Earnings Labs

IRadimed Corporation (IRMD)

Q1 2017 Earnings Call· Fri, Apr 28, 2017

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Transcript

Operator

Operator

Ladies and gentlemen, thank you for standing by. Welcome to the iRadimed Corporation's First Quarter 2017 Financial Results Conference Call. At this time, all participants are in a listen-only mode. Later, we will conduct a question-and-answer session. As a reminder, this conference call is being recorded today, April 28th, 2017 and contains time-sensitive information that is accurate only as of today. Earlier today iRadimed released financial results for the first quarter 2017. A copy of this press release announcing the company's earnings is available under the heading, News, on their website at iradimed.com. A copy of the press release was also furnished to the Securities and Exchange Commission on Form 8-K. A copy of this Form 8-K can be found at www.sec.gov. This call is being broadcasted live over the Internet on the company's website at iradimed.com and a replay of the call will be available on the website for the next 90 days. The agenda for today's call will be as follows; Roger Susi, President and Chief Executive Officer of iRadimed will present opening comments; then Brent Johnson, iRadimed's Executive Vice President of Worldwide Sales and Marketing will discuss customer orders; and finally, Chris Scott, iRadimed's Chief Financial Officer will summarize the company's financial results before opening the call up to questions. Some of the information to be furnished in today's session will constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are those focused on future performance, results, plans, and events, and include the company's expected results for 2017. iRadimed reminds you that future results may differ materially from these forward-looking statements, due to a number of risk factors. For a description of the relevant risk and uncertainties that may affect the company's business, please see the Risk Factors section of the company's most recent reports filed with the Securities and Exchange Commission, which may be obtained for free from the SEC website at www.sec.gov. I would now like to turn the call over to Roger Susi, President and Chief Executive Officer of IRadimed Corporation. Mr. Susi, please go ahead.

Roger Susi

President

Thank you, and good morning everyone. Earlier today we reported first quarter financial results that were in line with our guidance revenue of $5.2 million as compared to $9 million for the first quarter of last year. A GAAP loss of $0.02 cents per diluted share for Q1 this year as compared to GAAP earnings of $0.19 per diluted share for Q1 last year and a breakeven non-GAAP diluted earnings for Q1 2017 as compared to $0.21 for Q1 2016. We also announced the authorization of an 8 million share repurchase -- $8 million share purchase -- repurchase program this morning and continue to actively evaluate other uses of our cash. Brent will add more color around bookings but -- later, but from a high level, bookings came in as expected, with March being an especially strong month. First quarter bookings give us a positive indication regarding our selling strategy and we look forward to build on that going forward. However, we do stand ready to make adjustments to our methods and our cost structure should the circumstances dictate as we are still in the early stages of these selling methods. From a regulatory perspective, I'd like to provide a review. In July 2016, we submitted 510(k) application to the FDA for our MRI compatible patient by the signs monitor. In September of that year, we received an additional information letter requesting more documentation and testing surrounding certain aspects of the device. In October of 2016, we held a phone meeting with the FDA to review several of those items, including a comment related to human factors testing. In the latter portion of 2017, we submitted our responses to that September AI letter and very recently, FDA indicated they have a number of unresolved concerns remaining in this interactive phase.…

