UNITED STATES
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FORM
CURRENT REPORT
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Item 2.02 Results of Operations and Financial Condition.
On May 15, 2024, Xtant Medical Holdings, Inc. (the “Company”) announced its financial results for the three months ended March 31, 2024. The 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 in Item 2.02 of this report (including Exhibit 99.1) shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly provided by specific reference in such a filing.
To supplement its consolidated financial statements prepared in accordance with United States generally accepted accounting principles (“GAAP”), the Company uses certain non-GAAP financial measures, such as non-GAAP adjusted EBITDA, which are included in the press release furnished as Exhibit 99.1 to this report. The Company’s non-GAAP adjusted EBITDA is calculated by adding back to net loss the charges for depreciation and amortization expense, interest expense, and tax expense and further adjusted by adding back in or excluding, as appropriate, non-cash compensation, acquisition related expenses, acquisition related fair value adjustments and unrealized foreign currency translation loss or gain.
The Company uses adjusted EBITDA in making operating decisions because it believes this measure provides meaningful supplemental information regarding its core operational performance. Additionally, this measure gives the Company a better understanding of how it should invest in sales and marketing and research and development activities and how it should allocate resources to both ongoing and prospective business initiatives. The Company also uses adjusted EBITDA to help make budgeting and spending decisions, for example, among sales and marketing expenses, general and administrative expenses, and research and development expenses. Additionally, the Company believes its use of non-GAAP adjusted EBITDA facilitates management’s internal comparisons to historical operating results by factoring out potential differences caused by charges not related to its regular, ongoing business, including, without limitation, non-cash charges and certain large and unpredictable charges.
As described above, the Company excludes the following items from its non-GAAP financial measures for the following reasons:
Non-cash compensation. The Company excludes non-cash compensation, which is a non-cash charge related to equity awards granted by the Company. Although non-cash compensation is a recurring charge to the Company’s operations, management has excluded it because it relies on valuations based on future events, such as the market price of the Company’s common stock, that are difficult to predict and are affected by market factors that are largely not within the control of the Company. Thus, management believes that excluding non-cash compensation facilitates comparisons of the Company’s operational performance in different periods, as well as with similarly determined non-GAAP financial measures of comparable companies.
Acquisition related expenses. The Company excludes expenses directly related to the Company’s acquisitions and integration into the Company from non-GAAP adjusted EBITDA primarily because such expenses are not reflective of the Company’s ongoing operating results and are not used by management to assess the core profitability of the Company’s business operations. These expenses include legal and accounting fees and transition related services and are not considered normal, recurring, cash operating expenses necessary to operate the Company’s business. The Company further believes that excluding this item from its non-GAAP results is useful to investors in that it allows for period-over-period comparability.
Acquisition-related fair value adjustments. The Company excludes acquisition-related fair value adjustments from non-GAAP adjusted EBITDA primarily because such adjustments are not reflective of the Company’s ongoing operating results and are not used by management to assess the core profitability of the Company’s business operations. The Company further believes that excluding this item from its non-GAAP results is useful to investors in that it allows for period-over-period comparability.
Unrealized foreign currency translation gain or loss. The Company excludes unrealized foreign currency translation gain or loss, as applicable, from non-GAAP adjusted EBITDA primarily because such gain or loss is not reflective of the Company’s ongoing operating results and is not used by management to assess the core profitability of the Company’s business operations. The Company further believes that excluding this item from its non-GAAP results is useful to investors in that it allows for period-over-period comparability.
Non-GAAP adjusted EBITDA is reconciled to net loss, the most directly comparable GAAP measure in the press release.
Non-GAAP financial measures are not in accordance with, or an alternative for, GAAP measures and may be different from non-GAAP financial measures used by other companies. In addition, non-GAAP financial measures are not based on any comprehensive or standard set of accounting rules or principles. Accordingly, the calculation of the Company’s non-GAAP financial measures may differ from the definitions of other companies using the same or similar names, limiting, to some extent, the usefulness of such measures for comparison purposes. Non-GAAP financial measures have limitations in that they do not reflect all of the amounts associated with the Company’s financial results as determined in accordance with GAAP. Non-GAAP financial measures should only be used to evaluate the Company’s financial results in conjunction with the corresponding GAAP measures. Accordingly, the Company qualifies its use of non-GAAP financial information in a statement when non-GAAP financial information is presented.
Item 9.01 Financial Statements and Exhibits.
