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Motus GI Reports Fourth Quarter 2020 Financial Results and Provides Corporate Update

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Motus GI Holdings, Inc. (NASDAQ: MOTS) has signed new 12-month contracts with the University of Texas Medical Center and NYU Langone, anticipating revenue generation in 2021. The company reported a revenue of approximately $36,000 for Q4 2020, down from $99,000 in Q4 2019, and a net loss of approximately $4.4 million. Cash and equivalents totaled $20.8 million as of December 31, 2020. Motus GI is preparing a 510(k) submission for the Pure-Vu System to expand its indications and improve market presence during a COVID-19 recovery.

Positive
  • Secured new contracts with prominent medical centers for disposable sleeve purchases, expected to generate revenue in 2021.
  • Initiated new studies and product evaluations, enhancing market expansion and potential revenue streams.
  • Reduced net cash burn by approximately 50% year-over-year, demonstrating effective cost management.
Negative
  • Reported a significant revenue decline in Q4 2020 compared to the same quarter in the previous year.
  • Continued net losses, totaling approximately $19.3 million for the full year 2020.
  • Signed new 12-month committed volume contracts with two prominent U.S. medical centers

  • Reported progress on reimbursement for Pure-Vu System in both inpatient and outpatient markets, starting with CMS submissions

  • Preparing to submit a 510(k) application to FDA by Q3 2021 for Pure-Vu System indication expansion for Upper GI endoscopies

FORT LAUDERDALE, Fla., March 16, 2021 (GLOBE NEWSWIRE) -- Motus GI Holdings, Inc., (NASDAQ: MOTS) ("Motus GI" or the "Company"), a medical technology company providing endoscopy solutions that improve clinical outcomes and enhance the cost-efficiency associated with the diagnosis and management of gastrointestinal conditions, today reported its financial results for the fourth quarter ended December 31, 2020, and provided a corporate update.

“We reported a steady increase in commercial momentum during the second half of 2020 compared to the first half of the year. This momentum continued in the fourth quarter despite a resurgence of COVID-19 hospitalizations across much of the United States,” stated Tim Moran, Chief Executive Officer of Motus GI. “While our sales team is still encountering limited access at most hospitals as a result of the pandemic, I am pleased by the continued progress we’ve made expanding our footprint in the market, including the signing of two prominent health systems to new annual agreements that we expect to generate revenues in 2021. We believe that as hospital access returns, GI procedures rebound to pre-pandemic levels and the number of Pure-Vu System placements expand across several hospital networks, our team will be well positioned to drive further Pure-Vu growth over the balance of 2021 and beyond.”

“In addition to our commercial efforts, we are executing towards four value creation drivers, including reimbursement, new product innovation, clinical data, and strategic partnerships. Each of these catalysts offer an opportunity for us to enhance our portfolio, broaden our addressable market, scale our organization and unlock long-term shareholder value. We are already making progress with these initiatives, for example, we just announced the initiation of a new study at a leading non-profit academic medical center in the U.S. evaluating the clinical and economic outcomes using the Pure-Vu System in patients with emergent lower gastrointestinal bleeding. In addition, our team presented a request for an ICD-10 code at a Center for Medicare and Medicaid Services (CMS) meeting on March 9th, which is part of our broader strategy to obtain reimbursement for certain inpatient and outpatient procedures where Pure-Vu System can help facilitate visualization of inadequately prepared colons in high medical need patients,” concluded Mr. Moran.

Fourth Quarter and Recent Business Highlights

  • Reported second sequential quarterly sales growth attributable to disposable sleeve sales for procedures using the Pure-Vu System

  • Announced that two prominent medical centers – the University of Texas Medical Center, and NYU Langone – signed 12-month commitments for minimum disposable sleeve purchase orders, effective for 2021

  • Initiated product evaluations of the Pure-Vu System at several new accounts, most notably the Mayo Clinic in Phoenix and Mass General Hospital in Boston

  • Implemented a strategy to pursue reimbursement for the Pure-Vu System when used during inpatient and traditional outpatient colonoscopies, starting with specific CMS submissions

