0001253176false00012531762023-11-082023-11-08

 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

 

FORM 8-K

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): November 08, 2023

 

 

Vapotherm, Inc.

(Exact name of Registrant as Specified in Its Charter)

 

 

Delaware

001-38740

46-2259298

(State or Other Jurisdiction
of Incorporation)

(Commission File Number)

(IRS Employer
Identification No.)

 

 

 

 

 

100 Domain Drive

 

Exeter, New Hampshire

 

03833

(Address of Principal Executive Offices)

 

(Zip Code)

 

Registrant’s Telephone Number, Including Area Code: 603 658-0011

 

Not Applicable

(Former Name or Former Address, if Changed Since Last Report)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:


Title of each class

 

Trading
Symbol(s)

 


Name of each exchange on which registered

Common Stock, $0.001 par value per share

 

VAPO

 

New York Stock Exchange

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 

 


Item 2.02 Results of Operations and Financial Condition.

On November 8, 2023, Vapotherm, Inc. (the “Company”) announced its financial results for the third quarter ended September 30, 2023. A full text of the press release issued in connection with the announcement is furnished as Exhibit 99.1 to this Current Report on Form 8-K.

The information contained in Item 2.02 of this Current Report on Form 8-K, including Exhibit 99.1 attached hereto, is being furnished and shall not be deemed filed for any purpose, and shall not be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, except as expressly set forth by specific reference in such filing.

Item 9.01 Financial Statements and Exhibits.

(d) Exhibits.

Exhibit

Number

 

 

Description

99.1

 

Press Release Issued by Vapotherm, Inc. on November 8, 2023

104

 

Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

 


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

 

 

Vapotherm, Inc.

 

 

 

 

Date:

November 8, 2023

By:

/s/ John Landry

 

 

 

John Landry
Senior Vice President and Chief Financial Officer

 


Exhibit 99.1

 

img168988987_0.jpg 

Vapotherm Reports Third Quarter 2023 Financial Results

EXETER, N.H., November 8, 2023 /PRNewswire/ -- Vapotherm, Inc. (NYSE: VAPO), (“Vapotherm” or the “Company”), today announced third quarter 2023 financial results and related highlights.

Third Quarter 2023 Financial Results and Related Highlights

Net revenue for the third quarter of 2023 was $15.2 million, an increase of 12.0% as compared to the third quarter of 2022
o
Non-GAAP net revenue excluding the Vapotherm Access call center business, which the Company exited in the fourth quarter of 2022, increased by 17.6% as compared to the third quarter of 2022
o
Disposables revenue increased by 18.0% as compared to the third quarter of 2022
o
Capital revenue increased by 24.7% as compared to the third quarter of 2022 due to strong HVT 2.0 sales
Gross margin in the third quarter of 2023 was 39.6%
For the third quarter of 2023, GAAP operating expenses were $16.3 million and non-GAAP cash operating expenses were $12.3 million. Both decreased compared to the prior year period and second quarter of 2023 as a result of the Company’s Path to Profitability initiatives:
o
GAAP operating expenses decreased by $0.7 million from the second quarter of 2023 and by $8.5 million from the third quarter of 2022
o
Non-GAAP cash operating expenses decreased by $1.9 million from the second quarter of 2023 and by $7.2 million from the third quarter of 2022
The Company’s unrestricted cash and cash equivalents was $14.4 million at the end of the third quarter of 2023, a decrease of $3.6 million from the Company’s unrestricted cash and cash equivalents balance of $18.0 million at the end of the second quarter of 2023
o
This decrease compares to a decrease of $7.7 million in the Company’s unrestricted cash and cash equivalents in the second quarter of 2023
The Company met its 2023 one-time minimum net revenue covenant requirement of $25 million for the six month period ended September 30, 2023. The Company recorded net revenue of $31.2 million for this measurement period
o
The Company’s next minimum net revenue covenant test will begin in 2024 with the minimum net revenue level set at a discount to the Company’s 2024 Annual Operating Plan
o
The Company remains in compliance with its minimum unrestricted cash and cash equivalents covenant of $5.0 million
The HYPERACT clinical trial has been accepted for initial presentation at the Society for Critical Care Medicine Congress in January 2024. The trial was designed to compare the ability of the Company’s HVNI technology to treat acute hypercapnic respiratory failure in the Emergency Department compared to bi-level positive airway pressure, a form of non-invasive ventilation delivered via a form-fitting face mask. The trial focused on moderate to severe COPD patients with carbon dioxide levels above 60 and pH levels below 7.35. While bi-level pressure systems are the current standard of care, many patients cannot tolerate the discomfort and complications associated with the masks required for those systems. The primary endpoint of the trial was non-inferiority of HVNI with additional measurements of associated laboratory values, ease of use, and patient comfort. There were no adverse events.

