Medical Developments International Limited (MVP) Earnings Call Transcript & Summary
February 29, 2024
Earnings Call Speaker Segments
Operator
operatorThank you for standing by, and welcome to the Medical Developments International FY '24 Half Year Results. [Operator Instructions] I would now like to hand the conference over to Mr. Brent MacGregor, CEO. Please go ahead.
Brent MacGregor
executiveThank you, and good morning, everyone, and welcome to today's investor briefing for the Medical Developments Half Year Results. I am Brent MacGregor, I'm the CEO, and I'm joined today by Anita James, our Chief Financial Officer. So today, I'll share with you an overview of our results and our key achievements in the first half. I'll then pass over to Anita, who will run you through the financials in more detail before some closing remarks from myself, and I assure you there'll be plenty of time for questions at the end of the presentation. And we'll move past the next slide, the notice and disclaimer and we'll go to Slide 3, the executive summary. And this is the overview of our half year performance. So I'll go through this more fully on the coming slides, but just for some opening remarks. What's highlighting the performance and the milestones achieved in this period is what we feel strongly is positive momentum that we are generating. First and foremost, demand for Penthrox continues to grow. Secondly, our respiratory business, despite seasonally weaker demand in some markets, has delivered very robust growth in the U.S. Third, we have delivered $6 million per annum earnings improvements through pricing and efficiency, something we mentioned back and obviously, we're going to do -- and both underlying EBIT and operating cash flows are improving. Also, we now have much greater clarity on how we intend to unlock greater value in Europe and also on the next steps for us on the path toward eventual U.S. market entry. Overall, we are pursuing the priorities we outlined back in August, and I'll speak to each of them in the coming slides. But first off, let me share with you the headlines of our financial performance through the first half of the fiscal year, and that's on Slide 4. So overall, our progress is encouraging. I know there's some numbers here that you may think otherwise, but let me give context. First of all, group revenue is up 9% to $15.1 million and that has been driven by stronger Penthrox pricing and continued underlying growth in demand. And in that regard, Penthrox revenue was up 26% to $9.6 million through the first half. Now Respiratory revenue overall was down, but this is due to challenging demand conditions in Australia that were resulting in a market contraction and the timing of inventory stocking in our RoW markets, in particular in Italy. But in our target market, the U.S., we actually generated another strong result with our revenues up almost 50%. Last point to mention, our underlying EBIT improved by $300,000, Anita will give more context to that shortly. And our reported statutory NPAT was a $10.9 million loss. Now this includes the material noncash adjustment, which we have detailed in the appendix to the presentation, and Anita will explain that more fully in a few slides from now. And lastly and importantly, free cash flow improved by $3.5 million. That's a great result that illustrates improved earnings and more disciplined working capital management and overall lower capital spend. Now if we move to Slide 5, and these are some of the operational highlights and some of the things we spoke about back in August. In August, we spoke to 5 key priorities for the year, and they include the priorities that are highlighted on the slide here, in addition to advancing U.S. market entry, which as I said, I'll speak to shortly. Now I can report that we've made good progress on each of these priorities. First, our margins. Our margins have continued to improve. In August of last year, we had committed to delivering $6 million per annum through pricing and efficiency improvements. And I'm pleased to report that this has been done and in fact, $2.8 million of this amount is reflected in the half year result. In addition, we will deliver further efficiency savings of $3 million per annum in FY '25. And of this figure, $2.3 million is already underway and has been implemented. Now on our expansion strategy into the hospital emergency departments in Australia, we are making progress albeit it's modest at this stage. We saw volume growth of 4% in the period. Obviously, we'd like to see a faster growth than that, but that's the growth we've seen -- unit growth through the first half of the year. What I can say though is we've made good progress on some of the foundational aspects. And what I mean by that is we have Penthrox on protocol at 44 additional hospitals, and we have 46 new hospitals purchasing Penthrox. Now this progress bodes well from a more robust growth in this large segment in the future, but it does also show that this will take time. Now in Europe, we last spoke of revisiting our operating model following the removal of the direct field force and our regional management team along with, of course, the sizable cost that had been [indiscernible] we had grown the business in France, but the cost associated with that growth was not sustainable and hence, we took that decision. Now since then, we have supported our European sales through our team in Melbourne and what I want to share with you is our volumes through this period have remained quite steady, which strongly affirms the stickiness of Penthrox. Now longer term, we believe that end-market promotional activity will really be needed to drive growth. The market potential we believe exists in France remains significant. It is a population, in fact, it's the same as the U.K., but at this