Vapotherm Reports Second Quarter 2019 Financial Results

EXETER, N.H.--()--Vapotherm, Inc. (NYSE: VAPO), a global medical technology company focused on the development and commercialization of its proprietary Hi-VNI® Technology products that are used to treat patients of all ages suffering from respiratory distress, today announced its financial and operating results for the second quarter ended June 30, 2019.

Second Quarter 2019 Highlights

  • Revenue for the second quarter of 2019 was $12.0 million, a 13.5% increase over the prior year period
  • Disposable revenue growth for the second quarter of 2019 was 28.9%
  • Gross margin was 45.5% compared to 38.8% in the second quarter of 2018

We are pleased with our performance during the second quarter as strong disposable revenue growth was driven by our expanding capital base and continuing improvement in customer utilization rates. Disposable revenue increased to over 70% of total revenue and, when coupled with disposable cost reductions, resulted in significant gross margin expansion,” said Joe Army, President and CEO of Vapotherm. “In the second half of 2019, we will focus on continuing to drive the adoption of Hi-VNI Technology through the continued expansion of our installed base, the continued focus on disposable revenue growth and the addition of new products.”

Results for the Three Months Ended June 30, 2019

The following table reflects the Company’s net revenue for the three months ended June 30, 2019 and 2018:

 

 

Three Months Ended June 30,

 

 

 

 

 

 

 

 

 

 

 

2019

 

 

2018

 

 

Change

 

 

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

(in thousands, except percentages)

 

 

 

 

 

 

 

 

 

 

 

Amount

 

 

% of Revenue

 

 

Amount

 

 

% of Revenue

 

 

$

 

 

%

 

Revenue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital (product & lease revenue)

 

$

2,929

 

 

 

24.4

%

 

$

3,685

 

 

 

34.9

%

 

$

(756

)

 

 

-20.5

%

Disposable

 

 

8,530

 

 

 

71.2

%

 

 

6,615

 

 

 

62.6

%

 

 

1,915

 

 

 

28.9

%

Service and Other

 

 

527

 

 

 

4.4

%

 

 

263

 

 

 

2.5

%

 

 

264

 

 

 

100.4

%

Total Revenue

 

$

11,986

 

 

 

100.0

%

 

$

10,563

 

 

 

100.0

%

 

$

1,423

 

 

 

13.5

%

Revenue for the second quarter of 2019 was $12.0 million, a 13.5% increase over the second quarter of 2018. Total capital revenue, including both product sales and lease revenue, decreased 20.5% over the second quarter of 2018 primarily as a result of fewer sales and leases of our Precision Flow units in the United States and to a lesser extent in International markets. Total disposable revenue increased 28.9% year over year, primarily driven by an increase in the worldwide installed base of Precision Flow units and utilization. Disposable revenue as a percentage of total revenue for the second quarter of 2019 and 2018 was 71.2% and 62.6%, respectively.

Revenue information by geography is summarized as follows:

 

 

Three Months Ended June 30,

 

 

 

 

 

 

 

 

 

 

 

2019

 

 

2018

 

 

Change

 

 

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

(in thousands, except percentages)

 

 

 

 

 

 

 

 

 

 

 

Amount

 

 

% of Revenue

 

 

Amount

 

 

% of Revenue

 

 

$

 

 

%

 

United States

 

$

8,678

 

 

 

72.4

%

 

$

7,819

 

 

 

74.0

%

 

$

859

 

 

 

11.0

%

International

 

 

3,308

 

 

 

27.6

%

 

 

2,744

 

 

 

26.0

%

 

 

564

 

 

 

20.6

%

Total Revenue

 

$

11,986

 

 

 

100.0

%

 

$

10,563

 

 

 

100.0

%

 

$

1,423

 

 

 

13.5

%

Revenue growth in the U.S. and International markets in the second quarter of 2019 was driven primarily by an increase in disposable sales related to an increase in the installed base of Precision Flow units worldwide and increased utilization partially offset by fewer sales and leases of our Precision Flow units worldwide. We sold and leased 318 and 289 Precision Flow units in the U.S. and International markets, respectively, in the second quarter of 2019, bringing our total installed base of Precision Flow units to 11,107 and 4,166 units in the U.S. and International markets, respectively. In the second quarter of 2019, we sold 62,209 and 25,725 disposables in the U.S. and International markets, respectively.

