Acutus Medical Reports Fourth Quarter and Full Year 2022 Financial Results

Rhea-AI Summary

Acutus Medical (AFIB) reported fourth-quarter revenue of $5.0 million, a 14% increase from $4.4 million a year prior. For the full year 2022, revenue totaled $16.4 million, down 5% from $17.3 million in 2021. The company achieved 19% growth in global mapping procedure volumes and reported its lowest cash burn since its IPO. Notably, a one-time gain of $35.9 million helped secure a positive net income of $15.1 million for Q4. Acutus expects 2023 revenue to range between $18.0-$21.0 million, indicating plans for growth through increased market adoption and expansion.

Positive

• Fourth-quarter revenue of $5.0 million, a 14% increase year-over-year.
• Global mapping procedure volumes rose 19% for 2022.
• Achieved lowest cash burn since IPO.
• One-time gain of $35.9 million leading to positive net income of $15.1 million in Q4 2022.
• Expecting 2023 revenue guidance between $18.0-$21.0 million.

Negative

• Full year revenue decreased by 5% to $16.4 million.
• GAAP gross margin was negative 95% for 2022, slightly worsening from negative 91% the previous year.

CARLSBAD, Calif., March 16, 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 fourth quarter and full year ended December 31, 2022. Financial statements and other information presented for 2022 is unaudited.

Recent Highlights:

• Reported revenue of $5.0 million for the fourth quarter of 2022, a 14% increase compared to $4.4 million for the same quarter last year
• Reported revenue of $16.4 million for the full year of 2022, a 5% decrease compared to $17.3 million for the full year of 2021
• Global mapping procedure volumes increased 19% for the full year of 2022, compared to the full year of 2021
• Achieved key milestones under the asset purchase agreement with Medtronic of its left-heart access portfolio ahead of schedule, and received $20 million in earn-out payments in December 2022 and an additional $17 million in January 2023

“Our fourth quarter results demonstrated significant progress on our strategic and financial objectives, as we achieved our highest level of quarterly sales on record while also registering our lowest level of cash burn and operating expenses since IPO,” said David Roman, President & CEO of Acutus. “As we enter 2023, our focus turns from stabilization to growth through increased adoption of our differentiated mapping and therapy platform, and geographic expansion as well as continued improvement in our financial profile.”

Fourth Quarter 2022 Financial Results

Revenue was $5.0 million for the fourth quarter of 2022, an increase of 14% compared to $4.4 million for the fourth quarter of 2021. The improvement over the same quarter last year was driven by an increase in commercial AcQMap procedures worldwide, by continued adoption of the Company's differentiated mapping, by an increase in sales of therapy and accessory products and a stabilization in capital sales. Gross margin on a GAAP basis was a negative 68% for the fourth quarter of 2022, compared with negative 128% for the same quarter last year. The improvement was primarily driven by a higher production volume, lower manufacturing variances and a positive impact from restructuring actions taken earlier in the year. The Company will continue to deploy significant resources and focus in improving its gross margin in 2023.

Operating expenses consisting of research & development and selling, general & administrative expenses on a GAAP basis were $15.7 million for the fourth quarter of 2022 compared with $24.7 million for the same quarter last year. Additionally, a one-time gain on the sale of a portion of our business of $35.9 million was responsible for providing a positive bottom line for the fourth quarter of 2022.

Non-GAAP operating expenses were $13.9 million for the fourth quarter of 2022 compared with $21.4 million in the prior year. The decrease of $7.5 million was primarily driven by the reduction in headcount due to restructuring, as well as a reduction in discretionary spend on certain research and development programs.

Net income on a GAAP basis was $15.1 million for the fourth quarter of 2022 and basic net income per share was $0.53 on a weighted average basic outstanding share count of 28.5 million. Diluted net income per share was $0.41 on a weighted average diluted outstanding share count of 37.2 million. For the fourth quarter 2021, net loss was $31.3 million with a basic and diluted net loss per share of $1.12 on a weighted average basic and diluted outstanding share count of 28.0 million.

