The Advisory Board Company Where Health Care Goes to Get Better
June 2012 William Blair Growth Stock Conference
©2012 THE ADVISORY BOARD COMPANY
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Legal Caveat This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These statements may be affected by many factors, including, among others, those described in the Company’s most recently issued earnings press release and under the heading “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in the Company’s most recent filings on Form 10-K or 10-Q with the Securities and Exchange Commission. Consequently, actual operations and results may differ materially from those expressed in any forward-looking statements made by us. All forward-looking statements are qualified by those risk factors and are further qualified in all respects by the information disclosed in the Company’s filings with the Securities and Exchange Commission. The Company undertakes no obligation to update any forward-looking statements, whether as a result of new information, future events, or otherwise, and does not intend to do so.
©2012 THE ADVISORY BOARD COMPANY
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Investment Thesis
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Uniquely Positioned in Today’s Environment
2
Powerful Economic Model
3
Multiple Avenues of Growth
4 ©2012 THE ADVISORY BOARD COMPANY
Strong Financial Performance
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Uniquely Positioned in Today’s Environment
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Here Come the Boomers Older… 2011 U.S. Population Distribution by Age
Sicker…
Costlier
Discharges by Number of Chronic Conditions
Expenses per Adjusted Admission
78.0% of treated adults have multiple chronic conditions
75 M baby boomers
18.0% 17.3% 17.3% 16.0% 16.0% 14.2% 12.2% 7.8% 7.8%
0
©2012 THE ADVISORY BOARD COMPANY
$10,045
7.8% 7.8% 6.6% 6.6%
1
2
3
4
5
6
7+
$6,509 $4,588
1989
1999
2009
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Reform from All Corners Federal Government • Affordable Care Act • Pay-For-Performance • Value-Based Care
Activist Employers
Commercial Insurers Aggressively driving value and risk based arrangements
Patients as Consumers
92 %
©2012 THE ADVISORY BOARD COMPANY
Share of Per Capita Income Growth Devoted to Health Care
7
A Singular Moment in Health Care “Perfect Storm” Creates Tremendous Opportunity Market Factors
Health System Imperatives
• Transformational Shift of Incentive Structures
• Physician alignment/ care coordination
• Massive Operational Change
• I.T./operational efficiency
• Advent of Consumerism and Choice
• Revenue cycle enhancements
• Explosion of Available Data
• Transition to value-based approach
Disruptive Change
Delivery System Reform
Intense need for Advisory Board research, software, and services
©2012 THE ADVISORY BOARD COMPANY
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Unparalleled Position for Today’s Challenges Built Over 30+ Years Large, Prestigious Membership Base
World-Class Insight and Intellectual Property
Deep Industry Connections
• ~3,700 global members
• Powerful research engine
• 4,200 CEOs
• All 17 of the U.S. News & World Report honor roll hospitals
• Profound institutional expertise
• 12,000+ Senior Executives
• Data asset comprising 45% of all U.S. admissions
• 17,000+ Product Leaders
• 99 of the 100 largest health systems
©2012 THE ADVISORY BOARD COMPANY
• 50,000+ Line Managers
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Insight-Driven Standardized Offerings
Key Attributes of Our 50+Discrete Programs • Distinct executive constituencies
• 12-36 month renewable memberships
• Separate agendas/performance metrics
• All-inclusive annual fees
Research Programs
Software-Based Programs
Management and Advisory Services Programs
©2012 THE ADVISORY BOARD COMPANY
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Research Memberships That Inflect Performance Multiple Channels for Best Practice Insight
Reports and Briefings 60+ reports 240,000+ studies distributed
250+ briefs
Meeting and Teleconferences
Access to Experts
Implementation Toolkits
Online Tools
250+ member presentations
Real-time access to expert research staff
80,000+ online users
19,000+ decision support users
Extensive library of best practices
200 online tools
2,300 onsites
130+ topics
1,000+ customized reports 2,200 technology assessments
©2012 THE ADVISORY BOARD COMPANY
200+ online meetings
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Impactful “Right-Answer” Software Hospital I.T. Systems
• Siloed Data • Multiple Source Systems
Web-Based Analytic Tools
• Insight on Key Metrics • Proven Tech Platform
• Hosted • Subscription-based
Ensuring Success Via Wrap-Around Support
©2012 THE ADVISORY BOARD COMPANY
• Dedicated Advisor
• ROI Toolkits
• User Training/Enfranchisement
• Cohort Benchmarking
• Annual User Summit
• Case Studies/White Papers
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Providing Returns Across All Key Verticals
Physician Alignment
Clinical Operations
Research Programs
Accountable/ Value-Based Care
Revenue Cycle
Software-Based Programs
Supply Chain
Workforce Management
Growth Strategy
Management and Advisory Services Programs
• Health System Strategy
• Crimson Market Advantage
• Clinical Integration
• Clinical Operations
• Crimson Practice Management
• Southwind Practice Management
• IT Strategy
• Crimson Continuum of Care
• Care Transformation Engagement
• Financial Strategy
• Crimson Care Registry
• Medical Home Engagement
©2012 THE ADVISORY BOARD COMPANY
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Driving Deep Value to Members Memorial Hermann Healthcare System is working with ABC across multiple programs to drive impact in their work with more than 2,000 physicians.
