© 2018 Quest medical imaging B.V. Pn1
Beleggers bijeenkomst
Quest Photonic Devices B.V.
Quest medical imaging
Making the Invisible Visible
Fluorescent image guided surgery 2© 2018 Quest medical imaging B.V. | Pn1
DisclaimerWith the exception of historical information contained in this presentation, content herein may contain "forward looking statements" that are made pursuant to the Safe Harbor Provisions of the Private Securities Litigation Reform Act of 1995. These statements are based on management's current expectations and are subject to uncertainty and changes in circumstances. Investors are cautioned that forward-looking statements involve risks and uncertainties that could cause actual results to differ materially from the statements made. These factors include general economic conditions, delays and risks associated with the performance of contracts, risks associated with international sales and currency fluctuations, uncertainties as a result of research and development, acceptable results from clinical studies, including publication of results and patient/procedure data with varying levels of statistical relevancy, risks involved in introducing and marketing new products, potential acquisitions, consumer and industry acceptance, litigation and/or court proceedings, including the timing and monetary requirements of such activities, the timing of finding strategic partners and implementing such relationships, regulatory risks including approval of pending and/or contemplated 510(k) filings, the ability to achieve and maintain profitability in the Company's business lines, and other factors. The Company disclaims any obligation to update its forward-looking relationships. It is understood that here is a risk that not all current or future risks are known.
Fluorescent image guided surgery 3© 2018 Quest medical imaging B.V. | Pn1
Welcome
Opening “obligatiehouders” meeting
Documents received; foundation announcements
Clarification Financials over the year 2017
Clarification conversion of loan into shares and certificates
Current standings, 2018 expectations, trends and developments
Q&A
Closing of meeting
Agenda
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Company Structure
Q3 2018
Sumeye
acquired
for 100%
Fluorescent image guided surgery 5© 2018 Quest medical imaging B.V. | Pn1
Financials 2017
Fluorescent image guided surgery 6© 2018 Quest medical imaging B.V. | Pn1
Rental and Pay per surgery has
• negative impact on total revenue
• Positivie impact on disposable growth
• Positive impact on long term recurring revenue
Corrected for direct sale, revenue would be close to 2M EURO
• Both EBIT and Revenue would be increased
Results revenue
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Lower revenue due to pay per
surgery and rental model
• Requires additional cash
• Difference 590K Revenue
• Difference approx 400K EBIT
Influenced by onetime costs
Includes 96K on interest on
loan to Quest Management
B.V.
P&L 2017
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Increased revenue due to
• Rentals
• Unit sales
• Disposable growth
Increased Earnings due to rental and disposable sales
Slight increase of quarterly costs
Offset by incidental costs in Q1 2018 for certificates of shares
P&L Q1 2018
Fluorescent image guided surgery 9© 2018 Quest medical imaging B.V. | Pn1
Balance sheets
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Expectation is negative cash
flow for 3 years at least
• Focused on increasing
Revenue
• Investment in Marketing &
Sales
• Investment in R&D
Negative cash flow matched to
cash position or funding
activities
Cashflow
Fluorescent image guided surgery 11© 2018 Quest medical imaging B.V. | Pn1
Based on
• US KIT sales
Bigger installed base, larger growth.
Estimation is long term (5 years+)
20% – 30% on disposables without
new product development
Growth limited due to new sales
people
Q2 2018 growth aprox. 26%
Goal > 25% quarter over quarter
Influenced by # new installations
Growth disposables
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Quarterly growth (Quarter on Quarter)
Growth % Goal %
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Conversion shareholder loan
Fluorescent image guided surgery 13© 2018 Quest medical imaging B.V. | Pn1
Further strengthen balance position
Increases company equity value
Strengthens solvability to 41%
Shows strong commitment of management
Reduces P&L by almost 0.5M over the next 4 years
Allows for better and new external funding when required
Allows for lower interest rates on external funding
Convert total loan into certificates B (listed at NPEX) @13,27 per certificate.
effective of 1/7/2018 (to have 6 months effect on P&L)
No Pay back of Akron investment loan to secure additional investments in US market growth.
