Good morning and welcome to the AngioDynamics fiscal year 2024 Fourth Quarter Earnings Call. At this time, all participants are in a listen-only mode. A question-and-answer session will follow the formal presentation. [Operator Instructions] As a reminder, this conference call is being recorded. The news release detailing AngioDynamics fiscal 2024 fourth quarter and full year results crossed the wire earlier this morning and is available on the company’s website. This conference call is also being broadcast live over the internet at the Investors section of the company’s website at www.angiodynamics.com, and a webcast replay of the call will be available at the same site approximately 1 hour after the end of today’s call. Before we begin, I would like to caution listeners that during the course of this conference call, the company will make projections or forward-looking statements regarding future events, including statements about expected revenue, adjusted earnings, and gross margins for fiscal year 2025, as well as trends that may continue. Management encourages you to review the company’s past and future filings with the SEC, including without limitation the company’s Forms 10-Q and 10-K, which identify specific factors that may cause the actual results or events to differ materially from those described in the forward-looking statements. The company will also discuss certain non-GAAP and pro forma financial measures during this call. Management uses these measures to establish operational goals and review operational performance, and believes that these measures may assist investors in analyzing the underlying trends in the company’s business over time. Investors should consider these non-GAAP and pro forma measures in addition to, not as a substitute for or as superior to financial reporting measures prepared in accordance with GAAP. A slide package offering insight into the company’s financial results is also available on the Investors section of the company’s website under Events and Presentations. This presentation should be read in conjunction with the press release discussing the company’s operating results and financial performance during this morning’s conference call. I’d now like to turn the call over to Jim Clemmer, AngioDynamics’ President and Chief Executive Officer. Mr. Clemmer?

Thank you, operator. Good morning, everyone, and thank you for joining us for AngioDynamics' fiscal 2024 fourth quarter and full year earnings call. Joining me on today's call is Steve Trowbridge, AngioDynamics' Executive Vice President and Chief Financial Officer. I will begin today's call by providing an overview of our performance in the quarter, followed by an overview of the strategic transformation that we launched in July of 2021. Steve will then provide a detailed analysis of our financial performance, and I will then discuss our outlook for fiscal year 2025 before opening the line for questions. Unless otherwise noted, all financial metrics and growth rates provided during the call today with respect to our results will be on a pro forma basis, which excludes the impact of our divested Dialysis, BioSentry, PICC and Midline businesses, and our discontinued RadioFrequency and Syntrax support catheter products. In the quarter, total pro forma worldwide revenue was $71.1 million, representing growth of approximately 2% year-over-year. For the second straight quarter, we delivered double-digit growth in our Med Tech segment, which grew 11% on a pro forma basis, driven by Auryon, which grew 12%, and NanoKnife, which grew 43%, including pro (ph) growth of 18%. Our mechanical thrombectomy business declined approximately 2% during the fourth quarter. We are, however, very encouraged by the recent performance of both AngioVac and AlphaVac. AngioVac sales stabilized, declining just 4% year-over-year, but grew 6% sequentially over the third fiscal quarter of FY '24. AlphaVac sales grew 7%, posting revenue of $1.9 million, which benefited from the limited market release following the PE indication clearance discussed during our third quarter call. Importantly for AlphaVac, this represents solid sequential growth of nearly 68% over the third quarter of fiscal 2024. Revenue from our Med Device segment declined approximately 4%. This…

Thanks, Jim. Good morning, everybody. Before I begin, I'd like to direct everyone to the presentation on our Investor Relations website summarizing the key items from our quarterly results. As Jim mentioned, unless otherwise noted, all metrics and growth rates mentioned during today's call are on a pro forma basis, which exclude the results of the Dialysis and BioSentry businesses that we divested in June 2023, the PICC and Midline products that we divested in February 2024, and the RadioFrequency and Syntrax support catheter products that we discontinued in February '24. Our revenue for the fourth quarter of FY '24 increased 1.9% year-over-year to $71.1 million, driven by growth in our Med Tech platforms. Med Tech revenue was $29.3 million, an 11.3% year-over-year increase, while Med Device revenue was $41.8 million, a decline of 3.8% compared to the fourth quarter of FY '23. For the full year, total corporate revenue was $270.7 million, up 5.3% year-over-year, with our Med Tech segment up 10.1% and our Med Device segment up 2.4%. For the fourth fiscal quarter, our Med Tech platforms comprised 41% of our total revenue compared to 38% of total revenue a year ago. For the full year, our Med Tech segment comprised 39% of our total revenue base versus 37% as of one year ago. Our Auryon platform contributed $13 million in revenue during the fourth quarter, growing 12% compared to last year. For the full year, our Auryon platform is up 15.8% year-over-year. Mechanical thrombectomy revenue, which includes AngioVac and AlphaVac sales, declined 1.7% over the fourth quarter of FY '23, but this represents a substantial improvement in the trajectory for this business. AngioVac revenue was $5.9 million in the quarter, a slight decrease compared to prior year sales, and a 6% increase sequentially over the third fiscal…

