3/4/2025

speaker
Operator
Conference Call Operator

everyone, and thank you for standing by. Welcome to Evalyst's fourth quarter and full year 2024 earnings conference call. If you require operator assistance during the conference call, please press star zero. As a reminder, today's conference is being recorded and webcast live. All participants are in a listen-only mode. After the speaker's remarks, there will be a question and answer session. I would now like to turn the conference over to Nareg Sagarand, Vice President and Head of Global Investor Relations and Corporate Communications. Please go ahead.

speaker
Nareg Sagarand
Vice President and Head of Global Investor Relations and Corporate Communications

Thank you, Operator, and welcome to everyone joining us on today's call to review Evelis' fourth quarter and full year 2024 financial results. Our fourth quarter and full year 2024 press release is now on our website at evelis.com. With me today are David Modazzetti, President and Chief Executive Officer, Louis Avalar, Chief Medical Officer and Head of R&D, and Sandra Beaver, Chief Financial Officer. Today's call will include forward-looking statements. Actual results may differ materially due to risks and uncertainties outlined in our earnings press release and SEC filings. These forward-looking statements are based on current assumptions, and we undertake no obligations to update them. Additionally, we will discuss certain non-GAAP financial measures. These measures should be considered in addition to and not as a substitute for our GAAP results. A reconciliation of GAAP to non-GAAP measures is included in today's earnings release. As a reminder, our earnings release and SEC filings are available on the SEC's website and on our investor relations website. Following the conclusion of today's call, a replay will be available on our website at investors.evalus.com. With that, I'll turn the call over to our CEO, David Modazzetti.

speaker
David Modazzetti
President and Chief Executive Officer

Thank you, Narg, and good afternoon, everyone. 2024 was a transformative year for Evelis, marked by several key achievements that set the stage for 2025, starting with our objective of achieving profitability in Q4. I'm proud to say that not only did we achieve meaningful profitability in the fourth quarter, but we also delivered profitability for the full year, one year ahead of our stated goal. This profitability was enabled by revenue growth above 30% for the fifth consecutive year, further solidifying our position as the fastest-growing brand in our category. We ended 2024 with a U.S. market share approaching 14%, resulting in revenue above the top end of our original guidance. The combination of Givaud and now Evelisse brings together the fastest-growing toxin in the U.S. with the first innovation in HA technology in over a decade. In Q4, we obtained CE Mark approval for this theme line of HA injectable gels, followed by FDA approval in February 2025 for Evelisse Form and Evelisse Smooth. This approval expands our total addressable market in the U.S. by 78% and supports our 2025 revenue guidance of $345 to $355 million. marking our sixth consecutive year of over 30% growth. We continue to prioritize execution. In 2024, we added over 2,900 new accounts, bringing our total to more than 15,000 purchasing accounts, which represents half of the toxin market that is used above. On the consumer side, Eveless Rewards surpassed 1.1 million users, growing 40% over the prior year. Our international business also took a significant step forward. Our UK team celebrated two years on the market, achieving market share levels comparable to our second year in the U.S., reinforcing our confidence that our performance PD strategy extends beyond the United States. We also expanded our direct presence in Australia and Spain, where both markets are experiencing strong uptake. We now have a footprint in all of the key markets that will drive our path to $100 million in international revenue by 2028. Lastly, 2024 marked the third consecutive year we provided revenue and expense guidance. I'm proud of the team for their continued focus on execution, exceeding our top-line revenue guidance, while demonstrating prudent expense management, resulting in operating expenses coming in at the low end of our range. We take pride in our track record of meeting or exceeding our guidance each year, knowing that credibility is built over time. Looking ahead, the launch of Evelisse is a top priority. Since last year, we have strengthened our expertise in the HA category, made key strategic hires, and conducted over a dozen advisory meetings with key opinion leaders and customers. We captured insights on the current usage of HA products, their experience from prior product launches, and the value of our innovative ColdX technology brings to our customers and the patients. These insights, combined with additional market research, have shaped our launch plans, and we are prepared to commercialize Evelich early in Q2. The R&D team did an outstanding job delivering a differentiated clinical package and a first-in-class label, with the mention of weight loss as the cause of facial wrinkles. Rui will provide more details later in the call. Our digital strategy has already begun. With the Evelisse website and social media pages now live, we have also communicated the approval to our customer base. Our founding faculty and scientific advisors, some of whom were investigators in the Evelisse trials, will begin receiving shipments in the coming weeks to start using the product ahead of our broader Q2 rollout. At the end of March, we will host our national sales meeting to prepare our field organization for the launch of Evelisse. In early Q2, our focus will be on sampling and training providers to build confidence in the unique properties of Evelisse Form and Evelisse Smooth. As a result, we expect minimal revenue from Evelisse in Q2 with the majority of revenue expected in the back half of the year. Top of mind for our customers beyond the properties of the new HHLs is about our portfolio strategy. While we are not disclosing pricing specifics at this time for competitive reasons, I would like to share more about how we are integrating Evelisse into our portfolio. Our cash pay model enables us to offer a unique approach, and during launch, Evelisse will be seamlessly integrated into our existing portfolio of benefits, including co-branded media and consumer rewards. This will enable customers to earn co-branded media benefits on purchases of Evelisse in addition to Jeveaux. Our portfolio benefits is a differentiated offering in the space. Additionally, our advisors and investigators view Evelisse as a premium HHL with innovative technology and unique advantages over existing market-leading fillers. Our pricing strategy reflects this differentiation while keeping Evelisse in line with leading HA products. Importantly, in our research, 99% of existing GVO customers have expressed interest in trialing Evelisse, and half of accounts that have not previously worked with Evelisse are also interested. This presents a significant opportunity, not only for Evelisse, but also for GVO. By leveraging Javote's existing momentum, we are building a synergistic portfolio that provides a comprehensive solution for both customers and consumers and benefits from our existing platform. Beyond 2025, our long-term growth outlook remains strong. We are confident in our ability to achieve at least $700 million in revenue by 2028 with a non-GAAP operating income margin of at least 20%. driven by our efficient cash-paid business model and a relentless focus on digital and product innovation. I want to express my gratitude to our team, customers, and shareholders for their continued trust and support. With a record year behind us and an even more exciting future ahead, we look forward to the imminent launch of Evelisse and delivering another year of exceptional growth in 2025. Now I'd like to turn the call over to Rui to share more insights on our injectable HA gel line, Evelisse.

