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spk06: Good afternoon, everyone, and welcome to the Senseonics first quarter 2024 earnings conference call. All participants will be in a listen-only mode. Should you need assistance, please see no conference specialist by pressing the star key followed by zero. After today's presentation, there will be an opportunity to ask questions. To ask a question, you may press star and then one. To withdraw your questions, you may press star and two. Please also note, today's event is being recorded. At this time, I'd like to turn the floor over to Trip Taylor. Please go ahead.
spk01: Thank you. This is Trip Taylor from the Gilmartin Group. Before we begin today, let me remind you that the company's remarks include forward-looking statements. These statements reflect management's expectations about future events, operating plans, regulatory matters, product enhancements, company performance, and other matters, and speak only as of the date hereof. These forward-looking statements involve a number of risks and uncertainties. A list of the factors that could cause actual results to be materially different from those expressed or implied by any of these forward-looking statements is detailed under Risk Factors and Elsewhere in our annual report on Form 10-K for the year ended December 31, 2023, our quarterly report on Form 10-Q for the quarter ended March 31, 2024, and other reports filed with the SEC. These documents are available in the investor relations section of our website at www.censionix.com. We undertake no obligation to update publicly or revise these forward-looking statements for any reason except as required by law. Joining me from Censionix are Tim Goodenough, President and Chief Executive Officer, and Rick Sullivan, Chief Financial Officer. With that, I'd like to turn the call over to Tim Goodenough, President and CEO. Tim?
spk05: Thank you, Tripp, and thank you all for joining us this afternoon. We'll begin today by providing an update on our performance during the first quarter, and then transition to the several important milestones recently achieved by the company that represent critical growth catalysts for the future of Senseonics. Then, our Chief Financial Officer, Rick Sullivan, will discuss the first quarter financials in detail, and we'll open up the call for questions. We've had a very successful start to the year at Senseonics. We've advanced key strategic initiatives intended to amplify the benefits of our long-term and plannable CGM to appeal to more patients. We are making commercial progress, both with our quarter-over-quarter growth in new patient additions and by advancing a transformational collaboration with one of the 20 largest health systems in the country. Mercy has chosen to use Eversense as the foundational technology to facilitate a broad-based diabetes population management program intended to optimize care in a large targeted patient population. Importantly, we have significantly progressed our product pipeline by establishing the new Eversense remote patient monitoring solution and achieving ICGM designation from the recent FDA approval, as well as filing the 510 submission for our next generation 365-day product. With the advancement of the product pipeline and the development of new commercial initiatives, we believe the Eversense platform sits in its strongest position ever. We anticipate continuing to build on these accomplishments throughout the remainder of 2024. On the financial front, in the first quarter, Senseonics generated total revenue of $5.1 million, representing 22% growth compared to the prior year period. In the U.S., first quarter sales totaled $3.7 million, and sales outside the U.S. totaled $1.4 million. On the commercial front, with Essentia Diabetes Care, Their main objectives remain rooted in driving expanded awareness and access to Eversense within the diabetes population. They continue to drive quarter-over-quarter patient growth, both via DTC and professional sales efforts. Additionally, as we have previously announced, industry veteran Brian Hansen was appointed president of the ADC CGM business and has also been recently appointed to the Syncyonics Board. We are working closely together as he ramps into this role and formalizes plans to improve Eversense's commercial strategy and execution. Importantly, we continue to explore additional growth avenues for Eversense, notably with the expansion by Medicare to cover CGM for all patients on insulin, as well as diabetes patients not on insulin with a history of hypoglycemia, and now with similar adoption by many commercial payers, we estimate that less than one quarter of patients eligible for CGM are using one. Giving both the clinical and healthcare economic benefits for people using CGM, there remains substantial opportunity to reduce the healthcare cost of diabetes while helping patients live healthier lives. To that end, we believe Eversense is ideally suited for integration across large health systems. and accountable care organizations who are facing increased pressures to improve patient outcomes and their quality of care, all while driving down costs resulting from sub-optimally managed diabetes. With their ability to influence care pathways and the breadth of providers in their system, including those who would regularly conduct office-based procedures, such as interventional cardiologists, together with the professionals who care for people with diabetes, specifically endocrinologists and primary care physicians. We believe these health systems could certainly benefit from Eversyn and manage the efficient patient workflows to enable the broad adoption of our implantable CGM. For this front, today we announced our innovative collaboration with Mercy, a leading healthcare system and accountable care