EX-99.1 2 a05-1372_1ex99d1.htm EX-99.1

Exhibit 99.1

 

 

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Redefining     
Service

 

[LOGO]

 

23rd Annual JPMorgan Healthcare Conference

John J. Arlotta, Chairman, President & CEO
January 12, 2005

 



 

[LOGO]

Forward-Looking Statements

 

Statements made in this presentation, our website and in our other public filings and releases, which are not historical facts contain “forward-looking” statements (as defined in the Private Securities Litigation Reform Act of 1995) that involve risks and uncertainties and are subject to change at any time. These forward-looking statements may include, but are not limited to, statements containing words such as “anticipate,” “believe,” “plan,” “estimate,” “expect,” “intend,” “may”, “target” and similar expressions. Such forward looking statements include, without limitation, statements regarding the effect of the spin-off on our operations, expected changes in reimbursement rates and inflationary increases in state Medicaid rates, expected bed count, expected SG&A expense, anticipated restructuring charges and estimates of timing and costs savings related to cost improvement initiatives. Factors that could cause actual results to differ materially include, but are not limited to, the following: our ability, and the ability of our customers, to comply with Medicare or Medicaid reimbursement regulations or other applicable laws, changes in the reimbursement rates or methods of payment from Medicare and Medicaid, or the implementation of other measures to reduce the reimbursement for our services and the impact of the Medicare Prescription Drug, Improvement and Modernization Act of 2003, changes in pharmacy legislation and payment formulas, the impact of federal and state regulations, competition in our businesses, the impact of Omnicare, Inc.’s unsolicited tender offer to acquire all of our outstanding common stock, competition for qualified management and pharmacy professionals, the impact of investigations and audits relating to alleged violations of federal and/or state regulations, changes in the acuity of patients, payor mix and payment methodologies, further consolidation of managed care organizations and other third party payors, the effect of the expiration or termination of certain service and supply contracts, changes in or our failure to satisfy pharmaceutical manufacturers’ rebate programs, an economic downturn or changes in the laws affecting our business in those markets in which we operate, the impact of acquisitions, and our ability to integrate acquired businesses, on our operations and finances, our ability to control operating costs and generate sufficient cash flow to meet operational and financial requirements, our ability, and the ability of our subsidiary guarantors, to fulfill debt obligations, our covenants and restrictions contained in financing agreements which limit our discretion in the operation of our business, our charter documents and the Pennsylvania Business Corporation Law of 1988, as amended, which could delay or prevent a change of control, availability of financial and other resources to us after the spin-off of GHC, operating inefficiencies and higher costs after the spin-off of GHC, federal income tax liabilities and indemnification obligations related to the spin-off of GHC, conflicts of interest as a result of our continuing relationship with GHC after the spin-off, the ability of GHC, as our largest customer, to operate as a separate entity and acts of God or public authorities, war, civil unrest, terrorism, fire, floods, earthquakes and other matters beyond our control.

 

The forward-looking statements involve known and unknown risks, uncertainties and other factors that are, in some cases, beyond our control. We caution investors that any forward-looking statements made by us are not guarantees of future performance. We disclaim any obligation to update any such factors or to announce publicly the results of any revisions to any of the forward-looking statements to reflect future events or developments.

 



 

Company Overview

NeighborCare Business Segments

 

NeighborCare, Inc.

 

2004 Revenue: $1.4 Billion

 

INSTITUTIONAL PHARMACY

CORPORATE & OTHER

 

 

 

Retail Pharmacy

 

32 Pharmacies in 4 states

66 Pharmacies in 32 states + D.C.

>1.5M scripts per year

 

 

~89% of 4Q04 Revenues

NeighborCare At Home

 

17 Distribution centers in 9 states

262,755 Beds Served

Home infusion, respiratory, medical equipment and hospice

 

 

>30M scripts per year

Tidewater GPO

 

Represents >550,00 beds

 

Note:   Data Ending F4Q04

 



 

The Long-Term Care Pharmacy Business Cycle

 

Wholesaler delivers drugs to NeighborCare Pharmacies

 

[GRAPHIC]

 

NeighborCare delivers prescriptions to long-term care facilities

 

[CHART]

 

Payor mix as of 9/30/04

 



 

How NeighborCare Makes Money

 

[CHART]

 

Revenue

 

$

1.00

 

 

 

 

 

 

COGS

 

$

(0.65

)

 

 

 

 

 

COS

 

$

(0.14

)

 

 

 

 

 

Rebates

 

$

0.02

 

 

 

 

 

 

Gross Profit

 

$

0.21

 

 

 

 

 

 

OpEx

 

$

(0.14

)

 

 

 

 

 

Bad Debt

 

$

(0.01

)

 

 

 

 

 

D&A

 

$

(0.02

)

 

 

 

 

 

Interest

 

$

(0.01

)

 

 

 

 

 

Pre Tax Income

 

$

0.05

 

 

Note:   Numbers are an example, not intended to represent actual results

 



 

Historical Drug Trend

 

Components of Drug Trend

 

[CHART]

 

Utilization

 

4-5%

 

Opportunity to impact utilization driven cost through NeighborCare’s Cost Management Program

 

 

 

 

 

 

 

New Products

 

0-1%

 

 

 

 

 

Price Increases

 

5-6%

 

 

 

 

 

Total

 

9-12%

 

 

Source: NeighborCare internal estimates and IMS study.

