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(NASDAQ: CATS)
Corporate Presentation - November 2017
Solving the High-Cost Problem of Untreated Behavioral Health Conditions
Š2017 Catasys. All Rights Reserved. Catasys is a registered trademark with the U.S. Patent and Trademark office.
Except for statements of historical fact, the matters discussed in this press release are forward-looking and made pursuant to the Safe Harbor
provisions of the Private Securities Litigation Reform Act of 1995. These forward-looking statements reflect numerous assumptions and involve
a variety of risks and uncertainties, many of which are beyond our control, which may cause actual results to differ materially from stated
expectations. These risk factors include, among others, changes in regulations or issuance of new regulations or interpretations, limited
operating history, our inability to execute our business plan, increase our revenue and achieve profitability, lower than anticipated eligible
members under our contracts, our inability to recognize revenue, lack of outcomes and statistically significant formal research studies,
difficulty enrolling new members and maintaining existing members in our programs, the risk that the treatment programs might not be
effective, difficulty in developing, exploiting and protecting proprietary technologies, intense competition and substantial regulation in the
health care industry, the risks associated with the adequacy of our existing cash resources and our ability to continue as a going concern, our
ability to raise additional capital when needed and our liquidity. You are urged to consider statements that include the words “may,” “will,”
“could,” “should,” “believes,” “estimates,” “projects,” “potential,” “expects,” “plan,” “anticipates,” “intends,” “continues,” “forecast,”
“designed,” “goal,” or the negative of those words or other comparable words to be uncertain and forward-looking. For a further list and
description of the risks and uncertainties we face, please refer to our most recent Securities and Exchange Commission filings which are
available on its website at http://www.sec.gov. Such forward-looking statements, whether as a result of new information, future events or
otherwise, except as required by law.
2
Forward-Looking Statements
Catasys combines Big Data analytics and predictive modeling with state-of-the-art
treatment programs for Behavioral Health diseases
▪ Focuses on “treatment avoidant” member population
▪ Virtual, scalable, replicable, data supported, evidenced based practices
▪ Enhances members’ access to care
▪ Provides for full reimbursement
At a Glance
Ticker NASDAQ: CATS
Stock Price* $3.75
Common Shares
Outstanding
15,889,171
Float $4.7M
Average Daily
Volume
56,000
Market Cap $59.6M
Warrants (WAEP
$4.88)
1,921,528
Analyst Coverage
Chardan Capital;
Joseph Gunnar;
Tailwinds
Research Group
Solving Today’s Challenge of Behavioral Health Care
3
The Health Care Problem
Underserved populations with behavioral health conditions (substance use
disorder, depression, anxiety) do not seek treatment (avoidant population)
▪ Access to care
▪ Reimbursement
▪ In companion with other chronic diseases, behavioral health conditions
increase health care costs at a significant multiple of norms
The Catasys Solution
* At October 2, 2017
Investment Thesis
4
• Catasys’ solution (OnTrak) reduces medical costs by ~50%
for enrolled members
▪ Incentivizes health plans to pay 100% of member treatment costs
▪ Provides health plans a 3-to-1 ROI
• OnTrak program targets individuals suffering from chronic
disorders such as substance use disorder, anxiety and
depression who rarely seek care
• Large market opportunity with no direct competitors
• Financial Guidance of $20 Million for 2018
▪ Based solely on existing outreach pool of individuals (25,000), with
newly signed agreements and higher enrollments from existing
agreements adding incremental growth potential
▪ Guidance does not include any upside potential from new contracts,
subsequent launches from existing contracts, and expansions within
existing contracts, which would all be incrementally beneficial.
Signed Contracts with
Tier-1 Health Insurance Companies
▪ Average receivables of 45 days upon billing
▪ Currently enrolling participants in 19 states
▪ Significant embedded revenue growth as
current agreements ramp and expand
Billings*
2018E $20M
Exit Run Rate at End of 2018E $25M
* Billings: Catasys contracts are generally designed to provide cash fees on a monthly basis based on enrolled members. To the extent contracts may include a minimum
performance guarantee; Catasys reserves a portion of the monthly fees that may be at risk until the performance measurement period is completed. A Non-GAAP
reconciliation is available at the end of this presentation.
2004
Catasys is founded
with the goal of
improving the
options for those
with behavioral
health needs
2010
First OnTrak
contract is
signed
2015
Catasys completes
one-year study with
Humana.
After favorable
results, signs
National Agreement
2016
Catasys expands
rollout of OnTrak
program in 18
states
2017
Catasys
expands
rollout of
OnTrak
program to 19
states
Outreach pool
of individuals
exceeds 25,000,
a record for the
Company
5
The Catasys Solution – Entering Growth Phase
2018
Catasys’ OnTrak solution
has gained traction, is
increasing enrollment
significantly, and the
largest health care
plans are signed and
supporting the program.
Based solely on existing
outreach pool, Catasys
expects to report
billings of $20M for 2018
Understanding the
Market
7
• Members with behavioral health disorders average higher medical costs for covering health insurance
providers
▪ Treatment costs of approximately $201 billion for behavioral health (2013)
▪ Compared to $147 billion for cardiovascular conditions and $122 billion for oncology
Behavioral Health Disorders
27 million people suffer from
substance use disorder
43 million U.S. Adults have
an anxiety disorder
15.6 million people
suffer from depression
Only 2 of 10 seek treatmentOnly 1 of 3 seek treatmentOnly 1 of 10 seek treatment
Source: National Survey on Drug Use and Health, September 4, 2014: Substance Use and Mental Health Estimates from the 2013 National Survey on Drug Use and Health: Overview of Findings
National Institute of Mental Health (NIMH): Any Anxiety Disorder Among Adults - https://www.nimh.nih.gov/health/statistics/prevalence/any-anxiety-disorder-among-adults.shtml, January 2016.
National Institute of Mental Health (NIMH): Major Depression Among Adults - http://www.nimh.nih.gov/health/statistics/prevalence/major-depression-among-adults.shtml , January 2016.
