DRI Healthcare Trust (TSX:DHT.UN)
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Earnings Call: Q4 2022

Mar 2, 2023

Operator

Good morning, everyone. Welcome to DRI Healthcare Trust's 2022 fourth quarter and full year earnings call. Listeners are reminded that certain statements made in this earnings call presentation, including responses to questions, may contain forward-looking statements within the meaning of the safe harbor provisions of Canadian provincial securities laws. Forward-looking statements involve risks and uncertainties. Undue reliance should not be placed on such statements. Certain material factors or assumptions are applied in making forward-looking statements. Actual results may differ materially from those expressed or implied in such statements. For additional information about factors that may cause actual results to differ materially from expectations and about material factors or assumptions applied in making forward-looking statements, please consult the MD&A for this quarter, the Risk Factors section of the annual information form, and DRI Healthcare Trust's other filings with Canadian securities regulators.

DRI Healthcare Trust does not undertake to update any forward-looking statements. Such statements speak only as of the date made. Today's presentation also references non-GAAP measures, including total cash receipts, total cash royalty receipts, adjusted EBITDA and certain non-GAAP ratios, including adjusted EBITDA margin and adjusted cash earnings per unit. These measures and ratios are not recognized measures under IFRS and do not have a standardized meaning prescribed by IFRS and are therefore unlikely to be comparable to similar measures disclosed by other issuers. Rather, these measures and ratios are provided as additional information to complement those IFRS measures by providing a further understanding of DRI Healthcare Trust's financial performance from management's perspective. Accordingly, these measures should not be considered in isolation, nor as a substitute for analysis of financial information reported under IFRS. Please note that all dollar amounts discussed today are in U.S. currency unless otherwise specified.

I'd like to remind everyone that this conference call is being recorded today, Wednesday, March the second, two thousand and twenty-three. I would now like to introduce Mr. Behzad Khosrowshahi, Chief Executive Officer of DRI Healthcare Trust. Please go ahead, sir.

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

Thank you, Operator, and good morning, everybody. Thank you for taking the time to join us today. With me today are Chris Anastasopoulos, our Chief Financial Officer, Stewart Busbridge, our Chief Operating Officer, and Emmanuel Coeytaux, our Head of Strategy. We're excited to share our fourth quarter and full year results and update you on our key priorities for 2023. Successful execution of our strategy is built on four major pillars. First, and most important is our people. Our highly skilled teams of pro-professionals bring together a specialized and uncommon mix of financial, scientific, and transactional expertise that allows us to excel in our industry. Our people are integral to our continued success. Second is an approach to investing that has been honed and curated over the years.

With nearly 70 royalty trend investments made over that time, we have identified the criteria that makes for a high-quality and long-term growth asset that adds accretive value to our portfolio. Third is our proactive sourcing capability. Having a deep understanding of the royalty ecosystem through our proprietary database allows us to form relationships with key royalty holders and build trust over a long period of time. These three taken together leads to our fourth pillar, which is our exceptional execution. Our unparalleled diligence efforts result in the ability to execute and a track record of delivering strong value and returns to our unitholders. These pillars are what I would call DRI's flywheel, and they are the characteristics that have led and will continue to lead to sustained long-term success.

In 2022, we made significant progress in enhancing the Trust royalty portfolio by completing five transactions for $281 million. Since going public just over two years ago, we have invested $381.5 million in our portfolio that now comprises 22 royalty streams on 19 high quality drugs. Importantly, our transactions successfully replaced the anticipated cash flow declines associated with the expiring assets over the next few years, creating the foundation for sustainable cash flow growth. We are in a very strong position to continue to build on this recent success with a robust pipeline of opportunities combined with access to capital, including through the recent issuance of preferred securities. In 2022, we are pleased to return capital to our unitholders with $18.8 million returned to our unitholders in cash distributions and unit buybacks.

In 2022, the Trust portfolio generated $96.2 million in Total Cash Receipts and $93 million in total income. DRI Healthcare Trust earned $82.4 million in adjusted EBITDA, reflecting an adjusted EBITDA margin of 86%. For the year, we delivered $1.87 in adjusted cash earnings per unit and declared aggregate cash distributions of $0.30 per unit. Based on the outlook of our new and potential royalty transactions, we look forward to continuing to deliver strong unitholder returns in 2023 and beyond. Let's look at our long-term strategy and how it has been advanced since the time of our IPO just over two years ago. At that time, we stated that our target was to deploy between $650 million and $750 million over our first five years as a public company.