Brent Johnson

Management

Thank you, Roger. First quarter bookings came in above our estimates with March being especially strong month for us. We're not drawing any conclusions for the rest of the year, we view this first indications since our January sales meeting as positive and now look to build on this momentum going forward. In reviewing the composition of pump system orders for the quarter, approximately half of the orders came from first-time adopting customers and half the orders came from our current installed base of hospitals, which we view as a very healthy mix. Consistent with my comments during the last quarterly conference call, orders from our former competitors/customers remain negligible. We expect a similar composition of orders for the foreseeable future. We continue to see improvements in the pump system sales mix with customers purchasing more accessories and more options than in the past and we will continue to make this a focus area for our sales. Another area of focus is going back to our existing pump system customers and helping them identify ways that will increase pump system utilization rate and identify additional areas in the hospital that can benefit from our MRI Compatible IV Pump Technology. Both of these initiatives will help ensure that we are maximizing revenue in each facility that we place equipment and potentially leading to additional equipment sales in each facility as well as increasing the sale of our disposables. As for the MRI compatible patient vital signs monitor, we are pleased with the number of orders we've received thus far from our international customers, which are in line with our expectations. We continue to receive positive feedback from our international distributors regarding the interest they are generating from international customers giving us a firm base of support for the confidence we have in the quality of the product and in the success of its U.S. launch. While disappointed in the delay of the U.S. launch of the monitor, we remain excited and still believe there's a tremendous opportunity for us to enter this market and expand its overall size. As a reminder we're the only company with an MRI compatible patient vital signs monitor that has the potential to expand to other areas of the hospital and actually increase the size of the overall market. After receiving a clear 510(k), we expect to add an incremental $50 million in revenue annually from the sales of our patient monitor within 24 months of commercial shipments to the U.S. We are now preparing for a Q4 launch -- U.S. launch of our product and look forward to selling this one of a kind device. Now, Chris will provide a summary of our financial results.

Chris Scott

Chief Financial Officer

Thank you. Today I'll be discussing our financial results on a GAAP basis as well on a non-GAAP basis. Our non-GAAP operating results excludes stock-based compensation expense and the related tax effects. Our free cash flow measure is cash flow from operations less cash used for purchases of property and equipment. We believe the presentation of these non-GAAP measures along with our GAAP financial statements can be helpful in providing a more thorough analysis of our ongoing financial performance. You can find a reconciliation of these non-GAAP measures to the nearest GAAP measure on the last page of today's press release. As already discussed, we reported first quarter revenue of $5.2 billion compared to $9 million for the first quarter last year. Revenue from domestic sales was approximately $4.3 million or 84% of total revenue for the current quarter compared to approximately $7.9 million or 88% of total revenue for the same quarter in 2016. Revenue from international sales was approximately $900,000 or 16% of total revenue for the current quarter compared to approximately $1.1 million or 12% of total revenue for the same quarter in 2016. International revenue for the first quarter 2017 included approximately $400,000 in sales of our MRI compatible patient vital signs monitoring systems. Revenue from devices was approximately $3.4 million or 66% of total revenue for the current quarter compared to approximately $7.3 million or 81% of total revenue for the same period last year. Again, approximately $400,000 of device revenue came from sales of our MR patient monitoring systems. Revenue from IV sets and services was approximately $1.8 million or 34% of total revenue for the current quarter compared to approximately $1.7 million or 19% of total revenue for the same period last year. As of March 31st, 2017, backlog was approximately $1.8 million,…

Operator

Operator

Ladies and gentlemen, the question-and-answer queue is now open. [Operator Instructions] We'll be taking our first question from the line of Chris Lewis from ROTH Capital Partners. Your line is open.

Chris Lewis

Analyst · Chris Lewis from ROTH Capital Partners. Your line is open

Hey, good morning guys and thanks for taking the questions. Brent, maybe the first one for you. Can you elaborate on what you're seeing regarding the March acceleration in bookings you pointed out and how that's the trend up to this point in the quarter? And digging into that a little bit deeper, what do you attribute that to, is it kind of just the new sales techniques taking hold, is it building tenure for some of those newer reps you added throughout the back half of last year, or just getting into new hospital budgets? I guess any way you could kind of parse out what you feel is driving that early improvement would be helpful? Thanks.

Brent Johnson

Management

Yes, Chris thanks and good morning. Yes, I think you provided a pretty good answer for your question. It is a combination of those things. As we've talked about on the call, we had big March. Coming out of that January meeting, it was right -- late in January, so it took a month out of January and again getting start up again in February. So, I believe that we really saw some of the effects from that meeting take hold and, again, a lot of that meeting was about closing business, was about bringing those -- bringing those opportunities through the system and bring them to closure. So, I really believe it did help the techniques and the tools that we talked about in the last call that we spoke guys at the meeting. I think that helped a lot for the quarter. Again, April, we're continuing to see some good volumes of orders for April, so continuing to build-off of that, but that's probably the biggest thing that affected us for the quarter.

