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Vapotherm Reports First Quarter 2024 Financial Results

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Vapotherm, Inc. (OTCQX: VAPO) reported its first quarter 2024 financial results, showcasing a 7.9% increase in net revenue, with disposables revenue rising by 13.5%. The gross margin improved to 50.5% compared to the previous year. Operating expenses decreased, leading to a reduction in Adjusted EBITDA loss. The company's unrestricted cash and cash equivalents stood at $3.3 million. The positive financial performance was attributed to the Path to Profitability initiatives.

Positive
  • Vapotherm reported an increase of 7.9% in net revenue for the first quarter of 2024, reaching $19.1 million.

  • Disposables revenue saw a notable growth of 13.5% compared to the first quarter of 2023.

  • The gross margin improved to 50.5% in the first quarter of 2024 from 35.0% in the same quarter of the previous year.

  • Operating expenses reduced significantly, with GAAP expenses decreasing by $4.6 million and non-GAAP cash operating expenses decreasing by $3.2 million from the first quarter of 2023.

  • The Adjusted EBITDA loss was reduced to $2.4 million in the first quarter of 2024 from $9.2 million in the first quarter of 2023.

Negative
  • The net loss for the first quarter of 2024 was $14.8 million, or $2.31 per share, compared to $18.1 million, or $3.56 per share, in the first quarter of 2023.

  • Unrestricted cash and cash equivalents decreased to $3.3 million as of March 31, 2024, from $9.7 million as of December 31, 2023.

EXETER, N.H., May 9, 2024 /PRNewswire/ -- Vapotherm, Inc. (OTCQX: VAPO), ("Vapotherm" or the "Company"), today announced first quarter 2024 financial results and related highlights.

First Quarter 2024 Financial Results and Related Highlights

  • Net revenue for the first quarter of 2024 was $19.1 million, an increase of 7.9% as compared to the first quarter of 2023
    • Disposables revenue increased by 13.5% as compared to the first quarter of 2023
  • Gross margin in the first quarter of 2024 was 50.5% as compared to 35.0% in the first quarter of 2023
  • For the first quarter of 2024, GAAP operating expenses were $15.2 million and non-GAAP cash operating expenses, as defined below, were $13.2 million. Both decreased compared to the first quarter of 2023 as a result of the Company's Path to Profitability initiatives:
    • GAAP operating expenses decreased by $4.6 million from the first quarter of 2023
    • Non-GAAP cash operating expenses decreased by $3.2 million from the first quarter of 2023
  • Adjusted EBITDA loss in the first quarter of 2024 was $2.4 million as compared to an Adjusted EBITDA loss of $9.2 million in the first quarter of 2023
  • The Company's unrestricted cash and cash equivalents were $3.3 million at the end of the first quarter of 2024

"In the first quarter, we made significant progress on all of our key objectives," said Joseph Army, President and CEO. "I'd like to thank the entire team for their efforts as we continue to drive further adoption of our technology and prepare for next year's launch of our Access365 home ventilation solution, which was unveiled at MEDTRADE Dallas in March."

Results for the Three Months Ended March 31, 2024

The following table reflects the Company's net revenue for the three months ended March 31, 2024 and 2023:



Three Months Ended March 31,










2024



2023



Change




(in thousands, except percentages)




Amount



% of Revenue



Amount



% of Revenue



$



%


Revenue



















Capital (product & lease revenue)


$

3,547




18.5

%


$

3,901




22.0

%


$

(354)




(9.1)

%

Disposables



14,096




73.7

%



12,417




70.0

%



1,679




13.5

%

Service and other



1,491




7.8

%



1,413




8.0

%



78




5.5

%

Total net revenue


$

19,134




100.0

%


$

17,731




100.0

%


$

1,403




7.9

%

 

Net revenue for the first quarter of 2024 was $19.1 million and increased 7.9% over the first quarter of 2023 primarily due to higher disposables sales in the United States.

Revenue information by geography is summarized as follows:



Three Months Ended March 31,










2024



2023



Change




(in thousands, except percentages)




Amount



% of Revenue



Amount



% of Revenue



$



%


United States


$

15,084




78.8

%


$

13,014




73.4

%


$

2,070




15.9

%

International



4,050




21.2

%



4,717




26.6

%



(667)




(14.1)

%

Total net revenue


$

19,134




100.0

%


$

17,731




100.0

%


$

1,403




7.9

%

 

Gross profit and gross margin for the first quarter of 2024 was $9.7 million and 50.5%, respectively, as compared to gross profit of $6.2 million and gross margin of 35.0% for the first quarter of 2023. The increases in gross profit and gross margin were primarily due to improved efficiency of our Mexico operation.

Total operating expenses were $15.2 million in the first quarter of 2024, a decrease of $4.6 million as compared to the first quarter of 2023. 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, and gain from deconsolidation were $13.2 million in the first quarter of 2024 compared to $16.4 million in the first 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 first quarter of 2024 was $14.8 million, or $2.31 per share, compared to $18.1 million, or $3.56 per share, in the first quarter of 2023. Net loss per share was based on 6,430,502 and 5,076,075 weighted average shares outstanding for the first quarter of 2024 and 2023, respectively.

