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Page 1 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 1 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Siemens Healthcare – Focus and deliver Erich R. Reinhardt, CEO Healthcare
Capital Market Day Siemens Healthcare Munich, February 28, 2008
Page 2 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 2 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
This document contains forward-looking statements and information – that is, statements related to future, not past, events. These statements may be identified by words such as “expects,” “looks forward to,” “anticipates,” “intends,” “plans,” “believes,” “seeks,”“estimates,” “will,” “project” or words of similar meaning. Such statements are based on our current expectations and certain assumptions, and are, therefore, subject to certain risks and uncertainties. A variety of factors, many of which are beyond Siemens’control, affect our operations, performance, business strategy and results and could cause the actual results, performance or achievements of Siemens to be materially different from any future results, performance or achievements that may be expressed orimplied by such forward-looking statements. For us, particular uncertainties arise, among others, from changes in general economic and business conditions (including margin developments in major business areas); the challenges of integrating major acquisitions and implementing joint ventures and other significant portfolio measures; changes in currency exchange rates and interest rates;introduction of competing products or technologies by other companies; lack of acceptance of new products or services by customers targeted by Siemens; changes in business strategy; the outcome of pending investigations and legal proceedings, especially the corruption investigation we are currently subject to in Germany, the United States and elsewhere; the potential impact of such investigations and proceedings on our ongoing business including our relationships with governments and other customers;the potential impact of such matters on our financial statements; as well as various other factors. More detailed information about certain of these factors is contained throughout this report and in our other filings with the SEC, which are available on the Siemens website, www.siemens.com, and on the SEC's website, www.sec.gov. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those described in the relevant forward-looking statement as expected, anticipated, intended, planned, believed, sought, estimated or projected. Siemens does not intend or assume any obligation to update or revise these forward-looking statements in light of developments which differ from those anticipated.
EBITDA (adjusted), Return on capital employed, Free cash flow, Cash conversion and Net debt are Non-GAAP financial measures.A reconciliation of these amounts to the most directly comparable IFRS financial measures is available on our Investor Relationswebsite under www.siemens.com/ir, Financial Publications, Quarterly Reports. 'Group profit from operations' is reconciled to 'Income before income taxes' of Operations under 'Reconciliation to financial statements' in the table 'Segment Information'.
Safe Harbour Statement
Page 3 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 3 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
What is on our mind?
Page 4 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 4 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
What is on our mind?
Siemens Healthcare Sector Driving Profitable Growth
Munich, February 28, 2008Erich R. Reinhardt
Page 5 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 5 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Focus and Deliver
Driving profitable growth and cash returns
Getting the most out of the integrated diagnostics company
Achieving best-in-class cost position incl. SG&A reduction
Innovating for fast growth and competitiveness
+Drive organic growth above market growth
+
Deliver target margin
+
Convert to cash
Page 6 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 6 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Global organization aligned towards delivering financial results
+Drive organic growth above market growth
+
Deliver target margin
+
Convert to cash
Target margin 2010: 16-19%
Target margin 2010: 14-17%
Target margin 2010: 11-14%
Siemens Healthcare
Diagnostics Imaging & IT Workflow & Solutions
Target margin 2010: 14-17%
Page 7 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 7 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
We have built a strong track record in business performance
Margins increased despite dollar weakness and competitive environment through innovations.
Headline revenue progression held back by dollar depreciation (growing above market due to best workflow solutions)
Strategic portfolio expansion into IVD to form the world’s first Integrated Diagnostic CompanySignificant acquisition effects 2007 with Diagnostics: PPA and one-time costs
Productivity increase of ~ 8% p.a. on average
Highlights
Well balanced regional sales structure
USA41%
Europe34%
Others10%
Asia15%
Profit Margin(IFRS):
11.7%
2005
Sales €bn
20072006
8.2
12.0%
Healthcare sales & profit margin (reported)
13.2%*
15.0%**
* Excluding gain on sale in 10% stake in Dräger Medical (23)**Excluding PPA / one-time costs (OTCs) Diagnostics and gain on sale in 10% stake in Dräger Medical (23)
7.6
11.7
9.9
8.3
With Diagnostics pro-rata
With Diagnostics pro-forma
+5%+6%
Organicsales growth
Page 8 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 8 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Group Profit Target Margin
Profit Margin: 14 - 17%
Cash Conversion Rate
1 – growth rate
Organic growth above market growth
FY06 FY07
12.0%
FY06 FY07
0.901.04
15.0%1)
1) Excluding PPA and One Time Costs related to DPC, Bayer acquisition and gain on 10% stake in Dräger Medical (23)
FY06 FY07
5%6%
Market growth
We are committed to reach our goals
Page 9 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 9 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
We hold #1 positions in each of our marketsand will leverage the strategically best position
#1 #1 #1
Workflow-oriented IT
Prevention and Early Detection
CareIn Vitro Diagnostics (IVD)
Diagnosis
TherapyIn Vivo Diagnostics (Imaging)
SiemensMcKCerner
GESiemensTosh.
