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ProSomnus Reports Record Second Quarter 2023 Top-Line Financial Results

PLEASANTON, Calif., Aug. 03, 2023 (GLOBE NEWSWIRE) -- ProSomnus, Inc. (“the Company” or “ProSomnus”) (NASDAQ: OSA), a leading CPAP alternative for the treatment of Obstructive Sleep Apnea (“OSA”), today announced financial results for the second quarter ended June 30, 2023.

Recent Business Highlights

  • Generated record quarterly revenues of $6.9 million in the second quarter of 2023, and $12.7 million in the first half of 2023.
  • Delivered a 43% revenue increase from the second quarter of 2022, and a sequential revenue increase of 19% from the first quarter 2023.
  • Updated, preliminary data from the Front Line Obstructive Sleep Apnea Treatment study (FLOSAT), a head to head study versus CPAP for moderate and severe OSA, was presented at three sleep industry conferences demonstrating ProSomnus precision devices as efficacious and patient-preferred. Timeline for initial data readout from the Severe Obstructive Sleep Apnea Study (SOS) in the first half of 2024 remains on track.
  • Completing development of the next-generation precision OAT featuring embedded remote patient monitoring capabilities, with first commercial use expected in the fourth quarter of 2023.

“ProSomnus delivered record revenues, significant revenue growth and strong organizational execution in the second quarter of 2023,” said Len Liptak, Chief Executive Officer. “The rapidly increasing demand for our precision devices, buttressed by new clinical data supporting the effectiveness of our precision therapy, represents meaningful progress towards achieving our vision of making ProSomnus devices the leading treatment for OSA. Data presented by KOLs at scientific conferences further associated ProSomnus devices with effective, safe, and patient-preferred treatment. I am proud of our revenue growth which significantly exceeded expectations, and which we believe reflects the investments we have made toward our strategic growth plans. During the second quarter our team executed against these key initiatives including the expansion of our direct sales team, the development of our next generation sensor device, and the fielding of our Severe OSA Study and related severe OSA FDA label expansion.”

Financial Results for the Second Quarter of 2023

Revenues for the second quarter ended June 30, 2023 totaled $6.9 million, reflecting a 43% increase over $4.9 million reported for the same period in 2022 and a 19% sequential increase compared to $5.8 million reported for the first quarter of 2023. Year-to-date through June 30, 2023, revenues increase 48% to $12.7 million from $8.6 million for the same period during the prior year. Revenue growth and the underlying growth in deliveries of the Company’s products reflects the growing clinical adoption of ProSomnus’s precision devices in both the United States and Europe and positive impacts of the expanded field sales team during the first half of 2023.

Gross margins remain strong and consistent at 54% for the second quarter ended and year-to-date through June 30, 2023. Margins during the second quarter improved modestly compared to 53% for the first quarter of 2023 and 52% compared to the same period during 2022 and decreased slightly compared to year-to-date 2022 of 55%. Gross profit and gross margin include the costs of materials, labor and overhead costs to produce the Company’s products, including the new manufacturing facility into which the Company moved during 2023. The facility quadrupled the Company’s previous capacity and increased overhead costs absorbed into product costs. With the increased facility costs the Company has maintained strong margins and expects to leverage this, and other expenses, as volumes increase thereby increasing gross margin.

Operating expenses increased to $9.5 million for the second quarter ended June 30, 2023, an increase of $5.5 million compared to the same period during 2022, and $2.3 million compared to the first quarter of 2023. Year-to-date operating expenses increased to $16.7 million, an increase of $8.7 million compared to the same period last year. Increases in Sales and Marketing reflect planned increases in direct sales resources in the United States and in Europe. Increases in R&D reflect investments being made in the later stages of development of the Company’s RPMO2 sensor enabled appliance that is expected to be introduced in late 2023. General and administrative (G&A) expenses reflect public company and post-listing expenses, including increased audit and review fees for routine filings and registration statements, legal fees for filings and routine compliance and governance, increases in compensation costs associate with hiring permanent and contract staff for public company compliance functions, and increased operational expenses associated with the Company’s new facility. The Company’s G&A in the first half of 2023 was atypically high as the Company was transitioning to being a public company. The Company expects its G&A expense to decrease in the second half of 2023 but for G&A expense to remain higher than 2022 levels.