Excluding income tax expense, 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 fourth quarter of 2022 was $17.9 million, or $0.63 per share, compared to a net loss of $28.0 million, or $1.00 per share, for the fourth quarter of 2021.

Full Year 2022 Financial Results

Revenue was $16.4 million for the full year of 2022, a decrease of 5% compared to $17.3 million in the prior year. Disposable, service and other grew 12% driven by an increase in AcQMap procedures and console utilization, absorbing supply chain disruptions and foreign exchange headwinds of approximately $0.4 million. This growth was offset with Capital sales down $2.3 million compared to the prior year.

Gross margin on a GAAP basis was negative 95% for the full year of 2022, compared with negative 91% in the prior year, driven by unfavorable manufacturing variances carried into 2022 from the prior year, idle capacity, and the write-off of excess and obsolete inventory, offset by a partial reduction in manufacturing overhead from the restructuring actions taken in the first half of 2022.

Operating expenses consisting of research & development and selling, general & administrative expenses on a GAAP basis were $75.8 million for the full year of 2022 compared with $100.2 million in the prior year. Non-GAAP operating expenses were $71.5 million for the full year of 2022 compared with $87.0 million in the prior year. The decrease of $15.4 million was a result of realizing the benefits of our cost savings initiatives enacted earlier this year and a reduction in research and development related to the program prioritization.

Net loss on a GAAP basis was $39.6 million for the full year of 2022 and net loss per share was $1.40 on a weighted average basic and diluted outstanding share count of 28.3 million, compared to $117.7 million and a net loss per share of $4.11 on a weighted average basic and diluted outstanding share count of 28.7 million in the prior year.

Excluding income tax expense, amortization of acquired intangibles, non-cash stock-based compensation expense, 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, the Company’s non-GAAP net loss for the full year of 2022 was $92.6 million, or $3.27 per share, compared to $107.0 million, or $3.74 per share, for 2021.

Cash, cash equivalents, marketable securities and restricted cash were $76.2 million as of December 31, 2022.

2023 Outlook

The company expects full year 2023 revenue to be in a range from $18.0-$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 fourth quarter and full year 2022 financial results after market close on Thursday March 16, 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 following link: https://register.vevent.com/register/BI99cd3a13a2514da19eb8ed750c11370d. 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 by visiting the Events section of the Acutus investor relations website at ir.acutusmedical.com. A replay of the webinar will be available shortly after the conclusion of the call and will be archived on the company’s website.

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	Peter Neems
Westwicke ICR	Acutus Medical, Inc.
D: 415-202-5678	M: 442-232-6094
caroline.corner@westwicke.com	media@acutusmedical.com

ACUTUS MEDICAL, INC.
Consolidated Balance Sheets
(in thousands, except per share amounts)

	December 31, 2022				December 31, 2021
	(unaudited)
ASSETS
Current assets:
Cash and cash equivalents	$	25,584			$	24,071
Marketable securities, short-term		44,863				76,702
Restricted cash		5,764				150
Accounts receivable		21,085				3,633
Inventory		13,327				16,408
Employer retention credit receivable		4,703				—
Prepaid expenses and other current assets		2,541				5,326
Total current assets		117,867				126,290
Marketable securities, long-term		—				7,120
Property and equipment, net		9,221				13,670
Right-of-use asset, net		3,872				4,521
Intangible assets, net		1,583				5,013
Goodwill		—				12,026
Other assets		897				1,152
Total assets	$	133,440			$	169,792
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
Accounts payable	$	4,721			$	7,519
Accrued liabilities		9,686				9,096
Contingent consideration, short-term		1,800				1,500
Operating lease liabilities, short-term		319				395
Warrant liability		3,346				—
Total current liabilities		19,872				18,510
Operating lease liabilities, long-term		4,103				4,591
Long-term debt		34,434				40,415
Contingent consideration, long-term		—				500
Other long-term liabilities		12				50
Total liabilities		58,421				64,066
Commitments and contingencies
Stockholders' equity
Preferred stock: Series A Common Equivalent Preferred Stock, 0.001 par value; 5,000,000 shares authorized, and 6,666 shares issued and outstanding		—				—
Common stock: 0.001 par value; 260,000,000 shares authorized, 28,554,656 and 27,957,223 issued and outstanding at December 31, 2022 and 2021, respectively		29				28
Additional paid-in capital		594,173				584,613
Accumulated deficit		(518,314	)			(478,698	)
Accumulated other comprehensive loss		(869	)			(217	)
Total stockholders' equity		75,019				105,726
Total liabilities and stockholders' equity	$	133,440			$	169,792

