Full Press Release Details
Medical Announces First Quarter 2023 Revenue Growth of 38% and Full Year 2023 Revenue Guidance
Annual Revenue Guidance of $73 Million - $75 Million in Full Year 2023
MT, May 4, 2023 - Xtant Medical Holdings, Inc. (NYSE American: XTNT), a global medical technology company focused on surgical solutions
for the treatment of spinal disorders, today reported financial and operating results for the first quarter ended March 31, 2023. The
Company also introduced financial guidance for the full year 2023.
by solid revenue growth and the Coflex acquisition, we are off to a strong start in 2023," said Sean Browne, President &
CEO of Xtant Medical. "Guided by our strategic growth pillars, we are generating robust demand across our biologics and fixation
products while expanding our total addressable orthobiologic market opportunity to drive future growth. Moving forward, we will focus
on continuing to build on this positive momentum as our business achieves scale and fulfilling our mission of honoring the gift of donation."
Quarter 2023 Financial Results
quarter 2023 revenue grew 38%, including organic growth of 29% and a 9% contribution from the acquisition of the Coflex and CoFix product
lines, to $17.9 million, compared to $13.0 million for the same period in 2022. The increase in revenue was attributed primarily to greater
independent agent sales and sales from the recently acquired Coflex and Cofix product lines.
margin for the first quarter of 2023 was 58.7%, compared to 58.3% for the same period in 2022. The increase was primarily attributable
to the contribution of Coflex and Cofix products, partially offset by higher production costs.
expenses for the first quarter of 2023 totaled $12.1 million, compared to $9.4 million for the first quarter of 2022. The increase was
primarily due to additional independent agent sales commission and employee compensation expenses, partially offset by costs related
to enterprise resource planning system upgrades incurred last year.
quarter 2023 net loss totaled $2.1 million, or $0.02 per share, compared to the first quarter 2022 net loss of $2.2 million, or $0.03
Adjusted EBITDA for the first quarter of 2023 totaled a loss of $0.3 million, compared to a loss of $0.9 million for the same period
in 2022. The Company defines Adjusted EBITDA as net income/loss from operations before depreciation, amortization and interest expense
and provision for income taxes, and as further adjusted to add back in or exclude, as applicable, stock-based compensation and acquisition-related
expenses. A calculation and reconciliation of Adjusted EBITDA to net loss can be found in the attached financial tables.
Medical expects full year 2023 revenue of $73 million to $75 million, representing annual growth of approximately 26% to 29% compared
Medical will host a webcast and conference call to discuss the first quarter 2023 financial results on Thursday, May 4, 2023 at 9:00
AM ET. To access the webcast, Click Here. To access the conference call, dial 877-407-6184 within the U.S. or 201-389-0877 outside
the U.S. A replay of the call will be available at www.xtantmedical.com, under "Investor Info."
Xtant Medical Holdings, Inc.
Medical Holdings, Inc. (www.xtantmedical.com) is a global medical technology company focused on the design, development, and commercialization
of a comprehensive portfolio of orthobiologics and spinal implant systems to facilitate spinal fusion in complex spine, deformity and
degenerative procedures. Xtant people are dedicated and talented, operating with the highest integrity to serve our customers.
symbols and denote trademarks and registered trademarks of Xtant Medical Holdings, Inc. or its affiliates, registered as
indicated in the United States, and in other countries. All other trademarks and trade names referred to in this release are the property
of their respective owners.
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 and organic revenue growth. 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.
