Brighter — Moving to commercial status

Brighter — Moving to commercial status

After receiving two CE marks for the Actiste device, Brighter is registering the product with local authorities in the United Arab Emirates (UAE). On introduction to the market, it will conduct user experience pilot tests to optimise adoption. Following the UAE, the company plans to focus its commercialisation efforts on Sweden, the rest of the Gulf Cooperation Council (GCC) area and South-East Asia (particularly Thailand and Indonesia).

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Written by

Brighter

Moving to commercial status

Financial update

Pharma & biotech

4 November 2019

Price

SEK10.28

Market cap

SEK883m

US$0.10/SEK

Net cash (SEKm) at 30 September 2019

32.5

Shares in issue

93.4m

Free float

81.5%

Code

BRIG

Primary exchange

NASDAQ First North

Secondary exchange

N/A

Share price performance

%

1m

3m

12m

Abs

(2.5)

(7.6)

(4.2)

Rel (local)

(6.8)

(11.9)

(16.7)

52-week high/low

SEK14.1

SEK7.86

Business description

Brighter is a Swedish healthtech company focused on the development and commercialisation of self-monitoring and self-treatment health solutions for diabetes. Its lead product, Actiste, combines three critical components of daily diabetes management, a blood glucose meter, a lancet and an injection apparatus into one device with mobile connectivity to Brighter’s cloud-based service, the Benefit Loop.

Next events

Updates on commercial launch

2019/20

Analysts

Maxim Jacobs

+1 646 653 7027

Nathaniel Calloway

+1 646 653 7036

Brighter is a research client of Edison Investment Research Limited

After receiving two CE marks for the Actiste device, Brighter is registering the product with local authorities in the United Arab Emirates (UAE). On introduction to the market, it will conduct user experience pilot tests to optimise adoption. Following the UAE, the company plans to focus its commercialisation efforts on Sweden, the rest of the Gulf Cooperation Council (GCC) area and South-East Asia (particularly Thailand and Indonesia).

Year end

Revenue (SEKm)

PBT*
(SEKm)

EPS*
(SEK)

DPS
(SEK)

P/E
(x)

Yield
(%)

12/17

1.4

(22.8)

(0.40)

0.0

N/A

N/A

12/18

1.1

(48.8)

(0.74)

0.0

N/A

N/A

12/19e

0.5

(66.4)

(0.81)

0.0

N/A

N/A

12/20e

24.5

(78.1)

(0.83)

0.0

N/A

N/A

Note: *PBT and EPS are normalised, excluding amortisation of acquired intangibles, exceptional items and share-based payments.

Diabetes management as a service

The Actiste device is delivered as part of a subscription-based service that includes different levels of data sharing, continuous replenishment of everyday supplies delivered directly to the home and digital services designed to facilitate, improve and streamline the treatment. The basic plan includes data sharing with relatives and caregivers, whereas the extensive plan includes physician networks.

The initial market: UAE

Based on International Diabetes Federation (IDF) calculations, there are an estimated 1.2 million people with diabetes in the UAE with 6.3 million in total across the GCC. The area has an especially high level of unmet need in diabetes as there are a disproportionate number of disease-related complications in the region. An estimated 40–70% of worldwide disease-related foot amputations occur in GCC countries. Beyond the GCC, Brighter plans to focus on Sweden and South-East Asia (especially Thailand and Indonesia).

Acquired Camanio Care

In October, Brighter acquired Camanio Care, a company developing home care solutions (such as an assisted eating device and a telepresence robot) for newly issued shares with a value of SEK17m (US$1.75m or €1.58m). Where this suite of products fits into the long-term strategy for Brighter is unclear but management has stated that its focus will remain on Actiste.

Valuation: SEK1,227m or SEK13.14 per basic share

Our total valuation has increased from SEK1,174m to SEK1,227m due to higher net cash and rolling forward our NPVs. On a per-share basis the value fell to SEK13.14 per basic share from SEK13.69, due to a higher share count after a SEK35.4m capital raise in September and the purchase of Camanio Care.

