Vapotherm Reports Third Quarter 2023 Financial Results
- Net revenue increased by 12.0% from Q3 2022, showing strong growth in disposables and capital revenue.
- Gross margin increased to 39.6% in Q3 2023, a positive sign of improved efficiency.
- The HYPERACT clinical trial results being presented at a major medical conference in 2024 can increase the company's visibility and credibility in the medical community.
- Unrestricted cash and cash equivalents decreased by $3.6 million, indicating a potential cash burn issue.
- The company revised its fiscal 2023 outlook to a lower revenue range, suggesting potential challenges in meeting previous targets.
Third Quarter 2023 Financial Results and Related Highlights
- Net revenue for the third quarter of 2023 was
, an increase of$15.2 million 12.0% as compared to the third quarter of 2022- Non-GAAP net revenue excluding the Vapotherm Access call center business, which the Company exited in the fourth quarter of 2022, increased by
17.6% as compared to the third quarter of 2022 - Disposables revenue increased by
18.0% as compared to the third quarter of 2022 - Capital revenue increased by
24.7% as compared to the third quarter of 2022 due to strong HVT 2.0 sales
- Non-GAAP net revenue excluding the Vapotherm Access call center business, which the Company exited in the fourth quarter of 2022, increased by
- Gross margin in the third quarter of 2023 was
39.6% - For the third quarter of 2023, GAAP operating expenses were
and non-GAAP cash operating expenses were$16.3 million . Both decreased compared to the prior year period and second quarter of 2023 as a result of the Company's Path to Profitability initiatives:$12.3 million - GAAP operating expenses decreased by
from the second quarter of 2023 and by$0.7 million from the third quarter of 2022$8.5 million - Non-GAAP cash operating expenses decreased by
from the second quarter of 2023 and by$1.9 million from the third quarter of 2022$7.2 million
- GAAP operating expenses decreased by
- The Company's unrestricted cash and cash equivalents was
at the end of the third quarter of 2023, a decrease of$14.4 million from the Company's unrestricted cash and cash equivalents balance of$3.6 million at the end of the second quarter of 2023$18.0 million - This decrease compares to a decrease of
in the Company's unrestricted cash and cash equivalents in the second quarter of 2023$7.7 million
- This decrease compares to a decrease of
- The Company met its 2023 one-time minimum net revenue covenant requirement of
for the six month period ended September 30, 2023. The Company recorded net revenue of$25 million for this measurement period$31.2 million - The Company's next minimum net revenue covenant test will begin in 2024 with the minimum net revenue level set at a discount to the Company's 2024 Annual Operating Plan
- The Company remains in compliance with its minimum unrestricted cash and cash equivalents covenant of
$5.0 million
- The HYPERACT clinical trial has been accepted for initial presentation at the Society for Critical Care Medicine Congress in January 2024. The trial was designed to compare the ability of the Company's HVNI technology to treat acute hypercapnic respiratory failure in the Emergency Department compared to bi-level positive airway pressure, a form of non-invasive ventilation delivered via a form-fitting face mask. The trial focused on moderate to severe COPD patients with carbon dioxide levels above 60 and pH levels below 7.35. While bi-level pressure systems are the current standard of care, many patients cannot tolerate the discomfort and complications associated with the masks required for those systems. The primary endpoint of the trial was non-inferiority of HVNI with additional measurements of associated laboratory values, ease of use, and patient comfort. There were no adverse events.
"We are pleased to deliver Non-GAAP net revenue growth in the upper teens despite the significant reductions we have made in operating expenses over the past 6 quarters," said Joseph Army, President and CEO. "In addition, we have made significant progress in reducing our cash burn as we move towards profitability and are excited to share the results of the HYPERACT clinical trial with the medical community."