organization based in St. Louis, Missouri that spans across four states and is consistently recognized for their innovative breakthroughs in healthcare. MERSI clearly recognizes the potential value Eversense can bring to its diabetes population health management program. Together, we are working to build an innovative approach that combines Eversense CGM, advanced data analytics with MERSI's artificial intelligence capabilities, and our new Eversense RPM program to systemically monitor patients at risk. Mercy has identified up to an estimated 30,000 patients across their system who could benefit from CGM. We believe this represents a substantial opportunity to help these patients better manage their diabetes and avoid costly short- and long-term expenditures. We look forward to working with Essentia to bring as many of these patients to EverSense as we can in the coming quarters and years as we roll out this multi-state collaboration with Mercy. We are working with Mercy's executives and operational teams to design and implement the program. Mercy plans to begin a controlled launch focused on making Eversense initially available to a cohort of patients in the St. Louis metro area in July and we'll then look to further ramp operations in conjunction with a planned 365-day product launch targeted for Q4. Together, we see the opportunity to place an emphasis on type 2 patients on basal insulin, who historically trail in the adoption of advanced technologies. Our perspective is that access to advanced technologies and personalized remote patient monitoring can reduce risk to both the patient and the healthcare system. A shared goal with Mercy is to use their innovation leadership to develop this comprehensive diabetes management approach so that it can be replicated for other healthcare organizations. With an estimated 1,300 health systems in the U.S., we are excited to develop this strategic approach to enhance the value Eversense could bring to health systems. An important component of this collaboration includes our newly announced Eversense RPM program, which we believe will further differentiate Eversense by providing a comprehensive solution for patients, providers, and the healthcare systems. While it has been well established that CGM alone produces better outcomes for people with diabetes, we're confident there is an opportunity to deliver even more. Today, patients are simply provided a CGM device, but we feel there is often limited ongoing support for understanding and utilizing the data for personal optimization, particularly in between offices. Our RPM program aims to fill in these key gaps. First, it is designed with the intent to provide patients with a strong foundation for through better understanding of their CGM data and how to use it for optimal glucose control, supported by diabetes counselors. These counselors are intended to provide coaching and insight into things impacting their glucose levels, such as medications, food, and exercise, and to enable participants in the program to make better informed choices about managing their diabetes. The program, Devised Mercy and Remedy, is designed to meet the requirements for Medicare and commercial RPM reimbursement. In addition, we also see the program as providing an invaluable communication loop between our RPM counselors and the patient's healthcare provider, enabling key interventions. By engaging with patients on a monthly basis, we aim to improve this optimization loop. The goal is that identifying corrective actions and making appropriate improvement changes which previously occurred during office visits will now be able to be done in between visits, accelerating progress and bridging the gap between traditional in-person visits. After we have finalized the development and implementation of the program and rolled it out with Mercy, we intend to make Eversense RPM system available to patients and clinicians who use Eversense generally. We see the Eversense CGM and RPM combination as providing more reasons for clinicians to make Eversense their CGM of choice. We believe our partnership with Mercy is an important testament of the need for this more comprehensive care solution, and are excited to build this program further. As we finalize the plans for these opportunities, which are expected to occur in the second half of the year, We are developing our full-year financial outlook. We plan to provide our full-year guidance in June at the upcoming ADA conference. As for the first half of 2024, we continue to expect global net revenue for Senseonics to be $10 million, representing growth of approximately 16 percent over the first half of 2023. Second quarter revenue is expected to be consistent with revenue in the first quarter, and assumes continued new patient growth as Essentia manages inventory towards normalizing levels. Now I'll turn to our pipeline where continuing to advance innovation in CGM technology remains a key strategic imperative for Sensionics and the focus of our product development teams. I'm pleased today to highlight important progress with two key milestones in our broader pipeline plan. First, We recently announced the Eversense CGM system received ICGM designation from the FDA. The ICGM designation indicates that the Eversense ICGM product can integrate with the compatible medical devices, including insulin pumps, as part of an automated insulin delivery system. As the first fully implanted device in the category, Eversense has been authorized to be marketed as an ICGM product through the FDA's de novo pathway. This authorization demonstrates that Eversense meets the high bar set by the FDA for analytical performance and accuracy, and our intent is for all future substantially equivalent devices of similar type to be submitted as Class II devices as 510 submissions. The ICGM