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Ekso Bionics Reports Record Annual Revenue of $18.3 Million

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Ekso Bionics Holdings, Inc. reported record revenue of $18.3 million in 2023, a 42% year-over-year increase. The Company sold 151 EksoHealth units and launched GaitCoach software. Despite a net loss of $15.2 million for the full year, Ekso remains optimistic about long-term growth.
Positive
  • Record revenue of $18.3 million in 2023, a 42% increase year-over-year
  • Sold 151 EksoHealth units in 2023
  • Launched GaitCoach software for EksoNR
  • Net proceeds of $3.9 million from a registered direct offering in January 2024
  • Gross margin of approximately 50% for the full year 2023
  • Cash on hand at December 31, 2023, was $8.6 million
  • Operating cash burn of $1.6 million for the fourth quarter of 2023
Negative
  • Net loss of $15.2 million for the full year 2023
  • Cash decreased from $20.5 million in 2022 to $8.6 million in 2023
  • Deferred payment determination by CMS for Ekso Indego Personal

Insights

The reported financial results of Ekso Bionics Holdings, Inc. show a substantial year-over-year revenue increase of 42%, which is a positive indicator of the company's growth trajectory. The sale of 151 EksoHealth units in 2023 is a concrete demonstration of product demand and market penetration. The gross margin improvement from 48% to 50% suggests enhanced operational efficiency, likely due to lower device costs. However, investors should note the increase in sales and marketing and research and development expenses, which reflect the company's strategic reinvestment into its growth and the integration of the HMC business unit.

Despite the positive revenue trends, the company's net loss remaining relatively flat year-over-year and a significant reduction in cash on hand from $20.5 million to $8.6 million could raise concerns about the company's cash burn rate and financial sustainability. The registered direct offering in January 2024, which raised approximately $3.9 million, appears to be a response to this cash burn, although it may not be sufficient to alleviate longer-term liquidity concerns. Investors should closely monitor subsequent financial statements for indications of improved cash flow management and profitability.

Ekso Bionics' record sales performance in the exoskeleton technology sector underscores the growing demand for medical devices that enhance mobility. The introduction of the GaitCoach software for EksoNR signals the company's commitment to innovation and its strategy to offer comprehensive solutions that span the continuum of care. This positions Ekso Bionics favorably in a market that is increasingly receptive to technologically advanced medical aids.

However, the deferral of payment determination by CMS for personal exoskeletons, including the Ekso Indego Personal, introduces an element of uncertainty regarding future revenue streams from this product line. The company's ability to provide compelling pricing documentation to CMS will be crucial in establishing a reimbursement rate that could significantly impact adoption rates and market growth. The case-by-case processing of individual claims may lead to variability in revenue recognition, which could affect the predictability of cash flows.

The reported increase in research and development expenses, particularly due to the acquisition of the HMC business unit, indicates Ekso Bionics' strategic focus on expanding its product portfolio and enhancing its technological capabilities. The integration of HMC's expertise could accelerate the development of next-generation exoskeletons, potentially leading to advanced features and improved patient outcomes.

With the medical exoskeleton market poised for growth, driven by an aging population and the prevalence of neurological disorders, Ekso Bionics' robust exoskeleton portfolio positions the company to capitalize on these market trends. The company's ability to drive long-term growth will hinge on continued innovation, as well as navigating regulatory landscapes, such as securing favorable CMS payment determinations, which are critical for widespread adoption and reimbursement.

Sold Record Number of Annual EksoHealth Units in 2023

SAN RAFAEL, Calif., March 04, 2024 (GLOBE NEWSWIRE) -- Ekso Bionics Holdings, Inc. (Nasdaq: EKSO) (the “Company”), an industry leader in exoskeleton technology for medical and industrial use, today reported financial results for the three and twelve months ended December 31, 2023.