ACUTUS MEDICAL, INC.
Consolidated Statements of Operations and Comprehensive Income (Loss)
(in thousands, except per share amounts)

	Three Months Ended								Twelve Months Ended
	December 31,								December 31,
		2022				2021				2022				2021
	(unaudited)								(unaudited)
Revenue	$	4,962			$	4,362			$	16,363			$	17,263
Costs and operating expenses (income):
Cost of products sold		8,321				9,939				31,910				32,925
Research and development		6,269				8,840				28,153				36,683
Selling, general and administrative		9,447				15,865				47,654				63,523
Goodwill impairment		—				—				12,026				—
Restructuring		91				—				2,371				—
Change in fair value of contingent consideration		(100	)			(382	)			1,053				(3,746	)
Gain on sale of business		(35,890	)			—				(79,465	)			—
Total costs and operating (income) expenses		(11,862	)			34,262				43,702				129,385
Income (loss) from operations		16,824				(29,900	)			(27,339	)			(112,122	)
Other income (expense):
Loss on debt extinguishment		—				—				(7,947	)			—
Change in fair value of warrant liability		(871	)			—				33				—
Interest income		576				28				868				116
Interest expense		(1,339	)			(1,392	)			(5,149	)			(5,677	)
Total other expense, net		(1,634	)			(1,364	)			(12,195	)			(5,561	)
Income (loss) before income taxes		15,190				(31,264	)			(39,534	)			(117,683	)
Income tax expense		82				—				82				—
Net income (loss)	$	15,108			$	(31,264	)		$	(39,616	)		$	(117,683	)
Other comprehensive income (loss):
Unrealized gain (loss) on marketable securities		39				(34	)			39				(37	)
Foreign currency translation adjustment		213				(143	)			(691	)			(460	)
Comprehensive income (loss)	$	15,360			$	(31,441	)		$	(40,268	)		$	(118,180	)
Basic net income (loss) per common share	$	0.53			$	(1.12	)		$	(1.40	)		$	(4.11	)
Diluted net income (loss) per common share	$	0.41			$	(1.12	)		$	(1.40	)		$	(4.11	)
Basic weighted average shares outstanding		28,471,389				27,953,803				28,322,753				28,654,313
Diluted weighted average shares outstanding		37,236,064				27,953,803				28,322,753				28,654,313

ACUTUS MEDICAL, INC.
Consolidated Statements of Cash Flows
(in thousands)

