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Nano-X Imaging Ltd. (NNOX)

Q3 2023 Earnings Call· Tue, Nov 28, 2023

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Transcript

Operator

Operator

Good day, and thank you for standing by. Welcome to the Nano-X Q3 2023 Earnings Conference Call. [Operator Instructions] And I would now like to turn the conference over to your speaker today, Mr. Mike Cavanaugh, Investor Relations. Sir, please go ahead.

Mike Cavanaugh

Analyst

Good afternoon, and thank you for joining us today. Earlier today, Nano-X Imaging Ltd. released financial results for the quarter ended September 30, 2023. The release is currently available on the Investors section of the company's website. Erez Meltzer, Chief Executive Officer, and Ran Daniel, Chief Financial Officer, will host this morning's call. Before we get started, I would like to remind everyone that management will be making statements during this call that include forward-looking statements regarding the company's financial results, research and development, manufacturing and commercialization activities, regulatory process operations, and other matters. These statements are subject to risks, uncertainties, and assumptions that are based on management's current expectations as of today and may not be updated in the future. Therefore, these statements should not be relied upon as representing the company's views as of any subsequent date. Factors that may cause such a difference include, but are not limited to, those described in the company's filings with the Securities and Exchange Commission. Management will also refer to certain non-GAAP financial measures to provide additional information to investors. A reconciliation of each non-GAAP financial measure to the nearest GAAP financial measure is provided in the company's press release filed today. The non-GAAP financial measures include non-GAAP net loss attributable to ordinary shares, non-GAAP cost of revenue, non-GAAP gross profit, non-GAAP gross profit margin, non-GAAP research and development expenses, non-GAAP sales and marketing expenses, non-GAAP general and administrative expenses, non-GAAP other expenses and non-GAAP gross loss per share. With that, I'd like to turn the call over to Erez Meltzer.

Erez Meltzer

Analyst

Thanks, Mike, and as always, thank you all for joining us today for our financial results call and corporate update. As previously noted, we have intensified our efforts and focus on the US market to jumpstart our commercialization effort in the region. To support these important efforts, our team and I have increased our presence in the United States over the last few months, and I'm currently in the US. We have engaged in discussions with potential customers, clinical partners, particularly US healthcare sector professionals, focusing on reimbursement and medical workflow and other key stakeholders. We aim to expedite the implementation of our commercial infrastructure and advance our future strategic plans. Moving to the recent developments in deployments, I'm pleased to announce that we have established the first US-based commercial site and demonstration center for the Nanox.ARC, which is part of our initial wave in the US. The Nanox.ARC system has been installed in a New Jersey based imaging center, which marks the beginning of Nanox’s commercial expansion into the US market. The system passed all necessary tests conducted by a licensed and certified physicist, enable us to commence scanning of patients to acquire medical imaging using the Nanox.ARC, a stationary X-ray system intended to produce 3D thermographic images of the MSK system. The clinic staff will manage the operational, professional, and administrative services, allocating human resources and equipment for the efficient operation of Nanox system in the imaging center. This center will also serve as a demonstration center for our medical professionals, offering them an opportunity to familiarize themself with the system and facilitate the implementation process. More updates on the progress on installments in the US are expected on the Investor Day on December 4th. We are enhancing our US sales and service team, and I'm happy to…

Ran Daniel

Analyst

Thank you, Erez. We have reported a GAAP net loss for the third quarter of 2023 of $21.4 million, compared with a net loss of $19.1 million in the third quarter of 2022, which is the comparable period. The increase was largely due to a goodwill impairment of $7.4 million, an increase of $0.4 million in the sales and marketing expenses, which was offset by a decrease in our general and administration expenses in the amount of $5.6 million. Our non-GAAP net loss for the third quarter of 2023 was $9.4 million, compared with a net loss of $8.1 million in the comparable period. The increase was largely due to an increase of $0.4 million in the sales and marketing expenses, and $0.31 million in other expenses. Revenues for the third quarter of 2023 were $2.5 million, and gross loss was $1.7 million on a GAAP basis. Revenue for the comparable period were $2.4 million and gross loss was $1.5 million on a GAAP basis. Non-GAAP gross profit for the three months ended September 30, 2023, was $0.9 million, as compared to $1.1 million in the comparable period, which represents a gross profit margin of approximately 37% on a non-GAAP basis for the three months ended September 30, 2023, as compared to 46% on a non-GAAP basis in the comparable period. Revenue from teleradiology services for the three months ended September 30, 2023, was $2.2 million, with a gross profit of $0.2 million on a GAAP basis, as compared to revenue of $2.4 million, with a gross profit of $0.6 million on a GAAP basis in the comparable period, which represents gross profit margins of approximately 11% on a GAAP basis for the three months ended September 30, 2023, as compared to 26% on a GAAP basis in the comparable…

Erez Meltzer

Analyst

Thank you all once again for joining our call today and for your ongoing support of Nano-X. We are making significant progress toward deployment of the Nanox.ARC system at scale in both the US and other markets, and I'm looking forward to our Investor Day next week and our Q4 update call in early 2024. If you would like to register for our Investor Day or meet with the Nano-X team while we are in New York area, please contact our Investor Relations partners at ICR Westwicke. Have a good day. Operator, please open the session to Q&A.

