8-K
false000163062700016306272022-03-032022-03-03

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 8-K

 

CURRENT REPORT

Pursuant to Section 13 or 15(d)

of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): March 3, 2022

 

TREACE MEDICAL CONCEPTS, Inc.

(Exact name of registrant as specified in its charter)

 

 

 

 

 

 

Delaware

 

001-40355

 

47-1052611

(State or other jurisdiction

of incorporation)

 

(Commission

File Number)

 

(IRS Employer

Identification Number)

 

203 Fort Wade Rd., Suite 150

Ponte Vedra, Florida 32081

(Address of principal executive offices, including Zip Code)

Registrant’s telephone number, including area code: (904) 373-5940

 

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 communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

 

Pre-commencement 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 of each class

 

Trading Symbol(s)

 

Name of each exchange on which registered

Common Stock, $0.001 par value per share

 

TMCI

 

The Nasdaq Global Select Market

 

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 March 3, 2022, Treace Medical Concepts, Inc. issued a press release regarding its financial results for the year ended December 31, 2021. A copy of the press release is furnished as Exhibit 99.1 to this Form 8-K.

 

This information is intended to be furnished under Item 2.02 of Form 8-K and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference in such a filing.

 

 

 

Item 9.01

Financial Statements and Exhibits.

 

Exhibit No.

 

Description

99.1

 

Press Release of Treace Medical Concepts, Inc. issued on March 3, 2022

104

 

Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

 


SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

 

 

 

 

 

 

 

 

 

 

 

TREACE MEDICAL CONCEPTS, INC.

 

 

 

 

Date: March 3, 2022

 

 

 

By:

 

/s/ Mark L. Hair

 

 

 

 

 

 

Mark L. Hair

 

 

 

 

 

 

Chief Financial Officer

 


EX-99.1

Exhibit 99.1

https://cdn.kscope.io/a6c15a69441e85c59f2a9aeaafee6f10-img32504678_0.jpg 

Treace Medical Concepts Reports Fourth Quarter and Full Year 2021 Financial Results

 

PONTE VEDRA, Fla. – March 3, 2022—Treace Medical Concepts, Inc. (“Treace” or the “Company”) (NasdaqGS: TMCI), a medical technology company driving a paradigm shift in the surgical treatment of hallux valgus (commonly known as bunions), today reported financial results for the fourth quarter and full year ended December 31, 2021.

 

Recent Highlights:

Revenue of $33.4 million in the fourth quarter 2021, a 39% increase over the same period last year and a 55% increase sequentially. Full year 2021 revenue of $94.4 million, a 65% increase over 2020.
Gross margin of 81.1% in the fourth quarter 2021, an increase of 220 basis points from the same period last year. Full year 2021 gross margin of 81.1%, an increase of 285 basis points over 2020.
Increased strategic investments in our sales and marketing programs, including expanded direct sales channel and direct-to-consumer (DTC) campaigns, as well as R&D programs for product innovations.
Fourth quarter revenue contribution from bunion-focused direct sales channel was 58% of sales, an increase from an average of 39% in the fourth quarter 2020.
New interim data from ALIGN3D™ clinical study presented at the 2022 American College of Foot and Ankle Surgeons (ACFAS) Annual Scientific Conference demonstrating continued positive radiographic and patient-reported outcomes at 12- and 24- months following the Lapiplasty® procedure. Low recurrence rate also maintained, with 0.9% (1 out of 116 patients) and 0.0% (0 out of 54 patients) observed at 12- and 24- months post surgery, respectively.
Granted 3 additional U.S. patents in the fourth quarter on instrumented bunion correction techniques. Patent portfolio expands to 32 granted US patents and over 30 pending US patent applications as of the end of the year.

 

“We are pleased with this strong performance driven by our bunion-focused direct sales channel, expanding direct-to-consumer programs, and focused R&D initiatives, paving the way for a 55% sequential increase in revenue during the fourth quarter,” said John T. Treace, CEO, Founder and Board Member of Treace. “With continued confidence in our commercial strategies and investments, complemented by our growing body of clinical evidence, we believe we remain well positioned for strong growth ahead.”

 

Fourth Quarter 2021 Financial Results

Revenue for the fourth quarter of 2021 was $33.4 million, representing an increase of 38.7% compared to $24.1 million in the fourth quarter of 2020. The increase was driven by an increased number of Lapiplasty® procedure kits sold and an expanded customer base.

