Electromed, Inc. (ELMD) Q1 2022 Earnings Report, Transcript and Summary

Please stand by. Greetings. And welcome to the Electromed, Inc. First Quarter Fiscal 2022 Financial Results Conference Call. At this time, all participants are in a listen-only mode. A brief question-and-answer session will follow the formal presentation. [Operator Instructions] As a reminder, this conference is being recorded. It is now my pleasure to introduce your host, Kalle Ahl of The Equity Group.

Thank you, Melinda, and good afternoon, everyone. Electromed's first quarter fiscal 2022 financial results were released today after the market closed. A copy of the earnings release can be found in the Investor Relations section of the company's website at www.smartvest.com. As a reminder, some of the statements that management will make on this call are considered forward-looking statements, including statements about the company's future operating and financial results and plans. Such statements are subject to risks and uncertainties that could cause actual performance or achievements to be materially different from those projected. Any such statements represent management's expectations as of today's date. You should not place undue reliance on these forward-looking statements, and the company does not undertake any obligation to update or revise forward-looking statements, whether as a result of new information, future events or otherwise. Please refer to the company's SEC filings for further guidance on this matter. Joining us from Electromed this afternoon are Kathleen Skarvan, President and Chief Executive Officer; and Mike MacCourt, Chief Financial Officer. Kathleen will begin with some opening remarks, after which Mike will present a summary of the company's financial results. Then we will open the call for questions. Now, it's my pleasure to turn the call over to Kathleen.

Thank you. Kalle. Good afternoon everyone and thank you for joining us today. We began fiscal 2022 on a strong note with record quarterly revenue of $10 million corresponding to 25% growth versus the first quarter of fiscal 2021. We achieved exceptional year-over-year growth in both our home care and institutional businesses, which is driven by strong execution and we believe an early indication that our strategic investments in our growth initiatives is paying off. Our home care revenue grew 24.4% year-over-year to $9.3 million driven by higher referrals and approvals. This quarter’s increase in referrals reflects the expansion of our direct sales force as well as enhanced sales productivity. Our total field sales employees increased to 51 at the end of the first quarter compared to 42 at the end of the prior year comparable period. During the same timeframe direct field sales employees grew to 41 from 35 a year ago. Off note, we expanded our sales force without sacrificing productivity. In the fiscal year 2022 first quarter, our annualized home care revenue per direct sales representative was approximately $955,000, a new company record and comfortably above our targeted range of $750,000 to $850,000. We applaud our sales team for successfully executing a hybrid virtual and face-to-face selling model, adapting to the ebbs and flow of clinic access during the COVID-19 pandemic and delivering excellent results despite the dampening impact of the Delta variant on patient visits to pulmonologists in the quarter. Our institutional revenue grew 61.5% to $449,000 in the first quarter of fiscal 2022 reflecting both increased capital purchases and higher disposable volumes as many hospitals resumed greater utilization of High Frequency Chest Wall Oscillation or HFCWO protocols after pausing during the early phases of the pandemic. Our strong start to the fiscal year gives us confidence to continue our strategy of investing in growth of Electromed's SmartVest HFCWO business. While maintaining near-term profitability and building scalable and efficient processes that will enhance operating leverage over the long-term. Related to salesforce expansion we are confident in our plan to staff 43 territories in the near-term. And although not at that staffed level at the end of quarter, we are selling in all 43 territories leveraging our sales support staff, as we recruit hire and onboard toward that plan. Strengthened recruiting, on-boarding, training, accountability measures, target account planning, and coaching all have contributed to stronger salesforce productivity and our overall home care revenue increases. Given this backdrop, we are confident that expanding our salesforce will drive value. Typically it takes a new sales rep six months to reach full productivity and established territory and nine to 18 months in expansion territories. Based on our historical productivity actual performance, we are revising our productivity range to between $800,000 and $900,000 of home care revenue per sales rep from our previous range of $750,000 to $850,000. In fiscal 2022, we will continue to deploy funds into direct to consumer and digital marketing programs, which are providing us with a new stream of high quality leads, referrals, and revenue. We are continuing to invest an elevated amount in research and development this year to finalize our next generation device, which is designed to further advance the attributes of our existing SQL SmartVest device while providing us with raw materials cost advantages. We anticipate the launch of our next generation device in the first half of fiscal year 2023, by which point our R&D expenses should return to normalized levels in the range of 2% to 3% of sales. In fiscal 2022, we are continuing to invest in clinical studies including the previously disclosed prospective multicenter bronchiectasis outcome study utilizing SmartVest. That study is now approximately 30% enrolled after a several month pause due to the pandemic. We also are enrolling a post-surveillance study with chronic obstructive pulmonary disease and bronchiectasis patients prescribing smartest, utilizing quality of life questionnaires to measure outcomes prior to therapy and the two intervals following initiation of the therapy. We expect to complete the enrollment through the two interval follow up in the second half of fiscal 2022. We believe we are the industry leader in advancing clinical studies, providing Electromed with further differentiation during the sales process and increasing physician awareness of using SmartVest for the effective treatment of bronchiectasis. Finally, this year, we are continuing to make critical infrastructure investments designed to drive operational excellence and growth. Among our systems projects in July, we commenced implementation of a new ERP software platform designed to create more efficient and scale operational processes, while enhancing the quality of business analysis. This quarter, we also deployed resources to enhance our existing customer relationship management system and optimization of our revenue cycle management system. In closing the growth oriented investments we are making today reflect our confidence in Electromed's ability to capture incremental share of the significant expanding non-cystic fibrosis bronchiectasis market. We believe that approximately 630,000 people with the bronchiectasis diagnosis could benefit from HFCWO therapy. It only an estimated 77,000 patients in the Medicare population are currently being treated with a device like SmartVest. Therapy with SmartVest improves patient quality of life, prevents emergency room visits and intensive care stays and reduces the need for antibiotics, all positive outcomes underpinning our mission of making life's important moments possible one breath at a time. By investing in our mission, we believe we will and can enhance Electromed's long-term revenue growth rate, ultimately driving operating leverage, improved margins and durable shareholder value creation. With that I will turn it over to Mike for more detailed discussion of our financial results.

