IMV 2015 X-RAY/DR/CR MARKET OUTLOOK REPORT. Table of Contents

Transcription

1 1400 EAST TOUHY AVE, SUITE 250 DES PLAINES, IL Phone: Fax: IMV 2015 X-RAY/DR/CR MARKET OUTLOOK REPORT Table of Contents I. Objectives...I-1 II. III. IV. Executive Summary...II-1 Methodology...III-1 Findings...IV-1 A. X-ray Department Priorities and Future Outlook...IV-1 B. Procedure Volume in General X-ray Radiography Sites... IV-15 C. Fixed General X-ray Radiography System Installed Base... IV-30 D. Other Locations and Departments with Fixed General X-ray Systems... IV-58 E. Fixed General X-ray Radiography Purchase Plans and Market Scenarios... IV-62 F. Installed Base and Purchase Plans for Mobile General X-ray Units... IV-81 G. Planned Use of DR Technology for Fixed or Mobile General X-ray Equipment.. IV-92 H. Capital Budgets for General X-ray Equipment... IV-94 I. General X-ray Radiography Site Operations Characteristics... IV-96

2 IMV 2015 X-RAY/DR/CR MARKET OUTLOOK REPORT Exhibits A. X-ray Department Priorities and Future Outlook...IV-1 1. Priorities to the Mission of General X-ray Departments Over the Next Year, as of 2015 Survey...IV-1 2. Priorities to the Mission of General X-ray Departments Over the Next Year, by Hospital Bed Size as of 2015 Survey...IV-2 3. General X-ray Department Priorities Over the Next Year, by IMV Study Year, 2010 to IV-3 4. Factors Affecting the Future Outlook for X-ray at your Facility Over the Next Few Years, as of 2015 Survey...IV-5 5. Factors Affecting the Future Outlook for X-ray at your Facility Over the Next Few Years, By Hospital Bed Size, as of 2015 Survey...IV-6 6. Factors Affecting the Future Outlook for X-ray at Your Facility Over the Next Few Years, by IMV Study Year, 2010 to IV General X-ray Department Outlook for Procedure Volume, Reimbursement, Revenue, and Net Income/Profits...IV-9 8. Comparison of General X-ray Department Outlook for Procedure Volume, Reimbursement, Revenue, and Net Income, by IMV Study Year, 2013 to IV General X-ray Department Outlook for Procedure Volume, by Hospital Bed Size...IV General X-ray Department Outlook for Reimbursement Levels, by Hospital Bed Size...IV General X-ray Department Outlook for Revenue, by Hospital Bed Size...IV General X-ray Department Outlook for Net Income/Profits, by Hospital Bed Size...IV Respondent Suggestions for Product Capabilities or Services to be Provided by Manufacturers...IV-12 B. Procedure Volume in General X-ray Radiography Sites...IV Distribution of General X-ray Procedures Performed in Radiology Departments, and Sites Performing, by Hospital Bed Size, IV Trend in Total X-ray Procedures Performed in Radiology Departments, by Hospital Bed Size, IV Distribution of Sites, by Annual X-ray Procedures Performed in Main Radiology Department, by Hospital Bed Size, IV Average Annual X-ray Procedures Performed per Site, by Hospital Bed Size, IV Percent Distribution of X-ray Procedures, by Procedure Type, IV Total X-ray Procedures Performed, by Procedure Type, IV Trend in Percent Distribution of X-ray Procedures, by Type, IV Percent Distribution of X-ray Procedures, by Type, by Hospital Bed Size, IV Percent of Sites Performing X-ray Procedures, by Procedure Type, IV Change in the Percentage of Sites Performing General X-ray Procedures, by Procedure Type, 2013 vs IV Number of Sites Performing X-ray Procedures and Average Annual Procedures per Site Performing, IV Trend in Average Annual X-ray Procedures per Site, by Procedure Type, IV Percent of X-ray Sites Performing Specific Procedure Types, by Hospital Bed Size, IV Average Number of Procedures Performed per Site Performing Specific X-ray Studies, by Hospital Bed Size, IV Distribution of Adult and Pediatric Procedures, IV Distribution of Adult and Pediatric Procedures, by Hospital Bed Size, IV Number of Sites Performing Adult X-ray Procedures and Average Annual Procedures per Site Performing, by Hospital Bed Size, IV Trend in Average Annual Adult X-ray Procedures, by Hospital Bed Size, IV Number of Sites Performing Pediatric X-ray Procedures and Average Annual Procedures per Site Performing, by Hospital Bed Size, IV Trend in Average Annual Pediatric X-ray Procedures, by Hospital Bed Size, IV-25

