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Rockwell Medical, Inc. (RMTI)

Q3 2017 Earnings Call· Wed, Nov 8, 2017

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Transcript

Operator

Operator

Good day and welcome to the Rockwell Medical Third Quarter 2017 Financial Results Call. Today's conference is being recorded. At this time, I would like to turn the conference over to Paul Arndt, LifeSci Advisors. Please go ahead sir.

Paul Arndt

Management

Thank you, operator and good afternoon everyone. Thank you for attending Rockwell Medical's third quarter financial results conference call. I'm Paul Arndt with LifeSci Advisors. On the call this afternoon are Rob Chioini, Founder, Chairman and CEO of the Company; and Tom Klema, Chief Financial Officer. Before we begin, I would like to remind everyone that various remarks of future expectations, plans and prospects constitute forward-looking statements for the purposes of Safe Harbor provisions under the Private Securities Litigation Reform Act of 1995. Rockwell cautions that these forward-looking statements are subject to risks and uncertainties that may cause actual results to differ materially from those indicated. Among the factors that could cause actual results to differ materially include risks and uncertainties related to Triferic, including the company's ability to successfully commercialize Triferic, manufacturing capabilities and other risk factors identified from time-to-time in reports filed with the SEC. Any forward-looking statements made on this conference call will speak only as of today's date, Wednesday, November 8, 2017, and the company does not intend to update any of these forward-looking statements to reflect events or circumstances that occur after today's date. This conference call is being recorded for audio rebroadcast on Rockwell's website at www.rockwellmed.com. All participants on this call will be listen-only. The call will be followed by a brief question-and-answer session. I'd now like to hand the call over to Rob Chioini, Founder, Chairman and CEO of Rockwell Medical. Rob, please go ahead.

Rob Chioini

Management

Thanks, Paul. Good afternoon and thank you for joining us. On the call with me today will Tom Klema, our Vice President and Chief Financial Officer and Dr. Ray Pratt, our Chief Medical Officer. We had a very busy quarter and have a number of important updates for you. First, the highlights from the quarter’s financial performance versus the same time last year. Sales for the quarter were up 14% at 14.6 million versus 12.8 million, gross profit was 1.1 million versus 1.5 million, net loss was 5.1 million versus 4.6 million. Now regarding our pursuit of gaining separate reimbursement for Triferic, as you know this is a top priority for us. We have made substantial progress since our last update and we’ve made considerably closer to what we anticipate will be a favorable outcome. Over the last several weeks we have had productive meetings with the Centers for Medicare and Medicaid Services, CMS and also with the Center for Medicare and Medicaid Innovation, DMMI. At their request, we prepared and submitted a proposal to the innovation center at CMS. Among other things the document highlights the improved clinical benefits that Triferic provides to patients, as well as the significant cost savings Triferic delivers to both Medicare and dialysis providers. Our analysis concluded that 100% of the hemodialysis patients that Medicare is responsible for were given Triferic as part of their treatment protocol, Medicare would save substantially more than $1 billion per year. To put that number in context, Medicare spends approximately $33 billion on services for beneficiaries with end-stage renal disease. These significant cost savings which are based on our clinical research work and real reviews and which I should carefully note depend on various assumptions that may or may not prove true. But driven by the reduction in…

Tom Klema

Management

Thank you Rob, and good afternoon. I’ll be covering the financial results for the third quarter and first nine months of 2017 and also discuss our capital resources and liquidity. Our sales in the third quarter were 14.6 million, 1.8 million or 14.1% higher than the third quarter of last year. The increase was mainly due to higher domestic concentrate sales of 1.6 million which included faster delivery across to Baxter which increased approximately 600,000 due to volume growth. Our international sales were 200,000 higher than the third quarter of last year and revenue recognized from licensing fees was the same as the third quarter last year. Our sales in the first nine months of the year were 42.5 million, an increase of 2.6 million or 6.4% over the first nine months of last year. Our domestic concentrate sales increased 2.4 million or 6.9% mainly due to increased product volume and additional pass-through billings for delivery services to Baxter. Our international sales were 200,000 higher and our drug business revenue was not significant in either the first nine months of 2017 or ’16. Our gross profit in the third quarter was 1.1 million compared to 1.6 million in the third quarter of last year. Our concentrate gross profit decreased 200,000 due to lower pricing resulting from modifications to our contractual terms with Baxter. Our net drug business costs were approximately 300,000 higher than the third quarter of 2016. Our drug business cost in the third quarter included inventory reserves of 700,000 or inventory that was expected to be surplus to our requirements. Gross profit in the first nine months of 2017 was 4.9 million, an increase of 100,000 or 3.4%. Gross profit margins were 11.6% compared to 11.9% in the first nine months of last year. The gross profit increase…

Operator

Operator

[Operator Instructions] We’ll take our first question from Charles Haff with Craig-Hallum. Please go ahead sir.

Charles Haff

Analyst

I noticed on the cash flow statement under financing cash flows, you had a 40.1 million inflow from sale of investments held for sale and 34.2 million outflows for purchase of investments held for sale. Could you kind of describe that for us a little bit?

