Press Release


Treace Medical Concepts Reports First Quarter 2022 Financial Results

May 5, 2022 at 4:05 PM EDT

PONTE VEDRA, Fla., May 05, 2022 (GLOBE NEWSWIRE) -- Treace Medical Concepts, Inc. (“Treace” or the “Company”) (NasdaqGS: TMCI), a medical technology company driving a fundamental shift in the surgical treatment of hallux valgus (commonly known as bunions), today reported financial results for the first quarter ended March 31, 2022.

Recent Highlights:

  • Revenue of $29.0 million in the first quarter 2022, a 55% increase over the same period last year.
  • Gross margin of 81.0% in the first quarter 2022.
  • First quarter revenue contribution from our direct sales channel was 63% of sales, an increase from 44% of sales in the first quarter 2021.
  • New five-year $150 million loan arrangement, including up to a $120 million term loan and a $30 million revolving credit facility.
  • Announced peer-reviewed publication of interim data from the ALIGN3D™ clinical study in the Journal of Foot & Ankle Surgery. The data demonstrated continued positive radiographic and Patient-Reported Outcome (PRO) scores at 12- and 24- months following the Lapiplasty® procedure.
  • Granted 2 additional U.S. patents in the first quarter on instrumented bunion correction techniques. Patent portfolio expands to 34 granted US patents and over 40 pending US patent applications as of the end of the quarter.

“We are off to a solid start in 2022 led by strong execution of our commercial strategies,” said John T. Treace, CEO, Founder and Board Member of Treace. “We remain confident that the increased investments we are making in our bunion-focused direct sales channel, direct-to-consumer programs, and focused R&D initiatives continue to drive positive momentum in our business. With additional financial flexibility from our new loan arrangement, these commercial strategies and investments, complemented by our growing body of clinical evidence, position us well for sustained growth and market share gains.”

First Quarter 2022 Financial Results
Revenue for the first quarter of 2022 was $29.0 million, representing an increase of 55% compared to $18.7 million in the first quarter of 2021. The increase was driven by an increased number of Lapiplasty® procedure kits sold as a result of an expanded customer base and a slight increase in average selling prices.

Gross profit for the first quarter of 2022 was $23.5 million, compared to a gross profit of $15.4 million in the first quarter of 2021. Gross margin decreased to 81.0% in the first quarter of 2022, compared to 82.2% in the first quarter of 2021. The decline in gross margin was due to increase in royalty expense resulting from our increased sales and increase in depreciation expense from surgical instruments.

Total operating expenses were $31.6 million in the first quarter of 2022, including sales and marketing (S&M) expenses of $21.9 million, research and development (R&D) expenses of $3.0 million, and general and administrative (G&A) expenses of $6.7 million. This compared to total operating expenses of $16.8 million, including S&M expenses of $12.1 million, R&D expenses of $1.9 million, and G&A expenses of $2.8 million in the first quarter of 2021. Expenses in the first quarter of 2022 reflect increased investments in sales and marketing as well as other G&A investments supporting our growing business.

First quarter net loss attributable to common stockholders was ($9.0) million, or ($0.16) per share, compared to net loss of ($2.6) million, or ($0.07) per share, for the same period of 2021. Adjusted EBITDA was a loss of ($6.4) million in the first quarter, compared to a loss of ($0.9) million for the same period in 2021. See below for additional information and a reconciliation of non-GAAP financial information.

Cash and cash equivalents were $98.5 million as of March 31, 2022. On May 2, 2022, the Company announced a refinancing of its existing debt for new, five-year $150 million loan arrangement that includes up to a $120 million term loan and a $30 million revolving credit facility. Upon the closing of the new loan agreements, the Company drew $54 million and paid off its $30 million in long term debt outstanding at the end of the first quarter.

Financial Outlook
Treace is raising its full year 2022 revenue guidance to $128 million to $133 million, which represents approximately 36% to 41% growth over the Company’s 2021 revenue. This compares to the prior revenue guidance of $125 million to $130 million.

Webcast and Conference Call Details
Treace will host a conference call today, May 5, 2022, at 4:30 p.m. ET to discuss its first quarter 2022 financial results. The dial-in numbers are (888) 708-0264 for domestic callers or (720) 405-2122 for international callers, followed by Conference ID: 7287077. The live webcast of the conference call will be available on the Investor Relations section of the Company’s website at The webcast will be archived on the website following the completion of the call.

