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 fourth quarter and year ended December 31, 2019.

Fourth Quarter 2019 Financial Highlights and Recent Announcements:

  • Revenue for the fourth quarter of 2019 was $17.0 million, compared to $18.3 million for the same prior-year period.
  • Operating expenses in the fourth quarter of 2019 were $11.6 million, compared to $62.0 million for the same prior-year period. Excluding non-cash impairment charges, operating expenses were $13.8 million in the fourth quarter of 2018.
  • Net loss incurred in the fourth quarter of 2019 was $1.6 million, compared to a net loss of $56.7 million for the same prior-year period. Excluding non-cash impairment charges and inventory reserves, net loss in the fourth quarter of 2018 was $3.9 million.
  • Non-GAAP Adjusted EBITDA for the fourth quarter of 2019 was $1.2 million, compared to $1.7 million for the same prior-year period.

Sean Browne, President and CEO of Xtant Medical, said, “I am very pleased with the commitment and contributions made by each of our team members. It is their commitment that allowed us to execute numerous strategic and operational initiatives during the year and to fulfill our mission of ‘Honoring the gift of donation, by helping our patients live as full, and complete a life as possible.’ I am looking forward to 2020 to see what the team can accomplish as we roll out exciting new products that will update some current product lines and expand our product offerings. We understand our future success is tied to our ability to expand the breadth and depth of our product offerings, and these new products are a step in the right direction for our patients, surgeons, distribution network partners, and the Company.”

Fourth Quarter and Full Year 2019 Financial Results

Fourth-quarter 2019 revenue was $17.0 million, compared to $18.3 million for the same period in 2018. Full-year 2019 revenue was $64.7 million, compared to $72.2 million for 2018. Fourth-quarter 2019 revenues benefitted from sales growth from the Company’s key biologics customers, which was offset by discontinued distributor arrangements related to the Company’s hardware business and lower demand for certain hardware products.

Gross profit for the fourth quarter of 2019 was 66.8%, compared to 39.7% for the same period in 2018 and was 65.7% for 2019, compared to 60.2% in 2018. In the fourth quarter of 2018, the Company increased its inventory reserve by $4.6 million, primarily due to excess inventory in the spinal implant product line. Excluding the inventory reserve adjustment, gross profit in 2018 would have been 65.1% for the fourth quarter, and 67.1% for the full year.

Operating expenses for the fourth quarter of 2019 were $11.6 million, compared to $62.0 million for the fourth quarter of 2018, and were $44.8 million in 2019 compared to $103.6 million in 2018. In the fourth quarter of 2018, the Company incurred non-cash impairment charges to goodwill and intangibles attributed to the X-spine acquisition totaling $48.1 million. Excluding the non-cash impairment charge, operating expenses were $13.8 million in the fourth quarter of 2018 and $55.4 million in 2018. These decreases in operating expenses were primarily attributable to lower sales commissions, reduced restructuring expenses, and a decrease in amortization expense as a result of the impairment of intangible assets that occurred in the fourth quarter of 2018, which were partially offset by higher general and administrative expenses.

Fourth-quarter 2019 net loss was $1.6 million, or $0.12 per share, compared to the fourth quarter 2018 net loss of $56.7 million, or $4.31 per share. Net loss for 2019 was $8.2 million, or $0.62 per share, compared to $70.1 million, or $5.97 per share, in 2018. Excluding the non-cash impairment charges and the inventory reserve charges, the net loss was $3.9 million, or $0.30 per share, in the fourth quarter of 2018, and $17.0 million, or $1.45 per share, in 2018.

Non-GAAP Adjusted EBITDA for the fourth quarter of 2019 was $1.2 million compared to $1.7 million for the same period of 2018. Non-GAAP Adjusted EBITDA for 2019 was $3.9 million, compared to $5.4 million for 2018. The Company defines non-GAAP Adjusted EBITDA as net income/loss from operations before depreciation, amortization, and interest expense, and as further adjusted to add back in or exclude, as applicable, impairment of goodwill and intangible assets, provision for losses on accounts receivable and inventory, stock-based compensation, changes in warrant derivative liability, remediation expenses, separation-related expenses, litigation reserves, facility consolidation costs, and restructuring expenses. A calculation and reconciliation of non-GAAP Adjusted EBITDA to net loss and the other non-GAAP financial measures included in this release to their respective most comparable GAAP measures can be found in the attached financial tables.

