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Vocera ir master_ february 2019 web
1.
Brent Lang President and
CEO Justin Spencer Chief Financial Officer Investor Presentation February 2019
2.
© 2 0
1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 2 Forward-Looking Statements Safe Harbor and Other Information This presentation contains âforwardâlookingâ statements that are based on our managementâs beliefs and assumptions and on information currently available to management. We intend for such forwardâlooking statements to be covered by the safe harbor provisions for forwardâlooking statements contained in the U.S. Private Securities Litigation Reform Act of 1995. Forwardâlooking statements include information concerning the market shifting to Vocera, the components of our mission, our accelerating operating leverage and target operating leverage model, our strategic evolution, enablement of real-time healthcare system and potential future products, capabilities and services. Forwardâlooking statements include all statements that are not historical facts and can be identified by terms such as âanticipates,â âbelieves,â âcould,â âseeks,â âestimatesâ, âtargets,â âguidance,â âexpects,â âintends,â âmay,â âplans,â âpotential,â âpredicts,â âprospects,â âprojects,â âshould,â âwill,â âwouldâ or similar expressions and the negatives of those terms, although not all forwardâlooking statements contain these identifying words. Forwardâlooking statements involve known and unknown risks, uncertainties and other factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forwardâlooking statements. We cannot guarantee that we will achieve the plans, intentions, or expectations disclosed in our forwardâlooking statements, and you should not place undue reliance on our forwardâlooking statements. Forward-looking statements represent our managementâs beliefs and assumptions only as of the date of this presentation. We undertake no obligation, and do not intend, to update these forwardâlooking statements, to review or confirm analystsâ expectations, or to provide interim reports or updates on the progress of the current financial quarter. For a more complete discussion of factors that could materially affect our financial results and operations, please refer to our Quarterly Report on Form 10-K for the period ended December 31, 2017 that we have filed with the SEC, including Part II, Item 1A, âRisk Factors,â and other reports that we file with the SEC. Copies of reports we file with the SEC are posted on our website and are available from us without charge. This presentation shall not constitute an offer to sell or a solicitation of an offer to purchase securities, and shall not constitute an offer, solicitation or sale in any state or jurisdiction in which or to any person to whom such an offer, solicitation or sale would be unlawful. This presentation is strictly confidential and is being made solely in reliance on applicable exemptions from the registration requirements of the Securities Act of 1933. The securities of the Company have not been registered under the Securities Act of 1933 or any state securities laws and may not be offered or sold in the United States absent registration or an applicable exemption from the registration requirements of the Securities Act of 1933 and applicable state laws. Any purchaser of such securities will be deemed to have made certain representations and acknowledgments, including, without limitation, that the purchaser is a "qualified institutional buyer" as defined in Rule 144A under the Securities Act of 1933. Statement Regarding Use of Non-GAAP Financial Measures This presentation contains certain non-GAAP financial measures. For a presentation of the most directly comparable financial measures calculated in accordance with GAAP, and a reconciliation of these non- GAAP measures to the GAAP measures, please see the appendix. The non-GAAP financial measures we present are in addition to, and not a substitute for, or superior to, financial measures calculated in accordance with GAAP. We encourage investors to carefully review our results of operations under GAAP in addition to the non- GAAP information we present to more fully understand our business.
3.
© 2 0
1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 3 Quality Enhance how care is provided to help patients to achieve better outcomes Cost Increase operational efficiencies Patient-Centered Improve patient experience by allowing caregivers to be Patient Centered Resiliency Improve caregiver experience by improving workflow and empowering teams Vocera Mission We simplify and improve the lives of healthcare professionals, patients, and families
4.
© 2 0
1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 4 YoY Revenue Growth $104 $132 $166 $180 Our Opportunity -13% A-EBITDA FY14 -3% A-EBITDA FY15 8% A-EBITDA FY16 10% A-EBITDA FY17 Large global market opportunity Market leader with compelling ROI Product innovation driving growth Significant operating leverage Large health system success 12% FY18 $95 Notes âą A-EBITDA is non-GAAP, see appendix for reconciliation.
5.
© 2 0
1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 5 PAST PRESENT Strategic Evolution FUTURE Communications Badge-Centric Point Product Department Sale Clinical Workflow Software-Centric Complete Solution Hospital Sale Real Time Health System Hybrid Cloud Architecture Platform Ecosystem Health System Sale
6.
© 2 0
1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 6 Redefining a Category Navigation BEFORE AFTER Entertainment Healthcare
7.