stage, it has 1/3 of the volume. Branded device [indiscernible] Penthrox in the U.K. precedes France by some years. Now we completed a detailed review of our European go-to-market model and we now have much greater clarity on how to unlock value here. In this regard, we are pursuing a partner supported strategy. And in fact, we are in the late stages of negotiations with prospective partners in France, in Switzerland and potentially in Germany. Now in our respiratory business, we're focused on driving growth, primarily in the U.S. where we still have essentially a small share of a very large market. But we continue to have great success in our strategy here. And as I mentioned, our revenues for the U.S. were up by 48%. Now speaking of the U.S., let's move to Slide 6. Our final priority for FY '24 was to progress our activity towards U.S. market entry for Penthrox. And on this, we have reached a meaningful milestone. So in October, the group had a positive meeting with the USFDA where the regulatory agency provided us guidance on next steps, including a few things in particular. One was the nonclinical studies that we are required to do pre-Phase III to include women of childbearing potential ultimately in the trial. Secondly, there was support for the group's proposal to use its next-generation device, something we've always called Selfie, support for our proposal to use our next-generation device in the Phase III clinical trial and thirdly, that the pathway to using existing clinical trial data in the new drug application. By that, I mean, normally, you're required to do two pivotal studies for licensure in the U.S. and we are hoping to be able to use an already preexisting clinical study that we did in Europe as one of those two. So we have a greater clarity on the pathway to do that. So this guidance should enable us to broaden the Phase III trial population to include all adults and potentially remove the need for a second pivotal trial, resulting in reduction in time to registration and cost. And ultimately, of course, broadening the trial population should have a positive impact on the eventual product label at market launch. Now completing these non-clinical studies will actually take around 18 to 24 months, but it will enhance the value proposition of Penthrox. And at present, the group is exploring funding options for these studies. Now over the last 12 months, we've deepened our understanding of the U.S. market potential, sales channels, potential partners and opportunities to maximize value. Now while partner funding may be an option, it may not provide the best long-term outcome for shareholders. So in this regard, we'll keep you informed of our progress. So what I'll now do is I'm going to turn it over to Anita, who will walk you through some of our results in greater detail, starting on Slide 7. Anita?
Anita James
executiveThank you, Brent, and good morning, everyone. Firstly, to recap on the headlines of our first half performance. Revenue was up 9% to $15.1 million. Underlying EBIT improved 4% to $7.8 million loss with higher gross margin and cost efficiencies. Underlying adjustments were a net loss of $5.1 million. This related to a share-based payment expense adjustment arising on the transition to new CEO remuneration arrangements. This is a noncash accounting adjustment only and does not reflect the benefit received by the CEO. Further details of this adjustment are included in the appendix to the presentation as well as the notes to our financial statements. Reported EBIT and NPAT were down on the prior year due to underlying adjustments. Moving ahead to revenue in our Pain Management segment on Slide 8. Here, we saw growth of 26%. Pricing was improved with average prices in Australia up on the prior year following the price rises implemented midway through FY '23 and price adjustments implemented in several partner markets. Volumes were up in all regions. In Europe, underlying demand was up 16%. This included growth in the U.K. and Ireland of 18% where we continue to see encouraging momentum, particularly in hospitals. Volumes in the Nordics, Central Europe, Switzerland and Belgium were also up. Volumes in France, as Brent mentioned, was steady, a great result reflecting strong product stickiness following the withdrawal of promotional activity at the end of last financial year. In Australia, volume was up 4%, with growing penetration in emergency departments and procedural segments, demand from ambulance has remained strong. Volumes into other markets were in line with the prior year with higher volume into New Zealand, South Africa and Mexico, offsetting the impact of lower volumes into Canada following inventory stocking for the relaunch of Penthrox in the prior year. Moving now to respiratory to our Respiratory segment on Slide 9. Here, revenue was down 10%. In Europe, inventory stocking in the prior year adversely impacted demand in the current period, with revenues in the half well down. In Australia, we saw softer underlying demand. This trend is attributed to seasonal variations and a lower incidence of respiratory elements. The downturn is evident not only in the demand of our spaces, but also in fewer prescriptions of pMDI, the medication utilized with our product. Whilst the market has contracted, our market share has remained stable, continuing to hold leading positions. In the U.S., our growth trajectory continues to be robust with ongoing increases in market share in the retail segment and good progress in establishing a presence in institutional accounts. A 48% rise in revenue highlights the ongoing effectiveness of our growth strategy. Moving now to Slide 10 and the key changes to underlying EBIT in the period. As Brent has already mentioned, we are pleased with the pricing and efficiency benefits we have delivered. Pricing