Thanks, Steve. As outlined earlier, we have made tremendous progress over the last three years. We have made significant investments across the organization to get us to where we are today. Our Med Device business has been optimized to deliver consistent, predictable growth and provide cash to support our growth initiatives. Our Med Tech business consists of three highly innovative platform technologies with the ability to service large global markets and deliver strong growth. We are in a unique position to be able to leverage a number of material catalysts over the near term to take advantage of the huge opportunities within our Med Tech markets. Starting with Auryon. In 2025, we expect to continue solid growth and drive our top line through increased penetration in the hospital setting in the U.S. through pursuing international expansion following our CE Mark, which we expect to receive by the end of our Q1, and supporting data collection and launching product line extensions. With AlphaVac, we are currently in full commercial launch for our PE indication in the U.S. and CE Mark countries, and we also expect to launch new products over the course of the year to refine and enhance usability. And lastly, with NanoKnife, we expect FDA approval by the end of calendar year 2024. After which, we will push to drive increased adoption in the U.S. for prostate treatment, and we are pursuing a specific CPT code to add clarity to the reimbursement pathway for the procedure. We are really excited about the future here at AngioDynamics. We are in a great position to transition into a growth story supported by the initiatives that we have put in place over the last three years. I want to thank everyone involved throughout our organization for the continued dedication and tireless work towards our goals. With that, I will now open the line for questions.

Thank you. Ladies and gentlemen, the floor is now open for questions. [Operator Instructions] Today's first question is coming from John Young of Canaccord. Please go ahead.

Hi, Jim and Steve. Good morning, and thanks for taking the question, and congratulations on the quarter. I think I'd like to start on the guidance piece you put out for next year, especially on the Med Tech with the 10% to 12% growth. I'd be interested to hear about methodology you came up with that, especially when it comes to the prostate indication. Have you baked in any benefit from that prostate indication for the second half of fiscal '25?

Hey. Good morning, John. This is Steve. Thanks for the question. With respect to NanoKnife, there's a little bit baked in, in terms of our expectations. We've been talking about the clinical initiatives that we've had in completing enrollment in the prostate trial last year, finishing up the 12 month follow-up this year, and then expecting to get the FDA indication by the end of the calendar year. But I think importantly when you think about NanoKnife, we've been talking about the ability to really parallel path a lot of our actions with NanoKnife over the last couple of years. So you've seen double-digit, almost 20% pro-growth over the last couple of years. We expect that to continue. I wouldn't expect a huge hockey stick coming post indication. I would expect more of that same trajectory that we've seen. The other dynamic I would talk about with NanoKnife particularly as it relates to the guidance, we had a strong capital year this year, and we expect that to turn into pro-growth over the year, but we don't think we're going to have the same level of capital sales in FY '25 that we had in '24. Might be something that you see in Q1, particularly as a comp. So when you think about the guidance, yes, NanoKnife growth, but I don't think I would say, it's really a hockey stick coming from the prostate indication. Really, what you're going to see this year is a story of mechanical thrombectomy and the growth that we expect to see in that business throughout the course of the year, primarily coming from that PE indication that we got for AlphaVac and moving into that full launch for all of FY '25. If you think about what we've seen with Auryon over the last couple of years, double-digit growth, expect that to continue. Same thing with what we talked about with NanoKnife. But now you're going to have thrombectomy kind of joining the growth party, particularly with some of the benefits that we saw at the end of Q4 with AlphaVac. On cadence, though, I would say, we expect Q1 to be the lowest month, right? There's a little bit of a comp dynamic, you still had some AngioVac performance in Q1 last year before we really saw the change in Q2 and Q3. And we were also still enrolling patients in our AlphaVac APEX trial in Q1 of last year. So expect Q1 to be a little bit lower, particularly in terms of Med Tech growth, and then getting into that double-digit growth as you get into Q2, Q3 and Q4.

