Physitrack: Steady state

Research Update

2023-08-16

07:30

Redeye updates its estimates and fair value range after Physitrack’s stable Q2 2023 report, which came in close to our forecasts. We find the c25% organic growth, combined with effective cost management in the face of ongoing challenging market conditions, to be encouraging. We raise our base case to SEK41(SEK38) per share.

JG

MS

Jessica Grunewald

Mark Siöstedt

Contents

Q2 Review

Financial Q2 2023: Revenues

Financial Qx 2023: Profitability and Cost base

Financial Qx 2023: Cash flows and Cash position

Other highlights from the report

Outlook

Estimate revisions

Estimates

Valuation

Quality Rating

Financials

Rating definitions

The team

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Profitability focus

Revenues came in at EUR3.8m, with a y/y growth of 23%, and an organic growth of 25% y/y. However, this quarter’s comparables were challenging, especially for the Lifecare division. Organic growth was derived from both the Lifecare and Wellness divisions, which grew 9% and 66%, respectively, y/y. Adjusted EBITDA reached 25% in the quarter and 2pp below our estimate, amounting to cEUR1m. OPEX, excluding adjustments, amounted to EUR2.8m (EUR2.1), on par with our estimate. The management’s efforts towards enhancing operational efficiency have yielded positive outcomes, stabilising the cost base compared to the previous quarter.

All eyes are on the cashflow, liquidity at EUR2.8m

Cash flow from operating activities after adjusting items was EUR0.3m (EUR0.1m). By the end of Q2’23, Physitrack held a EUR0.7m cash position, but the available liquidity, including the Revolving Credit Facility (RCF) corresponds to EUR2.8m. Deferred consideration (non-current) was cEUR9m vs EUR10.7m in Q1, and capex continues to linger around EUR0.8m. Management “re-confirms that there is expected to be no further deferred contingent consideration payments for the remainder of the financial year, and no capital raising via share issuance or debt”. Further, management is confident that the business will be FCF positive by the end of the year. We expect Physitrack’s cash position combined with the RCF to be enough to reach positive cash flows and the RCF and FCF to cover further earn-outs. Nevertheless, our estimates allow for a little margin of error.

Small estimate changes, new base SEK41(SEK38) per share

We have made minor adjustments to our near-term estimates following Physitrack’s Q2 report. We decrease our sales forecasts by -1% for 2023e–2024e and lower our OPEX assumptions slightly. Reflecting our estimate revisions in combination with the increase of the EUR/SEK we adjust our fair value range to SEK12-80, with a base case of SEK41(SEK38) per share. Currently, Physitrack is trading at an EV/EBIT of 8.0x based on our 2024e and an EV/EBITDA of 3.5x. Compared to its peers, median EBIT multiples for 2024e, Physitrack trades at a 60% discount.

Key financials

SEKm202120222023e2024e2025e
Revenues8.012.515.719.623.6
Revenue Growth162%56.6%25.6%24.8%20.3%
EBITDA0.892.53.96.48.7
EBIT-0.580.110.552.84.2
EBIT Margin-7.3%0.9%3.5%14.3%18.0%
Net Income-0.840.091.002.44.0
EV/Revenue-1.72.81.61.10.8
EV/EBIT22.834.945.58.04.3
EV/EBITDA-15.010.26.33.52.1

Case

Strong growth, rising recurring revenues with approaching margin expansion

Physitrack is a rapidly growing e-health software company specialising in patient rehabilitation solutions (Lifecare) and assisting corporations in enhancing employee health (Wellness). The group comprises seven companies within two divisions: Lifecare and Wellness. In Q1‘23, Physitrack grew by 45%, or 36% pro forma (the group’s own definition for organic growth inc Fx effects). The company is active in two fast-growing markets – telerehabilitation and corporate wellness – with a combined value of cUSD65bn as of 2022, further supporting its growth potential. Its scalable SaaS business model (90% gross margin, with revenue contributions from more than 180 countries), advanced technology, data utilisation to improve patient care and employee health, and strategic expansion plans render it a promising investment in the e-health sector. We expect the Lifecare division to grow organically by c10–15% y/y and to maintain its +45% EBITDA margins in 2023e-2027e. We forecast the Wellness division (contributing 37% of revenues in Q1’23) will surpass Lifecare’s revenue contribution in 2025 and significantly expand its margins (2% adjusted EBITDA for 2022). On a group level, we forecast a sales CAGR of 22% 2023e-2027e. Co-founder and CEO Henrik Molin and his fellow co-founder Nathan Skwortsow (who is still active in the company) collectively own more than 42% of the shares, demonstrating their strong commitment to the company's success. We are optimistic about Physitrack's ability to deliver strong returns to investors, given the 70% in recurring revenues, organic growth of over 25%, and anticipated margin expansion in 2023. Despite a YTD decline of around 30% and modest market interest, we believe several catalysts, including quarterly reports, margin expansion, and more significant corporate agreements for the Wellness division, will increase investor interest as the company's story unfolds.

