BIOLASE Inc
NASDAQ:BIOL
Earnings Call Analysis
Q4-2023 Analysis
BIOLASE Inc
In a determined effort to streamline operations and bolster profitability, the company successfully slashed its operating expenses from $41.2 million to $34.7 million within a year, chiefly through a strategic reduction of its U.S. workforce by approximately 20% in June 2023. These efficiency measures are anticipated to yield annual cost savings in the ballpark of $5 million to $6 million.
Despite reporting a GAAP net loss of $20.6 million for the full year 2023, an improvement over the previous year's $28.6 million net loss, management remains optimistic. They are banking on the belief that they'll navigate through and acquire sufficient liquidity to support near-term growth initiatives, thanks to $6.6 million in cash and equivalents and a $7 million equity raise as of February 2024. With such financial cushioning, they are setting their sights on achieving positive adjusted EBITDA for the entire year 2024.
The company expects a stable revenue scenario in the first quarter of 2024, akin to the first quarter of 2023, attributing this to the persistent economic uncertainties. However, they project a full-year revenue uptick of 6% to 8% over 2023, stemming from the success of ongoing growth initiatives. This revenue growth, combined with improved gross margins anticipated to approach 50% by the fourth quarter, and continuing cost-saving measures, underpin the company’s forecast of a positive adjusted EBITDA by year-end 2024.
The introduction of the iPlus Premier, Waterlase iPlus Premier, at the Chicago Midwinter Show in February underscores the company's nimble response to market demands. This innovation offers a modular product tailored to specific procedures that dentists intend to perform, such as soft tissue and endodontics, which not only positions the product at a more attractive price point but also provides an opportunity for practitioners to scale up their technology use over time.
A combination of in-house manufacturing enhancements and market-driven factors spirits the company towards anticipating a gross margin of 45% on average for the full year, with expectations to reach the pivotal 50% threshold in the fourth quarter. These improvements are attributed to factors like the full-year benefit of internal trunk fiber manufacturing, better fixed cost absorption due to rising revenues, and price adjustments primarily in the consumables business.
Although the company is seeing a steady increase in the number of qualified leads, the journey from lead to closed sale has lengthened, a trend observed across the medical and dental capital equipment industry. Factors such as heightened interest rates, potential recession fears, and international conflicts have contributed to this delay. However, the expectation is that the increasing leads might eventually lead to a contraction in sales cycle duration, but the company's 2024 plans do not rely on such an assumption.
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Good afternoon, and welcome to the BIOLASE Fourth Quarter and Full Year 2023 Results Conference Call. [Operator Instructions] Please note, this event is being recorded. I would now like to turn the conference over to Todd Kehrli, with EVC Group. Please go ahead.
Thank you, operator. Good afternoon, everyone, and thank you for joining us today to discuss BIOLASE's financial results for its fourth quarter and full year ended December 31, 2023. On the call today from BIOLASE are John Beaver, President and CEO; and Jennifer Bright, Chief Financial Officer.
John will review the company's operating performance for the fourth quarter and full year, and then we'll turn the call over to Jennifer to review the financials in more detail before opening the call for questions. Before we begin, I'd like to remind everyone that a number of forward-looking statements, which are statements that are not historical facts, will be made during this presentation and subsequent Q&A session including forward-looking statements regarding the company's strategic initiatives and anticipated financial performance. These forward-looking statements are forward-looking statements as defined under the Private Securities Litigation Reform Act of 1995 and are based on BIOLASE's current expectations and assumptions and are subject to a variety of risks and uncertainties that could cause the company's actual results to differ materially from the statements made. Such forward-looking statements only represent the company's view as of today, March 21, 2024. These risks are discussed in the company's filings with the SEC. A replay of this call will be available on the BIOLASE website shortly after the completion of the call. When listening to this call, please refer to the news release issued earlier today announcing the company's 2023 fourth quarter and full year financial results. If you do not have a copy of the news release, it is available in the Investors section of the BIOLASE website at www.biolase.com. BIOLASE's financial results can also be found in the company's report on Form 10-K which will be filed with the SEC. The tables we provided in today's news release offer additional financial information, so we encourage you to review them. The tables include the reconciliation of unaudited GAAP net loss and net loss per share to non-GAAP adjusted EBITDA loss and adjusted EBITDA per -- loss per share as well as more information regarding the company's non-GAAP disclosures. With that said, I'll now turn the call over to BIOLASE's President and Chief Executive Officer, John Beaver. John?
