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PRO MEDICUS LIMITED — Interim / Quarterly Report 2021
Feb 16, 2021
65579_rns_2021-02-16_eb27b33c-dd41-4783-8fdb-d1a7951f7c17.pdf
Interim / Quarterly Report
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Half Year Results February 2021
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PRO MEDICUS (ASX:PME) Healthcare IT company specializing in Enterprise Imaging and Radiology Information System (RIS) software.
Leading edge products, growing global presence.
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EU HQ/R&D
Berlin GmbH
U.S. HQ
San Diego CA
GROUP HQ
Melbourne AUS
OVER 40+ SOFTWARE ENGINEERS
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ASX:PME
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VISAGE RIS
VISAGE 7 OEM PRODUCT SUITE
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HY21 Half Year in Review
| Remote | go-live | $25M/7 years New Contract |
$10M/7 years New Contract |
$8.5M/5 years Contract Renewal |
$18M/5 years New Contract |
Continues to grow STRONGLY |
|---|---|---|---|---|---|---|
| AUGUST | 2020 | SEPTEMBER 2020 | OCTOBER 2020 | NOVEMBER 2020 | DECEMBER 2020 | PIPELINE |
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RESULTS HY 2021
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$31.59M $13.54M $18.76M 59%
Revenue Profit Underlying EBIT
up 7.8% after tax Profit Before margins
up 12.4% Tax
up 25.9%
$50.93M $0.07
Cash Company Strong Interim
Reserves debt balance dividend FF
up $7.52M free sheet Up 16.6%
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| HY | 2021Revenue Split | 2021Revenue Split | |||||||
|---|---|---|---|---|---|---|---|---|---|
| $- $5,000,000 $10,000,000 $15,000,000 $20,000,000 $25,000,000 $30,000,000 $35,000,000 |
$12,177,000 $14,883,000 $19,312,000 $16,043,000 $6,235,000 $6,092,000 $7,667,000 $9,190,000 $3,049,000 $2,649,000 $3,815,000 $2,309,000 $2,300,000 1H v 2H revenue split Exam/licence revenue Support/baseline revenue Capital revenue (net of hardware) Professional Services Recurring revenue |
$19,238,000 $8,297,000 $4,052,000 |
|||||||
| 1H19 | 2H19 1H20 |
2H20 | 1H21 | ||||||
| Actual | Actual Actual |
Actual | Actual | ||||||
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OPERATONAL (TRANSACTION) MODEL
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Used in vast majority of US contracts
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Delivered as SaaS model
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Now used in RIS contracts in AUS
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Model based on transaction minimums
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Forward revenue > A$305/5 years*
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Upside as client examination volumes grow
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Annuity style revenue stream – greater predictability
*** Assumes the majority of key contracts up for renewal in years 4 & 5 are renewed**
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OPERATING LEVERAGE
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Highly scalable offering
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No capex (HW) – SW only model
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Training & Installation – charged as professional services
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Contained cost base
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High operating leverage
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Margin continues to grow as footprint increases
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2[nd] Half FY2021
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Client volumes back to normal despite COVID
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Growth to continue in 2[nd] half and FY22
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Existing clients – organic growth and new sites
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Full 6 months from LMU Klinikum
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3 large contract wins to come online in 2nd half - Northwestern, NYU and Medstar
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Intermountain and recently announced Californian Academic Health system installations to commence
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Possibility of additional sales
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VISAGE RIS
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VISAGE RIS
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Long term (5 year) contracts with Primary Healthcare and I–MED, the 2 biggest radiology providers in AUS
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• Combined revenue in excess of $4.4M pa once fully deployed
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• HIS (Healius) rollout nearing completion
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• Upside via organic and M&A growth (I-MED)
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• Increased market interest – new opportunities
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- PME undisputed market leader
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Visage 7.0
. Continues to be #1 in Speed, Functionality and Scalability
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SPEED FUNCTIONALITY SCALABILITY
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MASSIVE DATA EXPLOSION
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High density Multi-slice CT - 10,000+ images
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HD Breast Tomosynthesis - 6 GB+
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Optoacoustic breast ultrasound - 10+ GB
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Total Body PET Scan - 10+ GB
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7T MRI - much larger than 3T
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LEGACY TECHNOLOGY
“Compress and Send”
MODALITIES PACS RADIOLOGIST/CLINICIAN
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SOLUTION:
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VISAGE 7 Streaming Technology
BACKEND RENDER SERVER SERVER RADIOLOGIST/CLINICIAN MODALITIES
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Recent Sales
PIPELINE
Continues to grow STRONGLY
A Major US University Health System $22M/5 years $25M/7 years $10M/7 years $18M/5 years $40M/7 years $31M/7 years New Contract New Contract New Contract New Contract New Contract New Contract JUNE 2020 SEPTEMBER 2020 OCTOBER 2020 DECEMBER 2020 JANUARY 2021 FEBRUARY 2021
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NORTHWESTERN
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Minimum $22 Million over 5 years
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Transaction-based licensing model with upside
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Voted in the top 10 Hospitals in North America
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Teaching hospital for the Feinberg School of Medicine
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Adds to PME growing base of Tier-1 Healthcare institutions
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Implementation scheduled for Q3 FY21
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NYU LANGONE
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$25 Million over 7 Years
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Voted in the top 10 Hospitals in North America
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Transaction based licensing model with upside
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Teaching hospital for the Grossman School of Medicine
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Implementation scheduled for Q3/Q4 FY21
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2nd Tier 1 academic contract win in 3 months
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7 out of the top 20 hospitals in the US have standardized on Visage
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LMU KLINKUM - Munich
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$10M – 7-year Deal
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One or Europe’s largest teaching hospitals
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2[nd] major hospital contract in Germany
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Visage 7 Viewer and Visage Open archive
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Breaks the mold of “one-stop-shop” modality vendor systems
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Paves the way for further European sales
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ZWANGER PESIRI
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$8.5M -5-year renewal contract
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One of the largest private outpatient groups in the US
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Increased minimum contract value by 70%
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Visage technology key enabler of practice growth
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Validates Visage’s unique value proposition
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MEDSTAR HEALTH
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$18M-5-year deal
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Replaces legacy PACS across 10 hospitals
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Largest health system in the Maryland/DC region
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Contract for all three Visage modules –Viewer, Open Archive and Workflow
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Visage 7 platform to be fully deployed in the public cloud