Recent Highlights and Accomplishments

  • Achieved record revenue of $18.3 million for the 2023 full year, an increase of 42% year-over-year
  • Sold a total of 151 EksoHealth units for the 2023 full year
  • Launched GaitCoach software for EksoNR
  • Announced net proceeds of $3.9 million from a registered direct offering in January 2024

“We are excited to have closed 2023 with record revenues driven by strong demand for our EksoHealth devices and expanded offerings across the continuum of care from hospital to home,” said Scott Davis, Chief Executive Officer of Ekso Bionics. “In support of our mission, we remain focused on expanding the reach of our exoskeleton devices to patients who can benefit the most. We believe the combination of our robust exoskeleton portfolio and the positive traction of our scalable commercial strategy position us well to drive long-term growth.”

Fourth Quarter 2023 Financial Results
Revenue was $4.8 million for the quarter ended December 31, 2023, an increase of 36% compared to $3.6 million for the same period in 2022. The Company sold a total of 38 EksoHealth units in the fourth quarter of 2023.

Gross profit for the quarter ended December 31, 2023 was $2.4 million, an increase of 41% from the same period in 2022, representing a gross margin of approximately 49% in the fourth quarter of 2023, compared to a gross margin for the same period in 2022 of 47%. The increase in gross profit and gross margin was primarily due to lower device and service costs.

Sales and marketing expenses for the quarter ended December 31, 2023 were $2.0 million, compared to $1.9 million for the same period in 2022. The increase was primarily due to additional headcount associated with the acquisition of the Human Motion Control (“HMC”) business unit from Parker Hannifin Corporation.

Research and development expenses for the quarter ended December 31, 2023 were $1.3 million, compared to $0.9 million for the same period in 2022. The increase was primarily due to additional headcount and an increase in research activity associated with the acquisition of HMC.

General and administrative expenses for the quarter ended December 31, 2023 were $2.5 million, compared to $3.2 million for the same period in 2022. The decrease was primarily due to the absence of acquisition costs associated with HMC.

Net loss applicable to common stockholders for the quarter ended December 31, 2023 was $3.2 million, or $0.22 per basic and diluted share, compared to net loss of $3.2 million, or $0.24 per basic and diluted share, for the same period in 2022. Operating cash burn was $1.6 million for the fourth quarter of 2023.

Full Year 2023 Financial Results
Revenue for the full year ended December 31, 2023 was $18.3 million, an increase of 42% compared to $12.9 million for the same period in 2022. The Company sold a total of 151 EksoHealth units in 2023.

Gross profit for the full year ended December 31, 2023 was $9.1 million, representing a gross margin of approximately 50%, compared to gross profit of $6.2 million for the same period in 2022, representing a gross margin of 48%. The increase in gross profit was a result of lower device costs.

Sales and marketing expenses for the full year ended December 31, 2023 were $8.5 million, compared to $7.2 million for the same period in 2022. The increase was primarily due to additional headcount associated with the acquisition of HMC.

Research and development expenses for the full year ended December 31, 2023 were $5.0 million, compared to $3.6 million in the same period in 2022. The increase was primarily due to additional headcount and an increase in research activity associated with the acquisition of HMC.

General and administrative expenses for the full year ended December 31, 2023 were $10.7 million, compared to $11.0 million in the same period in 2022. The decrease was primarily due to the absence of expenses incurred in 2022 associated with the acquisition of HMC, partially offset by an increase in audit services incurred in 2023 in connection with HMC.

Net loss applicable to common shareholders for the full year ended December 31, 2023 was $15.2 million, or $1.10 per basic and diluted share, compared to $15.1 million, or $1.16 per basic and diluted share, for the same period in 2022.

Cash on hand at December 31, 2023 was $8.6 million, compared to $20.5 million at December 31, 2022. In January 2024, the Company closed a registered direct offering, resulting in total net proceeds of approximately $3.9 million.

For the full year ended December 31, 2023, the Company used $12.1 million of cash in operations, compared to $14.7 million for the same period in 2022.

