Infection Prevention. For Life - 2021 HALF YEAR RESULTS - Nanosonics
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Infection Prevention. For Life. 2021 HALF YEAR RESULTS INVESTOR PRESENTATION Michael Kavanagh – CEO and President McGregor Grant – CFO and Company Secretary
DISCLAIMER This presentation is intended to provide a general outline only and is not intended to be a definitive statement on the subject matter covered in it. The information in this presentation, whether written or verbal, has been prepared without taking into account the commercial, financial or other needs of any individual or organisation. Certain information may relate to protected intellectual property rights owned by Nanosonics Limited (Nanosonics) and its subsidiaries (together the Group). While due care has been taken in compiling the information based on the information available to Nanosonics at the date of this presentation material, neither Nanosonics nor its officers or advisors or any other person warrants the accuracy, reliability, completeness or timeliness of the information or guarantees the commercial or investment performance of the Group. The information does not constitute advice of any kind and should not be relied on as such. Investors must make their own independent assessment of the Group and undertake such additional enquiries as they deem necessary or appropriate for their own investment purposes. Any and all use of the information is at your own risk. No representation, warranty or assurance (express or implied) is given or made in relation to any forward looking statement or estimate by any person (including Nanosonics). In particular, no representation, warranty or assurance (express or implied) is given in relation to any underlying assumption or that any forward looking statement will be achieved. Actual future events may vary materially from the forward looking statements and the assumptions on which the forward looking statements are based. Subject to any continuing obligations under applicable law or any relevant listing rules of the Australian Securities Exchange, Nanosonics disclaims any obligation or undertaking to disseminate any updates or revisions to any forward looking statements in these materials to reflect any change in expectations in relation to any forward looking statements or any change in events, conditions or circumstances on which any such statement is based. Nothing in these materials shall under any circumstances create an implication that there has been no change in the affairs of the Group since the date of these materials. Nanosonics Limited | Half Year 2021 1
“It is very H1 FY21 Highlights encouraging to • Global installed base up 12% in last 12 months and up 6% in last 6 months to 25,100 units. Importantly, the number of new units installed in Q2 FY21 was up 38% compared with Q1 FY21. see a significant • Half year revenue of $43.1 million, down 11% compared with prior corresponding period. − The lower revenue was primarily driven by the foreshadowed reduction in purchases by GE Healthcare as a result recovery in the of the impacts of COVID-19 on its inventory at 30 June 2020 as well as the impact of a stronger Australian dollar. − Global revenue recovered strongly in Q2 FY21, up 48% compared with Q1 FY21. This growth resulted from underlying growth stronger installed base growth across all regions, GE Healthcare resuming purchases of capital equipment in Q2 FY21 as well as an increase in consumables and service revenue. momentum of the − All revenue associated with I-MED’s upgrade of its 200+ trophon®EPR fleet, announced in November 2020, is expected to be recognised in H2 FY21 as new trophon2 systems are installed across their network. business across • Half year consumables and service revenue of $33.7 