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Itamar Medical Investors Presentation June 2016

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Page 1: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

Itamar Medical

Investors Presentation June 2016

Page 2: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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Disclaimer

Itamar Medical Ltd. (the "Company") is furnishing this presentation and any information given during this presentation, solely for the consideration of eligible investors who have the knowledge and experience in financial and business matters and the capability to conduct their own due diligence investigation in connection with the investment outlined herein. Prospective investors are urged to conduct an independent evaluation of the Company. This presentation does not constitute an offer of securities of the Company, or a solicitation to acquire or sell the Company’s securities or to participate in any investment in the Company. The statements in this presentation should not be regarded as a basis for an investment decision of any kind, or as recommendation or opinion, or a substitute for investor discretion Statements in this presentation that are not historical facts might be considered as forward-looking statements based on current expectations of future events, in accordance with the Israeli Securities law, 5728-1968 (the “Securities Law”). These forward-looking statements involve known and unknown risks and uncertainties. Many factors could cause the actual results, performance or achievements of the Company to be materially different from any future results, performance or achievements that may be expressed or implied by such forward-looking statements as a result of different factors including, but not limited to, the market demands for the Company's products; changes in general economic and business conditions; inability to maintain market acceptance of the Company's products; inability to timely develop and introduce new technologies and products; rapid changes in the market for the Company's products; loss of market share and pressure on prices resulting from competition; introduction of competing products by other companies; inability to manage growth and expansion; inability to attract and retain qualified personnel; and inability to protect the Company's proprietary technology. All forward-looking statements included in this presentation are made only as of the date of this presentation. We assume no obligation to update any written or oral forward-looking statement made by us or on our behalf as a result of new information, future events, regulatory changes, delay or withholding of regulatory approvals, inability to obtain or maintain medical insurance reimbursement fro Company's products, negative results of clinical trials or other factors. The United States and Israeli securities laws prohibit any person who has material non-public information about a company ("Inside Information"), from purchasing or selling securities of such company, or from communicating such information to any other person under circumstances in which it is reasonably foreseeable that such person is likely to purchase or sell such securities. Statements in this presentation and in any information given during this presentation might be considered as Inside Information, in accordance with the Securities Law. Therefore, any person aware of this presentation or of any information given during this presentation, may neither use, nor cause any third party to use, any Inside Information or any other information provided in connection with the presentation, in contravention of the Securities Law or any such rules and regulations thereunder. The Company, and its respective affiliates, employees and representatives expressly disclaim any and all liability relating to or resulting from the use of this presentation or any information given during this presentation or such other information by a prospective investor or any of its affiliates or representatives.

Presenter
Presentation Notes
Before and After - slide 16y old company – $13M YoY flat, Research. New management, Gilad JNJ, Commercialization focus – unrealized assets, Shareholder mix + capital, 3 deals recently – mostly not in the sales yet Q1 – 1 del, Q2 – 2 deals, balance growth and valuation for timing.
Page 3: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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Itamar Medical

• Publicly traded (TASE:ITMR) since 2007 • HQ, R&D and production in Israel (140 employees) • Product lines

• WatchPAT™ Ambulatory sleep disorders & Total Sleep Solution

• EndoPAT™ Early detection and risk assessment of cardiovascular disease

• Main Markets • US, Japan, China & Europe

• Sales • 2015: $16.8M

Itamar Medical Corporate HQ

Itamar Medical HQ (Franklin, MA)

Itamar Medical Japan HQ (Tokyo)

Note: The above reflect the holdings rates as of March 31, 2016

Presenter
Presentation Notes
Our Headquarters
Page 4: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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Itamar Medical’s Proprietary Technology Health Being Made Simple

EndoPAT™

WatchPAT™

The arterial endothelial system

The autonomic nervous system

Page 5: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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Sleep: WatchPAT™

Simply Transforming Sleep Management

Page 6: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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A Better Way to Diagnose Sleep Apnea

6

Spend a night in a lab

Requires skilled staff

Sleep in your own bed

Easy self-administration

Polysomnography (PSG) WatchPAT™

Page 7: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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Sleep Apnea - a significant comorbidity to most cardiac disease directly increasing medical costs**

• Major Prevalence ~25% of adult population* or 60 million Americans, of which ~40 million undiagnosed*

• Treatment options readily available:

* Source: American Academy of Sleep Medicine, Peppard, et al., American Journal of Epidemiology (2013)

** Seet & Chung, Anestsiology Clin 2010

CPAP Surgery Oral Appliance

Normal Breathing Airway is open, Air flows freely to lungs

Obstructive Sleep Apnea Airway collapses, Blocked air flow to lungs

Obstructive Sleep Apnea (OSA)

Presenter
Presentation Notes
What is Sleep Apnea – Symptoms of Snoring and Tiredness Explain collapse of the soft tissue and causing block of air Treatment options readily available Decision – explan VA + Kaser in context of no AASM
Page 8: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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The Traditional Sleep Market – USA

*Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014,

“Obstructive Sleep Apnea is expected to grow during 2014-2018 at one of the fastest rates among all Medical Technologies” (Goldman Sachs Research)

Number of Sleep Tests Performed (M)*

Lab

Lab

Lab

Home Test

Home Test

Presenter
Presentation Notes
Need to emphasis Cardiology We see positive momentum/ movement to HST but have decided to leverage our strength and relationship in Cardiology . Going to be Premier Company in cardiology space
Page 9: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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A Paradigm Shift to Home Sleep Testing

Current Disadvantages ? Not with WP !