SiemensGEPhilips
SiemensPhilipsGE
SiemensGEPhilips
GEPhilipsSiemens
Comput.Tomogr.
MagneticReson.
Angio &X-ray
Molecul.Imaging
Ultra-sound
Health-Care IT
Imaging & IT
SiemensRocheAbbott
IVD
Diagnostics
#1#2#3
Audio Oncol.Women‘sHealth
Workflow & Solutions
HologicGESiemens
SiemensDemantPhonak
VarianElektaSiemens
Urol-ogy
Sur-gery
SiemensDornierStorz
SiemensPhilipsGE
Page 10 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Trends in Healthcare determine our customers’ goals
TherapyPrevention and early Detection CareDiagnosis
Growing and agingpopulation
Emerging ruralhealthcare
Cost pressure/varyingreimbursements
Disease orientation
Patient education
Market trends … create demand and define …
Increased demand for healthcare services
Products for healthcare delivery in rural areas
Solutions that reduce overall cost and/or grow top-line
New applications and clinical pathways
Patient-centered offerings and processes
... our customers’ goals
Increase efficiency/ productivity
Ensure profitability
Guarantee high quality of care
Page 11 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 11 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Our customers’ goals are our goals
TherapyPrevention and early Detection CareDiagnosis
+Drive organic growth above market growth
+Deliver target margin
+Convert to cash
To grow our business profitably
as preferred partner
we generate growth from workflowadvantages and clinical excellence
and turn best solutions into margin
high-quality and patient-centered care
along the healthcare continuum
with best processes
and with proven outcomes
Quality Costof healthcare delivery
We help our customers to provide:
Page 12 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 12 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Our customers’ success is based on improving workflow
Source: HealthImaging&IT, October 2007 (US market survey)
Top 10 priorities by facility type in 2007
Over 500 beds:
1. Improvingworkflow
2. Reimbursement
3. …
Hospitals in the United States Imaging centers
200–500 beds:
1. Reimbursement
2. Improvingworkflow
3. …
< 200 beds:
1. Reimbursement
2. Increasing procedure volume
3. Improvingworkflow
4. …
1. Increasing procedure volume
2. Improvingworkflow
3. …
These institutions must become efficient along clinical, financial and operational dimensions
Page 13 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 13 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Growing our business as we solve our customers‘specific workflow needs best
How can I accept more patients on my schedule to compensate for reimbursement cuts?
Head of Radiology
How can I get an increasing number of tests done before the rounds?
Head of Laboratory
How can I get all my services correctly invoiced and in time to the payor?
CFO
How can I ensure that all clinicians practice within our defined clinical pathways consistently?
CMO
How can I reduce inpatient days at fixed reimbursement and get my accreditation level?
