Itamar Medical · Itamar Medical Ltd. (the "Company") is furnishing this presentation and any...
Transcript of Itamar Medical · Itamar Medical Ltd. (the "Company") is furnishing this presentation and any...
Disclaimer
Itamar Medical Ltd. (the "Company") is furnishing this presentation and any information given during this presentation, solely for theconsideration of eligible investors who have the knowledge and experience in financial and business matters and the capability toconduct their own due diligence investigation in connection with the investment outlined herein. Prospective investors are urged toconduct an independent evaluation of the Company.
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Itamar Medical Mission
World Leader in Sleep Apnea Management
Solutions for the Cardiology Market
http://www.itamar-medical.com/
www.cardiosleepsolutions.com
4
Sleep Apnea - a Significant Comorbidity to Most Cardiac Disease
• Source: Seet & Chung, Anestsiology Clin 2010
83%
76%
72%
63%
59%
58%
57%
49%
45%
Drug resistant hypertension
Congestive heart failure
Diabetes typ 2
Stroke
Pacemakers
Arrhythmias
Coronary heart disease
Atrial fibrillation
Depression
7.2
5.1
29.0
6.4
3.5
14.4
16.2
3.5
40.0
OSA Comorbidity US patients M
e
5
25% of adults worldwide suffer from
sleep apnea*
About 80% in the US alone are
undiagnosed**
The diagnostic and treatment market is
valued at $ 3.5 billion***
The Market
50% of patients suffer from sleep
apnea; most of them (80% or more)
are not diagnosed
The Sleep MarketThe Cardiology Market
* Source: American Academy of Sleep Medicine, Peppard, et al., American Journal of Epidemiology (2013)
** Seet & Chung, Anestsiology Clin 2010
** *Fisher & Paykel, FY2016 Half Year results Presentation (Dx & Tx)
Source: Heart disease and stroke statistics—2015 update: a report from the American Heart Association
85 million cardiology patients in
the United States
Introduction into the Market of Sleep Disorders
Diagnosis in Cardiology
Treating Sleep Apnea Reduces Risk!
Sources:
1) Redline et al, The Sleep Heart Health Study. Am J Res and Crit Care Med 2010;
2) Gami et al, J Am Coll Cardiol 2013:
3) Young et al, J Sleep 2008;
4) Li et al, Europace 2014
Increased risk of stroke2x
Increased risk of recurrence of
atrial fibrillation following
ablation
57%
Risk of death from
cardiovascular disease5x
Risk of death from sudden
cardiac arrest2x
The Reason for the Market Dysfunction
Sleep SpecialistsCardiologists
• About 5,000 sleep specialists
• Financially motivated to use sleep labs
• 3-4 months waiting period
• Poor communication
• 33,000 cardiologists – 84M patients
• Limited awareness of impact
• Worried about referral to Sleep
• “Its not my problem” mentality
Cardiologists realize Sleep
Apnea impact their business
Sleep docs want to push to
PSG (sleep testing at hospital)
Cardiologists don’t want to refer to
Sleep Physician
WatchPAT - The Right Way To Diagnose Sleep
Disorders
A medical grade prescription device with easy of use design of a consumer
smart watch that allows home use with no need for professional assistance
The traditional way - a sleep lab
The American Academy of Sleep Medicine Officially Adopts
Itamar Medical’s technology for the Diagnosis of Sleep
Apnea
The leading medical organization in the United States for the
treatment of sleep disorders officially recognizes the PAT
technology in its guidelines for clinical practice
2017 - A Turning Point in the Cardiology MarketScience and Guidelines
Num. of Publications on Sleep in Major Cardiology
Journals
Strategy Implementation - a Unique Comprehensive
Solution that enables Diagnosis and Treatment
Itamar provides cardiologists with a comprehensive sleep solution, combining
diagnostics and therapy
Total Sleep Solution™
Screening Diagnosing Treatment Reporting
