investor review · in the u.s. (1) u.s. hospitals 1100+ (1) 15 large global market opportunity (1 )...
TRANSCRIPT
November 2017
Investor Review
©2017 Vocera Communications. All rights reserved. ©2017 Vocera Communications. All rights reserved.
This presentation contains forward-looking statements reflecting our current expectations that involve risks and uncertainties which are subject to safe harbors under the Securities Act of 1933, as amended, or the Securities Act, and the Securities Exchange Act of 1934, as amended, or the Exchange Act.
These forward-looking statements may include, but are not limited to, statements concerning our plans, objectives, expectations and intentions, future financial position, future revenues, projected costs, expectations regarding demand and acceptance for ourtechnologies, growth opportunities and trends in the market in which we operate, prospects and plans and objectives of management. The words “anticipates,” “believes,” “estimates," “expects,” “intends,” “may,” “plans,” “projects,” “will,” “would” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. We may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements, and you should not place undue reliance on our forward-looking statements.
These forward-looking statements involve risks and uncertainties that could cause our actual results to differ materially from those in the forward-looking statements, including, without limitation, the risks set forth in Part II, Item 1A, “Risk Factors” in our Quarterly Reports on Form 10-Q and in our other filings with the Securities and Exchange Commission. We do not assume any obligation to update any forward-looking statements.
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Forward-Looking Statements
©2017 Vocera Communications. All rights reserved. ©2017 Vocera Communications. All rights reserved.
VOCERAWe simplify and improve the lives of healthcare professionals, patients, and families
A recognized leader in clinical communication and workflow
solutions
Founded in 2000 HQ: San Jose, CA~600 employees40+ clinician staff
1,100 US Hospitals1,400 Customers
95%+ Maintenance Renewals
Proven ROI
Revenue GrowthOperating Leverage
Strong balance sheet (NYSE: VCRA)
62 VA Hospitals38 DoD Hospitals
JITC, DIACAP,FIPS certified
©2017 Vocera Communications. All rights reserved.
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• Large market shifting toward Vocera
• Market leader with compelling ROI
• Large wins validate sales strategy
• Software acquisition extends platform
• Accelerating operating leverage
Our Opportunity
*Earnings before interest, taxes, depreciation and amortization, and further excludes stock -based compensation and change in fair value of warrant and option liabilities. See appendix for a reconciliation.
**Represents the high end of the company’s guidance range
$95$104
$128
$162
-13%
-3%
3%
6%
-15%
-10%
-5%
0%
5%
10%
0
20
40
60
80
100
120
140
160
180
FY14 FY15 FY16 FY17 Guide - High
Revenue $M A-EBITDA %
©2017 Vocera Communications. All rights reserved. ©2017 Vocera Communications. All rights reserved.
Drivers - Clinical Communication Challenges
(1) Joint Commission Center for Transforming Healthcare Releases Targeted Solutions Tool for Hand-Off Communications 2012. (2) Ponemon Institute, as cited in WSJ, May 2013. (3) CRICO Strategies. Malpractice risk in communication failures; 2015 Annual Benchmarking Report, as cited by The Joint Commission in 2017 Sentinel Alert. (4) Association for the Advancement of Medical Instrumentation: Alarms Pose Challenges to Healthcare Facilities, Horizons, Spring 2011, cited in The Joint Commission Sentinel Alert Medical device alarm safety in hospitals April 2013 (6) Healthcare IT News December 2015 (7) Brixey, A. Interruptions in Workflow for RNs in a Level One Trauma Center. IJMI. April 2008. (8) WSJ July 2014.
Communication failures contributed to 30% of malpractice claims resulting in 1,744 deaths over 5 years3
Tens of thousands of alarm signals occur throughout a hospital per day and 85-99% don’t require clinical intervention4
Nurses are interrupted more than 12 times per hour7, and may spend less than two hours of a 12-hour shift in direct patient care8
Miscommunication is behind 80% of serious medical error in hospitals1
Cybercriminalsare increasingly going after targets in the medical and healthcare verticals6
$8.3 billion wasted annually
In U.S. hospitals as a result of communication inefficiencies2
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©2017 Vocera Communications. All rights reserved. ©2017 Vocera Communications. All rights reserved.
