Histogenics Corporation Announces Second Quarter 2018 Financial and Operating Results

WALTHAM, Mass., Aug. 09, 2018 (GLOBE NEWSWIRE) — Histogenics Corporation (Histogenics) (Nasdaq: HSGX), a leader in the development of restorative cell therapies (RCTs) that may offer rapid-onset pain relief and restored function, announced its financial and operating results for the quarter ended June 30, 2018.

“Our focus in the second quarter of 2018 was on the NeoCart Biologics License Application submission and we remain on track to announce top-line data in the third quarter of 2018.  In preparation for this exciting milestone, we enhanced our management team with the addition of Lynne Kelley as Chief Medical Officer.  Lynne’s experience and capabilities in medical and regulatory affairs and product development will be instrumental as we advance the preparation of the upcoming BLA for NeoCart,” said Adam Gridley, President and Chief Executive Officer of Histogenics.  “We also made important progress on the international expansion of the NeoCart platform alongside MEDINET, our NeoCart development and commercialization partner in Japan, as they prepare for the initiation of the Phase 3 trial in Japan in the second half of the year.”

Second Quarter 2018 and Recent Highlights

  • NeoCart top-line Phase 3 Data Release on Track for Third Quarter of 2018:  Histogenics expects to report top-line data from its 249-patient Phase 3 randomized, controlled clinical trial of NeoCart in the third quarter of 2018.  The trial is designed to show superiority of NeoCart at one year after treatment as compared to microfracture, the current standard of care, and will follow patients for three years.
  • Expansion and Enhancement of Executive Team:  In July 2018, Histogenics appointed Lynne Kelley as its Chief Medical Officer.  In this role, Dr. Kelley will leverage her 20 plus years of executive management and surgical experience in medical affairs, clinical operations, regulatory affairs and product development to establish Histogenics’ medical affairs strategy and build a medical affairs team to support the potential launch of NeoCart.  Dr. Kelley will also work with the executive team on the preparation of the upcoming Biologics License Application (BLA) for NeoCart and any related discussions with the United States Food and Drug Administration (FDA).
  • Held Inaugural Investor Day:  In June 2018, Histogenics hosted its first investor day in New York City.  Members of Histogenics’ management team discussed the commercialization plan for NeoCart and provided an overview of its Restorative Cell Technology platform.  The team was joined by leading orthopedic surgeons who shared their overall experiences with and provided their clinical perspectives on NeoCart, as well as a NeoCart patient from the Phase 3 clinical trial who provided his thoughts on his recovery, specifically the impact NeoCart has had on his ability to return to work and sports activities.  The event also included a discussion on the NeoCart mechanism of action based on work conducted as part of Histogenics’ collaboration with Cornell University.  A full replay of the webcast is available via the “Investor Relations” page of Histogenics’ website, www.histogenics.com, or by clicking here.

Financial Results for the Second Quarter of 2018

Loss from operations was $(7.3) million in the second quarter of 2018, compared to $(6.4) million in the second quarter of 2017.  The increase in operating expenses was due to an increase in both research and development expenses and general and administrative expenses.

Research and development expenses were $4.5 million in the second quarter of 2018, compared to $4.2 million in the second quarter of 2017.  The increase was primarily due to increases in consulting, salaries and materials in connection with the potential submission of a BLA for NeoCart with the FDA and was partially offset by a reduction in patient costs related to the NeoCart Phase 3 clinical trial, for which enrollment was completed in June 2017.  General and administrative expenses were $2.8 million in the second quarter of 2018, compared to $2.2 million in the second quarter of 2017.  The increase was primarily due to higher salaries and consulting expenses related to increased activities to support the potential commercialization of NeoCart.

Net loss attributable to common stockholders was $(3.7) million in the second quarter of 2018, or $(0.13) per share, compared to $(5.5) million, or $(0.25) per share, in the second quarter of 2017.  The decrease in net loss attributable to common stockholders is primarily due to the conversion of convertible preferred stock issued in connection with the 2016 private placement into common stock and a change in the fair value of the warrant liability which generated a gain in the second quarter of 2018, both of which were partially offset by an increase in operating expenses.

As of June 30, 2018, Histogenics had cash, cash equivalents and marketable securities of $8.8 million, compared to $8.0 million at December 31, 2017.  Histogenics believes its current cash position will be sufficient to fund its operations into the fourth quarter of 2018.

Conference Call and Webcast Information

Histogenics management will host a conference call on Thursday, August 9, 2018 at 8:30 a.m. EDT.  A question-and-answer session will follow Histogenics’ remarks.  To participate on the live call, please dial (877) 930-8064 (domestic) or (253) 336-8040 (international) and provide the conference ID “6679509” five to ten minutes before the start of the call.

To access a live audio webcast of the presentation on the “Investor Relations” page of the Histogenics website, please click here. A replay of the webcast will be archived on Histogenics’ website for approximately 45 days following the presentation.

About Histogenics Corporation

Histogenics (Nasdaq:  HSGX) is a leader in the development of restorative cell therapies that may offer rapid-onset pain relief and restored function.  Histogenics’ lead investigational product, NeoCart, is designed to rebuild a patient’s own knee cartilage to treat pain at the source and potentially prevent a patient’s progression to osteoarthritis.  NeoCart is one of the most rigorously studied restorative cell therapies for orthopedic use.  Histogenics completed enrollment of its NeoCart Phase 3 clinical trial in June 2017 and expects to report top-line, one-year superiority data in the third quarter of 2018.  NeoCart is designed to perform like articular hyaline cartilage at the time of treatment, and as a result, may provide patients with more rapid pain relief and accelerated recovery as compared to the current standard of care. Histogenics’ technology platform has the potential to be used for a broad range of additional restorative cell therapy indications. For more information on Histogenics and NeoCart, please visit www.histogenics.com.

Forward-Looking Statements

Various statements in this release are “forward-looking statements” under the securities laws.  Words such as, but not limited to, “anticipate,” “believe,” “can,” “could,” “expect,” “estimate,” “design,” “goal,” “intend,” “may,” “might,” “objective,” “plan,” “predict,” “project,” “target,” “likely,” “should,” “will,” and “would,” or the negative of these terms and similar expressions or words, identify forward-looking statements. Forward-looking statements are based upon current expectations that involve risks, changes in circumstances, assumptions and uncertainties.

Important factors that could cause actual results to differ materially from those reflected in Histogenics’ forward-looking statements include, among others:  the timing and success of Histogenics’ NeoCart Phase 3 clinical trial, including, without limitation, possible delays in generating the data from the clinical trial; the ability to obtain and maintain regulatory approval of NeoCart or any product candidates, and the labeling for any approved products; MEDINET’s ability to initiate NeoCart clinical development in Japan in a timely manner; NeoCart’s regulation as a Regenerative Medical Product in Japan; the market size and potential patient population in Japan; the scope, progress, timing, expansion, and costs of developing and commercializing Histogenics’ product candidates; the ability to obtain and maintain regulatory approval regarding the comparability of critical NeoCart raw materials following our technology transfer and manufacturing location transition; the size and growth of the potential markets for Histogenics’ product candidates and the ability to serve those markets; Histogenics’ expectations regarding its expenses and revenue; and other factors that are described in the “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” sections of Histogenics’ Annual Report on Form 10-K for the year ended December 31, 2017 and Quarterly Report on Form 10-Q for the quarter ended March 31, 2018, which are on file with the SEC and available on the SEC’s website at www.sec.gov.  Additional factors may be set forth in those sections of Histogenics Quarterly Report on Form 10-Q for the quarter ended June 30, 2018, to be filed with the SEC in the third quarter of 2018.  In addition to the risks described above and in Histogenics’ Annual Report on Form 10-K and Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and other filings with the SEC, other unknown or unpredictable factors also could affect Histogenics’ results.

