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Medistim

Investor Presentation Oct 27, 2023

3662_rns_2023-10-27_cff3c67d-a664-48f2-8e1f-1268dcda8eb4.pdf

Investor Presentation

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1

Welcome to Medistim ASA'sInterim report for the third quarter 2023

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Medistim ASA Q3 2023

October 27th 2023

PRESIDENT & CEOCFO

Kari E. Krogstad Thomas Jakobsen

Disclaimer

The information included in this Presentation may contain certain forward-looking statements that address activities, events or developments that Medistim ASA ("the Company") expects, projects, believes or anticipates will or may occur in the future. These statements are based on various assumptions made by the Company, which are beyond its control and are subject to certain additional risks and uncertainties.

The Company is subject to a large number of risk factors including but not limited to economic and market conditions in the geographic areas and markets where Medistim is or will be operating, such as IP risks, clinical development risks, regulatory risks, fluctuations in currency exchange rates, and changes in governmental regulations. For a further description of other relevant risk factors, we refer to Medistim's Annual Report for 2022. As a result of these and other risk factors, actual events and our actual results may differ materially from those indicated in or implied by such forward-looking statements.

The reservation is also made that inaccuracies or mistakes may occur in this information given above about current status of the Company or its business. Any reliance on the information above is at the risk of the reader, and Medistim disclaims any an all liability in this respect.

Table of Contents

  • ● Highlights 01
  • ● Financial statements 02
  • ● Business segments update 03
  • ● Implementing the strategy 04

01 Highlights

Highlights 3rd Quarter

R
e
e
n
e
v
u
(
M
N
O
K
1
2
4
1
)
1
1
6.
5
%
6.
5
+
E
B
I
T
(
M
N
O
K
3
3.
5
3
)
4
0
1.
5
%
-
C
u
r
r
e
n
c
y
%
9
6
+
be
f u
Nu
i
m
r o
n
l
d o
lea
d:
ts
so
r
se
low
F
te
sy
s
ms
2
5
2
8.
6
%
-
Im
ing
te
ag
sy
s
ms 2
8
%
1
6.
7
+
low
F
te
sy
s
ms
2
5
2
8.
6
%
-
ing
Im
te
ag
sy
s
ms
2
8
1
6.
%
7
+
low
be
F
p
ro
s
2
0
0
4
1
5.
1
%
-
be
Im
ing
ag
p
ro
s
4
4
%
7.
3
+
du
(
ds
lea
)
Pro
P
P
P c
&
ce
res
ar
se
9
6
7
9
1.
4
%
+

Q3 2023 Q o Q Solid financial results, helped by favorable currency

Own products sales increase by 5.4 % in NOK

  • Imaging sales up 8.1 % in NOK, Flow sales up 3.9 % in NOK
  • oVascular sales up 7.7 % in NOK, Cardiac sales up 4.9 % in NOK
  • Third-party products up 13.9 %

Currency neutral, total sales shows a -3.1% decline

  • o Currency neutral decline for own products was -5.6% with large regional variation:
  • AMERICAS down -10.3 %
  • EMEA up 32.1 %
  • APAC down -54.9 %

EBIT margin at 27.0 % (29.2 %)

High activity, timing, going direct, inflation and currency contribute to the higher expenses

Highlights YTD September 2023

Y
T
D
2
0
2
3
Y
T
D
Y
T
D
o
R
e
e
n
e
v
u
(
)
M
N
O
K
3
9
0
7
3
5
0
1
%
1
1.
6
+
E
B
I
T
(
)
O
0
9
2
0
8
M
N
K
1
1
4
2
%
4
+
C
u
r
r
e
n
c
y
%
1
0
4
+

Number of units sold or leased:

low
F
te
sy
s
ms
1
0
5
5.
4
%
-
Im
ing
te
ag
sy
s
ms
7
4
%
3.
9
-
low
be
F
p
ro
s
6
6
5
1
0.
9
%
+
be
Im
ing
ag
p
ro
s
1
2
9
%
3.
0
-
du
(
ds
lea
)
Pro
P
P
P c
&
ce
res
ar
se
3
0
2
0
5
3.
3
%
+

