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Bioventus Inc.: Form 10-Q for the period ended Jun 29, 2024

Filed with the SEC on Aug 6, 2024 and accepted by EDGAR at Aug 6, 2024, 07:51 ET.

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Management's discussion and analysis

As filed, 42,527 characters, with its headings, lists and tables. Extracted from the main document; charts and exhibits are in the original on sec.gov.

The following discussion and analysis of Bioventus Inc.’s (sometimes referred to as “we,” “us,” “our,” “Bioventus” or “the Company”) financial condition and results of operations should be read in conjunction with the “Special Note Regarding Forward-Looking Statements” and our unaudited consolidated condensed financial statements and related notes thereto appearing elsewhere in this Quarterly Report on Form 10-Q, as well as our audited consolidated financial statements and related notes included in our Annual Report on Form 10-K for the year ended December 31, 2023 filed with the Securities and Exchange Commission (“SEC”) on March 12, 2024 (“2023 10-K”).

Executive Summary

We are a global medical device company focused on developing and commercializing clinically differentiated, cost efficient and minimally invasive treatments that engage and enhance the body’s natural healing process. We operate our business through two reportable segments, U.S. and International, and our portfolio of products is grouped into three businesses:

  • Pain Treatments is comprised of non-surgical joint pain injection therapies as well as peripheral nerve stimulation (“PNS”) products to help the patient get back to their normal activities.
  • Surgical Solutions is comprised of bone graft substitutes (“BGS”) that increase bone formation to stimulate bone healing in spinal fusions and other orthopedic surgeries, as well as a portfolio of ultrasonic products used for precise bone cutting and sculpting, soft tissue management (i.e., tumor and liver resections) and tissue debridement, in various surgeries, including minimally invasive applications.
  • Restorative Therapies is comprised of a bone healing system, as well as devices designed to help patients regain leg or hand function due to stroke, multiple sclerosis or other central nervous system disorders.

The following table sets forth total net sales, net loss and Adjusted EBITDA for the periods presented:

Three Months Ended June 29, 2024 July 1, 2023 Six Months Ended June 29, 2024 July 1, 2023
Net sales $151,217 $137,069 $280,674 $256,128
Net loss from continuing operations $(32,112) $(4,731) $(38,094) $(104,749)
Adjusted EBITDA(1) $34,452 $28,158 $57,075 $45,109
Loss per Class A common stock, basic and diluted:
Continuing operations $(0.37) $(0.06) $(0.45) $(1.34)
Discontinued operations — — — (0.95)
Loss per Class A common stock, basic and diluted $(0.37) $(0.06) $(0.45) $(2.29)

(1) See below under results of operations-Adjusted EBITDA for a reconciliation of net loss to Adjusted EBITDA.

Significant transactions

Advanced Rehabilitation Business

In May 2024, we began contract negotiations with a third-party (the “Buyer”) to sell certain products within our advanced rehabilitation business, including the L100, L300 Go, L360, H200, Vector Gait & Safety System and BITS-Bioness Integrated Therapy System (collectively, the “Advanced Rehabilitation Business”). The Advanced Rehabilitation Business is considered non-core and will require additional research and development expenditures to achieve its next stage of growth. The potential divestiture of the Advanced Rehabilitation Business is expected to simplify our business structure and improve liquidity, as the proceeds, net of transactional fees, are required to be used to reduce long-term debt obligations. Contract negotiations are ongoing with the Buyer and as of the end of the second quarter 2024, we had incurred $2,500 in transactional fees resulting from the potential divestiture of the Advanced Rehabilitation Business.

The Company evaluated the Advanced Rehabilitation Business for impairment due to its potential divestiture and, as a result of this evaluation, recorded a $31,870 impairment under the U.S. reporting segment within the consolidated condensed statements of operations and comprehensive loss during the three and six months ended June 29, 2024 to reduce the intangible assets of the Advanced Rehabilitation Business to reflect their respective fair values less any costs to sell. The fair value of its intangibles was based on the consideration offered for the Advanced Rehabilitation Business.

Reclassification

We reclassified revenue and expense of the SonicOne Ultrasonic Cleansing and Debridement Systems (“SonicOne”) from the Restorative Therapies to the Surgical Solutions business in the first quarter of 2024. SonicOne’s capabilities to remove devitalized or necrotic tissue and fiber deposits more closely aligns with Surgical Solutions’ soft tissue management. SonicOne revenue reclassified for the three and six months ended July 1, 2023 totaled $1.8 million and $3.5 million, respectively, for the U.S. reporting segment and $0.1 million in both periods for the International reporting segment.

OSTEOAMP®

OSTEOAMP Cannula, a customized delivery system for our OSTEOAMP® Flowable product, received FDA clearance in June 2024. OSTEOAMP® is an allograft-derived bone graft with growth factors used for reconstructive bone grafting procedures. The Cannula delivery system will assist the use of OSTEOAMP® Flowable, the fastest growing product in our portfolio, in minimally invasive surgical procedures as well as open procedures. FDA clearance will also allow us to bring the product to market in the US, starting with a limited launch planned in the fourth quarter of 2024.