Use of Non-GAAP Financial Measures
To supplement the financial results presented in accordance with GAAP, this earnings release presents Adjusted EBITDA, which the Company defines as net loss before depreciation and amortization expense, stock-based compensation expense and interest income/expense. Adjusted EBITDA is presented in addition to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP. Management uses Adjusted EBITDA to evaluate the Company’s operating performance and trends, as well as for making planning decisions. The Company believes that Adjusted EBITDA helps to identify underlying trends in the Company’s business that may otherwise be masked by the effect of the expenses and other items that it excludes in Adjusted EBITDA. Accordingly, the Company believes Adjusted EBITDA provides useful information to investors and others in understanding and evaluating the Company’s operating results, enhancing the overall understanding of its past performance and future prospects, and allowing for greater transparency with respect to a key financial metric used by the Company’s management in their financial and operational decision-making. The Company also presents Adjusted EBITDA because it believes investors, analysts and rating agencies consider it a useful metric in measuring the Company’s performance against other companies and its ability to meet its debt service obligations.

There are limitations related to the use of non-GAAP financial measures such as Adjusted EBITDA because they are not prepared in accordance with GAAP, may exclude significant expenses required by GAAP to be recognized in the Company’s financial statements, and may not be comparable to non-GAAP financial measures used by other companies. The Company encourages investors to carefully consider its results under GAAP, as well as its supplemental non‐GAAP information and the reconciliation between these presentations, to more fully understand its business. Reconciliations between GAAP and non‐GAAP results are presented below.

Forward-Looking Statements
This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements other than statements of historical fact are forward-looking statements, including, but not limited to the Company’s belief that it is well positioned for sustained growth; the Company’s expectations regarding positive momentum and market share gains; and the Company’s expected revenue and revenue growth rates for full year 2022. Forward-looking statements are based on management’s current assumptions and expectations of future events and trends, which affect or may affect the Company’s business, strategy, operations or financial performance, and actual results and other events may differ materially from those expressed or implied in such statements due to numerous risks and uncertainties. Forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified. Factors that could cause actual results or other events to differ materially from those contemplated in this press release can be found in the Risk Factors section of Treace’s public filings with the Securities and Exchange Commission (SEC), including in the final prospectus filed with the SEC on April 26, 2021 in connection with Treace’s initial public offering and its Annual Report on Form 10-K for the year ended December 31, 2021, which was filed with the SEC on March 4, 2022. Because forward-looking statements are inherently subject to risks and uncertainties, you should not rely on these forward-looking statements as predictions of future events. These forward-looking statements speak only as of their date and, except to the extent required by law, the Company undertakes no obligation to update these statements, whether as a result of any new information, future developments or otherwise. The Company’s results for the quarter ended March 31, 2022 are not necessarily indicative of our operating results for any future periods.

About Treace Medical Concepts
Treace Medical Concepts, Inc. is a medical technology company with the goal of advancing the standard of care for the surgical management of bunion deformities and related midfoot correction. Bunions are complex 3-dimensional deformities that originate from an unstable joint in the middle of the foot. Treace has pioneered and patented the Lapiplasty® 3D Bunion Correction™ system – a combination of instruments, implants, and surgical methods designed to correct all 3 planes of the bunion deformity and secure the unstable joint, addressing the root cause of the bunion and helping patients get back to their active lifestyles. Treace recently expanded its offering with the Adductoplasty™ Midfoot Correction System, designed for reproducible correction of the midfoot to provide further support to hallux valgus patients. For more information, please visit


Treace Medical Concepts
Mark L. Hair
Chief Financial Officer
(904) 373-5940


Gilmartin Group
Lynn Lewis or Vivian Cervantes

Treace Medical Concepts, Inc.
Statements of Operations and Comprehensive Income (Loss)
(in thousands, except share and per share amounts)

 Three Months Ended March 31, 
 2022  2021 
Revenue$29,047  $18,707 
Cost of goods sold 5,506   3,327 
Gross profit 23,541   15,380 
Operating expenses     
Sales and marketing 21,923   12,148 
Research and development 3,052   1,868 
General and administrative 6,662   2,766 
Total operating expenses 31,637   16,782 
Loss from operations (8,096)  (1,402)
Interest and other income (expense), net 11   1 
Interest expense (951)  (1,031)
Other expense, net (940)  (1,030)
Net loss and comprehensive loss (9,036)  (2,432)
Convertible preferred stock cumulative and undeclared dividends    (158)
Net loss attributable to common stockholders$(9,036) $(2,590)
Net loss per share attributable to common stockholders, basic and diluted$(0.16) $(0.07)
Weighted-average shares used in computing net loss per share attributable to common stockholders, basic and diluted 54,827,665   37,854,687 

