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Protect, Enhance and Save Lives Corporate Presentation December 2016 IBA 1 Contact: Jean-Marc Bothy (CSO) IBA Group [email protected]

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Page 1: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Corporate Presentation

December 2016

IBA

1

Contact: Jean-Marc Bothy (CSO)

IBA Group

[email protected]

Page 2: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Disclaimer

2

This presentation may contain forward-looking statementsconcerning industry outlook, including growth drivers; thecompany’s future orders, revenues, backlog, or earnings growth;future financial results; market acceptance of or transition to newproducts or technology and any statements using the terms“could,” “believe,” “outlook,” or similar statements are forward-looking statements that involve risks and uncertainties that couldcause the company’s actual results to differ materially from thoseanticipated.

The company assumes no obligation to update or revise theforward-looking statements in this release because of newinformation, future events, or otherwise.

Page 3: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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IBA today

IBA is a worldwide technology leader in the field of proton therapy Most advanced form of cancer treatment with radiation therapy today

Complete offering (Proteus®PLUS and Proteus®ONE)

Global leader in dosimetry and particle accelerators

Three activities with significant market share

3Other acceleratorsProton Therapy Dosimetry

68%

15%

17%

- Proton therapy - Dosimetry - Other Accelerators

Page 4: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Key financials on a full year basis

2015 sales: EUR 270 million (+ 22.6%)

REBIT margin 2015 : 10.9%

Backlog of EUR 332.0 million end 2015

Reaching EUR 362.6 million end of Q3 2016

4

REBIT / Sales and services trends

Equipment backlog

Page 5: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Proton Therapy

Page 6: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Why Proton Therapy ? (The dose deposition)

Courtesy of Prof Lagendijk

The Therapeutic Index

• Tumor Control Probability (TCP)

• Normal Tissue Complication Probability (NTCP)

Define the maximal dose deliverable as a function of acceptable tolerance

Courtesy of El Naqa et al 2006a Int. J. Radiat. Oncol. Biol. Phys. 64 1275–86

Page 7: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Th

e B

est in

Pro

ton T

hera

py, T

oda

y a

nd

To

mo

rrow

Proton Therapy advantages (Beam properties Clinical benefits)

7

0

10

20

30

40

50

60

70

80

90

100

Current standard (IMRT

photons)

Protons

Pro

bab

ility

(%

)

Complications Local tumour control

Improvement

of local tumor

control

Prevention of

complications

Photons Protons

Courtesy of Prof Lagendijk

Pro

babili

ty

Improve local control

Reduce normal

tissues complications

Decrease integral

dose (secondary

cancer)

PT is the treatment of

choice for retreatment

Tumor control Toxicity

Page 8: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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0

500

1000

1500

2000

2500

3000

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62

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68

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71

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74

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81

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01

20

03

20

05

20

07

20

09

20

11

20

13

20

15

Cumulative number of PT publications

Publications

Increasing relevance of proton therapy

8

+13 in 2015 vs previous year

Data from https://clinicaltrials.gov/

Pubmed search with: Proton Therapy or Proton Radiotherapy or Proton Beam Therapy

Page 9: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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IBA’s unique proton therapy solutions

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Proteus®PLUSExcellence in proton therapy

Tailor-made IMPT solution

Proteus®ONEProton therapy made easy

Compact single-room IMPT solution

Proteus®ONE and Proteus®PLUS are the brand names of the Proteus® 235

1800 m²360 m²

Page 10: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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• 20 systems treating patients

• 23 systems in construction

and installation

= 43 systems

• 60 rooms treating patients

• 51 rooms in construction

and installation

= 111 rooms

Systems :

Rooms :

Market shares in rooms by geography

Page 11: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Leading the installed base - market shares in rooms

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IBA

47%Varian

21%

ProNova

1%

AVO

0%

Hitachi

15%

SHI

5%

MELCO

5%

Mevion

4%

ProTom

2%

Total: 235 rooms

Page 12: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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12Oct. 2015 data from a leading center in the US

Growing interest in proton therapy clinical advantages

Page 13: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Continuous growth of PT market

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Region YE 2015 number of

sold rooms

YE 2015 number of

rooms in operation

Treatment room

potential

North America 102 74 339

South America 2 0 198

Europe incl. Russia 75 43 658

Asia 78 51 1,307

World 257 168 2,502

Source : IBA internal modeling based on Model Based Approach developed in The Netherlands

Including commercial and non commercial PT centers

Page 14: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Strategy

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Grow market from 1% to 20% or more

Increase clinical relevance

Trials/ publicati

onsAdaptive

Software Imaging

Reduce cost of modality

Equipment/set up

DesignProduction

set upBuilding

Operational costs

MaintenanceEnergy

consumptionStaffing

Hypofractionation

Page 15: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Strategy

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Maintain or improve market share

Go to market

Partnerships Regionalization

Leverage on other IBA expertises

Dosimetry Other Accelerators

Page 16: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Initiatives to grow the proton therapy niche from 1% to 20% or more

Make clinical relevance more visible Focus groups

White papers

Partnerships in hardware and software: Philips, Toshiba and many others

Reduce cost of ownership/treatment : Equipment (investment & OEM with HIL Applied

Medical)

Construction (partnership with Pravida)

Operation / high uptime (98%)

Reduction of electricity consumption by 30%

Hypo-fractionation

Improve market reach through partners Philips, Toshiba

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Page 17: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Image-guided proton therapy

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CBCT Penn Medicine, USA CT-on-Rails, Trento, Italy

courtesy of Roberts Proton Therapy Center

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Protect, Enhance, and Save Lives - 18 -

Fast PBS Repainting

Gating Interface

10

Dual Spot Size

Several centers start to treat moving tumors with PBS

Motion management : today

Page 19: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Excellence in proton therapy : integration

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Xio (Elekta) : 12 centers

Eclipse (Varian) : 7 centers

RayStation (Raysearch) : 17

centers

Pinnacle*(Philips) : 4 sites

Mosaiq (Elekta) : 20 centers

Aria (Varian) : 3 centers

RayCare (Raysearch): In

development

IBA

TPS/OIS: open vendor strategy

(freedom to choose according to your need)

Treatment Planning Oncology Information System Proton Treatment delivery System

Page 20: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Being ready for a next potential move !