A new phase for Brighter

Following the recent CE marking, Brighter is registering Actiste with local authorities in the UAE. On introduction to the market, it will conduct user experience pilot tests to optimise adoption. The company is launching initially in the GCC as this area has an especially high level of unmet need in diabetes. The region has some of the highest rates of the disease in the world, ranging from 12.6% to 17.7% of the population (Exhibit 1) on an age-adjusted basis and affecting millions of people. The disease is also typically more poorly controlled in this region than in other countries and an estimated 40–70% of worldwide disease-related foot amputations occur in GCC countries. This positions Actiste as an attractive solution to increasing compliance and improving patient engagement with healthcare in these countries.

Exhibit 1: Adults aged 20–79 with diabetes in the GCC

Country

Age-adjusted prevalence (%)

Prevalence of diabetes in adults aged 20–79 (‘000s)

UAE

17.3

1,185.5

Saudi Arabia

17.7

3852

Kuwait

15.8

440.9

Oman

12.6

367.7

Qatar

16.5

259.2

Bahrain

16.5

165.3

Source: IDF Diabetes Atlas, Eighth Edition

Additionally, the company is interested in targeting its home country of Sweden, which has approximately 500,000 people suffering from diabetes. After that, it expects to target a selection of countries in South-East Asia (SEA), particularly Thailand and Indonesia. The epidemiology of the disease in this region is similar to the GCC countries in that a population with historically low rates of type 2 diabetes (T2D) is seeing increased rates of the disease as a result of economic development. According to the 2017 IDF Diabetes Atlas, an estimated 10.1% of the SEA population (on an age-adjusted basis) is living with the disease. This is similar to rates seen in the United States, for instance. However, complicating this is that historically the disease was uncommon and under recognised, resulting in a general lack of knowledge and over half (57.6%) of these individuals in the region going undiagnosed. Approximately 55% of those with the disease in this region die before the age of 60.1 According to one study conducted in SEA, 22% and 36% of patients with T1D and T2D, respectively, have never had HbA1c diagnostic tests.2

  Ramachandran, A (2012).

  Pathan, F et al. (2018). Hypoglycaemia among Insulin-Treated Patients with Diabetes: Southeast Asia Cohort of IO HAT Study. Journal of the ASEAN Federation of Endocrine Societies, 33(1), 28–36

An innovative way to help monitor and treat diabetes

Brighter’s Actiste integrates three essential steps for daily diabetes management in one device: a blood glucose meter, a lancet and insulin injection apparatus. Due to the combined functionality of the Actiste device, the company estimates the number of steps for daily treatment and measurement is reduced by up to 67%. The Actiste device is delivered as part of a subscription-based service that includes different levels of data sharing, continuous replenishment of everyday supplies delivered directly to the home and digital services designed to facilitate, improve and streamline the treatment.

Brighter’s cloud-based platform, the Benefit Loop, and associated companion applications for iOS and Android were previously CE marked. Together, the Benefit Loop and its applications collect, manage and analyse data for the purpose of sharing critical treatment information with friends, relatives, caregivers and healthcare providers to improve self-management outcomes.

Valuation

Our total valuation has increased from SEK1,174m to SEK1,227m due to higher net cash and rolling forward our NPVs. On a per-share basis, the value fell to SEK13.14 per basic share from SEK13.69 due to a higher share count following a SEK35.4m capital raise in September and the purchase of Camanio Care.

Exhibit 2: Brighter valuation

Program

Market

Prob. of success

Launch year

Upper tier launch pricing ($ per month)

Lower tier launch pricing ($ per month)

Peak revenue ($m)

Valuation (SEKm)

Actiste

Nordic region

30%

2020

131.3

71.6

5.5

22.5

GCC countries

30%

2019

112.5

61.4

45.7

178.3

South-East Asia

30%

2020

93.8

51.1

54.7

233.4

EU

25%

2020

133.9

73.0

243.1

680.0

US

20%

2021

143.1

78.0

193.1

433.6

Unallocated costs

(152.5)

Total

1,194.6

Net cash (at 30 September 2019) (SEKm)

32.5

Total firm value (SEKm)

1,227.1

Total shares (m)

93.4

Value per basic share (SEK)

13.14

Source: Edison Investment Research

Financials

The company reported a loss of SEK15.7m for Q319. The decrease over Q219 (SEK23.7m) is partly due to a SEK4.4m write-off in the second quarter that the company recorded because some of its consumables in inventory expired due to a prior CE mark delay. The loss is also relatively flat with the loss in Q1 (SEK15.8m). We have decreased our expected loss for 2019 from SEK77.4m to SEK66.4m due to a lower than expected run rate on spending. The company ended the quarter with SEK32.5m in cash and no debt. SEK40.5m in debt was eliminated thanks mainly to SEK57.4m in equity raised during the quarter. We estimate the company will raise SEK100m in additional capital by the end of 2020 (up from SEK90m previously mainly because the company paid off most of its debt with the recent equity raises). We expect these financing requirements will be met through the company’s financing agreement with Winance, worth up to SEK160m (for more details, please see our previous note from June 2019).

