INVESTOR PRESENTATION Fall Investor Summit FORWARD LOOKING - - PowerPoint PPT Presentation
INVESTOR PRESENTATION Fall Investor Summit FORWARD LOOKING - - PowerPoint PPT Presentation
INVESTOR PRESENTATION Fall Investor Summit FORWARD LOOKING STATEMENTS This presentation contains forwardlooking statements that are subject to risks and uncertainties. All statements other than statements of historical fact included in this
FORWARD LOOKING STATEMENTS
This presentation contains forward‐looking statements that are subject to risks and uncertainties. All statements other than statements of historical fact included in this presentation are forward‐looking statements. Forward‐looking statements give our current expectations and projections relating to our financial condition, results of operations, plans, objectives, future performance and business. You can identify forward‐looking statements by the fact that they do not relate strictly to historical or current facts. These statements may include words such as “anticipate,” “estimate,” “expect,” “project,” “plan,” “intend,” “believe,” “may,” “should,” “can have,” “likely” and other words and terms of similar meaning in connection with any discussion of the timing or nature of future operating or financial performance or other events. The forward‐looking statements contained in this presentation are based on assumptions that we have made in light of our industry experience and
- ur perceptions of historical trends, current conditions, expected future developments and other factors we believe are appropriate under the
- circumstances. As you review and consider this presentation, you should understand that these statements are not guarantees of performance or
- results. They involve risks, uncertainties (some of which are beyond our control) and assumptions. Although we believe that these forward‐looking
statements are based on reasonable assumptions, you should be aware that many factors could affect our actual results and cause them to differ materially from those anticipated in the forward‐looking statements, including, among other things, our opportunities and expectations for growth in the student lending, healthcare and other markets; anticipated trends and challenges in our business and competition in the markets in which we
- perate; our client relationships and future growth opportunities; the adaptability of our technology platform to new markets and processes; our
ability to invest in and utilize our data and analytics capabilities to expand our capabilities; the sufficiency of our appeals reserve; our growth strategy
- f expanding in our existing markets and considering strategic alliances or acquisitions; our ability to meet our liquidity and working capital needs;
maintaining, protecting and enhancing our intellectual property; our expectations regarding future expenses; expected future financial performance; and our ability to comply with and adapt to industry regulations and compliance demands. More information on potential factors that could affect the Company's financial condition and operating results is included from time to time in the "Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" sections of the Company's Annual Reports on Form 10‐K as filed with the Securities and Exchange
- Commission. Any forward‐looking statement made by us in this presentation speaks only as of the date on which we make it. We undertake no
- bligation to publicly update any forward‐looking statement, whether as a result of new information, future developments or otherwise, except as
may be required by law.
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Dynamic, Disruptive Healthcare Technology Company Multi‐Pronged, Multi‐Year Contracted Revenue Growth Model $200B Healthcare TAM Growing Annually High Margin Recurring Revenue Taking Market Share from Legacy Incumbents
INVESTMENT HIGHLIGHTS ‐
The New Performant
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WHO IS PERFORMANT?
- We are a technology‐enabled audit, recovery, outsource services and related
analytics service provider in the United States to Healthcare, Government and Commercial clients
- We identify improper payments, and in some markets, restructure and recover
delinquent or defaulted assets and improper payments
- Our clients operate in complex and regulated environments
- Our technology platform helps our clients improve their recovery rate and reduce
losses on billions of dollars of improper healthcare payments, delinquent state and federal tax and federal treasury, defaulted student loans and other receivables
- We provide complex outsource services for clients across our various markets
- As Performant’s investment in major contracts enter steady state, overall movements
across all markets are driving a return to profitability in 2020
- Incremental growth continues to add onto a stable fixed cost base
- Profitability highlights of 2019 → 2020 include:
Healthcare margin expansion through major contracts in Year 2 and 3 from
implementation
Healthcare margin expansion from continued mix shift and growth in TPL
reclamation
Overall continued growth in existing Healthcare contracts Expected returns on $2MM+ investment in headcount in recovery and sustained
growth in newer contracts
Conversion of Premiere acquisition to profitability Ongoing reduction in corporate overhead via migrations off legacy platforms
RETURN TO PROFITABILITY
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- PFMT 2021 goal of $200m of revenue and 20% margins will be achieved through rapid
growth of our high margin healthcare business.