Gross profit for the second quarter of 2019 was $5.5 million, an increase of $1.4 million over the second quarter of 2018. Gross margin was 45.5% in the second quarter of 2019 compared to 38.8% in the second quarter of 2018. The increase in gross margin was driven by favorable sales mix of disposables as well as a decrease in disposable component costs in comparison to the second quarter of 2018. Additionally, we improved operating efficiency by holding operating overhead constant while increasing throughput in our manufacturing facility to support continued sales growth.

Operating expenses were $17.1 million in the second quarter of 2019, an increase of $3.9 million as compared to $13.2 million in the same period last year. The increase in operating expenses was primarily a result of increased headcount and employee-related expenses, including stock-based compensation, product development costs, legal and consulting fees, public company related expenses and increased investments in sales and marketing initiatives.

Net loss for the second quarter of 2019 was $12.9 million, or $0.76 per share, compared to $11.2 million, or $13.39 per share, in the second quarter of 2018. Net loss per share was based on 17,055,628 and 838,428 weighted average shares outstanding for the second quarter of 2019 and 2018, respectively. The number of shares outstanding as of June 30, 2019 was 17,166,368.

Adjusted EBITDA was ($10.2) million for the second quarter of 2019 as compared to ($8.5) million for the second quarter of 2018. The $1.7 million increase in Adjusted EBITDA loss in the second quarter of 2019 was primarily due to higher operating expenses partially offset by higher gross profit.

Cash Position

Cash and cash equivalents were $46.1 million as of June 30, 2019 compared to $58.2 million as of December 31, 2018 and $56.7 million as of March 31, 2019.

Fiscal 2019 Outlook

For fiscal 2019, we continue to expect revenue in the range of $49.0 million to $51.0 million, an anticipated year-over-year increase of between 16% to 20%.

In the third quarter of 2019, we expect revenue in the range of $11.0 million to $11.4 million, an anticipated year-over-year increase of between 17% to 21%.

For fiscal 2019, we now expect gross margin to be in the range of 42.5% and 43.5%, an increase from prior guidance of 41.5% to 42.0%.

For fiscal 2019, we continue to expect operating expenses to be in the range of $68.0 million to $70.0 million.

Conference Call

Management will host a conference call at 4:30 p.m. Eastern Time on July 29, 2019 to discuss the results of the quarter with a question and answer session. To listen to the conference call on your telephone, please dial (877) 201-0168 for U.S. callers, or (647) 788-4901 for international callers, approximately ten minutes prior to the start time and reference conference code 6998517. To listen to a live webcast, please visit the Investors section of the Vapotherm website at: http://investors.vapotherm.com/events-and-presentations/events. The webcast replay will be available on the Vapotherm website for 90 days following completion of the call. A replay of this conference call will be available by telephone through August 5, 2019 by dialing (800) 585-8367 in the U.S. or (416) 621-4642 outside of the U.S. The replay access code is 6998517.

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 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 the non-GAAP financial measure of EBITDA and Adjusted EBITDA, which differ from financial measures calculated in accordance with U.S. generally accepted accounting principles (“GAAP”). EBITDA in this press release represents net loss less interest expense, net and depreciation and amortization. Adjusted EBITDA in this release represents EBITDA as adjusted for the impact of foreign currency loss or gain, loss on extinguishment of debt, the change in fair value of warrant liabilities, and stock-based compensation expense. The Company has reconciled these non-GAAP financial measures with the most directly comparable GAAP financial measures in tables accompanying this release.

Adjusted EBITDA is presented because the Company believes it is a useful indicator of its operating performance. Management uses the measure principally as a measure 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 this measure is useful to investors as supplemental information because it is 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.

Adjusted EBITDA is a non-GAAP financial measure and should not be considered as an alternative 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. It should not be construed to imply that the Company’s future results will be unaffected by unusual or non-recurring items. In addition, the measure 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 contain 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 this 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 on a supplemental basis. The Company’s definition of this measure is not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation.