million, down 1% compared with prior corresponding period. trophon adoption, − Revenue from consumables and service in Q2 FY21 was up 29% compared with Q1 FY21. This growth reflects the recovery in ultrasound procedure volumes experienced in the half leading to increased purchases consumables by GE Healthcare, along with the growing installed base. − Q2 FY21 consumables and service revenue in constant currency 1 terms represented the Company’s highest usage and overall quarter on record. • Half year capital revenue of $9.4 million, down 35% compared with prior corresponding period. growth, despite − Capital revenue was impacted by the foreshadowed reduction in trophon unit sales to GE Healthcare as a consequence of COVID-19. This impact was primarily experienced in Q1 FY21 with GE resuming purchases the continuing of capital in Q2 F21. • Continued investment in the Company’s growth strategy with first half operating expenses of $33.0 impacts of million, up 8% on prior corresponding period. COVID-19.” • Operating profit before tax of $0.2 million, compared with $6.7 million in prior corresponding period. This result reflects the impacts of COVID-19, particularly on Q1 revenue, and the ongoing investment in the Company’s growth strategy. Michael Kavanagh, • Free cash flow for the half year was a net outflow of $2.4 million compared with a net cash inflow of CEO and President $10.0 million in the prior corresponding period due to the amount and timing of customer receipts and the timing of supplier payments. • Cash and cash equivalents of $87.9 million, providing ongoing strong foundation for continued investment in growth. The Company has negligible debt. 1. Constant currency (CC) removes the impact of foreign exchange rate movements to facilitate comparability of operational performance. This is done by converting the current period sales of entities that use currencies other than Australian dollars at the rates that were applicable in the prior period. The average exchange rate used for the Company’s major foreign currency for the 6 months to Dec20/Dec19 was AUD/USD 0.72/0.68. Nanosonics Limited | Half Year 2021 2
C O M PA N Y O V E R V I E W ASX 200 listed healthcare company specialised in the development and KEY CORPORATE DATA 1 commercialisation of infection prevention solutions Share price $6.05 • First product, trophon® – proprietary automated technology for low temperature, high level disinfection (HLD) of ultrasound probes Shares on issue 301.0 million Market capitalisation $1,821 million • Approved for sale in most major markets including: US/Canada, ANZ, UK, Europe, Singapore, HK, South Korea, Japan Liquidity (30 day avg.) 0.8 million shares Cash (31 Dec 20) $87.9 million • 323 staff across Australia, US, Canada, UK, Ireland, Germany, France, Norway, Sweden and Japan Share Register Founders 14.2% Our Mission • Sold direct and through distribution partners, including leading brands such as: GE Healthcare, Philips, Samsung, Siemens and Canon Breakdown (31 Dec 20) Institutions 58.7% Private 27.1% • Active R&D program targeting expansion of product portfolio for We improve the safety of Infection Prevention market patients, clinics, their staff SHAREHOLDER RETURN 1 FINANCIAL OVERVIEW and the environment by Market Capitalisation ($ million) Share Price SALES REVENUE ($M) 100.0 transforming the way infection $3,000 9 84.3 67.5 51.6 prevention practices are 8 31.4 60.7 43.6 43.1 30.7 understood and conducted $2,500 36.1 40.7 48.5 43.1 30.0 and introducing innovative 7 2017 2018 2019 2020 H1 2021 technologies that deliver $2,000 6 PBT ($M) 16.8 improved standards of care. 5 13.9 12.4 $1,500 4 5.6 $1,000 3 0.2 2017 2018 2019 2020 H1 2021 2 CASH ($M) $500 91.8 87.9 1 69.4 72.2 63.0 $0 0 Jun 08 Dec 08 Jun 09 Dec 09 Jun 10 Dec 10 Jun 11 Dec 11 Jun 12 Dec 12 Jun 13 Dec 13 Jun 14 Dec 14 Jun 15 Dec 15 Jun 16 Dec 16 Jun 17 Dec 17 Jun 18 Dec 18 Jun 19 Dec 19 Jun 20 Dec 20 Market Capitalisation ('000) Closing share price 2017 2018 2019 2020 H1 2021 1. As at 23 February 2021. Nanosonics Limited | Half Year 2021 3
