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MedAvail Reports Fourth Quarter and Full-Year 2022 Financial Results

PHOENIX, April 13, 2023 (GLOBE NEWSWIRE) — MedAvail Holdings, Inc. (Nasdaq: MDVL) (“MedAvail”), an innovative pharmacy technology company, today reported financial results for the three months and full-year ended December 31, 2022.

“Since assuming the role of CEO in January 2022, I have been impressed by the many growth opportunities addressable by both our pharmacy services and pharmacy technology solutions,” said Mark Doerr, Chief Executive Officer of MedAvail. “However, I believe it is in the best interest of our company to balance topline growth with an alternative path that targets accelerated profitability. As such, we made the difficult decision earlier this year to restructure and sell a majority of our SpotRx pharmacy services assets to CVS. This action will reduce our operating expense run rate by $35 million to $37 million this year, and our annual cash usage by approximately 65%.”

“As we progress through 2023, we will be focused exclusively on our MedCenter pharmacy technology business as a lean and nimble organization capable of responding quickly to new opportunities as they emerge, primarily within the primary care and urgent care channels where we currently have a majority of our dispensing MedCenters. Longer term, we see opportunities in additional channels and states where we think automated prescription dispensing can play an important role in the future pharmacy landscape.”

“With our recently completed financing, we have a strengthened balance sheet that we believe will support our pharmacy technology growth initiatives, intended to allow us to progress toward profitability without the need for an additional equity capital raise. I am optimistic for what we can achieve as a company this year, and I believe we have created a foundation from which to drive strong, profitable growth over the long-term, to the benefit of our partners, patients and shareholders.”

Recent Highlights

  • Completed a successful $16 million private placement in March 2023.
  • Announced a strategic restructuring which included the sale of certain assets of the company’s SpotRx pharmacy services business to CVS.
  • Post the restructuring, the company currently operates 32 net cumulative dispensing MedCenters in our continuing technology focused business.

Fourth Quarter and Full-year 2022 Highlights

  • Full year revenue exceeded $43 million, approximately a 95% increase over 2022.
  • Achieved a significant milestone with the successful completion of the Epic Willow integration and the availability of the MedCenter platform in the Epic App Orchard Gallery.
  • Completed a successful $50 million private placement by July 2022.
  • Completed a rewrite of the MedDispense software intended to enable greater flexibility and faster deployment of MedCenters.

Financial Outlook
MedAvail expects stand-alone technology revenue for 2023 to be approximately $3 million, which would represent greater than 100% growth over 2022 stand-alone technology revenue of $1.4 million (excluding revenue attributed to SpotRx).

MedAvail further expects full-year 2023 gross margins to be in excess of 60%.

In addition, the company expects to place an additional 25 net new dispensing MedCenters, which would result in 57 cumulative net dispensing MedCenters generating revenue by the end of 2023.

Conference Call
MedAvail will host a conference call at 1:30 p.m. PT / 4:30 p.m. ET on Thursday, April 13, 2023, to discuss its fourth quarter and full-year 2022 financial results. The conference call can be accessed live by dialing (877) 704-4453 for domestic callers or (201) 389-0920 for international callers and referring to Conference ID: 13737951. A webcast of the conference call can be accessed at https://investors.medavail.com. The webcast will be archived and available for replay for at least 90 days after the event.

About MedAvail
MedAvail Holdings, Inc. (NASDAQ: MDVL) is a pharmacy technology company, providing turnkey in-clinic pharmacy services through its proprietary robotic dispensing platform, the MedAvail MedCenter. MedAvail helps patients to optimize drug adherence, resulting in better health outcomes. Learn more at www.medavail.com.

Non-GAAP Financial Measures
MedAvail refers to certain financial measures that are not recognized under U.S. generally accepted accounting principles (“GAAP”) in this press release, including adjusted EBITDA. See the schedules to this press release for additional information and reconciliations of such non-GAAP financial measures.

Forward-Looking Statements
Certain statements included in this press release that are not historical facts are forward-looking statements for purposes of the safe harbor provisions under the Private Securities Litigation Reform Act of 1995. Forward-looking statements generally are accompanied by words such as “believe,” “may,” “will,” “estimate,” “continue,” “anticipate,” “intend,” “expect,” “should,” “would,” “plan,” “predict,” “potential,” “seem,” “seek,” “future,” “outlook,” “project,” and similar expressions that predict or indicate future events or trends or that are not statements of historical matters. These forward-looking statements include, but are not limited to, statements regarding MedAvail’s business strategy and market opportunity; preliminary estimates of selected financial results, potential future revenue and cost savings projections and expectations for growth and profitability; restructuring and reorganization targets, customer demand and expansion plans; margin, utilization and cost reduction improvements; customer partnerships and potential financing transactions. These statements are based on various assumptions, whether or not identified in this press release, and on the current expectations of MedAvail’s management and are not predictions of actual performance. Forward-looking statements are subject to a number of risks and uncertainties that could cause actual results to differ materially from the forward-looking statements, including but not limited to our ability to successfully achieve the benefits of a pharmacy technology only business and the efficiencies related to a restructuring and reorganization, and risks relating to our ability to successfully consummate potential strategic, financing and restructuring transactions, as well as other risks discussed under the heading “Risk Factors” in MedAvail’s recent Annual Report on Form 10-K and MedAvail’s Quarterly Reports on Form 10-Q, and other filings MedAvail makes with the Securities and Exchange Commission (“SEC”) in the future. Any preliminary estimates regarding selected 2022 financial results are further subject to the completion of management’s and the audit committee’s final reviews and MedAvail’s other financial closing procedures and are therefore subject to change. You should not place undue reliance on such preliminary information and estimates because they may prove to be materially inaccurate. While we believe that such preliminary information and estimates are based on reasonable assumptions, actual results may vary, and such variations may be material. If any of these risks materialize or our assumptions prove incorrect, actual results could differ materially from the results implied by these forward-looking statements. These forward-looking statements speak only as of the date hereof and MedAvail specifically disclaims any obligation to update these forward-looking statements.

