Acutus Medical Reports First Quarter 2023 Financial Results

CARLSBAD, Calif., May 11, 2023 (GLOBE NEWSWIRE) -- Acutus Medical, Inc. (“Acutus” or the “Company”) (Nasdaq: AFIB), an arrhythmia management company focused on improving the way cardiac arrhythmias are diagnosed and treated, today reported results for the first quarter of 2023.

Recent Highlights:

• Reported revenue of $4.2 million for the first quarter of 2023, a 13% increase compared to $3.7 million for the same quarter last year.
• Continued improvement in financial performance with year-over-year reductions of 58% in GAAP operating expenses, and year-over-year reductions of 39% in both non-GAAP operating expenses and cash burn for the first quarter of 2023.
• Increased full year revenue outlook to $19.0 million-$21.0 million, reflecting strong double-digit growth.
• Announced publication of the RECOVER AF study, which underscored AcQMap’s differentiated offering for retreatment procedures and ability to fulfill a major unmet need in the market.

“We are pleased with the advancement of our key strategic initiatives thus far in 2023 as we set the foundation for stronger growth”, said David Roman, President & CEO of Acutus. “In addition to year-over-year revenue growth, our first quarter results demonstrated further progress in our effort to strengthen the Company’s financial position with year-over-year improvements in non-GAAP gross margin, operating expenses, and cash burn.”

First Quarter 2023 Financial Results

Revenue was $4.2 million for the first quarter of 2023, an increase of 13% compared to $3.7 million for the first quarter of 2022. The improvement over the same quarter last year was driven by higher AcQMap disposable revenue in markets outside the United States, increased Service, Rent and Other Revenue, and sales through the Company’s distribution agreement with Medtronic.

Gross margin on a GAAP basis was negative 63% for the first quarter of 2023 compared to negative 89% for the same quarter last year. The improvement was primarily driven by a higher production volume, lower manufacturing variances, and a significantly reduced manufacturing overhead structure.

Operating expenses consisting of research and development and selling, general and administrative expenses on a GAAP basis were $15.7 million for the first quarter of 2023 compared with $22.4 million for the same quarter last year. Non-GAAP operating expenses were $13.9 million for the first quarter of 2023 compared with $22.7 million in the same quarter last year. The decrease in operating expenses on both a GAAP and Non-GAAP basis resulted from the Company’s restructuring actions in the first half of 2022, reduced by discretionary spend, and the reprioritization of certain research and development programs.

Net loss on a GAAP basis was $16.3 million for the first quarter of 2023 and net loss per share was $0.57 on a weighted average basic and diluted outstanding share count of 28.8 million, compared to a net loss of $40.0 million and a net loss per share of $1.42 on a weighted average basic and diluted outstanding share count of 28.1 million in the same period of the prior year.

Excluding amortization of acquired intangibles, non-cash stock-based compensation expense, restructuring charges, change in fair value of warrant liability, change in the fair value of contingent consideration and gain on sale of business, the Company’s non-GAAP net loss for the first quarter of 2023 was $16.8 million, or $0.59 per share, compared to a net loss of $28.5 million, or $1.00 per share, for the first quarter of 2022.

Cash, cash equivalents, marketable securities and restricted cash were $76.7 million as of March 31, 2023.

2023 Outlook

The company expects full year 2023 revenue to be in a range from $19.0-$21.0 million.

Non-GAAP Financial Measures

This press release includes references to non-GAAP net loss and non-GAAP basic and diluted net loss per share, which are non-GAAP financial measures, to provide information that may assist investors in understanding the Company’s financial results and assessing its prospects for future performance. The Company believes these non-GAAP financial measures are important indicators of its operating performance because they exclude items that are primarily non-cash accounting line items unrelated to, and may not be indicative of, the Company’s core operating results. These non-GAAP financial measures, as Acutus calculates them, may not necessarily be comparable to similarly titled measures of other companies and may not be appropriate measures for comparing the performance of other companies relative to the Company. These non-GAAP financial results are not intended to represent and should not be considered to be more meaningful measures than, or alternatives to, measures of operating performance as determined in accordance with GAAP. Non-GAAP net loss is defined as net loss before income taxes, adjusted for stock-based compensation, amortization of acquisition-related intangibles, employee retention credit, goodwill impairment, restructuring charges, changes in the fair value of contingent consideration, gain on sale of business, loss on debt extinguishment and change in fair value of warrant liability and other adjustments. To the extent such non-GAAP financial measures are used in the future, the Company expects to calculate them using a consistent method from period to period. A reconciliation of the most directly comparable GAAP financial measure to the non-GAAP financial measure has been provided under the heading “Reconciliation of GAAP Results to Non-GAAP Results” in the financial statement tables attached to this press release.

