Category

Healthcare

Daily Brief Health Care: Resapp Health, Biocytogen Pharmaceuticals (Beijing), Moderna Inc, Opthea Ltd, Cali Biosciences and more

By | Daily Briefs, Healthcare

In today’s briefing:

  • ResApp’s Revised Offer from Pfizer Still Faces Headcount Test Risk
  • Biocytogen (百奥赛图) Pre-IPO: Prospectus and Valuation Updates
  • Moderna (MRNA US): Better-Than-Expected Q2 Result; Guidance Reiterated; $3B Share Buyback Announced
  • Opthea Ltd (OPT AU): Lead Asset for Highly Prevalent Retinal Disease Moving Toward Commercialization
  • Pre-IPO Cali Biosciences – The Industry, the Business and the Concerns

ResApp’s Revised Offer from Pfizer Still Faces Headcount Test Risk

By Arun George

  • Pfizer Inc (PFE US) upped its Resapp Health (RAP AU) offer from A$0.146 per share to A$0.208 per share, in line with the independent expert’s preferred value of A$0.208 per share.
  • The NO vote camp from defiant retail shareholders forced Pfizer to up its offer. Unfortunately, a vocal NO camp is still present despite Pfizer’s revised higher offer.
  • At the last close, the gross spread is 9.5%. The risk/reward profile is unfavourable as ResApp is a highly-held retail stock, posing a headcount test risk to the scheme.  

Biocytogen (百奥赛图) Pre-IPO: Prospectus and Valuation Updates

By Ke Yan, CFA, FRM

  • Biocytogen, a China-based pre-clinical research and biopharmaceutical company, will pre-market its IPO to raise USD 25m, which is a significant downsize from the previous USD 300m fundraising target.
  • In our previous note, we covered the company’s fundamentals and compared its business with its peers.
  • We will provide an update on its latest prospectus and its peer performance in this note.

Moderna (MRNA US): Better-Than-Expected Q2 Result; Guidance Reiterated; $3B Share Buyback Announced

By Tina Banerjee

  • Moderna Inc (MRNA US) reported strong Q2 results, with both revenue and EPS surpassing consensus. Profitability was negatively impacted by one-off inventory write-down charge.
  • Management has reiterated advance purchase agreements for expected delivery of ~$21 billion in 2022. Assuming an endemic situation, Moderna’s commercial infrastructure is prepared for a 2023 commercial market.
  • The Board of Directors has approved a new share repurchase program for $3 billion in August 2022, with no expiry. Moderna shares have gained 27% in last three months.

Opthea Ltd (OPT AU): Lead Asset for Highly Prevalent Retinal Disease Moving Toward Commercialization

By Tina Banerjee

  • Opthea Ltd (OPT AU) is developing OPT-302, a first-in-class investigational drug. With improved efficacy, OPT-302 has the potential to be the next transformative step in the treatment of wet AMD.
  • Pivotal phase 3 trials are ongoing for OPT-302, with topline data expected in mid-2024. OTP-302 is expected to be launched in 2025. OPT-302 represents a multi-billion-dollar peak sales opportunity.
  • As of December 2021, Opthea had cash balance of A$88 million and no debt. Over the trailing 12 months, the company had cash burn of A$56 million.

Pre-IPO Cali Biosciences – The Industry, the Business and the Concerns

By Xinyao (Criss) Wang

  • Both the postoperative pain management and the expansive application of anesthetics in various fields would increase the market demand for ropivacaine.
  • Cali Biosciences (CALI HK)’s core product, the ropivacaine long-acting analgesic injection drug candidate CPL-01, would have to face the challenges of fierce competition, uncertain market acceptance, and negative policy impact.
  • Together with other concerns such as slow development progress, “not rich enough” pipeline and potential liquidity risk, we are conservative about Cali’s outlook at the current stage.  

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Daily Brief Health Care: Clinuvel Pharmaceuticals, Giant Biogene Holding, Inari Medical and more

By | Daily Briefs, Healthcare

In today’s briefing:

  • Clinuvel Pharmaceuticals (CUV AU): Great Marketed Product; Strong Financials; Rich Pipeline
  • Giant Biogene Pre-IPO – The Positives – Fast Growth and Juicy Margins
  • Inari Medical. Company Update: Downgrade To Neutral

Clinuvel Pharmaceuticals (CUV AU): Great Marketed Product; Strong Financials; Rich Pipeline

By Tina Banerjee

  • Since publishing my bullish insight on Clinuvel Pharmaceuticals (CUV AU)  on April 29, the company reported ongoing positive financial performance and progress across its expanded clinical program.
  • In Q4FY22, Clinuvel’s customer receipts surged 62% y/y to AUD24.05 million, mainly driven by rising clinical demand for Scenesse treatment.
  • Clinuvel stands out amongst its domestic peers for being profitable and cash flow positive. The company has sufficient cash reserves to self-finance planned organic growth.

