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 financial statements and related notes included elsewhere in this in this Quarterly Report on Form 10-Q and our final prospectus, or Prospectus, dated June 17, 2021 and filed with the U.S. Securities and Exchange Commission, or the SEC, pursuant to Rule 424(b) under the Securities Act of 1933, as amended, or the Securities Act, on June 21, 2021 (Registration No. 333-256156). This Quarterly Report on Form 10-Q contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, which are subject to the “safe harbor” created by those sections. Forward-looking statements are based on our management’s beliefs and assumptions and on information currently available to our management. In some cases, you can identify forward-looking statements by terms such as “may,” “will,” “should,” “could,” “goal,” “would,” “expect,” “plan,” “anticipate,” “believe,” “estimate,” “project,” “predict,” “potential” and similar expressions intended to identify forward-looking statements and reflect our beliefs and opinions on the relevant subject. Our actual results could differ materially from those discussed in the forward-looking statements. Factors that could cause or contribute to these differences include those discussed below and elsewhere in this Quarterly Report on Form 10-Q. The forward-looking statements included in this Quarterly Report on Form 10-Q are made only as of the date hereof. These statements are based upon information available to us as of the filing date of this Quarterly Report on Form 10-Q, and while we believe such information forms a reasonable basis for such statements, such information may be limited or incomplete, and our statements should not be read to indicate that we have conducted an exhaustive inquiry into, or review of, all potentially available relevant information. These statements are inherently uncertain, and investors are cautioned not to unduly rely upon these statements.
Overview
We are a biomedical company focused on transforming women’s healthcare by developing novel solutions and next-generation advancements providing significant clinical impact to address severely underserved areas. Our mission is to provide women worldwide with superior minimally-invasive, non-surgical product technologies, accessible in the office, improving patient care and overall health economics. As a woman-founded and led company with an expansive, internally created intellectual property portfolio with over 100 patents globally, in-house CMC and device manufacturing capabilities and proven ability to develop and commercialize products, we believe that we are well-positioned to become a leading company in the women’s healthcare space with solutions to address multi-billion dollar global opportunities. Our suite of products and product candidates address several large global market segments in which there has been little advancement for many years, helping women avoid pharmaceutical solutions, implants and surgery that can be expensive and expose women to harm. With an initial focus in the area of reproductive health, our two lead product candidates offer solutions for two ends of the spectrum: FemBloc for permanent birth control and FemaSeed as an artificial insemination infertility treatment. We believe our solutions have the potential to disrupt and grow the market segments that they address with few or no current direct competitors.
Results of Operations
Comparison of the Three Months Ended September 30, 2021 and 2020
The following table shows our results of operations for the three months ended September 30, 2021 and 2020:
| | Three Months Ended September 30, | | | | | | | |
| | 2021 | | | 2020 | | | Change | | | % Change | |
Sales | | $ | 269,581 | | | | 313,208 | | | | (43,627 | ) | | | -13.9 | % |
Cost of sales | | | 105,403 | | | | 90,435 | | | | 14,968 | | | | 16.6 | % |
Gross margin | | | 164,178 | | | | 222,773 | | | | (58,595 | ) | | | -26.3 | % |
Operating expenses: | | | | | | | | | | | | | | | | |
Research and development | | | 1,140,577 | | | | 995,620 | | | | 144,957 | | | | 14.6 | % |
Sales and marketing | | | 43,284 | | | | 31,010 | | | | 12,274 | | | | 39.6 | % |
General and administrative | | | 1,087,363 | | | | 596,778 | | | | 490,585 | | | | 82.2 | % |
Depreciation and amortization | | | 144,399 | | | | 164,242 | | | | (19,843 | ) | | | -12.1 | % |
Total operating expenses | | | 2,415,623 | | | | 1,787,650 | | | | 627,973 | | | | 35.1 | % |
Loss from operations | | | (2,251,445 | ) | | | (1,564,877 | ) | | | (686,568 | ) | | | 43.9 | % |
Other income (expense): | | | | | | | | | | | | | | | | |
Interest income, net | | | 1,649 | | | | 342 | | | | 1,307 | | | | 382.2 | % |
Other income | | | — | | | | — | | | | — | | | |
| * |
Interest expense | | | (7,055 | ) | | | (3,760 | ) | | | (3,295 | ) | | | 87.6 | % |
Other expense | | | (2,850 | ) | | | — | | | | (2,850 | ) | | | 100.0 | % |
Total other income (expense) | | | (8,256 | ) | | | (3,418 | ) | | | (4,838 | ) | | | 141.5 | % |
Loss before income taxes | | | (2,259,701 | ) | | | (1,568,295 | ) | | | (691,406 | ) | | | 44.1 | % |
Income tax expense | | | — | | | | — | | | | — | | | |
| * |
Net loss | | $ | (2,259,701 | ) | | | (1,568,295 | ) | | | (691,406 | ) | | | 44.1 | % |
*Percentage calculated is not meaningful
Sales
Sales decreased by $43,627, or 13.9%, to $269,581 for the three months ended September 30, 2021 from $313,208 for the three months ended September 30, 2020. The decrease was attributable to a $43,627 decrease in U.S. sales for the three months ended September 30, 2021 as compared to the same period last year due to a 19.9% decline in units sold largely due to a rebound of sales in the third quarter of 2020 from the heavily impacted second quarter of 2020 due to the COVID-19 pandemic and, to a lesser extent, the seasonality of our sales. International sales were $58,045 for the three months ended September 30, 2021 and 2020.