designation has been a core component of our strategic initiatives to advance our pipeline, and we're excited to move forward with the next step to advance integration partnership discussions with leading insulin delivery device companies. At this point, we are in discussion stages with various manufacturers and aim to offer people a new interoperable CGM option that we believe is exceptionally well suited for automated insulin delivery systems. Both Senseonics and pump manufacturers recognize the opportunity to positively impact the lives of more people with diabetes with an ever-since integrated system, and we are excited by the potential to further these discussions. We plan to provide more updates as they develop. Now for our second exciting key pipeline development. Following our ICGM approval, today we are pleased to report this last week we filed our FDA submission for our next generation 365-day system as a 510 pre-market notification. This de novo ICGM designation facilitated this down regulation of submission for devices of the same type. I would like to note that despite now being on a 510 pathway, we have generated high quality clinical data and work to put together a submission with the same rigor as a PMA submission. Relying on the confidence in our technology and high-quality submission, we continue to work towards our goal of a fourth quarter launch this year. The 365-day system is unique in that it offers several differentiators. First, an anticipated full year of protection from a single sensor and a significant reduction in planned calibration frequency. We are confident that a one-year sensor with reduced calibration will be a compelling combination and are excited that this submission moves us one important step closer to that goal. Importantly, the 365-day system platform with redundant sensing capability for longer life and retained accuracy is also the basis for further development within our pipeline. Both of our subsequent generation Gemini and Freedom self-powered products are designed to leverage this technology and FDA approval as we work towards the now approaching goal of removing the need for any on-body transmitter. We're excited to continue to be on plan for the first in human testing of Gemini in the second half of this year. continue to innovate and prioritize our pipeline progression to continue to move our cgm technology forward with this exciting news i'll now turn the call over to rick for a review of our financials thank you tim and good afternoon everyone we appreciate the opportunity today to update you on our business in the first quarter of 2024
spk02: Net revenue was $5.1 million compared to $4.1 million in the prior year period. U.S. revenue for the first quarter was $3.7 million, and revenue outside the U.S. was $1.4 million. As a reminder, our collaboration agreement with Essentia is for revenue sharing, with the percentage of revenue to Essentia increasing based on duration of the contract and annual revenue levels. We recognize our portion of revenue when shipments are delivered to Essentia, and they take title and ownership of the inventory. This begins the multi-step distribution to patients via Essentia and their distributors. We manage our manufacturing based on patient demand generated from commercial activities, targeting 60 to 90 days of inventory across the various channels. Therefore, Our shipments to Essentia during the quarter are largely intended to support future demand for Eversense. We are monitoring inventory levels closely based on Essentia's prior purchases and sales and with consideration of the approach for the currently planned transition to the 365-day product later this year. Gross profit in Q1 2024 was $0.3 million. a decrease of 0.1 million from a gross profit of 0.4 million in the prior year period. The decrease in gross margin was primarily driven by higher fixed manufacturing costs. Research and development expenses in Q1 2024 were 10.4 million, a decrease of 2 million compared to 12.4 million in the prior year period. The decrease was primarily due to reductions in clinical trial expenses, associated with the enhanced pivotal trial as patients completed the study. These decreases were slightly offset by planned continued investments in our product pipeline for development of next-generation technologies. First quarter 2024, selling, general, and administrative expenses were $8.1 million, an increase of $0.4 million compared to $7.7 million in the prior year period. primarily driven by increases in corporate legal and patent expenses. For the three months ended March 2024, operating loss was $18.2 million compared to $19.7 million in the first quarter of 2023 due to decreases in R&D expenses. For the three months ended March 2024, total net loss was $18.9 million for a $0.03 loss per share compared to a net income of 1.3 million or zero cent gain per share in the first quarter of 2023. Net income decreased by 20.2 million due to the accounting for embedded derivatives, fair value adjustments, and the exchange of a portion of the 2025 notes. As of March 31st, 2024, cash, cash equivalents, and short-term investments totaled 99.1 million and debt and accrued interest was $55.9 million. Turning to our outlook for 2024, we continue to expect first half 2024 global net revenue to be $10 million and second quarter revenue to be consistent with the first quarter. At the upcoming ADA meeting, we plan to provide second half and full year revenue guidance along with the expectations for 2024 revenue share percentages taking into consideration greater visibility on the status of the review of our 365-day filing and the progress of our various commercial initiatives. For full year 2024, operating expenses are expected to be similar to 2023 at approximately $80 million. With that, I'll turn it back to Tim.
