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home / news releases / RTIX - RTI Surgical® Announces Second Quarter 2019 Results


RTIX - RTI Surgical® Announces Second Quarter 2019 Results

Record Revenue Driven by Strong Growth Across Global Spine and OEM Franchises Amplified by Addition of coflex® Interlaminar Stabilization® Device

DEERFIELD, Ill., Aug. 01, 2019 (GLOBE NEWSWIRE) -- RTI Surgical Holdings, Inc. (Nasdaq: RTIX), a global surgical implant company, reported operating results for the second quarter of 2019.

Second Quarter 2019 Highlights:

  • Revenue of $82.3 million, up approximately 16% compared to the second quarter of 2018
  • Net income of $0.7 million
  • Adjusted EBITDA of $9.9 million, or 12% of revenue

“RTI Surgical experienced accelerated revenue growth in the second quarter of 2019 resulting from strong performance across our global Spine and OEM franchises, and further improved by the addition of coflex,” said Camille Farhat, President and CEO, RTI Surgical. “We’re very pleased with the double-digit topline growth of our legacy spine hardware portfolio, particularly as we work to establish a new sales channel to drive the growth of our Novel Therapies portfolio, which includes coflex.”

Farhat continued, “The OEM franchise had a record quarter as we continue to deliver meaningful value to our customers. We offer a unique and innovative OEM solution, which includes product design and development, regulatory support, and product fulfillment across tissue, biologics and hardware. Increasingly, medical device companies are seeking our domain expertise in the creation of distribution-ready products to address their portfolio-specific needs, as well as the demands of surgeons and patients. Overall, we are extremely pleased to see continued success from our efforts to reduce complexity, drive operational excellence and accelerate the growth of RTI.”

Second Quarter 2019

RTI’s worldwide revenues for the second quarter of 2019 were $82.3 million, an increase of $11.6 million, or 16% compared with $70.7 million during the same period in the prior year. The second quarter 2019 revenue included $10.1 million global contribution from the acquisition of Paradigm Spine, closed on March 9, 2019. Gross profit for the second quarter of 2019 was $44.7 million, or 54.4% of revenues, a 49% increase compared to $30.0 million, or 42.5% of revenues, in the second quarter of 2018. Gross profit for the second quarter of 2019 included $2.9 million for the purchase accounting step-up of coflex inventory. Gross profit for the second quarter of 2018 was impacted by an inventory charge of $6.8 million from the write-off of inventory related to decreased distributions of our map3® implant and the purchase accounting step-up on Zyga inventory. Gross profit adjusted for the impact of non-recurring charges was 57.9% of revenue for the second quarter of 2019 compared to 52.1% of revenue for the prior year quarter.

During the second quarter of 2019, RTI incurred $2.0 million in non-recurring pre-tax acquisition and integration costs related primarily to its acquisition and integration of Paradigm Spine LLC and a $1.6 million gain on acquisition contingency due to an adjustment to our estimate of obligation for future milestone payments.   

Net income applicable to common shares was $0.7 million, or $0.01 per fully diluted common share in the second quarter of 2019, compared to net loss applicable to common shares of $6.4 million, or $0.10 per fully diluted common share in the second quarter of 2018. As outlined in the reconciliation tables that follow, excluding the impact of non-recurring charges, adjusted net income applicable to common shares was $0.7 million, or $0.01 per fully diluted common share in the second quarter of 2019 compared to $2.0 million, or $0.03 per fully diluted common share, in the second quarter of 2018.

Adjusted earnings before interest, taxes, depreciation and amortization (Adjusted EBITDA), for the second quarter of 2019 was $9.9 million, or 12% of revenues, compared with $9.1 million, or 13% of revenues for the second quarter of 2018. The increase in Adjusted EBITDA was primarily driven by increase in gross profit associated with efforts to drive operational excellence, partially offset by incremental operating costs from the acquisition of Paradigm Spine completed in early March of 2019.

