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TELA Bio(TELA) - 2021 Q4 - Earnings Call Transcript

Financial Data and Key Metrics Changes - TELA Bio reported fourth quarter revenue of $8.4 million, a 9% increase from the third quarter and a 48% increase from Q4 2020 [5][14] - Full year revenue for 2021 was $29.5 million, reflecting a growth of 62% from 2020 [5][17] - Gross profit for Q4 2021 was $5.7 million, with a gross profit percentage of 68%, up from 65% in Q4 2020 [14] - The net loss for Q4 2021 was $8.6 million, compared to $7.8 million in the same period in 2020 [16] Business Line Data and Key Metrics Changes - Sales for the PRS franchise increased by 90% in 2021 compared to 2020 [11] - In Q4 2021, 57% of OviTex hernia repairs were performed using laparoscopic or robotic surgeries, indicating a shift towards robotic-assisted procedures [10] Market Data and Key Metrics Changes - The company anticipates year-over-year revenue growth in 2022 of approximately 44%, assuming no greater COVID-related disruptions than in 2021 [6] - The impact of the Omicron variant affected procedures and performance in December, leading to lower-than-expected revenues in early 2022 [5][18] Company Strategy and Development Direction - TELA Bio is evolving from a focus on high-quality reinforcement materials to prioritizing soft tissue reconstruction solutions and complementary technologies [8] - The company plans to leverage its sales force to expand its total addressable market with additional synergistic products [9] - TELA Bio aims to become a market leader in soft tissue preservation and restoration, supported by innovative products and compelling clinical data [20] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the future, citing strong performance in Q4 2021 despite COVID-19 headwinds [20] - The company expects to maintain durable growth and increasing market penetration in 2022 [20] - Management noted that the market is rebounding, and they anticipate capturing backlog as the year progresses [46] Other Important Information - TELA Bio ended Q4 2021 with $43.9 million in cash and cash equivalents [16] - The company has trained over 300 physicians on its products, which is expected to drive adoption [12] Q&A Session Summary Question: Guidance for 2022 revenue range - Management explained that the guidance range of $40 million to $45 million includes assumptions about COVID-19 impacts and sales rep productivity [24][25] Question: Sales rep productivity and expansion - Management expressed confidence in sales rep productivity, noting that the Playbook90 methodology has accelerated productivity and shortened the time for reps to become profitable [28][29] Question: Overall headcount and operating expenses - Management indicated plans to increase headcount to approximately 175 employees, focusing on commercialization and product portfolio expansion [33][34] Question: Data from clinical trials - Management provided updates on the BRAVO studies, indicating that final write-ups and publications are expected within the next few months [42][43] Question: Gross margin expectations for 2022 - Management indicated that gross margin is expected to stabilize at the higher end of the range seen in 2021 due to prior inventory adjustments [44] Question: Backlog recapture opportunities - Management acknowledged that while backlog has not yet been realized, they expect it to materialize as the year progresses [46] Question: SiteGuard product usage and margin profile - Management confirmed that SiteGuard will initially be used in plastic surgery and has a lower margin profile compared to other products, but it is expected to drive usage of other products [49][50]