Management Presentation
Q1 2019
Empowering Patients and Doctors in a Rapidly Expanding Digitally Enabled Healthcare Marketplace
Confidential TSXV:W :WELL
Management Presentation Q1 2019 Empowering Patients and Doctors in - - PowerPoint PPT Presentation
Management Presentation Q1 2019 Empowering Patients and Doctors in a Rapidly Expanding Digitally Enabled Healthcare Marketplace TSXV:W :WELL Confidential T S X V : W E L L Disclaimer This presentation contains forward-looking statements
Confidential TSXV:W :WELL
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This presentation contains forward-looking statements and forward-looking information within the meaning of applicable securities laws. These statements relate to future events or future performance. All statements
always, identified by the use of words such as "appear", "seek", "anticipate", "plan", "continue", "estimate", "approximate", "expect", "may", "will", "project", "predict", "potential", "targeting", "intend", "could", "might", "should", "believe", "would" and similar expressions. Forward-looking statements and information are provided for the purpose of providing information about the current expectations and plans of the management of the Company relating to the future. Readers are cautioned that reliance on such statements and information may not be appropriate for
statements and information address future events and conditions, by their very nature they involve inherent risks and uncertainties. Actual results could differ materially from those currently anticipated due to a number of factors and risks. These include, but are not limited to, the risks associated with: the primary healthcare sector in general; competition; that future results may vary from historical results; the availability and effective integration and
technologies; ability to mitigate against cyber security risks; ability to access sufficient capital from internal and external sources; changes in legislation, including but not limited to tax laws; and government regulations. Accordingly, readers should not place undue reliance on the forward-looking statements, timelines and information contained in this presentation. Readers are cautioned that the foregoing list of factors is not exhaustive. The forward- looking statements and information contained in this presentation are made as of the date hereof and no undertaking is given to update publicly or revise any forward-looking statements or information, whether as a result of new information, future events, or otherwise, unless so required by applicable securities laws or the TSX Venture Exchange. The forward-looking statements
cautionary statement. The TSX Venture Exchange has in no way passed upon the merits of the proposed transaction and has neither approved nor disapproved of the contents of this presentation.
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Hamed Shahbazi – Founder, Chief Executive Officer & Chairman
specializing in bill payment and other financial services. TIO Networks was acquired by PayPal (Nasdaq: PYPL) for CAD$304 million (Jul 2017).
etc.) with more than a dozen successful transactions.
an “Impactreneur”. He regularly mentors founders and entrepreneurs of early stage companies.
Year” (2014 – 2015). More recently, he is a winner of Business in Vancouver CEO of the Year, mid-market category (2017) and EY Entrepreneur
Brian Levinkind – Chief Financial Officer
structuring, and implementation of numerous financings, Mergers & Acquisitions, and corporate reorganizations.
positions at HSBC and KPMG.
South Africa.
initially worked as a Clinical Assistant in Pediatric Oncology at the BC Children's Hospital.
Primary Healthcare facilities, as well as continues to be a practicing physician.
Amir Javidan – Chief Operating Officer
years, TIO acquired 3 companies, increased revenue from ~$30 million to $100+ million, grew market cap 4x, and was acquired by PayPal for $304 million (July 2017)
with a market cap > $1 billion. Focused on operational efficiencies that enabled the business to scale though hyper-growth ($0-$100 million in revenue in 5 years)
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Makiko Deniz – Human Resources & Office Manager
public company, and Relationship Manager in the cruise industry.
Acquisitions and integration projects and spent 9 years at Seas with Royal Caribbean Cruise Line as Chief Purser and Crew Relations Manager.
Mike Thompson – General Manager, NerdEMR
Vancouver and CERN in Geneva, Switzerland.
Eva Fong – Senior Vice President, Mergers & Acquisitions and Business Transformation
finance and business shared services programs.
building best in class corporate culture.
Chris Ericksen – Senior Vice President, Strategic Partnerships & Marketing
President Business Development, EVP POS Payments, and finally Chief Revenue Officer responsible for leading the company’s sales and business development teams.
management team.
