Siemens Healthineers
Teach‐in call for analysts and investorsBernd Montag, Siemens Healthineers CEO Erlangen, May 15, 2017
Unrestricted © Siemens Healthcare GmbH, 2017
Notes and forward looking statements
This document contains statements related to our future business and financial performance and future events or developments involving Siemens that may constitute forward‐looking statements. These statements may be identified by words such as "expect," "look forward to," "anticipate" "intend," "plan," "believe," "seek," "estimate," "will," "project" or words of similar meaning. We may also make forward‐looking statements in other reports, in presentations, in material delivered to shareholders and in press releases. In addition, our representatives may from time to time make oral forward‐ looking statements. Such statements are based on the current expectations and certain assumptions of Siemens' management, of which many are beyond Siemens' control. These are subject to a number of risks, uncertainties and factors, including, but not limited to those described in disclosures, in particular in the chapter Risks in the Annual Report. Should one or more of these risks or uncertainties materialize, or should underlying expectations not occur or assumptions prove incorrect, actual results, performance or achievements of Siemens may (negatively or positively) vary materially from those described explicitly or implicitly in the relevant forward‐looking statement. Siemens neither intends, nor assumes any obligation, to update or revise these forward‐looking statements in light of developments which differ from those anticipated.
This document includes - in IFRS not clearly defined - supplemental financial measures that are or may be non‐GAAP financial measures. These supplemental financial measures should not be viewed in isolation or as alternatives to measures of Siemens' net assets and financial positions or results of operations as presented in accordance with IFRS in its Consolidated Financial Statements. Other companies that report or describe similarly titled financial measures may calculate them differently.
Due to rounding, numbers presented throughout this and other documents may not add up precisely to the totals provided and percentages may not precisely reflect the absolute figures.
Bernd Montag, Siemens Healthineers CEO Page 2 | Unrestricted © Siemens Healthcare GmbH, 2017
Agenda
A global leader in Healthcare …
… uniquely positioned in
an attractive yet transforming market …
… with clear strategic priorities and execution levers
Who we are today
Where we go
How we will win
Bernd Montag, Siemens Healthineers CEO Page 3 | Unrestricted © Siemens Healthcare GmbH, 2017
A global leader in Healthcare
€13.5bn
Revenue1) with
4%
growth p.a.2)
17.6%
Profit margin3)
Market leader
in majority of
businesses
75
developed and
emerging countries with direct presence
>46,000
~210,000
patient
touch points every hour
>70%
of critical clinical
decisions are influenced by the type of technology we provide4)
Access to care for
~1.1bn people
in developing Countries
highly skilled employees
12,500+
patents
IP base
~600,000
installed base
>90%
of global top 100
providers partner with us
1) FY 2016
3) Profit margin in FY 2016 excl. severance charges
2) FY 2014 - FY 2016 CAGR comparable (portfolio and FX)
4) AdvaMedDX, "A Policy Primer on Diagnostics", June 2011, p. 3
Bernd Montag, Siemens Healthineers CEO Page 4 | Unrestricted © Siemens Healthcare GmbH, 2017
Continuously delivering attractive margins and growth … while transforming for the future
€bn
+2.5%2)
+2.0%2)
+2.9%2)
12.0 | 12.0 | 11.7 | ||
2.0 | 2.2 | 2.0 | 2.2 | 2.4 |
17.0% | 18.7% | 17.1% | 16.9% | 17.6% |
1.8 | 2.1 | 1.9 | 2.0 | 2.2 |
12.9
+4.8%2)
13.5
Revenue as reported
Profit/ Margin1)
Free Cash Flow
FY 2012 FY 2013 FY 2014 FY 2015 FY 2016
Driving performance
Vision 2020: Company in the company
Setting the direction
Start execution
Note: All data excl. Health Services and Audiology
Profit excl. severance charges and other one‐time effects
Change % vs. PY comparable (portfolio and FX)
Bernd Montag, Siemens Healthineers CEO Page 5 | Unrestricted © Siemens Healthcare GmbH, 2017
Leading market positions and balanced geographical presence with 55% recurring business
2016 Revenue €13.5bn
2016 Revenue split by region
#1 Diagnostic Imaging and
#5 Ultrasound
~58%
~30%
~12%
#2 Laboratory and Point of Care Diagnostics
#1 Advanced Therapies
Asia, Australia
(therein 11% China)
Europe, Africa, CIS, Middle East (therein 6% Germany)
27%
32%
41%
Americas
(therein 34% U.S.)
