global trends and transitions shaping the future of medical imaging equipment

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Global Trends and Transitions Shaping the Global Trends and Transitions Shaping the Future of Medical Imaging Equipment Future of Medical Imaging Equipment Revenue sustainability: a function of portfolio mix Revenue sustainability: a function of portfolio mix and geographic targeting and geographic targeting Roberto G. Aranibar, Sr. Industry Analyst © 2013 Frost & Sullivan. All rights reserved. This document contains highly confidential information and is the sole property of Frost & Sullivan. No part of it may be circulated, quoted, copied or otherwise reproduced without the written approval of Frost & Sullivan. Roberto G. Aranibar, Sr. Industry Analyst Healthcare – Medical Imaging April 25, 2013

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Global Trends and Transitions Shaping the Global Trends and Transitions Shaping the Future of Medical Imaging EquipmentFuture of Medical Imaging Equipment

Revenue sustainability: a function of portfolio mix Revenue sustainability: a function of portfolio mix and geographic targetingand geographic targeting

Roberto G. Aranibar, Sr. Industry Analyst

© 2013 Frost & Sullivan. All rights reserved. This document contains highly confidential information and is the sole property of

Frost & Sullivan. No part of it may be circulated, quoted, copied or otherwise reproduced without the written approval of Frost & Sullivan.

Roberto G. Aranibar, Sr. Industry Analyst

Healthcare – Medical Imaging

April 25, 2013

Today’s Presenter

Industry Expertise

• Experience in technical and business roles within the medical

industry, leveraging broad perspectives on medical imaging and

device markets with clients and industry stakeholders

• Coverage of clinical and preclinical imaging equipment markets,

including general and mammographic X-ray, CT, ultrasound, MR,

nuclear medicine, PET, and preclinical animal imaging

Functional ExpertiseRoberto G. Aranibar

2

Functional Expertise

• 9 years of experience with medical technologies, including

technical and clinical support of medical device sales and

graduate studies in biomedical engineering

• Particular expertise in:

− Ophthalmological applications of optical coherence tomography

− Implantable cardiac rhythm & disease management devices

Education

• MSE, Electrical Engineering, University of Texas at Austin, 2006

• BS, Engineering Science, Trinity University, 2004

Roberto G. Aranibar

Sr. Industry Analyst,

Medical Imaging

Frost & Sullivan

North America

San Antonio, TX

Occasion for Briefing

• Global perspective is becoming more

critical to success and continued growth in technology-driven markets

− Market participants can no longer

rely solely on revenue streams from former ‘cash cow’ markets

• Briefing based on research for 2013 Global Medical Imaging Equipment

3

− Puts pieces of the puzzle together, providing a ‘big picture’ analysis that facilitates strategic business decisions

• Objectives of this briefing:

− Present key findings and conclusions gathered through research

− Inform industry stakeholders of important trends and transitions that are

currently underway in the global medical imaging equipment market

Frost & Sullivan leverages a global network of 1,800+ analysts across

40+ offices on six continents, providing broad and global perspectives

in its market coverage.

Global Medical Imaging Equipment Market Outlook study

− Collaborative, multi-regional effort

Source: Frost & Sullivan analysis.

I. Market Splits

II. Market Trends

III. Market Outlook

Focus Points / Agenda

Global Market Perspective

Geographic regions accounting for the largest proportions of global medical imaging equipment market revenue in 2012 were North America, Europe, and Japan.

North AmericaAustralia

3%

Rest of Asia6%

Global Medical Imaging Equipment Market*: Revenue by Geographic Region, World, 2012

Total Revenue = $24.1 Billion

5

North America25%

Latin America7%

Europe19%

Middle East & Africa3%

Russia5%

India3%

China12%

Japan17%

3%

*excludes services, contrast agents, and pre-owned equipment.Note: All figures are rounded. Source: Frost & Sullivan analysis.

Emerging Markets

Global Medical Imaging Equipment Market*: Developed vs. Emerging

Market Revenue, World, 2012

Emerging Markets are very Significant!

