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Philips Medical Systems Progress Report

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<strong>Philips</strong> <strong>Medical</strong> <strong>Systems</strong><br />

<strong>Progress</strong> <strong>Report</strong><br />

Jouko Karvinen<br />

<strong>Philips</strong> <strong>Medical</strong> System<br />

Analyst Meeting, Amsterdam June 9 th 2004


<strong>Philips</strong> <strong>Medical</strong><br />

<strong>Progress</strong> <strong>Report</strong><br />

• Seven consecutive<br />

quarters of improvement<br />

• Building the future – Innovation<br />

• Building the future – Customers<br />

• Where do we go from here<br />

<strong>Medical</strong> <strong>Systems</strong> 2


The path (EBITA)<br />

15%<br />

14%<br />

13%<br />

12%<br />

11%<br />

10%<br />

9%<br />

8%<br />

Q42001<br />

3.5 margin points up in seven quarters<br />

1.7 points to go in 3 quarters<br />

Q1 2002<br />

Q2 2002<br />

Q3 2002<br />

Q4 2002<br />

Q1 2003<br />

Q2 2003<br />

Q3 2003<br />

Q4 2003<br />

Q1 2004<br />

Q2 2004<br />

Q3 2004<br />

Q4 2004<br />

<strong>Medical</strong> <strong>Systems</strong> 3


<strong>Progress</strong> <strong>Report</strong><br />

Year-on-Year<br />

Improvement<br />

Comparable<br />

Growth<br />

EBIT<br />

EBIT margin<br />

Improvement<br />

excl. special and one time items 02/03<br />

2002 to 2003<br />

Achievements<br />

+ 7 %<br />

+19 %<br />

+ 2 pts<br />

Q1 03 to Q1 04<br />

Achievements<br />

+ 4 %<br />

+32 %<br />

+ 2 pts<br />

<strong>Medical</strong> <strong>Systems</strong> 4


Supply Chain Improvements<br />

100%<br />

90%<br />

80%<br />

70%<br />

60%<br />

50%<br />

40%<br />

30%<br />

20%<br />

10%<br />

0%<br />

Equipment Direct Deliveries<br />

as % Sales (world)<br />

26%<br />

32%<br />

59%<br />

80%<br />

2002 2003 FC2004 TARGET<br />

Equipment warehouses in<br />

North America<br />

<strong>Medical</strong> <strong>Systems</strong> 5<br />

30<br />

25<br />

20<br />

15<br />

10<br />

5<br />

0<br />

21<br />

5<br />

2003 FC2004 TARGET<br />

1


Net Capital turnover goes up<br />

6<br />

5<br />

4<br />

3<br />

2<br />

1<br />

0<br />

2,9<br />

Net Capital Turnover<br />

3,7<br />

<strong>Medical</strong> <strong>Systems</strong> 6<br />

3,9<br />

5,0<br />

2002 2003 FC 2004 TARGET<br />

Net Capital = Capital excluding Goodwill


30<br />

25<br />

20<br />

15<br />

10<br />

IT<br />

5<br />

0<br />

24<br />

Number of ERP systems<br />

10<br />

2002 2003 FC2004 Target<br />

9<br />

1<br />

IT spending as % Sales<br />

<strong>Medical</strong> <strong>Systems</strong> 7<br />

8%<br />

6%<br />

4%<br />

2%<br />

0%<br />

4.9%<br />

4.4%<br />

3.0%<br />

2003 FC2004 Target


300<br />

250<br />

200<br />

150<br />

100<br />

Financing<br />

50<br />

0<br />

Total Value of Financed deal in US<br />

(indexed)<br />

100<br />

143<br />

191<br />

30% average<br />

growth<br />

250<br />

2002 2003 FC 2004 Target<br />

• North America reaching industry<br />

levels<br />

– in combination with the<br />

“Diamond Select” trade-in<br />

program<br />

• Europe Finance ventures<br />

agreement signed in May with<br />

Société Générale<br />

– Starting in 6 countries<br />

France, Germany, Italy,<br />

UK, Netherlands, Spain<br />

– EUR 8 mln in deals signed /<br />

funded<br />

• Asia to come next<br />

<strong>Medical</strong> <strong>Systems</strong> 8


Building Integrated Supply Base<br />

160<br />

140<br />

120<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

No. of Suppliers (80 % of spend)<br />

2003 FC2004 TARGET<br />

Supplier Managed Inventory (%)<br />

<strong>Medical</strong> <strong>Systems</strong> 9<br />

80<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

2003 FC2004 TARGET


We drive to gain market share<br />

World by Region<br />

Product<br />

Line<br />

Americas<br />

Europe,<br />

ME &<br />

Africa<br />

Asia Pacific<br />

Total<br />

2003<br />

Trend<br />

6 months<br />

Trend<br />

