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Nanox Announces Fourth Quarter 2022 Financial Results and Provides Business Update

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NANO-X IMAGING LTD (NASDAQ: NNOX) reported its fourth quarter 2022 results, concluding the year with $8.6 million in total revenue. The company generated $2.1 million in Q4, a slight decrease from $2.4 million in Q3. A significant net loss of $44.8 million was noted, largely due to a $36.5 million goodwill impairment. Cash and marketable securities stood at $102.9 million as of December 31, 2022. Key developments included the deployment of a Nanox.ARC system in Ghana and plans for a system in Nigeria, alongside a partnership with Nuance Precision Imaging Network to expand AI solutions. The conference call is scheduled for March 9, 2023.

Positive
  • Total revenue for 2022 reached $8.6 million, indicating growth from previous quarters.
  • Collaboration with Nuance Precision Imaging Network aims to enhance AI solution availability.
  • Deployment progress of Nanox.ARC systems in Ghana and Nigeria.
Negative
  • Net loss of $44.8 million in Q4 2022, up from $22.0 million in Q4 2021.
  • Goodwill impairment of $36.5 million negatively impacting financials.
  • Cash flow from operations was negative at $43.4 million.

Reports progress towards global supply chain development

Ended the fourth quarter of 2022 with cash, cash equivalents and marketable securities of $102.9 million

Management to host conference call and webcast Thursday, March 9, 2023 at 8:30 AM ET

NEVE ILAN, Israel, March 09, 2023 (GLOBE NEWSWIRE) --  NANO-X IMAGING LTD (NASDAQ: NNOX) (“Nanox” or the “Company”), an innovative medical imaging technology company, today announced results for the fourth quarter ended December 31, 2022 and provided a business update.

Fourth Quarter 2022 Highlights and Recent Developments:

 Generated $2.1 million in revenue in the fourth quarter of 2022 compared to $2.4 million in the third quarter of 2022, $2.2 million in the second quarter of 2022 and $1.8 million in the first quarter of 2022 and total of $8.6 million in revenue in 2022.
   
 Initially deployed a Nanox.ARC system at the University of Ghana Medical Centre for training and demonstration purposes.
   
 A Nanox.ARC system has been shipped to Nigeria and is undergoing regulatory review by the Nigerian Nuclear Regulatory Authority.
   
 Announced a collaboration with Nuance Precision Imaging Network, a Microsoft company, which makes Nanox AI solutions available through its marketplace to thousands of healthcare facilities and providers who use Nuance’s reporting and image sharing solutions.

“I am happy to report our continued progress on multiple business fronts.  This includes making significant progress toward the initial deployment of the Nanox.ARC system in Ghana and Nigeria, expanding the availability of the Nanox AI solution via a key commercial partnership, while also continuing the FDA review process for the Nanox.ARC,” said Erez Meltzer, Nanox Chief Executive Officer. “Looking back, 2022 was a successful year for Nanox as we spent much time and effort on our 510(k) submission to the FDA, rationalized costs to extend our cash runway, and strengthened our manufacturing infrastructure.  We believe that 2023 will also be a highly impactful year, as we aim to announce the initial shipments of the Nanox.ARC system.” 

Financial results for three months ended December 31, 2022

For the three months ended December 31, 2022, the Company reported a net loss of $44.8 million, compared to a net loss of $22.0 million for the three months ended December 31, 2021 (which is referred to as the “comparable period”), which increase was largely due to a goodwill impairment in the amount of $36.5 million for the three months ended December 31, 2022, an increase in the Company’s research and development expenses in the amount of $0.7 million, which was mitigated by a decrease in the Company’s general and administrative expenses in the amount of $2.7 million, a decrease in the Company’s sales and marketing expenses in the amount of $0.4 million and $9.3 million income due to change in the Company’s contingent earnout liability.

