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Nobilis health ir deck 03.22.17

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Corporate Presenta,on NYSE MKT : HLTH March 2017
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Page 1: Nobilis health ir deck 03.22.17

CorporatePresenta,on

NYSEMKT:HLTH•March2017

Page 2: Nobilis health ir deck 03.22.17

Forward-LookingInformaAon

1

ThispresentaAoncontainsforward-lookinginformaAon(withinthemeaningofapplicablesecuriAes laws) relaAngtothebusinessofNobilisHealthCorp.(the"Company")andtheenvironmentinwhichit operates.Forward-lookinginformaAonmay include statements regarding the objecAves, business strategies to achieve those objecAves, expected financialresults, economic ormarket condiAons, and the outlook of or involving the Company and its business. Such forwardlooking informaAon or statements are typically idenAfied by words such as "believe", "anAcipate", "expect", "intend","plan","will","may"andothersimilarexpressions.

Forward-lookinginformaAon,includinganyfinancialoutlooks,isprovidedforthepurposeofprovidinginformaAonaboutmanagement'sexpectaAonsandplansaboutthefutureandmaynotbeappropriateforotherpurposes.Forward-lookinginformaAonherein isbasedonvariousassumpAonsand expectaAons that theCompanybelievesare reasonable in thecircumstances. No assurance can be given that these assumpAons and expectaAonswill prove to be correct and theforward-looking informaAon, including thefinancialoutlooks included in thisPresentaAon,shouldnotbe unduly reliedupon.ThoseassumpAonsandexpectaAonsarebasedon informaAoncurrentlyavailabletothe Company, including thehistoric performance of theCompany's business. SuchassumpAons include anAcipated financial performance, currentbusinessandeconomictrends,andbusinessprospectsandaresubjecttotherisksanduncertainAeswhicharediscussedintheCompany'sregulatoryfilingsavailableontheCompany'swebsiteatwww.NobilisHealth.com,www.sedar.comoratwww.sec.gov.Anyforward-lookingstatementsthatwemakearebasedonassumpAonsasoftoday,andweundertakenoobligaAontoupdatethem.TheCompany’smanagementhasapprovedthefinancialoutlookscontainedinthispresentaAon.

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CompanyProfile

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CompanyProfile

o  Own,operateandmanageambulatorysurgicalcenters(ASCs),surgicalhospitalsandclinics

•  4SurgicalHospitals,10ASCs,11Clinics,•  11Markets,7States•  38PartnerfaciliAes

o  Uniquedirect-to-paAentmarkeAngmodel•  PhysicianmarkeAng•  Conciergeexperience–PaAentcoordinaAon

o  2016revenueof$285.7millionandadjustedEBITDAof$34.0million

o  Revenue:109%CAGRfrom2013to2016

o  AdjustedEBITDA:134%CAGRfrom2013to2016

3

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InvestmentHighlights

•  BusinessmodeldrivenbyorganicgrowthandacquisiAons

•  UniquemarkeAngmodelandproprietarytechnologyastrategicadvantage

•  DisciplinedM&AapproachthathasresultedinaccreAveacquisiAonsinafragmentedmarket

•  Favorablepayormix(predominantlycommercial)andproceduremix

•  CompellingvalueproposiAonforphysicians,paAentsandpayors

•  StrongplaiormforscalablegrowthintonaAonalmarkets

•  Focusonminimallyinvasiveproceduresalignedwithmarkettrends

•  Leanbalancesheet;limitedcapexandworkingcapitalrequirements

4

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NobilisFootprint

•  25OwnedFaciliAesin6Markets,2States.NobilismanagesallOwnedFaciliAes

•  38PartnerFaciliAesin5Marketsand5States

5

8MarketswithNobilisownedfaciliAes

MarketswithNobilispartnerfaciliAes

5

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OpAmizedProcedure&PayorMix

ProcedureMix:•  Newtechnologiesallowmorecomplexsurgicalcases

inoutpaAentselng

•  Bemercasemixresultsinhigheraverage

reimbursementratesthanASCindustryaverage

•  OpAmizedcasemixleadstohighlyspecializedsurgicalstaffandincreasedcenterefficiencies

