Myomo Reports Fourth Quarter and Full Year 2020 Financial Results
Myomo (MYO) reported robust financial results for Q4 and full-year 2020. Revenue surged 149% to $3.8 million, matching full-year 2019 figures. The gross margin improved to 73%, up from 72% YoY. Direct billing constituted 77% of total revenue, reflecting strategic shifts. Operating loss decreased to $1.7 million from $2.6 million YoY. However, management anticipates a seasonal revenue decline in Q1 2021. Cash reserves stood at $12.2 million, expected to support operations into 2022. Significant growth in the reimbursement pipeline was noted, with 768 MyoPro units as of year-end.
- Q4 2020 revenue increased 149% to $3.8 million.
- Gross margin rose to 73%, improving from previous quarters.
- Direct billing represented 77% of total revenue, highlighting effective strategy.
- Q1 2021 revenue expected to decrease sequentially due to seasonal factors.
- Operating expenses increased 22% in Q4 2020, impacting profitability.
Myomo, Inc. (NYSE American: MYO) (“Myomo” or the “Company”), a wearable medical robotics company that offers increased functionality for those suffering from neurological disorders and upper-limb paralysis, today announced financial results for the three months and year ended December 31, 2020.
Financial and operational highlights for the fourth quarter of 2020 include the following (all comparisons are with the fourth quarter of 2019, unless otherwise noted):
-
Revenue was up
149% to a record$3.8 million -
101 units were delivered to patients including 97 recognized as revenue, a
126% increase -
Revenue from the direct billing channel represented
77% of total revenue, up from68% of revenue in the third quarter of 2020 -
Gross margin was
73% , up 100 basis points from72% in the fourth quarter of 2019 and up from56% in the third quarter of 2020 -
The reimbursement pipeline had 768 MyoPro units as of December 31, 2020, an increase of
29% compared to December 31, 2019, with 209 candidates entering the pipeline during the fourth quarter. -
The MyoPro direct billing pipeline now represents more than
80% of reimbursement pipeline units, and approximately90% of those entering the domestic pipeline during the fourth quarter are direct bill candidates -
Backlog, which represents insurance authorizations received but not yet converted to revenue, was 131 units as of December 31, 2020; 13 units, representing
$0.4 million of revenue, were pulled into the fourth quarter from 2021 and recorded as revenue from insurers where the Company determined that sufficient evidence of collectability existed to record revenues for these direct billing patients at delivery - The Company received insurance authorizations and orders for 86 patients to receive a MyoPro during the fourth quarter
Management Commentary
“Fourth quarter revenue was not only a record, it also was equivalent to our full year 2019 revenue. This is a testament to the adaptability and execution of our team in light of the challenges presented by the COVID-19 pandemic,” stated Paul R. Gudonis, Myomo’s chairman and chief executive officer. “The strategic shift to direct billing implemented in late 2019 is supporting both revenue growth and margin improvement.”
Financial Results
For the Three Months
|
|
Period-to-Period
|
|
For the Year Ended
|
|
Period-to-Period
|
||||||||||||||||||
2020 |
|
2019 |
|
$ |
|
% |
|
2020 |
|
2019 |
|
$ |
|
% |
||||||||||
Revenue |
$ |
3,789,976 |
$ |
1,520,695 |
$ |
2,269,281 |
149 |
% |
$ |
7,583,371 |
$ |
3,837,730 |
$ |
3,745,641 |
98 |
% |
||||||||
Cost of revenue |
|
1,007,525 |
|
424,645 |
|
582,880 |
137 |
% |
|
2,600,375 |
|
1,420,767 |
|
1,179,609 |
83 |
% |
||||||||
Gross profit |
$ |
2,782,451 |
|
$ |
1,096,050 |
$ |
1,686,401 |
154 |
% |
$ |
4,982,996 |
|
$ |
2,416,963 |
$ |
2,566,032 |
106 |
% |
||||||
Gross margin |
|
|
|
|
1 |
% |
|
|
|
|
3 |
% |
||||||||||||
Revenue for the fourth quarter of 2020 was
Gross margin for the fourth quarter of 2020 was
Operating expenses for the fourth quarter of 2020 were
Operating loss for the fourth quarter of 2020 decreased to
Adjusted EBITDA1 for the fourth quarter of 2020 was negative
____________________
1 Adjusted EBITDA is earnings before interest, taxes, depreciation and amortization adjusted for stock-based compensation expense, the impact of the fair value revaluation of derivative liabilities and loss on extinguishment of debt.
