Summary of Conference Call Notes Industry Overview - **Industry**: China Healthcare, specifically focusing on hospital equipment and medical devices - **Key Trends**: - July 2025 bidding value data showed a -11% month-over-month (MoM) decline, marking the third consecutive month of decrease, but a +23% year-over-year (YoY) increase was noted, indicating actual demand growth in hospitals [1][2] - The trade-in stimulus, deferred from 2024 to 2025, is expected to have a less pronounced effect compared to previous years [2] Company-Specific Insights United Imaging - **Management Outlook**: Optimistic about the new trade-in program in 2025, expecting a smoother process compared to 2024. However, revenue recognition cycles have lengthened due to changes in hospital bidding processes [19] - **Revenue Growth Projections**: Estimated growth rates for China revenue are +10% for 2Q25, +45% for 3Q25, and +26.8% for 4Q25. The DSA (imaging-guided therapy) product is identified as a near-term growth driver [21] - **Market Position**: Currently trading near median P/E multiple since listing, with significant long-term growth potential anticipated [21][88] Mindray - **Market Performance**: Slower YoY growth observed in patient monitors (+21% in July vs. +50% in June) and ultrasound (+24% in July vs. +48% in June) due to ASP pressure from VBP [26] - **Inventory Management**: Expected to normalize inventory turnover by 2Q25 across all segments [26] - **Investment Thesis**: Strong healthcare infrastructure and domestic substitution trends are expected to support growth. Trading below 5-year average forward P/E due to policy risks, but maintaining market leadership is anticipated [87] Key Data Points - **Bidding Value Trends**: - Positive YoY growth for nine consecutive months, with domestic brands outperforming MNCs [10] - Significant price declines in ultrasound and CT segments due to VBP, with ultrasound prices expected to remain under pressure [14] - **Procurement Value Changes**: - Ultrasound procurement value increased by +24% YoY in July, while CT scanners saw a +44% increase [45][47] - LINAC procurement value increased by +46% YoY in July, down from +161% in June [65] Risks and Challenges - **Market Risks**: - Ongoing regional VBPs are a key concern, with potential impacts on pricing and procurement processes [14] - Risks associated with chip supply chains, raw material availability, and macroeconomic downturns in China [92] Conclusion - The healthcare equipment industry in China is experiencing a complex landscape with both growth opportunities and challenges. Domestic companies like United Imaging and Mindray are positioned to benefit from favorable trends, although they must navigate pricing pressures and changing procurement dynamics.

Group 1 - The core viewpoint is that the procurement scale of medical equipment in China is expected to see significant growth in the first half of 2025 due to the implementation of national and local government policies for equipment updates [1] - In June 2025, the domestic medical equipment procurement scale is projected to increase by 25% year-on-year, with a cumulative growth of 41% in the first half of the year [1] - High-end equipment categories such as CT, MR, and DR are experiencing particularly notable procurement growth, with June figures showing CT up by 20%, MR by 32%, and DR by 47% year-on-year [1] Group 2 - The implementation of equipment update policies is expected to be a long-term driving force for medical equipment procurement [1] - A target has been set for medical and health equipment investment to grow by over 25% by 2027 compared to 2023, as outlined in a notice from four ministries [1] - Although large-scale procurement plans have been announced for 2024, the actual tendering rate remains low, with many projects expected to be realized in 2025, contributing to significant market growth [1]

Group 1: Medical Devices - The procurement scale of medical devices in the first half of 2025 shows strong growth, with a 25% year-on-year increase in June and a cumulative 41% increase for the first half of the year [2] - The implementation of equipment update policies is expected to drive long-term growth in medical device procurement, with a target of over 25% increase in investment by 2027 compared to 2023 [2] - Hospital funding pressures are easing, which is likely to lead to a gradual recovery in the performance of medical device companies, supported by increased issuance of special bonds for hospital equipment procurement [3] Group 2: Forklift Industry - The rise of autonomous forklifts is anticipated, driven by advancements in AI technology and a mature supply chain, making them economically viable [6] - Traditional forklift companies are expected to benefit from the shift towards automation, leveraging their established sales networks and operational quality [7] - Different leading domestic forklift companies are focusing on various aspects of autonomous forklift development, with partnerships and technology integration playing a crucial role in their strategies [8]