# Siemens Healthineers' global market position
2016 Profit €2.4bn (profit margin 17.6%1))
2016 Revenue split by type
Diagnostic Imaging and Ultrasound
Laboratory and Point of Care Diagnostics
Equipment
~45%
~28%
Reagents and consumables (recurring)
Advanced Therapies
~27%
Value‐added services (recurring)
Note: Revenue and profit split not indicative of potential future segment reporting
Profit margin excl. severance charges
Bernd Montag, Siemens Healthineers CEO Page 6 | Unrestricted © Siemens Healthcare GmbH, 2017
Engineering Success with broad and deep portfolio
Diagnostic Imaging
Ultrasound
Advanced Therapies
Laboratory Diagnostics
Point of Care Diagnostics
Market leader
Versatility and functionality
Empowering innovative
Delivering clinical and
Lab‐accurate, actionable and
in diagnostic imaging
across clinical questions
therapy concepts
workflow excellence
timely results at point of care
Key offerings
Key offerings
Key offerings
Key offerings
Key offerings
consumables
Diabetes, Coagulation
Clinical specialties
Clinical specialties
Clinical specialties
Clinical specialties
Clinical specialties
Computed Tomography
Cart‐based Systems
Angio Suites
Instruments, reagents and
Chronic Disease Urinalysis,
Magnetic Resonance
Molecular Imaging
Compact Systems
Catheters
Cathlabs
(Robotic) C‐Arms
Automation and IT Systems
Critical Care Blood Gas, Cardiac
X‐Ray
Imaging Solutions for Therapy
Consulting and Project Mgmt.
POC informatics
Mammography Systems
syngo Software
Radiology
General Imaging
Interventional Radiology
Laboratory Diagnostics
Cardiology
Nuclear Medicine
Cardiology
Cardiology
Molecular Diagnostics
Critical Care
Cardiac Surgery
Radiotherapy
Diabetology
Point of Care
Surgery
Urology
Value‐
added services
Transformative
services to maximize opportunities and minimize risks
Customer Services
Product‐related Services
Remote Services
Education and Skills Management
Enterprise Services
Asset Management and MES
Transformation and Advisory Services
Managed Departmental Services
Staffing and Capacity Solutions
Digital Health Services
Population Health Management
Digital Ecosystem
Teleradiology Services
Imaging IT
Note: The products displayed in the pictures are not commercially available in all countries. Due to regulatory reasons, their future availability cannot be guaranteed.