- Healthcare growth is being achieved through recurring revenue contracts with marquee customers
(e.g., United Healthcare, Centene, Blues Network Participants, CMS)
- Historically 50% of EBITDA translated to free cash flow
- PFMT currently trades at 3x EBITDA based on our 2021 strategic targets
- Beyond 2021, we expect to be able to continue to grow at a double‐digit rate for years to come
- Currently, on a 2021 basis, Performant largely trades at a significant discount to peers
despite similar or better growth prospects
STRATEGIC LONG‐TERM GUIDANCE
6 Ticker 2019E Revenue ($M) 2019E EPS 2021E EPS 2021E EBITDA EV/EBITDA P/E PFMT $155.67 ($0.37) $0.14 $29.5 3.0x 8.2x HMSY $598.29 $1.32 $1.50 $225.9 15.1x 38.5x PRGX $171.78 ($0.04) NA NA NA NA ACN $39,573.00 $7.33 $8.72 $8,355.6 14.7x 22.4x ADS $7,791.00 $19.27 $25.66 $1,936.7 10.1x 5.2x HQY $287.24 $1.15 $1.59 $211.6 25.6x 23.2x
Note: 2019E and 2021E values are analyst consensus estimates as of 9/12/2019
- Actively pursue additional opportunities to
service the private healthcare market.
- Find and eliminate losses prior to
payment for healthcare services,
- Detection of fraud, waste and abuse in
the public and private healthcare markets
- Federal and state tax recoveries have grown
meaningfully year‐over‐year, and the recovery of delinquent state taxes is seen as a growing source of revenue
- According to the Center on Budget and
Policy Priorities, an independent think tank, 31 U.S. states faced a total budget shortfall of approximately $46 billion in 2017 and 2018
GROWTH BEYOND 2021
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Growing need for audit and recovery services in the public and private markets
HEALTHCARE OPERATIONS
- Total U.S. Healthcare Expenditures
expected to exceed $4 trillion by 2020
- Performant’s addressable market is
approximately $200 billion that continues to grow annually
- Some of the largest commercial and
government entities that are potential
- pportunities include:
- Centene
- UHC
- Blues Network
- Centers for Medicare and Medicaid (CMS)
- Anthem
HEALTHCARE ‐ THE OPPORTUNITY
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Actively capturing market share from legacy competitors
STUDENT LOANS HEALTHCARE PROVIDERS TREASURY/ IRS COMMERCIAL GOVERNMENT (STATE & FEDERAL)
DEFAULT PREVENTION BACK-OFFICE PROCESSS OUTSOURCI NG (BPO) CALL CENTER OMNICHANNEL CRM
CMS RAC CMS MSP COMMERCIAL CLIENTS COB SERVICES
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HEALTHCARE PAYMENT INTEGRITY MARKET SIZING
Commercial Medicaid Medicare Employer Sponsored Managed Medicaid Medicare Advantage Fee-For- Service Fee-For- Service
Performant’s market opportunity is between 10 and 15% of the total amount of inaccurate payments
Expected 2019 Spend Inaccurate Payments % Inaccurate $1,086B ~$65B 6.0% $357B ~$29B 8.2% $390B ~$32B 8.2% $307B ~$44B 14.4% $282B ~$41B 14.4%
Source: 2018 Medicare FFS Supplemental Report, Dept. of HHS, CMS CERT/PERM Note: Market-rate fee for comprehensive pre- and post-pay
NATIONAL LEADER IN PAYMENT INTEGRITY
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Healthcare
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MARKETS SERVED:
Government Commercial
4,000+ Providers 1,500+ Carriers 3,000+ Group & Non-Group entities
CT, IN, KY, MA, ME, MI, NH, NY, OH, RI, and VT
Region 1 Region 5
National - DME, Home Health & Hospice
CMS RAC CONTRACTOR DATA ASSETS:
Data on over 200 Million Eligible lives
Commercial Repayment Center
National Contractor to recover payments when Medicare should have been secondary.
