UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

(Mark One)

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended SeptemberJune 30, 20172019

OR

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from                      to

Commission File Number: 000-52024

 

ALPHATEC HOLDINGS, INC.

(Exact name of registrant as specified in its charter)

 

 

Delaware

 

20-2463898

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

5818 El Camino Real

Carlsbad, CA 92008

(Address of principal executive offices, including zip code)

(760) 431-9286

(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

Trading Symbol(s)

Name of each exchange on which registered

Common stock, par value $.0001 per share

ATEC

The NASDAQ Global Select Market

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes      No  

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes      No  

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer

 

Accelerated filer

Non-accelerated filer

  (Do not check if a small reporting company)

 

Smaller reporting company

Emerging growth company

 

 

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.    

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act)    Yes      No  

As of November 1, 2017,July 22, 2019, there were 16,724,08047,656,697 shares of the registrant’s common stock outstanding.

 


ALPHATEC HOLDINGS, INC.

QUARTERLY REPORT ON FORM 10-Q

SeptemberJune 30, 20172019

Table of Contents

 

 

 

 

 

Page

 

 

PART I – FINANCIAL INFORMATION

 

 

 

 

 

 

 

Item 1.

 

Financial Statements

 

3

 

 

 

 

 

 

 

Condensed Consolidated Balance Sheets as of SeptemberJune 30, 20172019 (unaudited) and December 31, 20162018

 

3

 

 

 

 

 

 

 

Condensed Consolidated Statements of Operations for the Three and NineSix Months Ended SeptemberJune 30, 20172019 and 20162018 (unaudited)

 

4

 

 

 

 

 

 

 

Condensed Consolidated Statements of Comprehensive Loss for the Three and Nine months
Six Months Ended SeptemberJune 30, 20172019 and 20162018 (unaudited)

 

5

 

 

 

 

 

 

 

Condensed Consolidated Statements of Cash FlowsStockholders’ Equity for the NineThree and Six Months Ended SeptemberJune 30, 20172019
and 20162018 (unaudited)

 

6

 

 

 

 

 

 

 

Condensed Consolidated Statements of Cash Flows for the Six Months Ended June 30, 2019
and 2018 (unaudited)

8

Notes to Condensed Consolidated Financial Statements (unaudited)

 

79

 

 

 

 

 

Item 2.

 

Management's Discussion and Analysis of Financial Condition and Results of Operations

 

2325

 

 

 

 

 

Item 3.

 

Quantitative and Qualitative Disclosures About Market Risk

 

34

 

 

 

 

 

Item 4.

 

Controls and Procedures

 

34

 

 

 

 

 

 

 

PART II – OTHER INFORMATION

 

 

 

 

 

 

 

Item 1.

 

Legal Proceedings

 

3536

 

 

 

 

 

Item 1A.

 

Risk Factors

 

3536

 

 

 

 

 

Item 2.

 

Unregistered Sales of Equity Securities and Use of Proceeds

 

3536

Item 5.

Other Information

36

 

 

 

 

 

Item 6.

 

Exhibits

 

3637

 

 

 

 

 

SIGNATURES

 

3738

 

 

 

2


PART I. FINANCIAL INFORMATION

Item 1.

Financial Statements

ALPHATEC HOLDINGS, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands, except for par value data)

 

 

September 30, 2017

 

 

December 31,

2016

 

 

June 30, 2019

 

 

December 31, 2018

 

Assets

 

(Unaudited)

 

 

 

 

 

 

(Unaudited)

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash

 

$

15,437

 

 

$

19,593

 

 

$

18,570

 

 

$

29,054

 

Accounts receivable, net

 

 

13,303

 

 

 

18,512

 

 

 

13,642

 

 

 

15,095

 

Inventories, net

 

 

29,747

 

 

 

30,093

 

 

 

32,605

 

 

 

28,765

 

Prepaid expenses and other current assets

 

 

2,019

 

 

 

4,262

 

 

 

10,904

 

 

 

2,030

 

Withholding tax receivable from officer

 

 

 

 

 

350

 

Current assets of discontinued operations

 

 

236

 

 

 

364

 

 

 

225

 

 

 

242

 

Total current assets

 

 

60,742

 

 

 

72,824

 

 

 

75,946

 

 

 

75,536

 

Property and equipment, net

 

 

13,275

 

 

 

15,076

 

 

 

15,090

 

 

 

13,235

 

Intangible assets, net

 

 

5,482

 

 

 

5,711

 

Operating lease right-of-use asset

 

 

2,170

 

 

 

 

Goodwill

 

 

13,897

 

 

 

13,897

 

Intangibles, net

 

 

26,054

 

 

 

26,408

 

Other assets

 

 

222

 

 

 

516

 

 

 

222

 

 

 

347

 

Noncurrent assets of discontinued operations

 

 

52

 

 

 

61

 

 

 

53

 

 

 

54

 

Total assets

 

$

79,773

 

 

$

94,188

 

 

$

133,432

 

 

$

129,477

 

Liabilities and Stockholders’ Deficit

 

 

 

 

 

 

 

 

Liabilities and Stockholders’ Equity

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts payable

 

$

2,865

 

 

$

8,701

 

 

$

8,178

 

 

$

4,399

 

Accrued expenses

 

 

22,606

 

 

 

27,589

 

 

 

20,831

 

 

 

22,316

 

Current portion of long-term debt

 

 

3,037

 

 

 

3,113

 

 

 

286

 

 

 

3,276

 

Current portion of operating lease liability

 

 

1,173

 

 

 

 

Current liabilities of discontinued operations

 

 

283

 

 

 

732

 

 

 

538

 

 

 

621

 

Total current liabilities

 

 

28,791

 

 

 

40,135

 

 

 

31,006

 

 

 

30,612

 

Long-term debt, less current portion

 

 

37,228

 

 

 

43,092

 

 

 

49,369

 

 

 

42,299

 

Operating lease liability

 

 

1,467

 

 

 

 

Other long-term liabilities

 

 

23,666

 

 

 

28,862

 

 

 

13,826

 

 

 

15,389

 

Redeemable preferred stock, $0.0001 par value; 20,000 shares authorized at September 30,

2017 and December 31, 2016; 3,319 shares issued and outstanding at both

September 30, 2017 and December 31, 2016

 

 

23,603

 

 

 

23,603

 

Redeemable preferred stock, $0.0001 par value; 20,000 shares authorized at

June 30, 2019 and December 31, 2018; 3,319 shares issued and outstanding

at both June 30, 2019 and December 31, 2018

 

 

23,603

 

 

 

23,603

 

Commitments and contingencies

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Series A convertible preferred stock, $0.0001 par value; 15 and 0 shares authorized at September 30, 2017 and December 31, 2016, respectively; 7 shares issued and outstanding at September 30, 2017

 

 

 

 

 

 

Common stock, $0.0001 par value; 200,000 authorized at September 30, 2017

and December 31, 2016; 15,148 and 9,049 shares issued and outstanding at

September 30, 2017 and December 31, 2016, respectively

 

 

2

 

 

 

1

 

Treasury stock, at cost, 2 shares, at both September 30, 2017 and

December 31, 2016

 

 

(97

)

 

 

(97

)

Stockholders' equity:

 

 

 

 

 

 

 

 

Series A convertible preferred stock, $0.0001 par value; 15 shares authorized

at June 30, 2019 and December 31, 2018; 0 and 4 shares issued and

outstanding at June 30, 2019 and December 31, 2018, respectively

 

 

 

 

 

 

Series B convertible preferred stock, $0.0001 par value; 45 shares authorized

at June 30, 2019 and December 31, 2018; 0 shares issued and

outstanding at June 30, 2019 and December 31, 2018

 

 

 

 

 

 

Common stock, $0.0001 par value; 200,000 shares authorized at June 30, 2019 and

December 31, 2018; 47,635 issued and 47,373 outstanding at June 30, 2019 net of

262 unvested shares and 43,368 shares issued and outstanding at December 31, 2018

 

 

4

 

 

 

4

 

Treasury stock, at cost, 2 shares, at both June 30, 2019 and December 31, 2018

 

 

(97

)

 

 

(97

)

Additional paid-in capital

 

 

438,969

 

 

 

419,787

 

 

 

545,423

 

 

 

523,525

 

Shareholder note receivable

 

 

(5,000

)

 

 

(5,000

)

 

 

(5,000

)

 

 

(5,000

)

Accumulated other comprehensive income

 

 

1,125

 

 

 

970

 

 

 

1,157

 

 

 

1,064

 

Accumulated deficit

 

 

(468,514

)

 

 

(457,165

)

 

 

(527,326

)

 

 

(501,922

)

Total stockholders’ deficit

 

 

(33,515

)

 

 

(41,504

)

Total liabilities and stockholders’ deficit

 

$

79,773

 

 

$

94,188

 

Total stockholders’ equity

 

 

14,161

 

 

 

17,574

 

Total liabilities and stockholders’ equity

 

$

133,432

 

 

$

129,477

 

See accompanying notes to unaudited condensed consolidated financial statements.

3


ALPHATEC HOLDINGS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(UNAUDITED)

(In thousands, except per share amounts)

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

Three Months Ended

 

 

Six Months Ended

 

 

September 30,

 

 

September 30,

 

 

June 30,

 

 

June 30,

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

 

2019

 

 

2018

 

 

2019

 

 

2018

 

Revenues

 

$

23,099

 

 

$

26,711

 

 

$

75,456

 

 

$

93,158

 

Revenues:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue from U.S. products

 

$

26,093

 

 

$

20,409

 

 

$

49,048

 

 

$

39,610

 

Revenue from international supply agreement

 

 

1,226

 

 

 

1,633

 

 

 

2,826

 

 

 

3,739

 

Total revenues

 

 

27,319

 

 

 

22,042

 

 

 

51,874

 

 

 

43,349

 

Cost of revenues

 

 

8,587

 

 

 

10,849

 

 

 

28,417

 

 

 

31,651

 

 

 

8,433

 

 

 

6,488

 

 

 

16,420

 

 

 

12,890

 

Gross profit

 

 

14,512

 

 

 

15,862

 

 

 

47,039

 

 

 

61,507

 

 

 

18,886

 

 

 

15,554

 

 

 

35,454

 

 

 

30,459

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

 

1,044

 

 

 

1,087

 

 

 

3,483

 

 

 

6,799

 

 

 

3,360

 

 

 

2,009

 

 

 

6,829

 

 

 

3,795

 

Sales and marketing

 

 

10,015

 

 

 

11,764

 

 

 

31,416

 

 

 

39,498

 

General and administrative

 

 

4,403

 

 

 

4,136

 

 

 

15,977

 

 

 

19,416

 

Sales, general and administrative

 

 

24,568

 

 

 

17,538

 

 

 

45,568

 

 

 

34,795

 

Litigation-related expenses

 

 

1,200

 

 

 

2,234

 

 

 

3,823

 

 

 

2,814

 

Amortization of intangible assets

 

 

172

 

 

 

83

 

 

 

516

 

 

 

593

 

 

 

172

 

 

 

187

 

 

 

354

 

 

 

364

 

Goodwill and intangible asset impairment

 

 

 

 

 

1,736

 

 

 

 

 

 

1,736

 

Transaction-related expenses

 

 

 

 

 

(62

)

 

 

 

 

 

1,480

 

Gain on settlement

 

 

 

 

 

 

 

 

 

 

 

(6,168

)

Restructuring expenses

 

 

139

 

 

 

1,605

 

 

 

1,898

 

 

 

1,778

 

 

 

 

 

 

193

 

 

 

60

 

 

 

591

 

Gain on sale of assets

 

 

 

 

 

 

 

 

(856

)

 

 

 

Total operating expenses

 

 

15,773

 

 

 

20,411

 

 

 

52,434

 

 

 

69,820

 

 

 

29,300

 

 

 

22,099

 

 

 

56,634

 

 

 

37,671

 

Operating loss

 

 

(1,261

)

 

 

(4,549

)

 

 

(5,395

)

 

 

(8,313

)

 

 

(10,414

)

 

 

(6,545

)

 

 

(21,180

)

 

 

(7,212

)

Other income (expense):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense, net

 

 

(1,807

)

 

 

(1,123

)

 

 

(5,669

)

 

 

(3,118

)

Loss on debt extinguishment

 

 

 

 

 

(9,478

)

 

 

 

 

 

(9,478

)

Other income (expense), net

 

 

(15

)

 

 

90

 

 

 

(8

)

 

 

(273

)

Total other income (expense)

 

 

(1,822

)

 

 

(10,511

)

 

 

(5,677

)

 

 

(12,869

)

Total other expense, net

 

 

(1,921

)

 

 

(1,784

)

 

 

(4,040

)

 

 

(3,429

)

Loss from continuing operations before taxes

 

 

(3,083

)

 

 

(15,060

)

 

 

(11,072

)

 

 

(21,182

)

 

 

(12,335

)

 

 

(8,329

)

 

 

(25,220

)

 

 

(10,641

)

Income tax (benefit) provision

 

 

(7

)

 

 

(4,997

)

 

 

57

 

 

 

(4,962

)

Income tax provision (benefit)

 

 

71

 

 

 

(1,265

)

 

 

102

 

 

 

(1,723

)

Loss from continuing operations

 

 

(3,076

)

 

 

(10,063

)

 

 

(11,129

)

 

 

(16,220

)

 

 

(12,406

)

 

 

(7,064

)

 

 

(25,322

)

 

 

(8,918

)

Loss from discontinued operations, net of applicable taxes

 

 

(61

)

 

 

(3,658

)

 

 

(220

)

 

 

(9,351

)

 

 

(30

)

 

 

(12

)

 

 

(82

)

 

 

(74

)

Net loss

 

$

(3,137

)

 

$

(13,721

)

 

$

(11,349

)

 

$

(25,571

)

 

$

(12,436

)

 

$

(7,076

)

 

$

(25,404

)

 

$

(8,992

)

Net loss per share, basic and diluted:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

(0.22

)

 

$

(1.17

)

 

$

(0.98

)

 

$

(1.91

)

 

$

(0.26

)

 

$

(0.21

)

 

$

(0.55

)

 

$

(0.32

)

Discontinued operations

 

$

(0.01

)

 

$

(0.43

)

 

$

(0.02

)

 

$

(1.10

)

 

$

(0.00

)

 

$

(0.00

)

 

$

(0.00

)

 

$

(0.00

)

Net loss per share, basic and diluted

 

$

(0.23

)

 

$

(1.60

)

 

$

(1.00

)

 

$

(3.01

)

 

$

(0.27

)

 

$

(0.21

)

 

$

(0.55

)

 

$

(0.32

)

Shares used in calculating basic and diluted net loss per share

 

 

13,938

 

 

 

8,560

 

 

 

11,349

 

 

 

8,505

 

 

 

46,880

 

 

 

34,030

 

 

 

45,957

 

 

 

27,656

 

 

See accompanying notes to unaudited condensed consolidated financial statements.

4


ALPHATEC HOLDINGS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS

(UNAUDITED)

(In thousands)

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

Three Months Ended

 

 

Six Months Ended

 

 

September 30,

 

 

September 30,

 

 

June 30,

 

 

June 30,

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

 

2019

 

 

2018

 

 

2019

 

 

2018

 

Net loss

 

$

(3,137

)

 

$

(13,721

)

 

$

(11,349

)

 

$

(25,571

)

 

$

(12,436

)

 

$

(7,076

)

 

$

(25,404

)

 

$

(8,992

)

Foreign currency translation adjustments related to continuing

operations

 

 

207

 

 

 

961

 

 

 

155

 

 

 

2,602

 

 

 

18

 

 

 

10

 

 

 

93

 

 

 

(12

)

Foreign currency translation adjustments related to discontinued

operations

 

 

 

 

 

19,355

 

 

 

 

 

 

19,355

 

Comprehensive (loss) income

 

$

(2,930

)

 

$

6,595

 

 

$

(11,194

)

 

$

(3,614

)

Comprehensive loss

 

$

(12,418

)

 

$

(7,066

)

 

$

(25,311

)

 

$

(9,004

)

 

See accompanying notes to unaudited condensed consolidated financial statements.

 

5


ALPHATEC HOLDINGS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

(UNAUDITED)

(In thousands)

 

 

Common stock

 

 

Series A Convertible

Preferred Stock

 

 

Series B Convertible

Preferred Stock

 

 

Additional

paid-in

 

 

Shareholder

note

 

 

Treasury

 

 

Accumulated other

comprehensive

 

 

Accumulated

 

 

Total

stockholders’

 

 

 

Shares

 

 

Par Value

 

 

Shares

 

 

Par Value

 

 

Shares

 

 

Par Value

 

 

capital

 

 

receivable

 

 

stock

 

 

income (loss)

 

 

deficit

 

 

equity

 

Balance at  January 1, 2018

 

 

19,857

 

 

$

2

 

 

 

5

 

 

$

 

 

 

 

 

$

 

 

$

436,803

 

 

$

(5,000

)

 

$

(97

)

 

$

1,093

 

 

$

(459,459

)

 

$

(26,658

)

Stock-based compensation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

812

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

812

 

Issuance of Series B preferred stock,   net of offering costs of $2.6 million

 

 

 

 

 

 

 

 

 

 

 

 

 

 

45

 

 

 

 

 

 

42,823

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

42,823

 

Common stock issued for conversion of Series A preferred stock

 

 

637

 

 

 

 

 

 

(1

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Common stock issued for vesting of

   restricted stock awards, net of shares

   repurchased for tax liability

 

 

38

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Common stock issued for warrant exercises

 

 

2,061

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4,128

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4,128

 

Issuance of common stock and warrants for the acquisition of SafeOp

 

 

2,975

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11,468

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11,468

 

Prepaid forward contract for the additional shares to be issued for the acquisition of SafeOp

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

938

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

938

 

Foreign currency translation adjustments

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(22

)

 

 

 

 

 

(22

)

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1,916

)

 

 

(1,916

)

Balance at March 31, 2018

 

 

25,568

 

 

 

2

 

 

 

4

 

 

 

 

 

 

45

 

 

 

 

 

 

496,972

 

 

 

(5,000

)

 

 

(97

)

 

 

1,071

 

 

 

(461,375

)

 

 

31,573

 

Stock-based compensation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1,222

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1,222

 

Conversion of Series B preferred stock

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(45

)

 

 

 

 

 

(42,823

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(42,823

)

Common stock issued for conversion of Series B preferred stock

 

 

14,349

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

42,822

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

42,824

 

Common stock issued for vesting of

   restricted stock awards, net of shares

   repurchased for tax liability

 

 

28

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Common stock issued for warrant exercises

 

 

2,250

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4,500

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4,500

 

Issuance of common stock for

   the acquisition of SafeOp

 

 

116

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

364

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

364

 

Prepaid forward contract for the additional shares to be issued for the acquisition of SafeOp

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(460

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(460

)

Common stock issued for employee stock purchase plan and stock option exercises

 

 

90

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

260

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

260

 

Series B issuance costs

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(174

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(174

)

Foreign currency translation adjustments

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

 

 

 

 

 

 

10

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(7,076

)

 

 

(7,076

)

Balance at June 30, 2018

 

 

42,401

 

 

$

4

 

 

 

4

 

 

$

 

 

 

 

 

$

 

 

$

502,683

 

 

$

(5,000

)

 

$

(97

)

 

$

1,081

 

 

$

(468,451

)

 

$

30,220

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6


Balance at  January 1, 2019

 

 

43,368

 

 

$

4

 

 

 

4

 

 

$

 

 

 

 

 

$

 

 

$

523,525

 

 

$

(5,000

)

 

$

(97

)

 

$

1,064

 

 

$

(501,922

)

 

$

17,574

 

Stock-based compensation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1,565

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1,565

 

Distributor equity incentives

 

 

15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

42

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

42

 

Common stock issued for conversion of Series A preferred stock

 

 

1,858

 

 

 

 

 

 

(4

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Recognition of beneficial conversion feature - SafeOp Convertible Notes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

242

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

242

 

Common stock issued for stock option

   exercises

 

 

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14

 

Common stock issued for vesting of

   restricted stock awards, net of shares

   repurchased for tax liability

 

 

442

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(183

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(183

)

Issuance of common stock for acquisition of SafeOp - Milestone 2

 

 

887

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2,889

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2,889

 

Foreign currency translation adjustments

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

75

 

 

 

 

 

 

75

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(12,968

)

 

 

(12,968

)

Balance at March 31, 2019

 

 

46,578

 

 

 

4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

528,094

 

 

 

(5,000

)

 

 

(97

)

 

 

1,139

 

 

 

(514,890

)

 

 

9,250

 

Stock-based compensation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2,140

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2,140

 

Distributor equity incentives

 

 

45

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

138

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

138

 

Common stock issued for warrant

   exercises

 

 

255

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

723

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

723

 

Common stock issued for employee stock purchase plan and stock option exercises

 

 

278

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

664

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

664

 

Common stock issued for vesting of

   restricted stock awards, net of shares

   repurchased for tax liability

 

 

217

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issuance of common stock warrants

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13,664

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13,664

 

Foreign currency translation adjustments

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18

 

 

 

 

 

 

18

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(12,436

)

 

 

(12,436

)

Balance at June 30, 2019

 

 

47,373

 

 

$

4

 

 

 

 

 

$

 

 

 

 

 

$

 

 

$

545,423

 

 

$

(5,000

)

 

$

(97

)

 

$

1,157

 

 

$

(527,326

)

 

$

14,161

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See accompanying notes to unaudited condensed consolidated financial statements

7


ALPHATEC HOLDINGS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(UNAUDITED)

(In thousands)

 

 

Nine Months Ended September 30,

 

 

Six Months Ended June 30,

 

 

2017

 

 

2016

 

 

2019

 

 

2018

 

Operating activities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net loss

 

$

(11,349

)

 

$

(25,571

)

 

$

(25,404

)

 

$

(8,992

)

Adjustments to reconcile net loss to net cash (used in) provided by operating

activities:

 

 

 

 

 

 

 

 

Adjustments to reconcile net loss to net cash used in operating activities:

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

5,536

 

 

 

10,403

 

 

 

3,430

 

 

 

3,475

 

Stock-based compensation

 

 

1,669

 

 

 

1,510

 

 

 

3,963

 

 

 

1,767

 

Amortization of debt discount and debt issuance costs

 

 

2,107

 

 

 

3,320

 

 

 

1,033

 

 

 

1,090

 

Impairment of goodwill and intangible assets

 

 

 

 

 

1,736

 

Amortization of right-of-use asset

 

 

441

 

 

 

 

Provision for doubtful accounts

 

 

(145

)

 

 

(53

)

 

 

122

 

 

 

110

 

Provision for excess and obsolete inventory

 

 

1,640

 

 

 

4,488

 

 

 

4,123

 

 

 

2,212

 

Deferred income tax expense

 

 

(1

)

 

 

 

Gain on sale of assets

 

 

(856

)

 

 

 

Loss on disposal of instruments

 

 

1,043

 

 

 

 

Gain on sale of business

 

 

 

 

 

(5,361

)

Loss on extinguishment of debt

 

 

 

 

 

3,863

 

Other non-cash items

 

 

 

 

 

280

 

Deferred income tax benefit

 

 

2

 

 

 

(1,238

)

Gain on settlement

 

 

 

 

 

(6,168

)

Beneficial conversion feature from convertible notes

 

 

242

 

 

 

 

Gain (loss) on disposal of instruments

 

 

66

 

 

 

(285

)

Accretion to contingent consideration

 

 

289

 

 

 

100

 

Changes in operating assets and liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Restricted cash

 

 

 

 

 

2,350

 

Accounts receivable, net

 

 

5,354

 

 

 

10,658

 

 

 

1,330

 

 

 

3,346

 

Inventories, net

 

 

(1,294

)

 

 

(4,723

)

 

 

(7,963

)

 

 

(2,905

)

Prepaid expenses and other current assets

 

 

2,745

 

 

 

1,797

 

 

 

285

 

 

 

49

 

Other assets

 

 

297

 

 

 

191

 

 

 

126

 

 

 

(55

)

Other long-term assets

 

 

(2,690

)

 

 

 

Accounts payable

 

 

(3,597

)

 

 

(5,247

)

 

 

4,322

 

 

 

(620

)

Accrued expenses and other

 

 

(11,552

)

 

 

233

 

 

 

1,201

 

 

 

1,768

 

Deferred revenues

 

 

289

 

 

 

 

Lease liability

 

 

2,639

 

 

 

 

Other long-term liabilities

 

 

(2,199

)

 

 

(2,365

)

Net cash used in operating activities

 

 

(8,114

)

 

 

(126

)

 

 

(14,642

)

 

 

(8,711

)

Investing activities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Purchases of property and equipment

 

 

(7,185

)

 

 

(7,291

)

 

 

(3,717

)

 

 

(2,387

)

Proceeds from sale of business, net

 

 

 

 

 

69,894

 

Cash paid for acquisition of SafeOp Surgical, Inc.

