Acutus Medical, Inc. (Nasdaq: AFIB) today reported results for the first quarter of 2022 and announced a leadership transition.
Recent Updates:
- Reported revenue of $3.7 million in the first quarter of 2022, compared to $3.6 million in the same quarter last year
- Global mapping procedures volumes advanced 27% from the same quarter last year, representing the highest quarterly procedure volumes since launch
- Completed enrollment in US premarket approval (PMA) study for AcQBlate in right atrial flutter
- Vince Burgess stepping down as the Company’s President and Chief Executive Officer
- Company appoints David Roman as Interim Chief Executive Officer and Chief Financial Officer
- Announced commitment letter to refinance its existing debt with a longer-term credit facility as well as a definitive agreement to sell the Company’s left-heart access portfolio to Medtronic (NYSE:MDT)
“We are pleased with the start to 2022 as our strategy to drive commercial focus on utilization and disposable revenue growth is starting to take hold,” said Vince Burgess, President & CEO of Acutus Medical. “We achieved record global mapping procedure volumes, led by our business outside the United States, where physicians have access to our complete portfolio of mapping and therapy solutions. In our efforts to bring ablation therapy to the U.S., we have completed enrollment in our PMA study for AcQBlate in right atrial flutter and expect to submit for approval in the middle of this year. Lastly, the strategic transactions we announced last month will enable us to intensify our efforts to drive adoption of our electrophysiology mapping and therapy solutions as well as improving our operational and financial performance.”
“Reflecting on the evolution of the business and our journey, I believe this is an appropriate time to step away from my role as President and CEO,” said Mr. Burgess. “I am very proud of what this Company has accomplished since I became involved with Acutus in 2013. We are continuing to advance the field of electrophysiology and have enabled more physicians to treat more patients more effectively than ever before. I have full faith and confidence in David Roman to lead the Company in its mission while the Board of Directors selects my permanent successor.”
“On behalf of the Board, I'd like to extend my deepest appreciation to Vince for his many contributions to Acutus as a Board member for the last nine years and CEO for the past five,” said Scott Huennekens, Chairman of the Board. “We will continue to benefit from his guidance as an advisor over the coming months. In the interim, we are confident that David's leadership will ensure a smooth transition and a continuation of our recent growth.”
Mr. Roman said, “I look forward to working with our Board and our management team as we remain focused on driving the adoption of our electrophysiology mapping and therapy solutions to deliver personalized therapy for superior clinical outcomes.”
First Quarter 2022 Financial ResultsRevenue was $3.7 million for the first quarter of 2022, compared to $3.6 million in the first quarter last year. The improvement over the same quarter last year was driven by increased mapping procedure volumes and new product adoption in therapy and left-heart access, partially offset by lower capital equipment revenue. Gross margin on a GAAP basis was negative 89% for the first quarter of 2022, compared with negative 94% in the same quarter last year. The change was driven by favorable product mix with a higher percentage of revenue coming from disposables in the first quarter of 2022 compared with the same quarter last year.
Operating expenses on a GAAP basis were $35.4 million for the first quarter of 2022, compared with $24.5 million in the same quarter last year. The increase of $10.9 million was primarily attributable to a goodwill impairment charge of $12.0 million, a prior quarter change in fair value of $1.2 million for the contingent consideration related to the acquisition of Rhythm Xience, a $1.0 million excess and obsolete inventory charge primarily related to our systems and restructuring charges of $0.9 million, offset by a $4.6 million employee retention credit (ERC) benefit under the CARES Act.
Net loss on a GAAP basis was $40.0 million for the first quarter of 2022 and net loss per share was $1.42 on a weighted average basic and diluted outstanding share count of 28.1 million, compared to $29.2 million and a net loss per share of $1.04 on a weighted average basic and diluted outstanding share count of 28.0 million in the same period of the prior year. Excluding amortization of acquired intangibles, non-cash stock-based compensation expense, goodwill impairment, restructuring charges, the ERC benefit and changes in the fair value of contingent consideration, the Company’s non-GAAP net loss for the first quarter of 2022 was $28.5 million, or $1.00 per share, compared to $27.3 million, or $0.97 per share.
