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Establishment Labs(ESTA) - 2024 Q4 - Earnings Call Transcript

Financial Data and Key Metrics Changes - Revenue for Q4 2024 totaled $44.5 million, a 41% increase from the previous year [56] - Full year sales reached $166 million, with guidance for 2025 set between $205 million and $210 million, indicating a 25% growth over 2024 [9][64] - EBITDA loss improved to $13.1 million in Q4 2024 from $17.4 million in the same quarter last year [12][60] - Total operating expenses for 2024 decreased by $12.5 million compared to 2023 [11][61] - Cash position at the end of Q4 2024 was $90.3 million, up from $39.7 million at the end of Q3 2024 [62] Business Line Data and Key Metrics Changes - US sales for the first two months of the launch reached $3.3 million, exceeding initial expectations [10] - Global demand remains uneven, with market share gains noted despite a low in aesthetic demand [12][14] - Operating expenses in the US increased due to the ramp-up of commercial activities following the approval of Motiva implants [58] Market Data and Key Metrics Changes - Sales distribution: EMEA accounted for 38%, Asia Pacific 35%, Latin America 18%, and North America 9% of total sales [57] - Latin America showed flat revenue in Q4 2024 compared to the previous year, indicating stabilization [14] - The Asia Pacific region is recovering from a downturn experienced in the second half of 2023 [13] Company Strategy and Development Direction - The company aims to achieve EBITDA positivity by the end of 2025 and cash flow positivity in 2026 [55][64] - Focus on expanding the US market, with plans to increase the number of sales representatives and onboard new accounts [16][120] - Introduction of new products like Mia and Preservé is expected to drive market expansion and revenue growth [32][39] Management's Comments on Operating Environment and Future Outlook - Management acknowledges ongoing macroeconomic pressures but remains optimistic about growth in EMEA and APAC [82][83] - The company expects mid-single-digit growth in international markets, excluding the US [64] - Management is confident in achieving revenue targets despite potential currency impacts [65] Other Important Information - The company is working on regulatory approvals for new products, including Preservé and the Ergonomix2 platform [28][99] - A partnership with a celebrity is anticipated to enhance brand visibility and support growth [25][121] - The transition of leadership is underway, with the founder stepping down as CEO but remaining involved in innovation and community engagement [68][70] Q&A Session Summary Question: Update on US Motiva launch dynamics and account numbers - The company has onboarded 650 accounts, with 450 placing orders and nearly 90% reordering [78] Question: Macro environment impact on aesthetics in key regions - Management noted that while Latin America is not expected to grow, EMEA and APAC show signs of recovery [82] Question: Clarification on US launch revenue targets - The $35 million target does not include new approvals in the US [80] Question: Trajectory of operating expenses and SG&A - SG&A expenses are expected to stabilize as the company leverages its established US commercial operation [91] Question: Regulatory pathway for Femtech products - The company is in the process of registering tools necessary for Preservé and anticipates significant innovation in the coming years [96][99] Question: Confidence in reaching $500 million revenue target - Management believes that with the US market onboard and a strong innovation pipeline, achieving this target as a profitable company is feasible [105]