Nano-X Imaging Ltd. (NNOX)
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Earnings Call: Q3 2021

Nov 17, 2021

Mike Cavanaugh
Investor Relations Advisor, Nano-X Imaging Ltd

Good afternoon and thank you for joining us today. Earlier today, Nano-X Imaging Ltd released financial results for the quarter ended September 30, 2021. The release is currently available on the investor section of the company's website. Ran Poliakine, Chairman of the Board and Chief Executive Officer, Erez Meltzer, Executive Board Member and Incoming Chief Executive Officer, and Ran Daniel, Chief Financial Officer, will host this afternoon'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, commercialization activities, regulatory process operations, the impact of COVID-19 on its business 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 may cause such a difference. Those 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. We will also refer to certain non-GAAP financial measures to provide additional information to investors. A reconciliation of the non-GAAP to GAAP measures is provided with our press release, with the primary differences being stock-based compensation and class action-related expenses. I'd now like to turn the call over to Nano-X Chairman and CEO, Ran Poliakine.

Ran Poliakine
Chairman of the board and CEO, Nano-X Imaging Ltd

Thank you, Mike, and thank you all for joining the call today. Today, I will give an overview of our achievement during the quarter as well as corporate update before turning the call over to Ran Daniel, our CFO, to review our financial results. We will then open the call to questions. We've been busy since our last earnings call advancing the Nanox. Arc system, which has the potential to improve accessibility and aims to drive a significant increase in the delivery of medical imaging all over the world. Besides greater availability and accessibility, we believe the Nanox. Arc system and its end-to-end ecosystem will enable healthcare providers to obtain crucial information, which has the potential to shorten diagnostic and treatment time and promote early detection. It is well known that earlier intervention is a key contributor to better health outcomes for patients.

Before I begin, I would like to have Erez Meltzer, Nano-X incoming CEO, say a few words and introduce some of our latest development. Erez?

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

Thank you, Ran, and thank you all for being on the call today. I'm excited about the leading and dedicated and talented Nanox team as we move ahead towards commercializing the Nanox.ARC system. I'm working closely with the team to prepare for assuming the CEO role beginning on January 1st, 2022, and I look forward to participating in the Q&A session at the end of today's call. Turning to our accomplishments during the quarter, as many of you know, we recently completed our three previously announced strategic transactions. First, we completed the merger with Nanox.AI, formerly known as Zebra Medical Vision. Second, we completed the acquisition of USARAD Holdings, and third, we completed the acquisition of the assets of MDW.

We believe that having a more accessible medical imaging technology would not be enough to transform the global marketplace, but we also had to have an AI capability to complete and complement our technology. Nanox.AI fulfill this need and provides the image analytics necessary to help locate a problem and begin the process of diagnosis and treatment. The acquisition of USARAD and MDW provide a connected team of professional radiologists and decentralized marketplace that connects facilities and patients with radiologists that begin the next step of the evaluation process if the AI alerts to a potential problem. These transactions help to fulfill our AI-powered workflow and provide some of the important final pieces of the Nanox.ARC system as we head toward commercialization. With that, I'll turn the call back over to Ran Poliakine.

Ran Poliakine
Chairman of the board and CEO, Nano-X Imaging Ltd

Thank you, Erez, and I would like to quickly highlight a few other achievements since our last report. In October, we announced that we entered into an MSaaS agreement with International Clinics Group, a medical equipment distributor that serves hospitals, health systems, clinics, and other medical facilities in Chile, Bolivia, and Peru, which adds to the growing future demand for our Nanox.ARC system. The agreement calls for the deployment of 350 Nanox.ARC devices across the region. To date, the company entered into MSaaS agreements for deployment of 6,500 Nanox.ARC units. In September, Nanox.AI received its eighth 510(k) FDA clearance, in this case for coronary artery calcium solution, known as CAC, as part of its population health offering.

CAC is a key biomarker indicating risk of cardiovascular disease and can help Nanox.AI identify potential medium and high risk patients, which can then be flagged for further evaluation and is another enhancement of the AI-powered workflow that we feel will lead to better value-based population health. Operationally, we continue to progress towards commercial production of the silicon MEMS chips, Nano-X wholly owned Korean subsidiary that is integral to Nano-X digital X-ray source. We expect production at the new facility to begin pilot production in 2022. This key initiative is especially important given the current supply chain shortage for many products worldwide.

