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AGM 2018 Digital Health Company Focused on Medication Adherence Company Update

Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

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Page 1: Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

AGM 2018

Digital Health Company Focused

on Medication Adherence

Company Update

Nermin Bibic
Page 2: Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

Adherium Ltd ©2018 2

The following material is of a general nature and has only been prepared as a presentation aid. This presentation does NOT contain all of the information that may be required for

evaluating Adherium Limited ACN 605 352 510 (Adherium or the Company), its assets, prospects or potential opportunities.

This presentation may contain budget information, forecasts and forward looking statements in respect of which there is NO guarantee of future performance and which of

themselves involve significant risks (both known and unknown). Actual results and future outcomes will in all likelihood differ from those outlined herein.

Forward-looking statements are statements that are not historical facts. Words such as “expect(s)”, “feel(s)”, “believe(s)”, “will”, “may”, “anticipate(s)” and similar expressions are

intended to identify forward-looking statements. These statements include, but are not limited to, statements regarding market size, future results, regulatory approvals,

production targets, sales, staffing levels etc. All of such statements are subject to risks and uncertainties, many of which are difficult to predict and generally beyond the control of

the Company, that could cause actual results to differ materially from those expressed in, or implied or projected by, the forward-looking information and statements.

These risks and uncertainties include, but are not limited to: (i) the possible delays in and the outcome of product development, (ii) risks relating to possible partnering or other

like arrangements, (iii) the potential for delays in regulatory approvals, (iv) the unknown uptake and market penetration of any potential commercial products and (vi) other risks

and uncertainties related to the Company’s prospects, assets / products and business strategy. This is particularly the case with companies such as Adherium which operate in

the field of developing and commercializing medical devices and related services. You are cautioned not to place undue reliance on these forward-looking statements that speak

only as of the date hereof, and we do not undertake any obligation to revise and disseminate forward-looking statements to reflect events or circumstances after the date hereof,

or to reflect the occurrence of or non-occurrence of any events.

Additionally there are a number of factors, both specific to Adherium and of a general nature, which may affect the future performance of Adherium. There is no guarantee that

Adherium will achieve its stated objectives/milestones, that any of its forecasts will be met or that forward looking statements will be realized.

Forward Looking Statement

Page 3: Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

Adherium Ltd ©2018 3

Digital Health Company Focused on Medication Adherence

DATA-DRIVEN PLATFORM ADDRESSES >$10B OPPORTUNITY IN RESPIRATORY DISEASE- $100B+ economic burden from respiratory medication non-adherence

- 40M+ people in the U.S. diagnosed with asthma or COPD$

PROVEN CLINICAL EFFICACY & REGULATORY APPROVAL- FDA 501(k) clearance, or under clearance review, for 80% of the prescribed inhalers in the U.S.

- 30 trials and 76 peer-reviewed publications

- Significant reduction in acute attacks, hospitalizations, missed days of school or work

MOMENTUM IN U.S.- Broadest compatibility with Rx inhalers on the market today

- Differentiated approach focused on home-health agencies, self-insured employers and leading pharmacies

- Partnerships with SmartAirLA (Blue Shield of California Foundation) & Vitalus Health

RECURRING REVENUE STREAM MODEL- Software-driven approach; subscription-based monthly fee

- Highly scalable model targeting Enterprise partners and Direct-to-Consumer channels

Page 4: Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

Adherium Ltd ©2018 4

Medication Non-Adherence: An Annual $300B+ Problem

3 out of 4 patients do not take medications as directed by their

physician

Nonadherence leads to poor patient outcomes, disease progression, lost time in school and work

~30% waste in the healthcare system due to increased hospitalizations, ER visits and increased health costs

$300B+ spent annually in the U.S. on avoidable direct healthcare costs (e.g., ER Visits, Hospitalizations, Emergency Meds, Office Visits)

Page 5: Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

Adherium Ltd ©2018 5

Chronic Respiratory Disease in the U.S.

