medworxx solutions inc. corporate overvie investor deck april...medworxx solutions inc. corporate...
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© Medworxx Inc., 2015 All Rights Reserved.
This presentation contains forward-looking statements. Often, but not always, forward-looking statements can be identified by the use of words such as “plans”, “expects” or “does not expect”, “is expected”, “estimates”, “intends”, “anticipates” or “does not anticipate”, or “believes”, or “recurring” or variations of such words and phrases or state that certain actions, events or results “may”, “could”, “would”, “might” or “will” be taken, occur or be achieved. Forward-looking statements involve known and unknown risks, uncertainties and other factors, such as competition, technological changes, the changing needs of hospitals, the financial condition of Medworxx’s current and potential customers, foreign currency exchange rates, as well as general economic conditions, which may cause the actual results, performance or achievements of Medworxx to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements. Actual results and developments are likely to differ, and may differ materially, from those expressed or implied by the forward-looking statements contained in this presentation. There can be no assurance that forward-looking statements will prove to be accurate, as actual results and future events could differ materially from those anticipated in such statements. Accordingly, readers should not place undue reliance on forward-looking statements. Neither the TSX Venture Exchange nor its Regulation Services Provider (as that term is defined in the policies of the TSX Venture Exchange) accepts responsibility for the adequacy or accuracy of this presentation.
Forward Looking Statements
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Medworxx :: Corporate Overview
• Medworxx Solutions Inc. founded in 2004 • Toronto-based Hospital Patient Flow Software Provider • Multi-year, Recurring per-bed revenue model • Strong capital position to execute international growth strategy in 2014/2015 Shares Outstanding 27.3M Market Cap ($0.37 share price at 2014/12/31) $ 10.1M Net Cash $ 1.7M 2014 Revenue $ 6.2M Institutional Ownership 50%
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Medworxx :: Highlights
• Medworxx Patient Flow aids hospitals to reduce spending and increase patient throughput; thereby optimizing hospitals’ utility and maximizing ROI
• Large near-term opportunities in Canada, US, UK, Australia, and France representing over 1,670,000 hospital beds and a $351 M annual revenue opportunity
• Goal of becoming the de facto standard in hospital patient flow solutions – Currently 32% of Canadian acute-care beds under license*
• Scalable growth with high-margin target markets
• Intellectual property fully developed with limited capex requirements
• Legacy Compliance & Education product suite generates consistent cash
flow
*Excluding Quebec
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Patient Flow Addressable Market :: Near-term
Canada
US
UK
France
Australia
Potential Annual Opportunity
$15M $200M $34M $85M $17M
Total Hospital Beds
79,000 940,000 160,000 415,000 82,850
Medworxx Licensed Beds PTR Engagements
25,495
9
4
3,050
25
710
4
6
5
Medworxx :: IT Solutions
Patient Flow Platform
Launched in 2008
Compliance & Education
Launched in 2005
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across >400 hospitals in 5 countries
Learning Management
Policies & Documents
Medworxx :: Corporate history
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The company started in 2005 with a focus on the Compliance and Education (C & E) market. The Medworxx e-learning solution was launched along with a document management system focused on policies and procedure management.
Today, there are over 200 organizations (including hospitals) using the C & E platform. The Medworxx C&E platform is the leading industry solution in Canada with a customer presence in the United States and Australia.
In 2008 Medworxx entered the Patient Flow space with the purchase of the Continuum patient flow software solution. Continuum began in the 1990’s as a paper methodology to bring clinical utilization review to the Canadian market. Medworxx renamed the solution Clinical Criteria. Clinical Criteria developed into the flagship of the patient flow platform.
Medworxx Clinical Criteria methodology combines evidence based clinical criteria sets with a powerful technology workflow engine and robust data analytics. Quickly the Canadian marketplace adopted the Medworxx patient flow solution - currently licensed in 32% of all acute care hospital beds in Canada.
Medworxx added additional modules to create a fully functional patient flow platform. Modules include; Clinical Criteria, Bed Management, Forms and Assessments, and Housekeeping and Portering.
In 2011 Medworxx expanded into the UK marketplace and in 2014 Medworxx expanded into the United States, France and Australia. Medworxx has effectively demonstrated the solution is applicable internationally.
2013: International roll-out of the Medworxx Patient Throughput Review continues to provide participating hospitals with insightful diagnostic analytics . In 2014 the first operational use conversion contact is signed in France.
200+
© Medworxx Inc., 2015 All Rights Reserved.