Thank you, Kathleen, and good afternoon, everyone. Our net revenue in the first quarter of fiscal 2022 increased 25% to $10 million from $8 million in the first quarter of fiscal 2021, primarily – driven primarily by higher home care and institutional revenue. Home care revenue increased 24.4% to $9.3 million primarily due to an increase in referrals and approvals. As Kathleen noted, we benefited from an increase in direct sales representatives and an increase in overall sales representative productivity. Institutional revenue increased 61.5% to $449,000 due to an increase in volume of devices and garments sold as hospitals return to more normal purchasing activity. Distributor revenue told $156,000 in the first quarter of fiscal 2022 versus $170,000 in the comparable prior year period. International revenue totals approximately $112,000 during the first quarter of fiscal 2022 versus $262,000 in the comparable prior year period. Gross profit in the first quarter of fiscal 2022 increased to $7.7 million or 77% of net revenue from $6.1 million or 76.8% of net revenue in the first quarter of fiscal 2021. The increase in gross profit dollars this quarter was primarily due to stronger home care revenue. The increase in gross profit percentage this quarter was primarily due to favorable revenue mix, partially offset by increased raw material and shipping costs. During the quarter, we did experience progressively increasing raw material and shipping costs, which we expect to continue through fiscal year 2022. These cost increases will place downward pressure on our gross margin percentage. We expect our gross margin percentage to be in the mid-70% range for the remainder of fiscal year 2022, which is on the low-end of our historical gross margin percent range. We do expect an increase in gross profit percentage once our next generation device is fully launched in fiscal year 2023, due to a lower product cost structure compared to our current device. Selling, general and administrative expenses increase to $6.8 million in the first quarter of fiscal 2022 from $5 million in the prior year period, primarily due to increased payroll and compensation related expenses, higher professional fees and greater travel meals and entertainment expenses. Higher payroll and compensation related expenses were primarily due to a large average number of employees and sales and marketing roles, increased missions on higher home care revenue, merit based increases and higher health insurance costs. Higher professional fees were primarily due to increased costs related to the shareholder activism matter, which concluded with a cooperation agreement that became effective in September of 2021 and increased investment in our systems infrastructure, including initiating our ERP system implementation and enhancing our existing customer relationship management and revenue cycle management systems. Higher travel, meals and entertainment expenses were primarily due to an increase in travel by sales representatives compared the heavily COVID-19 driven travel restrictions in the prior year period and a national sales meeting that was held in the current fiscal quarter, but was not held in the prior year due to COVID-19. As a percentage of revenue, SG&A expenses were 67.9% compared to 62.5% in the first quarter of fiscal of 2021. Research and development expenses totaled $376,000 in the first quarter of fiscal 2022 or 3.8% of revenue compared to $481,000 or $6.0% of revenue in the comparable prior year period. As Kathleen mentioned, we continue to invest in our next generation device this quarter and expect to launch the product in the first half of fiscal year 2023, following 510(K) clearance by the U.S. Food and Drug Administration. Operating income total was $538,000 compared to $663,000 in the first quarter of fiscal 2021, reflecting our increased strategic investments and SG&A and cost related to the shareholder activism matter partially offset by stronger revenue performance. Income tax expense totaled $108,000 this quarter compared to $137,000 in the same period of the prior year. We expect our effective tax rate for the fiscal year to be in line with recent historical tax rates. Net income for the first quarter of fiscal 2022 was $439,000 or $0.05 per diluted share compared to $535,000 or $0.06 per diluted share in the first quarter of fiscal of 2021. Now moving to the balance sheet and operating cash flow. Our balance sheet as of September 30, 2021 included cash of $11.0 million, accounts receivable of $18.4 million, no debt, working capital of $27.6 million and shareholders’ equity of $33 million. Net cash used in operating activities total of $576,000 in the quarter versus net cash provided by operating activities of $822,000 in the comparable prior year period. Operating cash is impacted this quarter by an increase in AR related to our 24.4% homecare revenue growth and higher quarterly cash income tax payment timing, which we're doing in part to catch up on tax payments owed due to higher profitability than expected in the prior fiscal year. Finally, key priorities for allocation of our capital include continued reinvestment in Electromed's market expansion, technology differentiation and salesforce footprint and continued repurchase of Electromed shares on an opportunistic basis. This concludes our prepared remarks. Operator, please start the Q&A portion of the call.