For the three months ended December 31, 2022, the Company reported revenue of $2.1 million, compared to $1.3 million in the comparable period. During the three months ended December 31, 2022, the Company generated revenues through the sales of teleradiology services and AI solutions. The Company’s gross loss during the three months ended December 31, 2022, totaled $1.7 million on a GAAP basis as compared to a gross loss of $1.5 million in the comparable period. The Company’s revenue from teleradiology services for the three months ended December 31, 2022 was $2.0 million with a gross profit of $0.3 million on a GAAP basis as compared to $1.0 million with a gross profit of $0.0 million on a GAAP basis in the comparable period. The Company’s revenue from its AI solutions for the three months ended December 31, 2022, was $0.1 million with a gross loss of $2.0 million on a GAAP basis as compared to $0.3 million with a gross loss of $1.5 million on a GAAP basis in the comparable period. Non-GAAP cost of revenue of the Company’s teleradiology services for the three months ended December 31, 2022 was $1.2 million, as compared to $0.6 million in the comparable period, resulting in a non-GAAP gross profit of $0.8 million for the three months ended December 31, 2022 as compared to $0.4 million in the comparable period on a non-GAAP basis, which represents a gross profit margin of approximately 40% on a non-GAAP basis for the three months ended December 31, 2022 as compared to 39% in the comparable period. The increase in gross profit margin on a non-GAAP basis is attributable mainly to the increase in our rates for teleradiology services. The Company’s non-GAAP gross profit from its AI solutions for the three months ended December 31, 2022 was $0.0 million as compared to $0.2 million for the comparable period. In total, non-GAAP cost of revenue for the three months ended December 31, 2022 was $1.3 million, as compared to $1.1 million in the comparable period, resulting in a non-GAAP gross profit of $0.8 million for the three months ended December 31, 2022, as compared to $0.4 million in the comparable period which represents a gross profit margin of approximately 39% on a non-GAAP basis as compared to 40% on a non-GAAP basis in the comparable period.

Research and development expenses for the three months ended December 31, 2022 were $7.1 million, as compared to $6.4 million in the comparable period. The increase of $0.7 million was mainly due to an increase in our cost of labor in the amount of $0.2 million and the cost of development of our systems in the amount of $0.5 million due to the development of the multi-source Nanox.ARC and the Nanox.CLOUD.

Sales and marketing expenses for the three months ended December 31, 2022 were $1.5 million, as compared to $1.9 million in the comparable period. The decrease of $0.4 million was mainly due to a decrease in the cost of labor in the amount of $0.1 million and a decrease in share-based compensation in the amount of $0.2 million.

General and administrative expenses for the three months ended December 31, 2022, were $8.2 million, as compared to $10.9 million in the comparable period. The decrease of $2.7 million was mainly due to a decrease in the Company’s cost of labor in the amount of $0.5 million, a decrease in share-based compensation in the amount of $2.3, a decrease in our cost of the Company’s directors’ and officer’s liability insurance premium of $0.3 million, a decrease in other professional services in the amount of $0.4 million, and a decrease in the Company’s legal fees due to the U.S. Securities and Exchange Commission (“SEC”) investigation and class-action litigation as described in this Company’s Form 6-K filed on March 9, 2023 in the amount of $2.0 million.

Change in contingent earnout liability was $9.1 million in the three months ended December 31, 2022, as compared to none in the comparable period, due to the decrease in the Company’s contingent earnout liability , largely due to a settlement agreement entered into with the former shareholders of Nanox AI Ltd. (“Nanox AI”) (formerly named Zebra Medical Vision Ltd. (“Zebra”)) with respect to any additional amount that could be granted under the Agreement and Plan of Merger, dated August 9, 2021, as amended, among the Company, Zebra and Perryllion Ltd., as representative of Zebra’s equity holders..

Goodwill impairment for the three months ended December 31, 2022, was $36.5 million due to the goodwill impairment related to the Nanox AI reporting unit as a result of the annual impairment test on goodwill. As part of this analysis the Company considered the potential impact of the sensitivity of certain estimates and assumptions. These considerations resulted in an estimate of longer than expected time to generate material revenues, gross profit, and positive operating cash flows of the Nanox AI reporting unit, especially with its population health applications. Therefore, the Company determined that the value of the Nanox AI reporting unit decreased below its carrying value, and the Company recorded a goodwill impairment charge of $36.5 million in the fourth quarter of 2022. 

Non-GAAP net loss applicable to ordinary shares for the three months ended December 31, 2022, was $9.9 million, as compared to $15.0 million in the comparable period. Non-GAAP gross profit for the three months ended December 31, 2022 was $0.8 million, as compared to $0.2 million the comparable period. Non-GAAP research and development expenses for the three months ended December 31, 2022 were $6.2 million, as compared to $5.4 million in the comparable period. Non-GAAP sales and marketing expenses for the three months ended December 31, 2022 were $1.1 million, as compared to $1.4 million in the comparable period. Non-GAAP general and administrative expenses for the three months ended December 31, 2022 were $4.7 million, as compared to $7.2 million in the comparable period.