Based on our strong pace of deployment to date and the opportunities we are seeing in our pipeline, we have revised this target to deploy $850 million-$900 million over the same 5 years. The seed assets that were acquired at the time of the IPO tended to be maturing, and accordingly, there was an expectation of declining cash flow in the absence of new deployment. Given our success in adding assets that combine immediate accretion with long-term growth, we believe that we have flattened that trend with a slight growth expected between 2022 and 2025 in the absence of no further transactions. Looking forward, we expect to achieve 7%-9% annual royalty receipt growth by 2025 by continuing to acquire assets much like we have in the past.

We have put ourselves in a strong position to close deals through developing access to capital through a number of channels. We have flexible credit facilities, capital in from the preferred security offering, and the benefits of compounding the cash flows from our royalties. With the addition of these new products, our portfolio now consists of 22 royalty streams on 19 drugs. As I mentioned earlier, at the time of the IPO, we stated a 5-year deployment target of $650 million-$750 million. In about two years, we have completed 6 transactions. We are almost halfway to the high end of this target, with $381 million deployed, with the potential for these transactions to be as large as $458 million with the achievement of certain performance-based milestones.

This pace, significantly ahead of our initial target, combined with the opportunities that we are seeing today, led us to increase our deployment target to $850 million-$900 million as we announced several weeks ago. I will now turn it over to Emmanuel to discuss some of the industry trends as we are seeing that will positively impact our business.

Emmanuel Coeytaux
EVP, Strategy, DRI Healthcare Trust

Thank you, Behzad. The biopharmaceutical sector is experiencing a wave of innovation driven by accelerating discovery, development, and commercialization of life-changing drugs. At the same time, an aging and longer living population, combined with increased biopharmaceutical penetration in emerging markets, is leading to growing demand for medicines that effectively treat and address unmet medical needs. This boom in scientific advancements has created an insatiable demand for capital and consequently a tremendous opportunity for value creation. It is estimated that nearly $2 trillion will be spent on R&D projects from 2022 through 2028. Global spending on medicines continues to grow rapidly, with nearly $2 trillion of projects to spend on medicines in 2027 alone. Our strategy is to be a partner at the forefront of that innovation.

This investment in R&D has led to an acceleration in the number of new drugs approved by the FDA and other global regulators. These new products that have unique benefits to a variety of patient populations give rise to new royalty opportunities on growing assets. While we have seen a slight drop in FDA approvals last year as a result of the COVID backlog, this number is expected to be back to pre-COVID levels this year. Pharmaceutical royalty financing has shown significant growth. Biotech and pharmaceutical companies are voracious consumers of capital, and royalty financing provides a non-dilutive and often cheaper form of financing compared to equity or debt. We have seen both the number of royalty deals and the value of those transactions more than double over the last five years.

Royalty financing is now mainstream and considered a normal course of option as part of a company's capital strategy. DRI Healthcare, the pioneer of the space, is known as one of the most reputable partners in the business. With the biotech equity markets in their current states, companies are struggling to raise the huge sums of capital they need to fund their clinical and commercial development agendas. Over the last year, we have seen more opportunities than ever in the company's history, both inbound and internally generated. Through our proprietary database that we have built over the last 20 years, we have unique insight into royalties that exist on products we are interested in years before they become commercialized. We also identify who owns those royalties and develop relationships with them, giving us a competitive advantage on acquiring these royalties as soon as the drugs are approved.

In 2022, we saw an unprecedented level of initially screened opportunities. We narrowed this to 75 deals on which we spent significant time, 21 offers that were made, and 8 assets where we undertook detailed due diligence. Ultimately, we closed on four deals, or about 2% of the total number of deal opportunities we screened initially. This excludes our VONJO royalty, which was part of a 2021 transaction. I will now ask Stewart to discuss our 2022 transactions.