speaker
Louis Avalar
Chief Medical Officer and Head of R&D

Thank you, David. The FDA approval of Evelisse Form and Evelisse Smooth injectable hyaluronic acid gels is a pivotal milestone for us, officially transforming us into a portfolio company. The Evelisse gels are formulated with proprietary cold X technology. utilizing near freezing temperatures as compared to other gels that use heat. This serves as the foundation for a platform of gels, which offers a wide range of capabilities. At least smooth is a soft, forgiving gel with low inflammatory profile, allowing injectors greater flexibility in treatment. In Europe, it's approved for very superficial applications, including treating thin lines around the mouth and lips, also known as perioral fine lines. Evelisse Form is our most versatile HA injectable. When we look at our gel portfolio, we see a spectrum. On one end, Evelisse Sculpt, which provides structure and high tissue lifting capacity. On the other end, Evelisse Smooth, a very soft, more liquid-like gel. Right in the middle of the spectrum, we have Evelisse form with both properties of structure and suppleness. Both Evelisse form and Evelisse smooth are approved for the correction of moderate to severe dynamic facial wrinkles and folds. Notably, the indication is broader than just nasolabial folds. Labels state that it can be used in wrinkles and folds such as nasolabial folds, which allows for the treatment in other areas, for example, the marionette lines. The pivotal studies used a split-based design with Restylane lidocaine as the control for both products. Looking at the results over the 12-month study period, And this form demonstrated statistical significance at all follow-up time points and at least smooth at six and nine months compared to the control. In the FDA-approved label, it states that the study met the primary endpoint of non-inferiority and includes the 95% confidence intervals along with the corresponding p-value of less than 0.001. demonstrating statistical superiority over the control for both Evelisse Form and Evelisse Smooth. The typical patient labeling states that facial wrinkles may develop over time due to natural aging. What's unique to our FDA approved patient labeling for both Evelisse Form and Evelisse Smooth is the language that facial wrinkles may develop after weight loss. To our knowledge, we're the first and only company to include weight loss as a cause of wrinkles in patient labeling. We believe this additional language positions us well to address the needs of the anticipated GLP-1 patient. With that, I'll turn it over to Sandra for the financials.

