September 14-16, 2016The Meritage Resort and SpaNapa, CA

Patient Centered. Community Focused. Leading provider, proven solution with 35 years serving rural communities Easing the transition to value-basedreimbursement Committed to improving the quality ofhealthcare for rural

PRESIDENT’S LETTERWelcome to the second PHA Executive Summit – the only gatheringof physician-owners of hospitals and their executives. I’m excited tobe back at the Meritage Resort and Spa in beautiful Napa Valley and pleasedto have you join us this year to take advantage of the educational and socialopportunities that Physician Hospitals of America has to offer.Over the next few days, I encourage you to engage in our interactive andintimate education, networking, and social events. Leading minds in ourfield will present and discuss challenges and opportunities that physicianowned hospitals face throughout the country such as strategies for expandingrevenue, more effectively bundling payments, identifying solutions tocommon problems in fast-paced lightning round sessions, as well aslegislative and regulatory updates. Coupled with the educational networkingluncheons and social events, you will have transformed acquaintances intoclose connections.Special thanks are in order to our Executive, Premier, and SupportingPartners who have once again made this event possible. I encourage you tolearn more about the companies supporting our industry and to meet withthem to explore how you may benefit from their valuable services. Pleasejoin me in extending a warm welcome and a sincere thank you to them.I know the knowledge you gain and the connections you make over the nextfew days will be valuable upon your return to your own facility. I encourageyou to look to PHA throughout the year for industry news, educationalopportunities, and legislative and regulatory updates. Throughout thesummit, reach out to myself or any member of the PHA team for moreinformation on how you can be a more active member.Best regards,R. Blake Curd, MDPHA PresidentPROGRAM COMMITTEECommittee Chair:JOHN W. DIETZ, JR., MDBoard Chairman, OrthoIndyJOSEPH E. ALHADEFF, MDCEO, OSS HealthKANDI R. MOORE, RN, CNORCEO, Specialists Hospital ShreveportROBERT D. BLAIRPresident and CEO, The Spine Hospital ofLouisiana at The NeuroMedical CenterMILLA PERRY JONESVice President, Government Relations,United Surgical Partners InternationalJON CROWDirector of Operations,Sioux Falls Specialty HospitalALEX M. RINTOULCEO, The Medical Centerat Elizabeth PlaceMICHAEL M. FUSELIER, CPA,RN, CNS-BC, MS, FACHECFO, Central Louisiana Surgical HospitalMARY K. STURM, RN, MBAVice President of Facility Operations,Medical Facilities CorporationFREDERIC E. LISS, MDBoard Chairman and Medical Director,Physicians Care Surgical HospitalAMBER M. WALSH, JDPartner, McGuireWoods LLP