Vocera Before Vocera Now
Communications
Badge-Centric
Point Product
Department Sale
Clinical Workflow
Software-Centric
Complete Solution
Enterprise Sale
Strategic Evolution
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10 minute savingsper 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
Operational Efficiency
Response times down from 2 minutes to9 seconds
35% overall satisfaction rating improvement
25% improvement in HCAHPS scores
Fall related injuries down 60%; estimated $1.27 mm savings
Patient Safety and Satisfaction
Compelling Return on Investment
©2017 Vocera Communications. All rights reserved. ©2017 Vocera Communications. All rights reserved.
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MEDCOM
Recent Platform Wins Validate Strategy
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Quality ResiliencyPatient-CenteredCostEnhance how care is
provided to help patients to achieve
better outcomes
Increase operational efficiencies
Improve patient experience by allowing
caregivers to be Patient Centered
Improve the caregiver experience by improving
workflow and empowering care teams
The Quadruple Aim
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Our Mission
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Vocera Platform Improves the Patient Journey
Clinical Communication
Smartphones and Wearable Devices
Care Experience
Staff Assignment
Alarm and Alert Management
System Integration and Interoperability
Admission, discharge,
transfer
Test results
Nurse-physician consult
Obtain, clarify, change
orders
Update Patient status
Streamline Patient
flow
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Broadcast to OR Turnover
Call on-call Orthopedic Surgeon
Secure text to on-call Cardiologist
Urgent call to ED Charge Nurse
The Call Sheet Transformed
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Communicate, Collaborate, Make Informed Decisions Quickly
PHYSICIAN Collaborate whether inside
or outside the hospital
NURSEReach the right person
without names or numbers
NURSE SUPERVISOR Keep nurses and
patients safer
HOSPITALIST Receive timely, relevant
patient information
HOUSEKEEPING Increase bed turnover
Alert & Alarm Intelligence
Electronic Health Record
Nurse Call
Physiologic Monitor
Bed Management
Real-TimeLocation System
Laboratory Info System
INPUTSDynamic Data
Aggregation of PatientEvents and Context
OUTPUTSContext-Aware EventsResponse and Critical
Collaboration
Dynamic Master Directory
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Device of Choice Differentiator
Hands-Free BYOD or in House Tablet Desktop/ WOW
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Competitive Landscape
Complete end-to-end solution
Device of choice
Hands-free
Role-based intelligence
= we win > 75% of the time
Enterprise Class
Clinical integration
Secure
World class service/support
Stat
us
Qu
oW
ire
less
D
evic
es
Smar
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on
e A
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s
©2017 Vocera Communications. All rights reserved. ©2017 Vocera Communications. All rights reserved.
6,986 Hospitals in the U.S.(1)
U.S. Hospitals1100+
(1)
15
Large Global Market Opportunity
(1 ) Based on Definitive US Healthcare Database. As of January 1, 2017(2) Definitive Healthcare database
International Healthcare Facilities
230+
Global Non-Healthcare Facilities
270+
Fed Hospitals(1)
Vocera Total(2)
VA 62 168
DoD 38 48
Total 100 216
~$6 Billion Global Market Opportunity
11085200
Vocera Hospitals US Hospitals
18% U.S. Penetration Rate(2)
(6308 Total US Hospitals)
©2017 Vocera Communications. All rights reserved. ©2017 Vocera Communications. All rights reserved.
• Large system deals
• Further penetrate existing health system customers
• Continue pace of new customer acquisition
Building momentum across new products
• EHR Integration
• Collaboration Suite
• Clinical Integration
• Event Driven Alerts
• Care Experience
Extend reach to new users
• Physicians
• Long Term Care
• Surgery Centers
Attractive international markets
• Canada
• United Kingdom
• Saudi Arabia
• UAE
• Qatar
• Australia
• New Zealand
Core Customer Growth
Software
New Users
International Expansion
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Our Opportunity: Multiple Avenues for Growth
©2017 Vocera Communications. All rights reserved. ©2017 Vocera Communications. All rights reserved.