U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration Study on Behavioral Health Spending & Use Accounts 1986 – 2014, printed 2016 - http://store.samhsa.gov/shin/content/SMA16-4975/SMA16-4975.pdf. Source: Health Affairs
8
Behavioral Health Disorders – Eligible Members Cost up to 4.5X
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
Hypertension Asthma Bipolar Chronic Pain Diabetes CAD COPD CHF
All Other Catasys Eligible
+ 417%
+ 448% + 196%
+ 312%
+371%
+ 203%
+ 162%
+ 130%
PerMemberPerMonth
9
Catasys Eligible Populations
Catasys’ eligible population makes up 22% of the $1.1 trillion private healthcare costs in the U.S.
Eligible population costs health plans $30,000 on average per member per year
▪ Catasys provides the health plan ~50% savings per enrolled member
▪ Provide a 3-to-1 R-O-I
▪ 20% target for eligible enrollees
▪ Incentivizing health plans to cover 100% of the cost to treat each patient
Catasys customers include commercial, Medicare and Medicaid plans. Based on the Company’s data, the member
populations have a different incidence of the targeted behavioral health disorders.
• Commercial population:
▪ Substance Use Disorder (SUD) members - approximately 0.45% of the adult members eligible
▪ SUD, Depression (Dx) and Anxiety (Ax) - approximately 2.00% of the adult members eligible
• Medicare Advantage & Medicaid population:
▪ SUD members - approximately 1.13% of the adult members eligible
▪ SUD, Dx and Ax - approximately 2.67% of the adult members eligible
Source: Catasys’ data and analytics derived from actual health plan claims data
• Majority of high cost members with coexisting behavioral and medical conditions do not seek treatment
(passive)
• Small percentage of members enroll in outpatient and an even smaller percentage enroll in inpatient
treatment centers (facility based)
▪ Not cost effective – the expense puts it out of reach of most patients
▪ Short-term care – Research indicates the 30-day program is less likely to succeed compared to a longer
program given the duration of care
▪ No data – A lack of data on impact on patients’ health and ongoing costs to health plans
▪ Lack of evidence based best practices
▪ Little to no integration with medical and psychosocial treatment
▪ Time prohibitive – avg. person unable to leave work for a month or more
▪ Low reimbursement – health plans do not offer high reimbursements for inpatient treatment centers due to
high costs and lack of data to prove impact on patient health
10
Source: National Institute on Drug Abuse - Principles of Drug Addition Treatment: A Research-Based Guide - https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/principles-effective-treatment
Industry Challenges that Catasys Addresses
The Catasys Solution
12
OnTrakTM : Proprietary Integrated Approach
The OnTrak solution is a fully integrated approach that includes:
• Predictive analytics used to identify and understand the eligible members to engage
• Ongoing outreach, engagement and modification of behavior techniques
• 52 week outpatient program
▪ Member centric – patients receive a customized treatment based on their needs
• Care Coach support
• Integrated medical and psychosocial treatment
• Member electronic clinical record
• Provider training and ongoing evaluations
• Development of select provider networks
• High intensity
13
Steps to the Process
Source: Catasys data and analysis
• Catasys identifies, enrolls, engages and treats hidden, passive, care avoidant, high cost members
1. Partnering: Catasys has been engaged by several of the leading health plan providers in the U.S.
2. Data ingest: each health plan provides Catasys with member data on a regular basis
3. Identifying Eligible Participants: through proprietary analytics and predictive modeling, Catasys
identifies the right members driving current/future medical spend
4. Engages: using unique, sustained outreach and enrollment tactics, Catasys places members directly
into OnTrak
5. Treats: Catasys provides evidence based, 52 week outpatient treatment program, OnTrak
14
OnTrakTM : Identifying the Right Patients
Using BIG DATA, knowing who to engage…
• Receive medical claims data from contracted health insurance companies
• Catasys uses predictive analytics and models to identify which members have
coexisting behavioral and medical conditions:
▪ Solution initially focused on SUD, anxiety and depression
▪ Eligible members average $30,000 annual claims expense
▪ Data mining techniques and analytics are used to identify which members are
likely to have significant impactable costs
▪ 73% of Catasys identified members do not have any behavioral health treatment
claims in the last year – clear need for appropriate care
Source: Catasys data and analysis
• Care avoidant members struggling with behavioral health disorders are typically difficult to engage
• Catasys’ outreach program successfully convinces high cost, care avoidant members to enroll in the
OnTrak program
• Outreach tactics:
15
OnTrakTM : Outreach and Enrollment
Source: Catasys data and analysis
1. Use multiple modalities for outreach, such as phone and mail outreach
2. Use motivating communication that is patient research driven
• Utilize direct knowledge of trigger points
• Research to understand behaviors, motivators and fears
3. Build relationship and establish trust with Care Coach
• Consistency of Care Coach or outreach specialist serves as point of contact over the
outreach campaign, to facilitate comfort with enrollment
16
52 Weeks
Medical & Pharmacological
Psychosocial Treatments
Community Based Programs
Medical & Pharmacological
(as appropriate)
• Medical evaluation and assessment
• Pharmacological intervention
• MD involvement
Psychosocial
• Proprietary OnTrak manualized psychosocial
treatment program
• Developed in coordination with leading experts in
SUD, anxiety and depression
• Focused on Cognitive Behavioral and Motivational
Enhancement Therapy
Care Coaching
• Personal Care Coach
• 52 weeks continuous support and coaching
• Helps assess, manage and support members’
recovery
Care Coaching
- Outreach
- Enrollment
- Engagement
- Retention
OnTrakTM : A Fully Immersive 52-week Program
17
OnTrakTM : Humana and Catasys Joint Evaluation
Source: Catasys data and analysis
• In April 2015, Humana and Catasys reported the results of a retrospective evaluation of the
effectiveness of the OnTrak program in a poster at the American Society of Addiction Medicine.