Regional segments were classified as developed or emerging markets. Emerging market regions represented more than one-third of the global medical imaging equipment market in 2012.

Classification Region

Developed Markets

North America

Europe

Japan

Australia

6

Developed Markets

64%

Markets36%

Australia

Emerging Markets

Latin America (LATAM)

Middle East & Africa (ME&A)

Russia

India

China

Rest of Asia

*excludes services, contrast agents, and pre-owned equipment.Note: All figures are rounded. Source: Frost & Sullivan analysis.

Advanced Modalities

Total Medical Imaging Equipment Market*: Basic vs. Advanced

Modality Revenue, World, 2012

Classification Technology

Basic Modalities

General X-ray

Mammographic X-ray

Ultrasound

Basic vs. Advanced Market Size is Nearly Equal

Diagnostic imaging technologies were classified as basic or advanced modalities. Total revenue generated in basic versus advanced modality sectors was nearly equal in 2012.

7

Basic Modalities

51%

Modalities49%

Advanced Modalities

Computed Tomography (CT)

Magnetic Resonance (MR)

Molecular Imaging*

Unclassified Interventional X-ray

*Nuclear Medicine and Positron Emission Tomography (PET)

*excludes interventional X-ray, services, contrast agents, and pre-owned equipment.Note: All figures are rounded. Source: Frost & Sullivan analysis.

I. Market Splits

II. Market Trends

III. Market Outlook

Focus Points / Agenda

Opportunities and Challenges—Which Outweigh Which?

Developed Markets Emerging Markets

Op

po

rtu

nit

ies

• Formation of Accountable Care Organizations (ACOs) in US

• Remaining penetration potential in central and eastern European countries with relatively healthy economies

• Replacement market potential

• Growing importance of patient experience

• Substantial public and private investments in healthcare infrastructure development and modernization

• Expanding middle-class and growing # of insured patients and MDs per inhabitant

• Increasing disease incidence/prevalence

• Key destinations for medical tourism

9

Source: Frost & Sullivan analysis.

• Ongoing economic challenges and limited provider budgets

• New excise tax and other drastic changes in US healthcare policy

• Reduced imaging procedure reimbursement levels for providers

• Increasingly stringent regulations/oversight on use of advanced imaging equipment

Ch

all

en

ge

s

• Competition from local and pre-owned medical imaging equipment vendors

• Shortages of radiologists, physicians, radiological technicians, and medical professionals

• Substantial populations of uninsured patients

Trending Clinical Areas—Emergency Use is a Focal Point

Breast Imaging

Growing awareness of shortcomings of mammography spurring

development of newer breast imaging technologies (e.g., breast

tomosynthesis, ABUS, MBI) and driving breast imaging procedure

volumes within some modalities (e.g., ultrasound and MR)

Chest CTCT use for chest pain assessment in EDs, for cardiac angiography,

and for lung cancer screening

Point-of-care Increasing adoption of hand-carried ultrasound by non-traditional

10

Source: Frost & Sullivan analysis.

Point-of-care

Ultrasound

Increasing adoption of hand-carried ultrasound by non-traditional

clinical segments (e.g., anesthesia, critical care, pain management)

Emergency

Medicine

Hospital and FS EDs and urgent care centers showing growing

interest in ownership of X-ray, ultrasound, and CT equipment

Robotic-assisted

surgical ultrasound

Robotically-controlled intraoperative transducers being used during

laparoscopic surgeries (e.g., RAPN).

Neuro-molecular

Imaging

Introductions of novel radiotracers designed to aid in early diagnosis

of neurodegenerative conditions (e.g., Parkinson’s disease)

Tier 2/3

Others11%

Global Medical Imaging Equipment Market*: Revenue by Competitor

Type, World, 2012Market Leaders

GE Healthcare

Philips Healthcare

Siemens Healthcare

Tier 2−3 Competitors

Fujifilm Medical Systems

Hitachi Medical Systems

Competitive Dynamics

The ‘Big 3’ – GE Healthcare, Philips Healthcare, and Siemens Healthcare – generated more than three-quarters of global medical imaging equipment market revenue in 2012.

