GE Healthcare
© 2019 General Electric Company - All rights reserved GE Healthcare
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Topic Presenter Additional activities
This is GE Healthcare Kieran Murphy Digital Showcase 10:30 a.m. – 11:00 a.m.
th Imaging Tom McGuinness Onsite, 11 Floor
Ultrasound and Life Care Solutions Anders Wold
Services Jan Makela Shuttle to RSNA 11:00 a.m. – 11:30 a.m. Boxed Lunches available US and Canada Everett Cunningham
Europe and RCIS Catherine Estrampes RSNA Booth Tours 12:00 p.m. – 2:00 p.m. China Yihao Zhang 2301 S. Dr. Martin Luther Operations and Financials Monish Patolawala King Jr. Drive, Chicago Wrap Kieran Murphy
Q&A Steve Winoker
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© 2019 General Electric Company - All rights reserved This is GE Healthcare
Kieran Murphy President and CEO, GE Healthcare
© 2019 General Electric Company - All rights reserved Summary
World-class Healthcare Systems and Pharmaceutical Diagnostics businesses
Leading global medical technology and digital solutions innovator
Strong growth outlook from market fundamentals and Precision Health
Near to medium term opportunities for operating margin and cash flow growth
Proven, experienced management team and mission-driven employees
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© 2019 General Electric Company - All rights reserved A global leader in large, attractive markets Solutions for the diagnosis, treatment and monitoring of patients
Global Imaging Ultrasound Life Care Pharma- Enterprise Biopharma markets Solutions ceutical Software and Diagnostics Solutions Size ’18 $19B1 $6B1 $6B1 $8B2 $7B3 Growth 3-4% 4% 2-3% 3% 6% ‘19-’22 Growth • Persistent need for better care, delivered more efficiently drivers • Growth of middle class & aging populations creates demand for more capacity • Digital and AI ready for application to healthcare problems, at scale • Growth in contrast use in developing markets and expanding indications of molecular imaging agents • Continued growth in Precision Diagnostics (e.g., cancer, Alzheimer's) $47B global market (excluding services), expected to grow at 3-4%
1 Imaging, Ultrasound and LCS markets measured in equipment order $; all others based on revenue $; 2 X-Ray and MR contrast media and Nuclear Medicine (SPECT & PET) 3 ESS markets include Enterprise Imaging, Advanced Visualization and Care Area IT 4 Internal estimates 7
© 2019 General Electric Company - All rights reserved Leading global medical technology and digital solutions innovator
Financials Differentiators 2017 2018 • >$1B invested annually in R&D programs 100+ year legacy of • 15K patents issued; 5K pending Revenue $19.0B $19.8B innovation • Strong PET tracer and contrast agent pipeline
Operating Profit $3.5B $3.7B • 4M+ Installed Base and 2B+ exams per year • 3 patients using contrast media per second Global scale with • 160+ countries world’s largest IB % of revenue 18.3% 18.7% • 57K employees worldwide • Local, globally with R&D in 18 countries
FCF Conversion1 90% 124% Ability to integrate • 200+ digital and analytics apps data for insights • >230B patient images stored
1 Non-GAAP; FCF conversion: segment FCF / segment net income ($3.4B in ‘17 and $2.4B in ’18), adjusted to include restructuring expense 8
© 2019 General Electric Company - All rights reserved Legacy of industry-defining innovations for our customers
1960s 1970s 1990s 2000 2003 2014 2015 2018 2019 First 500-cycle, The world’s first World’s first The first to The world’s first Advanced First The world’s New MR AIR™ battery- “rotate only” and only iso- combine the high resolution Workstation™ hospital first Coils named powered Computed osmolar power of PET 4D fetal TAVI Analysis for Command Ultrasound best new comprehensive mobile X-ray Tomography contrast and CT in a Ultrasound surgical workup Center optimized for radiology generator (CT) medium single system system planning (JHU) AI device
1896 1969 1980s 2000 2010 2013 2016 2018 2019 Produces the First non- The world’s First SPECT First Introduced first World’s first First ever FDA forerunner of ionic X-ray first agent for the handheld PET agent for mammo deep approval of today’s x-ray contrast commercial evaluation of Ultrasound colour imaging system that learning first on- systems medium high-field clinically of amyloid puts image device AI to MR system uncertain plaque in women in recon prioritize Parkinson’s evaluation of control software in critical chest Disease Alzheimer’s CT X-Ray review Disease 9
© 2019 General Electric Company - All rights reserved Manufacturing countries Deliver innovation close to our customers, globally R&D countries
2018 GE Healthcare revenue 6,600 Sales professionals 2,400 Channel partners
8,000 US & Canada Europe Field service engineers $9 billion $4 billion China 7,400 $3 billion
Engineers with Rest of World 1/3 $4 billion In China and India 38 Manufacturing sites
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© 2019 General Electric Company - All rights reserved We are a trusted partner to our customers
▪ Our businesses deliver $8B of revenue that is recurring in nature (45%+ of total revenues), including integrated services, Recurring revenue sources: pharmaceutical diagnostics, and digital licenses and Contract and break-fix services subscriptions and parts ▪ We are a trusted partner to help our customers deliver improved clinical outcomes, capacity, productivity, operational Apps and tech-enabled services effectiveness, and lower total cost of ownership: Consultative services ▪ We deliver unparalleled security of supply for contrast media, nuclear tracers, consumables and accessories Customer training and education ▪ Our HCS services support an installed base of 4M+ with the capability to service ~300 make/models from other OEMs giving us unique visibility into the market Consumables
▪ $18B1 backlog showcases shared commitment with our customers Accessories
1 Backlog as of Q3’19 11
© 2019 General Electric Company - All rights reserved Shift towards Precision Health opens significant new avenues of growth for GE Healthcare
Precision Diagnostics Precision Therapeutics Precision Monitoring
In-Vivo + In-Vitro Decision Making Therapy Innovation Therapy Delivery Monitoring
From Protocol driven Too much data, in too Costly and risky R&D Complex and Patients only many different places unguided monitored when sick
To Highly personalized Integrated, Precisely targeted Complex processes Pro-active approach longitudinal, clinical trials and simplified. Precision to patient fueled by AI biomarker-driven interventions. surveillance at scale therapies
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© 2019 General Electric Company - All rights reserved Our solutions are being enhanced with digital innovations
