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Capturing Your
   Market
       Lab Institute ’06
       Washington, DC
   September 27 - 30, 2006

    Larry Siedlick, CEO
Sunrise Medical Laboratories


                               1
Sunrise Overview
• Located Just Outside New York City
• 1972 – Founded as Local Community Lab
• 2006
  –   285 Employees
  –   1.2 million Patients projected
  –   $55 million revenue
  –   Largest Private Regional Lab in NY
  –   Over 450 sites with Electronic Orders/Results
  –   Over 50% of our lab orders are electronic
Sunrise Growth
60                                                                         55
                                                                    50.3
50                                                           48.2

                                                      41.6
40                                             37.4

                                        29.5
30                               25.5

                   19.3   20.7
20   15.4
            18.3



10
0
     1996

            1997

                   1998

                          1999

                                 2000

                                        2001

                                               2002

                                                      2003

                                                             2004

                                                                    2005

                                                                           2006
                            Revenue in millions
How Did We Get There
• Great Management Team

• Financial Discipline

• Organic Sales Growth

• Early Adopters of Technology

• Creative Business Solutions

• We Know When We Don’t Know

• We Never Help Our Competitors
Strategies for Growth
• Money and Strong Financial Controls

• Service Culture

• Marketing/Sales Discipline

• IT Connectivity Strategy
Money
“An Obvious But Often Missed Concept”
• Have a lot of money before you start
                 or
    Know how to get it once you begin

• Effective Financial Controls and Billing

• Competitive Internal Cost Structure
Reality – “What a Concept”

• Reality # 1 - Most labs have little or
  no control over reimbursement
  levels from third party payers

• Reality # 2 – A major part of a
  financially successful lab is the
  ability to manage and control their
  costs
Required Financial Info
   Cost Side - The Basics
•Supply Cost/Accession
  – For client supplies, lab supplies, etc.

•Total Labor Cost/Accession
  – All your labor expense

  These 2 together give you a pretty
    good idea of your main cost to
        process an accession.
Required Financial Info
       Revenue Side
   • Days Sales Outstanding (DSO)
      • Average Time Between Lab Service and Payment
      • Measures your cash flow – Lower is better
      • Quest is 46 days and LabCorp is 54 days*
      • Sunrise is 38 days
   • Bad Debt as % of Total Sales
      • Compare to other labs
   • Bad Debt as % of Patient Sales
“ Profit is directly proportional to your billing capabilities”
   * LIR March 2006
A Word About Pricing
• “If you live by price – you die by price.”
  – Pat Lanza

• No Loss Leaders

• “Pull-through” is a Myth
Service
    “Hiring for Dummies”
• We hire people for what they know…
  then we fire them for who they are.

• Customer Service is a personality trait
  and not a technical skill.

• Spend more time in the hiring process
  finding out who people are
Service
        It’s More Than Lab Results
• Customer Call Centers (Lab/Billing)
   – Management Reporting Software for your phone service
     (answer times, missed calls, distribution of calls,
     abandoned calls, etc)
• Turn Around Time
   – Competitors will use it against you
• Couriers
   – Treat them right
   – Face of Your Lab

• Field Client Services
   – Takes service to next level – lab loyalty

• IT Services
   – IT Staff needs a culture of service
Service Problem Solving
How Quickly Can You Make Things Right

 – Billing Problem
 – Missed Pick-up
 – Incorrectly Entered Lab Order
 – Repeat or Add a Test
 – Send Another Report
 – Fix a Printer or Computer
 – Deliver Supplies
Basic Guerilla Marketing

Marketing is Not Complicated
• Physician Database (www.infousa.com,
 www.physicianlistline.com, www.skainfo.com)


• Learn to Use Word and Mail Merge

• Buy a Color Laser Printer
Develop Name Recognition

• Marketing Letters to Physicians
• Marketing Leave Behinds for Sales Staff
   – Insurance Lists
   – CV’s of Pathologists/Key Technical Staff
   – Test Information
• Patient Education Brochures
   – Sources: Reagent Manufacturers, state health dept websites,
     www.nih.gov, www.cdc.gov
• Press Releases
• Sales People
Keep Your Friends Close
   and Your Enemies Closer
• Know your competitors weaknesses
• Check their websites
• Listen to quarterly web casts where they will
  discuss new initiatives
• Monitor their websites (Get on their emailing
  notification list)
• Talk to everyone – attend conferences and
  belong to industry organizations
Sales
The Good, The Bad and The Ugly
• First Sales Rep Should Be from Lab Industry
• Management – Total Commitment to Sales
  – Give them something new to sell on regular basis


• Basic Sales Compensation
  –   “Cash collected” not “Cash Expected”
  –   Keep them hungry
  –   Performance Incentives
  –   Non-solicitation Agreement
What Does a Sales Person Do?
  “The Simplified Version”
• Uncover service issues with physician’s
  current lab
• Present your lab’s solutions that expose
  the service level differences between
  national lab and your lab
• Once on-board monitor service level to
  client
• Develop relationship that results in lab
  loyalty
Information Technology
• Physician Connectivity
   – Order Entry/Resulting
   – Demographic Interfaces to Practice
     Management Systems
• Lab-EMR/EHR Interfaces
     - Growing Demand
     - Government Promoting Adoption
       of EHR
Information Technology
• Outreach Capable LIS
     - Reporting Capabilities/Flexibility
     - Scalable
     - Efficient Order Entry/Batch Processing
• Laboratory Billing System
• Dedicated Lab IT Personnel (for Hospital Labs)
     - Important for Success of Outreach
     - Reduce Dependence on IT resources
Contact Information