Bernd Montag, Siemens Healthineers CEO Page 7 | Unrestricted © Siemens Healthcare GmbH, 2017
Imaging with strong portfolio and market position - Lab Diagnostics and Ultrasound with upside
Diagnostics Imaging
Market Position
1
Strategy
Expand market and innovation leadership
Priorities
Capitalize on recent product launches
Outstanding innovation pipeline
Clinical decision support, artificial intelligence applications and fleet management (Digital Ecosystem)
Ultrasound
5 Increase portfolio and sales focus
Become a market leader in Cardiology and General Imaging
Introduce NextGen "best‐in‐class" technology platforms
Enhance Go‐to‐market and drive operational excellence
Value‐added services
Advanced Therapies
1 Grow rapidly into therapy
Drive integration of imaging systems and therapy
Grow partnership network
Laboratory Diagnostics
2 Gain lead in lab diagnostics
Roll out of game‐changing Atellica™ solution
Expand global reagent manufacturing
PoC Diagnostics
2 Grow market share in near patient IVD
End to end strategy with Lab Diagnostics in acute care and chronic diseases
PoC ecosystem providing connectivity and control throughout networks
Bernd Montag, Siemens Healthineers CEO Page 8 | Unrestricted © Siemens Healthcare GmbH, 2017
Ultrasound: Turnaround on track - Aspiration to become a leader in Cardiology and General Imaging
+
Significant future product platform projects on track
+ Several product releases completed addressing portfolio gaps and performance issues
+
+
Further improving our leading ICE‐catheter portfolio
Joint R&D projects with Advanced Therapies (e.g. for cardiac interventions)
Innovations and products
+ Systematic improvement of go‐to‐market in all regions
! Sales channels in China in revamping phase
Sales Channels
+ Reduced complexity and significant improvements in process and product quality
+ New leadership and management with relevant industry expertise
Business Fundamentals
Abbreviation: ICE = Intra‐Cardiac Echo
Bernd Montag, Siemens Healthineers CEO Page 9 | Unrestricted © Siemens Healthcare GmbH, 2017
€46bn+ Siemens Healthineers core market
is fundamentally attractive with high growth potential
Strong drivers in place for sustained above GDP growth
Ageing demographics and population growth Growing access in emerging markets Increase in chronic diseases
Strong resilience to economic cycles
Healthineers market 2016 (€bn)
New opportunities
Highly fragmented market
CAGR 2016 - 20211)
Value‐added services
(Enterprise Services, Digital Services)
+5‐6%
High entry hurdles
Deep integration in providers' clinical workflows and large installed base
High R&D investment coupled with large IP base
Global presence providing market access, scale and cost effectiveness
Tight regulatory framework
12 Diagnostic Imaging
5 Ultrasound
Core Market
3 Advanced Therapy
26 Lab Diagnostics/PoC
+3%
+4‐5%
Equipment and reagents
~€46bn
+3‐4%
1) Current internal estimates
Bernd Montag, Siemens Healthineers CEO Page 10 | Unrestricted © Siemens Healthcare GmbH, 2017
Transformation of healthcare is just at the beginning
… and we are uniquely positioned
Healthcare system Healthcare providers
Global need to reshape healthcare ... ... leads to provider transformation ... ... enabled by Siemens Healthineers
From
Volume‐based incentives
Patient
To
Value‐based incentives
Consumer
From
Fragmented
Experience‐based
Treating disease
To
Consolidated
Industrialized
Managing health
From
Product focus
To
Solving provider wide challenges
Optimizing departments
Healthcare
is transforming
Providers carry ~50% of global healthcare cost and must transform for better outcomes at lower cost
Our portfolio uniquely solves providers departmental and system‐wide challenges
Bernd Montag, Siemens Healthineers CEO Page 11 | Unrestricted © Siemens Healthcare GmbH, 2017
Siemens Healthineers portfolio uniquely addresses providers departmental and system‐wide challenges
Optimizing departments Solving system‐wide challenges
Diagnostic confidence and
efficient monitoring of therapy in all departments
Fast triaging in the Emergency Room
Commer‐
Affiliated Hospital
Nuclear
Affiliated
HospitalAffiliated
Hospital
Broadest set of clinical data for clinical pathway optimization, evidence‐based medicine, and benchmarking
Population health management for holistic patient management along care continuum
Clinical and workflow excellence in the lab
Highest quality and
efficiency in radiology