Predictive Platform and services and Subscriptions to Intelligent ecosystem to Smart devices remote fix increase access applications and integrate data with enhanced capabilities to and align workflows to enable across disparate results in less increase business model to contextual insights systems and enable time customer uptime customer needs and visualization analytics
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© 2019 General Electric Company - All rights reserved Our digitally-led solutions enable improved outcomes for our customers and expand our market
Unlocking quality and Supporting improved Driving operational New business and capacity with smart devices clinical outcomes using AI efficiency by unlocking data delivery models to drive that create higher quality to enhance clinical decision silos and applying analytics to fleet consistency, manage images with faster throughput support improve in-procedure workflow obsolescence, and align to and patient flow evolving customer needs
Critical Care Suite on Voluson™ E10 OPTIMA™ XR240amx Command Center CT Smart Subscription
Built on an integrated platform and ecosystem that connects data from across $1.1B devices, applies intelligence (e.g., analytics, AI) on the Edison platform, and engages 1 rd Digital revenue 3 party developers to build and deploy solutions to complement our offerings in 2018
1 Excludes dispositions; includes PACS, Advanced Visualization, and subscription and licensed software offerings 14
© 2019 General Electric Company - All rights reserved Executing on our growth agenda
Key strategies Priorities for ‘20 – ‘22 Examples Increasing R&D investments to expand portfolio Growing programs at 2X rate of Innovation in high-value areas, including Digital revenue, investing in higher ROI segments/adjacencies
Expand portfolio of solutions to new care areas Investing in integrated cardiology and Enterprise Solutions and integrated offerings oncology offerings
Investing in on-device AI and analytics, MR AIRx, scaling Edison™, enabling supported by platform and ecosystem capabilities developer capabilities Pharma/ Clinical MedTech Tech Digital and Analytics Developing partnerships and alliances with stakeholders across the value chain
Improving Operating rigor through Lean to fund ~2.5k product & service cost out Operational growth while growing margins and cash projects / yr, Lean AWOs, automation Execution in back office
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© 2019 General Electric Company - All rights reserved Opportunity to accelerate growth through global commercial reach
52 local customer teams across the world… Priorities to accelerate growth Account Executives Improving market visibility across key Product Sales Channel regions and modalities Specialists Partners
Investing in commercial productivity to enhance customer experience
Growing new channels & models to improve customer connectivity and service
Expanding lifecycle offerings (e.g., options, upgrades, digital apps) to deliver more value Financing Services & peace of mind for customers Project Management Leading with solutions to improve … supported by 9 strong regions customer productivity & capacity
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© 2019 General Electric Company - All rights reserved Pharmaceutical Diagnostics (PDx)
Leader in in-vivo imaging agents … $2B in ‘18 revenue growing at 2X market last 3 years CT and X-Ray MR Ultrasound 96 million patients imaged per year … 3 patients use our imaging agents per second
Comprehensive portfolio PET & across all imaging modalities SPECT
Supply chain excellence, security of supply and low cost
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© 2019 General Electric Company - All rights reserved Pharmaceutical Diagnostics… investing for growth acceleration
Priorities to accelerate growth Core growth • Continued expansion of contrast business in MR, Ultrasound • Expansion of programs including diagnostic agents in contrast media, PET cardiology, Alzheimer’s + Parkinson’s Disease, immuno- oncology
Partnerships • Developing innovation with external partners
Expanding the • Continued focus on Pharma Cos for selection of market patients in clinical trials for immuno-oncology • Digital & AI tools for image analysis, patient stratification & decision support
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© 2019 General Electric Company - All rights reserved Overview of GE Healthcare
Healthcare Systems CAGR, ’16-’18 Revenue ($ in Billions) %, adj for Acq/Disp Drivers of growth
Innovation Proven technology leader with 14.9 4% #1 14.5 100+ year track record of 14.0 Market position industry-defining innovations
Services Over 8,000 professionals ~35% dedicated to supporting our HCS revenue from Services in 2018 customers' success
2016 2017 2018 Local, globally Established leader in every 12% region, with a portfolio tailored China revenue growth (CAGR) Life Sciences CAGR, ’16-’18 to needs of fast growth from 2015 to 2018 Revenue ($ in Billions) %, adj for Acq/Disp markets Solutions Ability to partner with $2.6B 8% 4.9 customers to deliver significant Contract value of Structured 4.6 improvements in outcomes 4.2 Partnerships secured since 2003 Biopharma Digital Bringing modern techniques in $1.1B Al to the practice of healthcare, In 2018 revenue from digital Pharma Dx TM powered by Edison offerings, at accretive margins 2016 2017 2018
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© 2019 General Electric Company - All rights reserved Proven, experienced management team
Leadership highlights Products Regions Functions Tom McGuinness Everett Cunningham Monish Patolawala Imaging US & Canada Finance • 3 yrs @ GEHC • GEHC since June 2019 • 5 yrs @ GEHC • 25+ yrs in Healthcare • 28 yrs in Healthcare • 25+ yrs @ GE • VP, Operational • Previously at Quest Transformation, GE Anders Wold Catherine Estrampes Katya Kruglova Ultrasound and Life Care Europe HR Solutions • 22 Yrs @ GEHC • 8 yrs @ GEHC • 20 yrs @ GEHC • 33 yrs @ GE • 21 yrs @ GE • 35+ yrs in Healthcare Kevin O’Neill Yihao Zhang Jim Borzi Kieran Murphy Pharmaceutical Diagnostics China Integrated Supply Chain President & CEO • 15 yrs @ GEHC • GEHC since July 2019 • 1 yr @ GEHC • 21 yrs @ GE • 10 years in Healthcare • 25 yrs of SC leadership in • Appointed June 2017 • Previously at Danaher Healthcare and Automotive • Led Life Sciences division Amit Phadnis Soichiro Tada Mike McAlevey through significant Digital Japan Legal and BD growth over prior 6 years • 3 yrs @ GEHC • 7 yrs @ GEHC • 2 yrs @ GEHC • 25+ years in Healthcare • 30 yr in Digital • 16 yrs in healthcare • 16 yrs @ GE • 10 years @ GEHC Jan Makela Nal Gollagunta Tom Westrick Services South Asia Quality and Regulatory • 12 yrs @ GEHC • 2 yrs @ GEHC • 16 yrs @ GEHC • 20 yrs @ GE • Prior experience at Cisco, • Prior auditor and controller McKinsey experience
