10-Q 1 myo-20230331.htm 10-Q 10-Q
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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

(Mark One)

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended March 31, 2023

or

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from to .

Commission File Number 001-38109

 

MYOMO, INC.

(Exact name of Registrant as Specified in its Charter)

 

 

Delaware

47-0944526

(State or Other Jurisdiction of

(I.R.S. Employer

Incorporation or Organization)

 

Identification No.)

 

 

137 Portland St., 4th Floor, Boston, Massachusetts

02114

(Address of principal executive offices)

(Zip Code)

(617) 996-9058

Registrant’s Telephone Number, Including Area Code

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, $0.0001 par value per share

MYO

NYSE American

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes: ☒ No: ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer

Accelerated filer

Non-accelerated filer

Smaller reporting company

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. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes No ☒

At May 3, 2023, the registrant has 20,923,417 shares of common stock, par value $0.0001 per share, outstanding.

 

 

 


Summary of the Material Risks Associated with Our Business

We have a history of operating losses and our financial statements for the three months ended March 31, 2023
include disclosures regarding there being substantial doubt about our ability to continue as a going
concern.
If CMS does not allow coverage for the MyoPro, insurers offering Medicare Advantage insurance plans
may no longer reimburse for the MyoPro, which could have an adverse effect on our business.
Our strategy to maximize revenues by focusing our efforts on patients whose insurance has reimbursed for
the MyoPro in the past has resulted in a concentration of revenues with patients covered by a particular
insurer. Adverse changes in that insurer’s reimbursement policy regarding the MyoPro could have an
adverse effect on our business.
We currently rely, and in the future will rely, on sales of our MyoPro products for our revenue, and we
may not be able to achieve or maintain market acceptance.
We may not be able to obtain third-party payer reimbursement, including reimbursement by Medicare, for
our products.
We depend on a single third-party to manufacture key subassemblies for the MyoPro, and a limited
number of third-party suppliers for certain components of the MyoPro.
We sell to orthotics and prosthetics providers and distributors who are free to market products that
compete with the MyoPro, and we rely on these distributors to market and promote our products in
accordance with their FDA listings, select appropriate patients and provide adequate follow-on care.
The market for myoelectric braces is new and the rate of adoption is uncertain, and important assumptions
about the potential market for our products may be inaccurate.
Defects in our products or the software that drives them could adversely affect the results of our
operations.
We are subject to extensive governmental regulations relating to the design, development, manufacturing,
labeling and marketing, delivery and billing of our products, and a failure to comply with such regulations could lead to
withdrawal or recall of our products from the market.
We depend on certain patents that are licensed to us. We do not control these patents and any loss of our
rights to them could prevent us from manufacturing our products.
Our success depends in part on our ability to obtain and maintain protection for the intellectual property
relating to or incorporated into our products.
The market price of our common stock has been and may continue to be volatile.
Since we sell products in several overseas markets, we are subject to foreign currency fluctuations in
value, which may reduce our revenue per unit in dollars.

 

 


CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS

This Quarterly Report on Form 10-Q constitutes forward-looking statements. Forward-looking statements relate to expectations, beliefs, projections, future plans and strategies, anticipated events or trends and similar matters that are not historical facts. In some cases, you can identify forward-looking statements by terms such as “anticipate,” “believe,” “could,” “estimate,” “expect,” “intend,” “may,” “plan,” “potential,” “should,” “will” and “would” or the negatives of these terms or other comparable terminology.

You should not place undue reliance on forward looking statements. The cautionary statements set forth in this Quarterly Report on Form 10-Q, including in “Risk Factors” and elsewhere, identify important factors which you should consider in evaluating our forward-looking statements. These factors include, among other things:

our ability to achieve reimbursement from third-party payers for our products, including the establishment of coverage and payment policies for our reimbursement codes from third-party payers for our products;
our dependence upon external sources for the financing of our operations;
our ability to obtain and maintain our strategic collaborations and to realize the intended of such collaborations;
our ability to effectively execute our business plan;
our ability to maintain and grow our reputation and to achieve and maintain the market acceptance of our products;
our expectations as to our clinical research program and clinical results;
our ability to improve our products and develop new products;
our ability to manage the growth of our operations over time;
our ability to maintain adequate protection of our intellectual property and to avoid violation of the intellectual property rights of others;
our ability to gain and maintain regulatory approvals;
our ability to maintain relationships with existing customers and develop relationships with new customers;
our ability to compete and succeed in a highly competitive and evolving industry; and
other risks and uncertainties, including those listed under the captain “Risk Factors” in this Quarterly Report on Form 10-Q.

