Core Insights - The medical equipment bidding scale has shown significant growth, indicating a new round of equipment updates is expected to emerge in 2025 [1][3] Group 1: Medical Equipment Bidding Growth - In October 2025, the new equipment bidding scale showed substantial year-on-year growth: MR increased by 59.4%, CT by 81.6%, DR by 77.4%, ultrasound by 62.8%, endoscopes by 24.4%, and surgical robots by 42.7% [1] - For October 2025 alone, the month-on-month growth rates were: MR at 2.9%, CT at 49.4%, DR at 54.4%, ultrasound at 59.9%, endoscopes at 11.6%, and surgical robots at 108.9% [1] Group 2: Company Performance - In October 2025, company-specific performance showed varied results: - United Imaging's MR decreased by 5.9%, while CT increased by 74.7% - Mindray's ultrasound grew by 61.8% - Kaili's ultrasound and endoscope grew by 54.5% and 96.6% respectively - Aohua's endoscope increased by 4.8% [2] - Cumulatively for the year, United Imaging's MR grew by 46.6%, CT by 59.4%, Mindray's ultrasound by 74.1%, Kaili's ultrasound by 98.1%, Kaili's endoscope by 96.5%, and Aohua's endoscope by 19.7% [2] Group 3: Policy Impact on Market - The implementation of equipment update policies is expected to drive long-term procurement levels in the medical equipment sector [3] - A joint notice from four ministries in 2024 aims for a 25% increase in medical equipment investment by 2027 compared to 2023, enhancing high-end equipment availability [3] - The domestic market is showing signs of recovery, with increased procurement demand from medical institutions due to supportive macroeconomic policies [4] - United Imaging reported a revenue of 6.866 billion yuan in the domestic market for the first three quarters of 2025, reflecting a year-on-year growth of 23.7% [4]

Summary of Conference Call Notes Industry Overview - **Industry**: Healthcare Equipment in China - **Key Insights**: The bidding value for hospital equipment in October 2025 showed a higher-than-expected year-on-year (YoY) growth of 16%, attributed to ongoing trade-in programs. However, there was a month-on-month (MoM) decline of 1% compared to September due to the National Day holiday. The outlook for November remains cautious due to a high comparison base from the previous year and lower trade-in program values in 2025 compared to 2024. [1][1][1] Company-Specific Insights United Imaging - **Performance**: United Imaging reported a strong performance in Q3 2025, with domestic revenue growing 73% YoY and overseas revenue increasing by 81% YoY. Service revenue also grew steadily at 22% YoY. [11][11][11] - **Future Expectations**: The company anticipates challenges in fully utilizing the trade-in budget for 2025, similar to 2024, but expects the total scale of the 2026 trade-in program to match or exceed 2025 levels. [13][13][13] - **Valuation**: Currently trading near its median P/E multiple since listing, with significant long-term growth potential expected due to revenue, gross profit margin (GPM), and net profit margin (NPM) growth. [13][13][13] Mindray - **Performance**: Mindray's core businesses showed mixed results in Q3 2025, with PMLS growing by 2.6%, MI by 1%, and IVD declining by 2.8%. Domestic PMLS revenue decline narrowed to -25% from -57% in the first half of 2025, while overseas sales grew by 14%. [14][14][14] - **Future Outlook**: The company expects a recovery in revenue in 2026, driven by emerging markets and high-potential products. The IVD industry is expected to continue contracting but at a smaller magnitude than in 2025. [14][14][14] - **Investment Thesis**: Mindray is positioned for long-term double-digit growth supported by recurring business in China and market share gains in emerging markets. The company is rated as a Buy with a target price of Rmb285. [69][69][69] Key Risks - **Mindray**: Risks include further impacts from Value-Based Procurement (VBP), lower-than-expected penetration into top-tier hospitals, challenges in entering North American and European markets, patent-related lawsuits, and unexpected changes in trade policies. [75][75][75] - **United Imaging**: Risks include chip supply chain issues, raw material risks, macroeconomic downturns in China, and potential VBP risks. [76][76][76] Additional Insights - **Bidding Trends**: The bidding value for various medical devices showed fluctuations, with notable increases in ultrasound (+54% YoY) and CT scanners (+44% YoY) in October 2025, while MRI and PET-CT showed declines of -2% and -64% YoY, respectively. [27][36][38] - **Market Dynamics**: The healthcare equipment market in China is experiencing a rebound due to increased government funding and a growing market share for domestic manufacturers. [70][70][70] This summary encapsulates the key points from the conference call, highlighting the performance and outlook of the healthcare equipment industry in China, particularly focusing on United Imaging and Mindray.

