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Envoy Medical Reports Third Quarter 2024 Results and Other Exciting Events

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Envoy Medical (NASDAQ: COCH) reported Q3 2024 financial results and key developments. The company received FDA approval to begin a pivotal trial for their Acclaim® fully implanted cochlear implant and secured AMA approval for CPT codes for their FDA-approved Esteem® fully implanted middle ear implant. Q3 net revenues were $56,000, down from $80,000 in Q3 2023. R&D expenses increased to $2.8 million from $1.9 million year-over-year. Cash position stood at $4.4 million as of September 30, 2024. The company also received new patents for their Recharge System and Modular Cochlear Implant System.

Envoy Medical (NASDAQ: COCH) ha riportato i risultati finanziari del terzo trimestre 2024 e sviluppi chiave. L'azienda ha ricevuto l'approvazione della FDA per iniziare un trial cruciale per il loro impianto cocleare completamente impiantato Acclaim® e ha ottenuto l'approvazione dell'AMA per i codici CPT per il loro impianto all'orecchio medio Esteem® completamente impiantato, approvato dalla FDA. I ricavi netti nel Q3 sono stati di $56,000, in calo rispetto a $80,000 nello stesso trimestre del 2023. Le spese per ricerca e sviluppo sono aumentate a $2.8 milioni rispetto a $1.9 milioni dell'anno precedente. La posizione di cassa ammontava a $4.4 milioni al 30 settembre 2024. L'azienda ha anche ricevuto nuovi brevetti per il loro Sistema di Ricarica e il Sistema di Impianto Cocleare Modulabile.

Envoy Medical (NASDAQ: COCH) informó sobre los resultados financieros del tercer trimestre de 2024 y los desarrollos clave. La compañía recibió la aprobación de la FDA para comenzar un ensayo pivotal para su implante coclear completamente implantado Acclaim® y aseguró la aprobación de la AMA para los códigos CPT de su implante de oído medio Esteem® completamente implantado, aprobado por la FDA. Los ingresos netos del Q3 fueron de $56,000, una disminución de $80,000 en el Q3 de 2023. Los gastos de I+D aumentaron a $2.8 millones desde $1.9 millones en comparación con el año anterior. La posición de efectivo era de $4.4 millones al 30 de septiembre de 2024. La empresa también recibió nuevas patentes para su Sistema de Recarga y Sistema de Implante Coclear Modular.

Envoy Medical (NASDAQ: COCH)는 2024년 3분기 재무 결과 및 주요 개발 사항을 보고했습니다. 이 회사는 FDA의 승인을 받아 Acclaim® 완전 임플란트 청각 보철물에 대한 중요한 임상 시험을 시작하고, FDA에서 승인한 Esteem® 완전 임플란트 중이식에 대한 CPT 코드에 대한 AMA 승인을 확보했습니다. 3분기 순수익은 $56,000로, 2023년 3분기의 $80,000에서 감소했습니다. 연구개발 비용은 작년 $1.9 백만에서 $2.8 백만으로 증가했습니다. 2024년 9월 30일 현재 현금 보유액은 $4.4 백만이었습니다. 이 회사는 또한 재충전 시스템 및 모듈형 인공 와우 시스템에 대한 새로운 특허를 받았습니다.

Envoy Medical (NASDAQ: COCH) a rapporté les résultats financiers du troisième trimestre 2024 et des développements clés. La société a reçu l'approbation de la FDA pour commencer un essai pivot pour son implant cochléaire complètement implanté Acclaim® et a obtenu l'approbation de l'AMA pour les codes CPT de son implant d'oreille moyenne Esteem®, approuvé par la FDA. Les revenus nets pour le T3 s'élevaient à $56,000, en baisse par rapport à $80,000 au T3 2023. Les dépenses en R&D ont augmenté à $2.8 millions par rapport à $1.9 million d'une année sur l'autre. La position de trésorerie s'établissait à $4.4 millions au 30 septembre 2024. L'entreprise a également reçu de nouveaux brevets pour son Système de Recharge et son Système d'Implant Cochléaire Modulaire.