3 21. Trend in X-ray Inpatient vs. Outpatient vs. Emergency Procedure Mix, IV X-ray Inpatient vs. Outpatient vs. Emergency Procedure Mix, by Hospital Bed Size, IV Plans to Acquire Advanced Application Capabilities for Fixed General X-ray Equipment Over Next 3 Years, as of 2015 Survey...IV Plans to Acquire Tomosynthesis Capability for Fixed General X-ray Equipment Over Next 3 Years, by Hospital Bed Size, as of 2015 Survey...IV Plans to Acquire Image Stitching/Pasting Capability for X-ray Equipment Over Next 3 Years, by Hospital Bed Size, as of 2015 Survey...IV Plans to Acquire Dual-Energy Capability for X-ray Equipment Over Next 3 Years, by Hospital Bed Size, as of 2015 Survey...IV Estimates of General X-ray Radiography Procedures, by Hospital Bed Size, IV-29 C. Fixed General X-ray Radiography System Installed Base...IV Total Number of Fixed DR and CR General X-ray Systems Installed, by Hospital Bed Size, as of 2015 Survey...IV Distribution of Fixed DR & CR Sites and Systems, by Hospital Bed Size, as of 2015 Survey...IV Distribution of Sites, by Number of Fixed X-ray Systems Installed, by Hospital Bed Size, as of 2015 Survey...IV Total Number of Fixed General X-ray Systems Installed, by IMV Study Year, 2010 to IV Percent of Sites Having Fixed DR vs. CR General X-ray Systems Installed, by IMV Study Year, 2010 to IV Percent of Sites Having at Least One Fixed DR or CR X-ray System, by Hospital Bed Size, as of 2015 Survey...IV Percent of Sites Having Fixed CR Only, Fixed DR Only, or Both Types, by IMV Study Year, 2010 to IV Percent of Sites Having Fixed CR Only, Fixed DR Only, or Both Types, by Hospital Bed Size, as of 2015 Survey...IV Mix of Fixed DR and CR General X-ray Systems Installed, by Hospital Bed Size, as of 2015 Survey...IV Mix of Fixed DR and CR Systems Installed, by Year of Installation, as of 2015 Survey...IV Mix of Fixed DR and CR General X-ray Systems Installed in Hospitals, Before 2006 vs and After, as of 2015 Survey...IV Total Fixed DR and CR General X-ray Systems Installed in Hospitals, by Year of Installation, as of 2015 Survey...IV Percent of General X-ray Sites Performing and Systems Used for Pediatric, Trauma, or Tomosynthesis Exams, as of 2015 Survey...IV Percent of General X-ray Sites Performing and Systems Used for Pediatric Exams, by Hospital Bed Size, as of 2015 Survey...IV Percent of General X-ray Sites Performing and Systems Used for Trauma Exams, by Hospital Bed Size, as of 2015 Survey...IV Percent of General X-ray Sites Performing, and Systems Used for Tomosynthesis, by Hospital Bed Size, as of 2015 Survey...IV Total Fixed X-ray System Installed Base Market Share, for Systems Installed in 2006 and After, as of 2015 Survey...IV Total Fixed X-ray System Installed Base Market Share, for Systems Installed in 2006 and After, by Equipment Type, as of 2015 Survey...IV Distribution of Service Support Sources, for Fixed DR and CR Systems Installed in 2006 and After, by Hospital Bed Size, as of 2015 Survey...IV Distribution of Service Support Sources, for Fixed DR and CR Systems Installed in 2006 and After, by Year of Installation, as of 2015 Survey...IV Total Number of Fixed DR Systems Installed, by Hospital Bed Size, as of 2015 Survey...IV Distribution of Fixed DR Sites and Systems, by Hospital Bed Size, as of 2015 Survey...IV Percent of X-ray Sites Having Fixed DR Systems, by Hospital Bed Size, as of 2015 Survey...IV Distribution of Sites, by Number of Fixed DR Systems Installed, by Hospital Bed Size, as of 2015 Survey...IV Total Number of Fixed DR Systems Installed, by IMV Study Year, 2010 to IV-42

