Alcidion Group Limited (ALC) Earnings Call Transcript & Summary

February 26, 2026

ASX AU Health Care Health Care Technology Earnings Calls 56 min

Earnings Call Speaker Segments

Kate Quirke

Executives
#1

I can probably start the formalities. Good afternoon, and welcome to Alcidion's half year results webinar for the 6 months ending the 31st of December 2025. Before we begin, I would like to acknowledge the traditional owners of the land from which I'm presenting to you today, which is the Wurundjeri people of the Kulin Nation and the lands from which all of you are joining me today, and I pay my respects to their elders past and present, and I extend that respect to all Aboriginal and Torres Strait Islander people who have joined us on the call today. As this is our half year results, we are joined with -- Rebecca Wilson, our Chair, joins us, along with our Chief Financial Officer, Matt Gepp. As is our usual approach, we'll take you through a presentation covering the key financial and commercial highlights for the half, followed by our thoughts on the outlook ahead, and then we'll open up the call at the end for Q&A. All attendees do have the opportunity to ask questions at the conclusion of the presentation. [Operator Instructions] We will aim to answer as many as possible. And we will also group together similarly repetitive questions together to avoid repetition. And in order to allow Matt and I to focus on your questions, which may be financial in nature, our Chair is going to take her chair role and manage the questions for us today. If we run out of time or we're unable to answer your question, we welcome you sending your question via e-mail to [email protected]. and we'll try and address as many of those after the call as possible. Just a reminder, this webcast is being recorded and will be available on our website later today. Before I go through the results, I thought I'd take just a moment to remind shareholders and prospective shareholders of some of the core problems that we are trying to solve and the types of solutions that Alcidion offers to our customers using our flagship platform, Miya Precision. As is probably known to many of you, although this could be through direct experience with the health care system or just by reading newspapers or looking at articles, you know that the health care systems globally are facing a multitude of complex challenges. And those challenges adversely affect stakeholders at all levels, be it the health care administrators, the clinicians, the patients and of course, the families of patients. And from our perspective, many of these challenges can be traced to 3 fundamental problems: clinicians not having enough access to accurate and up-to-date and more importantly, easy-to-digest and read patient medical histories, some of which span many years and sometimes decades of information. There's a lack of real-time visibility on a patient's journey as they move through the hospital. So that includes bed management, discharge, what is holding them up to be getting home to their own families and also unnecessary staff administrative burden due to the legacy nature of some of the systems that they've got, the disparate systems that don't talk to each other. And our primary undertaking at Alcidion is to provide solutions that address all 3 of those problems and to achieve it via a cloud-native, modern and modular technology platform, which we call Miya Precision. Miya can ingest data from multiple disparate systems, and it can then be used as a core system of record, but also a system of insight, allowing easier access into that information, allowing that information to be presented to administrators and clinicians in a way that supports them to ultimately improve the delivery of patient care. And due to the modular nature of Miya Precision, we're able to scale up and down the platform depending on the functionality that our customers need and the budget that they have at any given point in time. And in the slide that we've shown here on the screen, what we've represented in the pink bars are several of our most common solutions. And each solution is aimed at addressing one or more of those health care problems. And as I'm sure you can probably appreciate, the complexity of the interconnected nature of health care often means that those solutions cross over multiple problem sets. For illustrative purposes to sort of allow you to connect it, we've shown various customers under each of those relevant solutions and where they sort of more accurately fit, albeit for some of our cases, our customers will be across multiple solutions and Hume is a really good example of that, who use Miya Precision for Command Center. They use it for patient flow, and they also use it for remote patient monitoring capabilities. We currently operate across 3 key geographies, Australia, New Zealand and the United Kingdom. However, as we outlined in FY '25, we are increasing our efforts to expand into new markets with the Middle East and Canada being the sort of the priority areas we're interested in. And we are making good progress in those markets, albeit, as you would expect, it takes