Thanks, Todd, and good afternoon, everyone. We appreciate your participation today as we review our fourth quarter and full year financial results and review our strategic objectives. Our objective despite the ongoing headwind created by the current economic climate is to ensure our industry-leading [indiscernible] continue to attract heightened interest and demand. The modest revenue gain for the year and our significantly increased lead generation demonstrate that we are on track. Additionally, our focus on internal optimization will enable us to expand our gross margin going forward and the cost reduction initiatives we have taken have positioned us to achieve our financial objectives in 2024. In 2023, we continue to create awareness of the benefits of laser dentistry as we hold over 500 webinars, study clubs, trade shows and training events in the U.S. alone. These investments of time and resources today are expected to yield revenue opportunities tomorrow. For example, we were highly engaged with potential customers in 2023, increasing the number of marketing qualified leads or MQLs generated by 5x over those generated in 2018 as we continue to improve our sales and marketing efforts to reach potential customers. However, the uncertainty in the macroeconomic landscape has extended our sales cycle somewhat as various factors, including elevated interest rates and worldwide geopolitical crises are contributing to the prolonged decision-making process. Having said that, I want to stress this isn't unique to BIOLASE. Other businesses in our sector are facing similar challenges as evidenced by recent industry trends. Nonetheless, we're steadfast in our commitment to sustaining revenue-generating activities. Our focus remains on converting these MQLs to sales while also continue to raise awareness and interest in our acclaimed lasers, ensuring we're well positioned to capitalize on the significant market opportunity in front of us. There remains a significant untapped opportunity in the dental market with more than 90% of dentists yet to embrace all-tissue laser technology. As a predominant brand in this space with approximately 60% market share globally under our Waterlase brand, we continue to actively engage the remaining 90% of the market. Our targeted sales and marketing efforts and enhanced training programs are expanding our reach among dental specialists and general practitioners has emphasized the benefits of laser dental solutions to practitioners and patients alike. It's important to repeat what we said in the past, each 1% increase in adoption of our all-tissue laser technology in the U.S. alone will equal approximately $50 million in additional revenue for BIOLASE, assuming we maintain our estimated 60% market share. This doesn't include potential increased adoption outside the U.S. where historically approximately 30% to 40% of our revenue has been generated or the consumable revenue generated from the procedures performed with our laser systems. Our strategy to grow market adoption of our lasers includes bolster and education training programs. Through our Waterlase and Epic academies, we have simplified training on our products for dental specialists and dental hygienes and make clear the significant return on investment they can achieve with our lasers, not to mention the benefits to their patients. We are also actively seeking to engage the over 150,000 general practitioner dentists in the U.S. by increasing education and training through initiatives like our Waterlase Trial Program or WTP, and our recently opened state-of-the-art training facility, the BIOLASE Education Center which provides dental clinicians with an engaging learning environment allured around laser education. We hosted 22 WTP events in 2023 with a sales conversion rate of about 45%. Our record consumable sales, which increased 20% for the full year, are an encouraging indicator and highlight the growing utilization of our laser systems within our existing customer base. During 2023, we also introduced a recurring revenue subscription model for our consumables, which has already started to gain traction, and we believe that this will help accelerate our consumable revenue growth in the future. Furthermore, our strategic partnerships with corporate dentists and academic institutions are paving the way for future adoption of laser dentistry. In summary, we believe our growth strategies will achieve the desired long-term operating results, and we remain optimistic about our ability to seize the substantial market opportunities ahead. Our goal, notwithstanding the economic headwinds is to accelerate our revenue growth while continuing to improve operational efficiencies. Greater adoption of our dental lasers to increase education and training and the continued execution of our revenue growth plan coupled with the expansion of our gross margins and lower operating expenses would allow us to meet our revenue and profitability objectives for 2024, including being adjusted EBITDA positive for the full year. Now I hand over to Jennifer Bright, our CFO, to delve deeper into our financial performance and provide insights into guidance for the year.