$49,500 loss per bed, per year due to inefficient patient flow*
*The Advisory Board
$1,100 average cost of a hospital bed per day
45 average days lost per bed per year due to inefficiencies
Inefficient Patient Flow :: Higher Costs
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$900B annually in hospital care in North America
Challenge Solution Result
Medworxx Unique Intellectual Property Over 20 years of Analytics Expertise
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Root of patient flow challenge -- too much variability in patients’ state and care
Reduce variability with daily clinical assessments -- under 3 minutes per patient
Less system-wide “drag” -- Fewer inefficiencies
Clinical Assessments
Forms & Assessments Clinical Criteria Bed Management
• Independent patient assessment form
• Core framework established
• Flexible dynamic enables institution configuration
• Monitors patient stay based on clinical assessment
• Real-time
• Improves discharge rates
• Efficient bed management tool
• Real-time clinical status
• Optimizes resource use
Medworxx :: Patient Flow Platform
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Identify Delay Hotspots
Maximize Existing Beds
Patient Flow Platform Analytics Engine
Integrates data to provide Management, Operational and Strategic Reports and Dashboards
Integrated Patient Flow Platform
Forms & Assessments
(Custom Risk Assessments)
Clinical Criteria (9 Criteria Sets: Acute, Community
Care & Virtual Wards)
Bed Management
(Includes Housekeeping & Portering)
Data Extract (ETL)
HL7 Interface (PAS)
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© Medworxx Inc., 2015 All Rights Reserved.
Reduced number of patient remaining in acute trust over 4 weeks1
Reduced ED admitted length of stay (LOS)2
Increased percentage of acute-care patients given an Estimated Discharge Date (EDD)3
15% to 89%
By 35%
Medworxx solutions Shaping the Future of Hospital Patient Flow
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“More patients never having an RFD associated with their stay means more timely discharges and a better flow of patients.” Jane Casey Director, Medicine Programs
“Using case managers and concurrent utilization management to safely handle a greater patient throughput with significantly fewer beds.” Janet Ross Deputy Director Operations
“It’s through Medworxx Patient Flow that we can have a system that manages, patient flow. If we don’t put it in the broader context, then we’re not leveraging the data we’re collecting. Simultaneously, Medworxx is about every patient, every day.” Paul Collins CEO
12 hrs to 7 hrs
1 Medworxx 2015 case study “Royal Liverpool & Broadgreen University Hospitals NHS Trust” 2 Medworxx Solutions Inc. proprietary materials and Management estimates 3 Medworxx 2012 case study “Medworxx Helps Southlake Regional Health Centre Streamline Patient Flow”
© Medworxx Inc., 2015 All Rights Reserved.
Cape Breton, Hospital NS, reduced medical Alternate Level of Care days1
Third party research shows in Year 1, the approximate Conservable Bed Days2
3 year target to Reduce Long Stay Outliers3
By 5%
“Significantly”
Medworxx solutions Shaping the Future of Hospital Patient Flow
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“One big improvement is the discharge process of our patients, it is much more organized. Medworxx Clinical Criteria gives me all the information I need to care for my patient.” WRHA Registered Nurse
Totaled 38,000 “Working with the Medworxx project team was one of the most organized and enjoyable projects I have ever experienced... I realized how efficient and effective the Medworxx team was.” Lorilee Scott Former Medworxx Informatics Specialist
“They already knew they had huge ALC issues in their district, but the Medworxx data provided concrete evidence and gave them the ability to track improvement progress.” Nicole Lukeman Provincial Patient Flow System Facilitator
1Medworxx 2015 case study “Nova Scotia Chooses Medworxx to Improve Patient Throughput & Capacity Management Province-Wide” 2 Leidos 2014 case study “AHS- HOW A PROVINCIAL APPROACH TO PATIENT FLOW IS REDUCING CONSERVABLE BED DAYS AND SAVING SIGNIFICANT COSTS” 3 Medworxx Solutions, Inc. proprietary materials and Management estimates
32% Acute-care Beds
in Canada . .
200+ Patient Flow Hospitals Canada, UK, France
. . 25,500+
Acute-care Beds Canada
. . 3,050
Acute-care Beds UK
. . 710
Acute-care Beds France
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Medworxx :: Current Penetration
Expanding in Australia
© Medworxx Inc. 2015 15
Medworxx Market Coverage
Provincial & Regional Authorities • Alberta Health Services • Fraser Health Authority; Vancouver Coastal Health Authority, BC • The Province of New Brunswick • The Province of Nova Scotia • Winnipeg Regional Health Authority, MB • Erie St. Clair LHIN, ON
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29,306 • Total number of
Medworxx licensed beds worldwide
32%* • Acute-care beds in
Canada using Medworxx Patient Flow Platform *Excluding Quebec
11% • Acute-care beds in
Canada licensed on Medworxx Bed Management Module
Patient Throughput Review
Medworxx partners with Consulting Firms to help consultants collect client specific data around the patient throughput process. The Patient Throughput Review captures client data and highlights areas which impede the patient flow process– from admissions to discharge. Consultants use this data to quantify the financial and clinical impact of patient delays.