speaker
Sandra Beaver
Chief Financial Officer

Thank you, Rui. I would like to begin by congratulating the Ebola team for delivering an outstanding fourth quarter and close to 2024. Our above-market sales growth, competitive positioning, and disciplined expense management enabled us to achieve profitability in the fourth quarter, as expected, and reach the significant milestone of full-year profitability, one year ahead of expectations. This accomplishment sets a strong foundation as we enter 2025, positioning us to drive sustainable revenue growth and profitability. In our fifth year of commercial operations, we have continued to demonstrate the capacity that our cash pay model has to deliver top-line results and operating leverage. Over the five-year period, we have achieved nearly five times operating leverage with a revenue compounded annual growth rate of 50% as compared to non-GAAP operating expense compounded annual growth rate of 11%. The commercial launch of Evelisse starting in Q2 of this year enabled further operating leverage as we continue to make meaningful progress towards our 2028 guidance of at least $700 million of revenue and at least 20% non-GAAP operating income margin. Turning to our 2024 financial results, as previously reported in our January announcement, Global net revenue for the fourth quarter was $79 million, a 30% increase over the fourth quarter of 2023. For the full year, global net revenues was $266.3 million, representing a 32% increase over 2023, and at the top of our guidance range of $260 million to $266 million. U.S. product revenues accounted for approximately 95% of total sales, with a customer reorder rate at approximately 70%. Notably, international revenue contribution is expected to continue to increase, reflecting the strong growth trajectory of our Thompson business outside the U.S. Sales growth in the fourth quarter and full year were driven primarily by higher volumes and market share gains, while pricing remained stable. Our reported growth margin for the fourth quarter was 66.7%, while our adjusted growth margin, which excludes the amortization of intangibles, was 67.5%, consistent with Q4 2023. For the full year, reported growth margin was 68.5%, with adjusted growth margin at 69.6%, aligned with our guidance range of 68 to 71%. Operating expense management was disciplined while supporting strategic growth initiatives Gas operating expenses for the fourth quarter were $54.9 million, down from $57.6 million in the third quarter. Non-gas operating expenses for the fourth quarter were $46.6 million, compared to $49.6 million in the third quarter. For the full year 2024, gas operating expenses totaled $216.7 million, compared to $186.8 million in 2023. Non-GAAP operating expenses were $185 million in 2024, compared to $163.9 million for 2023, and at the low end of our expected expense guidance range of $185 million to $190 million. Operating expenses grew at less than half the rate of revenue, 13% growth as compared to 32% revenue growth, demonstrating continued operating leverage. Operating expenses will increase in 2025, beginning to ramp in the first quarter to support the Q2 launch of EvaluEase. As a reminder, non-GAAP operating expenses exclude stock-based compensation expense, reevaluation of the contingent royalty obligation, and depreciation and amortization. Within operating expenses, selling, general, and administrative expenses for the fourth quarter were $50.2 million, down from $52.5 million in the third quarter. This included 6.1 million of non-cash stock-based compensation, compared to 5.2 million in the prior quarter. For the full year of 2024, SG&A expenses were 198 million, up from 165 million in 2023, reflecting investments in growth and commercial expansion. With our disciplined approach, we achieved a significant milestone in profitability. Non-GAAP operating income in the fourth quarter was $6.7 million, marking a meaningful improvement from the non-GAAP operating loss of $3.7 million in Q4 of 2023 and non-GAAP operating income of $1.1 million in Q2 of 2024. This significant achievement also enabled us to deliver full-year profitability for 2024, one year earlier than expected. Both non-GAAP operating expenses and non-GAAP operating income exclude stock-based compensation expense, revaluation of the contingent royalty obligations, and depreciation and amortization. Turning to the balance sheet, the end of the fourth quarter was $87 million in cash, up from $85 million at the end of the third quarter. This increase reflects strong sales growth, efficient cash collection, and prudent expense management. we continue to make steady progress towards sustainable positive cash flow. Worthy of note, we anticipate a use of cash in Q1 2025 due to the seasonality of revenue coupled with the timing of our annual bonus payments and inventory stocking to support the launch of Evelisse. Looking ahead, we remain confident that our existing liquidity will fully fund our operations to positive cash generation and support the repayment of our 125 million debt facility in 2026 and 2027. As we look beyond 2025, we remain on track to achieve total net revenues of at least 700 million by 2028. This growth will be driven by continued performance in our neurotoxin business, both in the U.S. and internationally, along with increasing contributions from our novel line of injectable hyaluronic acid gels which will begin launching in early Q2 2025. Achieving this revenue milestone equates to a compounded annual growth rate of 27% from 2024 with a total addressable market that stands at approximately 6.2 billion today and is expected to grow to approximately 10 billion by 2028. Additionally, by leveraging our highly synergistic infrastructure, we expect to expand operating margins and target at least 20% by 2028. With that context in mind, I'd like to summarize our 2025 guidance. Total net revenues are expected to be between $345 million and $355 million, which represents 30 to 33% growth from our 2024 results. We anticipate that Evelisse injectable HA gels will contribute 8% to 10% of total revenue in 2025. Non-gas operating expenses are expected to be between $230 million and $240 million, driven primarily by continued investments in expanding Jevote in the U.S., scaling Deceva internationally, and supporting the launch of Evelisse Form and Evelisse Smooth injectable HA gels. We expect to achieve profitability, positive non-GAAP operating income on a consolidated basis for the full year 2025. Non-GAAP operating income is anticipated to be achieved after the launch of Evelisse Form and Evelisse Smooth, with investments ramping in Q1 2025 and revenue contribution weighted toward the second half of the year, which will result in our non-GAAP operating income being concentrated in Q4 2025. As a point of note, other modeling assumptions for 2025 include quarterly interest expense of $4.5 million and full-year weighted average shares outstanding of approximately $63 million. With that, I will now turn the call back to the operator to begin Q&A.

