Physitrack PLC (PTRK) Earnings Call Transcript
July 21, 2026
Earnings Call Speaker Segments
Hello, everybody, and welcome to Physitrack's Q2 2026 Results Webcast. I'm Henrik Mollin. I'm the CEO and Founder of Physitrack, and I'm joined today by our CFO, Matt Poulter. Let's get to it. We will give you a little snapshot of what worked and what worked less well as a start of it. And then we'll look at the 2 business divisions. Matt will take you through the financials in more detail. We'll also cover the share buyback. We're going to wrap up with strategy and outlook, and then we'll move into Q&A. And as usual, submit questions at any time using the Q&A function at the bottom of your Zoom panel on there. Now let's go Q2 snapshot some interesting developments. So revenue was up 8% year-on-year, 6% quarter-on-quarter compared to Q4 2025 were up 10%. Revenue reached EUR 3.4 million and 96% of that revenue comes from subscriptions. And -- that is, as you know, the gold standard and what we do in software, predictable, recurring revenue flows, and that's almost all of what our business is built on. Life Care revenue was up 11% year-on-year to EUR 3.1 million. Life ARPL, which is the average revenue per license increased 10% to EUR 189 per year. That's important because we're increasing the value of every customer relationship and we're adjusting pricing only, which is great. Wellness continues to move towards profitability. Adjusted EBITDA was EUR 170,000. Profit after tax from continuing operations came in at EUR 49,000. There also some really important milestones. The biggest 1 was in the U.S. We launched RTM. We now have our first paying customers live and the active leads that we're pursuing here are closing in on 100 of a customer base of about 600 main customers in the U.S. And on top of that, we announced over really nice enterprise wins that you've seen through our press releases, and there is some really, nice movement here. Looking at what slowed a little -- adjusted EBITDA margins came down slightly. That's entirely because of planned investments sales and marketing, mainly building up the New York office with more salespeople. Adjusted EBITDA less CapEx also came down temporarily because of the RTM development work that we've been doing, but nice investments there, and it's already paying off. Free cash flow for the quarter was negative because of a settlement relating to a supplier relationship that dates back to before 2018. It's been hanging over for a long time, and there's great to put that behind us now. Operating cash flow, however, remains positive and that's now 7 consecutive quarters of positive operating cash flow, and we're very, very happy with that as well. Annual recurring revenue now stands at a run rate of EUR 13.6 million. We're also a much leaner organization. Today, we have 33 employees a year ago. We had 71. It's a very different company, modernized. We've adopted AI across the business, we simplified the organization and we've exited operating physical clinics ourselves. All of that makes us a much leaner and meaner business. Looking ahead, we expect the CapEx cycle to moderate during the second half of the year as the RTM build is now largely complete. All right. Some financial highlights from the quarter is rehashing revenue for the quarter was EUR 3.4 million, 8% up year-on-year, so you expect quarter-on-quarter, 10% compared to Q4 2025. Adjusted EBITDA, EUR 1.2 million. Group ARR reached EUR 13.6 million. Free cash flow from continuing operations, positive at EUR 0.1 million. That's our seventh consecutive positive operating cash flow quarter in a row. The SaaS gross margins remain very strong at 9%. Let's take a look at Lifecare, revenue up, as I said, 11% year-on-year. Churn remains at 12-month look back, adjusted EBITDA margin set at 50%, equivalent to EUR 1.6 million, adjusted EBITDA less CapEx was 25% or EUR 800,000. You'll notice that the license base dipped slightly during the quarter, and that was mostly intentional. We parted ways with the legacy customer in the U.K. that generated very, very low margins. That's an agreement that I think we came in 2017-2018. And it simply was in a contract we wanted to continue servicing, what you can also see is some real nice movement in ARPL, so again, serving a higher value customer base we implemented our planned price raise in April. Churn following that increase has been extremely low. So in fact, it's been the most successful price increase in the company's history. It gives us a lot of confidence in our pricing power. We still believe the platform is undervalued relative to the value of our customers getting from it and customers tend to agree looking at core KPIs. Turning to wellness. Revenue contracted 14% year-on-year. Some of the reduction in contracts was planned as we exited lower-margin business that were done by the legacy team behind Champion Health. Some contracts also simply came to an end of their term. Annual recurring revenue stands at EUR 0.9 million. Adjusted EBITDA margins have improved to 30%. That's being wellness much closer to the group's long-term financial targets. Adjusted EBITDA less CapEx margin improved to 11%. And we've also achieved a very nice reduction in operating expenses, and that's largely the result of closing the Champion Health Plus clinics and moving entirely to outsource clinical delivery through our Nexa partnerships. And today, we're really excited to not have any hands on clinic operations ourselves. We've completely exited that. We're focused entirely on the software platform, clinical deliveries handled through partners and has a much leaner structure it's a much more simple operating model, and it's a much more scalable business. priority now is rebuilding growth momentum from that stronger foundation. All right. Looking ahead, execution priorities, sorry, for the business slide here, but there's a lot going on here. Our ports are very clear, though, North America as a natural point of focus, the build-out of the New York office where we are today continues, and it's really exciting. We have some very hungry people on the ground here, and we're continuing to expand the commercial team, we're also adding more