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Ekso Bionics Holdings, Inc. (EKSO)

Q2 2024 Earnings Call· Mon, Jul 29, 2024

$10.96

-2.23%

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Transcript

Operator

Operator

Greetings, and welcome to the Ekso Bionics' Q2 2024 Financial Results Call. At this time, all participants are in a listen-only mode. A brief question-and-answer session will follow the formal presentation. [Operator Instructions] As a reminder, this conference is being recorded. It is now my pleasure to introduce your host, Matt Steinberg with Finn Partners. Thank you, Matt. You may begin.

Matt Steinberg

Analyst

Thank you, operator, and thank you all for participating in today's call. Joining me from Ekso Bionics are Scott Davis, Chief Executive Officer; and Jerome Wong, Chief Financial Officer. Earlier today, Ekso Bionics released financial results for the quarter ended June 30, 2024. A copy of the press release is available on the company's website. Before we begin, I would like to remind you that management will make statements during this call that include forward-looking statements within the meaning of the federal securities laws, which are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Any statements made during this call that are not statements of historical facts should be deemed to be forward-looking statements. All forward-looking statements, including statements regarding our business strategy, future financial or operating expectations or our expectations of the regulatory landscape governing our products and operations are based upon management's current estimates and various assumptions. These statements involve material risks and uncertainties that could cause actual results or events to materially differ from those anticipated or implied by these forward-looking statements. Accordingly, you should not place undue reliance on these statements. For a list and description of the risks and uncertainties associated with EXO's businesses, please see its filings with the Securities and Exchange Commission. Esko's businesses, please see its filings with the Securities and Exchange Commission. Esko's disclaims any obligation, except as required by law, to update or revise any financial or operational projections, its regulatory outlook or other forward-looking statements, whether because of new information, future events or otherwise. Any forward-looking statements made on this call speak only as of the date of this call. I will now turn the call over to Ekso Bionic's Chief Executive Officer, Scott Davis.

Scott Davis

Analyst

Thank you, Matt. We kicked off the second quarter on a positive note with our at home Ekso Indego Personal device receiving a payment decision from CMS for lump sum Medicare reimbursement and continued the momentum throughout the quarter by generating record quarterly sales in our EksoHealth segment. We're pleased with our progress and even more excited about the potential of bringing our innovative robotic exoskeleton devices to more patients across the continuum of care from the clinic to the home. As initial claims for reimbursement have been submitted for the Ekso Indego Personal and as we have gained momentum in working with our current customer base to make this potentially life-changing technology available to more individuals living with an SCI, we remain encouraged by the possibility of meeting this multibillion-dollar personal mobility health addressable market in the U.S. I will touch more on this major development shortly, but first, I'll share an overview of our second quarter performance. We generated record quarterly sales of $5 million and sold 37 EksoHealth devices in the second quarter of 2024. The performance in the quarter was driven by continued growth within our Enterprise Health business, which is comprised of our EksoNR and our Ekso therapy devices. We believe our growing worldwide network of leading neurorehabilitation centers continues to recognize the clinical and economic value of our innovative EksoNR. Today, there are EksoNR devices that 9 of the top 10 rehab centers in the U.S., which we believe is an indicator that EksoNR is becoming the standard of care for lower extremity neurorehabilitation. We believe we are well positioned to build upon this momentum and drive growth for both our EksoNR and our Ekso Indego therapy devices as we continue to strengthen our distribution network and deepen our pipeline of opportunities. While we're…