Other income and expense includes interest expense on the Company’s outstanding senior and subordinated debt and accounting valuation adjustments.

Cash on hand totaled $6.2 million as of June 30, 2023.

Conference Call and Webcast Information

ProSomnus Chief Executive Officer, Len Liptak, and Chief Financial Officer, Brian Dow, will host a conference call at 5:30 am PT / 8:30 am ET to discuss the Company’s quarterly financial results and provide updated financial guidance for the remainder of 2023. Interested parties may register for the conference call using the following link ProSomnus Q2 2023 Conference Call. You may access the live webcast of the conference call by using the following link: ProSomnus Q2 2023 Webcast. The link will also be posted in the Investor Relations section of the ProSomnus website at News & Events.

About ProSomnus

ProSomnus (NASDAQ: OSA) is a leading CPAP alternative for the treatment of Obstructive Sleep Apnea, a serious medical disease affecting over 1 billion people worldwide, that is associated with comorbidities including heart failure, stroke, hypertension, morbid obesity, and type 2 diabetes. ProSomnus intraoral medical devices are engineered to precisely track the treatment plan and anatomy for each patient. Non-invasive, patient preferred and easy to use, ProSomnus devices have demonstrated excellent efficacy, safety, adherence, and overall outcomes in a growing body of clinical investigations. ProSomnus precision intraoral devices are FDA-cleared, patented, and covered by commercial medical insurance, Medicare, TRICARE and many Government sponsored healthcare plans around the world, representing over 200 million covered lives. To learn more, visit

  Three-month period ended 
  June 30,  March 31,  June 30, 
  2023  2023  2022 
Revenue $6,933,910  $5,808,380  $4,859,909 
Cost of revenue  3,170,794   2,756,631   2,321,692 
Gross profit  3,763,116   3,051,749   2,538,217 
Operating expenses            
Sales and marketing  3,642,718   2,824,048   2,013,392 
Research and development  1,376,036   1,018,969   669,348 
General and administrative  4,480,124   3,353,007   1,289,154 
Total operating expenses  9,498,878   7,196,024   3,971,894 
Loss from operations  (5,735,762)  (4,144,275)  (1,433,677)
Other income (expense)            
Interest expense  (1,240,159)  (1,171,810)  (1,197,237)
Change in fair value of earnout liability  6,700,000   1,500,000    
Change in fair value of warrant liability  2,106,398   (842,559)   
Change in fair value of debt  (802,430)  (1,827,000)   
Other  (123,117)  (406,527)  (192,731)
Total other income (expense)  6,640,692   (2,747,896)  (1,389,968)
Net income (loss) $904,930  $(6,892,171) $(2,823,645)
Net income (loss) per share attributable to common stockholders:            
Basic $0.06  $(0.43) $(0.71)
Diluted (1) $(0.01) $(0.43) $(0.71)
Weighted average shares outstanding:            
Basic  16,048,717   16,041,464   3,958,258 
Diluted  19,132,318   16,041,464   3,958,258 

(1) Diluted net loss per share for the three-month period ended June 30, 2023 includes the effect of the following item:
Interest expense and fair value remeasurement of the Senior Convertible Notes

  Six-month period ended 
  June 30, 
  2023  2022 
Revenue $12,742,290  $8,603,052 
Cost of revenue  5,927,425   3,900,188 
Gross profit  6,814,865   4,702,864 
Operating expenses        
Sales and marketing  6,466,766   4,130,811 
Research and development  2,395,005   1,226,980 
General and administrative  7,833,131   2,642,889 
Total operating expenses  16,694,902   8,000,680 
Loss from operations  (9,880,037)  (3,297,816)
Other income (expense)        
Interest expense  (2,411,969)  (2,293,075)
Change in fair value of earnout liability  8,200,000    
Change in fair value of warrant liability  1,263,839   (20,756)
Change in fair value of debt  (2,629,430)   
Other  (529,644)  (192,731)
Total other income (expense)  3,892,796   (2,506,562)
Net loss $(5,987,241) $(5,804,378)
Net income (loss) per share attributable to common stockholders:        
Basic and diluted $(0.43) $(1.47)
Weighted average shares outstanding:        
Basic and diluted  16,045,110   3,950,009 


