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Treace Medical Concepts Reports Second Quarter 2023 Financial Results

PONTE VEDRA, Fla., Aug. 08, 2023 (GLOBE NEWSWIRE) -- Treace Medical Concepts, Inc. (“Treace” or the “Company”) (NasdaqGS: TMCI), a medical technology company driving a fundamental shift in the surgical treatment of hallux valgus (commonly known as bunions) through its Lapiplasty® 3D Bunion Correction™ Procedure, today reported financial results for the second quarter ended June 30, 2023.

Recent Highlights:

  • Revenue of $42.0 million in the second quarter of 2023, a 40% increase over same period last year
  • Blended average revenue per Lapiplasty® procedure kit sold was $6,176, an 8% increase over same period last year
  • Gross margin of 81.7% in the second quarter 2023
  • Second quarter revenue contribution from direct sales channel, the industry’s only direct bunion-focused salesforce, increased to 79% of sales compared to 68% during the second quarter 2022
  • Completed acquisition of certain assets from RedPoint Medical3D (RPM-3D) to enable patient specific instrumentation for bunion and related mid-foot surgical procedures
  • Granted nine additional U.S. patents year-to-date; Patent portfolio expands to 49 granted U.S. patents and 72 pending U.S. patent applications
  • Announced appointment of Julie Dewey as Chief Communications and Investor Relations Officer

“Second quarter revenue grew 40% with solid execution of our growth strategies, encouraging adjusted EBITDA progress and continued gains across our key operating metrics,” said John T. Treace, CEO, Founder and Board Member of Treace. “I’m especially pleased that we reached our stated year-end target of 200 quota carrying direct sales reps by the end of the second quarter. We expect this expansion, along with our proven commercial programs and differentiated technologies, will drive continued market penetration and position us well for the remainder of 2023 and beyond.”

Second Quarter 2023 Financial Results
Revenue for the second quarter of 2023 was $42.0 million, representing an increase of 40% compared to $30.0 million in the second quarter of 2022. The increase was driven by an increased number of Lapiplasty® procedure kits sold as a result of an expanded surgeon customer base, increased utilization and increased blended average selling prices due to increased adoption of the Company’s newer technologies and expanding portfolio of complementary products.

Gross profit for the second quarter of 2023 was $34.3 million, representing an increase of 39% compared to a gross profit of $24.7 million in the second quarter of 2022. Gross margin totaled 81.7% in the second quarter of 2023, compared to 82.3% in second quarter of 2022, primarily due to changes in product mix and an increase in inventory provisions, partially offset by lower royalty rates.

Total operating expenses were $47.3 million in the second quarter of 2023, including sales and marketing (S&M) expenses of $33.8 million, research and development (R&D) expenses of $3.5 million, and general and administrative (G&A) expenses of $10.0 million. This compared to total operating expenses of $36.6 million, including S&M expenses of $26.6 million, R&D expenses of $3.0 million, and G&A expenses of $7.0 million, in the second quarter of 2022. Increased operating expenses in the second quarter of 2023 reflect strategic investments in its expanding direct sales channel, investments in product innovation, increased capacity requirements, as well as support for other commercial initiatives.

Second quarter net loss attributable to common stockholders was ($12.3) million, or ($0.20) per share, compared to ($17.2) million, or ($0.31) per share, for the same period of 2022. Second quarter adjusted net loss was ($12.3) million, or ($0.20) per share, compared to ($12.8) million, or ($0.23) per share for the same period of 2022. Adjusted EBITDA was a loss of ($7.7) million in the second quarter of 2023 compared to a loss of ($9.6) million for the same period in 2022. See below for additional information and a reconciliation of non-GAAP financial information.

Financial Outlook
Treace is raising its full-year 2023 revenue guidance to $191 million to $197 million, which represents approximately 35% to 39% growth over the Company’s 2022 revenue. This compares to the prior full-year 2023 revenue guidance of $190 million to $196 million.

Webcast and Conference Call Details
Treace will host a conference call today, August 8, 2023, at 4:30 p.m. ET to discuss its second quarter 2023 financial results. Investors interested in listening to the conference call may do so by registering. Once registered, participants will receive dial-in numbers and a unique pin to join the call and ask questions. The live webcast of the conference call will be available on the Investor Relations section of the Company’s website at The webcast will be archived on the website following the completion of the call.