Evidence

Adopting a low-cost, tried-and-trusted growth strategy for Wellness

Through its Lifecare division, Physitrack has a proven model and platform for scaling the business at meagre costs. The legacy SaaS solution has financed the growth journey via own cash flows, and Physitrack was bootstrapped until its IPO in 2021, demonstrating its ability to deliver profitable growth. In our opinion, applying this proven strategy to a new business line (Virtual Wellness) in a neighbouring market segment and funding it with cash flows from Lifecare reduces the risk in the growth journey.

Challenge

Profitable growth

While the growing top line is crucial for Physitrack, focusing on improving profitability and delivering strong free cash flows is essential. Margin expansion and positive cash flow generation are vital challenges for Physitrack to ensure its long-term financial health and growth. Adjusting for earn-outs, the company has guided for positive free cash flows at the end of 2023, consistent with our expectations.

Challenge

Consolidation of Wellness

Physitrack offers a turnkey solution for employees' health called Champion Health. This solution aims to meet all of an employee’s health needs, such as mental health, sleep, exercise, nutrition, smoking cessation, energy levels, and financial well-being. However, consolidating the Wellness division into the Champion brand and platform may pose several challenges for Physitrack, including integration, harmonising the business models, standardisation, customer retention, and brand awareness. It is also crucial that Physitrack turns around Fysiotest, which is currently underperforming and dragging down margins in the Wellness division. However, if executed effectively, success could provide significant benefits, including economies of scale, enhanced capabilities, and increased market share.

Valuation

Significant upside potential with two business divisions priced as one

In our Base Case, we estimate a 2023e–2027e sales CAGR of 22%, with the EBIT margin expanding from 7% in 2023e to 24% by 2027e. Using a DCF model, we value Physitrack at a Base Case of SEK41. Our Bear Case is SEK12, and our Bull Case is SEK80. Our perception of Physitrack differs significantly from that of the stock market. Physitrack is a rapidly growing and scalable software company positioned for significant margin expansion in our view. However, the stock market is pricing Physitrack as a one-division company with limited margin expansion potential. This is reinforced by our sum-of-the-parts valuation, which estimates a value of approximately SEK13 per share for the Wellness division and roughly SEK25 per share for the Lifecare division. Moreover, the discount is also prominent when comparing median EV/EBIT multiples for 2024e, with Physitrack trading at a c60% discount relative to its Nordic SaaS peers.

Q2 Review

In summary, we believe Physitrack´s Q2 2023 showed stable performance. We find the organic growth of 25%, combined with effective cost management in the face of ongoing challenging market conditions, particularly encouraging. The management’s efforts towards enhancing operational efficiency have yielded positive outcomes, stabilising the cost base compared to the previous quarter. Topline growth was less aggressive than the previous quarter but aligned with our expectations. We note that this quarter’s comparables were challenging for the Lifecare division, but the upcoming Q3 and Q4 comparables are softer.