Results for the Three Months Ended September 30, 2023
The following table reflects the Company's net revenue for the three months ended September 30, 2023 and 2022:
Three Months Ended September 30, | ||||||||||||||||||||||||
2023 | 2022 | Change | ||||||||||||||||||||||
(in thousands, except percentages) | ||||||||||||||||||||||||
Amount | % of Revenue | Amount | % of Revenue | $ | % | |||||||||||||||||||
Revenue | ||||||||||||||||||||||||
Capital (product & lease revenue) | $ | 2,486 | 16.4 | % | $ | 1,993 | 14.7 | % | $ | 493 | 24.7 | % | ||||||||||||
Disposables | 11,170 | 73.6 | % | 9,463 | 69.9 | % | 1,707 | 18.0 | % | |||||||||||||||
Service and other (1) | 1,511 | 10.0 | % | 2,089 | 15.4 | % | (578) | (27.7) | % | |||||||||||||||
Total net revenue | $ | 15,167 | 100.0 | % | $ | 13,545 | 100.0 | % | $ | 1,622 | 12.0 | % |
(1) | Includes |
Net revenue for the third quarter of 2023 was
Revenue information by geography is summarized as follows:
Three Months Ended September 30, | ||||||||||||||||||||||||
2023 | 2022 | Change | ||||||||||||||||||||||
(in thousands, except percentages) | ||||||||||||||||||||||||
Amount | % of Revenue | Amount | % of Revenue | $ | % | |||||||||||||||||||
$ | 11,231 | 74.0 | % | $ | 11,063 | 81.7 | % | $ | 168 | 1.5 | % | |||||||||||||
International | 3,936 | 26.0 | % | 2,482 | 18.3 | % | 1,454 | 58.6 | % | |||||||||||||||
Total net revenue | $ | 15,167 | 100.0 | % | $ | 13,545 | 100.0 | % | $ | 1,622 | 12.0 | % |
(1) | Includes |
Gross profit and gross margin for the third quarter of 2023 was
Total operating expenses were
Net loss for the third quarter of 2023 was
Adjusted EBITDA was negative
Cash Position
Unrestricted cash and cash equivalents were
Fiscal 2023 Outlook
The Company now expects full year revenue to be between
Conference Call Information
Management will host a conference call at 4:30 p.m. Eastern Time on November 8, 2023 to discuss the results of the quarter with a question and answer session. To listen to the conference call on your telephone, please dial +1 (888) 390-0546 for North American callers approximately ten minutes prior to the start time and reference conference code 32204171. To listen to a live webcast, please visit the Investors section of the Vapotherm website at: http://investors.vapotherm.com/events. The webcast replay will be available on the Vapotherm website for 12 months following completion of the call. A replay of this conference call will be available by telephone through November 15, 2023 by dialing +1 (888) 390-0541 in
Website Information
Vapotherm routinely posts important information for investors on the Investor Relations section of its website, http:// investors.vapotherm.com/. Vapotherm intends to use this website as a means of disclosing material, non-public information and for complying with Vapotherm's disclosure obligations under Regulation FD. Accordingly, investors should monitor the Investor Relations section of Vapotherm's website, in addition to following Vapotherm's press releases, Securities and Exchange Commission ("SEC") filings, public conference calls, presentations and webcasts. The information contained on, or that may be accessed through, Vapotherm's website is not incorporated by reference into, and is not a part of, this document.
Non-GAAP Financial Measures
This press release includes non-GAAP financial measures, including non-GAAP net revenue excluding Vapotherm Access, EBITDA, Adjusted EBITDA, non-GAAP operating expenses excluding impairment of goodwill, impairment of long-lived and intangible assets and gain (loss) on disposal of property and equipment, and non-GAAP cash operating expenses excluding additional items, including stock-based compensation expense, depreciation and amortization, termination benefits, gain from deconsolidation, and change in fair value of contingent consideration, which differ from operating expenses calculated in accordance with
These non-GAAP financial measures are presented because the Company believes they are useful indicators of its operating performance. Management uses these non-GAAP financial measures, as measures of the Company's operating performance and for planning purposes, including the preparation of the Company's annual operating budget and financial projections. The Company believes these measures are useful to investors as supplemental information because they are frequently used by analysts, investors and other interested parties to evaluate companies in its industry. The Company believes Adjusted EBITDA is useful to its management and investors as a measure of comparative operating performance from period to period.
