ATOSSA THERAPEUTICS, INC. annual report, FY2012

Atossa Genetics, Inc. 2012 Form 10-K Summary

Reporting period: Fiscal year ended December 31, 2012. The filing identifies the registrant as Atossa Genetics, Inc.; the request metadata refers to Atossa Therapeutics, Inc. The company was a development-stage healthcare company focused on breast-cancer prevention diagnostics and intraductal treatment research.

Business Context

  • Commercial products were the ForeCYTE Breast Health Test, which uses the MASCT device and laboratory analysis of nipple aspirate fluid, and the ArgusCYTE blood test for circulating tumor cells.
  • FullCYTE and NextCYTE were in development, with intended 2013 launches. The company also pursued preclinical intraductal treatment research for precancerous lesions and DCIS.
  • By December 31, 2012, 37 doctors and clinics had enrolled, 1,664 ForeCYTE samples representing 832 patients had been processed, and 41 ArgusCYTE samples had been processed.
  • In September 2012, the company acquired substantially all Acueity Healthcare assets, including patents, patent applications, six 510(k) authorizations and $400,000 of cash, in exchange for 862,500 shares and warrants for 325,000 shares.

Financial Results and Key Metrics

Metric20122011
Total revenue$481,842$1,500
Diagnostic testing service revenue$475,402$0
Product revenue$6,440$1,500
Gross profit$416,213$(95,690)
Operating expenses$5,485,243$3,333,500
Operating loss$(5,069,030)$(3,429,190)
Net loss$(5,079,851)$(3,442,269)
Basic and diluted loss per share$(0.41)$(0.38)
Cash and cash equivalents at year-end$1,725,197$1,910,821
Net cash used in operating activities$(3,899,964)$(3,492,364)
Net cash used in investing activities$(134,582)$(136,931)
Net cash provided by financing activities$3,848,922$5,529,863
  • Revenue increased substantially but remained immaterial relative to operating costs. The reported gross margin was approximately 86%, primarily because diagnostic service revenue carried relatively low recorded direct costs; product economics were unfavorable because MASCT systems were sold below manufacturing cost.
  • Research and development expense was $1,976,638 in 2012. General and administrative expense was $5,018,422, including $1,072,992 of legal expense and $232,291 of accounting expense. Selling expense was $466,821.
  • The company recorded a $29,884 inventory write-down to lower of cost or market. ForeCYTE and ArgusCYTE collection kits distributed at no charge generated $55,282 of selling expense.
  • Year-end total assets were $6,826,133, including $4,640,224 of net intangible assets, largely patents acquired from Acueity. Current liabilities were $1,650,598, including $1,582,381 of accrued expenses.
  • The $1 million bank line of credit was repaid in October 2012; no line-of-credit balance remained at year-end. No material long-term debt was reported.

Material Changes Versus 2011

  • Revenue increased from $1,500 to $481,842, driven almost entirely by ForeCYTE and ArgusCYTE testing services.
  • Gross profit improved from a $95,690 loss to $416,213, but the net loss increased 48% to $5,079,851 as operating expenses rose 65%.
  • Cash declined by $185,624 despite approximately $3.85 million of financing cash inflows, reflecting $3.90 million of operating cash burn and repayment of the $1 million bank line.
  • Intangible assets increased from $40,841 to $4,640,224 following the Acueity acquisition. Stockholders’ equity increased to $5,175,535, supported by the November 2012 initial public offering and equity issued for the Acueity assets.
  • The company became publicly traded on Nasdaq in November 2012 through an offering of 800,000 shares at $5.00 per share, generating approximately $3.454 million of net proceeds according to the financial statements.

Outlook, Risks and Unusual Items

  • Management expected continued operating losses and estimated that $4 million to $10 million of additional capital would be needed to fund operations for at least the next 12 months. Year-end resources were expected to fund planned operations only through approximately the first four months of 2013.
  • The independent auditor’s report and the financial statements included a going-concern uncertainty because the company had not established recurring revenue sufficient to cover operating costs and depended on additional financing.
  • In January 2013, the company launched a national ForeCYTE sales effort through Clarity Women’s Health and its distributor network. The filing did not provide a quantitative revenue forecast.
  • On February 21, 2013, the FDA issued a Warning Letter concerning the MASCT System, including alleged changes requiring an additional 510(k) submission, marketing matters and current Good Manufacturing Practice compliance. The company responded on March 13, 2013; no liability was recorded, but additional regulatory action, a new clearance requirement, a change back to the prior processing method or disruption of sales remained possible.
  • On March 27, 2013, Aspire Capital committed to purchase up to $30 million of common stock over three years, subject to contractual and registration conditions. Aspire initially purchased 83,333 shares for $1 million. Future equity sales could dilute existing holders.
  • Pending litigation by former President Robert Kelly and Victor Cononi involved contract termination and rescission-related claims. The company recorded no liability and stated that the amounts sought by Mr. Cononi were not specified; Mr. Kelly sought $450,000 in compensatory damages in the related arbitration claim.
  • Key operating risks included limited commercialization history, uncertain physician adoption, incomplete reimbursement for the NAF collection procedure, dependence on third-party manufacturers and distributors, FDA and CLIA compliance, laboratory execution, competition and the need to obtain additional financing.

Important Facts for Investors to Verify

  • Confirm the filing’s legal entity name and whether it is being associated with Atossa Therapeutics, Inc. for the intended analysis.
  • Reconcile reported revenue, accounts receivable, reimbursement collections and the company’s policy of recognizing certain non-Medicare amounts only when cash is received.
  • Assess cash runway, the $4 million to $10 million funding requirement and the practical availability of the Aspire equity facility after registration and market-volume limitations.
  • Monitor resolution of the FDA Warning Letter and any additional 510(k), manufacturing, marketing or sales restrictions affecting the MASCT System.
  • Evaluate whether ForeCYTE and ArgusCYTE achieve sustained reimbursement and commercial adoption, particularly because the NAF collection procedure was not broadly reimbursed.
  • Review dilution from outstanding options, warrants, Acueity consideration, Aspire financing and other subsequent share issuances.
  • Track the Kelly and Cononi claims, future lease obligations of approximately $508,967, and any other contingencies not accrued at December 31, 2012.