 

 

 

 

 

(14,344

)

Cash received from sale of equipment

 

 

869

 

 

 

1,316

 

 

 

 

 

 

348

 

Net cash (used in) provided by investing activities

 

 

(6,316

)

 

 

63,919

 

Net cash used in investing activities

 

 

(3,717

)

 

 

(16,383

)

Financing activities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Proceeds from sale of common stock, net

 

 

1,401

 

 

 

51,538

 

Borrowings under lines of credit

 

 

70,547

 

 

 

94,241

 

 

 

54,220

 

 

 

44,500

 

Repayments under lines of credit

 

 

(74,056

)

 

 

(110,840

)

 

 

(54,488

)

 

 

(46,634

)

Principal payments on capital lease obligations

 

 

(353

)

 

 

(606

)

 

 

(12

)

 

 

(60

)

Proceeds from sale of stock, net

 

 

17,210

 

 

 

57

 

Proceeds from/(payments on) notes payable, net

 

 

(1,800

)

 

 

23,046

 

Principal payments on notes payable and term loan

 

 

(1,528

)

 

 

(53,820

)

Net cash provided by (used in) financing activities

 

 

10,020

 

 

 

(47,922

)

Proceeds from issuance of term debt, net

 

 

9,700

 

 

 

 

Principal payments on term loan

 

 

(3,045

)

 

 

(1,800

)

Net cash provided by financing activities

 

 

7,776

 

 

 

47,544

 

Effect of exchange rate changes on cash

 

 

254

 

 

 

(1,220

)

 

 

99

 

 

 

(4

)

Net (decrease) increase in cash

 

 

(4,156

)

 

 

14,651

 

Net increase (decrease) in cash

 

 

(10,484

)

 

 

22,446

 

Cash at beginning of period, including discontinued operations

 

 

19,593

 

 

 

11,229

 

 

 

29,054

 

 

 

22,466

 

Cash at end of period, including discontinued operations

 

$

15,437

 

 

$

25,880

 

 

$

18,570

 

 

$

44,912

 

Supplemental disclosure of cash flow information:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash paid for interest

 

$

3,568

 

 

$

6,122

 

 

$

2,714

 

 

$

2,282

 

Cash paid for income taxes

 

$

90

 

 

$

920

 

 

$

102

 

 

$

72

 

Purchases of property and equipment in accounts payable

 

$

2,240

 

 

$

543

 

 

$

2,221

 

 

$

531

 

Common stock issued for acquisition of intangible assets

 

$

473

 

 

$

-

 

Cashless warrant conversion

 

$

 

 

$

1,074

 

Common stock warrants issued with term loan draw

 

$

13,664

 

 

$

 

Common stock issued for achievement of SafeOp contingent consideration

 

$

2,889

 

 

$

 

See accompanying notes to unaudited condensed consolidated financial statements.

68


ALPHATEC HOLDINGS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

1. The Company and Basis of Presentation

The Company

Alphatec Holdings, Inc. (the “Company”), through its wholly owned subsidiary,subsidiaries, Alphatec Spine, Inc. and its subsidiaries (“Alphatec Spine”) and SafeOp Surgical, Inc. (“SafeOp”), is a medical technology company focused on the design, developmentthat designs, develops, and promotion ofmarkets spinal fusion technology products and solutions for the surgical treatment of spine disorders. The Company has a comprehensive product portfolio and pipeline that addresses the cervical, thoracolumbar and intervertebral regions of the spine and covers a variety of spinal disorders associated with disease and surgical procedures.degeneration, congenital deformities, and trauma. The Company’s principal product offerings are focused onCompany markets its products in the U.S. marketvia independent sales agents and a direct sales force.

On March 8, 2018, the Company completed its acquisition of SafeOp, a Delaware corporation, pursuant to a reverse triangular merger of SafeOp into a newly-created wholly-owned subsidiary of the Company, with SafeOp being the surviving corporation and a wholly-owned subsidiary of the Company. See Note 8 for fusion-based spinal disorder solutions.further information.

On September 1, 2016, the Company completed the sale of its international distribution operations and agreements (collectively, the “International Business”) to Globus Medical Ireland, Ltd., a subsidiary of Globus Medical, Inc., and its affiliated entities (collectively “Globus”), including the Company’s wholly-owned subsidiaries in Japan, Brazil, Australia and Singapore and substantially all of the assets of the Company’s other sales operations in the United Kingdom and Italy (collectively, the “International Business”), pursuant to a purchase and sale agreement, dated as of July 25, 2016 (as amended, the “Purchase and Sale Agreement”) (the “Globus Transaction”). As a result of this transaction, the Globus Transaction, the Company's International Business has been excluded from continuing operations for all periods presented in this Quarterly Report on Form 10-Q and is reported as discontinued operations. See Note 4 for additional information on the divestiture of the International Business. The Company operates in one reportable business segment.  The sale of the international operations represented a strategic shift and has a significant impact on the Company's operations and financial results.

Basis of Presentation

The accompanying condensed consolidated balance sheet as of December 31, 2016,2018, which has been derived from audited financial statements, and the unaudited interim condensed consolidated financial statements have been prepared by the Company in accordance with U.S. generally accepted accounting principles (“GAAP”) and the rules and regulations of the Securities and Exchange Commission (“SEC”) related to a quarterly report on Form 10-Q. Certain information and note disclosures normally included in annual audited financial statements prepared in accordance with GAAP have been condensed or omitted pursuant to those rules and regulations, although the Company believes that the disclosures made in this Quarterly Report on Form 10-Q are adequate to make the information not misleading. The unaudited interim unaudited condensed consolidated financial statements reflect all adjustments, including normal recurring adjustments which, in the opinion of management, are necessary for a fair statement of the financial position and results of operations for the periods presented. These unaudited condensed consolidated financial statements should be read in conjunction with the Company’s audited consolidated financial statements for the year ended December 31, 2016,2018, which are included in the Company’s Annual Report on Form 10-K for the year ended December 31, 20162018 that was filed with the SEC on March 31, 2017.

29, 2019. Operating results for the three and ninesix months ended SeptemberJune 30, 20172019 are not necessarily indicative of the results that may be expected for the year ending December 31, 2017,2019, or any other future periods.

On August 24, 2016, the Company filed a certificate of amendment to its certificate of incorporation with the Secretary of State of the state of Delaware to effectuate a 1-for-12 reverse stock split of the Company’s issued and outstanding common stock. Liquidity

The accompanying condensed consolidated financial statements have been prepared assuming that the Company will continue as a going concern and notes thereto give retrospective effect todo not include any adjustments that might result from the reverse stock split for all periods presented. All issuedoutcome of this uncertainty. A going concern basis of accounting contemplates the recovery of the Company’s assets and outstanding common stock, options exercisable for common stock, warrants exercisable for common stock, restricted stock units, and per share amounts containedthe satisfaction of its liabilities in the Company’s condensed consolidated financial statements have been retroactively adjusted to reflect this reverse stock split for all periods presented.

As a resultnormal course of the sale of the International Business, the Company has retrospectively revised the condensed consolidated statements of operations for the three and nine months ended September 30, 2016, to reflect the financial results from the International Business, and the related assets and liabilities, as discontinued operations.business.

The Company’s annual operating plan projects that its existing working capital at SeptemberJune 30, 20172019 of $32.0$44.9 million (including cash of $15.4$18.6 million) plus committed financing proceeds and borrowings underalong with the Company’s existing MidCap revolving credit facilityuse of the Expanded Credit Facility with Squadron Medical Finance Solutions LLC (“Squadron”) of the remaining $20.0 million that closed on March 27, 2019 allows the Company to fund its operations through at least one year subsequent to the date the financial statements are issued.

7


The Company has incurred significant net losses since inception and has relied on its ability to fund its operations through revenues from the sale of its products, equity financings and debt financings. As the Company has historically incurred losses, successful transition to profitability is dependent upon achieving a level of revenues adequate to support the Company’s cost structure. This may not occur and, unless and until it does, the Company will continue to need to raise additional capital.  Operating losses and negative cash flows may continue for at least the next year as the Company continues to incur costs related to the execution of its operating plan and introduction of new products. The Company’s inability to raise additional capital from outside sources will have a material adverse impact on its operations.

9


As more fully described in Note 5, the Company is a party toCompany’s debt agreements with MidCap Funding IV, LLC and Globus International (the “Debt Agreements”).  The Debt Agreements include traditional lending and reporting covenants, including a financial covenant that requires the Company to maintain a minimum fixed charge coverage ratio beginning in April 2018.2020 and a minimum liquidity covenant of $5.0 million effective through March 2020. Should at any time the Company fail to maintain compliance with this covenant,these covenants, the Company will need to seek waivers or amendments to the Debt Agreements.debt agreements. If the Company is unable to secure such waivers or amendments, it may be required to classify its obligations under the Debt Agreementsdebt agreements in current liabilities on its consolidated balance sheet. The Company may also be required to repay all or a portion of outstanding indebtedness under the Debt Agreements,debt agreements, which would require the Company to obtain further financing.  There is no assurance that the Company will be able to obtain further financing, or do so on reasonable terms.

The accompanying condensed consolidated financial statements have been prepared assuming that the Company will continue as a going concern and do not include any adjustments that might result from the outcome of this uncertainty. A going concern basis of accounting contemplates the recovery of the Company’s assets and the satisfaction of its liabilities in the normal course of business.

Reclassification

Certain amounts in the condensed consolidated financial statements included in our Form 10-Qstatement of operations for the ninethree and six months ended SeptemberJune 30, 20162018 have been reclassified to conform to the current period's presentation. Reclassifications betweenThese reclassifications include the depreciation expense for surgical instruments, which was reclassified, to be consistent with industry practice, out of cost of revenues and into sales, general and administrative expense on the Company’s consolidated statements of operations. This resulted in a reclassification of $1.3 million and amortization$2.6 million of intangible assetsdepreciation expense for the three and six months ended June 30, 2018, respectively. In addition, general and administrative expense for 2018 was combined into a single line item with sales and marketing expense for a new expense line titled “Sales, general and administrative expense” and litigation-related expenses primarily pertaining to the ongoing litigation with NuVasive, Inc. were made to improveclassified out of selling, general and administrative expense on the comparabilityCompany’s consolidated statement of operations for the statements.three and six months ended June 30, 2018 and onto its own expense line item. None of the adjustments had any effect on the prior period net loss.

2. Summary of Significant Accounting Policies

The Company’s significant accounting policies are described in Note 2 to its audited consolidated financial statements for the year ended December 31, 2016,2018, which are included in the Company’s Annual Report on Form 10-K that was filed with the SEC on March 31, 2017.29, 2019. Except as discussed below, these accounting policies have not significantly changed during the ninethree and six months ended SeptemberJune 30, 2017.2019.

Warrant AccountingOperating Lease

Effective January 1, 2019, the Company adopted ASC No. 2016‑02, Leases (Topic 842) (“ASU 2016‑02” or “ASC 842”), which supersedes the current accounting for leases, using the modified retrospective transition method. The Company has elected to apply the practical expedients allowed by the standard for existing leases. The new standard, while retaining two distinct types of leases, finance and operating, (i) requires lessees to record a right-of-use (“ROU”)asset and a related liability for the rights and obligations associated with a lease, regardless of lease classification, and recognize lease expense in a manner similar to current accounting, (ii) eliminates current real estate specific lease provisions, (iii) modifies the lease classification criteria and (iv) aligns many of the underlying lessor model principles with those in the new revenue standard. The Company determines the initial classification and measurement of its ROU asset and lease liabilities at the lease commencement date and thereafter, if modified. The Company recognizes a ROU asset for its operating leases with lease terms greater than 12 months.  The lease term includes any renewal options and termination options that the Company is reasonably assured to exercise. The present value of lease payments is determined by using the incremental borrowing rate for operating leases determined by using the incremental borrowing rate of interest that the Company would pay to borrow on a collateralized basis an amount equal to the lease payments in a similar economic environment. The Company applied the new guidance to its existing facility lease at the time of adoption and recognized a ROU asset of $2.4 million and operating lease liability of $2.9 million as of March 31, 2019, the initial period of adoption, and removed the previous deferred rent balance under the previous lease guidance of approximately $0.6 million.

Rent expense for operating leases is recognized on a straight-line basis over the reasonably assured lease term based on the total lease payments and is included in research and development and general and administrative expenses in the statements of operations.

Beneficial Conversion Feature – SafeOp Convertible Notes

In March 2019, the Company’s Convertible Note outstanding reached maturity and allowed for the noteholders to elect settlement in cash or shares of common stock.  As the Convertible Note provided the holders the benefit to convert to shares of common stock, a beneficial conversion feature (“BCF”) with a calculated intrinsic fair value at issuance of $0.2 million existed as of the date the Convertible Note was able to be converted into shares of common stock. Although the holders elected for cash settlement, the BCF was required to be recognized as interest expense on the Company’s consolidated statement of operations and within additional paid-in-capital within the Company’s condensed consolidated statement of stockholders’ equity for the six months ended June 30, 2019.

10


As more fully describedFair Value Measurements

The carrying amount of financial instruments consisting of cash, restricted cash, trade accounts receivable, prepaid expenses and other current assets, accounts payable, accrued expenses, accrued compensation and current portion of long-term debt included in Note 10,the Company’s consolidated financial statements are reasonable estimates of fair value due to their short maturities. Based on the borrowing rates currently available to the Company for loans with similar terms, management believes the fair value of long-term debt approximates its carrying value.

Authoritative guidance establishes a three-tier fair value hierarchy, which prioritizes the inputs used in measuring fair value as follows:

Level 1:

Observable inputs such as quoted prices in active markets;

Level 2:

Inputs, other than the quoted prices in active markets, that are observable either directly or indirectly; and

Level 3:

Unobservable inputs in which there is little or no market data, which require the reporting entity to develop its own assumptions.

The Company does not maintain any financial assets that are considered to be Level 1, Level 2 or Level 3 instruments as of June 30, 2019. The fair value of the contingent consideration liability assumed in the SafeOp acquisition was recorded as part of the purchase price consideration of the acquisition. The contingent consideration related to the SafeOp acquisition was classified within Level 3 of the fair value hierarchy as the Company was using a probability-weighted income approach, utilizing significant unobservable inputs including the probability of achieving each of the potential milestones and an estimated discount rate related to the risks of the expected cash flows attributable to the milestones. All the contingent milestones were achieved as of June 30, 2019. During the three months ended June 30, 2019, the Company issued warrantsa liability classified equity award to purchaseone of its executive officers. The award will be earned over a 4 year vesting period and upon a specific market condition. As the award will be cash settled, it is classified as a liability within Level 3 of the fair value hierarchy as the Company is using a probability-weighted income approach, utilizing significant unobservable inputs including the probability of achieving the specified market condition.

The following table provides a reconciliation of liabilities measured at fair value using significant unobservable inputs (Level 3) for the six months ended June 30, 2019 (in thousands):

 

 

Level 3

Liabilities

 

Balance at January 1, 2019

 

$

2,600

 

Settlement of Milestone #2

 

 

(2,889

)

Change in fair value measurement

 

 

289

 

Balance at March 31, 2019

 

 

 

Vested portion of liability classified equity award

 

 

31

 

Balance at June 30, 2019

 

$

31

 

During the six months ended June 30, 2019, the Company achieved the second of the two milestones which was settled through the issuance of 886,843 shares of the Company’s common stock in connection with a private placement transaction that closed on March 29, 2017.  These warrants contain a feature that could require the transfer of cash in the event of a Fundamental Transaction, as defined in such warrants (other than a Fundamental Transaction not approved by the Company’s Board of Directors).  As of September 30, 2017, the warrant holders did not control the Company’s Board of Directors, and therefore, since potential future cash settlement was deemed to be within the Company’s control, the warrants were classified in stockholder’s equity in accordance with the authoritative accounting guidance.stock. See Note 8 for further information.  

Recent Accounting Pronouncements

Recently Adopted Accounting Pronouncements

In May 2014,February 2016, the Financial Accounting Standards Board (“FASB”) issued new accounting guidance related to revenue recognition. This new standard replaces all current U.S. GAAP guidance on this topic and eliminates all industry-specific guidance. The new revenue recognition standard provides a unified model to determine when and how revenue is recognized. The core principle is that a company should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration for which the entity expects to be entitled in exchange for those goods or services. This guidance, including all subsequent clarifications, is effective for the Company for annual and interim reporting periods in fiscal years beginning after December 15, 2017 and can be applied either retrospectively to each period presented or as a cumulative-effect adjustment as of the date of adoption. The Company performed a preliminary assessment of the impact of the new standard on the consolidated financial statements, and considered all items outlined in the standard. In assessing the impact, the Company has outlined all revenue generating activities, mapped those activities to performance obligations and traced those performance obligations to the standard. The Company is now assessing what impact the change

8


in standard will have on those performance obligations. The Company will continue to evaluate the future impact and method of adoption of the new standard and related amendments on the consolidated financial statements and related disclosures throughout 2017. The Company will adopt the new standard beginning January 1, 2018.

In July 2015, the FASB issued new accounting guidance, which changes the measurement principle for inventory from the lower of cost or market to lower of cost and net realizable value for entities that do not measure inventory using the last-in, first-out or retail inventory method. The guidance also eliminates the requirement for these entities to consider replacement cost or net realizable value less an approximately normal profit margin when measuring inventory. The guidance was effective for the Company for annual and interim reporting periods in fiscal years beginning after December 15, 2016. The adoption, effective January 1, 2017, did not have a material impact on the Company’s condensed consolidated financial statements.

In February 2016, the FASB issued new accounting guidance,Accounting Standards Update (“ASU”) 2016-02, Leases (Topic 842), which changes several aspects of the accounting for leases, including the requirement that all leases with durations greater than twelve months be recognized on the balance sheet. The guidance is effective for annual and interim reporting periods in fiscal years beginning after December 15, 2018. The Company is evaluatingadopted the guidance effective January 1, 2019 and elected the optional transition method to account for the impact of adopting this new accounting standard on its financial statements.

In March 2016, the FASB issued new accounting guidance, which changes several aspectsadoption with a cumulative-effect adjustment in the period of the accounting for share-based payment award transactions, including accountingadoption and cash flow classification for excess tax benefits and deficiencies, forfeitures, and tax withholding requirements and cash flow classification. The guidance is effective for annual and interim reporting periods in fiscal years beginning after December 15, 2016. The Company adopted the standard for reporting periods beginning January 1, 2017.did not restate prior periods. The Company elected to keep its policy consistent forcertain practical expedients permitted under the applicationtransition guidance. As part of the adoption, the Company recorded a forfeiture rateROU asset and therefore, theliability upon adoption of the guidance did not have a material impact onpertaining to its unaudited condensed financial statements.long-term real estate lease for its corporate facilities. No cumulative-effect adjustment was needed.  

In August 2016, the FASB issued new accounting guidance, which eliminates the diversity in practice related to the classification of certain cash receipts and payments in the statement of cash flows, by adding or clarifying guidance on eight specific cash flow issues. The guidance is effective for annual and interim reporting periods in fiscal years beginning after December 15, 2017, with early adoption permitted. The amendments in this update should be applied retrospectively to all periods presented, unless deemed impracticable, in which case, prospective application is permitted. The Company is evaluating the new guidance and has not determined the impact this standards update may have on its financial statements.Recently Issued Accounting Pronouncements

In January 2017, the FASB issued new accounting guidance,ASU 2017-04, Intangibles – Goodwill and Other, which was createdeliminates the requirement to assist entities with evaluating whether transactions should be accounted for as acquisitions (or disposals) of assets or businesses. This guidance provides a screen to determine whether an integrated set of assets and activities is a business. The screen requires that when substantially all ofcalculate the implied fair value of the gross assets acquired (or disposed of) is concentrated ingoodwill to measure a single identifiable asset or a group of similar identifiable assets, the set is not a business. The guidance is effective for annual and interim reporting periods in fiscal years beginning after December 15, 2017. The Company does not anticipate this standard to havegoodwill impairment charge. Instead, entities will record an impactimpairment charge based on the Company’s consolidated financial statements unless a transaction occurs that would need to be evaluated under this guidance at which time the Company will assess the impact of this standard.

In May 2017, the FASB recently issued ASU 2017-09, Compensation-Stock Compensation, to provide clarity and reduce both 1) diversity in practice and 2) cost and complexity when applying the guidance in Topic 718 to a change in the terms or conditionsexcess of a share-based payment award.  ASU 2017-09 provides guidance about which changes toreporting unit’s carrying amount over its fair value. The standard has tiered effective dates, starting in 2020 for calendar-year public business entities that meet the terms or conditionsdefinition of a share-based payment award require an entity to apply modification accounting under Topic 718.  The amendments in ASU 2017-09 are effective for fiscal and interim reporting periods in fiscal years beginning after December 15, 2017.SEC filer. Early adoption is permitted including adoptionfor annual and

11


interim goodwill impairment testing dates after January 1, 2017. The Company is in any interim period.  The amendments in ASU 2017-09 should be applied prospectively to an award modified on or afterthe process of determining the impacts the adoption date.  The Company does not anticipate that the adoption of ASU 2017-09 will have a material impact on its consolidated financial statements unless a transaction occurs that would needas well as whether to be evaluated under this guidance at which timeearly adopt the Company will assess the impact of this standard.

In July 2017, the FASB issued ASU 2017-11, Earnings Per Share (Topic 260); Distinguishing Liabilities from Equity (Topic 480); Derivatives and Hedging (Topic 815): (Part I) Accounting for Certain Financial Instruments with Down Round Features, (Part II) Replacement of the Indefinite Deferral for Mandatorily Redeemable Financial Instruments of Certain Nonpublic Entities and Certain Mandatorily Redeemable Non-controlling Interests with a Scope Exception. The ASU allows companies to exclude a down round feature when determining whether a financial instrument (or embedded conversion feature) is considered indexed to the entity’s own stock. As a result, financial instruments (or embedded conversion features) with down round features may no longer be required to be accounted classified as liabilities. A company will recognize the value of a down round feature only when it is triggered and the strike price has been adjusted downward. For equity-classified freestanding financial instruments, such as warrants, an entity will treat the value of the effect of the down round,

9


when triggered, as a dividend and a reduction of income available to common shareholders in computing basic earnings per share. For convertible instruments with embedded conversion features containing down round provisions, entities will recognize the value of the down round as a beneficial conversion discount to be amortized to earnings. The guidance in ASU 2017-11 is effective for fiscal years beginning after December 15, 2018, and interim periods within those fiscal years. Early adoption is permitted, and the guidance is to be applied using a full or modified retrospective approach. The Company does not anticipate that the adoption of ASU 2017-11 will have a material impact on its consolidated financial statements unless a transaction occurs that would need to be evaluated under this guidance at which time the Company will assess the impact of this standard.new guidance.

