5/6/2025

speaker
Conference Operator
Operator

2025 Financial and Operating Results Conference Call. At this time, all participants are in a listen-only mode. After the speaker's presentation, there will be a question and answer session. To ask a question during the session, you will need to press star 11 on your telephone. You will then hear an automated message advising that your hand is raised. To withdraw your question, please press star 11 again. Please be advised that today's conference is being recorded. I would now like to hand the conference over to your first speaker today, Mark Klausner. Please go ahead.

speaker
Mark Klausner
Investor Relations

Good morning, and thank you for joining us for the Neuronetics first quarter of 2025 conference call. Joining me on today's call are Neuronetics President and Chief Executive Officer Keith Sullivan and Chief Financial Officer Steve Furlong. Before we begin, I would like to caution listeners that certain information discussed by management during this conference call will include forward-looking statements covered under the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, including statements related to our business, strategy, financial and revenue guidance, the Greenbrook acquisition, and other operational issues and metrics. Actual results can differ materially from those stated or implied by these forward-looking statements due to risks and uncertainties associated with the company's business. For discussion of risks and uncertainties associated with the Neuronetics business, I encourage you to review the company's filings with the Securities and Exchange Commission, including the company's annual report on Form 10-K, which was filed in March. The company disclaims any obligation to update any forward-looking statements made during the course of this call, except as required by law. During the call, we'll also discuss certain information on a non-GAAP basis, including EBITDA. Management believes that non-GAAP financial information taken in conjunction with U.S. GAAP financial measures provide useful information for both management and investors by excluding certain non-cash and other expenses that are not indicative of trends in our operating results. Management uses non-GAAP financial measures to compare our performance relative to forecast and strategic plans, to benchmark our performance externally against competitors and for certain compensation decisions. Reconciliations between US GAAP and non-GAAP results are presented in the tables accompanying our press release, which can be viewed on our website. With that, it's my pleasure to turn the call over to Neuronetics President and Chief Executive Officer Keith Sullivan.