CMS MSP CONTRACTOR
3 of the 5 largest national health plans and multiple Blues and Regional insurers 110 Million Commercial covered lives
COMMERCIAL HEALTH PLANS
Over 100 audit programs in all 50 states 50 Managed Medicaid Plans in 40 states 50,000+ audits per month
SOLUTION SCALE:
300 employees 6 offices across the nation
FOOTPRINT: ESTABLISHED NETWORKS:
HEALTHCARE REVENUE GROWTH
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8.1% 7.6% 17.7% > 50.0% $141.4 $132.0 $155.7 > $200.0
0.0 20.0 40.0 60.0 80.0 100.0 120.0 140.0 160.0 180.0 200.0 2016 2017 2018 2021
Revenue ($ millions)
Healthcare Recovery / All Other
Performant Healthcare Revenue anticipated to exceed 50% of total company revenue by 2021 driven by big data analytics
- Disruptive technology is allowing us to
capture significant market share from legacy players while driving revenue growth
- Master service agreements with all
national payers and significant penetration into the Blues network
- Successful land and expand strategy as
- ur share of claims continues to rise
- Multiple contracts are still in the
investment stage – transition to profitability coming in 12 – 18 months
- On track to achieve our strategic goal of
$200+ million in total revenues with margins in excess of 20% by 2021
PLANNED TRAJECTORY OF HEALTHCARE BUSINESS
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PERFORMANT INSIGHT
TMDISRUPTIVE TECHNOLOGY
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Unified platform leverages data assets to create multiple value streams and optimized workflows
Workflow Solutions
- Data is the fuel that powers Performant’s workflow solutions
- Performant Insight™ transforms disparate data assets into the data
solutions that drive business results
- Performant’s proprietary workflow platform is purpose-built to support
product offerings
- User-friendly environment increases efficiency and improves accuracy
Predictive Scoring Peer Group Analysis Payment Trends Line-of-Business Analysis Data Transformation Domain Rules
Workflow Solutions Disparate Data Insight Platform
Registered Nurses Eligibility Specialists Certified Coders
Asset Recovery Workbench Provider Portal for Status Inquiry Specialty- Specific Claim Review Tools Robotics Process Automation
Eligibility Authorizations Healthcare Claims Provider Contracts Medical Records Fee Schedules Coding Rules Data Scientists Data Analysts Business Intelligence
Insight Data Engine
- Performant was hired by Client A, one of the nation’s largest MCOs,
as a 2nd seat (come behind) vendor to conduct Medicaid Reclamation (Asset Recovery) and to expand Identification of new savings.
- Performant’s results returned a 50% lift for Client A over the
incumbent vendor, previously a sole powerhouse in the market and who had been entrenched with Client A for more than a decade.
- Client A moved Performant into the 1st position for 5 test states
(covering about 1M lives). Performant continued to return impressive results, providing 75% gains over the incumbent.
- In 2019, for the first time in over a decade, Client A has cancelled
services with the incumbent vendor and shifted all 25 states (covering
- ver 6M lives) to Performant.
