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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 September 30, 2023

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: 001-38740

Vapotherm, Inc.

(Exact name of registrant as specified in its charter)

 

Delaware

46-2259298

(State or other jurisdiction

of incorporation or organization)

(I.R.S. Employer

Identification No.)

100 Domain Drive

 

Exeter, N.H.

(Address of principal executive offices)

03833

(Zip Code)

 

(603) 658-0011

(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, $0.001 par value per share

VAPO

New York Stock Exchange

 

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 every Interactive Data File required to be submitted 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 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

 

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 2, 2023, there were 6,138,333 outstanding shares of common stock of Vapotherm, Inc.

 

 


 

VAPOTHERM, INC.

FORM 10-Q

For the Quarterly Period Ended September 30, 2023

 

TABLE OF CONTENTS

 

Page No.

Note Regarding Forward-Looking Statements

3

PART I. FINANCIAL INFORMATION

Item 1

Financial Statements (interim periods unaudited)

5

Condensed Consolidated Balance Sheets – September 30, 2023 and December 31, 2022

5

Condensed Consolidated Statements of Comprehensive Loss – Three and Nine Months ended September 30, 2023 and 2022

6

Condensed Consolidated Statements of Stockholders’ Deficit – Three and Nine Months ended September 30, 2023 and 2022

7

Condensed Consolidated Statements of Cash Flows – Nine Months ended September 30, 2023 and 2022

9

Notes to Condensed Consolidated Financial Statements

10

Item 2

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

32

Item 3

Quantitative and Qualitative Disclosures About Market Risk

44

Item 4

Controls and Procedures

45

 

PART II. OTHER INFORMATION

Item 1

Legal Proceedings

46

Item 1A

Risk Factors

46

Item 2

Unregistered Sales of Equity Securities and Use of Proceeds

48

Item 6

Exhibits

49

Exhibit Index

49

Signatures

50

__________________

We use “Vapotherm,” “High Velocity Therapy,” “HVT,” “HVT 2.0,” “Precision Flow,” “Hi-VNI,” “OAM,” “Vapotherm UK,” “Vapotherm Access,” and other marks as trademarks in the United States and/or in other countries. This Quarterly Report on Form 10-Q contains references to our trademarks and service marks and to those belonging to other entities. Solely for convenience, trademarks and trade names referred to in this Quarterly Report on Form 10-Q, including logos, artwork and other visual displays, may appear without the ® or TM symbols, but such references are not intended to indicate in any way that we will not assert, to the fullest extent under applicable law, our rights or the rights of the applicable licensor to these trademarks and trade names. We do not intend our use or display of other entities’ trade names, trademarks or service marks to imply a relationship with, or endorsement or sponsorship of us by, any other entity.

Unless otherwise indicated, information contained in this Quarterly Report on Form 10-Q concerning our industry and the markets in which we operate, including our general expectations, market position and market opportunity, is based on our management’s estimates and research, as well as industry and general publications and research, surveys and studies conducted by third parties. We believe that the information from these third-party publications, research, surveys and studies included in this Quarterly Report on Form 10-Q is reliable. Management’s estimates are derived from publicly available information, their knowledge of our industry and their assumptions based on such information and knowledge, which we believe to be reasonable. This data involves a number of assumptions and limitations which are necessarily subject to a high degree of uncertainty and risk due to a variety of factors, including those described in the “Risk Factors” section of our Annual Report on Form 10-K for the year ended December 31, 2022 as filed with the Securities and Exchange Commission (“SEC”) on February 23, 2023 and in our other subsequent filings with the SEC, including this Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2023.

Unless the context requires otherwise, references to “Vapotherm,” the “Company,” “we,” “us,” and “our,” refer to Vapotherm, Inc. and our consolidated subsidiaries.

2


 

SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS

This Quarterly Report on Form 10-Q contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements other than statements of historical facts contained in this Quarterly Report on Form 10-Q are forward-looking statements. In some cases, you can identify forward-looking statements by terms such as “may,” “will,” “would,” “could,” “should,” “expect,” “plan,” “anticipate,” “could,” “intend,” “target,” “project,” “contemplate,” “believe,” “estimate,” “predict,” “potential” or “continue” and the negative of these terms and other similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these words and the use of future dates. Forward-looking statements include, but are not limited to, statements concerning:

estimates regarding the annual total addressable market for our High Velocity Therapy systems and other products and services, future results of operations, including restructuring charges, financial position, capital requirements and our needs for additional financing;
commercial success and market acceptance of our High Velocity Therapy systems, our Oxygen Assist Module, our digital solutions, and any future products we may seek to commercialize;
our ability to enhance our High Velocity Therapy technology, our Oxygen Assist Module, and our digital solutions to expand our indications and to develop and commercialize additional products and services, which next-generation products typically have higher average sale prices;
our business model and strategic plans for our products, technologies and business, including our implementation thereof;
the anticipated favorable effect of our transition of substantially all manufacturing operations to Mexico on our gross margins and costs and risks in connection therewith and risks associated with operations in Mexico;
the success of our current “path to profitability” goals for 2023, our strategy to grow existing customer accounts through education of our customers on the full capabilities of our technology, and our ability to return to historical disposable utilization or turn rates, increase our inventory turnover and reduce our inventory levels;
the impact of COVID-19 and labor and hospital staffing shortages on our business and operating results;
our ability to accurately forecast customer demand for our products, adjust our production capacity if necessary and manage our inventory, particularly in light of COVID-19, current global supply chain disruptions, the effect of inflation, rising interest rates and other recessionary indicators;
our ability to manage and maintain our direct sales and marketing organizations in the United States, the United Kingdom, Germany, Belgium and Spain and any other jurisdictions in which we elect to pursue a direct sales model, and to market and sell our High Velocity Therapy systems globally and to market and sell our Oxygen Assist Module in the United States and throughout the world;
our ability to hire and retain our senior management and other highly qualified personnel;
our ability to comply with the terms and covenants of our amended credit facility;
our need for additional financing in the future;
the volatility of the trading price of our common stock and our ability to maintain our listing on the New York Stock Exchange (the “NYSE”), including regaining compliance with the NYSE continued listing standards;
our ability to commercialize or obtain regulatory approvals for our products, the timing or likelihood of regulatory filings and approvals, or the effect of delays in commercializing or obtaining regulatory approvals;
U.S. Food and Drug Administration (“FDA”) or other United States or foreign regulatory actions affecting us or the healthcare industry generally, including healthcare reform measures in the United States and international markets;
our ability to establish, maintain, and use our intellectual property to protect our High Velocity Therapy technology, Oxygen Assist Module, and digital solutions, and to prevent infringement of our intellectual property and avoid third party infringement claims; and
our expectations about market trends and their anticipated effect on our business and operating results.

3


 

The forward-looking statements in this Quarterly Report on Form 10-Q are only predictions and are based largely on our current expectations and projections about future events and financial trends that we believe may affect our business, financial condition and results of operations. These forward-looking statements speak only as of the date of this Quarterly Report on Form 10-Q and are subject to a number of known and unknown risks, uncertainties and assumptions, including those described in the “Risk Factors” section of our Annual Report on Form 10-K for the year ended December 31, 2022 as filed with the SEC on February 23, 2023 and in our other subsequent filings with the SEC, including this Quarterly Report on Form 10-Q. Because forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified and some of which are beyond our control, you should not rely on these forward-looking statements as predictions of future events. The events and circumstances reflected in our forward-looking statements may not be achieved or occur and actual results could differ materially from those projected in the forward-looking statements. Moreover, we operate in an evolving environment. Any forward-looking statements made herein speak only as of the date of this Quarterly Report on Form 10-Q, and you should not rely on forward-looking statements as predictions of future events. New risk factors and uncertainties may emerge from time to time, and it is not possible for management to predict all risk factors and uncertainties. Except as required by applicable law, we do not plan to publicly update or revise any forward-looking statements contained herein, whether as a result of any new information, future events, changed circumstances or otherwise.

4


 

PART I. FINANCIAL INFORMATION

 

ITEM 1. FINANCIAL STATEMENTS

 

VAPOTHERM, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands, except share amounts)

 

 

 

September 30, 2023

 

 

December 31, 2022

 

 

 

(unaudited)

 

 

 

 

Assets

 

 

 

 

 

 

Current assets

 

 

 

 

 

 

Cash and cash equivalents

 

$

14,418

 

 

$

15,738

 

Accounts receivable, net of expected credit losses
   of $
162 and $227, respectively

 

 

7,441

 

 

 

9,102

 

Inventories, net

 

 

23,093

 

 

 

32,980

 

Prepaid expenses and other current assets

 

 

4,202

 

 

 

2,081

 

Total current assets

 

 

49,154

 

 

 

59,901

 

Property and equipment, net

 

 

23,908

 

 

 

26,636

 

Operating lease right-of-use assets

 

 

3,556

 

 

 

5,805

 

Restricted cash

 

 

1,109

 

 

 

1,109

 

Goodwill

 

 

541

 

 

 

536

 

Deferred income tax assets

 

 

124

 

 

 

96

 

Other long-term assets

 

 

2,212

 

 

 

2,112

 

Total assets

 

$

80,604

 

 

$

96,195

 

Liabilities and Stockholders’ Deficit

 

 

 

 

 

 

Current liabilities

 

 

 

 

 

 

Accounts payable

 

$

2,951

 

 

$

2,739

 

Contract liabilities

 

 

1,242

 

 

 

1,216

 

Accrued expenses and other current liabilities

 

 

11,996

 

 

 

15,609

 

Total current liabilities

 

 

16,189

 

 

 

19,564

 

Long-term loans payable, net

 

 

104,425

 

 

 

96,994

 

Other long-term liabilities

 

 

7,486

 

 

 

7,827

 

Total liabilities

 

 

128,100

 

 

 

124,385

 

Commitments and contingencies (Note 9)

 

 

 

 

 

 

Stockholders’ deficit

 

 

 

 

 

 

Preferred stock ($0.001 par value) 25,000,000 shares authorized; no shares
   issued and outstanding as of September 30, 2023 and December 31, 2022

 

 

-

 

 

 

-

 

Common stock ($0.001 par value) 21,875,000 shares authorized as of
   September 30, 2023 and December 31, 2022,
6,137,973 and 3,564,505
   shares issued and outstanding as of September 30, 2023 and
   December 31, 2022, respectively (1)

 

 

6

 

 

 

4

 

Additional paid-in capital

 

 

490,697

 

 

 

461,965

 

Accumulated other comprehensive loss

 

 

(189

)

 

 

(157

)

Accumulated deficit

 

 

(538,010

)

 

 

(490,002

)

Total stockholders’ deficit

 

 

(47,496

)

 

 

(28,190

)

Total liabilities and stockholders’ deficit

 

$

80,604

 

 

$

96,195

 

 

(1) On August 18, 2023, the Company effected a 1:8 reverse stock split for each share of common stock issued

and outstanding. All shares and associated amounts have been retroactively restated to reflect the stock split.

The accompanying notes are an integral part of these condensed consolidated financial statements.

5


 

Vapotherm, Inc.

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS

(Unaudited)

(In thousands, except share and per share amounts)

 

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2023

 

 

2022

 

 

2023

 

 

2022

 

Net revenue

 

$

15,167

 

 

$

13,545

 

 

$

48,935

 

 

$

48,138

 

Cost of revenue

 

 

9,154

 

 

 

11,682

 

 

 

29,850

 

 

 

36,018

 

Gross profit

 

 

6,013

 

 

 

1,863

 

 

 

19,085

 

 

 

12,120

 

Operating expenses

 

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

 

3,132

 

 

 

4,382

 

 

 

10,842

 

 

 

16,241

 

Sales and marketing

 

 

7,967

 

 

 

11,460

 

 

 

25,835

 

 

 

36,615

 

General and administrative

 

 

4,430

 

 

 

6,477

 

 

 

15,219

 

 

 

20,754

 

Impairment of goodwill

 

 

-

 

 

 

-

 

 

 

-

 

 

 

14,701

 

Impairment of long-lived and intangible assets

 

 

755

 

 

 

2,139

 

 

 

1,187

 

 

 

6,175

 

Loss on disposal of property and equipment

 

 

-

 

 

 

321

 

 

 

53

 

 

 

321

 

Total operating expenses

 

 

16,284

 

 

 

24,779

 

 

 

53,136

 

 

 

94,807

 

Loss from operations

 

 

(10,271

)

 

 

(22,916

)

 

 

(34,051

)

 

 

(82,687

)

Other (expense) income

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense

 

 

(4,828

)

 

 

(3,276

)

 

 

(13,801

)

 

 

(7,872

)

Interest income

 

 

16

 

 

 

56

 

 

 

70

 

 

 

113

 

Foreign currency loss

 

 

(29

)

 

 

(73

)

 

 

(174

)

 

 

(188

)

Loss on extinguishment of debt

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(1,114

)

Net loss before income taxes

 

$

(15,112

)

 

$

(26,209

)

 

$

(47,956

)

 

$

(91,748

)

Provision (benefit) for income taxes

 

 

18

 

 

 

(8

)

 

 

52

 

 

 

74

 

Net loss

 

$

(15,130

)

 

$

(26,201

)

 

$

(48,008

)

 

$

(91,822

)

Other comprehensive loss:

 

 

 

 

 

 

 

 

 

 

 

 

Foreign currency translation adjustments

 

 

(145

)

 

 

(172

)

 

 

(32

)

 

 

(412

)

Total other comprehensive loss

 

$

(145

)

 

$

(172

)

 

$

(32

)

 

$

(412

)

Total comprehensive loss

 

$

(15,275

)

 

$

(26,373

)

 

$

(48,040

)

 

$

(92,234

)

Net loss per share - basic and diluted

 

$

(2.38

)

 

$

(7.85

)

 

$

(8.10

)

 

$

(27.69

)

Weighted-average number of shares used in calculating net
   loss per share, basic and diluted (1)

 

 

6,361,098

 

 

 

3,337,072

 

 

 

5,926,506

 

 

 

3,316,471

 

 

(1) On August 18, 2023, the Company effected a 1:8 reverse stock split for each share of common stock issued

and outstanding. All shares and associated amounts have been retroactively restated to reflect the stock split.

The accompanying notes are an integral part of these condensed consolidated financial statements.

6


 

VAPOTHERM, INC.

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ DEFICIT

(Unaudited)

(In thousands, except share amounts)

 

 

 

 

 

 

Additional

 

 

Accumulated
Other

 

 

 

 

 

 

 

 

Common Stock

 

 

Paid-in

 

 

Comprehensive

 

 

Accumulated

 

 

Stockholders'

 

 

 

Shares (1)

 

 

Amount

 

 

Capital

 

 

Loss

 

 

Deficit

 

 

Deficit

 

Balance at December 31, 2022

 

 

3,564,505

 

 

$

4

 

 

$

461,965

 

 

$

(157

)

 

$

(490,002

)

 

$

(28,190

)

Issuance of common stock and pre-funded warrants
   and accompanying warrants in private placement, net

 

 

2,187,781

 

 

 

2

 

 

 

20,941

 

 

 

-

 

 

 

-

 

 

 

20,943

 

Issuance of common stock upon exercise of options

 

 

28

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Issuance of common stock upon settlement of
   restricted stock units

 

 

21,967

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Issuance of common stock for services

 

 

2,711

 

 

 

-

 

 

 

59

 

 

 

-

 

 

 

-

 

 

 

59

 

Issuance of common stock warrants

 

 

-

 

 

 

-

 

 

 

28

 

 

 

-

 

 

 

-

 

 

 

28

 

Stock-based compensation expense

 

 

-

 

 

 

-

 

 

 

2,761

 

 

 

-

 

 

 

-

 

 

 

2,761

 

Foreign currency translation adjustments

 

 

-

 

 

 

-

 

 

 

-

 

 

 

135

 

 

 

-

 

 

 

135

 

Net loss

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(18,090

)

 

 

(18,090

)

Balance at March 31, 2023

 

 

5,776,992

 

 

$

6

 

 

$

485,754

 

 

$

(22

)

 

$

(508,092

)

 

$

(22,354

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issuance of common stock upon exercise of pre-funded
   warrants

 

 

324,015

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Issuance of common stock upon settlement of
   restricted stock units

 

 

1,481

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Issuance of common stock under the Employee Stock
   Purchase Plan

 

 

25,512

 

 

 

-

 

 

 

77

 

 

 

-

 

 

 

-

 

 

 

77

 

Issuance of common stock for services

 

 

2,938

 

 

 

-

 

 

 

58

 

 

 

-

 

 

 

-

 

 

 

58

 

Issuance of common stock warrants

 

 

-

 

 

 

-

 

 

 

43

 

 

 

-

 

 

 

-

 

 

 

43

 

Stock-based compensation expense

 

 

-

 

 

 

-

 

 

 

2,527

 

 

 

-

 

 

 

-

 

 

 

2,527

 

Foreign currency translation adjustments

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(22

)

 

 

-

 

 

 

(22

)

Net loss

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(14,788

)

 

 

(14,788

)

Balance at June 30, 2023

 

 

6,130,938

 

 

$

6

 

 

$

488,459

 

 

$

(44

)

 

$

(522,880

)

 

$

(34,459

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issuance of common stock upon settlement of
   restricted stock units

 

 

4,218

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Issuance of common stock for services

 

 

2,938

 

 

 

-

 

 

 

58

 

 

 

-

 

 

 

-

 

 

 

58

 

Issuance of common stock warrants

 

 

-

 

 

 

-

 

 

 

40

 

 

 

-

 

 

 

-

 

 

 

40

 

Retirement of common shares upon reverse stock split

 

 

(121

)

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Stock-based compensation expense

 

 

-

 

 

 

-

 

 

 

2,140

 

 

 

-

 

 

 

-

 

 

 

2,140

 

Foreign currency translation adjustments

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(145

)

 

 

-

 

 

 

(145

)

Net loss

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(15,130

)

 

 

(15,130

)

Balance at September 30, 2023

 

 

6,137,973

 

 

$

6

 

 

$

490,697

 

 

$

(189

)

 

$

(538,010

)

 

$

(47,496

)

 

(1) On August 18, 2023, the Company effected a 1:8 reverse stock split for each share of common stock issued

and outstanding. All shares and associated amounts have been retroactively restated to reflect the stock split.

The accompanying notes are an integral part of these condensed consolidated financial statements.

7


 

VAPOTHERM, INC.

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY (DEFICIT)

(Unaudited)

(In thousands, except share amounts)

 

 

 

 

 

 

Additional

 

 

Accumulated
Other

 

 

 

 

 

Stockholders'

 

 

 

Common Stock

 

 

Paid-in

 

 

Comprehensive

 

 

Accumulated

 

 

Equity

 

 

 

Shares (1)

 

 

Amount

 

 

Capital

 

 

Income (Loss)

 

 

Deficit

 

 

(Deficit)

 

Balance at December 31, 2021

 

 

3,265,782

 

 

$

3

 

 

$

443,381

 

 

$

26

 

 

$

(376,743

)

 

$

66,667

 

Issuance of common stock upon exercise of options

 

 

153

 

 

 

-

 

 

 

12

 

 

 

-

 

 

 

-

 

 

 

12

 

Issuance of common stock upon settlement of
   restricted stock units and awards

 

 

7,561

 

 

 

-

 

 

 

10

 

 

 

-

 

 

 

-

 

 

 

10

 

Issuance of common stock for services

 

 

460

 

 

 

-

 

 

 

76

 

 

 

-

 

 

 

-

 

 

 

76

 

Issuance of common stock to satisfy contingent
   and consideration

 

 

46,021

 

 

 

-

 

 

 

5,630

 

 

 

-

 

 

 

-

 

 

 

5,630

 

Issuance of common stock warrants

 

 

-

 

 

 

-

 

 

 

1,157

 

 

 

-

 

 

 

-

 

 

 

1,157

 

Stock-based compensation expense

 

 

-

 

 

 

-

 

 

 

3,370

 

 

 

-

 

 

 

-

 

 

 

3,370

 

Foreign currency translation adjustment

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(55

)

 

 

-

 

 

 

(55

)

Net loss

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(22,938

)

 

 

(22,938

)

Balance at March 31, 2022

 

 

3,319,977

 

 

$

3

 

 

$

453,636

 

 

$

(29

)

 

$

(399,681

)

 

$

53,929

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issuance of common stock upon exercise of options

 

 

2,047

 

 

 

-

 

 

 

43

 

 

 

-

 

 

 

-

 

 

 

43

 

Issuance of common stock upon settlement of
   restricted stock units and awards

 

 

6,152

 

 

 

-

 

 

 

2

 

 

 

-

 

 

 

-

 

 

 

2

 

Issuance of common stock under the Employee Stock
   Purchase Plan

 

 

7,871

 

 

 

-

 

 

 

135

 

 

 

-

 

 

 

-

 

 

 

135

 

Issuance of common stock for services

 

 

561

 

 

 

-

 

 

 

88

 

 

 

-

 

 

 

-

 

 

 

88

 

Stock-based compensation expense

 

 

-

 

 

 

-

 

 

 

2,410

 

 

 

-

 

 

 

-

 

 

 

2,410

 

Foreign currency translation adjustment

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(185

)

 

 

-

 

 

 

(185

)

Net loss

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(42,683

)

 

 

(42,683

)

Balance at June 30, 2022

 

 

3,336,608

 

 

$

3

 

 

$

456,314

 

 

$

(214

)

 

$

(442,364

)

 

$

13,739

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issuance of common stock upon exercise of options

 

 

748

 

 

-

 

 

 

10

 

 

-

 

 

 

-

 

 

 

10

 

Issuance of common stock upon settlement of
   restricted stock units and awards

 

 

478

 

 

-

 

 

 

3

 

 

-

 

 

 

-

 

 

 

3

 

Issuance of common stock for services

 

 

43

 

 

-

 

 

 

67

 

 

-

 

 

 

-

 

 

 

67

 

Modification of common stock warrants

 

 

-

 

 

 

-

 

 

 

39

 

 

 

-

 

 

 

-

 

 

 

39

 

Stock-based compensation expense

 

 

-

 

 

-

 

 

 

1,614

 

 

 

-

 

 

 

-

 

 

 

1,614

 

Foreign currency translation adjustments

 

 

-

 

 

-

 

 

 

-

 

 

 

(172

)

 

 

-

 

 

 

(172

)

Net loss

 

-

 

 

-

 

 

-

 

 

 

-

 

 

 

(26,201

)

 

 

(26,201

)

Balance at September 30, 2022

 

 

3,337,877

 

 

$

3

 

 

$

458,047

 

 

$

(386

)

 

$

(468,565

)

 

$

(10,901

)

 

(1) On August 18, 2023, the Company effected a 1:8 reverse stock split for each share of common stock issued

and outstanding. All shares and associated amounts have been retroactively restated to reflect the stock split.

The accompanying notes are an integral part of these condensed consolidated financial statements.

8


 

VAPOTHERM, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

(In thousands)

 

 

 

Nine Months Ended September 30,

 

 

 

2023

 

 

2022

 

Cash flows from operating activities

 

 

 

 

 

 

Net loss

 

$

(48,008

)

 

$

(91,822

)

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

 

 

 

 

 

Stock-based compensation expense

 

 

7,603

 

 

 

7,625

 

Depreciation and amortization

 

 

3,687

 

 

 

4,006

 

Provision for credit losses

 

 

(16

)

 

 

346

 

Provision for inventory valuation

 

 

760

 

 

 

2,655

 

Non-cash lease expense

 

 

1,107

 

 

 

1,670

 

Change in fair value of contingent consideration

 

 

-

 

 

 

(3,351

)

Impairment of goodwill

 

 

-

 

 

 

14,701

 

Impairment of long-lived and intangible assets

 

 

1,187

 

 

 

6,175

 

Loss on disposal of property and equipment

 

 

53

 

 

 

321

 

Placed units reserve

 

 

588

 

 

 

225

 

Interest paid in-kind

 

 

6,992

 

 

 

-

 

Amortization of discount on debt

 

 

552

 

 

 

502

 

Deferred income taxes

 

 

52

 

 

 

74

 

Loss on extinguishment of debt

 

 

-

 

 

 

1,114

 

Changes in operating assets and liabilities:

 

 

 

 

 

 

Accounts receivable

 

 

1,684

 

 

 

2,338

 

Inventories

 

 

9,182

 

 

 

(2,651

)

Prepaid expenses and other assets

 

 

(2,108

)

 

 

(1,902

)

Accounts payable

 

 

243

 

 

 

(4,295

)

Contract liabilities

 

 

26

 

 

 

(562

)

Accrued expenses and other current liabilities

 

 

(2,047

)

 

 

(4,853

)

Operating lease liabilities, current and long-term

 

 

(1,884

)

 

 

(1,581

)

Net cash used in operating activities

 

 

(20,347

)

 

 

(69,265

)

Cash flows from investing activities

 

 

 

 

 

 

Purchases of property and equipment

 

 

(1,962

)

 

 

(8,266

)

Net cash used in investing activities

 

 

(1,962

)

 

 

(8,266

)

Cash flows from financing activities

 

 

 

 

 

 

Proceeds from issuance of common stock and pre-funded warrants and
   accompanying warrants in private placement, net of issuance costs

 

 

20,943

 

 

 

-

 

Proceeds from loans, net of discount

 

 

-

 

 

 

99,094

 

Repayment of loans

 

 

-

 

 

 

(40,000

)

Payments of debt extinguishment costs

 

 

-

 

 

 

(817

)

Payment of debt issuance costs

 

 

-

 

 

 

(1,567

)

Repayments on revolving loan facility

 

 

-

 

 

 

(6,608

)

Payment of contingent consideration

 

 

-

 

 

 

(135

)

Proceeds from exercise of stock options

 

 

-

 

 

 

65

 

Proceeds from exercise of warrants

 

 

3

 

 

 

-

 

Proceeds from issuance of common stock under Employee Stock Purchase Plan

 

 

77

 

 

 

135

 

Net cash provided by financing activities

 

 

21,023

 

 

 

50,167

 

Effect of exchange rate changes on cash, cash equivalents and restricted cash

 

 

(34

)

 

 

(142

)

Net decrease in cash, cash equivalents and restricted cash

 

 

(1,320

)

 

 

(27,506

)

Cash, cash equivalents and restricted cash

 

 

 

 

 

 

Beginning of period

 

 

16,847

 

 

 

57,324

 

End of period

 

$

15,527

 

 

$

29,818

 

Supplemental disclosures of cash flow information

 

 

 

 

 

 

Interest paid during the period

 

$

4,268

 

 

$

6,023

 

Property and equipment purchases in accounts payable and accrued expenses

 

$

512

 

 

$

617

 

Issuance of common stock to satisfy contingent consideration

 

$

-

 

 

$

5,630

 

Issuance of common stock warrants in conjunction with long term debt

 

$

111

 

 

$

1,196

 

Issuance of common stock upon settlement of restricted stock units

 

$

-

 

 

$

15

 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

9


 

 

VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

1. Description of Business

Vapotherm, Inc. (the “Company”) is a global medical technology company primarily focused on the care of patients of all ages suffering from respiratory distress, whether associated with complex lung diseases such as chronic obstructive pulmonary disease (“COPD”), congestive heart failure, pneumonia, asthma and COVID-19 or other systemic conditions. The Company’s mission is to improve the lives of patients suffering from complex lung disease and other forms of respiratory distress while reducing the cost of their care through integrated device and digital solutions. The Company’s device solutions are focused on High Velocity Nasal Insufflation (“HVNI”, or “High Velocity Therapy”), which delivers non-invasive ventilatory support to patients by providing heated, humidified, oxygenated air at high velocities through a small-bore nasal interface, and on closed loop control systems such as the Company’s Oxygen Assist Module (“OAM”), designed to automatically maintain a patient’s pulse oxygen saturation (“SpO2”) levels within a specified range for a defined period of time. The Company’s digital solutions are focused on remote patient monitoring, using proprietary algorithms to predict impending respiratory episodes before they occur and coordinate timely intervention, obviating the need for costly hospital admissions and minimizing patient distress. Although the Company exited the Vapotherm Access call center business, the Company is using the underlying technology to develop digital capabilities for the Company’s devices. While these device and digital solutions function independently, the Company believes leveraging the two together can create a unique healthcare ecosystem, focused on delivering high quality, efficient respiratory care in a variety of settings.

