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The MarkeTech Group • 502 Mace Blvd, Suite 15 Davis, CA 95618 PH: + 1 530-792-8400 www.themarketechgroup.com Near Term Trends and Impacts on Radiology TMTG Moderators : Mark Davis, Partner [email protected] Panelists : Stan Casteel Imaging Director Hamilton Medical Center Georgia Todd Stanley Director of Radiology Clarian Health System/Indiana University Health System Indiana Joe Mikoni Director of Imaging Boulder Community Hospital Colorado Ray Wilburn Director of Radiology, Radiation Oncology, and Pain Management Services St. Elizabeth’s Medical Center Christian Renaudin, Partner [email protected] om

The MarkeTech Group - Near Term Trends and Impacts on Radiology Webinar

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We've assembled a panel of some of the leading Imaging Directors in the U.S. to hear directly from them their sentiments and perspectives on what Radiology departments (and imaging vendors) can expect in the near future as the dynamics in healthcare and Radiology rapidly shift. This roundtable is a perfect opportunity for you to hear the "industry outlook" direct from the "voice of the customers." We'll be asking Imaging Administrators to share their in-depth perspectives on: • Expected changes in reimbursement • Key changes in revenue drivers • Impacts of new costs • Near-term purchasing and investment plans • Growth in imaging modalities and procedures • ...AND what imaging vendors should be doing to gain their business We think this should make for a great discussion and hope you do to. Webinar Presentation can be found here: http://youtu.be/DdPDUjqoWLQ Moderators: Christian Renaudin and Mark Davis The MarkeTech Group 502 Mace Blvd. Davis, CA 95618 www.themarketechgroup.com Panelists: Stan Casteel Imaging Director Hamilton Medical Center Georgia Joe Mikoni Director of Imaging Boulder Community Hospital Colorado Ray Wilburn Director of Radiology, Radiation Oncology, and Pain Management Services St. Elizabeth's Medical Center Massachusetts Todd Stanley Director of Radiology Clarian Health System/Indiana University Health System Indiana

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Page 1: The MarkeTech Group - Near Term Trends and Impacts on Radiology Webinar

The MarkeTech Group • 502 Mace Blvd, Suite 15 • Davis, CA 95618 • PH: + 1 530-792-8400www.themarketechgroup.com

Near Term Trends andImpacts on Radiology

TMTG Moderators:

Mark Davis, [email protected]

Panelists:

Stan CasteelImaging DirectorHamilton Medical CenterGeorgia

Todd StanleyDirector of RadiologyClarian Health System/Indiana University Health SystemIndiana

Joe MikoniDirector of ImagingBoulder Community HospitalColorado

Ray WilburnDirector of Radiology, Radiation Oncology, and Pain Management ServicesSt. Elizabeth’s Medical CenterMassachusetts

Christian Renaudin, [email protected]

Page 2: The MarkeTech Group - Near Term Trends and Impacts on Radiology Webinar

MICI Q1 Results

Page 3: The MarkeTech Group - Near Term Trends and Impacts on Radiology Webinar

Forward looking Quarter by QuarterFrom 2011 to Q1 2013

50

75

100

125

150

1st quarter 2nd quarter 3rd quarter 4th quarter 1st semester 3rd quarter 4th quarter 1st quarter

2011 2012 2013

Avera

ge M

ICI

Score

s

Quarter/ Semester

Will grow monthly in diagnostic and interventional radiology

Receive adequate reimbursement from Medicare for diagnostic and interventional imaging

Internal operating and staff costs will remain constant

Will have access to capital for imaging equipment and IT needs

Will maintain/grow as a profit center

Composite score across all areas

Page 4: The MarkeTech Group - Near Term Trends and Impacts on Radiology Webinar

1. Some optimism through mid-2012

50

75

100

125

150

1st quarter 2nd quarter 3rd quarter 4th quarter 1st semester 3rd quarter 4th quarter 1st quarter

2011 2012 2013

Avera

ge M

ICI

Score

s

Quarter/ Semester

Will grow monthly in diagnostic and interventional radiology

Will grow monthly in diagnostic and interventional radiology

Page 5: The MarkeTech Group - Near Term Trends and Impacts on Radiology Webinar

2. Low confidence in Medicare future reimbursement

50

75

100

125

150

1st quarter 2nd quarter 3rd quarter 4th quarter 1st semester 3rd quarter 4th quarter 1st quarter

2011 2012 2013

Avera

ge M

ICI

Score

s

Quarter/ Semester

Receive adequate reimbursement from Medicare for diagnostic and interventional imaging

Receive adequate reimbursement from Medicare for diagnostic and interventional imaging

Page 6: The MarkeTech Group - Near Term Trends and Impacts on Radiology Webinar

3. Some confidence decline in OpEx cost since 2010

50

75

100

125

150

1st quarter 2nd quarter 3rd quarter 4th quarter 1st semester 3rd quarter 4th quarter 1st quarter

2011 2012 2013

Avera

ge M

ICI

Score

s

Quarter/ Semester

I nternal operating and staff costs will remain constant

Internal operating and staff costs will remain constant

Page 7: The MarkeTech Group - Near Term Trends and Impacts on Radiology Webinar

4. Access to Capital peaked in Q2 2012 but downward since

50

75

100

125

150

1st quarter 2nd quarter 3rd quarter 4th quarter 1st semester 3rd quarter 4th quarter 1st quarter

2011 2012 2013

Avera

ge M

ICI

Score

s

Quarter/ Semester

Will have access to capital for imaging equipment and I T needs

Will have access to capital for imaging equipment and IT needs

Page 8: The MarkeTech Group - Near Term Trends and Impacts on Radiology Webinar

5. Confidence is still high for growth as profit center

50

75

100

125

150

1st quarter 2nd quarter 3rd quarter 4th quarter 1st semester 3rd quarter 4th quarter 1st quarter

2011 2012 2013

Avera

ge M

ICI

Score

s

Quarter/ Semester

Will maintain/ grow as a profit center

Will maintain/grow as a profit center

Page 9: The MarkeTech Group - Near Term Trends and Impacts on Radiology Webinar

MICI Q1 Results