Use of Non-GAAP Financial Measures
To supplement the financial results presented in accordance with GAAP, this earnings release presents Adjusted EBITDA, which the Company defines as net loss before depreciation and amortization expense, interest income, interest expense, taxes, share-based compensation expense, acquisition-related costs and debt extinguishment loss. As of March 31, 2023, in its calculation of Adjusted EBITDA, the Company began subtracting interest income from net loss as interest income is expected to be significant for the full-year 2023. Prior period results for Adjusted EBITDA have been updated to be consistent with the updated presentation as described above. This earning release also presents net loss attributable to common stockholders excluding the debt extinguishment loss on an aggregate and per share basis (“Adjusted Net Loss”). Non-GAAP financial measures such as Adjusted EBITDA and Adjusted Net Loss are presented in addition to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP. Management uses these non-GAAP financial measures to evaluate the Company’s operating performance and trends, as well as for making planning decisions. The Company believes that Adjusted EBITDA and Adjusted Net Loss helps to identify underlying trends in the Company’s business that may otherwise be masked by the effect of the income and expenses and other items that it excludes in its calculation of Adjusted EBITDA and Adjusted Net Loss. Accordingly, the Company believes these non-GAAP financial measures provide useful information to investors and others in understanding and evaluating the Company’s operating results, enhancing the overall understanding of its past performance and future prospects, and allowing for greater transparency with respect to key financial metrics used by the Company’s management in their financial and operational decision-making. The Company also presents these non-GAAP financial measures because it believes investors, analysts and rating agencies consider them to be a useful metrics in measuring the Company’s performance against other companies and its ability to meet its debt service obligations.

There are limitations related to the use of non-GAAP financial measures such as Adjusted EBITDA and Adjusted Net Loss because they are not prepared in accordance with GAAP, may exclude significant income and expenses required by GAAP to be recognized in the Company’s financial statements, and may not be comparable to non-GAAP financial measures used by other companies. The Company encourages investors to carefully consider its results under GAAP, as well as its supplemental non‐GAAP information and the reconciliation between these presentations, to more fully understand its business. Reconciliations between GAAP and non‐GAAP results are presented below.

Forward-Looking Statements
This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements other than statements of historical fact are forward-looking statements, including, but not limited to the Company’s expectations that the expansion of the number of its quota carrying direct sales reps, along with its commercial programs and technologies, will drive continued market penetration and position the Company well for the remainder of 2023 and beyond; and the Company’s revenue guidance and revenue growth rates for full-year 2023. Forward-looking statements are based on management’s current assumptions and expectations of future events and trends, which affect or may affect the Company’s business, strategy, operations or financial performance, and actual results and other events may differ materially from those expressed or implied in such statements due to numerous risks and uncertainties. Forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified. Factors that could cause actual results or other events to differ materially from those contemplated in this press release can be found in the Risk Factors section of Treace’s public filings with the Securities and Exchange Commission (SEC), including its Annual Report on Form 10-K for the year ended December 31, 2022, and any subsequent Quarterly Report on Form 10-Q or Current Report on Form 8-K. Because forward-looking statements are inherently subject to risks and uncertainties, you should not rely on these forward-looking statements as predictions of future events. These forward-looking statements speak only as of their date and, except to the extent required by law, the Company undertakes no obligation to update these statements, whether as a result of any new information, future developments or otherwise. The Company’s results for the quarter ended June 30, 2023 are not necessarily indicative of its operating results for any future periods.

Internet Posting of Information
Treace routinely posts information that may be important to investors in the “Investor Relations” section of its website at The Company encourages investors and potential investors to consult the Treace website regularly for important information about Treace.

About Treace Medical Concepts
Treace Medical Concepts, Inc. is a medical technology company with the goal of advancing the standard of care for the surgical management of bunion and related midfoot deformities. Bunions are complex 3-dimensional deformities that originate from an unstable joint in the middle of the foot and affect approximately 65 million Americans, of which Treace estimates 1.1 million are annual surgical candidates. Treace has pioneered and patented the Lapiplasty® 3D Bunion Correction™ System – a combination of instruments, implants, and surgical methods designed to surgically correct all 3 planes of the bunion deformity and secure the unstable joint, addressing the root cause of the bunion and helping patients get back to their active lifestyles. Treace expanded its offering with the Adductoplasty®Midfoot Correction System, designed for reproducible surgical correction of the midfoot to provide further support to hallux valgus patients. For more information, please visit

To learn more about Treace, connect with us on LinkedIn, Twitter, Facebook and Instagram.

