Vapotherm Reports First Quarter 2023 Financial Results

In this article:

EXETER, N.H., May 03, 2023--(BUSINESS WIRE)--Vapotherm, Inc. (NYSE: VAPO), ("Vapotherm" or the "Company"), today announced first quarter 2023 financial results.

First Quarter 2023 Summary and Highlights

  • Total revenue for the first quarter of 2023 was $17.7 million

    • Capital revenue increased by 28% as compared to the fourth quarter of 2022 due to strong HVT 2.0 sales

    • Disposables revenue decreased by 12% as compared to the fourth quarter of 2022 due to the timing of the US flu season

  • Gross margin in the first quarter of 2023 was 35.0%

    • Gross margin increased by 750 basis points over the fourth quarter of 2022 due to initial benefits from the transition of operations to Mexico

  • For the first quarter of 2023, GAAP operating expenses for the first quarter of 2023 were $19.8 million and Non-GAAP cash operating expenses were $16.4 million. Both decreased as a result of the Company’s Path to Profitability initiatives:

    • GAAP operating expenses decreased by $3.0 million over the fourth quarter of 2022

    • Non-GAAP cash operating expenses decreased by $1.6 million over the fourth quarter of 2022

  • The Company’s unrestricted cash balance was $25.7 million at the end of the first quarter of 2023

    • The Company closed a $23 million private placement in February 2023

    • Net cash burn of $11.0 million in the first quarter was $2.0 million less than net cash burn in the fourth quarter of 2022

"We had solid execution in the first quarter and are pleased with the positive trends we’re seeing in key elements of our business," said Joseph Army, President and CEO. "Market receptivity to HVT 2.0 continues to be strong and, as expected, HVT 2.0 capital sales increased over the fourth quarter of 2022 despite a challenging capital equipment environment. We also continued to make progress on our Path to Profitability initiatives which resulted in sequential quarter improvements in gross margin, operating expenses and cash burn."

Results for the Three Months March 31, 2023

The following table reflects the Company’s net revenue for the three months ended March 31, 2023 and 2022:

Three Months Ended March 31,

2023

2022

Change

(in thousands, except percentages)

Amount

% of Revenue

Amount

% of Revenue

$

%

Revenue

Capital (product & lease revenue)

$

3,901

22.0

%

$

4,050

18.7

%

$

(149

)

(3.7

)%

Disposables

12,417

70.0

%

14,879

68.8

%

(2,462

)

(16.5

)%

Service and other

1,413

8.0

%

2,693

12.5

%

(1,280

)

(47.5

)%

Total net revenue

$

17,731

100.0

%

$

21,622

100.0

%

$

(3,891

)

(18.0

)%

Net revenue for the first quarter of 2023 was $17.7 million. Disposables and capital revenue were lower in the first quarter of 2023 as compared to the first quarter of 2022 since the prior period included significant Omicron related customer demand, especially for disposables. There was little to no COVID related customer demand in the first quarter of 2023.

Revenue information by geography is summarized as follows:

Three Months Ended March 31,

2023

2022

Change

(in thousands, except percentages)

Amount

% of Revenue

Amount

% of Revenue

$

%

United States

$

13,014

73.4

%

$

16,499

76.3

%

$

(3,485

)

(21.1

)%

International

4,717

26.6

%

5,123

23.7

%

(406

)

(7.9

)%

Total net revenue

$

17,731

100.0

%

$

21,622

100.0

%

$

(3,891

)

(18.0

)%

Gross profit and gross margin for the first quarter of 2023 was $6.2 million and 35.0%, respectively. In the first quarter of 2023, gross margin increased by 750 basis points over gross margin of 27.5% in the fourth quarter of 2022.

