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Integrated Healthcare for Better Patient Outcomes Apollo Medical Holdings, Inc. Investor Presentation July 2015
Transcript
Page 1: Ameh 201507

Integrated Healthcare for Better Patient Outcomes

Apollo Medical Holdings, Inc.

Investor Presentation

July 2015

Page 2: Ameh 201507

Safe Harbor Statement

This presentation may contain forward-looking statements, including information about management's view of

Apollo Medical Holdings, Inc. (“the Company”) future expectations, plans and prospects. In particular, when used

in the preceding discussion, the words "believes," "expects," "intends," "plans," "anticipates," or "may," and similar

conditional expressions are intended to identify forward-looking statements. Any statements made in this

presentation other than those of historical fact, about an action, event or development, are forward-looking

statements. These statements involve known and unknown risks, uncertainties and other factors, which may

cause the results of the Company, its subsidiaries and concepts to be materially different than those expressed or

implied in such statements. Unknown or unpredictable factors also could have material adverse effects on the

Company’s future results. The forward-looking statements included in this presentation are made only as of the

date hereof. The Company cannot guarantee future results, levels of activity, performance or

achievements. Accordingly, you should not place undue reliance on these forward-looking statements. Finally,

the Company undertakes no obligation to update these statements after the date of this release, except as

required by law, and also takes no obligation to update or correct information prepared by third parties that are

not paid for by Apollo Medical Holdings, Inc.

2

Page 3: Ameh 201507

Summary

An integrated, population healthcare management delivery company

Medical Management, Care Coordination and Physician Care for 100,000+ people

Nearly 200% year-over-year revenue growth; majority organic and recurring

$33.0 Million FY 2015 vs. $11.2 Million in FY 2014; EBITDA positive in Fiscal Year and Q4 2015

One of few “pure play” public companies in this high growth, low beta sector

Increasing flow of investment capital into sector, robust M&A valuations and IPOs

Experienced and proven management team

Fresenius Medical Care invested $12 Million in March 2014

Growth capital targeted for geographic expansion and acquisitions

3

Page 4: Ameh 201507

Equity Overview

OTC: AMEH (NASDAQ Uplist Pending Approval)

Outstanding Shares: 4.9 Million

Recent Price: $6.95

52 week range: $4.50 - $9.75

Market Capitalization: $34M

Enterprise Value: $35.5M

Price / Sales: 1.0X ttm

Fiscal Year ends March 31, 2015

4

Page 5: Ameh 201507

ApolloMed Overview

Integrated physician healthcare services

Direct Patient Care

Inpatient Care: Caring for patients in the hospital

Hospitalists, Critical Care Specialists, Physician Advisors

Outpatient Care: Caring for patients outside of the hospital

Primary Care Physicians (PCPs), Specialists, Clinics, Home Health

Population Health Management

Management of complex, chronically ill patients

Data driven analytics

Care Coordination for all patients

Management of Total Cost of Care

5

Page 6: Ameh 201507

Diversified Revenue

Revenue from Hospitals, Health Plans, Medical Groups and Government

Range of payments from Fee for Service (FFS) to Full Risk models

Maverick is capitated entity paid monthly from Health Plan Premiums

Scalable model with focus on growing integrated platform outside of California

ApolloMed has 50+ different payors

6

Page 7: Ameh 201507

7

ApolloMed Model – Inpatient and Outpatient Care Driving Patient Outcomes

ApolloMed ACO (709 exclusively signed physicians & nearly 30,000 Medicare FFS patients)

– Population Management

– Care Coordination

Maverick Medical Group (IPA) (150+ PCP, 400+ specialists, & 10,000+ patients )

– Capitated entity

– Provider and full risk medical management

ApolloMed Hospital Physician Services (70+ hospitalists serving 28+ facilities)

– Hospitalist and Physician Advisory Services

– Post-acute services

ApolloMed Care Clinics

Primary Care (2)

Cardiovascular / Specialty Care (2)

Palliative Care

Home Health

Hospice

CLIN

ICA

L E

XP

ER

TIS

E

Page 8: Ameh 201507

Industry Trends

Government and private sector trend from FFS/volume to outcome driven

Value based reimbursement, Bundled Payments, ACO, PTN

Irrespective of politics, better care and lower cost goals will continue

Transparency of information; by procedure, by physician, by hospital

New physician driven models forming and gaining traction

Physician and Patients are core of healthcare in emerging landscape

By 2016, 85% of Medicare payments will be tied to quality and value

By 2018, at least 50% of payments will be paid through “Alternative

payment models” , such as ACOs, PTNs, Bundled payments

Consumers are becoming more engaged in their own care

Exchanges, Rising Premiums, Social Media

8

Page 9: Ameh 201507

Healthcare and Healthcare Delivery Market is Large and Growing

Seniors are increasing in number and living longer

76 Million baby boomers

3.6 Million new Seniors every year

US Healthcare market

$2.8 Trillion in 2012

Growing to nearly $4.8 Trillion by 2021

50+% US spend is on Hospital and Physician Care

(Bio and IT only about 20% total)