Statement Regarding Forward-Looking Statements
This press release contains 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 "intends," expects,''
anticipates,'' plans,'' believes,'' estimates,''
"continue," "future," will,'' "potential," "going forward,"
similar expressions or the negative thereof, and the use of future dates. Forward-looking statements in this release include the Company's
financial guidance for 2023 and belief that it will continue to generate robust demand for its biologics products and improve its operating
efficiencies by increasing its production capacity and is well-positioned to sustain its momentum during the rest of 2023. The Company
cautions that its forward-looking 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 Company's future operating results and financial performance;
its ability to increase or maintain revenue; risks associated with its recent acquisition of the Coflex product line; possible future
impairment charges to long-lived assets and goodwill and write-downs of excess inventory if revenues decrease; the ability to remain competitive;
the ability to innovate, develop and introduce new products; the ability to engage and retain new and existing independent distributors
and agents and qualified personnel and the Company's dependence on key independent agents for a significant portion of its revenue;
the effect of COVID-19, labor and hospital staffing shortages on the Company's business, operating results and financial condition,
especially when they affect key markets; the Company's ability to implement successfully its future growth initiatives and risks
associated therewith; the effect of inflation, increased interest rates and other recessionary factors and supply chain disruptions; the
effect of product sales mix changes on the Company's financial results; government and third-party coverage and reimbursement for
Company products; the ability to obtain and maintain regulatory approvals and comply with government regulations; the effect of product
liability claims and other litigation to which the Company may be subject; the effect of product recalls and defects; 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, comply with its debt covenants and access additional indebtedness; the ability to obtain additional financing on favorable
terms or at all; and other factors. Additional risk factors are contained in the Company's Annual Report on Form 10-K for the year
ended December 31, 2022 filed with the Securities and Exchange Commission (SEC) on March 8, 2023 and subsequent SEC filings by the Company,
including without limitation its most recent Quarterly Report on Form 10-Q for the quarterly period ended March 31, 2023 anticipated to
be filed with the SEC. 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 the Company or persons acting on its behalf are expressly qualified in their entirety
by this cautionary statement.
MEDICAL HOLDINGS, INC.
CONSOLIDATED BALANCE SHEETS
thousands, except number of shares and par value)
| March 31, 2023 | December 31, 2022 | |||||||
| (Unaudited) | ||||||||
| ASSETS | ||||||||
| Current Assets: | ||||||||
| Cash and cash equivalents | $ | 5,410 | $ | 20,507 | ||||
| Trade accounts receivable, net of allowance for credit losses and doubtful accounts of $621 and $515, respectively | 11,902 | 10,853 | ||||||
| Inventories | 18,522 | 17,285 | ||||||
| Prepaid and other current assets | 753 | 673 | ||||||
| Total current assets | 36,587 | 49,318 | ||||||
| Property and equipment, net | 6,826 | 5,785 | ||||||
| Right-of -use asset, net | 1,269 | 1,380 | ||||||
| Goodwill | 7,639 | 3,205 | ||||||
| Intangible assets, net | 10,810 | 344 | ||||||
| Other assets | 185 | 197 | ||||||
| Total Assets | $ | 63,316 | $ | 60,229 | ||||
| LIABILITIES & STOCKHOLDERS' EQUITY | ||||||||
| Current Liabilities: | ||||||||
| Accounts payable | $ | 3,421 | $ | 3,490 | ||||
| Accrued liabilities | 5,595 | 5,496 | ||||||
| Current portion of lease liability | 473 | 458 | ||||||
| Current portion of finance lease obligations | 63 | 62 | ||||||
| Line of credit | 3,002 | 3,379 | ||||||
| Current portion of long-term debt | 4,722 | 2,333 | ||||||
| Total current liabilities | 17,276 | 15,218 | ||||||
| Long-term Liabilities: | ||||||||
| Lease liability, less current portion | 847 | 972 | ||||||
| Finance lease obligation, less current portion | 165 | 181 | ||||||
| Long-term debt, plus premium and less issuance cost | 12,318 | 9,687 | ||||||