There can be no assurance that the actual results or developments anticipated by Histogenics will be realized or, even if substantially realized, that they will have the expected consequences to, or effects on, Histogenics.  Therefore, no assurance can be given that the outcomes stated in such forward-looking statements and estimates will be achieved.

All written and verbal forward-looking statements attributable to Histogenics or any person acting on its behalf are expressly qualified in their entirety by the cautionary statements contained or referred to herein.  Histogenics cautions investors not to rely too heavily on the forward-looking statements Histogenics makes or that are made on its behalf.  The information in this release is provided only as of the date of this release, and Histogenics undertakes no obligation, and specifically declines any obligation, to update or revise publicly any forward-looking statements, whether as a result of new information, future events or otherwise.

HISTOGENICS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
 (Unaudited)
(in thousands, except share and per share data)

Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 2017
Revenue $   ‒ $   ‒ $   ‒ $   ‒
Operating expenses:
Research and development   4,458   4,208   7,744   8,712
General and administrative   2,826   2,166    5,633    4,492
Total operating expenses   7,284   6,374   13,377   13,204
Loss from operations   (7,284 )   (6,374 )   (13,377 )   (13,204 )
Other income (expense):
Interest income (expense), net   32   40    69    75
Other expense, net    (26 )    (73 )    (50 )    (90 )
Change in fair value of warrant liability    3,501    (135 )    (5,252 )    (404 )
Total other income (expense), net   3,507   (168 )    (5,233 )    (419 )
Net loss $ (3,777 ) $ (6,542 ) $ (18,610 ) $ (13,623 )
Other comprehensive loss:
Unrealized gain (loss) from available for sale securities   ‒   4   ‒   (2 )
Comprehensive loss $   (3,777 ) $   (6,538 ) $   (18,610 ) $   (13,625 )
Net loss attributable to common stockholders – basic and diluted $ (3,697 ) $ (5,454 ) $ (18,124 ) $ (11,285 )
Net loss per common share – basic and diluted: $ (0.13 ) $ (0.25 ) $ (0.64 ) $ (0.51 )
Weighted-average shares used to compute loss per common share – basic and diluted:   28,740,030   22,183,804   28,208,030   22,050,572

HISTOGENICS CORPORATION
CONDENSED CONSOLIDATED BALANCE SHEETS 
(Unaudited)
(in thousands)

  June 30,   December 31,
  2018   2017
Cash and cash equivalents and marketable securities $    8,772 $     7,981
Prepaid expenses and other current assets     881     194
Property and equipment, net    5,173   2,723
Other assets, net    325     137
  Total assets $   15,151 $   11,035
Current liabilities $   11,657 $     3,805
Warrant and other non-current liabilities   26,932   18,498
Total stockholders’ equity (deficit)   (23,438 )   (11,268 )
  Total liabilities and stockholders’ equity (deficit) $   15,151 $   11,035

SOURCE: Histogenics Corporation

Orthopedics & Joint Replacement at Mercy Offers Patients Robotic-Arm Assisted Total Knee Replacement with MAKOplasty System

Orthopedics & Joint Replacement at Mercy Medical Center now offers a new advanced minimally invasive surgical option for patients needing total knee replacement: MAKOplasty Total Knee Replacement Surgery using robotic technology.

According to Dr. Marc Hungerford, Chief of the Division of Orthopedics at Mercy, this knee replacement treatment option is designed to relieve the pain caused by joint degeneration due to osteoarthritis. With the new MAKOplasty system, Mercy can offer patients a personalized surgical experience tailored to their specific diagnosis and anatomy.

The process begins with a CT scan of the patient’s knee joint which is used to generate a 3D virtual model of the patient’s anatomy. This model is then uploaded on to the MAKOplasty system software and is used to create a pre-operative plan, specific to that patient.

Robotic technology improves accuracy, allows the surgeon to make adjustments for muscular and soft tissue alignment, and yields better outcomes for patients, Dr. Hungerford explained.

“This advanced technology transforms the way joint replacement surgery is performed, enabling surgeons to more accurately position a patient’s joint replacement. The result is a better, and longer-performing joint, as well as a faster recovery after surgery,” Dr. Hungerford said. “In addition, this state-of-the-art implant gives patients natural range of motion.”

The MAKOplasty robotic-arm is guided by the surgeon to remove diseased bone and cartilage and then inserts the knee replacement. During the procedure, the surgeon can make any necessary adjustments while guiding the robotic-arm.

Recent research indicates there will be at least 3.5 million total knee replacements in the United States by 2030, with the demand for knee replacements growing even faster than the demand for hip replacements.

Named a “Best National Hospital in Orthopedics” by U.S. News and World Report, the surgeons of Orthopedics & Joint Replacement at Mercy are trained in the use of the MAKOplasty system, and can perform both total and partial knee replacement surgery.

“Our physician team includes top rated orthopedic surgeons, offering innovative hip replacement and knee preservation, replacement and treatment options as well as other treatments for a wide variety of orthopedic and sports medicine related issues,” Dr. Hungerford said.

Founded in 1874 by the Sisters of Mercy, Mercy Medical Center is a university-affiliated Catholic hospital with a national reputation in orthopedics and women’s health. For more information, visit Mercy online at http://www.mdmercy.com, MDMercyMedia on Facebook and Twitter, or call 1-800-M.D.-Mercy.

NuVasive and Siemens Healthineers partner to transform spine surgery

SAN DIEGO and ERLANGEN, GermanyAug. 9, 2018 /PRNewswire/ — NuVasive, Inc. (NASDAQ: NUVA) and Siemens Healthineers today announced a strategic partnership focused on technology development, marketing and commercial activities to advance clinical outcomes in minimally invasive spine surgery. NuVasive is an innovation leader in spine health technology, focused on transforming spine surgery with minimally disruptive, predictable and clinically reproducible procedurally-integrated solutions, while Siemens Healthineers offers surgeons a broad portfolio of imaging systems including 3D imaging for complex spine cases.

MiMedx Receives Regulatory Approval to Commercialize Product Portfolio in Australia

Augmedics Begins First-in-Human Clinical Trial of xvision-spine (XVS) Augmented-Reality Surgical Navigation System

August 08, 2018

YOKNEAM, Israel–(BUSINESS WIRE)–Augmedics has begun a first-in-human clinical trial of its xvision-spine (XVS) augmented-reality surgical navigation system at Sheba Tel Hashomer Medical Center and Asaf Harofeh Medical Center, in Israel. Led by Co-Principal Investigators Dr. Ran Harel and Prof. Yigal Mirovsky, the open label, prospective, single arm, multi-center study will evaluate the safety, performance, accuracy and usability of XVS during spine fusion procedures involving pedicle screw placement. The number of subjects will range from eight to 22, depending on the number of screws placed in each subject, with a minimum of 85 total screws placed in the study. The first human case was completed August 5, with cases expected to continue for approximately three months. Pedicle screw placement accuracy will be assessed by two independent, experienced radiologists using the Gertzbein score (GS). Usability will be evaluated using a User Experience Questionnaire (UEQ), which wil be completed by the surgeons at the end of each procedure.

