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ReWalk(RWLK) - 2024 Q4 - Annual Report
RWLKReWalk(RWLK)2025-03-07 16:10

Acquisition and Market Expansion - The company acquired AlterG for approximately 19million,withpotentialadditionalcashearnoutpaymentsbasedonrevenuegrowthoverthenexttwoyears[34].TheReWalkPersonalExoskeletonisnowexclusivelydistributedbyCorLifeforworkerscompensationclaims,leveragingCorLifesextensivenetwork[35].TheAlterGAntiGravitysystemsareutilizedinover4,000facilitiesgloballyacrossmorethan40countries,indicatingstrongmarketpenetration[34].ThecompanyhasdistributionagreementsinseveralEuropeancountries,enhancingitsreimbursementsuccesswithprivateinsurersandworkerscompensation[72].TheinstalledbaseofAlterGsystemsisover6,000unitsworldwideasofDecember31,2024,withafocusonexpandingMedicarecustomerbasefollowingnewpaymentrateseffectiveApril1,2024[96].ProductDevelopmentandRegulatoryComplianceThecompanyisintheresearchstageoftheReBootdevice,whichreceivedBreakthroughDeviceDesignationfromtheFDA,butfurtherinvestmentiscurrentlyonhold[36].Thecompanyhassubmittedapremarketnotificationforthe7thgenerationReWalkdesigninJune2024,currentlypendingFDAreview[48].TheReStoredevicereceived510(k)clearanceinJune2019,enablingitsmarketingintheU.S.forassistingambulatoryfunctionsinrehabilitationinstitutions[130].ThecompanyisworkingonproductdesignimprovementsandexpandedlabelingfortheReWalkPersonalExoskeleton,withplanstolaunchfollowingregulatoryclearance[106].ThecompanyactivelymaintainscompliancewithbothU.S.andEUregulatoryrequirementstoensurethecontinuedavailabilityofitsproducts[134].FinancialPerformanceandRevenueGenerationTotalrevenuefortheyearendedDecember31,2024,was19 million, with potential additional cash earnout payments based on revenue growth over the next two years[34]. - The ReWalk Personal Exoskeleton is now exclusively distributed by CorLife for workers' compensation claims, leveraging CorLife's extensive network[35]. - The AlterG Anti-Gravity systems are utilized in over 4,000 facilities globally across more than 40 countries, indicating strong market penetration[34]. - The company has distribution agreements in several European countries, enhancing its reimbursement success with private insurers and workers' compensation[72]. - The installed base of AlterG systems is over 6,000 units worldwide as of December 31, 2024, with a focus on expanding Medicare customer base following new payment rates effective April 1, 2024[96]. Product Development and Regulatory Compliance - The company is in the research stage of the ReBoot device, which received Breakthrough Device Designation from the FDA, but further investment is currently on hold[36]. - The company has submitted a premarket notification for the 7th generation ReWalk design in June 2024, currently pending FDA review[48]. - The ReStore device received 510(k) clearance in June 2019, enabling its marketing in the U.S. for assisting ambulatory functions in rehabilitation institutions[130]. - The company is working on product design improvements and expanded labeling for the ReWalk Personal Exoskeleton, with plans to launch following regulatory clearance[106]. - The company actively maintains compliance with both U.S. and EU regulatory requirements to ensure the continued availability of its products[134]. Financial Performance and Revenue Generation - Total revenue for the year ended December 31, 2024, was 25.663 million, a 85.5% increase from 13.854millionin2023[181].RevenuefromtheUnitedStatesincreasedto13.854 million in 2023[181]. - Revenue from the United States increased to 14.425 million in 2024, up 89.5% from 7.636millionin2023[181].RevenuefromEuroperoseto7.636 million in 2023[181]. - Revenue from Europe rose to 9.546 million in 2024, a 89.1% increase from 5.044millionin2023[181].ThecompanyreliesonsalesfromReWalkPersonalExoskeletons,AlterGAntiGravitysystems,andMyoCycleFEScyclesforrevenuegeneration[30].MarketOpportunitiesandChallengesApproximately575.044 million in 2023[181]. - The company relies on sales from ReWalk Personal Exoskeletons, AlterG Anti-Gravity systems, and MyoCycle FES cycles for revenue generation[30]. Market Opportunities and Challenges - Approximately 57% of the spinal cord injury population is covered by Medicare, which represents a significant market opportunity for the company's products[39]. - The ReWalk Personal Exoskeleton aims to reduce lifetime healthcare costs for individuals with SCI, making it economically attractive for users and payors[52]. - The company faces substantial doubt regarding its ability to continue as a going concern due to potential capital requirements and operating needs[30]. - The company expects that changes to Medicare and Medicaid programs could have a material adverse effect on the healthcare industry[166]. Insurance and Reimbursement - The company is pursuing various paths for reimbursement and support fundraising efforts, particularly through the Veterans Health Administration[38]. - The final lump-sum Medicare purchase fee for the ReWalk Personal Exoskeleton (HCPCS code K1007) is set at 91,032, established through a "gap filling" process by CMS[67]. - In Germany, agreements with insurers such as BARMER and DGUV have been made to provide coverage for ReWalk products, with a formalized reimbursement process finalized in February 2025[42]. - As of February 2025, approximately 45% of the 70 million people in Germany covered by Statutory Health Insurance have defined reimbursement processes for personal exoskeletons[71]. Employee and Operational Insights - The company had 80 employees as of December 31, 2024, with the majority engaged in sales and marketing activities[177]. - The company maintains a good relationship with its employees and has not experienced any work stoppages to date[178]. - The company has contracted with Sanmina Corporation and Cirtronics Corporation for manufacturing, ensuring efficient operations and scale-up capacity[172][173]. Legal and Regulatory Risks - The civil False Claims Act (FCA) can impose treble damages and civil penalties for false claims, potentially aggregating into millions of dollars[145]. - The company may face penalties for violations of healthcare fraud laws, including exclusion from federal healthcare programs and significant civil monetary penalties[152]. - Government authorities and third-party payors are increasingly regulating prices of medical products, leading to lower average selling prices[156]. - The company must comply with various federal and state data privacy and security regulations, including HIPAA and HITECH[150].