Tom Klema

Management

We repositioned the portfolio of investments to be somewhat of a less risky portfolio in light of the expected interest rate increases that may come years ahead. We’re not an investment company and what we did with our excess cash was to invest it to achieve a modest rate of return versus leaving it at the bank. And what we’ve achieved over the last three years is a net return of approximately 122 basis points as oppose to getting almost nothing by keeping the cash in the bank. So we’re ahead about 1 million bucks and the intent was to reposition our portfolio and leave our self very liquid going forward so that we’re not exposed to principal risk.

Charles Haff

Analyst

And then Rob on Triferic (inaudible) reimbursement so now you’ve met with CMS and CMMI and you’ve had some discussions there, and I’m not going to ask you about timing because it’s impossible to predict timing for FDA or for CMS both of them. But I’m wondering in terms of the discussion you said you expect a favorable outcome but the cost savings is very compelling. What do you think maybe if there is any sticking points on their end, what do you think there may be in terms of sticking points based on what you submitted and based on the meetings that you’ve had so far?

Rob Chioini

Management

Well we had multiple discussions with the groups I mentioned and there really hasn’t been a sticking point. There’s been no single issue that’s been brought up in any kind of opposing view. Again we can’t guarantee anything, we feel very confident. All the body language, all the discussions have been very proactive on their part and we certainly get the sense they’re helping us not taking an opposing view.

Charles Haff

Analyst

And then when you think about getting additional reimbursement, I assume, correct me if I’m wrong, this would be outside of the bundle, is that right?

Rob Chioini

Management

That’s correct.

Charles Haff

Analyst

And then so if CMS under the ESRD program is in a bundle payment scheme and this is additional cost for Triferic, can you walk us through or help us understand the $1 billion of savings, were that savings accrued to the provider that’s getting the ESRD bundle payment or are you saying like down the road this goes in to the bundle or just help us understand that $1 billion number a little bit better.

Rob Chioini

Management

Without getting in to the detail, that $1 billion number represents savings across the board and it covers savings to the provider and also savings to the government, to Medicare and it covers savings within the ESRD world and then outside the ESRD world. For example, when a patient has to go to a hospital for a blood transfusion or an infection in their blood, hospitalization costs are significant, days in hospitals are significant So the cost savings in the – there’s a lot more detail in the submission and it drills down to provider to CMS and then within CMS in the bundle and outside the bundle in each category. Basically what it says is Charles the money set aside could give Triferic separate reimbursement is covered and then some with the savings that are generated by this drug. So the drug pays for itself.

Charles Haff

Analyst

And last question from me on the Triferic inventory, you mentioned 1.5 million of non-current inventory. Non-current, I just think about current assets and liabilities. Does that mean that you’re not expecting to sell that inventory within one year, is that why you’re classifying it as non-current?

Rob Chioini

Management

That’s essentially correct Charles. It’s all active pharmaceutical ingredients that would go in to the finish product and our sales and operations planning team has developed a production plans based on our expected sales. We’ve determined that that inventory would be more than what we would use in the next 12 months for production purposes. So essentially we’ve got based on our projections something in the order of 1.5 million inventories that we would use in the future.

Charles Haff

Analyst

So it’s like raw materials or if it’s not finished inventory that’s --.

Rob Chioini

Management

And it’s not exposed, none of that is exposed to any exploration or obsolescence in the next year.

Operator

Operator

And we’ll go next to David Bouchey with IFS Securities. Please go ahead sir.

David Bouchey

Analyst

I’ve a lot of questions, but let me start with some basic housekeeping questions for Tom. Tom what was the share count that you used to figure out your basic and diluted earnings per share for the quarter?

Tom Klema

Management

Right around 51 million.

David Bouchey

Analyst

So you were talking about higher concentrate sales and higher pass-through to Baxter, and that there might be a lower pricing as recorded by the renegotiated Baxter agreement. So what kind of guidance can you give us, how should we think about gross margins going forward? Are they going to be what we see now or are they going to be back up in to double digits?

Tom Klema

Management

On the concentrate business, it’s going to continue to run where it is now, but has a – we took a reserve for inventory that we thought was surplus requirements aggregating about 700,000 this quarter. So I would tend to look at it kind of along those lines, the increase in freight passed through the Baxter is just a pass-through. So it doesn’t require margins per say, it’s just zero-some game, right. We invoice them for the amount of cost that we incur. That 600,000 that you saw is simply sales and cost with a net impact of zero to the gross profit (inaudible), and it will probably continue at that level. It may also increase because they are putting on some additional business. \

David Bouchey

Analyst

Let me move on to the subject everybody wants to talk about which is Triferic. I know you were very active Rob in the American Society of Nephrology’s Kidney week last week in their conference. And at that conference, I believe there were representative from the department of health and inland services. You gave a little talk and you talked about the kidney innovation accelerator which will be a find, but it will also bring together key components and funding opportunities from the FDA, the Centers for Medicare and Medicaid services, NIH and HHS to ensure that the path to commercialization is straight and clear. I can kind of sense in your voice that you have a lot of confident. Given this announcement from HHS, how do you interpret that?