Stewart Busbridge
EVP and COO, DRI Healthcare Trust

Thank you, Emmanuel. In 2022, we completed five transactions. Each was unique in terms of the deal structure, counterparty, and therapeutic area addressed. Our VONJO royalty was acquired in February 2022 following the FDA approval of VONJO, and this was part of the August 2021 deal with CTI BioPharma. The initial transaction size was $60 million, with an additional $6.5 million milestone payment made in January of this year upon VONJO sales hitting the agreed threshold. In July, we acquired royalty on worldwide net sales of Empaveli for $24.5 million. At the time of the transaction, Empaveli was approved for PNH, a chronic rare genetic disorder. One of the reasons we were excited about Empaveli is that it was also in development for a number of other indications.

Two weeks ago, Empaveli was approved for geographic atrophy, an ophthalmological condition becoming the first product approved for this indication. This injectable version of the drug is branded as SYFOVRE. Empaveli is also in development for cold agglutinin disease and autoimmune disease, and C3 glomerulopathy, a renal disease. Our current royalty entitlement is on all global sales of all formulations of Empaveli, including SYFOVRE, up to an annual sales cap of $500 million. In September, we acquired a royalty interest in ZEJULA for $35 million. ZEJULA is an oncology drug approved by both the FDA and the EMA for treating ovarian cancer, with multiple oncology pipeline indications in development. The transaction entitles us to a 0.5% royalty on GSK's net worldwide sales of ZEJULA.

In the event that the FDA approves ZEJULA for endometrial cancer by the end of 2025, we will make a $10 million milestone payment to the counterparty from whom we acquired the royalty. In October, we acquired a royalty interest in OMIDRIA for $125 million. OMIDRIA is an ophthalmological product for intracameral use during cataract surgery or intraocular lens replacement, and was approved by the FDA and EMA in 2014 and 2015 respectively. We are entitled to royalties on OMIDRIA subject to annual caps through 2030. The recent passing of the U.S. Omnibus Budget Bill guaranteed payer coverage of OMIDRIA through the end of 2027, increasing our confidence in receiving the maximum amount each year.

Our last deal of the year was the product of an approximately 1% royalty on the net worldwide sales of Xenpozyme. This is the only product developed and approved for treating non-central nervous system manifestations of ASMD, also known as Niemann-Pick disease, in pediatric and adult patients. We acquired this royalty for $30 million. There is an additional performance-based milestone of up to $26.5 million that may be paid should our cumulative royalties received, achieve certain significant thresholds. In February, we completed a $95 million private placement of preferred securities to further strengthen our capital base. The private placement was for gross proceeds of $95 million through the sale of an aggregate $114.76 million principal amount of preferred securities.

These securities will initially pay cash interest at a rate of 7.4% per annum on the aggregate principal amount. $19.76 million of the preferred securities will mature on December 27, 2027, with the remaining $95 million not maturing until February 8, 2073. The trust can redeem those securities at par at any time after December 2027. In connection with the private placement, we also issued 6.4 million warrants with a 5-year term. These warrants have an exercise price of $11.62, a 106% premium over the volume weighted average price of the Trust units for the 20 trading days ending February 7, the day before we completed the private placement.

Here we show the breakdown of Cash Royalty Receipts by asset for the fourth quarter and full year of 2022 compared to the same periods in 2021. First of all, we started to see the impact of the new additions to our portfolio, VONJO, Oracea, and the first contributions from Empaveli, ZEJULA, and OMIDRIA. We expect to receive our first royalties on Xenpozyme in Q2 of this year. We also saw continued strength in XOLAIR and Zytiga. The year-over-year quarterly change in our EYLEA royalty was impacted by receiving our Q3 2021 royalty in Q4 2021, resulting in a double receipt last year, as well as the step down in our entitlement in Q1 of 2022 in the first of our two R-EYLEA royalties.

We also saw the continued impact on SPINRAZA of the evolving market conditions and increased competition in the treatment of spinal muscular atrophy. Rydapt also declined from 2021 levels that included positive prior year adjustments to the royalties received. Overall cash receipts were also impacted by the continued contractual expirations of royalty entitlements in certain geographies as expected for STELARA, SIMPONI, and Ilaris.

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

The expiry of the Rilpivirine portfolio in 2021. As our new royalties continue to grow, we expect them to contribute increasingly to the overall portfolio, mitigating the reductions to our older assets. I will now turn the call over to Chris to discuss our financial status.

