Infratil Limited/Announcement
Infratil Limited logo

Infratil announces offer to acquire stake in Qscan

M&A26 October 2020IFTUtilities

Infratil Limited 5 Market Lane, PO Box 320, Wellington, New Zealand Tel +64-4-473 3663 www.infratil.com

26 October 2020




Infratil announces offer to acquire stake in Australian diagnostic imaging business, Qscan


Infratil Limited (“Infratil”) announces that it has executed a conditional offer to acquire up to 60%

of Qscan Group Holdings Pty Ltd (“Qscan”), a comprehensive diagnostic imaging practice

throughout Australia, from Quadrant Private Equity (“QPE”) and existing doctor and management

shareholders, for total cash equity consideration of up to A$330 million. Infratil has made the offer

in conjunction with the Morrison & Co Growth Infrastructure Fund (“MGIF”), which has conditionally

offered to acquire up to ~15% of Qscan.


If the acquisition proceeds, the existing doctor and management shareholders will retain ownership

of at least ~25% of Qscan. As the majority investor, Infratil will have strong governance rights

consistent with its shareholding and, together with MGIF and the doctor and management

shareholders, will be able to drive the continued development and growth of the business.


The acquisition Enterprise Value of A$735 million implies an EV/EBITDA multiple of 12.7-14.1x

1


and is subject to usual completion adjustments for net debt, net working capital and capital

expenditure.


The acquisition process involves two steps:


• Infratil and MGIF have executed a Binding Offer Deed, under which they have made a

conditional offer to acquire up to 75% of Qscan. The offer is conditional on doctor and

management shareholders holding the equivalent of ~25% to 32.5% of the business post-close

as a result of electing to reinvest some of their proceeds into the new holding vehicle. That

election process will occur over the next ~2 weeks. If this condition is not satisfied by

10 November 2020, the acquisition will not complete and both Infratil and MGIF will be entitled

to recover their transaction costs.


• If the condition is satisfied, QPE and the other existing shareholders are required to accept the

offer. Completion of the acquisition is also conditional on obtaining FIRB

2

approval and,

subject to obtaining that approval, would be expected to settle in December 2020 or early 2021.


In June 2020, Infratil raised additional equity of NZ$300 million to pursue its growth agenda and

take advantage of any other investment opportunities that may arise. The proceeds of the equity

raise were initially used to reduce drawn bank facilities, which can now be applied to fund the Qscan

acquisition.


“Qscan provides a high-quality entry point into a sector with structural long-term growth

and potential to scale into a leading healthcare infrastructure platform,” said Marko Bogoievski,

CEO of Infratil. “The Diagnostic Imaging sector benefits from long-term demographic tailwinds and

technological advances that will allow it to play a growing role in the early detection of diseases

such as cancer. Ultimately, increased investment in Diagnostic Imaging will reduce overall

healthcare system costs while improving patient outcomes.”



1

EV/EBITDA multiple is based on forecast EBITDA of A$52-58 million for the year to 30 June 2021

2

Foreign Investment Review Board of Australia

2

“Qscan is a market leader in a growth industry. It has a secure revenue base backed by strong

referral networks and a track record of strong, profitable growth, with significant further growth

potential,” said Paul Newfield, Head of Australia & NZ for Morrison & Co. “Qscan is also known for

the quality of its Doctors and the strength of their sub-specialty expertise”.


Qscan was established in 2006 and has grown from a single clinic and hospital contract to a group

operating a comprehensive portfolio of 70+ clinics across Australia, including a network of 10 clinics

offering PET (Oncology).


The Qscan investment will be managed by Morrison & Co on behalf of Infratil and MGIF. Qscan is

currently owned by funds associated with Quadrant Private Equity, doctors and management.


Further details of the acquisition process and terms are set out in the Investor Presentation also

provided to the NZX and ASX today.



