Hyperfine, Inc. (NASDAQ:HYPR) Q3 2023 Earnings Call Transcript

Hyperfine, Inc. (NASDAQ:HYPR) Q3 2023 Earnings Call Transcript November 10, 2023

Operator: Good afternoon, and welcome to Hyperfine's Third Quarter 2023 Earnings Conference Call. Currently, all participants are in a listen-only mode. We will be facilitating a question-and-answer session towards the end of today's call. As a reminder, this call is being recorded for replay purposes. I would now like to turn the call over to Marissa Bych from Gilmartin Group for introductory disclosures.

Marissa Bych: Great. Thank you for joining today's call. Earlier today, Hyperfine Inc. released financial results for the quarter ended September 30, 2023. A copy of the press release is available on the company's website as well as sec.gov. 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 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, expense management, expectations for hiring, training and adoption, growth in our organization, market opportunities, commercial and international expansion, regulatory approvals and product development 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 latest periodic filings with the Securities and Exchange Commission. This conference call contains time-sensitive information that is accurate only as of the live broadcast today, November 9, 2023. Hyperfine Inc. 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.

And with that, I will turn the call over to Maria Sainz, President and Chief Executive Officer.

Maria Sainz: Good afternoon, and thank you all for joining us. On the call with me today is our Chief Administrative Officer and Chief Financial Officer, Brett Hale. In the third quarter, we saw the benefits of our focus in the U.S. and the realization of our new pricing model resulting in an improvement in the financial profile of our business. We achieved revenue of $2.3 million plus compared to the same period last year and up 55% year-to-date. We saw six Swoop systems predominantly U.S. direct sales, driving record, average selling price, and gross margin. As we have mentioned in the past, commercializing ultra-low-field MR brain imaging requires us to develop a new capital equipment imaging market. Our technology may explain imaging possible at multiple types of care from critical care units to neurology offices anytime a patient can benefit.

We are still learning the dynamics of the selling cycle and advancing through many firsts, with every deal being somewhat unique considering our customers are early adopters of these new imaging paradigms. This involves adoption of new technology and new workflows. We also continue to closely manage our cash use with controlled spending while investing in our three strategic pillars, innovation, clinical evidence, and commercialization. Exiting the third quarter, I'm very proud of the execution of the team, transforming our financial profile and laying a strong foundation for the future of our business. Innovation continues to be an area of great focus as we pursue development projects across all elements of the Swoop system. In addition to our many year-to-date improvements, we have a strong cadence of enhancements in hardware and AI powered software planned to further advance the image quality, clinical utility, and application of ultra-low-field MRI.

On our last call, we mentioned our plan to launch another software upgrade by early 2024. Today, I am pleased to share that we have already received FDA clearance for this software update and plan to launch it before the end of the year a couple of months ahead of schedule. This is our eight FDA clearance since our initial system launch in 2020. It includes proprietary AI and deep learning algorithm in the DWI sequence, adding significant value to the clinical utility of our platform. This expands our AID noise and capabilities by incorporating advanced image post-processing into the DWI sequence. The system's other sequences, T1, T2, and FLAIR previously benefited from this AI feature. Denoising enables a crisper image that potentially helps clinicians more accurately diagnose, further treat, and monitor patients undergoing brain imaging.

As we move forward, we are continuously investing in improving our AI powered imaging quality and usability leveraging each imaging focused software release to further improve Swoop system performance. As a reminder, the process of launching software updates is straightforward for our team and customers. With most U.S. Commercial Swoop systems operating as connected sites, where the new updates are downloaded remotely without the need for field team or technician interventions. We look forward to updating you on our innovation road map for 2024 on our next call. Now turning to clinical evidence, I would like to update you on the work we are doing on different studies across the breadth of current and future applications for our platform technology.

We continue to collaborate with leading U.S. and international institutions on multiple scientific research and clinical studies that support our current and future potential clinical use cases, relevant to our beachhead use case today, imaging patients in critical care. I'm excited to share the data from the SAFE MRI ECMO study was recently presented at the APELSO meeting in Seoul, South Korea. The study evaluated the benefits of using portable MR brain imaging for monitoring patients on ECMO which is advanced life support, highlighting its post-operative ischemic stroke detection capabilities compared to CT scans, especially in spotting skin injuries early. The study further underscores the role of MR based neuroimaging in acute brain injury detection and the potential for allowing improvement in neurological outcomes.

