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MiMedx Group, Inc. (MDXG)

Q4 2016 Earnings Call· Thu, Feb 23, 2017

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Transcript

Operator

Operator

Good day, ladies and gentlemen, and welcome to the MiMedx Group, Incorporated Q4 2016 Earnings Conference Call. At this time, all participants are in a listen-only mode. Later, we will conduct a question-and-answer session, and instructions will follow at that time [Operator Instructions]. As a reminder, today's conference is being recorded. I would now like to introduce your host for today's conference call, Mr. Thornton Kuntz, you may begin, sir.

Thornton Kuntz

Analyst

Thank you, Kent. Good morning, everyone. This presentation contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. These statements are based upon the current beliefs and expectations of our management, and are subject to risks and uncertainties. Actual results may differ materially from those set forth in, contemplated by, or underlying the forward-looking statements, based on factors described in this conference call and in our reports filed with the Securities and Exchange Commission, including our Form 10-K for the year ended December 31, 2015 and our most recent 10-Q. We do not undertake to update or revise any forward-looking statements, except as may be required by the Company's disclosure obligations and filing it makes with the Securities and Exchange Commission under Federal Securities laws. With that, I'll turn the call over to Pete Petit, MiMedx’s Chairman and CEO.

Pete Petit

Analyst

Good morning. Thank you for joining us for our 2016 year-end conference call. I have with me Bill Taylor, our President and Chief Operating Officer; Mike Senken, our Chief Financial Officer; Chris Cashman, one of our Executive Vice Presidents and the other Executive VPs and some other executives also in the room with us. I'll make some comments about our 2016 results, our fourth quarter results and our outlook for 2017. Also, I will give some updates on our law for discharged lawsuits. I'm going to start by giving you some additional information on the small revenue reduction for Q4 that we've just announced. First, in my 35-years of been a Chairman and/or CEO of AvKare public companies, this is the first reduction of a preliminary revenue release that we can recall. Even though it's a minor amount of minor revenue about six tens of a percent, we do not like issues of this nature to ever develop. This issue came up late in our detailed review process of AvKare’s inventory. This resulted from a February 2016 contract amendment to our longstanding AvKare agreement clarifying the wind down details. As you may recall, AvKare's has been our distributor for best of the administration and Department of Defense Hospitals for over four years. Approximately two years ago we decided we should have our own Federal Supply Schedule number. And once it was issued, we notified AvKare and we begin to place over to our own FSS number. As transition began slowly but our AvKare contract will expire on June 30, 2017 with a three month wind down period through September 30, 2017. At that point, we’re required to repurchase any inventory of AvKare's that may be remaining, which we expect to be minimal. Because the end of the contract is nearing,…

William Taylor

Analyst

Thanks Pete. Well, first of all, I'm going to thank all the MiMedx associates for all their hard work over the past years. I also thank all of the healthcare providers that use our products and for your dedication and passion to help people heal. Lastly, I would like to thank our shareholders for believing in our products and our theme. We've had a great run over the past several years and the best is yet to come. We've had a number of distractions over last years and I think our team has done a very good job in ignoring those distractions and maintaining their focus on ensuring people in need of our products have access to. The last year was a solid year in many respects. First, over the 30% revenue growth is a challenge, not only from a sales standpoint but also from an organizational standpoint. We invested in the business at a higher rate than we originally anticipated as we've discussed in our earlier quarterly calls. These investments include expansion of our sales force, as well as investment related to acceleration of certain new product initiatives. By solidifying these early 2016 investments, we have a solid base to continue our strong growth with this year projecting to be in excess of 20% revenue growth. At this time last year, we were around 240 sales professionals in the field. And today, we have approximately 320, that's an 85% increase. These additions were both in our Wound Care and our SSOs. We utilized our informatics team to analyze various public datasets to understand the trends and underlying disease state in a given geographic area, and we use this data to plan our future growth in our overall territory management as continue to grow. Our quarter-by-quarter plan suggest that we're…

