STRATA Skin Sciences, Inc. (SSKN)
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Earnings Call: Q1 2023

May 15, 2023

Operator

Greetings. Welcome to the STRATA Skin Sciences Q1 2023 Earnings Conference Call. At this time, all participants are on a listen only mode. A question-and-answer session will follow the formal presentation. If anyone should require operator assistance during the conference, please press star zero on your telephone keypad. Please note this conference is being recorded. Joining on today's call will be Bob Moccia, Chief Executive Officer, and Chris Lesovitz, Chief Financial Officer. Earlier today, STRATA released financial results for the quarter ended March 31st, 2023. A copy of the press release is available on the company's website. Before we begin, I'd like to remind you that management will make statements during this call that include forward-looking statements within the meaning of federal securities laws, which are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995.

Any statements contained in this call that do not relate to matters of historical fact, or relate to expectations or predictions of future events, results or performance are forward-looking statements. All forward-looking statements, including without limitation those relating to our operating trends and future financial performance, are based upon our 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 our business, please refer to the Risk Factors section of our public filings with the SEC, including our annual report on Form 10-K for the year ended December 31st, 2022.

This conference call contains time-sensitive information and is accurate only as of the live broadcast today, May 15th, 2023. STRATA disclaims any intention or obligation, except as required by law, to update or revise any financial projections or forward-looking statements, whether because of new information, future events or otherwise. During this presentation, we refer to domestic gross recurring billings, which is a non-GAAP financial measure. A reconciliation of this non-GAAP financial measure to the most directly comparable GAAP financial measure is available in the company's earnings release for the first fiscal quarter ending March 31st, 2023, which is accessible on the SEC's website and posted on the investor relations page of STRATA's website at www.strataskinsciences.com. With that, I'll turn the call over to Bob Moccia.

Robert Moccia
CEO, STRATA Skin Sciences

Thank you, and thank you all for joining us on today's call. We are excited to announce strong Q1 revenues of $7.6 million, representing the strongest Q1 since 2016. Contributing to our Q1 success was our acute focus on STRATA's strategic priorities, flexibility in capital equipment sales, and ramp up of TheraClearX post its official broad launch in January. XTRAC, our 308 nanometer eczema laser used to treat psoriasis, vitiligo, and eczema, has reached 916 placements domestically. When looking at XTRAC, our focus is on increasing placements. One way we are making meaningful impact is through partnerships with group locations or partner practices. As of March 31st of this year, we have penetrated 17% of group accounts in the United States.

There remains a great opportunity for us to sell into group practices and place multiple units at a time. Additionally, we are measuring the safety and efficacy of XTRAC in treating vitiligo. We see this opportunity to capitalize on the noise being created by the approval of Opzelura for the topical treatment of vitiligo. DTC advertising on TV, we expect, will drive vitiligo patients into dermatology practices to seek treatment. As we have previously mentioned, our sales force continues to convert Pharos users to our XTRAC partnership program. We remain on track with our goal and have converted 86 accounts to date. TheraClearX, our acne device acquired in 2022, officially launched more broadly in January of this year. Has exceeded our expectations in terms of placements. In the Q1 alone, we placed 44 TheraClearX devices and sold over 3,000 TheraClear treatment codes.

We expect this momentum to continue to ultimately make an impact on 2023 revenues. Over the past quarter and into the remainder of the year, our sales team's focus is on the XTRAC and TheraClear messaging. Our advanced sales training ensures that the sales team is equipped with the knowledge and the sales materials to sell STRATA's products. Virtual events, along with group practice events, are two ways we are expanding our messaging of XTRAC and TheraClearX. In addition to our focus on advanced sales training, we are increasing our participation in industry conferences. For the H1 of the year, we have 10 conferences we have already attended or plan on attending.

Conferences are a great way for the STRATA team to stay connected with the scientific community. Conversely, conferences allow us to keep the community apprised of the progress we are making on our offerings. We plan to continue our scientific engagement efforts throughout the remainder of the year. On the international front, this month we signed an agreement in India. Our plan is to continue exploring other market opportunities where we believe there is a need for phototherapy solutions. STRATA recently entered into an exclusive three-year distribution agreement with Spectra Medicals for the distribution of XTRAC, TheraClearX and VTRAC.

