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MIMEDX Announces Second Quarter 2021 Operating and Financial Results

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Second Quarter Net Sales Increase 27% to $68.2 million Versus Q2 2020

On Track to Deliver Topline Results for Late-Stage Musculoskeletal Pipeline in Late Summer

Company to Host Conference Call on August 4, 2021, at 8:30 AM ET

MARIETTA, Ga., Aug. 03, 2021 (GLOBE NEWSWIRE) -- MiMedx Group, Inc. (Nasdaq: MDXG) (“MIMEDX” or the “Company”), an industry leader in utilizing amniotic tissue as a platform for regenerative medicine, today announced the filing of its second quarter 2021 Form 10-Q for the period ended June 30, 2021.

Timothy R. Wright, MIMEDX Chief Executive Officer, commented, “Our expanded commercial team is working aggressively toward the goal of achieving above-market growth for our Advanced Wound Care business, and executing on multiple initiatives that reinforce the differentiation of our products and convey the clinical and economic value of our brands. As the only data-driven amniotic tissue allograft to have complete national commercial coverage for the treatment of Diabetic Foot Ulcers, we continue to leverage our expansive reimbursement coverage and invest in medical education programs that are designed to raise awareness on the appropriate and timely use of our Advanced Wound Care products. It is imperative that we continue to grow this base business to support patients in need.”

Mr. Wright continued, “I applaud the team for their efforts to exercise strong leadership and exceptional customer service throughout the end of the period of Enforcement Discretion. Our proactive and continued dialogue with the U.S. Food and Drug Administration (FDA) enabled us to mitigate customer disruption, dispel misinformation, and partner with customers throughout the transition. Backed by years of clinical, tissue engineering, and manufacturing knowledge about the science of amniotic tissue, MIMEDX is well-positioned to advance into a more rigorously regulated biologics pathway, and we are making significant progress on the critical steps necessary for a complete and potentially successful Biologics License Application (BLA). We remain on track to share topline results for our Plantar Fasciitis and Knee Osteoarthritis programs by late summer and review these data with the FDA."

Second Quarter 2021 and Recent Operating Highlights:

  • Announced a collaborative agreement with the Wake Forest Institute for Regenerative Medicine (WFIRM) to develop and advance scientific evidence in support of safe and effective clinical therapies

  • Received regulatory approval to commercialize PURION® processed EPIFIX® in Japan

  • Announced the publication of a peer-reviewed study in the Journal of Investigative Dermatology Innovations addressing the potential benefit of MIMEDX PURION® processed dehydrated Human Amnion/Chorion Membrane (dHACM) to combat complications stemming from excessive fibrosis, a pathological process central to a number of serious unmet medical needs

  • Added to the Russell 2000® and Russell 3000® Indexes

  • Notified by the FDA that the Company's Investigational New Drug (IND) for the use of AMNIOFIX® Injectable (mdHACM) in Surgical Incisions was accepted as filed

  • Expanded sales force headcount by ten percent

  • MIMEDX Board member Cato T. Laurencin, M.D., Ph.D. awarded the NAACP's highest honor for his contributions to emerging medical sciences that advance human healing

Key Second Quarter 2021 Financial Metrics

  • Net sales of $68.2 million for second quarter 2021, compared to $53.6 million for the year prior

  • Adjusted net sales1, which excludes impacts of the change in the Company’s methods for recognizing revenue, of $67.9 million for second quarter 2021, compared to $51.9 million for the prior year period

  • Net loss of $1.8 million for second quarter 2021, compared to a net loss of $8.5 million for the prior year period

  • Adjusted EBITDA2 of $2.8 million for second quarter 2021, compared to $10.2 million for the prior year period

Three Months Ended June 30,

Six Months Ended June 30,

(in thousands)

(in thousands)

2021

2020

2021

2020

Net sales

$

68,165

$

53,647

$

128,132

$

115,383

Adjusted net sales1

67,852

51,941

127,521

109,182

Net loss

(1,779

)

