STRENGTH Confidential I am a mother. I am a long distance swimmer. I have Multiple Sclerosis. I am not defined by my illness. I know The Diplomat Difference. Vicki Bellingham, Washington August 2014 Diplomat Pharmacy, Inc. These materials may not be used or relied upon for any purpose other than as specifically contemplated by a written agreement with Credit Suisse AG or its Affiliates (hereafter “Credit Suisse”). April 2015 Important note This presentation may contain “forward-looking” statements that involve risks, uncertainties and assumptions. If the risks or uncertainties ever materialize or the assumptions prove incorrect, our results may differ materially from those expressed or implied by such forward-looking statements. All statements other than statements of historical fact could be deemed forward-looking, including, but not limited to, any projections of financial information; any statements about historical results that may suggest trends for our business and results of operations; any statements of the plans, strategies and objectives of management for future operations; any statements of expectation or belief regarding future events, health care developments, or specialty pharmaceutical industry market sizes, shares, trends or growth; and any statements of assumptions underlying any of the foregoing. Any forward-looking statements contained in this presentation are based on management's good-faith belief and reasonable judgment based on current information, and these statements are qualified by important factors, many of which are beyond our control, that could cause our actual results to differ materially from those in the forward-looking statements, including changes in global, regional or local economic, business, competitive, market, regulatory and other factors, many of which are beyond our control, including but not limited to the following risks related to our business: our ability to adapt to changes or trends within the specialty pharmacy industry; significant and increasing pricing pressure from third-party payors, our relationships with key pharmaceutical manufacturers; our limited history with integrating acquisitions; and the effects of competition. These and other risks and uncertainties associated with our business are described in the prospectus for our proposed follow-on offering, including under the heading “Risk Factors.” We assume no obligation and do not intend to update these forward-looking statements. In addition to U.S. GAAP financials, this presentation includes certain non-GAAP financial measures. These historical and forward-looking non-GAAP measures are in addition to, not a substitute for or superior to, measures of financial performance prepared in accordance with GAAP. A reconciliation between GAAP and non-GAAP measures is included in the appendix to this presentation. The issuer has filed a registration statement (including a prospectus) with the Securities and Exchange Commission (SEC) for the offering to which this communication relates. The registration statement has not yet become effective. Shares of the issuer’s common stock may not be sold nor may offers to buy be accepted prior to the time the registration statement becomes effective. Before you invest, you should read the prospectus in that registration statement and other documents the issuer has filed with the SEC for more complete information about the issuer and this offering. This presentation should be read in conjunction with the prospectus included in that registration statement and the other documents the issuer has filed with the SEC. You may get these documents for free by visiting EDGAR on the SEC Web site at www.sec.gov. Alternatively, copies of the prospectus related to the offering may be obtained, when available, from Credit Suisse Securities (USA) LLC, Attention: Prospectus Department, One Madison Avenue, New York, NY 10010, by telephone at (800) 221-1037, by facsimile at (212) 325-8057, or by email at [email protected]; or from Morgan Stanley & Co. LLC, Attention: Prospectus Department, 180 Varick Street, 2nd Floor, New York, NY 10014. Diplomat is a registered trademark of Diplomat Pharmacy, Inc. This presentation also contains additional trademarks and service marks of ours and of other companies. We do not intend our use or display of other companies’ trademarks or service marks to imply a