Greetings, and welcome to the Sanara MedTech Incorporated Q3 2023 results and business update call. At this time, all participants are on a listen-only mode, and 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. I will now turn the conference over to your host, Mr. Callon Nichols. Sir, you may begin.
Thank you, and good morning, everyone. I'd like to welcome you to Sanara MedTech's earnings conference call for the quarter ended 30 September 2023. We issued our earnings release yesterday afternoon, and I would like to highlight that we've posted today's deck on the investor relations page of our website.
This supplemental deck, as well as a copy of the earnings release and Form 10-Q for the quarter ended 30 September 2023, are available on this page. We will reference this information in our remarks today. We expect today's prepared comments from Ron Nixon, Executive Chairman, Zach Fleming, Chief Executive Officer, and Mike McNeil, Chief Financial Officer, to last approximately 15 minutes to allow time for Q&A.
Certain statements in this conference call, in our press release, and in our supplemental deck include forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. For more information about risks and uncertainties involving forward-looking statements and factors that could cause actual results to differ materially from those projected or implied by forward-looking statements, please see the risk factors set forth in our most recent annual report on Form 10-K.
As supplemented by the risk factors in our most recent quarterly report on Form 10-Q. Also, this conference call, our earnings release, and supplemental deck will reference certain non-GAAP measures. In that regard, I direct you to the reconciliation of these measures in the earnings materials that are available on our website. Now I'd like to turn the call over to Ron.
Thank you, Callon, and good morning, everyone. In Q3 2023, Sanara generated $16 million in net revenue, representing a 23% increase from the prior year period. The Q3 of 2023 was the 8th record revenue quarter for Sanara, and we continued to strengthen our sales infrastructure to support our growth strategy, as well as focus on increasing our penetration into hospitals where we have approvals and minimal revenue.
I'd like to point out that by the end of the Q3 of 2023, we had generated more revenue than in all of 2022. Our loss before income taxes narrowed from $3.2 million to $1.1 million year-over-year in Q3. We had a net loss of $1.1 million in Q3, compared to a net loss of $1.5 million for the prior year period. The company also realized an adjusted EBITDA of $300,000 in Q3, compared to an adjusted EBITDA of -$1.6 million in Q3 2022. Mike will provide more details on our financial results in a few minutes.
A key strategic milestone for the company in the Q3 was the acquisition of certain assets related to our collagen products business. The acquisition included all rights and ownership for human wound care uses for specific 510(k) cleared collagen-based wound care products, including CellerateRX and HYCOL. This transaction has had multiple financial and strategic benefits, as you will hear about later.
Turning to our product pipeline, subsequent to the end of the Q3, we had several key achievements. In early October, we realized our first sale of ALLOCYTE Plus Advanced Viable Bone Matrix. This product replaces our ALLOCYTE Advanced Cellular Bone Matrix product and is processed by a well-established supplier with in-house processing capabilities and affords us greater control of our product supply. Sanara has a sufficient supply to meet current demands, and we believe measures are in place to provide product for our future requirements.
In addition to our first sale of ALLOCYTE, ALLOCYTE Plus, the company also realized its first sale of BIASURGE Advanced Surgical Solution in early November 2023. We believe both of these products are key in our growth initiatives. As you know, our ATM offering of common stock was paused at the end of Q1, and we do not currently have any plans to reactivate the ATM. Now, Zach Fleming will provide more details on our business.
Thanks, Ron. I'd like to start my remarks with a discussion of our accomplishments over the past few years and how that has laid the groundwork for what we believe will be a very promising future for the company. In 2021, we acquired the assets of Rochal Industries, and since that time, we've achieved developing deep in-house technical capabilities for research and development.
Our efforts have proved successful with the launch of BIASURGE, and we currently have numerous other promising products at various stages of development. Over the past few years, we've executed on our strategy to expand our surgical bag, not only through the in-house development of BIASURGE, but also through the acquisition of Scendia and a license agreement with Cook Biotech.