speaker
Operator
Conference Call Operator

Thank you. We'll now be conducting a question and answer session. If you would like to ask a question, please press star 1 on your telephone keypad. A confirmation tone will indicate your line is in the question queue. You may press star 2 if you would like to remove your question from the queue. For participants using speaker equipment, it may be necessary to pick up your handset before pressing the star keys. One moment please while we poll for questions. Thank you. Our first question comes from the line of Annabelle Samney with Stifel. Please proceed.

speaker
Annabelle Samney
Analyst, Stifel

Hi, everyone. Thanks for taking my questions, and congratulations on a good quarter and the progress with Evoli. So I had a couple here. I guess first, just thinking about the challenging market conditions for U.S. facial injectables that Avi talked about, I guess, how do you think about the environment you're launching into? And it's great that you got the label for facial wrinkles related to GLP-1s. I know this is asked every quarter, but have you noticed a change in behaviors and flow into practices based on patients who are looking to get their wrinkles fixed because of the GLP-1s? I guess that's the first question I have, or first two questions, rather.

speaker
David Modazzetti
President and Chief Executive Officer

Yeah, it sort of dovetails with one another. Thanks for the question, Annabel. We continue to hear the backdrop of challenging market conditions, but we don't see that in the data that we see on the toxin market. I'll start there. The first is the toxin market's been growing in this high single-digit range now for multiple consecutive years following COVID, and we continue to see really good strength in terms of consumer interest. entering this market and adding on a toxin that influx of this younger generation is happening now and we've of course been a beneficiary of that as our business over indexes on this younger generation with jubo interestingly we've talked about a basket of consumers that we track in our loyalty program to assess whether they're stretching the intervals between treatments and we're not seeing any changes in their behavior, despite what we hear in the backdrop. So I'd say we have a very healthy market from that standpoint. And I'd say, largely speaking, the HA category is also a relatively healthy market. I know the last... 18 to 24 months has been a bit slower than it has historically. It's worth recognizing that the filler market had an outsized benefit post-COVID. And to some degree, maybe some of these patients had received more HA filler volume per treatment than they had historically. And we're starting to see that number of syringes per treatment start to normalize. And that normalization is creating a backdrop that gives it the appearance of a market that has stabilized or flattened out. But we do believe that that filler market will have growth going forward. We anticipate it will grow this mid to high single digit in our outlook to 2028. And we also believe that we have a couple of reasons to be excited because we have new technology. It's very different in the way that this is made from other HAs on the market. And we have the ability now to tell the story a bit differently, especially with this unique label that we have that speaks to weight loss. we of course know that that is the single largest tailwind in this category when you look forward. Those GLP patients, when they enter a set of clinics, facial injectable hyaluronic acid gels are the number one procedure they would add on for that facial volume loss. So I think having that mentioned in our patient label is a really important part of starting that dialogue. I was in New York last week and with a couple doctors at dinner, when I mentioned that label difference, they thought that was really powerful, that that's something they would want to advertise to their patients when they talk about Evalit, and it gives them the ability to attract new patients into the category.