PayorMix:•  Payormixconsistspredominantlyofcommercial

payors

•  Strategicallyaddingin-networkcontractstolower

out-of-pocketcostsforpaAentsandtotalcostsfor

payorsanddrivesreferralsfrommanagedcare

companies

6

Pain29%

Bariatric22%

Spine13%

Pain36%

Orothopedics9%

Spine9%

GeneralSurgery4%

Plas,c&Reconstruc,ve

9%

Bariatrics21%

Gynecology4%

Other8%

CaseMix2016

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IndustryBackground

TradiAonalHospitals•  Full-servicehospital•  InpaAentandoutpaAent•  >5,700hospitals•  60%+not-for-profit

SpecialtySurgicalHospitals(SSHs)

•  Typicallyspecializeinorthopedics,spine,ENT

•  InpaAentandoutpaAent•  ~300SSHs

AmbulatorySurgicalCenters(ASCs)

•  OutpaAentonly•  >5,400ASCs•  70%+ownedby

independents

7

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27

GrowthStrategyandM&A

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GrowthStrategy

o  Driveorganicgrowth•  MulAplemarkeAngchannelstodrivevolumegrowth•  Physicianemploymentmodeldrivesrevenuegrowth

o  AcquisiAonopportuniAes•  Highlyfragmentedmarket•  Abilitytocross-sellservicelines

o  ServicelinesandspecialAes•  OpAmizedcasemix•  Higheracuityprocedures,higherlevelsofreimbursement

o  OperaAonalleverage•  DrivecostreducAonsinrecentlyacquiredfaciliAes•  Economiesofscale

9

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DisciplinedM&AStrategy

o  Currentlypursuingporioliocompaniesinstrategicgeographicalregions

o  AllporiolioopportuniAesfulfillkeycriteriathatexpandoverallfootprintwhilemaximizingaccreAvevalueofcombinedenAty:

•  MulA-facilityporiolio•  AbilitytooverlaymarkeAng•  Strategicgeographicmarket•  PosiAveEBITDA

o  NobiliswillconAnuetoseekandpursueothernon-poriolioopportuniAes,including:

•  FaciliAesavailableatfairmarketvaluethatNobiliscanquicklyturnaroundandsustainprofitableoperaAons

•  AcquisiAonsofuniquedifferenAatorsthataddvalueandcapabiliAeswiththeneedsofastrongin-networksystem

•  Ancillarybusinesseswithsystem-widerevenueproducingpotenAal

10

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HamiltonVeinCenter

Overview

•  6clinicsin3markets(Houston,AusAn,andSanAntonio)

•  26,000paAentencounters,ofwhich8,000areproceduralinnature

•  5,000oftheproceduresareintheHoustonmarketandinpreferreddemographicareas

•  100%In-Network(INN)revenue

TransacAonDetail

•  $8.25MMCash

•  $4MMTwoYearConverAbleNote

GrowthStrategy

•  HVCclinicswillprovidepenetraAonintonewmarkets,AusAnandSanAntonio

•  ClaritybrandwillimpactHVCcasevolumeanesAmated5-10%

•  MovingclinicbasedprocedurestoNHCfaciliAes,ASC’sandHospitals,intheHoustonmarketwill:

•  BroadentheapplicablepaAentbase•  Increasetheacuityofproceduresthat

canbeperformedwithinHVCsystem•  Increaserevenuepercasewithnominal

increaseorimpacttoincrementalcasecost

11

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10

UniqueMarkeAngStrategy

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UniquePaAentAcquisiAonStrategy

Direct-to-ConsumerMarkeAng•  MarkeAngandtechnologyplaiormthattargets

prospecAvepaAents•  UniquevalueproposiAontophysicians;superiorpaAent

experience•  Generateshigheracuitycasesvs.tradiAonalreferralmodel•  Scalable

PhysicianSales•  BuildandexecutemarkeAngplansonbehalfofphysicians•  Helpsexpandphysicians’pracAces•  HighROIforNobilis

