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Senzime Interim / Quarterly Report 2024

Nov 6, 2024

3198_10-q_2024-11-06_545d696b-8ae5-494e-bb67-8fbd9782eed3.pdf

Interim / Quarterly Report

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Quarterly report Senzime AB (publ.) July - September 2024

QUARTERLY REPORT Q3 JUL-SEPT 2024

CEO COMMENT

"Strong sales growth driven by accelerated sensor sales and increased usage of TetraGraph systems, as we continue to secure more strategic hospital accounts in the US market."

KPI's

17,4

Million SEK in Net Sales 90%

Total sales growth vs. Q3 2023.

81%

US market sales growth vs. Q3 2023

2 869 (1 899)

TetraGraph-Systems delivered to market since start1

75 520 (24 580)

Number of TetraSens disposable sensors sold during the quarter.

500

Hospitals that now have TetraGraph in the EU, USA, Japan and South Korea.

(1) Figures in brackets are previous year period KPI

HIGHLIGHTS

New contract with top 10-ranked healthcare system in Southeastern US Senzime signs a new contract with a leading healthcare system (IDN) that expands the use of the TetraGraph system from being used only for children. The new contract includes an additional 50 TetraGraph systems, expected to lead to a fourfold increase in sensor volumes over time.

New contract with a hospital within a top 5-ranked US hospital system Senzime secures a first purchase contract with a hospital within one of the five largest Integrated Delivery Networks (IDN) in the U.S. with a strong presence on the US East Coast.

Directed share issue of SEK 86 million at the current market rate Senzime raises growth capital through direct issue to existing and longterm shareholders such as the Crafoord family, Segulah Medical Acceleration, Fjärde AP-fonden, Carnegie Fonder, Swedbank Robur Fonder

Strong growth in deliveries of disposable sensors

Deliveries of TetraSens disposable sensors increase threefold compared to Q3 2023, driven by increased utilization of TetraGraph systems especially in the USA, Japan and Korea.

and Professor Sorin J. Brull.

The growth rate validates the company's business model.

QUARTERLY REPORT Q3 JUL-SEPT 2024

THIRD QUARTER 2024 (1 JULY – 30 SEPTEMBER)

  • Net sales amounted to TSEK 17,406 (9,154), an increase of 90 %.
  • Currency-adjusted net sales increased by 98 %.
  • Sales of disposable sensors amounted to TSEK 12,473 (4,644), an increase of 169 %.
  • In the USA, net sales increased to TSEK 13,117 (7,259), an increase of 81 %.
  • Sales of disposable sensors in the USA amounted to TSEK 9,136 (3,471), an increase of 163%.
  • The gross margin before depreciation amounted to 63.0 % (69.4).
  • Operating costs amounted to TSEK 38,362 (32,841).
  • Operating profit before depreciation amounted to TSEK -26,518 (-25,477).
  • The result after financial items amounted to TSEK -31,964 (-30,587).
  • Earnings per share amounted to SEK -0.26 (-0.33).
  • Cash and cash equivalents as of September 30 th amounted to TSEK 50,241 (69,735).

SIGNIFICIANT EVENTS DURING THE THIRD QUARTER

  • Senzime signs a new contract with a top 10-ranked health care system (IDN) in Southeastern US that expands use of the TetraGraph system and is expected to quadruple.
  • Senzime updates on market prospects and higher growth ambitions.
  • Senzime secures a first purchase contract with a hospital within one of the five largest Integrated Delivery Networks (IDN) in the U.S. with a strong presence on the East Coast.
  • Senzime carries out a directed share issue of approximately SEK 86 million at market price to existing and long-term shareholders such as the Crafoord family, Segulah Medical Acceleration, Fjärde AP-fonden, Carnegie Fonder, Swedbank Robur Fonder, Fredrik Rapp and Professor Sorin J. Brull, as well as several new Swedish and international institutional investors. Cash funds to the company in October.

SIGNIFICANT EVENTS AFTER THE END OF THE THIRD QUARTER

  • A new research study is published that proves TetraGraph system's market-leading accuracy and clinically validates the technology.
  • The company launches the next-generation TetraGraph system and secured first order in the European market.

Q1-Q3 2024 (1 JANUARY – 30 SEPTEMBER)

  • Net sales amounted to TSEK 44,443 (24,904), an increase of 78 %.
  • Currency-adjusted net sales increased by 81 %.
  • Sales of disposable sensors amounted to TSEK 28,141 (12,878), an increase of 119 %.
  • In the USA, net sales increased to TSEK 33,127 (16,442 KSEK), an increase of 101 %.
  • The gross margin before depreciation amounted to 63.5 % (69.3).
  • Operating costs amounted to TSEK 111,208 (102,320).
  • Operating profit before depreciation amounted to TSEK -79,668 (-82,138).
  • The result after financial items amounted to TSEK -94,942 (-97,542).
  • Earnings per share amounted to SEK -0.77 (-1.16).
  • Cash and cash equivalents as of September 30th amounted to TSEK 50,241 (69,735).

SIGNIFICIANT EVENTS DURING Q1-Q3 2024

  • Commercial sales and marketing organization expands in the US.
  • Senzime's licensee Fukuda Denshi launches the first integrated TetraGraph module in the Japanese market.
  • Senzime secures several major deals such as the leading Houston-based University Hospital system, several leading US hospitals in robotic surgery and pediatrics, top 10 ranked healthcare system (IDN) in Southeastern US expanding use of TetraGraph systems with projections to quadruple patient volumes.
  • Senzime wins another major public tender from Veterans Health in the USA as well as signs its first GPO agreement in the USA and becomes the sole source supplier to one of the largest healthcare systems in the USA.
  • Senzime updates the market outlook and outlines higher growth ambitions.
  • Senzime carries out a directed share issue of approximately SEK 86 million at market price. Cash funds issued to the company in October.