Strong financial results, helped by favorable currency

  • Own products sales increase by 12.9 % in NOK
  • oImaging sales up 0.3 % in NOK, Flow sales up 19.7 % in NOK
  • Vascular sales up 15.3 % in NOK, Cardiac sales up 12.4 % in NOK

Third-party products up 4.9 %

  • Currency neutral total growth was 1.2%
  • o Currency neutral growth for own products was 0.5%
    • AMERICAS down -5.2 %
    • EMEA up 13.5 %
    • APAC down -5.1 %

EBIT margin at 27.9 % (29.9 %)

High activity, going direct, inflation and currency contribute to the higher expenses

02 Financial Statements

Profit and loss Q3 2023

Pr
f
i
&
lo
t
o
ss
Q
3
2
0
2
3
Q
3
2
0
2
2
O
1
0
0
0
A
l
l n
be
in
N
K
um
rs
Sa
les
re
ve
nu
e
1
2
4
0
9
8
1
1
6
4
9
0
Co
f g
ds
l
d
t o
s
oo
s
o
2
2
3
0
5
2
1
8
9
2
Sa
lar
d s
ia
l e
y
an
os
xp
en
se
s
4
2
1
4
5
3
8
9
2
7
O
t
he
t
ing
r o
p
er
a
ex
p
en
se
s
2
0
7
5
8
1
5
9
7
3
To
ta
l o
t
ing
p
er
a
ex
p
en
se
s
8
2
2
5
5
6
9
2
7
7
E
B
I
T
D
A
3
8
8
4
6
3
9
6
9
9
%
E
B
I
T
D
A
3
1,
3
%
3
1
%
4,
De
ia
t
ion
p
re
c
5
3
2
9
5
6
8
1
Op
ing
f
i
(
E
B
I
T
)
t
t
er
a
p
ro
3
3
1
5
7
3
4
0
1
7
E
B
I
T
%
2
0
%
7,
2
9,
2
%
F
ina
ia
l
inc
nc
om
e
1
6
7
4
8
8
4
5
F
ina
ia
l e
nc
xp
en
se
s
1
6
7
1
8
3
5
5
Ne
t
f
ina
nc
e
7
5
3
4
9
7
-
f
Pr
ta
i
t
e
p
ro
x
3
3
5
9
2
3
0
5
2
0
Ta
x
4
6
0
7
8
3
5
7
Pr
f
i
t a
f
te
ta
o
r
x
2
6
1
3
2
2
4
6
4
7

Profit and loss YTD September 2023

Pr
f
i
&
lo
t
o
ss
Y
T
D
3
0.
0
9.
2
3
Y
T
D
3
0.
0
9.
2
2
O
A
l
l n
be
in
N
K
1
0
0
0
um
rs
Sa
les
re
ve
nu
e
3
9
0
7
4
5
3
5
0
1
1
4
Co
f g
ds
l
d
t o
s
oo
s
o
7
8
1
4
9
7
3
7
1
4
Sa
lar
d s
ia
l e
y
an
os
xp
en
se
s
1
1
6
5
5
7
1
0
3
5
7
9
O
t
he
t
ing
r o
p
er
a
ex
p
en
se
s
7
0
2
3
9
5
0
6
9
0
To
ta
l o
t
ing
p
er
a
ex
p
en
se
s
2
6
4
9
4
5
2
2
7
9
8
4
E
B
I
T
D
A
1
2
5
8
0
0
1
2
2
1
3
0
E
B
I
T
D
A
%
3
2,
2
%
3
4,
9
%
De
ia
t
ion
p
re
c
1
6
6
1
7
1
3
3
7
5
Op
ing
f
i
(
E
B
I
T
)
t
t
er
a
p
ro
1
0
9
1
8
4
1
0
4
7
7
7
%
E
B
I
T
2
9
%
7,
2
9,
9
%
F
ina
ia
l
inc
nc
om
e
1
0
1
4
0
1
4
4
9
5
F
ina
ia
l e
nc
xp
en
se
s
1
0
5
0
5
1
5
1
3
1
Ne
f
ina
t
nc
e
3
6
5
-
6
3
5
-
Pr
f
i
ta
t
e
x
p
ro
1
0
8
8
1
8
1
0
4
1
4
1
Ta
x
2
4
1
0
4
2
2
6
4
6
Pr
f
i
t a
f
te
ta
o
r
x
8
4
7
1
4
8
1
4
9
6