“We are pleased to deliver Non-GAAP net revenue growth in the upper teens despite the significant reductions we have made in operating expenses over the past 6 quarters,” said Joseph Army, President and CEO. “In addition, we have made significant progress in reducing our cash burn as we move towards profitability and are excited to share the results of the HYPERACT clinical trial with the medical community.”


 

Results for the Three Months Ended September 30, 2023

The following table reflects the Company’s net revenue for the three months ended September 30, 2023 and 2022:

 

 

Three Months Ended September 30,

 

 

 

 

 

 

 

 

 

2023

 

 

2022

 

 

Change

 

 

 

(in thousands, except percentages)

 

 

 

Amount

 

 

% of Revenue

 

 

Amount

 

 

% of Revenue

 

 

$

 

 

%

 

Revenue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital (product & lease revenue)

 

$

2,486

 

 

 

16.4

%

 

$

1,993

 

 

 

14.7

%

 

$

493

 

 

 

24.7

%

Disposables

 

 

11,170

 

 

 

73.6

%

 

 

9,463

 

 

 

69.9

%

 

 

1,707

 

 

 

18.0

%

Service and other (1)

 

 

1,511

 

 

 

10.0

%

 

 

2,089

 

 

 

15.4

%

 

 

(578

)

 

 

(27.7

)%

Total net revenue

 

$

15,167

 

 

 

100.0

%

 

$

13,545

 

 

 

100.0

%

 

$

1,622

 

 

 

12.0

%

(1)
Includes $653,000 in revenue from Vapotherm Access in the third quarter of 2022

Net revenue for the third quarter of 2023 was $15.2 million and increased 12.0% over the third quarter of 2022 due to an increase in capital and disposables demand especially in the International markets. Excluding revenue from Vapotherm Access, which the Company exited in the fourth quarter of 2022, non-GAAP net revenue increased by 17.6% as compared to the third quarter of 2022.

Revenue information by geography is summarized as follows:

 

 

Three Months Ended September 30,

 

 

 

 

 

 

 

 

 

2023

 

 

2022

 

 

Change

 

 

 

(in thousands, except percentages)

 

 

 

Amount

 

 

% of Revenue

 

 

Amount

 

 

% of Revenue

 

 

$

 

 

%

 

United States (1)

 

$

11,231

 

 

 

74.0

%

 

$

11,063

 

 

 

81.7

%

 

$

168

 

 

 

1.5

%

International

 

 

3,936

 

 

 

26.0

%

 

 

2,482

 

 

 

18.3

%

 

 

1,454

 

 

 

58.6

%

Total net revenue

 

$

15,167

 

 

 

100.0

%

 

$

13,545

 

 

 

100.0

%

 

$

1,622

 

 

 

12.0

%

(1)
Includes $653,000 in revenue from Vapotherm Access in the third quarter of 2022

Gross profit and gross margin for the third quarter of 2023 was $6.0 million and 39.6%, respectively, as compared to gross profit of $1.9 million and gross margin of 13.8% for the third quarter of 2022. The increases in gross profit and gross margin were primarily due to inventory reserves and write-offs recorded in the third quarter of 2022 that did not recur in the current year period and year over year revenue growth. In the third quarter of 2023, gross margin decreased by 320 basis points versus gross margin of 42.8% in the second quarter of 2023. Significantly increasing capacity at the Company’s Mexico facility in advance of the RSV and flu seasons in the Northern Hemisphere resulted in inefficiencies that the Company did not experience in the second quarter of 2023.

Total operating expenses were $16.3 million in the third quarter of 2023, a decrease of $8.5 million as compared to the third quarter of 2022. Non-GAAP cash operating expenses, excluding impairment charges, gain (loss) on disposal of property and equipment, depreciation and amortization, stock-based compensation expense, termination benefits, gain from deconsolidation, and change in fair value of contingent consideration were $12.3 million in the third quarter of 2023 compared to $19.5 million in the third quarter of 2022 and $14.2 million in the second quarter of 2023. The decreases in operating expenses and non-GAAP cash operating expenses were primarily due to the Company’s Path-to-Profitability initiatives.