Giant Biogene Pre-IPO – The Positives – Fast Growth and Juicy Margins

By Sumeet Singh

  • Giant Biogene (GB) aims to raise around US$500m in its Hong Kong IPO.
  • GB is a leader in the bioactive ingredient-based professional skin treatment product industry in China.
  • In this note, we talk about the positive aspects of the deal.

Inari Medical. Company Update: Downgrade To Neutral

By Andrei Zakharov

  • We downgrade Inari Medical (NARI US) shares to Neutral and lower a price target to $83.00, implying a ~4% upside. 
  • We see limited upside to Inari Medical (NARI US)  shares due to peer-group multiple compression, slow expansion in Europe and Asia, and rising operating expenses.
  • Inari Medical (NARI US) completed SPO, issued 2.3M shares, and raised ~$174M to strengthen the balance sheet in 1Q22.  

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Daily Brief Health Care: Raffles Medical, WuXi AppTec Co. Ltd. and more

By | Daily Briefs, Healthcare

In today’s briefing:

  • Raffles Medical (RFMD SP): Stellar H1 Performance Driven by Resumption of Medical Tourism
  • WuXi AppTec (603259.CH/2359.HK) 2022H1 – The Concerns Behind and the Outlook

Raffles Medical (RFMD SP): Stellar H1 Performance Driven by Resumption of Medical Tourism

By Tina Banerjee

  • Raffles Medical (RFMD SP) reported strong H1 2022 results, with double-digit growth in revenue and net profit. With the resumption of international travel, the company is seeing increasing patients.
  • While COVID-related revenue is declining, the company’s hospital business will benefit from the returning of foreign patients as well as resumption of elective surgeries for the domestic patients.
  • Raffles Medical has received the approval to set up an IVF clinic in Hainan province of China.

WuXi AppTec (603259.CH/2359.HK) 2022H1 – The Concerns Behind and the Outlook

By Xinyao (Criss) Wang

  • It seems that Mr Market was not satisfactory with WuXi AppTec’s 2022H1 performance. If excluding COVID-19 projects (which are regarded as a one-time increment), the performance growth was not high.
  • Considering that the CXO preliminary bid winning has declined largely in the US, domestic CXO would not begin to gradually reflect the slowdown of newly added orders until Q4.
  • We are concerned about WuXi AppTec’s performance in 2023. As an old generation CXO, it’s hard to achieve V-shaped rebound. So, 2022 is a good time to offload the Company.

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Daily Brief Health Care: Mediclinic International, Lepu Medical Technology A and more

By | Daily Briefs, Healthcare

In today’s briefing:

  • Remgro/Mediclinic: Healthier Offer
  • Pre-IPO Lepu Medical Technology – Lepu Is in a Difficult Position and Turning It Around Takes Time

Remgro/Mediclinic: Healthier Offer

By Jesus Rodriguez Aguilar

  • After four prospective offers from a Remgro-led consortium, Mediclinic’s Board is to recommend the latest one: 504p/share in cash, cum dividend. The PUSU deadline has been extended until 5 August.
  • The offer values Mediclinic at c. 10x EV/Fwd EBITDA, both above the median of comparables and the failed offer for Spire. At 35% premium, it seems reasonable, but not overly generous.
  • After four proposals, I doubt the consortium will increase its offer, and investors will be happy to part with the cash. Gross spread is 3.92%. Long MDC LN.

Pre-IPO Lepu Medical Technology – Lepu Is in a Difficult Position and Turning It Around Takes Time

By Xinyao (Criss) Wang

  • Lepu suffered from the negative impact of VBP on drug/medical consumables, and its share price has yet to recover. We are not optimistic about the outlook of the traditional businesses.
  • Lepu’s expansion mainly relies on continuous M&A. Whether these diversified businesses will produce synergies and how much performance they will contribute need to be tested by time and the market.
  • Excessive epitaxial expansion may not be a long-term solution. Lepu needs to focus more on endogenous growth and R&D,which is good for sustainable long-term growth. Such business transformation takes time.

