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Operator
Good day, ladies and gentlemen, and welcome to the Census Healthcare Second Quarter 2022 Earnings Conference Call. All lines have been placed on a listen-only mode, and the floor will be open for questions and comments following the presentation. If you should require assistance throughout the conference, please press star zero to reach a live operator. At this time, it is my pleasure to turn the floor over to your host, Kim Gallaudet. Ma'am, the floor is yours.
Kim Gallaudet
Thank you. This is Kim Golodos with LHA. Thank you all for participating in today's call. Joining me from Census Health Care are Joe Sardano, Chairman and Chief Executive Officer, Michael Sardano, President and General Counsel, and Javier Rampolla, Chief Financial Officer. As a reminder, some of the matters that will be discussed during today's call contain forward-looking statements within the meaning of federal securities laws. All statements other than historical facts that address activities Census healthcare assumes, plans, expects, believes, intends, or anticipates, and other similar expressions will, should, or may occur in the future are forward-looking statements. The forward-looking statements are management's beliefs based on currently available information as of the date of this conference call, August 4, 2022. Census Healthcare undertakes no obligation to update or revise any forward-looking statements except as required by law. All forward-looking statements are subject to risks and uncertainties, including the continuation and severity of the COVID-19 pandemic and its impact on sales and marketing, as described in the company's Forms 10-K and 10-Q. During today's call, there will also be reference to certain non-GAAP financial measures. Census believes these measures provide useful information for investors, yet should not be considered as a substitute for GAAP, nor should they be viewed as a substitute for operating results determined in accordance with GAAP. A reconciliation of non-GAAP to GAAP results is included in today's financial results press release. With that said, I'd like to turn the call over to Joe Sardano. Joe?
Kim Golodos
Thank you, Kim, and good afternoon, everyone. I'm delighted to be reporting on another quarter of strong financial performance with significant year-over-year revenue growth and continued profitability. Our revenue of $12.1 million was more than double last year's Q2 revenue. In addition, we earned 21 cents a share compared with 20 cents from continuing operations in the first quarter of this year and a loss of 2 cents last year. We've maintained our momentum since the close of the quarter, and we're optimistic the second half of the year will be terrific. If you recall, in January 2021, our SRT therapy received improved reimbursement when the Centers for Medicare and Medicaid Services, or CMS, revalued our main code upwards by 66% for a course of SRT in non-melanoma skin cancers. In addition, ancillary codes received a double-digit boost. Of note, Mohs surgery reimbursement went down. Last quarter, we reported continued growth in patient volumes at customer sites, in part because SRT became so much more prominent during the pandemic, while surgeries were kept to a minimum. This has continued in a best practice migration towards SRT, That will not only be a permanent gain for Census, but will continue to generate demand for a non-invasive treatment approach. We continue to leverage the improved reimbursement for SRT via a number of activities. First, we embarked on a rigorous education program to ensure our physician customers were educated on the improved ROI. This work is ongoing and is especially significant at dermatology conferences and trade shows. More recently, early this year, we established our fair market value lease program with our banking partners, and that has driven increased sales of our premium SRT100 vision, with more than half of vision sales now occurring under lease. Importantly, the leasing program brought vision into a more affordable price point, while providing census with the premium economics the features deserve. We expect that vision sales growth in the U.S. will continue to exceed basic systems. We believe that through features such as image guidance and ultrasound, plus the software to track disease progression, guide therapy, and plan treatments, vision systems provide better patient care, and we are delighted that physicians increasingly recognize this. As you know, we spend a great deal of time with our physicians, including key opinion leaders, at important medical conferences. In addition, we engaged a new advertising firm for a digital marketing program directed at patients to make them aware of SRT. We also began television advertising in select markets, specifically Florida, Texas, and Arizona. Although there is particular focus on these regions of the country, you may have caught some of our ads nationwide on HGTV, The Cooking Channel, PGA Golf Tournaments, Valley Sports, Baseball, and Wimbledon. We're running 10, 15, and 30-second clips. The ads have been posted on our website, so feel free to view them. The 2022 midterm