2024 AGM - CEO's Presentation
Released
Released
Announcement PDF
19 November 2024
ASX ANNOUNCEMENT
2024 Annual General Meeting – CEO’s Presentation
ImpediMed Limited (ImpediMed) (ASX:IPD) provides the attached CEO’s presentation to be delivered at today’s Annual
General Meeting commencing at 11.00am AEDT.
Authorised for release by the Board of ImpediMed Limited.
For more information, contact Leanne Ralph, Company Secretary, at leanne.ralph@bellev.com.au
ImpediMed Limited 2024 Annual General Meeting
Forging a new
Standard of Care
Proprietary, do not reproduce, distribute, or excerpt without written permission from ImpediMed. ©2024 ImpediMed Limited.
1
Agenda
ImpediMed – FY24 Annual General Meeting
Review - FY24 Financials
Strategy - Focus on accelerating sales and controlling costs
First application - Breast Cancer Related Lymphoedema (BCRL)
New Team to execute
Key Forward Indicators
Value proposition
Core business revenue and ARR improving
Overall revenues down due to cessation of Astra Zeneca clinical trial
FY24 Full-Year Results
Total
revenue1
SOZO Core
Business2 revenue
SOZO Core
Business ARR
Number of patient
tests conducted
$10.3 million
$9.7 million
$11.0 million
250,000
9% vs FY23
14% vs FY23
18% vs FY23
18% vs FY23
# SOZO units
sold globally
SOZO Core
Business TCV
Gross
profit margin
Cash balance
at close of FY24
113
$9.4 million
87%
$24.6 million
29% vs FY23
1% vs FY23
16% vs FY23
1.Clinical revenues (AstraZeneca) declined $1.9M from FY23
2.SOZO Core Business represents revenue from SOZO contracts in the Oncology/Lymphoedema market and excludes SOZO clinical business and legacy device/other revenues.
3
SOZO Core Business growth driven by US up 14%
Global revenue by category
Global revenue by geography
11.3
10.6
10.3
2.0
3.3
11.3
10.6
0.5
2.0
0.1
0.8
3.3
8.5
9.7
6.5
Core Business
0.9
1.0
FY23
Legacy/other
FY24
Clinical
8.3
0.1
FY24 SOZO Core Business
revenue up 14% vs. FY23.
1.1
A $ millions
A $ millions
0.7
FY22
10.3
9.3
US business 90% of revenue.
6.1
FY22
North America
FY23
ROW
FY24
Unallocated
4
ARR is up 18% vs. FY23, and continues to show long term growth
SOZO Core Business ARR1
22%
11.0
3-year CAGR2
10.1
9.3
ARR up 18% vs. FY23 ($9.3m)
8.2
7.3
6.7
A$ millions
6.1
FY21 H2
FY22 H1
FY22 H2
FY23 H1
FY23 H2
FY24 H1
FY24 H2
1.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 FY24 H2 ARR calculation was 0.66699 (2023: 0.66387).
2.Compound Annual Growth Rate.
5
Patient testing grew 24% as a 3-year CAGR
SOZO patient tests (000s)
24%
3-year CAGR1
18% growth vs. FY23
154
An important driver of
renewals
126
92
70
40
17
8
FY18
2
32
FY19
72
62
47
FY20
FY21
New
FY22
85
FY23
96
FY24
Follow up
1.Compound Annual Growth Rate (based on annual totals).
6
Immediate strategy
Execute to breakeven with a focus of sales, marketing and clinical execution in BCRL
12-Month Priorities
Next 12 months: Execute towards break even
July 2025
Next 1-2 years: Innovate and expand
GOAL 1
GOAL 2
GOAL 3
GOAL 4
GOAL 5
BCRL sales
execution
World-class customer
experience
Progress to break even
Broaden Oncology
Survivorship
Develop new markets
• Continued focus on sales execution with urgency
• Manage cash burn
• Support LPP implementation and patient utilisation
• Progress towards
break even
• Oncology body
composition
• ROW Strategy in
progress
• Leg lymphoedema
• Completed new
product roadmap at
Board for review
• Execute on discussions with large IDNs on systemwide implementation
• Continued progress to towards payor coverage
target 85% through support of Academic Societies
and KOLs
• Deliver actionable insights at the point of care
Ensure everything we do is underpinned by quality and integrity
7
Forging a new Standard
of Care for Breast
Cancer Survivorship
•
4M
82%
US breast cancer
survivors1
Breast cancer patients are at
risk of arm lymphedema due to
their treatment5
310k Newly diagnosed US
breast cancer patients every
year1
1 in 5
Breast cancer patients will
develop lymphedema2 resulting in
• Isolation and depression3
• Hospitalisation risk4
• Economic burden4
1. Breast Cancer.org 2024 American Cancer Society, Inc.
2. Gillespie TC, et al. Breast cancer-related lymphedema: risk factors, precautionary measures, and treatments. Gland Surg. 2018
Aug; doi: 10.21037/gs.2017.11.04.
