical Care Critical Care digitally-powered, Consultation Consultation patient-centric experience 27
Key Focus Areas Current Operations Growth Diversification 28
Thinking differently … …redefining the “H” 29
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