Cost of sales and gross margin percentage
Cost of sales increased by $14,968, or 16.6%, to $105,403 for the three months ended September 30, 2021 from $90,435 for the three months ended September 30, 2020. The increase in cost of sales was largely due to additional labor and overhead costs applied to our cost of sales for the three months ended September 30, 2021 as compared to the same period last year due to recently hired production personnel taking longer to build our FemVue product than originally planned. As a result, gross margin percentage was 60.9% for the three months ended September 30, 2021 as compared to 71.1% for the three months ended September 30, 2020. We expect to see improvement in our gross margin in the future as our new production personnel become more efficient with the manufacturing process and as we invest in equipment which will allow us to automate certain manufacturing processes.
Research and development
The following table summarizes our R&D expenses incurred during the periods presented:
| | Three Months Ended September 30, | |
| | 2021 | | | 2020 | |
Compensation and related personnel costs | | $ | 643,007 | | | | 634,314 | |
Clinical-related costs | | | 279,285 | | | | 275,209 | |
Material and development costs | | | 148,435 | | | | 57,159 | |
Other costs | | | 69,850 | | | | 28,938 | |
Total research and development expenses | | $ | 1,140,577 | | | | 995,620 | |
R&D expenses increased by $144,957 or 14.6%, to $1,140,577 for the three months ended September 30, 2021 from $995,620 for the three months ended September 30, 2020. The net increase of $144,957 consists of the $8,693 increase in compensation and related personnel costs primarily due to a slight increase in headcount, an increase of $4,076 in clinical-related costs, an increase of $91,276 in material and development costs due to increased spending in R&D projects largely to support our clinical trials, and an increase of $40,912 in other costs which are largely attributable to additional consulting costs to support our clinical trials.
Sales and marketing
Sales and marketing expenses increased by $12,274 or 39.6%, to $43,284 for the three months ended September 30, 2021 from $31,010 for the three months ended September 30, 2020 largely due to additional marketing costs associated with our FemVue social media campaign to increase our commercial presence.
General and administrative
General and administrative expenses increased by $490,585, or 82.2%, to $1,087,363 for the three months ended September 30, 2021 from $596,778 for the three months ended September 30, 2020. The increase was largely due to an increase of $309,749 in professional costs associated with being a public company.
Depreciation and amortization
Depreciation and amortization expenses decreased by $19,843, or 12.1%, to $144,399 for the three months ended September 30, 2021 from $164,242 for the three months ended September 30, 2020 primarily due to reduction of amortization expense associated with the Company’s intangible assets.
Other income (expense)
Total other income (expense) or net expense increased by $4,838 for the three months ended September 30, 2021 from the same period last year largely due to interest expense.