Jerome Wong

Analyst

Thank you, Scott. We generated record quarterly sales of $5 million in the second quarter of 2024 compared to $4.7 million for the second quarter of 2023. Gross profit for the second quarter of 2024 was $2.6 million, representing a gross margin of approximately 53% compared to gross profit of $2.3 million in the second quarter of 2023, representing a gross margin of 48%. The increase in gross margin was primarily due to an increase in the average selling price for the EksoNR and lower EksoHealth device and service costs. Operating expenses for the second quarter of 2024 were $5 million compared to $6.5 million for the second quarter of 2023. The decrease was primarily due to lower general and administrative expenses due to lower headcount, discretionary payroll, consultant and labor costs. Net loss applicable to common stockholders for the second quarter was $2.4 million or $0.13 per basic and diluted share compared to a net loss of $4.2 million or $0.31 per basic and diluted share for the same period of 2023. Now turning to our financial results for the first half of 2024. Revenue was $8.7 million for the 6 months ended June 30, 2024, compared to $8.8 million for the same period in 2023. We sold a total of 66 EksoHealth devices in the first half of 2024. Gross profit for the 6 months ended June 30, 2024, was $4.6 million, representing a gross margin of approximately 53% compared to gross profit of $4.3 million for the same period in 2023, representing a gross margin of 48%. The increase in gross margin was primarily due to an increase in the average selling price for the EksoNR and lower EksoHealth device and service costs. Operating expenses for the first half of 2024 were $10.2 million compared to $13 million for the same period of 2023. The decrease was primarily due to the absence of costs associated with the acquisition and integration of the Human Motion Control business unit from Parker Hannifin in the comparable period and lower discretionary payroll, consultant and labor costs. Net loss applicable to common stockholders for the 6 months ended June 30, 2024, was $5.8 million or $0.33 per basic and diluted share compared to a net loss of $8.6 million or $0.64 per basic and diluted share for the same period in 2023. Cash and restricted cash as of June 30, 2024, was $5.9 million compared to $8.6 million as of December 31, 2023. Please see our quarterly report on our Form 10-Q filed earlier today for further details regarding the quarter. Operator, you may now open the line for questions.

Operator

Operator

Thank you. We will now be conducting a question-and-answer session. [Operator Instructions] Thank you. Our first question comes from the line of Ben Haynor with Lake Street Capital Markets. Please proceed with your question.

Ben Haynor

Analyst

Good day, gentlemen. Thanks for taking the questions. First off for me, just on the interest pipeline that you're getting from -- for Indego Personal, where is that materializing from? Is that mostly individuals contacting you guys directly? Is the clinic pushing patients your way [ph] Where is that coming from?

Scott Davis

Analyst

So good afternoon, Ben. Thank you for your question. So it's coming from a variety of places. We have individuals who are coming directly to our website, who have either seen our social media or have found information about this technology through their physicians or clinics. They will come to us and ask questions and find out about it directly. So we see a constant flow of individuals living with the spinal cord injury who are asking those questions of us. In addition to that, we have had numerous individuals that have come through clinics or existing customers that we work with already. We have had calls directly from either the centers themselves or from physicians who have contacted us for additional information as they have patients who are interested in this technology. So the summary is we're seeing interest coming in directly from individuals with the spinal cord injury from PTs and clinics that are associated with our -- NR programs and also through physicians.

Ben Haynor

Analyst

And is there - proportionally, is it 50-50, 70 individuals, 30% clinic. Is there any way you could characterize that sort of proportionality.

Scott Davis

Analyst

Yes. I think today, we're seeing - it's really a relatively even mix across it. I don't have in front of me the details on exactly what the mix is. But to me, looking at it, it feels like it's about a 50-50 mix to us, give or take.

Ben Haynor

Analyst

Okay. Fair enough. And do you expect that to change over time? I know you mentioned some of the investments in content marketing in our existing patient webinars and such. Are there changes that you expect to develop or...

Scott Davis

Analyst

Yes, there's almost a direct correlation. As we go out and we do a webinar, we get a significant amount of interest through the webinar, both from the health care community as well as from individuals who may have joined the webinar as we do individual campaigns with centers that we're working with, again, that pulls individuals. Typically, they'll end up either contacting us or the center depending on how we've set up the marketing for it. But generally speaking, every time we put some information out, we get - we tend to get an influx of leads based on that campaign or webinar. So today, it's really following that. I think longer term, as there's more individuals who are familiar with the technology, we're starting to see a little bit of a grassroots effort through social media that is ramping up.

Ben Haynor

Analyst

Okay. Got it. That's helpful color. And then it looks like you made some nice progress on expenses, both gross margin-wise and operating expense-wise. Was there any drag in the quarter from Indego Personal units that you shipped out and had to recognize the COGS, but weren't able to recognize the revenue during the quarter?