Augmedics’ xvision-spine system (XVS) is an augmented-reality surgical navigation system designed to give surgeons “X-ray vision” during complex procedures. With XVS, surgeons can see and navigate inside a patient’s body through skin and tissue, which may lead to easier, faster and safer surgeries. The XVS system comprises a transparent near-eye-display headset and has all elements of traditional navigation systems. It accurately determines the position of surgical tools, in real-time, and superimposes them on patient’s CT data. The navigation data is then projected onto the surgeon’s retina using the transparent near-eye-display headset, allowing surgeons to simultaneously look at their patient and see the navigation data without averting their eyes to a remote screen.

XVS has the potential for use in many procedures, with its first intended use in minimally invasive or open spine surgeries. XVS uses patented see-through optics to project a 3D image of a patient’s spine, as well as axial and sagittal planes, onto a surgeon’s retina, in real-time, with surgical precision and outstanding depth perception.

“This first-in-human study is a critical step towards providing surgeons a more intuitive way to navigate in surgery that allows them to always keep their eyes on the patient,” said Nissan Elimelech, CEO of Augmedics. “We believe that XVS has the potential to deliver precise results and easier, faster and safer surgeries.”

The first-in-human clinical trial follows Augmedics’ successful second cadaver study, which was completed in November 2017 by four surgeons in Baltimore, Maryland.

About Augmedics

Founded in 2014, Augmedics seeks to improve healthcare by developing cutting-edge technologies that will revolutionize surgical treatment. The company’s first product, the xvision-spine (XVS) system, is an augmented-reality surgical navigation system designed to allow surgeons to see and navigate inside a patient’s body during complex procedures. The XVS system, with XVS Software, has the intended use to precisely locate anatomical structures in either open or percutaneous neurosurgical and orthopedic procedures. Their use is indicated for any medical condition in which the use of stereotactic surgery may be appropriate, and where reference to a rigid anatomical structure, such as the spine or pelvis, can be identified relative to images of the anatomy. This can include spinal implant procedures such as pedicle screw placement, Iliosacral screw placement or interbody device placement.

Augmedics is funded by various investors, led by AO-Invest, an investment arm of the AO-Foundation, and has received numerous honors, including Technion’s BizTEC 2014, MedTech Innovator 2016 and MEDinISRAEL 2017. It was a finalist at TechCrunch Disrupt San Francisco 2017 Startup Battlefield and recognized as a leading HealthTech Innovator in the 2017 Global Digital Health 100 by the Journal of mHealth.

Contacts

MEDIA CONTACT:
Nobles Global Communications
Diana Soltesz, 818-618-5634
diana@noblesgc.com

OrthoPediatrics Corp. Reports Second Quarter 2018 Financial Results

WARSAW, Ind., Aug. 08, 2018 (GLOBE NEWSWIRE) — OrthoPediatrics Corp. (NASDAQ:KIDS), a company exclusively focused on advancing the field of pediatric orthopedics, announced today its financial results for the second quarter ended June 30, 2018.

Second Quarter & Recent Highlights

  • Increased total revenue to $15.1 million for second quarter 2018, up 27.7% from $11.8 million in second quarter 2017
  • Deployed $2.8 million of consignment sets during the second quarter 2018
  • Added four incremental U.S. sales representatives in the second quarter 2018 for a total of 88 reps
  • Launched 25th surgical system, Pediatric Nailing Platform | FEMUR
  • Increased revenue guidance to a range of 23% to 24% year-over-year growth and investment in consignment sets to $11.0 million for full year 2018

Mark Throdahl, Chief Executive Officer of OrthoPediatrics, commented, “We are extremely pleased to report record quarterly revenues of $15.1 million, which demonstrates strong and consistent execution across the business. As we continue to invest in consignment sets, R&D, and the expansion of our sales reps, we are strengthening our competitive position for sustainable future growth. We have supplemented our domestic sales force with 13 reps year-to-date to help support the $8.3 million of consigned sets deployed in the first half of the year, enabling us to broaden utilization of our pediatric systems. Furthermore, our investments in R&D drove recent FDA clearance of our 25th surgical system and keep us on track to launch four additional systems by year end. We look forward to continued strong momentum as we continue to advance these initiatives. Our confidence grows due to greater than anticipated performance in the first half of the year, and so we anticipate our full year 2018 revenue growth will increase to a range of 23% to 24% with consigned set investments increasing to $11.0 million.”

Second Quarter 2018 Financial Results
Total revenue for the second quarter of 2018 was $15.1 million, a 27.7% increase compared to $11.8 million for the same period last year. U.S. revenue for the second quarter of 2018 was $11.5 million, a 24.6% increase compared to $9.2 million for the same period last year, representing 76% of total revenue. International revenue was $3.6 million, a 38.7% increase compared to $2.6 million for the same period last year, representing 24% of total revenue.

Trauma and Deformity revenue for the second quarter of 2018 was $9.9 million, a 25.3% increase compared to $7.9 million for the same period last year. Scoliosis revenue was $4.9 million, a 42.7% increase compared to $3.4 million for the second quarter 2017. Sports Medicine/Other revenue for the second quarter of 2018 was $0.3 million, a 36.3% decrease compared to $0.5 million for the same period last year.

Gross profit for the second quarter of 2018 was $11.3 million, a 29.4% increase compared to $8.7 million for the same period last year. Gross profit margin for the second quarter of 2018 was 74.7%, compared to 73.8% for the same period last year, reflecting the benefit of our four direct country conversions and partially offset by continued international set sales.

Total operating expenses for the second quarter of 2018 were $13.4 million, a 42.6% increase compared to $9.4 million for the same period last year. The increase in operating expenses was driven by a 66.9% increase in R&D, a 27.9% increase in sales and marketing, including higher commissions, and unusually higher, non-recurring professional fees associated with legal expense. Operating loss for the quarter increased to ($2.1) million from ($0.7) million for the same period last year.

Net interest expense for the second quarter of 2018 was $0.6 million, a 13.5% decrease compared to $0.7 million for the same period last year.

Net loss for the second quarter of 2018 was ($2.7) million, compared to ($1.3) million for the same period last year. Net loss per share attributable to common stockholders for the second quarter of 2018 was ($0.21) per basic and diluted share, compared to ($1.56) per basic and diluted share for the same period last year.

Adjusted EBITDA for the second quarter of 2018 was $0.7 million as compared to $0.3 million for the second quarter of 2017. The change was primarily driven by the significant increase in revenue and associated gross margin. See below for additional information and a reconciliation of non-GAAP financial information.

The weighted average number of diluted shares outstanding as of June 30, 2018 was 12,549,226 shares.

As of the second quarter of 2018 our independent sales agencies in the United States employed 88 full-time equivalent sales representatives specifically focused on pediatrics, up four from the 84 employed in the first quarter of 2018. This increase keeps us on track for 18 additional reps for the full year 2018.

Purchases of property and equipment during the second quarter of 2018 were $1.4 million, a 7.7% decrease compared to $1.5 million for the same period last year. This investment reflects the deployment of consigned sets, which includes product specific instruments and cases and trays. Including the implants, $2.8 million of consigned sets were deployed during the second quarter of 2018 compared to $3.0 million during the second quarter of 2017. Set deployment during the second quarter of 2017 was higher than normal because of the conversion of the U.K. and Ireland stocking distributor to an agency model.

As of June 30, 2018, cash and cash equivalents were $26.5 million, compared to $34.6 million as of March 31, 2018, and the Company had approximately $25.4 million in total outstanding indebtedness, including $3.9 million outstanding under the revolving credit facility.

