FY25 Full Year Results & FY26 Guidance Investor Presentation
Released
Released
Announcement PDF
ASX Announcement – 29 August 2025
FY25 Full-Year Results & FY26 Guidance Investor Briefing
Resonance Health Limited (Resonance or Company) (ASX: RHT) is pleased to provide the enclosed Investor
Presentation outlining the finalised financial results for the full year ended 30 June 2025, and guidance for
the FY26 financial year.
The presentation is enclosed with this covering announcement.
Investors are invited to join a live webcast and Q&A hosted by Resonance Health’s CEO, Mr. Andrew Harrison,
and CFO, Mr. Benjamin Carruthers, on Friday 29 August 2025, commencing at 10:00 a.m. Australian Western
(Perth) Time, (12:00 p.m. AEST).
To attend and/or participate in the webcast please register at:
https://investors.resonancehealth.com/webinars/mepD1e-fy25-full-year-results-fy26-guidance
Additionally, a video recording of the presentation will be available within 24 hours following the
presentation at the Resonance Health Investor Centre homepage: https://investors.resonancehealth.com/
This announcement has been authorised for release in accordance with the delegated authority of the Board
of Directors of Resonance Health Ltd. For further information please contact:
Andrew Harrison – Chief Executive Officer
E: andrewh@resonancehealth.com
P: +61 (0)8 9286 5300
About Resonance Health
Resonance Health is an Australian healthcare technology and services company. The Company’s services are
used globally by clinicians in the management of human diseases and by pharmaceutical and therapeutic
companies in their clinical trials. Resonance Health has gained endorsement by leading physicians worldwide
for providing high quality quantitative assessments essential in managing diseases and drug development.
Resonance Health’s dedication to scientific rigour and quality has enabled it to achieve regulatory clearances
for a range of Software-as-Medical Devices (SaMDs) in the USA, Europe, UK, and Australia, and to proudly
carry ISO 13485 certification for the design and manufacture of medical devices. Regulatory cleared SaMD
products, some of which incorporate Artificial Intelligence (AI), include:
§ FerriScan®, a core-lab product that provides an accurate assessment of liver iron concentration (LIC)
through non-invasive MRI-based technology, for use in the assessment of individuals with iron overload
conditions. Internationally recognised as the gold standard in LIC assessment.
§ FerriSmart®, an AI-trained, non-invasive MRI-based device for the automated real-time assessment of LIC
in participants, calibrated against the global gold standard, FerriScan®.
Resonance Health Ltd ABN: 96 006 762 492
141 Burswood Road, Burswood, WA 6100, AUSTRALIA
Postal: PO Box 108, Victoria Park, WA 6979, AUSTRALIA
www.resonancehealth.com
T + 61 8 9286 5300
info@resonancehealth.com
§ HepaFatScan®, an MRI-based solution which provides a reliable non-invasive assessment of liver-fat in
liver tissue for use in the assessment of individuals with confirmed or suspected fatty-liver-disease.
§ HepaFatSmart®, an AI-trained, non-invasive device for the automated real-time multi-metric assessment
of liver-fat in participants, for the assessment of individuals with confirmed or suspected fatty liver
disease.
§ LiverSmart®, an AI-trained, non-invasive MRI-based multi-parametric device combining FerriSmart® and
HepaFat-AI® into a consolidated report providing accurate assessment of LIC and liver fat.
§ CardiacT2*, the most widely accepted MRI method for assessing heart iron loading. Resonance Health
offers a dual analysis of FerriScan® and CardiacT2*.
The Company has a development pipeline of additional medical imaging analysis products and services,
including the MRI Liver Fibrosis Project, aimed at accurately assessing the presence and progression of liver
fibrosis utilising non-invasive MRI analysis
The Company also has a clinical trials business which both manages clinical trials in Australia and includes the
site management operations of TrialsWest.
Stakeholders, including clinicians, participants, and shareholders, are encouraged to register their interest at
www.resonancehealth.com and to follow Resonance Health on LinkedIn.
Page 2
Resonance
Health
FY25 Full-Year Results & FY26 Guidance
August 2025
Andrew Harrison, CEO
Benjamin Carruthers, CFO
1
1
FY25 Full-Year Highlights
ü Full-year revenue of $11.1M up 29% on FY24. FY23 to FY25 revenue compounded annual growth rate (CAGR) of 43%.