 

Gross profit for the fourth quarter of 2021 was $27.1 million, compared to a gross profit of $19.0 million in the fourth quarter of 2020. Gross margin increased to 81.1% in the fourth quarter of 2021, compared to 78.9% in the fourth quarter of 2020. Gross margin expansion was due to volume increases without a corresponding increase in certain fixed costs as well as a higher blended average selling price.

 

Total operating expenses were $32.7 million in the fourth quarter of 2021, including sales and marketing (S&M) expenses of $22.3 million, research and development (R&D) expenses of $3.4 million, and general and administrative (G&A) expenses of $7.0 million. This compared to total operating expenses of $15.4 million, including S&M expenses of $11.4 million, R&D expenses of $1.9 million, and G&A expenses of $2.0 million in the fourth quarter of 2020. Expenses in the fourth quarter of 2021 reflect increased investments in sales and marketing as well as other G&A investments supporting our growing business.

 

Fourth quarter net loss attributable to common stockholders was ($6.6) million, or ($0.12) per share, compared to net income of $2.4 million, or $0.05 per share, for the same period of 2020.

 

 


Full Year 2021 Financial Results

Revenue for the year ended December 31, 2021 was $94.4 million, representing an increase of 64.6% compared to $57.4 million in 2020. The increase was driven by an increased number of Lapiplasty® procedure kits sold and an expanded customer base.

 

Gross profit for the year ended December 31, 2021 was $76.6 million, compared to a gross profit of $44.9 million in 2020. Gross margin increased to 81.1% in 2021, compared to 78.3% in 2020. Gross margin expansion was due to volume increases without a corresponding increase in certain fixed costs as well as a higher blended average selling price.

 

Total operating expenses for the year ended December 31, 2021 were $93.1 million, including S&M expenses of $64.5 million, R&D expenses of $10.2 million, and G&A expenses of $18.4 million. This compared to total operating expenses of $44.0 million, including S&M expenses of $31.7 million, R&D expenses of $5.8 million, and G&A expenses of $6.5 million in 2020. Expenses in 2021 reflect increased spending on targeted marketing initiatives, additions to our sales organization, higher commissions from increased sales, and increased public company related costs. During 2020, we delayed expenditures for surgeon education events, patient outreach campaigns and other planned sales and marketing expenses in connection with the pandemic.

 

Net loss attributable to common stockholders for the year ended December 31, 2021 was ($20.7) million, or ($0.43) per share, compared to net loss of ($4.3) million, or ($0.12) per share, in 2020.

 

Cash and cash equivalents were $105.8 million as of December 31, 2021.

 

Financial Outlook

Treace expects revenue for the full year 2022 to range from $125 million to $130 million, which represents approximately 32% to 38% growth over the Company’s 2021 revenue.

 

Webcast and Conference Call Details

Treace will host a conference call today, March 3, 2022, at 4:30 p.m. ET to discuss its fourth quarter and full year 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: 6356356. The live webcast of the conference call will be available on the Investor Relations section of the Company’s website at https://investors.treace.com/. 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 strong growth ahead; the Company’s expectations regarding 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 is expected to be filed with the SEC on or about 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 and full year ended December 31, 2021 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 www.treace.com.

 

Contacts:

 

Treace Medical Concepts

Mark L. Hair

Chief Financial Officer

mhair@treace.net

(904) 373-5940

 

Investors:

 

Gilmartin Group

Lynn Lewis or Vivian Cervantes

IR@treace.net

 


Treace Medical Concepts, Inc.

Statements of Operations and Comprehensive Income (Loss)

(in thousands, except share and per share amounts)

(unaudited)

 

 

 

Three Months Ended

 

 

Twelve Months Ended

 

 

 

December 31,

 

 

 

December 31,

 

 

 

2021

 

 

2020

 

 

2021

 

 

2020

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue

 

$

 

33,439

 

 

$

 

24,104

 

 

$

 

94,419

 

 

$

 

57,365

 

Cost of goods sold

 

 

 

6,307

 

 

 

 

5,085

 

 

 

 

17,826

 

 

 

 

12,470

 

Gross profit

 

 

 

27,132

 

 

 

 

19,019

 

 

 

 

76,593

 

 

 

 

44,895

 

Operating expenses

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   Sales and marketing

 

 

 

22,325

 

 

 

 

11,424

 

 

 

 

64,467

 

 

 

 

31,654

 

   Research and development

 

 

 

3,377

 

 

 

 

1,922

 

 

 

 

10,204

 

 

 

 

5,847

 

  General and administrative

 

 

 

7,027

 