This will not only help to secure the stable supply of the chips that we need for the production of the Nanox.ARC, but will also ensure that the quality of our chips is not a concern for us or the healthcare professionals using the Nanox.ARC systems. Finally, before I turn the call over to Ran Daniel, I would like to take a moment to update you on our commercialization efforts, including the regulatory process with the FDA. We're still in the process of responding to the FDA after receiving their comments on our first submission. As you all know, we are planning a second submission in the near term that will cover the next version of the multi-source Nanox.ARC, and we believe that the feedback we have received from our first submission will help inform any subsequent submission.

With that, I would like to turn the call over to Ran Daniel, Chief Financial Officer.

Ran Daniel
CFO, Nano-X Imaging Ltd

Thank you, Ran. Before I get started on my first earnings commentary as the CFO of Nanox, I would like to say how excited I am to be part of the team that is working to transform the future of medical imaging. I am looking forward to the work I had with the talented team. I would also like to mention another change. We recently partnered with ICR Westwicke, a leading healthcare-focused integrated communications firm, as our new investor relations advisor. They are highly experienced in the medical technology space and will be a good addition to the team heading into the important year of 2022. With that, on to the financials.

Nano reported a GAAP net loss for the third quarter of 2021 of $13.6 million, compared to a net loss of $11.1 million for the same period in 2020, largely due to an increase in our research and development expenses and general and administrative expenses, which were mitigated by a decrease in our marketing expenses. Non-GAAP net loss applicable to the ordinary shares for the third quarter of 2021 was $8.5 million, compared to a non-GAAP net loss of $5.1 million for the same period in 2020. A reconciliation between GAAP net loss and the non-GAAP net loss for the three-month period ended on September 30th, 2021 and 2020 is provided in the financial results that are part of the press release we issued this morning.

The difference between GAAP and non-GAAP net loss is mainly due to the share-based compensations and legal fees related to the SEC inquiry and class actions litigations. Research and development expenses for the third quarter of 2021 were $3.7 million, as compared to $2.1 million for the same period in 2020, reflecting the increased development activities for our Nanox systems and the related regulatory costs. Marketing expenses for the third quarter of 2021 were $1.5 million as compared to $2.7 million for the same period in 2020 due to a decrease in share-based compensation. G&A expenses for the third quarter of 2021 were $8.2 million as compared to $6.3 million for the same period in 2020.

The increase was due largely to an increase in our labor cost of approximately $0.5 million due to an increase in our head count in connection with the expansions of the company's management team and the overall organization infrastructure, increase in our D&O insurance expenses of approximately $0.5 million, increase in our legal fees in the amount of approximately $0.6 million due to the SEC inquiry and class actions litigation as described in our 6-K file to date, and transaction expenses in connection with the acquisitions of Nanox.AI, USARAD Holdings, and assets of MDW in the amount of approximately $0.5 million. Net cash used in operating activities during the third quarter of 2021 was $7.0 million.

For the nine months ended September 30th, 2021, Nano-X recorded a GAAP net loss applicable to the ordinary shares of $39.8 million compared to a net loss of $24.9 million for the same period in 2020. Non-GAAP net loss for the first nine months of 2021 was only $4.2 million compared to a non-GAAP net loss of $10.5 million for the same period in 2020. The difference between GAAP and non-GAAP net loss to the ordinary share is mainly due to share-based compensation, expenses related to the secondary share offering which closed in the first quarter of 2021, and legal fees in response to the SEC inquiry and class action litigation as reported in our 6-K filing to date.

As of September 30th, 2021, we had approximately 47.9 million shares outstanding. We ended the third quarter of 2021 with cash equivalents, and marketable securities of over $180 million and $3 million loans from banks. Before we take your questions, I would like to mention that the company has been providing documents and information to the SEC in connection with an investigation, and has now received a subpoena from the SEC requesting that the company provide documents and other information relating to the development costs of the company's Nanox.ARC prototypes, as well as the company's estimate for the cost of assembling the final Nanox.ARC product at scale. The company is cooperating with the SEC in responding to its request. With that, I will hand the call back over to Ran Poliakine.