11

Market Leaders

78%

Tier 2/3 Compet-

itors11%

Tier 2−3 Competitors Hitachi Medical Systems

Toshiba Medical Systems

*excludes services, contrast agents, and pre-owned equipment.Note: All figures are rounded. Source: Frost & Sullivan analysis.

I. Market Splits

II. Market Trends

III. Market Outlook

Focus Points / Agenda

Frost & Sullivan expects global medical imaging equipment market revenue to grow at a CAGR of 4.4 percent from 2012 to 2017, reaching $29.9 billion in 2017 .

Global Market to Reach Nearly $30 Billion by 2017

25,000

30,000

Global Medical Imaging Equipment Market*: Revenue Forecast , World, 2012−2017

Total Market CAGR = 4.4%

$24.1 B

$29.9 B

13

0

5,000

10,000

15,000

20,000

25,000

2012 2017

Re

ve

nu

e (

$ M

illi

on

)

Year

$24.1 B

*excludes services, contrast agents, and pre-owned equipment.Note: All figures are rounded. Source: Frost & Sullivan analysis.

Growth to be Driven Largely by Emerging Markets

Latin AmericaRussia

India

China

12.0

CA

GR

Global Medical Imaging Equipment Market*: Revenue Outlook by Geographic Region, World, 2012−2017

Lower Revenue, Higher Growth Higher Revenue, Higher Growth

14

*excludes services, contrast agents, and pre-owned equipment.Note: All figures are rounded. Source: Frost & Sullivan analysis.

North America

Europe

Middle East & Africa

Japan

Australia

Rest of Asia

0.0

0.0 7,000.0

Re

ve

nu

e C

AG

R

Revenue

Lower Revenue, Lower Growth Higher Revenue, Lower Growth

Frost & Sullivan expects the proportion of global medical imaging equipment market revenue contributed by emerging markets to increase considerably from 2012 to 2017.

Emerging Markets to become Increasingly Significant

80%

90%

100%

Global Medical Imaging Equipment Market*: Percent Developed vs. Emerging Market Revenue, World, 2012−2017

15

0%

10%

20%

30%

40%

50%

60%

70%

2012 2017

% R

eve

nu

e

Year

Developed Markets

Emerging Markets

*excludes services, contrast agents, and pre-owned equipment.Note: All figures are rounded. Source: Frost & Sullivan analysis.

Basic vs Advanced Markets Trend Inversely in DM vs EMs

50

% A

dva

nc

ed

Mo

da

lity

Re

ve

nu

e

Global Medical Imaging Equipment Market*: Percent Advanced Modality Revenue in Developed and Emerging Market Regions, World, 2012−2017

The proportion of global market revenue represented by advanced modalities will increase in emerging markets from 2012 to 2017 but decrease in developed markets during the same period.

16

47

2012 2017

% A

dva

nc

ed

Mo

da

lity

Re

ve

nu

e

Year

Developed Markets

Emerging Markets

Global Market

*excludes services, contrast agents, and pre-owned equipment.Note: All figures are rounded. Source: Frost & Sullivan analysis.

Conclusions

Frost & Sullivan expects the proportion of medical imaging

1

Frost & Sullivan expects the proportion of global market revenue generated in emerging markets, including Latin America, Russia,

India, China, and the Middle East & Africa, to grow considerably

from 2012 to 2017.

17

+“Revenue sustainability will continue to increasingly become a

function of portfolio mix and geographic targeting”

Source: Frost & Sullivan analysis.

2

Frost & Sullivan expects the proportion of medical imaging equipment market revenue represented by advanced modalities

to increase in emerging markets from 2012 to 2017 while

decreasing in developed markets during the same period.

=

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For Additional Information

Britni Myers

Corporate Communications

Healthcare

[email protected]

Roberto G. Aranibar

Sr. Industry Analyst

Healthcare—Medical Imaging

[email protected]

21

Daniel Ruppar

Research Manager

Healthcare

[email protected]

Joe Stoken

Sales Manager

Healthcare

[email protected]