EX-99.1 2 osa-20230330xex99d1.htm EX-99.1

EXHIBIT 99.1

ProSomnus Reports Fourth Quarter and Fiscal Year 2022 Financial Results

PLEASANTON, Calif.March 30, 2023 (GLOBE NEWSWIRE) -- ProSomnus, Inc. (“the Company”) (NASDAQ: OSA), a pioneer in precision medical devices for the treatment of Obstructive Sleep Apnea (OSA), today announced financial results for the fourth quarter and fiscal year ended December 31, 2022.

Recent Business Highlights

Generated revenues of $5.8 million for the fourth quarter and $19.4 million for the fiscal year 2022, an increase of 32% from the same period in 2021, and 38% year-over-year from 2021
Surpassed 200,000 devices prescribed by healthcare providers
Commenced execution of multiple growth initiatives, including the expansion of direct sales team in the U.S. and Europe, the commercialization of our next generation sensor device, the relocation to a new manufacturing facility, and the development of marketing and medical affairs programs
Announced first patient enrolled in the Severe Obstructive Sleep Apnea (SOS) study
Announced full enrollment of patients with moderate to severe obstructive sleep apnea in the First Line Obstructive Sleep Apnea Treatment (FLOSAT) study
Began trading on the Nasdaq Stock Exchange in December under the ticker “OSA”

“2022 was a monumental year for ProSomnus,” said Len Liptak, Chief Executive Officer. “ProSomnus generated record revenues and top decile growth rates, while getting the company publicly listed on the Nasdaq Stock Exchange in a challenging macroeconomic environment. We believe our rapid growth reflects increasing acceptance of our precision intraoral medical devices as a front-line treatment for mild and moderate OSA, and as a safe, effective, non-invasive, and easy-to-use alternative for patients who cannot tolerate CPAP. Listing ProSomnus on Nasdaq enables ProSomnus to access the capital markets necessary to accelerate our growth initiatives and establish ProSomnus devices as the leading option for the treatment and management of OSA.”

Financial Results for the Fourth Quarter and Fiscal Year Ended December 31, 2022

Revenue for the three-month period and year ended December 31, 2022 totaled $5.8 million and $19.4 million, respectively, reflecting increases of 32% and 38% compared to $4.4 million and $14.1 million for the same periods during 2021. On a sequential quarter basis, revenue increased 16% compared to $5.0 million for the three-month period ended September 30, 2022. Growth in revenue reflects increased volume in our EVO line of precision intraoral devices, with customer shipments of our EVO Select and EVO PH devices commencing during the fourth quarter of 2022. ProSomnus’s EVO family of devices now accounts for 75% of revenue compared to 56% in the prior year and is accountable for substantially all of the growth reflected.

Gross Margin for the three-month period and year ended December 31, 2022 was 53.6% and 52.9% respectively reflecting modest improvements on a period over period basis from 51.4% and 51.9% for the same periods during 2021. On a sequential quarter basis gross margin improved from 49.2% for the three-month period ended September 30, 2022.


Sales and Marketing expense for the three-month period and year ended December 31, 2022 totaled $2.4 million and $8.9 million, respectively, reflecting increases of 44.8% and 53.5% compared to $1.7 million and $5.8 million for the same periods during 2021. On a sequential quarter basis, sales and marketing expense increased 4.1% compared to $2.3 million for the three-month period ended September 30, 2022. Increases in the period presented reflect increases in headcount, principally direct sales personnel, increases in commissions paid commensurate with higher sales levels, and increased marketing activity.

Research and development expense for the three-month period and year ended December 31, 2022 totaled $1.1 million and $3.0 million, respectively, reflecting increases of 131.8% and 57.8% compared to $0.5 million and $1.9 million for the same periods during 2021. On a sequential quarter basis, research and development expense increased 54.8% compared to $0.7 million for the three-month period ended September 30, 2022. Research and development expenses reflect the development expenses relating to the EVO Select and EVO PH products introduced during the fourth quarter, enrollment in the FLOSAT clinical study and ongoing development efforts into our next-generation sensor device with remote patient monitoring.

General and administrative expense for the three-month period and year ended December 31, 2022 totaled $5.7 million and $9.9 million, respectively. Current period general and administrative expenses reflect the costs incurred during the fourth quarter relating to the business combination of $4.2 million including $2.2 million of non-cash stock-based compensation.

Other income (expense) for the three-month period and year ended December 31, 2022 totaled $8.3 million and $4.3 million, respectively. Other income (expense) is comprised of interest expense on debt outstanding during the course of the period presented plus the periodic non-cash mark-to-market adjustments for instruments issued during the business combination. These mark-to-market adjustments impact the valuation adjustments tied to changes in our stock price between the business combination date and December 31, 2022.

Conference Call and Webcast Information

Interested parties may register for the conference call using the following link: ProSomnus Q4 Earnings Registration Link. Participants may alternatively access the live webcast of the conference call by using the following link: ProSomnus Q4 Earnings Call. The link will also be posted in the Investor Relations section of the ProSomnus website at News & Events.