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Peter Maclean – Independent Director
Brunswick Provincial Government.
Thomas Liston, CFA – Independent Director
companies with a focus on technology, media, and healthcare.
(TSXV: QHR), which was sold to Loblaw Companies Limited (TSX: L) in the fall of 2016 for +$170M.
Ken Cawkell – Independent Director
fulfilling the roles as a professional advisor and as a principal / investor.
treat Alzheimer’s and other neurodegenerative diseases.
John Kim, CFA – Independent Director
stages of development, ranging from early start-ups to Fortune 1,000 companies.
capital.
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T S X V : W E L L “The US health industry is a $5 trillion ecosystem dominated by care delivery. Over the next decade, the balance will likely shift, with growth in wellness and platforms and support.”
PwC U.S. Health Report (Sept. 2016). “Trends Report” by Mary Meeker
The current landscape is ripe for disruption, with numerous trends in technological advancement, decentralization, and societal increase in wellness leading the path.
“Trends Report” by Mary Meeker
Sources: Mary Meeker, “Internet Trends Report” (2016). PwC, “Surviving seismic change: Winning a piece of the $5 trillion US health ecosystem” (2016).
40% 30% 20% 10%
Health Outcome Drivers
Health Behaviour Clinical Care Physical Environment Social & Economic
Currently 88% of healthcare spending ($) goes towards “clinical care”, despite
Bipartisan Policy Center (June 2012) – “what Makes Us Healthy vs. What We Spend on Being Healthy” Diagnostics and Therapeutics Care Delivery Financing and Regulation Platforms and Support Wellness
U.S. Health Ecosystem $5 trillion
$2 trillion $1 trillion $93 billion $276 billion
Consumerism Wellness Volume -> Value Consumerism Decentralization Volume -> Value Tech advances Volume -> Value Reduced care delivery and diagnostics
$1.6 trillion
Tech advances Decentralization Volume -> Value Wellness consolidation
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Canadian Care Delivery
Billion
In 2017:
Per Person
Growth
Where is the majority of the money spent?
“Since 1997 Hospitals have accounted for the most significant share of health spending, followed by drugs and physician services.”
How much does Canada spend on Healthcare? The Canadian Care Delivery sector has dedicated a greater share
healthcare industry year
Spending 3.4%
Growth
Physicians
Spending 1.9%
Growth
Hospitals
Spending 4.2%
Growth
Drugs
Sources: Canadian Institute for Health information (2017)
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T S X V : W E L L WELL now owns NerdEMR, a major OSCAR service provider. Ab About t Ner erdEMR NerdEMR provides OSCAR (Open-Source Clinical Application Resource) electronic medical record (EMR) services to approximately 220 clinics - most of which are located in the province of British Columbia. NerdEMR supports approx. 2000 physicians
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The The Ac Acquisition: On Jan 1, 2019 WELL acquired 100% of the issued and outstanding shares of NerdEMR Services for total consideration of $2.55- million, which will be allocated as follows:
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WELL Health and its management are focused on executing the priorities of the Company, which include: 1
Acquiring additional scale across both clinical and digital operations Establishing best in class shared services to optimize synergies across all operations
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Leverage technology assets & capabilities to modernize clinical operations to benefit doctors & patients, which in turn drives improved margins
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Executing on a disciplined and highly accretive capital allocation program
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Offer WELL / NerdEMR customers new digital upgrades that have been proven to drive enhanced efficiencies in WELL’s own clinics
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WELL is positioning itself to execute on M&A opportunities in Pri rimary ry Hea Healthcar lthcare e and Di nd Digitally tally Enab nabled Hea led Healthcar lthcare e in order to maximize profitab table le growth wth through the latest technological advancements
WELL is evaluating a number of areas of investment in digital health, including those listed below
Pri Primary mary He Health thca care Di Digi gita tal Ena Enable bled d He Health thca care Cr Crea eate te Value ue Th Throu
gh Syn ynergi gies
Artificial Intelligence EMR1/Telemedicine Big Data Digital Patient Engagement
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1. Electronic Medical Records 2. Patient Medical Records
PMR2
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WELL Health generally pays its primary care physicians ~7
healthcare services.