Exhibit 3: Financial summary

SEK000s

2017

2018

2019e

2020e

Year end 31 December

IFRS

IFRS

IFRS

IFRS

PROFIT & LOSS

Revenue

 

 

1,377

1,052

520

24,532

Cost of Sales

0

0

(200)

(4,906)

Gross Profit

1,377

1,052

320

19,626

General and Administrative Expenses

(9,153)

(13,014)

(19,361)

(20,135)

Other Operating Expenses

(11,968)

(32,201)

(33,853)

(63,261)

EBITDA

 

 

(19,744)

(44,163)

(52,894)

(63,771)

Operating Profit (before amort. and except.)

 

 

(19,946)

(44,326)

(52,958)

(63,834)

Intangible Amortisation

0

0

0

0

Other

0

0

0

0

Exceptionals

0

0

0

0

Operating Profit

(19,946)

(44,326)

(52,958)

(63,834)

Net Interest

(2,897)

(4,476)

(13,426)

(14,232)

Other

(4,449)

(4,278)

(1,536)

0

Profit Before Tax (norm)

 

 

(22,843)

(48,802)

(66,384)

(78,066)

Profit Before Tax (FRS 3)

 

 

(27,292)

(53,080)

(67,919)

(78,066)

Tax

0

0

0

0

Deferred tax

(0)

(0)

(0)

(0)

Profit After Tax (norm)

(22,843)

(48,802)

(66,384)

(78,066)

Profit After Tax (FRS 3)

(27,292)

(53,080)

(67,919)

(78,066)

Average Number of Shares Outstanding (m)

68.2

71.7

84.1

94.1

EPS - normalised (ore)

 

 

(40.00)

(74.00)

(80.81)

(82.93)

EPS - FRS 3 (SEK)

 

 

(0.40)

(0.74)

(0.81)

(0.83)

Dividend per share (ore)

0.00

0.00

0.00

0.00

BALANCE SHEET

Fixed Assets

 

 

84,961

112,430

141,690

167,898

Intangible Assets

76,794

102,929

128,999

155,089

Tangible Assets

4,738

8,537

11,728

11,845

Other

3,429

965

964

964

Current Assets

 

 

26,393

58,186

63,732

56,230

Stocks

0

7,070

8,347

8,347

Debtors

15,931

34,308

30,167

4,033

Cash

10,017

9,031

19,634

38,267

Other

445

7,777

5,584

5,584

Current Liabilities

 

 

(23,965)

(63,698)

(12,849)

(12,849)

Creditors

(15,528)

(11,805)

(12,849)

(12,849)

Short term borrowings

(8,437)

(51,893)

0

0

Long Term Liabilities

 

 

0

0

0

(100,000)

Long term borrowings

0

0

0

(100,000)

Other long term liabilities

0

0

0

0

Net Assets

 

 

87,389

106,918

192,574

111,279

CASH FLOW

Operating Cash Flow

 

 

(24,582)

(68,249)

(66,575)

(51,932)

Net Interest

0

0

0

0

Tax

(99)

0

0

0

Capex

(34,852)

(29,986)

(29,307)

(29,436)

Acquisitions/disposals

0

0

0

0

Financing

7,913

34,655

114,001

0

Conversion of convertible debt instruments

43,065

43,065

0

0

Dividends

0

0

(408)

0

Other

(195)

(14,406)

4,804

0

Net Cash Flow

(8,750)

(34,921)

22,514

(81,367)

Opening net debt/(cash)

 

 

(1,733)

(1,580)

42,862

(19,634)

HP finance leases initiated

0

0

0

0

Exchange rate movements

0

0

0

0

Other

8,597

(9,521)

39,982

0

Closing net debt/(cash)

 

 

(1,580)

42,862

(19,634)

61,733

Source: Company data, Edison Investment Research

General disclaimer and copyright

This report has been commissioned by Brighter and prepared and issued by Edison, in consideration of a fee payable by Brighter. Edison Investment Research standard fees are £49,500 pa for the production and broad dissemination of a detailed note (Outlook) following by regular (typically quarterly) update notes. Fees are paid upfront in cash without recourse. Edison may seek additional fees for the provision of roadshows and related IR services for the client but does not get remunerated for any investment banking services. We never take payment in stock, options or warrants for any of our services.