I N S TA L L E D B A S E GLOBAL Global installed CUMULATIVE INSTALLED BASE UNITS 25,100 base grew 12% 23,720 20,930 in last 12 months 17,740 and 6% in last 14,160 In last 12 months In the last 6 months 6 months to 12 % 6% 25,100 units 2017 2018 2019 2020 H1 2021 GLOBAL The Company experienced NEW INSTALLED BASE UNITS BY QUARTER (Q3 FY20–Q2 FY21) a return in the underlying 800 growth momentum of 730 the installed base with the number of new units 580 installed in Q2 FY21 490 up 38% Q1 FY21 vs Q4 FY20 Q2 FY21 vs Q1 FY21 compared with Q1 FY21. 18 % 38 % Graphs are not to scale and therefore not comparable Q3 FY20 Q4 FY20 Q1 FY21 Q2 FY21 Nanosonics Limited | Half Year 2021 4
I N S TA L L E D B A S E B Y R E G I O N CUMULATIVE INSTALLED BASE NEW UNITS INSTALLED UNITS BY QUARTER (Q3 FY20–Q2 FY21) NORTH AMERICA In last In last Q1 FY21 Q2 FY21 20,990 22,120 12 months 6 months 650 650 vs Q4 FY20 vs Q1 FY21 18,570 15,620 11% 5% 410 480 17 % 35 % 2018 2019 2020 H1 2021 Q3 FY20 Q4 FY20 Q1 FY21 Q2 FY21 EUROPE AND MIDDLE EAST In last In last Q1 FY21 Q2 FY21 1,320 12 months 6 months 120 vs Q4 FY20 vs Q1 FY21 1,120 730 880 31% 18 % 60 50 80 60 % 50 % 2018 2019 2020 H1 2021 Q3 FY20 Q4 FY20 Q1 FY21 Q2 FY21 ASIA PACIFIC In last In last Q1 FY21 Q2 FY21 1,610 1,660 12 months 6 months 30 30 vs Q4 FY20 vs Q1 FY21 1,390 1,480 6% 3% 20 20 33 % 50 % 2018 2019 2020 H1 2021 Q3 FY20 Q4 FY20 Q1 FY21 Q2 FY21 Graphs are not to scale and therefore not comparable Nanosonics Limited | Half Year 2021 5
R A N G E O F S E L L I N G M O D E LS 1 DIRECT CHANNEL DISTRIBUTION CHANNEL MANAGED FULL SERVICE CAPITAL SALE EQUIPMENT SERVICE RENTAL DISTRIBUTION CAPITAL RESELLER • Capital equipment • Nanosonics provides capital • Customer rents capital • Distributor purchases capital • Distributor purchases capital sold upfront with equipment to customer. equipment. equipment, consumables and equipment from Nanosonics 12-month warranty. spare parts from Nanosonics. and sells to end customer. • Equipment fully maintained by • Equipment fully maintained • Customer purchases Nanosonics. by Nanosonics. • Distributor sells capital • Customer purchases consumables as required. equipment, consumables consumables and service • Customer purchases • Customer purchases and service to customer on from Nanosonics. • Customer elects to purchase consumables as required at consumables as required. a similar basis to the Direct service contracts from an ‘all-inclusive’ price. Channel Capital Sale Model. Nanosonics (usually after warranty period expires) or • Nanosonics owns capital pays for service and parts, equipment, depreciated over as required. 5 years. NANOSONICS REVENUE PROFILE 0 yrs 5 yrs 0 yrs 5 yrs 0 yrs 5 yrs 0 yrs 5 yrs 0 yrs 5 yrs 1. The information in the revenue profile charts is intended to be illustrative only, demonstrating the cumulative revenue associated with a single unit sale over five years under each selling model. Capital Consumables Service/parts Nanosonics Limited | Half Year 2021 6
T O TA L R E V E N U E Total revenue down TOTAL REVENUE BY HALF ($M) 11% vs PCP to 48.5 43.1 $4 3 .1 m H1 FY21 vs PCP The lower revenue was primarily driven by the foreshadowed 11 % reduction in purchases by GE Healthcare as a result of the impacts of COVID-19 on its inventory at 30 June 2020 as well as the H1 FY20 H1 FY21 impact of a stronger Australian dollar. TOTAL REVENUE BY QUARTER (Q3 FY20–Q2 FY21) ($M) 26.3 25.7 25.3 Global revenue recovered strongly in Q2 FY21, up 48% compared with Q1 FY21. This growth resulting 17.4 from stronger installed base growth across all regions, GE Healthcare Q1 FY21 Q2 FY21 vs Q4 FY20 vs Q1 FY21 resuming purchases of capital equipment in Q2 FY21 as well as an increase in consumables and 31 % 48 % service revenue. Q3 FY20 Q4 FY20 Q1 FY21 Q2 FY21 Graphs are not to scale and therefore not comparable Nanosonics Limited | Half Year 2021 8