Christopher Cashman

Analyst

Thanks Bill, and good Morning. We’re pleased with the progress that we made in the fourth quarter, and for the full-year 2016. We grew 31% year-over-year and grew revenues meaningfully in both of our market processes of Wound Care and SSO. Wound Care grew 32% fourth quarter over the prior year's quarter and 30% year-over-year, while SSO grew 44% fourth quarter over the prior year’s quarter and 32% year-over-year. Fourth quarter is most often the strongest revenue quarter of the year. First quarter is normally the slowest revenue quarter of the year. This is due to multiple headwind factors, such as deductibles are reset, many surgeons take often parts of January after a heavy case-load during the holidays and year-end. The weather can be an issue of course. And this year, specific to MiMedx, a few centers associated with individuals had to let go for selling, competing or other medical products are going through some transitions as we are actively rehiring at each. We have strong momentum in our business and feel good about the ability to continue to deliver on the revenue growth as we have communicated. We continue to make significant investments in the sales organization, adding more Wound Care account executives and new representatives, supporting our focus into surgery and the expansion of the orthopedic, sports med and spine agency network. We are now at approximately 325 personnel in the sales organization. We have continued the rationalization of our sales management organization. We've integrated the management of our sales teams under the leadership of an area Vice President, while maintaining the specialization of the groups for our Wound and SSO initiatives. This will maximize our coordination within the hospital and the local area. Previously, we had times lack coordination, and then we missed out on additional or…

Michael Senken

Analyst

Thanks, Chris. Good morning. The Company reported revenue for the fourth quarter of approximately $69.9 million, an increase of 35% or $18 million over prior year fourth quarter revenue of $51.8 million. Wound Care revenue was $52.8 million, which represents an increase of 32% over prior year and 5.9% sequentially, the growth driven by addition to our commercial Wound Care sale team. SSO revenue was $17.1 million, which represents growth of 44% over prior year and an increase of 17% sequentially. Growth in SSO revenue was driven by increased penetration into surgical applications, and new products, such as OrthoFlo Lyophilized. Sales with Stability Biologics products were below expectations at $1.9 million for the quarter. For the 12 months ended December 31, 2016, reported revenues were $245 million, which represents an increase of $57.7 million or 31% as compared to prior year. Year-to-date Would Care revenue grew 30% to $184 million as compared to $141 million in the prior year, and SSO revenue grew 32% to $61 million as compared to $46.2 million in the prior year. As discussed in prior earnings conference calls, due to the impact to the results of the acquisition of Stability Biologics that closed on January 13, 2016 and the release of the valuation allowance on the deferred tax assets and its effects on net income in 2015, the Company has decided to include additional adjusted non-GAAP measures in our press release and earnings call to provide the means of comparing normal ongoing operating results on a year-over-year basis. The additional measures include adjusted gross margin, adjusted EBITDA, adjusted net income and adjusted EPS to normalized results for comparison purposes in addition to reporting GAAP results. Tables are provided in our press release, which reconcile non-GAAP to GAAP reported results. GAAP gross margins for the quarter…

Pete Petit

Analyst

Thank you, Bill, Chris, Mike. Let's just open the call to questions and answers please.

Operator

Operator

[Operator Instructions] Our first question comes from Mike Matson with Needham & Company.

Mike Matson

Analyst

I guess I just wanted to start with the $1.8 million revenue reduction. So, just curious is that related at all to this channel stuffing allegation and the subsequent investigation?

Pete Petit

Analyst

The answer to that is no. It's related to -- as we stated the termination of the date of AvKare contract and the legal agreement associated with that.

Mike Matson

Analyst

But I guess why take the revenue back now versus in ’17 when the distribution agreement actually ends, I guess?