Envoy Medical (NASDAQ: COCH) hat die finanziellen Ergebnisse für das dritte Quartal 2024 und wichtige Entwicklungen bekannt gegeben. Das Unternehmen erhielt die FDA-Zulassung für den Beginn einer entscheidenden Studie für ihr vollständig implantiertes Cochlea-Implantat Acclaim® und sicherte sich die AMA-Zulassung für CPT-Codes für ihr FDA- genehmigtes vollständig implantiertes Mittelohrimplantat Esteem®. Die Nettoerlöse im Q3 betrugen $56,000, im Vergleich zu $80,000 im Q3 2023. Die F&E-Ausgaben stiegen im Jahresvergleich von $1.9 Millionen auf $2.8 Millionen. Die Liquiditätslage belief sich zum 30. September 2024 auf $4.4 Millionen. Das Unternehmen erhielt auch neue Patente für ihr Recharge-System und das modulare Cochlea-Implantatsystem.

Positive
  • FDA approval received to initiate pivotal clinical study for Acclaim cochlear implant
  • AMA approval of new CPT codes for implantable middle ear hearing devices
  • Patents issued for Recharge System and Modular Cochlear Implant System
  • Inclusion in Russell Microcap Index
Negative
  • Net revenues decreased 30% to $56,000 in Q3 2024 from $80,000 in Q3 2023
  • R&D expenses increased by $907,000 to $2.8 million in Q3 2024
  • General and administrative expenses increased by $665,000 to $1.7 million
  • Supply chain issues affecting battery replacement sales

Insights

The financial results paint a concerning picture. $56,000 in quarterly revenue represents a 30% decline year-over-year, while operating expenses have increased substantially. R&D costs jumped by $907,000 to $2.8M and G&A expenses rose by $665,000 to $1.7M. With only $4.4M in cash reserves and increasing burn rate, the company's runway appears

While the FDA approval for the Acclaim CI pivotal trial and AMA's CPT code approval are positive developments, the immediate financial health raises red flags. The declining revenue from Esteem battery replacements and ongoing supply chain issues suggest operational challenges that need addressing. The company will likely need additional funding soon to support the costly clinical trials and continued operations.

The FDA approval to begin the pivotal trial for the Acclaim fully implanted cochlear implant represents a significant milestone in hearing device innovation. This technology could potentially address limitations of current cochlear implants, which require external components. The new CPT codes for totally implantable middle ear hearing implants also mark important progress for reimbursement prospects.

However, the path ahead is challenging. Clinical trials for implantable devices are typically lengthy and expensive. The bipartisan legislative support for Medicare coverage is promising but uncertain. The company's intellectual property position has strengthened with new patents, but commercialization remains distant given the current stage of development.

FDA approval to begin pivotal trial of fully implanted cochlear implant and AMA approval of CPT codes for the Company’s already FDA-approved fully implanted middle ear implant are two of the exciting developments for the growing company

WHITE BEAR LAKE, Minn., Nov. 14, 2024 (GLOBE NEWSWIRE) -- Envoy Medical®, Inc. (“Envoy Medical”) (Nasdaq: COCH), a revolutionary hearing health company focused on fully implanted hearing devices, today announces its corporate and financial results for the third quarter ended September 30, 2024, as well as other subsequent events.

“The progress and accomplishments of late have been extremely important to Envoy Medical as they have set the stage for us to demonstrate the value of fully implanted hearing devices. First, we have received FDA’s approval to start our pivotal trial of the Acclaim® fully implanted cochlear implant (“Acclaim CI”). Second, we continue to make tremendous progress on obtaining meaningful reimbursement for our already FDA-approved Esteem® FIAMEI. We continue to receive considerable support for the bipartisan bills that were introduced in both the House and the Senate this year to change the way fully implanted active middle ear hearing devices classified by CMS. In addition, the American Medical Association’s CPT Editorial Panel has approved Category III CPT codes for totally implantable active middle ear hearing devices for the first time. A significant step forward for our Esteem® device. Ultimately, we continue to believe that our products are important innovations for patients suffering from hearing loss and foresee a bright future for Envoy Medical,” commented Brent Lucas, Envoy Medical’s Chief Executive Officer. “We look forward to updating shareholders on our progress as we initiate the trial for the Acclaim® device and as we progress with our reimbursement strategy for the Esteem® device.”