High Velocity Therapy is an advanced form of high flow therapy that is differentiated due to its ability to deliver breathing gases, including oxygen, at a high velocity, for the treatment of spontaneously breathing patients suffering from respiratory distress, including Type 1 hypoxic respiratory distress, like that experienced by patients with pneumonia or COVID-19, or Type 2 hypercapnic respiratory distress, like that experienced by patients with COPD. The Company’s HVT 2.0 and Precision Flow systems (together, “High Velocity Therapy systems”), which use High Velocity Therapy technology, are clinically validated alternatives to, and address many limitations of, the current standard of care for the treatment of respiratory distress in a hospital setting. The Company’s next generation High Velocity Therapy system, known as HVT 2.0, received initial 510k clearance from the FDA in 2021, transitioned to full market release in August 2022, and received clearance for expanded respiratory distress indications in December 2022.

The Company sells its High Velocity Therapy systems to hospitals through a direct sales organization in the United States, the United Kingdom, Germany, Belgium and Spain and through distributors in other select countries outside of those countries. In late 2020, the Company launched its OAM in select international markets, which can be used with most versions of the Company’s Precision Flow system, and OAM capability has been built into the HVT 2.0 for future use. The OAM helps clinicians maintain a patient’s SpO2 within a target SpO2 range over a greater period of time while requiring significantly fewer manual adjustments to the equipment. Maintenance of the prescribed oxygen saturation range may reduce the health risks associated with dosing too much, or too little, oxygen, particularly in neonates. In neonates, these risks include visual or developmental impairment or death. The OAM is sold through a direct sales organization in select international markets and through distributors in select international markets. The Company is no longer seeking FDA approval to the Precision Flow version of the OAM in the United States, but will instead focus future efforts on the HVT 2.0 version of the OAM for the United States market. In addition, the Company employs field-based clinical managers who focus on medical education and training in the effective use of its products and help facilitate increased adoption and utilization. The Company focuses on physicians, respiratory therapists and nurses who work in acute hospital settings, including emergency departments and adult, pediatric and neonatal intensive care units. The Company’s relationship with these clinicians is particularly important, as it enables the Company’s products to follow patients through the care continuum.

In the fourth quarter of 2022, in conjunction with the Company’s path to profitability and annual operating planning efforts, the Company completed its exit of the Vapotherm Access call center business, which included Vapotherm Access, formerly “HGE Healthcare Solutions, LLC” or “HGE,” and Pulmonary Care Innovations, PLLC d/b/a RespirCare (“RespirCare”). Effective October 31, 2022, the Company terminated its master service agreement with RespirCare, which resulted in the deconsolidation of RespirCare from the Company’s condensed consolidated financial statements (see Note 10).

Issuance of Securities through a Private Placement

On February 10, 2023 (the “Closing Date”), the Company issued in a private placement (the “February 2023 Private Placement”) an aggregate of 2,187,781 shares of common stock, and in the case of certain investors, in lieu of shares of common stock, pre-funded warrants to purchase an aggregate of 550,313 shares of common stock (the “Pre-Funded Warrants”), and, in each case, accompanying warrants to purchase an aggregate of up to 2,738,094 shares of common stock (the “Warrants”) at a purchase

10


 

price of $8.40 per unit for aggregate gross proceeds to the Company of approximately $23.0 million, before deducting fees to the placement agent and other offering expenses of $2.1 million.

The Warrants expire five years following the Closing Date, have an exercise price of $9.36 per share, and were immediately exercisable upon issuance. The Pre-Funded Warrants expire 30 years following the Closing Date or when exercised in full, have an exercise price of $0.008 per share, and were immediately exercisable upon issuance. The exercise price and number of shares of common stock issuable upon the exercise of the Warrants and the Pre-Funded Warrants will be subject to adjustment in the event of any stock dividends and splits, reverse stock split, recapitalization, reorganization or similar transaction, as described in the Warrants and the Pre-Funded Warrants agreements. The Warrants and Pre-Funded Warrants are classified as a component of permanent equity because they are freestanding financial instruments that are legally detachable and separately exercisable from the shares of common stock with which they were issued, are immediately exercisable, do not embody an obligation for the Company to repurchase its shares, and permit the holders to receive a fixed number of shares of common stock upon exercise. In addition, the Warrants and Pre-Funded Warrants do not provide any guarantee of value or return.

Reverse Stock Split

The Company effected a reverse stock split of the Company’s common stock, par value $0.001 per share (the “Common Stock”) at a ratio of 1-for-8 effective as of 12:01 a.m., Eastern Time, on August 18, 2023 (the “Reverse Stock Split”). No fractional shares were issued. All shares and per share amounts in the condensed consolidated financial statements and accompanying notes have been retroactively adjusted to give effect to the Reverse Stock Split.

Following the Reverse Stock Split, the Company’s issued and outstanding shares of Common Stock were decreased from approximately 49,081,000 pre-split shares to 6,135,000 million post-split shares. In connection with the Reverse Stock Split effectiveness, the number of authorized shares of the Company's Common Stock was decreased from 175,000,000 shares to 21,875,000 shares.

11


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

2. Summary of Significant Accounting Policies

Basis of Presentation

The condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”). The information included in this Quarterly Report on Form 10-Q should be read in conjunction with our audited consolidated financial statements and the accompanying notes included in our Annual Report on Form 10-K for the year ended December 31, 2022 (the “2022 Form 10-K”). Our accounting policies are described in the “Notes to Consolidated Financial Statements” in our 2022 Form 10-K and are updated, as necessary, in this report. The year-end condensed consolidated balance sheet data presented for comparative purposes was derived from our audited financial statements but does not include all disclosures required by U.S. GAAP.

Principles of Consolidation

These condensed consolidated financial statements include the accounts of the Company, which includes its wholly owned subsidiaries. All significant intercompany accounts and transactions have been eliminated upon consolidation.

Segment Information

Operating segments are defined as components of an enterprise for which separate discrete financial information is available and evaluated regularly by the chief operating decision maker in deciding how to allocate resources and in assessing performance. The Company globally manages the business within one reporting segment, Vapotherm, Inc., and two reporting units, Vapotherm and Vapotherm UK Ltd. (“Vapotherm UK”). Segment information is consistent with how the chief operating decision maker reviews the business, makes investing and resource allocation decisions and assesses operating performance.

As of September 30, 2023, the majority of the Company’s long-term assets are located in the United States. Long-term assets located outside the United States totaled $14.3 million, including $9.4 million located in Mexico, at September 30, 2023. Long-term assets located outside the United States totaled $14.9 million, including $9.9 million located in Mexico, at December 31, 2022.

Use of Estimates

The preparation of condensed consolidated financial statements in conformity with U.S. GAAP requires the Company to make judgments, assumptions, and estimates that affect the reported amounts of assets, liabilities, revenue and expenses, and the related disclosure of contingent assets and liabilities. The Company evaluates its estimates on an ongoing basis. The Company bases its estimates on historical experience and various other assumptions that are believed 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. Significant estimates relied upon in preparing these condensed consolidated financial statements include calculation of stock-based compensation, valuation of warrants, realizability of inventories, allowance for doubtful accounts and credit losses, accrued expenses, the valuation allowances against deferred income tax assets, and assessments of impairment with respect to long-lived and intangible assets, including goodwill. Actual results may differ from these estimates.

Unaudited Interim Financial Information

The accompanying condensed consolidated balance sheet as of September 30, 2023, and the condensed consolidated statements of comprehensive loss and stockholders’ deficit for the three and nine months ended September 30, 2023 and 2022 and the condensed consolidated statements of cash flows for the nine months ended September 30, 2023 and 2022 are unaudited. The unaudited interim condensed consolidated financial statements have been prepared on the same basis as the audited annual consolidated financial statements and, in the opinion of management, reflect all adjustments, which include only normal recurring adjustments, necessary for the fair statement of the Company’s financial position as of September 30, 2023 and the results of its operations for the three and nine months ended September 30, 2023 and 2022 and the cash flows for the nine months ended September 30, 2023 and 2022. The financial data and other information disclosed in these notes related to the three and nine months ended September 30, 2023 and 2022 are also unaudited. The results of operations for the three and nine months ended September 30, 2023 and 2022 are not necessarily indicative of the operating results for the full year or for any other subsequent interim period.

12


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

Financial Instruments and Concentrations of Credit Risk

As of September 30, 2023, the Company’s financial instruments included cash and cash equivalents, restricted cash, accounts receivable, accounts payable and debt, the carrying amounts of which approximated fair value due to their short-term nature or market interest rates. All of the Company’s cash and cash equivalents are maintained at creditworthy financial institutions. At September 30, 2023, deposits exceed the amount of any insurance provided and are exposed to credit loss.

The Company extends credit to customers in the normal course of business but typically does not require collateral or any other security to support amounts due. Management performs ongoing credit evaluations of its customers. The Company recognizes an allowance for credit losses equal to its current estimate of all contractual cash flows that the Company does not expect to collect. The Company’s estimate considers relevant information about past events, current conditions, and reasonable and supportable forecasts. Provisions for the allowance for credit losses are recorded in general and administrative expenses in the accompanying condensed consolidated statements of comprehensive loss.

Supplier Risk

The Company obtains some of the components and subassemblies included in its High Velocity Therapy systems and its OAM from single source suppliers. The partial or complete loss of one or more of these suppliers could cause significant production delays, an inability to meet customer demand and a substantial loss in revenue.

Foreign Currency and Foreign Operations

The functional currency of the Company is the currency of the primary economic environment in which the entity operates, which is the U.S. dollar. For the Company’s non-U.S. subsidiaries that transact in a functional currency other than the U.S. dollar, assets and liabilities are translated at current rates of exchange at the balance sheet date. Income and expense items are translated at the average foreign currency exchange rates for the period. Adjustments resulting from the translation of the financial statements of its foreign operations into U.S. dollars are excluded from the determination of net loss and are recorded in accumulated other comprehensive loss, a separate component of stockholders’ deficit.

Realized foreign currency gains or losses arising from transactions denominated in foreign currencies are recorded in other (expense) income in the condensed consolidated statements of comprehensive loss. Unrealized foreign currency gains or losses arising from transactions denominated in foreign currencies are recorded in accumulated other comprehensive loss.

Cash, Cash Equivalents, and Restricted Cash

The Company considers all highly liquid temporary investments purchased with original maturities of 90 days or less to be cash equivalents. The Company holds restricted cash related to certificates of deposits and collateral in relation to lease agreements. As of September 30, 2023, $1.1 million of the Company’s $15.5 million of cash, cash equivalents and restricted cash balance was located outside the United States. As of December 31, 2022, $1.0 million of the Company’s $16.8 million of cash, cash equivalents and restricted cash balance was located outside of the United States. The Company’s cash, cash equivalents and restricted cash balances are primarily held by Canadian Imperial Bank of Commerce Innovation Banking (“CIBC”) and Bank of America, N.A.

The following table presents the components of total cash, cash equivalents, and restricted cash as set forth in the Company’s condensed consolidated statements of cash flows:

 

 

September 30,
2023

 

 

December 31,
2022

 

Cash and cash equivalents

 

$

14,418

 

 

$

15,738

 

Restricted cash

 

 

1,109

 

 

 

1,109

 

Total cash, cash equivalents, and restricted cash

 

$

15,527

 

 

$

16,847

 

Leases

The Company’s operating leases primarily consist of real estate leases for office, manufacturing, research and development, and warehouse space, as well as certain vehicle and equipment leases. Accounting Standards Codification (“ASC”), Leases (“ASC

13


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

842”) requires lessees to recognize leases on the balance sheet as a lease liability with a corresponding right-of-use asset, subject to certain permitted accounting policy elections. Under ASC 842, the Company determines whether a contract is or contains a lease at the inception of the contract. This determination is based on whether the contract provides the Company the right to control the use of a physically distinct asset and substantially all of the capacity of an asset. Leases with an initial noncancelable term of twelve months or less that do not include an option to purchase the underlying asset that the Company is reasonably certain to exercise are classified as short-term leases. The Company has elected as an accounting policy to exclude from the consolidated balance sheets the right-of-use assets and lease liabilities related to short-term leases. The Company recognizes rent expense for its operating leases on a straight-line basis over the term of the lease.

Certain of the Company’s leases include options to extend or terminate the lease at its sole discretion. The Company does not consider in the measurement of right-of-use assets and lease liabilities an option to extend or terminate a lease if the Company is not reasonably certain to exercise the option. Certain of the Company’s leases include covenants that oblige the Company, at its sole expense, to repair and maintain the leased asset periodically during the lease term. The Company is not a party to any leases that contain residual value guarantees.

Many of the Company’s leases include fixed and variable payments. Among other charges, variable payments related to real estate leases include real estate taxes, insurance, operating expenses, and common area maintenance, which are usually billed at actual amounts incurred proportionate to the Company’s rented square feet of the building. Variable payments related to vehicle and equipment leases relate to usage of the underlying asset, sales and use tax, and value-added tax. Variable payments that do not depend on an index or rate are expensed as incurred and are not included in the measurement of the lease liability.

In accordance with the guidance in ASC 842, components of a lease should be split into three categories: lease components (e.g. buildings, vehicles, etc.), non-lease components (e.g. common area maintenance, consumables, etc.), and non-components (e.g. property taxes, insurance, etc.). The fixed and in-substance fixed contract consideration (including any related to non-components) must be allocated to the lease components and non-lease components based on their relative fair values. The Company elected the accounting policy to not separate lease and non-lease components for its real estate, vehicle, and equipment leases. Therefore, each lease component and the related non-lease components and non-components are accounted for together as a single component.

The Company measures its lease liability for each leased asset as the present value of lease payments, as defined in ASC 842, discounted using a discount rate specific to the terms of the underlying lease. The Company’s right-of-use assets are equal to the related lease liabilities, adjusted for lease incentives received including tenant improvement allowances, initial direct costs incurred related to the lease, and payments made to the lessor prior to the lease commencement date. The interest rate implicit in lease contracts is typically not readily determinable. As a result, the Company estimates its incremental borrowing rate for each leased asset based on the interest rate the Company would incur to borrow an amount equal to the lease payments on a collateralized basis over a similar term in a similar economic environment.

When impairment indicators are present, the Company evaluates the recoverability of its right-of-use assets. If the assessment indicates an impairment, the affected assets are written down to fair value (see Note 10).

14


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

Goodwill

Goodwill represents the difference between the purchase price and the fair value of the identifiable tangible and intangible net assets when accounted for using the purchase method of accounting in a business combination. Goodwill is not amortized but reviewed for impairment. Goodwill is reviewed annually, as of October 1, and whenever events or changes in circumstances indicate that the carrying value of the goodwill may not be recoverable.

The Company compares the fair value of its reporting units to their carrying values. If the carrying value of the net assets assigned to a reporting unit exceeds the fair value of the reporting unit, the Company would record an impairment loss equal to the difference (see Note 6).

Intangible Assets

Intangible assets are related to customer relationships, developed technology, and customer agreements and are amortized on a straight-line basis over their useful lives. Amortization is recorded within sales and marketing expenses in the condensed consolidated statements of comprehensive loss for customer-related intangible assets while amortization of other intangible assets is included within general and administrative expenses in the condensed consolidated statements of comprehensive loss. Intangible assets are evaluated for impairment whenever events or circumstances indicate an asset may be impaired (see Note 6).

Product Warranty

The Company provides its customers with a standard one-year warranty on its capital equipment sales. Warranty costs are accrued based on actual historical trends and estimated at the time of sale. The warranty liability is included within accrued expenses and other current liabilities in the condensed consolidated balance sheets. A roll-forward of the Company’s warranty liability from December 31, 2022 to September 30, 2023 is as follows:

Balance at December 31, 2022

$

281

 

Provisions for warranty obligations

 

189

 

Settlements

 

(135

)

Balance at September 30, 2023

 

$

335

 

Revenue Recognition

The Company’s revenue is primarily derived from the sale of products, leases and services. Product revenue consists of capital equipment and single-use disposables that are shipped and billed to customers both domestically and internationally. The Company’s main capital equipment products are the High Velocity Therapy systems. The Company’s main disposable products are single-use disposables and nasal interfaces, or cannulas, and adaptors. Lease revenue consists of two components which include capital equipment that the Company leases to its customers and, in certain situations, an allocation from disposable revenue to other lease revenue upon the sale of disposable products in bundled arrangements involving the placement of the High Velocity Therapy capital units for use by the customer at no upfront charge in connection with the customer’s ongoing purchase of disposable products. Service revenue consists of fees associated with routine service of capital units and the sale of extended service contracts and preventative maintenance plans, which are purchased by a small portion of the Company’s customer base. In addition, the Company sells small quantities of component parts in the United States, United Kingdom, and to third-party international service centers who provide service on the High Velocity Therapy capital units outside of the United States and United Kingdom. Freight revenue is based upon actual freight costs plus a percentage markup of such costs associated with the shipment of products domestically, and to a lesser extent, internationally, and is included in service revenue. Rebates and fees consist of contractually obligated administrative fees and percentage-of-sales rebates paid to Group Purchasing Organizations (“GPOs”), Integrated Delivery Networks (“IDNs”) and distributor partners and are accounted for as a reduction to the corresponding of revenue category. During the three and nine months ended September 30, 2022, service revenue also included $0.7 million and $2.7 million, respectively, of fees from the standalone remote patient monitoring services sold through Vapotherm Access.

Under the Financial Accounting Standard Board’s (“FASB”) ASC 606, Revenue from Contracts with Customers (“ASC 606”), revenue is recognized when a customer obtains control of promised goods or services, in an amount that reflects the consideration which the Company expects to receive in exchange for those goods or services. To determine revenue recognition for

15


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

arrangements that an entity determines are within the scope of ASC 606, the Company performs the following five steps: (i) identify the contract(s) with a customer; (ii) identify the performance obligations in the contract; (iii) determine the transaction price; (iv) allocate the transaction price to the performance obligations in the contract; and (v) recognize revenue when (or as) the Company satisfies a performance obligation. The Company only applies the five-step model to contracts when it is probable that the entity will collect the consideration it is entitled to in exchange for the goods or services it transfers to the customer. At contract inception, once the contract is determined to be within the scope of ASC 606, the Company assesses the goods or services promised within each contract and assesses whether each promised good or service is distinct and determines those that are performance obligations. The Company then recognizes as revenue the amount of the transaction price that is allocated to the respective performance obligation when (or as) the performance obligation is satisfied. Sales, value-added, and other taxes collected on behalf of third parties are excluded from revenue. The Company’s standard payment terms are generally 30 days from the date of sale.

Contracts with customers may contain multiple performance obligations. For such arrangements, the transaction price is allocated to each performance obligation based on the estimated relative stand-alone selling prices of the promised products or services underlying each performance obligation. The Company determines stand-alone selling prices based on the price at which the performance obligation is sold separately. If the stand-alone selling price is not observable through past transactions, the Company estimates the stand-alone selling price taking into account available information such as market conditions and internally approved pricing guidelines related to the performance obligations. Revenue is generally recognized when the customer obtains control of the Company’s product, which generally occurs at a point in time upon shipment based on the contractual shipping terms of a contract.

Product and service revenue is measured as the amount of consideration the Company expects to receive in exchange for transferring products or services to a customer. To the extent the transaction price includes variable consideration, the Company estimates the amount of variable consideration that should be included in the transaction price utilizing the expected value amount method to which the Company expects to be entitled. As such, revenue on sales is recorded net of prompt pay discounts and payments made to GPOs, IDNs and distributors. Variable consideration is included in the transaction price if, in the Company’s judgment, it is probable that a significant future reversal of cumulative revenue under the contract will not occur. Determination of whether to include estimated amounts in the transaction price is based largely on an assessment of the Company’s anticipated performance and all information (historical, current and forecasted) that is reasonably available. The Company believes that the estimates it has established are reasonable based upon current facts and circumstances. Applying different judgments to the same facts and circumstances could result in different estimates.

When determining the transaction price of a contract, an adjustment is made if payment from a customer occurs either significantly before or significantly after performance, resulting in a significant financing component. Applying a practical expedient under ASC 606, the Company does not assess whether a significant financing component exists if the period between when the Company performs its obligations under the contract and when the customer pays is one year or less. None of the Company’s contracts contained a significant financing component during the three or nine months ended September 30, 2023 or 2022.

The Company’s contracts with its customers generally have a duration of less than one year. Therefore, the Company has elected to apply a practical expedient and recognizes the incremental costs of obtaining contracts as an expense. These costs are included in sales and marketing expenses in the accompanying condensed consolidated statements of comprehensive loss.

Lease Revenue

The Company also enters into agreements to lease its capital equipment. For such sales, the Company accounts for revenue under ASC 842, Leases (“ASC 842”), and assesses and classifies these transactions as sales-type or operating leases based on whether the lease transfers ownership of the equipment to the lessee by the end of the lease term. This criterion is met in situations in which the lease agreement provides for the transfer of title at or shortly after the end of the lease term. Equipment included in arrangements including transfer of title are accounted for as sales-type leases and the Company recognizes the present value of the lease payments due over the lease term as revenue at the inception of the lease. The Company records the present value of future lease payments in prepaid expenses and other current assets in the accompanying condensed consolidated balance sheets; these amounts totaled $0.1 million and less than $0.1 million at September 30, 2023 and December 31, 2022, respectively. Equipment included in arrangements that do not include the transfer of title, nor any of the sales-type or direct financing lease criteria, are accounted for as operating leases and revenue is recognized on a straight-line basis over the term of the lease.

The Company also enters into agreements involving the placement of its High Velocity Therapy capital units for use by the customer at no upfront charge in connection with the customer’s ongoing purchase of disposable products. In these bundled

16


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

arrangements, revenue recognized for the sale of the disposables is allocated between disposable revenue and other lease revenue based on the estimated relative stand-alone selling prices of the individual performance obligations.

Shipping and Handling Costs

Amounts billed to customers for shipping and handling are included in service revenue. Shipping and handling costs are included in cost of sales. Shipping and handling activities are accounted for as activities to fulfill a contract and are accrued when the customer obtains control of the Company’s product. The total costs of shipping and handling for each of the three months ended September 30, 2023 and 2022 were $0.3 million. The total costs of shipping and handling for each of the nine months ended September 30, 2023 and 2022 were $0.8 million.

Sales and Value-Added Taxes

When required by local jurisdictions, the Company bills its customers for sales tax and value-added tax calculated on each sales invoice and records a liability for the sales and value-added tax payable, which is included in accrued expenses and other current liabilities in the condensed consolidated balance sheets. Sales tax and value-added tax billed to a customer are not included in the Company’s revenue.

Stock-Based Compensation

The Company maintains an equity incentive plan to provide long-term incentives for employees, consultants, and members of the board of directors. The plan allows for the issuance of non-statutory and incentive stock options, restricted stock, unrestricted stock, stock units, including restricted stock units and performance stock units, and stock appreciation rights to employees, consultants and non-employee directors. The Company recognizes stock-based compensation expense for awards of equity instruments to employees and non-employees based on the grant date fair value of those awards in accordance with ASC Topic 718, Stock Compensation (“ASC 718”). ASC 718 requires all equity-based compensation awards, including grants of restricted stock, restricted stock units, performance stock units and stock options, to be recognized as expense in the condensed consolidated statements of comprehensive loss based on their grant date fair values.

The fair value of each option grant is estimated on the grant date using the Black-Scholes option pricing model. The fair value of restricted stock and restricted stock units is measured at the market value of the related shares of the Company’s common stock on the grant date. The fair value is then amortized on a straight-line basis over the requisite service period of the awards, which is generally the vesting period and is generally three to four years. For performance-based awards, the related compensation cost is amortized over the performance period on an accelerated attribution basis. Compensation cost associated with performance awards is based on fair value on the date of grant and the number of units expected to be earned after assessing the probability that certain performance criteria will be met and the associated targeted payout level that is forecasted will be achieved. Cumulative adjustments are recorded each quarter to reflect estimated outcomes of the performance-related conditions until the results are determined and settled. Use of a valuation model requires management to make certain assumptions with respect to selected model inputs, including the expected life (weighted average period of time that the options granted are expected to be outstanding), the volatility of the Company’s common stock and an assumed risk-free interest rate. Expected volatility is based on the historical volatility of the Company’s common stock. The expected life is estimated using the historical life of options issued under the Company’s equity plan. The risk-free interest rate is based on U.S. Treasury rates with a remaining term that approximates the expected life assumed at the date of grant. No dividend yield is assumed as the Company does not pay, and does not expect to pay, dividends on its common stock. The Company estimates forfeitures based on historical experience with pre-vested forfeitures. To the extent actual forfeitures differ from the estimate, the difference is recorded to compensation expense in the period of the forfeiture.

The Company recognizes stock-based compensation expense for shares of its common stock issued pursuant to the Vapotherm, Inc. 2018 Employee Stock Purchase Plan (“ESPP”) on a straight-line basis over the related offering period. The Company estimates the fair value of shares to be issued under the ESPP based on a combination of options valued using the Black-Scholes option pricing model. The expected life is determined based on the contractual term. Dividend yield, risk-free interest rate, forfeiture rates, and expected volatility are estimated in a manner similar to option grants described above.

17


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

Income Tax

The Company accounts for income taxes using the asset and liability method, which requires the recognition of deferred tax assets and liabilities for the expected future tax consequences of events that have been recognized in the condensed consolidated financial statements or in the Company’s tax returns. Deferred taxes are determined based on the difference between the financial reporting and tax basis of assets and liabilities using enacted tax rates in effect in the years in which the differences are expected to reverse. Changes in deferred tax assets and liabilities are recorded in the provision for income taxes. The Company assesses the likelihood that its deferred tax assets will be recovered from future taxable income and, to the extent it believes, based upon the weight of available evidence, that it is more likely than not that all or a portion of deferred tax assets will not be realized, a valuation allowance is established through a charge to income tax expense. Potential for recovery of deferred tax assets is evaluated by estimating the future taxable profits expected and considering prudent and feasible tax planning strategies.

The Company accounts for uncertainty in income taxes recognized in the condensed consolidated financial statements by applying a two-step process to determine the amount of tax benefit to be recognized. First, the tax position must be evaluated to determine the likelihood that it will be sustained upon external examination by the taxing authorities. If the tax position is deemed more likely-than-not to be sustained, the tax position is then assessed to determine the amount of benefit to recognize in the condensed consolidated financial statements. The amount of the benefit that may be recognized is the largest amount that has a greater than 50% likelihood of being realized upon ultimate settlement. The provision for income taxes includes the effects of any resulting tax reserves, or unrecognized tax benefits, that are considered appropriate as well as the related net interest and penalties.

The Company’s major tax jurisdictions are the state of New Hampshire, the United States, United Kingdom, Germany, Mexico, and Singapore. The provision for income taxes for the three and nine months ended September 30, 2023 totaled less than $0.1 million and $0.1 million, respectively, and related to income earned by the Company’s foreign subsidiaries after accounting for transfer pricing adjustments. The benefit for income taxes for the three months ended September 30, 2022 totaled less than $0.1 million and related to a benefit for net deferred income tax assets deemed more likely than not to be realized by the Company’s foreign subsidiaries. The provision for income taxes for the nine months ended September 30, 2022 totaled $0.1 million and related to deferred tax liabilities for differences in the book and tax basis of indefinite-lived assets, partially offset by a benefit for net deferred income tax assets deemed more likely than not to be realized by the Company’s foreign subsidiaries.

Utilization of the net operating loss and tax credit carryforwards may be subject to a substantial annual limitation under Sections 382 and 383 of the Internal Revenue Code of 1986, as amended (the “Code”), due to ownership change limitations that have occurred previously or that could occur in the future. These ownership changes may limit the amount of net operating loss and tax credit carryforwards that can be utilized to offset future taxable income and reduce taxes, respectively. The Company has not currently completed an evaluation of ownership changes through December 31, 2022 to assess whether utilization of the Company’s net operating loss and tax credit carryforwards would be subject to an annual limitation under Sections 382 and 383 of the Code. To the extent an ownership change is determined to have occurred under Sections 382 and 383 of the Code, the net operating loss and tax credit carryforwards may be subject to limitation.