KPI's THIRD QUARTER 2024

Q3 Q1-Q3
TSEK 2024 2023 2024 2023 2023
Net
Sales
17,406 9,154 44,443 24,904 35,754
EBITDA -26,518 -25,477 -79,668 -82,138 -116,793
Profit (loss) after financial items -31,964 -30,587 -94,942 -97,542 -137,159
Earnings per share (SEK) -0.26 -0.33 -0.77 -1.16 -1.45
Gross margin excl. amortization (%) 63.0 69.4 63.5 69.3 69.8
Solidity (%) 80.2 84.1 80.2 84.1 86.7
Sales Growth (%) 90.1 146.1 78.5 138.4 154,8

Net Sales Q3 (MSEK)

Net Sales Total R 12 month TSEK

Net Sales Disposables R 12 month TSEK

Total Delivered Base of TetraGraph Systems1

Comment: (1) Refers to all accumulated deliveries of TetraGraph monitors to end customers, distributors and partners. Some of the delivered base are still in stock at sales partners or has not yet been installed in a hospital environment

SALES OVERVIEW

Currency
Reported adjusted
TSEK Q3
Jul-Sep
2024 2023 Growth Growth
US 13,117 7,259 81% 89%
Devices/other 3,980 3,788 5% 11%
Disposables 9,136 3,471 163% 173%
Europe 1,781 1,472 21% 24%
Devices/other 375 566 -34% -32%
Disposables 1,405 906 55% 59%
RoW 2,509 424 492% 501%
Devices/other 577 157 269% 274%
Disposables 1,931 267 623% 639%
Total
Q3
17,406 9,154 90% 98%
Devices/other 4,933 4,510 9% 15%
Disposables 12,473 4,644 169% 178%
Reported Currency
adjusted
TSEK Q1-Q3
Jan-Sep
2024 2023 Growth Growth
US 33,127 16,442 101% 105%
Devices/other 12,940 7,156 81% 85%
Disposables 20,188 9,286 117% 120%
Europe 5,394 5,836 -8% -7%
Devices/other 1,372 2,964 -54% -54%
Disposables 4,022 2,872 40% 40%
RoW 5,922 2,626 125% 130%
Devices/other 1,990 1,905 4% 9%
Disposables 3,931 721 445% 450%
Total
Q1-Q3
44,443 24,904 78% 81%
Devices/other 16,302 12,026 36% 38%
Disposables 28,141 12,878 119% 120%

Accumulated number of disposable sensors sold

This is Senzime.

  • Senzime is a global medical technology company that develops algorithm-based patient monitoring systems with the goal of eliminating anesthesia related complications in over 100 million patients every year. 1.
  • Our systems enable precision-based monitoring of patients during and after surgery. It is about ensuring the correct individual dose of anesthesia-related drugs, indicating when it is safe to breathe again and enabling early identification of post-operative complications. 2.
  • Our foundation is based on extensive research and collaborations with leading academic institutions such as Mayo Clinic, Harvard, and Massachusetts General Hospital. Our systems meet the requirements of new clinical guidelines in the US, Europe, and many other countries. 3.
  • We have commercial operations covering over 30 markets with subsidiaries in the US and Germany, as well as several licensing and distribution partnerships in other regions. 4.
  • …and we are one of the fastest growing medical technology companies on the Nasdaq Main Market Stockholm with long-term institutional owners and a world-class team. 5.

CEO COMMENT

Strong sales growth driven by accelerated sensor sales and increased usage of TetraGraph systems, as we continue to win more strategic hospital accounts in the US market.

It has been yet another eventful quarter for Senzime. We continue to demonstrate strong sales growth with net revenues of 17.4 million SEK, an increase of 90 percent. Sales of the TetraGraph system and its single-use sensors are particularly strong, with growth in constant currencies exceeding 100 percent. Once again, we closed a quarter with record sales.

The volume of delivered single-use sensors tripled, serving as a strong endorsement of our business model. Sales of sensors amounted to 12.5 million SEK, compared to 4.6 million SEK the previous year. In just over a year, we have delivered more than 1,000 TetraGraph systems to leading hospitals, and usage rates are increasing. We now have over 500 hospitals globally with the TetraGraph system installed, a figure that has significantly increased based on updated information from our Japanese licensing partner.

The expanded sales organization in the US continues to generate excellent results.

Among the deals secured during the quarter, we particularly highlight an extended contract with a top 10-ranked healthcare system in the southeastern USA region that will quadruple the use of the TetraGraph system. Additionally, we signed a new contract with a hospital within the top 5-ranked Integrated Delivery Network (IDN) systems. We are also continuously delivering under the GPO agreement we signed in the second quarter.

The larger deals we are winning are based on extensive competitive clinical evaluations. We secured additional 15 new hospital contracts in the US and Europe during the quarter. We also note a trend in the US with an increasing share of deals being secured more quickly without clinical evaluation processes.

Business in Japan and South Korea is also showing good growth. Sensor sales have increased sevenfold during the quarter. Our Japanese licensee, Fukuda Denshi, is now selling its integrated module with "TetraGraph inside" in the same volumes as portable TetraGraphs. The module is the first of its kind powered by our algorithms and sensors; it has been launched as an accessory to Fukuda's extensive installed base of patient monitors. The healthcare strike in South Korea continues, but despite this, we have been able to deliver products to the market.