Net loss for the third quarter of 2023 was $15.1 million, or $2.38 per share, compared to $26.2 million, or $7.85 per share, in the third quarter of 2022. Net loss per share was based on 6,361,098 and 3,337,072 weighted average shares outstanding for the third quarter of 2023 and 2022, respectively.

Adjusted EBITDA was negative $6.1 million for the third quarter of 2023 as compared to negative $17.7 million for the third quarter of 2022. The improvement in Adjusted EBITDA was primarily due to the Company’s Path-to-Profitability initiatives.

Cash Position

Unrestricted cash and cash equivalents were $14.4 million as of September 30, 2023 compared to $18.0 million as of June 30, 2023.

Fiscal 2023 Outlook

The Company now expects full year revenue to be between $69 million and $71 million, a decrease from the Company’s previous fiscal outlook of $70 million to $73 million. The Company now expects full year gross margins of 41% to 43%, a decrease from the Company’s previous fiscal outlook of 43% to 45%. The Company now expects full year operating expenses of $68 million to $70 million, a decrease from the Company’s previous fiscal outlook of $70 million to $72 million. Fiscal 2023, non-GAAP cash operating expenses excluding additional items as detailed below, are now expected to be in the range of $54 million to $56 million, a decrease from the Company’s previous fiscal outlook of $55 million to $57 million. The Company continues to expect that it will exit 2023 with unrestricted cash and cash equivalents of $10 million to $15 million. While the Company expects disposables revenue to account


 

for 75% of its total revenue over the long-term, the Company anticipates that the contribution of disposables revenue as a percentage of total revenue may be slightly lower than this in 2023 given the positive market receptivity to HVT 2.0.

Conference Call Information

Management will host a conference call at 4:30 p.m. Eastern Time on November 8, 2023 to discuss the results of the quarter with a question and answer session. To listen to the conference call on your telephone, please dial +1 (888) 390-0546 for North American callers approximately ten minutes prior to the start time and reference conference code 32204171. To listen to a live webcast, please visit the Investors section of the Vapotherm website at: http://investors.vapotherm.com/events. The webcast replay will be available on the Vapotherm website for 12 months following completion of the call. A replay of this conference call will be available by telephone through November 15, 2023 by dialing +1 (888) 390-0541 in North America. The replay access code is 204171.

Website Information

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

Non-GAAP Financial Measures

This press release includes non-GAAP financial measures, including non-GAAP net revenue excluding Vapotherm Access, EBITDA, Adjusted EBITDA, non-GAAP operating expenses excluding impairment of goodwill, impairment of long-lived and intangible assets and gain (loss) on disposal of property and equipment, and non-GAAP cash operating expenses excluding additional items, including stock-based compensation expense, depreciation and amortization, termination benefits, gain from deconsolidation, and change in fair value of contingent consideration, which differ from operating expenses calculated in accordance with U.S. generally accepted accounting principles (“GAAP”). Non-GAAP net revenue excluding Vapotherm Access represents net revenue less net revenue of Vapotherm Access, which the Company exited in the fourth quarter of 2022. EBITDA represents net loss less interest expense, net, income tax provision or benefit, and depreciation and amortization, and Adjusted EBITDA represents EBITDA as further adjusted for the impact of foreign currency loss or gain, change in fair value of contingent consideration, stock-based compensation expense, impairment of goodwill, impairment of long-lived and intangible assets, gain from deconsolidation, and gain on disposal of property and equipment. Since these adjustments to the GAAP measures are highly variable, difficult to predict and of a size that could have substantial impact on Vapotherm’s reported results of operations for a period, Vapotherm cannot provide without unreasonable effort a quantitative reconciliation to the most directly comparable GAAP measures for its 2023 financial guidance regarding non-GAAP cash operating expenses. The Company has reconciled all historical non-GAAP financial measures with the most directly comparable GAAP financial measures in tables accompanying this release.

These non-GAAP financial measures are presented because the Company believes they are useful indicators of its operating performance. Management uses these non-GAAP financial measures, as measures of the Company’s operating performance and for planning purposes, including the preparation of the Company’s annual operating budget and financial projections. The Company believes these measures are useful to investors as supplemental information because they are 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.