3. Select Condensed Consolidated Balance Sheet Details

Accounts Receivable, net

Accounts receivable, net consist of the following (in thousands):

 

 

September 30,

2017

 

 

December 31,

2016

 

 

June 30,

2019

 

 

December 31,

2018

 

Accounts receivable

 

$

13,819

 

 

$

19,870

 

 

$

13,938

 

 

$

15,291

 

Allowance for doubtful accounts

 

 

(516

)

 

 

(1,358

)

 

 

(296

)

 

 

(196

)

Accounts receivable, net

 

$

13,303

 

 

$

18,512

 

 

$

13,642

 

 

$

15,095

 

 

Inventories, net

Inventories, net consist of the following (in thousands):

 

 

September 30,

2017

 

 

December 31,

2016

 

 

June 30,

2019

 

 

December 31,

2018

 

Raw materials

 

$

5,454

 

 

$

7,301

 

 

$

6,071

 

 

$

5,813

 

Work-in-process

 

 

926

 

 

 

823

 

 

 

814

 

 

 

952

 

Finished goods

 

 

38,910

 

 

 

38,469

 

 

 

46,615

 

 

 

39,758

 

 

 

45,290

 

 

 

46,593

 

 

 

53,500

 

 

 

46,523

 

Less reserve for excess and obsolete finished goods

 

 

(15,543

)

 

 

(16,500

)

 

 

(20,895

)

 

 

(17,758

)

Inventories, net

 

$

29,747

 

 

$

30,093

 

 

$

32,605

 

 

$

28,765

 

 

Property and Equipment, net

Property and equipment, net consist of the following (in thousands except as indicated):

 

 

Useful lives

(in years)

 

 

September 30,

2017

 

 

December

31, 2016

 

 

Useful lives

(in years)

 

 

June 30,

2019

 

 

December 31,

2018

 

Surgical instruments

 

 

4

 

 

$

53,116

 

 

$

53,095

 

 

 

4

 

 

$

54,584

 

 

$

54,848

 

Machinery and equipment

 

 

7

 

 

 

5,492

 

 

 

5,435

 

 

 

7

 

 

 

6,003

 

 

 

5,971

 

Computer equipment

 

 

3

 

 

 

3,512

 

 

 

3,511

 

 

 

3

 

 

 

3,391

 

 

 

3,104

 

Office furniture and equipment

 

 

5

 

 

 

2,707

 

 

 

2,695

 

 

 

5

 

 

 

1,244

 

 

 

1,155

 

Leasehold improvements

 

various

 

 

 

1,664

 

 

 

3,467

 

 

various

 

 

 

1,761

 

 

 

1,765

 

Construction in progress

 

n/a

 

 

 

-

 

 

 

445

 

 

n/a

 

 

 

145

 

 

 

92

 

 

 

 

 

 

 

66,491

 

 

 

68,648

 

 

 

 

 

 

 

67,128

 

 

 

66,935

 

Less accumulated depreciation and amortization

 

 

 

 

 

 

(53,216

)

 

 

(53,572

)

 

 

 

 

 

 

(52,038

)

 

 

(53,700

)

Property and equipment, net

 

 

 

 

 

$

13,275

 

 

$

15,076

 

 

 

 

 

 

$

15,090

 

 

$

13,235

 

 

Total depreciation expense was $1.6$1.5 million and $1.6 million for both the three months ended SeptemberJune 30, 20172019 and 20162018 and $4.8$3.1 million and $5.6$3.0 million for the ninesix months ended SeptemberJune 30, 20172019 and 2016,2018, respectively. At Septemberboth June 30, 20172019 and December 31, 2016,2018, assets recorded under capital leases of $2.1$0.1 million were included in the machinery and equipment balance. Amortization of assets under capital leases is included in depreciation expense.

1012


Intangible Assets, net

Intangible assets, net consist of the following (in thousands, except for useful lives)as indicated):

 

 

Remaining

Avg. Useful

lives (in

years)

 

 

September 30,

2017

 

 

December

31, 2016

 

 

Remaining

Avg. Useful

lives (in

years)

 

 

June 30,

2019

 

 

December 31,

2018

 

Developed product technology

 

 

 

 

$

13,876

 

 

$

13,876

 

Developed technology

 

 

10

 

 

$

26,976

 

 

$

26,976

 

Intellectual property

 

 

 

 

 

1,004

 

 

 

1,004

 

 

 

 

 

 

1,004

 

 

 

1,004

 

License agreements

 

 

2

 

 

 

5,738

 

 

 

5,265

 

 

 

1

 

 

 

5,536

 

 

 

5,536

 

Trademarks and trade names

 

 

 

 

 

732

 

 

 

732

 

 

 

 

 

 

792

 

 

 

792

 

Customer-related

 

 

8

 

 

 

7,458

 

 

 

7,458

 

 

 

4

 

 

 

7,458

 

 

 

7,458

 

Distribution network

 

 

8

 

 

 

4,027

 

 

 

4,027

 

 

 

3

 

 

 

4,027

 

 

 

4,027

 

In process research and development

 

 

19

 

 

 

8,800

 

 

 

8,800

 

 

 

 

 

 

 

32,835

 

 

 

32,362

 

 

 

 

 

 

 

54,593

 

 

 

54,593

 

Less accumulated amortization

 

 

 

 

 

 

(27,353

)

 

 

(26,651

)

 

 

 

 

 

 

(28,539

)

 

 

(28,185

)

Intangible assets, net

 

 

 

 

 

$

5,482

 

 

$

5,711

 

 

 

 

 

 

$

26,054

 

 

$

26,408

 

 

Total amortization expense was $0.2 million and $0.3$0.1 million for the three months ended SeptemberJune 30, 20172019 and 20162018, respectively and $0.7 million and $0.9$0.4 million for both the ninesix months ended SeptemberJune 30, 20172019 and 2016, respectively.2018.

Developed technology and in process research and development intangibles are expected to begin amortizing when the relevant products reach full commercial launch. Future amortization expense related to intangible assets as of SeptemberJune 30, 20172019 is as follows (in thousands):

 

Year Ending December 31,

 

 

 

 

 

 

 

 

Remainder of 2017

 

$

234

 

2018

 

 

801

 

2019

 

 

757

 

Remainder of 2019

 

$

899

 

2020

 

 

756

 

 

 

1,870

 

2021

 

 

756

 

 

 

1,890

 

2022

 

 

1,890

 

2023

 

 

1,890

 

Thereafter

 

 

2,178

 

 

 

17,615

 

 

$

5,482

 

 

$

26,054

 

 

Accrued Expenses

Accrued expenses consist of the following (in thousands):

 

 

September 30,

2017

 

 

December 31,

2016

 

 

June 30,

2019

 

 

December 31,

2018

 

Commissions and sales milestones

 

$

4,378

 

 

$

4,202

 

 

$

4,337

 

 

$

3,594

 

Payroll and payroll related

 

 

2,322

 

 

 

2,384

 

 

 

4,904

 

 

 

3,222

 

Litigation settlements

 

 

4,400

 

 

 

4,400

 

Globus related accruals

 

 

 

 

 

3,830

 

Accrued professional fees

 

 

1,605

 

 

 

3,093

 

Litigation settlement obligation

 

 

4,400

 

 

 

4,400

 

Professional fees

 

 

2,626

 

 

 

2,637

 

Royalties

 

 

1,131

 

 

 

1,347

 

 

 

1,609

 

 

 

1,354

 

Restructuring and severance accruals

 

 

470

 

 

 

1,328

 

 

 

140

 

 

 

710

 

Accrued taxes

 

 

237

 

 

 

404

 

Guaranteed collaboration compensation, current

 

 

4,529

 

 

 

2,228

 

Accrued interest

 

 

361

 

 

 

387

 

Taxes

 

 

3

 

 

 

(3

)

Interest

 

 

136

 

 

 

261

 

Acquisition related - contingent consideration

 

 

-

 

 

 

2,600

 

Other

 

 

3,173

 

 

 

3,986

 

 

 

2,676

 

 

 

3,541

 

Total accrued expenses

 

$

22,606

 

 

$

27,589

 

 

$

20,831

 

 

$

22,316

 

 

4. Discontinued Operations

As a result of the Globus Transaction, the Company has retrospectively revised the condensed consolidated statements of operations for the three and nine month periods ended September 30, 2016 to reflect the financial results from the International Business as discontinued operations.

11


At the closing of the Globus Transaction, Globus paid the Company $80 million in cash, subject to a working capital adjustment. On September 1, 2016, the Company used approximately $66 million of the consideration received to (i) repay in full all amounts outstanding and due under the Company’s Facility Agreement between the Company and Deerfield Private Design Fund II, L.P., Deerfield Private Design International II, L.P., Deerfield Special Situations Fund, L.P. and Deerfield Special Situations International Master Fund, L.P., dated as of March 17, 2014, as amended to date (the “Deerfield Facility Agreement”) and (ii) repay certain of its outstanding indebtedness under the Company’s credit facility, as amended to date (the “Amended Credit Facility”) with MidCap Funding IV, LLC (“MidCap”) (described in Note 5), in each case, including debt-related costs. Also on September 1, 2016, the Company entered into a five-year term credit, security and guaranty agreement with Globus (the “Globus Facility Agreement”), as further described in Note 5, pursuant to which Globus agreed to loan the Company up to $30 million, subject to the terms and conditions set forth in the Globus Facility Agreement.

The following table summarizes the calculation of the gain on sale (in thousands). The Company recorded an adjustment of $104,000 to the preliminary purchase price accounting during November 2016.

Consideration received

 

$

80,000

 

Cash included in assets sold

 

 

(4,250

)

Transaction costs

 

 

(5,960

)

Net cash proceeds

 

 

69,790

 

Less:

 

 

 

 

Product supply obligation

 

 

(1,927

)

Working capital adjustment

 

 

(2,295

)

Carrying value of business and assets sold

 

 

(57,633

)

Net gain on sale of business

 

$

7,935

 

The results of operations from discontinued operations presented below include certain allocations that management believes fairly reflect the utilization of services provided to the International Business. The allocations do not include amounts related to general corporate administrative expenses. Therefore, the results of operations from the International Business do not necessarily reflect what the results of operations would have been had the International Business operated as a stand-alone entity.

In connection with the Globus Transaction,sale of the International Business, the Company entered into a product manufacture and supply agreement (the “Supply Agreement”) with Globus, pursuant to which the Company agreed to supplysupplies to Globus certain of its implants and instruments (the “Products”), previously offered for sale by the Company in international markets at agreed-upon prices for a

13


minimum term of three years, with the option for Globus to extend the term for up to two additional twelve month periods subject to Globus meeting specified purchase requirements. During the first quarter of 2019, Globus notified the Company that it will exercise the option to extend the agreement an additional twelve months through August 2020. In accordance with authoritative guidance, certain intercompany sales transactions have beento Globus are reported under continuing operations as the Company will havehas continuing involvement due to future sales to Globus under the Supply Agreement. In connection with the Globus Transaction, Globus received a credit

The Company recorded $1.2 million in revenue and $1.2 million in cost of up to $1.9 million to be applied against Product purchases pursuant torevenue from the Supply Agreement during a six-month period commencing one month after the closing of the Globus Transaction, which has been included as a reduction of the consideration receivedin continuing operations for the salethree months ended June 30, 2019, and $2.8 million in revenue and $2.6 million in cost of revenue for the International Business and has been recognized as revenue.

six months ended June 30, 2019. Included in the results of continuing operations for the three months ended SeptemberJune 30, 2016 are revenues of $1.4 million and cost of revenue of $1.8 million and for the nine months ended September 30, 2016 revenues of $8.9 million and cost of revenue of $8.9 million that represent intercompany transactions that, prior to the Globus Transaction, were eliminated in the Company's condensed consolidated financial statements.

During the three months ended September 30, 2017, the Company recorded $2.32018 is $1.6 million in revenue and $2.0$1.5 million in cost of revenue from the Supply Agreement in continuing operations. During the nine months ended September 30, 2017, the Company recorded $9.1and $3.7 million in revenue and $7.8$3.5 million in cost of revenue from the Supply Agreement in continuing operations.

12


In connection with the Globus Transaction, the Company included the interest expense of $2.2 million and $7.2 million for the three and ninesix months ended SeptemberJune 30, 2016, respectively, incurred in connection with repayment from the proceeds from the Globus Transaction of all amounts outstanding2018. Sales, general and due under the Deerfield Facility Agreement and Amended Credit Facility in the loss fromadministrative expense pertaining to discontinued operations toon the extent these debt facilities were repaid using the proceeds from the Globus Transaction.

The following table summarizes the results of discontinued operations for the periods presented in theCompany’s condensed consolidated statements of operations and comprehensive losswere immaterial for the three and ninesix months ended SeptemberJune 30, 20172019 and 2016 (in thousands):

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

 

September 30,

 

 

September 30,

 

Discontinued operations

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Revenues

 

$

 

 

$

18,043

 

 

$

 

 

$

40,146

 

Cost of revenues

 

 

 

 

 

11,469

 

 

 

 

 

 

19,694

 

Amortization of acquired intangible assets

 

 

 

 

 

555

 

 

 

 

 

 

1,291

 

Gross profit

 

 

 

 

 

6,019

 

 

 

 

 

 

19,161

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

 

 

 

 

16

 

 

 

 

 

 

50

 

Sales and marketing

 

 

 

 

 

2,865

 

 

 

 

 

 

12,391

 

General and administrative

 

 

16

 

 

 

1,440

 

 

 

157

 

 

 

5,079

 

Amortization of acquired intangible assets

 

 

 

 

 

155

 

 

 

 

 

 

622

 

Restructuring expenses

 

 

 

 

 

4

 

 

 

 

 

 

620

 

Net gain on sale of business

 

 

 

 

 

(5,361

)

 

 

 

 

 

(5,361

)

Total operating expenses

 

 

16

 

 

 

(881

)

 

 

157

 

 

 

13,401

 

Operating loss

 

 

(16

)

 

 

6,900

 

 

 

(157

)

 

 

5,760

 

Other income (expense):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense, net

 

 

 

 

 

(2,144

)

 

 

 

 

 

(7,194

)

Other income, net

 

 

 

 

 

243

 

 

 

 

 

 

1,892

 

Total other income (expense)

 

 

 

 

 

(1,901

)

 

 

 

 

 

(5,302

)

Loss from discontinued operations before taxes

 

 

(16

)

 

 

4,999

 

 

 

(157

)

 

 

458

 

Income tax provision

 

 

45

 

 

 

8,657

 

 

 

63

 

 

 

9,809

 

Loss from discontinued operations, net of applicable taxes

 

$

(61

)

 

$

(3,658

)

 

$

(220

)

 

$

(9,351

)

The following table summarizes the assets and liabilities of discontinued operations as of September 30, 2017 and December 31, 2016 related to the International Business (in thousands):

 

 

September 30,

2017

 

 

December 31,

2016

 

Assets

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

Cash

 

$

 

 

$

159

 

Inventories, net

 

 

 

 

 

48

 

Prepaid expenses and other current assets

 

 

236

 

 

 

157

 

Total current assets of discontinued operations

 

 

236

 

 

 

364

 

Other assets

 

 

52

 

 

 

61

 

Total assets of discontinued operations

 

$

288

 

 

$

425

 

Liabilities

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

Accounts payable

 

$

 

 

$

43

 

Accrued expenses

 

 

283

 

 

 

689

 

Other current liabilities

 

 

 

 

 

 

Total current liabilities of discontinued operations

 

$

283

 

 

$

732

 

Total long-term liabilities of discontinued operations

 

 

 

 

 

 

Total liabilities of discontinued operations

 

$

283

 

 

$

732

 

13


Included in the cash flows for the nine months ended September 30, 2017 and 2016 are the following non-cash adjustments related to the discontinued operations (in thousands):

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Depreciation and amortization

 

$

 

 

$

1,024

 

 

$

 

 

$

3,836

 

Provision for excess and obsolete inventory

 

$

 

 

$

15

 

 

$

 

 

$

151

 

Capital expenditures

 

$

 

 

$

211

 

 

$

 

 

$

1,319

 

Interest expense related to amortization of debt discount and debt issuance costs

 

$

 

 

$

 

 

$

 

 

$

2,052

 

2018.

5. Debt

MidCap Facility Agreement

The Company’s Amended Credit Facility with MidCap provides for a revolving credit commitment up to $22.5 million and provided for a term loan commitment up to $5 million.  As of SeptemberJune 30, 2017, $9.22019, $10.7 million was outstanding under the revolving line of credit and $2.9 million wascredit. The principal balance outstanding under the term loan.revolving line of credit is due in December 2022.

The term loanAmounts outstanding under the revolving line of credit accrue interest rate is priced at the London Interbank Offered Rate ("LIBOR" (“LIBOR”) plus 8.0%, subject to a 9.5% floor, and the revolving line of credit interest rate remains priced at LIBOR plus 6.0%, reset monthly. At SeptemberJune 30, 2017,2019, the revolving line of credit carried an interest rate of 7.24% and the term loan carried an8.44%, with interest rate of 9.5%.payable monthly. The borrowing base is determined from time to time, based on the value of domestic eligible accounts receivable. As collateral for the Amended Credit Facility, the Company granted MidCap has a first lien security interest in accounts receivable and a second lien on substantially all of its assets, including all accounts receivable and all securities evidencing its interests in its subsidiaries. In addition to monthly payments of interest, monthly repayments of $0.2 million in 2017 and $0.3 million in 2018 are due through the maturity date in August 2018, with the remaining principal due on the maturity date. other assets.

At SeptemberJune 30, 2017, $1.42019, $1.1 million remains as an unamortized debt discount related to the Amended Credit Facility withinon the condensed consolidated balance sheet, which will be amortized over the remaining term of the Amended Credit Facility.

Squadron Credit Agreement

On March 30, 2017,November 6, 2018, the Company enteredclosed a $35 million Term Loan with Squadron, a provider of debt financing to growing companies in the orthopedic industry.  Net proceeds of approximately $34.1 million were used to retire the Company’s existing $29.2 million term debt with Globus, with the remainder of the proceeds used for general corporate purposes.

The debt has a five-year maturity and bears interest at LIBOR plus 8% (10.5% as of June 30, 2019) per annum. The credit agreement specifies a minimum interest rate of 10% and a maximum of 13% per year. Interest-only payments are due monthly through May 2021, followed by $10 million in principal payable in 29 equal monthly installments beginning June 2021 and a lump-sum payment payable at maturity in November 2023. As collateral for the Term Loan, Squadron has a first lien security interest in substantially all assets except for accounts receivable.

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In connection with the financing, the Company issued initial warrants to Squadron to purchase 845,000 shares of common stock at an exercise price of $3.15 per share. The warrants have a seven-year term and are immediately exercisable.

In March 2019, the Company closed on an expanded credit facility with Squadron for up to $30 million in additional secured financing. This additional financing has been made available under the Company’s existing credit facility with Squadron. The Company accounted for the amendment as a debt modification with continued amortization of the existing and inclusion of the new debt issuance costs of $0.3 million amortized into interest expense utilizing the effective interest rate method. The Company took a sixth amendmentdraw of $10.0 million of the expanded credit facility in June 2019 to be used for general corporate purposes. The additional borrowings under the credit facility will mature concurrent with the current secured financing from Squadron and bear interest at the same rate and subject to the Amended Credit Facilitysame 10% floor and 13% ceiling. Interest-only payments are due monthly through May 2021, followed by principal payable in 29 equal monthly installments beginning June 2021 and a lump-sum payment payable at maturity in November 2023. In conjunction with MidCap (the “Sixth Amendment”).  The Sixth Amendment extends the date thatfirst draw under the financial covenantsexpanded credit facility, the Company issued to Squadron warrants to purchase 4,838,710 shares of the Amended Credit FacilityCompany’s common stock at an exercise price of $2.17 per share. The warrants have a seven-year term and are immediately exercisable. The warrants were valued utilizing the Monte-Carlo simulation model as described further in Note 10 and are recorded within equity in accordance with authoritative accounting guidance and with a proportional amount, calculated by taking the draw amount divided by the total expanded credit facility, recorded as a debt discount. The total debt discount will be amortized into interest expense through maturity of the debt utilizing the effective from April 2017interest rate method. No additional warrants will be issued upon any future draws. The value of the additional warrants issued that are allocated to April 2018.the remaining balance available for draw on the expanded credit facility were recorded as a deferred cost asset within prepaid and other assets on the consolidated balance sheet as of June 30, 2019 and are being amortized into interest expense on a ratable basis over the term of the debt.

As of June 30, 2019, the debt is recorded at its carrying value of $37.9 million, net of issuance costs of $7.1 million, including all amounts paid to third parties to secure the debt and the fair value of the warrants issued. The debt issuance costs are being amortized into interest expense over the five-year term utilizing the effective interest rate method. The total principal outstanding under the Term Loan as of June 30, 2019 is $45.0 million.

Inventory Financing

The Amended Credit Facility includes traditional lendingCompany has an Inventory Financing Agreement with a key inventory and reporting covenants includinginstrument components supplier whereby the Company may draw up to $3.0 million for the purchase of inventory to accrue interest at a fixed charge coverage ratiorate of LIBOR plus 8% subject to the same 10% floor and 13% ceiling. All principal will become due and payable upon maturity on November 6, 2023 and all interest will be maintained bypaid monthly. The obligation outstanding under the Company. Inventory Financing Agreement as of June 30, 2019 was $1.8 million.

Principal payments remaining on the Company's debt were as follows as of June 30, 2019 (in thousands):

Year Ending December 31,

 

 

 

 

Remainder of 2019

 

$

209

 

2020

 

 

47

 

2021

 

 

4,483

 

2022

 

 

18,428

 

2023

 

 

34,657

 

Total

 

 

57,824

 

Add: capital lease principal payments

 

 

114

 

Less: unamortized debt discount and debt issuance costs

 

 

(8,283

)

Total

 

 

49,655

 

Less: current portion of long-term debt

 

 

(286

)

Long-term debt, net of current portion

 

$

49,369

 

Covenants

The Amended Credit Facility also includesCompany’s various credit agreements include several event of default provisions, such as payment default, insolvency conditions and a material adverse effect clause, which could cause interest to be charged at a rate which is up to five percentage points above the rate effective immediately before the event of default or result in MidCap’sthe lenders’ right to declare all outstanding obligations immediately due and payable. There is no assurance thatFurthermore, the Companycredit agreements contain various covenants, including monthly compliance certifications and compliance with government regulations and maintenance of insurance, and prohibitions against certain specified actions, including acquiring any new equipment financings over a specified amount. The credit agreements also contain various negative covenants including a $5 million minimum liquidity requirement through March 31, 2020. The minimum liquidity covenant will be replaced by a fixed charge ratio, pursuant to which operating cash to fixed charges (as defined) must equal at least 1:1 on a

15


rolling 12-month basis, beginning April 2020. The Company was in compliance with the financial covenants of the Amended Credit Facility in the future.

Globus Facility Agreement

On September 1, 2016, the Company and Globus entered into the Globus Facility Agreement, pursuant to which Globus agreed to loan the Company up to $30 million, subject to the terms and conditions set forth in the Globus Facility Agreement. At the closing of the Globus Transaction, the Company made an initial draw of $25 million under the Globus Facility Agreement with an additional draw of $5 million made in the fourth quarter of 2016.  As of Septembercredit agreement at June 30, 2017, the outstanding balance under the Globus Facility Agreement was $30.0 million, which becomes due and payable in quarterly payments of $0.8 million starting in September 2018, with a final payment of the remaining amount outstanding due on September 1, 2021.  The term loan interest rate is priced at LIBOR plus 8.0% through September 1, 2018, and LIBOR plus 13.0%, thereafter.  At September 30, 2017, unamortized debt discount related to the Globus Facility Agreement within the condensed consolidated balance sheet was $0.9 million.

As collateral for the Globus Facility Agreement, the Company granted Globus a first lien security interest in substantially all of its assets, other than accounts receivable and related assets, which secures the Globus Facility Agreement on a second lien basis. The Globus Facility Agreement includes traditional lending and reporting covenants including a fixed charge coverage ratio to be maintained by the Company. The financial covenants of the Globus Facility Agreement are not

14


effective until April 2018. There is no assurance that the Company will be in compliance with the financial covenants of the Globus Facility Agreement in the future. The Globus Facility Agreement also includes several event of default provisions, such as payment default, insolvency conditions and a material adverse effect clause, which could cause interest to be charged at a rate which is up to five percentage points above the rate effective immediately before the event of default or result in Globus’s right to declare all outstanding obligations immediately due and payable.

Principal payments on the Company's debt are as follows as of September 30, 2017 (in thousands):

Year Ending December 31,

 

 

 

 

Remainder of 2017

 

$

600

 

2018

 

 

4,130

 

2019

 

 

12,658

 

2020

 

 

3,380

 

2021 and thereafter

 

 

21,666

 

Total

 

 

42,434

 

Add: capital lease principal payments

 

 

127

 

Less: unamortized debt discount and debt issuance costs

 

 

(2,296

)

Total

 

 

40,265

 

Less: current portion of long-term debt

 

 

(3,037

)

Long-term debt, net of current portion

 

$

37,228

 

2019. 

6. Commitments and Contingencies

LeasesCapital Lease

The Company leases certainhas one outstanding capital lease arrangement for the lease of equipment under capital leases which expire on various dates through 2017.as of June 30, 2019 that matures in 2022. The leases bearlease bears interest at rates ranging from 7.6% to 9.6%a rate of 6.40% per annum, are generallyis due in monthly principal and interest installments and areis collateralized by the related equipment. The total capital lease commitment outstanding as of June 30, 2019 and December 31, 2018 was $0.1 million in both periods.