The gross margin was temporarily affected by the rapid US growth with volume deals that have slightly lower price levels for monitors but are expected to drive recurring sales of single-use sensors with higher margins. Direct operating costs were lower than previous quarters of the year, but total operating costs were affected by negative, balance sheet related currency effects of 4.2 million SEK due to a stronger Swedish Krona. Adjusted for these currency effects, operating results improved compared to the same quarter the previous year.

The new US and European clinical guidelines published in early 2023 are catalysts for our business. Additional guidelines for monitoring children are expected to be published in Europe in 2025. To meet demand in the broader market, we have been driving an intensive innovation and development collaboration with anesthesiologists worldwide. The goal has been to develop a system that makes advanced neuromuscular monitoring smarter, easier, and more accessible for a broader hospital market.

At the beginning of October, we launched our new next-generation TetraGraph at the annual major anesthesia congress, ANESTHESIOLOGY 2024, in the USA. We are now taking a significant step towards increasing patient safety in the operating room. The new next-generation TetraGraph system is truly a game-changer based on several groundbreaking clinical innovations including unique Adaptive Intelligence, thanks to extraordinary efforts of the Senzime team. The system is designed to help clinicians better comply to the new guidelines. We are now poised to further accelerate market penetration to serve the more than 100 million patients who need improved monitoring each year, ensuring the correct dosage of paralyzing anesthetics, adequate reversal, and the prevention of postoperative complications.

In conjunction with the new American Society of Anesthesiologists (ASA) guidelines, an important new research study was published that clinically validated the TetraGraph system across all levels of neuromuscular block. The results confirm that the TetraGraph system has higher clinical precision than any other commercially available and validated neuromuscular monitoring system. This is also the first study of its kind to clinically validate a portable EMG-only system for deep block, which is significant for procedures such as robotic surgery and laparoscopy. These results offer crucial support for our sales efforts.

The focus and directions for Senzime are clear: we are building the undisputed market leader in the digital and clinical shift that is now taking place in operating rooms worldwide. The commercial breakthrough for Senzime is a fact. During the quarter, we presented an update on our view of the market as well as our shorter-term targets and longer-term ambitions. In summary, we're building the undisputed global market leader in EMG-based neuromuscular monitoring.

To support our growth journey, we raised 86 million SEK in a directed shares issue at current market pricing during the quarter. The issue was conducted cost-effectively and targeted existing and long-term shareholders such as the Crafoord family, Segulah Medical Acceleration, the Fourth AP Fund, Carnegie Funds, Swedbank Robur Funds, and Professor Sorin Brull. We also welcomed several new international longterm institutional investors.

Our pipeline and outlook continue to look strong. The new next-generation TetraGraph system has been met with strong enthusiasm, and initial orders are already in place. I am confident that we will achieve profitability through continued high market penetration and increased system utilization. This will be driven by our commitment to providing the most user-friendly and innovative solutions and bolstered by strategic industry partnerships. None of this would be possible without the exceptional efforts of our brilliant team.

We are also celebrating our company's 25-year anniversary. It's a journey that began in biotechnology and blood glucose analysis. We then gradually evolved towards medical technology solutions for early detection of surgical complications. Then in 2019, we took the step to focus entirely on precision-based monitoring of patients under anesthesia.

To mark our 25th anniversary, we recently refreshed our profile and logo—symbols of our world-class technology and commitment to a world where every clinician is empowered, and every patient assured. With a dedicated team and strong partnerships, our global mission is to safeguard every patient's journey from anesthesia to recovery. Now, our next step is to bring our technology into every operating room worldwide. Read more about our 25-year journey and our future vision

at senzime.com/senzime25.

Uppsala, November 6, 2024

Philip Siberg, CEO

Comments to the report

Revenue and profit in the third quarter 2024

The group's net sales for the third quarter of 2024 amounted to TSEK 17,406 (9,154), corresponding to an increase of 90 percent compared to the corresponding quarter of the previous year. Adjusted for currency changes, sales increased by 98 percent. The growth was primarily driven by increased utilization and sales of disposable sensors in the US market and in Asia. Sales of disposable sensors increased by a total of 178 percent adjusted for currency changes. In the main markets, it was primarily the installed base of monitors that drove sensor sales growth. In the US, sales of disposable sensors increased by 163 percent, in Europe by 55 percent and in Asia by 623 percent.

Sales of monitors increased by 9 percent and adjusted for currency changes the growth was 15 percent. New deliveries to hospital systems in the US and Europe vary over the year and a normalized assessment is that the third quarter usually shows lower growth due to holiday effects. The Asian market shows strong growth in monitors with an increase of 264 percent compared to the same period last year.

The gross margin before depreciation during the third quarter amounted to 63.0 percent, compared to 69.4 percent for the corresponding quarter last year. A decrease mainly attributable to product and customer mix as well as temporary one-off adjustments to older consumables. The US market is characterized by volume deals with a lower price level on hardware (monitors) that are expected to drive recurring sales of consumables (disposable sensors) with a higher margin in the long term. The company is running extensive innovation work. New products were launched after the end of the quarter with the potential to strengthen the gross margin in the long term.

During the third quarter, the group's direct operating costs amounted to TSEK 34,419 (32,309). Other operating expenses, attributable to currency-related recalculations of balance sheet items, amounted to TSEK 4,213 (532). The total operating costs amounted to TSEK 38,632 (32,841).

Operating profit during the third quarter amounted to TSEK -32,051 (-30,594). Profit after financial items amounted to TSEK -31,964 to be compared with TSEK -30,587 during the corresponding period last year. A slightly increased loss compared to the same period last year, which is mainly related to negative currency effects due to recalculation of the group's balanced items in foreign currency.