Any enquiries should be directed to:


Phillippa Harford, Chief Financial Officer, Infratil Limited, Phillippa.harford@infratil.com

---

Acquisition of
QscanGroup

Investor Presentation

26 October 2020

InfratilInvestor Presentation –26 October 2020
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InfratilInvestor Presentation –26 October 2020
Disclaimer

Financialdata

ThispresentationcontainscertainfinancialinformationrelatingtoQscanGroupHoldingsPtyLimited(Qscan),whichhasbeenderived

frombothauditedandunauditedfinancialinformationrelatingtoQscan.

Thispresentationcontainsproformahistoricalfinancialinformation.Inparticular,InfratilhaspreparedaproformaNetDebtandgearing

positionofInfratilas30September2020asiftheAcquisitionhadtakenplaceonthatdate.Theproformahistoricalfinancialinformation

providedinthispresentationisforillustrativepurposesonlyandshouldnotberelieduponas,andisnotrepresentedas,beingindicative

ofInfratil’sfuturefinancialcondition.

Thispresentationcontainscertainfinancialinformationandmeasuresthatare“non-GAAPfinancialinformation”undertheFMAGuidance

Noteondisclosingnon-GAAPfinancialinformation,"non‐IFRSfinancialinformation"underRegulatoryGuide230:‘Disclosingnon‐IFRS

financialinformation’publishedbytheAustralianSecuritiesandInvestmentsCommission(ASIC),andarenotrecognisedunderNew

ZealandequivalentstoInternationalFinancialReportingStandards(NZIFRS),AustralianAccountingStandards(AAS)orInternational

FinancialReportingStandards(IFRS).Thenon-IFRS/GAAPfinancialinformationandfinancialmeasuresincludeEBITDAandNetDebt.The

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andtherefore,maynotbecomparabletosimilarlytitledmeasurespresentedbyotherentities,norshouldtheybeconstruedasan

alternativetootherfinancialmeasuresdeterminedinaccordancewithIFRS,AASorIFRS.AlthoughInfratilbelievesthenon-IFRS/GAAP

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EBITDAreferstonetearningsbeforeinterest,tax,depreciation,amortisation,foreignexchangeandfinancialderivativemovements,

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Infratilhasa31Marchfinancialyearend.

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InfratilInvestor Presentation –26 October 2020
Transaction

Summary

Infratil to

acquire up to

60% of

diagnostic

imaging

business Qscan

Group for

up to A$330

million

4

Transaction

summary

•Infratil has executed a conditional offer to acquire up to 60% of QscanGroup Holdings (‘Qscan’), a

comprehensive diagnostic imaging practice throughout Australia, from Quadrant Private Equity ('QPE’) and

existing doctor and management shareholders, for total cash equity consideration of up to A$330 million

•Infratil will be investing alongside the Morrison & Co Growth Infrastructure Fund (‘MGIF’) (~15%) and

existing Doctor shareholders (~25%)

•The acquisition Enterprise Value (‘EV’) of A$735 million

1

implies an EV/EBITDA multiple of 12.7-14.1x

2

•The acquisition is strategically and financially compelling for Infratil shareholders:

✓The diagnostic imaging sector is an essential services industry, offering a combination of defensive

characteristics andstructural long-term growth

✓Qscanis a market leader with a secure revenue base backed by established referral networks and a track

record of strong, profitable growth with significant organic and inorganic growth options

✓Qscan’spartnership model establishes it as the infrastructure and services provider, with radiologists the

providers of patient care

✓Qscanis a highly cash generative business, that also offers reinvestment options which give Infratil a

clear path to build a scale healthcare infrastructure platform

•As the majority investor, Infratil will have strong governance rights consistent with its shareholding and,

together with MGIF and the doctor and management shareholders, will be able to drive the continued

development and growth of the business

Funding

•A$735 million acquisition enterprise value is funded via up to A$550 million of equity with the balance

funded from debt facilities at the operating company level

•Infratil’s investment will be funded from existing bank facilities and available capital