(8,466

)

(10,161

)

(13,287

)

EBITDA2

1,108

(4,172

)

(4,343

)

(16,133

)

Adjusted EBITDA2

2,837

10,241

7,570

13,355

Net loss per common share - basic

$

(0.03

)

$

(0.08

)

$

(0.12

)

$

(0.12

)

Net loss per common share - diluted

$

(0.03

)

$

(0.08

)

$

(0.12

)

$

(0.12

)

  1. Adjusted Net Sales is a non-GAAP financial measure. See “Reconciliation of GAAP Net Sales to Adjusted Net Sales and Reconciliation of GAAP Net Income to EBITDA and Adjusted EBITDA” for a reconciliation of Adjusted Net Sales to Net Sales, located in “Selected Unaudited Financial Information” of this release.

  2. EBITDA and Adjusted EBITDA are non-GAAP financial measures. See “Reconciliation of GAAP Net Sales to Adjusted Net Sales and Reconciliation of GAAP Net Income to EBITDA and Adjusted EBITDA” for a reconciliation of EBITDA and Adjusted EBITDA to Net loss, located in “Selected Unaudited Financial Information” of this release.

MIMEDX reported net sales for the three months ended June 30, 2021, of $68.2 million, a $14.6 million increase compared to the three months ended June 30, 2020, in which the Company reported revenue of $53.6 million. Net sales for the three months ended June 30, 2021, includes revenue recognized on the remaining contracts of $0.3 million, compared to $1.7 million for the three months ended June 30, 2020.

Adjusted net sales for the three months ended June 30, 2021, which excludes cash collected on the remaining contracts outstanding at the time of the change in the Company's revenue recognition methodology, were $67.9 million compared to $51.9 million for the three months ended June 30, 2020, an increase of 30.6%. The increase was primarily the result of an increase in sales volume over the prior year period, which was previously impacted by the COVID-19 pandemic. Sales from EPICORD® Expandable, which the Company launched in the second half of 2020, growth in the flagship EPIFIX® sheet portfolio, and sales of Section 351 products prior to the end of Enforcement Discretion contributed to the year-over-year increase in net sales.

MIMEDX has two primary classes of products: (1) Advanced Wound Care, or Section 361, products, consisting of its sheet allograft products, and (2) Section 351 products, consisting of the Company’s micronized and particulate products. Advanced Wound Care is further disaggregated between the Company’s Tissue/Other and Cord products. A summary of the Company's revenue, including revenue derived from its Section 351 products, is included in the table below (amounts in thousands):

Three Months Ended June 30,

Six Months Ended June 30,

2021

2020

2021

2020

Advanced Wound Care

Tissue/Other

$

53,408

$

42,528

$

99,977

$

87,134

Cord

5,886

3,263

10,846

7,160

Total Advanced Wound Care

59,294

45,791

110,823

94,294

Section 351

8,558

6,150

16,698

14,888

Other1

313

1,706

611

6,201

Total

$

68,165

$

53,647

$

128,132

$

115,383

  1. “Other” represents cash collections on the Remaining Contracts. Remaining Contracts are those contracts for which performance obligations have been satisfied as of September 30, 2019, but for which the criteria required for revenue recognition had not been met and would not be met until the ultimate collection of cash. For all practicable purposes, the Company is not able to allocate these revenues to different product groups.

Gross profit margin for the three months ended June 30, 2021, was 81.3% compared to 84.7% for the three months ended June 30, 2020. The decrease in gross profit margin was primarily due to reserves recorded during the three months ended June 30, 2021, specifically related to Section 351 products, resulting from the end of the FDA's Enforcement Discretion period. Additionally, negative production variances from lower than planned production volumes affected gross profit margin.