- Performant anticipates driving savings of over $60M annually for
Client A
CASE STUDY (COMMERCIAL CLIENT)
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Fresh solutions, even in mature markets – driving significant value for clients
USING TECHNOLOGY TO POWER SOLUTIONS
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Performant is ideally positioned to continue gaining market share from slower moving legacy incumbents
LEGACY OPERATIONS
- One of four contractors to recover
- utstanding inactive tax receivables on
the first contract of its kind on behalf of the IRS
- One of six contractors on the most
recent Treasury contract that includes receivables subrogated to it by numerous different federal agencies
- The only PCA that has had every
Treasury contract since 1997
- Meaningful growth in Department of
Education subcontracting opportunities in lieu of a large business award
- Premiere acquisition diversified our
existing Student Loan / Government recovery streams while expanding the commercial footprint
TECHNOLOGY FUELS RECOVERY RESULTS
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STUDENT LOANS CMS RAC HEALTHCARE PROVIDERS CMS MSP TREASURY/ IRS COMMERCIAL AUDIT & COB TPL SERVICES COMMERCIAL GOVERNMENT (STATE & FEDERAL)
DEFAULT PREVENTION BACK-OFFICE PROCESSS OUTSOURCING (BPO) CALL CENTER OMNICHANNEL CRM
As the backbone of the Company, Recovery Services will remain a key fixture of
- ur long‐term revenue and margin goals
$107.9 $83.8 $43.5 2017 2018 June 2019 YTD Recovery Revenue
WELL‐POSITIONED WITH A STRONG BRAND
- Strong relationships with many
- f the largest GAs and 14 of 25
GAs overall. We are well‐ positioned to benefit should further consolidation of smaller GAs occur
- ED subcontracting opportunities
posses a meaningful source of Recovery revenue
- Premiere acquisition accelerates
and enhances execution of our recovery growth strategy while enhancing the current and future opportunity with ECMC
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Performant remains a trusted, long‐term recovery partner of the government with decades of experience
- CRM BPO market is expected to reach
$85 billion by 2020 with customer service and sales service accounting for
- ver $40 billion
- Focused on less commoditized, non‐
collection BPO services.
- Develop strategic partnerships with
companies to expand existing service
- fferings
- Focus on areas such as credit dispute
resolution market, nurse advice and telemedicine market, and others
- Variety of value‐added services
- New service lines added in the past 12
months include inbound call center, and both payment verification and employment verification loan forgiveness services.
CUSTOMER CARE / OUTSOURCED SERVICES
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STUDENT LOANS CMS RAC HEALTHCARE PROVIDERS CMS MSP TREASURY/ IRS COMMERCIAL AUDIT & COB TPL SERVICES COMMERCIAL GOVERNMENT (STATE & FEDERAL)
DEFAULT PREVENTION BACK-OFFICE PROCESSS OUTSOURCING (BPO) CALL CENTER OMNICHANNEL CRM
Providing complex outsource services across our various markets
FINANCIAL RESULTS
81.7% 65.8% 61.5% 7.6% 20.5% 25.9% 10.7% 13.7% 12.6% 2017 2018 2019 YTD Recovery Healthcare
- Cust. Care / Outsourced Svcs.
ONGOING REVENUE BREAKDOWN
- Impact of MSP, commercial
contracts, and other contract wins beginning to show meaningful impact to Healthcare business
- Recovery, which includes our
student lending work, is still meaningful and comprises a majority of our revenues
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9.2 (5.2) (4.4) >50% 40.0 2017 2018 2019 YTD 2021E
EBITDA ($ millions)
Expected Healthcare Contribution
EBITDA
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- Slowdown in EBITDA from 2017
through the current period reflects the significant transformation the Company has undergone to establish itself in the Healthcare space
- As discussed, 2018 and 2019 have
been investment years, as we are still in Year 1 or the early stages of Year 2 in many of our contracts
- The Company is evaluating seeking
additional growth capital
- We expect to return to historic
profitability and then grow from there
Dynamic, Disruptive Healthcare Technology Company Multi‐Pronged, Multi‐Year Contracted Revenue Growth Model $200B Healthcare TAM Growing Annually High Margin Recurring Revenue Taking Market Share from Legacy Incumbents
