2016 ANNUALQUALITY REPORT

OUR MISSION: TO ENHANCE THE LIFE OF EVERY PERSON WE SERVE

MISSION

To enhance the life of every person we serve

CORE VALUES

Integrity above all elsePassion for the quality of people’s livesQuality that is obviousInnovation, not emulationA culture of trust and respectReaching to learn, grow and embrace changeTeamwork, camaraderie and fun!

MISSION and CORE VALUES

4

Patients Served

Employees Would Recommend Infinity as a Good Place to Work

Dedicated Employees

States Where Our Services are Available

REACH FURTHERInfinity Rehab is a leading provider of clinically intensive, comprehensive physical, occupational and speech therapy in the sub-acute and long-term care environments. Founded and led by a team of therapists, we know firsthand what it takes to run a successful rehabilitation department. Our clinicians treat patients in over 220 facilities across twelve states and cover the entire post-acute care continuum, which includes inpatient, outpatient, home-based care, LTAC, assisted living and independent living.

Based in Wilsonville, Oregon, we serve more than 7,000 patients each month and provide over 1 million patient visits per year. We continue to be the leading choice for contract therapy management services in the Pacific Northwest, Mountain, and Midwest regions.

INFINITY REHAB

2,11084,648

98.9% 13

2

14

64

29

9

1

3 1

11

3371

# INFINITY REHAB CONTRACTS

1

INDUSTRY LEADERSHIPMike Billings, PT, DHSc, CEEAAPresident

• National Association for the Support of Long Term Care, Board Member

Stacey Turner, MS, CCC-SLPVice President

• National Association of Rehab Providers and Agencies, West Regional Coordinator

Patty Scheets, PT, DPT, MHS, NCSDirector of Quality and Clinical Outcomes

• Academy of Neurologic Physical Therapy, 2017 President-Elect

Derek Fenwick, PT, MBA, GCSDirector of Professional Development

• Oregon Physical Therapist Association, President

OUR MISSION: TO ENHANCE THE LIFE OF EVERY PERSON WE SERVE

INFINITY REHABIn 2016, Infinity Rehab implemented proven quality improvement models, based on the Lean approach, to succeed in improving outcomes. We are revolutionizing the delivery of therapy services through science-based research, standardizing practices, and optimizing added value for true patient-centered care.

Over the past year, we gained deeper insight into how therapy is delivered and how it impacts quality outcomes. Through localized, research-based studies, our Quality Implementation Team analyzed data that showed us two things:

1. Increasing intensity of rehabilitation yields positive benefits.2. Enhancing and simplifying patient engagement yields additional positive benefits.

Throughout 2016, several skilled nursing facilities contracting with Infinity Rehab participated in ambulation tests designed to measure individual patient walking performance and provide a means to aggregate patient outcomes data for future study.

www.infinityrehab.com

BY THE NUMBERS

52,354

27,804

2,958

1,532Skilled Nursing

Outpatient

Home Health

Long Term Acute Care

Patients Served in 2016 Across the Continuum

Gait Speed Trials and Six Minute Walk Tests are straight forward interventions designed to improve a patient’s self-selected or comfortable walking speed. The strategy we used for both tests was to ask the patient to walk a short distance at a comfortable speed, provide the patient feedback about their time, encourage them to try to beat that time, and then repeat.

Gait Speed Trial

Gait Speed Trials improved the average final walking speed of participants far greater than the average final walking speed of non-participating sites. In non-participating sites, we saw an improvement in walking speed of just over three times the minimal clinically important difference (MCID), while in patients participating in Gait Speed Trials, saw an improvement in over five times the MCID.

Gait Speed Trial• Patient average age of 77 years• Received intervention 9 days at

5 trials each day

ENHANCED PATIENT ENGAGEMENT LEADS TO QUALITY OUTCOMES

Medical Diagnoses

Neurological Diagnoses

Orthopedic42.4% 42.4%

15.2%

PATIENT MIX

Six Minute Walk Test

Similar gains were made in walking distance and activity tolerance as measured by the Six Minute Walk Test. For this test, the evaluation results across groups were similar to Gait Speed Trial patients and showed a greater improvement in discharge distance and change score. Participating sites had a 50% improvement in MCID over non-participating sites.