Full Year 2018 Financial Guidance
OrthoPediatrics is providing financial guidance for the full year 2018, as follows:

  • Revenue growth in a range of 23% to 24% year-over-year, up from prior guidance of 22%.
  • Consigned set investments of approximately $11.0 million, up from prior guidance of $10.0 million.

Conference Call
OrthoPediatrics will host a conference call on Thursday, August 9, 2018 at 8:00 a.m. ET to discuss its financial results. The dial-in numbers are (855) 289-4603 for domestic callers and (614) 999-9389 for international callers. The conference ID number is 4835859. A live webcast of the conference call will be available online at OrthoPediatrics’ investor relations website, ir.orthopediatrics.com.

A replay of the webcast will remain available online at OrthoPediatrics’ investor relations website, ir.orthopediatrics.com, until OrthoPediatrics releases its third quarter 2018 financial results. In addition, a telephonic replay of the conference call will be available until August 16, 2018. The replay dial-in numbers are (855) 859-2056 for domestic callers and (404) 537-3406 for international callers. The replay conference ID number is 4835859.

Forward-Looking Statements
This press release includes “forward-looking statements” within the meaning of U.S. federal securities laws. You can identify forward-looking statements by the use of words such as “may,” “might,” “will,” “should,” “expect,” “plan,” “anticipate,” “could,” “believe,” “estimate,” “project,” “target,” “predict,” “intend,” “future,” “goals,” “potential,” “objective,” “would” and other similar expressions. Forward-looking statements involve risks and uncertainties, many of which are beyond OrthoPediatrics’ control. Important factors could cause actual results to differ materially from those in the forward-looking statements, including, among others, the risks, uncertainties and factors set forth under “Risk Factors” in OrthoPediatrics’ Annual Report on Form 10-K filed with the SEC on March 15, 2018. Forward-looking statements speak only as of the date they are made. OrthoPediatrics assumes no obligation to update forward-looking statements to reflect actual results, subsequent events, or circumstances or other changes affecting such statements except to the extent required by applicable securities laws.

Use of Non-GAAP Financial Measures
This press release includes the non-GAAP financial measure of Adjusted EBITDA, which differs from financial measures calculated in accordance with U.S. generally accepted accounting principles (“GAAP”). Adjusted EBITDA in this release represents net loss, plus interest expense (income), net plus other expense (income), depreciation and amortization, stock-based compensation expense, accelerated vesting of restricted stock upon our IPO, public company costs and initial public offering costs. Adjusted EBITDA is presented because the Company believes it is a useful indicator of its operating performance. Management uses the metric as a measure of the Company’s operating performance and for planning purposes, including 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, and 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 debt service requirements, capital expenditures and other cash costs that may recur in the future. Adjusted EBITDA contains certain other limitations, including the failure to reflect our cash expenditures, cash requirements for working capital needs and other potential cash requirements. In evaluating Adjusted EBITDA, you should be aware that in the future the Company may incur expenses that are the same 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. The schedules below contain a reconciliation of Net Income to non-GAAP Adjusted EBITDA.

About OrthoPediatrics Corp.
Founded in 2006, OrthoPediatrics is an orthopedic company focused exclusively on providing a comprehensive product offering to the pediatric orthopedic market to improve the lives of children with orthopedic conditions. OrthoPediatrics currently markets 25 surgical systems that serve three of the largest categories within the pediatric orthopedic market. This offering spans trauma & deformity, scoliosis, and sports medicine/other procedures. OrthoPediatrics’ global sales organization is focused exclusively on pediatric orthopedics and distributes its products in the United States and 38 countries outside the United States.

Investor Contacts
The Ruth Group
Tram Bui / Emma Poalillo
(646) 536-7035 / 7024
tbui@theruthgroup.com / epoalillo@theruthgroup.com

ORTHOPEDIATRICS CORP.
CONDENSED CONSOLIDATED BALANCE SHEETS
(In Thousands, Except Share Data)
June 30, December 31,
  2018   2017
  (unaudited)  
ASSETS
Current assets:
Cash $ 26,506 $ 42,582
Accounts receivable – trade, less allowance for doubtful accounts of
$131 and $143, respectively 9,755 5,603
Inventories, net 24,816 19,498
Inventories held by international distributors, net 595 1,047
Prepaid expenses and other current assets 1,063 831
Total current assets 62,735 69,561
Property and equipment, net 12,770 10,391
Other assets:
Amortizable intangible assets, net 2,080 2,089
Other intangible assets 260 260
Total other assets 2,340 2,349
Total assets $ 77,845 $ 82,301
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable – trade $ 5,455 $ 5,495
Accrued compensation and benefits 3,237 2,905
Current portion of long-term debt with affiliate 115 113
Other current liabilities 1,683 954
Total current liabilities 10,490 9,467
Long-term liabilities:
Long-term debt with affiliate, net of current portion 21,360 21,418
Revolving credit facility with affiliate 3,938 3,921
Total long-term liabilities 25,298 25,339
Total liabilities 35,788 34,806
Commitments and contingencies
Stockholders’ equity:
Common stock, $0.00025 par value; 50,000,000 shares authorized;
12,789,039 shares and 12,621,781 shares issued and outstanding as
of June 30, 2018 (unaudited) and December 31, 2017 2 2
Additional paid-in capital 153,055 150,424
Accumulated deficit (110,758) (103,066)
Accumulated other comprehensive income (242) 135
Total stockholders’ equity 42,057 47,495
Total liabilities and stockholders’ equity $ 77,845 $ 82,301
ORTHOPEDIATRICS CORP.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
(In Thousands, Except Share and Per Share Data)
Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 2017
Net revenue $ 15,077 $ 11,802 $ 27,171 $ 21,564
Cost of revenue 3,807 3,090 6,982 5,437
Gross profit 11,270 8,712 20,189 16,127
Operating expenses:
Sales and marketing 6,776 5,299 12,855 9,491
General and administrative 5,499 3,422 11,516 6,795
Research and development 1,115 668 2,333 1,355
Total operating expenses 13,390 9,389 26,704 17,641
Operating loss (2,120) (677) (6,515) (1,514)
Other expenses:
Interest expense 562 650 1,114 1,095
Other expense (income) 10 (61) 63 (58)
Total other expenses 572 589 1,177 1,037
Net loss $ (2,692) $ (1,266) $ (7,692) $ (2,551)
Net loss attributable to common stockholders $ (2,692) $ (2,720) $ (7,692) $ (5,431)
Weighted average common shares – basic and diluted 12,549,226 1,746,787 12,312,814 1,745,390
Net loss per share attributable to common stockholders – basic and diluted $ (0.21) $ (1.56) $ (0.62) $ (3.11)
ORTHOPEDIATRICS CORP.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(In Thousands)
For the Six Months Ended June 30,
2018 2017
OPERATING ACTIVITIES
Net loss $ (7,692) $ (2,551)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization 1,400 1,092
Stock-based compensation 2,631 727
Changes in certain current assets and liabilities:
Accounts receivable – trade (4,152) (2,428)
Inventories (4,724) (3,551)
Inventories held by international distributors 452 104
Prepaid expenses and other current assets (232) (727)
Accounts payable – trade (40) 2,569
Accrued expenses and other liabilities 1,061 531
Other (377)
Net cash used in operating activities (11,673) (4,234)
INVESTING ACTIVITIES
Purchases of licenses (180) (300)
Purchases of property and equipment (4,167) (2,844)
Net cash used in investing activities (4,347) (3,144)
FINANCING ACTIVITIES
Proceeds from issuance of debt with affiliate 8,055
Payments on mortgage notes (56) (52)
Net cash provided by financing activities (56) 8,003
Effect of exchange rate changes on cash 72
NET INCREASE (DECREASE) IN CASH (16,076) 697
Cash, beginning of year 42,582 1,609
Cash, end of period $ 26,506 $ 2,306
SUPPLEMENTAL DISCLOSURES
Cash paid for interest $ 1,114 $ 1,095
Accretion of redeemable convertible preferred stock $ $ 2,880
Transfer of instruments from property and equipment to inventory $ 594 $ 770
ORTHOPEDIATRICS CORP.
NET REVENUE BY GEOGRAPHY AND PRODUCT CATEGORY
(Unaudited)
(In Thousands)
Three Months Ended June 30, Six Months Ended June 30,
Product sales by geographic location: 2018 2017 2018 2017
U.S. $ 11,458 $ 9,193 $ 20,111 $ 16,529
International 3,619 2,609 7,060 5,035
Total $ 15,077 $ 11,802 $ 27,171 $ 21,564
Three Months Ended June 30, Six Months Ended June 30,
Product sales by category: 2018 2017 2018 2017
Trauma and deformity $ 9,860 $ 7,869 $ 18,983 $ 15,609
Scoliosis 4,897 3,431 7,582 5,353
Sports medicine/other 320 502 606 602
Total $ 15,077 $ 11,802 $ 27,171 $ 21,564