Update on Centers for Medicare & Medicaid Services (“CMS”) Payment Determination for Ekso Indego Personal
On February 29, 2024, CMS announced that it has deferred payment determination for personal exoskeletons, including the Ekso Indego Personal. CMS requested additional examples of non-Medicare payer data that would support a payment determination for products that qualify under Healthcare Common Procedure Coding System (“HCPCS”) code K1007. Ekso intends to provide pricing documentation to CMS as soon as possible and looks forward to its continued work with CMS. Until a reimbursement rate has been established, individual claims will be processed on a case-by-case basis.

Conference Call
Management will host a conference call today beginning at 1:30 p.m. PT / 4:30 p.m. ET to discuss the Company’s financial results and recent business developments.

Investors interested in listening to the conference call may do so by dialing 877-407-3036 for domestic callers or 201-378-4919 for international callers. A live webcast of the event will be available in the “Investors” section of the Company’s website at www.eksobionics.com, or by clicking here. The webcast will also be available on the Company’s website for one month following the completion of the call.

About Ekso Bionics®
Ekso Bionics® is a leading developer of exoskeleton solutions that amplify human potential by supporting or enhancing strength, endurance and mobility across medical and industrial applications. Founded in 2005, the Company continues to build upon its industry-leading expertise to design some of the most cutting-edge, innovative wearable robots available on the market. Ekso Bionics is the only known exoskeleton company to offer technologies that range from helping those with paralysis to stand up and walk, to enhancing human capabilities on job sites across the globe. The Company is headquartered in the San Francisco Bay Area and is listed on the Nasdaq Capital Market under the symbol “EKSO.” For more information, visit: www.eksobionics.com or follow @EksoBionics on X.

Forward-Looking Statements
Any statements contained in this press release that do not describe historical facts may constitute forward-looking statements. Forward-looking statements may include, without limitation, statements regarding the plans, objectives and expectations of management with respect to the Company’s industry, growth and strategy, the actions the Company will take in seeking a reimbursement from CMS and the success of such actions, the timing and amounts of potential CMS reimbursement, the Company’s growth prospects and the assumptions underlying or relating to the foregoing. Such forward-looking statements are not meant to predict or guarantee actual results, performance, events or circumstances and may not be realized because they are based upon the Company's current projections, plans, objectives, beliefs, expectations, estimates and assumptions and are subject to a number of risks and uncertainties and other influences, many of which the Company has no control over. Actual results and the timing of certain events and circumstances may differ materially from those described by the forward-looking statements as a result of these risks and uncertainties. Factors that may influence or contribute to the inaccuracy of the forward-looking statements or cause actual results to differ materially from expected or desired results may include, without limitation, the Company's inability to obtain adequate financing to fund and grow the Company's operations and necessary to develop or enhance the Company’s technology, the Company’s ability to obtain reimbursement from CMS at acceptable levels or at all and the effect and the timing of CMS’s decisions with respect thereto, the significant length of time and resources associated with the development of the Company's products, the Company's failure to achieve broad market acceptance of the Company's products, the failure of the Company’s sales and marketing efforts or of partners to market the Company’s products effectively, adverse results in future clinical studies of the Company's medical device products, the failure of the Company to obtain or maintain patent protection for the Company's technology, the failure of the Company to obtain or maintain regulatory approval to market the Company's medical devices, lack of product diversification, existing or increased competition, disruptions in the Company’s supply chain, the Company’s ability to successfully integrate the HMC business and its personnel, and the Company's failure to implement the Company's business plans or strategies. These and other factors are identified and described in more detail in the Company's filings with the SEC. Any forward-looking statements made in this press release speak only as of the date of this press release. The Company does not undertake to update these forward-looking statements, except as required by law.

