#1 kazakhstan china telemedicine project overview - investor-1

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Executive Overview CONFIDENTIAL

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Page 1: #1 kazakhstan china telemedicine project overview - investor-1

Executive Overview

CONFIDENTIAL

Page 2: #1 kazakhstan china telemedicine project overview - investor-1

Key Contacts

CONFIDENTIAL 2

Dias Koshumbekov

[email protected]

Almaty, Kazakhstan

+77011111471

Page 3: #1 kazakhstan china telemedicine project overview - investor-1

Company Profile & Business Overview

3 CONFIDENTIAL

Page 4: #1 kazakhstan china telemedicine project overview - investor-1

Our Mission

To increase access to convenient, high-

quality, affordable healthcare in

Kazakhstan and China.

4 CONFIDENTIAL

Page 5: #1 kazakhstan china telemedicine project overview - investor-1

Company Overview

5 CONFIDENTIAL

Founded: October, 2014

Business Type: Limited Liability Company

Employees: 10

Revenue: $ 100000

Page 6: #1 kazakhstan china telemedicine project overview - investor-1

Technology facilitates industry evolution

Late 90s to Early 2000s

Online & Mobile eCommerce & Digital Payments

Popularized in the 1980s

ATM Paper Based/Cash

Original Method

Teller Paper Based/Cash

1994 First online banking site

1996 The NIST defines EDI for

computer-to-computer

transactions

2004 PCI Data

Standards

2009 Congress passes the

Credit CARD Act

Regulatory

Mix of paper & digital

transactions

6 CONFIDENTIAL

All paper transactions Majority digital transactions

Banking Example

Page 7: #1 kazakhstan china telemedicine project overview - investor-1

Healthcare is currently experiencing an

evolution of its own

Online/At Home

Videoconferences Self-facilitated

Kiosk

Real-time Videoconferences Attendant Facilitated

ER

Doctor ’s Office

Urgent Care

Retail Clinics

In Person

Back

Office

Front

Office

EMR/MU1

Dig

itizatio

n

eTriage

HIEs/MU2 MU3

eScheduling

7 CONFIDENTIAL

Page 8: #1 kazakhstan china telemedicine project overview - investor-1

Retailers are playing a greater role in Healthcare

Retailers are building clinics to increase their capacity to provide

healthcare services

CONFIDENTIAL 14

4,000 Stores

• In 2007 launches plan to deploy 2,000 health clinics in its stores

• Announces plan to provide insurance consultation in 2,700 stores

1,800 Stores

• Launches first in‐ store clinic in 2006

• 69 ‘Take Care’ In‐ store clinics in 2013

7,600 Stores

• Operates 900+ Minute Clinics

• Plan to operation 1,500 by 2017

• Announces it will discontinue tobacco sales

• Changes name to CVS Health

• Minute Clinic sales increased at a 39% CAGR last 6 years

8,200 Stores

• Operates 400+ healthcare clinics

• Pilot in NC, BCBS, iPad‐based two‐ way video, secure text chat or phone

2,419 Stores

• Operates and owns Little Clinic, with 150+ locations in 8 states

Page 9: #1 kazakhstan china telemedicine project overview - investor-1

What is driving the shift of Healthcare to Retail?

Prominent industry trends are creating opportunities

in the healthcare marketplace…

CONFIDENTIAL 15

The market is poised for disruptive innovation

Documented 45K

Physician

Shortage

ACA

30M Newly

insured

Growing

population of

aging / sick

Health Systems

facing payment

reforms

Growing

consumerism in

healthcare

Page 10: #1 kazakhstan china telemedicine project overview - investor-1

Retail Clinics are reducing the cost of Healthcare

$59 $74 $59 $95

$133 $97

$184

$495

$220

Ear Ache Sore Throat Cold / Bronchitis

Retail Clinic

Doctor's Office

ER

CONFIDENTIAL

Page 11: #1 kazakhstan china telemedicine project overview - investor-1

600 750 900 1,100

1,300 1,500

2012A 2013A 2014A 2015P 2016P 2017P

2.7 3.6 4.8

6.4 8.4

10.7

2012A 2013A 2014A 2015P 2016P 2017P

Total MinuteClinic Locations

MinuteClinics have

expanded 50% since 2012.

CVS has announced

plans to expand to

1,500 by 2017.