ORTHOPEDIATRICS CORP.
RECONCILIATION OF NET LOSS TO NON-GAAP ADJUSTED EBITDA
(Unaudited)
(In Thousands)
Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 2017
Net Loss $  (2,692) $   (1,266) $  (7,692) $   (2,551)
Interest expense, net 562 650 1,114 1,095
Other expense   10   (61)   63  (58)
Depreciation and amortization 728 594 1,400 1,092
Stock-based compensation 225 388 645 727
Accelerated vesting of restricted stock upon our IPO 229 1,986
Public company costs 337 674
Non-recurring professional services fees 1,314 1,768
Adjusted EBITDA $   713 $   305 $   (42) $   305

Brigham Redd, M.D. is first surgeon in Idaho to offer OMNIBotics® Robotic-assisted Total Knee Replacement

RAYNHAM, Mass.Aug. 8, 2018 /PRNewswire/ — OMNIlife science, Inc. (“OMNI”), a privately-held, established medical technology company targeting the $15 billion global hip and knee replacement device market, announced today that Brigham Redd, M.D., of Liljenquist & Redd Orthopedic Surgery, is the first surgeon in Idaho to offer OMNIBotics, an advanced robotic-assisted treatment option for total knee replacement. This innovative total knee replacement solution is designed to relieve the pain caused by joint degeneration due to osteoarthritis. OMNIBotics is the global leader in robotic-assisted total knee replacement, with over 7 years of clinical use worldwide. This treatment option will be available for Dr. Redd’s patients at both Mountain View Hospital and Eastern Idaho Regional Medical Center in Idaho Falls, ID.

The OMNIBotics procedure utilizes advanced software and instrumentation to tailor each procedure to the patient’s unique anatomy in order to optimize implant fit and alignment. Patented OMNIBotics Bone Morphing™ technology eliminates the need for costly CT scans or MRIs and allows the surgeon to perform “virtual surgery” on a digital model before any bone is cut. A robotic cutting guide is then used by the surgeon when making the planned bone resections to ensure accuracy. The surgeon maintains control and decision-making regarding the total knee replacement while providing a customized, patient-specific surgery. OMNIBotics also allows for a less invasive surgical technique, compared to traditional knee replacement surgery, which may promote a quicker recovery.

“It’s been great to be able to check the accuracy of the surgery and make adjustments to perfect the angles and alignment of each step of surgery. This is so much more personalized and accurate than the traditional knee replacements done elsewhere,” said Dr. Redd. “It’s exciting to offer the most advanced technology to my patients and see them come back feeling even better than they do after a traditional knee replacement, and to be confident that their knee replacement will last even longer because of the precise and individualized alignment.”

ABOUT OMNIlife science™, Inc. (OMNI™)

OMNI is a privately held company with a proprietary robotic platform, OMNIBotics®, which allows surgeons to conduct patient-specific total knee surgery designed to enhance patient satisfaction and reduce hospital costs. In addition, OMNI designs, engineers, manufactures and distributes a wide range of proprietary hip and knee implants and is focused on providing cutting edge technologies to transform outcomes in joint replacement surgery and enhance a surgeon’s ability to help patients live active and pain-free lives. For more information about OMNI, please visit www.omnils.com.

CONTACT 

Cindy Holloway, Director of Marketing Communications 

Phone: (508) 824-2444  

cholloway@omnils.com

SOURCE OMNIlife science, Inc.

Related Links

http://www.omnils.com

How Opioid Medications Effect Spine Surgery Outcomes

By Neel Anand, M.D., Contributor – Aug. 6, 2018

AS THE AMERICAN legislature and medical community continue efforts to stem the tide of the growing opioid crisis in our country, researchers are working diligently to highlight what a dangerous path doctors may be putting patients on when writing prescriptions for opioid medications to address chronic back pain as a result of a spinal condition. A new study published in the Journal of Bone & Joint Surgery indicates that the duration of pre-operative opioid usage was the strongest predictor of continued use after surgery. Other studies also paint an upsetting picture of spine surgery outcomes in patients who engaged in prolonged opioid use before surgery.

Opioid usage is on a steady rise in the United States over the last few decades, particularly among people who are affected by spinal conditions that result in severe or chronic back pain. Researchers have estimated that up to half of the people who undergo spine surgery are taking opioid medications at the time of surgery, with 20 percent possibly addicted to these medications. This is an essential topic for the medical community to pay significant attention to so we can help reduce patients’ dependence on and misuse of powerful opioid narcotics that aren’t intended for long-term usage.

The recent Journal of Bone & Joint Surgery study indicates that people who took prescription opioid medications for six months or longer before undergoing lumbar spine surgery were more likely to continue opioid usage after surgery. Nearly all of the patients studied had some exposure to opioid medications before surgery, and they were classified into four categories: exposed, acute exposed, intermediate sustained use and chronic sustained use.

The primary risk factor for continued opioid usage after surgery was the duration of opioid usage pre-surgery. The study authors referred to a “dose-response” effect, finding that patients who took opioids for six months or longer before surgery were 65 to 74 percent less likely to stop using them after surgery than the other study subjects who had not had as much exposure to opioid medications before surgery. The good news from the study indicated that most of the patients using prescription opioids before surgery stopped using them after surgery.

 

READ THE REST HERE

 

Xtant Medical Announces Second Quarter 2018 Financial Results

BELGRADE, MT, Aug. 07, 2018 (GLOBE NEWSWIRE) — Xtant Medical Holdings, Inc. (NYSE American:XTNT), a leader in the development of regenerative medicine products and medical devices, today reported financial and operating results for the second quarter ended June 30, 2018.

