Our presentation includes “forward-looking statements” and “forward looking information” as those terms are used within applicable Canadian and United States securities law, that are subject to risks and uncertainties that may result in actual results differing from the statements we make. Certain information included or incorporated by reference in this presentation may contain forward-looking statements. This information may involve known and unknown risks, uncertainties, and other factors which may cause our actual results, performance, or achievements to be materially different from the future results, performance, or achievements expressed or implied by any forward-looking statements. Forward-looking statements, which involve assumptions and describe our future plans, strategies, and expectations, are generally identifiable by use of the words “may,” “will,” “should,” “expect,” “anticipate,” “estimate,” “believe,” “plan,” “intend” or “project” or the negative of these words or other variations on these words or comparable terminology. Certain risks underlying our assumptions are highlighted below; if risks materialize, or if assumptions prove otherwise to be untrue, our results will differ from those suggested by our forward- looking statements and our results and operations may be negatively affected.
Forward-looking statements in this presentation include statements regarding profitability, additional acquisitions, increasing revenue and adjusted EBITDA, continued growth of our business in line with historical growth rates, trends in our industry, financing plans, our anticipated needs for working capital and leveraging our capabilities. Actual events or results may differ materially from those discussed in forward-looking statements. There can be no assurance that the forward-looking statements currently contained in this report will in fact occur. The Company bases its forward-looking statements on information currently available to it. The Company disclaims any intent or obligations to update or revise publicly any forward-looking statements whether as a result of new information, estimates or options, future events or results or otherwise, unless required to do so by law. Forward-looking information reflects current expectations of management regarding future events and operating performance as of the date of this document. Such information involves significant risks and uncertainties, should not be read as guarantees of future performance or results, and will not necessarily be accurate indications of whether or not such results will be achieved. Prospective investors should not place undue reliance on forward- looking information and are cautioned that, except as available on www.SEDAR.com, any information included herein may not be accurate or complete and should not be relied upon.
To the extent any forward-looking statements contain forecasts or financial outlooks, such information is being provided solely to enable the reader to assess Assure Holdings Corp.’s financial condition and its operational history and experience in the medical industry. Readers are cautioned that this information may not be appropriate for any other purpose, including investment decisions. No representation or warranty of any kind is or can be made with respect to the accuracy or completeness of, and no representation or warranty should be inferred from our projections or the assumptions underlying them.
This presentation does not constitute an offer of securities, and no offer or sale of securities will be conducted in any jurisdiction where such offer or sale is prohibited.
A number of factors could cause actual results to differ materially from the results discussed in forward- looking information, including, without limitation: our need for additional financing and our estimates regarding our capital requirements, future revenues and profitability; if our patient volume or cases do not grow as expected, or decreases, this could impact revenue and profitability; if we are unable to complete transactions with new physician practices, this could impact our future revenue growth and profitability; unfavorable economic conditions could have an adverse effect on our business; risks related to increased leverage resulting from incurring additional debt; the policies of health insurance carriers may affect the amount of revenue the Company receives; our ability to successfully market and sell our products and services; we may be subject to competition and technological risk which may impact the price and amount of services we can sell and the nature of services we can provide; regulatory changes that are unfavorable in the states where our operations are conducted or concentrated; our ability to comply and the cost of compliance with extensive existing regulation and any changes or amendments thereto; changes within the medical industry and third-party reimbursement policies and our estimates of associated timing and costs with the same; risks related to the Company’s reliance on third-party billing and collection companies to appropriately bill healthcare payers and to maximize reimbursement during the collections process; risks related to the Affordable Care Act (the “ACA”) or any replacement legislation in terms of patient volume and reimbursement and the corresponding effect on our business; changes in key United States federal or state laws, rules, and regulations; our ability to establish, maintain and defend intellectual property rights; risks related to United States antitrust regulations; risks related to record keeping and confidentiality by our affiliated physicians; our ability to recruit and retain qualified personnel and other resources to provide our services;
