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Empowering
mHealth gazelles
E&Y’s hypergrowth companies practice (SGM)
@ mHealthCon, New Brunswick NJ

01 December 2011
Fast facts about
Ernst & Young LLP
                                                      Well-known facts:
                                                      ►   Been around a while: since 1849
                                                          (including predecessors)


                                                      ►   Global: 150,000+ people in
                                                          140+ countries
                                                      ►   Premiere Big4 accounting firm



Little-known facts:
►   Entrepreneur of the Year for 25 years & Winning Women Entrepreneurs for 4 years
►   Heavily involved with emerging economy entrepreneurs: Endeavor Entrepreneur,
    EO/GSEA, EY Fellows Program, other support
►   Google (NASD: GOOG) become a client @ 5 employees, still a client



01 December 2011   Page 1   Empowering mHealth gazelles
E&Y’s gazelle preserve




                                                          80%
                                                           of top-20 IPOs since
     …and a host of high-caliber, fast-                   2007 are E&Y Clients
     growing businesses                                            Source: E&Y LLP analysis, November 2011.
                                                              Top 20 IPOs in range Jan 1, 2007 – Sep 22, 2011.




►   We empower gazelles for success
►   How?
►   By superserving the client with advisory, tax, audit,
    transaction & other services. Try us – we’ll surprise you.
01 December 2011   Page 2   Empowering mHealth gazelles
Nurturing and empowering
the gazelle: a case study
   revenue                                                              $35.8bn TTM
       $ bn


                                                                 IPO




                                           $0.35bn           $3.2bn
                       $0.0002bn
        Not to scale
                                                                                  time
                       1999                 2002                 2004    2011




01 December 2011       Page 3      Empowering mHealth gazelles
Tracking gazelles in the wild




01 December 2011   Page 4   Empowering mHealth gazelles
How do you find the next
innovative market leaders?                                          (origination 101)

►   If you know the answer, email                     ►      March of the 10,000
    JohnD@kpcb.com
                                                                  5-year aggregate KPI’s
►   Volume, engagement, filters
                                                          Raw
    ►    Volume: Kiss a lot of frogs                      leads                           10,000
    ►    Engagement: Superserve the
         market before they’re clients,
         increase as you filter
                                                      Qualified
    ►    Filters: VC-style criteria                   leads                               1,000

                                                      Pursuits                             100
►   Apply best practices
                                                      Clients                               30




                                                                      10 market leaders
01 December 2011   Page 5   Empowering mHealth gazelles
Gazelle hunting: cast a wide net
(even non-clients end up benefiting, plus adding value to clients)


                                                          EYecosystem




                                                          EY stealth project #1
                                                                  coming 1Q 2012


                                                          EYclient



                                                          EY stealth project #2
                                                                  coming 1Q 2012




01 December 2011   Page 6   Empowering mHealth gazelles
Gazelles in healthcare innovation


  [a more refined
  target]




01 December 2011   Page 7   Empowering mHealth gazelles
Spotting the footprints…
health innovation trend watch
Trends                                                A few specific focus areas
►   Outcomes-based medicine                           ►   Revenue innovations
                                                          ►   Utilization incentive Outcome incentive
►   Decentralization of POC                               ►   Subscription medicine
►   Consumerization of healthcare
                                                      ►   Tech: better, faster, cheaper
►   Concierge medicine                                    ►   Sujoy Guha’s 10 minute, $10 vasectomy
                                                          ►   Desktop gene sequencing
►   Consolidation of providers
                                                      ►   Business model innovations
►   Making Big Data useful
                                                          ►   Frequently mHealth-enabled
►   Global connectivity                                   ►   Integrated health systems like McKesson
                                                              and Essence Healthcare
►   Global virality…not in a good way
►   Disruptive technologies
►   Disruptive business models

01 December 2011   Page 8   Empowering mHealth gazelles
3 cool /ideas in mHealth
(a “fantasy baseball” VC portfolio)
Does not represent an official endorsement or investment recommendation by Ernst & Young LLP.
       Solely a personal opinion of what David Shrier finds interesting this month.
       Caveat Emptor.
       Ernst & Young LLP may have financial, business or other relationships with one or more of these companies.




        Connecting patients                                        Connecting patients                              Connecting all
        and doctors                                                and payers                                       HCPs


►      Notice a common theme…?

01 December 2011               Page 9            Empowering mHealth gazelles
On a personal note…my big sister also
speaking about mHealth in December
►   Next week’s national mHealth conference, Washington DC
►   Harvard’s Center on Media and Child Health (CMCH)




                                                           www.CMCH.tv




01 December 2011   Page 10   Empowering mHealth gazelles
> Entrepreneurship starts with “E”.
> Ernst & Young LLP.
David L. Shrier
    ►    Entrepreneur in residence, Ernst & Young LLP

Connect with me:

►     @DavidShrier

►       david.shrier@ey.com

►       40° 45' 21" North + 73° 59' 11" West
           // 5 Times Square, NYC


                                                           Photo © 2011 Dianne and David Shrier.
                                                           Used with permission.




