Adheris Health Limited (AHE) Earnings Call Transcript & Summary

July 7, 2025

Australian Securities Exchange AU Health Care special 29 min

Earnings Call Speaker Segments

George Kopsiaftis

executive
#1

[Audio Gap] And I'll be your moderator for today. Joining us on this call will be Rick Ratliff, MedAdvisor's CEO and Managing Director. Good evening to you, Rick.

Richard Ratliff

executive
#2

Hi, George.

George Kopsiaftis

executive
#3

Also on the call is Mark Lindh. So Mark is the Executive and Principal of Adelaide Equity Partners. They were retained by MedAdvisor to assist with the strategic review process and advice on the ANZ business transaction. Good morning to you, Mark.

Mark Lindh

executive
#4

Good morning, everyone.

George Kopsiaftis

executive
#5

Hopefully, you'll call us probably clear Mark there a bit for the event. So the plan for the session today is for Rick to open up with some comments relating to the sale of the ANZ business for Jonas. He'll also talk to the broader review of the strategic options, which remain underway. Following some opening remarks from Rick, we'll then open the Q&A session. [Operator Instructions] With the housekeeping now done, I'd like to hand it over to Rick to get started.

Richard Ratliff

executive
#6

Okay. Thanks, George, and good morning to everyone on the call, and thanks for joining us today. As George mentioned, the purpose of this briefing is to discuss our recent news and to offer an update on the broader review of strategic options, which was announced, as George said, in the November time frame of last year, and it does -- it is ongoing. Now I'm going to provide some comments. I'm not going to use any slides for the discussion. So if you'll bear with me I'll go through about 5 to 10 minutes of comments. And then as George said, we'll open it up Q&A. And to the extent we need to talk about the strategic review process, Mark Lindh will join me on some of those discussions. So to get started, the stated objectives for the review was to explore pathways to delivering greater value for our shareholders than was recognized on the ASX listing. The view of the directors was that the 2 business units under the ASX listing were suboptimal from a value perspective. So we launched the strategic options review process at the same time in the United States and in Australia and New Zealand. While the ANZ process has advanced more quickly, it's important to note that we continue to review the process -- we should continue the review process rather in the United States. So before I get started, I do want to emphasize that we remain optimistic about the U.S. business and its long-term potential. Approximately 75% of our U.S. replatforming is now complete, forming a broader transformation that also includes redesign of our client success team and targeted process improvements. These initiatives are already creating a more scalable and efficient operation, laying the groundwork for future growth and value creation. I'll comment a little bit further as we get into the latter part of the discussion. Turning back to the ANZ business. In 2024, it represented 20% of the group's revenue and earnings based on the company's market cap of approximately AUD 80 million when the review process started, a liquidity event in the order of $43 million, representing a greater value than what the ASX was demonstrated. So on May 7 of this year, we announced that a letter of intent had been received from a prominent multinational software organization with operations in Australia. The proposal was to require the -- to acquire the company's ANZ business division for cash consideration. The proposal was commercial and confidence, but it represented what directors believe to be a materially higher value than what was implied in the share price for MedAdvisor Solutions. So on that basis, MedAdvisor Solutions executed the LOI in the best interest of shareholders. The LOI included customary conditions such as a period of exclusivity to conduct due diligence. And given the significant amount of preliminary work that had already been undertaken by both parties, the time frame for execution of the binding sale and purchase agreement was expected to take approximately 5 to 7 weeks, at least at that point in time. The Australian sale process did offer a level of transparency, which allowed for third parties to enter with a base value that was set by the offer that was communicated on the ASX. Following the announcement of the LOI, we did receive additional interest in the ANZ business. But despite the additional interest, there was no more compelling offering that came to our attention and none of the other proposals actually matched the certainty, speed and overall value of the offer we had in hand. So we remain confident that this transaction represents the best outcome for our shareholders, customers and employees. One key point though, while over 95% of pharmacies in Australia utilize software services from MedAdvisor, it's important to note that further capital is required to maintain this position and the long-term growth. This need has been influenced by requirements and movements from strategic players in the market, expansion of the pharmacy scope of practice and various competitors entering into the market as well. So as the ANZ business enters into its next chapter under the Jonas Software umbrella, we're confident that Jonas is well positioned to build on the MedAdvisor's legacy of digital innovation and community pharmacy and look forward to seeing that the business continues to thrive. Jonas is a portfolio company of Constellation Software, which is a Toronto Stock Exchange listed business with a market capitalization of CAD 100 billion and revenues in excess of USD 10 billion in 2024. Constellation and in turn Jonas, have a mission to provide market-critical software solutions with a philosophy of buy and hold forever. And in fact, over the past 30 years, Constellation has acquired over 1,800 software businesses across various industries globally with 35 -- with over 35 software businesses in the Jonas Software ANZ portfolio. So after market closed last Friday, Australian time, we completed the sale of the ANZ business division and associated intellectual property to Jonas Software. This transaction marks a major milestone in the first phase of the strategic review process. The deal delivers a headline price of $35 million with an upfront consideration of $27 million. There's an outstanding $8 million. All this is in AUD, is expected by calendar year-end at the latest when working capital adjustments have been completed. There is also the potential to realize further consideration based on an uncapped, so the key point is an uncapped 3-year earn-out, which we currently estimate to be worth a potential of $7.35 million payable annually over the 3-year time horizon. This would take total proceeds for the deal to AUD 42.35 million. With the completion now finalized, we have discharged all outstanding debt obligations, leaving the company well capitalized and with a pro forma net cash balance of approximately $16.5 million. In addition, the proceeds from the Jonas transaction recently completed, including the $8 million holdback that I just mentioned to be received later this year, all of these funds will be held separately until the termination of the use of funds is completed. So I know that some shareholders have been asking, so what's going to happen with MedAdvisor Solutions at this point? To be clear, this transaction relates solely to the sale of the ANZ business and associated entities. MedAdvisor Limited will continue to operate the U.S. business and remains listed on the ASX. The completion of the ANZ business transaction now allows us to focus on the U.S. business, which continues to operate under the MedAdvisor Solutions brand via royalty-free license from Jonas. As we noted earlier, the U.S. business is progressing well. With ANZ transaction complete, we are in a stronger position to accelerate the U.S. growth agenda. The team is executing against clear priorities, including the expansion of client programs and optimization of our technology infrastructure, the foundational work we've undertaken across platform enhancements, partner engagement and internal efficiencies places us in a stronger position to drive long-term value. As part of the next phase of our review of strategic options, as I've mentioned earlier, we continue to actively consider a range of options for the U.S. business including the sale of -- the potential sale of the business. Discussions are continuing, and we're committed to unlocking the value of the business in the United States for our shareholders. The Board is also considering various capital management initiatives, including a capital return, which we highlighted in the ASX release on July 2. We will provide an update on this in due course. And in tandem, we are finalizing our FY '25 accounts. We expect to provide a market update on our FY '25 full year results guidance either alongside the release of our Appendix 4C or earlier as needed in line with our disclosure obligations. So finally, before we move to Q&A, I would like to sincerely thank our Chief Financial Officer, Ancila Desai, who will be stepping down later this year at the conclusion of her notice period. Ancila has been instrumental over the past 3 years in guiding MedAdvisor through significant transformation, and we deeply -- we are deeply grateful for her leadership and support during this period. So that concludes my remarks. I want to thank you again for joining us today. And so I'll now turn it back to George, and we can have some time for Q&A.