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© 2019 General Electric Company - All rights reserved Imaging
Tom McGuinness President & CEO, Imaging
© 2019 General Electric Company - All rights reserved Imaging plays a vital role in healthcare diagnosis and delivery
Touching patient lives around the world every day
$9B 100+ 250,000+ 1B+ ~200 Revenue from Countries with Installed base Exams every year Imaging-related equipment & imaging on GEHC imaging software services equipment sales machines applications Diagnostic Imaging Image Guided Therapy
COMPUTED MAGNETIC MOLECULAR WOMEN’S X-RAY SURGERY INTERVENTIONAL TOMOGRAPHY RESONANCE IMAGING HEALTH
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© 2019 General Electric Company - All rights reserved Imaging is an attractive $30B+ equipment & services global market
Global Imaging equipment market Orders ($ in Billions) Drivers of future market growth • Strong population dynamics… aging, middle class, increasing penetration in developing markets, 2 out of 3 people globally without access to imaging 18.3 19.1 17.2 • AI-enabled imaging solutions poised to drive tangible improvements in clinical and operational outcomes
• Growth in image-guided, minimally-invasive surgical procedures (e.g., TAVR); use of imaging in robotic surgery
2016 2017 2018 • Integrated digital diagnostics adoption, especially to improve outcomes in care areas (e.g., oncology, cardiology, neurology) Outlook: 3-4% equipment growth in near- /mid-term, LSD in developed markets, • Imaging-driven biomarkers enable new therapies and support MSD/HSD in developing markets treatment response
SOURCE: NEMA, JIRA, Yano research, IPSOS, COCIR, Infoview, Internal company data 23
© 2019 General Electric Company - All rights reserved Extending GEHC Imaging innovation leadership
Diagnostic Imaging Image Guided Therapy
COMPUTED MAGNETIC MOLECULAR X-RAY WOMEN’S HEALTH SURGERY INTERVENTIONAL TOMOGRAPHY RESONANCE IMAGING
EDISON DIGITAL PLATFORM
Market #1 #2 #1 #2 #2 #1 #3 Position • CT Smart • Minnie Award for • Metabolic imaging • First clearance on- • Patient-assisted • Bringing smart • Robotic interventional Subscription (SaaS 2019 best radiology enables early device AI triage mammography algorithms to OR gantry for image- model) device – AIR™ Coils therapy decisions, application, e.g., exams imaging … eNR guided therapies, e.g., • Revolution Apex ™ • AIR™ Recon DL with e.g., Discovery™ Critical Care Suite • First to market reduces image Discovery™ IGS 7 with TrueFidelity ™ TrueFidelity™ AI- MI with on OPTIMA™ with contrast noise at least 30% • ASSIST application AI-enabled images enabled images1 quantitation XR240amx that enhanced during vascular and suite automated • Revolution MaximaTM • AIR Touch™ auto • Advanced digital alerts clinicians precision biopsy, cardiac procedures identification of blood
Key Key Innovations enhanced workflow patient setup, AIR x™ applications to about critical e.g., SenoBright without an increase vessels feeding tumors leveraging AI based AI-based workflow remove image conditions at point HD™ 1 with CESM in power or dose2 for cancer therapy, e.g., Auto Positioning1 artifacts, e.g., of care LiverASSIST V.I. MotionFree 1 510K pending 2 Enhanced Noise Reduction - K192819 24
© 2019 General Electric Company - All rights reserved GEHC Imaging strengths drive strong customer experience
Drivers of our position Customer net promoter score1 Long track record (and pipeline) of bringing leading innovations to market GEHC Imaging Leader in digital solutions, both clinical and operational 31
Leading commercial organization with deep technical and clinical expertise
All other 13 >2X At scale and global supply chain network Imaging players
Global service network and reputation
1 Source: GE Global Market Pulse Study 2019, double-blinded, N=1286, 14 countries 25 © 2019 General Electric Company - All rights reserved Five priorities to drive Imaging growth and value creation
Continue to drive • Track record of customer-valued innovation innovation • Increasing R&D spend and productivity…driving higher NPI vitality leadership • 20+ new products planned annually in 2020 and beyond
• Digital solutions on Edison platform (across device, edge, cloud) Expand digital • Focus on AI-enabled smart devices (e.g., Revolution CT Apex) solutions • Additional clinical and operational decision support apps
Accelerate service • Focus on meeting strong customer demand for enhanced services offerings growth • Continue to expand options and upgrades available when customers need them
Differentiate quality • Investing to further differentiate product quality and reliability from competitors and customer experience • Driving industry-leading customer experience
Enhance margin • Strengthen pricing strategy and performance with supporting tools and product mix actions and free cash flow • Continue track record of delivering $0.2B+ in cost productivity annually
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© 2019 General Electric Company - All rights reserved Leveraging AI across Imaging department workflow to improve clinical and operational outcomes for customers
Scanning Diagnostics Therapy Operations
• Optimize clinical parameters • Detect / quantify findings • Streamline planning & • Insights across clinical • Automate technologist tasks • Automate radiologist tasks procedures operations Outcomes • Fast and accurate scans • Efficient and precise • Automate interventionalist tasks • Standardize practice diagnostic decisions • Improving therapy planning and • More throughput and less waste delivery MR ViosWorks Bone Volume Reading Interventional LiverASSIST Imaging Insights
Solutions examples
<10 min free breathing scan¹ Auto … spine identification & ~68% Complete tumor response 36% increase in exams/wk5 labeling rate vs 36% using conventional KPIs method3 5 25 min MR time saving¹ < 5 sec to label the spine 11% procedure time reduction4 4 week less patient wait time 300mm volume or less2
1 With ViosWorks, possible to perform a 30 min MRI exam and obtain report in minutes. Data on file at Arterys, based on internal study 2018 and based on internal study with semi-automated segmentation of LV epi, LV endo, RV endo and Deep Learning 2 Source: Data on file 3 Hepatic Arterial Embolization Using Cone Beam CT with Tumor Feeding Vessel Detection Software: Impact on Hepatocellular Carcinoma Response - Cornelis et al. Cardiovasc. Intervent. Radiol. 2017. 4 Comparison of the Number of Image Acquisitions and Procedural Time Required for Transarterial Chemoembolization of Hepatocellular Carcinoma with and without Tumor-Feeder Detection Software – Iwazawa et al. Radiology Research and Practice. 2013. 5 Refers to Imaging Insights project recently led at Radiomed http://newsroom.gehealthcare.com/analytics-real-world-radiology-practice-helping-patients-exam-faster-ecr18 © 2019 General Electric Company - All rights reserved Margin enhancement focused on mix, pricing, and cost productivity