Precise state‐of‐the‐art radiation therapy planning
cial Lab
Imaging Center
Medicine
Radiology
ER
Lab
Surgery
Hospital
Cardio‐ logy
ICU
Neurology
Ward
Urology
Radiation Oncology
Office‐ based special‐ ities
Imaging IT and teleradiology services to leverage potential of digital revolution
Remote technology upgrades
to maximize product performance
Advisory and enterprise transformation
services to create efficient systems
Enabling safe and effective minimally invasive therapies
Managed departmental services to reduce complexity and standardize procedures across sites
Bernd Montag, Siemens Healthineers CEO Page 12 | Unrestricted © Siemens Healthcare GmbH, 2017
Siemens Healthineers with market driven organization and unique capabilities to enable transformation
Global
Organization
Services
Entrepreneurial
Solving system‐wide
Unique set of capabilities
Verticals
Diagnostics Imaging
Digital Services
Regions
Western Europe Western Africa
Central Europe,
challenges
2
Holistic optimization of providers' value chain
3
Global advantage in scale and presence
4
Rigorous perfor‐ mance framework
Ultrasound
Middle East, Africa
Advanced Therapies
Laboratory Diagnostics
PoC Diagnostics
Enterprise Services
Product Services
North America
Latin America
Asia Pacific
North East Asia
Lab Radiology Cardiology Surgery ER
Optimizing departments
1
Sustainable innovation leadership
Bernd Montag, Siemens Healthineers CEO Page 13 | Unrestricted © Siemens Healthcare GmbH, 2017
1
1
Sustainable innovation leadership backed by strong capabilities and outstanding pipeline
Sustainable innovation capabilities
R&D spending of >€1bn in FY16; 7,500 R&D employees
Strong and growing IP base
Partnerships with all of 15 Best US Hospitals1)
>4,200 research collaborations
Track record of industry firsts - Examples
Whole body and open bore MRI
Dual source CT
Cinematic rendering
Bi‐directional magnetic sample transport
Recent launches - Examples
SOMATOM go.now New standards in performance and TCO in CT
ARTIS Pheno Next generation Imaging in the OR
Atellica™ solution Control.
Simplicity. Better Outcomes.
Future Technologies
Artificial Intelligence
Robotic surgery assistance
Novel detector technologies
Low cost MR technology
Advanced automation solutions
• …
U.S. News and World Report
Bernd Montag, Siemens Healthineers CEO Page 14 | Unrestricted © Siemens Healthcare GmbH, 2017
1
1 Example innovation leadership - AtellicaTM solution
setting new standards in Lab Diagnostics
Roll‐out
Fiscal Year
2017 2018 2019 2020+
Instruments
Regulatory clearance
Ramp‐up of installed base
Addresses largest, fast growing market segment in Lab Diagnostics
Control • Bi‐directional magnetic sample transport1)
10x faster than conventional conveyors
Reagents
Available menu4)
Reagents sales
Efficiency gains
R&D
Simplicity • Scalable with >300 customizable configurations
Comprehensive assay menu at launch and more to come
SCM
Service
Better outcomes
Industry's highest immunoassay productivity per sqm2)
Automates workflow (e.g. redefining integrated STAT3))
Impact
Growth Profitability
Products are under development. Not available for sale. Any features listed are part of the development design goals. Future availability cannot be guaranteed.
Versus leading IVD market competitors
Short Turn‐Around Time
Launch menu differs by country
Bernd Montag, Siemens Healthineers CEO Page 15 | Unrestricted © Siemens Healthcare GmbH, 2017
2
Our portfolio empowers the growing needs of providers in system‐wide optimization
System‐wide optimization
Joint development of stroke unit
‐33%
Symptom severity at discharge
Provider requirements
Clinical path and workflow optimization
Products: Imaging and lab diagnostic
‐27%
Door‐to‐needle time
Services: Stroke site construction, optimization
of clinical processes, fleet optimization
‐11%
Cost per case
Departmental optimization
Innovative holistic partnership
Triple Aim1)
Goals achieved
Services: Upgrade and manage 190 vendor neutral imaging equipment items,
room renovations and clinical training
98%
€4.3m
1st year savings
worth €110 million for contract life of 15 years
Satisfaction rating
Imaging, IVD and therapy products
Product, enterprise and digital health services
Siemens Healthineers offering
Triple Aim: Improving the patient experience of care (including quality and satisfaction), improving the health of populations and reducing the per capita cost of health care.