• OBJECTIVE:
▪ Compare changes in ER visits and inpatient
hospitalizations for participants in the substance abuse
treatment (SAT) group
▪ Compare changes in total cost of care among participants
in SAT group versus eligible individuals who did not
participate (control)
• RESULTS:
▪ 16% fewer ER visits
▪ 67% fewer inpatient hospitalizations
▪ 46% reduction in health care costs compared to a 14%
increase in costs for the control group
Catasys’
Business Model
19
Defining Catasys’ Market Opportunity
(1) Source: Kaiser Family Foundation / US GOV
The Catasys
Opportunity
TOTAL ELIGIBLE LIVES:
3,773,048
Catasys Enrollment Rate: 20%
Medicare
Advantage
3%, or 519,000
Managed Medicaid
4%, or 750,000
Commercial
2%, or 2,524,048
Of the 161.8M of Insurable Adults, below are those afflicted
with substance use disorder, anxiety, and depression
Total Insured
Market
Medicare
Advantage
17.3M
Managed
Medicaid
36.5M
Commercial
151.4M
Adults Approximate Market Size:
161.8 Million
Adults
17,300,000
100%
Adults
18,250,000
50%
Adults
126.2 Million
84%
Scaling the business rapidly converts into Revenue / Cash Flow
20
Revenue per patient enrolled $8,500
Revenue per enrolled member at 78% retention $6,630
Revenue per 10,000 enrolled members $66,300,000
(1) All amounts are estimates and are calculated on adult lives (age 18+). Retention rates reflect the number of members who remain eligible for the program that stay enrolled; assumes per enrolled member monthly fee structure, while other fee
structures will vary.
Source: Ingenix Consulting database, 20MM commercial plan lives 2005-2006 and Catasys Analysis.
Revenue Model
Total Lives Covered
(Current Catasys Clients)
23.1 Million Members
70 Million Members
13 Million Members
• Typically 3-year agreements with health plans
• Catasys collects its fee based on either an initial payment, over the course of the first
three months of enrollment, or on a monthly basis
▪ Receivables average 45 days
• Catasys stops charging if patient withdraws from program
21
(1) All amounts are estimates and are calculated on adult lives (age 18+). Retention rates reflect the number of members who remain eligible for the program that stay enrolled; assumes per enrolled member monthly fee structure, while other fee
structures will vary.
Source: Ingenix Consulting database, 20MM commercial plan lives 2005-2006 and Catasys Analysis.
Economics of the OnTrak Program
Breakout of Services Provided
Cost of physicians for initial 4 weeks
Cost of psychologist for the first 12 visits
Care Coaches
Other Associated Costs
• Costs are highly scalable as each incremental dollar in revenue does not require an equal expense
as enrollment increases
▪ Outreach – each person can handle 1,500 potential patients
▪ Care Coaches – each person can handle 60 people
▪ Only variability where revenue dollars do not drop are in the initial launch of a plan
• Over $225 million in Federal NOL that it expects to utilize against future net income
22
(1) All amounts are estimates and are calculated on adult lives (age 18+). Retention rates reflect the number of members who remain eligible for the program that stay enrolled; assumes per enrolled member monthly fee structure, while other fee
structures will vary.
Source: Ingenix Consulting database, 20MM commercial plan lives 2005-2006 and Catasys Analysis.
Operating Costs / Scalability + Well Capitalized for Growth
Completed Capital Raise and Uplisting in April 2017
Capital being used to support expected growth
Cash
(Post Offering)
$10.3 million
Long-Term Debt $0
$20
$25
$0
$5
$10
$15
$20
$25
$30
2018 E Run Rate at End of 2018
23
(in millions)
Source: Catasys management’s projections for 2018
Billings Projections
Upside Drivers For Guidance
• New Contracts
• Subsequent Launches from Existing
Contracts
• Expansions within Existing Contracts
Billings: Catasys contracts are generally designed to provide cash fees on a monthly basis based on enrolled members. To the extent our contracts may include a
minimum performance guarantee; we reserve a portion of the monthly fees that may be at risk until the performance measurement period is completed.
Based Solely on Current Outreach Pool of Eligible Members
Growth Trajectory
25
Growth Catalysts
26
Growth Underway
• Catasys is currently building out a nationwide system for working with patients
• Healthcare is managed on a state by state basis, and the Company’s customers are launching
with them in certain states as they roll out their service
▪ Each Catasys client has expanded geographically and across multiple modalities
▪ Achieving economies of scale as more customers are added
▪ Allows Catasys to achieve higher margins when more states go live
• Every existing customer has expanded OnTrak into new states, new lines of business
(commercial, Medicare and Medicaid plans), or by expanding coverage to include depression
and anxiety
27
• Signing of contract
• Days to launch:
• 45 days to launch in a previously entered state
• 90 days to launch into a new state
• Clinical integration with the health plan requires little effort from the health
plan after transfer of data
• Enrollment is an iterative process after entering into a new state
• Approximately 12 -15 months after launch to achieve steady state of
20% enrollment
20%
1
Day 1
Day 90
Day 45
Launch
45 – 90 Days
12 Months
from
Launch
State Ramp Up – Commercial Substance Use Disorder
28
Significant Ramp in Outreach Pool of Individuals
Catasys saw a significant increase
in eligible member population as
a result of a customer with
programs in eight states resolving
a previous data extraction issue,
existing customer expansion, and
the launch of a new health plan
in Oklahoma.
0
5000
10000
15000
20000
25000
30000
January February March April May June July August September
2017
Monthly through Q3 2017
Outreach totals
increased to 25,000
individuals during the
quarter, which is the
highest in Catasys’
history
Enrollment has
increased by 40% from
the end of the second
quarter.