Operating Lease

The Company also leases its buildings and certain equipment and vehicles under operating leases which expire on various dates through 2021. Upon the Company’s adoption of ASC 842 as of January 1, 2019, the Company recognized a ROU asset and lease liability for its building lease, assuming a 10.5% discount rate. Any short-term leases defined as 12 months or less or month-to-month leases were excluded and continue to be expensed each month. Total costs associated with these leases for the three and six months ended June 30, 2019 was immaterial.

The Company determines if an arrangement is a lease at inception. The Company has operating leases for its buildings and certain equipment with lease terms of one year to 5.5 years, some of which include options to extend and/or terminate the lease. The exercise of lease renewal options is at the Company’s sole discretion and were not included in the calculation of the Company’s lease liability as the Company is not able to determine without uncertainty if the renewal option will be exercised. The depreciable life of assets and leasehold improvements are limited to the expected term, unless there is a transfer of title or purchase option reasonably certain of exercise. The Company’s lease agreements do not contain any variable lease payments, residual value guarantees or any restrictive covenants.

The Company’s ROU asset represents the right to use an underlying asset for the lease term and lease liabilities represent the obligation to make lease payments arising from the lease. Operating lease ROU assets and liabilities are recognized at commencement date of the lease or the ASC 842 adoption date, whichever is later, based on the present value of lease payments over the lease term. When readily determinable, the Company uses the implicit rate in determining the present value of lease payments, or 10.5% as of the adoption date. When leases do not provide an implicit rate, the Company uses its incremental borrowing rate based on the information available at the lease commencement date or adoption date, including the lease term. The operating lease ROU asset also includes any lease payments made and excludes lease incentives. Lease expense for lease payments is recognized on a straight-line basis over the lease term.

Future minimum annual lease payments under such leases are as follows as of SeptemberJune 30, 20172019 (in thousands):

 

Year Ending December 31,

 

Operating

 

 

Capital

 

Remainder of 2017

 

$

452

 

 

$

64

 

2018

 

 

1,656

 

 

 

68

 

2019

 

 

1,542

 

 

 

 

2020

 

 

1,584

 

 

 

 

2021 and thereafter

 

 

971

 

 

 

 

 

 

$

6,205

 

 

 

132

 

Less: amount representing interest

 

 

 

 

 

 

(5

)

Present value of minimum lease payments

 

 

 

 

 

 

127

 

Current portion of capital leases

 

 

 

 

 

 

(127

)

Capital leases, less current portion

 

 

 

 

 

$

-

 

Undiscounted lease payments:

 

 

 

 

Year Ending December 31,

 

 

 

 

Remainder of 2019

 

$

689

 

2020

 

 

1,416

 

2021

 

 

849

 

Total undiscounted lease payments

 

 

2,954

 

Less: present value adjustment

 

 

(314

)

Operating lease liability

 

 

2,640

 

Less: current portion of operating lease liability

 

 

(1,173

)

Operating lease liability, less current portion

 

$

1,467

 

 

As of June 30, 2019, the Company’s remaining lease term is 2.0 years. Rent expense under operating leases for the three months ended SeptemberJune 30, 20172019 and 20162018 was $0.4 million for both periods and $0.7 million and $0.6 million for the six months ended June 30, 2019 and 2018, respectively. The Company paid $0.3 million and $1.0$0.7 million respectively, and of cash payments related to its operating lease agreement for the ninethree and six months ended SeptemberJune 30, 2017 and 2016 was $0.9 million and $2.0 million,2019, respectively. In June 2017, we received a cash payment from a landlord for tenant improvements in the amount of $0.5 million, which is amortized through the remainder of the lease term as an offset to rent expenses.

15Litigation


Litigation

The Company is and may become involved in various legal proceedings arising from its business activities. While the Company has nomanagement is not aware of any litigation matter that in and of itself would have a material accruals for pending litigation or claims for which accrual amounts are not disclosed inadverse impact on the Company’s consolidated results of operations, cash flows or financial statements,position, litigation is inherently unpredictable, and depending on the nature and timing of a proceeding, an unfavorable resolution could materially affect the Company’s future consolidated results of operations, cash flows or

16


financial position in a particular period. The Company assesses contingencies to determine the degree of probability and range of possible loss for potential accrual or disclosure in the Company'sCompany’s consolidated financial statements. An estimated loss contingency is accrued in the Company’s consolidated financial statements if it is probable that a liability has been incurred and the amount of the loss can be reasonably estimated. Because litigation is inherently unpredictable and unfavorable resolutions could occur, assessing contingencies is highly subjective and requires judgments about future events. When evaluating contingencies, the Company may be unable to provide a meaningful estimate due to a number of factors, including the procedural status of the matter in question, the presence of complex or novel legal theories, and/or the ongoing discovery and development of information important to the matters. In addition, damage amounts claimed in litigation against the Company may be unsupported, exaggerated or unrelated to reasonably possible outcomes, and as such are not meaningful indicators of the Company’s potential liability.

On February 13, 2018, NuVasive, Inc. filed suit against the Company in the United States District Court for the Southern District of California, alleging that certain of the Company’s products (including components of the Battalion™ Lateral System), infringe, or contribute to the infringement of, U.S. Patent Nos. 7,819,801, 8,355,780, 8,439,832, 8,753,270, 9,833,227 (entitled “Surgical access system and related methods”), U.S. Patent No. 8,361,156 (entitled “Systems and methods for spinal fusion”), and U.S. Design Patent Nos. D652,519 (“Dilator”) and D750,252 (“Intervertebral Implant”).  NuVasive is seeking unspecified monetary damages and a court injunction against future infringement by the Company.  

On March 8, 2018, the Company moved to dismiss NuVasive’s claims of infringement of its design patents on the grounds that those allegations fail to state a cognizable legal claim.  On May 14, 2018, the Court ruled that NuVasive had failed to state a plausible claim for infringement of the asserted design patents and granted the Company’s motion to dismiss those claims with prejudice, as any further amendment would be futile.  The Company filed its answer, affirmative defenses and counterclaims to NuVasive’s remaining claims on May 21, 2018.

On March 26, 2018, NuVasive moved for a preliminary injunction, which, on March 27, 2018, the Court denied without prejudice for failure to comply with the Court’s chambers rules.  On April 5, 2018, NuVasive again moved for a preliminary injunction.  The Court held a hearing on the matter, having been fully briefed, on June 21, 2018.  On July 10, 2018, the Court ruled that NuVasive had failed to establish either likelihood of success on the merits of its remaining claims or that it would suffer irreparable harm in the absence of a preliminary injunction.  Accordingly, the Court denied NuVasive’s motion for preliminary injunction.  

On September 13, 2018, NuVasive filed an Amended Complaint for Patent Infringement, asserting additional infringement claims of U.S. Patent Nos. 9,924,859, 9,974,531 and 8,187,334. The Company filed its answer, affirmative defenses and counterclaims to NuVasive’s claims on October 12, 2018.  On October 26, 2018, NuVasive moved to dismiss the Company’s counterclaims that NuVasive intentionally had misled the U.S. Patent and Trademark Office as a means of obtaining certain patents asserted against the Company.  On January 30, 2019, the Court denied NuVasive’s motion as to all but one of the Company’s counterclaims.  The Court granted NuVasive’s motion with respect to one counterclaim, but granted the Company leave to amend its counterclaim to cure the dismissal.  The Company amended that counterclaim on February 14, 2019.  On February 28, 2019, NuVasive moved to dismiss the amended counterclaim.  On March 29, 2019, the Court denied NuVasive’s motion.  NuVasive filed its Answer to the amended counterclaim on April 12, 2019.

On December 13, 2018, the Company filed a petition with the Patent Trial and Appeal Board (“PTAB”) challenging the validity of certain claims of U.S. Patent No. 8,361,156. On December 21, 2018, the Company filed a similar petition with PTAB challenging the validity of certain claims of U.S. Patent No. 8,187,334On February 6, 2019, upon joint motion of the parties, the Court stayed all proceedings in this matter, except as noted above, pending PTAB’s determination of whether to institute inter partes review of the asserted claims of the two patents at issue and vacated the trial date. On July 9, 2019, PTAB instituted inter partes review of the validity of asserted claims of the two patents at issue.  The Company expects PTAB to issue its final decisions regarding the validity of these claims in the second half of 2020.  On July 16, 2019, the parties submitted a joint statement to the Court regarding PTAB’s decisions and the parties’ respective recommendations regarding the current stay of proceedings.  The Court has not yet ruled on continuation of the stay of proceedings.

The Company believes that the allegations lack merit and intends to vigorously defend all claims asserted. It is impossible at this time to assess whether the outcome of this proceeding will have a material adverse effect on the Company’s consolidated results of operations, cash flows or financial position. Therefore, in accordance with authoritative accounting guidance, the Company has not recorded any accrual for a contingent liability associated with this legal proceeding based on its belief that a liability, while possible, is not probable and any range of potential future charge cannot be reasonably estimated at this time.

Indemnifications

In the normal course of business, the Company enters into agreements under which it occasionally indemnifies third-parties for intellectual property infringement claims or claims arising from breaches of representations or warranties. In addition, from time to time, the Company provides indemnity protection to third-parties for claims relating to past performance arising from undisclosed

17


liabilities, product liabilities, environmental obligations, representations and warranties, and other claims. In these agreements, the scope and amount of remedy, or the period in which claims can be made, may be limited. It is not possible to determine the maximum potential amount of future payments, if any, due under these indemnities due to the conditional nature of the obligations and the unique facts and circumstances involved in each agreement.

In October 2017, NuVasive filed a lawsuit in Delaware Chancery Court against Mr. Miles, the Company’s Chairman and CEO, who was a former officer and board member of NuVasive. The Company itself was not initially a named defendant in this lawsuit; however, on June 28, 2018, NuVasive amended its complaint to add the Company as a defendant.  As of June 30, 2019, the Company has not recorded any liability on the consolidated balance sheet related to this matter. On October 12, 2018, the Delaware Court ordered that NuVasive begin advancing a portion of the legal fees for Mr. Miles’ defense in the lawsuit, as well as Mr. Miles’ legal fees incurred in pursuing advancement of his fees, pursuant to an indemnification agreement between NuVasive and Mr. Miles.

Royalties

The Company has entered into various intellectual property agreements requiring the payment of royalties based on the sale of products that utilize such intellectual property. These royalties primarily relate to products sold by Alphatec Spine and are based on fixed fees or calculated either as a percentage of net sales or in one instance on a per-unit sold basis. Royalties are included on the accompanying condensed consolidated statementstatements of operations as a component of cost of revenues. As of June 30, 2019, the Company is obligated to pay guaranteed minimum royalty payments under these agreements of approximately $5.7 million through 2023 and beyond.

7. Orthotec Settlement

On September 26, 2014, the Company entered into a Settlement and Release Agreement, dated as of August 13, 2014, by and among the Company and its direct subsidiaries, including Alphatec Spine, Inc., Alphatec Holdings International C.V., Scient'x S.A.S. and Surgiview S.A.S.; HealthpointCapital, LLC, HealthpointCapital Partners, L.P., HealthpointCapital Partners II, L.P., John H. Foster and Mortimer Berkowitz III; and Orthotec, LLC and Patrick Bertranou, (the “Settlement Agreement”). Pursuant to the Settlement Agreement, the Company agreed to pay Orthotec, LLC $49.0 million in cash, including initial cash payments totaling $1.75 million, which the Company previously paid in March 2014, and an additional lump sum payment of $15.75 million, which the Company previously paid in April 2014. The Company agreed to pay the remaining $31.5 million in 28 quarterly installments of $1.1 million and one additional quarterly installment of $0.7 million, commencing October 1, 2014. The payments set forth above are guaranteed by Stipulated Judgments held against the Company, HealthpointCapital Partners, L.P., HealthpointCapital Partners II, L.P., HealthpointCapital, LLC, John H. Foster and Mortimer Berkowitz III and, in the event of a default, will be entered and enforced against these entities and/or individuals in that order. In September 2014, the Company and HealthpointCapital entered into an agreement for joint payment of settlement whereby HealthpointCapital has agreed to contribute $5 million to the $49 million settlement amount. The $5 million is classified within stockholders’ equity on the Company’s condensed consolidated balance sheet due to the related party nature with HealthpointCapital and its affiliates. See Note 12 for further information.

As of SeptemberJune 30, 2017,2019, the Company has made installment payments in the aggregate of $30.7$38.4 million, with a remaining outstanding balance of $27.1$19.4 million (including interest). The Company has the right to prepay the amounts due without penalty. In addition, the unpaid balance of the amounts due accrues interest at the rate of 7% per year beginning May 15, 2014 until the amounts due are paid in full. The accrued but unpaid interest will be paid in quarterly installments of $1.1 million (or the full amount of the accrued but unpaid interest if less than $1.1 million) following the full payment of the $31.5 million in quarterly installments described above. No interest will accrue on the accrued interest. The Settlement Agreement providedprovides for mutual releases of all claims in the Orthotec, LLC v. Surgiview, S.A.S, et al. matter in the Superior Court of California, Los Angeles County and all other related litigation matters involving the Company and its directors and affiliates.

8. SaleAcquisition of AssetsSafeOp Surgical, Inc.

On March 9, 2018, the Company acquired SafeOp, a privately-held provider of neuromonitoring technology designed to enable effective intra-operative nerve health assessment. At the time of the acquisition, SafeOp had FDA 510(k) approval for a somatosensory evoked potential (“SSEP”) monitoring technology. The Company has developed a product that will allow for both free run and triggered specific recording of muscle activity, also known as Electromyography (“EMG”). The Company received FDA clearance for SafeOp’s EMG technology in February 2019 to complement the SSEP solution, and anticipates commercialization of the combined technology solution in mid-2019. In addition to expanding the Company’s market presence in lateral spine surgery, the Company believes that the SafeOp solution will allow it to integrate neuromonitoring into its broader product portfolio and accelerate the transition to procedural integration of the entire portfolio.

On May 5, 2017,Under the term of the definitive merger agreement, the Company entered into an agreement to sell certain inventory and intellectual property to a third party for $1.0paid $15.1 million in cash and issued 3,265,132 shares of common stock. The Company paid the full $15.1 million in cash consideration payable via a credit to future minimum royalties owed toduring the year ended December 31, 2018.  On March 8, 2018, the Company issued 2,975,209 shares of common stock valued at $9.8 million, based on the closing share price of $3.30, and issued an additional 115,621 shares of common stock during the second quarter of 2018 and the remaining 174,302 during the third party under anquarter of 2018.

1618


existing exclusive license agreement betweenIn March 2018, the two parties.Company also issued $3 million in convertible notes that were convertible into a total of 987,578 shares of common stock, which included total interest incurred, and issued warrants to purchase 2.2 million shares of common stock at an exercise price of $3.50 per share.  The convertible notes matured on March 9, 2019 and were settled in cash. Upon maturity, the Company recorded a net gain on salerecognized the value associated with the beneficial conversion feature calculated at issuance of assets of $0.9$0.2 million which is included under operating expenseswithin interest expense on the Company’s condensed consolidated statement of operations.operations for the six months ended June 30, 2019. Shares of common stock were issued upon achievement of post-closing milestones as described further below. The warrants remain outstanding as of June 30, 2019.

The first of the two milestones was achieved during the year ended December 31, 2018 and resulted in the issuance of 443,421 shares of common stock as payment. The second milestone pertaining to regulatory approval was achieved and the Company issued 886,843 shares of common stock as payment during the three months ended March 31, 2019. Prior to achievement, the contingent consideration was recorded as a liability and measured at fair value using a probability-weighted income approach, utilizing significant unobservable inputs including the probability of achieving each of the potential milestones and an estimated discount rate related to the risks of the expected cash flows attributable to the milestones. The fair value of the contingent consideration, and the associated liability relating to the contingent consideration at each reporting date, was re-assessed with the changes in fair value reflected in earnings. For the six months ended June 30, 2019, the fair value for the contingent consideration increased by $0.3 million due to the proximity of the achievement of the milestone. The amount was recorded within research and development expense on the condensed consolidated statement of operations and a corresponding increase in the liability on the Company’s condensed consolidated balance sheet. The full liability was relieved upon achievement of the remaining milestone during the period.

9. Net Loss Per Share

Basic earnings per share (“EPS”) is calculated by dividing the net income or loss available to common stockholders by the weighted average number of common shares outstanding for the period, without consideration for common stock equivalents. Diluted EPS is computed by dividing the net income available to common stockholders by the weighted average number of common shares outstanding for the period and the weighted average number of dilutive common stock equivalents outstanding for the period determined using the treasury-stock method. For purposes of this calculation, common stock subject to repurchase by the Company, convertible preferred stock, options, performance-based restricted stock unitsconvertible notes and warrants are considered to be common stock equivalents and are only included in the calculation of diluted earnings per share when their effect is dilutive.

The following table presents the computation of basic and diluted net loss per share for continuing and discontinued operations (in thousands, except per share amounts):

 

 

Three Months Ended

September 30,

 

 

Nine Months Ended

September 30,

 

 

Three Months Ended

June 30,

 

 

Six Months Ended

June 30,

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

 

2019

 

 

2018

 

 

2019

 

 

2018

 

Numerator:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loss from continuing operations

 

$

(3,076

)

 

$

(10,063

)

 

$

(11,129

)

 

$

(16,220

)

 

$

(12,406

)

 

$

(7,064

)

 

$

(25,322

)

 

$

(8,918

)

Loss from discontinued operations

 

 

(61

)

 

 

(3,658

)

 

 

(220

)

 

 

(9,351

)

 

 

(30

)

 

 

(12

)

 

 

(82

)

 

 

(74

)

Net loss

 

$

(3,137

)

 

$

(13,721

)

 

$

(11,349

)

 

$

(25,571

)

 

$

(12,436

)

 

$

(7,076

)

 

$

(25,404

)

 

$

(8,992

)

Denominator:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average common shares outstanding

 

 

13,954

 

 

 

8,623

 

 

 

11,400

 

 

 

8,554

 

 

 

47,143

 

 

 

34,030

 

 

 

46,233

 

 

 

27,656

 

Weighted average unvested common shares subject

to repurchase

 

 

(16

)

 

 

(63

)

 

 

(51

)

 

 

(49

)

 

 

(263

)

 

 

 

 

 

(276

)

 

 

-

 

Weighted average common shares outstanding—basic

 

 

13,938

 

 

 

8,560

 

 

 

11,349

 

 

 

8,505

 

Effect of dilutive securities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Conversion of preferred stock

 

 

 

 

 

 

 

 

 

 

 

 

Options

 

 

 

 

 

 

 

 

 

 

 

 

Warrants

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average common shares outstanding—diluted

 

 

13,938

 

 

 

8,560

 

 

 

11,349

 

 

 

8,505

 

Weighted average common shares outstanding—basic and diluted

 

 

46,880

 

 

 

34,030

 

 

 

45,957

 

 

 

27,656

 

Net loss per share, basic and diluted:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

(0.22

)

 

$

(1.17

)

 

$

(0.98

)

 

$

(1.91

)

 

$

(0.26

)

 

$

(0.21

)

 

$

(0.55

)

 

$

(0.32

)

Discontinued operations

 

$

(0.01

)

 

$

(0.43

)

 

$

(0.02

)

 

$

(1.10

)

 

$

(0.00

)

 

$

(0.00

)

 

$

(0.00

)

 

$

(0.00

)

Net loss per share, basic and diluted

 

$

(0.23

)

 

$

(1.60

)

 

$

(1.00

)

 

$

(3.01

)

 

$

(0.27

)

 

$

(0.21

)

 

$

(0.55

)

 

$

(0.32

)

 

19


The anti-dilutive securities not included in diluted net loss per share were as follows calculated on a weighted average basis (in thousands):

 

 

Three Months Ended

September 30,

 

 

Nine Months Ended

September 30,

 

 

As of

June 30,

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

 

2019

 

 

2018

 

Options to purchase common stock

 

 

2,948

 

 

 

594

 

 

 

1,861

 

 

 

611

 

 

 

4,253

 

 

 

3,313

 

Unvested restricted share awards

 

 

16

 

 

 

63

 

 

 

51

 

 

 

49

 

 

 

6,641

 

 

 

2,139

 

Series A Convertible Preferred Stock

 

 

4,848

 

 

 

 

 

 

4,135

 

 

 

 

 

 

164

 

 

 

2,022

 

Convertible Notes

 

 

 

 

 

988

 

Warrants to purchase common stock

 

 

-

 

 

 

8

 

 

 

1,013

 

 

 

8

 

 

 

26,885

 

 

 

20,932

 

Total

 

 

7,812

 

 

 

665

 

 

 

7,060

 

 

 

668

 

 

 

37,943

 

 

 

29,394

 

 

10. Stock Benefit Plans and Equity Transactions

Stock Benefit Plans

On October 4, 2016,25, 2018, the Company’s Board of Directors adopted the 2016 Employment Inducement Award Plan (the “Inducement Plan”). The Inducement Plan allows for the grant of options, restricted stock, restricted stock unit awards and performance unit awardsan amendment to new employees of the Company by granting an award to such new employee as an inducement for such new employee to begin employment with the Company.  The Inducement Plan currently has 1,550,000 shares of

17


common stock reserved for issuance, of which, 600,000 shares of common stock were added on March 30, 2017.  Equity awards under the Inducement Plan may only be granted to an employee who has not previously been an employee or member of the board of directors of the Company. The terms of the Inducement Plan are substantially similar to the terms of the Company’s 2016 Equity Incentive Award Plan, which increased the maximum aggregate number of shares with two principal exceptions: (i) incentiverespect to one or more stock optionsrights that may not be granted underto any one person during any fiscal year from 500,000 to 1,250,000.

Total stock-based compensation for the Inducement Plan;three and (ii) the annual compensation paid by the Company to specified executives will be deductible only to the extent that it does not exceed $1.0 million.  

Stock Options

A summary of the Company’s stock option activity under the Planssix months ended June 30, 2019 and related information2018 is as follows (in thousands, except as indicated and per share data), as adjusted for the 1-for-12 reverse stock split:thousands):

 

 

 

Shares

 

 

Weighted

average

exercise

price

 

 

Weighted

average

remaining

contractual

term

(in years)

 

 

Aggregate

intrinsic

value

 

Outstanding at December 31, 2016

 

 

1,155

 

 

$

12.17

 

 

 

7.75

 

 

$

 

Granted

 

 

2,686

 

 

$

1.91

 

 

 

 

 

 

 

 

 

Forfeited

 

 

(383

)

 

$

12.18

 

 

 

 

 

 

 

 

 

Outstanding at September 30, 2017

 

 

3,458

 

 

$

4.20

 

 

 

8.94

 

 

$

1,276

 

Options vested and exercisable at September 30, 2017

 

 

421

 

 

$

17.91

 

 

 

4.20

 

 

$

10

 

Options vested and expected to vest at

   September 30, 2017

 

 

3,096

 

 

$

4.44

 

 

 

8.86

 

 

$

1,113

 

 

 

Three Months Ended

 

 

Six Months Ended

 

 

 

June 30,

 

 

June 30,

 

 

 

2019

 

 

2018

 

 

2019

 

 

2018

 

Cost of revenues

 

$

28

 

 

$

11

 

 

$

56

 

 

$

33

 

Research and development

 

 

293

 

 

 

129

 

 

 

533

 

 

 

13

 

Sales, general and administrative

 

 

2,030

 

 

 

1,008

 

 

 

3,374

 

 

 

1,721

 

Total

 

$

2,351

 

 

$

1,148

 

 

$

3,963

 

 

$

1,767

 

 

The weighted-average grant-date fair value per share of stock options granted during the nine months ended September 30, 2017 was $1.30.Shares Reserved for Future Issuance

As of SeptemberJune 30, 2017, there was $3.7 million of unrecognized compensation expense for stock options which is expected to be recognized on a straight-line basis over a weighted average period of approximately 3.5 years.

