Motus GI Reports Fourth Quarter and Full Year 2021 Financial Results and Provides Corporate Update

• Received FDA clearance in February 2022 to market Pure-Vu EVS, an all new, next-generation system that has been deployed to multiple hospitals in the first few weeks since launch

• Doubled the size of the sales team since November, and plan to continue investing in commercial expansion throughout 2022

• Advancing strategy to secure reimbursement for the Pure-Vu System for certain outpatient colonoscopies, targeting ~4.7M outpatient procedures per year in the U.S.

FORT LAUDERDALE, Fla., March 29, 2022 (GLOBE NEWSWIRE) -- Motus GI Holdings, Inc., (NASDAQ:MOTS) ("Motus GI" or the "Company"), a medical technology company providing endoscopy solutions that improve clinical outcomes and enhance the cost-efficiency associated with the diagnosis and management of gastrointestinal conditions, today reported its financial results for the fourth quarter and year ended December 31, 2021, and provided a corporate update.

"We are entering an exciting time in the Company' evolution as we are now armed with the right technology, an expanding commercial team, and a significant backlog of colonoscopy procedures as a result of the pandemic," commented Tim Moran, Chief Executive Officer. "Over the last 18 months, we've delivered on many of the key milestones of our long-term growth strategy. This progress includes building important KOL relationships, gaining key procedural learnings, and advancing our technology, which we expect to provide a solid foundation for commercial growth in the U.S."

"In February 2022, we received FDA clearance for Pure-Vu EVS, which represents a significant enhancement of our solution, including rapid set-up in approximately 60 seconds, improved navigation capabilities, the ability for bedside loading on a dirty scope, and overall ease of use. This all-new platform is expected to accelerate physician interest and adoption of our technology. To support this anticipated increase in demand, we have doubled the size of our commercial team, now providing local representation in many of the major U.S. GI markets. Looking ahead, our growth strategy includes continued investment in commercial expansion throughout 2022," added Mr. Moran.

"Additionally, we are currently planning a clinical trial for outpatient procedures, which is expected to provide pivotal data in the outpatient market with clearly identified endpoints. The data generated from this trial is expected to support future reimbursement applications. If we can successfully secure outpatient reimbursement, we believe it can provide additional growth opportunities, as the high medical need segment in outpatient is estimated to represent ~4.7M procedures per year in the United States alone," concluded Mr. Moran.

Fourth Quarter and Recent Business Highlights

• FDA Clearance to Market Pure-Vu EVS
  
  
  
  
  • Received 510(k) clearance from the U.S. FDA for the Pure-Vu® EVS System, which is intended to improve speed of set-up, enhance navigation capabilities in tortuous anatomy, build upon the excellent cleansing capabilities of prior generations of the Pure-Vu System and enable physicians to rapidly overcome the challenges of poorly prepared colons during a colonoscopy.

• Outpatient Reimbursement Strategy
  
  
  
  
  • Advancing a multi-pronged strategy to secure reimbursement for the Pure-Vu System procedure by both private and public payers that could accelerate use for certain outpatient colonoscopies, within a market representing ~4.7M targeted outpatient procedures per year.
  • Strategy includes designing a large, multi-center trial that may generate clinical and economic endpoints in the outpatient segment that will support applications seeking reimbursement of the Pure-Vu System.

• Clinical Data Generation
  • Fully enrolled the investigator-initiated EU clinical study exploring limited bowel prep for CRC screening at two European health centers; study remains on track for completion in Q2 2022.
  • Incorporating the Pure-Vu EVS platform into an existing investigator-initiated clinical study being conducted by a leading U.S. academic medical center to examine using the Pure-Vu System in patients with lower GI bleeding with minimal pre-procedural bowel prep.

• Product Innovation
  • Initiated a project to add Upper GI capabilities to the new Pure-Vu EVS platform.

Financial Results for the Quarter and Year Ended December 31, 2021

The Company reported revenue of $99,000 for the fourth quarter 2021, compared to $36,000 for the same period last year. Revenues for the full year 2021 were $391,000 compared to $98,000 in 2020. The Omicron variant significantly impacted the Company's fourth quarter results as delays were encountered with both existing and previously planned new evaluations due to hospital staff shortages and limited sales representative access.  These issues have continued to persist into the first quarter 2022. 

For the three months ended December 31, 2021, the Company reported a net loss of $4.8 million, or $0.10 per basic and diluted share, compared to a net loss of $4.4 million, or $0.14 per basic and diluted share, for the same period last year.

For the year ended December 31, 2021, the Company reported a net loss of $19.0 million compared to $19.3 million for the same period last year. The net loss attributable to common shareholders was $25.2 million, which included a one time non-cash deemed dividend from warrant issuance, totaling $6.1 million, associated with the warrant exchange agreement from the first quarter 2021. This compares to a net loss attributable to common shareholders of $19.3 million for the year ended December 31, 2020. Net loss per basic and diluted share attributable to common shareholders for the year ended December 31, 2021 was $0.54 compared to $0.60 for the same period last year. Excluding the one-time deemed dividend from warrant issuance, the Company's net loss per basic and diluted share for the year ended December 31, 2021, would have been $0.41 compared to $0.60 for the prior year. The Company believes this financial measure provides consistent and additional means of evaluating period-over-period operating performance.

During the fourth quarter, net cash used in operating activities and for the purchase of fixed assets was $4.0 million as compared to $2.8 million for the same period of 2020. 

Net cash used in operating activities and for the purchase of fixed assets during the year ended December 31, 2021 totaled $14.9 million as compared to $17.1 million for the same period of 2020.

The Company reported $22.6 million in cash and cash equivalents as of December 31, 2021.  This balance included the fully funded $12.0 million credit facility with Kreos Capital, which was put in place during the third quarter. The Company's current cash balance allows it to continue executing on its value creation drivers and is expected to meet overall anticipated cash needs into Q1 2023. 

