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8-K

Xtant Medical Holdings, Inc. (XTNT)

8-K 2020-05-07 For: 2020-05-07
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Added on April 10, 2026


UNITEDSTATES

SECURITIESAND EXCHANGE COMMISSION

Washington,D.C. 20549



FORM8-K


CURRENTREPORT

Pursuantto Section 13 OR 15(d) of The Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): May 7, 2020



XTANTMEDICAL HOLDINGS, INC.

(Exact name of registrant as specified in its charter)

Delaware 001-34951 20-5313323
(State<br> or other jurisdiction<br><br> <br>of<br> incorporation) (Commission<br><br> <br>File<br> Number) (IRS<br> Employer<br><br> <br>Identification<br> No.)
664 Cruiser Lane<br><br> <br>Belgrade, Montana 59714
--- ---
(Address<br> of principal executive offices) (Zip<br> Code)

(406)388-0480

(Registrant’s telephone number, including area code)

NotApplicable

(Former name or former address, if changed since last report.)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

[  ] Written<br> communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
[  ] Soliciting<br> material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
[  ] Pre-commencement<br> communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
[  ] Pre-commencement<br> communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

Title<br> of each class Trading<br> Symbol(s) Name<br> of each exchange on which registered
Common<br> stock, par value $0.000001 per share XTNT NYSE<br> American LLC

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company [  ]

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. [  ]



Item 2.02 Results of Operations and Financial Condition.

On May 7, 2020, Xtant Medical Holdings, Inc. (the “Company”) announced its financial results for the first quarter ended March 31, 2020. 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 other expense, depreciation and amortization expense, interest expense, and tax expense and further adjusted by adding back in or excluding, as appropriate, provision for reserve on accounts receivable, provision for excess and obsolete inventory, stock-based compensation expense, change in warrant derivative liability, separation-related expenses, and litigation reserve.

The Company uses adjusted EBITDA and the other non-GAAP measures in making operating decisions because it believes these measures provide meaningful supplemental information regarding its core operational performance. Additionally, these measures give 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 these measures 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 and other non-GAAP measures 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-cashprovision for reserve on accounts receivable. The Company excludes non-cash provision for reserve on accounts receivable primarily because such item is not reflective of its ongoing operating results and is not used by management to assess the core profitability of its 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-cashprovision for excess and obsolete inventory. The Company excludes non-cash provision for excess and obsolete inventory primarily because such item is not reflective of its ongoing operating results and is not used by management to assess the core profitability of its 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.

Stock-basedcompensation. The Company excludes stock-based compensation expense, which is a non-cash charge related to equity awards granted by the Company. Although stock-based compensation expense 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 stock-based compensation expense facilitates comparisons of the Company’s operational performance in different periods, as well as with similarly determined non-GAAP financial measures of comparable companies.

Changein warrant derivative liability. The Company excludes the change in fair market value of its warrants that are accounted for as liabilities from non-GAAP adjusted EBITDA primarily because it is a non-cash charge, it is not reflective of the Company’s ongoing operating results, and it is not used by management to assess the core profitability of the Company’s business operations. Because it is a non-cash expense, it does not impact the Company’s operational performance, liquidity, or ability to invest in sales and marketing, research and development, and fund acquisitions and capital expenditures. 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.

Separation-relatedexpenses. The Company excludes separation-related expenses from non-GAAP adjusted EBITDA primarily because such expenses are not reflective of its ongoing operating results and are not used by management to assess the core profitability of its 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.

Litigationreserve. The Company excludes litigation reserve from non-GAAP adjusted EBITDA primarily because it is not reflective of its ongoing operating results and is not used by management to assess the core profitability of its 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 7, 2020 entitled “Xtant Medical Announces First Quarter 2020 Financial Results” (furnished herewith)

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/ Greg Jensen
Greg<br> Jensen
Vice President, Finance and Chief
Financial Officer

Date: May 7, 2020

Exhibit99.1


XtantMedical Announces First Quarter 2020 Financial Results

BELGRADE, MT, May 7, 2020 – 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, 2020.