Physitrack: Forecast deviations
(EURm)2022Q12022Q22022Q32022Q42023Q12023Q22023Q2eDiff absoluteDiff (%)
Revenues2.63.13.43.53.73.83.8-0.1-2%
Lifecare2.02.42.22.22.42.42.4-0.1
Wellness0.50.71.21.31.41.41.40.0
Operating Expenses2.32.82.72.23.03.03.00.12%
EBITDA0.30.30.71.30.70.70.9-0.1
adj.EBITDA0.70.90.90.90.91.01.0-0.1-7%
D&A0.30.60.70.80.80.90.80.17%
EBIT-0.1-0.30.00.5-0.1-0.20.0-0.2
adj.EBIT0.40.30.20.10.10.10.2-0.1
Net Income-0.1-0.40.00.6-0.1-0.30.0-0.2
Growth
Revenue growth y/y (%)67%57%72%38%45%23%25%-2pp
Lifecare y/y (%)0%0%0%0%15%-2%2%-4pp
Wellness y/y (%)0%0%0%0%160%113%110%3pp
Margins
EBITDA margin (%)10%9%21%37%20%19%22%-3pp
adj.EBITDA margin (%)29%30%27%25%25%25%27%-2pp
EBIT margin (%)-2%-10%0%14%-2%-5%0%-5pp
adj.EBIT margin (%)17%11%6%2%3%1%5%-4pp

Financial Q2 2023: Revenues

Q2 2023 revenues came in at EUR3.8m (EUR3.0m), in line with our estimate. Lifecare revenues amounted to EUR2.4m (2.4m), on par with our estimate. Wellness revenues amounted to EUR1.4m (EUR0.7m), in line with our estimate. Net sales growth in Q2 2023 equalled c23% y/y, c2pp below our estimate of c25%. Organic growth was, however, 25% y/y.

Looking at revenue generation per segment, Lifecare subscription remains the main contributor, generating c52% of the revenues. Wellness one-off is still larger than Wellness subscription, representing 21% and 16% of the revenues, respectively. In our view, the growth of Wellness subscriptions is one of the most important KPIs for investors to monitor, as it is set to fuel growth as we advance.

Revenue by division

Revenue mix

Rev per div, DARK

Source: Redeye Research

Segment, DARK

Source: Redeye Research

Recurring revenues grew c20% y/y, representing 71% of total revenues. On a q/q basis, recurring revenues were unchanged. We believe the lack of q/q growth is more of a timing issue, as tenders sent out before summer often are attended to after the summer. As such, we expect growth to take off again in Q3.
ARR grew by 17% y/y and 2% q/q. The ARR in Q2’23 was EUR11.5m vs EUR9.8m in Q2’22. We believe the solid y/y growth of the ARR underpins a strong business momentum. We also believe that the swift y/y ramp-up of recurring revenues/ARR, implies that the Wellness division is on the harmonisation and standardisation path. The Lifecare division had 87% recurring revenues in Q2, and Wellness reported 43%.

Recurring revenue

Annual recurring revenue (ARR)

Recurring, DARK

Source: Redeye Research

ARR, DARK

Source: Redeye Research

Financial Qx 2023: Profitability and Cost base

OPEX, excluding D&A and adjustments, was SEK2.8.m, in line with our estimates. The management’s efforts towards enhancing operational efficiency have yielded positive outcomes, stabilising the cost base compared to the previous quarter. We expect the cost base to continue to hover around EUR2.8m due to management’s counited focus on operational efficiency and profitability.

Adjusted EBITDA reached 25% in the quarter, the same as in Q1’23 and Q4’22 and 2pp below our estimate. During an interview, Henric Molin, the CEO, mentioned that in Q2’23, the margin could likely be enhanced. However, the management decided to forgo this option as it could potentially hinder the company’s growth trajectory. Physitrack’s adjusted EBIT was 1% (11%) in Q2 2023, 4pp below our estimate. D&A amounted to EUR0.8 (EUR0.6).

Revenues, Adjusted EBITDA and Adjusted EBITDA-margin

Source: Redeye Research

Financial Qx 2023: Cash flows and Cash position

After adjusting items, cash flow from operating activities was EUR0.3m (EUR0.1m). Physitrack uses capitalisation – i.e., it records an asset (in this case, development costs) on the balance sheet instead of immediately expensing this on the income statement. In Q2, we estimate that Physitrack capitalised EUR0.8m for development, implying that EBITDA minus capitalisation amounted to EUR0.2m.

