UltraGreen.ai (ULG / UGS)

SGX · Healthcare growth compounder · Last reviewed: 2 Aug 2026

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Investment conclusionACCUMULATE SELECTIVELYConviction: High

Accumulate selectively at S$1.53. UltraGreen combines a recurring regulated consumable, 85% gross margin, 13% FY2025 vial growth and a substantial net-cash balance sheet. At roughly 20–21x normalized FY2025 earnings and 17–19x a conservative FY2026 range, the core ICG franchise can support a 10%–14% three-to-five-year return if volume and pricing remain durable. The data/AI platform is treated as unproven optionality, not as current software value; US pricing, distributor concentration and adjacent-investment discipline are the principal risks.

Price used
S$1.53
Base-case IRR
10%–14%
Horizon
3–5 years
Portfolio role
Healthcare growth compounder
Principal risk: US pricing and distributor concentration: the top three customers represented about 68% of FY2025 group revenue.

2. Quick metrics

Price (28 Jul 2026)S$1.53
Income yield0% current; no fixed dividend policy
Base-case IRR10%–14%
Normalized FY2025 P/E≈20–21x
Indicative FY2026 P/E≈17–19x
Operating cash flowUS$53.3m

3. What the company does

Business overview

UltraGreen.ai is a Singapore-listed, US-dollar-reporting fluorescence-guided surgery company. Its economic core is recurring sales of IC-Green and Verdye indocyanine-green vials used with near-infrared surgical imaging systems. The Americas supplied about US$106.5 million, or 75%, of FY2025 group revenue. Imaging systems, perfusion quantification, cloud software and wearable-biosensor distribution are early platform extensions rather than established earnings engines.

How it makes money

  • Sells regulated ICG pharmaceutical vials through hospital and distributor channels; repeat procedure use, price and vial volume drive the core economics.
  • Uses regulatory approvals, clinical evidence, surgeon education and a dual-sourced manufacturing network to expand indications and geographies.
  • Offers IC-Flow imaging systems to broaden access to fluorescence-guided surgery and reinforce demand for the consumable dye.
  • Develops PerfusionWorks and the UltraGreen Data Systems platform for quantitative perfusion analysis and surgical data workflows; these products remain pre-commercial or immaterial to group revenue.
  • Makes selective investments in adjacent technologies including wearable cardiac biosensors and image-guided oncology, creating optionality but also capital-allocation risk.

4. Core investment thesis

1

The moat is regulated consumable adoption, not the AI label

UltraGreen earns most of its revenue from repeat ICG vial use. Multi-year pharmaceutical approvals, clinical evidence, manufacturing compliance and integration into surgeon workflows support pricing and retention more directly than the still-unproven data platform.

2

Volume, price and geography can compound together

FY2025 combined 13% vial growth with a 17% increase in average selling price, while non-US volumes grew faster than the US. The base case requires continued procedure penetration and international approvals without assuming another large annual pricing step.

3

Net cash funds expansion but raises the capital-allocation test

The IPO left a substantial cash balance and little financial risk. Management is now funding software, imaging, biosensors and minority investments; these extensions must demonstrate clinical fit, revenue and cash returns rather than merely broadening the story.

4

Software is upside only after commercial proof

UGDS produced immaterial FY2025 revenue and a segment loss, while PerfusionWorks is still moving through regulatory pathways. The valuation assigns little current value to software until paying sites, recurring revenue and margins are disclosed.

5. Main earnings drivers

Each row links an economic variable to the earnings mechanism, the assumption embedded in the base case and the company-specific KPIs that can validate or disprove it.

DriverHow it changes earningsCurrent directionBase-case assumptionKey measurable indicators
Underlying ICG vial volumeEach additional fluorescence-guided procedure generally consumes a regulated vial, so procedure penetration, new indications and geographic approvals translate directly into recurring revenue.Positive; quarterly base distortedUnderlying volume grows 8%–11% annually after removing the 1Q2025 backlog-fulfilment distortion.
  • US and non-US vials shipped
  • Underlying year-on-year growth excluding backlog
  • New approved indications and markets
  • Procedure and site adoption
Average selling price and mixWith gross margin near 85%, price and regional mix have high incremental profit sensitivity. Price creates value only if volume and distributor relationships remain durable.Positive carryover from FY2025The FY2025 US increase contributes a full year, followed by more normal price growth without material volume loss.
  • Group and US ASP
  • Post-increase US volumes
  • Gross margin
  • Rebates and chargebacks
  • Americas revenue concentration
Regulatory and clinical adoptionApprovals open markets and indications; clinical evidence, guidelines and education convert approval into routine use. Long registration timelines are both a moat and a growth bottleneck.ExpandingSeveral Asian and Middle Eastern approvals progress, with commercial ramp gradual rather than immediate.
  • IC-Green/Verdye approved countries
  • New indication approvals
  • Guideline inclusion
  • Non-US revenue and volume growth
Supply-chain resilienceAPI or lyophilisation disruption can prevent vial shipment despite demand. Dual sourcing and redundant facilities protect revenue and working capital.ImprovingTwo API sources and multiple qualified facilities support demand without a repeat of the 2024 disruption.
  • Qualified API suppliers
  • Approved lyophilisation sites
  • Inventory days and write-offs
  • Backorders
  • Quality or regulatory observations
Platform economics and capital allocationIC-Flow, UGDS, PerfusionWorks and adjacent investments can increase vial use or create new revenue, but development expense and capital deployment reduce returns until commercial proof appears.Investment rising; returns unprovenCore ICG funds measured investment; no material software profit is required for the base case.
  • UGDS revenue and segment result
  • PerfusionWorks approvals and launch
  • Paying software sites
  • IC-Flow placements and vial pull-through
  • Net cash and investment outlays