time, and we're being judicious about the manner in which we go about that. Just looking to the first half financial results. Now it was a strong performance for the business across all areas and really a continuation of the momentum that we established throughout 2025 or FY '25. I won't steal Matt's thunder too much as he'll go into greater detail on the financials straight after me, but I would like to touch on a few key points. We delivered first half revenue of $25.5 million, up 44% on the prior period. And that was driven predominantly by a higher recurring revenue contribution from customer wins that were sold in FY '25 and coupled and added together to things like the Leidos contract expansion and the North Cumbria contract expansions. The annual recurring revenue or ARR as of the 31st of December 2025 was $31.1 million, up 9% compared to the ARR as of the 30th of June 2025. And the growth in our ARR is attributed to several of our contract expansions in the first half, as I mentioned above. Over time, we expect our ARR. It's very hard to keep saying that multiple times to progressively increase as a percentage of our total revenue, notwithstanding there will always be some implementation revenue given the nature of our contracts and how our customers engage with us to implement our solutions. It's also worth clarifying that ARR does not include any of the multiyear capital upfront licenses despite the fact that they do recur again upon the renewal of the contract term. And typically, those upfront capital licenses could be 3, 3 years, 5 years or 10 years in general. During the year, we signed $23.6 million in new total contract value during the half of the first half, which was up over 29% on the prior period. We've delivered strong half year underlying EBITDA of $4.2 million, up 675% or in dollar terms, a $3.7 million improvement over the same period last year. Gross margin was lower than we saw in FY '25. And this is due to the particular construct of the contracts that we've signed in the first half. That being that there's been a larger portion of third-party product in the deals we've done this year. And the Sussex deal also has a third-party component for medication management. So we expect the gross margin for this year to be lower than it was in FY '25. But we also expect that to be an anomaly of this year, and we expect to return to gross margin in the higher 80s in FY '27 and beyond. Whilst we've already reported cash flow in the Q2 update, just reiterating, we delivered an operating cash outflow of $2.6 million, which was an improvement of $1.7 million over the prior period. Worth noting, we ended the second quarter with a seasonally high debt balance and the majority of which has actually been collected in the quarter. A little bit on the operational highlights of the first half. We further expanded our relationship with North Cumbria and we've had multiple expansions. The most material one is the one with Mizaic that we have announced to the market. But they also bought Smartpage clinical. And recently, after the half more recently have brought expanded and taken Smartpage nonclinical, which is looking after the orderlies and cleaners in the hospitals. We have also signed a material expansion with Leidos, leveraging the capability of Miya Precision across a greater number of care settings and applications. As shareholders are probably aware, our work with Leidos and other consortium partners is focused on the deployment of the health care knowledge management system for the Australian defense force. It's a major government project, one of the most significant undertaken in this country. and one in which we're very pleased to progressively increase our involvement in as we have been clearly delivering into that project. Post the period end, we were selected by the University Hospital Sussex as their preferred provider for their new electronic patient record. And I'll touch on this further in the presentation. Before we move into the detail on the financials. I really want to take a moment to acknowledge our Alcidion team and also several of our customers. So many of our customers during the half have been recognized within the health industry for key areas of excellence. The Health Service Journal, which is a major and well-respected U.K. health publication each year hosts an event nominating a suite of digital awards across a range of areas. And this year, Miya Precision customers have been nominated for 6 awards, including South Tees for Digital Transformation Organization of the Year and University Hospital Southampton for Digital Team of the Year in recognition of the work they've done on Miya emergency deployment and so we congratulate everyone for their nominations and wish some luck when it comes to the awards in a couple of months' time. Full credit goes to our customers for that work, but I really want to congratulate the efforts of our project delivery and implementation teams many of whom have been heavily involved in some of those projects that we outlined above that are coming up for awards. On that note, I'll hand over to Matt, who can give you some further detail on the financials.