Page 10: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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Simplicity of Pulse Oximetry, Accuracy of PSG

8+ parameters

+ sleep stages,

+ true sleep time

Home PSG

4-5 parameters

AHI, RDI, snoring, position

Cardio Pulmonary Systems

1-2 parameters

saturation

motion

Pulse Oximetry

SIMPLICITY / COMFORT

Embla, Aura-Grass, Philips Alice Pdx

Embletta, ARES, Philips Stardust, Resmed Apnea link, Carefusion Nox T3,

Cadwell ApneaTrak

Nonin, Masimo

Lab PSG Test completion rate

98% vs 80%* Misdiagnosis 3% vs 20%**

Auto-detection of Central Apnea mix***

WatchPAT™

“ US and European Sleep Disorder Diagnostic Devices Market “, Frost & Sullivan ; M9AC-54 February 2014 ** Comparison of Apnea Hypopnea Index (AHI) Using Recording Time vs. Sleep Time”; Schutte-Rodin; SLEEP Volume 37, 2014 *** FDA submission June 8th 2016 – pending FDA clearance

PAR

AM

ETER

S

Page 11: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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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

Page 12: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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Providing a Solution to an Unmet Need in Cardiology

Sleep apnea (OSA)

Primary symptoms: snoring, fatigue

Secondary impact: cardiology comorbidity

Traditional “sleep market”

Underserved cardiology market

Pulmonologists Cardiologists

Complex, uncomfortable

sleep lab tests with long wait times

MISSING: a full solution

for the cardiology department

Page 13: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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Treatment of OSA Reduces Cardiovascular Disease Readmission

• Upenn Schwab,et el Journal of Clinical Sleep medicine, Oct 2014

PAP compliance:

Cardiovascular patients with OSA: • Heart failure • Arrhythmias • Mayocordial

infarction

Non-readmission probability

Page 14: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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Treatment of OSA Reduces AFib Recurrence Post Ablation

36.7%

71.9%

66.7%

Atrial fibrillation patients after a

catheter ablation

Sleep apnea, not treated

Sleep apnea, treated

No sleep apnea

12 months AF success rate

• Simplified results from Fein, Anter, Josephson et al. JACC July 2013

Page 15: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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Treatment of OSA Reduces AFib Recurrence Post Ablation

Page 16: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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Full Solution for Cardiologists – Total Sleep Solution™ (TSS)

Page 17: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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TSS for AFib – a Systematic Approach: a Consensus in the Making

Electrophysiologists are increasingly acknowledging the link between atrial

fibrillation and sleep apnea. At the University of Chicago sleep physicians work with heart rhythm specialists in a

new care model that could improve patient outcomes.

Prof. Hugh Calkins, chairman of the AFib task force by HRS/AHA/ESC Director of the Electrophysiology Laboratory and Arrhythmia Service at Johns Hopkins Hospital

There is clear evidence demonstrating OSA to be a significant risk factor for AF. In

addition, treatment of OSA is an important component of AF management, particularly

when cardioversion or PVI is used. The strength of the evidence warrants consideration of routine clinical

screening for OSA prior to use of a rhythm control strategy.

Prof. Babak Mokhlesi, Director of the University of Chicago's Sleep Disorder Center

Page 18: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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Partnerships

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Sleep WatchPAT

Cardiology Sleep

AFib* Treatment

WatchPAT

Total Cardiology

Direct

WatchPAT total solution for cardiology - putting cardiac diseases to sleep

*Core sleep US is still a significant base and revenue growth source

Co-Marketing

Distribution

CPAP TX for Cardio

ITMR Distribution

Patient Screening &

Referral

Sleep Study

Study Interpretation

Treatment TSS

Reimbursement

Reimbursement

Reimbursement

Page 20: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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Traditional Risk Factors are not Effective in Predicting Heart Attacks

FACT: >50% of coronary deaths* had NO previous symptoms

FACT: ~50% of heart attacks

were NOT “high risk”!

* 64% of women who died suddenly had no symptoms! AHA 2014 Statistics

EndoPAT was proven to be an independent risk factor for heart disease

Page 21: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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How Does the EndoPAT Test Work?

15 min Short test at the physician’s office

Non-invasive Measurement with fingertip sensors

Immediate Results automatically generated

Operator Independent

Easy to Use

Proven as Independent Risk Factor

The only non-invasive test FDA cleared for Endothelial Dysfunction testing

Page 22: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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Early Detection of Underlying Disease Progression

Endothelial Dysfunction

Primary Secondary

Prevention

Page 23: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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Addressing Clinical Needs

• A novel, independent risk factor that may be used for re-stratification of patients

New Risk Factor

• Monitoring and optimization of treatment effectiveness

Treatment Titration

• Monitoring of patients’ compliance to given treatment

Patient Compliance

Page 24: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

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Clinical Indications

Cardio Vascular Disease (CVD) – EndoPAT serves as a predictor of CVD and in identifying near-future cardiac risk

Diabetes - EndoPAT is the only device that can assess the micro vessel function - a key component in diabetes

Women's Health - EndoPAT effectively helps identify high-risk women who present atypical symptoms and can otherwise go undiagnosed

Erectile Dysfunction (ED) – EndoPAT can attest that the ED is a manifestation of endothelial dysfunction

Smoking Cessation - EndoPAT acts as a strong motivating tool to convince patients to stop smoking and monitor their progress

Occupational Screening – EndoPAT can act as a health screening tool for employers/payers

Page 25: Itamar Medical · 8 . The Traditional Sleep Market – USA * Sleep Testing Volumes and Reimbursement in the United States; Frost & Sullivan , August 13th, 2014, “Obstructive Sleep

Thank You!