ü Business transformation into three profit generating business segments well underway.
ü Normalised Operating EBITDA* of $1.4M up 24% on FY24.
ü Record cash receipts from customers of $14.0M up 72% on FY24.
ü Cashflows from operating activities (receipts from customers less supplier payments) of $1.2M up 228% on FY24 and net cash provided
by operating activities of $1.2M (after interest, grants, income tax etc).
ü Free cashflow of $1.1M consistent with the FY24.
ü Completed the material clinical trial services agreement announced in Aug 2023, with the master file provided to the international
global-major-pharma customer, ~$0.6M remaining to be invoiced.
ü Major clinical trial announced in Nov 2024 worth $13.8M progressing to plan and on schedule. One-third of target patients recruited and
dosed.
ü SaMD business awarded several contract extensions from global pharma worth ~$4.5M across 2 to 4-year terms. Additional contracts
under bid worth ~$2.5M-$3M over multiple years.
ü Major cost efficiency program completed in March 2025, expected annual savings going forward of approximately $1.1M.
ü Cash at bank of $3.0M at year end, and net cash of $0.1M (net of $2.9M bank debt).
*Normalised Operating EBITDA = Statutory Net Loss – (R&D tax Credit, FX gain, Share based payments) + (Depreciation, amortisation & net interest expense, one-off restructuring & transaction costs, and unearned income).
2
Business transformation well underway
*Normalised Operating EBITDA = Statutory Net Loss – (R&D tax Credit, FX gain, Share based payments) + (Depreciation, amortisation & net interest expense, one-off restructuring & transaction costs, and unearned income).
3
Quarterly Revenue vs Cash Receipts – Q1FY24 to Q4FY25
ü Strong growth in both revenues and cash receipts.
ü Strong positive operating cashflow.
ü Revenue recognition not reflective of invoiced revenue (net $2.6M in unearned income on balance sheet at 30 June 2025).
4
FY25 Normalised Operating EBITDA* Bridge
*Normalised Operating EBITDA = Statutory Net Loss – (R&D tax Credit, FX gain, Share based payments) + (Depreciation, amortisation & net interest expense, one-off restructuring & transaction costs, and unearned income).
5
Step change in Cashflow from Operations
Net Operating Cashflow = cashflow from operating activities + grants + tax. Free cashflow = Net Operating Cashflow – net interest expense – maintenance capex.
6
Cashflow – FY25 v FY24
Cashflow Metrics (Mill)
FY25
FY24
Change $
Change %
$M
Normalised Operating EBITDA*
1.4
1.1
0.3
24%
1.2
1.2
(0.2)
0.4
1.4
0.2
0.8
(0.1)
(0.3)
228%
(10%)
(229%)
Capex - Maintenance
0.1
0.2
(0.1)
(46%)
Free Cashflow***
1.1
1.2
(0.0)
(3%)
81%
103%
(22.5%)
(22%)
Cashflows from operating activities**
Net cash from operating activities
Net interest
Free Cashflow/ Normalised Operating EBITDA*
ü Strong positive operating cashflow.
ü Strong Free Cashflow conversion to normalised operating EBITDA.
ü Low maintenance Capex requirements.
*Normalised Operating EBITDA = Statutory Net Loss – (R&D tax Credit, FX gain, Share based payments) + (Depreciation, amortisation & net interest expense, one-off restructuring & transaction costs, and unearned income).
** Net Operating Cashflow = cashflow from operating activities + grants + tax. Free cashflow = Net Operating Cashflow – net interest expense – maintenance capex.
*** Free cashflow = Net Operating Cashflow – net interest expense – maintenance capex.
7
FY25 Free Cashflow Bridge
1 Net Operating Cashflow = cashflow from operating activities + grants + tax. Free cashflow = Net Operating Cashflow – net interest expense – maintenance capex.
8
Profit & Loss – FY25 v FY24
Profit & Loss Summary1
FY25
FY24
Change $
Change %
Revenue $M
11.1
8.6
2.5
29%
Normalised Operating EBITDA* $M
1.4
1.1
0.3
24%
Normalised Operating EBITDA Margin
13%
13%
(0%)
(4%)
Statutory NPAT $M
(1.7)
0.2
(1.9)
1
ü 29% revenue growth year on year.
