Forum Topics VHT VHT Strawman Meeting

Pinned straw:

Added 11 months ago

Great meeting. So good to get deeper insights into Terri's strategic thinking and her experience. I find it so much more insightful when Execs talk about their business off script. We can always go to the investor calls for the scripted discussions. It makes the Strawman meeting process of much higher value especially when CEO's are back for repeat meetings. (Remember, SM Members can always view the recordings of the first meetings to get their 101s.)

I gained a much better understanding of the customer perspective and challenges in the buying decision."Understand the EMR context [at each customer]" and "mammography is not always the top of the priority list" and "you need a clinical champion" and "you have to show that adding Volpara doesn't increase the clinician workload". (This latter point was also a key theme at an $M7T webinar I attended recently, and post the link to on SM.)

Craig mde a great point: if you can control the cost base while delivering at least 20% revenue growth every single year, you'll do well.

Most of all, I was further encouraged by Terri's disciplined and focused approach to growth and the fact that she cited by EPIC and $PME as role models for growth. Terri and Craig seem to make a great team - so important for the CEO/CFO dynamic to work well.

The imaging software space is clearly going to be very dynamic for years to come, and this is even more reason to value Terri's disciplined approach to screening new opportunities.

Thanks for another great meeting. I'm glad I got back onboard last year.

Nnyck777
11 months ago

Thanks Strawman,

That interview alone i feel justifies my subscription to Strawman. A fantastic insight into the nitty gritty strategy and management mindset you just can not glean from a shareholder report. I find Teri to be the most focused, articulate and impressive CEO bar Jon Pilcher (Neu) of the companies I own. The more I here from her and Craig the more confident I am in the profit driven / cost efficient mindset.

They even dropped a couple of PME references in there. You got to love that.

Truly a worthwhile interview. This company has a long runway ahead of it.

Cheers

Nnyck

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jcmleng
11 months ago

Agreed @mikebrisy great meeting! I picked up the following points which have not been previously as clearly articulated as it was today, particularly on AI, given all the bubble-like hype out there.

  • AI - Volpara Analyse is the only solution which performs and reports on analysis using mammogram raw data and providing the Volpara breast density score. Other mammogram providers perform vendor proprietary processing of images, making comparison across vendor solutions challenging. VHT now has massive amounts of high-quality data that allows it to harness the power of AI - hard for a new vendor to get anywhere near this. This is VHT’s IP, data and AI moat. Teri also talked about the significant increase in the sophistication and the improved perception of AI in the past 6-12 months. Slower uptake in Volpara Risk Pathway in screening for other types of cancer eg, lung cancer screening and the stigma around smoking. 
  • The US has a lot of regulation around mammograms and is facing major radiologist shortages - Volpara solutions thus speed up mammograms because a lot of the regulatory requirements are baked into the solution - a big selling point.
  • Craig reiterated that VHT is very comfortable that the current headcount of 160 FTE (downsized from 200 FTE) and is expected to run with this for the next 12-18 months at least - cost base for FY24 is expected to remain at FY23 levels with 20% topline growth
  • Teri emphasised that the mindset to be fiscally responsible, be very disciplined and be ROI driven is not so much a reaction to market expectations but is how she and management see the need to responsibly manage the company - the clear message was that VHT will continue to be very ROI driven and disciplined in all that they do
  • Geographic expansion - Europe national screening program opportunities, particularly in Norway, is VHT’s 1-5 year focus. ROI is key to geographic expansion as the costs of entry into new markets is often underestimated. There are no current plans into China, Asia
  • The sales challenge is not product-related, but rather the need to compete with other customer priorities, IT resourcing, management resources. She also added that in the bigger customers, the implementation of Volpara also requires change management effort to improve/standardise processes across the healthcare chains also makes deployment more challenging


Having been on the customer-end buying all things IT, I completely understand the point about customer competing priorities. In my old place, we will always have 5-10 big things and 10's of other small things, on the go at any one time. To add yet-another-IT project on an already full plate was a permanent challenge. Cost was the least of our issues and getting the system to go-live was the easy bit. It is ensuring that the business was on the journey during the project (a fundamental resource challenge) so that the business benefit and the ROI can be reaped post go-live. As always, the same good people, the champions, are involved in everything and key-person fatique was a real issue - we cannot meaningfully bring in external resources to staff the projects as business knowledge was key to the project. We also wanted to avoid turning on subscription cost when the organisation is not ready - Board and CFO's get very upset with that. So, timing and sequencing of projects was key, something that sales people refuse to understand. Organisational fatigue change due to constant business change, IT or otherwise, was another real issue, particularly post Covid.

As much as sales people believe in the value proposition, the buyer needs to be ready, to buy, deploy and then embed the solution - this "readiness" is what Teri mentions is the "business context" of each sale that VHT needs to work with. The one thing I absolutey hated being subjected to was the pressures of the vendor's business cycle to sign deals - lots of crazy things and bad decisions are made when that happens. I had a clear "no-deal to be signed in the 2 weeks prior to quarter'end" policy ...

