Interim Results Presentation Six months to 31 July 2019
October 2019
Matt Sassone Chief Executive Officer Tim Hall Chief Financial Officer
October 2019 Matt Sassone Chief Executive Officer Tim Hall Chief - - PowerPoint PPT Presentation
Interim Results Presentation Six months to 31 July 2019 October 2019 Matt Sassone Chief Executive Officer Tim Hall Chief Financial Officer Disclaimer The Presentation Materials includes statements that are, or may be deemed to be,
Interim Results Presentation Six months to 31 July 2019
October 2019
Matt Sassone Chief Executive Officer Tim Hall Chief Financial Officer
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The Presentation Materials includes statements that are, or may be deemed to be, forward-looking statements. These forward-looking statements can be identified by the use of forward-looking terminology, including the terms "believes", "estimates", "plans", "projects", "anticipates", "expects", "intends", "may", "will", or "should" or, in each case, their negative or other variations or comparable terminology. These forward-looking statements include matters that are not historical facts and include statements regarding the Company's intentions, beliefs or current expectations concerning, among other things, the anticipated future performance of the Company. Any such forward-looking statements in the Presentation Materials reflect the Company’s current expectations and projections about future events but, by their nature, forward-looking statements involve a number of risks, uncertainties and assumptions that could cause actual results or events to differ materially from those expressed or implied by the forward-looking statements. These risks, uncertainties and assumptions could adversely affect the outcome and financial effects of the plans and events described herein. Save as required by law or regulation or the rules of any securities exchange, the Company undertakes no obligation to release the results of any revisions to any forward-looking statements in this Presentation that may occur due to any change in its expectations or to reflect events
reliance should be placed on, any projections, targets, estimates or forecasts and nothing in the Presentation Materials is or should be relied on as a promise or representation as to any future event.
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Hemodynamic monitoring company, helping doctors to manage patient’s cardiac function during high risk surgery and critical illness.
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Market Overview
Enhanced Recovery to Accelerate Segment Growth
pressure monitoring products, excludes capital 3. Includes minimally invasive and non-invasive advanced hemodynamic monitoring products, excludes capital
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Competitive Landscape
Advanced Hemodynamics Market Share* Competitive Landscape Changing Due To Recent Acquisitions
In 2014 Getinge acquired Pulsion for €139m representing 4 times revenues and 11 times EV/EBITDA
* Source: internal estimates based on published data
Edwards Lifesciences Getinge Cheetah Medical LiDCO
2019: Agreement to be acquired by Baxter
with additional $40 million based on clinical & commercial milestones
Deltex Medical Other Manufacturers:
CN Systems Osypka Retia Medical Vygon Acquired BMEYE in 2012 for €28m Acquired CASMED for $100m. At time of acquisition CASMED had revenues of $21m and negative EBITDA of 6.4m.
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Respective Competitive Offerings
Non- Invasive Finger Cuffs Blood Pressure Transducers Arterial Line Sensors Pulmonary Artery Catheters Bio- Impedence sensors
Advanced Hemodynamic products
Calibrated Technology Sensors
More invasive Less invasive Strategy
Differentiate through innovation i.e. incorporating AI into technology Recently addressed product offering by launching non-invasive finger cuff technology Planned acquisition by Baxter may change strategy Multiple technologies on legacy monitor Address today’s customer needs of economical value & ease of use
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LiDCO Product Sales 10% (H1 2019)
USA
47%
EUROPE
27%
ROW
27%
UK
8%
Continued success of the HUP offering LiDCO product revenues (H1 2019) and % growth vs H1 2018 Retained leading market share – reported revenues down as transitioning largest customers to HUP Appointment of Elysian Fields as Master Distributor for South America Latest monitor regulatory approval (China & S Korea) New distribution in Poland & Romania
£0.3m £1.6m £0.9m £0.5m
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H1 Revenues
2.0 2.5 3.0 3.5 4.0 H1 FY19 H2 FY19 H1 FY20
Revenue (£m)
LiDCO 3rd Party 1.6 0.9 0.3 0.5
By region (£m)
UK US Europe ROW 0.8 2.5 0.0
By revenue type (£m)
Capital Recurring Other
year and 5% on prior 6 months
termination of Argon distribution contract
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LiDCO – HUP strategy
HUP REVENUES UP 115% to £0.8m (H1 2018: £0.4m)
OFFERING STRATEGY
Software as a Service Treat unlimited number of patients Potential for significant cost saving No expensive per patient disposable required Disruptive model to take share & expand globally Accelerate US market penetration Drive greater adoption of hemodynamic monitoring Customers sign multi-year agreements
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HUP Performance
the Software as a Service “SaaS” model
15 hospital accounts
HUP
(ACV) £2.1m
contracts signed as of August 2019 trading statement
