NASDAQ:RCEL AVITA Medical Q3 2024 Earnings Report $9.02 -0.21 (-2.28%) As of 04:00 PM Eastern Earnings HistoryForecast AVITA Medical EPS ResultsActual EPS-$0.62Consensus EPS -$0.41Beat/MissMissed by -$0.21One Year Ago EPS-$0.34AVITA Medical Revenue ResultsActual Revenue$19.55 millionExpected Revenue$19.65 millionBeat/MissMissed by -$100.00 thousandYoY Revenue GrowthN/AAVITA Medical Announcement DetailsQuarterQ3 2024Date11/7/2024TimeAfter Market ClosesConference Call DateThursday, November 7, 2024Conference Call Time4:30PM ETUpcoming EarningsAVITA Medical's Q1 2025 earnings is scheduled for Monday, May 12, 2025, with a conference call scheduled at 4:30 PM ET. Check back for transcripts, audio, and key financial metrics as they become available.Q1 2025 Earnings ReportConference Call ResourcesConference Call AudioConference Call TranscriptSlide DeckPress Release (8-K)Quarterly Report (10-Q)Earnings HistoryCompany ProfileSlide DeckFull Screen Slide DeckPowered by AVITA Medical Q3 2024 Earnings Call TranscriptProvided by QuartrNovember 7, 2024 ShareLink copied to clipboard.There are 8 speakers on the call. Operator00:00:00Good day, and thank you for standing by. Welcome to the Aveda Medical Inc. Third Quarter 2024 Earnings Conference Call. At this time, all participants are in a listen only mode. After the speakers' presentation, there will be a question and answer session. Operator00:00:30Please be advised that today's conference call is being recorded. I would now like to hand the conference over to your first speaker today, Jessica Eckberg. Please go ahead. Speaker 100:00:46Thank you, operator. Welcome to Aveda Medical's Q3 2024 earnings call. Joining me on today's call are Jim Corbett, Chief Executive Officer and David O'Toole, Chief Financial Officer. Today's earnings release and presentation are available on our website, www.avidamedical.com under the Investor Relations section. Before we begin, I'd like to remind you that this call includes forward looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Speaker 100:01:19These statements are neither promises nor guarantees and involve known and unknown risks and uncertainties that could cause actual results to differ materially from any expectations expressed or implied by the forward looking statements. Please review our most recent filings with the SEC for comprehensive descriptions of the risk factors. Any forward looking statements provided during this call are based on management's expectations as of today. I will now turn the call over to Jim for his comments. Speaker 200:01:49Thank you, Jessica, and good afternoon, everyone. If you've been on our previous calls, you know I am passionate about Aveda Medical. I'm especially excited to share our incredible Q3 results with you today. We not only exceeded our 2nd quarter record revenue, but also surpassed it by 29%, achieving $19,500,000 in commercial revenue during Q3. This wasn't just about exceeding expectations. Speaker 200:02:18It was a breakthrough quarter that further strengthened our growth trajectory. This quarter was critical for us to deliver strong revenue growth while advancing our strategic initiatives. To do this, we focused on converting our business to the Resell Go platform. The move was essentially not only to support immediate revenue growth, but also to continue to lay the foundation for our long term scalability. This accelerated transition to RESEL GO allows us to treat more patients and expand our market reach. Speaker 200:02:50In doing so, we fulfill our promise to provide the best possible patient care. Now let's start with a major milestone. By the end of September, we had successfully transitioned approximately 75% of our revenue base to Resell GO. This is a huge achievement that speaks volumes about the execution capabilities of our team. Moreover, we managed to do this within just 4 months of FDA approval, demonstrating our operational agility. Speaker 200:03:23Our commitment to resale gold conversions was instrumental in driving Q3 commercial revenue growth, helping us hit our projected revenue guidance range of $19,000,000 to 20,000,000 However, this focus resulted in 23 new account conversions for full thickness skin defects versus our initial expectations of 40 to 50 accounts during the quarter. The bigger picture is that we now have approximately 300 accounts across both burns and trauma centers for full thickness skin defects, which is more than double the number of accounts that we had a year ago. Further, Resell GO will make closing new full thickness skin defect accounts easier due to its enhanced features that significantly reduce the training burden for new accounts. In Q4, a key focus will be capitalizing on the nearly 60 accounts that are currently in the value analysis committee process, commonly known as the VAC process. With the groundwork laid over the last few months, we believe we can close between 30 40 of these new accounts in Q4, positioning us to hit our growth targets. Speaker 200:04:34We expect these accounts to drive additional revenue over the next several quarters. Now let's talk about why we fast tracked Resell GO account conversions. As I said before, Resell Go is a game changer. It delivers significant workflow efficiencies, shortens anesthesia time, reduces operating room time, and most importantly, accelerates patient healing. For hospitals, this means treating patients more effectively while reducing costs. Speaker 200:05:08These benefits are reflected in our Q3 revenue as our burn business experienced robust growth. We expect continued Resell GO adoption within both existing and new accounts, which will help us gain share in the burn market. Today, we estimate that we hold approximately 20% of the burn market, but we see a clear path to doubling that share over time by focusing on ResellGo's ability to optimize both patient care and hospital efficiency. Let's turn to our product portfolio. First, let's discuss our Aveda Medical branded collagen based dermal matrix that we have named Cohelix, which will play a critical role in our growth strategy. Speaker 200:05:55Let me take a moment to spell that out. CO for collagen, HEAL, H E A L for its healing properties and YX for its triple helix structure. Although we had planned to begin cases in the Q4, initial preparation was required for the FDA submission, which was submitted at the end of September. We expect a 90 day review period implying clearance by year end, setting the stage for a 2025 launch. We plan to use ReCell, PermioDerm and Cohelix together as a comprehensive treatment solution for full thickness wounds that not only improves patient care outcomes, but also streamlines the clinician experience. Speaker 200:06:40For those participating on the call, please refer to Slide number 5. Here we illustrate a full thickness wound, which includes the use of a dermal matrix followed by delayed treatment with a split thickness skin graft plus resell in a 2 stage procedure. In the first stage, Cohelix represented by the green layer promotes the generation of vascularized tissue preparing the wound for grafting. In the 2nd stage, the light blue area represents a meshed split thickness skin graft with resell providing definitive closure using significantly less skin compared to traditional autografting. Finally, the purple layer, Permian term, serves as a transparent dressing placed over the skin graft with resell, optimized for protection and moisture management. Speaker 200:07:37Using this slide, let's walk through a typical course of treatment for a 10% to 20% total body surface area burn wound, demonstrating how our comprehensive solution transforms patient care and expands our business model. In the first stage, 2000 to 4000 square centimeters of Cohelix will be applied to the wound bed. Approximately 5 to 15 days later, the dermal matrix is revascularized and the wound is graft ready and the 2nd stage begins. In the 2nd stage, a split thickness meshed autograft is placed over the newly generated tissue. Next, the clinician prepares the spray on skin cell suspension with ReCell Go at the point of care. Speaker 200:08:29Following this preparation, the spray on skin cells are sprayed over the meshed autograft. Lastly, Permiderm could then be applied over ReCell to protect the wound site, which comes to a range of 1900 to 3840 square centimeters of Permianderm. For this patient in all, the treatment would typically include the use of 1 to 2 resell kits, one application of Permiderm and one application of Cohelix. For this single patient, the estimated average selling prices range from $28,000 to $55,000 comparing to the current average selling price range of $8,500 to $17,500 for ReCell and Permuderm. This comprehensive solution not only dramatically changes our business model, but also expands our market potential. Speaker 200:09:31If we apply this average selling price to the 35,000 ReCell eligible cases in the burn market alone, it creates a total addressable market of nearly $1,500,000,000 in the United States. Equivalently, this expands in a similar manner within the