Vapotherm Reports Fourth Quarter and Fiscal Year 2023 Financial Results

Vapotherm, Inc. (OTCQX: VAPO), (“Vapotherm” or the “Company”), today announced fourth quarter and fiscal year 2023 financial results and related highlights.

 
[22-February-2024]
 
 

EXETER, N.H., Feb. 22, 2024 /PRNewswire/ -- Vapotherm Inc., (OTCQX: VAPO), ("Vapotherm" or the "Company"), today announced fourth quarter and fiscal year 2023 financial results and related highlights.

Fourth Quarter 2023 Financial Results and Related Highlights

  • Net revenue for the fourth quarter of 2023 was $19.7 million, an increase of 5.7% as compared to the fourth quarter of 2022
    • Disposables revenue increased by 10.4% as compared to the fourth quarter of 2022
  • Gross margin in the fourth quarter of 2023 was 46.6% as compared to 27.5% in the fourth quarter of 2022 and 39.6% in the third quarter of 2023
  • For the fourth quarter of 2023, GAAP operating expenses were $14.2 million and non-GAAP cash operating expenses were $11.9 million. Both decreased compared to the prior year period and third quarter of 2023 as a result of the Company's Path to Profitability initiatives:
    • GAAP operating expenses decreased by $8.6 million from the fourth quarter of 2022 and by $2.1 million from the third quarter of 2023
    • Non-GAAP cash operating expenses decreased by $6.1 million from the fourth quarter of 2022 and by $0.4 million from the third quarter of 2023
  • Adjusted EBITDA loss in the fourth quarter of 2023 was $2.0 million as compared to an Adjusted EBITDA loss of $12.0 million in the fourth quarter of 2022 and an Adjusted EBITDA loss of $6.1 million in the third quarter of 2023
  • The Company's unrestricted cash and cash equivalents was $9.7 million at the end of the fourth quarter of 2023
  • The HYPERACT clinical trial results were presented at the Society of Critical Care Medicine Conference on January 23, 2024, which concluded that our therapy was as effective as the current gold standard at reducing CO2, improving pH and reducing dyspnea in moderate to severe hypercapnic COPD patients. Additionally, this study showed high velocity therapy to have superior patient tolerance than the current gold standard

Fiscal Year 2023 Financial Results and Related Highlights

  • Total revenue for 2023 was $68.7 million, an increase of 2.8% as compared to 2022
    • Non-GAAP net revenue excluding the Vapotherm Access call center business, which the Company exited in the fourth quarter of 2022, increased by 7.2% as compared to 2022
    • Non-GAAP net revenue excluding the Vapotherm Access call center business increased by 17.2% over the last three quarters of 2023 as compared to the last three quarters of 2022
    • Disposables revenue increased by 8.0% as compared to 2022
  • Gross margin in 2023 was 41.2%, an increase from 25.8% in 2022
  • GAAP operating expenses in 2023 were $67.4 million and non-GAAP cash operating expenses were $54.8 million. Both decreased compared to the prior year period as a result of the Company's Path to Profitability initiatives:
    • GAAP operating expenses decreased by $50.3 million from 2022
    • Non-GAAP cash operating expenses decreased by $28.8 million from 2022

"We made significant progress on our Path to Profitability Initiatives in 2023," said Joseph Army, President and CEO. "We saw good improvement in our gross margin, reduced our inventory balances and cash burn, and our Adjusted EBITDA loss in the fourth quarter of 2023 was the lowest it's been since 2018. Despite the large reductions we made in Non-GAAP cash operating expenses in 2023 we continued to invest in future growth drivers such as HVT 2.0, clinical studies and the home ventilation platform. Our HVT 2.0 installed base is growing nicely and is showing increased disposables utilization versus our workhorse Precision Flow product. I'm excited that we were able to share the results of the HYPERACT clinical trial in late January. We believe the combination of the HVT 2.0 platform with these clinical results will allow us to become the standard of care for patients in respiratory distress who present in the emergency department. I'd like to thank our entire team for all of their contributions in executing on our Path to Profitability Initiatives in 2023 and I look forward to building on this in 2024 and getting ready for our launch into the home market in early 2025."

