{"id":7201,"date":"2024-03-15T02:04:05","date_gmt":"2024-03-15T02:04:05","guid":{"rendered":"https:\/\/economicherald.net\/?p=7201"},"modified":"2024-03-15T02:04:05","modified_gmt":"2024-03-15T02:04:05","slug":"dr-borehams-crucible-vitura-health-is-the-tall-poppy-in-a-paddock-of-weed","status":"publish","type":"post","link":"https:\/\/economicherald.net\/?p=7201","title":{"rendered":"Dr Boreham\u2019s Crucible: Vitura Health is the tall poppy in a paddock of weed"},"content":{"rendered":"<p>Vitura is a pot stock in the rare position of producing revenues, profits \u2026 and dividends<br \/>\nVitura\u2019s recent performance (and share price) has been weighed down by intensifying competition<br \/>\nDespite the depressed share price, Vitura is smouldering along nicely but the company risks being crimped by boardroom battles<\/p>\n<p>\u00a0<\/p>\n<p>While the use of medicinal cannabis in Australia soars, the benefits are not being felt by the ASX-listed pot stock sector which is struggling to maintain investor interest.<\/p>\n<p>Late last year BOD Science ceded to financial reality and called in the administrators, while the ASX-suspended Cann Group is in a world of pain.<\/p>\n<p>In a paddock of weeds \u2013 metaphorically and literally speaking \u2013 <a href=\"https:\/\/stockhead.com.au\/company\/vitura-health-vit\/\" target=\"_blank\" rel=\"noopener\">Vitura (ASX:VIT)<\/a> is the tall poppy with its model of matching patients, prescribers and suppliers on the one platform.<\/p>\n<p>Formerly known as Cronos Australia, Vitura is in the rare position of producing revenues, profits \u2026 and dividends.<\/p>\n<p>And no \u2013 we are not smoking anything!<\/p>\n<p>The company has now expanded into the burgeoning tele-health field, having acquired the private Doctors on Demand platform last October.<\/p>\n<p>\u201cTele-health was really only used [for remote communities] but during Covid the behavior changed in terms of clinicians and patients and we are seeing a rapid uptake,\u201d says Vitura CEO Rodney Cocks.<\/p>\n<p>Despite the positives, Vitura\u2019s recent performance (and share price) has been weighed down by intensifying competition. A failed board challenge led by former director \u2013 and biggest shareholder \u2013 Dr Ben Jansen hasn\u2019t helped, either (see below).<\/p>\n\n<p><span class=\"mce_SELRES_start\">\ufeff<\/span><span class=\"mce_SELRES_start\"><\/span>\u00a0<\/p>\n<h2><strong>About Vitura<\/strong><\/h2>\n<p>Vitura\u2019s core Canview platform links more than 1,400 authorised marijuana prescribers (mainly general practitioners), 4,200-plus dispensing pharmacies and more than 11,000 regular patients. The platform sources around 350 products from 40 local and Canadian suppliers.<\/p>\n<p>Cronos Australia was a 50-50 venture between Canadian medical cannabis giant Cronos Group and a private equity fund owned by Mr Cocks.<\/p>\n<p>Cronos Australia listed on the ASX in late 2019, having raised $20 million at 50 cents apiece.<\/p>\n<p>Cronos had planned to build a cannabis manufacturing facility, but in September 2021 it merged with CDA Health Pty Ltd \u2013 founded by Dr Jansen \u2013 in a cash-scrip deal.<\/p>\n<p>CDA \u2013 as in Cannabis Doctors Australia \u2013 operates under a full tele-health model nationally.<\/p>\n<p>In February 2023, the company became Vitura Health, to emphasise the move to a digital platform and away from a cannabis pure-play.<\/p>\n<p>If Mr Cocks\u2019 name sounds familiar, you\u2019re right: he was awarded Victoria\u2019s Australian of the Year gong in 2005, for tending to injured bombing victims in Bali and Baghdad\u2019s UN Headquarters. He has held roles at Linfox and Boston Consulting Group.<\/p>\n<p>\u00a0<\/p>\n<h2><strong>Dial-a-quack, not so big bill<\/strong><\/h2>\n<p>Doctors on Demand was founded by Mt Isa pharmacists John Martin and John Neilson, to address the regional town\u2019s poor access to healthcare services.<\/p>\n<p>That was back in 2015, well before the Covid-era when the notion of dial-a-doc was a bit quackers.<\/p>\n<p>Doctors on Demand facilitates around 300,000 consultations a year and derives revenue from services to companies such as remote miners and health insurers.<\/p>\n<p>Currently, Doctors on Demand doesn\u2019t have a huge presence in cannabis: the nature of the consultations (and prescriptions) mirrors that of traditional clinics.<\/p>\n<p>The service also includes peripherals such as \u2018smoking cessation\u2019 (nicotine vaporizers) and medicated weight loss.<\/p>\n<p>\u00a0<\/p>\n<h2><strong>Doctor, doctor tell me the truth<\/strong><\/h2>\n<p>\u2026 do I really need to see you in person?<\/p>\n<p>Mr Cocks reckons 50 to 70 percent of general practitioner visits could be satisfied via tele-health \u2013 notably bog-standard repeat scripts.