election may influence the frequency of ads over the near term, as we expect greater exposure as more ad times free up post-election. We are also recognizing increased recurring revenues as the business grows in the form of service agreements. At this point, approximately 80% of the systems that come off their one-year warranty are covered by service agreements. Note that our ability to diagnose any issues, including before they happen, has been made easier with our Sentinel technology and that has greatly enhanced our customer service. As a reminder, Sentinel is our proprietary HIPAA-compliant software and is available on all our new products. It allows physicians to easily and accurately document patient data for clinical billing and asset management purposes. This technology has been a game changer for our SRT customers and for Census, as it clearly demonstrates the attractive ROI for the SRT100 Vision and the SRT100 Plus systems. We've also included Sentinel in all five of our Census-branded Aesthetic Smart Lasers. While treating skin cancer is of great importance to the company, dermatologists also are mindful of the economics in the aesthetic space. With this in mind, we remain focused on leveraging our sales organization to provide products that our customers demand. Late last year, we entered into an exclusive U.S. distribution agreement for a non-invasive drug delivery system called the Transdermal Infusion System, or TDI. This system is cleared by the U.S. FDA for the local administration of ionic drug solutions into the body for medical purposes. The TDI launch is going very well and is generating significant interest among potential customers who recognize its ability to eliminate injections. The system permits many procedures to be less painful for patients, and interest is particularly high for the aesthetic facial procedures, hair growth, and hyperhidrosis, or excessive sweating. As validation, we were excited to take orders to deliver 10 systems to hair enhancement centers. HEC will be delivering U.SK Underskin's hair growth serum called Skin Savers Hair. U.SK Underskin is a subsidiary of EMS Pharma, the largest pharmaceutical company in Brazil, and it's a subsidiary of one of Brazil's largest conglomerates. Two systems will be delivered in this year's third quarter, and the remainder will be delivered in the fourth quarter. HEC is rapidly growing and currently operates nine centers in Texas, and we aim to support their expansion plans beyond this year. In addition, work to study the delivery of finasteride for hair growth is underway by Dr. Glynis Ablon of the Ablon Skin Institute and Research Center and Associate Clinical Professor at UCLA. Finasteride is more commonly known as Propecia. Work has also been done by Dr. Mark Nestor, the founder of the Center for Clinical and Cosmetic Research in Aventura, Florida, who presented an abstract at the Hawaii Winter Clinical outlining the efficacy of utilizing TDI for subjects with axillary hyperhidrosis or excessive sweat glands. We were delighted to ship a second SRT100 system to Colorado State University School of Veterinary Medicine during Q2. CSU is a highly regarded equine program, and this system will be used in their new dedicated facility. Recall that last year we shipped an SRT system that was being used to treat a variety of tumor types in companion and other smaller animals, including squamous cell carcinoma in a Matamata turtle at the Denver Zoo. Research on horses is expected to be published next year, and if the research continues to show beneficial outcomes as it has so far in a small number, veterinary medicine could be an important new market for our SRT systems, with approximately 30,000 veterinary practices in the U.S. I'll briefly mention our international business now, as I think the fact that we shipped five SRT systems to Asia, including to China, in spite of the never-ending pandemic in that country, reflects the importance of treating patients for skin cancer and keloids despite the geopolitical uncertainty. That certainly holds true in the U.S. as non-melanoma skin cancer needs to be treated regardless of the economy. Before I turn the call over to Javier to review our financial results, I want to underscore how pleased I am with our financial performance and just as important with the dedication of our staff and our customers. We believe we are providing important products to benefit the health of people around the world, and our organization not only feels it, we live it. As I said last quarter, we are always cognizant of our surroundings. Notwithstanding the geopolitical and financial turmoil that abounds and noting our usual seasonality, we are very much aware of the threats of inflation, wars, and pandemics. Despite of these factors, we expect continued profitability for the year. We have a robust backlog of orders, and we continue to keep a keen eye on expenses. We also have the strongest balance sheet in the company's history, and we will deploy cash to benefit our shareholders, be it in the form of stock repurchases or accredited acquisitions of companies and products that complements our dermatology footprint. I'll turn the call over to Javier.
