Christopher von Jako
Analyst · Oppenheimer
Thank you, Bob. Welcome everyone and thank you for joining us today. We are extremely pleased with the strong momentum in our business that continued during the third quarter. We expect that the current positive operating trends experienced throughout our company and driven by recent achievements on the commercial, clinical, regulatory and reimbursement fronts will lead to further growth for BrainsWay going forward. I'll discuss all this in greater detail shortly. But first, I will provide a brief overview of our key third quarter financial results. We generated $8.1 million in revenue for the third quarter 2021, which representative a substantial 34% increase over our third quarter 2020 and is indicative of the growing demand for our Deep TMS therapy in multiple indications. We have now demonstrated year-over-year growth in five consecutive quarters. We believe the progress we've achieved during this period is sustainable. In addition, our revenue for the first nine months of 2021 has nearly reached the total revenue achieved for all of 2020. We continued to shape our business practices to meet the challenges of the pandemic and the spread of the Delta variant during the third quarter, which appears to have had minimal impact on our business. As we've discussed previously, and as many of you are likely aware from the increasing significant media attention it has received in recent months, mental health and addiction issues continue to rise dramatically, especially as we all live through the impacts of the pandemic. However, it seems that the pandemic really only amplified an already growing increase in depression. According to research recently published by PharmacoEconomics, there was a dramatic rise of 13% in major depressive disorder in the U.S. during the pre-pandemic period of 2010 to 2018. During that time, the number of adults with depression grew from 15.5 million to over 17 million adults annually. The depression growth rate was even faster among adults aged 18 to 34. This study also estimates that depression carries an enormous economic burden, which now costs the U.S. $326 billion per year. Unfortunately, this trend only seems to be growing due to the pandemic. The Lancet recently shared a study on the lingering effects of COVID-19 and reported data of patient surveyed, 23% of those who contracted COVID reported feeling anxious or depressed six months after their first COVID symptoms appeared. This is an appropriate segue to the discussion of our recent FDA clearance for anxious depression, our third FDA clearance in just the past 12 months. The expanded FDA labeling now allows BrainsWay to market its Deep TMS System for the treatment of not only depressive episodes, but also for depression patients with comorbid anxiety symptoms. This makes BrainsWay the only TMS device with labeling, specifically addressing anxiety in depressed patients, further highlighting the competitive advantages of our products. In the same short treatment session BrainsWay's deeper and broader stimulation, which is unique to our Deep TMS System, allows us to therapeutically address multiple areas of the brain, which are associated with both depression and anxiety symptoms. Anxiety is the most prevalent comorbidity to a primary diagnosis of depression. In fact, between 60% to 90% of patients with depression also have moderate to severe anxiety. Anxious depression is linked to greater severity of depression symptoms, higher risk of suicide, reduced response rates to treatments, and higher risk of cardiovascular disease, and diabetes. We have already increased our direct to patient promotion of anxious depression through our marketing and advertising campaigns, and have now completed salesforce training around this new expanded indication. This clearance was achieved after we submitted comprehensive clinical data to the FDA, and has already contributed to the success achieved this quarter. This all serves to further enhance the message of our holistic approach to mental health care. Collectively, these trends and recent achievements further support our continued efforts to increase awareness among patients and clinicians. During the third quarter, we hosted five well attended webinars, including one focused on our expanded anxious depression FDA label. We also continue to promote education on the benefits of Deep TMS therapy. As in recent quarters, I'm pleased to report that our organic website traffic again increased significantly, up nearly 80% in the first nine months of 2021 as compared to the prior year period. In the third quarter, we began an overhaul of the content on our website, which we expect to complete by year-end, aimed at improving the user experience, increasing speed and building on our search engine optimization efforts to make Deep TMS therapy more visible for all at need. We also added a new chat robot, aptly named H-Coil. While this feature is currently in beta version, it's already yielded significant information on what website visitors are searching for, and how we can better serve their needs. It's also been useful in linking prospective customers with our sales team, thereby potentially serving as another important asset in our commercial toolbox. As October was depression awareness month, which also included World Mental Health Day, and OCD Awareness Week, we executed a number of patient awareness initiatives. These included posting a patient story each week via our social media channels. Each patient provided an overview of their mental health journey, what BrainsWay’s treatment means to them and where they are today because of their experience with Deep TMS therapy. We also started initiative to gather additional patient testimonials that are clinics can use on their own sites to help promote their practices. QR codes were provided for patients to load the app and tell their