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The Center for Wound Healing, Inc'

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Title: The Center for Wound Healing, Inc'


1
The Center for Wound Healing, Inc. (Symbol
CFWH.OB)
Andrew G. Barnett, Chief Executive Officer
Investor Presentation June, 2009
2
Safe Harbor Statement
  • This presentation contains forward-looking
    statements within the meaning of the Private
    Securities Litigation Reform Act of 1995 that
    involve significant risks and uncertainties.
    Such forward-looking statements involve a number
    of known and unknown risks, uncertainties and
    other factors which may cause the actual results,
    performance or achievements of the Company to be
    materially different from any future results,
    performance or achievements expressed or implied
    by such forward-looking statements. Such factors
    include, but are not limited to, the risks of
    uncertainty of patent protection, the impact of
    supply and manufacturing constraints or
    difficulties, product market acceptance, possible
    technological obsolescence, increased
    competition, customer concentration and other
    risks detailed in the Companys filings with the
    Securities and Exchange Commission.
  • The words believe, demonstrate, intend,
    expect, estimate, anticipate, likely, and
    similar expressions identify forward-looking
    statements. Readers are cautioned not to place
    undue reliance on those forward-looking
    statements, which speak only as of the date the
    statement was made. The Company is under no
    obligation to provide any updates to any
    information contained in this presentation.

Page 2
3
The Center for Wound Healing, Inc.
  • CFWH develops and manages hospital-based wound
    care centers that provide traditional wound care
    and hyperbaric (HBO) treatments to outpatients
    on an outsourced basis.
  • Our centers utilize advanced wound healing
    technologies, including HBO, and a
    multi-disciplinary team approach to heal chronic
    and acute non-healing wounds such as diabetic,
    venous stasis, pressure, trauma and ischemic
    wounds.
  • As an outpatient unit, the CFWH staff works
    closely with each patients primary physician to
    treat and heal the patients wound in a cost
    effective and timely manner.

4
Investment Highlights
  • Large market driven by diabetes treatment
  • Companys patient population Diabetics comprise
    80 and are 60 years of age the fastest
    growing medical demographic
  • Real upside with Medicare expansion to millions
    uninsured
  • Financial turnaround achieved 2007 2008
  • Gross margin up 900 basis points
  • EBITDA from 180,000 to 8.6 million
  • Growth continues through 2009YTD
  • Compelling value proposition at all levels
  • Improved outcomes for patients
  • Turnkey approach that generates significant cash
    flow for hospitals and substantial income for
    doctors
  • Cost reduction throughout the healthcare system
  • Highly scalable, profitable business model with
    significant operating leverage
  • Company centers expected to double in three years

Page 4
5
Large Market Opportunity
  • Large and growing hospital opportunity
  • 700 hospitals in New England, Mid-Atlantic
    states
  • 4,000 hospitals in U.S. that can support HBO
  • Market strata
  • Virgin hospitals that dont have dedicated
    wound healing centers
  • Hospitals with wound healing but not HBO
  • Hospitals that offer both and self-manage
  • Hospitals under contract with competitors
  • Growing diabetic population
  • Podiatrists, vascular surgeons, plastic surgeons,
    post-radiation oncologists, oral surgeons, and
    head and neck surgeons are our primary referral
    sources

Page 5
6
Focus on Diabetes
  • Chronic wounds occur in over two percent of the
    general population with medical treatment costs
    exceeding 2 billion
  • Diabetes affects 24 million people in US
    incidence is growing at approximately eight
    percent per year
  • Diabetic foot ulcers, frequently treated by HBO,
    affect over 800,000 people per year
  • Diabetics account for 80 of our portfolio
    patient population and the average age is 60
  • We serve the fastest growing medical demographic
    in the United States

Page 6
7
Successful Turnaround 2007 - 2008
  • January 2007 Scenario
  • No financial or accounting systems
  • Investment spending out-of-control lt30 days cash
    on hand
  • No working capital management AR and AP
  • Toxic sub-debt
  • Year Ended June 30, 2008 (comparisons w/07)
  • Sales of 26.4 million, up 33
  • Operating income 3.1 million v. 7 million loss
  • Gross margin 50.1 v. 41.3
  • EBITDA 8.6 million v. 180,000

