Press Release


Treace Medical Concepts Reports Second Quarter 2021 Financial Results

August 5, 2021 at 4:06 PM EDT

PONTE VEDRA, Fla., Aug. 05, 2021 (GLOBE NEWSWIRE) -- Treace Medical Concepts, Inc. (“Treace” or the “Company”) (NasdaqGS: TMCI), a commercial-stage orthopaedic medical device company driving a paradigm shift in the surgical treatment of Hallux Valgus (commonly known as bunions), today reported financial results for the second quarter ended June 30, 2021.

Recent Highlights:

  • Revenue of $20.7 million, a 167% increase over the same period last year
  • Gross margin of 80.9%, an increase of 780 basis points from the same period last year
  • Interim results from ALIGN3D™ clinical study demonstrating positive radiographic and patient-reported outcomes starting at 6 weeks and maintained at 12 months

“We are pleased to announce continued strength in our business, with growth in the second quarter led by increasing surgeon utilization and steady gains in our customer base supported by our expanding direct sales channel” said John T. Treace, CEO, Founder and Board Member of Treace. “While the return to pre-pandemic levels may not be linear, we continue to believe we are well-positioned to drive continued market penetration of our Lapiplasty® system, with comprehensive strategies and offerings that include a body of clinical evidence demonstrating consistent, reliable correction and low recurrence rates.”

Second Quarter 2021 Financial Results
Revenue for the second quarter of 2021 was $20.7 million, representing an increase of 167% compared to $7.7 million in the second quarter of 2020. The increase was driven by an increased number of Lapiplasty® procedure kits sold and an expanded customer base. Revenues during the 2020 second quarter were severely impacted by the COVID-19 pandemic, including the government-mandated restrictions on elective procedures.

Gross profit for the second quarter of 2021 was $16.7 million, compared to a gross profit of $5.7 million in the second quarter of 2020. Gross margin increased to 80.9% in the second quarter of 2021, compared to 73.1% in the second quarter of 2020. Gross margin expansion was the result of an increased number of Lapiplasty® procedure kits sold and a higher average blended ASP. Gross margin for the 2020 period also reflects pandemic-related disruptions.

Total operating expenses were $20.8 million in the second quarter of 2021, including sales and marketing (S&M) expenses of $14.0 million, research and development (R&D) expenses of $2.4 million, and general and administrative (G&A) expenses of $4.3 million. This compared to total operating expenses of $7.2 million, including S&M expenses of $4.8 million, R&D expenses of $1.0 million, and G&A expenses of $1.4 million in the second quarter of 2020. Expenses in the second quarter of 2020 reflect cost-reduction initiatives and the effect of shelter-in-place orders as a result of the COVID-19 pandemic.

Second quarter net loss was ($5.1) million, or ($0.10) per share, compared to net loss of ($2.1) million, or ($0.06) per share, for the same period of 2020.

Cash and cash equivalents were $119.6 million as of June 30, 2021. This includes cash proceeds of $107.6 million from the Company’s initial public offering that closed in April 2021.

Financial Outlook
Treace now expects revenue for the full year 2021 to range from $90 million to $95 million, which represents approximately 57% to 65% growth over the Company’s fiscal year 2020 revenue. Previous revenue expectation was $87 million to $92 million.

Webcast and Conference Call Details
Treace will host a conference call today, August 5, 2021, at 4:30 p.m. ET to discuss its second quarter 2021 financial results. The dial-in numbers are (888) 708-0264 for domestic callers or (720) 405-2122 for international callers, followed by Conference ID: 9779815. 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 being 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 could 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 the key financial metrics 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 expectations regarding the recovery of the market to pre-pandemic levels; the Company’s belief that it is well positioned to drive continued market penetration of the Lapiplasty® system; and the Company’s expected revenue for full year 2021. 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. 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 June 30, 2021 are not necessarily indicative of our operating results for any future periods.

About Treace Medical Concepts
Treace Medical Concepts is a commercial-stage orthopaedic medical device company with the goal of advancing the standard of care for the surgical management of bunion deformities. 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 getting patients back to their active lives quickly.


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


Gilmartin Group
Lynn Lewis or Vivian Cervantes

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

 Three Months Ended
June 30,
  Six Months Ended
June 30,
 2021  2020  2021  2020 
Revenue$20,654  $7,739  $39,361  $18,995 
Cost of goods sold 3,944   2,085   7,271   4,474 
Gross profit 16,710   5,654   32,090   14,521 
Operating expenses               
Sales and marketing 14,010   4,789   26,158   12,127 
Research and development 2,422   982   4,290   2,415 
General and administrative 4,329   1,401   7,095   2,696 
Total operating expenses 20,761   7,172   37,543   17,238 
Loss from operations (4,051)  (1,518)  (5,453)  (2,717)
Interest and other income, net 6   3   7   36 
Interest expense (1,038)  (458)  (2,069)  (899)
Other expense, net (1,032)  (455)  (2,062)  (863)
Net loss and comprehensive loss (5,083)  (1,973)  (7,515)  (3,580)
Convertible preferred stock cumulative and undeclared
 (39)  (159)  (196)  (318)
Net loss attributable to common stockholders$(5,122) $(2,132) $(7,711) $(3,898)
Net loss per share attributable to common stockholders,
 basic and diluted
$(0.10) $(0.06) $(0.18) $(0.11)
Weighted-average shares used in computing net
loss per share attributable to common stockholders,
basic and diluted
 49,187,285   37,068,288   43,556,107   37,060,491 