Webcast and Conference Call Information

Acutus will host a conference call to discuss the first quarter 2023 financial results after market close on Thursday, May 11, 2023 at 1:30 p.m. Pacific Time / 4:30 p.m. Eastern Time. To access the live call via telephone, please register in advance using the link: https://register.vevent.com/register/BIa1254f845156421eb004052b75889416. Upon registering, each participant will receive an email confirmation with dial-in numbers and a unique personal PIN that can be used to join the call. The live webinar of the call may be accessed at https://ir.acutusmedical.com.

About Acutus

Acutus is an arrhythmia management company focused on improving the way cardiac arrhythmias are diagnosed and treated. Acutus is committed to advancing the field of electrophysiology with a unique array of products and technologies which will enable more physicians to treat more patients more efficiently and effectively. Through internal product development, acquisitions and global partnerships, Acutus has established a global sales presence delivering a broad portfolio of highly differentiated electrophysiology products that provide its customers with a complete solution for catheter-based treatment of cardiac arrhythmias. Founded in 2011, Acutus is based in Carlsbad, California.

Caution Regarding Forward-Looking Statements

This press release includes statements that may constitute “forward-looking” statements, usually containing the words “believe,” “estimate,” “project,” “expect” or similar expressions. Forward-looking statements inherently involve risks and uncertainties that could cause actual results to differ materially from the forward-looking statements. Factors that would cause or contribute to such differences include, but are not limited to, the Company’s ability to continue to manage expenses and cash burn rate at sustainable levels, continued acceptance of its products in the marketplace, the effect of global economic conditions on the ability and willingness of customers to purchase the Company’s systems and the timing of such purchases, competitive factors, changes resulting from healthcare policy in the United States and globally including changes in government reimbursement of procedures, dependence upon third-party vendors and distributors, timing of regulatory approvals, the impact of the coronavirus (COVID-19) pandemic and Acutus’ response to it and other risks discussed in the Company’s periodic and other filings with the Securities and Exchange Commission. By making these forward-looking statements, Acutus undertakes no obligation to update these statements for revisions or changes after the date of this release, except as required by law.

Investor Contact:	Media Contact:
Caroline Corner	Rhiannon Pickus
Westwicke ICR	Acutus Medical, Inc.
D: 415-202-5678	M: 442-232-6094
caroline.corner@westwicke.com	Rhiannon.Pickus@acutus.com

ACUTUS MEDICAL, INC.
Condensed Consolidated Balance Sheets
(in thousands, except per share amounts)
		March 31, 2023				December 31, 2022
		(unaudited)
ASSETS
Current assets:
Cash and cash equivalents		$	22,738			$	25,584
Marketable securities, short-term			46,839				44,863
Restricted cash, short-term			7,139				5,764
Accounts receivable			5,340				21,085
Inventory			14,938				13,327
Employer retention credit receivable			2,562				4,703
Prepaid expenses and other current assets			2,232				2,541
Total current assets			101,788				117,867
Property and equipment, net			8,145				9,221
Right-of-use asset, net			3,708				3,872
Intangible assets, net			1,533				1,583
Other assets			822				897
Total assets		$	115,996			$	133,440
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
Accounts payable		$	5,569			$	4,721
Accrued liabilities			7,302				9,686
Contingent consideration, short-term			2,000				1,800
Operating lease liabilities, short-term			339				319
Warrant liability			1,900				3,346
Total current liabilities			17,110				19,872
Operating lease liabilities, long-term			3,883				4,103
Long-term debt			34,526				34,434
Other long-term liabilities			11				12
Total liabilities			55,530				58,421
Commitments and contingencies
Stockholders' equity
Preferred stock, $0.001 par value; 5,000,000 shares authorized as of March 31, 2023 and December 31, 2022; 6,666 shares of the preferred stock, designated as Series A Common Equivalent Preferred Stock, are issued and outstanding as of March 31, 2023 and December 31, 2022			—				—
Common stock, $0.001 par value; 260,000,000 shares authorized as of March 31, 2023 and December 31, 2022; 28,894,080 and 28,554,656 shares issued and outstanding as of March 31, 2023 and December 31, 2022, respectively			29				29
Additional paid-in capital			595,864				594,173
Accumulated deficit			(534,629	)			(518,314	)
Accumulated other comprehensive loss			(798	)			(869	)
Total stockholders' equity			60,466				75,019
Total liabilities and stockholders' equity		$	115,996			$	133,440