A reconciliation between GAAP and non-GAAP financial measures for the three-month periods ended December 31, 2022 and 2021 is provided in the financial results that are part of this press release. The difference between the GAAP and non-GAAP financial measures above is mainly attributable to goodwill impairment, amortization of intangible assets, share-based compensation, secondary offering expenses, change in contingent earnout liability and legal fees in connection with class-action litigation and the SEC investigation.

Liquidity and Capital Resources

The Company ended the fourth quarter of 2022 with total cash, cash equivalents and marketable securities of $102.9 million. As of December 31, 2022, the Company had $77.7 million of cash, cash equivalents and short-term marketable securities and $25.2 million of long-term marketable securities. As of December 31, 2022, the Company had total current assets of $82.5 million and total current liabilities of $17.1 million, creating a working capital of $65.4 million.

As of December 31, 2021, the Company had $88.7 million of cash, cash equivalents and short-term marketable securities and $67.8 million of long-term marketable securities and in total, $156.6 of cash and marketable securities. As of December 31, 2021, the Company had total current assets of $94.9 million and total current liabilities of $52.8 million, creating a working capital of $42.1 million.

The decrease in the Company’s cash, cash equivalents and marketable securities of $53.7 million during the twelve-month period ended December 31, 2022 was primarily due to negative cash flow from operations of $43.4 million and purchase of property and equipment of $7.2 million for the Company’s fabrication facility in South Korea and long lead items for the Company’s multi-source systems.

Other Assets

As of December 31, 2022, the Company had property and equipment, net of $43.5 million as compared to $37.4 million as of December 31, 2021. The increase is mainly attributed to the completion of the construction of the Company’s fabrication facility in South Korea and purchase of machinery and equipment.

As of December 31, 2022, the Company had intangible assets and goodwill of $98.6 million as compared to $160.1 million as of December 31, 2021. The decrease is attributable to the periodic amortization of intangible assets in the amount of $10.6 million and impairment of goodwill in the amount of $50.9 million.

Shareholders’ Equity

As of December 31, 2022, the Company had approximately 55.1 million shares outstanding as compared to 51.8 million shares outstanding as of December 31, 2021. The increase was mainly due to the issuance of 89,286 shares to the former shareholders of Nanox.AI (formerly named Zebra) due to the achievement of a milestone pursuant to the terms of the Agreement and Plan of Merger, dated August 9, 2021, as amended (the “Agreement”), among the Company, Zebra and Perryllion Ltd., as representative of Zebra’s former shareholders and an additional aggregate 2,648,424 ordinary shares to the former shareholders of Zebra under a settlement with respect to any additional amount that could be granted under the Agreement. As a result of the settlement, both parties’ performance obligations under the Agreement have been satisfied in full. In addition, the increase was also due to the issuance of 192,927 ordinary shares upon the exercise of warrants and 372,159 ordinary shares upon the exercise of options, which generated, in the aggregate, approximately $0.9 million in gross proceeds to the Company.

Conference Call and Webcast Details

Thursday, March 9, 2023 @ 8:30am ET

Individuals interested in listening to the conference call may do so by joining the live webcast on the Investors section of the Nanox website under Events and Presentations. Alternatively, individuals can register online to receive a dial-in number and personalized PIN to participate in the call. An archived webcast of the event will be available for replay following the event. 

About Nanox:

Nanox (NASDAQ: NNOX) is focused on applying its proprietary medical imaging technology and solutions to make diagnostic medicine more accessible and affordable across the globe. The vision of Nanox is to increase the early detection of medical conditions that are discoverable by medical image technologies based on X-rays, which Nanox believes is key to increasing early prevention and treatment, improving health outcomes, and, ultimately, saving lives. Nanox is developing a holistic imaging solution, which includes the Nanox System, comprised of the Nanox.ARC using its novel MEMs X-ray source technology, and the Nanox.CLOUD, a companion cloud software, integrated with AI solutions and teleradiology services. For more information, please visit www.nanox.vision. 

Forward-Looking Statements:

