Qlife Q4 2022: Launching Egoo CRP

Research Update

2023-02-16

14:00

Redeye reviews Qlife’s fourth quarter report. After the end of the quarter, Qlife concluded its preparation for a soft launch of the Egoo system, making it available on February 15.

RR

Richard Ramanius

Contents

Investment thesis

Quality Rating

Discussion

Financial results and forecasts

Valuation

Financials

Rating definitions

The team

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Freeze-drying completed

In January, after the end of Q4, Qlife reported that it has completed its processes for freeze-drying the CRP reagents in the Egoo capsules. This means the CRP tests can be stored at room temperature. Otherwise, they would have to be stored in a fridge. This is an essential step in making Egoo available for home-use.

Launch date of Egoo Health and CRP

The Egoo CRP capsule and the Egoo device were launched on Egoo.health on February 15. Capsules can be purchased as single orders or through subscriptions. The price is EUR795 for the device and EUR200 for ten CRP capsules. It is launched as a wellness product, so anyone can order and use it. Qlife intends to file for CE approval by mid-year, making the CRP capsule available for healthcare use.

Valuation

Sales declined to SEK 1.1m in Q4 (SEK2m in Q3). The cash flow net of finance was SEK-15.6m, and the cash position was SEK14.5m. Operating costs declined slightly and should continue decreasing in Q1 2023. We reiterate our Base Case of SEK 4.2. However, this is dependent on the company finding new funding within a short time (probably by this quarter), due to the limited cash position and the negative working capital. Our Bear Case of 0 reflects the failure to do so.

Key financials

SEKm2020202120222023e2024e
Revenues20.839.618.07.926.9
Revenue Growthnm.90.9%-54.6%-55.9%239%
EBITDA-19.4-35.1-68.6-42.0-36.9
EBIT-31.3-43.9-86.7-65.3-50.1
EBIT Margin-151%-111%-482%-823%-186%
Net Income-20.2-38.8-82.5-70.1-58.9
EV/Revenue14.49.71.614.77.1
EV/EBIT-9.6-8.8-0.3-1.8-3.8

Investment thesis

Case

Professional grade biomarker testing for home use

Qlife produces and sells the Egoo system, a portable lab device with single-use biomarker capsules. The company has recently sold Covid-19 tests and is still doing so, although this market is now declining rapidly. Qlife is instead gearing up to sell tests for CRP (inflammation), beginning in the wellness segment in early 2023 and then to professional clinics later in 2023. Initially users such as dieticians or other private clinics and sports trainers will be targeted. It will also be sold directly to private users. This will be the initial step in building the Egoo system of several tests available to private users. In 2024, the PKU test should be launched. After CE marking for home use is obtained for the CRP and PKU tests, Qlife will target rheumatoid and PKU centres, providing patients with the system. PKU patients should typically take a test once a week and send it to a lab. Qlife has worked together with PKU organisations to develop the PHE test, which matches well with PKU patients’ needs and is something they have been requesting. We thus expect a quick uptake in this segment (worth almost SEK1bn). CRP testing represents a significantly larger market. The founders of the company have previously successfully built and sold other companies.

Evidence

Substantial Covid Sales

Qlife has already validated the Egoo system commercially through sales of Covid-19 tests and devices, with sales totalling SEK78m since 2020 (SEK40m in 2021), starting from zero. Qlife did not originally plan to launch a Covid-19 test, but it opportunistically developed one in response to the pandemic. This shows Qlife can commercialise its product in new segments.

Challenge

Need to accelerate sales and obtain approvals

Qlife has comparatively high fixed costs, even after streamlining its organisation (leading to annual savings of SEK34m by the beginning of 2023). The company will need to demonstrate it can sell the CRP tests as soon as possible. A too slow uptake may lead to a weakened sentiment and difficulty in attracting new capital. Delays at the notified body (Presafe), which is already overbooked, in obtaining approvals for professional and home use would likely make sales more challenging. Self-certification might help in the short term.

Challenge

More capital needed

Placing new IVDR diagnostic or biomarkers solutions on the market is capital intensive. Qlife is dependent on further financing. Its current cash is unlikely to last until June 2023 when the TO 2022 warrants mature, so we expect Qlife to need additional financing before this. Industry collaborations and partnering may help furthering sales and reducing costs. If the company is unable to obtain new financing in H1 2023, it will likely need to cease its operations.

