Financial Data and Key Metrics Changes - Total revenue for the second quarter of 2025 was $7.7 million, down 9% compared to 2024, primarily due to challenges in the international environment [20] - Global recurring revenue was $5.1 million, a decline of 4% year-over-year [20] - Gross profit for the quarter was $4.3 million, representing 56% of revenue, down from $5 million in the same period of 2024 [21] - Total operating expenses increased to $6.5 million, up roughly $1 million from the prior year [22] - Adjusted EBITDA for the second quarter was a loss of $762,000 [23] Business Line Data and Key Metrics Changes - XTRAC gross domestic recurring billings were $4.7 million, a decline of 2% compared to the prior year [20] - Equipment revenue was $2.5 million, down 18% versus 2024, affected by international market challenges [20] - The installed base of TheraClear X devices reached 161 units, up from 117 at the end of 2024 [11] Market Data and Key Metrics Changes - International revenue was $2.6 million, a decline of 15% compared to the prior year, impacted by trade disruptions in China and distributor challenges in Korea [12] - The domestic market has approximately 18 million patients with atopic dermatitis, indicating a significant potential market for the company's products [19] Company Strategy and Development Direction - The company is focused on expanding its addressable market to 30 million patients by leveraging newly expanded CPT codes for various skin conditions [6] - The Elevate360 consulting model aims to improve revenue for clinics and the company by optimizing the use of XTRAC lasers [7] - The company is pursuing litigation against LaserOptik for false advertising, which could result in significant damages [14][33] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about future growth opportunities due to expanded reimbursement eligibility and the potential tripling of the patient population [26] - There is caution regarding the impact of tariffs on international business, particularly in China [26] - The company anticipates a stronger second half of 2025, although uncertainties remain due to tariffs [28][30] Other Important Information - The company has submitted economic data to support potential increases in reimbursement rates for its codes [6] - Recent peer-reviewed studies support the efficacy of excimer laser therapy, expanding its potential applications [17][18] - The company is actively engaging with CMS and the AMA to secure temporary G codes for expanded indications [54][61] Q&A Session Summary Question: Expectations for the international business in the second half of the year - Management expects the second half to be similar to the prior year but cautioned that tariffs could significantly impact results [28][30] Question: Details on the lawsuit and expected damages - The expected damages from the lawsuit against LaserOptik are in the eight-digit range, with legal expenses mostly behind the company [32][33][39] Question: Metrics on Elevate360 consulting services impact - Clinics that completed the Elevate360 process showed higher revenue in Q2 compared to the previous year, with some experiencing significant growth [62] Question: Status of TheraClear devices and revenue growth - The focus remains on XTRAC devices due to their higher revenue potential, while TheraClear revenue is growing but remains small [70]

Financial Data and Key Metrics Changes - The company reported total revenue of $382.5 million, up 13% year over year on a GAAP basis and up 12.5% year over year on a constant currency basis [7][9] - Non-GAAP operating margin increased nearly 109 basis points year over year to 21.2%, representing the highest performance in the company's history as a public company [9] - Non-GAAP EPS grew by 10%, exceeding expectations, and free cash flow increased by 20% year over year to $70 million [9][34] Business Line Data and Key Metrics Changes - Cardiovascular segment sales grew by 10% and endoscopy segment sales increased by 81% [26] - Cardiac intervention product sales rose by 23%, with organic growth of approximately 10% [27] - Peripheral intervention products and custom procedure solutions saw sales increases of 6% and 4%, respectively [28] Market Data and Key Metrics Changes - U.S. sales increased by 17% on a constant currency basis, while international sales grew by 7% year over year [30] - Sales in China decreased by 6%, attributed to the broader macro environment [31][75] - The company expects low double-digit growth in EMEA and mid-teens growth in the Rest of the World region, with approximately 2% growth in the APAC region [37] Company Strategy and Development Direction - The company announced the acquisition of BioLife Delaware LLC for $120 million, aimed