Recently Adopted Accounting Pronouncements

Credit Losses (Topic 326)

In June 2016, the FASB issued ASU No. 2016-13, Financial Instruments - Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”). Subsequent to the issuance of ASU 2016-13, the FASB clarified the guidance through several ASUs. The collective new guidance (ASC 326) generally requires that credit losses be reported using an expected losses model rather than the incurred losses model that is currently used and establishes additional disclosures related to

18


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

credit risks. The Company adopted this guidance using the modified retrospective method in the first quarter of fiscal year 2023. The adoption did not have a material impact on the Company’s condensed consolidated financial statements.

3. Fair Value Measurements

In accordance with ASC 820, Fair Value Measurements and Disclosures, the Company generally defines fair value as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date (exit price). The Company uses a three-tier fair value hierarchy, which classifies the inputs used in measuring fair values. The hierarchy gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level 1 measurements), and the lowest priority to unobservable inputs (Level 3 measurements). The three levels of the fair value hierarchy are described below:

Level 1 – inputs are quoted prices (unadjusted) in active markets for identical assets or liabilities that the reporting entity has the ability to access at the measurement date.

Level 2 – inputs other than quoted prices included within Level 1 that are observable for the asset or liability, either directly or indirectly. If the asset or liability has a specified (contractual) term, a Level 2 input must be observable for substantially the full term of the asset or liability.

Level 3 – unobservable inputs for the asset or liability in which there is little, if any, market activity for the asset or liability at the measurement date.

As of September 30, 2023, the Company had two items, cash equivalents and an embedded derivative, measured at fair value on a recurring basis. The Company’s cash equivalents primarily consist of money market deposits which totaled approximately $4.3 million at September 30, 2023 and are valued based on Level 1 of the fair value hierarchy. The Company’s embedded derivative relates to the Company’s financing arrangement (see Note 8). Its fair value is deemed to be immaterial at September 30, 2023 and is valued based on Level 3 of the fair value hierarchy. There were no transfers in or out of Level 1, 2 or 3 during the three or nine months ended September 30, 2023.

During the first, second and third quarters of 2023, the Company granted SLR warrants to purchase 13,547 shares, 48,170 shares and 66,990 shares, respectively, of common stock (the “PIK Warrants”). The issuance of the PIK Warrants were made pursuant to amendments to the Company’s financing arrangement (see Note 8). These equity-classified PIK Warrants were valued using the Black-Scholes pricing model, which falls within Level 3 of the fair value hierarchy.

During the first quarter of 2022, the Company granted warrants to purchase 13,421 shares of common stock and during the third quarter of 2022, these warrants were modified to amend the exercise price from $111.76 per share to $13.04 per share. The modification of these warrants resulted in an incremental increase in fair value of the warrants of less than $0.1 million, which the Company recorded as an addition to the debt discount for non-cash consideration paid to its lenders. The issuance and modification of the warrants were made in connection with its financing arrangement (see Note 8). These equity-classified warrants were valued using the Black-Scholes pricing model, which falls within Level 3 of the fair value hierarchy.

The fair value of warrants are estimated on the date of grant using the Black-Scholes pricing model with the following assumptions:

 

2023

 

2022

Expected dividend yield

 

0.0%

 

0.0%

Risk free interest rate

 

3.9%-4.6%

 

1.9%-3.9%

Expected stock price volatility

 

20.5%-20.9%

 

79.3%-87.7%

Expected term (years)

 

2.5

 

9.5-10.0

 

19


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

 

4. Accounts Receivable

Accounts receivable consists of the following:

 

 

September 30,
2023

 

 

December 31,
2022

 

United States

 

$

4,652

 

 

$

6,611

 

International

 

 

2,951

 

 

 

2,718

 

Total accounts receivable

 

 

7,603

 

 

 

9,329

 

Less: Allowance for expected credit losses

 

 

(162

)

 

 

(227

)

Accounts receivable, net of expected credit losses

 

$

7,441

 

 

$

9,102

 

A roll-forward of the Company’s allowance for credit losses from December 31, 2022 to September 30, 2023 is as follows:

Balance at December 31, 2022

$

227

 

Change in provision for credit losses

 

(16

)

Write-offs of uncollectible balances

 

(49

)

Balance at September 30, 2023

 

$

162

 

No individual customer accounted for 10% or more of net revenue for the three or nine months ended September 30, 2023 or 2022. No individual customer accounted for 10% or more of total accounts receivable at September 30, 2023 or December 31, 2022.

5. Inventories

Inventory balances, net of reserves, consist of the following:

 

 

September 30,
2023

 

 

December 31,
2022

 

Raw materials

 

$

11,192

 

 

$

15,897

 

Finished goods

 

 

11,074

 

 

 

16,215

 

Component parts

 

 

827

 

 

 

868

 

Total inventories

 

$

23,093

 

 

$

32,980

 

The Company recorded a provision for excess and obsolete inventory of $0.5 million and $1.8 million for the three months ended September 30, 2023 and 2022, respectively. The Company recorded a provision for excess and obsolete inventory of $0.8 million and $2.7 million for the nine months ended September 30, 2023 and 2022, respectively.

6. Goodwill and Intangible Assets

The changes in the carrying amount of goodwill during the nine months ended September 30, 2023 is as follows:

 

Goodwill

 

 

Balance at December 31, 2022

 

$

536

 

 

Foreign currency exchange rate changes

 

 

5

 

 

Balance at September 30, 2023

 

$

541

 

 

During the second quarter of 2022, a substantial decline in the Company’s stock price and other factors, including leadership changes in the Vapotherm Access reporting unit, represented indicators of long-lived asset impairment for the Vapotherm Access asset group, which triggered an interim impairment assessment. The Company determined that the carrying value of Vapotherm Access intangible assets was not recoverable based on the excess of the carrying value of the asset group over the undiscounted future cash flows. The decrease in the undiscounted future cash flows from the asset group was primarily attributable to a significant decrease in future forecasted revenues, which reflected the notification of non-renewal of certain HGE customer

20


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

relationships during the second quarter of 2022, as well as uncertainty related to the Company’s ability to scale the Vapotherm Access call center business given slower than expected patient enrollment. As a result, the Company recognized an impairment charge of $4.0 million to write down HGE customer relationships and developed technology to their estimated fair value during the second quarter of 2022. The fair value of the intangible assets was estimated using discounted cash flows under the income approach, which the Company considers to be a Level 3 measurement. There were no impairments of intangible assets during the three months ended September 30, 2022, however, the Company recorded an impairment charge related to the long-lived assets, other than intangible assets, of Vapotherm Access of $2.1 million during the three months ended September 30, 2022 (see Note 10). There were no impairments of intangible assets during the three or nine months ended September 30, 2023.

The factors listed above, along with the long-lived asset impairment, also represented indicators of goodwill impairment which triggered an interim impairment assessment during the second quarter of 2022. Based on the results of the optional qualitative assessment, the Company determined that there were no indicators of impairment for the Vapotherm UK reporting unit, but the fair value of the Vapotherm Access reporting unit was more likely than not less than its carrying value. There is no goodwill allocated to the Vapotherm reporting unit.

To perform the quantitative assessment for the Vapotherm Access reporting unit, the Company determined the fair value using the income approach. The Company utilized a discounted cash flow analysis, which involves estimating the expected after-tax cash flows that will be generated by the reporting unit and then discounting those cash flows to present value, reflecting the relevant risks associated with the reporting unit and the time value of money. This approach requires the use of significant estimates and assumptions, including forecasted revenue growth rates, forecasted earnings before interest, taxes, depreciation and amortization margins, and discount rates. The Company’s forecasts are based on historical experience, expected market demand, and other industry information. The Company determined that the carrying value of the Vapotherm Access reporting unit exceeded the fair value, with the decrease in the fair value being primarily attributable to a significant decrease in future forecasted revenues, as discussed above. As a result, during the second quarter of 2022, the Company recognized an impairment charge of $14.7 million to write down the goodwill of the Vapotherm Access reporting unit to its estimated fair value. There were no impairments of goodwill during the three or nine months ended September 30, 2023.

There was no amortization expense recognized within operating expenses during the three or nine months ended September 30, 2023. The Company recognized $0.1 million and $0.2 million of amortization expense within sales and marketing expenses related to the intangible assets during the three and nine months ended September 30, 2022, respectively. The Company also recognized less than $0.1 million of amortization expense within general and administrative expenses related to intangible assets during each of the three and nine months ended September 30, 2022.

7. Accrued Expenses and Other Current Liabilities

Accrued expenses and other current liabilities consist of the following:

 

 

September 30,
2023

 

 

December 31,
2022

 

Operating lease liabilities, current portion

 

$

2,894

 

 

$

2,313

 

Accrued bonuses

 

 

1,541

 

 

 

2,981

 

Accrued payroll and employee-related costs

 

 

1,266

 

 

 

938

 

Accrued taxes

 

 

858

 

 

 

1,322

 

Accrued interest

 

 

802

 

 

 

689

 

Accrued inventories

 

 

784

 

 

 

310

 

Accrued commissions

 

 

523

 

 

 

727

 

Accrued vacation liability

 

 

484

 

 

 

601

 

Accrued termination benefits

 

 

471

 

 

 

2,474

 

Accrued professional fees

 

 

455

 

 

 

621

 

Product warranty reserve

 

 

335

 

 

 

281

 

Accrued freight

 

 

234

 

 

 

422

 

Other

 

 

1,349

 

 

 

1,930

 

Total accrued expenses and other current liabilities

 

$

11,996

 

 

$

15,609

 

 

21


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

8. Debt

Current Credit Facilities

On February 18, 2022 (the “Effective Date”), the Company entered into a Loan and Security Agreement (the “SLR Loan Agreement”) with SLR Investment Corp. (“SLR”) which provided for a term A loan facility of $100.0 million (the “SLR Term A Loan Facility”) and a term B loan facility of $25.0 million (the “SLR Term B Loan Facility”). The SLR Term A Loan Facility was funded to the Company on the Effective Date. In connection with this funding, the Company granted SLR warrants to purchase 13,421 shares of the Company’s common stock at an exercise price of $111.76 per share, which were fully vested upon issuance, are exercisable at the option of the holder, in whole or in part, and expire in February 2032. The SLR Term B Loan Facility was available to the Company upon achievement of a certain minimum revenue level as more fully described in the SLR Loan Agreement. The proceeds of the SLR Term A Loan Facility were used to repay all indebtedness under the Company’s prior loan agreement with CIBC, as described below.

On August 1, 2022, the Company entered into an Amendment No. 1 to the SLR Loan Agreement (the “First Amendment,” together with the SLR Loan Agreement, as amended, the “Amended SLR Loan Agreement”) with SLR. Pursuant to the First Amendment, the Company was provided with a one-month extension of its covenant-free period through August 31, 2022.

On September 30, 2022, the Company entered into an Amendment No. 2 to the SLR Loan Agreement (the “Second Amendment,” together with the Amended SLR Loan Agreement, as amended, the “Second Amended SLR Loan Agreement”), with SLR. Pursuant to the Second Amendment:

the Company’s minimum net product revenue covenant was modified for the remainder of 2022;
a minimum liquidity covenant of $20.0 million was added;
the London Interbank Offered Rate was replaced with the Secured Overnight Financing Rate (the “SOFR”);
the exit fee was increased from 6.95% to 7.45% of the aggregate principal amount of the Second Amended SLR Loan Agreement; and
the SLR Term B Loan Facility and related facility fee were eliminated.

Concurrently with the closing of the Second Amendment, the Company amended and restated SLR’s warrants to purchase 13,421 shares of the Company’s common stock to reset the exercise price to $13.04 per share.

On November 22, 2022 (the “Third Amendment Effective Date”), the Company entered into an Amendment No. 3 to the SLR Loan Agreement (the “Third Amendment,” together with the Second Amended SLR Loan Agreement, as amended, the “Third Amended SLR Loan Agreement”) with SLR. Pursuant to the Third Amendment:

the Company’s minimum net product revenue covenant was modified for 2023;
the minimum liquidity covenant was reduced to $5 million from $20 million (the “Amended Liquidity Covenant”); and
an option was added, at the Company’s sole discretion, to pay up to 8% of the interest under the Third Amended SLR Loan Agreement in-kind (rather than solely in cash as provided for prior to the Third Amendment Effective Date) during 2023 (the “PIK Interest”), subject to payment of a fee equal to 10% of the PIK Interest, and the issuance of additional warrants to the lenders equal to 5% of the PIK Interest.

In addition, the Third Amendment provided that if the Company raised $15 million of net cash equity proceeds (the “Equity Raise”) prior to July 1, 2023, the 2023 minimum revenue covenant would be waived and the Company need only demonstrate net product revenue of at least $25 million (tested on trailing six-month basis for the period ending September 30, 2023) for the fiscal year ending December 31, 2023. Upon satisfaction of the Equity Raise, the Company’s PIK Interest option would be reduced to up to 4% of the interest rate under the Third Amended SLR Loan Agreement. Concurrently with the closing of the Third Amendment, the Company amended and restated SLR’s warrants to purchase 13,421 shares of the Company’s common stock to reset the exercise price to $3.84 per share.

22


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

On February 10, 2023 (the “Fourth Amendment Effective Date”), the Company entered into an Amendment No. 4 to the SLR Loan Agreement (the “Fourth Amendment,” together with the Third Amended SLR Loan Agreement, the “Fourth Amended SLR Loan Agreement”) with SLR. The Fourth Amendment includes the option for the Company to pay up to 9% of the interest in-kind (rather than up to 8% as provided for prior to the Fourth Amendment Effective Date) during 2023. Under the Fourth Amendment, the PIK Interest option is reduced to 4% of the interest if the Company raises $25 million of net cash equity proceeds prior to July 1, 2023 and is further reduced to 0% of the interest if the Company raises $30 million of net cash equity proceeds prior to January 1, 2024.

Additionally, if the Company elects PIK Interest of 9%, the amount of warrants to be granted to SLR increases to be 5% times the amount of PIK Interest for the first 4% of the PIK Interest selected and 12.20% times on the next 5% of the amount of PIK Interest selected to provide for a weighted average of 9%, and the Company’s monthly interest expense increases by 1% for the month in which such PIK Interest is selected. The Fourth Amendment also provides for a reset of the exercise price of the warrants to be issued in connection with the Company’s election of PIK Interest, including existing PIK Warrants, equal to the lower of the Company’s closing stock price for (a) the 10-day trailing average closing price ending on the day before the interest payment date, (b) the day before the interest payment date, or (c) $9.36 per share.

On April 17, 2023, the Company entered into an Amendment No. 5 to the SLR Loan Agreement (the “Fifth Amendment,” together with the Fourth Amended SLR Loan Agreement, the “Fifth Amended SLR Loan Agreement”)) with SLR to exclude the Company’s Singapore subsidiary operating account from the requirement of a control agreement in favor of SLR, provided the account balance is the lower of (i) $250,000 or (ii) the amount required to fund expenditures therefrom within the next ten business days. The Fifth Amendment also contains other customary provisions, such as expense reimbursement.

Pursuant to the Fifth Amended SLR Loan Agreement, advances under the Fifth Amended SLR Loan Agreement bear interest at a floating rate per annum equal to (a) the greater of (i) 1.00% or (ii) the one-month SOFR, plus (b) (i) 8.30% under a PIK Interest option of 4% or 0%, or (ii) 9.30% under a PIK Interest option of 9%. At September 30, 2023, the interest rate was 14.73%. The Company paid interest in-kind totaling $2.4 million and $7.0 million during the three and nine months ended September 30, 2023, respectively. The outstanding balance under the Fifth Amended SLR Loan Agreement was $106.9 million at September 30, 2023. The Fifth Amended SLR Loan Agreement provides for interest-only payments for the first 48 months following the Effective Date. Thereafter, principal payments on the Fifth Amended SLR Loan Agreement are due monthly in 12 equal installments; provided that the Company has the option to extend the interest-only period for an additional 12 months upon achievement of a certain minimum revenue level as more fully described in the Fifth Amended SLR Loan Agreement. The Fifth Amended SLR Loan Agreement will mature on February 1, 2027 (the “Maturity Date”). The Fifth Amended SLR Loan Agreement may be prepaid in full, subject to a prepayment charge of (i) 2.0%, if such prepayment occurs after February 18, 2023 but on or prior to February 17, 2024, and (ii) 1.0%, if such prepayment occurs after February 18, 2024 but on or prior to the Maturity Date (the “Prepayment Penalty”). In addition to the payment of principal and accrued interest, the Company will be required to make a payment of 7.45% of the aggregate principal amount of the Fifth Amended SLR Loan Agreement funded (the “Facility Exit Fee”), which is payable on the earliest to occur of (i) the Maturity Date, (ii) the acceleration of the Fifth Amended SLR Loan Agreement prior to the Maturity Date, and (iii) the prepayment date of the Fifth Amended SLR Loan Agreement prior to the Maturity Date. The Facility Exit Fee of $7.5 million is considered fully earned by SLR as of the Effective Date and is being accrued to interest expense over the term of the Fifth Amended SLR Loan Agreement. In connection with the Fifth Amended SLR Loan Agreement, the Company has incurred direct financing costs related to fees and non-cash consideration paid to SLR and fees paid to third parties of $2.1 million and $1.6 million, respectively, as of September 30, 2023. The Fifth Amended SLR Loan Agreement is secured by a lien on substantially all of the assets, including intellectual property, of the Company.

The Fifth Amended SLR Loan Agreement contains customary covenants and representations, including, without limitation, a minimum revenue covenant equal to a percentage of each month’s forecasted net product revenue as defined in the Fifth Amended SLR Loan Agreement (tested on a trailing six month basis at the end of each fiscal month, commencing with the six month period ending on August 31, 2022), the Amended Liquidity Covenant, and other financial covenants, reporting obligations, and limitations on dispositions, changes in business or ownership, mergers or acquisitions, indebtedness, encumbrances, distributions and investments, transactions with affiliates and capital expenditures. As of September 30, 2023, the Company was in compliance with all financial covenants under the Fifth Amended SLR Loan Agreement.

The events of default under the Fifth Amended SLR Loan Agreement include, without limitation, and subject to customary grace periods, (1) the Company’s failure to make any payments of principal or interest under the Fifth Amended SLR Loan Agreement or any other loan documents, (2) the Company’s breach or default in the performance of any covenant under the Fifth Amended SLR Loan Agreement, (3) the occurrence of a material adverse effect or an event that is reasonably likely to result in a

23


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

material adverse effect, (4) the existence of an attachment or levy on a material portion of the Company’s funds or of the Company’s subsidiaries, (5) the Company’s insolvency or bankruptcy, or (6) the occurrence of certain material defaults with respect to any other of our indebtedness in excess of $500,000. If an event of default occurs, SLR is entitled to take enforcement action, including an incremental 5% interest rate increase or acceleration of amounts due under the Fifth Amended SLR Loan Agreement (the “Mandatory Prepayment Option”). The Company determined the Mandatory Prepayment Option to be an embedded derivative that is required to be bifurcated from the Fifth Amended SLR Loan Agreement. The Company determined the combined probability of an event of default and SLR exercising the Mandatory Prepayment Option to be remote and deemed its fair value to be immaterial as of September 30, 2023. The Company re-evaluates the fair value of the Mandatory Prepayment Option at the end of each reporting period.

The Fifth Amended SLR Loan Agreement also contains other customary provisions, such as expense reimbursement and confidentiality. SLR has indemnification rights and the right to assign the Fifth Amended SLR Loan Agreement, subject to customary restrictions.

The annual principal maturities of the Company’s Fifth Amended SLR Loan Agreement as of September 30, 2023 are as follows:

2023 (remaining 3 months)

 

$

-

 

2024

 

 

-

 

2025

 

 

-

 

2026

 

 

89,066

 

2027

 

 

17,813

 

Less: Unamortized deferred financing costs

 

 

(2,454

)

Long-term loans payable

 

$

104,425

 

Prior Credit Facilities

On February 18, 2022, the Company used $47.4 million of the SLR Term A Loan Facility to pay off all obligations owing under, and to terminate, its prior Loan and Security Agreement (the “CIBC Loan Agreement”) with CIBC which provided for a revolving loan facility of $12.0 million and a term loan facility of $40.0 million. As a result of the termination of the CIBC Loan Agreement, the Company recorded a loss on extinguishment of debt of $1.1 million, which included the prepayment penalty, write-off of the remaining unamortized deferred financing costs, and legal fees during the three months ended March 31, 2022.

9. Commitments and Contingencies

Lease Commitments

The Company’s operating lease commitments as of December 31, 2022 are described in Note 11 of the notes to the financial statements included in the 2022 Form 10-K.

24


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

The following table presents operating lease cost and information related to operating lease liabilities for the periods indicated:

 

Nine Months Ended September 30,

 

 

2023

 

 

2022

 

  Operating lease cost

 

$

1,566

 

 

$

2,122

 

  Variable lease cost

 

 

283

 

 

 

347

 

  Total

 

$

1,849

 

 

$

2,469

 

Operating cash flow impacts:

 

 

 

 

 

 

Cash paid for amounts included in measurement of lease
  liabilities

 

$

2,343

 

 

$

2,076

 

Operating right of use assets obtained in exchange for new
  operating lease liabilities

 

$

-

 

 

$

2,824

 

Weighted average remaining lease term - operating leases
  (in years)

 

 

3.4

 

 

 

3.6

 

Weighted average discount rate - operating leases

 

9.3

%

 

 

8.7

%

As of September 30, 2023, future maturities of lease liabilities under the Company’s noncancelable operating leases are as follows:

 

 

Total Due

 

2023 (remaining 3 months)

 

$

935

 

2024

 

 

3,236

 

2025

 

 

1,296

 

2026

 

 

807

 

2027

 

 

523

 

Thereafter

 

 

1,129

 

Total payments

 

 

7,926

 

Less interest

 

 

(1,253

)

Total present value of lease payments

 

$

6,673

 

Legal Matters

From time to time, the Company may become involved in various legal proceedings, including those that may arise in the ordinary course of business. The Company believes there is no litigation pending that could have, individually, or in the aggregate, a material adverse effect on the results of its operations or financial condition.

Guarantees

During the second quarter of 2022, in connection with the Company’s plan to move substantially all of its manufacturing operations from New Hampshire to Mexico, the Company entered into an agreement with TACNA Services, Inc. (“TACNA”) under which TACNA manages the Company’s manufacturing operations in Mexico. In furtherance thereof, Baja Fur, S.A. de C.V. (the “Lessee”), a subsidiary of TACNA, entered into a lease agreement (the “Lease”) with Fraccionadora Residencial Hacienda Agua Caliente, S. de R.L. de C.V. (the “Lessor”), whereby the Lessee agreed to lease property in Tijuana, México to be used as the Company’s manufacturing facility in Mexico. Under Mexican law, the Lease became a legally binding agreement on July 8, 2022. As an inducement to the Lessee and Lessor to enter into the Lease, the Company entered into an absolute unconditional corporate guaranty agreement (the “Guaranty Agreement”) pursuant to which the Company agreed to guaranty the prompt and complete payment and performance when due, whether by acceleration or otherwise, of all obligations, liabilities and covenants of the Lessee to the Lessor pursuant to the Lease, including all amounts due under the Lease. The Guaranty Agreement will terminate once all obligations arising under the Lease have been satisfied in full and the Lease has been terminated or fully performed. The total obligation outstanding under the Guaranty Agreement was $1.4 million as of September 30, 2023 and was recorded as an operating lease liability in these condensed consolidated financial statements.

25


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

Other Commitments

As of September 30, 2023, the Company has non-cancellable purchase commitments for inventories, capital equipment and services as follows:

 

 

Total Due

 

2023 (remaining 3 months)

 

$

10,006

 

2024

 

 

3,474

 

2025

 

 

1,163

 

 

 

$

14,643

 

 

10. Restructuring

On April 27, 2022, the Company committed to a plan (the “April 2022 Restructuring”) to relocate substantially all of its manufacturing operations from Exeter, New Hampshire to a company operated manufacturing facility in Tijuana, Mexico and announced a reduction in force at the Exeter, New Hampshire facility that eliminated positions related to production, quality and operations services. As part of the April 2022 Restructuring, the Company also incurred severance related expenses due to senior level personnel retirements and transitions. For the three and nine months ended September 30, 2023, the Company incurred restructuring expenses of approximately $0.8 million and $1.0 million, respectively, related to impairments of right-of-use assets, as further discussed below, and termination benefits including severance, benefits and other payroll-related charges. The termination benefits are classified in the Company’s condensed consolidated statements of comprehensive loss in the manner in which the employees’ salaries and related costs were classified. The Company does not expect to incur additional costs associated with the April 2022 Restructuring.

In connection with the April 2022 Restructuring and the relocation of manufacturing operations to Mexico, in December 2022, the Company vacated most of its leased space in its Exeter, New Hampshire facility and is in the process of marketing the designated space (“Domain Sublease”) for a sublease or subleases through the remaining term of the operating lease. The Company has not yet secured a sublease tenant or tenants, which triggered an interim impairment assessment during each of the first and third quarters of 2023. The Company re-evaluated its sublease assumptions and timeline based on current market conditions and determined the carrying value of the asset group was not recoverable based on the excess of the carrying value of the asset group over the undiscounted future cash flows. The decrease in the undiscounted future cash flows from the asset group during the first quarter of 2023 was due to a delayed timeline for securing a sublease tenant or tenants. The decrease in the undiscounted future cash flows from the asset group during the third quarter of 2023 was due to the loss of prospective tenants that are no longer interested in subleasing the Company’s leased space. As a result, the Company recognized impairment charges of $0.8 million and $0.9 million for the Domain Sublease asset group, to write down the operating lease right-of-use assets to their estimated fair value during the three and nine months ended September 30, 2023, respectively. The fair values of the operating lease right-of-use assets were estimated using discounted cash flows under the income approach, which the Company considers to be a Level 3 measurement.

In late August 2022, in conjunction with the Company’s path to profitability and annual operating planning efforts, the Company committed to a plan (the “August 2022 Restructuring”) to exit the Vapotherm Access call center business and its pulmonology practice, RespirCare, and to restructure its commercial organization in the United States. As a result of the August 2022 Restructuring, the Company eliminated positions related to patient care, marketing and administrative services at Vapotherm Access and RespirCare and executed a reduction in force of the Company’s United States field teams. As part of the August 2022 Restructuring, the Company also incurred severance related expenses due to personnel transitions. For the nine months ended September 30, 2023, the Company incurred restructuring expenses of approximately $0.3 million, related to impairments of right-of-use assets, as further discussed below, and termination benefits including severance, benefits and other payroll-related charges. The termination benefits are classified in the Company’s condensed consolidated statements of comprehensive loss in the manner in which the employees’ salaries and related costs were classified. The Company does not expect to incur additional costs associated with the August 2022 Restructuring.

In connection with the August 2022 Restructuring, in August 2022, the Company’s HGE subsidiary vacated its leased space in Fort Washington, Pennsylvania. In the first quarter of 2023, the Company determined that the operating lease right-of-use asset is considered abandoned due to failed attempts to market the facility for a sublease and the Company no longer expects to sublease the facility through the remaining lease term. As a result, the Company recognized an impairment charge of $0.2 million for asset group, to write off the operating lease right-of-use asset to its estimated fair value during the nine months ended September 30, 2023. The fair

26


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

value of the operating lease right-of-use asset was estimated using discounted cash flows under the income approach, which the Company considers to be a Level 3 measurement.

The following table summarizes the restructuring activity from December 31, 2022 to September 30, 2023:

 

 

Termination Benefits

 

 

Asset Impairments

 

 

Total

 

Balance at December 31, 2022

$

2,474

 

 

$

-

 

$

2,474

 

April 2022 Restructuring costs incurred

 

24

 

 

 

180

 

 

204

 

August 2022 Restructuring costs incurred

 

 

32

 

 

 

252

 

 

 

284

 

Non-cash restructuring costs

 

 

-

 

 

 

(432

)

 

 

(432

)

Restructuring costs paid

 

(1,914

)

 

 

-

 

 

(1,914

)

Balance at March 31, 2023

 

$

616

 

 

$

-

 

 

$

616

 

Restructuring costs paid

 

 

(129

)

 

 

-

 

 

 

(129

)

Balance at June 30, 2023

 

$

487

 

 

$

-

 

 

$

487

 

April 2022 Restructuring costs incurred

 

-

 

 

 

755

 

 

755

 

Non-cash restructuring costs

 

 

-

 

 

 

(755

)

 

 

(755

)

Restructuring costs paid

 

 

(316

)

 

 

-

 

 

 

(316

)

Balance at September 30, 2023

 

$

171

 

 

$

-

 

 

$

171

 

The restructuring accrual at September 30, 2023 is expected to be paid by the end of 2023.