Eco System of Solutions
Screening Diagnosing Treatment Reporting
CPAP treatment
• Philips CPAP distribution
• Airway Mng MAD
• DMEs Networks
CloudPAT 3.0
Dashboard
Diagnosis with WatchPAT
• IDTF
• WatchPAT Direct
• Interpretation through
CouldPAT collaboration with
Sleep Physician
Systematic Screening with
Questionnaire
• Patient awareness kits
• Waiting room video
• Waiting room posters
• Informative brochure
Patient Compliance
Reporting
• Waiting list
• WatchPAT
• Test result
• CPAP
• Patient CPAP
compliance rate
• Sleep Apnea prevalence
rate
• A strategic distribution agreement with Philips
for CPAP products for the treatment of sleep
apnea disorders in cardiology patients
• Itamar has a successful distribution agreement
with Philips in Japan
• The agreement with Philips in the US adds to
the initial agreement with Devilbiss and
significantly increases the potential market
share
• Agreement with Airway Management – Oral
device
2017 – Market Maturity Turning Point
A Strategic Distribution Agreement
AIM, which advises insurance companies, decides to
include Itamar's solution in most private insurance policies
2017 – Maturity Turning Point
Expansion of Insurance Indemnity
An Additional Business Model for the Sales of
Test Kits
Selling kits • Installation of multiple devices according to the number of
patients
• Fast access to customers – with no need for a preliminary
investment
• The kit’s price for customers includes a relative component
of the device
• List price per kit – $ 75
• A new product - WatchPAT Direct that includes a logistic
solution with a list price of $ 180
Sales of equipment and consumables • Initial sale requires a large investment on the client’s part
• A long sales process due to the hospital’s financial
prioritization and the large initial investment
• Low volume purchase of devices and diminishment of the
program
Making “Total Sleep Solution" available
to cardiologists
Changing the business model from the sale
of capital equipment to the sale of test kits
Cardiology centered marketing and sales
Adoption of PAT technology by the
Organization of Sleep Specialists
Maximizing Value at Market Maturity
Consistent Growth in Revenue
$2.9M
$3.6M
$4.0M$4.2M$4.3M
$5.1M$5.3M
$6.0M
-
$1.0M
$2.0M
$3.0M
$4.0M
$5.0M
$6.0M
$7.0M
Q1/17 Q2/17 Q3/17 Q4/17
US and Canada Revenue Total Revenue
A Continuing Decline in Operating Loss
$2.2M
$1.7M
$1.5M
$1.5M$1.4M
$1.0M
$0.7M
$0.5M
-
$0.5M
$1.0M
$1.5M
$2.0M
$2.5M
Q1.2016 Q2.2016 Q3.2016 Q4.2016 Q1.2017 Q2.2017 Q3.2017 Q4.2017
Cash Based Operating Loss Non-IFRS
Summary
A global leader with a unique technology - PAT™
Comprehensive diagnosis of sleep apnea using WatchPAT and a
comprehensive solution for cardiology patients
Broad Regulatory Approvals(FDA, CE, MHLW, broad IP basis and
insurance coverage)
Strong strategic relationships: Medtronic (co-marketing and a
shareholder), Philips (both way distribution arrangments) and Drive
DeVilbiss
A steady growth in WatchPAT sales of over 20%~ annually
An experienced management team and board members with proven
success
WatchPAT Direct Program – A New Business Model
We reach the patients, confirm their availability and
schedule the home sleep test with the patient
A purified kit is prepared for each patient, with new
sensor
Kits are shipped to the patients according to the
scheduled test day
Patients receive call from Patient Support Center on
the test day for instructions of use. Also patients
can call Patient Support Center 24/7 for any kind of
help with the test
Patients have the test at comfort of their own bed.
The next day, patients ship the device back with
prepaid shipping labels.
Once the device is back, the study is uploaded to
CloudPAT and send it to referring physician
A customizable workflow to enlarge the home sleep test coverage