Ali Bauerlein
Analyst · William Blair. Please go ahead
Thanks, Scott and good afternoon, everyone. During my prepared remarks I will review the details of our second quarter of 2017 financial performance and then I will review our guidance for 2017. As Scott noted, total revenue for the second quarter of 2017 was $64.1 million, representing 17.5% growth over the second quarter of 2016. Looking at each of our revenue streams and turning first to our sales revenue, total sales revenue of $58 million represented 90.5% of total revenue in the second quarter of 2017 and reflected 27.3% growth over the same quarter of the prior year. Total units sold increased to 32,400 in the second quarter of 2017, up 29.1% from 25,100 in the second quarter of 2016. Strong domestic business-to-business sales of $21.2 million in the second quarter of 2017, reflected 32.2% growth over the second quarter of 2016, with strong demand from our traditional HME providers and our private label partners. We also demonstrated solid international business-to-business sales of $14.9 million in Q2, 2017. Sales in Europe represented the majority of international sales at 87.6% in the second quarter of 2017, which was down from 92.1% in the second quarter of 2016, due to the sales growth in other international markets. With strong business-to-business sales again in the second quarter of 2017, average business-to-business selling prices declined over the same period in the prior year, primarily due to the shift in sales towards traditional home medical equipment providers and private label sales, and additional discounts associated with the increased sales volumes worldwide. Direct-to-consumer sales for the second quarter of 2017 were $22 million, representing 33.3% growth over the second quarter of 2016, primarily due to increased sales representative headcounts and productivity improvements. Rental revenue represented 9.5% of total revenue in the second quarter of 2017 versus 16.5% in the second quarter of 2016. We saw the expected decline of rental revenues in the second quarter of 2017, versus the second quarter of 2016, primarily due to the previously discussed reimbursement reduction. Rental revenue in the second quarter of 2017 was $6.1 million, representing a decline of 32.3% from the same period in the prior year. Turning to gross margin, for the second quarter of 2017 total gross margin was 49.2% compared to 48% in the second quarter of 2016. We saw an increase in our overall gross margin primarily due to lower cost of goods sold and increased mix towards direct-to-consumer sales partially offset by declining rental gross margin. Our sales gross margin was 51.8% in the second quarter of 2017 versus 49.4% in the second quarter of 2016. Rental gross margin was 25% in the second quarter of 2017 versus 41% in the second quarter of 2016. The decline in rental gross margin was primarily due to lower net revenue per rental patient, which was mostly driven by the reimbursement rate reductions and partially offset by lower cost of rental revenues, which was associated with lower depreciation and servicing cost per patient. As for operating expense, total operating expense increased to $23.1 million in the second quarter of 2017 or 36% of revenue versus $18.2 million or 33.3% of revenue in the second quarter of 2016. Total operating expense increased as a percent of revenue from the comparative period in the prior year, primarily due to the $1 million benefit in the second quarter of 2016 in general and administrative expense for our litigation settlement that did not recur in the second quarter of 2017. Research and development expense was $1.3 million in the second quarter of 2017, compared to $1.4 million recorded in the second quarter of 2016. Sales and marketing expense was $11.9 million in the second quarter of 2017 versus $9.6 million in the comparative period in 2016, primarily due to increased sales force personnel related expenses and increased advertising expense. General and administrative expense was $9.9 million in the second quarter of 2017 versus $7.2 million in the second quarter of 2016, primarily due to the $1 million litigation settlement benefit recognized in the second quarter of 2016. We also had increased bad debt expense and increased patent defense legal cost in the quarter. In the second quarter of 2017, our effective tax rate was 9% compared to 6.8% in the second quarter of 2016. We saw a lower than expected effective tax rate this quarter due to a $2.5 million decrease in provision for income taxes related to excess tax benefits recognized from stock-based compensation associated with accounting standards update, ASU number 2016-09 compared to $2.4 million in the second quarter of 2016. The decrease in provision for income taxes associated with ASU number 2016-09 lowered our effective tax rate by 27.2% in the second quarter of 2017 and by 29.3% in the second quarter of 2016 as compared to the U.S. statutory rate. Our net income in the second quarter of 2017 was $8.3 million compared to $7.5 million in the second quarter of 2016, an increase of 11.3% versus the comparative period in the prior year and a return on revenue of 13%. Earnings per diluted common share were $0.38 in the second quarter of 2017 versus $0.36 in the second quarter of 2016, an increase of 5.6%. Adjusted EBITDA for the second quarter of 2017 was $14.4 million, which was a 22.4% return on revenue. Adjusted EBITDA increased 5.6% in the second quarter of 2017 versus the second quarter of 2016 where adjusted EBITDA was $13.6 million or 24.9% return on revenue. Cash, cash equivalents and marketable securities, were $144.2 million, an increase of $16 million compared to $128.2 million, as of March 31 of 2017. We expect Medicare to reprocess claims associated with the 21st Century Cures Act in the third and fourth quarters 2017 and we received our first payment in July of 2017. Turning to guidance, we are increasing our 2017 revenue guidance to a range of $239 million to $243 million, which represents year-over-year growth of 17.8% to 19.8%. This compares to our previous guidance of $233 million to $239 million. We now expect direct-to-consumer sales and domestic business-to-business sales channels to be our strongest growing channels and to have similar growth rates in 2017 and international business-to-business sales to have a more modest growth rate in 2017 but the strategy is expected to be focussed on the European market. We expect that rental revenues will decline in 2017 compared to 2016 by approximately 30% based on the lower average rental revenue per patient and a focus on sales versus rental. As we’ve mentioned before, we expect different revenue cadence in the remainder of 2017 from prior years for several reasons. In the direct-to-consumer channel the factors that we believe will impact this are the effective hiring few new direct-to-consumers reps in the fourth quarter of 2016, the timing of sales rep additions expected in 2017 and the expected short-term decline in productivity from our new CRM system implementation. As HME providers adopt portable oxygen concentrators, this could change our historical sales seasonality in the domestic business-to-business channel as well, which was mostly influenced by consumer buying patterns. Given these changes, we expect our sales to be higher in the second half of 2017 versus the first half of 2017. We are increasing our guidance range for full year 2017 net income and adjusted net income to $25 million to $27 million, which represents 21.8% to 31.6% year-over-year growth and compares to previous guidance of $22 million to $24 million. We estimate that the adoption of ASU number 2016-09 will lead to a decrease in provision for income taxes of approximately $8 million in 2017, based on the forecasted stock activity which will lower our effective tax rate compared to our previous expectation of a $6 million decrease. Excluding this $8 million decrease in our provision for income taxes expected in 2017 from stock compensation deductions, we expect an effective tax rate of approximately 36% compared to our previous expectation of 37%. After giving effect to ASU number 2016-09, we expect that effective tax rate including stock compensation deductions to vary quarter-to-quarter, depending on the amount of pre-tax net income and on the timing and size of stock option exercises. We are narrowing our guidance range for the full year 2017 adjusted EBITDA to $48 million to $50 million, representing 10.6% to 15.2% growth over 2016 full-year adjusted EBITDA. This compares to previous guidance of $46 million to $50 million. As we outlined before, we expect patent defense legal cost within general and administrative expense to significantly increase in 2017 over 2016 associated with two pending lawsuits. In addition, we are continuing to invest in our new Cleveland facility, European facility and our CRM system in 2017. We are confirming our expectation for net positive cash flow for 2017, with no additional equity capital required to meet our current operating plan. With that, Scott and I will be happy to take your questions.