         Larry Siedlick
 Sunrise Medical Laboratories
      240 Motor Parkway
   Hauppauge, NY 11788
Email:Lsiedlick@sunriselab.com
     Phone 631-435-1515

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"Capturing Your Market" - 2006 Washington G2

  • 1. Capturing Your Market Lab Institute ’06 Washington, DC September 27 - 30, 2006 Larry Siedlick, CEO Sunrise Medical Laboratories 1
  • 2. Sunrise Overview • Located Just Outside New York City • 1972 – Founded as Local Community Lab • 2006 – 285 Employees – 1.2 million Patients projected – $55 million revenue – Largest Private Regional Lab in NY – Over 450 sites with Electronic Orders/Results – Over 50% of our lab orders are electronic
  • 3. Sunrise Growth 60 55 50.3 50 48.2 41.6 40 37.4 29.5 30 25.5 19.3 20.7 20 15.4 18.3 10 0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Revenue in millions
  • 4. How Did We Get There • Great Management Team • Financial Discipline • Organic Sales Growth • Early Adopters of Technology • Creative Business Solutions • We Know When We Don’t Know • We Never Help Our Competitors
  • 5. Strategies for Growth • Money and Strong Financial Controls • Service Culture • Marketing/Sales Discipline • IT Connectivity Strategy
  • 6. Money “An Obvious But Often Missed Concept” • Have a lot of money before you start or Know how to get it once you begin • Effective Financial Controls and Billing • Competitive Internal Cost Structure
  • 7. Reality – “What a Concept” • Reality # 1 - Most labs have little or no control over reimbursement levels from third party payers • Reality # 2 – A major part of a financially successful lab is the ability to manage and control their costs
  • 8. Required Financial Info Cost Side - The Basics •Supply Cost/Accession – For client supplies, lab supplies, etc. •Total Labor Cost/Accession – All your labor expense These 2 together give you a pretty good idea of your main cost to process an accession.
  • 9. Required Financial Info Revenue Side • Days Sales Outstanding (DSO) • Average Time Between Lab Service and Payment • Measures your cash flow – Lower is better • Quest is 46 days and LabCorp is 54 days* • Sunrise is 38 days • Bad Debt as % of Total Sales • Compare to other labs • Bad Debt as % of Patient Sales “ Profit is directly proportional to your billing capabilities” * LIR March 2006
  • 10. A Word About Pricing • “If you live by price – you die by price.” – Pat Lanza • No Loss Leaders • “Pull-through” is a Myth
  • 11. Service “Hiring for Dummies” • We hire people for what they know… then we fire them for who they are. • Customer Service is a personality trait and not a technical skill. • Spend more time in the hiring process finding out who people are
  • 12. Service It’s More Than Lab Results • Customer Call Centers (Lab/Billing) – Management Reporting Software for your phone service (answer times, missed calls, distribution of calls, abandoned calls, etc) • Turn Around Time – Competitors will use it against you • Couriers – Treat them right – Face of Your Lab • Field Client Services – Takes service to next level – lab loyalty • IT Services – IT Staff needs a culture of service
  • 13. Service Problem Solving How Quickly Can You Make Things Right – Billing Problem – Missed Pick-up – Incorrectly Entered Lab Order – Repeat or Add a Test – Send Another Report – Fix a Printer or Computer – Deliver Supplies
  • 14. Basic Guerilla Marketing Marketing is Not Complicated • Physician Database (www.infousa.com, www.physicianlistline.com, www.skainfo.com) • Learn to Use Word and Mail Merge • Buy a Color Laser Printer
  • 15. Develop Name Recognition • Marketing Letters to Physicians • Marketing Leave Behinds for Sales Staff – Insurance Lists – CV’s of Pathologists/Key Technical Staff – Test Information • Patient Education Brochures – Sources: Reagent Manufacturers, state health dept websites, www.nih.gov, www.cdc.gov • Press Releases • Sales People
  • 16. Keep Your Friends Close and Your Enemies Closer • Know your competitors weaknesses • Check their websites • Listen to quarterly web casts where they will discuss new initiatives • Monitor their websites (Get on their emailing notification list) • Talk to everyone – attend conferences and belong to industry organizations
  • 17. Sales The Good, The Bad and The Ugly • First Sales Rep Should Be from Lab Industry • Management – Total Commitment to Sales – Give them something new to sell on regular basis • Basic Sales Compensation – “Cash collected” not “Cash Expected” – Keep them hungry – Performance Incentives – Non-solicitation Agreement
  • 18. What Does a Sales Person Do? “The Simplified Version” • Uncover service issues with physician’s current lab • Present your lab’s solutions that expose the service level differences between national lab and your lab • Once on-board monitor service level to client • Develop relationship that results in lab loyalty
  • 19. Information Technology • Physician Connectivity – Order Entry/Resulting – Demographic Interfaces to Practice Management Systems • Lab-EMR/EHR Interfaces - Growing Demand - Government Promoting Adoption of EHR
  • 20. Information Technology • Outreach Capable LIS - Reporting Capabilities/Flexibility - Scalable - Efficient Order Entry/Batch Processing • Laboratory Billing System • Dedicated Lab IT Personnel (for Hospital Labs) - Important for Success of Outreach - Reduce Dependence on IT resources
  • 21. Contact Information Larry Siedlick Sunrise Medical Laboratories 240 Motor Parkway Hauppauge, NY 11788 Email:Lsiedlick@sunriselab.com Phone 631-435-1515