ACUTUS MEDICAL, INC.
Condensed Consolidated Statements of Operations and Comprehensive Loss
(in thousands, except per share amounts)
		Three Months Ended March 31,
			2023				2022
		(unaudited)
Revenue		$	4,170			$	3,681
Cost of products sold			6,790				6,941
Gross profit			(2,620	)			(3,260	)
Operating expenses (income):
Research and development			6,117				8,003
Selling, general and administrative			9,565				14,385
Goodwill impairment			—				12,026
Restructuring			12				949
Change in fair value of contingent consideration			200				7
Gain on sale of business			(1,207	)			—
Total operating (income) expenses			14,687				35,370
Loss from operations			(17,307	)			(38,630	)
Other income (expense):
Change in fair value of warrant liability			1,446				—
Interest income			853				24
Interest expense			(1,307	)			(1,411	)
Total other income (expense), net			992				(1,387	)
Loss before income taxes			(16,315	)			(40,017	)
Income tax benefit			—				—
Net loss		$	(16,315	)		$	(40,017	)
Other comprehensive income (loss):
Unrealized gain (loss) on marketable securities			12				(57	)
Foreign currency translation adjustment			59				(166	)
Comprehensive loss		$	(16,244	)		$	(40,240	)
Net loss per common share, basic and diluted		$	(0.57	)		$	(1.42	)
Weighted average shares outstanding, basic and diluted			28,764,444				28,118,090

ACUTUS MEDICAL, INC.
Condensed Consolidated Statements of Cash Flows
(in thousands)
		Three Months Ended March 31,
			2023				2022
		(unaudited)
Cash flows from operating activities
Net loss		$	(16,315	)		$	(40,017	)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation expense			1,297				1,567
Amortization of intangible assets			50				160
Non-cash stock-based compensation expense			1,904				3,032
(Accretion of discounts) amortization of premiums on marketable securities, net			(527	)			173
Amortization of debt issuance cost			104				378
Amortization of operating lease right-of-use assets			164				160
Goodwill impairment			—				12,026
Gain on sale of business, net			(1,207	)			—
Change in fair value of warrant liability			(1,446	)			—
Loss on disposal of property and equipment			38				—
Change in fair value of contingent consideration			200				7
Changes in operating assets and liabilities:
Accounts receivable			(11	)			655
Inventory			(1,611	)			(1,212	)
Employer retention credit receivable			2,141				—
Prepaid expenses and other current assets			391				(3,487	)
Other assets			75				120
Accounts payable			873				(2,641	)
Accrued liabilities			(2,433	)			1,532
Operating lease liabilities			(201	)			(14	)
Other long-term liabilities			(1	)			(48	)
Net cash used in operating activities			(16,515	)			(27,609	)
Cash flows from investing activities
Proceeds from sale of business			17,000				—
Purchases of available-for-sale marketable securities			(28,019	)			—
Sales of available-for-sale marketable securities			—				2,500
Maturities of available-for-sale marketable securities			26,500				14,587
Purchases of property and equipment			(232	)			(1,088	)
Net cash provided by investing activities			15,249				15,999
Cash flows from financing activities
Proceeds from the exercise of stock options			4				66
Repurchase of common shares to pay employee withholding taxes			(217	)			—
Proceeds from employee stock purchase plan			—				182
Payment of contingent consideration			—				(290	)
Net cash used in financing activities			(213	)			(42	)
Effect of exchange rate changes on cash, cash equivalents and restricted cash			8				(100	)
Net change in cash, cash equivalents and restricted cash			(1,471	)			(11,752	)
Cash, cash equivalents and restricted cash, at the beginning of the period			31,348				24,221
Cash, cash equivalents and restricted cash, at the end of the period		$	29,877			$	12,469
Supplemental disclosure of cash flow information:
Cash paid for interest		$	1,207			$	1,025
Supplemental disclosure of noncash investing and financing activities:
Accounts receivable from sale of business		$	1,244			$	—
Change in unrealized (gain) loss on marketable securities		$	(12	)		$	57
Change in unpaid purchases of property and equipment		$	(25	)		$	(97	)
Contingent consideration escrow release		$	—			$	17

