American Shared Hospital Services · AMEX:AMS
American Shared Hospital Services — Investor Presentation (December 2019)
17 slides from American Shared Hospital Services's investor presentation, Dec 10, 2019
Slide 1: American Shared Hospital Services: Making the Best Healthcare Technology Accessible
American Shared Hospital Services Making the Best Healthcare Technology Accessible NYSE American: AMS December 2019
Slide 2: Safe Harbor Statement
Safe Harbor Statement This presentation may be deemed to contain certain forward-looking statements with respect to the financial condition, results of operations and future plans of American Shared Hospital Services (including statements regarding the expected continued growth in volume of the MEVI
Slide 3: Overview
Overview American Shared Hospital Services has an over 30-year track record of leasing state-of-the-art medical equipment to hospitals and medical centers in the United States and abroad. We are the worldwide leader in Gamma Knife unit ownership through our 81% owned subsidiary, GK Financing, LLC (G
Slide 4: Investment Highlights
Investment Highlights + Pioneer in single room Proton Beam Radiation Therapy (PBRT) services + World leading supplier of Gamma Knife services + Long-standing alliances with premier cancer centers + Large market opportunities Proton Therapy has low market penetration Advanced radiation therapy device
Slide 5: Respected Management Team With Deep Experience
Respected Management Team With Deep Experience Years of Healthcare MANAGEMENT TEAM Experience Ernest A. Bates, M.D. 30+ Founder, Chairman and CEO Craig K. Tagawa 30+ COO and CFO Ernest R. Bates 15+ V.P., Sales and Business Development Alexis Wallace 10+ Controller NYSE American: AMS 5
Slide 6: Highly Regarded Customers
Highly Regarded Customers* + UC San Francisco Medical Center + Tufts Medical Center: Boston, MA + Methodist Hospital: San Antonio, TX + University of Arkansas for Medical Sciences: + Johns Hopkins Medical Center: Baltimore, MD Little Rock, AR + Yale-New Haven Hospital: New Haven, CT + Merit Health C
Slide 7: Proven Business Model
Proven Business Model + Structured as an alternative leasing company + Offer Innovative financing features not available from traditional finance companies + Long Term Agreements Typically 10 years + Revenue Sharing or Fee Per Use No minimum volume guarantees NYSE American: AMS 7
Slide 8: Partner Responsibilities
Partner Responsibilities ASHS’ HOSPITAL RESPONSIBILITIES RESPONSIBILITIES • Acquire equipment • Site costs • Equipment-related • Non-equipment-related operating expenses operating expenses • Jointly fund marketing • Jointly fund marketing NYSE American: AMS 8
Slide 9: Growing Contribution from Proton Therapy
Growing Contribution from Proton Therapy Revenue Summary 2013 – 2019 $ / Millions $25 0.6 $20 0.5 1.1 0.4 4.1 5.0 0.8 $15 0.9 4.7 $10 13.6 16.1 16.1 14.5 14.8 $5 10.3 $0 2014 2015 2016 2017 2018 9/30/2019 YTD GKF PBRT IGRT NYSE American: AMS 9
Slide 10: Proton Beam Radiation Therapy
Proton Beam Radiation Therapy + Commercial & Profitable: + NOT a NEW Technology Single room proton beam radiation therapy centers + Clinically Advantageous + Significantly reduced average + Protons deposited dose at tumor, cost per treatment room to $30 more effective than x-rays passing - $40M thro
Slide 11: Photon vs. Proton Pediatric Medulloblastoma
Photon vs. Proton Pediatric Medulloblastoma Photon Beam Delivery % Dose Recommended Proton Beam Delivery PBRT Delivers Improved Dose Distribution NYSE American: AMS 11
Slide 12: Large U.S. Market Opportunity for Additional PBRT Centers
Large U.S. Market Opportunity for Additional PBRT Centers + Currently only 30 PBRT centers* in operation Capacity of 90 rooms + Only 4 PBRT centers under construction or in development* + Only 7% - 14% of required capacity is currently available for treatment ASHS projected capacity required to meet
Slide 13: Low Market Penetration of PBRT
Low Market Penetration of PBRT PBRT CAPTURE RATE 15% 2 30% 3 Number of radiation therapy patients annually 1,057,470 1,057,470 in the U.S.1 Percent of radiation therapy patients 15% 30% eligible for PBRT Number of potential PBRT patients 158,600 317,241 in the U.S. Potential PBRT room market* 635 1,
Slide 14: Exploring Expansion Opportunities
Exploring Expansion Opportunities + Developing single and two room proton beam radiation therapy centers with major hospitals + MR Guided Linac + Community Hospitals + International + Latin America initially NYSE American: AMS 14
Slide 15: Gamma Knife Radiosurgery Equipment
Gamma Knife Radiosurgery Equipment + World’s leading supplier U.S. market share ~13% + Gold standard equipment for cranial radiosurgery Non-invasive alternative to surgery for malignant and benign brain tumors, vascular malformations and trigeminal neuralgia (facial pain) + Typically improves patien
Slide 16: Current Business Status
Current Business Status + Identifying healthcare technology investment opportunities with long term growth potential + Negotiations continuing for 2 additional PBRT installations + Gamma Knife Completed first Icon upgrade Anticipate additional Icon upgrades in 2020 + Identifying additional internati
Slide 17: Thank You! For Further Information Contact
American Shared Hospital Services Making the Best Healthcare Technology Accessible For Further Information Contact: Craig Tagawa Thank You! COO and CFO ctagawa@ashs.com (415) 788-5300 NYSE American: AMS www.ashs.com 17
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