Attached files
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8-K - FORM 8-K - AAC Holdings, Inc. | d16071d8k.htm |
EX-99.2 - EX-99.2 - AAC Holdings, Inc. | d16071dex992.htm |
Exhibit 99.1
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RIVER OAKS TAMPA , FLORIDA
INVESTOR UPDATE AUGUST 2015
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IMPORTANT PRESENTATION INFORMATION 2
Notice to Investors
Forward-Looking
Statements
We use market data and industry forecasts and projec ons throughout this presenta on, including data from publicly available informa on and industry publica ons. These sources generally state that the informa on they provide has been obtained from sources believed to be reliable, but that the accuracy and completeness of the informa on are not guaranteed. The forecasts and projec ons are based on industry surveys and the preparers experience in the industry, and there can be no assurance that any of the forecasts or projec ons will be achieved. We believe that the surveys and market research others have performed are reliable, but we have not independently inves gated or verified this informa on. Forecasts and other forward-looking informa on obtained from these sources are subject to the same qualifica ons and uncertain es as the other forward-looking statements contained in this presenta on.
Some of the statements made in this presenta on cons tute forward-looking statements within the meaning of federal securi es laws. Forward-looking statements reflect our current views with respect to future events and performance. In some cases you can iden fy forward-looking statements by terminology such as may, might, will, should, could or the nega ve thereof. Generally, the words an cipate, believe, con nues, expect, intend, es mate, project, plan and similar expressions iden fy forward-looking statements. In par cular, statements about our pipeline, industry growth opportuni es, disclosure of key performance indicators, business growth strategy and pro forma financial results in this presenta on are forward-looking statements.
We have based these forward-looking statements on our current expecta ons, assump ons, es mates and projec ons. While we believe these expecta ons, assump ons, es mates and projec ons are reasonable, such forward-looking statements are only predic ons and involve known and unknown risks, uncertain es and other factors, many of which are outside of our control, which could cause our actual results, performance or achievements to differ materially from any results, performance or achievements expressed or implied by such forward-looking statements. For addi onal discussion of risks, uncertain es and other factors, see the sec on tled Risk Factors in our Annual Report on Form 10-K and other filings with the SEC.
Risks, uncertain es and other factors include, without limita on: (i) our inability to operate our facili es; (ii) our reliance on our sales and marke ng program to con nuously a ract and enroll clients; (iii) a reduc on in reimbursement rates by certain third-party payors for inpa ent and outpa ent services and point of care and defini ve lab tes ng; (iv) our failure to successfully achieve growth through acquisi ons and de novo expansions; (v) uncertain es regarding the ming of the closing of pending acquisi ons; (vi) our failure to achieve an cipated financial results from contemplated acquisi ons; (vii) the possibility that a governmental en ty may prohibit, delay or refuse to grant approval for the consumma on of the acquisi ons; (viii) a disrup on in our ability to perform diagnos c drug tes ng services; (ix) maintaining compliance with applicable regulatory authori es, licensure and permits to operate our facili es and lab; (x) a disrup on in our business related to the recent indictment of certain of our subsidiaries and current and former employees; (xi) our inability to integrate newly acquired facili es; and (xii) general economic condi ons, as well as other risks discussed in the Risk Factors sec on of the Companys Annual Report on Form 10-K, and other filings with the Securi es and Exchange Commission.
Given these risks and uncertain es, you are cau oned not to place undue reliance on such forward-looking statements. These risks and uncertain es may cause our actual future results to be materially difierent than those expressed in our forward-looking statements. These forward-looking statements are made only as of the date of this presenta on. We do not undertake and specifically decline any obliga on to update any such statements or to publicly announce the results of any revisions to any such statements to reflect future events or developments.
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PRESENTERS 3
Michael T. Cartwright
Chairman
(since 2011)
Chief Executive Officer
(since 2013)
Kirk R. Manz
Chief Financial Officer
(since 2011)
Founder and CEO of Foundations Recovery Network
At Foundations, opened notable treatment facilities including the Canyon in Malibu, La Paloma in Memphis and Michaels House in Palm Springs Started Moments of Change & Lifestyle Intervention, two of the leading national industry conferences Author of Believable Hope 20 years industry experience
Founder and Managing Member of Private Capital Securities, a boutique investment banking firm Former Vice President at Piper Jaffray and Fixed Income Specialist with
Stephens Inc.