These non-GAAP financial measures should not be considered alternatives to, or superior to, net income or loss as a measure of financial performance or cash flows from operations as a measure of liquidity, or any other performance measure derived in accordance with GAAP. They should not be construed to imply that the Company's future results will be unaffected by unusual or non-recurring items. In addition, Adjusted EBITDA is not intended to be a measure of free cash flow for management's discretionary use, as it does not reflect certain cash requirements such as tax payments, debt service requirements, capital expenditures and certain other cash costs that may recur in the future. Adjusted EBITDA contains certain other limitations, including the failure to reflect our capital expenditures, cash requirements for working capital needs and cash costs to replace assets being depreciated and amortized. In evaluating Adjusted EBITDA, you should be aware that in the future the Company may incur expenses that are the same as or similar to some of the adjustments in the Adjusted EBITDA presentation. The Company's presentation of Adjusted EBITDA should not be construed to imply that its future results will be unaffected by any such adjustments. Management compensates for these limitations by primarily relying on the Company's GAAP results in addition to using Adjusted EBITDA and other non-GAAP financial measures on a supplemental basis. The Company's definitions of Adjusted EBITDA and non-GAAP operating expenses excluding impairment of long-lived and intangible assets and loss on disposal of property and equipment and non-GAAP cash operating expenses excluding the additional items detailed below, are not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation.
About Vapotherm
Vapotherm, Inc. (NYSE: VAPO) is a publicly traded developer and manufacturer of advanced respiratory technology based in
Vapotherm high velocity therapy is mask-free non-invasive respiratory support and is a front-line tool for relieving respiratory distress—including hypercapnia, hypoxemia, and dyspnea. It allows for the fast, safe treatment of undifferentiated respiratory distress with one tool. The HVT 2.0 and Precision Flow systems' mask-free interface delivers optimally conditioned breathing gases, making it comfortable for patients and reducing the risks and care complexities associated with mask therapies. While being treated, patients can talk, eat, drink and take oral medication.
Legal Notice Regarding Forward-Looking Statements
This press release contains forward-looking statements under the Private Securities Litigation Reform Act of 1995, including statements about the Company's expected net revenue, including revenue breakdown, gross margin, operating expenses, non-GAAP cash operating expenses and unrestricted cash and cash equivalents balance as of the end of 2023. In some cases, you can identify forward-looking statements by terms such as "expect," "continue," "plan," "intend," "will," "outlook," "guidance," or "typically," or the negative of these terms or other similar expressions, although not all forward-looking statements contain these words, and the use of future dates. Each forward-looking statement is subject to risks and uncertainties that could cause actual results to differ materially from those expressed or implied in such statement. Applicable risks and uncertainties include, but are not limited to the following: Vapotherm has incurred losses in the past and may be unable to achieve or sustain profitability in the future or achieve its 2023 financial guidance including anticipated unrestricted cash and cash equivalents as of the end of 2023; risks associated with its manufacturing operations in
Financial Statements:
VAPOTHERM, INC. CONDENSED CONSOLIDATED BALANCE SHEETS (In thousands, except share amounts) | ||||||||
September 30, 2023 | December 31, 2022 | |||||||
(unaudited) | ||||||||
Assets | ||||||||