Thank you, John, and good afternoon, everyone. I'm going to provide more context around our full year results and highlight some of the operational improvements we achieved during the year. For further details, please refer to our financial results which are included in the financial tables of our earnings release and our 10-K. As John mentioned during his prepared remarks, despite the challenging economic environment, we were still able to deliver modest revenue growth and increase laser dentistry awareness through our education and training initiatives. We delivered net revenue of $49.2 million for the full year compared to $48.5 million in 2022, while this is a modest increase, we reported record consumable sales, which increased 20% year-over-year due to our increased education and training and the introduction of recurring revenue subscriptions for our consumables. Additionally, the momentum with new customer adoption continued in 2023, with 71% of our U.S. Waterlase sales coming from new customers and 40% of our U.S. Waterlase sales coming from dental specialists. Also, as John mentioned, the success rate of our Waterlase Trial Program was 45% for the full year, highlighting the continued success of this initiative. These are all positive indicators of the increased demand we are experiencing for our industry-leading dental lasers in the U.S. and abroad, setting the stage for accelerated growth as the economic environment improves. We reported a 34% gross margin for the year, which is a 100 basis point improvement over last year's gross margin as lower inventory reserve charges in 2023 were offset by higher warranty expenses, mainly related to supply chain issues that we encountered in 2022 that required us to source new trunk fiber vendors as well as an increase in material costs and unfavorable absorption of fixed expenses. To improve our overall cost structure, at the end of 2022, we completed an acquisition of a trunk fiber supplier, which now allows us to replace third-party key components with our own in-house manufactured components. While we were working through the backlog of our third-party components in 2023, we expect to significantly reduce our overall cost of goods in 2024 and improve cash flow now that our in-house production is operating at full capacity and producing higher quality trunk fiber component. Additionally, we recently implemented certain cost reduction initiatives that are expected to significantly reduce fixed overhead expenses while maintaining best-in-class manufacturing and operational performance. On the expense line, total operating expenses were $34.7 million for the year compared to $41.2 million a year ago. This decrease was mainly due to the cost saving initiatives we implemented during 2023, which included a roughly 20% reduction in BIOLASE's U.S. workforce in June 2023. The workforce reduction as part of the company's broader efforts to gain greater efficiencies throughout the organization without impacting our revenue-generating strategies where the company's ability to continue delivering unparalleled quality and value to our global customer base. We expect to generate approximately $5 million to $6 million of annualized cost savings due to these cost saving initiatives. Our continued efforts to drive further operating improvements and efficiencies also reduced our 2023 operating loss by 29% compared to 2022. While we cannot control the macro environment, we can control certain manufacturing costs and operating expenses. And these improvements in gross margin and operating loss are positive indicators of our ongoing efforts to optimize operational efficiency and drive profitability. GAAP net loss for the full year 2023 was $20.6 million compared to a net loss of $28.6 million for 2022. Our adjusted EBITDA loss for the full year 2023 was $12.8 million compared to $20.1 million for 2022. Turning to the balance sheet. We finished the fourth quarter with cash and cash equivalents of $6.6 million, which we bolstered with gross proceeds of $7 million from an equity raise earlier this year in February 2024. We believe we have sufficient liquidity to execute our near-term growth strategy and reach positive adjusted EBITDA for the full year 2024. We believe we can achieve this goal through top line growth due to projected sales volume increases and certain price increases combined with cost reduction initiatives and expected lower cost of goods due to the trunk fiber acquisition I mentioned earlier. As a result of this acquisition, our in-house trunk fiber now makes up 100% of our trunk fiber we are shipping in 2024. We expect these cost savings to drive increased gross margins getting us closer to the 50% margin needed to reach profitability. We also expect to significantly lower WTP expenses for the full year 2024 by using our own centralized training facility, the BIOLASE Education Center which opened at the end of July 2023. We have 2 dentists on staff between prospective customers, and we continue to work with educational facilities nationwide to host WTP events at their location at little to no cost. During 2024, we expect to host about 50 to 100 practitioners at WTP events, so the expense savings will be quite meaningful. Now moving on to guidance. While we expect first quarter 2024 revenue to be relatively flat compared to the first quarter of 2023 due to the ongoing economic climate, we are projecting full year 2024 revenue to be 6% to 8% higher compared to the full year 2023 revenue as our growth initiatives continue to progress and demonstrate success. Additionally, with a higher gross margin, expected WTP savings and the cost savings initiatives I referenced earlier, we expect to achieve positive adjusted EBITDA for the full year 2024. In summary, we believe our growth strategy, combined with our focus on improved operational efficiency is positioning BIOLASE for long-term sustained success. And with that, I'll turn the call to the operator to open the call for questions.