This press release may contain forward-looking statements that are subject to risks and uncertainties. All statements that are not historical facts contained in this press release are forward-looking statements. Such statements include, but are not limited to, any statements relating to the initiation, timing, progress and results of the Company’s research and development, manufacturing and commercialization activities with respect to its X-ray source technology and the Nanox.ARC, the ability to realize the expected benefits of its recent acquisitions and the projected business prospects of the Company and the acquired companies. In some cases, you can identify forward-looking statements by terminology such as “can,” “might,” “believe,” “may,” “estimate,” “continue,” “anticipate,” “intend,” “should,” “plan,” “should,” “could,” “expect,” “predict,” “potential,” or the negative of these terms or other similar expressions. Forward-looking statements are based on information the Company has when those statements are made or management’s good faith belief as of that time with respect to future events and are subject to risks and uncertainties that could cause actual performance or results to differ materially from those expressed in or suggested by the forward-looking statements. Factors that could cause actual results to differ materially from those currently anticipated include: risks related to (i) Nanox’s ability to complete development of the Nanox System; (ii) Nanox’s ability to successfully demonstrate the feasibility of its technology for commercial applications; (iii) Nanox’s expectations regarding the necessity of, timing of filing for, and receipt and maintenance of, regulatory clearances or approvals regarding its technology, the Nanox.ARC and Nanox.CLOUD from regulatory agencies worldwide and its ongoing compliance with applicable quality standards and regulatory requirements; (iv) Nanox’s ability to realize the anticipated benefits of its acquisitions, which may be affected by, among other things, competition, brand recognition, the ability of the acquired companies to grow and manage growth profitably and retain their key employees; (v) Nanox’s ability to enter into and maintain commercially reasonable arrangements with third-party manufacturers and suppliers to manufacture the Nanox.ARC; (vi) the market acceptance of the Nanox System and the proposed pay-per-scan business model; (vii) Nanox’s expectations regarding collaborations with third-parties and their potential benefits; (viii) Nanox’s ability to conduct business globally; (ix) changes in global, political, economic, business, competitive, market and regulatory forces; and (x) risks related to business interruptions resulting from the COVID-19 pandemic or similar public health crises, among other things.

For a discussion of other risks and uncertainties, and other important factors, any of which could cause Nanox’s actual results to differ from those contained in the Forward-Looking Statements, see the section titled “Risk Factors” in Nanox’s Annual Report on Form 20-F for the year ended December 31, 2021, and subsequent filings with the U.S. Securities and Exchange Commission. The reader should not place undue reliance on any forward-looking statements included in this press release.

Except as required by law, Nanox undertakes no obligation to update publicly any forward-looking statements after the date of this report to conform these statements to actual results or to changes in the Company’s expectations.

Non-GAAP Financial Measures

This press release includes information about certain financial measures that are not prepared in accordance with generally accepted accounting principles in the United States (“GAAP”), including non-GAAP net loss attributable to ordinary shares, non-GAAP cost of revenue, non-GAAP gross profit, non-GAAP gross profit margin, non-GAAP research and development expenses, non-GAAP sales and marketing expenses, non-GAAP general and administrative expenses and non-GAAP basic and diluted loss per share. These non-GAAP measures are not based on any standardized methodology prescribed by GAAP and are not necessarily comparable to similar measures presented by other companies. These non-GAAP measures are adjusted for (as applicable) amortization of intangible assets, share-based compensation expenses, secondary offering expenses, goodwill impairment, change in contingent earnout liability and legal fees in connection with class-action litigation and the SEC investigation. The Company’s management and board of directors utilize these non-GAAP financial measures to evaluate the Company’s performance. The Company provides these non-GAAP measures of the Company’s performance to investors because management believes that these non-GAAP financial measures, when viewed with the Company’s results under GAAP and the accompanying reconciliations, are useful in identifying underlying trends in ongoing operations. However, these non-GAAP measures are not measures of financial performance under GAAP and, accordingly, should not be considered as alternatives to GAAP measures as indicators of operating performance. Further, these non-GAAP measures should not be considered measures of the Company’s liquidity. A reconciliation of certain GAAP to non-GAAP financial measures has been provided in the tables included in this press release.


NANO-X IMAGING LTD.
UNAUDITED CONDENSED CONSOLIDATED BALANCE SHEETS
(U.S. dollars in thousands except share and per share data)

  December 31,
2022
  December 31,
2021
 
  U.S. Dollars in thousands 
Assets      
CURRENT ASSETS:      
Cash and cash equivalents  38,463   66,645 
Marketable securities - short term  39,161   22,066 
Accounts receivables net of allowance for credit losses of $34 and $137 as of December 31, 2022 and December 31,2021, respectively.  977   1,051 
Prepaid expenses  2,414   3,129 
Other current assets  1,446   1,966 
TOTAL CURRENT ASSETS  82,461   94,857 
         
NON-CURRENT ASSETS:        
Restricted cash  66   127 
Property and equipment, net  43,545   37,435 
Operating lease right-of-use asset  1,157   1,725 
Marketable securities - long term  25,198   67,845 
Intangible assets  91,219   101,826 
Goodwill  7,420   58,298 
Other non-current assets  2,867   1,057 
TOTAL NON-CURRENT ASSETS  171,472   268,313 
TOTAL ASSETS  253,933   363,170 
         