These non-GAAP financial measures should not be considered alternatives 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. They should not be construed to imply that the Company’s future results will be unaffected by unusual or non-recurring items. In addition, Adjusted EBITDA is not intended to be a measure of free cash flow for management’s discretionary use, as it does not reflect certain cash requirements such as tax payments, debt service requirements, capital expenditures and certain other cash costs that may recur in the future. Adjusted EBITDA contains certain other limitations, including the failure to reflect our capital expenditures, cash requirements for working capital needs and cash costs to replace assets being depreciated and amortized. In evaluating Adjusted EBITDA, you should be aware that in the future the Company may incur expenses that are the same as or similar to some of the adjustments in the Adjusted EBITDA 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 and other non-GAAP financial measures on a supplemental basis. The Company’s definitions of Adjusted EBITDA and non-GAAP operating expenses excluding impairment of long-lived and intangible assets and loss on disposal of property and equipment and non-GAAP cash operating expenses excluding the additional items detailed below, are not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation.


 

About Vapotherm

Vapotherm, Inc. (NYSE: VAPO) is a publicly traded developer and manufacturer of advanced respiratory technology based in Exeter, New Hampshire, USA. The Company develops innovative, comfortable, non-invasive technologies for respiratory support of patients with chronic or acute breathing disorders. Over 4.1 million patients have been treated with the use of Vapotherm high velocity therapy® systems. For more information, visit www.vapotherm.com.

Vapotherm high velocity therapy is mask-free non-invasive respiratory support and is a front-line tool for relieving respiratory distress—including hypercapnia, hypoxemia, and dyspnea. It allows for the fast, safe treatment of undifferentiated respiratory distress with one tool. The HVT 2.0 and Precision Flow systems’ mask-free interface delivers optimally conditioned breathing gases, making it comfortable for patients and reducing the risks and care complexities associated with mask therapies. While being treated, patients can talk, eat, drink and take oral medication.

Legal Notice Regarding Forward-Looking Statements

This press release contains forward-looking statements under the Private Securities Litigation Reform Act of 1995, including statements about the Company’s expected net revenue, including revenue breakdown, gross margin, operating expenses, non-GAAP cash operating expenses and unrestricted cash and cash equivalents balance as of the end of 2023. In some cases, you can identify forward-looking statements by terms such as “expect,” “continue,” “plan,” “intend,” “will,” “outlook,” “guidance,” or “typically,” or the negative of these terms or other similar expressions, although not all forward-looking statements contain these words, and the use of future dates. Each forward-looking statement is subject to risks and uncertainties that could cause actual results to differ materially from those expressed or implied in such statement. Applicable risks and uncertainties include, but are not limited to the following: Vapotherm has incurred losses in the past and may be unable to achieve or sustain profitability in the future or achieve its 2023 financial guidance including anticipated unrestricted cash and cash equivalents as of the end of 2023; risks associated with its manufacturing operations in Mexico; Vapotherm’s ability to raise additional capital to fund its existing commercial operations, develop and commercialize new products, and expand its operations; Vapotherm’s ability to comply with its financial covenants, execute on its path-to-profitability initiative, convert excess inventory into cash and fund its business through 2023; Vapotherm’s dependence on sales generated from its High Velocity Therapy systems, competition from multi-national corporations who have significantly greater resources than Vapotherm and are more established in the respiratory market; the ability for High Velocity Therapy systems to gain increased market acceptance; Vapotherm’s inexperience directly marketing and selling its products; the potential loss of one or more suppliers and dependence on its new third party manufacturer; Vapotherm’s susceptibility to seasonal fluctuations; Vapotherm’s failure to comply with applicable United States and foreign regulatory requirements; the failure to obtain U.S. Food and Drug Administration or other regulatory authorization to market and sell future products or its inability to secure, maintain or enforce patent or other intellectual property protection for its products; the impact of COVID on its business, including its supply chain, risks associated with the reverse stock split, Vapotherm’s ability to regain compliance with the continued listing standards of the NYSE, market conditions and the impact of the reverse stock split on the trading price of Vapotherm’s common stock, a possible delisting of Vapotherm’s common stock and the other risks and uncertainties included under the heading “Risk Factors” in Vapotherm’s Annual Report on Form 10-K for the fiscal year ended December 31, 2022, as filed with the SEC on February 23, 2023, and in its subsequent filings with the SEC, including its Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2023. The forward-looking statements contained in this press release reflect Vapotherm’s views as of the date hereof, and Vapotherm does not assume and specifically disclaims any obligation to update any forward-looking statements whether as a result of new information, future events or otherwise, except as required by law.