speaker
Annabelle Samney
Analyst, Stifel

Okay, that's great to know. And so I could just ask you about how your subscription model is performing. I know you launched it recently, and Are you going to be sharing any metrics on enrollments in the club? I guess the way you talk about the enrollments and the consumer, similar to the way you talk about the consumer loyalty program. And are there any early metrics you can share from the injectors and whether they're seeing persistency in foot traffic and upselling opportunities?

speaker
David Modazzetti
President and Chief Executive Officer

Sure. So you're asking about Club Avalos subscription program. As you know, we launched that program in the back half of last year to a limited group of customers. We extended that to about roughly 100 customers around the U.S. that had access to Club Avalos. We've seen really good results. I think we want to see a full year cycle before we share some of those results and compare them against our pilot. But we continue to see results that are in line with what you would expect at this phase of that initial introductory 100 accounts. We've since opened it up more broadly to more customers, and we continue to have a high amount of interest in both enrolling into our club program with existing accounts, but also once they enroll, getting them to start putting patients that are on a regular treatment interval into the subscription. That being said, I don't think comparing it to our loyalty program is the right comparator because This is an entirely new platform that these practices have not had in the past. So we're introducing a different way of selling it. We're collecting, obviously, a payment from the consumer in this program. And so there's a learning curve for all these clinics that they need to go through, whereas when we launched Our loyalty program, they had existing loyalty programs from some of the bigger players in the space, so they were used to offering a loyalty program. Here, we're first in class, and we're creating a new market around subscription. But I'm really pleased with the early results we're seeing. I think we'll give you a better feel for it once we wrap around right around the year on those early performance metrics.

speaker
Annabelle Samney
Analyst, Stifel

Okay, great. Thank you.

speaker
Operator
Conference Call Operator

Thank you. Our next question comes from the line of Mark Goodman with LERIC. Please proceed.

speaker
Mark Goodman
Analyst, LERIC

Hi, thanks. This is Madhu on the line for Mark. Just a quick clarification on your last comments. So just your growth expectations for the U.S. toxin market in 2025, you know, it seems like you were saying that you're seeing something different from your competitors in terms of the fourth quarter, so just curious. on your expectations for this year? Do you see the market growing maybe in the 6% to 7% range? And then regarding the fillers, can you talk about how the in vitro data you've shared versus Restylane in terms of the thermal and shear stress could translate to potentially different mechanical properties in the body? Maybe you can relate it to the clinical trial data or potential differentiation in the real world setting. Thank you.

speaker
David Modazzetti
President and Chief Executive Officer

Great. Okay, thanks for the questions. I'll make just one comment and then turn it over to Sandra to talk a little bit about our guidance on market for Botox and filler, and then Rui to answer your question on the gel properties. I think we recognize that as a business that's grown over 30% for five consecutive years, we're over-indexing against this younger generation of consumers, and we're benefiting from this new patient growth coming in the category. We have an outside benefit on that. So I think from that standpoint, obviously we have a really great seat at the table, but we don't always have a clear view on the market, but we do see a very healthy market, and we can tell you how we're thinking about this year.

speaker
Sandra Beaver
Chief Financial Officer

Yeah, I think David elaborated on a lot of the different factors that we see driving the market, but if you look historically at the health of these markets, historically the combined filler and toxin markets have been growing in the low double digits, so around 13% over the last number of years. The toxic market in particular over the last few years has been high single and that's played out in 23 and 2024. So we continue to see that very healthy growth rate and we project overall for the long term of 10% ish. So high single to low double digit growing market over both categories, right? And we see a lot of great tailwinds that continue to further support that along with the entrance of the millennials. Having said that we are very responsible in the way we think about our guidance and the way we think about setting the market for 2025. And the market that we have in 2025 does expect a relatively flat filler market. So if we do see some of those tailwinds materialize in 2025, that would be some upside for us. As of now, we're being prudent in the way we think about the market shape and the timing of when it will start to impact.

