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C-RAD (CRAD-B.ST)
Health Care · Surface-guided radiation therapy (medtech) · LTM Q1 2026
Analysis date: 2026-06-15
Price at analysis: SEK 34.30
Method: mttssn_streamlined_v1
Conviction: MEDIUM
HOLD
Conviction: MEDIUM
A high-quality, organically-built SGRT leader (>2,000 systems, ~30% share) with a genuine installed-base moat monetising into a fast-growing service annuity (Services +30%). Adjusted ROIC ~20%, EP +SEK 24M, net-cash fortress. The swing factor is the new CEO's transformation targeting a 25% EBIT margin (~2.3x the current ~11%) — Q1 already showed a 21% underlying margin. HOLD, medium conviction with a BUY-on-execution tilt.
Adj. ROIC
19.6%
WACC 8% → spread +11.6pp
Economic Profit
+SEK 24M
+SEK 24M; top-tier medtech
FCF Yield
4.4%
~6% FCF yield; net cash ~SEK 158M
Price / Target
SEK 34 → SEK 26
-24% base; HOLD
Revenue (LTM)
SEK 428M
LTM; Q1 order intake +19%
EBIT Margin
11.0%
~11% EBIT (Q1 ex-one-offs 21%)
EV / IC
4.98×
Enterprise value / invested capital
Net Debt
n/a
Net cash ~SEK 158M; no bank debt
Thesis

C-RAD is a high-quality, organically-built surface-guided-radiation-therapy (SGRT) leader — patient positioning and motion management for cancer radiotherapy (Catalyst/Sentinel) — with >2,000 systems, ~30% share across ~60 countries and a genuine installed-base moat that is monetising into a fast-growing service annuity (Services +30%, 12-month service backlog +34%). The balance sheet is a fortress (net cash ~SEK 158M, no bank debt, first dividend).

Adjusted ROIC ~20% and EP +SEK 24M confirm real value creation even after expensing all R&D (the APM divergence is purely the R&D-capitalisation reversal). The swing factor is the new CEO's transformation program targeting ≥10% organic growth and a 25% EBIT margin (~2.3x the current ~11%) — Q1 2026 already showed an underlying inflection (ex-one-offs EBIT margin 21%, gross margin 73%, order intake +19%).

Valuation · reverse-DCF & scenarios

At PEBV ~1.3 and EV/IC ~3.5x the stock is full on current ~11% margins (~6% FCF yield) — the upside is the margin-expansion optionality toward the 25% target.

Base SEK 26 on continued service-annuity growth and a partial margin ramp; bull SEK 34 if the 25% EBIT-margin target is delivered; bear SEK 18 on revenue volatility or execution stumbles.

Market-implied growth
+17.4%
NOPAT CAGR over 5y the EV already requires
No-growth value / share
SEK 22
64% of price; rest = priced-in growth
ROIC − WACC
+11.6 pp
ROIC 19.6% vs WACC 8.0% — positive = value creation
CAP (priced-in)
7.6 yrs
years of excess returns the price implies (fades to WACC)

The market pays today’s enterprise value for roughly 17.4% NOPAT growth over 5 years. The business earns 20% on capital against a 8% cost of capital (spread +11.6 pp); the no-growth value is SEK 22/share (64% of price), so the rest is priced-in growth.

Scenario24m targetImpl. gUpsideProb.Driver
BullSEK 34+17%-1%35%25% EBIT-margin target delivered
BaseSEK 26+7%-24%45%Service-annuity growth + partial margin ramp
BearSEK 18-8%-48%20%Revenue volatility or execution stumbles
Prob-weightedSEK 27-21%100%Scenario-weighted expected value

Sensitivity — fair value / share at WACC × growth

WACC \ g0%3%5%8%10%15%
6.50%283133363945
7.25%252728313338
8.00% (base)222425272832
8.75%202122242528
9.50%181920212225

Green = fair value above the current price of SEK 34.30. The reverse-DCF conclusion is dominated by WACC and growth — see the whole surface, not a single fair value.

Method & data. NOPAT SEK 40, invested capital and ROIC 19.6% are observed (adjustments.json); WACC 8.0% and terminal g 2.5% are assumptions. EV→equity uses net debt SEK -122. The model holds ROIC constant (no fade) over the explicit horizon; the CAP figure instead fades excess returns to WACC.

⤓ Download the full model (.xlsx) — formula-driven sheets; flex the blue input cells and the model cascades in Excel.

Key drivers

1. Installed-base + service annuity

>2,000 systems, ~30% share; Services +30%, 12-mo service backlog +34% — recurring, high-margin.

2. Margin-expansion optionality

Transformation targets 25% EBIT margin vs ~11%; Q1 ex-one-offs margin already 21%.