CEO
Workflow-oriented IT
Prevention and Early Detection
CareIn Vitro Diagnostics (IVD)
Diagnosis
TherapyIn Vivo Diagnostics (Imaging)
Page 14 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 14 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Early Detection has clear financial and clinical benefits
0%No cancer
% alive 15 yearsafter diagnosis
Treatment cost ($000)
Survival by stage of diagnosis; American Cancer Society
10%
20%
30%
40%
50%
60%
70%
80%
0
20
40
60
80
100
120
140
Stage 0 Stage I Stage II Stage III Stage IV
Early detection increases survival rate and reduces treatment cost
Example: Breast cancer
Page 15 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 15 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Siemens is the only diagnostics company offering a full portfolio
Physicalexamination
Genetic markerpanel
Mammography
Assay sensitive to protein expression
Mammography; sonography; breast MRI
Molecular imaging PET⋅CT, SPECT⋅CT
Molecular diagnosticsfor therapyselection
Resection, image-guided radiationtherapy, chemo-and/or hormon-therapy
Physicalexamination
DNA- and proteomic tumormarkers
I.e. imaging (e.g. liversonography)
In VitroDiagnostics(IVD)
Diagnosis
TherapyIn VivoDiagnostics(Imaging)
Prevention and Early Detection
Care
Example: Breast cancer
Page 16 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 16 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
The market requires workflow-oriented IT to reachhighest productivity, clinical and financial results
Workflow-oriented IT
Quantitative result assessment of therapy outcome
Orchestrated financial and clinical patient data
Lab and radiology data for diagnosis and staging
Care guidance and follow-up orchestration
In VitroDiagnostics(IVD)
Diagnosis
TherapyIn VivoDiagnostics(Imaging)
Prevention and Early Detection
Care
Page 17 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 17 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Our customers‘ decisions are both product and solution oriented
Workflow-oriented IT
In VitroDiagnostics(IVD)
Diagnosis
TherapyIn VivoDiagnostics(Imaging)
Oncology
Cardiology
Neurology
…
Aut
omat
ion
Che
mis
try
Blo
od g
as
Imm
uno-
assa
y
… Mag
netic
Res
onan
ce
Com
pute
d To
mog
raph
y
Mol
ecul
ar Im
agin
g
Rad
iogr
aphy
/Ang
iogr
aphy
Ultr
asou
nd
Hea
lthca
re IT
Prevention and Early Detection
Care
Page 18 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 18 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Organization designed to focus on all business opportunities
Che
mis
try
Blo
od g
as
Imm
uno-
assa
y
… Mag
netic
Res
onan
ce
Com
pute
d To
mog
raph
y
Mol
ecul
ar Im
agin
g
Rad
iogr
aphy
/Ang
iogr
aphy
Ultr
asou
nd
Hea
lthca
re IT
CFOKlaus Stegemann
DiagnosticsJim Reid-Anderson
Imaging & ITBernd Montag
Workflow & SolutionsTom Miller
Siemens HealthcareErich R. Reinhardt
Oncology
Cardiology
Neurology
…
Aut
omat
ion
Organization mirrors customer needs
Page 19 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 19 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Growing and well diversified market
(in € billions, currency adjusted)
31 32
55
2221
57 59
2007 2008
5-6%
5-6%
2-3%
Diagnostics
Imaging & IT
Workflow & Solutions
20083-4%
5-6%
6-7%
5-6%
2010
Page 20 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 20 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
US Market: Temporary effect on current spending
DRA(1) currently slows down investments into new imaging systems
Conclusion for healthcare provider
Postponing capex
Cost reduction
Increasing # of patients to maintain top line (→ workflow)
US market likely to recover a year after elections(2)
US market currently weak Previous example: MRI in the 90’s
Example: global market [units] for magnetic resonance: CAGR (‘91-‘01): 8% despite US market decline around ’94 (also based on reimbursement reductions)
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
200620061983
0
units CAGR 8%
(1) DRA = Deficit Reduction Act(2) Current further uncertainties about future reimbursement
changes in imaging lead to reluctance in capex decisions
Page 21 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 21 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Growing faster than the market:Executing on the business model
Attractive follow-on business
Growing market share in placements is driving growth in the installed base and follow-on revenues
Placement market share > installed base share = future growth
→ Profitable market share growth in placements is prime lever
New placement drives growing revenue stream
Margin ↑ Margin ↑+
Imaging
Healthcare IT
In-vitro diagnostics
Year 1 new placementrevenue
Year 2-5 follow-on revenue
€ € ↑
€ € ↑ +
€ € ↑ ++
Page 22 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 22 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
We leverage business drivers to spur organic growth
Solving our customers‘ workflow needs best.Innovations and workflow solutions provide financial, clinical and operational results.