Cash, cash equivalents, marketable securities and restricted cash were $78.8 million as of March 31, 2022.
Outlook and COVID-19Headwinds associated with COVID-19 moderated throughout the first quarter of 2022; however, management continues to view the current situation with COVID-19 as being fluid, and the potential impact on the Company’s business from hospital and government actions in response to potential resurgences in COVID-19 cases, COVID-19-related hospital admissions, restrictions on lab access and new technology assessments and hospital staffing shortages are all factors that could influence performance. In addition, the Company is actively monitoring supply chain dynamics and is working to mitigate potential shortages for critical materials.
Non-GAAP Financial MeasuresThis press release includes references to non-GAAP net loss and non-GAAP net loss per share, which are non-GAAP financial measures, to provide information that may assist investors in understanding the Company’s financial results and assessing its prospects for future performance. The Company believes these non-GAAP financial measures are important indicators of its operating performance because they exclude items that are primarily non-cash accounting line items unrelated to, and may not be indicative of, the Company’s core operating results. These non-GAAP financial measures, as Acutus calculates them, may not necessarily be comparable to similarly titled measures of other companies and may not be appropriate measures for comparing the performance of other companies relative to the Company. These non-GAAP financial results are not intended to represent and should not be considered to be more meaningful measures than, or alternatives to, measures of operating performance as determined in accordance with GAAP. Non-GAAP net loss is defined as net loss before income taxes, adjusted for stock-based compensation, amortization of acquisition-related intangibles, acquisition related costs, discontinued operations, asset impairments, non-operating items, restructuring charges, stock repurchases and other adjustments. To the extent such non-GAAP financial measures are used in the future, the Company expects to calculate them using a consistent method from period to period. A reconciliation of the most directly comparable GAAP financial measure to the non-GAAP financial measure has been provided under the heading “Reconciliation of GAAP Results to Non-GAAP Results” in the financial statement tables attached to this press release.
Webcast and Conference Call InformationAcutus will host a conference call to discuss the first quarter 2022 financial results after market close on Thursday, May 12, 2022 at 1:30 p.m. Pacific Time / 4:30 p.m. Eastern Time. The conference call can be accessed live over the phone (833) 570-1131 for U.S. callers or (914) 987-7078 for international callers, using conference ID: 3455233. The live webinar can be accessed at https://ir.acutusmedical.com.
About Acutus Medical, Inc.Acutus is an arrhythmia management company focused on improving the way cardiac arrhythmias are diagnosed and treated. Acutus is committed to advancing the field of electrophysiology with a unique array of products and technologies which will enable more physicians to treat more patients more efficiently and effectively. Through internal product development, acquisitions and global partnerships, Acutus has established a global sales presence delivering a broad portfolio of highly differentiated electrophysiology products that provide its customers with a complete solution for catheter-based treatment of cardiac arrhythmias. Founded in 2011, Acutus is based in Carlsbad, California.
Caution Regarding Forward-Looking StatementsThis press release includes statements that may constitute “forward-looking” statements, usually containing the words “believe,” “estimate,” “project,” “expect” or similar expressions. Forward-looking statements inherently involve risks and uncertainties that could cause actual results to differ materially from the forward-looking statements. Factors that would cause or contribute to such differences include, but are not limited to, the Company’s ability to continue to manage expenses and cash burn rate at sustainable levels, continued acceptance of its products in the marketplace, the effect of global economic conditions on the ability and willingness of customers to purchase the Company’s systems and the timing of such purchases, competitive factors, changes resulting from healthcare policy in the United States and globally, including changes in government reimbursement of procedures, dependence upon third-party vendors and distributors, timing of regulatory approvals, the impact of the coronavirus (COVID-19) pandemic and Acutus’ response to it, and other risks discussed in the Company’s periodic and other filings with the Securities and Exchange Commission. By making these forward-looking statements, Acutus undertakes no obligation to update these statements for revisions or changes after the date of this release, except as required by law.
