ASC Symposium - February 26, 2016

McDermott Will & Emery
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F E B R U A RY 26, 2016 JW MAR R IOT T MARQU IS M IAM I, FL The premier national conference addressing high-level business and legal issues affecting the ambulatory surgery center industry www.mwe.com/ASC-2016 #ASCSymposium2016 . SPONSORS McDermott Will & Emery would like to thank the following 2016 ASC Symposium sponsors: DIAMOND SPONSOR P L ATI N U M S P O N S O R S I LV E R S P O N S O R GOLD SPONSOR BRONZE SPONSORS www.mwe.com ©2015 McDermott Will & Emery. The following legal entities are collectively referred to as “McDermott Will & Emery,” “McDermott” or “the Firm”: McDermott Will & Emery LLP, McDermott Will & Emery AARPI, McDermott Will & Emery Belgium LLP, McDermott Will & Emery Rechtsanwälte Steuerberater LLP, McDermott Will & Emery Studio Legale Associato and McDermott Will & Emery UK LLP. These entities coordinate their activities through service agreements. McDermott has a strategic alliance with MWE China Law Offices, a separate law firm. This communication may be considered attorney advertising.

Previous results are not a guarantee of future outcome. 2 McDermott Will & Emery LLP • 2016 ASC Symposium EXHIBITORS MEDIA SPONSOR ® . 2016 A SC SY MPOSIUM During the past year, several transactions have completely transformed the ambulatory surgery center (ASC) industry and the ASC transaction landscape. While large transactions have historically involved mergers of ASC management companies, these recent transactions have paired companies operating in different subsectors of the healthcare industry, resulting in a transformational impact to the ASC industry. The joint venture transaction between Tenet Healthcare Corporation (Tenet) and United Surgical Partners International (USPI) gives Tenet the right to acquire 100% of USPI within the next five years, and also the ability to operate all of Tenet’s outpatient services, including ASCs, through the USPI platform. HIG Capital-backed Surgery Partners, which recently acquired NovaMed and Symbion, completed its initial public offering, and HIG joined AmSurg and Surgical Care Affiliates in the ranks of publicly traded ASC management companies. Finally, on the heels of AmSurg’s unexpected acquisition of Sheridan, AmSurg demonstrated its desire to expand its physician services subsection by extending an unsolicited offer to acquire TeamHealth, Inc. In this landscape of continued consolidation and complex partnerships, health systems are refining their outpatient strategies, and innovative transaction structures have emerged, including new strategies and partnerships designed to combine unaffiliated ASCs in local marketplaces.

New regulatory issues have arisen, with ASCs positioning themselves to obtain commercial reimbursement lift, gain profit distribution flexibility, capture anesthesia revenue, perform more complex procedures (i.e., total joints) and value ASC ownership interests appropriately, each in compliance with the law. In addition, the reimbursement paradigm has changed as ASCs search for their role in health care reform initiatives and refine the value proposition ASCs offer to third party payors in the changing reimbursement environment. On the Washington front, the coming presidential and congressional elections in 2016 have the potential to set the country on a new course for health care policy. The distinguished faculty of the McDermott Will & Emery 2016 ASC Symposium will provide valuable insights into these and other critical business and legal issues facing the ASC industry. This conference is a must for decision-makers from independent ASCs, senior executives and development personnel from national and regional ASC management companies, health system executives and development officers involved in ASC ventures, the health care investment community and health care executives with a vested interest in ASCs. We hope you will join us in Miami for the 14th annual ASC Symposium! Jerry J.

Sokol Program Chairman Danielle E. Golino Program Vice-Chairman 2016 ASC Symposium • McDermott Will & Emery LLP 3 . P R O G R A M FA C U LT Y Christopher A. Holden President, Chief Executive Officer & Director Principal AmSurg Corporation The Bloom Organization LLC Andrew Hayek William Main Prentice Chairman & Chief Executive Officer Chief Executive Officer Surgical Care Affiliates Ambulatory Surgery Center Association Michael Doyle Eric Zimmerman Chief Executive Officer Partner Surgery Partners LLC McDermott Will & Emery Jerry J. Sokol Nandan Kenkeremath Partner & Program Chairman Senior Health Policy Consultant McDermott Will & Emery Marwood Group Keith Pitts Christopher M. Jedrey Vice Chairman Partner Tenet Healthcare Corporation McDermott Will & Emery Ralph de la Torre, M.D. Jennifer B.

Baldock Founder, Chairman & Chief Executive Officer Senior Vice President & General Counsel Steward Health Care System Surgery Partners LLC Ira J. Coleman Clint Cromwell Partner Vice President & General Counsel McDermott Will & Emery AmSurg Corporation Henry H. Bloom Brad Bickham President & Founder Chief Legal Officer The Bloom Organization LLC United Surgical Partners International Jennifer A.