speaker
Keith Sullivan
President and Chief Executive Officer

Mark, thanks for the introduction. Good morning, everyone, and thank you for joining the call today. Let me start with our performance in the quarter. which represents our first full quarter inclusive of Greenbrook's financial results. Total revenue was $32 million, an increase of 84% over the first quarter of 2024. On a pro forma basis, total revenue increased 7% over pro forma revenue of $29.8 million for the first quarter of 2024. During the quarter, Neurostar system revenue was $2.8 million with 31 systems shipped. U.S. treatment session revenue was $9.6 million. And U.S. clinic revenue, which represents Greenbrook revenue, was $18.7 million, reflecting continued positive momentum following our transformative 2024. I'd like to give you an overview of our strategic priorities for 2025. and our progress on them in the first quarter. As we move through 2025, we are focused on two clear strategic priorities. Number one, executing our Greenbrook integration and growth strategy. And number two, continuing to scale our Better Me provider or BMP program. Beginning with Greenbrook, we are focused on three key initiatives. First, the optimization of our regional account manager, or RAMs. Following their comprehensive training at Neurostar University in November, our RAM team is successfully implementing the new automated patient transfer process. The educational tools, QR codes, and coordinated intake team are allowing us to connect with patients more effectively while they are still at their referring physician's office, significantly improving conversion rates. Second, the rollout of Spravato. Spravato is now offered as a treatment option in 75 of our 95 Greenbrook clinics, up from 35 clinics at the beginning of the quarter. This represents 75% of the Greenbrook network, with implementation progressing on schedule. In 42 of these clinics, we have begun treating patients using the buy and bill model, which is already delivering the expected revenue improvements. Buy and bill treatments are generating approximately three times the revenue compared with the administer and observe model. We remain on track to offer buy and bills bravado in all appropriate Greenbrook clinics by the end of 2025. Third is the standardization of operations across the Greenbrook network. We have continued to execute well against this objective, with patient coordinators now placed in the majority of our clinics, enabling more effective in-person consultations. These coordinators are crucial in educating patients on the benefits of Neurostar TMS and Spravato treatments. Our training programs to ensure consistent patient experiences continue to show positive results. We have also made significant improvements to Greenbrook's revenue cycle management, including changes in leadership and transitioning to advanced MD patient record billing platform, which is already enhancing our operational efficiency. Within our Greenbrook network, total clinic revenue was approximately $196,000 in Q1 of 2025, compared to approximately $139,000 in Q1 of 2024, a 41% increase. This increase was driven by optimization of our clinic footprint and strong Neurostar TMS performance at the Greenberg Clinic in the quarter. On the same clinic basis, Neurostar TMS revenue increased 8% versus last year, as a result of the actions described above. Our combined company cost synergy realization remains on track. As we integrated the Greenbrook operations, we have continued to identify and realize synergies. When we initially announced the transaction, we had identified $15 million of expected annualized synergies. After closing, by the end of 2024, we had identified approximately $22.5 million of annualized synergies. I'm pleased to report that 95% of these were realized by the end of 2024. As we continue to integrate operations, we are actively looking for additional synergy opportunities and currently believe that total realized synergies will exceed $23 million. These efficiencies combined with our revenue growth initiatives, keep us on path towards achieving cash flow positivity in the third quarter of this year, as we have previously guided. Our second strategic priority is the ongoing expansion of our BMP program across our customer base. As a reminder, BMP sites are those who agree to meet our patient responsiveness and educational standards. the program continues to gain momentum. We currently have over 385 active sites with another 110 sites currently working to achieve the program standards. Our practice development manager team, or PDMs, are making significant progress in teaching these sites how to meet the remaining standards needed to qualify for the program. As a result, We expect a steady flow of new sites to enter the program over the coming enrollment periods this year. The performance metrics of BMP sites continue to validate the efficacy of the program, with these locations consistently helping more patients and delivering care faster. Once practices are fully in the BMP program, they treat three times more patients per site per quarter than practices who are not in the program. On average, these BMP sites go from treating three patients per quarter to over 10 patients per quarter. In addition, customer sites that participate in the BMP program are addressing patient needs about two times faster when comparing results of Q1 2025 to Q1 2024. The outcomes demonstrated by BMP validate the lasting benefits of our model for teaching practices and better serve their patients with NeuroStar. Accordingly, we continue to focus our efforts supporting these BMP practices based on their commitment to patient responsiveness and advanced training. Importantly, we have observed that treatment session utilization is outpacing purchases at these sites, indicating strong patient flow and utilization of existing equipment. Based on Greenberg's success in educating primary care physicians and non-interventional psychiatrists about our advanced treatment options, we have recently launched the Neurostar Connection Network through which our PDMs are building awareness of the Neurostar TMS among 69% of patients with depression being treated within primary care. In these conversations, we give primary care physicians the option of working with our Neurostar provider in their area, including our BMP sites. This is a critical development in our strategy to expand patient access to Neurostar TMS treatment. It should be no surprise that primary care providers prefer BMP sites who are committed to our patient responsiveness and education standards. So we have quickly seen BMP providers form the backbone of this program. The standard protocols and consistent patient experience at BMP sites give referring physicians confidence that their patients will receive high-quality care. and remission rates that are unachievable with antidepressants. Early data indicates that practices participating in the BMP program are seeing a meaningful increase in patients from local primary care networks, further validating the value of a comprehensive approach to patient care. Now for some updates on other marketing initiatives. Starting with our targeted TV marketing campaigns. In the fall of 2024, we ran a successful campaign in Tampa, Florida that doubled awareness despite being interrupted by two hurricanes that hit the area during the campaign. Our mission to elevate consumer awareness of the Neurostar brand continues to gain momentum through the targeted offline media programs, which include radio, TV, and billboards. In late March, We launched a six-week TV campaign in the Baltimore area, reaching over a million viewers and laying the groundwork for broader market impact. Within the first two weeks of the campaign, preliminary results have been very encouraging, as we are seeing two and a half times more Neurostar brand search impressions on Google and Neurostar.com compared to the searches prior to the start of the campaign. Over 100 potential patients have requested consultations, and we expect this number to grow as the campaign reaches more viewers in the coming weeks. Additionally, our co-op marketing program continues to drive measurable results. Accounts who participated in co-op in the prior two consecutive quarters showed a 20% uplift in utilization and an 18% uplift in motor thresholds in Q1 of 2025 compared to Q1 of 2024. Another key growth driver continues to be the adolescent treatment capability. Since receiving FDA clearance in March of 2024 as the first TMS treatment approved for depression in adolescents age 15 to 21, we have seen meaningful traction in this segment. the number of adolescent patients receiving treatment has grown 38% in the first quarter of 2025 versus the first quarter of 2024. With the total number of adolescent patients aged 15 to 17 treated in Q1 of 2025, exceeding all the patients treated in the full year of 2023. We are seeing encouraging adoption rates across our provider network. And insurance coverage for the adolescent Neurostar TMS treatment continues to improve significantly. With Evernorth Health Services, a Cigna Group subsidiary, recently expanding Neurostar TMS coverage to include adolescents 15 and older with MDD. Joining our major insurers like Humana, Aetna, and several Blue Cross Blue Shield entities that have updated policies since our FDA clearance as the first first-line add-on treatment for adolescent MDD. In summary, our first quarter performance demonstrates that strategic initiatives we implemented through 2024 are driving tangible results. Our integrated business model, combining innovative technology with a robust care delivery network, positions us to expand access to effective mental health treatments while improving our growth trajectory and financial performance. I will now turn the call over to Steve to review our financial results.