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

 June 30,  December 31, 
 2021  2020 
Current assets       
Cash and cash equivalents$119,621  $18,079 
Accounts receivable, net of allowance for doubtful accounts of $271 and
 $446 as of June 30, 2021 and December 31, 2020, respectively
 10,047   14,486 
Inventories 7,643   7,820 
Prepaid expenses and other current assets 3,512   593 
Total current assets 140,823   40,978 
Property and equipment, net 1,475   829 
Total assets$142,298  $41,807 
Liabilities and Stockholders’ Equity       
Current liabilities       
Accounts payable$2,921  $2,265 
Accrued liabilities 1,957   1,848 
Accrued commissions 2,553   3,513 
Accrued compensation 2,434   2,183 
Short-term debt -   1,788 
Total current liabilities 9,865   11,597 
Derivative liability on term loan 245   245 
Long-term debt, net of discount of $723 and $811 as of June 30, 2021 and
December 31, 2020, respectively
 29,277   29,189 
Total liabilities 39,387   41,031 
Commitments and contingencies (Note 7)       
Stockholders’ equity       
Series A convertible preferred stock, $0.001 par value, 0 shares authorized and 0 shares issued and outstanding as of June 30, 2021; 6,687,500 shares authorized and 6,687,475 shares issued and outstanding as of December 31, 2020, respectively; liquidation value of $0 and $8,000 as of June 30, 2021 and December 31, 2020, respectively    7,935 
Preferred stock, $0.001 par value, 5,000,000 shares authorized; 0 shares issued and outstanding as of June 30, 2021; 0 shares authorized, issued and outstanding as of December 31, 2020     
Common stock, $0.001 par value, 300,000,000 shares authorized; 52,755,981 issued and outstanding as of June 30, 2021; 66,875,000 shares authorized, 37,366,865 issued and outstanding as of December 31, 202045  28 
Common stock Class B, $0.001 par value, 0 shares authorized, issued and outstanding as of June 30, 2021; 1,000,000 shares authorized and 0 shares issued and outstanding as of December 31, 2020     
Additional paid-in capital 131,734   14,166 
Accumulated deficit (28,868)  (21,353)
Total stockholders’ equity 102,911   776 
Total liabilities and stockholders’ equity$142,298  $41,807 

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

 Six Months Ended
June 30,
  Six Months Ended
June 30,
 2021  2020 
Cash flows from operating activities       
Net loss$(7,515) $(3,580)
Adjustments to reconcile net loss to net cash used in operating activities       
Depreciation and amortization expense 220   667 
(Recovery) Provision for allowance for doubtful accounts (72)  228 
Share-based compensation expense 1,277   457 
Amortization of debt issuance costs 88   118 
Provision for inventory obsolescence 88   412 
Net changes in operating assets and liabilities:       
Accounts Receivable 4,511   3,532 
Inventory 89   (2,590)
Prepaid expenses and other assets (2,919)  178 
Accounts payable 656   1,071 
Accrued liabilities (600)  (3,233)
Net cash used in operating activities (4,177)  (2,740)
Cash flows from investing activities       
Purchases of property and equipment (866)  (923)
Net cash used in investing activities (866)  (923)
Cash flows from financing activities       
Proceeds from SBA Loan    1,788 
Repayments on SBA Loan (1,788)   
Proceeds from issuance of common stock upon initial public offering, net of issuance costs and underwriting fees of $10.6 million 107,610    
Proceeds from exercise of employee stock options 763   41 
Net cash provided by financing activities 106,585   1,829 
Net increase (decrease) in cash and cash equivalents 101,542   (1,834)
Cash and cash equivalents at beginning of period 18,079   12,139 
Cash and cash equivalents at end of period$119,621  $10,305 
Supplemental disclosure of cash flow information:       
Cash paid for interest 2,917    
Issuance of common stock upon exercise of warrants 1    
Conversion of convertible preferred stock and accrued dividends on convertible preferred stock into common stock 7,935    

Treace Medical Concepts, Inc.
Reconciliation of GAAP Net Loss to Adjusted EBITDA

 Three Months Ended
June 30,
 Six Months Ended
June 30,
  2021   2020   2021   2020 
Net loss$(5,083) $(1,973) $(7,515) $(3,580)
Interest$1,032  $455  $2,062  $863 
Taxes$-  $-  $-   
Depreciation & Amortization$124  $364  $220  $667 
Non-cash compensation expense$875  $248  $1,277  $457 
Adjusted EBITDA$(3,052) $(906) $(3,956) $(1,593)