Current assets | ||||||||
Cash and cash equivalents | $ | 14,418 | $ | 15,738 | ||||
Accounts receivable, net of expected credit losses | 7,441 | 9,102 | ||||||
Inventories, net | 23,093 | 32,980 | ||||||
Prepaid expenses and other current assets | 4,202 | 2,081 | ||||||
Total current assets | 49,154 | 59,901 | ||||||
Property and equipment, net | 23,908 | 26,636 | ||||||
Operating lease right-of-use assets | 3,556 | 5,805 | ||||||
Restricted cash | 1,109 | 1,109 | ||||||
Goodwill | 541 | 536 | ||||||
Deferred income tax assets | 124 | 96 | ||||||
Other long-term assets | 2,212 | 2,112 | ||||||
Total assets | $ | 80,604 | $ | 96,195 | ||||
Liabilities and Stockholders' Deficit | ||||||||
Current liabilities | ||||||||
Accounts payable | $ | 2,951 | $ | 2,739 | ||||
Contract liabilities | 1,242 | 1,216 | ||||||
Accrued expenses and other current liabilities | 11,996 | 15,609 | ||||||
Total current liabilities | 16,189 | 19,564 | ||||||
Long-term loans payable, net | 104,425 | 96,994 | ||||||
Other long-term liabilities | 7,486 | 7,827 | ||||||
Total liabilities | 128,100 | 124,385 | ||||||
Commitments and contingencies | ||||||||
Stockholders' deficit | ||||||||
Preferred stock ( | - | - | ||||||
Common stock ( | 6 | 4 | ||||||
Additional paid-in capital | 490,697 | 461,965 | ||||||
Accumulated other comprehensive loss | (189) | (157) | ||||||
Accumulated deficit | (538,010) | (490,002) | ||||||
Total stockholders' deficit | (47,496) | (28,190) | ||||||
Total liabilities and stockholders' deficit | $ | 80,604 | $ | 96,195 |
(1) On August 18, 2023, the Company effected a 1:8 reverse stock split for each share of common stock issued |
and outstanding. All shares and associated amounts have been retroactively restated to reflect the stock split. |
VAPOTHERM, INC. UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (In thousands, except share and per share amounts) | ||||||||||||||||
Three Months Ended September 30, | Nine Months Ended September 30, | |||||||||||||||
2023 | 2022 | 2023 | 2022 | |||||||||||||
(unaudited) | (unaudited) | |||||||||||||||
Net revenue | $ | 15,167 | $ | 13,545 | $ | 48,935 | $ | 48,138 | ||||||||
Cost of revenue | 9,154 | 11,682 | 29,850 | 36,018 | ||||||||||||
Gross profit | 6,013 | 1,863 | 19,085 | 12,120 | ||||||||||||
Operating expenses | ||||||||||||||||
Research and development | 3,132 | 4,382 | 10,842 | 16,241 | ||||||||||||
Sales and marketing | 7,967 | 11,460 | 25,835 | 36,615 | ||||||||||||
General and administrative | 4,430 | 6,477 | 15,219 | 20,754 | ||||||||||||
Impairment of goodwill | - | - | - | 14,701 | ||||||||||||
Impairment of right-of-use assets | 755 | 2,139 | 1,187 | 6,175 | ||||||||||||
Loss (gain) on disposal of property and equipment | - | 321 | 53 | 321 | ||||||||||||
Total operating expenses | 16,284 | 24,779 | 53,136 | 94,807 | ||||||||||||
Loss from operations | (10,271) | (22,916) | (34,051) | (82,687) | ||||||||||||
Other (expense) income | ||||||||||||||||
Interest expense | (4,828) | (3,276) | (13,801) | (7,872) | ||||||||||||
Interest income | 16 | 56 | 70 | 113 | ||||||||||||
Foreign currency loss | (29) | (73) | (174) | (188) | ||||||||||||
Loss on extinguishment of debt | - | - | - | (1,114) | ||||||||||||
Net loss before income taxes | $ | (15,112) | $ | (26,209) | $ | (47,956) | $ | (91,748) | ||||||||
Provision (benefit) for income taxes | 18 | (8) | 52 | 74 | ||||||||||||
Net loss | $ | (15,130) | $ | (26,201) | $ | (48,008) | $ | (91,822) | ||||||||
Other comprehensive loss: | ||||||||||||||||
Foreign currency translation adjustments | (145) | (172) | (32) | (412) | ||||||||||||
Total other comprehensive loss | (145) | (172) | (32) | (412) | ||||||||||||
Total comprehensive loss | $ | (15,275) | $ | (26,373) | $ | (48,040) | $ | (92,234) | ||||||||
Net loss per share basic and diluted | $ | (2.38) | $ | (7.85) | $ | (8.10) | $ | (27.69) | ||||||||
Weighted-average number of shares used in calculating net | 6,361,098 | 3,337,072 | 5,926,506 | 3,316,471 |