Although the forward-looking statements in this Quarterly Report on Form 10-Q, are based on our beliefs, assumptions and expectations, taking into account all information currently available to us, we cannot guarantee future transactions, results, performance, achievements or outcomes. No assurance can be made to any investor by anyone that the expectations reflected in our forward-looking statements will be attained, or that deviations from them will not be material and adverse. We undertake no obligation, other than as may be required by law, to re-issue this Quarterly Report on Form 10-Q, or otherwise make public statements updating our forward-looking statements.

 


TABLE of CONTENTS

PART I. FINANCIAL INFORMATION

 

 

 

 

 

Item 1. Financial Statements (interim periods unaudited)

 

1

 

 

 

Condensed Consolidated Balance Sheets at March 31, 2023 and December 31, 2022 (audited)

1

 

 

Condensed Consolidated Statements of Operations for the three months ended March 31, 2023, and 2022

2

 

 

 

 

 

 

Condensed Consolidated Statements of Comprehensive Loss for the three months ended March 31, 2023, and 2022

 

 

3

 

 

 

Condensed Consolidated Statements of Changes in Stockholders’ Equity for the three months ended March 31, 2023, and 2022

4

 

 

Condensed Consolidated Statements of Cash Flows for the three months ended March 31, 2023, and 2022

5

 

 

Notes to Condensed Consolidated Unaudited Financial Statements

6

 

 

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

15

 

 

Item 3. Quantitative and Qualitative Disclosures About Market Risk

20

 

 

Item 4. Controls and Procedures

21

 

 

PART II. OTHER INFORMATION

 

 

 

 

 

Item 1. Legal Proceedings

22

 

 

Item 1A. Risk Factors

22

 

 

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds from Registered Securities

42

 

 

Item 6. Exhibits

43

 

 

 

 

 

Signatures

 

 

44

 

 

 


Part 1. FINANCIAL INFORMATION

Item 1. Financial statements

MYOMO, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

 

 

 

March 31,

 

 

December 31,

 

 

 

2023

 

 

2022

 

 

 

(unaudited)

 

 

 

 

ASSETS

 

 

 

 

 

 

Current Assets:

 

 

 

 

 

 

Cash and cash equivalents

 

$

9,263,560

 

 

$

5,345,967

 

Accounts receivable, net

 

 

1,547,801

 

 

 

1,896,163

 

Inventories, net

 

 

1,565,268

 

 

 

1,399,865

 

Prepaid expenses and other current assets

 

 

535,558

 

 

 

573,462

 

Total Current Assets

 

 

12,912,187

 

 

 

9,215,457

 

Operating lease assets with right of use, net

 

 

406,915

 

 

 

508,743

 

Equipment, net

 

 

190,736

 

 

 

194,283

 

Investment in Jiangxi Myomo Medical Assistive Appliance Co. Ltd.

 

 

115,287

 

 

 

132,489

 

Other assets

 

 

111,034

 

 

 

111,034

 

Total Assets

 

$

13,736,159

 

 

$

10,162,006

 

LIABILITIES AND STOCKHOLDERS’ EQUITY

 

 

 

 

 

 

Current Liabilities:

 

 

 

 

 

 

Accounts payable and accrued expenses

 

 

3,475,543

 

 

 

3,086,932

 

Current operating lease liability

 

 

275,028

 

 

 

353,701

 

Income taxes payable

 

 

182,768

 

 

 

140,650

 

Deferred revenue

 

 

747

 

 

 

20,653

 

Total Current Liabilities

 

 

3,934,086

 

 

 

3,601,936

 

Non-current operating lease liability

 

 

169,770

 

 

 

200,207

 

Deferred revenue, net of current portion

 

 

312

 

 

 

498

 

Total Liabilities

 

 

4,104,168

 

 

 

3,802,641

 

Commitments and Contingencies

 

 

 

 

 

 

Stockholders’ Equity:

 

 

 

 

 

 

Preferred stock, $0.0001 par value; 10,000,000 shares authorized; no shares issued or outstanding

 

 

 

 

 

 

Common stock par value $0.0001 per share, 65,000,000 shares authorized;
 
20,922,530 and 7,750,635 shares issued as of March 31, 2023
   and December 31, 2022, respectively; and
20,922,503 and 7,750,608
   shares outstanding at March 31, 2023 and December 31, 2022, respectively

 

 

2,092

 

 

 

775

 

Additional paid-in capital

 

 

100,954,887

 

 

 

95,105,071

 

Accumulated other comprehensive income

 

 

109,015

 

 

 

43,227

 

Accumulated deficit

 

 

(91,427,539

)

 

 

(88,783,244

)

Treasury stock, 27 shares at cost

 

 

(6,464

)

 

 

(6,464

)

Total Stockholders’ Equity

 

 

9,631,991

 

 

 

6,359,365

 

Total Liabilities and Stockholders’ Equity

 

$

13,736,159

 

 

$

10,162,006

 

 

The accompanying notes are an integral part of the condensed consolidated financial statements.