| Total Liabilities | 30,606 | 26,058 | ||||||
| Stockholders' Equity | ||||||||
| Preferred stock | - | - | ||||||
| Common stock | - | - | ||||||
| Additional paid-in capital | 278,458 | 277,841 | ||||||
| Accumulated deficit | (245,748 | ) | (243,670 | ) | ||||
| Total Stockholders' Equity | 32,710 | 34,171 | ||||||
| Total Liabilities & Stockholders' Equity | $ | 63,316 | $ | 60,229 |
MEDICAL HOLDINGS, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
in thousands, except number of shares and per share amounts)
| Three Months Ended March 31, | ||||||||
| 2023 | 2022 | |||||||
| Revenue | ||||||||
| Orthopedic product sales | $ | 17,942 | $ | 12,950 | ||||
| Other revenue | 1 | 9 | ||||||
| Total revenue | 17,943 | 12,959 | ||||||
| Cost of sales | 7,407 | 5,399 | ||||||
| Gross profit | 10,536 | 7,560 | ||||||
| Gross profit % | 58.7 | % | 58.3 | % | ||||
| Operating expenses | ||||||||
| General and administrative | 4,884 | 3,969 | ||||||
| Sales and marketing | 7,054 | 5,209 | ||||||
| Research and development | 174 | 213 | ||||||
| 12,112 | 9,391 | |||||||
| Loss from operations | (1,576 | ) | (1,831 | ) | ||||
| Other expense | ||||||||
| Interest expense | (575 | ) | (359 | ) | ||||
| Interest income | 86 | - | ||||||
| Total Other Expense | (489 | ) | (359 | ) | ||||
| Net Loss from Operations Before Provision for Income Taxes | (2,065 | ) | (2,190 | ) | ||||
| Provision for income taxes | ||||||||
| Current and deferred | (13 | ) | (23 | ) | ||||
| Net Loss | $ | (2,078 | ) | $ | (2,213 | ) | ||
| Net loss per share: | ||||||||
| Basic | $ | (0.02 | ) | $ | (0.03 | ) | ||
| Dilutive | $ | (0.02 | ) | $ | (0.03 | ) | ||
| Shares used in the computation: | ||||||||
| Basic | 108,893,588 | 87,191,341 | ||||||
| Dilutive | 108,893,588 | 87,191,341 |
MEDICAL HOLDINGS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
| Three Months Ended March 31, | ||||||||
| 2023 | 2022 | |||||||
| Operating activities: | ||||||||
| Net loss | $ | (2,078 | ) | $ | (2,213 | ) | ||
| Adjustments to reconcile net loss to net cash used in operating activities: | ||||||||
| Depreciation and amortization | 471 | 281 | ||||||
| Gain on disposal of fixed assets | (11 | ) | (73 | ) | ||||
| Non-cash interest | 61 | 58 | ||||||
| Non-cash rent | 2 | - | ||||||
| Stock-based compensation | 617 | 613 | ||||||
| Provision for reserve on accounts receivable | 106 | 191 | ||||||
| Provision for excess and obsolete inventory | 90 | 318 | ||||||
| Changes in operating assets and liabilities, net of the effects of the acquisition: | ||||||||
| Accounts receivable | (1,155 | ) | (582 | ) | ||||
| Inventories | (309 | ) | 327 | |||||
| Prepaid and other assets | (68 | ) | (78 | ) | ||||
| Accounts payable | (69 | ) | 159 | |||||
| Accrued liabilities | 98 | (5 | ) | |||||
| Net cash used in operating activities | (2,245 | ) | (1,004 | ) | ||||
| Investing activities: | ||||||||
| Purchases of property and equipment | (456 | ) | (484 | ) | ||||
| Proceeds from sale of fixed assets | 35 | 93 | ||||||
| Acquisition of Surgalign SPV, Inc. | (17,000 | ) | - | |||||
| Net cash used in investing activities | (17,421 | ) | (391 | ) | ||||
| Financing activities: | ||||||||
| Payments on financing leases | (15 | ) | (8 | ) | ||||
| Borrowings on line of credit | 16,495 | 12,316 | ||||||
| Repayments on line of credit | (16,871 | ) | (12,329 | ) | ||||
| Net proceeds from issuance of long term debt, net of issuance costs | 4,960 | - | ||||||
| Net cash provided by (used in) financing activities | 4,569 | (21 | ) | |||||
| Net change in cash and cash equivalents | (15,097 | ) | (1,416 | ) | ||||
| Cash and cash equivalents at beginning of period | 20,507 | 18,387 | ||||||
| Cash and cash equivalents at end of period | $ | 5,410 | $ | 16,971 |
XTANT MEDICAL HOLDINGS, INC.
CALCULATION OF NON-GAAP CONSOLIDATED EBITDA AND ADJUSTED EBITDA
(Unaudited, in thousands)
| Three Months Ended March 31, | ||||||||
| 2023 | 2022 | |||||||
| Net Loss | $ | (2,078 | ) | $ | (2,213 | ) | ||
| Depreciation and amortization | 457 | 281 | ||||||
| Interest expense | 490 | 359 | ||||||
| Tax expense | 13 | 23 | ||||||
| Non-GAAP EBITDA | (1,118 | ) | (1,550 | ) | ||||
| Non-GAAP EBITDA/Total revenue | -6.2 | % | -12.0 | % | ||||
| NON-GAAP ADJUSTED EBITDA CALCULATION | ||||||||
| Stock-based compensation | 617 | 614 | ||||||
| Acquisition related expenses | 211 | - | ||||||
| Non-GAAP Adjusted EBITDA | $ | (290 | ) | $ | (936 | ) | ||
| Non-GAAP Adjusted EBITDA/Total revenue | -1.6 | % | -7.2 | % |