American Shared Hospital Services · AMEX:AMS

American Shared Hospital Services — Investor Presentation (September 2019)

17 slides from American Shared Hospital Services's investor presentation, September 2019

  1. Slide 1: American Shared Hospital Services

    American Shared Hospital Services Making the Best Healthcare Technology Accessible NYSE American: AMS September 2019

  2. 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

  3. 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. Through GK Financing, LLC (GKF), our 81% owned subsidiary, we are the worldwide leader in Gamma Knife unit owner

  4. 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

  5. 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 10+ V.P., Sales and Business Development Alexis Wallace 10+ Controller NYSE American: AMS 5

  6. 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

  7. 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 ASHS’ RESPONSIBILITIES HOSPITAL’S RESPON

  8. Slide 8: Current Business Status

    Current Business Status + Identifying healthcare technology investment opportunities with long term growth potential + In negotiations for 2 additional PBRT installations + Gamma Knife Completed first Icon upgrade + Identifying additional international opportunities NYSE American: AMS 8

  9. Slide 9: Growing Contribution from Proton Therapy

    Growing Contribution from Proton Therapy Revenue Summary 2013 – 2018 $ / Millions $25 $20 0.5 0.6 1.1 1.5 0.4 2.1 4.1 0.9 5.0 $15 $10 14.8 16.1 16.1 16.1 14.5 13.6 $5 $0 2013 2014 2015 2016 2017 2018 GKF PBRT IGRT NYSE American: AMS 9

  10. Slide 10: Expansion Opportunities

    Expansion Opportunities + Develop single and two room proton beam radiation therapy centers with major hospitals + MR Guided Linac + Community Hospitals + International + Latin America initially NYSE American: AMS 10

  11. Slide 11: Proton Radiation Therapy

    Proton Radiation Therapy + Commercial & Profitable: + NOT a NEW Technology Single room proton beam radiation therapy centers + Clinically Advantageous + Significantly reduced average + Protons deposit dose at tumor, versus cost / treatment room to $30 - x-rays passing through the tumor $40M + Minimi

  12. Slide 12: Photon vs. Proton

    Photon vs. Proton Pediatric Medulloblastoma Photon Beam Delivery % Dose Recommended Proton Beam Delivery PBRT Delivers a Full, Even Dose NYSE American: AMS 12

  13. Slide 13: PBRT U.S. Market Opportunity

    PBRT U.S. Market Opportunity + Currently only 30 PBRT centers* Current capacity ~90 rooms + 4 PBRT centers under construction or in development* + Only 7% to 14% of projected capacity is currently available for treatment ASHS projected capacity required - 635 – 1,270 rooms** + Each additional treatm

  14. Slide 14: Low Market Penetration

    Low Market Penetration 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 1,270 Curr

  15. 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

  16. Slide 16: Key Takeaways

    Key Takeaways + 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 devices + Prov

  17. Slide 17: Thank You!

    American Shared Hospital Services Making the Best Healthcare Technology Accessible For Further Information Contact: Thank You! Craig Tagawa COO and CFO [email protected] (415) 788-5300 NYSE American: AMS www.ashs.com 17

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