relationship with, or endorsement or sponsorship of us by, these other companies. Confidential 1 Diplomat continues to deliver on the growth drivers stated in the IPO 5 incremental limited distribution drugs Ongoing IT and process improvements 60bps margin expansion y-o-y (2) Maintaining balanced mix of payors Successful renewals of key contracts (1) 49% y-o-y revenue growth relative to industry growth in the ~25% area 7 new limited distribution drug contracts (1) (2) Based on $412mm revenues in Q4 2013 and $612mm revenues in Q4 2014. Based on 6.1% gross margin in Q4 2013 and 6.7% gross margin in Q4 2014. Confidential 2 Diplomat’s base business continues to gain momentum… Improving trends across specialty pharmacy… Specialty pharmacy market grew 24% from $63bn in 2013 to $78bn in 2014 Specialty drug approvals comprised ~50%+ of all FDA drug approvals in 2014 …driving key milestones and achievements at Diplomat Diplomat grew revenues by 46% from 2013 to 2014 10 new drug contracts since IPO Hepatitis C 3,000+ oncology and immunology drugs in global drug development Dermatology and Respiratory Increased prevalence of limited distribution panels Biosimilars launch in U.S. Oncology 7 of which are limited distribution drugs Confidential 3 …with strong financial performance since the IPO Revenue Gross Profit /Script ($ in millions) (1) Adjusted EBITDA ($ in millions) $187 $126 4Q13A Gross (2) 6.1% margin (1) (2) 4Q14A 6.7% EBITDA margin Based on dispensed scripts only. Gross profit / net sales (i.e., based on dispensed and serviced scripts). 1.4% 1.7% Confidential 4 BioRx creates compelling strategic value for Diplomat (1) $350 million acquisition announced in February 2015 − Leading specialty pharmacy and infusion services company focused on ultraorphan and rare chronic diseases − 2014 revenue of ~$227 million and EBITDA of ~$23 million (2) − ~10% EBITDA margins and implied ~11.5x trailing EBITDA multiple − Expected close in early April Expected to be accretive to EPS in first full year post closing Benefits Diplomat’s primary constituents: Transaction summary − Broadens patient offerings − Meets Pharma’s demand for multi-channel reach − Addresses Payors’ desires to shift site of care to a lower cost setting Strategic rationale Affirms Diplomat’s leadership position in specialty infusion Adds 5 new limited distribution drugs to DPLO Creates both revenue and cost synergy opportunities Improves margin profile Expands potential for additional disease states and therapeutic categories (1) (2) Includes $35mm of contingent earnout. Purchase price adjusted for $50mm of future tax benefit and $35mm of contingent earnout. Confidential 5 Key investment highlights Taking share in high growth specialty pharmacy sector Unique competitive position with differentiated business model Highly experienced and incentivized management team Outstanding financial profile Multiple avenues to drive strong long term growth Confidential 6 Company overview Confidential 7 Diplomat: Largest independent specialty pharmacy Diplomat at a glance Exceptional above market revenue growth ($ in millions) Founded: 1975; Headquarters: Flint, MI Employees: ~1,000 $2,000 FY 2014 revenue: ~$2.2 billion $1,500 Diversified base of marquee partners $2,215 $1,515 $1,127 $1,000 $772 $578 $500 $27 $58 $167 $271 $377 $2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Market share ($78 billion total market size) (1) Scaled business: National footprint C VS Health 26% Springfield, MA Savage, MN Flint, MI Urbandale, IA Others 37% Enfield, CT Chicago, IL Ontario, CA Carlsbad, CA Cincinnati, OH Greensboro, NC Scottsdale, AZ Raleigh, NC Express Scripts 19% Avella 1% Woburn, MA GLDC Ft. Lauderdale, FL OptumRx 3% 3% Corporate Office Walgreens 11% Diplomat locations BioRx locations National Distribution Center (1) Source: 2014 – 2015 Economic Report on Retail, Mail and Specialty Pharmacies, Drug Channel Institute. Confidential 8 Journey of a specialty patient Diplomat monitors adherence and collects data for manufacturers Patient visits physician Patient Physician Patient receives drugs Physician writes script Patient Diplomat dispenses drug Payor Diplomat provides: Benefit verification Prior authorization Clinical intervention Payor approves script Confidential 9 Specialty pharmacy industry continues to show exceptional growth Specialty spend under pharmacy benefit to more than