Treace Medical Concepts
Julie Dewey, IRC
Chief Communications & IR Officer
(209) 613-6945

Treace Medical Concepts, Inc.
Statements of Operations and Comprehensive Loss
(in thousands, except share and per share amounts)
 Three Months Ended
June 30,
  Six Months Ended
June 30,
 2023  2022  2023  2022 
Revenue$41,953  $29,967  $84,148  $59,014 
Cost of goods sold 7,675   5,291   15,714   10,421 
Gross profit 34,278   24,676   68,434   48,593 
Operating expenses           
Sales and marketing 33,773   26,610   67,428   48,909 
Research and development 3,526   2,984   6,938   6,036 
General and administrative 10,031   7,015   20,896   13,677 
Total operating expenses 47,330   36,609   95,262   68,622 
Loss from operations (13,052)  (11,933)  (26,828)  (20,029)
Interest income 1,968   131   3,447   140 
Interest expense (1,282)  (946)  (2,567)  (1,897)
Debt extinguishment loss    (4,483)     (4,483)
Other income, net 95   (3)  223   (1)
Other non-operating income (expense), net 781   (5,301)  1,103   (6,241)
Net loss$(12,271) $(17,234) $(25,725) $(26,270)
Other comprehensive income (loss):           
Unrealized loss on marketable securities$(163) $  $(192) $ 
Comprehensive loss$(12,434) $(17,234) $(25,917) $(26,270)
Net loss per share attributable to common stockholders, basic and diluted$(0.20) $(0.31) $(0.43) $(0.48)
Weighted-average shares used in computing net loss per share attributable to common stockholders, basic and diluted 61,382,514   55,308,273   60,060,483   55,071,368 

Note: A change in presentation has been made within the Statement of Operations and Comprehensive Loss for the three months and six months ended June 30, 2022, reclassifying $0.4 million and $0.7 million of surgical instrument expense from cost of goods sold to sales and marketing expense to conform with the current year’s presentation. Please refer to supplemental materials related to quarterly 2022 results available on our investor relations website.

Treace Medical Concepts, Inc.
Balance Sheets
(in thousands, except share and per share amounts)
 June 30,  December 31, 
 2023  2022 
Current assets     
Cash and cash equivalents$12,035  $19,473 
Marketable securities, short-term 127,444   61,779 
Accounts receivable, net of allowance for doubtful accounts of $707 and $735 as of June 30, 2023 and December 31, 2022, respectively 27,232   29,196 
Inventories 26,101   19,330 
Prepaid expenses and other current assets 5,284   3,624 
Total current assets 198,096   133,402 
Property and equipment, net 19,435   15,338 
Intangible assets, net 9,500    
Goodwill 12,815    
Operating lease right-of-use assets 9,651   10,138 
Other non-current assets 146   146 
Total assets$249,643  $159,024 
Liabilities and Stockholders’ Equity     
Current liabilities     
Accounts payable$8,146  $8,668 
Accrued liabilities 7,072   6,216 
Accrued commissions 5,661   7,356 
Accrued compensation 5,368   7,666 
Other liabilities 3,775   339 
Total current liabilities 30,022   30,245 
Long-term debt, net of discount of $1,141 and $1,289 as of June 30, 2023 and December 31, 2022, respectively 52,859   52,711 
Operating lease liabilities, net of current portion 16,766   15,539 
Other long-term liabilities 37    
Total liabilities 99,684   98,495 
Commitments and contingencies (Note 8)     
Stockholders’ equity     
Common stock, $0.001 par value, 300,000,000 shares authorized; 61,528,409 issued and outstanding as of June 30, 2023; 300,000,000 shares authorized; 55,628,208 issued and outstanding as of December 31, 2022 62  55 
Additional paid-in capital 260,561   145,221 
Accumulated deficit (110,445)  (84,720)
Accumulated other comprehensive (loss) income (219)  (27)
Total stockholders’ equity 149,959   60,529 
Total liabilities and stockholders’ equity$249,643  $159,024 

