Investor Presentation November 2019 Cautionary Note Forward - - PowerPoint PPT Presentation

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Investor Presentation November 2019 Cautionary Note Forward - - PowerPoint PPT Presentation

Investor Presentation November 2019 Cautionary Note Forward Looking Statements This presentation contains certain forward-looking statements relating to the Company. All statements, other than statements of historical fact included


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SLIDE 1

Investor Presentation

November 2019

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SLIDE 2

Cautionary Note Forward Looking Statements

page 02

This presentation contains certain “forward-looking statements” relating to the Company. All statements, other than statements of historical fact included herein, are “forward looking statements.” These forward-looking statements are often identified by the use of forward-looking terminology such as “preliminary,” “intends,” “expects,” “plans,” “anticipates,” “believes,” “views” or similar expressions and involve known and unknown risks and uncertainties. Although the Company believes that the expectations reflected in these forward-looking statements are reasonable, they do involve assumptions, risks, and uncertainties, and these expectations may prove to be incorrect. Investors should not place undue reliance on these forward-looking statements, which speak only as of the date of this presentation. The Company disclaims any intention or obligation to update or revise any forward-looking information, whether as a result of new information, future events or otherwise, except as required by applicable securities laws. These uncertainties include, but are not limited to, the risk of our identified material weaknesses in the Company’s internal control over financial reporting adversely affecting its ability to report its financial condition and results

  • f operations in a timely and accurate manner; any litigation relating to the Company’s accounting practices, financial statements and other

financial data, periodic reports or other corporate actions; changes in the demand for the Company’s O&P products and services; uncertainties relating to the results of operations or recently acquired O&P patient care clinics; the Company’s ability to enter into and derive benefits from managed-care contracts; the Company’s ability to successfully attract and retain qualified O&P clinicians; federal laws governing the health care industry; uncertainties inherent in investigations and legal proceedings; governmental policies affecting O&P

  • perations; and other risks and uncertainties generally affecting the health care industry. For additional information and risk factors that could

affect the Company, see its Form 10-K for the year ended December 31, 2018 as filed with the Securities and Exchange Commission. The information contained in this presentation is made only as of the date hereof, even if subsequently made available by the Company on its website or otherwise. Note Regarding the Presentation of Non-GAAP Financial Measures: This presentation includes certain “non-GAAP financial measures” as defined in Regulation G under the federal Securities Exchange Act of 1934. Non-GAAP measures include Adjusted EBITDA, Adjusted EBITDA Margin, adjusted earnings per share, leverage ratios, free cash flow. As required under Regulation G, Reconciliations of GAAP and non-GAAP financial results are included in schedules at the Appendix. These schedules reconcile the non-GAAP financial measures included in this presentation to the most direct comparable financial measure under generally-accepted accounting principles in the United States. The non- GAAP measures contained herein are used by the Company’s management to analyze the Company’s business results and are provided for informational and analytical context.

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SLIDE 3

Hanger

At a Glance

page 03

Who We Are:

 Industry leader in orthotics & prosthetics services  $4.2 billion1 addressable O&P domestic U.S. market  Pioneered prosthetic devices in 1861  Focus on custom devices

By The Numbers ($ as of TTM 9.30.19):

 Net Revenue $1.082 billion  Adjusted EBITDA2 $121.9 million  4,700 FTEs; 900 locations (incl. 801 patient care & satellite locations) in 46 states and D.C. (as of September 30,

2019)

 Two segments: Patient Care (82% revenue); Products & Services (18% revenue)

1 Source: Hanger Inc. estimates

2Adjusted EBITDA is a non GAAP-measure. Please see the Appendix for a reconciliation of GAAP to non-GAAP metrics.