Valuation

We include substantial dilution

We value Qlife based on forecasts for CRP, PHE and other capsules. We add expected dilution from TO2 and a rights issue of SEK60m as the last rights issue was only subscribed at 70%. We apply a WACC of 12.5%, which results in a Base Case of SEK4.2. In our forecasts, the company turns profitable in 2027.

Quality Rating

We have switched to a new quality rating version since initiating coverage of Qlife. The people rating decreases to 3 in our new rating (4). This is in part due to new questions and in part due to the current financial situation.

People: 3

The four founders, three of whom are still in the company, have previous experience of having worked together and founded successful enterprises. This experience is important not only in developing but also when commercialising the Egoo system. The four founders still have a significant ownership in the company at 27% of the total capital and votes. However, they have been diluted by around 29% after the rights issue. The founder and CEO is the largest shareholder of the three. Institutional ownership stood at 14% before the rights issue. Board ownership is relatively low, however. 

Business: 3

The company has a proven track record, having sold Covid-19 tests and devices for SEK77m. We expect long-term gross margins of around 50%. The company is switching from Covid-19 diagnostics to professional biomarker testing in a home setting. This transition will have to be managed adroitly. It will be important that the company demonstrates high organic growth to the market to obtain financing, in particular through the TO2. In the longer term, expansion into the private setting (self-testing) would lead to a larger market. 

Financials: 1

Qlife has never been profitable. It intends to be cash flow neutral by the end of 2024. It strengthened its balance sheet with a rights issue that brought in around net SEK53m. TO2 warrants can bring in up to net SEK70m in June 2023, but this would require a high share price. We therefore believe that an additional SEK60m will have to be raised in 2023.

Discussion

Qlife is finally launching the Egoo system and the CRP test without medical claims this week. Target groups are private individuals and health professionals such as dieticians and physiotherapists. There are three regulatory categories:

  • Wellness (without medical claim)
  • Professional
  • Self-test

Qlife is launching Egoo and CRP in the first category. Qilfe plans to file for CE marking according to the second category by the middle of the year, which means that Egoo could be sold as a point-of-care testing device to healthcare facilities. The self-test dossier should be submitted later in 2023 which should lead to a CE mark for self-testing in 2024. The dossier essentially contains the documents for the professional claims plus a clinical study and a layperson usability study.

Qlife lacks a larger sales organization that could promote its products. It is looking for partners to do this. Finding the rights partners with sales networks and contacts in place is key to expanding at a significant pace.

Financial results and forecasts

Sales declined further during the quarter to SEK1.1m (SEK2.0m in Q3), as fewer people are testing for COVID, which we expected.

Adj. EBITDA, below to the left, (defined as EBITDA minus capitalised development work) was in line with Q3. However, operating expenditure, below to the right, decreased somewhat compared to previous quarters, but it is still higher than in 2021. We expect to see further reductions starting from Q1. SEK53m was raised in the rights issue in Q4; with SEK10m in issuance costs and repayment of loans of SEK24m, the amount available for spending was SEK19m. Cash flow net of finance was SEK-16m.

The cash position was SEK15m at the end of the quarter. Considering the working capital was significantly negative, it should not last much longer than one quarter. According to the Q4 report, the company is “working to obtaining  short and long term financing” and “will revert with news within short”.

We make minor changes to our forecast, the main difference being an increase in depreciation in 2023-2024.

Sales will start this week and figures be available in the Q1 report. It is challenging to make a sales forecast at this early stage. We believe the company has some contacts who have previous experience with the Egoo system when it was used to test for COVID who may be natural first adopters. Otherwise, we believe Egoo is a new product that most users are not familiar with, so they will need education. We therefore do not expect an explosive sales uptake, as was the case with the COVID test. We believe Qlife is aware of this and will make use of intelligent sales strategies, such as convinced users who can become ambassadors, in order to hasten this process. Finding industrial partners with a large sales network could speed up the sales process significantly. Once the professional CE marking is in place, we believe sales should increase somewhat, since healthcare personnel is used to tests. A great advantage of Egoo in this setting is the quick response time compared to lab tests - we believe this may be the key selling point.

Valuation

We reiterate our Base Case of SEK 4.2. This includes substantial dilution from an assumed equity issue in 2023. Our Base Case could change significantly depending on how financing is solved. Our Bull Case is SEK9.5 while our Bear Case is SEK 0.

Financials

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Contents

Investment thesis

Quality Rating

Discussion

Financial results and forecasts

Valuation

Financials

Rating definitions

The team

Download article