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Apyx Medical Corporation (APYX)

Q4 2017 Earnings Call· Mon, Mar 12, 2018

$3.68

-2.13%

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Transcript

Operator

Operator

Good afternoon, ladies and gentlemen. And welcome to the Fourth Quarter and Fiscal Year 2017 Earnings Conference Call for Bovie Medical Corporation. At this time, all participants have been placed in a listen-only mode. At the end of the company's prepared remarks, we will conduct a question-and-answer session. Please note that this conference call is being recorded and that the recording will be available on the company's website for replay shortly. Before we begin, I would like to remind everyone that our remarks and responses to your questions today may contain forward-looking statements that are based on the current expectations of management, and involve inherent risks and uncertainties that could cause actual results to differ materially from those indicated, including those identified in the Risk Factors section of our most recent annual report on Form 10-K filed with the Securities and Exchange Commission, as well as our most recent 10-Q filing. Such factors may be updated from time to time in our filings with the SEC, which are available on our website. We undertake no obligation to publicly update or revise our forward-looking statements as a result of new information, future events or otherwise. This call will also include references to certain financial measures that are not calculated in accordance with Generally Accepted Accounting Principles or GAAP. We generally refer to these as non-GAAP financial measures. Reconciliations of those non-GAAP financial measures to the most comparable measures calculated and presented in accordance with GAAP are available in the earnings press release on the Investor Relations portion of our website. I would now like to turn the call over to Mr. Charlie Goodwin, Bovie Medical's Chief Executive Officer. Please go ahead.

Charles Goodwin

Management

Thank you, Julian. Welcome everyone to our fourth quarter 2017 earnings call. I am joined on this evening's call by our Jay Ewers, our Chief Financial Officer. Let me provide you with a quick agenda for today's call, as the recently appointed Chief Executive Officer of Bovie Medical. I'll begin my remarks with the brief introduction and share some thoughts on the company. Then I'll discuss our revenue performance for the fourth quarter and fiscal 2017, while sharing some additional commentary on the primary drivers of growth in our three business segments. I'll then turn the call over to Jay, who will review our financial results in detail and discuss our 2018 financial guidance, which we introduced in our earnings press release this afternoon. Following Jay's discussion, I'll share some closing remarks on our strategy for 2018 before we open the call for your questions. Before delving into the discussion of our results for the fourth quarter and fiscal year 2017, I thought I take a moment to introduce myself, share a few summary points on my experiences and background and provide you with a high level overview of my initial thoughts on the Bovie Medical story. I Joint Bovie Medical team in mid-December with 25 plus years of experience in the healthcare industry. A large portion of my carrier was spent at Olympus and Gyrus ACMI. I joined Gyrus on the sale side in 2002 was promoted to Vice President of sales and assisted in the company's acquisition of ACMI. Following the acquisition I became President of Gyrus ACMI surgical division. Over the next three years I developed the surgical division’s global distribution network and achieved average annual sales growth of 35%. I was promoted to manage Gyrus ACMI's entire 700 employee global business as President of Worldwide Sales…

Jay Ewers

Management

Thanks, Charlie. Total revenue for fourth quarter 2017 increased $1.9 million or 19.5% year-over-year to $11.3 million, compared to $9.5 million in the fourth quarter of 2016. By business segment, total revenue growth in the fourth quarter was primarily driven by Advanced Energy segment sales, which increased $2.1 million or 218.6 % year-over-year to $3.1 million. We were extremely pleased with our Advanced Energy growth in the United States in the fourth quarter, where we generated a record $2.6 million in sales of J-Plasma. We also saw initial stocking orders of J-Plasma generators for new O-U.S. distributors this quarter, which drove strong international sales as well. Our core segment increased approximately $143,000 or 1.9% year-over-year and our OEM segment decreased approximately $409,000 or 41.9% year-over-year. By product line, total revenue growth in the fourth quarter was driven primarily by a 35.8% increase in sales of electrosurgical products. Revenue growth also benefitted from growth in our cauteries products line, which increased by 13.8% and was moderated by sales of our lighting and other product lines, which decreased 29.4% and 22.8% respectively in the period. By product line, sales of electrosurgical, cauteries, lighting and other products represented 70%, 17%, 4% and 9% of total revenue respectively in the fourth quarter. Revenue in the United States increased approximately $521,000 or 5.8% year-over-year to $9.5 million and international revenue increased approximately $1.3 million or 244.1% year-over-year to $1.9 million. The increase in international sales was impart the function of the easier comparison in the fourth quarter of 2016, when international sales represented 6% of total revenue in that quarter compared to 15% of total revenue in the first nine months of 2016. International sales represented approximately 17% of sales in the fourth quarter of 2017 and the growth was primarily driven by strong demand…