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SLIDE 4

Hanger

Values, Vision and Purpose

page 04 page 04

Our Values – Integrity, patient-focused,

  • utcomes, collaboration, innovation –

are the heartbeat of a cultural evolution that places our patients at the core of everything we do Our Vision – To lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value Our Purpose – Empowering Human Potential Together

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SLIDE 5

Business Mix

Primary Focus on the Provision of Specialty Health Care

page 05 Hanger Net Revenue Hanger Adjusted EBITDA

Patient Care $889.3 million 82.2% revenue Patient Care $159.4 million 17.9% margin Corporate & Other ($68.6) million Products & Services $192.7 million 17.8% revenue Products & Services $31.1 million 16.2% margin

Hanger Net Revenue1

$1.082 billion

Adjusted EBITDA1,2

$121.9 million - 11.5% EBITDA margin

1 TTM through 9.30.19. 2 Adjusted EBITDA is a non GAAP-measure. Please see the Appendix for a reconciliation of GAAP to non-GAAP metrics.

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SLIDE 6

your logo

Investment Thesis

Industry Leader Building Sustainable Competitive Advantage

page 06

  • The leading provider of
  • rthotic and prosthetic

services in the United States

  • Provides approximately

20% of all O&P services in the United States

1

  • $4.2 billion market for

prescription prostheses,

  • rthoses and prefabricated
  • r off-the-shelf orthoses
  • Broad demand drivers

across injuries and multiple, high prevalence disease etiologies

2

  • Competitive differentiation

through investments in clinical outcomes, centralized revenue cycle management, patient engagement and supply chain to drive growth

3

  • Multi-tier strategy to grow
  • rganically, steadily expand

margins and pursue M&A to drive incremental growth

  • pportunities

4

Premier scalable provider in a large market for specialized healthcare services

Market Leader Sizeable Market Growth Levers Differentiators

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SLIDE 7

page 07

Our Market Focused Growth Strategy Patient Care Financial Performance

Discussion Points

Agenda Products & Services

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SLIDE 8

page 08

Our Market Focused Growth Strategy Patient Care Financial Performance

Discussion Points

Agenda Products & Services

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SLIDE 9

Orthotics and Prosthetics (O&P)

95% of Hanger’s Revenue is Related to O&P Services and Distribution

page 09

 Prosthetic devices replace a missing limb or portion of a limb  Provided to patients with amputated or congenitally absent limbs to replace the function and appearance of a limb  Prosthetics are customized to meet the unique location and characteristics of the patient and their residual limb  Prostheses have an average useful life ranging 3-5 years

Prosthetics

 Orthotic devices modify the structural and functional characteristics of the neuromuscular and skeletal system  Prescribed for injuries, musculoskeletal, neurological or

  • rthopedic disorders

 Hanger Clinic emphasizes fabrications of customized devices

Orthotics

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SLIDE 10

Prosthetics: Large and Growing Addressable Market

Approximately 500,000 People Living with Major Limb Loss in the U.S.

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 Approximately 350,000 people with major limb loss utilize a prosthesis  +90% are lower extremity  Typically have a 3-5 year replacement cycle (70% recurring revenue)  Prosthetics total approximately 50% of the prescription O&P market

Source: IQVIA (IMS) 2016 data; EpiSource 2014 data; Ziegler-Graham, et al., “Estimating the Prevalence of Limb Loss in the United States: 2005 to 2050”, Arch Phys Med Rehabil 2008:89, 422-429; Dillingham et al., “Rehabilitation Setting and Associated Mortality and Medical Stability Among Persons With Amputations”, Arch Phys Med Rehabil 2008:89, 1038-1045; Science Daily, “Prosthetic knee type may determine cost of care for amputees”, July 11, 2017

3% Other Disease 50% Trauma 47%

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SLIDE 11

Addressable market currently growing at 1.5 - 2.0% annually

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$1,420 $1,170 $960 $450 $210

Endocrine & Circulatory – Endocrine and circulatory disorders

drive the majority of major amputations. Mix of prosthetics and orthotics

Musculoskeletal Disease – Arthritis, spinal and foot disease

requiring braces, boots and supports. Orthotics-only market

Nervous System – 795,000 strokes per year – 75% occur in people

+65, cerebral palsy, multiple sclerosis. Ankle-foot orthosis, braces

Other – Congenital, cancer and acute infections. May require prosthetics (i.e.