The following table summarizes the classification of restructuring expense, including related impairment of right-of-use assets, in the condensed consolidated statements of comprehensive loss:

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2023

 

 

2022

 

 

2023

 

 

2022

 

Cost of revenue

 

$

-

 

 

$

314

 

 

$

56

 

 

$

794

 

Research and development

 

 

-

 

 

 

29

 

 

 

-

 

 

 

595

 

Sales and marketing

 

 

-

 

 

 

1,101

 

 

 

-

 

 

 

1,989

 

General and administrative

 

 

-

 

 

 

56

 

 

 

-

 

 

 

446

 

Impairment of long-lived and intangible assets

 

 

755

 

 

 

2,139

 

 

 

1,187

 

 

 

2,139

 

Total restructuring expense

 

$

755

 

 

$

3,639

 

 

$

1,243

 

 

$

5,963

 

 

11. Warrants

The Company’s warrant activity is summarized as follows:

 

 

Common Stock Warrants

 

 

 

Number of
Shares

 

 

Weighted
Average
Exercise
Price

 

Outstanding at December 31, 2022

 

 

15,564

 

 

$

18.72

 

Warrants granted

 

 

3,417,114

 

 

 

7.67

 

Warrants exercised

 

 

(324,015

)

 

 

0.01

 

Warrants cancelled

 

 

(37

)

 

 

-

 

Outstanding at September 30, 2023

 

 

3,108,626

 

 

$

8.52

 

The Company’s outstanding warrants at September 30, 2023 have exercise prices ranging from $0.008 per share to $112.00 per share and expire at periods ranging from June 10, 2024 through February 10, 2053.

In connection with its PIK Interest option, the Company has granted SLR the PIK Warrants to purchase an aggregate of 128,707 shares of common stock during the nine months ended September 30, 2023. The PIK Warrants had a weighted average

27


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

exercise price of $4.09 per share on the date of grant, were fully vested upon issuance, are exercisable at the option of the holder, in whole or in part, and have expiration dates ranging from January 3, 2033 through September 1, 2033.

In connection with its February 2023 Private Placement, the Company issued the Pre-Funded Warrants to purchase an aggregate of 550,313 shares of common stock and accompanying Warrants to purchase an aggregate of 2,738,094 shares of common stock. The Pre-Funded Warrants and Warrants were fully vested upon issuance, are exercisable at the option of the holder, in whole or in part, and expire on February 10, 2053 and February 10, 2028, respectively (see Note 1).

In June 2023, a warrant to purchase 324,015 shares of common stock was exercised. Upon exercise, the exercise price of $0.008 per share was satisfied through payment of cash to the Company.

12. Revenue

Disaggregated Revenue

The following table shows the Company’s net revenue disaggregated into categories the Company considers meaningful:

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2023

 

 

2023

 

 

 

US

 

 

International

 

 

Total

 

 

US

 

 

International

 

 

Total

 

Net revenue by:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Product revenue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital equipment

 

$

1,360

 

 

$

530

 

 

$

1,890

 

 

$

6,376

 

 

$

1,942

 

 

$

8,318

 

Disposable

 

 

8,309

 

 

 

2,861

 

 

 

11,170

 

 

 

25,535

 

 

 

8,979

 

 

 

34,514

 

Subtotal product revenue

 

 

9,669

 

 

 

3,391

 

 

 

13,060

 

 

 

31,911

 

 

 

10,921

 

 

 

42,832

 

Lease revenue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital equipment

 

 

99

 

 

 

86

 

 

 

185

 

 

 

172

 

 

 

259

 

 

 

431

 

Other

 

 

319

 

 

 

92

 

 

 

411

 

 

 

979

 

 

 

305

 

 

 

1,284

 

Service and other revenue

 

 

1,144

 

 

 

367

 

 

 

1,511

 

 

 

3,275

 

 

 

1,113

 

 

 

4,388

 

Total net revenue

 

$

11,231

 

 

$

3,936

 

 

$

15,167

 

 

$

36,337

 

 

$

12,598

 

 

$

48,935

 

 

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2022

 

 

2022

 

 

 

US

 

 

International

 

 

Total

 

 

US

 

 

International

 

 

Total

 

Net revenue by:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Product revenue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital equipment

 

$

1,135

 

 

$

258

 

 

$

1,393

 

 

$

4,602

 

 

$

1,967

 

 

$

6,569

 

Disposable

 

 

7,736

 

 

 

1,727

 

 

 

9,463

 

 

 

24,646

 

 

 

7,609

 

 

 

32,255

 

Subtotal product revenue

 

 

8,871

 

 

 

1,985

 

 

 

10,856

 

 

 

29,248

 

 

 

9,576

 

 

 

38,824

 

Lease revenue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital equipment

 

 

55

 

 

 

110

 

 

 

165

 

 

 

370

 

 

 

335

 

 

 

705

 

Other

 

 

354

 

 

 

81

 

 

 

435

 

 

 

1,075

 

 

 

262

 

 

 

1,337

 

Service and other revenue

 

 

1,783

 

 

 

306

 

 

 

2,089

 

 

 

6,367

 

 

 

905

 

 

 

7,272

 

Total net revenue

 

$

11,063

 

 

$

2,482

 

 

$

13,545

 

 

$

37,060

 

 

$

11,078

 

 

$

48,138

 

United States and International net revenue is based on the customer location to which the product is shipped. No individual foreign country represents more than 10% of the Company’s total net revenue for the three or nine months ended September 30, 2023 or 2022.

Contract Balances from Contracts with Customers

Contract liabilities consist of deferred revenue and other contract liabilities associated with rebates and fees payable to GPOs, IDNs and distributor partners. Deferred revenues are included in contract liabilities in the accompanying condensed

28


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

consolidated balance sheets. The following table presents changes in contract liabilities during the nine months ended September 30, 2023:

 

 

Deferred
Revenue

 

 

Other Contract
Liabilities

 

Balance at December 31, 2022

 

$

1,021

 

 

$

195

 

Additions

 

 

945

 

 

 

119

 

Subtractions

 

 

(843

)

 

 

(195

)

Balance at September 30, 2023

 

$

1,123

 

 

$

119

 

 

13. Stock-Based Compensation

As of September 30, 2023, 519,607 shares of common stock were available for issuance under the Vapotherm, Inc. 2018 Equity Incentive Plan (as amended and restated, the “2018 Equity Plan”), assuming actual performance under outstanding performance stock units and after excluding significantly underwater options the Company does not expect will be exercised per the share reserve provision of the 2018 Equity Plan. To date, stock options, performance awards, restricted stock awards, restricted stock units and performance stock units have been granted under the 2018 Equity Plan.

Stock-based compensation expense was allocated based on the employees’ and non-employees’ functions as follows:

 

 

Three Months Ended
September 30,

 

 

Nine Months Ended
September 30,

 

 

 

2023

 

 

2022

 

 

2023

 

 

2022

 

Cost of revenue

 

$

37

 

 

$

193

 

 

$

135

 

 

$

620

 

Research and development

 

 

515

 

 

 

337

 

 

 

1,667

 

 

 

1,316

 

Sales and marketing

 

 

736

 

 

 

643

 

 

 

2,836

 

 

 

2,531

 

General and administrative

 

 

910

 

 

 

508

 

 

 

2,965

 

 

 

3,158

 

Total

 

$

2,198

 

 

$

1,681

 

 

$

7,603

 

 

$

7,625

 

Stock Options

The Company granted options to purchase an aggregate of 109,258 shares of common stock at exercise prices ranging from $3.12 to $21.60 per share, with a weighted average exercise price of $20.68 per share, during the nine months ended September 30, 2023. The Company granted options to purchase an aggregate of 184,837 shares of common stock at exercise prices ranging from $12.40 to $165.68 per share, with a weighted average exercise price of $47.04 per share, during the nine months ended September 30, 2022. The weighted average fair value of stock options granted during the nine months ended September 30, 2023 and 2022 was $17.01 and $34.48 per share, respectively.

The weighted average assumptions used in the Black-Scholes options pricing model are as follows:

 

 

Nine Months Ended September 30,

 

 

2023

 

2022

Expected dividend yield

 

0.0%

 

0.0%

Risk free interest rate

 

3.9%

 

2.7%

Expected stock price volatility

 

103.8%

 

83.8%

Expected term (years)

 

6.1

 

6.3

 

29


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

Restricted Stock Units

A summary of restricted stock unit activity for the nine months ended September 30, 2023 is as follows:

 

 

 

 

 

Weighted

 

 

 

 

 

 

Average

 

 

 

 

 

 

Grant Date

 

 

 

Shares

 

 

Fair Value

 

Unvested at December 31, 2022

 

 

165,038

 

 

$

86.15

 

Granted

 

 

43,370

 

 

 

10.61

 

Vested

 

 

(36,253

)

 

 

138.58

 

Canceled

 

 

(18,118

)

 

 

54.14

 

Unvested at September 30, 2023

 

 

154,037

 

 

$

56.36

 

Performance Stock Units

The Company has granted performance stock units. The quantity of shares that will ultimately vest and be issued upon settlement of the performance stock units range from 0% to 200% of a targeted number of shares and will be determined based on, and subject to, individual grant milestones.

A summary of performance stock units activity for the nine months ended September 30, 2023 is as follows:

 

 

 

 

 

Weighted

 

 

 

 

 

 

Average

 

 

 

 

 

 

Grant Date

 

 

 

Shares

 

 

Fair Value

 

Unvested at December 31, 2022

 

 

22,211

 

 

$

150.20

 

Granted

 

 

-

 

 

 

-

 

Vested

 

 

-

 

 

 

-

 

Canceled

 

 

-

 

 

 

-

 

Unvested at September 30, 2023

 

 

22,211

 

 

$

150.20

 

Employee Stock Purchase Plan

As of September 30, 2023, 113,468 shares of common stock remained available for issuance under the ESPP.

The ESPP provides for successive discrete offering periods of approximately six months or as determined by the plan administrator. The offering periods begin on each January 1st and July 1st or the first trading day thereafter.

The ESPP permits eligible employees to elect to purchase shares of common stock through fixed whole percentage contributions from eligible compensation during each offering period, not to exceed 10% of the eligible compensation a participant receives during an offering period and not to accrue at a rate which exceeds $25,000 of the fair value of the stock (determined on the grant date(s)) for each calendar year. A participant may purchase the lower of (a) a number of shares of common stock determined by dividing such participant’s accumulated payroll deductions on the exercise date by the option price, (b) 625 shares, or (c) such other lesser maximum number of shares as shall have been established by the plan administrator.

Amounts deducted and accumulated by the participant will be used to purchase shares of common stock at the end of each offering period. The purchase price of the shares will be 85% of the lower of the fair value of common stock on the first trading day of each offering period or on the purchase date. Participants may end their participation during an offering period up to ten days in advance of the exercise date and will be paid their accumulated contributions that have not been used to purchase shares of common stock. Participation ends automatically upon termination of employment.

30


VAPOTHERM, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

(In thousands, except share and per share amounts)

The fair value of the purchase right for the ESPP option is estimated on the date of grant using the Black-Scholes pricing model with the following assumptions during 2023:

Expected dividend yield

 

0.0%

Risk free interest rate

 

4.8%

Expected stock price volatility

 

104.3%-192.5%

Expected term (years)

 

0.5

 

14. Net Loss Per Share

As of September 30, 2023, the remaining outstanding Pre-Funded Warrants to purchase 226,298 shares of common stock that were issued in connection with the February 2023 Private Placement were included in the basic and diluted net loss per share calculation (see Note 1).

The Company excluded the following potential shares of common stock, based on amounts outstanding at each period end, from the computation of diluted net loss per share for the periods indicated because including them would have had an anti-dilutive effect:

 

 

As of September 30,

 

 

 

2023

 

 

2022

 

Warrants to purchase common stock

 

 

2,882,328

 

 

 

15,564

 

Options to purchase common stock

 

 

459,467

 

 

 

396,646

 

Unvested restricted stock units and
   performance stock units

 

 

176,248

 

 

 

108,240

 

Employee stock purchase plan shares

 

 

19,727

 

 

 

8,491

 

 

 

3,537,770

 

 

 

528,941

 

 

15. Related Party Transactions

The Company recorded sales of $0.1 million during each of the three months ended September 30, 2023 and 2022, respectively, and sales of $1.5 million and $0.2 million during the nine months ended September 30, 2023 and 2022, respectively, to an entity customer in which a member of the Company’s board of directors holds a management position. There was a credit of $0.3 million due to this entity customer at September 30, 2023. There were no outstanding balances due from this entity customer at December 31, 2022.

31


 

ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our unaudited condensed consolidated financial statements for the three and nine months ended September 30, 2023, included elsewhere in this Quarterly Report on Form 10-Q. In addition to historical financial information, the following discussion and analysis contains forward-looking statements that involve risks, uncertainties and assumptions. Some of the numbers included herein have been rounded for the convenience of presentation. Our actual results may differ materially from those anticipated in these forward-looking statements as a result of many factors, including those discussed under the “Risk Factors” section of our 2022 Form 10-K filed with the SEC on February 23, 2023 and in this Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2023. We use certain non-GAAP financial measures that we believe are important for purposes of comparison to prior periods. This information is also used by our management to measure the profitability of our ongoing operations and analyze our business performance and trends.

Vapotherm is a global medical technology company primarily focused on the care of patients of all ages suffering from respiratory distress, whether associated with complex lung diseases such as chronic obstructive pulmonary disease (“COPD”), congestive heart failure (“CHF”), pneumonia, asthma and COVID-19 or other systemic conditions. Our mission is to improve the lives of patients suffering from complex lung disease and other forms of respiratory distress while reducing the cost of their care through integrated device and digital solutions. Our device solutions are focused on High Velocity Nasal Insufflation (“HVNI”, or “High Velocity Therapy”), which delivers non-invasive ventilatory support to patients by providing heated, humidified, oxygenated air at high velocities through a small-bore nasal interface, and on closed loop control systems such as our Oxygen Assist Module (“OAM”), designed to automatically maintain a patient’s pulse oxygen saturation (“SpO2”) levels within a specified range for a defined period of time. Our digital solutions are focused on remote patient monitoring, using proprietary algorithms to predict impending respiratory episodes before they occur and coordinate timely intervention, obviating the need for costly hospital admissions and minimizing patient distress. Although we exited the Vapotherm Access call center business, we are using the underlying technology to develop digital capabilities for our devices. While these device and digital solutions function independently, we believe leveraging the two together can create a unique healthcare ecosystem, focused on delivering high quality, efficient respiratory care in a variety of settings.

High Velocity Therapy is an advanced form of high flow therapy that is differentiated due to its ability to deliver breathing gases, including oxygen, at a high velocity, for the treatment of spontaneously breathing patients suffering from respiratory distress, including Type 1 hypoxic respiratory distress, like that experienced by patients with pneumonia or COVID-19, or Type 2 hypercapnic respiratory distress, like that experienced by patients with COPD. Our HVT 2.0 and Precision Flow systems (together, “High Velocity Therapy systems”), which use High Velocity Therapy technology, are clinically validated alternatives to, and address many limitations of, the current standard of care for the treatment of respiratory distress in a hospital setting. Our next generation High Velocity Therapy system, known as HVT 2.0, received initial 510k clearance from the Food and Drug Administration (“FDA”) in 2021, transitioned to full market release in August 2022, and received clearance for expanded respiratory distress indications in December 2022. The HVT 2.0 platform is cleared for therapy in multiple settings of care, including the home, although it is presently being marketed primarily for hospital use. As of September 30, 2023, more than 4.1 million patients have been treated with our High Velocity Therapy systems, and we have a global installed base of over 37,400 units, an increase of 3.1% compared to September 30, 2022.

We sell our High Velocity Therapy systems to hospitals through a direct sales organization in the United States, the United Kingdom, Germany, Belgium and Spain and through distributors in other select countries outside of those countries. In late 2020, we launched our OAM in select international markets, which can be used with most versions of our Precision Flow system and OAM capability has been built into the HVT 2.0 for future use. The OAM helps clinicians maintain a patient’s SpO2 within a target SpO2 range over a greater period of time while requiring significantly fewer manual adjustments to the equipment. Maintenance of the prescribed oxygen saturation range may reduce the health risks associated with dosing too much, or too little, oxygen, particularly in neonates where these risks include visual or developmental impairment or death. Our OAM is sold through a direct sales organization in select international markets and through distributors in select international markets. We are no longer seeking FDA approval to market the Precision Flow version of the OAM in the United States, but will instead focus future efforts on the HVT 2.0 version of the OAM for the United States market. In addition, we employ field-based clinical managers who focus on medical education and training in the effective use of our products and help facilitate increased adoption and utilization. We focus on physicians, respiratory therapists and nurses who work in acute hospital settings, including the emergency departments and adult, pediatric and neonatal intensive care units. Our relationship with these clinicians is particularly important, as it enables our products to follow patients through the care continuum. As of September 30, 2023, we have sold our High Velocity Therapy systems to over 2,400 hospitals across the United States, and in over 50 countries outside of the United States. Although presently our revenues are derived principally from sales of High Velocity Therapy systems and sales of the single-use disposable vapor transfer cartridges these systems require, we also derive revenues from ancillary products and services related to our High Velocity Therapy systems.

32


 

In the first quarter of 2022, there was a significant slowdown in demand for our products that was driven primarily by a decrease in patient acuity from COVID-19 infections as COVID-19 variants transitioned from a lower respiratory disease to an upper respiratory disease. Due to the inherent uncertainty in predicting future revenues and certain variable costs, we announced in connection with the release of our first quarter 2022 financial results, our long-term “path to profitability” initiatives. As part of this strategy, we completed our move of substantially all of our manufacturing operations from New Hampshire to Mexico and we received our facility certifications and completed validation of our production lines in the first quarter of 2023. In the last half of 2022, we also established a Technology Center in Singapore to bring most research and development projects in-house to help reduce the cost of external design firms and access local government grant funding and took meaningful steps towards right sizing our commercial organization, including exiting our Vapotherm Access call center business and making reductions to our field teams in the United States and internationally. Actions completed during the first nine months of 2023 under our restructuring plans and their impacts on our condensed consolidated financial statements are further described in Note 10 “Restructuring” to our condensed consolidated financial statements included in this Quarterly Report on Form 10-Q. As a result of this strategy, our net cash used in operating activities decreased to $3.0 million and $19.1 million for the three and nine months ended September 30, 2023, respectively, down from $19.1 million and $69.3 million for the three and nine months ended September 30, 2022, respectively.

On September 27, 2022, we received notice from the New York Stock Exchange, Inc. (the “NYSE”) that we are not in compliance with the continued listing standards set forth in Section 802.01B of the NYSE Listed Company Manual. Such noncompliance of Section 802.01B of the NYSE Listed Company Manual is based on our average global market capitalization for the prior 30 trading-day period being below $50 million at the same time as our stockholders’ equity is less than $50 million. We timely submitted a plan to cure the deficiency on November 11, 2022 that was accepted by the NYSE and we are working to return to compliance with the NYSE continued listing requirements by March 27, 2024 or earlier. In addition, on March 15, 2023, we received notice from the NYSE that we were not in compliance with the continued listing standards set forth in Section 802.01C of the NYSE Listed Company Manual because the average closing price of our common stock was less than $1.00 over a consecutive 30 trading-day period. On September 11, 2023, we received notification from the NYSE that we regained compliance with the minimum share price continued listing standard set forth in Section 802.01C. No assurance can be provided, however, that we will be able to regain compliance with the other applicable NYSE listing standards or otherwise maintain compliance with the NYSE listing standards.

In January of 2023, in coordination with the Medicines and Healthcare products Regulatory Agency in the United Kingdom, we initiated a limited recall of four lots of disposable patient circuits in the United Kingdom, a quantity that is not material. Related to this issue, we proactively notified FDA of this action. Subsequent to this communication, the FDA classified related customer communications as a recall, however, this did not involve the removal of any product. Product defects or other errors resulting in recalls may occur in the future.

On February 7, 2023, we entered into a securities purchase agreement with a select group of institutional and accredited investors through a private placement financing for gross proceeds of approximately $23.0 million, before deducting fees to the placement agent and other offering expenses of $2.1 million. The net proceeds from the offering are being used primarily for sales and marketing, working capital, and other general corporate purposes.

Despite our near-term challenges, we still believe our anticipated long-term growth will be driven by the following strengths:

Disruptive High Velocity Therapy technology supported by a compelling body of clinical and economic evidence;
Expanded FDA indications we received for our next generation HVT 2.0 platform, enabling use in multiple settings of care, and anticipated higher average selling prices as a result;
Deep expertise in the area of closed loop control, the first example of which is our OAM;
New FDA clearances and/or approvals for our product pipeline, including the HVT 2.0 version of the OAM;
A recurring revenue model with historically high visibility on our disposables utilization across a robust global installed base;
Dedicated respiratory sales forces in the United States and in select international markets, which we expect to extend to other growing international markets;
Experienced international distributors;
A comprehensive approach to market development with established clinical and digital marketing teams;
A robust and growing intellectual property portfolio; and
An experienced senior management team and board members with deep industry practice.

During the first nine months of 2023, we continued to execute on our strategy to grow existing customer accounts through education of our customers on the full capabilities of our technology to help patients through all four care areas of the hospital that we

33


 

serve today, regardless of whether patients are hypoxic, hypercapnic, or otherwise suffering respiratory distress. Net revenue increased $1.6 million, or 12.0%, to $15.2 million for the three months ended September 30, 2023 compared to $13.5 million for the three months ended September 30, 2022. After excluding net revenue from the Vapotherm Access call center business, on an adjusted non-GAAP basis, net revenue increased $2.3 million, or 17.6%, for the three months ended September 30, 2023 compared to the same prior year period in 2022. Net revenue increased $0.8 million, or 1.7%, to $48.9 million for the nine months ended September 30, 2023 from $48.1 million for the nine months ended September 30, 2022. After excluding net revenue from the Vapotherm Access call center business, on an adjusted non-GAAP basis, net revenue increased $3.5 million, or 7.7%, for the nine months ended September 30, 2023 compared to the same prior year period in 2022. Revenue from single-use disposables represented approximately 70.5% and 67.0% of our net revenue for the nine months ended September 30, 2023 and 2022, respectively, and increased 7.0% on a year over year basis. We believe our strategy will allow us to return our disposable utilization, or turn, rates to their pre-COVID-19 historical levels over time as we go deeper and wider in our largest accounts. The turn rate is the average number of disposables purchased per month per capital unit from a customer account. We continue to focus on our long-term product roadmap, under which we plan to introduce additional high growth products to our respiratory care offerings, which we expect to drive higher capital and disposable average selling prices as we introduce new higher-value products and services. Presently, we are also working on several initiatives to drive down our inventory balance and return our inventory turnover to pre-COVID-19 historical levels and we have converted approximately $9.2 million of inventory to cash during the first nine months of 2023.

Despite our current cost savings initiatives, we expect to continue to make investments in research and development, regulatory affairs, and clinical studies to develop future generations of our High Velocity Therapy products which historically have driven higher average sale prices of our products, support regulatory submissions, and demonstrate the clinical efficacy of our new products. While these and other actions put pressure on our margins and adversely affected our financial results during the first half of 2023, we anticipate long-term benefits of these past and anticipated future actions, including lower cost products being built in our new Mexico facility to drive gross margin improvements. Because of these and other factors, we expect to continue to incur net losses for the next several years and may require additional funding, which could include equity and/or debt financings.

Results of Operations

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2023

 

 

2022

 

 

2023

 

 

2022

 

 

 

(in thousands)

 

Net revenue

 

$

15,167

 

 

$

13,545

 

 

$

48,935

 

 

$

48,138

 

Cost of revenue

 

 

9,154

 

 

 

11,682

 

 

 

29,850

 

 

 

36,018

 

Gross profit

 

 

6,013

 

 

 

1,863

 

 

 

19,085

 

 

 

12,120

 

Operating expenses

 

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

 

3,132

 

 

 

4,382

 

 

 

10,842

 

 

 

16,241

 

Sales and marketing

 

 

7,967

 

 

 

11,460

 

 

 

25,835

 

 

 

36,615

 

General and administrative

 

 

4,430

 

 

 

6,477

 

 

 

15,219

 

 

 

20,754

 

Impairment of goodwill

 

 

-

 

 

 

-

 

 

 

-

 

 

 

14,701

 

Impairment of long-lived and intangible assets

 

 

755

 

 

 

2,139

 

 

 

1,187

 

 

 

6,175

 

Loss on disposal of property and equipment

 

 

-

 

 

 

321

 

 

 

53

 

 

 

321

 

Total operating expenses

 

 

16,284

 

 

 

24,779

 

 

 

53,136

 

 

 

94,807

 

Loss from operations

 

 

(10,271

)

 

 

(22,916

)

 

 

(34,051

)

 

 

(82,687

)

Other expense, net

 

 

(4,841

)

 

 

(3,293

)

 

 

(13,905

)

 

 

(9,061

)

Net loss before income taxes

 

 

(15,112

)

 

 

(26,209

)

 

 

(47,956

)

 

 

(91,748

)

Provision (benefit) for income taxes

 

 

18

 

 

 

(8

)

 

 

52

 

 

 

74

 

Net loss

 

$

(15,130

)

 

$

(26,201

)

 

$

(48,008

)

 

$

(91,822

)

 

34


 

Revenue

 

 

Three Months Ended September 30,

 

 

 

 

 

 

 

 

 

2023

 

 

2022

 

 

Change

 

 

 

(in thousands, except percentages)

 

 

 

Amount

 

 

% of Revenue

 

 

Amount

 

 

% of Revenue

 

 

$

 

 

%

 

Product revenue:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital equipment

 

$

1,890

 

 

 

12.5

%

 

$

1,393

 

 

 

10.3

%

 

$

497

 

 

 

35.7

%

Disposables

 

 

11,170

 

 

 

73.6

%

 

 

9,463

 

 

 

69.9

%

 

 

1,707

 

 

 

18.0

%

Subtotal product revenue

 

 

13,060

 

 

 

86.1

%

 

 

10,856

 

 

 

80.2

%

 

 

2,204

 

 

 

20.3

%

Lease revenue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital equipment

 

$

185

 

 

 

1.2

%

 

$

165

 

 

 

1.2

%

 

$

20

 

 

 

12.12

%

Other

 

 

411

 

 

 

2.7

%

 

 

435

 

 

 

3.2

%

 

 

(24

)

 

 

(5.5

)%

Service and other revenue

 

 

1,511

 

 

 

10.0

%

 

 

2,089

 

 

 

15.4

%

 

 

(578

)

 

 

(27.7

)%

Total net revenue

 

$

15,167

 

 

 

100.0

%

 

$

13,545

 

 

 

100.0

%

 

$

1,622

 

 

 

12.0

%

Net revenue increased $1.6 million, or 12.0%, to $15.2 million for the third quarter of 2023 compared to $13.5 million for the third quarter of 2022. The increase in net revenue was primarily attributable to increases of $1.7 million and $0.5 million in disposables revenue and capital equipment revenue, respectively, partially offset by a $0.6 million decrease in service and other revenue. Disposables revenue increased 18.0% in the third quarter of 2023 primarily due to an increase in the number of disposables sold in our International markets and an increase in demand for our products compared to the same prior year period. Capital equipment revenue increased 35.7% in the third quarter of 2023 due to an increase in volume of sales of capital equipment and higher average sale prices of our High Velocity Therapy units realized from our next generation HVT 2.0 platform. The decrease in service and other revenue in the third quarter of 2023 was primarily the result of our exit from the Vapotherm Access call center business in October 2022.