Restricted Stock Awards and Units

The following table summarizes information about the restricted stock awards, restricted stock units and performance-based restricted units activity (in thousands, except as indicated and per share data), as adjusted for the 1-for-12 reverse stock split:

 

 

Shares

 

 

Weighted

average

grant

date fair

value

 

 

Weighted

average

remaining

recognition

period

(in years)

 

Unvested at December 31, 2016

 

 

1,092

 

 

$

7.48

 

 

 

3.02

 

Awarded

 

 

357

 

 

$

2.15

 

 

 

 

 

Vested

 

 

(81

)

 

$

4.49

 

 

 

 

 

Forfeited

 

 

(238

)

 

$

2.30

 

 

 

 

 

Unvested at September 30, 2017

 

 

1,130

 

 

$

4.50

 

 

 

2.78

 

As of September 30, 2017, there was $2.6 million of unrecognized compensation expense for restricted stock awards which is expected to be recognized on a straight-line basis over a weighted average period of approximately 2.8 years.   

Total share based compensation expense recognized in general and administrative, selling and marketing, research and development expenses and cost of sales were $1.4 million, $0.2 million, $0.1 million and $12,000 for the nine months ended September 30, 2017, and $0.2 million, $31,000, $18,000 and $5,000 for the nine months ended September 30, 2016, respectively.

18


Shares Reserved For Future Issuance

As of September 30, 2017,2019, the Company had reserved shares of its common stock for future issuance as follows:follows (in thousands):

 

 

 

June 30, 2019

 

Shares Reserved

Stock options outstanding

 

 

                    3,4584,253

Unvested restricted stock award

 

 

                    1,1306,641

Employee stock purchase plan

 

 

              451

Available for future grants under the Inducement Plan132

 

              440

Series A convertible preferred stock

 

 

           3,686164

Warrants to purchase common stockoutstanding

 

 

                    9,90426,885

Total shares reservedAuthorized for future grant under the Distributor and Development Services plans

 

 

                  19,0693,923

Authorized for future grant under the Company equity plans

2,014

Total

44,012

 

Private Placement TransactionSeries A Convertible Preferred Stock

OnIn March 22, 2017, the Company entered into the Securities Purchase Agreementcompleted a private placement (the “2017 Private Placement”) with certain institutional and accredited investors, including certain directors, executive officers and employees of the Company (collectively, the “Purchasers”), providing for the sale by the Company of 1,809,628 shares of the Company’s common stock at a purchase price of $2.00 per share (the “Common Shares”),and 15,245 shares of newly designated Series A Convertible Preferred Stock at a purchase price of $1,000 per share (which shares arewere convertible into approximately 7,622,372 shares of common stock, and were initially subjectstock). Except as otherwise required by law, the holders of Series A Convertible Preferred Stock have no right to limitationsvote on conversion priormatters submitted to the approval bya vote of the Company’s stockholders (“Stockholder Approval”) as required in accordancestockholders.

During the six months ended June 30, 2019 and 2018, 3,715 and 1,274 shares of Series A Convertible Preferred Stock were converted into 1,857,586 and 636,997 shares of common stock. As of June 30, 2019, there were 328 shares of Series A Convertible Preferred Stock outstanding, which are convertible into 164,087 shares of common stock.

20


2017 Warrants

In connection with the NASDAQ listing rules), and2017 Private Placement, the Company issued warrants to purchase up to 9,432,000 shares of the Company’s common stock at an exercise price of $2.00 per share (the “Purchaser“2017 Common Stock Warrants”), in a private placement (the “Private Placement”). The Purchaser Warrants became exercisable following Stockholder Approval, are subject to certain ownership limitations, and expire five years after June 15, 2017, the date Stockholder Approval was received. An aggregate of $2.35 million of shares of Series A Convertible Preferred Stock, which shares are convertible into approximately 1,175,000 shares of common stock, and Purchaser Warrants to purchase up to 1,175,000 shares of common stock were purchased by certain directors, executive officers and employees of the Company. On June 15, 2017, shareholder approval was received for the conversion of the Series A Convertible Preferred Stock and 7,797 shares of preferred stock were converted into 3,936,225 shares of common stock as of September 30, 2017.

The Company also entered into an engagement letter (the “Engagement Letter”) on March 1, 2017 with H.C. Wainwright & Co., LLC (“Wainwright”), pursuantissued warrants to which Wainwright agreedpurchase common stock to serve asthe exclusive placement agentagents for the issuance and sale(the “2017 Banker Warrants”). The 2017 Banker Warrants were for the purchase of the securities in the Private Placement. Pursuant to the Engagement Letter, the Company issued to Wainwright and its designees warrants to purchase up to an aggregate of 471,600 shares of the Company’s common stock (the “Wainwright Warrants,” and together with the Purchaser Warrants, the “Common Stock Warrants”).  The Wainwright Warrants have substantially the same terms as the Purchaser2017 Common Stock Warrants, except that the Wainwright Warrantsthey have an exercise price equal $2.50 per share. The Private Placement, including the issuance of the Wainwright Warrants, closed on March 29, 2017 with aggregate gross proceeds to the Company of approximately $18.9 million.

Series A Convertible Preferred Stock

On March 29, 2017, in connection with the closing of the Private Placement, the Company filed a Certificate of Designation of Preferences, Rights and Limitations of Series A Convertible Preferred Stock with the Secretary of State of the State of Delaware (the “Certificate of Designation”). The shares of Series A Convertible Preferred Stock have a stated value of $1,000 per share and were convertible into approximately 500 shares of common stock upon receipt of Stockholder Approval. Prior to the date that Stockholder Approval was obtained, the Certificate of Designation limited the number of shares of common stock that were issuable upon conversion of the Series A Convertible Preferred Stock such that, when aggregated with the shares of common stock issued in the Private Placement, such issuances did not exceed 19.99% of the Company’s issued and outstanding common stock, as required by NASDAQ listing rules. In addition, the Company’s directors, executive officers and employees who participated in the Private Placement were unable to convert shares of Series A Convertible Preferred Stock until Stockholder Approval was obtained, pursuant to the NASDAQ listing rules. The Series A Convertible Preferred Stock will be entitled to dividends on an as-if-converted basis in the same form as any dividends actually paid on shares of common stock or other securities. Except as otherwise required by law, the holders of Series A Convertible Preferred Stock will have no right to vote on matters submitted to a vote of the Company’s stockholders. Without the prior written consent of 75% of the outstanding shares of Series A Convertible Preferred Stock, the Company may not:

19


(a) alter or change adversely the powers, preferences or rights given to the Series A Convertible Preferred Stock or alter or amend the Certificate of Designation, (b) amend the Company’s certificate of incorporation or other charter documents in any manner that adversely affects any rights of the holders of Series A Convertible Preferred Stock, (c) increase the number of authorized shares of Series A Convertible Preferred Stock, or (d) enter into any agreement with respect to any of the foregoing. In the event of the dissolution and winding up of the Company, the proceeds available for distribution to the Company’s stockholders shall be distributed pari passu among the holders of the shares of common stock and Series A Convertible Preferred Stock, pro rata based upon the number of shares held by each such holder, as if the outstanding shares of Series A Convertible Preferred Stock were convertible, and were converted, into shares of common stock.

Common Stock Warrants

The Common Stock Warrants are exercisable for cash or, solely, if at any time afterand the six-month anniversary of2017 Banker Warrants (collectively, the closing date of the Private Placement, there is not an effective registration statement or prospectus registering the issuance of shares of the Company’s common stock upon exercise of the Common Stock Warrants, by cashless exercise.“2017 Warrants”) expire on June 15, 2022. The exercise price of the Common Stock Warrants is subject to adjustment in the case of stock dividends or other distributions on shares of common stock or any other equity or equity equivalent securities payable in shares of common stock, stock splits, stock combinations, reclassifications or similar events affecting the Company’s common stock, and also, subject to limitations, upon any distribution of assets, including cash, stock or other property to the Company’s stockholders.

Prior to the exercise, holders of the Common Stock Warrants will not have any of the rights of holders of the common stock purchasable upon exercise, including voting rights; however, the holders of the Common Stock Warrants will have certain rights to participate in distributions or dividends paid on the Company’s common stock to the extent set forth in the Common Stock Warrants.

The Common Stock2017 Warrants may not be exercised by the holder to the extent that the holder, together with its affiliates, would beneficially own, after such exercise more than 4.99% of the shares of the Company’s common stock then outstanding (subject to the right of the holder to increase or decrease such beneficial ownership limitation upon notice to us, provided that such limitation cannot exceed 9.99%) and provided that any increase in the beneficial ownership limitation shall not be effective until 61 days after such notice is delivered.

IfIn conjunction with the 2018 Private Placement described further below, during the six months ended June 30, 2018, a holder of 2.4 million 2017 Warrants exercised all their 2017 Warrants at the original exercise price of $2.00 per warrant in exchange for the issuance of additional warrants. As a result of the warrant exercise, the Company effects a fundamental transaction, then upon any subsequentreceived gross proceeds of $4.8 million during the six months ended June 30, 2018.

During the six months ended June 30, 2018, excluding the $4.8 million described above, the Company received proceeds of approximately $0.9 million in connection with the exercise of anyapproximately 0.4 million of 2017 Common Stock Warrants. There were 0.1 million 2017 Warrant exercises during the three and six months ended June 30, 2019 for total cash proceeds of $0.2 million. As of June 30, 2019, there were 3,657,000 2017 Common Stock Warrants outstanding.  

During the holder thereof shall havesix months ended June 30, 2018, 304,182 of the right2017 Banker Warrants were exercised for total cash proceeds upon exercise of $0.8 million during the period. There were 18,864 2017 Banker Warrant exercises for the six months ended June 30, 2019 for total cash proceeds of less than $0.1 million. A total of 148,554 2017 Banker Warrants remained outstanding as of June 30, 2019.

All the 2017 Warrants were deemed to receive,qualify for eachequity classification under authoritative accounting guidance.

Series B Convertible Preferred Stock

On March 8, 2018, the Company completed the 2018 Private Placement to certain institutional and accredited investors, including certain directors and executive officers of the Company, providing for the sale by the Company at a purchase price of $1,000 per share, 45,200 of common stock that would have been issuable upon such exercise immediately prior to the occurrence of such fundamental transaction, the number ofnewly designated Series B Convertible Preferred Stock, which shares of the successor’s or acquiring corporation’s commonpreferred stock orwere automatically converted into 14,349,236 shares of the Company’s common stock upon approval by the Company’s stockholders at the 2018 annual meeting of stockholders held in May 2018, and warrants to purchase up to 12,196,851 shares of common stock at an exercise price of $3.50 per share (the “2018 Common Stock Warrants”). The 2018 Common Stock Warrants became exercisable following stockholder approval at the 2018 annual meeting of stockholders, are subject to certain ownership limitations in certain cases, and expire five years after the date of such stockholder approval. The gross proceeds from the 2018 Private Placement were approximately $45.2 million.

Pursuant to the terms of the purchase agreement entered into in connection with the 2018 Private Placement, from the date of the stockholder approval of the 2018 Private Placement, or May 17, 2018, through the first anniversary of the effective date of the resale registration statement related to the 2018 Private Placement, or May 11, 2019, if the Company ishad issued any shares of common stock or common stock equivalents, subject to certain permitted exceptions, at a price below the surviving corporation, and anyconversion price on the date stockholder approval was obtained (a “Dilutive Issuance”), the Company was required to issue an additional consideration receivable as a resultnumber of such fundamental transaction by a holdershares of common stock to the purchasers in the 2018 Private Placement in amount equal the number of shares of common stock into whichsuch purchasers would have received if the Dilutive Issuance occurred prior to the date the Company’s stockholders approved the 2018 Private Placement. No such Dilutive Issuances occurred prior to the expiration.

21


2018 Warrants

The 2018 Common Stock Warrants were(the “2018 Warrants”) have a five year life and are exercisable immediately priorfor cash or by cashless exercise. Some of the 2018 Warrants may not be exercised by the holder to the extent that the holder, together with its affiliates, would beneficially own, after such fundamental transaction. exercise more than 4.99% of the shares of the Company’s common stock then outstanding (subject to the right of the holder to increase or decrease such beneficial ownership limitation upon notice to us, provided that such limitation cannot exceed 9.99%) and provided that any increase in the beneficial ownership limitation shall not be effective until 61 days after such notice is delivered.

In addition to the 12,196,851 warrants issued in the 2018 Private Placement, the Company issued 1,800,000 warrants to an existing holder with identical terms to the 2018 Warrants, including the exercise price of $3.50.

During the six months ended June 30, 2019, 0.1 million of the 2018 Warrants were exercised for total proceeds of $0.5 million. No 2018 Warrants were exercised for the six months ended June 30, 2018.

All the 2018 Warrants were deemed to qualify for equity classification under authoritative accounting guidance.

Squadron Warrants

As further described in Note 5, during the year ended December 31, 2018, in connection with the initial debt financing with Squadron, the Company issued warrants to purchase 845,000 shares of common stock at an exercise price of $3.15 per share. An additional 4,838,710 warrants were issued at an exercise price of $2.17 per share during the second quarter of 2019, in conjunction with the Company’s draw on the expanded credit facility. The warrants have a seven-year term and are immediately exercisable. In accordance with authoritative accounting guidance, the warrants classified for equity treatment upon issuance and the portion allocated to the outstanding debt were recorded as a debt discount to the face of the debt liability based on fair value to be amortized into interest expense over the life of the debt agreement. As the warrants provide for partial price protection that allow for a reduction in the price in the event of a fundamental transaction (other thanlower per share priced issuance, the warrants were valued utilizing a fundamental transaction notMonte Carlo simulation that considers the probabilities of future financings. The Monte Carlo model simulates the present value of the potential outcomes of future stock prices of the Company over the seven-year life of the warrants. The projection of stock prices is based on the risk-free rate of return and the volatility of the stock price of the Company and correlates future equity raises based on the probabilities provided.   

A summary of all outstanding warrants is as follows:

 

 

Number of

Warrants

 

 

Strike Price

 

2017 Common Stock Warrants

 

 

3,657,000

 

 

$

2.00

 

2017 Banker Warrants

 

 

148,554

 

 

$

2.50

 

2018 Common Stock Warrants

 

 

13,860,851

 

 

$

3.50

 

Merger Warrants

 

 

2,200,000

 

 

$

3.50

 

Executive

 

 

1,327,434

 

 

$

5.00

 

Squadron Capital

 

 

845,000

 

 

$

3.15

 

Squadron Capital

 

 

4,838,710

 

 

$

2.17

 

Other

 

 

7,812

 

 

$

19.20

 

Total

 

 

26,885,361

 

 

 

 

 

2017 Distributor Inducement Plan

In December 2017, the Board of Directors approved byand adopted the 2017 Distributor Inducement Plan which authorizes the Company to issue to distributors restricted shares of common stock of the Company and/or warrants to purchase the Company’s Board of Directors), the Company or any successor entity shall, at the holder’s option, purchase the holder’s Common Stock Warrants forcommon stock. The warrants are issuable with an amount of cashexercise price equal to the fair market value of the Common Stock Warrants as determinedcommon stock on the date of issuance. Each warrant and common stock issuance is subject to a time-based or net sales-based vesting provision. The Board of Directors authorized the grant of up to 1.0 million shares of common stock under the 2017 Distributor Inducement Plan. As of June 30, 2019, 0.3 million warrants and 17,000 shares of common stock were earned under the 2017 Distributor Inducement Plan. Total expense for the plan was $0.1 million for both the three months ended June 30, 2019 and 2018 and $0.2 million and $0.1 million for the six months ended June 30, 2019 and 2018, respectively.

In December 2017, the Board of Directors also authorized the grant of warrants to purchase 50,000 shares of common stock, and 75,000 restricted stock units to a distributor of which 60,000 were earned and issued. These warrants and restricted stock units are subject to time based and net sales based vesting conditions.

22


2017 Development Services Plan

In December 2017, the Board approved and adopted the 2017 Development Services Plan which authorizes the Company to enter into Development Services Agreements with third-party individuals or entities whereby, upon the achievement of certain Company financial and commercial revenue milestones, future royalty payments for product and/or intellectual property development work may be paid in accordance witheither cash or restricted shares of Company common stock at the Black Scholes option pricing model. A fundamental transaction as described in the Common Stock Warrants generally includes any merger with or into another entity, sale of all or substantially all of the Company’s assets, tender offer or exchange offer, reclassification of the Company’sdeveloper. Each common stock issuance would be subject to net sales-based vesting provisions and satisfaction of applicable laws and market regulations regarding the issuance of restricted shares to such developers. The Board of Directors authorized the grant of up to 3,000,000 shares of common stock under the Development Services Plan. As of June 30, 2019, 2.3 million shares of common stock have been designated under the 2017 Development Services Plan, but no common stock elections, grants or the consummationcash payouts have been made as of a transaction whereby another entity acquires more than 50% of the Company’s outstanding voting stock.

In accordance with authoritative guidance, the Purchaser Warrants and the Wainwright Warrants are classified within additional paid in capital on the condensed consolidated balance sheet.June 30, 2019.

11. Income Taxes

To calculate its interim tax provision, at the end of each interim period the Company estimates the annual effective tax rate and applies that to its ordinary quarterly earnings. In addition, the effect of changes in enacted tax laws or rates or tax status is recognized in the interim period in which the change occurs. The computation of the annual estimated effective tax rate at each interim period requires certain estimates and significant judgment including, but not limited to, the expected operating income for the year, projections of the proportion of income earned and taxed in foreign jurisdictions, permanent and temporary differences between book and tax amounts, and the likelihood of recovering deferred tax assets generated in the current year. The accounting estimates used to compute the provision for income taxes may change as new events occur, additional information is obtained or the tax environment changes.

20


Intraperiod tax allocation rules require the Company to allocate the provision for income taxes between continuing operations and other categories of earnings, such as discontinued operations. In periods in which the Company has a year-to-date pre-tax loss from continuing operations and pre-tax income in other categories of earnings, such as discontinued operations, the Company must allocate the tax provision to the other categories of earnings, and then record a related tax benefit in continuing operations.

The Company recognizes interest and penalties related to uncertain tax positions as a component of the income tax provision. The Company’s unrecognized tax benefits increased by less than $0.1 million during the nine months ended September 30, 2017. The increase in unrecognized tax benefits during the nine months ended September 30, 2017 was primarily related to foreign currency fluctuations partially offset by a decrease in reserves for taxes related to imputed interest on trade receivables. The Company recognized a tax benefit of $35 thousand related to decrease in tax reserves related to imputed interest on trade receivables in the condensed consolidated statement of operations for the three and nine months ended September 30, 2017. 

The unrecognized tax benefits at SeptemberJune 30, 20172019 and December 31, 20162018 were $9.4$4.4 million and $9.3 million, respectively.for both periods, with no changes occurring during the year-to-date period. With the facts and circumstances currently available to the Company, it is reasonably possible that the amount of reserves that could reverse over the next 12 months is approximately $2.8$0.1 million. The Company recognizes interest and penalties related to uncertain tax positions as a component of the income tax provision. The Company is not currently under examination by the Internal Revenue Service, foreign, or state or local tax authorities; however, Scient’x’s 2013 and 2014 tax years are currently under audit by the French tax authorities. The Company completed the audit of its 2013 tax year in Texas, which resulted in no additional taxes.

The income tax provisionbenefit from continuing operations for the three and ninesix months ended SeptemberJune 30, 20172018 consists primarily of state income taxes partially offset by a decreaserelease of the valuation allowance due to an increase in incomenet deferred tax contingency reserves.liabilities recorded as a result of the acquisition of SafeOp. The Company’s effective tax rate of 0.30% and 0.51%(0.23)% for the three and ninesix months ended SeptemberJune 30, 2017, respectively,2019 differs from the federal statutory rate of 35%21% primarily due to the Company being in a full valuation allowance and state income taxes partially offset by a decrease in income tax contingency reserves.net loss position.

 

12. Related Party Transactions

For the nine months ended September 30, 2017 and 2016, respectively, the Company incurred expenses of less than $0.1 million related to HealthpointCapital, LLC. As of September 30, 2017, the Company also had a liability of less than $0.1 million payable to HealthpointCapital, LLC for travel and administrative expenses.

In July 2016, the Company entered into a forbearance agreement with HealthpointCapital, LLC, HealthpointCapital Partners, L.P., and HealthpointCapital Partners II, L.P. (collectively, "HealthpointCapital"), pursuant to which HealthpointCapital, on behalf of the Company, paid $1.0 million of the $1.1 million payment due and payable by the Company to Orthotec on July 1, 2016 and agreed to not exercise its contractual rights to seek an immediate repayment of such amount. Pursuant to this forbearance agreement, the Company repaid this amount in September 2016.  The Company and HealthpointCapital also entered into an agreement for joint payment of settlement whereby HealthpointCapital has agreed to contribute $5 million to the $49 million Orthotec settlement amount.

23


During the second quarter of 2018, HealthpointCapital Partners, L.P., and HealthpointCapital Partners II, L.P. distributed its holdings in the Company’s common stock to its limited partners. As a result, the fund is no longer a shareholder of the Company as of June 30, 2019. The $5 million receivable from HealthpointCapital, LLC continues to be classified within stockholders’ equity on the Company’s condensed consolidated balance sheet due to the related party nature with HealthpointCapital affiliates.

Certain of the Company’s board of directors and senior management participated in the March 2017 and 2018 Private Placements.

13. Restructuring

In connection with the Globus Transactionsale of the International Business (described in Note 4), the Company terminated employment agreements with several executive officers, including the chief executive officer and the chief financial officer, and commenced an employee headcount reduction program.  TheIn conjunction with the restructuring program, the Company had additional headcount reductions in February 2017, and recorded restructuring expenses of $0.1 million and $1.9 million for the three and nine months ended September 30, 2017, related to severance liabilityliabilities and post-employment benefits. A rollforward of the accrued restructuring liability is presented below (in thousands):

 

Balance as of January 1, 2017

 

$

1,328

 

Balance at January 1, 2019

 

$

710

 

Accrued restructuring charges

 

 

1,231

 

 

 

60

 

Payments

 

 

(940

)

 

 

(608

)

Balance as of March 31, 2017

 

 

1,619

 

Balance at March 31, 2019

 

 

162

 

Accrued restructuring charges

 

 

528

 

 

 

 

Payments

 

 

(1,115

)

 

 

(22

)

Balance as of June 30, 2017

 

$

1,032

 

Accrued restructuring charges

 

 

139

 

Payments

 

 

(701)

 

Balance as of September 30, 2017

 

$

470

 

Balance at June 30, 2019

 

$

140

 


All activities and costs are expected to be completed during 2018.2019.

On July 6, 2015, the Company announced a restructuring of its manufacturing operations in California in an effort to improve its cost structure. The restructuring included a reduction in workforce and closing the California manufacturing facility. The Company incurred expenses of $1.6 million and $1.8 million during the three and nine months ended September 30, 2016, related to these restructuring activities.

14. Subsequent events

On October 2, 2017, the Company entered into Securities Purchase Agreements (collectively, the “Purchase Agreements”) with accredited investors Patrick Miles and Quentin Blackford (collectively, the “Purchasers”), pursuant to which Messrs. Miles and Blackford have agreed, subject to the satisfaction of customary closing conditions under the Purchase Agreements, to purchase from the Company, collectively, no less than 1,549,116 and as many as 1,769,912 shares of its common stock at a purchase price of $2.26 per share. The closing of the share purchases under the Purchase Agreements by Messrs. Miles and Blackford is expected to occur on or before January 1, 2018, subject to the satisfaction of customary closing conditions.   The aggregate gross proceeds of the issuance and sale of the shares to Messrs. Miles and Blackford pursuant to the Purchase Agreements will be approximately $3.5 million to $4 million.

As more fully described in Note 10, the Company issued warrants to purchase shares of the Company’s common stock in connection with a private placement transaction that closed on March 29, 2017.  During October 2017, we received proceeds of approximately $1.7 million in connection with the exercise of approximately 0.9 million warrants. In addition, these warrants contain a feature that could require the transfer of cash in the event of a Fundamental Transaction, as defined in such warrants (other than a Fundamental Transaction not approved by the Company’s Board of Directors).  As of September 30, 2017, the warrant holders did not control the Company’s Board of Directors, and therefore, since potential future cash settlement was deemed to be within the Company’s control, the warrants were classified in stockholder’s equity in accordance with the authoritative accounting guidance. Subsequent to September 30, 2017, concurrent with the appointment of Ward W. Woods to the Company’s board of directors effective October 17, 2017, the holders of the warrants represent a majority of the Board of Directors. As a result of this change, the Company may be required to re-classify the warrants as a liability in accordance with the authoritative accounting guidance.  The Company is currently assessing the impact of this change, if any, on its financial statements for the three months and year ended December 31, 2017.

2224


Item 2.