We have also focused on expanding our approved locations, and recently, we were approved by a national GPO, leading to a 67% increase in hospital approvals between 31 March 2023 to 30 June 2023. This has set the stage for what we believe will lead to growth in 2024.
It'll be driven by a focus on increasing Cellerate usage in additional specialties outside of ortho and spine, and an expanded product portfolio with the addition of BIASURGE, multiple M&A opportunities, and continued work by Rochal to develop new products.
With that overview, I would like to now discuss our most recent results. ALLOCYTE supply issues negatively impacted our sales in Q3, but we believe we have resolved this supply issue with our new supplier of ALLOCYTE Plus. ... It will take some time to reengage with potential customers who we had put on hold, and these efforts have begun, and we are currently focused on our sales team along with BIASURGE.
Concern over CellerateRX cost to facilities due to surgeons' significant use of the product negatively impacted growth in four territories. The surgeons see a great value to, as they say, protect their work. However, procurement reduced or limited usage in a few of these instances. These territories, as well as our business as a whole, have been analyzed, and appropriate adjustments have been made, including building stronger account relationships, internal personnel adjustments, the identification of new selling 1099 partners, and expanding our selling efforts to additional specialties.
We have expanded our training to both our direct and indirect sales team regarding account management. In the trailing 12 month period, our products were sold in over 1,000 hospitals and ambulatory surgery centers across 32 states, plus the District of Columbia.
A 33rd state missed our trailing twelve months revenue cutoff by less than $2,000. Our products were contracted or approved to be sold in more than 3,000 hospitals and ambulatory surgery centers as of 30 September 2023. Leveraging field intelligence and data analytics, we are looking at our data and data analytics. Sorry, I got a little caught up there. Looking at our product sales mix, sales of soft tissue products were $13.6 million, and sales of bone fusion products were $2.3 million in Q3.
The 16% sales growth for bone fusion products for the quarter year-over-year is encouraging, and we will continue to focus on continuing to build out these product lines. As Ron mentioned, we launched BIASURGE in early November of this year at the American Association of Hip and Knee Surgeons conference, and our first sale was made shortly after that. We have ample supply of this product and are currently selling it through our distribution network.
Initial feedback has been positive, and though it will take time to add this product to our existing contracts, we believe there is a case for this product to be used in any surgery where our existing products are being used. Prior to launch, we were able to add BIASURGE to 41 contracts. We will continue to build on these efforts as we market the product.
In August 2023, as Ron discussed earlier, we completed the acquisition of certain assets related to our collagen products business. With this acquisition, we acquired specific 510(k) cleared collagen-based wound care products, including CellerateRX and HYCOL, 9 patents, and all of the seller's patents pending for collagen products for human wound care uses and five trademarks.
The acquisition gave us control of the manufacturing process for CellerateRX and HYCOL, which is expected to reduce costs. Additionally, we now have full rights to develop new collagen products for human wound care uses based on the acquired technology, including CellerateRX and HYCOL, and new application formats. Looking at the financial impact, the transaction eliminates the royalty we paid on CellerateRX and HYCOL to the sellers.
The initial purchase for the acquisition was $15.25 million, consisting of $9.75 million in cash paid at closing, shares of the company's common stock with an agreed-upon value of $3.0 million, and four equal installments of $625,000 in cash.
The sellers are entitled to receive up to $10 million in potential earn-out payments, as well as certain royalties and incentive payments on future products that are developed. The cash at closing was funded through a loan provided by Cadence Bank. Our gross margins increased in Q3 to 89% from 86% in Q2 2023, as a result of this acquisition and the elimination of the royalty we previously paid to the seller.