About ProSomnus

ProSomnus (NASDAQ: OSA) precision intraoral medical devices offer effective, economical, and patient-preferred treatment for patients suffering from Obstructive Sleep Apnea (OSA). ProSomnus is the first manufacturer of mass-customized Precision Oral Appliance Therapy (OAT) devices to treat OSA, which affects over 74 million people in North America and is associated with serious comorbidities, including heart failure, stroke, hypertension, morbid obesity, and type 2 diabetes. ProSomnus’s patented, FDA-cleared devices are a less invasive and more comfortable alternative to Continuous Positive Airway Pressure (CPAP) therapy, and lead to effective and patient-preferred outcomes. A growing body of research, including studies published by the Journal of Clinical Sleep Medicine and Military Medicine, suggests ProSomnus’s Precision OAT devices are an effective treatment for mild to moderate OSA. Additional clinical research has


shown that ProSomnus’s Precision OAT devices mitigate many of the side effects associated with alternative treatments and improve economics for payers and providers. With more than 200,000 devices delivered, ProSomnus’s devices are the most prescribed Precision OAT in the U.S. ProSomnus’s FDA-cleared devices are authorized by the Department of Defense and the U.S. Army, and are often covered by medical insurance, Medicare, and social health programs in key international markets. To learn more, visit www.ProSomnus.com.

Important Notice Regarding Forward-Looking Statements

This Press Release contains certain “forward-looking statements” within the meaning of the Securities Act of 1933 and the Securities Exchange Act of 1934, both as amended. Statements that are not historical facts, including statements about the parties’ perspectives and expectations, are forward-looking statements. The words “expect,” “believe,” “estimate,” “intend,” “plan” and similar expressions indicate forward-looking statements. These forward-looking statements are not guarantees of future performance and are subject to various risks and uncertainties, assumptions (including assumptions about general economic, market, industry and operational factors), known or unknown, which could cause the actual results to vary materially from those indicated or anticipated.

Such risks and uncertainties include, but are not limited to: (i) the effect of the announcement or the business combination on ProSomnus’s business relationships, operating results and business generally; (ii) risks that the business combination disrupts current plans and operations of ProSomnus; (iii) the outcome of any legal proceedings that may be instituted against ProSomnus or Purchaser related to the business combination; (iv) changes in the competitive industries in which ProSomnus operates, variations in operating performance across competitors, changes in laws and regulations affecting ProSomnus’s business and changes in the combined capital structure; (v) the ability to implement business plans, forecasts and other expectations after the completion of the business combination, and identify and realize additional opportunities; (vi) the risk of downturns in the market and ProSomnus’s industry including, but not limited to, as a result of the COVID-19 pandemic; (vii) costs related to the transaction and the failure to realize anticipated benefits of the transaction or to realize estimated pro forma results and underlying assumptions, including with respect to estimated stockholder redemptions; (viii) the risk of potential future significant dilution to stockholders resulting from lender conversions under the convertible debt financing; and (ix) risks and uncertainties related to ProSomnus’s business, including, but not limited to, risks relating to the uncertainty of the projected financial information with respect to ProSomnus; risks related to ProSomnus’s limited operating history, the roll-out of ProSomnus’s business and the timing of expected business milestones; ProSomnus’s ability to implement its business plan and scale its business, which includes the recruitment of healthcare professionals to prescribe and dentists to deliver ProSomnus oral devices; the understanding and adoption by dentists and other healthcare professionals of ProSomnus oral devices for mild-to-moderate OSA; expectations concerning the effectiveness of OSA treatment using ProSomnus oral devices and the potential for patient relapse after completion of treatment; the potential financial benefits to dentists and other healthcare professionals from treating patients with ProSomnus oral devices and using ProSomnus’s monitoring tools; ProSomnus’s potential profit margin from sales of ProSomnus oral devices; ProSomnus’s ability to properly train dentists in the use of the ProSomnus oral devices and other services it offers in their dental practices; ProSomnus’s ability to formulate, implement and modify as necessary effective sales, marketing, and strategic initiatives to drive revenue growth; ProSomnus’s ability to expand internationally; the viability of ProSomnus’s intellectual property and intellectual property created in the future; acceptance by the marketplace of the products and services that ProSomnus markets; government regulations and ProSomnus’s ability to obtain applicable regulatory approvals and comply


with government regulations, including under healthcare laws and the rules and regulations of the U.S. Food and Drug Administration; and the extent of patient reimbursement by medical insurance in the United States and internationally. A further list and description of risks and uncertainties can be found in Lakeshore’s initial public offering prospectus dated June 10, 2021 and in the Company’s quarterly reports on Form 10-Q and annual reports on Form 10-K filed with the Securities and Exchange Commission (the “SEC”) subsequent thereto and in the Registration Statement on Form S-4 and proxy statement that has been filed with the SEC by Lakeshore in connection with the business combination, and other documents that the parties may file or furnish with the SEC, which you are encouraged to read. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those indicated or anticipated by such forward-looking statements. Accordingly, you are cautioned not to place undue reliance on these forward-looking statements. Forward-looking statements relate only to the date they were made, and the Company and its subsidiaries undertake no obligation to update forward-looking statements to reflect events or circumstances after the date they were made except as required by law or applicable regulation.