Results for the Three Months Ended December 31, 2023

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

   

Three Months Ended December 31,

             
   

2023

   

2022

   

Change

 
   

(in thousands, except percentages)

 
   

Amount

   

% of Revenue

   

Amount

   

% of Revenue

   

$

   

%

 

Revenue

                                   

Capital (product & lease revenue)

 

$

2,733

     

13.8

%

 

$

3,039

     

16.3

%

 

$

(306)

     

(10.1)

%

Disposables

   

15,586

     

79.0

%

   

14,113

     

75.6

%

   

1,473

     

10.4

%

Service and other (1)

   

1,415

     

7.2

%

   

1,511

     

8.1

%

   

(96)

     

(6.4)

%

Total net revenue

 

$

19,734

     

100.0

%

 

$

18,663

     

100.0

%

 

$

1,071

     

5.7

%

   

(1)

Includes $70,000 in revenue from Vapotherm Access in the fourth quarter of 2022

Net revenue for the fourth quarter of 2023 was $19.7 million and increased 5.7% over the fourth quarter of 2022 due to an increase in capital and disposables demand in the International markets and higher average selling prices worldwide. Excluding revenue from Vapotherm Access, which the Company exited in the fourth quarter of 2022, non-GAAP net revenue increased by 6.1% as compared to the fourth quarter of 2022.

Revenue information by geography is summarized as follows:

   

Three Months Ended December 31,

             
   

2023

   

2022

   

Change

 
   

(in thousands, except percentages)

 
   

Amount

   

% of Revenue

   

Amount

   

% of Revenue

   

$

   

%

 

United States (1)

 

$

14,686

     

74.4

%

 

$

15,531

     

83.2

%

 

$

(845)

     

(5.4)

%

International

   

5,048

     

25.6

%

   

3,132

     

16.8

%

   

1,916

     

61.2

%

Total net revenue

 

$

19,734

     

100.0

%

 

$

18,663

     

100.0

%

 

$

1,071

     

5.7

%

   

(1)

Includes $70,000 in revenue from Vapotherm Access in the fourth quarter of 2022

Gross profit and gross margin for the fourth quarter of 2023 was $9.2 million and 46.6%, respectively, as compared to gross profit of $5.1 million and gross margin of 27.5% for the fourth quarter of 2022. The increases in gross profit and gross margin were primarily due to continued benefits from the transition of the Company's manufacturing operations to Mexico, higher revenue and production levels, and inventory reserves and write-offs recorded in 2022 that did not recur in the current year period.

Total operating expenses were $14.2 million in the fourth quarter of 2023, a decrease of $8.6 million as compared to the fourth quarter of 2022. Non-GAAP cash operating expenses, excluding impairment charges, loss on disposal of property and equipment, depreciation and amortization, stock-based compensation expense, termination benefits, and loss from deconsolidation were $11.9 million in the fourth quarter of 2023 compared to $18.0 million in the fourth quarter of 2022 and $12.3 million in the third quarter of 2023. The decreases in operating expenses and non-GAAP cash operating expenses were primarily due to the Company's Path to Profitability initiatives.

Net loss for the fourth quarter of 2023 was $10.2 million, or $1.60 per share, compared to $21.4 million, or $6.28 per share, in the fourth quarter of 2022. Net loss per share was based on 6,366,734 and 3,416,093 weighted average shares outstanding for the fourth quarter of 2023 and 2022, respectively.

Adjusted EBITDA was negative $2.0 million for the fourth quarter of 2023 as compared to negative $12.0 million for the fourth quarter of 2022. The reduction in Adjusted EBITDA loss was primarily due to the Company's Path to Profitability initiatives.

