2015 astro investor meeting - varian medical …€¦ · · 2015-10-212015 astro investor meeting...
TRANSCRIPT
Agenda
7:30AM Welcome
– Dow Wilson
Our Cancer Care Vision: The Next Big
Advances
– Kolleen Kennedy
Particle Therapy: Building Momentum
– Dow Wilson
Q & A
9:00AM Booth Tour
Fiscal Year 2015
Preliminary Results
EPS Non-GAAP
~$4.29
GAAP
~$4.09
Revenue Growth
Constant Currency
6%
As Reported
2%
FY15 Gross Orders Q4’15 FY’15
Oncology Systems
Constant Currency 5% 6%
Reported Flat Flat
Imaging Components* (30%) (16%)
Particle Therapy ~$140M ~$310M
Fiscal Year 2015 Orders Growth
* Primarily transacted in US Dollars.
Total FY2015 Year-Ending Company Backlog -- $3.5B; up 10%
Fiscal Year 2016 Guidance
Upcoming Investor Events
• Q4/FY2015 Earnings Report - Wednesday, Oct. 28, 2015
2:00 pm PT conference call; details:
http://investors.varian.com/index.php?s=19&item=103
New York meeting – FY2015 Review/FY2016 Outlook
12:00 pm ET, Tuesday, Nov. 3, 2015 at The Benjamin Hotel
Webcast: https://event.webcasts.com/starthere.jsp?ei=1079531
4-5% REVENUE GROWTH*:
$4.45 - $4.55 EPS:
*Assumes current exchange rates
ASTRO Overview
Users Meeting – ~800 Attendees!
KOL Panel – Global Utilization of Radiotherapy
Focus on:
Innovation – enabling a new era in cancer care
RapidPlan
Multi-Modality Imaging
Intelligent Treatment Delivery
Advanced Analytics
The Role of Protons
A World Without Fear of Cancer We innovate, support and simplify cancer-fighting solutions worldwide.
Dynamic Market
Environment Economic driven healthcare transformation
– move to affordable, accessible, quality care
Expansion, investment in emerging & frontier markets
Modernization, replacements in developed markets
Worldwide Cancer Burden
$2T global economic burden in 2010
10% of patients have access to RT
in low income countries
50-60% of patients with cancer need RT
56% of cancers occur in high income
countries
Cancer Burden Rising 25 Million People
2012 2030
New Cancer Cases 14.1 Million 24.6 Million
Cancer Deaths 8.2 Million 13 Million
Needed by 2035
Coverage of radiotherapy services according to country as determined by global equipment
databases, an activity-based operations model, cancer incidence, and evidence-based estimates
of radiotherapy need.
20,000+ linacs
Expanded software,
service infrastructure
Greatest need in lower
and middle income
countries (LMIC)
Global Radiotherapy Gaps
*8,700 new machines plus 13,000 replacements = 20,700 new machines
Coverage of radiotherapy services according to country as determined by global equipment databases,
an activity-based operations model, cancer incidence, and evidence-based estimates of radiotherapy need.
What is Needed 2015 2035 GAP
Radiation Oncology Centers 7,700 10,900 3,200
Linear Accelerators 13,100 21,800 8,700*
Radiation Oncologists 23,200 45,500 22,300
Medical Physicists 10,000 39,300 29,300
Radiation Technologists 33,300 130,200 96,900
Keys to Closing Gap: Automation, Simplification, Productivity
Needs Growing Fastest Outside US, EU
313
618
319
579
65
103
75
103
0
200
400
600
800
1000
1200
1400
2010 2030
EU developed
NA
Other
BRIC
Source: U.S. Census Bureau
Pe
op
le 6
0 Y
ea
rs a
nd
Old
er
( in
Mil
lio
ns
)
Call to Action & LMIC Target
By 2020
of countries should
have cancer plans that
include radiotherapy.
Population Based
Cancer Control Plans
80%
1.
CTA:
TARGET:
Call to Action & LMIC Target
increase in RT capacity
from 2015 to 2025
Expansion of Access
to Radiotherapy
25%
CTA:
TARGET:
2.
Call to Action & LMIC Target
radiation oncologists
Human Resources
for Radiotherapy 23,000 3.