PROSOMNUS, INC.

UNAUDITED CONDENSED CONSOLIDATED BALANCE SHEETS

December 31, 

December 31, 

2022

2021

ASSETS

Current assets:

Cash and cash equivalents

$

15,916,141

$

1,500,582

Accounts receivable, net

2,843,148

2,098,982

Inventory

639,945

378,769

Prepaid expenses and other current assets

 

1,846,870

 

148,207

Total current assets

21,246,104

4,126,540

Property and equipment, net

2,404,402

3,356,595

Right-of-use assets, net

9,283,222

Other assets

 

262,913

 

154,797

Total assets

$

33,196,641

$

7,637,932

LIABILITIES, REDEEMABLE CONVERTIBLE PREFERRED STOCK AND STOCKHOLDERS’ DEFICIT

Current liabilities:

Accounts payable

$

2,101,572

$

955,648

Accrued expenses

3,706,094

3,078,578

Revolving line of credit

587,816

Subordinated loan and security agreement

968,493

Equipment financing obligation

58,973

55,333

Finance lease liabilities

1,008,587

926,104

Operating lease liabilities

215,043

Total current liabilities

7,090,269

6,571,972

Subordinated loan and security agreement, net of current portion

6,589,563

Equipment financing obligation, net of current portion

185,645

244,617

Finance lease liabilities, net of current portion

2,081,410

866,853

Operating lease liabilities, net of current portion

5,525,562

Subordinated notes

7,331,254

Senior Convertible notes

13,651,000

Subordinated Convertible note

10,355,681

Earnout Liability

12,810,000

Warrant liability

1,991,503

562,244

Deferred rent

 

 

57,741

Total noncurrent liabilities

 

46,600,801

 

15,652,272

Total liabilities

 

53,691,070

 

22,224,244

Series B redeemable convertible preferred stock

12,389,547

Series A redeemable convertible preferred stock

26,245,000

Stockholders’ deficit:

Common stock

1,604

2,456

Additional paid-in capital

190,298,562

150,425,960

Accumulated deficit

 

(210,794,595)

 

(203,649,275)

Total stockholders’ deficit

 

(20,494,429)

 

(53,220,859)

Total liabilities, redeemable convertible preferred stock, and stockholders’ deficit

$

33,196,641

$

7,637,932


PROSOMNUS, INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

For the years ended December 31, 2022 and 2021

    

2022

    

2021

Revenue

$

19,393,343

$

14,074,649

Cost of revenue

 

9,127,338

 

6,764,319

Gross profit

10,266,005

7,310,330

Operating expenses

  

  

Sales and marketing

8,865,328

5,776,084

Research and development

2,981,271

1,889,208

General and administrative

 

9,894,899

 

4,467,576

Total operating expenses

 

21,741,498

 

12,132,868

Loss from operations

 

(11,475,493)

 

(4,822,538)

Other income (expense)

  

  

Interest expense

(6,119,806)

(3,245,220)

Loss on extinguishment of debt

(2,597,842)

Change in fair value of earnout liability

9,260,000

Change in fair value of warrant liability

3,234,586

(190,911)

Change in fair value of debt

553,235

Forgiveness of PPP loans

 

2,281,262

Total other income (expense)

4,330,173

(1,154,869)

Net loss

$

(7,145,320)

$

(5,977,407)

Net loss per share attributable to common stockholders, basic and diluted

$

(0.71)

$

(1.51)

Weighted average shares used in computing net loss per share attributable to common stockholders, basic and diluted

 

10,021,632

 

3,957,783


PROSOMNUS, INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

Three-month period ended

December 31,

September 30,

December 31,

   

2022

   

2022

   

2021

Revenue

$

5,792,312

$

4,997,979

$

4,402,974

Cost of revenue

 

2,686,863

 

2,540,287

 

2,138,216

Gross profit

3,105,449

2,457,692

2,264,758

Operating expenses

  

  

  

Sales and marketing

2,415,155

2,319,362

1,667,995

Research and development

1,065,750

688,541

459,723

General and administrative

 

5,674,961

 

1,577,048

 

1,233,158

Total operating expenses

 

9,155,866

 

4,584,951

 

3,360,876

Loss from operations

 

(6,050,417)

 

(2,127,259)

 

(1,096,118)

Other income (expense)

  

  

  

Interest expense

(2,405,029)

(1,421,702)

(939,802)

Loss on extinguishment of debt

(2,405,111)

Change in fair value of earnout liability

9,260,000

Change in fair value of warrant liability

3,255,342

(146,577)

Change in fair value of debt

553,235

Forgiveness of PPP loans

 

 

 

Total other income (expense)

8,258,437

(1,421,702)

(1,086,379)

Net loss

$

2,208,020

$

(3,548,961)

$

(2,182,497)


Investor Contact
Mike Cavanaugh
ICR Westwicke
Phone: +1.617.877.9641
Email: Mike.Cavanaugh@westwicke.com

Media Contact
Sean Leous
ICR Westwicke
Phone: +1.646.866.4012
Email: Sean.Leous@westwicke.com