Corporate Highlights from Q3 2024 and To Date

  • Received FDA Approval to initiate pivotal clinical study for Acclaim fully implantable cochlear implant to support eventual PMA submission
  • AMA approved new CPT codes for totally implantable middle ear hearing implants, which provides significant opportunity for Esteem® FIAMEI
  • Considerable support voiced for the bi-partisan House and Senate bills to change classification for fully implanted middle ear hearing devices to become coverable benefits for Medicare beneficiaries
  • U.S. Patent issued for Recharge System with Implantable Battery
  • European Patent Agency issued Patent for Modular Cochlear Implant System
  • Company included in Russell Microcap Index

Financial Results for the Quarter Ended September 30, 2024

Net revenues were $56 thousand for the quarter ended September 30, 2024, a decrease of $24 thousand from $80 thousand for the same period in 2023. Net revenues were $183 thousand for the nine months ended September 30, 2024, a decrease of $38 thousand compared to the previous period. Both decreases were due mainly to a reduction in the number of battery replacement requests for Esteem implants received during the noted periods, and also as a result of supply chain issues.

R&D expenses increased $907 thousand from $1.9 million to $2.8 million for the three months ended September 30, 2024, and the nine-month results showed an increase of $1.8 million from $5.9 million to $7.7 million for September 30, 2024. Both increases were due to costs associated with additional headcount and contractors across our clinical and engineering departments in preparation for the pivotal clinical study for the Acclaim CI.

Sales and marketing expenses decreased by $5 thousand for the three months ended September 30, 2024 as compared to the same period for 2023, although for the nine months ended September 30, 2024 increased by $63 thousand compared to the same period in 2023. For the year-to-date results, increases in legal and professional fees to secure insurance reimbursement for the Esteem FI-AMEI product were offset by reductions in headcount.

General and administrative expenses increased by $665 thousand to $1.7 million for the three months ended September 30, 2024, and the year-to-date results showed a $1.2 million increase over the prior year. The increases are due primarily to increased legal and professional fees normally associated with being a publicly traded company and other administrative expenses.

As of September 30, 2024, cash and cash equivalents were approximately $4.4 million.

About the Fully Implanted Acclaim® Cochlear Implant

We believe the fully implanted Acclaim Cochlear Implant (“Acclaim CI”) is a first-of-its-kind hearing device. Envoy Medical’s fully implanted technology includes a sensor designed to leverage the natural anatomy of the ear instead of a microphone to capture sound.

The Acclaim CI is designed to address severe to profound sensorineural hearing loss that is not adequately addressed by hearing aids. The Acclaim CI is expected to be indicated for adults who have been deemed adequate candidates by a qualified physician.

The Acclaim Cochlear Implant received the Breakthrough Device Designation from the U.S. Food and Drug Administration (FDA) in 2019.

CAUTION The fully implanted Acclaim Cochlear Implant is an investigational device. Limited by Federal (or United States) law to investigational use.

About the Esteem® Fully Implanted Active Middle Ear Implant (FI-AMEI)

The Esteem fully implanted active middle ear implant (FI-AMEI) is the only FDA-approved, fully implanted* hearing device for adults diagnosed with moderate to severe sensorineural hearing loss allowing for 24/7 hearing capability using the ear’s natural anatomy. The Esteem FI-AMEI hearing implant is invisible and requires no externally worn components and nothing is placed in the ear canal for it to function. Unlike hearing aids, you never put it on or take it off. You can’t lose it. You don’t clean it. The Esteem FI-AMEI hearing implant offers true 24/7 hearing.