Adjusted EBITDA was negative $2.4 million for the first quarter of 2024 as compared to negative $9.2 million for the first quarter of 2023. The reduction in Adjusted EBITDA loss was primarily due to the Company's Path to Profitability initiatives.

Cash Position

Unrestricted cash and cash equivalents were $3.3 million as of March 31, 2024 compared to $9.7 million as of December 31, 2023.

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 EBITDA, Adjusted EBITDA, non-GAAP operating expenses and non-GAAP cash operating expenses. EBITDA and Adjusted EBITDA differ from net income as calculated in accordance with U.S. generally accepted accounting principles ("GAAP") and non-GAAP operating expenses and non-GAAP cash operating expenses differ from operating expenses as calculated in accordance with GAAP. 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 (gain) loss, stock-based compensation expense, impairment of long-lived and intangible assets, gain from deconsolidation and gain (loss) on disposal of property and equipment. Non-GAAP operating expenses is calculated by excluding from GAAP operating expenses impairment of long-lived and intangible assets and gain (loss) on disposal of property and equipment, and non-GAAP cash operating expenses is calculated by further excluding additional items, including stock-based compensation, depreciation and amortization, and gain from deconsolidation 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, non-GAAP operating expenses and non-GAAP cash operating expenses are not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation.

About Vapotherm

Vapotherm, Inc. (OTCQX: 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 4.4 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 future adoption of the Company's HVT 2.0 system and preparing for the launch of its Access365 home ventilation solution. In some cases, you can identify forward-looking statements by terms such as "believe," "expect," "continue," "plan," "intend," "will," "outlook," 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's ability to raise additional capital to fund its existing operations and debt service obligations; 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 and otherwise continue as a going concern through 2024; Vapotherm's has incurred losses in the past and may be unable to achieve or sustain profitability in the future; risks associated with its manufacturing operations in Mexico; 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 in holding Vapotherm stock in light of trading on the OTCQX tier of the OTC Markets; 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, 2023, as filed with the SEC on February 22, 2024, and subsequent SEC reports. 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)










March 31, 2024



December 31, 2023




(unaudited)





Assets







Current assets







Cash and cash equivalents


$

3,304



$

9,725


Accounts receivable, net of expected credit losses
   of $229 and $160, respectively



10,203




10,672


Inventories, net



24,063




22,968


Prepaid expenses and other current assets



3,844




3,058


Total current assets



41,414




46,423


Property and equipment, net



23,313




23,703


Operating lease right-of-use assets



3,136




3,372


Restricted cash



1,109




1,109


Goodwill



560




565


Deferred income tax assets



55




57


Other long-term assets



2,320




2,388


Total assets


$

71,907



$

77,617


Liabilities and Stockholders' Deficit







Current liabilities







Accounts payable


$

4,301



$

5,053


Contract liabilities



1,361




1,237


Accrued expenses and other current liabilities



20,531




12,805


Current portion of loans payable, net



111,670




-


Total current liabilities



137,863




19,095


Long-term loans payable, net



-




107,059


Other long-term liabilities



2,525




6,797


Total liabilities



140,388




132,951


Commitments and contingencies







Stockholders' deficit







Preferred stock ($0.001 par value) 25,000,000 shares authorized; no shares
   issued and outstanding as of March 31, 2024 and December 31, 2023



-




-


Common stock ($0.001 par value) 21,875,000 shares authorized as of
   March 31, 2024 and December 31, 2023, 6,216,349 and 6,165,806
   shares issued and outstanding as of March 31, 2024 and
   December 31, 2023, respectively



6




6


Additional paid-in capital



494,615




492,764


Accumulated other comprehensive (loss) income



(71)




91


Accumulated deficit



(563,031)




(548,195)


Total stockholders' deficit



(68,481)




(55,334)


Total liabilities and stockholders' deficit


$

71,907



$

77,617


 

VAPOTHERM, INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(In thousands, except share and per share amounts)







Three Months Ended March 31,




2024



2023




(unaudited)


Net revenue


$

19,134



$

17,731


Cost of revenue



9,477




11,519


Gross profit



9,657




6,212


Operating expenses







Research and development



3,632




3,987


Sales and marketing



7,142




9,592


General and administrative



4,472




5,770


Impairment of right-of-use assets



-




432


(Gain) loss on disposal of property and equipment



(8)




55


Total operating expenses



15,238




19,836


Loss from operations



(5,581)




(13,624)


Other (expense) income







Interest expense



(9,253)




(4,331)


Interest income



5




28


Foreign currency gain (loss)



4




(154)


Net loss before income taxes


$

(14,825)



$

(18,081)


Provision for income taxes



11




9


Net loss


$

(14,836)



$

(18,090)


Other comprehensive income (loss):







Foreign currency translation adjustments



(162)




135


Total other comprehensive (loss) income



(162)




135


Total comprehensive loss


$

(14,998)



$

(17,955)


Net loss per share - basic and diluted


$

(2.31)



$

(3.56)


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



6,430,502




5,076,075


















(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)







