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press release

May 5, 2020, 4:02 p.m. EDT

Vapotherm Reports First Quarter 2020 Financial Results

First Quarter 2020 Revenue of $19.1 Million Reflects 55.4% Increase Over Prior Year

Vapotherm, Inc. /zigman2/quotes/206318264/composite VAPO +2.41% , (“Vapotherm” or the “Company”), a global medical technology company focused on the development and commercialization of its proprietary Hi-VNI® Technology products that are used to treat patients of all ages suffering from respiratory distress, today announced first quarter 2020 financial results.

First Quarter 2020 Summary

  • Revenue for the first quarter of 2020 was $19.1 million, representing a 55.4% increase over the prior year period

  • Worldwide installed base of Precision Flow Hi-VNI systems grew by 22.7% compared to the first quarter of 2019

  • Gross margin was 48.2% or 610 basis points higher than gross margin of 42.1% in the first quarter of 2019

Second Quarter 2020 Update

  • Preliminary unaudited revenue for the month ended April 30, 2020 is estimated to be between $19.0 million and $19.3 million

  • Worldwide installed base of Precision Flow Hi-VNI systems grew by over 2,200 for the month ended April 30, 2020 compared to nearly 1,300 during the entire first quarter of 2020

“We believe the first quarter of 2020 was transformational for Vapotherm as significant customer demand in both new and existing accounts due to COVID-19 materially increased the awareness of our Hi-VNI Technology for treating patients suffering from respiratory distress. In the first quarter, we significantly exceeded expectations for revenue, continued the rapid expansion of our worldwide installed base of Precision Flow systems, and improved our gross margin by 610 basis points over the prior year period despite strong head winds. I am especially proud of the effort of our operations team and suppliers as we dramatically increased production capacity to meet increased demand,” said Joe Army, President and CEO of Vapotherm. “The second quarter is off to a very strong start as we continue to see increased demand from our new and existing customers treating the respiratory distress experienced by many COVID-19 patients, allowing us to significantly increase our worldwide installed base. We intend to focus on managing our supply chain to support our increased production levels along with continuing to improve our gross margin and expanding our limited market release of the Oxygen Assist Module in the U.K. and potentially in certain European markets.”

Results for the Three Months Ended March 31, 2020

The following table reflects the Company’s revenue for the three months ended March 31, 2020 and 2019:

    Three Months Ended March 31,                
    2020   2019   Change
    (in thousands, except percentages)                
    Amount     % of Revenue   Amount     % of Revenue     $     %
Capital Equipment (product & lease revenue)   $ 6,034       31.6 %   $ 2,678       21.8 %   $ 3,356       125.3 %
Disposable     12,430       65.0 %     9,019       73.3 %     3,411       37.8 %
Service and Other     651       3.4 %     602       4.9 %     49       8.1 %
Total Revenue   $ 19,115       100.0 %   $ 12,299       100.0 %   $ 6,816       55.4 %

Revenue for the first quarter of 2020 was $19.1 million, a 55.4% increase over the first quarter of 2019, and in line with preliminary first quarter revenue of $18.9 million as announced on April 13, 2020. Total capital revenue, including both product sales, lease revenue, and other lease revenue increased 125.3% over the first quarter of 2019. This increase was primarily as a result of increased sales and leases of our Precision Flow units. Total disposable revenue increased 37.8% year over year, primarily driven by an increase in the worldwide installed base of Precision Flow units and increased utilization to treat the respiratory distress experienced by many COVID-19 patients.

Revenue information by geography is summarized as follows:

    Three Months Ended March 31,                
    2020   2019   Change
    (in thousands, except percentages)                
    Amount     % of Revenue     Amount     % of Revenue   $     %  
United States   $ 14,341       75.0 %   $ 10,049       81.7 %   $ 4,292       42.7 %
International     4,774       25.0 %     2,250       18.3 %     2,524       112.2 %
Total Revenue   $ 19,115       100.0 %   $ 12,299       100.0 %   $ 6,816       55.4 %

U.S. and International revenue growth in the first quarter of 2020 was driven by an increase in single-use disposable sales due to higher installed bases of Precision Flow units and increased utilization to treat the respiratory distress experienced by many COVID-19 patients, as well as an increase in the number of Precision Flow units sold year over year.

Gross profit for the first quarter of 2020 was $9.2 million, an increase of $4.0 million over the first quarter of 2019. Gross margin was 48.2% in the first quarter of 2020 compared to 42.1% in the first quarter of 2019. Gross margin was positively impacted by improved overhead absorption as production capacity increased, higher U.S. disposable average selling prices and higher International capital average selling prices. Partially offsetting these positive factors were strong headwinds, including higher labor costs and increased supplier freight and expediting fees to meet the rapid increase in production capacity, and to a lesser extent a higher mix of capital equipment revenue and a higher mix of International revenue.