By the end of Q2’23, Physitrack held a EUR0.7m cash position, but the available liquidity, including the Revolving Credit Facility (RCF) corresponds to EUR2.8m. Deferred consideration (non-current) was cEUR9m vs EUR10.7m in Q1, and capex continues to linger around EUR0.8m. Management “re-confirms that there is expected to be no further deferred contingent consideration payments for the remainder of the financial year, and no capital raising via share issuance or debt”. Further, management is confident that the business will be FCF positive by the end of the year. Free cash flow is defined by Physitrack as net cash from operating activities, less purchase of intangible assets and property, plant and equipment and finance costs.
We expect Physitrack’s cash position combined with the RCF to be enough to reach positive cash flows and the RCF and FCF to cover further earn-outs. Nevertheless, our estimates allow for a little margin of error. By the end of the quarter, Physitracks’s net debt was cEUR3.0m.

Cashflow and Cash position

Other highlights from the report

We find it favourable that beginning this quarter, Physitrack has introduced an additional growthmetric, namely organic growth. Organic revenue entails the translation of the current year's revenue into the group's presentation currency (Euro) using exchange rates from the previous year. Considering Physitrack's exposure to fluctuations in foreign exchange rates, this metric offers investors a comparable measure for evaluating pro-forma revenue from the prior year.

Outlook

Management emphasises their commitment to delivering profitable growth, indicating that they have and will continue to decline customers if they don’t meet the margin threshold. Moreover, there is a positive outlook for the strong start of Q3, especially within the enterprise customer segment of Champion Health. Physitrack appears adept at navigating the current challenging market conditions, and management expresses confidence in the ongoing resilience stemming from business diversification.
Champion Health Nordic (formerly Fysiotest) has effectively executed a turnaround, and management holds high expectations for growth and profitability. Additionally, there are no signs of growth stagnation within the Wellness division. During the Q2’23 webcast conference, we learned that the US market is the next launch market for Champion Health’s digital product aimed at SME (Small and Medium Enterprises) customers. Presently, active marketing campaigns for this product are limited to the UK, and management seems content with the progress of the launch.

The report reaffirmed the financial midterm targets, which encompass a 30% year-on-year organic growth coupled with EBITDA margins ranging from 40% to 45%. Furthermore, management is confident in achieving positive Free Cash Flow (FCF) by year-end.

Estimate revisions

We have made minor adjustments to our near-term estimates following Physitrack’s Q2 report:

  • We decrease our sales forecasts by -1% for 2023e–2024e implying 27% (26%) and 25% (25%) y/y growth, respectively.
  • Furthermore, we have decreased our OPEX assumptions slightly for 2024e. We believe that the cost base expansion seen in previous quarters has plateaued, and it is supported by management’s statement on operational efficacy focus in combination with margin prioritisation.

Relative to Physitrack's midterm-term targets of 40-45% EBITDA margin and 30% organic growth, we have adopted a more conservative stance regarding growth and margins in the midterm perspective. For further estimates, see the tables below.

Estimate revisions
(EURm)New estimatesOld estimatesDifference %
2023E2024E2025E2023E2024E2025E2023E2024E2025E
Revenues162024162024-1%-1%-1%
Wellness6131561415-1%-2%-1%
Lifecare101112101112-1%-1%-1%
Revenue growth y/y26%25%20%27%25%20%1pp0pp0pp
Operating Expenses1213151214150%-2%-1%
D&A3443443%0%4%
Total Operating Expenses1517191517191%-2%0%
adj.EBITDA5694692%2%-1%
adj.EBITDA margin (%)29%33%37%28%32%37%-1pp-1pp0pp
EBIT134135-31%4%-6%
EBIT margin3%14%18%5%14%19%2pp-1pp1pp
Net income0.999240.6232460%5%-6%

Estimates

Physitrack: Estimate
(EURm)20222023Q12023Q22023Q32023Q420232024202520262027
Revenues12.53.73.84.04.215.719.623.627.832.7
Lifecare8.62.42.42.42.49.510.511.813.114.6
Wellness3.91.41.41.61.86.29.111.814.718.1
Operating Expenses10.03.03.02.72.811.813.214.916.719.3
EBITDA2.50.70.71.31.43.96.48.711.113.4
adj.EBITDA3.40.91.01.31.44.66.48.711.113.4
D&A2.40.80.90.90.83.43.64.54.75.6
EBIT0.1-0.1-0.20.40.60.52.84.26.47.8
adj.EBIT1.00.10.10.40.61.22.84.26.47.8
EPS basic 0.010.000.000.030.050.060.150.250.370.38
Growth
Revenue growth y/y (%)57%45%23%20%19%26%25%20%18%17%
Lifecare y/y (%)0%15%2%9%10%10%11%12%11%11%
Wellness y/y (%)0%160%110%40%35%60%47%30%25%23%
Margins
EBITDA margin (%)20%20%19%32%34%25%33%37%40%41%
adj.EBITDA margin (%)28%25%25%32%34%29%33%37%40%41%
EBIT margin (%)1%-2%-5%10%15%3%14%18%23%24%
adj.EBIT margin (%)8%3%1%10%15%8%14%18%23%24%
Net income margin (%)1%-2%0%13%18%6%12%17%22%19%