product capability in New York. And it's so important for us to be close to the American market. And that's not just about the commercial aspects of it. It's for the product aspects of it as well because health care providers here, they're ahead of the game of their international peers. They have different needs on consumers. They are really rely on top of what they want from UI/UX because the latest underwater innovation reaches ahead of time from anybody else around the world. And so we want the product teams close to that market so we can respond faster and be ahead of the game. So moving over to RTM. That continues to be a really exciting opportunity. As I mentioned, we're closing in on a triple-digit pipeline of RTM opportunities. I think we're closing in on hundred of those within the existing customer base. Very important point here, we're not entering North America from 0. We're actually growing inside of an existing customer base that's already generating a couple of million of revenue. So we have a very significant opportunity to increase that revenue per customer through upselling and we don't have to build everything from 0, which traditionally is very, very expensive. On the capital markets side, we continue working towards a U.S. parallel listing through OTCQX. We are just waiting for market cap qualification levels. We've seen a lot of interest from American investors, thanks to the work of our Investor Relations team, the entrepreneurship culture here in the U.S. makes Track is a very interesting company, and there's a big history with market cap investing, thanks to the American Stock Exchange and other outlets. We're just moving towards this as our market cap grows. And once that happens, we'll move ahead with our parallel U.S. listing. So American investors can actually just press a button and buy this track or as, now on the product side, Tim, of course, has been live in production since June. We've also launched a unified enterprise bundle for the U.S. market that combines home exercise programs, RTM and continued indication that puts us more directly alongside providers like Medbridge when we're competing for enterprise customers. motion capture, another really important part of the strategy. So as reimbursement requirements become increasingly data-driven, providers need much better patient monitoring to prove they're actually working with their patients in a particular way. So motion capture gives us another meaningful opportunity to provide that and to increase license value across the U.S. customer base. So from a financial perspective, we'll maintain really strong margins while continuing to invest for growth. And of course, again, even consecutive positive operating cash flow quarter speaks for itself. The numbers we saw exiting June were extremely encouraging, both growth and margins have improved drastically, and that gives us confidence heading into the second half of the year. Now finally, down their bottom right, wellness has now completed its reset into a pure enterprise SaaS business. No longer are we involved in physical care delivery ourselves. Everything is done through partners through the Nexa system. And that leaves us with a much leaner cost base, much more scalable business model and a company that's firmly profitable. So overall, we're very encouraged by the first half of the year. We're looking forward to building on that momentum in the second half of 2026. Now with that, I'll hand over to Matt to walk you through the financial results in more detail. Matt, over to you, sir.
Thanks, Henrik. So looking at the Q2 2026 financial summary. Starting with the summary table, revenue of GBP 3.4 million against GBP 3.2 million a year ago, which is up 8% and then 7% on a constant currency basis and 6% ahead of Q1. It's also worth looking at this on a 6-month year measured against Q4 last year. Revenue is up 10%. I put that alongside the year-on-year number, not instead of that because for a subscription business like ours, revenue builds up progressively for the base rather than than arriving in 1 step. So that sequential trajectory is a genuine read momentum, not just a big number to quote. Adjusted EBITDA of GBP 1.2 million is down 3% year-on-year at 34% margin against 58% a year ago. that margin move is planned investment behind our U.S. expansion strategy, and that's not down to cost inflation. And I'll come back, I'll touch on that exactly why and how we hold ourselves to account for it when we get to profitability in a moment. Free cash flow in the settlement was GBP 0.1 million. That's our seventh consecutive quarter of positive underlying cash generation. And I'd like to add 1 point of context here. Of course, the cash flow can move around with working capital timing. That's normal for a business of our nature. But generating cash every quarter is an ambition that we hold ourselves team, and 7 straight quarters that ambition being met through executed planning and not just by chance. Now on the semen itself, Free cash flow was an outflow of GBP 0.3 million on a reported basis, and that's entirely attributable to the final payment of a legal matter stemming from a supplier as contributing to the business way back in 2018. I'd underline that -- this is a long-standing historical matter, which has been disclosed for many years in our annual report and is unconnected to any current supplier or trading relationship. And now it's finally resolved with net other expansion. And I'd just like to reiterate and confirm but there'll be no further cash outflows in relation to this. Next slide, please, Henrik. Now let's look at the consistent quarterly revenue growth -- this chart is the best single picture of the business. Revenue has compounded in almost every quarter since 2021 from GBP 1.4 million to GBP 3.4 million. A compounding business is not a step change, one, and Q3 2026 is a new course and of the previous week and thank you. Understandably, Lifecare has driven the great majority of that growth and wellness, as you can see from the shrinking band is now smaller. But conversely, it's a profitable business following last year's restructuring. And that's a deliberate strategic choice. Underperformance -- next slide, please, Henrik. Now we'll turn our attention to profitability. On profitability, the headline is simple. Our adjusted EBITDA margin has now held at 34% or higher for 6 consecutive quarters. So this is a durable, it's not one-off. I also don't want to pick up on the margin move a fact a moment ago because this is where it belongs alongside the investment in funds. Now that spend is predominantly North America and in RCM, and we front-loaded that by design. We're investing now to increase the velocity of which we ship in products and features. And those costs don't scale with in their fixed development investment, not a variable one. It's bigger than RCM alone. We're deliberately building a broader feature set that goes beyond remote monitoring to address the full range of what physiotherapies need from their platform, and what the expand revenue both for our in user base and forest we bring on. The market is moving at such a rapid pace to lead it. We just keep pace with it. Our medical device status in the U.S. is a real durable at text. It's a regulatory bar that's expensive and slow for any new entrants clear. As a features launch, revenue expansion and bringing new business, we expect them to be offset by the revenue that they generate. So these margins are not going to be carried indefinitely, and these costs won't be carried indefinitely, and it's not going to be a dropping margin. I'd expect this to be the area you want to rationalize closely, and that's rightly so. So let me be specific about how we hold ourselves accountable. We've medium-term EBITDA margin target of 40% to 45%. And we're conscious of our current 34% sector below that and closing that gap through revenue growth against a control cost base is exactly what we're working towards. Lifecare does continue to fund the group wellness is essentially breakeven on this basis rather than a drag. And the group total reflects this year's deliberate capital expenditure program. Next slide, please, Henrik. So the financial position in Q2 2026 please. On the balance sheet liquidity Cash of GBP 0.4 million is unchanged in Q4 -- in Q1 with GBP 4.3 million drawn on our revolving facility and GBP 1.3 million of available headroom Net debt is GBP 3.8 million, up GBP 3.5 million. And on specific about why increase, as we discussed, reflects the legal settlement and a facility drawdown and it's not due to top line trading. It's a one-off step, not a trend, and we expect net debt to come down over the remainder of the year as that one-off expenditure and cash outflow unwinds and the underlying cash generation continues. I'd also like to touch on the covenants as well. We have sufficient headroom or covenants despite the increase in net debt and the drawdown this quarter. cash conversion, operating cash flow of GBP 0.7 million is in line with last year. Free cash flow was an outflow of GBP 0.2 million on a reported basis. Excluding that settlement, it's GBP 0.1 million positive. That's now 7 straight quarters of positive underlying free cash flow. On cash and flexibility, our margin held at 34%. Net profit positive and cash generation continues to exceed operating costs. We remain in full compliance with our Santander facility in both covenants, a leverage test minimum cash and EBITDA test. And that compliance position is what allows us to conditions attached to the share buyback program, we touch -- or in a second, to be satisfied. And that brings us on the next slide, please, Henrik. So let's send our attention on to the share buyback, which we announced this morning. Essentially, the share buyback Peroba allows management to have now skin in the game. Through the long-term incentive program. And that long-term incentive broker is directly focused on margin expansion and sustained profitable growth funded without diluting a single existing shareholder. And now here's how is entirely non value. So shares were bought back from the market into treasury. It won't be newly issued shares and annual grants or size against those repurchases? Now because 2026 is a partial year for the program. This year's grant will draw down a small part on the 2027 share buyback repurchase versus the timing point, not a change to the funding bridge, but over next year, the grants are the realigned year-by-year with what's been brought back in that year. So we'll never have to draw down or reachieve another share. The awards were sized against independent remuneration benchmarking so nothing was set internally. Management doesn't actually see a single share until 2031. So it's a long way off based on a 3-year performance period. investing only at the end of that and nothing before. And then subsequent to that, there's a holding period. So the first exercise lands in 2031 and that expense across 2021, 2030. Vesting is automatic either, and the bar is a real one. It takes a number of 10% annual revenue growth. And just to unlock the quarter of the award scaling up to full vesting only for sustained 15% annual growth. And there's also an EBITDA underpin below that as well, which the remuneration committee can apply to reduce testing if profitability doesn't keep pace or in line with our medium-term targets. Estate or a committee is comprised entirely independent nonexecutive directors. So management has no available awards. There's also a shareholder for any mechanical benefit to because the shares set in treasury rather than being newly issued, they're excluding from the earnings per share count, while held there. So ahead of any transfer to option holders in 2031, the structure supports a car in the medium term rather than valuating it. On purpose and process briefly, which is not a return of capital to shareholders. Its purpose is to on the plan I've just described within the relevance safe harbor rules for employee share schemes frees out today's announcement. We expect the first purchase to commence in the coming weeks, most likely first week of August, and we're just waiting for a couple of statutory filings to be completed. At this point, it's an administrative process rather than anything pensive outstanding. That covers the financial results for the quarter. Henrik, strategy and outlook.
