Treace Medical Concepts, Inc. (“Treace” or the “Company”) (NasdaqGS: TMCI), a commercial-stage orthopaedic medical device company driving a paradigm shift in the surgical treatment of Hallux Valgus (commonly known as bunions), today reported financial results for the second quarter ended June 30, 2021.

Recent Highlights:

  • Revenue of $20.7 million, a 167% increase over the same period last year
  • Gross margin of 80.9%, an increase of 780 basis points from the same period last year
  • Interim results from ALIGN3D™ clinical study demonstrating positive radiographic and patient-reported outcomes starting at 6 weeks and maintained at 12 months

“We are pleased to announce continued strength in our business, with growth in the second quarter led by increasing surgeon utilization and steady gains in our customer base supported by our expanding direct sales channel” said John T. Treace, CEO, Founder and Board Member of Treace. “While the return to pre-pandemic levels may not be linear, we continue to believe we are well-positioned to drive continued market penetration of our Lapiplasty® system, with comprehensive strategies and offerings that include a body of clinical evidence demonstrating consistent, reliable correction and low recurrence rates.”

Second Quarter 2021 Financial ResultsRevenue for the second quarter of 2021 was $20.7 million, representing an increase of 167% compared to $7.7 million in the second quarter of 2020. The increase was driven by an increased number of Lapiplasty® procedure kits sold and an expanded customer base. Revenues during the 2020 second quarter were severely impacted by the COVID-19 pandemic, including the government-mandated restrictions on elective procedures.

Gross profit for the second quarter of 2021 was $16.7 million, compared to a gross profit of $5.7 million in the second quarter of 2020. Gross margin increased to 80.9% in the second quarter of 2021, compared to 73.1% in the second quarter of 2020. Gross margin expansion was the result of an increased number of Lapiplasty® procedure kits sold and a higher average blended ASP. Gross margin for the 2020 period also reflects pandemic-related disruptions.

Total operating expenses were $20.8 million in the second quarter of 2021, including sales and marketing (S&M) expenses of $14.0 million, research and development (R&D) expenses of $2.4 million, and general and administrative (G&A) expenses of $4.3 million. This compared to total operating expenses of $7.2 million, including S&M expenses of $4.8 million, R&D expenses of $1.0 million, and G&A expenses of $1.4 million in the second quarter of 2020. Expenses in the second quarter of 2020 reflect cost-reduction initiatives and the effect of shelter-in-place orders as a result of the COVID-19 pandemic.

Second quarter net loss was ($5.1) million, or ($0.10) per share, compared to net loss of ($2.1) million, or ($0.06) per share, for the same period of 2020.

Cash and cash equivalents were $119.6 million as of June 30, 2021. This includes cash proceeds of $107.6 million from the Company’s initial public offering that closed in April 2021.

Financial OutlookTreace now expects revenue for the full year 2021 to range from $90 million to $95 million, which represents approximately 57% to 65% growth over the Company’s fiscal year 2020 revenue. Previous revenue expectation was $87 million to $92 million.

Webcast and Conference Call DetailsTreace will host a conference call today, August 5, 2021, at 4:30 p.m. ET to discuss its second quarter 2021 financial results. The dial-in numbers are (888) 708-0264 for domestic callers or (720) 405-2122 for international callers, followed by Conference ID: 9779815. The live webcast of the conference call will be available on the Investor Relations section of the Company’s website at https://investors.treace.com/. The webcast will be archived on the website following the completion of the call.  

Use of Non-GAAP Financial MeasuresTo supplement the financial results presented in accordance with GAAP, this earnings release presents Adjusted EBITDA, which the Company defines as net loss before depreciation and amortization expense, stock-based compensation expense and interest income/expense. Adjusted EBITDA is being presented in addition to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP. Management uses Adjusted EBITDA to evaluate the Company’s operating performance and trends, as well as for making planning decisions. The Company believes that Adjusted EBITDA helps to identify underlying trends in the Company’s business that could otherwise be masked by the effect of the expenses and other items that it excludes in Adjusted EBITDA. Accordingly, the Company believes Adjusted EBITDA provides useful information to investors and others in understanding and evaluating the Company’s operating results, enhancing the overall understanding of its past performance and future prospects, and allowing for greater transparency with respect to the key financial metrics used by the Company’s management in their financial and operational decision-making. The Company also presents Adjusted EBITDA because it believes investors, analysts and rating agencies consider it a useful metric in measuring the Company’s performance against other companies and its ability to meet its debt service obligations.

