QT Imaging Holdings, Inc. (NASDAQ: QTI) ("QT Imaging" or the "Company"), a medical device company engaged in research, development, and commercialization of innovative body imaging systems, today announced financial results for the first quarter of 2024.
QT Imaging delivers today the QT Imaging Breast Acoustic CTtm Scanner, the only true 3D imaging device, FDA cleared for use as a transmission and reflection low frequency soundwaves imaging system for a patient's breast. There is no ionizing radiation or compression associated with mammography, or the contrast dyes injections required for breast MRI.
"The QT Imaging team has been on an incredible journey since its inception in 2012, starting with a shared mission to create disruptive innovation to expand access to medical imaging while ensuring superior patient experience and improving health outcomes. Moving forward, the team will address commercialization of our scanner in the U.S. via partnership with our strategic sales and distribution partner. We are proud to announce the scanner shipments made in the first quarter, since the merger with GigCapital5 on March 4th, as well as our on-going feasibility study to solidify the partnership for large scale manufacturing," QT Imaging CEO Dr. Raluca Dinu said.
"We are thankful to our partners in the National Institutes of Health/National Cancer Institute who continue to support the research and development of QT Imaging technology today and since the Company's inception. We will continue to carry on clinical studies with partners in academia and medical institutions and publish comparative data to show the advantages of QT Imaging's breast scanning technology that gives women the choice they deserve to ensure their breast health over time."
Financial Highlights
New Developments
Outlook for the Balance of 2024
2024 is a transitional year as the Company stabilizes the business and focuses on commercialization anchored in strategic business partnerships. The Company will target to provide guidance for the rest of the year as part of the release of Q2'24 earnings.
Summary of Results for the Three Months Ended
March 31, 2024 and 2023
(Unaudited)
|
Three Months Ended
|
|||||
$ thousands (expect per share amounts) |
|
2024 |
|
|
2023 |
|
Revenues |
$ |
1,362 |
|
$ |
8 |
|
Cost of revenues |
|
602 |
|
|
47 |
|
Gross margin |
|
760 |
|
|
(39 |
) |
Operating expenses: |
|
|
||||
Selling, general and administrative |
|
5,696 |
|
|
1,292 |
|
Research and development |
|
643 |
|
|
422 |
|
Operating loss |
|
(5,579 |
) |
|
(1,753 |
) |
Interest expense |
|
(599 |
) |
|
(130 |
) |
Other expense |
|
(21 |
) |
|
? |
|
Net increase in fair value of warrant liability |
|
(23 |
) |
|
? |
|
Net decrease in fair value of derivatives |
|
2,983 |
|
|
? |
|
Net increase in earnout liability |
|
(1,060 |
) |
|
? |
|
Net loss |
|
(4,299 |
) |
|
(1,883 |
) |
|
|
|
||||
Basic and diluted net loss per share |
$ |
(0.33 |
) |
$ |
(0.20 |
) |
|
|
|
||||
Weighted average shares outstanding |
|
13,226 |
|
|
9,517 |
|
EBITDA* and Adjusted EBITDA* for the Three Months Ended
March 31, 2024 and 2023
(Unaudited)
|
Three Months Ended
|
||||||
$ thousands |
|
2024 |
|
|
|
2023 |
|
Net loss |
$ |
(4,299 |
) |
|
$ |
(1,883 |
) |
Interest expense |
|
599 |
|
|
|
130 |
|
Depreciation and amortization |
|
99 |
|
|
|
117 |
|
EBITDA |
|
(3,601 |
) |
|
|
(1,636 |
) |
Adjustments: |
|
|
|
||||
Equity-based compensation |
|
39 |
|
|
|
209 |
|
Net increase (decrease) in fair value of warrants(1) |
|
23 |
|
|
|
? |
|
Net increase (decrease) in fair value of derivatives(2) |
|
(2,983 |
) |
|
|
? |
|
Net increase (decrease) in fair value of earnout liability(3) |
|
1,060 |
|
|
|
? |
|
Transaction expenses(4) |
|
4,301 |
|
|
|
356 |
|
Adjusted EBITDA |
$ |
(1,161 |
) |
|
$ |
(1,071 |
) |
Consolidated Balance Sheets as of
March 31, 2024 and December 31, 2023
(Unaudited)
$ in thousands |
March 31,
|
|
December 31,
|
||||
Assets |
|
|
|
||||
Current assets: |
|
|
|
||||
Cash and cash equivalents |
$ |
5,620 |
|
|
$ |
165 |
|
Restricted cash |
|
20 |
|
|
|
20 |
|
Accounts receivable, net |
|
482 |
|
|
|
1 |
|
Inventory |
|
4,116 |
|
