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USCOM LIMITED — Investor Presentation 2012
Nov 26, 2012
65979_rns_2012-11-26_10dd75e8-045e-4ff9-b655-dbf35fe588c1.pdf
Investor Presentation
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Commercialising non-invasive cardiac monitoring technology
Rob Phillips MPhil(med), FASE, DMU(cardiol) Chief Executive Officer
November 2012
Who we are and what we do…
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Publicly listed bioscience company with world leading cardiovascular monitoring technology
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Focused on commercialising non-invasive USCOM 1A
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10 years + $18 million proving accuracy, safety and efficacy
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Cleared by US Food & Drug Administration (FDA), CE Mark in Europe and Australian Therapeutic Goods Administration (TGA)
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Large and rapidly growing independent peer-reviewed data demonstrates USCOM1A is superior to existing methods
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Growing brand recognition and commercial strength
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Clinical outcomes data now being used to grow sales and secure strategic commercial licensing deals and partnerships
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The measure of life www.uscom.com.au
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USCOM1A cardiac monitor
Non invasive, accurate, compact platform technology
Cardiac output
Stroke volume Heart rate Systemic vascular resistance Left and right heart measurement
Works with all other hospital equipment
Intuitive touch screen
Real time data
Non invasive, real time, beat-to-beat haemodynamics
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Selected financial snapshot FY2012
ASX: UCM Market cap: $11 million Shares on issue: 63 million FY2012 product sales: $0.8 million Cash @ 30 Sept ‘12: $1.16 million Top 20 holders: 80% Major holders Rob Phillips 32.6% Dr Steven Woodford 15.5% Gary Davey 9.5% Stream Group 4.6% Bell Potter Nominees 3.3% Invia Custodians 3.3%
5-year revenues 6-month share price $ thousands
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The measure of life www.uscom.com.au
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Where we are today
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Successful capital raising in September 2012 ($1.2 million @ 12 cents)
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Sales of $800,000 in FY2012 with quarterly cash burn of $300,000
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Current customers - hospital peadiatric, neonatal and adult intensive care units, emergency departments and anesthesia monitoring
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500 units currently in use worldwide
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Focused on developing additional resources and support in 2013
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Seeking growth from increased sales, new markets, licensing and strategic commercial partnerships to expand applications and use
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Foundations for growth: clinical data
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Uscom has invested in building a large body of clinical evidence used to support global marketing and sales
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250 peer reviewed publications to date – with more coming!
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Multi-application platform technology
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New data expands product application beyond current applications - i.e. , can be done by GP instead of under anaesthetic at a hospital.
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Medical benefits: non-invasive, safe and accurate, improved levels of critical care
Economic benefits: meets user and payer needs for improved care and reduced costs, expandable platform with multiple applications
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Platform technology - Strategic partnerships
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Pharmaceuticals
Ultrasound CO module
Crit Care CO Monitoring module
Home care Ventilation CO module
Hypertension, HF and sleep monitoring
Pacemaker optimisation unit ‐ ElectroCOM
Mobile Monitoring module
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Ventilation CO module
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The measure of life www.uscom.com.au
Foundations for growth: market opportunities
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Investment in clinical data is designed to support expanded use for a range of major medical needs worldwide
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New markets (currently un-partnered)
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Hypertension
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Congestive Heart failure
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Sepsis
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Pregnancy hypertension
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Electrophysiology (pacemaker optimisation)
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Home care monitoring
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Technology/manufacturing licensing opportunities
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Ultrasound
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Monitoring (fixed and mobile)
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Ventilation
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Supervised home care
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Foundations for growth: commercial partners
