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Nuwellis, Inc. Announces Third Quarter 2024 Financial Results and Recent Highlights

November 11, 2024

MINNEAPOLIS, Nov. 11, 2024 (GLOBE NEWSWIRE) -- Nuwellis, Inc. (Nasdaq: NUWE), a medical device company focused on transforming the lives of people with fluid overload, today reported financial results for the third quarter ended September 30, 2024.

Recent Highlights:

  • Received a 297% CMS reimbursement increase to $1,639 for Aquadex facility fee, effective January 1, 2025.
  • Revenue of $2.4 million.
  • Pediatrics revenue growth of 28% compared to the prior year quarter.
  • Gross margin of 70%, compared to 57.3% in the prior-year quarter.
  • Total operating cost reduction of 30% compared to the prior-year quarter.
  • New study published in Current Problems in Cardiology highlighted statistically significant reduction in Heart Failure readmissions at 60 days when using Aquadex.
  • Added three new pediatric accounts and two new adult accounts.
  • Received $5.1 million in gross proceeds through the November exercise of outstanding warrants.

“We commend the hard work and dedication of the Nuwellis team, fueling steady market adoption of our Aquadex ultrafiltration therapy, with revenue in the third quarter 2024 led by console sales and new account wins in our Pediatric customer category, which posted 28% annual growth,” said Nestor Jaramillo, President and CEO of Nuwellis. “We continue to see momentum with new accounts steadily opening on increasing awareness of the efficacy and supporting clinical evidence for Aquadex ultrafiltration therapy in the adult and pediatric customer categories. We believe these newly published clinical results will have a positive impact in growing our business and supporting Aquadex in becoming the standard of care for fluid removal when diuretics are ineffective. Following the closing of the quarter, we received notice of a 297% increase to $1,639 per day in reimbursement from the Centers for Medicare and Medicaid Services (CMS) which greatly expands the outpatient marketplace for fluid removal. This reimbursement increase is effective January 1, 2025.”

Third Quarter 2024 Financial Results

Revenue for the third quarter of 2024 was $2.4 million, a 2% decrease compared to the prior-year quarter. The year-over-year decrease is attributable to a decrease in consumables utilization, a decrease in US console sales offset by a one-time increase in SeaStar Medical Quelimmune sales.

Gross margin was 70% for the third quarter of 2024, compared to 57.3% in the prior-year quarter. The increase was primarily driven by higher manufacturing volumes of consumables and lower fixed overhead manufacturing expenses.

Selling, general and administrative expenses (SG&A) for the third quarter of 2024 decreased to $2.7 million, compared to $3.4 million in the prior-year quarter. The decrease in SG&A expense was primarily realized through efficiency initiatives enacted in the second half of 2023.

Third quarter research and development (R&D) expenses were $486 thousand, compared to $1.1 million in the prior-year quarter. The decrease in R&D expense was primarily due to reduced consulting fees and compensation related expenses.

Total operating expenses for the third quarter of 2024 were $3.2 million, a 30% decrease compared to $4.5 million in the prior-year quarter as we continue to realize savings from operating efficiency initiatives enacted in the second half of 2023.

Operating loss for the third quarter of 2024 decreased to $1.5 million compared to an operating loss of $3.2 million in the prior-year quarter.

Net income attributable to common shareholders for the third quarter of 2024 was $2.4 million, or a gain of $1.74 per basic and diluted common share, compared to a net loss attributable to common shareholders of $3.4 million, or a loss of $63.27 per basic and diluted common share in the prior-year quarter. Third quarter net income improvement was primarily the result of the revaluation of a prior period warrant liability, resulting in a $3.9 million dollar benefit.

As of September 30, 2024, the Company had no debt, cash and cash equivalents of approximately $1.9 million, and approximately 1.9 million common shares outstanding. Shareholder equity was $3.2 million, which we intend to submit to Nasdaq in support of our continued listing on the Nasdaq Stock Market.

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 the Investors page of the Nuwellis website at https://ir.nuwellis.com. Alternatively, you may access the live conference call by dialing 1-800-445-7795 (U.S) or 1-785-424-1789 (international) and using the conference ID: NUWEQ3. An audio archive of the webcast will be available following the call on the Investors page at https://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 commercializing the Aquadex SmartFlow® system for ultrafiltration therapy. Nuwellis is headquartered in Minneapolis, with a wholly owned subsidiary in Ireland. For more information visit ir.nuwellis.com or visit us on LinkedIn or X.

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 may be considered 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 2024 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 risks associated with our ability to execute on our commercialization strategy, 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 due to new information, future events or otherwise.

CONTACTS

INVESTORS:
Vivian Cervantes
Gilmartin Group
ir@nuwellis.com

NUWELLIS, INC. AND SUBSIDIARY
Condensed Consolidated Balance Sheets
(in thousands, except share and per share amounts)
 
    September 30,
2024
    December 31,
2023

 
ASSETS   (Unaudited)        
Current assets            
Cash and cash equivalents $ 1,907     $ 3,800    
Accounts receivable   1,293       1,951    
Inventories, net   1,864       1,997    
Other current assets   430       461    
Total current assets   5,494       8,209    
Property, plant and equipment, net   551       728    
Operating lease right-of-use asset   563       713    
Other assets   120       120    
TOTAL ASSETS $ 6,728     $ 9,770    
             