SCHEDULE OF EVENTSWEDNESDAY, SEPTEMBER 145:30 p.m. – 7:30 p.m.Estate CaveWelcome ReceptionSponsored by EvidentTHURSDAY, SEPTEMBER 156:45 a.m. – 7:15 a.m.Salons V-VIIIBreakfast Symposium (Optional): Pain Management, Enhanced Recovery in Total Joint Arthroplasty,and Its Effect on BundlingPresented by: Danton Sterling Dungy, MDSponsored by Pacira Pharmaceuticals, Inc.6:45 a.m. – 7:30 a.m.Vineyard TerraceBreakfast7:30 a.m. – 8:30 a.m.Salons I-IVKeynote Presentation: Alison LevineSponsored by Medical Facilities Corporation8:30 a.m. – 10:15 a.m.Salons V-VIIIExpanding Revenue within the Current SystemOrthopedic Urgent Care: Reaching Patients EarlyPresented by: John Dietz, MDLegal Strategies for ExpansionPresented by: Andrea Impicciche, JDSecuring Growth via Health System PartnershipsPresented by: Michael Stroup and Patrick Richter10:15 a.m. – 10:45 a.m.Vineyard Terrace Pre-FunctionRefreshment BreakSponsored by Aver, Inc.10:45 a.m. – 12:00 p.m.Salons IX-XLightning Round I12:00 p.m. – 1:30 p.m.Vineyard TerraceEducation and Networking Luncheon1:45 p.m.Meet in LobbySocial Event – Castello di AmorosaSponsored by athenahealthFRIDAY, SEPTEMBER 167:00 a.m. – 7:30 a.m.Vineyard Terrace & Salons V-VIIIPHA Member Meeting and BreakfastBreakfast Sponsored by McGuireWoods7:30 a.m. – 8:15 a.m.Salons V-VIIILegislative UpdatePresented by: Jennifer Larkin Lukawski8:15 a.m. – 9:15 a.m.Salons V-VIIIRegulatory UpdatePresented by: Amber Walsh, JD9:15 a.m. – 10:15 a.m.Salons V-VIIICJR and Bundled PaymentsLessons Learned.Thus FarPresented by: Robb Linafelter, MHA and Barb George, MSN, RN, NE-BCFive Steps to Successful Bundled Payment AgreementsPresented by: Kurt Brenkus10:15 a.m. – 10:45 a.m.Vineyard Terrace Pre-FunctionRefreshment BreakSponsored by True Health Diagnostics10:45 a.m. – 12:00 p.m.Salons IX-XLightning Round II12:00 p.m. – 1:30 p.m.Vineyard TerraceEducation and Networking Luncheon1:30 p.m. – 2:15 p.m.Salons V-VIIIPoint-Counterpoint: Short Stay vs. Outpatient Joint ReplacementModerated by: John Dietz, MDPresented by: Ed Hellman, MD and Traci Albers, MBA2:30 p.m.Meet in LobbySocial Event – Round Pond Estates

MONITORING PATIENTS ON OPIOIDSDOESN’T HAVE TO BE A BURDENGUIDEMED An on-site program thatHelps healthcare providers meet opioidprescribing rules and best practicesIdentifies concerning patient behaviorProvides patient outreach forcompliance and interventionWWW.GUIDEMED.COMGuideMed is a registered program [email protected] IS AN ADVERTISEMENTTHE FUTURE OFHEALTH CARE MAYBE UNCERTAIN. OUREXPERIENCE CANGUIDE THE WAY.As the nation’s largest health care-focusedlaw firm, Hall Render is distinguished by itsknowledge, experience and understanding ofthe evolving landscape of today’s health careenvironment. Hall Render has represented theindustry, including more than 1,500 hospitals andhealth systems, in general and special counselmatters. Put our singular focus to work for you.HEALTH LAW IS OUR BUSINESS.Learn more at DALLAS DENVER DETROIT INDIANAPOLIS LOUISVILLEMILWAUKEE PHILADELPHIA RALEIGH SEATTLE WASHINGTON, D.C.

MEET OUR KEYNOTEOn the Edge:The Art of High-Impact LeadershipSponsored by Medical Facilities CorporationALISON LEVINETeam Captain of theFirst American Women’sEverest Expedition andNew York TimesBestselling AuthorAvaluable facet of the PHA Executive Summit isthe focus on growth in the face of resistance, andour keynote speaker has defied all odds. After havingthree heart surgeries and suffering from a neurologicaldisease causing arteries to collapse in cold weather,Alison Levine is one of fewer than forty people inthe world to complete the Adventure Grand Slam– climbing the highest peak on every continent andskiing to the North and South Poles. Levine’s adviceis informed not just by her extreme treks, but alsoby her two decades in the healthcare, technology,and finance fields. After receiving her MBA fromDuke University, she moved to New York to workfor investment banking firm Goldman Sachs. In2003, she left Wall Street to serve as Deputy FinanceDirector for Arnold Schwarzenegger in his successfulbid to become Governor of California.Successfully facing sub-zero temperatures, hurricaneforce winds, sudden avalanches, and a career on WallStreet, Levine’s accomplishments have taught her thatno matter your circumstance, there is always a wayto succeed. As the physician-owned hospital industrycontinues to face an uphill battle, her roadmap toleadership will help you scale whatever peaks youaspire to climb – be they literal or figurative – byoffering practical, humorous, and often unorthodoxadvice about how to reach your potential as a leader.

