The Integrated Healthcare Company

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1 Sector Advancing Patient Care Who can I trust to help me provide healthcare at its best? Jim Reid-Anderson CEO Healthcare Sector AG Media Summit 2008 London, Page 1 The Integrated Healthcare Company Global Leader in Imaging Global Leader in Healthcare IT Global Leader in Laboratory Diagnostics Page 2 1

2 Agenda Global Healthcare Challenges Strategic Approach Healthcare Solutions for Advancing Patient Care Questions and Answers Page Author Protection notice / Copyright notice Region / Sector / Division / Department Works Diligently on Advancing Patient Care What if we could. save the half a million women who die every year of breast cancer? save 1 out of 6 men that will develop prostate cancer? help better target the #1 cause of death worldwide Coronary Artery Disease? Page 4 2

3 Our Customers Challenges Determine Our Direction Market trends create demand for improved healthcare... Growing and aging population Cost pressure Increased demand for healthcare services Solutions to reduce overall costs Disease Orientation New applications and clinical pathways Established & emerging competition Improved processes and workflow Healthcare IT Flexible and customized IT solutions Page 5 Growing Population Increases Demand for Healthcare Strong population growth, most notably in Africa and Asia billion people World Asia Africa Europe USA Increasing demand for healthcare services Source: United Nations, World Population Prospects 2006 Page 6 3

4 Aging Population and Rising of Chronic Diseases Challenge Healthcare Systems Percentage of 80+ generation to grow globally Older adults are more likely to have multiple chronic conditions 100% 80% Percent of Population with Chronic Conditions in the USA One or more chronic conditions Two or more chronic conditions 67% 87% 67% Example USA: People with chronic conditions account for 83% of all U.S. healthcare spending 60% 40% 20% 25% 5% 40% 15% 40% Sources: United Nations, World Population Prospects 2006, Partnership for Solutions 2004, Chronic Conditions: Making the case for ongoing care 0% Ages 0-19 Ages Ages Ages 65+ Page 7 Rate of Global Healthcare Expenditures is Growing Rapidly Global Health Care Expenditures Global Health Care ( bn.) Projected Source: World Medical Markets Fact Book 2008, SG Cowen, Kalorama, TriMark, Management Estimate Page 8 4

5 Agenda Global Healthcare Challenges Strategic Approach Healthcare Solutions for Advancing Patient Care Questions and Answers Page 9 The Strategy Is to Address Customer Challenges Directly We help our customers to provide: Formula for our Solutions high-quality and patientcentered care along the entire healthcare continuum with superb innovations best processes and proven outcomes Quality Cost of healthcare delivery Prevention and early Detection Diagnosis Therapy Care Page 10 5

6 We Focus & Deliver on Customer Excellence Our business strategy of customer excellence, with five strategic imperatives CUSTOMER EXCELLENCE 1. Customer Relations 2. Customerfocused Innovation 3. Operational Excellence 4. Financial Excellence 5. Highperformance Culture Knowing, understanding & winning customers Innovating for fast growth and competitiveness Achieving best cost position Driving profitable growth and cash returns Living our values as a high-performance culture Quality in Everything We Do THE INTEGRATED HEALTHCARE COMPANY Page 11 Agenda Global Healthcare Challenges Strategic Approach Healthcare Solutions for Advancing Patient Care Questions and Answers Page 12 6

7 Imaging & IT Division Imaging & IT In-Vivo (in the body) diagnostics: generates insight into the living human body by means of X-ray, magnetic resonance, ultrasound waves, and contrast agents for selected applications Healthcare IT solutions help diagnose and manage patient data, and efficiently run entire healthcare institutions 7.1bn in sales 27,000 employees #1 and 2 positions in both imaging and healthcare IT 760m R&D spend ~ 11% of sales Technology Fields Computed Tomography Magnetic Resonance Molecular Imaging Radiography/Angiography Ultrasound Healthcare IT Page 13 Computed Tomography: SOMATOM Definition allows you to scan any heart at any heart rate without the need of beta-blockers at the lowest radiation dose ever achieved in CT allows direct visualization of vessels in the brain for the first time One-Stop Diagnosis in Acute Care Courtesy of University Hospital of Munich Grosshadern/Munich, Germany Page 14 7