Christoph, thank you so much, Matt, right as is is true. So why are we positioned to win? Well, I is an important part of it. But of course, at the core, we are a clinic embedded SaaS platform. So we're deeply integrated into partition workflows, not a light touch tool. It sits inside of the day-to-day delivery of care, and that creates real switching costs. Once we're embedded in those ecosystems, it becomes operationally difficult to replace us, and that's where a big chunk of our man comes right and you see that clearly reflected in our churn, which sits around 1% on a rolling parent basis. And at our price point, that's a very strong signal to the market fits -- now if you look at the care and education proposition, we're not just delivering software. We are integrating continued education on physiotherapy content directly into the platform. So you have 1 single ecosystem that covers delivery, compliance and professional development. increases both relevance and monetization potential, of course, it gives us a clear path to expanding an average revenue per license, which strengthens our position in enterprise environment RTM, we've spoken about it a lot, but it is a step change in moves from being perceived as a cost center to be in the revenue generated from the customers, no changes in conversation. When you tie it directly into a provider's revenue stream, your importance in the stack increases, the deal sizes increased and retention strengthened further. Now from a business model perspective, I keep hammering home our 96% subscription revenue business, and that gives us a highly predictable and stable platform top rank from. Gross margins are around 90%, and that translates into a strong cash conversion over time. In line with our long-term model. And that is a business that's built to scale very efficient. At the same time, we're building very focused commercial labs in New York. So this is a global platform for oral -- now if you step back and look at the investment case, the underlying market dynamics are supportive. Of course, health care is digitizing providers are looking for scalable delivery models and reimbursement frameworks like OTM are accelerating our options. We are well positioned from an innovation standpoint and the more the time scale. In terms of financial goals, keep you trading. We're targeting a doubling of the company in the medium term, EBITDA margin is in the range of 45%. Based on the KPIs we are seeing, particularly on profitability and efficiency, we are well on the track on the margin side. Overall, a highly sticky embedded platform, multiple levers for revenue expansion and a scalable high margin. So a little summary, we are ready for Q&A. So please use the Q&A function at the bottom of your screen, and we'll take your questions like -- thank you so much for this side. with Q&A. Let's see if we can get marked in the room as well on second, right. So as usual, you can ask your questions by the Q&A function at the bottom of your screen to stick a little yes, we have a few questions. Grab a cup of coffee, sip water and off to the races. Okay. Adjusted EBITDA held at a 34% margin, but adjusted EBITDA less CapEx compressed to around 9% at group level, on higher U.S. and RTL/AI investments. When does this investment cycle peak and what is the path back towards the 4 medium-term target? Matt, do you want to go to that one?
Yes. So I think we've now absorbed bulk of the U.S. and the RTM investment. We've been in the states, New York now with the office for around 6 months. And obviously, that involves in front-loading of investment. And I think the run rate that we're now up is what we'd expect to carry forward. Obviously, there might be some increases in that as new projects new investments come along. But we're not expecting that now to be a step but up as we start expanding further. I think really now our primary driver for that 40% media margin, it's going to be through the revenue growth. So we frontline that investment now. And then we now expect the revenue to come through towards those costs and then expand those margins further. So we're expecting the margins to progressively build over the medium term rather than trying to pair back in the.
Thank you, Matt. You announced a non-dilutive buyback that funds the new LTIP from treasury shares with net debt of EUR 3.9 million and EUR 1.7 million of liquidity. How do you balance buyback deleveraging and continued U.S. investment and is the intended EUR 25,000 per year strictly sized to the plan.
So I don't think these are competing tools. In finance, we have follow-up what we call fiscal rules, but we run a formula where any excess cash that we generate is applied to pay down a facility and investing in valuations within the business. we weigh that 4 minutes towards derisking and deleveraging the balance sheet bring down that debt. I just point out that net debt was temporary elevated this quarter, as you've seen through the repayment of the legal settlement, EUR 1.3 million. And we're expecting that now net debt to fall and our cash generation to increase over the coming quarters. I'd also like to stress as well on the buyback itself, this whole thing is structured. So it's going to be non-dilutive and our attention to start both this year and the future years. The article at is never larger than the buyback funding it. So the treasury share mechanism doesn't get the existing shareholders. $250,000 that's the intended annual sizing at the moment, and it's silica to protect that on valuation objective. Obviously, as the business grows and we generate more cash flow by that program may sound further. But as of today and at the moment in time, the count there is 250,000.