4 26. Percent of Fixed DR Systems Using CR Cassettes, by Hospital Bed Size, as of 2015 Survey...IV Percent of Fixed DR Systems Used for Long Leg or Scoliosis Exams, by Hospital Bed Size, as of 2015 Survey...IV Fixed DR Systems Installed in Hospitals, by Year of Installation, as of 2015 Survey...IV Distribution of Fixed DR Systems, by Year of Installation, by Hospital Bed Size, as of 2015 Survey...IV Fixed DR System Installed Base Market Share, for Systems Installed in 2006 and After, as of 2015 Survey...IV Fixed DR System Installed Base Market Share, for Systems Installed in 2006 and After, by Hospital Bed Size, as of 2015 Survey...IV Percent of Sites Having at Least One Fixed DR System Installed in 2006 and After, by Manufacturer, as of 2015 Survey...IV Fixed DR System Installed Base Market Share, by Installation Time Frame, for Fixed DR Systems Installed in 2006 and After, as of 2015 Survey...IV Whether Installed DR Systems were Retrofits to Existing Conventional X-ray Systems or were Acquired New, by Hospital Bed Size, as of 2015 Survey...IV Whether Installed DR Systems were Retrofits to Existing Conventional X-ray Systems or were Acquired New, by Installation Year from 2006 to 2015, as of 2015 Survey...IV Fixed DR System Installed Base Market Share, for Systems Installed in 2006 and After, by Whether Acquired as a Retrofit or New, as of 2015 Survey...IV Percent of DR Detectors that are Fixed and/or DR Cassettes, for Systems Installed in 2006 and After, by Hospital Bed Size, as of 2015 Survey...IV Percent of Fixed DR Systems Having DR Cassettes that are Wireless or Tethered, for Systems Installed in 2006 and After, by Hospital Bed Size, as of 2015 Survey...IV Fixed DR System Installed Base Market Share, by Whether Fixed Detector or DR Cassette, for Systems Installed in 2006 and After, as of 2015 Survey...IV Distribution of Service Support Sources for Fixed DR Systems, for Systems Installed in 2006 and After, by Hospital Bed Size, as of 2015 Survey...IV Service Support: Fixed DR System Installed Base Market Share, for Systems Installed in 2006 and After, by Service Support Source, as of 2015 Survey...IV Distribution of Fixed CR-Only General X-ray Systems Installed, by Hospital Bed Size, as of 2015 Survey...IV Distribution of Fixed CR-Only General X-ray Sites and Systems, by Hospital Bed Size, as of 2015 Survey...IV Percent of X-ray Sites Having Fixed DR Systems Only vs. Having at Least One CR X-ray System, by Hospital Bed Size, as of 2015 Survey...IV Percent of Sites Having Fixed General X-ray Systems with CR Cassettes, by Hospital Bed Size, as of 2015 Survey...IV Total Number of Fixed CR-Only General X-ray Systems Installed, by IMV Study Year, 2010 to IV Fixed CR System Installed Base in Hospitals, by Year of Installation, as of 2015 Survey...IV Distribution of Fixed CR Systems, by Year of Installation, by Hospital Bed Size, as of 2015 Survey...IV Percent Distribution of Fixed CR X-ray System Installed Base, for Systems Installed in 2006 and After, by Manufacturer, as of 2015 Survey...IV Fixed CR X-ray System Installed Base Share, for Systems Installed in 2006 and After, by Hospital Bed Size, as of 2015 Survey...IV Sites Having at Least One Fixed CR X-ray System, for Systems Installed in 2006 and After, by Manufacturer, as of 2015 Survey...IV Percent of Fixed CR Systems Being Planned for Retrofit to DR in the Next Three Years, for Systems Installed in 2006 or After, as of 2015 Survey...IV Percent of Fixed CR Systems Being Planned for Retrofit to DR in the Next Three Years, for Systems Installed in 2006 or After, by Hospital Bed Size, as of 2015 Survey...IV Distribution of Service Support Sources for Fixed CR X-ray Systems, for Systems Installed in 2006 and After, by Hospital Bed Size, as of 2015 Survey...IV-57

