Ahi deck march 2017 r3
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Transcript of Ahi deck march 2017 r3
Safe Harbor
Disclosure
Certain statements contained in this presentation may be considered “forward-looking information”
as defined under applicable Canadian securities laws (“forward-looking statements”). Forward-
looking statements include, but are not limited to, statements made under the heading “Risk
Factors” of the base shelf prospectus of Agility Health, Inc. dated May 29, 2015 and other
statements concerning the objectives of Agility Health, Inc. (“Agility”), strategies to achieve those
objectives, as well as statements with respect to management’s beliefs, plans, estimates, and
intentions, and similar statements concerning anticipated future events, results, circumstances,
performance or expectations that are not historical facts. Forward-looking statements generally can
be identified by the use of forward-looking terminology such as “outlook”, “objective”, “may”, “will”,
“expect”, “intend”, “estimate”, “anticipate”, “believe”, “should”, “plans”, or “continue”, or similar
expressions suggesting future outcomes or events. Such forward-looking statements reflect
management’s current beliefs and are based on information currently available to management.
Forward-looking statements involve risks and uncertainties that could cause actual results to differ
materially from those contemplated by such statements.
No assurance can be given as to any such future results, levels of activity or achievements and
neither Agility nor any other person assumes responsibility for the accuracy and completeness of
any forward-looking statements. The factors underlying current expectations are dynamic and
subject to change. All forward-looking statements in this presentation are qualified by these
cautionary statements. Other than specifically required by applicable laws, Agility is under no
obligation and expressly disclaims any such obligation to update or alter the forward-looking
statements whether as a result of new information, future events or otherwise except as may be
required by law.
All reference to dollars in this presentation are to U.S. dollars, unless otherwise indicated.2
Who We Are
Agility Health, Inc. (“Agility”) is a leading healthcare provider with a focus on
physical rehabilitation services
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✓ Physical therapy, Occupational therapy,
Athletic training, Speech therapy
✓ Growth in revenues, margins and EBITDA
✓ Large, growing industry - highly fragmented
✓ Differentiated business model
✓ Capitalize on growing demand
✓ Experienced leadership
Physical Therapy Market Overview
4
Physical therapy is a >US$30 billion industry that is expected to grow 7% annually through 2018.
▪ Physical therapy accounts for approximately 90% of all outpatient rehabilitation spending
• Highly fragmented with largest 50 competitors comprising less than 25% of the market
▪ Numerous, positive factors driving long-term growth:
• Expanding patient population that provides favorable tailwinds:
− Aging U.S. population − Unhealthy youth lifestyle trends − Growth in employment
• Outpatient rehabilitation is significantly less costly than surgery or hospitalization, but with similar
clinical effectiveness
U.S. Outpatient Rehabilitation Expenditures Outpatient Rehabilitation Spending by Segment
For the Years Ended and Ending December 31, 2004-2018P($ in billions)
$0
$5
$10
$15
$20
$25
$30
$40
$45
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013E 2014P 2015P 2016P 2017P 2018P
Orthopedic Physical Therapy
48%
Speech Therapy and Audiology
10%
GeneralPhysical
Therapy9%
$35
GeriatricPhysical
Therapy 9%
PediatricPhysical
Therapy
8%
Sportsphysical
Therapy
7%Other Specialty Neurological
Physical Therapy Physical Therapy
3% 6%90%
Source: IBISWorld.