8 Magnetic Resonance: MAGNETOM ESSENZA The most affordable*, all-new 1.5T MRI, with broad application spectrum Helps customer achieve break-even quicker Enhances comfort for claustrophobic patients with ultra-short (145 cm) bore Features Tim Technology that allows for immediate scanning of larger body regions Oncology Cardiac Breast Neuro Angio Ortho Body *Results may vary. Data on file. Page 15 Interventional Radiography: Artis zeego First multi-axis system with robotic assisted positioning: better patient access, sophisticated 3D imaging from head to toe, compactly parked in clinical work space Clear treatment advantages with obese patients, patients with liver cancer or when performing complex interventions in the angio suite Today s Soft Large tissue Volume coverage DynaCT Conventional (47 DynaCT cm FoV) (27 cm FoV) Page 16 Copyright AG AG All All rights reserved. 8

9 Ultrasound: ACUSON S2000 TM Volumetric acquisition, data rendering, and advanced post-processing enables more photo-realistic visualization of a volume compared to the competitive systems Enhances fetal-parental bonding Allows better diagnosis of irregular fetal development Page 17 Ultrasound: ACUSON S2000 TM Volumetric acquisition, data rendering, and advanced post-processing enables more photo-realistic visualization of a volume compared to the competitive systems Enhances fetal-parental bonding Allows better diagnosis of irregular fetal development Page 18 9

10 Ultrasound: ACUSON S2000 TM Volumetric acquisition, data rendering, and advanced post-processing enables more photo-realistic visualization of a volume compared to the competitive systems Enhances fetal-parental bonding Allows better diagnosis of irregular fetal development Page 19 Healthcare IT: Seamless Information Access and Flow Are Key to Enable Healthcare Efficiency Patient process in healthcare institutions admit consult order plan perform process report distribute consult discharge bill administrative cycles diagnostic and therapeutic cycles administrative cycles Soarian integrated IT syngo Soarian The next-generation Healthcare IT syngo The most common imaging Software Page 20 10

11 Workflow & Solutions Division Workflow & Solutions Standards of Care: Supporting healthcare professionals to define disease-specific standards of care by means of clinical workflow, leveraging the entire healthcare portfolio 1.5bn in sales Solution Fields 7,000 employees Strong clinical process focus 136m R&D spend ~ 9% of sales Customer Services Global Solutions Audiology Solutions Oncology Cardiology Neurology Page 21 Audiology Solutions: Vibe It s a brand-new style concept Unique, user friendly shape Special position in the ear Looks like a headset or accessory It's a chic addition to your personal look Page 22 11

12 Prostate Cancer: is improving the Standard of Care Current Healthcare Situation: 1 in 6 men will develop prostate cancer A man dies of prostate cancer every 18 minutes Mortality rate decreases, incidence increases Traditional screening, diagnosis, and treatment are suboptimal solution: Improving specificity of current PSA tests by using a multimarker panel for prostate cancer: Ultrasound Screening tpsa fpsa cpsa Testosterone Her-2/new in combination with Ultrasound screening and REMIND clinical decision support software. *results may vary, data on file Page 23 Outcome: up to 50% reduction of false-positive results is possible, thus saving unnecessary biopsies* Cost saving potential up to $5 bn in the US alone based on optimized clinical workflow Improving Healthcare Institutions bottom line with Electronic Patient Records Rhoen Clinics Largest project in 2007: Electronic Patient Records in Germany Pilot completed successfully Rollout in 46 facilities started Joining 130 different IT systems Registering ~ patients per year Access by users Benefits: Seamless access to patient records, inside and outside of facilities Productivity gain, retention of patients Increasing the number of cases Page 24 12

13 Diagnostics Division Laboratory Diagnostics In-vitro (in the glass) diagnostics: Analysizes body fluids and tissues by means of reagents and laboratory equipment 3.3bn in sales 14,800 employees Largest clinical diagnostics company in the world 300m R&D spend ~ 9% of sales 125,000 + instruments installed Chemistry/Immunoassay Integrated Immunoassay Clinical Chemistry Specialty Immunoassay Hematology Hemostasis Microbiology Molecular Blood Gas Diabetes & Urinalysis Automation Informatics Page 25 Diagnostics: What Type of Tests Are Performed? Examples of types of tests using body fluids: - Whole blood - Blood plasm -Urine -Saliva -Serum Chemistry Immunoassay Hematology Hemostasis Microbiology Molecular Cholesterol Glucose Therapeutic drug monitoring Drugs of abuse testing Cardio-vascular Hormones Cancer Allergy Cell counting Pre- & postoperatives Deep vein thrombosis Hemophilia Aspirin resistance Bacteria - Meningitis - Straphylococcus Antibiotics - Penicillin - Streptomycin HIV Hepatitis Cancer Page 26 13