25M

$56B+

PatientsDiagnosed

Economic Burdenfrom Non Adherence

$50B+

COPD

Economic Burdenfrom Non Adherence

Chronic or Severe

15M

$100B+ Economic Burden of Avoidable Costs in the U.S.

from Non-Adherence to Respiratory Medication

ASTHMA

Page 6: Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

Adherium Ltd ©2018 6

Recent Highlights

• Shipped 27,000 Hailie™ sensors, a 49.1% year-over-year increase

• Significant increase in commercial rollouts of SmartTurbo™ in Europe and Australia

• Strong clinical results in peer reviewed journals support more regulatory clearances

• Agreement with AstraZeneca to fund innovative design and engineering services

Global

Commercialization

• FDA 510(k) clearance covering Symbicort, Proair, Qvar, Ventolin, Flovent, Advair HFA

• FDA 510(k) clearance for OTC sales of Hailie™ sensor

• Next-gen mobile apps (iOS and Android) and cloud software platform

Continued

Innovation

• Corporate headquarters moved to Silicon Valley, CA

• Hired strong, experienced executive team (CFO, VP of Sales, Marketing, and R&D)

• First Enterprise-based commercial program launched with Vitalus Health

• Grew DtC to >10 new subscribers per day in first 90 days

U.S. Market

Launch

• Hailie Sensors were rebranded in May 2018; formerly known as Smartinhaler™

Page 7: Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

Adherium Ltd ©2018 7

U.S. Payers and Target Customers

Home Health

Agencies

Self-Insured

Employers

Pharmacies

(Top 9)

~1M Patients

Addressing a $10B Market in Respiratory Disease

A D D R E S S A B L E M A R K E T O P P O R T U N I T Y

Traditional

Payors,

IDNs*,

Medicare,

Medicaid,

VA, etc.

Uninsured

Enterprise

Partners and

DtC Channel)

40M+ Asthma and COPD

patients in the U.S.

~10M Covered Lives ~16M Customers

*Integrated Delivery Network

Page 8: Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

Adherium Ltd ©2018 8

Aspirational Subscriber Growth / Market Share

Nu

mb

er

of

Su

bs

cri

be

rs

Mark

et

Sh

are

Perc

en

t

0.00%

1.00%

2.00%

3.00%

4.00%

5.00%

6.00%

0

200,000

400,000

600,000

800,000

1,000,000

1,200,000

1,400,000

01/01/19 01/01/20 01/01/21 01/01/22 01/01/23

Consumer

Self-Insured Employers

Home Health Agencies

Large Pharmacies

Market Share

Guidance for FY2019

20,000 Subscribers by year-end

Page 9: Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

Adherium Ltd ©2018 9

Sources of Patients

Patient Employer

Home

Health

Agency

An IDN

Hospital

Store With

Pharmacy

Monthly list subscription fee per unit $9.99 $30.00 $30.00 $30.00 $30.00

Annual revenue per unit $9.99 $12,000 $165,000 $25,054 $9,981

Annual gross margin per unit $4.50 $8,640 $118,800 $18,039 $7,186

As a percent of revenue 45% 72% 72% 72% 72%

Incremental EBITDA per unit $3.80 $7,080 $97,350 $14,782 $5,889

As a percent of revenue 38% 59% 59% 59% 59%

Units:

Patient: One patient or their caregiver enrolled via one of several DTC such as our web store - Target >10 per day.

Employer: A corporation employing > 5,000 employees that enrolls ~400 covered lives.

Home Health Agency: An independent company managing ~5,500 COPD patients at a point in time.

IDN: A group of acute care hopsitals (~19 per system with ~4,235 beds) discharging ~4.8M COPD patients annually.

Store With Pharmacy: One retail outlet of a national chain providing ~500 asthma and COPD customer patients.