full thickness skin defect market. Let me take a moment to share our Cohelix preclinical work. Using a validated porcine preclinical model, we assessed matrix integration into the wound, skin graft to take and time to close against multiple controls and competitors. In our findings, Cohelix demonstrated faster time to integration and had consistently high skin graft take results compared to other products on the market. Speaker 200:10:23The ability to quickly generate robust vascularized tissue and skin graft early with Coahelix translates into significant benefits for the patient's healing profile, including shorter hospital stays and lower costs to treat. Following FDA clearance of Cohelix, we plan to initiate a post market clinical study to support this preclinical work. This study will evaluate Cohelix in full thickness wounds, followed by treatment with a split thickness skin graft plus resell in a 2 stage procedure, which is the current standard of care. Clinical and health economic impact will be evaluated compared to other commercially available dermal matrices. We expect to begin enrollment in this study in the Q1 of 2025. Speaker 200:11:17While there will be expenses tied to the study, those expenses will be principally borne during the first half of twenty twenty five. We believe Cohelix will meaningfully enhance our market penetration and strengthen our competitive position in the burn market as well as the full thickness skin defect market. Moving on to ReCell Go Mini, designed for wounds up to 480 square centimeters compared to the standard ReCell Kits 1920 Square Centimeters, ReCell Go Mini fills a gap in our market offering by allowing us to treat smaller wounds and expand our reach. As a reminder, Resell GO! Mini uses the same multi use processing device as a standard Resell GO! Speaker 200:12:04But with a disposable cartridge optimized for smaller skin grafts requiring less buffer and enzymes and featuring 3 modified wells to hold these components. This device remains on track for approval by year end with a launch expected in early 2025. Turning to an update on our international expansion. We are making good progress on our efforts. The 3rd party distribution agreements cover 14 countries. Speaker 200:12:35We expected the CE Mark in September. However, our notified body process for approval is taking longer than anticipated. We now expect to receive the CE Mark by Q1 2025, allowing us to bring Resell GO! To Europe and Australia in 2025. This expansion aligns with our strategy to offer Resell GO! Speaker 200:12:58As an innovative wound care solution in these regions. Before we get to the summary, let me provide an update on Pedaligo. The TONE study has been submitted to a major journal for publication as has the health economic study that we sponsored during the last year. From these publications, we will begin our payer activity and expect to have outcomes from that effort in terms of coverage policy by the end of 2025. In summary, we have made remarkable strides this quarter and I'm confident we will continue to capitalize on this momentum all while delivering the best possible outcomes for both clinicians and patients. Speaker 200:13:44As we position Aveda Medical as a company able to address a broad continuum of wound care needs, we are poised to transform wound care and set new standards of care. With that, I'll now turn the call over to David to provide more details on our financial performance. Speaker 300:14:02Thank you, Jim. I want to echo Jim's enthusiasm. This was a fantastic quarter for us. We built on the success of our strong second quarter, outpacing net performance by 29 percent to deliver 3rd quarter commercial revenue of $19,500,000 representing 44% year over year growth. This significant revenue achievement brings even greater clarity to our path to reach cash flow breakeven and GAAP profitability no later than the Q3 of 2025, which we have previously signaled, all without significantly growing our organization over the next 18 months to 24 months. Speaker 300:14:48As you can see on Slide 6, our strong revenue growth reflects the demand for Resell GO and the operational efficiencies we have built within our commercial operations. We expect this positive trajectory to continue into 2025 beyond. While resell currently drives the majority of our revenue, we anticipate that Cohelix and Permioderm will become substantial revenue contributors over the coming quarters. Now let me turn to our financial results to provide some details. Gross profit margin for the quarter was 83.7%, down slightly from 84.5% in the same period of 2023. Speaker 300:15:37The decrease was expected due to ongoing engineering and validation of the Resell Go durable and disposable cartridge. However, this decline was temporary and we anticipate that our gross profit margin will be in the range of 85% to 86% for the full year 2024. Total operating expenses for the quarter were $30,200,000 compared to $21,100,000 in the same period in 2023. The increase in operating expenses is primarily attributable to an increase of $4,600,000 in sales and marketing expenses due to employee related costs including salaries and benefits, commissions and travel expense collectively as a result of expansion of the commercial sales organization in the Q2 of 2023 and again in the Q1 of this year to support our growing commercial operations. G and A expenses increased by $3,500,000 as a result of higher salaries and benefits and an increase in stock compensation, severance benefits and professional fees, partially offset by a decrease in other corporate expenses. Speaker 300:17:00Additionally, R and D costs increased by $1,000,000 which was primarily due to employee compensation costs of our medical science liaison team. Other income expense decreased by $1,700,000 from income of $600,000 in the prior period to an expense of $1,100,000 in the current quarter. Other income expense for the quarter consists of non cash charges of $1,000,000 $800,000 related to the changes in fair value of the debt and warrant liability respectively, offset by $600,000 in income related to our investing activities. Net loss for the Q3 was $16,200,000 or a loss of $0.62 per basic and diluted share compared to a net loss of $8,700,000 or a loss of $0.34 per basic and diluted share in the same period in 2023. As of September 30, we had cash, cash equivalents and marketable securities of $44,400,000 compared to $89,100,000 as of December 31, 2023. Speaker 300:18:24Note that Q3 marked our lowest net use of cash during this phase of commercial expansion, coming in at the high single digit millions. We expect this trend to continue with overall use of cash decreasing to the low single digit millions in Q4 as we move towards generating free cash flow in the second half of twenty twenty five. Turning briefly to our OrbitMed credit facility. As previously indicated, we did not plan to draw down either of the 2 additional $25,000,000 tranches available under the credit facility. As such, we initiated discussions with OrbitMed to terminate those tranches, which resulted in a mutual agreement to amend the credit facility. Speaker 300:19:17Under the terms of the amendment, we formally gave up our right to draw the $225,000,000 tranches. In return, OrbiMed agreed to remove the trailing 12 month revenue covenant for the Q4, which had been set at 67,500,000 dollars The revenue covenants for subsequent quarters remain in effect with the Q1 2025 trailing 12 month revenue covenant set at 75,000,000 dollars Looking ahead, for the Q4 of 2024, we expect commercial revenue to be in the range of $22,300,000 to $24,300,000 representing sequential growth of 14% to 25% over the 3rd quarter and approximately 58% to 72% growth compared to Q4 2023. This revenue range aligns with our previously set annual guidance for 2024 of $68,000,000 to $70,000,000 In closing, we are confident that the success of Restalgo combined with the upcoming launches of Cohelix and Restalgo! Mini, as well as the expanded adoption of Permioderm will allow us to deliver strong financial results and create lasting value for our shareholders. With that, I will turn the call back to the operator for your questions. Operator00:20:53Thank you. At this time, we will conduct the question and answer session. Our first question comes from the line of Brooks O'Neil of Lake Street Capital Markets. Brooks, your line is live. Speaker 400:21:20Thank you very much and good afternoon everyone. I guess I wanted to ask you first about what you're seeing in the hospitals and your experience with the VACs. I heard you say you came up a bit short of expectations in terms of new approvals this quarter. But can you give us some color about the process in general, what you're seeing and whether you plan to adapt in any way to accelerate success through VACS? Speaker 200:21:58So, hey, Brooks, good to hear from you. I think we were emphasizing something a little different. I'll get to your answer to your question here. First, we made a pivot during the quarter for the purpose of accelerating the conversions