ü 13% normalised operating EBITDA
margin, significant operating
leverage driving margin accretion
in future growth.
Abridged summary prepared for comparative purposes, refer to Annual Report for Statutory Accounts.
*Normalised Operating EBITDA = Statutory Net Loss – (R&D tax Credit, FX gain, Share based payments) + (Depreciation, amortisation & net interest expense, one-off restructuring & transaction costs, and unearned income).
9
Balance Sheet – FY25 v FY24
Balance Sheet Summary1
$M
FY25
FY24
Cash and cash equivalents
3.0
6.9
Trade debtors and other receivables
3.5
2.3
Intangibles
9.5
9.9
PPE and other assets
1.9
1.2
Trade and other payables
(1.3)
(1.3)
Borrowings
(2.9)
(3.2)
Revenue received in advance
(3.2)
(0.0)
Other liabilities
(1.2)
(4.9)
Net Assets
9.4
10.9
Assets
Liabilities
ü Strong cash position at $3.0M.
ü More efficient use of balance sheet with $2.9M in senior
secured debt (facility limit of $3.2M).
ü Liabilities include revenue received in advance of $3.2M
relating to the delivery of Resonance Clinical major
clinical trial contracts (net unearned income of $2.5M
after adjusting for $0.6M in accrued revenue).
1 Abridged summary prepared for comparative purposes, refer to Annual Report for Statutory Accounts.
10
Resonance Health specialises in providing central imaging (SaMD) services, contract research organisation (CRO) services
and investigator site (TrialsWest) services to global pharmaceutical and biotechnology companies, hospitals and radiology
centres.
Central Imaging Vendor
Contract Research Organisation
Investigator Sites
Analysis of MR images to
non-invasively measure
liver iron, cardiac iron and
liver fat measurements
Local Clinical Research
Organisation (‘CRO’) offering
end-to-end management of
clinical trials in Australia
Identification, recruitment
and day-to-day
management of
participants during the
conduct of clinical trials
11
Central Imaging (SaMD) Business
ü
SaMD business segment revenue $5.0M for the full year.
ü
Entered new and extended clinical trial service agreements for provision of SaMD
services in clinical trials (approximately $4.5M in new contracts across 2 to 4-year terms).
Additional contracts under bid worth ~$2.5M-$3M over multiple years•
ü
Providing central imaging services to Resonance Clinical (CRO business) for the two
major pharma clinical trials being undertaken for a large international sponsor.
ü
Extended Proof of Concept study (EPoC) for a new novel non-invasive liver fibrosis SaMD
product is progressing well.
ü
‘Bridge Project’ to connect Resonance’s SaMD image-analysis systems directly to
customer PACS platforms, vastly improving customer experience, commenced
commercial testing.
ü
Software automation project developing and implementing tools in the head office
service centre progressing well. These tools will significantly increase service centre
throughput.
ü
Continued expansion of central-read analysis service offerings in the period with the
introduction of a central-read service for Magnetic Resonance Elastography (MRE) and
visceral and subcutaneous fat volume quantification (VAT & SAT).
12
Resonance Clinical (Contract Research Organisation)
ü
Consolidation of Resonance Clinical business segment in the period.
ü
$20.1M in total CRO contract wins since August 2023.
ü
$4.2M in revenue in the full year, with invoices totalling $6.7M issued in the
period (all now paid).
ü
Developed highly sophisticated CRO team capability with several additional
appointments.
ü
A one stop shop approach for our international customers utilising our
complementary business units with SaMD and TrialsWest providing services.
ü
Major clinical trial announced in Nov 2024 worth $13.8M progressing to plan and
on schedule. One-third of target patients recruited and dosed.
ü
Major clinical trial announced in Aug 2023, worth $6.3M completed with the
master file provided to the customer, ~$0.6M remaining to be invoiced.
ü
Currently reviewing several new contract opportunities.
13
Investigator Sites
ü TrialsWest revenue of $1.9M in FY25. Total invoiced revenue $2.7M, of that
~$800k was generated through the trials run by Resonance Clinical.
