Advanced Remote Patient Monitoring Systems

  • March 2013
  • -
  • Kalorama Information
  • -
  • 380 pages

Patient monitoring systems with advanced features, especially wireless or remote capability, are among the fastest-growing medical devices. The aging population and the associated increases in diseases such as congestive heart disease and diabetes as well as the cost of treating those conditions, is driving sales of these devices. Use of new patient monitoring technologies can result in a need for fewer personnel, increased coverage by existing personnel, and a reduction in errors and are expected to lead to better patient care and the recognition of serious health problems before they become an issue.

Full Coverage of This Fast-Growing Medical Device Area
This Kalorama Information report, Advanced Remote Patient Monitoring Systems, is a comprehensive study on the patient monitoring industry, including the advanced system with remote and wireless capability to includes patient monitoring equipment and devices which have advanced features. The report specifically focuses on technologically advanced (including wireless and remote) patient monitors; monitors with patient data processing applications; and monitors which are capable of data transfer to an EMR system-including equipment and peripherals which coordinate the flow of data to hospital electronic medical record systems. For the most part, devices covered in this report can: 1) provide monitoring information beyond a patient room; and 2) provide data for an EMR system or are expected to add such features within the forecast period.

Segmented Into Relevant Market Sectors
This report provides complete market sizes and revenue breakouts for the important segments of the advanced monitoring market. For the purpose of this report, three general areas of advanced patient monitoring are covered.

These include:

• Vital Sign Monitoring (Blood Pressure, Pulse Oximeters, Other)
• Diagnostic Monitoring (EKG, Other)
• Specialized or Disease-Specific Monitoring (Anesthesia Monitors, Cardiac Rhythm Monitoring, Diabetes -Glucose Monitoring, Respiratory Monitors)

In this report, in order to reflect coverage of the broad range of patient monitoring products, The advanced patient monitoring market is segmented into two general end-user markets: hospital/acute care facilities and the telehome or Telemedicine market (which includes both home/mobile care devices). Hospitals and acute care include inpatient facilities (ie. Hospitals, trauma centers, etc.), surgery centers, burn units, urgent care clinics and other similar establishments. The Telemedicine or telehome (home/mobile care) segment includes home healthcare, assisted living homes, first responders, and other institutions.

The report breaks out the market for patient monitoring systems by end user:

• Hospital Patient Monitoring
• Telemedicine Patient Monitoring

Businesses can use this report to plan based on the category they want to focus their research effort on.

Global Coverage of Markets and Key Trends
This truly worldwide report contains segmentation of the global market for the industry, including market estimates for US, Europe, Japan, China and Brazil. The U.S. market is also covered in detail with an entire section of market analysis just for patient monitoring in the world’s largest healthcare system.

A number of trends will be important for market-watchers to understand to fully assess the opportunity available. Issues and trends driving the market for patient monitoring, particularly advanced patient monitoring include:

• Increasing life expectancy
• Implantable devices
• HIPAA and Electronic Data Security
• Medicine- at-Work concept
• Emphasis on reducing hospital days
• Intensive care, cardiology nursing shortages
• Cost effectiveness
• Mental Health Assessments and Telemedicine
• New wireless technologies
• Algorithms to “sort” data or trigger alarms
• Off-site access to data
• Full-service outsourcing
• Converged wireless networks
• Data management and the electronic medical record
• HIPAA
• FCC rules for medical wireless communication

Advanced Patient monitoring systems are defined by the tasks they can perform. Software enables these tasks, and represents important markets on their own. This report contains coverage of these aspects of the market, with market size and forecast assessments.

• Patient Data Processing Applications and Equipment: uses algorithms to evaluate monitoring measurements for a patient’s specific condition(s). Usually, these can be customized by the physician, with reports sent to the physician. In the market for advanced patient monitoring systems, the applications and equipment are either integrated into the patient monitoring system or are add-ons to the measuring systems.
• EMR Data Transfer Equipment and Applications: described in the report as either components of, or add-ons to, patient monitoring systems. This report does not include EMR software. In general, the applications in this segment transfer data to third-party EMRs. The base year is 2012, with forecasts provided for each year through 2017. The market was evaluated via a combination of disease prevalence trends, population trends, device innovations, federal and industry standards and regulations. Both primary and secondary sources were consulted in developing market estimates.