Healthcare is ~17% of US GDP heading to near 20%

of US GDP by 2021

All signs point to increased market size and need to

optimize healthcare costs into the next decade

9

Page 10: Ameh 201507

10

Senior Market Growth is Significant

Page 11: Ameh 201507

Apollo Differentiators

Expertise in providing high quality, cost efficient care

Expertise in managing complex, chronically ill patients

Leverage integrated platform to actively manage all patients

ApolloMed built on “emerging” trend of value based healthcare

Data analytics; past, current and predictive

Physicians want to be part of physician groups

Population management and care coordination capabilities

Ability to take risk profitably

11

Page 12: Ameh 201507

Why Doctors are Joining Us?

Network Providers (Maverick and ApolloMed ACO)

Potential for additional patients through integrated network

Fixed rate PMPM and shared savings payment models for potential income increases

Access to “full picture of patients” through data and technology

Assistance with coding and transition to value based care US Healthcare System

Alternative for physicians to remain independent; not employed by hospital or health plan

Staff Model Doctors

Increased compensation

Flexible scheduling (one week on/one week off)

No billing or credentialing headaches

Malpractice insurance, Licensing, Hospital Privileges paid for

Physicians get equity and options

12

Page 13: Ameh 201507

13

ApolloMed Hospitalist Impact

Significant Outperformance - Sample Hospitalization Utilization Metrics

3.3

6.8

6.1%

18.0%

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

ApolloMedMedicare LOS

Medical StaffMedicare LOS

ApolloMedMedi-Cal

Denial Rate

Medical StaffDenial Rate

Medicare Average LOS*

733

864

1,706

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

ApolloMed DaVita HCP Medicare FFS

Senior Inpatient Bed Days/1,000 Patients

*LOS=length of stay; Performance Year 1= July 2012 to December 2013

687

543

0

500

1000

Benchmark Performance Year 1*

ApolloMed ACO Hospitalization Rate per 1,000

Page 14: Ameh 201507

14

Significant Outperformance - Sample Hospitalization Utilization Metrics

189

258

302

0

50

100

150

200

250

300

350

Maverick IPA California National

Senior Admits/1,000

230

195

170

180

190

200

210

220

230

240

Benchmark Performance Year 1

ApolloMed ACO 30-Day All-Cause Readmission per 1,000

Discharges

78.4%

86.3%

74%

76%

78%

80%

82%

84%

86%

88%

Maverick IPA National

Senior Medical Loss Ratio (MLR)

Page 15: Ameh 201507

Major Milestones

15

2014

2012

• ApolloMed Hospitalists

founded in 2001

• ACO license awarded in

July 2012

• Commenced Population

Management with ACO

• Maverick IPA founded

• Developed integrated

strategy

• Approved for duals

pilot program

• Maverick secures

multiple health plan

contracts

• Managed first full

risk patient

• Rite Aid partnership

• Secured first $4

Million of Fresenius

investment

• Closed $12 Million

Fresenius investment

• Added leadership

• Acquired AKM Medical

Group

• Acquired Cardiology clinic

• Acquired Home Health &

Hospice companies

• ACO achieved $10.9

Million in savings and

receives $5.4 Million from

CMS

2013

Page 16: Ameh 201507

Scaling of Networks and Patients is Accelerating

16

PY1 PY2

48

175

400

0

100

200

300

400

500

Number of Maverick Doctors

130

709

0

100

200

300

400

500

600

700

800

Number of ACO Doctors

2012 2013 2014

PY1 PY2

0

5,000

10,000

0

2,000

4,000

6,000

8,000

10,000

12,000

Number of Maverick Patients

2012 2013 2014

10,200

30,000

0

10,000

20,000

30,000

40,000

Number of ACO Patients

Page 17: Ameh 201507

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Revenue from investment efforts is growing

0

5

10

15

20

25

30

35

FY2013 FY2014 FY2015

Apollo Annual Revenue

Apollo Annual Revenue

Note: Fiscal year 2015 is from April 1, 2014 to March 31st, 2015

$33 Million

Page 18: Ameh 201507

Income Statement and Balance Sheet Summary

FY 2015 revenue of $33.0M vs. $11.2M Y/Y (195% gain)