Michael Senken

Analyst

According to GAAP, we have to estimate what the liability will be at the end of the contract. And because we basically shift the product in 2016 because that you are shipping with a right to return, you basically have to reserve for whatever you think is going to be return. Now, speaking to the timing of this, we attempted to estimate as best as possible what we thought was in the AvKare inventory prior to that pre-release of revenue. But as Pete mentioned earlier, our inventory is in 100 different facilities and a number of different departments within those facilities. And so we undertook a process over the course of January in terms of someone's validating what could figure out in terms of what was sitting in stock, looking at it in terms of what the demand was and what the usage was in each one of those facilities. And then came to this conclusion that, conservatively speaking, we wanted to make sure that we had everything covered. And so, it was really from a GAAP perspective that we had to go through that process. Quite frankly, our thoughts internally are that there is enough demand out there that most, if not all, of that product can be utilized. But again, you have to be somewhat conservative, and that's where we were. We just got caught up in a desire to give us deal to the street in terms of where we were leading into J. P. Morgan, because of this unique singular contract but event, which shouldn’t occur again, we shouldn’t have that repeat itself.

Mike Matson

Analyst

So, I guess you didn’t know that you’re going to have to go through this exercise when you pre-announced or if you did know you just didn’t realize it was going to be this material, I guess, the amount that you had to increase the reserves by?

Michael Senken

Analyst

Well, again, when you talk about the complexity of trying to go out and determine what's in that inventory across the country, you do the best estimates you can leading up to that point. But quite frankly, we wanted to be -- and part of this is you also have to look at what's happening with the rate of implants at all of these different facilities. And these things can change dramatically one way or the other. And so, it's not as easy to estimate as you might think.

Pete Petit

Analyst

Mike its Pete. This contract is going on for some years it's been very smooth, generally speaking, strong relationship between both the distributors, and ourselves and the VA facilities. But it's coming to an end it's coming to an end in June 30th. And with that particular closure to the contract that require some extra analysis and scrutiny. So, the process, there is no issue here in terms of demand falling off or some of set of issues. It's the fact that contracts coming to closure. And in so doing, the accounting raise, GAAP, et cetera required us to do certain things. And in our desire to try to keep shareholders always very informed, we have traditionally given some insight into quarterly revenues within a shortest period of time as we could at the end of the quarter. And like I said, it started out, I’ve never had my 35 years of running probably Company something like this come up. It's a small amount six tens of percent. But the fact is it's a change and no one likes change. But facts are this is a contract coming to closure, coming to end. And as such, we have to do some extra work here.

Michael Senken

Analyst

I think one of the thing to point out just logistically as we're affecting these transitions, Mike. You have numerous faculties and you put schedules together in terms of which facilities are basic are we going to be 100% shifted over to the MiMedix FSS schedule versus those that are on the AvKare FSS schedule. And part of the issue is you're dealing with multiple parties here. We're dealing with AvKare we're also dealing with each individual facility. And again, there is complexity in trying to predict which way or the timing exactly of which facility is going to move when. And that was partially the reason for the revised estimate.

Mike Matson

Analyst

And just as related question then I guess just looking at the fourth quarter, you saw a pretty healthy acceleration, I know part of that was probably comps. But just what growth rate should we use to evaluate your true underlying organic growth in the fourth quarter. Should we really take out this $1.8 million? Or -- because it sounds like that wasn't necessarily revenue that had originally been booked in the fourth quarter, maybe it was spread throughout the year, prior years or something like that. So was your growth really more like 38% I think was what you originally reported?

Michael Senken

Analyst

I guess, the growth if we look at commercial versus federal, what we’ve saying our calls is that what's really driving the growth, especially as we're going through this transition with the VA accounts is on the commercial side. And to a certain degree you almost have to push to the side in the short-term of the sales of these government facilities. Our guidance for '17 remains where it is, on the Wound Care side. And so, this adjust does nothing to that guidance. And we felt that in our guidance we had Wound Care growth in the 25% to 30% range, and we’re not backing off of that.

Mike Matson

Analyst

And then just with regard to the reps, it sounds like maybe some of the fall-out from this investigation you discovered some that you had additional reps that were selling competing products. So can you quantify how many of those reps or what portion of your sales-force had to be replaced because of those issues aside from the couple of that were involved in this lawsuit?