1


MYOMO, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (unaudited)

 

 

 

For the Three Months Ended

 

 

 

March 31,

 

 

 

2023

 

 

2022

 

Revenue

 

 

 

 

 

 

Product revenue

 

$

3,446,708

 

 

$

2,867,926

 

License revenue

 

 

 

 

 

1,000,000

 

 

 

 

3,446,708

 

 

 

3,867,926

 

 

 

 

 

 

 

 

Cost of revenue

 

 

1,139,074

 

 

 

1,290,704

 

Gross profit

 

 

2,307,634

 

 

 

2,577,222

 

Operating expenses:

 

 

 

 

 

 

Research and development

 

 

476,991

 

 

 

659,536

 

Selling, general and administrative

 

 

4,501,608

 

 

 

4,656,417

 

 

 

 

4,978,599

 

 

 

5,315,953

 

 

 

 

 

 

 

 

Loss from operations

 

 

(2,670,965

)

 

 

(2,738,731

)

 

 

 

 

 

 

 

Other (income) expense, net

 

 

 

 

 

 

Interest income

 

 

(86,314

)

 

 

(180

)

Other expense, net

 

 

31

 

 

 

128

 

Loss on equity investment

 

 

17,202

 

 

 

 

 

 

 

(69,081

)

 

 

(52

)

Loss before income taxes

 

 

(2,601,884

)

 

 

(2,738,679

)

Income tax expense

 

 

42,411

 

 

 

76,255

 

Net loss

 

$

(2,644,295

)

 

$

(2,814,934

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares outstanding:

 

 

 

 

 

 

Basic and diluted

 

 

24,196,732

 

 

 

6,885,924

 

Net loss per share attributable to common stockholders

 

 

 

 

 

 

Basic and diluted

 

$

(0.11

)

 

$

(0.41

)

The accompanying notes are an integral part of the condensed consolidated financial statements.

2


MYOMO, INC.

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS (unaudited)

 

 

 

For the Three Months Ended

 

 

 

March 31,

 

 

 

2023

 

 

2022

 

Net loss

 

$

(2,644,295

)

 

$

(2,814,934

)

Other comprehensive income, net of tax:

 

 

 

 

 

 

Foreign currency translation gain

 

 

65,788

 

 

 

9,245

 

Other comprehensive income

 

 

65,788

 

 

 

9,245

 

Comprehensive loss

 

$

(2,578,507

)

 

$

(2,805,689

)

 

The accompanying notes are an integral part of the condensed consolidated financial statements.

 

3


MYOMO, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY (unaudited)

 

 

For the Three Month Period Ending March 31, 2023 and 2022

 

Common stock

Additional
Paid-in

Comprehensive

Accumulated

Treasury Stock

Total
Stockholders’

 

Shares

Amount

Capital

Income

Deficit

Shares

Amount

Equity

Balance, January 1, 2023

7,750,635

$775

$95,105,071

$43,227

$(88,783,244)

27

$(6,464)

$6,359,365

Common stock issued upon vesting of restricted stock units

2,821

Proceeds from sale of common stock in public offering, net of offering costs of $663,856

13,169,074

1,317

3,614,777

3,616,094

Proceeds from sale of 6,830,926 pre-funded warrants, net of offering costs of $155,356

2,064,012

2,064,012

Stock-based compensation

171,027

171,027

Unrealized gain on foreign currency

65,788

65,788

Net loss

(2,644,295)

(2,644,295)

Balance, March 31, 2023

20,922,530

$2,092

$100,954,887

$109,015

$(91,427,539)

27

$(6,464)

$9,631,991

 

 

 

 

 

 

 

 

 

Balance, January 1, 2022

6,869,753

$687

$93,537,807

$(60,677)

$(78,062,222)

27

$(6,464)

$15,409,131

Common stock issued upon vesting of restricted stock units

10,151

1

(1)

Stock-based compensation

266,270

266,270

Unrealized gain on foreign currency

9,245

9,245

Net loss

(2,814,934)

(2,814,934)

Balance, March 31, 2022

6,879,904

$688

$93,804,076

$(51,432)

$(80,877,156)

27

$(6,464)

$12,869,712

 

 

 

The accompanying notes are an integral part of the consolidated financial statements.