double(2) Specialty share of spend growing dramatically(1) 2012A 2015E 2018E 2012A 2018E Diplomat 2% 30% 58% 42% 50% 50% 70% $51million billion $51 $118 billion Traditional 58% Specialty Traditional Specialty continues to dominate top 10 drug spend(3) 2013A 6 out of top 10 2020E 9 out of top 10 Source: (1) Specialty Drug Trend Across the Pharmacy and Medical Benefit – Artemetrx 2013. (2) 2013-2014 Economic Report on Retail, Mail and Specialty Pharmacies. (3) Pembroke Consulting analysis of World Preview 2014, Outlook to 2020, EvaluatePharma. Confidential 10 Limited distribution a central and growing theme in Specialty Benefits to biotech / pharma What is limited distribution? Completely eliminate or reduce reliance on wholesaler Real-time clinical data Commercialization assistance Improves appropriate utilization Benefits to Diplomat Targeted channel strategy Provides certain specialty pharmacies with exclusive or preferred dispensing rights to certain drugs Fast-growing trend Barrier to entry Deeper, and earlier, partnerships with pharma / biotech Increased value proposition to payors Market share opportunity Traditional: Manufacturer Multiple Wholesalers 65,000 Pharmacies Limited: Manufacturer One/few pharmacies Patient Patient Portfolio of over 80 limited distribution drugs, comprising approximately 40% of revenue in 2014, and well positioned for disproportionate growth from future drug approvals Recent unique oncology limited panels…Diplomat exclusive or semi-exclusive (2012) DPLO EXCLUSIVE (2013) DPLO LARGEST OF 5 (2014) DPLO LARGEST OF 4 (2014) DPLO EXCLUSIVE Other key limited distribution drugs Oncology MS Launched April 2011 2012 ® Oncology expertise Diplomat is an opportunity to invest in pharma / biotech drug pipeline, without the binary risk Confidential 11 Unique competitive position SMALLER SPECIALTY PHARMACIES LARGE PBM / RETAIL PHARMACY Diversification distracts from specialty pharmacy Less flexible / less nimble Singularly focused on specialty High-touch model Flexible and nimble Entrepreneurial culture National reach Scalable infrastructure Limited scale Most focused on one or a few disease states Fragmented market Consolidation opportunity for Diplomat Confidential 12 Multiple avenues for future growth 1 Continue to gain share in core therapeutic areas Large and high growth Oncology and Immunology are Diplomat's power alley Significant growth expected to continue in the future ($ in billions) US Oncology revenue Diplomat ’11-’14 CAGR Over 3,000 oncology and immunology drugs in global drug development Oncology / Immunology drugs accounted for ~70% of Diplomat’s revenues in 2014 Addition of 7 new limited distribution drugs across these areas since the IPO Rapidly growing Hepatitis C franchise – additions of Viekira Pak and Harvoni since the IPO 45% US Immunology revenue(1) 27% Source: EvaluatePharma and company presentations. (1) Includes all indications as defined by EvaluatePharma under Immunology excluding Multiple Sclerosis. Confidential 13 Multiple avenues for future growth 2 Growing payor relationships Diplomat addresses growing unmet customer needs Health Plans PBMs Higher patient enrollment Increased incidence of chronic disease Priority Health is a 600K member health plan in Michigan Personalized medicine One of 8 specialty pharmacies working with Priority 8 years back Health exchanges Improved management of drugs under medical benefit High-touch customized programs Proprietary access to limited distribution drugs Pay for performance High patient adherence rates (over 90%) STAR ratings Population health management Cost containment programs (e.g., channel management, formulary management and waste minimization) Employers State of Michigan Unions Case study: Priority Health Background Diplomat Difference Results ACOs Payor / provider coordination Clinical data exchange Opportunity to expand the medical benefit Diplomat named Priority’s sole specialty pharmacy partner − Displaced previous specialty pharmacy partners − January 2015 renewal for 4 more years Strong historical growth in exclusive / preferred managed lives from 5 million to 13 million from 2009 to 2014 (20%+ CAGR), and our payor pipeline has never been stronger Confidential 14 Multiple avenues for future growth 3 Grow high margin businesses Grow high margin specialty infusion business Continued expansion into specialty infusion market