Sintx Technologies, Inc. current report, 13 August 2015

Business Context and Reporting Period

Company: Amedica Corporation (Nasdaq: AMDA)
Filing Type: Form 8-K (Current Report)
Reporting Period: Second Quarter ended June 30, 2015
Date of Report: August 13, 2015
Business Overview: Amedica develops and manufactures silicon nitride as a platform for biomedical applications, primarily marketing spinal fusion products and developing components for hip and knee arthroplasty.

Key Financial Metrics

Metric Q2 2015 Q2 2014 YTD 2015 YTD 2014
Product Revenue $4.78 million $5.84 million $9.52 million $11.62 million
Gross Profit $3.42 million $4.23 million $6.64 million $8.36 million
Gross Margin (GAAP) 71% 73% 69.7% 72%
Gross Margin (Excl. Inventory Provision) 78% 80% N/A N/A
Operating Expenses $6.01 million $14.86 million $13.24 million $23.05 million
Net Loss ($5.93 million) ($13.24 million) ($11.31 million) ($17.95 million)
Adjusted EBITDA ($2.01 million) ($3.22 million) ($4.85 million) ($5.37 million)
Cash and Equivalents $12.39 million (as of June 30, 2015)
Total Debt Obligations $24.3 million (as of June 30, 2015)

Material Changes vs. Prior Period

  • Revenue Decline: Total product revenue decreased 18% ($1.1 million) year-over-year. Non-silicon nitride sales dropped 23% due to lower metal sales and reduced surgeon activity. Silicon nitride sales declined 13% ($0.3 million) due to the loss of key surgeons, partially offset by new recruitments.
  • Expense Reduction: Operating expenses fell 60% ($8.8 million) to $6.0 million. This was driven by organizational restructuring, lower commissions, and a $6.6 million reduction in stock-based compensation.
  • Improved Loss Profile: Net loss narrowed significantly from $13.2 million to $5.9 million, primarily due to reduced operating expenses and stock-based compensation.
  • Cash Burn: Year-to-date operational cash burn decreased by 37% compared to the prior year. Net cash used in operating activities for the first half of 2015 decreased by $3.1 million.
  • Balance Sheet: Cash reserves decreased from $18.2 million (Dec 31, 2014) to $12.4 million (June 30, 2015). Derivative liabilities decreased significantly from $13.97 million to $4.59 million.

Guidance, Outlook, and Risks

  • Revenue Guidance: Maintains 2015 total annual revenue estimate of $19-$20 million, including 15-20% growth in silicon nitride sales.
  • Cost Synergies: Expects $5-$7 million in annualized operating profit benefits from recent financial and operational alignment actions.
  • Cash Flow Outlook: Anticipates becoming operating cash flow breakeven in the second half of 2016. Expects to maintain compliance with debt covenants through Q4 2015.
  • Partnerships: Maintains guidance of announcing four OEM or private label partners in 2015. Recently signed an OEM letter of intent with a leading orthopedic device company.
  • Clinical & Regulatory: Two-year performance data from the CASCADE clinical trial is expected in Q4 2015, with an anticipated FDA final device clearance response in late Q4 2015 or early Q1 2016.
  • Risks: Forward-looking statements are subject to risks including physician acceptance, regulatory delays, reimbursement rate changes, and global economic conditions.

Investor Verification Checklist

  • Cash Runway: Verify the sustainability of the $12.4 million cash balance against the $24.3 million debt obligation and current burn rate.
  • Revenue Recovery: Confirm if new surgeon recruitment is offsetting the loss of key surgeons to meet the 15-20% silicon nitride growth target.
  • Debt Covenants: Monitor compliance with debt covenants as the company approaches Q4 2015.
  • Regulatory Milestones: Track the release of CASCADE trial data and the FDA clearance response timeline.
  • Non-GAAP Reconciliation: Review the reconciliation of Adjusted EBITDA to Net Loss, noting the significant impact of stock-based compensation and derivative liability changes.