Nuwellis, Inc. (Nasdaq: NUWE), a medical technology company focused on transforming the lives of people with fluid overload, today reported financial results for the second quarter ended June 30, 2024.

Highlights:

  • Revenue of $2.2 million, a 6% increase over the second quarter of 2023.
  • Critical Care revenue growth of 28% compared to the prior year quarter; Heart Failure consumables utilization growth of 35% over the prior-year quarter. 
  • Gross margin of 67.2%, compared to 55.3% in the prior-year quarter.
  • Total operating cost reduction of 38% compared to the prior-year quarter.
  • Expanded Aquadex® to pediatric patients at one of the largest hospital networks in Florida.
  • Announced purchase agreement with a 50-hospital network in Texas for Aquadex Ultrafiltration Therapy.

“Our second quarter 2024 results continue to demonstrate market traction for our Aquadex ultrafiltration therapy, with revenue growth driven by steady increases in consumables utilization, particularly in Critical Care and Heart Failure, supported by our growing body of clinical evidence that highlights the benefits of Aquadex for patients experiencing fluid overload who have not responded to traditional diuretic treatments. Of note, our higher margin consumables business continues to fuel manufacturing efficiencies, resulting in strong gross margin gains compared to the year ago period,” said Nestor Jaramillo, President and CEO of Nuwellis. “Bolstering our positive momentum in 2024, we are also excited to now expand our Pediatric product offerings with QUELIMMUNE™, providing our growing Pediatric network with a new therapy for acute kidney injury (AKI) and sepsis. This novel therapy comes to Nuwellis from our exclusive license and distribution agreement with SeaStar Medical Holding Corporation.” 

Second Quarter 2024 Financial Results

Revenue for the second quarter of 2024 was $2.2 million, a 6% increase compared to the prior-year quarter. The year-over-year increase is attributable to a 30% increase in heart failure and critical care consumables utilization. Pediatrics had a 25% decline in utilization due to patient census.

Gross margin was 67.2% for the second quarter of 2024, compared to 55.3% in the prior-year quarter. The increase was primarily due to higher manufacturing volumes of consumables in the current year period and lower fixed overhead manufacturing expenses.

Selling, general and administrative expenses (SG&A) for the second quarter of 2024 decreased to $3.2 million, compared to $4.7 million in the prior-year quarter. The decrease in SG&A expense was primarily realized through efficiency initiatives enacted in the second half of 2023. 

Second quarter research and development (R&D) expenses were $558 thousand, compared to $1.5 million in the prior-year quarter. The decrease in R&D expense was primarily due to reduced consulting fees and compensation-related expenses. 

Total operating expenses for the second quarter of 2024 were $3.8 million, a 38% decrease compared to $6.2 million in the prior-year quarter as we continue to realize savings from operating efficiency initiatives enacted in the second half of 2023.

Operating loss for the second quarter of 2024 decreased to $2.3 million compared to an operating loss of $5.0 million in the prior-year quarter.

Net loss attributable to common shareholders for the second quarter of 2024 was $7.7 million, or a loss of $18.85 per basic and diluted common share, compared to a net loss attributable to common shareholders of $4.8 million, or a loss of $127.65 per basic and diluted common share in the prior-year quarter.

As of June 30, 2024, the Company had no debt, cash and cash equivalents of approximately $1.0 million, and approximately 516 thousand common shares outstanding. On July 25, Nuwellis closed a registered direct offering and concurrent private placement with gross proceeds of $2.0 million before deducting placement agent fees and other offering expenses.

Webcast and Conference Call Information

The Company will host a conference call and webcast at 9:00 AM ET today to discuss its financial results and provide an update on the Company’s performance.

To access the live webcast, please visit the Investors page of the Nuwellis website at https://ir.nuwellis.com. Alternatively, you may access the live conference call by dialing 1-800-267-6316 (U.S) or 1-203-518-9783 (international) and using the conference ID: NUWEQ2. An audio archive of the webcast will be available following the call on the Investors page at https://ir.nuwellis.com.