There are limitations related to the use of non-GAAP financial measures such as Adjusted EBITDA because they are not prepared in accordance with GAAP, may exclude significant expenses required by GAAP to be recognized in the Company’s financial statements, and may not be comparable to non-GAAP financial measures used by other companies. The Company encourages investors to carefully consider its results under GAAP, as well as its supplemental non‐GAAP information and the reconciliation between these presentations, to more fully understand its business. Reconciliations between GAAP and non‐GAAP results are presented below.

Forward-Looking StatementsThis press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements other than statements of historical fact are forward-looking statements, including, but not limited to the Company’s expectations regarding the recovery of the market to pre-pandemic levels; the Company’s belief that it is well positioned to drive continued market penetration of the Lapiplasty® system; and the Company’s expected revenue for full year 2021. Forward-looking statements are based on management’s current assumptions and expectations of future events and trends, which affect or may affect the Company’s business, strategy, operations or financial performance, and actual results and other events may differ materially from those expressed or implied in such statements due to numerous risks and uncertainties. Forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified. Factors that could cause actual results or other events to differ materially from those contemplated in this press release can be found in the Risk Factors section of Treace’s public filings with the Securities and Exchange Commission (SEC), including in the final prospectus filed with the SEC on April 26, 2021 in connection with Treace’s initial public offering. Because forward-looking statements are inherently subject to risks and uncertainties, you should not rely on these forward-looking statements as predictions of future events. These forward-looking statements speak only as of their date and, except to the extent required by law, the Company undertakes no obligation to update these statements, whether as a result of any new information, future developments or otherwise. The Company’s results for the quarter ended June 30, 2021 are not necessarily indicative of our operating results for any future periods.

About Treace Medical ConceptsTreace Medical Concepts is a commercial-stage orthopaedic medical device company with the goal of advancing the standard of care for the surgical management of bunion deformities. Bunions are complex 3-dimensional deformities that originate from an unstable joint in the middle of the foot. Treace has pioneered and patented the Lapiplasty® 3D Bunion Correction™ system - a combination of instruments, implants, and surgical methods designed to correct all 3 planes of the bunion deformity and secure the unstable joint, addressing the root cause of the bunion and getting patients back to their active lives quickly.

Contacts:

Treace Medical ConceptsMark L. HairChief Financial Officermhair@treace.net(904) 373-5940

Investors:

Gilmartin GroupLynn Lewis or Vivian CervantesIR@treace.net

Treace Medical Concepts, Inc. Condensed Statements of Operations and Comprehensive Loss (in thousands, except share and per share amounts) (unaudited)

  Three Months EndedJune 30,     Six Months EndedJune 30,  
  2021     2020     2021     2020  
Revenue $ 20,654     $ 7,739     $ 39,361     $ 18,995  
Cost of goods sold   3,944       2,085       7,271       4,474  
Gross profit   16,710       5,654       32,090       14,521  
Operating expenses                              
Sales and marketing   14,010       4,789       26,158       12,127  
Research and development   2,422       982       4,290       2,415  
General and administrative   4,329       1,401       7,095       2,696  
Total operating expenses   20,761       7,172       37,543       17,238  
Loss from operations   (4,051 )     (1,518 )     (5,453 )     (2,717 )
Interest and other income, net   6       3       7       36  
Interest expense   (1,038 )     (458 )     (2,069 )     (899 )
Other expense, net   (1,032 )     (455 )     (2,062 )     (863 )
Net loss and comprehensive loss   (5,083 )     (1,973 )     (7,515 )     (3,580 )
Convertible preferred stock cumulative and undeclared dividends   (39 )     (159 )     (196 )     (318 )
Net loss attributable to common stockholders $ (5,122 )   $ (2,132 )   $ (7,711 )   $ (3,898 )
Net loss per share attributable to common stockholders, basic and diluted $ (0.10 )   $ (0.06 )   $ (0.18 )   $ (0.11 )
Weighted-average shares used in computing net loss per share attributable to common stockholders, basic and diluted   49,187,285       37,068,288       43,556,107       37,060,491  
                               

Treace Medical Concepts, Inc. Condensed Balance Sheets (in thousands, except share and per share amounts) (unaudited)