Chris Anastasopoulos
CFO, DRI Healthcare Trust

Thank you, Stuart. We continue to generate strong cash flow from our assets. In 2022, our total cash receipts were $96.2 million, including total cash royalty receipts of $90.8 million and interest receipts of $5.4 million on the CTI loan. Our operating expenses and management fees for the year totaled $13.8 million, resulting in an adjusted EBITDA of $82.4 million and an adjusted EBITDA margin of 86%. For the year ended December 31, 2022, we have generated $1.87 in adjusted cash earnings per unit. As at December 31, we had cash and cash equivalents of $36.7 million, along with $27.7 million of royalties receivable and $103 million of available capacity on our credit facilities.

The addition of the proceeds of the private placement, along with the cash we generate each quarter and the funds available from our credit facility, positions us with significant dry powder to continue executing on our growth strategy. I will now turn the call back over to Behzad.

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

Thanks very much, Chris. 2022 was a very successful year for DRI Healthcare Trust. We exceeded our goals for the year and look for continued success in 2023 with a higher but very achievable target. In 2023, we will remain focused on our three key priorities. First, we will invest in our people and will continue to help them develop to build their skills and competencies. DRI Healthcare has been a pioneer and leader in royalty financing for over 30 years, and our team's skill at identifying and closing accretive transactions is vital to that success and will ensure that this continues. Next, we will continue to execute against our robust pipeline. We have completed 6 transactions to date and based on that success, have increased our deployment target by approximately 25%.

With the current market constraints on biotech financing and the high demand for new and innovative treatments, combined with our skills of sourcing and closing transactions, we continue operating at peak performance in all aspects of our business and see multiple opportunities to deploy that capital. Finally, this volume will also let us pick the best transactions to deliver long-term accretive value for our unitholders. We will be a critical partner in advancing innovation in the life science sector by providing funding to parties across the pharmaceutical value chain. With that, we will now take your questions. Thank you very much.

Operator

Thank you, sir. Ladies and gentlemen, we will now begin the question -and- answer session. If you would like to ask a question, please press star followed by the number one on your telephone keypad. If your question has been answered and you would like to withdraw from the queue, please press star followed by the number two. If you are using a speakerphone, please lift your handset before entering any keys. One moment please for your first question. Your first question will come from Scott Fletcher at CIBC. Please go ahead.

Scott Fletcher
Director, Equity Research, CIBC

Good morning. I wanted to ask a question about new opportunities in the pipeline. I'm just wondering about what the primary criteria is on the new deals. Is it purely about maximizing the potential IRR, or is the timing and certainty of cash flows also important as was sort of the case for OMIDRIA?

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

Scott, thank you very much for the question and for taking the time. I appreciate it. You know, without trying to evade your question, I think that our priority is on both. I mean, I think we look for acquiring royalties on approved and commercialized pharmaceutical products that are in the sort of growing portion of their life, and so they're generating material cash flows today and are expected to generate material cash flows in the future. Simultaneously, we look to do deals that have attractive IRRs and have attractive structural components to them. When we're evaluating transactions, we're looking at a minimum, we're looking at all three of those kinds of criteria.

Scott Fletcher
Director, Equity Research, CIBC

Okay, fair enough. Then on the IRR, I guess, opportunities, obviously the cost of the financing was a little steeper than maybe we've seen in the past. Is that, does that mean that the hurdle rate on the deals in the near term is increased just in order to offset that increased cost of the financing?

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

Yeah. Let me make some general comments on the pipeline, then I'll directly answer your question just to provide some context for you and for everybody else on the call. You know, as was mentioned on the call and on our prepared remarks, this is possibly the busiest time, at least in the 21 years that I've been doing this. You know, the only analog that I have, which is a somewhat of a weak analog, is sort of the period from 2010 to 2013 after the financial crisis. At that time, we had significant deal flow, slightly less than what we have today. All those deals had attractive returns associated with them, attractive structures, during that period, we sort of deployed about $800 million in about three years.

Today, our pipeline is probably more full than it was at that time, and certainly, it's more attractive across a variety of metrics. The deals that we're looking at are all high quality, so these are deals that all meet our investment criteria or exceed them, both on a financial sense and a qualitative sense. I think throughout the course of 2022, we were looking at deals that were in the 10%-12% IRR range. Today, we're looking at deals, you know, in excess of 14%, on our base case forecasts.