Summary of Second Quarter 2018 Financial Highlights and Recent Announcements:

  • Revenue for the second quarter of 2018 was $18.7 million, down from $21.4 million for the second quarter of 2017
  • Gross Margin for the second quarter of 2018 was 66.6%, compared to 63.2% for the same period in the prior year
  • Net loss incurred in the second quarter 2018 was $5.0 million compared to a loss of $9.7 million in the same period of the prior year
  • Non-GAAP Adjusted EBITDA was $0.8 million, compared to a loss of approximately $2.1 million during the second quarter of 2017
  • The Company expanded its executive management team with the appointment of Kevin Brandt as Chief Commercial Officer
  • Xtant Medical stockholders approved the 2018 Equity Incentive Plan

“In reflecting on our performance through the first half of the year, I am very excited about our future as a Company,” said Carl O’Connell, Xtant Medical’s chief executive officer.  “We have made very positive strides and changes so far in 2018, including the restructuring of our balance sheet with the recent debt conversion, improved gross margins, efficiencies in consolidation of operations to Belgrade, MT and now importantly, expansion of our leadership team with the recent addition of Kevin Brandt as chief commercial officer.”

Second Quarter 2018 Financial Results

Revenue for the second quarter of 2018 was $18.7 million, down from $21.4 million compared to the same period of the prior year.  The decrease occurred in the Company’s fixation product lines due principally to competitive factors and a strategic focus on reducing unprofitable sales channel arrangements while improving gross margin and adjusted EBITDA.  This strategic decision, which was implemented in the beginning of the third quarter last year, has contributed positively to many other areas of the business.

Gross margin for the second quarter of 2018 was 66.6%, up from 63.2% for the same period in 2017.  This improvement was due to the Company’s focus on profitable sales channel relationships with higher margins, and from the benefits of restructuring some several operational areas of the organization for efficiencies and cost reduction.

Operating expenses for the second quarter of 2018 were $14.7 million, 78.6% of net revenue, down $5.2 million compared to $19.9 million in the quarter ended June 30, 2017, which was 92.9% of net revenue. The improvement occurred as the Company positions itself for future long-term growth through execution of its channel strategy, moving on from select high-commission sales arrangements, cost reduction and efficiency programs to streamline its operations, including consolidation of facilities, and lower restructuring expenses.

The net loss from operations for the second quarter of 2018 was $5.0 million compared to a loss of $9.7 million for the same period in the prior year, with a net loss per share of $0.38 compared to a net loss of $6.43 per share for the same quarter in the prior year.

Non-GAAP Adjusted EBITDA for the second quarter of 2018 was approximately $0.8 million compared to a loss of $2.1 million for the same period during 2017. The Company defines Adjusted EBITDA as net income/loss from operations before depreciation, amortization and interest expense, and as further adjusted to add back in or exclude non-cash stock-based compensation, change in warrant derivative liability, separation related expenses, Dayton transition costs and restructuring expenses. A calculation and reconciliation of net loss to non-GAAP Adjusted EBITDA can be found in the attached financial tables.

Appointment of Kevin Brandt to Executive Management Team

Kevin Brandt recently joined Xtant as the chief commercial officer.  He is responsible for executing the Company’s sales and marketing initiatives, and driving the commercial strategy of the organization.  Mr. Brandt brings over 28 years of orthopedic experience in the commercial space, most recently as the chief commercial officer of RTI Surgical, where he led all domestic direct lines of business.  Prior to joining RTI Surgical he spent 18 years at Stryker Corporation in various senior commercial leadership positions.

Stockholders Approved the 2018 Equity Incentive Plan

The Xtant Medical stockholders approved the Xtant Medical Holdings, Inc. 2018 Equity Incentive Plan (the “2018 Plan”).  The approval occurred at the 2018 annual meeting of stockholders on August 1, 2018, upon recommendation from the Board of Directors.

The 2018 Plan permits the Board, or a committee thereof, to grant to eligible employees, non-employee directors and consultants of the Company non-statutory and incentive stock options, restricted stock, restricted stock units and other stock-based awards.  The Board may select 2018 Plan participants and determine the nature and amounts of awards to be granted. Subject to adjustment as provided in the 2018 Plan, the number of shares of Company common stock available for issuance under the 2018 Plan is 1,307,747 shares.

The 2018 Plan replaces the Amended and Restated Xtant Medical Equity Incentive Plan and will expire on July 31, 2028.

Convertible Debt Restructuring

In the first quarter ended March 31, 2018, the Company entered into a restructuring and exchange agreement with holders of Xtant’s then outstanding 6% convertible senior unsecured notes due 2021. Pursuant to that agreement, all outstanding convertible notes, constituting $71.9 million in outstanding principal amount, plus accrued and unpaid interest, were converted into 10.6 million shares of Xtant common stock. Most of the conversions occurred on February 14, 2018, after the receipt of stockholder approval of aspects of the restructuring transaction and the effectiveness of a 1-for-12 reverse stock split, which occurred at the close of business on February 13, 2018. On February 14, 2018, the Company issued 945,819 shares of common stock in a private placement at a price per share of $7.20 for cash proceeds of $6.8 million.

Conference Call

The Company will host a conference call to discuss the second quarter 2018 financial results and business developments on Wednesday, August 8, 2018 at 9:00 AM EDT.  Please refer to the information below for conference call dial-in information and webcast registration:

Conference date: August 8, 2018, 9:00 AM ET

Conference dial-in: 877-407-6184

International dial-in: 201-389-0877

Conference Call Name: Xtant Medical’s Second Quarter 2018 Results Call

Webcast Registration: Click Here

Following the live call, a replay will be available on the Company’s website, www.xtantmedical.com, under “Investor Info.”

About Xtant Medical

Xtant Medical develops, manufactures and markets regenerative medicine products and medical devices for domestic and international markets. Xtant Medical products serve the specialized needs of orthopedic and neurological surgeons, including orthobiologics for the promotion of bone healing, implants and instrumentation for the treatment of spinal disease, tissue grafts for the treatment of orthopedic disorders, and biologics to promote healing following cranial, and foot and ankle surgeries. With core competencies in both biologic and non-biologic surgical technologies, Xtant Medical can leverage its resources to successfully compete in global neurological and orthopedic surgery markets. For further information, please visit www.xtantmedical.com.

Non-GAAP Financial Measures

To supplement the Company’s consolidated financial statements prepared in accordance with U.S. generally accepted accounting principles (GAAP), the Company uses certain non-GAAP financial measures in this release, including Adjusted EBITDA. Reconciliations of the non-GAAP financial measures used in this release to the most comparable GAAP measures for the respective periods can be found in tables later in this release. The Company’s management believes that the presentation of these measures provides useful information to investors.  These measures may assist investors in evaluating the company’s operations, period over period. Management uses the non-GAAP measures in this release internally for evaluation of the performance of the business, including the allocation of resources.  Investors should consider non-GAAP financial measures only as a supplement to, not as a substitute for or as superior to, measures of financial performance prepared in accordance with GAAP.

Important Cautions Regarding Forward-looking Statements

This press release contains certain disclosures that may be deemed forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include statements that are predictive in nature, that depend upon or refer to future events or conditions, or that include words such as ‘‘continue,” ‘‘expects,” ‘‘anticipates,” ‘‘intends,” ‘‘plans,” ‘‘believes,” ‘‘estimates,” ‘‘strategy,” “future,” ‘‘will,” “can” or similar expressions or the negative thereof. Statements of historical fact also may be deemed to be forward-looking statements. The Company cautions that these statements by their nature involve risks and uncertainties, and actual results may differ materially depending on a variety of important factors, including, among others: the ability to increase revenue; the ability to achieve expected results; the ability to remain competitive; the ability to innovate and develop new products; the ability to engage and retain qualified personnel; government and third-party coverage and reimbursement for Company products; the ability to obtain and maintain regulatory approvals; government regulations; product liability claims and other litigation to which we may be subject; product recalls and defects; timing and results of clinical studies; the ability to obtain and protect Company intellectual property and proprietary rights and operate without infringing the rights of others; the ability to service Company debt and comply with debt covenants; the ability to raise additional financing and other factors. Additional risk factors are listed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2017 filed with the Securities and Exchange Commission (SEC) on April 2, 2018 and subsequent SEC filings by the Company, including without limitation its Quarterly Reports on Form 10-Q for the quarters ended March 31, 2018 and June 30, 2018. Investors are encouraged to read the Company’s filings with the SEC, available at www.sec.gov, for a discussion of these and other risks and uncertainties. The Company undertakes no obligation to release publicly any revisions to any forward-looking statements to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events, except as required by law. All forward-looking statements attributable to us or persons acting on our behalf are expressly qualified in their entirety by this cautionary statement.