  • Preparing to submit a 510(k) for a new Pure-Vu Upper GI product to FDA by Q3 2021

  • Initiated a study at a leading US non-profit academic medical center using the Pure-Vu® System in patients with lower GI bleeding, in order to evaluate the clinical and economic benefits of the system with minimal pre-procedural bowel prep

  • Secured an additional U.S. patent for the Pure-Vu System expanding IP portfolio, which includes 31 granted patents and 25 pending patents protecting the Pure-Vu System

  • Strengthened the balance sheet, including executing a warrant exercise agreement with an existing institutional investor in January 2021, raising net proceeds of approximately $11 million dollars that added to the $20.8 million in cash and cash equivalents reported as of December 31, 2020

Financial Results for the Quarter and Full Year Ended December 31, 2020

The Company reported revenue of approximately $36,000 for the fourth quarter of 2020, compared to approximately $99,000 for the same period last year. Revenues are generally from new account and site reorder sales of Pure-Vu single-use sleeves.

For the three months ended December 31, 2020, we reported a net loss of approximately $4.4 million, or a net loss per diluted share of $0.12, compared to $5.9 million, or a net loss per diluted share of $0.21, for the same period last year. During the fourth quarter 2020, net cash used in operating activities and for the purchase of fixed assets was $2.8 million as compared to $5.6 million for the same period of 2019, a reduction of 50% year-over-year.

For the year ended December 31, 2020, we reported a net loss of approximately $19.3 million, or a net loss per diluted share of $0.60, compared to $23.1 million, or a net loss per diluted share of $0.92 for the same period last year. Net cash used in operating activities and for the purchase of fixed assets during the year ended December 31, 2020 totaled $17.1 million as compared to $20.4 million for the same period of 2019. These decreases were primarily attributable to the Company’s cost-cutting measures that were announced on March 30, 2020. These measures reduced the Company’s quarterly cash burn by approximately 50% compared to previously forecasted rates for the second half of 2020.

The Company reported approximately $20.8 million in cash and cash equivalents as of December 31, 2020, compared to cash, cash equivalents and investments of $28.7 million as of December 31, 2019. In January 2021, the Company executed a warrant exercise agreement with an existing institutional investor, raising net proceeds of approximately $11 million dollars.

Conference Call:

The Motus GI management team has scheduled a conference call for today, March 16th, at 4:30 p.m. ET to discuss these results. To access the conference call, investors are invited to dial (877) 407-0792 (U.S. and Canada) or (201) 689-8263 (International). The conference ID number is 13714989. A live audio webcast can be accessed by visiting the investor relations section of the Company’s website, www.motusgi.com or http://public.viavid.com/index.php?id=142994. A replay of the webcast will be archived on the Motus GI website for 90 days following the event.

About Motus GI

Motus GI Holdings, Inc. is a medical technology company, with subsidiaries in the U.S. and Israel, providing endoscopy solutions that improve clinical outcomes and enhance the cost-efficiency associated with the diagnosis and management of gastrointestinal conditions.

For more information, visit www.motusgi.com and connect with the Company on Twitter, LinkedIn and Facebook.

Forward-Looking Statements

This press release contains certain forward-looking statements. Forward-looking statements are based on the Company's current expectations and assumptions. The Private Securities Litigation Reform Act of 1995 provides a safe harbor for forward-looking statements. These statements may be identified by the use of forward-looking expressions, including, but not limited to, "expect," "anticipate," "intend," "plan," "believe," "estimate," "potential," "predict," "project," "should," "would" and similar expressions and the negatives of those terms, including without limitation, risks related to the Company’s cost reduction plan, the cost savings and the cash expenses related to the implementation of the plan, risks related to the continued impact of the COVID-19 pandemic, risks inherent in the development and commercialization of potential products, uncertainty in the timing and results of clinical trials or regulatory approvals, maintenance of intellectual property rights or other risks discussed in the Company’s Form 10-K filed on March 30, 2020, and its other filings with the Securities and Exchange Commission. Prospective investors are cautioned not to place undue reliance on such forward-looking statements, which speak only as of the date hereof. The Company undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events or otherwise.

