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Xtant Medical Reports Third Quarter 2017 Financial Results

Company restructuring efforts continue to gain traction towards profitability

Third Quarter 2017 Highlights

  • Reported third quarter 2017 revenue of $19.8 million compared to $23.1 million reported during the third quarter of 2016
  • Operating Expenses decreased 17% to $14.9 million, compared to $17.9 million reported during the third quarter of 2016
  • Third quarter 2017 EBITDA of $1.4 million compared to $0.7 million reported during the third quarter of 2016  
  • Company management to host conference call at 9:00 AM Eastern Time November 22, 2017

BELGRADE, Mont., Nov. 21, 2017 (GLOBE NEWSWIRE) -- Xtant™ Medical Holdings, Inc. (NYSE American:XTNT), a leader in the development of regenerative medicine products and medical devices, today reported its financial results for the quarter ended September 30th, 2017. The Company reported Third Quarter 2017 revenue of approximately $19.8 million and EBITDA of approximately $1.4 million for the period.

Consolidated third quarter 2017 revenue was approximately $19.8 million, compared to revenue of approximately $23.1 million for the same period of 2016.  The decrease in revenue is due to the company's continued efforts to reduce underperforming sales channels and unprofitable distributor agreements resulting in a decrease of fixation revenue offset by an increase in biologics revenue.

"As we transition the business, our focus will be on profitable revenue growth", said Carl O' Connell, Chief Executive Officer of Xtant Medical. "We continue to rationalize sales that are not profitable to the business and removing expenses that are not yielding returns.  Although our revenues were lower during the period, true operating leverage in the business is beginning to take shape. Once we have completed our restructuring efforts, we will be well positioned to grow revenues and profitability."

Gross Profit
Consolidated gross profit for the third quarter of 2017 was approximately $11.4 million or 57.5% of revenues, compared to gross profit of approximately $16.0 million or 69.2% of revenues for the third quarter of 2016.   The decrease in gross profit is due to a shift in product mix to biologics which has a lower margin than fixation products.  In addition, inventory and surgical instruments reserves were increased $1.1 million in the third quarter of 2017 over the prior year based on current estimates of missing or damaged parts, primarily on consignment.  Gross margin was also impacted by a one-time adjustment of $900,000 in inventory and surgical instrument reserves related to litigation with a distributor.

General and Administrative Expenses
In the third quarter of 2017, consolidated general and administrative expenses decreased to $3.3 million, compared to general and administrative expenses of $3.8 million for the same period during the prior year. As a percentage of revenues, general and administrative expenses were 16.8% during the period, compared to 16.3% for the same period of 2016. The reduction in expenses is primarily due to lower personnel expense and occupancy costs of $1.9 million as a result of restructuring efforts, offset by an increase of $1.1 million in other administrative costs such as legal fees, insurance, bad debts, and finance costs.  In addition, the Company took a one time write-off of $400,000 related to litigation with a distributor.

Sales and Marketing Expenses
Consolidated third quarter 2017 sales and marketing expenses decreased to $8.9 million, compared to sales and marketing expenses of $11.2 million during the same period in 2016. For the quarter, sales and marketing as a percentage of revenues decreased to 45.0% compared to 48.7% in the third quarter of 2016.  Changes made to the commission rate structure for sales distributors, a reduction of $1.6 million over the third quarter of 2016, coupled with a reduction in sales and marketing personnel of $1.0 million, offset by an increase in other net marketing expenses of $300,000, resulted in lower sales and marketing expense in the quarter.

Separation Expenses
One-time separation related expenses were $800,000 for the quarter ended September 30, 2017.  The reduction in personnel related to restructuring the Company for profitable operations, and is a key factor in the reduction of operating expenses for the third quarter and year to date.

Net Income / Loss
Third quarter 2017 consolidated net loss increased to ($8.5) million, compared to a net loss of ($4.9) million reported during the year-ago period. Third quarter 2017 consolidated loss per share was ($0.47), compared to a loss per share of ($0.40) in the third quarter of 2016.