speaker
Steve Furlong
Chief Financial Officer

Thank you, Keith. Unless otherwise noted, all performance comparisons are being made for the first quarter of 2025 versus the first quarter of 2024. Total revenue was $32 million, an increase of 84% compared to the revenue of $17.4 million in the first quarter of 2024, primarily driven by the Greenbrook acquisition. U.S. Neurostar advanced therapy system revenue was $2.8 million, and we shipped 31 systems in the quarter. U.S. treatment session revenue was $9.6 million, a decrease of 26% year-over-year, primarily due to the elimination of Greenbrook revenue in our 2025 results. U.S. clinic revenue, which represents revenue generated by treatment centers from the Greenbrook acquisition, was $18.7 million for the three months ended March 31, 2025. Gross margin was 49%. compared to 75% in the prior year quarter. This change in gross margin was primarily a result of the inclusion of Greenbrook's clinic business, which operates at a lower margin and the elimination of Greenbrook treatment session revenue. Operating expenses during the quarter were $26.8 million, an increase of $6.9 million or 35% compared to $19.9 million in the first quarter of 2024. The change was mainly attributable to the inclusion of Greenbrook's operating expenses of $9.5 million. During the quarter, we incurred approximately $1.4 million of non-cash stock-based compensation expense. Net loss for the quarter was negative $12.7 million, or negative 21 cents per share as compared to a net loss of negative 7.9 million dollars or negative 27 cents per share in the prior year quarter. EBITDA was negative 10.1 million dollars as compared to negative 6.3 million dollars in the prior year quarter. As of March 31st, 2025, cash and cash equivalents worth $20.2 million. This compares to cash and cash equivalents of $18.5 million as of December 31st, 2024. Our capital position was strengthened by our successful public offering in February, which raised $18.9 million in net proceeds. This financing has provided us with enhanced flexibility execute on our growth initiatives while maintaining our path to cash flow break-even in the third quarter of 2025. As a result in the increased strength of the balance sheet due to the follow-on offering, we proactively took steps to settle Greenbrook's legacy vendor payment plans and pull forward certain expenses in order to secure favorable vendor concessions by paying them early. While this increased our cash burn to levels above what would typically be seen in the first quarter, this decision will ultimately reduce our overall net spend with those vendors during 2025. We also realized GreenBrook's bonus payout and merit cycles and experienced a temporary lag in GreenBrook collections as we integrated the new advanced MD software into our revenue cycle management. We are already seeing marked improvements in collections over the past two weeks as the new systems become fully operational. Due to these measures, cash used in operations for the first quarter was $17 million. We expect cash used in operations for the second quarter to be less than $5 million. And after the end of the year, we anticipate cash on the balance sheet to be greater than $20 million. Now, turning to guidance. For the second quarter, we expect revenue of $36 million to $38 million. We are narrowing our full year revenue guidance to be in the range of $149 million to $155 million. Compared to prior guidance, of $145 million to $155 million. For the full year 2025, we continue to expect gross margin to be approximately 55% as a result of the inclusion of the Greenbrook clinic business and the elimination of Greenbrook treatment session purchases. We continue to expect total operating expenses for the full year to be in the range of $90 million to $98 million. I am pleased to report that the current macro environment will have a negligible impact on the business. We anticipate a limited impact from tariffs as the majority of our sourcing is inside the US and our manufacturing is based in San Diego. We do source some plastic components from outside the USA along with the Neurostar chair, but we estimate the net impact to be about $500 per Neurostar system which is very manageable within our overall cost structure. From a treatment session standpoint, we sourced the treatment packs out of China and would estimate that the impact from the current tariffs of 145% would be less than $250,000 for the balance of the year. Moving through Q2, we continue to focus on execution of our expansion of our Spravato rollout the implementation of buy and build, optimization of our revenue cycle processes, and remaining cost synergies. These efforts, along with our planned revenue growth, support our path to become cash flow positive in Q3. I would now like to turn the call back over to Keith.