Valuation

We have increased our fair value range on the back of the estimate revisions and the increase of the EUR/SEK that impacts the valuation positively. Our new base is SEK41 (SEK38) per share, while the bull and bear case stands at SEK80 (SEK72) and SEK12(SEK11), respectively. Our valuation is based on the financial forecasts in the table above (Base case) and long-term assumptions outlined in the table below. We have used a WACC of 12%, derived from Redeye’s Rating model.

Assumptions, fair value range
Bear CaseBase CaseBull Case
Value per share, SEK124179
Sales CAGR 2023e-2027e13%21%30%
EBIT margin (avg) 2023e-2027e14%17%18%
Terminal EBIT margin14%16%18%
WACC12%12%12%
Terminal Growth2%2%2%
Source: Redeye Research

Peer valuation

Compared to its peers, median EV/Sales multiples for 2023e–2024e, Physitrack trades at a c40%-45% discount. Moreover, the discount is also prominent when comparing median EV/EBIT multiples for 2024e, with Physitrack trading at a 60% discount to its peers. Despite the management’s guidance, we believe the market continues to worry over the size of potential upcoming earn-outs and a capital infusion need.

SaaSEVEV/SALESEV/EBITSales growthEBIT margin
Company(SEKm)23e24e25e23e24e25e23e24e25e23e24e25e
4C Group7912.11.71.32011714%20%21%10%15%17%
Addnode10,8061.51.31.225171417%17%12%6%7%8%
Admicom2,0615.24.74.11614117%7%11%32%33%36%
AVTECH1595.54.33.01410635%15%25%38%41%49%
Bambuser1040.50.91.0negnegneg-2%4%21%-83%-61%-37%
BIMobject2721.81.71.5negnegneg14%17%20%-29%-17%-6%
BuildData1961.81.6n/anegnegn/a23%18%n/a-21%-6%n/a
Carasent6162.32.01.7neg191030%18%17%-1%11%17%
CheckIn9959.75.12.6124261147%87%81%8%20%24%
CSAM1,1132.72.52.161191611%13%25%4%14%13%
Efecte6872.31.91.6neg872315%17%17%-5%2%7%
Formpipe1,4422.72.32.028151011%10%9%10%16%19%
Fortnox36,95822.417.213.555382829%29%25%41%45%48%
Hoylu1232.21.6n/anegnegn/a34%36%n/a-102%-44%n/a
Irisity2451.91.31.1negnegneg48%38%21%-80%-34%-20%
Pagero2,6433.32.72.1negneg417%28%28%-20%-8%5%
LeadDesk5651.61.3n/a26532n/a7%11%8%1%4%10%
Lemonsoft1,5595.04.33.919161517%13%7%26%26%27%
Lime3,4886.15.24.531252017%13%13%20%21%22%
Litium1462.11.61.2neg29178%29%26%-10%6%7%
Mestro942.51.81.3neg51940%33%30%-21%4%14%
Oneflow7587.45.23.6negnegneg48%57%49%-91%-46%-21%
Opter3804.83.83.120151121%17%15%24%26%28%
Penneo4152.92.32.0negnegneg24%28%27%-30%-17%-7%
Pexip1,8341.81.61.3110181113%8%10%2%9%12%
Physitrack3051.61.20.9268437%25%20%6%15%21%
Safeture1913.32.62.1neg521533%26%25%-17%5%14%
Sikri1,4981.31.11.0171180%9%9%8%10%12%
SmartCraft3,4838.47.05.826201619%15%16%33%35%37%
Upsales6354.43.83.223221812%16%21%19%17%17%
Vertiseit5301.61.41.2271184%12%8%6%12%15%
Vitec23,6248.57.56.738332840%15%13%22%23%24%
XMReality291.30.70.4negnegneg16%73%42%-136%-61%-22%
Average2,9924.03.22.750251520%23%21%-10%3%12%
Median6352.62.22.026191317%17%20%2%9%14%
Source: Redeye, Company reports, FactSet