Business Outlook
“We expect revenue in the first quarter of 2021 to be higher year-over-year, but lower sequentially. This reflects the usual seasonality in our business, as well as the pull in of revenue into the fourth quarter of 2020 as a result of the acceleration of direct billing revenue for certain insurers where we have completed delivery and have sufficient history to assume collectability,” said David Henry, Myomo’s chief financial officer.
“While we are planning for continued annual revenue growth this year, we expect a decrease in authorizations and orders in the first quarter resulting from lower lead generation in the last several months of 2020,” added Mr. Gudonis. "We implemented changes in our advertising in the fourth quarter and we’re seeing results from those efforts so far in the first quarter. Our field clinical staff is now focusing on growing the number of candidates in the pipeline. As a result, our pipeline is expanding rapidly, with nearly 300 candidates added so far in the first quarter. As our experience shows, it will take some time for these pipeline additions to become authorizations and orders.”
Liquidity
Cash and cash equivalents as of December 31, 2020 were
“With more than
Conference Call and Webcast Information
Myomo will hold a conference call today at 4:30 p.m. ET. We encourage participants to pre-register for the call using the following link: https://dpregister.com/sreg/10152838/e3851573d0. Callers who pre-register will be given a conference passcode and unique PIN to gain immediate access to the call and bypass the live operator. Participants may pre-register at any time, including up to and after the call start time. Those without internet access or unable to pre-register may participate by dialing 1-844-707-6932 (U.S.) or 1-412-317-9250 (International). A webcast of the call can be accessed at Myomo’s Investor Relations page at http://ir.myomo.com/.
A replay of the webcast will be available beginning approximately one hour after the completion of the live conference call at http://ir.myomo.com/. A telephone replay of the call will be available until March 24, 2021; please dial 1-877-344-7529 (U.S.) or 1-412-317-0088 (International) and provide the passcode #10152838.
Non-GAAP Financial Measures
Myomo has provided in this press release financial information that has not been prepared in accordance with generally accepted accounting principles in the United States, or GAAP. This information includes Adjusted EBITDA. This non-GAAP financial measure is not in accordance with, or an alternative for, GAAP and may be different from similar non-GAAP financial measures used by other companies. Myomo believes that the use of this non-GAAP financial measure provides supplementary information for investors to use in evaluating operating performance and in comparing Myomo’s financial measures with other companies in its industry, many of which present similar non-GAAP financial measures. Adjusted EBITDA is EBITDA adjusted for stock-based compensation expense, the impact of the fair value revaluation of derivative liabilities and loss of extinguishment of debt. This non-GAAP financial measure is not meant to be considered superior to or a substitute for results of operations prepared in accordance with GAAP, and should be viewed in conjunction with GAAP financial measures. Investors are encouraged to review the reconciliation of this non-GAAP measure to its most directly comparable GAAP financial measure. A reconciliation of GAAP to the non-GAAP financial measures has been provided in the tables included as part of this press release.
About Myomo
Myomo, Inc. is a wearable medical robotics company that offers improved arm and hand function for those suffering from neurological disorders and upper-limb paralysis. Myomo develops and markets the MyoPro product line. MyoPro is a powered upper-limb orthosis designed to support the arm and restore function to the weakened or paralyzed arms of certain patients suffering from CVA stroke, brachial plexus injury, traumatic brain or spinal cord injury, ALS or other neuromuscular disease or injury. It is currently the only marketed device that, sensing a patient’s own EMG signals through non-invasive sensors on the arm, can restore an individual’s ability to perform activities of daily living, including feeding themselves, carrying objects and doing household tasks. Many are able to return to work, live independently and reduce their cost of care. Myomo is headquartered in Cambridge, Massachusetts, with sales and clinical professionals across the U.S. and representatives internationally. For more information, please visit www.myomo.com.
Forward-Looking Statements
This press release contains forward-looking statements regarding the Company’s future business expectations, including expectations for revenues in the first quarter, its current authorization backlog and its cash runway and capital requirements, which are subject to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. These forward-looking statements are only predictions and may differ materially from actual results due to a variety of factors.