About Vapotherm

Vapotherm, Inc. is a publicly traded developer and manufacturer of advanced respiratory technology based in Exeter, New Hampshire, USA. The Company develops innovative, comfortable, non-invasive technologies for respiratory support of patients with chronic or acute breathing disorders. Over 1.9 million patients have been treated with Vapotherm Hi-VNI Technology. Hi-VNI Technology is mask-free noninvasive ventilatory support for spontaneously breathing patients 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. Hi-VNI Technology’s mask-free interface delivers optimally conditioned breathing gases, making it comfortable for patients and reducing the risks associated with mask therapies. While being treated, patients can talk, eat, drink and take oral medication. For more information, visit www.vapotherm.com.

Legal Notice Regarding Forward-Looking Statements

This press release contains forward-looking statements made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, including statements about the potential launch of new products and full year or quarterly revenue, gross margin, and operating expense guidance. In some cases, you can identify forward-looking statements by terms such as ‘‘expect,’’ “guide” or “typically” or the negative of these terms or other similar expressions, although not all forward-looking statements contain these words. 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, Vapotherm may need to raise additional capital to fund its existing commercial operations, develop and commercialize new products, and expand its operations, Vapotherm’s dependence on sales generated from its Precision Flow systems, competition from multi-national corporations who have significantly greater resources than Vapotherm and are more established in the respiratory market, the ability for Precision Flow systems to gain increased market acceptance, its inexperience directly marketing and selling its products, the potential loss of one or more suppliers, Vapotherm’s susceptibility to seasonal fluctuations, Vapotherm’s failure to comply with applicable United States and foreign regulatory requirements, the failure to obtain U.S. Food and Drug Administration or other regulatory authorization to market and sell future products or its inability to secure and maintain patent or other intellectual property protection for its products and the other risks and uncertainties included under the heading “Risk Factors” in Vapotherm’s Annual Report on Form 10-K for the fiscal year ended December, 31, 2018, as filed with the Securities and Exchange Commission on March 22, 2019, and in any subsequent filings with the Securities and Exchange Commission. The forward-looking statements contained in this press release reflect Vapotherm’s views as of the date hereof, and Vapotherm does not assume and specifically disclaims any obligation to update any forward-looking statements whether as a result of new information, future events or otherwise, except as required by law.

Financial Statements:

Vapotherm, Inc.
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except share and per share amounts)

 

 

Three Months Ended June 30,

 

 

 

 

Six Months Ended June 30,

 

 

 

2019

 

 

2018

 

 

 

 

2019

 

 

 

 

2018

 

 

 

(unaudited)

 

 

 

 

(unaudited)

 

Net revenue

 

$

11,986

 

 

$

10,563

 

 

 

 

$

24,285

 

 

 

 

$

21,302

 

Cost of goods sold

 

 

6,527

 

 

 

6,468

 

 

 

 

 

13,647

 

 

 

 

 

12,962

 

Gross profit

 

 

5,459

 

 

 

4,095

 

 

 

 

 

10,638

 

 

 

 

 

8,340

 

Operating expenses

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

 

3,167

 

 

 

2,083

 

 

 

 

 

6,440

 

 

 

 

 

4,308

 

Sales and marketing

 

 

9,432

 

 

 

8,523

 

 

 

 

 

18,593

 

 

 

 

 

16,574

 

General and administrative

 

 

4,532

 

 

 

2,603

 

 

 

 

 

9,411

 

 

 

 

 

4,985

 

Loss on disposal of fixed assets

 

 

-

 

 

 

39

 

 

 

 

 

-

 

 

 

 

 

42

 

Total operating expenses

 

 

17,131

 

 

 

13,248

 

 

 

 

 

34,444

 

 

 

 

 

25,909

 

Loss from operations

 

 

(11,672

)

 

 

(9,153

)

 

 

 

 

(23,806

)

 

 

 

 

(17,569

)

Other (expense) income

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Foreign currency gain (loss)

 

 

-

 

 

 

1

 

 

 

 

 

(9

)

 

 

 

 

(2

)

Interest income

 

 

213

 

 

 

12

 

 

 

 

 

416

 

 

 

 

 

13

 

Interest expense

 

 

(1,421

)

 

 

(498

)

 

 

 

 

(2,445

)

 

 

 

 

(1,114

)

Loss on extinguishment of debt

 

 

-

 

 

 

(1,842

)

 

 

 

 

-

 

 

 

 

 

(1,842

)

Gain on change in fair value of warrant liabilities

 

 

-

 

 

 

254

 

 

 

 

 

-

 

