Investor Presentation
Released
Released
Announcement PDF
ImpediMed Limited
1/50 Parker Court
Pinkenba, QLD, 4008
Australia
E: investorrelations@impedimed.com
W : impedimed.com
31 July 2025
Companies Announcements Office
Australian Securities Exchange
Investor Presentation
ImpediMed Limited (ASX:IPD) releases the attached presentation to be delivered to investors
and analysts today.
Approved for release by the Board of ImpediMed Limited.
For more information, contact Leanne Ralph, Company Secretary, at
leanne.ralph@bellev.com.au
Impedimed Limited
Q4 FY25 Results
July 2025
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©2025 ImpediMed Limited.
1
Forward Looking Statements
This presentation contains or may contain forward-looking statements that are based on ImpediMed Limited (ImpediMed) management’s
beliefs, assumptions and expectations and on information currently available to management.
All statements that address operating performance, events or developments that we expect or anticipate will occur in the future are
forward-looking statements, including without limitation our expectations with respect to our ability to expand sales and market acceptance
in the US and Australia including our estimates of potential revenues, costs, profitability and financial performance; our ability to develop
and commercialise new products including our ability to obtain reimbursement for our products; our expectations with respect to our clinical
trials, including enrolment in or completion of our clinical trials and our associated regulatory submissions and approvals; our expectations
with respect to the integrity or capabilities of our intellectual property position. Any forward-looking statements, including projections,
guidance on future revenues, earnings and estimates, are provided as a general guide only and should not be relied upon as an indication
or guarantee of future performance.
While management has prepared this information based on its current knowledge and understanding and in good faith, there are risks and
uncertainties involved which could cause actual results to differ from projections. You should not place undue reliance on forward-looking
statements which speak only as of the date when made. Except as required by law, ImpediMed does not assume any obligation to publicly
update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. ImpediMed may not
actually achieve the plans, projections or expectations disclosed in forward-looking statements. Actual results, developments or events
could differ materially from those disclosed in the forward-looking statements and no representation, warranty or assurance (express or
implied) is given or made in relation to any forward-looking statement by any person (including ImpediMed Limited).
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Agenda
1
Q4 Key Highlights
2
Business Overview
3
Financial Performance
4
H1 FY26 Outlook
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Q4 Key Highlights
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4
Q4 FY25 vs Outlook
✓ Significant increase in US sales expected in Q4 and the balance of the 2025 calendar year:
✓ Continue to initiate Lymphoedema awareness activities to generate leads
✓ Further measured investment to accelerate sales strategy
✓ Drive improvement in sales metrics
✓Continued focus on private payor coverage
✓Optimise Lymphoedema Prevention Programs (LPP) to support customer utilisation and
support renewals
✓Continued focus on costs
✓Round out Australian executive team with appointment of Chief Product Officer and Head of
Business Development
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Q4 Key Highlights
Financial
•
•
•
•
•
•
Record TCV $6.3m.
Revenue $3.3m.
Annual recurring revenue $14.0m.
Quarterly operating cash outflow ($3.5m).
Qualified for US$5.0m Tranche 2 of US$15.0m growth capital facility.
Cash balance $22.2m, equating to 6.3 quarters of operating cash flow.
•
•
With the additional $US5.0m draw down of the debt facility, 8.4 quarters of operating cashflow remain.
FY25 cash cost base reduction vs FY24 achieved with a 16% reduction vs. 10% forecast.
Sales
• US 44 SOZO units +100% on Q3 FY25.
• Included in the 44 units sold in the US was a 9-unit contract with Legacy Health.
• 13% increase in TCV for contracts renewed in the quarter.
• Two new Key Account Executives with extensive breast cancer surgical device experience hired in the quarter with one
open territory in recruitment.
Reimbursement
•
•
•
Additional major commercial payor providing coverage from July 1, 2025, significantly increasing depth of coverage
across multiple states.
Number of states above 80% coverage increased from 25 to 36.
Number of states above 90% coverage increased from 7 to 21.
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6
Business Overview
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Sales
Continued focus on accelerating BCRL
• Solid foundation set - ARR business model, 1,000+ devices deployed, leading US healthcare customers, NCCN & NAPBC
guideline inclusions.
• Reimbursement levels are improving and are sufficient to support sales needed to achieve Company’s stated goals.
Key Accounts, IDNs, NAPBC and NCCN Centres remain a focus
• High quality leading healthcare centres added and renewed in the quarter include: Yale New Haven, University of Texas MD
Anderson, Memorial Sloane Kettering, Mount Sinai Medical Centre, Corewell Health, Ascension, Legacy Health, Northwell,
University of Virginia, University of North Carolina, Kansas University, University of Tennessee and University of Miami
• Included in the 44 units sold in the US was a 9-unit purchase by Legacy Health, a six-hospital health system serving
Portland, Oregon and Vancouver, Washington metro areas. Legacy Health operates over 70 primary care, specialty and
urgent care clinics and employs more than 14,000 staff, including nearly 3,000 healthcare professionals.