Co- founder and CEO of four communications companies including Igaea, an international VoIP Company 23 years management experience
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AAC OVERVIEW 4
American Addiction Centers, Inc. (AAC) is a leading provider of inpatient drug and alcohol addiction treatment services in the behavioral health sector
Headquartered in Brentwood, Tennessee
Operates 7 residential alcohol and drug addiction treatment facilities in California, Texas, Florida and Nevada
Operates 5 standalone outpatient centers in Nevada, Texas and Rhode Island
1H 2015 revenue of $97 million revenue up 63% from $59 million revenue in 1H 2014
Approx. 90% of reimbursements from commercial payors with no government reimbursement
587 beds currently with over 600 beds in pipeline*
Engaged board of directors with strong healthcare & public company experience
Invested executive management and boardown over 60% of outstanding stock
*
Beds in pipeline reflects managements current estimates
CUSTOMER
MISSION:
COMBINE
EXCEPTIONAL
CLINICAL
CARE
WITH
PREMIUM
FACILITIES
TO
PROVIDE
EFFECTIVE
TREATMENT
SOLUTIONS
FOR
THOSE
SUFFERING
FROM
ADDICTION
AND
CO-OCCURRING
MENTAL
HEALTH
DISORDERS
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ACTIVITY SINCE GOING PUBLIC (10/2/14) 5
Diversification Plan
Growth Plan Geography Payor Service
Improve Census 62% increase 1H 2015 over 1H 2014
De Novo Development 164 beds in developmentTampa, FL
150 beds in developmentRingwood, NJ
84 |
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beds in developmentAliso Viejo, CA |
Expand Beds at Current Facilities 31 new beds opened Temecula, CA
18 |
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detox beds in development at Recovery First |
Acquisitions 56 in-network beds Recovery First, FL
76 |
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in/out-network beds Oxford Centre, MS pending |
110 in-network beds Sunrise House, NJ pending
Expand Outpatient Opened Las Vegas and Arlington outpatient centers
Acquired 3 in-network outpatient centers (CSRI, RI)
Complementary Growth High complexity lab testing FL, CA, RI
Expansion of current lab capacity pending
Recovery Brands acquisition
AACS
CAPACITY
PIPELINE
HAS
GR OWN
FROM
480
BEDS
TO
OVER
1,200
BEDS
IN
LESS
THAN
12
MONTHS
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CAPACITY OVERVIEW 6
Beds Anticipated
Facility At IPO Added Pending State Payor Services Property Type Availability
Desert Hope 148 NV OON DTX, RTC, PHP, IOP Owned De novo
Greenhouse 130 TX OON DTX, RTC, PHP, IOP Owned De novo
Forterus 76 31 CA OON DTX, RTC, PHP, IOP Leased Original
Singer Island 65 FL OON PHP. IOP Leased Acquired
San Diego SDTC 36 CA OON DTX, RTC, PHP, IOP Leased Original
The Academy 12 6 FL OON PHP. IOP Leased Acquired
FitRx 20 10 TN OON PHP. IOP Leased Original
Recovery First 63 22 FL IN DTX, RTC, PHP, IOP Owned/Leased Acquired
Oxford Centre 76 MS OON DTX, RTC, PHP, IOP Owned Pending Q3 2015
Sunrise House 110 NJ IN DTX, RTC, PHP, IOP Owned Pending Q3 2015
River Oaks 162 FL OON DTX, RTC, PHP, IOP Owned De Novo Q4 2015
Aliso Viejo 84 CA OON DTX, RTC, PHP, IOP Owned De Novo 1H 2016
Ringwood 150 NJ OON DTX, RTC, PHP, IOP Owned De Novo 2H 2016
Total 487 100 614
CURRENT
M&A
AND
DE
NOVO
PIPELINE
EXPECTED
TO
BRING
CAPACITY
TO
APPROXIMATELY
1,200
BEDS
IN
2016
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ANTICIPATED 2016 AAC LOCATION OVERVIEW 7
Ringwood*
Sunrise
House*
Desert
Hope
Forterus
FitRx Aliso
Viejo*
SDTC
Greenhouse Oxford*
The
Academy Singer
Island River
Oaks
Recovery
First
*
Pending
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DE NOVO: RIVER OAKS, TAMPA 8
CONSTRUCTION
COMPLETED
--?