Ran Poliakine
Chairman of the board and CEO, Nano-X Imaging Ltd

Thank you for the financial update, Ran. I understand that this is a lot of information to digest, and that many of you likely have more questions than we can address on the call today. We're committed to being accessible to the investment community, and for this reason, we will engage in a robust investor outreach in the coming months. Additionally, as was noted in our last press release last week, we will be attending the 2021 Radiological Society of North America annual meeting in Chicago from November 28th to December 2nd. While there, we will demonstrate new features of the Nanox ARC system. Nanox AI will host an on-site booth there, where the company will showcase its AI-enabled medical imaging software, population health solution, and on December 1st, Nanox will broadcast a virtual tour of Nanox ARC in a clinic setting from the Shamir Hospital in Israel.

We will close our attendance at the RSNA annual meeting with an exclusive webinar specifically for investors. We hope to see many of you there. We hope to meet you soon again. Thank you for the time today and continued support, and especially for your belief in our vision, a vision that will improve the health of all of us. Thank you very much. We will now open up the call for questions, which Ran Daniel and Erez will handle today. Operator, please begin the Q&A session.

Operator

Thank you. To ask a question, you need to press star one on your telephone. To withdraw your question, press the pound key. Our first question comes from Jeffrey Cohen with Ladenburg Thalmann. Your line is open.

Jeffrey Cohen
Managing Director and Director of Equity Research, Ladenburg Thalmann

Sir, good morning. How are you?

Ran Poliakine
Chairman of the board and CEO, Nano-X Imaging Ltd

Good.

Jeffrey Cohen
Managing Director and Director of Equity Research, Ladenburg Thalmann

Couple questions for Ran. You had $0.6 million of legal expenses for Q3. Any insight into what that may look like for the fourth quarter?

Ran Poliakine
Chairman of the board and CEO, Nano-X Imaging Ltd

Ran?

Ran Daniel
CFO, Nano-X Imaging Ltd

Yes. We don't have any insight for the moment. As we said, we filed the 6-K today, and we refer to the information that we enclosed over there. That's what we can update at the moment.

Jeffrey Cohen
Managing Director and Director of Equity Research, Ladenburg Thalmann

Okay, got it. You had some commentary, Ran, about pilot production. I think the press release read early 2022, and you stated 2022. Can you give us a walkthrough of the facility in South Korea as far as the construction and how that looks now and how the timeline's looking over the next number of months, please?

Ran Poliakine
Chairman of the board and CEO, Nano-X Imaging Ltd

With respect to the Korean facility?

Jeffrey Cohen
Managing Director and Director of Equity Research, Ladenburg Thalmann

Yes, please.

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

Okay. I think that we've indicated that we have launched the new site. We have already a site which is operating right now on a temporary basis. We expect that the new site will be operating in the second quarter of next year. I would say it's highly likely that it will be operating in the second quarter of next year. It's in line with the original expectations and in line with the plans.

Jeffrey Cohen
Managing Director and Director of Equity Research, Ladenburg Thalmann

Okay, got it. Could you walk us through what you stated about the FDA timeline? I know that you stated that you were responding to the first set of questions from the FDA. Will that go in as a response to the first set of questions, and will that be separate from a second submission, as you called it, for the ARC?

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

First of all, I think that Ran addressed it very clearly, that basically, we're going to meet the 180 days window that we currently have to the latest submission. That basically, we're going to use all the feedback that we get, including the future feedback that we'll get in order to work on the future applications and future submissions that we're planning to do. This is basically with respect to the ARC. As you can see on the Nanox.AI, we always and we continue to submit other FDAs and continue to work with them to get other approvals, FDAs and CPT codes.

Jeffrey Cohen
Managing Director and Director of Equity Research, Ladenburg Thalmann

Okay, got it. Thank you very much. That's it for us.

Ran Poliakine
Chairman of the board and CEO, Nano-X Imaging Ltd

Thank you, Jeffrey.

Ran Daniel
CFO, Nano-X Imaging Ltd

Thank you very much.

Operator

Thank you. Our next question comes from Suraj Kalia with Oppenheimer. Your line is open.

Suraj Kalia
Managing Director and Senior Analyst, Oppenheimer

Good morning, everyone. Can you hear me all right?

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

Yeah, we're trying to.

Ran Daniel
CFO, Nano-X Imaging Ltd

Yes, we do.

Suraj Kalia
Managing Director and Senior Analyst, Oppenheimer

Perfect. Okay. Ran, Erez, anyone, I'll throw it out there. What does considering filing another 510(k) mean? There's a change in the wording, and I'm curious what is driving that, or am I reading too much into it?

