Chris Thatcher
Analyst · Canaccord Genuity
Good morning, everyone, and thank you for joining us on today's call. Before I get started, I'd like to welcome Steve Furlong, Neuronetics' New Chief Financial Officer. Steve brings extensive medical device experience to the team, most notably having spent 14 years at Hologic, where he held a variety of senior leadership positions. We're very excited to have Steve on board as we look to continue to drive the adoption of NeuroStar Advanced Therapy and expand our market leadership position. On today's call, I will provide an update on our performance during the second quarter, followed by an update on the progress we made toward our key priorities. I'll then hand the call over to Steve to walk through our financial performance and guidance for Q3 and 2019, after which we will provide our closing remarks before opening up the line to take your questions. Our strong performance continued in the second quarter. Total revenue was $16.6 million, an increase of 25% over the prior year, primarily driven by a 30% growth in the U.S. NeuroStar Advanced Therapy revenue and a 22% growth in U.S. Treatment Session revenue. This represents the fifth consecutive quarter since becoming a public company that we've delivered top-line growth in excess of 20%. Moving on to an update on our strategic priorities for the year. As a reminder, these priorities are to continue the expansion of our sales force and marketing efforts, focus on driving long-term increases in system utilization, launching NeuroStar Advanced Therapy in Japan and selectively evaluate entry into other international markets; develop our next-generation NeuroStar system and beginning the clinical work to set the stage for the expansion of new indications. Taking each of these in order, as we look to continue the expansion of our sales force and related marketing efforts in 2019, our goal is to bring our total BDM territories to 59 by the end of the year. This will be an incremental 15 BDMs versus the end of 2018. In the second quarter, we filled an additional territory, making that five new territories year to date, bringing our current BDM territory count to 49. We continue to be very excited about the quality of the salespeople we're able to attract, and we feel very confident that we can continue to drive predictable growth in new system sales and subsequent treatment session pull-through results. We have also expanded our regional sales management infrastructure by adding two new BDM regions and associated regional manager. This brings the total number of sales regions to seven as we scale to support our future growth. In addition to the expansion of our sales force, we continue to utilize DTC marketing campaigns. We finished another round of TV commercials that ran from May 13 to June 1. Following this round of commercials, web traffic was up 72% versus the previous three weeks without TV commercials. During this beta test, we added new functionality to our website. Patients who responded to the ad could book an appointment on line directly with a provider or talk live with a nurse, who could then book qualified patients an appointment. This feature was designed to increase the lead-to-consult conversion. I'm pleased to report that we saw positive trends. And comparing our cost per lead in the most recent television campaign against a similar three-week television campaign in the fall of 2018, we generated a 5.6 reduction in our cost per lead. We're continuing to assess the financial merits of this program and further ways to continue to improve conversion of leads and the appropriate mix in our marketing strategy. As we continue to focus on driving adoption and utilization of NeuroStar Advanced Therapy, we continue to evaluate different pricing models to drive both system and treatment session sales. One such program we have utilized in certain situations is fixed-price treatment session model. The interest in this program has picked up recently, particularly as we've continued to be successful in penetrating high-volume accounts that have the resources and patient volume to drive future growth in their practice, either by adding additional systems or opening up new locations. Our second strategic priority for the year is to drive long-term utilization increases. As we've noted previously, we will continue to increase the number of CPCs, or Clinical Practice Consultants, and CTCs, or Clinical Training Consultants, in order to maximize the utilization of NeuroStar Advanced Therapy for our customers and patients. As of the end of the quarter, we're happy to share that we have already met our goal of hiring incremental five CPCs and six CTCs in 2019. This brings the total to 29 CPCs and 15 CTCs. To date, we've installed nearly 1,000 systems and once installed, our primary focus is to ensure that clinicians are well trained to optimize NeuroStar Therapy for patients by utilizing the system proprietary, patented features, including contact sensing and the six-point alignment system. We believe that our highly trained CTCs and CPC teams are a key strategic advantage for us and that our focus on training in practice management enables our customers to effectively and consistently deliver the outcomes we generated in our clinical trials to their patients. We announced in July that the NeuroStar Outcomes Registry has passed 3,000 evaluable patients, making it now the largest registry focused on therapies for the treatment of depression. The Outcomes Registry includes data from 100 clinical practice sites across the United States and showed that 63% of patients treated with NeuroStar Advanced Therapy experienced significant improvement in the depression symptoms. This demonstrates real-world outcomes consistent results seen in the Carpenter open-label clinical trial, in which 58% of the patients experienced significant improvement. Importantly, safety data reported in our registry is also consistent with the findings of previously conducted clinical trials. Our third strategic priority for the year is the prudent expansion of our global footprint. Our initial expansion market is Japan. Earlier this year, we announced that NeuroStar Advanced therapy received national reimbursement in Japan, which went into effect on June 1. This is a tremendous achievement, and we'll provide psychiatry as a very important option to treat patients with MDD in a country that has one of the highest suicide rates in the world. We're very excited to announce that we launched commercial in Japan in the second quarter and encouraged with our early progress. The first patient was treated NeuroStar Advanced therapy last month. Our partner Tiejin is targeting the leading teaching hospitals to the largest inpatient and outpatient clinics in Japan. The initial feedback that they provided is very encouraging. The June JSPN training course was once again filled to capacity of 150 participants. So far in 2019, over 50 additional doctors have completed Tiejin's subsequent NeuroStar TMS-specific training. In addition, a 30-minute documentary aired nationally, featuring TMS as a new technology in mid-July. Subsequent to this, Tiejin received a number of calls from hospitals, clinics and patients requesting more information. Overall, Tiejin is off to a good start in this targeted segment. And you can see in the second quarter, our OUS revenues are up nicely as a result of the most recent round of NeuroStar Advanced Therapy system sales to Tiejin. Another of our strategic priorities is the development and future launch of our next-generation NeuroStar system. We're in the early stages of a multiyear process. And in second quarter, we continue to drive toward that goal. We've met with patients and physician focus groups to gain their feedback on how to improve the reproducibility, precision and efficiency of NeuroStar Advanced Therapy. These insights are informing our priorities as we develop our next-generation TMS system. Our final strategic priority for 2019 is to begin the clinical work to set the stage for the expansion of indications for the use of NeuroStar Advanced Therapy system. We're excited about the therapeutic opportunities that PTSD and bipolar indications will bring to our existing providers, new providers and patients globally. These are disorders that impact a significant population in the U.S. and like depression are difficult-to-treat with pharmacotherapy. We believe that in our current installed base alone, there are thousands of patients who suffer with these diseases that could potentially benefit from NeuroStar Advanced Therapy. We're currently on track to have discussions with the FDA later this year to inform our regulatory strategy. We're progressing very well against these important initiatives, which will support a continued long-term growth. Overall, we're very excited about our results in the second quarter and how we have positioned ourselves to continue to drive strong top-line growth in the business and build upon our market leadership position. I would now like to hand the call over to Steve to discuss our financial performance.