T O TA L R E V E N U E B Y R E G I O N TOTAL REVENUE TOTAL REVENUE BY QUARTER BY HALF ($M) (Q3 FY20–Q2 FY21) ($M) NORTH AMERICA The impact in revenue was primarily associated with the foreshadowed significant reduction in capital equipment purchases and a reduction in purchases of consumables in Q1 FY21 by GE Healthcare in response to increased inventory H1 FY21 Q1 FY21 Q2 FY21 43.8 vs PCP 23.3 23.2 22.4 vs Q4 FY20 vs Q1 FY21 holdings at the end of Q4 FY20. Importantly, GE Healthcare 36.9 resumed purchasing capital equipment in Q2 FY21 and increased purchases of consumables as a result of the recovery 16 % 14.5 38 % 54 % in ultrasound procedures across the half coupled with increasing sales by Nanosonics direct operations. This resulted in total H1 FY20 H1 FY21 Q3 FY20 Q4 FY20 Q1 FY21 Q2 FY21 revenue growing 54% between Q1 FY21 and Q2 FY21. EUROPE AND MIDDLE EAST Total revenue for the half was $3.6 million, up 50% compared with prior corresponding period. Revenue growth momentum was also experienced between the first and second quarter with Q2 FY21 revenue up 25% compared with Q1 FY21. H1 FY21 Q1 FY21 Q2 FY21 3.6 vs PCP 2.0 vs Q4 FY20 vs Q1 FY21 1.6 1.6 2.4 50 % 1.2 33 % 25 % H1 FY20 H1 FY21 Q3 FY20 Q4 FY20 Q1 FY21 Q2 FY21 ASIA PACIFIC In Asia Pacific, total revenue for the half was $2.6 million, up 8% compared with prior corresponding period. H1 FY21 Q1 FY21 Q2 FY21 2.4 2.6 vs PCP 1.4 1.3 1.3 vs Q4 FY20 vs Q1 FY21 8% 0.9 44 % 0% H1 FY20 H1 FY21 Q3 FY20 Q4 FY20 Q1 FY21 Q2 FY21 Graphs are not to scale and therefore not comparable Quarterly revenue data is based on management accounts Nanosonics Limited | Half Year 2021 9
C A P I TA L R E V E N U E Capital Revenue CAPITAL REVENUE BY HALF ($M) down 35% vs PCP to 14.4 $ 9 .4 m 9.4 H1 FY21 vs PCP 35 % H1 FY20 H1 FY21 Impact was primarily felt in the first CAPITAL REVENUE BY QUARTER (Q3 FY20–Q2 FY21) ($M) quarter where no capital units were 8.2 sold to GE Healthcare resulting in a 7.4 reduction in capital revenue of 64% 6.7 between Q4 FY20 and Q1 FY21. As GE Healthcare resumed capital Q1 FY21 Q2 FY21 purchases in the second quarter, vs Q4 FY20 vs Q1 FY21 coupled with increasing capital sales by Nanosonics’ direct 2.7 64 % 148 % operations and other distributor partners, capital revenue grew by 148% compared with Q1. Q3 FY20 Q4 FY20 Q1 FY21 Q2 FY21 Graphs are not to scale and therefore not comparable Nanosonics Limited | Half Year 2021 10
C A P I TA L R E V E N U E B Y R E G I O N CAPITAL REVENUE CAPITAL REVENUE BY QUARTER BY HALF ($M) (Q3 FY20–Q2 FY21) ($M) NORTH AMERICA H1 FY21 Q1 FY21 Q2 FY21 13.5 vs PCP 7.3 6.8 vs Q4 FY20 vs Q1 FY21 7.2 47 % 5.4 74 % 200 % 1.8 H1 FY20 H1 FY21 Q3 FY20 Q4 FY20 Q1 FY21 Q2 FY21 EUROPE AND MIDDLE EAST H1 FY21 Q1 FY21 Q2 FY21 1.5 vs PCP 0.9 vs Q4 FY20 vs Q1 FY21 0.5 200 % 0.5 0.4 0.6 50 % 50 % H1 FY20 H1 FY21 Q3 FY20 Q4 FY20 Q1 FY21 Q2 FY21 ASIA PACIFIC H1 FY21 Q1 FY21 Q2 FY21 0.7 vs PCP 0.4 0.4 vs Q4 FY20 vs Q1 FY21 0.4 75 % 0.2 0.3 50 % 33 % H1 FY20 H1 FY21 Q3 FY20 Q4 FY20 Q1 FY21 Q2 FY21 Graphs are not to scale and therefore not comparable Quarterly revenue data is based on management accounts Nanosonics Limited | Half Year 2021 11