AWARD WINNERS2016 Physician Hospital of the Year AwardFresno Surgical Hospital, Fresno, CAIn recognition of its exceptional quality, outstandingrecord of community service, and continued leadershipin supporting our organization’s legislative priorities andgrassroots initiatives, PHA is proud to award the 2016Physician Hospital of the Year Award to Fresno SurgicalHospital. Thank you for your dedication in exemplifying the quality, value, andcommunity benefit of physician-owned hospitals.Physician Hospitals of America President’s AwardRobert D. Blair, President and CEO, The Spine Hospital ofLouisiana at The NeuroMedical CenterAs the President of the Louisiana Physician Hospital Association,Robert Blair plays an instrumental role in engaging and coordinatingthe physician-owned hospitals in that state in support of PHAinitiatives. It is a credit to Blair that physician-owned hospitals inLouisiana are consistently among the most engaged and supportiveof PHA’s legislative calls-to-action. As the President and CEO ofthe Spine Hospital of Louisiana at The NeuroMedical Center,he oversees a center of surgical excellence that serves as a shiningexample of the high-quality care provided by physician-owned hospitals.The Physician Hospital of the Year Award and PHA President's Award will be presented at thePHA member meeting on Friday, September 16 at 7:00 a.m.We guide you through anend-to-end value-based strategy: Methodology Selection Risk Sharing Network Configuration Episode Design Ongoing Performance [email protected] 740.817.1818

SESSION DESCRIPTIONSTHURSDAY, SEPTEMBER 156:45 a.m. – 7:15 a.m.BREAKFAST SYMPOSIUM (OPTIONAL):Salons V-VIIIPain Management, Enhanced Recovery in Total JointArthroplasty, and Its Effect on BundlingPresented by: Danton Sterling Dungy, MDSponsored by Pacira Pharmaceuticals, Inc.This session will demonstrate the current use of EXPAREL in painmanagement and highlight the recent changes in the care of the totaljoint patient. Attention will be given to enhanced recovery and itseffects on bundling.7:30 a.m. – 8:30 a.m.Salons I-IVKEYNOTE PRESENTATIONON THE EDGE: THE ART OF HIGH-IMPACTLEADERSHIPALISON LEVINESponsored by Medical Facilities CorporationTeam Captain of the First American Women’s Everest Expeditionand New York Times bestselling author Alison Levine is a trueleader. Levine scaled the highest peak on every continent and skiedto both the North and South Poles – an accomplishment known asthe Adventure Grand Slam, achieved by fewer than forty people inthe world. She will share lessons learned from extreme environmentsand explain how they apply to business and beyond. Her keynotewill provide a roadmap to help you scale whatever peaks you aspireto climb – be they literal or figurative – by offering practical,humorous, and often unorthodox advice about how to reach yourpotential as a leader.8:30 a.m. – 10:15 a.m.EXPANDING REVENUEWITHIN THE CURRENT SYSTEMSalons V-VIII Orthopedic Urgent Care: Reaching Patients EarlyPresented by: John Dietz, MD, Orthopedic Surgeon, OrthoIndyPhysician practices with ties to physician-owned hospitals andASCs have much to gain by embracing the urgent care model.Large health systems choke off traditional referral patterns.Convenient early specialty care opens another portal forpatients.