congential limb difference) or orthotics (i.e.cranial orthosis for plagiocephaly)

O&P Market: $4.2 billion

Diverse Disease State Mix Drives Demand

$ millions

Sources: IMS Health, Hanger Estimates Note: “Major amputation or limb loss refers to a lower extremity, above or below the knee and upper limb, or combination thereof

Injuries – Approximately 76,000 major amputations per year, 5-10% of which

are due to injury. +$1 billion spent on prosthetics secondary to injury

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SLIDE 12

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Our Market Focused Growth Strategy Patient Care Financial Performance

Discussion Points

Agenda Products & Services

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SLIDE 13

Patient Care Differentiators

Building Sustainable Advantages in a Fragmented Industry

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National network and market leadership Enhancing productivity and cost management through an enterprise supply chain Driving patient engagement, connectivity and satisfaction Optimizing reimbursement through centralized revenue cycle management

Hanger Net Revenue

Patient Care1 $889.3 million 82.2% of revenue Patient Care1 $159.4 million 17.9% margin

Unique ability to measure and improve patient outcomes

Hanger Adjusted EBITDA2

1 TTM through 9.30.19. 2Adjusted EBITDA is a non GAAP-measure. Please see the Appendix for a

reconciliation of GAAP to non-GAAP metrics. Products & Services Products & Services G&A Expense

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SLIDE 14

Scale as a Competitive Advantage

National Network Brings Hanger Closer to the Community

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1

1,500+ Clinicians

 Hanger employs over 20% of the board certified, O&P clinicians in the U.S.  Competitors are spread out in small local practitioner settings.

3

801 Patient Care Locations

 Hanger is the only O&P provider operating a nationwide network of patient care clinics in 46 states and D.C.

2

Nationwide Network

 Hanger’s broad provider footprint allows for a healthy diversity of payor and referral sources.  Geographic diversity insulates Hanger from local or market specific challenges.

4

2 million Annual Patient Encounters

805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3 805577_1/NY008HT3

Hanger Patient Care Clinics

 Hanger has the highest volume of O&P patients as compared with any provider.  Enables Hanger to develop and deliver best practices in O&P care.

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SLIDE 15

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Market Leader

In a Fragmented Industry

695 327 79 2,099

O&P Patient Care Clinic Market

(by location) Approximately 3,200 Clinics

Hanger Clinic

10 next largest O&P providers

ranging from 22 - 68 clinics

Veterans Administration Rest of market

22% of O&P clinics in the nation Hanger currently operates 801 patient care clinics nationally VA: Next largest at 2%

 695 patient care clinics  106 satellite locations

Rest of market is comprised of diverse small providers

Source: American Board For Certification 2017. Figures reflect Hanger as of 9.30.19

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SLIDE 16

Patient Engagement and Connectivity

Enhance Consistency, Quality of Patient Experience

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Programs and initiatives to engage and connect our community, measure and improve patient satisfaction, driving retention and growth

 Clinicians and Peer Visitors connect with new amputees in the hospital at the time

  • f their amputation

 Net promoter score measured nationally at the patient and clinic level. TTM Average score of 84 (as of September 30, 2019)  Outcomes, patient satisfaction and quality life tracked and reported at the patient and referral source level  Patient Events designed to support mobility and utilization of devices  Active social media program including patient and clinician stories as well as community outreach

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SLIDE 17

Clinical Focus on Patient Outcomes

Implementing Clinical Care Standards and Demonstrating Value

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Clinical team and senior leadership

 Chief Clinical Officer and clinical leadership group  1,500+ certified / licensed clinicians  500 technicians and assistants  Specialists and centers of excellence

Technology and process

 Enterprise-wide electronic health record to digitize clinician documentation and practice administration  Implementing a patient portal and consumer engagement platform

Outcomes, research and education

 Comprehensive outcomes programs across Hanger Clinic, as standard of care  Collaborations with leading clinical and academic institutions  Six multi-center publications released to measure the impact of prosthetics on mobility  Annual education conference