Bernd Montag, Siemens Healthineers CEO Page 16 | Unrestricted © Siemens Healthcare GmbH, 2017
2 Siemens Healthineers leads digitalization with unique capabilities and a strong foundation
Strategic alliances
Healthineers Digital Ecosystem
Digital assets, services and solutions
LifeNet teamplay eHealth Syngo.Via Medicalis1) and more
Single Sign‐On Open Platform
IBM Watson Cerner and more
Smart solutions enabling the digital transformation of our customers
Digitalization
@ Healthineers
Broad set of data
Insights improving outcomes, easing collaboration, and reducing errors and cost
Supporting value‐based transformation
Largest Installed Base and data pool
~600,000
systems
Announcement of acquisition of Medicalis April 2017, closing expected for Q3 FY2017
Bernd Montag, Siemens Healthineers CEO Page 17 | Unrestricted © Siemens Healthcare GmbH, 2017
3 Integrated global value chain and comprehensive
Draft for discussion
worldwide customer relations
Princeton, Flanders, Glasgow
Tarrytown Walpole, Norwood
Issaquah Berkeley
Getafe
Dublin Llanberis Oxford Sudbury
Marburg Rudolstadt Kemnath Erlangen, Forchheim
SeongNam Gyeongiju
Global advantage
Efficient Manufacturing and R&D network
Access to cutting edge technologies enables rapid innovation
Access to low cost R&D, manufacturing and sourcing enables leading cost position
Mountain View Los Angeles
Buffalo Grove Hoffmann Estates Mishawaka
Plymouth
Malvern Cary Knoxville
Joinville
Goa Bangalore
PoHang
Wuxi Shanghai Shenzhen
Comprehensive customer management
Extensive access to C‐level
Deepest and broadest understanding of providers' challenges
Worldwide best practices
>4,200 research collaborations
Major co‐located manufacturing/engineering sites Headquarters
Bernd Montag, Siemens Healthineers CEO Page 18 | Unrestricted © Siemens Healthcare GmbH, 2017
4
Performance framework to achieve €1.5bn productivity
(FY17‐19) and foster continuous improvement culture
Siemens Healthineers annual productivity in % of total cost base
3% 3%
~4%>4%
FY 2015 FY 2016 FY 2017 FY 2018 FY 2019
Productivity Acceleration Initiative (PAI)
COGS: Analytics based sourcing and cost‐value engineering initiative
R&D: Design‐to‐cost/ manufacturability levers
Go‐to‐market: Optimizing sales setup (direct vs. indirect channels)
End‐to end process improvement including function optimization
Roll out of one integrated global ERP system
Pricing excellence project
Healthineers performance system (HPS) - foster performance culture and agility
Execution: Hoshin Kanri strategy deployment
Lean: Broad adoption of agile methodologies and lean tools to drive speed & efficiency
People: Advanced leadership practices tailored for the needs of the future
Outcome: Rigorously drive continuous improvement and business performance with productivity >4% p.a.
Bernd Montag, Siemens Healthineers CEO Page 19 | Unrestricted © Siemens Healthcare GmbH, 2017
Our strategic priorities and execution levers drive profitable growth and stringent capital allocation
Top line growth
Fundamental growth
in existing businesses
Expand market and innovation leadership in Diagnostic Imaging Significantly deepen partnership level with top 20% of accounts by 2020
Market share gains
in existing businesses
Drive integration of imaging systems and therapy
Above market growth in Lab Diagnostics by fully capitalizing on Atellica™ solution market opportunity Market leadership: Achieve above market growth in China
Achieve market leading positions in Cardiology and General Imaging in Ultrasound
New opportunities
from transformation
Margin expansion
Gross Profit margin Operational levers
COGS and SG&A
Accelerate growth in enterprise services: >60 Managed Equipment Service (MES) deals globally by FY21 Expand digital ecosystem and population health offering: Connect 3,500 healthcare providers by FY18 New business revenue growth >10% YoY from Enterprise and Digital Services
Global footprint optimization
Execute on productivity acceleration initiative (PAI - Contribute €1.5bn productivity FY2017 - 19) Systematically implement Healthineers Performance System (HPS - Sustainable >4% productivity p.a.)