•As at 30 September 2020, Infratil had total available liquidity of NZ$609 million, comprising undrawn bank

debt facilities of NZ$593 million and cash of NZ$16 million. This incorporates the NZ$300 million proceeds

from the June equity raise and NZ$180 million proceeds from the Tilt Capital Return

1

The purchase price is subject to post completion adjustments for net debt, net working capital and capital expenditure as at completion of the acquisition

2

EV/EBITDA multiple is based on forecast EBITDA of A$52-58 million for the year to 30 June 2021

InfratilInvestor Presentation –26 October 2020
Transaction

Process

Infratil to

acquire up to

60% of

diagnostic

imaging

business Qscan

Group for

up to A$330

million

5

Transaction

process

The transaction process involves two steps:

•On 24 October,Infratil and MGIF executed a Binding Offer Deed, under which Infratil and MGIF made a

conditional offer to enter intoan agreed form Share Sale Agreement to acquire up to75% of Qscan

•The offer is conditional on doctor and management shareholders holding the equivalent of ~25% to 32.5%

of the business post-close as a result of the elections process described below

•If the condition is not satisfied by 10 November 2020, the acquisition will not proceed and Infratil and MGIF

will be entitled to recovery of their transaction costs

•Over the next two weeks, QPE will consult with the existing doctor and management shareholders (who, in

aggregate, own 50% of Qscan) in relation to the percentage of their consideration they wish to reinvest in

the new holding vehicle.Through our engagement pre-signing and given our long-term investment

alignment, it is anticipated that doctors and management will elect to reinvest such that the ownership

condition is satisfied

•If the condition is satisfied, QPE and the other existing shareholders are required to accept the offer and the

Share Sale Agreement will come into effect automatically

•Completion of the acquisition would be conditional on obtaining Foreign Investment Review Board of

Australia (‘FIRB’) approval by 31 December 2020, which can be extended by either party to 26 February 2021

NZX

Waiver

•Infratil has made the offer and would make the acquisition in reliance on a waiver from NZX Main Board

Listing Rule 5.2.1 dated 22 May 2020.Reliance on the waiver was required to permit Infratil to invest

alongside MGIF without obtaining shareholder approval (such approval only being required because Infratil

and MGIF are both managed by related entities of H.R.L. Morrison & Co Group LP, making them related

parties for the purposes of the NZX Main Board Listing Rules)

InfratilInvestor Presentation –26 October 2020
Investment

Thesis

High quality

entry point to

build a scale

healthcare

infrastructure

platform

6

This is an idea that mattersDiagnostic imaging meets a

growing, critical social need

Potential to become a growth

platform for Infratil

•Strong healthcare systems are

essential to a well-functioning

society

•Growing social need driven by an

ageing population with increasing

prevalence of chronic disease

•A value-based shift towards early

diagnosis and preventative care

can reduce system costs and

improve patient outcomes

•Diagnostic imaging is increasingly

viewed as a critical part of

preventative health, unlocking

efficiency gains from high-cost

acute care

•>85% of the industry is funded by

Australian's universal health

insurance scheme Medicare, with

strong bi-partisan support and

recommencement of indexation

from July 2020

•PET

1

/CT Scan

2

modalities offer

above-system growth,

underpinned by oncology demand

•Clear path for Infratil to build a

scale healthcare infrastructure

platform

•Strong organic growth

•Exposure to fast growing

catchments and modalities

•Clinic expansions and

greenfield network growth

•Industry consolidation

•Strategic adjacencies

1

Positron emission tomography (widely used in clinical oncology)

2

Computed tomography (a computerised x-ray imaging procedure)

InfratilInvestor Presentation –26 October 2020
QscanTotal MBS

USX-rayMRI

CTNMPET

% of total revenue by modality

Qscan

Snapshot

One of

Australia's

leading radiology

platforms

7

Qscanclinic networkRevenue split

Overview

•Qscanis a comprehensive diagnostic imaging business operating predominantly on the eastern seaboard of