Matthew Gepp

Executives
#2

Thank you, Kate, and good afternoon, and thank you to everyone who has joined us on the call today. It looks like our Chief Marketing Officer, is there on the right as well. I'd like to start by saying that we're very pleased with the H1 results released this morning. Starting with the revenue. As Kate has already mentioned in the highlights, Alcidion delivered $25.5 million revenue in H1. That's a $7.8 million increase on the prior year result. $2.1 million of that increase came out of the ANZ business and $5.7 million came out of the U.K. business. In ANZ, we saw a $2.9 million increase in recurring revenue, driven by the third Leidos expansion announced in November as well as the inclusion of a full 6 months of recurring revenue from Peninsula and in NALHN. Both of which were signed late in the first half of the prior year. That was offset by a small drop in ANZ services revenue of around $800,000, which is largely attributable to the human project, which was completed in prior year H1. And as well as the Leidos implementation revenue from the original 2 contracts, which was materially completed in the prior year. Neither of these contributed to the current year H1 revenue, although we will see an increase in services revenue from the ANZ business in H2 as work on the third Leidos extension started late in the half and will continue for all of the second half of the FY '26 year and into FY '27. The U.K. saw an increase in recurring revenue of $2.7 million. That's a result of the recurring revenue from the Haldar flow and the North Cumbria EPR deals. Neither of which featured in the prior year H1 result. U.K. services revenue added $2.1 million, again, mostly driven by Haldar and NCIC implementation revenue. Both of those projects contributing materially in the 6 months to December '25. In addition, you'll see that we recognized a $1 million capital license from the North Cumbria Mizaic expansion signed in September. And as Kate alluded to, we did see downward pressure on the margin percentage in the half as we signed a higher volume of deals with third-party vendor involvement, most notably Mizaic. It's important to note that these deals contributed to the record increase in revenue, which saw us go on to deliver a $5.7 million increase in the margin to $21 million. And as Kate said, it is our view that the margin percentage will return to historical levels next financial year. Excluding LTI and restructure costs, salaries and wages increased $500,000 half-on-half with staffing levels unchanged from June. This increase is a result of annual salary increases as well as increased superannuation in Australia and pension costs in the U.K. OpEx increased modestly across all categories in H1, adding $380,000 to the costs versus the prior year. And with the strengthening of the Australian dollar, we saw a reversal of those prior year unrealized FX gains in the half. As a result of the increase in revenue and margin, we've gone on to deliver an underlying EBITDA of $4.2 million in the half, a $3.7 million increase on the prior year. NPAT for the half is $1.3 million, and this includes a $1.9 million amortization charge on acquired intangibles consistent with half of the $3.6 million charge we saw in the FY '24 full year numbers. Can we move to the dashboard? Thanks, Kate. So on the top left here, we can see that H1 revenue is a record half year result for Alcidion. At $25.5 million, it exceeds the previous highest half being FY '25 H2, which included a material capital license component of $8.4 million from the North Cumbria EPR deal. Looking at the bottom left, what's here is that this result is underpinned by recurring revenue of $19.3 million as well as the fact that we've delivered almost as much implementation revenue in the half as we did in all '25. And it goes without saying that our teams are extremely busy at the moment across ANZ and the U.K. In the top right is the geographic split. And with the accelerated growth in U.K. H1 revenue discussed above. We see the U.K. contributing just more than half of the total H1 result. And again, in the bottom right grants the contribution of increasing recurring revenue, which makes up 76% of the H1 results. On to the revenue model slide. So here we demonstrate the onboarding of new customers and the progression of our revenue build. Through the implementation phase, where we typically see implementation revenue make up 10% to 15% of new TCV value with Miya flow implementations taking 3 to 6 months and larger EPR implementations taking up to 12 to 24 months. In the middle, capital licenses are a feature of U.K. contracts. As a rule, we don't see this structure in ANZ. Typically, these are paid upfront for 5 to 10 years before rolling on to an annual license subscription. Moving on to the right of this graphic, all new contracts in annual licensing and support and maintenance. This is usually built quarterly or annually in advance. and is the component of the contract that contributes to the steady build in ARR that we are seeing in our numbers now. On to the balance sheet. We ended the half with $14.2 million in cash. Consistent with previous H1s, we see a larger trade receivable balance than we see in June. This is partly the driver for improved cash receipts and results from the timing of a larger billing cycle late in the half. We don't capitalize staff expenses to the balance sheet. So we see a steady year-on-year decrease in the carrying value of the intangibles balance, down $1.9 million in this half with an expectation that it will decrease by around the same amount in H2 this year. Trade payables are higher than usual with the business carrying some of those H1 third-party vendor costs I mentioned earlier. Finally, on this page, we usually see deferred income decrease between June and December. This is a result of larger prior year Q4 invoicing in advance unwinding throughout H1. And then on to our cash flow. As I mentioned, we ended the year with $14.2 million in cash. That's a material improvement of $6.5 million on last December's cash of $7.7 million. H1 receipts at $17 million or around 11% higher than the prior year. And as those who follow us know, historically, Alcidion sees much stronger collections in H2. an operating cash outflow of $2.6 million in H1 is a $1.6 million improvement on the prior year. And as discussed above, on the balance sheet slide is adversely impacted by those working capital movements, which are just a seasonal feature of our Alcidion's billing cycles. Our business model does not require heavy CapEx spend with full year CapEx really exceeding the $150,000 level. We spent $32,000 in H1, mostly operating kit for staff. Kate, I will hand back to you to continue the presentation.

