FONAR PRESIDENT'S MESSAGE TO
SHAREHOLDERS - MARCH 2007
MELVILLE,
NEW YORK, February 22, 2007 - FONAR Corporation (NASDAQ-FONR),
The Inventor of MR Scanning™,
has issued its annual President’s Message to Shareholders.
DEAR SHAREHOLDERS:
FONAR has been at the forefront of magnetic resonance
imaging (MRI) research and development since 1978. In recent
years, we developed and commercialized an MRI scanner whose
unique physical configuration enables it to scan patients in
any position or posture. Conventional MRI scanners can only
scan patients lying down, i.e. in a single, static, non-weight-bearing
position. With the introduction of the FONAR Walk-In Full-Range-of-Motion
Multi-Position™ UPRIGHT™ MRI, patients can be scanned
in their positions of symptoms, including normal, weight-bearing
postures. When we first envisioned the product, we believed
that it would revolutionize the field of diagnostic imaging.
I am pleased to report that now with 142 scanners sold and 116
installed, reports from our users consistently confirm our expectation
that this product is indeed beginning to revolutionize the industry.
PENETRATING THE HOSPITAL MARKET
I am pleased to report that we are now making inroads
into the hospital market. Prior to our development of our new
product, FONAR had very
limited success in penetrating the hospital market because it
was extremely difficult for FONAR to compete with the giants
of industry who dominated and continue to dominate in the sale
of medical equipment to hospitals. Now, however, these same giants
don't have any products to offer hospitals that can compete with
the
FONAR scanner. As hospital surgeons and radiologists in need
of full range of motion weight-bearing imaging come to recognize
the tremendous value of our product for their practices, there
is only one supplier that hospitals can go to - FONAR.
In 2006, the state of Tennessee awarded a Certificate
of Need (CON) permitting Wellmont Bristol Regional Medical Center
hospital to purchase and install a FONAR UPRIGHT™ MRI in Bristol,
Tennessee. Morgan Lorio, M.D., a spine surgeon who championed
the effort to bring the product to Bristol, Tennessee, said that
the new FONAR technology which "permits the fully-loaded
spine to be evaluated in its dynamic state will greatly increase
the accuracy of our surgery."
In September 2006, St. Maartenskliniek in Nijmegen,
the Netherlands, the country's largest orthopedic hospital, placed
its order for the FONAR UPRIGHT™ MRI. Dr. Paul Pavlov, Director
of the St. Maartenskliniek and
Chairman of Spine Surgery at the internationally acclaimed Spine
Centre said, "
Once FONAR made available upright weight-bearing MRI imaging
technology, owning one for the St. Maartenskliniek 'Spine Center'
was not optional, but mandatory. For our hospital to continue
to engage in spine surgery without it, once this new technology
became available, was unacceptable." He added, "We
did not regard the utilization of this new technology, from our
patient's perspective, as optional. It was mandatory."
Toward the end of 2006, St. Vincent's Carmel Hospital
installed Indiana's first FONAR UPRIGHT(TM) MRI. James Hardacker,
M.D., orthopedic spine surgeon at the hospital, said, "The
major significance of the FONAR UPRIGHT™ Multi-Position MRI
is that it allows for more definitive and improved diagnoses."
LANDMARK SALE TO MULTI-STATE DIAGNOSTIC IMAGING
PROVIDER
In February 2007, FONAR sold an UPRIGHT™ MRI
to the Center for DiagnosticImaging (CDI) of Minneapolis,
Minnesota. Founded by distinguished Spine Radiologist Dr. Kenneth
Heithoff in 1981, CDI was one of the first outpatient imaging
providers in the country. CDI currently owns and operates 39
diagnostic imaging centers in eight states - Minnesota, Wisconsin,
Illinois, Indiana, Kansas, Missouri, Washington, and Florida.
THE FONAR MARKETING STRATEGY
The focus of the sales and marketing efforts is
to stimulate demand and awareness of FONAR products among patients,
surgeons, referring physicians, radiologists, independent MRI
practice owners, and hospitals. FONAR continues with its multi-pronged
marketing strategy to significantly accelerate growth in revenue
streams for MRI scanner equipment sales and services and related
revenues.
FONAR's marketing strategy includes initiatives
in the following areas: advertising campaigns; trade show and
industry event participation; third-party endorsements in the
form of medical research and professional testimonials; direct
sales efforts for U.S. market penetration; and distribution channel
partnerships.
-
ADVERTISING - In a continuing
effort to reach consumers and physicians with the message of
the unique advantages of its product, Tom Attea, former partner
and creative director of Leapfrog Communications, Inc. has
joined FONAR full time. Mr. Attea holds the newly created position
of Vice President of Advertising. He heads FONAR's new in-house
advertising agency and is responsible for the strategic and
creative development of FONAR advertising. The FONAR in-house
agency was created to allow FONAR to reach
both physicians and patients with advertising that is both effective and cost-effective.