story. Additionally, BrainsWay has received positive media coverage through several recently highly viewed news features, including a recent appearance by Dr. Aron Tendler, our Chief Medical Officer on CBS News during national during National Suicide Prevention Week. Dr. Tendler discussed the alarming escalation in suicide trends and current treatment options, including Deep TMS therapy. Overall, our strategic investments in digital media this year have gone in an unprecedented 60 million impressions this quarter, supporting our efforts to create broad awareness of our technology and therapeutic benefits. Collectively, the goal of these initiatives is to reach any patient seeking an alternative to traditional medical management of their mental health. Of course, as important as our digital efforts are, we all know there's no substitute for in-person interactions. In this regard, I'm pleased report that our sales professionals’ in-person access to customers remained steady this quarter. Our return to live in-person conferences that began the second quarter has also continued. We recently had a significant presence at the Psych Congress in San Antonio, and the Neuroscience Education Institute in Colorado Springs, with attendance at an additional in-person conference planned for December. I will now turn to Deep TMS for the treatment of OCD. As a reminder, BrainsWay is the first TMS device to have achieved FDA clearance for this hard to treat condition and remains the only TMS company to receive this clearance based on pivotal data conducted on its own device. During the third quarter, we shipped 33 add-on helmets for OCD treatments, increasing the total number to 280. Moreover, the overwhelming majority of the system shipped in Q3 included an add-on helmet for OCD, contributing to the strong revenue achieved this quarter. We are pleased that nearly 40% of our total install base now includes OCD treatment capability. We continue to view this progress as a testament to our customers’ strong belief in the benefits of Deep TMS treatment for OCD, and early progress on the reimbursement front. As a reminder, regarding this reimbursement landscape, to-date, there are approximately 40 million covered lives eligible for reimbursement on our OCD therapy. This includes members covered by both Centene and HCSC, an independent licensee of Blue Cross Blue Shield and the fourth largest health care plan overall in the U.S. These OCD developments, both in terms of customer adoption and on reimbursement are indicative of the exciting traction we're seeing with this key indication. With that, I'd like to now provide a brief update on our commercialization plan for Deep TMS for smoking addiction. This offering the first of its kind in the medical device space, and our first addiction product is being launched in a phased rollout. We are pursuing the strategy in order to further cultivate on our messaging, develop optimized business models for customers, refine ideal addressable patient population and build post-marketing data to develop a reimbursement strategy. We previously completed the first phase, which was a controlled market release. And a limited market release is now underway. We continue to receive excellent patient feedback, including very encouraging anecdotal quit rates. We also conducted a qualitative and quantitative market research study in conjunction with our phased release strategy to better understand messaging in target markets for our smoking launch. One outcome from the market research that seems likely to have a strong traction with smokers is the finding that two out of three completing patients that had quit remained abstinent for the duration of the 16-week follow-up. We believe that this is a sign of durability which will resonate strongly with smokers. Completing our efforts on the commercialization side, we were pleased in the third quarter to have the positive data from a pivotal multicenter clinical trial supporting the use of Deep TMS therapy as a safe and effective treatment for smoking addiction, published in the renowned Journal World Psychiatry. Publishing these data in a peer reviewed medical journal allows us to both enrich the evidence around the treatment and also to further disseminate this critical information to providers who are seeking effective, non-invasive options to help their patients. Moving on, I'd like to take this opportunity to welcome Dr. Jeff Daskalakis to the BrainsWay's Scientific Advisory Board. Dr. Jeff Daskalakis is currently the Chair of the Department of Psychiatry at the University of California San Diego School of Medicine. He has been on the forefront of expanding the clinical understanding of brain stimulation, and his insight and direction will be invaluable to us as we continue to enhance our technology and grow our business. Turning to Investor Relations, we hosted a well-attended KOL event for investors and analysts in the third quarter that highlighted the OCD indication. This virtual event featured a presentation by Dr. Kimberly Cress, past President of the Clinical TMS Society and the Regional Medical Director of the Texas region for Greenbrook TMS. Dr. Cress discussed the current treatment landscape and unmet medical need in treating patients with OCD. In addition, Dr. Tendler presented Deep TMS as an effective treatment for OCD. We also presented at several healthcare investment conferences in the recent months, and conducted multiple institutional and high net worth focused virtual non-deal roadshows. Finally, as always, I would like to thank our valued customers who contribute each day to battling the mental health crisis, as well as to the entire BrainsWay team for their better, stronger and bolder dedication to our mission of advancing neuroscience to improve health and transform lives. With that, I will now pass the call to Scott for his review of our third quarter 2021 financial results. Scott?