| Investor Contact: | Media Contact: |
| Caroline Corner | Holly Windler |
| ICR Westwicke | M: 619-929-1275 |
| D: 415-202-5678 | media@acutusmedical.com |
| caroline.corner@westwicke.com | |
| Acutus Medical, Inc.Consolidated Balance Sheets | |||||||
| (in thousands, except per share amounts) | March 31,2022 | December 31,2021 | |||||
| (unaudited) | |||||||
| ASSETS | |||||||
| Current assets: | |||||||
| Cash and cash equivalents | $ | 12,319 | $ | 24,071 | |||
| Marketable securities, short-term | 62,292 | 76,702 | |||||
| Restricted cash | 150 | 150 | |||||
| Accounts receivable | 2,978 | 3,633 | |||||
| Inventory | 17,620 | 16,408 | |||||
| Prepaid expenses and other current assets | 9,064 | 5,326 | |||||
| Total current assets | 104,423 | 126,290 | |||||
| Marketable securities, long-term | 4,014 | 7,120 | |||||
| Property and equipment, net | 12,962 | 13,670 | |||||
| Right-of-use assets, net | 4,358 | 4,521 | |||||
| Intangible assets, net | 4,853 | 5,013 | |||||
| Goodwill | — | 12,026 | |||||
| Other assets | 1,032 | 1,152 | |||||
| Total assets | $ | 131,642 | $ | 169,792 | |||
| LIABILITIES AND STOCKHOLDERS' EQUITY | |||||||
| Current liabilities: | |||||||
| Accounts payable | $ | 4,781 | $ | 7,519 | |||
| Accrued liabilities | 10,632 | 9,096 | |||||
| Contingent consideration, short-term | 1,400 | 1,500 | |||||
| Operating lease liabilities, short-term | 501 | 395 | |||||
| Total current liabilities | 17,314 | 18,510 | |||||
| Operating lease liabilities, long-term | 4,471 | 4,591 | |||||
| Long-term debt | 40,793 | 40,415 | |||||
| Contingent consideration, long-term | 300 | 500 | |||||
| Other long-term liabilities | 2 | 50 | |||||
| Total liabilities | 62,880 | 64,066 | |||||
| Stockholders' equity | |||||||
| Preferred stock, $0.001 par value | — | — | |||||
| Common stock, $0.001 par value | 28 | 28 | |||||
| Additional paid-in capital | 587,889 | 584,613 | |||||
| Accumulated deficit | (518,715 | ) | (478,698 | ) | |||
| Accumulated other comprehensive loss | (440 | ) | (217 | ) | |||
| Total stockholders' equity | 68,762 | 105,726 | |||||
| Total liabilities and stockholders' equity | $ | 131,642 | $ | 169,792 | |||
| Acutus Medical, Inc.Consolidated Statements of Operations and Comprehensive Loss | |||||||
| Three Months EndedMarch 31, | |||||||
| (in thousands, except share and per share amounts) | 2022 | 2021 | |||||
| (unaudited) | |||||||
| Revenue | $ | 3,681 | $ | 3,591 | |||
| Costs and operating expenses: | |||||||
| Cost of products sold | 6,941 | 6,955 | |||||
| Research and development | 8,003 | 9,370 | |||||
| Selling, general and administrative | 14,385 | 16,252 | |||||
| Goodwill impairment | 12,026 | — | |||||
| Restructuring | 949 | — | |||||
| Change in fair value of contingent consideration | 7 | (1,153 | ) | ||||
| Total costs and operating expenses | 42,311 | 31,424 | |||||
| Loss from operations | (38,630 | ) | (27,833 | ) | |||
| Other income (expense): | |||||||
| Interest income | 24 | 40 | |||||
| Interest expense | (1,411 | ) | (1,388 | ) | |||
| Total other expense, net | (1,387 | ) | (1,348 | ) | |||