Operating expenses were $21.9 million in the first quarter of 2020, an increase of $4.6 million as compared to $17.3 million in the same period last year. The increase in operating expenses was primarily a result of higher sales and marketing expenses due to increased sales commissions as a result of increased revenue and increased headcount, as well as higher general and administrative expenses.

Net loss for the first quarter of 2020 was $13.8 million, or $0.66 per share, compared to $13.0 million, or $0.76 per share, in the first quarter of 2019. Net loss per share was based on 20,882,949 and 16,949,027 weighted average shares outstanding for the first quarter of 2020 and 2019, respectively.

Adjusted EBITDA was ($10.2) million for the first quarter of 2020 as compared to ($9.6) million for the first quarter of 2019. The $0.5 million increase in Adjusted EBITDA loss in the first quarter of 2020 was primarily due to higher operating expenses resulting from higher levels of sales and marketing expenses, primarily sales commissions and increased headcount, and general and administrative expenses, partially offset by higher gross profit.

Cash Position

Cash and cash equivalents were $60.4 million as of March 31, 2020 compared to $71.7 million as of December 31, 2019.

Subsequent to March 31, 2020, the Company has raised gross proceeds of $10.2 million, or $9.9 million net of commissions, through its At-The-Market facility.

Fiscal 2020 Outlook

As announced on April 13, 2020, Vapotherm has withdrawn its previously provided annual guidance for 2020 due to the inability to estimate the scope, duration, and impact of the COVID-19 pandemic and the full year effect on the Company’s operations and financial results. Vapotherm will continue to evaluate the impact of the COVID-19 pandemic on its operations and financial results and will provide additional information, to the extent practicable, during its next earnings release.

The preliminary financial information for the month ended April 30, 2020 presented in this press release is based on Vapotherm’s current expectations and may be adjusted as a result of, among other things, completion of customary quarterly review procedures.

Conference Call

Management will host a conference call at 4:30 p.m. Eastern Time on May 5, 2020 to discuss the results of the quarter and the year with a question and answer session. To listen to the conference call on your telephone, please dial (877) 201-0168 for U.S. callers, or (647) 788-4901 for international callers, approximately ten minutes prior to the start time and reference conference code 4593734. To listen to a live webcast, please visit the Investors section of the Vapotherm website at: http://investors.vapotherm.com/events-and-presentations/events . The webcast replay will be available on the Vapotherm website for 90 days following completion of the call. A replay of this conference call will be available by telephone through May 12, 2020 by dialing (800) 585-8367 in the U.S. or (416) 621-4642 outside of the U.S. The replay access code is 4593734.

Website Information

Vapotherm routinely posts important information for investors on the Investor Relations section of its website, http://investors.vapotherm.com/ . Vapotherm intends to use this website as a means of disclosing material, non-public information and for complying with Vapotherm’s disclosure obligations under Regulation FD. Accordingly, investors should monitor the Investor Relations section of Vapotherm’s website, in addition to following Vapotherm’s press releases, Securities and Exchange Commission filings, public conference calls, presentations and webcasts. The information contained on, or that may be accessed through, Vapotherm’s website is not incorporated by reference into, and is not a part of, this document.

Non-GAAP Financial Measures

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

Adjusted EBITDA is presented because the Company believes it is a useful indicator of its operating performance. Management uses the measure principally as a measure of the Company’s operating performance and for planning purposes, including the preparation of the Company’s annual operating budget and financial projections. The Company believes this measure is useful to investors as supplemental information because it is frequently used by analysts, investors and other interested parties to evaluate companies in its industry. The Company believes Adjusted EBITDA is useful to its management and investors as a measure of comparative operating performance from period to period.

Adjusted EBITDA is a non-GAAP financial measure and should not be considered as an alternative to, or superior to, net income or loss as a measure of financial performance or cash flows from operations as a measure of liquidity, or any other performance measure derived in accordance with GAAP. It should not be construed to imply that the Company’s future results will be unaffected by unusual or non-recurring items. In addition, the measure is not intended to be a measure of free cash flow for management’s discretionary use, as it does not reflect certain cash requirements such as tax payments, debt service requirements, capital expenditures and certain other cash costs that may recur in the future. Adjusted EBITDA contain certain other limitations, including the failure to reflect our capital expenditures, cash requirements for working capital needs and cash costs to replace assets being depreciated and amortized. In evaluating Adjusted EBITDA, you should be aware that in the future the Company may incur expenses that are the same as or similar to some of the adjustments in this presentation. The Company’s presentation of Adjusted EBITDA should not be construed to imply that its future results will be unaffected by any such adjustments. Management compensates for these limitations by primarily relying on the Company’s GAAP results in addition to using Adjusted EBITDA on a supplemental basis. The Company’s definition of this measure is not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation.