First Quarter 2020 Financial Highlights:

Revenue<br> for the first quarter of 2020 was $14.8 million, compared to $16.7 million for the prior year period
Operating<br> expenses in the first quarter of 2020 were $11.0 million, compared to $11.5 million for the prior year period
Net<br> loss incurred in the first quarter of 2020 was $2.5 million, compared to a net loss of $2.8 million for the prior year<br> period
Non-GAAP<br> Adjusted EBITDA for the first quarter of 2020 was $0.5 million, compared to $1.0 million for the prior year period

“First and foremost, we are grateful to the healthcare professionals, including many of our customers, who are tirelessly caring for patients on the front lines of the global COVID-19 pandemic,” said Sean Browne, President and CEO. “Sales for the first two months of the first quarter 2020 were tracking in-line with our expectations. However, as the COVID-19 outbreak escalated and various restrictions related to elective surgical procedures were implemented, we saw a dramatic decline in sales during March. As almost all of our spinal procedures are considered elective, we expect significant reductions in our revenue will continue until such restrictions are lifted. To that end, we proactively implemented several initiatives to reduce costs and preserve our cash, which should enable us to navigate this unprecedented challenge.”

COVID-19Response


In response to the COVID-19 pandemic, Xtant Medical identified four areas that should help to maintain business continuity and emerge from this health crisis in a position of strength:

1. Employees<br> – Prioritized keeping employees and their families safe and healthy through social distancing and work from home procedures<br> where possible.
2. Expenses<br> – Enacted an extensive cost reduction program to preserve cash, which included workforce reductions and furloughs, across<br> the board compensation and related benefits decreases, and significant reductions in both capital expenditures<br> and discretionary spending.
3. Inventory<br> – Replenished inventory levels to minimize risk for stockouts going forward.
4. Organization<br> – Initiated a strategy to reorganize the structure and operations of the business to improve overall efficiency.

“Although it was a difficult decision to reduce our workforce, we believe it was necessary in order to preserve capital and operate as a leaner organization during this unprecedented global health crisis,” continued Mr. Browne. “We have a unique opportunity to further our mission of ‘honoring the gift of donation, by allowing our patients the ability to live as full a life as possible.’ Through our actions, I believe we will be in a better position to fulfill this as conditions normalize.”

FirstQuarter 2020 Financial Results

Total revenue for the three months ended March 31, 2020 was $14.8 million, which represents a decrease of 11.6% compared to $16.7 million in the same quarter of the prior year. The decrease in revenue is attributed primarily to the impact of COVID-19 and the sudden drop in elective procedures beginning in early March as result of the pandemic.

Gross margin for the first quarter of 2020 was 65.0%, compared to 64.6% for the same period in 2019.

Operating expenses for the first quarter of 2020 were $11.0 million, compared to $11.5 million for the first quarter of 2019. The decrease was primarily due to lower sales commissions of $0.4 million attributed to lower sales, lower expenses for legal and consulting services totaling $0.5 million, and legal settlement expenses of $0.5 million reserved in the first quarter of 2019, offset partially by severance expenses totaling $0.7 million.

First quarter 2020 net loss was $2.5 million, or $0.19 per share, compared to first quarter 2019 net loss of $2.8 million, or $0.21 per share.

Non-GAAP Adjusted EBITDA for the first quarter of 2020 was $0.5 million compared to $1.0 million for the same period in 2019. 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 special charges, provision for losses on inventory and accounts receivable, non-cash compensation, change in warrant derivative liability, separation related expenses, and litigation settlement reserves. A calculation and reconciliation of non-GAAP Adjusted EBITDA to net loss can be found in the attached financial tables.

ConferenceCall


Xtant Medical will host a webcast and conference call to discuss the first quarter 2020 financial results on Thursday, May 7, 2020 at 9:00 AM ET. To access the webcast, Click Here. To access the conference call, dial 877-407-6184 within the U.S. or 201-389-0877 outside the U.S. A replay of the call will be available at www.xtantmedical.com, under “Investor Info.”