Scott Davis

Analyst

No. No. They were - we were able to - all the devices that we shipped in the quarter, we were able to recognize revenue on.

Ben Haynor

Analyst

Okay. Got it. And how many Indego Personal units have been delivered since the CMS decision?

Scott Davis

Analyst

So as of today, we're not reporting that specifically or recording that information. But we - I can tell you that our first handful of claims were submitted in Q2 and have advanced through the process to a pending status. We've also had an increase in our pipeline and of individuals who are in varying stages of the process with new claims being submitted on a semi-regular basis.

Ben Haynor

Analyst

Okay. Got it. Well, thanks for taking the questions, gentlemen, and congrats on the progress.

Scott Davis

Analyst

Really appreciate it, Ben. Thank you.

Operator

Operator

Thank you. Our next question comes from the line of Li Chen with H.C. Wainwright. Please proceed with your question.

Li Chen

Analyst · H.C. Wainwright. Please proceed with your question.

Hello. This is Li Chen in for RK. I have one question regarding the Indego product. So based on your visibility of the current volume of inquiries from patients and centers, can you give us a sense of when the revenue in this stream can become meaningful? Just you're - curious about your thoughts. Thank you.

Scott Davis

Analyst · H.C. Wainwright. Please proceed with your question.

Yes. Li Chen, thank you very much. I appreciate your question. So this is a new program, new process. Payment determination was granted on April 11 of this year, and we've been hard at work ramping up a scalable process that allows us to reach more individuals with spinal cord injuries and do this through a methodology that leverages our 260-plus neuro rehab clinics around the U.S. for onboarding and training. So we are - we have been hard at work in this process within Q2, which is, again, this past quarter was the first quarter that reimbursement was possible. We were able to get our first handful of claims submitted and are progressing through the program. The way that we look at any new program starting up, remember, we had - our basis has really been in - on the enterprise health side of the business and the bulk of our revenue has historically been generated from that. However, that being said, we are expecting and have belief that in the coming quarters, we'll see an increasing number of Indego Personal devices coming through the CMS reimbursement process. So starting with a handful in Q2, as we expand into Q3, we have a belief in pipeline to support a significant increase in the number that we have. So going from a handful to a couple of handfuls to doubling that again as we move into Q4 and in 2025, we believe that there will be a significant - that the Indego -- the Ekso Indego Personal will have a significant positive impact on our revenue in 2025 and growing beyond that. This segment represents approximately a $2 billion funded addressable market, and we're building a scalable process to be able to access that and find an efficient way to get this technology in the hands of the individuals who can use it.

Li Chen

Analyst · H.C. Wainwright. Please proceed with your question.

Got it. Thank you for the color.

Scott Davis

Analyst · H.C. Wainwright. Please proceed with your question.

Thank you, Li Chen.

Operator

Operator

Thank you. There are no further questions at this time. I'd like to turn the floor back over to Scott Davis for closing comments.

Scott Davis

Analyst

Thank you, Alicia, and thank you to everyone joining us today. Since our acquisition of the Indego product line, we've made advancements in bringing our innovative wearable robotics to more patients and individuals who can potentially benefit from them. Now with CMS coding and payment in place for the Ekso Indego Personal and with the first claims having been submitted, we're excited at the prospect of bringing this technology to a larger SCI patient population. We believe our scalable go-to-market strategy will further establish Ekso as a major presence at leading neurorehabilitation centers, thereby elevating engagement levels with more individuals in need. At the same time, we've built a strong foundation for our EksoNR and our Ekso Indego therapy devices at post-acute care and outpatient neuro rehab centers, respectively. As a result of our scalable commercial strategy, we closed the quarter with record sales and created a strong pipeline of future placements. Moving forward, we are enthusiastic about building upon these achievements and maintaining our commercial growth momentum. We look forward to providing updates on our continued progress. Thank you, and have a great day.

Operator

Operator

This concludes today's teleconference. You may disconnect your lines at this time. Thank you for your participation.