I would now like to spend some time on the post-acute value-based strategy, which we have renamed Tissue Health Plus. As we have discussed before, we see significant opportunity to positively impact the post-acute wound care market, where costs are significantly increasing and a shortage of wound care experts, paired with an aging population, is materially impacting the quality of care and outcomes. We are planning to offer payers and other population risk-bearing entities a first-in-kind integrated wound prevention and treatment program.
We will bundle advanced products, technology, and clinical delivery through value-based contracts for this $35 billion+ market. We are exploring ways to accelerate the commercialization of this strategy or find appropriate partners to participate in the execution. Our spending year to date for Tissue Health Plus has been over $5 million. Now I will turn it over to Mike to discuss our financial results.
Thank you, Zach. As Ron mentioned earlier, we generated revenues of $16 million in Q3 compared to $13 million during the Q3 of 2022, a 23% increase over prior year. For the nine months into 30 September we generated revenues of $47.3 million, compared to $30.5 million during the same period in 2022. This represented a 55% increase over the prior year period.
The higher revenues in 2023 were primarily due to increased sales of soft tissue repair products and, to a lesser extent, bone fusion products as a result of our increased market penetration, geographic expansion, additional revenues as a result of the Scendia acquisition, and our continuing strategy to expand our independent distribution network in both new and existing U.S. markets.
SG&A expenses for the Q3 were $13.9 million, compared to $12.1 million during the Q3 of 2022. Year to date, SG&A expenses through 30 September were $40.7 million, compared to $31.9 million in 2022. The higher SG&A expenses in 2023 were primarily due to higher direct sales and marketing expenses, which accounted for approximately $6.8 million or 77% of the overall increase from prior year.
The higher direct sales and marketing expenses in 2023 were primarily attributable to an increase in sales commissions of $5.9 million as a result of our higher product sales. Year to date, SG&A also included $0.8 million of increased costs as a result of salesforce expansion and operational support. R&D expenses for the quarter ended 30 September 2023 were $1 million, compared to $1.1 million for the same period last year. Year-to-date R&D expenses were $3.5 million, compared to $2.3 million for the same period in 2022.
The higher R&D expenses in 2023 were primarily due to costs related to the Precision Healing Diagnostic Imager and LFA. R&D expenses also included costs associated with the ongoing development for projects currently on our currently licensed products. We had a loss before income tax of $1.1 million for the Q3, compared to $3.2 million during the same period in 2022. Our year-to-date loss before income taxes through 30 September was $4.2 million, compared to $9.8 million in 2022.
The lower loss before income taxes in 2023 was due to operating expenses increasing at a slower rate than net sales, in addition to the benefit recorded as a result of the change in fair value of earn-out liabilities. For the quarter ended 30 September we had a net loss of $1.1 million, compared to a net loss of $1.5 million during the same period last year.
For the nine months ended 30 September we had a net loss of $4.2 million, compared to $3.9 million during the same period last year. Our cash on hand at the end of the quarter was $6.2 million, a slight increase from $6.1 million we had on hand at the end of the Q2. With that, I'll turn it back over to Ron for some closing remarks.
Thanks, Mike. In summary, we are very, very proud of our continued record quarters, as well as the introduction of another impactful proprietary product for surgery named BIASURGE. We will continue to work on executing our strategy to achieve improving growth rates and expect to be aided by ample supply of ALLOCYTE Plus.
The key strategic acquisition of assets related to our collagen business will improve our financial results by eliminating the royalty we pay as we continue to grow CellerateRX and HYCOL. And this also allows us to develop new proprietary products based on these assets through Sanara's research team. That concludes our remarks, and we look forward to answering any questions you may have. Operator, we're ready to open the call for questions. Thank you.
Thank you, sir. Before we go to our phone lines, we've had a question sent in. Could you please add more color to the CellerateRX sales slowdown? And did I understand correctly that certain hospitals have capped CellerateRX purchases because surgeons were buying too much of it?
Zach?