As of 2014, MinuteClinic has provided service to an aggregate 22

million patients

12.2 13.1 14.5 16.0 17.6 19.5

2012A 2013A 2014A 2015P 2016P 2017P

1.1 1.2 1.3 1.5 1.6 1.8

2012A 2013A 2014A 2015P 2016P 2017P

Daily Visits per Clinic Hourly Visits per Clinic

Expansion of services,

increasing market

awareness and geographic proximity

contribute to increased utilization

Same store utilization is increasing +10% YoY

Patients are visiting retail locations such as

MinuteClinic at increasing rates

17 CONFIDENTIAL

Annual Patient Visits to MinuteClinics millions

Page 12: #1 kazakhstan china telemedicine project overview - investor-1

…driving greater consumer awareness, utilization

and clinic expansion

7%

27%

1.5M

10.0M

% of people who have used a walk‐in Clinic

1,743

1,418

2,868

2,243

2012

2014

2013

2015

82% 12%

6% Retail Pharmacy

Grocery

Big Box Discount

2008 2012 Source: Harris Interactive/Health Day – “Popularity of 'Walk‐In' Retail Health Clinics Growing: Poll”, January 2013

88% CAGR

2007 2012 Source: Harvard Health Blog – “More Americans using Retail Health Clinics”, May 10, 2014

26% CAGR

The # of operating Retail Clinics are expected to double from 2012‐15

Source: Accenture– “Retail Clinic Counts Will Double Between 2012 and 2015 and Save $800 Million Dollars per Year”, 2014

Source: Deloitte – “Retail Clinics, Update & Implications”, 2009

Firms such as CVS grabbed early share of the Retail Clinic market

The public is becoming

more comfortable with Retail

and Employer

Site Health care.

# of people having sought care at a Retail Clinic

Migration to Retail Clinics is driven by

convenience of clinic

locations and

operating hours.

Projected growth is driven by

relationships with Payers,

Hospitals and Primary

Care Physicians.

Minute Clinic and Take Care together

comprised 72% of the

Retail Pharmacy

market.

12 CONFIDENTIAL

Page 13: #1 kazakhstan china telemedicine project overview - investor-1

HealthKiosk helps to affordably facilitate the shift

to retail healthcare settings

Designed to affordably enable the transition of Healthcare from

traditional settings to the Retail environment

Physician Office,

Emergency Room,

Urgent Care

Pharmacy Chains, Big Box

Retailers, Grocery Stores

13 CONFIDENTIAL

Page 14: #1 kazakhstan china telemedicine project overview - investor-1

…using an innovative platform

Software

Online

Scheduling Kiosks

Medical

Devices

Scheduling

Clinical Pathways

Medical History

Medical Devices

Video Consult

Prescribing

HIE Integration

Claims Surveys

14 CONFIDENTIAL

Page 15: #1 kazakhstan china telemedicine project overview - investor-1

Urgent Care Hospital

Specialists

Episodic &

After Hours

Primary Care Behavioral

Health

Diet &

Nutrition

Follow-ups

MTM

Doctor ’s Office

Emergency

Room

…to provide the Right Care, at the Right Place, at

the Right Time

HealthKiosk is building a Consumer Healthcare

Brand

15 CONFIDENTIAL

Page 16: #1 kazakhstan china telemedicine project overview - investor-1

…at a more economical cost structure to the Retailer

Clinic Model HealthKiosk Model VS.

Retail Settings have 2 Primary

Models to provide

healthcare services

16 CONFIDENTIAL

Build Out Cost $350,000 $15,000

Square Footage 200‐500 sq/ft 40 sq/ft

Annual Operating Costs $650,000 $60,000

Scope of Services Limited to skill set of on‐site provider – typically acute care

Acute care, health and wellness, medication mgt., nutrition

coaching, high blood pressures, smoking cessation, etc.

Daily Visits needed to Breakeven in 12 months

26 visits/day 12 visits/day

Page 17: #1 kazakhstan china telemedicine project overview - investor-1

…with a Business Model that benefits all parties

Patient Provider Payer Retailer Health System

•Quick • Clean • Easy • Convenient • Cost – same or

less than an office visit • Retain copy of

medical records

• Easy •Quality

Assessment • Economical • Lower Overhead

and Staffing

• Lower cost through optimization of care network, e.g., patient with an ear infection receives care at low cost HealthKiosk vs. high priced ER

• Increased Rx Sales • Increase Sales of

Sundry Items • Share in

Proceeds from Patient Billing •Drive New Foot

Traffic • Capture Market

Share

• Referral Source •Optimize

Provider Network • Capture Market

Share • Aligns with

Accountable Care Organization

17 CONFIDENTIAL

Page 18: #1 kazakhstan china telemedicine project overview - investor-1

HealthKiosk has unique competitive features

Care Centric

(SaaS) model

Extensive

IP Portfolio

Reimbursements

same as Office Visits

Success with state

medical boards

Proven consumer

acceptance

Care Source – Only Medicaid Management Organization

Expansion of care to Right Care, Right Time, Right Place at lower cost Medical Records

Design, utility, software and provisional patents

96% Consumer Satisfaction 98% Physician Satisfaction

OH, GA, TN have adopted language that provide competitive barrier

18 CONFIDENTIAL

Page 19: #1 kazakhstan china telemedicine project overview - investor-1

Operating and Financial Projections

19 CONFIDENTIAL

Page 20: #1 kazakhstan china telemedicine project overview - investor-1

Note: The following operating metrics and financial

projections are based solely on the Retail Pharmacy

Market and its 65,921 locations in China and Kazakhstan.