3. Teo I, et al. Examining pain, body image, and depressive symptoms in patients with lymphedema secondary to breast cancer.
Psychooncology. 2015 Nov;24(11):1377-83. Doi:10.1002/pon.3745. Epub 2015 Jan 20. PMID: 25601235.
4. Dean LT, et al. “It still affects our economic situation.” A long-term economic burden of breast cancer and lymphedema. Supp
Care Canc 2017; https://doi.org/10.1007/s00520-018-4418-4.
5. American Cancer Society. Cancer Treatment & Survivorship Facts & Figures 2019-2021. Atlanta: American Cancer Society;
2019.
6. Ridner SH, et al. A Comparison of Bioimpedance Spectroscopy or Tape Measure Triggered Compression Intervention in Chronic
Breast Cancer Lymphedema Prevention. Lymphatic Research and Biology 2022.
• Lymph node surgery
• Radiation therapy
• Taxane-based chemotherapy
Preventing Breast CancerRelated Lymphedema
92%
Of patients did not progress to
chronic lymphedema with early
detection using L-Dex and
intervention through 3 years6
8
SOZO BIS: All elements in place to forge the new Standard of Care
Positive Global Clinical Trial
1200 patient trial: Statistically Significant
Lower Progression to Chronic
Lymphoedema1
p=0.016
Absolute reduction: 11.3%
Relative reduction: 59%
19.2%
7.9%
$600m
BCRL TAM
Widespread & Increasing US Payor Coverage
FDA cleared
1mil patient tests
conducted
• 23 US States now at Critical Mass (>80% covered lives)
• 255m Covered Lives across the US
• 73% US population now covered
1,000 Devices
deployed globally
Multiple Guidelines and Standards
Support Early Detection
Tape measure
(23/100)
BIS in updated
NAPBC Standards
NCCN
L-Dex
(7/89)
PREVENT trial: n=1,200 10 US and
international centers including Vanderbilt
University, Mayo Clinic and MD Anderson
9
1. Published in Lymphatic Research & Biology https://www.liebertpub.com/doi/10.1089/lrb.2021.0084
SOZO BCRL: Replaces time consuming SOC with early, objective & fast
detection for Breast Cancer Related Lymphoedema
Current Standard of Care (SOC)
Subjective or Time-Consuming
Bioimpedance Spectroscopy (BIS) – FDA-cleared, Clinically Validated,
Guideline Supported, Reimbursed, Early, Objective & Fast Detection
L-Dex Score
Examination
Volume
Captures Sub-Clinical, Stage 0 lymphedema that can be treated
Optical Scanning
Lymphography
Stage 0,
Subclinical
Stage 1, Pitting
Oedema
Stage 2,
Irreversible
Stage 3,
Elephantiasis
100%
resolution
88%
resolution
0%
Resolution
0%
Resolution
10
ImpediMed Board – New Team with Global Experience
Governance
Project delivery
Culture
Performance
Non-Executive Directors
Christine
EmmanuelDonnelly
Executive Directors
Janelle Delaney
Fiona Bones
Andrew Grant
Dr Parmjot Bains McGregor Grant
Non-Executive
Director
Non-Executive
Director
Non-Executive
Director
CEO / Managing
Director
CF&OO /
Executive Director
Non-Executive Chair
• Appointed 28 September
2023.
• 30 years in IP expertise
through commercialisation
and strategic in-house
intellectual property roles.
• 4+ years in Board /
healthcare governance
experience.
• Appointed 28 September
2023.
• 30 years of project
management and
execution at IBM, with
responsibility for the
quality of delivery across
Asia Pacific’s portfolio of
several thousand
projects.
• Appointed 7 June 2024.
• 20+ years global
experience in finance,
corporate governance
and systems
transformation.
• Vice President of
Finance, International
Controller of Google
• Appointed 28
• Appointed January
September 2023
2024.