CONSUMABLE / SERVICE REVENUE Consumables/ CONSUMABLES/ SERVICE REVENUE BY HALF ($M) Service Revenue 34.1 33.7 down 1% vs PCP to $ 3 3 .7m H1 FY21 vs PCP 1% Revenue from consumables and service in Q1 FY21 was impacted by a reduction in ultrasound procedure volumes in Q4 of FY20. H1 FY20 H1 FY21 This led to a reduction in purchases by GE Healthcare in Q1 FY21. CONSUMABLES/ SERVICE REVENUE BY QUARTER (Q3 FY20–Q2 FY21) ($M) 19.0 18.1 17.9 Importantly, total consumables and service revenue in Q2 FY21 14.7 was up 29% compared with Q1 FY21. This growth reflects the Q1 FY21 Q2 FY21 recovery in ultrasound procedure vs Q4 FY20 vs Q1 FY21 volumes experienced in the half leading to increased purchases 18 % 29 % by GE Healthcare, along with the growing installed base. Q3 FY20 Q4 FY20 Q1 FY21 Q2 FY21 Graphs are not to scale and therefore not comparable Nanosonics Limited | Half Year 2021 12
CONSUMABLES/SERVICE REVENUE BY REGION CONSUMABLES/SERVICE CONSUMABLES/SERVICE REVENUE REVENUE BY HALF ($M) BY QUARTER (Q3 FY20–Q2 FY21) ($M) NORTH AMERICA H1 FY21 Q1 FY21 Q2 FY21 30.3 29.7 vs PCP 16.0 16.4 17.0 vs Q4 FY20 vs Q1 FY21 2% 12.7 23 % 34 % H1 FY20 H1 FY21 Q3 FY20 Q4 FY20 Q1 FY21 Q2 FY21 EUROPE AND MIDDLE EAST H1 FY21 Q1 FY21 Q2 FY21 2.1 vs PCP 1.1 1.0 1.1 vs Q4 FY20 vs Q1 FY21 1.9 11 % 0.8 25 % 10 % H1 FY20 H1 FY21 Q3 FY20 Q4 FY20 Q1 FY21 Q2 FY21 ASIA PACIFIC H1 FY21 Q1 FY21 Q2 FY21 1.9 1.9 vs PCP 1.0 1.0 vs Q4 FY20 vs Q1 FY21 0.9 0% 0.7 43 % 10 % H1 FY20 H1 FY21 Q3 FY20 Q4 FY20 Q1 FY21 Q2 FY21 Graphs are not to scale and therefore not comparable Quarterly revenue data is based on management accounts Nanosonics Limited | Half Year 2021 13
O P E R AT I N G E X P E N S E S $ 33.0 m OPERATING EXPENSES ($M) 63.2 49.2 Continued investment in the 42.6 32.5 Company’s growth strategy with 37.0 first half operating expenses of 27.7 $33.0 million, up 8% on prior 23.3 corresponding period and up 19.9 2% compared with H2 FY20. 30.7 33.0 19.3 21.5 17.1 2017 2018 2019 2020 H1 2021 P R O F I T B E F O R E TA X PROFIT BEFORE TAX ($M) 16.8 $ 0. 2 m 13.9 12.4 Operating profit before tax was $0.2 million compared to $6.7 million in prior corresponding period. This reflects the impacts 5.6 of COVID-19, in particular on Q1 revenue, the ongoing investment in the Company’s growth strategy 0.2 and a stronger Australian dollar. 2017 2018 2019 2020 H1 2021 Graphs are not to scale and therefore not comparable Nanosonics Limited | Half Year 2021 14
FREE CASH FLOW ( $ 2.4 m ) FREE FLOW CASH ($M) 20.9 Free cash flow for the half year 15.1 was a net outflow of $2.4 million compared with a net cash inflow of $10.0 million in prior corresponding period due to the amount and 6.2 timing of customer receipts and the timing of supplier payments. 2.6 (2.4) 2017 2018 2019 2020 H1 2021 C A S H A N D C A S H E Q U I VA L E N T S CASH AND CASH EQUIVALENTS ($M) $ 87. 9 m 91.8 87.9 72.2 69.4 63.0 as at 31 December 2020 Cash and cash equivalents of $87.9 million, providing ongoing strong foundation for continued investment in growth. The Company has negligible debt. 2017 2018 2019 2020 H1 2021 Graphs are not to scale and therefore not comparable Nanosonics Limited | Half Year 2021 15
PROFIT AND LOSS SUMMARY HIGHLIGHTS FY21 FY20 CHANGE% FY20 CHANGE% • Half year revenue of $43.1 million down 11% $ Million H1 H1 (vs H1 FY20) H2 (vs H2 FY20) (down 8% in constant currency 1) compared with prior corresponding period. Capital revenue 9.4 14.4 (35%) 15.6 (40%) • Gross profit of $34.2 million, or 79% of revenue. Consumables/Service revenue 33.7 34.1 (1%) 36.0 (6%) • Selling, general and administration expenses Total revenue 43.1 48.5 (11%) 51.6 (16%) of $25.4 million compared with $23.9 million in prior corresponding period. Gross profit 34.2 36.4 (6%) 39.1 (13%) • Research and development expenses of % 79% 75% 76% $7.6 million, the majority associated with new products. Operating expenses • Other losses comprised mainly of net foreign Selling and general (17.8) (17.7) 1% (17.0) 5% currency losses. Admin (7.6) (6.2) 23% (6.7) 13% • Income tax benefit of $1.3 million compared with expense of $1.0 million in the prior