Kate Quirke

Executives
#3

Thank you, Matt We've included this slide because it really gives you a good illustration, I think, of the progress the business has made over the past 18 months. It's worth noting and reflecting on the fact that this is almost $100 million of total contract revenue added with an average contract with the contract terms being generally 3, 5 or 10 years. But as we know, and hope you, our shareholders coming to understand health care customers are very sticky. So it's likely many of these customers will be with us for many years beyond the initial contract period. As I said at the start of the presentation, in the first half of FY '26, we signed approximately $24 million in new sales. Primarily, there were 2 material contract expansions in that and a number of other renewals and small contracts. In September, we signed a $6.8 million expansion for the North Cumbria EPR contract with our third-party partner, Mizaic. They provide a product called MediViewer, which is provided to Medicare as an electronic doctor to Medicare too. North Cumbria is an electronic document management system, which assists the trust in digitizing there, the paper records, the stuff that still comes into hospitals in a pay format. And including that recent expansion, the combined TCV of the North Cumbria, EPR contract now exceeds $45 million over a 10-year period. And there are still further engagements with them and further opportunities to expand that again. The implementation there continues to progress on schedule. And given the scale of the deployment, it will definitely run for the balance of FY '26 and into FY '27 and being run in a phased manner. In November, we signed a $12.3 million TCV expansion to the flagship contract that we have with Leidos for the health care knowledge management system for defense. Project referred to as JP 2060. The TCV for the original contract runs to June 2028. And so this contribution of $12.3 million is about 2.9 years worth but there's actually the ability for this contract to be extended up to 3 so adding together the recent expansion plus what we had prior, the ARR of the Leidos contract exceeds $5.5 million now. And given the length of the project really underpins some of the financial stability of the LCD business well into the future. This was the third expansion to that original contract, and it continues to demonstrate the depth and breadth of Miya Precision platform. And while we've continued to develop further modules from that, this land-and-expand capability and continuing to expand over time in line with our customers needs and ability to buy is why one. We continue to invest in engineering and product development because we can continue to sell it. And the emergency department module is a perfect example of something that we have developed. That is now creating really a new and strong revenue stream for us. During the half, we also extended some small long-standing customer contract renewals. In Scotland, we extended our relationship with NHS the Lanarkshire for a further 3 years. Second extension of that or the second renewal of that, and that was for my observations and assessments. We also renewed our contract with Bolton for a further 3 years. Again, for my observations and assessments, they also have a second contract with us for Flow Access and Command. And whilst these are not material enough to announce individually, these extensions can contribute $200,000 to $400,000 or more annually. And so multiple of these play an important role in maintaining referenceability but also growing that long-term contracted recurring revenue base for us. I'm sure by now, all of our shareholders are across the announcements that we made in January about Alcidion being named as the preferred provider for University Hospital of Sussex. for their new EPR platform. UHSussex is an existing Alcidion customer for patient track observations. And it's one of the largest acute trusts in the U.K. It has 7 hospitals across 1.5 million appointments per annum. It will be another milestone contract for us, and it's under negotiation now. We expect the minimum term to be 7 years and the total contract value to be around $35 million. And we're still working through finalizing all of those details. It came following a competitive tender process, and it will see us deploy Miya Precision modules as well as better medication management solutions. So there is a third-party component to the contract. The combined offering will provide the clinicians at Sussex real-time access to patient records, really streamlining and supporting that clinical decision-making. We expect the contract to be signed in the middle of the fourth quarter with implementation to begin shortly thereafter and running for around 18 months, depending on the final agreed scale and breadth of the deployment. This contract will mark our third EPR contract and underpins our growing referenceability in the U.K. market, along with a lot of our best-of-breed solutions and our Flow Access Command solutions. The NHS in the U.K. market continues to be very important for us. From a customer perspective, we really believe the flexibility that Alcidion provides customers to adapt their budget and their capability to really focus on that. return on investment and the importance of increasing productivity uniquely positions us in an environment where health care is looking to ensure that they get back their buck when they invest in technology. I'll move on -- I won't talk about this in any great detail, but I would like to make a comment that deployments that we've made during the year are really important. And they're not necessarily the part of the business that generates investor headlines. But for us, at Alcidion, it is one of the highest priorities and it is an absolute strength of Alcidion. We are consistently rewarded by our customers with positive comments and ratings around our deployment capabilities and giving our customers a seamless implementation experience sets us apart from many others in the industry. Some who outsource their capabilities, but others who don't have that really deep technical knowledge and understanding that we have, which many of you may recall, comes from an acquisition we did of MKM Health some nearly 8 years ago now. In addition to the above, a seamless implementation experience builds trust with customers, and it builds the confidence in our customers to buy more additional modules from us over time. We had just -- we've just held a 2-day conference for our Australian customers, and it was absolutely fantastic to have so many customers presenting their success stories. and advocating for the benefits of deploying our solutions. We had representation from nearly every customer. We heard stories and presentations from Hume, NALHN, Leidos, Alfred, University Hospital Southampton, dialed in and gave a presentation, and there were many notable keynote sessions. Your customers don't do that unless they're happy with the service and the solutions that you are providing them. I've presented on multiple occasions now that our sales strategy is based on land and expand and the relevance of this becomes even more compelling the bigger the customer base that we get, the more customers we have, the more opportunities there are to sell the different modules. So the sales strategy involves getting that first site and then expanding the capabilities. And that sales strategy has been highly success for us over the last couple of years, delivering significant upside from initial contract signing from Leidos to North Cumbria, Hume, Dartford and Gravesham, South Tees. The list goes on and on. In fact, there are probably more customers that have support additional modules than not. And as I've alluded to, North Cumbria have consistently added to the contract, and we haven't even gone live yet with the first part of that phase of that project. This -- I'm going to talk a little bit now about the growth pillars and the strategy going forward and how we're executing against that. We first presented this slide in our FY '25 roadshow