 

 


 

Financial Statements:

 

VAPOTHERM, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands, except share amounts)

 

 

September 30, 2023

 

 

December 31, 2022

 

 

 

(unaudited)

 

 

 

 

Assets

 

 

 

 

 

 

Current assets

 

 

 

 

 

 

Cash and cash equivalents

 

$

14,418

 

 

$

15,738

 

Accounts receivable, net of expected credit losses
   of $162 and $227, respectively

 

 

7,441

 

 

 

9,102

 

Inventories, net

 

 

23,093

 

 

 

32,980

 

Prepaid expenses and other current assets

 

 

4,202

 

 

 

2,081

 

Total current assets

 

 

49,154

 

 

 

59,901

 

Property and equipment, net

 

 

23,908

 

 

 

26,636

 

Operating lease right-of-use assets

 

 

3,556

 

 

 

5,805

 

Restricted cash

 

 

1,109

 

 

 

1,109

 

Goodwill

 

 

541

 

 

 

536

 

Deferred income tax assets

 

 

124

 

 

 

96

 

Other long-term assets

 

 

2,212

 

 

 

2,112

 

Total assets

 

$

80,604

 

 

$

96,195

 

Liabilities and Stockholders’ Deficit

 

 

 

 

 

 

Current liabilities

 

 

 

 

 

 

Accounts payable

 

$

2,951

 

 

$

2,739

 

Contract liabilities

 

 

1,242

 

 

 

1,216

 

Accrued expenses and other current liabilities

 

 

11,996

 

 

 

15,609

 

Total current liabilities

 

 

16,189

 

 

 

19,564

 

Long-term loans payable, net

 

 

104,425

 

 

 

96,994

 

Other long-term liabilities

 

 

7,486

 

 

 

7,827

 

Total liabilities

 

 

128,100

 

 

 

124,385

 

Commitments and contingencies

 

 

 

 

 

 

Stockholders’ deficit

 

 

 

 

 

 

Preferred stock ($0.001 par value) 25,000,000 shares authorized; no shares
   issued and outstanding as of September 30, 2023 and December 31, 2022

 

 

-

 

 

 

-

 

Common stock ($0.001 par value) 21,875,000 shares authorized as of
   September 30, 2023 and December 31, 2022, 6,137,973 and 3,564,505
   shares issued and outstanding as of September 30, 2023 and
   December 31, 2022, respectively (1)

 

 

6

 

 

 

4

 

Additional paid-in capital

 

 

490,697

 

 

 

461,965

 

Accumulated other comprehensive loss

 

 

(189

)

 

 

(157

)

Accumulated deficit

 

 

(538,010

)

 

 

(490,002

)

Total stockholders’ deficit

 

 

(47,496

)

 

 

(28,190

)

Total liabilities and stockholders’ deficit

 

$

80,604

 

 

$

96,195

 

 

(1) On August 18, 2023, the Company effected a 1:8 reverse stock split for each share of common stock issued

and outstanding. All shares and associated amounts have been retroactively restated to reflect the stock split.

 


 

VAPOTHERM, INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(In thousands, except share and per share amounts)

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2023

 

 

2022

 

 

2023

 

 

2022

 

 

 

(unaudited)

 

 

(unaudited)

 

Net revenue

 

$

15,167

 

 

$

13,545

 

 

$

48,935

 

 

$

48,138

 

Cost of revenue

 

 

9,154

 

 

 

11,682

 

 

 

29,850

 

 

 

36,018

 

Gross profit

 

 

6,013

 

 

 

1,863

 

 

 

19,085

 

 

 

12,120

 

Operating expenses

 

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

 

3,132

 

 

 

4,382

 

 

 

10,842

 

 

 

16,241

 

Sales and marketing

 

 

7,967

 

 

 

11,460

 

 

 

25,835

 

 

 

36,615

 

General and administrative

 

 

4,430

 

 

 

6,477

 