I can take that. This is Zach. Yeah, Y ou're, you're correct. There were a few hospitals where usage was outpacing what procurement preferred, and so they limited usage. And that's where we've seen a little bit of a slowdown, and we've responded by, you know, training up our sales representatives to make sure everybody's educated on the reasons that, that product should be used, and that there's an initial evidence and additional evidence that can be provided to support the usage.
T hen as further, we wanted to, we put people on to additional specialties, so you'd have a broader reach into the surgeon specialties, as opposed to being focused on maybe just a few specialties in the building. And that helps to, you know, standardize the usage so that the hospitals, you know, allow the continued usage.
Thank you, sir.
What I'd also like to say, and what I'd also like to say, in addition to what, as Zach just said, Sanara has spent a lot of money on gathering the evidence, clinical evidence on numerous studies, some of those of which have just recently come out, to support what the value of our products are in terms of the overall value proposition of lowering overall cost and improving outcomes. We see that data as being very impactful. We'll continue to do more studies to support that, to just keep using evidence as our basis for why these products are so impactful in surgery, as opposed to just a preference by a surgeon.
Thank you. Ladies and gentlemen, at this time, we will be conducting our 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, and 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. One moment, please, while we pull for questions. Thank you. Our first question is coming from Ross Osborne with Cantor Fitzgerald. Your line is live.
Hey, guys, congrats on the progress. Thanks for taking our questions. S tarting off, and apologies, we're juggling a couple of calls, but would you provide some more color on the unique end-market challenges you called out in your press release? Any foresight into those fading this year or early next?
Did you say fading?
Yes.
Okay. Yeah, we think we've achieved that s o, you know, in terms of those facilities where they were impacted, it was limited to just a few, I believe four markets. And it, you know, was a, where an instance where the product was utilized beyond what procurement was comfortable, procurement pushed back on that spend.
V ery situational, and in those, each of those instances, obviously, we've remedied that. And moving forward, we'll be able to pick up additional facilities to cover the, you know, slight slowdown in those areas, as well as regain those markets with additional effort. And that would include, you know, in-servicing, making sure everybody's educated on the use of the product, and of course, additional surgeons, as I mentioned a minute ago.
Okay, got it. And then maybe turning to some of your recent product launches. You know, how should we think about ALLOCYTE and BIASURGE's market opportunity in terms of annual dollars and adoption there, realizing it can be used in a variety of surgeries? But where do you think the low-hanging fruit is, and how would you rate market awareness?
I think the low-hanging fruit is, you know, any patient where there's a risk for potential infection, and that's very broad y ou know, there's a lot of surgeries that there's a risk based on the patient's comorbidities, you know, different statuses of disease state, et cetera.
And of course, you know, all surgeries have some risk of a complication or infection s o what we're trying to do is place that product in a prophylactic position where it could be used to prevent any of those types of infection events or complications. Y ou can imagine really every surgery could potentially be appropriate for that. C ertainly, it's gonna be focused on those patients where there's a risk factor, and that would be where we would start.
You know, in terms of just the acceptability, I think that's a commonly used practice that, in historical sense, they have used an antimicrobial wash of some type, usually one that's made in-house by the pharmacy, but that's not very standardized and not consistent. I n recent years, there's been a few market entrants where they've come in and offered a consistent, you know, manufactured wash, like BIASURGE.
Ours offers benefits that the others don't, you know, such as it's a leave-in rinse. It's also a product that has a low cytotoxicity, and it allows for leave-in usage, means they don't have to wash it out with saline. So we think we have a market position there and, of course, an attractive value to the facility.
You know, Ross-
Okay.
You may remember this. Ross, you may remember this from past data that we have provided. You know, we have tested the BIASURGE-based formula against numerous of our competitors, and it outperformed them for biofilm kill, as well as the kill of VRE, MRSA, and other types of bad, bad actors out there from the microbe standpoint. T herefore, we see significant market opportunity for this product, as Zach mentioned, and it will be a key core product for us as we move forward, we believe.
