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exe is an aligned hospital employed physician joint venture development and management firm addressing unsustainable physician employment costs

Transformative | Strategic | Operational

Transformative Solution

The foundation of exe's solution is a change to the traditional compact between hospitals and doctors from "feeding the system" to cultural, clinical, and economic alignment of a scarce and necessary labor resource. In addition, exe enables physician enterprise leadership to accelerate and optimize performance initiatives with additional administrative resources in an independent joint venture. This foundation is supported by five key tenets.

  • 1
    Maintain the health system’s strategic and clinical control
  • 2
    Increase cash flow by lowering total employed physician operating expenses (losses)
  • 3
    Move physician enterprise losses off the health system P&L
  • 4
    Align employed physicians economically with the health system
  • 5
    Engage qualified, supplemental administrative resources to improve practice performance

Strategic Performance Goals

As a discrete entity, each local joint venture's performance stands on its own. This is not a physician practice management roll-up strategy.

EBITDA<br>Losses Added Back<br>(from day 1)

EBITDA
Losses Added Back
(from day 1)

Operating Expense<br>Reduction Opportunity<br>(by year 3)

Operating Expense
Reduction Opportunity
(by year 3)

Aggregate<br>3-year ROI

Aggregate
3-year ROI

The ultimate goal is to return
physician practices to breakeven.

Operational Performance Improvement Levers

The strategy isn't merely financial engineering. exe endeavors to fundamentally improve the operational and financial performance of hospital employed physician practices. The joint venture model and its boxes and arrows appear complex, but the primary performance levers are relatively simple.

Our Team & Experience

exe's joint venture strategy is anchored by its partners' diverse healthcare backgrounds and related strategic, operational, financial, and development expertise.

Tim Petrikin

Tim Petrikin

Partner
Evan Keyser

Evan Keyser

Partner

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