 

 

15,219

 

 

 

20,754

 

Impairment of goodwill

 

 

-

 

 

 

-

 

 

 

-

 

 

 

14,701

 

Impairment of right-of-use assets

 

 

755

 

 

 

2,139

 

 

 

1,187

 

 

 

6,175

 

Loss (gain) on disposal of property and equipment

 

 

-

 

 

 

321

 

 

 

53

 

 

 

321

 

Total operating expenses

 

 

16,284

 

 

 

24,779

 

 

 

53,136

 

 

 

94,807

 

Loss from operations

 

 

(10,271

)

 

 

(22,916

)

 

 

(34,051

)

 

 

(82,687

)

Other (expense) income

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense

 

 

(4,828

)

 

 

(3,276

)

 

 

(13,801

)

 

 

(7,872

)

Interest income

 

 

16

 

 

 

56

 

 

 

70

 

 

 

113

 

Foreign currency loss

 

 

(29

)

 

 

(73

)

 

 

(174

)

 

 

(188

)

Loss on extinguishment of debt

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(1,114

)

Net loss before income taxes

 

$

(15,112

)

 

$

(26,209

)

 

$

(47,956

)

 

$

(91,748

)

Provision (benefit) for income taxes

 

 

18

 

 

 

(8

)

 

 

52

 

 

 

74

 

Net loss

 

$

(15,130

)

 

$

(26,201

)

 

$

(48,008

)

 

$

(91,822

)

Other comprehensive loss:

 

 

 

 

 

 

 

 

 

 

 

 

Foreign currency translation adjustments

 

 

(145

)

 

 

(172

)

 

 

(32

)

 

 

(412

)

Total other comprehensive loss

 

 

(145

)

 

 

(172

)

 

 

(32

)

 

 

(412

)

Total comprehensive loss

 

$

(15,275

)

 

$

(26,373

)

 

$

(48,040

)

 

$

(92,234

)

Net loss per share basic and diluted

 

$

(2.38

)

 

$

(7.85

)

 

$

(8.10

)

 

$

(27.69

)

Weighted-average number of shares used in calculating net
   loss per share, basic and diluted (1)

 

 

6,361,098

 

 

 

3,337,072

 

 

 

5,926,506

 

 

 

3,316,471

 

 

(1) On August 18, 2023, the Company effected a 1:8 reverse stock split for each share of common stock issued

and outstanding. All shares and associated amounts have been retroactively restated to reflect the stock split.


 

VAPOTHERM, INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

 

 

Nine Months Ended September 30,

 

 

 

2023

 

 

2022

 

Cash flows from operating activities

 

 

 

 

 

 

Net loss

 

$

(48,008

)

 

$

(91,822

)

Adjustments to reconcile net loss to net cash used in operating activities

 

 

 

 

 

Stock-based compensation expense

 

 

7,603

 

 

 

7,625

 

Depreciation and amortization

 

 

3,687

 

 

 

4,006

 

Provision for credit losses

 

 

(16

)

 

 

346

 

Provision for inventory valuation

 

 

760

 

 

 

2,655

 

Non-cash lease expense

 

 

1,107

 

 

 

1,670

 

Change in fair value of contingent consideration

 

 

-

 

 

 

(3,351

)

Impairment of goodwill

 

 

-

 

 

 

14,701

 

Impairment of long-lived and intangible assets

 

 

1,187

 

 

 

6,175

 

Loss on disposal of property and equipment

 

 

53

 

 

 

321

 

Placed units reserve

 

 

588

 

 

 

225

 

Interest paid in-kind

 

 

6,992

 

 

 

-

 

Amortization of discount on debt

 

 

552

 

 

 

502

 

Deferred income taxes

 

 

52

 

 

 

74

 

Loss on extinguishment of debt

 

 

-

 

 

 

1,114

 

Changes in operating assets and liabilities:

 

 

 

 

 

 

Accounts receivable

 

 

1,684

 

 

 

2,338

 

Inventories

 

 

9,182

 

 

 

(2,651

)

Prepaid expenses and other assets

 

 

(2,108

)

 

 

(1,902

)

Accounts payable

 

 

243

 

 

 

(4,295

)

Contract liabilities

 

 

26

 

 

 

(562

)

Accrued expenses and other current liabilities

 

 

(2,047

)

 

 