Management’s Discussion and Analysis of Financial Condition and Results of Operations

You should read the following management's discussion and analysis of our financial condition and results of operations in conjunction with our unaudited condensed consolidated financial statements and the related notes thereto that appear elsewhere in this Quarterly Report on Form 10-Q and the audited consolidated financial statements and notes thereto and under the heading "Management's Discussion and Analysis of Financial Condition and Results of Operations" in our Annual Report on Form 10-K filed with the Securities and Exchange Commission or SEC,(“SEC”), on March 31, 2017.29, 2019. In addition to historical information the following management’s discussion and analysis of our financial condition and results of operations includes forward-looking information that involves risks, uncertainties, and assumptions. Our actual results and the timing of events could differ materially from those anticipated by these forward-looking statements as a result of many factors, such as those set forth under “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 20162018 and any updates to those risk factors filed from time to time in our subsequent periodic and current reports filed with the SEC. Unless otherwise stated, all shares and price per share numbers set forth in this Form 10-Q for periods prior to August 24, 2016 are presented after giving effect to the reverse stock split.

Overview

We are a medical technology company focused on the design, development, and promotionadvancement of productstechnology for thebetter surgical treatment of spinal disorders.  We are dedicated to revolutionizing the approach to spine disorders. Our mission is to improve patient lives through our relentless pursuit of superior outcomes.surgery. We have a broad product portfolio and pipeline that are designed to address the cervical, thoracolumbar and intervertebral regionsmajority of the spine and cover a variety of spinal disorders and surgical procedures. Our principal product offerings are focused on the U.S. market for fusion-based spinal disorder solutions. We intend to drive growth by exploiting our collective spine experience and investing in the research and development to continually differentiate our solutions and improve spine surgery. We believe our future success will be fueled by introducing market-shifting innovation to the spine market, and we believe that our products and systemswe are attractivewell-positioned to surgeons and patients due to innovative features and benefits that are designed to simplify surgical procedures for the surgeon and improve patient outcomes.capitalize on current spine market dynamics.

Currently, weWe market and sell our products in the United StatesU.S. through a network of non-exclusive independent distributors and direct sales representatives. We believe thereAn objective of our leadership team is significant opportunity for us to partnerdeliver increasingly consistent, predictable growth. To accomplish this, we have partnered more closely with new and existing distributors to create a more dedicated and loyal sales channel.channel for the future. We have added, and intend to move many of our existing distributor relationships to more dedicated and non-competitive partnerships and we intendcontinue to add, new high-quality dedicated distributors to enableexpand future growth. We believe this will allow us to reach a largean untapped market of new surgeons, hospitals, and national accounts across the United States,U.S., as well as furtherbetter penetrate existing accounts and territories.

We also employ a national accounts team that is responsible for securing access at hospitals and group purchasing organizations, or GPOs, acrosshave made significant progress in the United States. We have had strong success with securing access to hospitals and GPOs.  We believe that this access is a key differentiator for us, and muchtransition of our current business is achieved through these accounts.  Wesales channel since early 2017, driving the percent of sales contributed by our strategic distribution channel from approximately 80% and 76% for the three and six months ended June 30, 2018, respectively, to 88% and 86% for the three and six months ended June 30, 2019, respectively.  Going forward, we intend to continue to focus our effortsrelentlessly drive toward a fully exclusive network of independent and investment on developing and maintaining relationships with key GPOs and hospital networksdirect sales agents.  Recent consolidation in orderthe industry is facilitating the process, as large, seasoned agents are seeking opportunities to maintain and secure favorable contracts and develop strategies to convert or grow business within existing accounts.    

We are also striving to drive additional revenue by focusing our capital spend on strategic investments in commercializing our new products. We are focusing our development and commercialization efforts on differentiated products that we can market through our sales channel.  These innovative products are designed to drive penetration within specific segments withinre-enter the overall spine market including the complex spine, deformity, and lateral markets.  We also plan to expand our biologics portfolio through structural allograft, tissue and synthetic bone graft products to support surgeons during the surgical procedureby partnering with the goalspine-focused companies that have broad, growing product portfolios.

Sale of achieving high fusion rates.  International Business

Recent Developments

SinceOn September 1, 2016, to date, we have announced several changes to our senior leadership team, including the appointment of Patrick Miles as our Executive Chairman; Terry Rich as our Chief Executive Officer; Craig Hunsaker as our Executive Vice President, People and Culture and General Counsel; Jon Allen as our Executive Vice President, Commercial Operations; Brian Snider as our Executive Vice President, Strategic Marketing and Product Development; and Jeff Black as our Executive Vice President, Chief Financial Officer. In addition to Messrs. Miles and Rich who joined our board in connection with their respective executive appointments, during 2017 we have made several key additions to our board of directors, including Quentin Blackford, David Mowry, Jeff Rydin, and Ward Woods.

On June 15, 2017, we received a letter from the FDA which officially closed out the Warning Letter we received on July 15, 2015 and related investigation of deficiencies in our internal procedures for quality planning, design control, document control.

23


On March 29, 2017, we completed a private placement, or the Private Placement,sale of our securities to certain institutionalinternational distribution operations and accredited investors,agreements, including certainour wholly-owned subsidiaries in Japan, Brazil, Australia, China and Singapore and substantially all of the assets of our directors, executive officersother sales operations in the United Kingdom and employees. The aggregate gross proceedsItaly (“International Business”), to an affiliate of Globus (“Globus Transaction”). Following the closing of the Globus Transaction, we now operate in the U.S. market only and are restricted from marketing and selling our products in foreign markets pursuant to the terms and conditions, and for the Private Placement were approximately $18.9 million. We are usingtime periods, set forth in the net proceeds fromdefinitive documents related to the Private Placement for general corporate and working capital purposes.   In connection with the Private Placement, we also issued warrants to purchase 9.4 million shares of our common stock at an exercise price of $2.00 per share and warrants to purchase 0.5 million shares of our common stock at an exercise price of $2.50 per share.  During October 2017, we received aggregate proceeds of approximately $1.7 million in connection with exercise of approximately 0.9 million warrants.

Globus Transaction.

Revenue and Expense Components

The following is a description of the primary components of our revenues and expenses. As a result of the sale of our International Business to Globus in September 2016, we have retrospectively revised the consolidated statements of operations for the three and nine months ended September 30, 2016 to reflect the financial results from the International Business as discontinued operations. As a result of the Globus Transaction, as of September 1, 2016, we sell our products in the U.S. market, and outside the U.S. through our supply agreement with Globus.  expenses:

Revenues. We derive our revenues primarily from the sale of spinal surgery implants used in the treatment of spine disorders. Spinal implant products include pedicle screws and complementary implants, interbody devices, plates, and tissue-based materials. Our revenues are generated by our direct sales force and independent distributors. Our products are requested directly by surgeons and shipped and billed to hospitals and surgical centers.  A majorityCurrently, most of our business is conducted with customers within markets in which we have experience and with payment terms that are customary to our business. We may defer revenues until the time of collection if circumstances related to payment terms, regional market risk or customer history indicate that collectability is not reasonably assured.certain.

Cost of revenues. Cost of revenues consists of direct product costs, royalties, milestones depreciation of our surgical instruments, and the amortization of purchased intangibles. Our product costs consist primarily of direct labor, overhead, and raw materials and components. The product costs of certain of our biologics products include the cost of procuring and processing human tissue. We incur royalties related to the technologies that we license from others and the products that are developed in part by surgeons with whom we collaborate in the product development process. Amortization of purchased intangibles consists of amortization of developed product technology.

25


Research and development expense. Research and development expense consists of costs associated with the design, development, testing, and enhancement of our products. Research and development expense also includes salaries and related employee benefits, research-related overhead expenses, fees paid to external service providers in both cash and equity, and costs associated with surgeon consultants.our Scientific Advisory Board and Executive Surgeon Panels.

Sales, general and marketing expenseadministrative. Sales, general and marketingadministrative expense consists primarily of salaries and related employee benefits, sales commissions and support costs, depreciation of our surgical instruments, regulatory affairs, quality assurance costs, professional service fees, travel, medical education, trade show and marketing costs.costs, insurance and legal expenses.

GeneralLitigation-related expenses. Litigation-related expenses are costs incurred for our ongoing litigation, primarily with NuVasive, Inc.

Transaction related expenses. Reflects the recognition of transaction expenses incurred as part of the SafeOp acquisition.

Gain on settlement. Gain on settlement consists of a gain of approximately $6.2 million for the year ended December 31, 2018 as a result of the settlement agreement with Elite Medical Holdings and administrative expense. GeneralPac 3 Surgical, pursuant to which we made a cash payment of $0.4 million as the final and administrative expense consists primarily of salariestotal compensation under the collaboration and related employee benefits, professional service fees and legal expenses.amendment.  The gain reflects the reversal of accrued obligations previously recorded under the collaboration.  

Restructuring expenses. Restructuring expense consists of severance, social plan benefits and related taxes facility closing costs, manufacturing transfer costs and severance costs incurred followingin connection with our ongoing cost rationalization efforts, including the saletermination of our International Business, the consolidation of our facility and termination of manufacturing operations in California and strategic repositioning of the Company.in 2017.

Total other income (expense). Total other income (expense) includes interest income, interest expense, changes in the fair value of the warrant liabilities, gains and losses from foreign currency exchanges and other non-operating gains and losses.

Income tax (benefit) provisionbenefit.. Income tax provisionbenefit from continuing operations primarily consists primarily of income tax provisions related to state income taxes. Authoritative accounting guidance requires total income tax expense or benefit to be allocated among continuing operations, discontinued operations, extraordinary items, other comprehensive income and items charged directly to shareholders’ equity. This allocation is referred to as intra-period tax allocation. The salerelease of the Company's international distribution operations and several foreign subsidiaries is reported under discontinued operations invaluation allowance from the condensed consolidated financial statements. Accordingly, we are required to allocate the provision for income taxes between continuing operations and discontinued operations.SafeOp acquisition, partially offset by state taxes.

24


Critical Accounting Policies and Estimates

Our discussion and analysis of our financial condition and results of operations is based upon our unaudited condensed consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the U.S. The preparation of these financial statements requires us to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenues, expenses and related disclosures. On an on-going basis, we evaluate our estimates and assumptions, including those related to revenue recognition, allowances for accounts receivable, inventories and intangible assets, stock-based compensation and income taxes. We base our estimates on historical experience and on various other assumptions that we believe to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumption conditions.

Critical accounting policies are those that, in management’s view, are most important in the portrayal of our financial condition and results of operations. ExceptAside from newly implemented accounting policies related to revenues discussed below and for the changes disclosed in Note 2 to the Notes to Condensed Consolidated Financial Statements included in Item 1, Part I of this Quarterly Report on Form 10-Q, management believes there have been no material changes during the ninethree and six months ended SeptemberJune 30, 20172019 to the critical accounting policies discussed in the Management’s Discussion and Analysis of Financial Condition and Results of Operations section of our Annual Report on Form 10-K for the year ended December 31, 20162018 filed with the SEC on March 31, 2017.29, 2019.

Leases

Effective January 1, 2019, we adopted ASC No. 2016‑02, Leases (Topic 842) (“ASU 2016‑02” or “ASC 842”), which supersedes the current accounting for leases, using the modified retrospective transition method. The Company has elected to apply the practical expedients allowed by the standard for existing leases. The new standard, while retaining two distinct types of leases, finance and operating, (i) requires lessees to record a right-of-use asset and a related liability for the rights and obligations associated with a lease, regardless of lease classification, and recognize lease expense in a manner similar to current accounting, (ii) eliminates current real estate specific lease provisions, (iii) modifies the lease classification criteria and (iv) aligns many of the underlying lessor model principles with those in the new revenue standard. We determined the initial classification and measurement of its right-of-use assets and lease liabilities at the lease commencement date, or the adoption date, if later, and thereafter if modified. We recognized a right-of-use asset for our operating leases with lease terms greater than 12 months.  The lease term includes any renewal options and termination options that we are reasonably assured to exercise. The present value of lease payments is determined by using the incremental borrowing rate for operating leases determined by using the incremental borrowing rate of interest that we would pay to borrow on a collateralized basis an amount equal to the lease payments in a similar economic environment. We applied the new guidance to our existing facility lease at the time of adoption and recognized a right-of-use asset of $2.4 million and operating lease liability of $2.9 million, during the first period of adoption, and recorded a reversal of the previous deferred rent balance under the previous lease guidance of approximately $0.6 million.


Rent expense for operating leases is recognized on a straight-line basis over the reasonably assured lease term based on the total lease payments and is included in research and development and general and administrative expenses in the statements of operations and comprehensive loss.

Results of Operations

The tables below set forth certain statements of operations data for the periods indicated (in thousands). Our historical results are not necessarily indicative of the operating results that may be expected in the future.

 

 

 

Three Months Ended

September 30,

 

 

Nine Months Ended

September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Revenues

 

$

23,099

 

 

$

26,711

 

 

$

75,456

 

 

$

93,158

 

Cost of revenues

 

 

8,587

 

 

 

10,849

 

 

 

28,417

 

 

 

31,651

 

Gross profit

 

 

14,512

 

 

 

15,862

 

 

 

47,039

 

 

 

61,507

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

 

1,044

 

 

 

1,087

 

 

 

3,483

 

 

 

6,799

 

Sales and marketing

 

 

10,015

 

 

 

11,764

 

 

 

31,416

 

 

 

39,498

 

General and administrative

 

 

4,403

 

 

 

4,136

 

 

 

15,977

 

 

 

19,416

 

Amortization of acquired intangible assets

 

 

172

 

 

 

83

 

 

 

516

 

 

 

593

 

Goodwill and intangible impairment

 

 

-

 

 

 

1,736

 

 

 

-

 

 

 

1,736

 

Restructuring expense

 

 

139

 

 

 

1,605

 

 

 

1,898

 

 

 

1,778

 

Gain on sale of assets

 

 

-

 

 

 

-

 

 

 

(856

)

 

 

-

 

Total operating expenses

 

 

15,773

 

 

 

20,411

 

 

 

52,434

 

 

 

69,820

 

Operating loss

 

 

(1,261

)

 

 

(4,549

)

 

 

(5,395

)

 

 

(8,313

)

Other income (expense):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense, net

 

 

(1,807

)

 

 

(1,123

)

 

 

(5,669

)

 

 

(3,118

)

Loss on debt extinguishment

 

 

-

 

 

 

(9,478

)

 

 

-

 

 

 

(9,478

)

Other income (expense), net

 

 

(15

)

 

 

90

 

 

 

(8

)

 

 

(273

)

Total other income (expense)

 

 

(1,822

)

 

 

(10,511

)

 

 

(5,677

)

 

 

(12,869

)

Loss from continuing operations before taxes

 

 

(3,083

)

 

 

(15,060

)

 

 

(11,072

)

 

 

(21,182

)

Income tax provision

 

 

(7

)

 

 

(4,997

)

 

 

57

 

 

 

(4,962

)

Loss from continuing operations

 

 

(3,076

)

 

 

(10,063

)

 

 

(11,129

)

 

 

(16,220

)

Loss from discontinued operations

 

 

(61

)

 

 

(3,658

)

 

 

(220

)

 

 

(9,351

)

Net loss

 

$

(3,137

)

 

$

(13,721

)

 

$

(11,349

)

 

$

(25,571

)

 

 

Three Months Ended

June 30,

 

 

Six Months Ended

June 30,

 

 

 

2019

 

 

2018

 

 

2019

 

 

2018

 

Revenues:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue from U.S. products

 

$

26,093

 

 

$

20,409

 

 

$

49,048

 

 

$

39,610

 

Revenue from international supply agreement

 

 

1,226

 

 

 

1,633

 

 

 

2,826

 

 

 

3,739

 

Total revenues

 

 

27,319

 

 

 

22,042

 

 

 

51,874

 

 

 

43,349

 

Cost of revenues

 

 

8,433

 

 

 

6,488

 

 

 

16,420

 

 

 

12,890

 

Gross profit

 

 

18,886

 

 

 

15,554

 

 

 

35,454

 

 

 

30,459

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

 

3,360

 

 

 

2,009

 

 

 

6,829

 

 

 

3,795

 

Sales, general and administrative

 

 

24,568

 

 

 

17,538

 

 

 

45,568

 

 

 

34,795

 

Litigation-related expenses

 

 

1,200

 

 

 

2,234

 

 

 

3,823

 

 

 

2,814

 

Amortization of intangible assets

 

 

172

 

 

 

187

 

 

 

354

 

 

 

364

 

Transaction-related expenses

 

 

 

 

 

(62

)

 

 

 

 

 

1,480

 

Gain on settlement

 

 

 

 

 

-

 

 

 

 

 

 

(6,168

)

Restructuring expenses

 

 

 

 

 

193

 

 

 

60

 

 

 

591

 

Total operating expenses

 

 

29,300

 

 

 

22,099

 

 

 

56,634

 

 

 

37,671

 

Operating loss

 

 

(10,414

)

 

 

(6,545

)

 

 

(21,180

)

 

 

(7,212

)

Total other expense, net

 

 

(1,921

)

 

 

(1,784

)

 

 

(4,040

)

 

 

(3,429

)

Loss from continuing operations before taxes

 

 

(12,335

)

 

 

(8,329

)

 

 

(25,220

)

 

 

(10,641

)

Income tax (benefit) provision

 

 

71

 

 

 

(1,265

)

 

 

102

 

 

 

(1,723

)

Loss from continuing operations

 

 

(12,406

)

 

 

(7,064

)

 

 

(25,322

)

 

 

(8,918

)

Loss from discontinued operations, net of applicable taxes

 

 

(30

)

 

 

(12

)

 

 

(82

)

 

 

(74

)

Net loss

 

$

(12,436

)

 

$

(7,076

)

 

$

(25,404

)

 

$

(8,992

)

 

 

 

Three Months Ended

 

 

Six Months Ended

 

 

 

June 30,

 

 

June 30,

 

 

 

2019

 

 

2018

 

 

2019

 

 

2018

 

Revenues by source

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue from U.S. products

 

$

26,093

 

 

$

20,409

 

 

$

49,048

 

 

$

39,610

 

Revenue from international supply agreement

 

 

1,226

 

 

 

1,633

 

 

 

2,826

 

 

 

3,739

 

Total revenues

 

$

27,319

 

 

$

22,042

 

 

$

51,874

 

 

$

43,349

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gross profit by source

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue from U.S. products

 

$

18,841

 

 

$

15,462

 

 

$

35,235

 

 

$

30,229

 

Revenue from international supply agreement

 

 

45

 

 

 

92

 

 

 

219

 

 

 

230

 

Total gross profit

 

$

18,886

 

 

$

15,554

 

 

$

35,454

 

 

$

30,459

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gross profit margin by source

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue from U.S. products

 

 

72.2

%

 

 

75.8

%

 

 

71.8

%

 

 

76.3

%

Revenue from international supply agreement

 

 

3.7

%

 

 

5.6

%

 

 

7.7

%

 

 

6.2

%

Total gross profit margin

 

 

69.1

%

 

 

70.6

%

 

 

68.3

%

 

 

70.3

%

25


 

Three Months Ended

 

 

Nine Months Ended

 

 

September 30,

 

 

September 30,

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Revenues by source

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. commercial revenue

$

20,662

 

 

$

25,189

 

 

$

65,976

 

 

$

82,445

 

Other

 

2,437

 

 

 

1,522

 

 

 

9,480

 

 

 

10,713

 

Total revenues

$

23,099

 

 

$

26,711

 

 

$

75,456

 

 

$

93,158

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gross profit by source

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. commercial revenue

$

14,280

 

 

$

15,209

 

 

$

46,070

 

 

$

56,430

 

Other

 

232

 

 

 

653

 

 

 

969

 

 

 

5,077

 

Total gross profit

$

14,512

 

 

$

15,862

 

 

$

47,039

 

 

$

61,507

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gross profit margin by source

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. commercial revenue

 

69.1

%

 

 

60.4

%

 

 

69.8

%

 

 

68.4

%

Other

 

9.5

%

 

 

42.9

%

 

 

10.2

%

 

 

47.4

%

Total gross profit margin

 

62.8

%

 

 

59.4

%

 

 

62.3

%

 

 

66.0

%


Three and NineSix Months Ended SeptemberJune 30, 20172019 Compared to the Three and NineSix Months Ended SeptemberJune 30, 20162018

RevenuesTotal revenues. RevenuesTotal revenues were $23.1$27.3 million for the three months ended SeptemberJune 30, 20172019 compared to $26.7$22.0 million for the three months ended SeptemberJune 30, 2016,2018, representing a decreasean increase of $3.6$5.3 million, or 13.5%24.1%.  RevenuesTotal revenues were $75.5$51.9 million for the ninesix months ended SeptemberJune 30, 20172019 compared to $93.2$43.3 million for the ninesix months ended SeptemberJune 30, 2016,2018, representing a decreasean increase of $17.7$8.6 million, or 19.0%19.9%.

Revenue from U.S. commercial revenuesproducts were $20.7$26.1 million for the three months ended SeptemberJune 30, 20172019 compared to $25.2$20.4 million for the three months ended SeptemberJune 30, 2016,2018, representing a decreasean increase of $4.5$5.7 million, or 17.9%27.9% and were $66.0$49.0 million for the ninesix months ended SeptemberJune 30, 2017 compared to $82.42019 and $39.6 million for the ninesix months ended SeptemberJune 30, 2016,2018, representing a decreasean increase of $16.4$9.4 million, or 19.9%23.7%. The decreasesincreases in revenue were attributed to a combination of volume, product mix, and pricing as a result of lost distributors and customers and related overall change in revenue composition associated with the financial and operational challenges the Company faced in 2016, which led to the sale of the Company’s international business in order to sustain operations.  Revenue was also impacted by the Company’s decision to exit the stocking distributor model and terminate distributor relationships that are not representative of the Company’s long-term business and rebranding strategy.  Revenue from stocking distributors alone represented $1.2 million and $3.8 million of the revenue decline for the three and ninesix months ended SeptemberJune 30, 2017, respectively compared2019 was attributed to 2016.the launch of various newly developed products and to our focus on our strategic distribution channel, as detailed below (in thousands):

Other revenues were $2.4

 

 

Three Months Ended

June 30,

 

 

Increase (Decrease)

 

 

Six Months Ended

June 30,

 

 

Increase (Decrease)

 

 

 

2019

 

 

2018

 

 

$

 

 

%

 

 

2019

 

 

2018

 

 

$

 

 

%

 

U.S. revenues by distributor type:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Strategic distribution

 

$

22,854

 

 

 

88

%

 

$

16,248

 

 

 

80

%

 

$

6,606

 

 

 

41

%

 

$

42,226

 

 

 

86

%

 

$

30,121

 

 

 

76

%

 

$

12,105

 

 

 

40

%

Legacy and terminated distribution

 

 

3,239

 

 

 

12

%

 

 

4,161

 

 

 

20

%

 

 

(922

)

 

 

(22)

%

 

 

6,822

 

 

 

14

%

 

 

9,489

 

 

 

24

%

 

 

(2,667

)

 

 

(28)

%

Total U.S. revenues

 

$

26,093

 

 

 

100

%

 

$

20,409

 

 

 

100

%

 

$

5,684

 

 

 

28

%

 

$

49,048

 

 

 

100

%

 

$

39,610

 

 

 

100

%

 

$

9,438

 

 

 

24

%

Revenue from international supply agreement which is attributed to sales to Globus under which we supply to Globus certain of its implants and instruments at agreed-upon prices for a minimum term of three years, was $1.2 million for the three months ended SeptemberJune 30, 20172019 compared to $1.6 million for the three months ended June 30, 2018, representing a decrease of $0.4 million and $2.8 million for the six months ended June 30, 2019 compared to $3.7 million for the six months ended June 30, 2018, representing a decrease of $0.9 million. We expect these revenues to continue to decrease over the next several quarters, as Globus continues to register its own products in international markets. Globus has the option to extend the term for up to two additional twelve month periods subject to Globus meeting specified purchase requirements. During the first quarter of 2019, Globus notified us that it will exercise the option to extend the agreement an additional twelve months through August 2020.

Cost of revenues. Cost of revenues was $8.4 million for the three months ended June 30, 2019 compared to $6.5 million for the three months ended June 30, 2018, representing an increase of $1.9 million, or 29.2% and $16.4 million for the six months ended June 30, 2019 compared to $12.9 million for the six months ended June 30, 2018, representing an increase of $3.5 million or 27.1%.