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% of 2016 Revenue
16%
Maintenance*All recurring
34%
Services*15%+ recurring
11%
39%Devices *50% recurring
Diversified Revenue, High Visibility
• 60% revenues are recurring
• High visibility
• Low customer concentration
Software*15%+ subscription
©2017 Vocera Communications. All rights reserved. ©2017 Vocera Communications. All rights reserved.
(1) Earnings before interest, taxes, depreciation and amortization, and further excludes stock -based compensation and change in fair value of warrant and option liabilities.
See appendix for a reconciliation.
Revenue Highlights
Adjusted EBITDA
$33.8 $42.3 $91.7
$117.0
Q316 Q317 YTD '16 YTD '17
($ in
Mill
ion
s)
-$2.8
$4.3 $3.8
2015 2016 2017YTD
($ in
Mill
ion
s)
Strong Revenue Growth• Q3’17: 25% Revenue Growth
• Product: +20%, Services: +32%
• YTD’17: 27% Revenue Growth
Solid Customer Base and Value Proposition• 95%+ s/w maintenance renewal rate
• Strong competitive win rate
Expanding Profitability and Cash Flow• 2017 A-EBITDA guidance: $7.0 -10.5 million
• $67.5 million of Cash, no Debt
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+25% +27%
Financial Highlights
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Q4’17 Revenue Visibility
Rev from Def. Rev/BL Supplies Visible Revenue Book-ship Q4'17 Revenue
$45M*
(*high end of guidance)
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Actual
2014 2015 2016
R&D % of Revenue 17% 15% 13%
S&M % of Revenue 47% 41% 37%
G&A % of Revenue 13% 12% 11%
Target Model
12%
29%
8%
Sales
Notes
• All numbers are non-GAAP, see appendix for reconciliation. • Mean peer group enterprise value comps are 3-4x Revenue and 12-15x A-EBITDA
Drivers
Operating Leverage Drives Significant Value
Appendix
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GAAP to Non-GAAP Reconciliation YTD 2017Vocera Communications, Inc.
Nine months ended September 30, 2017
Stock Intangible Acquisition
(In thousands) GAAP compensation amortization related Total Non-GAAP
2017 expense (a) (b) expense (c) adjustments 2017
Reconciliation of GAAP Gross Profit to Non-GAAP Gross Profit (Unaudited)
Revenue
Product $ 63,940 — — — $ — $ 63,940
Service 53,105 — — — — 53,105
Total revenue 117,045 — — — — 117,045
Cost of revenue
Product 20,424 309 2,222 — 2,531 17,893
Service 28,358 1,808 — 229 2,037 26,321
Total cost of revenue 48,782
2,117
2,222
229
4,568
44,214
Gross profit $ 68,263 $ 2,117 $ 2,222 $ 229 $ 4,568 $ 72,831
Stock Intangible Acquisition
(In thousands) GAAP compensation amortization related Total Non-GAAP
2017 expense (a) (b) expense (c) adjustments 2017
Reconciliation of GAAP Operating Expenses to Non-GAAP Operating Expenses (Unaudited)
Research and development $ 20,944
$ 1,542
$ —
$ 47
$ 1,589
$ 19,355
Sales and marketing 45,789
4,697
1,154
15
5,866
39,923
General and administrative 17,767
4,848
166
718
5,732
12,035
Total operating expenses $ 84,500
$ 11,087
$ 1,320
$ 780
$ 13,187
$ 71,313
©2017 Vocera Communications. All rights reserved. ©2017 Vocera Communications. All rights reserved.
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GAAP to Non-GAAP Reconciliation 2016Vocera Communications, Inc.