Recently announced acquisition of BioRx has significantly higher margins − 29% gross margin and ~10% EBITDA margin New generics finally coming to specialty − Temodar and Xeloda have come to market Specialty generics and biosimilars New drug launches creating product preferencing − Copaxone is coming off patent soon Emerging biosimilars opportunity expands addressable market for Diplomat Competition in specialty space expected to create discount and rebate opportunities Creates new data and service fees with pharma for high margin revenue Hepatitis C Oncology Confidential 15 Multiple avenues for future growth 4 Unique strategic partnerships with leading retailers and health systems Needs / benefits for retail / health systems How does Diplomat support retail and health system partners? Traditional drug trend low to mid single digit growth Participate in high growth specialty without having to build expensive infrastructure internally One stop shop for patients / consumers Improve portfolio of wellness solutions Benefits to Diplomat Fee-for-service offering High margin business − Clinical and administrative support services Leverage infrastructure Improved value proposition with pharma Pharmacy of choice for limited distribution drugs − Patient engagement − Adherence programs − Integrated with retailers’ dispensing platforms − Private label programs Diplomat’s retail and health system partners Recent wins Strong pipeline of future opportunities Confidential 16 Multiple avenues for future growth 5 Selectively pursue strategic acquisitions Near-term focus on integrating BioRx − Build upon recent experience of two strategically important acquisitions (MedPro and AHF) Enhance our competitive position through disciplined strategic acquisitions − Focus on higher margin opportunities − New therapeutic / geographic expansion opportunities − Services / technology businesses Confidential 17 Outstanding financial profile Confidential 18 How we make money and grow profitability (Illustrative example) How we make money Revenue Payors Distributors / pharmaceutical manufacturers COGS Diplomat Physical drug movement Patient $ flows Drug mix and positive pricing trends are tremendous profit tailwinds for Diplomat Our core focus Diplomat’s 2014 Average Specialty Traditional Drug Drug A Revenue Gross Profit ($) Gross Margin (%) $100 $2,000 $10 $100 10% 5% Specialty Drug B $167 Specialty Drug C (10% price incr.) Specialty Drug C $10,000 $20,000 $22,000 $400 $600 $660 4% 3% 3% Diplomat mix shift movement over time Positive pricing trends Confidential 19 Strong financial performance… Volume, price and mix all driving superior revenue growth $412 $1,515 Total Revenue 2010 – 2014 $578 $772 $1,127 2010A 2011A 2012A 2013A 2014A 53% 34% 46% 34% 46% % growth $612 $2,215 ($ in millions) Q4 '13 Q4 '14 Natural operating leverage and acquisitions driving EBITDA growth and margin expansion ($ in millions) Infrastructure investments including IT, facilities and personnel Adjusted EBITDA 2010 – 2014 $15 $8 2010A $6 $19 $11 2011A 2012A 2013A 2014A 27% 96% (28%) 75% 86% % margin 1.3% 2.0% 1.0% 1.3% 1.8% % growth $11 $35 Note: Historical financials are not pro forma for BioRx acquisition. Q4 '13 Q4 '14 1.4% 1.7% Confidential 20 … with continued growth in profitability Several factors drive growth in our Gross Profit / Script(1): Continued mix shift towards higher price, higher profit drugs (including acquisitions) Favorable pricing trends $187 $167 $126 $116 $93 $97 2010A 2011A 2012A 12% 31% 7.1% 7.3% $71 Gross Profit / Script (1) 2010 – 2014 % growth (2) % margin 2013A 2014A 4% 20% 44% 6.2% 5.9% 6.3% Q4 '13 Q4 '14 6.1% 6.7% Gross margin expansion opportunities: Recent acquisitions with higher gross margins (%) Fee-for-service opportunities with pharmaceutical manufacturers Specialty generics and biosimilars Note: Financials are not pro forma for BioRx acquisition. (1) Based on dispensed scripts only. (2) Gross profit / net sales (i.e., based on dispensed and serviced scripts). Confidential 21 Capitalization summary (as of December 31, 2014) ($ in millions) Actual Cash Total debt Shareholder’s equity (1) (2) Pro forma for BioRx Pro forma as adjusted acquisition(1) for this offering(2) $18 $11 $11 - $210 $129 $164 $263 $344 BioRx acquisition financing includes $210mm in debt and $105mm equity issuance. Proceeds from equity offering assumes 4.4mm primary shares