LICENSE
APPLICATION
IN
PROGRESS
162
BEDS
ON
26
ACRE
CAMPUS
ESTIMATED
$18MM
INVESTMENT
OR
$111K
PER
BED
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ACQUISITION: OXFORD CENTRE, MISSISSIPPI 9
ACQUISITION
PENDING
76
BEDS
ON
100+
PARK
LIKE
ACRES
PURCHASE
PRICE
OF
$35MM
OR
6.25X2014
AEBITDA
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SENTINEL EVENTS: INDUSTRY DATA 10
> Between 2010 and 2011, there were 8,142 deaths out of 3,439,124 treatment episodes (1) researched by the Substance Abuse and Mental Health Services Administration (SAMHSA) (2)
Year Treatment Episodes Deaths%
2010 1,697,010 4,159 0.25%
2011 1,742,114 3,983 0.23%
Total 3,439,124 8,142 0.24%
Episodes per 1 death 422
Since 2011, AAC has experienced over 15,000 treatment episodes
Since 2011, AAC has experienced 4 deaths (3)
General industry: 1 death per 422 treatment episodes
AAC: 1 death per 3,750 cases treatment episodes
NOTES:
(1)
A
treatment
episode
is
de?ned
as
the
period
between
ini a on
of
treatment
(admission)
and
termina on
of
treatment
(discharge)
(2)
SAMHSA
2010,
2011
Treatment
Episode
Data
Set
(TEDS)
(3)
AAC
has
experienced
8
deaths
since
opening
in
2004
IT
IS
NOT
UNCOMMON
FOR
LEADING
PROVIDERS
TO
EXPERIENCE
MULTIPLE
DEATHS
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CALIFORNIA CASE: 7/26/2010 11
53 year old male
Found dead of natural causes in his room the morning after he checked in to one of our facilities
History of chronic obstructive pulmonary disease
The coroner made absolutely no finding that the death had anything to do with his treatment at our facility
Civil case settled by insurance company in May 2014 for a confidential amount- non material financial event for AAC
Coroner was never called to testify in Grand Jury indictment proceedings
CORONERS
REPORT:
CAUSE
OF
DEATH
DUE
TO
HYPERTENSIVE
CARDIOVASCULAR
DISEASE
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CALIFORNIA LICENSES 12
> No ABTTC or Forterus licenses have been suspended or revoked
Contrary to media reports, Irongate license was voluntarily surrendered subsequent to lease termination
> 31 new Forterus beds were licensed in January 1, 2015 by California Department of Healthcare Services
> Letter of active licenses and program compliance was provided by California Department of Healthcare Services to State of New Jersey on June 10, 2015
ALL
LICENSES
IN
CALIFORNIA
REMAIN
INTACT
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TODAYS AAC 13
TTM Revenue as of June 30, 2015 $171MM
Employees > 1,000
Audited Financials Yes
Experienced Management Team Yes
Engaged, Invested and Experienced Board of Directors Yes
Track Key Performance Indicators Yes
Clinical Advisory Team Yes
In House Legal and Compliance Team Yes
Customer Satisfaction Surveys Yes
Invested in Outcome Studies Yes
State-of-the-Art Residential Facilities Yes
WE
SEEK
TO
INSTITUTIONALIZE
A
HIGHLY
FRAGMENTED
INDUSTRY
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CLINICAL EXCELLENCE 14
> Fully accredited and licensed programs to treat essentially all drug and
alcohol addiction disorders as well as co-occurring disorders regardless of
stage of treatment required
EFFECTIVE
PROGRAM EXPERIENCED
STAFF PREMIUM
FACILITIES EXCEPTIONAL
SERVICE
Research-based Medical Beautiful buildings Delicious, healthy food
Structured curriculum Clinical Amenities Meticulous housekeeping
Tailored treatment Utilization review Desirable locations Courteous interaction
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CLINICAL: RESEARCH INITIATIVES 15
> Centerstone Research Institute (CRI)
CRI is a not-for-profit organization dedicated to improving healthcare through innovative approaches
to integrating research and technology with clinical practice. They have been awarded over $130
million in research grants and been involved in over 150 groundbreaking studies for behavioral health
> Research & Evaluation
Analyticsincluding the development of quality clinical KPIs
Outcomes Evaluation including selection, training and implementation of standardized assessment