Clarification conversion of loan into
shares and certificates
Fluorescent image guided surgery 14© 2018 Quest medical imaging B.V. | Pn1
Quest Photonic Devices B.V. Post investment balance, july 2018
Balans projectie na omzetting lening
Activa Passiva
Immateriele vaste activa 3.665.416 Groepsvermogen 3.325.811
Materiele vaste activa 58.933 Achtergestelde leningen 2.534.253
Financiele vaste activa 344.608 Voorzieningen 247.863
Voorraden en ohw 1.509.239 Langlopende schulden 1.162.009
Vorderingen 433.878 Kortlopende schulden 461.711
Liq. Middelen 2.076.424 Crediteuren 356.850
8.088.497 8.088.497
0
Clarification conversion of loan into
shares and certificates
Eigen vermogen 3.325.811
Garantie vermogen 5.860.064
Vreemd vermogen 2.228.433
Solvabiliteit Eigen vermogen 41,12%
Solvabiliteit Garantie vermogen 72,45%
Balance after conversion
Healthy solvability
Fluorescent image guided surgery 15© 2018 Quest medical imaging B.V. | Pn1
Strategic plan funding
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Clarification conversion of loan into
shares and certificates
Balance after potential new investment / loan of 2.5MQuest Photonic Devices B.V. Post investment balance, july 2018
Balans projectie na omzetting lening
Activa Passiva
Immateriele vaste activa 3.665.416 Groepsvermogen 3.325.811
Materiele vaste activa 58.933 Achtergestelde leningen 2.534.253
Financiele vaste activa 344.608 Voorzieningen 247.863
Voorraden en ohw 1.509.239 Langlopende schulden 3.662.009
Vorderingen 433.878 Kortlopende schulden 461.711
Liq. Middelen 4.576.424 Crediteuren 356.850
10.588.497 10.588.497
0
Eigen vermogen 3.325.811
Garantie vermogen 5.860.064
Vreemd vermogen 4.728.433
Solvabiliteit Eigen vermogen 31,41%
Solvabiliteit Garantie vermogen 55,34%
Still Healthy solvability!
Cash position to execute strategic plan at higher pace
Lower interest rate
Focus on bank loan or new obligatory note
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Current standings
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1M Revenue • in H1 at 75% of last years revenue
Profitable result • including rent from loan, aprox 50K.
2M Expected revenue • 56% growth against 2017
• Mix of rent and direct sale
Received patent grant in NL,
started PCT phase• Search report was very positive about granting
• Base of imaging technology
Reached > 5000 cases milestone
• Increasing rapidly
H1 2018
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Increase distribution network• New distributors under negotiation to close this year
• Increase demo systems
• Increase device production
Increase direct sales network• US East coast (Sales reps + clinical assistants)
• US West coast (Sales reps + clinical assistants)
• US Central clinical assistants
• Germany office (Sales reps + clinical assistants)
Strengthen office backbone
Scale up production facility
Build out product portfolio and technology
Short term action points
Fluorescent image guided surgery 20© 2018 Quest medical imaging B.V. | Pn1
Milestones
- 2017 ICG open application phase 2018 - 2019
ICG open & MIS applications phase 2020
Expected Start Targeted probe roll out phase. Gen 3 system
Key priority:
- Build out distributor network and via them install systems in key hospitals, building out install base.
- Build out production hospitals (not only university hospitals
- Expand product line
2021Adding modules / integrate with OR setup
Several additional modalities are under development that can be added to the towers in the field.
The first targeted probes will have completed registration.
Joint roll out based on install base already in place, distributor network of QMI and sales structure of probe developer.