“
“
The Advisory Board’s services are a key component of understanding and explaining healthcare quality and costs in a meaningful way to our physicians and leaders. It is a breakthrough in how we work with our physicians on quality.
15% Improvement on ALOS
14% Improvement on Mortality Rates
2% Improvement on 30-day Readmissions
©2012 THE ADVISORY BOARD COMPANY
$3.5+ MM In Savings
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Powerful Economic Model
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Offering a Unique Value Proposition Focusing On the Standardized Terrain…
…Establishes Compelling Member ROI
$250,000–$1,500,000
Low
Advisory Board Terrain Degree of Variable Cost
$106,901 Management Consulting/ Custom Software Development
High High
Low
Degree of Standardization
©2012 THE ADVISORY BOARD COMPANY
Average Advisory Value of Just Board Member Fee One Best Practice
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Delivering Measurable Results Driving Bottom Line Impact
FAIRVIEW SOUTHDALE used the Surgery Performance Program to reduce physician variation in supplies, realizing nearly $500K in annualized savings
WELLSPAN used the Revenue Cycle Performance Program to identify and re-bill lost accounts yielding $1.4M incremental revenue in 100 days
JOHNS HOPKINS BAYVIEW MEDICAL CENTER used Nursing Operations Performance Program to eliminate $1M in premium labor
FAIRVIEW HOSPITAL used Crimson to reduce Medicare length of stay for annualized savings of $2.5M
HENRY FORD MACOMB HOSPITAL used Crimson to help physicians improve LOS and resource utilization, achieving annualized savings of over $800K
ST. MARY MEDICAL CENTER used Crimson to improve Core Measures compliance, resulting in $500K of pay-for performance incentive payments
SOUTHEASTERN REGIONAL used the Revenue Cycle Performance Program to reduce denials yielding $5.4M of incremental revenue
ACADEMIC MEDICAL CENTER Used our best practice research to mount aggressive contracting negotiations on implants which yielded $1M in savings
©2012 THE ADVISORY BOARD COMPANY
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Scalable Program Economics Year 1
Year 3
$5M
Research Memberships Economic Profile
$100K
$500K
$1.5M
$1.5M
$1M
Revenue
Costs of Service
Revenue
Costs of Service
Beyond Year 3
Largely fixed-cost programs; low variable costs Considerable margin growth potential as programs continue to scale in out years
$10M
Software-Based Memberships Economic Profile
$2M
$2M
$400K $3 M
Revenue
©2012 THE ADVISORY BOARD COMPANY
Costs of Service
$3M Revenue
Costs of Service
Variable
Fixed
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Predictable Renewals Yield Strong Visibility Member Renewal Rate
90%
91% 88% 89%
Composition of Annual Revenues
92% New Contracts
Renewals
Deferred Revenues
FY08 FY09 FY10 FY11 FY12 80%+ of Revenues Visible at Beginning of Calendar Year
©2012 THE ADVISORY BOARD COMPANY
Annual Revenues
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Multiple Avenues of Growth
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Serving Large and Growing Markets A Growing $3 Trillion Industry
New Services Expand Addressable Market
Health Expenditure Projections (Trillions)
$4.6
Best Practice Research
$3.0
2013
©2012 THE ADVISORY BOARD COMPANY
2020
Health Care Consulting Market
Health Care Software Services and Data Market
$10-15B
$20B+
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A Compelling Opportunity ~15,000 Immediate Prospects • U.S. Hospitals
New Customers
• Other U.S. Health Care • International Hospitals • U.S. Education • International Education
~3,700 Current Members
Cross Sell $3.8 Billion Current Opportunity
New Programs
50+ Current New Program Launches Programs • New Research Programs • New Software-Based Programs • New Management/Advisory Services Programs • New Data Programs
©2012 THE ADVISORY BOARD COMPANY
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Cross-Selling to Grow Relationships Average Advisory Board Spend