Results for the Year Ended December 31, 2023

The following table reflects the Company's net revenue for the years ended December 31, 2023 and 2022:

   

Year Ended December 31,

             
   

2023

   

2022

   

Change

 
   

(in thousands, except percentages)

 
   

Amount

   

% of Revenue

   

Amount

   

% of Revenue

   

$

   

%

 

Revenue

                                   

Capital Equipment (product & lease revenue)

 

$

12,766

     

18.6

%

 

$

11,650

     

17.4

%

 

$

1,116

     

9.6

%

Disposable

   

50,100

     

73.0

%

   

46,368

     

69.4

%

   

3,732

     

8.0

%

Service and Other (1)

   

5,803

     

8.4

%

   

8,783

     

13.2

%

   

(2,980)

     

(33.9)

%

Net revenue

 

$

68,669

     

100.0

%

 

$

66,801

     

100.0

%

 

$

1,868

     

2.8

%

   

(1)

Includes $2,758,000 in revenue from Vapotherm Access in the year ended December 31, 2022

Net revenue for 2023 was $68.7 million and increased 2.8% over 2022 due to an increase in capital and disposables demand and higher average selling prices. These increases were partially offset by our exit from the Vapotherm Access call center business, which the Company exited in the fourth quarter of 2022. Excluding revenue from Vapotherm Access, non-GAAP net revenue increased by 7.2% as compared to 2022.

Revenue information by geography is summarized as follows:

   

Year Ended December 31,

             
   

2023

   

2022

   

Change

 
   

(in thousands, except percentages)

 
   

Amount

   

% of Revenue

   

Amount

   

% of Revenue

   

$

   

%

 

United States (1)

 

$

51,023

     

74.3

%

 

$

52,591

     

78.7

%

 

$

(1,568)

     

(3.0)

%

International

   

17,646

     

25.7

%

   

14,210

     

21.3

%

   

3,436

     

24.2

%

Net Revenue

 

$

68,669

     

100.0

%

 

$

66,801

     

100.0

%

 

$

1,868

     

2.8

%

   

(1)

Includes $2,758,000 in revenue from Vapotherm Access in the year ended December 31, 2022

Gross profit and gross margin for the year ended December 31, 2023 was $28.3 million and 41.2%, respectively, as compared to gross profit of $17.2 million and gross margin of 25.8% for 2022. The increases in gross profit and gross margin were primarily due to continued benefits from the transition of the Company's manufacturing operations to Mexico, higher revenue and production levels, and inventory reserves and write-offs recorded in 2022 that did not recur in 2023.

Total operating expenses were $67.4 million in 2023, a decrease of $50.3 million as compared to 2022. Non-GAAP cash operating expenses, excluding impairment charges, loss on disposal of property and equipment, depreciation and amortization, stock-based compensation expense, termination benefits, loss from deconsolidation, and change in fair value of contingent consideration were $54.8 million in 2023 compared to $83.6 million in 2022. The decreases in operating expenses and non-GAAP cash operating expenses were primarily due to the Company's Path to Profitability initiatives.

Net loss for the year ended December 31, 2023 was $58.2 million, or $9.64 per share, compared to $113.3 million, or $33.89 per share, in 2022. Net loss per share was based on 6,037,468 and 3,341,617 weighted average shares outstanding in 2023 and 2022, respectively.

Adjusted EBITDA was negative $23.2 million for the year ended December 31, 2023 as compared to negative $65.2 million in 2022. 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 $9.7 million as of December 31, 2023 compared to $14.4 million as of September 30, 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 non-GAAP net revenue excluding Vapotherm Access, EBITDA, Adjusted EBITDA, non-GAAP operating expenses excluding impairment of goodwill, impairment of long-lived and intangible assets and gain (loss) on disposal of property and equipment, and non-GAAP cash operating expenses excluding additional items, including stock-based compensation expense, depreciation and amortization, termination benefits, 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"). Non-GAAP net revenue excluding Vapotherm Access represents net revenue less net revenue of Vapotherm Access, which the Company exited in the fourth quarter of 2022. 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 goodwill, impairment of long-lived and intangible assets, and loss on disposal of property and equipment. 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 4.2 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 anticipated continued success of HVT 2.0 and the Company's ability to become the standard of care for patients in respiratory distress who present in the emergency department. 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 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's 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. 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 BALANCE SHEETS