back in September. And we still remain focused on these growth pillars. In our core markets, we continue to scale leveraging our strengths in patient flow, virtual care in that broader clinical modular offering that, in some cases, support CPR, but into other cases, is supporting projects like the knowledge management system for the defense force. Following several new wins in FY '25, particularly in South Australia in Wales, our deployments and early success are being watched closely by neighboring and related customers in those jurisdictions. And given the enterprise nature of our business, these sales cycles, of course, take some time. However, the growing referenceability that we're seeing tends to lead to a shortening of those procurement cycles over time. The U.K. market is one that I know is often a very keen interest to shareholders. This market is maturing, and we've recently seen the announcement that the next round of funding to support analog to digital under the 10-year plan will be known as the front-line productivity program, and it's going to have an emphasis on investment in digital solutions that optimize their prior investments and focus on delivering measurable productivity benefits within the year that can be demonstrable in giving a return on investment. And so whilst the EPR procurements continue and that will continue, the focus will also be on getting funding from the center to deploy modular solutions that have proven productivity benefits, and that is a place where Alcidion shines. We continue to evolve and innovate on the product it's always been part of the heart of what Alcidion does. We are a very innovative company in respect of health care technology, and we're certainly seeing that way by the industry. We created Miya Emergency a module, which was developed in response to identified need from our customers and help demonstrate that not only our ability to innovate, but to commercialize that functionality and to turn it into value for shareholders and customers very quickly. Over the course of 2025, we released several new capabilities with including Miya Scribe, Miya Insight and Miya AI. And some of you may have read our most recent announcement where we announcement we put Miya Precision's concept detection, which is part of our AI capabilities, registered as a Class 1 software device in Australia and the U.K. Concept detection is an AI-assisted feature within the Miya Noting module that analyze the clinicians notes and their documentation. To identify medical concepts and suggest an associated code. We call them SNOMED codes, which is based of terminology and allows us to be more efficient. And we demonstrated some of this new technology over the last couple of days. It's very exciting. It is really an opportunity to continue to grow to help clinicians to use our solutions more efficiently and get more out of it but also to speed up the time and the safety of their workflow. We recognize the important role AI technologies are going to play moving forward. And this registration helps us to advance our AI commercialization strategy strengthens our competitive position but also demonstrates to our customers. And in a market that is quite risk-averse in respect of taking on technologies that they don't fully understand or have control over, by us taking these approaches, we are demonstrating what a good partner we are to our health care customers. Moving on to the next slide on touch a little bit on the expanding to new geographies. We've continued to work on establishing Alcidion presence in Canada and the Middle East. We did the work to identify these as being the next 2 core markets for us to look at. We have identified in Canada. We've identified and engaged with several potential customers and our increased presence at marquee trade shows hasn't gone unnoticed. And we've certainly been able to look at how we can without spending an enormous amount of money. Look at how we can gain traction in that market in a small and steady incremental way. So I'm very pleased with that progress there. I never expected that we would deliver material revenue contribution from these markets in FY '26, but we are building the case for it. In the Middle East, we -- you do business there slightly differently. We expect to appoint a reseller partner in the very near term and the network and market knowledge that the partners in these countries in the Middle East have helps you to reduce your in-country presence. And they typically get reimbursed by them selling contracts. So both those markets present a significant upside opportunity for us in the business. We believe, but as I said, unlikely to make a contribution in this financial year. We also -- just touched on some of the product capabilities. I think I probably have moved ahead as fast as I needed to. So that was the marketing update. Looking forward to the outlook, we entered the second half with total FY '26 contracted and renewal revenue right at this point or at the end of the first half of $43.1 million. And that's without any revenue contribution from new sales in the second half or, of course, UHSussex. As I mentioned earlier, whilst the UHSussex contract negotiations are ongoing. We would anticipate a contract similar to North Cumbria, where really receive an upfront capital license fee payment shortly after signing. One difference to North Cumbria is there is better medications included in this. So there will be a third-party component to that contract. Based on the current time lines, we expect that to be mid-Q4 with the timing being relevant as we position our guidance going forward, obviously. Given the recent contract wins and with a clear focus on accelerating new sales in both our existing and new markets, we're also incrementally investing a little in a couple of key areas in the business. Specifically, we are expanding resourcing and sales and marketing teams, and we've done that. We did that if anyone who follows us knows that we have strengthened the U.K. sales team, and we've done that because we believe we can get even greater pipeline conversion from doing that. We also have looked to increase marginally the deployment capabilities which I indicated when we signed the Outback contract, we would need to add a few additional staff to do that deployment. Assuming that the UHSussex 6 contract lands, as we expect in the above marginal staff increases are taken into account, we've released guidance for FY '26. That revenue is expected to exceed $50 million with EBITDA to be in excess of $5 million with an operating cash flow to remain positive and in line with FY '25 operating cash flow of $5.8 million. I talked about our growth strategy on earlier slides, but to summarize, we are continuing to scale in our existing core products and markets, particularly patient flow, integrated care records, virtual care or patient monitoring and emergency department in particular in the U.K. And our increasing referenceability in these markets has is really well positioned to maintain the current momentum. Our evolving product functionality and market adjacencies really revolve around deepening our AI capability and looking at entry into new models of care like hospital in the home and remote that requires remote patient monitoring. We've progressed our geographical expansion in Canada, Saudi Arabia and the UAE with several procurement opportunities and discussion partner discussions underway. In addition to the above, we do continue to review potential M&A opportunities, but we are quite selective about that, keeping in mind that we are quite focused at this point in time on the above 3 growth pillars. Following our strongest financial half to date, I am very excited about the position Alcidion at the moment, and the opportunity this presents for us to build the market and the future opportunities for our business. The health tech landscape is evolving. And at each turn, our value proposition is getting stronger and stronger as we deliver on our promises to our customers. On that note, I will open up for questions and stop sharing probably.