Legal Strategies for ExpansionPresented by: Andrea Impicciche, JD, Attorney, Hall, Render,Killian, Heath & Lyman, P.C.Using unique, real-life case studies, Impicciche will discussexpansion opportunities and each scenario’s pros and cons.Attendees should come prepared with legal questions to makethis a truly interactive session. Securing Growth via Health System Partnerships Presented by: Michael Stroup, MBA, Senior Vice President ofAcquisitions, USPI and Patrick Richter, MS, Vice President ofBusiness Development, USPI Panelists will address the recently accelerating trend ofphysician-owned hospitals partnering with health systems. Thepros and cons of partnership will be reviewed, including stepsto consider during and after partnership discussions.10:45 a.m. – 12:00 p.m.LIGHTNING ROUND ISalons IX-XAttendees share an interesting problem they have faced and thesolution they identified to address it. Each presenter will havefive minutes to present their question, issue, or situation and thesolution they utilized. Audience members will have three minutes toask any questions. This fast-paced, interactive session is sure to beone of the highlights of the summit.McGuireWoods’ Healthcare Grouptouches virtually all aspects of theday-to-day business operations ofour clients and we understand thelegal and business challengesthey face in today’s market.We are pleased to sponsor thePHA Executive SummitAmber McGraw Walsh, Partner 1 312 750 3596 [email protected] West Wacker Drive Suite 4100Chicago, IL 60601-18181,000 lawyers 23 offices

Used in more than2 MILLIONPATIENTSsince 2012Pacira Pharmaceuticals, Inc. is pleased to supportthe PHA Executive SummitFor full Prescribing Information,please visit orcall 1-855-RX-EXPAREL (793-9727).Reference: Data on file. Parsippany, NJ: Pacira Pharmaceuticals, Inc.: May 2016. 2016 Pacira Pharmaceuticals, Inc., Parsippany, NJ 07054PP-EX-US-190408/16Maker of EXPAREL (bupivacaine liposome injectable suspensThe Partnerof Choice.699 PHA Quarter Page Ad Mv1.indd 18/18Maker of EXPAREL (bupivacaine liposome injectable suspension)As the partner of choice for surgical care, SCAstrategically collaborates with physicians, healthplans, medical groups and health systems acrossthe country to develop and optimize surgicalfacilities. In partnership with 2,800 physicians,SCA operates approximately 200 surgical facilitiesacross the country.For more information andcompelling case studies, pleasevisit

FRIDAY, SEPTEMBER 167:30 a.m. – 8:15 a.m.LEGISLATIVE UPDATESalons V-VIIIPresented by: Jennifer Larkin Lukawski, Principal, BGR GroupLearn what is happening on Capitol Hill as it relates to healthcare,including an update on how physician-owned hospitals can worktowards relief of section 6001 of the Affordable Care Act.8:15 a.m. – 9:15 a.m.Salons V-VIIIREGULATORY UPDATEPresented by: Amber Walsh, JD, Partner, McGuireWoods, LLPLearn about the top legal issues in the industry – from facilityexpansion opportunities, to physician privileges and contractingissues, to hospital sales trends and beyond!9:15 a.m. – 10:15 a.m.CJR AND BUNDLED PAYMENTSSalons V-VIIILessons Learned. Thus Far Presented by: Robb Linafelter, MHA, CEO, Lincoln SurgicalHospital and Barb George, MSN, RN, NE-BC, CareCoordination Leader, Lincoln Surgical Hospital CMS has instituted the Comprehensive Joint Replacement(CJR) program for the care of patients undergoing lowerextremity joint replacement in select metropolitan areas aroundthe country. Lincoln Surgical Hospital (LSH) has been a part ofthis program since the go-live date of April 1, 2016. By beingfinancially and clinically responsible for the patient’s ninety(90) day outcomes, the CJR program has required LSH to workmore closely with physicians and other health care providersthat help patients recover after discharge. This session willexamine the requirements of the CJR program, the processesLSH has put in place to be successful, and explore what LSHhas learned along the way that will be valuable for the nexthospitals implementing a CJR program. Five Steps to Successful Bundled Payment AgreementsPresented by: Kurt Brenkus, Founder, Aver, Inc. Kurt Brenkus will walk through the framework and process tobuild market-ready episode of care agreements. This designis built on industry experience while building contracts indifferent markets across the U.S. Brenkus will explain thebenefits of using Aver Currents to pay downstream contractsand manage evidence-based care pathways to ensure contractcompliance and better patient outcomes once your agreementshave been established.