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Daily Brief Health Care: Ramsay Health Care and more

By | Daily Briefs, Healthcare

In today’s briefing:

  • Weekly Deals Digest (31 Jul) – Ramsay, Genex, MACA, Yancoal, Yashili, Thai Life, Hongjiu Fruit, WCP

Weekly Deals Digest (31 Jul) – Ramsay, Genex, MACA, Yancoal, Yashili, Thai Life, Hongjiu Fruit, WCP

By Arun George


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Daily Brief Health Care: Cryofocus Medtech (Shanghai), Takeda Pharmaceutical, Samsung Biologics and more

By | Daily Briefs, Healthcare

In today’s briefing:

  • Cryofocus Medtech (康灃生物科技) Pre-IPO: Unimpressive Fundamentals
  • Takeda 1Q: Top Line Beat Consensus – Development Pipeline Continues to Progress
  • Samsung Biologics (207940 KS): Record-High Semi-Annual Revenue Exceeding KRW1 Trillion

Cryofocus Medtech (康灃生物科技) Pre-IPO: Unimpressive Fundamentals

By Ke Yan, CFA, FRM

  • Cryofocus Medtech is a China based medical device company with a focus on cryoablation. The company is look to raise $50-100m to list in Hong Kong.
  • We take a quick look at Cryofocus’ key products, including AF cryoablation system and bladder cryoablation system.
  • We think its products are not impressive. Neither does its investor line-ups and management team impress us much.

Takeda 1Q: Top Line Beat Consensus – Development Pipeline Continues to Progress

By Shifara Samsudeen, ACMA, CGMA

  • Takeda Pharmaceutical (4502 JP)  reported 1QFY03/23 results yesterday. Reported revenue grew 2.4% YoY to JPY972.5bn (vs consensus JPY929.6bn) while OP decreased 39.4% YoY to JPY150.5bn (vs consensus JPY173.1bn).
  • Decline in OP was due to one-time gain from the sale of Japan diabetes portfolio of JPY131.4bn in 1Q last year, however, excluding this, OP increased 28.4% YoY in 1QFY03/2023.
  • Takeda’s share price dropped 1.5% at the end of today’s trading as investor sentiment has changed post earnings as some of the company’s key drugs have started experiencing generic erosion.

Samsung Biologics (207940 KS): Record-High Semi-Annual Revenue Exceeding KRW1 Trillion

By Tina Banerjee

  • Samsung Biologics (207940 KS) achieved highest ever semi-annual revenue of KRW 1.62 trillion in H1 2022, with an operating profit of KRW346.1 billion, mainly driven by its contract manufacturing business.
  • At the end of Q2, the company had an order book of $7.9 billion, entailing revenue visibility. Its new plant is on track to start operation in October.
  • Samsung Bioepis has launched first ophthalogy biosimilar in the U.S. in June. Both the CDMO and biosimilar businesses are expected to clock solid annual revenue growth in 2022.

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Daily Brief Health Care: M3 Inc, Teladoc Health, Inc., Ramsay Health Care and more

By | Daily Briefs, Healthcare

In today’s briefing:

  • M3: Revenue and OP Beat Consensus but Don’t Rush to Make an Entry
  • Teladoc Health Inc (TDOC US): Q2 Revenue Beat Expectations; Here Is Why the Stock Toppled
  • (Mostly) Asia M&A: July 2022 Roundup

M3: Revenue and OP Beat Consensus but Don’t Rush to Make an Entry

By Shifara Samsudeen, ACMA, CGMA

  • M3 Inc (2413 JP)  reported 1QFY03/2023 results yesterday. Revenue grew 22.8% YoY to JPY57.0bn (vs consensus JPY50.8bn) while OP decreased 24.2% YoY to JPY19.0bn (vs consensus JPY16.3bn).
  • The decline in OP was due to decrease in profit from overseas business where 1QFY03/2022 benefited from the Medlive IPO.
  • Though m3’s earnings have beaten consensus and the company’s core Medical Platform has seen some recovery in earnings, we would not be rushing to make an entry.

Teladoc Health Inc (TDOC US): Q2 Revenue Beat Expectations; Here Is Why the Stock Toppled

By Tina Banerjee

  • Teladoc Health, Inc. (TDOC US) reported mixed Q2 results, with revenue and adjusted EBITDA coming in above the midpoint of guidance range. However, EPS came significantly below consensus and guidance.
  • Teladoc has already took $9.8 billion hit from impairment charge in H1 2022. Moreover, the company now expects results to be toward the lower end of already reduced guidance range.
  • Since publishing Q1 results in April, the stock plummeted 23% in three months. From its peak in February 2021, the stock is now down 85%. No immediate recovery is expected.  