Healthcare Professional Patient Insurance Provider Well Health
Healthcare Services Patient’s Medical Information Compensates healthcare provider for services provided
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WELL Health is seeking acquisition targets in the areas of family practice medical clinics and health- focused digital technologies within Canada and the United States
Family Medical Clinics Established businesses with existing revenue stream Minimum 1,000 patient visits per month Synergies between portfolio clinics Profitable operations with fixed lease contracts
Provide standardized and high quality services Work with trusted and reliable practitioners in the industry Combine medical standards with the latest technological trends (e.g. Precision health, Telemedicine, AI driven healthcare, etc.) Increase efficiency and profitability of proven and successful clinics
OBJECTIVE:
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Management will focus on three core pillars of revenue growth to drive shareholder value:
rivate cons nsult ltatio ions (Allie Allied He Healt lth)
Diagn gnostic tic serv servic ices
th ass assessments
edic ical l leg egal l
Non-insurable Services
ublic lic He Health lth Ins nsurance Plan
. MSP1 in BC
Tele lemedic icin ine
Insurable Services
Digit ital l pa patie ient care
ient por portals
EMR eng engagements
Clin inic ic pr productivit ity
SAAS / IP Licensing
% of Revenue October 2018 Goal as % of Revenue
The long term plan is to grow the IP/SAAS segment to be our key revenue driver, with non-insurable services also seeing strong growth.
(1) Medical Services Plan
2 1 3
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*The Company acquired NerdEMR as of January 1, 2019.
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CLI NICAL PORTFOLIO
who provide care at WELL Clinics:
180
Approx no of patient visits for last 12 months
600,000
Number of clinics: (all 100% owned by WELL)
19 354
Approximate Clinic, head office staff and doctors combined:
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DIGITAL PORTFOLIO
Number of Clinics Served:
220
Number of Patients Supported
>4.85M
Number of GPs supported
>2,000 >1700
Number of non-medical staff supported
Note: As of January 2019
T S X V : W E L L As a testament to WELL Health’s global market opportunity, on April 24, 2018, Hong Kong business leader, Sir Li Ka-shing led a strategic investment in the equity of Well Health through Horizon Ventures, his private venture arm. On May 15, 2018, the Company issued 15,877,939 Shares at a price of $0.33 per Share for gross proceeds of $5.24M to a group of strategic investors, led by and personally including Sir Li Ka-shing. In addition, the Company issued 6,291,639 Shares at a price of $0.37 per Share to the president’s list for gross proceeds of $2.3M (WELL Health Founder, Chairman, and Chief Executive Officer, Hamed Shahbazi personally contributed $2.0M+ of this). WELL Health is the latest addition to Sir Li Ka-shing’s iconic portfolio of venture investments which includes venerable early positions in notable names such as Facebook, Spotify, Siri, Deepmind, Slack, and Skype.
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T S X V : W E L L Revenue from continuing
$1,911,625 in Q4 2018, compared with Q3 2018 revenue of $2,066,524
(1) Adjusted Gross Profit was determined by adding back the cost of medical supplies and other related expenses
Quarter over quarter Adjusted Gross Profit1 was $580,960 in Q4 2018, compared with Q3 2018 Adjusted Gross Profit of $605,300
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$2.07 $1.91 $- $0.50 $1.00 $1.50 $2.00 $2.50 Q3-2018 Q4-2018
Million
Q3 vs Q4-2018 Revenue
$605 $581 $- $100 $200 $300 $400 $500 $600 $700 Q3-2018 Q4-2018
Thousand
Q3 vs Q4-2018 Gross Profit
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On November 1st, 2018, WELL Health completed the previously announced acquisition of all the issued shares of 13 private target companies that own and operate 13 primary health care clinics in British Columbia. As of today, inclusive of the 13 acquired clinics, WELL owns and operates 19 medical clinics with approximately 354 doctors and staff combined, esta establis blishing hing WELL WELL as th the e largest gest ch chain n of
primary mary he health thca care e cl clinics i nics in n Briti ritish h Col Columbi umbia. .