These factors include, among other things:
- the direct and indirect impact of the novel coronavirus (COVID-19) on our business and operations, including fabrication and delivery, sales, patient consultations, supply chain, manufacturing, insurance reimbursements and employees;
- our ability to continue normal operations and patient interactions in order to cast, deliver and fit our custom-fabricated device;
- our marketing and commercialization efforts;
- our ability to achieve reimbursement from third-party payers for our products;
- our dependence upon external sources for the financing of our operations, to the extent that we do not achieve or maintain cash flow breakeven;
- our ability to effectively execute our business plan and scale up our operations;
- our expectations as to our product development programs, and;
- general market, economic, environmental and social factors that may affect the evaluation, fitting, delivery and sale of our products to patients.
More information about these and other factors that potentially could affect our financial results is included in Myomo’s filings with the Securities and Exchange Commission, including those contained in the risk factors section of the Company’s annual report on Form 10-K, quarterly reports on Form 10-Q and other filings with the Commission. The Company cautions readers not to place undue reliance on any such forward-looking statements, which speak only as of the date made. Although the forward-looking statements in this release of financial information are based on our beliefs, assumptions and expectations, taking into account all information currently available to us, we cannot guarantee future transactions, results, performance, achievements or outcomes. No assurance can be made to any investor by anyone that the expectations reflected in our forward-looking statements will be attained, or that deviations from them will not be material and adverse. The Company disclaims any obligation subsequently to revise any forward-looking statements to reflect events or circumstances after the date of such statements or to reflect the occurrence of anticipated or unanticipated events.
(Tables to follow)
MYOMO, INC. |
||||||||||||||||
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS |
||||||||||||||||
For the Three Months Ended December 31, |
|
For the Years Ended
|
||||||||||||||
2020 |
|
2019 |
|
2020 |
|
2019 |
||||||||||
Revenue |
$ |
3,789,976 |
|
$ |
1,520,695 |
|
$ |
7,583,371 |
|
$ |
3,837,730 |
|
||||
Cost of revenue |
|
1,007,525 |
|
|
424,645 |
|
|
2,600,375 |
|
|
1,420,767 |
|
||||
Gross profit |
|
2,782,451 |
|
|
1,096,050 |
|
|
4,982,996 |
|
|
2,416,963 |
|
||||
Operating expenses: |
||||||||||||||||
Research and development |
|
418,758 |
|
|
442,523 |
|
|
1,669,188 |
|
|
1,749,509 |
|
||||
Selling, general and administrative |
|
4,050,304 |
|
|
3,234,343 |
|
|
13,816,494 |
|
|
11,462,457 |
|
||||
|
4,469,062 |
|
|
3,676,866 |
|
|
15,485,682 |
|
|
13,211,966 |
|
|||||
Loss from operations |
|
(1,686,611 |
) |
|
(2,580,816 |
) |
|
(10,502,686 |
) |
|
(10,795,003 |
) |
||||
Other expense (income) |
||||||||||||||||
Change in fair value of derivative liabilities |
|
— |
|
|
(38,530 |
) |
|
(122,706 |
) |
|
(194,485 |
) |
||||
Interest (income) expense and other expense, net |
|
1,867 |
|
|
105,587 |
|
|
255,906 |
|
|
(1,140 |
) |
||||