Comparison of the Nine Months Ended September 30, 2021 and 2020
The following table shows our results of operations for the nine months ended September 30, 2021 and 2020:
| | Nine Months Ended September 30, | | | | | | | |
| | 2021 | | | 2020 | | | Change | | | % Change | |
Sales | | $ | 925,362 | | | | 756,954 | | | | 168,408 | | | | 22.2 | % |
Cost of sales | | | 306,072 | | | | 218,898 | | | | 87,174 | | | | 39.8 | % |
Gross margin | | | 619,290 | | | | 538,056 | | | | 81,234 | | | | 15.1 | % |
Operating expenses: | | | | | | | | | | | | | | | | |
Research and development | | | 3,030,467 | | | | 3,235,022 | | | | (204,555 | ) | | | -6.3 | % |
Sales and marketing | | | 87,931 | | | | 281,583 | | | | (193,652 | ) | | | -68.8 | % |
General and administrative | | | 3,030,749 | | | | 1,790,595 | | | | 1,240,154 | | | | 69.3 | % |
Depreciation and amortization | | | 449,211 | | | | 499,534 | | | | (50,323 | ) | | | -10.1 | % |
Total operating expenses | | | 6,598,358 | | | | 5,806,734 | | | | 791,624 | | | | 13.6 | % |
Loss from operations | | | (5,979,068 | ) | | | (5,268,678 | ) | | | (710,390 | ) | | | 13.5 | % |
Other income (expense): | | | | | | | | | | | | | | | | |
Interest income, net | | | 1,957 | | | | 22,298 | | | | (20,341 | ) | | | -91.2 | % |
Other income | | | 821,515 | | | | — | | | | 821,515 | | | |
| * |
Interest expense | | | (14,546 | ) | | | (9,093 | ) | | | (5,453 | ) | | | 60.0 | % |
Other expense | | | (2,850 | ) | | | — | | | | (2,850 | ) | | | 100.0
| %* |
Total other income (expense) | | | 806,076 | | | | 13,205 | | | | 792,871 | | | | 6004.3 | % |
Loss before income taxes | | | (5,172,992 | ) | | | (5,255,473 | ) | | | 82,481 | | | | -1.6 | % |
Income tax expense | | | — | | | | — | | | | — | | | |
| * |
Net loss | | $ | (5,172,992 | ) | | | (5,255,473 | ) | | | 82,481 | | | | -1.6 | % |
*Percentage calculated is not meaningful
Sales
Sales increased by $168,408, or 22.2%, to $925,362 for the nine months ended September 30, 2021 from $756,954 for the nine months ended September 30, 2020. The increase was attributable to a $112,613 increase in U.S. sales and a $55,795 increase in international sales. The increase in sales was largely attributable to the lower sales for the nine months ended September 30, 2020 primarily due to the impact of the COVID-19 pandemic. U.S sales increased by 17.6% for the nine months ended September 30, 2021 as compared to the same period last year and were $751,285 for the nine months ended September 30, 2021 as compared to $638,672 for the nine months ended September 30, 2020, representing a 14.2% increase in units sold. International sales increased by 47.2% for the nine months ended September 30, 2021 as compared to the same period last year and were $174,077 for the nine months ended September 30, 2021 as compared to $118,282 for the nine months ended September 30, 2020, representing a 45.3% increase in units sold.
Cost of sales and gross margin percentage
Cost of sales increased by $87,174, or 39.8%, to $306,072 for the nine months ended September 30, 2021 from $218,898 for the nine months ended September 30, 2020. The increase was primarily due to the increase in sales along with the sales mix between US and international sales for the nine months ended September 30, 2021 compared to the same period last year as our international sales have a lower gross margin, along with an increase in labor and overhead being applied to our cost of sales due to recently hired production personnel taking longer to build our FemVue product than originally planned. As a result, gross margin percentage was 66.9% for the nine months ended September 30, 2021 as compared to 71.1% for the nine months ended September 30, 2020. We expect to see improvement in our gross margin in the future as our new production personnel become more efficient with the manufacturing process and as we invest in equipment which will allow us to automate certain manufacturing processes.
Research and development
The following table summarizes our R&D expenses incurred during the periods presented:
| | Nine Months Ended September 30, | |
| | 2021 | | | 2020 | |
Compensation and related personnel costs | | $ | 1,967,702 | | | | 2,129,257 | |
Clinical-related costs | | | 596,143 | | | | 652,802 | |
Material and development costs | | | 349,825 | | | | 378,539 | |
Other costs | | | 116,797 | | | | 74,424 | |
Total research and development expenses | | $ | 3,030,467 | | | | 3,235,022 | |
R&D expenses decreased by $204,555 or 6.3%, to $3,030,467 for the nine months ended September 30, 2021 from $3,235,022 for the nine months ended September 30, 2020. The decrease was primarily due to the decrease of $161,555 in compensation and related personnel costs due to the reduction in staff in March 2020, a decrease of $56,659 in clinical-related trial costs, a decrease of $28,714 in material and development costs due to deferring certain R&D projects in the first half of 2021 to preserve cash, and partially offset by an increase in other costs of $42,373 largely related to additional consulting costs to support our clinical trials.
