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Asensus Surgical(ASXC) - 2024 Q2 - Quarterly Report

Revenue Performance - Total revenue for the three months ended June 30, 2024, was 2,207,000,a1042,207,000, a 104% increase from 1,081,000 for the same period in 2023[9] - Product revenue increased to 1,396,000forthethreemonthsendedJune30,2024,comparedto1,396,000 for the three months ended June 30, 2024, compared to 298,000 for the same period in 2023, representing a 368% growth[9] - Total revenue for the six months ended June 30, 2024, reached 3,330million,comparedto3,330 million, compared to 2,057 million for the same period in 2023, marking a 62% increase[39] - Total U.S. revenue for the three months ended June 30, 2024, was 184thousand,comparedto184 thousand, compared to 133 thousand in the same period of 2023, reflecting a 38% increase[39] - Total OUS revenue for the three months ended June 30, 2024, was 2.023million,significantlyhigherthan2.023 million, significantly higher than 948 thousand in the same period of 2023, indicating a 113% growth[39] Financial Losses - Net loss for the three months ended June 30, 2024, was (25,749,000),comparedto(25,749,000), compared to (20,662,000) for the same period in 2023, indicating a 25% increase in losses[9] - The company reported a comprehensive loss of (25,922,000)forthethreemonthsendedJune30,2024,comparedto(25,922,000) for the three months ended June 30, 2024, compared to (20,388,000) for the same period in 2023[9] - The company reported a net loss of 48.246millionforthesixmonthsendedJune30,2024,comparedtoanetlossof48.246 million for the six months ended June 30, 2024, compared to a net loss of 42.880 million for the same period in 2023, indicating an increase in losses[18] - The company had an accumulated deficit of 987.6millionasofJune30,2024,highlightingongoingfinancialchallenges[24]OperatingExpensesTotaloperatingexpensesforthethreemonthsendedJune30,2024,were987.6 million as of June 30, 2024, highlighting ongoing financial challenges[24] Operating Expenses - Total operating expenses for the three months ended June 30, 2024, were 23,090,000, up from 18,870,000forthesameperiodin2023,reflectinga2218,870,000 for the same period in 2023, reflecting a 22% increase[9] - Research and development expenses for the six months ended June 30, 2024, were 15,722,000, down from 19,119,000forthesameperiodin2023,adecreaseof1819,119,000 for the same period in 2023, a decrease of 18%[9] - Stock-based compensation for the six months ended June 30, 2024, was 3.273 million, slightly down from 3.894millioninthesameperiodof2023[18]CashandLiquidityCashandcashequivalentsdecreasedto3.894 million in the same period of 2023[18] Cash and Liquidity - Cash and cash equivalents decreased to 7,782,000 as of June 30, 2024, down from 17,096,000asofDecember31,2023[11]Thecompanyexperiencedanetcashusedinoperatingactivitiesof17,096,000 as of December 31, 2023[11] - The company experienced a net cash used in operating activities of 28.228 million for the six months ended June 30, 2024, compared to 35.204millionforthesameperiodin2023,indicatingimprovedcashflowmanagement[18]Cashandcashequivalentsattheendoftheperiodwere35.204 million for the same period in 2023, indicating improved cash flow management[18] - Cash and cash equivalents at the end of the period were 9.299 million, compared to 9.029millionattheendofthesameperiodin2023,showingaslightincrease[18]AssetsandLiabilitiesTotalcurrentliabilitiesincreasedsignificantlyto9.029 million at the end of the same period in 2023, showing a slight increase[18] Assets and Liabilities - Total current liabilities increased significantly to 39,920,000 as of June 30, 2024, compared to 12,628,000asofDecember31,2023[11]Thetotalassetsofthecompanywere12,628,000 as of December 31, 2023[11] - The total assets of the company were 38,502,000 as of June 30, 2024, a decrease from 59,086,000asofDecember31,2023[11]TotalliabilitiesasofJune30,2024,amountedto59,086,000 as of December 31, 2023[11] - Total liabilities as of June 30, 2024, amounted to 19,997,000, including warrant liabilities of 5,597,000[49]Contingentconsiderationincreasedsignificantlyfrom5,597,000[49] - Contingent consideration increased significantly from 2,220,000 on December 31, 2023, to 14,400,000onJune30,2024,duetotheprobabilityweightedfairvaluerelatedtoapotentialmerger[57]MergerandStrategicDevelopmentsThecompanyenteredintoaMergerAgreementwithKARLSTORZEndoscopyAmerica,Inc.,whereeachshareofcommonstockwillbeconvertedinto14,400,000 on June 30, 2024, due to the probability-weighted fair value related to a potential merger[57] Merger and Strategic Developments - The company entered into a Merger Agreement with KARL STORZ Endoscopy-America, Inc., where each share of common stock will be converted into 0.35 in cash upon completion of the merger[23] - The company is developing the LUNA™ Surgical System, a next-generation robotic and instrument system aimed at enhancing surgical outcomes through digital technology[21] - The company is focused on the commercialization of the Senhance System, which is the first digital multi-port laparoscopic platform designed to enhance minimally invasive surgery[21] - The company requires additional capital to fund operating losses and continue its business plan, raising concerns about its ability to continue as a going concern[25] Customer Concentration and Revenue Distribution - The Company had three customers accounting for 26%, 13%, and 11% of net accounts receivable as of June 30, 2024[44] - The Company had two customers contributing 43% and 11% of revenue for the three months ended June 30, 2024, compared to no customers exceeding 10% in the same period last year[99] - For the three months ended June 30, 2024, the Company generated 8% of its revenue from the U.S., down from 12% in the same period last year[99] - EMEA accounted for 84% of revenue for the three months ended June 30, 2024, an increase from 67% year-over-year[99] Tax and Regulatory Matters - The company incurred a total tax expense of approximately 0.07millionforthethreemonthsendedJune30,2024,comparedtoataxbenefitof0.07 million for the three months ended June 30, 2024, compared to a tax benefit of 0.01 million for the same period in 2023[73] - The effective tax rate for the three months ended June 30, 2024, was (0.3)%, compared to 0.1% for the same period in 2023[72] - The Company is currently evaluating the impact of recently issued accounting standards, including ASU No. 2023-07 and ASU No. 2023-09, which may affect future disclosures[31][34] Stock and Equity - Stock options outstanding increased to 15,886,489 as of June 30, 2024, with a weighted average exercise price of 2.07[82]Thecompanygranted14,953,974restrictedstockunitsduringthesixmonthsendedJune30,2024,resultinginunvestedsharestotaling20,427,833[85]Thetotalpotentialcommonsharesnotincludedinthecomputationofdilutednetlosspershareincreasedto61,144,822asofJune30,2024[94]FutureOutlookandRisksTheCompanyanticipatespotentialrisksrelatedtotheMerger,includingaterminationfeeof2.07[82] - The company granted 14,953,974 restricted stock units during the six months ended June 30, 2024, resulting in unvested shares totaling 20,427,833[85] - The total potential common shares not included in the computation of diluted net loss per share increased to 61,144,822 as of June 30, 2024[94] Future Outlook and Risks - The Company anticipates potential risks related to the Merger, including a termination fee of 3.6 million if the agreement is not completed[105] - The Company’s financial performance is subject to various risks and uncertainties that could impact future results, particularly regarding the Merger[105]