to the resell go platform because that is any driver of adoption. Okay. Speaker 200:22:27So we deliberately focused on that. And not only one hospital required a back approval for our resell go. So it was just not a in that context, VAC was not a factor. We do find the VACs in the full thickness segment, which has been upon reflection now looking back over about a year and a quarter, we are finding that in nearly every case somewhere in the process the VAC is wanting to see an evaluation case or more. And so when we get at the driver of why VACs in general have taken us longer than we anticipated at the beginning of the whole process a year and a quarter ago. Speaker 200:23:24It's that fact. And so we've adapted to that. We've now been more proactive about being prepared for that eventuality. So they're either doing it as a precondition to a VAC submission, a conditional approval or a follow-up in some form or another. And in some cases, multiple procedures they want to see. Speaker 200:23:52So the fact that we had less than we expected was actually a deliberate choice of sales time. So I hope I got your question contextualized in there somewhere. Speaker 400:24:07You did. That was very helpful. So I'll just sort of spin it in a slightly different way and ask you, obviously, you had a major expansion of the sales organization end of last year, beginning of this year and new sales leadership. Can you just comment about how you evaluate the performance of the sales team and the new sales leadership in terms of trying to drive long term growth for the company? Speaker 200:24:35So the first part of that answer, Tom, evaluating it is begins with 29.6 consecutive quarter growth. I think the sales leadership team is developing really well under our new sales leader. We're executing in a more effective manner. That kind of growth consecutive quarter is unusual and we still are expecting a strong Q4 as well. So I'm really quite pleased with the progress. Speaker 200:25:07There's more work to do as always, but really the performance this last quarter was quite good. Speaker 400:25:17Great. Thank you very much. I'll jump back in queue. Speaker 200:25:21Thanks, Brooks. Operator00:25:25Thank you. Our next question comes from the line of Ross Osborne with Cantor Fitzgerald. Your line is now Speaker 500:25:41Great. Thank you. Sorry about that. So maybe following up on the prior question, but with regards to many, how should we think about the adoption curve in 2025 from your learnings with get and go into accounts? Speaker 200:25:56Yes. Thanks, Ross. Well, first of all, the full thickness cases that we did, if you go back and you look at our FDA study that we performed that gave us approval for that broad indication, you'd see that not one patient was over 500 square centimeters. And so when you have a device that treats 2,000 square centimeters, intellectually that creates a little bit of dissonance, I think, for the customer we think for the customer. And so we developed many to get at that broader population of resell indications where we better fit the patients' need. Speaker 200:26:43And so I think on one hand, the market opportunity we had preceding the introduction of many is fundamentally the same. I think the adoption will be a little bit quicker with the concept that you're matching the resell use with the size of the wound. Speaker 500:27:11Got it. That makes perfect sense. Speaker 200:27:13And Speaker 500:27:13then sticking with 2025 and a year where we expect to see significant and incremental demand relative this year, how are you feeling about manufacturing capacity to meet that demand? Speaker 200:27:27Actually, we feel terrific. In fact, we had a project underway that we completed during the quarter, early part of the quarter called Project Phoenix, which was to really revamp our whole manufacturing facility that's located in Ventura. It was an older building and by fundamentally reconstructing the walls of the building inside as it was an older building. Our objective was to create 10x capacity expansion with that project and which we did and we completed it. So we're feeling really good about our capacity. Speaker 200:28:08We've been we've expanded some of our engineering capabilities in that facility because manufacturing the resell processing device is a very different set of skills than what we needed before. So we've increased our engineering talent in Ventura as well. We of course had to put a by in sourcing the manufacturing of Resil Go, we also created a service center so that we could service the durable. So we're feeling very comfortable about our capacity and we haven't had any supply shortages or anything close during a time when really we were we have been expanding our revenue quite quickly. Speaker 500:29:01Great. Congrats on the progress and strong quarter. Thank you. Speaker 200:29:04Thanks, Ross. Operator00:29:06One moment for our next question. Our next question comes from the line of Josh Jennings at TD Cowen. Josh, your line is live. Speaker 600:29:19Hi, this is actually Eric on for Josh. Thanks for taking the question and congrats on the nice quarter here. Speaker 200:29:26Thanks, guys. Speaker 600:29:26Thinking about all the different growth drivers you have in the works currently, I was hoping just to get your thoughts on around how you see things evolving over the next few quarters and ultimately in 2025 where in terms of where corporate growth may wind up. I think if I look at Street estimates right now showing some solid growth acceleration of 24% in like the 50% range. If you can, I was just hoping to get your thoughts on how you think that step up or if you think that step up is appropriate there? Speaker 200:29:56Well, at the moment, let me comment that in a different way if you don't mind, because we're not quite ready to give guidance for next year. But we do have you're correct. What we have is we have Resell Go, which is having a consequence of increasing usage of resell in the account. We have ReCell Go Mini 1st of the year. Permioderm is now we're accumulating the clinical evidence where you'll see that expand going into next year. Speaker 200:30:32And Cohelix, which is a substantial market size, will be doing a limited launch in clinical data development during Q1 for a full launch in Q2. You are talking, yes, about a lot broader growth platform. And when you add to it our entry into the European Union and Australia, there's an abundant opportunity for growth for us. So I think it's the big outcome that we're focusing on is the Q3 crossover into profitability, which we have guided on. So I think that in combination of growing, we're going to be doing so without adding very few very little operating expenses that are durable. Speaker 600:31:28Understood. I appreciate that color. And then maybe on Cohelix and Permioderm, there was a comment earlier in the call about those offerings becoming substantial contributors in the coming quarters. I was just hoping to get your thoughts on how you think that might impact gross margins going forward, particularly next year as you approach some of those profitability targets? Speaker 200:31:49Yes, that's a great question. So think about it this way. The gross profit on those product lines is less as a percentage than resell. However, since we're not adding commensurate operating expenses, the operating margin contribution is substantial. So for example, with Cohelix, a use of Cohelix in the 2,000 square centimeter wound might be somewhere between 18,000 to 30,000 depending on ASP. Speaker 200:32:26So there's a broad range of possibilities. Half of that will be operating margin. So when you think about gross margin, think about it in as total gross margin and we're adding to it significantly with those products. Speaker 600:32:46That's very helpful. Thank you for the questions. Operator00:32:49One moment for our next question. Our next question comes from the line of Matthew O'Brien with Piper Sandler. Your line is live. Speaker 100:33:03Hi, this is Samantha on for Matt. Thank you for taking our questions. I guess first, we'd like to touch on the guidance headed into Q4. I think it's been said it's just more of a sizable step up from what we saw this quarter. So if you could just talk a little bit about kind of what the guidance makes in maybe in terms of wound versus burns and just kind of, yes, what you're baking in there? Speaker 200:33:29Well, the step up actually from Q2 to Q3 in absolute terms was in excess of $4,000,000 right, $15,100,000 to $19,500,000 is almost $4,400,000 And actually the step up in Q4 is a little bit less because that guidance range is 22.3% to 24.3% as we've said it. Now our strongest area of our business is burns and the one that benefits the most from resell go is the burns business because on average multiple resell devices are used in the average burn case. And when you think about that, just to follow my thought here, when you use resell when it's the manual version, you do it consecutively, it requires a fair bit of staff time and we often attend those cases to provide clinical