Key priorities:
- Recruitment of Sales manager France/ internal sales/ clinical assistant
- Formalize agreements with 3 Probe developers
Fluorescent image guided surgery 21© 2018 Quest medical imaging B.V. | Pn1
Sales cycle
1.Identify & Demo
2. Budget allocation
3. Rent/
Sale
Step sales approach
1. Predefined target hospital list
Demonstrate machine in real use (perform surgery with surgeon)
2. Find budget
3. Acquire machine or place through rental or pay per surgery
Average sales cycle 9 – 15 months
Rental with option to buy shortens cycle
Pay per surgery easiest. Pay through kit (US only right now)
Step 1, sales funnel grows significantly
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Installed base
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2018 expectations
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Showing market acceptance• See press releases on SLA and Installations
Showing increased growth on disposables• Increase amount of installed devices
Increase sales funnel • Increases per quarter
• Increased distribution network
• Will result in increased sales 2019
Investors comfort• Strengthen management team
• Strengthen sales team
• Strengthen disposable sales (grow > 25% quarter over quarter)
• Strengthen installation base
Investment in Personnel
Focus on
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2M Expected revenue (56% growth against 2017)
Q3 expected lower quarter
Q4 expected to see increase sales funnel conversion
New trial results outcome expected to be published in Q4 on new applications (specific to Quest Spectrum, requires Quest software)
20 systems expected to be installed in 2018
Add sales Distributors
Hiring of high end executive for US market with proven track record (Announcement expected in next weeks)
German market startup started in September
First French market success expected in Q4
Q4 New product release for breast surgery (currently in trial)
Acquisition of state license for disposable (reducing disposable costs by aprox 30%)
Development of personnel option plan (as mentioned in prospectus)
H2 2018
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Trends and developments
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Camera systems
Stryker buys surgical lighting company for $190M
Stryker to acquire photonics company for $190 million
Stryker Takes A Shine To Photonics Firm Invuityhttps://www.medtechdive.com/news/stryker-buys-surgical-lighting-company-for-190m/532065/
http://www.crainsdetroit.com/mergers-acquisitions/stryker-acquire-photonics-company-190-million
https://medtech.pharmaintelligence.informa.com/MT123272/Stryker-Takes-A-Shine-To-Photonics-Firm-Invuity
“In its Q2 earnings call in late July, Stryker told analysts it will continue to stick with its strategy of targeting small and
medium-size companies for acquisitions, with money to burn as earnings exceeded the company’s own projections for
the quarter led by its neurotechnology sector.”
Recent take overs / investments
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Smaller players picked out of the market by larger
companies
• Less small companies left to compete with
Application development in full force
• Trials on increasing acceptance of the technology (what more
can we do and how does this improve patient outcome!)
Increased awareness of technology
Trends
Fluorescent image guided surgery 29© 2018 Quest medical imaging B.V. | Pn1
Quest company life cyclusProof Growth Capitalize Transition
- Product
- Acceptation &
validation
- Business model
- Engineering
- Process
- Customers
- Organisation
- R&D
- Application development
Focus: - Efficiency
- New product Launch
- R&D
- Application development
- Product portfolio
expansion
- Customer
Integratie
8 Years
Revenue
- Own expansion
- Strategic Sale
130
Fluorescent image guided surgery 30© 2018 Quest medical imaging B.V. | Pn1
Focus on sales expansion• Quest Spectrum product placements (rental/sales)
• Increase disposable use
• Increase installations
• Both research and production hospitals
Partnerships• Smart contrast agents
• Robotics
New product developments for • reducing costs for hospitals
- New surgery because of recurrence
- Lower OR times
• Improving patient outcome- Recurrence reduction by complete tumor removal
- Less damage & quicker recovery by more precise cutting
Increase product differentiation from competition
5 Year Goal:• Exit strategy through strategic takeover (sale of medical business or product lines)
• Continue growth and turn into dividend certificates.
• Increased yearly growth to 20M Revenue in 2022
5 year Strategy
Pn1 © 2018 Quest medical imaging B.V.
Quest Medical Imaging B.V.
PO Box 22, 1770 AA, Wieringerwerf
the Netherlands
T:+31(0)227 604046 ◊ F:+31(0)227 604053
www.quest-innovations.com/ www.quest-mi.com