Cost of revenue from U.S. products for the three months ended June 30, 2019 was $7.3 million compared to $4.9 million for the three months ended June 30, 2018, representing an increase of $2.4 million, or 49.0% and $13.8 million for the six months ended June 30, 2019 compared to $9.4 million for the six months ended June 30, 2018, representing an increase of $4.4 million, or 46.8%. The increases are primarily consistent with our revenue growth as well as increases in non-cash excess and obsolescence expense of approximately $4.1 million for the six months ended as June 30, 2019 as we are launching newly developed products and phasing out older, legacy products.

Cost of revenues from international supply agreement were $1.2 million for the three months ended June 30, 2019 compared to $1.5 million for the three months ended SeptemberJune 30, 2016, representing an increase of $0.9 million. This increase was2018 and $2.6 million for the six months ended June 30, 2019 compared to $3.5 million for the six months ended June 30, 2018. These decreases were attributed primarily to a reduction in international sales volumes in the third quarter of 2016 caused by the transition of our international sales to Globus. Other revenues were $9.5 million for the nine months ended September 30, 2017 compared to $10.7 million for the nine months ended September 30, 2016, representing a decrease of $1.2 million. This decrease was primarilyand related to a decrease in the average selling price to Globus in 2017 compared to sales to international affiliates in 2016.    

Cost of revenues. Cost of revenues was $8.6 million for the three months ended September 30, 2017 compared to $10.8 million for the three months ended September 30, 2016, representing a decrease of $2.2 million, or 20.4% and $28.4 million for the nine months ended September 30, 2017 compared to $31.7 million for the nine months ended September 30, 2016, representing a decrease of $3.3 million, or 10.4%.

Cost of U.S. Commercial revenues for the three months ended September 30, 2017 was $6.4 million compared to $10.0 million for the three months ended September 30, 2016, representing a decrease of $3.6 million, or 36.1%. Cost of U.S. commercial revenues for the nine months ended September 30, 2017 was $19.9 million compared to $26.0 million for the nine months ended September 30, 2016, representing a decrease of $6.1 million, or 23.5%. These decreases are attributable to lower sales volumes, as well as a reduction in obsolescence expense due to excess inventory quantities and product life cycle management activities during the comparable periods in 2016.

Cost of other revenues, which are primarily attributed to sales to Globuscosts under the Supply Agreement, were $2.2 million for the three months ended September 30, 2017 compared to $0.9 million for the three months ended September 30, 2016, representing an increase of $1.3 million.   This increase was attributed to higher sales volumes in the third quarter of

26


2017 as compared to the same period in 2016. Cost of other revenues were $8.5 million for the nine months ended September 30, 2017 compared to $5.6 million for the nine months ended September 30, 2016, representing an increase of $2.9 million. Despite a decrease in revenue, cost of other revenues increased due to a decrease in the average selling price to Globus in 2017 compared to sales to international affiliates in 2016.

supply agreement with Globus.

Gross profit. Gross profit was $14.5$18.9 million for the three months ended SeptemberJune 30, 20172019 compared to $15.9$15.6 million for the three months ended SeptemberJune 30, 2016,2018, representing an increase of $3.3 million, or 21.2% and $35.5 million for the six months ended June 30, 2019 compared to $30.5 million for the six months ended June 30, 2018, representing a decrease of $1.4$5.0 million, or 8.8% and $47.0 million for the nine months ended September 30, 2017 compared to $61.5 million for the nine months ended September 30, 2016, representing a decrease of $14.5 million, or 23.5%16.4%.

28


Gross profit margin from U.S. commercial revenuesproduct revenue was 69.1%72.2% for the three months ended SeptemberJune 30, 20172019 compared to 60.4%75.8% for the three months ended SeptemberJune 30, 2016,2018 and was 69.8%71.8% for the ninesix months ended SeptemberJune 30, 20172019 compared to 68.4%76.3% for the ninesix months ended SeptemberJune 30, 2016.  These increases are2018. The decreases were attributable to a reductionincreases in excess and obsolescence expense due to excess inventory quantitiesas we are launching newly developed products and product life cycle management activities during the comparable periods in 2016, as well as decreased fixed manufacturing overhead costs due to the consolidation of our facilities and termination of in-house manufacturing activities in early 2017.phasing out older products.

Gross profit margin from other revenuesinternational supply agreement was 9.5%3.7% for the three months ended SeptemberJune 30, 20172019 compared to 42.9%5.6% for the three months ended SeptemberJune 30, 20162018 and 10.2%7.7% for the ninesix months ended SeptemberJune 30, 20172019 compared to 47.4%6.2% for the ninesix months ended SeptemberJune 30, 2016.2018. The decreaseschanges in gross margin werefrom international supply agreement was primarily related to salethe impact of our international businessfixed minimum royalty costs, product mix, and to Globus,a lesser extent, decrease in average selling price for which we supply international products at a reduced margin compared to historical levels.certain products.

Research and development expense. Research and development expenses were stable at $1.0expense increased $1.4 million, foror 70.0% during the three months ended SeptemberJune 30, 20172019 compared to $1.1 million for the three months ended SeptemberJune 30, 2016,2018 and were $6.8increased $3.0 million, foror 78.9% during the ninesix months Septemberended June 30, 20162019 compared to $3.5 million for the ninesix months ended SeptemberJune 30, 2017, representing a decrease of $3.3 million, or 48.5%. This decrease was2018. These increases were primarily related to a reduction inthe integration of the SafeOp technology into our product portfolio, as evidenced by the achievement of the second SafeOp contingent consideration milestone, an increase of personnel related costs due to headcount reductions ($1.4 million), a decrease in stock compensation expense related to a consulting agreement ($0.6 million), a reduction of facility costs due to the consolidation of our facilities ($0.3 million), as well as an overall reduction in regulatory, clinicalincreased product development costs and otherrelated research expenses. We expect research and development costs of approximately $1.0 million as we completed several development projects in 2016. Our research and development mayexpenses to increase in future periods as we hire additional engineering and development talent, and continue to invest in our product pipeline.

Sales, general and marketingadministrative expense. Sales, general and marketingadministrative expense was $10.0increased $7.1 million, foror 40.6% during the three months ended SeptemberJune 30, 20172019 compared to $11.8 million for the three months ended SeptemberJune 30, 2016, representing a decrease of $1.82018 and increased $10.8 million, or 15.3% and were $31.4 million for31.0% during the ninesix months ended SeptemberJune 30, 20172019 compared to $39.5 million for the ninesix months ended SeptemberJune 30, 2016, representing a decrease of $8.1 million, or 20.5%.2018. The decrease forincreases were primarily related to increased commission and related sales compensation expenses associated with our increase in U.S. revenue and continued investment in building out our strategic distribution channel, as well as increased marketing efforts, including additional headcount. Additionally, our stock-based compensation increased during the three and six months ended September 30, 2017 and 2016 was the result of a reduction in personnel and related expenses due to headcount reductions ($1.0 million), lower commission expense due to lower revenues ($0.6 million) and a reduction in general sales and marketing expenses due to the sale of our international business. The decrease for the nine months ended September 30, 2017 and 2016 was the result of a reduction in personnel and related expenses due to headcount reductions ($3.5 million), lower commission expense due to lower revenues ($3.4 million) and a reduction in general sales and marketing expenses due to the sale of our international business.2019.  We expect our sales, general and marketingadministrative expenses to increase in absolute dollars in line with expected increasesincrease in our revenues.U.S. product revenue.

General and administrative expense.Litigation-related expenses. General and administrative expense was relatively stable at $4.4Litigation-related expenses of $1.2 million for the three months ended SeptemberJune 30, 2017 compared to $4.12019 and $2.2 million for the three months ended SeptemberJune 30, 2016,2018 and was $16.0$3.8 million for the ninesix months ended SeptemberJune 30, 2017 compared to $19.42019 and $2.8 million for the ninesix months ended SeptemberJune 30, 2016, representing a decrease of $3.4 million, or 17.5%. The decrease2018 are costs incurred for the nine months ended September 30, 2017 and 2016 wasour ongoing litigation, primarily attributable to a reduction in personnel and related expenses due to headcount reductions ($1.7 million) and a reduction in legal, accounting and professional services ($2.0 million).with NuVasive, Inc.

Amortization of acquired intangible assets. Amortization of acquired intangible assets was $0.2 millionremained consistent for the three and six months ended SeptemberJune 30, 20172019 compared to $0.1 million for the three and six months ended SeptemberJune 30, 2016 and was $0.5 million for the nine months ended September 30, 2017 compared to $0.6 million for the nine months ended September 30, 2016.2018. This expense represents amortization in the period for intangible assets associated with general business assets, intellectual property, licenses and other assets obtained in acquisitions and licensing agreements.

27


Transaction-related expenses. Goodwill and intangible impairment. Goodwill and intangible assets impairment was $1.7Transaction-related expenses of $1.5 million for the three and ninesix months ended SeptemberJune 30, 2016. The 2016 impairment charge relates2018 are attributed to intangible assets thatadvisory and legal fees and other transaction costs incurred in connection with the SafeOp acquisition.

Gain on settlement. In February 2018, we determinedreached a settlement agreement with Elite Medical Holdings and Pac 3 Surgical, pursuant to be impairedwhich we made a cash payment of $0.4 million as the final and total compensation under a resultcollaboration agreement and related amendment between the Company and these third parties.  In addition, the parties agreed to release each other and waive any and all rights and claims arising from the collaboration agreement and amendment.  We recorded a gain of approximately $6.2 million for the Globus Transaction.six months ended June 30, 2018, reflecting the reversal of accrued obligations previously recorded under the collaboration agreement.  

Restructuring expense.  Restructuring expense was $0.1$0.0 million for the three months ended SeptemberJune 30, 20172019 compared to $1.6$0.2 million for the three months ended SeptemberJune 30, 20162018 and $1.9$0.1 million for the ninesix months ended SeptemberJune 30, 20172019 compared to $1.8$0.6 million for the ninesix months ended SeptemberJune 30, 2016.2018. Beginning in late 2016 with the sale of our international business to Globus and continuing in 2017,2018, we began a corporate initiative to rationalize our cost structure in line with our reduced operations and implemented a strategic repositioning of the Company, including the changeover of our senior leadership team. As a result of these initiatives, we reduced headcount from 195 employees as of September 30, 2016 to 130 employees at September 30, 2017,team, and have incurred related restructuring costs consisting primarily of severance and other personnel charges.

Gain on sale of assets.  During the nine months ended September 30, 2017, we recorded a net gain of $0.9 million pursuant to a sale of certain inventory and intellectual property to a third party for $1.0 million in consideration, payable via a credit to future minimum royalties owed to the third party under an existing exclusive license agreement.

Interest expense,Total other income (expense), net. Interest expense,Total other income (expense), net, was $1.8increased $0.1 million forduring the three months ended SeptemberJune 30, 20172019 compared to $1.1 million for the three months ended SeptemberJune 30, 2016 representing an increase of $0.72018 and increased $0.6 million during the six months ended June 30, 2019 compared to the six months ended June 30, 2018 primarily due to interest expense of $0.7 million Globus credit facility loan as part of Globus transaction. Interest expense, net was $5.7 million for the nine months ended September 30, 2017 compared to $3.1 million for the nine months ended September 30, 2016 representing an increase of $2.6 million. The increases for the nine months were primarily due to $2.2 million interest expense associated with Globus credit facility and $0.4 million related to Midcap credit facility.     our new debt arrangements.

Discontinued operations. On September 1, 2016, we completed the sale of our International Business to Globus, whereby we sold our international distribution operations and agreements, including wholly-owned subsidiaries in Japan and Brazil and substantially all of the assets of other sales operations in the United Kingdom and Italy. As a result of the strategic decision to sell the International Business and focus on U.S market, the condensed consolidated statements of operations and the condensed consolidated balance sheets reflect the financial results from the International Business as discontinued operations for all periods presented.

For the three and nine months ended September 30, 2016, activity presented under discontinued operations in the condensed consolidated statements of operations represents commercial operations prior to the sale of the International Business in September 2016.  Certain operating expenses were also allocated to the business activities associated with the discontinued operations as well as interest expense related to debt that we repaid using the proceeds from the sale of the International Business.

Income tax provision (benefit). The income tax provision in continuing operations was a benefit of $9.0 thousand and a tax expense of $23.0 thousand was charged to discontinued operations for the three months ended September 30, 2017. The 20172018 income tax benefit from continuing operations primarily consists of decreases in income tax contingency reservesthe release of the valuation allowance related to the SafeOp acquisition, partially offset by state income taxes, and thetaxes. ASC 740-20 requires total income tax expense chargedor benefit to be allocated among continuing operations, discontinued operations, consists of interest expense on uncertainextraordinary items, other comprehensive income and

29


items charged directly to shareholders’ equity. This allocation is referred to as intra-period tax positions in UK and Italy. The Company recorded anallocation. Accordingly, we are required to allocate the provision or benefit for income tax benefit of $5.0 million intaxes between continuing operations and a tax expense of $8.5 million in discontinued operations for the three months ended September 30, 2016. The 2016 income tax benefit from continuing operations consists of the tax benefit of domestic losses as a result of an intraperiod tax allocation from discontinued operations. The tax charge to discontinued operations primarily consists of US and foreign taxes resulting from the sale of the foreign operations.

The income tax provision in continuing operations was an expense of $57.0 thousand and a tax expense of $64 thousand was charged to discontinued operations for the nine months ended September 30, 2017. The 2017 income tax expense from continuing operations consists of state income taxes partially offset by decreases in income tax contingency reserves. The income tax expense charged to discontinued operations consists of interest expense on uncertain tax positions in UK and Italy. The Company recorded an income tax benefit of $5.0 million in continuing operations and a tax charge of $9.7 million to discontinued operations for the nine months ended September 30, 2016. The 2016 income tax benefit from continuing operations consists of the tax benefit of domestic losses as a result of an intraperiod tax allocation from discontinued operations. The tax charge to discontinued operations primarily consists of US and foreign taxes resulting from the sale of the foreign operations.

28


Non-GAAP Financial Measures

We utilize certain financial measures that are not calculated based on U.S. generally accepted accounting principles, or GAAP. Certain of these financial measures are considered “non-GAAP” financial measures within the meaning of Item 10 of Regulation S-K promulgated by the SEC. We believe that non-GAAP financial measures reflect an additional way of viewing aspects of our operations that, when viewed with the GAAP results, provide a more complete understanding of our results of operations and the factors and trends affecting our business. These non-GAAP financial measures are unaudited and are also used by our management to evaluate financial results and to plan and forecast future periods. However, non-GAAP financial measures should be considered as a supplement to, and not as a substitute for, or superior to, the corresponding measures calculated in accordance with GAAP. Non-GAAP financial measures used by us may differ from the non-GAAP measures used by other companies, including our competitors.

Adjusted EBITDA represents income (loss) from continuing operations excluding the effects of interest, taxes, depreciation, amortization, stock-based compensation, other income (expense) and other non-recurring income or expense items, such as asset impairments and restructuring and other expenses. We believe that the most directly comparable GAAP financial measure to adjusted EBITDA is income (loss) from continuing operations. Adjusted EBITDA has limitations. Therefore, adjusted EBITDA should not be considered either in isolation or as a substitute for analysis of our results as reported under GAAP. Furthermore, adjusted EBITDA should not be considered as an alternative to operating income (loss) or income (loss) from continuing operations as a measure of operating performance or to net cash provided by operating, investing or financing activities, or as a measure of our ability to meet our cash needs.

The following is a reconciliation of adjusted EBITDA to the most comparable GAAP measure, loss from continuing operations, for the three and nine months ended September 30, 2017 and 2016 (in thousands):

 

 

Three Months Ended

September 30,

 

 

Nine Months Ended

September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

GAAP Loss from continuing operations

 

$

(3,076

)

 

$

(10,063

)

 

$

(11,129

)

 

$

(16,220

)

Stock-based compensation and stock price guarantee

 

 

450

 

 

 

(12

)

 

 

1,669

 

 

 

1,510

 

Depreciation

 

 

1,564

 

 

 

1,623

 

 

 

4,834

 

 

 

5,652

 

Amortization of intangible assets

 

 

234

 

 

 

306

 

 

 

702

 

 

 

912

 

Interest expense, net

 

 

1,807

 

 

 

1,123

 

 

 

5,669

 

 

 

3,119

 

Income tax provision

 

 

(7

)

 

 

(4,997

)

 

 

57

 

 

 

(4,962

)

Other (income) expense, net

 

 

15

 

 

 

(90

)

 

 

8

 

 

 

275

 

Restructuring expenses

 

 

139

 

 

 

1,605

 

 

 

1,898

 

 

 

1,778

 

Gain on sale of assets

 

 

-

 

 

 

-

 

 

 

(856

)

 

 

-

 

Loss on debt extinguishment

 

 

-

 

 

 

9,478

 

 

 

-

 

 

 

9,478

 

Goodwill and intangible assets impairment

 

 

-

 

 

 

1,736

 

 

 

-

 

 

 

1,736

 

Adjusted EBITDA

 

$

1,126

 

 

$

709

 

 

$

2,852

 

 

$

3,278

 

29


Liquidity and Capital Resources

We have incurred significant net losses since inception and relied on our ability to fund our operations through revenues from the sale of our products, debt financings and equity financings, including the Private Placement in March 2017.financings. As we have incurred losses, a successful transition to profitability is dependent upon achieving a level of revenues adequate to support our cost structure. This may not occur and, unless and until it does, we will continue to need to raise additional capital.  At SeptemberJune 30, 2017,2019, our principal sources of liquidity consisted of cash of $15.4$18.6 million and accounts receivable net(net) of $13.3$13.6 million.  We believe that our current available cash, combined with committed financing proceedsthe availability of our expanded credit facility with Squadron Capital (described below) and draws on our revolving credit facility, will be sufficient to fund our planned expenditures and meet our obligations for at least 12 months following our financial statement issuance date.

Historically, our principal sources of cash have included customer payments from the sale of our products, proceeds from the issuance of common and preferred stock and proceeds from the issuance of debt. Our principal uses of cash have included cash used in operations, payments relating to purchases of surgical instruments, repayments of borrowings under the Amended Credit Facility, payments due under the Orthotec settlement agreement and acquisitions of businesses and intellectual property rights. We expect that our principal uses of cash in the future will be these same uses of cash.similar. We expect that, as our revenues grow, our sales and marketing, research and development expenses and our capital expenditures will continue to grow and, as a result, we will need to generate significant net revenues to achieve profitability.  OperatingWe expect operating losses and negative cash flows mayto continue for at least the next year as we continue to incur costs related to the execution of our operating plan and introduction of new products.

On October 2, 2017,March 27, 2019, we entered into Securities Purchase Agreements (collectively,closed on an expanded credit facility with Squadron for up to $30 million in additional secured financing. This additional financing is provided under our existing credit facility with Squadron. In June 2019, we took a draw of $10 million on the “Purchase Agreements”)expanded credit facility to be used for general corporate purposes.  The additional borrowings under the credit facility will mature concurrent with accredited investors Patrick Milesthe current secured financing from Squadron and Quentin Blackford (collectively, the “Purchasers”), pursuant to which Messrs. Miles and Blackford have agreed,bear interest at LIBOR plus 8% per annum, subject to a 10% floor and a 13% ceiling. Interest-only payments are due monthly through May 2021, followed by principal payable in 29 equal monthly installments beginning June 2021 and a lump-sum payment payable at maturity in November 2023. In conjunction with the satisfaction of customary closing conditionsfirst draw under the Purchase Agreements,expanded credit facility, we issued to purchase from the Company, collectively, no less than 1,549,116 and as many as 1,769,912 shares of its common stock at a purchase price of $2.26 per share. The closing of the share purchases under the Purchase Agreements by Messrs. Miles and Blackford is expected to occur on or before January 1, 2018, subject to the satisfaction of customary closing conditions. The aggregate gross proceeds of the issuance and sale of the shares to Messrs. Miles and Blackford pursuant to the Purchase Agreements will be approximately $3.5 million to $4 million.

In connection with the Private Placement in March 2017, we also issuedSquadron warrants to purchase 9.4 million4,838,710 shares of our common stock at an exercise price of $2.00$2.17 per shareshare. The warrants have a seven-year term and are immediately exercisable. No additional warrants to purchase 0.5 million shares of our common stock at an exercise price of $2.50 per share, for aggregate proceeds, if exercised, of approximately $20.0 million.  During October 2017, we received proceeds of approximately $1.7 million in connection with exercise of approximately 0.9 million warrants.are due upon future draws.

We may seek additional funds from public and private equity or debt financings, borrowings under new or existing debt facilities or other sources to fund our projected operating requirements.  However, there is no guarantee that we will be able to obtain further financing, or do so on reasonable terms. If we are unable to raise additional funds on a timely basis, or at all, we would be materially adversely affected.

As more fully described below, our debt agreements include traditional lending and reporting covenants, including a financial covenant that requires us to maintain a minimum fixed charge coverage ratio beginning in April 2020 and a minimum liquidity covenant of $5.0 million effective through March 2020.  Should at any time we fail to maintain compliance with these covenants, we will need to seek waivers or amendments to the debt agreements. If we are unable to secure such waivers or amendments, we may be required to classify our obligations under the debt agreements in current liabilities on our consolidated balance sheet. We may also be required to repay all or a portion of outstanding indebtedness under the debt agreements, which would require us to obtain further financing. We were in compliance with the covenants under the credit agreement at June 30, 2019.

A substantial portion of our available cash funds is held in business accounts with reputable financial institutions. At times, however, our deposits may exceed federally insured limits and thus we may face losses in the event of insolvency of any of the financial institutions where our funds are deposited. We did not hold any marketable securities as of SeptemberJune 30, 2017.

Amended Credit Facility and Other Debt

On August 30, 2013, we entered into the Amended Credit Facility, which amended and restated the prior credit facility that we had with MidCap. On September 1, 2016, we entered into a Fifth Amendment to the MidCap Amended Facility Agreement, or the MidCap Fifth Amendment, that: (a) permitted (i) the Globus Transaction, (ii) the release of Alphatec International LLC and Alphatec Pacific, Inc. as credit parties, (iii) the payment in full of all obligations to Deerfield  under the Facility Agreement between us and Deerfield, dated as of March 17, 2014, as amended to date, or the Deerfield Facility Agreement, and (iv) the incurrence of debt under the Globus Facility Agreement and the granting of liens in favor of Globus, (b) reduced the revolving credit commitment to $22.5 million and the term loan commitment to $5 million, (c) revised the existing financial covenant package, and (d) extended the commitment expiry date from December 31, 2016 to December 31, 2019. In connection with the prepayment of the term loan under the Amended Credit Facility, we incurred a prepayment fee of $0.6 million payable to MidCap.  On March 30, 2017, we entered into a Sixth Amendment to the Amended Credit Facility to extend the date that the financial covenants of the Amended Credit Facility are effective from April 2017 to April 2018.

30


The term loan interest rate is priced at the London Interbank Offered Rate, or LIBOR, plus 8.0%, subjectAmended Credit Facility, Squadron Credit Agreement and Other Debt

Our Amended Credit Facility with MidCap provides for a revolving credit commitment up to a 9.5% floor, and$22.5 million. As of June 30, 2019, $10.7 million was outstanding under the revolving line of credit.

The revolving line of credit accrues interest rate remains priced at LIBOR plus 6.0%, reset monthly. At SeptemberJune 30, 2017,2019, the revolving line of credit carried an interest rate of 7.24% and the term loan carried an interest rate of 9.5%8.44%. The borrowing base is determined from time to time, based on the value of domestic eligible accounts receivable. As collateral for the Amended Credit Facility, we granted MidCap has a first lien security interest in all accounts receivable and a second lien on substantially all securities evidencing its interests in our subsidiaries. In addition to monthly payments of interest, monthly repayments of $0.2 million in 2017 and $0.3 million in 2018 through maturity are due, with the remaining principal due upon maturity.  As of September 30, 2017, $9.2 million was outstanding under the revolving line of credit and $2.9 million was outstanding under the term loan.

The Amended Credit Facility includes traditional lending and reporting covenants including a fixed charge coverage ratio to be maintained by us.

other assets. The Amended Credit Facility also includes several event of default provisions, such as payment default, insolvency conditions and a material adverse effect clause, which could cause interest to be charged at a rate which is up to five percentage points above the rate effective immediately before the event of default or result in MidCap’s right to declare all outstanding obligations immediately due and payable.