Balance sheet –Assets

  • Cash position by end of the quarter was MNOK 126.4 after a dividend payment of 82.2 MNOK in May
  • Securing end-of-life components and keeping security stocks explain the high inventory level
  • Reduction in customers receivables and strengthening of cash position
Ba
lan
he
t
ce
s
e
3
0.
0
9.
2
0
2
3
3
1.
1
2.
2
0
2
2
A
l
l n
be
in
N
O
K
1
0
0
0
um
rs
As
ts
se
In
ta
i
b
le
ts
ng
as
se
4
7
5
7
8
3
9
6
6
0
F
ixe
d a
ts
ss
e
5
4
0
1
4
5
7
1
0
4
f
To
ta
l
in
ta
i
b
le
d
ixe
d a
ts
ng
an
ss
e
1
0
1
5
9
2
9
6
7
6
4
Inv
to
en
ry
1
4
5
9
2
7
1
1
4
3
3
3
Cu
to
iva
b
les
s
m
er
s
re
ce
8
1
2
3
8
1
0
1
6
5
7
O
t
he
iva
b
les
r r
ec
e
1
9
7
1
8
1
7
2
6
3
Ca
h
s
1
2
6
4
2
2
1
5
2
6
4
1
To
l c
ta
t a
ts
ur
re
n
ss
e
3
3
3
0
7
5
3
8
8
9
5
5
To
ta
l a
ts
ss
e
4
7
4
8
9
7
4
8
2
6
5
9
Ba
la
he
t
nc
e
s
e
3
0.
0
9.
2
0
2
3
3
1.
1
2.
2
0
2
2
A
l
l n
be
in
N
O
K
1
0
0
0
um
rs
S
ha
i
ta
l
re
c
ap
4
5
8
5
4
5
8
5
fu
Pr
iu
d
em
m
n
4
4
1
7
2
4
4
1
7
2
O
he
i
t
ty
r e
q
u
3
2
9
1
0
5
3
1
8
9
3
4
To
ta
l e
i
ty
q
u
3
7
8
2
6
7
3
6
7
6
9
2
To
ta
l
lo
te
de
b
t
ng
rm
4
3
7
2
1
5
1
4
5
To
ta
l s
ho
t
te
de
b
t
r
rm
9
2
2
5
8
9
9
8
2
2
To
l e
i
d
l
ia
b
i
l
i
ta
ty
ty
q
a
n
u
4
4
8
9
7
7
4
8
2
6
9
5

Balance sheet –Equity and Liability

  • No interest-bearing debt
  • 11.8 MNOK in obligations related to lease contracts where 4.1 MNOK is long term. Deferred revenue related to extended warranty amounted to 0.2 MNOK. Total long-term debt of 4.4 MNOK
  • Strong balance sheet with 80 % equity ratio

03 Business segments update

Imaging probes in units (excl. PPP/leasing)

Imaging probes and systems in units

  • 6 more Flow-and-Imaging units sold as capital in Q3 compared to Q3 LY:
  • •1 less in AMERICAS
  • •1 more in APAC
  • •6 more in EMEA