EU MDR

The European Union (“EU”) Medical Devices Regulation (“MDR”), which became effective in May 2021, was adopted with the aim of ensuring better protection of public health and patient safety. Among other things, the EU MDR imposed changes to clinical evidence for medical devices, post-market clinical follow-up evidence, annual reporting of safety information for Class III products, and bi-annual reporting for Class II products, Unique Device Identification (“UDI”) for all products, submission of core data elements to a European UDI database prior to placement of a device on the market, reclassification of medical devices, and multiple labeling changes. We were able to continue marketing our currently certified products in the EU after the effective date of EU MDR until the associated certifications expire. In April 2024, we received EU Certification for our Exogen Bone Stimulation System, which will allow us to market it throughout the EU. The certificate is valid for 5 years.

Wound Business

On May 22, 2023, we closed the sale of certain assets within our Wound Business, including the TheraSkin and TheraGenesis products (collectively, the “Wound Business”), for potential consideration of $84.7 million, including $34.7 million at closing, $5.0 million deferred for 18 months and up to $45.0 million in potential earn-out payments, which are based on the achievement of certain revenue thresholds by the purchaser of the Wound Business for sales of the TheraSkin and TheraGenesis products during the 2024, 2025, and 2026 fiscal years. We incurred $3.9 million in transactional fees resulting from the sale of the Wound Business and used the proceeds from the sale of the Wound Business to prepay $30.0 million of long-term debt obligations.

We evaluated the Wound Business for impairment prior to its sale and recorded a $78.6 million impairment within the consolidated statements of operations and comprehensive loss during the six months ended July 1, 2023 as a result of this evaluation to reduce the intangible assets of the Wound Business to reflect their respective fair values, less any costs to sell. The fair values of its intangibles were determined based on the consideration received for the Wound Business.

Amended 2019 Credit Agreement

On January 18, 2024, we further amended the 2019 Credit Agreement in order to modify certain financial covenants under the 2019 Credit Agreement. Refer to Part I. Item 1. Financial Information—Notes to the consolidated condensed financial statements—Note 4. Financial instruments for further information regarding the January 2024 amendment.

Consolidated Appropriations Act

In July 2022, in connection with the Consolidated Appropriations Act, 2021 (“CAA”), the Centers for Medicare and Medicaid Services (“CMS”) began utilizing new pricing information the Company reported to it pursuant to the newly adopted reporting obligations to adjust the Medicare payment to healthcare providers using our Durolane and Gelsyn-3 products.

Results of Operations

For a description of the components of our results of operations, refer to Part II. Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations in our 2023 10-K.

The following table sets forth components of our consolidated condensed statements of operations as a percentage of net sales for the periods presented:

Three Months Ended June 29, 2024 July 1, 2023 Six Months Ended June 29, 2024 July 1, 2023
Net sales 100.0% 100.0% 100.0% 100.0%
Cost of sales (including depreciation and amortization) 31.5% 35.0% 31.6% 36.3%
Gross profit 68.5% 65.0% 68.4% 63.7%
Selling, general and administrative expense 62.7% 54.6% 61.7% 60.8%
Research and development expense 2.6% 2.4% 2.3% 2.8%
Restructuring costs —% 0.5% —% 0.4%
Change in fair value of contingent consideration 0.2% 0.2% 0.2% 0.2%
Depreciation and amortization 1.3% 1.7% 1.4% 1.7%
Impairment of assets 21.1% —% 11.4% 30.7%
Loss on disposal of a business —% 0.7% —% 0.4%
Operating (loss) income (19.4%) 4.9% (8.6%) (33.3%)

The following table presents a reconciliation of net loss to Adjusted EBITDA for the periods presented:

(in thousands)

Three Months Ended June 29, 2024 July 1, 2023 Six Months Ended June 29, 2024 July 1, 2023
Net loss from continuing operations $(32,112) $(4,731) $(38,094) $(104,749)
Interest expense, net 9,924 10,587 20,263 20,281
Income tax expense (benefit), net (7,339) 381 (6,432) 235
Depreciation and amortization(a) 13,090 14,600 24,875 31,073
Acquisition and related costs(b) 300 1,448 511 2,623
Shareholder litigation costs(c) 12,502 — 13,670 —
Restructuring and succession charges(d) (40) 620 13 937
Equity compensation(e) 3,672 (2,732) 6,263 (886)
Financial restructuring costs(f) (5) 1,257 347 6,587
Impairment of assets(g) 31,870 — 31,870 78,615
Loss on disposal of a business(h) — 977 — 977
Other items(i) 2,590 5,751 3,789 9,416
Adjusted EBITDA $34,452 $28,158 $57,075 $45,109

(a) Includes for the three months ended June 29, 2024 and July 1, 2023 and the six months ended June 29, 2024 and July 1, 2023, respectively, depreciation and amortization of $11,021, $12,301, $21,046 and $26,640 in cost of sales and $2,069, $2,299, $3,829 and $4,433 in operating expenses presented in the consolidated statements of operations and comprehensive loss.

(b) Includes acquisition and integration costs related to completed acquisitions and changes in fair value of contingent consideration.

(c) Costs incurred as a result of certain shareholder litigation unrelated to our ongoing operations.