AboutXtant Medical Holdings, Inc.


Xtant Medical Holdings, Inc. (www.xtantmedical.com) is a global medical technology company focused on the design, development, and commercialization of a comprehensive portfolio of orthobiologics and spinal implant systems to facilitate spinal fusion in complex spine, deformity and degenerative procedures. Xtant people are dedicated and talented, operating with the highest integrity to serve our customers.

The symbols ™ and ® denote trademarks and registered trademarks of Xtant Medical Holdings, Inc. or its affiliates, registered as indicated in the United States, and in other countries. All other trademarks and trade names referred to in this release are the property of their respective owners.



Non-GAAPFinancial 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.


ImportantCautions 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 “expects,” “anticipates,” “intends,” “plans,” “believes,” “estimates,” “continue,” “future,” “will,” “potential” similar expressions or the negative thereof, and the use of future dates. Forward-looking statements in this release include the Company’s expectations regarding the effect of the COVID-19 pandemic on the Company’s business and future revenue. 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 effect of the COVID-19 pandemic on the Company’s business, operating results and financial condition; the Company’s future operating results and financial performance; the ability to increase or maintain revenue; the ability to remain competitive; the ability to innovate and develop new products; the effect of management changes and the ability to engage and retain qualified personnel; 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; timing and results of clinical studies; the ability to obtain and protect Company intellectual property and proprietary rights and operate without infringing the rights of others; the ability to service Company debt, comply with its debt covenants and access additional indebtedness; the ability to obtain additional financing and other factors. Additional risk factors are contained in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019 filed with the Securities and Exchange Commission (SEC) on March 5, 2020 and subsequent SEC filings by the Company, including without limitation its most recent Quarterly Report on Form 10-Q for the quarter ended March 31, 2020 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.

InvestorRelations Contact


David Carey

Lazar FINN

Ph: 212-867-1762

Email: dcarey@finnpartners.com

XTANT MEDICAL HOLDINGS, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands, except number of shares and par value)

December<br> 31, 2019
ASSETS
Current<br> Assets:
Cash<br> and cash equivalents 3,239 $ 5,237
Trade<br> accounts receivable, net of allowance for doubtful accounts of 500 and 2,140, respectively 9,743 10,124
Inventories 18,044 16,101
Prepaid<br> and other current assets 1,084 784
Total<br> current assets 32,110 32,246
Property<br> and equipment, net 4,303 4,695
Right-of<br> -use asset, net 1,999 2,100
Goodwill 3,205 3,205
Intangible<br> assets, net 500 515
Other<br> assets 434 394
Total<br> Assets 42,551 $ 43,155
LIABILITIES<br> & STOCKHOLDERS’ EQUITY (DEFICIT)
Current<br> Liabilities:
Accounts<br> payable 3,609 $ 2,188
Accrued<br> liabilities 5,910 6,625
Warrant<br> derivative liability 1 7
Current<br> portion of lease liability 401 394
Current<br> portion of financing lease obligations 138 176
Total<br> current liabilities 10,059 9,390
Long-term<br> Liabilities:
Lease<br> liability, less current portion 1,623 1,726
Financing<br> lease obligation, less current portion - -
Long-term<br> debt, less issuance costs 77,345 76,244
Total<br> Liabilities 89,027 87,360
Stockholders’<br> Equity (Deficit)
Preferred<br> stock - -
Common<br> stock - -
Additional<br> paid-in capital 179,330 179,061
Accumulated<br> deficit (225,806 ) (223,266 )
Total<br> Stockholders’ Equity (Deficit) (46,476 ) (44,205 )
Total<br> Liabilities & Stockholders’ Equity (Deficit) 42,551 $ 43,155

All values are in US Dollars.

