IDS 2.0: Integrated Care Organization IDS Hospital IDS 2.0: Integrated Care Organization

IDS Hospital – Our current practice 200 bed, medium-sized comprehensive service provider hospital in Laredo, TX Private, physician owned hospital Hospital is staffed by IDS Physician Group A group with 50 specialty doctors and 75 hospitalist physicians

LAREDO, TEXAS

Laredo, Texas – Our Market Population est. 269,721 (growing at 7.8%) 10th largest city in Texas Largest city in Webb County Economy is largely based on international trade

Laredo, Texas – Our People 94% Hispanic/Latino 4.6% Unemployed ~36% uninsured

IDS’s Vision is to make… Laredo Healthiest City in Texas IDS’s Mission is to have… Symbiotic Partnership Coordinated Healthcare Improved Accessibility

Currently… Volume Value V/S

Where to start finding the solution? The patient

NOW: Splintered Healthcare System

IDS 2.0: Integrated Care Organization IDS Health Plan

IDS Health Plan On the ACA Health Insurance Marketplace Target the uninsured Keep our patients healthy -> lower costs Healthy cooking classes and Yoga/exercise Compassionate ‘end of life’ discussions

The IDS Health Plan allows us to control our own destiny

IDS 2.0: Go to Market Plan Acquire and integrate PCPs and Specialist Physicians As partners, our doctors’ incentives are aligned with our mission Hire, acquire, or contract Pharmacy, Dentistry, Optometry, PT, OT, etc

IDS 2.0: Quality Based Care IDS Health Plan Incentives are aligned to provide integrated, high quality, value based care for our patients Remaining insurers (Medicare, private, etc) MIPS payment system (EMR and crude quality metrics are in place) As IDS Health Plan gains traction in Laredo, IDS will be less dependent on MIPS

IDS 2.0 allows for flexibility (Can transition from MIPS to Advanced APM in the future)

IDS 2.0: Improving revenue and profit margin

IDS 2.0 Payer Mix: Benefits for all 2021 2016

IDS 2.0: Beyond 2021… Reduce uninsured rate to national average Incentivize quality health-care Promote healthy living

Q & A

Footnote: Pro-forma

Footnote: Insurance bottom line

Footnote: Existing payer mix