|
|
4,418 |
|
Prepaid expenses and other current assets |
|
1,195 |
|
|
|
215 |
|
Total current assets |
|
11,433 |
|
|
|
4,819 |
|
Non-current assets: |
|
|
|
||||
Property and equipment, net |
|
154 |
|
|
|
491 |
|
Intangible assets, net |
|
44 |
|
|
|
90 |
|
Right-of-use assets |
|
1,187 |
|
|
|
1,267 |
|
Other non-current assets |
|
39 |
|
|
|
39 |
|
Total assets |
$ |
12,857 |
|
|
$ |
6,706 |
|
|
|
|
|
||||
Liabilities and stockholders deficit |
|
|
|
||||
Current liabilities: |
|
|
|
||||
Accounts payable |
$ |
712 |
|
|
$ |
1,356 |
|
Accrued expenses and other current liabilities |
|
2,813 |
|
|
|
370 |
|
Related party notes payable |
|
? |
|
|
|
705 |
|
Current maturities of long-term debt |
|
130 |
|
|
|
4,199 |
|
Deferred revenue |
|
344 |
|
|
|
347 |
|
Operating lease liabilities, current |
|
372 |
|
|
|
361 |
|
Total current liabilities |
|
4,371 |
|
|
|
7,338 |
|
Non-current liabilities: |
|
|
|
||||
Long-term debt, net |
|
3,331 |
|
|
|
96 |
|
Related party notes payable, long term |
|
5,409 |
|
|
|
3,144 |
|
Operating lease liabilities |
|
966 |
|
|
|
1,063 |
|
Warrant liability |
|
32 |
|
|
|
? |
|
Derivative liability |
|
2,138 |
|
|
|
? |
|
Earnout liability |
|
1,060 |
|
|
|
? |
|
Other non-current liabilities |
|
465 |
|
|
|
377 |
|
Total liabilities |
|
17,772 |
|
|
|
12,018 |
|
|
|
|
|
||||
Stockholders' deficit: |
|
|
|
||||
Common stock |
|
2 |
|
|
|
1 |
|
Additional paid-in capital |
|
17,152 |
|
|
|
12,457 |
|
Accumulated deficit |
|
(22,069 |
) |
|
|
(17,770 |
) |
Total stockholders' deficit |
|
(4,915 |
) |
|
|
(5,312 |
) |
Total liabilities and stockholders' deficit |
$ |
12,857 |
|
|
$ |
6,706 |
|
Consolidated Statements of Cash Flows for the Three Months Ended
March 31, 2024 and 2023
(Unaudited)
|
Three Months Ended March 31, |
||||||
$ in thousands |
|
2024 |
|
|
|
2023 |
|
Cash flows from operating activities: |
|
|
|
||||
Net loss |
$ |
(4,299 |
) |
|
$ |
(1,883 |
) |
Adjustments to reconcile net loss to net cash used in operating activities: |
|
|
|
||||
Depreciation and amortization expense |
|
99 |
|
|
|
117 |
|
Stock-based compensation to employees |
|
39 |
|
|
|
209 |
|
Provision for credit losses |
|
1 |
|
|
|
? |
|
Fair value of common stock issued in exchange for services and in connection with non-redemption agreements |
|
3,715 |
|
|
|
? |
|
Loss on issuance of common stock in connection with a subscription agreement |
|
206 |
|
|
|
? |
|
Non-cash interest |
|
299 |
|
|
|
11 |
|
Non-cash lease expense |
|
(5 |
) |
|
|
(2 |
) |
Increase in fair value of warrant liability |
|
23 |
|
|
|
? |
|
Decrease in fair value of derivative liability |
|
(2,983 |
) |
|
|
? |
|
Increase in fair value of earnout liability |
|
1,060 |
|
|
|
? |
|
Changes in assets and liabilities: |
|
|
|
||||
Increase in accounts receivable |
|
(482 |
) |
|
|
(6 |
) |
Decrease in inventory |
|
586 |
|
|
|
49 |
|
Increase in prepaid expenses and other current assets |
|
(880 |
) |
|
|
(35 |
) |
Decrease in other assets |
|
? |
|
|
|
5 |
|
(Decrease) increase in accounts payable |
|
(2,118 |
) |
|
|
392 |
|
(Decrease) increase in accrued liabilities |
|
(1,320 |
) |
|
|
31 |
|
Decrease in deferred revenue |
|
(4 |
) |
|
|
? |
|
Increase in other liabilities |
|
87 |
|
|
|
119 |
|
Net cash used in operating activities |
|
(5,976 |
) |
|
|
(993 |
) |
|
|
|
|
||||
Cash flows from financing activities: |
|
|
|
||||
Proceeds of sale of common stock and warrants, net of issuance costs |
|
? |
|
|
|
948 |
|
Proceeds from issuance of common stock pursuant to a subscription agreement |
|
500 |
|
|
|
? |
|
Proceeds from long-term debt, net of issuance costs |
|
10,525 |
|
|
|
? |
|
Repayment of long-term debt |
|
(32 |
) |
|
|
(32 |
) |
Repayment of bridge loans |
|
(800 |
) |
|
|
? |
|
Proceeds from the Merger, net of transaction costs |
|
1,238 |
|
|
|
? |
|
Net cash provided by financing activities |
|
11,431 |
|
|
|
916 |
|
Net increase (decrease) in cash and restricted cash and cash equivalents |
|
5,455 |
|
|
|
(77 |
) |
Cash and restricted cash and cash equivalents at the beginning of period |
|
185 |
|
|
|
475 |
|
Cash and restricted cash and cash equivalents at the end of the period |