(d) Costs incurred were the result of adopting restructuring plans to reduce headcount, reorganize management structure, and consolidate certain facilities.

(e) Includes compensation expense resulting from awards granted under our equity-based compensation plans. The three and six months ended July 1, 2023 includes the reversal of equity compensation expenses totaling $3,803 related to the transition of our executive leadership.

(f) Financial restructuring costs include advisory fees and debt amendment related costs.

(g) Represents a non-cash impairment charge for intangible assets solely attributable to our Advanced Rehabilitation Business in 2024 due to our decision to divest the business. Activity in 2023 relates to the non-cash impairment charge attributable to our divested Wound Business.

(h) Represents the loss on disposal of the Wound Business.

(i) Other items primarily includes charges associated with strategic transactions, such as potential acquisitions or divestitures and a transformative project to redesign systems and information processing. We incurred $0.3 million and $1.2 million in costs, respectively, during the three and six months ended July 1, 2023 related to MOTYS. Other items for the three and six months ended July 1, 2023 also includes severance costs totaling $2.3 million related to the transition of our executive leadership.

Non-GAAP Financial Measures - Adjusted EBITDA

We present Adjusted EBITDA, a non-GAAP financial measure, because we believe it is a useful indicator that management uses as a measure of operating performance as well as for planning purposes, including the preparation of our annual operating budget and financial projections. We believe that Adjusted EBITDA is useful to our investors because it is frequently used by securities analysts, investors and other interested parties in their evaluation of the operating performance of companies in industries similar to ours. We define Adjusted EBITDA as net loss from continuing operations before depreciation and amortization, provision of income taxes and interest expense, net, adjusted for the impact of certain cash, non-cash and other items that we do not consider in our evaluation of ongoing operating performance. These items include acquisition and related costs, certain shareholder litigation costs, impairments of assets, restructuring and succession charges, equity compensation expense, financial restructuring costs and other items. Adjusted EBITDA by segment is comprised of net sales and costs directly attributable to a segment, as well as an allocation of corporate overhead costs primarily based on a ratio of net sales by segment to total consolidated net sales.

Non-GAAP financial measures have limitations as an analytical tool and should not be considered in isolation or as a substitute for, or superior to, the financial information prepared and presented in accordance with U.S. GAAP. These measures might exclude certain normal recurring expenses. Therefore, these measures might not provide a complete understanding of the Company's performance and should be reviewed in conjunction with the U.S. GAAP financial measures. Additionally, other companies might define their non-GAAP financial measures differently than we do. Investors are encouraged to review the reconciliation of the non-GAAP measure provided in this Quarterly Report on Form 10-Q, including all tables referencing Adjusted EBITDA to its most directly comparable U.S. GAAP measure.

Net Sales

(in thousands, except for percentage)

U.S. Three Months Ended June 29, 2024 July 1, 2023 Change $%
Pain Treatments $65,194 $55,617 $9,577 17.2%
Restorative Therapies 27,435 30,012 (2,577) (8.6%)
Surgical Solutions 41,780 35,218 6,562 18.6%
Total U.S. net sales 134,409 120,847 13,562 11.2%
International
Pain Treatments 7,066 6,024 1,042 17.3%
Restorative Therapies 4,185 4,690 (505) (10.8%)
Surgical Solutions 5,557 5,508 49 0.9%
Total International net sales 16,808 16,222 586 3.6%
Total net sales $151,217 $137,069 $14,148 10.3%

U.S.

Net sales increased $13.6 million, or 11.2%, compared to three months ended July 1, 2023. Changes by business were: (i) Pain Treatments—$9.6 million increase due to volume; (ii) Restorative Therapies—$2.6 million decrease due to the divestiture of our Wound Business, partially offset with a volume increase for our Exogen Bone Stimulation System; and (iii) Surgical Solutions—$6.6 million increase due to volume growth.

Net sales increased compared with the prior year comparable period. The net sales in Pain Treatments increased $1.0 million due to volume growth, partially offset by a decrease of $0.5 million in Restorative Therapies due to less volume.

(in thousands, except for percentage)

U.S. Six Months Ended June 29, 2024 July 1, 2023 Change $%
Pain Treatments $115,831 $96,612 $19,219 19.9%
Restorative Therapies 52,739 60,788 (8,049) (13.2%)
Surgical Solutions 80,120 67,425 12,695 18.8%
Total U.S. net sales 248,690 224,825 23,865 10.6%
International
Pain Treatments 13,118 11,355 1,763 15.5%
Restorative Therapies 9,355 10,239 (884) (8.6%)
Surgical Solutions 9,511 9,709 (198) (2.0%)
Total International net sales 31,984 31,303 681 2.2%
Total net sales $280,674 $256,128 $24,546 9.6%

U.S.

Net sales increased $23.9 million, or 10.6%, compared to the prior year period. Changes by business were: (i) Pain Treatments—$19.2 million increase due to volume; (ii) Restorative Therapies—$8.0 million decrease due to the divestiture of our Wound Business and larger volumes in 2023 related to our Vector rehabilitation product, partially offset with an Exogen Bone Stimulation System volume increase; and (iii) Surgical Solutions—$12.7 million increase due to volume growth.