CTA: TARGET:
RTTs and 33,300
medical physicists in LMIC by 2025 10,000
Call to Action & LMIC Target
of investment by 2025 to
establish radiotherapy
infrastructure and
training in LMIC
Sustainable Financing
to Expand Access to
Radiotherapy
$46B
4.
CTA:
TARGET:
Call to Action & LMIC Target
of LMIC to include RT
services as part of
universal health
coverage by 2020
Align Radiotherapy
Access with Universal
Health Coverage 80%
5.
CTA:
TARGET:
Varian Market Development
Expanding global team
Partnering to build access to cancer care
Governments
Financiers
Clinicians
Patient advocacy groups
Promoting awareness
Lancet Oncology Commission
Media outreach
New Era Innovation Knowledge-Guided Oncology | Intelligent Treatment Delivery
Advanced Data Analytics
IMAGE – Not Yet Complete
RapidPlan™ Ramp Up
300+ Orders
3,800 Potential Installs
Disease Site Models
Prostate
Prostate (+lymph nodes)
Head & Neck
Lung SBRT
Breast
More Models Coming
KNOWLEDGE-GUIDED ONCOLOGY:
University of Michigan: Spine SBRT Study
Manual RapidPlan
Foy J, et al. An analysis of knowledge based planning for stereotactic body radiation
therapy of the spine [abstract]. Poster presentation at: American Association of
Physicists in Medicine (AAPM) 57th Annual Meeting & Exhibition; July 12-16,
2015; Anaheim, CA.
University of Michigan
Equivalent Quality
Manual RapidPlan
Time 60-90 min 15-20 min
KNOWLEDGE-GUIDED ONCOLOGY:
Royal Surrey County Hospital: Prostate Study
Manual RapidPlan
Time 114 ± 86 min 21 ± 13 min
Equivalent
or better 30% 90%
Better 10% 90%
Courtesy, Royal Surrey County Hospital NHS Foundation, Guilford, UK
Data source on file
0
50
100
150
200
250
300
350
A1A2A3A4B1B2C1D1D2D3E1E2E3F1F2F3F4F5F6
Planning time (min)
conventional RapidPlan
KNOWLEDGE-GUIDED ONCOLOGY:
The Next Big Milestone –
High Definition Radiotherapy
Treatment Ideal:
100% of dose to the tumor; 0% to healthy tissue.
INTELLIGENT TREATMENT DELIVERY:
HEALTHY TISSUE SPARED
Progress Made So Far & What’s Next
The Conformality Continuum
3D CONFORMAL IMRT IGRT SBRT HDRT
INTELLIGENT TREATMENT DELIVERY:
TODAY
Non-Coplanar Trajectories for Lung SBRT
INTELLIGENT TREATMENT DELIVERY:
IMRT
PATIENT 1
PATIENT 2
VMAT NON-COPLANAR ARC
64 Gy
15 Gy
High Definition Radiosurgery
Coplanar RapidArc SRS
4π High Definition SRS
Brain Stem Brain Stem
50% Rx Dose 50% Rx Dose
INTELLIGENT TREATMENT DELIVERY:
IGRT SBRT HDRT
The Key To
Progress:
Better Dose
Delivery
INTELLIGENT TREATMENT DELIVERY:
IMRT
MR LINAC
3D CONFORMAL
Relative Clinical Value
Iterative CBCT Now Better than Diagnostic CT
TrueBeam 2.0 Clinical CT Iterative CBCT
INTELLIGENT TREATMENT DELIVERY:
FMI: Peter Munro, Lisa Hampton
ARIA Takes the Lead
Winning MOSAIQ conversions
ARRA HITECH MU 2 achieved
InSightive Analytics ramping up
Infor™ interoperability
EPIC, Cerner, McKesson
Cloud-based offering with SaaS model
FlatIron alliance
ADVANCED DATA ANALYTICS
ADVANCED DATA ANALYTICS:
InSightive™ Analytics
50+ Orders
Customizable dashboards
Clinical & operational KPIs
Every ARIA site - potential 3800 Installs
ADVANCED DATA ANALYTICS
ADVANCED DATA ANALYTICS:
Long Term Growth Drivers Rising Global Cancer Burden
Need to Expand, Modernize RT Infrastructure
Demand for Cost-Effective Solutions
Winning Product Portfolio
TrueBeam Platform
Eclipse, RapidPlan
ARIA, InSightive Analytics, Velocity
Strong Innovation Pipeline
High Definition Radiation Therapy
Multi-Modality Imaging at Point of Care
Iterative CBCT
Largest Installed Base – Upgrades, Replacements
Service Momentum
Number of
treatment rooms
to increase by
over 4x
Proton Therapy World Market Report (Edition 2015), MEDraysintell.