Based on this experience, I have significant sympathy for the likes of ALC, CAT, VHT etc when revenue numbers are not met due to delays on the customer-end - customers DO hold a large portion of that key. I focus more on the solution moat, the "inevitably" of the customer buying, rather than the actual timing or missed-timing of the sale.

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JPPicard
11 months ago

Really liked reading your POV from the buyer's angle @jcmleng

I've always been on the other side of the table, with the VP or the CEO putting pressure on me and my reps to close the deal before the end of the quarter, because we need to show good numbers above, or because investors need to see the growth as we prepare for raising the next round. I also hated the pressure hahaha.

You and I could have a lot of good war stories to share to over a beer I'm sure.

I liked your point on "I focus more on the solution moat, the "inevitably" of the customer buying". Pointerra could also be bundled in to your examples as one of the more extreme cases...

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Solvetheriddle
11 months ago

@jcmleng good post and well articulated. but im not sure if that means usually nothing happens (no deals) or it is delayed until buyer is ready, or it is a case by case basis. sounds like its a positive story but with soem understandable negative delays.

in the call i found Teri very relaxed and both talked a lot (disarming SM), what they said was really promising from a business and cultural perspective imo.

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jcmleng
11 months ago

@JPPicard hahaha - it will beers absolutely worth having!

Have been thinking about the customer-end more and more these past few months to form views on how my companies are doing/will do, ALC in particular (I do feel for Kate and her NHS challenges). Will post more thoughts once I crystallise them further.

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jcmleng
11 months ago

Thanks @Solvetheriddle! I do not think there was anything negative, nor specifics in Teri's comments. She mentioned the "business context" in response to Strawman's question around sales challenges VHT faced etc if I recall. I took away from that response, the balance and practical-reality-pragmatism that Teri had in her overall approach and style.

ALC's Kate Quirke has been saying pretty much the same thing around NHS-related sales challenges, but in a very different way/style.

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mikebrisy
11 months ago

@jcmleng, this is one area I have been focused on with several tech microcaps.

I’ve noticed a pattern that when sales appear to slow for a Q or H (depending on the reporting cycle) the CEOs tend to focus on and project enthusiasm about the sales pipeline. Fair enough.

What I pay attend to is precisely what they say about the pipeline and what it means for the next report. And then I listen carefully to what they say at the next report, to see if it is consistent.

What I find most illuminating is what is said under Q&A, more so than the prepared script (which is designed to be consistent.)

It is this, as much as anything, that has led me to exit $3DP and $EVS, with $EVS being the most obvious case.

I’d say that $ALC and $IKE (I hold both) are now on a “negative watch” for me. Which means I am paying super close attention to what is said about sales and prospects.

To their credit, I have found $VHT (and $M7T, which I also hold) to be very consistent and clear to date. But I’ve learned to never take things for granted.

I think part of this reflects the CEOs depth of experience in the sales cycle. Terri comes across as very experienced from her time at EPIC. The sales cycle for an entire EPR system would be much more complex than that for a bolt on SaaS solution, like $ALC or $VHT. Of course, in big organisations, the decisions for a full EPR get a lot more organisational focus, whereas if you are selling a more niche application like $VHT to a big integrated delivery enterprise, it is probably a challenge to get the necessary internal stakeholders lined up to make the “buy” decision. (I write with prior experience as the customer in a large corporate involved in software strategy and selection in a different industry.)

Under Ralph, $VHT focused on the mammography service specialists. So intuitively, the sales process was more straightforward given the focus of these organisations.

Under Terri, they are focusing more on the “elephants”, such as the integrated healthcare delivery providers. This is where Terri’s experience is so important, because you can waste a lot of resource getting nowhere with these bigger customers, for the reason explained above. Of course, if you get it right, the contracts are probably 3x to 5x+ bigger, so it can be very worthwhile.

What was so clear from Terri’s download at the SM meeting is that she really understands the dynamics from the customer perspective, at a very granular level. I don’t think I’ve ever heard one of “my” SaaS CEOs ever be so clear. (The closest would be Richard White and also Sam Hupert, who I “know” less we’ll having missed that particular train :-( )



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Solvetheriddle
11 months ago

@jcmleng thanks that was actually my question, and imo critical to the investment case especially for micros still trying to carve their niche out or scale to profits. i am suspicious of micros continually sighting macro or structural tailwinds, have thye something customers will buy and can they sell it are mor relevant imo. I have just initiated a small posiiotn in VHT on the back of this chat for full disclosure thnaks

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Solvetheriddle
11 months ago

@mikebrisy excellent points and i came to same conclusion re EVS and 3DP. no mgt ever says we are going nowhere and never will, they dont necessarily lie but must be glass half full , regardless, for investors it is different of course and deciding when enough is enough, no matter the TAM or macro/structural tailwinds etc is critical

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