Charles Goodwin

Management

Thanks, Jay. Before we open the call for questions, I’d like to discuss our near and longer term strategy to drive growth in our Advanced Energy business segment moving forward. In the near-term we expect to achieve 40% plus growth in our Advanced Energy business in 2018 by leveraging our internal resources to drive strong sales of our J-Plasma technology. Within the U.S. specifically, we remain in the early stage of adoption curve. Our strong commercial traction and positive feedback from physicians over the last year has affirmed our conviction that the cosmetic surgery market represents the most attractive target opportunity for our J-Plasma technology. Going forward, our sales reps will focus exclusively on our target procedures in the cosmetic surgery market in order to maximize the potential for distraction -- or minimize the potential for distraction, sorry. More specifically, they will focus on efforts on outpatient setting, where the vast majority of cosmetic surgery markets are performed rather than spending time selling into markets, where procedures are performed in the acute care hospital inpatient setting. Similar to our experience in 2017, the primary driver of Advanced Energy growth in 2018 will be our ability to attract early adopters in the cosmetic surgery market. Those physician practitioners who have strong appreciation for the unparalleled features and benefits that our J-Plasma technology provides and are willing to adopt this highly differentiated technology in advance of substantial clinical validation. Outside the U.S., we will continue to use distributor networks to market and sale our J-Plasma technology. Importantly, we expect our J-Plasma sales growth in 2018 to be driven by a combination of increased demand from existing distributors who are responding to demand from end-user customers, as well as contributions from the addition of new distributor relationships. As I think about our longer…

Operator

Operator

Thank you. [Operator Instructions] And our first question will come from Matthew O'Brien from Piper Jaffray. Your line is open.

Matthew O'Brien

Analyst

Good afternoon, gents. Thanks for taking my questions. Few for me and I’ll try to run through this fairly quick, but Jay or Charlie, can you run through what the contribution was from a stocking order perspective in Q4 from maybe just on the generator side specifically?

Charles Goodwin

Management

Yes…

Matthew O'Brien

Analyst

If you don't have I can move on to the next question…

Charles Goodwin

Management

You are talking O-U.S., right?

Matthew O'Brien

Analyst

Either U.S. or O-U.S., but it sounds the like majority of it came O-U.S.

Charles Goodwin

Management

Correct.

Matthew O'Brien

Analyst

Can you give us any sense for the size of that in Q4?

Charles Goodwin

Management

I don't know that I have those numbers at the sip of my fingers.

Matthew O'Brien

Analyst

Okay. Okay, that's fair. Secondly, the salaries and other line the big decrease that we saw, Jay, where there any headcount reductions in their specifically or is that just more some internal adjustments?

Jay Ewers

Management

It was actually both, it was -- there was some headcount reduction in the second half of 2017. And it also was some adjustments to incentive comp accruals and change in employee benefit plans.

Matthew O'Brien

Analyst

Okay. So, is this just an adjustment basically to kind of refocus some of the spent from the organization specifically in Advanced Energy, is that the way to think about it?

Jay Ewers

Management

From Advanced Energy, no…

Matthew O'Brien

Analyst

To Advanced Energy.

Jay Ewers

Management

To Advanced Energy, yes, you could look it at that way, yes.

Matthew O'Brien

Analyst

Okay, got it. So then maybe Charlie on the new distributor agreements, can you give us the number that you signed in Q4 and how do we think about how many you anticipate signing here in 2018? And then how do we think about specifically the growth in J-Plasma this year generator versus the disposable?

Charles Goodwin

Management

All of the O-U.S. growth that we had in Advanced Energy was from distributor agreements that we signed in 2017. We don’t -- we have maybe a handful that would come in 2018, but the majority of that has been done in 2017. And on the $1.7 million of upside that we had in Q4 of 2017 for internationally half of that was core, half of that was Advanced Energy.

Matthew O'Brien

Analyst

Got it, okay. So then last one for me and I’ll get back into queue. But, the cosmetic markets the focus that you guys have there; can you talk about that market opportunity maybe size it for those of us on the call? And then what exactly you’re doing to penetrate that you talked some marketing initiatives, et cetera. But to get to that $11 million number roughly for J-Plasma here -- Advanced Energy in 2018, what do you have to do to get there? And then secondly, what about the rest of your customers that use J-Plasma for other indications, are you just going to service those guys or are you basically just kind of saying okay we’re really not going to pay attention to that segment of the market for the time being.