• Expansion within existing accounts evident: SOZOs in 23 of 33 NCCN Member Institutions, with a total of 88 SOZOs,
equating to ~4 SOZOs per institution.
• Master Services Agreement (MSA) in place with 27 IDNs – enabling more rapid system wide expansion.
Renewals
• Positive momentum continues with an average 13% increase in TCV of contracts renewed in the quarter.
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Expanding reimbursement, robust pipeline, and strengthened sales team
driving sustainable sales growth
Reimbursement
1 July 2025
36 US states > 80% coverage
21 US states > 90% coverage
1 January 2025
25 US states > 80% coverage
7 US states > 90% coverage
Leads
Opportunities
Sales
US SOZO Leads
SOZO Opportunity Pipeline
SOZO US Unit Sales
385
568
New management commence
Focus on lead generation
139
45
40
28
54
32
622
558
436
219
167
44
699
362
278
294
26
22
335
16
13
20
22
13
64
24
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Sustainable sales growth expected in FY26
Confident in delivering sustainable sales growth in FY26
• Significantly larger pipeline from investment in systems & marketing
• Increasing reimbursement - substantial increase from July 1, 2025
• Improvements in sales team
•
•
•
Appointment of Scott Long as new SVP of Sales with 30+ years in breast cancer medical device sales
2 additional KAEs with breast cancer experience now recruited with one additional territory to be filled
Improvement in field force productivity metrics and implementation of new systems such as AcuityMD, Seamless AI and Outreach
• Expansion opportunities with existing clients
•
•
Focus on expanding in key accounts with existing MSAs totally >750 identified opportunities.
Expansion within hospital systems a substantially faster process once the first agreement covering BAA, T&C’s, Pricing and IT approval is
established
• Broadening acceptance and integration of cancer patient survivorship programs into oncology care models
•
•
1.
2.
3.
4.
5.
Enhanced awareness with guideline inclusion – NAPBC1 and NCCN2
American Cancer Society3, National Cancer Institute4 and ASCO5 now emphasise survivorship care plans and follow-up
https://www.facs.org/quality-programs/cancer-programs/national-accreditation-program-for-breast-centers/standards-and-resources/
https://www.nccn.org/guidelines
https://www.cancer.org/cancer/survivorship.html
https://www.cancer.gov/about-cancer/coping/survivorship
https://www.asco.org/news-initiatives/current-initiatives/cancer-care-initiatives/prevention-survivorship/survivorship-compendium/guidelines
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Strategy
Achieve profitability through a focus on sales, marketing and clinical execution
Current priorities
Achieve profitability
Innovate and expand
GOAL 1
GOAL 2
GOAL 3
GOAL 4
GOAL 5
BCRL sales
growth
World-class customer
experience
Financial discipline
Body Comp
expansion
Develop new markets
• Continued focus on sales execution with urgency
• Manage cash burn
• Oncology
• ROW activities initiated
with market
assessments underway
• Support LPP implementation and patient utilisation
• Execute on MSAs with large IDNs on system-wide
implementation
• Clinically managed
weight loss
• Continued progress to towards payor coverage
target 85% through support of Academic Societies
and KOLs
• Heart failure
development initiated
through clinical
research partnerships
• Deliver actionable insights at the point of care
Ensure everything we do is underpinned by quality and integrity
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Measured expansion into Body Comp initiated
Body Comp opportunity
Clinical guidelines recommending bioimpedance
•
The global GLP-1 market, currently valued at around $52 billion, is
experiencing rapid growth and is projected to reach $188 billion by 2032
•
•
Body composition TAM for patients with planned (e.g. bariatrics,
pharmacotherapy) and unplanned (e.g. cancer) weight loss estimated at
$600 – $850 million in 2024 for clinical grade analysers
SOZO is the only bioimpedance device with FDA clearance, TGA
clearance and CE Mark to allow the measuring of Body Comp in
an unhealthy patient population
•
The Lancet Diabetes & Endocrinology Commission, May 2025 definition and
diagnostic criteria of clinical obesity expanded beyond BMI2:
•
Traditional measures of obesity, such as BMI, should only be used as a
surrogate measure of health risk at a population level
•
Clinical Assessment of Obesity. Requires confirmation by objective
measurements, which can include direct body fat measurement, which
can include Dual-energy X-ray absorptiometry -DEXA or bioimpedance
The Obesity Society, in collaboration with the Obesity Medicine Association,
American Society for Nutrition (ASN), and American College of Lifestyle
Medicine (ACLM), May 2025 Joint Advisory 3,4 :
•
Consider monitoring of muscle mass during weight loss
pharmacotherapy, including use of validated tools such as
bioimpedance to support a baseline and serial assessment of lean
body mass and strength
Commenced measured expansion into Body Comp for oncology and medically managed weight loss in a clinical setting
1.
