s Technology and Services Analyst Meeting May 4, 2006 Healthcare Healthcare Overview Vishal Wanchoo President & CEO, Healthcare IT 2 / Title or job number
Healthcare business model Differentiate with technology Diagnostics + Life Sciences + Healthcare IT Win lifecycle service System optimization Globalization China, India, Middle East Continue to grow diagnostic services and create new service offerings (e.g. RPM and CDS) Workflow & efficiency with Healthcare IT, performance solutions leverage LEAN Global products at local costs tailored for local needs Growing Healthcare with technology & services 3 Only Diagnostic Imaging Broad Based Diagnostics Medical Diagnostics Clinical Systems CT, PET/CT MR Contrast agents Molecular diagnostics Ultrasound Critical care systems Information Technology & Services Life Sciences Electronic medical records Revenue cycle Performance solutions Multi-vendor services Discovery systems Protein separations Three complementary platforms $17B revenue 4
Portfolio transformation Revenue $3.7B ~20% Services ($ in billions) $15.2B ~35% Amersham Services Products Products 5 05 Services growth ~7X In last 10 years 5 Services growth strategy Broadest services capability Healthcare IT Performance solutions Technical training and education Upgrades and software Contract services Break/fix maintenance Full suite of rev cycle and clinicals Full customer productivity engagements Performance management Customer renewals and clinical IT Multi-year customized agreements, focus on digital and remote Demand service labor and parts 6
Services growth Revenue $5.4 21% CAGR ($ in billions) 2000 2005 CAGR% Healthcare IT 30+ $3.0 Performance solutions 40+ Contract services 10 $0.8 Install base & software 10+ Refurbishment 15+ CSA Backlog 5 00 05 $2.0 $3.5 $6.5 7 Healthcare IT is "HOT" IT improves clinical efficacy & lowers healthcare costs IT s all about Quality Safety Workflow $40B+ in 2005 $40+B segment is growing at doubledigit rate has a broad suite of products & services #1 in the space is well positioned for growth CXO IT s all driven by Growth in outpatient services National programs UK & Canada Pay for performance Continuity of care IT s a growth opportunity EHR in < 20% physician offices #1 priority for CXOs 8
Why Healthcare IT a practical example From Paper to Digital with improved clinical information Better patient outcomes at lower cost Outcomes published New England Journal of Medicine Hours of antibiotic therapy Days in hospital Costs for hospital base 330 17 $44K w/it Assistant 103 10 $26K 70% 40% 40% The vision: improving patient care through information technology Continuous flow of information At the physician s office In the home In the hospital Revenue cycle Electronic medical records (EMR) Real-time connectivity Improved workflow Embedded clinical knowledge Revenue cycle Clinical applications EMR 10
HCIT overview Market Size Hospital CIS Physician Office HIS Inpatient EMR/ Computerized Physician Order Entry (CPOE) $4.3B Departmental clinicals (radiology, cardiology) $2.8B Patient management revenue cycle $7.3B Electronic medical record Practice management $2.5B* Rev = Capability $1.5B $0.3B * U.S. Only 11 Inpatient EMR partnering with Intermountain + = 22 hospitals / 100 clinics #1 integrated delivery network 30 years of informatics expertise 10 clinical department apps Global provider of HCIT Contributing Intellectual property Clinical access & know-how Development resources Contributing Intellectual property Commercial excellence People & infrastructure Next Generation EMR Complete clinical enterprise product Installed at all IHC sites 2007 commercially viable offering 12
Departmental clinicals continues to grow Exam size explosion Plus Driving PACS growth 256 Slice!! Procedure across continuum of care #1 $3.2B Increase in non-invasive $1.B Cardiac imaging procedures Head Aging population and in chronic disease 64 Slice Tomorrow 05 0 12% CAGR and large scale initiatives increasing England Southern Cluster Contract value ~$235MM ~70 sites England Northwest Cluster Contract value ~ $180MM ~60 sites $0.5B in orders! Hospital Corp. of America Contract value ~ $125MM ~ 70 hospitals and 100+ imaging centers 13 Physician office market converging Practice Management (PM) IDX ~150k ~ 40k 1 Strategy Utilize PM installed base to sell EMR Electronic Medical Record (EMR) Other ~ 63k ~ 12k Other ~ 500k physicians Penetration = 100% 2 Pull through additional PM with every new EMR sale ~ 500k physicians Penetration ~15% Healthcare ready with right product & right strategy 14
IDX + integration huge success Integrated product strategy launched at HIMSS Huge Presence 17k sq. ft. total booth space 1,100+ visitors Digital Healthcare Community 40+ tours 300 visitors with positive customer feedback Pat Klamm, CIO Tenet Healthcare I am really impressed at how quickly and IDX have come together as a unified team The IDX and folks were speaking the same language! Combining expertise from both companies Segment/Function Business solutions Enterprise solutions Imaging solutions Practice solutions Support services Sales/marketing GM/Leader IDX IDX IDX 15 Summary IT has demonstrated better clinical outcomes and increased health system productivity Tremendous opportunity to increase penetration has executed on strategy and grown the business profitably Future growth driven by increased adoption, global penetration, customer expansion 16
Healthcare services ~20% Service Strategy ($ in billions) Revenue $5.4 $1.3 ~25%+ Healthcare IT growth Grow service offerings expand across all business segments OP '05 '06E Global expansion continues Performance solutions to meet customer productivity demands Strong double digit growth 17 s Technology and Services Analyst Meeting May 4, 2006