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TSXV VHI
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Reader’s Advisory (2 of 2)
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achieved. Forward looking statements contained in this Presentation may include, but are not limited to statements with respect to the successful
execution of the Corporation's business strategy (including its business model. M&A strategy and mission), the use and benefits of its products and
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review and approval dates, construction and start-up timelines and schedules, and statements related to the continued overall advancement of the
Corporation’s projects. Forward-looking statements involve known and unknown risks, uncertainties and other factors, such as competition,
technological changes, the changing needs of hospitals, the financial condition of Vitalhub’s current and potential customers, foreign currency
exchange rates, as well as general economic conditions, which may cause the actual results, performance or achievements of Vitalhub to be materially
different from any future results, performance or achievements expressed or implied by the forward-looking statements. Actual results and
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There can be no assurance that forward-looking statements will prove to be accurate, as actual results and future events could differ materially from
those anticipated in such statements. Accordingly, readers should not place undue reliance on forward-looking statements. The forward looking
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Except as required by law, the Corporation undertakes no obligation to update publicly or to revise any forward looking statements that are contained
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Neither the TSX Venture Exchange nor its Regulation Services Provider (as that term is defined in the policies of the TSX Venture Exchange) accepts
responsibility for the adequacy or accuracy of this presentation.
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VitalHub Inc. – Company Overview
• High-growth strategy through the introduction of Blockchain Healthcare Solutions using the
Hyperledger Platform, combined with a reliable/profitable M&A “hedge” strategy
• New RTO completed in December 2016 (ticker VHI.V)
• SaaS-based, high-margin products that can be sold organically across the digital health
marketplace, and cross-sold into acquired-companies’ install bases
• Management team and Board of Directors with proven success operating a publicly traded,
Canadian-based Healthcare IT company
• Offshore research and development (“R&D”) strategy that cuts costs, increases margins, and
produces synergized businesses and products offerings
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VitalHub Inc. – Company Principals
Dan Matlow Vijit Coomera Peter Catford
(CEO and Founder, Medworxx) (Co-Founder and CTO, B Sharp) (Co-Founder and CEO of HInext Inc.)
• 30 years experience in technology field with focus • 30 years experience in development and tech • 30+ of experience in healthcare information
on Health IT • Extremely technically savvy, developing innovative systems development
• Track record of building and growing enterprise and disruptive technology solutions • Developed EHR software system installed in
software companies • Managed technological and architectural software 85 organizations across N.A.
• Strong sales, marketing, and investor relations skills dev. of multiple projects across N.A. and Europe • Adjunct Faculty UofT; informatics in the
• Proven ability to grow internationally • Oversaw establishment of dev. hub in Sri Lanka Masters of Health Admin program (MHSc)
• Deep knowledge of the Healthcare IT marketplace • Past Chair of Ontario’s Health Informatics
Standards Council (OHISC)
Brian Goffenberg CA, CPA Robert Lazar Niels Tofting Andre Vandenberk
(CFO, Medworxx) (Co-Founder & CEO, B Sharp) (VP Sales, Logibec) (CTO, Medworxx)
• 30 years experience, multiple CFO • 28 years experience • 20 years of software experience • Deep understanding of Healthcare IT
roles including Philips Lifeline • Expertise driving company performance • Developed and managed high- • Technology visionary
(Canada), DWL, etc. through post-sales management performing sales teams Success • 20 years experience in Product
• Strong public market experience • Proven track record building both client supporting diverse vertical markets Development
• Proven results-driven track record and business partnership relationships • Experience leading international • Strong ability to communicate
• Extensive financial governance • IT consulting for $6B distributor and business development and growth business value to an IT audience
skills and experience retailer
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Medworxx History
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VitalHub Inc. – Board of Directors
Dan Matlow Mohan Plakkot Chris Schnarr
• President and CEO Vitalhub Inc. • Partner and Chief Strategist at Valsef Capital, a • Managing Director of Lorian Group Inc.