speaker
Keith Sullivan
President and Chief Executive Officer

Thank you, Steve. As we look ahead to the remainder of 2025, I am confident that we are well positioned to continue executing on our strategic initiatives and drive sustainable growth. For Greenberg operations, we will continue the systematic rollout of Spravato and the buy and build model with an aim to complete implementation across all appropriate sites by the end of the year. We will continue to see a meaningful uplift in our Neurostar TMS treatment. and we'll continue to strive to increase our treatment sessions per system per day. In the coming quarters, we will continue advancing our operational improvement initiatives with plans to fully implement our revenue cycle management transition, finalize our patient coordinator initiative, and standardize our training programs across the entire clinic network. The early results we are seeing affirm the substantial revenue opportunity this represents. Our BMP program continues to show positive momentum. The connections between primary care physicians and BMP locations are helping to expand patient access to treatment. As we progress through the year, this network is expected to grow its treatment session utilization and support controlled system sales. The performance data from BMP sites continues to reinforce the value of our approach to standardizing patient experience and practice operations. The adolescent opportunity continues to be a growth driver. Since our FDA clearance last year, our recent Neurostar Summit provided strong validation of this opportunity. with three-quarters of the attending practices already implementing or developing adolescent programs within their practices. This enthusiastic adoption reflects both the clinical need in this underserved population and the expanded insurance coverage we have secured. We are seeing providers eager to offer this treatment option to younger patients who have limited alternatives. Most importantly, We remain committed to being cash flow positive in the third quarter as previously guided. Our successful February raise has strengthened our balance sheet, giving us the resources needed to execute on these strategic initiatives while maintaining our path to profitability. Before we conclude, I'd like to share some news regarding our leadership team. After serving as our Chief Financial Officer since 2019, Steve Furlong has announced his intention to retire on March 31st, 2026. Steve continues his current position until his successor is hired and will remain as an advisor until the end of March to ensure a smooth transition. We have initiated a comprehensive search process to identify his successor. In closing, the first quarter results demonstrate that our integrated business model is working, creating value for patients, providers, and shareholders. We are excited about the remainder of 2025 and look forward to updating you on our progress in the quarters ahead. I'll now open the call for questions.

speaker
Conference Operator
Operator

Thank you. At this time, we will conduct the question and answer session. As a reminder, to ask a question, you'll need to press star 11 on your telephone and wait for your name to be announced. To withdraw your question, please press star 11 again. Please stand by while we compile the Q&A roster. Our first question is from Margaret Casler Andrew with William Blair. Your line is now open.