Strengthen mix by accelerating highest margin segments… …and continuing track record of cost productivity • Capital allocation against most • $0.2B product and service cost productivity1 in 2018 strategic product/region segments • Delivering 1K+ productivity projects in 2018 • Product and commercial – 80+ cost-out events outperformance in those areas – 200+ should-cost projects
…improve pricing performance • Key drivers: through innovation & rigor… – New products (e.g., Design-to-Value, “should cost” analysis, lower cost electronics, consolidate platforms, increase shared • “Valued” NPI vitality parts) • Compelling value props – Forward production (e.g., improve manufacturing scale up, • Enhanced pricing discipline and standardize install work, proactively redesign to lean assembly) supporting tools – Installed base & services (e.g., improve service parts reliability, increase remote fix connectivity, accelerate “mid life” upgrades)
1 Net material cost reduction, logistics, factory productivity and other product and service cost productivity, partially offset by annual wage inflation 28
© 2019 General Electric Company - All rights reserved Summary for Imaging
Revenue ($ in Billions) How we will grow Imaging
+4% CAGR Continue to drive innovation leadership 8.8 8.4 8.1
Expand digital solutions Services
Accelerate service growth
Equipment Differentiate on quality and customer experience
2016 2017 2018 Enhance margin Outlook: LSD/MSD in near- to mid-term
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© 2019 General Electric Company - All rights reserved Ultrasound
Anders Wold President and CEO, Clinical Care Solutions
© 2019 General Electric Company - All rights reserved Ultrasound has grown into an integral part of many care pathways
Making ultrasound for everyone, everywhere a reality Screening, triage, & evaluation | Deeper diagnosis | Therapy guidance | Monitoring
480,000+ $3B 1,300 Installed Base Revenue from active patents Equipment & Services 40+ products and applications across the entire ultrasound marketplace
Radiology/ OB/GYN & Cardiovascular Point Primary / Breast Vascular Women’s Health of Care Emerging Care Screening Market position #1 #1 #2 #2 #1 #1
Extraordinary images. Clinical focus. Edison enabled A.I. 31
© 2019 General Electric Company - All rights reserved Ultrasound is an attractive ~$8B equipment and services market
Global Ultrasound equipment market Orders ($ in Billions) Drivers of Ultrasound market growth: Fast adoption and expansion of new users via • Real-time scan and diagnostics/decision support • Portability → available wherever the patient is • Low cost → expansion across providers/geographies 6.1 6.4 5.7 • No ionizing radiation
Rapid innovation in clinical care • NPI rhythm drives fast replacement cycle • Shock, structural heart, guiding therapies, triage tool 2016 2017 2018
Outlook: 4% growth in near- to mid- AI makes Ultrasound more precise and simpler term, LSD/MSD in developed markets, • Automate complex tasks, work flow. Reduces user and patient variability MSD in developing markets
Source: All GE internal market size estimates above aggregated from regional reporting on competitive market activity, import/export data (when available), market studies and third-party published reports 32
© 2019 General Electric Company - All rights reserved Leader across a broad portfolio of products with range of customers
Drivers of our position: • Clinical specialization that drives specific innovations for care providers Incredible • Broad portfolio: 40+ products innovation • 125+ probes: advanced tech, all applications across a broad portfolio • Platform technology provides advantages in speed to market and profitability, across value to premium segments
• Digital innovations and AI to increase diagnostic accuracy and in-procedure workflow efficiency
• Go-to-market model tailored to clinical specialties Full Console Portable Compact Tablet Pocket-sized Probes
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© 2019 General Electric Company - All rights reserved Extending reach and innovation along continuum of care
Growth priorities
Core growth New users Services Digitally-led solutions
• Commercial expansion • Expansion of clinical markets • Specialty-specific users’ clubs • Fetal Brain, fetal heart auto • Annual cycle of NPIs, >15 average • Point of Care – 25+ applications • Proprietary digital tools measurement each year, examples: • Primary Care – entry level • Training and accreditation • Shock toolkit – Cardiovascular: Vivid™ E95 • Education is key • Probe services • Breast lesion detection – Women’s Health: Voluson™ E10 • Ultrasound workflow – General imaging: LOGIQ™ E10 enhancement
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© 2019 General Electric Company - All rights reserved Strong product vitality and proven cost reduction support margin expansion
KPIs (2018) Key drivers embedded in culture Annual goals NPI vitality - Competitiveness >15 NPIs NPI Vitality: • Platform based - fast and frequent NPI 35%+ • Refreshed HW - faster cost reduction • Latest technology – higher performance/price protector
Cost reduction in All cost levers at play 8-10% cost material spend YoY: • Global/local - High level Assembly: efficient factory reduction in material • Dual source suppliers: sourcing advantage spend YoY 10% • Low cost country engineering: China, India, Ukraine • End of life rigor: product retirement & life cycle management • Disciplined budgeting: cost out before/embedded in NPIs • Strategic capital allocation: High performance & low cost
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© 2019 General Electric Company - All rights reserved Summary for Ultrasound Revenue ($ in Billions) How we will grow Ultrasound Innovate to grow leadership position and expand margin +7% CAGR 2.7 2.6 Continue to develop new uses and 2.4 new users Services Use our ultrasound leadership to expand our strategic partnerships
Equipment Increase commercial coverage and drive service penetration in large install base 2016 2017 2018 Improve customer experience through Outlook: MSD growth in near- to mid-term GEHC digital tools (Edison)
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© 2019 General Electric Company - All rights reserved Life Care Solutions
Anders Wold President and CEO, Clinical Care Solutions
© 2019 General Electric Company - All rights reserved Life Care Solutions (LCS): clinical care through patient journey
MONITORING SOLUTIONS
#2