Kim
Thanks, Joe. It is a pleasure to be speaking with all of you this afternoon. As Joe mentioned, revenues for the second quarter of 2022 were $12.1 million, and this compares with revenues of $5.4 million for the second quarter of 2021, which was impacted by the COVID-19 pandemic. Revenues for the 2022 quarter reflect a higher number of units sold, including the sale of five SRT-100 systems that were shipped to Asia, along with revenue from service contracts and our mobile laser business. Gross profit for the second quarter of 2022 was $8.3 million, or 68.6% of revenues. And this compares with $3.3 million, or 61.1% of revenues for the second quarter of 2021. The increases were primarily driven by the higher number of units sold in 2022, service revenue on installed units, and the impact of COVID-19 on the 2021 quarter. Selling and marketing expense for the second quarter of 2022 was $1.7 million, compared with $1.3 million for the second quarter of 2021. The increase was primarily attributable to higher threshold expense Advertising expense and commissions offset by a decline in other marketing expenses. General and administrative expense for the second quarter of 2022 was $1.1 million compared with $1.4 million for the second quarter of 2021. The decrease was primarily due to a higher legal and professional fee in 2021. Research and development expense for the second quarter of 2022 was $0.8 million compared with $0.9 million in the prior year quarter. We recorded a provision for income tax in the second quarter of 2022 of $1.1 million and had no such provision in the second quarter of last year. Net income for the second quarter of 2022 was $3.5 million, or $0.21 per diluted share, and this compares with a net loss of $0.3 million, or $0.02 per share for the second quarter of 2021. Adjusted EBITDA, which we define as earnings before interest, taxes, depreciation, amortization, and stock compensation expense, was $4.7 million for the 2022 second quarter, compared with a negative $0.1 million for the second quarter of last year. Turning briefly to our year-to-date financial results. Revenues for the first half of 2022 were $22.4 million, up 164% over the $8.5 million for the first half of 2021. The increase was primarily driven by higher number of units sold in 2022, service revenue on installed units, and the impact of COVID-19 on the first half of 2021. Gross profit for the first half of 2022 was 15.4 million or 68.8% of revenue, compared with 4.9 million or 57.6% of revenue for the first half of 2021. The increases were primarily driven by a high number of units sold in 2022, service revenue on installed units, and the impact of COVID-19 on the first half of 2021. For the first half of 2022, selling and marketing expense was $2.9 million, compared with $2.3 million for the first half of 2021. The increase was primarily attributable to higher threshold expense, advertising expense, and commissions, offset by declining other marketing expenses. General and administrative expense was $2.4 million for the first half of 2022, unchanged from the prior year period. while research and development expense also was unchanged from the prior year at 1.6 million. Net income for the first half of 2022 was 19.6 or $1.17 per diluted share, compared with a net loss of 1.4 million or 8 cents per share for the first half of 2021. Net income for the first half of 2022 includes a $12.8 million gain on the sale of a non-core asset during the first quarter of 2022. Adjusted EBITDA for the first half of 2022 was $21.5 million, compared with a negative $0.9 million for the first half of 2021. Turning now to our balance sheet. Cash and investments were $33.7 million as of June 30, 2022, compared with $14.5 million as of December 31, 2021. The company had no outstanding borrowings under its revolving line of credit as of June 30, 2022, or December 31, 2021. During the second quarter of 2022, the company repurchased 126 523 shares of common stock in the open market at price ranging from $746 to $856 for a total of $1 million. Recall that during the first quarter, the Board of Directors approved a $3 million share repurchase program. While we have always placed utmost attention on expense management, we continue to be in the strongest financial position in the company's history. This attention to our balance sheet leave us well-positioned to take advantage of compelling growth opportunities we may come across. As a final comment, please see the table in the news release we issued earlier today for a reconciliation of GAAP to non-GAAP financial measures. With that, I'll turn the call back over to Joe.