# of Individuals
• Expanding into new states under existing agreements with health plans
• Expanded focus from high cost SUD populations into other behavioral health conditions, such as
anxiety disorders and depression
• Plan to have agreements with 7 of top 8 health plans in the U.S. by 2018
▪ Currently have agreements with:
• Potential to adjust criteria for enrollment to lower cost populations (OnTrak-light)
• Target new patient populations, including significant chronic disease members with high
impactable medical costs
29
Scaling the Business in 2017 / Harvesting Growth in 2018
• Enrollment Increases 40% From Q2 2017 to Present
• OnTrak is currently in Connecticut, Florida, Georgia, Illinois, Kansas, Kentucky, Louisiana,
Massachusetts, Missouri, New Jersey, North Carolina, Oklahoma, Pennsylvania, South Carolina,
Tennessee, Texas, Virginia, West Virginia and Wisconsin
30
Scaling the Business
OnTrak program is
currently in 19
different states
31
RICHARD ANDERSON, President & Chief Operating Officer
• One of main primary architects of the Catasys program, managing strategic development and day-
to-day operations
• Over 15 years of healthcare experience and background in management, finance and mergers &
acquisitions
• Served as Director and Founding Member of Catasys since July 2003 and an officer since April 2005
• Previously a Director and Founding member of PriceWaterhouseCoopers LLP’s, Los Angeles office
transaction support group
Senior Officers ~ Management Interests Aligned with Shareholders
TERREN PEIZER, Founder, Chairman & Chief Executive Officer
• Founder of several health care and life science companies
• Extensive background in venture capital, investing, mergers and acquisitions, corporate finance
• Held senior executive positions with investment banking firms Goldman Sachs, First Boston and
Drexel Burnham Lambert
• Chairman of Acuitas Group Holdings (personal holding company with 75% Ownership of CATS)
• Chairman of Crede Capital Group, LLC, an industry leading Micro-Cap investment company
• Founder and Chairman of NeurMedix, Inc.
Unprecedented
Performance Based Option Plan
• In November, Catasys declared
that employees granted under the
plan, as well as Board members,
will be given options grants with
an exercise price of $7.50 per
share.
• Chairman and Chief Executive
Officer, Terren Peizer’s option
grant will only vest if the common
stock trades of above a VWAP of
$15 a share for an extended
period.
• President and Chief Operating
Officer, Rick Anderson’s option
grant over the next five years tie
to meeting billings expectations
for 2018 and beyond, and
potentially other metrics through
2022, and will be reviewed
annually.
32
11601 Wilshire Blvd., Suite 1100
Los Angeles, CA 90025
310-444-4300
www.catasys.com
Financial Statements
34
Consolidated Statement of Operations
(unaudited)
(In thousands, except for number of shares) September 30, December 31,
2017 2016
ASSETS
Current assets
Cash and cash equivalents 6,926$ 851$
Receivables, net of allowance for doubtful accounts
of $277 and $0, respectively 709 1,052
Prepaids and other current assets 307 420
Total current assets 7,942 2,323
Long-term assets
Property and equipment, net of accumulated depreciation
of $1,751 and $1,620, respectively 553 410
Deposits and other assets 371 371
Total Assets 8,866$ 3,104$
LIABILITIES AND STOCKHOLDERS' EQUITY/(DEFICIT)
Current liabilities
Accounts payable 806$ 870$
Accrued compensation and benefits 901 2,089
Deferred revenue 3,180 1,525
Other accrued liabilities 579 575
Short term debt, related party, net of discount
$0 and $216, respectively - 9,796
Derivative liability - 8,122
Total current liabilities 5,466 22,977
Long-term liabilities
Deferred rent and other long-term liabilities 49 117
Capital leases 6 31
Warrant liabilities 41 5,307
Total Liabilities 5,562 28,432
Stockholders' equity/(deficit)
Preferred stock, $0.0001 par value; 50,000,000 shares authorized;
no shares issued and outstanding - -
Common stock, $0.0001 par value; 500,000,000 shares authorized;
15,889,171 and 9,214,743 shares issued and outstanding
at September 30, 2017 and December 31, 2016, respectively 2 1
Additional paid-in-capital 293,945 254,390
Accumulated deficit (290,643) (279,719)
Total Stockholders' Equity/(Deficit) 3,304 (25,328)
Total Liabilities and Stockholders' Equity/(Deficit) 8,866$ 3,104$
Balance Sheet
(In thousands, except per share amounts)
2017 2016 2017 2016
Revenues
Healthcare services revenues 1,195$ 1,336$ 4,682$ 3,287$
Operating expenses
Cost of healthcare services 1,664 1,253 4,361 3,381
General and administrative 2,575 2,195 8,144 6,518
Depreciation and amortization 47 38 131 102
Total operating expenses 4,286 3,486 12,636 10,001
Loss from operations (3,091) (2,150) (7,954) (6,714)
Other income 16 15 44 90
Interest expense (1) (3,215) (3,408) (4,139)
Loss on conversion of note - - (1,356) -
Loss on issuance of common stock - - (145) -
Change in fair value of derivative liability - (3,484) 132 (6,328)
Change in fair value of warrant liability (2) 1,423 1,767 673
Loss from operations before provision for income taxes (3,078) (7,411) (10,920) (16,418)
Provision for income taxes 2 2 4 7
Net Loss (3,080)$ (7,413)$ (10,924)$ (16,425)$
Basic and diluted net loss from operations per share: ($0.19) ($0.81) ($0.84) ($1.79)
Basic weighted number of shares outstanding 15,889 9,174 13,031 9,170
September 30, September 30,
Three Months Ended Nine Months Ended
The financial statements have been retroactively restated to reflect the 1-for-6 reverse-stock split that occurred on April 25, 2017.
35
Reconciliation of Non-GAAP Measures
CATASYS, INC. AND SUBSIDIARIES
GAAP TO NON-GAAP RECONCILIATION
(unaudited)
For the Three Months Ended For the Nine Months Ended
September 30, September 30,
(in thousands) 2017 2016 2017 2016
Revenues $ 1,195 $ 1,336 $ 4,682 $ 3,287
Add:
Net Change in Deferred Revenue 812 430 1,655 1,548
Billings, non-GAAP $ 2,007 $ 1,766 $ 6,337 $ 4,835
* Net change in deferred revenue associated with Q3 billingsNon-GAAP Financial Measures
The Company makes reference in this press release to billings, non-GAAP financial measures, as supplemental measures to review and assess our operating performance. The presentation of this non-
GAAP financial measure is not intended to be considered in isolation or as a substitute for the financial information prepared and presented in accordance with US GAAP. We define billings as the
amount invoiced in a particular period pursuant to existing contracts based on enrolled members. We use billings as measures of operating performance to assist in comparing performance from
period to period on a consistent basis.
We believe that the use of these non-GAAP financial measures facilitates investors’ assessment of our operating performance from period to period and from company to company by backing out
potential differences caused by variations in the applicable performance requirements contained in the relevant contracts, which may be different from other companies in our industry.