Okay, great. Thank you for that. And then lastly, in terms of your aspirations to be a comprehensive wound company, is there any more color you can provide on the types of partners you're looking for, that it could add a value-based component? And lastly, any update on Precision?
Yeah. I didn't hear the very last part i heard about what the profile of the partners that we would seek out for the value-based arrangement would be, but I didn't hear what you said after that.
That's correct. And then, just any update on Precision Imaging?
Oh, yes. Okay. T wo things. I'll give-- I'll take that, Zach. Two, two things on that, Ross. One, when you think about our overall value-based strategy, it involves everything through the post-acute s o it'd go from the discharge at the hospital, it would be down through the entire post-acute, which would include the skilled nursing facilities, home health, and, and, and then ultimately at home, when they're not on a care plan-- a planned care.
W hat we would, what we're looking at is, who else could we team with that would really provide that level of service at the home? And there's numerous, numerous home healthcare companies that we know exceedingly well, that are interested in the value-based play.
We also know that this is a focus on skilled nursing facilities, because as you know, with the passing of legislation for SNF at home and other programs like that, everybody's looking to be able to pick up efficiencies and lower costs and improve outcomes. So there's gonna be way more focus on that as we move forward with the value-based arrangements staying front and center. More and more CMS dollars are being allocated to these value-based arrangements, so we see fee-for-service shrinking.
CMS and numerous other payers have responded by saying, "We've got to get a value-based strategy for these difficult specialties like wound care, where they are having very high increasing rates and not great outcomes for their patients." P eople that would be in the SNF, in the post-acute, or people that bring technology or other things, or payers that understand the risk that they're taking, could even be a part of that, as well as providers of the services themselves.
W e've got a broad array of potential partners, and we've obviously been in discussions with numerous of these over the last year as we prepare. And then secondly, on Precision Healing. Precision Healing on its lateral flow assay and on its imager, we're going a different pathway with that, and it's a pathway that will achieve more from the standpoint of an FDA approval. W e've taken our time and decided that let's get the better pathway that will achieve greater outcomes and greater potential acceptance of the product. So that's what we're doing.
Okay, sounds great. Appreciate you addressing our questions.
You bet.
Thank you. Our next question is coming from Ian Cassel with IFCM your line is live.
Maybe as a follow-on to, to Ross's question. You mentioned in the presentation that you've spent about $5 million on the Tissue Health Plus strategy year to date. Do you expect that number to, to increase, decrease, you know, as you start to commercialize that over the next 24 months?
Yeah, for Sanara itself, we don't expect that number to increase. We would expect that number to decrease over the next 12-24 months, and that would be by executing our strategy with the right kind of partners that would start to carry some of that load themselves.
Okay. M aybe getting back to BIASURGE. I know you just launched BIASURGE back in, well, just earlier this month. Can you give us some color on sort of the just the early indications you're getting from the surgeons as you launched it?
Yeah. Zach, would you mind?
Sure, you know, absolutely. Great indicator that we got 41 approvals before launch, you know, so that was really encouraging to see that these hospitals as well as surgeons felt like there was a need and there was demand, and so we were able to get the approval. And then since launch, the American Association of Hip and Knee Surgeons, called AAHKS, as we call it, really great response y ou know, just the booth was packed every day. There was a lot of questions w e had our scientists in the booth. We had our medical science team in the booth.
A lot of interest in terms of just the ability for this product to have an impact on their surgeries. T hat momentum has continued. We've seen a lot of uptake, a lot of surgeons. We've also seen a lot of distributors asking to add that product into their bag and their product mix. So we're really excited about it.
Now, thanks for that. And maybe when investors think about BIASURGE, you know, what is the kind of type of revenue per surgery on a product like that? I know, you know, CellerateRX's, you know, several hundred dollars per surgery or somewhere around there. You know, how should we think about BIASURGE? Is that, you know, $30 a surgery, $100, $200? You know, what range should we be thinking about?