Liabilities and Shareholders’ Equity        
CURRENT LIABILITIES:        
Accounts payable  3,619   3,134 
Accrued expenses  4,240   3,611 
Loan from a Government Agency  -   145 
Deferred revenue  182   247 
Contingent short term earnout liability  4,250   42,471 
Current maturities of operating lease liabilities  740   881 
Other current liabilities  4,043   2,262 
TOTAL CURRENT LIABILITIES  17,074   52,751 
         
NON-CURRENT LIABILITIES:        
Non-current operating lease liabilities  398   950 
Long term loan  3,481   3,796 
Non-current deferred revenue  398   415 
Contingent long-term earnout liability  4,089   5,814 
Deferred tax liability  3,330   7,063 
Other long-term liabilities  483   233 
TOTAL NON-CURRENT LIABILITIES  12,179   18,271 
TOTAL LIABILITIES  29,253   71,022 
         
COMMITMENTS AND CONTINGENCIES        
         
SHAREHOLDERS’ EQUITY:        
Ordinary Shares, par value NIS 0.01 per share 100,000,000 authorized at December 31, 2022 and December 31 2021, 55,094,237 and 51,791,441 issued and outstanding at December 31, 2022 and December 31, 2021, respectively  158   149 
Additional paid-in capital  477,953   438,820 
Accumulated other comprehensive loss  (1,974)  (607)
Accumulated deficit  (251,457)  (146,214)
TOTAL SHAREHOLDERS’ EQUITY  224,680   292,148 
TOTAL LIABILITIES AND SHAREHOLDERS’ EQUITY  253,933   363,170 


NANO-X IMAGING LTD.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND
COMPREHENSIVE LOSS
(U.S. dollars in thousands except share and per share data)

  Twelve Months Ended
December 31,
  Three Months Ended
December 31,
 
  2022  2021  2022  2021 
REVENUE  8,578   1,304   2,132   1,304 
                 
COST OF REVENUE  15,458   2,816   3,879   2,816 
                 
GROSS LOSS  (6,880)  (1,512)  (1,747)  (1,512)
                 
OPERATING EXPENSES:                
Research and development  26,507   17,122   7,095   6,362 
Sales and marketing  4,376   7,033   1,494   1,940 
General and administrative  41,254   34,709   8,185   10,919 
Goodwill impairment  50,878   -   36,540   - 
Change in contingent earnout liability  (20,376)  -   (9,074)  - 
Other expense (income)  191   1,182   (231)  1,182 
TOTAL OPERATING EXPENSES  102,830   60,046   44,009   20,403 
OPERATING LOSS  (109,710)  (61,558)  (45,756)  (21,915)
                 
FINANCIAL INCOME (EXPENSES), net  789   (288)  (113)  (168)
OPERATING LOSS BEFORE INCOME TAXES  (108,921)  (61,846)  (45,869)  (22,083)
                 
INCOME TAX BENEFIT  3,678   48   1,032   48 
NET LOSS  (105,243)  (61,798)  (44,837)  (22,035)
                 
BASIC AND DILUTED LOSS PER SHARE  (2.01)  (1.28)  (0.86)  (0.44)
Weighted average number of basic and diluted ordinary shares outstanding (in thousands)  52,235   48,216   52,414   50,384 
Comprehensive Loss:                
Net loss  (105,243)  (61,798)  (44,837)  (22,035)
Other comprehensive gain (loss):                
                 
Unrealized gain (loss) from available- for-sale securities  (1,367)  (607)  485   (417)
Total comprehensive loss  (106,610)  (62,405)  (44,352)  (22,452)


NANO-X IMAGING LTD.
UNAUDITED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY
(U.S. dollars in thousands, except share and per share data)

  Ordinary shares  Additional  Accumulated
other
       
  Number of
shares
  Amount  paid-in
capital
  comprehensive
loss
  Accumulated
deficit
  Total 
     U.S. Dollars in thousands 
BALANCE AT JANUARY  1, 2021  46,100,173   131   315,031   -   (84,416)  230,746 
                         