Revenue and profit January – September 2023

The group's net sales for the period January - September 2024 amounted to TSEK 44,443 (24,904), corresponding to an increase of 78 percent compared to the corresponding period last year. Adjusted for currency changes, sales increased by 81 percent, a relatively large currency impact that comes mostly from sales in the United States and the weakened US dollar compared to the same period last year.

The growth was primarily driven by increased sales in the US and Asia. In the US, total underlying sales adjusted for currency effects increased by 105 percent and Asia grew by 138 percent, adjusted for currency effects. Adjusted for one-off licensing revenue for ExSpiron in China last year, Asia's total sales grew 314 percent. In Europe, we have seen a negative volume trend for TetraGraph instruments compared to the same period last year, driven by longer sales processes for capital goods. However, sensor sales in Europe increased by 55 percent and, adjusted for currency effects, by 59 percent. In the US market, sensor sales increased by 117 percent and in Asia by 445 percent. Sales of monitors and accessories increased by 38 percent adjusted for currency changes, driven by several new business wins in the US as well as new deliveries of monitors to our license partner Fukuda in Japan. Total sales of disposable sensors increased by 120 percent adjusted for currency changes.

The gross margin before depreciation for the period amounted to 63.5 percent, compared to 69.3 percent for the corresponding period last year. A decrease attributable to product and customer mix as well as temporary one-off adjustments to older consumables. The US market is characterized by volume deals with a lower price level on instruments that are expected to drive recurring sales of disposable sensors with a higher margin in the long term.

For the period January - September 2024, the group's direct operating costs amounted to TSEK 111,329 (105,222). Other operating expenses, attributable to currency-related recalculations of balance sheet items, amounted to TSEK -121 (-2,902). Total operating costs amounted to TSEK 111,208 (102,320). The increase in direct operating costs is mostly attributable to expansion of the commercial organization in the United States. We also note a negative effect in other operating income and operating expenses related to currency effects and weakened U.S. Dollar and Euro compared to the same period last year.

The operating profit during the period January-September amounted to TSEK -96,105 to be compared with TSEK -97,274 during the corresponding period last year. Profit after financial items amounted to TSEK -94,942 to be compared with TSEK -97,542 during the corresponding period last year. Thus, the total loss for the period was reduced by 2.6 MSEK compared to the same period last year.

Cash Flow and Investments

The Cash flow from current operations, including changes in working capital, amounted to TSEK -24,036 (-23,545) for the third quarter. The negative cash flow is mostly due to the negative result and negative change in working capital, mostly attributable to increased inventory to ensure increased production and demand for our products as well as an increase in accounts receivable related to increased sales.

The Cash flow from investment activities for the third quarter amounted to TSEK -4,908 (-1,326). Investments during the period are largely related to the activation of development projects. Cash flow from financing activities amounted to TSEK -901 (53,210) for the third quarter and is mostly related to payments relating to leasing costs.

The cash flow from current operations including changes in working capital for the period January - September 2024 amounted to TSEK -84,335 (-84,751). The negative cash flow is mostly due to the negative result and negative change in working capital which is mostly reflected in the increase in accounts receivable due to increased sales as well as increased inventory to ensure increased production and demand for our products.

The cash flow from investment activities for the period January - September 2024 amounted to TSEK -13,182 (-5,669) and is largely related to the activation of development projects. The cash flow from financing activities for the period January - September 2024 amounted to TSEK - 3,267 (134,212) and is mostly related to payments relating to leasing costs. Last year's positive cash flow from financing activities is related to a preferential and a directed issue that Senzime carried out in March and September 2023, respectively.

Financial position

Senzime shows strong sales growth combined with a stable cost level. At the end of the period, the company's cash and cash equivalents amounted to TSEK 50,241 (69,735), the group's equity to TSEK 285,040 (307,879) and the equity ratio 80.2 percent (84.1).

The board works continuously to secure the company's long-term financing to ensure the operation of the business assuming investments and ventures. The company's growth plan is continuously balanced against the financial resources that are available at any given time. During the month of September, the company carried out a directed share issue in two separate tranches. In total, both tranches, during the month of October, contributed with SEK 86 million to the company before issue costs. The Board's and the company's assessment is that continued operation is now secured for a period that extends beyond 12 months.

Stock options

At the time of publication of this interim report, the group has three employee option programs with a total of 2,725,450 options, of which 395,450 are hedge options. See note 10 for detailed descriptions

At the annual general meeting in May 2024, it was decided on another employee option program with a total of 1,200,000 options and allocation took place during October 2024.

Parent company and subsidiaries

The majority of the group's operations are conducted in the parent company. For comments on the parent company's results, refer to the comments submitted for the group. The American company Respiratory Motion Inc. was acquired in the third quarter of 2022 and is a 100 percent wholly owned subsidiary of Senzime AB (publ.). The US subsidiary Senzime Inc. started its operational activities in the second quarter of 2020. Sales in the US are carried out under its own auspices. In the first quarter of 2021, the German subsidiary Senzime GmbH started its operations. The group's two other subsidiaries only hold certain rights which have been licensed to the parent company against payment in the form of royalties.

Sustainability

Senzime's operations contribute to improved global health and patient safety by reducing anesthesia and breathing-related complications and lowering healthcare costs in connection with surgical procedures and emergency treatments. Senzime's sustainability work supports the commitment to patients and strives for sustainable development based on responsible action and in line with the fundamental values.

In 2023, Senzime signed an agreement with the UN Global Compact, which means that the company commits to operating according to their 10 principles, which include labor law, human rights, anti-corruption and the environment. In 2024, the company's ISO 14001 environmental management system was recertified.