Pete Petit

Analyst

Really the thing is well known we terminated four and five law suits against them. We've terminated some others and didn’t file lawsuits, because we felt that they hadn’t reached point of -- the thing is problematic. And then we've had some others that came clean with us. We said people that and said just tell us the truth, and will go from there. Most of these others all didn’t tell us the truth, they were continued to dig deeper with their lives. And a few that came clean with us, they are still here. They were disciplined and very frankly to have a still be a dollar company. But we’ve terminated approximately 10 individuals in total and filed lawsuits against four, and then fifth lawsuit against the person been with us two years ago that we let go that was also involved in the process. Out of 300 and some-odd sales people to me I just view this as a tuning process. It's very important it happened, extremely important. And mostly disappointing to me is the likely integrity that we uncovered the process mainly. That's behind us and we're moving ahead.

Operator

Operator

Our next question comes from Matt Hewitt with Craig-Hallum Capital.

Matt Hewitt

Analyst · Craig-Hallum Capital.

A couple from me, regarding the conversion from AvKare to your own federal supply schedule number. Where are you in that process, how much is left to go as from customer standpoint? Has the majority of that been done or your schedule is now being used for the bulk of that? Or is there still a little bit of heavy lifting to go here in the first quarter maybe?

William Taylor

Analyst · Craig-Hallum Capital.

We've got more than half of its converted now. So I think we’re in pretty good shape between now and June to finish that. And as Mike said, I think our -- also we recently received a BPA, Blanket Purchase Agreement, it was in December on our FSS that eluded to actually going to make things in our view run a little smooth, more smoothly, and make it easier for lot of the accounts that ordered through us. But as we do our jobs well, operationally, we should be able to be at a point where in June there is virtually zero with that AvKare inventory remaining. And it’d be completely converted over to ours. And I think we might be able to get a little bit of an upside plus we have little bit better margins obviously when we're selling direct as opposed through distributor. So that would be beneficial for us as well.

Matt Hewitt

Analyst · Craig-Hallum Capital.

And then just out of curiosity, so you guys updated your sales system, I think that was early last year. And I'm curious if that upgrade enabled you to find some of these issues that you've had with the few select individuals?

William Taylor

Analyst · Craig-Hallum Capital.

One thing I think people forget is we're a manufacturer such we produce products. But in our IP department, which our reports them to Debbie Dean, there were individuals there they came from our prior company. Prior company had one of the largest healthcare informatics groups in the country and we were one of the largest producers of that kind of information. So, we have a tremendous amount of IT expertise and systems here and data, which we translated information in our back-office. And it's quite an asset for us and we use it in many different ways. So, yes, finally once we got a little insight into some of that's going on and allowed us to really turn-up an amazing amount of information, which was of course generally disappointing.

Matt Hewitt

Analyst · Craig-Hallum Capital.

One last one from me. One of your two major partners had some significant disruptions in the fourth quarter, a facility being shutdown that impacted their ability to supply surgeons and all of that. I'm curious if that had any impact on your sales through that partnership? Thank you.

Christopher Cashman

Analyst · Craig-Hallum Capital.

In general, I would say, we haven't seen a lot of disruption in our activities with them. It's very specific to the office based sales force that they have on the AmnioFlo product. And then of course they have the sheet as well, so minimal disruption from our standpoint.

Operator

Operator

Our next question comes from Bruce Jackson with Lake Street Capital Markets.

Bruce Jackson

Analyst · Lake Street Capital Markets.

If we could just take a look at the Wound Care business real fast, it's been a tremendous growth driver for the past couple of years. Can you just give us your thoughts on how much runway is left for this business? I know there are a couple of [53.10] [indiscernible] contracts you have not obtained yet. There are some secondary markets you can expand into. But just tell us how much business you think is left to go out there and obtain?

Christopher Cashman

Analyst · Lake Street Capital Markets.

Well, we get that question a lot, Bruce. This is Chris. As we continue to talk about, and Mike rightfully stated, our Wound Care growth truly is coming at commercial aspect. With the contract that we have, we have a much greater leverage within the hospitals to work with them, being sole source or tiered contracts. The reason that we continue to expand on our sales force is because there is so much patient opportunity there that need healing products like EpiFix. I am going to give you just a couple of quick numbers, and then you'll see what I mean. There is, every year, approximately 3 million chronic non-healing wounds. Of that, 1.4 million of them are diabetic foot ulcers and venues leg ulcers; again, chronic non-healing. We estimate looking at the data and the procedural data that there is somewhere between 100,000 to 150,000 patients that ever get any skin substitute, any. So, as we put those numbers down, we’ll just use the high 150,000 patients a year get treated with something, there is 3 million chronic out there. So this is why there is a huge opportunity, and this is why we continue to expand at a rapid pace.