Fiscal 2019 Outlook

Based on our recent financial results and current business outlook, the Company confirms the following financial guidance for 2019:

  • The Company expects full year revenues in the range of $325 million to $335 million, representing approximately 15% to 19% growth over the prior year.
  • The Company expects full year Adjusted EBITDA to be in the range of $36 million to $40 million, representing approximately 7% to 19% growth over the prior year.

The Company noted that guidance is based on the following assumptions:

  • Relatively stable economic and market conditions and regulatory environment;
  • Ongoing positive impacts from efforts to reduce complexity and implement operational excellence;
  • The continuing successful integration of Paradigm Spine, which closed in early March 2019 and a positive EBITDA contribution from Paradigm Spine;
  • Sustained favorable reimbursement from private payers; and,
  • The successful ongoing transition from map3® to ViBone®.

Conference Call
RTI will host a conference call and audio webcast at 9:00 a.m. ET today. The conference call can be accessed by dialing (877) 383-7419 (U.S.) or (760) 666-3754 (International), using conference ID 4267595. The webcast can be accessed through the investor section of RTI’s website at www.rtix.com/investors. A replay of the conference call will be available on RTI’s website for one month following the call.

About RTI Surgical Holdings, Inc.
RTI Surgical is a leading global surgical implant company providing surgeons with safe biologic, metal and synthetic implants. Committed to delivering a higher standard, RTI’s implants are used in sports medicine, plastic surgery, spine, orthopedic and trauma procedures and are distributed in over 50 countries. RTI has four manufacturing facilities throughout the U.S. and Europe. RTI is accredited in the U.S. by the American Association of Tissue Banks and is a member of AdvaMed. For more information, please visit www.rtix.com. Connect with us on LinkedIn and Twitter.

Forward-Looking Statements

This communication contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, which may include statements regarding various initiatives by the Company to reduce complexity, drive operational excellence and accelerate growth, the impact of operational priorities on costs and their impact on RTI’s financial performance, RTI’s ability to meet its financial and other commitments, the implementation of RTI’s strategic initiatives,  future performance and organic growth,  , RTI’s ability to expand the number of patients it is able to serve, the impact of the transition from map3® to ViBone®, our growth strategy in spine, the expected integration of, and potential impact from, the Paradigm Spine, LLC acquisition, the integration of Zyga’s operations, the success of our new product development efforts, anticipated financial results, growth rates, new product introductions, future operational improvements, fiscal 2019 guidance and underlying assumptions. These forward-looking statements are based on management’s current expectations, estimates and projections about our industry, our management's beliefs and certain assumptions made by our management. Words such as "anticipates," "expects," "intends," "plans," "believes," "seeks," "estimates," variations of such words and similar expressions are intended to identify such forward-looking statements. The forward-looking statements are not guarantees of future performance and are based on certain assumptions including RTI’s ability to reduce inventory, manage expenses and accomplish its goals and strategies, the quality of the new product offerings from RTI, general economic conditions, as well as those within RTI’s industry, RTI’s ability to integrate acquisitions into existing operations, and numerous other factors and risks identified in the Company’s Form 10-K for the fiscal year ended December 31, 2018 and other filings with the Securities and Exchange Commission (SEC). Our actual results may differ materially from the anticipated results reflected in these forward-looking statements. Copies of the Company's SEC filings may be obtained by contacting the Company or the SEC or by visiting RTI's website at www.rtix.com or the SEC's website at www.sec.gov. We undertake no obligation to update these forward-looking statements except as may be required by law. 