at enhancing its product offerings in hemostatic solutions [10][11] - A comprehensive marketing plan for the Rhapsody CIE was launched, focusing on raising awareness and expanding physician relationships [14] - The pricing strategy for Rhapsody CIE is based on a premium price relative to competitors, supported by clinical evidence demonstrating its efficacy [16][17] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's ability to deliver strong execution and revenue growth despite a dynamic global macro environment [10] - The company acknowledged a two-quarter delay in securing add-on reimbursement for the outpatient setting but maintained long-term growth expectations for Rhapsody CIE [24][39] - Management emphasized the importance of their reimbursement strategy and ongoing engagement with CMS to secure necessary approvals [23][49] Other Important Information - The company updated its 2025 financial guidance, expecting GAAP net revenue growth of 10% to 11% and non-GAAP diluted EPS in the range of $3.52 to $3.72 [36][40] - The anticipated impact of tariffs on the cost of goods is expected to be significantly lower than previously forecasted [41][42] Q&A Session Summary Question: Clarification on Rhapsody reimbursement process - Management clarified that they applied for a new technology APC assignment but did not receive it, and they plan to submit for TPT by September 1 [49][50] Question: Confidence in securing TPT - Management expressed high confidence in meeting TPT guidelines and emphasized the strength of their product and data [62] Question: Sales performance in cardiac intervention - Management attributed the growth to internal product development and the strategic acquisition of Cook Medical, expecting continued strong performance [94][96]

Core Viewpoint - The article discusses the importance of medical insurance (医保) in people's lives, highlighting the benefits and complexities of reimbursement processes, and argues that despite some concerns, it is worthwhile to maintain insurance coverage [1][8]. Group 1: Hospitalization Reimbursement - For employees under the employee medical insurance scheme, hospitalization in a tertiary hospital can have a reimbursement rate of 70%, meaning for a 100,000 yuan expense, the individual pays 30,000 yuan while the insurance covers 70,000 yuan [3]. - The reimbursement rate increases to 80% for secondary hospitals and can reach 90% for individuals over 70 years old, indicating that older patients and those using lower-tier hospitals benefit more from the insurance [3]. - The maximum reimbursement for serious illnesses can range from 200,000 to 500,000 yuan, providing significant financial relief for families dealing with severe health issues [3]. Group 2: Outpatient Reimbursement Changes - Prior to April 2020, outpatient expenses were primarily out-of-pocket, but recent reforms have allowed outpatient costs to be included in the insurance reimbursement system [3]. - In community hospitals, outpatient expenses can be reimbursed at 50%-60%, significantly reducing the personal payment burden [3]. - For chronic diseases like hypertension and diabetes, the reimbursement rate has been raised to over 65%, with no minimum payment threshold [3]. Group 3: Benefits for Urban and Rural Residents - Urban and rural residents pay approximately 400 yuan annually for insurance, which covers about 50% of outpatient costs, allowing them to "break even" after just two visits [5]. - Hospitalization benefits are also substantial, with reimbursement rates of 70% in tertiary hospitals and up to 85% in community health centers [5]. - The insurance system encourages patients to seek treatment in community settings for minor ailments while reserving hospitals for more serious conditions [5]. Group 4: Reasons for Perceived Low Reimbursement - Not all medical expenses are covered; expenses for drugs not listed in the insurance directory must be paid out-of-pocket, with over 14,000 types of drugs excluded [6]. - High deductibles for certain hospitals can deter patients from seeking reimbursement for minor ailments, as they may not meet the minimum threshold for claims [6]. - The reimbursement rates vary by hospital tier, with community hospitals generally offering higher reimbursement rates compared to tertiary hospitals [6]. Group 5: Overall Value of Medical Insurance - Despite concerns about reimbursement amounts, the overall value of medical insurance remains high, with employee insurance covering 2-3 times the amount paid by individuals, and resident insurance covering 50%-60% of medical expenses [8]. - The article emphasizes the importance of maintaining insurance coverage, as the premiums paid today can provide substantial financial protection in the future [8].

Group 1 - The article emphasizes the importance of proper use of medical insurance funds by insured individuals when seeking medical treatment and reimbursement [1] - Insured individuals must safeguard their medical insurance cards to prevent misuse by medical institutions, which may fabricate medical services to defraud insurance funds [2] - It is crucial to avoid being lured by medical institutions offering incentives like free hospitalization or gifts, as this may lead to fraudulent claims against the insurance fund [2] Group 2 - Insured individuals are prohibited from allowing others to use their medical insurance cards for treatment or medication purchases, as this is strictly against regulations [3] - Duplicate enjoyment of medical insurance benefits is not allowed; individuals must choose one insurance location for reimbursement if they are covered in multiple places [4] - Selling prescribed medications for profit is illegal, and individuals should only obtain medications based on their actual needs to avoid wasting insurance funds [5] Group 3 - Certain medical expenses cannot be covered by insurance funds, such as those that should be paid by workers' compensation or third parties, and using insurance funds in these cases is illegal [6] - Medical expenses incurred abroad are not eligible for reimbursement under basic medical insurance [7] Group 4 - Violations in the use of medical insurance funds can lead to recovery of misused funds and penalties ranging from 3 to 12 months of suspension from network settlement [8] - Intentional fraud against the insurance fund can result in fines ranging from 2 to 5 times the amount fraudulently obtained [9] - If the amount fraudulently obtained exceeds a certain threshold, the case may be referred to judicial authorities for further action [10] Group 5 - Fraudulent use of medical insurance funds can lead to criminal charges under relevant laws, with potential imprisonment for significant amounts fraudulently obtained [11] - Examples of criminal behavior include lending insurance cards for fraudulent claims or falsifying documents to obtain funds [12] - Fraudulent claims exceeding 6,000 yuan may result in criminal investigation, with penalties increasing significantly for larger amounts [13]

Financial Data and Key Metrics Changes - Revenue for Q1 2025 was $9,800,000, representing a 162% increase year over year, driven by a higher number of revenue units and an increased average selling price (ASP) [20][21] - The company delivered 182 MyoPro revenue units in Q1, up 100% from the previous year, with ASP increasing by approximately 31% to around $54,000 [11][21] - Gross margin for Q1 2025 was 67.2%, compared to 61.2% in the prior year, primarily due to a higher ASP and better fixed cost absorption [26] - Operating loss for Q1 2025 was $3,500,000, a 9% improvement from a loss of $3,900,000 in Q1 2024 [27][28] Business Line Data and Key Metrics Changes - The O and P revenue was $475,000 in Q1, up 87% year over year, but down sequentially due to seasonality [14] - The international business, primarily in Germany, generated over $1,300,000 in revenue, representing a 42% year-over-year increase [11][22] Market Data and Key Metrics Changes - Medicare Part B patients accounted for 60% of total revenue in Q1, up from 57% in the previous quarter, indicating strong growth in this segment [11][21] - Medicare Advantage revenue represented 17% of Q1 revenue, reflecting an 18% year-over-year increase, although growth is lagging due to high denial rates [21][22] Company Strategy and Development Direction - The company is focused on continuous innovation, having launched the MyoPro 2X and the Mark II clinical unit, aimed at enhancing patient independence and expanding the O and P distribution channel [6][7] - Plans for further expansion include increasing manufacturing capacity and enhancing marketing efforts to drive lead generation and patient engagement [12][32] Management's Comments on Operating Environment and Future Outlook - Management acknowledged challenges in lead generation due to changes in social media advertising policies but reported a rebound in lead generation in March and April [10][32] - The company expects Q2 revenue to be slightly lower than Q1 but reaffirms its financial targets for the year, projecting full-year revenue between $50,000,000 and $53,000,000, representing growth of 54% to 66% over 2024 [30][31] Other Important Information - The company has signed contracts covering approximately 25,000,000 lives, including several new state Blue Cross Blue Shield plans, and is negotiating with national health insurance plans [18][64] - The company is actively working to improve insurance access and reduce denial rates through advocacy and legal engagement [17][65] Q&A Session Summary Question: Can you elaborate on the workaround around the Meta issue affecting advertising efficiency? - Management indicated that changes in Meta's algorithms impacted ad targeting, but adjustments made with their agency have led to a record number of leads in April, suggesting sustainability in improvements [37][38] Question: What is the expected cost per pipeline add moving forward? - The cost per lead in April was approximately half of that in January and February, with expectations to maintain efficiency around $1,400 to $1,500 for the year [39][40] Question: How does the authorization rate for the pipeline look? - The authorization rate was affected by backend loading of pipeline adds and high denial rates from Medicare Advantage plans, which are currently around 30% [51][52] Question: What is the outlook for gross margins going forward? - Management expects slightly lower gross margins in Q2 due to lower volume but anticipates approaching 70% gross margins in the second half of the year [53] Question: What is the confidence level in achieving the full-year guidance? - Management reiterated confidence in achieving full-year guidance, citing historical revenue patterns and increased advertising efforts to fill the pipeline [56]

Financial Data and Key Metrics Changes - Revenue for Q1 2025 was $9,800,000, representing a 162% increase year over year, driven by a higher number of revenue units and an increased average selling price (ASP) [18][19] - The company delivered 182 MyoPro revenue units in Q1, up 100% from Q1 2024, with ASP increasing by approximately 31% to around $54,000 [19][9] - Gross margin for Q1 2025 was 67.2%, compared to 61.2% in the prior year quarter, primarily due to a higher ASP and better fixed cost absorption [24] - Operating loss for Q1 2025 was $3,500,000, a decrease of 9% compared to the $3,900,000 loss in Q1 2024 [25][26] Business Line Data and Key Metrics Changes - The O and P revenue was $475,000 in Q1, up 87% year over year, but down sequentially due to seasonality [12] - The company added a record 700 medically qualified candidates to its patient pipeline during Q1, ending the quarter with nearly 1,500 patients in the process of obtaining MyoPro [9][20] - International revenue, primarily from Germany, was $1,300,000 in Q1, representing 13% of total revenue and up 42% year over year [19][10] Market Data and Key Metrics Changes - Medicare Part B patients represented 60% of total revenue in Q1, up from 57% in the previous quarter, highlighting the company's success in educating this patient population [19] - Medicare Advantage revenue was 17% of Q1 revenue, reflecting an 18% year-over-year increase, although growth is lagging due to high denial rates [19][14] Company Strategy and Development Direction - The company is focused on continuous innovation, having launched two product upgrades in 2025, including the MyoPro 2X, aimed at improving independent device use [6][9] - The company is expanding its O and P distribution channel by training clinicians and establishing certified MyoPro centers of excellence [12][11] - The company plans to continue investing in marketing, product development, and distribution channels to achieve cash flow positivity by the end of 2025 [16][28] Management's Comments on Operating Environment and Future Outlook - Management acknowledged challenges in lead generation due to changes in social media algorithms but reported a record number of leads in April, indicating a rebound [8][29] - The company expects Q2 revenue to be slightly lower than Q1 but reaffirms its financial targets for the year, projecting full-year revenue between $50,000,000 and $53,000,000 [28][9] - Management expressed confidence in achieving its guidance for the year, citing a historical trend of higher revenue in the second half of the year [55][28] Other Important Information - The company completed a successful capital raise at the end of 2024 to fund growth plans for 2025 and beyond [16] - The company is actively working to improve insurance access and has signed contracts covering 25,000,000 lives, including several new state Blue Cross Blue Shield plans [16][64] Q&A Session Summary Question: Can you elaborate on the workaround around the Meta issue driving advertising efficiency improvement? - Management explained that changes in Meta's algorithms affected ad targeting, but adjustments made with their agency led to a record number of leads in April, indicating sustainability in improvements [35][36] Question: What is the expected cost per pipeline add moving forward? - Management indicated that while the cost per pipeline add in April was significantly lower than in January and February, they expect it to stabilize around $1,400 to $1,500 for 2024 [37] Question: What are the drivers behind the percentage of pipeline drops? - Management noted that pipeline drops are often due to inability to contact patients again or changes in insurance, with clinical presentation changes also affecting backlog [38][40] Question: How should investors think about revenue cadence in Q3 and Q4? - Management stated that with a higher percentage of Medicare revenue, they do not need as high a backlog for revenue forecasts, and they expect to maintain fill percentages [41][42] Question: Can you provide insights on the O and P channel growth? - Management highlighted the O and P channel as a significant growth opportunity, with good reimbursement and margins, despite challenges in staffing and training [72][73] Question: What is the outlook for international markets, particularly Germany? - Management confirmed plans to expand the team in Germany and increase investments in social media advertising and clinic recruitment due to strong growth in that market [77][78]