YTD September, we are 2 systems down from last year

Imaging probe sales follows the system sales

Flow probes and systems in units

  • 10 less capital sales of Flow systems in Q3, with APAC down 7. 3 less YTD September
  • The total sale of systems (Flow and Flow-and-Imaging) sold as capital equipment shows a decline of 4 units this quarter, and 5 unit less for YTD
  • 261 259 298 322 309 347 401 472 419 387 436 508 427 341 486 714 763 550 828 590 433 927 1355754 717 31791911961001 1133 1400 13491185 1148101416478801352126005001000150020002500300035004000Q3 20 Q4 20 Q1 21 Q2 21 Q3 21 Q4 21 Q1 22 Q2 22 Q3 22 Q4 22 Q1 23 Q2 23 Q3 23 20042360

5 4 7 8 5 5 6 3 4 7 3

Q3 20 Q4 20 Q1 21 Q2 21 Q3 21 Q4 21 Q1 22 Q2 22 Q3 22 Q4 22 Q1 23 Q2 23 Q3 23

APAC

12

EMEA

17

35

28 29 18

17

25

11

Flow probes in units (excl. PPP/leasing)

Americas

14 8

1115

2

21

10

Flow systems in units (excl. PPP/leasing)

23

Good probesales in AMERICAS and EMEA, but a weak quarter for APAC

M
i
l
l
N
O
K
Q
3
2
3
Q
3
2
2
Q
/
Q
Y
T
D
2
3
Y
T
D
2
2
Y
T
D
/
Y
T
D
C
S
A
M
E
R
I
A
1,
5
7
1,
8
5
-0
3
%
,
1
6
2,
2
1
3,
9
5
%
5,
4
A
P
A
C
9,
8
1
9,
2
-4
8,
8
%
5
4,
3
5
0,
4
7,
6
%
E
M
E
A
4
5,
1
3
0,
1
4
9,
8
%
1
1
5,
3
8
9,
6
2
8,
7
%
3.p
ty
ar
1
7,
5
1
5,
3
1
3,
9
%
5
9,
0
5
6,
2
4,
9
%
To
ta
l
1
2
4,
1
1
1
6,
5
6,
%
5
3
9
0,
7
3
0,
1
5
1
1,
6
%

Revenue performance by region

  • • In AMERICAS, revenues was at the same level as LY in NOK for the quarter and up 5.4 % YTD, but declined by 10.3 % currency neutral for the quarter and 5.2 % YTD. The reason for the decline is fewer capital sales of systems, Imaging systems in particular.
  • • In APAC, revenues declined with 48.8 % for the quarter and was up 7.6 % YTD. Currency neutral development was 54.9 % decline for the quarter and 5.1 % YTD. The weak quarter was related to the transition of our China business from a distributor to own sales organization, leading to increased inventory at the local Chinese distributors.
  • EMEA delivered a strong second and third quarter after a weak first quarter. Revenues were up in NOK by 49.8 % and currency neutral up by 32.1 %. YTD currency neutral growth was 13.5 %.
    1. Party sales up 13.9 % for the quarter and 4.9 % YTD.

Positive currency effects for 2023 vs 2022 was 36.4 MNOK. Average actual exchange rate for USD 10.47 and EUR 11.35 versus last year USD 9.42 and EUR 10.01.

Revenue performance by product category

O
M
i
l
l
N
K
Q
3
2
3
Q
3
2
2
Q
Q
o
Y
T
D
2
3
Y
T
D
2
2
Y
T
D
Y
T
D
o
(
S
)
Pr
du
U
A
oc
e
re
s
2
3
5,
2
4,
5
3,
%
5
8
0,
0
1,
0
7
1
2,
6
%
F
low
be
p
ro
s
3
9,
7
3
8
7,
0
%
5,
1
3
6,
0
1
0
6
7,
2
6,
%
4
F
low
te
(
M
ira
Q
)
sy
s
m
s
1
2,
0
1
2,
0
%
0,
1
4
0,
5
3
5,
7
%
1
3,
2
Im
in
te
(
M
ira
Q
)
ag
g
sy
s
m
s
2
4,
9
2
2,
3
1
1,
6
%
6
3,
5
6
6,
1
3,
9
%
-
Im
in
be
ag
g
p
ro
s
4,
7
4,
6
2,
9
%
1
1,
9
1
3,
5
1
2,
0
%
-
3r
d
ty
p
ar
1
7,
5
1
5,
3
1
3,
9
%
5
9,
0
5
6,
2
4,
9
%
T
l
t
o
a
r
e
v
e
n
u
e
s
1
2
4,
1
1
1
6,
5
6,
%
5
3
9
0,
7
3
0,
1
5
1
1,
6
%