Yeah, we have just started pricing on that in those first facilities, and I'd tell you we're averaging, you know, somewhere around $200 a unit right now. And that unit is 1 liter, and that would be, we're yet to be determined how many they use per surgery.
Okay, excellent.
That's a pretty small sample, but I just would share that with you here early.
Okay, thank you. That's helpful. Maybe switching to, to ALLOCYTE. You know, how would you kind of characterize the demand you're seeing now that you have supply again for that product? I mean, is it, is the demand you're seeing kind of back to the levels you saw before the supply disruption? And, you know, maybe just give us an indication of that.
Yes, the demand is there. It's just a little bit of a process to get back added to facilities y ou know, we did have to create the line extension, ALLOCYTE Plus, and that needs to be added to the contract s o that's really the biggest kind of stopgap of why we haven't gotten back completely where we were. But, we are selling, we are seeing a lot of a pickup to that product, so we're really pleased with that.
Okay, excellent. Thank you.
You're welcome.
Thank you, Ian.
Thank you. Our next question is coming from Stephen Reid with Pitch Investments. Your line is live.
Hi, guys. I think I-
Go ahead.
I just want to follow on Ian and Ross's question. They hit most of them, but mine will be around the Precision Healing on the imaging w hat you've learned, if you've learned anything from the FDA, and then what the process you see going forward on the lateral flow assay submission and approvals?
You want to take that, Ron? Is Ron still there? Did I lose everybody?
It appears-
Hello?
It appears Mr. Nixon's line has gone down for a moment, but he is dialing back in as we speak.
Okay. Well, if you want to repeat that real quick, Stephen. I was thinking Ron was gonna field that, but if you'd repeat that, I'll answer it.
Yeah, sure. Really around the Precision Healing, what you've, what you've learned so far from your submission, if you've received any feedback. T hen, going forward on the lateral flow assay or molecular assay, where you're at with that, what you've learned, and what the process would be for you to go forward with that technology.
Yeah, we are working closely with the FDA on the multispectral imager. So we've gotten feedback on that and working for another submission and should have that, you know, feedback again shortly s o we're working with them to resubmit. The LFA, we have not announced, so I'm going to withhold comments on that particular component.
Okay. Have you received any feedback yet on going out, looking for your appropriate partners for the Tissue Health Plus? Is the imaging-
You know-
and diagnostics a critical piece of the process.
Yeah
before you see that study materialize?
Yeah, we're—I'll take that. This is Ron. The interest is high out there because everybody recognizes the potential opportunity of this. From our perspective, we believe that the market is much greater than what is reported in the market, because it's hard to capture the complete cost of wounds because of all the comorbidities that they've got b ut with most of the people that have the payer data.
They understand that the complications from wounds related to diabetes, related to COPD, CHF, mobility with pressure ulcers, all types of things like that w hen you look at the all-in costs, cost of amputation, cost of readmission back into the hospital, cost of these complications that may be associated with diabetes, but not labeled as the wound w hen you really look at all of those...
You think about our prevention program and then, better solutions for treating these and avoidance of these, of having people go to the wrong location to get their wounds taken care of, meaning higher cost centers. All of that is gonna be very appealing to the audience that we're talking to. A t this time, we're not prepared to talk about who those partners are, but there are numerous partners out there that would be interested in joining us with the effort that we've put in over the last many years of building this platform.
Thanks, Ron and Zach. I appreciate the update.
You bet. Thanks.
You're welcome.
Thank you. Our next question is coming from Niraj Gupta with GCI Partners. Your line-
Good morning, folks. Couple questions, all related to BIASURGE. Could you guys just speak more broadly on BIASURGE? My understanding was that the product was applicable to virtually any surgery involving you know, sealing the wound cavity. You know, Zach, Ron, could you guys just speak a little bit to the broadness of the potential applicability for BIASURGE as a product?
Yeah.
Sure.