Kim Golodos
Thank you, Javier. Once again, I'd like to stress how proud I am of our entire Census team, including our customers, and their continued dedication to our patients during challenging times and their tenacious dedication to growing our business. Our financial results speak to that dedication. I'm also proud to share with you that our President and General Counsel, Michael Sardano, was honored last week by the South Florida Business Journal as one of the region's top 40 executives under the age of 40. Congratulations on this achievement, Michael. Our SRT systems are well-positioned in a large market consisting of some 14,000 dermatologists and 1,000 Mohs surgeons in the U.S., representing more than 7,500 offices, not to mention a further 6,500 plastic surgeons and 5,500 radiation oncologists. Our systems provide a compelling alternative to surgery for millions of patients and arguably the only solution to prevent the recurrence of keloids following surgical excisions. Before we open the call for questions, I want to mention that we'll be presenting at the H.C. Wainwright Global Investment Conference being held in New York City September 12th through the 14th, and we'll be available for one-on-one meetings. I hope to see some of you there. With those comments, I thank you for your time and attention, and now, Operator, we're ready to take questions.
Operator
Thank you. Ladies and gentlemen, the floor is now open for questions. If you do have a question, please press star 1 on your telephone keypad at this time. If you're using a speakerphone, we ask that while posing your question, you pick up your handset to provide favorable sound quality. Once again, ladies and gentlemen, if you do have a question or comment, please press star 1 on your telephone keypad at this time. Please hold as we poll for questions. And our first question comes from Alex Nowak from Craig Hallam Capital. Please go ahead.
Alex Nowak
Hey, guys. This is Jason for Alex. Congrats on the great quarter. You know, starting out from us.
spk08
Thank you, Jason.
Alex Nowak
Yeah, starting out from us. You know, business seems to be hitting on all cylinders. Your comments concerning the pipeline seem promising. Any reason we shouldn't be thinking about sequential revenue growth for the remaining two quarters of the year here, Joe?
Kim Golodos
I think all of that is very much possible. I think that we are on a good string here of business, and I think that that will continue between now and the end of the year, and I think that we'll have a very strong second half of the year.
Alex Nowak
Got it. And it was nice to hear your comments on capital allocation. Any additional thoughts you can give us on what you're seeing, what the market looks like for small M&A or other commercial partnerships in dermatology?
Kim Golodos
There's a few companies out there that we think could be a good fit with us. You know, we're trying to talk to these companies. It's a very difficult time for a lot of these companies to gain any kind of consensus on what their future is. I think we're all hoping for a great economy, but it also provides us with an opportunity and for them to join with a company that's on the right track. Hopefully, we're going to be able to accomplish something, and hopefully, we'll be able to do something soon.
Alex Nowak
Got it. And then, you know, we've heard kind of some inklings around the market that, you know, in some areas, healthcare staffing shortages are getting marginally better. You know, what have you heard recently from the field about, you know, the dynamic in dermatology offices?
Kim Golodos
You know, from the standpoint of bringing on people or hiring people, things like that, it's very, very difficult. It's not easy. So you have to be extremely particular. We're not going to settle for second best when we've always worked towards getting the best people we possibly can get. So we want to continue on that track, and hopefully we keep hiring people like we're hiring right now. So I would say that the hiring is slow only because the process that we've employed is is very, very precise and very in-depth, so we want to make sure that we get the best people up front.
Alex Nowak
Are you seeing any impact from, you know, your customers maybe having difficulty hiring or keeping fully staffed on your business at all? Should we expect any improvement there as the, you know, general ecosystem improves?
Kim Golodos
First of all, I'll say this about the dermatology, you know, footprint that we have in the industry that we're in. The dermatologists have unbelievable loyalty with their employees. So they all are very, very strong with the employee base that they have and how they're administering to their patient base. I think that a lot of them are also expanding, and it's that expansion that they're probably seeing some difficulty. But because of the reputations that they have with their patients and in their communities, they're attracting a lot of good talent, and because they have the background and the and the experience within their practices, they're able to bring, you know, good people on board who are willing to work and train them to the benefit of the practice. So I don't see them hurting as much as a lot of people might think in other industries because this is a very vibrant industry.