speaker
Margaret Casler Andrew
Analyst, William Blair

Hey, good morning, everyone. Thanks for taking the questions. Maybe just to start out with, maybe we can focus on the BNP sites on the Neuronetic side, or the Neurostar side, excuse me, more specifically. So the number of sites is growing. Funnels may be getting a little bit smaller, at least versus last quarter. So just wanted to see, you know, is this a one-time dynamic? Should we assume that funnel increases again? You know, are you reiterating that over 500 by end of year and what causes that?

speaker
Keith Sullivan
President and Chief Executive Officer

So we just had a influx of new accounts enter the program, Margaret. So there's a natural dip as that happens. So we will be building that pipeline back up right now. We have 113 sites that are working to get into the program. I expect that to grow with with our next summit, which is actually this weekend, so.

speaker
Margaret Casler Andrew
Analyst, William Blair

Okay. That's helpful. And so, you know, as we look at that maybe in more detail, kind of the progress of these B&T sites both this year and then almost more importantly as we go into 2026, you know, the number of these sites continues to grow. But what drives utilization, I guess, at those sites in that midterm outlook? And anything that you guys can provide around utilization trends both at those sites versus maybe non-BMP sites over the last few quarters. Thank you. All right, I know that was a lot. I can repeat any of that. Yeah.

speaker
Keith Sullivan
President and Chief Executive Officer

It's okay. I'll remember as much as I can. You know, the BMP sites are our focus of our marketing efforts. And I think Lisa Rosas has done a fabulous job of monitoring our BMP sites and being able to utilize digital marketing as well as traditional marketing, radio, TV, and billboards to be able to drive awareness and educate those patients. So I think we are comfortable that we can continue to have utilization grow in those sites. In the script, we also talked about our network connection. So we do, we have asked our PDMs to go to primary care non-interventional psychiatrists and GYN physicians that are taking care of patients battling depression who can't get help elsewhere, educate them on the benefits of the Neurostar treatment, and have those physicians choose who they want to refer to. And as we said in the script, most are referring to our BMP sites. So I think that this new program that we have actually perfected on the Greenbrook side of the business will be a tremendous help in continuing to grow utilization in BMP sites.

speaker
Margaret Casler Andrew
Analyst, William Blair

Okay, great. And just last question maybe on the guidance. You know, as we're looking at, you know, towards that, I guess, full year 25, can you provide any breakdown between Greenbrook, maybe expectations for utilization at Greenbrook, and then, you know, same question on the Neurostar side. Thank you. Appreciate it, guys.

speaker
Steve Furlong
Chief Financial Officer

Welcome, Margaret. Steve? Yeah, Greenbrook's performance in the first quarter was actually quite good relative to TMS improvements. Again, we're using our BMP account metrics as really measurement criteria for Greenbrook. And so, they actually increased their utilization per NeuroStar chair to just under five patients per day. And so, really off to a great start in 2025. Looking at guidance, again, the primary growth drivers are really going to be patient utilization in the Greenberg chairs and also Spravato. Spravato did increase about 50% year over year. Again, that's natural given the low starting point in 24. but also the pretty impressive rollout across all clinics and also the conversion to buy and build. So, you know, I think as we go forward, you know, every increase that we will see going forward will be related to the Greenberg side.

speaker
Conference Operator
Operator

Thank you. Thank you. Please stand by for our next question. Our next question comes from William Blavnik with Canaccord Genuity. Your line is now open.

speaker
William Blavnik
Analyst, Canaccord Genuity

Great, thanks. Good morning, and congratulations on a solid top line. Just on the business itself, I think when you gave the 25 guide, you had the legacy Neuronetics business at 65 to 70 million and the Greenbrook at 80 to 85. Any change in that? And then just to dig into the Greenbrook outperformance, You know, you mentioned Spravato. If I kind of broke it up, how much was utilization versus how much of that year-over-year growth was Spravato? And then on the core neuronetics business, I mean, that was off a lot more than we were expecting. You know, how much of that was Greenbrook versus how much of that was kind of the legacy neuromatics?