8
Benefits Multiple Levels of Our Healthcare System
  • Patients
  • Safe, effective treatment that returns patients
    to more productive lives
  • Hospitals
  • Generates substantial free cash flow in excess of
    450,000 per year at program maturity, within
    year one
  • Ancillary services revenue, reduced LOS and
    improved margins, long-term and profitable
    patient relationships within catchment area
  • Significant income opportunity for doctors
  • Healthcare system
  • Substantially reduced costs
  • Improved hospital profitability from existing
    businesses

Page 8
9
Hyperbaric Oxygen Therapy
  • Simple, non-invasive and painless treatment
    enhances the bodys natural healing and
    strengthens the immune system, resulting in more
    rapid and complete healing for patients
  • The patient rests in a transparent airtight
    chamber with 100 oxygen at 2-3x sea level
    atmospheric pressure
  • Creates a 10- to 15- fold increase in plasma
    oxygen concentration with a resultant increase in
    tissue oxygenation
  • 83 of patients undergoing HBO therapy in our
    centers heal

10
Turnkey Operation for Hospitals
  • We manage the build out of facility, purchase the
    furniture, and all equipment, including the
    hyperbaric chambers, and hire and manage staff
  • We provide advanced wound care practice
    guidelines, training, policies and procedures,
    and deploy WoundDocs, our state-of-the-art,
    web-based electronic medical records application
  • We manage the program and control all
    administrative functions of the center
  • Our financial relationship is with the hospital,
    not with insurance companies. We assist the
    hospital with the billing process, collections
    and medical appeals, if necessary
  • We market the program to the hospitals referral
    base

Page 10
11
Cost Benefits for Healthcare System
  • Reduced inpatient stays, reduction in hospital
    time and costs, improved hospital margins
  • Decrease in amputation rates
  • Huge cost savings between amputation and HBO
  • Faster healing 83 of our HBO patients heal
  • Average of 35 HBO treatments/patient v. national
    Medicare average of 45 treatments/patient
  • Compelling economics for hospitals, physicians
    and both government and commercial insurers
  • Patients return to more productive lives without
    taxing the healthcare system

12
Retail Model Improves Performance
  • New centers are operational within four months of
    contract signing and reach maturity within one
    year
  • Key metrics
  • Inventory turn a/k/a chamber utilization dives
    per center/day currently 6.4, up from 5.3 in
    January 08 target 6.5 by July
  • Average current revenue/reimbursement per dive of
    495
  • Direct labor costs maintaining flat labor cost
    at three to seven dives per center/day
  • Patient population is 42 Medicare
  • Significant operating leverage
  • Increasing portfolio dives from 6.0 to 6.5 per
    day yields annualized 2.1 million revenue, 1.6
    million EBITDA

13
Improved Center Management
  • Regional Management Structure
  • Hub-and-spoke portfolio management
  • Measurement metrics similar to retail store or
    franchise models volume, direct costs, four-wall
    contribution
  • Repopulated most center operations management
  • Maximize gross margin dollars
  • State-of-the-art Business Processes and Systems
  • WoundDocs, our HIPAA-compliant web-based EMR
    application being rolled-out to portfolio and
    will be complete EOM May
  • Great Plains financial reporting application
    suite
  • Revamped and Focused Marketing Efforts
  • Consistent educational outreach on HBO and wound
    care
  • Clinical Liaison Specialists

14
Center Structure and Economics
  • A typical comprehensive wound care center offers
    advanced wound care and HBO therapies
  • Staffing includes
  • Program Manager
  • Registered Nurse
  • HBO Technicians (2)
  • Annual staffing costs of approximately 300
    thousand
  • CFWH investment includes
  • Buildout of 240 thousand
  • Two HBO chambers at 100 thousand each
  • Other FFE of 30 thousand
  • 2,300 square feet provided by the hospital at no
    charge
  • Expected HBO treatment rollout begins at three
    dives and reaches maturity within six months
    seven dives/day