(Mostly) Asia M&A: July 2022 Roundup

By David Blennerhassett

  • For the month of July, only 4 new deals (firm and non-binding) were discussed on Smartkarma with an overall announced deal size of just ~US$1bn.
  • The average premium for the new deals announced (or first discussed) in July was ~42%, and a year-to-date average of 38%.
  • This compares to the average premium for all deals in 2021 (165 deals), 2020 (158 deals), and 2019 (145 deals) of 33%, 31%, and 31.5% respectively.

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Daily Brief Health Care: Chugai Pharmaceutical, Otsuka Holdings, Micro-Tech Nanjing Co Ltd, Concord Healthcare Group and more

By | Daily Briefs, Healthcare

In today’s briefing:

  • TOPIX July Rebalance: Good Performance, Low Progression, Should Trade Right Way
  • Otsuka Holdings (4578 JP): Revenue Guidance Raise and New Products Line-Up Enhance Conviction
  • Micro-Tech Nanjing (688029.CH) – Potential for Reversals Despite Short-Term Pressure on Performance
  • Concord Healthcare Group (CHG HK) Pre-IPO: Accumulated Loss and Cash Burn Cloud Growth Prospects

TOPIX July Rebalance: Good Performance, Low Progression, Should Trade Right Way

By Travis Lundy

  • The TOPIX Free-Float Rebalance for July will be executed tomorrow at the close. 
  • There should be about US$3.5bn to trade one-way with 150+ names down-weighted, 36 names up-weighted, and one inclusion – Mercari Inc (4385 JP).
  • The trade has performed well so far, and excess volume appears limited in most cases. It appears uncrowded.

Otsuka Holdings (4578 JP): Revenue Guidance Raise and New Products Line-Up Enhance Conviction

By Tina Banerjee

  • Otsuka Holdings (4578 JP) has raised revenue guidance for H1FY23 by 6%, due to continued strong performance of its four global brands, which contribute more than 35% of total revenue.
  • However, the company has cut operating and net profit guidance for H1FY23, mainly due to one-off charge related to elimination of unrealized gains on inventories caused by yen depreciation.
  • Otsuka received positive CHMP opinion for lupus nephritis drug, Lupkynis. This will pave the way for gaining marketing approval of the drug in Europe.

Micro-Tech Nanjing (688029.CH) – Potential for Reversals Despite Short-Term Pressure on Performance

By Xinyao (Criss) Wang

  • The main logic of Micro-Tech’s performance growth is import substitution, but the Company is facing some challenges in the short term, such as centralized procurement, pandemic, inflation, etc.
  • Micro-Tech will face lower-than-expected performance growth in 2022. Since the whole series of products would be covered by centralized procurement, the valuation of Micro-Tech should be lower than Mindray.
  • However, there are possibilities for Micro-Tech to achieve a turnaround (with bottom-fishing opportunity) if it could make a breakthrough in internationalization and product innovation. We recommend investors follow Micro-Tech closely.

Concord Healthcare Group (CHG HK) Pre-IPO: Accumulated Loss and Cash Burn Cloud Growth Prospects

By Tina Banerjee

  • Concord Healthcare Group (CHG HK), the second largest private oncology healthcare company in China, has submitted application proof for an IPO on the HK Stock Exchange in May 2022.  
  • The company has an accumulated loss of RMB1.7 billion during the last three years, with current net debt-to-capital ratio of 170.1%. Its finance cost account for 92.5% of total revenue.
  • Concord has a cash balance of just RMB136 million, which makes it hard to grab the growth opportunities in China’s capital-intensive oncology healthcare services segment.

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Daily Brief Health Care: Legend Biotech Corp, Terumo Corp, Metropolis Healthcare Limited, Select Medical Holdings, Sihuan Pharmaceutical Hldgs and more

By | Daily Briefs, Healthcare

In today’s briefing:

  • Legend Biotech Follow-On – A Little Opportunistic. Last Deal Did Well, After a Large Correction
  • Terumo Corp (4543 JP): A COVID Recovery Play; Cardiac & Vascular Business to Drive Multi-Year Growth
  • S&P BSE Quiddity Leaderboard Dec 2022: Some More Interesting LONG-SHORT Pairs
  • Downgrading Utilities & Staples to Market Weight; Buy Ideas in Health Care & Trucking
  • Sihuan Pharmaceutical (460.HK) – The Potential Disposal of Generic Drug Business and the Outlook

Legend Biotech Follow-On – A Little Opportunistic. Last Deal Did Well, After a Large Correction

By Sumeet Singh

  • Legend Biotech Corp (LEGN US), a non-wholly owned subsidiary of Hong Kong-listed Genscript Biotech (1548 HK), is planning to raise up to US$250m in its follow-on offering.
  • The company last raised cash in Dec 2021 in a similar sized deal, which ended up doing very well after a sharp share price correction.
  • In this note, we will talk about the deal dynamics and  run the deal through our ECM framework.

