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

Alpine and 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 2012.

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 4 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.

Waverley Surgery Center is a 4 OR, 2 procedure room center located in Palo Alto serving the Mid-Peninsula. Waverley specializes in ENT, ophthalmology, pain, GI, 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 orthopedic surgery, pain medicine, and podiatry.

El Camino, our newest acquisition, has six operating rooms and one procedure room. It is located in the Willow Pavilion on the campus of El Camino Hospital at 2480 Grant Road in Mountain View. El Camino is a spacious multi-specialty ASC.

Physician Partnership and E3

Alpine and 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 proved to be a key factor in E3’s business success.

Our Centers are fully contracted for patient and surgeon convenience. The performing physicians own 85% of the ASCs limited partner interest and Alpine or E3 maintains a 15% limited partner interest. Each Partnership meets the safe harbor requirements for physician investors, thus providing the opportunity for physicians to share in the generated facility fees. All of our ASCs were solidly profitable in 2012 and made distributions regularly throughout the year. Each partnership distributes 90% of its income to the physician partners each year, retaining 10% for capital improvements and major equipment upgrades. Financials are shared with the partners at partner meetings and we pride ourselves on total transparency in all of our financial management and reporting. “Partnershipness” is a concept we have coined over the years. It is an important concept for a prospective investor to understand, as it is a combination of attributes that we seek in prospective partners which will foster and develop 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 Alpine or 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 volume demand increases, 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 administrative or managerial costs.

Each of our ASCs has been awarded "100 Best Places to Work" in the Bay Area in past three years and we recently were recognized as one of the "Healthiest Places to Word" as well! This is a significant accomplishment and testimonial to the high-quality employees at our ASCs.

Learn more about Our Locations | Management Team | Our Vision


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