• 20+ years working with • Medical doctor, exkey US customers and
Pfizer and McKinsey,
across global
with 30+ years
healthcare markets.
global healthcare
• Global Strategic
experience across
planning and delivery
the US, Asia, Middle
in healthcare globally,
East and Australia.
including McKinsey
• 6 years Board /
and ResMed.
governance
experience.
• Appointed Director
September 2023 and
CFO November
2023.
• Ex-Nanosonics
CFO.
• Experience with
Board
administration,
governance and
investor relations.
Global Company
Experience
• Pfizer
• Google
• IBM
• McKinsey
Australian
MedTech
Experience
• ResMed
• Polynovo
• Nanosonics
New World Class Executive team
US healthcare market Medtech commercialisation Sales execution Creating long-term value
Executive Directors
Executives
Dr Parmjot Bains McGregor Grant
Dr Steven Chen
Tim Benkovic
Julie Kuhlken
Aaron Ogilvie
Ashley Munoz
Dennis Schlaht
CEO / Managing
Director
CF&OO /
Executive Director
Chief Medical
Officer
SVP, Sales &
Customer
Success
Senior Director,
Marketing
Senior Director,
Product
Development
Director of
Human
Resources
SVP, R&D and
Technology
• Appointed January
2024.
• Medical doctor, exPfizer and McKinsey,
with 30+ years
global healthcare
experience across
the US, Asia, Middle
East and Australia.
• 6 years Board /
governance
experience.
• Appointed Director
September 2023 and
CFO November
2023.
• Ex-Nanosonics
CFO, 13 years.
• Experience with
Board
administration,
governance and
investor relations.
• Appointed
September 2023.
• Former American
Society of Breast
Cancer Surgeons
(ASBS) President
• Surgical oncologist/
breast surgeon with
10+ years’ industry
experience in drug
and device product
development.
• Appointed April
2024.
• Ex-Nanosonics 6
years, ex Head of
US Sales
• 30+ years'
experience in
medical device,
SaaS, and
distribution
industries.
• Proven history of
building top
performing sales
teams.
• Appointed October
2023.
• Ex-Becton
Dickenson
• 25+ years’
experience in
marketing and
leadership.
• Appointed on Exec
October 2024.
• Ex-Johnson and
Johnson
• 25+ years
experience of
product development
leadership.
• Appointed on Exec
July 2024.
• Broad expertise
across diverse
human resource
functions.
• Appointed June
2007.
• Accomplished
senior technology
executive.
• Broad areas of
expertise including
strategic planning
and leadership, R&D
and global
technology
implementations.
Proprietary, do not reproduce, distribute, or excerpt without written permission from ImpediMed. ©2023 ImpediMed Limited.
12
Key forward looking metrics improving
Q1 FY25 Pipeline Metrics and New Payor Coverage Metrics
FY25 Q1 Sales Pipeline
Updated Mid Q2 FY 25
585 devices
Critical Mass States1
34% increase vs Q4 FY24
23 States
+7 vs Q1 FY25
Q1 FY 25
NAPBC Standard Inclusion
Updated Mid Q2 FY 25
SOZO at 143/570
254.7m
Accredited NAPBC Institutions
Covered Lives2
1 new NCCN Center
SOZO at 23/33
1.Critical Mass: 80% or more of the population in a State is covered by Medicare, Medicaid or private insurance payors.
2.Covered Lives: represents the number of people nationally covered by Medicare, Medicaid or private insurance payors.
82% increase vs FY24
13
Momentum Continues
Forward sales indicators improve and TCV momentum returns
U.S. SOZO Units Sales Pipeline1
SOZO Core Business Quarterly TCV
Sales Pipeline
up 100%
Record quarterly increase in TCV2
Q1 FY25 Pipeline up 34% vs. Q4 FY24
1.Total Opportunity Pipeline represents SOZO units in pipeline at end of quarter.
2.
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.
14
The Value Proposition
Multiple
Regulatory
Clearances
Lymphoedema
Heart Failure
Renal Failure
Body Comp
Reimbursement
73% of US
Insured Lives
covered
Critical mass
coverage in 23
US States
Lymphoedema
prevention
Initial TAM
$600M
Guideline and
Standard
Inclusion
NCCN & NAPBC
Successful
Global RCT
~$110M Market Cap
Platform
Technology
Lymphoedema
Body Comp
Heart Failure
Renal Failure
Multi-Application
TAM significantly
larger
1000+ Devices
deployed
Globally
Growing
Pipeline
exceeds required
devices to
breakeven
15
Proprietary, do not reproduce, distribute, or excerpt without written permission from ImpediMed. ©2024 ImpediMed Limited.
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