$ |
5,640 |
|
|
$ |
398 |
|
Forward-Looking Statements
This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Exchange Act of 1934, as amended. Forward-looking statements generally are accompanied by words such as "believe," "may," "will," "estimate," "continue," "anticipate," "intend," "expect," "should," "would," "plan," "predict," "potential," "seem," "seek," "future," "outlook," and similar expressions that predict or indicate future events or trends or that are not statements of historical matters. These forward-looking statements include, but are not limited to, statements regarding the QT Imaging Breast Acoustic CTtm Scanner, including its commercialization, manufacturing and further development, plans for QT Imaging, new product development and introduction, product sales growth and projected revenues, QT Imaging's industry, future events, and other statements that are not historical facts. Forward-looking statements involve certain risks and uncertainties, and actual results may differ materially from those discussed in any such statement. These statements are based on various assumptions, whether or not identified herein, and on the current expectations of QT Imaging's management and are not predictions of actual performance. These forward-looking statements are provided for illustrative purposes only and are not intended to serve as, and must not be relied on by you or any other investor as, a guarantee, an assurance, a prediction or a definitive statement of fact or probability. Actual events and circumstances are difficult or impossible to predict and will differ from assumptions. Many actual events and circumstances are beyond our control. These forward-looking statements are subject to a number of risks and uncertainties, including those relating to: the ability of the Company to sell and deploy the QT Imaging Breast Acoustic CTtm Scanner; the ability to extend product offerings into new areas or products; the ability to commercialize technology; unexpected occurrences that deter the full documentation and "bring to market" plan for products; trends and fluctuations in the industry; changes in demand and purchasing volume of customers; unpredictability of suppliers; the ability to attract and retain qualified personnel and the ability to move product sales to production levels; changes in domestic and foreign business, market, financial, political, and legal conditions; the uncertainty of projected financial information; delays caused by factors outside of our control; changes in our ability to successfully receive purchase orders and generate revenue under our existing contracts with partners and distributors; our ability to realize the benefits of the strategic partnerships; the identified material weakness in our internal controls over financial reporting (including the timeline to remediate the material weakness); the rollout of the business and the timing of expected business milestones; the effects of competition on our future business; our ability to obtain and access financing in the future; and those factors discussed in the Company's reports and other documents filed with the SEC, including under the heading "Risk Factors." If any of these risks materialize or our assumptions prove incorrect, actual results could differ materially from the results implied by these forward-looking statements. There may be additional risks that QT Imaging presently does not know or that QT Imaging currently believes are immaterial which could also cause actual results to differ from those contained in the forward-looking statements. In addition, forward-looking statements reflect QT Imaging's expectations, plans or forecasts of future events and views as of the date of this release. QT Imaging anticipates that subsequent events and developments will cause QT Imaging's assessments to change. However, while QT Imaging may elect to update these forward-looking statements at some point in the future, QT Imaging specifically disclaims any obligation to do so. Accordingly, undue reliance should not be placed upon the forward-looking statements.