Conference Call

Xtant Medical will host a webcast and conference call to discuss the fourth quarter and full-year 2019 financial results on Thursday, March 5, 2020, 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.”

About Xtant Medical Holdings, Inc.

Xtant 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.

The 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.

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, net loss excluding non-cash impairment charges and inventory reserve charges, operating expenses excluding non-cash impairment charges and gross profit excluding inventory reserve adjustment. 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 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 ‘‘expects,’’ ‘‘anticipates,’’ ‘‘intends,’’ ‘‘plans,’’ ‘‘believes,’’ ‘‘estimates,’’ “continue,” “future,” ‘‘will,’’ “potential” similar expressions or the negative thereof, and the use of future dates. 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; the ability to increase or maintain revenue, including the success of the Company’s initiatives to stabilize and increase revenues; the ability to remain competitive; the ability to innovate and develop new products; the impact of certain current supply constraints; the effect of management changes and the ability to attract, engage and retain qualified personnel; the ability to obtain and maintain regulatory approvals and comply with government regulations; government and third-party coverage and reimbursement for Company products; the effect of product liability claims and other litigation to which the Company may be subject; the effect of future 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 retain and recruit independent sales agents; the ability to service Company debt and comply with debt covenants; the ability to raise additional financing and other factors. Additional risk factors are contained in the Company’s Annual Report on Form 10-K for the year ended December 31, 2018 filed with the Securities and Exchange Commission (SEC) on April 1, 2019 and subsequent SEC filings by the Company, including without limitation its most recent Quarterly Report on Form 10-Q for the quarter ended September 30, 2019 filed with the SEC on November 7, 2019 and its Annual Report on Form 10-K for the year ended December 31, 2019 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.

Investor Relations Contact

David CareyLazar FINN PartnersPh: 212-867-1762Email: david.carey@finnpartners.com

   
XTANT MEDICAL HOLDINGS, INC.  
CONDENSED CONSOLIDATED BALANCE SHEETS  
(In thousands, except number of shares and par value)  
   
    As of December 31,2019   As of December 31,2018  
           
ASSETS          
Current Assets:          
Cash and cash equivalents   $ 5,237     $ 6,797    
Trade accounts receivable, net of allowance for doubtful accounts of $500 and $2,140, respectively     10,124       9,990    
Inventories     16,101       17,301    
Prepaid and other current assets     784       589    
Total current assets     32,246       34,677    
           
Property and equipment, net     4,695       7,174    
Right-of -use asset, net     2,100       -    
Goodwill     3,205       3,205    
Intangible assets, net     515       573    
Other assets     394       793    
Total Assets   $ 43,155     $ 46,422    
           
LIABILITIES & STOCKHOLDERS' EQUITY (DEFICIT)          
Current Liabilities:          
Accounts payable   $ 2,188     $ 6,465    
Accrued liabilities     6,625       5,150    
Warrant derivative liability     7       10    
Current portion of lease liability     394       -    
Current portion of financing lease obligations     176       426    
Total current liabilities     9,390       12,051    
Long-term Liabilities:          
Lease liability, less current portion     1,726       -    
Financing lease obligation, less current portion     -       204    
Long-term debt, less issuance costs     76,244       77,939    
Total Liabilities     87,360       90,194    
           
Stockholders' Equity (Deficit)          
Preferred stock     -       -    
Common stock     -       -    
Additional paid-in capital     179,061       171,273    
Accumulated deficit     (223,266 )     (215,045 )  
Total Stockholders’ Equity (Deficit)     (44,205 )     (43,772 )  
           
Total Liabilities & Stockholders’ Equity (Deficit)   $ 43,155     $ 46,422    
           

XTANT MEDICAL HOLDINGS, INC.  
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS  
(Unaudited, in thousands, except number of shares and per share amounts)  
   
    Three Months Ended December 31,   Twelve Months Ended December 31,  
       
      2019       2018       2019       2018    
Revenue                  
Orthopedic product sales   $ 16,942     $ 18,192     $ 64,516     $ 71,814    
Other revenue     22       70       166       389    
Total revenue     16,964       18,262       64,682       72,203    
                   