Extensive Company Coverage
There are a considerable number of companies offering some form of wireless and remote technologies, patient data processing applications and equipment, and EMR data transfer equipment.
A select few are profiled in this report including:

• Abbott Laboratories
• Aerotel Medical Systems
• Alere
• AMD Global Telemedicine
• American Telecare
• AuthentiDate
• B. Braun
• Baxter
• Bosch Medical
• Boston Scientific
• C.R. Bard
• Cardiocom
• Carematix
• Compumedics
• Covidien
• Criticare Systems
• Cybernet Medical
• Dräger Medical
• GE Healthcare
• Getinge Group
• Global Media Group
• Hoana Medical
• Honeywell HomMed
• Infinium Medical
• InTechnology
• Intel Corporation
• InTouch Health
• Johnson & Johnson
• LifeWatch
• Masimo Corp
• Medtronic, Inc.
• Mindray
• Nihon Kohden
• Omron Healthcare
• OSI Systems
• Philips Healthcare
• Proteus Digital Health
• Roche
• Second Opinion Telemedicine
• Schiller AG
• Smiths Medical
• St. Jude Medical
• Welch Allyn

Table Of Contents

CHAPTER ONE: EXECUTIVE SUMMARY
Introduction
Scope and Methodology

Product Details
End-Users

Hospitals
Home Health
Nursing Homes
Other Markets

Issues and Trends
Size and Growth of the Market
Competitors


CHAPTER TWO: INTRODUCTION
Overview
Aging of the Population
Population Statistics

Global Population Trends

Global Population over 65

U.S. Population Trends

U.S. Population over 65

Global Trends in Life Expectancy

Barriers to Use of New Technologies in Patient Monitoring
Emerging Trends

Cloud-Based Mobile Healthcare

Cloud Connectivity and Compatibility

Healthcare Establishments
Hospitals

U.S. Hospital Segment
Hospital Systems around the World

Physicians

Number of Physicians

Nursing Homes

International Trends in Nursing Facilities

Home Health

Proven Cost Effectiveness


CHAPTER THREE: ADVANCED REMOTE PATIENT MONITORING
PRODUCTS
Overview
New Technologies

Wireless Technologies
Smartphones in Healthcare

Benefits of Healthcare Smartphones
Challenges in the Implementation of Smartphones in Healthcare Settings

Remote Monitoring
Telemedicine
Applications by Disease State
Global Cancer Incidence
Global Cardiovascular Disease Rates
Global Impact of Diabetes
Global Obesity Rates by Population
EMR (EHR) Data Transfer Applications and Equipment
Technology Achievements

Implantable Medical Devices
Technology for Drug Adherence, Targeted Delivery, and Monitoring
Mobile Medical Applications and Patient Monitoring
Nanobots

Product Segments with Advanced Technologies

Vital Signs Monitoring Devices

Blood Pressure Monitors
Pulse Oximeters
Temperature

Diagnostic Monitoring

ECG/EKG
Spirometry
Ultrasound

Specialized Monitoring

Anesthesia Monitoring
Cardiovascular Disease Monitoring
Cancer Treatment Monitors
Diabetes Monitors
Fetal Heart Monitors
Osteoarthritis
Prothrombin Time Monitors
Respiratory Monitors
Sleep Disorder Monitors

Product Offerings
Examples of Company Offerings

Abbott
American Medical Development (AMD) Telemedicine Products
American TeleCare
Bosch Healthcare
Boston Scientific
Cardiocom
Carematix
Covidien
Cybernet Medical Corporation
Draeger Medical
GE Healthcare
GlobalMed
Honeywell HomMed
Intel
InTouch Health
InTechnology
Johnson andamp; Johnson
LifeWatch Technologies
Masimo Corporation
MedApps
Medtronic
Mindray
Nihon Kohden
Omron Corporation
OSI Systems
Philips Medical Systems
Roche
Second Opinion Telehealth Solutions, Inc.
St. Jude Medical
Welch Allyn


CHAPTER FOUR: COMPETITOR TRENDS AND MARKET SHARE ANALYSIS
Overview
Acquisitions and Agreements

Abbott Laboratories
Alere
Covidien
GE Healthcare
GlobalMed
Medtronic
Philips Healthcare
Welch Allyn