(In thousands, except share amounts)

 
   

December 31,

 
   

2023

   

2022

 

Assets

           

Current assets

           

Cash and cash equivalents

 

$

9,725

   

$

15,738

 

Accounts receivable, net of expected credit losses
   of $160 and $227, respectively

   

10,672

     

9,102

 

Inventories

   

22,968

     

32,980

 

Prepaid expenses and other current assets

   

3,058

     

2,081

 

Total current assets

   

46,423

     

59,901

 

Property and equipment, net

   

23,703

     

26,636

 

Operating lease right-of-use assets

   

3,372

     

5,805

 

Restricted cash

   

1,109

     

1,109

 

Goodwill

   

565

     

536

 

Intangible assets, net

   

-

     

-

 

Deferred income tax assets

   

57

     

96

 

Other long-term assets

   

2,388

     

2,112

 

Total assets

 

$

77,617

   

$

96,195

 

Liabilities and Stockholders' Deficit

           

Current liabilities

           

Accounts payable

 

$

5,053

   

$

2,739

 

Contract liabilities

   

1,237

     

1,216

 

Accrued expenses and other current liabilities

   

12,805

     

15,609

 

Revolving loan facility

   

-

     

-

 

Total current liabilities

   

19,095

     

19,564

 

Long-term loans payable, net

   

107,059

     

96,994

 

Other long-term liabilities

   

6,797

     

7,827

 

Total liabilities

   

132,951

     

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 December 31, 2023 and 2022

   

-

     

-

 

Common stock ($0.001 par value) 21,875,000 shares authorized as of
   December 31, 2023 and 2022, 6,165,806 and 3,564,505 shares
   issued and outstanding as of December 31, 2023 and 2022, respectively (1)

   

6

     

4

 

Additional paid-in capital

   

492,764

     

461,965

 

Accumulated other comprehensive income (loss)

   

91

     

(157)

 

Accumulated deficit

   

(548,195)

     

(490,002)

 

Total stockholders' deficit

   

(55,334)

     

(28,190)

 

Total liabilities and stockholders' deficit

 

$

77,617

   

$

96,195

 
   
 

          (1) On August 18, 2023, the Company effected a 1:8 reverse stock split for each share of common stock issued
          and outstanding. All shares and associated amounts have been retroactively restated to reflect the stock split.

 

VAPOTHERM, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

(In thousands, except share and per share amounts)

 
   

Three Months Ended
December 31,

   

Year Ended
December 31,

 
   

2023

   

2022

   

2023

   

2022

 
   

(unaudited)

       

Net revenue

 

$

19,734

   

$

18,663

   

$

68,669

   

$

66,801

 

Cost of revenue

   

10,536

     

13,540

     

40,386

     

49,558

 

Gross profit

   

9,198

     

5,123

     

28,283

     

17,243

 

Operating expenses

                       

Research and development

   

3,371

     

4,561

     

14,213

     

20,802

 

Sales and marketing

   

6,717

     

9,476

     

32,552

     

46,091

 

General and administrative

   

4,041

     

7,042

     

19,260

     

27,796

 

Impairment of goodwill

   

-

     

-

     

-

     

14,701

 

Impairment of long-lived and intangible assets

   

-

     

1,501

     

1,187

     

7,676

 

Loss on disposal of property and equipment

   

98

     

247

     

151

     

568

 

Total operating expenses

   

14,227

     

22,827

     

67,363

     

117,634

 

Loss from operations

   

(5,029)

     

(17,704)

     