6. Evidence for and against the thesis

This table tests each thesis claim with both supporting and disconfirming evidence. Confidence refers to the evidence currently available, not the attractiveness of the share price.

Thesis claimEvidence supporting itContradictory evidence or unresolved issueConfidence
The core ICG franchise has regulatory and workflow durability
  • FY2025 vial volume rose 13% and average selling price rose 17%
  • Gross margin remained 85%
  • The company reports registrations taking roughly 2.5–6 years and products sold across more than 55 countries
  • The top three US distributors represented about 68% of group revenue
  • The revenue base remains concentrated in one pharmaceutical agent and the Americas
High
International growth can reduce concentration
  • FY2025 non-US volume grew 29% and non-US revenue grew 41%
  • Singapore approval expanded Verdye coverage and additional Asian / Middle Eastern filings are under way
  • Americas still represented about 75% of FY2025 external revenue
  • Approval does not guarantee rapid reimbursement, surgeon adoption or distributor execution
Medium–High
Current valuation is supported by normalized core earnings
  • Normalized FY2025 NPAT was US$63.8m before net exceptional gains
  • Year-end net cash was US$176.1m and operating cash flow was US$53.3m
  • The S$1.53 price is below the S$1.892 Singapore IPO price
  • A roughly 20–21x trailing normalized P/E still assumes durable growth
  • FY2025 cash conversion lagged normalized NPAT and 2026 investment is increasing
Medium–High
The data and AI platform can deepen the ecosystem
  • UltraGreen retained selected UltraLinQ employees, owns Perfusion Tech and targets real-time perfusion quantification
  • Management reports regulatory progress and a 2027 quantification launch target
  • UGDS generated only about US$0.4m of FY2025 external revenue and a US$1.6m segment operating loss
  • Paying sites, recurring software revenue, pricing and margin have not been disclosed
Medium–Low
The balance sheet enables value-accretive growth
  • FY2025 closed with US$176.1m net cash and no meaningful leverage
  • Management began buying shares below the IPO price
  • Convertible notes and minority investments in LifeSignals, IHLD and other technologies broaden execution risk
  • The company has no fixed dividend policy and majority ownership limits minority influence
Medium

7. Financial and margin profile

MetricCurrentInterpretation
FY2025 group revenueUS$142.4m+24%; continuing operations were US$137.9m, +28%
FY2025 vial volume / ASP988k / ≈US$138+13% volume and +17% average selling price
Adjusted EBITDAUS$89.4m62.8% margin; includes the small disposed UltraLinQ contribution
Normalized NPATUS$63.8mBefore US$11.8m net exceptional gain; UltraLinQ contributed about US$0.8m before disposal
Operating cash flowUS$53.3mAfter tax and working-capital outflow; about US$45m after tangible and intangible additions
Net cash at FY2025US$176.1mBefore 2026 buybacks and strategic investments
1Q2026 vial shipments≈280.9k+7.8% quarter on quarter; year-on-year comparison was distorted by prior backlog fulfilment
FY2026 revenue guidanceUS$170m–US$190m+19% to +33%; 1H2026 results due 12 Aug 2026

Margins and operating leverage

  • FY2025 gross margin was 85.0% and adjusted EBITDA margin was 62.8%, reflecting a high-value regulated consumable with substantial operating leverage.
  • Normalized net margin fell to 44.8% from 48.8% because administration, regulatory, commercial and platform investment grew faster than revenue.
  • The US price increase provides a favorable FY2026 carryover, but the base case assumes some reinvestment and does not extrapolate peak incremental margins.
  • UGDS generated only about US$0.4 million of FY2025 external revenue and a US$1.6 million segment operating loss; software is not yet a demonstrated margin contributor.