01 December 2011   Page 11   Empowering mHealth gazelles

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Empowering mHealth Gazelles

  • 1. Empowering mHealth gazelles E&Y’s hypergrowth companies practice (SGM) @ mHealthCon, New Brunswick NJ 01 December 2011
  • 2. Fast facts about Ernst & Young LLP Well-known facts: ► Been around a while: since 1849 (including predecessors) ► Global: 150,000+ people in 140+ countries ► Premiere Big4 accounting firm Little-known facts: ► Entrepreneur of the Year for 25 years & Winning Women Entrepreneurs for 4 years ► Heavily involved with emerging economy entrepreneurs: Endeavor Entrepreneur, EO/GSEA, EY Fellows Program, other support ► Google (NASD: GOOG) become a client @ 5 employees, still a client 01 December 2011 Page 1 Empowering mHealth gazelles
  • 3. E&Y’s gazelle preserve 80% of top-20 IPOs since …and a host of high-caliber, fast- 2007 are E&Y Clients growing businesses Source: E&Y LLP analysis, November 2011. Top 20 IPOs in range Jan 1, 2007 – Sep 22, 2011. ► We empower gazelles for success ► How? ► By superserving the client with advisory, tax, audit, transaction & other services. Try us – we’ll surprise you. 01 December 2011 Page 2 Empowering mHealth gazelles
  • 4. Nurturing and empowering the gazelle: a case study revenue $35.8bn TTM $ bn IPO $0.35bn $3.2bn $0.0002bn Not to scale time 1999 2002 2004 2011 01 December 2011 Page 3 Empowering mHealth gazelles
  • 5. Tracking gazelles in the wild 01 December 2011 Page 4 Empowering mHealth gazelles
  • 6. How do you find the next innovative market leaders? (origination 101) ► If you know the answer, email ► March of the 10,000 JohnD@kpcb.com 5-year aggregate KPI’s ► Volume, engagement, filters Raw ► Volume: Kiss a lot of frogs leads 10,000 ► Engagement: Superserve the market before they’re clients, increase as you filter Qualified ► Filters: VC-style criteria leads 1,000 Pursuits 100 ► Apply best practices Clients 30 10 market leaders 01 December 2011 Page 5 Empowering mHealth gazelles
  • 7. Gazelle hunting: cast a wide net (even non-clients end up benefiting, plus adding value to clients) EYecosystem EY stealth project #1 coming 1Q 2012 EYclient EY stealth project #2 coming 1Q 2012 01 December 2011 Page 6 Empowering mHealth gazelles
  • 8. Gazelles in healthcare innovation [a more refined target] 01 December 2011 Page 7 Empowering mHealth gazelles
  • 9. Spotting the footprints… health innovation trend watch Trends A few specific focus areas ► Outcomes-based medicine ► Revenue innovations ► Utilization incentive Outcome incentive ► Decentralization of POC ► Subscription medicine ► Consumerization of healthcare ► Tech: better, faster, cheaper ► Concierge medicine ► Sujoy Guha’s 10 minute, $10 vasectomy ► Desktop gene sequencing ► Consolidation of providers ► Business model innovations ► Making Big Data useful ► Frequently mHealth-enabled ► Global connectivity ► Integrated health systems like McKesson and Essence Healthcare ► Global virality…not in a good way ► Disruptive technologies ► Disruptive business models 01 December 2011 Page 8 Empowering mHealth gazelles
  • 10. 3 cool /ideas in mHealth (a “fantasy baseball” VC portfolio) Does not represent an official endorsement or investment recommendation by Ernst & Young LLP. Solely a personal opinion of what David Shrier finds interesting this month. Caveat Emptor. Ernst & Young LLP may have financial, business or other relationships with one or more of these companies. Connecting patients Connecting patients Connecting all and doctors and payers HCPs ► Notice a common theme…? 01 December 2011 Page 9 Empowering mHealth gazelles
  • 11. On a personal note…my big sister also speaking about mHealth in December ► Next week’s national mHealth conference, Washington DC ► Harvard’s Center on Media and Child Health (CMCH) www.CMCH.tv 01 December 2011 Page 10 Empowering mHealth gazelles
  • 12. > Entrepreneurship starts with “E”. > Ernst & Young LLP. David L. Shrier ► Entrepreneur in residence, Ernst & Young LLP Connect with me: ► @DavidShrier ► david.shrier@ey.com ► 40° 45' 21" North + 73° 59' 11" West // 5 Times Square, NYC Photo © 2011 Dianne and David Shrier. Used with permission. 01 December 2011 Page 11 Empowering mHealth gazelles