(39,080)

     

(100,391)

 

Other (expense) income

                       

Interest expense

   

(4,932)

     

(3,771)

     

(18,733)

     

(11,643)

 

Interest income

   

8

     

26

     

78

     

139

 

Foreign currency loss

   

(158)

     

(51)

     

(332)

     

(239)

 

Loss on extinguishment of debt

   

-

     

-

     

-

     

(1,114)

 

Net loss before income taxes

 

$

(10,111)

   

$

(21,500)

   

$

(58,067)

   

$

(113,248)

 

Provision (benefit) for income taxes

   

74

     

(63)

     

126

     

11

 

Net loss

 

$

(10,185)

   

$

(21,437)

   

$

(58,193)

   

$

(113,259)

 

Other comprehensive income (loss):

                       

Foreign currency translation adjustments

   

280

     

229

     

248

     

(183)

 

Total other comprehensive income (loss)

   

280

     

229

     

248

     

(183)

 

Total comprehensive loss

 

$

(9,905)

   

$

(21,208)

   

$

(57,945)

   

$

(113,442)

 

Net loss per share basic and diluted

 

$

(1.60)

   

$

(6.28)

   

$

(9.64)

   

$

(33.89)

 

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

   

6,366,734

     

3,416,093

     

6,037,468

     

3,341,617

 
 

               (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.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

 
   

Year Ended December 31,

 
   

2023

   

2022

 

Cash flows from operating activities

           

Net loss

 

$

(58,193)

   

$

(113,259)

 

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

           

Stock-based compensation expense

   

9,611

     

10,385

 

Depreciation and amortization

   

4,977

     

5,180

 

Provision for credit losses

   

(18)

     

224

 

Provision for inventory valuation

   

744

     

3,083

 

Non-cash lease expense

   

937

     

2,127

 

Change in fair value of contingent consideration

   

-

     

(3,351)

 

Impairment of goodwill

   

-

     

14,701

 

Impairment of long-lived and intangible assets

   

1,187

     

7,676

 

Loss on disposal of property and equipment

   

151

     

568

 

Placed unit reserve

   

758

     

646

 

Interest paid in-kind

   

9,488

     

-

 

Amortization of discount on debt

   

736

     

686

 

Loss from deconsolidation

   

-

     

35

 

Deferred income taxes

   

38

     

11

 

Loss on extinguishment of debt

   

-

     

1,114

 

Changes in operating assets and liabilities:

           

Accounts receivable

   

(1,511)

     

1,162

 

Inventories

   

9,361

     

449

 

Prepaid expenses and other assets

   

(913)

     

(1,771)

 

Accounts payable

   

2,454

     

(3,347)

 

Contract liabilities

   

21

     

(844)

 

Accrued expenses and other liabilities

   

(1,850)

     

(3,285)

 

Operating lease liabilities, current and long-term

   

(2,250)

     

(2,347)

 

Net cash used in operating activities

   

(24,272)

     

(80,157)

 

Cash flows from investing activities

           

Purchases of property and equipment

   

(2,994)

     

(11,610)

 

Net cash used in investing activities

   

(2,994)

     

(11,610)

 

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

   

-

     

(1,567)

 

Repayments on revolving loan facility

   

-

     

(6,608)

 

Payment of contingent consideration

   

-

     

(135)

 

Proceeds from issuance of common stock in connection with at-the-market offerings, net

   

-

     

1,064

 

Proceeds from exercise of warrants

   

2

     

-

 

Proceeds from issuance of common stock under Employee Stock Purchase Plan

   

93

     

228

 

Proceeds from exercise of stock options

   

-

     

65

 

Net cash provided by financing activities

   

21,038

     

51,324

 

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

   

215

     

(34)

 

Net decrease in cash, cash equivalents and restricted cash

   

(6,013)

     

(40,477)

 

Cash, cash equivalents and restricted cash

           

Beginning of period

   

16,847

     

57,324

 