Billings are not defined under GAAP and is not presented in accordance with GAAP. These non-GAAP financial measures have limitations as an analytical tool, and when assessing our operating
performance, investors should not consider them in isolation, or as a substitute for revenue prepared in accordance with GAAP. A reconciliation from these non-GAAP financial measures to the GAAP
financial measures is included at the end of this release.

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Catasys' OnTrak Solution Reduces Costs for Behavioral Health Patients

  • 1. (NASDAQ: CATS) Corporate Presentation - November 2017 Solving the High-Cost Problem of Untreated Behavioral Health Conditions Š2017 Catasys. All Rights Reserved. Catasys is a registered trademark with the U.S. Patent and Trademark office.
  • 2. Except for statements of historical fact, the matters discussed in this press release are forward-looking and made pursuant to the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. These forward-looking statements reflect numerous assumptions and involve a variety of risks and uncertainties, many of which are beyond our control, which may cause actual results to differ materially from stated expectations. These risk factors include, among others, changes in regulations or issuance of new regulations or interpretations, limited operating history, our inability to execute our business plan, increase our revenue and achieve profitability, lower than anticipated eligible members under our contracts, our inability to recognize revenue, lack of outcomes and statistically significant formal research studies, difficulty enrolling new members and maintaining existing members in our programs, the risk that the treatment programs might not be effective, difficulty in developing, exploiting and protecting proprietary technologies, intense competition and substantial regulation in the health care industry, the risks associated with the adequacy of our existing cash resources and our ability to continue as a going concern, our ability to raise additional capital when needed and our liquidity. You are urged to consider statements that include the words “may,” “will,” “could,” “should,” “believes,” “estimates,” “projects,” “potential,” “expects,” “plan,” “anticipates,” “intends,” “continues,” “forecast,” “designed,” “goal,” or the negative of those words or other comparable words to be uncertain and forward-looking. For a further list and description of the risks and uncertainties we face, please refer to our most recent Securities and Exchange Commission filings which are available on its website at http://www.sec.gov. Such forward-looking statements, whether as a result of new information, future events or otherwise, except as required by law. 2 Forward-Looking Statements
  • 3. Catasys combines Big Data analytics and predictive modeling with state-of-the-art treatment programs for Behavioral Health diseases ▪ Focuses on “treatment avoidant” member population ▪ Virtual, scalable, replicable, data supported, evidenced based practices ▪ Enhances members’ access to care ▪ Provides for full reimbursement At a Glance Ticker NASDAQ: CATS Stock Price* $3.75 Common Shares Outstanding 15,889,171 Float $4.7M Average Daily Volume 56,000 Market Cap $59.6M Warrants (WAEP $4.88) 1,921,528 Analyst Coverage Chardan Capital; Joseph Gunnar; Tailwinds Research Group Solving Today’s Challenge of Behavioral Health Care 3 The Health Care Problem Underserved populations with behavioral health conditions (substance use disorder, depression, anxiety) do not seek treatment (avoidant population) ▪ Access to care ▪ Reimbursement ▪ In companion with other chronic diseases, behavioral health conditions increase health care costs at a significant multiple of norms The Catasys Solution * At October 2, 2017
  • 4. Investment Thesis 4 • Catasys’ solution (OnTrak) reduces medical costs by ~50% for enrolled members ▪ Incentivizes health plans to pay 100% of member treatment costs ▪ Provides health plans a 3-to-1 ROI • OnTrak program targets individuals suffering from chronic disorders such as substance use disorder, anxiety and depression who rarely seek care • Large market opportunity with no direct competitors • Financial Guidance of $20 Million for 2018 ▪ Based solely on existing outreach pool of individuals (25,000), with newly signed agreements and higher enrollments from existing agreements adding incremental growth potential ▪ Guidance does not include any upside potential from new contracts, subsequent launches from existing contracts, and expansions within existing contracts, which would all be incrementally beneficial. Signed Contracts with Tier-1 Health Insurance Companies ▪ Average receivables of 45 days upon billing ▪ Currently enrolling participants in 19 states ▪ Significant embedded revenue growth as current agreements ramp and expand Billings* 2018E $20M Exit Run Rate at End of 2018E $25M * Billings: Catasys contracts are generally designed to provide cash fees on a monthly basis based on enrolled members. To the extent contracts may include a minimum performance guarantee; Catasys reserves a portion of the monthly fees that may be at risk until the performance measurement period is completed. A Non-GAAP reconciliation is available at the end of this presentation.