spk05: Thanks, Rick. The recent progress made by Synthionics includes pivotal milestones that we believe will propel the company forward to its next phase of growth. We expanded the futures of Eversense to make it appealing to more patients, and with optimized commercial execution, we aim to drive increased adoption. Its innovative capabilities lend to it to be uniquely suited for a strategic partnership within the diabetes management environment. Mercy's collaboration and future healthcare system strategy represents an opportunity that could drive an inflection in our growth over the years to come. With the ICGM designation secured, the upcoming 365-day product filed, and our RPM program progressing, the Eversense platform is in its strongest competitive position of all time. We're excited to build on this momentum and provide more updates as the year unfolds. I'd like to take this opportunity to thank all of the Cynthiana employees for their hard and tenacious work to bring all of this together. Thank you all for your time today. Also joining us for questions is Mukul Jain, our Chief Operating Officer, and Jeff Ruiz, our Head of Strategy and Business Development. Operator, let's go ahead and open up the call for questions.
spk06: Ladies and gentlemen, at this time we'll begin the question and answer session. To ask a question, you may press star and then 1 on your touch-tone telephones. If you are using a speakerphone, do ask that you pick up the handset prior to pressing the keys to ensure the best sound quality. To withdraw your questions, you may press star and 2. Once again, that is star and then 1 to join the question queue. We'll pause momentarily to assemble the roster. And our first question today comes from Marie Thibault. from BTIG. Please go ahead with your question.
spk07: Good afternoon, Tim, Rick, Mukul. Thanks for taking the questions. I wanted to ask a high level one here to start. You know, on the last quarter call, you mentioned that, you know, Essentia had built up some inventory as they were trying to work through the high volume of leads that were generated and turn those into new starts, new ever since starts. Can you give us an update on how that has been going, how much of that backlog has been worked through? whether we're a bit ahead of your own expectations, just ways to kind of understand how that process is going.
spk05: Thanks, Marie. ADC continues to make good progress at working through their inventory. We are certainly seeing quarter-on-quarter patient growth. I think at our last update, we're seeing over 80% growth in the first portion of this year compared to last year, so we're certainly excited about that. The reality of the 365-day product and the opportunity to have that approved under the 510K pathway gives us a further opportunity there. So we're anticipating that we'll be fully working through that inventory over the next quarter, plus the time that it takes for us to transition with the 365 product as we bring that along and hopefully release that in the very beginning of the fourth quarter.
spk07: Okay, that makes sense. And just to clarify, I think there were some metrics last quarter you'd given, you know, hopes that first half new patients would grow 150% year over year and perhaps exceed new patient sales. I'm not sure if I got that, new patient sales in 2023. Are you still able to kind of confirm that that's on track?
spk05: Yeah, we still believe we're on track. As I said, at this point, we're well over 80% at this point in the year. So we certainly expect we're going to continue to the same level of growth and more.
spk07: Okay, great to hear. And then my follow-up here certainly sounds intriguing, the Mercy collaboration and your RPM program. Can you give us a way to think about how meaningful this could become if it does become successful? And then what investments are needed from Senseonic's side in those RPM programs? We've talked with doctors in the past who've you know, run very effective RPM programs, but I know it does require some focus and time and perhaps some hand-holding. So any more details on investments you need to make there? Thanks for taking the question.
spk05: Sure. Well, we certainly recognize that this is a unique opportunity and blends very well with the long-term nature of the Iverson's product. Mercy really recognized this very early on when they reached out to us. and they really are looking for a proactive way that they can monitor their at-risk patients. As you said, they've identified about 30,000 right now that are candidates that we're going to be jointly working on. So it's a very significant opportunity for us and for Mercy as well. Jeff, I'll ask you to speak to a little bit about the operational parts of it. Jeff Ruiz has been leading this activity for us and is living it day by day.