 



 

NeighborCare Unique Value Proposition

 

[GRAPHIC]

 

                  Runs on Laptop, Tablet or Web

 

                  Physician Connectivity

 

                  Drug Cost Projections

                  Complete First Data Bank Data

                  State PDL

                  Facility Pricing

 

                  Results Analysis

                  Clinical Review Drug Compatibility

 

 

[LOGO]

 

NeighborCare inTelAdmit™

 

The Intelligent Patient Screening System

 



 

Customer Tools:  inSightRx™ Reporting System

 

[GRAPHIC]

 

Sample Reports -

 

                  Top 50 Medications

 

                  Medicare A Drug Spend

 

                  Physician Profiling

 

 

[LOGO]

 

NeighborCare inSightRx™

 

The Intelligent Pharmacy Information System

 



 

Experienced Leadership Team

 

Company Leaders

 

Yrs. Healthcare
Experience

 

 

 

John J. Arlotta,  President, Chairman & CEO

 

32

 

 

 

Rich W. Hunt,  SVP and Chief Financial Officer

 

27

 

 

 

Jack L. Kordash,  Executive VP & Assistant to the CEO

 

34

 

 

 

Robert A. Smith, R.Ph.,  Chief Operating Officer

 

33

 

 

 

John F. Gaither, Jr.,  SVP and General Counsel

 

22

 

 

 

Michael Azzaro,  SVP, NeighborCare At Home

 

22

 

 

 

Tim Stefan,  SVP, President, Tidewater Group Purchasing

 

19

 

 

 

Bob Dunlap,  SVP, Materials Management and Logistics

 

28

 

 

 

Steve Duvall,  SVP, Sales & Account Management

 

22

 

 

 

Chuck Feeney,  SVP, Pharma & Generic Contracting

 

28

 

 

 

Nancy Losben,  SVP, Clinical Services

 

30

 

 

 

Lynn Meadows,  SVP, Revenue Management

 

21

 

Note: Blue highlights newer members of the management team

 



 

Our Business Plan

Capitalizing on the Opportunity

 

                  Reduce service costs while improving customer service

 

                  Reduce product costs through improved formulary management

 

                  Grow sales organically and increase customer retention

 

                  Expand core business through acquisitions, new sites and sales force expansion to gain competitive advantage

 



 

Business Plan Update

Reduce Service Costs

 

                  Best demonstrated practices target achieved of $6M for 2004

 

                  Fax server implementation on schedule

 

                  Three sites evaluating paperless workflow

 

                  First component of automated “super pharmacy” ordered

 

Cost of Service As % of Revenue

 

[CHART]

 



 

Reduce Service Costs – Drug Repack Center

 

[GRAPHIC]

 

Wholesaler delivers drugs to NeighborCare Drug Repack Facility

 

NeighborCare delivers prescriptions to long-term care facilities

 



 

Reduce Product Costs

 

                  Significantly improved generic product costs

 

                  Generic spend currently at ~$90M annualized run rate

 

                  Updated contract with primary drug wholesaler

 

                  New tracking and diagnostic tools for formulary compliance

 

Rebates As % of Revenue

 

[CHART]

 



 

Reduce Product Costs - Improved Formulary Compliance

 

Sample Therapeutic Drug Class

 

[CHART]

 



 

Where NeighborCare Priority Programs Impact Profitability

 

[CHART]

 

Revenue

 

$

1.00

 

 

 

 

 

 

 

 

 

 

 

COGS

 

$

(0.65

)

 

 

                  Brand & generic contracts

 

 

 

 

 

 

                  Wholesaler contract

 

 

 

 

 

 

 

COS

 

$

(0.14

)

 

 

                  BDPs

 

 

 

 

 

 

                  Consolidation/Hub & Spoke

 

 

 

 

 

 

                  Fax server

 

 

 

 

 

 

                  Paperless workflow

 

 

 

 

 

 

                  Drug repack

 

 

 

 

 

 

                  Pharmacy automation

 

 

 

 

 

 

 

Rebates

 

$

0.02

 

 

 

                  Formulary compliance

 

 