Investment Rating - Industry investment rating: Stronger than the market (maintained) [1][23] Core Viewpoints - The demand for medical equipment bidding continues to be strong, with a significant recovery in procurement activities expected to improve company financial performance [3][5] - The overall market size for medical device bidding in China exceeded 80 billion yuan in the first half of 2025, showing a year-on-year growth of over 60% [3][11] - Major provinces driving the procurement include Liaoning, Hainan, Ningxia, Fujian, and Shanxi, with imaging equipment being the core focus of upgrades [3][5] Summary by Sections Market Trends - The procurement scale for medical devices has remained high since 2025, with June procurement figures showing significant year-on-year increases across various categories, such as ultrasound (1.391 billion yuan, +49%), CT (1.938 billion yuan, +59%), and MRI (1.531 billion yuan, +64%) [4][12][15] - The bidding recovery is evident, with monthly procurement figures for 2025 showing consistent growth, despite a slight slowdown in June [3][11] Company Performance - Leading companies are expected to benefit significantly from the recovery in equipment bidding, with firms like Mindray Medical projecting a noticeable recovery in overall performance starting from Q3 2025 [3][5][21] - In June 2025, the bidding amounts for major domestic companies were as follows: Mindray (623 million yuan, +15%), United Imaging (769 million yuan, +35%), and Kaili Medical (102 million yuan, +73%) [4][18] Investment Recommendations - The report suggests focusing on domestic leading enterprises that are enhancing their high-end and intelligent medical equipment layouts, such as Mindray Medical, United Imaging, Kaili Medical, and Aohua Endoscopy [5][21] - The continuous support for equipment updates from government policies is expected to positively impact the industry, with a projected increase in procurement activities [21]

Report Industry Investment Rating - No relevant content provided. Core Viewpoints - The current external environment is more complex, and the "reciprocal tariff" policy increases global economic uncertainty. The central bank will maintain a supportive monetary policy, which provides some support for bond futures prices. However, the "anti-involution" policy drives some commodity prices higher, and the risk appetite in the short-term market increases, which may lead to greater fluctuations in Treasury bond futures prices [3]. Summary by Related Catalogs Futures Market - On the previous trading day, Treasury bond futures prices generally rose. For example, the T2509 contract rose by 0.15%, and its trading volume decreased [2]. - The IRR of the CTD bonds corresponding to the main contracts of each Treasury bond futures was at a low level, with no arbitrage opportunities [2]. - Short-term market interest rates generally increased. For instance, the SHIBOR 7-day rate rose by 3.1bp, the DR007 rate rose by 4.51bp, and the GC007 rate rose by 1.6bp [2]. Spot Market - On the previous trading day, the yields of key-term Treasury bonds in China showed mixed changes. The 10Y Treasury bond yield dropped by 1.29bp to 1.66%, and the yield spread between long and short-term (10 - 2) Treasury bonds was 25.12bp [2]. - Overseas, the 10Y Treasury bond yield in the US rose by 7bp, the 10Y Treasury bond yield in Germany dropped by 3bp, and the 10Y Treasury bond yield in Japan rose by 1.4bp [2]. Macro News - On July 15, the central bank conducted 342.5 billion yuan of 7-day reverse repurchase operations, with a net full-caliber injection of 173.5 billion yuan [3]. - China's GDP in the first half of the year was 66.05 trillion yuan, a year-on-year increase of 5.3%. Fixed asset investment increased by 2.8%, while real estate development investment decreased by 11.2%. In June, the added value of industrial enterprises above designated size increased by 6.8% year-on-year, and social consumer goods retail sales increased by 4.8% [3]. - The Central Urban Work Conference was held from July 14 - 15, deploying seven key tasks for urban work [3]. - With the "white list" policy and the recovery of the real estate market, the debt - resolution work of real estate enterprises is progressing in an orderly manner. The decline in the funds available to real estate development enterprises has narrowed. However, real estate sales area and prices are still falling year - on - year, and greater efforts are needed to promote the stabilization of the real estate market [3]. - The US CPI in June increased by 2.7% year - on - year, the highest since February. Traders predict that the Fed will start cutting interest rates in September and cut rates nearly twice by the end of the year [3]. - NVIDIA will resume the sale of H20 chips in China and launch a new GPU for the Chinese market [3]. Industry Information - On July 15, most money market interest rates increased. The weighted average interest rate of inter - bank pledged repurchase for the 1 - day variety rose by 10.6BP to 1.53%, hitting a new high in over a month [3]. - US Treasury bond yields rose collectively, mainly driven by factors such as the increase in risk - aversion sentiment due to Trump's promotion of reciprocal tariffs, higher - than - expected US CPI data in June, concerns about global government fiscal deficits, and tighter market liquidity [3]. Comments and Strategies - The central bank's open - market operations had a net injection of 173.5 billion yuan, and Shibor short - term varieties rose collectively. The market liquidity tightened. To maintain sufficient liquidity in the banking system, the central bank conducted 1.4 trillion yuan of outright reverse repurchase operations, with a net injection of 200 billion yuan for the month, a consecutive second - month increase in roll - over operations [3]. - Economic data in June showed that industrial added value, exports, and financial data were better than expected, while consumption and investment growth rates declined year - on - year. The decline in real estate investment growth rate widened, and second - hand housing prices continued to decline month - on - month. The expectation of the introduction of real estate - stabilizing policies increased [3].