Network of Service Sites✓ 1+ million patient visits annually
✓ 1,100+ employees
✓ 145+ locations across 20 states
✓ Consolidating highly fragmented
market
✓ Proprietary operating software
✓ Provides post-acute ‘rehabilitation
continuum of care’
✓ Seasoned management team
✓ Diversified portfolio: geographically and clinically
5
One of the leading providers of physical rehabilitation services in North America
Provide care and treatment for orthopedic-related disorders, sports-related injuries,
preventative care and occupational rehabilitation
Agility Health
Physical Rehabilitation Services - Overview
6
Hospital Services
✓ Outsourced Services
✓ Contract Terms: 1-3 Years
✓ Reimbursement: (production or time based)
✓ Physical Therapy (PT), Occupational Therapy (OT),
Speech Pathology (SP), Athletic Training (AT)
✓ Good relationships
Long-Term Care Services
✓ Outsourced Services
✓ Contract Terms: 1-3 Years
✓ Reimbursement: (inpatient services are time-based
and outpatient production-based)
✓ PT, OT, and SP
✓ Many long-term customers
Outpatient Services
✓ Owned or Partnered
✓ Free-standing; leased locations
✓ PT, OT and AT services
✓ Reimbursement: insurance and cash
Industrial Services
✓ Contract Terms: 1-3 Years
✓ Reimbursement: cash from client
✓ AT prevention services
✓ Many long-term customers
Agility Health
Business Segments
Long-Term
Care
Contract Services
Outpatient
Clinics
Hospitals
Contract Services
Industrial
Work-FitTM
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Clinics/Facilities 56 Sites 31 Sites 36 Sites 25 Sites
LTM Revenue(1) US$31.3 M US$5.6 M US$8.0 M US$17.4 M
% LTM Revenue 50% 9% 13% 28%
1. Clinic level, financials.
Agility Health
Business Segments
Agility Health
Financial Summary ($US)
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2013 2014 2015 LTM Sept. 30th, 2016(Expressed in USD)Revenue $60,527,877 $62,104,509 $62,328,991 $63,021,546
Outpatient Services $24,511,369 $28,943,806 $31,235,551 $32,296,925% of Total Sales 40.50% 46.60% 50.11% 51.25%Hospital Services $10,562,115 $9,656,009 $8,231,790 $8,028,356% of Total Sales 17.45% 15.55% 13.21% 12.74%Long-Term Care $24,483,526 $18,063,717 $17,246,432 $15,450,388% of Total Sales 40.45% 29.09% 27.67% 24.52%Industrial Services $953,919 $5,416,755 $5,603,376 $7,087,289% of Total Sales 1.58% 8.72% 8.99% 11.25%Administrative $13,292 $22,109 $10,970 $158,588% of Total Sales 0.02% 0.04% 0.02% 0.25%
Cost of RevenuesSalaries and Benefits $41,302,131 $40,837,396 $40,093,117 $41,392,307Contract Labor $1,067,679 $802,113 $1,018,142 $885,340Facility $3,457,499 $3,424,663 $3,895,123 $4,118,466Supplies $798,147 $891,292 $802,671 $808,927Depreciation and Amortization $768,401 $726,829 $692,741 $655,705Provision for Bed Debts $1,077,803 $464,763 $770,408 $932,038Other $1,339,330 $1,424,005 $1,328,860 $1,419,535
Total Cost of Revenues $49,810,990 $48,571,061 $48,601,062 $50,212,318Gross Profit $10,716,887 $13,533,448 $13,727,929 $12,809,228
% of Total Sales 17.71% 21.79% 22.02% 20.33%SG&A $12,571,612 $14,313,511 $11,682,170 $11,789,733
Clinic Level EBITDA $10,531,851 $10,930,394 $12,278,811 $9,660,275
% of Total Sales 17.40% 17.60% 19.70% 15.33%
Outpatient Services $5,036,963 $5,222,542 $5,640,146 $4,950,828
% of Total Sales 47.83% 47.78% 45.93% 51.25%
Hospital Services $2,547,655 $2,532,572 $2,192,750 $2,008,985
% of Total Sales 24.19% 23.17% 17.86% 20.80%
Long-Term Care $2,770,930 $2,221,056 $2,098,817 $1,582,638
% of Total Sales 26.31% 20.32% 17.09% 16.38%
Industrial Services $176,198 $954,114 $943,013 $1,117,824
% of Total Sales 1.67% 8.73% 7.68% 11.57%
