Nuwellis, Inc. Announces Third Quarter 2021 Financial Results

November 9, 2021

MINNEAPOLIS, Nov. 09, 2021 (GLOBE NEWSWIRE) -- Nuwellis, Inc. (Nasdaq: NUWE) announced today its results for the third quarter ended September 30, 2021, which included the following highlights:

Generated $1.9 million in total revenue, representing a decline of 3% compared to the prior-year period
Generated $6.3 million in total revenue year-to-date through September 30, representing 16% growth compared to the prior-year period and a 52% increase above the comparable pre-pandemic period in 2019
Opened three new pediatric accounts in the third quarter, the largest quarterly addition in 2021
Announced R&D partnership with Koronis Biomedical Technologies Corporation (KBT) to design and develop a product for children under 20kg with limited kidney function, following a $1.7 million development grant from the National Institutes of Health
Completed an all-common stock capital raise of $10.0 million gross proceeds, ending the quarter with $28.4 million in cash and no debt

“Although the third quarter was a challenging environment due to COVID headwinds, we were able to continue adding new pediatric customers and drive increased utilization within our Critical Care business at key accounts,” said Nestor Jaramillo, CEO of Nuwellis. “Similar to previous cycles where COVID cases drop following spikes in geographic hot spots, we believe we will be able execute our operating plan and accelerate revenue growth in our key markets when the healthcare environment normalizes.”

Third Quarter 2021 Financial Results
Revenue for the third quarter of 2021 was $1.9 million, representing a decline of 3% compared to the prior-year period. This revenue decline was driven primarily by the cancellation of elective procedures and the change in protocol to minimize use of fluid resuscitation when treating critically ill COVID patients.

Critical Care revenue more than doubled compared to the prior-year period but declined sequentially due to COVID headwinds. The Company continues to see strong utilization from key accounts that rely heavily on the Aquadex System to treat non-COVID critically ill patients.
Pediatric revenue declined compared to the prior-year period due to a more difficult hospital operating environment. The Company opened three new pediatric accounts in the third quarter, its largest quarterly addition in 2021, a strong sign of the interest to use the therapy among pediatric institutions.
Heart Failure revenue increased compared to the prior year period but declined sequentially due a spike in COVID cases which negatively impacted patient behavior and access to hospitals.

Gross margin was 60.4% for the third quarter 2021, compared to 46.1% in the prior year period. The increase in gross margin was primarily due to favorable geographic and product mix.

Selling, general and administrative (“SG&A”) expenses for the third quarter of 2021 were $4.6 million, an increase of 9% compared to the prior-year period. The increase in SG&A was primarily due to our continued investment in sales and marketing activities, plus additional administrative costs. Research and development (“R&D”) expenses in the third quarter of 2021 were $1.7 million, an increase of 98% compared to the prior year period. The increase in R&D expenses was driven primarily by investments in new products, namely the new pediatric system, along with increased spending on clinical evidence, regulatory and reimbursement activity.

The net loss for the third quarter of 2021 was $5.3 million, compared to a net loss of $4.3 million in the prior year period reflecting the new investments made this year in product development and clinical evidence, as mentioned above.

Cash and cash equivalents were approximately $28.4 million as of September 30, 2021. During the third quarter of 2021, the Company completed an all-common stock capital raise of $10.0 million in gross proceeds.

Webcast and Conference Call Information
The Company will host a conference call and webcast at 9:00 AM ET today to discuss its financial results and provide an update on the Company’s performance. To access the live webcast, please visit http://ir.nuwellis.com. Alternatively, you may access the live conference call by dialing (877) 303-9826 (U.S.) or (224) 357-2194 (international) and using conference ID: 1436426. An audio archive of the webcast will be available following the call at http://ir.nuwellis.com.

About Nuwellis

Nuwellis, Inc. (Nasdaq: NUWE) is a medical device company dedicated to transforming the lives of patients suffering from fluid overload through science, collaboration, and innovation. The Company is focused on developing, manufacturing and commercializing the Aquadex SmartFlow® system for ultrafiltration therapy. Nuwellis is headquartered in Minneapolis, MN, with a wholly-owned subsidiary in Ireland.

About the Aquadex SmartFlow System
The Aquadex SmartFlow system delivers clinically proven therapy using a simple, flexible and smart method of removing excess fluid from patients suffering from hypervolemia (fluid overload). The Aquadex SmartFlow system is indicated for temporary (up to 8 hours) or extended (longer than 8 hours in patients who require hospitalization) use in adult and pediatric patients weighing 20 kg or more whose fluid overload is unresponsive to medical management, including diuretics. All treatments must be administered by a health care provider, within an outpatient or inpatient clinical setting, under physician prescription, both having received training in extracorporeal therapies.

Forward-Looking Statements
Certain statements in this release are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, including without limitation, statements regarding the new market opportunities and anticipated growth in 2021 and beyond. Forward-looking statements are predictions, projections and other statements about future events that are based on current expectations and assumptions and, as a result, are subject to risks and uncertainties. Many factors could cause actual future events to differ materially from the forward-looking statements in this release, including, without limitation, those risk associated with our ability to execute on our commercialization strategy, the impact of the COVID-19 pandemic, the possibility that we may be unable to raise sufficient funds necessary for our anticipated operations, our post-market clinical data collection activities, benefits of our products to patients, our expectations with respect to product development and commercialization efforts, our ability to increase market and physician acceptance of our products, potentially competitive product offerings, intellectual property protection, our ability to integrate acquired businesses, our expectations regarding anticipated synergies with and benefits from acquired businesses, and other risks and uncertainties described in our filings with the SEC. Forward-looking statements speak only as of the date when made. Nuwellis does not assume any obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise.