XTANT MEDICAL HOLDINGS, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands, except number of shares and par value)

As of As of
June 30, December 31,
2018 2017
(Unaudited)
ASSETS
Current Assets:
Cash and cash equivalents $ 6,049 $ 2,856
Trade accounts receivable, net of allowance for doubtful accounts of $2,118 and $1,923, respectively 10,404 12,714
Current inventories, net 22,446 22,229
Prepaid and other current assets 801 1,706
Total current assets 39,700 39,505
Non-current inventories, net 194
Property and equipment, net 8,928 9,913
Goodwill 41,535 41,535
Intangible assets, net 12,106 13,826
Other assets 516 732
Total Assets $ 102,785 $ 105,705
LIABILITIES & STOCKHOLDERS’ EQUITY (DEFICIT)
Current Liabilities:
Accounts payable $ 7,526 $ 9,316
Accounts payable – related party 160
Accrued liabilities 4,310 15,845
Warrant derivative liability 90 131
Current portion of capital lease obligations 469 366
Total current liabilities 12,395 25,818
Long-term Liabilities:
Capital lease obligation, less current portion 353 623
Long-term convertible debt, less issuance costs 70,854
Long-term debt, less issuance costs 79,429 67,109
Total Liabilities 92,177 164,404
Commitments and Contingencies
Stockholders’ Equity (Deficit):
Preferred stock, $0.000001 par value; 10,000,000 shares authorized; no shares issued and outstanding
Common stock, $0.000001 par value; 50,000,000 shares authorized; 13,145,305 shares issued and outstanding as of June 30, 2018 and 1,514,899 shares issued and outstanding as of December 31, 2017
Additional paid-in capital 165,809 86,247
Accumulated deficit (155,521 ) (144,946 )
Total Stockholders’ Equity (Deficit) 10,608 (58,699 )
Total Liabilities & Stockholders’ Equity (Deficit) $ 102,785 $ 105,705

XTANT MEDICAL HOLDINGS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited, in thousands, except number of shares and per share amounts)

Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 2017
(Restated)
Revenue
Orthopedic product sales  $   18,653  $   21,371  $   36,483  $   43,367
Other revenue   88   37   191   124
Total Revenue   18,741   21,408   36,674   43,491
Cost of sales   6,266   7,880   11,968   15,056
Gross Profit   12,475   13,528   24,706   28,435
Operating Expenses
General and administrative   3,402   4,527   6,425   8,655
Sales and marketing   8,545   11,137   16,894   22,134
Research and development   418   640   832   1,339
Depreciation and amortization   1,041   1,470   2,045   2,751
Restructuring expenses   1,234   1,632   1,968   1,632
Separation related expenses   55   381   55   605
Non-cash compensation expense   41   92   405   237
Total Operating Expenses   14,736   19,879   28,624   37,353
Loss from Operations   (2,261 )   (6,351 )   (3,918 )   (8,918 )
Other (Expense) Income
Interest expenses   (2,820 )   (3,328 )   (6,366 )   (6,729 )
Change in warrant derivative liability   79   (14 )   41   156
Other (expense) income   –   –   (12 )   11
Total Other (Expense) Income   (2,741 )   (3,342 )   (6,337 )   (6,562 )
Net Loss From Operations $   (5,002 )  $   (9,693 )  $   (10,255 )  $   (15,480 )
Net loss per share:
Basic $ (0.38 ) $ (6.43 ) $ (1.00 ) $ (10.31 )
Dilutive $ (0.38 ) $ (6.43 ) $ (1.00 ) $ (10.31 )
Shares used in the computation:
Basic 13,085,668 1,507,716 10,299,090 1,501,079
Dilutive 13,085,668 1,507,716 10,299,090 1,501,079

XTANT MEDICAL HOLDINGS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited, in thousands)

Six Months Ended June 30,
2018 2017
(Restated)
Operating activities:
Net loss $ (10,255 ) $ (15,477 )
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization 3,228 4,171
Non-cash interest 6,205 6,211
Loss on disposal of fixed assets 205 1,586
Non-cash compensation expense/stock option expense 405 397
Provision for losses on accounts receivable and inventory 83 1,063
Change in derivative warrant liability (41 ) (156 )
Changes in operating assets and liabilities:
Accounts receivable 2,152 2,544
Inventories (388 ) 1,202
Prepaid and other assets 1,120 12
Accounts payable (1,949 ) (2,372 )
Accrued liabilities (421 ) 63
Net cash provided by (used in) operating activities 344 (756 )
Investing activities:
Purchases of property and equipment and intangible assets (288 ) (1,068 )
Net cash used in investing activities (288 ) (1,068 )
Financing activities:
Proceeds from long-term debt 11,387
Payments on capital leases (167 ) (28 )
Payments on revolving line credit (10,448 )
Expenses associated with private placement and convertible debt conversion (3,507 )
Proceeds from equity private placement 6,810
Proceeds from issuance of stock 1
Net cash provided by financing activities 3,137 911
Net change in cash and cash equivalents 3,193 (914 )
Cash and cash equivalents at beginning of period 2,856 2,578
Cash and cash equivalents at end of period $ 6,049 $ 1,665

 

XTANT MEDICAL HOLDINGS, INC.
CALCULATION OF CONSOLIDATED EBITDA AND ADJUSTED EBITDA FOR THE PERIODS ENDED JUNE 30, 2018
(Unaudited, in thousands)
Three Months Ended June 30, Six Months Ended June 30,
Unaudited 2018 2017 2018 2017
Net loss $ (5,002 ) $ (9,693 ) $ (10,255 ) $ (15,480 )
Other expense  – 12  –
Depreciation & amortization 1,671 2,100 3,289 4,171
Interest expense 2,820 3,328 6,365 6,729
EBITDA (loss) (511 ) (4,265 ) (589 ) (4,580 )
EBITDA/Total revenue (2.7 %) (19.9 %) (1.6 %) (10.5 %)
ADJUSTED EBITDA CALCULATION
Change in warrant derivative liability (79 ) 14 (41 ) (156 )
Separation related expenses 55 381 55 605
Non-cash compensation 41 92 405 237
Dayton transition costs 120  – 233  –
Restructuring expenses 1,187  1,632 1,921 1,633
ADJUSTED EBITDA gain (loss) $ 813 $ (2,146 ) 1,984 $ (2,261 )
ADJUSTED EBITDA/Total revenue 4.3 % (10.0 %) 5.4 % (5.2 %)

SOURCE: Xtant Medical Holdings, Inc.

Company Contact

Xtant MedicalMolly Masonmmason@xtantmedical.comXtant Medical Holdings, Inc.

Source: Xtant Medical Holdings, Inc.

