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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

  • Used in vast majority of US contracts

  • Delivered as SaaS model

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  • Now used in RIS contracts in AUS

  • Model based on transaction minimums

  • Forward revenue > A$305/5 years*

  • Upside as client examination volumes grow

  • 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

  • Highly scalable offering

  • No capex (HW) – SW only model

  • Training & Installation – charged as professional services

  • Contained cost base

  • High operating leverage

  • Margin continues to grow as footprint increases

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2[nd] Half FY2021

  • Client volumes back to normal despite COVID

  • Growth to continue in 2[nd] half and FY22

  • Existing clients – organic growth and new sites

  • Full 6 months from LMU Klinikum

  • 3 large contract wins to come online in 2nd half - Northwestern, NYU and Medstar

  • Intermountain and recently announced Californian Academic Health system installations to commence

  • 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

  • • Combined revenue in excess of $4.4M pa once fully deployed

  • • HIS (Healius) rollout nearing completion

  • • Upside via organic and M&A growth (I-MED)

  • • 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

  • High density Multi-slice CT - 10,000+ images

  • HD Breast Tomosynthesis - 6 GB+

  • Optoacoustic breast ultrasound - 10+ GB

  • Total Body PET Scan - 10+ GB

  • 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

  • Minimum $22 Million over 5 years

  • Transaction-based licensing model with upside

  • Voted in the top 10 Hospitals in North America

  • Teaching hospital for the Feinberg School of Medicine

  • Adds to PME growing base of Tier-1 Healthcare institutions

  • Implementation scheduled for Q3 FY21

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NYU LANGONE

  • $25 Million over 7 Years

  • Voted in the top 10 Hospitals in North America

  • Transaction based licensing model with upside

  • Teaching hospital for the Grossman School of Medicine

  • Implementation scheduled for Q3/Q4 FY21

  • 2nd Tier 1 academic contract win in 3 months

  • 7 out of the top 20 hospitals in the US have standardized on Visage

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LMU KLINKUM - Munich

  • $10M – 7-year Deal

  • One or Europe’s largest teaching hospitals

  • 2[nd] major hospital contract in Germany

  • Visage 7 Viewer and Visage Open archive

  • Breaks the mold of “one-stop-shop” modality vendor systems

  • Paves the way for further European sales

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ZWANGER PESIRI

  • $8.5M -5-year renewal contract

  • One of the largest private outpatient groups in the US

  • Increased minimum contract value by 70%

  • Visage technology key enabler of practice growth

  • Validates Visage’s unique value proposition

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MEDSTAR HEALTH

  • $18M-5-year deal

  • Replaces legacy PACS across 10 hospitals

  • Largest health system in the Maryland/DC region

  • Contract for all three Visage modules –Viewer, Open Archive and Workflow

  • Visage 7 platform to be fully deployed in the public cloud

  • Extends PME’s rapidly growing footprint in the IDN space

  • Transaction-based model with potential upside

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INTERMOUNTAIN HEALTHCARE

  • $40M – 7-year deal

  • Largest healthcare provider in the Intermountain West

  • Visage to replace legacy PACS across 24 hospitals and more than 200 clinics

  • Contract includes the Visage 7 Viewer and Open Archive

  • Visage 7 to be fully deployed in the public-cloud

  • Extends PME’s leading position in large, regional health systems

  • Transaction-based model with potential upside

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LEADING CALIFORNIAN ACADEMIC HEALTH SYSTEM

  • $31M – 7-year deal

  • 5 leading academic campuses - UCLA, UCSF, UCSD, UC Davis and UC Irvine

  • Unifying all 5 academic campuses on a single diagnostic imaging platform

  • Visage 7 to be deployed in the public cloud

  • Further extends PME’s footprint in tier 1 academic space

  • Option for affiliates to adopt Visage platform

  • Transaction based model with potential upside

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FAST TRACK IMPLEMENTATION

  • Implementations on schedule

  • OSU first 100% remote implementation

  • Transition to mixture of on-site and remote

  • Fast track methodology continues to deliver

  • Large scale projects completed in under 1/4 the time of industry norm

  • Delivers huge savings for client

  • Frees PME staff for other jobs

  • Reduces barrier to change

  • 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

  • One Viewer for ALL images

  • • Radiology/Cardiology (DICOM format)

  • • Non-radiology– reflected light – hi-res photos & videos

  • • VISAGE 7 technology ideally suited

  • • Increases Visage value proposition

  • • 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

  • Interoperable – works in complex environments

  • Enables Visage to offer choice of modular or single vendor solutions

  • Pipeline includes opportunities for Viewer and Visage Open Archive

  • Well placed for North American archive market

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Visage 7 Workflow Manager

  • Adds to V7 Viewer and Open Archive modules

  • Based on over 30 years experience in Worklist SW

  • Allows PME to offer single-vendor solution

  • Integral part of Visage in the Cloud SaaS solution

  • Ability to interface with broad range of AI algorithms

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VISAGE in the CLOUD

  • Visage 7 - highly optimised for Cloud deployment

  • Same ultrafast performance as on-premise

  • Full Visage 7 functionality

  • Security and scale of the cloud

  • Full PACS deployment or as backup/disaster recovery

  • Suitable for all size implementations

  • Opens new market opportunities

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AI in Radiology

  • Imbedded in SW or imaging equipment

  • Prioritisation of cases – head trauma

  • Screening – early-stage lung nodule detection

  • Aid to diagnosis – 2[nd] opinion, incidental findings

  • Automated diagnosis

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Visage AI Accelerator

  • Unique end to end solution

  • Research and production environments on a single platform

  • Based on market leading Visage 7 technology

  • Enables Visage clients to fast-track AI as part of their imaging strategy

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Visage 7

  • Research Server – streamlines AI algorithm development

  • Optimised for AI data curation and validation

  • Open API enables native integration

  • AI Ecosystem - 3[rd] party and Visage developed algorithms

  • Joint development/commercialisation opportunities - 3[rd] parties and academic clients.

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Breast Density - AI

  • 1st diagnostic AI algorithm produced by Visage

  • Developed in collaboration with renown breast imaging team at Yale

  • Provides “on the fly” AI assessment of breast density

  • FDA, CE and TGA approved – Feb 2021

  • A model for future collaboration with other academic institutions

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SUMMARY

  • North American footprint growing strongly

  • Transaction revenue increasing – major step-up FY22

  • Market leading technologies

  • Growing product portfolio – single vendor or modular

  • Proven implementation & support capability

  • Unparalleled value proposition (Clinical and Financial ROI)

  • Visage in the cloud – gaining momentum

  • Pipeline Continues to grow strongly.

  • Visage AI-Accelerator - strategically positioned to leverage AI

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THANK YOU

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