Vecchio Jeffrey Weiss, D.O. Counsel President, East Division McDermott Will & Emery 4 Robert C. Goettling TeamHealth Anesthesia McDermott Will & Emery LLP • 2016 ASC Symposium . P R O G R A M FA C U LT Y Danielle E. Golino John C. Riddle Partner Managing Director McDermott Will & Emery Brown Gibbons & Lang Kirk Fischer Kristian Werling Vice President, Delivery System Partner Florida Blue McDermott Will & Emery Dan Rosenthal Michael J. Patterson President President & Chief Executive Officer UnitedHealthcare Networks Mississippi Valley Health Clint Hailey Michael Dolphin, D.O. Senior Vice President & Chief Managed Care Officer Partner Tenet Healthcare Corporation Orthopedic Specialists Gary Scott Davis Brian Lohrbach, M.D. Partner ASC Surgeon McDermott Will & Emery Orthopedic & Sports Institute of Fox Valley Ed W.

Muransky Steve Schewe Senior Founder & Chief Executive Officer Director, Global Arthroplasty Business Development The Surgical Hospital at Southwoods Arthrex Joe Clark Gary Gertler Executive Vice-President & Chief Development Officer Partner Surgical Care Affiliates McDermott Will & Emery Daniel H. Melvin Partner McDermott Will & Emery Brett Brodnax President & Chief Development Officer United Surgical Partners International 2016 ASC Symposium • McDermott Will & Emery LLP 5 . SYMPOSIUM DIAMOND SPONSOR: AGENDA F R I D A Y, F E B R U A R Y 2 6 , 2 0 1 6 7:00 – 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 MORNING SESSIONS SPONSORED BY: 8:35 – 9:35 am Chief executive officers from three leading, national ASC companies provide insight on current market conditions, their company’s growth strategies and their visions of the future of the ASC industry. Christopher A. Holden, President & Chief Executive Officer, AmSurg Corporation Andrew Hayek, Chairman & Chief Executive Officer, Surgical Care Affiliates Michael Doyle, Chief Executive Officer, Surgery Partners LLC Moderator: Jerry J. Sokol, Partner & Program Chairman, McDermott Will & Emery 9:35 – 10:15 am The Health System Perspective Executives from preeminent health systems discuss where ASCs fit into the overall direction of health systems, provide insight on outpatient services trends in general and share their vision for the future of the healthcare industry. Keith Pitts, Vice Chairman, Tenet Healthcare Corporation Ralph de la Torre M.D., Founder, Chairman & Chief Executive Officer of Steward Health Care System Moderator: Ira J.

Coleman, Partner, McDermott Will & Emery 10:15 – 10:35 am 6 State of the ASC Industry Networking Break McDermott Will & Emery LLP • 2016 ASC Symposium . AGENDA EXHIBIT HALL OPEN DURING ENTIRE SYMPOSIUM 10:35 – 11:15 am State-of-the-Art ASC Transactions – ASC Bundling Transactions A case study of four unaffiliated surgery centers (owned by the same management company) that participated in a unique local market strategy designed to engage multiple ASC buyers in a competitive bidding process, test the market and obtain negotiating leverage. Jerry J. Sokol, Partner & Program Chairman, McDermott Will & Emery Henry H. Bloom, President & Founder, The Bloom Organization LLC 11:15 – 11:45 am State-of-the-Art ASC Transactions – Master Tri-Party Deals A case study of a complex ASC transaction combining multiple ASCs, a health system partner and an ASC management company partner to integrate ASC services in a local marketplace. Jennifer A. Vecchio, Counsel, McDermott Will & Emery Robert C.

Goettling, Principal, The Bloom Organization LLC 11:45 am – 12:15 pm Washington Update Presidential and congressional elections in 2016 could set the country on a new course for health care policy. This panel will explore the implications of the coming election and provide a glimpse into the health care agenda for 2016 and beyond, with a focus on the anticipated impact on ASCs. William Main Prentice, Chief Executive Officer, Ambulatory Surgery Center Association Eric Zimmerman, Partner, McDermott Will & Emery Nandan Kenkeremath, Senior Health Policy Consultant, Marwood Group Moderator: Christopher M. Jedrey, Partner, McDermott Will & Emery 12:15 – 2:00 pm Networking Luncheon KEYNOTE SPEAKER: DESMOND HOWARD Desmond Howard, winner of the 1991 Heisman Trophy, member of the College Football Hall of Fame, former NFL wide receiver, Most Valuable Player of Super Bowl XXXI and co-host of ESPN’s College GameDay. 2016 ASC Symposium • McDermott Will & Emery LLP 7 .

