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Terns Pharmaceuticals

Vapotherm Reports Second Quarter 2024 Financial Results

August 12, 2024 | Last Trade: US$2.17 0.00 0.00

EXETER, N.H., Aug. 12, 2024 /PRNewswire/ -- Vapotherm, Inc. (OTCQX: VAPO), ("Vapotherm" or the "Company"), today announced second quarter 2024 financial results and related highlights.

Second Quarter 2024 Financial Results and Related Highlights

  • Net revenue for the second quarter of 2024 was $16.9 million, an increase of 5.3% as compared to the second quarter of 2023
    • Disposables revenue increased by 13.9% as compared to the second quarter of 2023
    • U.S. disposables revenue increased by 25.9% as compared to the second quarter of 2023
  • Gross margin in the second quarter of 2024 was 49.1% as compared to 42.8% in the second quarter of 2023
  • For the second quarter of 2024, GAAP operating expenses were $17.6 million and non-GAAP cash operating expenses, as defined below, were $12.1 million
    • GAAP operating expenses increased by $0.5 million from the second quarter of 2023
    • Non-GAAP cash operating expenses decreased by $2.1 million from the second quarter of 2023
  • Adjusted EBITDA loss in the second quarter of 2024 was $2.9 million as compared to an Adjusted EBITDA loss of $6.4 million in the second quarter of 2023
  • The Company's unrestricted cash and cash equivalents were $2.9 million at the end of the second quarter of 2024

"I'm pleased our U.S. disposables revenue grew by nearly 26% over the second quarter of 2023 and our worldwide disposables revenue grew by nearly 14% over the same period," said Joseph Army, President and CEO. "We are seeing increased adoption of our technology on COPD patients since the results of the HYPERACT study were presented at the 2024 Critical Care Congress."

Results for the Three Months Ended June 30, 2024

The following table reflects the Company's net revenue for the three months ended June 30, 2024 and 2023:

  

Three Months Ended June 30,

       
  

2024

  

2023

  

Change

 
  

(in thousands, except percentages)

 
  

Amount

  

% of Revenue

  

Amount

  

% of Revenue

  

$

  

%

 

Revenue

                  

Capital (product & lease revenue)   

 

$

3,061

   

18.1

%

 

$

3,646

   

22.7

%

 

$

(585)

   

(16.0)

%

Disposables

  

12,442

   

73.7

%

  

10,927

   

68.1

%

  

1,515

   

13.9

%

Service and other

  

1,381

   

8.2

%

  

1,464

   

9.2

%

  

(83)

   

(5.7)

%

Total net revenue

 

$

16,884

   

100.0

%

 

$

16,037

   

100.0

%

 

$

847

   

5.3

%

Net revenue for the second quarter of 2024 was $16.9 million and increased 5.3% over the second quarter of 2023 primarily due to U.S. disposables revenue growth of 25.9% over the second quarter of 2023, which was driven by increased unit volume and adoption of the Company's HVT 2.0 platform.

Revenue information by geography is summarized as follows:

  

Three Months Ended June 30,

       
  

2024

  

2023

  

Change

 
  

(in thousands, except percentages)

 
  

Amount

  

% of Revenue

  

Amount

  

% of Revenue

  

$

  

%

 

United States

 

$

13,323

   

78.9

%

 

$

11,847

   

73.9

%

 

$

1,476

   

12.5

%

International

  

3,561

   

21.1

%

  

4,190

   

26.1

%

  

(629)

   

(15.0)

%

Total net revenue   

 

$

16,884

   

100.0

%

 

$

16,037

   

100.0

%

 

$

847

   

5.3

%

Net revenue in the United States for the second quarter of 2024 was $13.3 million and increased 12.5% over the second quarter of 2023 primarily due to U.S. disposables revenue growth. Net revenue in International markets for the second quarter of 2024 was $3.6 million and decreased 15.0% over the second quarter of 2023 due to a decrease in disposables revenue in distributor markets.

Gross profit and gross margin for the second quarter of 2024 was $8.3 million and 49.1%, respectively, as compared to gross profit of $6.9 million and gross margin of 42.8% for the second quarter of 2023. The increases in gross profit and gross margin were primarily due to the improved efficiency of our Mexico operation.

Total operating expenses were $17.6 million in the second quarter of 2024, an increase of $0.5 million as compared to the second quarter of 2023. Non-GAAP cash operating expenses, which exclude merger-related costs, gain on disposal of property and equipment, depreciation and amortization, stock-based compensation expense, and gain from deconsolidation were $12.1 million in the second quarter of 2024 compared to $14.2 million in the second quarter of 2023. The increase in operating expenses was primarily due to merger-related costs, partially offset by the Company's Path to Profitability initiatives. The decrease in non-GAAP cash operating expenses was primarily due to the Company's Path to Profitability initiatives.