Charles Goodwin

Management

Yes, so here is how we would define the cosmetic surgery market. We say that this market is made up of plastic surgeons, cosmetic surgeons and dermatologists and in the United States that represents somewhere around 15,000 physicians to basically call on. As you know J-Plasma is primarily used as a subdermal coagulator and just from the plastic surgery alone, there is around 200,000 procedures with liposuction where J-Plasma is used after liposuction. And just from that group there is 200,000 procedures, there is probably another 200,000 procedures when you talk about cosmetic surgeons and dermatologists in that regard. And obviously we are in the early stages of adoption and we remain at the very empathy of that and we will continue to go after these early adapters as we build out our clinical support to go after the rest of the market and that’s something that we will spend a lot of time doing in 2018. As it pertains to our existing base of doctors and surgeons that are using the product inside the hospital, we will continue to support them and support them till the effort that they have always expected from us, we will just not be seeking out new customers in that space.

Matthew O'Brien

Analyst

Fair enough, thank you.

Operator

Operator

Our next question comes from David Turkaly from JMP Securities. Your line is open.

Unidentified Analyst

Analyst

Hey guys, this is John [ph] on for Dave. Can you hear me okay?

Jay Ewers

Management

We can, John.

Unidentified Analyst

Analyst

Okay, great. So Charlie one for you to kind of start out maybe a high level one, you mentioned in the prepared remarks little bit about what initially drew you to the company, with the understanding you have only been there about three months, is there anything you have come across in that time either positive or negative that is particularly noteworthy or maybe even came as a bit of a surprise to you?

Charles Goodwin

Management

I think the thing that is incredibly positive and the thing that remains -- that keeps me incredibly passionate about this opportunity is the level of passion that our existing customers have about the technology and the results they are seeing from their patients. And that has been amazing to me and we have a wonderful group of early adopters that are helping us along this journey and it is really their commitment and their passion and the results that their patients are seeing that is incredibly exciting and I did not expect that level of passion from that group.

Unidentified Analyst

Analyst

Okay, I appreciate that. And then just kind of a quick on the skin resurfacing trial, based on your long history in med tech and specifically the experience you talked about in surgical energy, maybe you can just help us understand broadly, how important the skin resurfacing indication is when you have already got some surgeons out there getting really good results and you have already got some pretty solid growth and kind of a nice buzz around that business. How incrementally important is that indication?

Charles Goodwin

Management

Well, I think we need to make sure that we're separating the two things. What I was talking about earlier was J-Plasma being used as a subdermal coagulator. And that is where we're seeing the incredible growth to our J-Plasma story in 2017 and in 2018. When it comes to dermal resurfacing we do not have an indication for dermal resurfacing right now and that is an off-label procedure, and there are some surgeons you're correct that are using that, but they are using that off-label. So for us, it is very important for this IDE study that we were doing to be able to get the indication, to be able to use J-Plasma for dermal resurfacing safe and effectively. And this is something that we will be submitting through the FDA -- finishing the study and then submitting to the FDA so we can actually go after this market that we are currently not going after right now.

Unidentified Analyst

Analyst

Okay. And then, another one there on the trial, I think you guys had initially talked about having five centers. You said you've got three sites going now. Do you think you'll end up getting to the five, or it sounds like you're going to potentially complete enrollment before too long? How should we think about the way that will progress?

Charles Goodwin

Management

Yes, when you looked at that, we could have up to five, when we wrote the protocol. We decided on the number of three because that was the appropriate number for us to be able to manage and to make sure that we could drive this. And yes, we are very happy with the enrollment and we are very happy with the way this is moving forward.

Unidentified Analyst

Analyst

Okay, great. And then just one last one on J-Plasma, kind of looking at the fourth quarter results and also for the guidance looking at 2018. If we just want to think about in our models how to look at that from quarter-to-quarter. Assuming sort of a sequential down tick in 1Q 2018 based on some kind of onetime strength in the fourth quarter, would you then assume a sequential increase in the quarters across the year 2018?

Charles Goodwin

Management

Well, I think one of the things that we have learned is there is seasonality in the cosmetic business. And typically from Q4 down to Q1, there is roughly about a 30% decrease in business. And that is because you're looking at these surgeons are basically business owners and they buy towards the end of the year and then they're like the rest of this at the first of the year they have to worry about paying a tax bill usually. And so there usually is some kind of decrease in Q1. But sequentially after that, yes, then you should be able to have -- we should be able to see sequential quarterly growth after that.