Selling, general and administrative expenses for the three months ended June 30, 2021, increased $16.3 million, or 43.6%, to $53.6 million, compared to $37.3 million for the three months ended June 30, 2020. The increase in selling, general and administrative expenses during the current period reflects the restoration of full-salary levels and merit increases that were previously restricted during the prior period, along with significantly reduced travel costs in the midst of the COVID-19 pandemic. The Company also saw consulting and advisory expenses rise year-over-year, including $3.8 million related to the proxy contest during the second quarter 2021. Furthermore, the increase in selling, general and administrative expense was driven by year-over-year increases in commission expenses resulting from the increases in sales volume.

Research and development expenses were $4.1 million for the three months ended June 30, 2021, compared to $2.3 million for the three months ended June 30, 2020. The increase reflects higher consulting fees, increases in personnel costs, and additional head-count to support the Company's clinical research efforts. In addition, the Company, as planned, increased its investments in preclinical studies, supportive of current and potential clinical study indications. MIMEDX expects these costs to increase over time as the Company commences new clinical trials and continues working toward the filing of BLAs. The amount and timing of these expenses are partially dependent on whether interim results from MIMEDX's ongoing IND clinical trials merit further investment.

Investigation, restatement and related expenses for the three months ended June 30, 2021, was a benefit of $2.1 million compared to an expense of $11.4 million for the three months ended June 30, 2020. The benefit incurred during the three months ended June 30, 2021, reflects funds received from certain director and officer insurance policies, as well as negotiated reductions in previously recognized legal expenses advanced on behalf of certain former members of management. While MIMEDX expects to continue to incur some litigation costs moving forward, the Company anticipates continued reduction in investigation, restatement and related expenses, other than costs related to resolution of the securities class action matter, the amount and timing of which are highly uncertain. For additional details, see Note 12, “Commitments and Contingencies,” in the Unaudited Condensed Consolidated Financial Statements on Form 10-Q.

Net loss for the three months ended June 30, 2021, was $1.8 million compared to a net loss of $8.5 million for the three months ended June 30, 2020.

Adjusted EBITDA for the three months ended June 30, 2021, was $2.8 million, or 4.2% of adjusted net sales, compared to $10.2 million, or 19.7% of adjusted net sales, for the three months ended June 30, 2020.

As of June 30, 2021, the Company had $85.0 million of cash and cash equivalents, compared to $95.8 million as of December 31, 2020.

Enforcement Discretion

In November 2017, the FDA developed the regenerative medicine policy framework to support innovations in regenerative medicine therapies, including human cells, tissues, and cellular and tissue-based products (HCT/Ps). As a result of the COVID-19 public health emergency, the FDA extended the Enforcement Discretion policy for certain HCT/Ps that do not raise reported safety concerns or potential significant safety concerns, from November 2020 to May 31, 2021. On April 21, 2021, the FDA reaffirmed that the period of Enforcement Discretion would not be extended and would therefore end on May 31, 2021.

Outlook for 2021

The Company expects that adjusted net sales for 2021 will be consistent with the prior year. This reflects the end of the period of Enforcement Discretion on May 31, 2021, and is in line with the expected impact previously disclosed in the Company’s 2021 Outlook, within the Company’s Annual Report on Form 10-K for the year ended December 31, 2020.

Conference Call and Webcast

MIMEDX will host a conference call and webcast to review its second quarter 2021 results on Wednesday, August 4, 2021, beginning at 8:30 am, Eastern Time. The call can be accessed using the following information:

Webcast: https://edge.media-server.com/mmc/p/2gfy7rx3
U.S. Investors: 877-359-9508
International Investors: 224-357-2393
Conference ID: 8777681

A replay of the webcast will be available for approximately thirty days on the Company’s website at www.mimedx.com following the conclusion of the event.