increased earnings by $1.6 million in the period. This reflects the price changes I mentioned for Penthrox in Australia and some of our rest-of-world partners. Efficiency benefits improved earnings by $1.2 million. This mostly reflects lower costs in Europe following the scale back of direct marketing support. This included our field resources, which were reduced in July and regional management activities, which were transitioned to our team in Melbourne in October. Penthrox volume growth improved earnings by $0.4 million, while the lower revenues in Respiratory adversely impacted EBIT by $0.1 million. Penthrox commercial costs were higher, mostly reflecting cost to the Australian field team that was appointed midway through FY '23 to drive expansion into hospitals. Other costs and revenues changes were $1.6 million adverse. This included noncapital project costs relating to the operating model review in Europe and U.S. market entry work, lower milestone income following a true-up in the prior year, and general inflationary impacts. Moving now to Slide 11 and our balance sheet and cash flow. Our closing cash balance is at $16 million. Free cash flow was improved by $3.5 million in the period. Operating cash outflows were $7 million. This included payment of the U.S. commercial market assessment we completed in FY '23 in addition to contract termination payments relating to the scale down of investment in France. Excluding these payments, operating cash flows were $4 million -- outflows were $4 million, a $5 million improvement on the prior period. This reflects improved cash earnings of around $1 million and a significant improvement in working capital. Our working capital to sales percent improved from 22% in the PCP to 15% in the current period, a very pleasing result that reflects great work across our supply chain. Capital expenditure was well managed and lower than the prior year at $1.2 million. We expect total CapEx for the year to be around $3 million. We are acutely focused on improving our free cash flow and are pleased by the improving trend we have observed over the last 6 months and expect this to continue. That concludes my comments on the financials. I'll now hand over to Brent to close.
Brent MacGregor
executiveThanks, Anita. So this brings us to our final slide here in our presentation. So in summary, we expect the positive operational momentum of the business to continue. We delivered $6 million per annum earnings benefits from pricing and efficiency already. And as I mentioned, we expect to deliver a further $3 million per annum in FY '25. And these improvements will help to deliver on our targeted positive operating cash flows by the end of FY '25. We have a deeper understanding of the U.S. market and following the positive engagement we had with the FDA, we have greater clarity with respect to our next steps on the pathway to U.S. market entry and the nonclinical studies that will allow us to undertake the Phase III in the most efficient way possible. As I mentioned, we are exploring funding options for these studies. And finally, to our outlook. The company expects underlying EBIT in FY '24 to be strongly improved on FY '23, driven again by these higher average Penthrox prices and lower costs overall in our operation. And so on that, I want to thank you for coming on the call today. And what we can do right now is open things up for questions.
Operator
operator[Operator Instructions] Your first question is a webcast question from Andrew Anderson who asks, employee benefit expense is $14,928. Beyond the one-off 5.1 CEO option adjustment, what is being done to reduce this expense?
Anita James
executiveBrent, do you want to speak to the cost out program?
Brent MacGregor
executiveYes. I mean, the first, we are -- we determined that the narrative for us right now is that our -- the growth aspiration we had 2 years ago when we commenced our investment is an aspiration that ultimately was too aggressive. And with the learnings we've taken over the last 2 years, what we are doing now is we are resizing or rightsizing our organization to reflective growth aspiration that we believe is more realistic now. And so when I talk about the $3 million that in addition to the $6 million that we already mentioned in August, that's what it's about. It's about doing the rightsizing. It's going to involve the organizational restructure, organizational sizing, it's got also different levels of spend in some of our projects. And so this is what we're doing. And it's what we're in the throes are doing right now, as we mentioned in the presentation, and it will contribute strongly to that target we still have, which is to be operating cash flow positive by the end of FY '25.
Operator
operatorYour next question is from Dan Hurren who asks, are 1H operating costs reflective of what can be expected in H2?
Anita James
executiveYes, I can speak to that, Brent. No. So we do expect operating costs in the second half to reduce, Dan. A couple of factors behind that. We spoke -- I spoke to the changes we've made in Europe. Now there was a scale-down activity through the first half with final transition and exit of our European regional team really in October. So we'll see half-on-half improved costs in Europe in the second half. We also had some one-off costs in the first half relating to the work we've done in Europe around the operating model review and the work we've done just working through discussions with advisers regarding partner opportunities in the U.S. So there's probably $0.5 million there that we [won't] see in the second half also. And some of the efficiency program that Brent spoke to just now, some of those initiatives have already been implemented. And so we will get some benefit from that, albeit not a full period impact in the second half as well.