About Nuwellis

Nuwellis, Inc. (Nasdaq: NUWE) is a medical technology company dedicated to transforming the lives of patients suffering from fluid overload through science, collaboration, and innovation. The company is focused on commercializing the Aquadex SmartFlow® system for ultrafiltration therapy. Nuwellis is headquartered in Minneapolis, with a wholly owned subsidiary in Ireland. For more information visit ir.nuwellis.com or visit us on LinkedIn or X.

About the Aquadex SmartFlow® System The Aquadex SmartFlow system delivers clinically proven therapy using a simple, flexible and smart method of removing excess fluid from patients suffering from hypervolemia (fluid overload). The Aquadex SmartFlow system is indicated for temporary (up to 8 hours) or extended (longer than 8 hours in patients who require hospitalization) use in adult and pediatric patients weighing 20 kg or more whose fluid overload is unresponsive to medical management, including diuretics. All treatments must be administered by a health care provider, within an outpatient or inpatient clinical setting, under physician prescription, both having received training in extracorporeal therapies.

Forward-Looking StatementsCertain statements in this release may be considered forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, including without limitation, statements regarding the new market opportunities and anticipated growth in 2024 and beyond. Forward-looking statements are predictions, projections and other statements about future events that are based on current expectations and assumptions and, as a result, are subject to risks and uncertainties. Many factors could cause actual future events to differ materially from the forward-looking statements in this release, including, without limitation, those risks associated with our ability to execute on our commercialization strategy, the possibility that we may be unable to raise sufficient funds necessary for our anticipated operations, our post-market clinical data collection activities, benefits of our products to patients, our expectations with respect to product development and commercialization efforts, our ability to increase market and physician acceptance of our products, potentially competitive product offerings, intellectual property protection, our ability to integrate acquired businesses, our expectations regarding anticipated synergies with and benefits from acquired businesses, and other risks and uncertainties described in our filings with the SEC. Forward-looking statements speak only as of the date when made. Nuwellis does not assume any obligation to publicly update or revise any forward-looking statements, whether due to new information, future events or otherwise.

CONTACTS

INVESTORS: Vivian CervantesGilmartin Group ir@nuwellis.com

 
NUWELLIS, INC. AND SUBSIDIARYCondensed Consolidated Balance Sheets(in thousands, except share and per share amounts)
 
    June 30, 2024     December 31, 2023    
    (Unaudited)          
ASSETS              
Current assets              
Cash and cash equivalents $ 1,023   $ 3,800    
Accounts receivable   1,292     1,951    
Inventories, net   1,967     1,997    
Other current assets   544     461    
Total current assets   4,826     8,209    
Property, plant and equipment, net   630     728    
Operating lease right-of-use asset   613     713    
Other assets   120     120    
TOTAL ASSETS $ 6,189   $ 9,770    
               
LIABILITIES, CONVERTIBLE PREFERRED STOCK AND STOCKHOLDERS’ EQUITY (DEFICIT)              
Current liabilities              
Accounts payable and accrued liabilities $ 3,028   $ 2,380    
Accrued compensation   706     525    
Current portion of operating lease liability   226     216    
Other current liabilities   56     51    
Total current liabilities   4,016     3,172    
Common stock warrant liability   8,579     2,843    
Operating lease liability   428     544    
Total liabilities   13,023     6,559     
Commitments and contingencies              
               
Mezzanine Equity              
Series J Convertible Preferred Stock as of June 30, 2024 and December 31, 2023, par value $0.0001 per share; authorized 600,000 shares, issued and outstanding 88 and 11,950, respectively   2     221    
               
Stockholders’ equity (deficit)              
Series A junior participating preferred stock as of June 30, 2024 and December 31, 2023, par value $0.0001 per share; authorized 30,000 shares, none outstanding          
Series F convertible preferred stock as of June 30, 2024 and December 31, 2023, par value $0.0001 per share; authorized 18,000 shares, issued and outstanding 127 shares          
Preferred stock as of June 30, 2024 and December 31, 2023, par value $0.0001 per share; authorized 39,352,000 shares, none outstanding           
Common stock as of June 30, 2024 and December 31, 2023, par value $0.0001 per share; authorized 100,000,000 shares, issued and outstanding 515,744 and 162,356, respectively          
Additional paid‑in capital   292,887     290,647    
Accumulated other comprehensive income:              
Foreign currency translation adjustment   (42 )   (31 )  
Accumulated deficit   (299,681 )   (287,626 )  
Total stockholders’ equity (deficit)   (6,836 )   2,990    
TOTAL LIABILITIES, CONVERTIBLE PREFERRED STOCK AND STOCKHOLDERS’ EQUITY (DEFICIT) $ 6,189   $ 9,770    
   