<\/p>\n<p>He also questions why anyone would opt to spend time with diseased patients in a waiting room to see a doctor who invariably is running late.<\/p>\n<p>\u201cIt can be a two-hour ordeal just to get a script and you can do that in a matter of minutes [online].\u201d<\/p>\n<p>For general practitioners \u2013 especially younger ones \u2013 tele-health offers Uber-style flexibility as they can work when and where they like (although the backdrop of a golf course or a strip club would not be a good look).<\/p>\n<p>A little-known factor driving tele-health is a crack-down on \u2018sham\u2019 doctor contracts with the physical clinics, by which the doc works full-time but is deemed to be a contractor.<\/p>\n<p>Payroll tax has not applied in these cases, but the cash-strapped state governments are on to it \u2026 big time.<\/p>\n<p>\u00a0<\/p>\n<h2><strong>The cannabis landscape<\/strong><\/h2>\n<p>Australians have taken to medical marijuana (or medicinal cannabis) with aplomb: the industry grossed about $244 million in revenue in 2022, with revenue increasing 41 percent from the first half of the year to the second. Anecdotal evidence suggests the illicit market is many times larger, and a recreational market opportunity.<\/p>\n<p>In December, the Office of Drug Control said that Australian medical marijuana companies produced 24,900 kilograms of marijuana in 2022, up from 16,700kg in 2021.<\/p>\n<p>(We thank Biotech Daily\u2019s cannabis correspondent Peter Olszewski \u2013 a.k.a. J.J. McRoach \u2013 for those insights).<\/p>\n<p>On anonymized patient data, 80 percent of prescriptions were for chronic pain and as an alternative to opioids.<\/p>\n<p>Mr Cocks says the typical patient is a female in her 50s who has never touched the devil\u2019s lettuce previously.<\/p>\n<p>Of course, an unknown number of folk are accessing illegal dope for medicinal purposes (stay clear of Aunt Dora\u2019s hash brown cookies if you are driving).<\/p>\n<p>Vitura reports most of the medication sold via the platform is whole flower bud (ground and vaporised), as opposed to extracted oils. Given the substances predominantly are used for pain, it\u2019s a fair bet that most of them contain the psychoactive ingredient tetrahydrocannabinol (THC).<\/p>\n<p>\u00a0<\/p>\n<h2><strong>Psychedelics, qu\u2019est-ce que c\u2019est?<\/strong><\/h2>\n<p>With apologies to Talking Heads, Vitura isn\u2019t exactly running \u2013 fa-fa away \u2013 from the emerging opportunities in psychedelic medicine.<\/p>\n<p>In May 2023, the company formed a joint venture called Cortexa, with Canada\u2019s Pharmala Biotech. Cortexa taps the strength of Vitura\u2019s distribution with Pharmala\u2019s drug manufacturing capabilities.<\/p>\n<p>The initiative takes advantage of the recent liberalization of research-based psychedelic use, pertaining to MDMA (3,4-methelene-dioxy-meth-amphetamine, also known as Molly) and psylocibin (aka magic mushrooms).<\/p>\n<p>Unlike 1960s hippy houses, the mind-bending substances are only dispensed under the watchful eye of a psychiatrist.<\/p>\n<p>\u201cBased on the research to date [psychedelics] have a lot to offer, for post-traumatic stress disorder and treatment-resistant depression especially,\u201d Mr Cocks says.<\/p>\n<p>\u201cBut it is early days.\u201d<\/p>\n<p>\u00a0<\/p>\n<h2><strong>Finances and performance <\/strong><\/h2>\n<p>Vitura recorded a sharp 59 percent profit decline in the half year to December 2023, to $3.12 million. This was attributed to the industry-wide decline in the average selling price, gross margin pressures and costs related to the Doctors on Demand purchase.<\/p>\n<p>\u201cCompetition has increased, the market has matured and we are seeing average prices decrease across the board,\u201d Mr Cocks says.<\/p>\n<p>One manifestation of this is higher rebates paid to the pharmacy groups \u2013 especially the mega ones \u2013 as a reward for higher sales.<\/p>\n<p>However, Vitura\u2019s key \u2018vital signs\u2019 were positive: record sales of 498,740 units, with the prescribing doctor base increasing by 423 to 1,401. Dispensing chemists on the platform grew by 531 to 4,244.<\/p>\n<p>The company funded the $25 million Doctors on Demand purchase via an equal combination of cash, equity, debt and vendor finance.<\/p>\n<p>The equity component was satisfied by the issue of $6.25 million of shares to Regal Funds Management, installing the fundie as fourth biggest shareholder.<\/p>\n<p>At December 31, 2023, Vitura had cash of just under $13 million, having paid a one cent a share dividend ($5.43 million in total) for the year to June 30, 2023, but no interim dividend.<\/p>\n<p>Mr Cocks says the board does not have a set dividend payment policy.