CHANGES DURING 2021:                        
Issuance of ordinary shares upon exercise of warrants  780,920   2   265   -   -   267 
Issuance of ordinary shares to employees and non-employees upon exercise of options  1,099,946   3   3,330   -   -   3,333 
Issuance of ordinary shares due to business combination and assets acquisition  3,810,402   13   101,497   -   -   101,510 
Share-based compensation  -   -   18,697   -   -   18,697 
Unrealized loss from available-for-sale securities  -   -   -   (607)  -   (607)
Net loss for the year  -   -           (61,798)  (61,798)
BALANCE AT DECEMBER 31, 2021  51,791,441   149   438,820   (607)  (146,214)  292,148 
CHANGES DURING 2022:                        
Issuance of ordinary shares upon exercise of warrants  192,927   1   369   -   -   370 
Issuance of ordinary shares to employees and non-employees upon exercise of options  372,159   1   578   -   -   579 
Issuance of ordinary shares in connection with earnout liability.  89,286   *   953   -   -   953 
Issuance of ordinary shares under settlement agreement with former shareholders of Nanox AI Ltd.  2,648,424   7   18,610   -   -   18,617 
Share-based compensation  -   -   18,623   -   -   18,623 
Unrealized loss from available-for-sale securities  -   -   -   (1,367)  -   (1,367)
Net loss for the year  -   -   -   -   (105,243)  (105,243)
BALANCE AT DECEMBER 31, 2022  55,094,237   158   477,953   (1,974)  (251,457)  224,680 


NANO-X IMAGING LTD.
UNAUDITED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY
(U.S. dollars in thousands, except share and per share data)

  Ordinary shares  Additional  Accumulated
other
       
  Number of
shares
  Amount  paid-in
capital
  comprehensive
loss
  Accumulated
deficit
  Total 
     U.S. Dollars in thousands 
BALANCE AT OCTOBER 1, 2022  52,266,474   150   456,761   (2,459)  (206,620)  247,832 
CHANGES DURING THE PERIOD:                        
Issuance of ordinary shares to employees and non-employees upon exercise of options  179,339   1   298   -   -   299 
Issuance of ordinary shares under settlement agreement with former shareholders of Nanox AI Ltd.  2,648,424   7   18,610   -   -   18,617 
Share-based compensation  -   -   2,284   -   -   2,284 
Unrealized gain from available-for-sale securities  -   -   -   485   -   485 
Net loss for the period  -   -   -   -   (44,837)  (44,837)
BALANCE AT DECEMBER 31, 2022  55,094,237   158   477,953   (1,974)  (251,457)  224,680 

NANO-X IMAGING LTD.
UNAUDITED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY
(U.S. dollars in thousands, except share and per share data)

  Ordinary shares  Additional  Accumulated
other
       
  Number of
shares
  Amount  paid-in
capital
  comprehensive
loss
  Accumulated
deficit
  Total 
     U.S. Dollars in thousands 
BALANCE AT OCTOBER  1, 2021  47,877,719   136   332,383   (190)  (124,179)  208,150 
                         
CHANGES DURING THE PERIOD:                        
Issuance of ordinary shares upon exercise of warrants  76,787   *   147   -   -   147 
Issuance of ordinary shares to employees and non-employees upon exercise of options  26,533   *   59   -   -   59 
Issuance of ordinary shares due to business combination and assets acquisition  3,810,402   13   101,497   -   -   101,510 
Share-based compensation  -   -   4,734   -   -   4,734 
Unrealized loss from available-for-sale securities  -   -   -   (417)  -   (417)
Net loss for the period  -   -           (22,035)  (22,035)
BALANCE AT DECEMBER 31, 2021  51,791,441   149   438,820   (607)  (146,214)  292,148 


(*)Less than 1 thousand US dollars.


NANO-X IMAGING LTD.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

  Year ended December 31, 
  2022  2021  2020 
  U.S. Dollars in thousands 
CASH FLOWS FROM OPERATING ACTIVITIES:         
Net loss for the year  (105,243)  (61,798)  (43,815)
Adjustments required to reconcile net loss to net cash used in operating activities:            
Share-based compensation  18,623   18,806   24,781 
Amortization of intangible assets  10,607   1,768   - 
Impairment of goodwill  50,878   -   - 
Change in contingent earnout liability  (20,376)  -   - 
Depreciation  905   524   208 
Deferred tax liability, net  (3,733)  (116)  - 
Exchange rate differentials   (47)  10   (122) 
Interest (expense) income net of amortization of premium on marketable securities  1,398   (216)  - 
Impairment of property and equipment  172   214   - 
             
Changes in operating assets and liabilities, net of effects of businesses acquired:            
Accounts receivable  74   (40)  - 
Prepaid expenses and other current assets  1,235   1,724   (4,478)
Other non-current assets  (800)  (374)  (522)
Accounts payable  469   1,721   (103)
Accrued expenses and other liabilities  2,410   (719)  2,359 
Operating lease assets and liabilities  (125)  23   83 
Deferred revenue  (82)  179   - 
Other long-term liabilities  250   233   - 
Net cash used in operating activities  (43,385)  (38,061)  (21,609)
             
