Ensemble Health Partners, Inc.
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management (“RCM”) solutions for health systems, including hospitals and affiliated physician groups. We purpose-built our end-to-end RCM platform to deliver significant and sustainable financial performance improvement for our clients, enhance the patient experience, and better enable providers to focus on clinical care. With over $20 billion in annual Client NPR under management across our clients, we are well positioned to capitalize on the large and growing RCM market. RCM is the mission-critical set of processes by which healthcare providers are paid and encompasses the entire lifecycle of a medical claim, from patient intake through revenue collection. It enables healthcare providers to identify, manage, and collect revenue from patients, insurance companies, and other payors. Today, effective RCM is particularly critical as health systems are under enormous operational and financial pressure due to increasing reimbursement complexity, rate pressure, rising costs, and fragmented revenue cycle technologies and services. These challenges are exacerbated by health systems’ lack of revenue cycle focus and scale relative to payors, and often result in under-optimized revenue collections, excessive costs to collect, weakened cash flow, and a disjointed billing experience for patients. We manage and optimize health systems’ RCM operations from patient intake through revenue collection by deploying a scalable operating model that leverages a powerful combination of experienced operators, proven processes, and proprietary cloud-based technology. Our end-to-end solutions are designed to deliver significant value for clients, including: (i) sustainable improvements in financial performance driven by increased Client NPR and operating margins and accelerated cash flow; (ii) increased patient satisfaction driven by a streamlined registration and billing experience; and (iii) increased physician and staff satisfaction driven by a reduced administrative burden. We estimate that our core addressable market of hospitals and affiliated physician groups generate approximately $1 trillion of annual net patient revenue, based on management assessments derived from available industry and client data regarding 2020 net patient revenue generated by such health systems. Based on such management estimates, we expect U.S. health systems to spend approximately 5% of their net patient revenue on average on revenue cycle operations, implying an addressable market of $50 billion for our solutions. Today, more than 80% of health system revenue cycle spend is on internal functions and vendors with limited scope (“point solutions”), with end-to-end revenue cycle vendors serving the remaining 20% of the addressable market. However, penetration of end-to-end RCM solutions has consistently increased over the last three years, driving market growth of approximately 11% per annum. Within the end-to-end RCM market, we are gaining market share and consistently recognized by KLAS Research as the leader in this large and growing industry. We were founded on the premise that the best results require a combination of skilled and experienced operators, proven and repeatable processes, and modern and flexible technologies. Operators. Our management team is led by experienced revenue cycle operators who are able to diagnose revenue cycle inefficiencies and have first-hand experience in resolving them. Our leadership is supported by skilled and highly engaged associates who are trained to apply our process and technology. Our associates include both Ensemble employees and certain client employees whom we oversee. Process. Our process is codified in detailed execution plans and procedures, which we refer to as “playbooks.” These playbooks are focused on identifying and addressing the root causes of inefficiencies in order to drive sustainable improvements for our clients. We tailor our solutions to suit each client’s specific needs, and our end-to-end approach helps improve coordination, continuity and support across the entire revenue cycle process. Technology. Our flexible, cloud-based technology platform enables our associates to drive efficiencies and yield through rapid data ingestion, advanced analytics and workflow automation, and powerful business intelligence. In addition, our technology stack is highly adaptable and can be configured to overlay and integrate with each client’s existing foundational systems. We have a consistent track record of signing, onboarding and delivering results for new end-to-end clients. Over the past few years, we have grown our Client NPR under management from approximately $4 billion as of December 31, 2017 to approximately $21 billion as of June 30, 2021, including more than $5 billion from new contracts signed in 2020 despite the disruption in the healthcare industry caused by COVID-19. --- We believe our differentiated platform and strong client relationships translate to a compelling financial profile, characterized by: • Highly recurring revenue driven by long-term, end-to-end contracts with a weighted average initial term of 8 years. • Strong and sustainable margins driven by rapid technology deployment, efficient labor utilization, and continuous vendor rationalization. • Substantial cash generation driven by minimal capital expenditure and working capital requirements. Ensemble Health Partners, Inc. was incorporated in Delaware on May 28, 2021 and has not engaged in any business or other activities except in connection with its incorporation. Our principal executive offices are located at 11511 Reed Hartman Highway, Cincinnati, Ohio.