George Kopsiaftis

executive
#7

Thanks Rick. And thanks for that update. [Operator Instructions] A few questions here. I believe you've answered quite a few of them already in your remarks, Rick, but I'll just ask them again just for clarity. So can you clarify the net cash and debt position right now?

Richard Ratliff

executive
#8

Yes. The net cash position is approximately $16.5 million as of today.

George Kopsiaftis

executive
#9

And no debt, right?

Richard Ratliff

executive
#10

I'm sorry, no debt. That's correct. We fully discharged the debt.

George Kopsiaftis

executive
#11

Okay. Great. What is the current cash burn going forward?

Richard Ratliff

executive
#12

That's -- we'll provide clarity on that as well as our progress relative to guidance as we finalize the 4C and we look at providing some direction on first half results in that process.

George Kopsiaftis

executive
#13

Thanks, Rick. With regard to U.S. business, have you had offers for that business?

Richard Ratliff

executive
#14

As I mentioned in my remarks, we are continuing with the strategic options review process in the U.S. We have significant interest in the business. and that process is moving along. It is moving, obviously, at a slower pace than the ANZ business. We hope to have an update in the very near future when we have something material to share.

George Kopsiaftis

executive
#15

Great. Thank you. Next question, again, a question around guidance. I think you answered it that we'll provide guidance at the time of the appendix 4C. But another part of the question, outlook on the pipeline?

Richard Ratliff

executive
#16

We have a solid pipeline for the first half of FY '26. And as we are finalizing this transaction and wrapping up the financial year, preparing for the 4C, we'll prepare some guidance for pipeline progress in that same context with the 4C.

George Kopsiaftis

executive
#17

Great. A question around the earn-out. Can you provide some color on the mechanics of the earn-out, particularly in relation to any thresholds and structure on the earn-out?