Alex Nowak
Got it. No, that's helpful, Collar. Yeah, I might have missed on the press release, but can you share the number of SRT systems that you guys shipped in the quarter? I know that's something you usually give.
Kim
I'll leave that up to Javier here. He'll tell you. We ship 35 SRT systems in a quarter.
Alex Nowak
Got it. Thanks for that. And just last for me, if I can sneak one more in. Can you talk a little bit about your relationship with skincare? Wondering if it ever would make sense to form a closer partnership there.
Kim Golodos
I think we've got a great relationship with skin care. Like I said in the past, I wish I had 10 more customers like these guys. They're wonderful. They know what they're doing. They're professional in every way. They know how to treat patients, and they're working very well with their dermatology partners. So we're excited for them, and, you know, we're always talking together. So if an opportunity comes to work closer together, we'll see and we'll pursue and we'll discuss.
Alex Nowak
Got it. Yeah, congrats again on the great quarter, guys.
Kim Golodos
Thank you very much.
Operator
Thank you. And our next question comes from Scott Henry from Roth Capital. Please go ahead.
Scott
Thank you, and good afternoon, Joe, Michael, and Javier. Wow, what another strong quarter. I mean, third one in a row, really fantastic. I guess the natural question when you're selling a capital equipment type of object is, you know, is this a bolus of orders and maybe it slows down from here? Or do you think this kind of pace or cadence can be maintained at these higher levels? I mean, you've got quarters that look like the year looked like in 2020. So we're just trying to get a sense of how sustainable it is.
Kim Golodos
Well, you know, Scott, it's a very, very good question. As we're looking at the market and you look at what the market penetration that we've had so far, we're probably somewhere around 3.5% to 4% of the market penetration. So we still have the best ahead of us. And I made a statement maybe two quarters ago when we announced 500 units installed. I said that, you know, it took us 10 years to install 500 units, and we would probably be able to install 500 units in half that time for the next 500. So I still believe that, and I think that the market will be able to capture that, and I think COVID kind of projected us closer to that because of best practices. And again, we're seeing a new era of dermatologists and Mohs surgeons that's coming into play where a lot of these doctors are not afraid of technology. And because of the volumes of patients that are coming through their offices, the productivity that we provide them with SRT gives them so much more time to see so many more patients. And I think that's the key. How many patients can they see? So we provide them with the cash flow that they need, with the return on investment that they need, and we give them more time to work those extra patients into their practice. So I think we provide them with everything and all the tools for them to grow as well as our practice and our business to grow.
Scott
Okay. And, I mean, the natural question is, I mean, I've heard the presentation for years, and, I mean, you look at the pictures and the non-invasiveness of SRT versus Mohs surgery with similar results, you know, it did seem kind of like a no-brainer that this shift would happen, but it didn't really happen for a while. You know, do you think it was the reimbursement, or do you think it was just the inflection of enough people seeing it, just reaching critical mass? I mean, why now?
Kim Golodos
Well, I think we've got a couple of things going for us right now. I think number one, the doctors are seeing more and more each and every year, each and every month, the benefits that their patients are getting from SRT. And we're seeing that more and more patients are hearing about SRT and are starting to demand a non-surgical choice. With the influx of cash and how we've been able to preserve our cash over the last two, three years in spite of COVID, We're now reinvesting that cash, as I mentioned during the dialogue, that we're working with an outside agency of PR and advertising firm to help create more patient awareness. And prior to that, based off of our website, and if anybody wants to go to our website, you'll see it's a new and revamped website that's very user-friendly for both the doctors and the patients. We've gone from literally two patients a week inquiring by reaching us either off of our website or phone calls to now we're seeing, we're approaching 30 calls a day, 30 inquiries a day from patients. And we're not even starting the PR program throughout the entire country. We're just starting to touch it. So I think that this is going to continue to grow. And as those patients keep inquiring, we set them up with our doctors in the areas that these patients are living, whether it be for keloids or skin cancer. But we're hearing all the war stories, the horror stories that the patients are going through, the stories that they're getting from their communities regarding the treatment of skin cancer and or keloids. And now we're directing them to the physicians who have our equipment And I think that they're getting the treatments that they're looking for. And we're getting a lot of letters that say thank you for your help. They haven't received that kind of help in any other kind of modality that they've worked with in the past. So I think the combination of all these things happening at the same time and us being able to now afford reinvesting into this PR and advertising is going to help us accelerate this.