10:45 a.m. – 12:00 p.m.LIGHTNING ROUND IISalons IX-XAttendees share an interesting problem they have faced and thesolution they identified to address it. Each presenter will havefive minutes to present their question, issue, or situation and thesolution they utilized. Audience members will have three minutes toask any questions. This fast-paced, interactive session is sure to beone of the highlights of the summit.1:30 p.m. – 2:15 p.m.Salons V-VIIIPOINT-COUNTERPOINT: SHORT STAY VS.OUTPATIENT JOINT REPLACEMENTModerated by: John Dietz, MD Presented by: Ed Hellman, MD,Orthopedic Surgeon, OrthoIndy and Traci Albers, MBA, ExecutiveDirector, High Pointe Surgery Center and North Memorial ASCJoint replacement surgery is now in the outpatient environment.Is this good or bad for patients? What is driving this migration?What is the value proposition? What risks have you not considered?Traci Albers manages two centers with five years of experiencedoing outpatient joints. She makes the “point.” Dr. Ed Hellman, aphysician-hospital owner and joint replacement surgeon makes the“counterpoint.” Your voice is the third perspective. Join this livelydebate. Differences of opinion are out in the open here at PointCounterpoint.Can betterdiagnostics putyour hospitalahead of thegame?Ask us how True Health’s integrated labprocessing and management services can setyour hospital [email protected] 2016 True Health Outreach

SOCIAL EXCURSIONSTOUR, WINE TASTING,AND SCAVENGER HUNTCastello di AmorosaSponsored by athenahealthAt one of “Napa’s 10 Best Wineries”(California Winery Advisor), attendeeswill participate in a guided tour and atasting followed by a scavenger hunt in the top layers of the Tuscanstyle castle. It will be hard not to be captivated within the walls of thisbreathtaking castle and the best listeners will have a leg-up during thescavenger hunt – within Castello di Amorosa’s one million antiquebricks you’ll find clues that can only be answered with information fromthe tour.WALK ABOUT WINE TASTINGRound Pond EstatesNestled in the Rutherford area withsweeping views of the MayacamasMountains, Round Pond Estates is afamily-owned vineyard, orchard, mill, andwinery. At the Walk About Wine Tasting, held in the garden situated inthe center of the vineyards, attendees will get to know each other overestate wines paired with food bites, olive oil and vinegar tasting stations,and house-made citrus syrups with bubbly water.Quality DrivenTrusted PartnerInnovative LeaderMission“ OurIs to treat each and every one of our patients,and their families, as if they were our ownfamily member. Each patient, each family,”each and every time.Learn more at

Thank YouTO O U R 20 1 6 PA RT NE R SEXECUTIVE PARTNERSPREMIER PARTNERSSUPPORTING PARTNERSINDUSTRY LEADERSC:71 M:0 Y:33 K:0Pantone 3262CC:0 M:50 Y:100 K:0Pantone 151CC:100 M:58 Y:0 K:21Pantone 294CC:0 M:0 Y:0 K:85Medical Facilities Corporation, Surgical Care Affiliates,United Surgical Partners InternationalCORPORATE MEMBERSathenahealth, Aver, Inc., CPSI (Dba. Evident), FamilyER Urgent Care, Global Medical REIT,HealthTrack, Texas Health Resources,TrueHealth Diagnostics

EXECUTIVE PARTNERSATHENAHEALTHathenahealth offers network-enabled services for EHR, revenuecycle management, patient engagement, care coordination, andpopulation health. Unlike conventional vendors, athenahealthcombines performance insights from our 76,000-providernetwork with continually updated payer knowledge andadministrative work to help our clients get paid more, faster,focus on patients, and thrive through change.EVIDENTIntegrated software solutions from Evident help rural andcommunity hospitals improve their financial and clinicaloperations. Backed by a customer-centric support approach, weare the partner of choice for over 1,300 healthcare facilities.MEDICAL FACILITIES CORPORATIONMedical Facilities Corporation (MFC) owns controlling interestin four specialty surgical hospitals in South Dakota, Oklahoma,and Arkansas and an ambulatory surgery center in California.In addition, MFC owns controlling interest in a diversifiedhealthcare service company located in Oklahoma. We delivercare. We deliver results.PREMIER PARTNERSAVER, INC.Aver is helping payers and providers detach from fee for serviceand utilize their data to design, model, and execute value-basedcontracts.