* Once activated, the external Esteem FI-AMEI Personal Programmer is not required for daily use.

Important safety information for the Esteem FI-AMEI can be found at: https://www.envoymedical.com/safety-information.

Additional Information and Where to Find It

Copies of the documents filed by Envoy Medical with the SEC may be obtained free of charge at the SEC’s website at www.sec.gov.

Forward-Looking Statements
This press release includes “forward-looking statements” within the meaning of the “safe harbor” provisions of the United States Private Securities Litigation Reform Act of 1995. Forward-Looking statements may be identified by the use of words such as “estimate,” “plan,” “project,” “forecast,” “intend,” “will,” “expect,” “anticipate,” “believe,” “seek,” “target” or other similar expressions that predict or indicate future events or trends or that are not statements of historical matters, but the absence of these words does not mean that a statement is not forward-looking. Such statements may include, but are not limited to, statements regarding the expectations of Envoy Medical concerning the outlook for its business, productivity, plans and goals for future operational improvements and capital investments; the Acclaim CI being the first to market fully implanted cochlear implant, the result of the clinical trial, the timing and results of clinical trials of the Acclaim CI, and the participation of any institution in such trials; the safety, performance, and market acceptance of the Acclaim CI; and any information concerning possible or assumed future operations of Envoy Medical. The forward-looking statements contained in this press release reflect Envoy Medical’s current views about future events and are subject to numerous known and unknown risks, uncertainties, assumptions and changes in circumstances that may cause its actual results to differ significantly from those expressed in any forward-looking statement. Envoy Medical does not guarantee that the events described will happen as described (or that they will happen at all). These forward-looking statements are subject to a number of risks and uncertainties, including, but not limited to changes in the market price of shares of Envoy Medical’s Class A Common Stock; changes in or removal of Envoy Medical’s shares inclusion in any index; Envoy Medical’s success in retaining or recruiting, or changes required in, its officers, key employees or directors; unpredictability in the medical device industry, the regulatory process to approve medical devices, and the clinical development process of Envoy Medical products; competition in the medical device industry, and the failure to introduce new products and services in a timely manner or at competitive prices to compete successfully against competitors; disruptions in relationships with Envoy Medical’s suppliers, or disruptions in Envoy Medical’s own production capabilities for some of the key components and materials of its products; changes in the need for capital and the availability of financing and capital to fund these needs; changes in interest rates or rates of inflation; legal, regulatory and other proceedings could be costly and time-consuming to defend; changes in applicable laws or regulations, or the application thereof on Envoy Medical; a loss of any of Envoy Medical’s key intellectual property rights or failure to adequately protect intellectual property rights; the effects of catastrophic events, including war, terrorism and other international conflicts; and other risks and uncertainties set forth in the section entitled “Risk Factors” and “Cautionary Note Regarding Forward Looking Statements” in the Annual Report on Form 10-K filed by Envoy Medical on April 1, 2024, and in other reports Envoy Medical files, with the SEC. If any of these risks materialize or Envoy Medical’s assumptions prove incorrect, actual results could differ materially from the results implied by these forward-looking statements. While forward-looking statements reflect Envoy Medical’s good faith beliefs, they are not guarantees of future performance. Envoy Medical disclaims any obligation to publicly update or revise any forward-looking statement to reflect changes in underlying assumptions or factors, new information, data or methods, future events or other changes after the date of this press release, except as required by applicable law. You should not place undue reliance on any forward-looking statements, which are based only on information currently available to Envoy Medical.