Cost of sales     5,639       11,006       22,166       28,717    
Gross profit     11,325       7,256       42,516       43,486    
                   
Gross profit %     66.8 %     39.7 %     65.7 %     60.2 %  
                   
Operating expenses                  
General and administrative     4,540       3,801       17,936       14,277    
Sales and marketing     6,832       7,139       25,843       31,464    
Research and development     257       523       932       1,702    
Amortization     14       859       58       3,437    
Impairment of goodwill and intangible assets     -       48,146       -       48,146    
Restructuring expenses     -       435       -       2,970    
Separation related expenses     -       1,078       -       1,568    
Total operating expenses     11,643       61,981       44,769       103,564    
                   
Loss from operations     (318 )     (54,725 )     (2,253 )     (60,078 )  
                   
Other (expense) income                  
Interest expense     (1,268 )     (1,990 )     (5,772 )     (10,145 )  
Change in warrant derivative liability     11       38       3       121    
Other (expense) income     -       (14 )     (101 )     3    
Total Other (Expense) Income     (1,257 )     (1,966 )     (5,870 )     (10,021 )  
Net Loss from Operations Before Provision for Income Taxes     (1,575 )     (56,691 )     (8,123 )     (70,099 )  
                   
Provision for income taxes                  
Current and deferred     (30 )     -       (98 )     -    
Net Loss from Operations   $ (1,605 )   $ (56,691 )   $ (8,221 )   $ (70,099 )  
                   
Net loss per share:                  
Basic   $ (0.12 )   $ (4.31 )   $ (0.62 )   $ (5.97 )  
Dilutive   $ (0.12 )   $ (4.31 )   $ (0.62 )   $ (5.97 )  
                   
Shares used in the computation:                  
Basic     13,161,762       13,158,326       13,163,931       11,740,550    
Dilutive     13,161,762       13,158,326       13,163,931       11,740,550    
                   

XTANT MEDICAL HOLDINGS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited, in thousands)
 
  Twelve Months Ended December 31,
 
    2019       2018  
Operating activities:      
Net loss $ (8,221 )   $ (70,099 )
Adjustments to reconcile net loss to net cash provided by operating activities:      
Depreciation and amortization   3,143       6,590  
Goodwill and intangible impairment   -       48,146  
(Gain) loss on disposal of fixed assets   (61 )     103  
Non-cash interest   5,726       9,848  
Non-cash rent expense   20       -  
Stock-based compensation   515       694  
Change in warrant derivative liability   (3 )     (121 )
Provision for reserve on accounts receivable   513       188  
Provision for excess and obsolete inventory   509       4,932  
Changes in operating assets and liabilities:      
Accounts receivable   (647 )     2,536  
Inventories   692       40  
Prepaid and other assets   204       1,055  
Accounts payable   (4,278 )     (3,011 )
Accrued liabilities   1,475       311  
Net cash provided by (used in) operating activities   (413 )     1,212  
       
Investing activities:      
Purchases of property and equipment   (879 )     (624 )
Proceeds from sale of fixed assets   335       257  
Net cash used in investing activities   (544 )     (367 )
       
Financing activities:      
Payments on financing leases   (455 )     (359 )
Costs associated with Second Amended and Restated Credit Agreement   (148 )     -  
Costs associated with private placement and convertible debt exchange   -       (3,356 )
Proceeds from equity private placement   -       6,810  
Proceeds from issuance of stock   -       1  
Net cash provided by (used in) financing activities   (603 )     3,096  
       
Net change in cash and cash equivalents   (1,560 )     3,941  
Cash and cash equivalents at beginning of period   6,797       2,856  
Cash and cash equivalents at end of period $ 5,237     $ 6,797  
       
XTANT MEDICAL HOLDINGS, INC.  
CALCULATION OF NON-GAAP CONSOLIDATED EBITDA AND ADJUSTED EBITDA  
(Unaudited, in thousands)  
   
    Three Months Ended December 31,   Twelve Months Ended December 31,  
      2019       2018       2019       2018    
                   
Net Loss   $ (1,605 )   $ (56,691 )   $ (8,221 )   $ (70,099 )  
                   