(d) Exhibits.
| Exhibit No. | Description | |
| 99.1 | Press Release of Xtant Medical Holdings, Inc. dated May 15, 2024 entitled “Xtant Medical Reports First Quarter 2024 Revenue Growth of 55% and Raises Full Year 2024 Revenue Guidance” (furnished herewith) | |
| 104 | Cover Page Interactive Data File (embedded within the Inline XBRL document) |
SIGNATURE
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.
| XTANT MEDICAL HOLDINGS, INC. | ||
| By: | /s/ Scott Neils | |
| Scott Neils | ||
| Chief Financial Officer | ||
Date: May 15, 2024
Exhibit 99.1
Xtant Medical Reports First Quarter 2024 Revenue Growth of 55% and Raises Full Year 2024 Revenue Guidance
Expects Revenue for Full Year 2024 of $116 Million to $120 Million
BELGRADE, MT, May 15, 2024 (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, 2024.
First Quarter 2024 Financial Highlights
| ● | Revenue of $27.9 million, up 55%, compared to the prior year quarter | |
| ● | Gross margin of 62.1%, up 340 basis points, compared to the prior year quarter | |
| ● | Net loss of $4.4 million compared to $2.1 million in the year ago quarter | |
| ● | Positive Adjusted EBITDA; Adjusted EBITDA of $0.1 million compared to an Adjusted EBITDA loss of $0.3 million in the prior year quarter |
Recent Business Highlights
| ● | Launched two amniotic membrane allografts, SimpliGraft™ and SimpliMax™ | |
| ● | Amended its Term Credit and Revolving Credit Agreements to provide additional working capital |
Sean Browne, President and CEO of Xtant Medical, stated, “In the first quarter of 2024, we delivered strong revenue growth of 55% and positive Adjusted EBITDA, despite continued near-term supply chain challenges for our biologics and spinal hardware product families. Importantly, progress during the quarter toward integrating our recent acquisitions outpaced our expectations, and given our plans for new product launches and our progress toward vertically integrating our supply chain, we are raising our revenue guidance for the full year.”
First Quarter 2024 Financial Results
Total revenue for the three months ended March 31, 2024 was $27.9 million, an increase of 55% compared to $17.9 million in the prior year quarter. The increase is primarily due to the contribution of additional sales resulting from the acquisition of the Surgalign Holdings’ hardware and biologics business, greater independent agent sales and additional Coflex and CoFix product sales.
Gross margin for the first quarter of 2024 was 62.1%, compared to 58.7% for the prior year quarter, an increase of 340 basis points. The increase is primarily due to greater scale and improved production efficiency, which was partially offset by higher product costs.
Operating expenses for the first quarter of 2024 totaled $20.8 million, compared to $12.1 million for the first quarter of 2023. The increase was primarily due to additional independent agent sales commissions, higher employee compensation expenses, increased legal and accounting expenses, and amortization of intangible assets associated with the Coflex and CoFix product lines.
Net loss for the first quarter of 2024 was $4.3 million, or $0.03 per share, compared to a net loss of $2.1 million, or $0.02 per share in the year ago quarter.
Non-GAAP Adjusted EBITDA for the first quarter of 2024 was $0.1 million, compared to a non-GAAP Adjusted EBITDA loss of $0.3 million for the prior-year period. 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, non-cash compensation, acquisition-related expenses, acquisition-related fair value adjustments, gain on bargain purchase, and litigation settlement reserve. A calculation and reconciliation of Adjusted EBITDA to net loss can be found in the attached financial tables.
As of March 31, 2024, the Company had $4.5 million of cash and cash equivalents compared to $5.7 million as of December 31, 2023.
2024 Financial Guidance
Xtant Medical raises its expectation for full year 2024 revenue to $116 million to $120 million, up from the Company’s prior guidance of $112 million to $116 million. The revised guidance range represents annual revenue growth of approximately 27% to 31% compared to full year 2023 revenue.
Conference Call
Xtant Medical will host a webcast and conference call to discuss first quarter 2024 financial results at 4:30 pm ET on Wednesday, May 15, 2024.
To access the webcast, visit https://www.webcaster4.com/Webcast/Page/3039/50597.
To access the conference call, dial 877-545-0523 within the U.S. or 973-528-0016 outside the U.S. A replay of the call will be available on the Investor section of the Company’s website at www.xtantmedical.com.
About Xtant Medical Holdings, Inc.