Important Cautionary Statement

This press release includes forward-looking statements. Statements regarding: (i) future sales or sales growth; (ii) the status, timing, and expected results of the Company’s clinical trials and planned regulatory submissions, and our expectations regarding our ability to potentially accelerate the timing of any trial or regulatory submission and eventual BLA approvals; (iii) the timing of our disclosure of clinical trial results; (iv) the results of future scientific studies; (v) expectations regarding our ability to sell EPIFIX in other countries, (vi) the effectiveness of amniotic tissue as a therapy for any particular indication or condition, and (vii) future increases in research and development spending. Additional forward-looking statements may be identified by words such as "believe," "expect," "may," "plan," “goal,” “outlook,” "potential," "will," "preliminary," and similar expressions, and are based on management's current beliefs and expectations.

Forward-looking statements are subject to risks and uncertainties, and the Company cautions investors against placing undue reliance on such statements. Actual results may differ materially from those set forth in the forward-looking statements. Factors that could cause actual results to differ from expectations include: (i) future sales are uncertain and are affected by competition, access to customers, patient access to healthcare providers, and many other factors; (ii) the status, timing, and expected results of the Company’s clinical trials and planned regulatory submissions, and our expectations regarding our ability to potentially accelerate the timing of any trial or regulatory submission, depend on a number of factors including favorable trial results, patient access, and our ability to manufacture in accordance with CGMP and appropriate chemistry and manufacturing controls; (iii) the Company may change its plans due to unforeseen circumstances, or delays in analyzing and auditing results, and may delay or alter the timeline for future trials, analyses, or public announcements; (iv) the results of scientific research are uncertain and may have little or no value; (v) our ability to sell our products in other countries depends on a number of factors including adequate levels of reimbursement, market acceptance of novel therapies, and our ability to build and manage a direct sales force or third party distribution relationship; (vi) the effectiveness of amniotic tissue as a therapy for particular indications or conditions is the subject of further scientific and clinical studies; and (vii) we may alter the timing and amount of planned expenditures for research and development based on the results of clinical trials and other regulatory developments. The Company describes additional risks and uncertainties in the Risk Factors section of its most recent annual report and quarterly reports filed with the Securities and Exchange Commission. Any forward-looking statements speak only as of the date of this press release and the Company assumes no obligation to update any forward-looking statement.

About MIMEDX

MIMEDX is an industry leader in utilizing amniotic tissue as a platform for regenerative medicine, developing and distributing placental tissue allografts with patent-protected, proprietary processes for multiple sectors of healthcare. As a pioneer in placental biologics, we have both a base business, focused on addressing the needs of patients with acute and chronic non-healing wounds, and a promising late-stage pipeline targeted at decreasing pain and improving function for patients with degenerative musculoskeletal conditions. We derive our products from human placental tissues and process these tissues using our proprietary methods, including the PURION® process. We employ Current Good Tissue Practices, Current Good Manufacturing Practices, and terminal sterilization to produce our allografts. MIMEDX has supplied over two million allografts, through both direct and consignment shipments. For additional information, please visit www.mimedx.com.

Contacts:

Investors:
Jack Howarth
Investor Relations
404.360.5681
jhowarth@mimedx.com

Media:
Hilary Dixon
Corporate & Strategic Communications
770.651.9307
hdixon@mimedx.com

Selected Unaudited Financial Information

MiMedx Group, Inc.

Condensed Consolidated Balance Sheets

(in thousands) Unaudited

June 30,
2021

December 31,
2020

ASSETS

Current assets:

Cash and cash equivalents

$

85,007

$

95,812

Accounts receivable, net

37,243

35,423

Inventory

10,137

10,361

Prepaid expenses

3,350

5,605

Income tax receivable

10,138

10,045

Other current assets

1,816

3,371

Total current assets

147,691

160,617

Property and equipment, net

10,273

11,437

Right of use asset

3,144

3,623

Goodwill

19,976

19,976

Intangible assets, net

5,750

6,004

Other assets

313

375

Total assets

$

187,147

$

202,032

LIABILITIES, CONVERTIBLE PREFERRED STOCK, AND STOCKHOLDERS’ DEFICIT

Current liabilities:

Accounts payable

$

10,563

$

8,765

Accrued compensation

21,257

18,467

Accrued expenses

17,073

30,460

Other current liabilities

1,678

1,470

Total current liabilities

50,571

59,162

Long term debt, net

47,905

47,697

Other liabilities

3,314

3,755

Total liabilities

101,790

110,614

Convertible preferred stock

92,494

91,568

Total stockholders' deficit

(7,137

)

(150

)

Total liabilities, convertible preferred stock, and stockholders’ deficit

$

187,147

$

202,032


MiMedx Group, Inc.