Net sales increased compared with the prior year comparable period. There was an increase in Pain Treatments of $1.8 million net sales due to volume growth, partially offset with decrease of $0.9 million in Restorative Therapies due to less volume.

Gross profit and gross margin

(in thousands, except for percentage)

Three Months Ended June 29, 2024 July 1, 2023 Change $%
U.S. $94,233 $79,549 $14,684 18.5%
International 9,406 9,574 (168) (1.8%)
Total $103,639 $89,123 $14,516 16.3%
Three Months Ended June 29, 2024 July 1, 2023 Change
U.S. 70.1% 65.8% 4.3%
International 56.0% 59.0% (3.1%)
Total 68.5% 65.0% 3.5%

U.S.

Gross profit increased $14.7 million, or 18.5%, primarily due to volume growth in Pain Treatments, Surgical Solutions and our Exogen Bone Stimulation System, partially offset by the Wound Business divestiture. Gross margin increased due to product mix.

Gross profit decreased $0.2 million, or 1.8%, primarily due to a decline in Restorative Therapies and product mix, partially offset with growth in Pain Treatments.

(in thousands, except for percentage)

Six Months Ended June 29, 2024 July 1, 2023 Change $%
U.S. $173,601 $145,055 $28,546 19.7%
International 18,418 17,987 431 2.4%
Total $192,019 $163,042 $28,977 17.8%

26

Six Months Ended June 29, 2024 July 1, 2023 Change
U.S. 69.8% 64.5% 5.3%
International 57.6% 57.5% 0.1%
Total 68.4% 63.7% 4.8%

U.S.

Gross profit increased $28.5 million, or 19.7%, primarily due to volume growth in Pain Treatments, Surgical Solutions and our Exogen Bone Stimulation System, partially offset by the Wound Business divestiture. Gross margin increased due to product mix.

Gross profit increased $0.4 million, or 2.4%, primarily due to volume growth in Pain Treatments, partially offset with a volume decrease for Restorative Therapies. Gross margin remained consistent with the prior year comparable period.

Selling, general and administrative expense

(in thousands, except for percentage)

Three Months Ended June 29, 2024 July 1, 2023 Change $%
Selling, general and administrative expense $94,785 $74,844 $19,941 73.4%

Selling, general and administrative expenses increased $19.9 million, or 73.4%, primarily due to increases in (i) accounting and legal costs of $10.7 million, primarily related to the settlement of shareholder litigation; (ii) equity-based compensation of $6.2 million; and (iii) compensation related costs of $2.9 million.

(in thousands, except for percentage)

Six Months Ended June 29, 2024 July 1, 2023 Change $%
Selling, general and administrative expense $173,191 $155,702 $17,489 11.2%

Selling, general and administrative expenses increased $17.5 million, or 11.2%, due to increases in: (i) accounting and legal costs of $10.8 million, primarily related to the settlement of shareholder litigation; (ii) equity-based compensation of $7.6 million; and (iii) compensation-related costs of $7.1 million. These increases were partially offset with a decline in consulting expenses of $8.6 million.

Research and development expense

(in thousands, except for percentage)

Three Months Ended June 29, 2024 July 1, 2023 Change $%
Research and development expense $3,988 $3,398 $590 17.4%

Research and development increased by $0.6 million, or 17.4%, primarily due to increases in compensation related costs.

(in thousands, except for percentage)

Six Months Ended June 29, 2024 July 1, 2023 Change $%
Research and development expense $6,585 $7,169 $(584) (8.1%)

Research and development expense decreased by $0.6 million, or 8.1%, primarily due to a decrease in consulting costs.

Restructuring costs

(in thousands, except for percentage)

Three Months Ended June 29, 2024 July 1, 2023 Change $%
Restructuring costs $— $620 $(620) (100.0%)

(in thousands, except for percentage)

Six Months Ended June 29, 2024 July 1, 2023 Change $%
Restructuring costs $— $937 $(937) (100.0%)

27

Restructuring activity related to our previously announced restructuring plans were completed in 2023. Costs incurred during the three and six months ended July 1, 2023 are primarily the result of an initiative to align the Company’s organizational and management cost structure to improve profitability and cash flow through headcount reduction and cutting third-party related costs.

Change in fair value of contingent consideration

(in thousands, except for percentage)

Three Months Ended June 29, 2024 July 1, 2023 Change $%
Change in fair value of contingent consideration $300 $240 $60 25.0%

(in thousands, except for percentage)

Six Months Ended June 29, 2024 July 1, 2023 Change $%
Change in fair value of contingent consideration $595 $527 $68 12.9%

The fair value of contingent consideration during the three and six months ended June 29, 2024 remained consistent with the prior year comparable period. The activity for both periods relates to contingent consideration associated with the acquisition of Bioness in March 2021.

Depreciation and amortization

(in thousands, except for percentage)

Three Months Ended June 29, 2024 July 1, 2023 Change $%
Depreciation and amortization $2,064 $2,294 $(230) (10.0%)

(in thousands, except for percentage)

Six Months Ended June 29, 2024 July 1, 2023 Change $%
Depreciation and amortization $3,819 $4,423 $(604) (13.7%)

Depreciation and amortization decreased during the three and six months ended June 29, 2024 compared with the prior year comparable period. The decrease was primarily the result of the impairment of intellectual property intangible assets associated with the Wound Business, which was divested during the second quarter of 2023.