Rebecca Wilson

Executives
#4

Thanks, Kate. And I just wanted to do a collective thank you for many questions that have come in that have started with congratulations. I'm not going to repeat those, but I just wanted to say thank you. We really appreciate that. The questions really fall into for bucket, which is, again, not surprising. So U.K. market and the EPR opportunity, some specific questions around contracts and customers. some on the financials, and we'll finish with AI. And I also appreciate Kate, some of these questions have come in well before you actually covered many of them in your presentation, but in respect to shareholders asking the question, I will pose some of them again for you. But can you just please start by giving an update on the market opportunity for Alcidion in the U.K., expanding from acute hospitals into areas like mental health community, health and how you're viewing that market now.

Kate Quirke

Executives
#5

Look, it's really interesting. The mental health and community care market in the U.K. is really interesting, quite different to what you've seen in Australia because they actually operate them as separate trust, whereas we integrate mental health generally into the acute care trust. And so you see a real separation where all the money has been going into the acute care trust and the community and mental health are certainly sort of a little bit second cousins in terms of those investments. We're seeing a shift from that. We believe that we're well placed. We actually already have our first trust in Hereford and Worcester, which is, in fact, a mental health trust using Miya Precision. So we're certainly looking, as we see more investment moving into this area in the U.K. We see it as an opening up market opportunity for us.

Rebecca Wilson

Executives
#6

Next question is around how much your future pipeline is concentrated in these large-scale U.K. EPR contracts like Sussex versus the expanding footprint of Miya Precision within your existing customer base.

Kate Quirke

Executives
#7

I think there's 3 parts to the pipeline. The 3 big bank markets putting aside renewals and so forth. One is the EPR contract, and that does contribute to the pipeline at the moment. There are active opportunities for EPR still happening in the U.K. And I expect to see that for the years to come as there are still customers that are renewing their customers that were part of the first wave of the EPR program. Then there were the new customers for us that are very much around emergency department flow, remote patient monitoring. They are new customers, not add-on customers from my position, but they're not EPR. And then the third bucket is those expanding opportunities. I would say the first 2 buckets still make up probably 70% of the pipeline, maybe a little more and then the add-on. But as you see more new customers, you will see the modular nature increase.

Rebecca Wilson

Executives
#8

Perhaps just one final question on the EPR market in the U.K. just in terms of you just said you're seeing opportunities. If you could just expand on that and how Alcidion is its strengths, competitive strengths in that market at the moment.

Kate Quirke

Executives
#9

Very much for us where the modular play, where the quick wins return on investment. We are definitely seeing in the EPR environment that the money -- the stipulation from the center is that you need to be able to have quick return on investment. Having quick return on investment is not something that plays to the strengths of the big U.S. legacy providers, the Epics, the Oracles and so forth. So those with the modular play are well positioned. We are very selective in I've said this many times in the EPRs that we go for. We do not bid for all EPRs. We review the market engagement requirements very carefully, and we tend to go after the ones that we feel we have a high chance of winning or at least a high chance of being in the last 2. And so our competitive advantage when you go to our customers and say, why are you selecting us, it is speed, it is reputation in the market. It is the capability and the ease of use of the product. We are consistently told that Alcidion products look are as easy to use as they look.

Rebecca Wilson

Executives
#10

And just a final question. Obviously, connected to the PR opportunities in the U.K. was our acquisition of Silverlink, just your views on whether Alcidion has got the return on investment that you expected from that acquisition?

Kate Quirke

Executives
#11

I think I'll probably add to this a few times in different ways over the many calls we've had since we did the acquisition of Silverlink. Without Silverlink, Alcidion could not be in the EPR market. It's as simple as that. The return on investment is there because we would not have North Cumbria, South Tees or Sussex.

Rebecca Wilson

Executives
#12

Okay. Let's just move on to some contract or customer-specific inquiries or questions. Can you please quantify the TCV of the Smartpage nonclinical win for NCIC? And is this the same or more than the $1.5 million TCV for Smartpage clinical?