4


MYOMO, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited)

 

For the Three Months Ended March 31,

 

2023

 

 

2022

 

CASH FLOWS FROM OPERATING ACTIVITIES

 

 

 

 

 

 

Net loss

 

$

(2,644,295

)

 

$

(2,814,934

)

Adjustments to reconcile net loss to net cash used in operations:

 

 

 

 

 

 

Depreciation

 

 

48,632

 

 

 

45,630

 

Stock-based compensation

 

 

171,027

 

 

 

266,270

 

Bad debt expense

 

 

13,000

 

 

 

26,075

 

Loss on equity investment

 

 

17,202

 

 

 

 

Amortization of right-of-use assets

 

 

101,829

 

 

 

76,654

 

Other non-cash charges

 

 

49,012

 

 

 

(6,364

)

Changes in operating assets and liabilities:

 

 

 

 

 

 

Accounts receivable

 

 

340,533

 

 

 

272,748

 

Inventories

 

 

(157,148

)

 

 

(229,740

)

Prepaid expenses and other current assets

 

 

(53,577

)

 

 

(142,240

)

Other assets

 

 

 

 

 

(16,079

)

Accounts payable and accrued expenses

 

 

386,880

 

 

 

294,828

 

Income taxes payable

 

 

39,417

 

 

 

 

Operating lease liabilities

 

 

(109,109

)

 

 

(97,098

)

Deferred revenue

 

 

(20,093

)

 

 

1,650

 

Net cash used in operating activities

 

 

(1,816,690

)

 

 

(2,322,600

)

CASH FLOWS FROM INVESTING ACTIVITIES

 

 

 

 

 

 

Investment in Jiangxi Myomo Medical Assistive Appliance Co. Ltd.

 

 

 

 

 

(199,000

)

Purchases of equipment

 

 

(45,085

)

 

 

(49,879

)

Net cash used in investing activities

 

 

(45,085

)

 

 

(248,879

)

CASH FLOWS FROM FINANCING ACTIVITIES

 

 

 

 

 

 

Net proceeds from common stock offering

 

 

3,708,045

 

 

 

 

Proceeds from sale of pre-funded warrants, net of offering costs

 

 

2,064,012

 

 

 

 

Net cash provided by financing activities

 

 

5,772,057

 

 

 

 

 

 

 

 

 

 

Effect of foreign exchange rate changes on cash

 

 

7,311

 

 

 

(10,392

)

 

 

 

 

 

 

Net increase (decrease) in cash, cash equivalents

 

 

3,917,593

 

 

 

(2,581,871

)

 

 

 

 

 

 

Cash, cash equivalents, beginning of period

 

 

5,345,967

 

 

 

15,524,378

 

 

 

 

 

 

 

Cash, cash equivalents, end of period

 

$

9,263,560

 

 

$

12,942,507

 

 

 

 

 

 

 

SUPPLEMENTAL DISCLOSURE OF NON-CASH INVESTING
   AND FINANCING ACTIVITIES

 

 

 

 

 

 

Right of use assets obtained in exchange for lease liabilities

 

$

 

 

$

225,665

 

Deferred offering costs incurred in a prior period to additional paid-in capital

 

$

(91,952

)

 

$

 

 

The accompanying notes are an integral part of the condensed consolidated financial statements.

5


MYOMO, INC.

NOTES TO CONDENSED CONSOLIDATED UNAUDITED FINANCIAL STATEMENTS

Note 1 — Description of Business

Myomo Inc. (“Myomo” or the Company”) is a wearable medical robotics company that develops, designs, and produces myoelectric orthotics for people with neuromuscular disorders. The MyoPro ® myoelectric upper limb orthosis product is registered with the U.S. Food and Drug Administration as a Class II medical device. The Company sells its products directly to patients, to Orthotics and Prosthetics ("O&P") providers around the world, the Veterans Health Administration, and distributors in Europe and Australia. The Company was incorporated in the State of Delaware on September 1, 2004 and is headquartered in Boston, Massachusetts.

Note 2 — Going Concern and Management Plans

 

The Company incurred net losses of approximately $2,644,300 and $2,815,000 during the three months ended March 31, 2023 and 2022, respectively, and has an accumulated deficit of approximately $91,427,500 and $88,783,200 at March 31, 2023 and December 31, 2022, respectively. Cash used in operating activities was approximately $1,816,700 and $2,322,600 for the three months ended March 31, 2023 and 2022, respectively.