20

40 years

20 years

??? years?

Page 21: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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OTHER ACCELERATORSMARKET UPDATE 2015

Page 22: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Stable market with new opportunities

Turnkey radiopharmacy solutions as key competitive edge

Launch in October of the new Cyclone®KIUBE

New IBA Synthera solutions for Ga-68 growing needs

Installations of Cyclone 70 in USA and Russia for cardiology

Oncology with FDG continues to predominate

PET-FDG continues to predominate (increase

thanks to emerging markets and therapy follow up)

Emergence of other radiopharmaceuticals

Ga-68 is growing

Cardiology

Still niche for general clinical use

High interest for Strontium/Rubidium

Neurology

Growth of imaging segment dependent upon

emergence of therapy options, and absence of non-

imaging methods (e.g. blood testing) for therapy

monitoring.

PET procedure growth driven by :

Improved reimbursement

New agents

Oncology procedures in emerging market

Cyclone® 70 at Zevacor Cyclone® KIUBE

Market trends

RadioPharma Solutions

Page 23: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Sterilization of single-use medical devices :

IBA leadership on a stable market ;

Continuous consolidation in industry ;

Active initiatives to promote X-ray as alternative to gamma : Duo configuration (E-beam & X-ray) for improved value proposition ;

Feerix project, France.

Polymer Crosslinking :

Highly competitive market ;

Easy-e-Beam® v3 well received ;

Renewed interest from Chinese market for reliability & quality.

Cargo screening :

Partnering with US cargo technology pioneer ;

New Rhodotron® prototype for security and detection.Cargo screening

Market trends.

Rhodotron® Duo

Easy-e-Beam® V3

Industrial Activities

Page 24: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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DOSIMETRYUPDATE 2015

Page 25: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Portfolio

Radiation Therapy (RT) Diagnostics (Dia) Services (RT+Dia) Fiducial markers

Revenue 2015: 54M€ 35.8 8.7 6.4 3.1

Market dynamics 135M€. Conventional RT stagnating.

PT emerging. CAGR 4%.

42M€. Mature. CAGR 3%. Growing need for service +

specialized education.

Reimbursement

driven.

Key strategies Protect + expand conventional RT

with new products (myQA!), grow PT.

Be preferred vendor to OEM

Use technology in RT.

Premium services as

business- and loyalty driver.

Defend USA, grow

ROW.

Image courtesy of Elekta

IBA Dosimetry

Page 26: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Q3 Trading Updage and Guidance

Page 27: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Q3 2016 year to date trading update

PT and Other Accelerators orders Q3 YTD of EUR 206.2 million, up 39.5% Three Proteus®One* and twelve Proteus®PLUS rooms (three solutions)

Ten other accelerators

Upgrades representing EUR 16.9 million

Proton Therapy and Other Accelerators backlog EUR 362.6 million Including the previously announced contracts with Medstar (Shanghai) Leasing Co (four-room

solution) confirmed this week with a downpayment

Conservatively excludes the previously announced contracts with Qingdao Zhong Jia Lian He Healthcare Management Company Limited (five-room solution) that is a firm contract but awaiting down payment

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36%

49%

15%

Backlog breakdown

P1 P+ Other

Page 28: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Q3 2016 year to date trading update

Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

compared to EUR 149.4 million for the same period in 2015, up 27.8%

Proton Therapy and Other Accelerators service revenue up 16.9% to EUR 57.7 million, in line with expectations

Dosimetry revenue declined 12.8% to EUR 34.4 million due to strong comparator period, a slower conversion rate in 2016 on long-term orders and a difficult LINAC market in conventional radiotherapy. But the backlog remains strong at EUR 19.4 million compared with EUR 18.0 million at the end of Q3 2015

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YTD

09 2016

(EUR 000)

YTD

09 2015

(EUR 000)

Variance

(EUR 000)

Variance

%

Net Sales 225.312 188.880 36.432 19,3%

- Proton therapy 152.740 110.677 42.063 38,0%

- Other Accelerators 38.160 38.739 -579 -1,5%

- Dosimetry 34.412 39.464 -5.052 -12,8%

Page 29: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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Top line guidance : “about 20%” top line growth in 2016

Double-digit for foreseeable future

REBIT guidance confirmed About 10% in 2016

13 to 15% by 2018

Dividend: target 30% dividend payout confirmed

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Guidance

Page 30: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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HY 2016 Shareholder structure

21%

5%

2%

2%

3%

67%

30/06/2016

Belgian Anchorage SCRL

Institut des Radioéléments  FUP

IBA Investment SCRL & IBA SA

UCL ASBL & SOPARTEC

SRIW & SFPI

Free float

On Nov. 8, 2016, Capfi Delen Asset Management as a Management Company of UCITS declared that their funds under management reached a

participation of 3% in IBA

Page 31: The Three Key Levers of PT strategy - IBA€¦ · Q3 2016 year to date trading update Group revenue up 19.3% PT and other accelerators Q3 year to date revenues totaled EUR 190.9 million

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THANK YOU

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Jean-Marc Bothy (CSO)

IBA Group

[email protected]