Non-cash interest expense, debt discount |
|
— |
|
|
113,631 |
|
|
218,803 |
|
|
113,631 |
|
||||
Loss on extinguishment of debt |
|
12,786 |
|
|
— |
|
|
709,222 |
|
|
— |
|
||||
|
14,653 |
|
|
180,688 |
|
|
1,061,225 |
|
|
(81,994 |
) |
|||||
Loss before income taxes |
|
(1,701,264 |
) |
|
(2,761,504 |
) |
|
(11,563,911 |
) |
|
(10,713,009 |
) |
||||
Income tax (benefit) |
|
(2,851 |
) |
|
— |
|
|
— |
|
|
— |
|
||||
Net loss |
$ |
(1,698,413 |
) |
$ |
(2,761,504 |
) |
$ |
(11,563,911 |
) |
|
$ |
(10,713,009 |
) |
|||
Deemed dividend on repricing of warrants (2019 revised) |
|
— |
|
|
— |
|
|
(670,632 |
) |
|
(797,637 |
) |
||||
Net loss attributable to common stockholders |
$ |
(1,698,413 |
) |
$ |
(2,761,504 |
) |
$ |
(12,234,543 |
) |
$ |
(11,510,646 |
) |
||||
Weighted average number of common shares outstanding: |
||||||||||||||||
Basic and diluted |
|
4,637,679 |
|
|
574,299 |
|
|
3,329,868 |
|
|
553,782 |
|
||||
Net loss per share attributable to common stockholders (1) |
||||||||||||||||
Basic and diluted |
$ |
(0.37 |
) |
$ |
(4.81 |
) |
$ |
(3.67 |
) |
$ |
(20.79 |
) |
||||
(1) |
Share and per share amounts have been restated to give effect to the Company's 1-for-30 reverse stock split effected January 30, 2020 |
|
|
MYOMO, INC. |
||||||||
CONDENSED CONSOLIDATED BALANCE SHEETS |
||||||||
December 31, |
|
December 31, |
||||||
2020 |
|
2019 |
||||||
ASSETS |
||||||||
Current Assets: |
||||||||
Cash and cash equivalents |
$ |
12,241,261 |
|
$ |
4,465,455 |
|
||
Accounts receivable, net |
|
924,916 |
|
|
424,287 |
|
||
Inventories, net |
|
707,114 |
|
|
439,533 |
|
||
Prepaid expenses and other current assets |
|
572,684 |
|
|
820,206 |
|
||
Total Current Assets |
|
14,445,975 |
|
|
6,149,481 |
|
||
Restricted cash |
|
— |
|
|
75,000 |
|
||
Deferred offering costs |
|
— |
|
|
219,240 |
|
||
Equipment, net |
|
95,023 |
|
|
154,972 |
|
||
Operating lease assets with right of use |
|
168,784 |
|
|
— |
|
||
Total Assets |
$ |
14,709,782 |
|
$ |
6,598,693 |
|
||
LIABILITIES AND STOCKHOLDERS’ EQUITY |
||||||||
Current Liabilities: |
||||||||
Current note payable, net of discount |
$ |
- |
|
$ |
1,763,887 |
|
||
Accounts payable and accrued expenses |
|
2,848,904 |
|
|
1,738,490 |
|
||
Current operating lease liability |
|
18,289 |
|
|
— |
|
||
Derivative liabilities |
|
— |
|
|
378,239 |
|
||
Deferred revenue |
|
2,512 |
|
|
2,913 |
|
||
Total Current Liabilities |
|
2,869,705 |
|
|
3,883,529 |
|
||
Long-term debt, net of discount of |
|
— |
|
|
888,961 |
|
||
Deferred revenue |
|
1,495 |
|
|
1,495 |
|
||
Non-current operating lease liability |
|
155,148 |
|
|
— |
|
||
Other long-term liabilities |
|
118,060 |
|
|
— |
|
||
Total Liabilities |
|
3,144,408 |
|
|
4,773,985 |
|
||
Commitments and Contingencies |
||||||||
Stockholders’ Equity: |
||||||||
Preferred stock |
|
— |
|
|
— |
|
||
Common stock |
|
457 |
|
|
57 |
|
||
Additional paid-in capital |
|
79,273,964 |
|
|
57,957,097 |
|
||
Accumulated other comprehensive loss |
|
(12,690 |
) |
|
— |
|
||
Accumulated deficit |
|
(67,689,893 |
) |
|
(56,125,982 |
) |
||
Treasury stock, at cost |
|
(6,464 |
) |
|
(6,464 |
) |
||
Total Stockholders’ Equity |
|
11,565,374 |
|
|
1,824,708 |
|
||
Total Liabilities and Stockholders’ Equity |
$ |
14,709,782 |
|
$ |
6,598,693 |
|
||
MYOMO, INC. |
||||||||
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS |
||||||||
|
|
|
|
|
||||