• 30 years experience private investment company focusing on public • 25 years public company and board experience
• Former Founder and CEO of Medworxx Inc. software companies across a range of roles and industries
Proven Healthcare IT executive • Experience in fortune 500 financial software • Currently Director, Chair of the Audit
and services company Committee, and member of the Governance
• Strong sales, marketing, and investor
relations skills • MBA in Strategy and Finance, with experience and Compensation Committees of Canopy
• Proven ability to grow internationally in structuring M&A transactions for internet Growth Corporation and Intrinsic 4D Inc.
assets
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VitalHub Timeline
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The digital healthcare marketplace has
Blockchain Solutions experienced transformative growth over
to Healthcare the past 15 years, redefining the delivery
of care. This comes with extreme
Challenges pressure to regulate costs while
providing high-quality care to patients.
9 (Source: Dash, Majumdar, and Gunjikar, “Blockchain: A Healthcare Industry View”, Capgemini 2017.) TSX.V V H I
Blockchain Technology for Healthcare Industry
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Healthcare – Explosive Blockchain Opportunity
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Validation – Blockchain Technology in Healthcare
“Blockchain solutions for financial services have received the maximum investments.
Healthcare has the most aggressive plans to deploy Blockchain-based applications across
multiple use cases during 2017.” (Source: "Blockchain Technology in Global Healthcare, 2017–2025", Frost & Sullivan, June 2017.)
“Blockchain technologies hold the promise to unite the disparate processes in healthcare,
increase data flow and liquidity, reduce costs, and improve patient experience and
outcomes.” (Source: “The Potential for Blockchain Technology in Health IT”, HIMSS, March 1 2017)
“[…] We believe Blockchain has a huge potential to become the next big technology-
innovation engine. Blockchain applications for patient-data portability, interoperability, care-
delivery management, and administration can provide the answers to make challenges facing
the industry.” (Source: “Blockchain: A Healthcare Industry View”, (Source: Dash, Majumdar, and Gunjikar,
“Blockchain: A Healthcare Industry View”, Capgemini 2017.)
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Blockchain Technology for Healthcare Industry
Top 5 Growth Opportunities by Use-Case, Global, 2016–2025
Use Cases
Healthcare Data Exchange Claims Adjudication & Drug Supply Chain Integrity Clinical Trails and Population Cyber Security and Internet
and Interoperability Billing Management and Remote Auditing Health Research of Medical Things (IoMT)
Provide access to historic and New product venture like DAO- Drug supply chain provenance at Manage IP and assets transactions Encryption and permanent ledger
real-time patient data on based peer-to-peer insurance individual product/drug level on Blockchain of patient-generated health data
Blockchain
Decentralized Blockchain-based remote Reduce outcome switching, data Medical device data integration
Identity management with marketplace processes auditing with verifiable snooping, and selective reporting and security to enable
Key Benefits
13 (Source: "Blockchain Technology in Global Healthcare, 2017–2025", Frost & Sullivan, June 2017.) TSX.V V H I
Use Case 1 – Healthcare Data Exchange & Interoperability
At its core, Blockchain would offer the potential of a shared platform that decentralizes health data
ensuring access control, authenticity, and integrity of protected health information.
Interoperability Gaps: Lack of interoperability costs 150,000 lives and $18.6 billion per year.
Challenges
Current
Need for Longitudinal Health Records: 46% of US clinicians do not have a complete view of their patients’
health history/ records. Further, individuals cannot view a unified medical record or pass it on to clinicians.
High Error Rates with Centralized Health IT Systems: Error rates for successfully identification or integration of
a file are 25% for hospitals and health systems; and as high as 50%–60% outside hospitals.
14 (Source: "Blockchain Technology in Global Healthcare, 2017–2025", Frost & Sullivan, June 2017.) TSX.V V H I
Use Case 1 – Healthcare Data Exchange & Interoperability
(i) Blockchain-enabled health IT systems that can provide technological solutions to many
challenges, including health data interoperability, integrity and security, portable user-
owned data and other areas.
