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EDAP Reports Record Fourth Quarter and Full-Year 2022 Results and Announces Leadership Succession Plan to Develop Global Group Strategy

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EDAP TMS reported record total revenue of EUR 55.1 million ($58.0 million) for 2022, marking a 25.1% increase over 2021. The HIFU segment saw a significant rise, achieving EUR 15.6 million ($16.4 million), up 57.7%. Q4 2022 revenue reached EUR 15.7 million ($16.2 million), an increase of 12.8%. Operating loss widened to EUR 4.3 million ($4.5 million) for 2022, compared to a loss of EUR 1.6 million ($1.9 million) in 2021. The company had a strong cash position of EUR 63.1 million ($67.5 million) as of December 31, 2022. Additionally, Ryan Rhodes will take over as CEO on May 1, 2023.

Positive
  • Total revenue increased 25.1% for 2022 compared to 2021.
  • HIFU revenue increased 57.7% year-over-year.
  • Q4 2022 revenue was EUR 15.7 million ($16.2 million), a 12.8% increase from Q4 2021.
  • Cash position at year-end was strong at EUR 63.1 million ($67.5 million).
  • Appointment of Ryan Rhodes as new CEO expected to drive future growth.
Negative
  • Operating loss increased to EUR 4.3 million ($4.5 million) in 2022 from EUR 1.6 million ($1.9 million) in 2021.
  • Net loss for 2022 was EUR 2.9 million ($3.1 million), a decline from a net income of EUR 0.7 million ($0.8 million) in 2021.
  • Fourth quarter net loss was EUR 5.1 million ($5.3 million), compared to a net income of EUR 1.4 million ($1.6 million) in Q4 2021.
  • Record full-year 2022 total revenue of EUR 55.1 million ($58.0 million) increased 25.1% over full-year 2021
  • Full-year HIFU revenue was EUR 15.6 million (USD 16.4 million), an increase of 57.7% as compared to EUR 9.9 million (USD 11.7 million) for the full-year 2021
  • Record Q4 2022 total revenue of EUR 15.7 million ($16.2 million) versus EUR 14.0 million ($15.9 million) for Q4 2021
  • Ended the year with a strong cash position of EUR 63.1 million ($67.5 million) as of December 31, 2022
  • Ryan Rhodes to succeed Marc Oczachowski as Chief Executive Officer of the Company, effective May 1, 2023
  • Company to host conference call and webcast today, March 30th, at 8:30 a.m. ET

LYON, France, March 30, 2023 -- EDAP TMS SA (Nasdaq: EDAP) (the “Company”), a global leader in robotic energy-based therapies, announced today unaudited financial results for the fourth quarter and full-year 2022 and announced a change in its leadership, effective May 1, 2023.

In line with EDAP’s Global Group Strategy, and its focus on expansion in the United States and rest of world markets, the Board of Directors has decided to embark on a new era of leadership for the Company. The Board has therefore unanimously appointed Ryan Rhodes Chief Executive Officer of EDAP TMS effective May 1, 2023 to lead, strengthen and accelerate the Company’s development. Marc Oczachowski will continue to serve as Chairman of the Board of the Company.

Mr. Rhodes has over 30 years of leadership experience in market development in the medical device industry, including 20 years dedicated to medical robotics. Prior to joining EDAP, he served as Chief Executive Officer of Restoration Robotics, where he led the company to a successful merger with Venus Concept Inc. in 2019. He also held leadership positions at Intuitive Surgical, and Ethicon Inc., a Johnson & Johnson Company.

Marc Oczachowski, EDAP's Chairman and Chief Executive Officer, said: “In 2022, EDAP delivered another strong year of financial and operational performance, achieving record revenue and more than doubling worldwide Focal One sales compared to 2021. With EDAP experiencing strong positive HIFU momentum, particularly in the U.S., we have now reached a key inflection point to make this transition and to further accelerate our global expansion. I have enjoyed working with Ryan for almost two years. His leadership and knowledge of the industry, combined with his acute understanding of global commercial market development, are excellent assets for EDAP. I have complete confidence in Ryan’s ability to continue to accelerate the growth and development of the Company in support of its ongoing strategic objectives.”

Ryan Rhodes, Chief Executive Officer of EDAP US, stated, “During the fourth quarter, we achieved a record of nine Focal One transactions in the U.S., reflecting the growing appreciation for the clinical value of Focal One by both large academic healthcare institutions as well as local community hospitals. 2022 was a critical year in the adoption of Focal One robotic HIFU and the growth of this therapeutic option as part of the comprehensive management of prostate cancer. The number of U.S. sites selecting Focal One doubled over the previous year, and we saw positive momentum in the advancement of U.S. society guidelines with focal ablation. Our team and capacity have grown to be well positioned to drive even greater clinical and market expansion in 2023.”