MEDIA AND INVESTOR CONTACT:
Molly Poarch
mpoarch@rtix.com
+1 224 287 2661

 

 
RTI SURGICAL HOLDINGS, INC. AND SUBSIDIARIES
Condensed Consolidated Statements of Operations
(Unaudited, in thousands, except share and per share data)
 
 
 
 
 
 
 
 
 
 
For the Three Months Ended
 
For the Six Months Ended
 
June 30,
 
June 30,
 
 
2019
 
 
 
2018
 
 
 
2019
 
 
 
2018
 
Revenues
$
    82,307 
 
 
$
    70,685 
 
 
$
    152,048 
 
 
$
    140,575 
 
Costs of processing and distribution
 
  37,562 
 
 
 
  40,645 
 
 
 
  69,299 
 
 
 
  76,853 
 
Gross profit
 
  44,745 
 
 
 
  30,040 
 
 
 
  82,749 
 
 
 
  63,722 
 
 
 
 
 
 
 
 
 
Expenses:
 
 
 
 
 
 
 
Marketing, general and administrative
 
  38,993 
 
 
 
  29,266 
 
 
 
  70,876 
 
 
 
  57,655 
 
Research and development
 
  3,868 
 
 
 
  3,270 
 
 
 
  8,204 
 
 
 
  6,691 
 
Severance and restructuring costs
 
  - 
 
 
 
  - 
 
 
 
  - 
 
 
 
  884 
 
Gain on acquisition contingency
 
  (1,590
)
 
 
  - 
 
 
 
  (1,590
)
 
 
  - 
 
Asset impairment and abandonments
 
  - 
 
 
 
  4,515 
 
 
 
  15 
 
 
 
  4,644 
 
Acquisition and integration expenses
 
  1,953 
 
 
 
  - 
 
 
 
  10,910 
 
 
 
  800 
 
Total operating expenses
 
  43,224 
 
 
 
  37,051 
 
 
 
  88,415 
 
 
 
  70,674 
 
Operating income (loss)
 
  1,521 
 
 
 
  (7,011
)
 
 
  (5,666
)
 
 
  (6,952
)
Total other expense - net
 
  (3,628
)
 
 
  (1,151
)
 
 
  (5,132
)
 
 
  (1,926
)
Income (loss) before income tax benefit
 
  (2,107
)
 
 
  (8,162
)
 
 
  (10,798
)
 
 
  (8,878
)
Income tax benefit
 
  2,851 
 
 
 
  2,702 
 
 
 
  2,455 
 
 
 
  2,453 
 
Net income (loss)
 
  744 
 
 
 
  (5,460
)
 
 
  (8,343
)
 
 
  (6,425
)
Convertible preferred dividend
 
  - 
 
 
 
  (981
)
 
 
  - 
 
 
 
  (1,947
)
Net income (loss) applicable to common shares
$
    744 
 
 
$
    (6,441
)
 
$
    (8,343
)
 
$
    (8,372
)
 
 
 
 
 
 
 
 
Net income (loss) per common share - basic
$
    0.01 
 
 
$
    (0.10
)
 
$
    (0.12
)
 
$
    (0.13
)
Net income (loss) per common share - diluted
$
    0.01 
 
 
$
    (0.09
)
 
$
    (0.12
)
 
$
    (0.13
)
Weighted average shares outstanding - basic
 
75,144,488
 
 
 
63,405,708
 
 
 
70,409,839
 
 
 
63,400,737
 
Weighted average shares outstanding - diluted
 
91,120,956
 
 
 
63,405,708
 
 
 
70,409,839
 
 
 
63,400,737
 
 
 
 
 
 
 
 
 

  

 
RTI SURGICAL HOLDINGS, INC. AND SUBSIDIARIES
Reconciliation of Revenues to Adjusted Gross Profit
(Unaudited, in thousands)
 
 
 
 
 
 
 
 
 