MATERNAL & ANESTHESIA & DIAGNOSTIC Parameters & INFANT CARE RESPIRATORY CARE CARDIOLOGY Accessories Market #1 #1 (Anesthesia), #5 (Respiratory Care) #1 Expanding position
Incubators, warmers, fetal Anesthesia delivery, Resting ECG, Stress ECG, Vital signs measurement, monitoring critical care ventilation ECG Management consumables 3M+ $2.2B 1,300 LCS units in use Revenue from active patents Equipment & Services
38 © 2019 General Electric Company - All rights reserved LCS is an attractive $6B global equipment market
Global Life Care Solutions equipment market Orders ($ in Billions) Drivers of growth
• Digital: enterprise solutions for improved care – drives digital and
6.1 equipment sales 5.8 6.0 • Care delivery efficiency: at-scale analytics opportunity
• Acute to sub-acute: monitor the unmonitored; open up 70% of hospital beds to monitoring
• Technology: mobility / wireless / cable-less
2016 2017 2018 • Expanding access: emerging markets Outlook: 2-3% growth in near- to mid-term, LSD in developed markets, MSD in developing • Accessories: Expanding into adjacent accessories segment markets
Source: All GE internal market size estimates above aggregated from regional reporting on competitive market activity, import/export data (when available), market studies and third-party published reports 39
© 2019 General Electric Company - All rights reserved Invested to refresh LCS product portfolio with early results
Recent launches Performance Early results CARESCAPE • Transport monitor expands portfolio: ONE™ 1 Intra- • Optimized data continuity and patient care flexibility Eur’19 hospital • GEHC and partner developed parameters +10% transport
Central • Scalable, centralized surveillance cardiac telemetry $41M orders - Monitoring Unit • Coordinated clinical communication - effective care new category 2.5X (CMU) response Increase in NPI MAC VU360™ • GE’s fastest ECG workstation - redefines “premium” segment +5-6 pts investment • Smart algorithm auto-capture: high-quality ECG margin gain 2016 to 2019
B105/B125 • High quality care at affordable price China ’19E Patient • Scalable across networks +11% Monitors • Patient monitor integrates with other GE devices
Aisys CS² • Fully digital anesthesia Carestation for seamlessly Enabling Carestation™ connectivity analytics v.11 • Over 300 high-fidelity data points captured with every breath
1 Pending regulatory clearance in U.S. and China 40
© 2019 General Electric Company - All rights reserved Digital transformations are creating new business models
Central Monitoring Unit Mural
• Central surveillance of cardiac telemetry patients • Scalable, enterprise digital teleHealth platform Partnering to develop Partnering to develop solutions that matter • Flexibility to decide which alert notifications to solutions that matter • Edison backbone drives efficient, fast development assign to caregiver, without phone calls • teleICU and care protocol compliance • Platform is set-up to incorporate AI tools for additional value-add • Launching now – rapidly expanding global funnel • $41M+ orders (USA) in 8 quarters – new category
teleHealth allows hospitals and health systems to care for patients across departments and geographies
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© 2019 General Electric Company - All rights reserved LCS is building momentum in cost productivity
KPI Key drivers – developing culture Cost reduction in material spend YoY • NPIs accelerating from zero to 10 NPIs, platform based • Material cost out from 3% to 7% per year
2X 7%
3%
2016 2018
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© 2019 General Electric Company - All rights reserved Summary for Life Care Solutions
Revenue ($ in Billions) How we will grow LCS Building platforms to refresh portfolio; fast and frequent NPIs +6% CAGR 2.2 2.0 2.1 Global growth – expanding outside US and new care areas Services
Digital innovations, analytics and teleHealth Equipment Driving cost productivity for expanding value offerings and margins 2016 2017 2018 Expand services for IB and accessories Outlook: LSD/MSD growth in near- to mid-term offerings for new markets
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© 2019 General Electric Company - All rights reserved Services
Jan Makela Vice President & CEO, Healthcare Services
© 2019 General Electric Company - All rights reserved Delivering value to customers throughout the life of equipment
Reported Services revenue ($ in Billions) HCS Services growth drivers ✓ Improving contract capture at time of equipment purchase or post-warranty 8.0 8.2 8.4 ✓ Investing in on-line tools for quotation, renewals, parts sales ... IB & lead management LS
HCS ✓ Expanding clinical & productivity analytics solutions … driven by machine data
2016 2017 2018 ✓ Introducing more clinical upgrades and subscription services to enhance position as trusted partner LSD growth near/mid term ✓ Driving GoldSeal™ growth … upgrade to latest specs & resell Example lifetime of a system:
Traditional Warranty Service Contract Non-contract parts & labour Services support
Value-added Applications, clinical training Upgrade of Console GoldSeal™ End of Offerings and education and/or Hardware repurchase Life Support Purchase New Unit 0 ~1 year Time End of Life
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© 2019 General Electric Company - All rights reserved Services … local, globally for customers and patients
43 customer call centers, 55 parts warehouses, 31 repair centers & 8K field service engineers On-demand Multi-vendor & Upgrades & Contractual services parts & services biomed services refurbishment
• 1 – 5 year contacts, uptime • New and repaired parts; • Capability to serve GE and • Upgrades of consoles & guarantees sales online, phone & direct non-GE IB, longer term image processing elements • Remote fix, <24 hr. • Break/fix, ~90% of parts contracts • Lifecycle services, including response, 79% of issues shipped within 24 hours • Demonstrate value of GE buy-back and resell resolved 1st call equipment & services
Delivering Maximize Flexibility & Operational peace of customers’ quality simplicity mind return
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© 2019 General Electric Company - All rights reserved Productivity improvements for customers translates to improved operational efficiencies for our services team
Constant visibility to customer experience… …informs our execution priorities Product • ↑ Reliability by design Unplanned • ↑ Condition monitoring repairs • Design for serviceability
Resolved on first call Connectivity • ↑ Remote diagnosis & fix Drivers of • Remote download & install customer • ↑ Predictive maintenance experience Equipment connectivity Data & • Online FSE game plan infrastructure • FSE Smart Dispatch Speed, including • Global IT infrastructure remote