CASH FLOWS FROM INVESTING ACTIVITIES:            
Cash paid for business combinations, net of cash and restricted cash acquired  -   (2,859)  - 
Proceeds from maturity of marketable securities  31,241   10,986   - 
Purchase of marketable securities  (8,454)  (104,043)  - 
Proceeds from sale of marketable securities  -   2,754     
Purchase of property and equipment  (7,171)  (23,158)  (13,937)
Investment in equity securities  (1,010)  -   - 
Net cash provided by (used in) investing activities  14,606   (116,320)  (13,937)
             
CASH FLOWS FROM FINANCING ACTIVITIES:            
             
Proceeds from long term loan  -   3,796   - 
Proceeds from issuance of ordinary shares and warrants, net of issuance costs  -   -   71,013 
Proceeds from initial public offering of ordinary shares, net of issuance costs  -   -   169,348 
Repayment of financial liability  (145)  -   - 
Proceeds from issuance of ordinary shares upon exercise of warrants  370   267   630 
Issuance of ordinary shares to employees and non-employees upon exercise of options  579   3,316   - 
Net cash provided by financing activities  804   7,379   240,991 
             
EFFECT OF CHANGES IN EXCHANGE RATES ON CASH BALANCES IN FOREIGN CURRENCIES  (268)  (10)  122 
NET CHANGE IN CASH AND CASH EQUIVALENTS AND RESTRICTED CASH    (28,243 )   (147,012 )   205,567  
CASH AND CASH EQUIVALENTS AND RESTRICTED CASH AT BEGINNING OF THE YEAR  66,772   213,784   8,217 
CASH AND CASH EQUIVALENTS AND RESTRICTED CASH AT END OF THE YEAR  38,529   66,772   213,784 
             
Cash paid for income taxes  147   7   8 
Cash paid for interest  90   13   - 
             
SUPPLEMENTARY INFORMATION ON ACTIVITIES NOT INVOLVING CASH FLOWS:            
             
             
Issuance of ordinary shares to investor upon exercise of warrants  -   -   200 
Fair value of ordinary shares issued as consideration for purchase of assets  -   1,500   - 
Fair value of ordinary shares issued as consideration for business combinations and achievement of milestones  -   100,010   - 
Issuance of ordinary shares in connection with earnout liability.  953   -   - 
Issuance of ordinary shares under settlement agreement with former shareholders of Nanox AI Ltd.  18,617   -   - 
Fair value of contingent consideration assumed in business combinations  -   47,194   - 
Fair value of contingent consideration assumed in purchase of assets  -   1,091   - 
Operating lease liabilities arising from obtaining operating right-of use assets  320   194   1,085 
Conversion of related party liability to shareholders’ equity  -       17,748 


 (*) Less than 1 thousand US dollars.


UNAUDITED RECONCILIATION OF GAAP AND NON-GAAP RESULTS

(U.S. dollars in thousands (except per share data))

Use of Non-GAAP Financial Measures

The unaudited condensed consolidated financial information is prepared in conformity with accounting principles generally accepted in the United States of America (“GAAP”). The Company uses information about certain financial measures that are not prepared in accordance with GAAP, including non-GAAP net loss attributable to ordinary shares, non-GAAP cost of revenue, non-GAAP gross profit, non-GAAP gross profit margin, non-GAAP research and development expenses, non-GAAP sales and marketing expenses, non-GAAP general and administrative expenses and non-GAAP basic and diluted loss per share. These non-GAAP measures are adjusted for (as applicable) amortization of intangible assets, share-based compensation expenses, secondary offering expenses, goodwill impairment, change in contingent earnout liability and legal fees in connection with class-action litigation and the SEC investigation. The Company believes that separate analysis and exclusion of the one-off or non-cash impact of the above reconciling items (as applicable) adds clarity to the constituent parts of its performance. The Company reviews these non-GAAP financial measures together with GAAP financial measures to obtain a better understanding of its operating performance. It uses the non-GAAP financial measures for planning, forecasting, and measuring results against the forecast. The Company believes that the non-GAAP financial measures are useful supplemental information for investors and analysts to assess its operating performance. However, these non-GAAP measures are not measures of financial performance under GAAP and, accordingly, should not be considered as alternatives to GAAP measures as indicators of operating performance.