(ii) Blockchain could enable data exchange systems that are cryptographically secured and
irrevocable, enabling seamless access to historic and real-time patient data, while
eliminating the burden and cost of data reconciliation.
15 (Source: "Does Blockchain Have A Place In Healthcare?" Forbes, www.forbes.com, May 8, 2017.) TSX.V V H I
Distribution Strategy
System Integrators
Vendors/Consulting Partners
Direct Sales
Management team has successfully
sold internationally through system
integrators, and has proven large
project implementation skills.
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Blockchain Pricing Strategy
$
One Time Consulting Fees Large government and
• One-time and ongoing international projects
(large in nature)
• Implementation and Training
• Best practice and advisory
consulting fees
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M&A Strategy
VitalHub’s strategy is to rapidly increase growth and profitability by combining like software
companies focused in the Healthcare IT area
Reduce R&D Spend Consolidate G&A Optimize S&M Cross-Selling Products Build Mobile Solutions Sell Organically
Reduction of R&D Consolidation of Implementation Upselling VitalHub Create mobile versions Develop and sell
costs by moving dev finance and of effective sales mHealth platform of legacy apps mobile new VitalHub
offshore with a administration and marketing into install base and upsell into existing products into large
significantly reduced into a central processes install bases growth markets
wage structure functional area
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M&A Strategy
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VitalHub – Acquisition #1
1. Mobile health enterprise software 4. Over $7M invested in R&D since inception
solutions vendor 5. Roots within MaRS and Mount Sinai
2. Current revenues of $560k hospital in Toronto
per annum 6. Recent Sales and Marketing initiatives
3. $490k annual recurring revenue driving growing pipeline
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VitalHub – The Integrated Mobility Solution
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VitalHub’s mHealth Solution
VH Chart
Real-time patient VH Physician Onboarding
information at the Communicate with all your
point of need on any physicians using mobile
mobile device devices for easy physician
onboard and ongoing
VH Engage VitalHub packages information target communication
Communication tools and data, making it more
enabling hospitals to accessible for mobile use
interact with patients
and families VH Task Manager
Assign, schedule
and monitor employee
VH Family Portal tasks in all healthcare
Providing family members settings using
with real-time information on mobile devices
the health and mental status
of their loved ones
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Acquisition #2: B Sharp Technologies (Oct 2017)
• 20 year old Canadian company
• $2.3 million (CAD) annual revenue 40 Canadian
• $1.5 million (CAD) recurring revenue Hospital
• CEO and CTO possess strong app Customers
development and operational skills
and will join management team
• Domain and healthcare development expertise
Characteristics
• In operation since 2008
• Team of 24 developers
• Average salary of $18k (CAD) per year
• Average tenure of 4 years
• Total cost of operation is $600k (CAD) per year 24 Member Offshore
Development Team
Source: Information provided by B Sharp Technologies and has not been independently verified by the Corporation.
The Corporation or its agents undertake no obligation to comment on analysis, expectations or statements made by
25 third parties in relation to B Sharp Technologies, its security or their respective financial or operating results. TSX.V V H I
Acquisition #3: H.I. Next Inc. (Jan 2018)
• 19 year old company with large U.S. install U.S. business primary growth area
• 80 Behavioral Health Institution Customers
• $3.1 million (CAD) annual revenue
• $2.4 million (CAD) recurring revenue
• Mental Health EHR sold both in Canada and the U.S.
• CEO is the former CIO of CAMH with large
knowledge base especially in the mental health area
• Strong U.S. partner driving sales
• Opportunity to significantly lower R&D costs
• Mental health and clinical domain expertise 40 U.S. Behavioral Health
Source: Information provided by H.I. Next Inc., and has not been independently verified by the
Corporation. The Corporation or its agents undertake no obligation to comment on analysis, expectations
Institution Customers
or statements made by third parties in relation to H.I. Next Inc., its security or their respective financial or
operating results.