Net revenue information by geography is summarized as follows:

 

 

Three Months Ended September 30,

 

 

 

 

 

 

 

 

 

2023

 

 

2022

 

 

Change

 

 

 

(in thousands, except percentages)

 

 

 

Amount

 

 

% of Revenue

 

 

Amount

 

 

% of Revenue

 

 

$

 

 

%

 

United States

 

$

11,231

 

 

 

74.0

%

 

$

11,063

 

 

 

81.7

%

 

$

168

 

 

 

1.5

%

International

 

 

3,936

 

 

 

26.0

%

 

 

2,482

 

 

 

18.3

%

 

 

1,454

 

 

 

58.6

%

Total net revenue

 

$

15,167

 

 

 

100.0

%

 

$

13,545

 

 

 

100.0

%

 

$

1,622

 

 

 

12.0

%

Net revenue generated in the United States increased $0.2 million, or 1.5%, to $11.2 million for the third quarter of 2023, compared to $11.1 million for the third quarter of 2022. Net revenue generated in our International markets increased $1.5 million, or 58.6%, to $3.9 million for the third quarter of 2023, compared to $2.5 million for the third quarter of 2022. The increase in net revenue in the United States was primarily due to increases in the volume of sales of capital equipment and higher average sale prices of our High Velocity Therapy units and related disposables realized from our next generation HVT 2.0 platform, partially offset by a decrease in the number of disposables sold. The increase in net revenue in International markets was primarily due to an increase in the number of disposables sold and the volume of sales of capital equipment.

 

 

Nine Months Ended September 30,

 

 

 

 

 

 

 

 

 

2023

 

 

2022

 

 

Change

 

 

 

(in thousands, except percentages)

 

 

 

Amount

 

 

% of Revenue

 

 

Amount

 

 

% of Revenue

 

 

$

 

 

%

 

Product revenue:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital equipment

 

$

8,318

 

 

 

17.0

%

 

$

6,569

 

 

 

13.6

%

 

$

1,749

 

 

 

26.6

%

Disposables

 

 

34,514

 

 

 

70.5

%

 

 

32,255

 

 

 

67.0

%

 

 

2,259

 

 

 

7.0

%

Subtotal product revenue

 

 

42,832

 

 

 

87.5

%

 

 

38,824

 

 

 

80.6

%

 

 

4,008

 

 

 

10.3

%

Lease revenue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital equipment

 

 

431

 

 

 

0.9

%

 

 

705

 

 

 

1.5

%

 

 

(274

)

 

 

(38.9

)%

Other

 

 

1,284

 

 

 

2.6

%

 

 

1,337

 

 

 

2.8

%

 

 

(53

)

 

 

(4.0

)%

Service and other revenue

 

 

4,388

 

 

 

9.0

%

 

 

7,272

 

 

 

15.1

%

 

 

(2,884

)

 

 

(39.7

)%

Total net revenue

 

$

48,935

 

 

 

100.0

%

 

$

48,138

 

 

 

100.0

%

 

$

797

 

 

 

1.7

%

 

35


 

Net revenue increased $0.8 million, or 1.7%, to $48.9 million for the first nine months of 2023 compared to $48.1 million for the first nine months of 2022. The increase in net revenue was primarily attributable to increases of $2.3 million and $1.7 million in disposables revenue and capital equipment revenue, respectively, partially offset by decreases of $2.9 million and $0.3 million in service and other revenue, and capital equipment lease revenue, respectively. Disposables revenue increased 7.0% in the first nine months of 2023 primarily due to an increase in the number of disposables sold in our International markets. Capital equipment revenue increased 26.6% in the first nine months of 2023 primarily due to higher average sale prices of our High Velocity Therapy units realized from our next generation HVT 2.0 platform, and to a lesser extent an increase in volume of sales of capital equipment in the United States. The increases in capital equipment revenue and disposables revenue were partially offset by the Omicron surge that drove significant demand in the first quarter of 2022 and did not repeat itself in the current year period. The decrease in service and other revenue in the first nine months of 2023 was primarily the result of our exit from the Vapotherm Access call center business in October 2022. Capital equipment lease revenue decreased 38.9% in the first nine months of 2023 due to a decrease in rental arrangements.

Net revenue information by geography is summarized as follows:

 

 

Nine Months Ended September 30,

 

 

 

 

 

 

 

 

 

2023

 

 

2022

 

 

Change

 

 

 

(in thousands, except percentages)

 

 

 

Amount

 

 

% of Revenue

 

 

Amount

 

 

% of Revenue

 

 

$

 

 

%

 

United States

 

$

36,337

 

 

 

74.3

%

 

$

37,060

 

 

 

77.0

%

 

$

(723

)

 

 

(2.0

)%

International

 

 

12,598

 

 

 

25.7

%

 

 

11,078

 

 

 

23.0

%

 

 

1,520

 

 

 

13.7

%

Total net revenue

 

$

48,935

 

 

 

100.0

%

 

$

48,138

 

 

 

100.0

%

 

$

797

 

 

 

1.7

%

Net revenue generated in the United States decreased $0.7 million, or 2.0%, to $36.3 million for the first nine months of 2023, compared to $37.1 million for the first nine months of 2022. Net revenue generated in our International markets increased $1.5 million, or 13.7%, to $12.6 million for the first nine months of 2023, compared to $11.1 million for the first nine months of 2022. The decrease in net revenue in the United States was primarily the result of our exit from the Vapotherm Access call center business in October 2022 and decrease in the number of disposables sold due to the Omicron surge that drove significant demand in the first quarter of 2022 and did not repeat itself in the current year period. These decreases were partially offset by an increase in volume of sales of capital equipment in the United States and higher average sale prices of our High Velocity Therapy units realized from our next generation HVT 2.0 platform. The increase in net revenue in our International markets was primarily due to increases in the number of disposables sold resulting from higher demand, partially offset by a decrease in volume of sales of capital equipment.

Cost of Revenue and Gross Profit

Cost of revenue decreased $2.5 million, or 21.6%, to $9.2 million in the third quarter of 2023 compared to $11.7 million in the third quarter of 2022. Cost of revenue decreased $6.2 million, or 17.1%, to $29.9 million in the first nine months of 2023 compared to $36.0 million in the first nine months of 2022.

The decrease for both comparison periods was primarily due to lower production costs from our facility in Mexico, lower reserves for excess and obsolete inventory, our exit from the Vapotherm Access call center business in October 2022, a decrease in stock-based compensation, and certain non-recurring charges related to the transfer of certain activities to our contract manufacturer in the first nine months of 2022 that did not repeat in the current year period, partially offset by increases in shipping expense of inventory to and from our facility in Mexico and depreciation expense in the third quarter and first nine months of 2023. In addition, in the third quarter of 2023, we increased production capacity at our facility in Mexico in advance of the respiratory syncytial virus and influenza seasons in the Northern Hemisphere, which resulted in inefficiencies such as higher scrap rates, lower first pass yields and higher freight costs which the Company did not experience in the second quarter of 2023.

Gross profit as a percent of revenue increased to 39.6% in the third quarter of 2023 compared to 13.8% in the third quarter of 2022 and increased to 39.0% in the first nine months of 2023 compared to 25.2% in the first nine months of 2022. These increases were positively impacted by an increase in net revenue, lower reserves for excess and obsolete inventory, lower production costs from our facility in Mexico and our exit from the Vapotherm Access call center business in October 2022, in each case, during the respective current year period compared to the respective prior year period. These increases were partially offset by inefficiencies at our facility in Mexico discussed in the preceding paragraph.

36


 

Research and Development Expenses

Research and development expenses decreased $1.3 million, or 28.5%, to $3.1 million in the third quarter of 2023 compared to $4.4 million in the third quarter of 2022. As a percentage of revenue, research and development expenses decreased to 20.7% in the third quarter of 2023 compared to 32.4% in the third quarter of 2022.

Research and development expenses decreased $5.4 million, or 33.2%, to $10.8 million in the first nine months of 2023 compared to $16.2 million in the first nine months of 2022. As a percentage of revenue, research and development expenses decreased to 22.2% in the first nine months of 2023 compared to 33.7% in the first nine months of 2022.

The decrease in research and development expenses and as a percentage of net revenue for both comparison periods was primarily due to cost reductions from our path-to-profitability initiatives implemented during the second half of 2022 consisting of decreased product consulting expenses, development costs, employee-related expenses, and grant reimbursement not included in the prior year periods, partially offset by an increase in stock-based compensation. The decrease in research and development expenses as a percentage of revenue for the third quarter of 2023 was also due to an increase in net revenue during the same period.

Sales and Marketing Expenses

Sales and marketing expenses decreased $3.5 million, or 30.5%, to $8.0 million in the third quarter of 2023 compared to $11.5 million in the third quarter of 2022. As a percentage of revenue, sales and marketing expenses decreased to 52.5% in the third quarter of 2023 compared to 84.6% in the third quarter of 2022.

Sales and marketing expenses decreased $10.8 million, or 29.4%, to $25.8 million in the first nine months of 2023 compared to $36.6 million in the first nine months of 2022. As a percentage of revenue, sales and marketing expenses decreased to 52.8% in the first nine months of 2023 compared to 76.1% in the first nine months of 2022.

The decrease in sales and marketing expenses and as a percentage of net revenue for both comparison periods was primarily due to cost reductions from our path-to-profitability initiatives implemented during the second half of 2022 consisting of decreased employee-related expenses, sales commission expenses, severance costs, travel expenses and advertising expenses, partially offset by an increase in stock-based compensation. The decrease in sales and marketing expenses as a percentage of revenue for the third quarter of 2023 was also due to an increase in net revenue during the same period.

General and Administrative Expenses

General and administrative expenses decreased $2.0 million, or 31.6%, to $4.4 million in the third quarter of 2023 compared to $6.5 million in the third quarter of 2022. As a percentage of revenue, general and administrative expenses decreased to 29.2% in the third quarter of 2023 compared to 47.8% in the third quarter of 2022.

General and administrative expenses decreased $5.5 million, or 26.7%, to $15.2 million in the first nine months of 2023 compared to $20.8 million in the first nine months of 2022. As a percentage of revenue, general and administrative expenses decreased to 31.1% in the first nine months of 2023 compared to 43.1% in the first nine months of 2022.

The decrease in general and administrative expenses and as a percentage of net revenue for both comparison periods was primarily due to cost reductions from our path-to-profitability initiatives implemented during the second half of 2022 consisting of decreased employee-related expenses, consulting and legal expenses, non-cash lease expense and depreciation expense. These decreases were partially offset by favorable changes in value of contingent consideration in the third quarter and first nine months of 2022 that did not recur in the current year periods. The decrease in general and administrative expenses as a percentage of revenue for the third quarter of 2023 was also due to an increase in net revenue during the same period.

37


 

Impairment of Goodwill

Impairment of goodwill totaled $14.7 million during the third quarter and first nine months of 2022 and related to the write down of goodwill of the Vapotherm Access reporting unit to its estimated fair value. There were no goodwill impairment charges recorded in the third quarter or first nine months of 2023.

Impairment of Long-Lived and Intangible Assets

Impairment of long-lived and intangible assets totaled $0.8 million and $1.2 million during the third quarter and first nine months of 2023, respectively, and related to the write down of operating lease right-of-use assets no longer deemed to be recoverable.

Impairment of long-lived and intangible assets totaled $2.1 million during the third quarter of 2022 and related to the write down of operating lease right-of-use assets no longer deemed to be recoverable. Impairment of long-lived and intangible assets totaled $6.2 million during the first nine months of 2022 and related to the write down of operating lease right-of-use assets, Vapotherm Access customer relationships and developed technology no longer deemed to be recoverable.

Loss on Disposal of Property and Equipment

We recorded a loss on disposal of certain property and equipment of $0.1 million during the first nine months of 2023. We recorded a loss on disposal of certain property and equipment of $0.3 million during the third quarter and first nine months of 2022. There was no such loss recorded in the third quarter of 2023.

Other Expense, Net

Other expense, net increased $1.5 million, or 47.0%, to $4.8 million in the third quarter of 2023 compared to $3.3 million in the third quarter of 2022. Other expense, net increased $4.8 million, or 53.5%, to $13.9 million in the first nine months of 2023 compared to $9.1 million in the first nine months of 2022. The increase in other expense, net for both comparison periods was primarily due to an increase in interest expense due to higher average interest rates on higher average outstanding borrowings during the current year periods compared to the same prior year periods in 2022. The increase in the first nine months of 2023 was partially offset by a loss on extinguishment in the first nine months of 2022 that did not repeat itself in the current year period.

Provision (Benefit) for Income Taxes

The provision for income taxes for the third quarter and first nine months of 2023 totaled less than $0.1 million and $0.1 million, respectively, and in each case related to income earned by our foreign subsidiaries after accounting for transfer pricing adjustments.

The benefit for income taxes for the third quarter of 2022 totaled less than $0.1 million and related to a benefit for net deferred income tax assets deemed more likely than not to be realized by our foreign subsidiaries. The provision for income taxes for the first nine months of 2022 totaled $0.1 million and related to deferred tax liabilities for differences in the book and tax basis of indefinite-lived assets, partially offset by a benefit for net deferred income tax assets deemed more likely than not to be realized by our foreign subsidiaries. We have not recorded any federal or state income tax benefits related to domestic operating losses in either period due to uncertainty about future taxable income.

Liquidity and Capital Resources

As of September 30, 2023, we had cash, cash equivalents and restricted cash of $15.5 million, working capital of $33.0 million and an accumulated deficit of $538.0 million. Our primary sources of capital to date have been from sales of our equity securities, sales of our High Velocity Therapy systems and their associated disposables and amounts borrowed under credit facilities.

On February 10, 2023, we issued in a private placement an aggregate of 2,187,781 shares of common stock, and in the case of certain investors, in lieu of shares of common stock, pre-funded warrants to purchase an aggregate of 550,313 shares of common stock, and, in each case, accompanying warrants to purchase an aggregate of up to 2,738,083 shares of common stock at a purchase price of $8.40 per unit for aggregate gross proceeds to us of approximately $23.0 million, before deducting fees to the placement agent and other offering expenses of $2.1 million. The warrants and pre-funded warrants have exercise prices of $9.36 and $0.008 per share and expire in five years and 30 years, respectively. The net proceeds from the offering are being used primarily for sales and marketing, working capital, and other general corporate purposes.

38


 

We anticipate that our cash, cash equivalents, restricted cash and working capital will be sufficient to meet our capital requirements for at least the next 12 months from the filing of this report. If these sources are insufficient to satisfy our liquidity requirements, we may seek to sell additional equity securities or enter into new or restructure existing debt financing arrangements. If we raise additional funds by issuing equity securities, our stockholders would experience dilution. Additional debt financing, if available, may involve additional covenants restricting our operations or our ability to incur additional debt. Any additional debt or equity financing that we raise may contain terms that are not favorable to us or our stockholders. Additional financing may not be available at all or may be available only in amounts or on terms unacceptable to us. If we are unable to obtain additional financing, we may be required to delay the development, commercialization and marketing of our products and services.

Cash Flows

The following table presents a summary of our cash flows for the periods indicated:

 

 

Nine Months Ended September 30,

 

 

 

2023

 

 

2022

 

 

 

(in thousands)

 

Net cash provided by (used in):

 

 

 

 

 

 

Operating activities

 

$

(20,347

)

 

$

(69,265

)

Investing activities

 

 

(1,962

)

 

 

(8,266

)

Financing activities

 

 

21,023

 

 

 

50,167

 

Effect of exchange rate on cash, cash equivalents and restricted cash

 

 

(34

)

 

 

(142

)

Net decrease in cash, cash equivalents and restricted cash

 

$

(1,320

)

 

$

(27,506

)

Operating Activities

The net cash used in operating activities was $20.3 million in the first nine months of 2023 and consisted primarily of a net loss of $48.0 million, partially offset by non-cash charges of $22.6 million and a decrease in net operating assets of $5.2 million. Non-cash charges for the first nine months of 2023 consisted primarily of stock-based compensation expense, interest paid in-kind, depreciation and amortization expense, impairment of long-lived and intangible assets and non-cash lease expense.

The net cash used in operating activities was $69.3 million in the first nine months of 2022 and consisted primarily of a net loss of $91.8 million and an increase in net operating assets of $13.5 million, partially offset by $36.0 million in non-cash charges. Non-cash charges for the first nine months of 2022 consisted primarily of impairment of goodwill, stock-based compensation expense, impairment of long-lived and intangible assets, and depreciation and amortization expense, partially offset by the change in fair value of contingent consideration.

Investing Activities

Net cash used in investing activities for the first nine months of 2023 and 2022 consisted of purchases of property and equipment of $2.0 million and $8.3 million, respectively.

Financing Activities

Net cash provided by financing activities was $21.0 million in the first nine months of 2023 and consisted primarily of net proceeds from the issuance of securities in the February 2023 private placement of $20.9 million and proceeds from common stock issuances in connection with our ESPP of $0.1 million.

Net cash used in financing activities was $50.2 million in the first nine months of 2022 and consisted primarily of net proceeds under our credit facilities of $52.5 million, proceeds received from the exercise of stock options of $0.1 million and proceeds from common stock issuances in connection with our ESPP of $0.1 million, partially offset by payments of debt issuance costs of $1.6 million, debt extinguishment costs of $0.8 million and contingent consideration payments of $0.1 million.

Credit Facilities

On February 18, 2022 (the “Effective Date”), we entered into a Loan and Security Agreement (the “SLR Loan Agreement”) with SLR Investment Corp. (“SLR”) which provided for a term A loan facility of $100.0 million (the “SLR Term A Loan Facility”) and a term B loan facility of $25.0 million (the “SLR Term B Loan Facility”). The SLR Term A Loan Facility was funded to us on the Effective Date. In connection with this funding, we granted SLR warrants to purchase 13,421 shares of our common stock at an exercise price of $111.76 per share, which were fully vested upon issuance, are exercisable at the option of the holder, in whole or in

39


 

part, and expire in February 2032. The SLR Term B Loan Facility was available to us upon achievement of a certain minimum revenue level as more fully described in the SLR Loan Agreement. The proceeds of the SLR Term A Loan Facility were used to repay all indebtedness under our prior loan agreement with Canadian Imperial Bank of Commerce Innovation Banking (“CIBC”), as described below.

On August 1, 2022, we entered into an Amendment No. 1 to the SLR Loan Agreement (the “First Amendment,” together with the SLR Loan Agreement, as amended, the “Amended SLR Loan Agreement”) with SLR. Pursuant to the First Amendment, we were provided with a one-month extension of our covenant-free period through August 31, 2022.

On September 30, 2022, we entered into an Amendment No. 2 to the SLR Loan Agreement (the “Second Amendment,” together with the Amended SLR Loan Agreement, as amended, the “Second Amended SLR Loan Agreement”), with SLR. Pursuant to the Second Amendment:

our minimum net product revenue covenant was modified for the remainder of 2022;
a minimum liquidity covenant of $20.0 million was added;
the London Interbank Offered Rate was replaced with the Secured Overnight Financing Rate (the “SOFR”);
the exit fee was increased from 6.95% to 7.45% of the aggregate principal amount of the Second Amended SLR Loan Agreement; and
the SLR Term B Loan Facility and related facility fee were eliminated.

Concurrently with the closing of the Second Amendment, we amended and restated SLR’s warrants to purchase 13,421 shares of our common stock to reset the exercise price to $13.04 per share.

On November 22, 2022 (the “Third Amendment Effective Date”), we entered into an Amendment No. 3 to the SLR Loan Agreement (the “Third Amendment,” together with the Second Amended SLR Loan Agreement, as amended, the “Third Amended SLR Loan Agreement”) with SLR. Pursuant to the Third Amendment;

our minimum net product revenue covenant was modified for 2023;
the minimum liquidity covenant was reduced to $5 million from $20 million (the “Amended Liquidity Covenant”); and
an option was added, at our sole discretion, to pay up to 8% of the interest under the Third Amended SLR Loan Agreement in-kind (rather than solely in cash as provided for prior to the Third Amendment Effective Date) during 2023 (the “PIK Interest”), subject to payment of a fee equal to 10% of the PIK Interest, and the issuance of additional warrants to the lenders equal to 5% of the PIK Interest.

In addition, the Third Amendment provided that if we raised $15 million of net cash equity proceeds (the “Equity Raise”) prior to July 1, 2023, the 2023 minimum revenue covenant would be waived and we need only demonstrate net product revenue of at least $25 million (tested on trailing six-month basis for the period ending September 30, 2023) for the fiscal year ending December 31, 2023. Upon satisfaction of the Equity Raise, our PIK Interest option would be reduced to up to 4% of the interest rate under the Third Amended SLR Loan Agreement. Concurrently with the closing of the Third Amendment, we amended and restated SLR’s warrants to purchase 13,421 shares of our common stock to reset the exercise price to $3.84 per share.

On February 10, 2023 (the “Fourth Amendment Effective Date”), we entered into an Amendment No. 4 to the SLR Loan Agreement (the “Fourth Amendment,” together with the Third Amended SLR Loan Agreement, the “Fourth Amended SLR Loan Agreement”) with SLR. The Fourth Amendment includes the option for us to pay up to 9% of the interest in-kind (rather than up to 8% as provided for prior to the Fourth Amendment Effective Date) during 2023. Under the Fourth Amendment, the PIK Interest option is reduced to 4% of the interest if we raise $25 million of net cash equity proceeds prior to July 1, 2023 and is further reduced to 0% of the interest if we raise $30 million of net cash equity proceeds prior to January 1, 2024.

40


 

Additionally, if we elect PIK Interest of 9%, the amount of warrants to be granted to SLR increases to be 5% times the amount of PIK Interest for the first 4% of the PIK Interest selected and 12.20% times on the next 5% of the amount of PIK Interest selected to provide for a weighted average of 9%, and our monthly interest expense increases by 1% for the month in which such PIK Interest is selected. The Fourth Amendment also provides for a reset of the exercise price of the warrants to be issued in connection with our election of PIK Interest, including existing PIK Warrants, equal to the lower of our closing stock price for (a) the 10-day trailing average closing price ending on the day before the interest payment date, (b) the day before the interest payment date, or (c) $9.36 per share.

On April 17, 2023, we entered into an Amendment No. 5 to the SLR Loan Agreement (the “Fifth Amendment,” together with the Fourth Amended SLR Loan Agreement, the “Fifth Amended SLR Loan Agreement”)) with SLR to exclude our Singapore subsidiary operating account from the requirement of a control agreement in favor of SLR, provided the account balance is the lower of (i) $250,000 or (ii) the amount required to fund expenditures therefrom within the next ten business days. The Fifth Amendment also contains other customary provisions, such as expense reimbursement.

Pursuant to the Fifth Amended SLR Loan Agreement, advances under the Fifth Amended SLR Loan Agreement bear interest at a floating rate per annum equal to (a) the greater of (i) 1.00% or (ii) the one-month SOFR, plus (b) (i) 8.30% under a PIK Interest option of 4% or 0%, or (ii) 9.30% under a PIK Interest option of 9%. At September 30, 2023, the interest rate was 14.73%. We paid interest in-kind totaling $2.4 million and $7.0 million during the three and nine months ended September 30, 2023, respectively. The outstanding balance under the Fifth Amended SLR Loan Agreement was $106.9 million at September 30, 2023. The Fifth Amended SLR Loan Agreement provides for interest-only payments for the first 48 months following the Effective Date. Thereafter, principal payments on the Fifth Amended SLR Loan Agreement are due monthly in 12 equal installments; provided that we have the option to extend the interest-only period for an additional 12 months upon achievement of a certain minimum revenue level as more fully described in the Fifth Amended SLR Loan Agreement. The Fifth Amended SLR Loan Agreement will mature on February 1, 2027 (the “Maturity Date”). The Fifth Amended SLR Loan Agreement may be prepaid in full, subject to a prepayment charge of (i) 2.0%, if such prepayment occurs after February 18, 2023 but on or prior to February 17, 2024, and (ii) 1.0%, if such prepayment occurs after February 18, 2024 but on or prior to the Maturity Date (the “Prepayment Penalty”). In addition to the payment of principal and accrued interest, we will be required to make a payment of 7.45% of the aggregate principal amount of the Fifth Amended SLR Loan Agreement funded (the “Facility Exit Fee”), which is payable on the earliest to occur of (i) the Maturity Date, (ii) the acceleration of the Fifth Amended SLR Loan Agreement prior to the Maturity Date, and (iii) the prepayment date of the Fifth Amended SLR Loan Agreement prior to the Maturity Date. The Facility Exit Fee of $7.5 million is considered fully earned by SLR as of the Effective Date and is being accrued to interest expense over the term of the Fifth Amended SLR Loan Agreement. In connection with the Fifth Amended SLR Loan Agreement, we have incurred direct financing costs related to fees and non-cash consideration paid to SLR, and fees paid to third parties of $2.1 million and $1.6 million, respectively, as of September 30, 2023. The Fifth Amended SLR Loan Agreement is secured by a lien on substantially all of our assets, including intellectual property.

The Fifth Amended SLR Loan Agreement contains customary covenants and representations, including, without limitation, a minimum revenue covenant equal to a percentage of each month’s forecasted net product revenue as defined in the Fifth Amended SLR Loan Agreement (tested on a trailing six month basis at the end of each fiscal month, commencing with the six month period ending on August 31, 2022), the Amended Liquidity Covenant, and other financial covenants, reporting obligations, and limitations on dispositions, changes in business or ownership, mergers or acquisitions, indebtedness, encumbrances, distributions and investments, transactions with affiliates and capital expenditures. As of September 30, 2023, we were in compliance with all financial covenants under the Fifth Amended SLR Loan Agreement.

The events of default under the Fifth Amended SLR Loan Agreement include, without limitation, and subject to customary grace periods, (1) our failure to make any payments of principal or interest under the Fifth Amended SLR Loan Agreement or any other loan documents, (2) our breach or default in the performance of any covenant under the Fifth Amended SLR Loan Agreement, (3) the occurrence of a material adverse effect or an event that is reasonably likely to result in a material adverse effect, (4) the existence of an attachment or levy on a material portion of our funds or of our subsidiaries, (5) our insolvency or bankruptcy, or (6) the occurrence of certain material defaults with respect to any other of our indebtedness in excess of $500,000. If an event of default occurs, SLR is entitled to take enforcement action, including an incremental 5% interest rate increase or acceleration of amounts due under the Fifth Amended SLR Loan Agreement (the “Mandatory Prepayment Option”). We determined the Mandatory Prepayment Option to be an embedded derivative that is required to be bifurcated from the Fifth Amended SLR Loan Agreement. We determined the combined probability of an event of default and SLR exercising the Mandatory Prepayment Option to be remote and deemed its fair value to be immaterial as of September 30, 2023. We re-evaluate the fair value of the Mandatory Prepayment Option at the end of each reporting period.

The Fifth Amended SLR Loan Agreement also contains other customary provisions, such as expense reimbursement and confidentiality. SLR has indemnification rights and the right to assign the Fifth Amended SLR Loan Agreement, subject to customary restrictions.

41


 

On February 18, 2022, we used $47.4 million of the SLR Term A Loan Facility to pay off all obligations owing under, and to terminate, our prior Loan and Security Agreement (the “CIBC Loan Agreement”) with CIBC which provided for a revolving loan facility of $12.0 million and a term loan facility of $40.0. million. As a result of the termination of the CIBC Loan Agreement, we recorded a loss on extinguishment of debt of $1.1 million, which included the prepayment penalty, write-off of the remaining unamortized deferred financing costs, and legal fees during the first quarter of 2022.

Critical Accounting Policies and Practices

The preparation of the condensed consolidated financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the amounts reported in the condensed financial statements and accompanying notes included elsewhere in this Quarterly Report on Form 10-Q. Management believes that such estimates have been based on reasonable and supportable assumptions and the resulting estimates are reasonable for use in the preparation of the condensed consolidated financial statements. Actual results could differ from these estimates.

Critical accounting policies are defined as those that are reflective of significant judgements and uncertainties, the most important and pervasive accounting policies used and areas most sensitive to material changes from external factors. The critical accounting policies that we believe affect our more significant judgements and estimates used in the preparation of our condensed consolidated financial statements presented in this Quarterly Report on Form 10-Q are described in Management’s Discussion and Analysis of Financial Condition and Results of Operations and in the Notes to our Consolidated Financial Statements included in our Annual Report on Form 10-K for the year ended December 31, 2022.

Recent Accounting Pronouncements

A discussion of recent accounting pronouncements is included in Note 2 to our condensed consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q.