risks related to any affiliated physicians leaving our affiliated Provider Network Entities (“PNEs”); our ability to enforce non-competition and other restrictive covenants in our agreements; contracts with PNEs, or other customers may be terminated, or may not be renewed, by the counterparty; risks related to corporate practice of medicine and our ability to renew and maintain agreements our contractors; our ability to adequately forecast expansion and the Company’s management of anticipated growth; risks related to our dependence on complex information systems; our senior management has been key to our growth and we may be adversely affected if we are unable to retain them, conflicts of interest develop or we lose any key member of our senior management team; risks associated our dependence on third-party suppliers; changes in the industry and the economy may affect the Company’s business; risks related to the competitive nature of the medical industry; evolving practices and regulation of corporate governance and public disclosure may result in additional corporate expenses; adverse events relating to our product or services could result in risks relating to product liability, medical malpractice, other legal claims, insurance and other liabilities; various risks associated with legal, regulatory or investigative proceedings; risks associated with governmental or other investigations or inquiries into marketing and other business practices; we are subject to health and safety risks within our industry; our ability to successfully identify and complete future transactions and integrate our acquisitions; anti-takeover provisions create risks related to lost opportunities; we may not continue to attract PNEs and other licensed providers to provide our services resulting in slower than expected growth; risks associated with the trading of our common shares on a public marketplace which could result in changes to stock prices unrelated to our performance; risks related to the reduction in the reimbursement of our service procedure codes; changes in our effective income tax rates; risks related to our ability to retain and manage third-party service providers; risks related to the failure of our employees and third-party contractors to appropriately record or document services that they provide; risks that while the primary market for the Company’s common stock is the TSX Venture Exchange and the Company is a “reporting issuer” in Canada, the Company is a Nevada corporation and its principal business is located in the United States, subject to United States federal and state securities laws, there may be uncertainty regarding the application of the federal and state securities laws to the shares of common stock issued in connection with the qualifying transaction with Assure Holdings, Inc. on May 26, 2017; and risks related to criminal or civil sanctions in connection with failure to comply with privacy regulations regarding the use and disclosure of personal identifiable or other patient information.
Spinal & neurosurgeries, vascular, ENT, orthopedic & other invasive surgeries.
While technologists (managing ~200 cases/year) are exclusively focused on monitoring the patient in the operating room, the telehealth provider (managing ~2,500 cases/year) monitors multiple procedures simultaneously.
Registration statement on Form S-1 declared effective and Assure is seeking to uplist to a major U.S. exchange in 2021.
IONM regarded as standard of care for decades
Recognition for reduced surgical complications
Demographic tailwinds driving an increase in number
Highly fragmented and chronically undercapitalized industry
1) Allied Market Research, August 2018
2) US Census Bureau
Insourced U.S. IONM market another ~$850M as roughly half of these services provided by hospital and ambulatory surgery centers
Assure is a physician relationship driven organization providing the highest level of patient care in the industry
Assure’s use of analytics, including data warehousing and AI tools strengthens revenue cycle management, operational and financial performance and Company’s ability to support negotiations of new in-network agreements
Controlling both aspects of the IONM offering (operating room technologist + telehealth neurology) make ongoing operations more profitable and facilitate new business wins as a low-cost, high-quality provider
High Velocity Collections
Automated internal billing team + in-network agreements have added predictability and transparency to cash flows that industry peers heavily dependent on 3rd party billing providers and overwhelmingly out-of-network are unable to match
Deep Clinical Expertise
Substantial resources devoted to ongoing technologist training to ensure value-add to surgeons, fellowship program developing new talent, and clinical research, thereby increasing standing among payors, hospitals, physicians and in industry
Track Record of Successful M&A
Demonstrated ability to acquire and integrate peers with strong clinical reputations that add meaningful procedure scale at favorable terms; Plugging them into platform leverages strength in revenue cycle management and provision of teleneurology services
Untapped Teleneurology Upside
Expertise in IONM teleneurology will facilitate Assure’s penetration into adjacent markets that require similar expertise and telehealth capabilities including EEG, stroke, epilepsy and sleep studies, among others
Off-site professional neurology services driving emerging telehealth offering1
Reinforces competencies around telehealth, medical data and analytics
Substantial market opportunity for teleneurology in IONM with strong potential to serve as a platform for additional and adjacent neurology services
APPEALING TRANSACTION TERMS
Assure previously relied on a 3rd party billing company which it terminated in late 2019 for: not pursuing claims, waiting months to initiate claims and not following up with insurers As a result, in 2020 Assure reserved a disproportionate number of claims that aged 2+ years.
Strengthened financial position:
© 2021 Tips for Traders. All rights Reserved.