 

The Company has historically funded its operations through financing activities, including raising equity and debt. On January 17, 2023, the Company completed a public equity offering, selling 13,169,074 shares of common stock and 6,830,926 pre-funded warrants at $0.325 per share or at $0.3249 per warrant, generating proceeds after fees and expenses of approximately $5.7 million. See Note 7 - Common Stock and Warrants for further discussion. Financing activities, such as the recent public equity offering, are enabling the Company to sustain its operations. Considering the Company's cash balance as of March 31, 2023 and the payment of the remaining initial license fee by Jiangxi Myomo Medical Assistive Appliance Co. Ltd. (the "JV Company") in April 2023 (see Note 10 - Subsequent Events) and its cash used from operations over the last twelve months and uncertainty of reimbursement, particularly from the Centers for Medicare and Medicaid Services ("CMS") for Medicare Part B beneficiaries, management believes there is substantial doubt regarding its ability to continue as a going concern.

 

Management's operating plans are primarily focused on growing its revenues and limiting operating expenses through focusing its clinical and reimbursement efforts on patients with insurers that have previously reimbursed for the MyoPro. The Company believes the growth in its patient pipeline during 2022 provides an opportunity to accelerate its revenue growth in 2023. The Company has stopped activities geared toward increasing the number of payers that will reimburse for its products until the Company receives reimbursement for its products provided to Medicare Part B beneficiaries from the CMS, or CMS states its intention to reimburse for its products. As a result, the Company has undertaken cost reduction activities, including the reduction of approximately 12% of its workforce in January 2023. This and other cost reduction efforts are expected to reduce its operating expense run-rate by approximately $2.0 million in 2023. With respect to CMS, the Company met with the medical directors of CMS's administrative billing contractors, referred to as the DME MAC's, in April 2023 to discuss coverage and reimbursement, and discuss initial claims on behalf of Medicare Part B beneficiaries submitted beginning in March 2023. Review of the submitted claims by the DME MAC's is currently in process. The Company's success is dependent upon reimbursement of its products by insurance companies and government-controlled health care plans such as Medicare and Medicaid in the United States and Statutory Health Insurance plans in Germany, which could prevent our revenues from growing to the level necessary to achieve cash flow breakeven.

 

The Company believes that it has access to capital resources through possible public or private equity offerings, exercises of outstanding warrants, additional debt financings, or other means; however, the Company may be unable to raise sufficient additional capital when it needs it or raise capital on favorable terms. As part of the Company's equity offering in January 2023, the Company agreed to not sell any shares of its common stock to Keystone Capital Partners ("Keystone") under the Common Stock Purchase Agreement (the "Purchase Agreement") or under its At-Market Sales Facility, or ATM Facility, for a period of one year from the closing of the offering. The Company has remaining capacity under its Purchase Agreement with Keystone of approximately 1.0 million shares and approximately $0.3 million under its ATM Facility. However, due to its public float, the amount of securities the Company may sell from time to time under the registration statement which registered the ATM Facility may be subject to the limitations imposed by General Instruction I.B.6 of Form S-3. Further, selling the full $5 million to Keystone available under the Purchase Agreement requires approval from shareholders to sell shares in excess of the exchange cap under the rules of the NYSE American. Should the Company consider debt financing, such a transaction may require the Company to pledge certain assets and enter into covenants that could restrict certain business activities or its ability to incur further indebtedness and may contain other terms that are not favorable to its stockholders or the Company.

If the Company is unable to obtain adequate funds on reasonable terms, the Company may be required to significantly curtail or discontinue operations or obtain funds by entering into financing agreements on unattractive terms. There can be no assurance that the Company will be successful in implementing its plans.

 

 

6


Note 3 — Summary of Significant Accounting Policies

Interim Financial Statements

The accompanying unaudited condensed consolidated financial statements and notes are representations of the Company’s management, who are responsible for their integrity and objectivity. These statements have been prepared in accordance with United States generally accepted accounting principles ("U.S. GAAP") for interim financial information pursuant to Regulation S-X. Accordingly, they do not include all of the information and disclosures required by U.S. GAAP for annual financial statements. In the opinion of management, such statements include all adjustments (consisting only of normal recurring items) that are considered necessary for a fair presentation of the condensed consolidated financial statements of the Company as of March 31, 2023 and for the three months ended March 31, 2023 and 2022. The results of operations for the three months ended March 31, 2023 are not necessarily indicative of the operating results for the fiscal year ending December 31, 2023, or any other period. These condensed consolidated financial statements should be read in conjunction with the audited financial statements and related disclosures of the Company as of December 31, 2022 and 2021 and for the years then ended, included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022.

 

Basis of Consolidation

The condensed consolidated financial statements include the accounts of the Company and its wholly-owned subsidiary Myomo Europe GmbH. All significant intercompany balances and transactions are eliminated.

 

Reclassifications

 

Certain prior year amounts have been reclassified to conform to current year's presentation, which management does not consider to be material.

Comprehensive Income

Comprehensive loss includes all changes in equity during a period, except those resulting from investments by stockholders and distributions to stockholders. The Company's comprehensive income includes changes in foreign currency translation adjustments. There were no reclassifications out of accumulated other comprehensive loss in the three months ended March 31, 2023 and 2022, respectively.