The Company defines earnings before interest, taxes, depreciation and amortization ("EBITDA") as net income/loss from operations before depreciation, amortization, impairment charges, non-recurring expenses and non-cash stock-based compensation. Consolidated EBITDA for the third quarter of 2017 was approximately $1.4 million compared to $0.7 million for the same period during 2016 after the net income loss adjustment of $3.8 million in interest expense which increased 20.4%, $1.3 million in one-time total litigation reserves, $1.1 million increase in other expenses, representing restructuring costs consisting primarily of legal and professional fees, and the adjustment of $0.8 million of separation-related expenses related to the restructuring.

Recent Filings
On November 20, 2017, the Company filed a Form 8-K disclosing a restatement of its financial statements included in the Form 10-Q for the quarters ended March 31, 2017 and June 30, 2017.  This restatement resulted in a decline in net income in the quarter ended March 31, 2017 of $0.6 million related to accumulated depreciation of property and equipment. 

Financial Liquidity and Outstanding Debt
At September 30, 2017, the Company had $2.1 million of cash and cash equivalents; $13.9 million of net accounts receivable and $24.8 million of inventory plus approximately $2.1 million of funds available to draw down on its delayed draw term loan.

The Company reduced its accounts payable from $11.1 million at December 31, 2016, to $7.7 million as of September 30, 2017. Accrued liabilities of $13.4 million at September 30th, rose from $9.0 million at December 31, 2016 primarily due to the accumulation of accrued interest on long-term debt, the payment of which has been delayed as noted in recent amendments of the Company’s long-term debt agreements.

The Company's long-term debt agreement includes a minimum revenue covenant requiring the Company to achieve minimum revenue benchmarks on a calendar quarter basis. A waiver was obtained from the lenders for not achieving the minimum revenue covenant for the third quarter ended September 30, 2017. The minimum revenue covenant is $27.5 million for the fourth quarter ended December 31, 2017. The Company does not anticipate achieving this minimum revenue covenant and it is not assured the lenders will provide a waiver of this anticipated covenant violation at this future date. The Company has classified this debt as a current liability in its September 30, 2017 balance sheet.

Conference Call to be Held November 22, 2017
An accompanying listen-only conference call will be hosted by Carl O'Connell, Chief Executive Officer, and Laura Kendall, interim Chief Financial Officer, to discuss the results. The call will be held at 9:00 AM ET, on November 22, 2017. Please refer to the information below for conference call dial-in information and webcast registration.

Conference date: November 22, 2017, 9:00 AM ET
Conference dial-in: 877-269-7756
International dial-in: 201-689-7817
Conference Call Name: Xtant Medical's Third Quarter 2017 Results Call
Webcast Registration: Click Here
Following the live call, a replay will be available on the Company's website,, under "Investor Info."

About Xtant™ Medical Holdings, Inc.

Xtant Medical Holdings, Inc. (NYSE American:XTNT) develops, manufactures and markets class-leading regenerative medicine products and medical devices for domestic and international markets. Xtant products serve the specialized needs of orthopedic and neurological surgeons, including orthobiologics for the promotion of bone healing, implants and instrumentation for the treatment of spinal disease, tissue grafts for the treatment of orthopedic disorders, and biologics to promote healing following cranial, and foot and ankle surgeries. With core competencies in both biologic and non-biologic surgical technologies, Xtant can leverage its resources to successfully compete in global neurological and orthopedic surgery markets. For further information, please visit

Important Cautions Regarding Forward-looking Statements 

This press release contains certain disclosures that may be deemed forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 that are subject to significant risks and uncertainties. Forward-looking statements include statements that are predictive in nature, that depend upon or refer to future events or conditions, or that include words such as "continue," "efforts," "expects," "anticipates," "intends," "plans," "believes," "estimates," "projects," "forecasts," "strategy," "will," "goal," "target," "prospects," "potential," "optimistic," "confident," "likely," "probable" or similar expressions or the negative thereof. Statements of historical fact also may be deemed to be forward-looking statements. We caution that these statements by their nature involve risks and uncertainties, and actual results may differ materially depending on a variety of important factors, including, among others:  the ability to comply with covenants in the Company’s senior credit facility and to make deferred interest payments; the ability to maintain sufficient liquidity to fund operations; the ability to remain listed on the NYSE American; the ability to obtain financing on reasonable terms; the ability to increase revenue; the ability to continue as a going concern; the ability to maintain sufficient liquidity to fund operations; the ability to achieve expected results; the ability to remain competitive; government regulations; the ability to innovate and develop new products; the ability to obtain donor cadavers for products; the ability to engage and retain qualified technical personnel and members of the Company’s management team; the availability of Company facilities; government and third-party coverage and reimbursement for Company products; the ability to obtain regulatory approvals; the ability to successfully integrate recent and future business combinations or acquisitions; the ability to use net operating loss carry-forwards to offset future taxable income; the ability to deduct all or a portion of the interest payments on the notes for U.S. federal income tax purposes; the ability to service Company debt; product liability claims and other litigation to which we may be subjected; product recalls and defects; timing and results of clinical studies; the ability to obtain and protect Company intellectual property and proprietary rights; infringement and ownership of intellectual property; the ability to remain accredited with the American Association of Tissue Banks; influence by Company management; the ability to pay dividends; and the ability to issue preferred stock; and other factors.

