joining Thanks Great. today. us Thanks, everyone. Juliet. for good And afternoon,
momentum that's spread COVID-XX of in of quarter first And and globe. reflect building combination of results been XXXX the impact Our positive business the around the really rapid last over both our the course, year. the a
could as had the our from of our here XXXX. trending our business share business beginning dramatic business about impact and in go perspective COVID our to on was I'd the higher March thinking our pandemic with this as where where well general in month like about
employees, our to and Finally, to patients months taken our actions customers. the safety help the health ensure and our I'd most we've the importantly, last of perhaps describe like over two and
the expectations. X.X months first quarter, and trial of of was our February, our XX%. Through year-over-year growth XX% first U.S. business ahead was implant was For our permanent performing well growth
first market response Omnia full were our to customer early and seeing we quarter the was positive traction. QX contribution results of and
overwhelmingly we addition, our at was from an NANS received January. data positive Conference PDN response In presented trial in the that
NSRBP determine We adequately to the also in powered enrollment. a stopped didn’t additional analysis enrollment require following interim our study prescribed was statistical and trial
were and in to focus the our on And clearly, elective also our advancing to began efforts and execution patient focus to rapidly results. tangible beginning Beginning of on impact pipeline care, strong commercial have the over our business. resources on improvement to our material recommendations March, expanding and year procedures in a COVID-XX requirements past to healthcare delay order yield R&D and the clinical
last of experienced approximately million the In approximately the cancellations, representing international. revenues few million was $XX case we March million of in U.S. which $XX alone, around weeks $X and in worldwide,
been have tiers for procedures, to around of that patients needs. systems there elective now because the to category, surgical pain for typically a plan healthcare necessary multiple suffered elective that necessity SCS restoration debilitating implement prioritized into important terms years. In elective, but fall our timing, patient view, As of are it’s begin procedures remember our and have surgeries of in chronic the our world
to of interventional to majority SCS. The prior and SCS procedures even our vast opioids Most surgical of, in get therapy. are prior on patients before they fact undergone
needs. the for in So, the among last response is continuum chronic our procedures SCS conditions so treatment and these pain in undergoing considered critical therapy patients stops do often to
that remember are to setting. an done on outpatient procedures, SCS the it’s are distinction in those an elective procedures outpatient basis. between gone inpatient Among important also versus
hospital setting, don’t the of half roughly consumption require other performed resources. bed or a our that those the of for patients So, cases in inpatient are
they their cases a as We hospital the is back setting us actually positive of this for during mix fact up. the in manage think ramp of
For Ambulatory Centers way expect lead of care we – to of in ASCs, in already take the site to early Surgery roughly the cases them hospitals to but also to the expect place or volumes that happen. from half was accelerate other that recovery possibly we shift this procedure beginning episode and the our of ASCs
physicians to them of SCS been navigate for determine the best to working nascent volumes. patients these how the hard treatment we have We can who help and recovery care
X in As Phase elective procedures the House U.S. of plan of prescribed by recently published reopening guidelines, the the fall restoration the into White
the according close the case prioritization this customers generally the their staff, their We such and path of and of priorities, their patients. the backlogs our are their in contact analyzing of course, to supporting of Throughout patients and stayed pandemic, their forward as reactivation and our recovery and business. customers we’ve safety supporting with
maintained in have patient we connection and those with webinars education with program cadence. support and Platform patient engagement and infrastructure virtual a includes through place proactive had support, teams already patient a program physician Nevro regular through patient our physicians Management We remote Patient care our a patients timely that nurturing with topics on a and Cloud
educating had are SCS optimize possible, of our Over our teams months and patients. couple patients their than new phone the existing to support pain helping patients calls our and past conducted of April, therapy. on also more on with relief remotely the patient XX,XXX therapy teams of prospective focused field where Through and support month
them patients in note, customers, of implanted employees had our I patients, has entire capabilities inspiring grateful with Of and and our for patients we've our for our for really during load. period of time such and pain improvements to optimized had their collaboration their The frankly XXXX our unique am nothing time remotely discussions these have this families. approximately their been during short those team XX% a maintaining during therapy and saw
to part of various for business modeling not here, of providing planning of or remainder as are about time, do time am but a I second go quarter I much possible. our outlook thinking details we and at XXXX process. guidance scenarios Since into going as a this great COVID-related provide the business spent We’ve internally want transparency year deal to not as our of those into lot this
anyone the I I ask not line et could who's muted but cetera. sure hearing wonder emails on are some if to we make and
with Our base be hit restrictions quarter on is second COVID being hardest elective will case impacted the expectation April that, month. significantly by procedures
an reduction saw we April, volume. in case fact XX% in our approximately In
already was last month and earlier to improve the the it news Now, steeper part the that decline is even the month. was beginning in in good of
also end the the to cases of three of April, two months. or see being over evidence rescheduled clear began we As next of
About for canceled are that were XX fact XX% are next reengaging. previously COVID-XX being us our of would scheduled in postponed the and days suggest or new to already period increase patient XX the to substantially patient this permanent procedures during due
expect We in see continued of in U.S., Europe, this June and Australia. the parts and to procedures May, quarter are sequential month restored of in the improvement as again
pre-COVID fourth Now greater health. also to expectations. that third we And normalized the runrate to our even business it in relative quarter, could more view and the of approach a expect current see is progress our quarter continued towards
back are So, to which not the pace on settings first. but surprisingly procedures also not of return, been we’ve line likely analyzing only to are care which closely come likely
restrictions customers’ can region We are lifted are country, and our support that as to state tracking ensure we needs. by