Operator
operatorYour next question is also from Dan Hurren who asks, is the U.S. respiratory sales reflecting any wins with the major distributors or retail groups?
Brent MacGregor
executiveYes, I'll take that. Dan, if you're asking whether it reflects Walgreens and CVS, the 2 biggest retail chains, the answer is no. We are not in either of those channels -- either of those chains should I say just yet. It certainly reflects continuing growth in our relationship with Walmart with select GPOs that where we've opened up relationships and with some of the regional retail chains. So we're not yet in the 2 big guys, CVS and Walgreens.
Operator
operatorYour next question is from Dan Hurren who asks, what are the cost time implications of being able to use existing clinical trial data in the NDA?
Brent MacGregor
executiveThe cost time implications. Well, I'll see if I'm answering -- gave another question, Dan, if I don't answer this one correctly for you. The other -- the second pivotal trial we're looking to have counted, shall we say, by FDA is the study that we did in the U.K. And the study in the U.K. is done and dusted, right? So that's got existing data. And basically, what the FDA said to us is our ability to pool the data from a different patient population in the U.K. with the data that we will eventually generate in the U.S. will be a key success factor to them counting that study. And the other will be demonstrating the bioequivalence between a current device which was used in the U.K. study and the new device that will eventually be used in the U.S. study. And so we are not yet embarking on the nonclinical studies that I mentioned in the presentation. So there's going to be a cost associated with doing the pooling and with some of the bioequivalents, but it will pale in comparison to what the cost would be if we had to do a second pivotal study. I don't know if that answers your question or not, Dan, if not, please ask another one in follow up.
Operator
operatorYour next question is from Dan Hurren who asks, can you talk to the outlook for any further distribution partners?
Brent MacGregor
executiveYes. I mean, the outlook we have right now regarding further distribution partners, we are focused on France and we're in the final throes there. We still have some other details to iron out. Same for Switzerland. Germany, we are in not as late as stage of discussion as we are in France and in Switzerland. Those are the 3 we're focused on right now. Otherwise, as far as our partners overseas and in other markets, we are focused certainly on continuing to grow and develop our relationship more closely with the biggest partner, which is Galen in the U.K., Ireland and the Nordics, with Medis in Central and Eastern Europe and then the most recent one that we signed, and in fact, I'll be visiting with them shortly, Paladin in Canada. But beyond that, we do not have other partner relationships that we are currently working on in the market.
Operator
operatorYour next question is from Andrew [indiscernible] who asks, please provide some additional detail regarding the $3 million of additional annualized efficiency savings, of which you've already implemented $2.3 million PA?
Brent MacGregor
executiveYes. It is around organization. So in effect, we've reduced our head count, Andrew, and that's the primary driver. We're also looking at all of our buckets of spend on initiatives and other projects with a view to scaling back there as well. But the primary driver of the $2.3 million up until now is related to personnel.
Operator
operatorYour next question is from Andrew Anderson who asks, on current cash burn, it looks like there will be a need to raise cash again. Is there a fast path to reduce cash burn? Or will you be looking to raise funds again?
Anita James
executiveYes, Andrew. Sorry, Brent?
Brent MacGregor
executiveGo ahead, Anita.
Anita James
executiveAndrew, look, we do see a pathway to cash flow breakeven in -- really by the end of FY '25 and certainly, as we stand today, our expectation is that we would not need a capital raise to support the underlying business. It obviously does need an improvement from the run rate that we've had over the last 6 to 12 months. And we certainly have levers that will deliver that change. One is the cost out that Brent was just speaking to where that will change costs in FY '25 by $3 million. We'll deliver more pricing changes. So we've spoken of the pricing improvements we've had in Australia as well as in other parts of the world. We do expect to continue that with an annual pricing strategy now in place. And so we'll get more price benefits come through in FY '25. As I spoke to Dan just earlier, our second half even from the run rate we've had in the first half with respect to cost should also be improved with some step change in efficiencies there and some one-offs we had in the first half that won't repeat. And then overriding all of that is certainly an expectation of continued volume growth. Our expectations in Australia remain reasonably modest, but we do expect to see the growth rate there accelerate as we've got more time in the field there. And the underlying volume growth we've demonstrated in Europe over the last couple of periods, we would expect to continue. In the respiratory space, obviously, a difficult half in Australia. But if you look back really to FY '22 as opposed to FY '23, our revenues in Australia were slightly up on that. So there are seasonal issues there. And we think we're probably at the bottom of that contraction. And in the U.S., we've had a number of periods now with consecutive growth there, and we would expect that growth to continue.
