An Overview of E3 HEALTHCARE MANAGEMENT, LLC
E3 Healthcare Management LLC (“E3”) is an Ambulatory Surgery Center (ASC) Management company focused on Experienced, Effective and Efficient healthcare (the 3 E’s). E3’s business model is to create a network of high-quality multi-specialty ASCs in the greater Bay Area through the acquisition of existing surgery centers, development of new surgery centers and enhancing the performance of its existing E3 Affiliated ASCs. If desired, we also offer management services without equity ownership for ASCs that require improved operating efficiencies, increased physician participation and improved case mix and volumes.
E3 is a California Limited Liability Company owned and managed by Larry Aufmuth, Steven F. Kanter, Jay D. Pruzansky and Carole Wilson. Our preferred business structure is to form a California limited partnership that owns the ASC. E3 serves as the General Partner and partners with a group of physician investors who can perform cases at the ASC. E3 enters into a long-term Management Agreement with each ASC thereby insuring continuity of management for the entity.
The Principals’ primary business activity is to oversee the management of all aspects of ASC operations. With the strength and stability of the E3 management team, operating efficiencies are obtained by providing the following management services:
- State licensing, Medicare certification and AAAHC accreditation oversight
- Human Resources administration
- Insurance Contracting to maximize reimbursement and respond to industry trends
- Physician interface and credentialing
- Supervision of purchasing and vendor relations
- Marketing; ASC website development that connects the ASC and the Physician Partners’ practices
- Accounting oversight, budgeting and Accounts Receivable management
E3 is a physician-driven organization that enables physicians to do what they do best; provide high quality care for their patients. The chart below illustrates the respective case volumes at each E3 Affiliated ASC in 2009.
E3’s management strengths include:
- Long term presence in the San Francisco Bay Area
- Excellent proven reputation for ASCs that provide high-quality care
- Operating rooms designed and equipped to satisfy the most current physician needs
- Superior physician satisfaction ratings
- Expert dedicated clinical staff with a minimal clinical staff turnover less than 4%
- Maximization of OR efficiency; on-time starts and fast turnaround between cases
- Expedient, centralized surgery scheduling and insurance verification
- Patient comfort and convenience with satisfaction rates at 98%
- Dictation service and surgery schedules with web-based access for physicians
Our Centers
All of our Surgery Centers are multi-specialty, AAAHC accredited centers and offer outpatient and 23 hour care. They are fully contracted and, with very few exceptions, all care is offered in-network.
Campus is a 3 OR, 1 procedure room center serving the San Francisco and North Peninsula communities. At this time we offer ENT, gynecology, general, pain, ophthalmology, orthopedic, podiatry, dental, plastic, and urology services. As Campus grows, we have plans to add a 4th OR and a 2nd procedure room to accommodate this increasing volume.
Waverley Surgery Center is a 4 OR, 2 procedure room center located in Palo Alto serving the Mid-Peninsula. Waverley specializes in ENT, podiatry, pain, GI, gynecology, and orthopedic services.
Bascom and Silicon Valley Surgery Centers are located in Campbell and Los Gatos respectively. They service our South Bay patients. Silicon Valley is a 6 OR multi-specialty center that specializes in GI, general surgery, gynecology, ophthalmology, orthopedic surgery, otolaryngology, pain medicine, podiatry, plastic surgery, and urology. Bascom is a 3 OR center that focuses on the following specialties: orthopedic surgery, pain medicine, and podiatry.
Physician Partnership and E3
E3 has a proven track record of developing strong multi-specialty professional partnerships with some of the most highly trained physicians from leading healthcare institutions in the Bay Area. These partnerships have proven to be a key factor in E3’s business success.
Our Centers are fully contracted for patient and surgeon convenience. Each E3 Affiliated ASC is owned to a significant extent by the performing physicians (the model is 85% physician ownership and 15% E3 owned). Each Physician Partnership meets the safe harbor requirements for physician investors, thus providing the opportunity for physicians to share in the generated facility fees. All Centers were solidly profitable in 2009 and distributed regularly throughout the year. We distribute 90% of each Center’s income to the physician partners each year, retaining 10% for capital improvements and major equipment upgrades. Our financials are shared with the partners at partner meetings and we pride ourselves on total transparency in all of our financial management and reporting.
Campus is our newest center, solidly profitable and growing!
“Partnershipness” is a concept E3 coined over the years. It is an important concept for a prospective investor to understand. It is a combination of attributes that we seek in prospective partners and which it fosters and develops in order to build a successful venture. Partnershipness includes such matters as courteous and constructive staff interaction, positive interface with management on all ASC matters, on-time starts, timely preparation of operative reports, efficient block utilization, attention to expense management, cooperation and assistance in scheduling cases, participation in ASC committees and meetings, and involvement in staff educational activities.
Physicians interested in an E3 ASC partnership investment may call (650) 289-1655 and request to speak with one of the Directors.
About our E3 family of dedicated employees:
E3 has developed a strong team of employees from the OR scrub nurse to the receptionist who welcomes both patient and family to our ASCs.
Employee stability is the key to building organizational knowledge, contributing to the quality of the patient experience and providing physicians with dedicated staff familiar with all their surgical needs. Our staff provides personalized, individual care with a customer-service focus. The clinical staff is prepared to support all E3 Affiliated ASCs as the case volumes demand, thereby minimizing our need for outside registry staff. In addition, the salaries of the Director level staff are allocated to all of the Centers so that no single Center pays 100% of the administrative or managerial costs.
Bascom, Campus, and Silicon Surgery Centers have been awarded one of the Bay Area’s “100 Best Places to Work!” for 2010. This is a significant accomplishment and testimonial to the high quality employees at Campus and the effective management style of E3. |
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