Richard Ratliff

executive
#18

Yes. The primary focus on the earn-out is related to revenue growth over the next 3 years. The revenue targets are definitely targets we feel comfortable with. So we're very comfortable with the earn-out structure. There are EBITDA required components in relation to the earn-out that act as accelerators to the revenue component. So we're very confident. We're very happy with the fact that the earn-out structure is uncapped and feel confident in the earn-out projections that I provided in my comments.

George Kopsiaftis

executive
#19

Great. Again, I believe you did answer this in your remarks, but in relation to the holdback amount, it says it won't be until the end of the calendar year. Does this assume the return will occur after this date? I think he is referring to the $8 million hitting your bank account.

Richard Ratliff

executive
#20

Right. So the expectation would be that the $8 million would be received -- I think that's part of the question, would be received prior to the end of the calendar year.

George Kopsiaftis

executive
#21

Got it. This would be was any of the other offer for a higher cash purchase price? I think someone is asking here, were there higher offers for the ANZ business?

Richard Ratliff

executive
#22

There were -- if there were higher offers for the ANZ business and they were more compelling then the Board would have moved forward with those offers. So as I said in my comments, if you look at the structure of the offers that were provided in relation to the offer that we had in hand and other considerations, those offers were not considered compelling or superior to the offer that we had in place.

George Kopsiaftis

executive
#23

There's a bit more clarification asked for around the $16.5 million cash position. It says, is this before including the $8 million deferred payment?

Richard Ratliff

executive
#24

This does not include the -- if I'm following the question, this does not -- the $16.5 million does not include the $8 million deferred payment. We don't have the cash. Therefore, the $16.5 million is cash that we have in our bank account. Right?

George Kopsiaftis

executive
#25

Please explain clearly what the ongoing strategic review of the remaining U.S. means. Specifically is the U.S. for sale? And are you contemplating an ASX delisting?

Richard Ratliff

executive
#26

The -- we are looking -- relative to the United States, we are looking at all options, very similar to the process that we've run in Australia. It has been a very targeted process. It has been a process to focus on the valuation of the business and the opportunities. And those opportunities -- one of those opportunities could result in the sale of the business. If the business were sold -- if the U.S. business were sold, then that would then trigger the question on the delisting of the business. And that's not -- that's a decision that has not been made yet, but it's a part of the analysis that's ongoing.

George Kopsiaftis

executive
#27

Right. And still another question around the cash and the debt position. It says the debt at the last quarter was $18 million and it appears to have jumped by $5.6 million. Just wondering what the reason for the jump was?

Richard Ratliff

executive
#28

Yes. The reason for the jump was related to the early payment of the debt. So the debt was a 3-year vehicle that was paid down a few years ahead of time. As a result, there are different terms that relate to the increased cost in terminating the debt earlier. That's the difference.

George Kopsiaftis

executive
#29

And then a question around the $8 million holdback, why so large? And why is it going to take so long to work out the -- make the working capital adjustment?

Richard Ratliff

executive
#30

The key point is that the $8 million is tied to the completion of certain analysis on the accounts and the payment is no later than the end of the year. It could be paid earlier. Initial terms were much longer than the 4 months that's in the current version. So this is a much shorter time line. And if accounts are managed -- if everything is managed appropriately in a timely fashion and we get to closure, then payment can happen faster.

George Kopsiaftis

executive
#31

Thank you. A couple of questions here again around the U.S. strategic review time line. Okay. That's the question.

Richard Ratliff

executive
#32

Oh, that's the question, I am sorry.

George Kopsiaftis

executive
#33

I framed a couple of questions together. What is the tentative time line for the U.S. strategic review?

Richard Ratliff

executive
#34

The process has been ongoing, as I mentioned, and our intent is to bring that to closure as soon as possible. I would say that we're moving it along as quickly as we can. We had hoped to close everything out by the end of June. We closed out the Jonas transaction close to that, and then conversations are following quickly behind that in the United States, but we're not in a position yet to put a definitive time line on it.

George Kopsiaftis

executive
#35

All right. Great. If you sell the U.S. business, how does the earn-out get paid or managed in a listed company?

Richard Ratliff

executive
#36

There are processes in place to create a shell company, if you will, that maybe, to your point, delisted that manages the distribution of funds as they come in is my understanding is how that works.

George Kopsiaftis

executive
#37

Great. Mark, I know you're there. Did you want to add anything to that?

Unknown Executive

executive
#38

No, not really. I think Rick's covered it pretty well. In that circumstance whereby there's no point having a listed structure under a proposal that would have effectively both businesses sold. So that would be an unlisted structure and then any proceeds that come in would be distributed as to the original pro rata shareholder.