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

I'm not sure that I understand what is referring that is not clearly written in the document.

Suraj Kalia
Managing Director and Senior Analyst, Oppenheimer

Yeah. Your earnings release says you're, like, considering filing another 510(k). I'm curious why. Is there anything, any other mitigating factor that is causing some sort of reconsideration of filing, or am I reading too much into the words considering filing?

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

Yeah, you are reading too much. I think that if you can see that basically on all fronts, on the Nanox.AI, including the ARC, we're all the time developing more and more. We are going to show in the RSNA new applications and new ways of using the ARC. It will be presented in the RSNA. Having said that, it doesn't say that we're not going in the future to submit more FDA approvals or more requests for FDA approvals to future users of our system, including both the source and the ARC itself.

Suraj Kalia
Managing Director and Senior Analyst, Oppenheimer

Got it. In terms of the multi-source, has it been independently validated, i.e., you know, with non-Nano-X-affiliated people? Has any other independent expert evaluated it so far?

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

First of all, this happens all the time, but I would suggest that, as Ran said, wait for the RSNA, and you will see what's coming up.

Suraj Kalia
Managing Director and Senior Analyst, Oppenheimer

Okay. Erez, forgive me if I missed this. The 1,000-unit production run that has been talked about in the past, I don't, I'm not sure if I heard an update on that. Maybe you could provide some color.

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

We don't have any reason right now to believe that this is not the target that we would like to continue to stand behind.

Suraj Kalia
Managing Director and Senior Analyst, Oppenheimer

Okay. Finally, on the SEC subpoena, when was the original request for documentation information received? When was it first received?

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

As we filed, as we said in our filings today, the original written request for documentation from the SEC was received on November 8.

Suraj Kalia
Managing Director and Senior Analyst, Oppenheimer

November eighth. Okay, perfect. Gentlemen, thank you very much for the time and answering my questions. I do appreciate it.

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

You're more than welcome.

Operator

Thank you. Our next question comes from Ravi Misra with Berenberg Capital. Your line is open.

Ravi Misra
Managing Director and Equity Research Analyst, Berenberg Capital

Hi. Good morning, Erez. Good morning, Ran.

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

Hi, Ravi.

Ravi Misra
Managing Director and Equity Research Analyst, Berenberg Capital

So I-

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

Good morning. Good morning.

Ravi Misra
Managing Director and Equity Research Analyst, Berenberg Capital

I want to just kind of go back to that 1,000-unit production cycle that you're discussing. Can you just kind of give us in light of the updated commentary out of the Korean facility, I think you said second quarter, and kind of the original commentary from earlier this year saying some of these units will be produced in Israel. You know, what is the kind of production schedule right now as you see it in terms of where the first 1,000 will be made? I guess, is there any risk if there are delays in Korea that you're unable to hit that number next year?

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

First of all, we have not disclosed any specific on this one. Bear in mind that we have already enough chips that will enable us to do what we do from the original manufacturer from the Japanese. Currently we have a lot which is independent to the manufacturing of the Korean one. Right now, all the units are being assembled in Israel, and we have not made a decision yet when we're going to switch to gear up to scale up the process of assembly. Once we do, and I think it may be sometime during the first third of next year.

If there are any changes, we're going to let the market know any changes that will take place on this one. Right now, we don't see. We're making a lot of orders in the supply chain in order to be ready.

Ravi Misra
Managing Director and Equity Research Analyst, Berenberg Capital

Okay. On the kind of, you know, potential second submission to the FDA, can you just help us think about what is gonna be the key difference between that and the original submission?

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

I think that it was clear that it's not a second submission, okay? We are planning a lot of submissions in the future to the FDA. Once we move on and we develop more applications and more releases in terms of the use of the system, then we're going to submit further. I think that after the RSNA, when you see the system, you will probably be more into the understanding of what has to be done and what kind of further submission we would like to do in the future.

Ravi Misra
Managing Director and Equity Research Analyst, Berenberg Capital

Is that RSNA, are you going to be attending the event or is it gonna be virtual like last year? I guess my last question would be just on the SEC investigation. You know, I mean, November 8, I guess, is when they—when you said they've started the first line of inquiry. The subpoena, I guess, was received, what? Today, yesterday, or a few days after that? Can you just help put some timing around that? Thank you.