tools and recovery check-ins (follow-ups) scheduled at 2, 6, 12, 18, and 24 months post client discharge
Researchplan and design for 4 papers to be published in peer-reviewed addiction treatment journals
> Status
Completed longitudinal evaluation plan
Completed pilot of evaluation instruments and protocol at Singer Island
Training and implementation of final evaluation protocol scheduled for phased roll out
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THE PREMIUM BRAND WE ARE BUILDING 16
GREENHOUSE,
TEXAS
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130
BEDS
DESERT
HOPE,
NEVADA
|
148
BEDS
OXFORD
CENTRE,
MISSISSIPPI
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76
BEDS
OPENED
Q2
2012 OPENED
Q1
2013 ANTICIPATED
Q3
2015
RIVER
OAKS,
FLORIDA
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162
BEDS
ALISO
VIEJO,
CALIFORNIA
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84
BEDS
RINGWOOD,
NEW
JERSEY
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150
BEDS
ANTICIPATED
Q4
2015 ANTICIPATED
1H
2016 ANTICIPATED
2H
2016
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GROWTH DRIVERS 17
ADMISSIONS
4,000
3,321
3,000
2,000 2,177
53% YOY
1,000
0
1H
2014 1H
2015
Admissions
UTILIZATION
600
584 87%
500 510
400 427 88% 375
300
37% 36% YOY YOY
200
100
0
1H
2014 1H
2015
Avg
Beds Avg
Daily
Census
AVG
DAILY
REVENUE
(1)
1,200
$989
900
$873
600 13% YOY
300
0
1H
2014 1H
2015
ADR
(1)
Residen al
only
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FINANCIAL PERFORMANCE 18
REVENUE
/
AEBITDA
/
NET
INCOME
100
$96.6
80
60
$59.2 63% 185% 62% YOY YOY
40 YOY
23%
20 $22.2 13% $7.2
$7.8 $1.1
0
1H
2014 1H
2015
Revenue AEBITDA Net
Income
AEPS
/
EPS
$0.50
$0.48
$0.40
$0.36
$0.30
220% 260% YOY YOY
$0.20
$0.15
$0.10
$0.10
$0.00
1H
2014 1H
2015
AEPS EPS
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APPENDIX: NON-GAAP FINANCIAL MEASURES 19
Adjusted EBITDA and Adjusted Earnings Per Share (EPS) are non--?GAAP financial measures as defined under the rules and regula ons promulgated by the U.S. Securi es and Exchange Commission. Management defines Adjusted EBITDA as net income adjusted for interest expense, deprecia on and amor za on expense, income tax expense, stock--?based compensa on and related tax reimbursements, li ga on se lement, restructuring charges, reorganiza on expense (which includes certain reorganiza on transac ons in April 2014 and expenses associated with the amendment and restatement of our then--?exis ng credit facility in April 2014), acquisi on--?related expense, and de novo startup expense. Where applicable, these include professional services for accoun ng, legal, valua on services and licensing expenses. Adjusted EBITDA and Adjusted EPS are considered supplemental measures of the Companys performance and are not required by, or presented in accordance with, generally accepted accoun ng principles, or GAAP. Adjusted EBITDA and Adjusted EPS are not measures of the Companys financial performance under GAAP and should not be considered as alterna ves to net income or any other performance measures derived in accordance with GAAP. Management has included informa on concerning Adjusted EBITDA and Adjusted EPS because they believe that such informa on is used by certain investors as a measure of a companys historical performance.
Management believes these measures are frequently used by securi es analysts, investors and other interested par es in the evalua on of issuers of equity securi es, many of which present EBITDA, Adjusted EBITDA and Adjusted EPS when repor ng their results. Because Adjusted EBITDA and Adjusted EPS are not determined in accordance with GAAP, it is subject to varying calcula ons and may not be comparable to the Adjusted EBITDA and Adjusted EPS (or similarly tled measures) of other companies. Managements presenta on of Adjusted EBITDA and Adjusted EPS should not be construed as an inference that our future results will be una?ected by unusual or nonrecurring items.
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RECONCILIATION OF NON-GAAP DISCLOSURES 20