Impairment of assets

(in thousands, except for percentage)

Three Months Ended June 29, 2024 July 1, 2023 Change $%
Impairment of assets (NM = Not Meaningful) $31,870 $— $31,870 NM

(in thousands, except for percentage)

Six Months Ended June 29, 2024 July 1, 2023 Change $%
Impairment of assets $31,870 $78,615 $(46,745) (59.5%)

Our decision to potentially divest the Advanced Rehabilitation Business in 2024 and divest the Wound Business in 2023 required us to evaluate whether certain of their assets were impaired. We recorded a $31.9 million non-cash impairment charge as a result of the evaluation of the Advanced Rehabilitation Business during the three and six months ended June 29, 2024 and a $78.6 million non-cash impairment charge related to the Wound Business during the six months ended July 1, 2023 as a result of their respective evaluations to reduce the intangible assets to their fair values less costs to sell. The fair value of intangibles for the Advanced Rehabilitation and Wound Businesses were determined based on the consideration offered.

Loss on disposals

The loss on disposals during the three and six months ended July 1, 2023 resulted from working capital adjustments associated with the sale of our Wound Business.

Other expense (income)

(in thousands, except for percentage)

Three Months Ended June 29, 2024 July 1, 2023 Change $%
Interest expense, net $9,924 $10,587 $(663) (6.3%)
Other expense $159 $513 $(354) (69.0%)

Interest expense, net decreased slightly during the three months ended June 29, 2024 compared to the prior year comparable period primarily due to less debt outstanding. Other expense decreased due to reserving miscellaneous assets in 2023, mostly offset with changes in foreign currency.

(in thousands, except for percentage)

Six Months Ended June 29, 2024 July 1, 2023 Change $%
Interest expense, net $20,263 $20,281 $(18) (0.1%)
Other expense (income) $222 $(1,075) $1,297 (120.7%)

Interest expense, net remained consistent with the prior year comparable period. Other expense (income) decreased $1.3 million due to the 2023 receipt of $1.5 million from the settlement of a legal claim.

Income tax (benefit) expense, net

(in thousands, except for percentage)

Three Months Ended June 29, 2024 July 1, 2023 Change $%
Income tax (benefit) expense, net $(7,339) $381 $(7,720) NM
Effective tax rate (NM = Not Meaningful) 18.6% 8.8% 9.8%

(in thousands, except for percentage)

Six Months Ended June 29, 2024 July 1, 2023 Change $%
Income tax (benefit) expense, net $(6,432) $235 $(6,667) NM
Effective tax rate 14.4% 0.2% 14.2%

Income tax expense was incurred for the three and six months ended June 29, 2024 compared to a benefit in the prior year comparable period primarily due to losses in certain entities.

Noncontrolling interest

Subsequent to the IPO and related transactions, we are the sole managing member of BV LLC in which we owned 80.5% and 79.9% at June 29, 2024 and December 31 2023, respectively. We have a majority economic interest, the sole voting interest in, and control the management of BV LLC. As a result, we consolidate the financial results of BV LLC and report a noncontrolling interest representing the 19.5% that is owned by the Continuing LLC Owner. Noncontrolling interest activity during the three and six months ended June 29, 2024 was the result of losses recorded.

Segment Adjusted EBITDA

(in thousands, except for percentage)

Three Months Ended June 29, 2024 July 1, 2023 Change $%
U.S. $31,590 $24,712 $6,878 27.8%
International $2,862 $3,446 $(584) (16.9)%

U.S.

Adjusted EBITDA increased $6.9 million, or 27.8%, due to higher gross profit, partially offset with an increase in compensation costs.

Adjusted EBITDA decreased $0.6 million or 16.9%, primarily due to a decrease in gross profit and an increase in compensation costs.

(in thousands, except for percentage)

Six Months Ended June 29, 2024 July 1, 2023 Change $%
U.S. $51,346 $39,424 $11,922 30.2%
International $5,729 $5,685 $44 0.8%

U.S.

Adjusted EBITDA increased $11.9 million, or 30.2%, primarily due higher gross profit, partially offset with an increase in compensation costs and other administrative expenses.

Adjusted EBITDA remained consistent with the prior year comparable period.

Liquidity and Capital Resources

Sources of liquidity

Our principal liquidity needs have historically been for acquisitions, working capital, research and development, clinical trials, and capital expenditures. We expect these needs to continue as we carry out our operations, develop and commercialize our existing product candidates and any new products candidates and possibly further our expansion into international markets.

We began contract negotiations with a third-party to sell certain products within our advanced rehabilitation business, including the L100, L300 Go, L360, H200, Vector Gait & Safety System and BITS-Bioness Integrated Therapy System (collectively, the “Advanced Rehabilitation Business”). The potential divestiture of the Advanced Rehabilitation Business is expected to simplify our business structure and improve liquidity, as the proceeds, net of transactional fees, are required to be used to reduce long-term debt obligations.