Other expense     -       14       101       (3 )  
Depreciation and amortization     807       1,646       3,143       6,589    
Interest expense     1,268       1,990       5,772       10,145    
Tax expense     30       -       98       -    
Non-GAAP EBITDA     500       (53,041 )     893       (53,368 )  
                   
Non-GAAP EBITDA/Total revenue     2.9 %     -290.4 %     1.4 %     -73.9 %  
                   
NON-GAAP ADJUSTED EBITDA CALCULATION                  
Impairment of goodwill and intangible assets     -       48,146       -       48,146    
Provision for reserve on accounts receivable     60       185       513       188    
Provision for excess and obsolete inventory     (8 )     4,636       509       4,932    
Stock-based compensation     259       108       515       694    
Change in warrant derivative liability     (11 )     (38 )     (3 )     (121 )  
Separation-related expenses     -       1,078       (37 )     1,568    
Remediation expenses     253       -       560       -    
Litigation reserve     119       195       919       195    
Facility consolidation costs     -       1       -       241    
Restructuring expenses     -       435       -       2,970    
Non-GAAP Adjusted EBITDA   $ 1,172     $ 1,705     $ 3,869     $ 5,445    
                   
Non-GAAP Adjusted EBITDA/Total revenue     6.9 %     9.3 %     6.0 %     7.5 %  

   
XTANT MEDICAL HOLDINGS, INC.  
CALCULATION ON NON-GAAP ADJUSTED NET INCOME, NON-GAAP ADJUSTED GROSS PROFIT AND NON-GAAP ADJUSTED OPERATING EXPENSES AND RECONCILIATION TO GAAP NET INCOME, GAAP GROSS PROFIT AND GAAP OPERATING EXPENSES  
 
(Unaudited, in thousands, except number of shares and per share amounts)  
   
    Three Months Ended December 31,     Twelve Months Ended December 31,  
         
      2019       2018         2019       2018    
Revenue                    
Orthopedic product sales   $ 16,942     $ 18,192       $ 64,516     $ 71,814    
Other revenue     22       70         166       389    
Total revenue     16,964       18,262         64,682       72,203    
                     
Cost of Sales     5,639       11,006         22,166       28,717    
Reverse Inventory Reserve     8       (4,636 )       (509 )     (4,932 )  
Adjusted Total Cost of sales     5,647       6,370         21,657       23,785    
                     
Adjusted Gross profit     11,317       11,892         43,025       48,418    
                     
Gross profit %     66.7 %     65.1 %       66.5 %     67.1 %  
                     
Operating expenses                    
General and administrative     4,540       3,801         17,936       14,277    
Sales and marketing     6,832       7,139         25,843       31,464    
Research and development     257       523         932       1,702    
Amortization     14       859         58       3,437    
Goodwill & Intangible Asset impairment     -       48,146         -       48,146    
Reverse impairment charges     -       (48,146 )       -       (48,146 )  
Restructuring expenses     -       435         -       2,970    
Separation related expenses     -       1,078         -       1,568    
Total Adjusted Operating Expenses     11,643       13,835         44,769       55,418    
                     
Loss from operations     (326 )     (1,943 )       (1,744 )     (7,000 )  
                     
Other Income (Expense)                    
Interest expense     (1,268 )     (1,990 )       (5,772 )     (10,145 )  
Change in warrant derivative liability     11       38         3       121    
Other (expense) income     -       (14 )       (101 )     3    
Total Other (Expense) Income     (1,257 )     (1,966 )       (5,870 )     (10,021 )  
                     
Net Loss from Operations Before Provision for Income Taxes   (1,583 )     (3,909 )       (7,614 )     (17,021 )  
                     
Provision for Income Taxes                    
Current and Deferred     (30 )     -         (98 )     -    
                     
 Adjusted Net Loss   $ (1,613 )   $ (3,909 )     $ (7,712 )   $ (17,021 )  
                     
Net loss per share:                    
Basic   $ (0.12 )   $ (0.30 )     $ (0.59 )   $ (1.45 )  
Dilutive   $ (0.12 )   $ (0.30 )     $ (0.59 )   $ (1.45 )  
                     
Shares used in the computation:                    
Basic     13,161,762       13,158,326         13,163,931       11,740,550    
Dilutive     13,161,762       13,158,326         13,163,931       11,740,550    
                     
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