spk03: Yeah, and I'll just elaborate a little bit more on what Tim has kind of mentioned in the first part of your question around, you know, kind of the opportunity, the size, et cetera. And certainly an account such as Mercy represents a large opportunity for us, of course. What we know and through our assessment and the strategy that, you know, we have been developing now in concert with Mercy is that You know, the vast majority of patients that could be benefiting from CGM are not on it. And Mercy recognizes that. And we've heard that from other health systems. As we look at that, the opportunity then becomes, you know, how can we collectively get the right care to the right patient, in this case, CGM therapy? And Mercy sees that opportunity right within their own ranks because of their own provider networks. and their ability to easily facilitate the process from prescription to insertion with their extensive network of proceduralists. They'll be starting with their interventional cardiologists and expanding that to other proceduralists that can easily facilitate the insertion for these patients. In terms of the RPM program, and I appreciate the question because it's a very integral part to the health system strategy that we have. It's the way that health systems can even further attempt to optimize the outcomes that they're looking for from patients. And so the RPM solution is key to the success of that. And it's also a very, from our perspective, we believe it's a very sustainable and scalable program as the costs and the fees that we are paid to do it. are known up front and allows us to scale that. Mercy will be doing the reimbursement for the services and they'll file for the reimbursement, they'll pay us the fee and we know we have our fixed costs on a per patient basis pretty clearly identified as we go forward. So the investments from our side are not overly significant and we feel like we've got a good model here that we can scale going forward. It's important to note that the financial side of the program in and of itself is really kind of lower on the tier in terms of our goals and objectives. Goal number one is to improve the clinical outcomes of the patient. Goal number two is to improve the cost of care overall for the health system. If we do that, we win, and we're fortunate that the reimbursement of the existing health care system allows us to do that in a way that is financially viable for us along the way.
spk07: That's very helpful. Thanks so much.
spk06: Our next question comes from Matthew Blackman from Stiefel. Please go ahead with your question.
spk01: Hi, this is Colin on for Matt. I guess I wanted to come at the Mercy collaboration from a slightly different angle and kind of ask what your sense of the potential penetration ceiling is for this 30,000 patient opportunity and any early color on the economics, whether they're driven by outcomes. You've talked about how it's a relatively set cost up front for the patient. What does the revenue recognition look like in this channel? And does the RMG partnership allow you to more easily add other system partnerships to the business? Thank you.
spk05: Well, certainly, we do recognize that this is going to be the first system implementation, but we expect that it's, quite frankly, the basis which we will be designing others from. And that, quite frankly, is a an objective of mercy as well. They want to lead here, get it established, and be able to replicate it out to other hospital systems. So the 30,000 patient opportunity is in front of us right now, and we're going to continue to work very hard in partnership with Essentia. So this is part of our current commercialization agreement with Essentia, and the economics will be considered as such. It's business as usual from that financial perspective. It's just a very large opportunity for us, and we're looking forward to the folks at Mercy through their systems, you know, driving patients towards the Eversense product.
spk01: And where are most of these patients found in this Mercy system? Is it PCP-weighted, where you've had some success with NPGs recently, or is it more endo-focused? I guess... You're having interventional cardiologists as the proceduralists. So is there a learning curve in that set of offices that needs to be worked through?
spk05: This is predominantly their highest risk population is predominantly type 2. So, yes, it is primary care treatment. Jeff, do you want to go ahead and speak through how we look at this systemically with Mercy to reach these patients?
spk03: Sure, sure. I'll say this. The reason they're starting with their interventional cardiologist is because this is what they do. They are a proceduralist. They are accustomed to doing procedures in the office, in the cath labs, et cetera. Our procedure is rather straightforward for them, and so it seems from their perspective it makes a lot of sense for them to go ahead and just have the cardiologists begin doing this and they'll extend their reach beyond as needed throughout their mid-level practitioners, et cetera, throughout some of their community clinics, throughout the four states that they serve. Yep, as it relates to where the patient's coming from, the majority of patients today that are at risk of some of these You know, immediate complications on the patient side and then the cost complications on the hospital side. The biggest unserved population, as they recognize, is in their type 2 patient population. So they're excited about the opportunity to really reach the three quarters of patients today that are being underserved in a way, if you will, by not having CGM and are presenting risk to themselves as patients. as well as to the health system from a financial perspective. So we'll be working closely with the primary care teams, as well as the endocrinologists, who are a very important and instrumental part of the overall program.
spk01: Understood. And one last question from me. I'm encouraged to hear about the 365-day approval timeline being still 4Q. Just a quick question about your confidence in being able to have that approved and possibly launched in time for the annual Medicare process around December?
spk05: Yeah, so we're actually working with Medicare here in the next few days now that we've submitted with it. So obviously the transition to the 365 in government pay and in commercial pay is a process that we do need to go through. Recall that we did, with pretty good success, go through that when we went from our 90-day product to 180. So we feel pretty good about it, but we will begin meeting with Medicare literally within the next week and commercial pay shortly right after that. So the confidence is quite good. As you know, the 510K timeline is notably quicker than the PMA supplement process that we've been in. But that said, there are always variations, and we'll continue to work very closely with the agencies. to make sure that we've provided everything they'll need for as quick a review as they can provide. Thank you.