SYMPOSIUM DIAMOND SPONSOR: AGENDA F R I D A Y, F E B R U A R Y 2 6 , 2 0 1 6 2:00 – 2:40 pm Critical Issues Impacting ASCs • Anesthesia arrangements: new models, recent trends and enforcement activity • Utilizing group practice ownership to gain profit distribution flexibility • Valuing ownership interests and removing “deadweight” physicians • Dealing with increased qui tam activity, government investigations and audits • Specific legal requirements for obtaining reimbursement “lift” in hospital/ASC transactions Jennifer B. Baldock, Senior Vice President & General Counsel, Surgery Partners Clint Cromwell, Vice President & General Counsel, AmSurg Corporation Brad Bickham, Chief Legal Officer, United Surgical Partners International Daniel H. Melvin, Partner, McDermott Will & Emery Jeffrey Weiss, D.O., President, East Division, TeamHealth Anesthesia Moderator: Danielle Golino, Partner, McDermott Will & Emery 2:40 – 3:20 pm ASCs and Managed Care: Where the Rubber Meets the Road • The payor’s view of ASCs – part of the solution or part of the problem? • Mending fences or building walls – how ASCs view current relations with third party payors • The value proposition ASCs can offer to third party payors • The ASCs role in health care reform initiatives, including ACOs, shared savings and bundled payments Dan Rosenthal, President, UnitedHealthcare Networks Clint Hailey, Senior Vice President & Chief Managed Care Officer, Tenet Healthcare Corporation Moderator: Gary Scott Davis, Partner, McDermott Will & Emery 3:20 – 3:40 pm 8 Kirk Fischer, Vice President, Delivery System, Florida Blue Networking Break McDermott Will & Emery LLP • 2016 ASC Symposium . AGENDA EXHIBIT HALL OPEN DURING ENTIRE SYMPOSIUM 3:40 – 4:20 pm Physician-Owned Hospitals: Surviving and Thriving • Whether the Affordable Care Act’s restrictions are impacting existing physician-owned hospitals • Strategies that physician-owned hospitals are using to grow revenue and EBITDA • Why transactional activity and valuations for both physician-owned hospitals and real estate are at all-time highs Ed W. Muransky, Senior Founder & Chief Executive Officer, The Surgical Hospital at Southwoods Joe Clark, Executive Vice President and Chief Development Officer, Surgical Care Affiliates John C. Riddle, Managing Director, Brown Gibbons & Lang Brett Brodnax, President & Chief Development Officer, United Surgical Partners International Daniel H. Melvin, Partner, McDermott Will & Emery Moderator: Kristian Werling, Partner, McDermott Will & Emery 4:20 – 5:00 pm The Migration of More Complex Procedures into the ASC Setting • Detailed analysis of the migration of total joint and spine procedures to the outpatient setting, with a focus on reimbursement methodology and recovery times • How new ASC procedures are impacting the ASC business model • Cutting-edge technologies and techniques that have the potential to expand ASC procedures Michael J.

Patterson, President & Chief Executive Officer, Mississippi Valley Health Michael Dolphin, D.O., Partner, Orthopedic Specialists Brian Lohrbach, M.D., Orthopedic & Sports Institute of Fox Valley Steve Schewe, Director, Global Arthroplasty Business Development, Arthrex Moderator: Gary Gertler, Partner, McDermott Will & Emery 5:00 – 7:00 pm Networking Cocktail Reception 2016 ASC Symposium • McDermott Will & Emery LLP 9 . AC C O M M O DATI O N JW MARRI OTT MARQ U IS M IAM I 255 Biscayne Boulevard Way Miami, Florida 33131 Tel: +1 305 421 8600 JW Marriott Marquis Miami infuses sophistication, design, art, fashion and A I R P O RT I N F O R M ATI O N technology into a new threshold of luxury The JW Marriott Marquis Miami in the heart of downtown Miami. Located is located approximately 8.5 in the $1 billion Metropolitan Miami miles from Miami International development complex, the five-year old Airport and 26 miles from Fort hotel was the premiere property in the Lauderdale International Airport. upscale JW Marriott Marquis family. Its Taxis are readily available outside sister property, the JW Marriott Marquis the baggage claim area at both Dubai, opened in 2013. airports. The hotel concierge can Blending sleek and modern design, the hotel offers 313 stunning guest rooms with state-of-the-art technology and luxurious bathrooms.

Relax and unwind by the pool, also arrange car service to and from both airports. indulge yourself at Enliven Spa or enjoy a unique culinary experience with James Beard award winning Chef Daniel Boulud at db Bistro Moderne. Amenities abound with two levels of entertainment, including the Mariano Bartolome Indoor Golf School (which includes instruction, golf simulators, putting greens and a Pro Shop), a virtual bowling alley, media room with 65” 3D screen, billiard room and a 10,000 square foot NBA-approved basketball court. Guests can also enjoy the 2500 square foot fitness center, Met2 Fitness and the on-site yoga studio. R E S E R V ATI O N I N F O R M ATI O N A block of guest rooms is being held at the JW Marriott Marquis Miami.