Opening up new markets and new customer groups
Leveraging broad installation footprint and customer satisfactionfor follow-on new sales and cross-selling
+Drive organic growth above market growth
Page 23 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 23 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
We will grow our margin to 14-17% in 2010
Command higher margins for the unique solutions and innovationswe bring to our customers – time-to-market is critical
Increase profit conversion by turning volume growth into margingrowth - rigorous productivity, cost and synergy programs
Expand profits by follow-on sales to a growing installed base
+Drive organic growth above market growth
+
Deliver target margin
Page 24 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 24 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
We will generate cash as we grow
Improve quality of earnings to better cash flow
Make disciplined choices around capital investment opportunities
Optimize working capital
+Drive organic growth above market growth
+
Deliver target margin
+
Convert to cash
Page 25 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 25 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Market Share gain
Innovations and optimized workflow drives profitable organic growth
Workflow-oriented IT
In VitroDiagnostics(IVD)
Diagnosis
TherapyIn VivoDiagnostics(Imaging)
Prevention and Early Detection
Care
2002
2007
+500 bp
Computed Tomography
Magnetic Resonance
+1400 bp +700 bp
Interventional Radiology
Page 26 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Creating mindshare by proven workflow results
Example of a US hospital(1):
Substantial improvement in key CMS(2) core measures in CHF
Results exceed state averages significantly
Technology helps enhance decision making, promote best practices and reduce variability
Streamlined processes help to reduce cost
Solving key workflow needs
(1) Chester County, 200+ bed hospital(2) Centers for Medicare and Medicaid Services
23%
63%
91%
77%
100% 98%
0%
20%
40%
60%
80%
100%
120%
Dischargeinstruction
ACEI/ARBs LVSDAssessment
Pre-workflow Post-workflow
Page 27 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
We turn mindshare into market share: Growing number of Soarian contracts
174 modules live across customers 170 active implementations135 Soarian workflows at 31 locations in active use – number doubled in one year34,000+ Soarian Clinicals users
Many live locations, workflow implementation growing Growing number of contracted modules
IT orders have strong follow-on businessLeading healthcare providers choose Soarian
303 305 315361 367 370 375
450427
Q106
Q206
Q306
Q406
Q107
Q207
Q307
Q407
Q108
Great Q1 Soarian orders – installed base conversion and new customers
ConversionConversionConversion
NewNewNew
0 m$50 m$100 m$
…
+22% p.a.
Page 28 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
We grow above market growth in emerging markets
2000 2001 2002 2003 2004 2005 2006 2007
3.2
0.7
+24% p.a.7.5
2000 2001 2002 2003 2004 2005 2006 2007
2.5
+17% p.a.
China (in RMB bn)
India(in INR bn)
Sales to Indian customers
Sales to Chinese customers
Market growth in China: CAGR 18% Market growth in India: CAGR 16%
Workflow-oriented IT
In VitroDiagnostics(IVD)
Diagnosis
TherapyIn VivoDiagnostics(Imaging)
Prevention and Early Detection
Care
Page 29 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 29 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
We enjoy an attractive innovation pipelineWe open up new markets and win share
(1) Market in units (orders)
Customer price significantly below $1m in the US (up to $500,000 savings)
1500 out of 3000 community hospitals have no or only mobile MRI service
Market launch Nov 2007
General availability April 2008
6% of global market(1) (Jan-Feb)
Leading technology at low costOpening new markets by reaching “visionary” low price levels
MAGNETOM ESSENZA The most affordable, all-new 1.5T MRI
Page 30 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 30 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Rigorous productivity and cost program drives margin improvements
* excl. DX
0.65
2005
€bn
2007*2006
0.75Methodology successfully introduced as part of turnaround in 1990s
Productivity program is lifeblood of organization and key in driving profitable organic growth
MED productivity program 2005 - 2007 Highlights
0.80
11% p.a.
Page 31 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
41% 46%
17.5 4.5 10
40% 39%
16.9 3.9 15
Americas
Europe(incl. GER)
19%15%
8.3 1.5 10
Asia Pacific
Employees (in thsd.)
External Sales (in €bn)
Important Manufacturing
€
€
€
€
Status: September 30, 2007
We execute on a Low Cost Country Strategy
Page 32 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
41% 46%
17.5 4.5 10
40% 39%
16.9 3.9 15
Americas
Europe(incl. GER)
19%15%
8.3 1.5 10
Asia Pacific
Employees (in thsd.)