speaker
Louis Avalar
Chief Medical Officer and Head of R&D

And then just to take your last question, in terms of the basic premises, using this freezing technology or near freezing when you crosslink, what we seem to do is a better job of preserving that natural structure of HA. If you think about it, you would wonder, well, I wonder if that would mean it would resist the forces and stresses that may be applied to these gels. That's what the bench top data said. One way of looking at it is to firmly stress it. It's a way of seeing how stable your gel is, and what we found was these gels seemed to stand up better than the competitors we went up to. Probably a more relevant metric when we look at testing these gels kind of on the bench top is that compression and shear. So if we think about laying on one's face or moving one's lips or just facial movement, that also translated really well. What we found was that these Evelisse gels seem to withstand that compression and shear force way better than the competitors. And then ultimately, your question is, how does that translate in clinical? And that's what was nice to see. In the European study, when we put these gels into the nasolabial folds, and they were controlled, so you had a control on one side, we found that despite the same amount of gel being used, there always seemed to be more correction with the Evelisse technology. And in the U.S. study, it was a bigger study, once again, both gels were tested, split-based, What we found in the case of form, despite the fact that the same amount of gel was used, there was always more correction at all time points. That implies longer duration and higher efficacy at all the time points. Certainly, statistically, we saw a statistical difference at every one of those time points. And then when we looked at SMUD, the interesting thing was the control actually used 20% more volume. And despite that, there always seemed to be more correction, at least on an absolute basis, and it still hit statistical significance at six and nine months. So in other words, we do a better job of preserving that HA. It seems to withstand kind of rigor testing on the benchtop. And in human data, we seem to see really good performance against the control and seems to last longer.

speaker
Operator
Conference Call Operator

Thank you. Our next question comes from the line of Navantai with BMP Paribas. Please proceed.

speaker
Navantai
Analyst, BMP Paribas

Hi. Thanks for taking my questions. I had one on the weight loss label. I'm interested how were you able to add that claim versus peers, and do you expect competitors to follow? And then a second question, more generally on the Q4 market shares, how did they move across the category, and did you maybe benefit from AbbVie redesigning their loyalty program? Thank you.

speaker
Louis Avalar
Chief Medical Officer and Head of R&D

Sure. On the patient labeling, obviously, there's negotiation that goes on with the agency, so tip our hats to our R&D group. In terms of others to follow, obviously, I can't speak for others, but I guess it's a form of flattery if people copy what we did.

speaker
David Modazzetti
President and Chief Executive Officer

On the share gain, we have consistently looked at it over a full year period. Over the last several years, you've seen we've continued to gain two share points each year. Of course, in 2024, we didn't expect to gain two points, and we did. This brand just continues to perform. And I'd give a lot of credit to the team. I think we have an excellent sales organization, great leadership throughout, and a marketing team that's delivered some very unique marketing programs to drive the growth in the category. And what you're seeing is the market's rewarding us. Here we are six years into the category in May, and I think we're the stable hand in the space. The value proposition we brought in focused on cash pay and reinvesting back into these practices is resonating with clinics. And as they're finding out from their peers that there's value we bring back when you partner with us, I think there's a greater interest in us becoming that partner now. In all fairness, we've had limited ability to extend that partnership with one product. And now with Evelisse, that opens up another opportunity for us to have a deeper partnership with these practices around the same cash pay platform that's differentiated versus a market set. So, look, we certainly gained share in the fourth quarter. There's no doubt about that. On the full year, we're now approaching 14% share. which sits above the share we had guided for in 2028, just as a point of reference. We're just really pleased with the way we're exiting, but we see a lot of momentum going forward. We're only in half the clinics today, and despite that, we have a 14% overall share, approaching 14%. We still have another 50% of the market that is not working with Evalys today, and we think Evalys gives us the ability to go wider over time into the rest of the market, but also deeper within our existing customers that want to partner with us to a greater degree. So this is a really important inflection point here for the companies to deliver.