Customer • Value-add in-contract tools Constantly Net Promoter success • Premium upsell functionality pulsing … Score • SaaS models, cyber security
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© 2019 General Electric Company - All rights reserved US and Canada
Everett Cunningham President and CEO, GE Healthcare US and Canada
© 2019 General Electric Company - All rights reserved US & Canada
HCS Equipment market1 (TAM) $10B, growing 3% CAGR ’16-’18 22k employees, 14 plants, in-country repair HCS Revenue Customers Growth drivers Nationals • US Healthcare spend expected to grow by 6% Large hospital systems in 2020 $7B • Strong equipment & service franchises Region progressives • Medicare payments shows continued trend • Maintaining market Large regional health systems of reimbursement reduction in ‘20 leadership • Hospital consolidation leading to slower Regional traditionals decision making & increased purchasing Small regional health systems 2018 power
Academics • Trend for bigger and more complex deals … Imaging Academics health systems customers seeking long-term partnerships Ultrasound Life Care Solutions Non hospital • Cybersecurity growing importance among Services Non acute care systems customer base. Therapy guidance growth. Digital
49 1 Source: Imaging, Ultrasound and LCS markets measured in equipment order $; all others based on revenue $ © 2019 General Electric Company - All rights reserved Partnerships that deliver outcome based solutions
Central Monitoring Unit
Greenfield planning & design: 2008-2014 Centralize: telemetry HUB Partnered to optimize imaging monitoring workflow & tech solutions matched with customer needs
Clinical readiness: 2015-2029 Digitize: escalations Equipment & service partnership with long- to nurses term technology certainty, lower life cycle cost & higher utilization
Clinical Workflow
Operational optimization: scalability and beyond Scale: multi-facility, off-site Command Center™ & X-ray apps improving capacity while reducing patient waiting time
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© 2019 General Electric Company - All rights reserved US & Canada growth strategy
Revenue outlook ($ in billions) Execution priorities
• Add “feet on street” aligned to high return segments LSD / MSD $7B • Better align field teams to evolving customer needs
• Differentiate through outcome-based solutions, financing
• Enhance lifetime value for customers: upgrades, services
2018 Near-/mid-term • Invest in tools, analytics & insights for precision selling
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© 2019 General Electric Company - All rights reserved Europe
Catherine Estrampes President and CEO, GE Healthcare Europe
© 2019 General Electric Company - All rights reserved Europe including RCIS
HCS Equipment Market1 (TAM) $6B, growing 5% CAGR ’16-’18 12k Employees, 12 Plants, in-region repair HCS Revenue Customers Growth drivers
Strategic • Increased demand driven by aging population, shift to chronic • Academic Hospitals ~240 • Large Pan- European Accounts $3B Private Groups • Emerging market growth X Strong equipment & large • Large national & EU programs in service franchises oncology, cardiology Market movers X ~7,000 2018 • National Hospitals • Private market expansion, new medium Accounts • Medium Size Private procurement models • Aging installed base – 20% of Imaging Imaging equipment >10 years Ultrasound Local Leaders ~24,000 Life Care Solutions • Private clinics • Digital and AI to increase Accounts Services • small public hospitals productivity Digital
53 1 Source: Imaging, Ultrasound and LCS markets measured in equipment order $; all others based on revenue $ © 2019 General Electric Company - All rights reserved Europe: GE positioned to deliver full solutions
Driving efficiency and quality Integrating AI into healthcare Building innovative partnerships
• Leader in advanced diagnostic • Academic, clinical and Industry • R&D laboratory focused on driving imaging, outpatient and cancer care collaboration digital benefits across care pathways • $100M multi-year, enterprise-wide • Established by the University of technology partnership Oxford with 15 NHS trusts • Data, AI to optimize operating rooms and contrast media dose • Networked imaging fleet w/ • Data hub for collection, storage advanced performance analytics and management of protected data • 6-year upgrade of imaging fleet combined with AI • Full solution: equipment + service • Developing new AI Clinical + digital + contrast media algorithms • Deployment through innovative business model
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© 2019 General Electric Company - All rights reserved Europe growth strategy
Revenue outlook ($ in billions) Execution priorities
• Continue to expand in high growth markets, while maintain strong momentum in mature
LSD / MSD • Increased specialization and grow care pathway $3B partnerships
• Expand AI and digital-enabled transformation
• Enhance lifetime value for customers: upgrades, services, fleet & financing offering 2018 Near-/mid-term • Continued margin expansion
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© 2019 General Electric Company - All rights reserved China
Yihao Zhang President and CEO, GE Healthcare China
© 2019 General Electric Company - All rights reserved China
HCS Equipment Market1 (TAM) $7B, growing 12% CAGR ’16-’18 ~6k Employees, 4 Plants, in-country repair HCS Revenue Customers Growth drivers
• Aging population … 165 million+ ~2,500 Public L3 greater than 65 yrs. old $2B #1 market leader Hospitals • Strong equipment & service franchises • 2030 National Healthcare strategy … healthcare spend Public L2 • Double digit growth ~9,000 growing from 6.5% of GDP to #1 market leader 2015-2018 Hospitals 8~9% by 2030
2018 • Insurance coverage … >95% basic / comprehensive / equal Public L1 & Other Hospitals, clinics, #1 market leader & other care settings Imaging • Rising affordability … 700 million in middle class by 2020 Ultrasound Life Care Solutions Private ~20,000 • County capability focus … 500 L2 Hospitals Services #1 market leader hospitals with upgrade plans Digital
57 SOURCE: Imaging, Ultrasound and LCS markets measured in equipment order $; all others based on revenue $ © 2019 General Electric Company - All rights reserved China: GE positioned to deliver full solutions
Local Private Partnership
+ +
• End-to-end capability, launching • Investing in sales force … enhancing • Partnering with County Hospital Alliance China NPIs across modalities dedicated team including sales, product for L2 upgrade with chest pain + stroke specialists, and enterprise account center & cancer screening solutions • R&D team with 1,000+ engineers, managers including senior roles • Collaborated with NHC to release • Full solutions … Offering full equipment, National Neuro Imaging Guideline to • 4 plants + local supply chain with financing, digital solutions and services. standardize CT & MR scanning for stroke ~300 strategic suppliers • Prioritizing top strategic accounts • Driving hospital training through China positioned to grow over long term Society of Radiology