 
For the Three Months Ended
 
For the Six Months Ended
 
June 30,
 
June 30,
 
 
2019
 
 
2018
 
 
2019
 
 
2018
Revenues
$
    82,307 
 
$
    70,685 
 
$
    152,048 
 
$
    140,575 
Costs of processing and distribution
 
  37,562 
 
 
  40,645 
 
 
  69,299 
 
 
  76,853 
Gross profit, as reported
 
  44,745 
 
 
  30,040 
 
 
  82,749 
 
 
  63,722 
Inventory write-off
 
  - 
 
 
  6,559 
 
 
  - 
 
 
  7,582 
Inventory purchase price adjustment
 
  2,936 
 
 
  250 
 
 
  2,936 
 
 
  456 
Non-GAAP gross profit, adjusted
$
    47,681 
 
$
    36,849 
 
$
    85,685 
 
$
    71,760 
Non-GAAP gross profit percentage, adjusted
 
57.9%
 
 
52.1%
 
 
56.4%
 
 
51.0%
 
 
 
 
 
 
 
 

  

 
RTI SURGICAL HOLDINGS, INC. AND SUBSIDIARIES
Reconciliation of Net Loss Applicable to Commons Shares to Adjusted EBITDA
(Unaudited, in thousands)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
For the Three Months Ended
 
For the Six Months Ended
 
 
 
June 30,
 
June 30,
 
 
 
 
2019
 
 
 
2018
 
 
 
2019
 
 
 
2018
 
Net income (loss) applicable to common shares
$
  744
 
 
$
  (6,441
)
 
$
  (8,343
)
 
$
  (8,372
)
 
Interest expense, net
 
  3,609
 
 
 
  771
 
 
 
  5,082
 
 
 
  1,595
 
 
Provision for income taxes
 
  (2,851
)
 
 
  (2,702
)
 
 
  (2,455
)
 
 
  (2,453
)
 
Depreciation
 
  2,800
 
 
 
  2,524
 
 
 
  5,539
 
 
 
  5,147
 
 
Amortization of intangible assets
 
  995
 
 
 
  960
 
 
 
  1,952
 
 
 
  1,921
 
EBITDA
 
  5,297
 
 
 
  (4,888
)
 
 
  1,775
 
 
 
  (2,162
)
Reconciling items impacting EBITDA
 
 
 
 
 
 
 
 
Preferred dividend
 
  - 
 
 
 
  981
 
 
 
  - 
 
 
 
  1,947
 
 
Non-cash stock based compensation
 
  1,267
 
 
 
  1,290
 
 
 
  2,430
 
 
 
  2,570
 
 
Foreign exchange gain (loss)
 
  19
 
 
 
  71
 
 
 
  50
 
 
 
  22
 
 
Other reconciling items *
 
 
 
 
 
 
 
 
 
Inventory write-off
 
  - 
 
 
 
  6,559
 
 
 
  - 
 
 
 
  7,582
 
 
 
Inventory purchase price adjustment
 
  2,936
 
 
 
  250
 
 
 
  2,936
 
 
 
  456
 
 
 
Severance and restructuring costs
 
  - 
 
 
 
  - 
 
 
 
  - 
 
 
 
  884
 
 
 
Gain on acquisition contingency
 
  (1,590
)
 
 
  - 
 
 
 
  (1,590
)
 
 
  - 
 
 
 
Loss on extinguishment of debt
 
  - 
 
 
 
  309
 
 
 
  - 
 
 
 
  309
 
 
 
Asset impairment and abandonments
 
  - 
 
 
 
  4,515
 
 
 
  - 
 
 
 
  4,515
 
 
 
Acquisition and integration expenses
 
  1,953
 
 
 
  - 
 
 
 
  10,910
 
 
 
  800
 
Adjusted EBITDA
$
  9,882
 
 
$
  9,087
 
 
$
  16,511
 
 
$
  16,923
 
Adjusted EBITDA as a percent of revenues
 
12
%
 
 
13
%
 
 
11
%
 
 
12
%
 
 
 
 
 
 
 
 
 
 
*
See explanations in Use of Non-GAAP Financial Measures section later in this release.
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

 
RTI SURGICAL HOLDINGS, INC. AND SUBSIDIARIES
Reconciliation of Net Income (Loss) Applicable to Common Shares and Net Income Per Diluted Share to
Adjusted Net Income Applicable to Common Shares and Adjusted Net Income Per Diluted Share
(Unaudited, in thousands except per share data)
 