To receive a special room rate starting at $329/night, based on availability, call reservations at +1 888 717 8850 and be sure to mention McDermott Will & Emery’s 2016 ASC Symposium when securing your reservation. You may also visit http://cwp.marriott.com/miamj/2016ascsymposium to make your reservations online. Reservations must be made by Tuesday, February 2, 2016. Additional room requests received after February 2 are subject to room and group-rate availability. No-shows will be charged the full room revenue for the dates of the reservation. 10 McDermott Will & Emery LLP • 2016 ASC Symposium .

R EG I STR ATI O N HOW TO REGISTER Registration can be completed online at www.mwe.com/ASC-2016. A confirmation e-mail will be sent to you upon paid registration. COST The cost for this full-day event is $795 per person and $695 for additional individuals from the same organization. The cost for physician-owner attendees is $395 per person. C A N C E L L ATI O N S/ S U B STITUTI O N S The registration fee is fully refundable with a written notice received by Friday, February 12, 2016. After February 12, no refunds will be given, although you may transfer your registration to another person from the same organization. AC C R E D ITATI O N C O NTI N U I N G M E D I C A L E D U C ATI O N (C M E) 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.

IMS is accredited by the ACCME to provide continuing medical education for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity. C O NTI N U I N G L E G A L E D U C ATI O N (C L E) C R E D IT 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 on-site at the symposium in order to qualify for CLE credit. Pursuant to its responsibilities as an Accredited Provider of MCLE in various states, McDermott Will & Emery has adopted Financial Aid/Financial Hardship policies to assist attorney participants who are unable to attend programs due to cost considerations. CLE and CME credit are pending. 2016 ASC Symposium • McDermott Will & Emery LLP 11 . M cD E R M OT T H E A LT H With more than 30 years of experience serving the health care industry, McDermott Will & Emery’s Health Industry Advisory Practice Group is one of the world’s largest and most prestigious. Our group is interdisciplinary, bringing together all of the regulatory, transactional, finance, real estate, restructuring and tax knowledge necessary to deliver effective, efficient and focused services to our health industry clients and those entities seeking to invest in the health industry. McDermott is the undisputed leading law firm in health care as evidenced by the fact that McDermott is the only firm to receive Tier 1 rankings in health care nationally by all of the industry’s top legal directories: Chambers USA, The Legal 500 USA, U.S. News–Best Lawyers and Law360. For the sixth consecutive year, Chambers USA ranked the Firm’s health practice as the only firm in Tier 1 in the United States (2010–2015).

Chambers USA cites McDermott’s “broad-based team of experts” whose “knowledge is very detailed and their responsiveness is wonderful. They are intense, passionate and have a logical and thoughtful approach to things.” Outstanding client service is a cornerstone of McDermott’s practice that has withstood the test of geography, economy and time. We are proud of the recognition we have received from our clients for our commitment to service, and we value their satisfaction as the best measure of our success. A S C P R A CT I C E McDermott’s Health Industry Advisory Practice Group is dedicated to addressing all transactional and regulatory legal needs related to the ASC industry. McDermott’s multidisciplinary ASC team has substantial experience in the full range of ASC transactions, including: • Representing ASCs selling significant equity stakes to corporate buyers • Health system/physician ASC joint ventures • Syndicating start-up ASCs • Ongoing ASC representation, including physician redemptions, physician syndications and reimbursement related issues • Regulatory and compliance counseling • Lobbying • State licensing requirements, certificate of need laws and other licensure issues For more information regarding our health care practice, please visit www.mwe.com/health. A B OU T McDE R MO T T W IL L & E ME R Y McDermott Will & Emery is a premier international law firm with a diversified business practice.

Numbering approximately 1,100 lawyers, we have offices in Boston, Brussels, Chicago, Dallas, Düsseldorf, Frankfurt, Houston, London, Los Angeles, Miami, Milan, Munich, New York, Orange County, Paris, Rome, Seoul, Silicon Valley and Washington, D.C. Extending our reach to Asia, we have a strategic alliance with MWE China Law Offices in Shanghai. McDermott’s pro bono program seeks to bridge the justice gap for low-income individuals by providing critical legal services in the areas of family law, housing, benefits, special education, adoption and guardianship, elder abuse, asylum and immigration, and civil and human rights. McDermott also provides much-needed legal assistance to nonprofits and small businesses whose focus is to develop and revitalize low-income communities, and to environmental organizations to help ensure a clean, safe and healthy environment for all. 2016 ASC Symposium • McDermott Will & Emery LLP 12 .

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