[Operator Instructions] The first question comes from Bruce Jackson with the Benchmark Company.
So if we could maybe talk about the -- some of the other sales initiatives that you've had, especially with the dental service organizations and has the McGuire study had any impact?
Yes. So Bruce, thanks for those questions. I think the McGuire study has had an impact, not necessarily quantifiable. In other words, I can't tell you that we sold 8 lasers because of the McGuire study results, but it's just another piece of evidence that this technology is very clinically effective. And also, as the McGuire study showed much better for the patients, right? And so the more that word gets out, the better off we'll be. In terms of the DSOs, we continue to work with a number of DSOs, I think as Dr. [indiscernible] came out with the top 10 analytics, and we're working with 5 or 6 of them along with some of the other midsized DSOs as well. So we continue to work down that line as well.
The other thing that you mentioned, which was maybe another revenue catalyst for us. We actually released a new product in February at the Chicago Midwinter Show that was the iPlus Premier, Waterlase iPlus Premier. And you may recall that a couple of years ago, when a company came to us to OEM of product for them, EdgePRO that we develop that very quickly. Kind of record time [indiscernible]. And it really showed there was a market out there for this technology, this wavelength of 2780 Erbium Chromium YSGG wavelength to be used in specific specialties. Before this -- the premium edition was introduced last month. If a doctor wanted to buy a laser -- Waterlase, he had to buy everything, right? I mean all the applications were included in it. What the OEM business showed us was there was a market out there for doctors that just wanted to do 1 or 2 things. And so with that, we developed the premier and it's really a modular type concept where, let's say, I am a dentist, and I want to do soft tissue plus endo only. Well, I can buy a Waterlase iPlus Premier and only turn on -- the company would only turn on those 2 modules, if you will, pay a lower price point, but they're getting what they want immediately. As they get more and more comfortable with the technology, what we foresee is they'll add more and more modules. And for us, that's very easy to do, it's literally flipping a switch back at corporate to turn on those modules. So we think this is going to -- it's the right time for this product, and we think it's going to penetrate the market even more.
Okay. Great. And then one follow-up on the gross margins. If you could just kind of give us a rough idea of how you see that improving over the course of the year? And is the 50% like a long-term target? Or is that something that you would anticipate hitting by the end of this year?
Yes. So the 50% we do anticipate will hit in the fourth quarter with the help of the seasonally strong fourth quarter revenue. For the year, I would expect margins to be on average for the full year, around 45%. And we have a clear line of sight on how we get from the 34% to 45% and it's really a couple of different buckets. One is the -- a full year of internal trunk fiber manufacturing and improved quality that we're seeing there. And so that's going to be a significant chunk of that improvement. In addition, the revenue improvement that we're forecasting is going to bring in with fixed cost absorption, another point or two. And then we do have price increases lined up predominantly for our consumables business that we've already implemented that we think will also bring another point or two.
The next question comes from Nick Sherwood with Maxim Group.
What kind of trends have you been seeing quarter-to-quarter and the link with the sales cycle, the number of qualified leads you had and the conversion of those leads?
Yes. So the number of qualified leads we're getting has been pretty consistent up year-over-year and quarter-over-quarter. So we continue to see that growing, and I would expect that to continue growing into 2024. I think what we're seeing, and we started seeing this kind of towards the end of last year or early part of this year was it was taking longer for us to close those leads into sales. And that's where -- I think, listening to other medical and dental companies, capital equipment companies, they're seeing the same thing. People are -- the doctors are taking a little bit longer to decide because of higher interest rates, uncertainty around whether or not we were going to have a recession, which I think most of that talk is dead now, but also the European wars that are ongoing right now have an impact on our international business. So yes, I think the MQLs will continue to increase. I would expect over time that the sales cycle will shorten, but we're not really planning for that in 2024, the shortened sales cycle. We've planned our business around things kind of being status quo on a macro standpoint. And that's the reason we're excited that even with that, we believe we can achieve EBITDA positive in '24.
Awesome. And then my next question is, what percentage of dentist do adopt your lasers, continue to use your lasers as opposed to reverting back to traditional tools? Like what is that retention rate that you're seeing?