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Wide reaching patents across many applications
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Potential to add value to established technologies in major markets
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Active discussions with a number of potential strategic partners globally
| Market | UCM product | Potential commercial or licensing partners |
|---|---|---|
| Ultrasound | HaemoCOM | GE, Philips, Sonosite, Medison, Hitachi, Toshiba, Takeda |
| Monitors | CardioCOM | GE, Philips, Spacelabs, Mindray, Edan, Welch Allyn, Covidian |
| Ventilators | PulmoCOM | GE, Philips, Siemens, Viasys, Draeger, Resmed, |
| Pacemakers | ElectroCOM | Medtronic, St Jude, Guidant, Micromedical |
| HomeCare | PulseCOM | GE, Philips, J&J, Welch Allyn, Omron |
| Sepsis | CV-COM | GE, Philips, J&J, St Jude, Medtronic, Guidant, Omron |
| Hypert/HF | PressureCOM | Servier, Abbott, Novartis, MSD, Daiichi Sankyo, Boehringer |
| Global | CardioCARE | Public and private hospital boards/Governments |
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Case study; How clinical data drives sales…
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6 year study at Bathurst Hospital demonstrating reduction in sepsis mortality and and hospital costs using USCOM1A
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Mortality reduced 93% (from 60.7% to 4.4%)
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Renal failure reduced 95% (52.7% to 2.6%)
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Emergency transports reduced 87% (24.6 to 3.2%)
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In hospital stay reduced 52% (from 25.2 to 12.2 days)
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Opportunity to work with Govt to develop adoption of USCOM practice and methods for all hospitals
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Case study; How clinical data drives sales… 2006-2012 practice changing Sepsis result Hospital sepsis mortality – down 95%
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Bathurst USCOM
NSW
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NSW Rural
Australia
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Australian Rural
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0
2006 2007 2008 2009 2010 2011 2012
ANZICS CORE practice audit data
The measure of life www.uscom.com.au
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Foundations for growth: R&D pipeline
A platform technology with multiple applications
Current products
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USCOM 1A – Advanced haemodynamics
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OXYCOM – Real time Oxygen Delivery (DO2)
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USCOMt – Haemodynamics transducer
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CareCOM – Physiology mapping and treatment guide
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EduCOM – Online education package
New products in development
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USCOM 2 – small general haemodynamics
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PULSECOM – USCOM continuous CV monitor
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USCOMmod v1 and v2 – modular USCOM for licensing
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USCOMhaemo v1 and v2 – USCOM software for licensing
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Foundations for growth: Patented R&D pipeline
Small, Telemetric, Continuous, Portable, USCOM App
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Foundations for growth: efficient operations
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USCOM1A product currently sells for $30,000 per unit
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All manufacturing and development in Sydney
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Production team able to produce 80 units per month
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Currently establishing new additional skills and capabilities to expand the Sydney team and output
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What’s next in 2013?
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Grow global revenues from direct sales
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Advance current strategic and commercial partnership discussions with focus on licensing and revenues
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Continue to build clinical and economic evidence around treatment of major medical conditions
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R&D focus to evolve technology and expand applications
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Summary
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Commercially focused, revenue generating medical device company
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World-leading technology transforming inefficient medical practice
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Aim to create another world-class Australian medical device business
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Strong competitive position
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Leveraging outstanding science into clinical practice and profitable business
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Foundations for significant long term growth are all in place
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USCOM
Thank you
Rob Phillips
Chief Executive Officer
T: (02) or +61 418681154 E: [email protected]
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Appendicies
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USCOM1A has competitive advantages
| Method | Manufacturer | Technology | Rel+Re p |
Non- invasive |