Total operating expenses were $19.8 million in the first quarter of 2023, a decrease of $8.0 million as compared to the same period last year. Non-GAAP cash operating expenses, excluding impairment charges, loss on disposal of property and equipment, depreciation and amortization, stock-based compensation expense, termination benefits, gain (loss) from deconsolidation, and change in fair value of contingent consideration were $16.4 million in the first quarter of 2023 compared to $24.3 million in the first quarter of 2022 and $18.0 million in the fourth quarter of 2022. The decreases in operating expenses and Non-GAAP cash operating expenses were primarily due to the Company’s path-to-profitability initiatives. Operating expenses in the first quarter of 2023 include a non-cash impairment charge of $0.4 million related to the write-down of operating lease right-of-use assets to their estimated fair value.

Net loss for the first quarter of 2023 was $18.1 million, or $0.45 per share, compared to $22.9 million, or $0.87 per share, in the first quarter of 2022. Net loss per share was based on 40,608,605 and 26,321,087 weighted average shares outstanding for the first quarter of 2023 and 2022, respectively.

Adjusted EBITDA was negative $9.2 million for the first quarter of 2023 as compared to negative $15.3 million for the first quarter of 2022. The improvement in Adjusted EBITDA was primarily due to the Company’s path-to-profitability initiatives.

Cash Position

Cash and cash equivalents were $25.7 million as of March 31, 2023 compared to $15.7 million as of December 31, 2022. The increase in cash in the first quarter of 2023 was due to net proceeds received under the Company’s February 2023 private placement financing, partially offset by its net loss. The Company expects that cash burn the first quarter of the year will represent more than half of the total cash burn in 2023.

Fiscal 2023 Outlook

The Company continues to expect full year revenue to be between $77 million and $79 million, full year gross margins of 48% to 50% and full year operating expenses of $76 million to $78 million. Fiscal 2023, non-GAAP cash operating expenses excluding additional items as detailed below are still expected to be in the range of $60 million to $62 million. While the Company expects disposable revenue to account for 75% of our total revenue over the long-term, the Company anticipates that the contribution of disposable revenue as a percentage of total revenue may be slightly lower than this in 2023 given the market receptivity to HVT 2.0.

Conference Call Information

Management will host a conference call at 4:30 p.m. Eastern Time on May 3, 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) 330-2391 for U.S. callers, or +1 (240) 789-2702 for international callers, approximately ten minutes prior to the start time and reference conference code 6585549. 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 12 months following completion of the call. A replay of this conference call will be available by telephone through May 10, 2023 by dialing +1 (800) 770-2030 in the U.S. or +1 (647) 362-9199 outside of the U.S. The replay access code is 6585549.

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 excluding impairment of long-lived and intangible assets and 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 (loss) from deconsolidation, and change in fair value of contingent consideration, which differ from operating expenses calculated in accordance with U.S. generally accepted accounting principles ("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 impact of foreign currency loss or gain, change in fair value of contingent consideration, stock-based compensation expense, impairment of long lived and intangible assets, gain (loss) from deconsolidation, and loss on debt extinguishment. Since these adjustments to the GAAP measures are highly variable, difficult to predict and of a size that could have substantial impact on Vapotherm’s reported results of operations for a period, Vapotherm cannot provide without unreasonable effort a quantitative reconciliation to the most directly comparable GAAP measures for its 2023 financial guidance regarding non-GAAP cash operating expenses. 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 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 Exeter, New Hampshire, USA. The Company develops innovative, comfortable, non-invasive technologies for respiratory support of patients with chronic or acute breathing disorders. Over 3.9 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 statements about the Company’s expected net revenue, including revenue breakdown, gross margin, operating expenses and non-GAAP cash operating expenses for fiscal year 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 reduced cash burn; risks associated with the move of its manufacturing operations to Mexico; Vapotherm’s ability to raise additional capital to fund its existing commercial operations, develop and commercialize new products, and expand its operations; 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 through 2023; 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 Precision Flow 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, 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, 2022, as filed with the SEC on February 23, 2023, and in any subsequent filings with the SEC. 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.

CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands, except share amounts)

March 31, 2023

December 31, 2022

(unaudited)

Assets

Current assets

Cash and cash equivalents

$

25,713

$

15,738

Accounts receivable, net of expected credit losses of $251 and $227, respectively

8,403

9,102

Inventories, net

28,499

32,980

Prepaid expenses and other current assets

3,444

2,081

Total current assets

66,059

59,901

Property and equipment, net

25,673

26,636

Operating lease right-of-use assets

5,030

5,805

Restricted cash

1,109

1,109

Goodwill

549

536

Deferred income tax assets

125

96

Other long-term assets

2,102

2,112

Total assets

$

100,647

$

96,195

Liabilities and Stockholders’ Deficit

Current liabilities

Accounts payable

$

2,974

$

2,739

Contract liabilities

1,197

1,216

Accrued expenses and other current liabilities

11,810

15,609

Total current liabilities

15,981

19,564

Long-term loans payable, net

99,270

96,994

Other long-term liabilities

7,750

7,827

Total liabilities

123,001

124,385

Commitments and contingencies

Stockholders’ deficit

Preferred stock ($0.001 par value) 25,000,000 shares authorized; no shares issued and outstanding as of March 31, 2023 and December 31, 2022

-

-

Common stock ($0.001 par value) 175,000,000 shares authorized as of March 31, 2023 and December 31, 2022, 46,215,938 and 28,516,047 shares issued and outstanding as of March 31, 2023 and December 31, 2022, respectively

46

29

Additional paid-in capital

485,714

461,940

Accumulated other comprehensive loss

(22

)

(157

)

Accumulated deficit

(508,092

)

(490,002

)

Total stockholders’ deficit

(22,354

)

(28,190

)

Total liabilities and stockholders’ deficit

$

100,647

$

96,195

VAPOTHERM, INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(In thousands, except share and per share amounts)

Three Months Ended March 31,

2023

2022

(unaudited)

Net revenue

$

17,731

$

21,622

Cost of revenue

11,519

13,730

Gross profit

6,212

7,892

Operating expenses

Research and development

3,987

5,549

Sales and marketing

9,592

13,322

General and administrative

5,770

8,954

Impairment of right-of-use assets

432

-

Loss on disposal of property and equipment

55

-

Total operating expenses

19,836

27,825

Loss from operations

(13,624

)

(19,933

)

Other (expense) income

Interest expense

(4,331

)

(1,747

)

Interest income

28

17

Foreign currency loss

(154

)

(69

)

Loss on extinguishment of debt

-

(1,114

)

Net loss before income taxes

$

(18,081

)

$

(22,846

)

Provision for income taxes

9

92

Net loss

$

(18,090

)

$

(22,938

)

Other comprehensive loss:

Foreign currency translation adjustments

135

(55

)

Total other comprehensive loss

135

(55

)

Total comprehensive loss

$

(17,955

)

$

(22,993

)

Net loss per share basic and diluted

$

(0.45

)

$

(0.87

)

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

40,608,605

26,321,087

VAPOTHERM, INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

Three Months Ended March 31,

2023

2022

Cash flows from operating activities

Net loss

$

(18,090

)

$

(22,938

)

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

Stock-based compensation expense

2,820

3,446

Depreciation and amortization

1,248

1,391

Provision for credit losses

49

177

Provision for inventory valuation

165

150

Non-cash lease expense

387

519

Change in fair value of contingent consideration

-

(188

)

Impairment of right-of-use assets

432

-

Loss on disposal of property and equipment

55

-

Placed units reserve

344

151

Interest paid in-kind

2,194

-

Amortization of discount on debt

184

139

Deferred income taxes

9

83

Loss on extinguishment of debt

-

1,114

Changes in operating assets and liabilities:

Accounts receivable

663

805

Inventories

4,384

(1,650

)

Prepaid expenses and other assets

(1,234

)

(927

)

Accounts payable

114

84

Contract liabilities

(25

)

(652

)

Accrued expenses and other current liabilities

(3,148

)

(11,882

)

Operating lease liabilities, current and long-term

(585

)

(293

)

Net cash used in operating activities

(10,034

)