  Twelve Months Ended  Three Months Ended 
  December 31,  December 31, 
  2022  2021  2022  2021 
             
GAAP net loss attributable to ordinary shares  105,243   61,798   44,837   22,035 
Non-GAAP adjustments:                
Less: Class-action litigation and SEC investigation  7,730   1,120   2,505   455 
Less: Amortization of intangible assets  10,607   1,768   2,649   1,768 
Less: Impairment of goodwill  50,878   -   36,540   - 
Add: Change in contingent earnout liability  (20,376)  -   (9,073)  - 
Less: Secondary offering expenses  -   981   -   - 
Less: Share-based compensation  18,623   18,806   2,284   4,843 
Non-GAAP net loss attributable to ordinary shares  37,781   39,123   9,932   14,969 
Non-GAAP BASIC AND DILUTED LOSS PER SHARE  0.72   0.81   0.19   0.30 
WEIGHTED AVERAGE NUMBER OF ORDINARY SHARES (in thousands)  52,235   48,216   52,414   50,384 

Reconciliation of GAAP cost of revenue to Non-GAAP cost of revenue (U.S. dollars in thousands)

GAAP cost of revenue  15,458   2,816   3,879   2,816 
Non-GAAP adjustments:                
Amortization of intangible assets  10,223   1,703   2,555   1,703 
Share-based compensation  99   51   18   51 
Non-GAAP cost of revenue  5,136   1,062   1,306   1,062 

Reconciliation of GAAP gross loss to Non-GAAP gross profit (U.S. dollars in thousands)

GAAP gross loss  6,880   1,512   1,747   1,512 
Non-GAAP adjustments:                
Amortization of intangible assets  10,223   1,703   2,555   1,703 
Share-based compensation  99   51   18   51 
Non-GAAP gross profit  3,442   242   826   242 

Reconciliation of GAAP gross loss margin to Non-GAAP gross profit margin (in percentage of revenue)

GAAP gross loss margin  (80)%  (115)%  (82)%  (115)%
Non-GAAP adjustments:                
Amortization of intangible assets  119 %  131 %  120 %  131%
Share-based compensation  1 %  4 %  1 %  4%
Non-GAAP gross profit margin  40 %  20 %  39 %  19%


Reconciliation of GAAP research and development expenses to Non-GAAP research and development expenses (U.S. dollars in thousands)

GAAP research and development expenses  26,507   17,122   7,095   6,362 
Non-GAAP adjustments:                
Share-based compensation  4,806   3,248   927   991 
Non-GAAP research and development expenses  21,701   13,874   6,168   5,371 

Reconciliation of GAAP sales and marketing expenses to Non-GAAP sales and marketing expenses (U.S. dollars in thousands)

GAAP sales and marketing expenses  4,376   7,033   1,494   1,940 
Non-GAAP adjustments:                
Amortization of intangible assets  384   64   94   64 
Share-based compensation  997   2,442   334   509 
Non-GAAP sales and marketing expenses  2,995   4,527   1,066   1,367 

Reconciliation of GAAP general and administrative expenses to Non-GAAP general and administrative expenses (U.S. dollars in thousands)

GAAP general and administrative expenses  41,254   34,709   8,185   10,919 
Non-GAAP adjustments:                
Class-action litigation and SEC investigation  7,730   1,120   2,505   455 
Secondary offering expenses  -   981   -   - 
Share-based compensation  12,721   13,065   1,005   3,292 
Non-GAAP general and administrative expenses  20,803   19,543   4,675   7,172 

Contacts
Nanox Media Contact:
Rachael Roselli
ICR Westwicke
NanoxPR@icrinc.com

Investor Contact:
Mike Cavanaugh
ICR Westwicke
mike.cavanaugh@westwicke.com


FAQ

What are NANO-X IMAGING's Q4 2022 revenue figures?

NANO-X IMAGING reported $2.1 million in revenue for Q4 2022.

What caused NANO-X IMAGING's net loss in Q4 2022?

The net loss of $44.8 million was largely due to a $36.5 million goodwill impairment.

When is the NANO-X IMAGING conference call scheduled?

The conference call is scheduled for March 9, 2023, at 8:30 AM ET.

What were NANO-X IMAGING's total cash and marketable securities at the end of 2022?

NANO-X IMAGING had $102.9 million in total cash, cash equivalents, and marketable securities as of December 31, 2022.

What is the significance of the partnership with Nuance Precision Imaging Network for NANO-X IMAGING?

The partnership will enhance the availability of Nanox AI solutions to numerous healthcare facilities.

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