Our goal is to make the FONAR UPRIGHT™ Multi- Position™ MRI "must
have" technology.
We're concentrating on reaching physicians and radiologists with a compelling
series of advertisements throughout the year. The advertising will demonstrate
why physicians need the UPRIGHT™ MRI to deliver state-of-the-art medical
care and why radiologists need it to serve physicians with the most accurate
images.
Our goal is to create demand for the FONAR UPRIGHT™ MRI at a level that
makes having its unique diagnostic benefits, not a choice, but an urgency. We
want
to
turn the FONAR business from a "push" business, where we
must sell the UPRIGHT™, to a "pull" business, in which physicians,
radiologists,
and hospitals are calling, with urgency, to purchase the machine. We plan to
reach
our audience in the leading publications that serve them and to reach them every
month, at times even more frequently. We plan to reach orthopedic surgeons and
neurosurgeons
in Spine magazine, primary care physicians in JAMA, and radiologists in Radiology
magazine, as well as other leading publications. We've also created a special
virtual community for our sales force, where new advertisements will be available
immediately
for them to download and utilize in their sales calls. And we're creating an
individual
Web site for each HMCA imaging center, to achieve an immediate and enormous increase
in our on-line presence.
-
TRADE SHOW PARTICIPATION - Given its recognition
as an MRI industry innovator, the developer of the first MRI,
and the only company to offer Position™ Imaging (pMRI™)
with the FONAR UPRIGHT™ MRI, FONAR exhibits at the annual
meetings of the most important major surgery and radiology
societies: The American Academy of Orthopaedic Surgeons (AAOS);
North
American Spine Society (NASS), American Association of Neurosurgery
(AANS), The
Congress of Neurosurgery (CNS), and the Radiological Society of North America
(RSNA). In March 2007, FONAR launched its first full-fledged marketing effort
in the Middle East with its participation at the 3rd Annual International Surgical
Conference in Abu Dhabi in the UAE. There was a great deal of interest.
-
THIRD PARTY ENDORSEMENTS IN THE FORM OF MEDICAL
RESEARCH AND PROFESSIONAL TESTIMONIALS - In an effort to educate
and inform all parties associated with the MRI industry, as
well as patients, FONAR is continuing its direct mail campaign
providing specific case reports to approximately 10,000 physicians.
These case reports show MRI pathologies, particularly of the
spine, seen by the FONAR UPRIGHT™ MRI but not visible
with the conventional, recumbent MRI. Accompanying the images
are
testimonials from distinguished surgeons explaining how the
FONAR UPRIGHT™ MRI's images changed the surgery that was
planned and improved their patients' outcomes.
-
DIRECT SALES EFFORTS FOR U.S. MARKET PENETRATION
- FONAR has a direct sales force for U.S. distribution. The
team consists of industry veterans who are well versed in the
benefits of UPRIGHT™ Imaging, including important peer-reviewed
studies that attest to the diagnostic value of multi-position
imaging. In the U.S., FONAR employs 20 regional sales representatives.
In addition, there are highly experienced sales support and
management personnel stationed at the Company's corporate headquarters
in Melville, New York.
-
DISTRIBUTION CHANNEL PARTNERSHIPS -- Tecserena
GmbH of Germany has been FONAR's European distributor since
the beginning of 2006. The sales force of Tecserena formerly
represented Hitachi in Europe. We are pleased that Tecserena
has already sold three FONAR UPRIGHT™ MRIs. The first is
operating in Cologne, Germany; the second is now being installed at St. Maartenskliniek,
the largest orthopaedic hospital in the Netherlands; and the third will be installed
in a diagnostic outpatient center in Hanover, Germany. Alfred Schlemmer, managing
director of Tecserena said, "The FONAR UPRIGHT™ Multi-Position™MRI is a one-of-a-kind product, a product that we firmly believe will become
a standard
in MRI diagnostics in Europe, especially of the spine. There is nothing like
it.
Our basic marketing strategy is to educate the medical community about the unique
diagnostic capabilities of the FONAR unit. Once the marketplace understands them,
sales
follow."
SALES CHALLENGES
As has been the experience of every other manufacturer of MRI
equipment, FONAR sales have been suffering from the effects of
the Deficit Reduction Act (DRA) of 2005. The January 1, 2007
implementation of the DRA effectively reduced Medicare's reimbursement
for MRI services by 17% - 48%, depending on the service provided.
To make matters worse, since contracted fees with many commercial
payers piggyback Medicare fees, MRI providers will see decreases
in payments from them as well. Naturally, this has had a negative
effect on new MRI equipment sales across the country.