Achieving clinical results for patients, payors and referral sources

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SLIDE 18

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$20,000 $30,000 $40,000 $50,000 $60,000 $70,000 $80,000 $90,000

2014 2015 2016 2017 2018

Reduced to $38 million in 2018

Localized claims process pre-2015

 Disallowed revenue rises to $82 million,

  • r 9.0%, of Patient Care segment

revenue1

Disallowances peak in 2014

 Hired Chief Revenue Officer  Established centralized RCM function  Executed a claims documentation initiative in 2016

RCM deployed in 2015

Revenue Cycle Management (RCM)

Central Function Drives Lower Disallowed Revenue

$ thousands

Reduced disallowed revenue dollars by 53% from 2014 through 2018

Disallowed Revenue: Peaks in 2014 at $82 million

1 Disallowed revenue expressed as a percentage of adjusted gross Patient Care segment revenue.

 Strong documentation regimen  Focus on eligibility and preauthorization  Low first pass denials and payor friction  Sophisticated level of service to patients and payors

Program results to date

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SLIDE 19

Enterprise Supply Chain

Opportunities to Leverage Buying Power and Scale

page 019  Cash investment of approximately $22 - $27 million in supply chain reengineering and technology in 2020 and $6 - $8 million in 2021  Ongoing operating expense of approximately $5 million annually

Purchasing leverage

 Patient Care purchases 75% of materials for its own use through its central supply chain  Provides scale and purchasing power

Manage COM

 Patient Care Materials Costs (COM) were 30.6%

  • f revenue in 2019 (9

months ending 9.30.19)  Opportunities exist to achieve further economies of scale  Lower freight costs

Streamline inventory

 Hanger operates five distribution centers across the U.S.  Investments in systems, processes and on-line channels aim to lower supply chain costs  Inventory consignment

Hub and spoke fabrication

 In addition to laboratories within local clinics, Hanger operates eleven fabrication facilities nationwide  Opportunities to streamline production through use of central fabrication facilities

2 3 1 4

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SLIDE 20

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Our Market Focused Growth Strategy Patient Care Financial Performance

Discussion Points

Agenda Products & Services

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SLIDE 21

Products and Services

National Scale Supports Profitable Growth

page 021

74% of products & services net revenue derived from the distribution of O&P components and related devices through “SPS”

 5.0% net revenue growth in 2019 (TTM through 9.30.19 compared to full-year 2018)  Comprehensive catalog for independent O&P providers  One-stop O&P industry destination with 450,000 SKUs across more than 300 manufactures  Leading dedicated O&P distributor in the industry

Remaining 26% of net revenue from therapeutic solutions “ACP”

 Rehabilitation technologies and clinical programs to skilled nursing facilities (SNFs)  Facing headwinds due to challenging conditions and the reimbursement environment in SNFs  Goal to stabilize revenue and earnings

Hanger Net Revenue

Products & Services1 $192.7 million 17.8% of revenue

Hanger Adjusted EBITDA2

Products & Services1 $31.1 million 16.2% margin

1 TTM through 9.30.19. 2 Adjusted EBITDA is a non GAAP-measure. Please see the

Appendix for a reconciliation of GAAP to non-GAAP metrics. Patient Care Patient Care G&A

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SLIDE 22

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Our Market Focused Growth Strategy Patient Care Financial Performance

Discussion Points

Agenda Products & Services

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SLIDE 23

page 023

Drive organic revenue growth

 Exceed industry growth rate of 1.5 - 2.0%

  • Increase referral volumes through differentiation
  • Focus on high-value custom O&P
  • Capitalize on base of strong prosthetic growth
  • Implement new delivery strategies for lower margin
  • rthotic categories
  • Stabilize therapeutic solutions business