I appreciate all that color. That's very helpful. And maybe just trying to read thrombectomy, especially as we talk about next year to the new product initiatives that you mentioned on the call. Are these more ancillary products or these improvements to the existing AlphaVac products? And then also just with the -- some of the IP litigation that's popped up in this space over the past few months. What is your comfort around freeing to operate? What's the current AlphaVac? Thank you, again.

Yeah. Thanks, John. So two points on that. When you talk about the line extensions, yeah, we expect those to be line extensions within the AlphaVac family. It's not going to be like a whole brand, new product, but there are things that are important to add to the next generations of AlphaVac. One of the things to remember is we're still on Gen 1 of our AlphaVac when we launched it a couple of years ago. So expect that we're going to refresh that and things that are coming from us listening to our customers and going through our R&D process. On the IP side, there's always two elements of IP, right? There's the sword and the shield. When it comes to freedom to operate, we've got a very robust IP portfolio that came from the initial AngioVac acquisition that we did a few years ago and the work that our IP team has done to build up that picket fence around our technology. We feel very strong about our position in terms of the freedom to operate. We also feel very strong about the fact that we’ve got good IP, and we’re going to make sure that we’re going to keep an eye on other companies and protect our IP as necessary as we go through the course of the next couple of years and the growth trajectory that we expect to see in thrombus.

Great. Thank you, again.

Thank you. The next question is coming from Steve Lichtman of Oppenheimer. Please go ahead.

Thank you. Good morning, guys. I guess also on mechanical thrombectomy, great to see the AngioVac stability. Can you talk a little bit more about what's driving that? What's some of the efforts you've been putting forward to kind of keep that stable while AlphaVac ramps and what's your visibility like on maintaining that stability here in FY '25?

Sure. I see. Thanks. So a couple of things. AngioVac is really, really well designed to play in that right atrium space, and we do a really good job in that space and the product's unique. We don't think anything else can perform as it does. But there's also other areas we think we can play in. We've been led by our physicians who think that there's other avenues we can utilize the product in. So our R&D teams and clinical teams are always pursuing other opportunities. At the same time as that's happening, we've trained our sales force differently. We've aligned our new thrombectomy sales force here in the U.S. to just sell AngioVac and AlphaVac. As you may remember in the past, they had other products in the bag. Today, they're highly trained, specialized to serve these two products in these unique markets. So we feel really good about it. Again, the market size today where we have the space to compete for AngioVac is small compared to AlphaVac PE. We're really excited by the PE market opportunity where AlphaVac can go over time. But in the meantime, Steve, we've done what you would expect, is make sure we keep the clinical work on the back end, the R&D work to keep the product unique and special while we've retrained and reeducated our sales and clinical teams to support that growth. We think that will stabilize the business and help support it.

Great. And then just on AlphaVac PE, have you moved into full launch yet or can you talk a little bit more about sort of the ramp of the full launch here this year?

We have, Steve. So in the April call, at the end of Q3, we announced that we had just received the PE approval from the FDA. We talked about what we would do over the next couple of months. We're finishing our limited launch work, getting our people validated and trained to be ready for the FY '25 rollout, which we've done. So just a month ago in June, we went to the full market release here in the U.S. So all of our reps are trained and validated. Our clinical team is ready. We've targeted the right customers who've shown interest or willingness to try the product. And we're really excited the initial feedback we've heard, Steve, aligned with some of the data that we presented in the APEX study. The data was really compelling. If you look at the efficacy of the product, if you look at the -- how much clot we can remove, how fast the procedures were done. I talked to a lot of physicians myself for the last couple of months, and really the efficiency of the product, the way it's designed to be wireless, which is unique and innovative in this space, as you know. It allows them to really go from the left to the right PA, move in safe and rapid fashion and really treat that patient quickly and safely remove a lot of clot. So we're excited that the initial feedback aligns with what the study showed. So we're doing our work here to support the great design and development of the product and compete in a really great marketplace.

Got it. And then just shifting to NanoKnife. Can you talk a bit more about the reimbursement efforts around prostate that you mentioned? What are you looking to achieve there and when could that happen potentially? And it sounds like you think the benefits of the preserved data and label can certainly start before any of that on the reimbursement front, correct?

