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Southpaw

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  1. KJP--Thanks for the reply. We have a write-up similar to the QIS one, but not quite ready to share it...have another call with the new CEO next week to continue due diligence. In terms of 1/3 of new business coming from existing EMR providers, we think this business is mostly being taken from very tiny players who are struggling to achieve scale and are not able to keep up with ongoing regulatory requirements or R&D needs. For a public example, Nightingale Informatix NGH.v, is slowly bleeding out and losing revenue and doctors to QHR. The Accuro product is superior to many of the smaller players (more of a one stop shop), as well, although QHR claims to be at a premium price. I am searching around to nail down subscription price comparisons across the major players. On the Jonoke acquisition, there is a potential $500,000 earn-out over a period of three years. Happy to keep the discussion going, I can start a new thread and post more notes soon.
  2. Long QIS.v (see thread for more detail). Should be a 20%+ grower for the next several years and show meaningful and positive operating leverage. Currently at ~6x 2016 EBITDA. Long QHR.v. QHR is the industry leader (Canadian EMR software) in an oligopoly structure whose consolidation is accelerating. They offer a mission critical product with 98% customer retention. The stock has 50% upside from where it is now even if they never get another new doctor, but both the number of doctors and ARPU could double in ~5 year and <10 years, respectively, so it has low-risk for multi-bagger potential.
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