EX-99.1 2 d79375dex991.htm EX-99.1 EX-99.1

Exhibit 99.1

MIMEDX Announces First Quarter 2023 Operating and Financial Results

First Quarter Net Sales of $71.7 Million Reflect an Increase of 21.7% Over the Prior Year Period

Revenue Growth & Cost Controls Help Drive Improvements in Net Loss, EBITDA & Adjusted EBITDA1

Management to Host Conference Call on Tuesday, May 2, 2023, at 5:00 PM ET

MARIETTA, Ga., May 2, 2023 — MiMedx Group, Inc. (Nasdaq: MDXG) (“MIMEDX” or the “Company”), a pioneer and leader in placental biologics, today announced operating and financial results for the first quarter 2023, which ended March 31, 2023, including net sales of $71.7 million, net loss of $5.0 million and Adjusted EBITDA of $5.5 million.

Joseph Capper, MIMEDX Chief Executive Officer (“CEO”), commented, “Our first quarter 2023 results demonstrate an excellent level of focus and execution across our organization, particularly among our commercial team. Our double-digit net sales growth this quarter was driven by robust demand for our new products in the surgical market and an accelerated growth rate in the private physician office setting. Our entire product offering is winning across the care settings we serve, as we work to make our best-in-class placental biologics products available to a large and growing number of patients each day.”

Mr. Capper continued, “In addition to delivering strong top-line results, we continued to make progress on multiple structural and operational initiatives to improve the financial profile of the Company. Our gross margin improved sequentially, reversing the trend we had during 2022, and our operating expenses grew slower than sales, resulting in Adjusted EBITDA of $5.5 million for the quarter, a substantial increase over the prior year period. We are encouraged by the initial improvement in several of these financial metrics, and we look forward to continuing to build on these results.”

Recent Operating and Financial Highlights:

 

   

Reported first quarter 2023 net sales of $71.7 million, an increase of 21.7% over first quarter 2022.

 

   

Commented on recent data brief published by Office of Inspector General, applauding recommendation for the Centers for Medicare and Medicaid Services to quickly address issues associated with average sales price reporting requirements for skin substitute products.

 

   

Announced upcoming Chief Financial Officer transition.


Key First Quarter 2023 Financial Metrics

 

   

Net sales of $71.7 million for first quarter 2023, compared to $58.9 million for the prior year period.

 

   

Net loss of $5.0 million for first quarter 2023, compared to a net loss of $10.5 million for the prior year period.

 

1 

EBITDA and Adjusted EBITDA are non-GAAP financial measures. See “Reconciliation of Non-GAAP Measures” for a reconciliation of EBITDA and Adjusted EBITDA to Net loss, located in “Selected Unaudited Financial Information” of this release.

 

   

Adjusted EBITDA of $5.5 million for first quarter 2023, compared to an Adjusted EBITDA loss of $1.7 million for the prior year period.

 

     Three Months Ended March 31,  
     (in thousands)  
     2023      2022  

Net sales

   $ 71,676      $ 58,894  

Net loss

     (4,983      (10,489

EBITDA

     (2,475      (8,268

Adjusted EBITDA

     5,543        (1,718

Net loss per common share - basic

   $ (0.06    $ (0.11

Net loss per common share - diluted

   $ (0.06    $ (0.11

Segment Information

MIMEDX operates as two reportable segments: Wound & Surgical and Regenerative Medicine. A summary of the Company’s performance for the three months ended March 31, 2023 and three months ended March 31, 2022 by segment is included below (amounts in thousands):

Three Months Ended March 31, 2023

 

     Wound &
Surgical
     Regenerative
Medicine
     Corporate &
Other
     Consolidated  

Net sales

   $ 70,629      $ —        $ 1,047      $ 71,676  

Cost of sales

     11,332        —          1,087        12,419  

Selling, general and administrative expense

     37,666        —          14,613        52,279  

Research and development expense

     1,522        4,974        —          6,496  

Amortization of intangible assets

     —          —          190        190  
  

 

 

    

 

 

       

Segment contribution

   $ 20,109      $ (4,974      

Investigation, restatement and related expense

              3,673  
           

 

 

 

Operating loss

            $ (3,381

Supplemental information

           

Depreciation expense

   $ 389      $ 64      $ 261      $ 714  

Share-based compensation

   $ 1,383      $ 452      $ 2,510      $ 4,345  

Note: Net sales in Corporate & Other reflect the Company’s only sales of Dental products, from a contract under which sales will terminate in 2023.