 
 
 
 
 
 
 
 
For the Three Months Ended
 
June 30, 2019
 
June 30, 2018
 
Net
 
 
 
Net
 
 
 
Income (Loss)
 
Amount
 
Income (Loss)
 
Amount
 
Applicable to
 
Per Diluted
 
Applicable to
 
Per Diluted
 
Common Shares
 
Share
 
Common Shares
 
Share
As reported
$
    744 
 
 
$
    0.01 
 
 
$
    (6,441
)
 
$
    (0.10
)
Gain on acquisition contingency
 
  (1,590
)
 
 
  (0.02
)
 
 
  - 
 
 
 
  - 
 
Asset impairment and abandonments
 
  - 
 
 
 
  - 
 
 
 
  4,515 
 
 
 
  0.07 
 
Inventory purchase price adjustment
 
  2,936 
 
 
 
  0.03 
 
 
 
  250 
 
 
 
  0.00 
 
Loss on extinguishment of debt
 
  - 
 
 
 
  - 
 
 
 
  309 
 
 
 
  0.00 
 
Inventory write-off
 
  - 
 
 
 
  - 
 
 
 
  6,559 
 
 
 
  0.10 
 
Acquisition and integration expenses
 
  1,953 
 
 
 
  0.02 
 
 
 
  - 
 
 
 
  - 
 
  Tax effect on adjustments
 
  (3,313
)
 
 
  (0.04
)
 
 
  (3,161
)
 
 
  (0.05
)
Adjusted *
$
    730 
 
 
$
    0.01 
 
 
$
    2,031 
 
 
$
    0.03 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
For the Six Months Ended
 
June 30, 2019
 
June 30, 2018
 
Net
 
 
 
Net
 
 
 
Income (Loss)
 
Amount
 
Income (Loss)
 
Amount
 
Applicable to
 
Per Diluted
 
Applicable to
 
Per Diluted
 
Common Shares
 
Share
 
Common Shares
 
Share
As reported
$
    (8,343
)
 
$
    (0.12
)
 
$
    (8,372
)
 
$
    (0.13
)
Severance and restructuring costs
 
  - 
 
 
 
  - 
 
 
 
  884 
 
 
 
  0.01 
 
Gain on acquisition contingency
 
  (1,590
)
 
 
  (0.02
)
 
 
  - 
 
 
 
  - 
 
Asset impairment and abandonments
 
  - 
 
 
 
  - 
 
 
 
  4,515 
 
 
 
  0.07 
 
Inventory purchase price adjustment
 
  2,936 
 
 
 
  0.03 
 
 
 
  456 
 
 
 
  0.01 
 
Loss on extinguishment of debt
 
  - 
 
 
 
  - 
 
 
 
  309 
 
 
 
  0.00 
 
Inventory write-off
 
  - 
 
 
 
  - 
 
 
 
  7,582 
 
 
 
  0.12 
 
Acquisition and integration expenses
 
  10,910 
 
 
 
  0.13 
 
 
 
  800 
 
 
 
  0.01 
 
  Tax effect on adjustments
 
  (2,696
)
 
 
  (0.03
)
 
 
  (3,654
)
 
 
  (0.06
)
Adjusted *
$
    1,217 
 
 
$
    0.01 
 
 
$
    2,520 
 
 
$
    0.04 
 
 
 
 
 
 
 
 
 
* See explanations in Use of Non-GAAP Financial Measures section later in this release.
 
 
  Amount Per Diluted Share may not foot due to rounding.
 