  June 30,  December 31, 
  2023  2022 
Current assets:        
Cash and cash equivalents $6,175,632  $15,916,141 
Accounts receivable, net  3,560,882   2,843,148 
Inventory  1,309,982   639,945 
Prepaid expenses and other current assets  1,162,921   1,846,870 
Total current assets  12,209,417   21,246,104 
Property and equipment, net  3,265,865   2,404,402 
Right-of-use assets, net  9,403,098   9,283,222 
Other assets  345,653   262,913 
Total assets $25,224,033  $33,196,641 
Current liabilities:        
Accounts payable $2,072,393  $2,101,572 
Accrued expenses  5,824,193   3,706,094 
Current lease liabilities  1,559,576   1,282,603 
Total current liabilities  9,456,162   7,090,269 
Long term lease liabilities, net of current portion  8,025,303   7,792,617 
Senior Convertible Notes at fair value  12,928,404   13,651,000 
Subordinated Convertible Notes at fair value  15,225,000   10,355,681 
Earnout liability  4,610,000   12,810,000 
Warrant liability  727,664   1,991,503 
Total noncurrent liabilities  41,516,371   46,600,801 
Total liabilities  50,972,533   53,691,070 
Stockholders’ deficit:        
Common stock, $0.0001 par value, 100,000,000; 16,057,630 and 16,041,464 shares issued and outstanding at June 30, 2023 and December 31, 2022, respectively  1,606   1,604 
Additional paid-in capital  191,031,730   190,298,562 
Accumulated deficit  (216,781,836)  (210,794,595)
Total stockholders’ deficit  (25,748,500)  (20,494,429)
Total liabilities and stockholders’ deficit $25,224,033  $33,196,641 

Important Notice Regarding Forward-Looking Statements

This press release contains certain “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933 and Section 21E the Securities Exchange Act of 1934, both as amended. Statements that are not historical facts, including statements regarding ProSomnus’s labeling expansion, the outcome and timing for ProSomnus’s trials, ProSomnus’s future growth, expenses and margins, and the growing markets for its devices, are forward-looking statements. These forward-looking statements can be identified by the use of forward-looking terminology, including the words “believes,” “estimates,” “anticipates,” “expects,” “intends,” “plans,” “may,” “will,” “potential,” “projects,” “predicts,” “continue,” or “should,” or, in each case, their negative or other variations or comparable terminology. The forward-looking statements contained in this press release are based on our current expectations and beliefs concerning future developments and their potential effects on us. 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) uncertainty of the projected financial information with respect to ProSomnus; (ii) ProSomnus’s limited operating history and history of losses; (iii) ProSomnus’s ability to maintain and grow its profit margin from sales of ProSomnus oral devices; (iv) ProSomnus’s ability to expand internationally; (v) the roll-out of ProSomnus’s business and the timing of expected business milestones; (vi) ProSomnus’s ability to formulate, implement and modify as necessary effective sales, marketing, and strategic initiatives to drive revenue growth; (vii) expectations concerning the effectiveness of OSA treatment using ProSomnus oral devices and the potential for patient relapse after completion of treatment; (viii) the understanding and adoption by dentists and other healthcare professionals of ProSomnus oral devices for mild-to-moderate OSA; (ix) risk related to compliance debt covenants or successfully renegotiating such covenants; (x) ProSomnus’s ability to obtain additional funding and the risk of potential future significant dilution to stockholders resulting from any such financing or from lender conversions under the convertible debt financing; (xi) the viability of ProSomnus’s intellectual property and intellectual property created in the future; (xii) 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; (xiii) the risk of downturns in the market and ProSomnus’s industry including, but not limited to, as a result of the COVID-19 pandemic; and (xiv) the outcome of any legal proceedings that may be instituted against ProSomnus. A further list and description of risks and uncertainties can be found in ProSomnus’s most recent annual report on Form 10-K filed with the Securities and Exchange Commission (the “SEC”) any subsequently filed quarterly reports on Form 10-Q, 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. Forward-looking statements do not represent our views as of any subsequent date, and we do not undertake any obligation to update forward-looking statements to reflect events or circumstances after the date they were made, whether as a result of new information, future events or otherwise, except as may be required under applicable securities laws. Accordingly, you are cautioned not to place undue reliance on these forward-looking statements.

Investor Contact
Mike Cavanaugh
ICR Westwicke
Phone: +1.617.877.9641

Media Contact
Sean Leous
ICR Westwicke
Phone: +1.646.866.4012

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