EYECARE. A BSC Healthcare Services Sector Report
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1 EYECARE A BSC Healthcare Services Sector Report The eyecare industry is worth approximately $40 billion and includes ophthalmologists, optometrists, opticians, retailers, mass merchandisers, and corrective lens manufacturers / distributors. Given recent trends, such as growth in the aging U.S. population and advances in technology and surgical procedures, demand is rising for eyecare services. Further, due to factors such as high fragmentation and the industry s combination of retail / medical models, investor appetite and M&A activity has quickly accelerated and is expected to continue.
2 The three largest segments that cater to the vision industry include retailers, optometrists, and ophthalmologists. Retailers specialize in fitting eyeglasses and creating lenses for vision correction. Optometrists provide comprehensive eyecare by conducting examinations and prescribing lenses. Ophthalmologists are trained to diagnose and treat eye disease, prescribe medicine, and perform eye surgery. $40 billion industry with estimated CAGRs of 3% for optometrists, 3% for retailers, and 4.5% for ophthalmologists Total Addressable Market ($ in billions) ~19,000 ophthalmologists in the U.S. $1,267 average net revenue per surgical procedure Optometrists $16 Retailers > 150 million Americans utilize corrective eyewear Ophthalmologists Eyecare Growth Drivers GROWING CATARACT SURGERY VOLUMES 50% of Americans develop cataracts before age 75 and 70% develop them before age 80 Cataracts will impact over 30 million Americans by million lens implants in refractive cataract surgeries and refractive lens exchanges occur per year 24.5 million Americans have cataracts AGING POPULATION & VISION 6.6 million Americans expected to be blind / have low vision issues by x more procedures performed on senior citizens Cataracts, macular degeneration, and glaucoma occur at rates of 17%, 8%, and 2%, respectively, in populations over 40 $145 billion Annual economic impact of major vision problems on adult population 40+ Sources: IBISWorld, National Eye Institute, Vision Protection, Shoreline Vision, Eye Research
3 M A R K E T R E S P O N S E G R O W T H D R I V E R S S I T E O F S E R V I C E S AMBULATORY SURGERY CENTERS PHYSICIAN CLINICS RETAIL OPERATIONS Surgeries performed in ASCs and related operations ( facility fee ) Optometry services and ophthalmology services, including pre- / postoperative office visits ( professional fee ) Glasses and contact sales and other ancillary products 4.5% annual growth in ophthalmology due to increasing incidents of glaucoma, cataracts, and macular degeneration Aging population and increasing prevalence of chronic disease Increase in disposable cash and willingness to spend among the population over 50 years old on premium eyecare procedures Federal healthcare programs have expanded the pool of insured and coverage for eyecare Stable refractive surgery volumes (2% annual growth since 2015) Advancement in drugs / biologics to aid in treatment via eye injections $16 Retail $20 $18 Optometry Ophthalmology Industry Growth $8 $4 $0 Market Size ($ in billions) $16 $14 $10 $8 $6 $4 $2 $0 Market Size ($ in billions) ~B market size 4-5% annual growth Higher production per facility Impacts of price inflation Number of ophthalmologists expected to remain stable Sources: IBISWorld, National Eye Institute, Vision Protection, Shoreline Vision, Eye Research
4 A D V A N C E D S U R G I C A L T E C H N O L O G Y There are two primary opportunities for incremental cash ancillary revenue for ophthalmologists through the use of advanced surgical technology - Femto second laser surgery or Femto ( Laser Cataracts ) - Premium Intraocular Lenses ( IOLs ) Femto provides computer guided accuracy for the corneal incision to access the lens being replaced Premium IOLs allow patients better results over the standard lens covered by Medicare / Insurance - Multi-focal lens - Bifocal lens - Toric lens (astigmatism) Premium cash revenue for Femto and Premium IOLs range from $750 per eye for laser cataracts and $1,500 - $2,500 per eye for each premium lens National Laser Cataract Penetration Femto Lasers Laser Assisted 10% Premium IOLs Non-laser Assisted 90% Sources: BSC Estimates
5 Our Recent Transaction October 2018 We are grateful for the sound advice we received from Bailey Southwell throughout the entire process, BSC knew our market and provided the necessary industry expertise to help us navigate the transaction, ensuring we were able to focus on running our business during the process. We would highly recommend BSC to other physicians considering selling their practice. - Dr. Mark Kroll Owner, McPeak Vision Partners Client Description: Founded in 1986, McPeak is a state-of-the-art physician practice providing ophthalmology, optometry, and primary eyecare in Southern and Western Kentucky. It currently has locations in Glasgow, KY, and Bowling Green, KY. Results: Through the transaction, McPeak will be able to leverage EyeCare Partners resources and relationships to grow and improve its best practices while maintaining its leading clinical reputation. Backed by FFL Partners, EyeCare Partners will add to its 240 locations throughout the Midwest, Southeast, and Mid-Atlantic regions, strengthening its footprint in Kentucky.
