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Daniel J. Widawsky
Chief Financial Officer
The Presentation Information contains forward-looking statements. All statements other than statements of historical facts contained in the Presentation
Information, including statements regarding NYU Langone Health’s strategy, plans and objectives of management, prospects, future results of operations and
financial position, future revenue, member growth and rate of adoption, projected costs, and market estimates and growth are forward-looking statements. The
words “anticipate,” “believe,” “estimate,” “expect,” “intend,” “may,” “plan,” “predict,” “project,” “will,” “would” and similar expressions are intended to identify
forward-looking statements, although not all forward-looking statements contain these identifying words. NYU Langone Health has based these forward-looking
statements largely on NYU Langone Health’s current expectations and projections about future events and financial trends that management of NYU Langone
Health believes may affect NYU Langone Health’s financial condition, results of operations, business strategy and financial needs. NYU Langone Health does
not assume any obligation to update any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by
law.
No user of the Presentation Information should place undue reliance on NYU Langone Health’s forward-looking statements because they involve known and
unknown risks, uncertainties and other factors that are beyond NYU Langone Health’s control and that could materially affect actual results, levels of activity,
performance, or achievement. If any of these risks or uncertainties materialize, or if NYU Langone Health’s underlying assumptions prove to be incorrect,
actual results or events could differ materially from the plans, intentions and expectations disclosed in the forward-looking statements made in the Presentation
Information.
The Presentation Information includes both GAAP and non-GAAP financial measures. NYU Langone Health’s management uses certain non-GAAP financial
measures to assess NYU Langone Health’s business and operations. Non-GAAP information should not be construed as an alternative to GAAP information,
as the items excluded from the non-GAAP measures often have a material impact on NYU Langone Health’s financial results. NYU Langone Health uses, and
users of the Presentation Information should use, non-GAAP measures in conjunction with NYU Langone Health’s GAAP results.
2
Expense Growth Outpaced Revenue Growth Reversed the Trend
Represents audited financials for NYU Langone Hospitals (excluding CCC 550 and subsidiaries)
3
Brooklyn included starting 2016; Winthrop included starting 2018
Represents audited financials for NYU Langone Hospitals (excluding CCC 550 and subsidiaries)
4
Brooklyn included starting 2016; Winthrop included starting 2018
Represents audited financials for NYU Langone Hospitals (excluding CCC 550 and subsidiaries)
5
Brooklyn included starting 2016; Winthrop included starting 2018
#1
Expense
Controls
Growth Opportunities
Enterprise-Wide IT
6
2007
Off-campus
Locations*
3
Employed
Physicians*
432
Perlmutter
Inpatient
Visits
38K
Cancer Center
Ambulatory
Visits
1M
NYU Langone
Total
Revenue
~$2.3B
Main Campus
NYU Langone
at Columbus
NYU Langone Medical
at Trinity
NYU Langone
Orthopedic Hospital
As of 2007
Inpatient Hospital
7 * Includes SOM Practices
Off Campus Location
2007 2019
Off-campus
Locations*
3 350+
Employed
Physicians*
432 3,200+
Perlmutter
Inpatient
Visits
38K 100K
Cancer Center
Ambulatory
Visits
1M 8.5M
NYU Langone
Total
Revenue
~$2.3B ~$10B
Main Campus
NYU Langone
at Columbus
NYU Langone Medical NYU Winthrop
at Trinity
NYU Langone
NYU Langone Hospital–Brooklyn
Orthopedic Hospital
As of 2007 As of 2019
Inpatient Hospital Inpatient Hospital
8 * Includes SOM Practices
Off Campus Location Off Campus Location
9
ONLY NYC Hospital Top 3 – Past 7 Years
Hospital-acquired Infections
-13%
-60% ••
• •
•
ER Wait Time for an Inpatient Bed
-13% ••
•••
- • • •
•
:•
Visits
Acuity (CMI)
8%
26% ••
•... • •
• ' Direct Cost per Case -6%
• ••••
••
, •
•• • • Made an underserved hospital
•
•
•• •• •
sustainable
• • •
•
Patients
Seeking All-in
Care within the
NYU 11%
NYU Network Ortho &
24% ED Average 8%
10% NYU
Lowers Total less less Visits LOS
GI Surgery less
less
Cost
Patients are