Unidentified Analyst

Analyst

Okay, perfect. Thanks a lot guys. That's all we have for tonight.

Charles Goodwin

Management

Hey, before we go to the next questions, I'd like to go back to Matt's starting question earlier. Matt, all of our O-U.S. Advanced Energy sales are to distributors who buy generators from us and then resell them. In 2017 that was about $1 million of Advanced Energy sales of our total Advanced Energy sales and roughly $500,000 of that was Q4 2017 growth in Advanced Energy sales.

Operator

Operator

Our next question comes from the line of Matt Hewitt from Craig-Hallum. Your line is open.

Matt Hewitt

Analyst

Good afternoon, gentlemen. Just a couple of questions for me, first regarding the sales headcount, I think exiting Q3 you had 17. Could you update us where that was at the end of the fiscal year? And then how should we be thinking about that team going forward? It sounds like it could be -- you commented that you're going to be more focused on the cosmetic area. Does that mean that sales people that were selling outside of that market are going to be brought into that team or are you going to let a few people go and rehire. How should we be thinking about that group? Thank you.

Charles Goodwin

Management

Yes, we ended actually fiscal 2017 with 14 direct reps, 14 independent reps and 3 regional managers. And it was always reported that there were 17 reps, it was actually 14 direct reps and 3 regional managers. And that's what we had at the end and that was the same thing that we actually had in Q3. Our 2018 guidance assumes that we will add two to three new direct reps throughout the year. And they will have a modest contribution in 2018, but then they will ramp up to their normal production in 18 to 24 months. And as far as who we're targeting for those reps, yes, we're targeting people who have experience in this marketplace there is no question about that. But our current reps have also developed great relationships and a nice pipeline and confident about the channel going forward into 2018 and beyond.

Matt Hewitt

Analyst

Great, thank you. And then maybe one follow-up, so just based upon the commentary that you gave regarding J-Plasma on the trial, are you still expecting that that will be completed in July and is that that you’ll have the information after the FDA shortly their after or how should we be thinking about timing on that? Thank you.

Charles Goodwin

Management

Yes, that's a very good question, I'm glad you asked it. We are still targeting completion of the enrollment by the end of June. But per the study and per the side, after our enrollment is done, there is a 90-day followup from the last patient. And then after that 90-day followup, there is probably about two months to evaluate the data, prepare the data and submit a 510(k). And we're also working with an outside agency that's going to help us with that. So we expect to submit a 510(k) by year-end 2018.

Matt Hewitt

Analyst

Great, thank you very much.

Operator

Operator

[Operator Instructions] And our next question will comes from Russell Cleveland from RENN Capital. Your line is open.

Russell Cleveland

Analyst

Thanks so much for the call today, and Charlie welcome I am a very long-term shareholder here and really appreciate your efforts. The only thing that’s somewhat puzzling to me is it looks like we are getting traction here, I'm surprised that the revenue goal of $41 million to $42 million seems low for the opportunities we have. And I don't know if we are going to revise this or but 5% to 9% seems to be a very low number in my book and I would like some comment on that are we going to do revise this as we go along. So it's a puzzling the forecast we've made?

Charles Goodwin

Management

Well, Russ, thank you for the question. 5% to 9% assumes the overall business. If you look at the Advanced Energy business in particular, you're looking at 40% to 45% growth, which is basically about a midpoint of $11 million and that makes up $1 million of O-U.S. and approximately $10 million of U.S., which is about 50% growth year-over-year. So, when you looking at this business, I think it's important that going forward is that we look at basically the core and OEM businesses as basically flat, and we look at the growth for the Advanced Energy business for the J-Plasma business going forward. And obviously as the J-Plasma business becomes a bigger and bigger contributor to the overall business, those growth rates will obviously go up for the entire business.

Russell Cleveland

Analyst

Right. It just seems if you add all the growth of J-Plasma to the old OEM and other sales not so much OEM, but the basic core business, it just seems like a very low number. Now, I mean, maybe we're trying to just make sure we beat these numbers, but it just seems we ought to be a lot further down the road than these numbers? So, I'm hoping that we can revise them if we do better as we go through the year?

Charles Goodwin

Management

Look, we will give updates as to our progress on a quarterly basis just like we always do.

Russell Cleveland

Analyst

Okay, thank you so much.

Charles Goodwin

Management

Thank you.

Operator

Operator

That does conclude our conference for today. Thank you for your participations.