13

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Direct-to-ConsumerCampaigns

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Direct-to-ConsumerMarkeAng

• PaAenteducaAon,medicalreview,

insuranceverificaAon,surgicalscheduling

• PaAentfollow-up,experiencesurveys,referrals

• Insidesalesteam+ITplaiormto

maximizepaAentexperience

• 9brandsmarketeddirectlytopaAentsviaomni-channelmarkeAngstrategy

LeadGenera,on

ConciergeService

ConversiontoSurgicalPa,ent

Pa,entTracking

BenefitsPhysicians•  DevotemoreAmetotreaAngpaAents•  GenerateaddiAonalpaAentvolume•  GrowtheirpracAce•  Increasedprofitability

NobilisHealth•  Enhancedphysicianrecruitment/

retenAon

•  IncrementalpaAentvolumeHighreturnonrevenuepercase

•  Scalable

15

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Direct-to-ConsumerMarkeAng

PaAentCoordinatorswillinteractwitha

paAentanaverageof17Ames

End-to-EndConciergeModelthatleveragesNobilis’proprietary

schedulingapplicaAons

DedicatedPaAentCoordinatorreviewsandmanagespaAent’sjourneyfromAmeofiniAalcontactthroughpostsurgicalrecovery

FeaturesstandardizedcorporatereporAngconsolidaAon,EMRs,

post-operaAvefollow-upprogram.Allowsfasteronboardingofnew

faciliAes.

16

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PhysicianSales

•  In-housemarkeAngteamworksone-on-onewithphysicianstodevelopanddistributecustomizedmarkeAngplans

•  LowerpartneracquisiAoncosts/increasedpartnerprofitability

•  EnhancedrecruitmentandretenAonNobilis ROI Average

5: 1

17

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•  Nobilis’in-housemarkeAngteamworkscloselywithphysicianstodevelopanddistributecustomizedadverAsingplans

•  AdverAsingplanstypicallyincorporateacombinaAonofonline,TV,radioorprintmedia•  Nobilisexpectsa5:1returnonrevenueperphysicianmarkeAngagreement

PhysicianSales

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ConcerAs

ATechnologyPlaiormthatTransformsHealthcareDelivery

•  ConcerAsconnectsproviderswithpayorstoimplementnewreimbursementmethodologiesfocusedonpaAentoutcomes

•  ThisiseffecAvelyanin-networkmodelathigherthanin-networkratesandacceleratedpaymentAmeline

Payor

Ancillaries Surgeon Facility

ConcerAsProducts:•  ClinicalIntegraAonNetworkFormaAon

andAdministraAon•  PopulaAonHealthManagement•  CareCoordinaAon

“Bundledpaymentsarethefutureofreimbursementinmedicine.AtNobiliswearewell-posi;onedtotakeadvantageofthis."-Dr.NeilBadlani,ChiefMedicalOfficer 19

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AligningPayors,Providers,andFaciliAes

ConcerAsAlignsPayors,Providers,andFaciliAes

•  OpportunitytoenhancerelaAonshipswithbothpayorsandprovidors,aswellasdeveloprelaAonshipswithself-insuredemployers

•  Greatersavingsonbundlesthanlarge,acute-carefaciliAes•  PhysiciansencouragedtocooperateforenhancedrevenueincenAves•  RepresentsasignificantmarkeAngopportunity

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19

FinancialPerformance

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*Guidance as provided on March 13, 2017

FinancialPerformance

(US$ Millions)!

$(10,000)

$10,000

$30,000

$50,000

$70,000

$90,000

$110,000

$130,000

$150,000

$-

$50,000

$100,000

$150,000

$200,000

$250,000

$300,000

$350,000

2013 2014 2015 2016 2017E*

Adj.EB

ITDA

(LessN

CI)

Revenu

e

TotalRevenue Adj.EBITDA(LessNCI)

RevenueandAdj.EBITDA(LessNCI)

22

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FinancialPerformance

FY2016•  Revenueof$285.7M,increase24.9%yearoveryear•  19,941cases,increase11.9%yearoveryear•  $14,329revenuepercase,increase11.4%yearoveryear•  $34.0MAdjustedEBITDA,decrease15.8%yearoveryear