They exclude considerations and developments in the

following categories:

20 CONFIDENTIAL

Employer Sites Health Systems Universities Veteran Affairs Department of Defense

International Expansion Airports/Truck Stops Home Health Long‐term Care Assisted Living Centers

Forecast is based on the Retail Pharmacy Market

Page 21: #1 kazakhstan china telemedicine project overview - investor-1

0.2%

21 CONFIDENTIAL

1.2%

3.9%

8.8%

18.0%

14.0%

19.8%

5%

10%

15%

20%

0%

2015 2016 2017 2018 2019 2020 2021

Retail Pharmacy Market Share

25%

Projected penetration rate of the Retail Pharmacy

Market

Page 22: #1 kazakhstan china telemedicine project overview - investor-1

146

22 CONFIDENTIAL

725

2,412

5,467

8,711

11,147 12,286

128

7,842 27,576

55,326

85,035

103,458

0

20,000

40,000

60,000

80,000

100,000

2015 1,519 2016 2017 2018 2019 2020 2021

# of Kiosks Deployed

14,000

12,000

10,000

8,000

6,000

4,000

2,000

0

Annual Visits (thousands)

120,000

Projected Station deployment and Utilization

Page 23: #1 kazakhstan china telemedicine project overview - investor-1

2015 2016 2017 2018 2019 2020 2021

23 CONFIDENTIAL

$ in millions

Financial Projections

Sales $4.0 $44.8 $204.2 $659.1 $1,269.2 $1,901.4 $2,280.3

Cost of Service 3.8 29.1 135.7 451.5 883.8 1,337.5 1,613.6

Gross Profit .2 15.6 68.5 207.6 388.4 563.9 666.6

Gross Margin % 4.9% 34.9% 33.5% 31.5% 30.4% 29.7% 29.2%

SG&A 17.3 22.5 28.1 35.1 42.1 49.7 57.6

as % of sales NM 48.6% 13.2% 5.3% 3.3% 2.6% 2.5%

EBITDA $(17.0) $(6.8) $40.4 $172.5 $343.2 $514.2 $609.0

as % of sales NM NM 20.1% 26.2% 27.1% 27.1% 26.7%

Page 24: #1 kazakhstan china telemedicine project overview - investor-1

Go To Market

24 CONFIDENTIAL

Page 25: #1 kazakhstan china telemedicine project overview - investor-1

Go To Market

25 CONFIDENTIAL

B2C – Focus on large Retailers with in-store Pharmacies

• Retail Pharmacy

• Open Network

B2B

• Health System

• Closed Network

• ACO & PCMH

Bundled Service (Population Mgmt.)

• Large Government Payer Contract

• ER Misuse

• Capitated Rate

Page 26: #1 kazakhstan china telemedicine project overview - investor-1

CONFIDENTIAL 44

2013 2018

$240M

$1.9B

53% CAGR “The trend toward telehealth will be driven by

employers, private insurers and the Affordable Care Act, which makes doctors and hospitals more accountable by moving medical care providers away from fee‐for‐service medicine where they are paid based on volume of services to reimbursement based on the value of care they provide.”

Market Size

Telehealth is poised for significant growth

Page 27: #1 kazakhstan china telemedicine project overview - investor-1

Potential HealthKiosk Locations –

China,Kazakhstan

92,887 potential locations

62,260 Pharmacy

9,300 Urgent Care

3,700 Emergency

11,327 Large Employers

6,300 Truck Stop

27 CONFIDENTIAL

Page 28: #1 kazakhstan china telemedicine project overview - investor-1

Healthcare: Guided Transition

Home

Telemedicine

Videoconferences Self-facilitated

ER

Doctor ’s Office

Urgent Care Kiosk Real-time

Videoconferences Attendant Facilitated

In Person

Ultimately, more telemedicine healthcare services will be provided in the home

Past Present COST OF TRADITIONAL DELIVERY

Future COST OF HOME DELIVERY

28 CONFIDENTIAL

Page 29: #1 kazakhstan china telemedicine project overview - investor-1

Technology Overview

29 CONFIDENTIAL

Page 30: #1 kazakhstan china telemedicine project overview - investor-1

Overall Architecture

Patient Portal Personal Health Record

Provider Portal

Cloud Database Analytics

Mobile

EMRs/HIEs

Scheduling

Claims API

30 CONFIDENTIAL

Page 31: #1 kazakhstan china telemedicine project overview - investor-1

Investment Purpose and Next Steps

31 CONFIDENTIAL