Nearly 70% of this growth is organic and recurring

Emphasis on Maverick IPA, ACO and acquisition growth

FY 2015 Net Loss of ($.7M) vs. ($4.4M) in FY 2014

Loss improvement while making infrastructure investments

FY 2015 EBITDA of $467K and Gross Profit Margin of 33%

Operating businesses generating cash

Q4 2015 revenue increase of $9.6M from $3.2M; 200% gain

Total Assets of $15.0M and Cash/Equivalents of $5.0M

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Page 19: Ameh 201507

Business Strategy

Scale current businesses in California

Establish and grow networks outside of California

Emphasize Population Management Growth

Focus on strategic acquisitions in attractive geographies

Continue to scale infrastructure including centralized data

analytics and “real-time” technology advances

Continue to assume and manage medical and financial risk

19

Page 20: Ameh 201507

More than 20 years in managed care industry

Previously COO of Prospect Medical Group, managing over 250,000

patients in 13 IPAs. Former Regional Vice President of Cigna Health Plan

Co-founder

Medical degree from the University of California, Irvine

Diplomate of the American Board of Internal Medicine

Early partner of HealthCare Partners (acquired by DaVita).

Visionary in the fields of Palliative Care and Hospital-at-Home Care

30 year veteran in the field

Appointed CFO in May 2014. Director since 2012.

Former CEO of USC University Hospital and USC/Norris Cancer Center;

former CFO and Vice Chancellor of UCLA Medical Center; former CFO of

Beth Israel Deaconess Medical Center and Tufts University Medical Center.

Co-founder

Medical degree from the Georgetown University School of Medicine and

completed Residency in Internal Medicine at USC

Our Leadership

Warren Hosseinion, M.D.

CEO & Director

Mitchell Creem

CFO & Director

Liviu Chindris, M.D

President of Apollo Palliative Services

Adrian Vazquez, M.D.

Chief Medical Officer

Mark Marten

President, Maverick Medical Group

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Page 21: Ameh 201507

CEO of SCAN, 10th largest MA plan in the U.S.

Expertise in Government relations, Knox Kneene and Healthcare IT

CEO of Appzure, Inc.

Founder and CEO of Accelerated Networks, which he took public on the

NASDAQ in 2000.

37 years in private and public healthcare sectors

CEO of USC University Hospital and USC/Norris Cancer Hospital

Former Senior Vice President of Operations for Tenet

Board of Directors

Strategy, Capital, M&A, and Corporate Development for ApolloMed (FT role)

Served as CEO, Corp Dev/M&A, Consultant roles with S&P 500 (Prudential

Healthcare, Fluor, Fed Ex ) and growth healthcare and technology companies

Gary Augusta

Executive Chairman

Ted Schreck

Director

Suresh Nihalani

Director

David Schmidt

Director

Warren Hosseinion, M.D.

CEO & Director

Founder and managing partner of SEC Law Firm in Los Angeles.

Over 25 years of experience in public and private securities offerings, IPOs,

SEC reporting, corporate governance and M&A. Has given testimony to the

SEC’s Advisory Committee of the American Bar Association. J.D. from NYU.

Lance Kimmel

Director

Mitchell Creem

CFO & Director

21

Page 22: Ameh 201507

Valuations are robust and accelerating for value based, risk taking models

Evolent (NYSE: EVH) – IPO June 5th

Population Management and Value Based Care Offerings

$1+B valuation on $100M revenues with operating losses (S1 data)

OSCAR

Valued at $1.5 Billion with 40,000 risk lives and $200M revenue

NY/NJ focus with Goldman Sachs investment

Humana and Health Net Acquisitions

Large Equity gains and potential for more M&A (Pop Mgt. and Risk rationale)

Hospitalist/ER and Integrated Care Companies

Davita/HCP, Envision Holdings (EVHC), Team Health (TMH), IPC (IPCM)

Valued around 1.5X-2.0X ttm revenues and 10+X EBITDA multiples

22

Page 23: Ameh 201507

Equity Overview

OTC: AMEH (NASDAQ Uplist Pending Approval)

Outstanding Shares: 4.9 Million

Recent Price: $6.95

52 week range: $4.50 - $9.75

Market Capitalization: $34M

Enterprise Value: $35.5M

Price / Sales: 1.0X ttm

Fiscal Year ends March 31, 2015

23

Page 24: Ameh 201507

Robust Recent M&A and Investment Activity

24

Buyer Seller Date Price

DaVita HealthCare Partners May 2012 $4.42 Billion

Humana Metropolitan Health December 2012 $850 Million

Anthem CareMore June 2011 $800 Million

UnitedHealth Monarch September 2011 $1 Billion

Fresenius Sound Physicians July 2014 $600 Million

Anthem Care1st December 2014 $1.25 Billion

Anthem Simply Healthcare December 2014 $1 Billion

AmSurg Sheridan Healthcare May 2014 $2.35 Billion Company Investor Date Amount

Oscar Health Goldman Sachs April 2015 $145 Million

($1.5 BILLION Valuation for 40,000 lives)

Privia Health Goldman Sachs September 2014 $400 Million

Alignment Health General Atlantic April 2014 $125 Million


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