 

 
NUWELLIS, INC. AND SUBSIDIARYCondensed Consolidated Statements of Operations and Comprehensive Loss(Unaudited)(in thousands, except per share amounts and weighted average shares outstanding)
 
  
      Three months ended June 30 Six months endedJune 30
      2024   2023       2024 2023  
Net sales   $ 2,194   $ 2,075   $ 4,051   $ 3,901    
Cost of goods sold     720     928     1,386     1,687    
Gross profit     1,474     1,147     2,665     2,214    
Operating expenses:                          
Selling, general and administrative     3,236     4,664     7,842     10,154    
Research and development     558     1,505     1,892     2,933    
Total operating expenses     3,794     6,169     9,734     13,087    
Loss from operations     (2,320 )   (5,022 )   (7,069 )   (10,873 )  
Other income (expense), net     6     179     (95 )   302    
Financing Expense     (5,607 )       (5,607        
Change in fair value of warrant liability     198         720      (755 )  
Loss before income taxes     (7,723 )   (4,843 )   (12,051 )   (11,326 )  
Income tax expense     (2 )   (2 )   (4 )   (4 )  
Net loss   $ (7,725 ) $ (4,845 ) $ (12,055 ) $ (11,330 )  
Deemed dividend attributable to Series J Convertible Preferred Stock             541        
Net loss attributable to common shareholders   $ (7,725 ) $      (4,845 ) $ (11,514 ) $ (11,330 )  
                           
Basic and diluted loss per share   $ (18.85 ) $ (127.65 ) $ (40.91 ) $ (323.15 )  
                           
Weighted average shares outstanding – basic and diluted     409,690     37,949     294,649     35,060    
                           
Other comprehensive loss:                          
Foreign currency translation adjustments   $ (2 ) $ 1   $ (11 ) $ (6 )  
Total comprehensive loss   $ (7,727 ) $ (4,844 ) $ (12,066 ) $ (11,336 )  
 

 
NUWELLIS, INC. AND SUBSIDIARYCondensed Consolidated Statements of Cash Flows(Unaudited)(in thousands)
 
    Six months endedJune 30  
    2024      2023  
Operating Activities:        
Net loss $ (12,055 )  $ (11,330 )  
Adjustments to reconcile net loss to cash flows used in operating activities:               
Depreciation and amortization   151      169    
Stock-based compensation expense   273      378    
Change in fair value of warrant liability   (720 )     755    
Warrant financing costs   5,607        
Net realized gain on marketable securities       (65 )  
Changes in operating assets and liabilities:               
Accounts receivable   659      230    
Inventory, net   30     (72 )  
Other current assets   (395 )    (547 )  
Other assets and liabilities   5     (20 )  
Accounts payable and accrued expenses   829     (856 )  
Net cash used in operating activities   (5,616 )   (11,358 )  
                
Investing Activities:               
Proceeds from sale of marketable securities       578    
Additions to intangible assets       (99 )  
Purchases of property and equipment   (53 )    (64 )  
Net cash provided by (used in) investing activities   (53 )    415    
                
Financing Activities:               
Issuance of common stock from offering   2,403         
 Proceeds from the exercise of Series J Convertible Preferred Warrants   500         
Proceeds from ATM stock offerings, net        2,108    
Net cash provided by financing activities   2,903      2,108    
                
Effect of exchange rate changes on cash   (11 )    (6 )  
Net decrease in cash and cash equivalents   (2,777 )    (8,841 )  
Cash and cash equivalents - beginning of period   3,800      17,737    
Cash and cash equivalents - end of period $ 1,023    $  8,896    
                
 

Supplemental cash flow information

  Issuance of Series J Preferred Stock for exercise of Warrants $ 1,857   $    
  Issuance of Common Stock for conversion of Series J Preferred Stock $ 1,535   $    
  Deemed dividend on Series J Preferred Stock $ (541 ) $    
  Common stock offering costs included in prepaids $ 306   $    
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