Simple | Cost | Portable | SV beat to beat |
|---|---|---|---|---|---|---|---|---|
| USCOM 1A | Uscom | Doppler | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| BioZ | Sonosite | BioImpedance | ✗ | ✓ | ✓ | ✗ | ✓ | ✗ |
| NiCOM | Cheetah | BioReactance | ✗ | ✓ | ✓ | ✗ | ✓ | ✗ |
| Nexfin | Bmeye | APP | ✗ | ✓ | ✓ | ✓ | ✓ | ✗ |
| CardioQ | Deltex | Doppler | ✓ | ✗ | ✗ | ✗ | ✓ | ✗ |
| LiDCO | LiDCO | LiCl dilutio +APP | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ |
| LiDCOrapid | LiDCO | APP | ✗ | ✗ | ✓ | ✗ | ✗ | ✗ |
| PiCCO (mod Tx + PP) |
Pulsion | APP | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ |
| FloTrac | Edwards | APP | ✗ | ✗ | ✓ | ✗ | ✗ | ✗ |
| PAC (Tx) | Many | Thermodilution | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
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ICU cardiac monitoring market
| Department | Total beds* (US) | Worldwide market estimate ($30k- 1/10beds) |
Cap value at 25% penetration, 50% profit and x20PE |
|---|---|---|---|
| Neonatal ICU | 17,000 | $51m | $128m |
| Paediatric ICU | 4,000 | $12m | $30m |
| Cardiac Surgery | 10,000 | $30m | $75m |
| Adult ICU | 50,000 | $150m | $375m |
| Total | 80,000 | $243m | $607m |
Assumptions
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Global market = US market x 2
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$30,000, 1/10 beds sale, 25% market, 50% profit, 20P:E
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ICU markets only, not ED, Anaesth, Hypertension, HF, EP etc not considered
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Hypothetical estimation not a projection
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Cardiac monitoring landscape
Clinical assessment
- BP, HR, colour, reperfusion time etc. Inaccurate
Non-invasive
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USCOM – Transcutaneous CW Doppler safe, accurate, effective
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ICG – Bio-impedance inaccurate and unproven
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Tonometry – Transcutaneous APP BP measure and difficult to use
Less invasive
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Calibrated APP
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PiCCO – transpulmonary thermodilution invasive catheters/infection
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LiDCO – LiCl dilution invasive catheters/infection
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Uncalibrated APP
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LiDCOr invasive catheters/infection
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FloTrac Invasive catheters/infection
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NiCCO – Expired CO2 exchange requires intubation
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TODoppler – DTA flow requires sedation
Invasive
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Swan – Thermodilution (bolus, CCO) invasive catheters/infection
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Fick – Oxygen concentration invasive catheters/infection
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Art or central line – Arterial or venous pressures invasive catheters
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What the experts say...
“This machine is saving lives, there are no two ways about it”
Professor Brendan Smith, Anesthetist, Intensivist and Emergency Physician, Bathurst Base Hospital, N.S.W. Dept of Health, Australia
“The USCOM device is a simple method of accurately and noninvasively measuring central
circulation, a goal of cardiology for many years… the device has the potential to change the way we approach management of many cardiovascular diseases including sepsis, heart failure and hypertension”
Professor Malcolm West, Cardiologist, Mayne Professor of Medicine at The University of Queensland School of Medicine, Brisbane, Australia.
“I have used USCOM for over 5 years now on our very sick children, and use it to guide management. We are now beginning multi-centre, global research which will define the way USCOM is used in Paediatric Departments across the world”
Dr Joe Brierley, Consultant Intensivist, Great Ormond Street Hospital for Sick Children, London, UK .
“ To parents and doctors this machine, USCOM, is priceless. This machine is thought to
have saved baby Abbie ’ s life ”
BBC Documentary “New machine helps save babies life”, 2010, Nottingham Children’s Hospital
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Potential value of product partnerships
Potential annual market $ millions
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Partnership with instant take up of technology
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Four new markets
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50% profit share
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20% penetration
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No upgrades
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USCOM gross $84million p.a.
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Cap value = 15xPE (84) =
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$1260 million
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60 million shares @ $21
Total = $84 million pa
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Current New
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Cardiac monitoring investment landscape
Investment opportunity Capitalised value of USCOM and current competitors, $ millions
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Last capital raising $0.12
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Current price $0.17
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Equivalent price to mean competitors ($65m) with 60m shares on issue$1.05
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