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CytoSorbents(CTSO) - 2023 Q4 - Earnings Call Transcript

Financial Data and Key Metrics Changes - Total revenue for 2023 was approximately $36.3 million, an increase of about $1.6 million or 5% compared to $34.7 million in 2022 [58] - CytoSorb product sales were $31 million in 2023, up from $28.6 million in 2022, representing a 9% increase [34] - Product gross margin improved to 72% in 2023 from 70% in 2022, with expectations for further improvement in 2024 [15] Business Line Data and Key Metrics Changes - Core CytoSorb sales grew 10% year-over-year, with distributor partner sales in the first three quarters of 2024 growing 18% compared to the same period in 2022 [27][28] - CytoSorb product sales for Q4 2023 were $7.3 million, a slight decrease of 1% from $7.4 million in Q4 2022 [36] - Grant revenue for 2023 was $5.3 million, approximately the same as in 2022 [15] Market Data and Key Metrics Changes - Direct sales in Germany grew 3%, while the market is expected to improve in 2024 despite post-pandemic challenges [54] - The company has a presence in 75 countries, with significant sales growth in international direct markets, accounting for 19% of product sales for the year [53] - The company anticipates a potential doubling of the total addressable market in the U.S. and Canada due to the expected market share growth of Brilinta [26] Company Strategy and Development Direction - The company is focusing on the launch of its standalone hemoperfusion pump, PuriFi, expected later this year [22] - CytoSorb is positioned as a high-margin medical device with a strong foundation, aiming to leverage its growth initiatives alongside the anticipated approval of DrugSorb-ATR [40] - The company is actively pursuing various funding sources to support ongoing operations and future growth [62] Management's Comments on Operating Environment and Future Outlook - Management noted a stabilization in mature markets like Germany, with expectations for growth in other direct and distributor markets [45] - The company is optimistic about the potential for growth driven by macro trends in healthcare, including an aging population and the increasing use of blood thinners [63] - Management highlighted the importance of cash conservation and cost-cutting measures to improve financial stability [62] Other Important Information - The STAR-T trial results are expected to be presented at the AATS conference in late April, with data released live during the conference [42] - The company has received over $50 million in grants and contracts from the U.S. government to support its technology [30] - The company is developing HemoDefend-BGA, a universal plasma product, with significant funding from the U.S. Department of Defense [13] Q&A Session Summary Question: Timeline for data release related to the STAR-T trial - Management confirmed that data will be released live during the ATS conference in Toronto, not ahead of that [42] Question: Insights on the India distribution agreement - The company has a temporary agreement with ARRIS, which has been retraining employees from Biocon to ensure a smooth transition [50][81] Question: Impact of sales channel changes - Management indicated that the sales distribution from direct and distributor markets is expected to stabilize and grow, similar to past performance in Germany [69] Question: Current share count - The company reported 54.2 million common shares outstanding, with a fully diluted count of 67.9 million [88]