ü Second TrialsWest site opened north of Perth in August 2024 started
generating revenue in November 2024, now at profitable run-rate.
ü Third TrialsWest site in Mandurah, WA currently being established and
expected to see patients during Q1FY26.
ü TrialsWest continues to win work from blue-chip customers across both the
respiratory and metabolic disease space, among others.
1 Segment revenue before intercompany eliminations of ~$500k.
14
Normalised Results by Business Segment
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1 Overheads have been allocated on a percentage of revenue basis to each segment.
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ü All business segments are now
positively contributing at an
operating level.
ü Organisation has been
transformed from FY23 having a
single revenue source, to 3
complementary businesses
providing a platform for growth.
ü Achieving a greater share of
customer spending with
Resonance Clinical customers
generating revenue with
TrialsWest and the SaMD
business
2 Other normalisation adjustments include adjustments for FX movements, net interest expense, share based payments, depreciation, amortisation and non-recurring costs.
15
Strong Path to Growth
There are several key near term drivers of growth
Automation
Increase capacity of the business through automation including use of advanced AI products and bridge
technology
Early commercialisation of a non-invasive MRI Liver Fibrosis device
Completion of Extended Proof of Concept study which will allow the early commercialization of the device as
investigative use only into clinical trials whilst regulatory approvals are obtained for broader market release.
Win additional clinical trial work
Leverage our existing CRO work into further metabolic/liver clinical trial management services.
Expansion of the TrialsWest network of investigator sites
Obtain new investigator sites in strategic locations within Western Australia and other states across Australia.
Acquisitions
Targeted business acquisitions to increase capability or market share to drive revenue / profit growth.
Greater share of
clinical trial ecosystem
Targeted sales and marketing activities within the clinical trial ecosystem for existing or new products.
16
Business Outlook
Strong FY26 performance is expected on the back of strong FY25 results
ü Continued growth in SaMD business volumes.
ü Second Resonance Clinical contract will continue to generate revenue in FY26.
ü Full year impact of second TrialsWest site (Osborne Park, WA) and establishment of
third TrialsWest site (Mandurah, WA). Further sites expected in the period.
ü Continued push to offer services across three business segments to our clinical trial
customers.
ü Acquisitive pipeline of potential business targets across the different sectors of the
clinical trial ecosystem.
ü Strong tailwinds from projected domestic and international clinical trials market
growth.
17
Guidance FY26
FY26 Guidance $M
Revenue
17
Underlying EBITDA
2
ü Target EBITDA margins over coming periods ~25% as operational
leverage drives margin expansion.
ü Operationally cashflow positive.
ü Significant potential upside from conservative assumptions.
Assumptions:
ü
ü
ü
ü
ü
ü
No new TrialsWest sites during period
No new contract wins in Resonance Clinical business
Geographical expansion not included
No contribution from new Non-Invasive Fibrosis device
Acquisition pipeline not included
Existing contracted clinical trials run their full expected duration
18
Significant revenue growth and diversification since FY23
FY26
ü FY23–FY26 strong
revenue growth
(~45% CAGR)
FY23
ü Profitable ~$2M EBITDA
ü Diversified revenue
ü Customer, clinical, and
technical synergies
Total Revenue $4.4M
Total Revenue Guidance ~$17M
19
Disclaimer Forward Looking Statements
This presentation has been prepared by Resonance Health Ltd (“Resonance Health” or “Company”) and may contain forward-looking
statements that are based on current expectations and beliefs and are subject to numerous factors and uncertainties that could cause actual
results to differ materially from those described. Forward looking statements contained in this presentation may include statements about
future financial and operating results, status of regulatory submissions, possible or assumed future growth opportunities and risks and
uncertainties that could affect Resonance Health’s products and services.
These forward-looking statements are not guarantees of future performance, involve certain risks, uncertainties and assumptions that are
difficult to predict, and are based upon assumptions as to future events that may prove inaccurate. Actual outcomes and results may differ
materially from what is expressed in any forward-looking statement in which Resonance Health expresses an expectation or belief as to future
results. There can be no assurance that the statement or expectation or belief will result or be achieved or accomplished. Resonance Health
will not update forward-looking statements unless required by law.
