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News Release

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 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

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.


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 )  

Condensed Consolidated Balance Sheets
(in thousands, except share and per share amounts)

30, 2021
    December 31,
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    
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
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    

Condensed Consolidated Statements of Cash Flows
(unaudited, in thousands)

    Nine months ended
September 30,

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    


George Montague
Chief Financial Officer, Nuwellis, Inc.

Matt Bacso
Gilmartin Group

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Source: Nuwellis, Inc.