Other significant events in the quarter

Senzime provided an update on its market outlook and outlined its short- and longterm growth ambitions. The goal is to be the undisputed global market leader in the field of EMG-based neuromuscular monitoring. Short-term guidance: To reach a turnover of around SEK 250–350 million in 2026 and to be cash flow positive during the same year. Long-term growth ambitions: To reach a turnover exceeding SEK 1 billion within 5–7 years.

Senzime conducted a directed share issue, raising approximately SEK 86 million through the issuance of up to 13,873,000 shares at a subscription price of SEK 6.20 per share. This price reflects the volume-weighted average price (VWAP) over the last five trading days prior to the announcement. The issue was directed to a select group of existing long-term shareholders, including the Crafoord family, Segulah Medical Acceleration, Fjärde AP-fonden, Carnegie Fonder, Swedbank Robur Fonder, Fredrik Rapp and Professor Sorin J. Brull, along with several new Swedish and international institutional investors such as AB Strati.

The directed issue is carried out in two tranches, where Tranche 1 of a total of SEK 79.2 million is subscribed with the support of the authorization received at the annual general meeting on May 16, 2024 as well as Tranche 2 which is directed with the same conditions to board members Adam Dahlberg and Sorin J Brull. Tranche 2 is subject to the decision of an extraordinary general meeting and the Board calls one.

The dialogue between Senzime's American subsidiary Senzime Inc. and Florida-based Mercury Medical regarding a terminated distribution agreement in 2022 was paused during the quarter.

Significant events after the end of the quarter

Senzime announces that Tranche 1 of the directed issue has been fully subscribed.

A new research study was published confirming and validating the TetraGraph system's clinical accuracy. The study, conducted in the USA, compared the EMG-based TetraGraph system with data from the reference standard mechanomyography (MMG). It is the first study of its kind to clinically validate a portable and EMG-only system across all levels of neuromuscular block. The results prove that the TetraGraph system has market-leading precision compared to other commercially available and validated neuromuscular monitoring systems.

The next-generation TetraGraph system was launched at the ANESTHESIOLOGY® 2024 (ASA) congress in the USA. This advanced system is designed to accelerate the adoption of the new clinical guidelines for neuromuscular monitoring. With its unique Level-of-Block Gauge™ and TetraGraph® Adaptive Intelligence™, the next-generation device enables precision-based monitoring. Additionally, it introduces a sixthgeneration EMG algorithm with four times higher resolution, delivering unmatched clinical accuracy.

Senzime received first order for the next-generation TetraGraph system from a leading Swiss hospital. The initial order consists of 20 monitors scheduled for delivery in the first quarter of 2025. Estimated revenue for the initial 3-year period is expected to be approximately SEK 3 million including deliveries of disposable sensors.

The extraordinary general meeting unanimously decides to approve the board's decision on the directed issue of a maximum of 1,104,000 new shares to Adam Dahlberg and Sorin J. Brull (Tranche 2).

Risks and uncertainty factors

Several risk factors can have a negative impact on the operations of Senzime. It is therefore of great importance to consider relevant risks alongside the company's growth opportunities. A statement of the group's significant financial and business risks can be found in the management report and in the annual report for 2023. No further significant risks are deemed to have arisen.

Geopolitical situation

Senzime has no operations in Russia, Ukraine, Israel or Palestine.

Review

This interim report has been subject to review by the company's auditors.

Board of Directors' certification

The Board of Directors and CEO certify that this interim report gives a true and fair view of the parent company's and the group's operations, financial position, and results of operations, and reviews the significant risks and uncertainties faced by the parent company and companies in the group.

Uppsala November 6, 2024

Per Wold-Olsen Adam Dahlberg Sorin Brull
Chairman of the Board Vice Chairman of the Board Board member
Göran Brorsson Eva Walde Lars Axelson
Board member Board member Board member

Philip Siberg

Chief Executive Officer

Condensed Consolidated Statement of Comprehensive Income

Q3 Jan-Sep Full-year
Amounts in SEK thousands Note 2024 2023 2024 2023 2023
Net sales 2 17,406 9,154 44,443 24,904 35,754
Cost of goods sold 3 -10,825 -6,907 -29,340 -19,858 -27,415
Gross profit (loss) 6,581 2,247 15,103 5,046 8,339
Development expenditure 4 -4,686 -4,177 -16,712 -14,480 -19,363
Selling expenses 4 -21,712 -18,359 -67,922 -55,350 -77,682
Administrative expenses 4 & 5 -8,021 -9,773 -26,695 -35,392 -45,107
Other operating income 5,367 3,964 20,258 10,430 15,290
Other operating expenses -9,580 -4,496 -20,137 -7,528 -18,837
Earnings before interest and taxes -32,051 -30,594 -96,105 -97,274 -137,360
Financial income 388 190 1,851 369 999
Financial expenses -301 -183 -688 -637 -798
Financial items - net 87 7 1,163 -268 201
Profit (loss) after financial items -31,964 -30,587 -94,942 -97,542 -137,159
Income tax 652 413 2,290 2,201 3,010
Profit (-loss) for the period -31,312 -30,174 -92,652 -95,341 -134,149

Condensed Consolidated Statement of Comprehensive Income

Q3 Jan-Sep Full-year
Amounts in SEK thousands Note 2024 2023 2024 2023 2023
Profit (-loss) for the period -31,312 -30,174 -92,652 -95,341 -134,149
Other comprehensive income
Items reclassifiable to profit or loss
Translation differences -3,571 38 1,773 4,021 -3,325
Other comprehensive income for the period, net of tax - - - - -
Total comprehensive income -34,883 -30,136 -90,879 -91,320 -137,474

The year's profit and total comprehensive income is attributable in its entirety to the parent company's shareholders.