Pete Petit

Analyst · Lake Street Capital Markets.

Now, if I can just add just shorter is, last year in ’15 and we’ll get the numbers for ’16 here shortly. The underlying condition of those non-healing wounds only grew in the neighborhood of 2% or 3%, but the market for advanced in substitutes grew in the neighborhood of 12% to 13%. So, what that means is what we are doing, we’re leading the charge of expanding the market and getting more people access to this technology. So that just further goes on to Chris’s point there -- sorry to interrupt Chris…

Christopher Cashman

Analyst · Lake Street Capital Markets.

No, it's a great point. I’ll just give you the hard number. In 2015, I think $587 million was spent on skin substitutes. We expect this year, this past year 2016, it’d probably be somewhere around $640 million to $650 million. And it's being estimated that within four years, 2020, there will be 1.1 billion one spent. Now, that's not just MiMedx in everything that’s taking market share away, although we're doing that at a fairly quick cliff. We’re over 30% market share now. But it is also estimated that amniotic tissue, in general, will make-up over half of that spend by 2020. Today, we are about two-thirds to 70% of all amniotic expenditure in the marketplace. So, it gives you an example of the position that we have and the rate of change that’s happening. It's not just taking share away, but it's truly expansionary.

Pete Petit

Analyst · Lake Street Capital Markets.

So, the other factors that go into this are education, its coverage. And again, because of the contracts and the people that we’re hiring we’re able to go into these secondary tertiary markets. And I stated in my earlier comments about having smaller territories and being able to go deeper within those territories.

Christopher Cashman

Analyst · Lake Street Capital Markets.

And really our informatics too has really shown us that in terms of the penetration across the country, there is still a large number of pockets in the country where our products aren’t being used at all. We don’t have good sales coverage. We have a number of even smaller cities where we may have the analytics tell us we should have four people in that area we may only have one person in that area. And that's even in like the secondary city-type area that's just there is so many opportunities out there that as we get deeper we in our analytics, we find that the opportunities are just so broad that we've got a number of years of runway to go before we’re going to level out. And we view those analytics to really inform us over the next four to five quarters where we know where we’re placing people, and how many we’re putting quarter-by-quarter.

Bruce Jackson

Analyst · Lake Street Capital Markets.

And a follow-up to that, so roughly 70% of your incremental growth has been coming out of the Wound Care side. How do you see that playing out over the next couple of years? is Wound Care still going to be the primary driver of this business? Or it is both the FSS business tried to step-up a little bit in terms of the revenue contribution, and if you could also comment on the international financials that would be helpful?

Pete Petit

Analyst · Lake Street Capital Markets.

Well, I’ll make some statements and then Mike can jump in, if I get some numbers wrong. First of all, as we said earlier, we expect to grow in that 25% to 30% range this year on Wound Care. We think over the next four years we can keep it certainly in the double-digit range, and over 20% I think is what we're estimating where we end up somewhere around $300 million to $330 million by 2020. So, we're going to continue on this track. But additionally as you've seen, we've expanded now to a third leg of our focuses, operating room has certainly been one to SSO. And we're going to continue to hire, both direct representatives for that operating room, as well as managing orthopedic agents. But another piece -- and that group will continue to grow meaningfully. The third piece is in the physician office and pain management area. With the advent of OrthoFlo, our amniotic fluid products come into market, as well as the clinical trials that we have running both on our AmnioFix Sports as well as OrthoFlo. We've got a lot of good data that will be coming out throughout 2017. And actually we'll probably be looking at the plantar fasciitis data sometime in the second quarter of this year most likely and then OrthoFlo data on the knee will also be again un-blinding somewhere around the same time. So, this year is a investment year for OrthoFlo and for that office based focus. We’ll be utilizing agents initially, as well as some direct representatives. And we're going to build that out. But we do see that being a significant driver for us as we go through our five year plan into 2020.