Bernd Montag, Siemens Healthineers CEO Page 20 | Unrestricted © Siemens Healthcare GmbH, 2017
Siemens Healthineers is uniquely positioned to win
A global leader in Healthcare …
… uniquely positioned in an attractive yet transforming market …
… with clear strategic priorities and execution levers
Who we are today
Where we go
How we will win
Bernd Montag, Siemens Healthineers CEO Page 21 | Unrestricted © Siemens Healthcare GmbH, 2017
AppendixBernd Montag, Siemens Healthineers CEO Page 22 | Unrestricted © Siemens Healthcare GmbH, 2017
At a glance -
Main Healthineers KPI's
Orders
Revenue
Growth1)
+3.4%1)
+2.3%1)
+2.7%1)
+3.7%1)
Growth1)
+2.5%1)
+2.0%1)
+2.9%1)
+4.8%1)
12.3
12.3
12.1
13.3
13.8
12.0
12.0
11.7
12.9
13.5
€bn
€bn
FY 2012
FY 2013
FY 2014
FY 2015
FY 2016
FY 2012
FY 2013
FY 2014
FY 2015
FY 2016
Profit2)
Profit margin
Free Cash Flow
€bn
€bn
FY 2012
FY 2013
FY 2014
FY 2015
FY 2016
FY 2012
FY 2013
FY 2014
FY 2015
FY 2016
17.0%
18.7%
17.1%
16.9%
17.6%
2.2
2.4
2.0
2.2
2.0
CCR
0.9 1.0 0.9 0.9 0.9
2.1
2.2
2.0
1.9
1.8
Note: All data excl. Health Services and Audiology
Change % vs. PY comparable (portfolio and FX)
Profit excl. severance charges and other one‐time effects
Bernd Montag, Siemens Healthineers CEO Page 23 | Unrestricted © Siemens Healthcare GmbH, 2017
and China our biggest revenue contributors
Revenue split
FY 2012 FY 2016
€bn/in % of total revenue €bn/in % of total revenue
U.S.
3.8
31%
U.S.
4.7
34%
China
1.1
9%
China
1.5
11%
Japan
1.1
9%
Japan
0.9
7%
Germany
0.9
7%
Germany
0.8
6%
France
0.4
3%
France
0.4
3%
Emerging Markets
3.1
26%
Emerging
Markets 3.8
28%
Note: All data excl. Health Services and Audiology
Bernd Montag, Siemens Healthineers CEO Page 24 | Unrestricted © Siemens Healthcare GmbH, 2017
Global market is transforming - healthcare providers under pressure for better outcomes at lower cost
Increasing cost pressure
Professionalization of payers
Drivers of transformation
Shift to value‐based reimbursement
Chronic disease burden
Rapid scientific progress
Consolidation
Industrialization Managing health
Providers building critical mass
Smaller number of more complex providers
'Do more with less'
From 'fee‐for‐service' (procedure based) to 'fee‐for‐ value' (outcome based)
No. of IDNs in US further consolidating
+8%
‐29% ‐18%
860
30%
900
200
1994 to 20141)
In‐patient admission
Beds per capita
Length of stay
US Accountable Care Orgs. (ACOs) Q3 20164)
Providers within ACOs by 2019
Today
2020
+2%
‐15% ‐4%
US hospitals consolidating1)
62% 34%
38%66%
Unaffiliated In system
2006 to 20142)
2000 to
Hospital discharges
+468%
Hospital
Beds per capita
+112%
Beds per
Length of stay
‐17%
Length of
CMS Value Based Purchasing Program expected to reach
$1.8bn in 2017
1990
2015
20143)
discharges
capita
stay
Source: AHA hospital statistics
Abbreviations: ACO = Accountable Care Organization I CMS = Centers of Medicare & Medicaid Services I IDN = Integrated Delivery Network
1) American Hospital Association 2) Eurostat (includes only Germany, France, Italy, UK, Sweden, and Norway) 3) OECD
Bernd Montag, Siemens Healthineers CEO Page 25 | Unrestricted © Siemens Healthcare GmbH, 2017
Now's our time to inspire the futureof healthcare
Engineering success. Pioneering healthcare. Together.
Unrestricted © Siemens Healthcare GmbH, 2017
Siemens AG published this content on 15 May 2017 and is solely responsible for the information contained herein.
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