LIABILITIES, CONVERTIBLE PREFERRED STOCK AND STOCKHOLDERS’ EQUITY            
Current liabilities            
Accounts payable and accrued liabilities $ 1,822     $ 2,380    
Accrued compensation   597       525    
Current portion of operating lease liability   232       216    
Other current liabilities   50       51    
Total current liabilities   2,701       3,172    
Common stock warrant liability   480       2,843    
Operating lease liability   368       544    
Total liabilities   3,549       6,559    
Commitments and contingencies            
             
Mezzanine Equity            
Series J Convertible Preferred Stock as of September 30, 2024 and December 31, 2023, par value $0.0001 per share; authorized 600,000 shares, issued and outstanding 95 and 11,950, respectively
  2       221    
                 
Stockholders’ equity                
Series A junior participating preferred stock as of September 30, 2024 and December 31, 2023, par value $0.0001 per share; authorized 30,000 shares, none outstanding            
Series F convertible preferred stock as of September 30, 2024 and December 31, 2023, par value $0.0001 per share; authorized 18,000 shares, issued and outstanding 127 shares            
Preferred stock as of September 30, 2024 and December 31, 2023, par value $0.0001 per share; authorized 39,352,000 shares, none outstanding            
Common stock as of September 30, 2024 and December 31, 2023, par value $0.0001 per share; authorized 100,000,000 shares, issued and outstanding 1,866,890 and 162,356, respectively            
Additional paid-in capital   300,546       290,647    
Accumulated other comprehensive income: Foreign currency translation adjustment   (46 )     (31 )  
Accumulated deficit   (297,323 )     (287,626 )  
Total stockholders’ equity   3,177       2,990    
TOTAL LIABILITIES, CONVERTIBLE PREFERRED STOCK AND STOCKHOLDERS’ EQUITY $ 6,728     $ 9,770    
 


NUWELLIS, INC. AND SUBSIDIARY
Condensed Consolidated Statements of Operations and Comprehensive Loss
(Unaudited)
(in thousands, except per share amounts and weighted average shares outstanding)
 
    Three months ended
September 30
Nine months ended
September 30
    2024       2023       2024       2023
Net sales $ 2,367     $ 2,412     $ 6,418     $ 6,313    
Cost of goods sold   711       1,031       2,097       2,718    
Gross profit   1,656       1,381       4,321       3,595    
Operating expenses:                            
Selling, general and administrative   2,702       3,428       10,544       13,582    
Research and development   486       1,117       2,378       4,050    
Total operating expenses   3,188       4,545       12,922       17,632    
Loss from operations   (1,532 )     (3,164 )     (8,601 )     (14,037 )  
Other income (expense), net   8       (204 )     (87 )     98    
Financing Expense               (5,607 )        
Change in fair value of warrant liability   3,882             4,602       (755 )  
Income (loss) before income taxes   2,358       (3,368 )     (9,693 )     (14,694 )  
Income tax expense         (2 )     (4 )     (6 )  
Net income (loss) $ 2,358     $ (3,370 )   $ (9,697 )   $ (14,700 )  
Deemed dividend attributable to Series J Convertible Preferred Stock               541          
Net income (loss) attributable to common shareholders $ 2,358 )   $ (3,370 )   $ (9,156 )   $ (14,700 )  
                             
Basic and diluted net income (loss) per share $ 1.74     $ (63.27 )   $ (14.99 )   $ (357.42 )  
                             
Weighted average shares outstanding – basic and diluted   1,351,939       53,265       647,079       41,128    
                             
Other comprehensive loss:                            
Foreign currency translation adjustments $ (4 )   $     $ (15 )   $ (6 )  
Total comprehensive income (loss) $ 2,354     $ (3,370 )   $ (9,171 )   $ (14,706 )  
 


NUWELLIS, INC. AND SUBSIDIARY
Condensed Consolidated Statements of Cash Flows
(Unaudited)
(in thousands)
 
  Nine months ended
September 30
  2024
  2023
 
         
Operating Activities:                
Net loss $ (9,697 )   $ (14,700 )  
Adjustments to reconcile net loss to cash flows used in operating activities:                
Depreciation and amortization   227       253
   
Stock-based compensation expense   374       513    
Change in fair value of warrant liability   (4,602 )     755
   
Warrant financing costs   5,607      
   
Net realized gain on marketable securities         (65
)  
Changes in operating assets and liabilities:                
Accounts receivable   658       (19
)  
Inventory, net   120       325    
Other current assets   (275 )     (551 )  
Other assets and liabilities   (13 )     (16 )  
Accounts payable and accrued expenses   (486 )     (1,678 )  
Net cash used in operating activities   (8,087 )     (15,183
)  
                 
Investing Activities:                
Proceeds from sale of marketable securities         578    
Additions to intangible assets         (99 )  
Purchases of property and equipment   (37 )     (185 )  
Net cash provided by (used in) investing activities   (37 )     294
   
                 
Financing Activities:                
Issuance of common stock from offering   2,403          
Proceeds from the exercise of Series J Convertible Preferred Warrants   501          
Proceeds from the exercise of April 2024 Warrants   1,182          
Issuance of July and August 2024 Common Stock and Warrants   2,160          
Proceeds from ATM stock offerings, net         2,108    
Payments on finance lease liability         (20 )  
Net cash provided by financing activities   6,246       2,088
   
                 
Effect of exchange rate changes on cash   (15 )     (6 )  
Net decrease in cash and cash equivalents   (1,893 )     (12,807 )  
Cash and cash equivalents - beginning of period   3,800       17,737    
Cash and cash equivalents - end of period $ 1,907     $ 4,930    
 

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Source: Nuwellis, Inc.

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