Thank you, Matt. You achieved U.S. medical device status this quarter, indeed, we did -- how big a moat is that? And how do your proprietary data and on AI models, defend it, guessing the Montano classification continues to evolve. Well, I'm sad to say that medical device classification is not really much promote. It is something that any company that can send time resources that we can achieve the biggest multi you can have is the pace of innovation and making sure that you deliver value to customers and that you have a nice building into their ecosystems. And some of these things are part of that. So having medical device data is important because that means that you can get adopted by a health care system and you can get it up by a customer that has very strict rules around what tech they use. And as you do that, that's the entry point into being built into somebody's ecosystem. Now data and AI, of course, this sits as part of innovation and that's something that that deepens a mold and that deepens the distance to a competitor. But these things are very much fast moving, and it is very important to respect the fact that innovation and product development needs to move really, really fast, and having a team that's always curious and that's always on the ball in terms of developing the latest and the greatest even things that your customers don't even know that they need 6 to 12 months before they actually do feel like the depot. That's the best month you can have.
I have some more questions. And thank you. There's some of the timing here, if you don't have time to address all the questions below the minivan. Thank you so much for that. We'll keep going until we have to bring any more right. Wellness. Is it really worth continuing to invest in the wellness business when the majority of its revenue comes from a single contract, and it appears to require a significant effort to move the needle. Have you considered whether the business might create more value under different ownership. So those are a couple of questions. So we are diversified in the book of business for wellness. So it's a fallacy to claim that revenues coming from a single contract. So that is not correct. We like having a revenue diversification across both our business lines. there's no bigger effort really to service big enterprise contracts inside of wellness. There are some reporting overlays that are more or less automated at this point in time, but it's not a big difference, between those things. Have you considered whether business would create more value on the different ownership. And I don't know if you mean specifically wellness for Champion Health or if you mean the business altogether, I think we have an interesting cap table. I would welcome maybe an industry owner to some of the parts of the the shares that are sitting with legacy shareholders now and legacy shareholders that are now will be connected with the business or the industry. So we be quite nice because that's something that you use to drive innovation, and open doors for commercial acceleration. And of course, if you can have experienced investors with a foot in really deep innovation in places like, since Valley or use Texas or someone like that, that will be really favorable to us. So we do welcome a shakeup of the cap table if anybody is interested in doing that. You state that you have around 33 to 35 employees, that LinkedIn's tested the number is significantly higher, what it expects the difference. We have a number of contractors and a lot of the relationships that we have legally with the business are through contractor relationships because it's -- there's more flexibility for us, the more flexibility for the contractor. And of course, it creates a favorable tax environment, and of course, if you want to part ways with contractors, then it's much faster to happen that way. And there are also some things around permanent establishment in certain regions where if you have employees, then you have to set up local entities and then to have to make the whole process quite combo. That answers the question. profitability versus growth. You've now demonstrated that you can operate profitably. Thank you for noticing.
If RTM develops more strongly than expected, would you be willing to sacrifice margins to accelerate growth does profitability remain your top priority? Well, RTM in itself is a very high-margin proposition. And so if that acceleration comes into play, that is actually a reverse problem that the margins will expand a little bit too fast than what we can probably invest into. So yes, there's no there's not an linearity there between how much we spend and the growth of that segment respects that really interesting, capital raise. Do you foresee the need to raise additional capital over the next 12 months? No. We actually never raised capital beyond the IPO and Frans and family investing back in 2014, I think, was the last trial. So there's none of that on the horizon, probably not. Growth, excluding currency effect and one-off items, what level of organic growth do you believe is realistic for 20 Well, looking at -- so we grew 10% from the fourth quarter until now. So I think that's at a healthy pace. It's obviously something that we can step up and do more of if you're in a software business that has border market fit, you should have very healthy top line growth. And I think 20%, 30% is probably more or less in that context. The sites are set for much higher growth than the communicated financial goals. And I believe that we're in a very, very interesting position to actually reach those with what we have in our book of business and what's going on with our product roadmap. Questions on AI, which AI capability do you bill have the greatest commercial impact over the next 12 months. Now motion capture is something that very well supports our RTM business. So the ability to measure adherence based on what patients actually do with the rehab. That's an important part of being able to claim ATM money for our customers. So I think commercially, that's going to be a very, very important component of it. There are some other things going on with our AI. So we have some proprietary that underpin the components and product development, notably with a recommendation engine that recommends exercises for health care providers to assign patients based on what conditions they suffer from. I think that can be a major competitive advantage. So it's a big step-up from the coal pilot that we launched in 2023 already. And there is a lot of scope to expand that into the B2B -- sorry, the B2C segment of our business where you can have recommendations for exercise based on what a patient or the