Xtant Medical’s mission of honoring the gift of donation so that our patients can live as full and complete a life as possible, is the driving force behind our company. 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. 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,” “guidance,” 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 2024, plans related to its product launches and supply chain improvements. 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 acquisitions and the integration of those businesses; anticipated shortages of stem cells which will adversely affect future revenues; possible future impairment charges to long-lived assets and goodwill and write-downs of excess inventory; the ability to remain competitive; the ability to innovate, develop and introduce new products and the success of those 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; risks associated with the Company’s clinical trials; international risks; 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, 2023 filed with the Securities and Exchange Commission (SEC) on April 1, 2024 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, 2024 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:
Brett Maas
Managing Partner, Hayden IR
brett@haydenir.com
(646) 536-7331
XTANT MEDICAL HOLDINGS, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, except number of shares and par value)
| March 31, 2024 | December 31, 2023 | |||||||
| (Unaudited) | ||||||||
| ASSETS | ||||||||
| Current Assets: | ||||||||
| Cash and cash equivalents | $ | 4,547 | $ | 5,715 | ||||
| Restricted cash | 77 | 208 | ||||||
| Trade accounts receivable, net of allowance for credit losses and doubtful accounts of $954 and $920, respectively | 21,484 | 20,731 | ||||||
| Inventories | 38,724 | 36,885 | ||||||
| Prepaid and other current assets | 1,709 | 1,330 | ||||||
| Total current assets | 66,541 | 64,869 | ||||||
| Property and equipment, net | 8,867 | 8,692 | ||||||
| Right-of -use asset, net | 1,437 | 1,523 | ||||||
| Goodwill | 7,302 | 7,302 | ||||||
| Intangible assets, net | 9,652 | 10,085 | ||||||
| Other assets | 132 | 141 | ||||||
| Total Assets | $ | 93,931 | $ | 92,612 | ||||
| LIABILITIES & STOCKHOLDERS’ EQUITY | ||||||||
| Current Liabilities: | ||||||||
| Accounts payable | $ | 7,378 | $ | 7,054 | ||||
| Accrued liabilities | 9,875 | 10,419 | ||||||
| Current portion of lease liability | 853 | 830 | ||||||
| Current portion of finance lease obligations | 66 | 65 | ||||||
| Line of credit | 10,270 | 4,622 | ||||||
| Total current liabilities | 28,442 | 22,990 | ||||||
| Long-term Liabilities: | ||||||||
| Lease liability, less current portion | 644 | 759 | ||||||
| Finance lease obligation, less current portion | 99 | 116 | ||||||
| Long-term debt, plus premium and less issuance cost | 16,826 | 17,167 | ||||||
| Other liabilities | 240 | 231 | ||||||
| Total Liabilities | 46,251 | 41,263 | ||||||
| Stockholders’ Equity | ||||||||
| Preferred stock, $0.000001 par value; 10,000,000 shares authorized; no shares issued and outstanding | - | - | ||||||
| Common stock, $0.000001 par value; 300,000,000 shares authorized; 130,216,541 shares issued and outstanding as of March 31, 2024 and 130,180,031 shares issued and outstanding as of December 31, 2023 | - | - | ||||||
| Additional paid-in capital | 295,223 | 294,330 | ||||||
| Accumulated other comprehensive (loss) income | (133 | ) | 29 | |||||
| Accumulated deficit | (247,410 | ) | (243,010 | ) | ||||
| Total Stockholders’ Equity | 47,680 | 51,349 | ||||||
| Total Liabilities & Stockholders’ Equity | $ | 93,931 | $ | 92,612 | ||||
XTANT MEDICAL HOLDINGS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited, in thousands, except number of shares and per share amounts)
| Three Months Ended March 31, | ||||||||
| 2024 | 2023 | |||||||
| Revenue | $ | 27,873 | $ | 17,943 | ||||
| Cost of sales | 10,571 | 7,407 | ||||||
| Gross Profit | 17,302 | 10,536 | ||||||
| Gross Profit % | 62.1 | % | 58.7 | % | ||||
| Operating Expenses | ||||||||
| General and administrative | 7,785 | 4,884 | ||||||
| Sales and marketing | 12,460 | 7,054 | ||||||
| Research and development | 527 | 174 | ||||||
| Total Operating Expenses | 20,772 | 12,112 | ||||||
