Greetings and welcome to Airsculpt Technologies in third quarter, 2024 earnings conference call. (Operator Instructions)It is now my pleasure to introduce your host, MS Allison Malkin from ICR. Thank you, Miss Malkin. You may begin.
Good morning everyone and thank you for joining us to discuss our Airsculpt Technologies results for the third quarter of fiscal 2024.
Joining me on the call today is interim Chief Executive Officer and Chief Financial Officer Dennis Dean. Before we begin, I would like to remind you that this conference call may include forward-looking statements.
These statements may include our future expectations regarding financial results and guidance, market opportunities and our growth risk and uncertainties that may impact these statements and could cause actual future results to differ materially from currently projected results are described in this morning’s press release and the reports we will file with the SEC, all of which can be found on our website at investors dot airscape dotcom.
We undertake no obligation to revise or update any forward-looking statements or information except as required by law during our call today. We will also reference certain non-GAAP financial measures. We use no GAAP measures in some of our financial discussions as we believe they more accurately represent the true operational performance and underlying results of our business.
A reconciliation of these measures can be found in our earnings release as filed this morning and in our most recent 10-Q, which will also be available on our website for today’s call. Dennis will begin with an overview of the quarter and share an update on our strategic initiatives followed by a review of our financials and guidance.
Following our prepared remarks, we will open the call to take the questions you have for us today. With that, I’ll turn the call over to Dennis.
Good morning, everyone and thank you for joining today’s call. Our third quarter results were in line with our expectations and included solid progress on our back to basics priorities. These priorities focus on three initiatives, improving the conversion of current and prior lead volumes to perform cases, ensuring our recent DE NOVO center openings are successful and bettering cost management.
We believe this approach has us on the right track to improve performance as we navigate a continuing dynamic macro environment briefly highlighting our financials revenue totaled $42.5 million in the third quarter, down 9.1% year over year with case volume down 4.3% from the prior year.
Third quarter, same store cases declined 8.1% over the prior year but improved significantly from the decline of 14% report in the second quarter of this year adjusted EBITDA was $4.7 million or 11% of revenue versus $9.1 million or 19.4% of revenue in the prior year quarter, the decline in revenue accounted for $3 million of the decrease.
With the remainder mostly due to the costs related to new De Novo openings. As a reminder, it takes approximately 3 to 4 months for new centers to reach profitability. And let me now turn to the progress made in our back to basics priorities as it relates to converting demand for air sculp to cases in our lowest seasonal quarter of the year.
And while our core customers are still facing macro challenges, we are starting to see measured improvement in converting leads to consultations. We believe this is tribal to our return to a more targeted advertising approach of page search advertising at the center level and our continued engagement with historical leads.
As you’re aware, air scult is a considered purchase with an average spend between 12 and $13,000 in this environment. It is common to see a longer time frame just convert leads into cases. Historically, our experience shows that it takes approximately 45 days to convert a lead to a case for the third quarter. It was closer to 60 days.
In response, we have implemented a number of initiatives to drive leads and conversions to cases. And let me share some examples.
We are now utilizing salesforce software to help us reconnect with customer leads in our database and better nurture and communicate with them to offer a more catered experience which should help increase conversion to cases over time.
Importantly, as these established leads, convert to cases, they do so at no additional cost which will in turn help lower our customer acquisition cost.
We have also added new payment options that give consumers more flexibility to finance procedures. We believe this is an effective way to drive incremental revenue by allowing eligible consumers to schedule higher price procedures which should also help us improve our margins.
Our second priority is to drive productivity from our recent de Novo locations. We continue to be pleased with the performance of our 2023 De Novo center class.
Each of the US centers that have been open for 12 months are performing ahead of our stated year one revenue objective of $4.5 million. Similarly, these centers are also achieving a payback of less than one year. We believe the excellent performance of these centers is the result of our more seasoned recruiting sales and operation teams which should also benefit our recent new center openings as well as it relates to new locations. It was a busy quarter.
We opened centers in Kansas City, Kansas, Columbus, Ohio, Deerfield, Illinois, and Birmingham, Michigan. And while early so far, we are pleased with our new cohort performance. Our fifth and final opening for 2024 is expected to open in White Plains, New York in the next few weeks.
As of September 30th 2024 we operated 31 facilities versus 27 at the end of the third quarter of 2023.