 
 
 
 
 
 
 
 
 
 
 
 


Use of Non-GAAP Financial Measures

To supplement the Company’s unaudited condensed consolidated financial statements presented on a GAAP basis, the Company discloses certain non-GAAP financial measures that exclude certain amounts, including EBITDA, Adjusted EBITDA and Adjusted Net Income Applicable to Common Shares. The calculation of the tax effect on the adjustments between GAAP net loss applicable to common shares and non-GAAP net income applicable to common shares is based upon our estimated annual GAAP tax rate, adjusted to account for items excluded from GAAP net loss applicable to common shares in calculating Adjusted Net Income Applicable to Common Shares-Diluted. A reconciliation of the non-GAAP financial measures to the corresponding GAAP measures is included in the tables listed above.              

The following are explanations of the adjustments that management excluded as part of the non-GAAP measures for the three and six months ended June 30, 2019 and 2018. Management removes the amount of these costs including the tax effect on the adjustments from our operating results to supplement a comparison to our past operating performance.

Severance and restructuring costs – These costs relate to the reduction of our organizational structure, primarily driven by simplification of our international operating infrastructure, specifically our distribution model.

Gain on acquisition contingency – The gain on acquisition contingency relates to an adjustment to our estimate of obligation for future milestone payments.

Asset impairment and abandonments – This adjustment represents an asset impairment and abandonments related to the suspension of the map3® implant.

Inventory purchase price adjustment – These costs relate to the purchase price effects of acquired Paradigm and Zyga, respectively, inventory that was sold during the six months ended June 30, 2019 and 2018, respectively.

Loss on extinguishment of debt – This adjustment represents costs relating to refinancing our debt.

Inventory write-off – These costs relate to an inventory write-off due to the rationalization of our international distribution infrastructure.

Acquisition and integration expenses – These costs relate to acquisition and integration expenses due to the purchase of Paradigm and Zyga in 2019 and 2018, respectively.

Material Limitations Associated with the Use of Non-GAAP Financial Measures

EBITDA, Adjusted EBITDA and Adjusted Net Income Applicable to Common Shares should not be considered in isolation, or as a replacement for GAAP measures.

Usefulness of Non-GAAP Financial Measures to Investors

The Company believes that presenting EBITDA, Adjusted EBITDA and Adjusted Net Income Applicable to Common Shares in addition to the related GAAP measures provide investors greater transparency to the information used by management in its financial decision-making.  The Company further believes that providing this information better enables the Company’s investors to understand the Company’s overall core performance and to evaluate the methodology used by management to assess and measure such performance.

 
RTI SURGICAL HOLDINGS, INC. AND SUBSIDIARIES
Condensed Consolidated Revenues
(Unaudited, in thousands)
 
 
 
 
 
 
 
 
 
For the Three Months Ended
 
For the Six Months Ended
 
June 30,
 
June 30,
 
 
2019
 
 
2018
 
 
2019
 
 
2018
 
 
 
 
 
 
 
 
 
 
 
 
Revenues:
(In thousands)
Spine
$
  26,671
 
$
  18,934
 
$
  46,676
 
$
  38,197
Sports
 
  14,024
 
 
  14,190
 
 
  27,803
 
 
  27,625
OEM
 
  32,483
 
 
  31,170
 
 
  61,474
 
 
  61,290
International
 
  9,129
 
 
  6,391
 
 
  16,095
 
 
  13,463
Total revenues
$
  82,307
 
$
  70,685
 
$
  152,048
 
$
  140,575
 
 
 
 
 
 
 
 

 

 
RTI SURGICAL HOLDINGS, INC. AND SUBSIDIARIES
Condensed Consolidated Balance Sheets
(Unaudited, in thousands)
 
 
June 30,
 
December 31,
 
 
2019
 
 
 
2018
 
Assets
 
 
 
Cash
$
  4,518
 
 
$
  10,949
 
Accounts receivable - net
 
  56,163
 
 
 
  48,351
 
Inventories - net
 
  127,906
 
 
 
  107,471
 
Prepaid and other assets
 
  8,733
 
 
 
  8,791
 
Total current assets
 
  197,320
 
 
 
  175,562
 
 
 
 
 