Contacts:
Investor Relations
Steven Halper/Caroline Paul
Managing Directors, LifeSci Advisors
ir@medavail.com

SOURCE MedAvail Holdings, Inc.

MEDAVAIL HOLDINGS, INC. 
Consolidated Statements of Operations 
(in thousands, except share and per share data) 
(Unaudited) 
         
 Three Months Ended December 31, Years Ended December 31, 
  2022   2021   2022   2021  
Revenue:        
Pharmacy and hardware revenue$11,258  $6,954  $42,468  $21,119  
Service revenue 92   326   641   1,010  
Total revenue 11,350   7,280   43,109   22,129  
Cost of products sold and services:        
Pharmacy and hardware cost of products sold 11,432   7,562   40,259   21,306  
Service costs 44   80   265   506  
Total cost of products sold and services 11,476   7,642   40,524   21,812  
Operating expense:        
Pharmacy operations 3,937   4,068   15,907   13,496  
General and administrative 4,770   5,544   23,499   22,277  
Selling and marketing 1,748   2,148   8,486   7,204  
Research and development 163   248   1,115   849  
Total operating expense 10,618   12,008   49,007   43,826  
Operating loss (10,744)  (12,370)  (46,422)  (43,509) 
Other gain (loss), net          206  
Interest income 1   5   2   79  
Interest expense (327)  (261)  (1,172)  (589) 
Loss before income taxes (11,070)  (12,626)  (47,592)  (43,813) 
Income tax expense       (24)  (2) 
Net loss and comprehensive loss$(11,070) $(12,626) $(47,616) $(43,815) 
Net loss per share – basic and diluted$(0.14) $(0.38) $(0.72) $(1.34) 
Weighted average shares outstanding – basic and diluted 80,105,540   32,851,997   65,776,384   32,656,325  
         

MEDAVAIL HOLDINGS, INC. 
Consolidated Balance Sheets 
(in thousands, except share and per share amounts) 
(Unaudited) 
     
 December 31, 
  2022   2021  
Assets    
Current assets:    
Cash and cash equivalents$11,444  $19,689  
Restricted cash 676   400  
Accounts receivable (net of allowance for doubtful accounts of $239 thousand for 2022 and $66 thousand for 2021) 2,209   1,189  
Inventories 6,937   3,916  
Prepaid expenses and other current assets 2,663   2,191  
Total current assets 23,929   27,385  
Property, plant and equipment, net 6,455   5,692  
Intangible assets, net 465   2,300  
Right-of-use assets 2,085   2,538  
Other assets 198   228  
Total assets$33,132  $38,143  
Liabilities and Shareholders’ Equity     
Current liabilities:    
Accounts payable$1,675  $2,477  
Accrued liabilities 1,193   1,530  
Accrued payroll and benefits 2,213   2,733  
Deferred revenue 152   83  
Current portion of lease obligations 708   682  
Total current liabilities 5,941   7,505  
Long-term debt, net 4,798   9,538  
Long-term portion of lease obligations 1,569   2,027  
Total liabilities 12,308   19,070  
Commitments and contingencies    
Stockholders’ equity:    
Common shares ($0.001 par value, 300,000,000 and 100,000,000 shares authorized, 81,169,719 and 32,902,048 shares issued and outstanding at December 31, 2022 and 2021, respectively) 81   33  
Warrants 11,148   1,373  
Additional paid-in-capital 256,229   216,685  
Accumulated other comprehensive loss (6,928)  (6,928) 
Accumulated deficit (239,706)  (192,090) 
Total shareholders’ equity 20,824   19,073  
Total liabilities and shareholders’ equity$33,132  $38,143  
     

MEDAVAIL HOLDINGS, INC. 
Supplemental Financial Information – Segments 
(in thousands) 
(Unaudited) 
          
 Retail Pharmacy
Services
 Pharmacy
Technology
 Total 
Three Months Ended December 31, 2022      
Revenue:      
Pharmacy and hardware revenue:      
Retail pharmacy revenue$11,095  $  $11,095  
Hardware  61  61  
Subscription  102  102  
Total pharmacy and hardware revenue11,095  163  11,258  
Service revenue:      
Software integration      
Software  (17) (17) 
Maintenance and support  43  43  
Installation  55  55  
Professional services and other  11  11  
Total service revenue  92  92  
Total revenue11,095  255  11,350  
Cost of products sold and services11,343  133  11,476  
Segment gross profit$(248) $122  $(126) 
          