RecentDevelopments•  AcquiredHamiltonVeinCenterinMarch2017•  AcquiredArizonaVeinandVascularinQ42016•  Closedan$82.5McreditfacilitywithBBVACompassBankinOctober2016•  AcquiredMedicalParkDriveinSeptember2016•  TalentAcquisiAonsfromlargenaAonalsystems

•  CFO–DavidYoung;formerlySVPatSt.JudeMedical,VPatCardinalHealth•  EVPOperaAons–MarcCelia;formerlyVPConAnuousImprovementatUSPITenet•  ChiefAccounAngOfficer–MarcosRodriguez;formerlyatDeloime&Touche

2017Guidance*•  Revenueof$310Mto$325M•  AdjustedEBITDAof$40Mto$45M

23

*Guidance as provided on March 13, 2017

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27

Appendix

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Facility Market Equity

Hospitals

FirstNobilisHospital Houston,TX 51%

HermannDriveSurgicalHospital Houston,TX 54.75%

PlanoSurgicalHospital Dallas,TX 100%

ScomsdaleLibertyHospital Scomsdale,AZ 75%

ASCs

FirstNobilisSurgicalCenter(HOPD) Houston,TX 51%

KirbySurgicalCenter Houston,TX 25%

MedicalParkDriveSurgicalCenter(HOPD) Houston,TX 100%

DallasMetro Dallas,TX 35%

NorthstarHealthcareSurgeryCenter-Houston Houston,TX 100%

NorthstarHealthcareSurgeryCenter-Scomsdale Scomsdale,AZ 100%

ChandlerSurgeryCenter Phoenix,AZ 100%

OracleSurgeryCenter Tucson,AZ 100%

PhoenixSurgeryCenter Phoenix,AZ 100%

SurpriseSurgeryCenter Phoenix,AZ 100%

Clinics

ChandlerClinic Phoenix,AZ 100%

OracleClinic Tucson,AZ 100%

ParadiseValleyClinic Phoenix,AZ 100%

PhoenixClinic Phoenix,AZ 100%

SurpriseClinic Phoenix,AZ 100%

SugarLandClinic Houston,TX 100%

WoodlandsClinic Houston,TX 100%

ClearLakeClinic Houston,TX 100%

KatyClinic Houston,TX 100%

StoneOakClinic SanAntonio,TX 100%

RoundRockClinic RoundRock,TX 100%

25

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Facility Special,es Facility

PlanoSurgicalHospital •  Bariatrics•  Spine•  PlasAcs•  Orthopedics•  GeneralSurgery•  Painmanagement

•  26InpaAentbeds•  6OR’s•  2ProcedureRooms

KirbySurgicalCenter •  Orthopedics•  Generalsurgery•  Pain•  ENT

•  4OR’s•  1ProcedureRoom

HermannDriveSurgicalHospital

•  Bariatrics•  Spine•  PlasAcs•  Orthopedics•  GeneralSurgery

•  22Beds•  18Privaterooms•  6OR’s•  2ProcedureRooms

FirstSurgicalHospitalFirstStreetSurgeryCenter(HOPD)

•  Bariatrics•  Spine•  PlasAcs•  Orthopedics•  GeneralSurgery•  Painmanagement

Hospital

•  4OR’s•  1Procedure

Room

ASC •  4OR’s

NorthstarHealthcareSurgeryCenter-Houston

•  Spine•  Bariatrics•  GeneralSurgery•  Pain•  Podiatry•  PlasAcs•  GI

•  3ORs•  2Treatmentrooms

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Facility Special,es Facility

NorthstarHealthcareSurgeryCenter-Scomsdale

•  PlasAcs/ReconstrucAve•  Orthopedics•  Generalsurgery•  Pain•  Bariatrics•  Podiatry

•  4OR’s•  1ProcedureRoom

ScomsdaleLibertyHospital •  Spine•  Orthopedicsurgery•  Generalsurgery•  Podiatry•  Bariatrics•  Migraine•  Vascular

•  2OR’s•  1ProcedureRoom•  12InpaAentbeds

ArizonaVein&VascularCenter •  Vein •  5Clinics•  4ASCs•  15OR’s

HamiltonVeinCenter •  Vein •  6Clinics•  20RFAs

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