INVESTMENT HIGHLIGHTS ‐
The New Performant
APPENDIX
NON‐GAAP RECONCILIATION TABLES
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PERFORMANT FINANCIAL CORPORATION AND SUBSIDIARIES Reconciliation of Non‐GAAP Results (In thousands, except per share amount) (Unaudited) Three Months Ended June 30, 2019 2018 Adjusted Loss Per Diluted Share: Net loss $ (6,399 ) $ (3,591 ) Plus: Adjustment items per reconciliation of adjusted net (loss) income (77 ) 1,076 Adjusted net loss (6,476 ) (2,515 ) Adjusted Loss Per Diluted Share $ (0.12 ) $ (0.05 ) Diluted avg shares outstanding 53,367 51,643 Three Months Ended June 30, 2019 2018 Adjusted EBITDA: Net loss $ (6,399 ) $ (3,591 ) Provision for income taxes 142 (911 ) Interest expense (1) 1,958 1,141 Interest income (11 ) (7 ) Depreciation and amortization 2,245 2,537 Earnout mark‐to‐market (6) (1,188 ) — Stock‐based compensation 719 950 Adjusted EBITDA $ (2,534 ) $ 119 Three Months Ended June 30, 2019 2018 Adjusted Net Loss: Net loss $ (6,399 ) $ (3,591 ) Stock‐based compensation 719 950 Amortization of intangibles (2) 52 202 Deferred financing amortization costs (3) 311 333 Earnout mark‐to‐market (6) (1,188 ) — Tax adjustments (4) 29 (409 ) Adjusted Net Loss $ (6,476 ) $ (2,515 ) (1) Represents interest expense and amortization of issuance costs related to the refinancing of our indebtedness. (2) Represents amortization of capitalized expenses related to the acquisition of Performant by an affiliate of Parthenon Capital Partners in 2004. (3) Represents amortization of capitalized financing costs related to our Credit Agreement for 2018. (4) Represents tax adjustments assuming a marginal tax rate of 27.5%. (6) Represents the change from prior reporting periods in the fair value of the potential earnout consideration payable to ECMC Group in connection with the Premiere acquisition.
NON‐GAAP RECONCILIATION TABLES
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PERFORMANT FINANCIAL CORPORATION AND SUBSIDIARIES Reconciliation of Non‐GAAP Results (In thousands, except per share amount) (Unaudited) We are providing the following preliminary estimates of our financial results for the year ended December 31, 2019: Six Months Ended Six Months Ended Year Ended June 30, 2019 December 31, 2019 December 31, 2018 December 31, 2019 Actual Estimate Actual Estimate Adjusted EBITDA: Net loss $ (14,888) $ (5,160) to (13,145) $ (8,010) $ (20,048) to (28,033) Provision for (benefit from) income taxes 313 (563) to 437 1,542 (250) to 750 Interest expense (1) 3,094 4,656 to 5,656 4,699 7,750 to 8,750 Interest income (22) (18) to (33) (28) (40) to (55) Depreciation and amortization 4,557 4,943 to 5,943 10,234 9,500 to 10,500 Impairment of goodwill and customer relationship (7) — — 2,988 — Earnout mark‐to‐market (6) (912) — (218) (912) CMS Region A contract termination (5) — — (19,415) — Stock‐based compensation 1,218 782 to 1,782 2,750 2,000 to 3,000 Adjusted EBITDA $ (6,640) $ 4,640 to 640 $ (5,458) $ (2,000) to (6,000) (1) Represents interest expense and amortization of issuance costs related to the refinancing of our indebtedness. (5) Represents the net impact of the termination of our 2009 CMS Region A contract during the first quarter of 2018, comprised of release of $27.8 million of the estimated liability for appeals and the net payable to client balances into revenue, net of derecognition of $9.0 million of prepaid expenses and other current assets with a charge to other operating expenses, reflecting accrued receivables associated with amounts due from subcontractors for decided and yet‐to‐be decided appeals. (6) Represents the change from prior reporting periods in the fair value of the potential earnout consideration payable to ECMC Group in connection with the Premiere acquisition. (7) Represents intangible assets impairment charge related to Great Lakes Higher Education Guaranty Corporation customer relationship.
89.69% 33.72% 10.31% 66.28%
2014 2018
Revenue by Business Line
Audit COB & TPL / Recovery Services
CUSTOMER AND BUSINESS LINE DIVERSIFICATION
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89.69% 6.51% 45.21% 10.31% 48.28%
2014 2018
Customer End‐Market Revenue
RAC MSP Commercial