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

So-

Ran Daniel
CFO, Nano-X Imaging Ltd

No. Uh-

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

I'll give Ran to answer the SEC, and then I will address the RSNA.

Ran Daniel
CFO, Nano-X Imaging Ltd

Okay. As for the SEC matter, the subpoena was received on November eighth. We had informal and verbal discussion with the SEC. That's it.

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

With respect to the RSNA, the ARC is going to be presented virtually. Actually, what used to be Zebra has secured a booth in the RSNA, and they are going to be. Nanox.AI will be presented there, as people will be there as well in person. Part of our people will be there, including people from the ARC division.

Ravi Misra
Managing Director and Equity Research Analyst, Berenberg Capital

Thanks. Just maybe one final clarification, and thank you very much. If the subpoena was November 8, just curious, when did the original SEC investigation begin? Thanks.

Ran Daniel
CFO, Nano-X Imaging Ltd

It was short period before.

Operator

Okay. Our next question comes from Rahul Rakhit with LifeSci Capital. Your line is open.

Rahul Rakhit
Equity Research Analyst, LifeSci Capital

Hey, guys. Thanks for taking the questions. Just two from me. In terms of the upcoming filing, maybe could you comment on, you know, the X-ray tube that you guys wanna use, maybe on, well, what the kVp could be or whether it's gonna be a glass or ceramic tube, and maybe an update on the manufacturing there as well.

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

First of all, I think I mentioned it. We are with the original process and plans for the manufacturing. Right now it's being done in Israel. We have no need to add in terms of the kVp that we have already achieved. It will be all presented, not live in-person, but live in the virtual presentation in the RSNA. You'll be able to see also answers to the question of these, the question that you ask.

In addition, I think that the more we go into the deployment process right now in the countries that we're going to operate and initially start to implement and put our systems next year in place, we will probably be more exposed to what further applications, requests, details has to be further presented and submitted to the FDA. The more we go into the future, the better we know about this one as well.

Rahul Rakhit
Equity Research Analyst, LifeSci Capital

Got it. Okay. Appreciate that color. Just last one for me. Once again, congrats on the most recent contract. Maybe you could talk a little bit about the interest that you're seeing, as well as geographically, kind of where you guys expect to see a bit of interest or the next few contracts. Thanks for taking the questions.

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

You mean next contract?

Rahul Rakhit
Equity Research Analyst, LifeSci Capital

Yes. Looking forward.

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

Once we sign, we then announce this will be the next 6-K. I would say that there is a kind of a race between few of the players that we're trying to engage in in the future, who's going to sign first. I'm kidding, but seriously speaking, I think that once we have more clarity on the next agreement, then we know what to tell and when it's going to be implemented. Right now, as you can imagine and see, we are getting more and more attention to the future deals that are to be signed. As we speak, there are a lot in the process in the pipeline.

Rahul Rakhit
Equity Research Analyst, LifeSci Capital

Got it. Good to hear. Appreciate it, guys. Thank you.

Operator

Thank you. We have a follow-up from Jeffrey Cohen with Ladenburg Thalmann. Your line is open.

Jeffrey Cohen
Managing Director and Director of Equity Research, Ladenburg Thalmann

Thanks again for taking the question. I wondered on the regulatory front, outside the U.S. for the multi-source, is there any update or any progress on, timing with regard to, CE and other territories?

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

No, nothing new in this respect. We will be working on the CE and simultaneously with the FDA. Once, as you can imagine, since we work on a global basis, not everywhere we need FDA or CE, 'cause some countries will require local. Generally speaking, we work on a global basis to get the FDA and the CE and others, but at the same time, we're going to implement the deployment in other countries where it's not necessarily will require to this specific regulatory approvals.

Jeffrey Cohen
Managing Director and Director of Equity Research, Ladenburg Thalmann

Okay. Perfect. Thanks again.

Operator

Thank you. I'm showing no other questions in the queue. I'd like to turn the call back to Erez Meltzer for closing comments.

Erez Meltzer
Executive Board Member, Nano-X Imaging Ltd

Thanks for the support and for participating in this call. We'll further discuss, as Ran was saying, and we'll probably have more discussions either on one-on-one or others that will come in the near future. Feel free to get in touch with Mike or with either one of us to further, and thank you so for being part of today's call.

Ran Daniel
CFO, Nano-X Imaging Ltd

Thank you all.

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