You know, in 2022, I mentioned a few times that we operate in a private market that tends to lag sort of public markets by a few months, and that lag sort of has erased and is now sort of we're seeing a step-up in returns as a result of that. The other factor, you know, that we look at is, you know, structural components to deals. Things like caps and other sort of factors that reduce the optionality of high returns on transactions. We're seeing now that, you know, deals have fewer of those kinds of structures.

You know, we also look at, obviously, the size of our pipeline. We measure this in two buckets, sort of longer-term deal flow, deal flow that we may execute 9 to 12 months from now, as well as near-term deal flow, so deals that we may execute within the next 9 months. Last year, it hovered around $1 billion for the second half of the year. Today it's sort of sitting at around $2.5 billion across a variety of therapeutic areas, but all of them very serious conditions. No sort of concentration either in individual deals or individual therapeutic areas. Scott, I don't know if I covered your question, but let me know if I didn't.

Scott Fletcher
Director, Equity Research, CIBC

No, that's great color, and I'll pass the line there.

Operator

Your next question will come from Ashwani Verma at UBS. Please go ahead.

Ashwani Verma
Executive Director, SMID Biotech and Biopharma, UBS

Hey, good morning. Thank you for taking our questions. I have two. One is just, so for pegcetacoplan, right? I wanted to understand, so you have the option to top up, to a $1.1 billion cap if you spend under the $21 million. From my understanding,

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

Ash, thank you very much for the questions. I appreciate it. I think on pegcetacoplan or Empaveli, I still haven't perfected the pronunciation for the GA indication. We're looking at whether or not to execute on the option that we have. We have until June, beginning of June, to make that decision. I think a couple factors will go into our thinking. First of all, how the launch goes, and what that looks like and what the ramp looks like there, will be interesting to see. The other factor, frankly, is going to be related to the opportunities that we have in front of us. I mean, our job is to deploy capital in the smartest possible way into deals that generate maximum returns for our unitholders.

We're gonna deploy capital where we think we have the best chance of doing that. We're gonna evaluate that as time goes on. In isolation, you know, we certainly like the label for the new label for the geographic atrophy indication. Certainly, we think it's got a lot of promise and is meaningful for patients. Our expectation is that it's going to do well and that the ramp will be reasonably strong. We have the opportunity to see that in action and we'll wait and see before executing on the option. Can you repeat the second part of your question for me?

Ashwani Verma
Executive Director, SMID Biotech and Biopharma, UBS

Yeah. What I was trying to get at is like, just like revised capital deployment goal that you outlined, right? The $850-$900. Do you have any certain near-term opportunities when you set that up? Or was that kind of like broadly set in terms of just aggressive deployment capital over a longer period of time?

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

You know, when we set the original capital deployment target at the time of the IPO, where we said we're gonna deploy about $150 million per year, we looked back over the prior 10 years. We looked at our deployment in good years and bad years, and we sort of averaged it out and weighted it and came to a conclusion that $140 million a year is a reasonable number at that time. We went through a similar kind of exercise, looking back sort of at what we've done over the past 24 months or so, in addition to looking forward and seeing what the market looks like and estimating what kind of share we should be able to reasonably take in that market.

We developed our new capital deployment target, on that basis and, you know, in a fairly sort of, thoughtful kind of way, so to speak. We didn't deploy it with any specific deal in mind in the sense that we didn't say, "Look, hey, we got a $200 million deal we're gonna do in April, and so that's gonna make a difference." We did deploy it in the context of... we did change it in the context of our, of our total deal flow right now.

Ashwani Verma
Executive Director, SMID Biotech and Biopharma, UBS

All right, great. Thank you for that.

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

No problem. Thank you.

Operator

Your next question will come from Tania Armstrong-Whitworth at Canaccord Genuity. Please go ahead.

Tania Armstrong-Whitworth
Director, Equity Research, Canaccord Genuity

Good morning. To start, just going back on the first line of questioning, I think you mentioned a pipeline sizing of about two and a half billion dollars. Just to clarify, is that the near term opportunities that you're talking about that nine months out?

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

Yes, it is, Tania.

Tania Armstrong-Whitworth
Director, Equity Research, Canaccord Genuity

Okay, perfect. Then just looking at the cadence of the number of deals you've closed over the last few months. Based on the size of your team and the infrastructure you have, is there kind of an upper threshold of how many deals or how much in deal value you can actually be evaluating and closing at any given point in time?