Terumo Corp (4543 JP): A COVID Recovery Play; Cardiac & Vascular Business to Drive Multi-Year Growth

By Tina Banerjee

  • Terumo Corp (4543 JP) earns 56% revenue from cardiac and vascular segment, which is the fastest growing segment of the company. The segment is seeing continued recovery from COVID impact.
  • For FY23, Terumo guided for cardiac and vascular segment revenue of ¥445.5B (+12% y/y) and adjusted operating profit of ¥113.4B (+22% y/y), leading to operating margin of 25.5% (+200bps y/y).
  • Over the next five years, Terumo aims for high single-digit revenue growth from the segment, through new product launches and expanding adoption of existing products across disease areas.

S&P BSE Quiddity Leaderboard Dec 2022: Some More Interesting LONG-SHORT Pairs

By Janaghan Jeyakumar, CFA

  • In this insight, we take a look at the names leading the race to become ADDs/DELs for the BSE SENSEX, 100, 200, and 500 Indices in the December 2022 Rebalance.
  • SENSEX and BSE 100 could both see one index change each. There could be multiple ADDs/DELs for the BSE 200 and BSE 500 indices.
  • There are several trading opportunities with interesting potential index flow dynamics.

Downgrading Utilities & Staples to Market Weight; Buy Ideas in Health Care & Trucking

By Joe Jasper

  • We are starting to see some positive signals that suggest the lows for this bear market may have already been established, or that additional downside is limited from here.
  • We need to see downtrend reversals (get above 4030-4040 on SPX, $189 on IWM, and $115 on IWC) and for the NDX(QQQ) to break above $315, to get more constructive.
  • Positive signals include, among other things: the Financial Sector (XLF) and Broker-Dealers/Exchanges ETF (IAI) are reversing topside their 4-5-month downtrends.

Sihuan Pharmaceutical (460.HK) – The Potential Disposal of Generic Drug Business and the Outlook

By Xinyao (Criss) Wang

  • The disposal of generic drug segment would bring one-time cash flow. Together with the cash on hand, Sihuan Pharmaceutical Hldgs (460 HK) is undervalued based on its current market value. 
  • In the context of its innovative drug segment facing long-term losses, and the decreasing profit margins of medical beauty segment due to increasing competition, Sihuan’s prospects are no brighter.
  • Due to the concerns on outlook and its development mode, Sihuan’s upside potential could be lower than expected, and the share price could fluctuate largely. 

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Daily Brief Health Care: Bavarian Nordic A/S, Pharmaron Beijing Co Ltd-H and more

By | Daily Briefs, Healthcare

In today’s briefing:

  • STOXX Europe Quiddity Leaderboard Sep 2022 (2.0): Ultra Electronics, Bavarian Nordic, Uniper, & More
  • Pharmaron Beijing Co Ltd (3759.HK/300759.CH) – The Story May Have Changed

STOXX Europe Quiddity Leaderboard Sep 2022 (2.0): Ultra Electronics, Bavarian Nordic, Uniper, & More

By Janaghan Jeyakumar, CFA

  • In this insight, we take a look at the names leading the race to become ADDs/DELs for the STOXX Europe 600 and EURO STOXX Indices for the September 2022 Rebalance.
  • Based on current rankings, there could be around 8 ADDs/DELs in the September 2022 Rebalance.
  • Furthermore, Ultra Electronics Holdings (ULE LN) could get deleted at the end of this week triggering an intra-review addition to the STOXX Europe 600 Index.

Pharmaron Beijing Co Ltd (3759.HK/300759.CH) – The Story May Have Changed

By Xinyao (Criss) Wang

  • Pharmaron’s share price plunged after the release of the estimate for 2022 interim results, even dragging down the entire CXO sector, which reflected the attitude of Mr Market.
  • One important reason for low net profit growth is related to the development strategy – Even if Pharmaron achieves  “integration”, its advantage/profit margin could largely shrink due to overcapacity/fierce competition.  
  • Pharmaron can only achieve V-shaped rebound by making breakthroughs in CGT CXO to boost valuations and expectations on outlook rather than pursue the strategy of “integration” as in the past.

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