Bruce Jackson

Analyst · Lake Street Capital Markets.

Okay. And then the international piece of it?

Michael Senken

Analyst · Lake Street Capital Markets.

Sure. Internationally, we're going to continue to focus in the EU, as I said, both Switzerland and Italy. Our earlier -- historically we’re earlier adaptors of new generation type products and especially in this biologic space. So we're going to focus there. We're going to go through process with NICE in the UK. We have evaluations going there in the planning and taking off phase. So, the UK may move a little slow on the wound side, but we still can sell AmnioFix there. And we're also looking at the urology market in the UK. So, those will be the three drivers in the EU. Outside of that in the West-Pac, we’re in countries like New Zealand now and Korea, and we're just starting to develop those relationships and go to market. And as I said earlier, we're working on other regulatory filings, both in the smaller countries but then also in the bigger ones like Australia, which we're excited about. We have a great partner there and we're looking to do something as launch and eventually.

Bruce Jackson

Analyst · Lake Street Capital Markets.

Just one more if you don't mind. What was the amount of international revenue in the quarter just as a percent of the total?

Michael Senken

Analyst · Lake Street Capital Markets.

Very small.

Operator

Operator

Our next question comes from Jason Wittes with Aegis Capital. Jason, your line is open. You can ask your question.

Thornton Kuntz

Analyst · Aegis Capital. Jason, your line is open. You can ask your question.

Are you on mute, Jason?

Operator

Operator

Did you want me to go ahead and move onto the next questioner?

Thornton Kuntz

Analyst

Yes, please. Hopefully, he can dial back in. But yes, please move on.

Operator

Operator

And our next question comes from Joe Munda with First Analysis.

JoeMunda

Analyst · First Analysis.

Real quick on AvKare, you broke out how much they contributed to revenue in '15 and receivables, it was roughly 25%. I was wondering if you had a number for '16, as well as how much inventory they have left as a result of the transition?

Michael Senken

Analyst · First Analysis.

Well, I can't tell you Joe that AvKare will not be -- you have a requirement to report any customer that represents 10% or more of your revenue. And AvKare will not see reported separately for '16. That much I can tell you. As far as their inventory goes, that's really a matter I think between us and the customer. And we would like to keep that confidential.

Joe Munda

Analyst · First Analysis.

Mike, maybe you could walk us through little bit of better detail the mechanics from mechanic standpoint, the relationship with AvKare. From my understanding if you ship, there is no returns on your end. But let's say if VA facility were to return, would AvKare assume possession of that product?

Michael Senken

Analyst · First Analysis.

So, in our relationship with AvKare, AvKare issues us a purchase order and we ship product. So AvKare takes possession of it at the time we ship it.

Joe Munda

Analyst · First Analysis.

But they are actually physical possessions?

Michael Senken

Analyst · First Analysis.

Well, yes. Drop ship to a facility. So AvKare has inventory locations. They don’t have a warehouse. This is inventory that again is spread amongst 100 plus different local -- well, it was 100 plus but we have been converting facilities. And so physically the inventory is at these different facilities, and again not only in one department but in multiple departments. So, the tracking of inventory can be somewhat of a challenge, as we’re learning now we’re picking up direct shipments to the different VAs. And what's that other part of that question?

Joe Munda

Analyst · First Analysis.

And if so with one of those facilities were to return the product, who would assume responsibility, AvKare?

Michael Senken

Analyst · First Analysis.

That is AvKare's responsibility.

Joe Munda

Analyst · First Analysis.

Okay.

Michael Senken

Analyst · First Analysis.