Spectra Medicals Devices is India's leading distributor of dermatology medical devices. We believe we will be able to make an impact on the market in India as there is a need for vitiligo treatments with an estimate of 8.8% of India's 1.4 billion population suffering from vitiligo. 80% of young adults from the onset of puberty and 30 years of age in India suffer from acne alone. India is a great market for STRATA as there is no currently available eczema laser solutions for phototherapy treatments. This partnership provides us with an opportunity to offer this population an effective non-pharmaceutical treatment solution to a range of dermatologic conditions. We expect to receive regulatory approval in India later this year and for revenues to begin in the Q1 of 2024.

Once we receive approval, we would expect XTRAC treatments to be covered by insurance and TheraClearX to be covered by a mixture of insurance and cash pay. In Israel, the two most prominent hospitals purchase XTRAC eczema laser and have begun providing treatments. Ichilov Hospital, the largest and busiest dermatology facility, is the first medical center with access to the XTRAC eczema laser. We are pleased with the progress we have made over the past quarter and most recently. We are starting to realize the impact of TheraClearX in the market, and we are continuing to remain flexible with our sales model of XTRAC, which we believe has allowed us to consistently achieve continued year-over-year growth. With that, I will now turn the call over to Chris to review financials.

Christopher Lesovitz
CFO, STRATA Skin Sciences

Thank you, Bob. Revenues for the Q1 of 2023 were $7.6 million, as compared to revenues of $7 million in the Q1 of 2022. Global recurring revenues in the Q1 were $5.2 million, as compared to global recurring revenues of $5.1 million for the Q1 of 2022. Equipment revenues for the Q1 were $2.4 million, a 19.5% increase as compared to $2 million for the Q1 of 2022. For the Q1 of 2023, non-GAAP XTRAC gross domestic recurring billings were $4.7 million, as compared to $5 million in the Q1 of 2022.

Overall, gross profit for the Q1 was $4.4 million or 58% of revenues as compared to $4.1 million or 59% of revenues for the Q1 of 2022. The decrease in gross profits was primarily the results of a change in product mix, with higher sales of dermatology procedures equipment, which has a lower margin than dermatology recurring procedures and due to higher material costs. Looking ahead, we expect gross margins throughout the remainder of 2023 to be in the low to mid-60s, with some quarterly fluctuation based on the mix between recurring revenues from system placements and equipment sales. Operating expenses were $7 million, as compared to $6.4 million in the Q1 of 2022. The increase was driven by scoping costs for engineering projects.

General and administration expenses also increased to $2.9 million from $2.7 million for the three months ending March 31, 2022. The increase in these expenses was primarily driven by the costs associated with our 2022 year-end audit, including valuation work and related legal expenses. Net loss for the Q1 of 2023 was $2.8 million or a loss of $0.08 per basic and diluted common share, as compared to the net loss for the Q1 of 2022 of $2.5 million or a loss of $0.07 per basic and diluted common share. On March 31, 2023, cash and cash equivalents was $4.2 million. Turning to our guidance for the full year 2023.

We continue to expect full year 2023 revenues to be in the range of $38 million- $40 million, representing double-digit growth. We are pleased with the progress made in Q1 and are looking forward to building upon this strong base in the coming quarters. With that, Bob and I would like to open the call for questions.

Operator

Thank you. We will now be conducting a question-and-answer session. If you would like to ask a question, please press star one on your telephone keypad. A confirmation tone will indicate your line is in the question queue. You may press star two if you would like to remove your question from the queue. For participants using speaker equipment, it may be necessary to pick up your handset before pressing the star keys. Our first question comes from the line of Jeffrey Cohen with Ladenburg Thalmann. Please proceed with your question.

Jeffrey Cohen
Managing Director and Senior Research Analyst, Ladenburg Thalmann

Oh, hi, Bob and Chris, how are you?

Robert Moccia
CEO, STRATA Skin Sciences

Hey, Jeff, how are you?