Thank you. [Operator Instructions] And we go first to Kyle Bauser of Colliers Securities. Please go ahead.

Hi, thanks for taking the questions. And this is Kayla Hostetler on for Kyle.

Hi, Kayla.

I guess first half it sounds like, hi, it sounds like the NextGen device should launch sometime between July and December next year. Could you talk about the milestone you need to complete beforehand? Are you still finalizing the new device and you need to collect data to submit with your application?

Sure. Be happy to answer that question, Kayla. Thank you. So some of the significant milestones are part of our phase gate design process. And so we're continuing to move through those phase gates and in the latter stage of those where we would be doing certain risk management, documentation, there would be certain testing that needs to be due from a performance standpoint. Those could be electromagnetic testing, UL testing, and so forth, and then of course just finalizing the writing of the 510(K). So those are a few, we're not anticipating any – any concerns at this time and therefore, still believe we're on track for that that launch in that first half of our fiscal 2023.

Great. And then are there any clinical milestones or data that we should be watching for?

On for the launch of the new product? Not that I can think of right now that come to mind.

Okay, great. And then looks like your shareholder meeting is on Friday. We'll create finance and thread committee, which is great. What sort of timeline do you envision here in terms of initial recommendations from the committee?

Sure. You're absolutely right. At the conclusion of the shareholder meeting and the board meeting, which is taking place that same day, we will have authorization to launch or start that finance and strategy committee, and they will have an approved charter also. I believe that they will convene their committee within the month to start on their review and analysis assessment and discussions around with the goal of enhancing shareholder value.

And then lastly, can you provide a little more color on strategic investments you are making out respect to system infrastructure, just curious what falls into that bucket. Thanks

On the infrastructure, absolutely, Mike maybe you want to talk a little bit about infrastructure?

Yes, sure. Yes. I mean, I think there's three major ones. I think the ERP is of course the big one that's holistic across the whole organization. And we kick that off in July of this year will just really help us build scalable efficient processes and get a lot better analytics for our business with far less work. So we're excited it to get going on that. And then we fully implemented our revenue cycle management system in June of last year. There's always in my experience, a six to nine month cycle after you go live where you really optimize it and figure out how to get the right analytics and performance metrics out of it. And so we're continuing to invest in that to make sure that we're getting all the benefit that we want out of the revenue cycle management system. And then the third piece is our customer relationship management system. We've got a good CRM in place and we're doing some good things in there as well, but it's really that those are tools that help our sales team. They have their own dashboards. It helps them really be very targeted in their approach and very analytical in terms of how they go and target accounts to help drive growth. And we've got a pretty good CRM now, but we're trying to take that to a different level with some incremental investments in there, and so really pushing hard on all three of those here during fiscal year 2022.

Great. Thanks for all the updates. I'll jump back in queue.

Thanks, Kayla.

Next we go to the line of James Terwilliger with Northland Securities. Please go ahead.

Hey guys, can you hear me okay?

Yes, we can.

Okay, great.

Hi, James.

Hello. I hope everyone's well. Great job on the revenue number, that's a very nice number that you posted. Couple of quick questions. The first one you made some, I was going to ask this anyway, but you actually adjusted ahead of time. Can you expand a little bit on anything that's going on with the supply chain? We hear that from a number of different companies and I think you mentioned there was a little bit of a supply chain issues or cost moving in a certain direction, but I think you also said about 75% gross margins, which is a little bit less than what you guys have been trending, but not terrible. Do I have that correct 75% gross margins and any other additional information on maybe what you're seeing from the supply chain?