Sales and marketing
Sales and marketing expenses decreased by $193,652 or 68.8%, to $87,931 for the nine months ended September 30, 2021 from $281,583 for the nine months ended September 30, 2020. The decrease was primarily due to a decrease of $192,304 in compensation and related personnel costs due to the reduction in staff in March 2020.
General and administrative
General and administrative expenses increased by $1,240,154, or 69.3%, to $3,030,749 for the nine months ended September 30, 2021 from $1,790,595 for the nine months ended September 30, 2020. The increase was largely due to an increase of $1,050,483 in professional costs largely associated with our financing transactions and additional costs associated with being a public company.
Depreciation and amortization
Depreciation and amortization expenses decreased by $50,323, or 10.1%, to $449,211 for the nine months ended September 30, 2021 from $499,534 for the nine months ended September 30, 2020 primarily due to reduction of amortization expense associated with the Company’s intangible assets.
Other income (expense)
Total other income (expense) or net income increased by $792,871 for the nine months ended September 30, 2021 from the same period last year largely from the $821,515 in other income recognized due to the SBA approval of our PPP loan forgiveness.
Liquidity and Capital Resources
Sources of liquidity
Since our inception through September 30, 2021, our operations have been financed primarily by net proceeds from the sale of our common stock and convertible preferred stock, indebtedness and, to a lesser extent, product revenue. As of September 30, 2021, we had $27,280,309 of cash and cash equivalents and an accumulated deficit of $80,375,482.
On June 14, 2021, we were notified by Georgia Primary Bank that the Paycheck Protection Program (PPP) loan in the amount of $812,500 and accrued interest of $9,015 was fully forgiven; and, as a result, we recognized $821,515 in other income in June 2021.
On June 22, 2021, we closed our initial public offering (the IPO) in which we issued and sold 2,650,000 shares of our authorized common stock. The price per share in the IPO was $13.00. Net proceeds received, after deducting underwriting discounts, commissions, and legal expenses, were $31,613,500. Offering costs incurred by the Company were $1,591,144, which excludes legal expenses incurred by our underwriters of $425,000. Immediately prior to the closing of the IPO, all our shares of our convertible Series A preferred stock and our redeemable convertible Series B and Series C preferred stock automatically converted into 8,116,343 shares of common stock.
Funding requirements
Based on our current operating plan, our current cash and cash equivalents are expected to be sufficient to fund our ongoing operations at least through 2022. Our estimate as to how long we expect the net proceeds from this offering, together with our existing cash and cash equivalents, to be able to continue to fund our operations is based on assumptions that may prove to be wrong, and we could use our available capital resources sooner than we currently expect. Changing circumstances, some of which may be beyond our control, could cause us to consume capital significantly faster than we currently anticipate, and we may need to seek additional funds sooner than planned.
Our cash and cash equivalents as of September 30, 2021 will not be sufficient to fund all of our product candidates through regulatory approval, and we anticipate needing to raise additional capital to complete the development and commercialization of our product candidates. However, we can give no assurances that we will be able to secure additional sources of funds to support our operations, or if such funds will be available to us, that such additional financing will be sufficient to meet our needs or be on terms acceptable to us. This risk may increase if economic and market conditions deteriorate. If we are unable to obtain additional financing when needed, we may need to terminate, significantly modify, or delay the development of our product candidates, or we may need to obtain funds through collaborations or otherwise on terms that may require us to relinquish rights to our technologies or product candidates that we might otherwise seek to develop or commercialize independently. If we are unable to raise adequate additional capital as and when required in the future, we could be forced to cease development activities and terminate our operations, and you could experience a complete loss of your investment.
Cash Flows
Comparison of the Nine Months Ended September 30, 2021 and 2020
The following table summarizes our cash flows for the nine months ended September 30, 2021 and 2020:
| | Nine Months Ended September 30, | |
| | 2021 | | | 2020 | |
Net cash used in operating activities | | $ | (5,682,883 | ) | | | (3,662,007 | ) |
Net cash (used in) provided by investing activities | | | (188,245 | ) | | | 948,653 | |
Net cash provided by financing activies | | | 29,829,211 | | | | 864,073 | |
Net change in cash and cash equivalents | | $ | 23,958,083 | | | | (1,849,281 | ) |
Operating activities
For the nine months ending September 30, 2021, cash used in operating activities was $5,682,883, attributable to a net loss of $5,172,992, a net change in our net operating assets and liabilities of $588,880, and non-cash charges of $78,989. Net non-cash charges largely consisted of $821,515 in PPP loan forgiveness offset by $163,924 in stock-based compensation, $449,211 in depreciation and amortization, and $284,519 in right-of-use amortization. The change in our net operating assets and liabilities was primarily due to a net decrease in accounts payable and accrued expenses of $748,173, a decrease of $312,893 in lease liabilities, and offset by a decrease in other assets of $498,878.