As previously discussed, on May 22, 2023, we closed the sale of our Wound Business for consideration of $84.7 million, including $34.7 million at closing, $5.0 million deferred for 18 months and up to $45.0 million in potential earn-out payments. The proceeds were used to prepay $30.0 million of long-term debt principal obligations during the second quarter of 2023.

We anticipate that to the extent that we require additional liquidity, we will obtain funding through additional equity financings or the incurrence of other indebtedness or a combination of these potential sources of liquidity. We may explore additional divestiture opportunities for non-core assets to improve our liquidity position, as we did with the Wound Business. In addition, we may raise additional funds to finance future cash needs through receivables or royalty financings or corporate collaboration and licensing arrangements. If we raise additional funds by issuing equity securities or convertible debt, our stockholders will experience dilution. The covenants under the Amended 2019 Credit Agreement limit our ability to obtain additional debt financing. Debt financing, if allowed under the Amended 2019 Credit Agreement and if available, would result in increased payment obligations and might involve agreements that include covenants limiting or restricting our ability to take specific actions, such as incurring additional debt, or making capital expenditures. If we raise additional funds through collaboration and licensing arrangements with third-parties, it might be necessary to relinquish valuable rights to our products, future revenue streams or product candidates, or to grant licenses on terms that might not be favorable to us. We cannot be certain that additional funding will be available on acceptable terms, or at all.

Any failure to raise capital in the future might have a negative impact on our financial condition and our ability to pursue our business strategies. Considering recent market conditions and our business assumptions, we have reevaluated our operating cash flows and cash requirements and believe that current cash, cash equivalents, future cash flows from operating activities and cash available under our 2019 Credit Facility will be sufficient to meet our anticipated cash needs, including working capital needs, capital expenditures and contractual obligations for at least 12 months from the issuance date of the unaudited consolidated condensed financial statements included herein.

Cash Requirements

There have been no material changes to our future cash requirements as disclosed in Part II. Item 7 of our 2023 10-K.

We enter into contracts in the normal course of business with various third parties for development, collaboration and other services for operating purposes. These contracts generally provide for termination upon notice. Payments due upon cancellation generally consist only of payments for services provided or expenses incurred, including non-cancellable obligations of our service providers, up to the date of cancellation. Certain agreements include contingent events that upon occurrence would require payment. For information regarding commitments and contingencies, refer to Item 1. Financial Information—Notes to the unaudited consolidated condensed financial statements—Note 11. Commitments and contingencies.

Tax Receivable Agreement

The BV LLC Agreement provides for the payment of certain distributions to the Continuing LLC Owner in amounts sufficient to cover the income taxes imposed with respect to the allocation of taxable income from BV LLC as well as obligations within the tax receivable agreement (“TRA”) with the Continuing LLC Owner. Under the TRA, we are required to make cash payments to the Continuing LLC Owner equal to 85% of the tax benefits, if any, that we actually realize (or in certain circumstances are deemed to realize), as a result of (1) increases in the tax basis of assets of BV LLC resulting from (a) any future redemptions or exchanges of LLC Interests, and (b) certain distributions (or deemed distributions) by BV LLC and (2) certain other tax benefits arising from payments under the TRA. We expect the amount of the cash payments required to be made under the TRA will be significant. The actual amount and timing of any payments under the TRA will vary depending upon a number of factors, including the timing of redemptions or exchanges by the Continuing LLC Owner, the amount of gain recognized by the Continuing LLC Owner, the amount and timing of the taxable income we generate in the future, and the federal tax rates then applicable. Any payments made by us to the Continuing LLC Owner under the TRA will generally reduce the amount of overall cash flow that might have otherwise been available to us. To the extent that we are unable to make payments under the TRA for any reason, such payments generally will be deferred and will accrue interest until paid; provided, however, that nonpayment for a specified period may constitute a material breach of a material obligation under the TRA and therefore accelerate payments due under the TRA.

Indebtedness

On January 18, 2024 (the “Closing Date”), the Company entered into the Amended 2019 Credit Agreement. The Amended 2019 Credit Agreement, contains customary affirmative and negative covenants, including those related to financial reporting and notification, restrictions on the declaration or payment of certain distributions on or in respect of our equity interests, restrictions on acquisitions, investments and certain other payments, limitations on the incurrence of new indebtedness, limitations on transfers, sales and other dispositions of our assets, as well as limitations on making changes to the business and organizational documents. Financial covenant requirements include a maximum debt leverage ratio and an interest coverage ratio. In addition, during the period commencing on the Closing Date and ending upon the satisfaction of certain conditions occurring not prior to the delivery of our financial statements for the fiscal quarter ending October 29, 2025, we will be subject to certain additional requirements and covenants, including a requirement to maintain Liquidity (as defined in the Amended 2019 Credit Agreement) of not less than $10.0 million as of the end of each calendar month during such period. The Term Loan Facilities will mature on October 29, 2026. The Revolver will mature on October 29, 2025. We were in compliance with the financial covenants as stated with the Amended 2019 Credit Agreement as of June 29, 2024.

We have an outstanding Revolver balance of $15.0 million as of March 30, 2024, which was borrowed and used for working capital needs during the third quarter of 2023.