(1) On August 18, 2023, the Company effected a 1:8 reverse stock split for each share of common stock issued |
and outstanding. All shares and associated amounts have been retroactively restated to reflect the stock split. |
VAPOTHERM, INC. UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (In thousands) | ||||||||
Nine Months Ended September 30, | ||||||||
2023 | 2022 | |||||||
Cash flows from operating activities | ||||||||
Net loss | $ | (48,008) | $ | (91,822) | ||||
Adjustments to reconcile net loss to net cash used in operating activities | ||||||||
Stock-based compensation expense | 7,603 | 7,625 | ||||||
Depreciation and amortization | 3,687 | 4,006 | ||||||
Provision for credit losses | (16) | 346 | ||||||
Provision for inventory valuation | 760 | 2,655 | ||||||
Non-cash lease expense | 1,107 | 1,670 | ||||||
Change in fair value of contingent consideration | - | (3,351) | ||||||
Impairment of goodwill | - | 14,701 | ||||||
Impairment of long-lived and intangible assets | 1,187 | 6,175 | ||||||
Loss on disposal of property and equipment | 53 | 321 | ||||||
Placed units reserve | 588 | 225 | ||||||
Interest paid in-kind | 6,992 | - | ||||||
Amortization of discount on debt | 552 | 502 | ||||||
Deferred income taxes | 52 | 74 | ||||||
Loss on extinguishment of debt | - | 1,114 | ||||||
Changes in operating assets and liabilities: | ||||||||
Accounts receivable | 1,684 | 2,338 | ||||||
Inventories | 9,182 | (2,651) | ||||||
Prepaid expenses and other assets | (2,108) | (1,902) | ||||||
Accounts payable | 243 | (4,295) | ||||||
Contract liabilities | 26 | (562) | ||||||
Accrued expenses and other current liabilities | (2,047) | (4,853) | ||||||
Operating lease liabilities, current and long-term | (1,884) | (1,581) | ||||||
Net cash used in operating activities | (20,347) | (69,265) | ||||||
Cash flows from investing activities | ||||||||
Purchases of property and equipment | (1,962) | (8,266) | ||||||
Net cash used in investing activities | (1,962) | (8,266) | ||||||
Cash flows from financing activities | ||||||||
Proceeds from issuance of common stock and pre-funded warrants and | 20,943 | - | ||||||
Proceeds from loans, net of discount | - | 99,094 | ||||||
Repayment of loans | - | (40,000) | ||||||
Payments of debt extinguishment costs | - | (817) | ||||||
Payment of debt issuance costs | - | (1,567) | ||||||
Repayments on revolving loan facility | - | (6,608) | ||||||
Payment of contingent consideration | - | (135) | ||||||
Proceeds from exercise of stock options | - | 65 | ||||||
Proceeds from exercise of warrants | 3 | - | ||||||
Proceeds from issuance of common stock under Employee Stock Purchase Plan | 77 | 135 | ||||||
Net cash provided by financing activities | 21,023 | 50,167 | ||||||
Effect of exchange rate changes on cash, cash equivalents and restricted cash | (34) | (142) | ||||||
Net decrease in cash, cash equivalents and restricted cash | (1,320) | (27,506) | ||||||
Cash, cash equivalents and restricted cash | ||||||||
Beginning of period | 16,847 | 57,324 | ||||||
End of period | $ | 15,527 | $ | 29,818 | ||||
Supplemental disclosures of cash flow information | ||||||||
Interest paid during the period | $ | 4,268 | $ | 6,023 | ||||
Property and equipment purchases in accounts payable and accrued expenses | $ | 512 | $ | 617 | ||||
Issuance of common stock to satisfy contingent consideration | $ | - | $ | 5,630 | ||||
Issuance of common stock warrants in conjunction with long term debt | $ | 111 | $ | 1,196 | ||||
Issuance of common stock upon settlement of restricted stock units | $ | - | $ | 15 |
Non-GAAP Financial Measures
The following table contains a reconciliation of GAAP net revenue to Non-GAAP net revenue excluding Vapotherm Access for the three months ended September 30, 2023 and 2022, respectively, and the growth of such GAAP net revenue and Non-GAAP net revenue excluding Vapotherm Access over the prior year period.