support. When you use ReCell Go, you actually can run 2 ReCell Go devices simultaneously. And what happens in that case, you reduce operating room time, you reduce anesthesia time, you reduce staff time and you accelerate the time to begin healing for the patient. Speaker 200:35:02All of this saves money. So what happens as we move into Q4 and beyond, one of the reasons I mentioned that we thought that we could imagine doubling our share of the 35,000 a year resell eligible patients in the burn market is just for that reason. And so full thickness will continue to develop fast for us because it's a new account add and it's new procedures. But in the burn market, we get real leverage real fast. They use one resell goal in a typical full thickness case, which is one usually a single resell unit device where you use multiple with burns. Speaker 200:35:50So inevitably we'll grow faster in burns on a hospital level basis. Is that helpful? Speaker 100:36:01Yes, that's helpful. Thank you. And I guess I just want to touch one more on the CE Mark delay. What impact does that have on your growth expectations for next year? Speaker 200:36:14Not significant. If you just annualize our Q4, we're going to have a strong year next year, particularly with us holding the headcount line. So the international expectations, those are all us entering new markets. So you can expect a lot of training will go on, careful choice of patients that get treated. And they're all 3rd party distributors. Speaker 200:36:40So you have to work with them and get them prepared. So although there's going to be a little bit of a delay, we don't have a high dependency per se on the revenue to achieve our Q3 profitability goal. Speaker 100:36:59Thank you. I appreciate that. And then if we could sneak just one more in, we were wondering if you could talk a little bit more about the rollout plans for Go Mini and kind of I guess just what your plans are there? Speaker 200:37:12So in the first instance, we're expecting it to Riso Go Mini to get approved by year end. That's when our 180 days are for that because it's a PMA supplement. We then would be training during the first half of January. We're having our sales meeting during that time and we will then roll out Mini during Q1. It will be targeted at the trauma centers, which is where the full thickness skin defect market is primarily. Speaker 200:37:50They do those smaller wounds also in burn centers, but the bigger population of accounts and cases is in the trauma centers. And we'll be rolling it out into those accounts. And by that time, we will have added well over 200 accounts since we achieved full thickness approval last year. So I think that rollout will begin in the first quarter, second half of the first quarter in terms of practical utilization. And it will be one of our growth drivers with if you think about our new product flow, we have a resell growth platform during Q1 that will be in its expansion mode because the accounts have been already introduced to it. Speaker 200:38:44We'll be adding mini, which uses the same processing device, which is durable. We have Permioderm and love Cohelix. So we'll have a nice suite of new products to join in the Resil Go! Mini. And of course, Cohelix and Permaderm could use with those same wounds as well. Speaker 200:39:04So it's going to be a pretty exciting year for us next year. Speaker 100:39:11Great. Thanks so much. Operator00:39:16Thank you. Our next question comes from the line of John Hester of Bell Potter. Your line is now live. Speaker 700:39:40Good afternoon, Jim and David. Thanks for taking my call. Just wanted to ask you, to come back and focus on this post market approval study for Cohelix. As you know that extra cellular matrix category is very well established. So can you tell us a little bit more about this trial? Speaker 700:39:59What specific wounds are you going after? And yes, please. Speaker 200:40:06Thanks, John. Actually, I'm going to come at that end question a little bit differently in terms of what we want to prove. What we're proving is the time of ready to graft, because remember it's a 2 stage procedure and it's the time to close. And in our preclinical work in the porcine model, we compared cohelix to the other major players, let's say, let's describe it that way and measured those 2 parameters primarily. What we found is that Cohelix gets ready to graft without infection more rapidly than our anticipated competitors in terms of days, so days faster. Speaker 200:41:04And days faster for graft ready makes it days faster to close. Days faster to close makes it days faster out of the hospital. So those are the three elements of what we are wanting to demonstrate and prove. Speaker 700:41:22Fair enough. So I would think that then trauma and burns are the primary targets there. Just following up on the other question about MINI. Is that something that you believe will be appropriate for outpatient use because the outpatient sort of thing hasn't been one way you've had great success historically? Speaker 200:41:44Well, outpatient has been grown for us because there is a good application for the full thickness in outpatient. And the answer is yes. That's one of the reasons we developed it and one of the benefits of the ReCellGo platform. So it will those sub-480 square centimeter wounds do get treated often in outpatient. And so it will help us our competitive profile, so to speak, in terms of alternative treatments in outpatient. Speaker 700:42:20Okay. That's all. We'll see you next week. Thank you. Speaker 200:42:24Okay. Look forward to it. Operator00:42:27One moment for our next question. Our next question comes from the line of Chris Kalos at MST Access. Your line is live. Speaker 400:42:38Thank you. Hi, Jim. Just a quick question about CEM, Mark, and how you're seeing the market in Europe unfolding. Is there any preliminary feedback from distributors in Europe about the appetite for Resell Go? Speaker 200:42:59Yes, there is, Chris. It's a good question. Resale go is since it requires less training for the company and for the user that our 3rd party distribution partners are quite looking forward to Resell GO. Now we are proceeding with early launches of the manual version of resale in this quarter. However, we think the expansion will be during the coming year. Speaker 200:43:37So resale go will really help the adoption curve for resettle in Europe and in Australia. Speaker 400:43:46Thanks, Gina. And just a related question. In terms of the delay in CE Mark clearance, what does that mean for time lines in launching the Resell GO in Europe next year? Speaker 200:43:58We're in the final stage of review during this month, Chris. And when you pass through the final stage, it becomes 1 to 2 month administrative process versus a review process. So I think we'll see we so go during Q1 as a confident place to be. We had expected to have this review in November. We had expected to be in August. Speaker 200:44:29And as you know, the MDR process is a little bit overwhelmed and they just have had great difficulty with the notified bodies getting all the work done that needs to be done in the industry. So we fell, so to speak, a little bit of victim of that, even though we tried really hard to avoid it. Speaker 400:44:51Understood. Understood. And just lastly, the Vitiligo initiative, has anything changed around the timeline previously put out? Speaker 200:45:04Well, to remind others who might be listening that we Vitiligo, we expect the 2 studies, as I mentioned, to be published accepted for publication by the end of this year and we published either late this year or early next year. Those are foundational in getting commercial insurance policy, which we expect it will take us into the end of last part of Q3 Q4 of next year. So we've not planned and don't intend to guide to any significant the LIBOR revenue during 2025, but rather think that it will be a 26 event. So that guidance is the same. Speaker 400:45:55The same. Great. Great. That's all I had. See you next week also. Speaker 200:46:00Look forward to it. Speaker 400:46:02Thanks, Jim. Operator00:46:05Thank you. That concludes our question and answer session. I would now like to turn it over to Jim Corbett for closing remarks. Speaker 200:46:17I want to thank all of you for listening and attending our call and hearing about our results, which we are really excited to share with you. I look forward to engaging you again in a one quarter's time with the Q4 and further progress we expect. Thank you very much. Operator00:46:39Thank you for your participation in today's conference. This does conclude the program. You may now disconnect.Read moreRemove AdsPowered by Conference Call Audio Live Call not available Earnings Conference CallAVITA Medical Q3 202400:00 / 00:00Speed:1x1.25x1.5x2xRemove Ads Earnings DocumentsSlide DeckPress Release(8-K)Quarterly report(10-Q) AVITA Medical Earnings HeadlinesAVITA Medical's (RCEL) "Buy" Rating Reiterated at D. Boral CapitalApril 13 at 4:03 AM | americanbankingnews.comAVITA Medical to Present Breakthrough Clinical Data in Burn