Kate Quirke

Executives
#13

Now Matt may know this better than me, but I think it's very similar. We typically sell them for about the same price each. So keep it in line.

Matthew Gepp

Executives
#14

Yes, I'm going to chip in okay?

Kate Quirke

Executives
#15

Yes.

Matthew Gepp

Executives
#16

Yes. It was about GBP 600,000, which is around AUD 1.2 million, so a little bit lower.

Rebecca Wilson

Executives
#17

Okay. Thanks, Matt. After sales of my flow into Hume and Peninsula Health in 2024, there has been no further reported sales of Miya Flow in Australia. What are your expectations for the product in 2026?

Kate Quirke

Executives
#18

Look, we continue to see interest in flow solutions across Australia and New Zealand. We know New Zealand has been a bit challenged in respect of any investment in technology, but we're starting to see some shoots that they might be saying to turn their head and they actually have a digital plan, investment plans now. The first half for us has been one of contract expansions, which is really demonstrating the value of the land-and-expand opportunities. And in essence, we've gone back to NALHN and Hume and sold them additional modules. So that has been a very positive part of the fact that they were sold in FY '24 in '25 and then we can sell them into this year. We've got numerous engagements with potential new customers focused on Flow and they'll continue through the pipeline at the rate they proceed, which really depends on the customers' procurement processes, but Flow is very much still a part of the positioning into Australia.

Rebecca Wilson

Executives
#19

Kate on renewal of Bolton and Lanarkshire, is there an uplift in ARR from the prior contract?

Kate Quirke

Executives
#20

Yes, there's always some -- even if it's only CPR, but sometimes there is more than that depending on what the contract allows us to do, but there is always an uplift each time in respect of those contracts.

Rebecca Wilson

Executives
#21

Just one question in relation to the recent deal AI registration. Can you provide any forward forecast on potential additional earnings to come from the this recent announcement and how easy or difficult it will be to add on to new to existing customer deals?

Kate Quirke

Executives
#22

Look, again, it's part of this whole strategy to continually evolve the modules and capabilities so we can sell back into existing customers. So our strategy will be to enable this to be licensed to existing customers that don't have us. But it also has value and it positions us competitively when facing off against competition and other customers because we all know you and I can see lots of questions on here about AI that health care is a bit averse to deployment of AI too aggressively at this point in time. But there are elements that lend themselves very well. And obviously, the big volume of data and being able to search through it is a really excellent example of that. And so it allows us to position ourselves as a leader in this area and somebody who is driving forward. And South Tees have actually got that capability already deployed now in test. And they literally just waiting to move to the to upgrade to our latest release before they will turn that on and go line. And then we'll be able to show that. That ability to have that in test was part of some of the work that Sussex looked when they did an actual reference visit to Tees. So it's worth something to us even in a test environment at this point.

Rebecca Wilson

Executives
#23

Okay. I'll keep going on the AI questions and then we'll finish with the financial questions. There is quite a lot and it's both from a positive opportunity perspective and a defensive perspective. Let's start with this one. To what extent is Alcidion exposed to disruption caused by agentic AI? And perhaps if you can just speak to this in detail, including how you're sort of managing those risks or any sort of protective mode to your position?

Kate Quirke

Executives
#24

Okay. So there's 2 points. First of all, we think agentic AI is amazing because we're using it aggressively in our business. And Claude is everybody's best brand in Alcidion and it's being used in our engineering teams. It's being using our product teams. It's being used in testing. Look, pretty well everyone is using it for elements. And so we understand the value of it. And we only really started adopting this in May of last year, but it has revolutionized a lot of the work that we are doing in terms of speed. And that then allows us to get these new features and capabilities to market more quickly, which allows us to position ourselves. But why can we do that? Because we have built a platform of data that is standardized, recognized and safe upon which AI capabilities can be built. And that is the moat that organizations like Alcidion have built in health care because unlike just using agentic AI to change a process or redo something more quickly, when you are using health care data, that health care data needs to be standardized. We need to know exactly where it's coming from, and we need to be able to demonstrate the veracity of that data in terms of its use. So I don't feel threatened by somebody coming along and being able to build my precision. We have got a really strong reputation. And that is a large part of what customers buy from us as much as they buy what we do. We keep an eye on it. And as I said, we use it in our own markets, and we will need to be agile and flexible and keep an eye on it. But at this point in time, I believe in the health care sector, having a really, really strong data foundation is going to be very important to protect us on that.

Rebecca Wilson

Executives
#25

Great. And you've actually answered quite a few questions that have come up on that subject. So I'll just skip to this one, is there any contribution from AI in the lower salary and operating costs?