Investor Contact:
David R. Wells
Chief Financial Officer
(651) 361-8013
drwells@envoymedical.com

CORE IR
(516) 222-2560
investorrelations@envoymedical.com

 
ENVOY MEDICAL, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(UNAUDITED)
(In thousands, except share and per share amounts)
 
  September 30,
2024
  December 31,
2023
 
Assets      
Current assets:      
Cash $4,424  $4,218 
Accounts receivable, net  197   70 
Other receivable  32   176 
Inventories  1,641   1,404 
Prepaid expenses and other current assets  842   957 
Total current assets  7,136   6,825 
Property and equipment, net  1,197   351 
Operating lease right-of-use asset (related party)  1,064   464 
Total assets $9,397  $7,640 
Liabilities and stockholders’ deficit        
Current liabilities:        
Accounts payable $1,757  $1,554 
Accrued expenses  6,854   4,613 
Product warranty liability, current portion  238   311 
Operating lease liability, current portion (related party)  225   158 
Total current liabilities  9,074   6,636 
Term loan payable and accrued interest (related party)  14,356    
Product warranty liability, net of current portion  1,923   1,923 
Operating lease liability, net of current portion (related party)  1,028   404 
Publicly traded warrant liability  1,134   332 
Forward purchase agreement put option liability     103 
Forward purchase agreement warrant liability  411   4 
Total liabilities  27,926   9,402 
         
Commitments and contingencies (see Note 14)        
         
Stockholders’ deficit:        
Series A Preferred Stock, $0.0001 par value; 100,000,000 shares authorized and 10,000,000 shares designated as of September 30, 2024 and December 31, 2023; 4,500,000 shares issued and outstanding as of September 30, 2024 and December 31, 2023      
Class A Common Stock, $0.0001 par value; 400,000,000 shares authorized as of September 30, 2024 and December 31, 2023; 19,730,982 and 19,599,982 shares issued and outstanding as of September 30, 2024 and December 31, 2023, respectively  2   2 
Additional paid-in capital  259,119   255,596 
Accumulated deficit  (277,529)  (257,242)
Accumulated other comprehensive loss  (121)  (118)
Total stockholders’ deficit  (18,529)  (1,762)
Total liabilities and stockholders’ deficit $9,397  $7,640 
 
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements. 


 
ENVOY MEDICAL, INC. 
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE (LOSS) INCOME 
(UNAUDITED) 
(In thousands, except share and per share amounts)
 
  Three Months Ended
September 30,
  Nine Months Ended
September 30,
 
  2024  2023  2024  2023 
Net revenues $56  $80  $183  $221 
Costs and operating expenses:                
Cost of goods sold  187   189   585   555 
Research and development  2,757   1,850   7,708   5,901 
Sales and marketing  394   399   1,216   1,153 
General and administrative  1,692   1,027   5,406   4,248 
Total costs and operating expenses  5,030   3,465   14,915   11,857 
Operating loss  (4,974)  (3,385)  (14,732)  (11,636)
Other (expense) income:                
Gain (loss) from changes in fair value of convertible notes payable (related party)     4,902      (13,332)
Change in fair value of forward purchase agreement put option liability        103    
Change in fair value of forward purchase agreement warrant liability  (311)     (329)   
Change in fair value of publicly traded warrant liability  (426)     (802)   
Interest expense, related party  (264)     (432)   
Other income (expense)  15   46   15   (59)
Total other (expense) income, net  (986)  4,948   (1,445)  (13,391)
Net (loss) income $(5,960) $1,563  $(16,177) $(25,027)
                 
Cumulative preferred dividends and undistributed earnings allocated to participating securities, basic $(1,380)  (203)  (4,110)   
                 
Net (loss) income attributable to common stockholders, basic $(7,340) $1,360  $(20,287) $(25,027)
Net (loss) income attributable to common stockholders, diluted $(7,340) $1,404  $(20,287) $(25,027)
                 
Net (loss) income per share attributable to common stockholders, basic $(0.37) $0.13  $(1.03) $(2.46)
Net (loss) income per share attributable to common stockholders, diluted $(0.37) $0.13  $(1.03) $(2.46)
                 
Weighted-average common stock outstanding, basic  19,616,362   10,214,183   19,605,482   10,153,564 
Weighted-average common stock outstanding, diluted  19,616,362   11,215,068   19,605,482   10,153,564 
                 
Other comprehensive (loss) income:                
Foreign currency translation adjustment  (1)  (1)  (3)  (1)
Other comprehensive loss  (1)  (1)  (3)  (1)
Comprehensive (loss) income $(5,961) $1,562  $(16,180) $(25,028)
 
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements. 