Three Months Ended March 31,




2024



2023


Cash flows from operating activities







Net loss


$

(14,836)



$

(18,090)


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







Stock-based compensation expense



1,834




2,820


Depreciation and amortization



1,306




1,248


Provision for credit losses



69




49


Provision for inventory valuation



-




165


Non-cash lease expense



235




387


Impairment of right-of-use assets



-




432


(Gain) loss on disposal of property and equipment



(8)




55


Placed units reserve



76




344


Interest paid in-kind



2,527




2,194


Non-cash interest expense



4,931




620


Amortization of discount on debt



184




184


Deferred income taxes



11




9


Changes in operating assets and liabilities:







Accounts receivable



389




663


Inventories



(1,112)




4,384


Prepaid expenses and other assets



(467)




(1,234)


Accounts payable



(561)




114


Contract liabilities



124




(25)


Accrued expenses and other current liabilities



(618)




(3,768)


Operating lease liabilities, current and long-term



(641)




(585)


Net cash used in operating activities



(6,557)




(10,034)


Cash flows from investing activities







Purchases of property and equipment



(1,410)




(1,004)


Net cash used in investing activities



(1,410)




(1,004)


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



1,920




-


Payment of deferred financing costs



(250)




-


Proceeds from exercise of stock options



1




-


Net cash provided by financing activities



1,671




20,943


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



(125)




70


Net (decrease) increase in cash, cash equivalents and restricted cash



(6,421)




9,975


Cash, cash equivalents and restricted cash







Beginning of period



10,834




16,847


End of period


$

4,413



$

26,822


Supplemental disclosures of cash flow information







Interest paid during the period


$

1,613



$

1,284


Property and equipment purchases in accounts payable and accrued expenses


$

369



$

354


Issuance of common stock warrants in conjunction with long term debt


$

16



$

28


Issuance of common stock for services


$

20



$

59


 

Non-GAAP Financial Measures

The following table contains a reconciliation of net loss to Adjusted EBITDA for the three months ended March 31, 2024 and 2023, respectively.



Three Months Ended March 31,




2024



2023


(Unaudited)


(in thousands)


Net loss


$

(14,836)



$

(18,090)


Interest expense, net



9,248




4,303


Provision for income taxes



11




9


Depreciation and amortization



1,306




1,248


EBITDA


$

(4,271)



$

(12,530)


Stock-based compensation



1,834




2,820


Impairment of long-lived and intangible assets



-




432


Foreign currency (gain) loss



(4)




154


Gain from deconsolidation



-




(114)


(Gain) loss on disposal of property and equipment



(8)




55


Adjusted EBITDA


$

(2,449)



$

(9,183)


 

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 March 31, 2024 and March 31, 2023, respectively.



Three Months Ended March 31,




2024



2023


(Unaudited)


(in thousands)


GAAP operating expenses


$

15,238



$

19,836


Impairment of long-lived and intangible assets



-




(432)


Gain (loss) on disposal of property and equipment



8




(55)


Non-GAAP operating expenses



15,246




19,349


Stock-based compensation



(1,789)




(2,773)


Depreciation and amortization



(268)




(305)


Gain from deconsolidation



-




114


Non-GAAP cash operating expenses


$

13,189



$

16,385


 

Supplemental Operating Metrics











March 31,









2024



2023



Change



Amount



Amount



Amount



%


HVT 2.0 and precision flow units installed base












United States


24,802




24,488




314




1.3

%

International


13,126




12,586




540




4.3

%

Total


37,928




37,074




854




2.3

%














Three Months Ended March 31,









2024



2023



Change



Amount



Amount



Amount



%


HVT 2.0 and precision flow units sold and leased












United States


248




260




(12)




(4.6)

%

International


155




127




28




22.0

%

Total


403




387




16




4.1

%













Disposable patient circuits sold












United States


94,211




81,219




12,992




16.0

%

International


32,961




39,184




(6,223)




(15.9)

%

Total


127,172




120,403




6,769




5.6

%













 

Investor Relations Contacts:

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

Cision View original content to download multimedia:https://www.prnewswire.com/news-releases/vapotherm-reports-first-quarter-2024-financial-results-302141640.html

SOURCE Vapotherm, Inc.

FAQ

What was Vapotherm's net revenue for the first quarter of 2024?

Vapotherm reported a net revenue of $19.1 million for the first quarter of 2024.

How did the disposables revenue perform in the first quarter of 2024?

Disposables revenue increased by 13.5% in the first quarter of 2024 compared to the same period in 2023.

What was Vapotherm's gross margin in the first quarter of 2024?

Vapotherm's gross margin was 50.5% in the first quarter of 2024, showing improvement from the previous year.

What was the Adjusted EBITDA loss in the first quarter of 2024?

The Adjusted EBITDA loss in the first quarter of 2024 was $2.4 million, reduced from $9.2 million in the same period of 2023.

How did Vapotherm's unrestricted cash and cash equivalents change in the first quarter of 2024?

Vapotherm's unrestricted cash and cash equivalents decreased to $3.3 million as of March 31, 2024, from $9.7 million as of December 31, 2023.

VAPOTHERM INC

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