Refer to Item 1. Financial Information—Notes unaudited consolidated condensed financial statements—Note 1. Organization for further details on the Company’s covenant compliance and Note 4. Financial instruments for further details on the Company’s indebtedness.

Other

For information regarding Commitments and Contingencies, refer to Item 1. Financial Information—Notes to the unaudited consolidated condensed financial statements—Note 11. Commitments and contingencies and —Note 3. Acquisitions and divestitures of this Quarterly Report on Form 10-Q.

Information regarding cash flows

Cash, cash equivalents and restricted cash as of June 29, 2024 totaled $32.0 million, compared to $37.0 million as of December 31, 2023. The decrease in cash was primarily due to the following:

(in thousands, except for percentage)

Cash flows from continuing operations: Six Months Ended June 29, 2024 July 1, 2023 Change $%
Net cash from operating activities $9,157 $15,454 $(6,297) (40.7%)
Net cash from investing activities (1,077) 29,940 (31,017) (103.6%)
Net cash from financing activities (12,087) (34,868) 22,781 (65.3%)
Net cash from discontinued operations — (13,675) 13,675 (100.0%)
Effect of exchange rate changes on cash (963) 701 (1,664) (237.4%)
Net change in cash, cash equivalents and restricted cash $(4,970) $(2,448) $(2,522) 103.0%

31

Operating Activities

Net cash from operating activities from continuing operations decreased $6.3 million, due to: (i) increases in employee compensation as we annually pay bonuses and raise wages during the first quarter and no bonuses were paid during the first quarter of 2023; (ii) a rise in interest payments due to higher interest rates; and (iii) an increase in inventory purchases. These operating cash outflows were partially offset with an increase in cash collections from the growth in sales and timing of payments on accounts payable.

Investing Activities

Net cash from investing activities from continuing operations decreased $31.0 million, due to the $34.9 million receipt of cash resulting from the sale of our Wound Business in 2023 and a $0.7 million purchase of distribution rights for one of our HA products in 2024. These were partially offset with a $4.6 million decrease in capital expenditures, primarily within information technology.

Financing Activities

Cash flows from financing activities increased $22.8 million, primarily due to $29.4 million less in principal and deferred financing payments during 2024, partially offset with $7.0 million in net borrowings on our Revolver during 2023.

Discontinued Operations

Net cash flows from discontinued operations in 2023 were primarily the result of $10.2 million in fees used to settle the CartiHeal disposition and $1.4 million in cash held by the CartiHeal entity at the time of disposal.

Off-balance Sheet Arrangements

We do not have any off-balance sheet arrangements.

Contractual Obligations

There have been no material changes to our contractual obligations as disclosed in our 2023 10-K.

Critical Accounting Estimates

Our discussion of operating results is based upon the unaudited consolidated condensed financial statements and accompanying notes, which have been prepared in accordance with U.S. GAAP. The preparation of these statements requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amount of revenues and expenses during the reporting period. Our estimates are based on our historical experience and on various other assumptions that we believe are reasonable under the circumstances, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Changes in the facts or circumstances underlying these estimates could result in material changes and actual results could differ from these estimates. In the event we dispose of assets before the end of their previously stated useful life, we may incur an impairment charge. Our critical accounting estimates are detailed in Item 7 of our 2023 10-K and we have no material changes to such disclosures.

Emerging Growth Company and Smaller Reporting Company Status

The Company is an “emerging growth company,” pursuant to the provisions of the Jumpstart Our Business Startups Act (the “JOBS ACT”). An emerging growth company can delay its adoption of certain accounting standards until those standards would otherwise apply to private companies. The Company has chosen to “opt out” of such extended transition periods, and as a result, the Company plans to comply with any new or revised accounting standards on the relevant dates on which non-emerging growth companies must adopt such standards. Section 107 of the JOBS Act provides that the decision to opt out of the extended transition period for complying with new or revised accounting standards is irrevocable.

The Company is also considered a “smaller reporting company,” as defined by Rule 12b-2 of the Securities Exchange Act of 1934 (the “Exchange Act”), which was determined as of the last day of the Company’s second fiscal quarter of 2023. The Company will continue to be categorized as a smaller reporting company-accelerated filer until the Company’s public float reaches a certain threshold. The Company may rely on exemptions from certain disclosure requirements that are available to smaller reporting companies.

Controls and procedures

As filed, 1,983 characters, with its headings, lists and tables. Extracted from the main document; charts and exhibits are in the original on sec.gov.

Limitations on Effectiveness of Controls and Procedures

In designing and evaluating our disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives. In addition, the design of disclosure controls and procedures must reflect that there are resource constraints and that management is required to apply judgment in evaluating the benefits of possible controls and procedures relative to their costs.

Evaluation of Disclosure Controls and Procedures

Our management, including our President and Chief Executive Officer and Chief Financial Officer, conducted an evaluation of the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) or 15d-15(e) promulgated under the Exchange Act) as of June 29, 2024 (the end of the period covered by this Quarterly Report on Form 10-Q). Based upon that evaluation, our President and Chief Executive Officer and Chief Financial Officer concluded that, as of June 29, 2024, our disclosure controls and procedures are designed at a reasonable assurance level and are effective to provide reasonable assurance that information required to be disclosed in the reports that we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our management, including our President and Chief Executive Officer and our Chief Financial Officer as appropriate, to allow timely decisions regarding required disclosure.