| Loss before income taxes | (40,017 | ) | (29,181 | ) | |||
| Income tax benefit | — | — | |||||
| Net loss | $ | (40,017 | ) | $ | (29,181 | ) | |
| Other comprehensive income (loss) | |||||||
| Unrealized (loss) gain on marketable securities | (57 | ) | 6 | ||||
| Foreign currency translation adjustment | (166 | ) | (226 | ) | |||
| Comprehensive loss | $ | (40,240 | ) | $ | (29,401 | ) | |
| Net loss per common share, basic and diluted | $ | (1.42 | ) | $ | (1.04 | ) | |
| Weighted average shares outstanding, basic and diluted | 28,118,090 | 28,031,686 | |||||
| Acutus Medical, Inc.Condensed Consolidated Statements of Cash Flows | |||||||
| Three Months EndedMarch 31, | |||||||
| (in thousands) | 2022 | 2021 | |||||
| (unaudited) | |||||||
| Cash flows from operating activities | |||||||
| Net loss | $ | (40,017 | ) | $ | (29,181 | ) | |
| Adjustments to reconcile net loss to net cash used in operating activities: | |||||||
| Depreciation expense | 1,567 | 1,241 | |||||
| Amortization of intangible assets | 160 | 160 | |||||
| Stock-based compensation expense | 3,032 | 2,910 | |||||
| Amortization of premiums/(accretion of discounts) on marketable securities, net | 173 | 412 | |||||
| Amortization of debt issuance costs | 378 | 328 | |||||
| Amortization of right-of-use assets | 160 | 180 | |||||
| Goodwill impairment | 12,026 | — | |||||
| Change in fair value of contingent consideration | 7 | (1,153 | ) | ||||
| Changes in operating assets and liabilities: | |||||||
| Accounts receivable | 655 | (317 | ) | ||||
| Inventory | (1,212 | ) | (879 | ) | |||
| Prepaid expenses and other current assets | (3,487 | ) | 1,104 | ||||
| Other assets | 120 | (250 | ) | ||||
| Accounts payable | (2,641 | ) | (2,091 | ) | |||
| Accrued liabilities | 1,532 | 1,500 | |||||
| Operating lease liabilities | (14 | ) | (237 | ) | |||
| Other long-term liabilities | (48 | ) | — | ||||
| Net cash used in operating activities | (27,609 | ) | (26,273 | ) | |||
| Cash flows from investing activities | |||||||
| Purchases of available-for-sale marketable securities | — | (9,135 | ) | ||||
| Sales of available-for-sale marketable securities | 2,500 | — | |||||
| Maturities of available-for-sale marketable securities | 14,587 | 25,000 | |||||
| Purchases of property and equipment | (1,088 | ) | (3,693 | ) | |||
| Net cash provided by investing activities | 15,999 | 12,172 | |||||
| Cash flows from financing activities | |||||||
| Payment of contingent consideration | (290 | ) | (2,547 | ) | |||
| Proceeds from stock options exercises | 66 | 169 | |||||
| Proceeds from Employee Stock Purchase Plan | 182 | — | |||||
| Net cash used in financing activities | (42 | ) | (2,378 | ) | |||
| Effect of exchange rate changes on cash, cash equivalents and restricted cash | (100 | ) | (124 | ) | |||
| Net change in cash, cash equivalents and restricted cash | (11,752 | ) | (16,603 | ) | |||
| Cash, cash equivalents and restricted cash, at the beginning of the period | 24,221 | 25,384 | |||||
| Cash, cash equivalents and restricted cash, at the end of the period | $ | 12,469 | $ | 8,781 | |||
Acutus Medical, Inc.Reconciliation of GAAP Results to Non-GAAP Results(Unaudited)
