Xtant Medical Announces First Quarter 2023 Revenue Growth of 38% and Full Year 2023 Revenue Guidance

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Xtant Medical Announces First Quarter 2023 Revenue Growth of 38% and Full Year 2023 Revenue Guidance


Initiates Annual Revenue Guidance of $73 Million - $75 Million in Full Year 2023

BELGRADE, Mont., May 04, 2023 (GLOBE NEWSWIRE) -- Xtant Medical Holdings, Inc. (NYSE American: XTNT), a global medical technology company focused on surgical solutions for the treatment of spinal disorders, today reported financial and operating results for the first quarter ended March 31, 2023. The Company also introduced financial guidance for the full year 2023.

“Highlighted by solid revenue growth and the Coflex® acquisition, we are off to a strong start in 2023,” said Sean Browne, President & CEO of Xtant Medical. “Guided by our strategic growth pillars, we are generating robust demand across our biologics and fixation products while expanding our total addressable orthobiologic market opportunity to drive future growth. Moving forward, we will focus on continuing to build on this positive momentum as our business achieves scale and fulfilling our mission of honoring the gift of donation.”

First Quarter 2023 Financial Results

First quarter 2023 revenue grew 38%, including organic growth of 29% and a 9% contribution from the acquisition of the Coflex and Cofix product lines, to $17.9 million, compared to $13.0 million for the same period in 2022. The increase in revenue was attributed primarily to greater independent agent sales and sales from the recently acquired Coflex and Cofix product lines.

Gross margin for the first quarter of 2023 was 58.7%, compared to 58.3% for the same period in 2022. The increase was primarily attributable to the contribution of Coflex and Cofix products, partially offset by higher production costs.

Operating expenses for the first quarter of 2023 totaled $12.1 million, compared to $9.4 million for the first quarter of 2022. The increase was primarily due to additional independent agent sales commission and employee compensation expenses, partially offset by costs related to enterprise resource planning system upgrades incurred last year.

First quarter 2023 net loss totaled $2.1 million, or $0.02 per share, compared to the first quarter 2022 net loss of $2.2 million, or $0.03 per share.

Non-GAAP Adjusted EBITDA for the first quarter of 2023 totaled a loss of $0.3 million, compared to a loss of $0.9 million for the same period in 2022. The Company defines Adjusted EBITDA as net income/loss from operations before depreciation, amortization and interest expense and provision for income taxes, and as further adjusted to add back in or exclude, as applicable, stock-based compensation and acquisition-related expenses. A calculation and reconciliation of Adjusted EBITDA to net loss can be found in the attached financial tables.

2023 Financial Guidance

Xtant Medical expects full year 2023 revenue of $73 million to $75 million, representing annual growth of approximately 26% to 29% compared to full year 2022.

Conference Call

Xtant Medical will host a webcast and conference call to discuss the first quarter 2023 financial results on Thursday, May 4, 2023 at 9:00 AM ET. To access the webcast, Click Here. To access the conference call, dial 877-407-6184 within the U.S. or 201-389-0877 outside the U.S. A replay of the call will be available at www.xtantmedical.com, under “Investor Info.”

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 and organic revenue growth. Reconciliations of the non-GAAP financial measures used in this release to the most comparable GAAP measures for the respective periods can be found in tables later in this release. The Company’s management believes that the presentation of these measures provides useful information to investors. These measures may assist investors in evaluating the Company’s operations, period over period. Management uses the non-GAAP measures in this release internally for evaluation of the performance of the business, including the allocation of resources. Investors should consider non-GAAP financial measures only as a supplement to, not as a substitute for or as superior to, measures of financial performance prepared in accordance with GAAP.

Cautionary Statement Regarding Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include statements that are predictive in nature, that depend upon or refer to future events or conditions, or that include words such as “intends,” ‘‘expects,’’ ‘‘anticipates,’’ ‘‘plans,’’ ‘‘believes,’’ ‘‘estimates,’’ “continue,” “future,” ‘‘will,’’ “potential,” “going forward,” similar expressions or the negative thereof, and the use of future dates. Forward-looking statements in this release include the Company’s financial guidance for 2023 and belief that it will continue to generate robust demand for its biologics products and improve its operating efficiencies by increasing its production capacity and is well-positioned to sustain its momentum during the rest of 2023. The Company cautions that its forward-looking statements by their nature involve risks and uncertainties, and actual results may differ materially depending on a variety of important factors, including, among others: the Company’s future operating results and financial performance; its ability to increase or maintain revenue; risks associated with its recent acquisition of the Coflex product line; possible future impairment charges to long-lived assets and goodwill and write-downs of excess inventory if revenues decrease; the ability to remain competitive; the ability to innovate, develop and introduce new products; the ability to engage and retain new and existing independent distributors and agents and qualified personnel and the Company’s dependence on key independent agents for a significant portion of its revenue; the effect of COVID-19, labor and hospital staffing shortages on the Company’s business, operating results and financial condition, especially when they affect key markets; the Company’s ability to implement successfully its future growth initiatives and risks associated therewith; the effect of inflation, increased interest rates and other recessionary factors and supply chain disruptions; the effect of product sales mix changes on the Company’s financial results; government and third-party coverage and reimbursement for Company products; the ability to obtain and maintain regulatory approvals and comply with government regulations; the effect of product liability claims and other litigation to which the Company may be subject; the effect of product recalls and defects; the ability to obtain and protect Company intellectual property and proprietary rights and operate without infringing the rights of others; the ability to service Company debt, comply with its debt covenants and access additional indebtedness; the ability to obtain additional financing on favorable terms or at all; and other factors. Additional risk factors are contained in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022 filed with the Securities and Exchange Commission (SEC) on March 8, 2023 and subsequent SEC filings by the Company, including without limitation its most recent Quarterly Report on Form 10-Q for the quarterly period ended March 31, 2023 anticipated to be filed with the SEC. Investors are encouraged to read the Company’s filings with the SEC, available at www.sec.gov, for a discussion of these and other risks and uncertainties. The Company undertakes no obligation to release publicly any revisions to any forward-looking statements to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events, except as required by law. All forward-looking statements attributable to the Company or persons acting on its behalf are expressly qualified in their entirety by this cautionary statement.