External Sales (in €bn)
Important Manufacturing
€
€
€
€
Status: September 30, 2007
We execute on a Low Cost Country Strategy
We leverage low cost country opportunities along the complete value chain:
Build R&D innovation strength
Utilize low cost position for manufacturing
Attract talent pool
Tap into local innovation potential and understand localclinical needs through research collaborations
Goals
Page 33 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 33 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
We ensure first mover’s advantageto build unique solutions that drive higher margins
1) Focus on imaging agents and life sciences business, but no clinical in vitro diagnostics2) Focus on life sciences applications and integration of diagnostics & therapeutics development3) Include on IP in ECL detection technologies, which Roche requires for its Immuno diagnostics business
Healthcare IT
Integrated in-vivo and in-vitro diagnostics
GE: IDX
2000 2006 2001 2002 2003 2004 2005 2007 2008
Philips: StentorSiemens: GSD
Philips: Visicu
Siemens: CTISiemens: DPC
Siemens: Bayer Dx
GE: Abbott
Siemens: Dade
Roche: Ventana
GE: Amersham1)Roche2):- 454 Life Sci.- BioVeris3)
- NimbleGenRoche: Igen3)
Siemens: Shared Medical Systems
Page 34 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 34 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
We created the world’s leading diagnostics company
Acquisition of DPC, Bayer, Dade Market leadership
1) Merger agreement with Ventana announced 22 Jan 08 Ventana (2006 sales: $238m, €193m)
DadeBehring
Bayer
DPC
OCD (J&J)
Siemens
Olympus
Roche
BioMerieux
Abbott
BeckmanCoulter
€bn
1)
3.3
1.1
1.4
1.5
1.9
2.3
3.2
Fully integrated plat-forms; mid/low volume labsMarket leader in customerservice
Broad portfolioLab automationMolecular DiagnosticsHigh/mid volume labs
Leading position in immuno-diagnostics
Page 35 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 35 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Significant Synergies in Diagnostics are being realized
Synergies
€260m
Cost and productivity measures
€240m
Workflow-oriented IT
In VitroDiagnostics(IVD)
Diagnosis
TherapyIn VivoDiagnostics(Imaging)
Prevention and Early Detection
Care
Identification of synergieswell on track
Total: €500m
Page 36 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
IVD provides significant additional opportunitiesfor Siemens Healthcare as a whole
IT integration
Innovationleadership
“Partner of choice”
Grow market share and installed base
Workflow-oriented IT
In VitroDiagnostics(IVD)
Diagnosis
TherapyIn VivoDiagnostics(Imaging)
Prevention and Early Detection
Care
Page 37 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
I was really excited to learn about the Siemens acquisition of the IVD companies. Since industry sources report that 60 to 90% of all medical decisions are based on clinical laboratory and diagnostic modality testing, I believe this move continues to demonstrate Siemens’ commitment to the vision of integrated diagnostics.
Furthermore, the addition of molecular science to our traditional studies and the power of “smart” clinical information is going to change medicine as we know it. With Siemens as our partner,we believe that we can reach our strategic, clinical, and IT goals.
“
”Fred Crowgey, MBA, M(ASCP)Project Director, IS PMOMedCentral Health System
Winning key institutions and lead market change
“Partner of choice”
MedCentral Health SystemLargest medical community between Cleveland, Columbus; 351 beds, 2 hospitals, College of Nursing, urgent care center, 3 outreach labs, PainCare, Home Health Care & Hospice
Page 38 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 38 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
CA-IX(1)In vitro diagnostics In vivo diagnostics
Plasma and tissue(2)
based CA-IX test to detect cancer
PET CA-IX test(2) to localize the invasivetumors
Early detection of invasive tumors and metastases
LocalizationTumor staging
CA-IX – targetedtreatment
Therapy monitoringFollow-up
1) Carbonic Anhydrase-IX is a biomarker indicative of invasive, often hypoxic tumors2) In development
SynergiesBio-medical expertiseR&D resource alignmentSharing (pre-)clinical dataClinical trialsIntellectual property
TreatmentIn Vitro In Vivo
DiagnosisCare
… drives new business opportunities
Innovation leadership
Page 39 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Lab studies ordered to monitor treatment response/disease progression of metastatic breast cancer patient
Siemens ADVIA Centaur XP
Lab information system
ASTM order & result
Treatment spending controlledTreatment quality controlled
… enables new quality of clinical and financial results
IT integration
Soarian workflow management system continuously monitor and analyze information to identify critical results for physician follow-up
Page 40 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
By leveraging our footprint
Largest Korean laboratory customer
Competitive conversion to Siemens in IVD based on
Strong customer relationship in vivo diagnostics with Siemens
Strong workflow automation
Test vol.: 2m tubes/year12m tests/year
Sales amounts: €12m for 7 years
Grow market share and installed base
Page 41 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Page 41 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Creating value based on best portfolio, synergies and leverage of first diagnostics company
Best portfolio in the industry:
Integration of IVD businesses
Full realization of synergies within DX division
Leveraging best portfolio within overall sectorHealthcare Sector EVA in 2010 higher than
level before Diagnostics acquistion
Margin expansion to 14-17% by 2010 by innovations, best in class cost position and growing installed base business
Workflow-oriented IT
In VitroDiagnostics(IVD)
Diagnosis
TherapyIn VivoDiagnostics(Imaging)
Prevention and Early Detection
Care
Page 42 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Focus and deliver
Driving profitable growth and cash returns
Getting the most out of the integrated diagnostics company
Achieving best-in-class cost position incl. SG&A reduction
Innovating for fast growth and competitiveness
+Drive organic growth above market growth
+
Deliver target margin
+
Convert to cash
Page 44 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Reconciliation and Definitions for Non-GAAP Measures (I)
Group profit from Operations is reconciled to Income before income taxes of Operations under Reconciliation to financial statements on thetable Segment Information. See our Financial Publications at our Investor Relations website under www.siemens.com/ir.