Earnings per share, calculated on the period's earnings attributable to the parent company's shareholders.

Q3 Jan-Sep Full-year
SEK Note 2024 2023 2024 2023 2023
Weighted average number of shares, before dilution 6 119,705,523 91,588,837 119,705,523 82,285,952 92,269,497
Weighted average number of shares, after dilution 6 119,705,523 91,588,837 119,705,523 82,285,952 92,269,497
Earnings per share, basic and diluted, SEK 6 -0.26 -0.33 -0.77 -1.16 -1.45

Condensed Consolidated Balance Sheet Assets

September 30
Amounts in SEK thousands 2024 2023 December 31
2023
ASSETS
Non-current assets
Intangible assets 226,532 242,991 227,193
Property plant and equipment 3,353 2,596 2,592
Rights of use 22,834 12,136 11,931
Other financial assets 4,291 4,212 4,431
Total non-current assets 257,010 261,935 246,147
Current assets
Inventories 26,043 20,823 20,340
Trade receivables and other receivables 14,217 8,327 8,569
Other receivables 3,349 3,683 4,819
Prepaid expenses and accrued income 4,388 1,682 2,238
Cash and cash equivalents 50,241 69,735 151,009
Total current assets 98,238 104,250 186,975
TOTAL ASSETS 355,248 366,185 433,122

Condensed Consolidated Balance Sheet Equity and Liabilities

September 30 December 31
Amounts in SEK thousands 2024 2023 2023
EQUITY AND LIABILITIES
Equity 285,040 307,879 375,477
LIABILITIES
Non-current liabilities
Provisions 3,819 3,477 3,750
Lease liability 19,321 9,324 8,578
Deferred tax liability 19,477 23,742 21,767
Total non-current liabilities 42,617 36,543 34,095
Current liabilities
Lease liability 3,439 2,483 2,890
Trade payables 7,651 3,652 5,146
Other current liabilities 2,818 3,468 3,608
Accrued expenses 13,683 12,160 11,906
Total current liabilities 27,591 21,763 23,550
TOTAL EQUITY AND LIABILITIES 355,248 366,185 433,122

Condensed Consolidated Statement of Change in Equity

Attributable to parent company´s shareholders

Retained earnings incl.profit (loss)

Amounts in SEK thousands Share capital Other contributed capital Reserves for the year Total equity
Adjusted opening balance as of 1 January 2023 8,735 636,729 4,302 -387,863 261,903
Profit (-loss) for the period -95,341 -95,341
Other comprehensive income 4,021 4,021
Total comprehensive income - - 4,021 -95,341 -91,320
Transactions with shareholders in their capacity as owners
Employee stock options 327 327
New share issue 3,780 144,419 148,199
Expenses attributable to new share issues -11,230 -11,230
Total transactions with shareholders 3,780 133,189 - 327 137,296
Closing equity September 30 2023 12,515 769,918 8,323 -482,877 307,879

Attributable to parent company´s shareholders

Retained earnings incl.profit (loss)

Amounts in SEK thousands Share capital Other contributed capital Reserves for the year Total equity
Opening balance as of January 1, 2024 14,963 880,690 977 -521,153 375,477
Profit (-loss) for the period -92,652 -92,652
Other comprehensive income 1,773 1,773
Total comprehensive income - - 1,773 -92,652 -90,879
Transactions with shareholders in their capacity as owners
Employee stock options 778 778
Expenses attributable to new share issues -336 -336
Total transactions with shareholders - -336 - 778 442
Closing equity September 30 2024 14,963 880,354 2,750 -613,027 285,040

Condensed Consolidated Statement of Cash Flow

Q3 Jan-Sep Full-year
Amounts in SEK thousands 2024 2023 2024 2023 2023
Cash flow from operating activities
Earnings before interest and taxes -32,051 -30,594 -96,105 -97,274 -137,360
Adjustment for non-cash items
Depreciation and amortization 5,533 5,118 16,437 15,136 20,567
Other non-cash items 6,168 295 1,624 634 1,049
Interest paid -9 - -27 -92 -92
Interest received 77 369 188 369 999
Income tax paid -199 614 -493 -197 -331
Cash flow from operating activities before change in working capital -20,481 -24,198 -78,376 -81,424 -115,168
Cash flow from change in working capital
Increase/decrease in inventories -850 -572 -5,695 829 1,312
Increase/decrease in trade receivables -1,259 -366 -5,719 -4,117 -4,359
Increase/decrease in operating receivables -644 1,568 757 1,102 -590
Increase/decrease in trade payables -922 -59 3,148 -3,666 -2,172
Increase/decrease in operating payables 120 82 1,550 2,525 7,069
Total change in working capital -3,555 653 -5,959 -3,327 1,260
Cash flow from operating activities -24,036 -23,545 -84,335 -84,751 -113,908
Cash flow from investing activities
Investments in tangible assets -206 44 -1,940 -694 -950
Investments in intangible assets -4,702 -1,370 -11,242 -4,975 -6,871
Cash flow from (-used in) investing activities -4,908 -1,326 -13,182 -5,669 -7,821
Cash flow from financing activities
Payments made for repayment of lease liabilities -901 -900 -2,931 -2,741 -3,678
New share issue, net of transaction expenses - 54,110 -336 136,953 250,189
Cash flow from financing activities -901 53,210 -3,267 134,212 246,511
Decrease/increase in cash and cash equivalents -29,845 28,339 -100,784 43,792 124,782
Cash and cash equivalents at beginning of period 80,184 41,635 151,009 26,035 26,035
Exchange difference in cash and cash equivalents -98 -239 16 -92 192
Cash and cash equivalents at end of period 50,241 69,735 50,241 69,735 151,009