For the years ended December 31, |
2020 |
2019 |
||||||
CASH FLOWS FROM OPERATING ACTIVITIES |
||||||||
Net loss |
$ |
(11,563,911 |
) |
$ |
(10,713,009 |
) |
||
Adjustments to reconcile net loss to net cash used in operations: |
||||||||
Depreciation |
|
105,382 |
|
|
95,124 |
|
||
Stock-based compensation |
|
614,302 |
|
|
907,993 |
|
||
Bad debt expense |
|
9,839 |
|
|
— |
|
||
Inventory reserve |
|
— |
|
|
(71,265 |
) |
||
Non-cash interest expense, debt discount |
|
218,803 |
|
|
113,631 |
|
||
Amortization of original issue discount and debt restructuring fee |
|
161,869 |
|
|
58,296 |
|
||
Amortization of right-of-use assets |
|
3,288 |
|
|
— |
|
||
Loss on extinguishment of debt |
|
709,222 |
|
|
— |
|
||
Change in fair value of derivative liabilities |
|
(122,706 |
) |
|
(194,485 |
) |
||
Loss on disposal of asset |
|
547 |
|
|
2,481 |
|
||
Other non-cash charges |
|
(18,446 |
) |
|
9,423 |
|
||
Changes in operating assets and liabilities: |
||||||||
Accounts receivable |
|
(522,944 |
) |
|
(42,028 |
) |
||
Inventories |
|
(271,545 |
) |
|
(213,562 |
) |
||
Prepaid expenses and other current assets |
|
248,464 |
|
|
(163,742 |
) |
||
Other assets |
|
57,987 |
|
|
(87,265 |
) |
||
Accounts payable and accrued expenses |
|
1,217,929 |
|
|
60,742 |
|
||
Payments on lease liabilities |
|
1,365 |
|
|
— |
|
||
Deferred revenue |
|
(401 |
) |
|
2,418 |
|
||
Other liabilities |
|
118,060 |
|
|
— |
|
||
Customer advance payments |
|
— |
|
|
(106,569 |
) |
||
Net cash used in operating activities |
|
(9,032,896 |
) |
|
(10,341,817 |
) |
||
CASH USED IN INVESTING ACTIVITIES |
|
(45,752 |
) |
|
(51,991 |
) |
||
CASH PROVIDED BY FINANCING ACTIVITIES |
|
16,780,576 |
|
|
8,318,469 |
|
||
Effect of foreign exchange rate changes on cash |
|
(1,122 |
) |
|
— |
|
||
Net increase in cash, cash equivalents and restricted cash |
|
7,700,806 |
|
|
(2,075,339 |
) |
||
Cash, cash equivalents and restricted cash, beginning of period |
|
4,540,455 |
|
|
6,615,794 |
|
||
|
|
|||||||
Cash, cash equivalents and restricted cash, end of period |
$ |
12,241,261 |
|
$ |
4,540,455 |
|
||
MYOMO, INC. |
||||||||||||||||
RECONCILIATION OF GAAP NET LOSS TO ADJUSTED EBITDA |
||||||||||||||||
(unaudited) |
||||||||||||||||
For the Three Months Ended
|
|
For the Years Ended December 31, |
||||||||||||||
2020 |
|
2019 |
|
2020 |
|
2019 |
||||||||||
GAAP net loss |
$ |
(1,698,413 |
) |
$ |
(2,761,504 |
) |
$ |
(11,563,911 |
) |
$ |
(10,713,009 |
) |
||||
Adjustments to reconcile to Adjusted EBITDA: |
||||||||||||||||
Interest (income) expense and other expense, net |
|
1,867 |
|
|
105,587 |
|
|
255,906 |
|
|
(1,140 |
) |
||||
Non-cash interest expense, debt discount |
|
— |
|
|
113,631 |
|
|
218,803 |
|
|
113,631 |
|
||||
Loss on extinguishment of debt |
|
12,786 |
|
|
— |
|
|
709,222 |
|
|
— |
|
||||
Depreciation expense |
|
25,653 |
|
|
24,446 |
|
|
105,382 |
|
|
95,124 |
|
||||
Stock-based compensation |
|
203,110 |
|
|
146,951 |
|
|
614,302 |
|
|
907,993 |
|
||||
Change in fair value of derivative liabilities |
|
— |
|
|
(38,530 |
) |
|
(122,706 |
) |
|
(194,485 |
) |
||||
Income tax (benefit) |
|
(2,851 |
) |
|
— |
|
|
— |
|
|
— |
|
||||
Adjusted EBITDA |
$ |
(1,457,848 |
) |
$ |
(2,409,419 |
) |
$ |
(9,783,002 |
) |
$ |
(9,791,886 |
) |
||||
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FAQ
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