and Wound Care at ABA 2025April 9, 2025 | globenewswire.comTrump to unlock 15-figure fortune for America (May 3rd) ?We were shown this map by former Presidential Advisor, Jim Rickards, one of the most politically connected men in America. Rickards has spent his fifty-year career in the innermost circles of the U.S. government and banking. And he believes Trump could soon release this frozen asset to the public. April 16, 2025 | Paradigm Press (Ad)6 Analysts Assess AVITA Medical: What You Need To KnowApril 6, 2025 | nasdaq.comAVITA Medical (NASDAQ:RCEL) Given Buy Rating at D. Boral CapitalApril 6, 2025 | americanbankingnews.comAvita Medical announces U.S. commercial launch of CohealyxApril 4, 2025 | msn.comSee More AVITA Medical Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like AVITA Medical? Sign up for Earnings360's daily newsletter to receive timely earnings updates on AVITA Medical and other key companies, straight to your email. Email Address About AVITA MedicalAVITA Medical (NASDAQ:RCEL), together with its subsidiaries, operates as a regenerative medicine company in the United States and internationally. The company's lead product is the RECELL System, a cell harvesting device used for the treatment of thermal burn wounds, full-thickness skin defects, and repigmentation of stable depigmented vitiligo lesions. It develops RECELL GO to control the manual process of disaggregation, filtration, and soak time. 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There are 8 speakers on the call. Operator00:00:00Good day, and thank you for standing by. Welcome to the Aveda Medical Inc. Third Quarter 2024 Earnings Conference Call. At this time, all participants are in a listen only mode. After the speakers' presentation, there will be a question and answer session. Operator00:00:30Please be advised that today's conference call is being recorded. I would now like to hand the conference over to your first speaker today, Jessica Eckberg. Please go ahead. Speaker 100:00:46Thank you, operator. Welcome to Aveda Medical's Q3 2024 earnings call. Joining me on today's call are Jim Corbett, Chief Executive Officer and David O'Toole, Chief Financial Officer. Today's earnings release and presentation are available on our website, www.avidamedical.com under the Investor Relations section. Before we begin, I'd like to remind you that this call includes forward looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Speaker 100:01:19These statements are neither promises nor guarantees and involve known and unknown risks and uncertainties that could cause actual results to differ materially from any expectations expressed or implied by the forward looking statements. Please review our most recent filings with the SEC for comprehensive descriptions of the risk factors. Any forward looking statements provided during this call are based on management's expectations as of today. I will now turn the call over to Jim for his comments. Speaker 200:01:49Thank you, Jessica, and good afternoon, everyone. If you've been on our previous calls, you know I am passionate about Aveda Medical. I'm especially excited to share our incredible Q3 results with you today. We not only exceeded our 2nd quarter record revenue, but also surpassed it by 29%, achieving $19,500,000 in commercial revenue during Q3. This wasn't just about exceeding expectations. Speaker 200:02:18It was a breakthrough quarter that further strengthened our growth trajectory. This quarter was critical for us to deliver strong revenue growth while advancing our strategic initiatives. To do this, we focused on converting our business to the Resell Go platform. The move was essentially not only to support immediate revenue growth, but also to continue to lay the foundation for our long term scalability. This accelerated transition to RESEL GO allows us to treat more patients and expand our market reach. Speaker 200:02:50In doing so, we fulfill our promise to provide the best possible patient care. Now let's start with a major milestone. By the end of September, we had successfully transitioned approximately 75% of our revenue base to Resell GO. This is a huge achievement that speaks volumes about the execution capabilities of our team. Moreover, we managed to do this within just 4 months of FDA approval, demonstrating our operational agility. Speaker 200:03:23Our commitment to resale gold conversions was instrumental in driving Q3 commercial revenue growth, helping us hit our projected revenue guidance range of $19,000,000 to 20,000,000 However, this focus resulted in 23 new account conversions for full thickness skin defects versus our initial expectations of 40 to 50 accounts during the quarter. The bigger picture is that we now have approximately 300 accounts across both burns and trauma centers for full thickness skin defects, which is more than double the number of accounts that we had a year ago. Further, Resell GO will make closing new full thickness skin defect accounts easier due to its enhanced features that significantly reduce the training burden for new accounts. In Q4, a key focus will be capitalizing on the nearly 60 accounts that are currently in the value analysis committee process, commonly known as the VAC process. With the groundwork laid over the last few months, we believe we can close between 30 40 of these new accounts in Q4, positioning us to hit our growth targets. Speaker 200:04:34We expect these accounts to drive additional revenue over the next several quarters. Now let's talk about why we fast tracked Resell GO account conversions. As I said before, Resell Go is a game changer. It delivers significant workflow efficiencies, shortens anesthesia time, reduces operating room time, and most importantly, accelerates patient healing. For hospitals, this means treating patients more effectively while reducing costs. Speaker 200:05:08These benefits are reflected in our Q3 revenue as our burn business experienced robust growth. We expect continued Resell GO adoption within both existing and new accounts, which will help us gain share in the burn market. Today, we estimate that we hold approximately 20% of the burn market, but we see a clear path to doubling that share over time by focusing on ResellGo's ability to optimize both patient care and hospital efficiency. Let's turn to our product portfolio. First, let's discuss our Aveda Medical branded collagen based dermal matrix that we have named Cohelix, which will play a critical role in our growth strategy. Speaker 200:05:55Let me take a moment to spell that out. CO for collagen, HEAL, H E A L for its healing properties and YX for its triple helix structure. Although we had planned to begin cases in the Q4, initial preparation was required for the FDA submission, which was submitted at the end of September. We expect a 90 day review period implying clearance by year end, setting the stage for a 2025 launch. We plan to use ReCell, PermioDerm and Cohelix together as a comprehensive treatment solution for full thickness wounds that not only improves patient care outcomes, but also streamlines the clinician experience. Speaker 200:06:40For those participating on the call, please refer to Slide number 5. Here we illustrate a full thickness wound, which includes the use of a dermal matrix followed by delayed treatment with a split thickness skin graft plus resell in a 2 stage procedure. In the first stage, Cohelix represented by the green layer promotes the generation of vascularized tissue preparing the wound for grafting. In the 2nd stage, the light blue area represents a meshed split thickness skin graft with resell providing definitive closure using significantly less skin compared to traditional autografting. Finally, the purple layer, Permian term, serves as a transparent dressing placed over the skin graft with resell, optimized for protection and moisture management. Speaker 200:07:37Using this slide, let's walk through a typical course of treatment for a 10% to 20% total body surface area burn wound, demonstrating how our comprehensive solution transforms patient care and expands our business model. In the first stage, 2000 to 4000 square centimeters of Cohelix will be applied to the wound bed. Approximately 5 to 15 days later, the dermal matrix is revascularized and the wound is graft ready and the 2nd stage begins. In the 2nd stage, a split thickness meshed autograft is placed over the newly generated tissue. Next, the clinician prepares the spray on skin cell suspension with ReCell Go at the point of care. Speaker 200:08:29Following this preparation, the spray on skin cells are sprayed over the meshed autograft. Lastly, Permiderm could then be applied over ReCell to protect the wound site, which comes to a range of 1900 to 3840 square centimeters of Permianderm. For this patient in all, the treatment would typically include the use of 1 to 2 resell kits, one application of Permiderm and one application of Cohelix. For this single patient, the estimated average selling prices range from $28,000 to $55,000 comparing to the current average selling price range of $8,500 to $17,500 