 

 

 

2,039

 

 

 

 

18,432

 

 

 

 

6,539

 

Total operating expenses

 

 

 

32,729

 

 

 

 

15,385

 

 

 

 

93,103

 

 

 

 

44,040

 

Income (loss) from operations

 

 

 

(5,597

)

 

 

 

3,634

 

 

 

 

(16,510

)

 

 

 

855

 

Interest and other income (expense), net

 

 

6

 

 

 

1

 

 

 

18

 

 

 

 

(1,746

)

Interest expense

 

 

 

(1,028

)

 

 

 

(1,070

)

 

 

 

(4,060

)

 

 

 

(2,777

)

Other expense, net

 

 

 

(1,022

)

 

 

 

(1,069

)

 

 

 

(4,042

)

 

 

 

(4,523

)

Net income (loss) and comprehensive income (loss)

 

 

 

(6,619

)

 

 

 

2,565

 

 

 

 

(20,552

)

 

 

 

(3,668

)

Convertible preferred stock cumulative and undeclared dividends

 

 

 

 

 

 

(161

)

 

 

 

(196

)

 

 

 

(640

)

Net income (loss) attributable to common stockholders

 

$

 

(6,619

)

 

$

 

2,404

 

 

$

 

(20,748

)

 

$

 

(4,308

)

Net income (loss) per share attributable to common stockholders

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    Basic

 

$

 

(0.12

)

 

$

 

0.06

 

 

$

 

(0.43

)

 

$

 

(0.12

)

    Diluted

 

$

 

(0.12

)

 

$

 

0.05

 

 

$

 

(0.43

)

 

$

 

(0.12

)

Weighted-average shares used in computing net loss per share attributable to common stockholders

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   Basic

 

 

 

53,618,371

 

 

 

 

37,085,397

 

 

 

 

48,415,679

 

 

 

 

37,068,965

 

   Diluted

 

 

 

53,618,371

 

 

 

 

49,596,028

 

 

 

 

48,415,679

 

 

 

 

37,068,965

 

 


Treace Medical Concepts, Inc.

Balance Sheets

(in thousands, except share and per share amounts)

(unaudited)

 

 

 

December 31,

 

 

 

2021

 

 

2020

 

Assets

 

 

 

 

 

 

 

 

Current assets

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

 

105,833

 

 

$

 

18,079

 

Accounts receivable, net of allowance for doubtful accounts of $414 and $446 as of December 31, 2021 and 2020, respectively

 

 

 

18,568

 

 

 

 

14,486

 

Inventories

 

 

 

10,561

 

 

 

 

7,820

 

Prepaid expenses and other current assets

 

 

 

3,010

 

 

 

 

593

 

Total current assets

 

 

 

137,972

 

 

 

 

40,978

 

Property and equipment, net

 

 

 

2,849

 

 

 

 

829

 

Total assets

 

$

 

140,821

 

 

$

 

41,807

 

Liabilities and Stockholders’ Equity

 

 

 

 

 

 

 

 

Current liabilities

 

 

 

 

 

 

 

 

Accounts payable

 

$

 

4,056

 

 

$

 

2,265

 

Accrued liabilities

 

 

 

4,518

 

 

 

 

1,848

 

Accrued commissions

 

 

 

5,181

 

 

 

 

3,513

 

Accrued compensation

 

 

 

4,455

 

 

 

 

2,183

 

Short-term debt

 

 

-

 

 

 

 

1,788

 

Total current liabilities

 

 

 

18,210

 

 

 

 

11,597

 

Derivative liability on term loan

 

 

 

173

 

 

 

 

245

 

Long-term debt, net of discount of $635 and $811 as of December 31,

 

 

 

29,365

 

 

 

 

29,189

 

2021 and 2020, respectively

 

 

 

 

 

 

 

 

Total liabilities

 

 

 

47,748

 

 

 

 

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 December 31, 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 December 31, 2021 and 2020, respectively

 

 

 

 

 

 

7,935

 

Preferred stock, $0.001 par value, 5,000,000 shares authorized; 0 shares issued and outstanding as of December 31, 2021; 0 shares authorized, issued and outstanding as of December 31, 2020

 

 

 

 

 

 

Common stock, $0.001 par value, 300,000,000 shares authorized; 54,181,082 issued and outstanding as of December 31, 2021; 66,875,000 shares authorized, 37,366,865 issued and outstanding as of December 31, 2020

 

 

 

45

 

 

 

28

 

Common stock Class B, $0.001 par value, 0 shares authorized, issued and outstanding as of December 31, 2021; 1,000,000 shares authorized and 0 shares issued and outstanding as of December 31, 2020

 

 

 

 

 

 

Additional paid-in capital

 

 

 

134,933

 

 

 

 

14,166

 

Accumulated deficit

 

 

 

(41,905

)

 

 

 

(21,353

)

Total stockholders’ equity

 

 

 

93,073

 

 

 

 

776

 

Total liabilities and stockholders’ equity

 

$

 

140,821

 

 

$

 

41,807

 

 

 


Treace Medical Concepts, Inc.