14 Diagnostics: Patient Sample Pathway Diagnosis Blood Treatment drawn from & monitoring patient Lab LIS Centrifuge Processing Instruments Analysis Customers: Hospital Labs Reference Labs Drug Court Labs Physician Offices Page 27 Diagnostics: Dimension Integrated Diagnostic Systems Consolidating multiple analyzer info into one integrated system technology for less labor, less space, quicker test results #1 brand globally in the central laboratory Immuno Chemistry Drug Cardiac Dimension Vista Intelligent Lab System Page 28 14

15 Diagnostics: Flexible, Customized Automation Solutions Automating pre- and post-analytical processes Connecting multiple instruments together to improve workflow Reducing human errors Pre-analytical Decapping Centrifuge Sample sorting Sample splitting Transport to analyzers ADVIA Labcell Automation Solution Post analytical Technical validation Re-capping Sample sorting Sample storage Page 29 Diagnostics: Broadest Test Menu in the Industry Providing comprehensive solutions for customers Allergy Anemia/iron metabolism Autoimmune/rheumatoid Bone metabolism Cancer Cardiovascular Coagulation disorders Diabetes Drugs of abuse/toxicology Growth Hepatic diseases Page 30 By disease state: Nervous Muscular Respiratory Circulatory Digestive Excretory Skeletal Immunosuppressive & therapeutic drug monitoring Infectious disease Inflammation Liver fibrosis Metabolic Nephropathies Nutritional assessment Pancreatic disease Reproductive endocrinology Thyroid function 15

16 Diagnostics: U.S. Customer Satisfaction at the Top of the Industry Diagnostics ranks #1 in overall service performance Industry Average = 5.12 Competitor E 4.93 Competitor D 4.93 Competitor C 5.07 Competitor B 5.10 Competitor A 5.15 Diagnostics 5.31 Source: Service Trak 2008 Page 31 Very -0,5Poor Industry 0Average Excellent 0,5 Scale: 1=Very Poor 2=Poor 3=Fair 4=Good 5=Very Good 6=Excellent Efficient Solutions: Leveraging Our Complete Portfolio In-vivo In-vitro Page 32 16

17 One Solution For a New Model of Healthcare Services Hospital da Luz, Lisbon, Portugal Complete Medical IT Medical Imaging Intensive Care Lighting from OSRAM Building infrastructure / HVDC Electrical installation IT and communication infrastructure Service >> seamless integration of information flow >> seamless integration of building automation and Hospital Information System Page 33 Invests at the Top of the Industry to Drive Innovation Leadership R&D investment Over 1 billion spent annually % of revenue invested in R&D 9%-11% 3%-9% Healthcare Industry average Innovating for fast growth and competitiveness Source: internal Assessment Page 34 17

18 We Hold #1 Positions in Each of Our Markets and Will Strategically Leverage Our Position Workflow-oriented IT Prevention and Early Detection In-vitro Diagnostics (IVD) Diagnosis In-vivo Diagnostics (Imaging) Therapy Care Diagnostics Imaging & IT Workflow & Solutions IVD Ultrasound Health- Care IT Comput. Tomogr. Magnetic Reson. Angio & X-ray Molecul. Imaging Women s Health Audio Oncol. Urology Surgery #1 #2 #3 Roche Abbott McK Cerner GE Tosh. GE Philips Philips GE GE Philips GE Philips Hologic GE Dornier Storz Demant Phonak Varian Elekta Philips GE #1 #1 #1 Page 35 provides Answers for Life! The Integrated Healthcare Company Advancing Patient Care A Comprehensive Portfolio Leveraging all of Enabling healthcare professionals to provide earlier, patient-friendly, more efficient and acurate diagnosis for treating and monitoring patients. for efficient healthcare delivery, bringing imaging, laboratory diagnostics and healthcare IT together, to support high quality, cost-efficient patient care building efficient turnkey solutions with the patient in mind Page 36 18

19 Provides Answers for Life! Page 37 19