Treace Medical Concepts, Inc.
Statements of Cash Flows
(in thousands)
 Six Months Ended June 30, 
 2023  2022 
Cash flows from operating activities     
Net loss$(25,725) $(26,270)
Adjustments to reconcile net loss to net cash used in operating
Depreciation and amortization expense 2,019   757 
Provision (recovery) for allowance for doubtful accounts 78   (45)
Share-based compensation expense 6,288   3,372 
Non-cash lease expense 1,264   1,165 
Amortization of debt issuance costs 148   95 
Recovery of inventory obsolescence    (197)
Gain on fair value adjustment to derivative liability    (173)
Debt extinguishment loss    4,483 
Accretion (amortization) of discount
(premium) on marketable securities, net
Other, net 5    
Net changes in operating assets and liabilities, net of acquisitions:     
Accounts Receivable 1,886   2,112 
Inventory (6,704)  (2,410)
Prepaid expenses and other assets (1,641)  (1,039)
Other non-current assets    (134)
Other liabilities 1,072   2,392 
Accounts payable (522)  (957)
Accrued liabilities (3,137)  (958)
Other, net 38    
Net cash used in operating activities (25,594)  (17,807)
Cash flows from investing activities     
Purchases of available-for-sale marketable securities (120,957)   
Sales and maturities of available-for-sale marketable securities 55,763    
Purchases of property and equipment (5,709)  (6,649)
Acquisition, net of cash acquired (20,000)   
Net cash used in investing activities (90,903)  (6,649)
Cash flows from financing activities     
Proceeds from interest bearing term debt    49,651 
Proceeds from interest bearing revolving debt    3,850 
Debt issuance costs    (989)
Repayment of term loan    (33,893)
Proceeds from issuance of common stock from public offering, net of issuance costs and underwriting discount of $7.5 million 107,527    
Proceeds from exercise of employee stock options 1,532   1,537 
Net cash provided by financing activities 109,059   20,156 
Net decrease in cash and cash equivalents (7,438)  (4,300)
Cash and cash equivalents at beginning of period 19,473   105,833 
Cash and cash equivalents at end of period$12,035  $101,533 
Supplemental disclosure of cash flow information:     
Cash paid for interest$2,567  $1,897 
Operating lease right-of-use assets obtained in exchange for new lease liabilities$  $15,300 
Operating lease right-of-use asset and lease liability adjustment due to lease incentive$(13) $ 
Noncash investing activities:     
Unrealized losses on marketable securities$192  $ 

Treace Medical Concepts, Inc.
Reconciliation of GAAP Net Loss to Adjusted Net Loss
(in thousands, except share and per share amounts)
 Three Months Ended
June 30,
  Six Months Ended
June 30,
 2023  2022  2023  2022 
Net loss$(12,271) $(17,234) $(25,725) $(26,270)
Debt extinguishment loss    4,483      4,483 
Adjusted net loss$(12,271) $(12,751) $(25,725) $(21,787)
Per share           
Net loss$(0.20)  (0.31)  (0.43)  (0.48)
Debt extinguishment loss    0.08      0.08 
Adjusted net loss$(0.20) $(0.23) $(0.43) $(0.40)
Weighted average common shares outstanding per share attributable to common stockholders, basic and diluted 61,382,514   55,308,273   60,060,483   55,071,368 

Treace Medical Concepts, Inc.
Reconciliation of GAAP Net Loss to EBITDA & Adjusted EBITDA
(in thousands)
 Three Months Ended
June 30,
  Six Months Ended
June 30,
 2023  2022  2023  2022 
Net loss$(12,271) $(17,234) $(25,725) $(26,270)
Interest income (1,968)  (131)  (3,447)  (140)
Interest expense 1,282   946   2,567   1,897 
Depreciation & Amortization 1,095   423   2,019   757 
EBITDA$(11,862) $(15,996) $(24,586) $(23,756)
Share-based compensation expense 3,596   1,963   6,288   3,372 
Acquisition-related costs 520      520    
Debt extinguishment loss    4,483      4,483 
Adjusted EBITDA$(7,746) $(9,550) $(17,778) $(15,901)

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