Operator

Operator

[Operator Instructions] Our first question will come from Jeff Cohen of Ladenburg Thalmann. Your line is open.

Jeff Cohen

Analyst

Good morning, Erez, and Ran. How are you?

Erez Meltzer

Analyst

Great.

Ran Daniel

Analyst

Good morning, Jeff.

Jeff Cohen

Analyst

So, a few questions from our end. You spoke about a government agency and some security screening, and this may be a stupid question, but is that for people or is it for goods such as luggage?

Erez Meltzer

Analyst

No, we indicated last time - by the way, it's the same agency that acquired the first one and the first trial was successful, so they now go to the next step. We don't know exactly what's the purpose of they use it. The only thing that we know that the indication that we got that it's a kind of a defense, but we don't know exactly what it is for. So, that's what I can say.

Jeff Cohen

Analyst

Okay, got it. And can you go back to your EU submission and notified body? Walk us through the timeline there, as all the documentation has gone in or will be going in shortly, and what would you anticipate on a timeline being that there's some further precedent in the US now?

Erez Meltzer

Analyst

So, in a way, we are kind of ahead of ahead of what we anticipated to do it next year. We have already submitted all the information, all - the way it goes that the notified (indiscernible) opens kind of window or a site that you upload all the information. It's thousands of pages. Then once all the information is on, then you go to questions, further visits at the site, all kind of checks. I don't want to give any - we have been saying all the time that regulation in medical equipment is something that is always challenging and very complicated and has a lot of facets, but we assume that with the quality of the information and the quality of the clinical trials that we have, and with the quality of the ISO that we passed, all of this, it'll be real reasonably faster than what (indiscernible), and I have an estimation, but I think that it would be better to wait until we get a better clarity when in 2024 we will get it.

Jeff Cohen

Analyst

Okay. Is it safe to say you're hopeful currently that you'll get a EU clearance in 2024?

Erez Meltzer

Analyst

Say from whose point of view? I would say that it would be reasonable to say.

Jeff Cohen

Analyst

Got it. Okay. And then lastly for us, could you go back to the Varex facility in Utah and talk about their capabilities there as far as anticipated number of units that could be assembled and produced per month or per quarter or per year?

Erez Meltzer

Analyst

So, as you know, Varex is the largest player in tubes for the imaging in the world. I was there a few weeks ago. We had a long day session of the kickoff, both for the future roadmap of future breakthrough technologies, roadmap (indiscernible) for products. And the other thing is the continuous supply. And from the capacity point of view, they will be able to supply whatever we need going forward. We're not going to be dependent (indiscernible). We’re going to continue with our strategy to ensure that we have at least two or three suppliers for each one of the components that we have. So, the tubes will be included and they will be one of - they will be a major supplier, but not the sole supplier.

Jeff Cohen

Analyst

Okay. Perfect. That does it for us. Thanks for taking the questions.

Operator

Operator

Thank you. One moment, please for our next question. Our next question will come from Ross Osborn of Cantor Fitzgerald. Your line is open.

Ross Osborn

Analyst

Hey, guys, good morning. Congrats on the progress. Thanks for taking our questions, and hope your loved ones and employees are safe as possible given the war. So, starting off with the New Jersey Imaging Center, would you provide some more color on the types of patients the center manages and when we can expect the center to be up and running at scale?

Erez Meltzer

Analyst

Okay, up and running right now. The second is at scale right now is what we are focusing on, and we do hope that that it will be - I would say, we'll be in scale probably by the end of the year or beginning of the next year in January. We are planning to open this site for demos for people who would be willing to visit and see. I would say also that this will be another solution that we have managed to create since right now in Israel, although we do business as usual, and everything that we're planning, we're doing, some people or some visits that were supposed to come to Israel have postponed their visits. So, they will be able to come to New Jersey and come and see, and we're going to be there. It's going to be served as the - 626, for example, the one that we mentioned, already were part of the installations that we had there. So, it's kind of a friendly environment for us to ensure that we're going to take all the benefits of the proof of concept, both for demonstration purposes and for operational. We mentioned also that as we speak, we are making the next installations before the end of the year. So, basically the go-to market strategy and the go-to market action plan in the US is up and running. We're building the team. We signed the agreement, and we are aiming to scan the first US patients in the coming days. So, we have all the necessary approvals, but this is something that we're planning to do. We have managed to get all the certification, finding the physicists that came to be there, enable us to commence the scanning of patients, et cetera. So, it's good. We are happy with it.