Growth Strategy

Two-Fold Approach Select, in-market acquisitions

 Disciplined approach to O&P acquisitions

  • Focus on synergistic geographies and specialties
  • Seek good cultural fit
  • Ensure valuations are accretive
  • Fully integrate into centralized infrastructure
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SLIDE 24

page 024

Realize benefits of a scalable platform

 Achieve consistent operating leverage

  • Revenue growth consistently higher than market
  • Increasing clinician utilization
  • Leveraging of G&A and supporting infrastructure

costs, contributing to gradual margin expansion

  • Earnings growth on revenue gains amplified by

margin expansion

Growth Strategy

Enhanced Scale

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SLIDE 25

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Our Market Focused Growth Strategy Patient Care Financial Performance

Discussion Points

Agenda Products & Services

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SLIDE 26

Third Quarter and YTD 2019 Revenue Performance

Patient Care Drives Third Quarter Revenue Growth

page 026

$262.9 $279.6

2018 2019

Third Quarter

$763.9 $797.2

2018 2019

Nine Months

+6.3%

+4.4%

 Third quarter 2019 same clinic, day-adjusted growth of 2.1% driven by 4.0% prosthetics growth  Year-to-date same clinic, day-adjusted growth of 1.8% and prosthetics growth of 2.7%

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SLIDE 27

Third Quarter and YTD 2019 Adjusted EBITDA1 Performance

Growth in Patient Care Margins Year-Over-Year

page 027

$31.1 $32.6

2018 2019

Third Quarter Nine Months

 Patient Care margin increased to 18.3% in Q3 as compared with 17.8% in Q3 2018. Year-to-date segment margin of 17.0% versus 16.5% in prior year  The decline in therapeutic solutions revenue as well as lower margins in O&P distribution have moderated consolidated Adjusted EBITDA margin year-over-year

$81.0 $81.9

2018 2019

11.8% 11.7%

Margin %

10.6% 10.3%

  • 1. Adjusted EBITDA and Adjusted Net Earnings are non-GAAP-measures. Please see the Appendix for a reconciliation of GAAP to non-GAAP metrics.
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SLIDE 28

Same Clinic Rate of Growth

Revenue on Per Day Basis

page 028

  • 0.9%

0.6% 0.9% 2.1% 1.1% 1.7% 2.1% 0.3%

  • 0.1%

3.0% 2.1%

Q1 17 Q2 17 Q3 17 Q4 17 Q1 18 Q2 18 Q3 18 Q4 18 Q1 19 Q2 19 Q3 19

Quarterly % change1

1 Same clinic revenue growth per day excludes the effect of change in rate of disallowances for 2017. Beginning in 2018, Hanger instituted reporting same clinic revenue

growth per day that includes the impact of disallowed revenue, as this measure now better reflects year-year changes.

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SLIDE 29

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30 35 40 45 50 55 60 $100,000 $110,000 $120,000 $130,000 $140,000 $150,000 $160,000 $170,000 $180,000

2014 2015 2016 2017 2018

Payor Mix and Accounts Receivables Trend

Multi-Year Improvements in Working Capital Conversion

Accounts Receivable, net

(Orange Bars) $ thousands

Day Sales Outstanding

(Black Line)

 Commercial mix excludes Medicare and Medicaid Managed Care  Diverse reimbursement mix combined with improved A/R aging has driven stronger working capital characteristics

Peak in late 2014

Balances as of December 31,

DSO 46 and A/R balance at $144 million

Medicare Medicaid Commercial VA Private Pay

10% 7% 36% 32% 15% Payor Mix, Percentage of Patient Care Net Revenue YTD 2019

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SLIDE 30

Cash Flow, Liquidity and Capital Allocation Priorities

Use Excess Cash Flow to Execute Growth Strategy

page 030  $144.8 million in liquidity, comprised of:

  • $94.8 million of borrowing

capacity under revolving credit facility

  • $49.9 million in cash and cash

equivalents

 Net debt of $455.8 million

  • 63% hedged or otherwise

bearing fixed rate

  • $32 million in annualized cash

interest expense, or 6.3%

Flexible Balance Sheet3

 20191 Free Cash Flow (Adjusted EBITDA2 - CapEx) of $90.5 million  20191 Capex, including purchase of equipment leased to third parties totaled, $31.4 million  Estimated CapEx of approximately $35 million in 2019