Three Months Ended March 31, 2022

 

     Wound &
Surgical
     Regenerative
Medicine
     Corporate &
Other
     Consolidated  

Net sales

   $ 58,330      $ —        $ 564      $ 58,894  

Cost of sales

     9,129        —          807        9,936  

Selling, general and administrative expense

     34,044        —          15,526        49,570  

Research and development expense

     1,951        4,013        —          5,964  

Amortization of intangible assets

     —          —          172        172  
  

 

 

    

 

 

       

Segment contribution

   $ 13,206      $ (4,013      

Investigation, restatement and related expense

              2,552  
           

 

 

 

Operating loss

            $ (9,300

Supplemental information

           

Depreciation expense

   $ 455      $ 44      $ 361      $ 860  

Share-based compensation

   $ 1,765      $ 263      $ 1,970      $ 3,998  

Note: Net sales in Corporate & Other reflect the Company’s only sales of Dental products, from a contract under which sales will terminate in 2023.

Net Sales

MIMEDX reported net sales for the three months ended March 31, 2023, of $71.7 million, compared to $58.9 million for the three months ended March 31, 2022, an increase of 21.7%. Net sales growth benefited from an improved environment in reaching customer accounts in 2023 following the challenges due to the Omicron wave of the COVID-19 pandemic in 2022. Increased net sales reflect solid contributions in both of the Wound & Surgical end markets, with continued uptake from new products, strong growth in the private physician office setting, one additional selling day as compared to the first quarter of 2022, and initial sales of EPIFIX® in Japan.

Gross Profit and Margin

Gross profit for the three months ended March 31, 2023, was $59.3 million, an increase of $10.3 million as compared to the prior year period.


Gross margin for the three months ended March 31, 2023, was 82.7% compared to 83.1% for the three months ended March 31, 2022.

Operating Expenses

Selling, general and administrative expenses for the three months ended March 31, 2023, were $52.3 million compared to $49.6 million for the three months ended March 31, 2022. The increase primarily reflects higher commissions associated with increased sales.

Research and development expenses were $6.5 million for the three months ended March 31, 2023 compared to $6.0 million for the three months ended March 31, 2022. The increase was primarily driven by higher costs associated with the initiation of our knee osteoarthritis (“KOA”) clinical trial program.

Investigation, restatement and related expenses for the three months ended March 31, 2023 were $3.7 million compared to $2.6 million for the three months ended March 31, 2022.

Net loss for the three months ended March 31, 2023, was $5.0 million compared to a net loss of $10.5 million for the three months ended March 31, 2022.

Cash and Cash Equivalents

As of March 31, 2023, the Company had $61.2 million of cash and cash equivalents compared to $66.0 million as of December 31, 2022. The decrease during the quarter ended March 31, 2023 reflects continued investments in working capital and seasonal employee compensation expenses.

Financial Goals

The Company continues to believe the business is capable of delivering sales growth in the low double-digits as a percentage annually, driven by continued uptake of new products, solid demand across its sites of service and ramping contributions from sales in Japan.

As previously communicated, the Company has goals to achieve a Wound & Surgical segment contribution margin at or above 30% of segment net sales and corporate expenses as a percentage of sales below 20%.


Conference Call and Webcast

MIMEDX will host a conference call and webcast to review its first quarter 2023 results on Tuesday, May 2, 2023, beginning at 5:00 p.m., Eastern Time. The call can be accessed using the following information:

Webcast: Click here

U.S. Investors: 877-407-6184

International Investors: 201-389-0877

Conference ID: 13737183

A replay of the webcast will be available for approximately 30 days on the Company’s website at www.mimedx.com following the conclusion of the event.

Important Cautionary Statement

This press release includes forward-looking statements. Statements regarding: (i) future sales or sales growth; (ii) our 2023 financial goals and expectations for future financial results, including levels of contribution margin and corporate expenses; (iii) our expectations regarding the timing and impact of new product launches; (iv) our expectations regarding the timing of clinical programs and trials; and (v) the effectiveness of amniotic tissue as a therapy for any particular indication or condition. Additional forward-looking statements may be identified by words such as “believe,” “expect,” “may,” “plan,” “goal,” “outlook,” “potential,” “will,” “preliminary,” and similar expressions, and are based on management’s current beliefs and expectations.