Competitor Market Analysis

Philips Healthcare
Medtronic
Covidien
Roche
St. Jude Medical
GE Healthcare
Johnson andamp; Johnson
Omron
Draeger
Boston Scientific
Abbott Laboratories
Nihon Kohden
Masimo Corporation
Mindray
OSI Systems
Other Companies


CHAPTER FIVE: ISSUES AND TRENDS
Introduction
Issues and Trends Driving the Market
Aging of the Population

Increasing Life Expectancy and the Demand for Advanced Healthcare Delivery Options

Global Healthcare Trends

General Economic Trends by Country

U.S. Health Industry Trends

U.S. Healthcare Challenges
Economic Trends in the U.S.
U.S. Health Expenditures by Type
Health Information Technology and American Reinvestment and Recovery Act of 2009 (ARRA)

Meaningful Use Criteria
Stages of Meaningful Use
Qualifying for Stage One Meaningful Use

HIPAA
Medicine-At-Work

Healthcare Efficiency

Electronic Medical Records

Overview of EMRs
EMR Adoption

Are Electronic Healthcare Systems More Efficient?

The EMR and Mobile Apps
Hospital Communications
Remote Monitoring
Capacity Constraints

Emphasis on Reducing Hospital Days
Decreasing Healthcare Resources
Nursing Shortage
eICU

eICU Case Study


Opportunities in Telemedicine/Telemedicine
Mental Health Assessment Through Telemedicine

Post-Traumatic Stress Disorder (PTSD)
Improving the U.S. Mental Care Environment
Mental Disorder Statistics
Suicide

Growing Acceptance of Mobile Technologies

North America
Europe
South America
Asia-Pacific
Internet Users and Growing Adoption of Technology

Development of Patient Monitoring Technologies

Audio and Video
Algorithms to “Sort” Data or Trigger Alarms
Alarm Fatigue
Off-site Access to Data
Full-service Outsourcing
Converged Wireless Networks
Data Management and the Electronic Medical Record
Turnkey Systems
Disease Management Kits
FCC Rules for Medical Wireless Communication
System Compatibility

CHAPTER SIX: GLOBAL MARKET SIZE AND FORECAST
Overview
Total Global Market Size and Forecast
Global Markets by Product Type

Vital Sign Monitoring
Diagnostic Monitoring
Specialized or Disease-Specific Monitoring

End-User Markets

The Global Telemedicine Market
Global Hospital and Acute Care Patient Monitoring Market

Global Markets by Region
Market Drivers and Inhibitors

Growth Drivers
Growth Inhibitors

Emerging Trends
CHAPTER SEVEN: U.S. MARKET SIZE AND FORECAST
Overview
Total U.S. Market Size and Forecast
Markets by Product Type

Vital Sign Monitoring
Diagnostic Monitoring
Specialized or Disease-Specific Monitoring

Markets by Major Disease

Asthma
Cancer
COPD
Diabetes
Heart Conditions
Other

End-User Markets

Hospitals/Acute Care Centers
Home Health/Telemedicine

CHAPTER EIGHT: CASE STUDIES
Overview
Examples of Implemented Technologies

Honeywell's LifeStream View
St. Alexius Medical Center (SAMC) Telemedicine Project
Ottawa Hospital--Ottawa, Ontario
Philips ICU Telemedicine Program
Southeast Alabama Medical Center--Dothan, Alabama
Meridian Health—New Jersey
Mount Sinai Hospital and the University Health Network
(UHN)—New York, New York
Sentara Healthcare—Norfolk, Virginia
Provena Health--Mokena, Illinois
The Whole Child Pediatrics P.S.C.—Florence, Kentucky
Remote Monitoring with Honeywell HomMed
Rural Wireless Healthcare: 3G Mobile Medicine

CHAPTER NINE: CORPORATE PROFILES
Introduction
Patents
Profiles
Abbott Laboratories