Medic Holdings Acquisition
10
✓ February 2017 - acquisition of Medic Holdings by way of
share exchange
✓ Medic 2016 revenues ~ CDN$16 million
✓ EBITDA ~ CDN$1.4 million
✓ Medic becomes wholly-owned subsidiary of Agility -
shareholders of Medic owning (fully-diluted) ~ 20% of Agility
common shares post-transaction
✓ Restructuring of balance sheet underway - improve cash
flow, EPS
✓ Significant expansion of orthotics business unit
✓ Added depth to management team and Board - healthcare,
operations, M&A, capital markets (combined +60 years)
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• Canadian business unit focusing on outpatient orthotics/foot care
• Orthotic and prosthetic manufacturing capabilities
• 12 foot care clinics in Ontario and Quebec
• Employs approximately 120+ people; headquartered in Oakville, Ontario
• Orthotic manufacturing in Hamilton, Ontario (Ontario Orthotic Lab)
• Production of more than 60,000 pairs of orthotics per year
• Prosthetics manufacturing in Montreal
• >60 employees in manufacturing
Manufacturing
• 12 foot care clinics in Southern Ontario and Montreal region
• One of the largest operators of foot care clinics in Canada Clinics
Medic Holdings
Orthotics - Overview
12
Ontario Orthotic Lab
• Manufactures arch supports (orthotics)
• 40 plant employees
• ~3,000 pairs of orthotics on back order
Product Offerings:
✓ Custom-manufactured, prescription orthotic
devices for dress, athletic, casual or
diabetic footwear (compatible with Adidas,
Nike, Rockport, Drew, Asics and NAOT)
✓ Wide variety of compression hosiery styles
and brands
✓ Functional electrical stimulation (FES),
prosthetics, T.E.N.S pain management,
home health care and mobility aids
Medic Holdings
Business Segments
Slawner Orthotics
• Leader in field of orthotics and prosthetics
• Over 60 years of service history
• Multiple locations around Montreal; serves
multiple hospitals
Product Offerings:
✓ Comfort shoes
✓ Foot orthotics
✓ Functional electrical stimulation (FES),
compression therapy, T.E.N.S. pain
management, home care and mobility aids
Highlights
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Broad Diversified Footprint
✓ Expands clinic network into Canada/orthotics
✓ Diversified revenue by state/province, payers and
business line
✓ Reduced reimbursement risk/contract reliance
Strengthened/Expanded Management and Governance
✓ Business development, M&A/financial, capital markets
✓ Scalable leadership/back office teams
✓ Added skills to Board
Capital Market Profile
✓ Increased revenue/EBITDA scale
✓ Positive cash flow impacts from improved balance
sheet
✓ Uplist to TSX: potential US listing
Scalable Growth Platform
✓ Fully-invested back office infrastructure enables M&A
efficiency
✓ Visible, near-term acquisition pipeline
✓ Pipeline impact +50% increase in EBITDA
CDN$96.5M
TTM Revenue
CDN$8.3M
TTM EBITDA
6.7X
EV/TTM EBITDA
164
Clinic Sites US/Canada
Comparable Public Companies *
(Canadian and US w/ Rehabilitation)
14
* All figures in $US
** Prices effective February 17, 2017
Company Name(Exchange: Ticker)
Price **
MarketValue (MM)
Revenue(MM -TTM)
EBITDA(MM -TTM)
EnterpriseValue/
Revenue
EnterpriseValue/EBITDA
US Physical Therapy, Inc.(NYSE: USPH)
$74.65 $927 $352 $60 2.9x 16.9x
Select Medical Holdings Corp.(NYSE: SEM)
$12.70 $1,770 $4,279 $493 1.0x 8.9x
Kindred Healthcare, Inc.(NASDAQ: GTIV)
$7.05 $627 $7,255 $98 0.5x 39.9x
Ensign Group, Inc.(NASDAQ: ENSG)
$18.05 $916 $1,595 $119 0.7x 9.6x
Centric Health Corp.(TSX: CHH)
$0.63 $108 $128.7 $11.3 1.3x 14.6
AverageMedian
-$875$911
$2,730$1,595
$157$98
1.3x1.0x
18.0x14.6x