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© 2019 General Electric Company - All rights reserved China growth strategy
Revenue outlook ($ in billions) Execution priorities
• Expand sales coverage with clinical specialization
MSD/HSD • Enhance lifetime value proposition and customer experience: services, upgrades
• Continue to strengthen local capabilities, NPI launch ~$2B • Drive innovative value creation through digital
2018 Near-/mid-term • Investing in team: key talents, training, lean culture
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© 2019 General Electric Company - All rights reserved Operations and Financials
Monish Patolawala CFO, GE Healthcare VP Operational Transformation, GE
© 2019 General Electric Company - All rights reserved Strong financial position to drive shareholder value ($ in billions) GE Ex- Healthcare Biopharma ‘19 est. ‘19 est.3 Global Leadership across Healthcare Revenue $19.8-20.0 $16.5-16.7 Scale Systems and Pharma Diagnostics markets to drive growth
Trusted Significant portion of recurring Recurring revenue 45%+ Partner revenue
Clear Visibility to continued operating Segment margins 19.3-19.6% 14.4-14.7% Strategy margin expansion
Operating Strong operating cash flow FCF conversion1* 80-90%+ 60-70%+ Rigor generation Core2 FCF conversion 100%+ 90-100%+
1 FCF conversion: segment FCF / segment net income, adjusted to include restructuring expense 2 Core FCF conversion: FCF conversion excluding the effects of reductions (In total approximately $0.6B) during 2019 in sales of customer receivables & supply chain financing relative to prior years, one-time tax items and separation costs 3 Adjusted to exclude Biopharma, as reported within GE * Non-GAAP 61
© 2019 General Electric Company - All rights reserved Key metrics 2019 Estimate, including Biopharma, Reported / Organic1 VPY
Orders Revenues* Segment profit*
$20.9 – 21.1B $19.8 – 20.0B ~$3.8 – 3.9B
Org Org 0-1% / ~3% 0-1% / ~3% 4-6% / 6-8%Org
2019E 2019E 2019E
Free Cash Flow2* $ Segment rate
$2.3 - 19.3- 2.5B 19.6%+ 100%+ core ~0.4 - 0.7 pts FCF conv.3 VPY organic
1 Organic excludes impact of foreign exchange, acquisitions, and dispositions; Revenue: GAAP of $19.8B-20.0B with approx. $(0.5)B reduction due to adjustments; Segment Profit: GAAP of $3.8B-3.9B with approx. $(0.1)B reduction due to adjustments 2 FCF conversion: segment FCF / segment net income, adjusted to include restructuring expense 3 Core FCF conversion: FCF conversion excluding the effects of reductions (In total approximately $0.6B) during 2019 in sales of customer receivables & supply chain financing relative to prior years, one-time tax items and separation costs * Non-GAAP
© 2019 General Electric Company - All rights reserved Supply chain … global scale, technical capability and low cost
38 manufacturing sites in 16 countries with 3,400 Supplier partners
Sourced parts Component manufacturing Vertical integration Chemical processes Best quality material Protecting IP and Localized supply chain from Highest quality and through dual sourcing manufacturing at scale sourcing to installation security of supply
Ultrasound Computed Tomography Probes Detectors Contrast Nuclear Media Tracers
• $4B spend… single/sole • Unique mfg technology, • Global mfg footprint… low • Contrast agents scale… sources at 76% producing “crown jewels” cost, in region / for region 85mm doses / year @ • Regional … ¼ in low cost at scale • Localized value stream cost country • Global… US, Europe, • Quality and regulatory • Nuclear imaging … 24 Japan, China, India expertise hours from cyclotron to patient
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© 2019 General Electric Company - All rights reserved How we’re running GE Healthcare
Targets to Owner Jump off point Goal YTD 1Q 2Q 3Q OCT 4Q Our approach Improve X% Prior Year X% X% X% X% X% • “Bowler” metrics deployed for all KPIs Metric 1 Name X% X% X% Plan X% X% X% X% X% – 14 standard KPIs focused on: X% Actual X% X% X% X% X% • Safety: patient and employee ## Prior Year ## ## ## ## ## • Customer: reliability and delivery Metric 2 Name ## ## ## Plan ## ## ## ## ## • Organic growth and margin ## Actual ## ## ## ## ## expansion ## Prior Year ## ## ## ## ## • Cash generation Metric 3 Name ## ## ## Plan ## ## ## ## ## • Transparent: Corporate sees what we ## Actual ## ## ## ## ## see ## Prior Year ## ## ## ## ## • Pulsed often … daily, weekly and monthly Metric 4 Name ## ## ## Plan ## ## ## ## ## data-driven operating mechanisms ## Actual ## ## ## ## ## • Embracing “reds” to drive root cause analysis and countermeasures ## Prior Year ## ## ## ## ## Metric 5 Name ## ## ## Plan ## ## ## ## ## ## Actual ## ## ## ## ## ## Prior Year ## ## ## ## ## Metric 6 Name ## ## ## Plan ## ## ## ## ## ## Actual ## ## ## ## ##
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© 2019 General Electric Company - All rights reserved Expanding segment margins ($ in billions)
Segment Profit Our approach 1 Improving capital allocation 19.3-19.6% • Targeted increases in R&D and programs to highest returning 18.7% product lines and projects, reductions to lower ROI segments Segment • 3X investment in product cost out, digitization / automation vs.’15 profit % 16.3% • Exited low ROIC businesses ... Clarient (‘15), Dharmacon (’17), Value Based Care (‘18) 3.8-3.9 2 Driving product & service productivity Segment 3.7 profit $ 2.9 • Doubled rate of productivity through investments, accountability • Delivering $0.3B product and service productivity / year (ex-Tariffs) 3 Accelerated pace of NPI, investing in digital capabilities • Targeted investments in priority products, AI/analytics, digital platform and partnerships 2015 2018 2019E 4 G&A efficiency Ex-Biopharma 14.4-14.7% (est) • Reduce ERPs, improve digital toolsets, spans / layers
Reported margins up ~3+ pts from ’15 … Targeting 25 – 75 bps per year improvement
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© 2019 General Electric Company - All rights reserved Healthy funnel of investments with strong returns
Strong project funnel Rigorous capital allocation Examples of outcomes
New products & services Imaging NPI average 6 pts cost vs. predicate ~10% Warranty savings rate in ‘18
Logistics Material cost reduction Factory & Service 7% material cost out in ’18 Material Deflation Single/sole sources down (2) pts since ‘15
Design Engineering Service productivity Automation/digitization, footprint 1st call resolution up 1 pt. vs. ’18 to 79% Labor hours per system under contract 2 pts YTD New Products, Apps or Services