Looking ahead, we have a strong pipeline of new centers overall, we continue to believe we have significant opportunity to operate over 100 centers in the medium term and have three locations currently identified for 2025 and expect to increase that number in the next few months.
Turning to our third priority. The quarter also saw continued progress on our cost savings goal as we have identified and achieved half of our planned $1 million savings goal for the back half of the year and on an annualized basis, we expect to deliver savings of $2 million and we will continue to prudently invest savings into higher return marketing activities as we work to increase leads and case growth.
Let me now share additional insights into our financial performance and guidance.
As mentioned revenue for the quarter was$ 42.5 million a 9.1% decline versus the prior year quarter with same store revenue down 13%. The decline in revenue. This quarter was mainly driven by lower case and lead volume due to the challenging consumer spending environment.
In addition, while our average revenue per case, this quarter was $12,984. And on the high side of our 12 to $13,000 range, it compares to $13,658 in last year’s third quarter, which was unusually high driven by patients having more areas treated than any other quarter.
Notably, while leads are lower, our ability to convert leads to consultations showed some improvement which we attribute to our return to a more efficient marketing spend. The percentage of patients using financing to pay for procedures was 53% which is consistent with recent quarters.
As a reminder, we receive full payment of all procedures upfront and we have no recourse related to patients who finance their procedures with third party vendors cost of service as a percentage of revenue was 41.8% versus 38.8% over the prior year period.
Our recent de novo openings reflected 130 basis point impact while the remaining percentage increase was due to our inability to flex certain fixed costs such as rent and nursing, selling it in general. And administrative expenses increased $466,000 in the quarter compared to the same period in fiscal year 2023.
As mentioned, we worked to contain our corporate G&A cost this quarter and was able to achieve a reduction of a half a million dollars in the quarter.
However, this was offset by year over year increase in our marketing spin.
Our customer acquisition cost for the quarter was $2900 per case. As compared to $2750 in the prior year. On a sequential basis, we decreased our advertising spend by $4.1 million as a result of discontinuing certain brand awareness spending initiatives. Notably, our efforts to reduce CAC are working as reflected in the sequential decrease in our C A of $425 versus the second quarter of 2024.
As our marketing and sales efforts begin to convert to cases, we expect to see further reduction in our customer acquisition costs going forward and continue to move toward our goal of approximately $2000 adjusted EBITDA was $4.7 million compared to $9.1 million for the fiscal 2023 3rd quarter adjusted EBITA margin was 11% compared to 19.4% in the prior year quarter.
And adjusted loss for the quarter was 1.4 million or a loss of 2¢ per diluted share. Turning to our balance sheet as of September 30th 2024 cash was $6 million and we had $5 million available on our revolving credit facility. Our gross debt outstanding is $71.3 million and our leverage ratio is 2.2 times cash flow from operations for the quarter was$ 1.8 million compared to$ 0.6 million in the prior year quarter.
And we invested $ 4.9 million this quarter in De Novo facilities. Let me now turn to our outlook for the remainder of the year. As noted in our preliminary sales release issued on October 24th. We have increased the midpoint of our revenue guidance for 2024 to a range of $183 million to $189 million. As compared to the guidance issued with second quarter results in August for revenue in the range of $180 million to $190 million. We are also maintaining our full year guidance for a JBI in the range of $23 million to $28 million.
Before I wrap up my remarks, I would like to share an update within our organization. I am pleased to announce the promotion of Philip body to Chief Accounting Officer for the past 3.5 years.
Philip has served as senior Vice President and corporate controller at Esco where he has been a highly valuable and trusted partner of mine. Prior to joining Esco, Philip held senior finance roles with significant experiences in the health care industry.
I am looking forward to continuing to benefit from his business acumen as we work to improve our financial foundation. Additionally, the search for a permanent co is well underway. We have conducted several interviews and are narrowing our list of candidates in hopes of announcing a new leader of air sculpt in the coming weeks.
And finally, despite the challenged consumer spending backdrop, we believe our back to basics approach to the business is working and will enable us to continue to improve our revenue and profitability trend.
In summary, we remain excited about our business prospects as we see significant opportunity to capitalize on the $11 billion total addressable market in which we operate with proven results and a proven track record of opening and operating centers and a cash generative model that will allow us to navigate this dynamic period and continue to invest to support our future growth. With that. I’d like to turn the call over to the operator for some questions, operator.