Now, Joe, what all of this relates to is in our contract with AvKare at the termination of the contract, we have the obligation to buyback any remaining inventory that basically is out of these VA facilities. And so, as we get closer to the termination of the contract -- and quite frankly over the course of the year and we've extended this contract with AvKare several times, we make decisions as to whether or not we retain a customer or not retain a customer. And so it's not as predictable as you would think. We probably would have said earlier in 2016 what's the likelihood of us renewing that contract, and probably the answer would have been very high. But as time goes on and different things change and we get more comfortable with shipping direct and the like so then that changes. But at the end of the day, we're getting within -- the contract terminates at the end of June and then there is a 90-day run out period, you have to start paying attention to what is out there and will you have a responsibility for it and that what we did. And it's not an easy process, and you've got multiple facilities. You've got a sales force that’s out there doing other things, and then you have to dedicate a lot of resources to make sure that we are working in conjunction with AvKare and figuring out what is in their stock. And that's when you come up with okay, it looks like to be conservative, we're going to have to book some more returns and allowances.

Pete Petit

Analyst · First Analysis.

And Joe there is some administrative process here, taking what Mike I think say, and you take the sales person that person have to direct at a little more specifically towards particular count and reducing inventory, AvKare inventory, et cetera. That’s something we have to plan and execute on very carefully, which we're good at. But at same time just take some extra effort, so on the federal side.

Joe Munda

Analyst · First Analysis.

As far as the terminated personnel, just taking a quick look on LinkedIn, I mean all four of them seem to be from the Midwestern region. And I was just wondering; A, how much the Midwest was a contributor to overall revenue; and B, I mean, if we could get to more granular level, how much revenue did these four rest contribute to the overall '16 number?

Pete Petit

Analyst · First Analysis.

First of all, not a LinkedIn guy, but you're correct. And three of those four individuals had worked together previously and so on. So, there is old friendships there that kind of seem to stimulate this kind of activity, so that's that. I don't know that we -- anybody sitting in this room at the moment…

William Taylor

Analyst · First Analysis.

No, we don't typically break down those kind of things.

Christopher Cashman

Analyst · First Analysis.

Yes, competitively, we wouldn’t break that down, but they're different size customers. And as I said, we're actively working. We have a plan and some people been hired and others will get the right resources in there.

Pete Petit

Analyst · First Analysis.

Again, I would just encourage everybody to realize and remember, we've been pretty effective and we have these pebbles show up in the path of working through them kicking aside and moving on, and that's happening here. And I don't think we'll be coming back to you with some big excuses of, oh well, this happened and that happened. So, we plan well and we execute well. And every now and then we don’t have a pick-up. But I think this will be behind us pretty quickly here and the litigation piece will also get behind us pretty quickly. We're litigating these. We already had success right here in Atlanta that will court and expect those tenant success to continue.

Joe Munda

Analyst · First Analysis.

And my last question Pete, I want to get your took on the push-out of the draft guidance based on the calendar that Bill had talked about. In my view, if they were to finalize guidance, it would be more of a mode or a protected barrier for you guys, competitive barriers for you guys. And I was just wondering I mean do you look at it that way in the sense that based on your companion data that you probably be better served if the guidance were to come and start to undergoing that process rather than having it being pushed out perhaps a year or two years, if you will. Just love to get your thoughts on that?

Pete Petit

Analyst · First Analysis.

Joe, you're correct. We've tried to signal clearly. MiMedix is well positioned either way that these guidance documents might change. We're way ahead of everybody by years in terms of a BLA. Our plant in the matter of next few weeks will be GMP or rather…

Michael Senken

Analyst · First Analysis.

Already there actually…

Pete Petit

Analyst · First Analysis.

So well they don’t just give me an update. We're well ahead there. So we're positioned either way. On the other hand, it still pains us thinking back three and half years ago, we were signaled out with this first initiative by the AHC. And we've got enough -- plenty of information that materials to know that organic genesis had a great deal to do with that. So we feel like for the first year and half there almost, we were standing alone. And then they put out the guidance document, which should allow the whole industry to get focused on it. And since then, it's been a lot of progress made in terms the whole industry saying what are you doing. Now, remember President Trump has said to these federal agencies well if you change one regulation you have to knock-off two. So, I think some of this jealousness that frankly has been with executives as we tell you, overly jealous, is perhaps going to temper a little bit. So we’ll see what happens. But the key is we're planning both pathways and we’re ready to go either way and well positioned to go either way. So it's becoming less of a focus for us as it was 3.5 years ago 2.5 years ago and so on.