  • 5. 2004 Catasys is founded with the goal of improving the options for those with behavioral health needs 2010 First OnTrak contract is signed 2015 Catasys completes one-year study with Humana. After favorable results, signs National Agreement 2016 Catasys expands rollout of OnTrak program in 18 states 2017 Catasys expands rollout of OnTrak program to 19 states Outreach pool of individuals exceeds 25,000, a record for the Company 5 The Catasys Solution – Entering Growth Phase 2018 Catasys’ OnTrak solution has gained traction, is increasing enrollment significantly, and the largest health care plans are signed and supporting the program. Based solely on existing outreach pool, Catasys expects to report billings of $20M for 2018
  • 7. 7 • Members with behavioral health disorders average higher medical costs for covering health insurance providers ▪ Treatment costs of approximately $201 billion for behavioral health (2013) ▪ Compared to $147 billion for cardiovascular conditions and $122 billion for oncology Behavioral Health Disorders 27 million people suffer from substance use disorder 43 million U.S. Adults have an anxiety disorder 15.6 million people suffer from depression Only 2 of 10 seek treatmentOnly 1 of 3 seek treatmentOnly 1 of 10 seek treatment Source: National Survey on Drug Use and Health, September 4, 2014: Substance Use and Mental Health Estimates from the 2013 National Survey on Drug Use and Health: Overview of Findings National Institute of Mental Health (NIMH): Any Anxiety Disorder Among Adults - https://www.nimh.nih.gov/health/statistics/prevalence/any-anxiety-disorder-among-adults.shtml, January 2016. National Institute of Mental Health (NIMH): Major Depression Among Adults - http://www.nimh.nih.gov/health/statistics/prevalence/major-depression-among-adults.shtml , January 2016. U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration Study on Behavioral Health Spending & Use Accounts 1986 – 2014, printed 2016 - http://store.samhsa.gov/shin/content/SMA16-4975/SMA16-4975.pdf. Source: Health Affairs
  • 8. 8 Behavioral Health Disorders – Eligible Members Cost up to 4.5X $0 $1,000 $2,000 $3,000 $4,000 $5,000 $6,000 $7,000 Hypertension Asthma Bipolar Chronic Pain Diabetes CAD COPD CHF All Other Catasys Eligible + 417% + 448% + 196% + 312% +371% + 203% + 162% + 130% PerMemberPerMonth
  • 9. 9 Catasys Eligible Populations Catasys’ eligible population makes up 22% of the $1.1 trillion private healthcare costs in the U.S. Eligible population costs health plans $30,000 on average per member per year ▪ Catasys provides the health plan ~50% savings per enrolled member ▪ Provide a 3-to-1 R-O-I ▪ 20% target for eligible enrollees ▪ Incentivizing health plans to cover 100% of the cost to treat each patient Catasys customers include commercial, Medicare and Medicaid plans. Based on the Company’s data, the member populations have a different incidence of the targeted behavioral health disorders. • Commercial population: ▪ Substance Use Disorder (SUD) members - approximately 0.45% of the adult members eligible ▪ SUD, Depression (Dx) and Anxiety (Ax) - approximately 2.00% of the adult members eligible • Medicare Advantage & Medicaid population: ▪ SUD members - approximately 1.13% of the adult members eligible ▪ SUD, Dx and Ax - approximately 2.67% of the adult members eligible Source: Catasys’ data and analytics derived from actual health plan claims data
  • 10. • Majority of high cost members with coexisting behavioral and medical conditions do not seek treatment (passive) • Small percentage of members enroll in outpatient and an even smaller percentage enroll in inpatient treatment centers (facility based) ▪ Not cost effective – the expense puts it out of reach of most patients ▪ Short-term care – Research indicates the 30-day program is less likely to succeed compared to a longer program given the duration of care ▪ No data – A lack of data on impact on patients’ health and ongoing costs to health plans ▪ Lack of evidence based best practices ▪ Little to no integration with medical and psychosocial treatment ▪ Time prohibitive – avg. person unable to leave work for a month or more ▪ Low reimbursement – health plans do not offer high reimbursements for inpatient treatment centers due to high costs and lack of data to prove impact on patient health 10 Source: National Institute on Drug Abuse - Principles of Drug Addition Treatment: A Research-Based Guide - https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/principles-effective-treatment Industry Challenges that Catasys Addresses
  • 12. 12 OnTrakTM : Proprietary Integrated Approach The OnTrak solution is a fully integrated approach that includes: • Predictive analytics used to identify and understand the eligible members to engage • Ongoing outreach, engagement and modification of behavior techniques • 52 week outpatient program ▪ Member centric – patients receive a customized treatment based on their needs • Care Coach support • Integrated medical and psychosocial treatment • Member electronic clinical record • Provider training and ongoing evaluations • Development of select provider networks • High intensity
  • 13. 13 Steps to the Process Source: Catasys data and analysis • Catasys identifies, enrolls, engages and treats hidden, passive, care avoidant, high cost members 1. Partnering: Catasys has been engaged by several of the leading health plan providers in the U.S. 2. Data ingest: each health plan provides Catasys with member data on a regular basis 3. Identifying Eligible Participants: through proprietary analytics and predictive modeling, Catasys identifies the right members driving current/future medical spend 4. Engages: using unique, sustained outreach and enrollment tactics, Catasys places members directly into OnTrak 5. Treats: Catasys provides evidence based, 52 week outpatient treatment program, OnTrak
  • 14. 14 OnTrakTM : Identifying the Right Patients Using BIG DATA, knowing who to engage… • Receive medical claims data from contracted health insurance companies • Catasys uses predictive analytics and models to identify which members have coexisting behavioral and medical conditions: ▪ Solution initially focused on SUD, anxiety and depression ▪ Eligible members average $30,000 annual claims expense ▪ Data mining techniques and analytics are used to identify which members are likely to have significant impactable costs ▪ 73% of Catasys identified members do not have any behavioral health treatment claims in the last year – clear need for appropriate care Source: Catasys data and analysis
  • 15. • Care avoidant members struggling with behavioral health disorders are typically difficult to engage • Catasys’ outreach program successfully convinces high cost, care avoidant members to enroll in the OnTrak program • Outreach tactics: 15 OnTrakTM : Outreach and Enrollment Source: Catasys data and analysis 1. Use multiple modalities for outreach, such as phone and mail outreach 2. Use motivating communication that is patient research driven • Utilize direct knowledge of trigger points • Research to understand behaviors, motivators and fears 3. Build relationship and establish trust with Care Coach • Consistency of Care Coach or outreach specialist serves as point of contact over the outreach campaign, to facilitate comfort with enrollment
  • 16. 16 52 Weeks Medical & Pharmacological Psychosocial Treatments Community Based Programs Medical & Pharmacological (as appropriate) • Medical evaluation and assessment • Pharmacological intervention • MD involvement Psychosocial • Proprietary OnTrak manualized psychosocial treatment program • Developed in coordination with leading experts in SUD, anxiety and depression • Focused on Cognitive Behavioral and Motivational Enhancement Therapy Care Coaching • Personal Care Coach • 52 weeks continuous support and coaching • Helps assess, manage and support members’ recovery Care Coaching - Outreach - Enrollment - Engagement - Retention OnTrakTM : A Fully Immersive 52-week Program
  • 17. 17 OnTrakTM : Humana and Catasys Joint Evaluation Source: Catasys data and analysis • In April 2015, Humana and Catasys reported the results of a retrospective evaluation of the effectiveness of the OnTrak program in a poster at the American Society of Addiction Medicine. • OBJECTIVE: ▪ Compare changes in ER visits and inpatient hospitalizations for participants in the substance abuse treatment (SAT) group ▪ Compare changes in total cost of care among participants in SAT group versus eligible individuals who did not participate (control) • RESULTS: ▪ 16% fewer ER visits ▪ 67% fewer inpatient hospitalizations ▪ 46% reduction in health care costs compared to a 14% increase in costs for the control group