Safety and customer reliability G&A efficiency Consolidated 49 ERPs → 3 Strategic ERPs ~3k+ projects in funnel Prioritized by ROI “Touchless” order: $(22)M inventory
Investing $1.5B per year1
1 - Includes R&D expense, externally funded R&D, capitalized software, and other program investments 66
© 2019 General Electric Company - All rights reserved Investments that drive growth ($ in billions)
Spend profile Priorities aligned to highest Returns
Ex-Biopharma • Continued NPI vitality with 61 launches in 2018, including product innovation for local needs R&D expense % of sales • Balancing short and long term returns – next generation ~5% detector technology, Nuclear tracers in immunotherapy & mobile technology
Total Engineering efforts1 • Digital spend to support AI, cloud-based image visualization & % of equipment sales Platform capabilities
~9-10% • Improved reliability, design for value, cost to serve
• Global, local player with engineering COEs in best cost countries
1 - Includes R&D expense, externally funded R&D, and capitalized software 67
© 2019 General Electric Company - All rights reserved Product and Service cost out ($ in billions)
Cost productivity1/year Material • Design for lifecycle cost, including manufacturing & serviceability Ex-Biopharma Cost • Improve dual sourcing by 6+ pts by ‘21, increased local sourcing
• Digital analytics & automation driving packaging & lane consolidation Logistics 0.3 ~0.3 • Ocean shipments up 5 pts YTD and premium freight down (5) pts
• Consolidating plant network, assembly to best cost locations Factory • Lean focus: standard work, lead time reduction, inventory turnover
• Reducing events through reliability improvements & quality Services • Improving remote fix rate by 2 pts in ‘20
• Installation: standard work, improving parts availability 1 2 Others ‘18 ’19E • Warranty: improving reliability and standardizing terms
1 Net material cost reduction, logistics, factory productivity and other product and service cost productivity, partially offset by annual wage inflation 68
© 2019 General Electric Company - All rights reserved Lean in action: Florence MR site
At beginning of the week … .. Action Work Out held .. … by end of week
Status quo Value-stream mapped current state $70M • Pull consumption, Kanban • Improve TAKT execution Inventory Turns Inventory < Benchmark Identified Stacked Lead time 6 months+ 30% • Improve Date Management Productivity rate Value Stream Map: Order Operations Lead Time • Reduced WIP LSD • VSM’s completed Actions • (30)% LT in 1 key change • 154 days LT vs. 54 days Processing Time • 8M in Factory savings We can be better! • 7 AM to 7 PM … intense days! $50M Approach we took Redesigned processes for 2020 Cost out • 10M in logistics opportunity Funnel Growth • 3M P&E avoidance Held AWO 130 participants Including CEO staff 16 • Crane elimination 11 Teams aligned to EHS risks • Automation of key step in Value Streams • More than 54 Kaizens implemented eliminated magnet production Lean Experts • 109+ Kaizens logged Onsite
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© 2019 General Electric Company - All rights reserved Lean goes beyond our factories
Product & • Reducing scrap & waste in plants • Further improving On time Delivery World-class service • Improving service 1st call resolution rate delivery • Best-in-class Installation experience cost out
• Improved billing quality, disputes • VSM map of financial close process Commercial Functions operations • Lean AWO in quoting processes • Optimize recruitment & onboarding
• Visual, automated KPI scorecards • Reducing lead & wait times Daily Inventory management • Root cause / countermeasures training • Moving to ‘pull’ production methods
Business lean leader appointed, hands-on training through AWOs
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© 2019 General Electric Company - All rights reserved Free Cash Flow* ($ in billions, includes Biopharma) 2018 Working capital cash flow ’18 Cash Flow 2018 Payables Inventory Net Earnings ex depreciation & amortization $3.3 $0.3 Working capital 0.1 $(0.2)
Unbilled receivables1 (0.2) 1 1 ’17 ’18 ’17 ’18 Taxes/Other operating2 0.4 Days to Pay5 69 81 Inventory Turns7 3.6 3.4 CFOA $3.5 Better payable terms with direct suppliers Support growth, more level loading PP&E & internal use software (0.5) Receivables Progress collections Free cash flow* $3.0 $(0.1)7 $0.0 FCF* Conversion %3 124% 1 Biopharma $1.1 1 ’17 ’18 ’17 ’18 FCF* ex-Biopharma4 $1.9 Days Sales Outstanding8 64 59 % Equipment Backlog 4% 5% FCF* Conversion ex-Biopharma %3 124% Regional mix and terms improvement Driven by timing of commercial deals
1 Component of Contract and other deferred assets 2 Includes primarily deferred income taxes, service billed in advance, employee incentives, restructuring and product software capitalization 3 FCF conversion: segment FCF / segment net income ($2.4B), adjusted to include restructuring expense 4 Biopharma CFOA (GAAP measure): $1.2B – 0.1B = 1.1B Biopharma FCF (Non-GAAP) 5 (Average of Q4 and Q3 Trade Payables Balance) / (Q4 AP Purchases x 4 ) * 365 6 (Q4 Costs of Goods Sold x 4) / (Average of Q4 and Q3 Inventory Balance) 7 Includes impact of monetization 8 (Average of Q4 and Q3 Gross Trade Receivables Balance excluding Monetization) / (Q4 Sales x 4 ) * 365 * Non-GAAP 71
© 2019 General Electric Company - All rights reserved Wrap
Kieran Murphy President and CEO, GE Healthcare
© 2019 General Electric Company - All rights reserved Strong Bold Investing Healthcare growth Lean … for the franchise … agenda… future
Significant opportunity for value creation Near-/mid-term financial outlook
LSD/MSD +25-75 bps 85 - 95%
Revenue growth Margin expansion FCF conversion* per year per year
* Non-GAAP 73
© 2019 General Electric Company - All rights reserved
Financial summary ($ in Billions)
Reported 2018 2019E Revenue $19.8 $19.8-20.0 VPY FCF conversion 2019E Factoring & supply chain finance reductions ~(14) pts. Segment margin % 18.7% 19.3-19.6% Tax unusuals/timing ~(5) pts. FCF1 conversion % 124% 80-90%+ Separation & legal ~(11) pts. Without Biopharma 2019E Revenue 16.5-16.7 Core FCF conversion to FCF conversion drivers 2019E Margin % 14.4-14.7% Factoring & supply chain finance reductions ~(20) pts.
FCF1 conversion % 60-70%+ Tax unusuals/timing ~(4) pts.
Core FCF2 conversion % 90-100%+ Separation & legal ~(9) pts.
1 Non-GAAP; FCF conversion: segment FCF / segment net income, adjusted to include restructuring expense 2 Core FCF conversion: FCF conversion excluding the effects of reductions (In total approximately $0.6B) during 2019 in sales of customer receivables & supply chain financing relative to prior years, one-time tax items and separation costs 75
© 2019 General Electric Company - All rights reserved