Core Insights - The medical equipment industry is facing significant price reductions due to centralized procurement initiatives, with many devices seeing price drops exceeding 50% [7][9][12] - The shift towards "price for volume" in procurement is leading to a restructuring of the market, impacting both domestic manufacturers and international competitors [2][5][12] - The competitive landscape is changing, with leading companies benefiting from cash flow while smaller firms may struggle to survive [12][18] Group 1: Price Reductions and Market Dynamics - Centralized procurement in regions like Sichuan, Henan, and Xinjiang is drastically lowering prices for medical equipment, with some devices like 1.5T MRI machines dropping to around 500,000 yuan from 2 million yuan [2][9] - Over 30% of procurement projects have seen price drops exceeding 50%, with 27% experiencing reductions over 70% [7][9] - The average price drop for ultrasound devices is significant, with major players like Mindray securing large orders despite steep price reductions [9][10] Group 2: Impact on Manufacturers - Domestic manufacturers are facing challenges as they attempt to compete with international firms, with many experiencing squeezed profit margins due to aggressive pricing strategies [5][12] - High-end equipment is less affected by price drops, allowing manufacturers in this segment to maintain profitability while increasing sales volume [9][12] - The procurement process is favoring established companies with strong distribution channels, while smaller firms may need to innovate or seek acquisition to remain competitive [12][18] Group 3: Future Trends and Considerations - The focus of procurement policies is shifting from merely achieving low prices to balancing cost with meeting clinical needs, which may create opportunities for innovative products [18][19] - There is a growing recognition of the need for a fair competitive environment that allows for new entrants and maintains market vitality [18][19] - The integration of AI in imaging devices is becoming a standard, potentially impacting pricing and market dynamics for software solutions [13][19]