Company Overview
Patents
Performance Review

Aerotel Medical Systems

Company Overview
Patents

Alere

Company Overview
Patents
Performance Review

AMD Global Telemedicine

Company Overview
Patents

American TeleCare

Company Overview
Patents

AuthentiDate

Company Overview
Relevant Patents
Performance Review

B. Braun

Company Overview
Patents
Performance Review

Baxter

Company Overview
Patents
Performance Review

Bosch

Company Overview
Patents
Performance Review

Boston Scientific

Company Overview
Patents
Performance Review

C.R.Bard

Company Overview
Patents
Performance Review

Cardiocom

Company Overview
Patents

Carematix

Company Overview
Compumedics
Company Overview
Patents
Performance Review

Covidein

Company Overview
Patents
Performance Review

Criticare Systems

Company Overview
Patents
Performance Review

Cybernet Medical

Company Overview
Patents

Dräger Medical

Company Overview
Patents
Performance Review

GE Healthcare

Company Overview
Patents
Performance Review

Getinge Group

Company Overview
Patents
Performance Review

GlobalMed Group

Company Overview
Performance Review

Hoana Medical

Company Overview

Honeywell HomMed

Company Overview
Performance Review

Infinium Medical

Company Overview

InTechnology

Company Overview
Performance Review

Intel Corporation

Company Overview
Patents
Performance Review

InTouch Health

Company Overview
Patents

Johnson andamp; Johnson

Company Overview
Patents
Performance Review
Company Overview
Performance Review

Masimo

Company Overview
Patents
Performance Review
Company Overview
Patents
Performance Review

Mindray

Company Overview
Patents
Performance Review

Nihon Kohden

Company Overview
Patents
Performance Review

Omron Healthcare

Company Overview
Patents
Performance Review

OSI Systems

Company Overview
Patents
Performance Review
Company Overview
Patents
Performance Review

Proteus Digital Health

Company Overview
Patents

Roche

Company Overview
Patents
Performance Review

Second Opinion Telehealth

Company Overview

Schiller

Company Overview

Smiths Medical

Company Overview
Patents
Performance Review

St. Jude Medical

Company Overview
Patents
Performance Review

Welch Allyn

Company Overview
Patents

APPENDIX A: REGULATORY AUTHORITIES AND ORGANIZATIONS ..375
APPENDIX B: LIST OF COMPANIES


LIST OF EXHIBITS

EXECUTIVE SUMMARY
Table 1-1
The U.S. Market for Advanced Remote Patient Monitoring Systems 2007-2017
Figure 1-1
The Global Market for Advanced Remote Patient Monitoring Systems 2007-2017
Figure 1-2
Advanced Remote Patient Monitoring Systems Market Share by Company


INTRODUCTION
Table 2-1
The Global Population, 1980-2050
Figure 2-1
The Global Population, 1980-2050
Table 2-2
Global Population Trends Age 65+, 2000-2050
Figure 2-2
Global Population Trends Age 65+, 2000-2050
Table 2-3
The U.S. Population, 1980-2050
Figure 2-3
The U.S. Population, 1980-2050
Table 2-4
Percent U.S. Population Over Age 65 by Year, 2000-2050
Figure 2-4
United States Population Trend Age 65+, 2000-2050
Table 2-5
Average Life Expectancy in Years by Country 1980 and 2012
Figure 2-5
Average Life Expectancy in Years by Country 1980 and 2012
Figure 2-6
Most Significant Barriers to Implementing IT, 2011 vs. 2012
Table 2-6
U.S. Registered Hospitals by Type, 2011
Figure 2-7
Distribution of U.S. Registered Hospitals by Type, 2011
Figure 2-8
Number of Hospitals in the US, 1975-2005, Estimated 2015
Table 2-7
Leading For-Profit U.S. Hospital Chains, 2008 and 2010
Table 2-8
Registered Hospitals and Acute Care Centers by Country
Figure 2-9
Registered Hospitals and Acute Care Centers by Country
Figure 2-10
Number of Physician Offices, 2000-2009
Table 2-9
Medical Doctors per 1,000 Population by Country
Figure 2-11
Number of Nursing Homes (United States), 2000-2010
Table 2-10
US Nursing Homes, Beds and Residents
Table 2-11
Estimated Nursing Service Establishments and Care Centers by Country
Figure 2-12
Growth in Hosptice Programs
Figure 2-13
Patrons Served in Hospice, 1998-2009
Table 2-12
Percentage Hospice Admissions by Diagnosis, 2005-09