Chris Lewis

Analyst · Chris Lewis from ROTH Capital Partners. Your line is open

And how many reps do you have today? And was there any additional turnover that you experienced in the first quarter?

Brent Johnson

Management

We did not experience any turnover in the first quarter. We have 18 salespeople in the -- of course, the two Area Directors that they report to in the field and we -- again, continuing to ad tenure, which, of course, is also continuing to help us in our efforts to book more and more orders. Obviously, the more experience and the more they come up to speed, the more effective they are on the field.

Chris Lewis

Analyst · Chris Lewis from ROTH Capital Partners. Your line is open

And I think you mentioned about half of your orders came from first-time customers. Seems may be up versus kind of your historical mix, can you walk us through that?

Brent Johnson

Management

Yes, that's been pretty consistent with the last couple of call we've had. And said I before, I really view that as a healthy mix. I mean, again, obviously our main goal, so to speak, is to go out and convert new customers and to go out and find new business in areas where we haven't been before. But there still is some great opportunities within our base out there that we've really been focusing the guys on as well. We have many customers out there that are under-utilized in the number of pumps they use and there are still areas that don't use our pumps. A good example is a hospital that's using our pumps for sedation, so anesthesia is using our pumps. But the ICU is still isn’t bringing patients down to the MRI because they don't bring patients down when they're on critical medications. So, part of what the guys are doing is educating those ICUs on the fact that, look -- again, there is a pump like this out there, you do have this available to you. This will give you these benefit of being able to scan your patients earlier. And again reaching up into those departments and getting them to buy pumps. So, we've had a lot of success with that. And so when you see that half of our business is coming from that existing base, many, many of those orders are from those efforts.

Chris Lewis

Analyst · Chris Lewis from ROTH Capital Partners. Your line is open

Got it. Roger maybe hop into the regulatory side for the news to withdraw and resubmit the 510(k) submission for the monitor. Can you provide any granularity on what the additional human factors testing will require? How extensive will that be? And I guess what do you think the agency wants additional data? Seems like -- I would assume that was already included in the initial submission, so just kind of your thoughts on the regulatory path going forward?

Roger Susi

President

Yes sure Chris. Good morning to you too. Well, as I mentioned, we had a call with FDA to clear those areas up because as we all learned with IV pump, human factors can be a bit -- it's more art than science. It's a bit hard to quantify exactly what needs done and what's a positive answer. So, we were pretty cautious with that when we saw in original AI letter 41 or whatever 41 or 42 questions back last year that included human factors, we wanted to go over that pretty well. We had a phone meeting and the human factors person that was part of the team then, we felt that we got a pretty good clarity on what we should do. So, what happened is that we've got new human factors person has come onto the scene in the group of experts under our lead reviewer and we had a phone call already to discuss these issues. This is before we withdrew the 510(k) just with the additional questions they had. And this new person is basically opening up the kind -- I'd have to say you fell back on. She wasn't part of the -- what we discussed back in October and so she felt she had a license to pretty much open this stuff up again and bring everything back on the table. So, she's simply -- the guidance from that call was rather simple. It was just follow the human factors guides. So, that's why we want to have a face-to-face meeting. We want to basically go up there and say here's a patient monitor, what we think we need to do to follow human factors guidance. And the idea being that you pull out the use errors that could cause a serious situation, either critical or catastrophic as we classify these hazards, right. You pull those out and you test how humans interact with the product in that case. Frankly, with a patient monitor that number of those things that can cause critical or catastrophic results that an operator could misuse the product by are relatively small as compared with the IV pump. An IV pump is dosing drugs and so there are, I suppose, more degrees of freedom for a user to misuse the device and lead to some serious injury of critical or catastrophic event. With the monitor, it's just not so much. So, some of our question with this new person is going to be to try to get clarity on what she believes are those critical aspects of the pump. At this point, we just have our own hazard analysis to follow. And we hope to get more clarity on that. So, I mean that's I guess as granular as I can get. Until we have that meeting, we don't have much more insight to it than that.