speaker
Navantai
Analyst, BMP Paribas

Okay, that's great to hear. Thank you.

speaker
Operator
Conference Call Operator

Thank you. Our next question comes from the line of Ubir with Mizuho Securities. Please proceed.

speaker
Charles
Analyst, Mizuho Securities

Hey, thanks for taking our question. This is Charles on for Oi. So I guess kind of outside of the U.S., we saw that I guess in 2025, should we expect service revenues to be around two to three million? And also, can you explain why we saw negative service revenues in the fourth quarter of 24? And then also the comments about new severe revenues growing in 2025. Is that kind of a proportional growth or is that just kind of a year over year growth comment? Thank you.

speaker
Sandra Beaver
Chief Financial Officer

Thanks for the question, Charles. As it relates to service revenue, it's generally a relatively stable revenue stream for us. I wouldn't expect it to grow meaningfully compared to prior periods. It is isolated to one account and one contract in Canada. The remainder of our revenue is all booked as product revenue. So I wouldn't expect material changes there. And we do see just some timing of when we have those revenues hit. Yeah, as it relates to Nuceva, really you're looking at the international market for all of that Nuceva growth. And as we've stated a few times, we expect that market to meaningfully outpace our growth in the US. So it's still coming over a relatively small base, given that we've only recently completed the launches in the countries we need to deliver our long-term guidance with Nuceva. So we do have that opportunity to continue to lap around those launches. We launched in Australia and Spain, and we've been continuing to see the contribution of the international revenue streams grow, and we expect it to continue to grow. So this year we were approximately 5% of our revenue coming from international, and that percentage should continue to increase. So it will grow from a small base meaningfully faster than the U.S. grows, but it's still a relatively small contributor to the overall portfolio.

speaker
Charles
Analyst, Mizuho Securities

Okay, thanks for taking my questions.

speaker
Operator
Conference Call Operator

Thank you. Our next question comes from the line of Doug Pfau. with HC Reinright. Please proceed with your question.

speaker
Doug Pfau
Representative, HC Reinright

Hi, good afternoon. Thanks for taking the questions. Just a couple for me. I'm just curious in terms of the launch of Smooth and Form. I'm just curious to understand a little bit about the process for accounts to start using it. You know, is it just sort of a question of expressing interest or Are you sort of prioritizing certain accounts? And then I was just curious, now that you are adding the Evelisse fillers, do you anticipate making changes to any of your customer loyalty programs in any way? Thank you.

speaker
David Modazzetti
President and Chief Executive Officer

Great. Thanks for the question, Doug. I think a couple things on the Evelisse launch. The first is, We're going to disclose the details of our launch plans at our national sales meeting at the end of March, and at that time, the specifics will become clear to the market. However, as you know, we built up an entirely new educational platform called EBLIS Academy last year, and individuals heading that up has built out. not only our executive council, but founding faculty that are going to be trained and will be training accounts in the second quarter. It's a sizable group that will complement a very large medical affairs clinician team that last year conducted nearly 10,000 trainings. So when you couple those two ideas together and you think about our training capabilities for the full year of 2025, we're well over 12, 13,000 accounts that we'll be able to train over the course of the year so that gives us a significant amount of training power which to answer your question doesn't require us to prioritize just our top tier accounts but allows us to go broad fast with these customers so i think we're going to start in the second quarter doing the training but we anticipate that in a very short period of time we can get to the majority of our customer base that is actively using both toxins and fillers in a very quick period of time. So we're really pleased with that. And then lastly, on the loyalty program, the Evelis rewards, the co-branded media benefits begin immediately in the second quarter. As accounts buy up, they'll earn their dollars on both Javeau and Evelis, and we plan on introducing consumer rewards shortly thereafter so that consumers that earn Javeau can also earn savings on Evalis and potentially considering an option of offering benefits if you get both products during the same treatment. So that'll be following shortly after we launch in the U.S., the consumer rewards benefit. We want to prioritize the first few months in the launch to education and training and experience with the product, and we want to have the rewards program for the consumer up and live before we enter the third quarter. Okay, great. Thank you so much.

speaker
Operator
Conference Call Operator

Thank you. Our next question comes from the line of Serge Bellinger with Needham & Company. Please proceed.