Rob Chioini

Management

I interpret it all in a very positive way. I think it certainly highlights the emphasis that has been put on the kidney space in improving the lives of these patients with new and innovative therapies. And it just further strengthens or supports what we’re doing with our pursuit of getting Triferic reimbursed separately. So there’s a real focus right now that we see obviously with the work we’re doing, but also within the kidney space on strange innovations where patients will access to new therapies because it’s been a very stagnant area. And what Bruce Greenstein said, was there is a set of money aside for innovation and they want to spur innovation, which is really just kind of piggy backing off at what we’re doing with CMS and CMMI.

David Bouchey

Analyst

This kind of goes along with the recent retasking of CMMI to make it a little bit easier to get innovative therapies on the market?

Rob Chioini

Management

Back in September some people may have picked up on this. But there was an article out by Seema Verma, the Director of CMS and CMMI, the innovation center. And the direction it was going to go in to, which was innovation and they are looking for companies to bring them innovative therapies that they can work in to the market to help benefit patients.

David Bouchey

Analyst

And the timing of these things may come in to play to be a very fortunate then which will have (inaudible).

Rob Chioini

Management

Yeah, I mean it certainly doesn’t hurt us, it certainly helps us. We felt like we made a lot of progress with the prior administration and we felt like we were going to be successful with administration, and then when the new administration came in with the new President elect, there was a turnover in personnel and there’s certainly a more focus on, I don’t to say on patient care and quality care of patients, that’s always been there in the government. But there certainly seems to be more business like mentality. And maybe it’s because of that or maybe it’s just timing. I don’t know, but it’s all good.

David Bouchey

Analyst

Let’s turn to the Chinese market, you mentioned that it’s growing much faster than we had thought. And in my estimate I had the Chinese market for dialysis patient surpassing the US in 2020. Do you think that might happen one year earlier, two years earlier?

Rob Chioini

Management

It would be a complete guess on my part. We’ve been working with some companies in China and the data seems to confirm that the population is starting to approach the size of the US already. And there’s certainly a couple of million patients out there that need treatment, that haven’t been getting it and so it’s just a function of how fast, the private sector and the government put clinics up. And I think there are at about 6,000 clinics which is close to what we got here in the US. So it’s probably very close in terms of size, and at some point it could happen earlier where they surpass us. I really don’t’ know what the estimate was.

David Bouchey

Analyst

What did you talk about licensing [dials] that concentrates in China, have you had any feedback, any buzz about that from any of the nephrologist, who visited your booth during the conference.

Rob Chioini

Management

Actually we have, we’ve had interest on our concentrate as well as our mixing systems, and I say there’s probably a fair change that we might do some business there on that end as well.

David Bouchey

Analyst

Will that be through Wanbang or would you look for a separate partner?

Rob Chioini

Management

These would be most likely different partners.

David Bouchey

Analyst

And you mentioned at the beginning of the call that rate is there. I would like to perhaps if you can give me a sign, kind of a level of explanation for the previous CMC filings for Calcitriol. What were the problems that the FDA identified during the previous CMC filings?

Rob Chioini

Management

Which filings are you talking about, the one that we just did in September or the one prior to that?

David Bouchey

Analyst

Prior to that.

Rob Chioini

Management

Well we had a different manufacturer I reckon.

Tom Klema

Management

We had a different manufacturer and they were having some difficulties in controlling the oxygen headspace, and one of the issues with the Calcitriol it’s very sensitive to oxygen, and so there was an inconsistency in product quality that just didn’t meet our standards.

David Bouchey

Analyst

So what is it about oxygen that affects Calcitriol?

Rob Chioini

Management

Calcitriol has some spaces that are very easily oxidized and once it’s oxidized it loses its potency, and all of the Vitamin D tend to have this although the Calcitriol is more sensitive to it than the other ones.

David Bouchey

Analyst

And so that was fixed when you go to the new sub-contractor does the manufacturing?

Rob Chioini

Management

Yes.

David Bouchey

Analyst

And exactly what did the FDA ask for in terms of how many batches did they need data for the filing that was done in September and how many did you provide?

Rob Chioini

Management

Well we typically try to provide data on two to three batches of materials that are manufactured. But it varies, there’s no absolute requirement from FDA as to how many batches are there and we certainly did a total of three batches with the last submissions.

David Bouchey

Analyst

And as you get longer term data you are continuing to submit that to the FDA?

Rob Chioini

Management

Of course, it’s a requirement.

David Bouchey

Analyst

And they haven’t asked for anything additional?

Rob Chioini

Management

We haven’t heard of anything yet. I

Operator

Operator

Thank you. And now we’ll conclude our question-and-answer session. I would now like to turn the call back to Rob Chioini for any additional or closing remarks.

Rob Chioini

Management

Thank you for your support and we hope to have some more news to update you with soon.