Sources – NEMA, various European studies and estimates<br />

Global Product Lines<br />

Product<br />

Line<br />

X-ray<br />

CT<br />

MR<br />

NM<br />

US<br />

MIT<br />

Monitoring<br />

Total<br />

2003<br />

Trend<br />

Last 6 months show positive trend<br />

6 months<br />

Trend<br />

<strong>Medical</strong> <strong>Systems</strong> 10


<strong>Philips</strong> <strong>Medical</strong><br />

<strong>Progress</strong> <strong>Report</strong><br />

• Seven consecutive<br />

quarters of improvement<br />

• Building the future – Innovation<br />

• Building the future – Customers<br />

• Where do we go from here<br />

<strong>Medical</strong> <strong>Systems</strong> 11


X-ray – FD20 with large detector<br />

<strong>Medical</strong> <strong>Systems</strong> 12


Cardiovascular X-ray with 250 x finer<br />

details<br />

5 years ago.. Now<br />

<strong>Medical</strong> <strong>Systems</strong> 1322


MR – Achieva 3T<br />

<strong>Medical</strong> <strong>Systems</strong> 14


MR with15 x more specifity and scan<br />

speed<br />

5 years ago.. Now<br />

<strong>Medical</strong> <strong>Systems</strong> 15


CT – Brillance with up to 40 slices<br />

<strong>Medical</strong> <strong>Systems</strong> 16


CT Competitive Race<br />

from Follower to an Industry Leader<br />

40<br />

35<br />

30<br />

25<br />

20<br />

15<br />

10<br />

5<br />

0<br />

CT /No. of Slices/ Launch Year with FDA approval and clinical data<br />

1998 1999 2000 2001 2002 2003 2004<br />

Competition<br />

<strong>Philips</strong> <strong>Medical</strong><br />

Focus now moving to<br />

- clinical benefits<br />

- upgradability<br />

- computer aided<br />

diagnostic tools<br />

<strong>Medical</strong> <strong>Systems</strong> 17


CT with 35 x scan speed, 3X specificity<br />

5 years ago.. Now 3D<br />

<strong>Medical</strong> <strong>Systems</strong> 18


Ultrasound – iU22 with voice control<br />

<strong>Medical</strong> <strong>Systems</strong> 19


Cardiac Ultrasound with 5 x<br />

Improvement in Signal to Noise and<br />

Scan Time<br />

2 years ago.. Now – Live 3D<br />

<strong>Medical</strong> <strong>Systems</strong> 20


Nuclear Medicine PET-CT with 16-slice CT<br />

<strong>Medical</strong> <strong>Systems</strong> 21


<strong>Progress</strong> in Molecular Imaging<br />

From agent discovery ..<br />

to expedite Clinical<br />

Molecular Imaging<br />

…and Animal<br />

Imaging …<br />

... and experimental<br />

Hybrid Imaging …<br />

<strong>Medical</strong> <strong>Systems</strong> 22


Launching a new Molecular Imaging<br />

platform…<br />

• First open PET-CT<br />

• Launching an unique<br />

SPECT-CT<br />

<strong>Medical</strong> <strong>Systems</strong> 23


…To develop new Molecular Imaging agents<br />

with Top Academia and highly innovative start-ups<br />

Stanford<br />

Washington University<br />

Johns Hopkins<br />

NIH/NCI<br />

U of Washington<br />

Sloan Kettering<br />

CV / Oncology / Neuro<br />

CV / Oncology<br />

Oncology / CV / Neuro<br />

Oncology / CV<br />

Oncology / CV<br />

Oncology<br />

MD Anderson Oncology<br />

University of Bordeaux Gene Therapy<br />

Kereos<br />

Theseus<br />

Cytogen<br />

CV / Oncology<br />

Oncology / CV<br />

Image Optimization<br />

<strong>Medical</strong> <strong>Systems</strong> 24


PMS – Renewing Product Portfolio<br />

Total R&D investment, indexed. 2002 = 100<br />

120<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

2002 2003 2004<br />

Support<br />

Life Cycle<br />

Management<br />

Evolutionary<br />

New Platform<br />

Breakthrough<br />

<strong>Medical</strong> <strong>Systems</strong> 25


PMS – Renewing Product Portfolio<br />

% Revenues based on products < 2 yrs old<br />

40%<br />

45%<br />

63%<br />

<strong>Medical</strong> <strong>Systems</strong> 26<br />

72%<br />

2002 2003 2004 FC Target<br />

From 2002 to 2005<br />

major portfolio<br />

renewal in<br />

Ultrasound, CMS,<br />

CV and GXR.<br />

New product is defined as a product based on a new hardware platform or a product with a<br />