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 7 The Hospital Communications Evolution One-to- everyone Device-to- device Person-to-role, Person-to-group Clinical system- to-role/group Context for real-time situational awareness Overhead paging Yelling Phone-to-phone Phone-to-pager Enable people to find who they need System event triggers alerts sent using Intelligent rules Situational awareness delivers the right information to the right people 7
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 8 Alerts Alarms Messaging Voice âą Noisy care environment âą Information overload âą Alarm fatigue âą Delays in response time Todayâs Clinical Communication Environment Lack of Central Control
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 9 Evolution of Hospital Communications BEFORE Clinician Tool Belt Pager, phone, smartphone, badge, RTLS badge etc⊠Smartphone Applications 25 notifications for each system â working independently AFTER 1 3 5 21 7 5 3 5 VOCERA Holistic Consolidation Delivers only actionable events to the appropriate caregiver(s) on the device of choice
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 1 0 Enabling a Real-Time Healthcare System Nurse Call EHR Patient Monitoring Medical Device SYSTEMS AND DEVICES Physician Nurse Nurse Supervisor Hospitalist House Keeping CARE TEAM Alarms Text Alerts VoiceData
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0 1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . Post AcuteAmbulatoryHospitals Clinical Communication Secure Text Messaging Alarms & Notifications Real Time Health System Across the Care Continuum Experience Monitoring Patientâs Home Today Analytics Vocera Software Platform âą Voice Assistant âą Next-Generation Nurse Call âą Patient Throughput âą Healthcare IoT âą Interactive Patient Care âą On Call Scheduling Potential Future âą Real-Time Location Systems âą AI / Predictive Analytics
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 1 2 Compelling Return on Investment 10 minute savings per nurse per shift Bed turnover rates up 50% OR revenues up $780,000 350 more annual OR capacity hours 4,000 annual ED hours recaptured Response times down from 2 minutes to 9 seconds 35% overall satisfaction rating improvement 25% improvement in HCAHPS scores Fall related injuries down 60%; estimated $1.27 million savings Operational EfficiencyPatient Safety and Satisfaction
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 1 3 U.S. Army Medical Command (MEDCOM) Health System Success
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 1 4 6,986 Hospitals in the U.S.(1) Large Global Market Opportunity (1) Based on Definitive US Healthcare Database. As of December 31, 2017 *Federal numbers are for acute care hospitals, do not include clinics or ambulatory care centers ~$6 Billion Global Market Opportunity 1118 5220 Vocera Hospitals US Hospitals 18% U.S. Penetration Rate (1) (6338 Total US Hospitals) ~130 new healthcare facilities in 2017 U.S. Hospitals 1118 (1) U.S. Healthcare 100 (non hospital) International Healthcare Facilities ~250 Global Non-Healthcare Facilities ~250 Federal Hospitals 1 Vocera* Total 1 VA 73 164 DoD 21 46 Total 94 210
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 1 5 33% 21% 35% 11% % 2018 Revenue1 * %âs are of the specific category, not company revenue. Greater than 50% of revenues are recurring High visibility Low customer concentration 95% + Maintenance Renewal Rate Devices 44% recurring* Software ~10% subscription* Software Maintenance All recurring* Professional Services 15%+ recurring* Diversified Revenue, High Visibility
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 1 6 Actual 2014 2015 2016 2017 2018 Gross Margin 63% 64% 65% 65% 66% R&D % of Revenue 17% 15% 13% 15% 16% S&M % of Revenue 47% 41% 35% 31% 30% G&A % of Revenue 13% 12% 11% 10% 9% Opex % of Revenue 77% 68% 58% 56% 55% Adjusted EBITDA (13%) (3%) 8% 10% 12% Operating Leverage Drives Significant Value Target Model 68% 12% 29% 8% 49% 20% Sales Notes âą All numbers are non-GAAP, see appendix for reconciliation. Drivers
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 1 7 Thank you
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 1 8 Appendix
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 1 9 GAAP to Non-GAAP Reconciliations of Net Income to Adjusted EBITDA Q4â18 and Q4â17 Three months ended December 31, Year ended December 31, 2018 2017 2018 2017 GAAP net income (loss) $ (1,101) $ 374 $ (9,674) $ (10,897) Add back: Stock compensation expense 5,487 4,992 20,964 18,196 Acquisition related expenses 40 260 310 1,269 Interest income (1,174) (178) (2,971) (549) Interest expense 2,138 â â 1 , 0 0 8 , 0 5,241 â â Depreciation and amortization expense 1,994 1,888 7,662 7,643 Provision for (benefit from) income taxes 144 (291) (351) 759 Non-GAAP adjusted EBITDA $ 7,528 $ 7,045 $ 21,181 $ 16,421
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 2 0 GAAP to Non-GAAP Reconciliations of Net Income to Adjusted EBITDA Q3â18 and Q3â17
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 2 1 GAAP to Non-GAAP Reconciliations of Net Income to Adjusted EBITDA Q2â18 and Q2â17
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 2 2 GAAP to Non-GAAP Reconciliations of Net Income to Adjusted EBITDA Q1â18 and Q1â17
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 2 3 GAAP to Non-GAAP Reconciliations of Net Income to Adjusted EBITDA 2014-2017
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 2 4 GAAP to Non-GAAP Reconciliations of Net Income to Adjusted EBITDA 2014-2017
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 2 5 GAAP to Non-GAAP GM & Opex Reconciliation 2017 & 2016 under ASC 606
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 2 6 GAAP to Non-GAAP GM & Opex Reconciliation 2017 & 2016 under ASC 605
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 2 7 GAAP to Non-GAAP Reconciliation 2015
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1 9 V O C E R A C O M M U N I C A T I O N S . A L L R I G H T S R E S E R V E D . 2 8 GAAP to Non-GAAP GM & Opex Reconciliation 2014 (a) This adjustment reflects the accounting impact of non-cash stock-based compensation expense. (b) This adjustment reflects the accounting impact of acquisitions in 2010, 2014, and 2016 in non-cash expense. (c) This adjustment reflects the costs associated with the acquisition in 2016.