Agility Health, In.(TSX.V: AHI)
$0.09 $9.9 $63.0 $3.6 0.3x 4.89x
15
Growth Strategy
Same Clinic
Improvements
✓ Expand referral volume,
enhance clinician
efficiencies
✓ Promote cross-selling of
products and services
✓ Move back office functions
from clinics to corporate
✓ Perform staffing
optimization
De Novo Clinic
Expansion
✓ Increase de novo clinic
development over next 5
years
✓ Build market density by
clustering new clinics
✓ New clinician partnerships
New Hospital
Contracts
✓ Secure new hospital
contracts in existing/new
markets
✓ Explore additional
contracts within current
hospital network
New LTC
Contracts
✓ Leverage reputation/scope
to add new customers
✓ Explore new markets
requiring LTC services
Expanded Sales
Platform
✓ Develop and contract
bundled services offerings
(US)
✓ Cross-sell new products
and services across clinic
network
✓ Partner - Agile RPM
Software Services
Expand Work-FitTM
Program
✓ Expand marketing program
to self-insured employers
✓ Outreach program to Third
Party Administrators
✓ Acquisition of existing
industrial clinics
16
✓ Outpatient Rehabilitation is a >US$30 billion industry - Physical Therapy
accounts for approx. 90%
✓ Highly fragmented rehabilitation services with thousands of potential targets
(N. America)
✓ Largest 50 competitors comprise less than 25% of the market
✓ Outpatient rehab is significantly less costly than
surgery/hospitalization – with similar clinical effectiveness
✓ Pursue acquisitions of small rehabilitation clinic chains on margin-accretive
basis
✓ Pursue acquisitions of pain management and foot care clinics
✓ Near-term acquisition pipeline +50% increase in EBITDA
✓ Track record of effectively acquiring and integrating clinic assets
• Agility has previously completed 8 acquisitions with combined
purchase price of US$23 million
• Allowed Agility to enter new service markets and significantly expand
its geographic footprint
Growth through Acquisition
17
Management Team
Steven Davidson, PT, MBAChairman, CEO
Telfer Hanson
President, Interim CFO
Gene MiyamotoCOO
Brian PotterVP, Outpatient Clinic Ops
Michael DarayGeneral Counsel
Joe Laurent, MBAVP HR, CCO
Wayne CockburnVP, Corp Development
• 33 years healthcare experience
• Licensed physical therapist
• 33 years healthcare
• Master in Health Services Administration
• 25 years of investment banking experience
• Specific industry focus on medical technology
• Worked with Agility since 1996
• Licensed Physical Therapist; 24 years of clinical and management experience
• Previous partner with Law Weathers
• BA from University of Michigan and JD with from University of Minnesota
• Joined Agility in 2006
• 30 years Human Resource, Compliance experience
• Previous C-level experience in medical device industry, biotech
• 33 years capital market experience, M&A, licensing, partnering and investor relations
THANK YOU
For more information, please contact:
Wayne Cockburn
VP, Corporate Development
(905) 505-0770
Agility Health - Timeline
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AGILITY HEALTH FOUNDED
KEN SCHOLTEN JOINS AGILITY
(1977)
FOUNDER SELLS AGILITY TO MERCY HEALTH (1985)
STEVE DAVIDSON JOINS AGILITY (1989)
AGILITY FORMS ADVENT JV WITH MERCY HEALTH/ST. MARYS
HEALTH (1996)
S. DAVIDSON & K. SCHOLTEN ACQUIRE AGILITY THROUGH
MANAGEMENT BUYOUT (2003)
ACQUIRED AMATO PT & CONTINUUM (2010)
ACQUIRED BORDER THERAPY, PEAK PERFORMANCE, PANTHER
PT (2011)
RECAP WITH ALARIS (2012)
GO PUBLIC : ACQUIRED WORK-FIT & EXCEL SPORTS AND PT
(2013)
ACQUISITION OF MEDIC HOLDINGS (2017)
1968 1973 1978 1983 1988 1993 1998 2003 2008 2013