| Loss from Operations | (3,470 | ) | (1,576 | ) | ||||
| Other Expense | ||||||||
| Interest expense | (835 | ) | (575 | ) | ||||
| Interest income | - | 86 | ||||||
| Unrealized foreign currency translation loss | (39 | ) | - | |||||
| Other income | 12 | - | ||||||
| Total Other Expense | (862 | ) | (489 | ) | ||||
| Net Loss from Operations Before Provision for Income Taxes | (4,332 | ) | (2,065 | ) | ||||
| Provision for Income Taxes | ||||||||
| Current and Deferred | (68 | ) | (13 | ) | ||||
| Net Loss | $ | (4,400 | ) | $ | (2,078 | ) | ||
| Net Loss Per Share: | ||||||||
| Basic | $ | (0.03 | ) | $ | (0.02 | ) | ||
| Dilutive | $ | (0.03 | ) | $ | (0.02 | ) | ||
| Shares used in the computation: | ||||||||
| Basic | 130,201,251 | 108,893,588 | ||||||
| Dilutive | 130,201,251 | 108,893,588 | ||||||
XTANT MEDICAL HOLDINGS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited, in thousands)
| Three Months Ended March 31, | ||||||||
| 2024 | 2023 | |||||||
| Operating activities: | ||||||||
| Net loss | $ | (4,400 | ) | $ | (2,078 | ) | ||
| Adjustments to reconcile net loss to net cash used in operating activities: | ||||||||
| Depreciation and amortization | 1,005 | 471 | ||||||
| Gain on sale of fixed assets | (82 | ) | (11 | ) | ||||
| Non-cash interest | 95 | 61 | ||||||
| Stock-based compensation | 910 | 617 | ||||||
| Provision for reserve on accounts receivable | 88 | 106 | ||||||
| Provision for excess and obsolete inventory | 259 | 90 | ||||||
| Other | 3 | 2 | ||||||
| Changes in operating assets and liabilities, net of the effects of the acquisition: | ||||||||
| Accounts receivable | (879 | ) | (1,155 | ) | ||||
| Inventories | (2,195 | ) | (309 | ) | ||||
| Prepaid and other assets | (376 | ) | (68 | ) | ||||
| Accounts payable | 492 | (69 | ) | |||||
| Accrued liabilities | (675 | ) | 98 | |||||
| Net cash used in operating activities | (5,755 | ) | (2,245 | ) | ||||
| Investing activities: | ||||||||
| Purchases of property and equipment | (773 | ) | (456 | ) | ||||
| Proceeds from sale of fixed assets | 99 | 35 | ||||||
| Acquisition of Surgalign SPV, Inc. | - | (17,000 | ) | |||||
| Net cash used in investing activities | (674 | ) | (17,421 | ) | ||||
| Financing activities: | ||||||||
| Payments on financing leases | (16 | ) | (15 | ) | ||||
| Borrowings on line of credit | 30,445 | 16,495 | ||||||
| Repayments on line of credit | (24,797 | ) | (16,871 | ) | ||||
| Proceeds from issuance of long term debt | - | 5,000 | ||||||
| Debt issuance costs | (436 | ) | (40 | ) | ||||
| Payment of taxes from withholding of common stock on vesting of restricted stock units | (17 | ) | - | |||||
| Net cash provided by financing activities | 5,179 | 4,569 | ||||||
| Effect of exchange rate changes on cash and cash equivalents and restricted cash | (49 | ) | - | |||||
| Net change in cash and cash equivalents and restricted cash | (1,299 | ) | (15,097 | ) | ||||
| Cash and cash equivalents at beginning of period | 5,923 | 20,507 | ||||||
| Cash and cash equivalents at end of period | $ | 4,624 | $ | 5,410 | ||||
| Reconciliation of cash and cash equivalents and restricted cash reported in the consolidated balance sheets | ||||||||
| Cash and cash equivalents | 4,547 | 5,176 | ||||||
| Restricted cash | 77 | 234 | ||||||
| Total cash and restricted cash reported in the consolidated balance sheets | $ | 4,624 | $ | 5,410 | ||||
XTANT MEDICAL HOLDINGS, INC.
CALCULATION OF NON-GAAP CONSOLIDATED EBITDA AND ADJUSTED EBITDA
(Unaudited, in thousands)
| Three Months Ended March 31, | ||||||||
| 2024 | 2023 | |||||||
| Net Loss | $ | (4,400 | ) | $ | (2,078 | ) | ||
| Depreciation and amortization | 1,005 | 471 | ||||||
| Interest expense | 835 | 489 | ||||||
| Tax expense | 68 | 13 | ||||||
| Non-GAAP EBITDA | (2,492 | ) | (1,105 | ) | ||||
| Non-GAAP EBITDA/Total revenue | -8.9 | % | -6.2 | % | ||||
| NON-GAAP ADJUSTED EBITDA CALCULATION | ||||||||
| Non-cash compensation | 910 | 617 | ||||||
| Acquisition related expenses | 338 | 211 | ||||||
| Acquisition-related fair value adjustments | 1,301 | - | ||||||
| Unrealized foreign currency translation loss | 39 | - | ||||||
| Non-GAAP Adjusted EBITDA | $ | 96 | $ | (277 | ) | |||
| Non-GAAP Adjusted EBITDA/Total revenue | 0.3 | % | -1.5 | % | ||||