Use of Estimates

The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America require management to make estimates and assumptions that affect certain reported amounts and disclosures. These estimates and assumptions are reviewed on an on-going basis and updated as appropriate. Actual results could differ from these estimates. The Company’s significant estimates include deferred tax valuation allowances, valuation of stock-based compensation, warranty obligations and reserves for slow-moving inventory.

Cash and Cash Equivalents

The Company considers all highly liquid investments with an original maturity of three months or less from purchase date to be cash equivalents. Cash and cash equivalents consist principally of deposit accounts and money market accounts at March 31, 2023 and December 31, 2022.

 

Accounts Receivable and Allowance for Doubtful Accounts

The Company reports accounts receivable at invoiced amounts less an allowance for doubtful accounts. The Company evaluates its accounts receivable on a continuous basis and, if necessary, establishes an allowance for doubtful accounts based on a number of factors, including current credit conditions and customer payment history. The Company does not require collateral or accrue interest on accounts receivable and credit terms are generally 30 days. At March 31, 2023, and December 31, 2022, the Company recorded an allowance for doubtful accounts which was immaterial to the financial statements.

 

Joint Venture

On March 28, 2022, the Company invested cash consideration of $199,000 for a 19.9% ownership stake in the JV Company, a company headquartered in China that is majority-owned by Beijing Ryzur Medical Investment Co., Ltd. (“Ryzur Medical”). The JV Company will manufacture and sell the Company’s current and future products in greater China, including Hong Kong, Macau and Taiwan. The Company accounts for its investment in the JV Company under the equity method because the Company exerts significant influence over its management. The investment is included in total assets on the condensed consolidated balance sheet. There was no impairment charge for the three months ended March 31, 2023 associated with this equity investment. The Company records its share of the JV Company's earnings in its

7


condensed consolidated statement of operations in other expense (income). The Company recorded a loss on equity investment of approximately $17,200 for the three months ended of March 31, 2023. The loss on equity investment for the three months ended March 31, 2022 was not material.

 

Revenue Recognition

 

The Company accounts for revenue under ASC 606, “Revenue from Contracts with Customers” and all of the related amendments (Topic 606). Revenues under Topic 606 are required to be recognized either at a “point in time” or “over time,” depending on the facts and circumstances of the arrangement and are evaluated using a five-step model. Generally, the Company recognizes revenue at a point in time.

 

The Company recognizes revenue after applying the following five steps:

1)
Identification of the contract, or contracts, with a customer
2)
Identification of the performance obligations in the contract, including whether they are distinct within the context of the contract
3)
Determination of the transaction price, including the constraint on variable consideration
4)
Allocation of the transaction price to the performance obligations in the contract
5)
Recognition of revenue when, or as, performance obligations are satisfied

Revenue is recognized when control of these services is transferred to our customers, in an amount that reflects the consideration the Company expects to be entitled to in exchange for those services.

Product Revenue

Increasingly, the Company derives its revenue from direct billing. The Company also derives revenue from the sale of its products to O&P providers in the United States and internationally, the Veterans Administration (“VA”) and distributors in Europe and Australia. Under direct billing, the Company recognizes revenue when all of the following criteria are met:

(i)
The product has been delivered to the patient, including completion of initial instruction on its use.
(ii)
Collection is deemed probable and it has been determined that a significant reversal of the revenue to be recognized is not deemed probable when the uncertainty associated with the variable consideration is resolved. As an example, the Company will record revenue if it is notified that insurance intends to pay and a payment amount is provided.
(iii)
The amount to be collected is estimable using the “expected value” estimation techniques, or the “most likely amount” as defined in ASC 606.

For revenue derived from certain insurance companies where the Company has demonstrated sufficient payment history, the Company recognizes revenue when it receives a pre-authorization from the insurance company and control passes to the patient upon delivery of the device in an amount the reflects the consideration the Company expects to receive in exchange for the device. These insurers represented 63% and 53% of direct billing channel revenue during the three months ended March 31, 2023 and 2022, respectively.

Depending on the timing of product deliveries to customers, which is when cost of revenue must be recorded, and when the Company meets the criteria to record revenue, there may be fluctuations in gross margin. During the three months ended March 31, 2023 and 2022, the Company recognized revenue of approximately $1,683,800 and $623,500, respectively, from O&P providers or third-party payers for which costs related to the completion of the Company’s performance obligations were not recorded in the current period.