FINANCIAL STATEMENTS

NUWELLIS, INC. AND SUBSIDIARY
Condensed Consolidated Statements of Operations and Comprehensive Loss
(unaudited, in thousands, except per share amounts)

		Three months ended September 30,					Nine months ended September 30,
		2021		2020						2021						2020
Net sales	$	1,853		$	1,904			$		6,279			$		5,397
Cost of goods sold		733			1,026					2,682					2,486
Gross profit		1,120			878					3,597					2,911
Operating expenses:
Selling, general and administrative		4,645			4,264					14,945					13,034
Research and development		1,726			871					3,847					2,620
Total operating expenses		6,371			5,135					18,792					15,654
Loss from operations		(5,251	)		(4,257	)			(15,195)					(12,743					)
Other income (expense), net		(19	)		—				(22		)			—
Loss before income taxes		(5,270	)		(4,257	)			(15,217		)			(12,743			)
Income tax expense		(2	)		(3	)			(7		)			(7			)
Net loss	$	(5,272	)	$	(4,260	)		$		(15,224		)	$		(12,750			)

Basic and diluted loss per share	$	(0.75)		$	(2.08	)		$		(2.72		)	$		(11.27			)

Weighted average shares outstanding – basic and diluted		7,098			2,049					5,624					1,287

Other comprehensive loss:
Foreign currency translation adjustments	$	—		$	(7	)		$		(3		)	$		(12			)
Total comprehensive loss	$	(5,272	)	$	(4,267	)		$		(15,227		)	$		(12,762			)

NUWELLIS, INC. AND SUBSIDIARY
Condensed Consolidated Balance Sheets
(in thousands, except share and per share amounts)

		September 30, 2021			December 31, 2020
ASSETS		(unaudited)
Current assets
Cash and cash equivalents	$	28,431		$	14,437
Accounts receivable		1,069			905
Inventories		2,805			2,957
Other current assets		420			237
Total current assets		32,725			18,536
Property, plant and equipment, net		1,265			1,200
Operating lease right-of-use asset		105			255
Other assets		—			21
TOTAL ASSETS	$	34,095		$	20,012

LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities
Accounts payable	$	1,851		$	1,097
Accrued compensation		1,771			2,192
Current portion of operating lease liability		108			206
Current portion of finance lease liability		27			24
Other current liabilities		38			66
Total current liabilities		3,795			3,585
Operating lease liability		—			55
Finance lease liability		33			54
Other Long-term liability		286			—
Total liabilities		4,114			3,694

Commitments and contingencies

Stockholders’ equity
Series A junior participating preferred stock as of September 30, 2021 and December 31, 2020, par value $0.0001 per share; authorized 30,000 shares, none outstanding		—			—
Series F convertible preferred stock as of both September 30, 2021 and December 31, 2020, par value $0.0001 per share; authorized 127 shares, issued and outstanding 127 shares		—			—
Preferred stock as of both September 30, 2021 and December 31, 2020, par value $0.0001 per share; authorized 39,969,873 shares, none outstanding		—			—
Common stock as of September 30, 2021 and December 31, 2020, par value $0.0001 per share; authorized 100,000,000 shares, issued and outstanding 10,537,606 and 2,736,060, respectively		1			—
Additional paid-in capital		278,552			249,663
Accumulated other comprehensive loss:
Foreign currency translation adjustment		(10	)		(7	)
Accumulated deficit		(248,562	)		(233,338	)
Total stockholders’ equity		29,981			16,318
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY	$	34,095		$	20,012

NUWELLIS, INC. AND SUBSIDIARY
Condensed Consolidated Statements of Cash Flows
(unaudited, in thousands)

		Nine months ended September 30,
		2021			2020
Operating Activities:
Net loss	$	(15,224	)	$	(12,750	)
Adjustments to reconcile net loss to cash flows used in operating activities:
Depreciation and amortization		383			253
Stock-based compensation expense, net		993			1,036
Loss on disposal of property and equipment		—			46
Changes in operating assets and liabilities:
Accounts receivable		(164	)		(249	)
Inventory		(105	)		(1,371	)
Other current assets		(183	)		(74	)
Other assets and liabilities		279			112
Accounts payable and accrued expenses		333			(166	)
Net cash used in operating activities		(13,688	)		(13,163	)

Investing Activities:
Purchases of property and equipment		(191	)		(207	)
Net cash used in investing activities		(191	)		(207	)

Financing Activities:
Proceeds from public stock offerings, net		27,896			25,949
Proceeds from warrant exercises		1			4,115
Payments on finance lease liability		(21	)		(14	)
Net cash provided by financing activities		27,876			30,050

Effect of exchange rate changes on cash		(3	)		(12	)
Net increase in cash and cash equivalents		13,994			16,668
Cash and cash equivalents - beginning of period		14,437			1,279
Cash and cash equivalents - end of period	$	28,431		$	17,947

Supplemental cash flow information
Inventory transferred to property, plant and equipment	$	257		$	247
Equipment acquired through finance lease liability	$	—		$	98