 Retail Pharmacy
Services
 Pharmacy
Technology
 Total 
Three Months Ended December 31, 2021      
Revenue:      
Pharmacy and hardware revenue:      
Retail pharmacy revenue$6,846  $  $6,846  
Hardware      
Subscription  108  108  
Total pharmacy and hardware revenue6,846  108  6,954  
Service revenue:      
Software integration      
Software  134  134  
Maintenance and support  47  47  
Installation      
Professional services and other  145  145  
Total service revenue  326  326  
Total revenue6,846  434  7,280  
Cost of products sold and services6,901  741  7,642  
Segment gross profit$(55) $(307) $(362) 
          

MEDAVAIL HOLDINGS, INC. 
Supplemental Financial Information – Segments 
(in thousands) 
(Unaudited) 
          
 Retail Pharmacy
Services
 Pharmacy
Technology
 Total 
Year Ended December 31, 2022      
Revenue:      
Pharmacy and hardware revenue:      
Retail pharmacy revenue$41,747 $ $41,747 
Hardware 297 297 
Subscription 424 424 
Total pharmacy and hardware revenue41,747 721 42,468 
Service revenue:      
Software 210 210 
Maintenance and support 170 170 
Installation 132 132 
Professional services and other 129 129 
Total service revenue 641 641 
Total revenue41,747 1,362 43,109 
Cost of products sold and services39,803 721 40,524 
Segment gross profit$1,944 $641 $2,585 
          
 Retail Pharmacy Services Pharmacy
Technology
 Total 
Year Ended December 31, 2021      
Revenue:      
Pharmacy and hardware revenue:      
Retail pharmacy revenue$20,203 $ $20,203 
Hardware 470 470 
Subscription 446 446 
Total pharmacy and hardware revenue20,203 916 21,119 
Service revenue:      
Software 259 259 
Maintenance and support 161 161 
Installation 39 39 
Professional services and other 551 551 
Total service revenue 1,010 1,010 
Total revenue20,203 1,926 22,129 
Cost of products sold and services20,031 1,781 21,812 
Segment gross profit$172 $145 $317 
          

Non-GAAP Financial Measures

To supplement our consolidated condensed financial statements, which are prepared and presented in accordance with GAAP, we use the following non-GAAP financial measures: EBITDA, and adjusted EBITDA. The presentation of this financial information is not intended to be considered in isolation or as a substitute for, or superior to, the financial information prepared and presented in accordance with GAAP.

We define Adjusted EBITDA for a particular period as net (loss) income before interest, taxes, depreciation and amortization, and as further adjusted for non-recurring revenue from a commercial agreement, inventory adjustment, merger-related expenses, and stock-based compensation expense.

We use these non-GAAP financial measures for financial and operational decision-making and as a means to evaluate period-to-period comparisons. We believe that these non-GAAP financial measures provide meaningful supplemental information regarding our performance by excluding certain items that may not be indicative of our recurring core business operating results, like one-time transaction costs related to the reverse merger. We believe that both management and investors benefit from referring to these non-GAAP financial measures in assessing our performance and when planning, forecasting, and analyzing future periods. These non-GAAP financial measures also facilitate management’s internal comparisons to our historical performance and liquidity as well as comparisons to our competitors’ operating results. We believe these non-GAAP financial measures are useful to investors both because (1) they allow for greater transparency with respect to key metrics used by management in its financial and operational decision-making and (2) they are used by our institutional investors and the analyst community to help them analyze the health of our business.

There are a number of limitations related to the use of non-GAAP financial measures. We compensate for these limitations by providing specific information regarding the GAAP amounts excluded from these non-GAAP financial measures and evaluating these non-GAAP financial measures together with their relevant financial measures in accordance with GAAP.

MEDAVAIL HOLDINGS, INC.
Unaudited Reconciliation of GAAP to Non-GAAP Measures
(in thousands)
             
 Three Months Ended December 31, Years Ended December 31, 
 2022  2021  2022  2021  
Net loss$(11,070) $(12,626) $(47,616) $(43,815) 
Adjustments to calculate EBITDA:            
Interest income(1) (5) (2) (79) 
Interest expense327  261  1,172  589  
Income tax expense    24  2  
Depreciation and amortization (1) 1,465   569   3,998   1,827  
EBITDA$(9,279) $(11,801) $(42,424) $(41,476) 
Adjustments as follows:            
Inventory cost adjustment    626      626  
Share-based compensation expense 555   257   2,296   1,205  
Adjusted EBITDA$(8,724) $(10,918) $(40,128) $(39,645) 
           
(1)Excludes $158 thousand and $203 thousand in operating lease amortization for the three months ended December 31, 2022, and 2021, respectively. Excludes $657 thousand and $750 thousand in operating lease amortization for the years ended December 31, 2022, and 2021, respectively.
             

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