 

For revenues derived from O&P providers, the VA and rehabilitation hospitals, the Company recognizes revenue when control passes to the customer in an amount that reflects the consideration the Company expects to receive in exchange for those services. Revenues may be recognized upon shipment or upon delivery, depending on the terms of the arrangement, provided that persuasive evidence of an arrangement exists, there are no uncertainties regarding customer acceptance and collectability is deemed probable.

The Company has elected to record taxes collected from customers on a net basis and does not include tax amounts in revenue or cost of revenue.

License Revenue

If a license to the Company’s intellectual property is determined to be distinct from the other performance obligations identified in the arrangement, the Company recognizes revenue allocated to the license when the license is transferred to the customer, the customer is able to use and benefit from the license, and collectability is deemed probable.

 

8


On January 21, 2021, we entered into a definitive agreement with Ryzur Medical to form the JV Company to manufacture and sell our current and future products in greater China, including Hong Kong, Macau and Taiwan (the “JV Agreements”). Under the JV Agreements, we are entitled to receive an upfront license fee of $2.7 million, of which $1.0 million was paid and recognized during the three months ended March 31, 2022. The Company received the remaining amount of $1.7 million in April 2023, which will be recognized in the second quarter of 2023.

Contract Balances

The timing of revenue recognition may differ from the timing of payment by customers. The Company records a receivable when revenue is recognized prior to payment and there is an unconditional right to payment. Alternatively, when payment precedes the provision of the related services, the Company records deferred revenue until the performance obligations are satisfied. The Company had approximately $1,100 and $21,200 of deferred revenue as of March 31, 2023 and December 31, 2022, respectively.

 

Disaggregated Revenue from Contracts with Customers

The following table presents revenue by major source:

 

 

 

For the Three Months
Ended March 31,

 

 

 

2023

 

 

2022

 

Direct to patient

 

$

2,414,614

 

 

$

1,852,144

 

Clinical/Medical providers

 

 

1,032,094

 

 

 

1,015,782

 

License revenue

 

 

 

 

 

1,000,000

 

Total revenue from contracts with customers

 

$

3,446,708

 

 

$

3,867,926

 

 

Geographic Data

The Company generated 80% of its total revenue from the United States, 17% from Germany, and an immaterial amount from other international locations for the three months ended March 31, 2023. The Company generated 57% of its total revenue from the United States, 26% from China, 15% from Germany, and immaterial amounts from international locations the three months ended March 31, 2022.

 

Cost of Revenue

In conjunction with the adoption of ASC 606, there are certain cases in which the Company will expense costs when incurred as required by ASC 340-40-25. In certain cases, the Company ships the MyoPro device to O&P providers, or provides the device directly to patients, pending reimbursement from third-party payers, after which revenue is recognized. For the three months ended March 31, 2023 and 2022, the Company recorded cost of goods sold of approximately $199,800 and $304,200, respectively without corresponding revenue. Direct billing fees paid to O&P providers for services they provide in conjunction with patient evaluations are expensed as incurred as required by ASC 340-40-25, as a cost of obtaining a contract. These costs are recorded as sales and marketing expense. Internal costs incurred and fees paid to O&P providers to measure, fit and deliver the device to patients are expensed to cost of revenue.

 

Advertising

The Company charges the costs of advertising to operating expenses as incurred. Advertising expense amounted to approximately $691,500 and $953,400 during the three months ended March 31, 2023 and 2022, respectively.

 

Foreign Currency Translation

 

The functional currency of the Company’s foreign subsidiary, Myomo Europe GmbH, is the Euro. Foreign exchange translation gains and losses from the Euro to U.S. dollars during the three months ended March 31, 2023 were immaterial and included in accumulated other comprehensive income in the condensed consolidated balance sheet. Transaction and translation foreign exchange gains and losses from a foreign currency to the functional currency are included in cost of revenue expenses in the condensed consolidated statements of operations. Such amounts were immaterial for the three months ended March 31, 2023 and 2022. The balance sheet is translated using the spot rate on the day of reporting and the statement of operations is translated monthly using the average rate for the month.

 

 

Net Loss per Share

Basic net loss per common share is computed by dividing net loss attributable to common stockholders by the weighted average number of common shares outstanding during the period. Diluted net loss per common share is computed by dividing net loss attributable to common stockholders by the weighted average number of common shares outstanding, plus potentially dilutive common shares. Restricted stock,

9


restricted stock units, stock options and warrants are excluded from the diluted net loss per share calculation when their impact is antidilutive. The Company reported a net loss for the three months ended March 31, 2023 and 2022, and as a result, all potentially dilutive common shares are considered antidilutive for these periods.