Australia. Qscanis one of Australia’s largest radiology providers, operating over 70 clinics across Australia,

including a network of 10 clinics offering PET (Oncology)

•Diversified cohort of doctors with a reputation foroperational excellence and deep subspecialty expertise

•Over 300 machines are currently owned with typical useful life of 10-15 years. There has been a significant recent

investment in fleet with the average age of highest value equipment (MRI

1

, CT and PET) less than 5 years

•Qscanutilises sophisticated teleradiology capability and a single reporting platform, supported by a

comprehensive back-office and support function which is positioned for future growth

42

25

3

1

2

3

1

Magnetic resonance imaging

0%

20%

40%

60%

80%

100%

QscanTotal MBS

NSWQLDVIC/TAS

SA/NTWA

% of total revenueby geography

InfratilInvestor Presentation –26 October 2020
Diagnostic

Imaging

An essential,

growing industry

offering

attractive

rewards for

sector

consolidation

8

Defensive Revenues

Strong Market

Growth Outlook

Clear drivers for

industry

consolidation

•Healthcare is an essential service globally of which radiology is a key pillar in disease identification, prevention

and monitoring

•Demand for diagnostic imaging services is non-discretionary and therefore largely dictated by the level of

incidence amongst various population cohort, ensuring volumes are stable, defensive and insulated against

exogenous shocks

•The Australian Government funds over 85% of industry revenue, with low risk of major policy changes that could

materially affect Medicare funding given strong bipartisan and electoral support

•Diagnostic imaging is increasingly viewed as a critical part of preventative health; despite sustained growth in

volumes, Australia still lags other OECD countries with regards to volumes per capita

•Volume demand growth has been underpinned by an increasing and aging population, specifically the 65+ age

cohort where per capita utilisation of diagnostic imaging services is the highest

•Continued population and utilisation growth, ongoing shifts to advanced/higher price modalities and the re-

introduction of Medicare indexation (~1.5% p.a. from July 2020) will drive future growth in the value of the

diagnostic imaging market

•Corporatiseddiagnostic imaging is supported by strong tailwinds as scale economies drive further consolidation.

Qscanis a top 5 player in Australia where the top 5players make up ~50% of the market

−Group synergies are becoming more relevant: Rise of teleradiology allows groups to pool volume across sites

−Artificial Intelligence investment: Scale groups can invest more aggressively in Artificial Intelligence

development

−Radiologist compensation and value proposition: Large groups can invest in better equipment and

conditions for radiologists, as well as offering more attractive compensation models

−Access to funding: Higher equipment finance rates make investment more expensive for smaller players

InfratilInvestor Presentation –26 October 2020
A High Quality

Entry Point

Qscanis a

market leader in

a growth

industry, with a

secure revenue

base and a track

record of strong,

profitable

growth

9

Employer of Choice

•Differentiated employee proposition

•Strong track-record of radiologist attraction, having added over

20 radiologists in the last 2 years

•High radiologist advocacy –broader radiologist community

perceives Qscanas best in class across a number of key factors

Modern, Premium Equipment

•Well invested in new equipment, with little replacement capex

needed in the short term

•Market leader in PET & CT, early movers in deployment of PET

outside hospitals; successful partnership with Icon for new PET sites

•Skew towards high-value modalities, driving above-market growth

and profitability

Continuous Improvement Mindset

•Strong M&A integration capabilities, having successfully acquired

and integrated 6 companies in 3 years

•Profitability improvement over last two years has mainly been

driven by scale, with potential for further margin improvement

through sharing of best practices across network

•Further productivity gains available through automation of manual

tasks in short term and use of Artificial Intelligence in medium term

InfratilInvestor Presentation –26 October 2020
Strategically

Advantaged

Partnership

Model

Qscanis the

infrastructure and

services provider,

enabling

radiologists to

focus on patient

care

10

Qscanprovides a complete infrastructure and services platform for doctors

Equipment

High quality, hospital-

grade equipment

Systems

Infrastructure

Sophisticated

teleradiology capability

through single worklist

and centralised

reporting hubs

Corporate Services

Integrated and

comprehensive

corporate functions

Clinic Network

70+ clinics

Radiographers

Sonographers

Support staff

Aligned partnership model

•Qscanowns all the equipment, systems, contracts, and licences, and provides corporate support services