10% NYU In Less Often
less ENT
Unique and Out More Inpatient 31%
20% IP Quickly Days less
less Admits
15% Re-
admission
less Rates
12 Source: Commercial Payor quarterly performance reporting package (7/2018 – 6/2019)
• Shorter hospital stays
• Fewer complications
VALUE • Lower readmissions
• Improved quality of life
• Fewer days off work
• Higher productivity
Increased
1 Efficiency
20% Increase in Provider
Volume Within 2 Satisfaction
Existing Hours
Improving Volume
w/o Longer Days
15
Goal: Optimize patient throughput across the health system in a Command and Control model by
co-locating staff and leveraging technology and dashboards
16
System-Wide Capacity Dashboard: Tracking overall occupancy and throughput bottlenecks throughout the health system
Occup.incy IOI Med/Sur,g Units TISCH HOSPITAL (]) o«up.al'l(y for Med/Su,; Unin (I) ; Oaup ancy t0< Med/Sur,g Ur.its Occupat1cy fo, Mtd/Surg Ul'llts (I)
NYU LANGONE BROOKl.YN NYU LANGONE ORTH OPEDIC HOSPITAL NYU WIITTHROP OOSPITAL
0 0utilool..:ted fi,e1111210 16MI
0 Dlll<oltcttd TUll'IJl2101&,t,M 0 DitacaltctlOli.11 111121011AM 0 0lttcoltdtd. Tut1111ll01eAAI
To tal Occupancy
Tot.ii Occup;;incy Total Occupancy To tal Ocropartcy
TISCl, HOSPITAL
0 Data0011dtdht1111210- 16MI
NYULANGONE 79% ~"°"'""" <D NYULANGOHE NYUWIITTH ROP 81% ~"'""""'"" <D
8ROOIO..YN ORTHOPEDIC HOSPITAL HOSPITAL
(:) Oill,acakdaol1._111121011AM 0 0ala<:ol9ded T~11l12101!~
i:. =i
Occupied Bed~ Hourly Trffid & Forttasi (]) Occupied Bed~ Hour1y Trffld & FOttCHI (1) Occ11plll!d Bffls Hourly Trrnd & Forrc.is1 (l)
NYU LAN GONE BROOKl. YN NYU LANGONE ORTH OPEDIC HOSPITAL NYU WINTH ROP HOSPITAL
1:0,
l 1 <>- --0
'>~ o - o -<>-0- 0 • 0
~.-:;,. <)
'"'
~
1:7<>-=
j
,.
~
P.,-o• O
26 EOObsP;,itlents
BrooKtyn EDObservat lon
"- "'
Remaining OR
Adm issions
21 Expected ORAdm1SS1ons (D El Eme,gency Dep.irtmenl • Wln t h, op Obs
Reduce ED boarders and transfer delays between facilities ↑ patient flow and ↑ patient satisfaction
17
Housekeeping Dashboard: Tracking housekeeping requests and turnaround throughout the health system
Delayed Requests Requests with Patient As.signed Cancelation Rate Cancelation ReilSOn
Housekeeping Turnaround
=- -=
Current Houseti:eeping Requests Turnaround Times-lP
27 Housekeeping Requests CD ; <D ~
,,.
Normal
~GfR~
79
.
·--,,..52m
a.mo
30m
·-·
1h07m
'"'
31m
~GfR~ a.mo
·-·
Normal 63 22m 7m
63 22m
TEAM
Employee Target % of Discharges before Noon
Engagement
QUALITY SAFETY
Exceeding ‘Discharge Before Noon’ Target…yet
Right care, in Eliminate
the right way, preventable
at the right harm Not a single fall (with or without injury)
time No CAUTIs
No CLABSIs
No hospital acquired CDIFF
No HAPIs
19
Goal: Improve clinical and financial performance using a transparent system that presents an objective score
comparing clinicians with their peers and aligning them with our organizational quality
Efficiency /
1.8
1
O/E LOS
CMI-VDC/Case NII
. .
Efficiency
Financial
1
1
OR Time Accuracy
Early Disch. Rate
i
~
!
.
1.2 Readmission Rate
1.4 HAC Rate
Quality
1.4
1
SSIs Rate
MR Delinq
....
S.p-17 Dite--17
..... ........ ..
Apr-18 .Jul -11 CKt-1B F•l>-HII M.ll)'-19
20
Goal: Deliver an integrated, industry leading, digital patient experience – differentiating NYU Langone in the market and
exceeding our patients’ and families’ expectations
Quickly check in, answer questions, and Confidently prepare for a procedure by
pay co-pays, allowing staff the opportunity viewing education content specific to the
to support higher-need patients procedure, delivered through texts or
MyChart
Consult with NYU Langone Emergency Choose family members and friends to
Department physicians at a convenient receive periodic notifications about
time/place, or conduct virtual visits with procedure status while it's happening
select physicians
Track status and progress remotely, and Access digital images that are
share data with providers easily sharable
21
4:11
CARE TEAM
Evernote Netflix YouTube Telegram
22
4:11
516,127
Monthly Downloads
Google Play
Contacts Files Watch Podcasts
~ ~ ~ ~
! ~ l
Average Rating
App Store Google Play
Appointments Scheduled
Ap p o i n t m e n t s S c h e d u l e d
51% 50%
40%
(August 2019) 0%
Aug 17
Oct 17
Dec 17
Feb 18
Apr 18
Jun 18
Aug 18
Oct 18
Dec 18
Feb 19
Apr 19
Jun 19
Aug 19
Oct 19
3.2 4.1
23
Media
Digital Health…Everywhere
Mobile
Billboard
“Waiting Room”
Truck
24