Strong Cash Flow

 Pro forma leverage of approximately 3.7x at end of Q3 2019  Investing now in supply chain and financial systems and re- engineering to achieve freight, labor efficiencies, investing approximately:

  • $22 - $27 million in 2020
  • $6 - $8 million in 2021

 Remain focused on leverage

Disciplined Capital Allocation Strategy

1 Referenced amounts reflect TTM through 9.30.19. 2 Adjusted EBITDA is a non GAAP-measure. Please see the Appendix for a reconciliation of GAAP to non-GAAP

metrics.

3 Amounts stated as of September 30.2019

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SLIDE 31

2019 Outlook1

Annual Outlook Reaffirmed in the Second Quarter of 2019

page 031

Net revenue in a range between $1.075 billion and $1.105 billion Adjusted EBITDA1 in a range between $121 million and $126 million Hanger's financial outlook for 2019 does not incorporate contributions from potential future acquisitions, beyond those set at the time of original guidance in Q1 2019

Note: Guidance affirmed as of November 7, 2019. This presentation is not a reiteration or affirmation of prior guidance.

1 Adjusted EBITDA is a non-GAAP-measure.

Adjusted EBITDA is provided on a non-GAAP basis only because a reconciliation to the most comparable GAAP financial measure, net income, is not available without unreasonable effort due to the unpredictable nature of reconciling items that render such a reconciliation not meaningful for investors. Please see the Appendix for a reconciliation of GAAP to non- GAAP metrics.

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SLIDE 32

Investment Thesis

Industry Leader Building Sustainable Competitive Advantage

page 032

  • The leading provider of
  • rthotic and prosthetic

services in the United States

  • Provides approximately

20% of all O&P services in the United States

1

  • $4.2 billion market for

prescription prostheses,

  • rthoses and prefabricated
  • r off-the-shelf orthoses
  • Broad demand drivers

across injuries and multiple, high prevalence disease etiologies

2

  • Competitive differentiation

through investments in clinical outcomes, centralized revenue cycle management, patient engagement and supply chain to drive growth

3

  • Multi-tier strategy to grow
  • rganically, steadily expand

margins and pursue M&A to drive incremental growth

  • pportunities

4

Premier scalable provider in a large market for specialized healthcare services

Market Leader Sizeable Market Growth Levers Differentiators

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SLIDE 33

Appendix Non-GAAP Reconciliations

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SLIDE 34

Non-GAAP Reconciliations

Net Loss to Adjusted EBITDA

page 034

2018 2017 2016 Net loss - as reported (GAAP) (858) $ (104,671) $ (106,471) $ Adjustments to calculate EBITDA: Depreciation and amortization 36,455 39,259 44,887 Interest expense, net 37,566 57,688 45,199 Loss on extinguishment of debt 16,998 — 6,031 Non-service defined benefit plan expense 703 736 786 Benefit (provision) for income taxes 5,238 27,297 (15,910) Loss from discontinued operations, net of taxes — — (935) Adjustments - Net loss to EBITDA 96,960 124,980 80,058 EBITDA (Non-GAAP) 96,102 20,309 (26,413) Further adjustments to calculate Adjusted EBITDA: Impairment of intangible assets 183 54,735 86,164 Third-party professional fees 12,461 32,301 37,244 Equity-based compensation 13,065 12,930 9,763 Acquisition-related expenses 510 — — Disaster recovery / unclaimed property settlement (2,221) — — Severance expenses 957 64 2,487 Further adjustments - EBITDA to Adjusted EBITDA 24,955 100,030 135,658 Adjusted EBITDA (Non-GAAP) 121,057 $ 120,339 $ 109,245 $ For the Years Ended December 31,