Cross-Sell Opportunity Case Study
Per Member
300-Bed Community Hospital $742K
$8M–$12M
$107K $52K
$40K 3/31/02
©2012 THE ADVISORY BOARD COMPANY
3/31/12
Related Professional Services Spend
3/31/02
3/31/12
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Member-Driven Product Development ORGANIC OFFERINGS LEVERAGING OUR RESEARCH ENGINE • 8,000+ C-Suite Relationships
4-5 25
• 2,000+ Conversations Weekly • Visibility into Members Strategy and Operating Plans • Increasing Access to Member Performance Data
30-40
New Products Launched Yearly New Programs Under Evaluation Industry Leaders as Charter Members
STRATEGIC ACQUISITIONS Expand Capabilities Enhance Speed to Market Augment Tech Platform
©2012 THE ADVISORY BOARD COMPANY
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Extending our Reach in Other Markets Education
Non Provider Health Care
International
• Fragmented sector with common set of complex issues
• Growing health care spending and common operational issues
• High interest in provider issue set by non-provider health care companies
• Research ethic, willingness to collaborate
• Large appetite for lessons from U.S. health care
• Growing data asset a platform for potential new products
• Existing relationships with academic institutions
• Nascent data and analytics need in global health care systems
• Need for sales training and product development advice
• 2,000+ potential partners in North America
• 1,500+ potential partners in key international markets
• 2,000+ potential partners in key segments
Current Members include:
Current Members include:
Current Members include:
Brown University
Cambridge University Hospitals NHS Foundation Trust
GE Healthcare
Aga Khan Health Service
Eli Lilly
Duke University
University Hospital Zurich
Pfizer
Wake Forest University
New South Wales Department of Health
University of California at Berkeley
©2012 THE ADVISORY BOARD COMPANY
Medtronic, Inc.
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Strong Financial Performance
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Consistent Contract Value Growth Contract Value, as of 3/31
Contract Value per Member, as of 3/31
(Millions)
(Thousands) $106.9
$398 $304 $222
2009
©2012 THE ADVISORY BOARD COMPANY
$80.4
$86.9
$95.7
$253
2010
2011
2012
2009
2010
2011
2012
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Financial Performance Revenue
Adjusted EPS*
Adjusted EBITDA*
$2.40-$2.60 $77-$82 $420-$430 $345
$1.75
$42.4
$226
CY09 CY10 CY11 CY12(P)
CY09 CY10 CY11 CY12(P)
22-25 %
* Adjusted EBITDA excludes share-based compensation expense and certain one-time charges. Adjusted EPS excludes share-based compensation expense, amortization from acquisitions, and certain one-time charges. Please refer to the Appendix for a reconciliation to GAAP results.
©2012 THE ADVISORY BOARD COMPANY
$1.62
$47.4
$270
Projected 2012 Growth Rates
$2.08
$61.6
25-33 %
CY09 CY10 CY11 CY12(P)
15-25 %
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Robust Cash Flow $80-95 $84.0
$52.8 $41-45 $37.1 $23.8
CY09
$36.1 $26.0
CY10
Adjusted Net Income (Millions)*
CY11
CY12 (P)
Cash Flow from Operations (Millions)
• Cash flow substantially exceeds adjusted net income
• Utilized ~$90 million for acquisitions since 2008
• Repurchased >$320 million worth of shares since 2004
• Currently >$10 per share of cash on Balance Sheet
* Net income has been adjusted to exclude share-based compensation expense, acquisition-related amortization, and certain one-time charges. Please refer to the Appendix for a reconciliation to GAAP results.
©2012 THE ADVISORY BOARD COMPANY
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Investment Thesis
1
Uniquely Positioned in Today’s Environment
2
Powerful Economic Model
3
Multiple Avenues of Growth
4 ©2012 THE ADVISORY BOARD COMPANY
Strong Financial Performance
The Advisory Board Company Where Health Care Goes to Get Better
June 2012 William Blair Growth Stock Conference
©2012 THE ADVISORY BOARD COMPANY