Ryan Rhodes added: "I am very pleased to be appointed Chief Executive Officer of the EDAP TMS group, and I am grateful to both Marc and the EDAP Board for their continued confidence in my abilities. I am excited to lead EDAP’s global strategy to a new era of growth as we continue to build and expand our winning organization across the U.S. and international markets.”

Full-Year 2022 Results

Total revenue for the full year 2022 was EUR 55.1 million ($58.0 million), representing an increase of 25.1% over full-year 2021 total revenue of EUR 44.1 million ($51.9 million).

Total revenue in the HIFU business for the full year 2022 was EUR 15.6 million (USD 16.4 million), an increase of 57.7% as compared to EUR 9.9 million (USD 11.7 million) for the full year 2021.

Total revenue in the LITHO business for the full year 2022 was EUR 11.6 million (USD 12.2 million), an increase of 5.0% from EUR 11.0 million (USD 13.0 million) for the full year 2021.

Total revenue in the Distribution business for the full year 2022 was EUR 27.9 million (USD 29.4 million), a 20.6% increase compared to EUR 23.1 million (USD 27.3 million) for the full year 2021.

Gross profit for the twelve months ended December 31, 2022, was EUR 24.2 million (USD 25.4 million), compared to EUR 18.4 million (USD 21.7 million) for the year-ago period. Gross profit margin on net sales was 43.9% for the twelve months ended December 31, 2022, compared to 41.8% for the comparable period in 2021. The increase in gross profit year-over-year was due to higher sales effect on fixed costs, particularly in the HIFU business.

Operating expenses were EUR 28.5 million (USD 29.90 million) for the twelve months ended December 31, 2022, compared to EUR 20.0 million (USD 23.6 million) for the same period in 2021.

Operating loss for the twelve months ended December 31, 2022, was EUR 4.3 million (USD 4.5 million), compared to an operating loss of EUR 1.6 million (USD 1.9 million) for the twelve months ended December 31, 2021.

Net loss for the twelve months ended December 31, 2022, was EUR 2.9 million (USD 3.1 million), or EUR (0.09) per diluted share, as compared to net income of EUR 0.7 million (USD 0.8 million), or EUR 0.02 per diluted share in the year-ago period.

As of December 31, 2022, the company held cash, cash equivalents and short-term investments of EUR 63.1 million ($67.5 million), as compared to EUR 47.2 million (USD 53.4 million) as of December 31, 2021.

Fourth Quarter 2022 Results

Total revenue for the fourth quarter 2022 was EUR 15.7 million (USD 16.2 million), a 12.8% increase as compared to total revenue of EUR 14.0 million (USD 15.9 million) for the same period in 2021.

Total revenue in the HIFU business for the fourth quarter 2022 was EUR 5.4 million (USD 5.5 million), an increase of 27.9% as compared to EUR 4.2 million (USD 4.8 million) for the fourth quarter of 2021.

Total revenue in the LITHO business for the fourth quarter 2022 was EUR 3.6 million (USD 3.7 million), an increase of 7.5% as compared to EUR 3.3 million (USD 3.8 million) for the fourth quarter of 2021.

Total revenue in the Distribution business for the fourth quarter 2022 was EUR 6.7 million (USD 7.0 million), a 5.0% increase compared to EUR 6.4 million (USD 7.3 million) for the fourth quarter of 2021.

Gross profit for the fourth quarter 2022 was EUR 7.2 million (USD 7.4 million), compared to EUR 6.2 million (USD 7.1 million) for the year-ago period. Gross profit margin on net sales was 45.9% in the fourth quarter of 2022, compared to 44.5% in the year-ago period. The increase in gross profit year-over-year was driven by the higher sales effect on fixed costs.

Operating expenses were EUR 8.8 million (USD 9.1 million) for the fourth quarter of 2022, compared to EUR 5.8 million (USD 6.5 million) for the same period in 2021.

Operating loss for the fourth quarter of 2022 was EUR 1.6 million (USD 1.6 million), compared to an operating profit of EUR 0.5 million (USD 0.5 million) in the fourth quarter of 2021.

Net loss for the fourth quarter of 2022 was EUR 5.1 million (USD 5.3 million), or EUR (0.14) per diluted share, as compared to net income of EUR 1.4 million (USD 1.6 million), or EUR 0.04 per diluted share in the year-ago period.