•Radiologists are independent medical practitioners, responsible for patient care

•Qscancollects billings and retains its service fee before remitting an agreed revenue share to radiologists

•Remuneration primarily based on revenue sharing, with limited fixed components, providing alignment

•Alignment reinforced through doctor equity ownership

InfratilInvestor Presentation –26 October 2020
Highly

Qualified

Team

Leading medical

professionals

and a high

quality executive

team

11

Clinical Leadership

•Diversified cohort of doctors with a reputation for

operational excellence and deep subspecialty expertise

•Representation on both the Professional Practice

Committee and Credentialing Framework Subcommittee

for the Royal Australian and New Zealand college of

Radiologists

High Quality Executive Team

Chris Munday -CEO

•Joined Qscanin 2017

•Over 25 years of senior management

experience, including as Partner at EY,

CFO for publicly listed companies and

Chair of a large childcare group

Stephen Berry -CFO

•Joined Qscanin 2017

•Over 15 years within publicly listed,

international, and private equity-backed

groups, following an early career in

external audit and advisory

0

5

10

15

20

25

30

35

40

45

Muscculoskeletal

Imaging

Cardiac Imaging

Oncology

Abdominal Imaging

Breast Imaging

Neuroradiology

Paediatric Radiology

Oral Medicine

Number of Radiologists

Qscan Doctor Subspecialty Mix

InfratilInvestor Presentation –26 October 2020
-

50

100

150

200

250

201820192020

Revenue

1

Historical

Financial

Profile

A focus on high

value modalities,

clinic rollout and

expansions has

delivered annual

revenue growth

12

CT

MRI

NucMed

PET

US

X-ray

Other

•Strong growthdriven by new clinic rollout and

clinic expansions

•Margin expansion achieved through operating

leverage and benefits of scale, despite material

investment in overheads

•60% of revenue from high value modalities

~13% CAGR

16%

18%

20%

-

10

20

30

40

50

60

201820192020

EBITDA

1

1

Financial year ending 30 June. Note historical financials presented on a pro-forma basis including historic performance of acquired businesses.

FY2020

InfratilInvestor Presentation –26 October 2020
Infratil’s diversified portfolio has

demonstrated its resilience and is

positioned to perform during a

sustained slowdown and subsequent

recovery

Sector

Portfolio

Strategy

Infratil is well

positioned in

scalable high

growth sectors,

with diversified

cash flows

generating

reliable non-

correlated

returns across

several

jurisdictions

13

Substantialinvestments

combiningcore and growth initiatives

which should deliver income and

capital growth

Investments

Natural home market advantage with

scalable offshore options

Geography

33%

44%

10%

11%

Renewable Energy

Data & Connectivity

Airport

Social Infrastructure

Other

28%

17%

16%

14%

10%

5%

5%

CDC Data Centres

Trustpower

Vodafone New Zealand

Tilt Renewables

Wellington Airport

RetireAustralia

Qscan Group

Longroad Energy

Other

49%

48%

New Zealand

Australia

USA

Europe

InfratilInvestor Presentation –26 October 2020
Funding and

Liquidity

Following the

transaction

Infratil will have

available

liquidity of

NZ$256 million

14

Pro-forma Capitalisation

(NZ$ Million)