Parent company Income Statement

Q3 Jan-Sep Full-year
Amounts in SEK thousands 2024 2023 2024 2023 2023
Net sales 19,088 6,687 49,513 27,006 38,919
Cost of goods sold -8,479 -3,044 -22,431 -12,871 -18,220
Gross profit (loss) 10,609 3,643 27,082 14,135 20,699
Development expenditure -3,385 -2,771 -11,767 -9,714 -13,199
Selling expenses -26,571 -6,279 -75,397 -25,046 -72,408
Administrative expenses -8,021 -8,234 -26,011 -30,959 -39,837
Other operating income 4,827 3,953 19,064 10,439 15,298
Other operating expenses -9,306 -4,416 -18,559 -7,089 -18,557
Earnings before interest and taxes -31,847 -14,104 -85,588 -48,234 -108,004
Financial income 2,422 1,913 7,930 4,950 7,328
Financial expenses -7 - -26 -28 -120,125
Financial items - net 2,415 1,913 7,904 4,922 -112,797
Profit (loss) after financial items -29,432 -12,191 -77,684 -43,312 -220,801
Profit (-loss) for the period -29,432 -12,191 -77,684 -43,312 -220,801

In the parent company, there are no items reported as other comprehensive income, which is why total comprehensive income corresponds to the period's result.

Parent Company Balance Sheet Assets

December 31
2024 2023 2023
35,719 24,441 25,854
2,766 1,276 1,416
156,979 273,153 137,139
195,464 298,870 164,409
23,001 17,056 17,381
6,961 4,194 5,367
5,203 7,280 8,606
3,446 1,660 2,345
47,124 66,387 147,853
85,735 96,577 181,552
281,199 395,447 345,961
September 30

Parent Company Balance Sheet Equity and Liabilities

September 30 December 31
Amounts in SEK thousands 2024 2023 2023
EQUITY AND LIABILITIES
Equity
Restricted equtiy 54,007 40,256 43,986
Non-restricted equity 166,595 321,441 253,858
Total equity 220,602 361,697 297,844
LIABILITIES
Non-current liabilities
Provisions 3,819 3,477 3,750
Total non-current liabilities 3,819 3,477 3,750
Current liabilities
Trade payables 6,553 3,169 4,658
Liabilities to Group companies 38,172 15,152 28,685
Other current liabilities 1,471 2,146 2,490
Accrued expenses 10,582 9,806 8,534
Total current liabilities 56,778 30,273 44,367
TOTAL EQUITY AND LIABILITIES 281,199 395,447 345,961

Notes on the consolidated accounts

Not 1. Accounting policies

This interim report and summary for the second quarter ended September 30th, 2024 has been prepared in accordance with the international accounting standard IAS 34 "Interim reporting". The term "IFRS" in this document includes the application of IAS and IFRS, as well as interpretations of these recommendations published by the IASB's Standards Interpretation Committee (SIC) and IFRS Interpretation Committee (IFRIC)

The application of the accounting principles is in accordance with those contained in the Annual Report for the financial year ended 31 December 2023 and should be read together with this interim report. There are no changes to IFRS in 2024 that are estimated to have a significant impact on the results and financial position of the group. Unless otherwise specifically stated, all amounts are reported in thousands of kronor (TSEK). Information in parentheses refers to the comparison year.

Not 2. Division of net Sales

Q3 Jan-Sep Full-year
Amounts in SEK thousands 2024 2023 2024 2023 2023
Devices/Other 4,933 4,511 16,302 12,026 16,228
- there of royalties 157 45 422 1,246 1,336
Disposables 12,473 4,644 28,141 12,878 19,526
Total 17,406 9,154 44,443 24,904 35,754

Not 3. Costs of goods sold

Q 3 Jan- Sep Full-year
Amounts in SEK thousands 2024 2023 2024 2023 2023
Cost of materials 5,605 2,356 13,404 6,168 8,450
Personnel expenses 247 252 1,069 680 1,030
External services 486 133 1,517 589 1,032
Depreciation and amortization 4,487 4,166 13,350 12,421 16,903
Total 10,825 6,907 29,340 19,858 27,415

Not 4. Development, selling and administrative expenses by nature of cost

Q 3 Jan- Sep Full-year
Amounts in SEK thousands 2024 2023 2024 2023 2023
Personnel expenses 21,330 18,326 68,008 63,091 84,682
Consulting expenses 7,431 7,144 24,009 20,985 28,873
Depreciation and amortization 161 138 486 420 635
Other expenses 5,497 6,701 18,826 20,725 27,961
Total 34,419 32,309 111,329 105,222 142,152

Not 5. Transactions with related parties

During the period, one board member has invoiced TSEK 982 (1,902) on market terms, for performed consulting services linked to the company's operational activities. The services for 2024 are performed by Sorin Brull. For 2023, TSEK 957 of the services were performed by Sorin Brull and TSEK 945 by former board member, Jenny Freeman, who left her position as board member in November 2023.

Not 6. Earnings per share

Q3 Jan-Sep Full-year
SEK 2024 2023 2024 2023 2023
Basic earnings per share -0.26 -0.33 -0.77 -1.16 -1.45
Diluted earnings per share -0.26 -0.33 -0.77 -1.16 -1.45
Performance measure used in the
calculation of earnings per share
Results attributable to the parent company's Profit (-loss) Profit (-loss) Profit (-loss) Profit (-loss) Profit (-loss)
shareholders are used for the period for the period for the period for the period for the period
Result attributable to the parent company's
shareholders, SEK thousand
-31,312 -30,174 -92,652 -95,341 -134,149
No.
Weighted average no. of ordinary shares for
calculating basic earnings per share
119,705,523 91,588,837 119,705,523 82,285,952 92,269,497
Stock options
Weighted average no. of ordinary shares
and potential shares used as denominator
for calculating diluted earnings per share
119,705,523 91,588,837 119,705,523 82,285,952 92,269,497

Earnings per share after dilution are not reported as it gives better earnings per share because the period's earnings are negative. In the rights issue carried out during Q1 2023 there is a bonus issue element, the effect is however insignificant as the subscription rights had a low value when the issue was not fully subscribed. Consequently, no recalculation has been made.