speaker
Steve Furlong
Chief Financial Officer

Yeah, again, Bill, the Q1 performance we thought was extremely strong on both sides of the business. And so again, Greenbrook's clinic TMS business was up 8% year over year that we've mentioned in the script. And again, it's provided with 50%. Those figures are same store clinics. So last year in Q1, we had 130 operating clinics. Now we have 95. Those growth rates are apples to apples with the 95. From a Neuronetics perspective, really the biggest variance was the $2.6 million in Greenberg treatment session sales that we had last year that obviously don't recur since we're now one company and they get eliminated. Aside from that, you know, we were, I would say, pretty spot on from a Neuronetics perspective measuring Q1 actual performance to our plan. So again, we thought we got off to a great start. Again, the increased utilization at Greenbrook and TMS was great, as is the continued rollout of Sorbato.

speaker
William Blavnik
Analyst, Canaccord Genuity

And then on the spend, it looks like your G&A was maybe $4 million higher than what we were looking for. You know, I know you've had the merger and a lot of things going on. Was there any one-time costs in there, kind of And I'm trying to just titrate the model here, but what should we expect in kind of a Q2 G&A spend, and how should that look going forward? I'm just trying to walk to the cash flow positive in Q3.

speaker
Steve Furlong
Chief Financial Officer

Yeah, you know, you won't see increases in G&A as we work through the balance of 2025. You know, we pulled in approximately $5 million in Q1 from a cash perspective. And that was really just taking advantage of our $18.9 million follow on. And what we did is we pulled in expenses that were budgeted from either an expense or a cash flow perspective to really improve our vendor relations with some key vendors that Greenberg had. And they were put on payment plans because in fairness to them, you know, during 23 and 24, it's not like they were flushed with cash. So they were managing expenses really to the detriment of relationships. And so, you know, we pulled in software payments. We synchronized payroll, so rebooked bonus and merit cycles, which were planned for later in the year, were pulled into the quarter. We did pull in some marketing spend into Q1 and Q2. We did have increased auditing fees just related to the combined company in February and March. Again, I think from an expense perspective, you know, with the increase, you'll notice that we did not change operating expense guidance for the year and still believe we'll be, you know, pretty much at that midpoint when we finish 2025.

speaker
William Blavnik
Analyst, Canaccord Genuity

Okay, but Steve, you did 27 million in OPEX in Q1. You're guiding 9098. You're annualizing at 104. What is the normalized OPEX spend as we go into Q2?

speaker
Steve Furlong
Chief Financial Officer

It'll be in the 23, 24 million range. Great. I'll circle back. Thanks.

speaker
Conference Operator
Operator

One moment for our next question. Our next question comes from Adam Mader with Piper Sandler. Your line is now open.

speaker
Adam Mader
Analyst, Piper Sandler

Good morning. Thank you for taking the questions. A couple from me and kind of wanted to start with where Bill just left off, you know, around some of the puts and takes on the guidance front. The standalone revenue guidance for the year, is that still 65 to 70 million or did that change? And then, yeah, I have a follow-up or two. Thanks.

speaker
Steve Furlong
Chief Financial Officer

Yeah. I mean, the split we communicated at the beginning of the year, you know, again, in that 65 to 70 range for Neuronetics and 80 to 85 million for Greenbrook is still, I would say, the current targets for the combined companies.

speaker
Unknown
Analyst

Okay. That's helpful, Steve. Good to hear that.

speaker
Adam Mader
Analyst, Piper Sandler

You know, just around the Q1 performance for the Greenbrook clinics, you know, good performance in the quarter. Are you able just to give us a little bit more insight around kind of the revenue mix between TMS, Spravato, and other, you know, I heard some growth rates thrown out, but I think it would be helpful just to kind of get a sense of the magnitude of revenue for each of those different, you know, products at Greenbrook as we think about, you know, that business kind of ramping throughout the remainder of the year.