  • 19. 19 Defining Catasys’ Market Opportunity (1) Source: Kaiser Family Foundation / US GOV The Catasys Opportunity TOTAL ELIGIBLE LIVES: 3,773,048 Catasys Enrollment Rate: 20% Medicare Advantage 3%, or 519,000 Managed Medicaid 4%, or 750,000 Commercial 2%, or 2,524,048 Of the 161.8M of Insurable Adults, below are those afflicted with substance use disorder, anxiety, and depression Total Insured Market Medicare Advantage 17.3M Managed Medicaid 36.5M Commercial 151.4M Adults Approximate Market Size: 161.8 Million Adults 17,300,000 100% Adults 18,250,000 50% Adults 126.2 Million 84%
  • 20. Scaling the business rapidly converts into Revenue / Cash Flow 20 Revenue per patient enrolled $8,500 Revenue per enrolled member at 78% retention $6,630 Revenue per 10,000 enrolled members $66,300,000 (1) All amounts are estimates and are calculated on adult lives (age 18+). Retention rates reflect the number of members who remain eligible for the program that stay enrolled; assumes per enrolled member monthly fee structure, while other fee structures will vary. Source: Ingenix Consulting database, 20MM commercial plan lives 2005-2006 and Catasys Analysis. Revenue Model Total Lives Covered (Current Catasys Clients) 23.1 Million Members 70 Million Members 13 Million Members
  • 21. • Typically 3-year agreements with health plans • Catasys collects its fee based on either an initial payment, over the course of the first three months of enrollment, or on a monthly basis ▪ Receivables average 45 days • Catasys stops charging if patient withdraws from program 21 (1) All amounts are estimates and are calculated on adult lives (age 18+). Retention rates reflect the number of members who remain eligible for the program that stay enrolled; assumes per enrolled member monthly fee structure, while other fee structures will vary. Source: Ingenix Consulting database, 20MM commercial plan lives 2005-2006 and Catasys Analysis. Economics of the OnTrak Program Breakout of Services Provided Cost of physicians for initial 4 weeks Cost of psychologist for the first 12 visits Care Coaches Other Associated Costs
  • 22. • Costs are highly scalable as each incremental dollar in revenue does not require an equal expense as enrollment increases ▪ Outreach – each person can handle 1,500 potential patients ▪ Care Coaches – each person can handle 60 people ▪ Only variability where revenue dollars do not drop are in the initial launch of a plan • Over $225 million in Federal NOL that it expects to utilize against future net income 22 (1) All amounts are estimates and are calculated on adult lives (age 18+). Retention rates reflect the number of members who remain eligible for the program that stay enrolled; assumes per enrolled member monthly fee structure, while other fee structures will vary. Source: Ingenix Consulting database, 20MM commercial plan lives 2005-2006 and Catasys Analysis. Operating Costs / Scalability + Well Capitalized for Growth Completed Capital Raise and Uplisting in April 2017 Capital being used to support expected growth Cash (Post Offering) $10.3 million Long-Term Debt $0
  • 23. $20 $25 $0 $5 $10 $15 $20 $25 $30 2018 E Run Rate at End of 2018 23 (in millions) Source: Catasys management’s projections for 2018 Billings Projections Upside Drivers For Guidance • New Contracts • Subsequent Launches from Existing Contracts • Expansions within Existing Contracts Billings: Catasys contracts are generally designed to provide cash fees on a monthly basis based on enrolled members. To the extent our contracts may include a minimum performance guarantee; we reserve a portion of the monthly fees that may be at risk until the performance measurement period is completed. Based Solely on Current Outreach Pool of Eligible Members
  • 26. 26 Growth Underway • Catasys is currently building out a nationwide system for working with patients • Healthcare is managed on a state by state basis, and the Company’s customers are launching with them in certain states as they roll out their service ▪ Each Catasys client has expanded geographically and across multiple modalities ▪ Achieving economies of scale as more customers are added ▪ Allows Catasys to achieve higher margins when more states go live • Every existing customer has expanded OnTrak into new states, new lines of business (commercial, Medicare and Medicaid plans), or by expanding coverage to include depression and anxiety
  • 27. 27 • Signing of contract • Days to launch: • 45 days to launch in a previously entered state • 90 days to launch into a new state • Clinical integration with the health plan requires little effort from the health plan after transfer of data • Enrollment is an iterative process after entering into a new state • Approximately 12 -15 months after launch to achieve steady state of 20% enrollment 20% 1 Day 1 Day 90 Day 45 Launch 45 – 90 Days 12 Months from Launch State Ramp Up – Commercial Substance Use Disorder
  • 28. 28 Significant Ramp in Outreach Pool of Individuals Catasys saw a significant increase in eligible member population as a result of a customer with programs in eight states resolving a previous data extraction issue, existing customer expansion, and the launch of a new health plan in Oklahoma. 0 5000 10000 15000 20000 25000 30000 January February March April May June July August September 2017 Monthly through Q3 2017 Outreach totals increased to 25,000 individuals during the quarter, which is the highest in Catasys’ history Enrollment has increased by 40% from the end of the second quarter. # of Individuals
  • 29. • Expanding into new states under existing agreements with health plans • Expanded focus from high cost SUD populations into other behavioral health conditions, such as anxiety disorders and depression • Plan to have agreements with 7 of top 8 health plans in the U.S. by 2018 ▪ Currently have agreements with: • Potential to adjust criteria for enrollment to lower cost populations (OnTrak-light) • Target new patient populations, including significant chronic disease members with high impactable medical costs 29 Scaling the Business in 2017 / Harvesting Growth in 2018
  • 30. • Enrollment Increases 40% From Q2 2017 to Present • OnTrak is currently in Connecticut, Florida, Georgia, Illinois, Kansas, Kentucky, Louisiana, Massachusetts, Missouri, New Jersey, North Carolina, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia and Wisconsin 30 Scaling the Business OnTrak program is currently in 19 different states
  • 31. 31 RICHARD ANDERSON, President & Chief Operating Officer • One of main primary architects of the Catasys program, managing strategic development and day- to-day operations • Over 15 years of healthcare experience and background in management, finance and mergers & acquisitions • Served as Director and Founding Member of Catasys since July 2003 and an officer since April 2005 • Previously a Director and Founding member of PriceWaterhouseCoopers LLP’s, Los Angeles office transaction support group Senior Officers ~ Management Interests Aligned with Shareholders TERREN PEIZER, Founder, Chairman & Chief Executive Officer • Founder of several health care and life science companies • Extensive background in venture capital, investing, mergers and acquisitions, corporate finance • Held senior executive positions with investment banking firms Goldman Sachs, First Boston and Drexel Burnham Lambert • Chairman of Acuitas Group Holdings (personal holding company with 75% Ownership of CATS) • Chairman of Crede Capital Group, LLC, an industry leading Micro-Cap investment company • Founder and Chairman of NeurMedix, Inc. Unprecedented Performance Based Option Plan • In November, Catasys declared that employees granted under the plan, as well as Board members, will be given options grants with an exercise price of $7.50 per share. • Chairman and Chief Executive Officer, Terren Peizer’s option grant will only vest if the common stock trades of above a VWAP of $15 a share for an extended period. • President and Chief Operating Officer, Rick Anderson’s option grant over the next five years tie to meeting billings expectations for 2018 and beyond, and potentially other metrics through 2022, and will be reviewed annually.