Yes. So the most recent surveys we have our new doctors who have incorporated this technology in the last 6 to 12 months, use our lasers about -- I think, it was about 90% of the doctors use it at least weekly with a large percentage of that using it daily. And that's what I see anecdotally in my travels or talking to doctors and so forth. I think that's further supported by the consumables that we had. We had a blowout year in consumables last year. And what that means is dentists are not only buying the laser, but they're using it all the time. And to have a 20% increase in consumables, given all the other conditions that we were facing was pretty remarkable. So I feel really good about doctors using the laser after they buy it. That may not been always the case with the laser industry in years past, going back 5, 10 years ago. But I think the investments that we've made into education and training are really paying off to ensure that the doctors are using the laser after the purchase.
Understood. And then my final question is what sort of major education programs and events do you have plan for this year?
So as Jen mentioned, we have, I think, over 500 planned. We have 10 regional/national Waterlase Trial Programs that we have planned this year. We're at the large events every year, be it Chicago Midwinter, which is completed. We have a big one for us is the California Dental Association coming up in May. We also have Greater New York and a number of regional events as well. For our own events, we have a couple of events internationally that we're excited about when coming up in Prague in May and the other one in Dubai in October. And those are great training events really drives international revenue for us. And then we have our third annual frenectomy event in Miami coming up in about a month as well where we bring in pediatric dentists, and really immerse them in learning how to diagnose, how to perform frenectomies and also, how do you treat the patient? How do you -- what the post operative care and that has been successful in the last couple of years, and I'm looking forward to this year as well.
[Operator Instructions] The next question comes from Ed Woo with Ascendiant Capital.
Can you talk about the competitive environment? Has it changed at all in the past 3 months?
Not really, Ed. You've heard me say before that our chief competition in share wallet by the dentist. We're very comfortable when we get head-to-head against another laser company given that we are the preeminent laser -- dental laser company in the world. We don't lose a lot of head-to-head matchups with the other companies. So I'm less concerned about that and more concerned about us commencing a dentist that their best investment this year is in a laser and not in new office furniture or in oral scanner or something of that nature.
Great. And you mentioned the macro headwinds, does that -- how much of an impact would that have in your ability to raise prices?
I don't think we'll have any -- our pricing has tend to be pretty -- I always get this backwards but elastic, I think it is. In other words, the price increases we've had really haven't been met with much pushback. When somebody is convinced they want to and need to incorporate this technology into their practice, they're ready to go. In other words, $1,000 or $2,000 usually is not going to make a difference, a go/no-go buying decision. So we -- I don't expect to see much of that. And when we talk about the macro conditions, I think another thing that will help us in 2024 is you look in 2023 with rising interest rates, right? Nobody knew where the top was. I think now most people believe that interest rates have -- they may not come down significantly in the short term that they no longer are going up or certainly not going up to the extent they have the last 12 to 18 months. So I think that's giving some clear visibility on the macro situation to doctors and hopefully will help the buying cycle as well.
Great. And one last question. What percentage of your sales are financed versus paid in cash?
I'll answer that with it depends, and let me explain that. So all of our international sales that we make are paid in cash. In other words, we don't carry finance on any of that. In the U.S. side, we don't carry financing either. Most of the Waterlase sales are financed by a doctor's credit union bank or third-party medical equipment financing company. Typically over 7, 8 years, I mean, it's a long time because these lasers are robust and will last that long. So it's perfectly -- finance companies are perfectly comfortable financing over that period of time. Our diodes, the EPIC brand tend to be more credit card purchases and they -- those obviously come in immediately, and our consumables are mainly credit cards as well.
This concludes our question-and-answer session. I would like to turn the conference back over to John Beaver for any closing remarks.
Yes. Thank you. And I did get one other question that was submitted. Person wasn't able to attend the call. But the question was, do we have additional capacity when the demand picks up even greater than it has already? We do have additional manufacturing capacity at our plant in Corona, California. Right now, we run one shift. And so we can always add additional shifts. And we have excess capacity also with our important trunk fiber production. So I look forward to that time that we're able to add a second shift possibly. So I want to thank everyone for being on today's call. Also, I want to thank the BIOLASE team for their continued commitment and dedication. Each of them has worked tirelessly to make our customers successful in delivering this elevated standard of care and safety through laser dentistry. Thank you, operator. Thank you, everyone, for your interest in BIOLASE. This concludes our call. Have a great day.
The conference has now concluded. Thank you for attending today's presentation. You may now disconnect.