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Annual Report and Accounts 2006 - Optos

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Operational <strong>and</strong> Financial Review<br />

continued<br />

North America<br />

North America remains the largest<br />

opportunity for the Company, <strong>and</strong> our<br />

excellent progress continued during<br />

the year. Revenues in North America<br />

grew by 41% to $64.7 million, with<br />

$59.3 million generated in the United<br />

States <strong>and</strong> $5.4 million in Canada.<br />

Primary care optometry remains our<br />

core customer target segment in<br />

North America, where we estimate<br />

that there are approximately 21,300<br />

addressable practices, of which 20,000<br />

are located in the United States. An<br />

addressable practice is one that is<br />

sufficiently clinically focused <strong>and</strong> large<br />

enough to commercially integrate the<br />

P200 device <strong>and</strong> the optomap® Retinal<br />

Exam. During the year, we installed<br />

508 new devices in the United States<br />

<strong>and</strong> closed the year with an installed<br />

base of 2,324 P200 devices. In Canada,<br />

our installed base grew by 42 to 151.<br />

Our total installed base in North<br />

America at the year end stood at 2,475,<br />

up by 29% from 1,925 at the end of our<br />

last financial year, <strong>and</strong> representing<br />

12% of the estimated addressable<br />

market.<br />

During the year, we extended our<br />

collaboration with electronic medical<br />

records providers <strong>and</strong> produced<br />

digital animations to promote the<br />

optomap® Retinal Exam. We also<br />

worked in partnership with Johnson<br />

& Johnson, Marco, Officemate <strong>and</strong><br />

Eyemaginations on an exhibit that<br />

demonstrated to practitioners<br />

ways of delivering the optimum<br />

patient experience during an eye<br />

health examination. These initiatives<br />

were well received at the major<br />

optometric <strong>and</strong> ophthalmic meetings<br />

<strong>and</strong> exhibitions during the year,<br />

including the American Academy<br />

of Ophthalmology, the American<br />

Optometric Association, the South<br />

Eastern Congress of Optometry, Vision<br />

Source <strong>and</strong> Vision Expo East <strong>and</strong> West.<br />

At each of these, we secured new<br />

customer contracts <strong>and</strong> extended the<br />

contract life of many of our existing<br />

customers.<br />

We continued to operate our <strong>Optos</strong><br />

Academy programme, which has<br />

proven popular with practitioners<br />

<strong>and</strong> practice staff at major exhibition<br />

events. These educational workshops<br />

are designed to provide attendees<br />

with updates on topics such as<br />

disease trends in primary eyecare,<br />

reimbursement guidelines <strong>and</strong> using<br />

our Retinal Exam <strong>Annual</strong> Protocol<br />

(“REAP”) to drive compliance levels,<br />

<strong>and</strong> targeted ophthalmoscopy,<br />

which is a programme we launched<br />

to explain to practitioners how they<br />

can use the optomap® Retinal Exam<br />

as the first step in every annual<br />

comprehensive examination. We<br />

believe that this type of educational<br />

support, combined with the clinical<br />

<strong>and</strong> financial benefits of having our<br />

P200 device installed in the practice,<br />

provides practitioners with compelling<br />

reasons to offer the optomap® Retinal<br />

Exam to all their patients.<br />

“Revenues in Europe grew by 24%<br />

to $3.0 million, with $2.3 million<br />

generated by our UK business <strong>and</strong><br />

$0.7 million in Germany. ”<br />

Bruce Doney, Senior Embedded Software/<br />

FPGA Engineer; Fiona Macpherson,<br />

Principal Engineer; <strong>and</strong>, Richard Moore,<br />

Senior Development Engineer.<br />

Our existing customer base in North<br />

America is comprised primarily of<br />

independently owned <strong>and</strong> operated<br />

eyecare practices. This customer group<br />

remains a priority, <strong>and</strong> the addressable<br />

market within this segment continues<br />

to hold significant potential. We<br />

have also determined that there are<br />

commercial opportunities within<br />