Earnings before interest and taxes (EBIT) (adjusted) is Income from continuing operations before income taxes less Financial income (expense), net and Income (loss) from investments accounted for using the equity method, net.
Earnings before interest, taxes, depreciation and amortization (EBITDA) (adjusted) is EBIT before Depreciation and Amortization, definedas amortization and impairments of intangible assets depreciation and impairments of property, plant and equipment.
Group profit is reconciled to EBIT and EBITDA on the table Segment Information Analysis (II). See our Financial Publications at our Investor Relations website under www.siemens.com/ir.
Return on Capital Employed (ROCE) is a measure of how capital invested in the Company or the Group yields competitive returns. For the Company, ROCE is calculated as Net income (before interest) divided by average Capital employed (CE). Net income (before interest) is defined as Net income excluding Other interest income (expense), net and excluding taxes on Other interest income (expense), net. Taxes on Other interest income (expense), net are calculated in simplified form by applying the current tax rate which can be derived from the Consolidated Statements of Income, to Other interest income (expense), net. CE is defined as Total equity plus Long-term debt plus Short-term debt and current maturities of long-term debt minus Cash and cash equivalents. Because Siemens reports discontinued operations, Siemens also calculates ROCE on a continuing operations basis, using Income from continuing operations rather than Net income. For purposes of this calculation, CE is adjusted by the net figure for Assets classified as held for disposal included in discontinued operations less Liabilities associated with assets classified as held for disposal included in discontinued operations.For the Operations Groups, ROCE is calculated as Group profit divided by average Net capital employed (NCE). Group profit for the Operations Groups is principally defined as earnings before financing interest, certain pension costs and income taxes. Group profit excludes various categories of items which are not allocated to the Groups since the Managing Board does not regard such items as indicative of the Groups’performance. NCE for the Operations Groups is defined as total assets less tax assets, provisions and non-interest bearing liabilities other than tax liabilities.Average (Net) Capital employed for the fiscal year is calculated as a 'five-point average' obtained by averaging the (Net) Capital employed at the beginning of the first quarter plus the final figures for all four quarters of the fiscal year. For the calculation of the average during for the quarters, see below:
Page 45 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Reconciliation and Definitions for Non-GAAP Measures (II)
• NCE for Operations Groups
Our cash target is based on the Cash Conversion Rate (CCR), which serves as a target indicator for the Company’s or the Group’s cash flow. For the Company, CCR is defined as the ratio of Free cash flow to Net income, where Free cash flow equals the Net cash provided by (used in) operating activities less Additions to intangible assets and property, plant and equipment. Because Siemens reports discontinued operations, this measure is also shown on a continuing operations basis, using Income from continuing operations, Net cash provided by (used in) operating activities – continuing operations and Additions to intangible assets and property, plant and equipment for continuing operations for the calculation. For the Groups, CCR is defined as Free cash flow divided by Group profit.
All values needed for the calculation of ROCE and CCR can be obtained from the Consolidated Financial Statements and Notes to Consolidated Financial Statements.Group profit, Net capital employed and Free cash flow for the Company and the Groups can be found on the table Segment information. Our Consolidated Financial Statements are available on our Investor Relations website under www.siemens.com/ir.