5 55. Service Support: Fixed CR X-ray System Installed Base Market Share, for Systems Installed in 2006 and After, by Service Support Source, as of 2015 Survey...IV-57 D. Other Locations and Departments with Fixed General X-ray Systems...IV Whether Radiology Owns/Manages Fixed General X-ray Imaging Systems in Other Locations/ Departments, by Hospital Bed Size, as of 2015 Survey...IV Other Locations/Departments with Fixed General X-ray Systems Owned/Managed by Radiology, as of 2015 Survey...IV Other Locations/Departments with Fixed General X-ray Systems Owned/Managed by Radiology, by Hospital Bed Size, as of 2015 Survey...IV Distribution of Sites, by Number of Fixed General X-ray Systems Owned/Managed by Radiology in Other Locations/Departments, by Hospital Bed Size, as of 2015 Survey...IV Distribution of Total Fixed General X-ray Systems Owned/Managed by Radiology, by Whether Located in Main Radiology Departments vs. Other Locations/Departments, as of 2015 Survey...IV Whether Hospital Has Other Locations/Departments Having Fixed General X-ray Systems Not Owned or Managed by Radiology, by Hospital Bed Size, as of 2015 Survey...IV Other Locations/Departments with Fixed General X-ray Systems Not Owned/Managed by Radiology, as of 2015 Survey...IV-61 E. Fixed General X-ray Radiography Purchase Plans and Market Scenarios...IV Hospital Sites Planning to Acquire Fixed General X-ray Systems and/or DR Detector Retrofit Kits within the Next 3 Years, as of 2015 Survey...IV Whether Sites Plan to Purchase Fixed General X-ray Systems and/or DR Detector Retrofit Kits, by Hospital Bed Size, as of 2015 Survey...IV Sites Planning to Purchase Fixed General X-ray Systems, DR Retrofit Kits, or Both Equipment Types, by Current Fixed X-ray System Capability Type, as of 2015 Survey...IV Current Fixed General X-ray System Capability Types of Sites Planning to Purchase Fixed General X-ray Systems, DR Retrofit Kits, or Both Equipment Types, as of 2015 Survey...IV Mix of Fixed CR vs. DR X-ray Systems vs. DR Detector Retrofit Kits Planned, by Hospital Bed Size, as of 2015 Survey...IV Hospital Sites Planning to Acquire Fixed General X-ray Radiography Systems within the Next Three Years, as of 2015 Survey...IV Percent of Sites Planning to Purchase Fixed General X-ray Systems Over the Next Three Years, by IMV Study Year, 2010 to IV Distribution of Sites, by Number of Fixed General X-ray Systems Planned for Purchase, by Hospital Bed Size, as of 2015 Survey...IV Planned Mix of Fixed DR vs. CR Systems to be Acquired, by Hospital Bed Size, as of 2015 Survey...IV Budgetary Status of Planned Fixed DR and CR Systems, by Hospital Bed Size, as of 2015 Survey..IV Budgetary Status of Planned Fixed DR and CR Systems, by Year of Planned Purchase, as of 2015 Survey...IV Plans for Purchasing Replacement vs. Additional Fixed General X-ray Systems, by Hospital Bed Size, as of 2015 Survey...IV Age of Fixed General X-ray Systems Being Replaced, as of 2015 Survey...IV Average Age of Fixed General X-ray Systems upon Replacement, by IMV Study Year, 2010 to IV Estimated Raw General X-ray Replacement Unit Demand from X-ray Installed Base in U.S. Hospitals, , Based on X-ray