2.
3.
4.
https://www.fortunebusinessinsights.com/glp-1-receptor-agonist-market
Rubino, Francesco et al. Definition and diagnostic criteria of clinical obesity. The Lancet Diabetes & Endocrinology, Volume 13, Issue 3, 221 – 262
Mozzafarian et al. Nutritional priorities to support GLP-1 therapy for obesity: a Joint Advisory from the American College of Lifestyle Medicine, the American Society for Nutrition, the Obesity Medicine Association, and The
Obesity Society. The American Journal of Clinical Nutrition Volume 122, Issue 1, July 2025, Pages 344-367
The Obesity Society Applauds the Work of The Lancet Diabetes & Endocrinology Commission on Diagnostic Criteria of Clinical Obesity. The Obesity Society. January 2025
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12
Investigator led studies key to expanding in cardiology patients
Heart Failure opportunity
•
Heart failure affects more than 64M people world-wide1. In the US, currently 6.7M US patients, growing to 8.5M patients by
2030.
•
US outpatient heart failure fluid monitoring TAM estimated at $1.1bn, based on a 30% share of the reimbursed market.
•
SOZO® has FDA and TGA clearance to support both in the assessment of fluid status in heart failure patients, as well as
body composition assessment to support cardiac prehabilitation and rehabilitation.
•
ImpediMed is building the SOZO heart failure product offering leveraging investigator-initiated trials.
•
•
Completed a 116-patient heart failure observational study in Sydney, with 6 abstracts being presented at the Cardiology Society
of Australia and New Zealand Conference in Brisbane in August 2025 (soft launch)
•
2 additional investigator initiated cardiac trials in the US
ImpediMed’s heart failure program is advised by Professor Andrew Sindone, B. Med (hons), MD, FRACP, FCSANZ, FNHFA.
•
1.
2.
Professor Sindone is a practicing Cardiologist, the Director of the Heart Failure Unit and Department of Cardiac Rehabilitation at
Concord Hospital, and Head of Department of Cardiology at Ryde Hospital. Professor Sindone is an advisor to the NSW Ministry
of Health, as well as being co-author of the Australian Guidelines for the Management of Chronic Heart Failure
Savarese et al. Global burden of heart failure: a comprehensive and updated review of epidemiology. Cardiovasc Res. 2023 Jan 18;118(17):3272-3287. doi: 10.1093/cvr/cvac013. Erratum in: Cardiovasc Res. 2023 Jun 13;119(6):1453. doi:
10.1093/cvr/cvad026. PMID: 35150240.
Bozkurt et al; Writing Committee Members. Heart Failure Epidemiology and Outcomes Statistics: A Report of the Heart Failure Society of America. J Card Fail. 2023 Oct;29(10):1412-1451. doi: 10.1016/j.cardfail.2023.07.006. Epub 2023 Sep 26.
PMID: 37797885; PMCID: PMC10864030.
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13
Financial Performance
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14
Cash Flow
Summarized Cash Flow
In thousands
AUD
FY24
FY
Actual
Receipts from customers
Research & development
Product manufacturing & operating costs
Advertising costs
Staff costs
Administration and corporate costs
Interest received
Government grants and tax incentives
Net operating cash in/(out)flow:
11,493
(391)
(946)
(1,006)
(23,307)
(8,622)
1,604
3,386
(17,789)
2,718
(88)
(314)
(301)
(4,899)
(2,199)
279
(4,804)
3,419
(78)
(389)
(117)
(4,801)
(1,637)
217
915
(2,471)
4,059
(57)
(643)
(505)
(4,789)
(1,731)
200
(3,466)
3,784
(66)
(230)
(319)
(4,968)
(2,007)
276
(3,530)
13,980
(289)
(1,576)
(1,242)
(19,457)
(7,574)
972
915
(14,271)
Purchase of property and equipment
Purchase of intangibles
Net investing cash in/(out)flow:
(81)
(3,024)
(3,105)
(447)
(447)
(144)
(144)
(405)
(405)
(60)
(329)
(389)
(60)
(1,325)
(1,385)
Transaction costs from capital raise
Proceeds from borrowings
Interest paid
Operating leases
Net financing cash in/(out)flow:
(62)
58
(477)
(481)
(107)
(107)
(115)
(115)
(1,303)
15,967
(86)
14,578
(24)
(576)
(113)
(713)
(1,327)
15,967
(576)
(422)
13,643
(21,375)
(5,358)
(2,730)
10,707
(4,632)
(2,013)
297
(626)
1,775
(487)
(1,033)
(371)
Cash at beginning of period
Cash at close of period
45,710
24,632
24,632
18,648
18,648
17,693
17,693
27,913
27,913
22,248
24,632
22,248
Cash cost base*
(37,854)
(8,355)
(7,281)
(8,216)
(8,092)
(31,945)
Net cash in/(out)flow:
Net foreign exchange differences
Year-over-year change
Q1
Actual
Q2
Actual
FY25
Q3
Actual
Q4
Actual
FY
Actual
-16%
•
Q4 operating cash outflow of $3.5m, in line with
forecasts.