Changes in Internal Control over Financial Reporting

There were no changes in our internal control over financial reporting that occurred during the second quarter of 2024 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

Risk factors

As filed, 613 characters, with its headings, lists and tables. Extracted from the main document; charts and exhibits are in the original on sec.gov.

In addition to the other information set forth in this Quarterly Report on Form 10-Q, you should carefully consider the risk factors and other cautionary statements described under the heading Risk Factors included in our 2023 10-K, which could materially affect our businesses, financial condition, or future results. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial also may materially adversely affect our business, financial condition, or future results. There have been no material changes in our risk factors from those described in our 2023 Form 10-K.

Figures reported in this filing

Standardized line items from the XBRL in this filing, for the period ended 2024-06-29. Comparative periods it repeats are left out.

Figures reported in this filing
Line itemPeriodValueXBRL concept
Revenue3 months2024-03-31 to 2024-06-29$151.2mus-gaap:RevenueFromContractWithCustomerExcludingAssessedTax
Revenue6 months2024-01-01 to 2024-06-29$280.7mus-gaap:RevenueFromContractWithCustomerExcludingAssessedTax
Cost of revenue3 months2024-03-31 to 2024-06-29$47.6mus-gaap:CostOfGoodsAndServicesSold
Cost of revenue6 months2024-01-01 to 2024-06-29$88.7mus-gaap:CostOfGoodsAndServicesSold
Gross profit3 months2024-03-31 to 2024-06-29$103.6mus-gaap:GrossProfit
Gross profit6 months2024-01-01 to 2024-06-29$192.0mus-gaap:GrossProfit
Research and development3 months2024-03-31 to 2024-06-29$4.0mus-gaap:ResearchAndDevelopmentExpense
Research and development6 months2024-01-01 to 2024-06-29$6.6mus-gaap:ResearchAndDevelopmentExpense
Selling, general and administrative3 months2024-03-31 to 2024-06-29$94.8mus-gaap:SellingGeneralAndAdministrativeExpense
Selling, general and administrative6 months2024-01-01 to 2024-06-29$173.2mus-gaap:SellingGeneralAndAdministrativeExpense
Operating income3 months2024-03-31 to 2024-06-29−$29.4mus-gaap:OperatingIncomeLoss
Operating income6 months2024-01-01 to 2024-06-29−$24.0mus-gaap:OperatingIncomeLoss
Income tax3 months2024-03-31 to 2024-06-29−$7.3mus-gaap:IncomeTaxExpenseBenefit
Income tax6 months2024-01-01 to 2024-06-29−$6.4mus-gaap:IncomeTaxExpenseBenefit
Net income3 months2024-03-31 to 2024-06-29−$24.0mus-gaap:NetIncomeLoss
Net income6 months2024-01-01 to 2024-06-29−$28.6mus-gaap:NetIncomeLoss
Diluted EPS3 months2024-03-31 to 2024-06-29−$0.37us-gaap:EarningsPerShareDiluted
Diluted EPS6 months2024-01-01 to 2024-06-29−$0.45us-gaap:EarningsPerShareDiluted
Basic EPS3 months2024-03-31 to 2024-06-29−$0.37us-gaap:EarningsPerShareBasic
Basic EPS6 months2024-01-01 to 2024-06-29−$0.45us-gaap:EarningsPerShareBasic
Diluted shares (weighted)3 months2024-03-31 to 2024-06-2964,056,759 sharesus-gaap:WeightedAverageNumberOfDilutedSharesOutstanding
Diluted shares (weighted)6 months2024-01-01 to 2024-06-2963,720,342 sharesus-gaap:WeightedAverageNumberOfDilutedSharesOutstanding
Operating cash flow6 months2024-01-01 to 2024-06-29$9.2mus-gaap:NetCashProvidedByUsedInOperatingActivities
Capital expenditure6 months2024-01-01 to 2024-06-29$368.0kus-gaap:PaymentsToAcquirePropertyPlantAndEquipment
Cash and equivalentsAt period end2024-06-29$32.0mus-gaap:CashAndCashEquivalentsAtCarryingValue
Current assetsAt period end2024-06-29$308.9mus-gaap:AssetsCurrent
Total assetsAt period end2024-06-29$792.2mus-gaap:Assets
Current liabilitiesAt period end2024-06-29$231.5mus-gaap:LiabilitiesCurrent
Total liabilitiesAt period end2024-06-29$603.1mus-gaap:Liabilities
Long-term debtAt period end2024-06-29$344.7mus-gaap:LongTermDebtNoncurrent
Current portion of debtAt period end2024-06-29$38.6mus-gaap:LongTermDebtCurrent
Shareholders' equityAt period end2024-06-29$150.9mus-gaap:StockholdersEquity

Source: SEC EDGAR, the filing index for accession 0001628280-24-034979. Last ingested by Listed: Oct 27, 2026, 17:28 ET. Listed shows no prices and gives no investment advice.