| Three Months EndedMarch 31, 2022 | Cost ofproducts sold | Research anddevelopment | Selling, generalandadministrative | Loss fromoperations | Otherexpenses, net | Net loss | Basic anddiluted EPS | ||||||||||||||||||||
| Reported | $ | 6,941 | $ | 8,003 | $ | 14,385 | $ | (38,630 | ) | $ | (1,387 | ) | $ | (40,017 | ) | $ | (1.42 | ) | |||||||||
| Amortization of acquired intangibles | (155 | ) | — | (5 | ) | 160 | — | 160 | 0.01 | ||||||||||||||||||
| Stock-based compensation | (226 | ) | (514 | ) | (2,292 | ) | 3,032 | — | 3,032 | 0.11 | |||||||||||||||||
| Employee retention credit | 1,503 | 1,394 | 1,742 | (4,639 | ) | — | (4,639 | ) | (0.16 | ) | |||||||||||||||||
| Goodwill impairment | — | — | — | 12,026 | — | 12,026 | 0.43 | ||||||||||||||||||||
| Restructuring | — | — | — | 949 | — | 949 | 0.03 | ||||||||||||||||||||
| Change in fair value of contingent consideration | — | — | — | 7 | — | 7 | — | ||||||||||||||||||||
| Adjusted | $ | 8,063 | $ | 8,883 | $ | 13,830 | $ | (27,095 | ) | $ | (1,387 | ) | $ | (28,482 | ) | $ | (1.00 | ) | |||||||||
| Three Months EndedMarch 31, 2021 | Cost ofproducts sold | Research anddevelopment | Selling, generalandadministrative | Loss fromoperations | Otherexpenses, net | Net loss | Basic anddiluted EPS | ||||||||||||||||||||
| Reported | $ | 6,955 | $ | 9,370 | $ | 16,252 | $ | (27,833 | ) | $ | (1,348 | ) | $ | (29,181 | ) | $ | (1.04 | ) | |||||||||
| Amortization of acquired intangibles | — | — | (160 | ) | 160 | — | 160 | 0.01 | |||||||||||||||||||
| Stock-based compensation | (157 | ) | (442 | ) | (2,311 | ) | 2,910 | — | 2,910 | 0.10 | |||||||||||||||||
| Change in fair value of contingent consideration | — | — | — | (1,153 | ) | — | (1,153 | ) | (0.04 | ) | |||||||||||||||||
| Adjusted | $ | 6,798 | $ | 8,928 | $ | 13,781 | $ | (25,916 | ) | $ | (1,348 | ) | $ | (27,264 | ) | $ | (0.97 | ) | |||||||||
Acutus Medical, Inc.Key Business Metrics
Installed Base & Procedure Volumes
The total installed base as of, and procedure volumes for the three months ended March 31, 2022 and 2021, is set forth in the table below:
| March 31, | |||||
| 2022 | 2021 | ||||
| Key Business Metrics | (unaudited) | ||||
| Installed base(1) | 77 | 62 | |||
| Procedure volumes | 465 | 367 | |||
(1) Installed base includes AcQMap Systems.
Revenue
The following table sets forth the Company’s revenue for disposables, systems and service/other for the three months ended March 31, 2022 and 2021 (in thousands):
| Three Month Ended March 31, | |||||||
| 2022 | 2021 | ||||||
| (unaudited) | |||||||
| Disposables | $ | 3,211 | $ | 2,342 | |||
| Systems | — | 969 | |||||
| Service/Other | 470 | 280 | |||||
| Total revenue | $ | 3,681 | $ | 3,591 | |||
The following table provides revenue by geographic location for the three months ended March 31, 2022 and 2021 (in thousands):
| Three Months Ended March 31, | |||||||
| 2022 | 2021 | ||||||
| (unaudited) | |||||||
| United States | $ | 2,023 | $ | 1,581 | |||
| Outside the United States | 1,658 | 2,010 | |||||
| Total revenue | $ | 3,681 | $ | 3,591 | |||
Source: Acutus Medical, Inc.