Scott
Okay. And, you know, with the higher numbers in the first half of 2022, and even some sales at the end of 2021, should we still expect seasonality and kind of a stronger 4Q? Historically, that's been a strong quarter. Maybe we should think that that's more smoothed out, given the big numbers we're seeing.
Kim Golodos
Until we go through it, I would have to say that we are looking at some degree of seasonality As we're going into the third quarter, you know, we're going to be pushing for our growth and continue to grow quarter over quarter. But the main thing is profitability. We want to achieve profitability each and every quarter, which is what I said from day one when we started this year. So as we're going into the third quarter, there's a lot of things that are going on that could impact what happens in the third quarter. I don't know if they will, but these are the things that we think about.
Kim Gallaudet
We have a midterm election.
Kim Golodos
A lot of people just keep their hands in their pockets.
Kim Gallaudet
until they know exactly what the result is. They just don't like the move.
Kim Golodos
They might anticipate those results, but they still don't like to make decisions until after the results are confirmed. On top of that, I look at these doctors that we work with. They've really busted their butt over the last two, three years during COVID. And they had to recover a lot from their practices, from their families, all of those things that made them better business people, made them better doctors. And when I look at what they've had to go through, They haven't had vacations in two years with COVID. Where could you go with your family? Couldn't go anywhere. And a lot of times their clinics were closed. So if I were them with the new money that they're making or the renewed opportunities that they have within their practice, I'd be looking at taking some extended vacations with the wife and kids somewhere, whether it's the cottage or whether it's overseas or wherever they want to go after two years of being closed up. I think they're going to take advantage of that. And that might extend into the November timeframe. Now, I don't know how it's going to impact our sales. I will tell you that we have a good backlog going into this third quarter. So we have a good shot of either meeting or exceeding what we did in Q2. And I would expect that no matter what, our Q4 will still be the best quarter that we've had in the entire year. So that's why we're very, very optimistic. optimistic about what's going to happen in the second half. And the third quarter is going to be key, but we're comfortable with what we're doing so far with the third quarter. We're excited about the second half.
Scott
Okay, great. And just the final question, Joe, a little more of a long-term, as I've kind of noticed, you seem to be building a little more of a recurring revenue stream into the business in addition to kind of a capital sale. When you think out five years from now, what percent of revenues would you like to think would be recurring revenues in the business model?
Kim Golodos
If we were to stick with the current product line that we have, if we're going to assume that we're not going to get into or expand our footprint into other product lines for the same industry, you're going to look at anywhere between 10% and 14% of revenues. recurring revenue based on the service agreements that we have. I think the service agreements are very important, not just for us, but also for the doctors, and they're starting to recognize the importance of the service contract because with the Sentinel, we provide them with a tremendous impact in making sure that these machines do not go down, and that's what they love. They have the reliability, and they can expect this product to be working every time they book a patient or schedule a patient for treatment, and that's important to them.
Scott
Okay, great. Thank you for taking the questions, and congratulations again on the strong results.
Kim Golodos
Thank you very much, Scott. Appreciate it very much. Thanks, Scott.
Operator
Thank you. And our next question comes from Anthony Vendetti from Maxim Group. Please go ahead.
Anthony Vendetti
Thank you. Hey, Joe. Hey, Michael. How are you doing, Javier? How are you? Hey, Anthony. How are you? How's it going? Good, good. Thanks. So on the transdermal infusion systems, so you sold 10 or you have orders for 10, which is great, to these hair enhancement centers. Two are going to be delivered in the third quarter. One is, you know, have any of those been delivered yet since we're in the third quarter? Eight are scheduled in the fourth quarter. And then on a revenue recognition side, did any of those – systems get recognized, or did a percent of those get recognized here in the second quarter, or are all the revenues going to be recognized when delivered in the third and fourth quarter?