Condensed Consolidated Statements of Operations

(in thousands) Unaudited

Three Months Ended June 30,

Six Months Ended June 30,

2021

2020

2021

2020

Net sales

$

68,165

$

53,647

$

128,132

$

115,383

Cost of sales

12,760

8,198

22,401

18,223

Gross profit

55,405

45,449

105,731

97,160

Operating expenses:

Selling, general and administrative

53,599

37,329

99,003

84,270

Investigation, restatement and related

(2,062

)

11,446

5,134

27,038

Research and development

4,063

2,259

8,402

4,910

Amortization of intangible assets

215

271

454

542

Operating loss

(410

)

(5,856

)

(7,262

)

(19,600

)

Interest expense, net

(1,371

)

(2,574

)

(2,844

)

(4,961

)

Other expense, net

(3

)

(9

)

(2

)

(3

)

Loss before income tax provision

(1,784

)

(8,439

)

(10,108

)

(24,564

)

Income tax provision benefit (expense)

5

(27

)

(53

)

11,277

Net loss

$

(1,779

)

$

(8,466

)

$

(10,161

)

$

(13,287

)

Net loss available to common stockholders

$

(3,276

)

$

(8,466

)

$

(13,126

)

$

(13,287

)

Net loss per common share - basic

$

(0.03

)

$

(0.08

)

$

(0.12

)

$

(0.12

)

Net loss per common share - diluted

$

(0.03

)

$

(0.08

)

$

(0.12

)

$

(0.12

)

Weighted average common shares outstanding - basic

110,276,636

108,119,461

109,841,428

108,081,625

Weighted average common shares outstanding - diluted

110,276,636

108,119,461

109,841,428

108,081,625


MiMedx Group, Inc.

Condensed Consolidated Statements of Cash Flows

(in thousands) Unaudited

Six Months Ended June 30,

2021

2020

Cash flows from operating activities:

Net loss

$

(10,161

)

$

(13,287

)

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

Share-based compensation

7,304

7,783

Depreciation

2,467

2,928

Amortization of intangible assets

454

542

Amortization of deferred financing costs

833

1,441

Non-cash lease expenses

480

486

Accretion of asset retirement obligation

37

Loss on fixed asset disposal

236

1

Increase (decrease) in cash resulting from changes in:

Accounts receivable

(1,820

)

2,230

Inventory

224

(1,460

)

Prepaid expenses

2,254

3,819

Income taxes

(93

)

(10,682

)

Other assets

1,387

821

Accounts payable

2,794

3,236

Accrued compensation

2,790

(518

)

Accrued expenses

(13,752

)

(12,109

)

Other liabilities

(514

)

(609

)

Net cash flows used in operating activities

(5,080

)

(15,378

)

Cash flows from investing activities:

Purchases of equipment

(2,346

)

(1,421

)

Principal payments from note receivable

45

Patent application costs

(200

)

(151

)

Net cash flows used in investing activities

(2,501

)

(1,572

)

Cash flows from financing activities:

Proceeds from exercise of stock options

1,359

298

Stock repurchased for tax withholdings on vesting of restricted stock

(4,563

)

(2,330

)

Principal payments on finance lease

(20

)

Deferred financing cost

(23

)

Repayment of term loans

(11,875

)

Proceeds from term loans

10,000

Net cash flows used in financing activities

(3,224

)

(3,930

)

Net change in cash

(10,805

)