Net loss for the second quarter of 2024 was $14.3 million, or $2.22 per share, compared to $14.8 million, or $2.34 per share, in the second quarter of 2023. Net loss per share was based on 6,442,763 and 6,328,222 weighted average shares outstanding for the second quarter of 2024 and 2023, respectively.

Adjusted EBITDA was negative $2.9 million for the second quarter of 2024 as compared to negative $6.4 million for the second quarter of 2023. The reduction in Adjusted EBITDA loss was primarily due to the Company's Path to Profitability initiatives.

Cash Position

Unrestricted cash and cash equivalents were $2.9 million as of June 30, 2024 compared to $9.7 million as of December 31, 2023.

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 EBITDA, Adjusted EBITDA, non-GAAP operating expenses and non-GAAP cash operating expenses. EBITDA and Adjusted EBITDA differ from net income as calculated in accordance with U.S. generally accepted accounting principles ("GAAP") and non-GAAP operating expenses and non-GAAP cash operating expenses differ from operating expenses as calculated in accordance with GAAP. EBITDA represents net loss less interest expense, net, income tax provision or benefit, and depreciation and amortization, and Adjusted EBITDA represents EBITDA as further adjusted for the merger-related costs, impact of foreign currency (loss) gain, stock-based compensation expense, gain from deconsolidation and gain on disposal of property and equipment. Non-GAAP operating expenses is calculated by excluding from GAAP operating expenses merger-related costs, gain on disposal of property and equipment, and non-GAAP cash operating expenses is calculated by further excluding additional items, including stock-based compensation expense, depreciation and amortization, and gain from deconsolidation. The Company has reconciled all historical non-GAAP financial measures with the most directly comparable GAAP financial measures in tables accompanying this release.

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, non-GAAP operating expenses and non-GAAP cash operating expenses are not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation.

About Vapotherm

Vapotherm, Inc. (OTCQX: VAPO) 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 4.5 million patients have been treated with the use of Vapotherm high velocity therapy® systems. For more information, visit www.vapotherm.com.

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 the statement about the Company's belief regarding an increased willingness to use the Company's technology on COPD patients. In some cases, you can identify forward-looking statements by terms such as "believe," "expect," "continue," "plan," "intend," "will," "outlook," 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's proposed merger with Veronica Merger Sub, Inc. and Vapotherm's ability to satisfy the conditions to closing or otherwise complete the merger on a timely basis or at all and the impact the pending merger may have on Vapotherm's current plans and operations, including potentially diverting management's attention from our business; the effects of the merger (or the announcement or pendency thereof) on Vapotherm's future business and financial and operating results, its ability to retain key personnel and maintain relationships with customers, manufacturers, suppliers, employees (including the risks relating to the ability to retain or hire key personnel), other business partners or governmental entities, and the risk and outcome of legal proceedings related to the merger; Vapotherm's ability to raise additional capital to fund its existing operations and debt service obligations; Vapotherm's ability to comply with its financial covenants, execute on its path to profitability initiative, convert excess inventory into cash and fund its business and otherwise continue as a going concern through 2024; Vapotherm has incurred losses in the past and may be unable to achieve or sustain profitability in the future; risks associated with its manufacturing operations in Mexico; Vapotherm's dependence on sales generated from its High Velocity Therapy systems, competition from multi-national corporations who have significantly greater resources than Vapotherm and are more established in the respiratory market; the ability for High Velocity Therapy systems to gain increased market acceptance; Vapotherm's inexperience directly marketing and selling its products; the potential loss of one or more suppliers and dependence on its new third party manufacturer; 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, maintain or enforce patent or other intellectual property protection for its products; the impact of COVID on its business, including its supply chain; risks in holding Vapotherm stock in light of trading on the OTCQX tier of the OTC Markets; 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, 2023, as filed with the SEC on February 22, 2024, and subsequent SEC reports. 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.

VAPOTHERM, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands, except share amounts)

 
  
  

June 30, 2024

  

December 31, 2023

 
  

(unaudited)

    

Assets

      

Current assets

      

Cash and cash equivalents

 

$

2,904

  

$

9,725

 

Accounts receivable, net of expected credit losses
   of $240 and $160, respectively

  

8,563

   

10,672

 

Inventories, net

  

23,295

   

22,968

 

Prepaid expenses and other current assets

  

2,259

   

3,058

 

Total current assets

  

37,021

   

46,423

 

Property and equipment, net

  

23,592

   

23,703

 

Operating lease right-of-use assets

  

2,911

   

3,372

 

Restricted cash

  

1,109

   

1,109

 

Goodwill

  

561

   

565

 

Deferred income tax assets

  

56

   

57

 

Other long-term assets

  

2,677

   

2,388

 

Total assets

 

$

67,927

  

$

77,617

 