Ross Osborn

Analyst

Sounds great. And then turning to Morocco, can you discuss the level of utilization in terms of scans per day or your metric of choice there, and then the amount of systems you have delivered to date?

Erez Meltzer

Analyst

I think that this something that we will share - we'll shed some light in the Investors' Day next week.

Ross Osborn

Analyst

Okay, fair enough. Looking forward to that. And then maybe …

Erez Meltzer

Analyst

But basically, right now, it's in line of - I would say that it's in line of what we anticipated.

Ross Osborn

Analyst

Okay. Got it. And then starting to think about next year, given some of your recent manufacturing agreements, when should we expect an inflection in system deployments and expansion into new geographies outside of Morocco, Ghana, and Nigeria? Just trying to get an understanding of system placement cadence for 2024, given you’re now commercial and have contracts with these geographies for hundreds of systems.

Erez Meltzer

Analyst

So, you asked about next - I think that we indicated already starting the planning to work to fulfill the orders that we had originally mentioned. The agreements that we have, in each one of them we're making progress in terms of the regulation approvals. So, part of them will be other countries in Africa. Part of them will be in Latin America, and part of them will be in Asia and European countries, which are not dependent on EU. So, that's the plan so far. But it's all depend on the process and the progress that we made with the regulation approvals, but this also something that we will give some more color on next week.

Ross Osborn

Analyst

Sounds good. Thanks for taking our questions.

Operator

Operator

Thank you. Again, one moment please for our next question. Our next question will come from Ben Haynor of the Alliance Capital Partners. Your line is open.

Ben Haynor

Analyst

Good day, gentlemen. Can you hear me okay?

Erez Meltzer

Analyst

Yes, Ben. Good morning.

Ben Haynor

Analyst

Great. So, just looking to understand the Nanox.ARC revenue a little bit better for the quarter. It sounds like some of that came from sales. So, if you could give me a sense of - or give us a sense of how much capital revenue was included in there, and then would you expect the revenue that you're generating out of Africa from these systems to grow from the Q3 level going forward?

Erez Meltzer

Analyst

Yes, so you referred to the $99,000 that we are recorded in the quarter. Correct?

Ben Haynor

Analyst

Correct, yes.

Erez Meltzer

Analyst

Okay. So, those are actually stems from the sales revenue from our 2D imaging systems. The split is between three countries. The first one is Cameroon. The second one is Morocco, and the other one is Ghana. We're talking of a few systems in each region. And some of the revenue comes from the sales of those units and the other one from the usage of those units.

Ben Haynor

Analyst

Okay. I guess what I'm getting at - that's helpful, but what I'm getting at is, would you expect the revenue from those systems to pick up from the $99,000 level, the ones that are currently in those geographies?

Erez Meltzer

Analyst

Generally saying yes, because some of those (indiscernible) are provided for demo and training purposes, and we expected those units will become commercially used. Of course, we'll add more units on those ones. And of course, we expect to start generating revenue from the ARC systems itself in those re regions and in the US itself. In these units, by the way, I would say that the numbers of scans per day where they’re operational is actually - or the numbers are exceeding our original expectations.

Ben Haynor

Analyst

Okay. That's good to hear and helpful. And then just on the Varex agreement, was curious about the minimal annual amount on that. Is that something that's relatively easy to achieve or is it kind of a small fraction of the anticipated utilization, or what's the right way to think about that?

Erez Meltzer

Analyst

Easy from whose side?

Ben Haynor

Analyst

Sorry, say that again?

Erez Meltzer

Analyst

From your point or our point of view?

Ben Haynor

Analyst

Well, maybe both.

Erez Meltzer

Analyst

Well, first of all, we have not disclosed the details of the agreement yet, but we'll add more details in our next 20F. What can I tell you? There's some formula over there that is going to build in some minimums, but not in the current point of time. Yes. And some percentage, but we don't want to get into this just because the way we structure the agreement is very beneficial for us in terms of the way we want to manage our business.

Ben Haynor

Analyst

Okay. Fair enough. I think that's all we have.

Erez Meltzer

Analyst

You have to remember that it's a long-term agreement. There's a built up in agreement in a way that both sides can execute.

Ben Haynor

Analyst

Okay, got it. But I think that’s all we have. So, we'll see you guys at the NYC next week.

Operator

Operator

Thank you. And that is all the time we have for questions, thus ending the Q&A session. I would now like to turn the conference back to Erez Meltzer for closing remarks.

Erez Meltzer

Analyst

So, thank you all for being with us today. Looking forward to see part of you and that the others will be able to hear next week when we have the Investor Day, when we're going to shed and give some colors on technology, on the go-to market in the US, and on the operational, as well as some clinical, management team will present there. So, see you next week, and thank you for being with us and the support of Nano-X. Good day.

Operator

Operator

This concludes today's conference call. Thank you all for participating. You may now disconnect and have a pleasant day.