HALL, RENDER, KILLIAN, HEATH, & LYMAN, P.C.Hall Render is the largest health care-focused law firm in thecountry with more than 200 attorneys serving health care clientsnationwide. Learn more at RXHealthTrackRx is a leading clinical solutions company toimprove health outcomes and patient care by assisting providersmitigate risk in treating substance abuse disorder throughprevention, testing, and compliance.MCGUIREWOODS LLPWith a team of more than 60 experienced, industry-focusedlawyers, McGuireWoods LLP is well positioned to help clientsaddress ongoing, day-to-day obstacles and create new models fordelivering healthcare services.PACIRA PHARMACEUTICALS, INC.Pacira Pharmaceuticals, Inc. is a specialty pharmaceuticalcompany focused on the development of products that meetthe needs of acute care practitioners and their patients. Itslead product, EXPAREL (bupivacaine liposome injectablesuspension), was launched in 2012. EXPAREL utilizes thePacira proprietary delivery technology DepoFoam . For moreinformation, visit CARE AFFILIATESSurgical Care Affiliates (SCA) partners with physicians,health systems, and health plans to develop and implementsurgery strategies. SCA's systems, strategies, and processescreate measurable advantages for surgical facilities – clinically,operationally and financially.

TRUE HEALTH DIAGNOSTICSTrue Health Outreach is an innovative healthcare servicesorganization dedicated to earlier detection and managementof chronic disease. We build customized programs that givehealthcare organizations a clear and efficient path to deliveringquality care.UNITED SURGICAL PARTNERS INTERNATIONALUnited Surgical Partners International (USPI) specializes inthe development and operations of physician-owned hospitals.By leveraging the strength of our partnerships and our strongcommitment to quality, USPI remains an innovative industry leader.SUPPORTING PARTNERSASCRIPTION MEDICAL CONSULTANTSAscription Medical Consultants’ proven programs create scalablereferral pipelines you control, driving new patients and increasingsurgeries. We even help fund a portion or all of the marketing costs.Ask us how!FAMILY ER URGENT CAREExperienced owners, operators, and developers of FreestandingEmergency Centers (FECs) in Texas, Family ER Urgent Carepartners with physician-owned hospitals nationwide to open FECsin their communities.GLOBAL MEDICAL REIT, INC.Global Medical REIT Inc. is engaged in the acquisition oflicensed, state-of-the-art, purpose-built healthcare facilities andtheir lease-back to leading clinical operators with dominantmarket share. globalmedicalreit.comC:71 M:0 Y:33 K:0Pantone 3262CC:0 M:50 Y:100 K:0Pantone 151CC:100 M:58 Y:0 K:21Pantone 294CC:0 M:0 Y:0 K:85

QUALITY TEAMSDELIVERINGSUPERIOR RESULTSMedical Facilities Corporation owns controlling interest infour specialty surgical hospitals in South Dakota, Oklahomaand Arkansas and an ambulatory surgery center in California.In addition, Medical Facilities owns controlling interest in adiversified healthcare service company located in Oklahoma.We deliver care.We deliver results.South DakotaBlack Hills Surgical HospitalSioux Falls Specialty HospitalArkansasArkansas Surgical HospitalOklahomaOklahoma Spine HospitalIntegrated Medical DeliveryCaliforniaThe Surgery Centerof Newport CoastContact us at 1·877·402·7162 or

Healthy cash flowHealthy hospitalHealthy communityTHESE DOORSNEVER CLOSEEHR, revenue cycle, patient engagement,and care coordination services forRURAL, COMMUNITY, AND CRITICAL ACCESS HOSPITALS

Presented by: John Dietz, MD, Orthopedic Surgeon, OrthoIndy Physician practices with ties to physician-owned hospitals and ASCs have much to gain by embracing the urgent care model. Large health systems choke off traditional referral patterns. Convenient early specialty care opens another portal for