Year ended December 31, 2016 Stock Intangible Acquisition (In thousands) GAAP compensation amortization related Total Non-GAAP 2016 expense (a) (b) expense (c) adjustments 2016 Reconciliation of GAAP Gross Profit to Non-GAAP Gross Profit (Unaudited) Revenue
Product $ 70,667 $ — $ 70,667
Service 57,029 — 57,029
Total revenue 127,696 — — — — 127,696 Cost of revenue
Product 22,788 235 672 907 21,881
Service 26,287 1,153 — 274 1,427 24,860
Total cost of revenue 49,075 1,388 672 274 2,334 46,741
Gross profit $ 78,621 $ (1,388 ) $ (672 ) $ (274 ) $ (2,334 ) $ 80,955 Stock Intangible Acquisition (In thousands) GAAP compensation amortization related Total Non-GAAP 2016 expense (a) (b) expense (c) adjustments 2016 Reconciliation of GAAP Operating Expenses to Non-GAAP Operating Expenses (Unaudited)
Research and development $ 18,266 $ 1,158 $ — $ 23 $ 1,181 $ 17,085
Sales and marketing 52,811 4,625 415 399 5,439 47,372 General and administrative 24,499 4,864 288 5,126 10,278 14,221 Total operating expenses $ 95,576 $ 10,647 $ 703 $ 5,548 $ 16,898 $ 78,678
(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.
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GAAP to Non-GAAP Reconciliation 2015
Year ended December 31, 2015 Stock Intangible (In thousands) GAAP compensation amortization Litigation Total Non-GAAP 2015 expense (a) (b) expense (c) adjustments 2015 Reconciliation of GAAP Gross Profit to Non-GAAP Gross Profit (Unaudited) Revenue
Product $ 55,716 $ — $ 55,716
Service 48,370 — 48,370
Total revenue 104,086 — — — — 104,086 Cost of revenue
Product 19,666 232 323 555 19,111
Service 19,844 1,036 — 1,036 18,808 Total cost of
revenue 39,510 1,268 323 — 1,591 37,919
Gross profit 64,576 (1,268 ) (323 ) — (1,591 ) 66,167 Reconciliation of GAAP Operating Expenses to Non-GAAP Operating Expenses (Unaudited)
Research and
development 16,990 1,072 — 1,072 15,918
Sales and marketing 47,647 4,486 229 4,715 42,932 General and
administrative 16,734 4,179 243 9 4,431 12,303 Total operating
expenses 81,371 9,737 472 9 10,218 71,153
(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 and 2014 in non-cash expense.
(c) This operating expense adjustment reflects class action litigation expenses from the August 2013 lawsuit.
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GAAP to Non-GAAP Reconciliation 2014
Vocera Communications, Inc.
Year ended December 31, 2014Stock Intangible Acquisition
(In thousands) GAAP compensation amortization related Litigation Restructuring Total Non-GAAP
2014 expense (a) (b) expense (c) expense (d) expense (e) adjustments 2014
Reconciliation of GAAP Gross Profit to Non-GAAP Gross Profit (Unaudited)
Revenue
Product $ 51,095 - - - - - $ - $ 51,095
Service 44,326 - - - - - - 44,326
Total revenue 95,421 - - - - - - 95,421
Cost of revenue
Product 18,766 254 429 - - 72 755 18,011
Service 18,470 924 - - - 26 950 17,520
Total cost of revenue 37,236 1,178 429 - - 98 1,705 35,531
Gross profit $ 58,185 $ (1,178) $ (429) $ - $ - $ (98) $ (1,705) $ 59,890
Stock Intangible Acquisition
(In thousands) GAAP compensation amortization related Litigation Restructuring Total Non-GAAP
2014 expense (a) (b) expense (c) expense (d) expense (e) adjustments 2014
Reconciliation of GAAP Operating Expenses to Non-GAAP Operating Expenses (Unaudited)
Research and development $ 18,035 $ 1,056 - $ 11 - - $ 1,067 $ 16,968
Sales and marketing 49,611 4,111 291 - - - 4,402 45,209
General and administrative 18,062 4,739 93 888 630 - 6,350 11,712
Restructuring 556 - - - - 556 556 -
Total operating expenses $ 86,264 $ 9,906 $ 384 $ 899 $ 630 $ 556 $ 12,375 $ 73,889
(a) This adjustment reflects the accounting impacts of non-cash stock-based compensation expense.
(b) This adjustment reflects the accounting impact of acquisitions in 2010 and 2014 in non-cash expense.
(c) This operating expense adjustment reflects the accounting impact of acquisitions, including for Q4 2014 $800K of consideration
deemed to be compensation.
(d) The operating expense adjustment reflects class action litigation expenses from the August 2013 lawsuit.
(e) This operating expense adjustment reflects the impact of restructuring expense.