consumer suffers from -- and there the some other things as well in terms of identic workflows that will be underpinned by AI. It's really, really interesting. So yes, but I think in the short term, motion capture, for sure, that's the big one. You've communicated that AI is improving productivity, yet your development investments have not declined. Can you help us understand why these productivity gains are not yet flattered in your capital allocation? Well, I don't think we report productivity metrics, and so we don't offer a look through on actually the number of commits or the pacing or the the velocity in our engineering team. So what you're seeing at your end is the fact that we're actually making more investments we're doing more things. So instead of just like booking a saving with RAI, we decide to do more with that extra time that we have, and therefore, they wouldn't filter through as a margin expansion. Where you do see some of these things in terms of productivity gains will be on other businesses, it's more OpEx-related, finance team, which has stayed pretty much stable over the last couple of years with just the minor additions and just reworking the teams, the support team, for example, that is now underpinned by 2 AI agents, and also sales and marketing, which are quite heavily reliant on at this point in time. But on the CapEx side, we would like to do more things with the same or less resources rather than book savings there because it's all about the velocity of pushing stuff up. If AI is reducing CapEx, where do you expect to see the financial benefits. First, high gross models, faster product launches, higher ARPU or lower churn. Yes, you'd see the faster product launches. You see it in higher and RPL. And if you deliver more value, you will have stable or lower churn. So it's almost all of the above as from the higher gross margins at this point. Are you investing in AI primarily to create new revenue opportunities, Yes. or to ensure that you remain competitive, what's actually a combination of both. So you do market expansion and market expansion is supported by having great things to sell, and AI is really underpinning that. If we meet the gain in 2 years, which line item and the income statement would -- should investors be able to point to and say, that's the impact of AI and the impact of AI investments. I think -- the big 1 is yet to come, yet to be announced. So we have something cooking that I'm sure you will want to talk to us about in 2 years' time. Otherwise, it would be the -- I remember the launch of Atita was hugely successful. It wasn't really on the [indiscernible] of AI, but it went really well and mostly thanks to more capture. But -- what we're working on is something that you will definitely remember stay tuned to that. Cash flow, how much of this year's increase in CapEx is temporary and related to the RTM launch in the U.S. and how March represents a new sustainable level of investments. I'd say probably -- I'd say probably 80% is new and sustainable levels of investment. Now here's the thing actually OTM is really something that's driving us very much in these coming quarters. And we've front-loaded the investment into that just to speed up the launches. There are other things that we are working on, and we continuously need to work on that. So it's not like you temporarily switch on CapEx spend because you're launching 1 thing and then you just stop investing in things because you think you're done. There's no way he's marry in this type of business and this type of market, you consistently have to push out innovation. And so I would expect cyclicality in the in the CapEx spend. But as you know, these cycles come and go, they are cyclical after all. And that means that we will find homes for CapEx spend because they support innovation and sport that they support future revenue flows. Okay. What level of free cash flow do you believe best reflects the underlying earnings power of the business once Otium begins to scale. I don't know what you actually mean there in terms of level of free cash flow on an absolute basis or -- but Matt, do you have any other reason that question?
I mean in terms of margins, when RTM does kick in, that will just fall straight through in the EBITDA and the cash flow at outdoor. What is a fantastic product. The market is -- it's going to take time for the market to really understand and adopt that. So we won't see huge gains coming through in the short term. It's more of a medium-term plan. But once that does go through, that will just be straight into
Yes. I mean, I think what the initial we're building a separate commercial team to push our TL and the question, the answer to that is not. So there's no additional spend. We might be a bit more visible in terms of marketing and salespeople might travel a bit more to just go and see some of these bigger hospital systems. But there's no RTM sales team per se. It's just whatever individuals that we have in the New York office, and elements we are supporting the business is not an initial investment, right. if RTM proves highly successful, would you expect the resulting cash flows to be allocated primarily towards reset acquisitions or share buybacks? The reinvestment is very important. Again, we have to keep the velocity going. We have to do new exciting things, acquisitions. I think we crossed that bridge too many times. And in this type of market, I think, is as a high-risk proposition to buy companies with technology that actually might not be great enough in like a couple of years, we've learned some expensive lessons from that and also in an ever-changing world, there's very predictability around those things. Share buybacks, that's interesting. So we're currently at about EUR 250,000 a year level, and that's naturally as Matt mentioned in his intro, that's something that we can increase. And so I think that can be quite interesting because we also -- with more success, we have to incentivize our high performance better and those shares can really play an important part of that. So increasing the share buyback to feed the commercial effort. That's a win-win situation, both us and for our shareholders, which financial KPI should investors focus on over the next 4 quarters to assess whether your RTM investments are creating shareholder value. What top line revenue, of course. And Yes. I mean top line revenue, I think OpEx, it's probably good to keep an eye on, given eye on the CAC and the cash and the rest is easy.
What do you think about yet on loan revenue also in terms of the revenue split. Well, the RCM revenue will be used is based. So everybody be subscription-based, so in the split of recurring revenue may.