Non-GAAP Financial Measures

In this Quarterly Report on Form 10-Q, we use certain non-GAAP financial measures, including non-GAAP net revenue excluding Vapotherm Access and the growth of non-GAAP net revenue excluding Vapotherm Access. These non-GAAP financial measures are presented to provide investors additional information to facilitate the comparison of our past and present operations. We believe these non-GAAP financial measures provide useful information to investors because they are used to evaluate our performance on a comparable year-over-year basis. These non-GAAP financial measures are not in accordance with, or an alternative for, GAAP measures and may be different from non-GAAP financial measures used by other companies. In addition, these non-GAAP financial measures are not based on any comprehensive or standard set of accounting rules or principles. Accordingly, the calculation of our non-GAAP financial measures may differ from the definitions of other companies using the same or similar names limiting, to some extent, the usefulness of such measures for comparison purposes. Non-GAAP financial measures have limitations in that they do not reflect all of the amounts associated with our financial results as determined in accordance with GAAP. These measures should only be used to evaluate our financial results in conjunction with the corresponding GAAP measures. Accordingly, we qualify our use of non-GAAP financial information in a statement when non-GAAP financial information is presented.

The following table contains a reconciliation of net revenue to non-GAAP net revenue excluding Vapotherm Access for each of the three and nine months ended September 30, 2023 and 2022 and the growth of such net revenue and non-GAAP net revenue excluding Vapotherm Access over the prior year periods. Non-GAAP net revenue excluding Vapotherm Access and the growth of non-GAAP net revenue excluding Vapotherm Access are non-GAAP financial measures we use as supplemental measures in evaluating revenue performance. We completed our exit from the Vapotherm Access call center business in October 2022 and we believe the measures are relevant and useful to investors in understanding the change in our revenues on a comparable basis over the prior year periods. We define non-GAAP net revenue excluding Vapotherm Access as net revenue less net revenue of the Vapotherm Access call center business.

 

 

Three Months Ended September 30,

 

 

Change

 

 

 

2023

 

 

2022

 

 

$

 

 

%

 

(Unaudited)

 

(in thousands, except percentages)

 

GAAP net revenue

 

$

15,167

 

 

$

13,545

 

 

$

1,622

 

 

 

12.0

%

Vapotherm Access net revenue

 

 

-

 

 

 

(653

)

 

 

653

 

 

 

(100.0

)%

Non-GAAP net revenue excluding Vapotherm Access

 

$

15,167

 

 

$

12,892

 

 

$

2,275

 

 

 

17.6

%

 

42


 

 

 

Nine Months Ended September 30,

 

 

Change

 

 

 

2023

 

 

2022

 

 

$

 

 

%

 

(Unaudited)

 

(in thousands, except percentages)

 

GAAP net revenue

 

$

48,935

 

 

$

48,138

 

 

$

797

 

 

 

1.7

%

Vapotherm Access net revenue

 

 

-

 

 

 

(2,687

)

 

 

2,687

 

 

 

(100.0

)%

Non-GAAP net revenue excluding Vapotherm Access

 

$

48,935

 

 

$

45,451

 

 

$

3,484

 

 

 

7.7

%

 

43


 

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Interest Rate Risk

Our exposure to interest rate risk arises primarily from variable interest rates applicable to borrowings under our Fifth Amended SLR Loan Agreement and interest rates associated with our invested cash balances. Borrowings under our Fifth Amended SLR Loan Agreement bear interest at a floating rate per annum equal to (a) the greater of (i) 1.00% or (ii) the one month Secured Overnight Financing Rate (the “SOFR Rate”), plus (b) (i) 8.30% under a PIK Interest option of 4% or 0%, or (ii) 9.30% under a PIK Interest option of 9%. At September 30, 2023, the interest rate was 14.73%. As of September 30, 2023, borrowings under our Fifth Amended SLR Loan Agreement totaled $106.9 million. Based on our outstanding borrowings and the SOFR Rate, a 100 basis point increase in the annual interest rate on our outstanding borrowings would have a $1.1 million impact on our interest expense on an annual basis.

On September 30, 2023, we had cash invested in money market deposits of $4.3 million. We believe that a 10 basis point change in interest rates is reasonably possible in the near term. Certain of our cash and cash equivalents balances are exposed to credit loss for the amounts that exceed FDIC insured limits. We place our cash and cash equivalents in what we believe to be credit-worthy financial institutions. Based on our current level of cash investments, an increase or decrease of 10 basis points in interest rates would have less than a $0.1 million impact to our interest income on an annual basis.

Foreign Currency Risk

For our non-U.S. subsidiaries that transact in a functional currency other than the U.S. dollar, assets and liabilities are translated at current rates of exchange as of the balance sheet date. In addition, we engage in other foreign operations that transact in currencies other than the U.S. dollar. Our principal exchange rate risk is between the U.S. dollar, the British pound sterling and the Mexican peso, and to a lesser extent, the euro, and the Singapore dollar. Adjustments resulting from the translation of the financial statements of our non-U.S. subsidiaries’ foreign operations into U.S. dollars are excluded from the determination of net loss and are recorded in accumulated other comprehensive loss, a separate component of stockholders’ deficit. Income and expense items are translated at the average foreign currency exchange rates for the period. Transaction gains and losses resulting from currency fluctuations related to our other foreign operations are included in the determination of our net loss. As a result, our financial condition and operating results are affected by fluctuations in the value of the U.S. dollar as compared to the British pound sterling the Mexican peso, and to a lesser extent, the euro, and the Singapore dollar. Revenue denominated in currencies other than the U.S. dollar represented approximately 9.0% and 7.8% of consolidated net revenue for the three months ended September 30, 2023 and 2022, respectively. Revenue denominated in currencies other than the U.S. dollar represented approximately 8.0% and 6.9% of consolidated net revenue for the nine months ended September 30, 2023 and 2022, respectively. Total assets denominated in currencies other than the U.S. dollar represented approximately 7.6% and 5.5% of our total assets at September 30, 2023 and December 31, 2022, respectively. There were no material assets denominated in the Mexican peso at September 30, 2023 or December 31, 2022. Given the immateriality of net revenues and assets denominated in currencies other than the U.S. dollar, a 10% fluctuation in exchange rates would have an immaterial impact to our consolidated net revenues and consolidated total assets. We do not use foreign exchange contracts or derivatives to hedge any foreign currency exposures.

Inflation Risk

Many of the commodities used in the production and transportation of our products are purchased in the open market. The prices we pay for such items are subject to fluctuation, and we manage this risk through the use of purchase orders and pricing agreements. During the three and nine months ended September 30, 2023, we continued to experience inflationary pressures on transportation and commodities costs, which we expect to continue for the remainder of 2023. A number of external factors, including adverse weather conditions, supply chain disruptions (including raw material shortages) and labor shortages, have impacted and may continue to impact transportation and commodities costs. When prices increase, we may or may not pass on such increases to our customers without suffering reduced volume, revenue, margins and operating results.

Concentration of Credit Risk

Financial instruments that potentially expose us to concentration of credit risk consist primarily of cash, cash equivalents and restricted cash. We maintain our cash balances primarily with Canadian Imperial Bank of Commerce Innovation Banking and Bank of America, N.A. These balances generally exceed FDIC limits. We have not experienced any losses in such accounts and believe we are not exposed to any significant credit risk in cash, cash equivalents and restricted cash.

44


 

ITEM 4. CONTROLS AND PROCEDURES

(a)
Evaluation of Disclosure Controls and Procedures

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of our disclosure controls and procedures as of September 30, 2023. The term “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act, means controls and other procedures of a company that are designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is accumulated and communicated to the company’s management, including its principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure. Management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving their objectives and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures. Based on the evaluation of our disclosure controls and procedures as of September 30, 2023, our Chief Executive Officer and Chief Financial Officer concluded that, as of such date, our disclosure controls and procedures were effective at the reasonable assurance level.

(b)
Changes in Internal Control over Financial Reporting

There were no changes in our internal control over financial reporting during the period covered by this Quarterly Report on Form 10-Q that materially affected, or are reasonably likely to materially affect, our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act).

45


 

PART II. OTHER INFORMATION

From time to time, the Company may become involved in various legal proceedings, including those that may arise in the ordinary course of business. The Company believes there is currently no litigation pending that could have, individually, or in the aggregate, a material adverse effect on the results of its operations or financial condition.

ITEM 1A. RISK FACTORS

In addition to the other information set forth in this Quarterly Report on Form 10-Q, you should carefully consider the factors discussed in “Risk Factors” in our 2022 Form 10-K which could materially affect our business, financial condition or future results. Except as set forth below, there have been no material changes from the risk factors previously disclosed in the “Risk Factors” section of our Annual Report on Form 10-K filed with the SEC on February 23, 2023.

If we fail to continue to meet the listing requirements of the NYSE, our common stock may be delisted from the NYSE, and if we are unable to list our common stock on the NYSE or another exchange such as Nasdaq, we could face significant adverse consequences.

Our common stock is listed on the NYSE. The NYSE requires us to continue to meet certain listing standards, including standards related to our global market capitalization, stockholders’ equity and average closing share price. Specifically, the quantitative continued listing standards applicable to us include the following:

Average market capitalization of not less than $50 million over a 30-trading day period and stockholders’ equity of not less than $50 million;
Average market capitalization of not less than $15 million over a 30-trading day period, which is a minimum threshold for continued listing with no plan period available; and
Average closing share price of $1.00 over a 30-trading day period.

We would be considered “below criteria” by NYSE Regulation if we trigger any one of the above standards. If we do not meet the NYSE’s continued listing standards, we will be notified by the NYSE and required to take corrective action to meet the continued listing standards; otherwise our common stock will be delisted from the NYSE. If our common stock is delisted from the NYSE and we are unable to correct this or list our common stock on another exchange such as Nasdaq, we could face significant adverse consequences including:

a reduction in the liquidity and market price of our common stock and the number of investors willing to hold or acquire our common stock, which could negatively impact our ability to access the public capital markets;
a limited availability of market quotations for our common stock;
a determination that our common stock is a “penny stock” which will require brokers trading in our common stock to adhere to more stringent rules and possibly result in a reduced level of trading activity in the secondary trading market for our common stock;
a limited amount of news and analyst coverage for us;
a decreased ability to issue additional securities (including pursuant to short-form registration statements on Form S-3) or obtain additional financing in the future; and
a reduction in the perceived value of our equity compensation plans, which could negatively impact our ability to retain key employees.

As previously disclosed on October 3, 2022, we received written notice from the NYSE that we do not satisfy the listing requirements. In order to avoid delisting, we have 45 days from the receipt of the notice to submit a plan to bring the company into conformity with continued listed standards within 18 months of receipt of the notice. If the plan is not submitted on a timely basis or is not accepted by the NYSE, the NYSE could initiate delisting proceedings. We timely filed a plan to cure this deficiency with the NYSE on November 11, 2022 (the “Plan”). We received a plan acceptance letter from the NYSE indicating it had accepted our previously submitted business plan to cure our non-compliance with our market capitalization requirement. As set forth in the acceptance letter, the NYSE will continue listing our common stock and will perform quarterly reviews for an 18-month period that started September 27, 2022 (the date the delisting notice was received by us) for compliance with the goals and initiatives outlined in

46


 

our business plan, which are consistent with the key initiatives we have publicly disclosed. We will need to achieve the minimum continued listing standards of either average global market capitalization over a consecutive 30 trading-day period of $50 million or total stockholders’ equity of $50 million at the completion of the 18-month period. We may fail to satisfy the required steps and, consequently, fail to maintain the listing of our common stock on the NYSE.

In addition, as previously disclosed, on March 15, 2023, we received notice from the NYSE that we are not in compliance with the continued listing standards set forth in Section 802.01C of the NYSE Listed Company Manual because the average closing price of our common stock was less than $1.00 over a consecutive 30 trading-day period. On September 11, 2023, we received notification from the NYSE that we regained compliance with the minimum share price continued listing standard set forth in Section 802.01C. No assurance can be provided, however, that we will be able to regain compliance with the other applicable NYSE listing standards or otherwise maintain compliance with the NYSE listing standards. Any suspension of trading or delisting of our common stock from the NYSE would reduce liquidity in our common stock and may result in a decline in the market price of our common stock. In addition, our ability to raise additional necessary capital through equity or debt financing, and attract and retain personnel by means of equity compensation, would be impaired.

Adverse developments with respect to the stability of financial institutions we do business with, or unstable banking, credit and/or capital market conditions generally, or the perception thereof, could adversely affect our ability to access cash, obtain additional financing, restructure or refinance our indebtedness, or meet our liquidity and debt service requirements.

The potential future disruptions in access to bank deposits or lending commitments due to bank failure, could materially and adversely affect our liquidity, business, financial condition and stock price. The closures of Silicon Valley Bank and Signature Bank and their placement into receivership with the Federal Deposit Insurance Corporation (“FDIC”) created bank-specific and broader financial institution liquidity risk and concerns. Although the Department of the Treasury, the Federal Reserve, and the FDIC jointly released a statement that depositors at Silicon Valley Band and Signature Bank would have access to their funds, even those in excess of the standard FDIC insurance limits, future adverse developments with respect to specific financial institutions or the broader financial services industry may lead to market-wide liquidity shortages. Although we did not have deposits at Silicon Valley Bank or Signature Bank, the failure of any bank in which we deposit our funds or otherwise do business could reduce the amount of cash we have available to fund our operations or delay our ability to access such funds. Any such failure may increase the possibility of a sustained deterioration of financial market liquidity, or illiquidity at clearing, cash management and/or custodial financial institutions. In the event we have a commercial relationship with a bank or lender that has failed or is otherwise distressed or if other banks and financial institutions enter receivership or become insolvent in the future, we may experience delays or other issues in accessing our cash and meeting our financial obligations. In addition, any future unstable banking, credit and/or capital market conditions could also adversely affect our ability to obtain additional financing, restructure or refinance our indebtedness, or meet our liquidity and debt service requirements.

We recently received notice from a “Vapotherm Access” technology licensor claiming our exclusive license had terminated due to our failure to use reasonable efforts to commercialize the licensed technology. Although we dispute this contention vehemently and believe the licensor has ulterior motives, termination of the license could delay the commercial launch of our home product and, if the purported termination results in litigation, could result in additional expense and management distraction, regardless of outcome.

We are successor in interest to the 2012 exclusive license agreement between Temple University and HGE Health Care Solutions LLC (“HGE”), which we acquired in 2020. Briefly summarized, the agreement exclusively licensed to HGE (and now to us) certain intellectual property designed to predict COPD exacerbations using remote patient monitoring. This licensed technology was used in the Vapotherm Access call center business which we exited in 2022 and is also incorporated in the home based device we have been actively developing at our Technology Center in Singapore. We recently completed proof of concept testing of the digital solution that supports the home device with Vapotherm Access at Temple University Medical Center. Despite our active development of a home device incorporating the technology licensed from Temple, and our ongoing collaboration with Temple Medical Center in the development of this product, we recently received a notice from Temple declaring the license terminated, allegedly due to our failure to use reasonable efforts to commercialize the licensed technology. Prior to sending the notice, and despite being party to a valid and existing exclusive license agreement, Temple had sought to enter into a new license agreement with us which would have, among other things, narrowed our exclusive field of use. We did not enter into the new license Temple proposed. In addition to declaring the existing license terminated, Temple also claimed unpaid royalties. We are analyzing this contention and believe any amounts which may be due (if any) are not material. We remain hopeful of an amicable resolution of this dispute and plan to defend our rights vigorously should this not occur. Termination of the Temple license agreement could delay the launch of our home based device and, should litigation ensue, litigation costs could have a material adverse effect on our business and financial results, regardless of outcome.

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ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

During the third quarter of 2023, the Company granted SLR Investment Corp. (“SLR”) warrants to purchase an aggregate of 66,990 shares of common stock in connection with the PIK Interest option under the Company’s Loan and Security Agreement, as amended, with SLR (collectively, the “PIK Warrants”). The PIK Warrants had a weighted average exercise price of $2.68 per share on the date of grant, were fully vested upon issuance, are exercisable at the option of the holder, in whole or in part, and have expiration dates ranging from July 3, 2033 through September 1, 2033. The offer and sale of the PIK Warrants was made by the Company in reliance on an exemption from the registration requirements provided under Section 4(a)(2) of the Securities Act of 1933, as amended, and in connection therewith, relied upon representations made by SLR.

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ITEM 6. EXHIBITS

The following exhibits are either being filed or furnished with this Quarterly Report on Form 8-K or incorporated herein by reference:

EXHIBIT INDEX

 

Exhibit

Number

 

Description

 

 

 

  3.1

 

Tenth Amended and Restated Certificate of Incorporation of Vapotherm, Inc. (previously filed as Exhibit 3.1 to the Current Report on Form 8-K filed on November 20, 2018 (File No. 001-38740) and incorporated herein by reference)

 

 

 

  3.2

 

Certificate of Amendment to Tenth Amended and Restated Certificate of Incorporation of Vapotherm, Inc. (previously filed as Exhibit 3.1 to the Current Report on Form 8-K filed on June 24, 2020 (File No. 001-38740) and incorporated herein by reference)

 

 

 

  3.3

 

Certificate of Amendment to Tenth Amended and Restated Certificate of Incorporation of Vapotherm, Inc. (previously filed as Exhibit 3.1 to the Current Report on Form 8-K filed on August 17, 2023 (File No. 001-38740) and incorporated herein by reference)

 

 

 

  4.1

 

Form of Warrant to Purchase Common Stock of Vapotherm, Inc. Issued to SLR Investment Corp. as Payment in Kind Interest under Loan and Security Agreement (filed herewith)

 

 

 

  10.1

 

Transactional Memorandum of Understanding dated September 26, 2023 between Vapotherm, Inc. and Gregoire Ramade (filed herewith)

 

 

 

  31.1

 

Certification of Chief Executive Officer pursuant to Exchange Act Rules 13a-14(a) and 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith)

 

 

 

  31.2

 

Certification of Chief Financial Officer pursuant to Exchange Act Rules 13a-14(a) and 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith)

 

 

 

  32.1

 

Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (furnished herewith)

 

 

 

  32.2

 

Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (furnished herewith)

 

 

 

101.INS

 

Inline XBRL Instance Document (the instance document does not appear in the interactive data file because its XBRL tags are embedded within the inline XBRL document)

 

 

 

101.SCH

 

Inline XBRL Taxonomy Extension Schema Document (filed herewith)

 

 

 

101.CAL

 

Inline XBRL Taxonomy Extension Calculation Linkbase Document (filed herewith)

 

 

 

101.DEF

 

Inline XBRL Taxonomy Extension Definition Linkbase Document (filed herewith)

 

 

 

101.LAB

 

Inline XBRL Taxonomy Extension Label Linkbase Document (filed herewith)

 

 

 

101.PRE

 

Inline XBRL Taxonomy Extension Presentation Linkbase Document (filed herewith)

 

 

 

104

 

Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

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SIGNATURES

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

 

 

VAPOTHERM, INC.

 

 

 

November 8, 2023

By:

/s/ Joseph Army

 

 

Joseph Army

 

 

President and Chief Executive Officer

 

November 8, 2023

By:

/s/ John Landry

 

 

John Landry

 

 

Senior Vice President and Chief Financial Officer

 

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Exhibit 4.1

FINAL

THIS WARRANT AND THE SHARES ISSUABLE HEREUNDER HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “ACT”), OR THE SECURITIES LAWS OF ANY STATE AND, EXCEPT AS SET FORTH IN SECTIONS 5.3 AND 5.5 BELOW, MAY NOT BE OFFERED, SOLD, PLEDGED OR OTHERWISE TRANSFERRED UNLESS AND UNTIL REGISTERED UNDER SAID ACT AND LAWS OR IN FORM AND SUBSTANCE SATISFACTORY TO THE COMPANY, SUCH OFFER, SALE, PLEDGE OR OTHER TRANSFER IS EXEMPT FROM SUCH REGISTRATION.

WARRANT TO PURCHASE STOCK

Company: Vapotherm, Inc., a Delaware corporation

Type/Series of Stock: Common Stock of the Company (“Common Stock”)

Number of Shares: [•]

Warrant Price: $[•] per share

Issue Date: [•]

Expiration Date: [•] (See also Section 5.1(b))

Credit Facility: This Warrant to Purchase Stock (“Warrant”) is issued in connection with that certain Loan and Security Agreement, dated as of February 18, 2022, among SLR Investment Corp., a Maryland corporation with an office located at 500 Park Avenue, 3rd Floor, New York, NY (“SLR”), as collateral agent, the lenders party thereto from time to time including SLR in its capacity as a lender, the Company, HGE Health Care Solutions, LLC, a Delaware limited liability company, Vapotherm Access Care Management Network, LLC, a Delaware limited liability company, and Vapotherm Access Management Services, LLC, an Oklahoma limited liability company (as amended, restated, or otherwise modified from time to time, the “Loan Agreement”).

THIS WARRANT CERTIFIES THAT, for good and valuable consideration, [•] (together with any successor or permitted assignee or transferee of this Warrant or of any shares issued upon exercise hereof, “Holder”) is entitled to purchase the number of fully paid and non-assessable shares (the “Shares”) of the above-stated Type/Series of Stock (the “Class”) of the above-named company (the “Company”) at the above-stated Warrant Price, all as set forth above and as adjusted pursuant to SECTION 2 of this Warrant, subject to the provisions and upon the terms and conditions set forth in this Warrant.

SECTION 1
EXERCISE.
1.1
Method of Exercise.
(a)
Holder may at any time and from time to time through the Expiration Date exercise this Warrant, in whole or in part, by delivering to the Company the original of this Warrant

 


 

 

together with a duly executed Notice of Exercise in substantially the form attached hereto as Appendix 1 and, unless Holder is exercising this Warrant pursuant to a cashless exercise set forth in Section 1.2, a check, wire transfer of same-day funds (to an account designated by the Company), or other form of payment acceptable to the Company for the aggregate Warrant Price for the Shares being purchased.
(b)
Delivery of Shares Upon Exercise. As promptly as practicable after the Company receives the duly executed Notice of Exercise and payment of the Warrant Price for the exercised Shares in the manner set forth in Section 1.1 or 1.2 of this Warrant, as applicable, the Company shall deliver to Holder the Shares purchased hereunder upon such exercise.
1.2
Cashless Exercise. On any exercise of this Warrant, in lieu of payment of the aggregate Warrant Price in the manner as specified in Section 1.1 above, but otherwise in accordance with the requirements of Section 1.1, Holder may elect to receive Shares equal to the value of this Warrant, or portion hereof as to which this Warrant is being exercised in accordance with this Section 1.2 (a “Cashless Exercise”). Thereupon, the Company shall issue to the Holder such number of fully paid and non-assessable Shares, rounded down to the nearest whole number, as are computed using the following formula:

X = Y(A-B)/A

where:

X = the number of Shares to be issued to the Holder;

Y = the number of Shares with respect to which this Warrant is being exercised (inclusive of the Shares surrendered to the Company in payment of the aggregate Warrant Price);

A = the Fair Market Value (as determined pursuant to Section 1.3 below) of one Share; and

B = the Warrant Price.

1.3
Fair Market Value. If the Common Stock is then traded or quoted on a nationally recognized securities exchange, inter-dealer quotation system or over-the-counter market (a “Trading Market”) and the Class is Common Stock, the fair market value of a Share shall be the closing price or last sale price of a share of Common Stock reported for the Business Day immediately before the date on which Holder delivers this Warrant together with its Notice of Exercise to the Company. If the Common Stock is not traded in a Trading Market, the Board of Directors of the Company shall determine the fair market value of a Share in its reasonable good faith judgment.
1.4
Delivery of New Warrant. Promptly after Holder exercises this Warrant in the manner set forth in Sections 1.1 and/or 1.2 above, if this Warrant has not been fully exercised and has not expired, the Company shall deliver to Holder a new warrant of like tenor representing the Shares not so acquired.
1.5
Replacement of Warrant. On receipt of evidence reasonably satisfactory to the Company of the loss, theft, destruction or mutilation of this Warrant and, in the case of loss, theft or destruction, on delivery of an indemnity agreement and bond reasonably satisfactory in form, substance and amount to the Company or, in the case of mutilation, on surrender of this Warrant to the Company for

2

 


 

 

cancellation, the Company shall, within a reasonable time, execute and deliver to Holder, in lieu of this Warrant, a new warrant of like tenor and amount.
1.6
Treatment of Warrant Upon Acquisition of Company.
(a)
Acquisition. For the purpose of this Warrant, “Acquisition” means any transaction or series of related transactions involving: (i) the sale, lease, exclusive license or other disposition of all or substantially all of the assets of the Company; (ii) any merger or consolidation of the Company into or with another person or entity (other than a merger or consolidation effected exclusively to change the Company’s domicile), or any other corporate reorganization, in which the stockholders of the Company in their capacity as such immediately prior to such merger, consolidation or reorganization, own less than a majority of the Company’s (or the surviving or successor entity’s) outstanding voting power immediately after such merger, consolidation or reorganization; or (iii) any sale or other transfer by the stockholders of the Company of shares representing at least a majority of the Company’s then-total outstanding combined voting power. For the avoidance of any doubt, an Acquisition shall not include any transaction or series of transactions principally for bona fide equity financing purposes.
(b)
Treatment of Warrant at Acquisition. In the event of an Acquisition in which the consideration to be received by the Company’s stockholders consists solely of cash, solely of Marketable Securities or a combination of cash and Marketable Securities (a “Cash/Public Acquisition”), and the fair market value of one Share as determined in accordance with Section 1.3 above would be greater than the Warrant Price in effect on such date immediately prior to such Cash/Public Acquisition, and Holder has not exercised this Warrant pursuant to Section 1.1 above as to all Shares, then this Warrant shall automatically be deemed to be Cashless Exercised pursuant to Section 1.2 above as to all Shares effective immediately prior to and contingent upon the consummation of a Cash/Public Acquisition. In connection with such Cashless Exercise, Holder shall be deemed to have restated each of the representations and warranties in SECTION 4 of the Warrant as the date thereof, and the Company shall promptly notify the Holder of the amount of cash or number of securities issued upon exercise. In the event of a Cash/Public Acquisition where the fair market value of one Share as determined in accordance with Section 1.3 above would be less than the Warrant Price in effect immediately prior to such Cash/Public Acquisition, then this Warrant will expire without value or payment immediately prior to the consummation of such Cash/Public Acquisition and shall no longer be exercisable.
(c)
Upon the closing of any Acquisition other than a Cash/Public Acquisition defined above, the acquiring, surviving or successor entity shall assume the obligations of this Warrant, and this Warrant shall thereafter be exercisable for the same securities and/or other property as would have been paid for the Shares issuable upon exercise of the unexercised portion of this Warrant as if such Shares were outstanding on and as of the closing of such Acquisition, subject to further adjustment from time to time in accordance with the provisions of this Warrant.
(d)
As used in this Warrant, “Marketable Securities” means securities meeting all of the following requirements: (i) the issuer thereof is then subject to the reporting requirements of Section 13 or Section 15(d) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and is then current in its filing of all required reports and other information under the Securities Act of 1933, as amended (the “Act”) and the Exchange Act; (ii) the class and series of shares or other security of the issuer that would be received by Holder in connection with the Acquisition were Holder to exercise this Warrant on or immediately following the closing thereof will be traded in a Trading Market; and (iii) Holder would be able to publicly re-sell, within six (6) months following the closing of such Acquisition, all of the

3

 


 