Forward-looking statements are subject to risks and uncertainties, and the Company cautions investors against placing undue reliance on such statements. Actual results may differ materially from those set forth in the forward-looking statements. Factors that could cause actual results to differ from expectations include: (i) future sales are uncertain and are affected by competition, access to customers, patient access to healthcare providers, the reimbursement environment and many other factors; (ii) the status, timing, results and expected results of the Company’s clinical trials and planned regulatory submissions, and our expectations regarding the timing of any trial or regulatory submission, depend on a number of factors including favorable trial results, patient access, and our ability to manufacture in accordance with Current Good Manufacturing Practices (“CGMP”) and appropriate CMC; (iii) the Company may change its plans due to unforeseen circumstances, or delays in analyzing and auditing results, and may delay or alter the timeline for future trials, analyses, or public announcements; (iv) our access to hospitals and health care provider facilities could be restricted as a result of the ongoing COVID-19 pandemic or other factors; (v) the results of scientific research are uncertain and may have little or no value; (vi) our ability to sell our products in other countries depends on a number of factors including adequate levels of reimbursement, market acceptance of novel therapies, and our ability to build and manage a direct sales force or third party distribution relationship; (vii) the effectiveness of amniotic tissue as a therapy for particular indications or conditions is the subject of further scientific and clinical studies; and (viii) we may alter the timing and amount of planned expenditures for research and development based on the results of clinical trials and other regulatory developments. The Company describes additional risks and uncertainties in the Risk Factors section of its most recent annual report


and quarterly reports filed with the Securities and Exchange Commission. Any forward-looking statements speak only as of the date of this press release and the Company assumes no obligation to update any forward-looking statement.

About MIMEDX

MIMEDX is a pioneer and leader in placental biologics, developing and distributing placental tissue allografts to help address unmet clinical needs in multiple sectors of healthcare, including the Advanced Wound Care market as well as in surgical recovery settings. MIMEDX is also focused on advancing a promising late-stage pipeline opportunity targeted at decreasing pain and improving function for patients with knee osteoarthritis. Our products are derived from human placental tissues and processed using our proprietary methods, including the Company’s own PURION® process. We employ Current Good Tissue Practices, Current Good Manufacturing Practices, and terminal sterilization to produce our allografts. MIMEDX has supplied over two million allografts, through both direct and consignment shipments. For additional information, please visit www.mimedx.com.

Contact:

Matt Notarianni

Investor Relations

470.304.7291

mnotarianni@mimedx.com

Selected Unaudited Financial Information


MiMedx Group, Inc.

Condensed Consolidated Balance Sheets

(in thousands) Unaudited

 

     March 31,
2023
    December 31,
2022
 

ASSETS

    

Current assets:

    

Cash and cash equivalents

   $ 61,221     $ 65,950  

Accounts receivable, net

     44,694       43,084  

Inventory

     14,657       13,183  

Prepaid expenses

     8,824       8,646  

Other current assets

     2,306       3,335  
  

 

 

   

 

 

 

Total current assets

     131,702       134,198  

Property and equipment, net

     7,562       7,856  

Right of use asset

     3,066       3,400  

Goodwill

     19,976       19,976  

Intangible assets, net

     5,706       5,852  

Other assets

     147       148  
  

 

 

   

 

 

 

Total assets

   $ 168,159     $ 171,430  
  

 

 

   

 

 

 

LIABILITIES, CONVERTIBLE PREFERRED STOCK, AND STOCKHOLDERS’ DEFICIT

    

Current liabilities:

    

Accounts payable

   $ 7,823     $ 8,847  

Accrued compensation

     18,212       21,852  

Accrued expenses

     13,041       11,024  

Other current liabilities

     1,794       1,834  
  

 

 

   

 

 

 

Total current liabilities

     40,870       43,557  

Long term debt, net

     48,714       48,594  

Other liabilities

     4,027       4,773  
  

 

 

   

 

 

 

Total liabilities

     93,611       96,924  

Convertible preferred stock

     92,494       92,494  

Total stockholders’ (deficit) equity

     (17,946     (17,988
  

 

 

   

 

 

 

Total liabilities, convertible preferred stock, and stockholders’ (deficit) equity

   $ 168,159     $ 171,430  
  

 

 

   

 

 

 


MiMedx Group, Inc.

Condensed Consolidated Statements of Operations

(in thousands) Unaudited

 

     Three Months Ended
March 31,
 
     2023     2022  

Net sales

   $ 71,676     $ 58,894  

Cost of sales

     12,419       9,936  
  

 

 

   

 

 

 

Gross profit

     59,257       48,958  

Operating expenses:

    

Selling, general and administrative

     52,279       49,570  

Research and development

     6,496       5,964  

Investigation, restatement and related

     3,673       2,552  

Amortization of intangible assets

     190       172  
  

 

 

   

 

 

 

Operating loss

     (3,381     (9,300

Other expense, net

    

Interest expense, net

     (1,553     (1,126

Other expense, net

     2       —    
  

 

 

   

 

 

 

Loss before income tax provision

     (4,932     (10,426

Income tax provision expense

     (51     (63
  

 

 

   

 

 

 

Net loss

   $ (4,983   $ (10,489
  

 

 

   

 

 

 

Net loss available to common shareholders

   $ (6,667   $ (12,075
  

 

 

   

 

 

 

Net loss per common share - basic

   $ (0.06   $ (0.11

Net loss per common share - diluted

   $ (0.06   $ (0.11

Weighted average common shares outstanding - basic

     114,398,813       111,615,839  

Weighted average common shares outstanding - diluted

     114,398,813       111,615,839  


MiMedx Group, Inc.