Replacement Cycle...IV Scenario I: Raw General X-ray Replacement and Additional Unit Demand in U.S. Hospitals, Estimated X-ray Unit Market Projections, IV Scenario II: Reduced Purchase Intent for Replacement and Additional General X-ray Units in U.S. Hospitals, Estimated X-ray Unit Market Projections, IV Scenario III: Potential Upside Due to Purchases for Hospital Outpatient Locations and Department Renovations, Estimated X-ray Unit Market Projections, IV Whether Purchased Fixed DR and Fixed CR Systems will be New, Refurbished or Used, by Hospital Bed Size, as of 2015 Survey...IV-72

6 20. Whether Purchased Fixed DR Systems will be New, Refurbished or Used, by Hospital Bed Size, as of 2015 Survey...IV Whether Planned Fixed DR Systems Will be Used for Long Leg or Scoliosis Exams, as of 2015 Survey...IV Detector Types Being Planned for Planned Fixed DR Systems, as of 2015 Survey...IV Whether Decisions for Purchasing X-ray Systems are Made at the Corporate HQ or at the Individual Facility Level, by Hospital Bed Size, as of 2015 Survey...IV Trend in Whether Decisions for Purchasing Fixed General X-ray Systems are Usually Made at the Corporate HQ or at the Individual Facility Level, by IMV Study Year, 2013 & IV Whether the Influence of Corporate HQ in Purchase Decisions for X-ray Systems is Increasing, Staying the Same, or Decreasing in 2015, Compared to 2-3 Years Ago, by Hospital Bed Size, as of 2015 Survey...IV Trend in Whether the Influence of Corporate HQ in Purchase Decisions for X-ray Systems is Increasing, Staying the Same, or Decreasing This Year, Compared to 2-3 Years Ago, by IMV Study Year, 2013 & IV Trend in Preferred General X-ray Manufacturers in Healthcare System/Organization, by IMV Study Year, 2013 & IV Percent of Sites Mentioning Manufacturers Being Considered for Next General X-ray System Purchase, as of 2015 Survey...IV Brand Loyalty: General X-ray Manufacturer Being Considered, by Current Installed Base, as of 2015 Survey...IV Hospital Sites Planning to Acquire DR Detector Retrofit Kits within the Next Three Years, as of 2015 Survey...IV Distribution of Sites, by Number of DR Detector Retrofit Kits Planned for Purchase, by Hospital Bed Size, as of 2015 Survey...IV Percent of Sites Mentioning Manufacturers Being Considered for DR Detector Retrofit Kit Purchases, as of 2015 Survey...IV-80 F. Installed Base and Purchase Plans for Mobile General X-ray Units...IV Whether Radiology Owns/Manages Mobile/Portable General X-ray Units, by Hospital Bed Size, as of 2015 Survey...IV Total Number of Mobile/Portable General X-ray Units Owned/Managed by Radiology/Imaging Department, by Hospital Bed Size, as of 2015 Survey...IV Distribution of Sites, by Number of Mobile/Portable General X-ray Units, by Hospital Bed Size, as of 2015 Survey...IV Percent of Sites Having at Least One Mobile/Portable DR or CR X-ray Unit, by Hospital Bed Size, as of 2015 Survey...IV Mix of Mobile/Portable General X-ray Units Using DR Technology vs. CR Cassettes Only, by IMV Study Year, 2010 & IV Mix of Mobile/Portable General X-ray Units Using DR Technology vs. CR Cassettes Only, by Hospital Bed Size, as of 2015 Survey...IV Distribution of Sites, by Number of Mobile/Portable X-ray Units that Use DR Technology, by Hospital Bed Size, as of 2015 Survey...IV Distribution of Sites, by Number of Mobile/Portable X-ray Units that Use CR Cassettes Only, by Hospital Bed Size, as of 2015 Survey...IV Percent of Sites Having at Least One Mobile/Portable General X-ray Unit by Manufacturer, for DR vs. CR Units, as of 2015 Survey...IV Other Locations/Departments Where Mobile/Portable General X-ray Units are Used, as of 2015 Survey...IV Other Locations/Departments Where Mobile/Portable General X-ray Units are Used, by Hospital Bed Size, as of 2015 Survey...IV Hospital Sites Planning to Acquire Mobile/Portable General X-ray Units Over the Next Three Years, as of 2015 Survey...IV Percent of Sites Planning to Purchase Mobile/Portable General X-ray Units Over the Next Three Years, by Hospital Bed Size, as of 2015 Survey...IV-88