•
Quarterly customer cash receipts of $3.8m. The reduction
from Q3 largely due to timing.
•
FY25 cash cost base* of $31.9m is $5.9m or 16% lower
than FY24; of which 97% was from a 22% reduction in
staff remuneration, including capitalised development
staff costs.
•
$US10.0m of the $US15.0m debt facility drawn. The
remaining $US5.0m was drawn down in July 2025.
•
Net cash balance $A22.2m, equal to 6.3 quarters of
operating cashflow.
•
•
Including the additional $US5m draw down of the debt facility,
8.4 quarters of operating cashflow remain.
•
Strengthening of the AUD relative to USD resulted in an
unrealised FX loss of $1.0m.
One-off $1.2m payment for key electronic components,
planned for Q4, will occur in Q1 FY26.
* Cash cost base = operating CF excluding cash receipts, interest, and grants + investing CF + operating leases
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TCV and ARR
SOZO Core Business Quarterly Total Contract Value1
SOZO Annual Recurring Revenue2
A$ millions
A$ millions
•
•
Record TCV of $6.3m up 86% vs. Q4 FY24; up 29% vs
prior quarter.
•
ARR up 27% vs Q4 FY24; up 3% vs prior quarter.
•
ARR continues to grow as quarterly TCV gains translate into revenue.
Price of renewed contracts increased 13% on average.
•
Stronger AUD reduced translated ARR.
1.Total Contracted Value (TCV) relates to new and renewed contracts and includes any consideration for the sale of SOZO units as well as the total licence fees for the duration of the signed contracts. Typically, these contracts are for a period of three years.
2.Annual Recurring Revenue (ARR) represents the amount of revenue reasonably expected to be recognised for the next 12-month period based on existing contracts, assuming installation upon sale and no churn. The amounts shown are as reported. The
exchange rate used for Q4 FY25 ARR calculation was 0.64344 (Q3 FY25: 0.62384).
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16
Revenue and Cash Receipts
Revenue
Quarterly Cash Receipts
A$ millions
A$ millions
•
Q4 FY25 revenue down 1% vs Q3 FY25.
•
Quarterly cash receipts of $3.8m, up 27% vs Q4 FY24.
•
Q4 North America revenue flat vs Q3 FY25; ROW down 19%.
•
Q4 operating cash outflow of $3.5m in line with forecasts.
•
15% growth versus Q4 FY24.
•
The reduction from Q3 largely due to timing of customer receipts.
•
Stronger AUD reduced translated US revenue.
•
Cash to fund 6.3 quarters of operating cashflow.
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17
Sales
Global Installed Base
Units
Patient Tests (000s)
ROW Installed Base
U.S. Installed base
17%
3-year CAGR1
• 44 SOZO Units Sold vs 36 Q3 FY25
• US units sales increase by 100% to 44 units from 22 in Q3 FY25
• 0 ROW units in Q4 FY25 vs 14 in Q3 FY25
• Churn remains low, remains >3% pa
•
•
74,000 Patient Tests in Q4 FY25
Up 3% versus Q3 FY25
1.Compound Annual Growth Rate. Quarterly patient tests Q4 FY22 to Q4 FY25
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Outlook for H1 FY26
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19
Outlook for H1 FY26
❑
Grow US sales leveraging changes to sales team and expanded reimbursement
o
o
o
o
Continue to initiate Lymphoedema awareness activities to generate leads
Further measured investment to accelerate sales strategy
Drive improvement in sales metrics
Fill remaining open territory
❑
Continued focus on payor coverage
❑
Expansion of Body Comp
o Initiate sales strategy in oncology and clinically managed weight loss
o Continue to refine the Body Comp offering
❑
Heart Failure
o Continue product development ahead of Q2 soft launch in Australia
o Continue to support investigator-initiated trials
❑
Optimise Lymphoedema Prevention Programs (LPP) to support customer utilisation and renewals
❑
Maintain financial discipline
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