Additional risk factors are listed in the Company's Annual Report on Form 10-K and Quarterly Reports on Form 10-Q under the heading "Risk Factors." The Company undertakes no obligation to release publicly any revisions to any forward-looking statements to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events, except as required by law.


    As of     As of   
    September 30,     December 31,  
    2017     2016  
Current Assets:                
Cash and cash equivalents   $ 2,069,088     $ 2,578,267  
Trade accounts receivable, net of allowance for doubtful accounts of $2,109,155 and $1,653,385 respectively     13,909,090       18,991,872  
Current inventories, net     24,038,913       26,266,457  
Prepaid and other current assets     664,581       1,149,615  
Total current assets     40,681,672       48,986,211  
Non-current inventories, net     717,817       971,854  
Property and equipment, net     11,450,837       15,840,730  
Goodwill     41,534,626       41,534,626  
Intangible assets, net     32,548,102       35,940,810  
Other assets     1,523,430       827,374  
Total Assets   $ 128,456,484     $ 144,101,605  
Current Liabilities:                
Accounts payable   $ 7,350,313     $ 10,471,944  
Accounts payable - related party (note 13)     344,150       640,442  
Revolving line of credit     -       10,448,283  
Accrued liabilities     13,425,741       8,982,187  
Warrant derivative liability     196,929       333,613  
Current portion of capital lease obligations     319,095       244,847  
Debt, less issuance costs     65,609,693       -  
Total current liabilities     87,245,921       31,121,316  
Long-term Liabilities:                
Capital lease obligation, less current portion     658,011       832,152  
Long-term convertible debt, less issuance costs     70,781,212       68,937,247  
Long-term debt, less issuance costs     -       50,284,187  
Total Liabilities     158,685,144       151,174,902  
Commitments and Contingencies (note 10)                
Stockholders’ Deficit:                
Preferred stock, $0.000001 par value; 5,000,000 shares authorized; no shares issued and Outstanding     -       -  
Common stock, $0.000001 par value; 95,000,000 shares authorized; 18,173,007 shares issued and outstanding as of September 30, 2017 and 17,249,315 shares issued and outstanding as of December 31, 2016     18       17  
Additional paid-in capital     86,297,517       85,461,210  
Accumulated deficit     (116,526,195 )     (92,534,524 )
Total Stockholders’ Deficit     (30,228,660 )     (7,073,297 )
Total Liabilities & Stockholders’ Deficit   $ 128,456,484     $ 144,101,605  