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Specialized Data Collection and
Insightful Analytics
Performance Improvement
Expertise
Actionable Solutions
Medworxx Consulting Partner Client
Utilizing Patient Throughput Review
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Implementing Medworxx Patient Flow Software
Direct & Indirect
Distribution Model
• Direct Medworxx sales and/or Indirect consulting partner distribution
• Patient Throughput Review: an in-depth diagnostic exercise - Leveraging the capability of the data from the Medworxx patient flow software
48 PTRs in 5 Countries To Date (03/12/2015)
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Country Reviews Conducted
by Medworxx
Reviews Conducted by
Consulting Partner Total Reviews
UK 6 19 25
Canada 9 - 9
Australia 1 5 6
France 1 3 4
US 2 2 4
Total 19 29 48
Focus on High Growth Patient Flow Opportunities
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Non-Recurring Revenue Recurring Revenue
$5.4M
-
1.00
2.00
3.00
4.00
5.00
6.00
7.00
2010 2011 2012 2013 2014
Annual Contract Value of
Recurring Revenue
© Medworxx Inc., 2015 All Rights Reserved.
Recurring revenue
Non-recurring revenue
80%
20%
Maintenance and Hosting fees
Annual Renewable Software Licenses
Perpetual Software Licenses
Consulting Services
Recurring Revenue :: Business Model
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Term or Annual
Renewable (Licences
and Other), 48.3%
Maintenance and support,
31.5%
Consulting Services,
12.6%
Perpetual (Licences
and Other), 7.5%
Enterprise Valuation :: Comparison (ttm)
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*Enterprise Value/ Revenue – is calculated as the market cap plus debt, minority interest and preferred shares, minus total cash and cash equivalents.
Corporation Stock Symbol/Exchange Enterprise Value/Revenue Medworxx Inc. TSXV:MWX 1.97 Cerner Corporation Nasdaq: CERN 7.19 Authentdate Holdings Corp. Nasdaq: ADAT 2.63 Computer Programs & Systems Inc. Nasdaq: CPSI 2.77 MedAssets, Inc. Nasdaq: MDAS 2.81 Medidata Solutions Inc. Nasdaq: MDSO 7.68 Merge Healthcare Inc. Nasdaq: MRGE 2.83 Quality Systems Inc. Nasdaq: QSII 1.74 Streamline Health Solutions Inc. Nasdaq: STRM 2.39 WebMD Health Corp. Nasdaq: WBMD 3.21 Syslogist Ltd. TSXV: SYZ.V 7.87 Constellation Software Inc. Toronto: CSU.TO 5.7
Medworxx :: Leadership
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Board of Directors George Elliott, Chairman of the Board - Director, executive, advisor on long-term financial strategies to numerous public companies
Dan Matlow, Director - President & CEO, Medworxx
Paul Collins, Director - President & CEO at St. Thomas Elgin General Hospital
Steve Garrington, Director - Vice President International at InterSystems
Har Grover, Director - Founder and Managing Director of Nucleus GC
Lee Matheson, Director - Co-founder of Broadview Capital Management Inc.
Barry Tissenbaum, Director - Independent consultant; former Senior Partner with Ernst & Young
Bernard Webber, Director - 26+ years with Ontario Public Service; former member, Board of Governors of the Information Technology Association of Canada (ITAC)
Medworxx :: Leadership
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Advisory Committee Frances Pennell - Consultant and former Partner with PricewaterhouseCoopers (PwC) USA
Sam Marafioti - Vice President of Corporate Strategy and Development, CIO at Sunnybrook Health Sciences Centre, Toronto
Renah Persofsky - The Portable Executive; founder and former President & CEO of Dexit Incorporated
Medworxx :: Leadership
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Executive Team Dan Matlow, President & CEO - 20+ years experience in software sales, consulting, and development; Former VP of Healthcare Services Open Text; helped grow Corechange from $0 - $27M revenue with 70+ hospital customers in North America
Peter Ellis, UK Managing Director - 40 years of international management and consulting experience including leadership roles within the UK National Health Service (NHS), former President and CEO of Sunnybrook Health Science Centre, ON and Senior Partner at Ernst & Young
Brian Goffenberg, CPA, CA, CFO & Executive Vice President - 20+ years experience in international financial management at Philips Lifeline, DWL and Delrina (now Symantec); emphasis on IT market
Niels Tofting, Senior VP Sales - 10+ years experience in sales and sales management at Corechange and Open Text; top sales performer; emphasis on the healthcare market
Lori Frampton, MHS, RN, VP Patient Flow Process Improvement and Data Analysis - 18+ years in senior healthcare management at Health Quality Ontario, Royal Victoria Hospital, Ontario MOHLTC, Certified Lean/Six Sigma Black Belt
Larry Vanier, VP Decision Support & Healthcare Processes - 25+ years in healthcare IT; former principal at Continuum, focused on product development, sales and support
Joel Alfane, VP Development & Services - 10+ years in software development and implementations; former Director, Learning Development, Longview Solutions
Andre Vandenberk, VP Product Management - 30+ years in information technology and an original founder of Medworxx
Nadine Brown, Marketing Director - 10+ years marketing communications; former National Healthcare Communications Lead with Siemens Canada
Medworxx Solutions Inc. Dan Matlow, President & CEO [email protected] 416.642.1278 x311
Brian Goffenberg, Chief Financial Officer & EVP [email protected] 416.642.1278 x315