	Year Ended December 31,
		2022				2021
	(unaudited)
Cash flows from operating activities
Net loss	$	(39,616	)		$	(117,683	)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation expense		6,060				5,754
AcQMap Systems converted to sales		605				2,182
Sales-type lease gain		(87	)			28
Amortization of intangible assets		420				640
Non-cash stock-based compensation expense		9,391				13,754
Amortization of premiums/(accretion of discounts) on marketable securities, net		(24	)			1,277
Amortization of debt issuance cost		850				1,404
Amortization of operating lease right-of-use assets		649				496
Goodwill impairment		12,026				—
Loss on extinguishment of debt		7,947				—
Gain on sale of business, net		(79,465	)			—
Direct costs paid for sale of business		(4,027	)			—
Change in fair value of warrant liability		(33	)			—
Loss on disposal of fixed assets		825				—
Change in fair value of contingent consideration		1,053				(3,746	)
Changes in operating assets and liabilities:
Accounts receivable		(452	)			(1,473	)
Inventory		3,081				(3,872	)
Employer retention credit receivable		(4,703	)			—
Prepaid expenses and other current assets		2,804				1,133
Other assets		475				304
Accounts payable		(2,852	)			(871	)
Accrued liabilities		605				1,549
Operating lease liabilities		(526	)			(608	)
Other long-term liabilities		(38	)			50
Net cash used in operating activities		(85,032	)			(99,682	)
Cash flows from investing activities
Proceeds from sale of business		70,000				—
Purchases of available-for-sale marketable securities		(54,508	)			(87,258	)
Sales of available-for-sale marketable securities		18,599				8,590
Maturities of available-for-sale marketable securities		74,642				107,707
Purchases of fixed assets		(3,983	)			(9,973	)
Net cash provided by investing activities		104,750				19,066
Cash flows from financing activities
Proceeds from issuance of common stock, net of issuance costs		—				82,657
Proceeds from the exercise of stock options		67				711
Repurchase of common shares to pay employee withholding taxes		(111	)			—
Proceeds from employee stock purchase plan		214				440
Payment of contingent consideration		(872	)			(3,435	)
Payment of deferred offering costs		—				(580	)
Payment of contingent consideration into escrow		—				(224	)
Repayment of old term loan		(44,550	)			—
Prepayment penalty fees		(1,063	)			—
Borrowing under new term loan		34,825				—
Payment of debt issuance costs for new loan		(626	)			—
Net cash (used in) provided by financing activities		(12,116	)			79,569
Effect of exchange rate changes on cash, cash equivalents and restricted cash		(475	)			(116	)
Net change in cash, cash equivalents and restricted cash		7,127				(1,163	)
Cash, cash equivalents and restricted cash, at the beginning of the period		24,221				25,384
Cash, cash equivalents and restricted cash, at the end of the period	$	31,348			$	24,221

ACUTUS MEDICAL, INC.
Reconciliation of GAAP Results to Non-GAAP Results
(in thousands)
(unaudited)

Three Months Ended December 31, 2022		Cost of Products Sold				Research and Development				Selling, General and Administrative				Loss from Operations				Other Expense, Net				Net Income (loss)				Basic EPS				Diluted EPS
Reported		$	8,321			$	6,269			$	9,447			$	16,824			$	(1,634	)		$	15,108			$0.53				$0.41
Amortization of acquired intangibles			(50	)			—				—				50				—				50			$0.00				$0.00
Stock-based compensation			(125	)			(319	)			(1,450	)			1,894				—				1,894			$0.07				$0.05
Restructuring charges			—				—				—				91				—				91			$0.00				$0.00
Change in fair value of warrant liability			—				—				—				—				871				871			$0.03				$0.02
Change in fair value of contingent consideration			—				—				—				(100	)			—				(100	)		$0.00				$0.00
Gain on sale of business			—				—				—				(35,890	)			—				(35,890	)		$(1.26		)		$(0.96		)
Income tax expense			—				—				—				—								82			$0.00				$0.00
Adjusted		$	8,146			$	5,950			$	7,997			$	(17,131	)		$	(763	)		$	(17,894	)		$(0.63		)		$(0.48		)
Three Months Ended December 31, 2021		Cost of Products Sold				Research and Development				Selling, General and Administrative				Loss from Operations				Other Expense, Net				Net Loss				Basic and Diluted EPS
Reported		$	9,939			$	8,840			$	15,865			$	(29,900	)		$	(1,364	)		$	(31,264	)		$(1.12		)
Amortization of acquired intangibles			(155	)			—				(5	)			160				—				160			$0.01
Stock-based compensation			(241	)			(543	)			(2,710	)			3,494				—				3,494			$0.12
Change in fair value of contingent consideration			—				—				—				(382	)			—				(382	)		$(0.01		)
Adjusted		$	9,543			$	8,297			$	13,150			$	(26,628	)		$	(1,364	)		$	(27,992	)		$(1.00		)