Operator
operatorYour next question is from David Parkinson who asks, do you have any sales into the Ukraine?
Brent MacGregor
executiveWe do not have sales into the Ukraine. We do not have sales into the Ukraine currently.
Operator
operatorYour next question comes from Liam Collins who asks, to achieve FY '25 breakeven operating cash flow as targeted, your sales seemingly need to grow astronomically. How much will revenue need to grow by to achieve breakeven cash flow as 10% is simply not going to get you there?
Anita James
executiveYes. Liam, hopefully, in the previous question I answered, there are a number of levers at play here. So it's not just about growing volume. Price is an important lever particularly as those price changes drop straight through and improve our margins. And we've obviously got a cost story at play as well. So volume, price and efficiency really is other 3 levers that will get us there.
Operator
operatorYour next question is from Ryan Evans who asks, your cash balance is less than half of what it was 12 months ago. Operating and investing cash burn of over $8 million is more than half the remaining cash of less than $16 million. Can you please explain how you think about managing this? When do you plan to get to cash free flow breakeven? Or will you need to raise more cash via debt or equity before then?
Anita James
executiveYes. So look, I think I have answered that. We do have a pathway to be operating cash flow breakeven by the end of FY '25. We certainly hope not to require a capital raise to do that and are acutely aware of the need to change the cash burn rate that we've had over the last 12 to 18 months. And I think strongly, we have levers at play that will do that. Over the last 6 months, we have seen improving trends. Those trends will continue into the second half and then further into FY '25.
Operator
operatorYour next question is from Liam Collins who asks, how much will it cost to have Penthrox registered in the U.S., all including clinical and nonclinical work? You must have a best estimate in order to enter into a proper informed partnership negotiation?
Brent MacGregor
executiveYes, I can -- the nonclinicals that we're talking about currently would cost somewhere in the neighborhood of AUD 6 million to AUD 7 million. All in, we're probably looking at somewhere, test me on this one, Anita, somewhere AUD 50 billion to AUD 60 million to get Penthrox ultimately licensed in the U.S. I think it's about the right number overall capturing not only the clinical, the nonclinical market prep. But once again, this is -- this will ultimately be a number and a cost that will be part of a discussion that we would expect to have with a partner to be on track.
Operator
operatorYour next question comes from [Steven Agnew] who asks, how do you see adoption of Penthrox by U.K. Ambulance Trust moving over the next 12 to 24 months?
Brent MacGregor
executiveYes, it's been in a bit of a stall even though the volumes continue to increase with Galen in the U.K. I think a key thing we're looking forward to having -- to achieving in the next 12 to 24 months is to get the pediatric indication. So we're a couple of months away now from submitting our dossier to lower the age indication for Penthrox from 18 years down to 6 years of age. And our partner in the U.K. -- Galen, U.K. Ireland and Nordics has always been strongly of the view that some of the bigger ambulance trust, particularly those in greater London, have been reticent to use the product for fear of using it off-label. And once the age indication was down, it would open a much larger addressable market. So that's over and above continuing to work closely with Galen as a partner in a tactical way. That will be the single biggest lever over the next -- well, not over 24 months, hopefully, this one is more 12 to 18 that we make -- we get our submission, there's a 12-month review and that we get a good outcome. So that's the biggest lever we're looking forward to that can help to really unlock other ambulance trusts and more broadly the market in general in U.K.
Operator
operatorYour next question comes from Dean Kelly, who asks, do you believe the European Penthrox pricing to be competitive given it looks that Entonox is reportedly about 1/3 of the price. What actions are you taking with regards to price competitiveness to enable greater uptake and distribution?