(4,853

)

Operating lease liabilities, current and long-term

 

 

(1,884

)

 

 

(1,581

)

Net cash used in operating activities

 

 

(20,347

)

 

 

(69,265

)

Cash flows from investing activities

 

 

 

 

 

 

Purchases of property and equipment

 

 

(1,962

)

 

 

(8,266

)

Net cash used in investing activities

 

 

(1,962

)

 

 

(8,266

)

Cash flows from financing activities

 

 

 

 

 

 

Proceeds from issuance of common stock and pre-funded warrants and
   accompanying warrants in private placement, net of issuance costs

 

 

20,943

 

 

 

-

 

Proceeds from loans, net of discount

 

 

-

 

 

 

99,094

 

Repayment of loans

 

 

-

 

 

 

(40,000

)

Payments of debt extinguishment costs

 

 

-

 

 

 

(817

)

Payment of debt issuance costs

 

 

-

 

 

 

(1,567

)

Repayments on revolving loan facility

 

 

-

 

 

 

(6,608

)

Payment of contingent consideration

 

 

-

 

 

 

(135

)

Proceeds from exercise of stock options

 

 

-

 

 

 

65

 

Proceeds from exercise of warrants

 

 

3

 

 

 

-

 

Proceeds from issuance of common stock under Employee Stock Purchase Plan

 

 

77

 

 

 

135

 

Net cash provided by financing activities

 

 

21,023

 

 

 

50,167

 

Effect of exchange rate changes on cash, cash equivalents and restricted cash

 

 

(34

)

 

 

(142

)

Net decrease in cash, cash equivalents and restricted cash

 

 

(1,320

)

 

 

(27,506

)

Cash, cash equivalents and restricted cash

 

 

 

 

 

 

Beginning of period

 

 

16,847

 

 

 

57,324

 

End of period

 

$

15,527

 

 

$

29,818

 

Supplemental disclosures of cash flow information

 

 

 

 

 

 

Interest paid during the period

 

$

4,268

 

 

$

6,023

 

Property and equipment purchases in accounts payable and accrued expenses

 

$

512

 

 

$

617

 

Issuance of common stock to satisfy contingent consideration

 

$

-

 

 

$

5,630

 

Issuance of common stock warrants in conjunction with long term debt

 

$

111

 

 

$

1,196

 

Issuance of common stock upon settlement of restricted stock units

 

$

-

 

 

$

15

 

 


 

Non-GAAP Financial Measures

The following table contains a reconciliation of GAAP net revenue to Non-GAAP net revenue excluding Vapotherm Access for the three months ended September 30, 2023 and 2022, respectively, and the growth of such GAAP net revenue and Non-GAAP net revenue excluding Vapotherm Access over the prior year period.

 

 

Three Months Ended September 30,

 

 

Change

 

 

 

2023

 

 

2022

 

 

$

 

 

%

 

(Unaudited)

 

(in thousands, except percentages)

 

GAAP net revenue

 

$

15,167

 

 

$

13,545

 

 

$

1,622

 

 

 

12.0

%

Vapotherm Access net revenue

 

 

-

 

 

 

(653

)

 

 

653

 

 

 

(100.0

)%

Non-GAAP net revenue excluding Vapotherm Access

 

$

15,167

 

 

$

12,892

 

 

$

2,275

 

 

 

17.6

%

The following table contains a reconciliation of net loss to Adjusted EBITDA for the three months ended September 30, 2023 and 2022, respectively.

 

 

Three Months Ended September 30,

 

 

 

2023

 

 

2022

 

(Unaudited)

 

(in thousands)

 

Net loss

 

$

(15,130

)

 

$

(26,201

)

Interest expense, net

 

 

4,812

 

 

 

3,220

 

Provision (benefit) for income taxes

 

 

18

 

 

 

(8

)

Depreciation and amortization

 

 

1,242

 

 

 

1,267

 

EBITDA

 

$

(9,058

)

 

$

(21,722

)

Stock-based compensation

 

 

2,198

 

 

 

1,681

 

Impairment of long-lived and intangible assets

 

 

755

 

 

 

2,139

 

Foreign currency

 

 

29

 

 

 

73

 

Gain on disposal of property and equipment

 

 

-

 

 

 

321

 

Change in fair value of contingent consideration

 

 

-

 

 

(238

)

Adjusted EBITDA

 

$

(6,076

)

 

$

(17,746

)

 

The following table contains a reconciliation of operating expenses to Non-GAAP operating expenses and Non-GAAP cash operating expenses for the three months ended September 30, 2023, June 30, 2023 and September 30, 2022, respectively.