This article appears in: News Headlines

Referenced Stocks: XTNT

InVivo Therapeutics Reports 2018 Second Quarter Financial Results

August 07, 2018

CAMBRIDGE, Mass.–(BUSINESS WIRE)–InVivo Therapeutics Holdings Corp. (NVIV) today provided a business update and reported financial results for the quarter ended June 30, 2018.

Richard Toselli, M.D., President and Chief Executive Officer of InVivo, commented, “We continued to make progress in the second quarter of 2018, as the net proceeds of $13.5 million from our successful June 2018 public offering have put us in a position to focus on the initiation of the INSPIRE 2.0 Study. We are currently engaging in the clinical site initiation process with previously-identified sites and manufacturing the clinical product for the Study. We have also selected a clinical research organization for the Study. We look forward to providing future updates on the progress of the INSPIRE 2.0 Study as we advance toward patient enrollment.”

Financial Results

The Company remains focused on reducing its cash burn in order to maximize the amount of resources available to support complete patient enrollment in the INSPIRE 2.0 Study. Operating expenses in the three-month period ended June 30, 2018 were $2.8m compared to $6.9m for the three-month period ended June 30, 2017, representing a 59% decrease in operating expenses. The Company’s operating expenses for the six-month period ended June 30, 2018 was $7.6m versus $13.6m for the six-months period ended June 30 2017, representing a 44% decrease in operating expenses. The Company anticipates that it will maintain its current cash burn rate of less than $1m per month, including expenses related to the Inspire 2.0 Study, in the coming quarters.

For the three-month period ended June 30, 2018, the Company reported a net loss of $12.9m, or $7.48 per diluted share, compared to a net loss of $6.3m, or $4.92 per diluted share, for the three-month period ended June 30, 2017. For the six-month period ended June 30, 2018, the company reported a net loss of $17.7m, or $11.2 per diluted share, compared to a net loss of $12.7m, or $9.91 per diluted share for the six-month period ended June 30, 2017. The net loss increase was primarily driven by non-cash loss related to derivative accounting on the warrants issued as part of the June 2018 public offering, as well as by financing costs related to the offering. The Company anticipates the valuation of the derivative warrant liability to reduce considerably over the coming quarters as the warrants are exercised.

The Company ended the quarter with $22.3 million of cash and cash equivalents.

About InVivo Therapeutics

InVivo Therapeutics Holdings Corp. is a research and clinical-stage biomaterials and biotechnology company with a focus on treatment of spinal cord injuries. The Company was founded in 2005 with proprietary technology co-invented by Robert Langer, Sc.D., Professor at Massachusetts Institute of Technology, and Joseph P. Vacanti, M.D., who then was at Boston Children’s Hospital and is who now affiliated with Massachusetts General Hospital. In January 2018, the company announced updated clinical evidence, including improvements in patients with acute spinal cord injury (SCI), from its INSPIRE Study of the Neuro-Spinal Scaffold™. The publicly traded Company is headquartered in Cambridge, MA. For more details, visit www.invivotherapeutics.com.

Safe Harbor Statement

Any statements contained in this press release that do not describe historical facts may constitute forward-looking statements within the meaning of the federal securities laws. These statements can be identified by words such as “believe,” “anticipate,” “intend,” “estimate,” “will,” “may,” “should,” “expect” and similar expressions, and include statements regarding the commencement of enrollment in the INSPIRE 2.0 Study and the expected length of the Study, the impact of cost-control measures and the ability of the Company to reduce its operating expenses and maintain its cash burn rate, the ability of the Company to support complete patient enrollment in the INSPIRE 2.0 Study with its current resources, the valuation of the Company’s derivative warrant liability, and the ability of the Company to continue clinical investigation of the Company’s Neuro-Spinal Scaffold. Any forward-looking statements contained herein are based on current expectations, and are subject to a number of risks and uncertainties. Factors that could cause actual future results to differ materially from current expectations include, but are not limited to, risks and uncertainties relating to: the need to raise additional capital, to successfully decrease costs and spend and to successfully open clinical sites for enrollment and to enroll additional patients if such study is initiated; the timing of the Institutional Review Board process; the company’s ability to obtain FDA approval to commercialize its products; the Company’s ability to develop, market and sell products based on its technology; the expected benefits and efficacy of the Company’s products and technology in connection with spinal cord injuries; the availability of substantial additional funding for the Company to continue its operations and to conduct research and development, clinical studies and future product commercialization; and other risks associated with the Company’s business, research, product development, regulatory approval, marketing and distribution plans and strategies identified and described in more detail in the Company’s Annual Report on Form 10-K for the year ended December 31, 2017, the Company’s Quarterly Report on Form 10-Q for the period ended June 30, 2018 and its other filings with the SEC, including the Company’s quarterly reports on Form 10-Q and current reports on Form 8-K. The Company does not undertake to update these forward-looking statements.

InVivo Therapeutics Holdings Corp.
Consolidated Balance Sheets
Unaudited
(In thousands, except share and per share data)

As of

June 30,
2018

December 31,
2017

ASSETS:
Current assets:
Cash and cash equivalents 22,320 12,910
Restricted cash 12 361
Prepaid expenses and other current assets 1,235 535
Total current assets 23,567 13,806
Property, equipment and leasehold improvements, net 125 157
Restricted cash 90
Other assets 77 82
Total assets 23,859 14,045
LIABILITIES AND STOCKHOLDERS’ EQUITY (DEFICIT):
Current liabilities:
Accounts payable 914 988
Loan payable, current portion 330 452
Derivative warrant liability 21,469 4
Deferred rent, current portion 30
Accrued expenses 2,996 1,638
Total current liabilities 25,709 3,112
Loan payable, net of current portion 400
Deferred rent, net of current portion 367
Other liabilities 59 56
Total liabilities 25,768 3,935

Stockholders’ equity (deficit):

Common stock, $0.00001 par value, authorized 25,000,000 shares; issued and
outstanding 4,077,667 shares at June 30, 2018; issued and outstanding 1,370,992
shares at December 31, 2017

1

1

Additional paid-in capital 199,720 194,016
Accumulated deficit (201,630) (183,907)
Total stockholders’ equity (deficit) (1,909) 10,110
Total liabilities and stockholders’ equity (deficit) 23,859 14,045

(Reflects 1-for-25 reverse stock split effective April 16, 2018)

InVivo Therapeutics Holdings Corp.
Consolidated Statements of Operations and Comprehensive Loss
(Unaudited)

Three Months Ended
June 30,

Six Months Ended
June 30,

2018 2017 2018 2017
Operating expenses:
Research and development 1,026 3,211 2,424 6,595
General and administrative 1,786 3,715 5,220 7,000
Total operating expenses 2,812 6,926 7,644 13,595
Operating loss (2,812) (6,926)

(7,644)

(13,595)
Other income (expense):
Interest income / (expense), net 33 32 51 69
Other income / (expense), net 26 68
Derivatives gain (loss)

(10,186)

554 (10,198) 795
Other income (expense), net (10,127) 586 (10,079) 864
Net loss (12,939) (6,340) (17,723) (12,731)
Net loss per share, basic and diluted (7.48) (4.92) (11.20) (9.91)
Weighted average number of
common shares outstanding, basic and diluted 1,729,248 1,287,424 1,581,924 1,284,610

(Reflects 1-for-25 reverse stock split effective April 16, 2018)

Contacts

InVivo Therapeutics Holdings Corp.
Heather Hamel, 617-863-5530
Investor Relations
Investor-relations@invivotherapeutics.com