End of period

 

$

10,834

   

$

16,847

 

Supplemental disclosures of cash flow information

           

Interest paid during the period

 

$

5,857

   

$

8,834

 

Property and equipment purchases in accounts payable and accrued expenses

 

$

809

   

$

702

 

Issuance of common stock to satisfy contingent consideration

 

$

-

   

$

5,630

 

Issuance of common stock warrants in conjunction with long term debt

 

$

152

   

$

1,201

 

Issuance of common stock for services

 

$

232

   

$

360

 

Issuance of common stock upon vesting of restricted stock units

 

$

-

   

$

12

 

 

Non-GAAP Financial Measures

The following tables contains a reconciliation of GAAP net revenue to Non-GAAP net revenue excluding Vapotherm Access for the three months and years ended December 31, 2023 and 2022, respectively, and the growth of such GAAP net revenue and Non-GAAP net revenue excluding Vapotherm Access over the prior year period.

   

Three Months Ended December 31,

   

Change

 
   

2023

   

2022

   

$

   

%

 

(Unaudited)

 

(in thousands, except percentages)

 

GAAP net revenue

 

$

19,734

   

$

18,663

   

$

1,071

     

5.7

%

Vapotherm Access net revenue

   

-

     

(70)

     

70

     

(100.0)

%

Non-GAAP net revenue excluding Vapotherm Access

 

$

19,734

   

$

18,593

   

$

1,141

     

6.1

%

 

   

Year Ended December 31,

   

Change

 
   

2023

   

2022

   

$

   

%

 

(Unaudited)

 

(in thousands, except percentages)

 

GAAP net revenue

 

$

68,669

   

$

66,801

   

$

1,868

     

2.8

%

Vapotherm Access net revenue

   

-

     

(2,758)

     

2,758

     

(100.0)

%

Non-GAAP net revenue excluding Vapotherm Access

 

$

68,669

   

$

64,043

   

$

4,626

     

7.2

%

 

The following table contains a reconciliation of net loss to Adjusted EBITDA for the three months and years ended December 31, 2023 and 2022, respectively.

   

Three Months Ended
December 31,

   

Year Ended
December 31,

 
   

2023

   

2022

   

2023

   

2022

 

(Unaudited)

 

(in thousands)

 

Net loss

 

$

(10,185)

   

$

(21,437)

   

$

(58,193)

   

$

(113,259)

 

Interest expense, net

   

4,924

     

3,745

     

18,655

     

11,504

 

Provision (benefit) for income taxes

   

74

     

(63)

     

126

     

11

 

Depreciation and amortization

   

971

     

1,174

     

4,977

     

5,180

 

EBITDA

 

$

(4,216)

   

$

(16,581)

   

$

(34,435)

   

$

(96,564)

 

Foreign currency

   

158

     

51

     

332

     

239

 

Loss on extinguishment of debt

   

-

     

-

     

-

     

1,114

 

Change in fair value of contingent consideration

   

-

     

-

     

-

     

(3,351)

 

Stock-based compensation

   

1,986

     

2,760

     

9,611

     

10,385

 

Impairment of goodwill

   

-

     

-

     

-

     

14,701

 

Impairment of long-lived and intangible assets

   

-

     

1,501

     

1,187

     

7,676

 

Loss on disposal of property and equipment

   

98

     

247

     

151

     

568

 

Adjusted EBITDA

 

$

(1,974)

   

$

(12,022)

   

$

(23,154)

   

$

(65,232)

 

 

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 December 31, 2023, September 30, 2023 and December 31, 2022, respectively.