I think let me clarify one thing i 'll let Zach answer, but it's, it is to kill the bacteria in the wound bed, not to seal anything. It's not a sealant.
Right.
But, uh...
Yep.
But I'll have Zach answer the question about the opportunity.
Yeah, I think, I think you're right, Niraj. I think you, you know, you could imagine this product being used on any surgery. You know, so if, if you are thinking about the OR, the OR is a sterile environment h owever, microbes do get introduced, inadvertently, and t hey wanna protect that, that surgical, margin, that area where they've been doing the work for, you know, say, an implant or any other type of surgery you might think about.
T hey typically will wash that area throughout the surgery, usually with saline, and then they will close with a product like this, where its antimicrobial nature and cleanses or, sterilizes the field that they were working in. And then that would reduce surgical site complication.
Just to add to that, we think the data that we have historically already gathered on this product doing a number of studies, one of which has not come out yet, but will be out shortly, that was used in the post-acute market. I think you'll see that the applicability to that is gonna yield lots of results 'cause all the surgeons are always interested in making sure to minimize the potential for from surgical site infection.
And w e believe that, you know, they have released that study t here was a retrospective study that is on the focus on reduction of surgical site infections, not related to BIASURGE, but to Cellerate. I t's a perfect complement to Cellerate, but it also is standalone because of just the impact it's got on microbes in terms of its kill rate. I think there's just significant opportunity for this product as we move forward.
I guess the thought then is, initial strategy is to leverage your existing presence with Cellerate, as you've done with the, you know, 40-some-odd locations. A s we think longer term, the strategy in terms of, marketing and, you know, surgeon penetration is much broader than what you would, you know, what you're selling today is for Cellerate. Is that fair?
I think it is.
Yeah.
I think we're learn-
Yeah.
We're learning about the product today, you know, in terms of who has the appeal for the product, and our impression is, yes, it could be broader than Cellerate because it's really for any surgery, as opposed to those that maybe are just people who have trouble healing with Cellerate. Cellerate has a massive market, obviously, because they aren't able to predict always which patients will have complications or challenges healing.
W e've seen Cellerate be a tremendous grower because there's so many patients that are benefited from it. W e think that BIASURGE is very similar in that respect, that, you know, it's gonna complement the healing, it's gonna complement the outcomes of the patient.
You know, when you think about the doctor's trouble of trying to keep patients healed post-surgery, both these products serve a great purpose to do that. They allow that patient to have low, microbes and then increase the biologic activity to support the healing with Cellerate. I t's a nice one-two punch y ou clean the area, and then you complement the healing with Cellerate.
Thanks, Zach. T wo quick ones related to that. O ne, on BIASURGE, you talked about, you know, rough pricing parameters, you know, per liter. Do you expect, you know, typical surgery would involve potentially more than one liter of usage?
Still learning, but yes, there are surgeries that will require more than 1 liter, and it's typically based on size, but certainly, you know, if you had a patient that was a revision surgery, where there's already an infection, that could be a surgery where they could potentially use some additional product than 1 liter.
Okay. And then the final one was just, just thinking about, you know, bundling, pricing, and just kind of maximizing, you know, the growth y ou know, your tool bag is growing, but you've got, like, you know, two outstanding products in Cellerate and and BIASURGE in terms of kind of the data about the efficacy and and and you know, and whatnot.
Could you just speak to, like, how does it impact your ability to more broadly, you know, penetrate, you know, the combined product offering by having, you know, both to go to market with? And what, how does that, you know, help reinforce the value proposition Cellerate as you think about, you know, ultimately where we are in the life cycle of that product relative to where it can ultimately get to?
Well, I think it just really starts more conversations, you know, because of the broad appeal w e saw this in the booth at the Hip and Knee Surgery Conference. You know, there's just a nice starting point, either product, and then you can end the conversation with the other product. And I think, you know, when you're able to broaden the conversation to meet the needs of the surgeon and the patient, you know, I think that's a good thing.