Conference Call

An accompanying conference call and webcast will be conducted by management to review the results. The call will be held at 8:30 a.m. ET today, March 30th, 2023. Please refer to the information below for conference call dial-in information and webcast registration.

Conference Call & Webcast
Thursday, March 30th, 2023 @ 8:30 a.m. ET
Domestic:                877-451-6152
International:                201-389-0879
Passcode:                13736071
Webcast link:                Here

Following the live call, a replay will be available on the Company's website, www.edap-tms.com under "Investors Information."

About EDAP TMS SA

A recognized leader in the global therapeutic ultrasound market, EDAP TMS develops, manufactures, promotes and distributes worldwide minimally invasive medical devices for various pathologies using ultrasound technology. By combining the latest technologies in imaging and treatment modalities in its complete range of Robotic HIFU devices, EDAP TMS introduced the Focal One® in Europe and in the U.S. as an answer to all requirements for ideal prostate tissue ablation. With the addition of the ExactVu™ Micro-Ultrasound device, EDAP TMS is now the only company offering a complete solution from diagnostics to focal treatment of Prostate Cancer. EDAP TMS also produces and distributes other medical equipment including the Sonolith® i-move lithotripter and lasers for the treatment of urinary tract stones using extra-corporeal shockwave lithotripsy (ESWL). For more information on the Company, please visit http://www.edap-tms.com, and us.hifu-prostate.com and www.focalone.com.

Forward-Looking Statements

In addition to historical information, this press release contains forward-looking statements within the meaning of applicable federal securities laws, including Section 27A of the U.S. Securities Act of 1933 (the “Securities Act”) or Section 21E of the U.S. Securities Exchange Act of 1934, which may be identified by words such as “believe,” “can,” “contemplate,” “could,” “plan,” “intend,” “is designed to,” “may,” “might,” “potential,” “objective,” “target,” “project,” “predict,” “forecast,” “ambition,” “guideline,” “should,” “will,” “estimate,” “expect” and “anticipate,” or the negative of these and similar expressions, which reflect our views about future events and financial performance. Such statements are based on management's current expectations and are subject to a number of risks and uncertainties, including matters not yet known to us or not currently considered material by us, and there can be no assurance that anticipated events will occur or that the objectives set out will actually be achieved. Important factors that could cause actual results to differ materially from the results anticipated in the forward-looking statements include, among others, the clinical status and market acceptance of our HIFU devices and the continued market potential for our lithotripsy and distribution divisions, as well as risks associated with the current worldwide inflationary environment, the uncertain worldwide economic, political and financial environment, geopolitical instability, climate change and pandemics like the COVID 19 pandemic, or other public health crises, and their related impact on our business operations, including their impacts across our businesses or demand for our devices and services.

Other factors that may cause such a difference may also include, but are not limited to, those described in the Company's filings with the Securities and Exchange Commission and in particular, in the sections "Cautionary Statement on Forward-Looking Information" and "Risk Factors" in the Company's Annual Report on Form 20-F.

Forward-looking statements speak only as of the date they are made. Other than required by law, we do not undertake any obligation to update them in light of new information or future developments. These forward-looking statements are based upon information, assumptions and estimates available to us as of the date of this press release, and while we believe such information forms a reasonable basis for such statements, such information may be limited or incomplete.

Company Contact
Blandine Confort
Investor Relations / Legal Affairs
EDAP TMS SA
+33 4 72 15 31 50
bconfort@edap-tms.com

Investor Contact
John Fraunces
LifeSci Advisors, LLC
917-355-2395
jfraunces@lifesciadvisors.com

EDAP TMS S.A.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Amounts in thousands of Euros and U.S. Dollars, except per share data)