speaker
Serge Bellinger
Analyst, Needham & Company

Hi, good afternoon. First question is regarding new accounts. I think you added just a shade under 3,000 new accounts this year, similar to last year. So now that you're over 50% of the overall US total accounts, just curious how you think that number could look like for 2025, given that you're over 50% and you're launching Evelisse. And then secondly, on Evelisse, sounds like the COLDEX technology lends some differentiation to Evelisse versus other fillers. But just curious, in terms of the training and the injection procedures, is there anything different on that front?

speaker
David Modazzetti
President and Chief Executive Officer

Thanks. I'll take the first part and I'll turn it over to Rui to take the second. I think historically, Serge, as you know, we said we expected to add roughly 500 new accounts per quarter. We've been doing that consistently now for multiple years. With the launch of Evelisse, we're going to prioritize getting to our existing customers around education and training on the new product rather than opening new accounts. So you should expect to step down in new accounts. as a result of that. And so we don't have a guide, so to speak, of roughly 500 new accounts a quarter this year for that reason. But then once we transition into 2026, we'll revisit that. But we've asked our team to prioritize ensuring that our existing accounts have the opportunity to try out a lease. But we're at the same time, we're getting a lot of interest from non-users of Evelis products to get trained on Jubo and Evelis. And so we're also trying to support them at the same time. And frankly, it's a great problem to have, but we need to continue to ensure that we support our existing customer base. Now I'll let Rui talk a little bit about what's involved in the training of Evelis relative to other fillers.

speaker
Louis Avalar
Chief Medical Officer and Head of R&D

Sure, so one thing, just kind of at a very high level. When you look at fillers, some you have to overcorrect because you lose a lot of the free HA gel, so you have to train that way. Some fillers you have to undercorrect, so you want to put in a little bit less because the gel is going to swell over time. What we have found is These gels are really well balanced, and so the training is really to correct to the optimal correction. So when you correct that patient, bring them to where you want them. You do not have to accommodate for gel going away or for swelling. So that's one basic element. The other big element is it's a very forgiving gel. So we have a lot of latitude. The profile that's been really described to us repeatedly from all the investigators is it has a very low inflammation profile. So you can go much more superficial than you typically could with comparable gels. So again, if anything, it's much more forgiving. And then probably the third basic element is And we may attribute to just preserving Mother Nature's work, if you will, that HA structure. It's a very efficient gel. So one thing that we've seen in the data and that we certainly heard clinically is when you use the gel, it's very efficient in terms of the amount of lift and correction that you have. So you learn your way through that and you don't have to use as much to get kind of those optimal corrections. I think those are really the three key elements. Thank you.

speaker
Operator
Conference Call Operator

Thank you for all your questions at this time. I'd like to turn the call back over to David Motzadze, President and Chief Executive Officer, for closing remarks. David.

speaker
David Modazzetti
President and Chief Executive Officer

Great. Thank you. Eveless is at an inflection point. Clearly, we're poised for this next phase of transformative growth. Our relentless execution, market leadership and cash pay aesthetic, and ability to disrupt the status quo have propelled us to this moment. We should vote continuing to outperform the market and our deep customer engagement driving unparalleled loyalty. We are stronger than ever heading into 2025 and beyond. Our expanding global footprint and upcoming launch of Evelisse Form and Evelisse Smooth in early Q2 marks a defining moment for our company, further solidifying our position as the most innovative and fastest growing aesthetics brand. The FDA approval of our first two Evelisse products is the most significant advancement in HA dermal fillers in a decade. This expansion of our portfolio not only diversifies our revenue streams, but also reinforces our commitment to delivering cutting-edge solutions that redefine the aesthetics industry. No company is better positioned to lead this next chapter with a fully integrated digital strategy, an unrelenting focus on millennial consumers, and a business model built for sustainable long-term success. I could not be more proud of the culture we've built at Evalyst and the unwavering commitment of our team to push boundaries and drive results. With our proven ability to execute, we remain focused on delivering industry-leading growth and reaching our long-term goal of at least $700 million in revenue by 2028. Finally, we look forward to continuing the conversation next week at the Lyrinc and Barclays conferences in Miami. We hope to see many of you there. Thank you for joining us today.

speaker
Operator
Conference Call Operator

We've reached the end of our call. You may disconnect your lines.

Disclaimer

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