<\/p>\n<p>\u201cWe are not going to trade-off acquiring or investing in organic growth just to pay a dividend. It will all be done through the lens of creating shareholder value,\u201d he says.<\/p>\n<p>Over the last 12 months Vitura shares have traded between 60 cents (early July 2023) and 14 cents (March 7 this year). They peaked at 90 cents in October 2022.<\/p>\n<p>\u00a0<\/p>\n<h2><strong>Little birdies in their nests disagree \u2026<\/strong><\/h2>\n<p>At Vitura\u2019s November 2023 AGM, shareholders voted not to elect Dr Jansen and his running mates Nathan Hight and health sector \u201cluminary\u201d Shane Tanner.<\/p>\n<p>As with the Voice, the \u2018no\u2019 vote came in at about 60 percent.<\/p>\n<p>Dr Jansen and Mr Tanner were Vitura directors post the CDA purchase, after four original directors made way.<\/p>\n<p>The company\u2019s chair, Mr Tanner stepped down in April 2022 and Dr Jansen quit in September of that year.<\/p>\n<p>The Jansen\u2019s camp\u2019s concerns centred on the means (and effect) of issuing new shares and the terms of performance-based shares issued to Messrs Cocks and Headley (as well as their fixed remuneration).<\/p>\n<p>The board hotly defends the arrangements.<\/p>\n<p>While the challenge was rebuffed, the remuneration report was opposed by 57 percent of holders \u2013 presumably the Jansen camp. The rejection threshold for such motions is only 25 percent.<\/p>\n<p>If the company receives a second \u2018strike\u2019 at its next AGM, a mandatory board spill vote ensues.<\/p>\n<p>\u201cThe [board] remuneration committee consists of independent directors, taking advice of two leading \u2018rem\u2019 experts,\u201d Mr Cocks says. \u201cWas this really about rem, or attempting to take control of the board?\u201d<\/p>\n<p>\u00a0<\/p>\n<h2><strong>Dr Boreham\u2019s diagnosis:<\/strong><\/h2>\n<p>Vitura has a high falutin\u2019 strategy manifesto, but it boils down to increasing the doctor and patient numbers across the Doctors on Demand and Canview platforms, as well as adding services.<\/p>\n<p>On a contentious note, one such add-on service is selling nicotine vapes under prescription, allegedly \u201cto support patients on their journey to quit smoking and reduce their dependence on nicotine\u201d.<\/p>\n<p>The highly opportunistic move hopes to take advantage of the Federal Government\u2019s crackdown on imported nicotine vapes to thwart rampant abuse of the devices among young people.<\/p>\n<p>Management also has a weather eye on overseas markets, notably in the UK and Europe where medical marijuana is subject to similar regulation.<\/p>\n<p>Currently, tele-health accounts for about three percent of the general practitioner market, so there\u2019s plenty of upside for Vitura in both the cannabis and traditional sectors. \u201cBut we like the Australian market and we think there is a large opportunity,\u201d Mr Cocks says.<\/p>\n<p>On a relative valuation note, Vitura paid $25 million for Doctors on Demand and Wesfarmers shelled out $135 million for the rival Instantscripts.<\/p>\n<p>So did Wesfarmers overpay, or did Vitura snare a bargain?<\/p>\n<p>Mr Cocks is diplomatic \u2013 to a point.<\/p>\n<p>\u201cYou will have to ask Wesfarmers that, but we bought well at one times revenue when they paid more like three times revenue.\u201d<\/p>\n<p>Despite the depressed share price, Vitura is smouldering along nicely but the company risks being crimped by the ongoing brooding presence of the Jansen camp on the register.<\/p>\n<p>It\u2019s a problem that needs to be resolved, sooner or later.<\/p>\n<p>\u00a0<\/p>\n<p>\u00a0<\/p>\n<p><strong><em>Disclosure: Dr Boreham is not a qualified medical practitioner and does not possess a doctorate of any sort.\u00a0<\/em><\/strong><\/p>\n<p><strong>This column first appeared in Biotech Daily.<\/strong><\/p>\n<p><span class=\"et_bloom_bottom_trigger\"><\/span><\/p>\n<p>The post <a href=\"https:\/\/stockhead.com.au\/health\/dr-borehams-crucible-vitura-health-is-the-tall-poppy-in-a-paddock-of-weed\/\">Dr Boreham\u2019s Crucible: Vitura Health is the tall poppy in a paddock of weed<\/a> appeared first on <a href=\"https:\/\/stockhead.com.au\/\">Stockhead<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"<p>Vitura is a pot stock in the rare position of producing revenues, profits \u2026 and dividends Vitura\u2019s recent performance (and share price) has been weighed <a href=\"https:\/\/economicherald.net\/?p=7201\" class=\"read-more-link\">[more&#8230;]<\/a><\/p>\n","protected":false},"author":0,"featured_media":7202,"comment_status":"","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-7201","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-finance"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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