    Three Months Ended:   Three Months Ended:
       December 31,       December 31,       December 31,       December 31, 
    2022   2021   2022   2021
    Euros   Euros   $US   $US
Sales of medical equipment   11,493   9,864   11,840   11,231
Net Sales of RPP and Leases   1,441   1,387   1,484   1,579
Sales of spare parts, supplies and Services   2,784   2,720   2,868   3,097
TOTAL NET SALES   15,718   13,971   16,192   15,907
Other revenues     1     2
TOTAL REVENUES   15,718   13,973   16,192   15,909
Cost of sales   (8,500)   (7,762)   (8,756)   (8,837)
GROSS PROFIT   7,218   6,211   7,436   7,072
Research & development expenses   (1,304)   (562)   (1,344)   (640)
S, G & A expenses   (7,484)   (5,188)   (7,709)   (5,907)
Total operating expenses   (8,788)   (5,750)   (9,053)   (6,547)
OPERATING PROFIT (LOSS)   (1,570)   461   (1,617)   525
Interest (expense) income, net   297   23   306   26
Currency exchange gains (loss), net   (4,075)   786   (4,198)   895
INCOME (LOSS) BEFORE TAXES AND MINORITY INTEREST   (5,348)   1,270   (5,509)   1,446
Income tax (expense) credit   217   95   224   108
NET INCOME (LOSS)   (5,130)   1,365   (5,285)   1,554
Earning per share – Basic   (0.14)   0.04   (0.14)   0.05
Average number of shares used in computation of EPS   36,863,623   33,466,136   36,863,623   33,466,136
Earning per share – Diluted   (0.14)   0.04   (0.14)   0.05
Average number of shares used in computation of EPS for positive net income   36,863,623   33,641,317   36,863,623   33,641,317

NOTE: Translated for convenience of the reader to U.S. dollars at the 2022 average three months’ noon buying rate of 1 Euro = 1.0302 USD, and 2021 average three months noon buying rate of 1 Euro = 1.1386 USD

EDAP TMS S.A.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Amounts in thousands of Euros and U.S. Dollars, except per share data)

    Year Ended:   Year Ended:
       December 31,       December 31,       December 31,       December 31, 
    2022   2021   2022   2021
    Euros   Euros   $US   $US
Sales of medical equipment   38,462   29,040   40,456   34,229
Net Sales of RPP and Leases   5,617   4,968   5,908   5,856
Sales of spare parts, supplies and Services   11,030   10,052   11,602   11,848
TOTAL NET SALES   55,108   44,060   57,966   51,932
Other revenues     6     7
TOTAL REVENUES   55,108   44,065   57,966   51,939
Cost of sales   (30,916)   (25,643)   (32,519)   (30,225)
GROSS PROFIT   24,193   18,422   25,447   21,714
Research & development expenses   (4,920)   (3,402)   (5,175)   (4,010)
S, G & A expenses   (23,530)   (16,633)   (24,751)   (19,605)
Total operating expenses   (28,450)   (20,034)   (29,925)   (23,614)
OPERATING PROFIT (LOSS)   (4,257)   (1,612)   (4,478)   (1,900)
Interest (expense) income, net   235   145   248   171
Currency exchange gains (loss), net   1,926   2,360   2,025   2,781
INCOME (LOSS) BEFORE TAXES AND MINORITY INTEREST   (2,096)   893   (2,205)   1,052
Income tax (expense) credit   (837)   (193)   (880)   (227)
NET INCOME (LOSS)   (2,933)   700   (3,085)   825
Earning per share – Basic   (0.09)   0.02   (0.09)   0.03
Average number of shares used in computation of EPS   34,392,598   32,129,047   34,392,598   32,129,047
Earning per share – Diluted   (0.09)   0.02   (0.09)   0.03
Average number of shares used in computation of EPS for positive net income   34,392,598   32,422,871   34,392,598   32,422,871

NOTE: Translated for convenience of the reader to U.S. dollars at the 2022 average twelve months’ noon buying rate of 1 Euro = 1.0519 USD, and 2021 average twelve months noon buying rate of 1 Euro = 1.1787 USD

EDAP TMS S.A.
UNAUDITED CONSOLIDATED BALANCE SHEETS HIGHLIGHTS
(Amounts in thousands of Euros and U.S. Dollars)

       December 31,       December 31,       December 31,       December 31, 
    2022   2021   2022   2021
    Euros   Euros   $US   $US
Cash, cash equivalents and short-term treasury investments   63,136   47,183   67,539   53,405
Account receivables, net   14,943   12,118   15,985   13,716
Inventory   11,780   7,499   12,601   8,487
Other current assets   660   581   706   658
TOTAL CURRENT ASSETS   90,518   67,382   96,832   76,267
Property, plant and equipment, net   5,984   5,173   6,401   5,855
Goodwill   2,412   2,412   2,580   2,730
Other non-current assets   2,210   2,260   2,364   2,558
TOTAL ASSETS   101,123   77,226   108,177   87,409
Accounts payable & other accrued liabilities   13,087   10,786   14,000   12,208
Deferred revenues, current portion   4,050   3,408   4,333   3,857
Short term borrowing   1,846   1,914   1,975   2,167
Other current liabilities   2,725   1,843   2,916   2,086
TOTAL CURRENT LIABILITIES   21,708   17,951   23,223   20,318
Obligations under operating and finance leases non-current   1,222   1,318   1,308   1,492
Long term debt, non-current   3,587   4,930   3,837   5,580
Deferred revenues, non-current   264   440   282   498
Other long term liabilities   2,710   2,534   2,899   2,868
TOTAL LIABILITIES   29,492   27,172   31,549   30,755
TOTAL SHAREHOLDERS’EQUITY   71,632   50,054   76,628   56,655
TOTAL LIABILITIES & SHAREHOLDERS’ EQUITY   101,123   77,226   108,177   87,409