7 14. Distribution of Sites, by Number of Mobile/Portable General X-ray Units Planned for Purchase, by Hospital Bed Size, as of 2015 Survey...IV Planned Mix of Mobile/Portable DR vs. CR-Only General X-ray Units to be Acquired, as of 2015 Survey...IV Percent of Sites Mentioning Manufacturers Being Considered for Next Mobile/Portable General X-ray Purchase, by Plans for DR vs. CR-Only Units, as of 2015 Survey...IV Whether Planned Mobile/Portable General X-ray Units will be Used in Other Locations/ Departments, as of 2015 Survey...IV Other Locations/Departments where Planned Mobile/Portable General X-ray Units will be Used, as of 2015 Survey...IV-91 G. Planned Use of DR Technology for Fixed or Mobile General X-ray Equipment...IV Importance of Potential Features of DR Detector Technology for Fixed or Mobile General X-ray Systems, as of 2015 Survey...IV Planned Use of DR Detector Technology for Fixed or Mobile General X-ray Systems, by Hospital Bed Size, as of 2015 Survey...IV-93 H. Capital Budgets for General X-ray Equipment...IV Distribution of 2015 X-ray Capital Equipment Budgets...IV Distribution of 2015 X-ray Capital Equipment Budgets, by Hospital Bed Size...IV Average 2015 Capital Equipment Budget per X-ray Site Having a Budget >$0, by Hospital Bed Size...IV Distribution of X-ray Capital Equipment Budgets, by Budget Year, , as of 2015 Survey..IV-95 I. General X-ray Radiography Site Operations Characteristics...IV Percent of X-ray Sites with Staff Types, as of 2015 Survey...IV Percent of X-ray Sites with Staff Types, by Hospital Bed Size, as of 2015 Survey...IV Average FTE Staff per Site Having that Type, as of 2015 Survey...IV Average FTE Staff per Site Having that Type, by Hospital Bed Size, as of 2015 Survey...IV Average FTE Staff per Site Having that Type, by IMV Study Year, 2005/06 to IV Average Annual 2015 X-ray Procedures per FTE, by Hospital Bed Size...IV Trend in Average Annual X-ray Procedures per FTE, IV Average Annual 2015 X-ray Procedures per Fixed General X-ray Room, by Hospital Bed Size...IV Trend in Average Annual X-ray Procedures per Fixed General X-ray Room, by Hospital Bed Size, IV Distribution of Sites, by Total Radiologists that Read X-ray Procedures, by Hospital Bed Size, as of 2015 Survey...IV Distribution of Sites, by Total Radiologists that Read X-ray Procedures, by IMV Study Year, 2005/06 to IV Whether X-ray Procedures are Read On-site or Off-site, by Hospital Bed Size, as of 2015 Survey.IV Whether X-ray Procedures are Read On-site or Off-site, by IMV Study Year, 2010 to IV Percentage of X-ray Procedures that are Read On-site or Off-site, as of 2015 Survey...IV Percentage of X-ray Procedures that are Read On-site or Off-site, by IMV Study Year, 2010 to IV Weekly Operating Hours Main Radiology Department Open for Scheduled X-ray Procedures (Monday-Friday)...IV Weekend Hours Main Radiology Department Open for Scheduled X-ray Procedures (Saturday & Sunday)...IV Weekly Operating Hours Main Radiology Department Open for X-ray Procedures, Including Unscheduled and On-Call (Monday-Friday)...IV Weekend Operating Hours Main Radiology Department Open for X-ray Procedures, Including Unscheduled and On-Call (Saturday & Sunday)...IV Typical Waiting Time for Non-Emergency X-ray Outpatient Visit, by Hospital Bed Size, as of 2015 Survey...IV-106