Resonance Health Faces Execution Risks as Clinical Trial Milestones and Site Expansions Accelerate

Resonance Health reports a solid quarter with key clinical trial milestones, expansion of trial sites, and multi-year Software-as-a-Medical Device contracts, underpinning a positive cashflow outlook.

  • Receipts from customers total $2.7M with $0.2M net positive operating cashflow
  • First ten patients dosed in $13.8M major pharma clinical trial on schedule
  • TrialsWest expands to three profitable clinical trial sites in Western Australia
  • SaMD division secures ~$4.5M in multi-year contracts with global pharmaceutical companies
  • New ‘Bridge Project’ technology begins commercial testing to improve customer integration
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Operational Momentum Across Core Divisions

Resonance Health Limited (ASX – RHT) has delivered a robust quarterly performance ending June 2025, marked by steady revenue generation and strategic expansion across its clinical trial and medical imaging services. The company reported $2.7 million in customer receipts and a positive net cashflow from operations of $0.2 million for the quarter, contributing to a full-year operating cash inflow of approximately $1.3 million. This financial discipline reflects careful cost management alongside growing demand for its specialised services.

Clinical Trial Services Gain Traction

Resonance’s clinical trial management arm, Resonance Clinical, reached a significant milestone with the dosing of the first ten patients in a $13.8 million contract with a major pharmaceutical company. This trial is progressing on schedule, with further revenue milestones anticipated. Additionally, the company completed a prior clinical trial agreement, delivering the master file to the international sponsor, underscoring its capability to meet demanding contract requirements.

Expanding TrialsWest Footprint

The TrialsWest clinical trial site network continues to expand, with the second site in Osborne Park, Western Australia, achieving profitability during the quarter. A third site in Mandurah has been secured and is set to commence operations in the upcoming quarter. This geographic expansion is expected to support further revenue growth by accommodating increasing client demand for clinical trial site services.

Growth in Software-as-a-Medical Device Contracts

Resonance’s Software-as-a-Medical Device (SaMD) division secured approximately $4.5 million in new or extended service contracts with four global pharmaceutical companies, including new customers. These multi-year agreements highlight the growing reliance on Resonance’s proprietary imaging analysis technologies, which include AI-enhanced MRI-based assessments for liver iron concentration and liver fat quantification. The company is also advancing its service offerings with new imaging endpoints and recently commenced a central-read service for Magnetic Resonance Elastography (MRE).

Innovating Customer Integration with ‘Bridge Project’

To enhance customer experience and streamline workflows, Resonance has begun commercial testing of its internally developed ‘Bridge Project’ technology. This innovation enables direct integration of Resonance’s imaging analysis systems with customers’ Picture Archiving and Communication Systems (PACS), widely used in radiology and MRI centres globally. This integration promises more scalable and seamless service delivery, potentially setting a new standard in clinical trial imaging services.

Financial Position and Outlook

At quarter-end, Resonance held $3.0 million in cash with a net cash position of $0.1 million after accounting for $2.9 million in debt. The company’s secured financing facility with National Australia Bank remains in place until March 2027. Looking ahead to FY26, Resonance is well positioned with ongoing major clinical trial contracts, a growing SaMD customer base, and an expanding TrialsWest footprint. The company’s strategic execution across its three business segments suggests sustained revenue growth and operational leverage in the near term.

Bottom Line?

Resonance Health’s strategic expansions and contract milestones set the stage for continued growth, but clinical trial progress and contract renewals will be key to watch.

Questions in the middle?

  • How will the dosing progress in the $13.8M clinical trial impact near-term revenue recognition?
  • What is the potential market impact of the new ‘Bridge Project’ integration technology on customer retention?
  • Can the expansion of TrialsWest sites sustain profitability and support scaling in FY26?