   

Three Months Ended

 
   

December 31,
2023

   

September 30,
2023

   

December 31,
2022

 

(Unaudited)

 

(in thousands)

 

GAAP operating expenses

 

$

14,227

   

$

16,284

   

$

22,827

 

Impairment of goodwill

   

-

     

-

     

-

 

Impairment of long-lived and intangible assets

   

-

     

(755)

     

(1,501)

 

Loss on disposal of property and equipment

   

(98)

     

-

     

(247)

 

Non-GAAP operating expenses

   

14,129

     

15,529

     

21,079

 

Stock-based compensation

   

(1,967)

     

(2,161)

     

(2,663)

 

Depreciation and amortization

   

(286)

     

(754)

     

(342)

 

Termination benefits

   

-

     

(312)

     

(30)

 

Loss from deconsolidation

   

-

     

-

     

(35)

 

Non-GAAP cash operating expenses

 

$

11,876

   

$

12,302

   

$

18,009

 

 

The following table contains a reconciliation of operating expenses to Non-GAAP operating expenses and Non-GAAP cash operating expenses for the years ended December 31, 2023 and 2022, respectively.

   

Year Ended December 31,

 
   

2023

   

2022

 

(Unaudited)

 

(in thousands)

 

GAAP operating expenses

 

$

67,363

   

$

117,634

 

Impairment of goodwill

   

-

     

(14,701)

 

Impairment of long-lived and intangible assets

   

(1,187)

     

(7,676)

 

Loss on disposal of property and equipment

   

(151)

     

(568)

 

Non-GAAP operating expenses

   

66,025

     

94,689

 

Stock-based compensation

   

(9,435)

     

(9,668)

 

Depreciation and amortization

   

(1,195)

     

(1,709)

 

Termination benefits

   

(754)

     

(3,060)

 

Loss from deconsolidation

   

119

     

(35)

 

Change in fair value of contingent consideration

   

-

     

3,351

 

Non-GAAP cash operating expenses

 

$

54,760

   

$

83,568

 

Supplemental Operating Metrics

 

December 31,

             
 

2023

   

2022

   

Change

 
 

Amount

   

Amount

   

Amount

   

%

 

HVT 2.0 and precision flow units installed base

                     

United States

 

24,617

     

24,327

     

290

     

1.2

%

International

 

12,892

     

12,439

     

453

     

3.6

%

Total

 

37,509

     

36,766

     

743

     

2.0

%

                       
 

Three Months Ended December 31,

             
 

2023

   

2022

   

Change

 
 

Amount

   

Amount

   

Amount

   

%

 

HVT 2.0 and precision flow units sold and leased

                     

United States

 

178

     

239

     

(61)

     

(25.5)

%

International

 

88

     

75

     

13

     

17.3

%

Total

 

266

     

314

     

(48)

     

(15.3)

%

                       

Disposable patient circuits sold

                     

United States

 

98,749

     

104,302

     

(5,553)

     

(5.3)

%

International

 

45,137

     

24,551

     

20,586

     

83.8

%

Total

 

143,886

     

128,853

     

15,033

     

11.7

%

                       
 

Year Ended December 31,

             
 

2023

   

2022

   

Change

 
 

Amount

   

Amount

   

Amount

   

%

 

HVT 2.0 and precision flow units sold and leased

                     

United States

 

874

     

813

     

61

     

7.5

%

International

 

489

     

531

     

(42)

     

(7.9)

%

Total

 

1,363

     

1,344

     

19

     

1.4

%

                       

Disposable patient circuits sold

                     

United States

 

319,641

     

331,044

     

(11,403)

     

(3.4)

%

International

 

153,396

     

118,226

     

35,170

     

29.7

%

Total

 

473,037

     

449,270

     

23,767

     

5.3

%

                       

 

Investor Relations Contacts:
John Landry, SVP & CFO, ir@vtherm.com, +1 (603) 658-0011

Cision View original content to download multimedia:https://www.prnewswire.com/news-releases/vapotherm-reports-fourth-quarter-and-fiscal-year-2023-financial-results-302069156.html

SOURCE Vapotherm, Inc.

 
 
Company Codes: OTC-BB:VAPO, OTC-PINK:VAPO, OTC-QX:VAPO, OtherOTC:VAPO
 
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