offered at an offering price of $27.89 per share, net of underwriters’ fees. Also assumes that the Company will use approximately $35mm of net primary proceeds from this offering to redeem options from certain existing optionholders. Confidential 22 Key takeaways Premier asset in healthcare’s fastest growing segment Unique competitive position with sole focus on Specialty Well-positioned to capitalize on multiple industry tailwinds Powerful momentum and plenty of runway Deep pipeline of strategic acquisition opportunities Proven leadership team aligned with shareholders Confidential 23 Appendix Confidential 24 Diversified therapeutic mix Revenue mix by therapeutic category (FY 2014A) Other 22% Multiple Sclerosis 10% Oncology 48% Immunology 20% Confidential 25 Reconciliation of Net income (loss) and Adjusted EBITDA Net income (loss) Calendar year ending December 31, 2014A 2013A 2012A 2011A $4.8 ($26.1) ($2.6) $9.2 2010A ($7.8) Depreciation & Amortization Interest Expense Tax Expense EBITDA Share-based compensation expense(1) Change in fair value of redeemable common shares (2) Restructring and impairment charges (3) Equity loss and impairment of of non-consolidated entities (4) Severance and related fees Contingent consideration and merger & acquisition related fees (5) Private company expenses (6) (7) Other taxes and credits Termination of existing stock redemption agreement Other Items (8) Adjusted EBITDA 8.1 2.5 4.7 $20.1 2.9 (9.1) 6.2 0.4 7.2 0.2 1.0 4.8 1.4 $35.2 2.2 0.5 ($5.2) 0.8 10.7 1.5 (0.0) $7.7 ($ in millions) 3.9 2.0 ($20.2) 0.9 34.3 1.0 1.1 0.2 0.7 0.2 0.7 $19.0 Note: Financials are not pro forma for BioRx acquisition. Detailed footnotes on the following page. 3.8 1.1 $2.3 0.9 6.6 0.4 0.3 0.4 (0.1) 0.1 $10.9 3.1 0.6 $12.8 1.4 0.4 0.1 0.7 (0.6) 0.2 $15.1 Confidential 26 Reconciliation of Net income (loss) and Adjusted EBITDA 1) Share-based compensation expense relates to director and employee share-based awards. (2) Restructuring and impairment charges reflect decreases in the fair market value of non-core property and assets, or actual losses on disposal of such assets. 2013 charges primarily relate to the $932 write-down of our former Swartz Creek, Michigan headquarters facility to its fair value, after we vacated it in favor of our present Flint, Michigan facility. 2012 charges primarily relate to our write-down of an externally purchased software package we no longer utilize, as well as sales of Company-owned vehicles. 2011 charges include expense associated with the closure of our former Cleveland, Ohio facility, the move of our Chicago, Illinois area facility, and sales of Company-owned vehicles. (3) During the fourth quarter of 2014, we reassessed the recoverability of our investment in our non-consolidated entity, Ageology. Based upon this assessment, we determined that a full impairment of $4,869 was warranted, primarily due to updated projections of continuing losses into the foreseeable future. The remaining amounts in 2014, 2013 and 2012 represents our share of losses recognized by Ageology, using the equity method of accounting. We first invested in Ageology, an anti-aging physician network dedicated to nutrition, fitness and hormones, in October 2011, in connection with its formation. (4) Employee severance and related fees primarily relates to severance for former management. (5) Fees and expenses directly related to merger and acquisition activities, including our acquisitions of AHF and MedPro and the impact of changes in the fair value of related contingent consideration liabilities. (6) Primarily includes philanthropic activities performed at the direction of our majority shareholder. (7) Represents (a) various tax credits received from the state of Michigan for facility improvement and employee hiring initiatives, (b) the one-time costs associated with converting from an S-Corporation to a C-Corporation, and (c) a 2014 charge of $1,825 related to non-income tax obligations. (8) Includes other expenses, predominantly IT operating leases. These operating leases were initiated, in lieu of purchases or capital leases for a subset of our IT spend, for a short period of time in 2013 and 2014 for liquidity purposes. We have since discontinued the practice of leasing IT equipment. The cost of purchased IT equipment is reflected in depreciation and amortization. Confidential 27
© Copyright 2024