Core Viewpoint - The medical equipment bidding scale continues to grow, driven by the implementation of equipment renewal policies, which is expected to boost procurement levels over a long period. Companies benefiting from these policies are recommended for investment [1][4]. Summary by Sections Medical Equipment Bidding Scale - The bidding scale for new medical equipment has shown significant growth. In October 2025, the year-on-year growth rates for various equipment types were as follows: MR increased by 2.9%, CT by 49.4%, DR by 54.4%, ultrasound by 59.9%, endoscopes by 11.6%, and surgical robots by 108.9%. Cumulatively, from January to October 2025, MR grew by 59.4%, CT by 81.6%, DR by 77.4%, ultrasound by 62.8%, endoscopes by 24.4%, and surgical robots by 42.7% [3]. Equipment Renewal Policies - The implementation of equipment renewal policies is expected to drive procurement levels in the medical equipment sector. A notice issued by four ministries in 2024 aims for a 25% increase in medical equipment investment by 2027 compared to 2023. This policy is anticipated to enhance the configuration of high-end equipment to levels comparable to middle-income countries. In 2024, significant procurement plans have been announced across various provinces, indicating a robust demand for innovative diagnostic and therapeutic equipment [4]. Market Recovery and Company Performance - The domestic market is showing signs of recovery, supported by macroeconomic policies that favor public welfare and technological innovation. The medical equipment renewal policies are gradually being implemented, leading to increased procurement demand from medical institutions. For instance, in the first three quarters of 2025, the domestic revenue of United Imaging Healthcare reached 6.866 billion yuan, reflecting a year-on-year growth of 23.7%, indicating a recovery and structural upgrade in the medical equipment industry [4].

Core Viewpoint - The company reported a decline in net profit for Q3 2025, despite a steady revenue growth in the first three quarters, indicating pressure on profitability due to increased expenses and price reductions from centralized procurement [1][2]. Group 1: Financial Performance - For the first three quarters of 2025, the company achieved a revenue of 1.189 billion yuan, representing a year-on-year growth of 8.73%, but reported a net loss of 27 million yuan, a decline of 123.51% [1]. - In Q3 2025, the company generated a revenue of 345 million yuan, down 12.17% year-on-year, with a net loss of 79 million yuan, a significant drop of 353.32% [1]. - The gross margin decreased to 32.6%, down 5.1 percentage points, due to the impact of centralized procurement price reductions [1]. Group 2: Market Strategy and Growth - The company is focusing on high-end markets and county-level markets, with domestic revenue reaching 750 million yuan, a growth of 6%, despite a temporary decline in Q3 due to reduced private procurement demand [2]. - The company has established a K3 team to target tertiary public hospitals, contributing 12.4% to domestic revenue with a year-on-year growth of 25% [2]. - The company maintains a leading market share in various product segments, including over 30% in DR, over 20% in CT and MR, and 12% in DSA among domestic brands [2]. Group 3: International Expansion - The company reported international revenue of 180 million yuan, a growth of 50%, with significant increases in Europe (157%), Asia-Pacific (148%), and the Middle East and Africa (90%) [2]. - The company is enhancing its global service capabilities by establishing regional service centers and local offices, aiming for sustained high growth over the next three years [2]. Group 4: Profit Forecast - Revenue projections for 2025-2027 are 1.948 billion, 2.491 billion, and 3.363 billion yuan, with year-on-year growth rates of 27.77%, 27.89%, and 35.02% respectively [3]. - Expected net profits for the same period are 22 million, 76 million, and 111 million yuan, with growth rates of -86.30%, 251.71%, and 45.78% respectively [3].