significant increased in functionality, or cost-per-function improvement


More to come …<br />

BiometriX<br />

FD plates<br />

FIMI<br />

Displays<br />

Collimators<br />

Flat<br />

Detectors<br />

Common<br />

HW<br />

Components<br />

LRS<br />

Table Tops<br />

Image Intensifier<br />

/ TV<br />

Generators<br />

Digital Image<br />

Handling<br />

Software<br />

<strong>Medical</strong> <strong>Systems</strong> 27


Improving Customer Support<br />

Bringing Customer Satisfaction<br />

to the next level:<br />

• Increase system uptime<br />

• Reduce service delivery costs<br />

• Platform for future<br />

value-added services<br />

100%<br />

<strong>Medical</strong> <strong>Systems</strong> 28<br />

80%<br />

60%<br />

40%<br />

20%<br />

Roll out of<br />

Remote Services Network<br />

0%<br />

Today FC 2005 Target<br />

% of eligible systems<br />

connected


<strong>Philips</strong> <strong>Medical</strong><br />

<strong>Progress</strong> <strong>Report</strong><br />

• Seven consecutive<br />

quarters of improvement<br />

• Building the future - Innovation<br />

• Building the future – Customers<br />

• Where do we go from here<br />

<strong>Medical</strong> <strong>Systems</strong> 29


North American Market is Segmented<br />

by Size, Profitability, and Market<br />

Influence<br />

Hospitals greater<br />

than 125 beds and<br />

associated Imaging<br />

Centers<br />

Hospitals less than<br />

than 125 beds and<br />

unassociated Imaging<br />

Centers<br />

Strategic Business<br />

Full-line Account Management<br />

Ledford Distribution Channel<br />

Academic <strong>Medical</strong> Centers apx. 75 accounts<br />

• Teaching Hospitals, Research Opportunities<br />

• Reference sites - Early Adopters<br />

Large IDN’S Commercial Customer apx. 350 accounts<br />

• Non Teaching - Integrated Administration<br />

• Early Adopters - Cash Cows of the Industry<br />

Zone and Regional Influence Accounts apx. 50 accounts<br />

• Large Regional Influencers - 1-3 Hospitals<br />

• Early Adopters<br />

New Construction Customers apx. 7B annual<br />

market<br />

• Specialty facilities or replacement,- Willing to work with a single vendor<br />

The Strategic Business segment represents a significant opportunity for <strong>Philips</strong> N.A. to grow<br />

and establish critical relationships in this stable and profitable segment.<br />

<strong>Medical</strong> <strong>Systems</strong> 30


70% of the US top hospitals have<br />

<strong>Philips</strong> in Cardiology<br />

Source: US News and World <strong>Report</strong><br />

<strong>Medical</strong> <strong>Systems</strong> 31


<strong>Philips</strong> <strong>Medical</strong><br />

<strong>Progress</strong> <strong>Report</strong><br />

• Seven consecutive<br />

quarters of improvement<br />

• Building the future – Innovation<br />

• Building the future – Customers<br />

• Where do we go from here<br />

<strong>Medical</strong> <strong>Systems</strong> 32


Our Mission<br />

To help improve people’s lives<br />

by healthcare technology<br />

<strong>Medical</strong> <strong>Systems</strong> 33


Our Vision:<br />

“Healthcare without Boundaries”<br />

Remove barriers to the best care<br />

Not having to:<br />

• see the doctor to be seen<br />

• wait for an ambulance to save a life<br />

• be in the hospital to see the patient<br />

• delay a decision waiting for<br />

information<br />

• wait to be sick to be healed<br />

• compromise Clinical Excellence<br />

to save costs<br />

<strong>Medical</strong> <strong>Systems</strong> 34


Focus on the Care Cycle<br />

Diagnostics<br />

Imaging<br />

Euro 80 billion market<br />

Operating room<br />

Monitoring<br />

Imaging<br />

Diagnostics<br />

Pre-Hospital/<br />

Ambulance<br />

Monitoring<br />

Euro 210 billion market<br />

Information &<br />

Decision support<br />

Treatment<br />

Follow Up<br />

Intensive<br />

Care unit<br />

Monitoring<br />

Home<br />

Monitoring<br />

Step down<br />

facility<br />

Monitoring<br />

Euro 10<br />

billion<br />

market<br />

Market size for medical devices and equipment<br />

<strong>Medical</strong> <strong>Systems</strong> 35


PMS Strategic Priorities<br />

• Secure Previous Investments<br />

• Strengthen Current Portfolio<br />

• Expand the Business<br />

EXPAND<br />

STRENGTHEN<br />

CURRENT PORTFOLIO<br />

SECURE PREVIOUS<br />

INVESTMENTS<br />

<strong>Medical</strong> <strong>Systems</strong> 36


Summary<br />

• Seven consecutive quarters of improvement<br />

– financials, innovation, customer relationships & supply chain<br />

• Will continue on this path to 14 % and beyond<br />

– significant & quantified opportunities still ahead<br />

• Next step expansion is also a path<br />

– stay focused on improving care cycle<br />

– build on existing strengths of <strong>Medical</strong> and <strong>Philips</strong><br />

– differentiate from competition<br />

Deliver on commitment, focused on growth<br />

<strong>Medical</strong> <strong>Systems</strong> 37

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