Statements of Cash Flows

(in thousands)

(unaudited)

 

 

Year Ended December 31,

 

 

2021

 

 

2020

 

Cash flows from operating activities

 

 

 

 

 

Net loss

$

 

(20,552

)

 

$

 

(3,668

)

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

 

 

 

 

 

Depreciation and amortization expense

 

 

685

 

 

 

 

1,210

 

Provision for allowance for doubtful accounts

 

 

144

 

 

 

 

216

 

Share-based compensation expense

 

 

3,409

 

 

 

 

919

 

Amortization of debt issuance costs

 

 

176

 

 

 

 

220

 

Impairment of capitalized surgical instruments

 

 

 

 

 

144

 

Gain on fair value adjustment to derivative liability

 

 

(72

)

 

 

 

Provision for inventory obsolescence

 

 

347

 

 

 

 

1,144

 

Loss on early settlement of debt

 

 

 

 

 

639

 

Net changes in operating assets and liabilities:

 

 

 

 

 

 

 

Accounts Receivable

 

 

(4,226

)

 

 

 

(4,290

)

Inventory

 

 

(3,088

)

 

 

 

(3,402

)

Prepaid expenses and other assets

 

 

(2,417

)

 

 

 

(103

)

Accounts payable

 

 

1,791

 

 

 

 

1,334

 

Accrued liabilities

 

 

6,610

 

 

 

 

1,143

 

Net cash used in operating activities

 

 

(17,193

)

 

 

 

(4,494

)

Cash flows from investing activities

 

 

 

 

 

 

 

Purchases of property and equipment

 

 

(2,705

)

 

 

 

(1,069

)

Net cash used in investing activities

 

 

(2,705

)

 

 

 

(1,069

)

Cash flows from financing activities

 

 

 

 

 

 

 

Proceeds from interest bearing debt

 

 

 

 

 

29,530

 

Payments on interest bearing debt

 

 

 

 

 

(20,000

)

Proceeds from PPP Loan

 

 

 

 

 

1,788

 

Repayments on PPP 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

 

 

 

 

Debt issuance costs

 

 

 

 

 

(179

)

Proceeds from exercise of employee stock options

 

 

1,830

 

 

 

 

364

 

Net cash provided by financing activities

 

 

107,652

 

 

 

 

11,503

 

Net increase in cash and cash equivalents

 

 

87,754

 

 

 

 

5,940

 

Cash and cash equivalents at beginning of period

 

 

18,079

 

 

 

 

12,139

 

Cash and cash equivalents at end of period

$

 

105,833

 

 

$

 

18,079

 

Supplemental disclosure of cash flow information:

 

 

 

 

 

Cash paid for interest

$

 

3,900

 

 

$

 

1,146

 

Noncash financing activities:

 

 

 

 

 

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

 

 

$

 

Initial fair value of derivative liability

$

 

 

$

 

245

 

 


Treace Medical Concepts, Inc.

Reconciliation of GAAP Net Income (Loss) to Adjusted EBITDA

 

 

 

Three Months Ended

 

 

Twelve Months Ended

 

 

 

December 31,

 

 

December 30,

 

 

 

 

2021

 

 

2020

 

 

 

2021

 

 

 

2020

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income (loss)

 

$

(6,619

)

 

$

2,565

 

 

$

(20,552

)

 

$

(3,668

)

Adjustments:

 

 

 

 

 

 

 

 

 

 

 

 

     Interest

 

 

1,022

 

 

 

1,068

 

 

 

4,042

 

 

 

4,523

 

     Taxes

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

     Depreciation & Amortization

 

 

276

 

 

 

208

 

 

 

685

 

 

 

1,210

 

     Non-cash compensation expense

 

 

1,293

 

 

 

337

 

 

 

3,409

 

 

 

919

 

Adjusted EBITDA

 

$

(4,028

)

 

$

4,178

 

 

$

(12,416

)

 

$

2,984