for ReCell and Permuderm. This comprehensive solution not only dramatically changes our business model, but also expands our market potential. Speaker 200:09:31If we apply this average selling price to the 35,000 ReCell eligible cases in the burn market alone, it creates a total addressable market of nearly $1,500,000,000 in the United States. Equivalently, this expands in a similar manner within the full thickness skin defect market. Let me take a moment to share our Cohelix preclinical work. Using a validated porcine preclinical model, we assessed matrix integration into the wound, skin graft to take and time to close against multiple controls and competitors. In our findings, Cohelix demonstrated faster time to integration and had consistently high skin graft take results compared to other products on the market. Speaker 200:10:23The ability to quickly generate robust vascularized tissue and skin graft early with Coahelix translates into significant benefits for the patient's healing profile, including shorter hospital stays and lower costs to treat. Following FDA clearance of Cohelix, we plan to initiate a post market clinical study to support this preclinical work. This study will evaluate Cohelix in full thickness wounds, followed by treatment with a split thickness skin graft plus resell in a 2 stage procedure, which is the current standard of care. Clinical and health economic impact will be evaluated compared to other commercially available dermal matrices. We expect to begin enrollment in this study in the Q1 of 2025. Speaker 200:11:17While there will be expenses tied to the study, those expenses will be principally borne during the first half of twenty twenty five. We believe Cohelix will meaningfully enhance our market penetration and strengthen our competitive position in the burn market as well as the full thickness skin defect market. Moving on to ReCell Go Mini, designed for wounds up to 480 square centimeters compared to the standard ReCell Kits 1920 Square Centimeters, ReCell Go Mini fills a gap in our market offering by allowing us to treat smaller wounds and expand our reach. As a reminder, Resell GO! Mini uses the same multi use processing device as a standard Resell GO! Speaker 200:12:04But with a disposable cartridge optimized for smaller skin grafts requiring less buffer and enzymes and featuring 3 modified wells to hold these components. This device remains on track for approval by year end with a launch expected in early 2025. Turning to an update on our international expansion. We are making good progress on our efforts. The 3rd party distribution agreements cover 14 countries. Speaker 200:12:35We expected the CE Mark in September. However, our notified body process for approval is taking longer than anticipated. We now expect to receive the CE Mark by Q1 2025, allowing us to bring Resell GO! To Europe and Australia in 2025. This expansion aligns with our strategy to offer Resell GO! Speaker 200:12:58As an innovative wound care solution in these regions. Before we get to the summary, let me provide an update on Pedaligo. The TONE study has been submitted to a major journal for publication as has the health economic study that we sponsored during the last year. From these publications, we will begin our payer activity and expect to have outcomes from that effort in terms of coverage policy by the end of 2025. In summary, we have made remarkable strides this quarter and I'm confident we will continue to capitalize on this momentum all while delivering the best possible outcomes for both clinicians and patients. Speaker 200:13:44As we position Aveda Medical as a company able to address a broad continuum of wound care needs, we are poised to transform wound care and set new standards of care. With that, I'll now turn the call over to David to provide more details on our financial performance. Speaker 300:14:02Thank you, Jim. I want to echo Jim's enthusiasm. This was a fantastic quarter for us. We built on the success of our strong second quarter, outpacing net performance by 29 percent to deliver 3rd quarter commercial revenue of $19,500,000 representing 44% year over year growth. This significant revenue achievement brings even greater clarity to our path to reach cash flow breakeven and GAAP profitability no later than the Q3 of 2025, which we have previously signaled, all without significantly growing our organization over the next 18 months to 24 months. Speaker 300:14:48As you can see on Slide 6, our strong revenue growth reflects the demand for Resell GO and the operational efficiencies we have built within our commercial operations. We expect this positive trajectory to continue into 2025 beyond. While resell currently drives the majority of our revenue, we anticipate that Cohelix and Permioderm will become substantial revenue contributors over the coming quarters. Now let me turn to our financial results to provide some details. Gross profit margin for the quarter was 83.7%, down slightly from 84.5% in the same period of 2023. Speaker 300:15:37The decrease was expected due to ongoing engineering and validation of the Resell Go durable and disposable cartridge. However, this decline was temporary and we anticipate that our gross profit margin will be in the range of 85% to 86% for the full year 2024. Total operating expenses for the quarter were $30,200,000 compared to $21,100,000 in the same period in 2023. The increase in operating expenses is primarily attributable to an increase of $4,600,000 in sales and marketing expenses due to employee related costs including salaries and benefits, commissions and travel expense collectively as a result of expansion of the commercial sales organization in the Q2 of 2023 and again in the Q1 of this year to support our growing commercial operations. G and A expenses increased by $3,500,000 as a result of higher salaries and benefits and an increase in stock compensation, severance benefits and professional fees, partially offset by a decrease in other corporate expenses. Speaker 300:17:00Additionally, R and D costs increased by $1,000,000 which was primarily due to employee compensation costs of our medical science liaison team. Other income expense decreased by $1,700,000 from income of $600,000 in the prior period to an expense of $1,100,000 in the current quarter. Other income expense for the quarter consists of non cash charges of $1,000,000 $800,000 related to the changes in fair value of the debt and warrant liability respectively, offset by $600,000 in income related to our investing activities. Net loss for the Q3 was $16,200,000 or a loss of $0.62 per basic and diluted share compared to a net loss of $8,700,000 or a loss of $0.34 per basic and diluted share in the same period in 2023. As of September 30, we had cash, cash equivalents and marketable securities of $44,400,000 compared to $89,100,000 as of December 31, 2023. Speaker 300:18:24Note that Q3 marked our lowest net use of cash during this phase of commercial expansion, coming in at the high single digit millions. We expect this trend to continue with overall use of cash decreasing to the low single digit millions in Q4 as we move towards generating free cash flow in the second half of twenty twenty five. Turning briefly to our OrbitMed credit facility. As previously indicated, we did not plan to draw down either of the 2 additional $25,000,000 tranches available under the credit facility. As such, we initiated discussions with OrbitMed to terminate those tranches, which resulted in a mutual agreement to amend the credit facility. Speaker 300:19:17Under the terms of the amendment, we formally gave up our right to draw the $225,000,000 tranches. In return, OrbiMed agreed to remove the trailing 12 month revenue covenant for the Q4, which had been set at 67,500,000 dollars The revenue covenants for subsequent quarters remain in effect with the Q1 2025 trailing 12 month revenue covenant set at 75,000,000 dollars Looking ahead, for the Q4 of 2024, we expect commercial revenue to be in the range of $22,300,000 to $24,300,000 representing sequential growth of 14% to 25% over the 3rd quarter and approximately 58% to 72% growth compared to Q4 2023. This revenue range aligns with our previously set annual guidance for 2024 of $68,000,000 to $70,000,000 In closing, we are confident that the success of Restalgo combined with the upcoming launches of Cohelix and Restalgo! Mini, as well as the expanded adoption of Permioderm will allow us to deliver strong financial results and create lasting value for our shareholders. With that, I will turn the call back to the operator for your questions. Operator00:20:53Thank you. At this time, we will conduct the question and answer session. Our first question comes from the line of Brooks O'Neil of Lake Street Capital Markets. Brooks, your line is live. Speaker 400:21:20Thank you very much and good afternoon everyone. I guess I wanted to ask you first about what you're seeing in the hospitals and your experience with the VACs. I heard you say you came up a bit short of expectations in terms of new approvals this quarter. But