Chris Lewis

Analyst · Chris Lewis from ROTH Capital Partners. Your line is open

No, that's helpful. I appreciate it. And then I think I missed it, but what are you assuming just for total monitor sales for I guess the full year in the fourth quarter?

Chris Scott

Chief Financial Officer

For the full year is about $2 million and about $1.5 million of that is from our international customers.

Chris Lewis

Analyst · Chris Lewis from ROTH Capital Partners. Your line is open

Great, okay. And then Brent I think in your prepared remarks you pointed to the monitor a goal of doing $15 million annually with that product within 24 months. Can you help us understand what you think kind of the first 12 months the sales will look like for that product as you ramp commercial efforts?

Brent Johnson

Management

Well, as you eluded to, there will be a ramp up there when we do introduce the product. We've got a fair amount of interest in the marketplace. We talked about on prior call and the guys have a pretty extensive prospect bank at this point. So, we think we can jump in pretty quickly and ramp things up because it's not -- it's different than the process with the pump. There's a lot of business that's already in process with competitive products. And from what we're seeing in the international markets and the success we're having there and the feedback we're getting there, we think we can take some of the business away from the competition and jump in on some of these orders fairly quickly. So, it will be a ramp up process. I don't have any exact numbers other than I think what we're putting in the numbers for the fourth quarter domestically would be about $1.4 million.

Chris Lewis

Analyst · Chris Lewis from ROTH Capital Partners. Your line is open

Great. And just one more for me. Chris, can you walk us through what we should assume for gross margins in OpEx in the second quarter relative to the guidance and also for the full year? Thanks.

Chris Scott

Chief Financial Officer

Yes. Margins -- for gross margins in the second quarter, I'm still looking in the low 70s, probably down from the first quarter around 71.5% or so. OpEx, there's some slight favorability coming through total OpEx, I'm looking still around $3.9 million, $4 million.

Chris Lewis

Analyst · Chris Lewis from ROTH Capital Partners. Your line is open

And for the full?

Chris Scott

Chief Financial Officer

Full year, we bounce back a little bit, closer to 73%, 74% gross margins for the full year and about $15.5 million, $15.7 million in total OpEx.

Chris Lewis

Analyst · Chris Lewis from ROTH Capital Partners. Your line is open

Okay. Thanks guys.

Operator

Operator

Thank you. Our next question comes from the line of Larry Solow from CJS Securities. Your line is open.

Larry Solow

Analyst · Larry Solow from CJS Securities. Your line is open

Good morning. Thanks. Just a couple of follow-ups there. On the composition of orders, have you, sort of, hasn't changed too much in terms of new to existing. What about volume of orders or multiple orders, have you seen that -- I know that that has been increasing or and I think that was actually also some of the hold-off in terms of getting orders approved because it was crossing into multiple parts of hospital. Can you -- any update on that or any thoughts on that, color on that?

Brent Johnson

Management

Sure, sure. Start with the first part of your question, we actually -- as we talked about, we saw orders rise in Q1 from Q4, a modest rise in orders from our first quarter results compared to our Q4 of 2016. And that's a good sign because typically, the fourth quarter -- in our business, the fourth quarter is almost always the stronger quarters. So, to do first quarter and actually increase the orders number, we view is very positive. The second part of your question, talk about -- little bit about multi-pump orders. We've also seen increase in our multi-pump orders. Through the first four months of this year, we've already bought almost as many multi-pumps orders we booked in the entire year last year and we've actually booked more units because some of those multi-pump orders have been larger. So, we've booked more units in multi-pump deals to the first four months of the year this year than we did all of last year in 2016. So, on both accounts, we're seeing some nice increases and we think that's very favorable for the business.