Patients Treated to 2030
41 | VARIAN PARTICLE THERAPY
Commitment
Varian develops
proton treatment
planning;
provides
information
systems for
proton centers
Varian purchases
ACCEL
Instruments
Superconducting
cyclotron clinical
at PSI
Complete
treatment system
delivered to
Rinecker Proton
Center, Munich
(>1,500 patients)
First US
ProBeam®
system delivered
to Scripps Health
in San Diego
Start of clinical
operation at
Scripps Health in
San Diego
6 orders
Compact launch
Eclipse™ proton
algorithm
3 installs
underway
1990s 2007 2009 2011 2014 2015
History of Proton Program
42 | VARIAN PARTICLE THERAPY
Varian Projects Overview
SCRIPPS PT CENTER 3 Rotational and 2 Fixed Beam Rooms
KFMC-KING FAHD MEDICAL CENTER 3 Rotational and 1 Fixed Beam & 1Eye Tx
UNIVERSITY OF MARYLAND 4 Rotational and 1 Fixed Beam Room
GEORGIA PT CENTER (EMORY) 4 Rotational and 1 Fixed Beam Room
PTC ST PETERSBURG, RUSSIA 2 Rotational Gantries
RINECKER PROTON THERAPY CENTER 4 Rotational Gantries and 1 Fixed Beam Room
UT SOUTHWESTERN MEDICAL CENTER 4 Rotational and 1 Fixed Beam Room
CINCINNATI CHILDREN’S HOSPITAL 3 Rotational Rooms
PAUL SCHERRER INSTITUTE (PSI) 1 Gantry Room
NATIONAL TAIWAN UNIVERSITY
2 Gantries 1 Fixed Beam Room
AARHUS PTC - DENMARK 2 Gantries
UK PROTON THERAPY CENTERS UCLH London - 3 Gantries
The Christie Hospital, Manchester - 3 Gantries
HOLLAND PTC 2 Rotational Gantries 1 Fixed Beam
NEW YORK PTC
3 Gantries 1 Fixed Beam Rm 1 RR
43 | VARIAN PARTICLE THERAPY
Hitachi - 3
IBA - 17
ProNova - 4
Varian - 22
Sumitomo - 1
2015 Treatment Rooms Ordered
Varian Establishing Market Leadership Position
44 | VARIAN PARTICLE THERAPY
Why We’re Winning……
• Precision IMPT with Pencil-Beam Scanning
• Fastest Patient Throughput
• Varian Best in Class Oncology Product Suite
• Eclipse treatment planning
• ARIA OIS, data analytics
• Cone Beam CT Imaging/motion management
• Commitment to Innovation, Integration
45 | VARIAN PARTICLE THERAPY
Commitment - Legacy of Investment in Innovation Annual R&D Expenses
$30M $170M
Competitor Varian Particle Therapy Varian Oncology Systems
Synergies with Particle Therapy: • Novel Imaging Techniques
• Workflow Optimization
• Motion Management
• Treatment Planning
• User Interface
46 | VARIAN PARTICLE THERAPY
ProBeam® : Integrated Workflow
Protons
Eclipse ARIA
Treatment Decision Planning OIS Treatment Delivery
Photons
ProBeam 4D Console
TrueBeam 4D Console
One Database
47 | VARIAN PARTICLE THERAPY
What’s Next …
• Cost and Size Reduction
• Workflow Enhancements
• Streamlining Installation, Commissioning
48 | VARIAN PARTICLE THERAPY
Varian Particle Therapy at ASTRO 2015
Featuring Compact, Varian’s Integrated Single-Room Solution
ProBeam
ARIA ECLIPSE