Group 1: Non-Bank Financial Sector - The China Securities Regulatory Commission (CSRC) is seeking public opinion on the revised "Securities Company Classification Evaluation Regulations," aiming to optimize the classification and regulatory system for securities companies, enhancing their functional roles and professional capabilities [6][7][8] - The revised regulations will integrate business scoring indicators to support the differentiated development of small and medium-sized institutions, promoting a more efficient operational direction [7][8] - Investment recommendations focus on leading securities firms such as CITIC Securities, Huatai Securities, China Galaxy, and CICC, which are expected to benefit from the ongoing reforms in the capital market and securities industry [6][8] Group 2: Bond Market - The new special bond uses include addressing local government arrears to enterprises, with an estimated scale of 760 billion yuan for this year, indicating a shift in the focus of special bonds towards debt repayment [9][11] - The total issuance of special bonds for stabilizing growth is expected to be 5.08 trillion yuan in the second half of the year, reflecting a year-on-year decrease of 0.7 trillion yuan [9][11] Group 3: Medical Equipment Sector - The medical equipment update is deepening, with county-level medical communities actively engaging in procurement projects, leading to significant orders for various medical devices [12][13] - The procurement scale for new medical equipment has shown a month-on-month improvement, with January to May 2025 procurement amounts reaching 174 billion yuan, 113 billion yuan, 140 billion yuan, 153 billion yuan, and 134 billion yuan, respectively, indicating a strong recovery trend [13][14] - Investment suggestions include focusing on leading domestic companies in high-end and intelligent medical equipment, such as Mindray Medical, United Imaging, and others [15] Group 4: Real Estate Sector - The real estate sector is expected to maintain a volatile trend, with a recent decline of 1.69% in the sector, underperforming the CSI 300 index [17][18] - Recommendations emphasize focusing on companies with strong inventory structures, land acquisition capabilities, and product strength, which are likely to benefit from market stabilization [18] Group 5: Commodities Sector - Gold prices are expected to maintain a strong trend due to ongoing geopolitical issues, with the COMEX gold futures price recently at 3384.4 USD/oz [20] - Copper and aluminum inventories are at low levels, suggesting potential price increases, with LME copper and aluminum prices at 9660.5 USD/ton and 2561.5 USD/ton, respectively [21][22] - Investment recommendations include focusing on gold, copper, and aluminum sectors, with specific companies highlighted for their strong market positions [22][24]

Investment Rating - The report does not explicitly state an investment rating for the XR equipment industry Core Insights - The XR equipment industry is experiencing significant growth driven by technological advancements, policy support for domestic alternatives, and increasing demand in the healthcare sector. The market is expected to expand due to factors such as the aging population, rising cardiovascular disease rates, and the implementation of new healthcare policies [4][20][32]. Summary by Sections Industry Definition - XR equipment utilizes X-rays to obtain internal imaging information based on the differential absorption and attenuation of X-rays by various tissues. It is widely used in medical diagnostics, security, and industrial applications, with a focus on medical health in this report [5]. Industry Characteristics - The XR equipment industry is characterized by: - **Technology-Intensive and Innovation-Driven**: The industry relies heavily on technological innovation, particularly in digitalization, AI integration, and low-dose imaging technologies [10]. - **Policy-Driven and Accelerated Domestic Replacement**: Government policies are significantly influencing the market, promoting the use of domestic medical devices [12]. - **Diverse Application Scenarios and Market Segmentation**: XR equipment applications extend beyond traditional medical diagnostics to include industrial inspection and security [13]. Development History - The development of XR equipment in China has gone through three phases: initial reliance on foreign technology, a period of domestic growth supported by policy, and a current phase of technological breakthroughs and international market expansion [14]. Industry Chain Analysis - The XR equipment industry chain includes: - **Upstream**: Comprising core component manufacturing such as chips and sensors, with low domestic production rates [17]. - **Midstream**: Focused on the assembly of devices and content development, with a notable shift towards domestic production [19]. - **Downstream**: Concentrated on application promotion and sales across various sectors, with hospitals being the primary customers [29]. Market Size and Growth - The XR equipment market size is projected to grow from 11.2 billion RMB in 2019 to 14.51 billion RMB in 2024, with a compound annual growth rate (CAGR) of 5.31% [33]. The market is expected to continue expanding due to increasing healthcare demands and supportive policies [36]. Policy Overview - Key policies influencing the XR equipment industry include: - **Equipment Update Policies**: Encouraging medical institutions to upgrade their imaging equipment [41]. - **Support for Domestic Production**: Policies aimed at promoting the use of domestic medical devices [42]. Competitive Landscape - The XR equipment market is dominated by major international players like Siemens, Philips, and GE in the high-end segment, while domestic companies such as United Imaging, Mindray, and Wandong Medical are gaining traction in the mid to low-end markets [44]. The competition is characterized by a clear segmentation based on hospital tiers and equipment preferences [45]. Future Outlook - The XR equipment industry is poised for growth driven by technological advancements, policy support for domestic manufacturers, and increasing healthcare needs, particularly in the context of an aging population and rising chronic disease prevalence [40][46].