This communication is an advertisement. Tips for Traders is a brand name of IRPub LLC, its owners, directors, officers, employees, affiliates, agents, and assigns (collectively the “Publisher”) is often paid by one or more of the profiled companies or a third party to disseminate these types of communications. In this case, the Publisher has been compensated by Assure Neuromonitoring LLC. to conduct public investor awareness, distribution, and investor education marketing for a period of 30 days. Assure Neuromonitoring LLC. has paid the Publisher the equivalent of One-Hundred Thousand USD to produce and disseminate this and other similar articles and certain related banner advertisements. This compensation should be viewed as a major conflict with the Publisher’s ability to provide unbiased information or opinion.
CHANGES IN SHARE TRADING AND PRICE
Readers should beware that third parties, profiled companies, and/or their affiliates may liquidate shares of the profiled companies at any time, including at or near the time you receive this communication, which has the potential to adversely affect share prices. Frequently companies profiled in our articles experience a large increase in share trading volume and share price during the course of investor awareness marketing, which often ends as soon as the investor awareness marketing ceases. The investor awareness marketing may be as brief as one day, after which a large decrease in share trading volume and share price may likely occur.
NO OFFER TO SELL OR BUY SECURITIES
This communication is not, and should not be construed to be, an offer to sell or a solicitation of an offer to buy any security.
Neither this communication nor the Publisher purports to provide a complete analysis of any company or its financial position. This communication is based on information generally available to the public and on an interview conducted with the company’s CEO and does not contain any material, non-public information. The information on which it is based is believed to be reliable. Nevertheless, the Publisher does not guarantee the accuracy or completeness of the information. Further, the information in this communication is not updated after publication and may become inaccurate or outdated. No reliance should be placed on the price or statistics information and no responsibility or liability is accepted for any error or inaccuracy. Any statements made should not be taken as an endorsement of analyst views.
NO FINANCIAL ADVICE
The Publisher is not, and does not purport to be, a broker-dealer or registered investment adviser, or a financial adviser. The Publisher has no access to non-public information about publicly traded companies. The information provided is general and impersonal and is not tailored to any particular individual’s financial situation or investment objective(s) and this communication is not, and should not be construed to be, personalized investment advice directed to or appropriate for any particular investor or a personal recommendation to deal or invest in any particular company or product. Any investment should be made only after consulting a professional investment advisor and only after reviewing the financial statements and other pertinent corporate information about the company. Further, readers are advised to read and carefully consider the Risk Factors identified and discussed in the advertised company’s SEC, SEDAR, and/or other government filings. Investing in securities, particularly microcap securities, is speculative and carries a high degree of risk. Past performance does not guarantee future results.
This communication contains forward-looking statements, including statements regarding the expected continual growth of the featured companies and/or industry, potential for acquisitions and mergers, and potential groundbreaking developments. Statements in this communication that look forward in time, which include everything other than historical information, are based on assumptions and estimates by our content providers and involve risks and uncertainties that may affect the profiled company’s actual results of operations. These statements involve known and unknown risks, uncertainties, and other important factors that could cause the actual results and performance to differ materially from any future results or performance expressed or implied in the forward-looking statements. These risks, uncertainties, and other factors include, among others: the success of the profiled company’s operations; the size and growth of the market for the company’s products and services; the company’s ability to fund its capital requirements in the near term and long term; pricing pressures; changes in business strategy, practices or customer relationships; general worldwide economic and business conditions; currency exchange and interest rate fluctuations; government, statutory, regulatory or administrative initiatives affecting the company’s business.
INDEMNIFICATION/RELEASE OF LIABILITY
By reading this communication, you acknowledge that you have read and understood this disclaimer in full, and agree and accept that the Publisher provides no warranty in respect of the communication or the profiled company and accepts no liability whatsoever. You acknowledge and accept this disclaimer and that, to the greatest extent permitted under applicable law, you release and hold harmless the Publisher from any and all liability, damages, injury, and adverse consequences arising from your use of this communication. You further agree that you are solely responsible for any financial outcome related to or arising from your investment decisions.
All trademarks used in this communication are the property of their respective trademark holders. Other than IRPub.com, the Publisher is not affiliated, connected, or associated with, and the communication is not sponsored, approved, or originated by, the trademark holders unless otherwise stated. No claim is made by the Publisher to any rights in any third-party trademarks other than tipsfortraders.com.
AUTHORS PARTNER CONTENT
All of the content found on this page was authored by our 3rd party affiliate partner. Tips for Traders, IRPub LLC, and our affiliates are not responsible for the content or accuracy of this article.
Tips for Traders, IRPub LLC, DO NOT hold any position in the stock(s) and/or financial instrument(s) mentioned in the above piece. We have been paid to produce this piece by the Company or companies mentioned above.