Long-term Partnership Impact on Healthcare Systems

This document is a case study detailing HNI's Hospital Medicine program, which began in Q4 2017 at a large regional hospital. Over the course of more than seven years, HNI has expanded its engagement with the hospital, focusing on operational, clinical, and financial improvements. The program has achieved significant milestones, including the alignment of key hospital measures and the execution of quality initiatives aimed at reducing sepsis and overall mortality rates. The case study outlines the challenges faced, such as a 29% decline in EBITDA prior to the program's launch, and how HNI's strategies have led to a 3.8x expansion in hospital EBITDA over six years. Additionally, it discusses the implementation of an onsite palliative care program and the integration of a post-acute network, which have contributed to improved patient outcomes and operational efficiency. The document emphasizes the importance of clinical quality and financial stability in delivering quality healthcare.