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ANNUAL REVIEWANNUAL 2013 IBA 2013 // ANNUAL REVIEW ANNUAL // IBA KEY FIGURES INTRODUCTION 2013 MARGIN TRENDS IBA is a high-technology medical OUR MISSION: company which concentrates SAVING LIVES 10% its activities on proton therapy, radiopharmacy, particle accelerators 8% for the industry and dosimetry. IBA is the worldwide leader on the 6% proton therapy market. At IBA we dare to develop innovative solutions 4% Quoted on the pan-European stock pushing back the limits of technology. We share ideas exchange Euronext. 2% and know-how with our customers and our partners 1 000 employees worldwide. to bring new solutions for the diagnosis and treatment IBA operates in two segments: 0% of cancer. We care about the well-being of patients, 2008 2009 2010 2011 2012 2013 “Proton therapy and Particle our employees and our shareholders as it is together 1 accelerators” and “Dosimetry”. that we complete our mission to: Protect, Enhance 2013 and Save Lives. 2013 SALES TRENDS BY ACTIVITY* // ANNUAL REVIEW ANNUAL // // ANNUAL REVIEW ANNUAL // IBA IBA 2009 2010 2011 2012 2013 CAGR (1) (EUR 000) (EUR 000) (EUR 000) (EUR 000) (EUR 000) (%) TURNOVER 155 574 169 988 203 165 221 106 212 512 8.1% Proton therapy 70 689 82 884 121 157 133 213 121 202 14.4% Other Accelerators 45 070 39 086 38 896 38 991 45 387 0.2% CONTENTS Dosimetry 39 815 48 018 43 112 48 902 45 923 3.6% IBA at a glance 2 (1) Compound annual growth rate. Highlights 2013 4 Global strategy 6 Human resources 20 Board of Directors & Management Team 22 A global presence 24 Economic review 26 SALES TRENDS BY GEOGRAPHICAL SECTOR (%)* Key fi gures 27 Operating results 27 2009 2010 2011 2012 2013 Stock market and shareholders 28 USA 52 33 34 38 35 *The fi gures do not include any ROW 48 67 66 62 65 pharmaceutical activity. OUR SOLUTIONS TODAY, IBA FOCUSES Today, more than half of proton prescribed dose to a precisely therapy clinical facilities worldwide defi ned area in the patient’s body ON THREE are IBA systems. At the end of is absolutely crucial. Treatment MAIN ACTIVITIES 2013, this includes 16 proton success and safety depend on it. therapy centers in operation and 10 additional centers under PARTICLE PROTON THERAPY development. ACCELERATORS The IBA product offer ranges 56% 2013 ACTIVITY TURNOVER 21% 2013 ACTIVITY TURNOVER from complete solutions 121 202 (EUR 000) with Proteus ®PLUS with 45 387 (EUR 000) several treatment rooms to To date, IBA has installed more Proton therapy is considered to Proteus ®ONE (1) , a single-room than 400 accelerators worldwide. be the most advanced treatment solution. With Proteus ®ONE , The majority of them are used for in the fi ght against cancer, thanks proton therapy is more accessible the production of radioisotopes for to the precision with which it is than ever. possible to target the tumor and the detection of cancer. The IBA its reduced side effects. Protons Radiopharma Solutions team helps deposit the majority of their energy DOSIMETRY nuclear medicine departments to design, install and maximize within a precisely controlled 23% 2013 ACTIVITY TURNOVER zone, directly in the center of the the functional effi ciency of a 45 923 (EUR 000) tumor without damaging healthy radiopharmacy for the production (1) Proteus®ONE is of radiopharmaceuticals, the brand name of surrounding tissues. IBA offers a full range of mainly PET (Positron Emission a new confi guration 2 IBA Proton therapy is particularly monitoring equipment and of the Proteus® 3 Tomography). software enabling hospitals to 235, including some appropriate to treat eye and brain new developments perform the necessary checks and In addition to its medical activity, 2013 2013 cancers, tumors close to the brain subject to review 2013 stem and spinal cord, as well as calibration procedures of radiation IBA leverages its scientifi c by competent therapy and radiology. Precision expertise in radiation to develop its authorities (FDA, prostate, liver, breast and pediatric European Notifi ed AT A GLANCE is everything in the delivery of industrial sterilization and ionization cancers. Bodies, et al.) radiation. Delivering exactly the activities. before marketing. // ANNUAL REVIEW ANNUAL // // ANNUAL REVIEW ANNUAL // REVIEW ANNUAL // IBA IBA IBA IBA is the worldwide technology leader in advanced cancer radiation therapy and diagnostic technologies. The Company’s special expertise lies in the development of innovative proton therapy technologies, supplying the oncological world with equipment of unequalled precision. Proteus ®PLUS HIGHLIGHTS 2013 2013 a record sales year for HIGHLIGHTS RadioPharma 2013 Solutions. IBA market share 66 % of proton therapy rooms in operations. à November 27th, 2013 à During 2013, IBA equipped à November 4th, 2013 • An extended version of Proton IBA receives FDA clearance for several proton therapy centers IBA signs a contract with the successful MatriXX to Operating Therapy its new Imaging Suite, a solid with its unique PBS technology Zevacor Molecular to address patient treatment highlights foundation for the development which enables millimeter install the first commercial verification of new treatment st th à January 21 , 2013 of future Image-Guided Proton precision in cancer treatment. 