Douglas Van Daele MD Executive Director UIP 12272021

Douglas Van Daele, MD Executive Director, UIP 12/27/2021 1

What is the UIP? • Named in 2006 • Largest multi-specialty medical and surgical group practice in Iowa • 1034 Members • 458 APPs • Provides services in every medical specialty at UIHC, in specialty outreach clinics with community and provider partners across the state, and in off-site specialty and primary care clinics - primarily in Eastern Iowa 12/27/2021 2

Activities • Establishes principles for departmental compensation plans • Sets guidelines for clinical activity • Provides professional services contracting • Ensures strong revenue cycle management • Operationally – Patient Appointment Center (PAC) – Iowa River Landing (IRL) – Community Clinics 12/27/2021 3

University of Iowa Carver College of Medicine BOARD OF REGENTS, STATE OF IOWA J. BRUCE HARRELD President, University of Iowa BROOKS JACKSON Vice President for Medical Affairs Dean, Carver College of Medicine MONTSERRAT GUENTES Provost, University of Iowa JASON HADDY Assistant Vice President for Finance and Assistant Chief Financial Officer DENISE MARTINEZ Associate Dean for Cultural Affairs and Diversity Initiatives DOUGLAS VAN DAELE Vice Dean for Clinical Affairs DANIEL TRANEL Associate Dean for Graduate and Postdoctoral Studies ROBERT PIPER Associate Dean for Research PATRICIA WINOKUR Executive Dean, Carver College of Medicine PATRICIA WINOKUR Associate Dean for Clinical and Translational Science UNIVERSITY OF IOWA PHYSICIANS DEPARTMENTAL DEOs CHRISTOPHER COOPER Senior Associate Dean for Medical Education MARK WILSON Associate Dean for Graduate Medical Education LOIS GEIST Associate Dean for Faculty Affairs and Development BOYD KNOSP Associate Dean for Information Technology DAVID ASPREY Associate Dean for Medical Education and Professional Programs CORPORATE SERVICES § Capital Management and Facilities Planning (Boothby) § Compliance and Privacy (Bybee) § Finance (Haws/Haddy) § Health Care Information Systems (Carmen) § Human Resources (Wessels) § Legal (Clamon) § Marketing and Communications (Dean) § Strategy and Health Policy (Vermeer) 12/27/2021 4

UI Physicians BROOKS JACKSON Vice President for Medical Affairs Dean, Carver College of Medicine BROOKS JACKSON Chair, UI Physicians Board and UI Physicians Executive Board BRADLEY HAWS, MBA Associate Vice President for Finance and Chief Financial Officer DOUGLAS VAN DAELE Executive Director, UI Physicians KATHERINE IMBOREK Director, Offsite Primary Care RAMI BOUTROS Executive Director, Iowa River Landing Ambulatory Clinic RACHEL MAASSEN Iowa Medical Mutual Insurance Company ELIZABETH JAGGERS Administrative Director UI Physicians JASON HADDY Assistant Vice President for Finance and Assistant Chief Financial Officer CORPORATE SERVICES § Capital Management and Facilities Planning (Boothby) § Compliance and Privacy (Bybee) § Finance (Haws/Haddy) § Health Care Information Systems (Carmen) § Human Resources (Wessels) § Legal (Clamon) § Marketing and Communications (Dean) § Strategy and Health Policy (Vermeer) 12/27/2021 5

UIP Governance • UIP is overseen within the governance and management of UI Health Care, as led by the Vice President for Medical Affairs, with the advice of the Enterprise Committee and the Clinical Systems Committee. 12/27/2021 6

Total Net Operating Revenue Against Expenses 12/27/2021 7

FY 2019 UIP Comparative Financial Results 12/27/2021 8

UI Patient Appointment Center 12/27/2021 9

UI Patient Appointment Center PAC FTE’s and Incoming Calls PAC FTE’s and Scheduled Appointments 12/27/2021 10