Condensed Consolidated Statements of Cash Flows

(in thousands) Unaudited

 

     Three Months Ended March 31,  
     2023     2022  

Cash flows from operating activities:

    

Net loss

   $ (4,983   $ (10,489

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

    

Share-based compensation

     4,345       3,998  

Depreciation

     714       860  

Non-cash lease expenses

     334       295  

Amortization of intangible assets

     190       172  

Amortization of deferred financing costs

     121       112  

Accretion of asset retirement obligation

     22       22  

Gain on fixed asset disposal

     —         (15

Bad debt expense

     (60     —    

Increase (decrease) in cash resulting from changes in:

    

Accounts receivable

     (1,551     2,679  

Inventory

     (1,474     (1,781

Prepaid expenses

     (178     11  

Other assets

     1,030       (235

Accounts payable

     (1,023     456  

Accrued compensation

     (3,347     (6,494

Accrued expenses

     2,210       550  

Other liabilities

     (398     (364
  

 

 

   

 

 

 

Net cash flows used in operating activities

     (4,048     (10,223
  

 

 

   

 

 

 

Cash flows from investing activities:

    

Purchases of equipment

     (633     (118

Patent application costs

     (44     (54

Proceeds from sale of equipment

     —         24  
  

 

 

   

 

 

 

Net cash flows used in investing activities

     (677     (148
  

 

 

   

 

 

 

Cash flows from financing activities:

    

Principal payments on finance lease

     (4     (11

Stock repurchased for tax withholdings on vesting of restricted stock

     —         (1,191

Proceeds from exercise of stock options

     —         166  
  

 

 

   

 

 

 

Net cash flows used in financing activities

     (4     (1,036
  

 

 

   

 

 

 

Net change in cash

     (4,729     (11,407

Cash and cash equivalents, beginning of period

     65,950       87,083  
  

 

 

   

 

 

 

Cash and cash equivalents, end of period

   $ 61,221     $ 75,676  
  

 

 

   

 

 

 


Reconciliation of Non-GAAP Measures

In addition to our GAAP results, we provide certain non-GAAP metrics including Earnings Before Interest, Taxes, Depreciation and Amortization (“EBITDA”), Adjusted EBITDA, and related margins. We believe that the presentation of these measures provides important supplemental information to management and investors regarding our performance. These measurements are not a substitute for GAAP measurements. Company management uses these Non-GAAP measurements as aids in monitoring our ongoing financial performance from quarter-to-quarter and year-to-year on a regular basis and for benchmarking against comparable companies.

EBITDA is intended to provide a measure of the Company’s operating performance as it eliminates the effects of financing and capital expenditures. EBITDA consists of GAAP net loss excluding: (i) depreciation, (ii) amortization of intangibles, (iii) interest expense, net, and (iv) income tax provision. Adjusted EBITDA is intended to provide a normalized view of EBITDA and our broader business operations that we expect to experience on an ongoing basis by removing certain non-cash items and items that may be irregular, one-time, or non-recurring from EBITDA. This enables us to identify underlying trends in our business that could otherwise be masked by such items. Adjusted EBITDA consists of GAAP net loss excluding: (i) depreciation, (ii) amortization of intangibles, (iii) interest expense, net, (iv) income tax provision, (v) investigation, restatement and related expenses, and (vi) share-based compensation.

A reconciliation of GAAP net loss to EBITDA and Adjusted EBITDA appears in the table below (in thousands):

 

     Three Months Ended March 31,  
     2023     2022  

Net loss

   $ (4,983   $ (10,489

Net margin

     (7.0 )%      (17.8 )% 

Non-GAAP Adjustments:

    

Depreciation expense

     714       860  

Amortization of intangible assets

     190       172  

Interest expense, net

     1,553       1,126  

Income tax provision expense

     51       63  
  

 

 

   

 

 

 

EBITDA

     (2,475     (8,268
  

 

 

   

 

 

 

EBITDA margin

     (3.5 )%      (14.0 )% 

Additional Non-GAAP Adjustments

    

Investigation, restatement and related expenses

     3,673       2,552  

Share-based compensation

     4,345       3,998  
  

 

 

   

 

 

 

Adjusted EBITDA

   $ 5,543     $ (1,718
  

 

 

   

 

 

 

Adjusted EBITDA margin

     7.7     (2.9 )%