On September 1, 2016, we entered into the Globus Facility Agreement,facility, pursuant to which Globus agreed to loan us up to $30 million, subject to the terms and conditions set forth in the Globus Facility Agreement.million. We made an initial draw of $25 million under the Globus Facility Agreementfacility with an additional draw of $5 million made in the fourth quarter of 2016. AsIn November 2018, the $29.2 million outstanding was paid in full.

On November 6, 2018, we closed the $35 million Term Loan with Squadron for net proceeds of September 30, 2017, the outstanding balance under the Globus Facility Agreement was $30.0approximately $34.1 million, which becomes duewere partially used to retire our existing $29.2 million term debt with Globus noted above. In addition, in June 2019, we took a draw of $10 million from our total available $30 million expanded credit facility with Squadron. The total debt outstanding with Squadron has a five-year maturity and payable in quarterly payments of $0.8 million starting November 2018 and the final payment due on September 30, 2021. The term loanbears interest rate is priced at LIBOR plus 8.0%8% (10.5% as of June 30, 2019) per annum. The credit agreement specifies a minimum interest rate of 10% and a maximum of 13% per year. Interest-only payments are due monthly through September 1, 2018,May 2021, followed by $10 million in principal payable in 29 equal monthly installments beginning June 2021 and LIBOR plus 13.0%, thereafter.

a $25 million lump-sum payment payable at maturity in November 2023. As collateral for the Globus Facility Agreement, we granted GlobusTerm Loan, Squadron has a first lien security interest in substantially all assets except for accounts receivable.

We entered into an Inventory Financing Agreement whereby we may draw up to $3.0 million for the purchase of inventory to accrue interest at a rate of LIBOR plus 8% and also includes a 10% floor and 13% ceiling. All principal will become due and payable upon maturity on November 6, 2023 and all interest will be paid monthly. Should we elect to prepay the Squadron credit agreement, all amounts due under the Inventory Financing Agreement will become mandatorily due.

Our various debt agreements include several event of default provisions, such as payment default, insolvency conditions and a material adverse effect clause, which could cause interest to be charged at a rate which is up to five percentage points above the rate effective immediately before the event of default or result in our assets, other than accounts receivablelenders’ rights to declare all outstanding obligations immediately due and related assets,payable. Furthermore, the credit agreements contain various covenants, including various negative covenants including a $5 million minimum liquidity requirement through March 31, 2020. The minimum liquidity covenant will be replaced by a fixed charge ratio, pursuant to which will secure the Globus Facility Agreementoperating cash to fixed charges (as defined) must equal at least 1:1 on a second lien basis.

rolling 12-month basis, beginning April 2020. We have various capital lease arrangements. The leases bear interestwere in compliance with the covenants under the credit agreements at rates ranging from 6.6% to 9.6%, are generally due in monthly principal and interest installments, are collateralized by the related equipment, and have various maturity dates through September 2018. As of SeptemberJune 30, 2017, the balance of these capital leases, net of interest totaled $0.1 million.2019.

As of SeptemberJune 30, 2017,2019, we have made $30.7$38.4 million in Orthotec settlement payments and there remains an aggregate $27.1$19.4 million of Orthotec settlement payments (including interest) to be paid by us.

Operating Activities

We used net cash of $8.1$14.6 million from operating activities for the ninesix months ended SeptemberJune 30, 2017.2019. During this period, net cash used in operating activities consisted of our net loss adjusted for non-cash adjustments including amortization, depreciation, stock-based compensation, provision for doubtful accounts, provision for excess and obsolete inventory, and interest expense related to amortization of debt discount and issuance costs, beneficial conversion feature from our convertible notes which matured during the first quarter 2019, and the contingent consideration fair market value adjustment of $11.0$11.7 million and working capital and other assets used cash of $7.8$2.9 million.

Investing Activities

We used cash of $6.3$3.7 million in investing activities for the ninesix months ended SeptemberJune 30, 2017,2019 primarily for the purchase of surgical instruments to support the commercial launch of $7.2 million, net of $869,000 of cash received from sale of instruments.new products.

Financing Activities

Financing activities provided net cash of $10.0$7.8 million for the ninesix months ended SeptemberJune 30, 2017,2019, primarily attributableattributed to the Private Placement, which provided$10.0 million draw from our Squadron expanded credit facility, net cash proceeds of $17.2 million.  Under the MidCap Amended Credit Facility, we made net payments$0.3 million debt discount and $1.4 million from warrant and stock

31


option exercises and purchase of $3.5 million during the nine months ended September 30, 2017. We also madecommon stock under our employee stock purchase plan. This was offset by principal payments on notes payableour term loan totaling $3.0 million and capital leases totaling $3.7 million innet payments under the nine months ended September 30, 2017.lines of credit of $0.3 million.

31


Off-Balance Sheet Arrangements

We do not have any off-balance sheet arrangements.

Contractual obligations and commercial commitments

Total contractual obligations and commercial commitments as of SeptemberJune 30, 20172019 are summarized in the following table (in thousands):

 

 

 

Payment Due by Year

 

 

 

Total

 

 

2017

(remainder)

 

 

2018

 

 

2019

 

 

2020

 

 

2021

 

 

Thereafter

 

Amended Credit Facility with MidCap

 

$

12,814

 

 

$

600

 

 

$

2,379

 

 

$

9,835

 

 

$

 

 

$

 

 

$

 

Facility Agreement with Globus

 

 

30,000

 

 

 

 

 

 

1,667

 

 

 

3,333

 

 

 

3,333

 

 

 

21,667

 

 

 

 

Interest expense

 

 

16,904

 

 

 

1,156

 

 

 

4,874

 

 

 

5,386

 

 

 

3,460

 

 

 

2,028

 

 

 

 

Notes payable for software licenses

 

 

221

 

 

 

 

 

 

84

 

 

 

90

 

 

 

47

 

 

 

 

 

 

 

Capital lease obligations

 

 

132

 

 

 

64

 

 

 

68

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating lease obligations

 

 

6,205

 

 

 

452

 

 

 

1,656

 

 

 

1,542

 

 

 

1,584

 

 

 

971

 

 

 

 

Litigation settlement obligations

 

 

27,133

 

 

 

1,100

 

 

 

4,400

 

 

 

4,400

 

 

 

4,400

 

 

 

4,000

 

 

 

8,833

 

Guaranteed minimum royalty obligations

 

 

6,595

 

 

 

363

 

 

 

1,256

 

 

 

981

 

 

 

943

 

 

 

918

 

 

 

2,134

 

Stock price guarantee (1)

 

 

6,873

 

 

 

2,186

 

 

 

2,343

 

 

 

2,344

 

 

 

 

 

 

 

 

 

 

New product development milestones (2)

 

 

400

 

 

 

 

 

 

200

 

 

 

 

 

 

200

 

 

 

 

 

 

 

Total

 

$

107,277

 

 

$

5,921

 

 

$

18,927

 

 

$

27,911

 

 

$

13,967

 

 

$

29,584

 

 

$

10,967

 

 

 

Payment Due by Year

 

 

 

Total

 

 

2019

(remainder)

 

 

2020

 

 

2021

 

 

2022

 

 

2023

 

 

Thereafter

 

Amended Credit Facility with MidCap

 

$

11,343

 

 

$

 

 

$

 

 

$

 

 

$

11,343

 

 

$

 

 

$

 

Inventory financing

 

 

1,825

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1,825

 

 

 

 

Squadron Term Loan

 

 

45,000

 

 

 

 

 

 

 

 

 

4,483

 

 

 

7,685

 

 

 

32,832

 

 

 

 

Interest expense

 

 

24,580

 

 

 

3,261

 

 

 

6,509

 

 

 

6,375

 

 

 

5,646

 

 

 

2,789

 

 

 

 

Note payable for software agreements and

   insurance premiums

 

 

256

 

 

 

209

 

 

 

47

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital lease obligations

 

 

129

 

 

 

18

 

 

 

37

 

 

 

37

 

 

 

37

 

 

 

 

 

 

 

Facility lease obligation

 

 

2,954

 

 

 

689

 

 

 

1,416

 

 

 

849

 

 

 

 

 

 

 

 

 

 

Other operating lease obligations

 

 

641

 

 

 

150

 

 

 

302

 

 

 

189

 

 

 

 

 

 

 

 

 

 

Litigation settlement obligations, gross (2)

 

 

19,433

 

 

 

2,200

 

 

 

4,400

 

 

 

4,000

 

 

 

4,400

 

 

 

4,400

 

 

 

33

 

Guaranteed minimum royalty obligations

 

 

5,684

 

 

 

781

 

 

 

943

 

 

 

918

 

 

 

918

 

 

 

918

 

 

 

1,206

 

License agreement milestones (1)

 

 

2,250

 

 

 

700

 

 

 

650

 

 

 

250

 

 

 

450

 

 

 

 

 

 

200

 

Total

 

$

114,095

 

 

$

8,008

 

 

$

14,304

 

 

$

17,101

 

 

$

30,479

 

 

$

42,764

 

 

$

1,439

 

 

(1)

Based on our closing stock price as of September 30, 2017, the last trading date of the quarter, of $2.26 per share. Pursuant to a three-year collaboration agreement, we may be obligated to make three annual payments to the collaborator as sole consideration for services provided, paid in our common stock at a per share price of $23.35, which was equal to the average NASDAQ closing price of the common stock on the five days leading up to and including the date of signing the collaboration agreement. The actual number of shares issued each year will be determined by the fair market value of the services provided over the prior 12 months. The actual amount of potential cash settlement will vary depending on the price of our common stock at the respective settlement dates.

(2)

This commitment representsThese commitments represent payments in cash, and isare subject to attaining certain sales milestones development milestones such as U.S. Food and Drug Administration approval, product design and functionality testing requirements, which we believe are reasonably likely to be achieved duringbeginning in 2019.

(2)

Represents gross payments due to Orthotec, LLC pursuant to a Settlement and Release Agreement, dated as of August 13, 2014, by and among the period from 2017Company and its direct subsidiaries, including Alphatec Spine, Inc., Alphatec Holdings International C.V., Scient'x S.A.S. and Surgiview S.A.S.; HealthpointCapital, LLC, HealthpointCapital Partners, L.P., HealthpointCapital Partners II, L.P., John H. Foster and Mortimer Berkowitz III; and Orthotec, LLC and Patrick Bertranou. In September 2014, the Company and HealthpointCapital entered into an agreement for joint payment of settlement whereby HealthpointCapital is obligated to pay $5 million of the settlement amount, with payments beginning in the fourth quarter of 2020 and continuing through 2020.2021. See Note 12 of our Notes to Condensed Consolidated Financial Statements for further information.

Real Property Leases

In January 2016, we entered into a lease agreement (the “Building Lease”) for office, engineering, and research and development space in Carlsbad, California with the lease term through July 31, 2021. Under the Building Lease our monthly rent payable is approximately $105,000 during the first year and increases by approximately $3,000 each year thereafter.

32


Recent Accounting Pronouncements

Except as describedAside from newly implemented accounting policies related to revenue recognition discussed above under “Critical Accounting Policies and Estimates” and for the changes disclosed in Note 2 to the Notes to Condensed Consolidated Financial Statements (Unaudited) under the heading “Recent Accounting Pronouncements,” there have been no new accounting pronouncements or changes to accounting pronouncements during the ninesix months ended SeptemberJune 30, 2017,2019, as compared to the recent accounting pronouncements described in the Company's Annual Report on Form 10-K for the year ended December 31, 2016,2018, filed on March 31, 2017.29, 2019.

Forward Looking Statements

This Quarterly Report on Form 10-Q incorporates a number of forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended or the Securities Act,(the “Securities Act”) and Section 21E of the Securities Exchange Act of 1934, or the Exchange Act,as amended (the “Exchange Act”), including statements regarding:

our estimates regarding anticipated operating losses, future revenue, expenses, cost savings, capital requirements, uses and sources of cash and liquidity, including our anticipated revenue growth and cost savings;

our ability to meet the financial covenants under our credit facilities;

our ability to ensure that we have effective disclosure controls and procedures;

our not realizing the full economic benefit from the Globus Transaction, including as a result of indemnification claims under the definitive agreement and the retention by us of certain liabilities associated with the international business, and our ability to meet our obligations under the Globus supply agreement;

32our ability to meet, and potential liability from not meeting, the payment obligations under the Orthotec settlement agreement;


our ability to meet, and potential liability from not meeting, the payment obligations under the Orthotec settlement agreement;

our ability to regain and maintain compliance with the quality requirements of the FDA;

our ability to market, improve, grow, commercialize and achieve market acceptance of any of our products or any product candidates that we are developing or may develop in the future;

our beliefs about the features, strengths and benefits of our products;

our ability to successfully achieve and maintain regulatory clearance or approval for our products in applicable jurisdictions and in a timely manner;

the effect of any existing or future federal, state or international regulations on our ability to effectively conduct our business;

our estimates of market sizes and anticipated uses of our products;

our business strategy and our underlying assumptions about market data, demographic trends, reimbursement trends and pricing trends;

our ability to achieve profitability, and the potential need to raise additional funding;

our ability to attract and retain a qualified management team, as well as other qualified personnel and advisors;

our ability to protect our intellectual property, and to not infringe upon the intellectual property of third parties;

our ability to meet or exceed the industry standard in clinical and legal compliance and corporate governance programs;

potential liability resulting from litigation;

potential liability resulting from a governmental review of our business practices;

our beliefs about the usefulness of the non-GAAP financial measures included in this Quarterly Report on Form 10-Q;

our beliefs with respect to our critical accounting policies and the reasonableness of our estimates and assumptions; and

other factors discussed elsewhere in this Quarterly Report on Form 10-Q or any document incorporated by reference herein or therein.

Any or all of our forward-looking statements in this Quarterly Report on Form 10-Q may turn out to be wrong. They can be affected by inaccurate assumptions and/or by known or unknown risks and uncertainties. Many factors mentioned in our discussion in this Quarterly Report on Form 10-Q will be important in determining future results. Consequently, no forward-looking statement can be guaranteed. Actual future results may vary materially from expected results.

33


We also provide a cautionary discussion of risks and uncertainties under “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 20162018 and any updates to those risk factors filed from time to time in our subsequent periodic and current reports filed with the SEC. These are factors that we think could cause our actual results to differ materially from expected results. Other factors besides those listed there could also adversely affect us.

Without limiting the foregoing, the words “believe,” “anticipate,” “plan,” “expect,” “estimate,” “may,” “will,” “should,” “could,” “would,” “seek,” “intend,” “continue,” “project,” and similar expressions are intended to identify forward-looking statements. There are a number of factors and uncertainties that could cause actual events or results to differ materially from those indicated by such forward-looking statements, many of which are beyond our control, including the factors set forth under “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 20162018 and any updates to those risk factors filed from time to time in our subsequent periodic and current reports filed with the SEC. In addition, the forward-looking statements contained herein represent our estimate only as of the date of this filing and should not be relied upon as representing our estimate as of any subsequent date. While we may elect to update these forward-looking statements at some point in the future, we specifically disclaim any obligation to do so to reflect actual results, changes in assumptions or changes in other factors affecting such forward-looking statements.

33


Item 3.

Quantitative and Qualitativeand Qualitative Disclosures About Market Risk

Interest Rate Risk

Other outstanding debt consists of fixed rate instruments, including debt outstanding under the Amended Credit Facility with MidCap and the Globus Facility Agreement, notes payable and capital leases.

Our borrowings under our credit facilities expose us to market risk related to changes in interest rates. As of SeptemberJune 30, 2017,2019, our outstanding floating rate indebtedness totaled $42.5$57.6 million. The primary base interest rate is the LIBOR rate. Assuming the outstanding balance on our floating rate indebtedness remains constant over a year, a 100 basis point increase in the interest rate would decrease pre-tax income and cash flow by approximately $0.4$0.6 million. Other outstanding debt consists of fixed rate instruments, including debt outstanding under the Amended Credit Facility with MidCap and the Globus Facility Agreement, notes payable and capital leases.

Commodity Price Risk

We purchase raw materials that are processed from commodities, such as titanium and stainless steel. These purchases expose us to fluctuations in commodity prices. Given the historical volatility of certain commodity prices, this exposure can impact our product costs. However, because our raw material prices comprise a small portion of our cost of revenues, we have not experienced any material impact on our results of operations from changes in commodity prices. A 10% change in commodity prices would not have had a material impact on our results of operations for the ninesix months ended SeptemberJune 30, 2017.2019.

Item 4.

Controls and Procedures

Evaluation of Disclosure Controls and Procedures

We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed by us in our reports that we file or submit pursuant to the Securities Exchange Act of 1934, as amended, or the Exchange Act, is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s, or SEC's, rules and forms, and that such information is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow for timely decisions regarding required disclosure. In designing and evaluating the disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives, and management is required to apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures.

Under the supervision and with the participation of our management, including our Chief Executive Officer and our Chief Financial Officer, we carried out an evaluation of the effectiveness of our disclosure controls and procedures (as such term is defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) as of the end of the period covered by this Quarterly Report on Form 10-Q.report. Based on such evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that our disclosure controls and procedures were effective to ensure that information required to be disclosed by us in the reports that we file or submit under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms, and is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, has concluded that our disclosure controls and procedures were not effective at a reasonable assurance level for the interim periods ended and as of June 30, 2018 and September 30, 2018 and as of December 31, 2018. This conclusion was based on the material weakness identified in our internal control over financial reporting related to our lack of sufficient oversight and review to ensure the complete and proper application of U.S. GAAP associated with complex equity transactions. We identified and reported this weakness to the Audit Committee of our Board of Directors. A material weakness existed as of December 31, 2018 that was remediated during the first quarter 2019. All controls were deemed to be functioning effectively as of June 30, 2019.

Remediation of the Material Weakness during the first quarter 2019

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This material weakness related to a lack of sufficient oversight and review to ensure the complete and proper application of U.S. GAAP associated with complex equity transactions.  To remediate the material weakness described above and to prevent similar deficiencies in the future, we added additional controls and procedures, including:

Hiring of additional personnel, including an accounting manager and staff accountant, that allows for increased oversight of the accounting and finance processes and additional review of complex and non-routine transactions; and

Re-design of internal controls to ensure more timely quarterly reviews of technical accounting positions documented by our staff and our independent external technical accounting consultants

However, the material weakness will not be considered fully remediated until the applicable remedial controls operate for a sufficient period of time and management has concluded, through testing, that these controls are operating effectively. Any actions we have taken or persons performing similar functions,may take to remediate these deficiencies are subject to continued management review supported by testing, as appropriatewell as oversight by the Audit Committee of our Board of Directors.

We cannot assure you that material weaknesses or significant deficiencies will not occur in the future and that we will be able to allowremediate such weaknesses or deficiencies in a timely decisions regarding required disclosure.manner, which could impair our ability to accurately and timely report our financial position, results of operations or cash flows.

Changes in Internal Control over Financial Reporting

There wereExcept as described above, there has been no changes inchange to our internal control over financial reporting identified in connection with the evaluation of such internal controlduring our most recent fiscal quarter that occurred during the quarter ended September 30, 2017 that havehas materially affected, or areis reasonably likely to materially affect, our internal control over financial reporting.

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PART II. OTHER INFORMATION

Item 1.

Legal Proceedings

Litigation

We are and may become involved in various legal proceedings arising from our business activities. While the Company has no material accruals for pending litigation or claims for which accrual amounts are not disclosed in the Company’s consolidated financial statements, litigation is inherently unpredictable, and depending on the nature and timing of a proceeding, an unfavorable resolution could materially affect our future consolidated results of operations, cash flows or financial position in a particular period.  We assess contingencies to determine the degree of probability and range of possible loss for potential accrual or disclosure in our consolidated financial statements. An estimated loss contingency is accrued in our consolidated financial statements if it is probable that a liability has been incurred and the amount of the loss can be reasonably estimated. Because litigation is inherently unpredictable and unfavorable resolutions could occur, assessing contingencies is highly subjective and requires judgments about future events. When evaluating contingencies, we may be unable to provide a meaningful estimate due to a number of factors, including the procedural status of the matter in question, the presence of complex or novel legal theories, and/or the ongoing discovery and development of information important to the matters. In addition, damage amounts claimed in litigation against us may be unsupported, exaggerated or unrelated to reasonably possible outcomes, and as such are not meaningful indicators of our potential liability.

Refer to Note 6 for further information regarding the NuVasive, Inc. litigation.

Item 1A.

Risk Factors

There have been no material changes to the risk factors described under Item 1A of our Annual Report on Form 10-K for the fiscal year ended December 31, 2016,2018, filed with the SEC on March 31, 2017.29, 2019.  

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

Unregistered Sales of Equity SecuritiesNone.

Item 5.

Other Information

None. 

None

Issuer Purchases of Equity Securities

Under the terms of our 2016 Equity Incentive Plan and our Amended and Restated 2005 Employee, Director and Consultant Stock Plan, as amended, which we refer to collectively as the Stock Plans, and prior to the expiration of the Stock Plans in May 2026, we are permitted to award shares of restricted stock to our employees, directors and consultants. These shares of restricted stock are subject to a lapsing right of repurchase by us. We may exercise this right of repurchase in the event that a restricted stock recipient’s employment, directorship or consulting relationship with us terminates prior to the end of the vesting period. If we exercise this right, we are required to repay the purchase price paid by or on behalf of the recipient for the repurchased restricted shares. Repurchased shares are returned to the Stock Plan and are available for future awards under the terms of the Stock Plan.  There were no shares of common stock repurchased during the quarter ended September 30, 2017.

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Item 6.

Exhibits

 

Exhibit

Number

 

Exhibit Description

 

 

 

10.1

Form of Warrant(1)

 

 

 

10.2

Registration Rights Agreement between Alphatec Holdings Inc. and Squadron Medical Finance Solutions LLC and Tawani Holdings LLC, dated June 21, 2019(2)

10.3

Third Amendment to the Amended and Restated 2016 Equity Incentive Award Plan(3)

10.4

First Amendment to the Amended and Restated 2007 Employee Stock Purchase Plan(4)

10.5

Fifth Amendment to the 2016 Employee Inducement Awards Plan(5)

31.1

 

Certification of Principal Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 

 

 

31.2

 

Certification of Principal Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 

 

 

32

 

Certification Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

 

 

101

 

The following materials from the Alphatec Holdings, Inc. Quarterly Report on Form 10-Q for the threeThree and nineSix months ended SeptemberJune 30, 2017,2019, formatted in XBRL (eXtensible Business Reporting Language): (i) Condensed Consolidated Balance Sheets (Unaudited) as of SeptemberJune 30, 20172019 and December 31, 2016,2018, (ii) Condensed Consolidated Statements of Operations (Unaudited) for the threeThree and nine months ended SeptemberSix Months Ended June 30, 20172019 and 2016,2018, (iii) Condensed Consolidated Statements of Comprehensive Loss (Unaudited) for the threeThree and nine months ended SeptemberSix Months Ended June 30, 20172019 and 2016,2018, (iv) Condensed Consolidated Statements of Stockholders’ Equity (Unaudited) for the Three and Six Months Ended June 30, 2019 and 2018 (v) Condensed Consolidated Statements of Cash Flows (Unaudited) for the nine months ended SeptemberSix Months Ended June 30, 20172019 and 2016,2018, and (v)(vi) Notes to Condensed Consolidated Financial Statements (Unaudited).

 

(1)

Incorporated by reference to Exhibit 10.1 to the Company's Form 8-K filed with the SEC on June 27, 2019

(2)

Incorporated by reference to Exhibit 10.2 to the Company's Form 8-K filed with the SEC on June 27, 2019

(3)

Incorporated by reference to Exhibit 10.1 to the Company's Form 8-K filed with the SEC on June 13, 2019

(4)

Incorporated by reference to Exhibit 10.2 to the Company's Form 8-K filed with the SEC on June 13, 2019

(5)

Incorporated by reference to Exhibit 10.11 to the Company's Form S-8 filed with the SEC on July 16, 2019

 

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

ALPHATEC HOLDINGS, INC.

 

By:

/s/ Terry M. RichPatrick S. Miles

 

Terry M. RichPatrick S. Miles

 

DirectorChairman and Chief Executive Officer

 

(principal executive officer)

 

 

By:

/s/ Jeffrey G. Black

 

Jeffrey G. Black

 

Executive Vice President and Chief Financial Officer

 

(principal financial officer and principal accounting officer)

 

Date: November 9, 2017July 26, 2019

 

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