 

issuer’s shares and/or other securities that would be received by Holder in such Acquisition, except to the extent that any such restriction (x) arises solely under federal or state securities laws, rules or regulations, and (y) does not extend beyond six (6) months from the closing of such Acquisition.
SECTION 2
ADJUSTMENTS TO THE SHARES AND WARRANT PRICE.
2.1
Stock Dividends, Splits, Etc. If the Company declares or pays a dividend or distribution on the outstanding shares of the Class payable in Common Stock or other securities or property (other than cash), then upon exercise of this Warrant, for each Share acquired, Holder shall receive, without additional cost to Holder, the total number and kind of securities and property which Holder would have received had Holder owned the Shares of record as of the date the dividend or distribution occurred. If the Company subdivides the outstanding shares of the Class by reclassification or otherwise into a greater number of shares, the number of Shares purchasable hereunder shall be proportionately increased and the Warrant Price shall be proportionately decreased, provided the aggregate purchase price shall remain the same. If the outstanding shares of the Class are combined or consolidated, by reclassification or otherwise, into a lesser number of shares, the Warrant Price shall be proportionately increased and the number of Shares shall be proportionately decreased, provided the aggregate purchase price shall remain the same.
2.2
Reclassification, Exchange, Combinations or Substitution. Upon any event, other than an Acquisition, whereby all of the outstanding shares of the Class are reclassified, exchanged, combined, substituted, or replaced for, into, with or by Company securities of a different class and/or series, then from and after the consummation of such event, this Warrant will be exercisable for the number, class and series of Company securities that Holder would have received had the Shares been outstanding on and as of the consummation of such event, provided the aggregate purchase price shall remain the same and subject to further adjustment thereafter from time to time in accordance with the provisions of this Warrant. The provisions of this Section 2.2 shall similarly apply to successive reclassifications, exchanges, combinations, substitutions, replacements or other similar events.
2.3
No Fractional Share. No fractional Share shall be issuable upon exercise of this Warrant and the number of Shares to be issued shall be rounded down to the nearest whole Share. If a fractional Share interest arises upon any exercise of the Warrant, the Company shall eliminate such fractional Share interest by paying Holder in cash the amount computed by multiplying the fractional interest by (a) the fair market value (as determined in accordance with Section 1.3 above) of a full Share, less (b) the then-effective Warrant Price.
2.4
Notice/Certificate as to Adjustments. Upon each adjustment of the Warrant Price, Class and/or number of Shares, the Company, at the Company’s expense, shall notify Holder in writing within a reasonable time setting forth the adjustments to the Warrant Price, Class and/or number of Shares and facts upon which such adjustment is based. The Company shall, upon written request from Holder, furnish Holder with a certificate of its Chief Executive Officer or Chief Financial Officer, including computations of such adjustment and the Warrant Price, Class and number of Shares in effect upon the date of such adjustment.
SECTION 3
REPRESENTATIONS AND COVENANTS OF THE COMPANY.
3.1
Representations and Warranties. The Company represents and warrants to, and agrees with, the Holder as follows:

4

 


 

 

(a)
This Warrant is duly authorized and validly issued, and all shares which may be issued upon the exercise of this Warrant, and all securities, if any, issuable upon conversion of the Shares, shall, upon issuance, be duly authorized, validly issued, fully paid and non-assessable, and free of any taxes, liens, charges and encumbrances except for (i) such taxes or charges that the Company is not responsible for as provided for in Section 5.8 and (ii) restrictions on transfer provided for herein or under applicable federal and state securities laws. The Company covenants that it shall at all times cause to be reserved and kept available out of its authorized and unissued capital stock such number of shares of Common Stock and other securities as will be sufficient to permit the exercise in full of this Warrant and the conversion of the Shares into Common Stock or such other securities.
(b)
The Company’s capitalization as disclosed in its filings with the Commission is true and complete, in all material respects, as of the Issue Date.
(c)
The Company has all requisite corporate power and authority, and has taken all requisite corporate action, to execute and deliver this Warrant, sell and issue the Shares and carry out and perform all of its obligations under this Warrant. If at any time the Company does not have a sufficient number of Shares authorized and available, then the Company shall take such corporate action as may, in the opinion of its counsel, be necessary to increase its authorized but unissued shares of Common Stock or other securities to such number of shares or other securities as shall be sufficient for such purposes. This Warrant constitutes the legal, valid and binding obligation of the Company, enforceable in accordance with its terms, except (i) as limited by applicable bankruptcy, insolvency, reorganization, moratorium or similar laws relating to or affecting the enforcement of creditors’ rights generally and (ii) as limited by equitable principles generally, including any specific performance.
(d)
No consent, approval, order or authorization of, or registration, qualification, designation, declaration or filing with, any federal, state, or local governmental authority on the part of the Company is required in connection with the consummation of the transactions contemplated by this Warrant except for (i) the filing of a Form D with the Securities and Exchange Commission (the “Commission”) under the Securities Act and compliance with the securities and blue sky laws in the states and other jurisdictions in which shares of Common Stock are offered and/or sold, which compliance will be effected in accordance with such laws, (ii) the approval by the New York Stock Exchange (“NYSE”) of the listing of the Shares and (iii) the filing of one or more registration statements and all amendments thereto with the Commission.
(e)
Neither the execution, delivery or performance of this Warrant by the Company nor the consummation of any of the transactions contemplated thereby (including, without limitation, the issuance and sale by the Company of the Shares) will conflict with, result in a breach or violation of, or imposition of any lien, charge or encumbrance upon any property or assets of the Company pursuant to, (i) the charter or by-laws of the Company, (ii) the terms of any indenture, contract, lease, mortgage, deed of trust, note agreement, loan agreement or other agreement, obligation, condition, covenant or instrument to which the Company is a party or bound or to which its or their property is subject, or (iii) any statute, law, rule, regulation, judgment, order or decree applicable to the Company of any court, regulatory body, administrative agency, governmental body, arbitrator or other authority having jurisdiction over the Company or any of its properties, except in the case of clauses (ii) and (iii) above, for any conflict, breach or violation of, or imposition that would not, individually or in the aggregate have (x) a material adverse effect on the validity or enforceability of this Warrant, (y) a material adverse effect on the condition (financial or otherwise), earnings, business or properties of the Company, or (z) a material adverse effect

5

 


 

 

on the Company’s ability to perform in any material respect its obligations under this Warrant (any of (x), (y) or (z)) (a “Material Adverse Effect”).
(f)
The Company is in compliance in all material respects with applicable NYSE continued listing requirements. To the Company’s knowledge, there are no proceedings pending or threatened against the Company relating to the continued listing of the Shares on the NYSE and the Company has not received any notice of, nor to the Company’s knowledge is there any reasonable basis for, the delisting of the Shares from the NYSE.

 

(g)
The Company has not taken, directly or indirectly, any action designed to cause or result in, or that has constituted or that might reasonably be expected to constitute the stabilization or manipulation of the price of any securities of the Company in the fifteen days prior to the issuance of this Warrant.

 

3.2
Notice of Certain Events. If the Company proposes at any time to:
(a)
declare any dividend or distribution upon the outstanding shares of the Class or Common Stock, whether in cash, property, stock, or other securities and whether or not a regular cash dividend;
(b)
offer for subscription or sale pro rata to the holders of the outstanding shares of the Class any additional shares of any class or series of the Company’s stock (other than pursuant to contractual pre-emptive rights);
(c)
effect any reclassification, exchange, combination, substitution, reorganization or recapitalization of the outstanding shares of the Class; or
(d)
effect an Acquisition or to liquidate, dissolve or wind up.

then, in connection with each such event, the Company shall give Holder:

(1)
at least five (5) Business Days prior written notice of the date on which a record will be taken for such dividend, distribution, or subscription rights (and specifying the date on which the holders of outstanding shares of the Class will be entitled thereto) or for determining rights to vote, if any, in respect of the matters referred to in (a) and (b) above; and
(2)
in the case of the matters referred to in (c) and (d) above at least five (5) Business Days prior written notice of the estimated date when the same will take place (and specifying the date on which the holders of outstanding shares of the Class will be entitled to exchange their shares for the securities or other property deliverable upon the occurrence of such event).

The Company will also provide information requested by Holder that is reasonably necessary to enable Holder to comply with Holder’s accounting or reporting requirements.

6

 


 

 

SECTION 4
REPRESENTATIONS AND WARRANTIES OF THE HOLDER.

The Holder represents and warrants to the Company as follows:

4.1
Purchase for Own Account. This Warrant and the securities to be acquired upon exercise of this Warrant by Holder are being acquired for investment for Holder’s account, not as a nominee or agent, and not with a view to the public resale or distribution within the meaning of the Act, and the Holder has no present intention of selling or engaging in any public distribution of the same except pursuant to a registration or exemption. Holder also represents that it has not been formed for the specific purpose of acquiring this Warrant or the Shares.
4.2
Disclosure of Information. Holder is aware of the Company’s business affairs and financial condition and has received or has had full access to all the information it considers necessary or appropriate to make an informed investment decision with respect to the acquisition of this Warrant and its underlying securities. Holder further has had an opportunity to ask questions and receive answers from the Company regarding the terms and conditions of the offering of this Warrant and its underlying securities and to obtain additional information (to the extent the Company possessed such information or could acquire it without unreasonable effort or expense) necessary to verify any information furnished to Holder or to which Holder has access.
4.3
Investment Experience. Holder understands that the purchase of this Warrant and its underlying securities involves substantial risk. Holder has experience as an investor in securities of companies in the development stage and acknowledges that Holder can bear the economic risk of such Holder’s investment in this Warrant and its underlying securities and has such knowledge and experience in financial or business matters that Holder is capable of evaluating the merits and risks of its investment in this Warrant and its underlying securities and/or has a preexisting personal or business relationship with the Company and certain of its officers, directors or controlling persons of a nature and duration that enables Holder to be aware of the character, business acumen and financial circumstances of such persons.
4.4
Accredited Investor Status. Holder is an “accredited investor” within the meaning of Regulation D promulgated under the Act.
4.5
The Act. Holder understands that this Warrant and the Shares issuable upon exercise hereof have not been registered under the Act in reliance upon a specific exemption therefrom, which exemption depends upon, among other things, the bona fide nature of the Holder’s investment intent as expressed herein. Holder understands that this Warrant and the Shares issued upon any exercise hereof must be held indefinitely unless subsequently registered under the Act and qualified under applicable state securities laws, or unless exemption from such registration and qualification are otherwise available. Holder is aware of the provisions of Rule 144 promulgated under the Act.
4.6
No Voting Rights; No Stockholder Rights. Holder, as a Holder of this Warrant, will not have any voting rights or otherwise be entitled to any other rights afforded to a stockholder of the Company, except such rights as are expressly granted herein such as notice and other rights, until the exercise of this Warrant.
4.7
No Short Sales. Holder has not at any time on or prior to the Issue Date engaged in any short sales or equivalent transactions in the Common Stock. Holder agrees that at all times from and after the Issue Date and on or before the expiration or earlier termination of this Warrant, it shall not engage in any short sales or equivalent transactions in the Common Stock.

7

 


 

 

SECTION 5
MISCELLANEOUS.
5.1
Expiration.
(a)
Term and Automatic Conversion Upon Expiration. Subject to the provisions of Section 1.6 above, this Warrant is exercisable in whole or in part at any time and from time to time on or before 6:00 P.M. Pacific time, on the Expiration Date and shall be void thereafter.
(b)
Automatic Cashless Exercise upon Expiration. In the event that, upon the Expiration Date, the fair market value of one Share (or other security issuable upon the exercise hereof) as determined in accordance with Section 1.3 above is greater than the Warrant Price in effect on such date, then this Warrant shall automatically be deemed on and as of such date to be exercised pursuant to Section 1.2 above as to all Shares (or such other securities) for which it shall not previously have been exercised, and the Company shall, within a reasonable time, deliver a certificate representing the Shares (or such other securities) issued upon such exercise to Holder.
5.2
Legends. The Shares (and the securities issuable, directly or indirectly, upon conversion of the Shares, if any) shall be imprinted with a legend in substantially the following form:

THE SHARES EVIDENCED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “ACT”), OR THE SECURITIES LAWS OF ANY STATE AND, EXCEPT AS SET FORTH IN THAT CERTAIN WARRANT TO PURCHASE STOCK ISSUED BY THE ISSUER TO [•] DATED [•], MAY NOT BE OFFERED, SOLD, PLEDGED OR OTHERWISE TRANSFERRED UNLESS AND UNTIL REGISTERED UNDER SAID ACT AND LAWS OR IN FORM AND SUBSTANCE SATISFACTORY TO THE ISSUER, SUCH OFFER, SALE, PLEDGE OR OTHER TRANSFER IS EXEMPT FROM SUCH REGISTRATION.

5.3
Compliance with Securities Laws on Transfer. This Warrant and the Shares issuable upon exercise of this Warrant may not be transferred or assigned in whole or in part except in compliance with applicable federal and state securities laws by the transferor and the transferee (including, without limitation, the delivery of investment representation letters and legal opinions reasonably satisfactory to the Company, as reasonably requested by the Company). Upon any assignment of the Warrant (other than to an affiliate of the Holder), the Holder and assignee shall complete an assignment in the form attached hereto as Appendix 2.
5.4
No Impairment; Further Assurances. The Company will not, by amendment of its charter or through any reorganization, transfer of assets, consolidation, merger or dissolution, or any other voluntary action, avoid or seek to avoid the observance or performance of any of the terms to be observed or performed by it hereunder, but will at all times in good faith assist in the carrying out of all the provisions of this Warrant and in the taking of all such action as may reasonably be requested by Holder in order to protect the exercise privilege of Holder against dilution or other impairment, consistent with the tenor and purpose of this Warrant. The Company will not increase the par value of any Shares above the Warrant Price then in effect, and will take all such actions as may be necessary or appropriate in order that the Company may validly and legally issue fully paid and non-assessable Shares upon the exercise of this Warrant.

8

 


 

 

5.5
Transfer Procedure. Subject to the provisions of Section 5.3 and upon providing the Company with written notice, Holder may transfer all or part of this Warrant or the Shares issuable upon exercise of this Warrant (or the securities issuable directly or indirectly, upon conversion of the Shares, if any) to any transferee, provided, however, in connection with any such transfer, Holder will give the Company notice of the portion of the Warrant being transferred with the name, address and taxpayer identification number of the transferee and Holder will surrender this Warrant to the Company for reissuance to the transferee(s) (and Holder if applicable); and provided further, that any subsequent transferee shall be deemed to make to the Company each of the representations and warranties set forth in SECTION 4 as of the date of such transfer and be bound by all of the terms and conditions of this Warrant.
5.6
[Reserved.]

 

5.7
Binding on Successors. This Warrant will be binding upon any entity succeeding to the Company by merger, consolidation or acquisition of all or substantially all of the Company’s assets.
5.8
Taxes. The Company will pay all taxes (other than taxes based upon income) and other governmental charges that may be imposed with respect to the issuance or delivery of the Shares, other than any tax or other charge imposed in connection with any transfer involved in the issue and delivery of the Shares in a name other than that of the Holder.
5.9
Notices. All notices and other communications hereunder from the Company to the Holder, or vice versa, shall be deemed delivered and effective (i) when given personally, (ii) on the third (3rd) Business Day after being mailed by first-class registered or certified mail, postage prepaid, (iii) upon actual receipt if given by facsimile or electronic mail and such receipt is confirmed in writing by the recipient, or (iv) on the first Business Day following delivery to a reliable overnight courier service, courier fee prepaid, in any case at such address as may have been furnished to the Company or Holder, as the case may be, in writing by the Company or such Holder from time to time in accordance with the provisions of this Section 5.9. All notices to Holder shall be addressed as follows until the Company receives notice of a change of address in connection with a transfer or otherwise:

[•]

 

Notice to the Company shall be addressed as follows until Holder receives notice of a change in address:

VAPOTHERM, INC.
100 Domain Drive

Exeter, NH 03833

Attn: John Landry, VP & CFO

Fax: (603) 658-0181

Email: jlandry@vtherm.com

 

5.10
Waiver. This Warrant and any term hereof may be changed, waived, discharged or terminated (either generally or in a particular instance and either retroactively or prospectively) only by an instrument in writing signed by the party against which enforcement of such change, waiver, discharge or termination is sought.

9

 


 

 

5.11
Counterparts; Facsimile/Electronic Signatures. This Warrant may be executed in counterparts, all of which together shall constitute one and the same agreement. Any signature page delivered electronically or by facsimile shall be binding to the same extent as an original signature page with regards to any agreement subject to the terms hereof or any amendment thereto.
5.12
Governing Law. This Warrant shall be governed by and construed in accordance with the laws of the State of New York, without regard to conflict of law principles that would result in the application of any other than the laws of the State of New York.
5.13
Waiver of Jury Trial. AS A MATERIAL INDUCEMENT FOR EACH PARTY HERETO TO ENTER INTO THIS WARRANT, THE PARTIES HERETO HEREBY WAIVE ANY RIGHT TO TRIAL BY JURY IN ANY LEGAL PROCEEDING RELATED IN ANY WAY TO THIS WARRANT AND/OR ANY AND ALL OF THE OTHER DOCUMENTS ASSOCIATED WITH THIS TRANSACTION.
5.14
Headings. The headings in this Warrant are for purposes of reference only and shall not limit or otherwise affect the meaning of any provision of this Warrant.
5.15
Business Days. “Business Day” is any day that is not a Saturday, Sunday or a day on which banks in the State of New York are closed.

[Signature page follows]

10

 


 

 

IN WITNESS WHEREOF, the parties have caused this Warrant to Purchase Stock to be executed by their duly authorized representatives effective as of the Issue Date written above.

 

 

“COMPANY”

VAPOTHERM, INC.

By:_________________________________

Name: John Landry

 

Title: SVP & CFO

 

 

 

 

 

 

 

 

 

 

Signature Page to Warrant to Purchase Stock


 

 

 

“HOLDER”

[•]

By:_________________________________

Name:

Title:

 

 

 

Signature Page to Warrant to Purchase Stock


 

 

APPENDIX 1

NOTICE OF EXERCISE

1. The undersigned Holder hereby exercises its right purchase ___________ shares of the Common Stock of Vapotherm, Inc. (the “Company”) in accordance with the attached Warrant to Purchase Stock, and tenders payment of the aggregate Warrant Price for such shares as follows:

[ ] check in the amount of $________ payable to order of the Company enclosed herewith

[ ] Wire transfer of immediately available funds to the Company’s account

[ ] Cashless Exercise pursuant to Section 1.2 of the Warrant

[ ] Other [Describe] __________________________________________

2. Please issue a certificate or certificates representing the Shares in the name specified below:

___________________________________________
Holder’s Name

___________________________________________

___________________________________________
(Address)

3. By its execution below and for the benefit of the Company, Holder hereby restates each of the representations and warranties in SECTION 4 of the Warrant to Purchase Stock as of the date hereof.

 

HOLDER:

_________________________

 

By:_________________________

Name:________________________

Title:_________________________

(Date):_______________________

Appendix 1


 

 

APPENDIX 2

ASSIGNMENT

For value received, [•] hereby sells, assigns and transfers unto

Name:

Address:

Tax ID:

that certain Warrant to Purchase Stock issued by Vapotherm, Inc. (the “Company”) on [•] (the “Warrant”) together with all rights, title and interest therein.

 

[•]

 

By:_________________________

Name:________________________

Title:_________________________

Date:_______________________

By its execution below, and for the benefit of the Company, [SLR TRANSFEREE] makes each of the representations and warranties set forth in Article 4 of the Warrant and agrees to all other provisions of the Warrant as of the date hereof.

[SLR TRANSFEREE]

 

By:_________________________

Name:________________________

Title:_________________________

Date:_______________________

Appendix 2


Exhibit 10.1

 

 

PROTOCOLE D’ACCORD TRANSACTIONNEL

 

Translation for Information Purposes Only

 

ENTRE LES SOUSSIGNES:

BETWEEN THE UNDERSIGNED:

 

 

 

 

 

 

Vapotherm, Inc., société de droit américain, dont le siège social est situé au 100 Domain Drive, Exeter, NH 03833, Etats-Unis, dont le numéro SIRET est le 818 620 650 00015, représentée par Monsieur Joseph F. Army, en sa qualité de Président et CEO,

Vapotherm, Inc., an American company, which registered address is at 100 Domain Drive, Exeter, NH 03833, United States of America, whose SIRET number in France is 818 620 650 00015, represented by Mr. Joseph F. Army, acting in the capacity as President, Chief Executive Officer,

 

 

 

 

 

 

(ci-après dénommée la « Société »),

(Hereafter referred to as the "Company"),

 

 

 

 

 

 

ET :

AND :

 

 

 

 

 

 

Monsieur Grégoire Ramade, né le 6 juillet 1969, demeurant 43 Avenue André Morizet, 92100 Boulogne Billancourt.

Mr. Grégoire Ramade, born on July 6th, 1969, residing 43 Avenue André Morizet, 92100 Boulogne Billancourt,

 

 

 

 

 

 

(Ci-après dénommée le « Salarié »),

(Hereafter referred to as the “Employee”),

 

 

 

 

 

 

(ci-après ensemble dénommées : les « Parties »),

(Hereafter together referred to as the "Parties"),

 

 

 

 

 

 

ETANT PREALABLEMENT EXPOSE

WHEREAS:

 

 

 

 

 

 

A.- La relation de travail

A – The employment relationship

 

 

 

 

 

 

Le Salarié a été embauché par la Société le 23 mai 2016, dans le cadre d’un contrat de travail à durée indéterminée (ci-après le « Contrat »).

The Employee was hired by the Company as of May 23, 2016, under a permanent employment contract (hereinafter referred to as the "Contract").

 

 

 

 

 

 

En dernier lieu, le Salarié occupait le poste de Chief Commercial Officer, statut cadre, position IIIC, coefficient 240, en application de la convention collective de la Métallurgie (Ingénieurs et Cadres) (ci-après « la Convention Collective »).

Lastly, the Employee performed the functions of Chief Commercial Officer, with an executive status, position IIIC, coefficient 240, according to the collective bargaining agreement of the Metal Industry (Engineers and Executives) (hereinafter the "Collective Bargaining Agreement").

 

 

 

 

 

 

Durant le mois de septembre 2023, les Parties se sont rapprochées afin d’envisager la fin de leur relation. Plus particulièrement, à l’issue de plusieurs entretiens qui se sont tenus les 14 et 15 septembre 2023, les Parties sont parvenues à un accord et ont ainsi signé le 26 septembre 2023, le formulaire de rupture conventionnelle et une annexe qui seront transmis par la Société à la Dreets pour homologation à l’issue du délai de rétractation de 15 jours calendaires.

During the month of September 2023, the Parties approached each other with a view to considering their separation. More specifically, following several meetings held on September 14 and 15, 2023, the Parties reached an agreement and signed on September 26, 2023, the amicable termination form and its appendix which will be sent by the Company to the competent French Labor administration (“Dreets”) for certification, after expiration of the 15-calendar-day right of withdrawal.

 

 

 

 

 

 

1


 

Ces documents mentionnent la date envisagée de rupture du Contrat qui sera 31 octobre 2023 (ci-après la « Date de rupture ») sous réserve que la Dreets homologue de manière explicite ou implicite la rupture conventionnelle.

These documents state the contemplated date of termination of the employment contract, which will be on October 31st, 2023 (hereinafter referred to as the “Termination Date”), provided that the French local labor authorities grant explicit or implicit approval.

 

 

 

 

 

 

B.- Le litige

B.-Litigation

 

 

 

 

 

 

Bien que le Salarié ne remette pas en cause la rupture conventionnelle convenue entre les Parties, ce dernier a porté à la connaissance de la Société un certain nombre de nouveaux griefs portant sur des points autres que la rupture de son contrat de travail.

Although he did not challenge the agreed termination, the Employee submitted new claims on subjects other than the termination of his Contract.

 

 

 

 

 

 

Il a notamment fait valoir qu’il s’était pleinement investi dans le cadre de son activité professionnelle, ne ménageant ni son temps, ni sa peine durant ses fonctions.

He argued in particular that he has been fully dedicated to his professional activity, putting no limit to his time and efforts during his employment.

 

 

 

 

 

 

Le Salarié a aussi avancé qu’il n’était pas toujours rempli de tous ses droits en termes de rémunération, notamment variable.

The Employee also argued that all his rights were not always fulfilled in terms of compensation, particularly variable compensation.

 

 

 

 

 

 

Il ajoutait que cette situation lui avait causé un préjudice matériel et moral considérable, compte tenu notamment de son ancienneté et de son poste dans la Société.

He added that this situation had caused him significant material and moral prejudice, in the light of his seniority and position in the Company.

 

 

 

 

 

 

De son côté, la Société a fermement contesté les allégations du Salarié.

For its part, the Company strongly disagreed with the Employee's allegations.

 

 

 

 

 

 

La Société estimait qu'aucune revendication valable concernant l'exécution du contrat de travail du Salarié ne pouvait être formulée, que l'appréciation de son travail se reflétait dans sa rémunération, et qu’il avait été rempli de l’ensemble de ses droits en matière de rémunération.

The Company considered that no valid claim could be made regarding the performance of the Employee's employment contract, that the appreciation of his work was reflected in his compensation, and that he had all his rights satisfied in terms of compensation.

 

 

 

 

 

 

Elle répondait aussi que la hiérarchie du Salarié s’était pleinement impliquée.

It also replied that the Employee's hierarchy had been fully involved.

 

 

 

 

 

 

Conscientes de l'incertitude qui pèse sur une issue judiciaire de leurs différends et désireuses d'éviter plus longtemps les coûts, les délais, la publicité et les aléas inhérents à tout contentieux, les Parties ont engagé des pourparlers.

Aware of the uncertainty of a judicial outcome to their disputes and wishing to avoid for a longer period of time the costs, delays, publicity and uncertainties inherent to any litigation, the Parties have entered into discussions.

 

 

 

 

 

 

C’est dans ce contexte que, après discussions, les Parties se sont rapprochées désireuses d’éviter les coûts, les délais et les aléas inhérents à tout contentieux et ont convenu de mettre fin au différend qui les opposait, de manière transactionnelle, amiable et forfaitaire, en effectuant les concessions réciproques exposées ci-après.

Under these circumstances, and after discussions, the Parties have come together in order to avoid the costs, delays and risks inherent to any legal proceedings and have decided to amicably settle their dispute by making the following mutual concessions.

 

 

 

 

 

 

2

 


 

EN CONSEQUENCE IL EST CONVENU CE QUI SUIT :

IT HAS THEREFORE BEEN AGREED AS FOLLOWS

 

 

 

 

 

 

 

1.

Rupture du Contrat

 

1.

Termination of the Contract

 

 

 

 

 

1.1

Le Contrat sera rompu à la Date de rupture sous réserve de l'homologation explicite ou implicite de la Dreets.

1.1

The Contract will be terminated on the Termination Date provided that the French local labor authorities grant explicit or implicit approval.

 

 

 

 

 

 

1.2

Conformément aux instructions de la Société, le Salarié démissionnera sans délai de tous les mandats sociaux qu'il pourrait occuper au sein de la Société et/ou de toute autre société du groupe auquel appartient la Société (ci-après le « Groupe ») et signera tout document nécessaire pour constater cette démission.

1.2

As directed by the Company, the Employee will, without delay, resign from all the corporate offices that he may hold within the Company and/or any other company of the group to which the Company belongs (hereinafter the “Group”) and sign any document necessary to record such resignation.

 

 

 

 

 

 

 

2.

Solde de tout compte et documents de fin de contrat

 

2.

Balance of any accounts and termination documents

 

 

 

 

 

 

2.1

Le solde de tout compte sera établi notamment sur les bases suivantes :

2.1

The balance of any account shall be established, inter alia, on the following basis:

 

 

 

 

 

 

 

-

le salaire fixe habituel pour la période allant du 1er au 31 octobre 2023 ;

 

-

the usual fixed salary for the period from October 1st to 31st, 2023;

 

 

 

 

 

 

 

-

une indemnité compensatrice de congés payés brute correspondant aux jours acquis et non pris à la Date de Rupture ; les Parties reconnaissent, pour le calcul de ce nombre, qu’au 31 août 2023, le Salarié n’avait plus de jours de congés payés acquis et que, ayant pris par anticipation 6 jours de congés payés le solde de jours de congés payés en cours d’acquisition est égal à 0,25 jour ouvré (le Salarié ayant informé la Société de l’ensemble des jours de congés payés pris mais non encore comptabilisés).

 

-

an indemnity for accrued and unused paid vacation as of the Termination Date; this number will be calculated with the specific acknowledgment by the Parties that the Employee, as of August 31st, 2023, had no more vacation days accrued and that, since the Employee took 6 vacation days in advance, the balance of paid leave days being acquired is equal to 0.25 working day (the Employee having informed the Company of all his vacation days taken but not yet recorded).

 

 

 

 

 

 

 

 

Le Salarié a demandé à prendre par anticipation, avant la Date de Rupture, l’ensemble des jours de congés payés qu’il acquerra d’ici la Date de Rupture, soit 4,41 jours ouvrés (arrondis à 5 jours ouvrés), ce que la Société a accepté.