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

I mean, there is certainly an upper threshold at some point. We try to size our team on the basis that we want to have a team at all times where we can be in full diligence on 5 deals at once. That's how we've sized our team over the past 18 years or so. I would tell you that in that time, we've never been in full diligence on 5 deals at once. We size our team with a reasonable amount of extra capacity to it. You know, I think our restriction on our team will not be a restriction on our ability to execute on transactions.

Tania Armstrong-Whitworth
Director, Equity Research, Canaccord Genuity

Okay, perfect. Then on the preferred securities offering, could you give us a sense of what the net proceeds were after costs and everything? Just trying to get a sense of where your cash balance sits today.

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

Net proceeds were roughly $92.5 million , $93 million.

Tania Armstrong-Whitworth
Director, Equity Research, Canaccord Genuity

Perfect. Thanks so much. That's all for me.

Operator

Your next question comes from Endri Leno at National Bank. Please go ahead.

Endri Leno
VP, Equity Research Analyst – Special Situations and Healthcare, National Bank of Canada

Hey. Good morning. Thanks for taking my questions. Just a couple from me. I was wondering, Behzad, and you mentioned that the pipeline is valued around $2.5 billion. Is there any way you can, you know, kind of, give us a breakdown, if it's possible, in terms of, whether there are any deals in the near term pipeline or anything in due diligence, or exclusivity at this point?

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

I knew that question was coming at some point, Endri. I think, you know, as you know, we divide our near-term pipeline into three subcategories deals that we have under exclusivity, deals that we have in advanced diligence, and deals that we have in sort of more preliminary diligence. I know that we have two transactions that are under exclusivity, that we hope to be able to close in the next sort of 60 days or so. Obviously subject to our diligence, supporting our investment thesis. Then we have probably three or four transactions that are in very advanced stages of diligence, meaning that we're negotiating LOIs or about to issue LOIs on them.

That could come to fruition, you know, within the next 90-180 days, let's say. Then the balance of our deal flow pipeline is sort of in the early to middle stages of the work that we're doing. In terms of number of deals in our near-term pipeline, we have 18 transactions that we're looking at right now. Just the number of transactions is much higher than previously.

Endri Leno
VP, Equity Research Analyst – Special Situations and Healthcare, National Bank of Canada

No, that's great. That's great. Thanks for the color. As a follow-up on that, I mean, given all the deals that you have right now, is it purely a function of where the equity markets are or financial financing option for these companies? Is there any kind of changes to the competitive landscape that you can talk to as well?

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

I think, you know, I think a lot of it is a function of where capital markets are, where macro factors like interest rates are, and so on. I mean, as you know, we do deals with individual inventors, with academic institutions, as well as with companies. Companies obviously feel the cost of capital markets much more directly than an academic institution or an inventor would. We're getting a lot of deal flow from corporate entities because of the state of markets for biotechs and mid-cap pharmas and so on. In addition to that, we are getting considerable deal flow from academic institutions as well as individual inventors who are not as directly impacted.

I think that, you know, the rationale there is that, you know, what Emmanuel described earlier, which was just the sort of need for capital to develop different products and to advance research and so on. There's multiple drivers to the size of the pipeline right now.

Endri Leno
VP, Equity Research Analyst – Special Situations and Healthcare, National Bank of Canada

Okay. Great. Thank you. Thanks for coloring. One more from me, and I'll jump on the queue. Just wanted to ask a little bit about Natpar, and you put a note that you're evaluating and things might look differently next year. Is there any reason why you might not necessarily pull the trigger on that now? I mean, is there an action plan that you could perhaps monetize, whatever's left on that royalty? Or would you expect sort of a

A big rush of orders before the manufacturer is interrupted or any kind of color you can get there. Appreciate it.

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

I can't put a ton of color on it, just for various confidentiality reasons. What I can tell you is that we're working on a variety of different avenues to recover our royalties or to maximize the royalty, on that drug. We hope to reach a resolution on that's, you know, positive for us and positive for unitholders, within the next little while. We're, we're sort of, chasing multiple avenues to get there. We should be able to give an update at the next quarter results or shortly after that.

Endri Leno
VP, Equity Research Analyst – Special Situations and Healthcare, National Bank of Canada

That'll be great. Okay, thank you. That's it for me. Thanks.