 
ENVOY MEDICAL, INC. 
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS 
(UNAUDITED) 
(In thousands)
 
  Nine Months Ended
September 30,
 
  2024  2023 
Cash flows from operating activities      
Net loss $(16,177) $(25,027)
Adjustments to reconcile net loss to net cash used in operating activities:        
Depreciation  125   85 
Accrued interest and amortization of debt discount on term loan payable (related party)  432    
Stock-based compensation  409    
Change in fair value of convertible notes payable (related party)     13,332 
Change in fair value of warrant liability (related party)     104 
Change in fair value of  publicly traded warrant liability  802    
Change in fair value of forward purchase agreement warrant liability  329    
Change in fair value of forward purchase agreement put option liability  (103)   
Gain on exercise and cancellation warrant liability (related party)     (231)
Change in operating lease right-of-use asset (related party)  250   83 
Changes in operating assets and liabilities:        
Accounts receivable  (127)  (68)
Other receivable  144    
Inventories  (237)  (102)
Prepaid expenses and other current assets  657   (868)
Accounts payable  203   2,378 
Operating lease liability (related party)  (159)  (101)
Accrued expenses  (36)  694 
Product warranty liability  (73)  (225)
Payable to related party     4,000 
Net cash used in operating activities $(13,561) $(5,946)
         
Cash flows from investing activities        
Purchases of property and equipment  (1,514)  (132)
Net cash used in investing activities $(1,514) $(132)
         
Cash flows from financing activities        
Proceeds from the issuance of convertible notes payable (related party)     10,000 
Proceeds from the PIPE Transaction, the Forward Purchase Agreement, and the Business Combination, net of transaction costs     11,736 
Proceeds from the additional Series A Preferred Shares subscription     1,000 
Proceeds from the issuance of term loan (related party)  15,000    
Dividends paid to Series A Preferred Shareholders  (1,833)   
Proceeds from exercise of warrants  434    
Proceeds from the sale of common stock associated with forward purchase agreement, net of transaction costs  1,683    
Net cash provided by financing activities $15,284  $22,736 
         
Effect of exchange rate changes on cash  (3)  (1)
Net increase in cash  206   16,657 
Cash, beginning of period  4,218   183 
Cash, end of period $4,424  $16,840 
         
Supplemental disclosures of cash flow information:        
Cash paid for interest $  $ 
Cash paid for income taxes $  $ 
         
Non-cash investing and financing activities:        
Deemed capital contribution from related party $  $18,702 
SPAC excise tax liability recognized upon the Business Combination $  $2,248 
Accrued and unpaid dividends on Series A Preferred Shares $2,277  $30 
Warrants issued with 2024 Term Loans $1,075  $ 
Extinguishment of excess warrant liability upon exercise of warrants associated with the forward purchase agreement $16  $ 
Modification of forward purchase agreement warrant liability $94  $ 
Lease liabilities arising from obtaining right-of-use assets $850  $ 
 
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements. 



FAQ

What were Envoy Medical's (COCH) Q3 2024 revenue results?

Envoy Medical reported Q3 2024 net revenues of $56,000, representing a decrease of $24,000 from $80,000 in Q3 2023.

What major FDA approval did Envoy Medical (COCH) receive in Q3 2024?

Envoy Medical received FDA approval to begin their pivotal clinical study for the Acclaim fully implantable cochlear implant.

What was Envoy Medical's (COCH) cash position as of September 30, 2024?

Envoy Medical reported cash and cash equivalents of approximately $4.4 million as of September 30, 2024.

What new regulatory approvals did Envoy Medical (COCH) receive for the Esteem device?

The American Medical Association approved new Category III CPT codes for totally implantable middle ear hearing implants, which applies to Envoy Medical's Esteem device.

Envoy Medical, Inc.

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