This presentation does not constitute or form part of an offer of securities or a solicitation of invitation to buy or apply for securities, nor may it
or any part of it form the basis of or be relied on in any connection with any contract or commitment. The information in this presentation
does not take into account the objectives, financial situation or individual needs of any person. Nothing contained in this presentation
constitutes investment, legal, tax, or other advice. Potential investors should make their own decisions whether to invest in Resonance Health
shares based on their own enquiries and are advised to seek appropriate independent advice. This presentation does not, and does not
purport to, contain all the information prospective investors in Resonance Health would desire or require in reaching an investment decision.
To the maximum extent possible by law, none of Resonance Health, their officers, directors, employees, associates, or agents, nor any other
person’s accepts any liability for any loss, claim, damages, costs or expenses of whatever nature (whether or not foreseeable), including,
without limitation, any liability arising from fault or negligence on the part of any of them or any other person, for any loss arising from the use
of this presentation or its contents or otherwise arising in connection with it or any error or omissions in it.
20
THE RESONANCE BUSINESS
Large Global Reach
ü Resonance Health is an ASX listed provider of Software as a Medical
Device (SaMD), and Clinical Trial Services to Hospitals, Radiology Centres,
and Pharma globally
ü Currently used in more than 400 locations globally
ü Actively currently involved in over 40 clinical trials
Customers
•
Diagnostic
•
Clinical Trials
Snapshot
World class clinical trial customer
base
•
In 48 Countries
•
•
Over 400 Active Sites
90,000 Analysis Completed
Map icons indicate our worldwide imaging locations,
with over 400+ active sites.
21
Strong Tailwinds
Australian Clinical Trial Market
Key Drivers - Australia
Global Clinical Trial Market
Key Drivers - Globally
ü
Approvals and regulatory system
ü
Increasing rapidity of technological breakthroughs
ü
Public private health system
ü
Shortening development timeframes
ü
Multi-cultural population
ü
Increase in outsourcing of trials
ü
Population receptive to testing / participation
ü
Increase in efficiency of non-hospital trials
ü
R&D Tax incentives
22
Clinical Trial Ecosystem
Clinical Trials are central to the development of new medicines and vaccines to prevent and treat disease. They require the
coordinated action of a number of key stakeholders.
Third Party Vendors
Pharma & Biotech Companies
Certain activities may be outsourced by Sponsors/CROs to
specialist 3rd party vendors, such as central pharmacy, central
laboratory testing, data management, centralised image analysis,
and electronic Participant Reported Outcome (PRO) assessments.
Global Pharma companies fund clinical trials and are usually called
‘Sponsors’. They have overall responsibility for the conduct of the
clinical trial including deciding the purpose of the study and
designing the trial to meet this purpose.
Resonance provides a centralised image analysis through its
SaMD business relating primarily liver iron and liver fat
Resonance often consults to these groups assisting with trial
design & technical input in its various areas of specialty
Investigator Sites
Investigator Sites are responsible for the identification,
recruitment and management of participants during clinical trials.
The team usually comprises Principal Investigators, Clinical
Research Physicians, Research Nurses, Clinical Trial Co-ordinators,
Laboratory Assistants, Pharmacists and Clinical Trial Assistants.
TrialsWest runs some of Australia’s leading Investigator Sites
managing trials from feasibility through to study completion.
Regulatory Bodies & HRECs
All clinical trials undertaken in Australia must be reviewed and approved
by a Human Research Ethics Committee (HREC). HRECs must be
registered with the National Health and Medical Research Council
(NHMRC) and operate under a strict regulatory environment.
Clinical Trial
Ecosystem
Contract Research Organisation
Sponsors may outsource the management of clinical trials to
Contract Research Organisations (CRO). Clinical trials
conducted in Australia must also have an Australian-based
entity who is legally responsible for the study (Local CRO).
Resonance Clinical acts as a Local CRO in the delivery of
clinical trials focused on metabolic/liver function.
Participants
Australia is well regarded in the global clinical trial market given its fast
and clear regulatory approval pathway, high quality facilities and
workforce, data management integrity, and R&D Tax Rebates/Incentives.
Recruitment of willing participants is key to the success of any clinical trial.
23
Contact Us
info@resonancehealth.com
+61 8 9286 5300
resonancehealth.com
resonance-health-ltd/
24
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