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SLIDE 35

Non-GAAP Reconciliations

Net Income to Segment Adjusted EBITDA

page 035

2019 2018 2019 2018 Patient Care Net income from operations - as reported (GAAP) 36,130 $ 32,502 $ 93,661 $ 84,615 $ Depreciation & amortization 4,943 4,651 13,997 14,547 EBITDA (Non-GAAP) 41,073 37,153 107,658 99,162 Further adjustments to calculate Adjusted EBITDA: Equity-based compensation 1,087 1,023 3,282 3,262 Severance expenses

  • (11)
  • Further adjustments - EBITDA to Adjusted EBITDA

1,087 1,023 3,271 3,262 Adjusted EBITDA (Non-GAAP) 42,160 38,176 110,929 102,424 Products & Services Net income from operations - as reported (GAAP) 5,111 6,839 14,133 20,171 Depreciation & amortization 2,723 2,564 7,862 7,569 EBITDA (Non-GAAP) 7,834 9,403 21,995 27,740 Further adjustments to calculate Adjusted EBITDA: Equity-based compensation 236 238 726 343 Further adjustments - EBITDA to Adjusted EBITDA 236 238 726 343 Adjusted EBITDA (Non-GAAP) 8,070 9,641 22,721 28,083 Corporate & Other Net loss from operations - as reported (GAAP) (23,838) (23,417) (69,267) (67,910) Depreciation & amortization 1,707 1,735 5,047 5,436 EBITDA (Non-GAAP) (22,131) (21,682) (64,220) (62,474) Further adjustments to calculate Adjusted EBITDA: Third-party professional fees 2,136 2,230 5,530 8,870 Equity-based compensation 2,051 2,406 6,081 5,968 Acquisition related expenses 350

  • 848
  • Disaster recovery / unclaimed property settlement
  • (2,221)

Severance expenses

  • 366
  • 366

Further adjustments - EBITDA to Adjusted EBITDA 4,537 5,002 12,459 12,983 Adjusted EBITDA (Non-GAAP) (17,594) (16,680) (51,761) (49,491) Total Adjusted EBITDA (Non-GAAP) 32,636 $ 31,137 $ 81,889 $ 81,016 $ For the Three Months Ended For the Nine Months Ended September 30, September 30,

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SLIDE 36

Non-GAAP Reconciliations

Adjusted EBITDA Margin: Third Quarter and YTD, 2019 vs 2018 and TTM as of September 30, 2019

page 036

For the Trailing Twelve Months Ended September 30, 2019 2018 2019 2018 2019 Net Revenue (a) Patient Care 230,931 $ 214,080 $ 652,700 $ 620,745 $ 889,337 $ Products & Services 48,707 48,866 144,455 143,162 192,671 Net revenue 279,638 $ 262,946 $ 797,155 $ 763,907 $ 1,082,008 $ EBITDA (b) Patient Care 41,073 $ 37,153 $ 107,658 $ 99,162 $ 154,414 $ Products & Services 7,834 9,403 21,995 27,740 29,975 Corporate & Other (22,131) (21,682) (64,220) (62,474) (87,282) EBITDA (Non-GAAP) 26,776 $ 24,874 $ 65,433 $ 64,428 $ 97,107 $ Adjusted EBITDA (b) Patient Care 42,160 $ 38,176 $ 110,929 $ 102,424 $ 159,386 $ Products & Services 8,070 9,641 22,721 28,083 31,141 Corporate & Other (17,594) (16,680) (51,761) (49,491) (68,597) Adjusted EBITDA (Non-GAAP) 32,636 $ 31,137 $ 81,889 $ 81,016 $ 121,930 $ Adjusted EBITDA Margin (Non-GAAP) Patient Care 18.3 % 17.8 % 17.0 % 16.5 % 17.9 % Products & Services 16.6 % 19.7 % 15.7 % 19.6 % 16.2 % Net revenue 11.7 % 11.8 % 10.3 % 10.6 % 11.3 % (a) Excludes intersegment revenue (b) EBITDA and Adjusted EBITDA are "Non-GAAP" measures For the Three Months Ended For the Nine Months Ended September 30, September 30,