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Extends PME’s rapidly growing footprint in the IDN space
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Transaction-based model with potential upside
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INTERMOUNTAIN HEALTHCARE
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$40M – 7-year deal
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Largest healthcare provider in the Intermountain West
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Visage to replace legacy PACS across 24 hospitals and more than 200 clinics
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Contract includes the Visage 7 Viewer and Open Archive
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Visage 7 to be fully deployed in the public-cloud
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Extends PME’s leading position in large, regional health systems
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Transaction-based model with potential upside
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LEADING CALIFORNIAN ACADEMIC HEALTH SYSTEM
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$31M – 7-year deal
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5 leading academic campuses - UCLA, UCSF, UCSD, UC Davis and UC Irvine
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Unifying all 5 academic campuses on a single diagnostic imaging platform
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Visage 7 to be deployed in the public cloud
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Further extends PME’s footprint in tier 1 academic space
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Option for affiliates to adopt Visage platform
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Transaction based model with potential upside
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FAST TRACK IMPLEMENTATION
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Implementations on schedule
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OSU first 100% remote implementation
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Transition to mixture of on-site and remote
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Fast track methodology continues to deliver
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Large scale projects completed in under 1/4 the time of industry norm
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Delivers huge savings for client
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Frees PME staff for other jobs
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Reduces barrier to change
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A key differentiator of Visage offering
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VISAGE – PROVEN ROI
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Significant IT & Unparalleled Increase in Greater Clinical
Infrastructure Savings Radiologist Efficiency Accuracy
Improved Physician Delivers Superior
Engagement Value Proposition
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VISAGE – Clinical ROI
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Improved Physician Engagement
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GROWTH STRATEGY
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New product
offerings
Transaction growth Extend to new
from existing clients geographical markets
Leverage R&D capability
Expand footprint –
to introduce next
new clients
generation products
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NORTH AMERICAN PIPELINE
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Prospects
Progressing through
Network Effect
various stages
of the cycle
Opportunities Further increased as a
result of recent high-
profile wins
New inbound RFPs
Pipeline Robust even during COVID
In terms of quality
and quantity of
opportunities
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NEW PRODUCTS
ENTERPRISE IMAGING
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One Viewer for ALL images
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• Radiology/Cardiology (DICOM format)
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• Non-radiology– reflected light – hi-res photos & videos
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• VISAGE 7 technology ideally suited
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• Increases Visage value proposition
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• Growth opportunities within existing contracts
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NEW PRODUCTS
VISAGE 7 OPEN ARCHIVE
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Based on same highly scalable platform as VISAGE 7
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Interoperable – works in complex environments
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Enables Visage to offer choice of modular or single vendor solutions
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Pipeline includes opportunities for Viewer and Visage Open Archive
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Well placed for North American archive market
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Visage 7 Workflow Manager
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Adds to V7 Viewer and Open Archive modules
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Based on over 30 years experience in Worklist SW
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Allows PME to offer single-vendor solution
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Integral part of Visage in the Cloud SaaS solution
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Ability to interface with broad range of AI algorithms
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VISAGE in the CLOUD
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Visage 7 - highly optimised for Cloud deployment
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Same ultrafast performance as on-premise
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Full Visage 7 functionality
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Security and scale of the cloud
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Full PACS deployment or as backup/disaster recovery
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Suitable for all size implementations
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Opens new market opportunities
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AI in Radiology
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Imbedded in SW or imaging equipment
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Prioritisation of cases – head trauma
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Screening – early-stage lung nodule detection
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Aid to diagnosis – 2[nd] opinion, incidental findings
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Automated diagnosis
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Visage AI Accelerator
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Unique end to end solution
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Research and production environments on a single platform
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Based on market leading Visage 7 technology
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Enables Visage clients to fast-track AI as part of their imaging strategy
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Visage 7
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Research Server – streamlines AI algorithm development
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Optimised for AI data curation and validation
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Open API enables native integration
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AI Ecosystem - 3[rd] party and Visage developed algorithms
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Joint development/commercialisation opportunities - 3[rd] parties and academic clients.
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Breast Density - AI
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1st diagnostic AI algorithm produced by Visage
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Developed in collaboration with renown breast imaging team at Yale
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Provides “on the fly” AI assessment of breast density
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FDA, CE and TGA approved – Feb 2021
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A model for future collaboration with other academic institutions
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SUMMARY
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North American footprint growing strongly
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Transaction revenue increasing – major step-up FY22
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Market leading technologies
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Growing product portfolio – single vendor or modular
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Proven implementation & support capability
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Unparalleled value proposition (Clinical and Financial ROI)
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Visage in the cloud – gaining momentum
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Pipeline Continues to grow strongly.
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Visage AI-Accelerator - strategically positioned to leverage AI
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THANK YOU
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