Non-current inventories - net
 
  20,445
 
 
 
  - 
 
Property, plant and equipment - net
 
  79,691
 
 
 
  77,954
 
Goodwill
 
  271,429
 
 
 
  59,798
 
Other assets - net
 
  52,526
 
 
 
  47,872
 
Total assets
$
  621,411
 
 
$
  361,186
 
 
 
 
 
Liabilities and Stockholders' Equity
 
 
 
Accounts payable 
$
  20,766
 
 
$
  26,309
 
Accrued expenses and other current liabilities 
 
  29,412
 
 
 
  29,591
 
Total current liabilities
 
  50,178
 
 
 
  55,900
 
 
 
 
 
Deferred revenue
 
  325
 
 
 
  744
 
Long-term liabilities
 
  266,015
 
 
 
  54,692
 
Total liabilities
 
  316,518
 
 
 
  111,336
 
 
 
 
 
Preferred stock
 
  66,318
 
 
 
  66,226
 
 
 
 
 
Stockholders' equity: 
 
 
 
Common stock and additional paid-in capital 
 
  491,630
 
 
 
  428,338
 
Accumulated other comprehensive loss
 
  (7,268
)
 
 
  (7,270
)
Accumulated deficit
 
  (245,787
)
 
 
  (237,444
)
Total stockholders' equity
 
  238,575
 
 
 
  183,624
 
Total liabilities and stockholders' equity 
$
  621,411
 
 
$
  361,186
 
 
 
 
 

 

 
RTI SURGICAL HOLDINGS, INC. AND SUBSIDIARIES
Condensed Consolidated Statements of Cash Flows
(Unaudited, in thousands)
 
 
 
 
 
 
 
 
 
For the Six Months Ended
 
June 30,
 
 
2019
 
 
 
2018
 
Cash flows from operating activities:
 
 
 
Net loss
$
    (8,343
)
 
$
    (6,425
)
Adjustments to reconcile net loss to net cash (used in) provided by operating activities:
 
 
 
Depreciation and amortization expense
 
  7,491 
 
 
 
  7,068 
 
Stock-based compensation
 
  2,430 
 
 
 
  2,570 
 
Amortization of deferred revenue
 
  (2,585
)
 
 
  (2,435
)
  Other items to reconcile to net cash
 
 
 
  used in operating activities
 
  (12,104
)
 
 
  8,600 
 
Net cash (used in) provided by operating activities
 
  (13,111
)
 
 
  9,378 
 
Cash flows from investing activities:
 
 
 
Purchases of property, plant and equipment
 
  (6,912
)
 
 
  (3,856
)
Patent and acquired intangible asset costs
 
  (1,126
)
 
 
  (728
)
Acquisition of Zyga Technology
 
  - 
 
 
 
  (21,000
)
Acquisition of Paradigm Spine
 
  (99,921
)
 
 
  - 
 
Net cash used in investing activities
 
  (107,959
)
 
 
  (25,584
)
Cash flows from financing activities:
 
 
 
Proceeds from long-term obligations
 
  115,000 
 
 
 
  74,425 
 
Payments of debt issuance costs
 
  (729
)
 
 
  - 
 
Payments on long-term obligations
 
  - 
 
 
 
  (66,750
)
Other financing activities
 
  395 
 
 
 
  403 
 
Net cash provided by financing activities
 
  114,666 
 
 
 
  8,078 
 
Effect of exchange rate changes on cash and cash equivalents
 
  (27
)
 
 
  (7
)
Net decrease in cash and cash equivalents
 
  (6,431
)
 
 
  (8,135
)
Cash and cash equivalents, beginning of period
 
  10,949 
 
 
 
  22,381 
 
Cash and cash equivalents, end of period
$
    4,518 
 
 
$
    14,246 
 
 
 
 
 

Stock Information

Company Name: Surgalign Holdings
Stock Symbol: RTIX
Market: NASDAQ
Website: surgalign.com

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