year. Research and development (7.6) (6.8) 12% (8.8) (14%) Other income 0.0 0.0 — 0.0 — Other (losses)/gains-net (1.2) 0.6 (300%) (1.3) (8%) Earnings before interest and tax 0.0 6.3 (100%) 5.3 (100%) Finance income (net) 0.2 0.4 (50%) 0.4 (50%) Operating income before income tax 0.2 6.7 (97%) 5.7 (96%) Income tax benefit/(expense) 1.3 (1.0) (230%) (1.3) (200%) Profit after income tax 1.5 5.7 (74%) 4.4 (66%) 1. Constant currency removes the impact of foreign exchange rate movements to facilitate comparability of operational performance. This is done by converting the current year sales of entities that use currencies other than Australian dollars at the rates that were applicable in the prior year. The average exchange rate used for the Company’s major foreign currency for the 6 months to Dec20/Dec19 was AUD/USD 0.72/0.68. Nanosonics Limited | Half Year 2021 16
SIGNIFICANT GLOBAL MARKET OPPORTUNITY Installed base opportunity Market Penetration Cumulative Installed Base 25,100 23,720 20,930 GLOBAL 17,740 14,160 • Increasing number of international guidelines requiring 120 , 000 high level disinfection (HLD) supporting growing international demand. 21% units • Nanosonics expanding its footprint geographically both direct and through distributors. 2017 2018 2019 2020 H1 2021 Installed base opportunity Market Penetration Cumulative Installed Base 20,990 22,120 • Fundamentals for adoption strong with requirements 18,570 for HLD in place. NORTH AMERICA 15,620 12,400 • trophon installed base over 22,120 and already in 40 , 000 units 55% over 5,000 hospitals and clinics, including majority of luminary hospitals. • Nanosonics has a direct sales operation of 74 people as well as partnerships with all leading ultrasound 2017 2018 2019 2020 H1 2021 companies to drive ongoing adoption. Installed base opportunity Market Penetration Cumulative Installed Base 1,320 1,120 EUROPE AND • Expanded geographical reach, strengthening fundamentals MIDDLE EAST 880 for adoption and growing awareness. 730 40 , 000 units 3% 490 • Expanded infrastructure covering sales, marketing, clinical, regulatory and operations. • A range of business models in place to support market requirements. 2017 2018 2019 2020 H1 2021 Installed base opportunity Market Penetration Cumulative Installed Base 1,610 1,660 1,390 1,480 • Sales mainly in ANZ where market penetration is >75%. 1,270 ASIA PACIFIC • Japan market development strategy continues with five distribution agreements in place. 40 , 000 units 4% • Continued development of China market entry strategy. • Assessment underway for further expansion across Asia Pacific with regulatory approvals now in Thailand 2017 2018 2019 2020 H1 2021 and Indonesia with Malaysia underway. 1. Current installed base. Remaining potential opportunity. Graphs are not to scale and therefore not comparable. 2. Internal estimate based on historical regional estimates of the installed base of ultrasound consoles and those associated with procedures where high level disinfection may be required. Nanosonics Limited | Half Year 2021 17
E X PA N D I N G G L O B A L P R E S E N C E Nanosonics distributes its products in 27 countries, either through direct operations or via distributor partners. RUSSIA SWEDEN FINLAND NORWAY DENMARK ESTONIA UNITED KINGDOM CANADA GERMANY IRELAND AUSTRIA BELGIUM SWITZERLAND FRANCE ROMANIA UNITED STATES JAPAN PORTUGAL SPAIN LEBANON ISRAEL KUWAIT MEXICO HONG KONG SINGAPORE AUSTRALIA NEW ZEALAND Nanosonics Limited | Half Year 2021 18
NEW PRODUCT DEVELOPMENT