speaker
Steve Furlong
Chief Financial Officer

Sure. And, Adam, I think it's important to note that these ratios are going to change significantly as we continue to roll out green Spravato as well as Buy and Build. And so, for color, TMS performance was essentially double Spravato. You know, that number will change pretty significantly as we work through Q2, 3, and 4. So, you know, maybe it's a nice starting point, but I'm not sure of the relevance when you're modeling, you know, for the remainder of 25. Okay.

speaker
Adam Mader
Analyst, Piper Sandler

Okay. That's helpful. Appreciate the incremental color. And then maybe just one on the gross margin front. It looks like the gross margin guidance for the year 55% unchanged. You know, Q1 did come in. a little bit lighter than we were modeling, I think 49 percent or so. I'm assuming that's a function of mix, but would just love a little bit of, you know, detail there. And then, as we think about kind of the cadence of gross margin and subsequent quarters, just any more color you can provide would be helpful. Thank you.

speaker
Steve Furlong
Chief Financial Officer

Yes. So, Adam, once again, you know, where we finished for the quarter was actually what we had planned. We were pleased with the margin profile in the first quarter. You will see, you know, a nice improvement in Q2 and Q3, really related to the revenue scale. And so, you know, we go from 32 to a $37 million midpoint guide for Q2 and Q3. And so, you know, we're going to get pretty close to that 55% number in the next couple quarters. And then, you know, additional improvement as we get to Q4. You know, Q4 will have 28% of our annual revenue in that quarter. So, it's just a natural function of being able to leverage the clinical cost foundations. And really, the only variable cost within a clinic are doctor fees.

speaker
Unknown
Analyst

And if they go up, our revenue goes up. So, it's a good thing. Thanks for the call, Steve. Helpful.

speaker
Conference Operator
Operator

Thank you. One moment for our final question. Our final question comes from Danny Staudter with Citizens JMP. Your line is now open.

speaker
Danny Staudter
Analyst, Citizens JMP

Yeah, great. Thanks. So just following up on some of the Scrivato questions specific to the buy and build transition, we appreciate the color there. It sounds like it's including your guidance, but could you comment on any capital outlay this requires as we look at a cash flow statement and you know, contemplate your plans for free cash flow in 3 to 25. You know, are there any constraints to getting these conversions? Just because I know there's an upfront cash expense. Just any more call there would be great.

speaker
Steve Furlong
Chief Financial Officer

Hey, Danny, it's Steve. Yeah, so we did have higher provider buy and bill expenses in the first quarter. But again, once we completed the follow-on, you know, we chose to continue to invest in the business, again, with a pull-in in marketing, but also an acceleration of the conversion to buy and build. I am in the process of increasing our credit line with an LOC to lessen the cash burn burden on the company. Again, it's a balance between the level of the LOC, you know, the inventory requirement, and just the overall impact on our cash flow. I will say our distributors are very good to work with. You know, we do have 128-day payment, 120-day payment terms, and so once we get into a regular cadence of claim submission, collections, and then the ultimate payment, it should not be a cash flow issue for us. You know, we should collect in 60 days, and I don't have to pay in until 120 days, so Again, we're working with different sources to secure that LOC, and we'll be balancing that impact on cash as we continue that rollout.

speaker
Steve Furlong
Chief Financial Officer

Great. That's amazing. Thank you.

speaker
Conference Operator
Operator

I'm showing no further questions at this time. I would now like to turn it back to Keith Sullivan for closing remarks.

speaker
Keith Sullivan
President and Chief Executive Officer

Thank you, Operator. And thank you all for joining us today for our first quarter earnings call. We appreciate your support and we look forward to updating you on the next quarterly call.

speaker
Conference Operator
Operator

This does conclude today's conference. You may now disconnect.

Disclaimer

This conference call transcript was computer generated and almost certianly contains errors. This transcript is provided for information purposes only.EarningsCall, LLC makes no representation about the accuracy of the aforementioned transcript, and you are cautioned not to place undue reliance on the information provided by the transcript.

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