Kim
Hi, Anthony. Yeah, so the order of 10, we expect at least two to be delivered in Q3, and the remaining by the end of the year in Q4 now. So that's basically how we plan to recognize the revenue as well.
Anthony Vendetti
Okay, so none of these orders were any, no part of the revenues from these 10 orders were recognized in the second quarter that ended June 30th, correct? Correct, correct. Okay, great. And then switching gears to the SRT systems, 35 were delivered. Any of those to China, or did you break that out, or can you break that out?
Kim Golodos
Yeah, five went to China. I should say five went to Asia because we had four go to China and one to Vietnam.
Anthony Vendetti
Oh, okay. And then, Joe, maybe on the transdermal infusion system, you know, right now, 10 of these are the hair enhancement centers. But, you know, the opportunity, as we discussed when you first signed this agreement, is is, you know, for other aesthetic procedures as well that require injection, whether it be Botox or something else, Juvederm or dermal fillers. What's the... Can you talk about the interest level or the pipeline of other potential aesthetic procedures for the transdermal infusion system?
Kim Golodos
Yep. The interest is extremely high. We've got... Other pending orders, we have a backlog going into the third quarter other than the HEC purchase. We've got quite a few customers that are looking at multiple orders in other groups. So it's extremely high as of right now. So I expect the second half to be real exciting for the transdermal units. Now, some of the applications, we've got one study that was complete with a paper presented at the Hawaii meeting, and that was with Dr. Nestor, who did the hyperhidrosis for the sweat glands. We have several other customers that are also anticipating being able to treat their patients for that. We have one that we're not prepared to say, but was already shipped in the third quarter. And then we have Dr. Ablon, who is working very, very closely with Crown Aesthetics using their PRP serum for hair restoration. And so that's an exciting program as well. And she presented for facial rejuvenation at the Vegas Aesthetic Show with a live patient, which was very, very strongly attended. And so there was a lot of interest raised there. So, you know, it's an exciting product. And I think that the advertising and the marketing that we're doing with regard to that and the word of mouth that's going from one doctor to the other, I mean, being able to provide these patients with these services without the pain, without the lidocaine, All of these features, again, provides customers with better productivity and patients with less pain and no downtime. And so it's going to encourage a lot more patients to come into their offices to be treated for these things because it's important to them. So it's exciting.
Anthony Vendetti
Okay, great. And then just lastly, you know, on the, you know, strong results the last couple quarters, partly positive. you know, due to the increased reimbursement, as well as, you know, more data that shows the benefits of SRT. But one of the things you pointed out was also the ability for physicians to, instead of purchasing the capital equipment, is to take you up on the fair market value lease. What percent of the 35 total systems were or what the number was that were either purchased or delivered through a fair market lease. And then I know your salespeople have, I'm sure, a slide deck that shows the return on investment, the ROI necessary, how many patients do they need to treat to break even on the monthly payment for the fair market lease.
Kim Golodos
The break-even is just under two patients a month. One-third of the sales that we made in the second quarter were with fair market value lease. The rest was cash.
Anthony Vendetti
Okay, great. All right, thanks very much. I will jump back into the queue. Thank you.
Kim Golodos
Thank you very much, Anthony. Thanks, Anthony.
Operator
Once again, that's star one. If you do have a question or comment, And our next question comes from Yi Chen from HC Wainwright. Please go ahead.
Yi Chen
Hey, congratulations, everyone. This is Chase. Thank you, Yi. Sure. I'm Chase on behalf of Yi Chen. Luckily, you've already answered most of my questions that I had, so I'll just keep it very short. When it comes to the SRT systems, have your sales reps started finding it easier to have one-on-ones with dermatologists and have more face time with them considering the recent environment and also just i know that you've given a lot of color and thanks for providing information on the rise in the inquiries from patients following your pr program so i was wondering if you could also provide some color on you know potential revenue increase thanks to your ongoing marketing efforts and also the recent reimbursement news.