About Vapotherm

Vapotherm, Inc. is a publicly traded developer and manufacturer of advanced respiratory technology based in Exeter, New Hampshire, USA. The Company develops innovative, comfortable, non-invasive technologies for respiratory support of patients with chronic or acute breathing disorders. Over 2.2 million patients have been treated with Vapotherm Hi-VNI Technology. Hi-VNI Technology is mask-free noninvasive ventilatory support for spontaneously breathing patients and is a front-line tool for relieving respiratory distress—including hypercapnia, hypoxemia, and dyspnea. It allows for the fast, safe treatment of undifferentiated respiratory distress with one tool. Hi-VNI Technology’s mask-free interface delivers optimally conditioned breathing gases, making it comfortable for patients and reducing the risks associated with mask therapies. While being treated, patients can talk, eat, drink and take oral medication. For more information, visit www.vapotherm.com .

Legal Notice Regarding Forward-Looking Statements

This press release contains forward-looking statements, including statements about our ability to meet increased demand from our customers during the COVID-19 pandemic, our ability to manage our supply chain during the COVID-19 pandemic, increasing our installed base, commercializing our Oxygen Assist Module and improving our gross margins. In some cases, you can identify forward-looking statements by terms such as ‘‘expect,’’ “guide” or “typically” or the negative of these terms or other similar expressions, although not all forward-looking statements contain these words. Each forward-looking statement is subject to risks and uncertainties that could cause actual results to differ materially from those expressed or implied in such statement. Applicable risks and uncertainties include, but are not limited to the following: Vapotherm has incurred losses in the past and may be unable to achieve or sustain profitability in the future, Vapotherm may need to raise additional capital to fund its existing commercial operations, develop and commercialize new products, and expand its operations, Vapotherm’s dependence on sales generated from its Precision Flow systems, competition from multi-national corporations who have significantly greater resources than Vapotherm and are more established in the respiratory market, the ability for Precision Flow systems to gain increased market acceptance, its inexperience directly marketing and selling its products, the potential loss of one or more suppliers, Vapotherm’s susceptibility to seasonal fluctuations, Vapotherm’s failure to comply with applicable United States and foreign regulatory requirements, the failure to obtain U.S. Food and Drug Administration or other regulatory authorization to market and sell future products or its inability to secure and maintain patent or other intellectual property protection for its products, the impact of the COVID-19 pandemic 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, 2019, as filed with the Securities and Exchange Commission on March 4, 2020, Vapotherm’s Current Report on Form 8-K filed with the Securities and Exchange Commission on April 13, 2020, Vapotherm’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2020, as filed with the Securities and Exchange Commission on May 5, 2020 and in any subsequent filings with the Securities and Exchange Commission. The forward-looking statements contained in this press release reflect Vapotherm’s views as of the date hereof, and Vapotherm does not assume and specifically disclaims any obligation to update any forward-looking statements whether as a result of new information, future events or otherwise, except as required by law.

Financial Statements:

    March 31, 2020     December 31, 2019  
Current assets                
Cash and cash equivalents   $ 60,393     $ 71,655  
Accounts receivable, net     11,948       8,243  
Inventories     9,103       9,137  
Prepaid expenses and other current assets     4,021       4,066  
Total current assets     85,465       93,101  
Property and equipment, net     15,696       15,086  
Restricted cash     1,852       1,852  
Goodwill     549       588  
Intangible assets, net     303       353  
Deferred income tax assets     63       66  
Other long-term assets     856       844  
Total assets   $ 104,784     $ 111,890  
Liabilities and Stockholders’ Equity                
Current liabilities                
Accounts payable   $ 4,614     $ 3,375  
Contract liabilities     175       137  
Accrued expenses and other current liabilities     12,152       9,187  
Short-term line of credit     4,489       3,491  
Total current liabilities     21,430       16,190  
Long-term loans payable, net     41,858       41,787  
Other long-term liabilities     127       174  
Total liabilities     63,415       58,151  
Commitments and contingencies (Note 9)                
Stockholders' equity                
Preferred stock ($0.001 par value) 25,000,000 shares authorized; no shares issued     -       -  
Common stock ($0.001 par value) 175,000,000 shares authorized as of     21       21  
Additional paid-in capital     320,660       319,115  
Accumulated other comprehensive income (loss)     (27 )     44  
Accumulated deficit     (279,285 )     (265,441 )
Total stockholders' equity     41,369       53,739  
Total liabilities and stockholders’ equity   $ 104,784     $ 111,890  
Vapotherm, Inc.
    Three Months Ended March 31,  
    2020     2019  
Net revenue   $ 19,115     $ 12,299  
Cost of revenue     9,898       7,120  
Gross profit     9,217       5,179  
Operating expenses                
Research and development     3,362       3,273  
Sales and marketing     13,317       9,161  
General and administrative     5,251       4,879  
Total operating expenses     21,930       17,313  
Loss from operations     (12,713 )     (12,134 )
Other (expense) income                
Foreign currency gain (loss)     24       (9 )
Interest income     125       203  
Interest expense     (1,295 )     (1,024 )
Other     15       -  
Net loss   $ (13,844 )   $ (12,964 )
Other comprehensive loss, net of tax:                
Foreign currency translation adjustments     (71 )     -  
Total other comprehensive loss   $ (71 )   $ -  
Total comprehensive loss   $ (13,915 )   $ (12,964 )
Net loss per share attributable to common stockholders - basic and diluted   $ (0.66 )   $ (0.76 )
Weighted-average number of shares used in calculating net     20,882,949       16,949,027  
    Three Months Ended March 31,  
    2020     2019  
Cash flows from operating activities                
Net loss   $ (13,844 )   $ (12,964 )
Adjustments to reconcile net loss to net cash used in operating activities                
Stock-based compensation expense     1,447       1,903  
Depreciation and amortization     1,097       621  
Provision for bad debts     101       13  
Provision for inventories     23       2  
Loss on disposal of property and equipment     3       23  
Amortization of discount on debt     63       44  
Changes in operating assets and liabilities, net of acquisition:                
Accounts receivable     (3,875 )     847  
Inventories     (12 )     1,780  
Prepaid expenses and other assets     33       197  
Accounts payable     1,310       (1,094 )
Contract liabilities     38       22  
Accrued expenses and other current liabilities     2,894       (1,225 )
Net cash used in operating activities     (10,722 )     (9,831 )
Cash flows from investing activities                
Purchases of property and equipment     (1,558 )     (1,128 )
Acquisition of business, net of cash acquired     -       (1,560 )
Net cash used in investing activities     (1,558 )     (2,688 )
Cash flows from financing activities                
Short-term line of credit     995       837  
Proceeds from exercise of stock options     40       -  
Proceeds on loans     -       10,500  
Debt issuance costs     -       (322 )
Net cash provided by financing activities     1,035       11,015  
Effect of exchange rate changes on cash, cash equivalents and restricted cash     (17 )     -  
Net decrease in cash, cash equivalents and restricted cash     (11,262 )     (1,504 )
Cash, cash equivalents and restricted cash                
Beginning of period     73,507       60,022  
End of period   $ 62,245     $ 58,518  
Supplemental disclosures of cash flow information                
Interest paid during the period   $ 1,202     $ 939  
Property and equipment purchases in accounts payable and accrued expenses   $ 36     $ 42  
Issuance of warrants in conjunction with debt draw down   $ -     $ 293  

Non-GAAP Financial Measures

The following tables contain a reconciliation of net loss to Adjusted EBITDA for the three ended March 31, 2020 and 2019, respectively.

    Three Months Ended March 31,
    2020     2019    
    (in thousands)    
Net loss   $ (13,844 )   $ (12,964 )  
Interest expense, net     1,170       821    
Depreciation and amortization     1,097       621    
EBITDA   $ (11,577 )   $ (11,522 )  
Foreign currency     (24 )     9    
Stock-based compensation     1,447       1,903    
Adjusted EBITDA   $ (10,154 )   $ (9,610 )  

Supplemental Operating Metrics

  Three Months Ended March 31,                  
  2020     2019     Change  
  Amount     Amount     Amount     %  
Precision Flow Units Installed Base                              
United States   12,715       10,713       2,002       18.7 %
International   5,153       3,846       1,307       34.0 %
Total   17,868       14,559       3,309       22.7 %
Precision Flow Units Sold and Leased                              
United States   623       324       299       92.3 %
International   419       141       278       197.2 %
Total   1,042       465       577       124.1 %
Disposable Patient Circuits Sold                              
United States   92,591       71,376       21,215       29.7 %
International   33,900       17,301       16,599       95.9 %
Total   126,491       88,677       37,814       42.6 %


View source version on businesswire.com: https://www.businesswire.com/news/home/20200505005840/en/

SOURCE: Vapotherm, Inc.

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

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Aug. 12, 2020 12:25p
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