Non-GAAP Financial Measures
The financial information and data contained in this press release is unaudited. Some of the financial information and data contained in this press release, such as EBITDA and Adjusted EBITDA, have not been prepared in accordance with generally accepted accounting principles in the United States ("GAAP"). To supplement our unaudited condensed consolidated financial statements, which are prepared and presented in accordance with GAAP in our press release, we also report certain non-GAAP financial measures. A "non-GAAP financial measure" refers to a numerical measure of a company's historical or future financial performance, financial position, or cash flows that excludes (or includes) amounts that are included in (or excluded from) the most directly comparable measure calculated and presented in accordance with GAAP in such company's financial statements. Non-GAAP financial measures should not be considered in isolation or as a substitute for the relevant GAAP measures and should be read in conjunction with information presented on a GAAP basis. Because not all companies use identical calculations, our presentation of non-GAAP measures may not be comparable to other similarly titled measures of other companies.
The presentation of these financial measures is not intended to be considered in isolation or as a substitute for, or superior to, financial information prepared and presented in accordance with GAAP and should not be considered measures of QT Imaging's liquidity. Investors are cautioned that there are material limitations associated with the use of non-GAAP financial measures as an analytical tool. In particular, many of the adjustments to our GAAP financial measures reflect the exclusion of certain items, as defined in our non-GAAP definitions below, which are recurring and will be reflected in our financial results for the foreseeable future. In addition, these measures may be different from non-GAAP financial measures used by other companies, even where similarly titled, limiting their usefulness for comparison purposes and therefore should not be used to compare QT Imaging's performance to that of other companies. We endeavor to compensate for the limitation of the non-GAAP financial measures presented by also providing the most directly comparable GAAP measures and descriptions of the reconciling items and adjustments to derive the non-GAAP financial measures.
We believe these non-GAAP financial measures provide investors and analysts with useful supplemental information about the financial performance of our business, enable comparison of financial results between periods where certain items may vary independent of business performance, and allow for greater transparency with respect to key measures used by management to operate and analyze our business over different periods of time.
EBITDA is defined as loss before interest expense, income tax expense, depreciation and amortization. Adjusted EBITDA is defined as EBITDA further adjusted for equity-based compensation, net increase (decrease) in fair value of derivative, earnout and warrant liabilities, capital market advisory fees, and transaction expenses. Similar excluded expenses may be incurred in future periods when calculating these measures. QT Imaging believes these non-GAAP measures of financial results provide useful information to management and investors regarding certain financial and business trends relating to the Company's financial condition and results of operations. QT Imaging believes that the use of these non-GAAP financial measures provides an additional tool for investors to use in evaluating projected operating results and trends and in comparing QT Imaging's financial measures with other similar companies, many of which present similar non-GAAP financial measures to investors.
Management does not consider these non-GAAP measures in isolation or as an alternative to financial measures determined in accordance with GAAP. The principal limitation of these non-GAAP financial measures is that they exclude significant expenses and income that are required by GAAP to be recorded in the Company's financial statements. In addition, they are subject to inherent limitations as they reflect the exercise of judgment by management about which expense and income items are excluded or included in determining these non-GAAP financial measures.
Management uses EBITDA and Adjusted EBITDA as a non-GAAP performance measure which is defined in the accompanying tables and is reconciled to net loss, the most directly comparable GAAP measure, in the tables above. The Company does not reconcile forward-looking non-GAAP financial measures to the most directly comparable GAAP financial measure (or otherwise describe such forward-looking GAAP measure) because it is not able to forecast the most directly comparable measure calculated and presented in accordance with GAAP without unreasonable effort. Certain elements of the composition of the GAAP amounts are not predictable, making it impracticable for the Company to forecast. As a result, no guidance for the Company's net (loss) income or reconciliation of the Company's Adjusted EBITDA guidance is provided. For the same reasons, the Company is unable to assess the probable significance of the unavailable information, which could have a potentially significant impact on its future net (loss) income.
We present reconciliations of these non-GAAP financial measures to the most directly comparable GAAP measures in the tables above.
About QT Imaging
QT Imaging Holdings, Inc. is a public (NASDAQ: QTI) medical device company engaged in research, development, and commercialization of innovative body imaging systems using low frequency sound waves. QT Imaging Holdings, Inc. strives to improve global health outcomes. Its strategy is predicated upon the fact that medical imaging is critical to the detection, diagnosis, and treatment of disease and that it should be safe, affordable, accessible, and centered on the patient's experience. For more information on QT Imaging Holdings, Inc., please visit the company's website at www.qtimaging.com.
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