H aving BIASURGE, it really talks about the antimicrobial action and reducing those microbes in a surgery. You know, that then starts a conversation a nd once you finish that, you know, then you'd want to start to support the healing, and that's where CellerateRX would then enter the picture in the conversation s o I think it's really beneficial.
T hen, of course, for the hospitals, they really appreciate the sole sourcing of products like this, so they don't have to go to multiple vendors in order to get these products. I t certainly helps with our strength in a hospital, in our staying power, because they would then say, you know, Sanara is an approved vendor. They have great products. They support the cases well, et cetera, et cetera a nd so, you know, puts us in more situations, more shots on goal.
Yeah. And, and to add to that, Niraj, I, I believe that, what we're demonstrating, not only with, Accelerate, but any of the new products that we've come out, we've said, from the very beginning of Sanara that we're going to provide advanced, advanced solutions that are proprietary for our surgeons, our hospitals, our post-acute market e verywhere we are, we wanna provide unique solutions that are gonna do two things w e've stayed the, stayed the course on this from the very beginning: improve outcomes and lower costs.
And if we can continue to do that, and we demonstrate that with multiple products, we believe that the brand Sanara will actually continue to expand, where we get more and more confidence from whoever our customer is, that they know what they're doing, they're backed by strong research. They've got a lot of capabilities to be able to come in and impact what we do to achieve those two goals of lowering cost and improving outcomes.
Thank you both.
Thank you, Niraj.
You're welcome.
Thank you. Our next question is coming from Bill Brewster, who is an investor. Your line is live.
Morning, gentlemen. Thank you for your time. I wanted to ask a question. Just going through the commission structure and how this business works from an SG&A perspective, should I be thinking that the commission... The real question that I have at the core of it is, what kind of operating leverage are we gonna get on the sales base, you know, three four, five years out?
I guess that the question that I keep coming up with is, how should I think about how the commissions are paid here? And are they recurring commissions, or are these commissions typically that are paid out and then sort of decline over the life cycle of a relationship with a hospital or a doctor?
Yeah. B ill, we don't actually disclose any of the information on our commissions separated out from SG&A. But what I would just tell you is there are always going to be opportunities as we grow this business, to think about the leverage of your SG&A expenses relative to the growth. So we'll, we, as we see more growth, you will see more reduction and, and or what I would just say, improvement in efficiency from that, that.
Yeah.
But you're, you know, as we expand, as Zach mentioned, we were just short of going into the 33rd state. As we continue to expand, you're still going to be having a similar construct where you've got people that you're paying in the field. There's gonna be a reward system for them achieving goals, which means commissions, and that's just the way that that will be, you know, moving into perpetuity.
I t doesn't mean we might not be able to gain some additional efficiencies. You know, where we've also gained efficiencies is by doing things that accomplished our margins continuing to go up, and so that helps us as well, and our most, as we just explained earlier in the call, by buying in the royalty stream that we were paying out. T hat's where we see how we're picking up our efficiencies.
That makes sense to me. That was my question, so I appreciate-
Yeah.
- your, your answer.
Yeah. Thank you, Bill. Appreciate it.
Thank you. As we currently have no further questions in queue at this time, I will hand it back to Mr. Nixon for his closing comments.
Yeah, thank you very much. We appreciate everybody being on the call today. Thank you for all the very good questions that you've asked. We're enthused about where we're headed with the company, and as I think all of you know, we're in it for the long term.
We want to really build this around our goal of lowering cost and improving outcomes w e want to reach every possible ASC or hospital or any place that we can utilize our proprietary products and our services as it relates to our post-acute. T thank you, guys, for all the support. We appreciate that, and that'll be the end of our call. So thank you all again for being a shareholder of Sanara.
Thank you, ladies and gentlemen. This concludes today's conference, and you may disconnect your lines at this time, and we thank you for your participation.