Good point. Yes, look at that. RTM investments, they're based on the size of the patient core for a customer so that will pacify as one-off revenue. For now, we might have plans where we have a certain level of patients that you are allowed to do RTM on and then you reach that sort of level of patients and you need to buy another package. So we might roll this into subscriptions later on or for now, look at one-off revenue then it's sticky and it's similar in nature as classification wise in the income statement, it is slightly different. Okay, let's keep going. NHS contracts, you've signed agreements with 2 of the largest centers, hospital providers in the U.K. what financial impact do you expect these contracts to have? And should investors expect a meaningful ARR contribution during primarily through a broader rollout in 8 years. No, I think the financial impact is pretty median with these contracts. We are a very dominant provider to the NHS. So it's going to just keep adding these trusts a few loan we are and I think all of the NHS trust there. And throughout the U.K., you can probably expect to bump into it and probably 30%, 40% of manages hospitals out there for physical far could be even more than that and we multi-site providers. But the impact is you see that pretty much immediately. When we announced those things, the invoices are not very far away. Large tenders, you mentioned you're participating in some of the largest tenders in the company's history, which business areas do these relate to its lifecare. How many account tenders are underway when to expect decisions and what proportion of real long-term growth opportunity do they represent? We -- I think we probably have for all these type of tenders decisions or they have to predict these are long sales cycles, but I expect that we'll have news in this quarter and next quarter over these things. and proportion of long-term growth opportunity, they can be very substantial if we get them right because sites here in the U.S. malls very big compared to what you do -- what you get in Europe, a small clinic or 100 licenses. A small clinic in Europe will be one. And so yes, these are some very, very significant opportunities, tenders and collaborations that you'll see more of -- it's very exciting, actually, pricing power. You've highlighted Lifecare's pricing power. How much of your recent AR growth has been driven by price increases versus new customer wins and expansion within existing accounts I don't think about on a yearly basis, what we like half half Yes. yes, 50-50 is probably a reasonable population Okay. Let's see -- not too many questions left, perhaps more coffee people. RTM scaling, you see significant potential in Oil, what is currently the biggest constraint on accelerating growth further. Sales capacity, implementation resources, customer adoption or the reimbursement framework. Yes. That's a good question. I'm just thinking here. There's a lot of about education. Actually, it was implementation or like educational pieces, which are necessarily done by the sales team. So we -- a lot of these providers that don't actually know that they can get additional revenue from -- so it's a nice surprise to them. A lot of need to learn how to do this and how to implement it. And so there's a lot of those things that we're doing. If you check out our marketing pages, you can see that we are educating our customers we have to do this. that, I think, is the thing that slows stuff down. Once they actually know what's going on, they're pretty fast on the ball and the tech is quite easy to implement. And in terms of process to buy it from us. It's -- you can do that via product growth. And so it's an automated upsell if you do that. But education is the biggest part of it, which is customer adoption education at the front end. But it's a very rapidly growing market, it's quite interesting. The reimbursement framework, interesting. I don't if you follow the story now, but some of the providers here in the US on ATM, they offer an all-in service, whether you have to tack and they have people that basically take over the RTM or the monitoring process of health care providers that sit in call centers, more to patients. That's going to be disallowed in the next few months. it's going to revert back to only being reimbursable if the health care provider themselves provide the care service, which means that this is a pure software play. It used to be a hybrid play and that's something that was hammered on a lot by providers like Limber, that's going to be a thing in the past, which means that we are competing on a very level playing field when it comes to car provision for them, not so level paint because we actually have what is called the best OTM tech in the market. So there's some really, really interesting things in that development sort of reimbursement framework that we in favor of about, we have some campaigns around that. So you can take a look at some of the comps. All right. motion capture, it's been highlighted as a strategic investment area where we expect it to begin making a meaningful commercial contribution and what role does it already play in customer conversations and new business wins. Very important to customer conversations and new business wins, if you've seen as a provider that is moving fast, developing new things and are supporting revenue streams for them, Europe for provider, easy to get in the door and it's easier to stay inside and close a deal when you have that in place even before you have launched it -- the -- so it plays a very important part of that. Obviously, the reimbursement framework for TM is going to be heavily reliant on data collection, and we can see providers that have not had great audit trails for producing data on the RTM that had their claims put back by public and private insurers. So it has begun making an impact even before launch. I think actual launch is scheduled for this quarter. So -- and it looks great. It's going to be really excited to roll that out. Share buybacks, it sounds like I'm going to get a breakdown. Matt's going to talk instead Matt is the current share buyback program and one-off initiative related to the incentive program or does the Board view share repurchases as a recurring capital allocation tool when cash flow allows.