6 Other Recent Transactions 1November 2018 Unifeye Vision Partners, a portfolio company of Waud Capital Partners, entered into a strategic partnership with Minneapolis-based Northwest Eye. Through this partnership, Unifeye will add one of the largest specialty eye care providers in the upper Midwest, encompassing 12 ophthalmologists and 4 optometrists operating across 8 locations. It is Unifeye s second largest acquisition in the Twin Cities area. A Portfolio Company of 2October 2018 Cobb Eye Center was acquired by EyeSouth Partners, a portfolio company of Shore Capital Partners. Cobb Eye Center, focused on cataract surgery, glaucoma, diabetic eye management, and primary eyecare, will add 3 ophthalmologists operating locations in Marietta, Georgia and Dallas, Georgia to EyeSouth Partners existing operations as they continue to build out their practice in the Southeast. Cobb Eye Center, LLP A Portfolio Company of 3October 2018 In its first transaction since its formation in May, 2018, CEI, a portfolio company of Revelstoke Capital Partners, acquired Dayton Eye. Dayton Eye, a leading group of 12 ophthalmologists and optometrists operating across 3 locations in Dayton, will add to CEI s existing operations and further allow it solidify its position in Ohio in addition to its locations in Northern Kentucky and Indiana. A Portfolio Company of 4September 2018 Quad-C, a middle market private equity firm, and NJRetina have entered a joint investment through a newly created Company, NJ Eye. NJRetina operates 15 clinical sites throughout New Jersey and is one of the largest and most well-known retina practices in the country dating back to NJ Eye will serve as a platform for Quad-C to pursue additional acquisitions in the eyecare space. 5September 2018 Chicago Pacific Founders acquired SightMD, based in Hauppauge, N.Y., a provider of ophthalmology services with 24 locations throughout Long Island, Queens, and Manhattan. This represents Chicago Pacific Founders, a healthcare services focused Private Equity firm, entrance into the eyecare industry and will serve as its platform in pursuing additional opportunities in this space.
7 S E L E C T I N V E S T O R S I N E Y E C A R E BSC s Healthcare Services Team For Additional Information Please Contact the Following BSC Team Members: Stephen Scott Managing Director (615) stephen.scott@baileysouthwell.com Russell Bryan Managing Director (704) russell.bryan@baileysouthwell.com Lance Bell Senior Vice President (615) lance.bell@baileysouthwell.com
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Dear Patient: Enclosed you will find paperwork that you will need to complete and bring with you on the day of your scheduled appointment. You will only need to complete this paperwork if you are a new
Welcome to VSP Vision Care Signature Plan.
Welcome to VSP Vision Care Signature Plan. SCHEDULE OF BENEFITS Benefit Copay Frequency WellVision Exam Once every 12 months Prescription Glasses $5.00 for exam and glasses Lenses Once every 12 months
COREY M. NOTIS, M.D., P.A.
COREY M. NOTIS, M.D., P.A. Registration Form Last Name: First Name Address: City: State: Zip Code: Home Phone: Work Phone Cell Phone: Date of Birth: Social Security # Emergency Contact Name: Phone #: Occupation: