Financial Data and Key Metrics Changes - The company reported Q1 2025 net sales of $88 million, representing a 4% year-over-year growth, despite a tough comparison from Q1 2024 which had 18% growth [5][19] - Adjusted gross profit margin was 84% for the quarter, while GAAP gross margin was 81%, down from 85% in the prior year [21][24] - Adjusted EBITDA was $17 million, or 20% of net sales, compared to $19 million, or 22% of net sales in the prior year [24] - The company ended the quarter with $106 million in cash, an increase of $2 million during the quarter [8][25] Business Line Data and Key Metrics Changes - Surgical sales grew by 16% to $32 million, driven by strong performance from AmnioFect and HelioGen [20] - Wound sales declined by 2% to $56 million, facing challenges due to Medicare reimbursement disruptions [20][12] - The Amneal branded products grew by 22% in Q1, while HelioGen showed sequential growth from a low base [11] Market Data and Key Metrics Changes - The company noted that approximately 25% of its overall business has ASP exposure, which complicates pricing strategies in the current reimbursement environment [15][47] - The ongoing disruption in the private office and associated care settings due to Medicare reimbursement issues has impacted sales, particularly in the wound care segment [6][12] Company Strategy and Development Direction - The company aims to innovate and diversify its product portfolio, focusing on unique product configurations to meet customer needs [10] - Strategic priorities include expanding the surgical market footprint and enhancing customer relationships through programs like Mimetics Connect [16][18] - The company is actively pursuing opportunities for organic and inorganic growth, including potential acquisitions [62] Management's Comments on Operating Environment and Future Outlook - Management expressed disappointment over the delay in Medicare reimbursement reforms but remains committed to advocating for necessary changes [27][28] - The company reiterated its full-year revenue growth outlook to be at least in the high single digits, with expectations for higher growth rates in the latter half of the year [31] - Long-term prospects remain positive, with expectations of resetting top-line growth to low double digits post-reform [31] Other Important Information - The company has contingency plans in place to adapt to the current reimbursement environment and is exploring third-party manufactured products to retain customers [13][15] - Management emphasized the importance of generating clinical evidence to support product use in surgical applications [16] Q&A Session Summary Question: Adjusted gross profit margin expectations - Management confirmed that the adjusted gross profit margin of 84% in Q1 was related to product mix and expected some pressure from ASPs throughout the year [35] Question: Progress on Equifax in Japan - Management indicated that growth in Japan is on track but remains relatively small in overall contribution [37] Question: Overall reimbursement landscape and confidence in future changes - Management expressed frustration over the lack of changes in the reimbursement landscape but remains hopeful for future reforms [42][44] Question: Shifting private office volumes to new products - Management stated that the shift to higher-priced products is a necessary step to protect business but cautioned against expecting significant volume conversion [50][52] Question: Efforts to prepare for a better market environment - Management highlighted the importance of executing their plan, expanding product offerings, and investing in commercial strength and clinical research [60][62] Question: Changes in purchasing patterns due to LCD delays - Management suggested that there may be shifts in purchasing patterns as higher-priced products become more prevalent, but the overall impact remains uncertain [70][74]