the corporate optical <strong>and</strong> eyecare<br />

chain customer segment. We have<br />

stepped up our efforts to capture new<br />

business from within this segment. A<br />

National <strong>Accounts</strong> Group under the<br />

leadership of a Senior Sales Director<br />

has been established, with the<br />

remit to secure additional business<br />

from within the eye-health focused<br />

corporate optometric chains, practices<br />

with multiple locations <strong>and</strong> military<br />

establishments.<br />

We signed an agreement with<br />

LensCrafters Inc., a leading US-based<br />

optical retail chain, where 60 of the<br />

optometric practices connected with<br />

the 1,200 retail locations owned by<br />

LensCrafters <strong>and</strong> its affiliates installed<br />

our P200 device. In the latter part of<br />

the year, a test-marketing television<br />

advertising campaign was launched<br />

in the Jacksonville, Florida area by<br />

Pearle Vision, a LensCrafters affiliate.<br />

This direct consumer campaign<br />

focused on presenting the Pearle<br />

Vision practitioner as a trusted eye<br />

healthcare provider, <strong>and</strong> has led<br />

to increased adoption rates of the<br />

optomap® Retinal Exam. We believe<br />

that the agreement with LensCrafters<br />

Inc. provides us with a valuable<br />

commercial platform to generate<br />

additional business from within<br />

LensCrafters <strong>and</strong> its affiliates. During<br />

the year, OptiCare Eye Health & Vision<br />

Centers Inc. installed the P200 device<br />

in each of its 18 eyecare practices in<br />

the state of Connecticut.<br />

Seven of the sixteen schools of<br />

optometry now use the P200 device<br />

<strong>and</strong> include the optomap® Retinal<br />

Exam as part of the curriculum <strong>and</strong><br />

educational training programme.<br />

Our aim is to have our P200 device in<br />

every such institution to ensure that<br />

all students entering the profession<br />

have had extensive exposure to our<br />

P200 device <strong>and</strong> the optomap®<br />

Retinal Exam during their training <strong>and</strong><br />

before being admitted to practice.<br />

In the seven existing locations, our<br />

device is being used to facilitate<br />

patient care <strong>and</strong> to assist students in<br />

the recognition of retinal conditions<br />

<strong>and</strong> abnormalities. We also advocate<br />

that the schools of optometry use<br />

the optomap® Retinal Exam as a<br />

reliable confirmation of findings<br />

24%<br />

Increase in revenues in Europe.<br />

With $2.3 million generated by our UK<br />

business <strong>and</strong> $0.7 million in Germany.<br />

118<br />

Total installed base in Europe.<br />

Up by 40% from 84 at the same<br />

time last year.<br />

when teaching the use of other<br />

methods of examining the retina using<br />

conventional manual instrumentation.<br />

This is achieved by first looking at<br />

the optomap® Retinal Exam <strong>and</strong><br />

then directing the student to find<br />

the condition using, for example, a<br />

Binocular Indirect Ophthalmoscope.<br />

This approach – which we have<br />

named Targeted Ophthalmoscopy<br />

– is recommended in all of our private<br />

practice <strong>and</strong> corporate locations as<br />

well as in the university setting.<br />

The United States is our largest country<br />

market <strong>and</strong> we believe offers the most<br />

potential for us to significantly grow<br />

our business. Accordingly, during the<br />

year, we put in place a number of<br />

initiatives designed to capitalise on the<br />

US opportunity. In the latter part of the<br />

financial year, we implemented a new<br />

programme known as Partner Visit<br />

Protocol (“PVP”), which is designed to<br />

increase practice revenue by enabling<br />

our Customer Focus Teams to work<br />

more closely with our customers to<br />

integrate the optomap® Retinal Exam<br />

deeper into their practices. Customers<br />

have welcomed this initiative <strong>and</strong> we<br />

are seeing improved revenue per site<br />

in those practices where PVP has been<br />

fully implemented.<br />

<strong>Optos</strong> plc <strong>Annual</strong> <strong>Report</strong> & <strong>Accounts</strong> <strong>2006</strong> 13

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