168,000 600,000
300,000 450,000 600,000
Pre-Acquisitions Post Acquisitions
(# Visits)
Estimated Patient Visits Per Year
$8M $27M $ - $5 $10 $15 $20 $25 $30
Pre-Acquisitions Post Acquisitions
$ Millions
Estimated Revenues
Note: According to the press release dated November 1st, 2018, the total Purchase Price of approximately $6.35M is structured in the following manner: 1. Upfront cash of approximately $4.22M and 1,638,626 common shares of the Company at a deemed price of $0.45 per share (the cash portion is subject to a 7.5% holdback to be released after 3 months) 2. Time Based Earnout of approximately $1.4M, payable quarterly over 3 years, consisting of $1.2M cash and $0.2M issuable in common shares of the Company priced in the context of the market and subject to a floor of $0.45 per share 3. In addition to customary closing conditions, the agreements provide that the closing of the transaction is subject to the following conditions: (i) the parties shall have obtained all consents and approvals for the transaction; (ii) Dr. Frankel shall have entered into an employment agreement with the Company as Chief Medical Officer of the company.
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Patie ient t Visit t % b by Clinic ic Clinic ic Name % T Total Able Care 8.3% Kerrisdale 8.0% North Vancouver 7.4% Clover Care 7.3% Care Place Scott Rd 7.3% Panorama 7.2% Colebrook 6.0% Hastings Sunrise 6.0% Richmond 5.6% City View 5.6% Clayton Heights 5.3% Triton 5.0% Brickyard 4.2% Scott Rd 3.8% Oval B 3.7% Pemberton 2.9% Point Grey 2.5% Oval A 2.0% Surlang 1.9% Total 100% 100%
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Note: As at January 24th, 2018
Trading Symbol TSXV: WELL
Share Price (As at 01-24-19) $0.43 52 Week High – Low1 $0.75 - $0.25 Basic Shares Outstanding 83.86M Options/RSUs/PSUs2 ~ 8.35M Warrants3 5.16M F/D Shares Outstanding ~ 97.37M Market Cap. Basic ~$36M Market Cap. F/D ~$42M Insider Ownership (%) 40.71%
– 500 1,000 1,500 2,000 – $0.20 $0.40 $0.60 $0.80 Jan/18 Feb/18 Mar/18 Apr/18 May/18 Jun/18 Jul/18 Aug/18 Sep/18 Oct/18 Nov/18 Dec/18 Jan/19 Volume Traded (Thousands) Share Price ($CAD)
April il 24, 2018: : WELL Health announced up to $7.3 .3M non- brokered private placement led by strategic investment from Sir Li Li Ka Ka-shi shing No Nove vember 5 2018: : WELL Health Technologies Corp. announced that it has successfully completed the previously announced acq cquisition of 13 of primary healthcare facilities in the lower mainland of BC No Nove vember 27 2018: : WELL Health Technologies Corp. announced that it has successfully completed the previously announced acq cquisition of NE NERD D EMR, BC’s largest OSCAR electronic medical records provider
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WELL has already accumulated impressive scale across both clinical and digital lines of
healthcare ecosystem. WELL’s clinical business includes 19 clinics, with 180 physicians and 174 non-medical staff members, driving approximately 600,000 patient visits per year. WELL’s digital business provides EMR and EMR hosting services to more than 220 clinics, supporting more than 2,000 physicians, and 4.95M patients. Proven Management Team and Board has the technology expertise to execute on a meaningful technology roadmap with a combined 50+ years of experience in starting, growing, and scaling business concepts, M&A and restructuring/integrations. The Company already has a compelling watch list that provides line-of-sight on additional profitable Primary Healthcare clinics, and synergistic disrup isruptive tive dig igita ital tec l techn hnolo
ies.
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Hamed Shahbazi
Founder, CEO & Chairman
Suite #200 - 322 Water Street, Vancouver, BC, V6B 1B6, Canada E: hamed@well.company 23