Three Months Ended September 30, | Change | |||||||||||||||
2023 | 2022 | $ | % | |||||||||||||
(Unaudited) | (in thousands, except percentages) | |||||||||||||||
GAAP net revenue | $ | 15,167 | $ | 13,545 | $ | 1,622 | 12.0 | % | ||||||||
Vapotherm Access net revenue | - | (653) | 653 | (100.0) | % | |||||||||||
Non-GAAP net revenue excluding Vapotherm Access | $ | 15,167 | $ | 12,892 | $ | 2,275 | 17.6 | % |
The following table contains a reconciliation of net loss to Adjusted EBITDA for the three months ended September 30, 2023 and 2022, respectively.
Three Months Ended September 30, | ||||||||
2023 | 2022 | |||||||
(Unaudited) | (in thousands) | |||||||
Net loss | $ | (15,130) | $ | (26,201) | ||||
Interest expense, net | 4,812 | 3,220 | ||||||
Provision (benefit) for income taxes | 18 | (8) | ||||||
Depreciation and amortization | 1,242 | 1,267 | ||||||
EBITDA | $ | (9,058) | $ | (21,722) | ||||
Stock-based compensation | 2,198 | 1,681 | ||||||
Impairment of long-lived and intangible assets | 755 | 2,139 | ||||||
Foreign currency | 29 | 73 | ||||||
Gain on disposal of property and equipment | - | 321 | ||||||
Change in fair value of contingent consideration | - | (238) | ||||||
Adjusted EBITDA | $ | (6,076) | $ | (17,746) |
The following table contains a reconciliation of operating expenses to Non-GAAP operating expenses and Non-GAAP cash operating expenses for the three months ended September 30, 2023, June 30, 2023 and September 30, 2022, respectively.
Three Months Ended | ||||||||||||
September 30, | June 30, | September 30, | ||||||||||
(Unaudited) | (in thousands) | |||||||||||
GAAP operating expenses | $ | 16,284 | $ | 17,016 | $ | 24,779 | ||||||
Impairment of goodwill | - | - | - | |||||||||
Impairment of long-lived and intangible assets | (755) | - | (2,139) | |||||||||
Gain (loss) on disposal of property and equipment | - | 2 | (321) | |||||||||
Non-GAAP operating expenses | 15,529 | 17,018 | 22,319 | |||||||||
Stock-based compensation | (2,161) | (2,534) | (1,488) | |||||||||
Termination benefits | (754) | - | (1,186) | |||||||||
Depreciation and amortization | (312) | (293) | (395) | |||||||||
Gain from deconsolidation | - | 5 | - | |||||||||
Change in fair value of contingent consideration | - | - | 238 | |||||||||
Non-GAAP cash operating expenses | $ | 12,302 | $ | 14,196 | $ | 19,488 |
Supplemental Operating Metrics | |||||||||||||||
September 30, | |||||||||||||||
2023 | 2022 | Change | |||||||||||||
Amount | Amount | Amount | % | ||||||||||||
HVT 2.0 and precision flow units installed base | |||||||||||||||
24,548 | 23,998 | 550 | 2.3 | % | |||||||||||
International | 12,889 | 12,328 | 561 | 4.6 | % | ||||||||||
Total | 37,437 | 36,326 | 1,111 | 3.1 | % | ||||||||||
Three Months Ended September 30, | |||||||||||||||
2023 | 2022 | Change | |||||||||||||
Amount | Amount | Amount | % | ||||||||||||
HVT 2.0 and precision flow units sold and leased | |||||||||||||||
147 | 123 | 24 | 19.5 | % | |||||||||||
International | 128 | 51 | 77 | 151.0 | % | ||||||||||
Total | 275 | 174 | 101 | 58.0 | % | ||||||||||
Disposable patient circuits sold | |||||||||||||||
70,420 | 71,818 | (1,398) | (1.9) | % | |||||||||||
International | 33,501 | 20,854 | 12,647 | 60.6 | % | ||||||||||
Total | 103,921 | 92,672 | 11,249 | 12.1 | % | ||||||||||
Investor Relations Contacts:
John Landry, SVP & CFO, ir@vtherm.com, +1 (603) 658-0011
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SOURCE Vapotherm, Inc.
FAQ
What were Vapotherm's Q3 2023 net revenues?
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