70 MeV Cyclotron dedicated technologies (high dose rate). à June 4 , 2013 4 IBA signs contract with Apollo Therapy (IGPT) solutions. to the production of IBA makes further good 5 à Throughout 2013 IBA continued • A new release of Compass Hospitals to install the first radiopharmaceuticals in progress towards reaching à Major milestones were to demonstrate its capacity to (3.0) that enables even faster 2013 proton therapy center in India. the United States, allowing a final settlement with 2013 achieved in 2013 in the accelerate the pace at which and more accurate patient With this contract, IBA will be it to provide the year-round Westdeutsches Protonen- development of IBA’s compact newly constructed proton treatment verification in 3D at the forefront of delivering the production of isotopes used in therapiezentrum Essen GmbH proton therapy system, therapy centers are ready to anatomy. latest innovative cancer therapy the diagnosis of cardiovascular (WPE). The final contract was Proteus®ONE: treat patients. The installation to the Asia region. diseases and other critical • The replacement software signed in March 2014. of proton therapy rooms were // ANNUAL REVIEW ANNUAL // // ANNUAL REVIEW ANNUAL // à June 2nd, 2013 • IBA submitted all necessary illnesses. for 2D patient verification à November 13th, 2013 IBA completed in Trento (Italy), IBA documentation on IBA’s has new functionalities that IBA gathers more than 60 Seattle (USA) and Knoxville à In 2013 IBA signed major The Company announces compact proton therapy increase efficiency through radiation therapy leaders in its (USA) in 2013. contracts for the supply of receipt of payment from the gantry to the U.S. Food and an improved workflow and factory in Belgium to discover Rhodotron® and Dynamitron® ATreP (Agenzia Provinciale ® Drug Administration (FDA) graphical user interface the firstProteus ONE proton accelerators in Asia and Brazil. Per la Protonterapia) center in therapy system. for marketing authorization. management. Trento, Italy, in repayment of the loan facility signed in 2009. à July 1st, 2013 • The compact gantry beam Particle • A new product extension to IBA signs contract to install line was shipped to Willis- the VISICOIL product line, à November 18th, 2013 Proteus®ONE in Taiwan. This Knighton Cancer Center Accelerators Dosimetry designed for safer and easier IBA completes the sale of its (WKCC) in Shreveport, implantation in interventional contract demonstrates IBA’s à 2013 was a record year of sales à IBA Dosimetry introduced Cisbio Bioassays business unit Louisiana. radiology. This new product continued success in Asia. for IBA RadioPharma Solutions several product improvements to an Argos Soditic fund. division. IBA won important supports radiation oncologists à October 9th, 2013 • IBA also accelerated at major tradeshows (American à December 11th, 2013 contracts in all regions, which in highly precise patient setup IBA is selected by the Henryk and extracted a proton Association of Physicists IBA reaches agreement with strengthened IBA’s position as and dose delivery during Niewodniczanski Institute of beam from its compact in Medicine (AAPM) and SK Capital Partners to settle all the leader in medium- and high- radiation therapy. Nuclear Physics of the Polish Synchrocyclotron, to levels American Society for Radiation outstanding disputes between energy cyclotrons. Academy of Sciences (IFJ) to suitable for being used Oncology (ASTRO) annual the two parties under the Share supply the new extension of the by Pencil Beam Scanning meetings), that were well Purchase Agreement, which IFJ Proton Therapy Center, in (PBS) technologies. received by the market, was closed in early April 2012. Krakow, Poland. including: GLOBAL STRATEGY Left Pierre Mottet, Chairman GLOBAL Right Olivier Legrain, STRATEGY CEO 2014 the harvest year. 6 à 2013 was the year the company à 2014 should be the year of harvest. 7 repositioned to focus on its core We look forward to starting treatment 2013 2013 businesses: proton therapy, dosimetry of the first patient on our new compact 2013 and particle accelerators. This proton therapy solution Proteus®ONE, repositioning allows IBA to position and seeing a growing number of // ANNUAL // ANNUAL REVIEW // ANNUAL REVIEW ANNUAL // itself for the future and consolidate hospitals worldwide adopting proton REVIEW ANNUAL // IBA IBA its leadership on the growing proton therapy. IBA will reap the benefits of IBA therapy market. IBA has also assured an increasing number of long-term its leadership in the dosimetry field service contracts as well as a strong and ended a record year for sales order backlog. The Company should of accelerators for radiopharmacies reach 10% of operating profit at the end and industrial applications, mainly of 2014. to emerging countries. Operating margins rose strongly, mainly from productivity and efficiency programs put in place, and from higher service- based revenues.