Summary of Key Points from the Expert Call on China's Medical Imaging Equipment Market Industry Overview - The expert call focused on China's medical imaging equipment market, discussing procurement trends, market outlook for 2025 and beyond, competitive landscape, and geopolitical impacts [1][6] - The market size reached Rmb18.54 billion in Q325, reflecting a 55.02% year-over-year (YoY) increase and approximately 10% quarter-over-quarter (QoQ) growth [2][8] Market Growth and Trends - The YoY growth rate for the medical imaging equipment market decreased from 100.36% in the first five months of 2025 to 55.02% in Q325, but remained above the overall medical equipment market growth of 29.8% [2][7] - The expert anticipates a 10-15% YoY growth for the medical imaging equipment market in 2025 and 2026, driven by equipment renewal programs supported by Central government treasury bonds [2][18] Procurement Insights - Procurement in Q325 showed a significant drop compared to previous periods, with CT, MRI, ultrasound, DSA, and DR procurement values at Rmb4.84 billion, Rmb4.79 billion, Rmb4.33 billion, Rmb2.51 billion, and Rmb0.9 billion respectively [2][8] - The expert noted that county-level medical consortium volume-based procurement (VBP) accounted for a significant portion of procurement, particularly in CT [8][10] Competitive Landscape - Domestic brands held market shares of 39.76%, 39.41%, 43%, 12.9%, and 80.41% in CT, MRI, ultrasound, DSA, and DR respectively in Q325 [3][10] - Foreign companies regained market shares in several categories due to proactive participation in VBP, with GE Healthcare and Siemens Healthineers actively engaging in price competition [3][17] - The expert believes that the competitive landscape will not be significantly reshaped by geopolitical tensions in the short term, as top global companies will adapt their supply chains to meet local requirements [4][19] Geopolitical and Policy Impacts - The expert predicts that it may take 8-10 years for preferential policies for domestic products in government procurement to be fully implemented, allowing global companies time to adjust [4][11] - The impact of geopolitical events, such as the Section 232 investigation and EU's IPI restrictions, is expected to be limited for domestic manufacturers [4][19] Future Outlook and Risks - The expert expects the VBP market size for medical imaging equipment to remain below 20% this year, potentially reaching 20-30% in the next two years [15][18] - Risks identified for the medtech industry include larger-than-expected price reductions, weaker demand from equipment renewal programs, and geopolitical risks affecting supply chains [21][23] Conclusion - The expert call provided valuable insights into the current state and future outlook of China's medical imaging equipment market, highlighting growth opportunities and competitive dynamics while acknowledging potential risks and challenges [1][6][21]

Summary of Key Points from the Expert Call on China's Medical Imaging Equipment Market Industry Overview - The expert call focused on China's medical imaging equipment market, discussing procurement trends, market outlook for 2025 and beyond, competitive landscape, and geopolitical impacts [1][6] - The market size reached Rmb18.54 billion in Q325, reflecting a 55.02% year-over-year (YoY) increase and approximately 10% quarter-over-quarter (QoQ) growth [2][8] Market Growth and Trends - The YoY growth rate for the medical imaging equipment market decreased from 100.36% in the first five months of 2025 to 55.02% in Q325, but remained above the overall medical equipment market growth of 29.8% [2][7] - The expert anticipates a 10-15% YoY growth for the medical imaging equipment market in 2025 and 2026, driven by equipment renewal programs supported by Central government treasury bonds [2][18] Procurement Insights - Procurement in Q325 showed a significant drop compared to previous periods, with CT, MRI, ultrasound, DSA, and DR procurement values at Rmb4.84 billion, Rmb4.79 billion, Rmb4.33 billion, Rmb2.51 billion, and Rmb0.9 billion respectively [2][8] - The expert noted that county-level medical consortium volume-based procurement (VBP) accounted for a significant portion of procurement, particularly in CT [8][10] Competitive Landscape - Domestic brands held market shares of 39.76%, 39.41%, 43%, 12.9%, and 80.41% in CT, MRI, ultrasound, DSA, and DR respectively in Q325 [3][10] - Foreign companies regained market shares in several categories due to proactive participation in VBP, with GE Healthcare and Siemens Healthineers actively engaging in price competition [3][17] - The expert highlighted that ultrasound was the only category where domestic brand share increased, attributed mainly to Mindray's performance [3][10] Geopolitical and Policy Impacts - The expert believes that geopolitical tensions will not significantly reshape the competitive landscape in the short term, as it may take 8-10 years for preferential policies for domestic products to be fully implemented [4][19] - The impact of the Section 232 investigation and EU's IPI restrictions on domestic manufacturers is expected to be limited, as leading domestic companies have established production facilities in the US [19][20] Future Outlook and Risks - The expert expects the VBP market size for medical imaging equipment to remain below 20% this year, potentially reaching 20-30% in the next two years [15][18] - Risks identified for the medtech industry include larger-than-expected price reductions, weaker demand from equipment renewal programs, and geopolitical risks affecting supply chains [21][22][23] Financial Projections - The total amount of special treasury bonds to support medical equipment renewal is estimated at Rmb14.6 billion for 2024 and Rmb18.98 billion for 2025, with implementation expected in 2025 and 2026 [13][14] Conclusion - The expert call provided valuable insights into the current state and future prospects of China's medical imaging equipment market, highlighting growth opportunities, competitive dynamics, and potential risks that investors should consider [1][6][21]