That's right, Steve. So I'll harken back to the conversation we had about being able to parallel path a lot of the activities related to NanoKnife. So NanoKnife is currently on the market. It's got a 510(k) indication, so we're able to sell it, and that's what's been driving some of the growth that you've seen. But we're also working very diligently to make sure that we really shore up the reimbursement pathway. As you know, reimbursement is a very complex process. You have to go through a number of steps. There's a lot of things that we've been doing in the background, a lot of conversations we've been having, both on the ICD-10 process, as well as on the CPT side of things when you're working with those, the physician societies. So what Jim was referring to, a lot of the work that we were doing, it's really to try to make sure that we tie a bow around that CPT side of things. As there's more details when that process goes through, we will continue to update you. But we think that, yes, getting to really fully achieving the value of NanoKnife is going to be coming from shoring up the reimbursement as well as getting that indication pathway and then continuing to have our sales force out there, educate the urologists of the options that are out there and the options that NanoKnife gives patients that they don't have otherwise.

And Steve, I'll remind you one other piece as well. We worked hard in the last couple of years to globalize our structure. Our selling and marketing teams outside of the U.S. for years were really focused on our Med Device portfolio, do bids and tenders for some of those products and our team has really shifted. They've done a great job becoming much more clinically focused, preparing to support the global sales increase that we'll expect in our tech products, and you've seen some of that recently. The work they've done a year ago, we talked to you about NICE in NHS (ph) in the U.K., upgrading our status for nano prostate, that was really important. You're going to see growth coming from that. You look at now getting AlphaVac PE CE Mark approved in the past fiscal quarter. Then again, we mentioned we think the Auryon approval may happen during this fiscal quarter, getting our CE Mark. So our teams, the regulatory and clinical teams, both here in the U.S. and overseas, have done a really good job preparing our company's shift to more tech based approach in how we serve those customers over time.

That’s great. Thanks, guys.

Thank you. The next question is coming from Yi Chen of H.C. Wainwright. Please go ahead.

Thank you for taking my questions. Could you comment on, if there is any difference in commercial strategies between the U.S. and Europe for AlphaVac for the PE indication and what is the expected impact on operating expenses? Thank you.

Hi, Yi. Thanks for the question. The base fundamentals of treating PE is the same here in the U.S. as it is in Europe. The market development has been different. The U.S. market has gone a little faster towards catheter based approach adoption with some of the other companies and us that have entered this market. So we're working really, really hard. Our European team just went into extensive training. Our DIRECT team and even some of our clinical partners that we utilize across Europe to support the use of the product. So we're really excited about the clinical training they've gone through. They're ready to support the products, and I've heard some really good results from the procedures that we've already been able to complete recently. So it's going to take a really good approach. What we've done to prepare for this is aligning ourselves, our DIRECT team, with some really good clinic based partners, to support the growth of AlphaVac treating PE outside of the U.S. in the format that makes the most sense to us. So it's economically feasible for us and it also gives our people the clinical reach they need to support patient care. Over time, built into the projections we gave this morning for our FY '25 projections, you've got really those investments in the U.S. and outside of the U.S. to support the product growth already built to our P&L that Steve gave guidance on.

Got it. And could you also give us some specifics on the prostate patient population that are suitable to receive NanoKnife treatment? Thanks.

Sure, Yi. Thanks for the question. So we think that the perfect opportunity for us to start with this initiative was to go after the intermediate risk patients. So those are the patients that have been diagnosed with prostate cancer. But they're right on the cusp in terms of what treatment option they're going to get. Right now, they've got two options that are on either end of a very diverse spectrum, either they go to a radical prostatectomy and a surgery, very good overall survival results, terrible in terms of the amount of side effects that those patients typically suffer in terms of impotence or incontinence. The other end of the spectrum is watchful waiting or active surveillance, really means no treatment. And so we think that the NanoKnife opportunity really fits well for those intermediate risk patients, where we can go in. We can treat the condition that they have, preserve future treatment options and importantly, preserve those quality of life impact so that they don’t suffer those side effects. A lot of all that information is what we’re looking forward to talking about when we come out with the PRESERVE data to show that it’s an option that just men don’t have today for that very large intermediate risk population.

Got it. Thank you.

Thank you. This brings us to the end of the question-and-answer session. I would like to turn the floor back over to Mr. Clemmer for closing comments.

Thank you, operator. I'd like to thank our team here at AngioDynamics that's worked with us to support our goal and our direction change to become a medical technology company. It's much easier to say that than to actually do it with the work we've done on the R&D basis, listening to the customers, giving us their feedback on how to design and develop really unique innovative products that can improve patient safety and physician efficacy, what we're doing in that transformation. Along with that journey, we hope to create value for our investors. So thank you for joining us today, and thanks to our team here at AngioDynamics.

Ladies and gentlemen, thank you for your participation. This concludes today's event. You may disconnect your lines or log off the webcast at this time, and enjoy the rest of your day.