INDICATIVE UNIT ECONOMICS PER

Page 10: Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

Adherium Ltd ©2018 10

Compliant with 80%

of Rx inhalers on

the market today

Enabling Data-Driven Information to Improve Outcomes

Healthcare

EcosystemPatented,

Approved

Sensor

Scalable and Flexible

Architecture

Cloud-based

Interface

Provides usage data

and reminders on iOS

and Android platforms

for all devices

Data Analysis

Real-time data provides

physicians and patients

insights into adherence,

efficacy, and treatment

options

Relationships with

Enterprise Partners to

support wellness and

reduce expenses

Page 11: Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

Adherium Ltd ©2018 11

Compelling Clinical Outcomes with Hailie™

Improved adherence in

children by

180%

Reduction in

reliever medication use

by children

45.4%

Improved inhaled steroid

use in adults

59%

Reduction in

acute asthma

attacks

61%

Reduction in

days of school missed

26%

Reduction in asthma-

related hospitalization

in children

80%NOTE: Specific clinical studies referenced in presentation appendix

RE

SU

LT

SB

EH

AV

IOR

AL

CH

AN

GE

Page 12: Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

Adherium Ltd ©2018 12

Annual Cost per Asthma Patient in the U.S.

$5,874

$11,324

$9,180

$0

$2,000

$4,000

$6,000

$8,000

$10,000

$12,000

$14,000

Asthma-free Person Asthma Patient w/out Halie Hailie Managed Asthmatic

Prescriptions Hospitalizations Outpatient Visits ER Visits

Source: Cost of Asthma in the U.S., Sarah Beth Barnett, MA J Allergy Clin Immunol Vol 127, No.1

Hailie reduces the

incremental costs of an

asthma patient by $2,144

per patient per year for

25M asthmatics

$53.6B

in Annual Cost Savings

Cost of an Asthma Patient in the U.S.

Page 13: Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

Adherium Ltd ©2018 13

Beyond U.S. Respiratory

• Expand into other key markets across the globe

• Monetize data – create value from most extensive respiratory database

• Leverage channels to expand beyond asthma and COPD to other chronic diseases

• Extend the reach of platform and grow subscriber base across DtC and Enterprise channels

• Broaden the dataset to enhance value (tiered level of subscriptions)

• Grow addressable market through traditional payors, Medicare/Medicaid, VA, etc.

Leverage

AstraZenca

Success

Expansion of DtC & Enterprise Partners

• Add devices – accelerate sales as partnership agreements grow

• Focus on large scale global rollouts in high-growth markets

• Expand into new medications and chronic diseases

• Sign contracts with other biopharmaceutical companies

Growth Opportunities

Establish comprehensive platform for chronic disease management

Page 14: Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

Adherium Ltd ©2018 14

Proven Leadership Team

Arik Anderson

CEO

US

Tim Houchin

VP of Sales

US

Vik Panda

VP of Marketing

US

Thomas Lynch

Chairman

US/EU

Chairman has successfully brought multiple offshore healthcare companies to the US market

Experienced US-based leadership team already established

Proven track record of growing multiple US healthtech companies. CEO grew Somanetics from US$8m to US$60m (acquired by Covidien for US$350m).

Adherium HQ now located in Silicon Valley, anchoring strong commercial team with extensive US-based tech experience

David Allinson

CFO

US

Page 15: Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

Adherium Ltd ©2018 15

Enterprise and DtC OpportunitiesTargeting 20K subscribers by 6/2019

Large Market Opportunity in

Respiratory Disease

Commercial Traction

Leverageable

Channels to Market

30 Trials = 76 Peer Reviewed PublicationsSignificant reduction in ER visits, missed days of school or work

.

Clinically Proven

Connects Entire Healthcare EcosystemPatient + Caregiver + Healthcare Provider + Enterprise

Data-Driven Platform

Approach

>150% Y-o-Y Revenue GrowthSoftware-driven, recurring revenue model

Rapidly Scaling Business

Digital Health Company Focused on Medication Adherence

40M patients with Asthma and COPDData-driven platform addressing >$10B market

130K+ Hailie™ Sensors DistributedMaterial shift from clinical to commercial sales

Chronic Disease Platform Validated in Respiratory Disease

• Hailie Sensors were rebranded in May 2018; formerly known as Smartinhaler™

Page 16: Company Update - Amazon S3 · Adherium Ltd ©2018 4 Medication Non-Adherence: An Annual $300B+ Problem 3 out of 4 patients do not take medications as directed by their physician Nonadherence

THANK YOU