ADVANCED REMOTE PATIENT MONITORING PRODUCTS
Table 3-1
U.S. Prevalence of Selected Medical Conditions
Figure 3-1
U.S. Prevalence of Selected Medical Conditions
Table 3-2
Total Cancer Incidence by Sex and Country
Figure 3-2
Total Cancer Incidence by Sex and Country
Table 3-3
Obesity Rates by Country 2000 and 2010
Figure 3-3
Obesity Rates by Country 2000 and 2010
Table 3-4
Categories for Blood Pressure Levels in Adults
Table 3-5
Oxygen Saturation Levels and Normal Heart Rates by Age
Table 3-6
Select Patient Monitoring Systems February 2013


CHAPTER FOUR: COMPETITOR TRENDS AND MARKET SHARE ANALYSIS
Table 4-1
Competitor Analysis, Global Advanced Remote Patient Monitoring Equipment and Devices, 2012


CHAPTER FIVE: ISSUES AND TRENDS
Table 5-1
Total Healthcare Expenditures as a Percent of GDP by Country 1990, 2000 and 2010
Figure 5-1
Total Healthcare Expenditures as a Percent of GDP by Country 1990, 2000 and 2009
Table 5-2
Average Annual Growth of GDP by Country 2007-2011
Table 5-3
National Healthcare Expenditures in the United States 1960-2020
Figure 5-2
Healthcare Spending as a Percent of GDP in the United States, 1980-2020
Table 5-4
National Health Expenditure Amounts, by Type of Expenditure: Calendar Years 2015-2021
Table 5-5
Stages of Meaningful Use
Figure 5-3
Percent of Organizations that Expect to Qualify for Stage One Meaningful Use
Figure 5-4
Percent of U.S. Hospitals Reporting Security Breach of IT System, 2011 and 2012
Figure 5-5
Top Concerns -- Security of Computerized Medical Information, 2011 and 2012
Table 5-6
Percent of Office-based Physicians Using EMRs, 2001-2010*
Figure 5-6
Percent of Office-based Physicians Using EMRs, by Level of EMR System, 2006-2010
Table 5-7
State Data: Percent of Office-based Physicians Using EMRs, Preliminary 2010
Figure 5-7
Percent of U.S. Hospitals Reporting ED Capacity Issues by Type of Hospital, Current Survey March 2010
Figure 5-8
Percent of U.S. Hospitals Reporting ED Diversion in Last 12 Months by Type of Hospital, Current Survey March 2010
Figure 5-9
Percent of U.S. Hospitals Citing Factor as Number One Reasons for ED Diversion, Current Survey March 2010
Table 5-8
U.S. Hospital Length of Stay, Average by Age Group
Figure 5-10
U.S. Hospital Length of Stay, Average by Age Group
Table 5-9
Average International Length of Stay, by Country 2010
Figure 5-11
Average International Length of Stay, by Country 2010
Table 5-10
Mental Disorder Statistics in the U.S.
Figure 5-12
Mental Disorders by Type in the U.S.
Figure 5-13
Suicides Rates by Sex and Country, 2008
Table 5-11
Cellular Phone Subscribers by Country
Figure 5-14
Internet Users per 100 Inhabitants, 2010
Figure 5-15
Access to On-Line Patient Information from Remote Location, 2011 and 2012


CHAPTER SIX: GLOBAL MARKET SIZE AND FORECAST
Table 6-1
The Global Market for Advanced Remote Patient Monitoring Systems 2007-2017
Figure 6-1
The Global Market for Advanced Remote Patient Monitoring Systems 2007-2017
Table 6-2
The Global Market for Advanced Vital Sign Monitoring Systems 2007-2017
Figure 6-2
The Global Market for Advanced Vital Sign Monitoring Systems 2007-2017
Figure 6-3
Distribution of Sales for Global Advanced Vital Sign Monitoring Systems, 2012
Table 6-3
The Global Market for Advanced Diagnostic Monitoring Systems 2007-2017
Figure 6-4
The Global Market for Advanced Diagnostic Monitoring Systems 2007-2017
Figure 6-5
Distribution of Sales for Global Advanced Diagnostic Monitoring Systems, 2012
Table 6-4
The Global Market for Advanced Specialized/Disease Specific Monitoring Systems 2007-2017
Figure 6-6
The Global Market for Advanced Specialized/Disease Specific Monitoring Systems 2007-2017
Figure 6-7
Distribution of Sales for Global Advanced Specialized/Disease Specific Monitoring Systems, 2012
Table 6-8
The Global Market for Advanced Remote Patient Monitoring Systems, by End User (Hospitals/Acute Care and Home Health/Mobile Care) 2012
Table 6-5
The Global Telemedicine Market 2007-2017
Figure 6-9
Growth in Global Telemedicine Market 2007-2017
Table 6-6
The Global Hospital and Acute Care Monitoring Market 2007-2017
Figure 6-10
Growth in Global Hospital and Acute Care Monitoring Market 2007-2017
Table 6-7
Global Market for Advanced Remote Patient Monitoring, 2012
Figure 6-11
Global Market for Advanced Remote Patient Monitoring, 2012