    Three Months Ended
September 30,
    Nine Months Ended
September 30,
    2017     2016     2017     2016  
Orthopedic product sales   $ 19,618,192     $ 22,907,717     $ 62,985,537     $ 65,025,908  
Other revenue     170,891       186,423       294,375       505,971  
Total Revenue     19,789,083       23,094,140       63,279,912       65,531,879  
Cost of sales     8,416,239       7,114,041       23,472,107       20,749,381  
Gross Profit     11,372,844       15,980,099       39,807,805       44,782,498  
Operating Expenses                                
General and administrative     3,330,230       3,773,236       11,985,041       11,216,112  
Sales and marketing     8,903,777       11,242,820       31,037,878       32,115,763  
Research and development     504,227       928,930       1,842,907       2,612,402  
Depreciation and amortization     1,353,997       1,265,490       4,104,565       3,690,519  
Acquisition and integration related expenses     -       517,083       -       1,269,613  
Separation related expenses     791,538       -       1,396,457       -  
Non-cash consulting expense     (20,000 )     156,129       216,581       266,721  
Total Operating Expenses     14,863,769       17,883,688       50,583,429       51,171,130  
Loss from Operations     (3,490,925 )     (1,903,589 )     (10,775,624 )     (6,388,632 )
Other Income (Expense)                                
Interest expense     (3,809,771 )     (3,163,534 )     (10,538,422 )     (8,974,895 )
Change in warrant derivative liability     (19,549 )     220,409       136,684       716,738  
Other income (expense)     (1,194,041 )     (51,350 )     (2,814,309 )     (309,924 )
Total Other Income (Expense)     (5,023,361 )     (2,994,475 )     (13,216,047 )     (8,568,081 )
Net Loss from Operations   $ (8,514,286 )   $ (4,898,064 )   $ (23,991,671 )   $ (14,956,713 )
Net loss per share:                                
Basic   $ (0.47 )   $ (0.40 )   $ (1.33 )   $ (1.24 )
Dilutive   $ (0.47 )   $ (0.40 )   $ (1.33 )   $ (1.24 )
Shares used in the computation:                                
Basic     18,169,511       12,193,970       18,065,911       12,064,782  
Dilutive     18,169,511       12,193,970       18,065,911       12,064,782  

    Nine Months Ended
September 30,
    2017     2016  
Operating activities:                
Net loss   $ (23,991,671 )   $ (14,956,713 )
Adjustments to reconcile net loss to net cash used in operating activities:                
Depreciation and amortization     7,432,544       5,551,854  
Non-cash interest     9,966,139       4,477,148  
Loss on impairment and disposal of fixed assets     1,909,385       -  
Non-cash consulting expense/stock option expense     592,888       522,987  
(Gain) loss on sale of fixed assets     -       (14,149 )
Provision for losses on accounts receivable and inventory     1,710,746       898,285  
Change in derivative warrant liability     (136,684 )     (716,738 )
Changes in operating assets and liabilities:                
Accounts receivable     4,135,353       (859,026 )
Inventories     1,718,264       (3,958,050 )
Prepaid and other assets     (211,022 )     (1,482,561 )
Accounts payable     (3,417,923 )     3,155,962  
Accrued liabilities     (896,788 )     (3,813,998 )
Net cash used by operating activities     (1,188,769 )     (11,194,999 )
Investing activities:                
Purchases of property and equipment and intangible assets     (1,455,845 )     (5,566,569 )
Proceeds from sale of fixed assets     -       16,400  
Net cash used by investing activities     (1,455,845 )     (5,550,169 )
Financing activities:                
Proceeds from long-term debt     12,787,094       -  
Payments on capital leases     (203,376 )     (80,071 )
Proceeds from the issuance of long-term debt     -       1,000,000  
Proceeds from the issuance of convertible debt     -       2,212,718  
Proceeds from revolving line of credit     -       8,353,113  
Payments on revolving line of credit     (10,448,283 )     -  
Net proceeds from issuance of stock     -       300,000  
Net cash provided by financing activities     2,135,435       11,785,760  
Net change in cash and cash equivalents     (509,179 )     (4,959,408 )
Cash and cash equivalents at beginning of period     2,578,267       6,368,016  
Cash and cash equivalents at end of period   $ 2,069,088     $ 1,408,608  

Calculation of Consolidated EBITDA for the Periods Ended September 30, 2017 and 2016
  For  the  three months ended   For  the  nine  months  ended
    2017     2016       2017     2016  
Net Loss $ (8,514,286 ) $ (4,898,064 )   $ (23,991,671 ) $ (14,956,713 )
Tax (Benefit) Provision     -       -         -       -  
Other (Income) Expense   1,194,041     51,350       2,814,309     309,924  
Change in warrant derivative liability   19,549     (220,409 )     (136,684 )   (716,738 )
Interest expense   3,809,771     3,163,533       10,538,422     8,974,895  
Separation related expenses   791,537       -       1,396,457       -  
Acquisition and Integration related expenses     -     517,083         -     1,269,613  
Non-Cash Compensation   (20,000 )   156,129       216,581     266,721  
Litigation Reserve   1,342,049     -       1,342,049     -  
Depreciation, Amortization & Asset Impairment      2,797,118     1,902,490       7,036,559     5,551,852  
EBITDA Gain (Loss) $ 1,419,779   $ 672,112     $ (783,978 ) $ $699,554  


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