 

 

 

 

 

Gross Profit

 

$

0.21

 

 

 

 

 

 

 

 

 

 

 

OpEx

 

$

(0.14

)

 

 

 

 

 

 

 

 

 

 

Bad Debt

 

$

(0.01

)

 

 

 

 

 

 

 

 

 

 

D&A

 

$

(0.02

)

 

 

                  Centralized real estate management

 

 

 

 

 

 

 

Interest

 

$

(0.01

)

 

 

                  Interest rate swap

 

 

 

 

 

 

 

Pre Tax Income

 

$

0.05

 

 

 

 

 

Note: Numbers are an example, not intended to represent actual results

 



 

Grow Sales Organically and Increase Customer Retention

 

                  Net organic bed growth in FY2004 of 6,521

                  First year of positive net organic bed growth in four years

                  Reached retention rate goal for the full year

                  About 60% of new beds signed for 3 years or greater

 

Net Organic Bed Growth/Retention Rate

 

Retention Rate

 

86.0%

 

86.7%

 

87.3%

 

88.3%

 

89.9%

 

 

[CHART]

 



 

Geographic Expansion – 8 New Sites & 4 Acquisitions in CY2004

 

[GRAPHIC]

 

Locations Data as of December 9, 2004

 



 

Medicare Modernization Act

Some Implications for Long Term Care

 

                  Comments submitted by NeighborCare and LTCPA to CMS Oct. 2004

 

                  Final MMA rules to be published early in 2005

 

                  CMS has contracted the long term care study which is due Jun. 2005

 

                  CMS recognizes

 

                  Complex needs of LTC residents (dual eligibles)

 

                  Unique services (including costs) provided by LTC providers

 

                  Critical access needs of LTC resident

 

                  One facility – one pharmacy importance

 

                  Potential opportunity for LTC pharmacies to manage medication therapy management program (MTMP) components of MMA

 

                  NeighborCare’s data will be valuable to PDP’s and Health Plans

 



 

Financial Highlights

 

 

Any reference to non-GAAP financial information provided

herein is reconciled to comparable GAAP financial

information on our web site at

www.neighborcare.com/investor.

 



 

[LOGO]

Financial Highlights

 

Historical Revenue Growth

 

Annual Revenue Growth

 

[CHART]

 

Note: Revenues have been adjusted to reflect the Genesis HealthCare intersegment revenue.

 



 

Increasing Beds Served and Revenue per Bed

 

Number of Beds Served

 

[CHART]

 

Avg. Revenue Per Bed Per Month

 

[CHART]

 



 

Days Sales Outstanding and Days Inventory

 

[CHART]

 



 

Capitalization – September 30, 2004

 

($ in millions)

 

9/30/04

 

% of Cap

 

 

 

 

 

 

 

Senior Debt:

 

 

 

 

 

Revolver

 

 

 

Capital Leases/Notes Payable

 

12.3

 

1.9

%

Total senior debt

 

12.3

 

1.9

 

 

 

 

 

 

 

Senior Sub notes due 2013

 

250.0

 

38.5

 

Total Debt

 

262.3

 

40.4

 

 

 

 

 

 

 

Book Equity

 

386.8

 

59.6

 

Total capitalization

 

$

649.1

 

100.0

%

 

Notes: $97.1 million available on revolver at September 30, 2004

Total shares outstanding as of December 1, 2004 = 44.115 million

Options outstanding with employees and Board = 2.235 million shares at 9/30/04 (not included in share count above.)

 



 

Cash Flow Highlights

 

 

 

For the Quarters Ended

 

($ in millions)

 

3/31/04

 

6/30/04

 

9/30/04

 

 

 

 

 

 

 

 

 

Net cash provided by operating activities

 

$

8.3

 

$

8.1

 

$

23.6

 

 

 

 

 

 

 

 

 

Net cash used by investing activities

 

$

(10.9

)

$

(27.7

)

$

(9.5

)

Capital expenditures

 

$

(7.0

)

$

(5.3

)

$

(9.5

)

Acquisitions

 

$

(3.9

)

$

(22.4

)

 

 

 

 

 

 

 

 

 

Net cash provided by (used in) financing act.

 

$

1.2

 

$

(1.6

)

$

(2.3

)

 

 

 

 

 

 

 

 

Cash and equivalents at end of period

 

$

91.3

 

$

70.1

 

$

81.9

 

 



 

Conclusion

 

                  We remain focused on executing our business plan

 

                  Employees and management have not been distracted

 

                  The plan is working

 

                  Company well positioned for MMA implementation in 2006

 



 

Redefining     
Service

 

[LOGO]

 

23rd Annual JPMorgan Healthcare Conference

John J. Arlotta, Chairman, President & CEO

January 12, 2005