Contact:
David Carey
212-867-1768
investors@eksobionics.com

 
Ekso Bionics Holdings, Inc.
Condensed Consolidated Balance Sheets
(In thousands)
       
   December 31,  December 31,
   2023  2022
       
Assets     
Current assets:     
 Cash and restricted cash$8,638  $20,525 
 Accounts receivable, net 5,645   4,625 
 Inventories 5,050   5,187 
 Prepaid expenses and other current assets 875   700 
Total current assets 20,208   31,037 
Property and equipment, net 2,018   2,680 
Right-of-use assets 977   1,307 
Intangible assets, net 4,892   5,217 
Goodwill 431   431 
Other assets 392   231 
Total assets$28,918  $40,903 
Liabilities and Stockholders' Equity     
Current liabilities:     
 Accounts payable$1,847  $3,151 
 Accrued liabilities 2,664   2,278 
 Deferred revenues, current 1,993   1,121 
 Notes payable, current 1,250   2,310 
 Lease liabilities, current 363   341 
Total current liabilities 8,117   9,201 
Deferred revenues 2,169   1,032 
Notes payable, net 4,832   3,767 
Lease liabilities 723   1,087 
Warrant liabilities 366   233 
Other non-current liabilities 105   141 
Total liabilities 16,312   15,461 
Stockholders' equity:     
 Common stock 15   13 
 Additional paid-in capital 251,580   248,813 
 Accumulated other comprehensive income 156   563 
 Accumulated deficit (239,145)  (223,947)
Total stockholders' equity 12,606   25,442 
Total liabilities and stockholders' equity$28,918  $40,903 
       


 
Ekso Bionics Holdings, Inc.
Condensed Consolidated Statements of Operations
(In thousands, except per share amounts)
 
            
  Three Months Ended December 31, (Unaudited)  Years ended December 31,
  2023  2022  2023  2022
            
Revenue$4,847  $3,551  $18,279  $12,912 
Cost of revenue 2,478   1,873   9,200   6,698 
Gross profit 2,369   1,678   9,079   6,214 
            
Operating expenses:           
Sales and marketing 1,983   1,945   8,472   7,157 
Research and development 1,313   945   5,025   3,626 
General and administrative 2,522   3,224   10,694   10,987 
Total operating expenses 5,818   6,114   24,191   21,770 
            
Loss from operations (3,449)  (4,436)  (15,112)  (15,556)
            
Other (expense) income, net:           
Interest expense, net (66)  (66)  (302)  (156)
(Loss) gain on revaluation of warrant liabilities (319)  306   (133)  1,317 
Unrealized gain (loss) on foreign exchange 635   1,049   412   (655)
Other expense, net (15)  (31)  (63)  (30)
Total other income (expense), net 235   1,258   (86)  476 
            
Net loss$(3,214) $(3,178) $(15,198) $(15,080)
            
            
Net loss per share, basic and diluted$(0.22) $(0.24) $(1.10) $(1.16)
            
Weighted average number of shares of common           
stock outstanding, basic and diluted 14,446   13,160   13,867   12,962 
            


FAQ

How much revenue did Ekso Bionics report in 2023?

Ekso Bionics reported revenue of $18.3 million in 2023, a 42% increase year-over-year.

How many EksoHealth units were sold in 2023?

A total of 151 EksoHealth units were sold in 2023.

What was the gross margin for Ekso Bionics in 2023?

The gross margin for Ekso Bionics in 2023 was approximately 50%.

What were the net proceeds from the registered direct offering in January 2024?

The net proceeds from the registered direct offering in January 2024 were $3.9 million.

What was the cash on hand at the end of December 31, 2023?

The cash on hand at December 31, 2023, was $8.6 million.

What was the operating cash burn for the fourth quarter of 2023?

The operating cash burn for the fourth quarter of 2023 was $1.6 million.

What was the net loss for Ekso Bionics in 2023?

The net loss for Ekso Bionics in 2023 was $15.2 million.

What was the major setback mentioned in the press release?

The major setback mentioned in the press release was the deferred payment determination by CMS for Ekso Indego Personal.

What event did Ekso Bionics host to discuss financial results?

Ekso Bionics hosted a conference call to discuss financial results and recent business developments.

Ekso Bionics Holdings, Inc.

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Medical Instruments & Supplies
General Industrial Machinery & Equipment, Nec
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SAN RAFAEL