Twelve Months Ended December 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		$	31,910			$	28,153			$	47,654			$	(27,339	)		$	(12,195	)		$	(39,616	)		$(1.40		)
Amortization of acquired intangibles			(410	)			—				(10	)			420				—				420			$0.01
Stock-based compensation			(669	)			(1,736	)			(6,986	)			9,391				—				9,391			$0.33
Goodwill impairment			—				—				—				12,026				—				12,026			$0.42
Restructuring charges			—				—				—				2,371				—				2,371			$0.08
Change in fair value of contingent consideration			—				—				—				1,053				—				1,053			$0.04
Gain on sale of business			—				—				—				(79,465	)			—				(79,465	)		$(2.79		)
Loss on debt extinguishment			—				—				—				—				7,947				7,947			$0.28
Change in fair value of warrant liability			—				—				—				—				(33	)			(33	)		$0.00
Employee retention credit			2,316				1,808				2,661				(6,785	)			—				(6,785	)		$(0.24		)
Income tax expense			—				—				—				—								82			$0.00
Adjusted		$	33,147			$	28,225			$	43,319			$	(88,328	)		$	(4,281	)		$	(92,609	)		$(3.27		)
Twelve Months Ended December 31, 2021		Cost of Products Sold				Research and Development				Selling, General and Administrative				Loss from Operations				Other Expense, Net				Net Loss				Basic and Diluted EPS
Reported		$	32,925			$	36,683			$	63,523			$	(112,122	)		$	(5,561	)		$	(117,683	)		$(4.11		)
Amortization of acquired intangibles			(310	)			—				(330	)			640				—				640			$0.02
Stock-based compensation			(864	)			(2,181	)			(10,709	)			13,754				—				13,754			$0.48
Change in fair value of contingent consideration			—				—				—				(3,746	)			—				(3,746	)		$(0.13		)
Adjusted		$	31,751			$	34,502			$	52,484			$	(101,474	)		$	(5,561	)		$	(107,035	)		$(3.74		)

ACUTUS MEDICAL, INC.
Key Business Metrics
(unaudited)

Installed Base & Procedure Volumes

Procedure volumes for the three months and twelve months ended December 31, 2022 and 2021 are as follows:

	Three Months Ended				Twelve Months Ended
	December 31,				December 31,
	2022		2021		2022		2021
Procedure volumes	472		425		1,861		1,570

The total installed base which includes AcQMap Systems as of December 31, 2022 and 2021 was 76 and 77, respectively.

Revenue

The following table sets forth the Company’s revenue for disposables, systems and service/other for both the three months and the twelve months ended December 31, 2022 and 2021 (in thousands):

	Three Months Ended						Twelve Months Ended
	December 31,						December 31,
		2022			2021			2022			2021
Disposables	$	3,520		$	3,249		$	12,922		$	11,938
Systems		927			761			1,750			4,058
Service / other		515			352			1,691			1,267
Total revenue		4,962			4,362			16,363			17,263

The following table provides revenue by geographic location for both the three months and the twelve months ended December 31, 2022 and 2021 (in thousands):

	Three Months Ended						Twelve Months Ended
	December 31,						December 31,
		2022			2021			2022			2021
United States	$	2,722		$	2,069		$	8,707		$	8,325
Outside the United States		2,240			2,293			7,656			8,938
Total revenue	$	4,962		$	4,362		$	16,363		$	17,263

FAQ

What were Acutus Medical's Q4 2022 financial results?

Acutus Medical reported Q4 2022 revenue of $5.0 million, reflecting a 14% increase from Q4 2021, with a net income of $15.1 million.

What is Acutus Medical's revenue outlook for 2023?

The company anticipates full-year 2023 revenue to range between $18.0 million and $21.0 million.

What factors contributed to Acutus Medical's Q4 2022 net income?

A significant one-time gain of $35.9 million and reduced operating expenses contributed to the positive net income in Q4 2022.

How did Acutus Medical's full year 2022 revenue compare to 2021?

Acutus Medical's full year revenue for 2022 was $16.4 million, a decrease of 5% from $17.3 million in 2021.

What were the gross margin figures for Acutus Medical in 2022?

Acutus Medical reported a GAAP gross margin of negative 95% for the full year of 2022.