Kate Quirke

Executives
#26

Look, I would say we run a pretty tight environment anyway. And you will know that we took quite a lot of headcount out of the business back in 2024. And as a result, we've become very efficient in what we do. And we've used AI to support those individuals to become even more efficient. But I don't see it contributing in the short term to a further reduction in headcount at Alcidion.

Rebecca Wilson

Executives
#27

Okay. Perhaps just one final question on AI. Is the business seeing an opportunity with AI to reduce development time or implementation -- implemented on time more specifically. how do you sort of see this shaping.

Kate Quirke

Executives
#28

Yes, we've definitely seen it in development time. And development for us it's requirements definition from the product team. It is the engineering time to build it and then it's the testing time to go through those processes. And so all of their teams are using AI at various levels along that. And we are measuring some of the increase, the percentage increases in productivity and time. We're using that time to invest in faster development. We're using it to get products out the door more quickly. We're getting better quality, so less rework through doing that because the testing is identifying this, and we're able to measure it. So we're definitely deploying it very positive for our business. But we run a pretty small team comparatively to a lot of health care IT organizations. It's pretty efficient in terms of what it does.

Rebecca Wilson

Executives
#29

Thanks, Kate. Let's just move now to some specific financial questions. This one comes up quite regularly. And I think it's worth asking and getting your response. So in the first half, annual recurring product revenue was $19.3 million. So if I multiply that by I get $38.6 million. How do I reconcile this to your ARR figure of $31.1 million? What am I getting wrong?

Kate Quirke

Executives
#30

So I'm going to leave that to Matt.

Matthew Gepp

Executives
#31

Okay. So the ARR figure we released is a 12-month forward ARR figure for calendar year 2026, and it's very simply just that. You can't multiply H1 by 2 because H1 incorporates the licensing for the Leidos agreement. So you can't just double H1 because that's not a feature of the H2 ARR.

Rebecca Wilson

Executives
#32

Okay. Thank you. Some questions around the $50 million revenue guidance. So just in terms of giving some color on what's included in that, for example, are you including the upfront for an upfront fee for SPP.

Kate Quirke

Executives
#33

Yes, we are. So there is it includes an upfront fee forces. It includes an acknowledgment that there will be a third-party component of the Sussex contract that goes to Better Meds. It includes a small-ish increase in OpEx salaries and wages. As I said, we have added some additional sales marketing and a couple of delivery heads at the back end of -- or towards the end of the half. So we'll have 6 months of that coming through. So yes, that's what goes into it effectively.

Rebecca Wilson

Executives
#34

Great. And that's answered a couple of the questions that it comes through specifically on OpEx. Could you please also frame expectations around TCV for financial year '27 in terms of the type of growth you're expecting?

Kate Quirke

Executives
#35

We don't usually sort of anticipate that necessarily because as you can imagine, and I think anyone that's been following us for some time know that no 2 halves the same in terms of the construct of how these contracts fall. But if you look at the TCV year-on-year over the last few years, it has been growing steadily year-on-year. We are have got a very strong pipeline. And I can honestly hand on heart at the strongest it has ever been in terms of total value by a lot. And that is because there are a number of large opportunities in those processes at the moment. So yes, we expect TCV to continue to grow. How much it converts each year is different depending on each deal as well as you can whether it has an upfront component or whether it's an deal? But if you look back historically at what we've achieved over the last couple of years, we're expecting to continue in that very positive trajectory.

Rebecca Wilson

Executives
#36

Fantastic. And just one final question around gross margins. So how do you sort of think about gross margins in the long-term target?

Kate Quirke

Executives
#37

Look, I think we expect to revert roughly to where we've been prior to this year. So in the mid- to higher 80s in terms of gross margin. This was a year that just had an unusual amount of third-party components to what we sold. It's all revenue for us. It all helps us to build our profile as a modular EPR provider, but it just so happens to have landed in a different construct to what we've seen historically or what we expect to see in the go forward.

Rebecca Wilson

Executives
#38

Yes. And Kate, let's just finish with one final question in relation to new opportunities in Canada. So you mentioned that there were procurement discussions underway. Does this mean that you're sort of at that RFP stage or contract negotiation stage with those potential customers?

Kate Quirke

Executives
#39

I can say we're involved in RFIs in Canada at this point in time.

Rebecca Wilson

Executives
#40

Fantastic. Thank you. Well, that's all of the questions. So over to you for concluding remarks.

Kate Quirke

Executives
#41

Thank you very much, as I like to do at the end of all of these calls, I'd like to thank you shareholders for -- first of all, for being part of the Alcidion journey for taking time to attend this call and to ask a lot of really great questions. I'd like to also thank the Board for their guidance and support that we've had over the first half. I'm very much looking forward to continuing the momentum that we have had in the first half into the second half, but also throughout 2026. And thanks again to the Alcidion team for their incredible hard work.

Matthew Gepp

Executives
#42

Thank you.

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