(20,880

)

Cash and cash equivalents, beginning of period

95,812

69,069

Cash and cash equivalents, end of period

$

85,007

$

48,189

Reconciliation of GAAP Net Sales to Adjusted Net Sales and Reconciliation of GAAP Net Income to EBITDA and Adjusted EBITDA

In addition to our GAAP results, we provide certain non-GAAP metrics including Adjusted Net Sales, Earnings Before Interest, Taxes, Depreciation and Amortization (“EBITDA”) and Adjusted EBITDA. We believe that the presentation of these measures provides important supplemental information to management and investors regarding our performance. These measurements are not a substitute for GAAP measurements. Company management uses these Non-GAAP measurements as aids in monitoring our ongoing financial performance from quarter-to-quarter and year-to-year on a regular basis and for benchmarking against comparable companies. Adjusted Net Sales is intended to allow one to understand the trend, if any, in sales and to facilitate comparison of sales amounts in periods that used different revenue recognition methods. EBITDA is intended to provide a measure of the Company’s operating performance as it eliminates the effects of financing and capital expenditures. EBITDA consists of GAAP net loss excluding: (i) depreciation, (ii) amortization of intangibles, (iii) interest expense, net, and (iv) income tax provision. Adjusted EBITDA is intended to provide a normalized view of EBITDA and our broader business operations that we expect to experience on an ongoing basis by removing certain non-cash items and items that may be irregular, one-time, or non-recurring from EBITDA; most significantly those expenses related to the Audit Committee Investigation and Restatement. This also includes share-based compensation, which is predominantly settled in shares. This enables us to identify underlying trends in our business that could otherwise be masked by such items. Adjusted EBITDA consists of GAAP net loss excluding: (i) depreciation, (ii) amortization of intangibles, (iii) interest expense, (iv) income tax provision, (v) (benefits) costs incurred in connection with the Audit Committee Investigation and Restatement, (vi) the effect of the Company’s change in revenue recognition on net loss, and (vii) share-based compensation.

A reconciliation of GAAP net sales to Adjusted Net Sales appears in the table below (in thousands):

Three Months Ended June 30,

Six Months Ended June 30,

2021

2020

2021

2020

Net sales

$

68,165

$

53,647

$

128,132

$

115,383

Effect of change in revenue recognition

(313

)

(1,706

)

(611

)

(6,201

)

Adjusted net sales

$

67,852

$

51,941

$

127,521

$

109,182

A reconciliation of GAAP net loss to EBITDA and Adjusted EBITDA appears in the table below (in thousands):

Three Months Ended June 30,

Six Months Ended June 30,

2021

2020

2021

2020

Net loss

$

(1,779

)

$

(8,466

)

$

(10,161

)

$

(13,287

)

Net margin

(2.6

)

%

(15.8

)

%

(7.9

)

%

(11.5

)

%

Non-GAAP Adjustments:

Depreciation expense

1,306

1,422

2,467

2,928

Amortization of intangible assets

215

271

454

542

Interest expense, net

1,371

2,574

2,844

4,961

Income tax provision (benefit) expense, net

(5

)

27

53

(11,277

)

EBITDA

1,108

(4,172

)

(4,343

)

(16,133

)

EBITDA margin

1.6

%

(7.8

)

%

(3.4

)

%

(14.0

)

%

Additional Non-GAAP Adjustments

(Benefits) costs incurred in connection with Audit Committee Investigation and Restatement

(2,062

)

11,446

5,134

27,038

Effect of change in revenue recognition

(269

)

(1,467

)

(525

)

(5,333

)

Share-based compensation

4,060

4,434

7,304

7,783

Adjusted EBITDA

$

2,837

$

10,241

$

7,570

$

13,355

Adjusted EBITDA margin

4.2

%

19.1

%

5.9

%

11.6

%

Adjusted EBITDA, % of Adjusted Net Sales

4.2

%

19.7

%

5.9

%

12.2

%