For the nine months ending September 30, 2020, cash used in operating activities was $3,662,007, attributable to a net loss of $5,255,473, and offset by a net change in our net operating assets and liabilities of $535,862 and non-cash charges of $1,057,604. Non-cash charges primarily consisted of $239,075 in stock-based compensation, $499,534 in depreciation and amortization, and $320,184 in right-of-use amortization. The change in our net operating assets and liabilities was primarily due to a net increase in accounts payable and accrued expenses of $639,047, a decrease in other assets of $205,839, and offset by a decrease in lease liabilities of $337,074.
Investing activities
For the nine months ended September 30, 2021, cash used in investing activities for the purchase of equipment was $188,245.
For the nine months ended September 30, 2020, cash provided by investing activities was $948,653, attributable to maturities of short-term investments of $1,000,000, offset by payments for patents and other intangible assets of $42,995 and equipment of $8,352.
Financing activities
For the nine months ended September 30, 2021, cash provided by financing activities was $29,829,211, attributable to net proceeds from our IPO of $30,034,857, exercise of stock options totaling $112,145, and offset by repayments on notes payable of $302,343 and payments under lease obligations of $15,448.
For the nine months ended September 30, 2020, cash provided from financing activities was $864,073, consisting of proceeds from the PPP loan of $812,500, the Economic Injury Disaster Loan Advance of $10,000, and proceeds from the exercise of stock options of $55,550, offset partially by payments under lease obligations of $13,977.
Item 3. | Quantitative and Qualitative Disclosures About Market Risk |
Not applicable.
Item 4. | Controls and Procedures |
Evaluation of Disclosure Controls and Procedures
Our management, with the participation of our Chief Executive Officer (principal executive officer) and Vice President, Finance and Administration (principal financial officer), has evaluated the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended) as of the end of the period covered by this Quarterly Report on Form 10-Q. Based on such evaluation, our management has concluded that our disclosure controls and procedures were effective at a reasonable assurance level as of September 30, 2021.
Changes in Internal Control over Financial Reporting
There were no changes in our internal control over financial reporting identified in connection with the evaluation required by Rule 13a-15(d) and 15d-15(d) of the Exchange Act that occurred during the quarter ended September 30, 2021 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
Inherent Limitations on Effectiveness of Controls
Our management, including our Chief Executive Officer and Vice President, Financial and Administration (Principal Financial and Accounting Officer), does not expect that our disclosure controls and procedures or internal control over financial reporting will prevent all errors and all fraud. A control system, no matter how well designed and implemented, can provide only reasonable, not absolute, assurance that the control system’s objectives will be met. Further, the design of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues within a company are detected. The inherent limitations include the realities that judgments in decision-making can be faulty and that breakdowns can occur because of simple errors or mistakes. Controls can also be circumvented by the individual acts of some persons, by collusion of two or more people, or by management override of the controls. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions or that the degree of compliance with the policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and may not be detected.
PART II OTHER INFORMATION
From time to time we may be involved in legal proceedings arising in connection with our business. Based on information currently available, we believe that the amount, or range, of reasonably possible losses in connection with any pending actions against us in excess of established reserves, in the aggregate, is not material to our consolidated financial condition or cash flows. However, losses may be material to our operating results for any particular future period, depending on the level of income for such period.
You should carefully review and consider the information regarding certain risks and uncertainties facing us that could have a material adverse effect on our business prospects, financial condition, results of operations, liquidity and available capital resources set forth in Part I, Item 1A of the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2021.
Item 2. | Unregistered Sales of Equity Securities and Use of Proceeds |
Unregistered Sales of Equity Securities
Not applicable.
Use of Proceeds
On June 17, 2021, our Registration Statement on Form S-1, as amended (Reg. No. 333-256156), was declared effective in connection with the IPO.
There has been no material change in the planned use of proceeds from our IPO as described in the Prospectus relating to that offering dated June 21, 2021.
Item 3. | Defaults Upon Senior Securities |
Not applicable.
Item 4. | Mine Safety Disclosures |
Not applicable.
Not applicable.
Pursuant to the requirements of the Securities Act, the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Suwanee, State of Georgia, on this 12 day of November 2021.
FEMASYS INC.