NEW PRODUCT DEVELOPMENT Nanosonics continues FIVE CORE AREAS OF FOCUS to invest in a number of innovations aimed COMPLIANCE AND INSTRUMENT at addressing a TRACEABILITY CLEANING broader range of Digitally-enabled tools to increase visibility and Mandatory critical first step which sets up Infection infection prevention control around infection risk mitigation. Prevention. the effectiveness of all downstream disinfection requirements. For Life. procedures. ENVIRONMENTAL INSTRUMENT DECONTAMINATION DISINFECTION Novel technologies and High level and low chemistries to reduce level disinfection and cross-contamination sterilisation for medical In addition, ongoing risk coming from STORAGE SOLUTIONS devices before re‑use with a patient. high contact surfaces Assurance that reprocessed investigations into and environment. devices are not subsequently potential strategic contaminated and are always available for next use. acquisitions and/ or product licensing or collaboration Active programs are in place covering a number opportunities continue of the areas outlined above. through the newly established business development function. All research and new product development programs involve inherent risks and uncertainties which can impact commercialisation timelines. Nanosonics Limited | Half Year 2021 20
NEW PRODUCT DEVELOPMENT In the first half The R&D team continued to make $7.6 million was significant progress across a number invested in R&D, of projects including a new platform up 12% on prior technology and a solution for further corresponding digital traceability and reporting. period. INVESTMENT IN R&D ($M) 15.6 11.4 8.8 9.9 9.5 5.9 5.3 5.2 7.6 6.8 5.5 4.3 4.6 2017 2018 2019 2020 H1 2021 Nanosonics Limited | Half Year 2021 21
O U R S T R AT E G I C P R I O R I T I E S TROPHON AS EXPAND GEOGRAPHIC PRODUCT EXPANSION INVEST TO GROW STANDARD OF CARE FOOTPRINT • Support establishment of • Expand operations • Expand portfolio of • Maintain strong financial international guidelines. across Asia Pacific and infection prevention position to support EMEA with trophon plus solutions to address growth. • Provide awareness new products. unmet needs. and education to • Deliver operational highlight risks of cross • Leverage technology efficiencies, scale and contamination for all semi platforms for potential leverage. critical transducers. expanded indications. • Ensure customers have a positive experience with all aspects of the product and brand. Nanosonics Limited | Half Year 2021 22
BUSINESS OUTLOOK “The positive growth FY21 EXPECTATIONS trend and improving • Based on current market improvements the Company is anticipating ongoing growth in total revenue and profitability into the second half, driven by increasing installed market conditions base growth and increased usage of consumables across all regions. With COVID-19 experienced across vaccination programs underway, the Company is optimistic that overall market conditions, in particular access to hospitals, are likely to continue to improve. the half are expected • The underlying fundamentals for the business remain strong and we maintain our to continue, subject of commitment to continue to invest in the strategic growth priorities of the business through market expansion, R&D and infrastructure and capability growth. Total course to the inherent operating expenses for the year are now expected to be at the lower end of the risks and uncertainties $75 million to $78 million range indicated previously. associated with the COVID-19 pandemic” Michael Kavanagh, CEO and President Nanosonics Limited | Half Year 2021 23