Potential dilutive common shares issuable consist of the following at:

 

 

 

March 31,

 

 

 

2023

 

 

2022

 

Stock options

 

 

28,327

 

 

 

32,381

 

Restricted stock units

 

 

681,884

 

 

 

279,847

 

Other warrants

 

 

668,250

 

 

 

693,643

 

Total

 

 

1,378,461

 

 

 

1,005,871

 

 

Due to their nominal exercise price of $0.0001 per share, 6,830,926 pre-funded warrants are considered common stock equivalents and are included in weighted average shares outstanding in the accompanying condensed consolidated statement of operations as of the closing date of the Company's public equity offering in January 2023.

 

Recently Adopted Accounting Standards

 

In September 2022, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") 2022-04, Liabilities - Supplier Finance Programs (Subtopic 405-50): Disclosure of Supplier Finance Program Obligations, that requires entities that use supplier finance programs in connection with the purchase of goods and services to disclose the key terms of the programs and information about obligations outstanding at the end of the reporting period, including a rollforward of those obligations. The guidance does not affect the recognition, measurement or financial statement presentation of supplier finance program obligations. The new standard’s requirements to disclose the key terms of the programs and information about obligations outstanding are effective for fiscal years, including interim periods, beginning after December 15, 2022, except for the requirement to disclose a rollforward of obligations outstanding will be effective for fiscal years beginning after December 15, 2023. Early adoption is permitted. The Company has adopted this new standard, which did not have a material impact on its financial position and results of operations.

Subsequent Events

The Company evaluates whether there have been subsequent events through the date the financial statements were issued and determines whether subsequent events exist that would require recognition in the financial statements or disclosure in the notes to the financial statements.

 

Note 4 — Inventories

Inventories consist of the following at:

 

 

 

March 31,
2023

 

 

December 31,
2022

 

Finished goods

 

$

439,091

 

 

$

512,028

 

Work in process

 

 

17,422

 

 

 

18,971

 

Rental units

 

 

51,694

 

 

 

51,694

 

Parts and subassemblies

 

 

1,133,617

 

 

 

903,581

 

 

 

 

1,641,824

 

 

 

1,486,274

 

Less: reserve for rental and trial units

 

 

(76,556

)

 

 

(86,409

)

Inventories, net

 

$

1,565,268

 

 

$

1,399,865

 

 

 

Note 5 — Fair Value of Financial Instruments

The Company measures the fair value of financial assets and liabilities based on the guidance of ASC 820, “Fair Value Measurement” (“ASC 820”), which defines fair value, establishes a framework for measuring fair value, and establishes disclosures about fair value measurements.

ASC 820 defines fair value as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. ASC 820 also establishes a fair value hierarchy, which requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. ASC 820 describes three levels of inputs that may be used to measure fair value:

Level 1 — Quoted prices available in active markets for identical assets or liabilities.

10


Level 2 — Observable inputs other than quoted prices included in Level 1, such as quotable prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets and liabilities in markets that are not active; or other inputs that are observable or can be corroborated by observable market data.
Level 3 — Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. This includes certain pricing models, discounted cash flow methodologies and similar valuation techniques that use significant unobservable inputs.

The carrying amounts of the Company’s financial instruments such as cash and cash equivalents, accounts receivable and accounts payable, approximate fair value due to the short-term nature of these instruments. Cash equivalents consist of a money market fund that limits its investments to only short-term U.S. Treasury securities and repurchase agreements related to these securities.

Cash equivalents measured at fair value on a recurring basis at March 31, 2023 were as follows:

 

 

 

In Active
Markets for
Identical Assets
or Liabilities
(Level 1)

 

 

Significant
Other
Observable
Inputs
(Level 2)

 

 

Significant
Unobservable
Inputs
(Level 3)

 

 

Total

 

Cash equivalents

 

$

7,894,919

 

 

$

 

 

$

 

 

$

7,894,919

 

 

Cash equivalents measured at fair value on a recurring basis at December 31, 2022 were as follows:

 

 

 

In Active
Markets for
Identical Assets
or Liabilities
(Level 1)

 

 

Significant
Other
Observable
Inputs
(Level 2)

 

 

Significant
Unobservable
Inputs
(Level 3)

 

 

Total

 

Cash equivalents

 

$

4,350,657

 

 

$

 

 

$

 

 

$

4,350,657

 

 

 

Note 6 - Accounts Payable and Accrued Expenses:

Accounts Payable and Other Accrued Expenses consists of the following at:

 

 

 

March 31,
2023

 

 

December 31,
2022

 

Trade payables

 

$

906,805

 

 

$

569,681

 

Accrued compensation and benefits

 

 

1,234,164

 

 

 

1,059,228

 

Accrued professional services

 

 

123,797

 

 

 

124,548

 

Warranty reserve

 

 

129,930

 

 

 

234,647

 

Customer deposits

 

 

932,589