3. High returns + net cash

Adjusted ROIC ~20%, EP +SEK 24M, net cash ~SEK 158M, clean accounting.

4. Order momentum

Q1 order intake +19%; gross margin 73%.

Key risks
Conclusion

C-RAD is a high-quality SGRT leader with a real installed-base moat, top-tier ~20% ROIC and a net-cash balance sheet, full on current margins but with genuine margin-expansion optionality. HOLD, medium conviction with a BUY-on-execution tilt; base SEK 26.

Re-rate to a clear BUY on evidence the 25% margin target is being delivered (Q1's 21% underlying margin is the early signal); revenue volatility is the main downside.

Footnote evidence & sources

Every adjustment traces to the cited note/page in the source filing — click to open it there. Annual report / 10-K: 📄 open  ·  Latest interim: 📄 open

Adjustment / figureValueSourceWhy mttssn treats it this way
Revenue (LTM Q1 2026)428Q1 consolidated income statement p.9 (FY 441.9 - Q1'25 118.8 + Q1'26 104.7) 📄 p.9LTM top line; FY anchor from AR IS p.44, quarters from Q1 IS.
EBIT reported (LTM Q1 2026)47.2Q1 income statement p.9 (FY 45.1 - Q1'25 10.0 + Q1'26 12.1) 📄 p.9LTM reported operating profit; base for adjusted EBIT.
Capitalized development (own-work, P&L credit) LTM11.6'Capitalised development costs' line, Q1 IS p.9 + AR IS p.44 📄 p.9Own-work capitalized that inflates EBIT; the amount we reverse out (gross of amortization) under the R&D treatment.
Amortization of capitalized development (FY2025)5.093AR Note 13 Intangible assets p.63 (dev-specific amortization row) 📄 p.63The amortization of previously-capitalized development already in EBIT; added back into the reversal so we only strip the NET capitalization benefit (-11.6 + 5.4 = -6.25 LTM).
Goodwill0AR Note 13 Intangible assets p.63 📄 p.63No acquisition goodwill — intangibles are internally-generated capitalized development plus de-minimis patents; hence no PPA amortization to reject.
Restructuring one-off (Q1 2026, EBIT impact)9.5Q1 report p.5 / p.2 ('excluding one-offs of MSEK 9.5, EBIT amounted to MSEK 22') 📄 p.5Non-recurring reorganization/severance from the new transformation program; normalized (added back) within the LTM window.
Operating FX loss in EBIT (FY2025)-15.6AR Note 9 Other operating income/expenses p.61 📄 p.61Large unrealized USD/EUR revaluation inside FY EBIT; on an LTM basis it nets to approx -0.1, so it is disclosed but not separately normalized.
Lease liabilities (total, Q1 2026)12.9AR Note 22 Leases p.72 (9.4 long-term + ~3.5 current); Q1 BS p.11 confirms 9.4 LT 📄 p.72Office/vehicle leases — peripheral, excluded from invested capital; lease interest already below EBIT (IFRS 16), so no NOPAT add-back.
Interest-bearing debt0AR Note 25 net-debt table p.76 ('Loans' column = 0) 📄 p.76No bank borrowings; the only financing liability is leases and the MSEK 20 Nordea overdraft is undrawn — confirms net-cash profile.
Cash & equivalents (Q1 2026)135Q1 consolidated balance sheet p.11 📄 p.11Snapshot cash; 2% of LTM revenue (8.6) kept as operational, the remaining 126.6 stripped as excess cash from IC.
Total equity (Q1 2026)348Q1 consolidated balance sheet p.11 📄 p.11IC anchor; net of translation-reserve OCI (17.5) gives equity_ex_oci 330.6.
Tax (normalized rate)0.206AR Note 11 Tax p.62 (Swedish statutory 20.6%) 📄 p.62GAAP effective rate is distorted by non-recognition of foreign loss carryforwards; the 20.6% Swedish statutory marginal rate is used for NOPAT.
Analysis history

How the mttssn view has evolved — each prior dated note is preserved.

Quality · Buffett tenets11 / 15
Understandable business
Surface-guided radiation therapy (SGRT) — patient positioning + motion management for cancer RT (Catalyst/Sentinel) + a growing service annuity.
Durable moat
Installed-base moat: >2,000 systems, ~30% share, ~60 countries, monetising into a fast-growing recurring service stream (Services +30%).
Able & honest management
Net cash, no bank debt, clean impairment history, first dividend; a new-CEO transformation program targets ≥10% organic growth and a 25% EBIT margin.
Financial strength
Adjusted ROIC ~20%, EP +SEK 24M, net cash, 69% gross margin — top-tier medtech value creation even after expensing all R&D.
Margin of safety
PEBV ~1.3 is full on current ~11% margins, but the swing factor is real margin-expansion optionality (Q1 ex-one-offs margin already 21%).