• Procedure sale in the USA: The number of procedures increased with 1.4 % for the quarter and 3.3 % YTD. Favorable currency explains the higher growth in NOK.

  • • Flow probes: The number of units sold decreased -15.1 % for the quarter and increased 0.9 % YTD. The increase in NOK is driven by currency and price increase.
  • • Flow systems: The number of units sold was down -28.6 % for the quarter and down -2.8 % YTD, but high level of sales through the direct channel and currency explain the increase in NOK for the quarter and YTD.
  • • Imaging systems and probes: For the quarter the number of imaging units sold was up 27.3%, but higher level of sales through distributors explain less growth in NOK. The number of units was down -2.7 % YTD, and sales in NOK shows a decline.
  • •3. Party sales up 13.9% for the quarter and 4.8 % YTD. 18

04 Implementing the strategy

Medistim growth strategy

GEOGRAPHIES

E
i
m
e
r
g
n
g
h
ig
h-g
h
t
row
ies
ec
on
om
(
)
I
C
B
R
e.g
3
l
i
D
e
v
e
o
p
n
g
d
is
im
ke
M
t
ts
e
m
ar
(
U
S
A,
U
K,
e.g
)
Fra
nc
e
2
S
t
r
o
n
g
d
ke
M
is
im
t
ts
e
m
ar
(
d
ic,
Jp
No
e.g
r
,
)
Ge
rm
an
y
ha
0
%
C
A
G
5
B
>
s
re
1 4
C
A
B
G
su
rg
er
y
(
)
2
B
N
O
K
lar
Va
sc
u
su
rg
er
y
(
)
1.
5
B
N
O
K
>
he
O
t
r o
p
en
he
t
ar
su
rg
er
y
(
)
1
B
N
O
K

APPLICATION AREAS

    1. Convert the routine Flow market to a Flow-and-Imaging market by establishing Surgical Guidance and Quality Assessment as the new standard of care through
  • →Early adopter & KOL support
  • →REQUEST study
  • →Ease conversion from flow to imaging with MiraQ
    1. Achieve routine use of both Flow and Imaging by fighting ignorance, indifference and ease-of-use objections through
  • →Clinical marketing, guidelines and educational programs
  • →Product innovation for ease of use
  • →Increased sales force capacity
    1. Offer an entry-level solution to reach emerging, price-sensitive, high-growth markets
    1. Build and strengthen position in vascular surgery
  • →Dedicated system (MiraQ Vascular) & probes
  • →Build position with societies and KOLs
  • 5.Expand our direct market coverage

20

Developing the US market

Performance US sales

Currency neutral sales revenue declined by -10.3 % in Q3 and by -5.2 % YTD in AMERICAS due to soft capital sales in the USA

Total number of procedures was flat in Q3 and down -1.9 % YTD(counting PPP/Lease procedures and procedures from capital probe sales)

  • Flow procedures at the same level as last year for the quarter and down -2.1 % YTD
  • Imaging procedures down -1.7 % for the quarter and at the same level as last year YTD

Capital systems sales

  • o 9 (13) units in total in Q3 and 32 (40) units in total YTD
  • oFewer Flow-and-Imaging units YTD; 18 (26)

Keep winning new customers

o7 (8) in Q3 and 25 (27) YTD

Number of procedures per Year (from PPP/Lease and Capital probe sales)

20 largest shareholders per 24th of October

Name: MEDISTIM ASAISIN: NO0010159684Number of investors: 1043Number of shares: 18.337.336

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24

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