As at

31 March 2020

As at

30 Sept 2020

Pro Forma

30 Sept 2020

1

Net bank debt471 86439

Infratil Infrastructure bonds1,072 1,072 1,072

Infratil Perpetual bonds232 232 232

Total net debt1,775 1,390 1,743

Market value of equity2,579 4,0524,052

Total capital4,354 5,4425,795

Gearing

2

40.8%25.5%30.1%

Infratil undrawn bank facilities

3

268 593 240

100% subsidiaries cash9 16 16

Liquidityavailable277 609 256

•As at 30 September 2020, drawn bank debt

was NZ$102 million with NZ$593 million of

undrawn bank facilities

•Infratil's next bank maturity is

NZ$32 million in February 2021

•Infratil's next two bond maturities are NZ$93.9

million of IFT220 bonds which mature in June

2021 and NZ$93.7 million of IFT190 bonds

which mature in June 2022

Debt Maturity Profile as at 30 September 2020 (NZ$ million)

•Infratil raised additional equity of NZ$300

million in June 2020

•The equity raise proceeds were initially applied

to reduce drawn bank facilities, with available

liquidity of NZ$609 million at 30 September

2020

•Infratil’s A$330 million investment in Qscanwill

be funded from existing bank facilities and no

additional funding is required

•Wholly owned group gearing to increase from

25.5% to 30.1%

1,2

1

Impact of the acquisition on Infratil’s 30 September 2020 balance sheet based on Infratil’s investment of A$330 million

2

Gearing at 30 September 2020 (Actual and Pro Forma) calculated as total net debt / total capital based on share price of NZ$5.605

as at 23 October 2020

3

Excludes Trustpower, Tilt Renewables, Wellington Airport, CDC Data Centres, RetireAustralia, Longroad Energy, Galileo Green Energy and Vodafone

32

115

350

148

50

-

94

194

122

662

232

-

200

400

600

800

FY21FY22FY23FY24FY25-31>FY31

Wholly-owned bank facilitiesBonds

InfratilInvestor Presentation –26 October 2020
Summary

Qscanprovides a

high-quality

entry point into

a sector with a

structural long-

term growth

outlook and

potential to scale

into a leading

healthcare

infrastructure

platform

15

Infratil Acquisition of QscanGroup

•Infratil has executed a conditional offer to acquire up to 60% of diagnostic imaging business QscanGroup

Holdings from Quadrant Private Equity and existing Doctor and Management shareholders for total cash equity

consideration of up to A$330 million

•Infratil will be investing alongside the Morrison & Co Growth Infrastructure Fund, and existing Doctor and

Management shareholders who elect to reinvest

•As the majority investor, Infratil will have strong governance rights consistent with its shareholding

•The diagnostic imaging sector is an essential services industry, offering a combination of defensive characteristics

and structural long-term growth

•The partnership model establishes Qscanas the infrastructure and services provider, with radiologists the providers

of patient care

•Qscanis a highly cash generative business, that also offers reinvestment options which give Infratil a clear path to

building a scale healthcare infrastructure platform

•Infratil continues to be willing to invest ahead of the mainstream infrastructure market and take on more complex

operating businesses to position our shareholders in next generation infrastructure

InfratilInvestor Presentation –26 October 2020
Glossary

16

AIArtificial intelligence

CTComputed tomography (a computerized x-ray imaging procedure)

DRDiagnostic radiology

MBSMedicare Benefits Schedule

MRI

Magnetic resonance imaging, a medical imaging technique used in radiology to form pictures of the

anatomy and the physiological processes of the body

NucMed

Nuclear medicine, is a specialized area of radiology that uses very small amounts of radioactive

materials, or radiopharmaceuticals, to examine organ function and structure

Oncology

Branch of medicine that deals with the prevention, diagnosis, and treatment of cancer

PETPositron emission tomography, widely used in clinical oncology

PFPro-forma

PMAPractice Management Agreement

QscanQscanGroup

Teleradiology

Teleradiology is the transmission of radiological patient images, such as X-rays, CTs, and MRIs, from one

location to another for the purposes of sharing with other radiologists and physicians

UTS

Ultrasound

Data sourced from publicly available filings. Our datasets may not be complete. Automated analysis can produce errors. If you believe any data on this page is incorrect, please contact us at hello@nzxplorer.co.nz. For informational purposes only. Not investment advice.