Brent MacGregor
executiveYes. I mean, pricing for Penthrox is always going to be challenging if it was compared -- I think you were probably thinking of Entonox which isn't used in every European market. Entonox or, let's say, inhaled Fentanyl other fast-acting analgesics relative to Penthrox. If we're just looking at a dose-per-dose kind of basis, and nothing more, we're never going to compete against those offers. But the reality for us has always been the entire value proposition represented by Penthrox. And that includes, I think, a number of the benefits that you've heard in the past about rapid onset and offset, the fact that it's a non-opioid. More recently, the studies that have been done, particularly in the U.K. that have demonstrated the greater efficiencies that using Penthrox particularly in the ED setting offer, meaning that it can increase the likelihood or reduce the amount of time an individual presenting to an ED spends in the ED because Penthrox can be used quickly. It becomes a bridge to being admitted to the hospital or more importantly, hopefully, the issue upon which the traumatic event is based can be addressed like a shoulder being reset or what have you without the requirement to admit the patient to the hospital. So I'm going to [indiscernible] this, we don't see and our partners don't see, by the way, an expectation to reduce the unit price of Penthrox in their markets. Instead, it's mainly a question of being able to explain to prospective customers the entire value proposition that Penthrox represents relative to all those other competing products in the space.
Operator
operatorYour next question comes from [Steven Agnew] who asks, can you expand on the drivers behind seasonality in respiratory sales in Australia?
Brent MacGregor
executiveYes. I mean, we've seen a contraction in the market this year in Australia. And the way we look at it is the reduction in the surveillance on respiratory conditions, I think Anita made reference to this, has reduced the script writing for pMDI. So for the puffers for the Ventolin and that directly impacts the sales of our products since our products are used in complement with that. So I think as Anita mentioned, we are seeing -- we are of the view that the contraction associated with this kind of activity is hopefully bottoming out. I mean, the good news for us, even though our contracting market in and of itself isn't good news, the good news for us at least is we've held our market share, and we have the leading share. We've held our market share in the market in the face of this contraction, but that's really what's driven it. When you see a reduction in scripts for pMDI, it is a direct impact on us [indiscernible]. What we're hoping, although it's hard to project, of course, with respiratory conditions, we're hoping we've seen the bottoming out of the contracting market here in Australia.
Operator
operatorYour next question comes from Andrew [indiscernible] who asks, you've done well to achieve Penthrox RWO sales, roughly in line with PCP, where last year, you've had big revenue from Canada. You've called out stronger volume in New Zealand, Asia, et cetera. How much of the sales would you see as a one-off versus occurring?
Anita James
executiveI can take that.
Brent MacGregor
executiveYes, go ahead. Go ahead, Anita.
Anita James
executiveJust to bear in mind, the sales to Canada we made last year, we had a shipment in the first half as well as even -- and even larger shipment in the second half. So we're not cycling the entire amount to Canada. But rest-of-world partners, some require only one shipment a year. So they are a little up and down. Look, I think the first half reasonably represents what the rest of world markets generally will require. And so if we think about the second half around what volumes in that space will look like, it's probably similar to the first half. So some of those countries that may have taken in the first half won't take in the second. But then, we have other markets that will.
Operator
operatorYour next question comes from Justin Smith who asks, can you provide more detail on the funding options for U.S. trials and the potential shareholder impacts?
Brent MacGregor
executiveYes, there's a few options we can consider obviously. One would be to identify a partner, much as we've talked about in the past, who would actually fund the nonclinicals as well as the clinicals. With the adviser that we've had, you recall, I think we mentioned in August, we had retained an adviser to help us in this regard. And the view that we came to with our adviser was it might not be in the best interest of shareholders if we try to find a partner to fund the nonclinicals as well. That might -- they might extract too much value relatively speaking, and it might not be in the best interest of value maximization for the shareholder. So that's one option, of course, but it's not one we're pursuing currently. Another option, of course, would be to maybe do a raise in that regard. It's not something we're undertaking now as well. And then the third would be that we just take our time and are more deliberate about the U.S. activity and that we get to a place where we can generate enough cash to fund it ourselves. Anita, anything you want to add to that?
Anita James
executiveNo, I don't think so. I think a point to make with respect to the U.S. and obviously the work we've got in the underlying business is, there's plenty of opportunity in the underlying business to deliver growth. And so that is a priority. And as I've mentioned, generating and improving our cash flows in the underlying business is a priority. So we'll be deliberate in what we do with the U.S., but #1 focus for us is very much about driving cash flow improvement in the underlying business.
Operator
operatorThank you. There are no further questions at this time. I'll now hand back to Brent.
Brent MacGregor
executiveOkay. Well, look, just in closing, I'd like to thank everybody for coming on the call today. And in particular, thank you all for the questions that you asked. Of course, if you have any additional questions beyond today, please feel free to reach out and we'll give our best answer to that as quickly as possible. On that note, I'll let you get back to your day. Thank you, again, for being with us, and we'll talk to you again soon.
Operator
operatorThat does conclude our conference for today. Thank you for participating. You may now disconnect.
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