Yes. I'll take the gross margin. I'll let Kathleen talk about supply chain. Yes, I mean, we would say mid-70s is probably the range. There's a variance around 75, but probably in that and a little bit lower than what our historical 76, 77, 78 has been that's a fair assessment.

Yes, absolutely. And let me share a little bit more about the supply chain. Our materials in engineering group has been incredibly proactive on working with our suppliers, anticipating longer lead times, placing purchase orders well in advance, even that, even with that though, we can be surprised by a phone call that says, oh, what we plan to deliver isn't available and I think our suppliers are feeling that as well, that there are disruptions and interruptions that aren't fully predictable. We have been fortunate though, in the work that we've been doing, we have not seen any material impact from a manufacturing or shipping standpoint. And we're cautiously optimistic that we can and continue. But I will say that most – everyone is experiencing this situation where it isn't always as predictable as we would like it to be. So again, we're continuing to place purchase orders well in advance. We're continuing to stay very close with our suppliers and we'll continue to do that, but there are cost increases on our raw materials that are not predictable as well. And so we do want to be somewhat careful in giving that guidance on gross profit, and then there are shipping costs that have been impacted too. As you probably know if you've tried to ship something for Christmas or a box that's really incredibly – incredibly increased, which of course is a lot out of our control also. So hopefully that's some helpful color.

No, the supply chain has been an issue for a number of different companies and you've got to navigate, but it seems like you're navigating it very well. My next question, Kathleen is probably for you since I have you. As we go into calendar 2022, are there any reimbursement changes on the horizon that we should be looking at or discussing modeling in the reimbursement changes we move into 2022?

So there's two items that come to mind. One will be you receiving cost of living changes from Medicare here in another month or so before the first of the year. as Mike has commented on historically, we've received some type of a small increase based on cost of living. And I've heard of other cost of living in – well Medicare changed their monthly benefit as well. So we're – we'll see, we'll let you know, but that that becomes public at that time. The other, we're continuing to watch the CMS waiver that is linked with the public health emergency. And at this time that is continuing through almost the end of January. I don't, some may, yes, I think that we're still optimistic that that has benefits. And we've also talked too that if the pandemic is improving to the point where the public health emergency is no longer, in fact, then we would like to think that, we're going to have more access to clinics and there's more patients that are going to be much more comfortable going back into their clinics. So really that's the headwind, tailwind that we talk about occasionally, but other than that we're not anticipating any changes at this time.

Alright. Great. And then my last one, I think you kind of touched upon a lot of companies had a tough time with what happened with COVID and Delta and Texas delaying procedures, referral patterns, also Florida certainly the Southeast got the Delta variant pretty bad. What was your exposure to the Southeast? Is that a major region for you? Did the Texas and Florida impacts hit you because your revenue number was really, really it was a really strong number. So any additional color there. It had to be a negative of course, but can you quantify that at all?

Certainly there were impacts in regard to the volume of patients that were visiting their clinics. I think though that there were so many ebbs and flows and it varied on which part of the United States was experiencing those increases in cases. And so based on our – where our sales reps are and where they were able to access, we were able to overcome that. And the team has just been extremely flexible on that virtual and being creative about access so that we can continue to help patients. So nothing different than that at this point that, that I can share. I think again, it's a tribute to our sales organization and how adaptable they've been.

Okay, great. I'll jump back in queue, but congratulations on a good quarter. Thanks.

Thank you, James.

Next we go to the line of Tom Harenburg with Carl M Hennig. Please go ahead.

Yes. Good afternoon. Can you give us an update on the share purchase? I believe you bought 110,000 shares in the prior quarter, and I think that's on a 3 million share repurchase program?

Thank you, and thanks for the question, Tom. As we've said in our script, and we've said previously, we're going to be opportunistic about re-purchasing and we did not have any additional repurchases in this quarter.

Okay. Thank you

You're welcome.

There are no further questions. We return to Kathleen Skarvan in for closing remarks.

Thank you all for joining our call this afternoon. In December, we'll be participating in the Sidoti Microcap Investor Conference, which will be held virtually and we remain accessible to one-on-one calls. Please reach out to our Investor Relations firm, The Equity Group. If you are interested in scheduling a follow call, we look forward to reporting back to you in February when we will release our second quarter fiscal 2022 financial results. Have a good evening and stay safe.

Thank you. This does conclude today's teleconference. We thank you for your participation. You may disconnect your lines at this time.