can you give us some color about the process in general, what you're seeing and whether you plan to adapt in any way to accelerate success through VACS? Speaker 200:21:58So, hey, Brooks, good to hear from you. I think we were emphasizing something a little different. I'll get to your answer to your question here. First, we made a pivot during the quarter for the purpose of accelerating the conversions to the resell go platform because that is any driver of adoption. Okay. Speaker 200:22:27So we deliberately focused on that. And not only one hospital required a back approval for our resell go. So it was just not a in that context, VAC was not a factor. We do find the VACs in the full thickness segment, which has been upon reflection now looking back over about a year and a quarter, we are finding that in nearly every case somewhere in the process the VAC is wanting to see an evaluation case or more. And so when we get at the driver of why VACs in general have taken us longer than we anticipated at the beginning of the whole process a year and a quarter ago. Speaker 200:23:24It's that fact. And so we've adapted to that. We've now been more proactive about being prepared for that eventuality. So they're either doing it as a precondition to a VAC submission, a conditional approval or a follow-up in some form or another. And in some cases, multiple procedures they want to see. Speaker 200:23:52So the fact that we had less than we expected was actually a deliberate choice of sales time. So I hope I got your question contextualized in there somewhere. Speaker 400:24:07You did. That was very helpful. So I'll just sort of spin it in a slightly different way and ask you, obviously, you had a major expansion of the sales organization end of last year, beginning of this year and new sales leadership. Can you just comment about how you evaluate the performance of the sales team and the new sales leadership in terms of trying to drive long term growth for the company? Speaker 200:24:35So the first part of that answer, Tom, evaluating it is begins with 29.6 consecutive quarter growth. I think the sales leadership team is developing really well under our new sales leader. We're executing in a more effective manner. That kind of growth consecutive quarter is unusual and we still are expecting a strong Q4 as well. So I'm really quite pleased with the progress. Speaker 200:25:07There's more work to do as always, but really the performance this last quarter was quite good. Speaker 400:25:17Great. Thank you very much. I'll jump back in queue. Speaker 200:25:21Thanks, Brooks. Operator00:25:25Thank you. Our next question comes from the line of Ross Osborne with Cantor Fitzgerald. Your line is now Speaker 500:25:41Great. Thank you. Sorry about that. So maybe following up on the prior question, but with regards to many, how should we think about the adoption curve in 2025 from your learnings with get and go into accounts? Speaker 200:25:56Yes. Thanks, Ross. Well, first of all, the full thickness cases that we did, if you go back and you look at our FDA study that we performed that gave us approval for that broad indication, you'd see that not one patient was over 500 square centimeters. And so when you have a device that treats 2,000 square centimeters, intellectually that creates a little bit of dissonance, I think, for the customer we think for the customer. And so we developed many to get at that broader population of resell indications where we better fit the patients' need. Speaker 200:26:43And so I think on one hand, the market opportunity we had preceding the introduction of many is fundamentally the same. I think the adoption will be a little bit quicker with the concept that you're matching the resell use with the size of the wound. Speaker 500:27:11Got it. That makes perfect sense. Speaker 200:27:13And Speaker 500:27:13then sticking with 2025 and a year where we expect to see significant and incremental demand relative this year, how are you feeling about manufacturing capacity to meet that demand? Speaker 200:27:27Actually, we feel terrific. In fact, we had a project underway that we completed during the quarter, early part of the quarter called Project Phoenix, which was to really revamp our whole manufacturing facility that's located in Ventura. It was an older building and by fundamentally reconstructing the walls of the building inside as it was an older building. Our objective was to create 10x capacity expansion with that project and which we did and we completed it. So we're feeling really good about our capacity. Speaker 200:28:08We've been we've expanded some of our engineering capabilities in that facility because manufacturing the resell processing device is a very different set of skills than what we needed before. So we've increased our engineering talent in Ventura as well. We of course had to put a by in sourcing the manufacturing of Resil Go, we also created a service center so that we could service the durable. So we're feeling very comfortable about our capacity and we haven't had any supply shortages or anything close during a time when really we were we have been expanding our revenue quite quickly. Speaker 500:29:01Great. Congrats on the progress and strong quarter. Thank you. Speaker 200:29:04Thanks, Ross. Operator00:29:06One moment for our next question. Our next question comes from the line of Josh Jennings at TD Cowen. Josh, your line is live. Speaker 600:29:19Hi, this is actually Eric on for Josh. Thanks for taking the question and congrats on the nice quarter here. Speaker 200:29:26Thanks, guys. Speaker 600:29:26Thinking about all the different growth drivers you have in the works currently, I was hoping just to get your thoughts on around how you see things evolving over the next few quarters and ultimately in 2025 where in terms of where corporate growth may wind up. I think if I look at Street estimates right now showing some solid growth acceleration of 24% in like the 50% range. If you can, I was just hoping to get your thoughts on how you think that step up or if you think that step up is appropriate there? Speaker 200:29:56Well, at the moment, let me comment that in a different way if you don't mind, because we're not quite ready to give guidance for next year. But we do have you're correct. What we have is we have Resell Go, which is having a consequence of increasing usage of resell in the account. We have ReCell Go Mini 1st of the year. Permioderm is now we're accumulating the clinical evidence where you'll see that expand going into next year. Speaker 200:30:32And Cohelix, which is a substantial market size, will be doing a limited launch in clinical data development during Q1 for a full launch in Q2. You are talking, yes, about a lot broader growth platform. And when you add to it our entry into the European Union and Australia, there's an abundant opportunity for growth for us. So I think it's the big outcome that we're focusing on is the Q3 crossover into profitability, which we have guided on. So I think that in combination of growing, we're going to be doing so without adding very few very little operating expenses that are durable. Speaker 600:31:28Understood. I appreciate that color. And then maybe on Cohelix and Permioderm, there was a comment earlier in the call about those offerings becoming substantial contributors in the coming quarters. I was just hoping to get your thoughts on how you think that might impact gross margins going forward, particularly next year as you approach some of those profitability targets? Speaker 200:31:49Yes, that's a great question. So think about it this way. The gross profit on those product lines is less as a percentage than resell. However, since we're not adding commensurate operating expenses, the operating margin contribution is substantial. So for example, with Cohelix, a use of Cohelix in the 2,000 square centimeter wound might be somewhere between 18,000 to 30,000 depending on ASP. Speaker 200:32:26So there's a broad range of possibilities. Half of that will be operating margin. So when you think about gross margin, think about it in as total gross margin and we're adding to it significantly with those products. Speaker 600:32:46That's very helpful. Thank you for the questions. Operator00:32:49One moment for our next question. Our next question comes from the line of Matthew O'Brien with Piper Sandler. Your line is live. Speaker 100:33:03Hi, this is Samantha on for Matt. Thank you for taking our questions. I guess first, we'd like to touch on the guidance headed into Q4. I think it's been said it's just more of a sizable step up from what we saw this quarter. So if you could just talk a little bit about kind of what the guidance makes in maybe in terms of wound versus burns and just kind of, yes, what you're baking in there? Speaker 200:33:29Well, the step up actually from Q2 to Q3 in absolute terms was in excess of $4,000,000 right, $15,100,000 to $19,500,000 is almost $4,400,000 And actually the step up in Q4 is a little bit less because that guidance range is 22.3% to 24.3% as we've said it. Now our strongest