It is important to know, however, that in the past, Medicare
has implemented reductions in reimbursement amounts for MRI procedures
that were subsequently retracted. It is for this reason that
many potential buyers of MRI equipment have adopted a "wait
and see" posture. As of this writing,
legislation to put a stop to the imaging cuts that went into
effect on January 1 was introduced in the House on February 28,
2007. The bill, which is similar to the 2006 "Access to
Medicare Imaging Act" that attracted 142 cosponsors,
calls for a two-year freeze on the cuts.
Hopefully, this new bill will become law. However, even if it
does not, FONAR is confident that once the initial impact of
the DRA is absorbed, it is expected that the medical community
will move forward with the purchase of equipment that it needs,
despite the DRA. And the medical community does need the FONAR
Walk-In Full-Range-of-Motion Multi-Position UPRIGHT™ MRI.
The good news is that FONAR is once again seeing serious interest
in purchasing our product. We are seeing prospective buyers finally
coming off the fence, and we are looking forward to a substantial
increase in sales.
NEW PRODUCTS
At the annual meeting of the Radiological Society of North America
(RSNA) in Chicago, the largest medical meeting in the United
States, FONAR exhibited the FONAR 360™. The FONAR 360™ is
a room-size MRI that can be used for conventional diagnostic
imaging or, in the future, for intraoperative MRI. The FONAR
360™, unlike any other MRI, is one that doctors can walk inside
of.
The patient is positioned on a surgical table that is located
immediately on top of one of the MRI's two magnet poles. This
design allows 360-degree access to the patient for an entire
physician team.
The FONAR 360™ exhibit at RSNA was a replica of the unit
installed at Nuffield Orthopaedic Centre (NOC), an Oxford University
Teaching Hospital, in Oxford, England. Eugene McNally, M.D.,
NOC Consultant Radiologist, said, "We intend to exploit
the unique imaging capability of the FONAR 360™ within our
regular radiology practice. We think it will be an attractive
option
for claustrophobic patients and offer open field imaging at a
higher field strength than most other open systems in the UK.
We also plan to explore the possibilities for using this revolutionary
magnet to support MRI-guided interventional procedures."
There was a great deal of interest in the FONAR 360™ product
on the floor of the RSNA exhibit and we look forward to the impact
this exciting product will have on the medical community and,
of course, on FONAR.
HMCA
Our subsidiary HMCA (Health Management Corporation of America)
continues to provide FONAR with a steady source of revenue in
fees from managing UPRIGHT™ MRI business in New York, Florida
and Georgia. We are actively searching for additional locations
in New York and Florida so that we may add to this important
source of revenue.
CONCLUSION
We believe that although we have suffered some setbacks, FONAR
has a very bright future. Why? Primarily because we have a product
that physicians desperately need to improve the outcomes of their
patients * a product that only FONAR can provide. As our product
continues to gain acceptance, our scientists and engineers continue
to improve it, our customer service organization grows to accommodate
our ever-increasing installed base, and our sales and marketing
team has the strategy, the skill and the organization to sell,
we see a bright future for our company.
I would like to acknowledge the support of our faithful shareholders
who share our vision, the FONAR team for its unwavering dedication,
and our customers for their loyalty. The opportunities and challenges
we face strengthen our resolve to achieve the goal of medical
excellence and financial success for FONAR.
Sincerely,
Raymond V. Damadian
President and Chairman
About FONAR
FONAR® was incorporated in 1978, making it the first, oldest
and most experienced MRI manufacturer in the industry. FONAR
introduced the world's first commercial MRI in 1980, and went
public in 1981. Since its inception, FONAR has installed hundreds
of MRI scanners worldwide. Their stellar product line includes
the FONAR UPRIGHT™ Multi-Position™ MRI (also known
as the STAND-UP™ MRI), the only whole-body MRI that performs
Full
Range of Motion™ (ROM) Multi-Position™ imaging (mpMRI™)
that enables patients to be scanned in numerous weight-bearing
positions, i.e. standing, sitting, in flexion, in extension and,
in particular, in the position that generates symptoms, so that
a picture can be obtained of the actual pathology giving rise
to the patient’s symptoms (e.g. pain). The scanner also
performs all the scans of a conventional MRI with the patients
in the usual lie-down position. The FONAR UPRIGHT™ Full
Range of Motion™ (ROM) Multi-Position™ MRI often sees
the patient's
problem that other scanners cannot, because they are lie-down
only. Approximately 85% of patients are scanned sitting while
they watch a 42" flat screen TV.
#
The Inventor of MR Scanning™,
Full Range of Motion™, STAND-UP™, UPRIGHT™,
Multi-Position™, pMRI™, True Flow™, and The
Proof is in the Picture™ are trademarks of FONAR Corporation.
This release may include
forward-looking statements from the company that may or may not
materialize. Additional information on factors that could potentially
affect the company's financial results may be found in the company's
filings with the Securities and Exchange Commission.
###
FONAR Corporation
110 Marcus Drive
Melville, N.Y. 11747
Tel. 631-694-2929
Fax. 631-390-9540
Email sales@FONAR.com
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