Liabilities and Stockholders' Deficit

      

Current liabilities

      

Accounts payable

 

$

4,381

  

$

5,053

 

Contract liabilities

  

1,258

   

1,237

 

Accrued expenses and other current liabilities

  

22,913

   

12,805

 

Current portion of loans payable, net

  

118,406

   

-

 

Total current liabilities

  

146,958

   

19,095

 

Long-term loans payable, net

  

-

   

107,059

 

Other long-term liabilities

  

2,288

   

6,797

 

Total liabilities

  

149,246

   

132,951

 

Commitments and contingencies

      

Stockholders' deficit

      

Preferred stock ($0.001 par value) 25,000,000 shares authorized; no shares
   issued and outstanding as of June 30, 2024 and December 31, 2023

  

-

   

-

 

Common stock ($0.001 par value) 21,875,000 shares authorized as of
   June 30, 2024 and December 31, 2023, 6,241,958 and 6,165,806
   shares issued and outstanding as of June 30, 2024 and
   December 31, 2023, respectively

  

6

   

6

 

Additional paid-in capital

  

496,083

   

492,764

 

Accumulated other comprehensive (loss) income

  

(106)

   

91

 

Accumulated deficit

  

(577,302)

   

(548,195)

 

Total stockholders' deficit

  

(81,319)

   

(55,334)

 

Total liabilities and stockholders' deficit

 

$

67,927

  

$

77,617

 

VAPOTHERM, INC.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(In thousands, except share and per share amounts)

 
  
  

Three Months Ended June 30,

  

Six Months Ended June 30,

 
  

2024

  

2023

  

2024

  

2023

 
  

(unaudited)

  

(unaudited)

 

Net revenue

 

$

16,884

  

$

16,037

  

$

36,018

  

$

33,768

 

Cost of revenue

  

8,601

   

9,177

   

18,078

   

20,696

 

Gross profit

  

8,283

   

6,860

   

17,940

   

13,072

 

Operating expenses

            

Research and development

  

3,328

   

3,723

   

6,960

   

7,710

 

Sales and marketing

  

6,732

   

8,276

   

13,874

   

17,868

 

General and administrative

  

3,768

   

5,019

   

8,240

   

10,789

 

Merger-related costs

  

3,723

   

-

   

3,723

   

-

 

Impairment of right-of-use assets

  

-

   

-

   

-

   

432

 

(Gain) loss on disposal of property and equipment

  

(1)

   

(2)

   

(9)

   

53

 

Total operating expenses

  

17,550

   

17,016

   

32,788

   

36,852

 

Loss from operations

  

(9,267)

   

(10,156)

   

(14,848)

   

(23,780)

 

Other (expense) income

            

Interest expense

  

(4,944)

   

(4,642)

   

(14,197)

   

(8,973)

 

Interest income

  

1

   

26

   

6

   

54

 

Foreign currency (loss) gain

  

(43)

   

9

   

(39)

   

(145)

 

Net loss before income taxes

 

$

(14,253)

  

$

(14,763)

  

$

(29,078)

  

$

(32,844)

 

Provision for income taxes

  

18

   

25

   

29

   

34

 

Net loss

 

$

(14,271)

  

$

(14,788)

  

$

(29,107)

  

$

(32,878)

 

Other comprehensive (loss) income:

            

Foreign currency translation adjustments

  

(35)

   

(22)

   

(197)

   

113

 

Total other comprehensive (loss) income

  

(35)

   

(22)

   

(197)

   

113

 

Total comprehensive loss

 

$

(14,306)

  

$

(14,810)

  

$

(29,304)

  

$

(32,765)

 

Net loss per share - basic and diluted

 

$

(2.22)

  

$

(2.34)

  

$

(4.52)

  

$

(5.76)

 

Weighted-average number of shares used in calculating net
   loss per share, basic and diluted (1)

  

6,442,763

   

6,328,222

   

6,436,631

   

5,705,607

 
 

(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)

 
  

Six Months Ended June 30,

 
  

2024

  

2023

 

Cash flows from operating activities

      

Net loss

 

$

(29,107)

  

$

(32,878)

 

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

      

Stock-based compensation expense

  

3,290

   

5,405

 

Depreciation and amortization

  

2,528

   

2,445

 

Provision for credit losses

  

110

   

(2)

 

Provision for inventory valuation

  

73

   

283

 

Non-cash lease expense

  

461

   

733

 

Impairment of right-of-use assets

  

-

   

432

 

(Gain) loss on disposal of property and equipment

  

(9)

   

53

 

Placed units reserve

  

234

   

418

 

Interest paid in-kind

  

4,918

   

4,553

 

Non-cash interest expense

  

4,931

   

620

 

Amortization of discount on debt

  

429

   

368

 

Deferred income taxes

  

29

   

34

 