 

 

Three Months Ended

 

 

 

September 30,
2023

 

 

June 30,
2023

 

 

September 30,
2022

 

(Unaudited)

 

(in thousands)

 

GAAP operating expenses

 

$

16,284

 

 

$

17,016

 

 

$

24,779

 

Impairment of goodwill

 

 

-

 

 

 

-

 

 

 

-

 

Impairment of long-lived and intangible assets

 

 

(755

)

 

 

-

 

 

 

(2,139

)

Gain (loss) on disposal of property and equipment

 

 

-

 

 

 

2

 

 

 

(321

)

Non-GAAP operating expenses

 

 

15,529

 

 

 

17,018

 

 

 

22,319

 

Stock-based compensation

 

 

(2,161

)

 

 

(2,534

)

 

 

(1,488

)

Termination benefits

 

 

(754

)

 

-

 

 

 

(1,186

)

Depreciation and amortization

 

 

(312

)

 

 

(293

)

 

 

(395

)

Gain from deconsolidation

 

 

-

 

 

 

5

 

 

 

-

 

Change in fair value of contingent consideration

 

 

-

 

 

 

-

 

 

 

238

 

Non-GAAP cash operating expenses

 

$

12,302

 

 

$

14,196

 

 

$

19,488

 

 


 

Supplemental Operating Metrics

 

September 30,

 

 

 

 

 

 

 

 

2023

 

 

2022

 

 

Change

 

 

Amount

 

 

Amount

 

 

Amount

 

 

%

 

HVT 2.0 and precision flow units installed base

 

 

 

 

 

 

 

 

 

 

 

United States

 

24,548

 

 

 

23,998

 

 

 

550

 

 

 

2.3

%

International

 

12,889

 

 

 

12,328

 

 

 

561

 

 

 

4.6

%

Total

 

37,437

 

 

 

36,326

 

 

 

1,111

 

 

 

3.1

%

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended September 30,

 

 

 

 

 

 

 

 

2023

 

 

2022

 

 

Change

 

 

Amount

 

 

Amount

 

 

Amount

 

 

%

 

HVT 2.0 and precision flow units sold and leased

 

 

 

 

 

 

 

 

 

 

 

United States

 

147

 

 

 

123

 

 

 

24

 

 

 

19.5

%

International

 

128

 

 

 

51

 

 

 

77

 

 

 

151.0

%

Total

 

275

 

 

 

174

 

 

 

101

 

 

 

58.0

%

 

 

 

 

 

 

 

 

 

 

 

 

Disposable patient circuits sold

 

 

 

 

 

 

 

 

 

 

 

United States

 

70,420

 

 

 

71,818

 

 

 

(1,398

)

 

 

(1.9

)%

International

 

33,501

 

 

 

20,854

 

 

 

12,647

 

 

 

60.6

%

Total

 

103,921

 

 

 

92,672

 

 

 

11,249

 

 

 

12.1

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOURCE: Vapotherm, Inc.

Investor Relations Contacts:

John Landry, SVP & CFO, ir@vtherm.com, +1 (603) 658-0011


v3.23.3
Document And Entity Information
Nov. 08, 2023
Cover [Abstract]  
Document Type 8-K
Amendment Flag false
Document Period End Date Nov. 08, 2023
Entity Registrant Name Vapotherm, Inc.
Entity Central Index Key 0001253176
Entity Emerging Growth Company false
Securities Act File Number 001-38740
Entity Incorporation, State or Country Code DE
Entity Tax Identification Number 46-2259298
Entity Address, Address Line One 100 Domain Drive
Entity Address, City or Town Exeter
Entity Address, State or Province NH
Entity Address, Postal Zip Code 03833
City Area Code 603
Local Phone Number 658-0011
Entity Information, Former Legal or Registered Name Not Applicable
Written Communications false
Soliciting Material false
Pre-commencement Tender Offer false
Pre-commencement Issuer Tender Offer false
Title of 12(b) Security Common Stock, $0.001 par value per share
Trading Symbol VAPO
Security Exchange Name NYSE

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