8. Balance sheet & capital allocation

Operating cash flow
US$53.3m
Net cash at FY2025
US$176.1m

Capital-allocation priorities and catalysts

  • 1H2026 results on 12 August confirming revenue guidance, margins and cash conversion
  • Additional Verdye / IC-Green approvals and measurable non-US commercial traction
  • EU MDR or FDA milestones for PerfusionWorks with disclosed launch economics
  • Evidence that IC-Flow placements accelerate recurring vial use
  • Disciplined buybacks below intrinsic value without weakening strategic flexibility

9. Valuation summary

MetricCurrent / normalizedInterpretation
Normalized FY2025 P/E≈20–21xS$1.53 converted at approximately S$1.30/US$; uses about 1.103bn shares and excludes the disposal gain
Indicative FY2026 P/E≈17–19xSquad estimate using US$70m–US$78m normalized NPAT; not company guidance
EV / adjusted EBITDA≈12–13xUses year-end net cash, adjusted for modest 2026 deployment only approximately
Normalized FCF yield≈3%–4%FY2025 operating cash flow less tangible and intangible additions; working capital can vary
Preferred frameworkP/E + FCF yield + volume/ASP durabilityAssign little value to pre-commercial software until revenue and economics are disclosed

10. Return scenarios (3–5 years)

ScenarioAssumptionsIndicative annual return
BearUnderlying vial growth slows below 5%, US pricing meets resistance, investments hold normalized margin near 38% and the exit P/E falls to 14–15x. No software value is assumed.-4% to +2% annualised
BaseVial volume grows 8%–11%, pricing normalises after the FY2025 step-up, normalized EPS compounds about 10%–12%, cash remains net positive and the exit P/E is 18–20x.10%–14% annualised
BullInternational adoption and indications sustain mid-teens volume growth, margin remains above 45%, IC-Flow and software add credible revenue and the exit P/E is 22–24x.18%–23% annualised

Squad Capital estimates, not company guidance. Refresh when price, normalized earnings or risk changes materially.

11. Key risks

  • US pricing and distributor concentration: the top three customers represented about 68% of FY2025 group revenue
  • Regulatory, product-quality or manufacturing disruption affecting a concentrated product franchise
  • Volume normalization after backlog fulfilment or resistance to the FY2025 US price increase
  • Capital diverted into UGDS, biosensors and minority investments before commercial returns are proven
  • Majority-shareholder control, limited free float and low secondary-counter liquidity
  • No fixed dividend policy and foreign-exchange exposure between USD reporting, EUR operations and SGD share purchases

Thesis breakers

  • Underlying vial growth remains below 5% or price increases cause sustained share loss
  • Gross margin falls below 80% without a deliberate and high-return mix change
  • Operating cash conversion remains below 70% of normalized NPAT for several periods
  • Net cash is deployed into unrelated or low-return investments faster than the core franchise can absorb
  • A material regulatory, quality or supply event interrupts ICG availability

12. Thesis monitoring dashboard

Only indicators capable of materially changing the forecast, risk assessment or investment conclusion are included here.

Thesis-critical indicatorCurrent readingBase-case requirementStatus
Underlying vial volume growth1Q2026 shipped about 280.9k vials, +7.8% sequentially; reported year-on-year comparison includes prior backlog effects8%–11% underlying annual growth after normalisationOn track
ASP, retention and gross marginFY2025 ASP +17%; gross margin 85.0%Volume remains durable and gross margin stays above 82% after the US price increaseOn track
Normalized profit and cash conversionFY2025 normalized NPAT US$63.8m versus operating cash flow US$53.3mOperating cash flow averages at least 75%–80% of normalized NPAT through the growth cycleWatch
Net cash and adjacent investmentUS$176.1m at FY2025 before 2026 buybacks and strategic investmentsRemain strongly net cash while each material investment has a disclosed strategic and return caseWatch
UGDS / PerfusionWorks commercial proofUGDS FY2025 external revenue about US$0.4m and segment operating loss about US$1.6mRegulatory approval, paying sites and recurring revenue disclosed before assigning meaningful software valueUnproven
Valuation versus evidenceS$1.53 on 28 Jul; roughly 20–21x FY2025 normalized earningsMultiple remains at or below the high teens on forward normalized earnings, or growth evidence strengthensPrice-dependent

13. Primary sources

14. Revision history

DatePriceViewWhat changed
2 Aug 2026S$1.53 (28 Jul close)Accumulate selectivelyFirst current publication. Revalidated FY2025, 1Q2026 volumes, current price, share count, cash flow, customer concentration and platform economics. Prior chat conclusions were used only as questions; software is treated as unproven optionality.
Earlier chat researchResearch leadThe earlier discussion about UltraLinQ, team location and the cloud platform was preserved in a linked evidence/FAQ note and not carried forward as a current investment conclusion.