Jeffrey Cohen
Managing Director and Senior Research Analyst, Ladenburg Thalmann

Just fine. Just a few questions from our end. On TheraClear, could you talk any about utilization trends that you're seeing? Looks like 51 treatments per unit that's out there in the marketplace for the Q1 . Was that predominantly driven by new patients or follow-up patients and any read into utilization? Also, could you talk about any publications underway or that we'll be seeing?

Robert Moccia
CEO, STRATA Skin Sciences

Thanks for the question. TheraClear, you know, we really focused on placements last quarter, exceeded what we had originally set as a goal of 25. We had 44. When we place a device, a TheraClear device in a derm practice, they also come with codes which they purchase. A lot of the 3,000 codes that are out there is some inventory that's built up. It's kind of early in the stage to, you know, of the launch to see how much pull-through we're actually getting. Our goal is to try to enroll two patients per week, which, you know, is gonna take some time to build up to that, but we think that will certainly give us a nice return on those machines on a yearly basis.

Jeffrey Cohen
Managing Director and Senior Research Analyst, Ladenburg Thalmann

The coding is per treatment, not per patient?

Robert Moccia
CEO, STRATA Skin Sciences

Per treatment. Exactly.

Jeffrey Cohen
Managing Director and Senior Research Analyst, Ladenburg Thalmann

Okay. Got it. Can you talk a bit-

Robert Moccia
CEO, STRATA Skin Sciences

If you remember, it's four to six treatments per patient.

Jeffrey Cohen
Managing Director and Senior Research Analyst, Ladenburg Thalmann

Yes. Got it. Okay. Can you talk a little bit about Spectra? Was there any upfront there and will the agreement it's for both platforms, but will it be both sales of devices as well as for use or will it run differently?

Robert Moccia
CEO, STRATA Skin Sciences

Sure. We're really excited about partnering up with Spectra. They represent a number of U.S. dermatology medical device companies already, so they're very well known in the Indian market. There was no upfront and we're anticipating capital equipment sales as we've been doing in other international markets. There won't be a code being sold to them. It'll strictly be a capital equipment sale.

Jeffrey Cohen
Managing Director and Senior Research Analyst, Ladenburg Thalmann

Got it. Okay. Chris, did you say low fifties or low sixties on margins for the balance of the year?

Christopher Lesovitz
CFO, STRATA Skin Sciences

Sixties.

Jeffrey Cohen
Managing Director and Senior Research Analyst, Ladenburg Thalmann

Got it. Okay. Lastly, Bob, perhaps, talk to us a little bit about the M&A environment and any work you're doing as far as adding on other equipment onto your platform and also some of the work you've been doing on other markets as far as distribution or direct arrangements.

Robert Moccia
CEO, STRATA Skin Sciences

Sure. Yeah, as you know, we've been active, actively looking to add additional products to the bag, as we call it, both medical devices and primarily we're focused as always on medical device opportunities, skin cancers, warts, Hyperhidrosis, you know, those types of conditions. Acne obviously we did with TheraClear. We are continuing to focus in that as well as we've looked through and talked to some companies about potentially adding OTC products. I think you and I have talked about that being complementary to what we're already doing. When patients go to a dermatology practice, even if they're treated with a device, they're typically walking out with something, you know, whether it's prescription or an OTC moisturizer or acne wash or something like that.

We think there's an opportunity for us to capitalize on that. We continue to have this discussions with other companies and hopefully in the near future we can get something done where we can add something else new to our portfolio.

Jeffrey Cohen
Managing Director and Senior Research Analyst, Ladenburg Thalmann

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

Robert Moccia
CEO, STRATA Skin Sciences

Thanks, Jeff.

Operator

We have reached the end of the question and answer session. I'll now turn the call back over to Bob Moccia for closing remarks.

Robert Moccia
CEO, STRATA Skin Sciences

Thank you. Again, we'd like to thank you all for participating in today's call. We appreciate your continued support, and we look forward to updating the community on our achievements as they develop.

Operator

This concludes today's conference, and you may disconnect your lines at this time. Thank you for your participation.

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