Group 1 - The government plans to issue 1.3 trillion yuan of ultra-long-term bonds in 2025 to support key areas such as equipment upgrades, along with allocating 72.26 million yuan for healthcare institution capacity building [1] - The demand for medical equipment is accelerating, with public bidding for new equipment showing a significant recovery, reaching a total of 118 billion yuan from January to April 2025 [1] - High-end imaging equipment procurement in April 2025 included CT at 25.25 billion yuan, MRI at 22.70 billion yuan, and ultrasound at 13.71 billion yuan, indicating a clear trend towards high-end products [1] Group 2 - The ChiNext Medical ETF (159377) tracks the ChiNext Medical Index (399275), which reflects the overall performance of listed companies in the medical and healthcare sector on the ChiNext market [1] - The ChiNext Medical Index is characterized by significant growth and innovation, selecting companies engaged in biopharmaceuticals, medical services, and medical devices [1]

Investment Rating - Industry investment rating: Stronger than the market (expected to outperform the CSI 300 index by more than 5% in the next 6 months) [23] Core Viewpoints - The medical device bidding and procurement are significantly recovering, with a notable trend towards domestic substitution. Since the beginning of 2025, there has been a concentrated push for medical device updates, leading to a substantial increase in public bidding amounts, reaching a cumulative total of 11.8 billion yuan [3][10] - The procurement scale for medical devices has shown a month-on-month improvement since January 2025, with procurement amounts in January, February, March, and April being 17.4 billion yuan, 11.2 billion yuan, 14 billion yuan, and 15.3 billion yuan respectively, reflecting year-on-year growth rates of +42%, +76%, +113%, and +84% [10][3] - Major companies in the industry are benefiting from the recovery in bidding and procurement, with significant increases in procurement amounts for various devices in April 2025, including ultrasound (1.371 billion yuan, +67% YoY), CT (2.525 billion yuan, +242% YoY), and MRI (2.270 billion yuan, +191% YoY) [4][11][13] Summary by Sections Medical Device Update and Bidding Recovery - The medical device update projects are intensively advancing, with many provinces initiating collective procurement, leading to a surge in orders. The bidding process is similar to collective procurement, giving significant bargaining power to the purchasers, which benefits leading companies with comprehensive and high-end product lines [3][10] Procurement Scale and Trends - The overall scale of new medical device bidding in China is benefiting from the rapid implementation of device updates, showing a month-on-month improvement trend since the beginning of 2025. The procurement scale in April 2025 has nearly returned to the level of the same period in 2023 [10][3] Leading Companies' Performance - The bidding trends for domestic companies align closely with industry trends, with some companies showing slightly better performance. In April 2025, major domestic companies like Mindray (624 million yuan, +51% YoY), United Imaging (1.187 billion yuan, +207% YoY), and others have reported significant increases in their bidding amounts [4][17] Investment Recommendations - The report suggests focusing on leading domestic companies in the medical device sector that are enhancing their high-end and intelligent product layouts, such as Mindray Medical, United Imaging, and others. The government’s support for long-term special bonds for equipment updates is expected to positively impact industry bidding growth [5][21]