Larry Solow

Analyst · Larry Solow from CJS Securities. Your line is open

Absolutely. And then on the -- just on the increased accessories and sort of in the bells and whistles there, I see you guys have done a great job there. I mean 25% price differential is pretty significant, especially over a 12-month period. Is there room for -- is there further room to run on that metric? I mean I imagine it would have to slow down somewhat, but that's a pretty significant growth, but any color on that?

Brent Johnson

Management

Yes, I mean we really been working with the guys that sell everything and to try to maximize the dollars that each pump is pulling along. I think as we said we're doing a good job in that respect. I think there is a little bit more room there. The other thing that you're not seeing necessarily in the revenue numbers is that the amount of extended warranty that the guys are booking to. They're booking a significant amount of extended warranty, which is another area that we saw as an opportunity for product and we've made some very good strides there in developing that business as well.

Larry Solow

Analyst · Larry Solow from CJS Securities. Your line is open

Okay, great. And then maybe a question for Roger. Just on the human factors testing, just -- I'm curious I know you said you requested a meeting with the FDA. It sounds like even if the FDA comes back and so they want you to do what you're willing to do what they ask you to do. It still only will be a couple of months of testing, right, sounds like -- you think you'll be able to refile within two months, right? I mean regardless of that FDA meeting or unless somehow they come out with telling to do more than what they're already asking you to do?

Roger Susi

President

Well, they are going to tell us to do more. They're going to tell us to do more than we did. But we've already triage this pretty carefully and as I said we're going to the hazard analysis. We're identifying those critical and catastrophic possible pathways and there aren’t many with a pump -- with a monitor as they were with a pump. So, even -- if they push us -- they push us up to look at all of those which we think are reasonably within the wheelhouse of pertaining to that, we're already creating -- and we're anticipating the outcome of this face-to-face meeting. We're building the protocol, we're going to start to actually rent a facility, get the participants booked and so forth so that right after that meeting, we start the test and should have it done in about a month. So, that's why I said earlier that we anticipate sending -- we anticipate refiling the 510(k) the resubmission by having all the data done at the end of June and getting it in there early July with all these new things they wanted us to explore included. So, yes, I guess you're right, that's about two months -- a little over two months from now.

Larry Solow

Analyst · Larry Solow from CJS Securities. Your line is open

Got it, got it. And essentially just to clarify, you -- I know you've taken out all the domestic sales from your guidance $1.5 million and then -- I guess was a like another $1.5 million of revenues taken out, I guess that's from pump sales or less monitor international, where is that other $1.5 million coming from?

Chris Scott

Chief Financial Officer

Some of the -- we had about $1 million in the fourth quarter initially from monitors.

Larry Solow

Analyst · Larry Solow from CJS Securities. Your line is open

Okay. Domestically you're saying. I thought -- okay. So, you basically taken out -- it's the $1 million in revenue reduction is all domestic monitors?

Chris Scott

Chief Financial Officer

Yes, right, for the most part, yes.

Larry Solow

Analyst · Larry Solow from CJS Securities. Your line is open

Okay. Because I thought it was $1.5 million international, $0.5 million domestic was -- is that--?

Chris Scott

Chief Financial Officer

That's what remains in our guidance for the full year.

Larry Solow

Analyst · Larry Solow from CJS Securities. Your line is open

Got it. So, it was $1.5 million. It was basically $3 million, you were saying $1.5 million, $1.5 million, and now you're essentially going $1.5 million and $0.5 million about round -- excluding round -- and round about. Well, okay, great. Excellent thanks I appreciate that.

Operator

Operator

Thank you. [Operator Instructions] Looks like we have no other questioners in the queue at this time. So, I would like to turn the call back over to iRadimed for closing comment.

Roger Susi

President

Yes, operator thanks. Thank you all for participating in today's call and for your continued support of iRadimed. We expect the rest of the year will be busy in all areas of the business and are excited about updating you on our progress after the second quarter. Thank you.

Operator

Operator

Ladies and gentlemen, thank you, again, for your participation in today's conference call. This now concludes the program and you may now disconnect your phones at this time. Everyone have a great day.