William Taylor

Analyst · First Analysis.

And I just like to add one thing Joe too is we mentioned before. We would actually like to see the FDA add a category of products in between HCT/P and BLA that have new regulation that would not be quite as onerous as the BLA, but would certainly be more onerous than HCT/P. We think there are a lot of these products that the FDA and we agree it should be more highly regulated. And I think that's going to benefit us. Our preference is to do it that way because that new regulation goes through the right process as opposed to try to influence regulations with guidance documents that’s never really good to do that. So we're actually talking with various folks on the user fee legislation to see if there is something in there that they could utilize to help insert them with the some new regulations in line with what we're talking about right now.

Pete Petit

Analyst · First Analysis.

And that's where that 21st century bill is headed and that's setting some intermediate approval processes between the two extremes, and that would be something we would certainly and did support.

Joe Munda

Analyst · First Analysis.

Mike, if I can just one more. You’ve a full-year number for Stability, and I was wondering based on the 2017 guidance. Can you give us some ballpark percentage revenue or actual range expected contributions for Stability in 2017? Thanks.

Michael Senken

Analyst · First Analysis.

So in 2016, the total revenue was $11 million and we had in our nominal forecast has them at $15 million. And so we've taken a conservative approach for ’17. And I think in our earn-out projections, we have them at I believe it's $14 million.

Operator

Operator

Our next question comes from Jason Wittes with Aegis Capital.

Jason Wittes

Analyst · Aegis Capital.

So, I know it's been a lot of questions about AvKare. I got on a little late. But I know the impact is for the stocking right now. But can you give us a sense of what the annual revenue contribution was in 2016 from AvKare?

Michael Senken

Analyst · Aegis Capital.

We were just asked that question. How I answer it was to say that in ’15 AvKare was call it quote-on-quote 10% customer, so we broke that out in our filings. In ’16, they are not. So you can take from that that they are less than 10% of 245.

Jason Wittes

Analyst · Aegis Capital.

And then if I think about '17 guidance, how much of that AvKare business do you expect to regain or is imputed into that number?

Michael Senken

Analyst · Aegis Capital.

Well, in our guidance, we contemplated the transition to our FFS schedule. And so, it has no impact on our guidance.

Pete Petit

Analyst · Aegis Capital.

We expect to transition all the business over to our FSS…

Michael Senken

Analyst · Aegis Capital.

It's a bit of an art and a science here. We came into 2016, like I said before. We had a certain plan in terms of transitioning facilities. But there are a lot of players that are involved in that process. We alone can't dictate what goes on there. And so, there is a lot of puts and takes. But that just rolled them into '17. And again, we taken overall view of what we think the federal facilities are going to generate in terms of revenue, and whether it flows through us or flows through AvKare, we still think we can hit the guidance.

Jason Wittes

Analyst · Aegis Capital.

But I assume AvKare will find another supplier and you'll be competing as AvKare in those accounts?

Michael Senken

Analyst · Aegis Capital.

Yes.

Jason Wittes

Analyst · Aegis Capital.

But your assumptions still sounds like you're pretty confident that you can maintain and grow that business, it sounds like from Pete's commentary?

Pete Petit

Analyst · Aegis Capital.

Just like we've done with all other competitors are showing us…

Michael Senken

Analyst · Aegis Capital.

And that doesn't concern at all.

William Taylor

Analyst · Aegis Capital.

We're very short, Joe.

Operator

Operator

[Operator Instructions]

Pete Petit

Analyst

Well, we don’t see any more in the queue. So, we'll just thank you again. It's been hopefully a very informative call. We apologize for some of the new distractions, but these too will pass just like the others have. And I'll say it again, a full market climbs a wall of worry, and we managed to -- certainly had its walls of worry to keep coming from time-to-time. But that's what's happens with leadership, and we'll move pass this pretty quickly, and again to show you how our optimistic view of '17 is playing out. Thank you very much. Appreciate it.

Operator

Operator

Ladies and gentlemen, this does conclude today's presentation. You may now disconnect and have a wonderful day.