500 1000 1500 2000 2500 50 100 150 200 250 300 Jan '18 Jul '18 Jan '19 Jul '19 YTD USA UK Distributors Annual Revenue
Monitors ACV (£000s)
HUP performance by region
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Building market share in US
15 HUP accounts currently: 1. Multiple teaching institutions across US 2. Increasing penetration in multiple Depts 3. Long term renewal for largest US HDM user 4. 4 renewals for longer terms (2-4 years)
Gaining share, winning trust Exciting pipeline
across USA engaged
research grants & leveraging relationships
Interest Evaluation Decision Purchasing
Current Prospects
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UK Market
LiDCO products
8%
largest customer converted in January 2018
recurring revenues in the UK
stock inventory ahead of transitioning to HUP
hemodynamic monitoring in patients undergoing emergency surgery
* Percentage of H1 recurring revenues generated from HUP licences
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USA Market
revert to per patient option, still with LiDCO
* Percentage of H1 recurring revenues generated from HUP licences
47%
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Distributor Markets
that are rapidly adopting relevant clinical pathways such as enhanced recovery after surgery
hemodynamic monitor LiDCOrapidv3 in both China and South Korea
* Percentage of H1 recurring revenues generated from HUP licences
27%
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needs
3rd party distribution in UK
Disposable NIBP cuffs Pressure Transducers Advanced Nerve Stimulation
features
Key Learnings Strategy moving forward
relationships by targeting existing LiDCO accounts using competitor products
environment impact of shifting to disposables
product sale
Over time target is to collectively exceed the financial contribution previously generated by the Argon distribution
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Income Statement
2018: 65.7%) due to the decline in sales
8% to £3.30m (H1 2018: £3.60m)
loss £1.27m)
by 70% to £0.26m (H1 2018: £0.88m)
Six months ended 31 July 2019 Six months ended 31 July 2018 Unaudited Unaudited £'000 £'000 Revenue 3,511 3,643 Cost of sales (948) (1,251) Gross profit 2,563 2,392
Sales and Marketing (1,702) (2,038) Operations (507) (542) Administration (704) (626) Product Development (393) (396)
Total Costs (3,306) (3,602) Operating loss before sbp (743) (1,210) Share based payment (69) (65) Operating loss (812) (1,275) Finance (expense)/income (8) 1 Loss before tax (820) (1,274) Income tax (1) 9 Loss after tax (821) (1,265) EBITDA (261) (884)
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Balance Sheet
supported by higher monitor sales
£0.2m
deferred revenues of £0.7m (H1 2018: £0.3m)
implemented
UK office lease
31 July 2019 31 July 2018 Unaudited Unaudited £'000 £'000 Non-current assets 3,505 3,029 Current assets Inventory 1,539 2,118 Trade & other receivables 1,628 2,218 Cash 1,188 2,056 Total current assets 4,355 6,392 Current liabilities Trade & other payables (1,181) (1,918) Deferred income (766) (371) Total current liabilities (1,947) (2,289) Net current assets 2,408 4,103 Non-current liabilities (131)
5,782 7,132
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Cash Flow
2018: £1.17m)
H1 (normally in H1)
growth
positive impact on cash flow as typically receive annual payment in advance
Six months to Six months to July 2019 July 2018 £000 £000
Net cash outflow from operating activities 130 (614) Cash flows from investing activities Purchase of plant, property & equipment (232) (238) Purchase of intangible assets (309) (320) Finance income 1 1 Net cash used in investing activities (540) (557) Net cash outflow before financing (410) (1,171) Cash flows from financing activities Finance expense (9)
(110)
(119)
(529) (1,171) Opening cash and cash equivalents 1,717 3,227 Closing cash and cash equivalents 1,188 2,056
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Outlook
continues to be successful with its HUP business model
generation
recurring revenues
products which will mitigate loss of lower margin 3rd party sales
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Summary
in the US and has established a foundation of prestigious accounts and late stage prospects
through a market disruptive ‘Software As A Service’ model in the world’s largest hemodynamic monitoring market
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Board
Peter Grant
Non-Executive Chairman
Executive Officer of Skyepharma PLC
Financial Officer at WorldPay plc & Group Chief Executive at Molins PLC
Matt Sassone
Chief Executive Officer
device experience
Marketing Officer
President for Smiths Medical
Phil Cooper
Non-Executive Director
device experience
division Mölnlycke Health Care
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Chief Financial Officer
Accountant with 30 years’ experience
Financial Officer of Oxford Gene Technology IP Ltd & Lombard Medical Technologies PLC
Jim Wetrich
Non-Executive Director
experience in the US healthcare industry
Abbott Laboratories, Molnlycke Healthcare, Premier Inc, and Providence Health & Services.
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Arterial blood pressure monitoring
A C B
Standard arterial monitoring Competitor set-up LiDCO set-up Difference between two methods:
Standard pressure transducer Cable takes arterial data from vital signs monitor Standard transducer replaced with more expensive per patient disposable
pressure transducer
disposable
‘breaking the line’
Standard pressure transducer