In stroke, we are pleased with the pace of enrollment and physician excitement in our ACTION PMR study, a multicenter evaluation to assess the use of Swoop system in detecting acute ischemic stroke. We remain bullish about this opportunity and look forward to sharing updates in the coming quarters. Looking further ahead, I want to touch on the large new opportunity for the MRI industry in the treatment of Alzheimer. We believe the portable Swoop system can offer a highly differentiated cost effective and accessible solution for this new use case. We have committed to conducting a clinical feasibility study led by a Swoop system key opinion leader who also has a passion for Alzheimer's. The Swoop system will be placed in infusion central workflow for the feasibility study, rendering the care navigation of these patients more efficient.

A cutting edge medical device in a sterile surgical setting, being operated by a skilled surgeon.

We're preparing to be in enrollment in the next couple of months. We have also appointed an Alzheimer's Advisory Committee comprised of leaders to help shape our efforts in this area. Turning to commercialization. As our U.S. Commercial teams gain tenure and experience selling the Swoop system, they are driving a broader and more robust deal pipeline quarter-after-quarter. U.S. deals dominated our revenue makeup in the quarter, including the completion of our multisystem sale to the Barnes steward Healthcare System we have previously announced. As we have mentioned before, our sales cycle is six to nine months. We implemented a new pricing strategy in early 2023. The heavy U.S. mix we drove in the third quarter, coupled with the realization of our higher U.S. pricing translated into a record overall ASP and a record gross margin.

We are in the early days of building this new market of ultra-low-field brain engine. We are still navigating and understanding the dynamic of the sales cycle and often face multiple reviews and approvals from clinical, new technology, MR safety, legal, IT, and administrative constituents you need to reach account resulting in timeline variability. As I mentioned in our last call, we recently iterated the makeup of our U.S. field force and have established three dedicated teams focused on selling, implementation and utilization. We are pleased with this new structure and hope to drive greater sales volume and strong reference size as our teams mature in their roles. As I complete my first year in the CEO role at Hyperfine, I am very pleased to report on the increasing interest in our technology across many different institutions, the strong positive feedback on our images and clinical utility and the record number of image reviews and demos that we are now running.

These are all encouraging indicators strengthening our commercial foundation. Before I turn the line over to Brett, I'm proud of the progress we're making and the continued focus we have on spending discipline and gross margin. Our focus remains on operating lean, while investing in innovation, clinical evidence and commercialization. We continue to see a cash runway for the business through 2025. I will now turn the call over to Brett to review our third quarter performance and discuss financial outlook in greater detail.

Brett Hale: Thank you, Maria. Turning to our financial results for the third quarter 2023. Revenue for the quarter ended September 30, 2023 was $2.3 million, flat compared to the third quarter of 2022. Year-to-date, we've generated $8.3 million of revenue up 55% from the first nine months of 2022. Gross profit for the third quarter of 2023 was $1.1 million, compared to $0.7 million in the third quarter of 2022 and reflecting a record 48% gross margin. Year-to-date, we have a 45% gross margin up 34 percentage points, from the 11% for the first nine months of 2022. R&D expenses for the third quarter of 2023 were $5.7 million compared to $7.3 million in the third quarter of 2022. Sales, general and administrative expenses for the third quarter of 2023 were $7.1 million compared to $6.6 million in the third quarter of 2022.

Year-to-date, total OpEx of $40.2 million is down 34% from $60.9 million in the first nine months of 2022. Net loss for the third quarter was $10.8 million equating to a net loss of $0.15 per share as compared to a net loss of $13.2 million or a net loss of $0.19 per share for the same period of the prior year. Year-to-date net loss of $33.6 million is down 44% from $60.1 million in the first nine months of 2022. Our cash burn in the third quarter was $8.5 million and as of September 30, 2023, we have $85.4 million in cash and cash equivalents on our balance sheet. Year-to-date, our cash burn of $32 million is down 43% from $56 million in the first nine months of 2022. Turning to our 2023 outlook, we are narrowing our full year revenue expectations to a range of $11 million to $13 million based on our early Q4 closings and the progress in our pipeline.

Looking at gross margin for the year, we are narrowing our range to 44% to 46% as we grow and realize higher average Swoop system pricing, we are very pleased to be driving healthy margins in our business even at small scale. And lastly, we are narrowing our total cash burn expectations to $41 million to $44 million for the full year 2023. This incorporates and expectations for continued investment in R&D and substantially streamlined investments in SG&A versus history, while we maintain customer facing resources to continue to drive adoption and growth. We will continue to focus on our three strategic pillars and maintained spending discipline, maintaining enough cash to fund the business through 2025. We are excited about the momentum we are building for the remainder of the year and beyond, and we are pleased to have the cash and flexibility to invest in the right areas for continuous Swoop system adoption.

At this point, I'd like to turn the call back to Maria, for closing comments.

Maria Sainz: Thank you, Brett. I'm proud of the progress the Hyperfine team has made so far this year, and I remain very optimistic up to what this team can deliver. With that, I want to thank you for your time and open the line up for questions.

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