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Chris Lloyd, CEO of Nobilis Health says that the company sets themselves apart from the competition with some of their case volume. About 20 to 25 percent of surgeries or cases are directed to their centers by their own direct consumer marketing initiatives. By helping affiliated physicians grow their businesses they hope they will refer patients to their facilities. Chris Lloyd says they are targeting the baby boomer market who will be using a large percentage of their health dollars in the next few years. We want to try to compete in this very competitive market and gain a bigger market share, he said. Lloyd says on Linked In that Nobilis is financially healthy in 2015. The busiest times are in October, November, and December. We did well despite not taking government money at most of our facilities. One of the big expenses of the company is marketing. This is something many of their competitors do not have. They have plans to purchase a few new facilities using cash or using stock in 2016. The only way they will raise equity is when they acquire a large facility which they do not have plans to do right now. Some of their top competitors are Amsurg Corporation, Surgery Partners, and Tenet Healthcare Corp. Nobilis Health came about when Northstar purchased Athas in December 2014. Athas was a direct consumer marketing company. Northstar was founded back in 2007 by a group of physicians that owned facilities down in Houston, TX. They wanted to get into using direct marketing in healthcare because they noticed a growing need in the industry. Chris Lloyd was founder of Athas and when Northstar bought the company in 2014 they made him CEO of the combined companies. Nobilis owns and manages ambulatory and acute care facilities that delivers healthcare services. The focus of the company is to provide surgery that is non-invasive in affordable settings for patients. They use direct marketing to provide patient wth information and education. Nobilis Health owns over seven facilities located in Dallas, Houston, and Scottsdale. They have partnerships that are contractual with Arizona, Oregon, Michigan, Minnesota, Tennessee and New Jersey.