 

 

The Employee requested to take in advance, before the Termination Date, all paid vacation days he will acquire by the Termination Date, i.e. 4.41 working days (rounded up to 5 working days), which the Company accepted.

 

 

 

 

 

 

 

 

Ainsi, aucune somme ne lui sera due au titre des congés payés, à la Date de Rupture ;

 

 

Therefore, no amount will be due to him with respect to paid vacation, on the Termination Date;

 

 

 

 

 

 

 

-

une indemnité spécifique de rupture conventionnelle de 132.911 EUR (cent trente-deux mille neuf cent onze euros) bruts.

 

-

a specific contractual termination indemnity of a gross amount of EUR 132,911 (one hundred thirty-two thousand nine hundred eleven euros).

 

 

 

 

 

 

3

 


 

 

 

Le Salarié reconnaît avoir été rempli de l’intégralité de ses droits en termes de rémunération, notamment variable. En particulier, le Salarié reconnaît ne pas remplir les conditions relatives à l’éligibilité au bonus correspondant aux 3ème et 4ème trimestres 2023, de sorte qu’aucune somme ne lui est due à ce titre.

 

 

The Employee acknowledges having been fulfilled with all of his rights in terms of remuneration, notably variable. In particular, the Employee acknowledges not meeting the conditions relating to the eligibility to the bonus corresponding to Q3 and Q4 2023, so that no sum is due to him in this respect.

 

 

 

 

 

 

2.2

Le Salarié marque son accord définitif et irrévocable sur ces éléments de solde de tout compte et reconnaît qu’aucune autre somme ne lui est due à ce titre. Il reconnaît également que la Société ne lui est redevable d’aucune somme au titre de remboursement de frais ou à quelque titre que ce soit, dont il bénéficiait dans le cadre de l’exécution de son Contrat.

2.2

The Employee definitively and irrevocably agrees to this final statement of accounts and acknowledges that no other amount is due to him in this respect. He further acknowledges that the Company does not owe him any sum with respect to reimbursements of professional expenses for any reason whatsoever, to which he was entitled during the performance of his Contract.

 

 

 

 

 

 

2.3

Le Salarié reconnaît par ailleurs que les termes et conditions de la rupture n’ouvrent pas droit à l’application du Separation Pay Agreement du 24 mars 2022, de sorte qu’aucune somme ne lui est due à ce titre.

2.3

The Employee further acknowledges that the terms and conditions of the termination do not entitle him to any right to the application of the Separation Pay Agreement dated March 24, 2022, so that no sum is due to him in this respect.

 

 

 

 

 

 

 

3.

Concessions de la Société

 

3.

Concessions of the Company

 

 

 

 

 

 

3.1

À titre de concessions, sans que cela constitue une quelconque acceptation des prétentions que le Salarié a ou pourrait avoir contre la Société, la Société procèdera au règlement d'une somme brute de 44.305 EUR (quarante-quatre mille trois cent cinq euros) à titre d'indemnité transactionnelle, forfaitaire, globale et définitive, dont seront déduites la CSG, la CRDS, les charges sociales et l’impôt y afférents.

3.1

The Company, as a concessionary measure, without it being construed by any means as an acceptance of any claim the Employee has or may have against the Company, accepts to grant the Employee a gross amount equal to EUR 44,305 (forty-four thousand three hundred and five euros) as a settlement compensation, fixed, global and final, from which will be deducted the CSG/CRDS and the related social security contributions.

 

 

 

 

 

 

 

L’indemnité susvisée sera assujettie comme traitement et salaire et sera déclarée comme telle par la Société.

 

The aforementioned indemnity will be subject as salary and wages and will be declared as such by the Company.

 

 

 

 

 

 

3.2

Cette indemnité qui a pour objet de compenser le préjudice professionnel et moral subi par le Salarié du fait de l’exécution de son Contrat sera payée au Salarié par la Société dans les 60 jours suivant la signature des présentes, par virement bancaire sur le compte en banque dont elle détient le RIB.

3.2

This settlement indemnity, aiming at compensating any professional and moral prejudice suffered by the Employee for the performance of his Contract will be paid to the Employee within 60 days following the signature of this agreement, by bank transfer to the bank account of which it holds the details.

 

 

 

 

 

 

3.3

Chaque Partie fera son affaire personnelle de toute conséquence sociale et/ou fiscale portant sur la somme susvisée par les présentes, pour la part qui lui incombe, sous réserve des déductions opérées à la source par la Société conformément aux pratiques habituelles de paie.

3.3

Each Party will be personally liable of any social and/or tax contributions to be paid on the above amount provided in the present document for the part which it has to pay, subject to the deductions at source by the Company pursuant to usual payroll.

 

 

 

 

 

 

4

 


 

 

4.

Acceptation et concessions du Salarié

 

4.

Acceptance and concessions of the Employee

 

 

 

 

 

 

4.1

En contrepartie des paiements et concessions faits par la Société en vertu des articles 2 et 3 de la présente transaction, le Salarié se déclare expressément et irrévocablement rempli de tous ses droits à l'égard de la Société ou de toute société du Groupe, attachés à la conclusion, à l’interprétation ou à l’exécution de son Contrat, ou de tout contrat ou mandat social détenu avec la Société et/ou toute autre société du Groupe, sur quelque fondement que ce soit.

4.1

In return for the payments and concessions, made by the Company in virtue of articles 2 and 3 of this settlement agreement, the Employee declares that all his rights are expressly and irrevocably fulfilled, with respect to the Company or any other company of the Group, attached to the conclusion, interpretation or performance of his Contract with the Company, or any contract or office with the Company and/or any other company of the Group, on any grounds whatsoever.

 

 

 

 

 

 

4.2

Sous réserve de bonne fin d'encaissement des sommes dues au titre des articles 2 et 3, le Salarié considère que la présente transaction compense intégralement le préjudice qu'il estime avoir subi en raison de l’exécution du Contrat et plus généralement en raison tant de la conclusion que de l'exécution de son Contrat ou de tout autre contrat ou mandat social intervenu avec la Société et/ou toute autre société du Groupe.

4.2

Subject to the successful payment of the amounts provided for in article 2 and article 3, the Employee agrees that this settlement agreement fully compensates him for the prejudice he believes he had suffered because of the performance of his Contract and more generally, due to both the conclusion and the performance of his Contract or any contract or corporate office with the Company and/or any other company of the Group.

 

 

 

 

 

 

4.3

En conséquence, le Salarié renonce à tous ses droits nés ou à naître à l’égard de la Société et/ou de toute autre société du Groupe, attachés à la conclusion, à l’interprétation et/ou à l’exécution de son Contrat et/ou de tout autre contrat ou mandat social intervenu avec la Société et/ou toute autre société du Groupe, sous quelque fondement que ce soit, relatifs notamment, sans que cette liste ne soit exhaustive :

4.3

As a consequence, the Employee waives his rights, with respect to the Company and/or any other company of the Group, related to the conclusion, the interpretation and/or the performance of his Contract and/or any other contract or corporate office with the Company and/or any company of the Group, on any grounds whatsoever, particularly including, but not limited to:

 

 

 

 

 

 

 

tous salaires, accessoires de salaires, primes ou bonus de quelque nature qu’ils soient, avantages en nature, indemnités liées au temps de déplacement, heures supplémentaires et majorations pour heures supplémentaires, repos compensateurs, indemnités de réduction du temps de travail ou toutes autres indemnités liées à la durée du temps de travail notamment en raison de son statut de cadre dirigeant, indemnités compensatrices de congés payés, jours de repos, indemnités compensatrices de préavis, indemnité de licenciement, indemnité de départ à la retraite, remboursement de frais, clause de non-concurrence, droits au titre de la formation professionnelle, perte d’une chance de droits à retraite de base, complémentaire ou sur complémentaire, de prévoyance, mutuelle ou d’avantages de quelque nature qu’ils soient relatifs à la protection sociale ou encore dommages-intérêts échus ou à échoir au titre de tout rapport de droit ou de faits ayant existé entre lui, la Société, ainsi que toute société du Groupe, et

 

all wages, salary incidentals, premiums or bonuses of any kind, benefits in kind, travel indemnity, overtime payment and increases for overtime, time off in lieu of overtime, indemnities related to the reduction in working time or any other indemnity related to working time especially given the Employee’s senior executive status, compensation in lieu of paid holiday, rest days, notice period indemnity, severance payment, retirement benefits, reimbursement of expenses, non-compete provision, compensation with respect to a non-compete provision, rights regarding occupational training, loss of opportunity on rights to a basic, complementary or supplementary retirement pension, welfare, health insurance or benefits of any kind related to social welfare or damages due and becoming due by virtue of any legal relationship or facts having occurred between him, the Company and/or any company of the Group, and more generally with regard to the signing, interpretation and/or performance of his Contract and/or any other

 

 

 

 

 

 

5

 


 

 

plus généralement, au titre de la conclusion, de l’interprétation et/ou de l’exécution de son Contrat ou de tout autre contrat ou mandat social qui serait intervenu avec la Société ainsi que toute société du Groupe, le montant de l’indemnité transactionnelle couvrant l’ensemble des préjudices prétendument subis par lui, y compris mais sans que cela soit limité aux prétentions en lien avec le litige rappelé plus haut.

 

contract or corporate office which would have existed between him, the Company and/or any company of the Group, with the amount of the settlement indemnity covering all damages allegedly suffered by him, including but not limited to the claims related to the dispute indicated above.

 

 

 

 

 

 

4.4

Il renonce consécutivement définitivement et irrévocablement à l’exercice de toute action devant quelque juridiction que ce soit contre la Société et les autres sociétés du Groupe, de même qu’à saisir toute administration, notamment du travail ou de la sécurité sociale, concernant des rapports de droit ou de faits ayant pu exister entre lui et la Société, ainsi que toute autre société du Groupe.

4.4

He therefore renounces definitively and irrevocably to any proceedings before any kind of jurisdiction against the Company and/or the companies of the Group, as well as to file a claim before any administration, notably regarding employment or social security matters, regarding legal or factual relationships between him and the Company, as well as any other company of the Group.

 

 

 

 

 

 

4.5

Le Salarié s’interdit toute poursuite contre les salariés et représentants de la Société ainsi que de toute société du Groupe et s’opposera à toute action en justice d’une organisation syndicale exercée en sa faveur.

4.5

The Employee renounces to any claim against employees and representatives of the Company as well as any company of the Group and will object to any judicial proceeding initiated by a trade union in his favor.

 

 

 

 

 

 

4.6

Conformément aux termes du Contrat, le Salarié déclare avoir conservé, au cours de l'exécution de son Contrat et conservera, postérieurement à la rupture de celui-ci, pour une durée indéterminée, confidentielles toutes Informations Confidentielles (c’est-à-dire celles qui ne seraient pas devenues publiques, notamment celles concernant la situation économique et financière de la Société et du Groupe, ses actions de vente, marketing et de publicité, ses secrets commerciaux, ses processus confidentiels, techniques, secrets de fabrique, savoir-faire, brevets, marques, méthodes, systèmes, capacités opérationnelles, logiciels, matériel informatique, ses activités de recherche, développement, création, création de logiciel, ses inventions, appareils, découvertes, concepts, idées, formules, ainsi que toute amélioration ou modifications de ceux-ci, ses listes de clients) dont il a pu avoir connaissance par quelque moyen et à quelque moment que ce soit – que ce soit dans le cadre de son Contrat ou de tout autre contrat ou mandat au sein de la Société ou du Groupe - et concernant la Société, ou toute société du Groupe, leurs activités ainsi que concernant leurs clients, mandataires sociaux et salariés ou anciens salariés ou actionnaires. Le Salarié ne devra pas, pour une durée indéterminée, directement ou indirectement faire usage ou permettre à un tiers de faire usage d’Informations Confidentielles concernant la Société, les sociétés du Groupe ainsi que leurs clients et fournisseurs.

4.6

Pursuant to the terms of his Contract, the Employee pledges that he kept, during the performance of his Contract and will keep confidential after its termination, for an indefinite period, any Confidential Information (i.e. the ones which have not been accessible to the public, including those relating to the economic and financial position of the Company and its group, its sales, marketing and advertising actions, its business secrets, its confidential, technical processes, its manufacturing secrets, know how, patents, brands, methods, systems, operational capabilities, software, hardware, its research and development work, its creation work, software development, its inventions, machines, discoveries, concepts, ideas, formulas, as well as any improvement thereof or change therein, clients lists) of which he might have had / may have knowledge of by any means and at any time - within the frame of his Contract or any other contract or mandate within the Company or the group to which the Company belongs - and that concerns the Company, or any company of the Group, their activities, their clients, corporate officers and employees or ex-employees or shareholders. The Employee shall not use, for an indefinite period, directly or indirectly, or allow a third party to use, any Confidential Information concerning the Company, the companies of the Group as well as their clients and suppliers.

 

 

 

 

 

 

6

 


 

4.7

En conséquence, il ne devra ni solliciter ni répondre à aucune sollicitation pouvant conduire à la transmission de telles informations ou de recommandations, notamment dans le cadre d’actions judiciaires, sauf en cas de requête policière ou judiciaire.

4.7

As a consequence, he will not request or answer to any solicitation which could lead to the transmission of such information or recommendation, especially during legal proceedings unless he is subpoenaed to.

 

 

 

 

 

 

4.8

Le Salarié ne conseillera pas les salariés ou anciens salariés de la Société, ni n’interférera en aucune façon dans les relations sociales de la Société ou de toute autre société appartenant au même Groupe, ou en cas d’éventuelles contestations et/ou actions qu’ils pourraient mener à l’encontre de la Société ou du Groupe.

4.8

The Employee will not advise the current or former employees of the Company, nor interfere in any manner whatsoever with the social relationships of the Company or, any company of the Group, including in case of potential disputes and/or measures that they could take against the Company or the Group.

 

 

 

 

 

 

4.9

Le Salarié n’aura aucun propos visant à critiquer de quelque manière que ce soit ou à dénigrer directement ou indirectement, ou à nuire directement ou indirectement aux intérêts de la Société, du Groupe ainsi que ses salariés et dirigeants, ainsi qu’à leur image et à leur réputation professionnelle.

4.9

The Employee shall not make any statement that is intended to criticize in any way whatsoever or to denigrate, directly or indirectly, or to harm, directly or indirectly, the interests of the Company, the Group and its employees and managers, as well as their image and professional reputation.

 

 

 

 

 

 

4.10

Au terme de son Contrat, le Salarié reconnaît devoir restituer à la Société tous biens, pièces et documents (ainsi que leurs copies), objets et équipements en rapport avec la Société et/ou utilisés dans l’exercice de ses fonctions. Il s’interdit de conserver, notamment sous forme de copie papier ou électronique, tout document et toute donnée, en particulier à caractère personnel ou couverte par le secret des affaires, appartenant à la Société ou l’une quelconque des sociétés du Groupe.

4.10

At the end of the Contract, the Employee acknowledges that he shall return to the Company all property, parts and documents (and copies thereof), objects and equipment relating to the Company and/or used in the performance of his duties. The Employee shall refrain from keeping, in particular in the form of paper or electronic copies, any document and any data, in particular of a personal nature or covered by business secrecy, belonging to the Company or any of the companies in the Group.

 

 

 

 

 

 

 

5.

Equity

 

5.

Equity

 

 

 

 

 

 

5.1

Les Parties reconnaissent que le Salarié conservera ses actions vestées à la Date de Rupture conformément aux termes du Vapotherm 2018 Equity Plan. Il perdra l’ensemble des droits relatifs aux actions non-vestées.

5.1

The Parties acknowledge that the Employee will keep his vested shares on the Termination Date pursuant to the terms of the Vapotherm 2018 Equity Plan. He will lose all his non-vested rights to equity shares.

 

 

 

 

 

 

5.2

Le Salarié renonce à toute contestation relative à l’exercice des droits sur les actions qu’il s’est vu attribuer et qui n’auraient pas été vestées à la Date de Rupture.

5.2

The Employee renounces to any claim related to any equity rights granted to him and which would not have vested on the Termination Date.

 

 

 

 

 

 

7

 


 

 

6.

Non-concurrence et non-sollicitation

 

6.

Non-competition and non-solicitation

 

 

 

 

 

 

En application des termes du Contrat, le Salarié s’engage, pour une durée de douze mois à compter de la Date de Rupture, en France métropolitaine et en Allemagne, à ne pas :

Pursuant to the terms of his Contract, the Employee agrees, for a period of twelve months as from the Termination Date, in continental France and Germany, not to:

 

 

 

 

 

 

 

-

solliciter tout salarié de la Société, en vue de l’embaucher ou de le faire embaucher par un tiers avec lequel il est en relation d’affaires ou inciter tout salarié de la Société à accepter un autre emploi ou à quitter la Société ;

 

-

solicit any employee of the Company, in order to hire him/her or have him/her hire by any third party with which he is in a business relationship, or encourage any employee of the Company to accept another position or to leave the Company;

 

 

 

 

 

 

 

-

entrer au service d’une entreprise concevant, fabriquant ou commercialisant les produits et services pouvant concurrencer ceux de la Société;

 

-

work for another company that makes or markets products and services likely to compete with the Company’s;

 

 

 

 

 

 

 

-

s’intéresser directement ou indirectement et sous quelque forme que ce soit à une entreprise de cet ordre.

 

-

take any direct or indirect interest in any form in any such company.

 

 

 

 

 

 

En contrepartie de cette obligation, la Société versera au Salarié, pendant toute la durée de non-concurrence et de non-sollicitation, une indemnité mensuelle brute égale à cinq dixièmes de la moyenne mensuelle des appointements ainsi que des avantages et gratifications contractuels dont le Salarié a bénéficié au cours des douze derniers mois précédant la signature du formulaire de rupture conventionnelle et son annexe, la rémunération moyenne mensuelle brute utilisée à cet effet étant égale à 44.304,53 EUR, les Parties reconnaissant que la présente clause vaut amendement au Contrat.

In return for this obligation, the Company will pay the Employee, for the entire duration of the non-competition and non-solicitation obligation, a monthly gross indemnity equal to five tenths of the average of the monthly salary and contractual benefits and bonuses which the Employee will have received during the twelve last months preceding the signature of the amicable termination form and its appendix, the gross average monthly salary used for this purpose being equal to EUR 44,304.53; the Parties acknowledge that this clause constitutes an amendment to the Contract.

 

 

 

 

 

 

 

7.

Dispositions diverses

 

7.

Miscellaneous

 

 

 

 

 

 

7.1.

Le Salarié reconnaît être parfaitement informé des conséquences de la signature d’une transaction et déclare avoir disposé du temps de réflexion nécessaire avant de signer la présente transaction.

7.1.

The Employee acknowledges being fully informed of the signature of a settlement agreement’s consequences and declares that he had all time necessary to consider the signature of this agreement.

 

 

 

 

 

 

7.2.

Les Parties exécuteront de bonne foi le présent protocole qui forme un tout indissociable et s’engagent à prêter leur entier concours à la préparation et la signature de tous documents rendus nécessaires pour l’exécution des dispositions du présent protocole, le cas échéant.

7.2.

The Parties shall execute this agreement, which forms an indivisible whole, in good faith, and shall give their full assistance in the preparation and signing of any documents required for the execution of the provisions of this agreement, where appropriate.

 

 

 

 

 

 

8

 


 

7.3.

Les Parties reconnaissent que la présente transaction devra rester confidentielle et que sa teneur ou une copie ne pourra être communiquée à des tiers par une des Parties qu'avec l'accord exprès écrit préalable de l'autre Partie, à l'exception de toute communication exigée par la loi ou par toute autorité administrative (en particulier par les administrations du travail ou les administrations fiscales) dans le cadre de son application. En revanche, les Parties peuvent produire les présentes en justice en vue d'obtenir leur exécution par la partie défaillante. Dans l’éventualité où l’une des Parties serait contrainte de produire la présente transaction, elle devra promptement en informer l’autre partie par lettre recommandée avec demande d’avis de réception.

7.3.

The Parties acknowledge that this agreement must remain confidential, as well as its provisions, and copy cannot be communicated to third Parties by any of the Parties without the express written prior consent of the other party, except for any communication required by law or any other administrative authority (in particular, by the labor or tax authorities) in relation to its enforcement. However, the Parties may always present this document before a court in order to obtain its enforcement by the defaulting party. In the event that one of the Parties is obliged to produce the present agreement, it shall promptly inform the other Party by registered letter with acknowledgement of receipt.

 

 

 

 

 

 

7.4.

Les Parties respecteront le caractère confidentiel des conditions de la rupture du Contrat et de la présente transaction, et s’engagent à ne pas dire ou faire quoi que ce soit qui puisse nuire à l'autre partie. Le Salarié s’abstiendra notamment de perturber les relations sociales au sein de la Société ou d’interférer dans les relations que la Société pourrait notamment avoir avec ses salariés, ses représentants du personnel, ou l’administration.

7.4.

The Parties shall irrevocably respect the confidential character of the conditions under which the Contract was terminated, as well as the terms and provisions of the present agreement, and not to reveal or behave in any manner which might harm the other Party. The Employee will not disrupt social relationships within the Company or interfere with the relationships the Company may have with its employees, staff representatives or the French Labor authorities.

 

 

 

 

 

 

7.5.

Tous conflits ou dettes pouvant exister entre les Parties du fait de la conclusion, de l’interprétation ou de l'exécution du Contrat ou de tout autre contrat ou mandat social qui pourrait être intervenu entre le Salarié et la Société ou toute société du groupe auquel appartient la Société sont définitivement réglés par les présentes, sans exception ou réserve. Les Parties renoncent réciproquement à toute réclamation ou action au titre de l’exécution du Contrat.

7.5.

All disputes or debts that may exist between the Parties, due to the conclusion, interpretation and performance of the Contract or of any other contract or corporate office that may have been entered into by the Employee and the Company or any company of the group owning the Company, are hereby settled, without any exception or reservation. The Parties reciprocally waive any claim or action with respect to the performance of the Contract.

 

 

 

 

 

 

7.6.

Les sommes versées relèveront du régime fiscal et social applicable aux salaires.

7.6.

The sums paid will be subject to the tax and social security regime applicable to wages.

 

 

 

 

 

 

7.7.

Le Salarié reconnaît être informé du fait que la perception des sommes visées à la présente transaction est susceptible d’entrainer l’application d’un différé d’indemnisation au titre de l’assurance chômage et déclare n’avoir aucune contestation à cet égard. Le Salarié déclare ainsi expressément qu’il fera son affaire personnelle de toutes déclarations des sommes qui lui ont été versées. Par ailleurs, le Salarié sera responsable du paiement de toutes taxes et cotisations de nature salariale (de sécurité sociale ou assimilées si applicable), dont il pourrait être redevable du fait des paiements mentionnés dans la présente transaction, à l’exclusion de ceux retenus à la source par la Société.

7.7.

Similarly, the Employee acknowledges to be fully informed of the fact that the payment of the sums described in this settlement agreement may entail a differed payment of unemployment allowances. The Employee thus expressly declares that he will be personally responsible for all declarations of the sums that were paid to him. Besides, the Employee shall be liable for the payment of any taxes and contributions of a salary nature (social security or assimilated where applicable), to which he might personally be subject due to the payment mentioned in this agreement, excluding those withholding taxes paid by the Company.

 

 

 

 

 

 

9

 


 

 

La Société se réserve le droit d’en demander le paiement au Salarié, et ce dernier accepte d’y répondre à première demande.

 

The Company reserves the right to ask the Employee for the payment of these contributions and the latter accepts to respond to the first request.

 

 

 

 

 

 

7.8.

Cet accord est conclu sous la condition résolutoire de l’homologation de la rupture conventionnelle par l’administration avant le 31 octobre 2023 et de sa validité. En l’absence d’homologation ou en cas de nullité de la rupture conventionnelle, le présent accord serait nul et non avenu.

7.8.

This settlement agreement is entered into under the resolutory condition of the approval of the amicable termination by the labor administration before October 31st, 2023 and its validity. In the absence of such approval or in case of nullity of the amicable termination, the present settlement agreement would be null and void.

 

 

 

 

 

 

7.9.

La présente transaction constitue un tout indivisible, de telle sorte que nul ne pourra se prévaloir d’une stipulation isolée. En cas de divergence entre la version française et la version anglaise, la version française fera foi.

7.9.

This settlement agreement constitutes a global and indivisible agreement. Consequently, it is not possible to rely on a provision by itself. In case there is a difference between the French and English version, the French version will prevail.

 

 

 

 

 

 

7.10.

Cet accord transactionnel constitue une transaction forfaitaire, globale et définitive emportant règlement de toutes sommes dues et auquel les Parties conviennent d'attribuer, de manière irrévocable, les effets de la transaction conformément aux dispositions du Code civil et notamment celles des articles 2044 et suivants et, en particulier, de l'article 2052 de ce même code.

7.10.

This settlement agreement constitutes a lump-sum, global and definitive settlement agreement involving the payment of all sums due and to which the Parties agree to attribute, in an irrevocable manner, the effects of the settlement agreement in accordance with the provisions of the Civil Code and in particular those of articles 2044 et seq. and, in particular, article 2052 of the same code.

 

 

 

 

 

 

Etabli en deux (2) exemplaires originaux dont l’un remis à chaque partie,

In two (2) original copies, one of which was given to each party,

 

 

 

 

 

 

Le 26 septembre 2023

On September 26, 2023

 

 

 

 

 

 

 

 

/s/ Joseph F. Army

 

/s/ Grégoire Ramade

Por Vapotherm

 

M. Grégoire Ramade (*)

M. Joseph F. Army

 

 

 

 

(*) "Read and approved, accepted as a final and irrevocable settlement in accordance with articles 2044 and following of the civil code, withdrawal of proceedings and action, and waiver of all appeals, challenges, proceedings or actions".

10

 


Exhibit 31.1

CERTIFICATION PURSUANT TO RULE 13a-14(a)/15d-14(a)

OF THE SECURITIES EXCHANGE ACT OF 1934,

AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Joseph Army, certify that:

1.
I have reviewed this Quarterly Report on Form 10-Q of Vapotherm, Inc.;
2.
Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
3.
Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4.
The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f) for the registrant and have:
a.
Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
b.
Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
c.
Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
d.
Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is likely to materially affect, the registrant’s internal control over financial reporting; and
5.
The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
a.
All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
b.
Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

/s/ JOSEPH ARMY

Joseph Army

President and Chief Executive Officer

(Principal Executive Officer)

 

Date: November 8, 2023

 


Exhibit 31.2

CERTIFICATION PURSUANT TO RULE 13a-14(a)/15d-14(a)

OF THE SECURITIES EXCHANGE ACT OF 1934,

AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, John Landry, certify that:

1.
I have reviewed this Quarterly Report on Form 10-Q of Vapotherm, Inc.;
2.
Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
3.
Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4.
The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f) for the registrant and have:
a.
Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
b.
Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
c.
Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
d.
Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is likely to materially affect, the registrant’s internal control over financial reporting; and
5.
The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
a.
All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
b.
Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

/s/ JOHN LANDRY

John Landry

Senior Vice President and Chief Financial Officer

(Principal Financial Officer)

 

Date: November 8, 2023

 


Exhibit 32.1

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2023 of Vapotherm, Inc. (the “Company”), as filed with the Securities and Exchange Commission on the date hereof (the “Report”), the undersigned, Joseph Army, President and Chief Executive Officer of the Company, hereby certifies, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to my knowledge:

(1) the Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) the information contained in the Report fairly presents, in all material aspects, the financial condition and results of operations of the Company.

This certificate is being furnished solely for purposes of Section 906 and is not being filed as part of the Report.

 

/s/ JOSEPH ARMY

Joseph Army

President and Chief Executive Officer

(Principal Executive Officer)

 

Date: November 8, 2023

 

 


Exhibit 32.2

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2023 of Vapotherm, Inc. (the “Company”), as filed with the Securities and Exchange Commission on the date hereof (the “Report”), the undersigned, John Landry, Senior Vice President and Chief Financial Officer of the Company, hereby certifies, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to my knowledge:

(1) the Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) the information contained in the Report fairly presents, in all material aspects, the financial condition and results of operations of the Company.

This certificate is being furnished solely for purposes of Section 906 and is not being filed as part of the Report.

 

/s/ JOHN LANDRY

John Landry

Senior Vice President and Chief Financial Officer

(Principal Financial Officer)

 

Date: November 8, 2023