.

Not 7. Share capital development

Date Event Number of
shares
Share capital
(SEK)
Quotient value
(SEK)
Januari
1, 2023
Opening balance 69,883,985 8,735,498 0.125
March 11,
2023
Right share issue 12,682,675 1,585,334 0.125
July 5,
2023
Set-off share issue RMI part 2 5,055,954 631,994 0.125
August 24,
2023
Directed shares issue 12,500,000 1,562,500 0.125
September 25,
2023
Directed shares issue 18,000,000 2,250,000 0.125
November 7, 2023 Set-off share issue RMI part 3 1,582,909 197,863 0.125
Total Sep
30,
2024
119,705,523 14,963,190 0.125

Not 8. Alternative performance measures

Senzime has defined alternative key figures as below. Calculations are published on the company's websitewww.senzime.com.

Performance measure Definition Motive for use
Gross margin excl. amortization Gross profit (loss) excl. amortization of intangible assets divided
by net sales
The group uses the alternative performance measure gross margin excluding
amortization because it illustrates the impact of amortization of capitalized
development expenditure on gross margin.
EBITA Earnings before interest and taxes excluding amortization of
intangible assets
The group uses the alternative performance measure EBITA because it illustrates
the impact of amortization of capitalized development expenses on operating
profit.
Equity/assets ratio Closing equity in the period divided by closing total assets in the
period
The group uses the alternative performance measure equity/assets ratio
because it illustrates the portion of the total assets that consist of equity and has
been included so investors will be able to assess the group's capital structure.
Items affecting comparability Items of material value that do not have any clear relationship
with ordinary activities and are of such nature that they cannot
be expected to occur often. They may, for example, relate to
acquisitions, major one-off orders, other unusual non-recurring
revenue and expenses, capital gains/losses from divestments,
restructuring expenses and impairment losses.
Enables improved understanding of the company's underlying operations.
Currency fluctuations Adjusted for currency fluctuations on the net sales of operations
excludes the effect of exchange rates by restating the net sales
of operations for the relevant period by applying the rates of
exchange used for the comparative period.
This performance measure is important for understanding the underlying
progress of operations, and improves compatibility between periods

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Not 9. Alternative performance measures Not 10. Employee stock option programs

Q3 Jan-Sep Full-year
2024 2023 2024 2023 2023
A Net sales, TSEK 17,406 9,154 44,443 24,904 35,754
B Gross profit excl. amortization, TSEK 10,970 6,350 28,203 17,268 24,947
B/A Gross margin excl. amortization (%) 63.0% 69.4% 63.5% 69.3% 69.8%
Q3 Jan-Sep Full-year
Amounts in SEK thousands 2024 2023 2024 2023 2023
A Earnings before interest and taxes -32,051 -30,594 -96,105 -97,274 -137,360
B Depreciation and amortization 5,533 5,117 16,437 15,136 20,567
A+B EBITDA -26,518 -25,477 -79,668 -82,138 -116,793
Q3 Jan-Sep Full-year
Amounts in SEK thousands 2024 2023 2024 2023 2023
A Equity 285,040 307,879 285,040 307,879 375,477
B Total assets 355,248 366,185 355,248 366,185 433,122
A/B Equity/assets ratio, (%) 80.2% 84.1% 80.2% 84.1% 86.7%

Dilution from stock option programs

At the time this interim report is published, there are three employee option programs with a total of 2,725,450 options, of which 395,450 are hedge options. In the case of full exercise, this means a dilution of 2.23 percent, provided that all options are exercised.

During the period January-September 2024, 33,000 employee options have expired. A total of 238,000 employee options have so far expired and the remaining 2,092,000 employee options, if fully exercised, would represent a dilution of 2.04 percent. The corresponding figure excluding hedge options is 1.72%.

At the annual general meeting in May 2024, it was decided on another employee option program for a total of 1,210,000 options, of which 110,000 are hedge options. Allocation will take place during the month of October 2024.

About Senzime

Senzime is a Swedish medical technology company that develops, produces and markets patient monitoring systems.

Senzime's employees worldwide are committed to the vision of a world without anesthesia and breathing-related complications. The company markets an innovative portfolio of solutions, including TetraGraph® and ExSpiron® 2Xi for real-time monitoring of neuromuscular function and breathing during and after surgery.

The goal is to help eliminate care-related complications and radically reduce costs associated with surgical procedures and emergency treatments.

Senzime aims at a market valued at over SEK 40 billion per year and works with sales teams in the world's leading markets. The company's shares are listed on NASDAQ Stockholm's main market (SEZI) and cross traded on OTCQX (SNZZF).

More information is available at www.senzime.com.

Financial calendar

Year-End 2024 report February 17, 2025 Annual report 2024 April 24, 2025 Q1 report 2025 May 7, 2025 AGM 2025 May 19, 2025

Contact

Philip Siberg, CEO Tel. +46 (0) 707 90 67 34 e-post: [email protected] Slavoljub Grujicic, CFO Tel. +46 (0) 763 06 60 11 e-post: [email protected]

Address

Senzime AB Verkstadsgatan 8 753 23 Uppsala www.senzime.com