(30,471

)

Cash flows from investing activities

Purchases of property and equipment

(1,004

)

(3,008

)

Net cash used in investing activities

(1,004

)

(3,008

)

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

-

99,094

Repayment of loans

-

(40,000

)

Payments of debt extinguishment costs

-

(817

)

Payment of debt issuance costs

-

(1,365

)

Repayments on revolving loan facility

-

(6,608

)

Payment of contingent consideration

-

(135

)

Proceeds from exercise of stock options

-

12

Net cash provided by financing activities

20,943

50,181

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

70

(10

)

Net increase in cash, cash equivalents and restricted cash

9,975

16,692

Cash, cash equivalents and restricted cash

Beginning of period

16,847

57,324

End of period

$

26,822

$

74,016

Supplemental disclosures of cash flow information

Interest paid during the period

$

1,284

$

983

Property and equipment purchases in accounts payable and accrued expenses

$

354

$

1,581

Debt issuance costs in accounts payable and accrued expenses

$

-

$

202

Issuance of common stock to satisfy contingent consideration

$

-

$

5,630

Issuance of common stock warrants in conjunction with long term debt

$

28

$

1,157

Issuance of common stock upon vesting of restricted stock units

$

-

$

10

Non-GAAP Financial Measures

The following tables contain a reconciliation of net loss to Adjusted EBITDA for the three months ended March 31, 2023 and 2022, respectively.

(unaudited)

Three Months Ended March 31,

2023

2022

(in thousands)

Net loss

$

(18,090

)

$

(22,938

)

Interest expense, net

4,303

1,730

Provision for income taxes

9

92

Depreciation and amortization

1,248

1,391

EBITDA

$

(12,530

)

$

(19,725

)

Stock-based compensation

2,820

3,446

Impairment of right-of-use assets

432

-

Foreign currency

154

69

Gain from deconsolidation

(114

)

-

Loss on disposal of property and equipment

55

-

Loss on extinguishment of debt

-

1,114

Change in fair value of contingent consideration

-

(188

)

Adjusted EBITDA

$

(9,183

)

$

(15,284

)

The following tables contain a reconciliation of operating expenses to non-GAAP operating expenses and non-GAAP cash operating expenses for the three months ended March 31, 2023, December 31, 2022 and March 31, 2022, respectively.

(unaudited)

Three Months Ended

March 31, 2023

December 31, 2022

March 31, 2022

(in thousands)

GAAP operating expenses

$

19,836

$

22,827

$

27,825

Impairment of long-lived assets

(432

)

(1,501

)

-

Loss on disposal of property and equipment

(55

)

(247

)

-

Non-GAAP operating expenses

19,349

21,079

27,825

Stock-based compensation

(2,773

)

(2,663

)

(3,218

)

Termination benefits

-

(30

)

-

Depreciation and amortization

(305

)

(342

)

(472

)

Gain (loss) from deconsolidation

114

(35

)

-

Change in fair value of contingent consideration

-

-

188

Non-GAAP cash operating expenses

$

16,385

$

18,009

$

24,323

Supplemental Operating Metrics

March 31,

2023

2022

Change

Amount

Amount

Amount

%

HVT 2.0 and precision flow units installed base

United States

24,488

23,693

795

3.4

%

International

12,586

12,038

548

4.6

%

Total

37,074

35,731

1,343

3.8

%

Three Months Ended March 31,

2023

2022

Change

Amount

Amount

Amount

%

HVT 2.0 and precision flow units sold and leased

United States

260

322

(62

)

(19.3

)%

International

127

185

(58

)

(31.4

)%

Total

387

507

(120

)

(23.7

)%

Disposable patient circuits sold

United States

81,219

99,591

(18,372

)

(18.4

)%

International

39,184

48,036

(8,852

)

(18.4

)%

Total

120,403

147,627

(27,224

)

(18.4

)%

View source version on businesswire.com: https://www.businesswire.com/news/home/20230503005294/en/

Contacts

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

Advertisement