  June 30,     December 31,  
  2021     2020  
Assets              
Current assets              
Cash and cash equivalents $ 119,621     $ 18,079  
Accounts receivable, net of allowance for doubtful accounts of $271 and $446 as of June 30, 2021 and December 31, 2020, respectively   10,047       14,486  
Inventories   7,643       7,820  
Prepaid expenses and other current assets   3,512       593  
Total current assets   140,823       40,978  
Property and equipment, net   1,475       829  
Total assets $ 142,298     $ 41,807  
Liabilities and Stockholders’ Equity              
Current liabilities              
Accounts payable $ 2,921     $ 2,265  
Accrued liabilities   1,957       1,848  
Accrued commissions   2,553       3,513  
Accrued compensation   2,434       2,183  
Short-term debt   -       1,788  
Total current liabilities   9,865       11,597  
Derivative liability on term loan   245       245  
Long-term debt, net of discount of $723 and $811 as of June 30, 2021 and December 31, 2020, respectively   29,277       29,189  
Total liabilities   39,387       41,031  
Commitments and contingencies (Note 7)              
Stockholders’ equity              
Series A convertible preferred stock, $0.001 par value, 0 shares authorized and 0 shares issued and outstanding as of June 30, 2021; 6,687,500 shares authorized and 6,687,475 shares issued and outstanding as of December 31, 2020, respectively; liquidation value of $0 and $8,000 as of June 30, 2021 and December 31, 2020, respectively         7,935  
Preferred stock, $0.001 par value, 5,000,000 shares authorized; 0 shares issued and outstanding as of June 30, 2021; 0 shares authorized, issued and outstanding as of December 31, 2020          
Common stock, $0.001 par value, 300,000,000 shares authorized; 52,755,981 issued and outstanding as of June 30, 2021; 66,875,000 shares authorized, 37,366,865 issued and outstanding as of December 31, 2020 45     28  
Common stock Class B, $0.001 par value, 0 shares authorized, issued and outstanding as of June 30, 2021; 1,000,000 shares authorized and 0 shares issued and outstanding as of December 31, 2020          
Additional paid-in capital   131,734       14,166  
Accumulated deficit   (28,868 )     (21,353 )
Total stockholders’ equity   102,911       776  
Total liabilities and stockholders’ equity $ 142,298     $ 41,807  
               

Treace Medical Concepts, Inc. Condensed Statements of Cash Flows (in thousands)(unaudited)

  Six Months EndedJune 30,     Six Months EndedJune 30,  
  2021     2020  
Cash flows from operating activities              
Net loss $ (7,515 )   $ (3,580 )
Adjustments to reconcile net loss to net cash used in operating activities              
Depreciation and amortization expense   220       667  
(Recovery) Provision for allowance for doubtful accounts   (72 )     228  
Share-based compensation expense   1,277       457  
Amortization of debt issuance costs   88       118  
Provision for inventory obsolescence   88       412  
Net changes in operating assets and liabilities:              
Accounts Receivable   4,511       3,532  
Inventory   89       (2,590 )
Prepaid expenses and other assets   (2,919 )     178  
Accounts payable   656       1,071  
Accrued liabilities   (600 )     (3,233 )
Net cash used in operating activities   (4,177 )     (2,740 )
Cash flows from investing activities              
Purchases of property and equipment   (866 )     (923 )
Net cash used in investing activities   (866 )     (923 )
Cash flows from financing activities              
Proceeds from SBA Loan         1,788  
Repayments on SBA Loan   (1,788 )      
Proceeds from issuance of common stock upon initial public offering, net of issuance costs and underwriting fees of $10.6 million   107,610        
Proceeds from exercise of employee stock options   763       41  
Net cash provided by financing activities   106,585       1,829  
Net increase (decrease) in cash and cash equivalents   101,542       (1,834 )
Cash and cash equivalents at beginning of period   18,079       12,139  
Cash and cash equivalents at end of period $ 119,621     $ 10,305  
Supplemental disclosure of cash flow information:              
Cash paid for interest   2,917        
NONCASH FINANCING ACTIVITIES:              
Issuance of common stock upon exercise of warrants   1        
Conversion of convertible preferred stock and accrued dividends on convertible preferred stock into common stock   7,935        
               

Treace Medical Concepts, Inc.Reconciliation of GAAP Net Loss to Adjusted EBITDA

  Three Months Ended June 30,   Six Months EndedJune 30,
    2021       2020       2021       2020  
Net loss $ (5,083 )   $ (1,973 )   $ (7,515 )   $ (3,580 )
Adjustments:              
Interest $ 1,032     $ 455     $ 2,062     $ 863  
Taxes $ -     $ -     $ -      
Depreciation & Amortization $ 124     $ 364     $ 220     $ 667  
Non-cash compensation expense $ 875     $ 248     $ 1,277     $ 457  
Adjusted EBITDA $ (3,052 )   $ (906 )   $ (3,956 )   $ (1,593 )
               
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