XTANT MEDICAL HOLDINGS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited, in thousands, except number of shares and per share amounts)

Three<br> Months Ended March 31,
**** 2020 **** 2019 ****
Revenue
Orthopedic<br> product sales $ 14,735 $ 16,686
Other<br> revenue 43 40
Total<br> revenue 14,778 16,726
Cost<br> of sales 5,165 5,913
Gross<br> profit 9,613 10,813
Gross<br> profit % 65.0 % 64.6 %
Operating<br> expenses
General<br> and administrative 4,319 4,477
Sales<br> and marketing 6,413 6,742
Research<br> and development 245 262
10,977 11,481
Loss<br> from operations (1,364 ) (668 )
Other<br> (expense) income
Interest<br> expense (1,108 ) (2,018 )
Change<br> in warrant derivative liability 6 (15 )
Other<br> (expense) income (5 ) (75 )
Total<br> Other (Expense) Income (1,107 ) (2,108 )
Net<br> Loss from Operations Before Provision for Income Taxes (2,471 ) (2,776 )
Provision<br> for income taxes
Current<br> and deferred (22 ) (23 )
Net<br> Loss from Operations $ (2,493 ) $ (2,799 )
Net<br> loss per share:
Basic $ (0.19 ) $ (0.21 )
Dilutive $ (0.19 ) $ (0.21 )
Shares<br> used in the computation:
Basic 13,175,345 13,170,721
Dilutive 13,175,345 13,170,721

XTANT MEDICAL HOLDINGS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited, in thousands)

Three<br> Months Ended March 31,
2020 2019
Operating<br> activities:
Net<br> loss $ (2,493 ) $ (2,799 )
Adjustments<br> to reconcile net loss to net cash provided by operating activities:
Depreciation<br> and amortization 685 776
(Gain)<br> loss on disposal of fixed assets (105 ) 116
Non-cash<br> interest 1,101 1,991
Non-cash<br> rent expense 4 -
Stock-based<br> compensation 269 122
Provision<br> for reserve on accounts receivable 138 94
Provision<br> for excess and obsolete inventory 31 153
Change<br> in warrant derivative liability (6 ) 15
Changes<br> in operating assets and liabilities:
Accounts<br> receivable 195 403
Inventories (1,974 ) 623
Prepaid<br> and other assets (340 ) 146
Accounts<br> payable 1,421 (429 )
Accrued<br> liabilities (715 ) (721 )
Net<br> cash provided by (used in) operating activities (1,789 ) 490
Investing<br> activities:
Purchases<br> of property and equipment (258 ) (137 )
Proceeds<br> from sale of fixed assets 83 51
Net<br> cash used in investing activities (175 ) (86 )
Financing<br> activities:
Payments<br> on financing leases (34 ) (104 )
Net<br> cash provided by (used in) financing activities (34 ) (104 )
Net<br> change in cash and cash equivalents (1,998 ) 300
Cash<br> and cash equivalents at beginning of period 5,237 6,797
Cash<br> and cash equivalents at end of period $ 3,239 $ 7,097

XTANT MEDICAL HOLDINGS, INC.

CALCULATION OF NON-GAAP CONSOLIDATED EBITDA AND ADJUSTED EBITDA

(Unaudited, in thousands)

Three<br> Months Ended March  31,
2020 2019
Net<br> Loss $ (2,493 ) $ (2,799 )
Other<br> expense 5 75
Depreciation<br> and amortization 685 776
Interest<br> expense 1,108 2,017
Tax<br> expense 22 23
Non-GAAP<br> EBITDA (673 ) 92
Non-GAAP<br> EBITDA/Total revenue -4.6 % 0.6 %
NON-GAAP<br> ADJUSTED EBITDA CALCULATION
Provision<br> for reserve on accounts receivable 138 94
Provision<br> for excess and obsolete inventory 31 153
Stock-based<br> compensation 269 122
Change<br> in warrant derivative liability (6 ) 15
Separation-related<br> expenses 749 (21 )
Litigation<br> reserve - 530
Non-GAAP<br> Adjusted EBITDA $ 508 $ 985
Non-GAAP<br> Adjusted EBITDA/Total revenue 3.4 % 5.9 %