Kim Golodos
Well, I'll just say this. It's never easy to get face-to-face with any of the doctors. It's always a battle. It's always tough because their time is very, very important to them, and they're seeing a whole lot more patients than they've ever had in the past. So they're extremely busy. So we have to see them whenever we have the opportunity. But the good thing is that the word is getting out so that they want to see us and therefore they're encouraged to try to find time to meet with us. So that's the good thing, but it's always the difficult thing because of the way their practice is built. With regard to the PR and the advertising, we continue to reinvest into that part of our business, and we think that it's an investment well done because of the patient awareness program as we now start to provide patients with information regarding where they can get these treatments and understanding that they do have an option versus surgery. And a lot of the patients that are coming to us, they're coming to us because they're not given an option by some of the doctors who are only telling them that they should have surgery. When they find out that there's an option, they come to our website, they fill out the form, and we are able to get back to them with the interest, and they're so thrilled to talk to a doctor that
Yi Chen
might be doing both.
Kim Golodos
And that's what I would suggest to all of the Mohs surgeons out there. You can't be a one-armed bandit in this thing. You've got to be able to provide patients with the choices that they're looking for. And I think the doctors that are going to be able to provide those skin cancer patients with those choices are the ones that are going to win out in the end. They're going to win the battle for the patient. And so We're seeing an increased interest of the patient. That's what we want to do. We want to provide them with that information and education, and we're going to continue to build on that, and we'll do whatever we can to make more patients aware all the time.
Yi Chen
Excellent. Thank you so much. And lastly, on the transdermal systems, could you perhaps summarize the feedback that you've gotten so far from the stakeholders that have used it? And also, I know you've provided some color, but What are your plans with it for the next, what are the commercial plans for the next year or so? Thank you.
Kim Golodos
Well, I'll give you an example. We had employees witness a patient for the sweat glands, witness a patient being treated at Dr. Shino Bay's clinic down in Fort Lauderdale, Florida. He's a very, very popular physician amongst his patients. He has a tremendous following, and they decided to be able to transpose the the serum in through his armpits, whereas before, you had to inject with the needle. And you had to provide lidocaine in order to make sure that there was no pain, because this is multiple needles in both armpits to help this patient with the sweat glands. After he went through the process and experienced the process, he looked at the physician. He said, why aren't we doing this all the time? And so the patient, you saw it right away that they preferred to have the treatment without the needles. And I think that we're going to see that happen more often where patients are going to be more encouraged to go to a physician's office when the physician is able to provide them with a no-pain treatment, as well as not just no pain, but being able to say to the patient, you can live your life. You don't have to change your schedule. You don't have to stop doing this or that because of all these injections and because of the pain. We're also experiencing the same thing with hair restorations. Because of the fact that you're not sticking thousands of needles into a scalp, which is extremely painful, now you're going to have patients that are going to say, hey, I want more of this. I want to do it on an ongoing basis because it is something that they have to do ongoing in order to maintain the hair restoration growth over the course of their lifetime. So these are all exciting procedures for patients and for the doctors to be able to administer. So, again, no pain whatsoever. all gain, and normal life for the patient.
Yi Chen
Awesome. Thank you so much. That was very comprehensive, and congratulations again on the tremendous progress.
Kim Golodos
Thank you so much. Appreciate it very much. Thank you.
Operator
Thank you, and we ran out of time for questions. I'd like to turn the floor back over to Mr. Sordano for closing remarks.
Kim Golodos
Okay, thank you, and I appreciate everybody's remarks and questions. I want to thank you once again for your time this afternoon and for your interest in census health care. We look forward to our next financial results conference call when we report our third quarter results in early November. And until then, be well, everybody. Thank you so much.
Operator
Thank you. Ladies and gentlemen, this does conclude today's teleconference. We thank you for your participation. You may disconnect your lines at this time and have a great day.
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