+40 in Canada
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M&A Synergies Result in EBITDA Growth
Upsell VitalHub
Mobility Solution to
Target Companies’
Install Bases
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Estimated Capital Structure Post M&A
Shares %
Current Shareholding 124,885,709 100.0%
Public 78,835,166 61.5%
Management control 48,050,543 38.5%
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Post M&A – Estimated P&L (Pre-Blockchain)
% Revenue % OPEX % Revenue $
29 TSX.V V H I
Comparable Companies
QHR Operations
$30M
$20M
$10M
$M
2013 2014 2015 Sale
Note: This transaction is in no way indicative of transactions currently available to or contemplated by the Corporation. The economics for the transaction presented in this slide, including the revenue
multiples and historical trading prices, are not typical and there can be no guarantee that the Corporation will be able to complete a similar transaction or any transaction at all.
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VitalHub Inc. – Summary
• Proven management team and board with strong track record, ability to execute, and
public markets experience
• Focused M&A strategy positioned for rapid growth, with 15 potential acquisition
targets identified (profitable “hedge” strategy, providing real downside protection)
• Offshore R&D strategy that cuts costs, increases margins, improves efficiency; and enables
the scalability, growth, and development of Blockchain solutions
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Statutory rights for subscribers resident in Ontario and Saskatchewan: (1/2)
Section 130.1 of the Securities Act (Ontario) (the “Ontario Act”) and Section 138 of the Securities Act
(Saskatchewan) (the “Saskatchewan Act”) provides that every purchaser of securities pursuant to an offering memorandum shall have a statutory right
of action for damages or rescission against the issuer and any selling security holder in the event that the offering memorandum contains any untrue
statement of a material fact or omits to contain a material fact that is required or that is necessary in order to make any statement herein or therein not
misleading in the light of the circumstances in which it was made (a “Misrepresentation”). A purchaser who purchases securities offered by the offering
memorandum during the period of distribution has, without regard to whether the purchaser relied upon the Misrepresentation, a right of action for
damages or, alternatively, while still the owner of the securities, for rescission against the issuer and any selling security holder provided that:
a) if the purchaser exercises its right of rescission, it shall cease to have a right of action for damages as against the issuer and the selling security
holders, if any;
b) the issuer and the selling security holders, if any, will not be liable if they prove that the purchaser purchased the securities with knowledge of the
Misrepresentation;
c) the issuer and the selling security holders, if any, will not be liable for all or any portion of damages that it proves do not represent the depreciation
in value of the securities as a result of the Misrepresentation relied upon; and
d) in no case shall the amount recoverable exceed the price at which the securities were offered.
Section 138 of the Ontario Act, and Section 147 of the Saskatchewan Act provide that no action shall be commenced to enforce these rights more
than:
a) in the case of an action for rescission, 180 days from the day of the transaction that gave rise to the cause of action; or
b) in the case of an action for damages, the earlier of:
I. 180 days from the day that the purchaser first had knowledge of the facts giving rise to the cause of action; or
II. three years from the day of the transaction that gave rise to the cause of action.
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Statutory rights for subscribers resident in Ontario and Saskatchewan: (2/2)
The rights referred to in section 130.1 of the Securities Act (Ontario) do not apply in respect of an offering memorandum delivered to a prospective
purchaser in connection with a distribution made in reliance on the exemption from the prospectus requirement in section 2.3 of National Instrument
45-106 (the “accredited investor” exemption) if the prospective purchaser is:
Pursuant to Section 80.1(3) of the Saskatchewan Act, a purchaser who has received an amended offering memorandum delivered in accordance with
subsection 80.1(3) of the Saskatchewan Act has a right to withdraw from the agreement to purchase the securities by delivering a notice to the
person who or company that is selling the securities, indicating the purchaser’s intention not to be bound by the purchase agreement, provided such
notice is delivered by the purchaser within two business days of receiving the amended offering memorandum.
Similar rights of rescission are available to subscribers resident in Alberta pursuant to the provisions of Section 204 of the Securities Act (Alberta).