spk06: Our next question comes from Jason Bedford from Raymond James. Please go ahead with your question.
spk00: Oh, great. Thanks. This is Glenn on for Jason. Just on the economics, Jeff, you mentioned that Senseonics will receive a fixed price on a per patient basis. How does this compare to selling into an office that is not part of the Mercy system?
spk03: Yeah, let me just make sure to clarify here. The sensor itself will go through its normal processing channels, just as we do today. So there's no risk sharing or any other kind of ultimate type model when it comes to the device side. The RPM side is simply following the RPM healthcare reimbursement that exists today where, according to the Accountable Care Act, allows for a physician to prescribe the services of remote patient monitoring and obviously pay a fee for that service to be provided. That will go to us. Our fixed costs on our side come out of that payment that would be made to us from Mercy. Mercy in return will file for the appropriate reimbursement and receive the reimbursement accordingly.
spk05: Yeah, so Glenn, thanks for the question. So just again to reiterate, so sensor economics will be as usual. We'll continue to commercialize with our partnership with Sensei as we have always done, you know, into the Mercy Hospital system. The economics for the RPM are as Jeff referred to.
spk00: Okay, thank you. And then just quickly on ICGM, what does this mean commercially and when should you expect some commercial integration with pumps?
spk05: So obviously the ICGM gives us the opportunity, as we shared earlier, we are in conversations with the pump manufacturers. We're not ready to put timelines on it or to communicate timelines on it here, at least out in the public domain. We'll certainly keep you updated as that goes on. Recall that it does take some time. It's typically been 18 months or so for the integration to occur. At least that's been the history from the other CGM manufacturers. We'll do all we can to work to accelerate that where we can. Okay.
spk00: Thank you very much.
spk06: Our next question comes from Matt Taylor from Jefferies. Please go ahead with your question.
spk04: Hi, thank you for taking the question. I guess I wanted to ask a couple detailed questions on the Mercy collaboration. So just to clarify, you mentioned the 30,000 patients that are eligible in their system. How did you define those patients? Are those patients who are CGM eligible but not currently on CGM, or what makes them fall into the 30,000 bucket?
spk05: Jeff, I'll go ahead and let you expand on it, but yes, these are CGM eligible, so they're They're either on insulin or have episodes of hypoglycemia. These are the ones that are identified as the highest risk by Mercy as an ACO that they are, because of their risk-sharing agreements, they are very much looking to keep those folks out of the ED. They'd like to reduce the total cost of care. And there's a gap right now in their system and their ability to do monitoring of those patients. So predominantly type 2 patients. and focused, you know, of course, they are insulin-using type 2s or those with hypoglycemia. Jeff, anything else?
spk03: I think that summarizes the question, sure.
spk04: And I guess with this partnership and just understanding how it may develop with other systems, what does that mean for other CGMs? Are they still being used in Mercy's system, or are yours used preferentially? presumably some of these patients are already on another CGM or they're being asked to switch. How does it work with the competitive set?
spk05: Jeff, you want to step through that?
spk03: Yep, I'm happy to. This is not an exclusive agreement with Mercy. I want to make sure we're clear on that. And Mercy doesn't intend to switch any active CGM users that they currently have, say, on a competitive product. That said, the big opportunity for a health system right now and this is really important, are the patients that are not on CGM. Those patients are at risk and having their own suboptimal clinical outcomes that's detrimental to the patient, first and foremost. Secondarily, those patients are highest risk to mercy. In particular, in this day and age where health systems are contracting in their risk-based and value-based agreements with payers, this can be very costly to these healthcare systems. So that's priority number one. Of course, Mercy will offer Eversense to all patients throughout their system in the event that patients want to switch over to Eversense, particularly as we move into the 365 era. So they're not excluding the existing patients on CGM, but they recognize that the majority of patients are not on CGM They're looking to fill that gap and solve that proactively by using CGM and their existing network to get CGM ever since into the hands of these patients.
spk04: Okay, great. Thanks for the call.
spk06: And ladies and gentlemen, in showing no additional questions, I'd like to turn the floor back over to management for any closing remarks.
spk05: Well, great. Thank you for the opportunity to speak today. We very much appreciate your time and look forward to updating you on these continuing exciting developments here at Syncyonix. With that, have a good day.
spk06: Ladies and gentlemen, with that, we'll conclude today's conference call and presentation. We thank you for joining. You may now disconnect your lines.
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