 

 

 

 

382

 

Net loss

 

$

(12,880

)

 

$

(11,226

)

 

 

 

$

(25,844

)

 

 

 

$

(20,132

)

Net loss per share basic and diluted

 

$

(0.76

)

 

$

(13.39

)

 

 

 

$

(1.52

)

 

 

 

$

(24.78

)

Other comprehensive income, net of tax:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Change in foreign currency translation adjustments

 

 

2

 

 

 

-

 

 

 

 

 

2

 

 

 

 

 

-

 

Total other comprehensive income

 

 

2

 

 

 

-

 

 

 

 

 

2

 

 

 

 

 

-

 

Total comprehensive loss

 

$

(12,878

)

 

$

(11,226

)

 

 

 

$

(25,842

)

 

 

 

$

(20,132

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted-average number of shares used in calculating net loss per share, basic and diluted

 

 

17,055,628

 

 

 

838,428

 

 

 

 

 

17,019,002

 

 

 

 

 

812,451

 

VAPOTHERM, INC.
CONSOLIDATED BALANCE SHEETS
(In thousands, except share amounts)

 

 

June 30, 2019

 

 

December 31, 2018

 

 

 

(unaudited)

 

 

 

 

 

Assets

 

 

 

 

 

 

 

 

Current assets

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

46,055

 

 

$

58,223

 

Accounts receivable, net

 

 

7,304

 

 

 

7,107

 

Inventory

 

 

11,219

 

 

 

13,710

 

Prepaid expenses and other current assets

 

 

2,256

 

 

 

2,683

 

Total current assets

 

 

66,834

 

 

 

81,723

 

Property and equipment, net

 

 

14,142

 

 

 

13,416

 

Restricted cash

 

 

1,852

 

 

 

1,799

 

Goodwill

 

 

584

 

 

 

-

 

Intangible assets, net

 

 

415

 

 

 

-

 

Other long-term assets

 

 

347

 

 

 

308

 

Total assets

 

$

84,174

 

 

$

97,246

 

Liabilities and Stockholders’ Equity

 

 

 

 

 

 

 

 

Current liabilities

 

 

 

 

 

 

 

 

Accounts payable

 

$

1,570

 

 

$

3,148

 

Contract liability

 

 

138

 

 

 

79

 

Accrued expenses and other current liabilities

 

 

7,936

 

 

 

7,653

 

Short-term line of credit

 

 

3,162

 

 

 

3,163

 

Total current liabilities

 

 

12,806

 

 

 

14,043

 

Long-term loans payable

 

 

41,645

 

 

 

31,317

 

Deferred tax liability

 

 

97

 

 

 

-

 

Other long-term liabilities

 

 

277

 

 

 

325

 

Total liabilities

 

 

54,825

 

 

 

45,685

 

Commitments and contingencies

 

 

 

 

 

 

 

 

Stockholders' equity

 

 

 

 

 

 

 

 

Preferred stock ($0.001 par value) 25,000,000 shares authorized; 0 shares issued

and outstanding as of June 30, 2019 and December 31, 2018

 

 

-

 

 

 

-

 

Common stock ($0.001 par value) 175,000,000 shares authorized as of

June 30, 2019 and December 31, 2018, respectively; 17,166,368

and 16,782,837 shares issued and outstanding as of June 30, 2019

and December 31, 2018, respectively

 

 

17

 

 

 

17

 

Additional paid-in capital

 

 

269,556

 

 

 

265,926

 

Accumulated deficit

 

 

(240,226

)

 

 

(214,382

)

Accumulated other comprehensive income

 

 

2

 

 

 

-

 

Total stockholders' equity

 

 

29,349

 

 

 

51,561

 

Total liabilities and stockholders’ equity

 

$

84,174

 

 

$

97,246

 

VAPOTHERM, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)

 

 

Six Months Ended June 30,

 

 

 

2019

 

 

2018

 

 

 

(unaudited)

 

Cash flows from operating activities

 

 

 

 

 

 

 

 

Net loss

 

$

(25,844

)

 

$

(20,132

)

Adjustments to reconcile net loss to net cash used in operating activities

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

1,407

 

 

 

991

 

Stock-based compensation expense

 

 

2,615

 

 

 

234

 

Loss on disposal of fixed assets

 

 

81

 

 