area of our business is burns and the one that benefits the most from resell go is the burns business because on average multiple resell devices are used in the average burn case. And when you think about that, just to follow my thought here, when you use resell when it's the manual version, you do it consecutively, it requires a fair bit of staff time and we often attend those cases to provide clinical support. When you use ReCell Go, you actually can run 2 ReCell Go devices simultaneously. And what happens in that case, you reduce operating room time, you reduce anesthesia time, you reduce staff time and you accelerate the time to begin healing for the patient. Speaker 200:35:02All of this saves money. So what happens as we move into Q4 and beyond, one of the reasons I mentioned that we thought that we could imagine doubling our share of the 35,000 a year resell eligible patients in the burn market is just for that reason. And so full thickness will continue to develop fast for us because it's a new account add and it's new procedures. But in the burn market, we get real leverage real fast. They use one resell goal in a typical full thickness case, which is one usually a single resell unit device where you use multiple with burns. Speaker 200:35:50So inevitably we'll grow faster in burns on a hospital level basis. Is that helpful? Speaker 100:36:01Yes, that's helpful. Thank you. And I guess I just want to touch one more on the CE Mark delay. What impact does that have on your growth expectations for next year? Speaker 200:36:14Not significant. If you just annualize our Q4, we're going to have a strong year next year, particularly with us holding the headcount line. So the international expectations, those are all us entering new markets. So you can expect a lot of training will go on, careful choice of patients that get treated. And they're all 3rd party distributors. Speaker 200:36:40So you have to work with them and get them prepared. So although there's going to be a little bit of a delay, we don't have a high dependency per se on the revenue to achieve our Q3 profitability goal. Speaker 100:36:59Thank you. I appreciate that. And then if we could sneak just one more in, we were wondering if you could talk a little bit more about the rollout plans for Go Mini and kind of I guess just what your plans are there? Speaker 200:37:12So in the first instance, we're expecting it to Riso Go Mini to get approved by year end. That's when our 180 days are for that because it's a PMA supplement. We then would be training during the first half of January. We're having our sales meeting during that time and we will then roll out Mini during Q1. It will be targeted at the trauma centers, which is where the full thickness skin defect market is primarily. Speaker 200:37:50They do those smaller wounds also in burn centers, but the bigger population of accounts and cases is in the trauma centers. And we'll be rolling it out into those accounts. And by that time, we will have added well over 200 accounts since we achieved full thickness approval last year. So I think that rollout will begin in the first quarter, second half of the first quarter in terms of practical utilization. And it will be one of our growth drivers with if you think about our new product flow, we have a resell growth platform during Q1 that will be in its expansion mode because the accounts have been already introduced to it. Speaker 200:38:44We'll be adding mini, which uses the same processing device, which is durable. We have Permioderm and love Cohelix. So we'll have a nice suite of new products to join in the Resil Go! Mini. And of course, Cohelix and Permaderm could use with those same wounds as well. Speaker 200:39:04So it's going to be a pretty exciting year for us next year. Speaker 100:39:11Great. Thanks so much. Operator00:39:16Thank you. Our next question comes from the line of John Hester of Bell Potter. Your line is now live. Speaker 700:39:40Good afternoon, Jim and David. Thanks for taking my call. Just wanted to ask you, to come back and focus on this post market approval study for Cohelix. As you know that extra cellular matrix category is very well established. So can you tell us a little bit more about this trial? Speaker 700:39:59What specific wounds are you going after? And yes, please. Speaker 200:40:06Thanks, John. Actually, I'm going to come at that end question a little bit differently in terms of what we want to prove. What we're proving is the time of ready to graft, because remember it's a 2 stage procedure and it's the time to close. And in our preclinical work in the porcine model, we compared cohelix to the other major players, let's say, let's describe it that way and measured those 2 parameters primarily. What we found is that Cohelix gets ready to graft without infection more rapidly than our anticipated competitors in terms of days, so days faster. Speaker 200:41:04And days faster for graft ready makes it days faster to close. Days faster to close makes it days faster out of the hospital. So those are the three elements of what we are wanting to demonstrate and prove. Speaker 700:41:22Fair enough. So I would think that then trauma and burns are the primary targets there. Just following up on the other question about MINI. Is that something that you believe will be appropriate for outpatient use because the outpatient sort of thing hasn't been one way you've had great success historically? Speaker 200:41:44Well, outpatient has been grown for us because there is a good application for the full thickness in outpatient. And the answer is yes. That's one of the reasons we developed it and one of the benefits of the ReCellGo platform. So it will those sub-480 square centimeter wounds do get treated often in outpatient. And so it will help us our competitive profile, so to speak, in terms of alternative treatments in outpatient. Speaker 700:42:20Okay. That's all. We'll see you next week. Thank you. Speaker 200:42:24Okay. Look forward to it. Operator00:42:27One moment for our next question. Our next question comes from the line of Chris Kalos at MST Access. Your line is live. Speaker 400:42:38Thank you. Hi, Jim. Just a quick question about CEM, Mark, and how you're seeing the market in Europe unfolding. Is there any preliminary feedback from distributors in Europe about the appetite for Resell Go? Speaker 200:42:59Yes, there is, Chris. It's a good question. Resale go is since it requires less training for the company and for the user that our 3rd party distribution partners are quite looking forward to Resell GO. Now we are proceeding with early launches of the manual version of resale in this quarter. However, we think the expansion will be during the coming year. Speaker 200:43:37So resale go will really help the adoption curve for resettle in Europe and in Australia. Speaker 400:43:46Thanks, Gina. And just a related question. In terms of the delay in CE Mark clearance, what does that mean for time lines in launching the Resell GO in Europe next year? Speaker 200:43:58We're in the final stage of review during this month, Chris. And when you pass through the final stage, it becomes 1 to 2 month administrative process versus a review process. So I think we'll see we so go during Q1 as a confident place to be. We had expected to have this review in November. We had expected to be in August. Speaker 200:44:29And as you know, the MDR process is a little bit overwhelmed and they just have had great difficulty with the notified bodies getting all the work done that needs to be done in the industry. So we fell, so to speak, a little bit of victim of that, even though we tried really hard to avoid it. Speaker 400:44:51Understood. Understood. And just lastly, the Vitiligo initiative, has anything changed around the timeline previously put out? Speaker 200:45:04Well, to remind others who might be listening that we Vitiligo, we expect the 2 studies, as I mentioned, to be published accepted for publication by the end of this year and we published either late this year or early next year. Those are foundational in getting commercial insurance policy, which we expect it will take us into the end of last part of Q3 Q4 of next year. So we've not planned and don't intend to guide to any significant the LIBOR revenue during 2025, but rather think that it will be a 26 event. So that guidance is the same. Speaker 400:45:55The same. Great. Great. That's all I had. See you next week also. Speaker 200:46:00Look forward to it. Speaker 400:46:02Thanks, Jim. Operator00:46:05Thank you. That concludes our question and answer session. I would now like to turn it over to Jim Corbett for closing remarks. Speaker 200:46:17I want to thank all of you for listening and attending our call and hearing about our results, which we are really excited to share with you. I look forward to engaging you again in a one quarter's time with the Q4 and further progress we expect. Thank you very much. Operator00:46:39Thank you for your participation in today's conference. This does conclude the program. You may now disconnect.Read moreRemove AdsPowered by