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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:
                                                      â–ș   Been around a while: since 1849
                                                          (including predecessors)


                                                      â–ș   Global: 150,000+ people in
                                                          140+ countries
                                                      â–ș   Premiere Big4 accounting firm



Little-known facts:
â–ș   Entrepreneur of the Year for 25 years & Winning Women Entrepreneurs for 4 years
â–ș   Heavily involved with emerging economy entrepreneurs: Endeavor Entrepreneur,
    EO/GSEA, EY Fellows Program, other support
â–ș   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.




â–ș   We empower gazelles for success
â–ș   How?
â–ș   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)

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

                                                      Pursuits                             100
â–ș   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
â–ș   Outcomes-based medicine                           â–ș   Revenue innovations
                                                          â–ș   Utilization incentive Outcome incentive
â–ș   Decentralization of POC                               â–ș   Subscription medicine
â–ș   Consumerization of healthcare
                                                      â–ș   Tech: better, faster, cheaper
â–ș   Concierge medicine                                    â–ș   Sujoy Guha’s 10 minute, $10 vasectomy
                                                          â–ș   Desktop gene sequencing
â–ș   Consolidation of providers
                                                      â–ș   Business model innovations
â–ș   Making Big Data useful
                                                          â–ș   Frequently mHealth-enabled
â–ș   Global connectivity                                   â–ș   Integrated health systems like McKesson
                                                              and Essence Healthcare
â–ș   Global virality
not in a good way
â–ș   Disruptive technologies
â–ș   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


â–ș      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
â–ș   Next week’s national mHealth conference, Washington DC
â–ș   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
    â–ș    Entrepreneur in residence, Ernst & Young LLP

Connect with me:

â–ș     @DavidShrier

â–ș       david.shrier@ey.com

â–ș       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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MHealthcon Ernst & Young Present - Empowering Health Gazelles as presented

  • 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: â–ș Been around a while: since 1849 (including predecessors) â–ș Global: 150,000+ people in 140+ countries â–ș Premiere Big4 accounting firm Little-known facts: â–ș Entrepreneur of the Year for 25 years & Winning Women Entrepreneurs for 4 years â–ș Heavily involved with emerging economy entrepreneurs: Endeavor Entrepreneur, EO/GSEA, EY Fellows Program, other support â–ș 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. â–ș We empower gazelles for success â–ș How? â–ș 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) â–ș If you know the answer, email â–ș March of the 10,000 JohnD@kpcb.com 5-year aggregate KPI’s â–ș Volume, engagement, filters Raw â–ș Volume: Kiss a lot of frogs leads 10,000 â–ș Engagement: Superserve the market before they’re clients, increase as you filter Qualified â–ș Filters: VC-style criteria leads 1,000 Pursuits 100 â–ș 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 â–ș Outcomes-based medicine â–ș Revenue innovations â–ș Utilization incentive Outcome incentive â–ș Decentralization of POC â–ș Subscription medicine â–ș Consumerization of healthcare â–ș Tech: better, faster, cheaper â–ș Concierge medicine â–ș Sujoy Guha’s 10 minute, $10 vasectomy â–ș Desktop gene sequencing â–ș Consolidation of providers â–ș Business model innovations â–ș Making Big Data useful â–ș Frequently mHealth-enabled â–ș Global connectivity â–ș Integrated health systems like McKesson and Essence Healthcare â–ș Global virality
not in a good way â–ș Disruptive technologies â–ș 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 â–ș 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 â–ș Next week’s national mHealth conference, Washington DC â–ș 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 â–ș Entrepreneur in residence, Ernst & Young LLP Connect with me: â–ș @DavidShrier â–ș david.shrier@ey.com â–ș 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