Investment Rating - Industry investment rating is "Outperform the Market" (expected to outperform the CSI 300 index by more than 5% in the next 6 months) [2][24] Core Insights - The bidding environment for medical equipment remains robust, with strong demand for procurement in county-level medical communities driven by ongoing equipment update policies since 2025 [4][22] - The procurement scale for medical devices has maintained a high level, with notable monthly figures in July, August, and September 2025 being 12.8 billion, 13.1 billion, and 12.7 billion respectively, showing year-on-year growth rates of +21%, +18%, and -21% [4][13] - Major companies are benefiting significantly from the recovery in equipment update bidding, with procurement figures for September showing ultrasound at 1.646 billion (yoy +30%), CT at 1.717 billion (yoy +29%), and MRI at 1.512 billion (yoy +6%) [5][14] Summary by Sections Equipment Bidding Trends - The bidding environment for medical equipment has been consistently high, with a diverse range of procurement preferences emerging, particularly in county-level medical communities [4][9] - The procurement scale for September 2025 indicates a strong recovery, with various equipment categories showing significant year-on-year growth [5][14] Company Performance - Leading domestic companies are aligned with industry trends, with procurement figures for September showing Mindray at 0.924 billion (yoy +6%), United Imaging at 0.804 billion (yoy +18%), and Kaili at 0.163 billion (yoy +67%) [19][22] - The focus on high-end and intelligent medical devices is expected to drive performance for leading domestic enterprises such as Mindray, United Imaging, and Kaili [6][22] Future Outlook - The ongoing equipment update policies are anticipated to positively impact the bidding market, with expectations for a new round of equipment updates to stimulate demand [22] - The approval of the "Implementation Plan for Strengthening Basic Medical and Health Services" by the State Council is expected to enhance the capabilities of grassroots medical institutions, further opening up the market [22]

Core Insights - The high-tech manufacturing industry in Nanjing has seen a year-on-year investment growth of 9.6% from January to August, with significant increases in aerospace and medical equipment manufacturing investments of 35.7% and 27.3% respectively [1] - Nanjing's high-tech manufacturing sector is evolving from isolated breakthroughs to a comprehensive industrial chain and ecosystem development, indicating a shift towards high-quality growth [1] Investment and Project Development - The construction of the XianDao Medical Industrial Park is underway, with a total investment of 5 billion yuan, of which nearly 1.8 billion yuan is allocated for high-end equipment [2] - The project aims to establish standardized production lines for high-end medical imaging equipment, allowing for complete control over the manufacturing process and significantly reducing costs [2][3] - The strategic acquisition of Aotai Medical has enabled XianDao Technology to transition from a component supplier to a complete equipment manufacturer [2] Ecosystem and Cluster Development - The establishment of the Nanjing Future Industry Innovation Base is focused on satellite communication technology, with plans to develop a full industrial chain for satellite research, manufacturing, and operation [4][5] - The initiative aims to attract upstream and downstream resources in the commercial space industry, enhancing the resilience of the industrial chain and creating a strong ripple effect [5] - Nanjing's investment in innovation platforms and technology service centers has fostered a conducive environment for high-tech manufacturing, ranking 9th globally in the 2024 Global Innovation Index [5][6] Project Momentum - Several major projects have been launched, including the Xinghe Power Aerospace Manufacturing Base with a total investment of approximately 2 billion yuan, and the third phase of the Nanjing Medical Device Industrial Park with an investment of 660 million yuan [6] - These projects are expected to inject continuous momentum into Nanjing's high-tech manufacturing sector, supported by favorable policies and platforms [6]