UI Patient Appointment Center 12/27/2021 11

UI Patient Appointment Center 12/27/2021 12

IRL Income Statement Trend

Offsite Clinic Locations LYON OSCEOLA WINNEBAGO EMMET DICKINSON WORTH MITCHELL HOWARD WINNESHIEK ALLAMAKEE FAYETTE CLAYTON KOSSUTH O’BRIEN SIOUX CLAY CHEROKEE PLYMOUTH BUENA VISTA IDA WOODBURY PALO ALTO HUMBOLDT POCAHONTAS WEBSTER CALHOUN SAC HANCOCK CERRO GORDO WRIGHT FRANKLIN HAMILTON FLOYD CHICKASAW BUTLER BREMER GRUNDY HARDIN BUCHANAN BLACK HAWK DUBUQUE DELAWARE JACKSON CARROLL CRAWFORD MONONA GREENE BOONE STORY MARSHALL TAMA 2 LINN BENTON JONES CLINTON 2 HARRISON SHELBY AUDUBON GUTHRIE POLK DALLAS JASPER POWESHIEK IOWA 2 3 JOHNSON CEDAR SCOTT MUSCATINE POTTAWATTAMIE CASS MADISON ADAIR WARREN MARION MAHASKA KEOKUK WASHINGTON LOUISA MILLS MONTGOMERY ADAMS UNION CLARKE LUCAS MONROE WAPELLO JEFFERSON HENRY DES MOINES FREMONT PAGE TAYLOR RINGGOLD DECATUR WAYNE APPANOOSE DAVIS VAN BUREN LEE Clinics UI Quick. Care Outreach UI Hospitals and Clinics 12/27/2021 14

UI Community Clinics Visits per Year and Income(Loss) per Visit Income (Loss)/Visit Encounters 500 000 $ 500, 00 450 000 400 000 $- 350 000 300 000 $ (500, 00) 250 000 200 000 $ (1 000, 00) 150 000 100 000 $ (1 500, 00) 50 000 Total Visits Income (Loss)/Visit 12/27/2021 FY 16 FY 17 FY 18 290 933 303 537 $ (1 795, 54) 349 064 $ (584, 06) FY 19 April Annualized 356 725 $ (261, 55) $ (2 000, 00) FY 20 Budgeted 430 137 $ 232, 37 15

UI Community Clinics Visits Year-Over-Year 120 000 100 000 80 000 60 000 40 000 20 000 Primary Care Urgent Care Specialty Care Quick. Cares Quad Cities Hem Onc North Dodge Women's Outreach 12/27/2021 FY 16 FY 17 FY 18 75 959 72 931 89 285 1 922 57 651 6 486 62 510 19 869 19 683 7 522 60 496 6578 7037 20 843 FY 19 April Annualized 81 419 9843, 6 11 702 57 726 6553 10161, 33333 18 628 FY 20 Budgeted 105 536 15472 11 266 56 798 7183 25616 19 194 16

UIP Policy • Physician Driven Cancellation Policy – Physician driven patient visit cancellations are not allowed within 8 weeks of the visit date • Exception requests require appropriate medical director or DEO approval • Documentation Policy – Timely documentation is critical to high quality patient care and for fostering effective and safe communication – Non-compliance defined as: a) Greater than 10 unsigned documents/visits; greater than 7 days beyond the date of service. b) Greater than 15% of charges entered beyond 7 business days from the date of service averaged over 3 months. c) Greater than 15% use of ‘help me with coding’ for suggested charges averaged over 3 months. 12/27/2021 17

Good Standing • A member in good standing is regarded as being in compliance with all of his or her explicit obligations required by University of Iowa Health Care. • Faculty members not in good standing with the UIP risk forfeiture of some or all incentive payments for which he or she would normally be eligible 12/27/2021 18

Good Standing • Non-exhaustive list: – Active licensure, certification and privileges as appropriate – Timely completion of required compliances (i. e. sexual harassment prevention training, vaccinations, regular TB tests, mask fittings, etc) – Timely completion of patient documentation as dictated by UIP policy – Adherence to patient scheduling policies and best practices – Adherence to all Departmental and all UI Policies 12/27/2021 19

Questions? 12/27/2021 20