Yes, exactly that. It's -- this is a one-off. Now this is all -- our intention is that going forward. It will be a -- as part of our capital allocation strategy. In terms of the LTI as well, whilst we're seeing that this is initiated for senior management team, we are expecting in future years that, that will expand further to other members of the leadership team and the wider business because, especially being in the States, it's imperative that we have a very imperative remuneration package and there are expectations that share options are included in that and in order to retain and attract the best talent we need to have a competitive and competitive remuneration package. So to support that, we are intending that that will be where excess cash allows that capital share buyback will that Yes.
Lessons that you learned from actually being on the ground here, the remuneration expectations are very different from Europe. And so we haven't historically had a share sentence in place. Now with this, we can actually kill 2 birds on store we can set that up. and we can avoid dilution and we take out some of the liquidity overhang in the share issue that we've seen from legacy shareholders mainly. . So it's definitely something that will have as a permanent to. I think it's a very, very nice method only that water. Okay. valuation. And I will -- we don't generally comment the valuation, but I'll read the question out again. Looking 12 months ahead, what are the 2 or 3 key milestones to belie fist needs to deliver for the market to begin assigning the company's company at a higher valuation. Listen, there are some mechanical factors behind that low valuation. You have lengthy shareholders that are system any sold shares since the lockups ceased 12 following the IPO. Some of those things just need to be eaten away I think a cap table shift from that perspective will be really interesting, hence, while we introduced a new Investor Relations team because you do have appetite for microcap focused hedge funds and other players that have a lot of experience in that space. So there's a lot of -- there's a lot of work going into that right now. I don't know if there's a milestone or not. But otherwise, it's -- you need to do good business and you need to communicate it and make money. And salon than you make, it's actually pretty simple. So top line KPIs, free cash flow and also look at look at the revenue splits between products to a certain extent. I think that's going to -- that's going to be the important KPI. It's really better than the butter of investing, given that we can get rid of some of those mechanical factors that are holding us back. Okay. We are running a little bit out of time, but let's there's Board compensation. Do you believe the Board's remuneration is appropriate given the company's current size and financial position. I think that is very modest compared to what it would be if we have bought members from the U.S. And so yes, it depends on what you want. I do think you have extremely confident Board members, that have a toughest background in finance and in health care that are very, very helpful to us now that I understand this. And I think, yes, they are not quite modest conversation factors. Relative to the size of the company, the Board's remuneration appears to be fairly generous maybe from a Swedish perspective from a U.S. perspective, it's very, very low. How do you best our Board compensation. We look at -- we have external studies that look at Bocom in the target markets where we operate, so U.K., U.S., mainly. And we have -- we just had a review actually in this year. And I believe that the last 1 was not last year, the year before. And those those are third-party independent evaluations that we actually pay money for it to do. So okay. Last 2 questions, which competitors do you meet in the U.S. OTM business? And what are your major competitor advantages that make you win the deals. So lumber is a competitor. I think we mentioned that a few times. They have that hybrid model, its care provision on an outsource basis, plus the tech, and that's going to go away for them. It's going to be very hard for them to compete in terms of the software. We are really good in new AUX. We're also really good at distribution agreements and so Fistel is being integrated into a couple of the really, really big EMRs here in the U.S. that service accelerators from a distribution point of view, and we have exclusive deals for that. That's really, really advantages. And of course, just staying on that innovation curve very, very important. Now where the tech is built now. In addition, we have the motion capture piece and then also being competitive with the other components that speed into it like [indiscernible] prescription, and the recommendation engines, et cetera, that come into that, that's going to be really important as well to keep the distance to the competitors. [ Medbridge ] is also active in the space, I should say. But we are pretty much on par with them in terms of our offering, ATP plus continuing indication plus TM. So that we are up against them in some tenders. It's quite interesting to see the dynamics there. So want to come. Last question. How does the U.S. sales pipeline develop in terms of number of cases, contract volumes probability though it was profitability. Now we have around 100 open cases on RTM right now. It's really exciting, and that's that's SME up to really big hospital systems. So the contract volumes are from a few hundred dollars a month to a few hundred thousand dollars a month in terms of the value of them. It's early days for these things and just seeing exactly how a customer rolls out Tom, what volumes they get. It's subject to their processes and how successful they are. But there -- it's a very substantial shift in terms of the potential for contract volumes probability, I would say, it's a very high probability for the small to midsized market, where we are -- so we are a dominant player. We're already embedded in a lot of these workflows. And with small to midsize, by the way, in the U.S., that's up to a few hundred practitioners, and that represents -- kind of represent up to 6-digit annual revenue for ATM. So still small to midsize because still be very substantial. When you look at the big enterprises, that's more competitive, it's more political and so probability is there are they're lower. There's a lot more work that go into them. But then again, the payoff is extremely big if and when you get some of those. And we do have is life that are in on our inline pilots where our tech is being evaluated as part of these tenders. And so we are very much a player that can be recorded. Okay. That is it, folks. Thank you so much for tuning in and good at to everybody, and we'll speak again soon. Have a good day.
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