Report Summary 1) Report Industry Investment Rating No industry investment rating is provided in the report. 2) Core Viewpoints of the Report - The adjustment of the 14D OMO reverse - repurchase tender method can better stabilize the short - end fluctuations of the yield curve and maintain the abundance of bank system liquidity [2]. - It is expected that 14D OMO operations will be more frequent than before, and the first 14D OMO operation after the change of the tender method may be carried out on September 22, 2025 [2]. - Attention should be paid to real - time DR and CD interest rates rather than privately inquired winning bid rates of 14D OMO, as the latter contains limited monetary policy information and is often lagging [3]. - Moderately narrowing the interest rate corridor can reduce DR fluctuations and improve the efficiency of interest rate regulation, and currently, there are basic conditions to narrow the interest rate corridor by moderately reducing the SLF interest rate [3][4]. 3) Summary by Relevant Catalogs Event - On September 19, 2025, the People's Bank of China announced that, starting from that day, the 14 - day reverse - repurchase operation in the open market would be adjusted to fixed - quantity, interest - rate tender, and multi - price winning bids [1]. Comment - The 7D OMO interest rate is the main policy interest rate in China. The new combination of 7D OMO (fixed - interest, quantity tender) and 14D OMO (fixed - quantity, interest - rate tender, multi - price winning bids) can better stabilize the short - end fluctuations of the yield curve and maintain the abundance of bank system liquidity [2]. - It is expected that 14D OMO operations will be more frequent than in previous years, not limited to before the Spring Festival and National Day. The first 14D OMO operation after the change of the tender method may be carried out on September 22, 2025. In the future, some investors may be interested in privately inquiring about the winning bid rate of 14D OMO, but these rates contain limited monetary policy information, and attention should be paid to real - time DR and CD interest rates [2][3]. - 7D and 14D OMO are the "new partners" for maintaining liquidity abundance, and the interest rate corridor is the "old assistant" for suppressing short - end fluctuations. Moderately narrowing the interest rate corridor can reduce DR fluctuations and improve the efficiency of interest rate regulation. There are two ways to narrow the interest rate corridor: the natural compression when the 7D OMO interest rate and SLF decline together, and the reduction of the spread of the SLF interest rate above the OMO interest rate [3]. - Currently, there are basic conditions to narrow the interest rate corridor by moderately reducing the SLF interest rate. From May to August 2025, the SLF operation volume was much smaller than the inter - bank pledged repurchase trading volume. The minimum value and 10% quantile of the spread between the 7D SLF and DR007 from early 2024 to September 19, 2025, were at a moderate and relatively large level [4].

Core Viewpoint - By 2025, centralized procurement (集采) will become the new norm in the medical device sector, significantly impacting the entire industry chain [1] Summary by Sections Centralized Procurement Impact - In the first half of the year, the sales volume of medical devices like XP, CT, and MR in centralized procurement significantly lagged behind their sales revenue, indicating a pronounced effect of price-volume exchange [2] - The bidding rules, dominated by price, have led to continuously refreshed price floors, with examples such as 1.5T MRI machines dropping to 2 million and 64-slice CTs to over 1 million, including maintenance for 2-5 years [2] - Some devices, like DR, have seen price reductions exceeding 70%, with budget utilization in some provinces for ultrasound procurement being only in the low teens percentage-wise [2] Quality Concerns - Despite the price advantages of centralized procurement devices, hospitals express concerns about the overall service quality not keeping pace [4] - There are worries about the performance and after-sales service of low-priced devices, with industry observers noting that the price war in centralized procurement could set a price "anchor" for the retail market [5] County-Level Medical Institutions - County-level medical institutions are significant demanders in this round of equipment procurement, supported by policies aimed at improving medical device standards and quality [5] - The need for high-quality equipment and services is emphasized, as county hospitals aim to retain patients and provide comprehensive care [6][7] Equipment Lifecycle and Decision-Making - Medical devices typically have a usage cycle of 8-10 years, making the introduction of key equipment crucial for a hospital's capabilities over the next decade [9] - The total lifecycle cost of medical devices, including stability, failure rates, and after-sales service, is critical in procurement decisions [10] Training and Support - The lack of experience among medical staff in using new equipment can hinder the effective utilization of these devices, highlighting the need for training and support from manufacturers [12] - Manufacturers are encouraged to provide comprehensive services beyond just selling equipment, including training and ongoing support to enhance diagnostic capabilities [12] Regulatory and Policy Recommendations - Experts call for improved centralized procurement rules, emphasizing the need for a quality-based approach rather than solely price competition [13][15] - Recommendations include establishing a quality tracking mechanism and enhancing the evaluation criteria to include product quality, technical level, and service quality [18][17]