George Kopsiaftis

executive
#39

Great. Thanks, Mark. Question here around the tech stack. I believe there was some alignment between the tech stacks in the U.S. and the their businesses. How will ongoing development of the U.S. tech stack work with the sale of the ANZ business?

Richard Ratliff

executive
#40

I'm sorry, what was the last part of that question, George?

George Kopsiaftis

executive
#41

How will ongoing development of the U.S. tech stack work with the sale of the ANZ business?

Richard Ratliff

executive
#42

Okay. So maybe a couple of things there. The longer-term plan was definitely to bring the tech stack, the ANZ and U.S. businesses together. We're short of that phase. If we were having this conversation next year, it would be an entirely different conversation. So in ANZ, we've moved the platform what we call MedAdvisor, was called [ PlusOne ], to MedAdvisor Pharmacy. It's cloud-based. It's on its own tech stack, and it is in AWS, and it is focused on Australia, New Zealand. In the United States, the development work going on with the platform today. And as I mentioned, we're about 75% of the way done with that platform development. It is a separate technology stack and it runs in the Google Cloud platform. So there are 2 different technology stacks, 2 different sets of intellectual property, et cetera. And so they are completely separate today. Software licenses for different types of software, security software, certain Microsoft software, et cetera, there is some crossover and those are being split up as we speak. But that's basically the extent of it at this point.

George Kopsiaftis

executive
#43

Next question. What's the IP that's getting sold alongside the ANZ business? And does it improve the THRiV platform?

Richard Ratliff

executive
#44

It does not include the THRiV platform. It is all of the IP capabilities that were already in the Australia ANZ business, primarily inclusive of the MedAdvisor for Pharmacy platform as well as the MedAdvisor mobile app, the full scope of practice, expanding scope of the practice software, et cetera, all of those elements that have been in development over the last few years remain with the ANZ business that was acquired by Jonas. So all of that moved over. That platform does have a form of a capability for pharmaceutical sponsored communications through the MedAdvisor mobile app as well as SMS kind of communications and even with pharmacists intervention programs through the MedAdvisor for Pharmacy platform. That is not the same as the THRiV platform. That is an area where, longer term, in Phase 2 of our technology strategy, we would have started to see some crossover in technology between Australia and the U.S., but that has not happened yet. So it is still separated.

George Kopsiaftis

executive
#45

All right. Question around the U.S. business. With the cost cuts, can the U.S. business be free cash flow neutral or small positive in 2026?

Richard Ratliff

executive
#46

With the cost cuts and the revenue projections, that is definitely the direction the business is headed yes.

George Kopsiaftis

executive
#47

Are there any outstanding abatements that would reduce the $16.5 million cash position?

Richard Ratliff

executive
#48

That's a very good question. There are ongoing abatement payments just a part of the cash flow for particularly this individual who sounds like they're very familiar with the U.S. business. And so there will be some level of abatements from a few of the pharmacies in the July, August time frame.

George Kopsiaftis

executive
#49

But I guess on the other side, Rick, there's revenue coming on to right?

Richard Ratliff

executive
#50

Excuse me. Yes, Yes. I mean that's just part of...

George Kopsiaftis

executive
#51

Coming in. Yes.

Richard Ratliff

executive
#52

There's revenue -- yes, there's cash coming in and cash going out, which is just part of the ongoing operations. But the revenue share or the abatement is a part of the structure, and it will be -- always be contemplated on a month-to-month basis relative to reduction in cash than cash coming in from pharmaceutical manufacturers will drive the increases in cash.

George Kopsiaftis

executive
#53

Great. Just conscious of the time, I know we'll plan to finish at 9:30, still a few questions. And the ones that we can't answer today, we will come back to you. we can ask it today, we will come back to you. This one, we might finish on this question, please outline the current structure of the Board?

Richard Ratliff

executive
#54

The current structure of the Board, okay? Good question. There are 4 individuals and then myself. The Chairman of the Board is Kate Hill. Jim Xenos is a Non-Executive Director, then -- and he's in Melbourne. Then -- and Kate is in Sydney. Kevin Hutchinson, Non-Executive Director. He is the Head of Remuneration Committee. He's based out of the United States. Luke Merrow is the other Non-Executive Director based out of the United States. Those are the 4 individuals and then myself. So there's a 5-member Board.

George Kopsiaftis

executive
#55

All right. It is 9:30, we still have a few unfinished and outstanding questions, but we will to answer those questions. I get back to those ask [indiscernible] those questions. We'll be [indiscernible]. Thank you, Rick. Thank you, Mark, for your time today, and thank you for everyone that attended. That now concludes the investor briefing.

Richard Ratliff

executive
#56

Thanks, George. Thanks, everybody, for joining us today.

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