Results of the ambulation tests are significant because a higher MCID relates to greater ability for safe community ambulation and reduced risk of re-hospitalization. The ambulation trials also show when therapists increase the intensity of rehabilitation, patients experience increased cardiovascular, nervous system, and cognitive functioning. In essence, all physiological systems work together to enhance movement and thus improve outcomes.

The next step is increasing patient activation and engagement. We have developed a package of tools that research shows will improve intervention. Occupational therapists engage patients in a card sorting activity for setting specific goals. This translates into creating a goal setting sheet the patient uses to manage progress and direct that day’s therapy activities. The patient is then provided with a simple journal to track progress, which is reviewed with the occupational therapist. Implementing steps to increase patient engagement will potentially improve patient satisfaction and work toward improving quality patient outcomes.

AMBULATION OUTCOMES

30%

50%5x

18-24%Risk Reduction in Disability

Improvement in MCIDImprovement in MCID

Risk Reduction in Mortality

Six Minute Walk TestGait Speed Trials

Improvements in MCID Outcomes Lead to:

INNOVATIVE NETWORK PARTNERSHIPHospitals and health systems are under increased accountability from state and federal agencies to produce quality patient outcomes. Based on our leadership, innovative approaches to care delivery, and our positive industry reputation, Infinity Rehab was sought out to help a prominent teaching hospital develop longitudinal pathways for patients in Medicare’s Comprehensive Care for Joint Replacement (CJR) model.

Infinity Rehab represented the post-acute care section during the planning process for developing CJR care pathways. We conducted a full literature review, interviewed principle investigators of several of the studies, and from that research, developed an evidence-based protocol for physical therapists and occupational therapists treating patients covered under Medicare’s CJR model. Clear expectations of length-of-stay and specific requirements around treatment were developed to promote consistency so both provider and patient know what to expect in this on-going partnership.

Competencies gained through this partnership helps Infinity Rehab and our network partners further reduce avoidable re-hospitalizations, empower clinicians through standardize practices, and promote healthier communities through positive patient outcomes.

GROWING LEADERS, CLINICIANS, AND INNOVATORS

OUR MISSION: TO ENHANCE THE LIFE OF EVERY PERSON WE SERVE

Patty Scheets, PT, MHS, DPT, NCS — Director of Quality and Clinical OutcomesPatty completed her professional and post-professional education at Washington University in St. Louis. She is a board certified specialist in neurologic physical therapy and is the 2017 President-Elect of the Academy of Neurologic Physical Therapy. Patty leads initiatives related to the implementation of outcome measures, implementation of evidence-based practices or knowledge translation, and develops models of care that improve outcomes.

Patrick Hennessey, PT, MPT, NCS — Quality Implementation SpecialistPatrick worked at the Rehab Institute of Chicago (RIC) where he had a split position between clinical care and research in the Locomotor Recovery Lab under the direction of George Hornby, PT, PhD. In this role, Patrick provided clinical care and worked to standardize outcome assessments. Prior to his work at RIC, Patrick worked at Moss Rehabilitation Hospital in Philadelphia. Patrick has presented at national, regional, and local physical therapy meetings and conferences and served as a lecturer to professional-level physical therapy students.

Derek Fenwick, PT, MBA, GCS — Director of Professional DevelopmentDerek graduated with a physical therapy degree from Saint Louis University in 2003 and followed that up by earning a health care management degree from Regis University in 2008. Derek manages our Director of Rehab-in-training program, our Clinical Ladder professional advancement program, and our Student Clinical Internship Program among other exciting projects. Derek led the creation of the Infinity Rehab Leadership Academy to help us develop the next generation of leaders for our company.

The Infinity Rehab Quality Innovations Team leads evidence-based pilot studies focused on standardized practices, increased therapeutic intensity, and examines aggregate patient data for deeper insights into care delivery and outcomes.

QUALITY INNOVATIONS TEAM

EVERY EMPLOYEE IS A LEADER Premium Online Continuing Education

In 2016, Infinity Rehab partnered with CEU360 giving our therapists unlimited access to over 1,000 hours of premium online continuing education courses on topics that cover the full spectrum of patient care for older adults. CEU360 assists Infinity Rehab by producing training and education content in areas such as quality and outcomes, operations management, leadership, clinical supervision, and more. This initiative propagates internal ideas of change by turning them into actionable practices.

Talent Mapping

We are only as strong as the people we employ. That is why we have invested in business intelligence systems for mapping our talent across the company. We have applied resources to identify our high-performing employees, empowering them through tailored leadership programs, and giving them the tools and freedom to reach their true potential. At Infinity Rehab, we consider every employee a leader.