  • 32. 32 11601 Wilshire Blvd., Suite 1100 Los Angeles, CA 90025 310-444-4300 www.catasys.com
  • 34. 34 Consolidated Statement of Operations (unaudited) (In thousands, except for number of shares) September 30, December 31, 2017 2016 ASSETS Current assets Cash and cash equivalents 6,926$ 851$ Receivables, net of allowance for doubtful accounts of $277 and $0, respectively 709 1,052 Prepaids and other current assets 307 420 Total current assets 7,942 2,323 Long-term assets Property and equipment, net of accumulated depreciation of $1,751 and $1,620, respectively 553 410 Deposits and other assets 371 371 Total Assets 8,866$ 3,104$ LIABILITIES AND STOCKHOLDERS' EQUITY/(DEFICIT) Current liabilities Accounts payable 806$ 870$ Accrued compensation and benefits 901 2,089 Deferred revenue 3,180 1,525 Other accrued liabilities 579 575 Short term debt, related party, net of discount $0 and $216, respectively - 9,796 Derivative liability - 8,122 Total current liabilities 5,466 22,977 Long-term liabilities Deferred rent and other long-term liabilities 49 117 Capital leases 6 31 Warrant liabilities 41 5,307 Total Liabilities 5,562 28,432 Stockholders' equity/(deficit) Preferred stock, $0.0001 par value; 50,000,000 shares authorized; no shares issued and outstanding - - Common stock, $0.0001 par value; 500,000,000 shares authorized; 15,889,171 and 9,214,743 shares issued and outstanding at September 30, 2017 and December 31, 2016, respectively 2 1 Additional paid-in-capital 293,945 254,390 Accumulated deficit (290,643) (279,719) Total Stockholders' Equity/(Deficit) 3,304 (25,328) Total Liabilities and Stockholders' Equity/(Deficit) 8,866$ 3,104$ Balance Sheet (In thousands, except per share amounts) 2017 2016 2017 2016 Revenues Healthcare services revenues 1,195$ 1,336$ 4,682$ 3,287$ Operating expenses Cost of healthcare services 1,664 1,253 4,361 3,381 General and administrative 2,575 2,195 8,144 6,518 Depreciation and amortization 47 38 131 102 Total operating expenses 4,286 3,486 12,636 10,001 Loss from operations (3,091) (2,150) (7,954) (6,714) Other income 16 15 44 90 Interest expense (1) (3,215) (3,408) (4,139) Loss on conversion of note - - (1,356) - Loss on issuance of common stock - - (145) - Change in fair value of derivative liability - (3,484) 132 (6,328) Change in fair value of warrant liability (2) 1,423 1,767 673 Loss from operations before provision for income taxes (3,078) (7,411) (10,920) (16,418) Provision for income taxes 2 2 4 7 Net Loss (3,080)$ (7,413)$ (10,924)$ (16,425)$ Basic and diluted net loss from operations per share: ($0.19) ($0.81) ($0.84) ($1.79) Basic weighted number of shares outstanding 15,889 9,174 13,031 9,170 September 30, September 30, Three Months Ended Nine Months Ended The financial statements have been retroactively restated to reflect the 1-for-6 reverse-stock split that occurred on April 25, 2017.
  • 35. 35 Reconciliation of Non-GAAP Measures CATASYS, INC. AND SUBSIDIARIES GAAP TO NON-GAAP RECONCILIATION (unaudited) For the Three Months Ended For the Nine Months Ended September 30, September 30, (in thousands) 2017 2016 2017 2016 Revenues $ 1,195 $ 1,336 $ 4,682 $ 3,287 Add: Net Change in Deferred Revenue 812 430 1,655 1,548 Billings, non-GAAP $ 2,007 $ 1,766 $ 6,337 $ 4,835 * Net change in deferred revenue associated with Q3 billingsNon-GAAP Financial Measures The Company makes reference in this press release to billings, non-GAAP financial measures, as supplemental measures to review and assess our operating performance. The presentation of this non- GAAP financial measure is not intended to be considered in isolation or as a substitute for the financial information prepared and presented in accordance with US GAAP. We define billings as the amount invoiced in a particular period pursuant to existing contracts based on enrolled members. We use billings as measures of operating performance to assist in comparing performance from period to period on a consistent basis. We believe that the use of these non-GAAP financial measures facilitates investors’ assessment of our operating performance from period to period and from company to company by backing out potential differences caused by variations in the applicable performance requirements contained in the relevant contracts, which may be different from other companies in our industry. Billings are not defined under GAAP and is not presented in accordance with GAAP. These non-GAAP financial measures have limitations as an analytical tool, and when assessing our operating performance, investors should not consider them in isolation, or as a substitute for revenue prepared in accordance with GAAP. A reconciliation from these non-GAAP financial measures to the GAAP financial measures is included at the end of this release.