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

Thank you.

Operator

Your next question will come from Greg Fraser at Truist Securities. Please go ahead.

Greg Fraser
Equity Research Analyst, Truist Securities

Morning, folks. Thanks for taking the questions. On your expectation for slight growth in cash receipts through 2025 with the current portfolio, can you speak to the trajectory year to year and whether there could be any down years based on royalty expiries or rate step downs? Thank you.

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

I think we've done a good job in sort of adding cash flows to the pipeline. In the absence of doing any new deals, our expectation is that cash receipts would be roughly flat year-on-year going forward through the end of 2025. Obviously, we're in the business of doing deals and all the pipeline stuff I talked about hopefully will translate into transactions. That'll change as we make new acquisitions. But in the absence of deals, I expect that it'll be roughly flat year-on-year going forward.

Greg Fraser
Equity Research Analyst, Truist Securities

Thank you.

Operator

Ladies and gentlemen, once again, if you would like to ask a question, please press star one now. Your next question will come from Sahil Dhingra at RBC. Please go ahead.

Sahil Dhingra
Senior Equity Research Associate, RBC Capital Markets

Hi, good morning. This is Sahil Dhingra for Doug Miehm. Thank you so much for taking our questions. I think most of our questions have been answered, but just one on the deal pipeline. Are there any pre-approval products as well, like we had for VONJO or are all the products marketed in the near-term pipeline?

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

I think in our near-term pipeline, Sahil, and thank you very much for the question. The deals that we're looking at are all approved and marketed drugs.

Sahil Dhingra
Senior Equity Research Associate, RBC Capital Markets

Okay. thanks. That is helpful. My second question is, on Vonjo. I realize you paid $6.5 million. Is there any future milestone payments that you are expecting right now based on the cadence, the way the product has been performing?

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

It's Stewart here. There is another eighteen and a half million dollar potential milestone. We don't currently anticipate paying that. That's based on a sales threshold through Q3 of this year. It's set at a level that we don't currently anticipate, but obviously we'll update as that as we.

Sahil Dhingra
Senior Equity Research Associate, RBC Capital Markets

Okay. Thank you. That's all from my end.

Operator

Your next question comes from Rahul Sarugaser at Raymond James. Please go ahead.

Rahul Sarugaser
Managing Director, Equity Analyst – Healthcare, Biotechnology and Cannabis, Raymond James

Good morning, DRI team. Thanks so much for taking our questions. The very first question, is going to come back to the geographic atrophy asset from Apellis. You gave us some answer some of that, earlier when you talked about expecting a solid ramp. Is there an option to further increase the cap, post-June?

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

Rahul, thank you very much for the question. There is no option after June. Our option is June first.

Rahul Sarugaser
Managing Director, Equity Analyst – Healthcare, Biotechnology and Cannabis, Raymond James

Okay. That's nice and simple. Just my second quick question is, you talked about your pipeline being relatively robust. As we sort of scale that relative to or benchmark that relative to your goal of capital deployment, could you give us a sense for the distribution of size of those deals? You know, sort of maybe using maybe $100 million as the threshold, like how many above $100 million or what proportion are above $100 million and what proportion are below?

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

I think what I can tell you is that we have a good mix of deals in the pipeline. You know, as you know, our focus is to do deals that are in the $25 million-$200 million range. All of the deals that we're looking at fall fairly squarely within that range. In terms of an average ticket, should we do all of those deals, I expect that that would be somewhere in the $75 million-$100 million range, which is sort of pretty consistent with our history. It's a fairly broad mix and it's a sort of well-scattered mix.

Rahul Sarugaser
Managing Director, Equity Analyst – Healthcare, Biotechnology and Cannabis, Raymond James

Okay, great. That's the clarity we're looking for. Thanks very much. We'll get back in the queue.

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

Thank you very much, Rahul.

Operator

At this time, there are no further questions, so I will hand the call back to Mr. Khosrowshahi for any closing remarks.

Behzad Khosrowshahi
CEO, DRI Healthcare Trust

Thank you very much, operator. Thank you very much, everybody, for joining the call. We appreciate it and look forward to speaking to you soon.

Operator

Ladies and gentlemen, this does conclude your conference call for this morning. We'd like to thank you all for participating and ask you to please disconnect your lines.

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