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This report has been commissioned by Brighter and prepared and issued by Edison, in consideration of a fee payable by Brighter. Edison Investment Research standard fees are £49,500 pa for the production and broad dissemination of a detailed note (Outlook) following by regular (typically quarterly) update notes. Fees are paid upfront in cash without recourse. Edison may seek additional fees for the provision of roadshows and related IR services for the client but does not get remunerated for any investment banking services. We never take payment in stock, options or warrants for any of our services.

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No personalised advice: The information that we provide should not be construed in any manner whatsoever as, personalised advice. Also, the information provided by us should not be construed by any subscriber or prospective subscriber as Edison’s solicitation to effect, or attempt to effect, any transaction in a security. The securities described in the report may not be eligible for sale in all jurisdictions or to certain categories of investors.

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This document is prepared and provided by Edison for information purposes only and should not be construed as an offer or solicitation for investment in any securities mentioned or in the topic of this document. A marketing communication under FCA Rules, this document has not been prepared in accordance with the legal requirements designed to promote the independence of investment research and is not subject to any prohibition on dealing ahead of the dissemination of investment research.

This Communication is being distributed in the United Kingdom and is directed only at (i) persons having professional experience in matters relating to investments, i.e. investment professionals within the meaning of Article 19(5) of the Financial Services and Markets Act 2000 (Financial Promotion) Order 2005, as amended (the "FPO") (ii) high net-worth companies, unincorporated associations or other bodies within the meaning of Article 49 of the FPO and (iii) persons to whom it is otherwise lawful to distribute it. The investment or investment activity to which this document relates is available only to such persons. It is not intended that this document be distributed or passed on, directly or indirectly, to any other class of persons and in any event and under no circumstances should persons of any other description rely on or act upon the contents of this document.

This Communication is being supplied to you solely for your information and may not be reproduced by, further distributed to or published in whole or in part by, any other person.

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The Investment Research is a publication distributed in the United States by Edison Investment Research, Inc. Edison Investment Research, Inc. is registered as an investment adviser with the Securities and Exchange Commission. Edison relies upon the "publishers' exclusion" from the definition of investment adviser under Section 202(a)(11) of the Investment Advisers Act of 1940 and corresponding state securities laws. This report is a bona fide publication of general and regular circulation offering impersonal investment-related advice, not tailored to a specific investment portfolio or the needs of current and/or prospective subscribers. As such, Edison does not offer or provide personal advice and the research provided is for informational purposes only. No mention of a particular security in this report constitutes a recommendation to buy, sell or hold that or any security, or that any particular security, portfolio of securities, transaction or investment strategy is suitable for any specific person.

Frankfurt +49 (0)69 78 8076 960

Schumannstrasse 34b

60325 Frankfurt

Germany

London +44 (0)20 3077 5700

280 High Holborn

London, WC1V 7EE

United Kingdom

New York +1 646 653 7026

1,185 Avenue of the Americas

3rd Floor, New York, NY 10036

United States of America

Sydney +61 (0)2 8249 8342

Level 4, Office 1205

95 Pitt Street, Sydney

NSW 2000, Australia

Frankfurt +49 (0)69 78 8076 960

Schumannstrasse 34b

60325 Frankfurt

Germany

London +44 (0)20 3077 5700

280 High Holborn

London, WC1V 7EE

United Kingdom

New York +1 646 653 7026

1,185 Avenue of the Americas

3rd Floor, New York, NY 10036

United States of America

Sydney +61 (0)2 8249 8342

Level 4, Office 1205

95 Pitt Street, Sydney

NSW 2000, Australia

Research: Real Estate

Regional REIT — Progress with capital raise deployment

Regional REIT (RGL) has exchanged contracts for the £27.7m acquisition of a regional office portfolio, its second significant transaction since H119 and marking progress with deployment of £62.5m (gross) proceeds of the July capital raise. With a strong pipeline of investment opportunities, we expect full deployment by early 2020, which will enhance earnings and provide further opportunities for active asset management and value creation.

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