BUSINESS OUTLOOK Despite the current BEYOND FY21 challenges of the Our forward looking growth agenda remains very much intact and indeed the COVID-19 pandemic increases our resolve to execute on this agenda. Beyond FY21, Nanosonics COVID-19 pandemic is targeting: our longer term strategic • Continued growth in the trophon eco system and installed base across all regions; growth agenda remains • Growth in upgrades of trophon EPR to trophon2; very much intact. • Japan to become an important contributor to global installed base growth as well as further expansion into Asia Pacific including China; • Proactive expansion of our product portfolio through internal product development and opportunities for strategic acquisitions and product licensing across key vectors of infection; • Ongoing investment in R&D, infrastructure, people and capability to continue driving the global strategic growth agenda with the aim of establishing Nanosonics as a global leader in infection prevention. TROPHON AS EXPAND GEOGRAPHIC PRODUCT EXPANSION INVEST TO GROW STANDARD OF CARE FOOTPRINT Nanosonics Limited | Half Year 2021 24
APPENDIX
A REAL MARKET NEED Fundamentals for adoption continue to strengthen Risk of cross with an increasing number of international guidelines contamination requiring high level disinfection for semi critical probes with ultrasound probes well Traditional mechanisms trophon® setting of decontamination a new Standard established unchanged in decades of Care globally • 0.9-9% of barrier sheaths and condoms leak. 1 THE TRADITIONAL METHODS: SAFE • A meta-analysis has shown SOAK, SPRAY OR WIPE Patient proven effective that 12.9% of transducers are contaminated Chemical spills and vapour on wide range of with pathogenic bacteria following control present OH&S risks. pathogens. routine disinfection. 2 User safe for user. • HPV, a known cause of cervical cancer, has been Probes often must be transported found on up to 7.5% of transvaginal ultrasound to a central sterilisation facility. Environment water transducers following routine disinfection. 3 and oxygen by products. Pathogens may remain – increased • A fatal case of hepatitis B and non-fatal case risk of cross contamination. VERSATILE of hepatitis C have been attributed to improper ultrasound transducer disinfection. 4,5 Wipes and sprays not approved Compatible with by the FDA for HLD. > 1,000 probes. • Ultrasound transducer handles are not routinely disinfected and can harbour pathogens Toxic chemicals must be disposed Can be used at point including MRSA. 6 of as chemical waste. of care. • Six year population‑level study demonstrates Supports streamlined increased risk of infection and antibiotic practice workflows. prescriptions following semi-critical ultrasound procedures. 7 SIMPLE Simple to use – one button operation. 1. Vickery et al, J InfPub Health 2013; in press. Fast 7 minute cycle. 2. Leroy, S. J HospInfect 2013 83(2): 99-106. 3. Ma S et al. EmergMed J. 2013 30(6): 472-5. 4. FerhiK, et al. Case Rep Urol, 2013: p. 797248. 5. Medicines and Healthcare products Regulatory Agency (UK), Medical Device Alert Ref: MDA/2012/037. 6. McNally G, NguA, ISUOG world congress, Sydney, 2013. 7. Scott D et al. Ultrasound. 2018 26(3):168-177. Nanosonics Limited | Half Year 2021 27
trophon is an automated system that delivers effective, ® TROPHON The latest innovation in efficient and safe high level disinfection of ultrasound ultrasound probe high probes level disinfection. trophon® Consumables Accessories KEY FEATURES • Highly effective in killing bacteria, fungi and viruses including the highly resistant HPV virus. • Easy to use with fast 7 minute cycle. • Can be placed at point of care to support efficient clinical workflows. • Over 1000 ultrasound probes from all major ultrasound brands approved for use in the system. • Safe for the operator, patient and environment with oxygen and water as by products. • Fully automated delivering reproducible results every time. • Data logs each cycle for excellent traceability. trophon is covered by 14 patent families. Most are active through to 2025 and in many cases beyond including patents relating to the consumables which go out to 2029. Nanosonics Limited | Half Year 2021 28
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