CHAPTER SEVEN: U.S. MARKET SIZE AND FORECAST
Table 7-1
The U.S. Market for Advanced Remote Patient Monitoring Systems 2007-2017
Figure 7-1
The U.S. Market for Advanced Remote Patient Monitoring Systems 2007-2017
Table 7-2
U.S. Advanced Remote Patient Monitoring Market by Product Type 2012
Figure 7-2
The U.S. Market for Advanced Remote Patient Monitoring Systems, by Technology Type, 2012
Table 7-3
U.S. Advanced Remote Patient Monitoring Market by Disease Type 2012
Figure 7-3
The U.S. Market for Advanced Remote Patient Monitoring Systems, by Disease, 2012
Table 7-4
U.S. Advanced Remote Patient Monitoring Market Forecast by Disease Type 2017
Figure 7-4
The U.S. Market Forecast for Advanced Remote Patient Monitoring Systems, by Disease, 2017
Table 7-5
The U.S. Market for Advanced Remote Patient Monitoring Systems, by End User (Hospitals/Acute Care and Telemedicine) 2007-2017
Figure 7-5
The U.S. Market for Advanced Remote Patient Monitoring Systems, by End User (Hospitals/Acute Care and Telemedicine) 2007-2017
Table 7-6
The U.S. Market for Advanced Remote Patient Monitoring Systems, by End User (Hospitals/Acute Care and Telemedicine) 2012
Table 7-7
The U.S. Market for Advanced Remote Patient Monitoring Systems, by End User (Hospitals/Acute Care and Telemedicine) 2017


CHAPTER EIGHT: CASE STUDIES
Table 8-1
Results of St. Alexius Medical Center Telemedicine Project


CHAPTER NINE: CORPORATE PROFILES
Figure 9-1
United States Utility Patents by Country of Origin
Figure 9-2
Abbott's Financial Performance, 2010-2012
Figure 9-3
Alere's Financial Performance, 2010-2012
Figure 9-4
AuthentiDate's Financial Performance, 2010-2012
Figure 9-5
B Braun's Financial Performance, 2009-2011
Figure 9-6
Baxter's Financial Performance, 2010-2012
Figure 9-7
Bosch's Financial Performance, 2010-2012
Figure 9-8
Boston Scientific's Financial Performance, 2010-2012
Figure 9-9
C.R. Bard's Financial Performance, 2010-2012
Figure 9-10
Compumedics' Financial Performance, 2010-2012
Figure 9-11
Covidien's Financial Performance, 2010-2012
Figure 9-12
Dräger's Financial Performance, 2010-2012
Figure 9-13
General Electric's Financial Performance, 2010-2012
Figure 9-14
Getinge's Financial Performance, 2010-2012
Figure 9-15
Honeywell's Financial Performance, 2010-2012
Figure 9-16
InTechnology's Financial Performance, 2010-2012
Figure 9-17
Intel's Financial Performance, 2010-2012
Figure 9-18
Johnson andamp; Johnson's Financial Performance, 2010-2012

Figure 9-19

LifeWatch's Financial Performance, 2010-2012

Figure 9-20

Masimo's Financial Performance, 2010-2012

Figure 9-21

Medtronic's Financial Performance, 2010-2012

Figure 9-22

Mindray's Financial Performance, 2010-2012

Figure 9-23

Nihon Kohden's Financial Performance, 2010-2012

Figure 9-24

Omron's Financial Performance, 2010-2012

Figure 9-25

OSI System's Financial Performance, 2010-2012

Figure 9-26

Royal Philips Electronics' Financial Performance, 2010-2012

Figure 9-27

Roche's Financial Performance, 2010-2012

Figure 9-28

Smiths Group's Financial Performance, 2010-2012

Figure 9-29

St. Jude's Financial Performance, 2010-2012

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