Motus GI Holdings, Inc. and Subsidiaries

Condensed Consolidated Balance Sheets Highlights

(unaudited, in thousands)

		As of
		December 31, 2021				December 31, 2020
Cash		$	22,563			$	20,819
Working capital			21,060				11,497
Total assets			26,089				24,064
Total shareholders' equity			26,089				24,064

Conference Call:

The Motus GI management team has scheduled a conference call for today, March 29^th, at 4:30 p.m. ET to discuss these results. To access the conference call, investors are invited to dial (877) 407-0792 (U.S. and Canada) or (201) 689-8263 (International). The conference ID number is 13727501. A live audio webcast can be accessed by visiting the investor relations section of the Company's website, www.motusgi.com or (click here). A replay of the webcast will be archived on the Motus GI website for 90 days following the event.

About Motus GI

Motus GI Holdings, Inc. is a medical technology company, with subsidiaries in the U.S. and Israel, providing endoscopy solutions that improve clinical outcomes and enhance the cost-efficiency associated with the diagnosis and management of gastrointestinal conditions.

For more information, visit www.motusgi.com and connect with the Company on Twitter, LinkedIn and Facebook.

Forward-Looking Statements

This press release contains certain forward-looking statements. Forward-looking statements are based on the Company's current expectations and assumptions. The Private Securities Litigation Reform Act of 1995 provides a safe harbor for forward-looking statements. These statements may be identified by the use of forward-looking expressions, including, but not limited to, "expect," "anticipate," "intend," "plan," "believe," "estimate," "potential," "predict," "project," "should," "would" and similar expressions and the negatives of those terms, including without limitation, risks related to the continued impact of the COVID-19 pandemic, risks inherent in the development and commercialization of potential products, possible or assumed future results of operations, business strategies, potential grow opportunities, uncertainty in the timing and results of clinical trials or regulatory approvals, maintenance of intellectual property rights or other risks discussed in the Company's quarterly and annual reports filed with the Securities and Exchange Commission, and its other filings with the Securities and Exchange Commission. Prospective investors are cautioned not to place undue reliance on such forward-looking statements, which speak only as of the date hereof. The Company undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events or otherwise.

Investor Contact:

Troy Williams

LifeSci Advisors

(518) 221-0106

[email protected]

Motus GI Holdings, Inc. and Subsidiaries

Condensed Consolidated Balance Sheets

(in thousands, except share and per share amounts)

		December 31,
		2021				2020
Assets
Current assets:
Cash and cash equivalents		$	22,563			$	20,819
Accounts receivable			109				35
Inventory			496				805
Prepaid expenses and other current assets			793				448
Total current assets			23,961				22,107
Fixed assets, net			1,428				1,178
Right-of-use assets			687				766
Other non-current assets			13				13
Total assets		$	26,089			$	24,064
Liabilities and Shareholders' Equity
Current liabilities:
Accounts payable and accrued expenses		$	2,584			$	2,333
Operating lease liabilities - current			307				238
Other current liabilities			10				60
Term debt, net of debt discount of $0 and $21, respectively			-				7,979
Total current liabilities			2,901				10,610
Contingent royalty obligation			1,760				1,617
Operating lease liabilities - non-current			385				547
Convertible note, net of unamortized debt discount of $166 and $0, respectively			3,834				-
Long-term debt, net of unamortized debt discount of $588 and $0, respectively			7,552				-
Total liabilities			16,432				12,774
Shareholders' equity
Preferred stock $0.0001 par value; 10,000,000 shares authorized; zero shares issued and outstanding			-				-
Common stock $0.0001 par value; 115,000,000 shares authorized; 48,320,986 and 32,272,309 shares issued and outstanding as of December 31, 2021 and December 31, 2020, respectively			5				3
Additional paid-in capital			132,406				115,008
Accumulated deficit			(122,754	)			(103,721	)
Total shareholders' equity			9,657				11,290
Total liabilities and shareholders' equity		$	26,089			$	24,064

Motus GI Holdings, Inc. and Subsidiaries

Condensed Consolidated Statements of Comprehensive Loss

(unaudited, in thousands, except share and per share amounts)

		Three Months Ended December 31,								Twelve Months Ended December 31
		2021				2020				2021				2020
Revenue		$	99			$	36			$	391			$	98
Operating expenses:
Costs of revenue - sales			46				23				181				95
Costs of revenue - impairment of inventory			257				401				443				401
Research and development			1,301				1,196				5,341				5,555
Sales and marketing			881				578				3,077				3,532
General and administrative			2,169				2,130				9,273				9,562
Total costs and expenses			4,654				4,328				18,315				19,145
Operating loss			(4,555	)			(4,292	)			(17,924	)			(19,047	)
Gain (loss) on change in estimated fair value of contingent royalty obligation			(9	)			7				(143	)			255
Loss on extinguishment of debt			(267	)			-				(237	)			-
Finance expense, net			(717	)			(116	)			(717	)			(464	)
Other income			-				-				5				-
Foreign currency loss			(5	)			3				(17	)			(1	)
Net loss		$	(4,818	)		$	(4,398	)		$	(19,033	)		$	(19,257	)
Deemed dividends from warrant issuance			-				-				(6,145	)			-
Net loss attributable to common shareholders		$	(4,818	)		$	(4,398	)		$	(25,178	)		$	(19,257	)
Basic and diluted loss per common share:
Net loss attributable to common shareholders		$	(0.10	)		$	(0.14	)		$	(0.54	)		$	(0.60	)
Weighted average number of common shares outstanding, basic and diluted			48,306,312				32,261,892				46,895,187				32,120,017