15
Center Structure and Economics
  • Costs and returns to hospital
  • Up to 25 of the buildout, approximately 50,000
  • Space provided to CFWH at no charge
  • Minor supplies costs, about 8/patient
  • An average of 450,000 cash flow per year
  • Doctor income of 250,000 per year
  • CFWH four wall contribution a/k/a gross margin
  • Breakeven at month one (three dives/day)
  • 40.0 month four
  • 47.5 month 12 and forward
  • At maturity and for the life of the contract, a
    center should generate annual revenue and
    contribution of 950,000 and 450,000,
    respectively

16
Recent Operating Progress
  • Center openings
  • Monmouth Medical Center, Monmouth, NJ (August 08)
  • Pottstown Medical Center, Pottstown, PA
    (December 08)
  • Jameson Medical Center, New Castle, PA (January
    09)
  • Princeton University Hospital, Princeton, NJ
    (April 09)
  • Strong sales target pipeline
  • Opportunities to grow beyond the pipeline, i.e.,
    acquisitions, have been identified
  • Rendered 49,000 treatments in CY08 v. 42,000
    CY07 wound care volume is up 20
  • Approximately 10 of wound care patients are HBO
    candidates

Page 16
17
Current Facilities
18
Strategic Growth Initiatives
  • Center openings
  • Expect up to three centers in calendar 2009
  • 10 centers in fiscal 2010 15 centers per fiscal
    year, 2011 - 2012
  • Bolster footprint within current markets of New
    England and mid-Atlantic states
  • Expand geographic base to regions identified by
    management western Pennsylvania, Illinois,
    Kentucky, Ohio, Michigan, Alabama
  • Green field opportunities
  • Hospitals with wound care but without HBO
  • Acquire existing programs

19
Selected Financials
20
Selected Financials
  • Three Months Ended March 31, 2009
  • Sales of 6.9 million, up six percent compared
    with the prior years three month period
  • Operating income of 455,000
  • Gross margin of 47.1 for the quarter
  • EBITDA of 1.8 million
  • Nine Months Ended March 31, 2009
  • Sales of 21.5 million, up 14 compared with the
    prior period
  • Operating Income of 1,356,000
  • Gross margin was 48.6
  • EBITDA of 6.3 million

Page 20
21
What is EBITDA and Why is it Important?
  • Earnings Before Interest, Taxes, Depreciation and
    Amortization
  • Critical measure of operating results because it
    excludes capital structure costs and non-cash
    items.
  • For a company like ours, which has a complex
    capital structure that uses two forms of debt,
    including debt with warrants, EBITDA is the only
    way to measure true operating performance.
  • Demonstrates a companys ability to service its
    capital structure costs and investment spending
    capabilities

Page 21
22
CFWH Net Loss and EBITDA
Page 22
23
The Need and Ability to Generate Cash
Page 23
24
The Ultimate Measure of a Companys
CapabilitiesThe Ability to Generate Free Cash
Flow
Page 24
25
Balance Sheet and Liquidityat March 31 09
  • Current Ratio was 21
  • 8.9MM of working capital
  • Senior bank facility of 8MM, outstanding were
    3.7MM, the lowest since January 07
  • We expect to generate close to 5MM of cash from
    operations for FY09 and approach 7MM next year
  • We have more than enough liquidity to fund all
    operating, investment spending and balance sheet
    obligations in accordance with our business plan

26
Investment Highlights
  • Large market driven by diabetes treatment and an
    aging population the fastest growing medical
    demographic
  • Potential additional upside with Medicare
    expansion to million of the uninsured
  • Financial turnaround achieved 2007 2008
  • Gross margin up 900 basis points
  • EBITDA from 180,000 to 8.6 million
  • Compelling value proposition at all levels
  • Improved outcomes for patients
  • Turnkey operation for hospitals
  • Significant generation of free cash flow to
    hospitals and doctors
  • Cost reduction for healthcare system
  • Highly scalable, profitable business model with
    significant operating leverage
  • Number of centers expected to double in three
    years

27
The Center for Wound Healing, Inc. (Symbol
CFWH.OB)
Andrew G. Barnett Chief Executive Officer
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