OUR MISSION: TO ENHANCE THE LIFE OF EVERY PERSON WE SERVE

OUR VISION

Infinity Rehab will lead a post-acute care revolution by relentlessly pursuing unparalleled quality, value, and patient, customer, and employee experience. We will create an irresistible culture that inspires individuals to grow as leaders, clinicians, and innovators.

LEADERSHIP ACADEMY Years of ideas, research, and passion about leadership within Infinity Rehab came together in the creation of the Infinity Rehab Leadership Academy. Scholars enrolled in the academy engage in on-site and distance learning designed to transform Infinity Rehab employees into successful leaders. The curriculum matches our core values with key leadership practices proven effective in navigating real world challenges.

In 2016, our second cohort of Leadership Academy scholars graduated. During the year-long academy, scholars worked on projects that influence their day-to-day work. The results of the projects were presented at the end of the curriculum, and covered topics such as:

• Developing Specialized Outpatient Services• Patient-Centered Admission Process• Fostering Emotional Intelligence In Infinity’s Directors-In-Training• Utilization Of Leadership Skills To Develop Campus Outpatient Program• Improving Multi-Disciplinary Communication To Increase Patient

Satisfactions And Compliance• A Dignified And Humanizing SNF Rehabilitation Experience: Person First, Patient Second

We are excited to see this vital program continue with the third Leadership Academy cohort selected at the end of 2016.

For 11 years, Infinity Rehab has hosted thousands of clinicians at our annual Continuing Education Symposiums. Attendees learn from industry leaders about cutting-edge clinical practices, develop key leadership skills, earn contact hours, and network with peers. In addition to the Symposiums, our clinicians have free access to thousands of courses through CEU360. We are dedicated to growing leaders, clinicians, and innovators.

A COMPANY OF LIFE-LONG LEARNERS

www.infinityrehab.com

4,553 $375,000+

1,042Total Contact Hours Completed in 2016

Re-Invested into Employee Continuing Education in 2016

Courses Offered in 2016 2016 symposiumannual continuing education

OUR MISSION: TO ENHANCE THE LIFE OF EVERY PERSON WE SERVE

ACTIONABLE MARKET DATASmarter care management and creative population health solutions are necessary to be a top performer in value-based care. In 2016, we worked closely with many post-acute care providers using our proprietary market intelligence data analytics to position our partners for pay-for-performance and narrowing networks. Our tools, knowledge-base, and experience helped our clients find answers to complex questions and turn network data into increased market share.

83

139

131

211

251

445

151

288

154

409

54

127

423

1,266

126

320

% 90-DAY

% 30-DAY

% 90-DAY

% 30-DAY

INFINITY REHAB PARTNER

COMPETITOR A

COMPETITOR B

COMPETITOR C

COMPETITOR D

17.8%

18.7%

1,226

1,218

828

798

632

SNF

n =1,373

100%

100%

9.3%

10.9%

SURGICAL

SURGICAL

INFECTIO

N

INFECTIO

N

MEDIC

AL

MEDIC

AL

CJR and SHFFT

CJR and SHFFT

RESPIRATORY

RESPIRATORY

HIGH COST O

RTHO

HIGH COST O

RTHO

90-DAY COST

TOTAL EPISODES

EI HOSPITAL COST

PAC SPEND

AV. SNF LOS

AV. SNF DAYS

90-DAY COST REFERRING HOSP LOS

TOTAL EPISODES SNF COST

90-DAY EPISODE COST

$32,702

6,445

$10,628

$22,074

28.3

28.3

$20,926 4.5

1,373 $13,863

$11,891

LOW

COST ORTHO

LOW

COST ORTHO

CARDIAC

CARDIAC

Referring Hospital Metrics

All SNF 90-Day Episodes of Care

MARKET INTELLIGENCE DASHBOARD

FACEBOOK.COM/INFINITYREHABCOMMUNITY

TWITTER: @INFINITYREHAB

INFINITY REHAB

YOUTUBE.COM/USER/INFINITYREHAB99

PINTEREST.COM/INFINITYREHAB

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OUR MISSION: TO ENHANCE THE LIFE OF EVERY PERSON WE SERVE

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www.infinityrehab.com

25117 SW PARKWAY, SUITE DWILSONVILLE, OR 97070

503-570-3665

INFINITY REHAB