Subscribers in Alberta are advised to consult the Securities Act (Alberta) for the specific language pertaining to their rights.
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Appendix I: Future Adoption of Blockchain in Healthcare
17.9% Other
28.6%
Eligibility
3.5%
35 (Source: January 2017 Hyperledger Healthcare Working Group Survey, N=28 TSX.V V H I
Appendix II: 6 Big Themes for Blockchain Technology in Healthcare
Cybersecurity
Health Data Interoperability Healthcare Business Models Distributed network consensus
Provide ubiquitous security Transform the digital health with cryptography techniques
infrastructure for seamless economy to create new business provides an additional layer of
health data exchange without and monetization models trust to minimize cybersecurity
reconciliation or trusted for health asset threats for healthcare IT
3rd party. exchange. systems.
“Blockchain technology
potential applications Value-Based Care
in some of the pressing Trusted workflows with
“single source of truth” provide
Healthcare Consumerism Precision Medicine Practice
Patients can permit access to
Ensure co-creation of trust and
needs of the radical new possibilities for
self- sovereignty for a patient-
their anonymized personal
outcome-based care health information for research
Healthcare industry.” delivery and reimbursement
centric Blockchain health
ecosystem.
commons and remunerative
models. models.
36 (Source: "Blockchain Technology in Global Healthcare, 2017–2025", Frost & Sullivan, June 2017.) TSX.V V H I
Appendix III: Adoption Timeline – Blockchain Healthcare Use Cases
Blockchain Technology Adoption Timeline Across Major Healthcare Applications/Use Cases, Global, 2016–2025
Immediate (2016–2018) Short-Term future (2018-2021) Long-Term future (2021-2025)
Digital Identity Verification/ IoMT (medical asset management IoMT
Management and device data exchange) (Quantified self, home care)
National Medical/ Health Smart Contracts (health vendors Universal Health Records
Records (authenticity and integrity) RFPs and contract management) and Identities
Drug Supply Chain Provenance (drug Health Token (HSN, research, Genomics and User-generated Data
counterfeiting and theft) wellness incentives) Management
Claims Adjudication & Billing Managing Pharma/Biopharma IP and Assets Transactions Blockchain AI and AR/VR
Management/ RCM on Blockchain Applications
Healthcare Data Storage, Access, Regulatory Audit and Adverse Event Health Policy Voting
and Analytics (on/off Blockchain) Safety Monitoring
Note: Blockchain system adoption across these healthcare use cases demonstrate more convincing opportunities, albeit at Blockchain-based Learning Health
varying degrees of adoption across countries and health systems. Systems and Advocates
About 6% of all medical claims are denied due to incomplete or incorrect information. The Blockchain
system could automate the claim process and dispel administration layers to reduce transaction costs
and frauds.
Insurance notarization and medical billing frauds: An estimated 5%–10% of health care costs are fraudulent,
Challenges
resulting from excessive billing or billing for non-performed services. For example, in the United States alone, a
Current
Medicare fraud scheme incurred about $30 million in losses during 2016.
Inefficiencies with BIR activities: An estimated 15%–20% of health care spending and processing costs are
associated with BIR activities. E.g., US BIR costs are projected to reach $315 billion dollars by 2018, up over
100% from 2007.
38 (Source: "Blockchain Technology in Global Healthcare, 2017–2025", Frost & Sullivan, June 2017.) TSX.V V H I
Appendix IV: Use Case 2 – Claims Adjudication & Billing Management
(i) An estimated 5-10% of healthcare costs are fraudulent, resulting from excessive billing
or billing for non-performed services.
(ii) Blockchain-based systems can provide realistic solutions for minimizing these medical
billing-related frauds; by automating the majority of claim adjudication and payment
processing activities, Blockchain systems could help to eliminate the need for
intermediaries and reduce the administrative costs and time for providers and payers.
39 (Source: "Does Blockchain Have A Place In Healthcare?" Forbes, www.forbes.com, May 8, 2017.) TSX.V V H I