ACUTUS MEDICAL, INC.
Reconciliation of GAAP Results to Non-GAAP Results
(in thousands)
(unaudited)
Three Months Ended March 31, 2023		Cost of Products Sold				Research and Development				Selling, General and Administrative				Loss from Operations				Other Income (Expense), Net				Net Loss				Basic and Diluted EPS
Reported		$	6,790			$	6,117			$	9,565			$	(17,307	)		$	992			$	(16,315	)		$	(0.57	)
Amortization of acquired intangibles			(50	)			—				—				50				—				50				0.00
Stock-based compensation			(74	)			(346	)			(1,484	)			1,904				—				1,904				0.07
Restructuring charges			—				—				—				12				—				12				0.00
Change in fair value of warrant liability			—				—				—				—				(1,446	)			(1,446	)			(0.05	)
Change in fair value of contingent consideration			—				—				—				200				—				200				0.00
Gain on sale of business			—				—				—				(1,207	)			—				(1,207	)			(0.04	)
Adjusted		$	6,666			$	5,771			$	8,081			$	(16,348	)		$	(454	)		$	(16,802	)		$	(0.59	)
Three Months Ended March 31, 2022		Cost of Products Sold				Research and Development				Selling, General and Administrative				Loss from Operations				Other Expense, Net				Net Loss				Basic and Diluted EPS
Reported		$	6,941			$	8,003			$	14,385			$	(38,630	)		$	(1,387	)		$	(40,017	)		$	(1.42	)
Amortization of acquired intangibles			(155	)			—				(5	)			160				—				160				0.01
Stock-based compensation			(226	)			(514	)			(2,292	)			3,032				—				3,032				0.11
Employee retention credit			1,503				1,394				1,742				(4,639	)			—				(4,639	)			(0.16	)
Goodwill impairment			—				—				—				12,026				—				12,026				0.43
Restructuring charges			—				—				—				949				—				949				0.03
Change in fair value of contingent consideration			—				—				—				7				—				7				0.00
Adjusted		$	8,063			$	8,883			$	13,830			$	(27,095	)		$	(1,387	)		$	(28,482	)		$	(1.00	)

ACUTUS MEDICAL, INC.
Key Business Metrics
(unaudited)

Installed Base and Procedure Volumes

The total installed base which includes AcQMap Systems as of March 31, 2023 and 2022 are as follows:

		As of March 31,
		2023		2022
Acutus
U.S.		28		39
Outside the U.S.		49		38
Total Acutus net system placements		77		77

Procedure volumes for the three months ended March 31, 2023 and 2022 are as follows:

		Three Months Ended
		March 31,
		2023		2022
Procedure volumes		433		465

Revenue

The following table sets forth the Company’s revenue for disposables, systems and service/other for the three months ended March 31, 2023 and 2022 (in thousands):

		Three Months Ended
		March 31,
			2023			2022
Disposables		$	3,426		$	3,211
Systems			—			—
Service / other			744			470
Total revenue		$	4,170		$	3,681

The following table presents revenue by geographic location for the three months ended March 31, 2023 and 2022 (in thousands):

		Three Months Ended
		March 31,
			2023			2022
United States		$	2,248		$	2,023
Outside the United States			1,922			1,658
Total revenue		$	4,170		$	3,681