Investor Relations Contact

David Carey
Lazar FINN
Ph: 212-867-1762
Email: david.carey@finnpartners.com

(In thousands, except number of shares and par value)
   March 31, 2023    December 31, 2022
Current Assets:      
Cash and cash equivalents $ 5,410     $ 20,507  
Trade accounts receivable, net of allowance for credit losses and doubtful accounts of $621 and $515, respectively   11,902       10,853  
Inventories   18,522       17,285  
Prepaid and other current assets   753       673  
   Total current assets   36,587       49,318  
Property and equipment, net   6,826       5,785  
Right-of -use asset, net   1,269       1,380  
Goodwill   7,639       3,205  
Intangible assets, net   10,810       344  
Other assets   185       197  
   Total Assets $ 63,316     $ 60,229  
Current Liabilities:      
Accounts payable $ 3,421     $ 3,490  
Accrued liabilities   5,595       5,496  
Current portion of lease liability   473       458  
Current portion of finance lease obligations   63       62  
Line of credit   3,002       3,379  
Current portion of long-term debt   4,722       2,333  
   Total current liabilities   17,276       15,218  
Long-term Liabilities:      
Lease liability, less current portion   847       972  
Finance lease obligation, less current portion   165       181  
Long-term debt, plus premium and less issuance cost   12,318       9,687  
   Total Liabilities   30,606       26,058  
Stockholders' Equity      
Preferred stock   -       -  
Common stock   -       -  
Additional paid-in capital   278,458       277,841  
Accumulated deficit   (245,748 )     (243,670 )
   Total Stockholders’ Equity   32,710       34,171  
   Total Liabilities & Stockholders’ Equity $ 63,316     $ 60,229  

(Unaudited, in thousands, except number of shares and per share amounts)  
   Three Months Ended March 31,
    2023      2022 
Orthopedic product sales $  17,942     $  12,950  
Other revenue   1       9  
Total revenue   17,943       12,959  
Cost of sales   7,407       5,399  
Gross profit   10,536       7,560  
Gross profit %   58.7%       58.3%  
Operating expenses              
General and administrative   4,884       3,969  
Sales and marketing   7,054       5,209  
Research and development   174       213  
    12,112       9,391  
Loss from operations   (1,576 )     (1,831 )
Other expense              
Interest expense   (575 )     (359 )
Interest income   86       -  
Total Other Expense   (489 )     (359 )
   Net Loss from Operations Before Provision for Income Taxes   (2,065 )     (2,190 )
Provision for income taxes              
Current and deferred   (13 )     (23 )
   Net Loss $  (2,078 )   $  (2,213 )
Net loss per share:              
Basic  $  (0.02 )   $  (0.03 )
Dilutive  $  (0.02 )   $  (0.03 )
Shares used in the computation:              
Basic   108,893,588       87,191,341  
Dilutive   108,893,588       87,191,341  

(Unaudited, in thousands)
  Three Months Ended March 31,
    2023       2022  
Operating activities:      
Net loss $ (2,078 )   $ (2,213 )
Adjustments to reconcile net loss to net cash used in operating activities:      
Depreciation and amortization   471       281  
Gain on disposal of fixed assets   (11 )     (73 )
Non-cash interest   61       58  
Non-cash rent   2       -  
Stock-based compensation   617       613  
Provision for reserve on accounts receivable   106       191  
Provision for excess and obsolete inventory   90       318  
Changes in operating assets and liabilities, net of the effects of the acquisition:      
Accounts receivable   (1,155 )     (582 )
Inventories   (309 )     327  
Prepaid and other assets   (68 )     (78 )
Accounts payable   (69 )     159  
Accrued liabilities   98       (5 )
   Net cash used in operating activities   (2,245 )     (1,004 )
Investing activities:      
Purchases of property and equipment   (456 )     (484 )
Proceeds from sale of fixed assets   35       93  
Acquisition of Surgalign SPV, Inc.   (17,000 )     -  
   Net cash used in investing activities   (17,421 )     (391 )
Financing activities:      
Payments on financing leases   (15 )     (8 )
Borrowings on line of credit   16,495       12,316  
Repayments on line of credit   (16,871 )     (12,329 )
Net proceeds from issuance of long term debt, net of issuance costs   4,960       -  
   Net cash provided by (used in) financing activities   4,569       (21 )
Net change in cash and cash equivalents   (15,097 )     (1,416 )
Cash and cash equivalents at beginning of period   20,507       18,387  
Cash and cash equivalents at end of period $ 5,410     $ 16,971  


(Unaudited, in thousands)  
  Three Months Ended March 31
    2023       2022  
Net Loss $ (2,078 )   $ (2,213 )
Depreciation and amortization   457       281  
Interest expense   490       359  
Tax expense   13       23  
Non-GAAP EBITDA   (1,118 )     (1,550 )
Non-GAAP EBITDA/Total revenue   -6.2%       -12.0%  
Stock-based compensation   617       614  
Acquisition related expenses   211       -  
Non-GAAP Adjusted EBITDA $ (290 )   $ (936 )
Non-GAAP Adjusted EBITDA/Total revenue   -1.6%       -7.2%  

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Source: Xtant Medical, Inc.