Changes in operating assets and liabilities:

      

Accounts receivable

  

1,986

   

212

 

Inventories

  

(407)

   

7,646

 

Prepaid expenses and other assets

  

506

   

(2,794)

 

Accounts payable

  

(579)

   

(315)

 

Contract liabilities

  

23

   

72

 

Accrued expenses and other liabilities

  

2,045

   

(3,460)

 

Operating lease liabilities, current and long-term

  

(1,288)

   

(1,213)

 

Net cash used in operating activities

  

(9,827)

   

(17,388)

 

Cash flows from investing activities

      

Purchases of property and equipment

  

(2,662)

   

(1,408)

 

Net cash used in investing activities

  

(2,662)

   

(1,408)

 

Cash flows from financing activities

      

Proceeds from issuance of common stock and pre-funded warrants and
   accompanying warrants in private placement, net of issuance costs

  

-

   

20,943

 

Proceeds from loans, net of discount

  

5,820

   

-

 

Proceeds from exercise of warrants

  

-

   

3

 

Proceeds from exercise of stock options

  

1

   

-

 

Proceeds from issuance of common stock under Employee Stock Purchase Plan

  

12

   

77

 

Net cash provided by financing activities

  

5,833

   

21,023

 

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

  

(165)

   

35

 

Net (decrease) increase in cash, cash equivalents and restricted cash

  

(6,821)

   

2,262

 

Cash, cash equivalents and restricted cash

      

Beginning of period

  

10,834

   

16,847

 

End of period

 

$

4,013

  

$

19,109

 

Supplemental disclosures of cash flow information

      

Interest paid during the period

 

$

3,557

  

$

2,720

 

Property and equipment purchases in accounts payable and accrued expenses

 

$

732

  

$

175

 

Issuance of common stock warrants in conjunction with long term debt

 

$

16

  

$

71

 

Issuance of common stock for services

 

$

155

  

$

117

 

Non-GAAP Financial Measures

The following table contains a reconciliation of net loss to Adjusted EBITDA for the three months ended June 30, 2024 and 2023, respectively.

  

Three Months Ended June 30,

 
  

2024

  

2023

 

(Unaudited)

 

(in thousands)

 

Net loss

 

$

(14,271)

  

$

(14,788)

 

Interest expense, net

  

4,943

   

4,616

 

Provision for income taxes

  

18

   

25

 

Depreciation and amortization

  

1,224

   

1,197

 

EBITDA

 

$

(8,086)

  

$

(8,950)

 

Merger-related costs

  

3,723

   

-

 

Stock-based compensation

  

1,456

   

2,585

 

Foreign currency loss (gain)

  

43

   

(9)

 

Gain from deconsolidation

  

-

   

(5)

 

Gain on disposal of property and equipment    

  

(1)

   

(2)

 

Adjusted EBITDA

 

$

(2,865)

  

$

(6,381)

 

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 June 30, 2024 and June 30, 2023, respectively.

  

Three Months Ended June 30,

 
  

2024

  

2023

 

(Unaudited)

 

(in thousands)

 

GAAP operating expenses

 

$

17,550

  

$

17,016

 

Merger-related costs

  

(3,723)

   

-

 

Gain on disposal of property and equipment    

  

1

   

2

 

Non-GAAP operating expenses

  

13,828

   

17,018

 

Stock-based compensation

  

(1,423)

   

(2,534)

 

Depreciation and amortization

  

(262)

   

(293)

 

Gain from deconsolidation

  

-

   

5

 

Non-GAAP cash operating expenses

 

$

12,143

  

$

14,196

 

Supplemental Operating Metrics

 
 

June 30,

       
 

2024

  

2023

  

Change

 
 

Amount

  

Amount

  

Amount

  

%

 

HVT 2.0 and precision flow units installed base

           

United States

 

24,992

   

24,563

   

429

   

1.7

%

International

 

12,975

   

12,729

   

246

   

1.9

%

Total

 

37,967

   

37,292

   

675

   

1.8

%

            
 

Three Months Ended June 30,

       
 

2024

  

2023

  

Change

 
 

Amount

  

Amount

  

Amount

  

%

 

HVT 2.0 and precision flow units sold and leased     

           

United States

 

193

   

293

   

(100)

   

(34.1)

%

International

 

99

   

146

   

(47)

   

(32.2)

%

Total

 

292

   

439

   

(147)

   

(33.5)

%

            

Disposable patient circuits sold

           

United States

 

82,290

   

69,323

   

12,967

   

18.7

%

International

 

29,634

   

35,744

   

(6,110)

   

(17.1)

%

Total

 

111,924

   

105,067

   

6,857

   

6.5

%

            

Investor Relations Contacts:

John Landry, SVP & CFO, This email address is being protected from spambots. You need JavaScript enabled to view it., +1 (603) 658-0011

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