Quality Rating

People: 4

Physitrack scores four out of five in this section. Its decentralised business management, combined with solid execution capabilities in the management team, adds to the score. Moreover, we consider CEO Henrik Molin’s visionary attitude towards the business and the deep market insights to be very encouraging. Henrik Molin has significant skin in the game, as he is also the company’s largest shareholder, with a c25% share of the capital. The score is mainly constrained by the company's limited track record as a publicly traded company.

Business: 3

Physitrack scores three out of five in this section. We are encouraged that the majority of Physitrack’s revenues is recurring in nature, combined with the asset-light business model, the expected long runway of organic growth, and the successful track record of its geographical market expansion. Moreover, we favour the long-term tailwinds that support its business and its limited exposure to significant operational risks. The score is mainly held back by the early commercialisation stage in the Wellness division and the market segment dynamics.

Financials: 1

Physitrack scores one out of five in this section. Based on our current estimates, Physitrack is unlikely to require additional funding to support its operations and organic growth investments, which adds to the score. However, Redeye’s financial rating model is determined using historical figures and requires consistent positive earnings. Naturally, this limits the score for Physitrack due to its short history in its current form, with seven subsidiaries and two business divisions. On the bright side, we are more than likely to revisit the rating and expect this score to increase as more historical data builds up.

Financials

Income statement
SEKm202120222023e2024e
Revenues8.012.515.719.6
Cost of Revenue0.000.000.000.00
Operating Expenses7.110.011.813.2
EBITDA0.892.53.96.4
Depreciation0.390.000.000.00
Amortizations1.12.43.43.6
EBIT-0.580.110.552.8
Shares in Associates0.000.000.000.00
Interest Expenses0.070.060.410.27
Net Financial Items-0.07-0.06-0.41-0.27
EBT-0.650.050.132.5
Income Tax Expenses0.19-0.04-0.050.13
Net Income-0.840.091.002.4
Balance sheet
Assets
Non-current assets
SEKm202120222023e2024e
Property, Plant and Equipment (Net)0.050.100.100.10
Goodwill14.427.227.227.2
Intangible Assets2.610.310.210.8
Right-of-Use Assets0.000.000.000.00
Other Non-Current Assets0.100.100.100.10
Total Non-Current Assets17.237.737.738.2
Current assets
SEKm202120222023e2024e
Inventories0.070.050.020.02
Accounts Receivable1.73.02.52.0
Other Current Assets0.000.000.000.00
Cash Equivalents13.30.581.43.9
Total Current Assets15.13.63.95.9
Total Assets32.341.341.644.1
Equity and Liabilities
Equity
SEKm202120222023e2024e
Non Controlling Interest0.000.000.000.00
Shareholder's Equity23.322.423.325.7
Non-current liabilities
SEKm202120222023e2024e
Long Term Debt0.000.833.63.6
Long Term Lease Liabilities0.000.000.000.00
Other Long Term Liabilities5.411.111.111.1
Total Non-Current Liabilities5.411.914.714.7
Current liabilities
SEKm202120222023e2024e
Short Term Debt0.000.000.000.00
Short Term Lease Liabilities0.000.000.000.00
Accounts Payable1.42.21.61.7
Other Current Liabilities2.24.82.12.1
Total Current Liabilities3.67.03.63.7
Total Liabilities and Equity32.341.341.644.1
Cash flow
SEKm202120222023e2024e
Operating Cash Flow0.711.51.56.6
Investing Cash Flow-4.9-14.8-4.9-4.1
Financing Cash Flow16.10.802.70.00

Rating definitions

The team

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Contents

Q2 Review

Financial Q2 2023: Revenues

Financial Qx 2023: Profitability and Cost base

Financial Qx 2023: Cash flows and Cash position

Other highlights from the report

Outlook

Estimate revisions

Estimates

Valuation

Quality Rating

Financials

Rating definitions

The team

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