Siemens ties a portion of its executive incentive compensation to achieving economic value added (EVA) targets. EVA measures the profitability of a business (using Group profit for the Operating Groups and Income before income taxes for the Financing and Real estate businesses as a base) against the additional cost of capital used to run a business (using NCE for the Operating Groups and risk-adjusted equity for the Financing and Real estate businesses as a base). A positive EVA indicates that a business has earned more than its cost of capital, and is therefore defined as value-creating. A negative EVA indicates that a business is earning less than its cost of capital and is therefore defined as value-destroying. Other organizations that use EVA may define and calculate EVA differently.
Average calculation for CE*: Year-to-DateQ1 2 Point average: (CE ending Q4 Prior year + CE ending Q1) / 2Q2 3 Point average: (CE ending Q4 Prior year + CE ending Q1 + CE ending Q2) / 3Q3 4 Point average: (CE ending Q4 Prior year + CE ending Q1 + CE ending Q2 + CE ending Q3) / 4Quarter-to-DateQ1 2 Point average: (CE ending Q4 Prior year + CE ending Q1) / 2Q2 2 Point average: (CE ending Q1 + CE ending Q2) / 2Q3 2 Point average: (CE ending Q2 + CE ending Q3) / 2Q4 2 Point average: (CE ending Q3 + CE ending Q4) / 2
Page 46 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Reconciliation and Definitions for Non-GAAP Measures (III)
Our capital structure target is based on an Adjusted industrial net debt divided by EBITDA (adjusted). For the calculation of Adjusted industrial net debt, we subtract from Net debt (defined as Long-term debt plus Short-term debt and current maturities of long-term debt less Cash and cash equivalents less Available-for-sale financial assets) (1) SFS debt excluding SFS internally purchased receivables and (2) 50% of the nominal amount of our hybrid bond; and add/subtract (3) Funded status of Pension benefits, (4) Funded status of Other post-employment benefits; andadd (5) Credit guarantees. The components of Net debt are available on our Consolidated Balance Sheets, SFS debt less internally purchased receivables is available in our Management Discussion & Analysis under Capital Resources and Requirements. The Funded status of our principle pension plans and Other post-employment benefits, the amount of credit guarantees and the nominal amount of our Hybrid bond is available in the Notes to our Consolidated Financial Statements.
To measure Siemens’ achievement of the goal to grow at twice the rate of global GDP, we use GDP on real basis (i.e. excluding inflationand currency translation effects) with data provided by Global Insight Inc. and compare those growth rates with growth rates of our revenue(under IFRS). In accordance with IFRS, our revenue numbers are not adjusted by inflation and currency translation effects.
Return on equity (ROE) margin for SFS was calculated as SFS’ Income before income taxes divided by the allocated equity for SFS.Allocated equity for SFS for the financial year 2007 is €1.041 billion. The allocated equity for SFS is determined and influenced by the respective credit ratings of the rating agencies and by the expected size and quality of its portfolio of leasing and factoring assets and equity investments and is determined annually. This allocation is designed to cover the risks of the underlying business and is in line with common credit risk management standards in banking. The actual risk profile of the SFS portfolio is monitored and controlled monthly and is evaluated against the allocated equity.
Group profit from Operations, EBIT (adjusted), EBITDA (adjusted), ROCE, CCR, EVA and Adjusted industrial net debt are or may be Non-GAAP financial measures as defined in relevant rules of the U.S. Securities and Exchange Commission. Our management takes these measures,among others, into account in its management of our business, and for this reason we believe that investors may find it useful to consider these measures in their evaluation of our performance. None of Group profit from Operations, EBIT (adjusted), EBITDA (adjusted), ROCE and EVA should be viewed in isolation as an alternative to IFRS net income for purposes of evaluating our results of operations; CCR should not be viewed in isolation as an alternative to measures reported in our IFRS cash flow statement for purposes of evaluating our cash flows; and Adjusted industrial net debt should not be viewed in isolation as an alternative to liabilities reported in our IFRS balance sheet for purposes of evaluating our financial condition.
Page 47 February 28, 2008 Capital Market Day Siemens HealthcareCopyright © Siemens AG 2008. All rights reserved.
Siemens Investor Relations Team
Webpage: http://www.siemens.com/investorrelations
e-mail: [email protected]
Telephone: +49-89-636-32474
Fax: +49-89-636-32830
Michael Sen +49-89-636-33780
Florian Flossmann +49-89-636-34095
Sabine Groß +49-89-636-35755
Dr. Martin Meyer +49-89-636-33693
Christof Schwab +49-89-636-32677
Dr. Gerd Venzl +49-89-636-44144
Susanne Wölfinger +49-89-636-30639