Investor Contact:
Bob Yedid
LifeSci Advisors
(646) 597-6989
bob@lifesciadvisors.com


Motus GI Holdings, Inc. and Subsidiaries
Consolidated Balance Sheets
(unaudited, in thousands except share and per share amounts)

 December 31, December 31,
 2020  2019 
Asset     
Current assets     
Cash and cash equivalents$20,819  $20,528 
Investments -   8,203 
Accounts receivable 35   65 
Inventory 805   1,014 
Prepaid expenses and other current assets 448   339 
Related party receivable -   18 
Total current assets 22,107   30,167 
      
Fixed assets, net 1,178   1,056 
Right-of-use assets 766   1,021 
Other non-current assets 13   13 
Total assets$24,064  $32,257 
      
Liabilities and Shareholders’ Equity     
Current liabilities     
Accounts payable and accrued expenses$2,333  $2,999 
Operating lease liabilities - current 238   321 
Other current liabilities 60   270 
Term debt, net of debt discount of $21 and $246, respectively 7,979   7,754 
Total current liabilities 10,610   11,344 
      
Contingent royalty obligation 1,617   1,872 
Operating lease liabilities - non-current 547   713 
Total liabilities 12,774   13,929 
Commitments and contingent liabilities (Note 9)     
Shareholders' equity     
Preferred Stock $0.0001 par value; 8,000,000 shares authorized; zero shares issued and outstanding -   - 
Preferred Series A Stock $0.0001 par value; 2,000,000 shares authorized; zero shares issued and
outstanding
 -   - 
Common Stock $0.0001 par value; 115,000,000 and 50,000,000 shares authorized; 32,272,309 and
28,811,087 shares issued and outstanding as of December 31, 2020 and December 31, 2019, respectively
 3   3 
Additional paid-in capital 115,008   102,789 
Accumulated deficit (103,721)  (84,464)
Total shareholders' equity 11,290   18,328 
Total liabilities and shareholders' equity$24,064  $32,257 
      


Motus GI Holdings, Inc. and Subsidiaries 
Consolidated Statements of Comprehensive Loss
(unaudited, in thousands except share and per share amounts)

 3 Months Ended December 31, Twelve Months Ended December 31,
 2020   2019  2020   2019 
Revenue$36  $99  $98  $107 
            
Operating expenses:           
Cost of revenue- sales 23   71   95   136 
Cost of revenue - Impairment of Inventory 401   -   401   - 
Research and development 1,196   2,307   5,555   9,013 
Sales and marketing 578   1,424   3,532   4,897 
General and administrative 2,130   2,308   9,562   9,497 
Total Cost and Expenses 4,329   6,110   19,145   23,543 
Operating loss (4,293)  (6,011)  (19,047)  (23,436)
            
Gain on change in estimated fair value of
contingent royalty obligation
 7   13   255   81 
Finance income (expense), net (116)  59   (464)  273 
Foreign currency loss 3   2   (1)  (4)
Loss before income taxes (4,399)  (5,937)  (19,257)  (23,086)
            
Net loss$(4,399) $(5,937) $(19,257) $(23,086)
Basic and diluted loss per common share$(0.12) $(0.21) $(0.60) $(0.92)
Weighted average number of common shares outstanding, basic and diluted 37,795,517   28,801,914   32,120,017   25,133,190 
                

FAQ

What were Motus GI's Q4 2020 financial results?

Motus GI reported approximately $36,000 in revenue for Q4 2020, down from $99,000 in Q4 2019, and a net loss of approximately $4.4 million.

What contracts has Motus GI signed recently?

Motus GI has signed 12-month contracts for disposable sleeve purchases with the University of Texas Medical Center and NYU Langone.

What is the expected impact of COVID-19 on Motus GI's business?

Despite limited hospital access due to COVID-19, Motus GI anticipates a rebound in GI procedures as conditions improve.

What is the status of the 510(k) application for the Pure-Vu System?

Motus GI is preparing to submit a 510(k) application to the FDA by Q3 2021 to expand indications for the Pure-Vu System.

MOTUS GI HOLDINGS INC

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