 

229

 

Provision for bad debts

 

 

64

 

 

 

10

 

Loss on extinguishment of debt

 

 

-

 

 

 

1,842

 

Amortization of discount on debt

 

 

108

 

 

 

40

 

Change in fair value of warrants

 

 

-

 

 

 

(382

)

Changes in operating assets and liabilities, net of acquisition:

 

 

 

 

 

 

 

 

Accounts receivable

 

 

144

 

 

 

209

 

Inventory

 

 

2,988

 

 

 

805

 

Prepaid expenses and other assets

 

 

398

 

 

 

291

 

Accounts payable

 

 

(1,575

)

 

 

1,342

 

Contract liability

 

 

(16

)

 

 

7

 

Accrued expenses and other current liabilities

 

 

744

 

 

 

(2,571

)

Net cash used in operating activities

 

 

(18,886

)

 

 

(17,085

)

Cash flows from investing activities

 

 

 

 

 

 

 

 

Acquisition of business, net of cash acquired

 

 

(1,560

)

 

 

-

 

Purchases of property and equipment

 

 

(2,164

)

 

 

(2,468

)

Net cash used in investing activities

 

 

(3,724

)

 

 

(2,468

)

Cash flows from financing activities

 

 

 

 

 

 

 

 

Proceeds on loans

 

 

10,500

 

 

 

20,000

 

Repayment of loans payable

 

 

-

 

 

 

(21,328

)

Debt issuance costs

 

 

(322

)

 

 

(751

)

Short-term line of credit

 

 

(7

)

 

 

265

 

Proceeds from exercise of stock options and purchase of restricted stock

 

 

337

 

 

 

492

 

Net cash provided by (used in) financing activities

 

 

10,508

 

 

 

(1,322

)

Effect of exchange rate changes on cash, cash equivalents and restricted cash

 

 

(13

)

 

 

-

 

Net decrease in cash, cash equivalents and restricted cash

 

 

(12,115

)

 

 

(20,875

)

Cash, cash equivalents and restricted cash

 

 

 

 

 

 

 

 

Beginning of period

 

 

60,022

 

 

 

28,360

 

End of period

 

$

47,907

 

 

$

7,485

 

Supplemental disclosures of cash flow information

 

 

 

 

 

 

 

 

Interest paid during the period

 

$

2,290

 

 

$

1,173

 

Issuance of warrants in conjunction with debt draw down

 

$

293

 

 

$

-

 

Property and equipment purchases in accrued expenses

 

$

115

 

 

$

32

 

Non-GAAP Financial Measures

The following tables contain a reconciliation of net loss to Adjusted EBITDA for the three months ended June 30, 2019 and 2018, respectively.

 

 

Three Months Ended June 30,

 

 

 

Amount

 

 

Change

 

 

 

2019

 

 

2018

 

 

$

 

 

%

 

 

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

(in thousands, except percentages)

 

 

 

 

 

 

 

 

 

Net loss

 

$

(12,880

)

 

$

(11,226

)

 

$

(1,654

)

 

 

-14.7

%

Interest expense, net

 

 

1,208

 

 

 

486

 

 

 

722

 

 

 

-148.6

%

Depreciation and amortization

 

 

786

 

 

 

525

 

 

 

261

 

 

 

-49.7

%

EBITDA

 

$

(10,886

)

 

$

(10,215

)

 

$

(671

)

 

 

-6.6

%

Foreign currency

 

 

-

 

 

 

(1

)

 

 

1

 

 

 

100.0

%

Loss on extinguishment of debt

 

 

-

 

 

 

1,842

 

 

 

(1,842

)

 

 

100.0

%

Change in fair value of warrant liabilities

 

 

-

 

 

 

(254

)

 

 

254

 

 

 

-100.0

%

Stock-based compensation

 

 

712

 

 

 

118

 

 

 

594

 

 

 

-503.4

%

Adjusted EBITDA

 

$

(10,174

)

 

$

(8,510

)

 

$

(1,664

)

 

 

-19.6

%

 

Contacts

Mark Klausner or Mike Vallie, Westwicke, an ICR Company, ir@vtherm.com, +1 (603) 658-0011

Contacts

Mark Klausner or Mike Vallie, Westwicke, an ICR Company, ir@vtherm.com, +1 (603) 658-0011