Treace Medical Concepts, Inc.
Balance Sheets
(in thousands, except share and per share amounts)

 March 31,  December 31, 
 2022  2021 
Current assets     
Cash and cash equivalents$98,483  $105,833 
Accounts receivable, net of allowance for doubtful accounts of $509 and $414 as of March 31, 2022 and December 31, 2021, respectively 15,995   18,568 
Inventories 11,112   10,561 
Prepaid expenses and other current assets 1,723   3,010 
Total current assets 127,313   137,972 
Property and equipment, net 3,996   2,849 
Operating lease right-of-use assets 15,069    
Other non-current assets 134    
Total assets$146,512  $140,821 
Liabilities and Stockholders’ Equity     
Current liabilities     
Accounts payable$3,448  $4,056 
Accrued liabilities 3,552   4,518 
Accrued commissions 3,882   5,181 
Accrued compensation 4,060   4,455 
Operating lease liabilities 435    
Total current liabilities 15,377   18,210 
Derivative liability on term loan 83   173 
Long-term debt, net of discount of $590 and $635 as of March 31, 2022 and December 31, 2021, respectively 29,410   29,365 
Operating lease liability, net of current portion 14,824    
Total liabilities 59,694   47,748 
Commitments and contingencies (Note 7)     
Stockholders’ equity     
Preferred stock, $0.001 par value, 5,000,000 shares authorized as of March 31, 2022 and December 31, 2021; 0 shares issued and outstanding as of March 31, 2022 and December 31, 2021     
Common stock, $0.001 par value, 300,000,000 shares authorized; 55,278,942 issued and outstanding as of March 31, 2022; 300,000,000 shares authorized; 54,181,082 issued and outstanding as of December 31, 2021 46   45 
Additional paid-in capital 137,713   134,933 
Accumulated deficit (50,941)  (41,905)
Total stockholders’ equity 86,818   93,073 
Total liabilities and stockholders’ equity$146,512  $140,821 

Treace Medical Concepts, Inc.
Statements of Cash Flows
(in thousands)

 Three Months Ended March 31, 
 2022  2021 
Cash flows from operating activities     
Net loss$(9,036) $(2,432)
Adjustments to reconcile net loss to net cash used in operating activities     
Depreciation and amortization expense 334   117 
Provision (Recovery) for allowance for doubtful accounts 30   (77)
Share-based compensation expense 1,409   402 
Non-cash lease expense 336    
Amortization of debt issuance costs 45   43 
Recovery of inventory obsolescence (3)  (27)
Gain on fair value adjustment to derivative liability (90)   
Net changes in operating assets and liabilities:     
Accounts Receivable 2,542   3,769 
Inventory (548)  478 
Prepaid expenses and other assets 1,233   (379)
Other non-current assets (134)   
Operating lease liabilities (133)   
Accounts payable (607)  (1,173)
Accrued liabilities (2,619)  (1,167)
Net cash used in operating activities (7,241)  (446)
Cash flows from investing activities     
Purchases of property and equipment (1,481)  (196)
Net cash used in investing activities (1,481)  (196)
Cash flows from financing activities     
Repayments on PPP Loan    (1,788)
Proceeds from exercise of employee stock options 1,372   569 
Net cash provided by (used in) financing activities 1,372   (1,219)
Net decrease in cash and cash equivalents (7,350)  (1,861)
Cash and cash equivalents at beginning of period 105,833   18,079 
Cash and cash equivalents at end of period$98,483  $16,218 
Supplemental disclosure of cash flow information:     
Cash paid for interest$951  $1,945 
Operating lease right-of-use assets obtained in exchange for new lease liabilities$15,300  $ 
Supplemental disclosure of noncash financing activities:     
Unpaid offering costs included in accounts payable and accrued liabilities$  $1,118 

Treace Medical Concepts, Inc.
Reconciliation of GAAP Net Income (Loss) to EBITDA & Adjusted EBITDA

 Three Months Ended 
 March 31, 
 2022  2021 
Net loss$(9,036) $(2,432)
Interest 940   1,030 
Taxes -   - 
Depreciation & Amortization 334   117 
EBITDA$(7,762) $(1,285)
Share-based compensation expense 1,409   402 
Adjusted EBITDA$(6,353) $(883)