NOTE: Translated for convenience of the reader to U.S. dollars at the noon buying rate of 1 Euro = 1.0697 USD, on December 31, 2022 and at the noon buying rate of 1 Euro = 1.1319 USD, on December 31, 2021.

EDAP TMS S.A.
UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Amounts in thousands of Euros)

       Year Ended      Twelve Months Ended      Year Ended      Twelve Months Ended
    December 31,    December 31,    December 31,    December 31, 
    2022   2021   2022   2021
    (Euros)   (Euros)   ($US)   ($US)
NET INCOME (LOSS)   (2,933)   700   (3,085)   825
Adjustments to reconcile net income (loss) to net cash generated by (used in) operating activities(1)   4,225   3,225   4,444   3,801
OPERATING CASH FLOW   1,292   3,925   1,359   4,626
Increase/Decrease in operating assets and liabilities   (4,316)   520   (4,539)   613
NET CASH GENERATED BY (USED IN) OPERATING ACTIVITIES   (3,024)   4,445   (3,180)   5,239
Short term investments        
Additions to capitalized assets produced by the company and other capital expenditures   (2,378)   (1,638)   (2,501)   (1,931)
NET CASH GENERATED BY (USED IN) INVESTING ACTIVITIES   (2,378)   (1,638)   (2,501)   (1,931)
NET CASH GENERATED BY (USED IN) FINANCING ACTIVITIES   21,741   20,266   22,869   23,887
NET EFFECT OF EXCHANGE RATE CHANGES ON CASH AND CASH EQUIVALENTS   (388)   (585)   (3,053)   (3,992)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS   15,952   22,488   14,134   23,204

(1) including share based compensation expenses for 2,103 thousand of Euros for the year ended December 31, 2022 and 1,900 thousand of Euros for the full year ended December 31, 2021.

NOTE: Translated for convenience of the reader to U.S. dollars at the 2022 average twelve months’ noon buying rate of 1 Euro = 1.0519 USD, and 2021 average twelve months noon buying rate of 1 Euro = 1.1787 USD

EDAP TMS S.A.
UNAUDITED CONDENSED STATEMENTS OF OPERATIONS BY DIVISION
twelve months ended December 31, 2022
(Amounts in thousands of Euros)

       HIFU                ESWL                Distribution                Reconciling      Total After            
    Division       Division       Division       Items   Consolidation      
Sales of goods   9,437        4,880        24,145          38,462       
Sales of RPPs & Leases   4,287        1,058        272          5,617       
Sales of spare parts & services   1,909        5,630        3,491          11,030       
TOTAL NET SALES   15,634        11,568        27,907          55,108       
Other revenues                                
TOTAL REVENUES   15,634        11,568        27,907          55,108       
GROSS PROFIT (% of Net Sales)   8,846   56.6 %   4,836   41.8 %   10,511   37.7 %     24,193   43.9 %
Research & Development   (3,525)        (950)        (444)          (4,920)       
Total SG&A plus depreciation   (10,214)        (2,964)        (8,099)        (2,254)   (23,530)       
OPERATING PROFIT (LOSS)   (4,894)        922        1,968        (2,254)   (4,257)       

 

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FAQ

What were EDAP's total revenues for 2022?

EDAP's total revenues for 2022 were EUR 55.1 million ($58.0 million), a 25.1% increase over 2021.

How much did HIFU revenue increase in 2022?

HIFU revenue increased by 57.7% in 2022, totaling EUR 15.6 million ($16.4 million).

What was the operating loss for EDAP in 2022?

EDAP reported an operating loss of EUR 4.3 million ($4.5 million) for the year 2022.

What is the new leadership change at EDAP?

Ryan Rhodes has been appointed as CEO of EDAP, effective May 1, 2023, succeeding Marc Oczachowski.

What was the cash position of EDAP at the end of 2022?

As of December 31, 2022, EDAP had cash, cash equivalents, and short-term investments totaling EUR 63.1 million ($67.5 million).

EDAP TMS SA

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