implant. a When have who trial shutdown time, we on case permanent and happen completed responded procedures in patients scheduled to to a the volumes that March, had either cancel positively over in or their began at likely X,XXX move implant were to would permanent to
patients that of back a well. had for patients. mid-term. to our on the trial a more of our help way, or us were system lead near they patients our all back we uniquely these procedures represents prospective trial the customers schedules management canceled priority than customers Many in scheduled high either into their way as as feet, by can And also the represents in get Getting
with strong of very our tailwinds our recovery and backlog return patients have with of I for these to to to desire substantial procedural outlook needs it. to direct This access combined our provides health described course, patients customers’ keen as therapeutic
Now, procedural may impact as of policies well right be include that due pace conversely, ASCs hospitals more and this them headwinds now expect we can’t ASCs mentioned, those slower reduced and both the hospital I constrain as case in to – case XXXX new potential in the of capacity, throughput to to accurately profile. than as we recoveries restricted recovery themselves somewhat since their predict
the XXXX. potential of could rates finally, impact of we conditions and in impact the quarters, persistent of estimate macroeconomic rates. duration Or In high such can't that throughout COVID-XX infection unemployment eruptions any as coming new procedures the elective addition, yet
company our a and a And very our the now their our the employees. our of time, have and one, this and highest customers clinical as but safety health throughout brief, customers, and support consequential remained, throughout activity period. coverage of case patients Two, priorities their this
Three, activity. competitive sales order crisis the and in momentum. of the in Four, And and this of five, readiness way during of the reduced prudent came balance our with really position capabilities we integrity stewardship chain. our for the positive temporary supply this of to reduction maintenance our sheet our exit
in employees. by Guided the from implemented non-essential effective we mid-March travel these we and home policies our safety priorities, work of curtailed for
trials both sales organization R&D us enable to our retention our to work to continued we even and clinical field training addition, attempted In progress skills implemented during programs restrictions. and home for protect from have these primary make programs and
to maintaining with prepared possible. these customers return to workforce quickly the and performing support of actions our took procedures as our intention staying as trained We highly
already saving last profitability expenses our as a of to were objectives. long-term our operating implementing discussed quarter, before we cost number reduce overall COVID-XX As part we of measures
expenses and our a can of and expenses strategic management a deferred on of bit detail Andrew new second XXXX out while some initiatives We’ve more intact. to of moments. workforce of our concerted in highest discretionary we’ve even provide keeping in effort a environment, expense few operating this priority COVID-XX quarter reduce In further. a cases, our number made out
trial, as use trial our development initiatives, – as our key continue to future programs move support these of In PDN product such well growth to to forward these initial possible. our as terms as in clinical we plans also and problems our expanded drivers close NSRBP as
no restrictions. COVID we to due expect little PDN, or delay For
or during the either For are treated NSRBP, all remaining of arm were second treatment currently to for the have been scheduled the quarter. today, as implants randomized patients of who
as guidelines. as in to our We expect present to conference line three centers reopen XXXX, early which data we patients with and able to be we’ll our as continue previously announced last that with these at are treated NSRBP in working NANS get is investigators the soon possible month
equity also stability a offering and senior liquidity position growth and strategy, sheet our we As near-term before combined very part and secondary of and a moved – million for with fees $XXX balance longer-term to notes expenses. reinforce approximately convertible our combined of quickly and
Following our have this financing, we on around balance sheet. million cash in $XXX
Now, due until notes, million maturity notes of convertible we legacy that, they XXXX. our June satisfy have of obligations $XXX to next we in use plan to when those year. settle are Once no a we’ll
developments, both I positioned unique underscore positive our ability offer with would vigorously HFXX which our products therapy, our the well to also competitively commitment to property. highlight as several SCS protect intellectual as
settlement against patent in products was of high-frequency agreement spinal Stimwave, of which a their first The commercialization cease resulted cord to lawsuit infringement stimulation all permanently our worldwide.
indefiniteness court's running method the District portfolio patents at end the Nevro’s of against also the In just case, Nevro's in prevailed on intellectual rulings Northern property outcomes therapy of of patents Federal strength litigation upheld district reinforce quarter. the occurred the asserted our frequencies. these reversed second delivering our Both SCS of that high for in offensive long California. the reinstating after Scientific the and Circuit system We Boston The appeal
SCS and In quarter which during CE the frequencies offer the plus we await in Australia than platform is frequency, near-term. received addition, earlier paired we happens approval and expected a currently waveforms hope can high Marked Omnia, approval in only lower in that which Europe the
very very remain pandemic, regarding the long-term While size markets. of play the SCS for potential foundational underpenetrated opportunity. of we care the in patient much can’t greater patients. Number long-term those important population some our facts our yet of we predict rapidly to in nature changing this duration confident the a the our role Number and of depth two, or and potential one, therapy
the share our ability the market Four, we currently superior Number drivers capture differentiation of in significant possess. as future PDN effectiveness to such and business, therapy. than And SCS of that HFXX the more our over growth time Five, opportunity discussed. I significance three, our
to has short, we respond crisis this underlying very and believe business remain In we from the that fundamentals intact beginning. that our guided how insight
to thank business needs for value our positioned to families together just entire we Nevro our and I'd precedence. of a weather banding believe this of up that stepping serve their like I uncertainty storm, even one the financially. time And time patients, most and and has team finally, And customers, shareholders to both more for our organizationally during no own our the
our inspired selfless the customers by know and especially their what I to and I’ve both in midst been thank of focus chaos. spirit, team’s also their really patients their we determination, professional hard want diligence for their personal and on our has been work. creativity
And finally, support new as our and path to and an our for thank to enterprise. want I our existing value continuing investors
the to And to over that, I’ll QX with go Andrew through financials. turn the call
